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Friday, October 30, 2015

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Nocturnal overtime and early in the morning the next meeting: could be that this form of employee exploitation desirable and permanent productive, has long been disproved as capitalism folklore. Nevertheless, they still applies in many companies as evidence of a dedicated workforce. Anders at Aetna, one of the largest health insurers in the United States. CEO Mark Bertolini has its employees a comprehensive wellness program prescribed - and a sleeping bonus introduced: "If employees can prove that they consecutively get 20 nights at least seven hours of sleep, we will pay them $ 25 per night - up to $ 500 per year ", Bertolini explained the project to the US television channel CNBC.

Anyone who wants to prove this, but you have data reveal. Aetna has established an intranet site, to upload the records of electronic health bracelets as Fitbit on the staff. Since Bertolini nearly died in a skiing accident twelve years ago, he has yoga and meditation for herself - and introduced relevant courses in the company. More than a quarter of its 50,000 subordinates visited according to "New York Times" at least a yoga or meditation class. Judging by heart rate and cortisol levels, the workforce is less stressed by an average of 28 percent and profits per month over an hour productivity added.

The investment in the health of its employees so worthwhile and the bottom line, Bertolini CNBC said: More productive employees are better prepared träfen better decisions - per person were worth the changes up to 3000 dollars. In Germany, more and more employers to optimize the workforce through continuous data read. In May launched 80,000 German employees at the "Global Corporate Challenge" - a competition, competing in the staff with moving knives against each other. Privacy advocates concerned this development: Tricky are the data for example in layoffs and the question of to whom the company can do without most.

And what happens when you the Fitness Tracker simply someone attracts others? At night, for example, the child? Bertolini answer: "We start from the positive intentions of our employees." Dull pain in the left chest that radiate slowly and take your breath away, and general malaise have many sufferers once think of a heart attack. But it may also be the first signs of shingles. Who had the chicken pox, also known as herpes develop an increased risk aged shingles, zoster. For both diseases are caused by the same pathogen, the varicella zoster virus (VZV). But the shingles attracts significantly more long-lasting, serious complications.

Are chickenpox heals, the virus migrates to the cranial nerves and the nerve roots of the spinal cord. "There is hiding in front of powerful immune system and is waiting for the body is weakened by illness or exceptionally great stress," says Tilo Biedermann, director of the Department of Dermatology and Allergy of the Technische Universität München. For this reason, people are particularly vulnerable with weakened immune systems. These include:

    
People who suffer from chronic asthma or eczema,
    
Patients taking immune-suppressing drugs, such as rheumatism and people with a transplanted organ,
    
elderly. Half of the patients suffering from shingles is older than 50 years.

If the virus again active in the body, it spreads along the nerve pathways. It penetrates into the nerve cells, which become inflamed and pain vigorously. Where the viruses migrate occur burning, itching or stabbing pains. Accompanying the patient suffers from fever and fatigue. Finally, the agent migrate into skin cells. A few days after the first symptoms mentioned therefore form closely spaced, belt-or rosette arranged small red spots. You will vesicles, filled with liquid in which there are the highly contagious virus. That the spots often occur around the abdomen and chest, gave the disease the name of shingles. Basically, however, the bubbles can occur anywhere on the body, because they are popping up everywhere on where the viruses have migrated along the nerve pathways.

So the shingles is treated

"Infested nerve and skin cells can be reprogrammed by the virus and are now on the production of new viruses to infect cells. This process should be stopped as soon as possible," said Biedermann. This can achieve such as acyclovir in the form of tablets or intravenous infusions antivirals. Could wander the less virus along the nerve pathways, the smaller are the effects. "The virus is to activate, the immune system, which leads to that is ignited and destroyed tissue," said Biedermann. If the shingles treated within the first 48 to 72 hours for a week or more, it heals usually within four weeks off. Painkillers can help to better survive the disease phase.

Lengthy complications

The shingles may also have several months to years lasting consequences if a so-called postherpetic neuralgia occurs. "Early treatment can prevent this nerve pain. It is also important that the usually very excruciating pain are treated consistently and adequately, for example, tricyclic antidepressants or opiate derivatives", says the expert. The frequency of postherpetic neuralgia seems to rise - at least in the considered period between 2005 and 2009. She took according to the data of the German Pharmacoepidemiological Research Database of about 12 percent of shingles patients to about 15 percent. This may be because a whole affects older people or is that sometimes treated too late.

In rare cases, when the virus travels along a cranial nerve and the rash occurs near the eyes, ears or brain, it can cause a unilateral facial paralysis, cause eye damage or meningitis. The risk, at some point in life, to get a shingles is between 20 and 30 percent. Because of the weakening immune system, it increases at over 85 up to more than 50 percent. Furthermore, potential complications are more common with increasing age.

A shingles may favor a heart attack or a stroke in the elderly, is a published in "PLoS Medicine" study. The risk is particularly high in the first week of illness, but also increased thereafter for up to six months. "Possible causes include vascular occlusions by blood clots, malfunction of blood vessels and blood pressure increases due to pain or stress caused by zoster are possible", says Munich doctor Biedermann.

The zoster vaccine from 50 years


There is a so-called zoster vaccination for people aged 50 years who had chickenpox before. However, the protective effect is only at 50 percent. With age, the protective effect decreases even further. However, vaccination is recommended for whoever ill despite vaccination, has a reduced risk of the dreaded long-lasting nerve pain. However, can not be the vaccine, if someone takes the immune system suppressing drugs. namely The vaccine contains weakened live viruses.

    
Some public health insurance pay the zoster vaccine, others are not. Best ask directly at the own checkout.
    
On a genetically engineered vaccine that offers significantly better protection, is currently working. According to a Phase III study, which were published in the "New England Journal of Medicine" results, the protection is well over 90 percent.

The Standing Committee on Vaccination STIKO recommends since 2004 for all children in the second year, a chickenpox vaccine - also about the number of shingles cases lower. "However, it remains to be seen whether these children later really rare shingles develop," says Tilo Biedermann, director of the Department of Dermatology and Allergy of the Technische Universität München.

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