experience knowledge to change it to 60. dollars. instead of girls took it over now live i'm sure that it was honestly out. in support of. what saving was able. to be about. welcome to in good shape coming up. fitness training for core muscles. light therapy special man ups for seasonal depression.

and sexually transmitted infections testing treatment prevention. and here's your host dr costin tat. today the show is about the small things in life that are of great importance for condoms for instance why you're watching the show around 9000 condoms are used in germany alone and this is a good thing because condoms can protect you from transmitting as students sex through transmitted diseases why those as disease are dangers this is what i'm going to talk about with dr viviano here at the institute in village welcome to in your checked.

sexually transmitted infections they don't need to be painful there are ways and means to protect yourself or to get treated. wherever in the world people live and make love there will be sexually transmitted diseases everybody has heard about says that it's all going to rear but when you are affected yourself you don't want to talk about it that's honestly the best medicine is sex education. this is the center for sexual health in medicine in both home. while you're waiting for an appointment you may read a magazine and you're likely to find a rather in your face ad from the health ministry if your crotch is on fire go to the doctor. sexually transmitted diseases are on the rise again in germany. professor norbert park meyer heads the center visit. to walk 3 cases of syphilis on gonorrhea every day one fact

is that there are new ways for people to get together by a modern technology dating outside. chat rooms and so they make contact much faster . troops as he. talked another factor is new forms of sexual behavior which increase the risk of infection and was the 3rd aspect is the use of stimulants during sex when you're high on crystal meth or whatever other drug you're less likely to be thinking about the risk of contracting a sexually transmitted infection. easy call. the center offers a new integrated approach it addresses medical social emotional and psychological aspects of sexual health sex education and disease prevention are also central there's counseling for the young for couples l g b t i people sex workers and people with hiv aids care is free and can be anonymous.

and. the center welcomes a wide range of visitors young couples who have been together a while want to stop using condoms they 1st want to get a check up to make sure they're both healthy and. then we see women who want to have a baby and want to make sure they don't have any infections that they might pass. and we see men who are paid for sexual services some want to get tested and men who have had sex with other men. one problem is that with some s.t.d. is there are no symptoms or the symptoms are minimal a little discharge or a slight hitch so those affected are slow to seek treatment and can also pass on the diseases to other partners. friends can tell me

what brought you to us. i just got a call from a friend i had sex with about 6 months ago. he told me he had been diagnosed with syphilis so i'm a little bit worried. but have you noticed any symptoms on your skin or in your mouth. one often sees changes to the palms of the hands and then. the top among my little usually i get a slight rash but i always put it down to some kind of allergy perhaps that's a sometime to the gangs but i've never noticed anything more substantial that does it for this kind of a syphilis can be pretty much symptom free and is the only diagnosed by means of a blood test by finding the bacteria in the blood trius to make the likelihood you've been infected at 40 or 50 percent so quite high. when people think about sexually transmitted infections hiv or aids usually comes to

mind syphilis less so nowadays so it was a shock to hear i was at risk but as i've just been told syphilis can be cured so it's good to be informed about it swiftly then you can do something about it at once and make sure you don't pass it on to anyone else to want off for him not just once you've got others untreated syphilis can cause paralysis brain damage blindness and even death but early stage infection can be cured with antibiotics usually penicillin of course not contracting an s.t.d. in the 1st place is better hence the importance of sex education the hope of coverage is this you know what we have to do is engage with people the way they are and the way they live their lives whatever their sexual preference is here at the clinic no talk because out of bounds this is you can talk about anything we're here to help people get through life infection free. to sleep.

the clinic also hosts a weekly breakfast for each of the aids patients talking about things can be helpful in its own right with fellow sufferers as well as with professionals it's all about encouraging openness teaching the facts and countering fear. if we want to contain as to these we have to talk about them this is what i'm going to do today with dr. thanks for having me today and what other major sexually transmitted diseases well there are many such treat transmitted infections in fact . i could talk about many of them but apart from each of the most important ones archimedean going to be and syphilis can they just be transmitted via sexual intercourse or sexual behavior or can they be transmitted without the daily activities like going to the toilet for instance well they really are transmitted through sexual activity so even if some people would like to think it's miserable for toilet seats there are not transmittable through toilet seats let's talk about

going to. what are the 1st symptoms well i'm going to read the 1st symptoms with the same burning during your innate ng and also there with the discharge from the penis or from the giant or so it's very uncomfortable and do all the patients have symptoms no not all patients do have symptoms there would be in going to be about half of the patients with symptoms of us wouldn't even notice that they're infected with going to rehab but those patients still can transmit this disease exactly that can still transmit the disease although they have no symptoms how do you treat well you can treat gonorrhea flu antibiotics however it's becoming increasingly difficult to treat it's going to be because the number of antibiotics are really effective against going to be. it is very very small in this becoming smaller and smaller so eventually they may be the case that we cannot

treat going to be any more and what happens then well if we can we have cases that we cannot treat anymore with antibiotics these people will in fact be very very ill and they will have a sepsis it's so life threatening thing it's a life threatening disease yes although it's normally really a very common and very small disease can become life threatening let's talk about comedian section so what's the difference between comedian fictions and going to real well they are causing almost the same symptoms so the difference is actually with claiming that it is more often asymptomatic so the majority of people that are infected with chlamydia do not notice that they are infected and this is especially the case for women and what about syphilis this can be treated today as well yes syphilis can be treated. quite easily actually all penicillin

if you don't treat it could be dangerous well syphilis is easy to treat if you diagnose it very early so. in the beginning it can cause a painless sore which then disappears and then afterwards there will be some variety of symptoms like a rash and fever. so if it is diagnosed at that stage it's quite easy to treat it however if it's not diagnosed it will only be diagnosed years later there can be some organic damage who should get tested even if there are no symptoms at all well people who should get tested are people that have different sexual partners so especially if they didn't use any continent then they should consider going to. physician and get tested for different sexually transmitted infections you can protect yourself protect the sexual partner with using condoms

how safe are they when it comes to sex or transmitted diseases condoms can protect against sexually transmitted infections however they are not the perfect protection so you might use condoms and still get infected by sexually transmitted infections however having a protection is better than having no protection at all condoms also protect against age i v the virus that triggers the deadly aids disease so you can test yourself if you do have aids or hiv infection and you can do this in the office of your g.p. or easily. and the co thomas has just gotten a hiv testing kit from the pharmacy you'll have the result in about 10 minutes manderson was not much fun for mine and i feel a little terms we have to read the instructions and then of course you're nervous about the result of one. the illustrated instruction pamphlet is easy to follow

it's very important to disinfect your finger before pricking it to draw blood you just need a tiny drop of blood to place in the buff a point for which a stick is provided. and. then i need to put 2 drops of the fluid in a space next to it you can see a pink mark has appeared in the window which means the test as active then you just wait for 10 minutes. a single line in the test window means the hiv test is negative. but how reliable are these tests we ask hiv specialists kristoff labor at the old post of victoria clinic in berlin he welcomes hiv testing kits early diagnosis can make all the difference. and what to do we hope that they'll motivate people to go out and get them and test themselves if we can treat

hiv infections early then we can prevent people from actually falling sick and the other benefit is that once people who are hiv positive are being treated they won't infect others. and. kristoff they bear says both of the self testing kits sold in germany are reliable or to test me i h. an exacto if the result is positive you should go to the doctor to have it confirmed however if the h.i.v. infection is only recent the test might not detect it. and. if you think you've been infected you need to wait 3 months before doing the test and that's because it takes hiv infected persons up to 3 months to develop antibodies at levels that can be detected by the test. and rico thomas is about to get his result germany's disease prevention and control agency estimates there are over 11000 people in the

country who don't know their hiv positive. there is a lot going through my mind that i always had safe sex when was my last test if it's always nerve wracking and what i'm wondering is what would i do if the result is positive and there are various options available. this test is actually recommended by the german hiv aids charity. then a book works for hiv aids helpline advising people online or on the phone but inside it's just easier to just deal with the self test kids people usually use them at home in their living rooms by themselves. that's why they dare to do it. just so much but it's important that there are helplines so that people who test positive have someone to turn to for in is. so. the 10 minutes are up the result negative and i say i'm very relieved i'm sure you

can tell i'm lucky. here in germany mostly men who have sex with men are affected by hiv infections but on a worldwide scale it's a totally different picture they are equally men and women affected so how do you contract h h abuse contracted mainly by sexual transmission however you can also contract hiv through contaminated needles or blood transfusions or it can be transmitted from a mother to her child during pregnancy but not for instance with using the same toilet or so absolutely not transmitted move through toilets who should be tested in your opinion everybody should be tested to have different partner so if you have had different partners during the past month or so you should consider to get tested condoms provide a brilliant protection against hiv but there's something different which is called prep what is practical so practice a pre-exposure prophylaxis and it's

a pill that you're taking on a daily basis and it's protecting you very effectively if you're hiv negative against contracting hiv so we are quite happy about this new method of prevention that helps people to stay. hiv negative of course there are some countries indications are there are some secondary effects which you need to take into consideration before giving a prep to somebody do you think that if more people would you spread instead of condoms that other kinds of s.t.d. would be in the increase that we've seen an increase in sexually transmitted infections for a couple of years already and therefore we believe that at least these people who are not using condoms or whatever reason now have a way of getting protected against hiv so using condoms is a very smart move from a medical point of view it can even protect you from transmitting h.p.v. what is this so h.p.v.

it's a sexually transmitted infection caused by human papillomavirus and actually most girls and boys i get infected at one point in their time especially when they're start having sex. and most of these people are actually eliminating this disease over the course of the years and there's a very small percentage that stays with this virus and eventually this virus can lead to cancer but to protect yourself from h.p.v. you could not only use condoms there's something like a vaccination yes and these are the good news h.p.v. vaccination is very effective and it's very safe so i can recommend really for all boys and girls to get vaccinated against h.p.v. great thank you so much for this very interesting talk so if you think that there's something wrong and you might suffer from some kind of is to go and see your doctor and get yourself tested and while sitting in the waiting room you can spend your

time wisely with protein even. in good shape if you're a weekly health show on d w that covers many aspects of health care we look at what's new in medical treatment nutrition fitness and beauty we discuss these topics and depth with specialists and offer you opportunities. to pose your own questions so get in touch. with your abdominal muscles your back muscles and your pelvic floor make up your powerhouse you didn't know that well i didn't and this is med school either after i learned it by doing platitudes which is a great way to improve your posture and he said that improves your quality of life . better and more nickel and doing pill lottie's for the very 1st time. i think that's also it's hard to hold the position my thighs are starting to crown street it's been f. don't i'm amazed how hard it is i exercise for half an hour every day so i thought

i'd be a bit better at this. actually because. the class is taking place in aneta palms physiotherapy practice. the exercises don't look very demanding but in fact they activate the muscles immediately. the technique was developed by use of plot is originally from germany he was a physical trainer who emigrated to the us in the 1920 s. he began teaching pullout is in new york initially it was practiced mainly by ballet dancers. these days pullout is really popular in many parts of the world. it can be done on a stand up paddling board. as a synchronized done. for using equipment such as the window chair designed by use of polite is himself. the 1st step in the system of exercise is to draw your

navel towards your spine while taking deep lateral breaths expanding the rib cage and breathing into the sides of your body. that is to engage the powerhouse the lower abs and lower back in and out of 5 and buttocks. that hamburg's university hospital dr catalina vacuum i stuck often uses polite his techniques with her patients. it's very good for people with chronic back pain whether it's the cervical spine or the lumbar region. and it can be used prophylactic late to prevent back pain or slip this form from kicking and it could also be used therapeutically to treat an existing back condition. these days his techniques are often used with patients who've been prescribed off a pita greek ability like better and. this exercise is called the seal.

on this one the mermaid. according to use of plus his theory it'll take 10 sessions for better when he got to feel a difference 20 sessions to see a difference and after 30 sessions they'll have a whole new body. that's what he's got what i really notice is my spine it feels like it's been really stretched and. i when i have a lot of problems with my lower back while i was holding a position the pain was gone so it would be really good to train those muscles. not a bad result for a 1st session at this rate they really might be transformed after 30 sessions. well i don't know how you feel when the days are shorter the weather is all gloomy in stock and grey outside some people get grumpy and i don't and

somebody please turn on the light. thank you. so here's our next report it's all about lack. of grey and very little light that's what our short days look like at the moment off to work in the dark and back home in the dark the lack of light has an effect on us it's not an issue the winter blues is scientifically proven. and winter in our latitudes about 10 to 15 percent of the population suffer from winter blues the winter depression they complain of symptoms such as lack of drive a gloomy mood joylessness and increased fatigue frequently however they also complain about ravenous appetite and a strong need for sleep and let us laugh. it's no wonder we've always been dependent on daylight when we were still living outside it was all straightforward

as long as the sun shined we were active at night without sunlight we regenerate it today we sometimes have to get up even when it's still dark and we spend most of the short bright faced indoors we live against the natural rhythm of sunlight. even in winter we should be outside in the daylight for one to 2 hours every day to get enough light otherwise we become dull and melancholy fortunately there's an alternative an extra dose of light from a light therapy lamp 30 minutes in front of one of these devices every morning could effectively drive away the winter blues. light stimulates you and makes you more attentive promotes concentration it influences your energy levels it switches the body to the daily routine and it also activates your immune systems. we have receptor is in our eyes which are there to sense when

it's light these dangly and ok to eat and all retina. he reacts to blue light whether sun or therapy lamp. the cells transmits the information about brightness directly into the brain there the signal is not translated into images that influences the human internal clock it eventually ends up in the high profile a mess and regulates hormone production their well being hormones are released by the light signal and sleep hormones are achieved. that's why light therapy is so effective in fighting winter depression. expect to feel the effects after using it every day for one or 2 weeks it's important that you use it regularly and. remember strong blueline can damage the ice therefore never looked a wrinkle into the lamp just have breakfast next to it or read.

instead of light therapy lamps lighting expert mumford off relies on light sources with a special light spectrum in classic ceiling and floor lamps they use full spectrum light for this purpose artificial light which light natural sunlight heinously emits the entire color spectrum from red to blue there are like light therapy lamps which emit only blue light all old home lighting which is more yellowish. for spectrum if you use full spectrum white as a replacement for daylight then the intensity doesn't have to be as strong as in front of a light therapy device or in most of you 4 and. whether there are all full spectrum light in the evening at any rate turn those lights off candles or yellowish lamp light signal to us it's time to turn in.

i rue follow that advice and head home and hit the. what about you if you don't know just watch the show again on the show next week and i'm told that let's all try to stay in good shape.

is quite simple as it seeks. to know why. we need to take a closer. look small.

the theme of the. rebuilding mosul. liberated from isis in july 2017 march is a city still live in ruins the. reconstruction has been slowed by corruption and various conflict. many people just want to get on with their lives. others wish that high else would come back in 75 minutes on g.w. . what secrets lie behind these walls. discover new adventures in 360 degree.

and explore fascinating world heritage sites. g.w. world heritage 360 get the app now. an exclusive interview with imran khan. pakistan's prime minister speaks with editor in chief in a school that's what's khan's perspective on the kashmir crisis and it is and what does he hope results from the peace negotiations in afghanistan why has he remained silent about the plight of the week or so in china and what about our interview with iran khan on january 20th starts at $730.00 u.t.c. on d w. i was issued when i arrived here i slept with 6 people in a room for the 9th and. it was hard i was for. i even got white hair is that. manning the gym language head nodding off base hits me and they go but it's maybe 2 in

truck loads of say you want to know their story in the migrants. we're going to get reliable information for margaret. this is deja vu news live from berlin frustration boils over in lebanon's capitol police in beirut fire tear gas and water cannons as demonstrators attempt to storm parliament anger over the delay in forming a new government has reignited the protests but after 3 months on the streets will be movement's demands met also on the show.