the people of east germany. turned. clamors for german unity journalist peter lim borg was at the scene. 30 years later he looks back on the. interest. starts december 19th g.w. . 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 lake 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 this professor. here at the show team berlin at the institute of firearm she. is. she is going to be very painful and can decrease your quality of cloth but. that can protect you from. more than 50 percent of the patients who suffer from shingles over the. of 60 like the patient now an extra pot.

the skin is red an inflamed with small blisters some of them crusted over intervening cuz got shingles 2 days ago she started treatment other dermatological clinic her doctor examines her and checks or pain levels regularly in 08 and 10 is the worst pain you can imagine this time at the beginning it was 10 like 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 ulster is a viral infection while 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 calling it to multiply and produce a rash on the skin. in the if not 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. meds. 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. chap as i was so i had everything organized and thought i'd managed it i didn't realize that i'd actually have done it.

purposes auster is not the same as the more commonly known oral herpes which is less serious larger tests can show what form of herpes the patient tiles shingles is not treated correctly or in time it can cause lasting damage. it is 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 medications skin creams and painkillers they reduce the risk of patients suffering from chronic pain and today i would have got it totally wrong i think 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 and 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. intervening 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 in the patient yes they are. especially if the immune system is not working properly for example of transportation 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 x. and team or police steers who steals 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 involved. it's possible to treat pain you have trucks and you have. certain tracks. that say 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 which 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. people patients their liver can be affected or the lung can be affected or even the central nervous system that can then destroy their was important all guns and that is a really serious situation let's focus

a bit on prevention here 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 yes this is possible although one has to mention that single it's usually don't. we rarely so 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 to prevent a 2nd attack yes indeed all his show is seen worldwide and there are certain countries which don't have that exceeds again 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 the 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 are so if you sedate those young children it's a not a big scene it's a life scene but if you've seen those children say don't all very rarely so that is also some kind of measurement to prevent the outbreak of shingles is a very good at least to the young children that they don't get shingles and when they are already at you cannot take the vaccine and give it to a patients the chicken pox vaccine the chicken pox vaccine has been tried i mean there was another vaccine life seeing that caught. and that was the 1st spect seen available against shingles it was just

a higher dose of. that scene that has been all been given to children but this is life the scene is not as efficient as the so-called unit but that is now used for prevention of shingles it's 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 localization is here on the trunk and you can get of course also by the year or in the to release and also if you're immunosuppressed the liver can be affected or the printing can be affected or the lung can effect but usually that is the most frequent you can decision here on the truck and one site but it's not only a disease of the skin and of the nurse because it's painful recent research. suggests that it can also increase the risk for getting

a stroke or heart attack this indeed. studies have clearly demonstrated that the risk for stroke or myocardial infarction is off to 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 the certain areas of the prain of heart muscle and that is causing damage so yes indeed this possibility she knows is a reactivation of a chicken pox and fiction you're young to get at your 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 that's. at the old

and this is much more severe as a disease but as i say it single store stuff without cheating folks is not possible thanks so much for this interesting talk so if you hadn't been vaccinated against chicken pox or against shingles we should let you do so 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 v.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 the color this is my 1st crown and i've basically decided to have it made this way because it's much quicker that i won't have to wait weeks for it or. 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 so 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 it's left to cool. enough even more modern technique is 3 d. printing. a machine builds the crown layer by layer based on digital data more experience and training is required before the technology can be introduced into the industry. so 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 serves. the raw material is at least this 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. this for fun and.

the procedure itself is good very good in fact isn't this the unpredictable factors that slow us down for and things like bleeding all of the anomalies removed from the too long to prepare of the drill can sometimes cause. depending on how much it bleeds can slow down the entire process for. philip can now check out the new crown on his tooth. it was a good it looks just like it did before but. maybe even a bit nicer. the entire treatment is completed in just one visit. this piece with the result and if you haven't needed another crown he definitely go digital. let's talk about the parasites you can catch picking berries or mushrooms and like the sheen of barriers this parasite takes its time

until you notice it. and 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 on treated it can kill you. bianca betsy ross 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 realize 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. is let's see are the last year before it got really bad my liver values were borderline wildly about there to cleanse their so they probably thought i drank a lot but in fact i didn't drink much alcohol. and i didn't smoke. 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 but 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.

during that time bianca vassie 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 her daughter leandra was about to start school she suddenly began to have shot pains and felt pressure on the right side of her body beneath her ribs . again she 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 is enough in the early if i thought 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. a.s.a.p. sorted oh it's tonight's the new piece of m.i.t.

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 tumour the blood supply to the right side of the liver was already partly disrupted on the left lobe was clearly enlarged. and 34 course of boys did not follow up to us and when i was told it was a tumour 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 removed but it wasn't cancer. the diagnosis wasn and protection with a going to caucus. of the box tape worm. the tape were measures just

4 millimeters it has a head and 3 to 5 segments. the last segment contains hundreds of new tape worm eggs. 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 tumor for 2 years after the operation bianca vassie asked her to take high doses of medication to kill off the remaining tape worm cysts. 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 i'll 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. i've never liked using suncream so i started wondering whether there was an easier more environmentally friendly alternative to this on a 4 mile bridge 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 open bonded. first he selected plants known for their protective qualities the molecular biologist studied all 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 apart the 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. asked and then these 4 make it the basis of the sunscreen tell. mine for him and how to extract from the broccoli and the fern prevent genetic mutations then we have important until

accidents from the algae and the pomegranate along with help for bottom 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. step by step the tablet is created in the laboratory. and it can then be taken just like a food supplement kutluk schmidt believes it will be extremely effective. out zones and not through the countless fuel savvy advantage that they offer consistent protection all over the body. once they're affective 24 hours a day as you take them daily and. unlike medication these food supplements have no side effects and i live. just one capsule contains extracts from 50 heads of broccoli alone then there are the other ingredients patrick smith 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 but i. also use this use capsules 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 despoil itself floats on water under strops marine ecosystems. about their plan. then there's the plastic waste by which further exacerbates the massive pollution of seas and waterways. the sunscreen tablets are due out on the market soon but will 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 in good shape .

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this is data over the news live from berlin pro-democracy rallies in hong kong drawn the largest crowds in months organizers say some 800000 people took part to show the city's pro beijing government and had a last chance to meet their demands our correspondent has the details also coming out. a major fire engulfed the factory in india's capital delhi early morning blaze late more than 40 people dead most of the workers who were sleeping inside the building. plus police and protesters scum.