Cleveland, Ohio clinic performs US’s first face transplant

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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Elite Boston Marathon runner Emily Levan discusses life and running

Saturday, April 23, 2005

The interview below was conducted by Pingswept over the phone with Emily Levan on April 21, 2005. Levan lives in Wiscasset, Maine, with her husband and daughter, and she ran in the Boston Marathon women’s race on April 18, 2005.

To summarize for our readers, you recently came in 12th in the Boston Marathon, right?

That is correct.

You were the first American finisher.

Yes.

There was also a Russian woman who lives in the US who finished ahead of you.

You know, I believe it is, I’m not actually positive, but I think you’re right. There’s often a lot of foreign runners that live and train in different parts of the US for a variety of reasons. Some live in Colorado and might train at high altitude, or they might have coaches in the US.

OK, but as far as you know, for straight up Americans, people who were born here, who have lived here for long periods of time and are not going anywhere special to train, you were the first finisher.

That is correct.

So congratulations, that’s very impressive. In the rest of your life, my understanding is that you are going to nursing school.

I am. I’m at the University of Southern Maine in Portland. and I have been going to nursing school for a couple years now. I’m just going part time right now because of the baby and other things going on in my world.

Your baby is currently one and a half?

She’s fifteen months.

Fifteen months, so one and one quarter. 1.25, sure.

Hopefully I’ll finish up nursing school in December. That is the tentative plan.

So you’re almost done.

I just have a couple classes left. I’ll take one class this summer and two classes in the fall.

You ran the Boston Marathon originally two years ago?

Actually, I ran it for the first time in 99. I’ve run it four times. I did run it two years ago as well.

You ran it two years ago, and you also came in twelfth then, if not the top American finisher then. You were the fourth?

I think third or fourth. I can’t remember exactly.

How long were you actually training for this marathon in particular?

I’d say about 4 months. I typically try to train about four months for each race. It depends a little bit on what kind of shape I’m in leading up to the training. Four months is usually the time frame I shoot for.

And how many miles a week were you doing–I assume you peaked somewhere right before the marathon.

At the peak, I have a month or six week period where I’ve built up to my peak training, and I was probably doing between 90 to 100 miles a week.

Was there a lot of variation in your day to day mileage, or was it pretty much you’re doing 1/7th of that mileage every day?

There’s definitely variation, probably more so in the type of workout that i did each day. For example two days a week I would do a speed workout, so I might be doing mile repeats, which just means that I do a mile in a specific time, and then I might jog for a couple minutes and then another one and another one. I’d do a series of eight mile repeats on that specific workout day. My other speed workout would be a marathon pace run, so I might run 8 or 10 miles at my marathon pace. If my marathon pace is 6 minute miles, I’d do a two mile jog warm up, and then I might do 8 or 10 miles at a six minute pace, and then a two mile cool down.

So you maybe end up running 14?

Sometimes what I would do on those speed workout days– on those days I might end up with about 14 miles. On some other days, I might run twice during the course of the day. Say in the morning, I might run eight miles, and then in the afternoon I might do six or eight more miles.

Wow.

Those days tend to be a little bit more mellow. More of kind of a maintenance run, a little bit of a recovery day. I try to have a recovery day after every hard workout.

Do you think that all of your training could fit into four hours a day? Do you think that’s true?

You mean the workouts for a specific day? Probably even less than that. Depending on the day a little bit, probably between 2 or 3 hours. Usually on Sunday I would go out and do a long run, and that would be a 20 or 22 mile run, all in one fell swoop and that usually takes two and a half hours.

So that explains how you’re able to do this, as well as go to nursing school, as well as have an extremely young child. I assume you talk to your friends occasionally.

I try to at least– have some sort of social life. This is not a job, so it’s not something that I do 8 hours a day. It’s something that I fit in with all the other obligations, things that I like to do too. I like to be able to pursue other interests as well.

You live on a road with no one else near by. Do you pretty much just run from your house every day?

The winter is harder because with the baby, I often end up running with a treadmill down in the basement. Brad, my husband, has pretty long hours at the farm, and especially in the winter months, it’s hard to find daylight when he’s able to watch Maddy, so I ended up running a lot on the treadmill this winter, as opposed to last summer, I would take her with me. I have one of those baby joggers, and that was great. I could just leave right from the house, and I could take her. She would be pretty happy to go eight or ten miles with me. Typically what I do when I go outside, I just go right from the house. The roads are so pretty around here. We’re pretty secluded, so I don’t have to worry too much about crazy drivers.

Do you ever try to go find big hills to run up and down?

I do. In the past, I have done a hill workout as a part of my training, usually early on in the training during the first six weeks or 2 months of the training I do a hill workout and I would find some place close by that I could find a warm up jog and run to and then do a hill workout. If I couldn’t find one within a couple miles, I would drive to it. It’s a little bit harder now with Maddy because I don’t have as much leeway and freedom with when I go running and where I go running. I’m a little more limited.

You’d have to load up the cart, er, the carriage into the car.

I’ve done that sometimes. Sometimes it’s easier to go straight from home. Running with the jogger up hills is not an easy thing to do.

When you’re in the race, you feel like, “Hey, I’m not even pushing a kid anymore.” Heartbreak Hill without the kid is substantially easier, I suppose.

Yeah.

Do you know most of the elite runners in the race? You know who they are, but are you friends with them, or not really?

It’s funny–I know who people are, but I don’t run that many races to really get to know that many of the runners. If you’re a professional runner, and that’s your job, a lot of those people travel in the same circles. They run the same races and they have the same schedules in terms of when they compete. I pick out a couple of races each year to focus on and because of that, I don’t get to know as many of the runners. As time goes on, you do get a little bit you do get a little more familiar with people.

During the race, do you talk to the other runners, or do you just run along and think things like, “I wish I were at the end right now”?

I think that really depends I find that if I’m feeling good and the run is going well, then it’s easier for me to talk to people, just because you’re feeling strong, and you’re not focusing so much on “I’m not doing so great.” I might talk to some folks along the way. Sometimes if someone passes me, I’ll encourage them and say “Good job, go get them,” and just stuff like that. I certainly find I’m not carrying on lengthy conversations with people because you’re expending energy that should be focused on the race itself. I enjoy getting to know folks along the way and knowing what pace they’re hoping to run.

In races other than the Boston Marathon do you find that you have good competition? I don’t really know what the running scene in Wiscasset, Maine, is like at all, but I imagine that being the fastest female marathon runner in the United States, you might not find a whole lot of competition. You say that you encourage people when they pass you, but having read some of the other interviews with you on the web, it doesn’t seem like people pass you very often.

It definitely depends on the race. Like I said before, I don’t run that many races. At this point, what I’m trying to do is to find races that are competitive so I can be pushed by competition. For example, when I ran the Maine Marathon last fall, there wasn’t a whole lot of competition. That just gets hard. I ran alone for most of the race. Running 26 miles at a fast pace all by yourself without anyone around you to help push you and motivate you, can be pretty hard. Because of that, as I’ve been looking toward the future and thinking about which races I want to do, I’ve been targeting races that will have a little more competition. That’s why Boston was one that I wanted to shoot for and I’m thinking about in the fall going to Chicago because they’ve got a pretty competitive marathon. It’s also a pretty flat course, so people tend to run pretty fast times there.

Most people run a couple of minutes faster in Chicago, right?

Yeah, exactly. And I’ve heard good things about the race too, so I’m looking forward to that.

Have you thought about running internationally?

Not at this point, no. It’s hard to find the time to travel to races, and It gets expensive too. A lot of my family members say, “Wouldn’t it be great to do the London Marathon or the Paris Marathon,” because they like coming to watch. At this point, I think I’m going to stick closer to home. I’ve got a few races, like I was mentioning Chicago, here in the States that I’d really like to do. Maybe once I’ve done those, I might think about something else, it really just depends. A lot of it’s a time issue, because I have other things that I’m pursuing and it gets hard to spend too much time traveling off doing different races.

Do you know Alan Culpepper?

Oh, yeah, yeah.

You at least know of him, right?

Yes, exactly.

Have you ever been in any races against him?

This was the first race that I had run in that he ran in. He was the fourth overall male finisher. That’s a really good showing for an American male. I’ve read a lot about him in different running magazines and just heard a lot about him through running circles. But this was the first time that I’ve actually seen him run. It was neat because in this particular race, they start the women’s elite group about 25 minutes ahead of the rest of the start.

29 minutes actually, I believe.

That’s right, 29 minutes. So, I didn’t see a male runner until pretty close to the end, so it was really neat to see–I think I saw the top five male finishers because they passed me in the last couple miles. It was really interesting–there’s all these cars and press and motorcycles, policemen, so I could tell when the first male was coming up behind me because there was a lot more going on on the course. Alan Culpepper was one of the ones that passed me in the last mile or two. It was pretty neat to see him finishing strong.

You might not be able to beat him in a race but do you think you could maybe, I don’t know, beat him in a fist fight? He’s pretty skinny, right? He only weighs 130 pounds.

I don’t know. I don’t know. I wouldn’t make any bets on it at this point.

No?

No.

OK. Have you thought about doing things longer than a marathon? Like a 50 K or a 100 K?

At this point, I haven’t because I’ve gotten into the marathon, and I’ve really been enjoying that so far. I feel like I still have some room to improve and grow in the marathon, but I think at some point I’d really like to do one of those ultra-type races. For the next several years, I’ll stick towards the marathon distances. Once that competitive part of my life is over, I might move on to something different.

Based on your age, are you likely to peak around now, or you maybe have a few years to go before your legs start to fall off?

Before I can’t walk anymore? I don’t know. It’s really interesting because for marathoning you’ve got a longer life span than in a lot of competitive sports. The fifth place female finisher in Boston this year was over forty. You can still be competitive into your forties. I’m not sure if I’ll keep doing it that long– at least another 3 years or so. One thing in the back of my mind looking at is the Olympic Trials for 2008. I’m looking at that time frame right now. If I want to keep running competitively after that, then I’ll assess things from there.

That sounds good. When you came in as the first American finisher, did you get any certificates or cash or a medal or anything like that?

Yeah, actually, I won $2100.

Oh, great– two thousand bucks!

Which is pretty nice.

That’s a lot of baby clothes.

I know– or a lot of shoes. The shoe expense is pretty expensive, and I’ve been trying to find a shoe company that might give me some shoes.

I would think–couldn’t you just call up New Balance and say, “Hey, look, I’m pretty good, why don’t you give me some shoes?”

Well, this past November, after I ran New York– I usually wear Asics or New Balance– I wrote to both of those companies. I sent them a little running resume. I said I’d be interested in pursuing some sort of sponsorship opportunity, and they both wrote back and said, “Sorry, we don’t have any space or funds available at this time.” I was a little disappointed by that, because I was hoping to at least get someone to help me out with my shoes.

Yeah, at least some sneakers.

But in addition at Boston, they do have these crystal vases that they give out for the top 15 finishers, so I got a little piece of hardware there too.

So you get to put flowers in that.

I had some flowers in it; they’ve wilted so I decided to compost them.

Oh, that’s good.

Yeah, send them back to the earth, you know.

Has anyone else tried to interview you? Local paparazzi following you?

I hide in my car for most of the day. I did some local interviews–with the local NBC affiliate, and I’m going to do an interview tomorrow with the ABC affiliate in Portland, and some affiliated newspaper interviews as well.

You’re officially famous, then.

I don’t know. I guess. It’s been pretty busy.

Has anyone asked you for an autograph yet?

No. No autograph seekers yet, no.

Maybe in the Yellowfront Grocery in Wiscasset? “Hey, I know you!”

“I saw you on TV!” No, not yet.

That’s surely coming. The Chewonki Foundation, which is where you live, recently had Eaton Farm donated to it.

Yes.

And they’re planning on making a 12 mile long trail that runs from approximately your house to Wiscasset.

Oh, you know more about this than I do, that’s great.

I don’t know if it’s going to start right at your front door; you might have to cut through the woods a little bit.

That’s OK, I can do that.

Have you run on trails at all, or is it just, “I want to run on the pavement because I don’t want to twist an ankle”?

I’m not a big trail runner. Maybe it’s because I’m not used to running on trails. Now it would be much more difficult, because I have the baby with me. The baby jogger has some nice wheels on it, but I don’t know if it could handle trail running.

Yeah.

It’s a nice change of pace every once in a while. I don’t worry too much about twisting an ankle–you just have to be careful. I figure I can walk out my door and step in a pothole and twist my ankle, so I don’t worry too much about that. That goes along with being alive in our world. We’ll see. I’m going to have to look into that 12 mile trail.

Because 12 miles, you do that there and back, you’ve got a marathon on your hands.

There you go.

What’s your next target? Can you walk right now?

If I train well, I’m usually not sore. Especially on the long runs, my body gets used to running for that length of time and sure, I’m running faster during the marathon than I do on my long runs, but I think my body tends to adjust to the rigors. It’s usually a good sign if a few days afterwards I don’t have any major soreness. I certainly feel like I’ve done something significant.

Yeah, I can imagine feeling too.

No major aches or pains.

That’s great. What’s your next race? Do you have one targeted? Is it Chicago?

Yeah, I think the next marathon will be Chicago in the fall. there’s a 10 K race, the Beach to Beacon, you may have heard of it.

In Portland?

It’s actually in Cape Elizabeth. It’s put on by Joan Benoit Samuelson. It’s in August, so I’ll probably do that one and then shoot for the fall marathon.

Well, I think that’s all my questions.

Nice, well, thanks for calling. I appreciate it.

Sure, well, thanks for running so fast.

No problem.

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Niece of Scientology’s leader goes public with criticism

Wednesday, February 6, 2008

The niece of the Church of Scientology‘s top leader David Miscavige has come forward publicly with criticism of the organization and of Scientology practices. Jenna Miscavige Hill, daughter of David Miscavige’s older brother Ron Miscavige, described Scientology policies which broke apart her family and continue to keep members of her family from talking to each other. Hill criticized Scientology practices in a letter to a public relations spokeswoman for the Church of Scientology and in a broadcast of the television program Inside Edition which aired Tuesday, and was interviewed by an investigative journalist for the New York Post.

Hill wrote an open letter addressed to Karin Pouw, Public Affairs Director of the Church of Scientology International, in response to a 15-page statement issued by Pouw on January 14 which was highly critical of Andrew Morton‘s new book on prominent Scientologist Tom Cruise, Tom Cruise: An Unauthorized Biography. Hill’s letter was posted to the Internet newsgroup alt.religion.scientology on January 25, and has since been widely posted on other Internet message boards.

I am absolutely shocked at how vehemently you insist upon not only denying the truths that have been stated about the church in that biography, but then take it a step further and tell outright lies.

In Pouw’s statement on Morton’s book, she called it a “bigoted defamatory assault replete with lies”. In her letter to Pouw, Hill responded “I am absolutely shocked at how vehemently you insist upon not only denying the truths that have been stated about the church in that biography, but then take it a step further and tell outright lies.” Specifically, Hill rebuked the Church of Scientology’s denial of a practice called “disconnection“, where members are instructed to sever all ties with friends and family who are critical of Scientology and deemed a “Suppressive Person“, or SP.

Hill wrote that it was this particular policy which broke up her family when she was 16, going on to detail how the Church of Scientology restricted her communications with her parents: “Not only was I not allowed to speak to them, I was not allowed to answer a phone for well over a year, in case it was them calling me.”

The church does not respond to newsgroup postings.

When contacted for a comment on Hill’s letter, Karin Pouw told the Agence France-Presse: “The church stands by its statement of 14 January. The church does not respond to newsgroup postings.” Hill explained her motivation for writing the letter to the Agence France-Presse: “My intention is to put it on a public forum so they are pressured into changing their ways — even if it is just to cover for themselves.”

In a broadcast of the television program Inside Edition which aired Tuesday, Hill spoke with reporter Les Trent about Scientology’s disconnection policy. Hill described a pregnant friend whose parents are still members of the Church of Scientology; but will not speak with her: “She lives in L.A. – her parents live right around the hill from her, you know she tried to call them when she was having her first child, and they were like: ‘No, sorry, I can’t speak to you.'” The Church of Scientology told Inside Edition that the allegation made by Hill is “the opposite of what the church believes and practices.” Hill last spoke to her uncle David Miscavige four years ago, around the same time that she viewed a promotional video featuring Tom Cruise, at an awards ceremony. This video was recently leaked to the Internet and appeared on the video sharing site YouTube. YouTube took the video down due to a legal complaint from the Church of Scientology, but though the website Gawker.com received a similar legal complaint, Gawker has stated that the video is newsworthy and will not be removed.

Just as L. Ron Hubbard’s family was rocked with turmoil, so it seems is Miscavige’s.

Prominent free speech activist and critic of Scientology David S. Touretzky commented on these recent developments, in an interview Wednesday with Wikinews reporter Nicholas Turnbull: “She has nothing to do with Chanology [the recent anti-Scientology movement that has gathered on Internet message boards], but what we’re seeing here is a “perfect storm” of entheta [material considered negative by Scientology]. It’s all coming together in a chain reaction: The Tom Cruise video, Andrew Morton’s bio, Kirstie Alley’s craziness, Kimora Lee Simmons, Jenna Miscavige, and there’s more to come!” Another critic of Scientology, Mark Bunker of the website XenuTV.com, compared the recent revelations to troubles in Scientology founder L. Ron Hubbard‘s family: “Just as L. Ron Hubbard’s family was rocked with turmoil, so it seems is Miscavige’s.” Bunker commented on the Inside Edition piece: “This is a jaw-dropping TV segment — although Inside Edition clearly didn’t understand just how important a story they had.”

In an interview published Wednesday in the New York Post, Hill stated that she has been harassed by the Church of Scientology for speaking out against the organization: “The church has contacted several of my friends, telling them that I am smearing the church and I am going to be declared a suppressive person and asking my friends if they would disconnect from me and, in at least one case, insisting that they do.” The New York Post attempted to contact Karin Pouw for a comment, but she did not respond in time for their publication.

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Acquainting One With Different Bookkeeping Systems}

Acquainting One with Different Bookkeeping Systems

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vks

Recording, classifying and summarizing data in terms of money transactions both ways and also the various events that are of a financial character, and finally interpreting the results thereof is called bookkeeping. Bookkeeping or accounting is really called an art of correctly recording the day to day business and financial transactions. The process strives to keep the business records in an accurate and more systematic manner. This way, one will get to know the business results with minimum hassles or trouble. Therefore, it is understood to be some sort of a statistical procedure that includes the collection, classification and summarization of relevant and pertinent financial information of an organization or business. Businesses do maintain some kind of records to keep a tag on their income and expenditure.

The main objectives of accounting and bookkeeping are two-fold. One is to record permanently all the details that are in some way connected to these business transactions. The other is to show the effect of each and every transaction along with the combined effect of all such financial transactions during a given period. This act will help one find out the exact amount of profit a business has earned or the level of loss incurred. It also helps one to know the correct financial position of a business on a particular date. The necessity and importance of bookkeeping can be understood by finding answers to the questions including the amount a company has earned in a particular year and the previous year, whether the business is improving, the amount of cash at present, the amount owed by a company and things like that.

There are various practices and systems of bookkeeping for maintaining business accounting records. In one system called the cash system of accounting, the system records only the various cash receipts and payments. This is based on the assumption that there are no credit transactions. If there happens to be any kind of credit transactions, they do not get recorded until the cash is finally paid or received. Receipt and payment accounts of various kinds of clubs, societies, hospitals, educational institutions and lawyers constitute some of the best examples of cash system. In the single entry system, the two fold aspect of each transaction as considered in double entry practice or system is ignored. When it comes to single entry system, purely the personal aspects of transaction called the personal accounts are recorded.

This particular method does not take into consideration the impersonal aspects of the transactions other than the cash aspect. The accuracy of the posting and the safeguards taken against fraud may be compromised since it does not provide any sort of reins while recording cash transactions. Therefore, it is called by many as an imperfect accounting practice. The double entry system recognizes the two fold aspect of each and every business transaction. The questions or apprehensions are of decisive importance for a trader and the answers can only be drawn from up to date and properly kept financial records.

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Acquainting One with Different Bookkeeping Systems

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New study claims Stonehenge was a place of healing

Thursday, September 25, 2008

Archaeologists Timothy Darvill of Bournemouth University and Geoff Wainwright, President of the Society of Antiquaries, claimed to have found evidence that Stonehenge was once a center of healing. In an excavation conducted at the site, a large number of human remains were found that display signs of physical injury or disease. Study of the teeth from the skeletons indicates that about half of them were from outside the area.

A large number of bluestone or spotted Preseli dolerite chips found during the excavation led the researchers to conclude the stones were venerated for their healing properties. It is believed that about 80 of such bluestone blocks were transported from the Preseli Hills in Pembrokeshire, Wales to the Salisbury plains. The inner circle of bluestones are the earliest stone structures found in this site. Later bluestones were encircled by the imposing sandstone monoliths of sarsen stones. “It could be that people were flaking off pieces of bluestone, in order to create little bits to take away… as lucky amulets,” said Professor Darvill.

Stonehenge would attract not only people who were unwell, but people who were capable of [healing] them.

Radiocarbon dating indicates that the original bluestone circle was built around 2300 BC. This date coincides with the burial of “Amesbury Archer“, whose tomb was discovered near Stonehenge. The skeleton of this man reveals that he had serious knee injury and tooth problems. Researchers therefore conclude that the Archer came to Stonehenge to be healed.

Dating of charcoal fragments revealed that the site was inhabited as early as 7200 BC by groups of hunter-gatherers. This is more than 3500 years earlier than previously known.

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NBC employee wins $266M from California lottery

Thursday, May 6, 2010

An NBC employee won US$266 million from the California Lottery‘s Mega Millions drawing.

The winner, wishing to remain anonymous, will receive $165 million in total, after federal taxes, reports spokesperson for the lottery Cathy Doyle Johnston.

David Reese, a KNBC assistant manager, was informed by the winner around 2:30 local time Wednesday. Reese told the employees working the night shift to keep the name a secret until the winner wishes to step forward.

Reese said the winner worked for NBC as a freelancer for four years, and her husband was laid off two weeks ago.

L & L Hawaiian BBQ in Pico Rivera, California, sold the winning ticket with the numbers 9, 21, 31, 36, 43, and the “Mega Number” 8. Danny He, the owner of the BBQ, will receive $1 million from the lottery for selling the winning ticket.

According to lottery officials, there was a 1 in 175,711,536 chance in winning with all six numbers with 38 other states and the District of Colombia playing as well.

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Killtest Avaya Pod Fx Integration Exam 7593 X Practice Test 7593 X Test Guide 2017}

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Volvo announces all new car models electric or hybrid from 2019

Friday, July 7, 2017

On Wednesday, automobile company Volvo announced all of its cars to be released in 2019 onwards are to use some form of battery-powered engine, leaving conventional petrol-only vehicles altogether. The decision comes after Volvo announced in May their intent to cease production of diesel vehicles.

The chief executive of Volvo Cars, Håkan Samuelsson, said, “People increasingly demand electrified cars”. Volvo aims to release five new electric vehicle models between 2019 and 2021. While little has yet been revealed about them, the company has stated two of them are to be high-performance electric vehicles, branded as Polestars.

Other car models from 2019 may be plug-in hybrid or 48-volt “mild hybrid” systems. Audi and Mercedes-Benz are also releasing mild hybrid cars for the European market.

“This announcement marks the end of the solely combustion engine-powered car. Volvo Cars has stated that it plans to have sold a total of 1m electrified cars by 2025. When we said it we meant it. This is how we are going to do it,” Samuelsson said. Volvo is owned by Chinese automotive giant Geely, and China’s Ministry of Industry and Information Technology has said by 2025 they want new vehicle sales to be 20 percent “new energy vehicles”.

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State of the health care system in Sierra Leone critical

Saturday, December 5, 2009

According to Médecins Sans Frontières the health care system in Sierra Leone causes loss of life because the poor cannot afford medical treatment. The maternal death rate and the child mortality rate in Sierra Leone are the highest in the world. Experiences of Médecins Sans Frontières had shown that free care or low fees lead to a dramatic increase in the number of patients. Nonetheless the national health system of Sierra Leone demands payment for all treatment with simple consultations costing as much as 25 days of income. According to Action Against Hunger the number of children with acute malnutrition has reached almost twice the level of the WHO‘s emergency threshold of 2% in the Moyamba district of Sierra Leone.

The Los Angeles Times writes that Sierra Leone, in spite of decades of foreign aid, has not yet increased the standard of living of its people considerably and 60% of the public spending of Sierra Leone come from other governments and nonprofit organizations. Since 2002 the country received $1 billion in aid but the infant mortality rate is almost the highest in the world, lower than Angola but higher than Afghanistan. The newspaper further reports that the United Nations state that 1 in 8 Sierra Leonean women die giving birth, as compared to 1 in 4,800 in the United States and that life expectancy in Sierra Leone is merely 41 years while in Bangladesh life expectancy reaches 60 years.

The government of Sierra Leone had expressed its intend to abolish user fees for women and children with a new plan for a fairer health care system that was to be revealed on the Sierra Leone Investment and Donor Conference, which was held in London on November 18 and 19.

“The Sierra Leone government has publicly stated its commitment to abolish user fees, and the UK government and other donors have promised to help,” said Seco Gerard, advisor at Médecins Sans Frontières’s analysis and advocacy unit. “What is crucial now is that Sierra Leone actually receives the necessary funding and technical assistance to realise this objective. It is time that words are being followed up by concrete action. If not, people who could otherwise be saved will continue to die needlessly every day.”

The Telegraph reports that president Bai Koroma was also hoping to secure a significant increase in aid donations with his new health plan. While Germany declined to support president Bai Koroma’s “Agenda for Change” and urged to give more consideration to women’s welfare the country received support from the European Union, DFID, UNIPSIL, World Bank, IFAD and the African Development Bank. From the pledges of $850 million the government of Sierra Leone was hoping for only about $300 millions could be secured, with attached conditionalities concerning the use of funding.

In a presentation at the Ministry of Finance and Economic Development in Freetown the Unicef representative for Sierra Leone, Mr. Mahimbo Mdoe, expressed gratitude about a pledge of about $1.3 million conveyed by the Ambassador of Japan to Sierra Leone, His Excellency Mr. Keiichi Katakami, and about earlier donations to UNICEF-Sierra Leone in the past years, amounting to over $20 million. The intended application of the funding is the goal to half child and maternal mortality by 2010, to introduce a social health insurance scheme, to improve equipment and to train health professionals.

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What To Do When You Re In A Car Accident

Submitted by: Al Oberm

Accidents can happen anytime, even if you are an extremely cautious and defensive driver! Most accidents actually occur within a 25 miles of the home, according to a Florida highway spokesman. Sometimes, they happen right in your own driveway. Just ask my sister-in-law who hit her friend s car in her driveway while backing up! No matter where they occur there are a series of steps that should be followed after an accident.

The Consumer Protection Association of America continually develops a list of recommendations for drivers so that they ll actually know what they need when a traffic accident occurs. This fine organization takes major steps to increase public awareness regarding traffic safety. Some of the steps are preventative and should be followed now before you re involved in an accident.

One, have an emergency kit in your glove compartment or storage area. The kit should include a cell phone, pen, pad of paper, and a disposable camera (this is very important). With today most of us carry a cell phone, which takes pictures. As long as you insure that your cell phone is with you and carries a charge this should suffice for the cell phone and disposable camera in the kit. These items are for recording the key information regarding the accident and the scene. You should also have a card with information concerning any medical allergies or conditions you have that require special attention, as well as emergency contact information. It is also recommended by other agencies that you have a number list ed on your cell phone under ICE (in case of emergency), where the attending policeman or EMT can simply hit speed dial on your cell phone to reach your emergency contact. You should also have traffic cones, warning triangles and emergency flares in your trunk.

Two, you need to insure that safety is first! When you are involved in a minor accident and there are no serious injuries, make sure that the vehicles are moved to the side of the road. Do not stay on the road and become an obstacle to oncoming traffic. If you do this, it may result in the occurrence of more and more serious traffic accidents because of your vehicles creating an obstruction in the road. My wife was rear-ended by another woman on an exit ramp and they both left their vehicles on the ramp believing it to be safe and that it was important for the police to see the exact position of the vehicles. In spite of the fact that both vehicles were clearly visible for a minimum of 300 yards and they both had their flashers on, another drive came up and rear-ended the SUV that had originally struck my wife! My wife called me on the cell phone and told me what was going on and I told her to get those vehicles off of the road right away! If the car or cars is not movable, make sure that the other motorists are warned by turning on the hazard lights and setting out flares, traffic cones or orange triangles to divert traffic. If you cannot move the vehicle, do what you can to alert the traffic and then move away a safe distance in case of any further accidents.

[youtube]http://www.youtube.com/watch?v=s71ba_uKo14[/youtube]

When you are involved in an accident with serious injuries make sure that no one is in immediate danger (from fires, falling tress or telephone poles, etc). After you have made sure of this, attend to those hurt. It is important that you not move anyone that has been seriously injured unless they are in immediate danger. Further injury can occur from movement. It is always a good idea to let the emergency response teams attend to and moved the injured whenever possible to help prevent this.

Three, exchange all of the important information with the parties involved. You ll need to obtain the other driver s name, addresses, phone numbers (home and work), insurance company, car insurance policy number, driver s license number, license s plate number, and make sure to write down a description of each car, the year, make, model, color and any apparent damage. Also, write down what occurred during the accident as soon as possible. Pay special attention to the position of the vehicles, sequence of events and the cause of the damage.

I recommend that you write down all information readily available to you without the cooperation of the other driver such as the license plate number, make, model and color of the car, driver description and brief description of other occupants. Also, obtain any witness information at this time. As long as no one is hurt, most witnesses will soon depart the accident scene, and you want to make sure that you have their information. After obtaining this info, then approach the driver about their information like driver s license number, insurance information and contact information. This makes sure that the other driver cannot bolt from the scene while you are distracted without obtaining information and it lets them know that you are all business.

Four, take photos of the accident scene and the cars involved. Use your disposable camera or cell phone to document the damage to all the vehicles and the scene of the accident. If there are important points to demonstrate such as long skid marks, hidden entrance/exit, etc. make sure to document these as well. Make sure that the vehicle photos illustrate the total context of the accident so that they will back up your claims. If there are witnesses, make sure to ask them for their name and phone number, and ask if they ll help you in case of problems with the other driver disputing what actually happened.

Five, file an accident report as soon as possible and obtain a copy of it as soon as it is made available. In some areas law enforcement officials do not respond to traffic accidents unless injuries are present. You should always call the police and request that an officer come to the scene to right up the police report. They will obtain the information from the other drive, if they are uncooperative with sharing the information with you, and they will write down their observations of the scene of the accident, which will further support your claims. If you cannot get a policeman to the scene where your accident occurs, find out how you go about filing an accident report and do so right away. You may have to go to the local police station or you may be able to download accident report forms on-line depending on your locale. A police report usually helps speed up the claims process.

Six, understand your insurance coverage before an accident. The more you know about your insurance coverage the easier the claims process and procedure will go. Does your policy cover towing or a replacement rental car fee? If yours does not and the accident was the other driver s fault immediately make a claim for this with their insurance company.

The question everyone is typically concerned with is Who is going to pay for this? If it is the other driver s fault you should insist that they pay for the damage. If they agree, get them to acknowledge this in writing if possible. The other drive may be agreeable to pay for the damage now, but after a little time goes by and they are not in your immediate presence they may have a change of heart and decide to try and stiff you (this is why you need witnesses, documentation, etc.).

I recommend calling someone if available to assist you in the accident management process. They will be much calmer and more objective in seeing that everything is carried out. I arrived prior to the police at my wife s previously mentioned accident when our van was rear-ended. I checked and made sure that everyone was okay. Then I made sure that the vehicles were a safe distance from the road. Next, I obtained all of the vehicle information (make, model, color, license plate number), photographed the vehicles and the accident scene. I then obtained the driver information from the other two drivers involved. After I obtained the car insurance information, I immediately contacted the other driver s car insurance company and had them open a claim for the damage that had been done to our van. I did all of this before the policeman completed writing his report. I then talked to the police officer and obtained his name and learned the content of his report. When I determined that I was satisfied the content accurately portrayed what my wife indicated had happened, I asked him for the report number so I could obtain a copy as soon as possible. My doing this streamlined the whole process for our claim and it moved through like clockwork.

If you drive a Jeep and you need some replacement parts, you can get them for low prices at Xtreme Terrain Concepts, which specializes in Jeep items. They can be found at www.xtremeterrain.com

About the Author: Al likes to learn more about automotive isuues. Al is a marketing mgr for the leading on-line retailer of aftermarket Jeep parts and accessories,

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