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Friday, January 4, 2008

A new study amongst doctors in the United States on the use of placebos—pills with no medical effect—shows that almost half of the questioned practitioners prescribe placebos, most of them within the last year.

The majority of 466 faculty physicians at Chicago-area medical schools interviewed by a research group of the University of Chicago stated that placebos are useful to calm a patient down or to respond to demands for medication that the doctor disagrees with, i.e. “to get the patient to stop complaining”.

96 percent of the physicians surveyed believe that placebos can have therapeutic effects. Close to 40 percent stated that placebos could benefit patents physiologically as well as mentally.

Twelve percent of surveyed physicians think that placebos should be banned from clinical practice. Among the doctors who prescribed them, one in five said they outright lied to patients by claiming a placebo was medication. But more often the physicians came up with ways to explain like that “this may help you but I’m not sure how it works.”

The American Medical Association (AMA), the largest association of U.S. doctors and medical students, tells its members that “[p]hysicians may use placebos for diagnosis or treatment only if the patient is informed of and agrees to its use.” The research, published in Journal of General Internal Medicine this week, is the first major U.S. study of doctors on the use of placebos since 1979.

Sunday, January 27, 2008

An unresponsive United States reconnaissance satellite is in an uncontrolled, decaying orbit and will re-enter Earth‘s atmosphere in late February or early March.

According to Gordon Johndroe, a spokesman for the U.S. National Security Council, “Appropriate government agencies are monitoring the situation.”

The satellite is out-of-control, and therefore there is no possibility to guide it to re-entry over an ocean or unpopulated area. On the one hand, since most of the earth’s surface is water or unpopulated, death or property loss due to any falling fragments, which may result from the satellite entering the atmosphere, is statistically unlikely. On the other hand, it cannot be ruled out entirely. According to General Gene Renuart, of the United States Air Force, there is a chance that the satellite may re-enter over North America. After entering the atmosphere, some debris could possibly fall on land.

“Numerous satellites over the years have come out of orbit and fallen harmlessly. We are looking at potential options to mitigate any possible damage this satellite may cause,” said Johndroe.

Concerns have also been raised that some materials used in the satellite’s construction could be hazardous if they reach the ground. The satellite contains quantities of toxic hydrazine fuel, which is used for maneuvering, although this is likely to burn up on re-entry. Some of the optics aboard the satellite may contain beryllium, which is also toxic.

As the satellite was part of a classified U.S. military program, no other details, including its name, have been made public. The satellite is publicly identified by the codenames USA-193 and NRO L-21. It was launched in December 2006, by a Delta II rocket from Vandenberg Air Force Base. Ground controllers lost contact with the satellite shortly after it reached orbit. Amateur observers had been tracking USA-193 for some time, and believed that its orbit was decaying.

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.

Wednesday, March 7, 2007

At least one person is seriously wounded and one dead after a 17 year-old male opened fire and shot his ex-girlfriend, Jessica Forsyth, 17, four times outside the Herbert Henry Dow High School located in Midland, Michigan before turning the gun on himself. The shooter was pronounced dead on the scene and according to Midland Police Chief, James St. Louis, the shooter died in the parking lot of the school while the girl is in a local hospital. She is said to be in stable but serious condition at Hurley Medical Center in Flint, Michigan.

Chief St. Louis says that the boy pulled out a gun and began to shoot the girl after the two had a conversation. He then shot himself. St. Louis also said that the mother of the girl, who had dropped her daughter off at school for the day, tried to stop the incident from happening by driving her car in between the girl and boy, but was not successful. The boy, whose name is not known, apparently had stored the gun inside his backpack.

According to Midland Deputy Chief, Bob Lane, the boy was not a student at the school and was not granted access into the school. Lane also stated that the boy then placed a phone call to Forsyth telling her to meet him outside the school just before 11:00 a.m. [EST].

The school hosts nearly 1,500 students. The school was in lockdown, but according to a statement on the school’s website, the lockdown was cancelled.

“This morning a shooting incident took place at Dow High outside the building near the cafeteria. A Code Red lock-down was issued, but has been lifted,” said the statement.

Monday, March 20, 2006

Fears of contaminated bone and skin grafts are being felt by unsuspecting patients following the revelation that funeral homes may have been looting corpses.

Janet Evans of Marion, Ohio was told by her surgeon, “The bone grafts you got might have been contaminated”. She reacted with shock, “I was flabbergasted because I didn’t even know what he was talking about. I didn’t know I got a bone graft until I got this call. I just thought they put in screws and rods.”

The body of Alistair Cooke, the former host of Masterpiece Theatre, was supposedly looted along with more than 1,000 others, according to two law enforcement officials close to the case. The tissue taken was typically skin, bone and tendon, which was then sold for use in procedures such as dental implants and hip replacements. According to authorities, millions of dollars were made by selling the body parts to companies for use in operations done at hospitals and clinics in the United States and Canada.

A New Jersey company, Biomedical Tissue Services, has reportedly been taking body parts from funeral homes across Brooklyn, New York. According to ABC News, they set up rooms like a “surgical suite.” After they took the bones, they replaced them with PVC pipe. This was purportedly done by stealth, without approval of the deceased person or the next of kin. 1,077 bodies were involved, say prosecutors.

Investagators say a former dentist, Michael Mastromarino, is behind the operation. Biomedical was considered one of the “hottest procurement companies in the country,” raking in close to $5 million. Eventually, people became worried: “Can the donors be trusted?” A tissue processing company called LifeCell answered no, and issued a recall on all their tissue.

Cooke’s daughter, Susan Cooke Kittredge, said, “To know his bones were sold was one thing, but to see him standing truncated before me is another entirely.” Now thousands of people around the country are receiving letters warning that they should be tested for infectious diseases like HIV or hepatitis. On February 23, the Brooklyn District Attorney indicted Mastromarino and three others. They are charged with 122 felony counts, including forgery and bodysnatching.

Friday, September 26, 2008

On October 14, 2008, Canadians will be heading to the polls for the federal election. New Democratic Party candidate Max Lombardi is standing for election in the riding of Cambridge. Lombardi is an information technology specialist who has lived in Cambridge for 25 years.

Held since 2004 by Conservative Gary Goodyear, the riding of Cambridge includes the city of Cambridge, Ontario and the Township of North Dumfries, Ontario. Also running in the riding are Gord Zeilstra (Liberal) and Scott Cosman (Green).

Wikinews contacted Max Lombardi, to talk about the issues facing Canadians, and what they and their party would do to address them. Wikinews is in the process of contacting every candidate, in every riding across the country, no matter their political stripe. All interviews are conducted over e-mail, and interviews are published unedited, allowing candidates to impart their full message to our readers, uninterrupted.

For more information, visit the campaign’s official website, listed below.

Tuesday, August 2, 2005

Massey Energy Co., the fourth largest coal producer in the U.S., filed a federal lawsuit against the Governor of West Virginia, Joe Manchin.

Massey’s CEO Don Blankenship alleged that Gov. Manchin acted in retaliation against the company’s coal mining operations because the company spent $650,000 in an advertising campaign to defeat the governor sponsored pension bond proposal. The $5.5 billion bond proposal, intended to shore up the state’s sagging pension plan, was defeated in a special election held in June.

The Massey lawsuit, filed last Tuesday on July 26 in the U.S. District Court in the W.V. southern district, was referred to by Gov. Manchin as having less to do with the bond proposal than with the newly increased state “severance tax” on coal. Nearly 40 million tons of coal production will be subject to the 56-cent tax.

According to Blankenship, that tax amounts to $22.4 million in additional costs for the company, but he denied the increase has anything to do with the lawsuit.

The company reported profits that almost tripled during the second quarter compared to a year ago. Of the company’s rosy earnings picture, Blankenship urged states to “show some frugality” by not placing tax burdens on coal to solve state budget shortfalls. He said his company is “playing a role” because there was no need for the bond sale and the state can afford to make payments into the pension system.

Blankenship acknowledged during a conference call the now-rescinded June 30 permit by the W.V. Department of Environment Protection (DEP). At issue was the department’s permit for mining operations near the Marsh Fork Elementary School, in Sundial, W.V. The school rests at the base of a mountain selected by Massey for “Mountain Top Removal” (MTR) mining techniques. Along with the mining equipment, a coal preparation plant and a sludge pond were established on the mountain. Protest groups, mainly the Coal River Mountain Watch and Mountain Justice Summer, presented a list of demands to Massey officials that included shutting down the preparation plant, ceasing all MTR mining above the Marsh Fork Elementary School, and abandoning plans for a second coal silo near the school. They also ask that the Marsh Fork school be cleaned up or relocated. The state permit for a second coal storage silo was rescinded by the DEP the same day Massey filed the Manchin lawsuit.

Gov. Manchin in June said that Blankenship could expect tougher state scrutiny of his business affairs since the Massey media campaign against the pension bond proposal. “I think that is justified now, since Don has jumped in there with his personal wealth trying to direct public policy,” he said at an appearance at an American Electric Power event in Putnam County.

Sunday, February 17, 2008

Grameen Bank of Bangladesh has made the first loans to U.S. citizens who do not have a bank account. Grameen Bank is experienced in micro-financing in its home country, lending money to poor women that want to start small businesses.

Since the start of the mortgage-crisis more people in the U.S. tend to turn to fringe financial institutions bypassing the mainstream bank institutes. “Now is a good time because of … the subprime crisis and that highlights the issue that the financial system is not perfect,” , says the bank’s founder and 2006 Nobel Peace Prize winner Muhammad Yunus. Grameen Bank started in 1976 by lending a total amount of $27.00 to 42 Bangladesh women. To date the bank has made over $6.5 billion in loans to 7 million people in Bangladesh.

Grameen Bank’s first loans of approximately $50,000.00 in total in the U.S. was to a group of women in Jackson Heights, Queens, New York City. Garmeen Bank plans to offer $176 million in loans in New York City the next five years, and after that expanding into business as remittances and mortgages all over the U.S., as it has done in Bangladesh.

Thursday, August 4, 2005

In a speech in Texas on Wednesday, President George W. Bush discussed the trade deficit, saying:

“We had a problem in our hemisphere about trade. I don’t know if you realize it or not, but most of the goods from Central America came into this country duty-free. Yet eighty percent of our goods were taxed through tariffs in Central American countries. That didn’t seem to make sense to me; it certainly wasn’t fair. All I say to people is you treat us the way we treat you. If your goods can come into our markets duty-free, our goods ought to be able to go into your markets duty-free.”

According to the Bureau of Economic Analysis International Economic Accounts Balance of Payments,

“The deficit on goods increased to $186.3 billion from $182.2 billion, as goods imports increased more than exports. More than half the increase in imports was in consumer goods. Much of the increase in exports was in industrial supplies and materials, inconsumer goods, and in capital goods.”

In the US, the DR-CAFTA (Dominican Republic-Central American Free Trade Agreement, or simply CAFTA) bill passed by two votes. At present in contention is the Andean Free Trade Agreement.

“The House passed H.R. 304, to implement the Dominican Republic-Central America-United States Free Trade Agreement [CAFTA], by a recorded vote of 217 ayes to 215 noes, Roll No. 443.”

The bill passed by a slight majority in both the House and Senate.

President Bush met for lunch with Colombian President Alvaro Uribe at the Bush Ranch in Texas and communicated his desire for the future prosperity of a Colombia free of drug trafficking and violence.