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.

Friday, October 10, 2008

Stock markets across the world have fallen sharply with several seeing the biggest drop in their history.

Asian markets saw the biggest sell-off. The Nikkei dropped 9.62% to reach a 20 year low. Japan also saw a collapse of a mid-size insurance company, Yamato Life Insurance Company, which declared bankruptcy. The Hang Seng, which was one of the few markets that was positive yesterday, fell 7.19%. Australia dropped by 8.4% and South Korea saw a 9% fall.

In Europe, markets dropped at the open with the FTSE losing 11%. They have recovered only sightly with all European markets losing more than 5%. The European sell off was more about the Asian lows then any specific news. European banks and financial institutes saw the most selling. Also, oil related companies saw large drops as an result of an expected decrease in oil consumption.

The U.S. markets opened lower with the Dow Jones Industrial Average falling below 8,000, before recovering slightly. President George W. Bush made an address on the economy and said markets were being “driven by uncertainty and fear.”

Oil has seen losses of more than US$6 in trading with the current price of a barrel of oil less than $80. This is a year low for oil. News also came out that OPEC will hold an emergency meeting on November 18 to discuss the falling price of oil.

Charities, such as Cats Protection, today said that they have lost much of their funds in collapsing banks. Cats Protection had a total of £11.2 million saved in the now-collapsed Kaupthing bank.

The British National Council for Voluntary Organisations said that 60 of its 6,500 have lost money due to the collapse of banks.

The Dow Jones Industrial Average fell to its lowest level in five years at 8,579.19, falling 679 points in one day. This, at 7.3%, is the eleventh largest percentage fall in the history of the index. The growth then continued, with the index being up over 150 points on the start of the day at one point.

The index, did however, recover, and as of 19:30 UTC was up 17.68 points, or 0.21%, pushing the index up to almost 8600.

Peter Cardillo, chief market economist at Avalon Partners, commented on these massive falls. “What we’ve seen here was one big margin call that just kept feeding on itself, so the opposite could happen. But you need a catalyst,” he said. “I’m more convinced now than ever that this market has made a bottom. The capitulation came when we breached 8,000,” he continued. “It doesn’t mean we can’t go back and revisit that level.”

The UK’s FTSE 100 index fell dramatically to close below 4000, in the index’s worst week in history. This is despite the fact that just a few days ago the index was above 5000, and the index peaked above 5500 in September.The FTSE 100 index has fallen by 41% this year.

Barclays Wealth analyst Henk Potts commented on this massive fall. “We are drowning in a sea of red numbers,” he claimed. “Investors are concerned about the exacerbation of the credit crunch and the gloomy forecasts for economic growth. The reality is that most investors have been spooked by the sheer pressure that the credit crunch is putting on the global economy.”

The Japanese Nikkei 225 has recorded it’s third biggest drop in history with a massive sell-off in the exchange that has resulted in USD 250 billion being knocked of the index’s value.

Toyota, which is the second largest carmaker in the world, fell by the largest amount in 21 years, while Elpida Memory, the world’s largest manufacturer of computer memory, dropped in value to a record low.

Masafumi Oshiden, a fund manager in Toyota commented on the drop.”It’s capitulation,” he said. “There are lots of forced sellers. If you’re a fund that’s going bust you need to close out all your positions.”

George W. Bush commented on the financial situation earlier today. “Over the past few days, we have witnessed a startling drop in the stock market — much of it driven by uncertainty and fear,” he said. “This has been a deeply unsettling period for the American people. Many of our citizens have serious concerns about their retirement accounts, their investments, and their economic well-being.”

Bush then continued by promoting the government’s plan’s to get through the crises. “Here’s what the American people need to know: that the United States government is acting; we will continue to act to resolve this crisis and restore stability to our markets. We are a prosperous nation with immense resources and a wide range of tools at our disposal. We’re using these tools aggressively.”

Gordon Brown, the UK Prime Minister, also spoke on the economy. “I think we quickly realised that we cannot solve the problems we have got as a result of the sub-prime market collapse simply by improving liquidity,” he said speaking in Birmingham to business leaders earlier today. “That would simply not be enough to deal with the bigger problem of rebuilding the banking system for the future and restoring trust is a fundamental element of that.”

Jim Flaherty, the Canadian minister for finance, also commented today on the recent incidents in the economy. “It is important to underline that Canada’s banks and other financial institutions are sound, well capitalized and less leveraged than their international peers,” he claimed. “Our mortgage system is sound. Canadian households have smaller mortgages relative both to the value of their homes and to their disposable incomes than in the U.S.”

“”However, it is becoming increasingly clear that the continuing disruption of global credit markets, which has been severe and protracted, is making it difficult for our financial institutions to raise long-term funding. This is beginning to affect the availability of mortgage loans and other types of credit in Canada,” he continued. “The Government has therefore decided to act to address the current scarcity of private sector lending to Canadian mortgage markets and lending markets overall. This is going to make loans and mortgages more available and more affordable for ordinary Canadians and businesses.”

Saturday, November 18, 2006

The New Zealand National party is rejecting the government’s ambitions to build a new stadium on Auckland, New Zealand’s waterfront for the 2011 Rugby World Cup final instead it is backing the option of an upgrade of Eden Park.

Yesterday, Friday, Member of Parliaments (MP) from the National party met with Trevor Mallard, sports minister, to discuss the possibility of a waterfront stadium but National remain unmoved. Deputy leader, Gerry Brownlee, said: “If it was a new car I wouldn’t buy it.”

It was reported that John Key, Gerry Brownlee, Katherine Rich and Murray McCully were all present at the meeting with Mr Mallard. And all of those MPs threw a lot of questions at Mr Mallard.

Mr Mallard said: “I actually thought it was a very positive meeting. I thought Catherine Rich and John Key’s level of understanding increased and their enthusiasm was very positive.”

Mr Brownlee said: “The [NZ]$385 million Eden Park costings seemed relatively certain against the $500 million waterfront estimate, where the price would not be known till it’s built.”

The reason for the debate is because to host the Rugby World Cup the venue which is used for the final game has to have 60,000 seats, all of New Zealand’s stadiums are currently under that minimum.

Mr Mallard confirmed that North Harbour Stadium is also being considered as a “very good back-up option.” This is mainly because it can begin upgrading of its stadium before Eden Park or the waterfront stadium. “North Harbour could be called on if you ran into problems with the other options,” Mr Mallard said, “There are consenting issues there with buildability and there would still be a lot of transport issues getting people there and there’s not a lot of infrastructure around it.”

The decision of which stadium will be the venue of the grand final of the 2011 Rugby World Cup final will be made this Friday by the Auckland City Council and Auckland Regional Council, which is asking for the public’s opinion to help them with their decision. The council’s decision is the one the government will go with according to Mr Mallard: “There’s no way the Government would override the councils’ decisions.”

Mr Mallard added: “I love Eden Park, and my gut feeling for a long time was to upgrade it. If you like I’ve got a romantic attachment, so for me if Aucklanders decide that’s their approach I will back them.”

The International Rugby Board also announced the Rugby World Cup will be played around September. 2011 instead of around the June period.

Tuesday, January 18, 2005

Stockholm —A well-known Swedish doctor and researcher at Gothenburg University has been prosecuted, together with the Vice-Chancellor and the President of the University Council, for failing to hand over sensitive data on patients to outside critics.

The Parliamentary Ombudsman, an official appointed by the Parliament, decided to press charges against Professor Christopher Gillberg, MD, Professor Gunnar Svedberg, (Vice-Chancellor) and Arne Wittlöv (President), for failing to comply with a court order from February 2003.

The court had ordered Gillberg and his colleagues to hand over sensitive data on patients and their relatives to two critics of their research: Eva Kärfve, a sociologist, and Leif Elinder, a pediatrician. The basis for the court’s decision was the section of the Swedish constitution relating to freedom of the press. Since the university was a public body, it was obliged to turn over any documents to any citizen upon request unless the document was protected by a specific paragraph in the Secrecy Law.

The university argued that the material should be protected by a paragraph referring to the confidentiality of information about patients. The courts decided, however, that they could hand over the data (about 70 shelf feet of documents) if they specified a proviso that would preserve confidentiality. The university was thus ordered to first write a proviso (set of conditions) for Kärfve and Elinder and then hand over the data.

Gillberg and the other members of the research group refused to comply. They referred to the promise they had given to the participants in their studies that all the data would be kept completely confidential. They also argued that the data was particularly sensitive since the research concerned psychological and psychiatric disorders among children, and that it was impossible to anonymize the data beyond possible identification. When they had pursued all legal avenues without success, someone apparently destroyed the documents in May 2004.

The Gillberg group received considerable support from other medical researchers and from their university. They felt that important clinical research could be jeopardized unless complete confidentiality could be promised to the patients.

Eva Kärfve stated that she was happy with the prosecution and that it would “strengthen the protection of research in Sweden.”

Saturday, July 8, 2006

The U.S. Army’s surgeon general, Lt. Gen. Kevin C. Kiley, told reporters Friday that soldiers exhibiting personality disorders would not be automatically discharged because many can continue to perform their duties well. However, the army did discharge more than 1,000 soldiers last year for personality disorders. Among them was Steven Dale Green, who now stands accused of raping a young Iraqi female and murdering her and her family.

Kiley also said; “There is something very demanding and tough about being in combat. And anything that would be perceived as being weak and not ready and tough carries with it some stigma.”

U.S. Defense Department officials announced last month that they have set up a task force to study the mental health of American troops. The 14-member Mental Health Task Force’s primary job is to produce a required report for Defense Secretary Donald Rumsfeld and Congress before June 2007 that lays out a long-term plan to improve the effectiveness of the military’s mental health treatments, according to a Pentagon press release.

On May 4, prior to the creation of the task force, U.S. Senator Barbara Boxer said the military faces a “mental health crisis” and criticized the Pentagon for inaction. In a letter to Rumsfeld, Boxer noted that 25 soldiers committed suicide in Iraq and Afghanistan in 2005, up from 20 soldiers the year before.

Friday, December 11, 2009

The United Nations refugee agency reports thousands of civilians continue to flee their homes in northern Yemen as fighting between government troops and Al Houti rebel forces enters a fifth month. The United Nations High Commissioner for Refugees (UNHCR) says the situation in the Saada province remains particularly tense as more people arrive there.

The U.N. refugee agency reports clashes have broken out in a number of districts in the Saada province as more people arrive. It says the situation in the Razeh district is particularly serious.

The UNHCR says the civilian population there faces restrictions of movement and lacks basic services such as electricity and water. It says shortages of food and other commodities are pushing prices up sharply and an increasing number of people cannot afford to buy what they need.

U.N. refugee spokesman Andrej Mahecic says the influx of huge numbers of people in neighboring Hajjah and Amran provinces is putting a strain on shelter and aid.

“Over the past month alone, the IDP [internally displaced people] population of al-Mazrak One camp in Hajjah governorate has doubled. There are now some 21,000 IDPs living in a camp initially designed to shelter up to 10,000 people and overcrowding is presently the top concern for us,” he said. “At least some 500 families in al-Mazrak camp are sharing their tents, normally meant for one family, with one or two other households. We estimate another 1,300 families who are accommodated in 48 large communal tents in four transit areas of the camp, are presently waiting for allocation of a family tent.”

The UNHCR reports overcrowding in the camp is hampering delivery of humanitarian services. The agency says it reached an agreement with Yemeni authorities this week to build a third camp. And, plans are underway to set up a camp that would potentially house some 7,000 people.

Mahecic says the number of IDPs settling with local populations outside the camps has increased as well. He says local communities are bearing the brunt of the continuing displacement in Yemen. He says aid agencies are looking at ways they can assist host families.

The U.N. refugee agency reports an estimated 175,000 people have been affected by the conflict in Yemen since 2004, including those displaced by the latest crisis.

Thursday, April 9, 2009

Susan Stanton, the former city manager of Largo, Florida, has been hired as the new city manager for Lake Worth. Stanton was fired from her job as Largo’s city manager in 2007, apparently when her gender transition became public knowledge.

“We said all along that we’d pick the best candidate regardless and that’s what it’s all about, we wouldn’t be doing our job if we didn’t,” said Jeff Clemons, the mayor of Lake Worth. He added that the city’s commission voted in favor of Stanton 4 to 1.

Stanton was the city manager of Largo for 14 years before she was fired by the city’s commissioners in 2007. Stanton alleged that when she went public, the commissioners voted to fire her. Five of the seven city commissioners voted for Stanton’s termination. According to the commission, Stanton was fired because “of poor judgment” and lack of trust.

After her termination, Stanton was in second running for the city manager position of Sarasota, but the commission instead voted in favor of Robert Bartolotta. Stanton has applied for over 100 city manager positions in Florida since 2007. She also began a campaign to enact laws to protect transgender and homosexual people from discrimination in the workplace.