the bassinet is of grave to read to keep a brave eligible for over a mention home the 4th time for the. member that mr bottom of the valley is at the last dragon in this world as you call the whole. deal breaker box on. welcome to in good shape coming up. veggie pills could broccoli protect you from sunburn. faux tapeworm how dangerous is this parasite to humans. and shingles how to treat this painful skin rash now here's your host dr carsten like a tattoo hello and welcome to in good shape that you have

a good chicken pox when you very kid and it's healed well that's good but don't be too sure about it because 95 percent of the world's population still carry the virus inside the body and this can lead to shingles which can be a dangerous disease and this is what i'm going to talk about with professor. here at the sherry team berlin at the institute of iraq. is. showing it's going to be very painful and can decrease your quality of life but not with this effect that can protect you from seeing us. more than 50 percent of the patients who suffer from shingles are over the age of. 60 like the patient now an

extra pot. the skin is red and inflamed with small blisters some of them crossed over intervening because god shingles 2 days ago she started treatment of the dermatological clinic her doctor examines her and checks or pain levels regularly in 08 and 10 is the worst pain you can imagine. at the beginning it was 10 when i fire just like someone was holding a match to my skin yesterday it was 10 today it's about 7 c. . it's very typical for shingles that only one side of the body is affected and the rash occurs in a localized area shingles also known as herpes auster is a viral infection by the symptoms appear on the skin the root cause of the illness is deep inside the body shingles is triggered by the same virus that causes chicken pox. after a patient recovers from chicken pox the virus or treats to the nerve tissue near

the spinal cord. may then be reactivated when the patient is weakened causing it to multiply a producer rash on the skin. in the aftermath the nerves are of course the pathways along which the virus spreads towards the skin. so these neural pathways are affected too and that's where you get the pain that. shingles often occur when the immune system is weakened or the individual is under stress. because husband is seriously ill so she has to organize his nursing care but she also recently lost her son she was planning a trip to thailand to attend his funeral. i had everything organized and thought i'd managed it i didn't realize that i'd actually have done it.

herpes zoster is not the same as the more commonly known oral herpes which is less serious largely tests can show what form of herpes the patient has shingles is not treated correctly or in time it can cause lasting damage. another complication is that shingles may lead to post or protect neuralgia. and that means the infection is over but the patient continues to suffer pain which may be considerable. treatment includes medication skin creams and painkillers they reduce the risk of patients suffering from chronic pain. there's a day i would have got it totally wrong i thought you don't take pills for every pain but that would have been a mistake. she also receives an infusion 3 times a day with antiviral medication that stops the virus from spreading in just under a week her rush begins to heal. the risk of

a 2nd outbreak of shingles is relatively slim so there'd be nothing stopping her from flying to thailand. she added so i'm going to bury my son now no matter what happens i'm determined to do this but in future i'll take better care of myself. intervene because back on her feet but it's likely to be a few weeks before she recovers fully. we just learned that many patients who had an outbreak of shingles are older than 60 years old but some of them obviously are younger than 60 years old are there any reasons that there will be an operative change within a patient yes they are. especially if the immune system is not working properly for example of transplantation of organs the immune system is suppressed and the virus can reactivate from the nerve cells and can disseminate

and that is a danger and that can cause severe problems could you summarize the main symptoms the main symptoms. first of all paid it's possible that it comes 1st then you have you know the x. and t. more clues steers post year olds and then that disappears but the pain can persist and that's causing huge problems in elderly people and therefore you have to treat those people are you as a doctor able to treat pain and what is a problem. it's possible to treat pain you have trucks and you have certain trucks that it's a little bit weaker than others and you start with a weaker trucks and then if the pain doesn't disappear then you have even stronger trucks that. so yes there's

a scheme that helps you to treat those patients with pain that persists shingles very dangerous to the patients i mean those are blisters right it's a painful but there are some city cases it depends on the on the localisation of shingles if you get in the face for example. then you have problems because that is a situation in which the eye can be destroyed and that has to be treated. and shingles can even be life threatening can they can be life threatening for example in mr oppressed people patients their liver can be affected or the lung can be affected or even the central nervous system that can then destroy those important organs and that is a really serious situation let's focus

a bit on prevention there certainly it seems you can give to patients and that they won't get shingles can you give this to patients who already had shingles this this is possible of one has to mention that it's usually don't. we rarely about 5 percent of patients with shingles get a 2nd attack so to speak but you can immunize those people so you can give them the scene and that tells to prevent a 2nd attack yes indeed all hell show is seen worldwide and there are certain countries which don't have it seems against shingles there any other preventive measures they could take and some countries there are national vaccination programs for young children because as you know probably 1st in call of people with. this. causes chicken pox and that is

a disease the young children get and later on the virus persists and later on in older age you get then shingles so people older than 60 especially ok that was it's the same ours so if you sedate those young children it's a not a big scene it's a life scene but if you vaccine those children say don't all very rarely kitching so there's also some kind of measurement to prevent the outbreak of shingles it's a very good deal with. the young children that they don't get shingles and when they get that you cannot take the vaccine and give it to patients the chicken pox vaccine the chicken pox vaccine has been tried i mean there was another vaccine life seeing that it's called. and that was the 1st spect seen available against shingles it was just

a higher dose of those that seen that has been been given to children but this life. is not as efficient as the so-called subpoenaed vaccine that is now used for prevention of shingles is going to only occur on the skin or destroy an eyeball it can be nearly everywhere in the body that is true the most frequent localisation is here on the trunk and you can get of course also by the year or in the day to release and also if you're immunosuppressed the liver can be affected or the plane can be affected all day long in effect but usually that is the most frequent you can the situation here on the truck and one site but it's not only a disease of the skin and of nerves because it's painful recent research. but it

can only also increase the risk for getting stroke and heart attack this indeed the studies have clearly demonstrated that the risk for stroke or my car to infraction of the source or shingles and that is probably due to the fact that wires can multiply in the wall of the vessels and this is causing inflammation and therefore the lune of the vessel it's getting smaller and you get less blood in certain areas of the praise of the heart muscle and that is causing damage so yes indeed this possibility she knows is a reactivation of a chicken pox infection you're young to get it due to childhood but even if you didn't have chicken pox during being a child can you develop shingles as well without chicken pox there are no shingles that's not possible but you can get chicken pox later. at the old

and this is much more severe as a disease but as i say it. without chicken pox is not possible thanks so much for this interesting talk so if you haven't been vaccinated against chicken pox or against shingles you should really do so and in the meantime write us an email. on an upcoming show we'll look at vaccinations they've nearly eradicated some diseases and to protect us from others which vaccines are especially important and what are the potential problems send your question still in good shape at d w dot com just try to vaccinate in the subject line we look forward to hearing from you. my most favorite part of the show is not me talking it's watching the reports like the next one. philip needs a crown

a routine dental treatment. but this time it's a little different phillips crown is being prepared using a special 3 d. procedure. this is one and this is my 1st crown and i've basically decided to have it made this way because it's much quicker because it's i won't have to wait weeks for it or for the home of all. the 1st step is a dental impression usually this is done with a kind of paste that solidifies in the patient's mouth but here the dentist places a camera inside the mouth and takes a digital impression. the computer then makes a 3 d. model of the teeth and designs a perfectly fitting crown. the patient can have a say in things like color. the computer chooses between various different sizes of ceramic block to make the crown from. the block is then inserted into the machine

which chisels it down to the custom shape required. mostly make crowns 80 percent of what we make her cry. we can also use this process to make small dental bridges and fillings that are created externally and inserted was called in lace. and in lace it takes no longer than 15 minutes to create the crown. the dentist then checks that it fits and makes a few more small adjustments by hand until it's perfect. he then ops the color and place to the crown and prepares it for the final step called firing. the brand new ceramic crown is super heated in a special oven. after

about half an hour it's ready to come out and is left to cool. enough even more modern technique is 3 d. printing. a machine built to the crown layer by layer based on digital data more experience and training is required before the technology can be introduced into the industry. we can reduce really good crowns now with digital technology whether we end up using the 3 d. printer or the milling machine is a whole other question but it's doable without a doubt as. to crown can now be inserted in fixed in place with the speciality serve. the ceramic material is at least as terrible as a conventional crown. it takes roughly 2 to 4 hours to produce an insert it. but it's too early to predict the procedure time exactly. the performance issue is

the procedure itself is good very good in fact the unpredictable factor of the slowest. things like bleeding and the an arm is removed from the tool to prepare the drill can sometimes cause. depending on how much it bleeds that can slow down the entire process for this. philip can now check out the new crown on his tooth. it looks just like it did before. and maybe even a bit nicer with. the entire treatment is completed in just one visit. this piece with the result and if he ever needed another crown he definitely go to top. let's talk about the parasites you can catch picking berries or mushrooms and like the strain of virus this parasite takes its time until you

notice it. a dangerous parasite can sneak into the human body it's called as you know caucus multi local artists also known as the fox tape worm. its larvae grow for years unnoticed and destroy the liver or other organs in many cases it's fatal treated it can kill you. bianca vassie else is only alive now thanks to an operation that removed large parts of her liver and diaphragm. so degraded i might not survive. looking back she started getting the 1st warning signs about 10 years before her diagnosis. over the years i had circulatory problems. you know dizziness high blood pressure and then blood pressure fluctuations we often had to call an ambulance because i collapsed. what she didn't realise was that parasitic larvae were growing

in her organs. examination showed that there was something wrong with her liver but the doctors assumed it was an alcohol problem. this let's say are the last year before it got really bad my liver values were borderline wildly about there to cleanse fatty so they probably thought i drank a lot but in fact i didn't drink much alcohol. and i didn't smoke oh no. her nonspecific symptoms went untreated that's typical for rare infections that often only recognize at an advanced stage. the income but the incubation time can be as long as 15 years the problem with this infection is that the symptoms only appear very late and by then the larvae may have spread throughout the body before. so you can't completely remove them surgically.

forming. during that time bianca bassy also became pregnant after her child was born she felt worse and worse sometimes she had to drop everything because she was so exhausted. when our daughter consulted a doctor. who thought often been fortunately the doctor was on call was an internal medicine specialist and he didn't ultrasound scan and noticed something in the liver and heart of us disease and in the early if he wasn't sure what it was so he called a colleague and sent me over there. they said there was something large in my liver and i should get an m.r.i. asap he started oh it's slow it's the nucleus of mit the doctors suspected liver cancer they had discovered a 12 centimeter growth and signs of impending liver failure and. based on the c.t.

image we discovered a very large liver tumor the blood supply to the right side of the liver was already partly disrupted on the left lobe was clearly enlarged. and 34 course voiced enough on up to us and when i was told it was a tumor then i called my mother often asked her to come. the team of surgeons got to work right away. the affected live alone and part of her diaphragm were removed but it wasn't cancer. the diagnosis was an unfair question with a going to caucus. of the box tape worm. the tape where measures just 4 millimeters it has a head and 3 to 5 segments. the last segment contains hundreds of new tape worm eggs. ringback ringback typically infected foxes

in other animals excrete the eggs humans with close contact to animals can ingest the eggs and bianca vastnesses case that was probably her dog the eggs hatch and the larvae make their way into the bloodstream and the liver there they develop into cysts that gradually destroy the healthy tissue much like a chuma for 2 years after the operation bianca vassie os had to take high doses of medication to kill off the remaining tape worm sis. luckily her liver has regenerated. and today the 50 year old is just grateful that she can live without pain and enjoy time with her daughter. maybe you live in a place where there is enough sun to help you produce vitamin d. i'm not i'm living here in germany and so i need to use every single opportunity to

get some sun but this is not without risk because you need proper sunscreen and there's a new a turn it is made out of plants. sunshine is essential for plants to survive they rarely suffer from sunburn a quality that helps them stay alive after all it's not like they could move into the shade or put on sunscreen they appear to have a built in system that protects them from the sun something patrick schmitz from the university of mines has spent 6 months researching. shots in august i've never liked using sun cream so i started wondering whether there was an easier more environmentally friendly alternative forms up as a result of a moderate so i started to look at which plant extracts and ingredients could provide protection from somebody and be turned into a sunscreen pill that's been looking bonded. first he selected plants known for

their protective qualities the molecular biologist studied old drawings to discover traditional healing methods pomegranates for example are known to possess substances that can strengthen our immune system so that was one of the 1st things to come under the knife in patrick schmitz research laboratory. then he took a polyp pony fern which contains an extract said to guard against skin cancer the humble broccoli was next on the list. and a red micro algae grown in hawaii that's naturally rich in. passed as and then these 4 make it the basis of the sunscreen pill so mine for him and i was extracts from the broccoli on the fern prevent genetic mutations then we have important antioxidants from the alligator and the pomegranate along with helpful with them and that's want to be time you know. creating one of these pills is

a painstaking process 1st the plants are dissected so that the desired substances can be extracted. complete schmidt believes it will be extremely effective. not to look out of your salvia advantage that they offer consistent protection all over the body. once they're effective 24 hours a day as you take them daily. and unlike medication these food supplements have no side effects and i mean. just one capsule contains extracts from 50 heads of broccoli alone then there are the other ingredients to take schmidt says one capsule a day is sufficient to increase the skins natural protection against the sun as well as guard against skin cancer but long term studies are still required to show just how effective it really is. if the new tablet passes the test it would

certainly be better for the environment. as yours are made exclusively of edible substances that get broken down metabolized in the human body and don't harm the environment in any way. but some cream on the other hand contain synthetic photo protection substances and this door like cell floats on water under strops marine ecosystems. and then there's the plastic waste which further exacerbates the massive pollution of our cities and waterways. this is on screen tablets are due out on the mark. it's soon but we'll have to wait and see whether the broccoli pills truly prove to be an effective substitute for conventional suncream. that's a person they see the next week and i'm so then let's all try to stay and get checked.

this time on night. germany's 1982 year old vision contest winner the beloved singer nicole teams up with the hip british band right said fred sanford. to off soon may i ask you this. old lady grey and. genius on g.w. . every year at christmas time european summer plate with meals subline looking at each country's yuletide tradition is this season 0 max mission. in our series christmas fare this time germany with a traditional roast goose engines or bread.

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is d w news live from berlin burning out of control bushfires in australia combined to form a mega fire near sydney which crews say is too big to put out the country's largest city is shrouded in a cloud of toxic smoke you speak to a correspondent in sydney also coming up swedish climate activists gratitude burger joints thousands of young people on a march through madrid which is hosting a un climate conference there demanding that world leaders take real action on.