which of those are big changes and most start with small steps global ideas tell stories of creative people and innovative projects around the world like news has protect the climate news to green energy solutions and reforestation. they create interactive content teaching the next generation about environmental protection and were determined to build something here for the next generation global ideas the multimedia environment series on d.w. . welcome to in good shape coming up this week pancreatitis and inflammation that can quickly turn life threatening. the power of sport why exercise keeps you young.

and aroma therapy tapping into healing processes with said. hello and welcome to in good shape today from the german red cross clinics in berlin with that. smell so good smells can really make you happy and they can even make you healthy this is what scientists have figured out. 9 sense can help you relax improve your mood or have a stimulating effect and they might be able to do much much more. in it's a whole clinic in northern germany aroma therapy is even used in the intensive care unit and to be of employes natural sense like lavender aren't and cedar the results she achieves are significant. because it's a vinatieri here in the clinic we use essential oils in past. and hot compresses or

rubs hand and smelling so. when patients feel nauseous have a headache or just feel poorly so. one to be a vomit has set up a scent diffuser in the waiting room. she says it makes patients and staff feel better. or use essential oils like cde or orange to take away patients fear but also to lift the mood among staff and it's been really successful we've had very positive experiences. but sense might be able to achieve much more according to the center researcher hans hot he made a groundbreaking discovery. we were the 1st to show that the all factory receptors found in the nose are also located throughout the body in every organ in lung tissue in the digestive tract and in the skin of. the how different types of cells

react to different scents thought him all for example the scent of time appears to stimulate the bowels which has many family receptors and sandal or the scent of sandal wood seems to induce wound healing by accelerating the division of skin cells. when the researchers examined cancer cells looking for olfactory receptors they made another exciting discovery cancer cells have up to $10000.00 times more scent receptor than healthy cells. some even stopped growing when they were exposed to certain sense now the researchers want to find out which particular tumors react to which particular substances. we're looking at lung cancer cancer colon melanoma breast cancer. we found specific all factory receptors in large numbers and we're trying to activate them. does this go with us with it maybe in 10

years time it could hopefully provide us with the opportunity to influence tumor growth via these new receptors to and on. into motor listen but there's still a long way to go and just sniffing particular sense won't cure cancer. a supposition garlic this is not about smelling if you want to use these substances as part of a cancer treatment you'd have to transport the sent via medication or injections directly to the cancerous tissue in order to reach the necessary concentration secrets that you want to. but to enjoy the simple pleasures of aroma therapy at home just add a few drops of our enjoy lore common lavender oil to milk salt or sugar and put them in your bath water. inhale deeply and letters sent to its work.

over on the therapy against cancer that sounds novel but perhaps there is a chance that we can treat cancer we cannot treat otherwise like for instance pancreatic cancer patrick swayze and steve jobs celebrity victims of pancreatic cancer how to treat this tumor and how the chances of survival are this is what i'm going to talk about with dr and bring us down. the pan cross a small organ that can often cause great problems. it live right here between your liver entier spleen your pancreatic gland usually you don't feel it that it becomes diseased it might be life threatening.

long lost cause a maria segal and her husband feel as if they've got their life back for almost 6 months things were turned upside down after who was a maria developed life threatening complications as a result of cool stones. she suddenly experienced of ear pain collapsed and lost consciousness she had to be helicoptered to hospital. and sound revealed that she was suffering from an acute inflammation of the pancreas the likely cause a trap gallstone. the gallstone is trapped and ends up in the area around the opening of the intestine. we can see that here in the image. stone travels through the bile duct up to where it opens into the do odd number but then gets lodged there of the opening of the pen create a conduct is located in the same area so then that duct which releases pancreatic

juice to a digestion when it's unable to drain that causes pressure to build up in the pancreas that activates the digestive enzymes in the pancreas and it begins to digest itself. was in maria was immediately given medication and then the goldstone was removed by keyhole surgery the doctors hoped that would be enough for her pancreatitis inflammation of the pancreas to disappear. and pancreatitis is usually relatively miles and can be treated with fasting rest and an infusion coupled with an appropriate pain therapy. demise of most cases run their course within $7.00 to $10.00 days. but that didn't happen with was a murderer. she suffered organ failure and only survived because she was swiftly

resuscitated. pancreatitis and its acute form means that various organs can no longer adequately fulfil their function of course that leads to circulatory failure mung failure and also kidney failure as was the case with ms seeker. her condition remained critical for weeks on end she and her husband began to fear the worst. ultimately her doctors decided to open her abdominal cavity to remove dying or inflamed tissue it was a risky operation with an uncertain outcome. was a marine was lucky the operation was successful and after all the pain and setbacks her condition stabilised. now one year on she's back on her feet again her gold ladder has been removed to prevent the pancreatitis

recurring. and she feels almost as fit as she did before her severe illness. i'm here in the german red cross clinics in berlin west end in the department for gastroenterology and meeting dr and the storm he's head of the department of gastroenterology and she you know everything about the pancreas thanks for having me today so how dangerous is patrick titus figured out is can be very dangerous you know behind every most cases it's not serious but however in 10 to 15 percent you know it develop necrosis and abscess us which might lead in 0.5 to one percent of the death of a patient unfortunately to understand all the dangers about pancreatitis what does the pancreas actually do it's a very important orgon. somewhere hidden in the op domon the front part of the pen

cross is producing any science which we need just off the back part is producing insulin which we need to digest and reduce or sugar levels so one of the main causes for intra tightness the main course the god-stone switch occluding the common bill doctor which is connected to the pancreas duct so whenever the stones we try to get them out we have. instruments to go in the come and go back and pull the stones out of in the small of the ball to release a patient from historians on the other hand side if it's a chronic alcoholism related pancreatitis. a cult sophistications the duct is a crude it buys inflammation so we go in and have little stands here as you can see during august which are opening the pancreas duct to allow the fluid to come out so it's very very painful that is pain the leading symptom indeed pain is the reason my patients come close emergency or are calling the ambulance it's very very

severe pain in the dome and you know in some patients think it's him you're caught in fog however we can distinguish between the heart in the pen koreas and can lead to a patient to the right treatment and how do you treat it that in most cases we cannot stop the out to digestion of the pancreas there's no medication for that unfortunately so we give the patients nothing postes we arrest the pancreas we give them a lot of fluid and pain medication and usually after 5 to 7 days to pain chris inflammation results however on the other side you know if digestion is very severe the whole organ starts to digest themself and they close as an abscess as a consequences then we are going through the stomach was our endoscopes and removing gets the abscess in the crow's us to release inflammation out of the up don't. ziska can be dangerous what happens when the tide is get strong. this is

a problem because of patients are complaining or constant pain this pain can be very very severe and the life quality of those patients is low on the other hand side the ability of a patient to digest food is decreased because the organ is not working well enough so the patient is losing weight as shooter amount of stool and chronic abdominal pain go in the back because this is a critical sign for chronic bankrupt titus and it is a danger for getting cancer pink or create a cancer of course if you are bothering and or gone always and constantly going to the cells can change which can lead to a cancer in the fears of loads of 5 to 10 percent however you need regular cat scans an m.r.i. to be sure that the chronic pain credit is as not let to. counsel people are terribly scared about pain created cancer because often it means death but right

now and there is a lot of treatments which can prove life. see how terrible pains in his back he went to the doctor several times to find out why and get the problem treated. at 1st no one thought that my back pain could have anything to do with inner organs or. doctors at the local hospital thought the problem was the spine time passed and still no guess the cause might be print create accounts. it was only one spot that went for a 2nd opinion to the university hospital in heidelberg the to correct diagnosis was made. a c.t. scan revealed a chimera in his pancreas. the pancreas is a glandular organ placated deep in the up terminal cavity behind the left. stomach . it's well hidden achievement that can easily remain undetected the most common

kind of pancreatic cancer is aggressive growth and spreads quickly. once the cima graze beyond the bounds of the organ it can no longer be completely removed surgically. they told me straight out. they said without treatment you can expect to live another 36 months 6 months it's. a frightening diagnosis but recent advances have significantly improved treatment options for pancreatic cancer a new cocktail of 3 agents have made chemotherapy more effective. chemo now shrinks the tumor in 50 to 60 percent of our patients already does it inactive so that we can then operate. as it turned out that had already metastasized there was another chuma in his never. so he was 1st prescribed

chemotherapy. he was fortunate chemo was effective. before long the doctors felt confident about an operation after the surgery he was also given a blast of radiation directed at the tissue surrounding the area where the cima had grown. patient open abdomen is positioned under this device the advantage is that there's nothing in the way the radiation targets that human bad without damaging delicate structures along the way and we can deliver high dose. chemotherapy plus surgery plus radiation currently mean 2 more years of life on average 20 percent of patients survive 5 years. cancer often comes back in the same spot or in the liver or para to me i'm. a lot of research is being conducted into the disease. one approach to improving survival rates or even curing it involves taking cheema tissue during surgery and growing

a cell culture chuma cells differ from patient to patient in the lab different drugs can be tried out on the samples to see which of the most effective for a particular chuma. peters both we see the future of therapy for pancreatic cancer and customization that means optimizing it for each individual patients and tumor finding the most effective treatment option up here up to when i was through there should suffer a relapse that kind of customization might improve his chances of survival but today at least things are looking good for him. you know it's been 2 years now and today's c.t. scan was clear there's no indication the tumour has come back so we can all be very pleased with this and will continue to monitor your condition. for the longest and let's hope that we've beaten the cancer. the months of chemo what tough

but now back marcy feels good again. he's back at work full time and he says cancer has changed the way he thinks about life. and money comes under the belief for it. that i have a very different perspective in next that instead of thinking about what i might do in 10 years time unleashed i now say no i'm not waiting i'm going to do it right now. the priority is to live life in the present and take the lead. how often does this cancer occur in germany about 20000 patients are newly diagnosed with spankers cancer female a little bit more than meal and the diagnosis of pancreatic cancer causes a lot of fear like that. cancer is very dangerous unfortunately is detected very

latest so in most cases the papers can not be operated anymore with us cases in the liver and the lymph nodes are preventing a complete resection of the pain cross cancer which is necessary to heal the patient and that's what makes this cancer so aggressive 1st of all the cells are dressed very early spreading and they're costing method status as i mentioned on the other hand side symptoms such as weight loss or john dies very late in the disease course and when this of course the cancer is often so far advanced that it cannot be resected anymore so early detection would be great but actually there are no methods for that so why yes. of course if you would perform a cat scan you would see the cancer but the reason for perform one are clearly could some tips was naaman i trust sound the pancreas is not very well it seems air is preventing a very good observation of the organ so even if there is

a bit of cancer it is usually not seen by your treating physician and how they're any early signs that the patient could suspect that there's been created cancer whenever this weight loss or change of the color of the stool is going to be more light or the changing of the color of the urine it's getting dark or if your skin is itching or if you see a little bit yellow in your eyes it's time to go to see a doctor or to the emergency care and check for your pancreas and what is the optimal therapy. therapy is a complete. the resection the surgeons are taking the cancer out and hopefully every cell after they complete resection we are performing chemotherapy to destroy all remaining cells which are circulating in the body but this aggressive surgeries often the possible surgeons can take the whole gland out why. on that area we as a pancreas a lot of restaurants are on the one hand side there's

a liver the huge vessels and there's also the small bowel so if you want to take the complete pancreas cancer out very often you have to take so many other organs out so this is not compatible with your life came into the void it could be prevented we know that we assume that smoking and constant consume are triggering inflammation off the pancreas in eating then in some cases just to pay interest cancer however there is not a very good way to avoid it other than a normal and good healthy lifestyle and this is good for everyone so if we 2 would meet in say 10 years time and have a little chit chat could you say something more positive about pay grade with kids are they hope i hope we have better methods through detected pancreas cancer earlier we also hope that chemotherapy and peabody therapy is improving so the idea to destroy or to kill all circulating pancreas cancer will hopefully improve the life expectancy of our patients thanks so much for this talk and if you've got any

questions you like me to ask our experts be sure to write me an e-mail. on an upcoming show we'll be looking at top enough everyone wants to be happy but how can we make it happen is there happiness formula sending your questions to you in good shape but. don't forget to write happiness in the subject line. we look forward to hearing from you. know that stronger. attention from the brain to the body doctors have long known that exercise is a key to good health and evidence of its importance just keeps piling up. exercise can be fun but just how healthy is it if you're not in such good shape or don't know about much to find out experts at the german sport university in cologne are training these test subjects and monitoring their responses. for decades sports

medicine specialist here have been monitoring the effect exercise has on the body. i have to say that the more deeply we explore the subjects the more fascinating at becomes practically every system in the body is positively influenced by sports and physical activity organs influence one another when muscles begin to work harder they start burning more oxygen to replace it the cardiovascular system pumps more blood through the body keeping arterial walls elastic and strengthening the heart. it prevents premature heart attacks and also benefits the brain the risk of strokes can be hugely reduced through regular exercise. the doctors can measure how movement influences metabolism as a whole as muscles grow stronger the cells that make them up produce more and more mitochondria these organelles other cells powerhouses when cells burn sugars and

fatty acids more effectively it helps prevent metabolic disorders like diabetes and exercise improve stamina as well after just a few weeks these beginners don't get breathless nearly as quickly their bodies have got better at absorbing and utilizing the oxygen supplied by their lungs. oxygen absorption rises accordingly. studies show that beginners can improve their general physical performance with regular bouts of exercise. improvements of up to 40 percent are not uncommon even after just a few weeks of regular training. and durrance training on the cross trainer is particularly beneficial regular exercise also has long term effect on the body. the body's framework the skeleton profits from movement the right kinds of targeted activity strengthen bones making the tissue more compact and dense that in turn can

help prevent osteoporosis a particular problem among elderly women. so the entire body benefits from sport a particular role is played by the $400.00 plus signal chemicals that it releases in the muscles that are transported through the bloodstream to every corner of the body including the brain. the specialists suspect that these compounds also positively influence your cognitive ability. they cause new brain cells to grow and enable existing ones to connect more effectively and make fresh connections this is probably due to the production of proteins that stimulate growth in the brain. more and more doctors are now aware of the positive affects of physical activity sports medicine specialist habit logan actually prescribes exercise not mine i should so is the i believe that physical activity is the most

effective means to prevent various illnesses if it's certainly more effective than most of the medicines that are at times prescribed for prophylactic reasons. scientific studies analyzed by the magic show that exercise reduces the risk of getting many illnesses and it can help prolong your life to. revise you to forgive someone who's 30 or 40 exercises regularly in the years and decades to come it can . extend their lifespan for 3 or 4 years or even longer. studies also tell you how much you have to do to want a half hours of exercise a week are enough to produce a measurable benefit so with exercise likely to reach a ripe old age more healthfully and happily. that's it for today

see you again next week and until then let's all try to stay in good shape and i will go for a run now. thank

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