Sunday, August 21, 2005

A robotic system at Stanford Medical Center was used to perform a laparoscopic gastric bypass surgery successfully with a theoretically similar rate of complications to that seen in standard operations. However, as there were only 10 people in the experimental group (and another 10 in the control group), this is not a statistically significant sample.

If this surgical procedure is as successful in large-scale studies, it may lead the way for the use of robotic surgery in even more delicate procedures, such as heart surgery. Note that this is not a fully automated system, as a human doctor controls the operation via remote control. Laparoscopic gastric bypass surgery is a treatment for obesity.

There were concerns that doctors, in the future, might only be trained in the remote control procedure. Ronald G. Latimer, M.D., of Santa Barbara, CA, warned “The fact that surgeons may have to open the patient or might actually need to revert to standard laparoscopic techniques demands that this basic training be a requirement before a robot is purchased. Robots do malfunction, so a backup system is imperative. We should not be seduced to buy this instrument to train surgeons if they are not able to do the primary operations themselves.”

There are precedents for just such a problem occurring. A previous “new technology”, the electrocardiogram (ECG), has lead to a lack of basic education on the older technology, the stethoscope. As a result, many heart conditions now go undiagnosed, especially in children and others who rarely undergo an ECG procedure.

Saturday, January 31, 2015

South African Justice Minister Michael Masutha yesterday announced he is granting parole to Eugene de Kock, an apartheid-era assassin who has spent twenty years in prison.

After South Africa’s first democratic elections in 1994 de Kock was arrested and subsequently detailed his actions to the nation’s Truth and Reconciliation Commission (TRC). As head of a police ‘counter-insurgency’ unit de Kock took responsibility for murdering and torturing dissidents opposed to white-only rule. His methods included bombings, shootings, and stabbings and he operated internationally and at home. His revelations earned him the nickname “Prime Evil”.

The TRC granted de Kock immunity for most crimes in exchange for his testimony. He was charged with remaining offences, not covered due to limits in TRC power, and in 1996 jailed for life for six murders. Additional convictions include kidnap and attempted murder. He received an additional 212-year term for those crimes. The TRC could only grant immunity where the offence was a human rights violation and the offender gave a full confession.

During his TRC testimony de Kock accused police commanders of ordering murders including those of African National Council (ANC) members. In a 2007 prison interview he said FW de Klerk, the last white President, had hands “soaked in blood”. De Klerk denies de Kock’s allegations he ordered individual murders.

In the early nineties de Kock teamed up with anti-ANC party Inkatha to arrange violence within black communities. Internal conflict killed 12,000 in the wake of future President Nelson Mandela’s release. Mandela wrote of fearing “a hidden hand behind the violence[…] attempting to disrupt the negotiations”, by orchestrating the clashes in Natal and Transvaal. He was referring to upcoming elections and a transfer of power away from white rule and apartheid.

Masutha said de Kock was being released “in the interest of reconciliation and nation building”. The date, location, and terms are to remain secret.

Reaction from his victims is varied.

Murder victim Glenack Mama’s widow Sandra welcomed the release. She said to a BBC reporter “I think it will actually close a chapter in our history because we’ve come a long way and I think his release will just once again help with the reconciliation process because there’s still a lot of things that we need to do as a country”. She said “He got the instructions from the top and they [more senior officials] got away with it[…] they’re amongst us today and one man is taking the fall”.

Eddie Makue said to The Associated Press the release stirred up “mixed feelings, which is something we’ve gotten used to as South Africans”. He was a South African Council of Churches employee in 1988 when de Kock bombed their headquarters. Jane Quin said she was “terribly disappointed” and he should never be released. Her sister Jacqui Quin was murdered in Lesotho in 1985 by de Kock.

TRC chairman Archbishop Desmond Tutu said “I pray that those whom he hurt, those from whom he took loved ones, will find the power within them to forgive him.” He said the release would not be universally welcome but is nonetheless “to our collective credit, as people and as a nation.” Tutu called it “an indictment on our government” that apartheid officials who did not co-operate with the TRC had evaded prosecution.

Whilst in prison de Kock has assisted the recovery of his missing victims’ remains. Remorse and his help to the Missing Persons Task Team were cited by Masutha as reasons to release him, which was initially decided against last July. “[H]is key role has been to introduce us to other former security police who can assist with finding others,” said Task Team leader Madeleine Fullard. Fullard said de Kock had also directly assisted in retrieving two bodies. “He certainly feels lives were wasted for no reason”, she added, describing a meeting with him at one ANC victim’s grave. “He seemed to be quite stressed.”

Masutha also announced yesterday the rejection of a parole application by apartheid killer Clive Derby-Lewis, an ex-MP. Derby-Lewis is serving life for murdering popular South African Communist Party leader Chris Hani. Hani also led the ANC’s militant division. His killing in 1993 sparked rioting. Derby-Lewis sought parole because he has lung cancer. Masutha said in rejecting the application that Derby-Lewis was remorseless.

Wednesday, February 27, 2008

Campaigners opposed to the expansion of London Heathrow Airport have today scaled the roof of the U.K. Houses of Parliament and hung protest banners reading ‘BAA HQ’ and ‘No 3rd Runway’ from the building, before and during Prime Minister’s Questions inside the building.

The three men and two women were from climate action group, Plane Stupid. The non-violent direct action comes on the day a government consultation into the Heathrow expansion of a third runway ends.

The protesters made paper aeroplanes out of confidential Whitehall documents that allegedly show collusion between the British Airports Authority (B.A.A.) and the Government department of transport to subvert the public consultation process on the proposed third runway. These documents were obtained from the Department for Transport by Greenpeace under the freedom of information act.

B.A.A. claims a third runway is essential for Britain’s economy, and would reduce congestion at Heathrow, actually cutting emissions, and is necessary to keep up with the booming aviation industry. This would allow the number of flights to increase from 480,000 a year to around 702,000 .

In a statement given by one of the protesters from the roof to the Guardian newspaper:

Matthew Knowles from the Society of British Aerospace Companies made a statement to the B.B.C. that: “These stunts are becoming tiresome and do nothing more than peddle inaccurate propaganda.”

The rooftop occupation comes two days after Greenpeace protesters scaled an Airbus A320 which had just touched down at Heathrow from Manchester, and follows a succession of direct action protests in the U.K. in relation to climate change.

Tuesday, November 15, 2005

In a move aimed at hampering the near-daily bombing attacks in southern Thailand, all owners of prepaid phones are required to register by midnight local time today or face being blocked.

Originally scheduled for implementation at the end of last year, the move was deferred to allow people more time to register their phones. The policy only applies to the three southernmost provinces that border Malaysia — Pattani, Narathiwat, and Yala — formerly the Malay Pattani kingdom.

Thais from other parts of the country with prepaid phones will also be required to register should they wish to visit the region. When doing so their calls will be treated as roaming, a feature of GSM which allows a user to make and receive calls on a network other than that of their service provider.

Many of the bombs used in the south are believed to be detonated by mobile phone, although most of the more than one thousand casualties in the region have been from drive-by shootings and stabbings.

It is reported that 65% of the near half-million prepaid phones in the region that this would impact have been registered. Prepaid phones are commonplace throughout Thailand and estimates put the number in use throughout the whole country at approximately ten million.

Other efforts to deal with the insurgency in the predominantly Muslim area include an announcement yesterday that approximately 20,000 local villagers will be given training and small arms to help defend their villages. Both men and women will be eligible, and those accepted into the programme will be put onto the government payroll.

Monday, September 7, 2015

The US economy added 173,000 jobs in August, the Bureau of Labor Statistics reported on Friday. The unemployment rate fell from 5.3 to 5.1 percent, the lowest since April 2008.

Although August job gains were lower than most economists forecast, job growth numbers for June and July were revised upwards by a combined 44,000. Average job gains over the past three months stand at 221,000, compared to March-May’s 189,000 monthly average. Over the past twelve months, job growth has averaged 247,000 per month.

Average hourly earnings rose 0.3 percent, or 8 cents, marking the largest increase in earnings in seven months. Hourly earnings had risen by 6 cents in July. Wages have risen by 2.2 percent over the past year.

Job growth in August was primarily concentrated in the health care and social assistance, financial activities, and professional and business services sectors. Those three areas of the economy added a combined 108,000 jobs. Food service and drinking places employment increased by 26,000 over the month, and other economic sectors saw employment hold steady. Manufacturing, on the other hand, saw employment decline by 17,000 in August. A stronger dollar and worldwide economic weakness make US exports less desirable, leading to a flattening in manufacturing employment so far this year after steadily rising in the early years of the US economic recovery.

The solid overall job gains led analysts to slightly raise expectations for a decision by the Federal Reserve to raise interest rates this month. Investors raised the likelihood of a September rate increase from 26 percent before the jobs report to 30 percent, and stocks dropped by over one percent on Friday. “The payrolls data is certainly good enough to allow for a Fed rate hike in September,” said Deutsche Bank’s head of currency strategy, Alan Ruskin. “The big question is still whether financial market volatility will scupper the plans.”

“This is the first time the market has looked at a Fed meeting and really has no idea what the Fed is going to do,” said Mark Kepner, a New Jersey equity trader with Themis Trading. “Right now you’re looking at the overall uncertainty and that’s what’s hanging on the market. I don’t think this number in and of itself changes how somebody’s going to vote.”

Monday, May 6, 2019

The second International Student Olympiad in Neurosurgery for the prize of the Governor of Tyumen Oblast, Russia took place in the first week of April at the Federal Center for Neurosurgery in Tyumen. The competition was attended by 46 people from cities within Russia as well as from Aktobe, Kazakhstan. Wikinews attended the event, and talked to some of those involved.

This was the second consecutive student Olympiad in neurosurgery. Six of the country’s eight federal district capitals were reportedly scheduled to send contestants. The winners are awarded free tuition at the academic department of Neurosurgery at First Moscow State Medical University (First MSMU), also called Sechenov University.

Madina Bizheva, in her fourth year at Kabardino-Balkarian State University, won this second Olympiad. The other two places at Sechenov University were awarded to Oleg Titov, fifth year at the First MSMU, and Irina Borovikova, fifth year at Ural State Medical University. Bizheva said: “I give my victory to my mother, who inspired me to study at a neurosurgeon. After she had a stroke, the dream of becoming a doctor began to turn into reality. I was seriously preparing for the Olympiad. One hand rocked the child, the other held a book on neurosurgery. If a person strives for and desires something, then everything will work out.” ^{((ru))Russian: ????? ?????? ? ???? ????, ??????? ?????????? ???? ????? ?????? ?? ????????????. ????? ????, ??? ? ??? ???????? ???????, ????? ????? ?????? ????? ???????????? ? ??????????. ? ???????? ?????????? ? ?????????. ????? ????? ?????????? ???????, ?????? ??????? ????? ?? ?????????????. ???? ??????? ? ???? ?????????? ? ????-?? ????? ??????, — ??? ?????????.}

• Contestants came from many parts of Russia and from Kazakhstan. Image: ??????? ???????.

• Participants waiting for the start of the test. Image: ??????? ???????.

• Olympiad participants complete a theory test. Image: ??????? ???????.

The chairman of the organizing committee of the Olympiad and the head physician of the center, Albert Sufianov, is also the head of the academic department of neurosurgery in the First MSMU. The three best performers in this contest are awarded the opportunity to study for free in his department in the residency of the Sechenov University.

The event was supported financially by Tyumen Oblast. The new governor of the region, Alexander Moor, during his message to the regional parliamentarians read out on November 22, just offered to diversify the economy, reducing the focus on oil and gas from the third Baku and cultivating medical tourism: “Now the annual volume of our exports — non-row materials and non-energy — has come close to a billion dollars. In the next year, this must be given priority. And here, too, non-standard approaches will be required, in which trends of various origins will organically merge across the traditional industry nomenclature. For example, it is time to perceive Tyumen medicine as a full-fledged export-oriented industry, while closely associated with the tourism business. Medical tourism is growing rapidly all over the world, and in terms of price and quality, Tyumen is more than competitive — if not on a global scale, then on a scale of the whole continent Eurasia exactly. Here the themes of several national projects intersect at once!” ^{((ru))Russian: ??????? ??????? ????? ?????? ???????? – ??????????? ? ????????????????? – ???????? ??????????? ? ????????? ????????. ? ????????? ???? ???? ??? ???? ?????. ? ??? ???? ??????????? ????????????? ???????, ? ??????? ?????? ???????????? ?????????? ???????????? ????????? ?????????? ?????? ?????????? ?????????????. ??????, ????????? ???????? ??? ???? ???????????? ??? ??????????? ?????????-??????????????? ???????, ??? ???? ????? ????????? ? ????????????? ????????. ??????????? ?????? ????? ?????? ?? ???? ????, ? ?? ?????????? ???? ? ???????? ?????? ????? ??? ?????????????????? – ???? ?? ? ?????????? ????????, ?? ? ???????? ????? ???????????? ?????????? ?????. ????? ???????????? ???????? ????? ?????????? ???????????? ????????!}

According to Professor Sergey Dydykin, who is both co-chairman of the organizing committee and head of the academic department of operative surgery and topographic anatomy of the First MSMU, in the United States and Europe it is not customary to teach manual skills, such as manual surgical techniques, to undergraduates; conducting surgical competitions for students is a Russian practice.

During the Olympiad, students had to perform simulated practical tasks. For example, in the final part of the competition, the contestants had to mill away the shell of a raw egg without damaging the membranes beneath. This exercise simulates endoscopic drilling.

According to Sufianov, the Olympiad shows young people the “social elevators” available to them. He suggesnted student Ibrahim Salamov as an illustration of his words. A year ago, this native of the Dagestan village took first prize, and he is now one of the organizers of the Olympiad.

Regarding which part of the competition was most difficult for aspiring neurosurgeons, Sufianov said it was English language. From his view, this is a nationwide problem in Russia — there are many skilled surgeons in the country, but their knowledge of foreign languages is not very strong. In his opinion, a specialist has almost no chance to become a very high level professional without knowledge of English.

Alexander Gagay of Yekaterinburg, who took third place last year, is currently a fourth year student at Ural State Medical University. This year, he said, he came to support his fellow Yekaterinburgers. In his opinion, the most difficult part was the theoretical tasks, and not English. In his view, the federal neurosurgery centers like Tyumen created within the framework of the national health project are on the same level with their foreign counterparts. In his view, there are strong opportunities to become a very good specialist without leaving Russia.

Several people returned to the Olympiad after attending last year. One is Denis Kovalchuk, a sixth year student at Buryat State University. He said he was interested in neurosurgery from the first year, but in his home region there are no suitably equipped facilities as there are in Tyumen. Kovalchuk also said that, after the first Olympiad, a community of young neurosurgeons emerged on social networks, numbering about 400 people. Students exchange professional literature in it and give each other tips for use in practical situations.

• Ibrahim Salamov, last year’s winner. Image: ??????? ???????.

• Alexander Gagay, who took third place in 2018. Image: ??????? ???????.

• Denis Kovalchuk, a 2-year participant. Image: ??????? ???????.

This year, the jury decided two participants in addition to the official winners performed at such a high level and Albert Sufianov provided them with his personal grant for residency training at First MSMU. These were Ivan Shelyagin and Valentina Sidorenko from Tyumen State Medical University.