Cleveland, Ohio clinic performs US’s first face transplant

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.

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Ricky Hatton regains IBF light welterweight title

Sunday, January 21, 2007

Ricky “The Hitman” Hatton regained the IBF light welterweight title belt he relinquished less than 12 months ago when he defeated Juan Urango in Las Vegas, Nevada tonight.

“The Hitman” won by unanimous decision, as the fight went to 12 rounds. Despite early match odds suggesting Hatton would dominate the fight, this was not the case. Each round was close, but most pundits and judges alike agreed that Urango only won 1 of the 12 rounds, with Hatton taking the other 11.

Despite the unfamiliar confines of Las Vegas, Hatton looked touched by the ringing of football fan-like chants, familiar in British boxing, that rang around the arena, as more than half of it was filled by traveling support from across the atlantic.

Many in the UK will hope Hatton has ended the “curse” that has seen names such as Frank Bruno, Naseem Hamed, Barry McGuigan and others fall short while headlining fights on “The Strip”.

From here, it is widely believed “The Hitman” will move on to fight Jose Luis Castillo in June, again likely in Vegas.

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Costa joins Juventus FC on one-year loan

Saturday, July 15, 2017

On Wednesday, Italian football club Juventus announced an agreement with German club Bayern Munich for a one-year loan of Brazilian winger Douglas Costa for a fee of €6 million, to run until June 30, 2018.

26-year-old Douglas Costa joined Bayern in 2015 under Pep Guardiola’s management from Ukrainian club Shakhtar Donetsk. In two seasons at the Allianz Arena, Costa has scored fourteen goals and provided 27 assists, making 77 appearances in total. He won two consecutive Bundesliga titles, a DFB Pokal, and a DFL-Supercup. Before joining the Bavarian club, the left-footed winger won five consecutive Ukrainian Premier League trophies.

In the agreement with Bayern, Juventus can exercise an option to buy the player for €40 million before July 1, 2018. Bayern may receive an additional €1 million subject to conditions in the contract. Bayern Munich’s chairman Karl-Heinz Rummenigge said, “We had serious and constructive talks with Juventus’ representatives. All of FC Bayern’s financial demands have been met”.

Upon asking why he joined Juventus, Costa told the Juventus’ interviewer that he “had always dreamed of playing” with the Old Lady and said he was “delighted to be part of” Juventus’ team.

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Categories
Fertility Treatments

What Are The Forbidden Foods During Pregnancy

What are the Forbidden Foods During Pregnancy

by

Emma111

We all know that for pregnant women, a person eats can supply nutrients for two . But if they eat substances harmful to health, the substances will enter the fetus through the placenta the same as nutrients.

Then we ll introduce the forbidden foods during pregnancy one by one:

Too greasy and spicy food: Too greasy foods are not easy to digest, aggravating the symptoms of stomach discomfort and being pregnant in early pregnancy. The pungent foods and seasonings are easy to stimulate the gastric mucosa, increasing heartburn of stomach during late pregnancy.

[youtube]http://www.youtube.com/watch?v=qfriAaiWU_0[/youtube]

Raw or cold food and the precooked foods that are not preserved well: Do not eat Sashimi, Conch and other food without heat treatment. While buying commercially available prepared foods, remember to check the temperature of preserved food premises selling: hot foods should be kept at 65 degrees Celsius or more, and cold foods should be refrigerated controlled at less than 7 degrees Celsius. These foods are common in vegetable market selling cooked food, or the popular sushi bar. Usually we do not know the process and time when they are prepared, so if we eat cooked food that is bacterial contaminated and not fresh, food poisoning will endanger the health of the mother and the fetus.

Moldy food: Avoid eating seemingly moldy vegetables, fruits or dehydrated food from appearance. Just removing the moldy part is not enough, because the harmful substances produced by fungi can penetrate to the deeper, and cannot be destroyed by cooking heat .

Over-processed food: processed foods are often added a lot of salt and sugar. Excessive intake of salt for pregnant women with toxemia of pregnancy may increase the symptoms of high blood pressure and edema. And foods containing too much sugar such as carbonated beverages, candy, and chocolate and so on are foods that have high calorie but only a small part of nutrients, which can cause weight gaining and overweight problems. In addition, prior to the purchase of processed foods, you should also pay attention to food labeling and manufacturing date to see if there is any additive harmful to human, and whether the food is expired.

Alcohol: Alcohol will flow into the fetus through the placenta, causing abortion and fetal alcohol syndrome , including low birth weight and subsequent growth retardation, mental retardation, as well as heart, brain and other deformities. For the sake of the health of next generation, pregnant women had better not drink alcohol.

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Melbourne – Adelaide train services disrupted into next week following fatal crash

Friday, May 26, 2006

Rail services between Melbourne and Adelaide in Australia are expected to be disrupted until early next week following a fatal crash between a truck and freight train in Lismore, Victoria 170 Km (105 miles) South-West of Melbourne.

The B-Double truck hit the side of a 1,375 metre long freight train at a level crossing at 7:13 a.m. AEST on Thursday in heavy fog, derailing two locomotives and 44 goods wagons. Victorian police said that the truck had been wedged beneath the wreckage of the train.

The driver of the truck, thought to be a 34-year-old man from Wedderburn in Victoria’s North-West died in the crash. The train driver and an observer escaped uninjured. Police said it could take a number of days to retrieve the truck driver’s body. “It could possibly take days to retrieve the body” a Victorian police spokesperson said.

Great Southern Railways, which operates “The Overland” passenger train service between Melbourne and Adelaide said it expected rail services to be disrupted up until early next week. The company will transfer passengers to bus services or allow them to claim a full refund.

The crash will also disrupt freight services between Melbourne and Adelaide.

Local residents and the Victorian opposition are blaming the crash on the level crossing itself, which has no booms, lights or bells.

Rob Dennis, a local resident said the level crossing is the cause of the crash, as it is not fitted with boom gates or flashing lights.

“And it’s a blind turn for anything in a large vehicle,” he said.

Terry Mulder, the opposition’s transport spokesperson said the Bracks Government should have spent part of the $750 million allocated to fast rail projects to upgrading level crossings in Victoria.

“The State Labor Government has wasted $750 million on fast rail projects,” Mr Mulder said.

Mr Mulder said that Victoria has 2,274 level crossings, 1,468 which have no warning systems in place.

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Categories
Seniors

Restoring Your Digestive Health How Do You Start?}

Submitted by: Xylene Belita

Restoring your digestive health should become your priority, especially if you are:

1. Ageing. The digestive system weakens as you advance in years, whether you like or not. You may perhaps only delay the process of ageing, but it is inevitable.

2. Having an upset stomach after eating a heavy meal.

[youtube]http://www.youtube.com/watch?v=mAGcDfkJscI[/youtube]

3. Experiencing frustration because you cannot eat the foods you want to eat. You used to feast on creamy pastas, salads, and the like, but lately eating dishes with milk or cream gets you to the bathroom fast. Good if your stools are solid and well-formed, but they are not. And they also stink. Eating certain kinds of foods also makes you feel bloated and dizzy, and sometimes, you end up vomiting them.

All these indicate that your digestive system is not at the peak of its health anymore. But this does not mean that you will just have to let things be, because restoring your digestive health is still possible. For those in their golden years with digestion problems, however, getting their digestive system to function normally can be quite difficult, especially since most of them no longer have teeth to thoroughly chew the foods that they eat, and chewing as you must know is a very important step in the digestion process. Chewing causes the food to be broken down into smaller pieces, and chewing also facilitates the production of enzyme-rich saliva. Getting the digestive system of the aged to work normally is like restoring an old car to road-worthy condition. Still, it’s not impossible, especially in this time and age when digestive aids in all forms and sizes are available.

Among the more popular digestive aids you can find these days are digestive health supplements. Some contain just one particular enzyme, but others contain a blend of the different digestive enzymes. You will have to determine first and foremost the enzymes that you are in need of. Anyhow, you will find these supplements in the form of capsule or tablet or a cross between the two. Depending on their formulation, digestive enzyme supplements may be taken with meals or on an empty stomach. And how many caplets you need to take may depend on the potency of the enzymes present, as well as your body needs. You must have your doctor determine this for you so you will not take more or less than what is necessary.

You can also turn to “green drinks” to restore your digestive health. Green drinks are formulated with live enzymes from various plant sources. You can make your own green drink by simply taking the juice from raw vegetables and fruits. Unfortunately, you may need a special kind of equipment for this. The regular fruit juicer or blender may not be powerful enough or effective enough to remove the juice from some vegetables.

Probiotic drinks and yogurt also help to boost intestinal health. This is because these beverages have millions of good bacteria which do a lot of good to your general well being, besides restoring your digestive health.

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News briefs:February 01, 2008

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An interview with gossip columnist Michael Musto on the art of celebrity journalism

Sunday, October 7, 2007

There are two things one can expect on a trip to see Michael Musto at the offices of the Village Voice: a 20-minute round-trip wait for the elevator and rapid fire answers from one of the most recognizable gossip columnists in the United States. Musto, in addition to his appearances on Countdown with Keith Olbermann and the E! network, has been writing his column for the Voice since 1984. He has recently compiled the best of them in a book released this year titled, La Dolce Musto: Writings by the World’s Most Outrageous Columnist. He was Carrie Bradshaw, replete with a prodigious use of puns, before Sex in the City was a thought. His column is a romp through his life, spats and opinions on socio-political issues. As David Thigpen of the Chicago Tribune wrote, Musto is “a funny and caustic satirist who masquerades as a gossip and nightlife columnist.”

Musto, a Columbia University graduate, is a rarity in today’s celebrity world: he is accessible. He often corresponds with his readers and his public functions are a mix of parties, nightclubs, academic lectures, university panels and film premieres.

He is friendly and frank, and he welcomes people to join him in his world (“I just got a message that Michael Lucas died!” he says staring wide-eyed at his phone; the message turned out to be false). Wikinews reporter David Shankbone spoke with Musto about his life and his relationship to the world of celebrity journalism. And he did not hold back.


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