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Already 25,000 young diabetics
Around 25,000 adolescents under the age of 20 suffer from type 1 diabetes. The number of type 2 diabetes among adolescents has more than doubled in the past ten years. According to the "German Diabetes Health Report 2011" Most children developed type 1 diabetes for the first time between the ages of 10 and 15, a third fell ill between the ages of 5 and 10, around 19 percent between the ages of 5 and 10 percent between the ages of 15 and 18.
Artificial sugar is repeatedly criticized. The sweetener aspartame is safe for consumers according to a study by the EU Food Authority (EFSA). In the quantities currently permitted and used by the industry, aspartame and its breakdown products are safe for human consumption, said the EU authority.
Aspartame is found in soft drinks and diet products
As an alternative to conventional sugar, the controversial substance is used, for example, in the production of soft drinks, chewing gum, desserts and diet products. The maximum recommended daily dose in the EU is 40 milligrams per kilo of body weight. According to EFSA, a child weighing 20 kilos can drink one and a half liters of lemonade sweetened with aspartame every day without reaching the limit value.
EFSA only issues a consumption warning for people who suffer from the metabolic disease phenylketonuria.
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The substance was suspected of increasing the risk of diabetes
With the study, EFSA confirms an earlier assessment of aspartame. This is good news for the food industry. In the past, the substance was associated with numerous health hazards, such as an increased risk of diabetes. Aspartame is about 200 times sweeter than regular sugar. In the EU, products must be stated if they contain the substance.
Cancer, diabetes, heart attack – by 2015, the number of people who die each year as a result of an unhealthy lifestyle could more than double. The World Health Organization (WHO) has determined that 17 million people worldwide die each year from mostly preventable chronic diseases. At the same time, the German Kidney Foundation warns that more and more people are suffering from kidney failure. The main triggers for the drastic increase in lifestyle diseases are an unhealthy diet, lack of physical activity and tobacco consumption. According to the WHO, diseases such as heart and vascular diseases, cancer, chronic respiratory diseases, diabetes and obesity are the leading cause of death worldwide.
Protection against cancer How high is your risk of diabetes?
Diabetes and high blood pressure damage kidneys
Diabetes and high blood pressure are also considered to be the causes of the serious increase in kidney disease. According to the German Kidney Foundation, the number of people whose kidneys fail is increasing in Germany by three to five percent annually. Today 63,000 people are dependent on dialysis (blood washing). In the mid-1990s, 13,000 were living with a kidney transplant; today there are already 24,000. And around 8,000 patients are waiting for a new kidney. The increase in the age group between 65 and 75 years is particularly serious, said the chairman of the foundation, Professor Werner Riegel. But the enormous increase is only partly due to the increasing proportion of older people in society. As additional causes, he named common diseases such as high blood pressure and diabetes, but also smoking. 40 percent of all patients with diabetes develop kidney damage in the course of their life, 20 percent of all hypertensive patients die of kidney disease.
More and more cancers
As a recent report by Cancer Research UK shows, the number of principally preventable cancers has increased dramatically in the last ten years.https://123helpme.me/to-kill-a-mockingbird-essay/ Statistics show an increase in skin, mouth, cervical and kidney cancers. According to the authors, the cause lies in an unhealthy lifestyle characterized by pleasure addiction. "Excessive sunbathing, obesity, smoking and excessive alcohol consumption increase the risk many times over", Lucy Morrish of Cancer Research comments on the results of the study.
WHO calls for better prevention
"If measures are not taken immediately at national level to reduce the spread of chronic diseases, around 36 million people will die from them in 2015"said Shigeru Omi, head of the WHO Regional Committee for the Western Pacific, at the end of a five-day meeting of the committee on the South Korean island of Jeju. Omi asked for one "overall social effort" for prevention. This also includes strengthening the state health services, which are coming under increasing pressure due to the increasing number of diseases.
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In Rhineland-Palatinate, family doctor care in rural areas is to be improved with modern mobile technology. At the heart of the pilot project, for which Health Minister Sabine Bätzing-Lichtenthäler (SPD) officially launched on Wednesday, are specially trained telemedicine assistants (TMA) who drive to the patients’ homes, collect important health data and forward them to the family doctors. Doctors can then talk to their patients via video. The necessary technical equipment from tablet PC to mini ECG measuring device is brought in a backpack.
"The doctors are relieved, the work of the assistants is upgraded – and this also means relief for the patients, because long distances can be avoided"said Bätzing-Lichtenthäler. A home visit from a TMA should not replace personal contact between patients and doctors, but improve the care situation.
A total of 24 general practitioner practices and up to 56 doctors as well as up to 46 TMA in four rural regions take part in the project: Alzey in Rheinhessen, Bad Bergzabern / Dahn in the Palatinate, Betzdorf / Kirchen / Wissen in the north of Rhineland-Palatinate and Daun in the Eifel. 14 practices also receive an electric car for journeys.
The chairwoman of the Association of General Practitioners in Rhineland-Palatinate, Dr. Barbara Römer, expects a noticeable relief for her colleagues and a high level of acceptance among patients – even among older people. "Technology comes to patients with a person"she stressed. The TMA are to a certain extent the interface between doctor and patient. It is about "Routine doctor visits", not about acute heart complaints, for example, she stressed. The patients would be asked beforehand whether they want to participate. Many are curious, she reported. "I haven’t heard a no once."
The family doctor Dr. Nadine Durmazel from Alzey, who is participating in the project, expects a lot from the new offer. "That is revolutionary for us. We used to not be able to simply write an EKG during a home visit"she explained. "You also save yourself unnecessary hospital admissions because the diagnosis on site is simply better."
The devices are housed in a black backpack – colorfully packed in individual bags. This includes a tablet with a special app and, depending on the equipment, various sensors for measuring blood pressure, a clinical thermometer, a blood glucose meter, an EKG meter for examining heart activity, a stethoscope for eavesdropping and an otoscope for examining the ears.
Last but not least, the question of network coverage in the four pilot regions will be exciting. "How does the digital transfer of the data work? We shall see now", said the head of the association, Römer. If problems arise, this should be reported to the Ministry.
If necessary, the data can also be saved offline and sent later when a network is available again, explained Dr. Asarnusch Rashid from the Center for Telemedicine (ZTM) Bad Kissingen, which was involved in the development. In addition, the tablets are equipped with so-called multi-SIM cards that automatically search for the best network.
The project, which is funded with 800,000 euros, has a duration of two years and is scientifically supported. It is supported by the Association of General Practitioners, the Association of Statutory Health Insurance Physicians, all statutory health insurances with insured persons in Rhineland-Palatinate, the State Medical Association and the working group of patient organizations as well as the ZTM Bad Kissingen. The participating medical practices receive additional fees. According to the information, data protection is secured, for example cloud services should be dispensed with.
The Berlin medical technology company Diamontech has called off its IPO. The reason was insufficient oversubscription, the company announced on Tuesday in Berlin. Diamontech is sufficiently funded to continue the development of a portable blood glucose meter that works without a blood sample.
In mid-November, the company in Frankfurt wanted to bring shares with a value of up to 68 million euros on the market. According to the original plan, the shares should be traded for the first time on the regulated market (Prime Standard) of the Frankfurt Stock Exchange this Friday (November 29).
Frankfurt / Main (dpa) – "My name is Armin Wunder, I’m a family doctor and I make mistakes"says the general practitioner and adds: "That’s a statement, of course."
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In his practice in Frankfurt am Main, it’s good form to admit when something goes wrong. The boss has to set a good example.
Every patient can tell from their own experience that this is not the case everywhere. The alternative is: I’m a doctor and I’m always right, only other people make mistakes. An attitude that is not only uncomfortable but also dangerous. The Institute for General Medicine at the University of Frankfurt, the Patient Safety Action Alliance and the Techniker Krankenkasse now want to push the start of a cultural change in medical practices.
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400 practices across Germany can participate in a program that I call CIRSforte. CIRS stands for "Critial Incident Reporting System", a reporting system for critical events. CIRS systems have long been the norm in hospitals. Now they should also be established in the outpatient sector.
The project managers see a lot of catching up to do: "The opportunities offered by learning from mistakes are still clearly underutilized in the outpatient area"is written in the flyer that is used to attract study participants.
The group practice of Dr. Wunder and his colleagues were one of the first to sign up. For them, error management is old hat. The five doctors and five medical assistants have been meeting regularly for years to discuss in joint team discussions which mishaps have occurred. With CIRSforte they hope "that we are made even more sensitive to mistakes and to talk about mistakes"says the 57-year-old.
Perhaps mistakes at the family doctor are not always as serious as in the hospital, but here too they can be avoided. Often it is just a small thing that makes the treatment safer for the patient, such as a second look at the prescription. Is the amount of active ingredient correct, is the pack size correct? The clerks check what the doctor writes down and the doctor doesn’t sign anything without reading it again. To avoid confusing patients with similar names, Mr. Mayer and Mr. Meier are always asked for their date of birth.
The practice publishes particularly blatant cases on the portal "Every mistake counts" . The error reporting and learning system for family doctor’s practices advertises with the slogan: "You don’t have to make every mistake to learn from it". Practices can post anonymous reports there and discuss them. There are practical tips for preventing mistakes and a roadmap for case analysis.
It gives up every four weeks "Every mistake counts" the "Mistake of the month". It is not the worst mistake that is selected, as the project team at the Institute of General Practice explains, but rather typical or common mistakes "and also those from whom we believe that one can learn a lot and well from this report".
For example, from the case with the blood glucose meter: a member of staff held the device the wrong way round and read an extremely high value, and the patient came to the hospital without any need. Most practices would stick with explanation and admonition, but Dr. Miracle says: "The sentence "Better watch out" brings nothing at all." You have to "de-emotionalized"talk about what happened and how to avoid it. In this case it was decided to train beginners better, cross-check the results and mark on the device where is up.
"Every mistake is a treasure", says Prof. Ferdinand Gerlach, Director of the Institute for General Practice: Errors offer the chance"to learn together from critical events in the practice and thus to make future patient care in the family doctor’s practice even more secure." So that a "Error culture" can develop, it takes an open approach to mishaps. Its not the right question "Who was to blame", rather "What was to blame".
Such error reporting and learning systems have long been established in hospitals, says Barbara Voß, Head of the State Representation of Hesse for Techniker Krankenkasse (TK).