Find Custom Web Design Vancouver Solutions

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nirvcanada

Internet marketing has made several businesses to grow and prosper in respective domain. From small products to big services, it has become simple for people to attract target audience easily with the help of efficient internet marketing services.

As far as web design is concerned, it is considered the base of online marketing. Website is the primary requirement of online business. Different business owners have different needs and desire to prove the efficiency of their businesses. This is the resign why they opt for custom web design Vancouver solutions. Know more about the custom web design solutions through this article.

Use of tools

Website can be dynamic or static. There are certain differences between the two. In static type, the website remains the same if not changed manually. But dynamic pages can be changed as per the end users input. With custom solutions, necessary changes can be made whether it is to make alterations in collection of document, application and web content.

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Customised services include several tools to make changes in disciplines like information architecture,photography, animation, corporate identity and eye popping graphic designs. Tools which are used for these tasks are Flash and Silver light for multimedia technology,ASP and PHP for server side scripting, Java Script for client side scripting, HTML, XHTML and XML for markup language and much more.

Designing factors

To serve the clients with right website design, the professionals focus on all essential web design Vancouver factors like creativity of design, page layout, background colour, font size, text colour, size of text, usability and several other user-friendly features. They work in the way to make the website easy to understand and subject-focused. From colours to graphics and texts all are selected as per the nature of business.

Performance optimization

Custom web design not only means to make the website user friendly. It actually means to come up with the website that can play essential role in performance optimization. For this, the designers of professional internet marketing solutions work with joint efforts of web development, search engine optimization and related experts to make the website keyword rich to support easy and effective performance. They concentrate all together on other essentials of web design Vancouver like web development, SEO, SMM, SMO and much more.

Thus, from the overall discussions, it can be said that customized web design Vancouver solutions can help to bring numerous kinds of businesses to the greater height.

Nirvana Canada in Vancouver, BC is among leading custom

web design Vancouver

solutions. Major services of the firm include online business solutions, search engine optimization,

internet marketing

, web designing & development and much more.

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USA upsets Canada in Olympic ice hockey

Tuesday, February 23, 2010

Canada 3 5 United States

The United States men’s ice hockey team upset host country Canada, 5-3, in a preliminary round game on Sunday at the Winter Olympics. It is being called the Americans’ biggest Olympic win since the 1980s “Miracle on Ice” victory over the former Soviet Union.

The game was only 41 seconds in when Brian Rafalski of Team USA fired a slap shot that deflected off Canadian star Sidney Crosby’s stick and bounced past Canadian goalkeeper Martin Brodeur.

The Canadians evened the game on a goal nearly nine minutes into the contest on Eric Staal’s shot. The capacity crowd roared its approval and the stadium announcer was still giving the details of Staal’s goal when Rafalski scored again.

Canada evened the game in the second period, but American Chris Drury put Team USA ahead again, 3-2. The Americans took a 4-2 lead on Jamie Langenbrunner’s shot with just under 13 minutes left in the game.

We’re in the winning business. And to win at any level you need momentum-changing saves.

Crosby cut the U.S. lead to 4-3 with about three minutes left. Canada pulled goalie Brodeur, adding an extra attacker in a desperate attempt to tie the contest. The hosts had clearly outplayed the Americans, with a shot advantage of 45-23. But U.S. goalie Ryan Miller, frustrated the Canadians all night, including their last-ditch attack.

Then with just 45 seconds left in the contest, American Ryan Kesler reached around his opponent to slap the final U.S. goal into the empty Canadian net, making it 5-3.

The game was just a preliminary round match, but in hockey-mad Canada, where the sport first originated, it was more than that. To lose to the United States in the Olympics on home soil was devastating.

After the game, Canada fans — many in replicas of the team’s red and white Maple Leaf jerseys — seemed stunned as they filed out of the Canada Hockey Place. Some Americans chanted “U-S-A, U-S-A!” But many Canadians, including Melissa Mazeman of Winnipeg, Manitoba, were still trying to realize what had happened.

“As soon as that first goal was scored within in the first minute, that did hurt, it was kind of crushing,” she said. “But every U.S. player — or every U.S. fan I have seen on the street — I have said congratulations [to].”

Meanwhile, Canadian coach Mike Babcock has replaced Brodeur in the lineup, with Roberto Luongo of the Vancouver Canucks. Babcock said Brodeur’s coordination with his defensemen that led to turnovers and four goals out of 22 American shot attempts. He also noted that Brodeur did not make many big saves.

Babcock said, “We’re in the winning business. And to win at any level you need momentum-changing saves.”

As soon as that first goal was scored within in the first minute, that did hurt, it was kind of crushing.

Team USA fan David Loring of Colorado Springs, Colorado, one of a vastly outnumbered corps of fans wearing USA Hockey gear, gave goalkeeper Ryan Miller the credit for preserving the win.

“[Team USA] played really well tonight. I have to tell you, they got outplayed by Canada. We had some really good goalie work this evening. Brodeur made some nice saves, but Miller really played well tonight. That was the difference I thought.”

I’m not happy with the way we’ve played to this point. We have to play significantly better. We’re playing with about 10 guys carrying us. They don’t hand out any medals for finishing first in the preliminary round.

However, not all Americans are happy. The general manager of the U.S. men’s team, Brian Burke, feels the team isn’t playing at it’s best. “I’m not happy with the way we’ve played to this point. We have to play significantly better. We’re playing with about 10 guys carrying us. They don’t hand out any medals for finishing first in the preliminary round,” Burke said.

He continued saying, “Our center-ice play, we’ve made some glaring turnovers that have resulted in scoring chances. And our overall intensity for 60 minutes — for the first 10 minutes in the second period, I thought we were nonexistent.”

Chris Drury agreed saying, “I’d still say we would be the underdogs on our lack of experience, certainly now that the tournament takes on a whole new meaning with single elimination. We do need to get a lot better.”

The win is the United States’ first Olympic win over Canada since the 1960 Winter Olympics. It also came one day short of the 30th anniversary of the U.S. hockey win over the former Soviet Union in the 1980 Winter Olympics’ Miracle on Ice in Lake Placid.

The victory assures the Americans an automatic quarterfinal berth. Canada could still make the round of eight, but must beat Germany in a play-in game Tuesday to reach the quarterfinals.

Retrieved from “https://en.wikinews.org/w/index.php?title=USA_upsets_Canada_in_Olympic_ice_hockey&oldid=4591598”
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Ingrid Newkirk, co-founder of PETA, on animal rights and the film about her life

Tuesday, November 20, 2007

Last night HBO premiered I Am An Animal: The Story of Ingrid Newkirk and PETA. Since its inception, People for the Ethical Treatment of Animals (PETA) has made headlines and raised eyebrows. They are almost single-handedly responsible for the movement against animal testing and their efforts have raised the suffering animals experience in a broad spectrum of consumer goods production and food processing into a cause célèbre.

PETA first made headlines in the Silver Spring monkeys case, when Alex Pacheco, then a student at George Washington University, volunteered at a lab run by Edward Taub, who was testing neuroplasticity on live monkeys. Taub had cut sensory ganglia that supplied nerves to the monkeys’ fingers, hands, arms, legs; with some of the monkeys, he had severed the entire spinal column. He then tried to force the monkeys to use their limbs by exposing them to persistent electric shock, prolonged physical restraint of an intact arm or leg, and by withholding food. With footage obtained by Pacheco, Taub was convicted of six counts of animal cruelty—largely as a result of the monkeys’ reported living conditions—making them “the most famous lab animals in history,” according to psychiatrist Norman Doidge. Taub’s conviction was later overturned on appeal and the monkeys were eventually euthanized.

PETA was born.

In the subsequent decades they ran the Stop Huntingdon Animal Cruelty against Europe’s largest animal-testing facility (footage showed staff punching beagle puppies in the face, shouting at them, and simulating sex acts while taking blood samples); against Covance, the United State’s largest importer of primates for laboratory research (evidence was found that they were dissecting monkeys at its Vienna, Virginia laboratory while the animals were still alive); against General Motors for using live animals in crash tests; against L’Oreal for testing cosmetics on animals; against the use of fur for fashion and fur farms; against Smithfield Foods for torturing Butterball turkeys; and against fast food chains, most recently against KFC through the launch of their website kentuckyfriedcruelty.com.

They have launched campaigns and engaged in stunts that are designed for media attention. In 1996, PETA activists famously threw a dead raccoon onto the table of Anna Wintour, the fur supporting editor-in-chief of Vogue, while she was dining at the Four Seasons in New York, and left bloody paw prints and the words “Fur Hag” on the steps of her home. They ran a campaign entitled Holocaust on your Plate that consisted of eight 60-square-foot panels, each juxtaposing images of the Holocaust with images of factory farming. Photographs of concentration camp inmates in wooden bunks were shown next to photographs of caged chickens, and piled bodies of Holocaust victims next to a pile of pig carcasses. In 2003 in Jerusalem, after a donkey was loaded with explosives and blown up in a terrorist attack, Newkirk sent a letter to then-PLO leader Yasser Arafat to keep animals out of the conflict. As the film shows, they also took over Jean-Paul Gaultier‘s Paris boutique and smeared blood on the windows to protest his use of fur in his clothing.

The group’s tactics have been criticized. Co-founder Pacheco, who is no longer with PETA, called them “stupid human tricks.” Some feminists criticize their campaigns featuring the Lettuce Ladies and “I’d Rather Go Naked Than Wear Fur” ads as objectifying women. Of their Holocaust on a Plate campaign, Anti-Defamation League Chairman Abraham Foxman said “The effort by PETA to compare the deliberate systematic murder of millions of Jews to the issue of animal rights is abhorrent.” (Newkirk later issued an apology for any hurt it caused). Perhaps most controversial amongst politicians, the public and even other animal rights organizations is PETA’s refusal to condemn the actions of the Animal Liberation Front, which in January 2005 was named as a terrorist threat by the United States Department of Homeland Security.

David Shankbone attended the pre-release screening of I Am An Animal at HBO’s offices in New York City on November 12, and the following day he sat down with Ingrid Newkirk to discuss her perspectives on PETA, animal rights, her responses to criticism lodged against her and to discuss her on-going life’s work to raise human awareness of animal suffering. Below is her interview.

This exclusive interview features first-hand journalism by a Wikinews reporter. See the collaboration page for more details.
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US to sell precision-guided bombs to Saudi Arabia

Tuesday, January 15, 2008

The Bush administration officially notified Congress Monday of its intention to sell sophisticated precision-guided bombs to Saudi Arabia. The action, coinciding with President Bush’s visit to Saudi Arabia, is part of a broader U.S. effort to bolster Gulf allies in the face of a more assertive Iran. VOA’s David Gollust reports from the State Department.

The Bush administration has already briefed Congress on its arms sales plans for Saudi Arabia. Monday’s announcement sets in motion a 30-day period in which the House and Senate can block the plan with a joint resolution – an action that appears highly unlikely.

Under the proposed deal, worth more than $120 million, the United States would provide Saudi Arabia with 900 kits and associated equipment to convert conventional gravity bombs into GPS-guided smart-bombs, known as JDAMs.

The weapons are a mainstay of the U.S. military arsenal and their accuracy would vastly enhance the capability of the Saudi Air Force, which has top-of-the-line U.S.-made fighter-bomber aircraft.

The sale is part of a broader $20-billion arms package for Saudi Arabia and other Gulf states announced by Secretary of State Condoleezza Rice and Defense Secretary Robert Gates last August on a mission to the Gulf, aimed at shoring up U.S. allies concerned about Iranian influence in the region.

Several elements of the broader package including sales of Patriot anti-missile systems to Kuwait and the United Arab Emirates, and upgrades for Saudi Arabia’s AWACS airborne command and control planes, have already gotten congressional assent. Officials here say they also expect the Saudi J-DAMS sale to proceed despite concerns expressed by some congressional supporters of Israel.

At the time the Gulf weapons sales package was announced last year, the Bush administration also committed to a 10-year, $30-billion arms package for Israel, representing a 25 per cent increase in annual U.S. arms aid to that country.

Briefing reporters, State Department Spokesman Sean McCormack said the administration has assured Congress it would do nothing to upset Israel’s military edge over potential enemies in the region.

“We’ve spent a lot of time assuring that we abide by our commitments to a qualitative military edge for Israel,” said Sean McCormack. “This is something that President Reagan first talked about and it’s been reiterated and reconfirmed by each successive president after that. We’re committed to maintaining that qualitative military edge for Israel.”

Israel itself has not protested the pending sale. Israeli officials have said they anticipate being provided with a new-generation U.S. smart bomb more capable than J-DAMS, which have been in service for more than a decade.

A spokesman for House Foreign Affairs Committee Chairman Tom Lantos, a prominent advocate for Israel in Congress, said he does not intend to push a resolution of disapproval.

However one House member, New York Democrat Anthony Weiner, said he would introduce such a measure and already has more than 30 co-sponsors.

Critics of the package have faulted Saudi Arabia’s record in combating terrorism and advancing political reform. Under questioning here, Spokesman McCormack said the Saudi government has made “quantum leaps” in action against terrorist cells and financing in recent years and has begun the process of reform, though not necessarily at a pace that would please some critics.

Two-thirds majorities of the members in both houses would be required to block the sale and officials here say chances for that appear nil.

Retrieved from “https://en.wikinews.org/w/index.php?title=US_to_sell_precision-guided_bombs_to_Saudi_Arabia&oldid=2470287”

Gcc Food Flavors Market Research Report

GCC Food Flavors Market:

Growth opportunities in the GCC food flavors market look promising over the next six years. This is mainly due to the increasing demand for a year-round supply of seasonal food items and ready-to-eat means and the shift towards frozen food due to the hectic lifestyle of people.

Request for a FREE Sample Report on GCC Food Flavors Market

GCC Food Flavors Market Dynamics (including market size, share, trends, forecast, growth, forecast, and industry analysis)Key Drivers

Individuals, primarily in UAE and Saudi Arabia, are searching for a year-round supply of ready-to-eat means and seasonable food items, which is one of the major drivers responsible for the growth of the GCC food flavors market. The busy lifestyle of people has resulted in an incline towards frozen food products, with a lot of nutritional content. According to the data collected by the UAE government, there has been a rapid boost in the total working population, with a total of 7.38 million labor force in 2018. The frozen and precooked meals, including veg meals, meatballs, and food products, are halal certified, owing to which they are experiencing robust growth across the country. The stimulating residential and hospitality sector, accompanied by the boost in the infrastructure projects such as the Murcia Residential Project, Four Season Jeddah Corniche, Qiddiya City, Neom Business City, and Jabal Omar Projects, will propel the food flavour market share. However, the rising consciousness towards the toxicity levels in pesticides and other health issues will curb the market size.

Origin Type Segment Drivers

On the basis of origin type, natural food flavors are projected to witness a higher CAGR over the forecast period. Natural food flavors are obtained from fruit juice or fruit, spices, vegetable juice, or edible vegetable yeast and provide numerous advantages like additional medicinal properties, decreasing food preparation time, and are nearly effortless. This has strengthened the market growth.

Application Segment Drivers

Based on the application, the beverage segment is anticipated to expand at a faster CAGR over the forecast period attributed to the expansion in this industry-led by changing consumer tastes and preferences. The industry mainly uses flavors, including high fructose corn syrup (HFCS), citric, malic, phosphoric, and sucralose acid. The rising demand for natural flavors across consumers supports the manufacturers to opt for natural flavors to capture the varying demand of the target audience.

GCC Food Flavors Market Segmentation:

Segmentation by Origin Type:

  • Natural
  • Artificial

Segmentation by Form:

  • Liquid
  • Power & Pastes

Segmentation by Application:

  • Beverages
  • Bakery
  • Cereals
  • Soups and Sauces
  • Desserts
  • Dairy and Frozen Products
  • Snacks and Savory
  • Animal and Pet Food
  • Others

Segmentation by Countries:

  • UAE
  • Saudi Arabia
  • Oman
  • Kuwait
  • Rest of GCC

About GMI Research

GMI Research is a market research and consulting company that offers business insights and market research reports for large and small & medium enterprises. Our detailed reports help the clients to make strategic business policies and achieve sustainable growth in the particular market domain. The company’s large team of seasoned analysts and industry experts with experience from different regions such as Asia-Pacific, Europe, North America, among others, provides a one-stop solution for the client. Our market research report has in-depth analysis, which includes refined forecasts, a bird’s eye view of the competitive landscape, key factors influencing the market growth, and various other market insights to aid companies in making strategic decisions. Featured in the’Top 20 Most Promising Market Research Consultants’list of Silicon India Magazine in 2018, we at GMI Research are always looking forward to helping our clients to stay ahead of the curve.

Media ContactCompany Name: GMI RESEARCHContact Person: Sarah NashEmail: enquiry@gmiresearch.comPhone: Europe – +353 1 442 8820; US – +1 860 881 2270Address: Dublin, IrelandWebsite: www.gmiresearch.com

Latest trial of the One Laptop Per Child running in India; Uruguay orders 100,000 machines

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Latest trial of the One Laptop Per Child running in India; Uruguay orders 100,000 machines
Author: Admin

7 Sep

Thursday, November 8, 2007

India is the latest of the countries where the One Laptop Per Child (OLPC) experiment has started. Children from the village of Khairat were given the opportunity to learn how to use the XO laptop. During the last year XO was distributed to children from Arahuay in Peru, Ban Samkha in Thailand, Cardal in Uruguay and Galadima in Nigeria. The OLPC team are, in their reports on the startup of the trials, delighted with how the laptop has improved access to information and ability to carry out educational activities. Thailand’s The Nation has praised the project, describing the children as “enthusiastic” and keen to attend school with their laptops.

Recent good news for the project sees Uruguay having ordered 100,000 of the machines which are to be given to children aged six to twelve. Should all go according to plan a further 300,000 machines will be purchased by 2009 to give one to every child in the country. As the first to order, Uruguay chose the OLPC XO laptop over its rival from Intel, the Classmate PC. In parallel with the delivery of the laptops network connectivity will be provided to schools involved in the project.

The remainder of this article is based on Carla G. Munroy’s Khairat Chronicle, which is available from the OLPC Wiki. Additional sources are listed at the end.

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Western Australian economy at crisis point say builders

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Western Australian economy at crisis point say builders
Author: Admin

7 Sep

Saturday, June 7, 2008

Western Australian Master Builders Association (MBA) yesterday demanded the Carpenter Government call an emergency cabinet meeting to avoid a “state of emergency” over the energy crisis gripping WA. A MBA spokesperson said that hundreds of workers have already been stood down, many without pay, and that the cost of building material is soaring.

The Minister for Energy, Fran Logan has admitted that the gas shortage caused by Tuesday’s fire is damaging the economy as mining, manufacturing and construction industries wind back operations. Western Australia’s two major brick producing companies have shut operations and Wesbeam’s $A100 million Neerabup pine production facility has been closed, their 130 employees have been stood down.

Wesbeam chief executive James Malone said, “It’s an industrial tsunami in my view. It’s a little ripple that has very quickly had a huge multiplying effect on the whole community”.

Michael McLean, Master Building Association director said “It’s a worst-nightmare scenario, and not one we could have imagined in our wildest dreams,” building supplies are expected to start running out by the middle of next week.

Premier Carpenter has announced a meeting of ministers and industry representatives to take place on Sunday to discuss solutions to the growing crisis. Tim Wall, managing director of Apache Corporation has said Apache is conducting a worldwide search for the parts need to repair the pipeline.

Major mining companies and Apache partners BHP Billiton and Rio Tinto have already reported they are suffering with the loss of gas supply; the Chamber of Minerals and Energy has talked down the effect saying that they don’t expect the crisis to take the heat off the booming mining industry.

Opposition leader Troy Buswell has describe the performance of Fran Logan as “absolutely dismal” noting that Mr Logan had experienced a similar incident in January this year, when a fire at Woodsides Karratha operations had a similar effect.

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Beautologie.Com: Preventing Mrsa Post Cosmetic Procedures

Submitted by: Dr. Darshan Shah, MD, FACS

What Is MRSA?

MRSA short for methicillin-resistant Staphylococcus aureus is a bacterial staph infection dubbed by the media a superbug because of its resistance to commonly prescribed antibiotics including methicillin, oxacillin, penicillin, and amoxicillin. According to the Centers for Disease Control and Prevention (CDC), MRSA bacteria is present in only about one percent of the population; and while just carrying the bacteria, termed colonization, does not mean an individual will become ill, they can still pass it to others who may develop the more serious, and potentially fatal, surgical wound/skin infections, bloodstream infections, or pneumonia.

What Is Community-Associated MRSA (CA-MRSA) and How Does It Differ from MRSA?

MRSA is most often seen in people in hospitals and healthcare centers who have weakened immune systems. However, in the 1990s, it began appearing in the general public. According to the CDC, MRSA infections that are acquired by persons who have not been recently (within the past year) hospitalized or had a medical procedure (such as dialysis, surgery, catheters) are know [sic] as CA-MRSA infections.

MRSA and Cosmetic Procedures

So how does the risk of MRSA and CA-MRSA relate specifically to those considering plastic surgery? The main reason that cosmetic patients need to be concerned about MRSA is that having a fresh incision makes one more susceptible to contracting an infection. And while many safe, clean plastic surgery or cosmetic surgery facilities maintain a sterile environment and might have a low rate of any type of post-op infection, most plastic procedures are outpatient, which means patients return home, and into the community, the same day as their surgeries. Consequently, the responsibility for protecting against infection rests predominantly on the patients themselves.

Dr. Shah s Tips for Preventing MRSA

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So what are the most effective measures patients can take toward prevention? Compiled from materials distributed by the Mayo Clinic and the CDC, Bakersfield plastic surgeon Dr. Shah tailors his tips specifically to protecting patients from MRSA following plastic surgery.

Prior to your procedure:

Prepare your place before surgery. Clean your home thoroughly prior to your surgery by wiping down all surfaces with a cleaning solution that states explicitly on the label that it kills methicillin-resistant Staph aureus, such Mr. Clean Antibacterial Multi-Surface spray or StaphAseptic (www.StaphASeptic.com). This means you ll return home to safe surroundings and eliminate the need to wipe away (and come into contact with) germs when your incisions are at their most vulnerable.

Sanitize towels and bedding. Wash all linens directly before your procedure, so only clean cloths will be near your fresh incisions. Continue to cleanse towels, bedding, and clothing frequently for a month post op, washing and drying on hot (and adding bleach, ideally).

For the first MONTH post op:

Keep hands clean. Wash hands regularly with soap and water, particularly after returning home or touching shared surfaces: Scrub thoroughly for a minimum of 15 seconds, then dry with a non-reusable towel (such as a paper towel), and turn off faucet using a fresh sheet. Of course, remember to always wash your hands before touching your incisions!

Keep incisions clean and covered. Since recent wounds allow easy entry for MRSA and other bacterial infections, the most important protective pointer is to make sure your incision(s) are clean and covered at all times, using simple soap and water; then wrapping with a fresh, dry bandage; and even still, avoiding skin-to-skin contact as much as possible. Remember, moisture creates an ideal environment for bacteria to grow; so keep your incisions as dry as possible.

Pack Purell (and pass it around!) When out and about, carry a bottle of hand sanitizer in case you get caught without the ability to wash. At home, give each family member a bottle of their own, so they can avoid passing potentially dangerous bacteria on to you.

Shun the sharing of personal items. Since MRSA can be spread via contaminated items as well as direct contact, it s crucial that you not share anything that touches your incisions until they are completely healed, including towels, razors, sheets and blankets, and clothing. Because CA-MRSA is contagious in the community at large, anyone no matter how hygienic is a potential carrier and can potentially pass it along to you!

Keep yourself clean. The cleaner your body in general, the less likely bacteria is to find its way into your wound(s). Therefore, for the month following your surgery, make certain you shower (with soap) regularly, particularly after public outings or exercise.

Avoid breeding-grounds for bacteria. Because certain places like schools, hospitals, gyms, and jails are known for being ripe with bacteria (including MRSA), try your best to stay away until you are fully healed. If absolutely unavoidable, make sure your incisions are well bandaged and covered with clothing.

Watch for warning signs of MRSA. Keep an eye on your incision(s), and call your surgeon immediately if you observe an increase in redness, swelling, or tenderness, or if you develop any oozing, drainage, or a fever.

What if I Become Infected Is MRSA Treatable?

Yes; MRSA can be remedied with certain antibiotics or treating/draining the infected abscess or boil itself.

So while MRSA does have the potential to be life threatening, all sources seem to come to the same conclusion: Patients like you play an integral role in staying safe. MRSA is a serious issue, but one that can be controlled by understanding transmission and practicing some relatively simple precautions.

About the Author: Dr. Darshan Shah, MD, FACS, (Beautologie Cosmetic Surgery & Laser Center, Bakersfield, CA

beautologie.com/

) world-renowned plastic surgeon, is an experienced professional dedicated to helping patients to look and feel beautiful. Learn more at

beautologie.com/doctor-darshan-shah

. Visit his blog at

drshah.com

Source:

isnare.com

Permanent Link:

isnare.com/?aid=1838286&ca=Wellness%2C+Fitness+and+Diet

Cleveland, Ohio clinic performs US’s first face transplant

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Cleveland, Ohio clinic performs US’s first face transplant
Author: Admin

4 Sep

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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Wikinews Shorts: August 18, 2010

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Wikinews Shorts: August 18, 2010
Author: Admin

4 Sep

A compilation of brief news reports for Wednesday, August 18, 2010.

An unemployed, single mother from South Carolina has confessed to suffocating her two toddler children with her bare hands. After suffocating her one year-old and two year-old sons, 29 year-old Shaquan Duley drove her car into a river. Police have identified the suffocated children as Ja’van T. Duley and Devean C. Duley. She faces two murder charges and is scheduled to appear in court on Wednesday.

Duley had apparently argued with her mother the night before the murder. Orangeburg County Sheriff Larry Williams has stated that “We believe this is a direct response [to the argument] from Ms. Duley. I believe she was just fed up with her mother telling her she couldn’t take care of the children and she wasn’t taking care of her children and she just wanted to be free.” Williams also said that Shaquan’s mother “was a very, I guess, firm individual. … She often talked with her daughter about, I guess, maybe being more of a mother or being more reliable.”

Sources

  • Lisa Flam. “SC Sheriff: Mother Has Confessed in Toddler Deaths” — AOL News, August 17, 2010
  • “Sheriff: Woman suffocated sons before submerging bodies in car” — CNN, August 17, 2010

US officials said Monday that an American, Aijalon Mahli Gomes, sentenced to hard labor in North Korea was visited by a US consular official and two American doctors.

“We requested permission to visit Mr. Gomes. That permission from the North Korean government was granted,” said U.S. State Department spokesman Philip Crowley. Crowley also said that “We requested permission to bring Mr. Gomes home. Unfortunately, he remains in North Korea.”

North Korea said that Gomes was hospitalized after attempting suicide. Gomes was arrested by North Korean authorities and sentenced to eight years of hard labor in January after the 31 year-old man alledgedly attempted to cross the border with China.

Sources

  • Brian Walker. “U.S. officials visit American held in North Korea” — CNN, August 17, 2010
  • Agence France-Presse. “US medical team visited American held in N.Korea: official” — Google News, August 16, 2010

Related news

  • “US prisoner in North Korea ‘attempts suicide'” — Wikinews, July 10, 2010

American car company General Motors (GM) said Tuesday that it will recall 243,000 crossover vehicles due to faulty seat belts. The crossovers recalled include the Saturn Outlook, Buick Enclave, GMC Acadia and Chevrolet Traverse. The damage to the seat belts could happen after the second row seats in the car-based SUVs are returned to a upright position after being folded. The damage causes the seat belt to feel correctly latched when it is possibly not.

Sources

  • “GM recalls 243,000 crossover vehicles” — United Press International, August 17, 2010
  • Nick Bunkley. “G.M. Recalls 243,000 Crossover Vehicles for Seat Belt Problem” — The New York Times, August 17, 2010
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