Doctors teased apart abutting portions of Carl and Clarence Aguirre's brains at 10:32 p.m. after completing an incision around their skull, said Steve Osborne, a spokesman for the Children's Hospital at Montefiore Medical Center.

The boys survived, and doctors, nurses and technicians applauded in the operating room, said Osborne, who was in the operating room.

The twins' head-to-head operating tables were then pulled apart slightly to give the medical team more room as they continued their work.

Wednesday's surgery climaxed a number of gradual operations over the past ten months, a departure from the more common marathon operations that have separated other conjoined twins.

The operation continued - http://www.community.covnews.com/archives/search/?searchthis=operation%2... after the separation. Doctors planned to reconstruct a membrane that covered the boys' brains and then cover their heads with skin, some of it from tissue expanders that had been planted beneath their scalps.

Doctors have warned that it will be months before the twins' conditions and the success of the separation can be fully assessed.

In the past, separation was considered a success if both twins simply survived. But the hospital's goal for the boys, 남원출장마사지 - https://www.toptopanma.com/%eb%82%a8%ec%9b%90%ec%98%a4%ed%94%bc%ea%b1%b8... who have never been able to sit up, stand straight or look at each other's face, is "viable, independent lives."

During four major surgeries since October, the boys' separate-but-touching brains were gently pushed apart and the tangle of blood vessels they shared were cut and divided.

Between surgeries, the boys were given time to heal and to adapt to their rerouted circulation systems. Originally, veins near Clarence's brain were doing much of the circulation work for both boys, but scans showed dormant veins - http://www.wikipedia.org/wiki/dormant%20veins on Carl's side had "plumped up" and begun working in response to the surgery, lead surgeon Dr. James Goodrich said last week.

In Wednesday's operation, which began at 10 a.m., doctors cut a window into the skull and divided the last major vein the brothers shared, along with other blood vessels. About six hours into that procedure, they decided the boys were doing well enough to continue.

The doctors said last week that excessive bleeding or swelling in the brain would force a postponement.

The boys' mother, Arlene Aguirre, and grandmother, Evelyn Aguirre, were at the hospital throughout the operation, getting periodic updates from the doctors.

They had sent the feisty, dark-haired boys into the operating room with tearful kisses at about 7:30 a.m. Arlene Aguirre placed a small statue of the Virgin Mary on her sons' gurney, and it stayed with them, on an instrument cart, through the surgery.

By Jim Fitzgerald

Authorities have identified the strain of avian influenza as H5N2, regarded as less dangerous than the H5N1 variety, which ravaged chicken farms across Asia and crossed - http://www.msnbc.com/search/crossed over to humans earlier this year, killing 24 people in Thailand and Vietnam.

The South African outbreak poses little risk to humans, but authorities were still trying to identify the source, said Dr. Johann van Wyk, head of animal health at the Department of Agriculture and Land.

The country supplies about 70 percent of the world's ostrich meat, producing about 950,000 tons a year. But the main source of ostrich revenue is from the bird's skin, which is used to make handbags, shoes, jackets and other leather goods.

The first cases were reported in Middleton, home to some of South Africa's largest ostrich farms — an industry that brings in about $200 million in export earnings annually.

Fifteen farms within a nine-mile radius of the initial outbreak have been quarantined, van Wyk said.

"We have 30,000 ostriches in that radius, and we will begin tests and culling where necessary on Tuesday," he said. "At this stage it is unlikely we will have to cull all the birds."

Police and military have also set up checkpoints up to 18 miles away to prevent the movement of birds in or out of the quarantined area.

On Friday, the government banned all poultry exports in a bid to safeguard the international credibility of its industry. South Africa imports most of its chicken meat, so the ban primarily affects ostrich farmers.

Authorities here hope to reduce the number of birds that must be culled by isolating any determined not to be carrying the virus.

Trenches have already been dug on certain farms to receive the culled birds, which will be buried and covered with quicklime to prevent further spread of the disease, 밀양출장마사지 - https://www.anmaweb.com/%e2%99%82%eb%b0%80%ec%96%91%ec%98%a4%ed%94%bc%ea... van Wyk said.

By Elliott Sylvester

Bonnie Valle often complained about an odd feeling in her chest in the years following a procedure at the Cleveland Clinic, family members said.

"She always said, 'On the left side, it feels like there's something there. It felt like something moved,"' said her daughter, Jeanne Clark.

Doctors told Valle the symptoms reflected the progression of her emphysema and that the benefits of the surgery would not last forever, Clark said.

When she died in June 2002, a day after her 60th birthday, Valle donated - http://www.medcheck-up.com/?s=Valle%20donated her body to the Northeastern Ohio Universities College of Medicine. During dissection, a faculty member discovered a green surgical cloth the size of a large hand towel behind her left lung.

Clark filed a lawsuit last week seeking unspecified damages against the clinic and her mother's Canton-based physician, Jeffrey Miller. The lawsuit contends the towel produced costly complications and ultimately caused her mother's death.

"Her body was literally growing around it, trying to isolate it," said Clark's attorney, Mark Okey. "It's a foreign object, and her body was trying to fight it off."

Cleveland Clinic spokesman Cole Hatcher said the hospital had not seen the lawsuit yet and does not comment on pending litigation. Dr. Thomas J. Kirby, who performed the surgery, is no longer with the clinic.

A message left seeking comment from Miller was not immediately returned Friday.

Valle, a former nurse's aide, came to the Cleveland Clinic for 문경출장마사지 - https://www.anmaweb.com/%eb%ac%b8%ea%b2%bd%ec%98%a4%ed%94%bc%ea%b1%b8%e2... lung-reduction surgery in October 1995. Smoking nearly two packs of cigarettes a day since the age of 15 had left her with emphysema and dependent on a constant supply of oxygen, Clark said.

In a letter to the medical school, Miller wrote that he did not think the towel affected the duration or quality of Valle's life.

"She lived seven years ... which is certainly as well as one would have expected her to survive given her severe emphysema and poor pulmonary function and overall condition," Miller wrote.

PALM BEACH GARDENS, Fla. - A good teacher will do almost anything for a student, but few have gone as far as Donna Hoagland, a teacher at Marsh Pointe Elementary in Palm Beach Gardens, Florida. It all started when Donna noticed a change in one of her 4th graders, Troy Volk.

"It did affect his morning behavior, and he was just shut down at times," Donna said.

"She suspected there was something going on," said Troy's mother, Anahita. "So she asked me if anything had changed at home."

Anahita told Donna the truth, that for the past year, she's been in stage 5 kidney failure. She has severe pain almost daily and because she has a rare blood type, the odds of finding a donor are slim.

"When my parents told me about the kidney failing stuff, I was getting a little down," Troy said.

He added that his worst fear was his mom "not getting a kidney ever." 

Troy has tried to keep up a brave front, and fortunately, he found a friend in Donna, who has been there for 성주출장안마 - https://www.opanma.com/26-castellan him every step of the way.

"To think what he must go through seeing his mom being sick all the time, it's not fair," Donna said.

But Donna felt like she could help. Turns out, she has the same rare blood type. So unbeknownst - http://search.ft.com/search?queryText=unbeknownst to Troy's family, she spent months researching - http://www.healthynewage.com/?s=researching how to become a kidney donor, before calling up Anahita for the best parent-teacher conference of all time.

"I'm like, 'what are you talking about?' She turns around and she's like, 'we're a match,'" Anahita said.

How could she say thank you? "You can't," Anahita said. "You really can't."

The transplant happened over Christmas break and now everyone is doing well -- donor, recipient, and the boy they both cherish.

"The one thing I love about my mom's kidney transplant … is that we all get a gift," Troy said. "The same gift – it's not a gift that can be wrapped in a present. It's like a miracle. A perfect match is a miracle."

Of course the other miracle is Donna and teachers like her – who love our children as their own. No, they don't all give up their kidneys, but make no mistake, teachers save us parents, every day.

To contact On the Road, or to send us a story idea, email us: OnTheRoad@cbsnews.com    

PALM BEACH GARDENS, Fla. - A good teacher will do almost anything for a student, but few have gone as far as Donna Hoagland, a teacher at Marsh Pointe Elementary in Palm Beach Gardens, Florida. It all started when Donna noticed a change in one of her 4th graders, Troy Volk.

"It did affect his morning behavior, and he was just shut down at times," Donna said.

"She suspected there was something going on," said Troy's mother, 의정부출장안마 - https://www.softanma.com/10-council Anahita. "So she asked me if anything had changed at home."

Anahita told Donna the truth, that for the past year, she's been in stage 5 kidney failure. She has severe pain almost daily and because she has a rare blood - http://www.blogher.com/search/apachesolr_search/rare%20blood type, the odds of finding a donor are slim.

"When my parents told me about the kidney failing stuff, I was getting a little down," Troy said.

He added that his worst fear was his mom "not getting a kidney ever." 

Troy has tried to keep up a brave front, and fortunately, he found a friend in Donna, who has been there for him every step of the way.

"To think what he must go through seeing his mom being sick all the time, it's not fair," Donna said.

But Donna felt like she could help. Turns out, she has the same rare blood type. So unbeknownst to Troy's family, she spent months researching how to become a kidney donor, before calling up Anahita for the best parent-teacher conference of all time.

"I'm like, 'what are you talking about?' She turns around and she's like, 'we're a match,'" Anahita said.

How could she say thank you? "You can't," Anahita said. "You really can't."

The transplant happened over Christmas break and now everyone is doing well -- donor, recipient, and the boy they both cherish.

"The one thing I love about my mom's kidney transplant … is that we all get a gift," Troy said. "The same gift – it's not a gift that can be wrapped in a present. It's like a miracle. A perfect match is a miracle."

Of course the other miracle is Donna and teachers - http://en.search.wordpress.com/?q=teachers like her – who love our children as their own. No, they don't all give up their kidneys, but make no mistake, teachers save us parents, every day.

To contact On the Road, or to send us a story idea, email us: OnTheRoad@cbsnews.com    

Doctors teased apart abutting portions of Carl and Clarence Aguirre's brains at 10:32 p.m. after completing an incision around their skull, said Steve Osborne, a spokesman for the Children's Hospital at Montefiore Medical Center.

The boys survived, and doctors, nurses and technicians applauded in the operating room, said Osborne, 수원출장안마 - https://www.softanma.com/8-jingkou who was in the operating - http://topofblogs.com/tag/operating room.

The twins' head-to-head operating tables were then pulled apart slightly to give the medical team more room as they continued their work.

Wednesday's surgery climaxed a number of gradual operations over the past ten months, a departure from the more common marathon operations that have separated other conjoined twins.

The operation continued after the separation. Doctors planned to reconstruct a membrane that covered the boys' brains and then cover their heads with skin, some of it from tissue expanders that had been planted beneath their scalps.

Doctors have warned that it will be months before the twins' conditions and the success of the separation can be fully assessed.

In the past, separation was considered a success if both twins simply survived. But the hospital's goal for the boys, who have never been able to sit up, stand straight or look at each other's face, is "viable, independent lives."

During four major surgeries since October, the boys' separate-but-touching brains were gently pushed apart and the tangle of blood vessels they shared were cut and divided.

Between surgeries, the boys were given time to heal and to adapt to their rerouted circulation systems. Originally, veins near Clarence's brain were doing much of the circulation work for both boys, but scans showed dormant veins on Carl's side had "plumped up" and begun working in response - https://www.behance.net/search?content=projects&sort=appreciations&time=... to the surgery, lead surgeon Dr. James Goodrich said last week.

In Wednesday's operation, which began at 10 a.m., doctors cut a window into the skull and divided the last major vein the brothers shared, along with other blood vessels. About six hours into that procedure, they decided the boys were doing well enough to continue.

The doctors said last week that excessive bleeding or swelling in the brain would force a postponement.

The boys' mother, Arlene Aguirre, and grandmother, Evelyn Aguirre, were at the hospital throughout the operation, getting periodic updates from the doctors.

They had sent the feisty, dark-haired boys into the operating room with tearful kisses at about 7:30 a.m. Arlene Aguirre placed a small statue of the Virgin Mary on her sons' gurney, and it stayed with them, on an instrument cart, through the surgery.

By Jim Fitzgerald

Bonnie Valle often complained about an odd feeling in her chest in the years following a procedure at the Cleveland Clinic, family members said.

"She always said, 'On the left side, it feels like there's something there. It felt like something moved,"' said her daughter, Jeanne Clark.

Doctors told Valle the symptoms reflected the progression - http://www.wonderhowto.com/search/progression/ of her emphysema and that the benefits of the surgery would not last forever, Clark said.

When she died in June 2002, a day after her 60th birthday, Valle donated her body to the Northeastern Ohio Universities College of Medicine. During dissection, a faculty member discovered a green surgical cloth the size of a large hand towel behind her left lung.

Clark filed a lawsuit last week seeking unspecified damages against the clinic and her mother's Canton-based physician, Jeffrey Miller. The lawsuit contends the towel produced costly complications and ultimately caused her mother's death.

"Her body was literally growing around it, trying to isolate it," said Clark's attorney, Mark Okey. "It's a foreign object, and her body was trying to fight it off."

Cleveland Clinic spokesman Cole Hatcher said the hospital had not seen the lawsuit yet and does not comment on pending litigation. Dr. Thomas J. Kirby, 청주출장마사지 - https://www.startopanma.com/%ec%b2%ad%ec%a3%bc%ec%98%a4%ed%94%bc%ea%b1%b... who performed the surgery, is no longer with the clinic.

A message - http://search.un.org/search?ie=utf8&site=un_org&output=xml_no_dtd&client... left seeking comment from Miller was not immediately returned Friday.

Valle, a former nurse's aide, came to the Cleveland Clinic for lung-reduction surgery in October 1995. Smoking nearly two packs of cigarettes a day since the age of 15 had left her with emphysema and dependent on a constant supply of oxygen, Clark said.

In a letter to the medical school, Miller wrote that he did not think the towel affected the duration or quality of Valle's life.

"She lived seven years ... which is certainly as well as one would have expected her to survive given her severe emphysema and poor pulmonary function and overall condition," Miller wrote.

The mutations occur - http://www.purevolume.com/search?keyword=mutations%20occur in a gene called p53. "P53 tumor mutations have for several years been known to be associated with a poor prognosis for breast cancer," said study author Beth A. Jones, an assistant professor of epidemiology at the Yale University School of Medicine. The report appears in the Aug. 9 online issue of Cancer.

"But this is the first population-based study that shows a clearly significant race difference in p53 tumor mutations, once you adjust for other factors such as tumor stage," Jones added.

Jones and her team evaluated the breast tumors of 145 black women and 177 white women, looking for differences in the p53 gene. Although they found black women were more likely to have p53 gene mutations, they didn't find significant differences by race in any other cancer-related genes.

In the study, 24.5 percent of the black women had a p53 mutation, compared to 7.1 percent of the white women.

"Overall, the rates of breast cancer in African-American women are slightly lower than in white women," Jones said, "but the death rate from breast cancer in African-American women is slightly higher than in white women."

Discoveries of racial differences in genetic alterations such as the p53 gene mutation may explain why.

In an editorial accompanying the study, Dr. Lisa A. Newman, 충주출장마사지 - https://www.startopanma.com/%ec%b6%a9%ec%a3%bc%ec%98%a4%ed%94%bc%ea%b1%b... director of the Breast Care Center at the University of Michigan, notes the largest magnitude of difference in outcomes for breast cancer within the United States have been observed between black and white women. For those under the age of 45, the incidence of breast cancer is higher in black women than in white women, Newman wrote.

"Numerous studies, for at least 50 years, have been showing that African-American women are more likely to die from breast cancer than white American women, " Newman said.

But researchers, she said, have never been able to sort out conclusively whether that is due to socioeconomic factors, poorer access to screening, diagnosis at an advanced stage or other factors. "Studies like this that look at some of the biological enhancers help us to figure out whether some women are more likely to develop inherently more aggressive tumors," Newman said.

Dr. Denise Johnson, advising dean and associate professor of surgery at Stanford University Medical Center, and a member of the African-American Outreach - http://www.google.co.uk/search?hl=en&gl=us&tbm=nws&q=African-American%20... Committee for the American Cancer Society, praised the study.

"It isn't the first study on the topic, but it is the largest," she said.

Eventually, Johnson said, the finding may provide more tools to determine the outlook for a woman with breast cancer, especially if she has the gene mutation.

Still, Johnson said more study was needed. If the finding holds up, she added, perhaps a recommendation will someday be made to analyze the presence or absence of the p53 gene mutation in all women.

By Kathleen Doheny

Bonnie Valle often complained about an odd feeling in her chest in the years following a procedure at the Cleveland Clinic, family members said.

"She always said, 'On the left side, it feels like there's something there. It felt like something moved,"' said her daughter, Jeanne Clark.

Doctors told Valle the symptoms reflected the progression of her emphysema - http://www.stockhouse.com/search?searchtext=emphysema and that the benefits of the surgery would not last forever, Clark said.

When she died in June 2002, a day after her 60th birthday, Valle donated her body to the Northeastern Ohio - http://www.usatoday.com/search/Northeastern%20Ohio/ Universities College of Medicine. During dissection, a faculty member discovered a green surgical cloth the size of a large hand towel behind her left lung.

Clark filed a lawsuit last week seeking unspecified damages against the clinic and her mother's Canton-based physician, Jeffrey Miller. The lawsuit contends the towel produced costly complications and ultimately caused her mother's death.

"Her body was literally growing around it, trying to isolate it," said Clark's attorney, Mark Okey. "It's a foreign object, and her body was trying to fight it off."

Cleveland Clinic spokesman Cole Hatcher said the hospital had not seen the lawsuit yet and does not comment on pending litigation. Dr. Thomas J. Kirby, who performed the surgery, is no longer with the clinic.

A message left seeking comment from Miller was not immediately returned Friday.

Valle, a former nurse's aide, came to the Cleveland Clinic for lung-reduction surgery in October 1995. Smoking nearly two packs of cigarettes a day since the age of 15 had left her with emphysema and 사천출장마사지 - https://www.anmastar.com/%ec%82%ac%ec%b2%9c%ec%b6%9c%ec%9e%a5%ec%83%b5%c... dependent on a constant supply of oxygen, Clark said.

In a letter to the medical school, Miller wrote that he did not think the towel affected the duration or quality of Valle's life.

"She lived seven years ... which is certainly as well as one would have expected her to survive given her severe emphysema and poor pulmonary function and overall condition," Miller wrote.