Increase Manhood Sensitivity For A Faster Pleasure Finish}

Submitted by: J Dugan

For as long as individuals have been getting it on, there have been those who want to get it on in public. Social taboos keep that from becoming the norm; however, there are some ways a man can fulfill this fantasy without putting himself at legal risk. To begin, a man who intends to unleash his inner exhibitionist should practice excellent male organ care before doing the deed. Why? Because an increase in member sensitivity can be a necessity in order to get off fast this is one of the major rules of attempting coupling in public.

Rules for coupling in public

Keep in mind that coupling on a downtown street is not something most people would recommend, simply for the potential legal and social ramifications of the act. However, there are some ways to make it happen without the possibility of handcuffs (at least not real ones!).

1. Choose an underpopulated place. For most people, the idea of getting caught it hot but the act of actually getting caught is definitely not. The savvy exhibitionist would never choose to do it on a bench on a city street in the middle of the day! But perhaps a quick romp in the backyard after the neighbors are in bed or in the shadows of the parking garage after a late night at work might be an option.

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

2. Choose an opportune time. As mentioned earlier, the middle of the day is a no-go. After choosing the right place, focus on the right time, which is usually going to be under the cover of night. Remember, again, its the prospect of getting caught thats hot, so go with a time during which most people are sound asleep.

3. Wear appropriate clothing. This is definitely a key point to intimacy in public. The last thing anyone wants to do is get completely bare to do the deed, which is why clothing should be chosen very carefully. For the man, a pair of pants that open easily and can slip down the hips but dont have to be pushed all the way down is good, as is a flowing, full skirt for the ladies.

4. Make it fast. The fun is in the furtiveness of getting away with something wrong so make sure it is done fast. In order to ensure this, a man should take care to increase manhood sensitivity in any way he can before the main event. Be prepared to stop in mid-fun if discovery is imminent.

5. Cover the sensual tracks. Again, remember that coupling in public should only be attempted if the coast seems to be reasonably clear. For instance, a quickie in the car might work, or getting it on behind a locked office door can fulfill the fantasy. To add another layer of protection, have a good excuse for looking flustered or unkempt after the event, just in case someone asks what was going on in there.

Increase manhood sensitivity for the main event

Again, it is very important to remember that depending upon where the deed is done, coupling in public might be considered a crime. Never, ever do anything that might lead to getting locked up. Remember that great intimacy in public doesnt actually mean performing the act in front of other people it simply means adding the thrill of potentially getting caught. A man can do that quite easily on his own front porch, for instance, under the cover of night, and be much safer than doing it outside a downtown restaurant.

No matter where a man chooses to indulge his exhibitionist side, its a good idea to ensure the male organ is ready and raring to go and that means striving for increased manhood sensitivity. In addition to letting a few days pass without a release or engaging in prolonged foreplay to get that hair-trigger feeling, a man should also use a high-quality member health creme (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). Look specifically for a creme that contains vitamin C and L-arginine, both of which are known for increasing manhood sensitivity. A high-end emollient such as Shea butter can also help with soothing excited member skin.

About the Author: Visit

menshealthfirst.com

for more information about treating common male organ health problems, including soreness, redness and loss of male organ sensation. John Dugan is a professional writer who specializes in men’s health issues and is an ongoing contributing writer to numerous online web sites.

Source:

isnare.com

Permanent Link:

isnare.com/?aid=1961273&ca=Sexuality}

Creekstone Farms sues USDA for refusing to allow mad cow testing

Monday, March 27, 2006

Creekstone Farms Premium Beef, an organic meatpacking company based in Arkansas City, Kansas, filed a lawsuit against the U.S. Department of Agriculture (USDA) for what the company claims is threats by the USDA that it would face prosecution if it proceeds with plans to test nearly 100% of its beef for Bovine spongiform encephalopathy, also known as mad cow disease or BSE.

The USDA position is that allowing any meatpacking company to test every cow would undermine the agency’s official position, a position that holds to random testing as a scientifically adequate measure to assure safety. It also claims that 100% testing does not ensure food safety because the disease is difficult to detect in younger animals.

The USDA currently tests about 1% of cattle slaughtered in the U.S. The USDA’s objection is believed to be the result of pressure from larger meatpacking operations. In 2004, the president of the National Cattlemen’s Beef Association told the Washington Post that “If testing is allowed at Creekstone, we think it would become the international standard and the domestic standard, too.” Creekstone Farms says tests cost about $20 per animal, increasing the cost of beef by about 10 cents per pound.

Retrieved from “https://en.wikinews.org/w/index.php?title=Creekstone_Farms_sues_USDA_for_refusing_to_allow_mad_cow_testing&oldid=2262086”

Jindal signs Intelligent Design law

Saturday, June 28, 2008

Louisiana Republican Governor Bobby Jindal signed a controversial bill hailed by intelligent design supporters, such as the Discovery Institute, and Louisiana Family Forum, a creationist group. Critics of the bill, including several major science organizations, say it allows for the teaching of “creationism” in public schools.

The law, Louisiana Science Education Act, allows teachers to use “supplemental materials” when discussing evolution, but it does not state what the materials would be.

Citing the 1987 Supreme Court ruling in Edwards v. Aguillard, “Louisiana has a long and unfortunate history of trying to substitute dogma for science in classrooms,” said Reverend Barry W. Lynn, an executive director for Americans United for Separation of Church and State. In addition, the American Association for the Advancement of Science, National Center for Science Education, and the Louisiana Coalition for Science opposed the bill arguing it would cause detriment to students’ education by letting in unapproved curriculum.

According to Reuters, Jindal’s office declined to comment on Friday.

Similar Academic Freedom bills have been promoted by the Discovery Institute in other states, but so far they have failed.

Retrieved from “https://en.wikinews.org/w/index.php?title=Jindal_signs_Intelligent_Design_law&oldid=772056”

Evangelist Kent Hovind’s tax trial begins

Saturday, October 21, 2006

Evangelist Kent Hovind and his wife, Jo, are trying to convince a federal jury that their money from video and amusement park admission sales belong to God and cannot be taxed. The trial began at United States District Court for the Northern District of Florida on Tuesday October 18, 2006 after twelve jury members and two alternates were selected to decide on the 58 federal courts against Hovind and his wife. The trial was expected to take at least two weeks to complete with the prosecution hoping to rest its case Tuesday, but a defense attorney became ill and the Judge delayed the trial until October 30th.

Hovind is a Young Earth creationist who does many speaking engagements and debates. He also sells videos giving a pro-creationism perspective, which he receives income for. Hovind, who calls himself “Dr. Dino”, received a Ph.D in “Christian education” from the unaccredited correspondence school Patriot Bible University in 1991.

Prosecutor Michelle Heldmeyer said from 1999 to March 2004, the Hovinds took in more than $5 million. Heldmeyer charged Hovind on 12 counts for failing to pay about $470,000 in federal income, Social Security and Medicare taxes for his ministry employees between March 31, 2001, and Jan. 31, 2004. Counts 13 through 57 include Hovind’s wife for making 45 transactions in a little more than a year, sometimes taking out as much as $9,500 at a time. Banks are required to report cash withdrawals that exceed $10,000.

In count 58 against Kent includes filing a frivolous lawsuit against the IRS, demanding damages for criminal trespass, filing an injunction against an IRS agent, making threats against investigators and those cooperating with the investigation, and filing false complaints against the IRS for false arrest, excessive use of force and theft.

In July with his attorney, Public Defender Kafahni Nkrumah, Hovind stated that he did not recognize the government’s right to try him on tax-fraud charges.

This is not the first time Hovind has found himself in legal trouble. In 2002 he refused to get a $50.00 building permit for his Dinosaur Adventure Land, and after three years of legal battles the court ruled that he get a permit or the building would be razed. The park, which depicts dinosaurs as coexisting with humans in the last 6-4,000 years with the more recent “dinosaurs” being the Loch Ness monster, is reportedly open after Hovind paid for the permit and fines totaling $10,402.64.

More directly, M.C. Powe, an IRS officer who investigates people who have unpaid tax returns or unpaid tax liabilities, testified at Hovind’s current trial on October, 19, 2006 that she first attempted to collect taxes from the Hovinds in 1996. She noted Hovind tried several “bullying tactics” that included suing her at least three times. These resulted in each case being thrown out.

Wikisource has original text related to this article:

Assistant U.S. Attorney Benjamin Beard handled Hovind’s bankruptcy in 1996 testified on Wednesday that in 1996 after Hovind’s vehicles were seized by the IRS, he filed under the Chapter 13 “wage-earner plan,” available only to those who have a regular source of income. However, Hovind wrote that he had no form of income, that he rejected his Social Security number and that his employer was God, Beard testified.

In a 2005 affidavit, the Hovinds argue that Social Security is essentially a “Ponzi scheme.” The Hovinds referred to the United States Government as “the ‘bankrupt’ corporate government” and said they were renouncing their United States citizenship and Social Security numbers to become “a natural citizen of ‘America’ and a natural sojourner.”

Wikisource has original text related to this article:

On Thursday an employee of AmSouth Bank explained that the Currency Transaction Reports requires the bank to report any time a cash amount of $10,000 or more is withdrawn or deposited. This employee noted that various records demonstreated Jo Hovind had made transactions up to $15,000 at a time.

Also on Thursday Hovind’s former neighbor testified regarding Hovind’s purchasing of her Palafox Street home. On the stand she said Hovind paid her $30,000 in cash as part of the $155,000 sale.

In this week’s trial two of Hovind’s workers testified in federal court that they didn’t consider where they worked to be a church. In court Hovind maintains he does not have to pay the taxes because his employees were “volunteers,” “missionaries” or “ministers” and his business was a ministry.

However, Brian Popp, Hovind’s employee for at least eight years, said he considered himself a minister at the time of his employment, but said Hovind’s ministry isn’t a church. Popp also testified that Hovind knew about the bank’s requirement to report transactions over $10,000 and said it was “not safe to carry large sums of cash.”

Further, Popp said Hovind told his workers not to accept mail addressed to “KENT HOVIND” because Hovind told the workers the government created a corporation in his “all-caps name” and if the mail was accepted, Hovind claimed, it would be accepting the responsibilities associated with that corporation.

Diane P. Cooksey, served as a sales representative for the ministry from January 2003 to June 2005, and said Hovind expected to pay her own taxes. Cooksey said, “He explained what his belief was, right up front in the interview, that I would pay my own taxes.” As told’s worker, she received $10 an hour in a weekly paycheck, punched a time clock, was given 10 paid vacation days a year, and considered herself an employee, not a missionary as a few others called themselves.

The IRS raided Hovind’s Dinosaur Adventure Land in April 2004, after which Hovind required his employees to sign nondisclosure agreements. “I was uncomfortable signing it, I guess, because of not having a full understanding,” Cooksey said.

Rebekah Horton, vice president of the unaccredited Pensacola Christian College, took the stand on the second day of the trial and testified that “We know the Scriptures do not promote (tax evasion)”. “It’s against Scripture teaching.”

Horton was given a videotape in the mid 1990s from a woman who worked for Hovind. The video contained “another evangelist advocating tax evasion,” Horton explained. The woman who gave the tape to Horton claimed Hovind’s philosophy as “You were giving a gift with your work, and they were giving a gift back to you.”

Pensacola Christian College decided to disallow its students from working with Hovind’s Creation Science Evangelism and reported Hovind’s scheme to the IRS.

On Friday, attorney David Charles Gibbs testified that Hovind claimed he had no obligation to pay employee income taxes and explained with “a great deal of bravado” how he had “beat the tax system.” Gibbs is an attorney with the Gibbs Law Firm, also is affiliated with the Christian Law Association, a nonprofit organization founded by his father that offers free legal help to churches nationwide in a suburb of St. Petersburg, Florida. Gibbs attended the Marcus Pointe Baptist Church when Hovind was a guest speaker at the church on October 17, 2004. Hovind invited Gibbs and others to Hovind’s home for pizza and soda.

Gibbs testified they talked for many hours, and Hovind “tried to stress to me that he was like the pope and this was like the Vatican.” Also Gibbs explained Hovind also told him he preferred to deal in cash because “dealing with cash there is no way to trace it, so it wasn’t taxable.”

Wikisource has original text related to this article:

Later on Friday, Special IRS Agent Scott Schneider took up the remainder of the day and is expected to resume Monday. Schneider told the jury his investigation revealed that Hovind “hadn’t filed tax returns ever, to my knowledge.”

Hovind tried suing the IRS and Schneider several times to avoid providing information required by the IRS. Each filing was thrown out by the judges.

Schneider’s discussed documents seized during the 2004 raid of Hovind’s property. These documents, Schneider explained, indicated Hovind ran his ministry as a business with “meticulous” payroll documents and a time clock employees had to punch in and out.

In the raid cash was found “all over the place.” Ultimately, $42,000 in cash was seized along with half-dozen guns (including a SKS semiautomatic) at the Hovinds’ home.

The Pensacola News Journal noted that “in one memo, Jo Hovind informed her daughter, who works at the park, that her pay would be docked $10 for talking too long on the telephone when she should have been working.”

Retrieved from “https://en.wikinews.org/w/index.php?title=Evangelist_Kent_Hovind%27s_tax_trial_begins&oldid=3853459”

Beauty Tips For Men

Makeup for men is becoming increasingly popular for that groomed shaved handsome looks of ramp models that make the men so desirable. Here are some tips that men can use. Shaving is the most typical start to a man’s day. Getting a good shave involve skins sensitivity- how the skin reacts to razors and shaving products. The use of a sharp metal blade to your face removes hair but also removes a small layer of skin that can cause irritation. Apply warm water to face prior to you shaving cream. Let shaving cream rest on face 2-3 minutes before starting to shave. Once complete rinse face with cold water (this seals the pores).

A good daily skin care routine includes cleansing, followed by a gentle facial exfoliant scrub, which also enhances shaving ease and comfort. Wind and sun can really cause damage to your skin. Sunscreen should be used prior to leaving the house. A good scrub is necessary for healthy clean skin.

Moisturizing is a necessity. Always employ a light moisturizer on your face after cleansing and shaving and don’t forget your neck. For an intensive humidity treatment use pure vitamin E, or aloe vera oil. It is obtainable in liquid form, or just breaks open a capsule and apply the oil directly to the skin. This is a great under eye treatment. A men need to eat right, too. You want to eat a healthy diet to maintain healthy skin. You also want to get some exercise in, every day. It clears your pores.

If you have hair that is a little on the long side and you start to notice that you are going bald. Try cutting your hair to a shorter style. Drink at least eight, eight glass of water a day. Get plenty of rest to keep your skin rested and stress free. The truth is that, men like the women have been equally interested in getting rid of the unwanted hair. There are many ways to removed unwanted hair for men. Some includes waxing, shaving, electrolysis, tweezing, trimming, and laser hair removal.

Tomato as Beauty Treatment for Men

Tomatoes are full of vitamin C, vitamin A and potassium. It is a healthy beauty treatment for your face and can make you skin perfect.

Honey as Beauty Treatment for Men

Honey has an antioxidant property that helps to rejuvenate and protect the skin.

Irish Senator Kieran Phelan dies at age 60

Wednesday, May 26, 2010

Irish Senator Kieran Phelan has died suddenly at the age of 60. Phelan died after falling ill in his hotel in Dublin this morning, shortly before a meeting due to be held by the Seanad.

Phelan sat on the Industrial and Commercial Panel and had been a Senator since 2002. He was also a Laois County councillor and was elected council chairman in 1998. He was a member of the Fianna Fáil party.

Taoiseach Brain Cowen released a statement on the death of Senator Phelan. “Kieran is a well known, much admired and greatly respected member of Seanad Éireann. He is a constituency colleague of mine and a lifelong friend. I will miss him deeply,” he said.

As a mark of respect, Leader of the House Donie Cassidy proposed that the house be adjourned until June 1st.

Retrieved from “https://en.wikinews.org/w/index.php?title=Irish_Senator_Kieran_Phelan_dies_at_age_60&oldid=4502986”

Docudays UA eleventh edition opens

Sunday, March 23, 2014

The Eleventh International Human Rights Documentary Film Festival opened Friday in the Red Hall of the Kyiv Cinema House, in Kyiv, Ukraine. The festival spans eight days, ending on March 28.

Competition programs are divided into DOCU/Right, DOCU/Life, and DOCU/Short. Each program has its own jury that consists of famous human rights activists, film producers, directors, critics, writers etc. Among them are Andrzej Poczobut (Belorus), Natalka Zubar (Ukraine), Oksana Sarkisova (Hungary), Boris Miti? (Serbia), Chris McDonald (Canada), Simone Baumann (Germany), Andrei Zagdansky (Ukraine), Victoria Belopolskaya (Russia), and Stephanie Lamorre (France). Students’ Jury and Audience Awards are also to be given. The Organizing Committee is to award an Andriy Matrosov Award.

Non-competition programs are divided into areas titles Ideorruption, DOCU/Ukraine, DOCU/Riot, DOCU/Art, DOCU/Best, HOT DOCS presents, Artdocfest presents, and Andrei Zagdansky Retrospective.

The best films are also to be shown during Docudays UA Travelling Festival.

The opening film was called Euromaidan: Rough Cut. It was a combination of shots of different film directors that have been filming the protests in Ukraine during these past four months. Organizers and creators explained, “This is what it is. It is actually a ‘rough cut’. It is a collection of different episodes”.

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The Red Hall of the Kyiv Cinema House. It’s waiting time still. Image: Antanana.

Image: Antanana.

Image: Antanana.
A special guest is an actress and singer Mariana Sadovska. Image: Antanana.
Image: Ilya.
Image: Ilya.
Andrii Saichuk and Nataliia Humeniuk. Image: Antanana.
Image: Ilya.
Andrii Saichuk. Image: Ilya.
Ambassador of Sweden to Ukraine Andreas von Beckerath. Image: Antanana.
Image: Ilya.
Image: Antanana.
Docudays UA PR-director Dariia Averchenko. Image: Antanana.
Image: Ilya.
The creators of the opening film ‘Euromaidan, Rough Cut’. Image: Antanana.
The people are singing the Anthem of Ukraine. Image: Ilya.

The festival was first held in 2003, called at that time Docudays on Human Rights. In 2006 the festival was accepted as part of the international Human Rights Film Network at the International Documentary Film Festival Amsterdam. It is usually held during the last week of March.

In 2013, the festival opened with a performance, showing Berkut — Ukrainian special police — oppressing the journalists:

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A bailiff is reading out the court desicion. Image: Ilya.

The surname of the judge is Pomidorov (Tomato’s – Wikinews). Image: Ilya.

«The festival and meeting are prohibited…». Image: Ilya.
«…as there are too many people gathered here and it is not safe for the population». Image: Ilya.
The announcers ask lawyers to help them. Image: Ilya.
The bailiff has lost this case. Image: Ilya.
Retrieved from “https://en.wikinews.org/w/index.php?title=Docudays_UA_eleventh_edition_opens&oldid=4663460”

Wikinews interviews Australian Paralympic assistant coach David Gould

Thursday, July 25, 2013

Wikinews caught up with Australian wheelchair basketball coach David Gould in Canberra, where the Australia women’s national wheelchair basketball team — the Gliders — were having a training camp.

Gould told Wikinews he retired from playing after the 2002 World Championships. He said he began coaching able bodied basketball at schools and clubs in South Australia. He was awarded a scholarship by Basketball Australia and the Australian Sports Commission, and became assistant coach of the Under 23 Men’s team in November 2011. He is now national wheelchair skills coach, assistant coach of the men’s and women’s national teams, and coach of the Under 23 Men’s and Under 25 Women’s teams.

He noted the Gliders have another training camp coming up in Brisbane in August. This is to be an open development camp any player can attend. Twelve players are to be selected for the Asia Oceania Zone (AOZ) Wheelchair Basketball Championships in Bangkok in November. The top three teams then qualify for the World Championships, to be held in Canada next year.

He is acutely aware the Gliders have never won a World Championship or a Paralympics. But he has won a gold medal, with the men’s team, the Rollers, in Atlanta in 1996. “We went on a tour of the United States beforehand”, he recalled. Facing the United States in the United States was daunting. There was a huge crowd. So how did they do it? “We had confidence in ourselves, and stuck to our plan,” he recalled.

This, he said, is what he and Glider’s head coach Tom Kyle are trying to teach the Gliders. To believe in the process. They take them out of their comfort zone, show them the right techniques, the right way to do things. The idea is to get the principles right.

Gould told Wikinews they have to look not just to the 2016 Summer Paralympics in Rio in 2016, but further ahead to 2020. They have to recruit new players and develop them. He said he took a Gliders team to the Osaka Cup with only four members of the 2012 team, in order to give members of the development team experience with international competition. He set up a mentor system whereby the six newcomers were each paired with one of the old hands.

Wikinews was shown how the games are videoed and critiqued by the coaches. Special software allows the videos to be edited. Effects such as circling players can be added, along with captions and audio from the coaches. The edited video can then be downloaded by the players. Gould said there is a weekly video conference with the players.

He considered video of other teams is an important training tool. He noted the Gliders had to play Brazil in the first match of the Paralympics in London, which was very tough, because so little was known about them. As it turned out, Brazil has a great program, and he thinks it could be a contender in front of a home crowd in Rio in 2016.

Wikinews noted one of the Gliders, Amber Merritt, had her arm in a sling. Gould said her arm had been scanned, and the doctors will make their evaluation. Like most elite athletes, he knows about injury first hand. He told Wikinews he had injured his shoulder during the 2000 Olympics, and had to have it operated on afterwards. He said he did not want players playing injured, and sometimes it was better just to lose a week if you have the flu. He expected his players to be honest and up front with themselves, their coaches and their team. “We need everyone on the same page”, he told Wikinews.

Gould told Wikinews the Asia Oceania Zone championships will feature Australia, Japan, China, Thailand, South Korea, and perhaps Hong Kong. The venue in Bangkok is well known to him, as the U23 Men’s team have already played there. His plan is to arrive early, to allow the players to acclimatise to the high humidity and the food. Some of the U23 men got sick. He does not expect difficulty qualifying, but it is “one of the I’s that have to be dotted and T’s that have to be crossed.”

He said Australians intend to apply full pressure, but one of their objectives is also to help the competition. One of the problems in Australia is that it takes a long time to go anywhere, he told Wikinews. By building up the teams in the Asia Oceania Zone, he hopes Australian teams will not have to travel so much or so far to meet first class competition.

Retrieved from “https://en.wikinews.org/w/index.php?title=Wikinews_interviews_Australian_Paralympic_assistant_coach_David_Gould&oldid=4635267”

Atlanta Mortgage Loans Home Loan Mortgage Rate Tampa Home Mortgages 587}

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donshlem

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1. A home justness mortgage refinance can lower your mortgage sum.

2. A home parity mortgage refinance can be used for consolidating debt, this will also be tax .

3. A home fairness mortgage can also be used to remodel your home, or add an addition.

[youtube]http://www.youtube.com/watch?v=p36KnZ6N29k[/youtube]

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What is an 80/20 Mortgage?An 80/20 mortgage is in fact two loans. You will have a first mortgage for 80% of your use and a second mortgage for the left over 20%. By this 80/20 mortgage you will forestall paying Private Mortgage Insurance which can add of dollars to your prearranged mortgage payment. In toting to your 80/20 mortgage some lenders offer financing for 103% of the price on your home. This allows you to finance your closing costs and minimizes the cash you will need out of abridged to close on your home.

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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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