Early Warning System For Breast Cancer In Germany – Palpation Examinations By Sight Impaired Specialists

Early Warning System For Breast Cancer In Germany – Palpation Examinations By Sight Impaired Specialists: Each year doctors diagnose 70,000 cases of breast cancer in Germany leading to 17,000 deaths. When identified early most breast cancer can be successfully treated. Blind people are using their highly developed sense of touch to identify tissue changes and help accelerate the diagnosis and treatment of breast cancer.

Breast Tumour From Chris Dugglebys article about Blind Carers Using Tactile Sensitivity to Detect Breast Cancer

This week I would like to share with you another fascinating article that I discovered today in the German language press. If you are new to my Alpine Press site let me explain. One of my passions is to translate interesting news originating in the non English speaking press and share it with a wider international audience. Today I discovered a story about how blind people are turning their highly developed tactile senses to help save the lives of German women who have breast cancer.

While you read why not listen to my album ‘Electro Baroque‘ (all tracks are also available on iTunes using the link here)? Classical music using modern instruments:

or if you prefer to listen to my electro/techno album ‘Studio Valiumm‘ here are the videos (also on iTunes using the link here):

More info about my music is at the dedicated website www.TRANSFORMATES.com

About eight years ago the idea came to gynaecologist, Frank Hoffmann, in the German town of Duisberg, while he was taking his daily shower. In his work as a doctor he had a problem. The structure of the German health insurance system only allowed him three or four minutes to inspect the breasts of his female patients. However he was concerned that this limited amount of time was insufficient to comprehensively identify the lumps and nodules which are typical signs that a patient has breast cancer.

Doctor Performing Palpation Examination
Doctor Performing Palpation Examination

Hoffman’s idea was to try and harness the highly developed tactile senses of blind women to help in the identification of potentially carcinogenic growths in the breasts of female patients. With the help of a friend he was able to identify a number of local blind ladies who because of their visual impairment were unemployed and, not surprisingly, pretty depressed about their predicament.  He founded the organisation “Discovering Hands” with the aim of training blind women as Palpation (or Touch) Examiners (my translation from the German ‘Tastuntersucherinnin‘).

Local authorities, including the Body for Vocational Advancement (Berufsförderungswerk), the Ministry of Health and the Regional Medical Association, were fully supportive of Hoffman’s idea and official examination’s were put in place for the qualification of Palpation Examiner. This meant, for example, that blind students could formally learn about the relationship between the lymph nodes and the breasts, and understand what scirrhous carcinoma’s, fibroids and cysts are. They also learn important ‘professional’ skills required by medical carers such as managing their facial expressions in front of a patient when they discover what they believe to be a growth.

Often Tactile Examinations (Palpation) Provide The First Indication Of An Underlying Tumour In The Breast
Often Tactile Examinations (Palpation) Provide The First Indication Of An Underlying Tumour In The Breast

Dr Hoffman believes it is important for carers and patients to understand that the discovery of a potential growth in a breast should not be treated as a death sentence. The critical success factor when treating breast cancer is how early the discovery is made: “If a tumour is identified before it becomes malignant the chance of successful treatment is over 90%“. He has been amazed by the level of sensitivity and accuracy demonstrated by the blind Palpation Examiners – often they identify an ‘occurrence’ on a patient’s breast that he himself is unable to find. These occurrences are then usually proven to be correct with an ultra-scan examination.

Generally in a routine examination a doctor will be able to identify tumours that are greater than 1.5-2.0 cm in diameter. The blind Palpation Examiners can typically find lumps as small as 0.6-0.8 cm in diameter. This leads to a quicker confirmation of the presence of a tumour and therefore a greater chance for the patient to receive successful therapy. These visually impaired ladies are playing a key role in saving patient’s lives.

A Schematic Illustration Of Breast And Lymph Node Tumours
A Schematic Illustration Of Breast And Lymph Node Tumours

A typical Palpation Examination of the breast area by one of these qualified blind carers takes about 50 minutes. Before each session the examiner attaches patented orientation strips which have text written on them in Braille. These strips divide the breast into defined areas which help the blind palpation examiner to document the precise location of any tissue changes she identifies. This provides the doctor with a clear diagram illustrating the areas requiring more detailed medical investigation.

The palpation examiners are not allowed to provide a diagnosis. This can only be given by a qualified doctor. When asked – these examiners are clear they do not identify cancer or tumours in their patients they simply are looking for changes in the tissue composition. Such changes may be lumps or nodules. It is these changes which, following further professional medical investigation, may be confirmed to be cancerous. However their key role as part of the early warning system for this killer illness should not be underestimated. These ladies, themselves, have severe personal sensory impairments but these very impairments have allowed them to develop their other senses to such a degree that they are now able to give the gift of health and life to others.

Chris Duggleby

German visitors my Health Risk Knowledge Online (RISKKO) site can find more details about this subject (in German) from an excellent article by Thorsten Schmitz in the Süddeutschezeitung using the link here.

Some Symptoms Of Breast Cancer
Some Symptoms Of Breast Cancer

If you found this article interesting please consider taking a look at some of his other recent reports on similar subjects.

Just click on the titles below:

…starting with some more serious stuff…

28th Feb 2017: Vaccinations Cause Children to Masturbate, as well as Dyslexia, Autism, Sleep Disorders and Brain Tumours

3rd Feb 2016 Zika Infection Spread By Sex In Dallas – Earlier Sexual Transmission In Colorado – Detailed Symptoms 

1st Feb 2016 Sexual Competition Between Women – Ovulation Can Be Seen In The Face

31st Jan 2016  Bed Bugs – Insecticide Resistance – Arbovirus Transmission – Zika and Microcephy

19th Jan 2016 ZIKA Virus Epidemic  – Health Warning – Pregnant women should postpone travel to affected areas – Including Brazil 

17th Jan 2016 Bubonic Plague Special – Lice – Hosts for The Black Death Bug

13th Jan 2016 Kill Head Lice In A Day With The Newly Developed Plasma Nitcomb From The German Fraunhofer Institute

8th Jan 2016 Cancer from Handbags, Shoes and Gloves – Allergic Reactions to Jewellery – German Institute Identifies Excessive Chromium 6 and Nickel Levels

26th July 2015 Poison in your Washing Machine: Allergic Contact Dermatitis from Laundry Detergents, Softeners, Conditioners and Whiteners

17th October 2015: Health Risk: Vitamin and antioxidant supplements help cancer cells become malignant – latest research from Texas

31st May 2015: German Concern about Potentially Carcinogenic Aromatic Hydrocarbons in Cosmetics  

29th December 2012: Spreading diarrhea and vomit through the washing machine– The Norovirus propagator in our kitchen

and here are some fun reports…

21st June 2015: Bio-undies: Guilt free Passion with ‘Easy Emma’ and ‘Loose Harry’and Getting Rid of Garden Snails with Rent-a-Duck

4th March 2015: Hamburg Reeperbahn (St. Pauli): Germans install walls that urinate on passers-by

17th April 2014: Niche On-line Dating Services (Specialities: Herpes, Thrush and Genital Warts)

18th March 2014: Germany and Finland Joint Investigation: New Case of Sexual Cannibalism Including Self-mutilation (Castration) During Intercourse.

18th August 2012: How Bavarians and Austrians use their middle finger – Fingerhakeln: a men-only sport (did Arnold Schwarzenegger start training this way?).

You can also find some of my more humorous reports in the Alpine Press section of this site using the link here.

Advertisements

What Are The Symptoms Of Zika After Sex? – Case History From a Couple In Colorado USA

What Are The Symptoms Of Zika After Sex? – Case History From Colorado USA Health Authorities in Dallas reported yesterday a case of Zika being spread through sexual intercourse. There was a well documented earlier US example of this virus being passed on to a partner through sex. details of this Colorado case with detailed symptoms provided in this report.

Kobylinski, Foy, collecting mosquitoes in Senegal with Massamba Sylla (courtesy of Brian Foy)
Kobylinski (left) and Foy (right) prior to showing symptoms of Zika, collecting mosquitoes in Senegal with Massamba Sylla (courtesy of Brian Foy)

Yesterday the US CDC (Centres For Disease Control and Prevention) rapidly issued recommendations urging the use of condoms to prevent the spread of the Zika virus through sexual intercourse. This followed a report from the Dallas Health Authorities who had been tracking the case of a person having returned from Venezuela a couple of weeks ago. They believe the person was infected with Zika by a mosquito while staying in Venezuela. Following their return to Dallas the person had sex with a second person who soon started to show ‘flu like’ symptoms.

While you read the following article why not listen to my e-baroque compositions – just click on the box below:

or if techno music is more your cup of tea here are my techno/ambient compositions:

I hope you find the article below interesting…please visit chrisduggleby.com again.

This second person, who had not been outside of the Dallas area, went to their doctor who decided to have blood samples checked for possible causes. After two weeks of testing the CDC were able to rule out other possible viruses, including dengue and chikungunya. They confirmed however that Zika was present in samples from both individuals. Mosquito testing around the couple’s home confirmed that there were no mosquitoes of the type that transmits Zika (Aedes). In addition there are very few mosquitos at this time of year in the vicinity of the residence.

Zika Transmitting Mosquito Aedes aegypti
Zika Transmitting Mosquito Aedes aegypti

As I reported in my article about Zika on January 19th 2016 (link below)….

19th Jan 2016 ZIKA – Which Countries to Avoid? – Where is Risk highest in USA? – Microcephaly link

….there have been earlier reports of sexual transmission of the Zika virus in the USA.

In this earlier case the victims were a professional biologist and his wife who wrote up their experiences in a scientific paper in May 2011. The biologist, Brian Foy of Colorado State University in Fort Collins, had been working in Senegal in 2008 at the same time that the (then) rather obscure Zika pathogen was also present. Upon his return home to Dallas he engaged in sexual intercourse with his wife Joy Chilson Foy. Joy Chilson Foy a local nurse, was also a co-author in the scientific paper published 3 years later, and had not left the USA since 2007 (and had never been to Africa or Asia where Zika was then known to be present).

Rash on Back of Joy Chilson Foy After Sex With Zika Infected Husband in 2008
Rash on Back of Joy Chilson Foy After Sex With Zika Infected Husband in 2008

Brian Foy was involved in a mosquito gathering project in Senegal and was bitten several times in his short stay by the Aedes mosquito which is the main vector of the Zika virus. He returned home to Northern Colorado on August 24th 2008. Within 5 days of his return he and a colleague developed symptoms typical of a Zika infection but not until after he had engaged in sex with his wife. The report describes that the ‘vaginal sexual intercourse’ took place before he had symptoms of the disease.

The symptoms Brian Foy exhibited from August 30th were a rash on his torso, extreme fatigue, headaches, and swollen and painful wrists, knees, and ankles. He did not have fever. He also had symptoms of prostatitis: painful urination and blood in his semen (called hematospermia – a red–brown fluid in the ejaculate that came out of his penis). His wife developed symptoms from September 3rd including malaise, chills, extreme headache, photophobia, and muscle pain that continued until September 6. She also did not have fever but developed a rash on her back from September 7th (see picture above).

Aphthous lip ulcer
Typical Aphthous lip ulcer on the inside of the mouth

In addition Brian Foy developed two aphthous ulcers on his lips on September 2nd and his wife developed a similar ulcer on the inside of her lip on September 7th. Both patients also exhibited joint pains and Joy Chilson Foy had conjunctivitis (see picture below) from September 8th. None of their four children exhibited any of the syptoms typical of a Zika infection during this period.

Aphthous ulcer 2 on lip
Typical Aphthous ulcer on the lip

One of the reasons it took until 2011 to publish the results of this sexual activity in 2008 was the uncertainty about the cause of the symptoms. It was a chance meeting of Foy’s PhD student Kevin Kobylinski (on the left in the picture above) with entomologist Andrew Haddow on another trip to Senegal that set the scientists on the scent of Zika. Haddow’s grandfather was one of the scientists that isolated the virus in the Zika forest of Uganda in 1947 and he pointed out that the symptoms described above were typical of this disease.

Kobylinski who had had similar symptoms to Foy when they both returned from Senegal explained Haddow’s suggestion to him and they sent the samples they had kept since September 2008 (in the freezer) to Haddow for testing. He was able to confirm the presence of Zika.

Eye with viral conjunctivitis
Eye with viral conjunctivitis

Although the evidence that Foy transmitted the virus to his wife through sex was not direct the circumstantial evidence was very strong. She was unlikely to have been infected by an aedes mosquito because they were not present on Northern Colorado. In addition it takes the virus two weeks to complete its life cycle in a mosquito before it can reinfect another human being. However Foy’s wife showed symptoms just 9 days after those of her husband..The fact ttat they had sex together is clearly documented in the 2011 research paper (the link to the original paper by is here – Foy BD, Kobylinski KC, Foy JLC, Blitvich BJ, Travassos da Rosa A, Haddow AD, et al. Probable non–vector-borne transmission of Zika virus, Colorado, USA. Emerg Infect Dis 2011 May; 17(5): 880–882).

Together with its growing link to microcephaly (reduced skull and brain size in newborns) I think we will be hearing a lot more about the risks of sex with people from Zika areas in the near future. Here is a current map of those area were Zika is present:

CDC's Zika World Map 15 Jan 2016
CDC’s Zika World Map 15 Jan 2016

This development shows how important it is to think outside of the box when trying to combat dangerous infectious disease epidemics. The story above details the first published example of an insect born arbovirus being transmitted between humans by sex. With this in mind you might also be interested in my article about the importance of identifying whether bed bugs could aso have a role in the transmission of arboviruses like Zika. Here‘s the link:

 Bed Bugs – Insecticide Resistance – Arbovirus Transmission – Zika and Microcephaly

One final comment – Yesterday the American Red Cross appealed to prospective donors who have visited Zika outbreak zones to wait at least 28 days before giving blood. It said risks of transmitting the virus through blood donations remained “extremely” low in the continental United States (info from Reuters).

Chris Duggleby

Caution Advised before having Sex With People From High Risk Zika Areas - Aedes mosquito distribution maps US
Caution Advised before having Sex With People From High Risk Zika Areas – Aedes mosquito distribution maps US

Chris Duggleby started his scientific career studying Bacteriology, Virology and Immunology at the Manchester University Medical School. From there he went on to spend over 35 in the chemicals and oil industries which included setting up a polymers research and development group in Geneva, Switzerland for a major international chemicals company. Following an MBA from Warwick University he went on to lead a number of international manufacturing and marketing operations in the Chemicals, Plastics and Oil industries. This included being the founding President of Formosa BP Chemicals Corporation in Asia. His work involved living and working in Europe, Asia, the USA, the Middle East, and Russia. More recently he was invited to take on a senior leadership position in the Audit Department of the BP International Oil Group. Here he used his global change and risk management experience to help the group reshape its management structures and processes following a major environmental disaster in the Gulf of Mexico. He has now retired to focus on writing about risk management and producing music in his studios near London, in the Alps and Cape Town. If you are interested in risk management check out his RiskTuition.com or BizChangers.com (management of change) sites. He has also recently launched the JointVentureRisk.com site.

If you found this article interesting please consider taking a look at some of his other recent reports on similar subjects.

Just click on the titles below:

…starting with some more serious stuff…

28th Feb 2017: Vaccinations Cause Children to Masturbate, as well as Dyslexia, Autism, Sleep Disorders and Brain Tumours

1st Feb 2016 Sexual Competition Between Women – Ovulation Can Be Seen In The Face

31st Jan 2016  Bed Bugs – Insecticide Resistance – Arbovirus Transmission – Zika and Microceph

19th Jan 2016 ZIKA Virus Epidemic  – Health Warning – Pregnant women should postpone travel to affected areas – Including Brazil 

17th Jan 2016 Bubonic Plague Special – Lice – Hosts for The Black Death Bug

13th Jan 2016 Kill Head Lice In A Day With The Newly Developed Plasma Nitcomb From The German Fraunhofer Institute

8th Jan 2016 Cancer from Handbags, Shoes and Gloves – Allergic Reactions to Jewellery – German Institute Identifies Excessive Chromium 6 and Nickel Levels

13th December 2015 Health Risk – Potential Carcinogens Found in Advent Calendar Chocolates – German Investigation

26th July 2015 Poison in your Washing Machine: Allergic Contact Dermatitis from Laundry Detergents, Softeners, Conditioners and Whiteners

25th October 2015: Health Risks: Food allergy prevention – Latest research ‘feed infants early with allergenic food

17th October 2015: Health Risk: Vitamin and antioxidant supplements help cancer cells become malignant – latest research from Texas

31st May 2015: German Concern about Potentially Carcinogenic Aromatic Hydrocarbons in Cosmetics  

11th May 2014: Product Development Risk: New Air Conditioning Coolant Gas Produces Carbonyl Difluoride (Highly Toxic – Related to WW1 Gas Phosgene) in Vehicle Fires

16th April 2014: Ethical Pricing: Same Drug – For Leukaemia 21 Euro (Now Withdrawn) – For Multiple Sclerosis 888 Euro

6th April 2014: Product Quality Risk: Shoes Sold On-line By Zalando Recalled Due To Chromium 6 Contamination – Known Allergen And Carcinogen

29th December 2012: Spreading diarrhea and vomit through the washing machine– The Norovirus propagator in our kitchen

and here are some fun reports…

21st June 2015: Bio-undies: Guilt free Passion with ‘Easy Emma’ and ‘Loose Harry’and Getting Rid of Garden Snails with Rent-a-Duck

4th March 2015: Hamburg Reeperbahn (St. Pauli): Germans install walls that urinate on passers-by

19th April 2014: German Police Catch Hedgehogs Testing Home Made Crash Helmets in Saarbrücken

17th April 2014: Niche On-line Dating Services (Specialities: Herpes, Thrush and Genital Warts)

18th March 2014: Germany and Finland Joint Investigation: New Case of Sexual Cannibalism Including Self-mutilation (Castration) During Intercourse.

18th August 2012: How Bavarians and Austrians use their middle finger – Fingerhakeln: a men-only sport (did Arnold Schwarzenegger start training this way?).

You can also find some of my more humorous reports in the Alpine Press section of this site using the link here.

Sexual Competition Between Women – Ovulation Can Be Seen In The Face

Sexual Competition Between Women – Ovulation Can Be Seen In The Face: A new piece of research investigates how women respond to cues in the faces of other women at different phases in their ovulation cycle. The participants did not find the faces of ovulating women more attractive but they could distinguish those at the peak of their monthly fertility: Their Sexual Competitors.

Facial Cues to Ovulation in Women (Photo: Lobmaier, Bobst and Probst)
Facial Cues to Ovulation in Women (Photo: Lobmaier, Bobst and Probst)

The ovulation period in a woman’s monthly cycle is a very important time for sexual competition. This is when a mature egg is released from the woman’s ovary and travels down her fallopian tube to be in place to receive the sperm delivered during sex and thus become fertilized.

While you read why not listen to my album ‘Electro Baroque‘ (all tracks are also available on iTunes using the link here)? Classical music using modern instruments:

or if you prefer to listen to my electro/techno album ‘Studio Valiumm‘ here are the videos (also on iTunes using the link here):

More info about my music is at the dedicated website www.TRANSFORMATES.com

In the past research has indicated that men find the faces of ovulatory women more attractive than women in the non-ovulatory phases of their monthly cycle. From an evolutionary perspective this is important for men because this is the time when a woman is most likely to conceive. By becoming pregnant she will help her mate ensure his genes are passed onto the next generation.

Facial ovulation clues are key to male female sexual attraction
Facial ovulation clues are key to male female sexual attraction

Clues to ovulation in a woman can be very subtle. Scientific articles have reported that women dance, walk, sound, smell and look more attractive during this highly fertile part of their monthly cycle. Most of these studies have focused on how ovulating women are perceived by men. Clearly there has been a direct biological advantage for men who preferentially have sex with women when they are fertile.

In the past few days research has been published which examines how women respond to the facial cues of other women during ovulation. This research was published on  26th January 2016 in the Royal Society’s Biology Letters (the link is here). The authors (Janek S. Lobmaier, Cora Bobst and Fabian Probst) were interested to understand how these cues might influence the women’s awareness of potential sexual competition for their partners from other women. When these ‘other women’ are highly fertile (ovulating) this could be seen biologically as a dangerous time – with a high risk of partner loss.

External clues of internal sexual processes are key to evolutionary success
External clues of internal sexual processes are key to evolutionary success

The researchers presented women with pictures of other women who were either in the ovulation period (and therefore highly fertile) or where in the ‘in-between’ non-fertile period. They asked the women to rate the pictures, first in terms of their attractiveness, and secondly in terms of  the potential risk that the woman in the picture would steal their partner (the sexual ‘competitor’ risk).

Generally the women did not identify a difference in the attractiveness of the faces of ovulating or non-ovulating women (unlike the views of men involved in earlier studies). However they did find that women could identify from the facial cues which women in the pictures posed a threat of stealing their partners. These were the pictures of women who were ovulating and therefore more likely to become pregnant if engaged in intercourse in the very near future. Specifically the women who were most sensitive to these cues where those who themselves were not currently in their ‘fertile’ period but likely to enter it soon (as measured by their sexual hormone levels).

Simply attractive or perhaps ovulating ? - Ask your wife
Simply attractive or perhaps ovulating ? – Ask your wife

Of course we males also have a few tricks up our sleeves to try and entice the ladies to be receptive to our advances. In the video below is a little example straight from my studios in Africa in which my local tribal choir present their fertility dance. Enjoy!

Chris Duggleby

 

Woman Walk, Dance, Sound, Smell and Look Differently When They Are Ovulating
Woman Walk, Dance, Sound, Smell and Look Differently When They Are Ovulating

If you found this article interesting please consider taking a look at some of my other recent reports on similar subjects.

Just click on the titles below:

…starting with some more serious stuff…

28th Feb 2017: Vaccinations Cause Children to Masturbate, as well as Dyslexia, Autism, Sleep Disorders and Brain Tumours

31st Jan 2016 Bed Bugs – Insecticide Resistance – Arbovirus Transmission – Zika and Microcephaly

19th Jan 2016 ZIKA Virus Epidemic  – Health Warning – Pregnant women should postpone travel to affected areas – Including Brazil 

17th Jan 2016 Bubonic Plague Special – Lice – Hosts for The Black Death Bug

13th Jan 2016 Kill Head Lice In A Day With The Newly Developed Plasma Nitcomb From The German Fraunhofer Institute

8th Jan 2016 Cancer from Handbags, Shoes and Gloves – Allergic Reactions to Jewellery – German Institute Identifies Excessive Chromium 6 and Nickel Levels

13th December 2015 Health Risk – Potential Carcinogens Found in Advent Calendar Chocolates – German Investigation

26th July 2015 Poison in your Washing Machine: Allergic Contact Dermatitis from Laundry Detergents, Softeners, Conditioners and Whiteners

25th October 2015: Health Risks: Food allergy prevention – Latest research ‘feed infants early with allergenic food

17th October 2015: Health Risk: Vitamin and antioxidant supplements help cancer cells become malignant – latest research from Texas

31st May 2015: German Concern about Potentially Carcinogenic Aromatic Hydrocarbons in Cosmetics  

11th May 2014: Product Development Risk: New Air Conditioning Coolant Gas Produces Carbonyl Difluoride (Highly Toxic – Related to WW1 Gas Phosgene) in Vehicle Fires

16th April 2014: Ethical Pricing: Same Drug – For Leukaemia 21 Euro (Now Withdrawn) – For Multiple Sclerosis 888 Euro

6th April 2014: Product Quality Risk: Shoes Sold On-line By Zalando Recalled Due To Chromium 6 Contamination – Known Allergen And Carcinogen

29th December 2012: Spreading diarrhea and vomit through the washing machine– The Norovirus propagator in our kitchen

and here are some fun reports…

21st June 2015: Bio-undies: Guilt free Passion with ‘Easy Emma’ and ‘Loose Harry’and Getting Rid of Garden Snails with Rent-a-Duck

4th March 2015: Hamburg Reeperbahn (St. Pauli): Germans install walls that urinate on passers-by

19th April 2014: German Police Catch Hedgehogs Testing Home Made Crash Helmets in Saarbrücken

17th April 2014: Niche On-line Dating Services (Specialities: Herpes, Thrush and Genital Warts)

18th March 2014: Germany and Finland Joint Investigation: New Case of Sexual Cannibalism Including Self-mutilation (Castration) During Intercourse.

18th August 2012: How Bavarians and Austrians use their middle finger – Fingerhakeln: a men-only sport (did Arnold Schwarzenegger start training this way?).

You can also find some of my more humorous reports in the Alpine Press section of this site using the link here.