Transmitted infections testing treatment prevention. And heres your host dr costin. Today the show is about the small things in life that are of great importance. Condoms for instance why youre 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 there was a disease a dangerous this is what im going to talk about with dr viviano here at the robot Call Institute invalid welcome to in the chip. Sexually transmitted infections they dont 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 syphilis are going to realize that when you are affected yourself you dont want to talk about it thats honestly the best medicine is Sex Education. This is the center for Sexual Health and medicine in both. While youre waiting for an appointment you may read a magazine and youre 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 will 3 cases of syphilis im going to read every day one fact is that there are new ways for people to get together by a modern technology dating apps and chat rooms so they make contact much faster church rules as you go to. Talked another flank. Of sexual behavior which increased the risk of infection and was the 3rd aspect is the use of stimulants during sex when youre high on crystal meth or whatever other drug youre 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 theres 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 i want to stop using condoms they 1st want to get a checkup to make sure that both healthy and. Then we see women who want to have a baby and want to make sure they dont have any infections that they might pass but and we see men who are paid for Sexual Services some want to get tested and men who have had sex with other men. Can talk to. 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. Tell me what brought you to us when. I just got a call from a friend i had sex with about 6 months ago. He told me not been diagnosed with syphilis so im a little bit were. Hers. 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. Little usually i get a slight rash but i always put it down to some kind of allergy perhaps thats a some come to the gangs but ive never noticed anything more substantial that does it for this kind of syphilis can be pretty much symptom free and is then only diagnosed by means of a blood test by finding the bacteria in the blood and try estimate the likelihood youve 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 lesser nowadays so it was a shock to hear i was at risk but as ive just been told syphilis can be cured so its good to be informed about it swiftly then you can do something about it at once and make sure you dont pass it on to anyone else to hold off for him. 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 in the hope of covetousness what we have to do is engage with people the way they are and the way they live their lives whatever their sexual preferences here at the clinic no topic is out of bounds this is you can talk about anything were here to help people get through life infection free. To sleep. The clinic also hosts a weekly breakfast for hiv aids patients talking about things can be helpful in its own right with fellow sufferers as well as with professionals its all about encouraging openness teaching the facts and countering fear. If we want to contain is to be nice we have to talk about them and this is what im going to do today with dr. Thanks for having me today and what other major sexually transmitted diseases well there are many sexually transmitted infections in fact. I could talk about many of them but apart from each of the the most important ones are going to be unsettling can they just be transmitted via sexual intercourse or sexual behavior can 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. Through toilet seats there are not transmittable fruit on it seeds lets talk about going to. What are the 1st symptoms well im going to read the 1st symptoms with the burning during your innate thing and also there will be discharge from the penis or for the giant. So its 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 we didnt even notice that theyre infected with going to rehab but those patients that can transmit this disease exactly there can still transmit the disease although they have no symptoms how do you treat country where you can treat galleria flu antibiotics however its becoming increasingly difficult to treat its 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 case suspect we cannot treat anymore with antibiotics these people will in fact be very very. They will have a sepsis its so life threatening thing that its a life threatening disease yes although its normally really very common for these small u. T. C. This can become life threatening lets talk about comedian fiction so whats the difference between comedian fiction as. 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 dont treat it would 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 its quite easy to treat it however if its not diagnosed it will only be diagnosed in 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 didnt use any continent then they should consider going to. Physician and get tested for different sexually transmitted infections you can protect yourself protect to sex your partner with using condoms how safe are they when it comes to sex 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 sex returns for today infections however having a protection is better than having no protection at all condoms also protect against aids 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. In the co thomas has just gotten hiv testing kit from the pharmacy will have the result in about 10 minutes medicine with no one to mine by feel a little turds we have to read the instructions and then of course youre nervous about the result of one form of. The illustrated instruction pamphlet is easy to follow its 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 on and off and then i need to put 2 drops of the fluid in a space next to it with you can see a pink mark has appeared in the window which means the test as active then you just wait for 10 minutes to move a single line in the test window means the h. I. V. Test is negative. But how reliable are these tests. We asked hiv specialist Christoph Lieber at the old post of victoria clinic in berlin he welcomes hiv testing kits early diagnosis can make all the difference. Traditional dont want to do we hope that theyll 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 wont infect others. And. Christoph labor 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 hiv infection is only recent the test might not detect it. If you think youve been infected you need to wait 3 months before doing the test and thats 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 germanys disease prevention and control agency estimates there are over 11000 people in the country who dont know their hiv positive theyre good evidence and we think theres a lot going through my mind that i always have safe sex when was my last test its always nerve wracking and what im wondering is what would i do if the result is positive and there are various options available because. 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 its just easier to take the pseudosphere with self test kids people usually use them at home in their living rooms by themselves. Thats why. They dare to do it. All just so much but its important that the right help lines so that people who test positive have someone to turn to for it is. So. The child minutes are up the result negative i said im very relieved im sure you can tell im lucky. Here in germany mostly men who have sex with men are affected by hiv infections but on a worldwide scale its a totally different picture they are equally men and women affected so how do you Contract Agency each of you is 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 toilets are absolutely not transmitted through toilets who should be tested so in your opinion everybody should be tested to have different pot notes so if you have different partners during the past month or so you should consider to get tested condoms provide a brilliant protection against hiv but theres Something Different which is called prep what is so precious a preexposure prophylaxis and its a pill that youre taking on a daily basis and this protecting you very effectively if youre 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 country indications or 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 increased that weve seen an increase in sexually transmitted infections for a couple of years already and there. For we believe that at least these people who are not using condoms for 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. Its a sexually transmitted infection caused by Human Papillomavirus and actually most girls and boys are get infected at one point in time especially when they start having sex. And most of these people are actually eliminating this disease over the course of the years and theres a very small percentage that stays with this virus and eventually disappear as can lead to cancer but to protect yourself from h. P. V. You could only use condoms theres Something Like a vaccination yes and these are the good news h. P. V. Vaccination is very effective and its very safe so i can recommend for all boys and girls to get vaccinated against age against h. P. V. Great thank you so much for this very interesting talk so if you think that theres something wrong and she 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 me. In good shape your Weekly Health show on d w that covers many aspects of health care we look at whats 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 back muscles and your pelvic floor make up your powerhouse if you didnt know that well i didnt do this at med school either ive learned it by doing that exists which is a great way to improve your posture and set. They did proves your quality of life. Better and more nico doing polite is for the very 1st time. I looked up also its hard to hold the position my thighs are starting to crown people its been f. Dont im amazed how hard it is i exercise for half an hour every day so i thought id be a bit better at this. Actually because. The class is taking place in aneta palms physiotherapy practice. The exercises dont 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 a lot is really popular in many parts of the world. It can be done on a stand up paddling board. As a synchronized dance. Or using equipment such as the wonder chair designed by use if a lot 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 lower back in and out of 5 and buttocks. That hamburgs University Hospital dr kathleen of back my stuff often uses pull out his techniques with her patients. Its very good for people with chronic back pain whether its the cervical spine or the lumbar region. And it can be used prophylactic late to prevent back pain or slip this. From couldnt. And it can also be used therapeutically to treat an existing back condition. These days pull out his techniques are often used with patients whove been prescribed off a pita greek ability like better and. This exercise is called the seal. And this one the mermaid. According to use of plus his theory itll take 10 sessions for better to feel a difference of 20 sessions to see a difference and after 30 sessions theyll have a whole new body. As if that is what i really notice is my spine it feels like its been really stretched and. 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 dont know how you feel when the days are short and the weather is all gloomy and its dark and grey outside some people get grumpy when i dont can somebody please turn on the light. Thank you. So heres our next report its all about the back. Of gray and very little light bats what are 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 its not a myth 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. Its no wonder weve always been dependent on daylight when we were still living outside it was all straightforward as long as the sun shines we were active at night without sunlight we regenerate it today we sometimes have to get up even when its 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 theres an alternative an extra dose of light from a light therapy lamp 30 minutes in front of one of these devices every morning can effectively drive away the winter blues. Lights stimulates you and makes you more attentive it promotes concentration it influences your Energy Levels it switches the body to the daily routine and it also activates your immune systems. We have receptive is in our eyes which are there to sense when its light these gangly and katie didnt already know. Reacts to blue light whether sun or therapy lamp. The cells transmits the information about brightness directly into the brain where the signal is not translated into images that influences the human internal clock it eventually ends up in the high profile amiss and regulates hormone production their well being hormones are released by the light signal and sleep hormones are reduced. Thats why lights there is so effective in fighting winter depression. Expect to feel the effects after using it every day for one or 2 weeks its important that you use it regularly and. Remember strong blueline can damage the ice therefore never looked a regular into the lump just have breakfast next to it or read. Instead of light therapy lamps lighting expert man for divorce 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 similes heinously emits the entire color spectrum from red to blue there are like light therapy lamps which are made only blue light or normal home lighting which is more yellowish. For spectrum if you use full spectrum light as a replacement for daylight then the intensity doesnt have to be as strong as in front of a light therapy device or in most of you for and. Whether theyre all full spectrum light in the evening at any rate turn those lights off candles or yellowish lamp light signal to us its time to turn in. I rue follow that advice and head home and hit the. Hey what about you who dont know just watch the show again oh the show next week and im tell me thats all try to throw you in good chicken is growing in the scene in the form of a out the is super foods theyre also good for the boot their primordial plants grow futuristic resource and they can do even more are the from to compton present their green fish or google 3000 30 minutes on the w. Care a team going to change an entire country. And saddam no one to talk about startups until march through a turnover now budding entrepreneurs are bringing scenes to the desert and making a series out of atlanta. Projects like these could help the countrys economy shoot down a t. V. Show for startups. 60 minutes to. An eco base in germany to learn german english binnacle why not learn with him d w z learn course because fake. An exclusive interview with the noncon your dog a stance Prime Minister speaks with editor in chief in a school thats whats khans perspective on the kashmir crisis started what does he hope results from the peace negotiations in afghanistan why has he remained silent about the plight of the wee girl in china and what are our interview with iran khan say day on d w. Can i am sick and. Sick closest place to hallams this news and standing kiran. And james does a camp at all trains kimi and more ignorant than you. Nice news and keeping. Mom. I will stay on the story. Nico is a. Must. Studds january 27th on. This is the news live from berlin. Uphold anonymous involved in a pledge to help in the fighting in libya german chancellor Angela Merkel hosted key players in the long running conflict at m i just summit here in berlin every grade 2 for a frame from interfering in the war but will that change the situation on the ground
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