Thursday, December 18, 2008

A team of eight transplant surgeons in Cleveland Clinic in Ohio, USA, led by reconstructive surgeon Dr. Maria Siemionow, age 58, have successfully performed the first almost total face transplant in the US, and the fourth globally, on a woman so horribly disfigured due to trauma, that cost her an eye. Two weeks ago Dr. Siemionow, in a 23-hour marathon surgery, replaced 80 percent of her face, by transplanting or grafting bone, nerve, blood vessels, muscles and skin harvested from a female donor’s cadaver.

The Clinic surgeons, in Wednesday’s news conference, described the details of the transplant but upon request, the team did not publish her name, age and cause of injury nor the donor’s identity. The patient’s family desired the reason for her transplant to remain confidential. The Los Angeles Times reported that the patient “had no upper jaw, nose, cheeks or lower eyelids and was unable to eat, talk, smile, smell or breathe on her own.” The clinic’s dermatology and plastic surgery chair, Francis Papay, described the nine hours phase of the procedure: “We transferred the skin, all the facial muscles in the upper face and mid-face, the upper lip, all of the nose, most of the sinuses around the nose, the upper jaw including the teeth, the facial nerve.” Thereafter, another team spent three hours sewing the woman’s blood vessels to that of the donor’s face to restore blood circulation, making the graft a success.

The New York Times reported that “three partial face transplants have been performed since 2005, two in France and one in China, all using facial tissue from a dead donor with permission from their families.” “Only the forehead, upper eyelids, lower lip, lower teeth and jaw are hers, the rest of her face comes from a cadaver; she could not eat on her own or breathe without a hole in her windpipe. About 77 square inches of tissue were transplanted from the donor,” it further described the details of the medical marvel. The patient, however, must take lifetime immunosuppressive drugs, also called antirejection drugs, which do not guarantee success. The transplant team said that in case of failure, it would replace the part with a skin graft taken from her own body.

Dr. Bohdan Pomahac, a Brigham and Women’s Hospital surgeon praised the recent medical development. “There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Leading bioethicist Arthur Caplan of the University of Pennsylvania withheld judgment on the Cleveland transplant amid grave concerns on the post-operation results. “The biggest ethical problem is dealing with failure — if your face rejects. It would be a living hell. If your face is falling off and you can’t eat and you can’t breathe and you’re suffering in a terrible manner that can’t be reversed, you need to put on the table assistance in dying. There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Dr Alex Clarke, of the Royal Free Hospital had praised the Clinic for its contribution to medicine. “It is a real step forward for people who have severe disfigurement and this operation has been done by a team who have really prepared and worked towards this for a number of years. These transplants have proven that the technical difficulties can be overcome and psychologically the patients are doing well. They have all have reacted positively and have begun to do things they were not able to before. All the things people thought were barriers to this kind of operations have been overcome,” she said.

The first partial face transplant surgery on a living human was performed on Isabelle Dinoire on November 27 2005, when she was 38, by Professor Bernard Devauchelle, assisted by Professor Jean-Michel Dubernard in Amiens, France. Her Labrador dog mauled her in May 2005. A triangle of face tissue including the nose and mouth was taken from a brain-dead female donor and grafted onto the patient. Scientists elsewhere have performed scalp and ear transplants. However, the claim is the first for a mouth and nose transplant. Experts say the mouth and nose are the most difficult parts of the face to transplant.

In 2004, the same Cleveland Clinic, became the first institution to approve this surgery and test it on cadavers. In October 2006, surgeon Peter Butler at London‘s Royal Free Hospital in the UK was given permission by the NHS ethics board to carry out a full face transplant. His team will select four adult patients (children cannot be selected due to concerns over consent), with operations being carried out at six month intervals. In March 2008, the treatment of 30-year-old neurofibromatosis victim Pascal Coler of France ended after having received what his doctors call the worlds first successful full face transplant.

Ethical concerns, psychological impact, problems relating to immunosuppression and consequences of technical failure have prevented teams from performing face transplant operations in the past, even though it has been technically possible to carry out such procedures for years.

Mr Iain Hutchison, of Barts and the London Hospital, warned of several problems with face transplants, such as blood vessels in the donated tissue clotting and immunosuppressants failing or increasing the patient’s risk of cancer. He also pointed out ethical issues with the fact that the procedure requires a “beating heart donor”. The transplant is carried out while the donor is brain dead, but still alive by use of a ventilator.

According to Stephen Wigmore, chair of British Transplantation Society’s ethics committee, it is unknown to what extent facial expressions will function in the long term. He said that it is not certain whether a patient could be left worse off in the case of a face transplant failing.

Mr Michael Earley, a member of the Royal College of Surgeon‘s facial transplantation working party, commented that if successful, the transplant would be “a major breakthrough in facial reconstruction” and “a major step forward for the facially disfigured.”

In Wednesday’s conference, Siemionow said “we know that there are so many patients there in their homes where they are hiding from society because they are afraid to walk to the grocery stores, they are afraid to go the the street.” “Our patient was called names and was humiliated. We very much hope that for this very special group of patients there is a hope that someday they will be able to go comfortably from their houses and enjoy the things we take for granted,” she added.

In response to the medical breakthrough, a British medical group led by Royal Free Hospital’s lead surgeon Dr Peter Butler, said they will finish the world’s first full face transplant within a year. “We hope to make an announcement about a full-face operation in the next 12 months. This latest operation shows how facial transplantation can help a particular group of the most severely facially injured people. These are people who would otherwise live a terrible twilight life, shut away from public gaze,” he said.

Tuesday, March 29, 2005In a report from the Department of Homeland Security released on Friday, March 25, they allege the US Transportation Security Administration “made inaccurate statements” about its management of personal data belonging to passengers. The report claims, “TSA did not ensure that privacy protections were in place” as it handled data transfers to private contractors for use in the development of a computerized passenger screening application, called CAPPS II. While the report criticizes TSA for its inaccurate statements, it notes the “misstatements were apparently not meant to mischaracterize known facts,” but were instead “premised on an incomplete understanding” of the truth.

According to the report, the data at issue described passengers flying on the following airlines: America West Airlines, American Airlines, Continental Airlines, Delta Air Lines, Frontier Airlines, and JetBlue Airways. In most of the problematic transfers, the privacy violation occurred by allowing third parties to access passenger data that was not anonymized. In one case, passenger information was made public on the internet through a presentation prepared by Torch Concepts. According to the report, “Torch Concepts’ subsequent efforts to remove the presentation from the internet have failed.”

In an AP report, Yahoo! News notes that TSA announced the launch of its “Secure Flight” system, saying, “Congress has said the agency can’t proceed with Secure Flight unless the Government Accountability Office reports that the technology ensures privacy and that the data are protected.” The report from the GAO was to be released Monday, March 27, 2005.

Sunday, March 15, 2009

200,000 litres of oil leaked into waters off the coast of Brisbane from the Pacific Adventurer when their fuel tanks were damaged in rough seas on Wednesday. The figure is about ten times higher than the original estimate of twenty thousand litres of oil. The devastating diesel oil spill has spread along 60 kilometres (37 miles) of the Queensland coast. In addition, 31 containers with 620 tonnes of ammonium nitrate fertiliser flew overboard during the violent storm.

Questions are being asked why the Hong Kong cargo ship was out in seas with nine meter waves caused by Cyclone Hamish, a Category 5 tropical cyclone, as well as why the fertiliser containers were not properly secured. One of the overboard containers ruptured the hull of the Pacific Adventurer, causing between 30 to 100 tonnes of oil to spew from the severely damaged ship.

If the ammonium nitrate mixes with the heavy oil, an explosion could occur. None of the containers have been recovered. Some of these may float, but it is believed that they may have sunk which then may cause algal blooms.

Disaster zones have been declared at Bribie and Moreton Islands, and along the Sunshine coast.

The vessel’s owner, Swire Shipping, reported that a second leak began on Friday, when the ship began listing after docking at Hamilton for repairs. “As full soundings of the vessel’s tanks were being taken at the port to determine how much oil had leaked from the vessel, a small quantity of fuel oil escaped from the Pacific Adventurer,” it stated. The ship was brought upright, and a recovery vessel was used to suck up the oil from the water. The leak produced a 500m-long oil slick down the Brisbane River. Booms were placed around this oil spill so that a skimmer could clean up the second spill.

Swire Shipping could face clean up costs of AU$100,000 a day as well as fines up to AU$1.5million (US$977,000; £703,000) if found guilty of environmental breaches or negligence.

Sunshine Coast beaches are slowly starting to be reopened. The beach of Mooloolaba was still closed following reports of burning sensations from swimmers. 12 beaches remain closed; however, 13 have been reopened.

Over 300 state government and council workers are using buckets, rakes and spades in the clean up effort. Sunshine Coast Mayor Bob Abbott says the majority will be gone by Sunday afternoon. The full environmental impact on wildlife is not yet known. One turtle and seven pelicans have been found covered in oil.

There are concerns that the drinking water of Moreton Island is at risk, as the island uses water from the underground water table near the oil spill site.

“Every bucketload of contaminated sand has to be removed from the island by barge, and each bucketload from a front-end loader weighs about one tonne. It’s just an impossible task,” said Mr Trevor Hassard of the Tangalooma Dolphin Education Centre.

The commercial fishing industry has suffered from the incident. Trawlers won’t resume operations until Sunday evening, and any catches will be tested for human consumption.

Saturday, August 17, 2013

Irish budget airline Ryanair have added newspaper publishers Associated Newspapers and Mirror Group to their legal targets in a High Court defamation action filed yesterday in Dublin that also targets Channel 4.

The move confirms the carrier’s expression of intent to sue Channel 4 after the UK broadcaster screened Secrets of the Cockpit, a documentary about safety at the airline, on Monday night. Part of the Dispatches series, the show reported on an incident in Spain last year where three Ryanair jets declared fuel emergencies after being diverted to Valencia. Fuel policy was a strong focus for the documentary.

Pilots interviewed for the programme said they felt pressured to save fuel, the cost of which has hit Ryanair’s profits. The Spanish Air Authority described Ryanair flights usually landing with a bare minimum of fuel, in a report the airline dismissed as “manifestly inaccurate and factually untrue”.

Ryanair have also sacked veteran pilot John Goss for appearing on the show, the only pilot interviewed who did not seek anonymity. Ryanair have stated intent to sue Goss and claim he confirmed in the weeks before the show that he had no issues with his employer’s safety. Goss is a member of Ryanair Pilots Group (RPG), which the airline call a union front.

Channel 4 previously promised when threatened with legal action to see Ryanair in court. “We stand by our journalism, and will robustly defend proceedings if they are initiated,” a spokesperson said. The Belfast Telegraph was also sued but the action has been dropped after the Northern Irish publication issued an apology. The paper had published a story titled “Are budget airlines like Ryanair putting passengers at risk?”.

Associated Newspapers are behind The Daily Mail and its online and Sunday variants. Mirror Group publish The Daily Mirror, its Sunday sister, and The People.

Secrets of the Cockpit also examined an RPG poll of 1,000 Ryanair flight crew, dismissed by the airline as part of unionisation efforts. According to the RPG survey almost 90% of respondents said the safety culture was nontransparent. Two-thirds said they felt uncomfortable raising safety issues, with a pilot interviewed by Channel 4 accusing Ryanair of “threats and bullying”. Ryanair had told pilots anybody signing a “so-called safety petition” might be dismissed.

Over 90% of those surveyed wanted a regulatory inquiry, with RPG saying the survey results were passed to the airline and the Irish Aviation Authority (IAA). The IAA has already called the programme a “misguided attack” on Ryanair, saying “Ryanair Plc fully complies with all European and international regulations in all areas of its operations”.

The IAA itself was accused of failing to respond to concerns from Ryanair pilots and one interviewee said his “personal belief is that the majority of Ryanair pilots do not have confidence in the safety agencies and that is a pretty critical issue”. The authority responded “The IAA has responded to personal letters and reports from Ryanair pilots, this included several meetings and face-to-face interviews with pilots and their legal and professional representatives.”

Ryanair makes heavy use of zero-hour contracts, which do not guarantee work and which the Irish Airline Pilots’ Association describe as offering some of aviation’s worst employment conditions. RPG chairman Evert van Zwol, also a recent Dutch Airline Pilots Association president, said zero-hour contracts tended to make pilots choose to fly when unwell and keep quiet if they had safety concerns. In 2005 a Polish Ryanair pilot became lost near Rome a few days after attending his son’s funeral, while his Dutch co-pilot was seeing his first experience of navigating severe weather.

In the 2005 incident air traffic control intervened to keep the flight safe from midair collisions. The Polish pilot told Italian investigators he feared losing his job if he took extra time off work. The investigation concluded in 2009 he had been unfit to fly. Ryanair denied he would have been fired for taking time off to recover.

Secrets of the Cockpit also reported that in twelve separate serious incidents data from cockpit voice recorders had been wiped before investigators could access it, which the carrier says is a common occcurrence in aviation and attributed to pilot error.

In Sweden a report into a Ryanair emergency landing concluded this week an airline employee wiped the cockpit voice recorder and flight data recorder to prevent the investigation accessing them. The aircraft had returned to an airport near Stockholm shortly after takeoff suffering electrical malfunctions. Ryanair reject the Swedish Accident Investigation Authority’s take on the missing data, telling newspaper Södermanlands Nyheter recordings were reset by a technician trying to repair the aircraft after consultation with Ryanair’s technical department, who did not think the recordings needed saving.

Ryanair, which has never suffered a fatal accident, says the documentary is “false and defamatory”, and the IAA says it is “based upon false and misleading information”. “We have been instructed to vigorously prosecute these libel proceedings,” said a statement from Ryanair’s lawyers, who promised “other litigation is pending”.

Monday, January 18, 2010

The Benet Academy Redwings boys basketball team defeated the Oswego High School Panthers 40–34 Saturday night at Benet’s historic Alumni Gym. 

Located at Lisle, Illinois, United States, the gymnasium is home to Benet’s winning streak of 102 consecutive home games. The statewide record lasted from November 26, 1975 until January 24, 1987, when Naperville North High School defeated the Redwings 47–46. Benet also achieved 96 consecutive victories in the Western Suburban Catholic Conference at that time. 

The school continued to use the facility, colloquially referred to as the “Old Gym” or the “Small Gym”, until the end of the 1994 season, when a newer athletic center was built on campus. It wasn’t until the late 1990’s when then-coach Marty Gaughan decided to play one game per year in the Alumni Gym to remind the school of its history. “There is just an electricity, and you feel it when you are in there,” said Gaughan, who coached the team from the 1989–1990 season to the 2007–2008 season. 

This tradition continued until the 2006–2007 season, when the Redwings played against long-time rival St. Francis High School. Renovations prevented the gym from being used for athletic events over the past two seasons. This game was Benet coach Gene Heidkamp’s first opportunity to coach in the older gym. “So much history and winning has taken place there, which makes it so special. It is something the entire school community is excited about,” said Heidkamp. 

Saturday’s game was played at the Alumni Gym at the request of Oswego assistant coach Jim Bagley. He wanted his son, senior forward Chris Bagley, to experience the same atmosphere he had as he played for Benet in the 1978–1979 season. Greg Kwiatkowski was also Jim Bagley’s teammate in Benet, and his son, Joe Kwiatkowski, was in the Panthers’ starting lineup as well. “Two of us who played at Benet together and now our son’s play on [Oswego] together and for them to have a chance to play where we played is going to be a great night and great experience,” said the senior Bagley. 

Alumni Gym apparently still had its charm in the second half for the Redwings, whose 15–17 score at halftime worsened into an 11-point deficit in the third quarter. Benet fell behind with a score of 21–29 at the start of the fourth quarter. From that point, the Redwings’ defense began to kick in. Oswego could make only 2 of its 13 field goals in the third quarter. Benet’s offense also gained momentum as center Frank Kaminsky scored all of his 9 points in the fourth quarter. A shot by senior Mike Runger brought the score to 31–31, and two consecutive driving layups by David Sobolewski gave Benet the lead that would last for the rest of the game. 

“We hit a dry spell there, but let’s give credit where credit is due. Defense wins games and they are the best defensive team we’ve faced all year,” said Oswego coach Kevin Schnable.

Benet’s Matt Parisi led his team with 15 points, and Sobolewski scored 12. Oswego’s Andrew Ziemnik also scored 12. 

Sunday, April 1, 2012

Leonid Shebarshin, a retired senior spy who headed the former Soviet Union’s KGB for a day, has apparently killed himself. He celebrated his 77th birthday earlier this week.

Born in 1935, Shebarshin had experience as an agent in India, Pakistan, Iran, and Afghanistan. He was made head of the KGB’s foreign intelligence arm, the First Main Directorate, in 1989 and held the post until 1991.

That year saw a coup by figures including the KGB’s leader Vladmir Kryuchkov against Soviet leader Mikhail Gorbachev. When the coup failed, Shebarshin was appointed Kryuchkov’s interim replacement on August 22. The next day, he was replaced in that role and resigned soon after. The Soviet Union collapsed later that year.

Shebarshin is believed to have left a suicide note before killing himself with a shot to the head from the pistol he was gifted upon retirement, according to media and the local Investigative Committee. His body was found at his Moscow apartment Friday. The gun was nearby.

Shebarshin’s wife has been dead for several years. He is thought to have lived alone in his city centre apartment.