Increase in stress levels especially in patients with family members who are infected today shows about the physical long term effects of corona and what the virus does to our psyche and im going to need dr under yes based on hes a psychiatrist and hes the head of the department of psychiatry psychosomatic and psychotherapy in 2 clinics in berlin and then hes confronted with the effects of the coronavirus. Meeting of thanks for having me today all depressive symptoms sleep disturbance and some people they tend to use small subset so slide out a cohort of a kind of us all. Illegal drugs but what we also see a 3rd people who already suffer from severe mental disorders like severe depression of psychosis that they present to hospitals with small servia episodes and do you think that all those episodes are very severe and that that take. Rhona pandemic has a severe impact of the psyche of patients at all i think corona has an impact on mental or her fall off all of us and people. In his old school he wrote us in do you think that the number of cases would rise in the future i think i would expect in the future that the cases would rise. Corona has brought about a lot of insecurity and uncertainty some people are constantly checking whether the tastebuds are still working and whether they got a sore throat of us are experiencing a loss of control because theyre not allowed to lead the life they used to and i see a lot of patients with migraines a heart palpitations and these are just some of the problems which are on the rise right now. What does the coronavirus do to us to our relationships with Family Friends and strangers how does it affect our confidence in ourselves and in the world. A team of psychologists at Marburg University in germany has been gathering the publics answers to those questions in an Online Survey the surveys findings offer a broad picture of the myriad effects that the coronavirus pandemic has had on our Mental Health monitor shrink is an educational psychologist. So what do people need to feel good in theory the feeling of being in control of their lives being independent and belonging to a social group. That when it comes to these 3 basic needs we found that our sense of autonomy has suffered our need to be in charge of our own lives has been very badly impaired we know from investigating these 3 needs that the situation can also lead to psychological problems they can even manifest themselves as psychological disorders like depression anxiety and the like. And yet people experience the restrictions in very different ways just how different personality types get through the crisis is the focus of equipment as work one finding is that introverted and withdrawn people are suffering due to the current coronavirus restrictions those restrictions can magnify a persons sense of isolation but theres a more surprising result in millers work. The people who are most sociable extroverted and more optimistic tend to go through life positively theyre experiencing a noticeable increase in bad moods suffering very much from the situation. We think its caused by the restrictive measures which obviously lead to fewer social contacts. So the crisis even weighs down on those who otherwise go through life in a sociable and positive manner one serious problem in the pandemic is the sudden uncertainty when people can stick to things they plant anxiety disorder specialist christiane upon a 5 day looks at how we try to reassert control through behaviors like panic buying. Excessive hygiene and pathological obsessions with the symptoms of the illness is that if its relatively important to keep an eye on your body the question is to what degree weve observed that if parents raise their children to be obsessive about even relatively harmless physical symptoms like a runny nose or minor heart palpitations. Those children have a higher risk of developing Anxiety Disorders and because the uncertainty is also promoting a relapse into old gender role behaviors women are once again managing the household and family while the men are focusing more on earning a living. And what are the effects of the economic shift to home office. Organisational psychologist tending kluger wants to know how working from home affects our social identity our perception of ourselves as group members. That includes professional contacts. Working from home over the long term could lead to peoples sense of belonging the weekend entry so it could be alienation. So forth like that 1st and the things that used to be a given for a team their identity are suddenly no longer there. It could be things as mundane as gathering around the coffee machine and if a company cant keep social identities alive in the way theyve always existed they can have a negative effect on the health of its employees effect off the top item in toronto. Those who have lost their jobs as a result of the crisis are in a much worse position they experienced less access to social activities shelter and healthy food all of which can contribute to psychological disorders and the effect it can no longer count on society understanding their plight the marburg team hopes their focus therapies will give patients the tools they need to deal with the cataclysmic changes happening in their lives. Do you think the advice how we can keep mentally stable in such difficult times. You have 1st of all i think its important that we acknowledge that these are difficult times for us and that we tend to its a kind of normal reaction for everybody to be even more nervous more irritated if a little bit more sleep if you could then do so thats important just to acknowledge that and the other strategy which could be paper is to. To reduce the times when you get with the cold covert pandemic. Because since 3 tend to be irritable somehow when we do have very long with the issues around and endemic then it makes that if thats even more nervous what should we do if we feel living in the because of the social distancing measures. I think its important to recognize that theres too many options how we can stay in contact with others like on the on sky and on the all the decision media which is around and also to plan more social context for example if we. If you have a day where we have to be in a home office or something if it makes sense that its important for us to all of a nicer kind of social context maybe even especially if you live alone and to all the nice in advance that you make a phone call in the afternoon or that way you see someone on skype or see someone you know in a cafe its. The opposite situation when the big family sits in a small apartment and its also crowded and you dont have any space for yourself so how can you do when youre thats helpful to stick to certain routine so even if children are not going to school or Something Like that then to start the day kind of to get those so even to get up to have breakfast together those kind of things so to have a daily routine even if theres no external stimulus for that and also to plan on things which everyone can do on on his or her own since thats what we are used to to have times during the event we do something on the on in states to stick to that. Lets broaden our view a bit right now we focused just in germany and europe but whats a situation world wide from a psychiatric and a few i mean its very preliminary preliminary data we have for now but it looks like that the actual symptoms in in the german population from small studies its this stage it looks a bit like people in germany tend to have less symptoms then people in the u. S. So in china and its interesting to speculate how that could happen and maybe it has to do with the strategy the politics came up with that they tend to focus on the individual and thats stated their decision how they do you would be through and that they may. No strict rules which. Makes everybody doing the same because we know when the stress around it was it is helpful. For coping with stress if it is their own decision what we are doing when young people get infected with the coronavirus the disease does not seem to progress so badly where is the virus hits patients with preconditions or other people part in any case a coronavirus is not to be underestimated it cannot only lead to severe respiratory problems it can also damage the kidneys and the brain in one convalescent persons. Car holding them behind so i came down with covert 19 today she still suffering the consequences to her health. I got really sick 3 months after catching the coronavirus my has started falling out really badly i was like a Christmas Tree losing its needles i grabbed my hair and it came out in bushels there were areas where i was totally bowled its not as bad as it was then but it still falls out and the hair that does grow back is there now wiring and a different color. In march she was rushed to the hospital unable to breathe she made a video journal of her illness for the magazine contrast. To. The not being able to breathe has an effect on your mind my condition was miserable i couldnt inhale my whole body rebelled my pulse skyrocketed i wanted to breathe i inhaled and tried to get tat but i couldnt breathe and. Come. Even after leaving the hospital her breathing problems continued after very much physical exertion she needed to take breaks and catch her breath. Another dramatic consequence that carly appliance i noticed much later was the. Had difficulty speaking. She found it hard to turn her thoughts into words. I imagined the sentence in my head but a completely different one came out my nouns got mixed up for a whole day i replaced every now in my head with the word random that. The Central Nervous system seems to be more affected than medical experts 1st realized patients who have recovered from cope with 19 have reported exhaustion dizzy spells and problems formulating the words. Researchers are now trying to determine what the long term effects of the infection are they already have a good idea. The most common symptoms are various disorders in 92 percent of the cases they usually disappear within 4. 00 to 5. 00 weeks but we dont know about the remaining 10 percent will the disorders become permanent we know that some patients suffer from strokes even patients who are younger and have no history of blood vessel risk factors. Dementia could be another neurological long term effect christiane coming c. O. Still has problems remembering a possible effect of the virus he doesnt belong to a High Risk Group and yet the fireman was put in an artificial coma for 17 days 3 months later his perception is still strongly affected. And figured if i have to deal with a lot of things all at once getting those tossed on a still very difficult for me i have to admit. Neurologist peter bell it says that a 3rd of 1000 patients admitted to the intensive care unit have diffuse brain damage that wont improve in the short term. This is typically manifested by the fact that patients have memory problems as well as difficulties paying attention and concentrating they can also start getting confused they show signs of perceiving things wrong or they have a loser nations so its often accompanied by anxiety and restlessness and here. They also determine that the kidney is the 2nd most affected organ. The. Baby when. Caught the coronavirus his kidneys failed he was put in an artificially induced coma for a month. Reason trips and falls. Had such a moment of happiness i woke up to a forest of chub all around me were people who said i should open my eyes i started crying at that point from the top scorer that. The coronavirus can do lasting damage to the kidneys like causing a kidney infection a part of the organized in that case and becomes dead scar tissue. Serious verse about the kidney can compensate somewhat so you dont notice it immediately but you only have so much kidney and all of a sudden half of a discard tissue thought has a lasting effect because the scar tissue doesnt recover. When young people especially dont even notice that their kidneys arent working to full capacity but the older i think it the more theyll feel the consequences. Breathing in deeply and filling the body with air its something that most peoples lungs do automatically but 2 months after being on a respirator. Has to really learn just that. Dog in 5 minutes and i find it hard to breathe sometimes and im sometimes limited in what i can do but these courses teach me how to breathe again properly how to breathe consciously thats really helpful so much. The lungs can get badly injured during a covert 19 infection but there is some good news they have a good chance of healing. Thats according to initial observations. Professor good. This comparing the tama graphic images of covert 1000 patients during and after their infection. Fortunately we can already say that we havent seen severe late affects in the majority of cases. The lungs heal well even in people who have had 3 weeks of intensive care you dont see much change 3 months later peter needs me i see or feel for any normal. Kaleena piousness nonuse appealed to now she can sing again. What about the psychological problems with corona patients and their families its important to focus of on possible positive outcomes of the situation for example when i get infected by corona that i actually get symptoms its less likely then that i actually do not get any symptoms even if i have if symptoms of the colon a disease its more likely that they were just disappear rather than i stay with them at but looking on the bright side of life may be difficult if youre if the fear of losing your job because of corona what you tell those patients again its important to focus on things which helps me to stay stable and besides. Limiting the time i am dealing with the covert pandemic. I have most most of us have vied to knowledge of what is helpful in stressful situations so its important to stay visit for example to look after the onset of to do positive things which will help food to be stable like reading on seeing a friend. And its always helpful to be more active so to do sports or Something Else and so if i have the opportunity to do some things like that its easier for me to cope even with the economic consequences of the disease theres a service i think it came from australia which is called moot jim yeah so what is this so this is a program which its free so everyone can use that and its available in many languages. And it focuses on what we know from cognitive behavior therapy is helpful for people who tend to have depressive symptoms so it focused on kind of restructuring your thinking. To make its more likely to have kind of positive thoughts and it helps you to be more active in your life which is important strategy for people who tend to have depressive symptoms and its always more easier to improve those strategies when you have a program which helps you because sometimes as we all know its not so easy to start new things on your. Autumn is arrived in the Northern Hemisphere and with it theres an increase in forensic cases the flu is a serious respiratory disease which kills many people every year and i as a g. P. Tell you get your flu shot especially if youre chronically ill and especially in the times of corona its important that as many people as possible get accidents that. It comes on suddenly its persistent and potentially very dangerous. Influenza is the real. The w. H. O. Estimates that more than 10 percent of the worlds population catch it every year. The flu is europes most fatal Infectious Disease its enough to be taken lightly especially when the only just 60. To keep the flu is a serious respiratory infection which often has a very severe progression for people with preexisting conditions like heart or lung disease is a stream of fall and it can often be fatal for these patients. But isnt. Just one small injection can stop that a new vaccine has to be created every year for the seasonal strain and it provides up to 80 percent protection when introduced into the body the immune system starts to create antibodies the body can then recognize and distro. The virus. The aim of the flu shot isnt just to prevent people from getting infected at all its to reduce the number of severe cases hospital admissions intensive care patients on ventilators and ultimately deaths and even a vaccine thats only partially effective can do that. The coronavirus pandemic its important that as many high risk people as possible and vaccinated to help prevent a similar tenuous way. Coronavirus patients this winter. So lets all hope that there will be. Various kinds of vaccine for corona virus or in Development One kind is an inactivated virus vaccine that uses proteins from the virus to create the vaccine viruses 1st up to be broken down into parts and there infectivity has to be destroyed so its no longer dangerous. But it still has to provoke an immune response in the recipient so that the immune system develops antibodies to it. So what are the advantages and disadvantages. Of this approach is well established. Companies that develop and manufacture vaccines are familiar with it. And the production processes have been perfected. But certainly an advantage. The disadvantage is that it takes time to grow the underlying virus in large amounts more is needed. A viral vector vaccine uses a harmless live virus of a different kind as a carrier to transport genes from the dangerous virus. Into cells in the recipients body. A protein gene from the bad virus is 1st added to the benign one in the case of the Novel Coronavirus its a spike protein gene. Modified virus that resembles sars c. O. V. 2 in one key respect the immune system detects the offending protein and creates antibodies in response. For the safety requirements for growing the virus not as strict as within activated whole virus vaccines of. Disadvantages are that it takes a lot of time and you have to choose vectors that are not affected by any preexisting immune response capability. And. Then there are vaccines that use messenger or anay for the Novel Coronavirus it is m r n a with instructions for making it spiked proteins. Such vaccines prompt cells in the recipient to make such proteins themselves which in turn provoke an immune response although these proteins are not dangerous they are still identified as enemies by the immune system which then creates antibodies and thus i mean. For at least. One advantages that the safety requirements are much less stringent. Another is that you can modify the r. N. A. Quite quickly manufacturers say that within a short period of time perhaps 6 weeks r. N. A. Vaccines can be produced in very large volumes millions of units you cant match that with vector whole virus or other kinds of vaccine. So each of these approaches has upsides and downsides nonetheless theyre all considered worth pursuing is likely that we need more than one vaccine. I guess it grown i would just g