how. is the world really getting better. a global $3000.00 special reports. starts august 19th sundays a. welcome to in good shape coming up. how dangerous is basal cell carcinoma. of sunscreen really protect against the sun's harmful rains. and how much sun is actually good for us. hello and welcome to in good shape do you know those people who protect themselves from the sun regardless of the

weather because sun is bad it harms your body but on the other hand. this one is good for you. to stay with makes you happy as a family doctor i would like to prescribe you. but what are the dangers dosage and what are the side effects. when the weather's nice thomas folks prefer cycling to work he doesn't use u.v. protection happy to expose himself to the sun a specific times of the day he's a professor of dermatology and convinced that the sun is protective benefits also extent to ask him. when he's on a complex if you avoid the sun completely and also use sun blockers and don't take vitamin supplements you're risking a serious vitamin d. deficiency the immediate impact is on your bones with a higher risk of osteoporosis but it also affects our health in general the risk of cancer increases both in terms of the skin. and our.

professor fog has spent years examining the impact of the sun's rays on our well being the positive effects of vitamin d. for the most common forms of cancer a universally acknowledged and just recently thomas spoke to his team university made an astonishing discovery. virtually everybody to shew is covered in vitamin d. receptors can suppress tumors and that includes skin tissue which needs that it meant to protect itself from cancer. so if we want to keep our skin healthy retirement d. deficiency should be avoided but in places like germany it's widespread professor forked and his fellow researchers are alarmed at figures showing that only 40 percent of the population have it in sufficient concentrations in these parts of the world the sun only rises high enough in the summer to stimulate the to mehndi production. only high fat salt water fish can supply

significant quantities of the vital substance and. even then not enough to cover our daily requirements as the doctors themselves no supplements a one way out of the dial but simply popping pills is not enough to get us to play it's own part which is why regular moderate sunshine is the best option. there are a growing number of indications that naturally forming vitamin d. is superior in certain areas to supplement for. longer in the blood for example there's another advantage perhaps you can't have an overdose. which is why thomas folks recommends reasonable exposure to the sun but what is reasonable to do in fairness monday hard to go out in the sun several times a week. and expose the skin on your face for arms and neck for just a few minutes within what's called your self protection time and preferably by the

side of midday when the sun is at its most intense so i know what i should be taxed . just a moderate dose of sunlight can activate it to mindy production at the same time the skin builds up it's a natural protection callus areas have a more resistant pigmentation but be careful because your skin can be unforgiving. festa folks recommends checking the u.v. index on weather websites the ultraviolet rays when the sun is highest around midday pose a particularly high risk to the skin. sensual if you find the right level depending on your skin type so that you can get enough sun to ensure an adequate supply of vitamin d. if you're not sure you can have your skin type a search. zone and beyond for more definitely avoid getting sunburn. routine will benefit your health and actually help to protect you from cancer. this

is true for many things we enjoy sunlight should certainly be relished but in moderation your body will thank you for it. i mean you thought to have helped man he's a dermatologist as a dermatologist you open your patients again. why do you do that. i like it too and i like to be outside and give the advice to all patients to go outside have fun outside but to use some protection not to get a sunburn as a democrat just many of your patients come to you because they think that there are some spots on the skin and they might be dangerous so many of those spots are dangerous every night and day most of the spots as you said not dangerous but the few that are dangerous both you have to watch so the fear for cancer is rectified. bianco luck wouldn't dream of going out without 1st applying

sunscreen to every part of her body that's not covered up but she wasn't always so careful as a child she often played outside and back then no one bothered much with sunscreen when it's also going on and we go off to the beach on our bikes and when we came home in the evening we do usually have a bit of a sunburn on my me on my least days i'm much more careful my father has skin cancer on. top. bianco luck skin shows visible signs of sun damage now $49.00 she's had several cancerous growths removed including one on her temple. she 1st noticed a suspicious red saw 3 years ago that. at 1st i thought it was a pimple i picked is a bit not quite some point but it got bigger. then a scab formed and started i believe. that's when the alarm bells started ringing.

alarm tick not like to hold basal cell carcinomas a very common people tend to wait too long before they see a doctor and then they need relatively serious surgery is mrs course for the person . what young thought was a pimple was in fact a basal cell carcinoma all that's left of it today is a small scar. b. c c's can develop anywhere on the body but that most common on parts of the body that get most exposure to the sun the head neck hands and arms. basal cell cancer is the most common type of skin cancer. it grows slowly and is unlikely to metastasize. but a basal cell carcinoma can become quite big. bling size within a year. the

bigger it is the more skin surrounding it will have to be removed to remove a one centimeter tumor the doctor will also have to remove at least half a centimeter of skin around it so a bit of scarring is inevitable. when the lack of out what if the cancer is already on the tumor can grow into cartilage sometimes into muscles nerves or even bones then we have to remove part of the nose or the ear with war which is extremely unfortunate for the patient or. does it for 2 or 4 young alike makes an appointment straight away for her next regular checkup she sees a dermatologist here at least every 6 months behaved to the parts you know if percent of patients with a basal cell carcinoma will get another one within 3 years in that respect it's like a chronic condition patients have to keep coming back. but everybody has what might

be termed a personal sun exposure account over the course of a lifetime that's a maximum safe amount of ultraviolet exposure how much depends on what kind of skin one has every minute in the sun every sunburn tops up the account at some point the skin cells can take it anymore and skin cancer can result. from good water also it can take 20 to 30 years for skin to turn cancerous and a large number of hits that is exposure to sun. yet or don't hunger in these and then the entire surface has been subjected to ultraviolet rays. and the patient can't undo it it's metod doing can. be tonnage has square a most cell skin cancer it's more dangerous than basal cell. carcinoma because it can metastasize. she too has to go to her dermatologist for regular checkups.

to mention now many people run around for years with changes to their skin that are precursors to non-melanoma skin cancer or may even themselves be cancerous. a cell carcinoma develops in the square must be feeling on layer of the skin. first they're often pre-cancerous changes which can then become malignant. suspicious looking patches of skin should be checked by a dermatologist as soon as possible. treated square muscle carcinoma can grow inward into the body and if it does metastasize it tends to affect the lymph nodes . tonnage has had more than 20 carcinomas and suspicious patches of skin removed she's having another one removed today this time on her back. after the operation the tissue removed will be sent to

a lab to establish if the cells are cancerous or not. regular skin checks don't take long but they can be life saving. skin cancer is one of the most common types of painter. skin cancer if we have more and more over the last 10 years in germany up to 30 percent and who's particularly at risk well a little bit it depends on the color of your skin when you have haskin red light in your skin you have more at risk than you have when you have doc ask it what are the 1st warning signs you should go to see a doctor when you have only little spots and they don't have a different color and sometimes i think it's just a little in. that does not heal and so whenever you're not sure if it's ok or not

after tru t.v. for weeks at least show this to someone who can tell you that in such short time i don't have time to have 3 weeks you know when you know enough that you this little spot should have healed and it did not then you show it to someone who can tell you it's ok or it's not ok and what is the difference between this cancer and melanoma . well 1st the color of a melanoma is usually dark brown sometimes even a black and the normal that you must be in cancer has different colors very often and wide like the color just given that you have and when you are in the growing of this moment in the mud skin cancer usually the most of them don't grow that fast and they are not that aggressive at the mill and nobody's very aggressive yet it's very dangerous when you see on a regular day like today in germany more people died because of melanoma than

compared to injuries or death people on the streets but why is that what makes the 1000000 noma's so dangerous. because this tells they can go anywhere in your body they can go wherever they want to like in your brain. there can be mew melanomas and that is worked in the end kills you not that spot on the skin what kind of ferret peas do you offer in both kinds of cancer well for both kinds we have the golden rule that you find them in the early and you treat them the better. bought over the last years you can treat them even when you are kind of named but still the best way for both types of skin cancer is that you have to protect. too to. find them and treat

them so he said it's very dangerous if the detection of the milanov is very late so what is late skipping just 3 weeks before seeing a doctor or is it more like half a year well we can not tell you that exactly it depends how deep in your skin that milano my ghost and the deep it goes the more risk is that the test is in your body body somewhere and this metastasis and that is that what possibly can kill you so it's a very good idea to see your doctor intimately just on a regular basis to get yourself checked. and to make that you not only the down the tonnages have to have an eye on this any kind of doctor that ceased your skin should be careful and you yourself as a patient for decaf or when you see something yet you're not sure of peace told this to someone who knows what it is so hoffman should you go and see a doctor and regular basis well usually in germany we can see the patients every

2nd here patients with high risk like fastin and a lot of spots you see them on the guinea base and even if you need the praxis now i would tell you please come again as soon as necessary when you see new spots and something is not clear you can show up in 3 months ago many people think that they can protect their skin using sunscreen but when it comes to sunscreen it's not that easy. on the right some screen looks like on the skin i see through a u.v. camera. a block layer of paste. that is it really is not permeable is it looks. like. we've come to a swimming pool is a kind of took just. sun screen test how much texan does it give us. dermatologist

you know going back joins us here. in our guinea pigs party and then julian. our expert has some sunscreen with sun protection factor 50 ready for them it's supposed to be water resistant. s.p.f. 50 means that it takes 50 times longer to burn skin when the sunscreen has been applied than it would without it but julian's made his 1st mistake. and you can see that he hasn't applied the sunscreen very well around the lips the nose the ears eyes and forehead. and those are the places where we damage tala jests tend to find skin cancer most often out of. our expert also explains that in and julian haven't used enough sunscreen they use a tablespoon each in fact the recommended amount is 3 tablespoons.

but are they at least protected as long as they're supposed to be. even after splashing around in the water for 20 minutes. sunscreen is sold as water resistant what exactly does that mean. over the expert. when it silently in your sunscreen is allowed to be sold as water resistant if it retains at least half of its sun protection factor after you've been in water although of course it depends how much you've been in the water if you showered afterwards and how vigorously you drive yourself with a towel so you shouldn't assume your sunscreen is waterproof you should always reapply it. so in order to ensure sun protection factor 50 all day long you need to apply a glass full of sunscreen over the course of the day. as mine. no one does that if you apply that much sunscreen and one day you'd look like

a braided schnitzel. sunscreens can only provide a degree of protection against skin cancer that's due to the different wavelengths of the ultraviolet radiation of sunlight which is divided into uva and u.v.b. least they also know if you use sunscreen you'll have less sunburn because sunscreen protects pretty well against ultraviolet b. but relatively poorly against ultraviolet a and it's usually a that increases the risk of malignant melanoma just lisi call for spots and how it's. sunscreen alone doesn't offer 100 percent protection against skin damage and skin cancer it's best not to spend too long in the sun whether you're wearing sunscreen or not. our topic today has attracted a lot of your questions and i will now have the most important ones and the most

popular ones and you can get some protection in the form of cream or spray or lotion and their account of food has a physical filters so which one do you recommend. in the end it's not that important which one you truth it's important that you use one and youth one that you like and one that has enough sun protection and that you cover all the places of your skin that you bring in the sun. how important is some protection for children even more important and then for the grown ups we know this from databases from australia we have to protect the children and we do it now around the world that sunblock is that you have in your childhood that make skin cancer later on and when you grow up with it please keep with it and even if you. please protect your skin and that some men that nor was the non-melanoma skin cancer don't

have a great chance to appear on your skin there's a german saying that says your skin never forgets so what's that about well we said this to our patients in the past and the more sunlight you get over your lifetime the higher is your risk but this is because you have to think even when you let's say all of us 70 over 80 even over 90 please protect your skin when you go out in the sun when you go out in the garden it's better to have some protection because of early forms of this non-melanoma skin cancer can even go back so peace use protection next christian some protection does not only consist of creeds so what else is important well for example we sit here in the sun all day long this is not a good idea so we if you sit here longer go in the shade and use

long sleeves use the head and. don't be in the direct sun and on myth of the day diagram new please go inside if possible another very interesting christian lycopene like in tomatoes and carrots and they supposed to protect your skin from the inside so is this a very reliable method to protect the skin to be killed with it we don't have a very good data base for this so we cannot tell to the people and use one kill off tomatoes and 2 carrots and then you are protected we don't have that and we can not give this as a good advice thanks so much for christians if this is how it works here it in good shape the present just sits in the sun and is relaxing and you have told me you have to do all the words. and sent us all your questions. on an upcoming show we'll

be looking at the personality disorders ranging from borderline to narcissistic how are they diagnosed what are the symptoms and how can they be treated in your questions to in good shape it did help you dot com the key word just personality disorders we look forward to hearing from you. you can protect your body using sunscreen except in one place your eyes but there's something that could help. shades and you should really use them because they can protect your eyes from serious diseases caused by ultraviolet rays from noma from cataracts and even macular degeneration but how to find the right time glasses this is what i'm going to find out now. and i'm with left he has a better life signs in tama tree and he works at a brilliant in berlin thanks for having me so what about this year's fashion trends of sunglasses and i the top of the list i think you'll have more next year.

but you have to know everything is nice what you like but it's not all about fashion it's more about function and sort so what we have to look out for the some of us you have to look for the right protection against the glare of sun rays and also very important against your ultraviolet rays so you can look. and see on some of the frames a little decoder you can read you'll be 400 also you can check it so you can check this piece yes of course yeah you do it so he can take it here yeah and you can see this little u.v. here and when we make a board like this you can see yes you've got a nice altro violet protection well yes so it's good yes so what else to have to look out for and i think. size of the lenses is an important thing because you need the. lenses to help protect against the sun and also the colors are very important

here there are different kind of colors like like yellow brownish or black so which is the best there are 3 colors gray brown and and green the best because you will see everything was the most clear and i think color some like yellow a little bit different but orders so you've got different models. which is the best . next to mine in the heart i think this could be a very nice one if you ask me it's a little better but it depends on what this is about twice this one a good one because it's a little larger also you have more lands in front of your eyes and also those hind sight on the temples a little bit sick and so you have more protests so the side are hugely seen yeah this is bigger so just how is that getting directly to your eye and this is also one of the newest frames here feel so this is absolutely up to date ok and the other one so it's

a nice one it's what most people called and classic and john ok it's a classic model yes mates as was saying 40 years ok and it's a good 1st time to us you know perfect and then what about the glare of the lenses is it important that tried to get rid of the gap from this. yes it's you have to do but you have doc lenses you have to dock lenses and you need also and on to flex and cold on the back side right why on the back side i mean the big that is the one i'm looking through it yes so this is only you need to under friction caught on this one because you look through the lenses and then you've got a light and you're back on the sun and you do not have these other friction coating you will have reflects on the back side of the lens and you will only see the friction also the you really race will be reflected and got can go inside your eyes and there's a good under flexion called it wouldn't happen so it would be much nicer for us

thanks so much for this talk he says it not only for the talk but also for the show so see you next time and until then let's all be in good shape.

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from september 6th to september 29th. robots are still in the development phase. but what's going to happen when they grow much. will schumann's and machines be able to peacefully coexist. or are we on the verge of a robot collapse. if we just bumble into this totally unprepared with our hands in the sand fusing to think about what could go wrong then let's face it it's probably going to be the biggest mistake in human history. partial intelligence is now spreading throughout our society. which is just the beginning of a good and digital age. will we be subjected to continuous state surveillance. which ai will experts be able to agree on ethical guidelines or will this

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