Tuesday, March 29, 2005A team of Australian surgeons yesterday reattached both hands and one foot to 10-year-old Perth boy, Terry Vo, after a brick wall which collapsed during a game of basketball fell on him, severing the limbs. The wall gave way while Terry performed a slam-dunk, during a game at a friend’s birthday party.

The boy was today awake and smiling, still in some pain but in good spirits and expected to make a full recovery, according to plastic surgeon, Mr Robert Love.

“What we have is parts that are very much alive so the reattached limbs are certainly pink, well perfused and are indeed moving,” Mr Love told reporters today.

“The fact that he is moving his fingers, and of course when he wakes up he will move both fingers and toes, is not a surprise,” Mr Love had said yesterday.

“The question is more the sensory return that he will get in the hand itself and the fine movements he will have in the fingers and the toes, and that will come with time, hopefully. We will assess that over the next 18 months to two years.

“I’m sure that he’ll enjoy a game of basketball in the future.”

The weight and force of the collapse, and the sharp brick edges, resulted in the three limbs being cut through about 7cm above the wrists and ankle.

Terry’s father Tan said of his only child, the injuries were terrible, “I was scared to look at him, a horrible thing.”

The hands and foot were placed in an ice-filled Esky and rushed to hospital with the boy, where three teams of medical experts were assembled, and he was given a blood transfusion after experiencing massive blood loss. Eight hours of complex micro-surgery on Saturday night were followed by a further two hours of skin grafts yesterday.

“What he will lose because it was such a large zone of traumatised skin and muscle and so on, he will lose some of the skin so he’ll certainly require lots of further surgery regardless of whether the skin survives,” said Mr Love said today.

The boy was kept unconscious under anaesthetic between the two procedures. In an interview yesterday, Mr Love explained why:

“He could have actually been woken up the next day. Because we were intending to take him back to theatre for a second look, to look at the traumatised skin flaps, to close more of his wounds and to do split skin grafting, it was felt the best thing to do would be to keep him stable and to keep him anaesthetised.”

Professor Wayne Morrison, director of the respected Bernard O’Brien Institute of Microsurgery and head of plastic and hand surgery at Melbourne’s St Vincent’s Hospital, said he believed the operation to be a world first.

Friday, November 10, 2006

In an internet-based study published today on the website of the British Medical Journal, Australian investigators tested how well Googling could help to establish a difficult diagnosis. The search results met against their criteria in 15 out of 26 cases.

Previous anecdotes of the use of Google in reaching a difficult diagnosis are presented in the paper. In a case described in the New England Journal of Medicine (NEJM), a physician diagnosed IPEX syndrome after submitting the typical diagnostic clues to the search engine. A patient’s father replied to doctor’s saying that his son had acute subclavian vein thrombosis of unknown origin: “But of course hehas Paget-von Schrötter syndrome.”

Hangwi Tang and Jennifer Hwee Kwoon Ng from the Princess Alexandra Hospital in Brisbane selected clinical cases from the NEJM blind to the correct diagnosis. They selected 3 to 5 rather specific features, searched Google, and selected the 3 disorders from the results that seemed to fit the case best. If one of those was right, Google was said to be “right”.

The scientists admit that an internet search probably works better with specific symptoms rather than with phrases such as “fever ill pain”. Also, the percentage may depend on the operating physician’s knowledge base, and the test was not double-blind.

Experts commented that the internet is not a replacement for doctors, but should be seen as a way of supporting doctors and patients. A spokeswoman for the Patient Association added that “a lot of sites are not credible. There are lots of good sites out there, but we also know that there are many that are not credible.”

Sunday, April 27, 2008

Recently released figures have revealed that the number of foreclosures in California, United States has more than quadrupled. The figures for the first quarter of 2008 show a significant increase on previous figures.

There were 47,171 foreclosures on California properties in the first quarter of 2008. The figure for the same period last year was just over 10,000.

The Attorney General of Arizona released a report that showed an increase. It said that “the collective efforts of servicers and government officials to date have not translated into meaningful improvement in foreclosure prevention outcomes.” The Attorney General also commented on the report:

Sunday, June 17, 2018

On Thursday, the United Nations (UN) released its first-ever report for Kashmir, highlighting several incidents of alleged human rights violations in the last two years in the Indian state of Jammu and Kashmir as well as Pakistani-administered areas of Kashmir, namely Gilgit-Baltistan and Azad Kashmir. The Indian Ministry of External Affairs (MEA) denounced the 49-page report by the UN Office of the High Commissioner for Human Rights, calling it “selective”, “malicious” and “fallacious”. The report mentions human rights violations including torture, enforced disappearances, sexual violations, administrative detention, violations on the right to health and education, lack of access to justice and arbitrary arrests and detention among others.

Zeid Ra’ad Al Hussein, the UN High Commissioner for Human Rights, said he would urge the UN Human Rights Council “to consider establishing a Commission of Inquiry to conduct a comprehensive independent international investigation into allegations of human rights violation in Kashmir”. Hussein was not granted permission, by either India or Pakistan, to visit Kashmir for the report.

Per the report, Pakistan was asked to stop “misuse of anti-terror legislation to persecute those engaging in peaceful political and civil activities and those who express dissent.” In July 2016, Indian security forces killed the Hizbul Mujahideen leader Burhan Muzaffar Wani, which led to protests in the Kashmir Valley. In response to the protests, Indian security forces fired metallic pellets, and their activities led to human rights violation, the UN report read. It also accused India of the unlawful killing of about 145 civilians since 2016. The report asked India to “fully respect the right of self-determination of the people of Kashmir as protected under international law.”

The MEA issued a statement which read: “India rejects the report. It is fallacious, tendentious and motivated. We question the intent in bringing out such a report. It is a selective compilation of largely unverified information. It is overtly prejudiced and seeks to build a false narrative.” Per the constitution of Jammu and Kashmir it “is and shall be an integral part of the Union of India” while Pakistan’s constitution does not mention Azad Kashmir or Gilgit-Baltistan in its territories, but has a provision for relations with Pakistan subject to Jammu and Kashmir people’s decision to acceede to Pakistan. The MEA added in their statement, “Cross-border terror and incitement are aimed at suppressing the will of the people of Jammu & Kashmir, disrupting its political and social fabric and undermining India’s integrity”.

Unlike India, the report was welcomed by Pakistan. In a press release, the Foreign Office said Pakistan “welcomes the proposal by the UN High Commissioner for Human Rights to establish a Commission of Inquiry for [an] international investigation into human rights violations” in Indian-held Kashmir.

Directing towards Indian authorities, the report asked to “urgently repeal the Armed Forces (Jammu and Kashmir) Special Powers Act, 1990; and, in the meantime, immediately remove the requirement for prior central government permission to prosecute security forces personnel accused of human rights violations in civilian courts”.

“The report violates India’s sovereignty and territorial integrity. The entire state of Jammu and Kashmir is an integral part of India. Pakistan is in illegal and forcible occupation of a part of the Indian state through aggression. We have repeatedly called upon Pakistan to vacate the occupied territories. The incorrect description of Indian territory in the report is mischievous, misleading and unacceptable. There are no entities such as ‘Azad Jammu and Kashmir’ and ‘Gilgit-Baltistan'”, India’s External Affairs ministry said in their statement.

The report was welcomed by some activists and leaders in Kashmir. Jammu and Kashmir human rights activist Khurram Parvez welcomed the UN report. Kashmiri leader Mirwaiz Umar Farooq wrote on Twitter, “People of Kashmir thank the U.N., especially the bold efforts of its HR commissioner, Zeid Ra’ad Al Hussein, for its support to the right of self-determination.”

The Kashmir-conflict between India and Pakistan has led to two wars since their independence in 1947. Between 1990 and 2017, there have been about 69,820 militancy-related incidents in Jammu and Kashmir, and more than 41 thousand people were killed. In 2017, there were over 800 ceasefire violations along the heavily-militarised Line of Control in Kashmir between India and Pakistan.

Saturday, June 25, 2005

In an interview on NBC’s Today show with Matt Lauer, Tom Cruise aggressively defended his opposition to psychiatry and anti-depressive drugs. This occurred after being asked questions about his criticism of Brooke Shields, who has been taking drugs, including Paxil, for postpartum depression. Cruise is usually known for keeping his cool in interviews, but recently he has been slightly more unbound.

Cruise’s statements, including “Psychiatry is a pseudoscience“, and “There is no such thing as a chemical imbalance in a body”, reflect the beliefs of the Church of Scientology, of which he is a member. The interview became particularly tense when Lauer mentioned that he knew people who had been helped by taking Ritalin, an attention-deficit disorder drug.

“Matt, Matt, you don’t even — you’re glib,” Cruise responded. “You don’t even know what Ritalin is. If you start talking about chemical imbalance, you have to evaluate and read the research papers on how they came up with these theories, Matt, OK. That’s what I’ve done.”

Cruise went on to say: “You don’t know the history of psychiatry, I do.”

Cruise has not formally studied medicine beyond a high school education, having dropped out in his senior year (1980) to pursue an acting career. In light of this, some members of the psychiatric community have refuted Cruise’s controversial statements. Dr. John Scully, medical director of the American Psychiatric Association, has said “The illnesses we treat – anxiety, depression – are very real illnesses…The treatments work. We have demonstrated that through robust scientific study.”

Lauer insisted that Ritalin helped people: “You’re telling me what’s worked for people I know or hasn’t worked for people I know. I’m telling you, I’ve lived with these people and they’re better,” Lauer said.

Cruise hinted that Lauer was promoting Ritalin and Lauer scoffed: “I am not. I’m telling you in their cases, in their individual case, it worked.”

The exchange ended when the two basically agreed to disagree. Cruise, who is 42, did admit that one of his goals is to speak more about Scientology in an effort to get people to understand it better.

Scientology has historically been at odds with the established medical and mental health community. The rift dates back to the 1950s and Scientology’s founding father L. Ron Hubbard. In his book, “Dianetics: The Modern Science of Mental Health”, published in 1950, Hubbard claims that Dianetics (later called Scientology) could cure the majority of human ailments. These claims were sharply disputed by a variety of mainstream science and medical professionals including psychiatrists.

On Monday, June 27, 2005, the American Psychiatric Association released a statement that stated the following:”It is irresponsible for Mr. Cruise to use his movie publicity tour to promote his own ideological views and deter people with mental illness from getting the care they need…Rigorous, published, peer-reviewed research clearly demonstrates that treatment (of mental illness) works…It is unfortunate that in the face of this remarkable scientific and clinical progress that a small number of individuals and groups persist in questioning its legitimacy.”

The APA represents nearly 36,000 physicians specialising in the diagnosis and treatment of mental illness.

Friday, January 27, 2006

West Papuan asylum seekers, who arrived in Australia last week, were forced to make a 4000 kilometre journey to Christmas Island despite suspicions they had tuberculosis. The West Papuans were flown to Christmas Island on an RAAF Hercules last week.

Two of the group, a man and his child, have now been flown the 2,600 kilometres to Perth, Western Australia from the remote Indian Ocean island. Air force personnel had initially refused to fly them, concerned that the flight crew’s health would be at risk.

“It’s a complete farce, absurd” said one health official. “It has not only posed an unnecessary health risk, it has been hideously expensive.”

The West Papuans were among a group of 43 refugees found last week on the far north-west coast of Cape York in Queensland. They had made a five-day journey from the Indonesian province in an outrigger canoe. They arrived with banners accusing Indonesia’s military in the province ruled by Jakarta of genocide and intimidation. Their 25m traditional boat was fitted with an outboard motor and was flying the outlawed West Papuan flag.

Amid media scrutiny and the disapproval of the Indonesian government, the boat people underwent health checks before being sent to Christmas Island. X-rays and other medical examinations strongly indicated that at least one man had tuberculosis, yet the group were flown to Australia’s Christmas Island Immigration Detention Centre.

Upon landing at the Island, health officials recommended the patients be transferred to Perth. However, the crew of the RAAF Hercules refused to take them, saying they were not “adequately equipped”.

A Department of Immigration spokesman (DIMIA) said an alternative flight was arranged. “At this stage there has been no positive diagnosis for tuberculosis,” the spokesman said.

The removal of the asylum seekers to Christmas Island has been met with fierce criticism from many refugee rights groups and opposition parties, who say it was impractical, potentially traumatising and hugely expensive. The Immigration Department says it has interviewed most of the asylum seekers but won’t say if they have made formal asylum claims.

File:West-Papua-Rally Darwin2.jpg

Rallies in Sydney, Melbourne, Darwin, Canberra and Brisbane were held this week, in support of the West Papuan asylum seekers. Refugee rights advocates protested the forced transfer to the remote Christmas Island facility.

Melbourne auxiliary bishop Hilton Deakin told about 130 people demonstrating outside DIMIA headquarters in Melbourne that, “we know that already the Indonesian authorities, in Canberra and beyond, are trying to get to them.”

Yet the he Indonesian embassy in Canberra denied making any approach, saying: “I can guarantee that there has been no contact whatsoever, it hadn’t been requested, it was never even sought.”

But the Immigration Department has confirmed that “a junior delegation” from the embassy went to Weipa last Thursday seeking access to the asylum seekers. A spokesman for the Immigration Department said the Indonesians arrived in Weipa on Thursday but by then the Papuans had already been put on a plane for Christmas Island. The West Papuans were told they had a right to Indonesian consular assistance if they choose. “Not one has chosen to do so,” the spokesman said.

“The majority of these 43 people are leaders for free expression and self-determination and possible independence because of the oppression from which they suffer,” Bishop Deakin said. “Massacres, rapes and all the rest of it have gone on in that country for almost 30 years.”

He called on the Australian Government to cancel its training program with the Indonesian military.

Democrats leader Lyn Allison said the Australian Government had “got it wrong on this issue”. The 43 asylum seekers had been “whisked off” before they could tell their story, she said.

Greens Senator Kerry Nettle has called on the government to grant access to Papuan asylum seekers. The senator says they should not be in detention and they certainly should be allowed to communicate with the outside world.

Senator Nettle will go to Christmas Island this weekend to meet the imprisoned West Papuans. She said the immigration department is obligated under the Migration Act to allow her to meet them.

Meanwhile New Zealand Greens have offered to take the asylum seekers. “New Zealand can show the Howard government how to be compassionate, as we did back in 2001 when we took some Afghan asylum seekers from the Tampa,” the New Zealand Green Party Foreign Affairs Spokesperson Keith Locke says.

“It is shocking that the West Papuan refugees, having survived 450 kilometres of open water in a flimsy craft, are now bundled off to a Christmas Island detention camp – well out of range of those Australians who wish to help them,” he said.

“Under refugee law these Papuans deserve special consideration, having come directly from their claimed country of persecution, Indonesia, not via a third country, as is the case with most asylum seekers in this part of the world.

“The Papuans certain have a good prima facie case. I know from my own visit to West Papua last April that there is substantial and ongoing harassment of the local people, particularly those who assert their right to political self-determination,” said Mr Locke.

On Friday last week Indonesian security forces shot dead one Papuan protester, and wounded two others, in the Paniai district, where the 43 asylum seekers originate.

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.