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HIV AIDS

The vision of an HIV-free generation is increasingly palpable. On Tuesday, the United Nations has presented the latest annual report on the fight against AIDS. By 2015, the United Nations to halve the number of new HIV infections. This goal it is already put a lot closer.

In July, the 19th World AIDS Conference opened, many delegates gave very confident. The U.S. Secretary of State, Hillary Clinton said: "We want to achieve the goal of an AIDS-free generation." And actually seem to advances in medicine to ensure that the tide seems finally turns: For countries around the globe, where the acquired immunodeficiency syndrome have been added particularly strong, is "a new era of hope" come, says the annual report 2012 of the United Nations Programme on AIDS (UNAIDS).

The report, the United Nations presented on Tuesday in Geneva. UNAIDS director Michel Sidibe said: "The rate of progress is accelerating - what was formerly used for a decade, is now achieved in 24 months." Sidibé and his colleagues refer among other things to a decrease of new infections with the AIDS virus HIV. Worldwide became infected in 2011 while a further 2.5 million people living with HIV. Those are loud Unaids but 20 percent less than in 2001.
Up to 42 percent fewer HIV infections

In some countries with the world's most AIDS cases, the number of new infections has decreased dramatically since 2001. These include Malawi, Botswana and Namibia. In all the countries south of the Sahara - the worst-hit region - in 2011, about 25 percent less than people had become infected with HIV in 2001. The decline was even stronger with 42 percent in the Caribbean, according to the Africa most severely afflicted with AIDS region.

Agencies responded warmly welcomed the development. "The new figures confirm. Investment in prevention programs pay off with education and prevention will help avoid the AIDS epidemic and lives can be saved," said Renate Baehr of the World Population Foundation.

"A world without AIDS is possible, but it is a question of political will," said the spokesman of the German Aids, Holger Wicht. "We have therapies, and we have effective prevention strategies, but they would have come to a far greater extent than today for use."

One in 20 African adults is HIV-positive

Worries the UNAIDS experts, that in some parts of the world, the number of new infections continues to rise. Particularly strong in the Middle East and North Africa, 35 percent in 2001. Overall, approximately 34 million people currently living with HIV. Sub-Saharan Africa, despite all the progress made with 69 percent of those infected worldwide the most affected region. One in 20 adults is infected, according to UNAIDS there with HIV.

However some in Africa through improved supply of modern drugs, mortality rates among HIV-infected individuals decreased significantly. Worldwide last year, 1.7 million people died of the effects of AIDS - 24 percent less than in 2005. Far more people with HIV can live longer: seven million vulnerable people have no access to anti-retroviral therapies.

UNAIDS called on all States to support programs on HIV and AIDS to remain determined. Only then could UN goals such as halving new HIV infections can be achieved by 2015. In addition, it is important to combat discrimination against people with HIV.
This not only magnify the suffering of the victims, but also hampers the fight against the disease. If Infected should be afraid of ostracism or even violence, this would make the treatment and containment of the disease even more complicated.

In Germany, the Federal Centre for Health Education currently carry about 73,000 people, according to the virus, the majority of which are men (80 percent). In 2011 were infected in this country about 2700 people newly infected with HIV.

HIV AIDS

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Coronary heart disease

As part of the current heart Heart weeks to provide medical facilities throughout Germany at present information sessions on " Coronary Artery Disease "at. The Department of Cardiology of the district hospital Prignitz participating with their own event on the "cardiologist about prevention, diagnosis and treatment of coronary inform heart disease" are. devoted for many years, organized by the German Heart Foundation Heart weeks this year coronary heart disease and its potential consequences "Coronary heart disease is among the most common heart disease," but the disease is often only be taken seriously if they a heart attack has led, says the group Prignitz district hospital. According to the information, the physician affect millions of people in the corresponding narrowing of the coronary arteries. Considerable need for education for coronary heart disease The tricky to coronary heart disease is their insidious, initially inconspicuous course. The first symptoms such as chest pain or chest pain , pain in the chest on, or even a heart attack, the damage to the coronary arteries are usually already progressed significantly. If in doubt, stent implantation or bypass surgery is required. After such an operation believe loud message of the district hospital Prignitz "many patients that they are healthy because they have no complaints." Those affected are not aware "that they are still suffering from a chronic heart condition and change therefore their lifestyle and need to take their medication on time. "Below the significant medical need for education, like the the Department of Cardiology of the district hospital Prignitz fix with their event at the heart weeks. All interested persons, patients and their families were invited to tomorrow, Wednesday (November 21) "on the subject of circulatory disorders to inform our hearts." Many events in the heart weeks comparable event as the district hospital Prignitz are taking place throughout Germany and provide interested parties with an good way to learn about the coronary heart disease. Often, after the planned lectures possible, an exchange or a discussion with the experts. With specific actions that organizations also hope to gain the interest of patients. For example, the Sana Clinics Lubeck GmbH in cooperation with the German Heart Foundation on Wednesday night, a patient seminar, which will be in addition to papers also a blood sugar test and a blood pressure test offered free of charge.

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Diabetes

In type 2 diabetes, the knee and hip joints wear out more frequently than others. The risk of osteoarthritis increases with duration of the disease, regardless of obesity.

Each year, nearly 400,000 people in Germany, an artificial hip or knee. A remarkably large number of them have diabetes.

"Since both diseases are often aged and overweight is an important risk factor, was long seen no direct link between diabetes and osteoarthritis," says Professor Georg Schett, Director of the Medical Clinic at the University Hospital Erlangen 3.

Schett has now analyzed data from the Bruneck study. In the clinic, the town in South Tyrol since 1990, the older population health data are collected.

"Since this hospital is the one stop shop for hospital care and the migration of the population in the remote Alpine region is very low, the study provides very reliable data for research on disease risks," is Schett quoted in a press release of the German Diabetes Association (DDG) .

The analysis found: Type-2 diabetes were four times more likely an artificial hip or knee than the rest of the residents.

Even if the influence of age and obesity were eliminated, people with type 2 diabetes still had a two-fold increased risk for a joint replacement. The risk increased with the duration of the disease, suggesting a causal relationship.

Blood glucose in the cartilage

"In the ultrasound examinations of joint degeneration in the diabetic patients was more advanced, than would be expected due to age and body weight," said Schett. In the DDG-release

For the internist, this is no surprise. "Studies have repeatedly shown that the wear of the joints are not the only cause for osteoarthritis," said Schett.

Inflammation of the joints would rather driven by other factors - also apparently due to diabetes. Its influence to let justify biologically. So be aware that the blood sugar gets into the articular cartilage.

He harms there may be the cartilage cells and stimulate the formation of inflammatory proteins such as tumor necrosis factor alpha, the joint effects may have known of her rheumatoid arthritis.

"The diabetic neuropathy may play a role," adds Schett. The nerve damage can lead to diabetes and poor posture stresses the joints no longer feel right.

"A persistently elevated blood sugar levels is obviously an independent risk factor for osteoarthritis," says Schett. The study underscores the need for early and consistent treatment of Type 2 diabetes, the DDG.

That had an impact on the cost. Would Thus in the German health care system each year more than 7.6 billion euros spent in osteoarthritis .

Diabetes

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Unisex Rates

Private health insurance: The unisex rates are the PKV tariffs especially for men significantly more expensive

With the introduction of unisex premiums for private health insurance (PHI), the contributions of male private patients as compared to rise significantly. Industry experts believe that the "moving mass" will be approximately 30 percent. However, most insurers keep covered and advertise with the first date, to sell as many old contracts. Potential new customers should act carefully considered.

On all sides it is emblazoned in big letters: "Now quickly conclude an insurance contract before the deadline." For the 21st December 2012 private health insurance providers may not sell more gender contracts. In fact, the contracts for men in 2013 are much more expensive. If you plan anyway, to go into the private fund and also a man should, therefore, be decided on time. How warn the consumer centers but, "The time for studying and comparing the fine print should be willing to take every change, even though the sector is looking for a quick conclusion." "For insurers love deadlines for new clients to put under time pressure." men pay for women with future before the European Court issued a complaint. Were denounced the unequal treaties between men and women. Because women on average live seven years longer, more frequent visits to the doctor and get pregnant, she had to pay more for their private health insurance. This handle was however collected by the EU court. The European Commission decided that a few years ago a new regulation. In Germany, the statutory provisions shall apply from 21 December 2012. From this point, men and women are treated equally, which means that the contracts have been awarded now gender neutral. But because the insurance provider not align the woman Insurance men but choose the opposite path, the men fares are much more expensive. "I go from tariff adjustment of 30 per cent," says Steffen Neubert, insurance expert from Hanover. To those same percentage of private insurance for women on average were more expensive. Existing Altkundenverträge are moreover not changed despite new laws regulations. Lawmakers are now available that gender will no longer be discriminated against. This means in reality that the men have to pay health risks such as the risk-section birth and life of women. This means that for women, the tariffs will decrease in principle. "The result will not be very strong, because a rotational basis at the turn of the tariffs to be adjusted," said Neubert. However, the industry was already announce that this year the rate adjustments will not be as severe as in previous years. Because the insurers want to gradually abandon the so-called bait advertising. The airline offers had recently caused much criticism, simply because those rates rose most clearly and caused negative press. A change despite the deadline should be considered carefully Plant a young gutverdienender and single man to change from the statutory health insurance to private health insurance, Sun is urgent. The same applies to insured persons who play because of the price increases with the idea to change a tariff within the insurance company. By the deadline yet all the old tariff are open. complicating factor is that the insurance companies have a period of notice. In general, these two months. So it can happen that some will be for a while insured twice to bypass unisex rates. "Some private funds offer a so-called defined benefit insurance. This means that the contract for the period of double insurance exists no health benefits and is active only when the insurance ends at the health insurance, "says Neubert. So it's worth, the insurer in the contract to the new opportunity and look for denials to another provider. Still, the new prices of unisex rates is unknown , potential customers should consider a change well, warn the experts from Morgen & Morgen. Rash contracts can later create serious consequences. Who, for example, have to leave the Social Security may, in very rare cases only way to switch back. "Basically, when buying insurance always be the priority: Do I need this insurance principle," says Stephan Schinnenburg, CEO of Morgen & Morgen against the magazine "Focus". Generally, interested parties should be based on the "sale-panics" not be pushed to a speedy conclusion. has in its databases "Tomorrow & Tomorrow" already entered the new prices for the coming year. Prices are valid for new customers now known rates. Independent analysts, however, assume that these are not comparable one to one with the old rates are, because most private health insurance providers will not change the terms and benefits packages. According Schinnenburg but want the health benefits are generally better, the result would have conversations with individual insurers.

Unisex Rates

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Fatal Myocardial Infarction

Women often suffer a fatal heart attack than men. One reason for this is that the underlying disease in women can be diagnosed severe explained Prof. Vera Regitz-Zagrosek, director of the Institute of Gender Studies (GIM) at the Charité Berlin, on the occasion of the joint symposium "Gender Medicine" of the German Society for Gender Medicine and the GIM.

As for men and women are "the main reasons for a heart attack, obesity, diabetes and smoking, "says Prof. Regitz-Zagrosek. However, the women show, according to the expert, in the run often different symptoms than male heart attack patients. As a result, the diagnosis is made ​​difficult circumstances significantly, resulting in an adverse effect on the survival rate of patients. women with atypical heart attack symptoms with approximately 60,000 deaths are heart attacks one of the leading causes of death in Germany. Women are subject to it, according to the director of GIM at particular risk. For while men usually have the typical symptoms, like a pain in the chest and chest pain that may radiate to the back, shoulders, arms and upper abdomen, women show more atypical symptoms, such as fatigue , sweating and back pain . Jaw pain in women can also might indicate a heart attack, said Professor Regitz-Zagrosek. Due to the very diverse symptoms that occur in the course of myocardial infarction in women, it is often difficult for physicians to make the right diagnosis, the director of the GIM. Difficult diagnosis of heart attack patients addition to the difficulties in diagnosis arise in heart attack patients often also have problems in the course of drug treatment after a heart attack, said the expert. Not infrequently, the drugs of women affected were taken at high doses, there is no gender-based drug development is practiced, according to Prof. Regitz-Zagrosek. There is no possibility for gender dosage, should the doctors set taking into account the lower weight and increased body fat percentage of patients, a dosage, explained the expert. heart attacks prevented by healthy lifestyle for men and women is equally true that by a healthy lifestyle with a balanced diet , lots of exercise or sports and a renunciation of smoking, the risk of a heart attack can be minimized. Also typical pre-existing conditions such as high blood pressure or coronary artery disease could be avoided by a healthy lifestyle generally. Enter the first chest pain on the damage of the organ, however, are often already well advanced and irreversible. This can be avoided by switching the lifestyle only a further deterioration of health, a restoration of full cardiac function is no longer attainable.

Fatal Myocardial Infarction

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Regular Skin Care

Regular skin care  If you want to get rid of his spots and is a regular skin care the nuts and bolts - this includes not only to wash your face every day, but also to provide it with sufficient moisture in the form of creams or lotions. "Getting the most adult acne because their skin is not sufficiently cultivate Women especially go with make-up to bed or use detergent with too high pH or alcohol -. Both dries out the skin and increases the production of sebum," says Pawelzki.

Finger out of his face!  sufferers should never express their pimples. "Here, the inflammation deeper into the skin, or pimples occur again elsewhere on the surface - in both cases, scars," said the Skin Care Specialist. Toothpaste also does not help against pimples. Instead caused by the additives in the paste sometimes even more pimples around the mouth.

Secrets to a inflamed pimple affected can move to the body, by using it to treat bacterial and anti-inflammatory. Real secrets are zinc oxide, sulfur content or products with tea tree oil. In choosing the products, it is important to select such care products that contain no mineral oil, because that is the only contaminated skin and charged more.

Will a visit to the dermatologist?  "First you should always visit a beautician. many problems without medications namely experts can get to grips with," advises the expert Dermalogica. A good skin care expert consumers recognize the fact that they initially performs an intensive skin analysis and responding to the problems and needs of a patient. Also, beauticians recommend skin care products that is tailored to a problem skin and good help for pimples.

Medications for acne Now there are different tablets on the market that can help to treat acne. They are available by prescription and must be prescribed by a doctor. Although these drugs are very effective in fact, they should rather be regarded as a last resort from the skin problem.

Antibiotics: If not heal the inflammation caused by the treatment from the outside, some doctors give antibiotics. The effect usually occurs within the first six weeks, it is often only in the short term. The associated problems such as the development of resistance on the other hand act in the long term.
Isotretinoin: This Mitell is given in moderate to very severe acne. It is a very potent inhibitor of sebum, which is distantly related to the vitamin A. However, the agent may also be associated with serious side effects such as jumping up lips, hair loss and a decreased tear. Isotretinoin during pregnancy to massive damage to the child. Taking regular blood counts must be monitored.
Birth control pill : A proven remedy for acne is the birth control pill. The hormone mixture can be well adapted to the situation of the victims. However, the bad skin disappears usually not complete, but is improving.

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Men Health care

Eating foods that are healthy, stop smoking, drink less alcohol: Many men in Germany often first shorter if it is too late already.

More than four in ten of the male respondents (43 percent) attend only to a healthy lifestyle when they are already sick.

Often it is the women who are worried about the health of the men. Every second man admits (48 percent) said that he is stopped by his partner to a healthy lifestyle. One in five (18 percent) informed mainly with his partner about healthy lifestyles, GfK had been commissioned by the magazine "Apothekenumschau".

Men Health care

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Post-Traumatic Stress Disorder

A Post-traumatic stress disorder (PTSD) manifests itself in children and adolescents vary according to their age. Please refer to the state of the cognitive, affective and social development of those affected.

That said Ingo Spitczok Brisinski of the Board of the Professional Association of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy in Germany (BKJPP). "Traumatized children aged between seven and 14 years, usually try to avoid thoughts, feelings, and talking about the trauma., In many cases they are unable to remember all aspects of the traumatic event," he says.

Sometimes they would take the future shortened or incomplete believed true, for example, no longer from ever finish school or grow up. "Younger children whose language development is not yet as pronounced divide, sometimes with drawings or play behavior, which is then repeated and little hedonistic aspects of the traumatic event represents" added Spitczok added by Brisinski.

Emotional numbness

A typical PTSD symptoms - sometimes for weeks after the traumatic event - is the appearance of emotional numbness. You'll clearly by feelings of alienation, lack of emotion and a decreased interest in previously important things, says the expert. More trauma symptoms were irritability, nervousness or aggression, and sleeping or concentrating.

Can trigger PTSD in children and adolescents events that threaten the health and lives of those affected, such as natural disasters, accidents, serious illness, and sexual or physical violence. Stresses such as bullying or the divorce of parents usually lead not to PTSD, but may consider other psychological disturbances.

Post-Traumatic Stress Disorder

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