every room and everything knows that a child needs food that food can nothing before mary's meals can. proclaims. this food because they were eating nothing when coming from home that could have easily been us. at any one of us. welcome to in good shape coming up. painting the perils of

peering at your phone all day. cold weather affects the skin and what to do about. hospital bugs hazards and hygiene. and here's your host dr costin leak out. even the most fifty feet he has to send some of his patients to the hospital and my patients are very scared of this because they read about those kill the germs i mean seven hundred thousand patients die each year from hospital infections that's how high is the risk and how dangerous are those terms that's what i'm going to talk about with talked about why he hears clinic immune from being invalid.

there's a lot of fear in the hospital because of. hard core and has cystic fibrosis a measure balik disorder with severe chronic symptoms especially affecting the respiratory system his condition has become life threatening because of a multi bacterial infection in his lungs that can't be effectively treated with antibiotics. sure i got it in the hospital sometimes i just want to pack it in. pills in the trash thirty seconds later i took them out telling myself you like living too much that was really stupid. medical professionals are taking a three pronged approach to help patients like. this includes new drugs improved

hospital hygiene and targeted antibiotic. resistant staphylococcus aureus or m.r.s.a. is a bacterium that can cause infections that i difficult to infection rates are high new types of so-called superbug such as multi-drug resistant gram negative bacteria . are especially aggressive they're resistant to antibiotics. and infections are on the rise. so what about new drugs to fight these pathogens. especially and his colleagues at the tubing and university hospital are working on possible solutions to the problem they're attempting to alter the resistant bacteria so the immune system can better detect the invaders and fight them. this is the idea a molecule is introduced. into the wall of the bacterial cells seen here in red the

immune system seen here in blue can then recognize the invader and destroy its. i'm skeptical that will succeed in stopping the spread of these gram negative pathogens. but we must look for ways to fight against them the best we can. why hospital hygiene is particularly important to stop such bacteria from being transmitted in the first place. dr stefan blas has many patients with multi resistant bacteria infections so hygiene is crucial. the use of targeted antibiotic treatments is another way of helping prevent the spread of dangerous bacteria. book university hospital a team of experts reviews all the antibiotics prescribed there their goal is to minimize antibiotic use in order to prevent drug resistance developing. its hopes

the use of targeted by also new drugs and improved hygiene will help in the fight against the so-called superbugs global health challenge. this sounds all very very dangerous and how dangerous is resistant germs anyway well i think it's not so dangerous as it looks in the press but we do have a serious problem. all over the world but it depends which hospital which part of the world you're in but see this report i would be very scared to even come to a hospital because i would be scared that i can be infected so i hold hope high risk action where the risk depends on the operation as planned so if it's for example elective operation you can look where the hospital has a hygiene problem but usually we don't. till voluntarily so it depends when you

have a car accident i think that the hospital can help more than at homes ok so so let's focus on the different kind of bacteria is there something like monetary system bacterias and there's something we called him as a resistant staphylococcus aureus so what's the difference will m.r. as there's one of them all to resist and we have but it's some it's some old walk it's the first description was i think in the sixty's so we have constant infection rates with them or a saw but there are hotspots for that maybe for the very young premature bone infants or for the very old so you cannot answer this question generally you have to look which hospital where you go and why it's a difficult to treat these facts i mean can you just the big pharmaceutical companies develop in the biotics well it's very expensive to do them up these antibiotics and we only need these antibiotics for

a couple of days let's say two weeks in the pharmaceutical industry focus on chronic diseases because well let's put it frankly they consume zero money with it and what's the reason that those bacteria on the rise is that just faulty hygiene in this hospital hygiene is the biggest problem in the hospitals and within the hospital it's the personnel it's the doctors. the most in stuff that convey steese you want to resist but to so what's the reason that all those much resistant bacteria on the rise is just a faulty hygiene well it's not the fault of hygiene it's because we use a lot of antibiotics antibiotics produce resistance within this microorganisms and so they are all on the rise but this game we play since the forty since we have and you biotics and almost still think we we win so if a patient gets infected by a multi resistant. in german can the patient tell that it's the most resistant

bacteria oh it's are the signs different to normal but you know usually the science all the same because you have this book too usually within a resistant pattern within sensible the patient wouldn't tell the difference but the federal appeals to usually takes longer and usually home a little bit more harmful i see many patients that are colonized by multi resistant bacteria and they're but they're not infected by them because in two months show any symptoms is this a dangerous situation or usually it's not doing it so the usual risk in life that you have been contaminated with with a month to resist an organism usually you're in for immune system gets rid of this mark rolls in some cases your column on this within the last rules for example i mean it takes time for the body to really create this microorganisms but it's possible but do you have to remove those from the nasal system and the mold for

instance if they don't cause any symptoms usually not usually not because your immune system will take of the book if that's not the case we can try there are certain. occasions for it but when you have a difficult situation you get a really infection usually within weeks hospitals really fight those marker resistant bacteria and one way of fighting those infections is with the proper hygiene. a hospital is a busy place with staff suppliers visitors and patients coming and going germs can be especially dangerous for patients whose defenses are low dr who but it's a specialist in hygiene and a hospital in mind he explains how the complex is kept if clean as possible meet the hygiene team it helps regular missing issues to discuss might include building work sterilizing clothing and bedding specific. new regulations every hospital in

germany has a team like the us how large it is depends on the size of the hospital. each department has a dedicated hygiene specialist we have about twenty of the same goes for the doctors and each department is trained in hygiene. then the pre-op waiting room anybody who works in an operating theatre has to go through a specific ritual they take off their regular clothes. disinfect their hands and done sterile clothing. they put on disinfected rubber clogs the new sterile cops and mosques that cover the mouth and nose the aim is to keep the theatre as germ free as possible. now for the operation. germs can ride in on the breeze but thanks to modern technology air can be rendered as good as pathogen free

. here in the patient area air filters minimize the presence of airborne pathogens. here's a demonstration of thought technology. to split the booth testing to see if there are missed flows in the right direction downwards and that there are no flurries that move upwards it's a simulation the flow corresponds to the path of airborne germs filtered air enters from the vents in the ceiling free of bacteria we want to prevent any air rising from the floor that might carry bacteria towards the patient micro biological tests are conducted at least once a year. instrument preparation after an operational procedures such as an endoscopy instruments and equipment have to be cleaned. we distinguish between two basic kinds of back to recital procedure with respect. to

prepare instruments for further use. the one is disinfection killing so many germs that the few that survival not represent any danger to the human body the other is sterilization that means killing all microorganisms but if you gers involving the gastrointestinal tract disinfection is standard since it's full of bacteria anyway and is therefore not sterile. initial sanitation takes place in the treatment or operating room next door a cleansing specialist conducts a more thorough cleaning. valves and all other small components i've been sponged up brushed clean they're also checked for defects. finally they're cleaned again and disinfected in a specialized dishwasher. these are just some of the elements that make up a comprehensive medical hygiene strategy advance technology well trained staff and the cooperation of patients and face the strains that are essential to. talk to

teach and she's in charge of the hygiene here behaviors clinic hearing what you do we work in a team. and often they go hygiene takes care that the medical staff is following hygiene regulations we recommend we also take care that bacteria but also contagious infections easily transmitted in the hospital and one of the biggest dangers of this hospital environment i would really say that the transmission of by hand the most important way that germs can easily get from one patient to another and especially in the hospital where medical staff is going from one patient to another. and disinfection is best barrier to prevent those. infections when you arrived here it's the

first thing i saw was the dispenser for him to just infections we just take a look at it. all over the place of those dispensers for disinfectant. we want to protect our patients in the hospital. germs that are outside of the hospital so it's very important for every visitor but also for the medical stuff to do a proper. effect on. the visit us before the entry into the hospital to do properly disinfectant. before entering every patient's room and after leaving it we have many immunocompromised patients in the hospital. patients that underwent surgery and that are very sensitive for any germs even though they might not do anything to us they can harm those patients so this is why we want to do

a proper disinfectant so how do we do this right and just just take you to hear yeah you take one exactly the right to do exactly and it is very important to have an even coverage of all parts of the hens the palms and back off the hands we also need to pay attention to the fans the finger tips. and into digital areas. and you need to do this for at least thirty seconds there are several germs that need to prolong residence time most of them. get minimized by thirty seconds granted it's very important to moist the hands for thirty seconds so i think my hands are clean now so how can i check it looks good and we can check it with a black black box i prepared it. so let's do it ok. so

with the help of this box you can see if i do the disinfection properly exactly the use of through rests and thus infected with a u.v. light you can see the pos that i'm not where you covered it so i just use it like you know the same as before ok exactly i saw. so i did the same like i learned from you yes exactly and i do it a little. losing. everything i did i had yeah i did very excitedly and. the farms and the. congo remarries didn't throw really ok so so what did i just i just put it put my hands and yes we've put it under you've really learned first you want to do it and there are so go ahead. so i cover it all correctly the third is actually going to be the x. factor you remove any jewelry you know where any jewelry everything you see of things white here very well covered in this route you know you have to put yeah the

books and now we might see some of the pots here we have some there is also the skin on the fingernails all the dark things where you miss to exactly something to do happen to your skin probably the dangerous zone so there could be somebody who you. would to the patient exactly and this is also why we recommend to all our medical staff to remove any jewelry any bracelet so watches so that we can guarantee the full covered stuff that doesn't factor me in so the timing and so this is where the ring is so if you remove the reason what happens then yeah you might see. where underneath the ring and yes dark it didn't just have infected and didn't go underneath us so this is why we have to remove that so what else can a patient do to care for proper hygiene we also tell our visitors to

maybe remain at home if they show any. signs of a cold or if they have any other. contagious infections so that our patients in the hospital phone get infected with it thanks so much for showing me around and i going to skip the handshake today for hygenic reasons and if you've got any questions you'd like me to ask our experts be sure to write. the upcoming edition of in good shape is all about. what are the latest treatments for macular degeneration and what sort of lenses are used after a cataract operation if you have a question about this topic send an e-mail in good shape at g.w. dot com with the subject line. we look forward to hearing from you.

ready to roll i'm sorry i just have to finish the takes to my wife. ok. are you fabric to fobbing is a way of creation between one and snubbing those other people who always found him with a phone instead of talking to people next to them and that's not only annoying it could be dangerous to your health to. sebastien smartphone is his constant companion at work and at home wherever he is his head is likely to be buried in a device at some point he started to feel really out of sorts. i started getting bad headaches all the time but it lasted for days and there was a strain in my neck that wouldn't go away at one point i started getting dizzy i could hardly concentrate and found it hard to do anything.

his doctor sent a twenty four year old to a physical therapist upon hearing about sebastian cell phone habits the therapist quickly diagnosed the cause of his pain. please turn your head to the right does that hurt yes can you show me where it runs up through here. and around your temple yes turn your head around to the left side how was it here same the same ok. he's clearly describing smartphone never changing and stiffness whenever he tries turning his head he doesn't have a preexisting condition from an earlier trauma it's clearly the result of smartphone use. studies show we now stare down at our phones about four hours a day that's bad for our neck vertebrae few people realize what's happening to them physiologically but they feel the effects. i never really thought about it but it

makes sense if you're always looking down it's bound to start hurting months one on one so you're studying for a long time with your head looking down and then afterwards you need to roll your head around like this. it's no wonder the human head weighs about five kilos when you bend forward to the stress on your neck increases up to twenty seven kilos it's like having three beverage crates pressing down on your vertebrae that's what triggered sebastian's next to finish and why he needs therapy to make sure the pain doesn't become chronic. mine would be for one thing we have to try to stretch out the muscles to their normal length these are techniques he can easily do at home he was clearly it would also be good of course to help him change how he uses his phone or tablet in the future secondly is to treat him with a method that trains his neck muscles and that way he develops muscular stability in the mic. is messed up you know. he shows sebastian the exercises he should do at home and at work to release the pressure on his neck

. this is guns over this is a very simple stretching technique sit comfortably with your back straight and relax your shoulders and then tilt your head to the right and also direct your gaze to the right at the same time try to keep the left shoulder down when it's sebastian won't be giving up his phone but he is going to make some changes. simple things like holding my phone higher or just putting it away for a while. so take a break from your devices and in gauging the real world around you it's good for your health. dr correct. it's terrible here in germany during the winter our skin suffers but there's good news with the right care you can do about it. many people smother their skin with moisturizers when it's cold outside but do we really need to have our skin can feel

dry and chapped in the winter months dermatologist explains why i know it's a. it's a hot thing when the temperature drops below nine degrees celsius the sebaceous glands which are needed to lubricate the skin stop working as well. so the moisture of the skin isn't replenished and then of course the air is dryer in winter. the effects of the wind and the cold extract additional moisture who. write. with the right care we can give our skin a boost. but it's important to cleanse before moisturizing this enables the skin to absorb the ingredients of the care products more effectively and choosing the right product is of course essential to. avoid those containing alcohol or purview which can irritate the skin

instead go for something mild. is who i would advise the use of ph balanced products our skin of course forms its own kind of protective layer and that is slightly acidic and we want to retain that we wouldn't want to strip the skin of its own protective function in winter that would make it more prone to infection and inflammation unfairly get someone. in fact soon. after cleansing it's time for moisturizing here it's my goal not to overdo it if we apply too much cream our skin cannot breathe ideal is a light very hydrating face cream made of herbal ingredients. noyo or almond oil get good results but if you're going on

a winter walking you moisturizer skin before hand you can increase the sensation of cold on your skin that's unpleasant. it would be better to apply something a bit heavier in the morning so the skin is still adequately moisturized later. hands and feet have very few sebaceous commands that lubricate the skin that's why they dry out so quickly massage your hands with a cream containing moisturizers like avocado and all of oil several times a day don't forget your cuticles and wrists. come out and you can also get creams especially for your feet i would recommend using foot creams containing your ear it's good if there's quite a lot of it say around ten percent your reaction on meat from my week it's a good idea to take a foot bath now and then to help relax the skin in a foot bath with oil is good for. twenty plus. if you give your

skin a bit more attention in the cold months and make sure to moisturize it regularly you can stay looking good throughout the winter. that's it for today if you want to know more check out our facebook page see you again next week and then let's all try to stay in good shape.

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