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.

Thursday, July 24, 2014

In the capital city Peshawar of Khyber Pakhtunkhwa province in Pakistan, unidentified armed men targeted security guards at the Hayatabad Industrial Estate on Sunday. At the time, two security guards were checking vehicles entering the estate, while others were praying. Police said guard Akhtar Zaman died at the scene, while guard Imran Zaman was taken to Hayatabad Medical Complex and died shortly thereafter.

According to the police, the three perpetrators were riding motorcycles, and escaped. Police cordoned off the area while collecting evidence. Reportedly, attackers look for checkposts with incautious policemen. Superintendent of Police Faisal Kamran said targeting of police is on the rise, especially during the Iftar. The security guards may have been mistaken for policemen by the attackers. Describing alertness measures, he said, “One out of every three cops will be standing alert at some distance at a checkpost or police car”.

The security guards were private employees of the estate sanctioned by the police department. Hayatabad police station official Ihtisham explained the police department provided their uniforms. According to Malik Niaz, president of Industrialists Association Peshawar, “They belonged to a group of private guards who assist the police in safeguarding the industrial estate […] formed by industrialists about five years ago after an increase was reported in kidnapping cases from the estate in broad daylight”. He also mentioned they had assigned more guards recently following increases in extortion and attacks.

A handout issued on Sunday evening said Chief Minister Pervez Khattak condemned the incident.

Wednesday, March 2, 2005

Bucharest, Romania — The city centre of Bucharest, the capital of Romania, is set to get a major facelift due to a real estate project called Esplanada (The Esplanade), which will be constructed by TriGranit Development Corporation. The total investment in the project will be greater than 800 million euro and aims to build a modern commercial pedestrian area in downtown Bucharest, with several shopping malls, office buildings, hotels and dwellings. It will be the largest real estate program in Romania since the fall of Communism in 1989.

Bucharest is currently looking at possibilities to improve its appearance and rebrand itself as a lively, creative and vibrant city. Many initiatives have sprung up to improve the city, including the organisation of CowParade later this year. Additionally, the old town centre will be restored. Due to Romania’s current economic boom, several other major construction projects are taking place.

Bucharest City Hall has blocked traffic in the city center due both to the old town restoration and to the Esplanada project.

Thursday, December 1, 2005

Surgeons in France have performed a face transplant operation on a French woman who had lost her nose, lips and chin after being savaged by a dog. According to Iain Hutchison, an oral-facial surgeon at Barts and the London Hospital, the transplant is the first one to use skin from another person.

Doctors say the woman’s new face will be a “hybrid” between her donor’s face and her own face before the attack. In the five hour long operation, the donor’s tissues, muscles, arteries and veins were attached to the patient’s lower face. It is more favourable to use skin from another person’s face instead of skin from another part of the patient’s body, as the texture and colour of the skin are more likely to match.

A statement released by the hospital in Amiens said that the 38-year-old patient, who wishes to remain anonymous, has not been able to eat or speak properly since the attack in May this year. The woman was reportedly in “excellent general health” and her graft looked normal.

Ethical concerns, psychological impact, concerns 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 Hutchison 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.”