present day hoaxes. who's behind. this and the good they do it isn't except to do over the. surgery new dinner in some stores later on d w. the state of the news and these are our top stories turkey has condemned a formal declaration by u.s. president joe biden of recognizing the armenian genocide which took place during the ottoman era and $915.00 the white house had avoided that term for decades for fear of alienating ally turkey thousands of people in armenia s. capital yerevan i'm have been commemorating the mass killings deportations and forced marches. indian authorities are scrambling to get oxygen tanks to

hospitals overwhelmed by the world's worst coronavirus surge clinics across the country face acute shortages and say patients are dying as a result india said of global daily record for new infections for the 3rd consecutive day with more than 346000 confirmed cases. indonesia's military has declared a submarine that's been missing since last wednesday a sunken vessel this after searchers recovered debris a dent a find to be from the sub the vessel was carrying a crew of $53.00 all of whom are now presumed dead. this is d.w. news from berlin you can find much more on our website this.

hello and welcome to new fresh edition from in good shape here we are again are you male or female or do you define yourself differently i'm asking because we want gender equality you're asking why is this question so important if you're sick or need to see a doctor that distinction might be the game changer men have a higher risk for developing heart disease but women are more likely to die from it with regard to mental health problems you might be unlucky if you're a man according to statistics more women get depressed this could be because doctors are less likely to think about depression in men and therefore don't treat them properly as a man or woman what you have to know when it comes to health and what do we doctors have to do to ensure that there's equality in medical treatment that is what our show today is all about let's take a current example the novel coronavirus research suggests that men fall ill more

frequently and more severely. today i'm with your play he's a biochemist turned writer he has written a lot of science books he's a journalist thanks for having me today when we take a look at the cool grown up and make it seems that the men are the weakest sex in this case this is really true when you look at the. corona virus outbreak actually there's some data now from the city of hamburg in germany and they clearly show that. among the people who die from the virus the men are in the majority it's about 57 percent of the people that are actually ma'am it's because of their lifestyle. they have more heart disease they have more problems with their lungs because. among them and that makes them weak and prone to get the virus and

a severe. infection leading to the i will talk to your in more detail in just a moment one thing is clear there are many biological differences between the sexes then it's also clear that diseases take different causes and have to be treated differently but a lot is also due to our behavior women wash their hands more often and eat more healthily men on the other hand think that the body simply has to function and what about as doctors we treat headaches. but do doctors care about if the patient is a man or a woman this question could make a difference between life or death. just never imagined she'd wind up in hospital yet she recently woke up at night with back pain later the next morning she was diagnosed with mild cardio infarction she had had a heart attack it's far from a given that you were survived says cardiologist. heart attacks are still regarded

as something that men get even though it's the number one killer of women yet women symptoms are often misdiagnosed. their homes are we even seen women and their doctors who thought it was influenza. fortunately irises dr who is a woman herself thought it might be something to do with her hard to find good after that's normally a routine consideration with men making a diagnosis we have to make sure it's always taken into consideration with women as well. it's not only our hearts that beat to a different rhythm there are many other differences between male and female. due to our genetics. women have 2 x. chromosomes in each of the body cells while men have one x. and one y. chromosome and there's the chromosomes control

a person's hormone levels which differ between male and female and as well as influencing our sexual organs hormones also have an effect on our entire organism. the proportion of fat in a woman's body is fundamentally higher than that of a man it actually confers no benefit at all on men as male fat isn't deposited around the hips. instead it collects around the liver and the abdomen. that's why men are twice as likely to develop type 2 diabetes as women are. on the other hand women have broader hips they're more likely to be knock kneed and their knees have less cartilage this can make them wear out faster. it's why 2 thirds of all knee replacement surgery is carried out on women.

women's immune systems are also more likely to over respond to pathogens that's why they're more prone to allergies asthma and arthritis and when prescribing medication for these and other illnesses a doctor has to take these differences into account after all medicines that are highly effective for men might be of no use to women others can have a stronger effect on women then on men that applies especially to build up blockers the consequences can be dangerous incorrect prescriptions can have negative side effects and even require detoxification. it's a speedy comment people rarely think that side effects are overdoses could be the cause of their symptoms. and that's. why women aren't getting the right advice on why side effects might be ignored to begin with. but apart from medication invasive treatments such as heart catheter exams pose higher risks for women including even

stop loss. if jesus in their blood vessels are more sensitive so there's a higher risk we might injure them that's why we insert softer tubes that are very gentle to vessel walls. in heart catheterization a cardiologist inserts a long very thin tube through an artery or vein to the heart the doctor uses it to locate the constriction which triggered the infarction. here a plastic tube or standards being inserted to widen the constriction. because women tend to have more problems after receiving a stent and better uses digital imagery which allows very precise measurements that shows him how big a stent needs to be. the thing is this is that because i think that's just coming into focus now that women's treatment has to be done just as well as men's and with

these i mean that's right in the past it was certainly the case that the focus was more on the men either starlost was lucky she got swift treatment she wants to stop smoking and lose weight she know understands that women also have to keep an eye on their heart condition. the quality of the sexes is a major issue in politics or working in social life all over the world at the same time the differences between men and women have been examined down to the tiniest difference for example a study with 5000 test persons found that men funnier than women this is maybe because humor is an important criterion for women when choosing a partner this was found in a style. richards maybe this is why men often display their humor more strongly but everything has its limits for example when a man gets a cold then all fun comes to full stop. it's

a phenomenon half the population is affected and they're all man women might get a slight cold in the winter time but man end up suffering full blown influenza. but why are men by their nature not as robust as women immunologists have discovered that men and women have different reactions to infections. there's evidence that it could be true women's and men's immune systems seem to function very differently. and does has to do with hormones women have lots of east region that stimulates immune cells to react quickly that's why women's bodies can fight off an infection faster and more aggressively than men's bodies which contain high levels of testosterone. as men have way more testosterone in their

blood than women do we know from various studies that testosterone has an effect on the immune system several studies have shown that testosterone is the reason why men get the flu more often than women. do you might come to the conclusion that man with extremely high levels of testosterone would get sick more often but the opposite seems to be true. high testosterone levels metabolize some of that testosterone into extra dial of female hormones and that in turn has a positive influence on their immune system. this means that men with high testosterone levels are well protected against infections and are less often sick than men with low testosterone levels. men also have an. genetic disadvantage. even the difference in chromosomes and influences their immune systems. of

a lot of antioxidants and immunological processes are coded on the x. chromosome which means that while you men like this are why chromosome. that's another reason why we're much more susceptible to infections. so hormones and genes determine that men fall ill faster but do they get sicker than women do. actually their scientific evidence to suggest that the opposite is true and women get his harder than men do. there are many studies about the differences in pain between men and women the conclusion was that women experience pain more intensely. what's more the intense immune response that women experience puts their bodies under a lot of stress and that can lead in the short term to even stronger symptoms. but men are more focused on their pain than women are so they suffer more when men get

sick they concentrate on every symptom like a scratchy throat. there's also another reason why men get more infections than women they wash their hands less frequently than women do and washing your hands is the best way to kill viruses whether you're a man or a woman. i'm still talking could be they're just more squeamish than women. who have a tendency. to lead their lives that's not very healthy. you fight among. there's more folks who have a leg of exercise and the eat more unhealthy food and the repercussions of this that. have more medical problems and that they might even die

earlier than women in almost every country in the world men die earlier than women here in germany approximately 5 years earlier in russia even 10 years why is that so russian men love to drink vodka and even if they appear to be very strong and healthy some of them drop dead because they wrecked their liver and that is a problem in russia actually in all societies men have a tendency to to be smokers to exercise less and also they have more accidents and that's an explanation of why the life expectancy of men is lower and this is true in all societies to get to the bottom of this phenomena and you went to the island of sardinia in the mediterranean sea why sitting here

there's one village in the mountains that is very peculiar because. men live to be about 100 years to the life expectancy amongst men with extremely high i can say it's one of the highest in the world and the other thing is men and women have more or less the same very high life expectancy in so then you know there was a environment with a lot of exercise because men many of these men would look after the sheep when the weather young so they would be in the field for many many months per year every year they would hardly drink wine they would eat a lot of vegetables and so that was a combination of very healthy food and no smoking by the way and this created a situation where men could really live to become

a 100 years old so behavior and lifestyle have a stronger influence and biology the genes were always overrated there's no real biological explanation it really boils down to the way of life what can every man in regard lives where he lives in the world do to lead a longer and healthier life it is very interesting to see what the menace edina did when they were young so they wouldn't smoke so my advice is quit smoking eat healthy foods mostly plants and you should have a lot of exercise and if you follow these things. you do a lot to to have the full potential of your own personal life expectancy in one of the cover stories of the most famous magazine here in germany you claimed that men who live in the stanley and take care of the family live a longer and healthier life but isn't this just boring. at least then you could say

it's boring for a longer time more boring days but i think also on the same time you have more days full of happiness because if men livin in healthy and good relationships they have less accidents they take less drugs they have better foods. not that stupid and so i think the result of that and the repercussion is that you live a longer life thanks very much for this very interesting talk my pleasure the field of medicine is a man's world most clinics i managed hairpiece i researched on man guidelines for therapies written by men and even in experiments that most male that's got to change i share this opinion with get old stuff she says research for him balloon a topic in the medicine. care in berlin hospital

researches are looking into how men and women deal differently with their health and sickness. today the team of discussing the results of a new survey it shows the differences in our approach to health matters are also evident in the new coronavirus era and shines the same this proud women seem more willing to comply with safety measures one voluntary but men only when they're mandatory so it's another example of gender disparity. the team is headed by gad told to the professor for gender sensitive prevention research her particular focus is on how men and women can prevent age related conditions like obesity and diabetes and how doctors can best support them in their efforts. this mother the point is for people to eat healthier get more exercise reduce their tobacco and alcohol consumption and then live longer and healthier and with

a decent quality of life. but there are also an if you can differences between the sexes women tend to know more about what they're eating and have healthier diet men generally know more about actual science and do more sports. those insights can help improve self-help options such as for losing weight. problem. women are ok with group activities such as those offered commercially but men not so much. they're more receptive to an option. so tailoring things to what men and women need will hopefully increase people's interest in the measures and mean a better chance of success. or. further issues dealing with serious diseases such as cancer something women will talk about with their friends men on the other hand tend to confide in their wives. says

run off. while armed after their ill man ask what they can do for themselves by changing their lifestyle and with man in particular if that's a window of opportunity. doctors can use it to provide recommendations or talk about issues it's a big opportunity for the manager. of course after say being diagnosed with prostate cancer they can change all kinds of things having a healthier diet doing more exercise and reducing stress. on. another example is involuntary childlessness there's been considerable research into women improving their fertility by losing weight but precious little on what men can do. and in fact this one sided focus on women is harmful to both sexes. there is simply not enough

research into way into boosting male fertility. we want to improve that situation by examining both partners men and women in. research into gender specific characteristics however it's only one part of the picture even among women there are major differences and that's to help my. as there are among men everyone is different so ideally we would have medical treatment customized to each and every one of us. that strange voice. ultimately we want to use this male female dichotomy to gain a better understanding of how patients differ. so not just differences between men and women but also within those groups in their behavior and in their strategies for coping and in what they really need to deal with their

illness. so gender research is merely a 1st step along the way towards personalized medicine. also medications work differently depending on the patients gender active ingredients are being absorbed in different rates women often have more body fat men often are taller and that's very important for the dosage however too little attention is paid to these differences and this might be quite dangerous professor very. knows the disparate effect of medication on men and women is largely overlooked and under researched one reason is the way in which trial studies are configured by not such an in that's needed anything over the last 50 years there have been efforts to avoid including women in drug trials. due to evidence of the damage caused to be employed during pregnancy. and we see that especially in the

early phases of drug development tests are conducted on healthy volunteers and they're overwhelmingly young man human men are and exact remains a major problem some forms of medication have a different effect on women. there are a number of reasons for that. the 1st factor is that the time needed to digest the pill varies according to the patient's sex. secondly enzymes are key to the effect of a drug because they release an active ingredients men and women can have different quantities of enzymes so the ratio of the doses ingredients that actually enter the bloodstream also varies according to our sex. 3rd women tend to have a larger proportion of fat and are generally smaller as well as

a result the active ingredient is distributed differently in the tissue consequently women are more likely to suffer unwanted side effects via test and thus card we're currently testing this with commonly prescribe drugs and believe we have found data suggesting that women need different target doses we need to change the strategy and to test medication on all groups among the population they're intended for. school this is not of course that includes women and the elderly who account for a major part of consumption engine and course entitle it's 9 middle name. which is why professor. and her team are working on a study its aim is to determine whether illnesses themselves develop differently in women and men and what that means for their respective treatment. over a boy than this and they want to know which medication older people need which doses

and their degree of tolerance. and of course they also want to know the effect of that medication on the heart and circulation and other functions in the body and or and and often thrown in copper bun for. previous studies have already shown that some heart medication shortens women's lives but not those of men. this new study covers more than just physical examinations participants also answer range of questions about their daily routines the aim here is to determine any differences in the my styles of men and women. what i find interesting is having the results afterwards which gives me a better assessment of myself so. soft i can see what condition i am in relative to my age both physically and mentally.

the study also incorporates new measurement procedures this blood pressure test for example delivers far more data than would be the case at a general practitioners it also takes into account that order has become stiffer with old age without that factor there is a danger of the test returning in incorrectly high blood pressure the study participants are already appreciating the benefits but. i expect to find out more about myself and hopefully this will also help other people the researchers might have discovered something that wasn't previously known within those issues to. sometimes it's the small things that can make a big difference. in many cases an additional node in the patient information leaflet would help to address specific differences when dosing medication. so many differences in terms of

both effective doses and side effects so i'd say that information should always be included on superior indian by. there are good reasons for considering the differences between women and men when it comes to medication all too often the bias towards men still leads to avoidable complications and side affects. there's a lot to be done before men and women are treated equally in medicine and i've got a lot of things to do because i have to prepare for next week's show see you then and until then let's all try to stay in good shape.

is a ball and help others with your story. every 3rd woman is a victim of gender violence. they have experienced it firsthand and demand that you look and act stop violence against women.

rights lawyer. culture. hair. style a lot of. lifestyle good. 60 minutes. 19. their story their very own personal trauma. people who survived the chesterfield remember the fire and they share private footage with us that has never

been seen before. back to chernobyl starts april 26th on t.w. . from emotional abuse took there's a cause salton murder domestic violence has far more widespread than many people realize about violence against women is the biggest crime demick there is that it is experienced by one in 3 women worldwide all too often the fatal outcomes are downplayed as family tragedies.