Nintendo releases GameBoy Micro in the US

Tuesday, September 13, 2005

On the 20th birthday of Nintendo‘s mascots, Mario and his brother Luigi, Nintendo has released the newest addition to the popular Game Boy line.

The Game Boy Micro is the smallest handheld release by Nintendo to date. Unlike other handhelds in the Game Boy Advance series, the Game Boy Micro can only play Game Boy Advance games and not games designed for the original Game Boy system. The handheld features a new link port, includes multiple removable faceplates, and additional faceplates can be purchased separately. This system has an MSRP of USD$99.99.

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Minor league baseball coach killed on field in United States

Monday, July 23, 2007

An United States man from Tulsa, Oklahoma, was killed by a baseball during a game in North Little Rock, Arkansas, against the Arkansas Travelers. Tulsa Drillers coach Mike Coolbaugh, 35, was struck and killed by a line drive while coaching first base.

He leaves his wife, Mandy, and two young sons, Jacob and Joseph. Mandy is expecting a daughter who is to be named “Mandy” as well. Coolbaugh spent seventeen years in professional baseball. He played Major League Baseball for two seasons and Minor League Baseball for the remainder, before becoming a coach.

Coolbaugh was coaching first base in the ninth inning, when a line drive off the bat of Tino Sanchez struck Coolbaugh in the head causing him to lose consciousness. CPR was administered on the field. An ambulance transported Coolbaugh to Baptist Medical Center where he fell into respiratory arrest. He later died at the hospital at 10:47 p.m.

The game was then called off in the ninth inning with the Drillers behind 7-3. No make up date has been announced.

The North Little Rock Police Department are currently conducting an investigation, though all indications are that it was an accident.

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UK PM’s speechwriter awaits sentence

Wednesday, August 29, 2007

An English lawyer has pleaded guilty to perverting the course of justice. He faked a legal judgment and sent it to a father who was pleading in Taunton family court to be able to remain involved in his child’s upbringing. The lawyer, London barrister Bruce Hyman, now awaits his sentence. The judge indicated that he could receive a prison sentence. Bruce Hyman is well-known in media circles, having produced The Hitchhiker’s Guide to the Galaxy on BBC Radio. He also produced a series with Clive Anderson, at Above the Title Productions, called Unreliable Evidence.

The father, a former City financier, had attended a series of court hearings in order to make suitable arrangements to see his child following an acrimonious divorce. Shortly before one of these hearings he received an email, ostensibly from a self-help group to which he belonged, which had attached a Court of Appeal case that appeared favourable to an application he had made for the judge to stand down from the case. The father, who was representing himself, duly showed the case to the judge. At this point, Bruce Hyman, the lawyer representing the former wife, claimed to the judge that the case was a forgery, which indeed it turned out to be.

After confirming that the self-help group had not sent him the email, the father then embarked on some detective work his own. The fraudulent email was traced via its header to a dial-up internet connection and a phone number belonging to a shop in London. The shop was able to recover CCTV footage which showed a man sending the email from an Apple laptop. The man turned out to be Bruce Hyman.

Sentencing of Hyman is due in Bristol Crown Court on the 19th of September.

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What Is Hip Hop? Dissecting The Umbrella And One Of Its Sub Genres}

What is Hip Hop? Dissecting the Umbrella and one of its Sub-Genres

by

Jack Burden

Everybody and their mother knows the answer to the question, What is hip hop? Thats what happens when people ask What is hip hop? for 30 years eventually it will reach saturation, for better or worse. But while most of the world is fixated on this umbrella genre, there are many lesser-known micro-genres that have sprouted up in the same time period.

After all, when people keep asking what is hip hop?, some are not going to be satisfied with the answer and venture out to make their own version of the now famous genre. Juggalos certainly werent satisfied. Thanks to the musical innovators of the world, one such micro-genre with obsessive Juggalo fans is that of horror rap.

What is hip hop in its purest form?

[youtube]http://www.youtube.com/watch?v=MHZ3xZ2LDeI[/youtube]

The genre largely consists of synthesized drum beats and instrument samples that are looped in frequencies of 2, 4, or 8 measures. Sometimes the pattern changes up for a chorus, but more often they stay the same throughout. The trademark of hip hop is, however, in the vocal stylings. Hip hop artists do not sing, they rap, or talk quickly and rhythmically over the music described above.

Content can range from heavy to light, but most popular hip hop is on the light side. The darkest content in hip hop belongs to that in the micro genre of horror rap, lapped up by Juggalos.

What is hip hops relation to horror rap?

Horror rap is a hip hop micro-genre that separates itself with dark, sometimes even morbid, lyrical content. The most noted act to have success with horror rap is Detroit horror rap outfit Insane Clown Posse. One look at the evil clown face paint, listen to the disturbing lyrics, or experience with Juggalos at one of the groups famous live concerts and youll have a very thorough understanding of what horror rap.

Analyzing this style of music would lead one to believe that, when unsatisfied with the typical answer to what is hip hop?, the horror rap founders believed it could be darker and less focused on care-free topics like materialism and braggadocio.

What is hip hops fan base like compared to horror raps fan base?

To start, the horror rap fan base (consisting primarily of Juggalos) is much smaller than that of general mainstream hip hop. Horror rappers appeal to their Juggalo fan base primarily through their content and legend, but also through interesting add-ons like mythology, customized horror rap music festivals, a family feeling, etc. What is hip hop and what are horror rap are two very different questions, the answers to both would best be explained by a demonstration of their various live settings. Juggalos and normal hip hop heads are very different people.

Hip hop is a major musical form that has been around since the mid 1970s, and has given birth to micro genres such as horror rap, the genre preferred by Juggalos. To learn more about

horror rap

and Juggalos, please visit http://insaneclownposse.com.

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What is Hip Hop? Dissecting the Umbrella and one of its Sub-Genres}

Death sentences in 2008 Chinese tainted milk scandal

Monday, January 26, 2009

On Thursday, the municipal intermediate people’s court in Shijiazhuang, Hebei province, China pronounced sentences for 21 defendants implicated in the 2008 Chinese milk scandal which killed at least six infants and sickened nearly 300,000 others.

In the local court’s decision, 17 accused were indicted for the crimes of “producing, adding melamine-laced ‘protein powder’ to infant milk or selling tainted, fake and substandard milk to Sanlu Group or 21 other dairy companies, including six who were charged with the crime of endangering public security by dangerous means.” Four other courts in Wuji County, in Hebei, China had also tried cases on the milk scandal.

Zhang Yujun, age 40, of Quzhou County (Hebei), who produced and sold melamine-laced “protein powder” in the milk scandal, was convicted of endangering public security and sentenced to death by the Shijiazhuang intermediate people’s court.

The court also imposed the penalty of death upon Geng Jinping, who added 434 kg of melamine-laced powder to about 900 tons of fresh milk to artificially increase the protein content. He sold the tainted milk to Sanlu and some other dairy companies. His brother Geng Jinzhu was sentenced to eight years imprisonment for assisting in adding the melamine.

A suspended capital punishment sentence, pending a review, with two years probation, was handed down to Gao Junjie. Under the law, a suspended death sentence is equivalent to life imprisonment with good behavior. The court ruled that Gao designed more than 70 tons of melamine-tainted “protein powder” in a Zhengding County underground factory near Shijiazhuang. His wife Xiao Yu who assisted him, was also sentenced to five years imprisonment.

Sanlu Group General Manager Tian Wenhua, 66, a native of Nangang Village in Zhengding County, who was charged under Articles 144 and 150 of the criminal code, was sentenced to life imprisonment for producing and selling fake or substandard products. She was also fined 20 million yuan (US$2.92 million) while Sanlu, which has been declared bankrupt, was fined 49.37 million yuan ($7.3 million).

Tian Wenhua plans to appeal the guilty verdict on grounds of lack of evidence, said her lawyer Liang Zikai on Saturday. Tian testified last month during her trial that she decided not to stop production of the tainted milk products because a Fonterra designated board member handed her a document which states that a maximum of 20 mg of melamine was allowed in every kg of milk in the European Union. Liang opined that Tian should instead be charged with “liability in a major accident,” which is punishable by up to seven years imprisonment, instead of manufacturing and selling fake or substandard products.

According to Zhang Deli, chief procurator of the Hebei Provincial People’s Procuratorate, Chinese police have arrested another 39 people in connection with the scandal. Authorities last year also arrested 12 milk dealers and suppliers who allegedly sold contaminated milk to Sanlu, and six people were charged with selling melamine.

In late December, 17 people involved in producing, selling, buying and adding melamine to raw milk went on trial. Tian Wenhua and three other Sanlu executives appeared in court in Shijiazhuang, charged with producing and selling fake or substandard milk contaminated with melamine. Tian pleaded guilty, and told the court during her 14-hour December 31 trial that she learned about the tainted milk complaints and problems with her company’s BeiBei milk powder from consumer complaints in mid-May.

She then apparently led a working team to handle the case, but her company did not stop producing and selling formula until about September 11. She also did not report to the Shijiazhuang city government until August 2.

The court also sentenced Zhang Yanzhang, 20, to the lesser penalty of life imprisonment. Yanzhang worked with Zhang Yujun, buying and reselling the protein powder. The convicts were deprived of their political rights for life.

Xue Jianzhong, owner of an industrial chemical shop, and Zhang Yanjun were punished with life imprisonment and 15 years jail sentence respectively. The court found them responsible for employment of workers to produce about 200 tons of the tainted infant milk formula, and selling supplies to Sanlu, earning more than one million yuan.

“From October 2007 to August 2008, Zhang Yujun produced 775.6 tons of ‘protein powder’ that contained the toxic chemical of melamine, and sold more than 600 tons of it with a total value of 6.83 million yuan [$998,000]. He sold 230 tons of the “protein powder” to Zhang Yanzhang, who will stay behind bars for the rest of his life under the same charge. Both Zhangs were ‘fully aware of the harm of melamine’ while they produced and sold the chemical, and should be charged for endangering the public security,” the Court ruled.

Geng Jinping, a suspect charged with producing and selling poisonous food in the tainted milk scandal, knelt before the court, begging for victims’ forgiveness

The local court also imposed jail sentences of between five years and 15 years upon three top Sanlu executives. Wang Yuliang and Hang Zhiqi, both former deputy general managers, and Wu Jusheng, a former raw milk department manager, were respectively sentenced to 15 years, eight years and five years imprisonment. In addition, the court directed Wang to pay multi-million dollar fines. In December, Wang Yuliang had appeared at the Shijiazhuang local court in a wheelchair, after what the Chinese state-controlled media said was a failed suicide attempt.

The judgment also states “the infant milk powder was then resold to private milk collectors in Shijiazhuang, Tangsan, Xingtai and Zhangjiakou in Hebei.” Some collectors added it to raw milk to elevate apparent protein levels, and the milk was then resold to Sanlu Group.

“The Chinese government authorities have been paying great attention to food safety and product quality,” Yu Jiang Yu, spokesperson for the Ministry of Foreign Affairs, said. “After the case broke out, the Chinese government strengthened rules and regulations and took a lot of other measures to strengthen regulations and monitor food safety,” she added.

In the People’s Republic of China, the intermediate people’s court is the second lowest local people’s court. Under the Organic Law of the People’s Courts of the People’s Republic of China, it has jurisdiction over important local cases in the first instance and hear appeal cases from the basic people’s court.

The 2008 Chinese milk scandal was a food safety incident in China involving milk and infant formula, and other food materials and components, which had been adulterated with melamine. In November 2008, the Chinese government reported an estimated 300,000 victims have suffered; six infants have died from kidney stones and other acute renal infections, while 860 babies were hospitalized.

Melamine is normally used to make plastics, fertilizer, coatings and laminates, wood adhesives, fabric coatings, ceiling tiles and flame retardants. It was added by the accused to infant milk powder, making it appear to have a higher protein content. In 2004, a watered-down milk resulted in 13 Chinese infant deaths from malnutrition.

The tainted milk scandal hit the headlines on 16 July, after sixteen babies in Gansu Province who had been fed on milk powder produced by Shijiazhuang-based Sanlu Group were diagnosed with kidney stones. Sanlu is 43% owned by New Zealand’s Fonterra. After the initial probe on Sanlu, government authorities confirmed the health problem existed to a lesser degree in products from 21 other companies, including Mengniu, Yili, and Yashili.

From August 2 to September 12 last year Sanlu produced 904 tonnes of melamine-tainted infant milk powder. It sold 813 tonnes of the fake or substandard products, making 47.5 million yuan ($13.25 million). In December, Xinhua reported that the Ministry of Health confirmed 290,000 victims, including 51,900 hospitalized. It further acknowledged reports of “11 suspected deaths from melamine contaminated milk powder from provinces, but officially confirmed 3 deaths.”

Sanlu Group which filed a bankruptcy petition, that was accepted by the Shijiazhuang Intermediate People’s Court last month, and the other 21 dairy companies, have proposed a 1.1 billion yuan ($160 million) compensation plan for court settlement. The court appointed receiver was granted six months to conclude the sale of Sanlu’s assets for distribution to creditors. The 22 dairy companies offered “families whose children died would receive 200,000 yuan ($29,000), while others would receive 30,000 yuan ($4,380) for serious cases of kidney stones and 2,000 yuan ($290) for less severe cases.”

Sanlu stopped production on September 12 amid huge debts estimated at 1.1 billion yuan. On December 19, the company borrowed 902 million yuan for medical and compensation payment to victims of the scandal. On January 16, Sanlu paid compensation of 200,000 yuan (29,247 U.S. dollars) to Yi Yongsheng and Jiao Hongfang, Gangu County villagers, the parents of the first baby who died.

“Children under three years old, who had drunk tainted milk and had disease symptoms could still come to local hospitals for check-ups, and would receive free treatment if diagnosed with stones in the urinary system,” said Mao Qun’an, spokesman of the Ministry of Health on Thursday, adding that “the nationwide screening for sickened children has basically come to an end.”

“As of Thursday, about 90% of families of 262,662 children who were sickened after drinking the melamine-contaminated milk products had signed compensation agreements with involved enterprises and accepted compensation,” the China Dairy Industry Association said Friday, without revealing, however, the amount of damages paid. The Association (CDIA) also created a fund for payment of the medical bills for the sickened babies until they reach the age of 18.

Chinese data shows that those parents who signed the state-backed compensation deal include the families of six children officially confirmed dead, and all but two of 891 made seriously ill, the report said. Families of 23,651 children made ill by melamine tainted milk, however, have not received the compensation offer, because of “wrong or untrue” registration details, said Xinhua.

Several Chinese parents, however, demanded higher levels of damages from the government. Zhao Lianhai announced Friday that he and three other parents were filing a petition to the Ministry of Health. The letter calls for “free medical care and follow-up services for all victims, reimbursement for treatment already paid for, and further research into the long-term health effects of melamine among other demands,” the petition duly signed by some 550 aggrieved parents and Zhao states.

“Children are the future of every family, and moreover, they are the future of this country. As consumers, we have been greatly damaged,” the petition alleged. Chinese investigators also confirmed the presence of melamine in nearly 70 milk products from more than 20 companies, quality control official Li Changjiang admitted.

In addition, a group of Chinese lawyers, led by administrator Lin Zheng, filed Tuesday a $5.2 million lawsuit with the Supreme People’s Court of the People’s Republic of China (under Chief Grand Justice Wang Shengjunin), in Beijing, on behalf of the families of 213 children’s families. The class-action product liability case against 22 dairy companies, include the largest case seeking $73,000 compensation for a dead child.

According to a statement to the Shanghai Stock Exchange Market Friday, China’s Inner Mongolia Yili Industrial Group Company, which has a domestic market share of milk powder at 8 percent, reported a net loss in 2008 because of the milk scandal. A Morgan Stanley report states the expected company’s 2008 loss at 2.3 billion yuan. The scandal also affected Yili’s domestic rivals China Mengniu Dairy Company Limited and the Bright Group. Mengniu suffered an expected net loss of 900 million yuan despite earnings in the first half of 2008, while the Bright Group posted a third quarter loss at 271 million yuan last year.

New Zealand dairy giant Fonterra, said Saturday it accepted the Chinese court’s guilty verdicts but alleged it had no knowledge of the criminal actions taken by those involved. “We accept the court’s findings but Fonterra supports the New Zealand Government’s position on the death penalty. We have been shocked and disturbed by the information that has come to hand as a result of the judicial process,” said Fonterra Chief Executive Andrew Ferrier.

“Fonterra deeply regrets the harm and pain this tragedy has caused so many Chinese families,” he added. “We certainly would never have approved of these actions. I am appalled that the four individuals deliberately released product containing melamine. These actions were never reported to the Sanlu Board and fundamentally go against the ethics and values of Fonterra,” Ferrier noted.

Fonterra, which controls more than 95 percent of New Zealand’s milk supply, is the nation’ biggest multinational business, its second-biggest foreign currency earner and accounts for more than 24 percent of the nation’s exports. Fonterra was legally responsible for informing Chinese health authorities of the tainted milk scandal in August, and by December it had written off its $200 million investment in Sanlu Group.

Amnesty International also strongly voiced its opposition to the imposition of capital punishment by the Chinese local court and raised concerns about New Zealand’s implication in the milk scandal. “The death penalty will not put right the immense suffering caused by these men. The death penalty is the ultimate, cruel and inhumane punishment and New Zealand must take a stand to prevent further abuses of human rights.” AI New Zealand chief executive Patrick Holmes said on Saturday.

“The New Zealand government does not condone the death sentence but we respect their right to take a very serious attitude to what was extremely serious offending,” said John Phillip Key, the 38th and current Prime Minister of New Zealand and leader of the National Party. He criticized Fonterra’s response Monday, saying, “Fonterra did not have control of the vertical production chain, in other words they were making the milk powder not the supply of the milk, so it was a difficult position and they did not know until quite late in the piece. Nevertheless they probably could front more for this sort of thing.”

Keith Locke, current New Zealand MP, and the opposition Green Party foreign affairs spokesman, who was first elected to parliament in 1999 called on the government and Fonterra to respond strongly against the Chinese verdict. “They show the harshness of the regime towards anyone who embarrasses it, whether they are real criminals, whistleblowers or dissenters,” he said. “Many Chinese knew the milk was being contaminated but said nothing for fear of repercussions from those in authority. Fonterra could not get any action from local officials when it first discovered the contamination. There was only movement, some time later, when the matter became public,” he noted.

Green Party explained “it is time Fonterra drops its overly cautious act.” The party, however, stressed the death penalty is not a answer to the problems which created the Chinese milk scandal. “The Green Party is totally opposed to the death penalty. We would like to see the government and, indeed, Fonterra, speaking out and urging the Chinese government to stop the death penalty,” said Green Party MP Sue Kedgley.

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U.S. drones enter Libya conflict

Saturday, April 23, 2011

The first attacks carried out by United States Predator drones in Libya reportedly occurred today, as the Pentagon confirmed a strike carried out by the U.S. Air Force but declined to give further details.

According to Pentagon spokesperson Darryn James, a captain in the U.S. Navy, the attack happened sometime Saturday, but withheld other information. According to the Pentagon, “common practice” regarding drone operations is to provide no more information than to confirm an attack. NATO later revealed the target was a multiple rocket launcher in the Misrata area. A statement from NATO said that, “[t]he MRL system had been used against civilians in Misrata.”

Robert Gates, the US Defense secretary, announced Thursday that President Barack Obama had given permission for drones to be used in the conflict due to their “unique capabilities.” Previously, drones had been used only in a surveillance role.

General James Cartwright, an official with the U.S. Joint Chiefs of Staff, said that drones have an “ability to get down lower and therefore, to be able to get better visibility, particularly on targets that have started to dig themselves into defensive positions,” a benefit in Libya, where pro-Gaddafi forces are increasingly taking cover near civilian populations. Drones are able to make more precise attacks, which lowers the risk of civilian casualties in such areas.

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New Mars Orbiter arrives for launch

Wednesday, May 4, 2005

NASA‘s Mars Reconnaissance Orbiter (MRO), the latest robotic spacecraft destined for Mars, arrived at Kennedy Space Center‘s Shuttle Landing Facility on April 30 aboard a C-17 cargo plane and was delivered to the Payload Hazardous Servicing Facility to begin processing. Launching is scheduled for August 10, 2005.

With a mission time line through 2010, the MRO will conduct studies of the Martian atmosphere, surface and subsurface in far greater detail than previous missions. Possible landing sites for future Mars landings will be evaluated and the orbiter will also act as a high-data-rate communications relay for surface missions.

“Great work by a talented team has brought Mars Reconnaissance Orbiter to this milestone in our progress toward a successful mission,” said Jim Graf of NASA’s Jet Propulsion Laboratory (JPL) project manager for the mission.

Multiple mechanical assembly operations and electrical tests are scheduled to verify the craft’s readiness for launch. A May test to verify communication abilities through NASA’s Deep Space Network will be conducted and in June deployment of the high gain communications antenna will be tested. A deployment test is also scheduled for the Orbiter’s large solar arrays.

The MRO will be filled with hydrazine fuel in July for its “Mars orbit insertion burn” which reduces the craft’s velocity and places it in orbit about the red planet. July 26 will see the Mars Reconnaissance Orbiter installed in an Atlas V rocket fairing for final assembly with the rocket on July 29.

After the scheduled launch, the MRO will spend seven months cruising to Mars and another six months aerobraking after orbital insertion. A variety of scientific instruments on board will be used to search for geological evidence of past seas, ancient shorelines.The craft was built near Denver by Lockheed Martin Space Systems which also supplies the Atlas V launch vehicle.

The Mars Reconnaissance Orbiter mission is managed by JPL, a division of the California Institute of Technology, Pasadena, for the NASA Science Mission Directorate, Washington. Lockheed Martin Space Systems is the prime contractor for the project. International Launch Services, a Lockheed Martin joint venture, and Lockheed Martin Space Systems are providing launch services for the mission.

More information about the Mars Reconnaissance Orbiter is available at: Mars Reconnaissance Orbiter website

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By Taking Courses In Healthcare Management You Will Improve Your Practice Dramatically

Submitted by: Joseph Gray

The fact is healthcare practitioners know how to take care of clients. They know this very well indeed and are very good at it. But many are not good at taking care of the business side of the practice?

Every practitioner knows how to treat pain, symptoms and illnesses, but when it comes to the business side, many of them don t know what to do. They make it up as they go along or rely on people to help them when things go wrong. Hiring a receptionist can often take care of dealing with paperwork, but still, the healthcare practitioner should still know about managing a practice.

This is why courses in healthcare management were developed. When you, as a healthcare provider obtain a diploma in healthcare management, you will be recognised as someone that knows how to manage a practice from both sides of the fence.

[youtube]http://www.youtube.com/watch?v=vDaFtlCjw6E[/youtube]

Managing a practice is very important as you will be able to monitor and keep tabs on all aspects of your business. You need to do this because by not doing it, you could miss out on business or worse, losing money out the back door without even knowing it.

Even if you have certain number clients coming in your practice, you can t rely on that. Plus, do you actually know how much your practice is worth? Do you know how to market your practice? Do you know how to effectively manage every aspect of your practice? This is why you need to apply for courses in healthcare management. Once you receive your diploma in healthcare management, this will give you the distinction of knowing you are trained and knowledgeable enough in managing your practice. And it will save you thousands of dollars too!

If you were to apply for or take courses in healthcare management, you would be studying subject like finance and reimbursement, managed care, quality and client safety, government regulations, legal issues, healthcare leadership, organisational design, managing professionals, and handling diversity in the practice.

Once you receive your diploma in healthcare management, you ll then have the ability to manage your practice from all levels. This will provide you the ability to engage more fully in your practice. You ll be able to take on many issues that you might have sidestepped before. Or, in the very least, you’ll be able to confidently and competently hire a manger to do this for you!

The success of your practice will determine how well you know the many aspects of running a practice including the health and business side. It requires much in the way of work to get your practice to where you want it. You have to handle the clients and the staff. You need to deal with paperwork, government regulations, and many other things that pertain to the healthcare field. By taking courses, you can learn to handle these aspects of your practice.

For more information on doing a diploma in healthcare management go to www.practicemastery.com.au

About the Author: For More Information:-

practicemastery.com.au/diploma-and-healthcare-management

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Category:June 10, 2010

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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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