that's not liberation at all this is not the kind of freedom that any. how did we become like to equate to islamist terror. i think. you see so you got any more sitting here you are sold. an exclusive report from a destroyed city. philippines in the sense of ah yes starts may 20th on g.w. . 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. the sun is good for you it booth your immune system it makes you happy as a felony doctor i would like to prescribe you some but what are the dangers what is the right dosage and what are the side effects. when the weather's nice thomas folks prefer cycling to walk he doesn't use you for 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's protective benefits also extent skinned. women is on the complex and i didn't if you avoid the sun completely and also use sun blockers and don't take vitamin supplements in your riskiness. victim indeed efficiency 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 for both internal organs and the skin organic. and our. professor folk has spent years examining the impact of the sun's rays on a 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 and university made an astonishing discovery. that surely everybody to shew is covered in vitamin d. receptors that can suppress tumors and that includes skin tissue which needs the betterment to protect itself from cancer. so if we want to keep asking healthy vitamin d. deficiency should be avoided but in places like germany it's widespread professor forgotten his fellow researchers are alarmed at figures showing this 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 for to mindy 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 know supplements a one way out of the dial but simply popping pills is not enough the skin has to play its 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 and 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 for the inferior. monday holds it's best 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 not true protection callus areas have a more resistant pigmentation but be careful because your skin can be unforgiving. professor 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. was essential 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 i searched. around for my definitely

avoid getting sunburn. routine will benefit your health and actually help to protect you from cancer. history so many things we enjoy some like should certainly be relished but in moderation your body will thank you for it. i've never thought man he's a dermatologist and as a dermatologist you want your patients against what you do that i like this one. i like it too and i like to be i'll try and give the advice to all patients to go i type. but to use some protect not to get a sunburn as a democrat many of your patients come to you because they think there are some spots on this skin and they may be dangerous so many of those spots are dangerous every night and most of the spots as you said nothing but the few that are dangerous. both you have to watch so the fear for cancer is rectified.

bianca 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 minus all the gong on and we could 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 release days i'm much more careful my father has skin cancer on. top. younker luck skin shows visible signs of sun damage now $49.00 she's had several cancerous growth 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 i stopped formed and started to

believe. and that's when the alarm bells started ringing. alarms. lighting 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 course for the person. what younger lot 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. is 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. doubling in 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 large about 45th the cancer is already advanced the tumour can grow into cartilage sometimes into muscles nerves or even bones then we have to remove part of the nose or the ear i live with which is extremely unfortunate for the patient. who does it for 2 or 4 younger like makes an appointment straight away for her next regular checkup she sees a dermatologist here at least every 6 months behaved opportunity 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. everybody has what might be termed a personal sun exposure account over the course of a lifetime there'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. once you can get 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 on the distance pass yet or down from the indies and then the entire surface has been subjected to ultraviolet rays . and the patient can't undo it in its orbit income. tonnage has

a 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 how 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 . the 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 cancer. 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 task in red or long life 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 your doctor then you have only little spots and they don't have

a different color and sometimes think oh it's just a needle him that does not heal and so whenever you're not sure if it's ok or not after 234 weeks at least show this to someone who can tell you that in such short time they don't have time to or 3 weeks you know when you know that you know if you use this little spot should have healed and it did not then he 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 the melanoma is usually doc brown sometimes even a black and the number that you must get cancer has different colors very often with wide like the color you see in that you have and when you're in the growing of this moment and was skin cancer usually the most of them don't grow that cost 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 could have injuries or death people on the streets but why is that what makes the 1000000 omas so dangerous. because this tells they can go anywhere in your body they can go wherever they want to like in your brain in your going day i can be me you know boss and that is worked in the end kills you not that spot on the. what kind of therapy is do you offer in both kinds of cancer well for both kinds we have the golden rule that early on you find that in the early and you treat them the better. over the last years you can treat them even when you're kind of named but still the best way for both types of skin cancer is that you have to protect

them too to. find them and treat them so you said it's very dangerous if the detection of the 1000000 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 cannot tell you that exactly it depends how deep in your skin that melanoma goes and the deep it goes the more risk is that the test is this in your body body somewhere and this method is that that is that what possibly can kill you so it's a very good idea to see your doctor intimate ologist on a regular basis to get yourself checked. and to make that he not only the democrats are just have to have an eye on this any kind of talk to cease your skin should be careful and you yourself as a patient for decaf or when you see something that's not sure piece shoulder is to

someone who knows what it is it's a hoffman should you go see a doctor or a regular basis well usually in germany we can see the patients every 2nd here but patients with higher risk like fast skin and a lot of spots we see them on a yearly basis 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. protect their skin using sunscreen but when it comes to sunscreen it's not that easy. on the right what sunscreen looks like on the skin a signature u.v. camera. a black layer of paste. but is it really is non permeable is it looks. like. we've come to

a strip club swimming pool to come to the sun screen test how much better action does it give us. dermatologist european power joins us here. you need pigs packing and 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 the 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 damn attala jests tend to find skin cancer most often out of. our expert

also explains that in and julian haven't used enough some screen 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. new sun and your sunscreen is allowed to be sold as water resistant if it retains at least half of its sun protection. action 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 dried 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 glassful of sunscreen over the course of the day. that's why no

one does that if you apply that much sunscreen and one day you'd look like a breaded 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. . also known theme 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 uva that increases the risk of malignant melanoma. 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 was gray or lotion and there are a chemical food as a physical food is 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 you find that you like one that has enough sun protection that you can all the places of your skin that you bring in the sack. how important is some protection for children even more important than for the grown ups and we know this from databases from australia we have to protect the children and we do it now around the world and sunburns that you have in your childhood that make skin cancer later on and when you grow up with that piece keep with it and even if you. cease protect your skin

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 it's is just skin never forgets it's what that about well we said this to our patients in the past and the more sunlight you get over your lifetime the high is your risk but there is a bottom in this because you have to think even when you are let's say over 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 the early forms of this non-melanoma skin cancer can even go back so peace use protection makes christians some protection doesn't only consist of creeds so what else is important

. 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 new please go inside if possible in other very interesting christian lycopene like in tomatoes and carrots and they supposed to protect your skin from the inside so this is a very reliable method to predict. to be clear with that we don't have a very good database for this so we can not tell to the people who sees abuse one kilo 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 christians. yes this is how it works here at in good shape the presenter sits in the sun and it's relaxing and you have told me you have

to do all the work and sent us all your questions. on an upcoming show we'll be looking at personality disorders ranging from borderline to narcissistic how are they diagnosed what are the symptoms and how can they be treated 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 let up he has

a bachelor of science 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're going to 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 sun does you have to look for the right protection against the glare of source sun rays and also very important against your ultraviolet rays so you can look. up and see on some of the frames a little decoder you can read you the 400 also you can check it so you can check the list of course yeah you do it so he can take it here yeah and you can see this little you read here and when we make a board like this you can see yes you got a nice altro violet. well yes so it's good yes so what else do you have to look for

. i think the 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 which is a best because you will see every scene 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 about it depends on what this is about twice this one a good one because it's a little bit 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 protect side oh hugh can see me as if he's

bigger so just how is that getting directly into your eye and this is also one of the newest frames here if you saw this is absolutely today ok and the other one it's also nice one it's what most people called and classic and john ok it's a classic model yes mates us 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 you try to get rid of the gap from this. yes you have to do bits 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 sun deflection 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 to use either friction coating you will have reflects on the back side of the lenses and you'll only see the friction also the you erase will be reflected and got can go inside your eyes

and there's a good under flex we called it wouldn't happen so it's would be much nicer for us thanks so much for this talk. he said it not only for the talk but also for the show so see you next time and i'm told then let's all be in good shape. move. move move move.

move move. move move. move move in. your inmate of 2020 the coronavirus has separated family and friends and old boundaries are reappearing. but despite all of the feel good about health and the future there is still hope and in many places

a new feeling of connectedness. sluggish long-nose. leave the actual d w. d q you know that 77 percent a biopic are younger than 6 o'clock. that's me and me and you. and you know what it's time no voice is part. of the 77 percent of the top bobby issues that popped up this is where you come. the 77 percent this weekend on d w. plenty it's a deadly sin. and the whim of nature. motivates us the friends tourists

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