Sunday, March 18, 2012

We briefly recap some of the stories appearing on Wikinews this week from around the world.

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.

What is the current situation in the NWFP?

The Pashtun people are or were renowned for their hospitality. Many westerners commented on it. Some with suspicion NOT willing to believe some people so poor could be so generous. It was almost a character flaw. One could travel with out fear of personal danger as long as you followed local protocols. (I would urge you to read Kiplings “East is East & West is West.” one more time, know this time that it is written about the Pashtun people.)

That was the sort of mind set among the people. An ageless paradigm of self satisfaction: This is enshrined in the code of the Pashtuns way of life (see James Spain “The Way of the Pathans”) – called Pashtunwali- in Pashto hospitality is referred to as “maelmastiya”.

The Islamic radicalism is in reality nothing but the Taliban movement. As I said earlier not all Pashtuns are Taliban (obviously) but most Taliban are Pashtun. Of these most belong to the FATA. Of these, most were affected by their cousins from Afghanistan coming over. Mingled with them were Arab-Afghans. Uzbeks and some Tajiks and even Chechens. Some of these married within the tribes and formed a bond with the locals. Marriage bonds go back in history. Again remember the mindset of the people here. Always keep that in mind. To them the scripture in the written word of God, and that includes the Old Testament (called Torat (Torah) and (Injeel = Bible less St. Pauls contributions).

This Talibanization shows itself in the content of the Friday sermons at the mosque. Now it shows in the popularity of growing beards, especially since the MMA – the coalition of religious political party’s – won power. More recently in their showdown with the Pakistan army in N and S Waziristan – where according to my sources, people prefer going to the Taliban for justice rather than the older system of Maliks and Political Agents. The latter are known as corrupt. In Pakistan in general people are sick of the amount of corruption.

And now in Bannu, from where hails the Chief Minister of the NWFP, Mr Durrani, is in Taliban control in the sense that there is a parallel government that they have established and which is functioning quite well and is popular among the people.

Justice in tribal areas of Pakistan has been handled by elders, following a mixture of tribal tradition and Islamic law. Would you say that Taliban influence has caused a stricter intrepretation of Islamic law in the NWFP?

Yes. The Maliks, or tribal elders who consider themselves quite conservatively religious, even so had a laid back attitude towards enforcement of religious doctrine. That is where the difference comes. My opinion is that this is the reason that the Maliks supported the government of Pakistan in South Waziristan, which has recently been in the news having kicked out the militant Uzbek who came as guests in the post-soviet era and started mischief of their own but am not sure what their agenda was to begin with, and I myself have questions about their presence as to why they were not reported earlier, since reporting the presence of any foreigner(s) in the FATA is job one of the Pakistani Political Agents (PA). Why is the presence of the Uzbeks and the Chechen in the area just coming to light? Remember there are seven of these PA’s – one for each FATA. The Taliban emulated the Saudi system of having a department concerned with citizens’ morals, even the name is the same, the department for the Promotion of Virtue and Prevention of Vice, and this department has – as in Saudi Arabia, an enforcement police, called mutawwa’in, a morals law-enforcement agency.

Has there been a shift from tribal elders to clerics, as the main interpreters of law?

Yes there has been a movement in that direction but it has started a power struggle between the clerics who traditionally have been at the lowest strata of the social structure, to now when they have seen a bigger role for themselves first from the Taliban in Afghanistan – but also the government of the MMA in the NWFP who are nothing more than glorified clerics themselves, only a little smarter in exploiting religion politically, and the MMA is largely non-Pashtun which is a source of discontent in that they stand in the way of Pashtun nationalism, such as it is, because it only rears its head when non-Pashtuns start to usurp power over what the Pashtun consider their turf.

The deal made between Pakistani central government and the North and South Waziristan provinces, where tribal leadership was given the pivotal role in dealing with militants and the Taliban, has been criticized as a failure. What caused an initiative by tribal authority to fail?

First off, I don’t agree with the premise of the question, that the “deal” is a “failure” – for the following reasons:

1. In the first place the Pakistan army (govt – same difference) did not have many options. This was the least worst option they had.
2. And most importantly, I have said this before, this area is literally in a time warp – which means they proceed at (what seems to us in the west) a glacial pace. I will give an example from the folklore:
   

   The story goes that a Pashtun had to repay (badal) an enemy for a crime against his family and he waited patiently for 20 years (some say 50 years), after this time, he exacted his revenge – but soon after was depressed because he wondered “Did I act too hastily?”

   So one part of Pashtunwali is to “pay back” – (Badal: literally to exchange) which most people translate as revenge. Yes that is the form that is most visible, but badal is also played out in the exchange of gifts at wedding and other celebrations, and in the exchange of favors like in politics. The rules can be arcane, unwritten and hard to follow — who did what to whom, when, and so on, and what is the proper recompense — this same give and take would occur in a peace process pursued by the Tribal Maliks, who rule by consensus (see Olaf Caroe) and there is no actual leader in the western sense, because all the Maliks, in fact all the others are de facto, so many co-equals (The Way of the Pathans/ People of the Khyber – James Spain pp 129 on.) – it is a mind set, a paradigm foreign to the uninitiated, as is the concept of consensual gay sex to the Wazir in Waziristan.

3. I wish someone would read the history of this area, it would help in dealing with our expectations and possibly much more. For instance there are two major tribe in N and S Waziristan, the Wazir, and the Mahsud – in the news you hear about the sub tribes; The most famour character of North Waziristan, the equivalent of a Jesse James, was leader called the “Faqir of Ippi” – he died in 1960, the Pakistan govt never was able to capture him, even though he set up a govt of Independent Pashtunistan in cahoots with Kabul. The great uprising of India of 1897 had its roots in Waziristan, as did the Treaty of Razmak. Of all the Pashtun, the Wazir are the most independent minded and the least to be cowed by military action.
4. So what options did Pakistan have, more military action? It had already lost hundred of their “privates” in action. Allow the US forces to come in, as a matter of fact the ISAF do cross into the Pakistani territory, we just don’t know how deep they go — the rules of engagement, as I understand them are, that if they (the US Army of Marines) are in “hot pursuit” then they cross into Pakistan. In reality they do it more often then that, just that there is no proof of it, who will report it, the Wazir? Or the Pakistan army?
5. The last part of your question, there are many assumptions, all wrong. The initiative was not from the tribals. There is no single authority amongst the tribal, they would convene a Jirga and decide on a course of action, such as this, to my knowledge no such jirga was called. To save face the Pakistan government might claim it was a tribal initiative, but it seems highly unlikely. The Pak troop’s casualties were so high, and there was talk of hostages being held as well — I tend to believe, that the Governor of the NWFP initiated the talks and the agreement, because he sure as hell is taking all the heat for its “failure”.
6. That brings me to the last issue, the agreement has not failed, because it has not been given enough time, in Wazir time reference, not American time presidential election cycle controlled. I do not have a crystal ball, but if I did, I would see NATO troops in Afghanistan long after Iraq is over. Afghanistan can be a success ONLY if we accept one thing, the time warp these people live in — by my reckoning its still 1700 CE over there.

If the Talibanization of Pakistan is partly due to a perception of corruption among the older system of Maliks and Political Agents, and Musharraf has critics lining up, who can the U.S. turn to in dispensing with $10 billion in aid monies?

Talibanization has nothing to do with your premise there. Zilch. Nada. The corruption is in the ISI, the Pak army and the Pak system of Political Agents (PA) assigned to these tribal zones (FATA & PATA). These PA have budgets that are much like the CIA in that they are a single line item in the national budget, there is no accountability of where or how the PA spends the money. If one followed the IRS rules and looked at the lifestyles of the PA and compared them with their income, you would soon understand what was going on. Musharraf critics are a larger issue. For eons, Republicans have coddled Pakistan with the belief that “as long as they are pro America” – democracy in Pakistan will come in due course. Democrats have, I think, insisted Democracy first, and then we can discuss the other issues later. For example, pre 9/11, compare how Carter’s administration treated Gen Zia and how Reagan’s administration treated him.

The Talibanization of Pakistan has more to do with graduates of “Raiwind” a place near Lahore where the “Tablighi Jamaat” conducts brainwashing camps. It was graduates of this place, in my opinion, that are responsible for Britain’s 7/7 attacks as an example. For the Talibanization of the FATA, see Ahmed Rashid’s classic study on the subject wrt to Afghanistan but applicable to Pashtuns in the NWFP equally, in a sense.

Corruption amongst the Maliks is self limiting because of the egalitarian society they live & because of Pashtunwali (see Charles Lindholm, Oxford press).

Who can the US turn to? This is a tough one. The Pakistani national psyche has not progressed the way the Indians have. There are still very much remnants of the Raj visible and present and invisible but Pakistani behavior gives it away – in the way they treat household help, in the way company bosses treat their employees, in the way the government officers often act above the law. For example the NWFP is supposed to be dry – yet the governemt employees consume copious amounts of liquor. There are some that even moonshine at home. (I have pictures I could share taken at “dance” party, more like a stag party.)

I think this last question is best answered in who has been reliable in the past, and assume the past to be an indicator of future behavior.

We know the Pak army will siphon large amounts towards its Nuclear program and the upkeep of its generals.

We know that Nawaz Sharif left the national treasury almost bankrupt when Musharraf took over.

We know that Benazir husband took 10% of all government deals. I believe he has an Interpol warrant for his arrest, although I can’t vouch for it, it does come out in the news, even though it’s puzzling why Interpol has trouble executing the warrant. Now I hear they are withdrawn.

So who does that leave?

The next generation of Politicians who are not beholden to anyone.

In my opinion, the US should insist on the scheduled elections but accede to some genuine Pakistani concerns:

Nawaz Sharif and Benazir Bhutto ought to be ineligible to run, BUT other members of the respective party PML (N) and PPP (B) can do so.

Prohibit allocation of emblems to the religious party which they can & have misused.

For example in the last election they asked for and got the symbol of a book, they then went on to advertise the symbol represented the Qur’an and a vote for the book was a vote for the Qur’an – not the candidate but the Qur’an. Well the ploy worked only too well. Imagine a similar vote here where a vote is asked for as a vote for the Bible! You can imagine the results.

What is your take on the Musharraf suspending the judge Iftikhar Chaudhry?

My take:

I believe, and this is widely held belief, that Musharraf has no constituency of his own for his power base. He wanted legitimization from the Supreme Court, and from Mr Choudhry as Chief Justice (their system is not like ours) would not give it.

So Musharraf has had to hang on to his Army Chief of Staff position to get his power from the Army. If some one else were Chief of Staff, that person could refuse to support Musharraf.

The Justice favorable to the general is Justice Iqbal, who was not the next in line for Chief Justice. The next in line is a Hindu. That presented problems of its own for Musharraf. So when the Hindu judge went for a trip to India, Iqbal became the “available” senior most Supreme Court judge, and hence the haste and lack of decorum with which Justice Chaudhry was removed.

Now we have to wait for the other shoe to fall — will Iqbal issue a Judicial ruling which would make it easy for Musharraf to stay on as Chief of Staff – in the meantime, the US has asked him to relinquish this army position.

Needless to say, it was very badly handled, high handed, and the TV was present — the country saw what was being done to the highest member of the court of law, and in their mind, as in mine, the law in Pakistan was being manhandled, handcuffed and sent off packing to jail, so to speak. Something we long suspected, but was confirmed on TV and in the Newspapers. Overseas organizations taking up Chaudhry’s cause, might lead one to belive that Musharraf’s days are numbered, and they would be wrong, because America needs Musharraf – for the time being, anyway – because Iraq has scared America, just as in the post Vietnam era, there is now a fear regarding Muslim countries – the fear of the alternative, will democracy in Muslim country give us more of Ahmedinejad or Al-Maliki, or can we find some Hamid Karzais’? We just don’t know.

Can you tell us what the prevailing sentiment in the region regarding the Pakistani government effort in the provinces and the international effort in Afghanistan to combat Taliban and affiliated militants?

In my dealings and inquires, one thing stood out like a sore thumb – the conspiracy theories vis-à-vis anything having to do with America. I mentioned to one of my close friends that events that were previously ascribed as acts of God were now considered acts of the CIA. Some even believed that the Earthquake in the northern areas was because of some sort of underground secret “bomb” used by the CIA. Lack of evidence is further proof that the CIA did it. I was flabbergasted, and started to give this kind of thinking as an example in speaking to “educated” Pakistani’s – and among these, those that did agree that the earthquake was NOT the work of the CIA, they would start giving other examples, notably the Blow up of the plane carrying Zia ul Haq an ex President of Pakistan, in which the US Ambassador also perished. When I would point this out, the response would be that that is the sort of thing they do to take away suspicion from themselves.

In a nutshell, the impression I came away with is, there is NO war of civilizations going on, what is going on is a war between literacy and illiteracy. I use the latter term in the widest connotation.

Pakistan government efforts: While on the one hand people would decry that the government is not doing enough, in the same breath they would state the government is a puppet of the US and only does what the US tells it to do. In this sense there is very little awareness among the people about what the Pakistani army is doing in the FATA or for that matter in Balochistan. The local newspapers are censored, and if not censored they do not allocate much space to the topics. “Dawn,” which is the highest circulation English language paper, carries more stories about the US than about the local stories, that might appear say in “Newsweek.”

The international effort in Afghanistan is not considered international at all, only American. You could speak till you are blue in the face, and you would not change anyone’s mind. In my case they would simply turn quiet, not wishing to offend a “guest” (see Pashtunwali).

It is commonly agreed that some thing has to be done to curb the religious extremism that has taken root here, while historically these people (Pashtun) are a moderate people (see Olaf Caroe “The Pathans”). In fact some of the reasons the extremism has crept in is that many of the cultural practices were not in accordance with Saudi based “Salafiism” more popularly known as Wahabism. But Mr Wahab dates to the period of Lawrence of Arabia – Salafism dates further back, and is one of the six or seven schools of “Fiqh” or jurisprudence, but the latter fiqh has morphed into a cult like sect.

Taliban are not visible in the areas I visited, but the militants handiwork clearly is – as elsewhere, the common criminals are taking advantage of this situation, and crime is up significantly. One new crime is Cell phone “snatching” – it’s easy and nobody wants to pursue it. If some one is using a Razr phone, he can expect to be hit soon, if he uses it in public. So people have two cell phone (Called mobiles here) one fancy to show off, one for use in public places.

In so far as “foreign” militants are captured and identified, that is to say non-Pashtun (including non Afghan Pashtun or Pak Pashtun) – then the people are obviously in agreement with the government that these people don’t belong here and need to go.

The problem is this:

The foreigners are usually in the FATA and have been there since the Soviet war times. Many of them have taken local wives and now have a family. The local have accepted them into their family. Now for the Pak govt to ask them to kick them out, the locals are thinking what am I doing to my grandchildren’s father, etc. Again the edicts of Pashtunwali also play a role.

What kind of support is there in the area for the positions advocated by the Taliban on matters such as Sharia law, women’s education, role in public affairs, its proscriptions on entertainment such as movies, music ..etc?

In the areas that I visited and the people that I spoke to, which by definition is a very non-random sample, the people are TOTALLY opposed to the Taliban. I do have one nephew who seems to have come under the influence of the Salafi’s but that is a different story. I can address that separately and you can decide if it belongs with this story – not my nephew’s story but the way the Salafi’s have woven themselves into this area — which is historically a “Hanafi” fiqh area, which is much more moderate. Like I said this may be tangential to the main story.

In general, people will say Yes we are Muslim and we are for the Sharia, but in general most people do not know what that entails.

In their mind it entails a more just system, a less corrupt government.

But if you ask them if they want a system like the Taliban the answer is an unequivocal NO.

Women’s education is quite the norm in the non FATA parts of the NWFP. When I visited the earthquake area which is also mostly in the NWFP, (I have photo’s and video) the girl schools were some of the first to spring up. I remember being pleasantly surprised by this at the time.

As far as a role in Public, it gets complicated. Women are in general expected to be docile and compliant, and the same expectation foloows through into Public affairs. But this point of view is not limited to the NWFP – it is the same all over Pakistan, excluding the large cities of Lahore, Karachi, Islamabad etc. yet still applicable to Peshawar.

In Peshawar you do get to see more girls getting jobs as tellers in a bank and some other non traditional jobs, whereas previously the only jobs were either teachers to young kids, teachers to older girls, nurses and doctors – for the most part.

Movies in the NWFP in the Theaters are for the lower socio economic men only. The reason is other than Talibanization. The easy availability of pirated, good quality DVD’s of Indian and Hollywood movies (From China thru the land route over the Karakorum Highway) – it cost Rs120 ($2/-) for the whole family to watch a movie in the comfort of their home. Travelling to a theater might cost that much in gas. The inconvience. The crowds. The men gawking at the women and last but definitely not least, some bombs exploding in the theater some years back, put a comllete stop to the middle class from going out to see movies.

Paashtuns love music. So even though I hear that some bus drivers have been fined for playing their cassettes, I doubt this is going to stop them from playing their music. Some thing far worse has to happen – I think the drivers may start carrying guns and having it out with who ever is tring to stop them from their favorite music.

What is not being reported and what the Taliban could do effectively is to cut up cable tv cables. Most cable companies string their cable ABOVE ground to save cost and take it along the electric poles, below the electricity wires. Since these are exposed there have been many (several) instances of the cables being cut up. Luckiliy there is no market for coaxial cable, or more cable would be lost to druggies doing the cutting. The latter is a serious problem that you don’t hear about. One person that I knew told me that he was building his house and had poured conrete and reinforcements for the pillars. The next day he found the reinforcement bars to have been cut up flush with the ground slab leaving him to figure out how to do the rebar of the rest of the pillar.

To what degree does this support stem from fear and intimidation?

The Taliban are Pashtun, and the populace is Pashtun. The Pashtun do not scare easy. They are not intimidated easily. They might comply for the moment and then come back with a vengeance, so to speak. The women folk are more susceptible to intimidation, as was evidenced by the closure of the schools, because the mothers decided that they were not going to take a chance that their kids might get injured.

How about the “political positions” of the insurgent movement – resistance to foreign troops, and the Karzai government? Is there a separatist or nationalist component to the movement?

Karzai is not popular among the Pashtun’s who are loyal to Pakistan in the NWFP, those are the one I met mostly. They think that Karzai is opportunistic in that he is fleecing the government of the US whereas he himself is little more than the mayor of Kabul. They point to his American bodyguards as proof that he is disliked by his own people, that the moment the American leave Karzai is a dead man.

I can not speak to the separatist movement. I have seen no evidence of it. There is widespread resentment that the Federal government refuses to give a name to the province, a name of the people’s liking – there have been recently articles in Dawn about this, I will try and find them for you.

Nationalism is alive and well on the other hand, all over Pakistan – in all its four provinces. Everybody hates the Punjabi’s – almost to the man.

It is my opinion that were it not for US aid, Pakistan will go the route of Yugoslavia. With lots of bloodshed.

Resistance to foreign troops is like the national pastime among the Pashtun. Even today they collect in the evenings and will tell tales, vastly glorified of the way their grandfather fought against the British.

In other parts of the NWFP, like Charsadda and Mardan where Abdul Ghaffar Khan (the frontier Gandhi) was popular you have old “khudai khidmatgars” telling their stories of how they kicked out the British.

The only thing that Unites the Pashtun, are foreign troops on their soil. Other than that “Pashtun Unity” is almost an oxymoron.

What do you think the U.S., the international community and Pakistan should do to ease the problems in the region?

In my opinion, based on my conversations with individuals in positions to know these things, plus a little bit of plain common sense, plus knowing the history of the people and of the area: The ONE thing that will NOT work is direct military action. We know this from history. We know that the Pashtuns love to fight. We know that the Talibanization has brought the Jihadi’s into the picture, who like nothing better than to be martyred. So we need to keep this in mind, of what NOT to do. Having said that, what I am going to say next may appear like a paradox.

Because the Pashtun do not like to deal with what they believe are wus or weak people, we do need to have a strong PRESENCE there, and a strong “show of force” – invite a “Jirga” to like a demonstration of what the US air force is capable of doing – just to show them, – the reason is that their paradigm is the 14th century, if you simply told them that we can do this to you, they will simply think you are lying, because that is what they do, they lie to show off.

But if you drop a daisy cutter and tell them before hand what it is capable of, or a stealth bomber, these technologies are outsides their mind-set; we have to get them to believe that we have these capabilities, like the Drone. Or spy satellites.

From this position of strength, and always reminding them that we are raring to use our forces in that like them we also love to shoot our guns at every opportunity, but then not actually do it ( in this sense we had achieved all out objectives with Saddam prior to invading Iraq IMHO invading Iraq was redundant) – so the next step would be:

1. Education
2. Development meaning providing a means of livelihood so they do not have to become military mercenaries to make a living.
3. Gradually replacing their madrassas with our own madrassas, except in the latter, the Mullah is an educated individual who knows comparative religion, and they teach other subjects including Biology, anthropology, measuring the age of the earth by carbon dating etc. and astronomy to learn the age of the Universe, black holes, quasars Relativity concepts, quantum mechanic concepts (not the mathematics, the simple concepts behind them, and how these ideas are behind some of today’s everyday electronic devices)
4. Leisure activity, starting with traditional leisure activity, i.e. not TV and cable and Internet, but ultimately making these available
5. Introduce these “NEW” technologies through a religious mode. Transmit a Qur’anic recital competition to begin with, as an example instead of beginning with MTV.
6. Making water available. Drinking water is an everyday necessity, for cooking etc, and not available in most of the FATA.
7. Food grain. Wheat flour etc, keep the prices the same as in Peshawar – these people are not traders, they are easily exploited, and like porn they couldn’t tell you what exploitation is, but they can tell you when they see it.

What makes the North-West Frontier Province competent to administer any monies?

This is the central question. Much like California has taken a separate initiative on stem cell research – as an analogy – the NWFP is central to the war on terror, not Pakistan.

The NWFP was central to the fight and aid to the Afghans during the Soviet occupation, not Pakistan.

This small distinction is lost on Washington, and it is the main reason, in my opinion, why so much of the Aid was “lost in transit was because the Punjabi army officers could not bring themselves to dispense such large sums to an ethnic group which it considers anti-Pakistani (You would have to read the history of the Indian partition, in particular that the NWFP was a “Indian Congress Party” controlled province where as the “Muslim League” of Jinnah was trying to show the Brits that all the area was FOR the creation of Pakistan).

All the FATA is contiguous to the NWFP. The Taliban and Al-Qaeda are holed up somewhere either in the FATA, or across the Durand Line in Afghanistan, the Durand Line has never been recognized by the locals as an international boundary. Even today, the Pashtun travel from Peshawar to Kabul by road with out a passport or visa, and it has been like that for eons.

(Especially for the nomadic Pashtun tribe of Ghilzai’s who travel by caravan and conduct trade.)

The present governor of the NWFP belongs to the Orakzai tribe (he spells his name Aorakzai) and it is my opinion that that he was picked partly because he belongs to one of the FATA as well as he is a retired General of the Pak Army.

The Frontier Constabulary (FC) is a force which primarily recruits from the FATA. All or most of its forces are from the various tribes. In the eyes of the tribes this is a bona fide force and service with the FC is considered an honorable thing. The US has already allocated some funds for increasing recruitment, but far less than what it would take to counter the Taliban and far less than what the economic need is. [The US] spends a thousand times more on a battalions sent to monitor activity over there. Plus why endanger the lives of our troops and spread our forces thin when a more effective job can be done by the FC. The FC has over history shown that they will attack and use force against the tribes that create trouble. There have been no instances of insubordination or mutiny.

Even the US Embassy is protected by a contingent of the FC! That goes to show their trustworthiness & discipline.

My second proposal is that there is a common phenomenon for Pashtun men to go to the Gulf States for jobs.

The “tribal” Pashtuns ( All Pashtuns are tribal, in that Pashtun form the largest tribal society in the world in terms of numbers) wrt the FATA are not educated or trained and hence not employable right now. I propose that we fund directly the Director of Emigrants (Mr Azhar Arbab) in Islamabad to set up training facilities in Concrete laying, iron work, pipe work, welding etc, which would then qualify these tribesmen to obtain jobs in the Gulf. As such we would remove them from the scene altogether. They would not be available in the labor pool to the Taliban or anyone else. I might add here, that a number of these individuals have very high innate intelligence, which is one reason they make formidable foes.

Now the central reason why the NWFP ought to do this is because they are themselves most affected by the scourge of Talibanization. They are highly motivated in carrying out these policies because it is to their own benefit.

One has to be convinced on this last point, and for that I urge you research the sentiments amongst the people of the province, such as I am willing to provide, and which you can corroborate from other sources as well.

For instance, after Malik Saad was murdered, there were people, whom I heard myself, that expressed the feeling (admittedly stunned with grief) “If this is Islam then fuck such Islam” (I paraphrase, obviously, the Pashto is not directly translatable) – moreover, Mr Saad’s posters are competing with Osama’s in the Bazaar’s as a spontaneous gesture from the public. We can’t afford to let this good-will to be lost.

An Associated Press report on MSNBC dated March 15, 2007 and headlined “Arrest of al-Qaida’s ‘best’ reflects changing role” stated, “A senior Western diplomat in Islamabad, who requested anonymity because of the sensitivity of the issue, said the Taliban resurgence had not necessarily led to the re-emergence of al-Qaida training camps in Pakistan – a key U.S. ally in the war on terror – but had “created the environment for whatever is left of al-Qaida to feel more comfortable.” What does that mean?

A senior western diplomat usually means a Political Officer in the US Embassy, which most people know is a CIA agent, OR it could be some other Embassy official –

First there is a big difference between Al Qaeda and the Taliban.

Al Qaeda is mostly composed of Arabs, they do not trust any one else. While they might use others as couriers or in lowly position as servants, for second rate Al Qaeda officials, the Top guys ONLY deal with Arabs and are served by Arabs.

The Taliban are mostly Pashtun tribesmen. Mostly they are graduates of madrassa’s.

Mostly illiterate by any world standards. The better educated among them will know how to speak a few words of English, such as their Information minister. There might be one or two notable exception of which I am not aware, I had heard Yale had admitted a Taliban, but never followed up on the story.

However while Al Qaeda does not trust the Taliban, the Taliban look up to Al Qaeda top leadership. We saw this situation in Iraq where initially Al Zarqawi had no direct link with Qaeda but was keen to form one. It would be conjecture on my part to state that in the end he did indeed succeed in forming that connection. In the press at least that impression was prevalent.

So the lines of interest proceed ONE way, like one way traffic. Extremist want to be affiliated with Qaeda, IMHO, while the latter does not, again, in my opinion want to – so as to maintain its hideout.

Now we come to the statement below:

The Taliban resurgence is not connected directly to the Qaeda.

(al in Arabic = the; Qaeda means the base, or the foundation e.g. in kg school here you are asked “did you learn your “abc’s” – in the Muslim world one is asked in an equivalent kg “did you learn your qaeda”?)

The Qaeda supply lines are hampered, new recruits would have to be Arabs, and they would have to travel a long way through tight Pakistani security to reach here, or suffer hardship over a long and arduous land route through Balochistan and the Tribal area’s – NOT all of which are accommodating.

So as is becoming clear, Qaeda is having trouble replacing people they loose meaning those that were captured or died. They only trust Arabs, and that also a certain type of Arabs, (not all Arabs are the same, not all Arabic is the same – for example they would never trust a Syrian, in fact Qaeda folks consider Syrian brand of Islam an apostasy – but that is another story).

Okay so now we can understand the statement, that whatever remains of the Qaeda, are not in a position to set up training camps, since they are in a survival mode. The Taliban resurgence helps them get a little warm and fuzzy in this survival mode, since they feel a little bit more secure with their partners-in-arms doing some evil stuff, blowing up people and causing mayhem.

How many men does the FC field currently?

The FC currently has about 23000 men in total.

How much do they get paid?

They are paid the equivalent of $60 per month per person -Pak Rupees 3665, where Rs61= $1. They do have some fringe benefits but life is very spartan for these soldiers.

What the US could get in return is a huge bang for a buck, no pun intended.

I think we ought to double the number of these soldiers with one proviso that the FC maintains its high standards of recruits.

Compare this with our costs in the War against Terror; just Halliburton’s bills will have you reeling. I think that it would be foolish, NOT to do this.

Again to reinforce the reasons:

The Frontier Constabulary is an Institution with a long and glorious history within the Frontier Province.

The recruits come strictly from the tribes of the various FATA and so they are very familiar with the people, the bad guys the terrain etc.

They speak the Pashto dialect of the locals. The Pashto language has many dialects, and you can tell where someone is from based on which dialect he speaks. So if you do not speak the correct dialect, you are immediately identified as an outsider. This is one reason why these tribes are impossible to penetrate, there are other reasons as well, that are beyond the scope of the current discussion.

How can the FC help prevent attacks like the suicide bombing attempt on Sherpao in Charsadda last weekend?

In essence your question is how can anyone prevent a suicide attack? And frankly if I knew the answer to that I think the US military – and several other groups – would be knocking on my door. I think the Israeli Army has had the most experience with this sort of thing. The suicide bombing as a tactical weapon was invented by the Tamil Tigers in Sri Lanka, and even today in terms of statistics they use it in far greater numbers.

So to summarize neither the FC nor anyone else can prevent a suicide bombing. We could attempt to improve our intelligence to find out about an imminent attack, but so far these have not been very successful in Pakistan. In the Lal Masjid Case the government avoided a suicide killing by negotiating with those two Mullah brothers – but I don’t know if that counts. But it does make for an interesting story. Both Washington, DC and Islamabad now have Madams threatening to publish the list of their clients unless they are given protection. Who would have thunk?Going back to your question:In my opinion what ought to be done is to make a Policy change, and address the issues that are producing these suicide bombers, that is the only way to stop this phenomenon.In this part of the world this is relatively new because prior to 9/11, suicide bombing was unheard of. Moreover it is not the FC’s job to provide security to the Minister of the Interior, that is the job of the Police force, because this Ministry is equivalent to the Department of Homeland Security.You don’t expect Border patrol to provide body guard duty to the Secretary of the department of Homeland Security. I am making these analogies so the American readers would relate to what is happening, and understand the difference in nomenclature.–RHakeem 20:13, 3 May 2007 (UTC)

Wednesday, February 6, 2008

David S. Touretzky, prominent free speech activist and critic of Scientology, discussed his opinions on the recent Internet backlash against the Church of Scientology in an interview with former Scientologist and Wikinews reporter Nicholas Turnbull. The recent conflict on the Internet between critics of Scientology and the Church has been spurred on in declarations by a nebulous Internet entity using the name Anonymous that the Church of Scientology “will be destroyed”. Anonymous has directed recent protests at Scientology centres across the world, which have attracted significant numbers of individuals supporting the cause. In recent e-mail correspondence with Wikinews, a representative of the Church of Scientology declared that the Church considers the activities of Anonymous to be illegal, and that Anonymous “will be handled and stopped”.

Touretzky, a research professor in artificial intelligence and computational neuroscience at Carnegie Mellon University, has been a prominent critic of the Church of Scientology since mid-1995, and has been protesting against Scientology vociferously since then; he has also run websites that publish material that Scientology wishes to keep suppressed from the public eye, such as extracts from Scientology’s formerly-confidential Operating Thetan (OT) materials. Touretzky views the actions of the Church of Scientology as being “a threat to free speech”, and has endured harassment by the Church of Scientology for his activities.

The Church of Scientology continues to suffer damage to its public reputation through increased exposure on the Internet and vocal protests by Scientology critics such as Prof. Touretzky. A recent event that focused intense attention on Scientology’s totalitarian attitude was the leak of an internal Church of Scientology propaganda video to the Internet video sharing site YouTube, in which celebrity Scientologist Tom Cruise spoke heavily in Scientology’s jargon and stated that that “we [Scientology] are the authorities” on resolving the difficulties of humanity. The declaration of war by Anonymous followed shortly after this leak, in the form of a video posted to the Internet.

The ongoing dispute, cast by some as Scientology versus the Internet, brought Scientology terms such as “SP” (Suppressive Person, an enemy of Scientology) and “KSW” (Keeping Scientology Working) into general usage by non-Scientologists from the late 1990s onwards; increased attention has been drawn to Scientology by the release of the Cruise video in addition to media coverage. This focus has caused an even greater propagation of these terms across the outside world, as Touretzky comments in the interview.

Wikinews asked Prof. Touretzky about the impact that the activities of Anonymous will have on Scientology, the public relations effect of the Tom Cruise video, the recent departure of individuals from the Church of Scientology’s executive management, the strategies that Anonymous will employ and Touretzky’s experiences of picketing the Church.

Friday, July 9, 2010

A California jury in a Humboldt County courthouse ordered nursing home operator Skilled Healthcare (SH) to pay $671 million (about €531 million) in a class action lawsuit from patients of SH’s 22 California facilities and their families. The jury found that SH failed to properly staff its facilities to comply with California state law.

The jury has not heard the case for punitive damages; however, it awarded the plaintiffs $613 million (about €484 million) in statutory damages. The remaining $58 million (about €46 million) was in restitution.

After the verdict was issued, Skilled Healthcare stocks plunged over 75% to a record low.

An official statement from SH says it “strongly disagrees” with the jury’s verdict. SH plans on filing an appeal to the decision. The company could possibly face bankruptcy because of this verdict.

One of the lawyers for the nearly 32,000 plaintiffs, Timothy Needham, claimed that inadequate staffing levels put SH’s patients at risk. He said, “The company knows that this lack of staffing causes a higher risk of problems for patients. Call lights don’t get answered, persons don’t get proper hygiene, persons don’t get their medications on time or the care they need.”

This lawsuit does not apply to SH’s facilities in Arizona, Iowa, Kansas, Missouri, Nevada, New Mexico, and Texas.

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.

Sunday, September 2, 2007

Nineteen South Korean Christians are released from insurgents after being held captive for six weeks. The 19 South Koreans return to a nation that is glad the hostage situation has been resolved and is over. However, they also face a country that is angry with their decision to travel to Afghanistan despite the Afghan government advising them not to.

One South Korean man was reportedly stopped by the police when he attempted to hurl eggs at the freed Christians. The South Korean people are demanding to know who is to blame for the crisis and damaging South Korea’s reputation.

The South Korean government promised to send no more Christian missionaries into the country.

Wednesday, July 6, 2005

File:European-parliament-strasbourg.jpg

The European Parliament has rejected the directive on the patentability of computer-implemented inventions (software patent directive) sustained by lobbies of large software publicists such as the corporations Microsoft, Siemens, Nokia and Alcatel, grouped under the title of the European Information & Communications Technology Industry Association (EICTA, [1]). The directive involved the granting of software patents.

648 MEPs out of 680 rejected the text, 18 voted for and 14 abstained.

A rejection vote became the expected outcome when the European People’s Party, initially in favour of the directive, decided to reject it.

The European Greens, Socialist Group and European Liberal Democrat and Reform Party also voted for rejection of the directive for heterogeneous reason. Michel Rocard, author of a number of amendments to the original directive, said that the majority of the modifications were unlikely to be supported by the Commission and Council, with whom the Parliament would have had to enter a Conciliation procedure if it had voted for maintaining the directive in moditifed form. “Better have no text at all than a bad one”, he added.

Before the vote, Rocard pointed at the irritation of the Parliament towards the Commission: “There is collective anger throughout the Parliament because of the way the directive was handled by the Commission and the Council”.

During the debate on Tuesday, Commissioner Joaquín Almunia told MEPs: “Should you decide to reject the common position, the Commission will not submit a new proposal.”.

The rejection was welcomed by small and medium software companies, as well as by Free Software supporters. The Directive had been subject to an intense campaigning, within the Parliament, in the news media and on the Internet. The supporters of the Council position appear to have spent several ten millions, hiring prestigious PR agencies with at least 30-40 lobbyists who roamed the halls of the Parliament every day for 3 months, and many full-page advertisements in EU newspapers such as European Voice, EU Reporter etc. The opponents of software patentability (that is supporters of the position taken by the European Parliament in its 1st reading of 24 September 2003), coordinated under the roof of the Foundation for a Free Information Infrastructure (FFII), also had several lobbyists stationed in Brussels, conducted several conferences and demonstrations and published some newspaper advertisements, with a total budget of nearly 100,000 eur apart from countless unpaid working hours of a dedicated supporter base, consisting mainly of programmers and software entrepreneurs.

Friday, November 3, 2006

On November 13, Torontonians will be heading to the polls to vote for their ward’s councillor and for mayor. Among Toronto’s ridings is Beaches—East York (Ward 32). Four candidates responded to Wikinews’ requests for an interview. This ward’s candidates include Donna Braniff, Alan Burke, Sandra Bussin (incumbent), William Gallos, John Greer, John Lewis, Erica Maier, Luca Mele, and Matt Williams.

For more information on the election, read Toronto municipal election, 2006.