The governor of the Belgorod region reported that an air attack in the Russian city resulted in the deaths of at least five individuals and injuries to eighteen others. Videos on social media depicted ambulances outside a damaged shopping center with broken windows. Russian authorities stated that their air defense systems intercepted 14 Ukrainian missiles over the Belgorod region, with one missile striking a shopping center and another hitting a sports stadium.
Belgorod, situated approximately 30km from the Ukrainian border, has frequently been targeted by Ukrainian forces since Russia’s full-scale invasion of Ukraine began nearly two years ago. This recent attack follows a previous drone and rocket strike in December that claimed 25 lives and injured 100, marking the deadliest assault on Belgorod thus far.
In response to the ongoing conflict, Russia launched 26 missiles at Ukraine, resulting in the death of a woman in Chuguyiv and multiple injuries. Meanwhile, the battle for the eastern Ukrainian town of Avdiivka continues, with Ukrainian soldiers expressing concerns over shortages of weapons and ammunition.
NATO Secretary General Jens Stoltenberg cautioned that the US’s failure to approve continued military assistance to Ukraine is impacting the battlefield. Avdiivka holds strategic importance as a gateway to the Russian-controlled city of Donetsk and has been a focal point of conflict since the onset of the eastern Ukrainian conflict in 2014.
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Russian President Vladimir Putin has expressed a preference for a Joe Biden presidency over Donald Trump ahead of the US election, citing Biden’s experience and predictability. Putin’s comments mark a departure from his previous praise of Trump before his first run for president in 2016. Despite Biden’s criticism of Putin, the Russian president believes Biden’s leadership would be better for Russia due to his political background.
Putin dismissed concerns about Biden’s age and mental health, stating that he did not notice any issues during their last meeting in 2021. However, he criticized Biden’s condemnation of the war in Ukraine as “extremely harmful and erroneous.” Despite his preference, Putin emphasized that Russia would work with any US president who gains the trust of the American public.
These remarks contrast with Trump’s previous statements suggesting a strong rapport with Putin, although Trump’s recent remarks about encouraging Russia to attack NATO members have drawn criticism from NATO officials.
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Russian authorities have initiated criminal proceedings against Estonian Prime Minister Kaja Kallas, alleging political motivations behind the charges. Alongside Kallas, Estonian Secretary of State Taimar Peterkop and Lithuanian Culture Minister Simonas Kairys were accused of damaging or destroying Soviet monuments dedicated to Soviet soldiers, according to Russia’s state-run Tass news agency. Despite Kremlin spokesman Dmitry Peskov confirming the charges, the timing of the alleged offense remains unspecified. By Wednesday, officials from all three Baltic states were included on Russia’s wanted list.
Following Russia’s invasion of Ukraine, Kallas declared Estonia’s intention to remove all Soviet monuments from public spaces. This decision, seen as a response to Russia’s actions in Ukraine, likely exacerbated tensions between Estonia and Russia, culminating in the recent legal actions against Kallas and other Baltic officials.
Kallas, seemingly the first head of state placed on the Russian Interior Ministry’s wanted list since the invasion began, responded defiantly on social media. She viewed the move as unsurprising and a testament to her support for Ukraine in its conflict with Russia. Kallas vowed to continue backing Ukraine despite Kremlin attempts to silence her.
Latvia and Lithuania reacted strongly to Russia’s actions, summoning their respective Russian ambassadors and condemning the charges as politically motivated. Estonia also summoned Russia’s charges d’affaires in response.
Estonia, having experienced Soviet occupation, joined the European Union and NATO in 2004. NATO’s expansion to Russia’s border has long unsettled Russian President Vladimir Putin, who perceives the alliance as a threat to Russia’s security. Putin’s invasion of Ukraine has heightened concerns in Estonia, prompting efforts to bolster defense measures and support for Ukraine.
Estonia’s Foreign Intelligence Service warned of Russia potentially increasing troop numbers on its borders with the Baltic countries and Finland, a NATO member since last year. Estonian officials stressed the importance of collective defense and increased spending on defense, with Estonia’s defense budget set to exceed 3% of GDP for the first time this year. In his annual foreign policy speech, Estonian Foreign Minister Margus Tsahkna strongly condemned Russian aggression and affirmed support for Ukraine, emphasizing the need to resist aggression and uphold democratic values.
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France has taken decisive action by announcing the ban of 28 Israeli settlers who stand accused of perpetrating attacks against Palestinian civilians in the occupied West Bank. This move aligns with similar measures enacted by other nations, including the United States and the United Kingdom, which have also imposed restrictions on individuals involved in comparable activities. The French government’s decision comes amidst escalating violence against Palestinians in the West Bank, prompting a firm condemnation of such actions.
In a statement issued by the French foreign ministry, the country emphasized the gravity of the situation, denouncing the unacceptable violence perpetrated against Palestinian civilians. France, along with Poland and Germany, collectively announced sanctions against Israelis implicated in attacks within the West Bank. This concerted effort underscores the international community’s recognition of the need to address the escalating tensions and safeguard the rights of Palestinians in the region.
The French government reiterated its stance on the illegality of colonization under international law, emphasizing the imperative to halt such activities. It emphasized the necessity of ending colonization to pave the way for the establishment of a viable Palestinian state, thereby enabling Israelis and Palestinians to coexist peacefully and securely. France also expressed its intention to pursue sanctions at the European level, highlighting the importance of a coordinated approach among European Union member states in addressing the ongoing conflict.
While the individuals affected by these measures have not been publicly named, the broader context underscores the gravity of the situation. The imposition of sanctions by France and other nations reflects a concerted effort to address the escalating violence and promote stability in the region. As the international community continues to grapple with the complexities of the Israeli-Palestinian conflict, such actions serve as a testament to the importance of upholding human rights and seeking avenues for peaceful resolution.
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A former employee opened fire at a shipping company’s office near Athens, resulting in the deaths of three individuals. Reports indicate that the gunman, identified as a 70-year-old Egyptian national, fatally shot two men and a woman, including the company owner, before taking his own life with a hunting rifle. The incident, which began with the armed man entering the building and firing at employees, led to a hostage situation in Glyfada, a location about 12km south of Athens.
Despite efforts by police negotiators to resolve the standoff, the gunman ultimately ended his own life. Shootings are uncommon in Greece, which maintains strict gun possession laws, and this event has shocked the community. Glyfada is home to numerous Greek and international shipping companies, including European Product Carriers, which owns a significant fleet of vessels including oil tankers.
Eyewitnesses described the terrifying ordeal, with one company worker recalling hearing the gunshots and fleeing for safety upon learning about the attacker. The tragic incident underscores the potential risks and consequences of workplace violence, prompting reflection and concern within both the local and international shipping community. The authorities continue to investigate the motive behind the attack and any potential lapses in security measures that may have contributed to its occurrence.
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A journalist working for Poland’s state broadcaster has publicly expressed remorse for the channel’s complicity in disseminating anti-LGBT sentiment. Wojciech Szelag, the host of TVP Info, acknowledged the channel’s role in perpetuating hateful rhetoric against the LGBT community over the course of several years. He recognized that LGBT individuals had been subjected to derogatory language and discrimination, emphasizing that they are not merely an abstract ideology but are people with specific identities, relationships, and experiences.
During the Guest of the Evening show, Szelag offered a heartfelt apology to two LGBT activists, Bart Staszewski and Maja Heban. He emphasized the importance of acknowledging the humanity of LGBT individuals, expressing regret for the hurtful language and narratives propagated by TVP Info. Staszewski, deeply moved by the apology, highlighted the significant impact of the channel’s previous actions on the lives of LGBT people in Poland.
Under the previous government led by the Law and Justice (PiS) party, TVP Info frequently broadcast content that vilified the LGBT community. PiS leader Jaroslaw Kaczynski and his allies, including President Andrzej Duda, often condemned expressions of LGBT identity and promoted discriminatory rhetoric. However, since the new Prime Minister Donald Tusk assumed office, changes have been made to the broadcaster in an effort to depoliticize state media and promote more inclusive narratives.
The recent apology from TVP Info’s host reflects a broader shift in Poland’s media landscape, as the country grapples with issues of discrimination and intolerance. While the apology signifies a step towards acknowledging past wrongs, there is still much work to be done in fostering greater acceptance and understanding of the LGBT community in Polish society.
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The president of Hungary has stepped down on live television following backlash over a controversial decision to pardon a man involved in covering up a child sexual abuse case. President Novak’s resignation comes amidst growing protests demanding her departure after it was revealed she pardoned a man convicted of coercing children to retract abuse allegations against a state-run children’s home director.
Novak, who had granted clemency to the individual, apologized for her actions, acknowledging her mistake. This decision also led to the resignation of Judit Varga, the former minister of justice, who approved the pardon and was overseeing the European elections campaign for Prime Minister Viktor Orban’s ruling Fidesz party.
The controversy erupted when the names of 25 individuals pardoned by Novak during a visit by Pope Francis were disclosed by Hungarian media. Among them was the deputy director of a children’s home near Budapest, convicted for pressuring children to withdraw abuse accusations against the home’s director, who himself was imprisoned for child abuse.
Novak’s sudden resignation, along with Varga’s departure, came as a surprise, considering Novak’s popularity within Fidesz and her significant role as the first female president of Hungary. The scandal has dealt a blow to Fidesz, known for its emphasis on traditional family values, and has caused embarrassment for the long-standing nationalist government.
In her televised address, Novak expressed regret for not standing up for the victims and acknowledged the doubts raised about the government’s commitment to combating pedophilia. The resignations of Novak and Varga, both prominent female figures in Fidesz, represent a significant setback for Orban’s party, especially with Varga slated to lead the party’s list in the upcoming European elections.
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In Finland’s recent presidential election, Alexander Stubb, the conservative former Prime Minister, emerged victorious with 51.6% of the vote, defeating his Green Party opponent Pekka Haavisto, the former foreign minister, who garnered 48.4%. Stubb’s win marks a significant moment for Finland as it is the first election since the country joined the NATO military alliance.
Known for his assertive stance towards Russia, particularly following the Ukrainian conflict, Stubb has emphasized the importance of Finland’s NATO membership since Russia’s invasion of Ukraine in 2022. He reiterated the challenges of engaging in political dialogue with Putin’s administration amid ongoing aggression against Ukraine.
Haavisto gracefully conceded defeat, acknowledging Stubb’s win and expressing his intention to focus on his role as a lawmaker rather than pursuing future electoral endeavors. Despite his loss, Haavisto’s commitment to serving in Finland’s legislative body remains unwavering.
Stubb is set to assume office on March 1st, succeeding Sauli Niinisto. As president, he will hold direct responsibility for foreign and security policy and serve as the commander-in-chief of Finland’s armed forces, shaping the nation’s stance on critical international matters.
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Mario Alcalde, Spain’s first openly LGBT matador, believes that more bullfighters will follow his example after he revealed he is pansexual. He sees his coming out as a spontaneous decision, driven by his artistic nature.
While bullfighting is deeply entrenched in Spanish culture, it remains a controversial blood sport, banned in many places. Despite criticism, Alcalde embraces his identity and aims to establish a meeting place for bullfighting supporters within Madrid’s LGBT+ community.
While some welcome this intersection, others view bullfighting as incompatible with progressive values. Audience numbers for bullfights have been declining, but Alcalde remains resolute in defending the tradition, despite its inherent violence towards animals.
He sees bullfighting as a part of life and aims to modernize and diversify it, while opponents hope it becomes a relic of Spain’s past.
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Dr. Thomas Varghese, a distinguished Surgical Oncologist and Reconstructive Surgeon, brings a wealth of expertise to the field of oncology. With qualifications including MS, FICS (Oncology), FACS, and recognized as an MCh teacher by the Medical Council of India, Dr. Thomas Varghese currently serves as the Medical Director and Head of the Cancer Division at St. Joseph’s Cancer Hospital and Research Centre in Kochi. Dr. Thomas Varghese is deeply committed to advancing cancer treatment and patient care, contributing significantly to the medical community and providing hope to numerous patients. In his insightful article, Dr. Thomas Varghese addresses the challenges posed by breast cancer, emphasizing the psychological impact and societal misconceptions that often accompany a diagnosis.
“Diagnosis of breast cancer can fall like a bombshell into the life of one out of five women in their lifetime” is the tagline that WHO is spreading across continents. Definitely, there is an increase in incidence in the Western world but changes in lifestyles, incorporation of Western lifestyles in own life have changed the scenario in the Third World too. This is shown as an increase in breast cancer incidence even in younger women.
The breast cancer issue is compounded by several factors. Since less than 30 years is no more rarity in cancer incidence, poverty, lack of insurance coverage, and presentation in the locally advanced or metastatic stage are all not uncommon, and many times non-oncologists, treat cancer patients with bizarre end results.
Diagnostic accuracies, and treatment nuances, especially surgical, medical and immune-oncology have progressed in leaps and bounds, however, it’s sad to observe that the percentage of individuals presenting in the advanced stage has not dwindled and remains to the tune of over 50% and death rates also approx 50%.
Apart from the factors mentioned what else could be the driving force for such late presentations? When we ask breast cancer victims this question, 99% of women in the current generation will have only one answer, “fear of losing breasts”. The wrong information that has percolated in the minds of ordinary women, and even educated lot is in every breast cancer there is a need to “chop breasts” for cure. This fear is circulated far and wide hence many women even refrain from undergoing a screening program, unlike their Western counterparts, to detect cancer in the early stage. But once the cancer diagnosis is disclosed, they are the ones who become hysterical. On several occasions, non-oncologists, and quacks utilize this soft corner and offer unscientific treatments to further push the patients to a non-treatable stage.
Well-educated ladies also will follow this suit and finally perish from a curable status. Since long time in dedicated cancer centers or units, surgical management of breast cancer in the operable stage has been handled by cancer surgeons and later from mastectomy, the concept of BCT, Breast Conservation Therapy evolved. Cosmetic issues regarding the same forced clinicians to think of better options in the local management of breast cancer and thus “Oncoplastic” procedures evolved. Onco means Cancer, and plasty means to mould.
Breasts are considered as a separate organ in itself, an organ of beauty sign of sexual attraction, bilateral symmetry, and an organ providing confidence to a lady in addition to the primary function of lactation. Hence such a procedure should offer bilateral symmetry, confidence, sexual attraction, and overall better adjustments with society, workplace, and career.
Oncoplasty urges the cancer surgeon that primary priority is on cancer and the surgical procedure should be oncologically acceptable which can help in avoiding local disease recurrence. There cannot be any corner cutting which is the pre-requisite. The resections are also planned based on the primary evaluation of breast volume tumor volume ratio by an expert, dedicated, breast ultra sonologist and based on the tumor aggressiveness as per core biopsy. We plan reconstructions only when the Frozen section report by the pathologist tells that all the margins of resections are free of disease.
The beauty of this procedure is reconstruction is planned as per resection which may differ from original pre-operative planning. Although in dedicated centres this procedure has become the norm, the majority of the patients who are evaluated by non-oncology specialists, like primary physicians, gynecologists, and surgeons may not disclose such progress with the new subjects whom they evaluate. This will leave behind the patient with a mastectomised flat chest, even though such a surgery as per modern studies is inferior to oncoplastic surgeries. Breast cancer affects not only the body or physique but the mental trauma, anxiety, and agony is far beyond imagination. The first Question a lady with a diagnosis of breast cancer will ask to herself will be “Why God oh me? What in me has precipitated the cancer? Fate Karma?” Then this will lead to denial, depression, anger, fear of recurrence, and finally “acceptance”. Mourning over the lost breast adds to trauma and external pads will never be incorporated into the body image. Most of these women especially the young may have just entered into the professional career ladder, some may be just married, some unmarried, and others may have postponed pregnancy for a career, and getting a mutilating mastectomy further destroys the morale.
Hence Oncoplasty will be a boon considering the fact that breasts are a sign of beauty, symmetry and feminity. Offering a normal-looking, and feeling breast, on many occasions even preserving nipple and areola will help the lady to get adjusted to the further treatments with increased confidence. A dedicated, and compassionate cancer surgeon, well trained in plastic and oncoplastic surgery is the pre-requisite to an excellent cosmetic outcome.
The emergence of a perforator artery-based flap, a local flap, has emerged as one of the versatile options to offer the best oncoplastic surgery for tumors localized in most of the quadrants of the breasts. Morbidity to the “donor” area of the body like the back in the LD flap, lower belly in the TRAM flap, or gluteal region in the microvascular flap are well known. In perforator artery-based local flap that issue is avoided. Common perforator arteries and flaps that are employed for such novel reconstruction procedures include, Lateral Intercostal Perforator Artery Flap (LICAP), Anterior Intercostal Perforator Artery Flap (AICAP), Combination of both (LICAP+AICAP), Middle Intercostal Perforator Artery Flap (MICAP), LICAP +AICAP combination could be used even for Mastectomy with Immediate Reconstructions (MIBR). Whereas, LICAP flap in general is the preferred flap for reconstruction of tumors located in the lateral, inferior, or central quadrants, after wide resections.
These novel concepts have paved a new way to address breast cancer management, in a different perspective to offer better confidence in the minds of women with breast cancer so that they could get solace at the earliest. It offers a better quality of life and confidence. Avoidance of morbidity to the donor area is definitely a boon because no scar marks of reconstructions(stigma) will be visible on the body. Management of breast cancer has changed a lot over a period of time as technological improvement and understanding of genetics have become an integral part. Breast cancer is a lifestyle disease in more than 90% of the cases. Around 10% have a genetic predisposition. BRCA1, BRCA11, HER2, triple negativity, etc all have strong genetic links. Obesity, lack of exercise, high fatty diet, red meat, lack of breastfeeding, late pregnancies, contraceptive pills, and fertility treatments with estrogens are all said to influence.
If one aims to have a 100% cure, early detection of cancer is a must. Breast self-examination (BSE) should be popularized which could pick up one cm-sized tumors. Ultrasound breasts and mammography could detect cancers in non-palpable stages. Another important fact is such mammographically detected tumors could be managed with wire localizations and scarless surgeries with no adjuvant treatments. Personalized treatments, immunotherapy, and targeted treatments in addition to conventional treatments like chemotherapy or radiation after an oncoplastic surgery have paved the way to better cure rates. Breast cancer is a curable disease in the majority of the early detected cases. Beauty could be restored. Why can’t we have a concerted effort to conquer the number one killer? Media has a large role to play in spreading the good news.
