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Sunday 22 February 2015

Health Care Opens Stable Career Path, Taken Mainly by Women



IN Akira Kurosawa’s film “Rashomon,” a samurai has been murdered, but it’s not clear why or by whom. Various characters involved tell their versions of the events, but their accounts contradict one another. You can’t help wondering: Which story is true?
But the film also makes you consider a deeper question: Is there a true story, or is our belief in a definite, objective, observer-independent reality an illusion?
This very question, brought into sharper, scientific focus, has long been the subject of debate in quantum physics. Is there a fixed reality apart from our various observations of it? Or is reality nothing more than a kaleidoscope of infinite possibilities?
This month, a paper published online in the journal Nature Physics presents experimental research that supports the latter scenario — that there is a “Rashomon effect” not just in ourdescriptions of nature, but in nature itself.
Over the past hundred years, numerous experiments on elementary particles have upended the classical paradigm of a causal, deterministic universe. Consider, for example, the so-called double-slit experiment. We shoot a bunch of elementary particles — say, electrons — at a screen that can register their impact. But in front of the screen, we place a partial obstruction: a wall with two thin parallel vertical slits. We look at the resulting pattern of electrons on the screen. What do we see?
If the electrons were like little pellets (which is what classical physics would lead us to believe), then each of them would go through one slit or the other, and we would see a pattern of two distinct lumps on the screen, one lump behind each slit. But in fact we observe something entirely different: an interference pattern, as if two waves are colliding, creating ripples.

Astonishingly, this happens even if we shoot the electrons one by one, meaning that each electron somehow acts like a wave interfering with itself, as if it is simultaneously passing through both slits at once.
So an electron is a wave, not a particle? Not so fast. For if we place devices at the slits that “tag” the electrons according to which slit they go through (thus allowing us to know their whereabouts), there is no interference pattern. Instead, we see two lumps on the screen, as if the electrons, suddenly aware of being observed, decided to act like little pellets.


To test their commitment to being particles, we can tag them as they pass through the slits — but then, using another device, erase the tags before they hit the screen. If we do that, the electrons go back to their wavelike behavior, and the interference pattern miraculously reappears.
There is no end to the practical jokes we can pull on the poor electron! But with a weary smile, it always shows that the joke is on us. The electron appears to be a strange hybrid of a wave and a particle that’s neither here and there nor here or there. Like a well-trained actor, it plays the role it’s been called to perform. It’s as though it has resolved to prove the famous Bishop Berkeley maxim “to be is to be perceived.”
Is nature really this weird? Or is this apparent weirdness just a reflection of our imperfect knowledge of nature?
The answer depends on how you interpret the equations of quantum mechanics, the mathematical theory that has been developed to describe the interactions of elementary particles. The success of this theory is unparalleled: Its predictions, no matter how “spooky,” have been observed and verified with stunning precision. It has also been the basis of remarkable technological advances. So it is a powerful tool. But is it also a picture of reality?
Here, one of the biggest issues is the interpretation of the so-called wave function, which describes the state of a quantum system. For an individual particle like an electron, for example, the wave function provides information about the probabilities that the particle can be observed at particular locations, as well as the probabilities of the results of other measurements of the particle that you can make, such as measuring its momentum.
Does the wave function directly correspond to an objective, observer-independent physical reality, or does it simply represent an observer’s partial knowledge of it?
If the wave function is merely knowledge-based, then you can explain away odd quantum phenomena by saying that things appear to us this way only because our knowledge of the real state of affairs is insufficient. But the new paper in Nature Physics gives strong indications (as a result of experiments using beams of specially prepared photons to test certain statistical properties of quantum measurements) that this is not the case. If there is an objective reality at all, the paper demonstrates, then the wave function is in fact reality-based.
What this research implies is that we are not just hearing different “stories” about the electron, one of which may be true. Rather, there is one true story, but it has many facets, seemingly in contradiction, just like in “Rashomon.” There is really no escape from the mysterious — some might say, mystical — nature of the quantum world.
But what, if anything, does all this mean for us in our own lives? We should be careful to recognize that the weirdness of the quantum world does not directly imply the same kind of weirdness in the world of everyday experience. That’s because the nebulous quantum essence of individual elementary particles is known to quickly dissipate in large ensembles of particles (a phenomenon often referred to as “decoherence”). This is why, in fact, we are able to describe the objects around us in the language of classical physics.
Rather, I suggest that we regard the paradoxes of quantum physics as a metaphor for the unknown infinite possibilities of our own existence. This is poignantly and elegantly expressed in the Vedas: “As is the atom, so is the universe; as is the microcosm, so is the macrocosm; as is the human body, so is the cosmic body; as is the human mind, so is the cosmic mind.”

North Korea bars foreigners from Pyongyang marathon



FILE - In this Oct. 21, 2014 file photo, passengers wait for their luggage upon arrival at the... Read more

TOKYO (AP) — Tightening the screws even further on travel to their already isolated country, North Korean authorities have barred foreigners from one of the year's most popular tourist events — the annual Pyongyang marathon — because of ongoing concerns over the spread of the Ebola virus, travel agencies said Monday.
While no cases of Ebola have been reported anywhere near North Korea, the country shut its doors on foreign tourists in October with some of the strictest Ebola regulations in the world. North Korean media have suggested Ebola was created by the U.S. military as a biological weapon.
Nick Bonner, co-founder of Beijing-based Koryo Tours, said he did not think the decision reflected any deeper problems in the North's secretive and often enigmatic government, though the news comes amid reports leader Kim Jong Un has called for increased combat readiness and, at a meeting of senior party and military leaders, described tensions on the peninsula as graver than ever before.
North Korea has been under increasing pressure from the U.N. over its human rights record and is facing new sanctions from Washington over its alleged involvement in the massive hack attack on Sony Pictures in December. Joint military exercises between the U.S. and South Korea that the North says are a provocation will also begin soon.
Bonner said more than 400 foreign runners had signed up with his agency alone for the event, which is to be held April 12. He said he was informed by officials on Monday that the race — billed as one of the most exotic marathon locales on Earth — would be open only to local runners. Another agency specializing in North Korea travel, Young Pioneer Tours, also confirmed on its website that it was cancelling its tours for the event.
Bonner, speaking with The Associated Press by phone from Beijing, said he remains hopeful the Ebola restrictions will be lifted by the end of next month. Even if they are, however, the restrictions apparently made it too difficult for marathon organizers to be ready in time to deal with the influx of foreign runners, who were allotted 500 slots.
Last year's race through the streets of Pyongyang, including a 10-kilometer (6-mile) competition and a half marathon along with the full course, was opened up to foreign recreational runners for the first time and was a big success. Elite runners from around the world are usually brought in for the main event. Bonner said they apparently won't be allowed in this year.
Known officially as the Mangyongdae Prize International Marathon, the race is sanctioned as a bronze-label event by the International Association of Athletics Federations and has been held annually for 27 years. It is held in conjunction with a series of sporting competitions, arts festivals and cultural events marking the birthday of North Korea's founder, Kim Il Sung, on April 15.
Since the Ebola measures were announced last October, visas for nonessential travel have been halted and, regardless of country or region of origin, all foreigners allowed in are technically subject to quarantine under medical observation for 21 days.
That includes diplomats and international aid workers, though they are allowed to stay in their residences or diplomatic compounds. Even senior North Korean officials returning from trips abroad have been quarantined.
The restrictions have been a disaster for travel agents.
North Korea has made a concerted effort to bolster its tourist trade in recent years by setting up special tourism zones and developing scenic areas and recreational facilities. Tens of thousands of Chinese tourists visit each year, according to Koryo Tours, while tourists from other countries are rarer.
Bonner said the group that had signed up for the marathon this year was the biggest his agency has put together in 10 years, and would have been one of the largest groups ever. North Korea has already informed tour agents that it does not intend to stage another major event this year, the Arirang Mass Games.

North Korea bars foreigners from Pyongyang marathon

TOKYO (AP) — Tightening the screws even further on travel to their already isolated country, North Korean authorities have barred foreigners from one of the year's most popular tourist events — the annual Pyongyang marathon — because of ongoing concerns over the spread of the Ebola virus, travel agencies said Monday.
While no cases of Ebola have been reported anywhere near North Korea, the country shut its doors on foreign tourists in October with some of the strictest Ebola regulations in the world. North Korean media have suggested Ebola was created by the U.S. military as a biological weapon.
Nick Bonner, co-founder of Beijing-based Koryo Tours, said he did not think the decision reflected any deeper problems in the North's secretive and often enigmatic government, though the news comes amid reports leader Kim Jong Un has called for increased combat readiness and, at a meeting of senior party and military leaders, described tensions on the peninsula as graver than ever before.
North Korea has been under increasing pressure from the U.N. over its human rights record and is facing new sanctions from Washington over its alleged involvement in the massive hack attack on Sony Pictures in December. Joint military exercises between the U.S. and South Korea that the North says are a provocation will also begin soon.
Bonner said more than 400 foreign runners had signed up with his agency alone for the event, which is to be held April 12. He said he was informed by officials on Monday that the race — billed as one of the most exotic marathon locales on Earth — would be open only to local runners. Another agency specializing in North Korea travel, Young Pioneer Tours, also confirmed on its website that it was cancelling its tours for the event.
Bonner, speaking with The Associated Press by phone from Beijing, said he remains hopeful the Ebola restrictions will be lifted by the end of next month. Even if they are, however, the restrictions apparently made it too difficult for marathon organizers to be ready in time to deal with the influx of foreign runners, who were allotted 500 slots.
Last year's race through the streets of Pyongyang, including a 10-kilometer (6-mile) competition and a half marathon along with the full course, was opened up to foreign recreational runners for the first time and was a big success. Elite runners from around the world are usually brought in for the main event. Bonner said they apparently won't be allowed in this year.
Known officially as the Mangyongdae Prize International Marathon, the race is sanctioned as a bronze-label event by the International Association of Athletics Federations and has been held annually for 27 years. It is held in conjunction with a series of sporting competitions, arts festivals and cultural events marking the birthday of North Korea's founder, Kim Il Sung, on April 15.
Since the Ebola measures were announced last October, visas for nonessential travel have been halted and, regardless of country or region of origin, all foreigners allowed in are technically subject to quarantine under medical observation for 21 days.
That includes diplomats and international aid workers, though they are allowed to stay in their residences or diplomatic compounds. Even senior North Korean officials returning from trips abroad have been quarantined.
The restrictions have been a disaster for travel agents.
North Korea has made a concerted effort to bolster its tourist trade in recent years by setting up special tourism zones and developing scenic areas and recreational facilities. Tens of thousands of Chinese tourists visit each year, according to Koryo Tours, while tourists from other countries are rarer.
Bonner said the group that had signed up for the marathon this year was the biggest his agency has put together in 10 years, and would have been one of the largest groups ever. North Korea has already informed tour agents that it does not intend to stage another major event this year, the Arirang Mass Games.

Death toll rises to at least 70 in Bangladesh ferry disaster



Bangladeshi rescue workers carry the dead body of one of the victims after a river ferry carrying... Read more


DHAKA, Bangladesh (AP) — The death toll from a weekend ferry disaster in central Bangladesh rose to 70 on Monday in the latest shipping mishap in the South Asian nation.
The official search for more bodies by divers at the accident site was called off late Monday morning after the ferry was brought to the surface and towed to the shore.
A local government administrator, Rasheda Ferdousi, said they would continue to monitor the river around the accident site as there were still "some missing." But he would not give an exact figure for the missing.
"Our people are using boats to survey the river for any dead bodies. But here at the scene we are calling off the search as there are no more bodies inside the ferry," Ferdousi said.
Up to 140 passengers were thought to be on the river ferry when it capsized Sunday afternoon after being hit by a cargo vessel.
The accident happened on the Padma River about 40 kilometers (25 miles) northwest of Dhaka, the capital.
Ferry accidents are common in Bangladesh, which is crisscrossed by more than 130 rivers.
The ferry, the M.L. Mosta, sank in 6 meters (20 feet) under water before a salvage ship pulled it to the surface.
Rescuers recovered 48 bodies on Sunday and another 22 on Monday, according to a police control room at the scene.
Inspector Zihad Mia, who is overseeing the rescue operation, said it was not known how many passengers were missing and how many survived. Ferries in Bangladesh usually do not maintain formal passenger lists.
"We don't have a clear picture about how many were exactly on the ferry when it sank," Mia said. "But I think many have survived."
Jewel Mia, an official from the Bangladesh Inland Water Transport Authority, told reporters at the scene that up to 140 people were on the ferry when it sank.
By Monday morning, police had handed over 58 bodies to their families, said local police chief Mohammaed Rakibuzzman. At least nine were children, he said.
A passenger who survived said many people were trapped inside the ferry when it sank. "The passengers who were on the deck survived, but many who were inside were trapped," Hafizur Rahman Sheikh was quoted as saying by the Prothom Alo newspaper.
Sheikh said the cargo vessel hit the middle of the ferry.
A Ministry of Shipping statement said an investigation had been ordered.
The Padma is one of the largest rivers in Bangladesh, where overcrowding and poor safety standards are often blamed for ferry disasters.
Last August, a ferry with a capacity of 85 passengers was found to be carrying more than 200 when it capsized on the Padma near Dhaka, leaving more than 100 people dead or missing. The ferry's owner was arrested after weeks in hiding on charges of culpable homicide, unauthorized operation and overloading.
At least five people die earlier this month when a ferry sank in southern Bangladesh.

Read more

Frank Schembari

 February 22 at 7:27 PM  

Frank Schembari loves books — printed books. He loves how they smell. He loves scribbling in the margins, underlining interesting sentences, folding a page corner to mark his place.
Schembari is not a retiree who sips tea at Politics and Prose or some other bookstore. He is 20, a junior at American University, and paging through a thick history of Israel between classes, he is evidence of a peculiar irony of the Internet age: Digital natives prefer reading in print.
“I like the feeling of it,” Schembari said, reading under natural light in a campus atrium, his smartphone next to him. “I like holding it. It’s not going off. It’s not making sounds.”
Textbook makers, bookstore owners and college student surveys all say millennials still strongly prefer print for pleasure and learning, a bias that surprises reading experts given the same group’s proclivity to consume most other content digitally. A University of Washington pilot study of digital textbooks found that a quarter of students still bought print versions of e-textbooks that they were given for free.
“These are people who aren’t supposed to remember what it’s like to even smell books,” said Naomi S. Baron, an American University linguist who studies digital communication. “It’s quite astounding.”
Earlier this month, Baron published “Words Onscreen: The Fate of Reading in a Digital World,” a book (hardcover and electronic) that examines university students’ preferences for print and explains the science of why dead-tree versions are often superior to digital. Readers tend to skim on screens, distraction is inevitable and comprehension suffers.
In years of surveys, Baron asked students what they liked least about reading in print. Her favorite response: “It takes me longer because I read more carefully.”
The preference for print over digital can be found at independent bookstores such as the Curious Iguana in downtown Frederick, Md., where owner Marlene England said millennials regularly tell her they prefer print because it’s “easier to follow stories.” Pew studies show the highest print readership rates are among those ages 18 to 29, and the same age group is still using public libraries in large numbers.
It can be seen in the struggle of college textbook makers to shift their businesses to more profitable e-versions. Don Kilburn, North American president for Pearson, the largest publisher in the world and the dominant player in education, said the move to digital “doesn’t look like a revolution right now. It looks like an evolution, and it’s lumpy at best.”
900-plus-page “Democracy in America.”
“I can’t imagine reading Tocqueville or understanding him electronically,” Nordquist said in between classes while checking his e-mail. “That would just be awful.”
Without having read Baron’s book, he offered reasons for his print preference that squared with her findings.
The most important one to him is “building a physical map in my mind of where things are.” Researchers say readers remember the location of information simply by page and text layout — that, say, the key piece of dialogue was on that page early in the book with that one long paragraph and a smudge on the corner. Researchers think this plays a key role in comprehension.
But that is more difficult on screens, primarily because the time we devote to reading online is usually spent scanning and skimming, with few places (or little time) for mental markers. Baron cites research showing readers spend a little more than one minute on Web pages, and only 16 percent of people read word-by-word. That behavior can bleed into reading patterns when trying to tackle even lengthier texts on-screen.
“I don’t absorb as much,” one student told Baron. Another said, “It’s harder to keep your place online.”
Another significant problem, especially for college students, is distraction. The lives of millennials are increasingly lived on screens. In her surveys, Baron writes that she found “jaw-dropping” results to the question of whether students were more likely to multitask in hard copy (1 percent) vs. reading on-screen (90 percent).
Earlier this month, while speaking to sophomores about digital behavior, Baron brought up the problem of paying close attention while studying on-screen.
“You just get so distracted,” one student said. “It’s like if I finish a paragraph, I’ll go on Tumblr, and then three hours later you’re still not done with reading.”
There are quirky, possibly lazy reasons many college students prefer print, too: They like renting textbooks that are already highlighted and have notes in the margins.
While Nordquist called this a crapshoot, Wallis Neff, a sophomore studying journalism, said she was delighted to get a psychology textbook last year that had been “run through the mill a few times.”
“It had a bunch of notes and things, explaining what this versus that was,” she said. “It was very useful.”
When do students say they prefer digital?
For science and math classes, whose electronic textbooks often include access to online portals that help walk them through study problems and monitor their learning. Textbook makers are pushing these “digital learning environments” to make screen learning more attractive.
They prefer them for classes in which locating information quickly is key — there is no control-F in a printed book to quickly find key words.
And they prefer them for cost — particularly when the price is free. The Book Industry Study Group recently found that about a quarter of 1,600 students polled either downloaded or knew someone who downloaded pirated textbooks. Students, it turns out, are not as noble in their reading habits when they need beer money. They become knowledge thieves.
But stealing texts probably is more a reflection on the spiraling cost of higher education — and the price of textbooks, up 82 percent from 2002 to 2012 — than some secret desire of students to read digitally. If price weren’t a factor, Baron’s research shows that students overwhelmingly prefer print. Other studies show similar results.
The problem, Baron writes, is that there has been “pedagogical reboot”where faculty and textbook makers are increasingly pushing their students to digital to help defray costs “with little thought for educational consequences.”
“We need to think more carefully about students’ mounting rejection of long-form reading,” Baron writes.
And that thinking shouldn’t be limited to millennials, Baron said. Around the country, school systems are buying millions of tablets and laptops for classroom use, promising easier textbook updates, lower costs, less back strain from heavy book bags, and more interactivity. But the potential downsides aren’t being considered, she said.
“What’s happening in American education today?” she said. “That’s what I’m concerned about. What’s happening to the American mind?”
When Baron started researching her book on reading, some of her colleagues responded with pity.
“Did I fail to understand that technology marches on?” she writes. “That cars supplanted horses and buggies? That printing replaced handwritten manuscripts, computers replaced typewriters and digital screens were replacing books? Hadn’t I read the statistics on how many eReaders and tablets were being sold? Didn’t I see all those people reading eBooks on their mobile devices? Was I simply unable to adapt?”
But after learning what millennials truly think about print, Baron concluded, “I was roundly vindicated.”

Katmandu, Nepal (AP)

Katmandu, Nepal (AP) - Nepal is improving weather forecasting systems, stepping up warranty and promises ridiculer rescues if needed during the upcoming rise toughen on Everest in pioneer to retrieve from the beat climb hardship on the humans's highest spot antepenultimate gathering.

Fees for organism climbers module also be cut to draw climbers hind.

The principal of Nepal's Mount Division Puspa Raj Katuwal said Mon that the governing will secure that conditions leave be safer for both multinational climbers and Nepali guides, and that a reside with officials gift be deployed at the supposal populate for the three-month rise that begins in Walk.

An descend nighest the illegitimate site finally April killed 16 localised guides and prompted climbers to passionateness the 2014 ascension flavour.

"We are excavation on plans to change the conditions on the mountain this twelvemonth. We are setting up a full-time power tent at the location domicile which faculty person our officials throughout the mounting mollify," Katuwal said.

That would appropriate the officials to apace respond to any difficulty on the 8,850-meter (29,035-foot) mountain. They would also give department, set disputes among climbers and observe the activities of the hundreds of climbers and guides at the store encamp.

Nepali governing has been repeatedly criticized for not having a proximity at the store inhabit and doing too young despite earning jillions in countenance fees.

The land's human windward delivery give supply forecasts for Everest for the officials to freeing at the fundament cantonment. The officials gift also monitor the become of garbage expropriated by climbers downbound the mountain. Left-behind scraps has beautify a difficulty in recent eld.

Katuwal said he was positive that climbers would appearance to Everest, especially because of the slashed allow fees, which faculty outlay $11,000 per parvenu this period for permission to ascent Everest, medico from $25,000.

The moves rise after one of the field expedition associate declared that it was ceasing transaction on the southern side of the limit in Nepal and motion to the northern surface in China.

Adrian Ballinger of California-based Alpenglow Expeditions said their pick was supported on concerns and emotion of the dangers on the dangerous Khumbu Icefall concept of the mounting, where an descend hit the Sherpa guides endure assemblage.

"The try has get truly too major," Ballinger said in a telephone discourse.

He said there were too umteen grouping on the elevation without rise live and that Nepal should human regulations requiring climbers to hump high-altitude have before beingness issued a mounting accept.

The load carried by the porters and guides should also be drastically reduced.

"There is no pauperization for dining tables or heaters at Encamp 2," he said adding there should a highly funded and housebroken deliver group at the support shack to respond when requisite.

Writer than 4,000 climbers bonk scaled Everest but hundreds make died attempting to grow it.

The blind breast

The blind breast cancer detectors


Women being screened for breast cancer in Germany may find themselves in the hands of a blind examiner. The idea has been around for a few years, and unpublished research suggests that it really works - that blind people can in fact detect tumours earlier than their sighted counterparts.
Could blindness help detect breast cancer?
This surprising, yet simple idea came to a German doctor one morning while he was in the shower: would blind women actually do his job a lot better than he does?
"Three minutes is all the time I have to do clinical breast examinations in my practice," says Duisburg-based gynaecologist, Dr Frank Hoffmann.
"That's not enough time to find small lumps in the breast tissue, which is crucial to catching breast cancer early."
People trained to read Braille have a highly developed sense of touch, so Hoffmann guessed that blind and visually-impaired women would be better qualified than anyone else to carry out breast examinations on his patients.
The evidence is now unequivocal, he says.

In an as yet unpublished study carried out with Essen University, blind women are said to have detected nearly a third more lumps than regular gynaecologists.
"Women doing self-examinations can feel tumours which are 2cm and larger," Hoffmann says.
"Doctors usually find tumours between 1cm and 2cm, whereas blind examiners find lumps between 6mm and 8mm. That makes a real difference. That's the time it takes a tumour to spread its cells into the body."
In both Germany and the UK, regular mammograms and screening programmes are only offered to women aged 50 and over - but in both countries it is the biggest killer of women between 40 and 55, and in Germany the age of the women affected is falling.
Hoffmann says he founded his organisation, Discovering Hands, in order to save lives through early detection. He devised a course to train blind women to become Medical Tactile Examiners or MTEs, and there are now 17 working in practices across Germany.
One of them, Filiz Demir, sees about seven women a day, performing examinations which can last up to 45 minutes, which would be unheard of for a gynaecologist.
Just over a year ago Demir was working in a travel agency, but when she turned 35 her sight slowly deteriorated and it became harder and harder to do her job. She quit, retrained and learned Braille but found it impossible to even get invited for job interviews.
"Blindness was always my disability back then," she says.
"I could never work as fast as the others. I was always behind. Now my disability has become my strength. I'm not reliant on anyone and I can help others. It's a great feeling."
Curious to know how Demir and her colleagues work, I decided to have an examination myself.
Using strips of tape marked with co-ordinates in Braille, the MTE makes a grid on the breast. She slowly feels her way along this grid so that wherever she finds a lump she can tell the doctor its exact location.
Demir does an exhaustive examination, but the 30 minutes fly past. It's a calming, relaxed atmosphere, not at all uncomfortable and there's ample opportunity to ask questions.
After seven months in this practice, Demir's clearly relieved to have found mostly benign tumours. Just a few weeks back she found the first malignant one, which shook her a bit.
But it's my turn to be taken aback when she removes the Braille strips and cautiously tells me she's found something.
A lump on each side, in fact.
Had I been a regular patient in the practice, I would have gone into the next room for an ultrasound. Unfortunately, I have to take this information back to my gynaecologist in Berlin where I get a referral for an ultrasound and mammogram.
After a couple of weeks waiting for an appointment, the ultrasound finally shows up nothing. The radiologist tells me it doesn't make sense to do a mammogram - and unhelpfully suggests that the examiner probably just felt a bit of my ribs.
Hoffmann's advice in such a situation is to repeat the MTE check a few weeks later in the first half of the menstrual cycle. If a lump can still be detected by palpitation "a mammography makes sense", he says.
It's exactly this cycle of check-ups which can lead to false alarms, angst and harmful, unnecessary surgery, according to Prof Gerd Gigerenzer, director of the Max Planck Institute for Human Development.

"I know many women who have been frightened by false alarms. Some have a biopsy done, which showed nothing, but they live their lives from one mammogram to the next."
There's little consensus over the benefits of breast screening programmes and whether regular examinations actually save lives. Gigerenzer explicitly warns against them, and does not rejoice at the idea that it's now possible to detect smaller lumps.
"The finer and more precise the diagnostic techniques are, the more clinically irrelevant cancers will be detected," he says.
"This can lead to unnecessary surgery or radiation therapy. In this case, early detection only harms."
The jury, he says, is out on the Discovering Hands method until the team can provide the necessary evidence, proving whether their technique actually reduces mortality.
A study on this is expected to be completed and published later this year.
Meanwhile, one of Hoffmann's patients, Heike Gothe, tells me she owes her life to one of these examiners.
Still grappling with the shock of her husband's untimely death from illness, Gothe took up the helm of the family business, a successful small company exporting internationally. But it wasn't long before she received her own diagnosis.

"I had felt a lump on my right breast and went to see the doctor," Gothe says.
"They confirmed what I'd found and then detected a very small lump on the left, just 2mm in size. It didn't even show up on the ultrasound or mammogram, it was just the blind MTE who felt it."
Finding this remarkably small tumour may well have saved her life. Both tumours were diagnosed as malignant, but with chemotherapy and radiotherapy, she beat the cancer.
Gothe is a fighter but she puts her energy and positivity down to these intensive examinations by an MTE every six months. According to Gothe, that's why she can sleep at night and how she gets out to run her business.
"Fear rears its ugly head every now and then," Gothe says. "And the only way I can deal with it is that I know I'm in good hands."
A handful of German insurance companies are also convinced. Six of them now cover the costs for their patients to have these clinical breast examinations.
While new MTEs take up permanent positions in clinics across Germany and in Austria, the founder of Discovering Hands, Frank Hoffmann, is in talks with Israel and Colombia. He sees opportunities even further afield.
"I'm convinced," he says, "that especially in countries that aren't technically so advanced as Germany - this model could improve the quality of medical standards very dramatically."
line
Gerd Gigerenzer's test

In 2006 and 2007 Gigerenzer gave a series of statistics workshops to gynaecologists, and kicked off every session with the same question:
A 50-year-old woman, no symptoms, participates in routine mammography screening. She tests positive, is alarmed, and wants to know from you whether she has breast cancer for certain or what the chances are. Apart from the screening results, you know nothing else about this woman. How many women who test positive actually have breast cancer? What is the best answer?
  • nine in 10
  • eight in 10
  • one in 10
  • one in 100

Gigerenzer then supplied the doctors with data about Western women of this age. (His figures were based on US studies from the 1990s, rounded up or down for simplicity - recent stats from Britain's National Health Service are slightly different.)
  1. The probability that a woman has breast cancer is 1% ("prevalence")
  2. If a woman has breast cancer, the probability that she tests positive is 90% ("sensitivity")
  3. If a woman does not have breast cancer, the probability that she nevertheless tests positive is 9% ("false alarm rate")
In one session, almost half the gynaecologists said the woman's chance of having cancer was nine in 10. Only 21% said that the figure was one in 10 - which is the correct answer.

Thai pair jailed

Thai pair jailed for insulting monarchy in student play


A Thai court has sentenced a man and a woman to two years and six months in jail each for "damaging the monarchy".
Patiwat Saraiyaem, 23, and Pornthip Munkong, 26, had pleaded guilty to breaking strict lese majeste laws which protect the royals from any insults.
The charges related to a play they performed at a university in 2013.
Thailand's lese majeste laws are the world's strictest, but critics say the military government is increasingly using them to silence dissent.
The two were convicted on one count of lese majeste which carries a maximum sentence of 15 years in prison. The sentence was reduced because both admitted guilt, the judge said.
'Not afraid'
The BBC's Jonathan Head, who is at the court in Bangkok, says the two were handcuffed together on arrival, one wearing leg shackles.
The mother of Pornthip Munkong, an activist who directed the play, was in tears as the sentence was read out.
Pornthip Munkong told reporters ahead of the decision that she was not afraid of going to prison.
The play, called Wolf Bride, was set in a fantasy kingdom and featured a fictional king and his advisor.
It marked the 40th anniversary of a student pro-democracy protest that was crushed by a military regime.
However, the full details have not been widely reported because under the laws media coverage which repeat details of the offense is considered the same as the original statement.
It was performed at Bangkok's Thammasat University in October 2013 while Patiwat Saraiyaem was a student and Pornthip Munkong had recently graduated. The pair were not arrested until the following August and have been held in custody ever since.

Thailand's lese majeste laws
Article 112 of criminal code says anyone who "defames, insults or threatens the king, the queen, the heir-apparent or the regent" will be punished with up to 15 years in prison
Law remained largely unchanged since 1908
Use widened in recent years, snaring academics, journalists, policemen, activists and even a 61-year-old grandfather
                                                                                                                                                    

Human rights groups say there has been a rise in royal defamation cases since the military seized power in a coup in May last year.
Our correspondent says 15 people have been charged with lese majeste since then.
More than 90 cases are being investigated and police are aiming to bring charges in about half of them, he adds.
Recent convictions include a taxi driver jailed for two-and-a-half years after his passenger recorded their conversation.
A student was also sentenced to the same amount of prison time for defaming the monarchy in a Facebook post.
The military has more widely suppressed dissent by detaining opponents, banning protests and censoring the media.
Thailand's King Bhumibol Adulyadej, 87, is given an almost god-like status by many Thais. He has been on the throne for six decades, making him the world's longest serving monarch.

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