Diabetics have problems with blood sugar measuring instruments

Blood sugar measuring instruments place many users before problems. The university of the media in Stuttgart tested 14 devices. The result: many are user unfriendly and provoke errors with serious consequences for the health.

Stuttgart - of the eight million diabetics in Germany it falls many heavily to serve their blood sugar measuring instruments correctly. To this result information designers of the university of the media (HdM) come into Stuttgart to an investigation of 14 devices available in the trade. Some showed up as a little user friendly and provoked control errors. These are more serious with medicine devices than with a computer or a mobile phone, remind the university.

If the blood sugar is incorrectly read off due to a wrong operation, the diabetic proportions its medicines not correctly and suffers a health damage. Therefore medicine devices must have to be used safe and intuitive. In addition the legislator obligates the manufacturers the data according to since June 2006 with the auxiliary standard ISO 60601-1-6.

Decision for a measuring instrument must be well considered

The tested devices exhibited nevertheless large differences in the use friendliness. “From well arranged operations to dangerous work procedures with the equipment we found, say everything” the Forscherin involved Maike Reichel. Thus an older subject did not interpret “24h” than time format, but when dosage instruction concluded and: “I must squirt 24 units.” Another equipment requested the user to laying on of blood, although the Teststreifen was incorrectly introduced.

Forscherin Reichel recommends to diabetics and physicians to consider the decision for a measuring instrument well. Good measuring instruments such as Accu Chek Aviva of Roche and Ascensia Contour of Bavarian guaranteed a safe measurement in few steps. Diabetics could access there on important functions over a large and well readable display fast.

Purchase craze continues to increase: Therapy places are not sufficient

Purchase craze is just as far common in Germany as depression. In the meantime there is proven therapies, which help concerning from the craze, the demand exceeds however meanwhile the therapy places, which there are in this country.

Attain Ludwigshafen - at the first sight Michael Neuner was shaken. In the cellar of the woman the bags to under the cover piled up themselves, as far as the eye is enough. Not possibly to also only enter the area. From the shopping bags articles of clothing, on which still the labels hung, poured untouched and ungetragen. The shock sits deeply, although Michael Neuner knows long: The lady is purchase addicted. It contacted it, because it concerns itself at the transatlantic institute of the college of further education in Ludwigshafen with the diseased purchase.

Ever more and ever more expensively

The concerning would feel the irresistible urge to buy, say Neuner. At the sight of the commodity they lose any control and feel in a forced manner to slam shut. Untreatedly this impulse control disturbance accepts ever more drastic extents: It is bought ever more and ever more expensively. Only for the moment the purchase action makes itself thereby a feeling of the satisfaction broadly, that shortly thereafter
into debt feelings however often changes, because the concerning it becomes conscious that they transacted an unnecessary provision.

“Nearly always buy the products concerned, which never use it, which keep it then at home or” Neuner give away, describe. Pretty often the behavior disturbance is noticeable only if the account slips due to the constant expenditures in the minus. The existence-threatening situation does not make it possible then longer to lock before the mental problem the eyes.

Purchase craze is as far common as depression

Although the phenomenon of the purchase craze hardly made speeches so far of itself, it is just as far common as depressions. The Leipziger psychiatrist Emil Kraepelin described it already at the beginning 20. Century as “Oniomanie”. In the meantime about, calculated the Ludwigshafener purchase craze researcher is purchase-look for-endangered eight per cent of the Germans on the basis an inquiry. “I assume the number will continue to rise”, says Neuner.

Women and men prefer thereby different products: While to shoes, clothes, Kosmetika or food seizes you, it avails itself with electronic devices and sports articles. With the purchases the concerning compensate a self value feeling lacking or displace fears, describe Neuner some the causes. In addition, the temptations of the Shoppings were never larger than today. Special offers signs at each corner, commodity can be acquired in rates or on credit, and in the Internet is enough even more only one click. The money disappears meanwhile quietly and invisibly from the purse.

Behavior therapy analyzes purchase behavior

Although the purchase craze ruins many households burdening and relations, so far nobody had systematically examined, how can be helped to the concerning. Martina de Zwaan of the Psychosomati and Psychotherapeuti department of the University of attaining Nuremberg closed this gap now. It submitted of ten weeks a group of 62 purchase-addicted long one
Behavior therapy.

First the purchase behavior was analyzed, all purchases had to be logged. “An indispensable first step is, between inadequate and appropriate purchases to differentiate”, describes it. “The group dynamics constitute thereby very much because the concerning can expose themselves mutually better.” In the reality the useless provisions often become as necessary
justified. A female patient umdekoriert for example once in the month their dwelling and had to buy Deko articles for it constantly. Only after the unnecessary purchases are uncovered, becomes in that
Therapy searched for possible causes.

With this working method de Zwaan could achieve a large success: All participants profited of the group therapy. A great many could control their inclination to buy. A half year after
nobody had suffered a relapse, how she reports in the “journal OF Clinical Psychiatry”. Somewhat less effectively the therapy proved with those participants, those the bought products strongholds. One must include that strongholds into the therapy, believes de Zwaan. It would like to develop the therapy further for it.

“Absolute Abstinenz cannot be a therapy goal”

The concerning will not have healed in addition, after the therapy - similarly as alcohol or drug-dependent. They will feel the urge again and again to buy much. It becomes also back cases
give, get straight de Zwaan. Buy is socially appreciative, neither tabuisiert nor dispensable like drug consumption. “Absolute Abstinenz can be no therapy goal”, says the Erlanger female scientist. Purchase-susceptible mind must learn to deal with their Faible and to understand a unique shopping frenzy as warning signal, in order to seize measures.

Since the Erlanger offers group of therapy meetings for purchase-addicted, announce themselves more and more concerning. Long the places in the courses are not sufficient. De Zwaan hopes now that other Psychotherapeuten likewise offers the specific therapy.

Volume disk incident remains sometimes unnoticed

Many volume disk incidents come only by other investigations coincidentally to the appearance. That means also that not all volume disk incidents are problematic. Only, if pain arises, it must be treated, in some cases also operationally.

Wiesbaden - with strong pain in the lower back concerning assume frequently a volume disk incident. But that is not always the case. “A volume disk incident becomes apparent by completely typical pain”, says Wolfgang Bolten, medical director and head physician the Klaus Miehlke hospital for Rheumatologie in Wiesbaden. These radiate out into the Gesäß and along the leg exteriors in the knee or even into the foot joints.

Many volume disk incidents are coincidentally discovered

The pain develops, if the volume disk presses on a nerve. But does not happen always: “With approximately 40 per cent over 35-Jährigen a volume disk incident is discovered with another investigation coincidentally”, reports Bolten. That means also the fact that such a volume disk incident is not always problematic and usually only with the occurrence of pain must be treated. “Then it is important to provide and afterwards with patient gymnastic to the back strengthen with the concerning with medicines for pain freedom.” Besides back gymnastic is the best prevention against a volume disk incident.

If a nerve is completely clamped, leads to serious symptoms. Since nerves supply leg muscles with impulses, it can come according to Bolten to Motorikstörungen. And also internal organs like the blister can be concerned. In such cases frequently an operation becomes necessary.

Psychopharmacologic drugs do not make inevitably dependent

Antidepressives do not make inevitably dependent. Many patients set from this fear their important medicines off however exactly. With other medicines is required in this regard to more caution.

Berlin - tablets against headache or hypertension take most humans without large doubts. If it concerns psychopharmacologic drugs, many humans are more sceptical. “With most psychopharmacologic drugs, which are used for the long-term treatment by mental illnesses, the fear is to become dependent however unfounded”, says Ursula Havemann Reinecke of the German society for psychiatry, psychotherapy and nerve medicine (DGPPN). Antidepressives are an important component of the therapy of depressions and Neuroleptika. Patients should not set the medicines off under any circumstances from fear of a dependence, explained those expert.

Certain Tranquilizer has a higher craze potential. “In 80 per cent of the cases of medicine dependence the Benzodiazepine concerned takes, which ranks among the tranquilizers. In addition, pain killer Codein, a Opiat, which is contained in some cough mixtures, because it suppresses the cough stimulus, has a high craze potential”, described Havemann Reinecke. Stress in the occupation, family conflicts, desire and Antriebslosigkeit or sleeplessness can lead fast into a problematic consumption of medicines with dependence potential.

Illness changes the personality

“Are aimed such medicines today however only very much and temporally limited begun”, says franc miner of the professional association of German mental specialists. Most psychopharmacologic drugs make dependent nor change them the personality neither according to for its statements. “It is rather the illness, which can change the personality, if it is not treated”, explains miner.

The physician recruits for more understandings opposite humans with mental illnesses. Depressions about are not an indication of weakness or Verrücktheit, but an illness like every different one. Antidepressives can bring the disturbed neurotransmitter budget in the brain back in order. Frequently a psychotherapy is recommended as therapy addition

After Armtransplantation: Healing runs “amazingly well”

With a tragic industrial accident farmer lost Karl notices from the Allgäu both arms. In the July of this yearly it the arms of an organ donor were transplanted. Now it stepped for the first time before the press, in order to present its new arms: “I do not give it.”

Munich - with a transplant of two complete arms the clinical center has on the right of the Isar DOES Munich on 26 July new ground entered: Karl notice, a 54-jährigen farmer, who had lost both arms on height of the upper arms with an industrial accident before six years, in a 15-stündigen operation of two complete arms were transplanted. The hospital line communicated that was never before humans a so large quantity of strange fabric one would have transplanted. At the operation approximately a 40-köpfiges team was involved.

A special clinical challenge was that it concerns with the transplants fabric, which consists of different components such as skin and marrow. Therefore was and is particularly large the danger of a repulsion. With a therapy, which combines the standards of the medicamentous treatment after an organ as well as after a Knochenmarkstransplantation, the medical profession try now to work against. After so far however no defence reactions were proven, the dosage of the immunsuppressiven therapy could be already gradually reduced.

Eight hours of training daily

A further goal of the treatment is it to promote the structure of the nerves and to prevent a dismantling of the musculature. But the patient must complete daily an eight-hour program with patient gymnastic and electrical stimulation of the musculature. He is assistance of a special therapy “to learn” that he has again arms. Whether the regeneration of the nerves has success, can be said at the earliest in one and a half to two years, since nerves only about a millimeter grow on the day into the transplant. In addition, the physicians are optimistic here: The patient reports already of a first „Kribbeln “in the upper arm underneath the scars. The healing runs “amazingly well”, reported on Wednesday the treating physicians as well as notices before the press. If it runs further so well, it can in four to six weeks will home dismiss.

“I give it no longer ago”

There do not notice its both arms yet alone to carry can, is dependent it on a particularly designed stretcher rack. Thus it can move however already relatively freely, reported themselves the 54jährige. It can open doors already independently and serve also the light switch or a remote maintenance for the television set. With Umblättern of the newspaper and when eating he is however still dependent on assistance. He cannot introduce himself any longer, without being its new arms, said the man: “I give it no longer ago”. Karl notice after a television broadcast with the desire for a transplant to the clinical center had come closer, after it had not gotten along in the years after its accident with different artificial prostheses.