this is home massive churches with towers pierce the clouds like skyscrapers are created. contrast of the cathedrals streets of people 12 t.w. . this is news and these are our top stories britain is mourning the death of prince philip husband to queen elizabeth the 2nd army guns a formal military salute and sporting events paused to observe a minute silence as philip died aged 99 his funeral will take place in a week's time at windsor castle flags are flying at half mast nationwide. chad's long term leader has held his last campaign rally before voting opens

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welcome to end good shape this week rapid weight loss how effective is the protein shake diet. every day aluminum just how harmful is it for our health. and tell them medicine we learn about the benefits of digital health care. and all would welcome to in good shape do you know what this is this is telemedicine many people say that it's a future in medicine because you can bring your doctor right into your home. but of course a doctor but of course a doctor's note coming in a real person to your home has just sending his voice and his picture using his mobile phone. during the corona crisis i introduce telemedicine

into my practice as well because who likes to sit next to a patient who might contract cove it but do you know who the real pioneer in telemedicine is it's sweden and want to know how are you today i see you are breathing while the fast. i'm fine i was doing some chores this morning maybe that's why. this is an online medical appointment the patient. checks our own blood pressure blood oxygen level and breathing rate the data sent automatically to the hospital where she had been an inpatient last summer up harajuku contracted code at 19 was in intensive care for 10 days and required ventilation once she no longer needed oxygen the doctors made her an offer. you can go home and we'll continue to monitor you remotely by a computer and communicate online she was the 1st patient to sign up to this pilot

project you know thank you that is seen as danger to chrome. there i got very clear instructions on what to do i took my blood pressure and temperature and all the rest by myself after 3 days i realized you know what it's actually ok or your chin that sound at the moment the point of partly. the pilot project was born of necessity at the height of the pandemic the hospital in the town of sirte italian a stockholm was reaching capacity. sweden started working with telemedicine well before the coronavirus hit physician roland says more and more health care is set to go online. where you are throughout the from there and i think we're going to have to think more about why patients are actually in the hospital and for how long . can we still look after them if they're at home. if the answer is yes then that's what we should do. we have to use our resources wisely and do

what's best for our patients that means new ways of working. it's already quite common for people living in rural areas to see their doctor online. don't half for example 1st turns to the medical app on her phone rather than try to get an appointment in person which often involves a long wait. in the swedish health care system it's standard practice for initial contact to be made by phone or video call. dr lee works for a digital health care company she says video consultations often work well for simple ailments such as colds certain skin issues or an upset stomach waiting time is no more than an hour it's different with more difficult cases. i had an 11 year old girl with a persistent bad cough that kept coming back. there are limits on how often

patients may contact us at some point we say they should go and see a doctor in person. this is what the digital startup has $50000.00 patients a month its c.e.o. is martin lynn patient fees are covered by the government companies like this face criticism from doctors with their own practices maybe seahawks or from the top of the debate shows that we actually need digital health care. pandemic has demonstrated that it's effective and benefits patients including those who we've never seen before. in the field we're in it makes a huge difference for the feelers he. says she's happy with the care she's been getting on. back home surrounded by her family she soon felt a lot better ringback. just imagine i wouldn't be here.

what you see right there's no doctor here. so telemedicine makes perfect sense ok you might say it's just a case if you want to speak to a doctor but that's not true even midwives can use telemedicine. caller made wife is an online platform based in berlin it offers assistance to pregnant women and parents midwives can do a lot on video call though they still have to show up for a birth. 'd to be set up the platform she's been a midwife for almost 3 decades for most of that time her days looked like this making house calls and she still does visit young families. very good for the baby weighed 3.9 kilos last time and had put on 300 grams over the course of so was doing fine as a for never for her as

a kid. the baby is 2 weeks old it's important to check that it's continuing to thrive and grow. by now it should weigh at least 4 kilos it's just a one way to find out. 120 grams that's great yes. various aspects of being a midwife do require being there in person as all the senses are involved. breastfeeding isn't going well a baby's breath will smell like acetone that if babies are not being clean properly they'll smell of milk. when it comes to breast feeding advice from a midwife is often useful just checking. can reassure young mothers.

who most of them live. in the. it's not clear that a video call can replace a house call including the emotional contacted office. subpoena also has physical premises and office. in all the midwives who work for call a midwife speak 9 languages. a member of her team is about to talk to an expectant mother in sao paolo brazil. most countries have the same kind of system as we do midwives look after women before during and also for quite a while after birth but many countries don't got. that so i call a midwife offers its services worldwide foreign clients have to pay as their health insurance won't cover the fees data privity issues have not emerged so far and i

also works as a midwife it charité hospital she speaks portuguese so she talks to the women in sao paolo. first i found it a strange idea that i might not get to know woman in person face to face and that i would look after her in this way i wasn't used to that at all but now i don't see any major disadvantage especially if there is no alternative. no sniffing touching or hugging but still and i love reassured the young mother in sao paolo. definitely told her that she's producing enough milk and that the little one is growing well i think she was happy to hear that. such online counseling by midwives supplements does not replace in person encounters

there is a shortage of midwives and demand is high call a midwife is growing and seeking to engage midwives to speak anything greater range of languages during the corona pandemic i myself introduced telemedicine into my practice and i have to admit it worked out quite well many patients simply laugh the direct access to their doctors without any infectious hazards in the waiting room and many patients still struggle with the computer systems and what if i have to listen to a heart murmur to the chest because i can and i do this through headset so those questions will be answered by health reporter peter in today's talk. of video call with cannot mark's intensive care specialist and chair of the german society for telemedicine he's convinced that patients can benefit when different doctors and clinics share their expertise digitally. hello dr marks good

afternoon what exactly does telemedicine tell of medicine means that we are caring for patients completely independent of your own location the location of the patient and the timing using modern information and communication technology what i want to press for a person 1st thing is that we can provide x. the t's and sharing x. the ts from from different departments and fields of medicine to a single patient so it could be well that one expert is from germany enough and another expert is from london and because caring for patients in portugal or at the as henri's. and bringing all our expertise together and then joining here the forces in order to provide to the best service for our particular patient

and diagnosis all the therapy wrong in terms of care for the through and through a part of telemedicine especially in all of a pandemic one of 3 a profound experience we could demonstrate that we can really providing at telemedicine improving the outcome of the patient and fun example treatment of sepsis treatment of stuff in a caucus arias that's to me in sections but also. in our g.p. practice is that the do not give antibiotics in for example if you have a cough or something. really very highly effective and then kona happened and. have retreated now more than 300 patients so far more than 2000 attilla consultations at that age really very good results compared to our

national survey especially in the most severe covert 19 patients so again highly effective and also we could keep them at their local hospital. mostly so after all it's immediate very timely possibility and of treating patients. today treaty and i'm sure this is the right way forward but story come fall or be there comes a time florine replace the face to face visit at the doctors well this is a very good question so one thing is for sure and has been proven in the states in research studies telephone alone is not enough you need to see a patient you need to have the clinical picture. all kinds of information and means x. rays. of oratory of blood gas analysis monitoring e.c.g.

and so on what we cannot provide using telemedicine is that we touched patients so there's no hectic but we have really very good resolutions and technology we can zoom in can see the pupils of the patients and 3 people reaction so this is really good and what we really not really want to replace is the colleague at the other side we want to be together as a team and be better as a team then the it is individual physician treating caring for a patient in many regions of the verb or are very few doctors can tell him everything will be a solution to this problem. well maybe not the only one but it is in my opinion better to provide physicians via telemedicine rather than there's nobody so this. very helpful in the treatment of this

is in patients thank you very much dr walks for there's. my pleasure. now you might say i don't need a doctor at all because there's an app for it and my smartphone is connected to my smart watch and it measures everything inside my body my heart rate my blood pressure even the oxygen of my blood but are those measurements correct. a growing number of people are now doing their workout with instructions from a health up this one suggests exercises to strengthen the back and there's a huge range of training routines out there. as is typical with apps in general they include illustrations and short videos demonstrating the exercises in question . but do these apps have genuine health benefits.

they are just booked sick is a junior doctor and himself a keen sportsman and of health apps we showed him some of the exercises in this one . workout taps can have their benefits but as ever there are a number of things to be wary of. chronic patients in this case with spinal column problems i expressly recommend 1st seeing a doctor. individuals with preexisting problems should always 1st seek professional advice from a physiotherapist before embarking on a workout program the eye care health app aims to be able to measure vital signs using only your phone's own senses uses hold their index finger against the. camera and the apple scan their pulse blood pressure and allegedly even oxygen saturation this young man's 2nd pulse reading is 64 after an initial 100 just before hand. the question is whether these values are accurate. we cross check the app's

accuracy with a standard blood pressure measurement the 1st patient's reading is correct the 2nd is white of the mark. so you do have to wonder with high blood pressure patients where the readings are 10 or even 20 percent out. and they either go to their doctor with that figure or treated based on that figure without even consulting a doctor and that's a serious problem. the makers of the eye care health that even say it can measure your lung capacity to test the claim himself. cultural arts are one of the only looking graduations your lung capacity is at the level of a 3 year old child. this looks like the least credible function with. that's one you definitely don't need almost actually if you have a condition. for them and they're trying to. help that should be approached with

caution otherwise you might be sharing too much personal information and also running the risk of damaging your health instead of big sting and. if you communicate with your doctor using your smartphone or your laptop computer one substance is always there in a minute because it's built into modern equipment but it's not only inside the computer it's in the world too like in the nutrition in water and in the ottomans and it may be a health risk because it might propose alzheimer's disease and cancer so let's take a closer look at modern science element. aluminum is the 3rd most common element in the earth's crust it occurs naturally in the environment and in the water we drink we also in just a moment everything from food packaging and pots and pans to medicine and

toothpaste. there's also momentum and lots of what we eat from natural sources and added. another way it can enter our bodies is through the skin when we use anti perseverant and other skincare products and there are plenty of stories about what kind of damage it can cause controlling the crucial thing is the concentration we know that if it's high aluminum is neurotoxic bad for the nervous system. so what level is safe people who eat a very diet will consume on average around 40 milligrams a week via their food. that's still considered a tolerable amount which our kidneys are able to filter out. so at what level is considered dangerous the european food safety authority says intake should not exceed one milligram per kilo body mass per week so for an adult

weighing 60 kilos that average intake of 40 milligrams from food already amounts to 2 thirds of the maximum. a lot of food comes packaged in aluminum foil and boxes and that can easily push our intake way beyond the limit. over the past decade and perseverance have been the subject of a health scare prompting manufacturers to market ones that don't contain any aluminum recent studies however found no evidence of a link between aluminum and anti perseverance and breast cancer but experts do warn that metals enter the bloodstream via the lungs far more easily and quickly than via the skin or digestive tract so. sticks now have the green light sprays are not yet entirely in the clear in the 1970 s. aluminum was found in excessive amounts and dialysis fluid and dialysis patients who developed

a form of dementia the suspicion arose that it cost certain brain disorders in particular alzheimer's. day to do. that is the cause of a contributing factor to. a byproduct. for most people their intake of aluminum comes mainly from food and from food packaging under certain conditions. ions into the contents. acids insults cause a lot of aluminum compounds to become more soluble that's why it's best not to keep acidic or salty foods in packaging containing. plastic containers are actually preferable. another factor that increases the migration of aluminum ions into food is heat catering companies serving hospitals

retirement homes and kindergartens often use aluminum trays to warm up food. and heating food at home among the alternatives to aluminum foil are parchment paper for bacon and grill trays made of stainless steel or ceramic. but there is no need to panic experts agree that any potential danger comes from exceeding the recommended limit by a considerable degree and on a long term basis still where you can avoid aluminum it's probably best to do so. do you want to lose some weight come on it's easy just eat less and exercise more that's the simple truth but what about all those cravings my personal tip is need enough protein because it keeps you satisfied and gives you the nice feeling of being full and there are even some commercial solutions for the protein shakes so

drinking shakes and losing weight could this be the solution we've taking a closer look. it sounds so easy makes a few spoonfuls of powder with water or low fat milk drink it down and lose weight . really really be so simple to shed the kilograms. mommy on shorts had seen lots of ads for weight loss and meal replacement shakes but doubted they would work she has been trying to lose weight for years with all kinds of diet eating more protein and less carbs and doing more exercise all failed to do the trick. so she decided to consult a nutrition specialist dr. he checked her blood and analyzed her eating habits. then he recommended replacing all 3 meals a day with shakes also known as formula males but just for the 1st phase of her

weight loss program. when you 1st start a formula diet you lose weight really fast and that's a great psychological boost for people who have a hard time dieting we can build on that motivation plays a huge role in actually seeing it through. formula powders may be mass produced but in many countries they are subject to government regulation each portion has between $2400.00 calories 3 of those a day add up to a maximum of $1200.00 calories there are limits on the amount of fat protein and carbohydrates certain vitamins and minerals have to be included. nevertheless the various products aren't the same. quality the quality of the protein. the mix of trace elements and which means of course how much fiber these

are the main differences. and university hospital in berlin professor and researches weight loss strategies there is good scientific evidence that formula diets can help once more they can swiftly enhance the metabolism of glucose. with no formula formula diet is like fasting that means you live off your fat. and burn it it's a very specific metabolic condition the very healthy one. after completing her diet malyon sure it's now aims to consume 100 calories a day less than she used to to avoid gaining weight again. she now knows what foods make you feel full and how to cook low cal males because it's olds who easy to put weight back on without a change of lifestyle that is shakespeare if you drink shakes to lose weight and then go back to eating as you did before it would have been in vain and but feel healthy. with the help of formula meals money on shorts has lost 16.

if her weight ever starts to creep back up she switches to shakes refute days and does more exercise for several months now she's managed to keep a new low weight steady. that's it for today see you next week and then let's all try to stay in good shape and i do know hello dr.

when food becomes scarce. climate change has put traditional agriculture under massive pressure. all over the world researchers are searching for solutions. can high tech farms help secure our future. next on d w. hamas

the love and architecture firm in the netherlands is experimented with letters. making words on building for sauce into a trap. to rob. 60. little. boys. 19. it's their story their very own personal trauma. people look after the chesterfield remember the flem and they share private sort each with us that has

never been seen before. back channel it starts people 20 minutes on t w. come. is this what the future of agriculture looks like vegetables and lettuce is stacked on several floors artificially let's. fully automated farming protection from drought crossed and straw and. this isn't a futuristic question. in japan this is already the reality. of where a large cut in the system we can produce food and not optimal conditions with high nutritional content.