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Rebel Wilson exposes A-lister who "threatened" her over book release

<p>Rebel Wilson has slammed a Hollywood A-lister for allegedly threatening her over the release of her new memoir. </p> <p>The Aussie actress is set to release her autobiography <em>Rebel Rising</em> on April 2nd, which details her rise to stardom from Australia to the US. </p> <p>In the book, she has dedicated a chapter to one particular actor who she had an unfortunate experience with on the set of a movie in 2014. </p> <p>Now, Rebel claims Sacha Baron-Cohen, husband of Aussie actress Isla Fisher, has "threatened" her about the release of such information in the upcoming book. </p> <p>Taking to her Instagram, Rebel named and shamed the actor, writing, “I will not be bullied or silenced with high priced lawyer or PR crisis managers. The ‘a**hole’ that I am talking about in ONE CHAPTER of my book is Sacha Baron Cohen.”</p> <p>"Now the a**hole is trying to threaten me. He’s trying to stop press coming out about my new book. But the book WILL come out and you will all know the truth.”</p> <p>Sacha Baron-Cohen was quick to release a statement in response to the allegations, with his representative sharing the statement with <a href="https://www.tmz.com/2024/03/25/rebel-wilson-calls-out-sacha-baron-cohen-book-memoir/" target="_blank" rel="noopener"><em>TMZ</em></a>. </p> <p>“While we appreciate the importance of speaking out, these demonstrably false claims are directly contradicted by extensive detailed evidence, including contemporaneous documents, film footage, and eyewitness accounts from those present before, during and after the production of The Brothers Grimsby,” the statement said. </p> <p>Wilson and Baron-Cohen worked on the comedy film <em>The Brothers Grimsby</em> in 2014, where Rebel alleges that Baron-Cohen acted sexually inappropriate towards her for the duration of the shoot. </p> <p><em>Image credits: Getty Images</em></p>

Legal

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Yes, Kate Middleton’s photo was doctored. But so are a lot of images we see today

<p><a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, <em><a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>Rumours and conspiracies have been <a href="https://www.nytimes.com/2024/02/28/style/princess-kate-middleton-health.html">swirling</a> following the abdominal surgery and long recovery period of Catherine, Princess of Wales, earlier this year. They intensified on Monday when Kensington Palace released a photo of the princess with her three children.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C4U_IqTNaqU/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C4U_IqTNaqU/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a></p> </div> </blockquote> <p>The photo had clear signs of tampering, and international wire services <a href="https://apnews.com/article/kate-princess-photo-surgery-ca91acf667c87c6c70a7838347d6d4fb">withdrew the image</a> amid concerns around manipulation. The princess later <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616">apologised for any confusion</a> and said she had “experimented with editing” as many amateur photographers do.</p> <p>Image editing is extremely common these days, and not all of it is for nefarious purposes. However, in an age of rampant misinformation, how can we stay vigilant around suspicious images?</p> <h2>What happened with the royal photo?</h2> <p>A close look reveals at least eight inconsistencies with the image.</p> <p>Two of these relate to unnatural blur. Catherine’s right hand is unnaturally blurred, even though her left hand is sharp and at the same distance from the camera. The left side of Catherine’s hair is also unnaturally blurred, while the right side of her hair is sharp.</p> <p>These types of edits are usually made with a blur tool that softens pixels. It is often used to make the background of an image less distracting or to smooth rough patches of texture.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=358&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=358&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=358&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=450&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=450&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=450&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">At least eight logical inconsistencies exist in the doctored image the Prince and Princess of Wales posted on social media.</span> <span class="attribution"><a class="source" href="https://www.instagram.com/p/C4U_IqTNaqU/">Photo by the Prince of Wales/Chart by T.J. Thomson</a></span></figcaption></figure> <p>Five of the edits appear to use the “clone stamp” tool. This is a Photoshop tool that takes part of the same or a different image and “stamps” it onto another part.</p> <p>You can see this with the repeated pattern on Louis’s (on the left) sweater and the tile on the ground. You can also see it with the step behind Louis’s legs and on Charlotte’s hair and sleeve. The zipper on Catherine’s jacket also doesn’t line up.</p> <p>The most charitable interpretation is that the princess was trying to remove distracting or unflattering elements. But the artefacts could also point to multiple images being blended together. This could either be to try to show the best version of each person (for example, with a smiling face and open eyes), or for another purpose.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Like many amateur photographers, I do occasionally experiment with editing. I wanted to express my apologies for any confusion the family photograph we shared yesterday caused. I hope everyone celebrating had a very happy Mother’s Day. C</p> <p>— The Prince and Princess of Wales (@KensingtonRoyal) <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616?ref_src=twsrc%5Etfw">March 11, 2024</a></p></blockquote> <h2>How common are image edits?</h2> <p>Image editing is increasingly common as both photography and editing are increasingly becoming more automated.</p> <p>This sometimes happens without you even knowing.</p> <p>Take HDR (high dynamic range) images, for example. Point your iPhone or equivalent at a beautiful sunset and watch it capture the scene from the brightest highlights to the darkest shadows. What happens here is your camera makes multiple images and automatically stitches them together to make an image <a href="https://www.adobe.com/creativecloud/photography/hub/guides/what-is-hdr-photography.html">with a wider range of contrast</a>.</p> <p>While face-smoothing or teeth-whitening filters are nothing new, some smartphone camera apps apply them without being prompted. Newer technology like Google’s “Best Take” <a href="https://blog.google/products/photos/how-google-photos-best-take-works/">feature</a> can even combine the best attributes of multiple images to ensure everyone’s eyes are open and faces are smiling in group shots.</p> <p>On social media, it seems everyone tries to show themselves in their best light, which is partially why so few of the photos on our <a href="https://www.tandfonline.com/doi/abs/10.1080/15551393.2020.1862663">camera rolls</a> make it onto our social media feeds. It is also why we often edit our photos to show our best sides.</p> <p>But in other contexts, such as press photography, the <a href="https://www.ap.org/about/news-values-and-principles/telling-the-story/visuals">rules are much stricter</a>. The Associated Press, for example, bans all edits beyond simple crops, colour adjustments, and “minor adjustments” that “restore the authentic nature of the photograph”.</p> <p>Professional photojournalists haven’t always gotten it right, though. While the majority of lens-based news workers adhere to ethical guidelines like those published by the <a href="https://nppa.org/resources/code-ethics">National Press Photographers Association</a>, others have let deadline pressures, competition and the desire for exceptional imagery cloud their judgement.</p> <p>One such example was in 2017, when British photojournalist Souvid Datta admitted to <a href="https://time.com/4766312/souvid-datta/">visually plagiarising</a> another photographer’s work within his own composition.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Photographer Souvid Datta appears to have plagiarized Mary Ellen Mark: <a href="https://t.co/iO1Lm8CowU">https://t.co/iO1Lm8CowU</a> <a href="https://t.co/jswHyApGNj">pic.twitter.com/jswHyApGNj</a></p> <p>— PetaPixel (@petapixel) <a href="https://twitter.com/petapixel/status/859824132258537472?ref_src=twsrc%5Etfw">May 3, 2017</a></p></blockquote> <p>Concerns around false or misleading visual information are at an all-time high, given advances in <a href="https://theconversation.com/nine-was-slammed-for-ai-editing-a-victorian-mps-dress-how-can-news-media-use-ai-responsibly-222382">generative artificial intelligence (AI)</a>. In fact, this year the World Economic Forum named the risk of misinformation and disinformation as the world’s greatest <a href="https://www.weforum.org/agenda/2024/01/ai-disinformation-global-risks/">short-term threat</a>. It placed this above armed conflict and natural disasters.</p> <h2>What to do if you’re unsure about an image you’ve found online</h2> <p>It can be hard to keep up with the more than <a href="https://theconversation.com/3-2-billion-images-and-720-000-hours-of-video-are-shared-online-daily-can-you-sort-real-from-fake-148630">3 billion photos</a> that are shared each day.</p> <p>But, for the ones that matter, we owe it to ourselves to slow down, zoom in and ask ourselves a few simple <a href="https://www.aap.com.au/factcheck-resources/how-we-check-the-facts/">questions</a>:</p> <p>1. Who made or shared the image? This can give clues about reliability and the purpose of making or sharing the image.</p> <p>2. What’s the evidence? Can you find another version of the image, for example, using a <a href="https://tineye.com/">reverse-image search engine</a>?</p> <p>3. What do trusted sources say? Consult resources like <a href="https://www.aap.com.au/factcheck/">AAP FactCheck</a> or <a href="https://factcheck.afp.com/">AFP Fact Check</a> to see if authoritative sources have already weighed in.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/225553/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, Senior Lecturer in Visual Communication &amp; Digital Media, <em><a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/yes-kate-middletons-photo-was-doctored-but-so-are-a-lot-of-images-we-see-today-225553">original article</a>.</p> <p><em>Hero image: The Conversation / X / Instagram</em></p>

Technology

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The secret witness who could be the key to the Madeleine McCann case

<p>A secret witness to a disturbing comment made by the main suspect in the Madeleine McCann case could be the key to seeing him charged. </p> <p>Madeleine McCann was three years old when she went missing on a family trip to Portugal in 2007, and has not been seen since. </p> <p>Christian Brueckner, a convicted rapist and paedophile, has long been named the prime suspect in Maddie's abduction, and is set to stand trial on Friday for a series of charges, none of while relate to the McCann case. </p> <p>Now, almost seventeen years since her disappearance, a secret witness has come forward about a disturbing comment Brueckner a year after Maddie's abduction. </p> <p>Helge Busching, a former friend of Brueckner, has revealed a chilling conversation he had with his former friend after they ran into each other at a music festival. </p> <p>Busching, who is currently in police protection, claims Brueckner told him Madeleine was taken without anyone noticing because she didn't make a sound. </p> <p>"He said she didn't scream. 'She didn't scream', that is what Brueckner said and then I looked at Mr Brueckner and thought 'what are you telling me now?'" said Busching on <a href="https://9now.nine.com.au/60-minutes/the-secret-witness-who-could-break-open-the-madeleine-mccann-case/3a383ca7-758a-4b46-a288-8f911ee942e5" target="_blank" rel="noopener"><em>60 Minutes</em></a>. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/C3NDFgEPudr/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C3NDFgEPudr/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by 60 Minutes Australia (@60minutes9)</a></p> </div> </blockquote> <p>In the wake of Busching's comments, the police prosecutor in Brueckner's case remains adamant he is behind the high-profile disappearance of Maddie. </p> <p>"We have evidence and we come to the conclusion that Madeleine McCann is dead and Christian B murdered her," says Hans Christian Wolters.  </p> <p>With the 46-year-old currently in jail and facing convictions for several counts of rape and sexual assault, Wolters has the luxury of time to pursue all leads, no matter how small, to build a watertight case against the suspect. </p> <p>He said, "We have only one chance and we want to go to court with the best result we could get. So we decided to investigate as much as we can and if it takes much more time than normal investigations, it's the price for the best result."</p> <p><em>Image credits: Getty Images / 60 Minutes</em></p>

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"Proud to pay more": The billionaires who want to pay more tax

<p>Over 250 millionaires and billionaires have issued an <a href="https://proudtopaymore.org/" target="_blank" rel="noopener">open letter</a> to global leaders encouraging them to implement wealth taxes to combat the cost-of-living crisis. </p> <p>This comes just as a report by the Oxfam Charity revealed that the global wealth of billionaires have only grown in the last three years despite inflation. </p> <p>The open letter, signed by super-rich individuals from 17 countries, includes signatories like Abigail Disney, the grand-niece of Walt Disney, <em>Succession </em>actor Brian Cox, and American philanthropist and Rockefeller family heir Valerie Rockefeller.</p> <p>They said that they would be "proud to pay more taxes" in order to address the  inequality.</p> <p>"Elected leaders must tax us, the super rich,"  the letter read. </p> <p>"This will not fundamentally alter our standard of living, nor deprive our children, nor harm our nations' economic growth.</p> <p>"But it will turn extreme and unproductive private wealth into an investment for our common democratic future."</p> <p>Austrian heir Marlene Engelhorn is also among the voices demanding that they pay more in taxes.</p> <p>"I've inherited a fortune and therefore power, without having done anything for it. And the state doesn't even want taxes on it,"  Engelhorn, who inherited millions from her family who founded chemical giant BASF, said.</p> <p>The letter was released just as global leaders gather in Davos, Switzerland for the World Economic Forum.</p> <p>Abigail Disney, whose net-worth is measured at more than $100 million, said that lawmakers need to come together to make a meaningful economic and social change. </p> <p>"There's too much at stake for us all to wait for the ultra rich to grow a conscience and voluntarily change their ways," she said.</p> <p>"For that reason, lawmakers must step in and tax extreme wealth, along with the variety of environmentally destructive habits of the world's richest."</p> <p>A recent <a href="https://static1.squarespace.com/static/63fe48c7e864f3729e4f9287/t/6596bfb943707b56d11f1296/1704378297933/G20+Survey+of+those+with+More+than+%241+million+on+Attitudes+to+Extreme+Wealth+and+Taxing+the+Super+Rich.pdf" target="_blank" rel="noopener">survey</a> of almost 2400 millionaires found that 74 per cent of them supported the introduction of a wealth tax to fund improved public services and deal with the cost-of-living crisis.</p> <p>The open letter also said that one-off donations and philanthropy "cannot redress the current colossal imbalance" of societal wealth.</p> <p>"We need our governments and our leaders to lead," the letter said. </p> <p>"The true measure of a society can be found, not just in how it treats its most vulnerable, but in what it asks of its wealthiest members."</p> <p><em>Images: Getty</em></p> <p> </p>

Money & Banking

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Couple who found love in chemotherapy raise funds for final trip

<p>Ainslie Plumb, 22, and Joe Fan, 29, found love in an unexpected place, at the Royal Brisbane and Women’s Hospital. </p> <p>The couple met in 2022 while they were both undergoing leukaemia treatment. </p> <p>“We met at an event for young people with cancer and became friends following that,” Plumb told <em>7News</em>. </p> <p>“(We) would hang out during our hospital stays, I asked him out in October 2022 and (we) have been together ever since.” </p> <p>While Plumb successfully entered remission, last October, Fan was told that he was now terminal, as doctors had run out of options to treat his Philadelphia chromosome positive acute lymphoblastic leukaemia. </p> <p>With only months left to live, Fan, who has actively given back to the hospital and cancer community by playing his violin for patients and staff and worked with the Queensland Youth Cancer Service, has one final wish - to travel. </p> <p>The couple have set a <a href="https://www.gofundme.com/f/help-joe-live-his-dreams" target="_blank" rel="noopener">GoFundMe</a>, to help raise funds which cover flights, accommodation and specialised travel insurance, for Fan's final trip.</p> <p>“I go through my cancer treatments and observe the toll that takes on my physical and mental wellbeing,” Fan said.</p> <p>“The end of a trip can hopefully mark the start of another — and I have held onto hope, looked forward and dreamed for one more trip, more time, one more experience with that someone I love.”</p> <p>Their first destination will be Taiwan and Hong Kong, where Fan's parents are from and where he spent a majority of his childhood. </p> <p>They also intend to travel to New Zealand and Western Australia to swim with whale sharks at Ningaloo in the state’s north.</p> <p>“We’re aiming at going at the end of February to give us time to co-ordinate with his doctors around his appointments and infusions, which are all booked in advance,” Plumb said. </p> <p>“We recently reached 75 per cent on the fundraiser and are hoping to hit 100 per cent perhaps by the end of January.”</p> <p>As of today, the couple have successfully raised over $21,000 from their $20,000 goal, and have thanked everyone in their community and strangers for their support. </p> <p>“Truly, words do not suffice,” the couple said.</p> <p><em>Images: 7News </em></p>

Relationships

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Who wrote the Bible?

<p><em><a href="https://theconversation.com/profiles/philip-c-almond-176214">Philip C. Almond</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>The Bible tells an overall story about the history of the world: creation, fall, redemption and God’s Last Judgement of the living and the dead.</p> <p>The Old Testament (which dates to 300 BCE) begins with the creation of the world and of Adam and Eve, their disobedience to God and their expulsion from the garden of Eden.</p> <p>The New Testament recounts the redemption of humanity brought about by the life, death and resurrection of Jesus. It finishes in the book of Revelation, with the end of history and God’s Last Judgement.</p> <p>During the first 400 years of Christianity, the church took its time deciding on the New Testament. Finally, in 367 CE, authorities confirmed the 27 books that make it up.</p> <p>But who wrote the Bible?</p> <p>Broadly, there are four different theories.</p> <h2>1. God wrote the Bible</h2> <p>All Christians agree the Bible is authoritative. Many see it as the divinely revealed word of God. But there are significant disagreements about what this means.</p> <p>At its most extreme, this is taken to mean the words themselves are divinely inspired – God dictated the Bible to its writers, who were merely God’s musicians playing a divine composition.</p> <p>As early as the second century, the <a href="https://archive.org/details/fathersofchurch0000unse/page/382/mode/2up">Christian philosopher Justin Martyr saw it</a> as only necessary for holy men "to submit their purified persons to the direction of the Holy Spirit, so that this divine plectrum from Heaven, as it were, by using them as a harp or lyre, might reveal to us divine and celestial truths."</p> <p>In other words, God dictated the words to the Biblical secretaries, who wrote everything down exactly.</p> <p>This view continued with the medieval Catholic church. Catholic theologian Thomas Aquinas put it simply in the 13th century: “the author of Holy Writ is God”. He <a href="https://www.ccel.org/ccel/aquinas/summa.FP_Q1_A10.html">qualified this</a> by saying each word in Holy Writ could have several senses – in other words, it could be variously interpreted.</p> <p>The religious reform movement known as Protestantism swept through Europe in the 1500s. <a href="https://www.britannica.com/event/Reformation">A new group of churches formed</a> alongside the existing Catholic and <a href="https://www.britannica.com/topic/Eastern-Orthodoxy">Eastern Orthodox</a> traditions of Christianity.</p> <p>Protestants emphasised the authority of “scripture alone” (“sola scriptura”), meaning the text of the Bible was the supreme authority over the church. This gave greater emphasis to the scriptures and the idea of “divine dictation” got more support.</p> <p>So, for example, <a href="https://babel.hathitrust.org/cgi/pt?id=coo.31924029273996&amp;seq=254">Protestant reformer John Calvin declared</a>: "[we] are fully convinced that the prophets did not speak at their own suggestion, but that, being organs of the Holy Spirit, they only uttered what they had been commissioned from heaven to declare."</p> <figure class="align-left zoomable"><figcaption></figcaption></figure> <p>“Divine dictation” was linked to the idea that the Bible was without error (inerrant) – because the words were dictated by God.</p> <p>Generally, over the first 1,700 years of Christian history, this was assumed, if not argued for. But from the 18th century on, both history and science began to cast doubts on the truth of the Bible. And what had once been taken as fact came to be treated as myth and legend.</p> <p>The impossibility of any sort of error in the scriptures became a doctrine at the forefront of the 20th-century movement known as <a href="https://www.britannica.com/topic/Christian-fundamentalism">fundamentalism</a>. The <a href="https://www.apuritansmind.com/creeds-and-confessions/the-chicago-statement-on-biblical-inerrancy/">Chicago Statement on Biblical Inerrancy in 1978</a> declared: "Being wholly and verbally God-given, Scripture is without error or fault in all its teaching, no less in what it states about God’s acts in creation, about the events of world history, and about its own literary origins under God, than in its witness to God’s saving grace in individual lives."</p> <h2>2. God inspired the writers: conservative</h2> <p>An alternative to the theory of divine dictation is the divine inspiration of the writers. Here, both God and humans collaborated in the writing of the Bible. So, not the words, but the authors were inspired by God.</p> <p>There are two versions of this theory, dating from the <a href="https://www.britannica.com/event/Reformation">Reformation</a>. The conservative version, favoured by Protestantism, was: though the Bible was written by humans, God was a dominant force in the partnership.</p> <p>Protestants believed the sovereignty of God overruled human freedom. But even the Reformers, <a href="https://www.britannica.com/biography/Martin-Luther">Martin Luther</a> and <a href="https://www.britannica.com/biography/John-Calvin">John Calvin</a>, recognised variation within the Biblical stories could be put down to human agency.</p> <p>Catholics were more inclined to recognise human freedom above divine sovereignty. Some flirted with the idea human authorship was at play, with God only intervening to prevent mistakes.</p> <p>For example, in 1625, <a href="https://archive.org/details/catholictheories0000burt/page/46/mode/2up">Jacques Bonfrère said</a> the Holy Spirit acts: “not by dictating or inbreathing, but as one keeps an eye on another while he is writing, to keep him from slipping into errors”.</p> <p>In the early 1620s, the Archbishop of Split, Marcantonio de Dominis, went a little further. He distinguished between those parts of the Bible revealed to the writers by God and those that weren’t. In the latter, he believed, errors could occur.</p> <p>His view was supported some 200 years later by <a href="https://www.britannica.com/biography/Saint-John-Henry-Newman">John Henry Newman</a>, who led the Oxford movement in the Church of England and later became a cardinal (and then a saint) in the Roman Catholic Church.</p> <p>Newman argued the divinely inspired books of the Bible were interspersed with human additions. In other words, the Bible was inspired in matters of faith and morals –  but not, say, in matters of science and history. It was hard, at times, to distinguish this conservative view from “divine dictation”.</p> <h2>3. God inspired the writers: liberal</h2> <p>During the 19th century, in both Protestant and Catholic circles, the conservative theory was being overtaken by a more liberal view. The writers of the Bible were inspired by God, but <a href="https://archive.org/details/catholictheories0000burt/page/186/mode/2up">they were “children of their time”</a>, their writings determined by the cultural contexts in which they wrote.</p> <p>This view, while recognising the special status of the Bible for Christians, allowed for errors. For example, in 1860 <a href="https://archive.org/details/a578549600unknuoft/page/n359/mode/2up?ref=ol&amp;view=theater&amp;q=inspir">the Anglican theologian Benjamin Jowett declared</a>: “any true doctrine of inspiration must conform to all well-ascertained facts of history or of science”.</p> <p>For Jowett, to hold to the truth of the Bible against the discoveries of science or history was to do a disservice to religion. At times, though, it’s difficult to tell the difference between a liberal view of inspiration and there being no meaning to “inspiration” at all.</p> <p>In 1868, a conservative Catholic church pushed back against the more liberal view, declaring God’s direct authorship of the Bible. The Council of the Church known as Vatican 1 <a href="https://www.papalencyclicals.net/councils/ecum20.htm.">declared</a> both the Old and New Testaments were: “written under the inspiration of the holy Spirit, they have God as their author.”</p> <h2>4. People wrote it, with no divine help</h2> <p>Within the most liberal Christian circles, by the end of the 19th century, the notion of the Bible as “divinely inspired” had lost any meaning.</p> <p>Liberal Christians could join their secular colleagues in ignoring questions of the Bible’s historical or scientific accuracy or infallibility. The idea of the Bible as a human production was now accepted. And the question of who wrote it was now comparable to questions about the authorship of any other ancient text.</p> <p>The simple answer to “who wrote the Bible?” became: the authors named in the Bible (for example, Matthew, Mark, Luke and John – the authors of the four Gospels). But the idea of the Bible’s authorship is complex and problematic. (So are historical studies of ancient texts more generally.)</p> <p>This is partly because it’s hard to identify particular authors.</p> <p>The content of the 39 books of the Old Testament is the same as the 24 books of the Jewish <a href="https://www.britannica.com/topic/Hebrew-Bible">Hebrew Bible</a>. Within modern Old Testament studies, it’s now generally accepted that the books were not the production of a single author, but the result of long and changing histories of the stories’ transmission.</p> <p>The question of authorship, then, is not about an individual writer, but multiple authors, editors, scribes and redactors – along with multiple different versions of the texts.</p> <p>It’s much the same with the New Testament. While 13 Letters are attributed to <a href="https://www.britannica.com/biography/Saint-Paul-the-Apostle">Saint Paul</a>, there are doubts about his authorship of seven of them (Ephesians, Colossians, 2 Thessalonians, 1 Timothy, 2 Timothy, Titus, and Hebrews). There are also disputes over the traditional authorship of a number of the remaining Letters. The book of Revelation was traditionally ascribed to Jesus’s disciple John. But it is now generally agreed he was not its author.</p> <p>Traditionally, the authors of the four <a href="https://www.britannica.com/topic/Gospel-New-Testament">Gospels</a> were thought to be the apostles Matthew and John, Mark (the companion of Jesus’s disciple Peter), and Luke (the companion of Paul, who spread Christianity to the Greco-Roman world in the first century). But the anonymously written Gospels weren’t attributed to these figures until the second and third centuries.</p> <p>The dates of the Gospels’ creation also suggests they were not written by eyewitnesses to Jesus’s life. The earliest Gospel, Mark (65-70 CE) was written some 30 years after the death of Jesus (from 29-34 CE). The last Gospel, John (90-100 CE) was written some 60-90 years after the death of Jesus.</p> <p>It’s clear the author of the Gospel of Mark drew on traditions circulating in the early church about the life and teaching of Jesus and brought them together in the form of ancient biography.</p> <p>In turn, the Gospel of Mark served as the principal source for the authors of Matthew and Luke. Each of these authors had access to a common source (known as “Q”) of the sayings of Jesus, along with material unique to each of them.</p> <p>In short, there were many (unknown) authors of the Gospels.</p> <p>Interestingly, another group of texts, known as the <a href="https://www.britannica.com/topic/apocrypha">Apocrypha</a>, were written during the time between the Old and New Testaments (400 BCE to the first century CE). The Catholic Church and the Eastern Orthodox Christian traditions consider them part of the Bible, but Protestant churches don’t consider them authoritative.</p> <h2>Divine or human: why does it matter?</h2> <p>The question of who wrote the Bible matters because the Christian quarter of the world’s population believe the Bible is a not merely a human production.</p> <p>Divinely inspired, it has a transcendent significance. As such, it provides for Christians an ultimate understanding of how the world is, what history means and how human life should be lived.</p> <p>It matters because the Biblical worldview is the hidden (and often not-so-hidden) cause of economic, social and personal practices. It remains, as it has always been, a major source of both peace and conflict.</p> <p>It matters, too, because the Bible remains the most important collection of books in Western civilisation. Regardless of our religious beliefs, it has formed, informed and shaped all of us – whether consciously or unconsciously, for good or ill.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/214849/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/philip-c-almond-176214"><em>Philip C. Almond</em></a><em>, Emeritus Professor in the History of Religious Thought, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/who-wrote-the-bible-214849">original article</a>.</em></p>

Books

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No, antibiotics aren’t always needed. Here’s how GPs can avoid overprescribing

<p><em><a href="https://theconversation.com/profiles/mina-bakhit-826292">Mina Bakhit</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>The growth in antibiotic resistance threatens to return the world to the pre-antibiotic era – with deaths from now-treatable infections, and some elective surgery being restricted because of the risks of infection.</p> <p>Antibiotic resistance is a major problem worldwide and should be the concern of everyone, including you.</p> <p>We need to develop new antibiotics that can fight the resistant bacteria or antibiotics that bacteria would not be quickly resistant to. This is like finding new weapons to help the immune system fight the bacteria.</p> <p>More importantly, we need to use our current antibiotics – our existing weapons against the bacteria – more wisely.</p> <h2>Giving GPs the tools to say no</h2> <p>In 2022, more than <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/aura-2023-fifth-australian-report-antimicrobial-use-and-resistance-human-health">one-third of Australians</a> had least one antibiotic prescription, with <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/analysis-2015-2022-pbs-and-rpbs-antimicrobial-dispensing-data">88%</a> of antibiotics prescribed by GPs.</p> <p>Many people <a href="https://pubmed.ncbi.nlm.nih.gov/28289114/">mistakenly think</a> antibiotics are necessary for treating any infection and that infections won’t improve unless treated with antibiotics. This misconception is found in studies involving patients with various conditions, including respiratory infections and conjunctivitis.</p> <p>In reality, not all infections require antibiotics, and this belief drives patients requesting antibiotics from GPs.</p> <p>Other times, GPs give antibiotics because they think patients want them, even when they might not be necessary. Although, in reality they are <a href="https://pubmed.ncbi.nlm.nih.gov/17148626/">after symptom relief</a>.</p> <p>For GPs, there are ways to target antibiotics for only when they are clearly needed, even with short appointments with patients perceived to want antibiotics. This includes:</p> <ul> <li> <p>using <a href="https://pubmed.ncbi.nlm.nih.gov/32357226/">decision guides</a> or tests to decide if antibiotics are really necessary</p> </li> <li> <p>giving <a href="https://www.safetyandquality.gov.au/our-work/partnering-consumers/shared-decision-making/decision-support-tools-specific-conditions">patients information sheets</a> when antibiotics aren’t needed</p> </li> <li> <p>giving a “<a href="https://pubmed.ncbi.nlm.nih.gov/33910882/">delayed prescription</a>” – only to be used after the patient waits to see if they get better on their own.</p> </li> </ul> <p>All these strategies need some <a href="https://www.nps.org.au/assets/NPS/pdf/NPS-MedicineWise-Economic-evaluation-report-Reducing-Antibiotic-Resistance-2012-17.pdf">training</a> and practice, but they can help GPs prescribe antibiotics more responsibly. GPs can also learn from each other and use tools like <a href="https://pubmed.ncbi.nlm.nih.gov/24474434/">posters</a> as reminders.</p> <p>To help with patients’ expectations, public campaigns have been run periodically to educate people about antibiotics. These campaigns <a href="https://pubmed.ncbi.nlm.nih.gov/35098267/">explain why</a> using antibiotics too much can be harmful and when it’s essential to take them.</p> <h2>Giving doctors feedback on their prescribing</h2> <p>National programs and interventions can help GPs use antibiotics more wisely</p> <p>One successful way they do this is by <a href="https://pubmed.ncbi.nlm.nih.gov/34356788/">giving GPs feedback</a> about how they prescribe antibiotics. This works better when it’s provided by organisations that GPs trust, it happens more than once and clear goals are set for improvement.</p> <p>The NPS (formerly National Prescribing Service) MedicineWise program, for example, had been giving feedback to GPs on how their antibiotic prescriptions compared to others. This reduced the number of antibiotics prescribed.</p> <p>However, <a href="https://australianprescriber.tg.org.au/articles/the-end-of-nps-medicinewise.html">NPS no longer exists</a>.</p> <p>In 2017, the Australian health department did something similar by sending <a href="https://behaviouraleconomics.pmc.gov.au/projects/nudge-vs-superbugs-behavioural-economics-trial-reduce-overprescribing-antibiotics">feedback letters</a>, randomly using different formats, to the GPs who prescribed the most antibiotics, showing them how they were prescribing compared to others.</p> <p>The most effective letter, which used pictures to show this comparison, reduced the number of antibiotics GPs prescribed by <a href="https://behaviouraleconomics.pmc.gov.au/sites/default/files/projects/nudge-vs-superbugs-12-months-on-report.pdf">9% in a year</a>.</p> <h2>Clearer rules and regulations</h2> <p>Rules and regulations are crucial in the fight against antibiotic resistance.</p> <p>Before April 2020, many GPs’ computer systems made it easy to get multiple repeat prescriptions for the same condition, which could encourage their overuse.</p> <p>However, in April 2020, the Pharmaceutical Benefits Scheme (PBS) <a href="https://www.pbs.gov.au/pbs/industry/listing/elements/pbac-meetings/psd/2019-08/antibiotic-repeats-on-the-pharmaceutical-benefits-scheme">changed the rules</a> to ensure GPs had to think more carefully about whether patients actually needed repeat antibiotics. This meant the amount of medicine prescribed better matched the days it was needed for.</p> <p>Other regulations or policy targets could include:</p> <ul> <li> <p>ensuring all GPs have access to antibiotic prescribing guidelines, such as <a href="https://www.tg.org.au/">Therapeutic Guidelines</a>, which is well accepted and widely available in Australia</p> </li> <li> <p>ensuring GPs are only prescribing antibiotics when needed. Many of the conditions antibiotics are currently prescribed for (such as sore throat, cough and middle ear infections) are self-limiting, meaning they will get better without antibiotics</p> </li> <li> <p>encouraging GP working with antibiotics manufacturers to align pack sizes to the recommended treatment duration. The recommended first-line treatments for uncomplicated urinary tract infections in non-pregnant women, for example, are either three days of trimethoprim 300 mg per night or five days of nitrofurantoin 100 mg every six hours. However, the packs contain enough for seven days. This can mean patients take it for longer or use leftovers later.</p> </li> </ul> <h2>Australia lags behind Sweden</h2> <p>Australia has some good strategies for antibiotic prescribing, but we have not had a sustained long-term plan to ensure wise use.</p> <p>Although Australian GPs have been doing well in <a href="https://www.safetyandquality.gov.au/our-work/antimicrobial-resistance/antimicrobial-use-and-resistance-australia-surveillance-system/aura-2021">reducing antibiotic prescribing</a> since 2015, <a href="https://pubmed.ncbi.nlm.nih.gov/35098269/">more</a> could be done.</p> <p>In the 1990s, Sweden’s antibiotic use was similar to Australia’s, but is now less than half. For more than two decades, Sweden has had a national strategy that reduces antibiotic use by about <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5677604/">7% annually</a>.</p> <p>It is vital Australia invests in a similar long-term national strategy – to have a centrally funded program, but with regional groups working on the implementation. This could be funded directly by the Commonwealth Department of Health and Ageing, or with earmarked funds via another body such as the Australian Centre for Disease Control.</p> <p>In the meantime, individual GPs can do their part to prescribe antibiotics better, and patients can join the national effort to combat antibiotic resistance by asking their GP: “what would happen if I don’t take an antibiotic?”.</p> <p><em><a href="https://theconversation.com/profiles/mina-bakhit-826292">Mina Bakhit</a>, Assistant Professor of Public Health, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, Professor of Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/no-antibiotics-arent-always-needed-heres-how-gps-can-avoid-overprescribing-213981">original article</a>.</em></p>

Caring

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Why a familiar face made Adele break down on stage

<p dir="ltr">Adele has broken down during an emotional show in Las Vegas, after she locked eyes with a special audience member. </p> <p dir="ltr">The British songstress was performing at her residency show with a special Halloween show when she spotted a familiar face in the crowd.</p> <p dir="ltr">While dressed as Morticia from the Addams Family for the spooky-themed concert, Adele began to perform her hit song <em>When We Were Young</em> from her award-winning album <em>25</em>. </p> <p dir="ltr">She suddenly burst into tears and ran into the audience, as she spotted the doctor who delivered her son Angelo ten years ago. </p> <p dir="ltr">Adele could be seen mouthing “Shut up!” in between lines of the heartbreaking ballad, as she couldn't believe what she was seeing.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/Cy_HGsFrr7Q/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/Cy_HGsFrr7Q/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by 𝒜𝒹𝑒𝓁𝑒 𝐿𝒶𝓊𝓇𝒾𝑒 𝐵𝓁𝓊𝑒 𝒜𝒹𝓀𝒾𝓃𝓈 (@thirtyfreeadele)</a></p> </div> </blockquote> <p dir="ltr">“Oh my god, Colin! Oh my god! This is my doctor that gave birth to my baby!”</p> <p dir="ltr">“I haven't seen you for years!” she exclaimed, as she paused the song and ran up into the audience.</p> <p dir="ltr">As Adele caught up with her long-lost friend, the tune continued playing in the background. </p> <p dir="ltr">The singer apologised to her fans as she was caught up in the emotional moment.</p> <p dir="ltr">“Sorry!” she said to the crowd. “Will you sing it for me? That man delivered my baby!”</p> <p dir="ltr">Fans on Twitter rushed to praise the touching moment and Adele's sweet gesture to the doctor. </p> <p dir="ltr">One said, “This is so heartwarming,” while another added, “That's just the coolest thing ever!”</p> <p dir="ltr"><em>Image credits: Instagram</em></p>

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All the reasons you might be having night sweats – and when to see a doctor

<p><em><a href="https://theconversation.com/profiles/siobhan-banks-18473">Siobhan Banks</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>You’ve finished a workout, so you’re hot and drenched with perspiration – but soon you begin to feel cool again. Later, it’s a sweltering summer evening and you’re finding it hard to sleep, so you kick off the covers.</p> <p>Sweating is a normal part of the body’s cooling system, helping to release heat and maintain optimal body temperature. But regularly waking up during the night, soaked through from excessive sweating is not.</p> <p>Night sweats are <a href="https://www.mayoclinic.org/symptoms/night-sweats/basics/definition/sym-20050768">repeated episodes</a> of excessive or intense sweating at night. They are an unpleasant part of life for many people.</p> <p>Many conditions and factors can trigger night sweats by changing the body’s tightly regulated temperature set point, at which the body attempts to maintain its <a href="https://www.tandfonline.com/doi/full/10.4161/temp.29702">core temperature</a>. Some triggers are harmless (a hot bedroom) or even related to positive lifestyle changes (exercise). Others have an underlying cause like menopause, infection, disease or medication.</p> <h2>Temperature control and sweating</h2> <p>The hypothalamus, located in the brain, is part of the <a href="https://www.hormones-australia.org.au/the-endocrine-system/">endocrine system</a> and the temperature control centre for the body. It contains <a href="https://www.statpearls.com/point-of-care/29920#ref_19631766">temperature sensors</a> that receive information from nerve cells (thermoreceptors) located centrally (in the organs) and peripherally in the skin.</p> <p>Thermoreceptors detect changes in body temperature, sending signals back to the hypothalamus. These <a href="https://www.sciencedirect.com/science/article/pii/S1876034111000256">signals</a> will either activate sweating to cool the body or shivering to warm the body.</p> <h2>Hormones and night sweats</h2> <p>Anyone, regardless of age or gender, can experience night sweats. But women experience night sweats more often than men, largely because menopause and associated changing hormone levels are <a href="https://www.tandfonline.com/doi/abs/10.3109/13697137.2011.608596">a leading cause</a>.</p> <p>Approximately 80% of women experience <a href="https://link.springer.com/article/10.1007/s00737-007-0209-5">hot flashes</a> (also called hot flushes) or night sweats after <a href="https://www.menopause.org.au/hp/information-sheets/what-is-menopause">menopause</a> (when periods have ceased for 12 months) and during <a href="https://www.healthdirect.gov.au/perimenopause">perimenopause</a> (the time leading up to it).</p> <p>While both hot flashes and night sweats produce a feeling of overheating, they are different experiences associated with menopause. Hot flashes occur during the day, are transient episodes of flushing and may involve sweating. Night sweats occur at night and involve an intense period of <a href="https://www.proquest.com/docview/2821423865?accountid=14649">sweating</a>. Changing oestrogen levels are thought to impact norepinephrine and serotonin levels, two neurotransmitters that influence <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459071/#:%7E:text=%5B21%5D%20Estrogens%20stimulate%20the%20production,norepinephrine%20which%20disturbs%20hypothalamic%20thermostat">temperature regulation</a> in the hypothalamus.</p> <p>Hormones also influence night sweats in men, particularly those with low <a href="https://www.healthdirect.gov.au/testosterone">testosterone</a> levels, known as <a href="https://www.hormones-australia.org.au/endocrine-diseases/hypogonadism/">hypogonadism</a>. Around 38% of men aged 45 years or older have low testosterone <a href="https://www.scielo.br/j/ibju/a/RZqqfTn5tY6BFpV6rp3GMxJ/">levels</a> but it can affect men at any age.</p> <h2>Infections, disease and medications</h2> <p>When fighting infection, our body temperature often <a href="https://europepmc.org/article/nbk/nbk562334">rises</a>. This can stimulate sweating to cool and decrease body <a href="https://www.sciencedirect.com/science/article/pii/S1876034111000256">temperature</a>.</p> <p>Minor infections like the common cold can cause night sweats. They are also a symptom of serious infections such as human immunodeficiency virus (HIV) and diseases such as <a href="https://www.aafp.org/pubs/afp/issues/2020/0101/p34.html">Hodgkin’s</a> and <a href="https://link.springer.com/article/10.2165/00002018-200831020-00002">non-Hodgkin’s lymphoma</a>. However, night sweats are rarely the only symptom present.</p> <p>Medications such as selective serotonin reuptake inhibitors (SSRIs), corticosteroids, thyroid hormone replacement and methadone can cause night sweats. These medications affect parts of the <a href="https://link.springer.com/article/10.2165/00002018-200831020-00002">brain</a> and neurotransmitters that control and stimulate sweating.</p> <p>Regular alcohol (particularly alcohol dependence) and recreational drug use can also <a href="https://link.springer.com/article/10.2165/00002018-200831020-00002">increase the risk</a> of night sweats.</p> <h2>Stress, snoring and strenuous exercise</h2> <p>Night sweats are commonly reported by people with <a href="https://karger.com/spp/article-abstract/26/2/92/295722/Psychological-Sweating-A-Systematic-Review-Focused?redirectedFrom=fulltext">anxiety</a>.</p> <p>Psychological stress activates the body’s fight or flight system releasing neurotransmitters that increase heart rate, respiration, and blood pressure. This causes the body to heat up, at which point it starts sweating to cool the body back down. Night sweats may also increase anxiety, causing more sweating which in turn leads to less sleep and more anxiety.</p> <p>If anxiety causes night sweats and this causes distress, it’s best to get up, move around and engage in a <a href="https://www.calmclinic.com/anxiety/symptoms/night-sweats">calming routine</a>, preferably in a dark or dimly lit room.</p> <p>Night sweats have similarly been connected with sleep disorders like <a href="https://www.healthdirect.gov.au/obstructive-sleep-apnoea">obstructive sleep apnoea</a>, where the airway is repeatedly blocked during sleep and there is loud snoring. About one third of people with obstructive sleep apnoea regularly <a href="https://link.springer.com/article/10.1007/s11325-011-0502-4">experience night sweats</a>. The exact cause is undetermined but research shows it is linked with low blood oxygen levels (<a href="https://link.springer.com/article/10.1007/s11325-022-02701-3">hypoxemia</a>) and/or <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2869.2009.00743.x">high blood pressure</a>.</p> <p>People can experience night sweats after high-intensity workouts. Vigorous exercise can stimulate the thyroid, <a href="https://www.ncbi.nlm.nih.gov/books/NBK500006/#:%7E:text=Thyroid%20hormone%20increases%20the%20basal,respiration%20rate%2C%20and%20body%20temperature">increasing basal metabolic rate</a> and body temperature for up to <a href="https://journals.lww.com/acsm-msse/Fulltext/2011/09000/A_45_Minute_Vigorous_Exercise_Bout_Increases.6.aspx">14 hours post exercise</a>. So night sweats can occur even after a vigorous morning workout.</p> <p>Night sweats can indicate overtraining and/or under-fuelling. If not enough calories are consumed to support the increase in training, blood sugar could drop and you could experience <a href="https://www.aafp.org/pubs/afp/issues/2003/0301/p1019.pdf">hypoglycaemia</a>, which can cause night sweats.</p> <h2>When to seek help and 5 things to try</h2> <p>There are <a href="https://www.aafp.org/pubs/afp/issues/2020/1001/p427.html">numerous</a> health conditions and medications that can cause night sweats and interfere with sleep.</p> <p>If night sweats are regular, distressing, interfere with sleep or are accompanied by symptoms such as fatigue or weight loss (not related to lifestyle or diet changes) talk to a doctor to help determine the cause. They might suggest alternative medications to any you’re taking or recommend tests or investigations.</p> <p>In the meantime, you can try the following ideas:</p> <p><strong>1.</strong> sleep in a cool room and use a fan if needed</p> <p><strong>2.</strong> don’t overdress for bed. Wear breathable cotton or linen pyjamas</p> <p><strong>3.</strong> choose lightweight bedding you can kick off. Avoid synthetic fibres and flannel bedding</p> <p><strong>4.</strong> consider a cooling mattress or pillow and avoid those (such as foam ones) that can limit airflow</p> <p><strong>5.</strong> avoid spicy foods, caffeine or alcohol before bed.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211436/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/siobhan-banks-18473"><em>Siobhan Banks</em></a><em>, Research professor, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, , <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/all-the-reasons-you-might-be-having-night-sweats-and-when-to-see-a-doctor-211436">original article</a>.</em></p>

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What’s insomnia like for most people who can’t sleep? You’d never know from the movies

<p><em><a href="https://theconversation.com/profiles/aaron-schokman-1463327">Aaron Schokman</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/nick-glozier-94435">Nick Glozier</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Hollywood appears fascinated by sleep’s impact on the mind and body. Blockbuster movies featuring someone living with insomnia include <a href="https://www.imdb.com/title/tt0108160/">Sleepless in Seattle</a> (1993), <a href="https://www.imdb.com/title/tt0137523/">Fight Club</a> (1999) and <a href="https://www.imdb.com/title/tt0278504/?ref_=fn_al_tt_1">Insomnia</a> (2002).</p> <p>But how well do these and other portrayals compare with what it’s really like to live with insomnia?</p> <p>As we’ll see, most movies tend to either minimise or exaggerate symptoms. Insomnia is rarely depicted as a treatable illness. And these portrayals have implications for the estimated <a href="https://www.sleep.theclinics.com/article/S1556-407X(22)00022-4/fulltext">one in three</a> of us with at least one insomnia symptom.</p> <h2>Back in the real world</h2> <p>Insomnia is a common <a href="https://doi.org/10.1378/chest.14-0970">sleep disorder</a> where a person struggles to fall asleep, stay asleep, or wakes up too early – despite having adequate opportunity for sleep.</p> <p><a href="https://doi.org/10.1111/j.1753-6405.2012.00845.x">Around 5%</a> of adults experience significant insomnia to the degree that it causes distress or impairs daily life.</p> <p>It’s a common misconception that insomnia is only a night-time issue. <a href="https://www.healthdirect.gov.au/insomnia">Insomnia</a> can impact your ability to stay awake and alert during the day. It can also affect your <a href="https://theconversation.com/explainer-whats-the-link-between-insomnia-and-mental-illness-49597">mental health</a>.</p> <p>At work, you might be more prone to accidents, more forgetful, or make poorer decisions. At home, you might be irritable or short with your friends and family.</p> <p>So what is it like living with insomnia? Apart from the effects of poor sleep quality, many people experience <a href="https://doi.org/10.1016/j.smrv.2021.101583">anxiety or dread</a> about the night ahead from the moment they wake up. From early in the day, people plan how they can improve their sleep that night.</p> <p><a href="https://doi.org/10.1016/j.smrv.2016.01.003">A review</a> found people living with insomnia felt their sleep concerns were often trivialised or misunderstood by health-care professionals, and stigmatised by others.</p> <h2>Movies can minimise symptoms …</h2> <p>Nicholas Galitzine’s character in the recent romcom <a href="https://www.imdb.com/title/tt10172266/?ref_=fn_al_tt_1">Red, White and Royal Blue</a> (2023) has insomnia. We’re briefly told he struggles to fall asleep at night. However, we never see any meaningful impact on his life or depiction of the difficulty living with insomnia entails.</p> <p>That said, minimising the impact of insomnia can have benefits. It shows insomnia is an invisible illness, doesn’t have obvious visual symptoms and anyone can have it.</p> <p>But this can perpetuate the expectation someone with insomnia should be able to function unencumbered. Or it can fuel the misconception having insomnia may be beneficial, as in <a href="https://www.imdb.com/title/tt0050543/?ref_=fn_al_tt_1">Insomnia Is Good for You</a> (1957).</p> <h2>… or exaggerate symptoms</h2> <p>But most Hollywood portrayals of insomnia tend to depict the most extreme cases. These usually feature insomnia as a symptom of another condition rather than a disorder itself, as is commonly experienced.</p> <p>These movies tend to be psychological thrillers. Here, insomnia is often used as an enigma to keep the audience guessing about which events are real or figments of a character’s imagination.</p> <p>Take <a href="https://www.imdb.com/title/tt0361862/?ref_=fn_al_tt_1">The Machinist</a> (2004), for example. The main character is emaciated, ostracised and plagued by paranoia, hallucinations and delusions. It’s only towards the end of the movie we learn his insomnia may be the result of a <a href="https://doi.org/10.9740/mhc.n101819">psychiatric disorder</a>, such as post-traumatic stress disorder.</p> <figure><iframe src="https://www.youtube.com/embed/-R4rQMImHwE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">In The Machinist, the main character has paranoia, hallucinations and delusions.</span></figcaption></figure> <p>Hollywood’s focus on extreme cases of insomnia is a recurring pattern (for instance, <a href="https://www.imdb.com/title/tt0137523/">Fight Club</a> 1999, <a href="https://www.imdb.com/title/tt0434165/?ref_=fn_al_tt_3">Lucid</a> 2005).</p> <p>It’s understandable why Hollywood latches onto these extreme portrayals – to entertain us. Yet these portrayals of insomnia as something more severe or threatening, like psychosis, can increase anxiety or stigma among people living with insomnia.</p> <p>While it’s true other medical conditions including <a href="https://theconversation.com/explainer-whats-the-link-between-insomnia-and-mental-illness-49597">mental illnesses</a> can lead to insomnia, insomnia often exists on its own. Insomnia is often <a href="https://theconversation.com/explainer-what-is-insomnia-and-what-can-you-do-about-it-36365">caused by</a> more mundane things like too much stress, lifestyle and habits, or longer daylight hours at higher latitudes (such as in <a href="https://www.imdb.com/title/tt0278504/?ref_=fn_al_tt_1">Insomnia</a>, 2002).</p> <p>Something these exaggerated portrayals do well is highlight the impact sleep deprivation can have on safety, albeit extremely dramatised. Regardless of profession, <a href="https://doi.org/10.1037/xge0000717">not getting enough sleep</a> at night can substantially impact cognitive function, increasing the chance of making a mistake.</p> <figure><iframe src="https://www.youtube.com/embed/emIHzg4VH8A?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">In Insomnia, one character has insomnia because of extended daylight hours.</span></figcaption></figure> <h2>Movies rarely depict treatment</h2> <p>It is rare to see insomnia depicted as a health condition requiring medical care. Very few characters struggling with insomnia seek or receive help for it.</p> <p>An exception is the narrator in <a href="https://www.imdb.com/title/tt0137523/">Fight Club</a> (1999). But he has to pretend to have other illnesses to receive therapy, again suggesting insomnia is not a legitimate condition.</p> <figure><iframe src="https://www.youtube.com/embed/BdJKm16Co6M?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">The narrator in Fight Club pretends to have other illnesses to receive therapy for insomnia.</span></figcaption></figure> <h2>Why does accurate representation matter?</h2> <p>Many people only learn about the symptoms and impact of sleep disorders through pop culture and film. These portrayals can affect how others think about these disorders and can impact how people living with these disorders think about themselves.</p> <p>Uniform and stereotypical portrayals of insomnia can also impact people’s <a href="https://doi.org/10.1080/15402002.2011.620671">likelihood of seeking help</a>.</p> <p>Most of these films show young or middle-aged men experiencing insomnia. Yet women are <a href="https://doi.org/10.1093/sleep/29.1.85">more likely</a> to have insomnia than men. Insomnia is also <a href="https://doi.org/10.1016/j.jsmc.2022.03.003">more common</a> in older adults, people with a lower socioeconomic background and those living alone. People at higher risk of developing insomnia might not recognise their risk or symptoms if their experience doesn’t match what they’ve seen.</p> <h2>We can do better</h2> <p>While the reality of living with insomnia may not be particularly cinematic, filmmakers can surely do better than using it as a convenient plot point.</p> <p>There are a number of main characters living with different health conditions across pop culture. For instance, the movie <a href="https://www.imdb.com/title/tt4034228/">Manchester by the Sea</a> (2016) features someone with <a href="https://www.rcpsych.ac.uk/news-and-features/blogs/detail/cultural-blog/2017/07/08/manchester-by-the-sea">prolonged grief disorder</a> and the TV series <a href="https://www.imdb.com/title/tt6315640/?ref_=nv_sr_srsg_0_tt_8_nm_0_q_Atypical">Atypical</a> (2017-2021) features someone’s experience living with autism.</p> <p>But if you’re looking for an accurate portrayal of insomnia, Hollywood still has some way to go. It’s about time insomnia is depicted in a way that accurately reflects people’s experiences.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211823/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/aaron-schokman-1463327"><em>Aaron Schokman</em></a><em>, PhD Candidate, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/nick-glozier-94435">Nick Glozier</a>, Professor of Psychological Medicine, BMRI &amp; Disciplne of Psychiatry, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-insomnia-like-for-most-people-who-cant-sleep-youd-never-know-from-the-movies-211823">original article</a>.</em></p>

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Woman dies after being accused by doctors of faking symptoms

<p>A woman from New Zealand has passed away from a debilitating illness after being told by a doctor that her illness was “all in her head”.</p> <p>Stephanie Aston, 33, died after a long and public battle with Ehlers-Danlos Syndrome (EDS), a rare  genetic disorder affecting the body’s connective tissue, on September 1st. </p> <p>EDS, of which there are 13 different variants, is often referred to as an "invisible illness", as sufferers can often appear healthy despite experiencing excruciating symptoms, such as severe migraines, dislocating joints, easy bruising, abdominal pain, iron deficiency, fainting and an abnormally fast heart-rate.</p> <p>Aston said she was dismissed by a doctor in 2016, who dismissed her symptoms and told her that she was faking her disease. </p> <p>Despite being diagnosed with EDS by three different specialists, one doctor in Auckland, who Aston referred to as 'Doctor A', suggested she was not seriously unwell and indicated she was causing her illnesses, <em><a href="https://www.nzherald.co.nz/nz/stephanie-aston-death-eds-sufferers-call-for-change-after-doctors-accused-woman-of-faking-illness/VX4Q6CAWRVH25I6OCKGQ4KTW4M/">The NZ Herald</a></em> reports.</p> <p>Ehlers-Danlos Syndromes New Zealand founder Kelly McQuinlan said Stephanie's death has shocked the community, and said more needs to be done for those suffering with the debilitating condition. </p> <p>“A lot of people are feeling very lost,” she said.</p> <p>“I think most people in these rare positions or invisible illnesses, definitely experience setbacks and disbelieving because things can’t be seen but really the clinical symptoms are there that are being ignored.”</p> <p>Ms McQuinlan described Ms Aston as a “beacon” for those with the illness in a tribute to her on Facebook.</p> <p>“Most people in our community have experienced some form of sort of doctors not believing them or questioning their diagnosis which is extremely hard,” she wrote.</p> <p>“When they see someone in their community pass away, the first thing they think is ‘What if my care is not looked after? What’s going to happen to me?’.”</p> <p>“At the end of the day, if symptoms aren’t managed correctly, anyone can get sick enough that they will pass away.”</p> <p><em>Image credits: Facebook</em></p>

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Man who died for seven minutes reveals his encounter with the afterlife

<p>A British actor has shared what happened during his brief, yet profound experience in the afterlife, after he was pronounced dead for seven minutes. </p> <p>Shiv Grewal, 60, was having lunch with his wife when he suddenly went into cardiac arrest. </p> <p>His wife frantically called an ambulance, but Shiv's heart had already stopped beating. </p> <p>“I knew, somehow, that I was dead,” Grewal said, according to <a href="https://nypost.com/2023/08/24/i-died-for-7-minutes-before-being-brought-back-to-life-heres-what-i-saw/?utm_source=instagram&utm_medium=social&utm_campaign=nypost&utm_content=curalate_like2buy_7Rd1H9jc__bf5c46e3-ff70-4690-9b19-4f40d83c952f&utm_term=curalate_like2buy&crl8_id=bf5c46e3-ff70-4690-9b19-4f40d83c952f" target="_blank" rel="noopener" data-link-type="article-inline"><em>The New York Post</em>.</a></p> <p>“I felt things completely separate from my body. It was like I was in a void but I could feel emotions and sensations.”</p> <p>Shiv went on to say the experience felt similar to "swimming through water" with a sense of weightlessness and disconnection from the physical world.</p> <p>“At one point, I was travelling over the moon, and I could see meteorites and all of space,” he said.</p> <p>Grewal remembers feeling like he definitely didn't want to die and would do whatever it took to return to his physical body, despite the endless possibilities of the afterlife. </p> <p>“There was a whole set of possibilities, various lives and reincarnations that were being offered to me,” he said.</p> <p>“I didn’t want them. I made it very clear that I wanted to return to my body, to my time, to my wife and to go on living.”</p> <p>Grewal was rushed to hospital were he underwent a surgery to have a stent put into his main artery, which had clogged. </p> <p>He was then put in an induced coma for a month. </p> <p>While the traumatic experience happened almost ten years ago, Shiv explained that he hasn't fully recovered from the emotional impact. </p> <p>He said his life has been completely transformed, and is still trying to work through the profound emotions of that day. </p> <p>“I remembered everything that happened when my heart stopped and have tried to translate it into art,” he said.</p> <p>Before the accident, Grewal was more cynical about the idea of an afterlife, but now has completely changed his mind. </p> <p>“I’m less fearful of death because of it, but at the same time, I’m also more fearful, because I’ve realised how precious everything I have in life is,” he said.</p> <p>“I’m grateful just to be here.”</p> <p><em>Image credits: Instagram</em></p>

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Research reveals who’s been hit hardest by global warming in their lifetime - and the answer may surprise you

<p><a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/ed-hawkins-104793">Ed Hawkins</a>, <a href="https://theconversation.com/institutions/university-of-reading-902">University of Reading</a>; <a href="https://theconversation.com/profiles/hunter-douglas-1460792">Hunter Douglas</a>, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</a>, and <a href="https://theconversation.com/profiles/luke-harrington-489028">Luke Harrington</a>, <a href="https://theconversation.com/institutions/university-of-waikato-781">University of Waikato</a></p> <p>Earth is warming and the signs of climate change are everywhere. We’ve seen it in the past few weeks as temperatures hit record highs around the world – both in the Northern Hemisphere and the <a href="https://theconversation.com/why-is-australia-having-such-a-warm-winter-a-climate-expert-explains-210693">warm Australian winter</a>.</p> <p>Global warming is caused by humanity’s greenhouse gas emissions, which continue at <a href="https://theconversation.com/global-carbon-emissions-at-record-levels-with-no-signs-of-shrinking-new-data-shows-humanity-has-a-monumental-task-ahead-193108">near-record pace</a>. These emissions are predominantly generated by people in the world’s wealthiest regions.</p> <p>Our world-first analysis, <a href="https://iopscience.iop.org/article/10.1088/2752-5295/aceff2">published today</a>, examines the experience of global warming over the lifetimes of people around the world: young and old, rich and poor. We sought to identify who has perceived warmer temperatures most keenly.</p> <p>We found middle-aged people in equatorial regions have lived through the most perceptible warming in their lifetimes. But many young people in lower-income countries could experience unrecognisable changes in their local climate later in life, unless the world rapidly tackles climate change.</p> <h2>Measuring the climate change experience</h2> <p>We examined temperature data and population demographics information from around the world.</p> <p>Key to our analysis was the fact that not all warming is due to human activity. Some of it is caused by natural, year-to-year variations in Earth’s climate.</p> <p>These natural ups and downs are due to a number of factors. They include variations in the energy Earth receives from the sun, the effects of volcanic eruptions, and transfers of heat between the atmosphere and the ocean.</p> <p>This variability is stronger in mid-to-high-latitude parts of the world (those further from the equator) than in low-latitude areas (in equatorial regions). That’s because the weather systems further away from the equator draw in hot or cold air from neighbouring areas, but equatorial areas don’t receive cold air at all.</p> <p>That’s why, for example, the annual average temperature in New York is naturally more variable than in the city of Kinshasa (in the Democratic Republic of Congo).</p> <p>To account for this, we applied what’s known as the “<a href="https://archive.ipcc.ch/ipccreports/tar/wg1/346.htm#:%7E:text=The%20%EF%BF%BDsignal%20to%20noise,to%20this%20natural%20variability%20noise.">signal-to-noise ratio</a>” at each location we studied. That allowed us to separate the strength of the climate change “signal” from the “noise” of natural variability.</p> <p>Making this distinction is important. The less naturally variable the temperature, the clearer the effects of warming. So warming in Kinshasa over the past 50 years has been much more perceptible than in New York.</p> <p>Our study examined two central questions. First, we wanted to know, for every location in the world, how clearly global warming could be perceived, relative to natural temperature variability.</p> <p>Second, we wanted to know where this perceived change was most clear over human lifetimes.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=394&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=394&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=394&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=495&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=495&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=495&amp;fit=crop&amp;dpr=3 2262w" alt="Annual-average temperatures at four major cities with signal-to-noise ratios shown for 20, 50 and 80 years up to 2021." /></a><figcaption><span class="caption">Annual-average temperatures at four major cities with signal-to-noise ratios shown for 20, 50 and 80 years up to 2021.</span> <span class="attribution"><span class="source">Author provided</span></span></figcaption></figure> <h2>Our results</h2> <p>So what did we find? As expected, the most perceptible warming is found in tropical regions – those near the equator. This includes developing parts of the world that constitute the Global South – such as Africa, Latin America and the Caribbean, and Asia.</p> <p>Household incomes in the Global South are typically lower than in industrialised nations (known as the Global North). We might, then, conclude people in the poorest parts of the world have experienced the most perceptible global warming over their lifetimes. But that’s not always the case.</p> <p>Why? Because most parts of the Global South have younger populations than wealthier regions. And some people under the age of 20, including in northern India and parts of Sub-Saharan Africa, haven’t experienced warming over their lifetimes.</p> <p>In these places, the lack of recent warming is likely down to a few factors: natural climate variability, and the local cooling effect of particles released into the atmosphere from <a href="https://iopscience.iop.org/article/10.1088/1748-9326/ac3b7a">pollution</a> and changes in land use.</p> <p>There’s another complication. Some populated regions of the world also experienced slight cooling in the mid-20th century, primarily driven by human-caused <a href="https://www.nature.com/articles/nature10946">aerosol emissions</a>.</p> <p>So, many people born earlier than the 1950s have experienced less perceptible warming in their local area than those born in the 1960s and 1970s. This may seem counter-intuitive. But a cooling trend in the first few decades of one’s life means the warming experienced over an entire lifespan (from birth until today) is smaller and less detectable.</p> <p>So what does all this mean? People in equatorial areas born in the 1960s and 1970s – now aged between about 45 and 65 – have experienced more perceptible warming than anyone else on Earth.</p> <h2>Rich countries must act</h2> <p>Our findings are important, for several reasons.</p> <p>Identifying who has experienced significant global warming in their lives may help explain <a href="https://www.nature.com/articles/nclimate2660">attitudes to tackling climate change</a>.</p> <p>Our findings also raise significant issues of fairness and equity.</p> <p>Humanity will continue to warm the planet until we reach global net-zero emissions. This means many young people in lower-income countries may, later in life, experience a local climate that is unrecognisable to that of their youth.</p> <p>Of course, warming temperatures are not the only way people experience climate change. Others include sea-level rise, more intense drought and rainfall extremes. We know many of these impacts are felt most acutely by <a href="https://www.aljazeera.com/opinions/2022/5/11/climate-change-is-devastating-the-global-south">the most vulnerable populations</a>.</p> <p>Cumulative greenhouse gas emissions are much higher in the Global North, due to economic development. To address this inequality, rich industrialised nations must take a leading role in reducing emissions to net-zero, and helping vulnerable countries adapt to climate change.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211108/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, Senior Lecturer in Climate Science, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/ed-hawkins-104793">Ed Hawkins</a>, Professor of Climate Science, <a href="https://theconversation.com/institutions/university-of-reading-902">University of Reading</a>; <a href="https://theconversation.com/profiles/hunter-douglas-1460792">Hunter Douglas</a>, PhD Candidate, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</a>, and <a href="https://theconversation.com/profiles/luke-harrington-489028">Luke Harrington</a>, Senior Lecturer in Climate Change, <a href="https://theconversation.com/institutions/university-of-waikato-781">University of Waikato</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/research-reveals-whos-been-hit-hardest-by-global-warming-in-their-lifetime-and-the-answer-may-surprise-you-211108">original article</a>.</em></p>

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Tony Bennett: the timeless visionary who, with a nod to America’s musical heritage, embraced the future

<p><em><a href="https://theconversation.com/profiles/jose-valentino-ruiz-1293457">Jose Valentino Ruiz</a>, <a href="https://theconversation.com/institutions/university-of-florida-1392">University of Florida</a></em></p> <p>In the history of American popular music, there have been few luminaries as enduring and innovative as Tony Bennett.</p> <p>With a career that spanned almost 80 years, Bennett’s smooth tones, unique phrasing and visionary musical collaborations left an indelible mark on vocal jazz and the recording industry as a whole.</p> <p>That his <a href="https://apnews.com/article/tony-bennett-dies-c3b3a7e2360449fb936a38794c7c3266">death at the age of 96</a> on July 21, 2023, was mourned by artists as varied as <a href="https://twitter.com/KeithUrban/status/1682395658395824133">Keith Urban</a>, <a href="https://twitter.com/OzzyOsbourne/status/1682411338340126720">Ozzy Osbourne</a> and <a href="https://twitter.com/HarryConnickJR?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1682411086656557056%7Ctwgr%5E04a78435a793b5246d7bc19e09529f2b2f0bcfab%7Ctwcon%5Es1_&amp;ref_url=https%3A%2F%2Fvariety.com%2F2023%2Fmusic%2Fnews%2Ftony-bennett-elton-john-reaction-tribute-1235676405%2F">Harry Connick Jr.</a> should come as no surprise. Yes, Bennett was a jazz crooner. But if his voice was always a constant – even late into his 80s, way past an age when most other singers have seen their vocal abilities diminish – then his embrace of the contemporary was every bit a facet of Bennett’s appeal.</p> <h2>Vocal innovator</h2> <p>Bennett’s journey is a testament to the power of daring innovation.</p> <p>From the early days of his career in the 1950s to his final recordings in the early 2020s, he fearlessly explored new musical territories, revolutionizing vocal jazz and captivating audiences across generations.</p> <p>His vocal style and phrasing were distinctive and set him apart from other artists of his time. He utilized a delayed or “laid-back” approach to falling on the note, a technique known as “<a href="https://www.musictheoryacademy.com/how-to-read-sheet-music/rubato/">rubato</a>.” This created a sense of anticipation in his phrasing, adding an element of surprise to his performances. Through Bennett’s skilled use of rubato, he was able to play with the tempo and rhythm of a song, bending and stretching musical phrases to evoke a range of emotions. This subtle manipulation of timing gave his songs a natural and conversational quality, making listeners feel as though he was intimately sharing his stories with them.</p> <p>Armed with this silky, playful voice, Bennett found fame fairly early on in his career, delivering jazz standards alongside the likes of Mel Tormé and Nat King Cole. By the mid-1960s, he was being touted by Frank Sinatra as “the best singer in the business.”</p> <p>But his musical style fell out of fashion in the 1970s – a lean period during which Bennett <a href="https://www.washingtonpost.com/history/2023/07/21/tony-bennett-son-life-career-drugs/">almost succumbed to a drug overdose</a>. Then, in the 1990s, Bennett found a new audience and set off a series of collaborations with contemporary musical stars that would become the standard for his later career.</p> <p>No genre of artistry was deemed off-limits for Bennett. “<a href="https://www.tonybennett.com/music-detail.php?id=11">Duets: An American Classic</a>,” released to coincide with his 80th birthday in 2006, saw collaborations with country stars such as k.d. lang and the Dixie Chicks – now known as the Chicks – and soul legend Stevie Wonder, alongside kindred jazz spirits such as Diana Krall. “Duets II,” a 2011 follow-up, saw further explorations with the likes of Aretha Franklin, Queen Latifah, Willie Nelson and Amy Winehouse, in what would become the <a href="https://faroutmagazine.co.uk/amy-winehouse-final-recording-session/">British singer’s last recording</a>.</p> <p>But his cross-generational, cross-genre and cross-cultural appeal is perhaps best exemplified by his <a href="https://www.nytimes.com/2023/07/21/arts/music/tony-bennett-lady-gaga.html">collaborations with Lady Gaga</a>, first on the 2014 Grammy-winning album “Cheek to Cheek.” The recording brought together two artists from different generations, genres and backgrounds, uniting them in a harmonious celebration of jazz classics. The collaboration not only showcased each one’s vocal prowess, but also sent a powerful message about the unifying nature of music.</p> <p>Lady Gaga, a pop artist with avant-garde leanings, might have seemed an unlikely partner for Bennett, the quintessential jazz crooner. Yet their musical chemistry and mutual admiration resulted in an album that mesmerized audiences worldwide. “Cheek to Cheek” effortlessly transcended musical boundaries, while the duo’s magnetic stage presence and undeniable talent enchanted listeners.</p> <p>The successful fusion of jazz and pop encouraged artists to experiment beyond traditional boundaries, leading to more cross-genre projects across the industry – proving that such projects could go beyond one-off novelties, and be profitable at that.</p> <h2>Timeless artistry</h2> <p>Bennett’s embrace of contemporary artists did not mean that he abandoned his own musical self. By blending traditional jazz with contemporary elements, he managed to captivate audiences across generations, appealing to both longtime fans and new listeners.</p> <p>One key aspect of Bennett’s success was his ability to embody the sentiment of old America, reminiscent of artists like Sinatra, Billie Holiday and Louis Armstrong, while infusing contemporary nuances that resonated with the human condition of a more modern era. His approach to music captured both the essence and struggle of America, giving his songs a timeless and universal appeal. Moreover, his voice conveyed familiarity and comfort, akin to listening to a beloved uncle.</p> <p>Bennett’s albums stood out not only for his soulful voice and impeccable delivery but also for the way he drew others from varied musical backgrounds into his world of jazz sensibilities. As a producer, he recognized the importance of nurturing creativity and bringing out the best in artists.</p> <p>Meanwhile, Bennett’s approach to evolving his own sound while preserving its essence sets him apart as an artist. Fearless in his pursuit of innovation, he delved into contemporary musical elements and collaborated with producers to infuse new sonic dimensions into his later albums. The result drew listeners into an <a href="https://www.youtube.com/watch?v=6kNpdLZwetU">intimate and immersive, concert-like acoustic journey</a>.</p> <h2>Depth of emotion</h2> <p>The greats in music have an ability to speak to the human experience. And either in collaboration with others or on his own, Bennett was able to achieve this time and time again.</p> <p>His albums were successful not only due to their technical brilliance and musicality but also because Bennett’s voice conveyed a depth of emotion that transcended barriers of time and culture, touching the hearts of listeners from various backgrounds. There was a universality in his music that made him a beloved and revered artist across the globe.</p> <p>Bennett’s life spanned decades of societal upheavals in the United States. But in his music, listeners could always find beauty in challenging times. And as the 20th- and 21st-century American music industry went through its own revolutions, Bennett’s artistic evolution mirrored the changes, cementing his place as a music icon who defies the boundaries of time and trends.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210244/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><iframe style="border-radius: 12px;" src="https://open.spotify.com/embed/playlist/2UxxnhUE5YLchYgutxKEbJ?utm_source=generator" width="100%" height="380" frameborder="0" allowfullscreen="allowfullscreen" loading="lazy"></iframe></p> <p><em><a href="https://theconversation.com/profiles/jose-valentino-ruiz-1293457">Jose Valentino Ruiz</a>, Program Director of Music Business &amp; Entrepreneurship, <a href="https://theconversation.com/institutions/university-of-florida-1392">University of Florida</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/tony-bennett-the-timeless-visionary-who-with-a-nod-to-americas-musical-heritage-embraced-the-future-210244">original article</a>.</em></p>

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Good news for weekend warriors: people who do much of their exercise on a couple of days still get heart benefits

<p><em><a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/raaj-kishore-biswas-1374060">Raaj Kishore Biswas</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Physical activity has <a href="https://bjsm.bmj.com/content/54/24/1451">established benefits</a> for health. The <a href="https://bjsm.bmj.com/content/54/24/1451">World Health Organization</a> recommends adults do a minimum of 150–300 minutes of moderate or 75–150 minutes of vigorous activity each week. This can include active transport from place-to-place, exercise for fun and fitness, energetic housework or physical activity at work.</p> <p>These amounts can be accrued by being, as the <a href="https://bjsm.bmj.com/content/54/24/1451">WHO recommends</a>, regularly active throughout the week, or being a “weekend warrior” who does the bulk of their activity on one to two days only, which don’t need to be consecutive.</p> <p>So far, experts haven’t fully established which of the two patterns is better for overall health. For many people, busy lifestyles may make it hard to be physically active every day. It may be more feasible to squeeze most physical activity and exercise into a few days.</p> <p>Fresh <a href="https://jamanetwork.com/journals/jama/fullarticle/2807286">analysis</a> of the large <a href="https://www.ukbiobank.ac.uk/">UK Biobank</a> database attempted to compare these two patterns of weekly activity and compare how they reduced cardiovascular risk for heart attacks, heart failure, irregular heart beat and stroke.</p> <h2>What the new study found</h2> <p>Researchers analysed records from 89,573 participants who wore a wrist activity tracker for seven days and were tracked for cardiovascular events for over six years.</p> <p>Those who did less than the WHO recommended 150 minutes of moderate-to-vigorous physical activity per week were considered inactive. About a third (33.7%) of participants were inactive. Some 42.2% were termed active “weekend warriors” (they did at least 150 minutes and more than half of it occurred within one to two days) and 24% were regularly active (at least 150 minutes with most activity spread out over three or more days).</p> <p>Researchers considered the potential factors that could explain the link between physical activity and new cases of cardiovascular events, such as smoking and alcohol intake. They found both active groups showed similarly lower risk of heart attack (a 27% reduction for weekend warriors and 35% for regularly active people, compared with inactive participants).</p> <p>For heart failure, weekend warriors had a 38% lower risk than inactive people, while regular exercisers had a 36% lower risk. Irregular heartbeat risk was 22% lower for weekend warriors and 19% lower for regularly actively people. Stroke was 21% and 17% lower for weekend warriors and regular exercisers, respectively.</p> <h2>Not so fast. Some study limitations</h2> <p>Although the information was recorded by activity trackers, researchers did not consider on which days of the week the activity was done. Some people may have been active on Saturdays and Sundays, others might have chosen Wednesday and Friday – or different days each week. In that sense, <a href="https://jamanetwork.com/journals/jama/fullarticle/2807286">the study</a> examined a “pseudo-weekend warrior” pattern.</p> <p>Despite the many advantages the UK Biobank activity trackers have over <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2596007">questionnaire-based studies</a>, these trackers are not great at capturing strength-training exercise, such as weights or pilates, and other static activities that have <a href="https://academic.oup.com/aje/article/187/5/1102/4582884">established cardiovascular</a> health benefits.</p> <h2>What other research in this area says</h2> <p>There have been several questionnaire based studies in this area in <a href="https://academic.oup.com/aje/article/160/7/636/136697">the past 20 years</a>.</p> <p>Our <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2596007">2017 study</a>, for example, combined data from 63,591 adults from England and Scotland and tracked them over 12 years. We looked at <a href="https://theconversation.com/weekend-warrior-exercise-is-it-good-for-you-70964">risk reductions</a> for death from any cause, cardiovascular disease and cancer causes. We found similar benefits among people who clocked at least 150 minutes of moderate-intensity physical activity or at least 75 minutes of vigorous-intensity physical activity in one to two sessions per week, compared with three sessions or more per week.</p> <p>Our more <a href="https://www.nature.com/articles/s41591-022-02100-x">recent studies</a> used activity trackers and emphasised the flexibility of activity patterns that benefit the heart and circulation. We found doing short one-minute-long bouts of incidental vigorous physical activity three to four times a day can cut the risk of death from cardiovascular causes by <a href="https://www.nature.com/articles/s41591-022-02100-x">almost half</a>.</p> <p>Similarly, in another study we found just 19 minutes of vigorous physical activity a week was associated with <a href="https://academic.oup.com/eurheartj/article/43/46/4801/6771381">40% reduction</a> in the risk of cardiovascular death, with steadily increasing benefits to the maximum amount of vigorous activity recorded (110 minutes a week linked to a 75% risk reduction).</p> <h2>What it means for you and your routine</h2> <p>Taken together, the <a href="https://jamanetwork.com/journals/jama/fullarticle/2807286">new study</a> and <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2596007">previous research</a> suggest the same thing: if it is difficult to find time to be active during a busy week, it is good enough to plan moderate to vigorous physical activities in a couple of weekdays or in the weekend.</p> <p>That said, there are benefits in being regularly physically active on most days of the week. A good session of aerobic exercise, for example, improves health indicators such as <a href="https://www.ahajournals.org/doi/full/10.1161/HYP.0000000000000196">blood pressure</a>, and <a href="https://link.springer.com/article/10.1007/s40279-021-01473-2">blood glucose</a> and <a href="https://lipidworld.biomedcentral.com/articles/10.1186/s12944-017-0515-5">cholesterol levels</a> for a day or longer. Such effects can moderate some of the long-term health risks of these factors and assist with their day-to-day management.</p> <p>But confirmation that we can be flexible about how physical activity is accumulated across the week for heart health benefits is encouraging. It offers more opportunities for more people to be active when it is convenient and practical for them.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210053/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, Professor of Physical Activity, Lifestyle, and Population Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/raaj-kishore-biswas-1374060">Raaj Kishore Biswas</a>, Research Fellow &amp; Biostatistician, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/good-news-for-weekend-warriors-people-who-do-much-of-their-exercise-on-a-couple-of-days-still-get-heart-benefits-210053">original article</a>.</em></p>

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‘Now I am become Death, the destroyer of worlds’: who was atom bomb pioneer Robert Oppenheimer?

<p><a href="https://theconversation.com/profiles/darius-von-guttner-sporzynski-112147">Darius von Guttner Sporzynski</a>, <em><a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a></em></p> <p>Robert Oppenheimer is often placed next to Albert Einstein as the 20th century’s most famous physicist.</p> <p>He will forever be the “father of the atomic bomb” after the first nuclear weapon was successfully tested on July 16, 1945 in the New Mexican desert. The event brought to his mind words from a <a href="https://www.wired.co.uk/article/manhattan-project-robert-oppenheimer">Hindu scripture</a>: “Now I am become Death, the destroyer of worlds”.</p> <h2>Who was Robert Oppenheimer?</h2> <p>Born in 1904 in an affluent New York family, Oppenheimer graduated from Harvard majoring in chemistry in 1925.</p> <p>Two years later, he completed his PhD in physics at one of the world’s leading institutions for theoretical physics, the University of Göttingen, Germany. He was 23 and enthusiastic to the point of alienating others.</p> <p>Throughout his life, Oppenheimer would be judged either as an <a href="https://www.google.com.au/books/edition/Inside_the_Centre/L9wRLVcUI-sC?hl=en&amp;gbpv=1">aloof prodigy or an anxious narcissist</a>. Whatever his contradictions as an individual, his eccentricities did not limit his scientific achievements.</p> <p>Before the outbreak of the second world war, Oppenheimer worked at the University of California, Berkeley, and the <a href="https://www.google.com.au/books/edition/J_Robert_Oppenheimer_and_the_American_Ce/U12mDwAAQBAJ?hl=en&amp;gbpv=1&amp;dq=Robert+Oppenheimer:+A+Life+from+Beginning+to+End&amp;printsec=frontcover">California Institute of Technology</a>. His research concentrated on theoretical astronomy, nuclear physics and quantum field theory.</p> <p>Although he confessed to being uninterested in politics, Oppenheimer openly supported socially progressive ideas. He was concerned with the emergence of antisemitism and fascism. His partner, Kitty Puening, was a left-leaning radical and their social circle included Communist Party members and activists. Later, these associations will mark him as a communist sympathiser.</p> <p>As a researcher, Oppenheimer published and supervised a new generation of doctoral students. One of these was Willis Lamb, who in 1955 was awarded the Nobel Prize in physics. The Nobel Prize eluded Oppenheimer three times.</p> <h2>The second world war</h2> <p>Two years after Germany and Soviet Russia attacked Poland, the United States entered WWII. Oppenheimer was recruited to work on the infamous <a href="https://www.history.com/topics/world-war-ii/the-manhattan-project">Manhattan Project</a>. His ideas about chain reaction in an atomic bomb gained recognition among the US defence community. He started his work by assembling a team of experts. Some of them were his students.</p> <p>In 1943, despite his left-wing political views, lack of high-profile career and no experience in managing complex projects, Oppenheimer was appointed director of the <a href="https://about.lanl.gov/oppenheimer/">Los Alamos National Laboratory in New Mexico</a>. He was enthusiastic. He seemed to have “<a href="https://www.google.com.au/books/edition/Inside_the_Centre/L9wRLVcUI-sC?hl=en&amp;gbpv=1&amp;dq=Rabi+%22reserves+of+uncommitted+strength%22&amp;pg=PA670&amp;printsec=frontcover">reserves of uncommitted strength</a>” recalled physicist <a href="https://www.nobelprize.org/prizes/physics/1944/rabi/biographical/">Isidor Isaac Rabi</a>. His task was to develop atomic weapons.</p> <p><a href="https://www.britannica.com/topic/Los-Alamos-National-Laboratory">Los Alamos Laboratory</a> expanded rapidly as the project grew in complexity, with the personnel exceeding 6,000. His ability to master the large-scale workforce and channel their energy towards the needs of the project earned him respect.</p> <p>He proved to be more than just an administrator by being involved in the interdisciplinary team across theoretical and experimental stages of the weapons development.</p> <figure><iframe src="https://www.youtube.com/embed/-JWxIVVeV98?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>The nuclear test</h2> <p>On July 16, 1945 the nuclear test, <a href="https://armscontrolcenter.org/quotes-from-trinity-test-observers/">code named Trinity</a>, took place.</p> <p>The first atomic bomb was successfully detonated at 5:29 am in the Jornada del Muerto desert. As his chief assistant, Thomas Farrell, recounted: "There came this tremendous burst of light followed shortly thereafter by the deep growling roar of the explosion."</p> <p>Oppenheimer later <a href="https://www.google.com.au/books/edition/J_Robert_Oppenheimer/EoA8DwAAQBAJ?hl=en&amp;gbpv=1&amp;dq=%22A+few+people+laughed,+a+few+people+cried,+most+people+were+silent%22&amp;pg=PA44&amp;printsec=frontcover">recalled</a> that “a few people laughed, a few people cried, most people were silent”. What he knew for sure was that the world would not be the same.</p> <p>It was too late for the atomic bombs to be used against Germany in the war – the Nazis had capitulated on May 8. Instead, US President Harry Truman decided to use the bomb against Germany’s ally, Japan.</p> <p>Shortly after the atomic bombs were dropped on the Japanese cities of Hiroshima and Nagasaki in August 1945, Oppenheimer confronted the US secretary of war, Henry Stimson, demanding that nuclear weapons were banned.</p> <p>Similarly, when speaking with Truman, Oppenheimer talked about his feeling of <a href="https://washingtonmonthly.com/2020/07/11/when-truman-titled-a-hollywood-epic-and-then-sabotaged-it/">having blood on his hands</a>. Truman rejected Oppenheimer’s emotional outburst. The responsibility for the use of the atomic bombs, after all, rested with the commander in chief (himself).</p> <p>Truman’s rebuttal did not prevent Oppenheimer from advocating for the establishment of controls on the nuclear arms race.</p> <h2>Arms control</h2> <p>In the postwar years, Oppenheimer settled in Princeton, New Jersey, at the Institute for Advanced Study. He read widely. He collected art and furniture. He learned languages. His well-paid position enabled his pursuit of a deeper understanding of humanity though the examination of ancient scriptures. <a href="https://www.google.com.au/books/edition/American_Prometheus/F79LEAAAQBAJ?hl=en&amp;gbpv=1&amp;dq=Robert+Oppenheimer:+A+Life+from+Beginning+to+End&amp;printsec=frontcover">He argued</a> for the unity of purpose between the sciences and humanities.</p> <p>Oppenheimer’s patronage supported and encouraged other scientists in their research. But his chief concern was the unavoidable arms race. He advocated for the establishment of an <a href="https://www.iaea.org/about/overview/history">international body that would control the development of nuclear energy</a> and its usage.</p> <p>In 1947, a civilian agency called the <a href="https://en.wikipedia.org/wiki/United_States_Atomic_Energy_Commission">Atomic Energy Commission</a> began its work. Oppenheimer urged strongly for <a href="https://www.iaea.org/about/overview/history">international arms control</a>.</p> <p>The Soviet Union’s first atomic bomb test in August 1949 took the US by surprise and pushed American researchers to develop a hydrogen bomb. The US government hardened its position. In 1952, Truman refused to reappoint Oppenheimer as the adviser to the Atomic Energy Commission.</p> <p>After 1952, Oppenheimer’s advocacy against the first test of the hydrogen bomb resulted in the suspension of his security clearance. The investigation that followed in 1954 exposed Oppenheimer’s past communist ties and culminated in <a href="https://www.history.com/news/father-of-the-atomic-bomb-was-blacklisted-for-opposing-h-bomb">his security clearance being revoked</a>.</p> <figure><iframe src="https://www.youtube.com/embed/uYPbbksJxIg?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>McCarthyism and academic freedom</h2> <p>In the era of Joseph McCarthy’s witch-hunts, his fellow scientists considered Oppenheimer as a martyr of the cause of academic freedom. “In England”, commented Wernher von Braun, a former Nazi turned American pioneer of rocket technology, “<a href="https://ahf.nuclearmuseum.org/ahf/history/oppenheimer-security-hearing/">Oppenheimer would have been knighted</a>”.</p> <p>After 1954, Oppenheimer did not cease to advocate for freedom in the pursuit of knowledge. He toured internationally with talks about the role of academic freedom unrestrained by political considerations. He argued that the sciences and the humanities are <a href="https://archive.org/details/scienceandthecom007308mbp/page/n7/mode/2up">not separate human endeavours but interlocked and inseparable</a>.</p> <p>Oppenheimer died at the age of 62 on February 18, 1967.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/209398/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/darius-von-guttner-sporzynski-112147">Darius von Guttner Sporzynski</a>, Historian, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/now-i-am-become-death-the-destroyer-of-worlds-who-was-atom-bomb-pioneer-robert-oppenheimer-209398">original article</a>.</em></p>

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Does artificial sweetener aspartame really cause cancer? What the WHO listing means for your diet soft drink habit

<p><em><a href="https://theconversation.com/profiles/evangeline-mantzioris-153250">Evangeline Mantzioris</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>The International Agency for Research on Cancer (IARC), which is the specialised cancer agency of the World Health Organization, has declared aspartame may be a <a href="https://www.who.int/news/item/14-07-2023-aspartame-hazard-and-risk-assessment-results-released">possible carcinogenic hazard to humans</a>.</p> <p>Another branch of the WHO, the Joint WHO and Food and Agriculture Organization’s Expert Committee on Food Additives has assessed the risk and developed recommendations on how much aspartame is safe to consume. They have recommended the acceptable daily intake be 0 to 40mg per kilo of body weight, as we currently have <a href="https://www.foodstandards.gov.au/consumer/additives/aspartame/Pages/default.aspx">in Australia</a>.</p> <p>A hazard is different to a risk. The hazard rating means it’s an agent that is capable of causing cancer; a risk measures the likelihood it could cause cancer.</p> <p>So what does this hazard assessment mean for you?</p> <h2>Firstly, what is aspartame?</h2> <p><a href="https://www.foodstandards.gov.au/consumer/additives/aspartame/Pages/default.aspx">Aspartame is an artificial sweetener</a> that is 200 times sweeter than sugar, but without any kilojoules.</p> <p>It’s used in a <a href="https://www.foodstandards.gov.au/consumer/additives/aspartame/Pages/default.aspx">variety of products</a> including carbonated drinks such as Coke Zero, Diet Coke, Pepsi Max and some home brand offerings. You can identify aspartame in drinks and foods by looking for additive number 951.</p> <p>Food products such as yogurt and confectionery may also contain aspartame, but it’s not stable at warm temperatures and thus not used in baked goods.</p> <p>Commercial names of aspartame include Equal, Nutrasweet, Canderel and Sugar Twin. In Australia the acceptable daily intake is 40mg per kilo of body weight per day, which is about 60 sachets.</p> <p><a href="https://www.fda.gov/food/food-additives-petitions/aspartame-and-other-sweeteners-food#:%7E:text=How%20many%20packets%20can%20a,based%20on%20its%20sweetness%20intensity%3F&amp;text=Notes%20About%20the%20Chart%3A,50%20mg%2Fkg%20bw%2Fd">In America</a> the acceptable daily intake has been set at 75 sachets.</p> <h2>What evidence have they used to come to this conclusion?</h2> <p><a href="https://www.who.int/news/item/14-07-2023-aspartame-hazard-and-risk-assessment-results-released">IARC looked closely</a> at the <a href="https://cdn.who.int/media/docs/default-source/nutrition-and-food-safety/july-13-final-summary-of-findings-aspartame.pdf?sfvrsn=a531e2c1_5&amp;download=true">evidence base</a> from around the world – using data from observational studies, experimental studies and animal studies.</p> <p>They found there was some limited evidence in human studies linking aspartame and cancer (specifically liver cancer) and limited evidence from animal studies as well.</p> <p>They also considered the biological mechanism studies which showed how cancer may develop from the consumption of aspartame. Usually these are lab-based studies which show exactly how exposure to the agent may lead to a cancer. In this case they found there was limited evidence for how aspartame might cause cancer.</p> <p>There were only three human studies that looked at cancer and aspartame intake. These large observational studies used the intake of soft drinks as an indicator of aspartame intake.</p> <p>All three found a positive association between artificially sweetened beverages and liver cancer in either all of the population they were studying or sub-groups within them. But these studies could not rule out other factors that may have been responsible for the findings.</p> <p>A study <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284800/">conducted in Europe</a> followed 475,000 people for 11 years and found that each additional serve of diet soft drink consumed per week was linked to a 6% increased risk of liver cancer. However the scientists did conclude that due to the rarity of liver cancer they still had small numbers of people in the study.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/35728406/">In a study from the US</a>, increased risk of liver cancer was seen in people with diabetes who drank more than two or more cans of a diet soda a week.</p> <p>The <a href="https://aacrjournals.org/cebp/article/31/10/1907/709398/Sugar-and-Artificially-Sweetened-Beverages-and">third study</a>, also from the US, found an increase in liver cancer risk in men who never smoked and drank two or more artificially sweetened drinks a day.</p> <p>From this they have decided to declare aspartame as a Group 2b “possible carcinogen”. But they have also said more and better research is needed to further understand the relationship between aspartame and cancer.</p> <p>IARC has four categories (groupings) available for potential substances (or as they are referred to by IARC, “agents”) that may cause cancer.</p> <h2>What does each grouping mean?</h2> <p><strong>Group 1 Carcinogenic to humans:</strong> an agent in this group is carcinogenic, which means there is convincing evidence from human studies and we know precisely <em>how</em> it causes cancer. There are 126 agents in this group, including tobacco smoking, alcohol, processed meat, radiation and ionising radiation.</p> <p><strong>Group 2a Probably carcinogenic to humans:</strong> there are positive associations between the agent and cancer in humans, but there may still be other explanations for the association which were not fully examined in the studies. There are 95 agents in this group, including red meat, DDT insecticide and night shift work.</p> <p><strong>Group 2b Possibly carcinogenic in humans:</strong> this means limited evidence of causing cancer in humans, but sufficient evidence from animal studies, or the mechanism of how the agent may be carcinogenic is well understood. This basically means the current evidence indicates an agent may possibly be carcinogenic, but more scientific evidence from better conducted studies is needed. There are now <a href="https://monographs.iarc.who.int/agents-classified-by-the-iarc/">323</a> agents in this group, including aloe vera (whole leaf extract), ginkgo biloba and lead.</p> <p><strong>Group 3 Not classifiable as a carcinogen:</strong> there’s not enough evidence from humans or animals, and there is limited mechanistic evidence of how it may be a carcinogen. There are 500 agents in this group.</p> <h2>So do I have to give up my diet soft drink habit?</h2> <p>For a 70kg person you would need to consume about 14 cans (over 5 litres) of soft drink sweetened with aspartame a day to reach the acceptable daily intake.</p> <p>But we need to remember there may also be aspartame added in other foods consumed. So this is an unrealistic amount to consume, but not impossible.</p> <p>We also need to consider all the evidence on aspartame together. The foods we typically see aspartame in are processed or ultra-processed, which have recently also been <a href="https://theconversation.com/ultra-processed-foods-are-trashing-our-health-and-the-planet-180115">shown to be detrimental to health</a>.</p> <p>And artificial sweeteners (including aspartame) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892765/#!po=59.3750">can make people crave more sugar</a>, making them want to eat more food, potentially causing them to gain more weight.</p> <p>All together, this indicates we should be more careful about the amount of artificial sweeteners we consume, since they <a href="https://theconversation.com/the-who-says-we-shouldnt-bother-with-artificial-sweeteners-for-weight-loss-or-health-is-sugar-better-205827">do not provide any health benefits</a>, and have possible adverse effects.</p> <p>But overall, from this evidence, drinking the occasional or even daily can of a diet drink is safe and probably not a cancer risk.</p> <hr /> <p><em>Correction: this article originally stated each serve of soft drink in a study was linked to a 6% increased risk of liver cancer, however it was each additional serve per week. This has been amended.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208844/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></em></p> <p><em><a href="https://theconversation.com/profiles/evangeline-mantzioris-153250">Evangeline Mantzioris</a>, Program Director of Nutrition and Food Sciences, Accredited Practising Dietitian, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/does-artificial-sweetener-aspartame-really-cause-cancer-what-the-who-listing-means-for-your-diet-soft-drink-habit-208844">original article</a>.</em></p>

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Should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts

<p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p>Australian of the Year and body positivity advocate Taryn Brumfitt has <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">called for</a> doctors to avoid discussing a patient’s weight when they seek care for unrelated matters.</p> <p>A 15-minute consultation isn’t long enough to provide support to change behaviours, Brumfitt says, and GPs don’t have enough training and expertise to have these complex discussions.</p> <p>“Many people in larger bodies tell us they have gone to the doctor with something like a sore knee, and come out with a ‘prescription’ for a very restrictive diet, and no ongoing support,” Brumfitt <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">told the Nine newspapers</a>.</p> <p>By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns.</p> <p>So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts.</p> <p><strong>Brett Montgomery - GP academic</strong></p> <p>Yes, sometimes – but with great care.</p> <p>I agree that weight stigma is damaging, and insensitively raising weight in consultations can <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251566" target="_blank" rel="noopener">hurt people's feelings and create barriers</a>to other aspects of health care.</p> <p>I also agree people can sometimes be “overweight” yet <a href="https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0287218" target="_blank" rel="noopener">quite healthy</a>, and that common measures and categories of weight are <a href="https://theconversation.com/bmi-alone-will-no-longer-be-treated-as-the-go-to-measure-for-weight-management-an-obesity-medicine-physician-explains-the-seismic-shift-taking-place-208174">questionable</a>.</p> <p>On the other hand, I know obesity <a href="https://www.racgp.org.au/FSDEDEV/media/documents/RACGP/Position%20statements/Obesity-prevention-and-management.pdf" target="_blank" rel="noopener">is associated with</a> heart disease, joint problems, diabetes and cancers.</p> <p>GPs should be ready to help people with their weight when they want help. <a href="https://www.bmj.com/content/377/bmj-2021-069719.full?ijkey=FnARkmvxLOMFvlb&amp;keytype=ref">Our assistance somewhat effective</a>, though sadly dietary efforts often have minimal effect on weight in the long term. Meanwhile, treatments causing larger weight changes (<a href="https://insightplus.mja.com.au/2021/10/bariatric-surgery-public-system-access-still-terrible/">surgery</a> and <a href="https://www.nature.com/articles/s41366-022-01176-2">some medicines</a> are often financially inaccessible.</p> <p>I feel safe discussing weight when my patient raises the issue. Fearing hurting people, I often avoid raising it myself. I focus instead on health rather than weight, discussing physical activity and healthy diet – these are good things for people of any size.</p> <p><strong>Emma Beckett - Nutrition scientist</strong></p> <p>No. It’s not likely to succeed. Large systematic reviews bringing together multiple studies of multiple weight-loss diets show weight loss is not generally maintained long term (<a href="https://pubmed.ncbi.nlm.nih.gov/32238384/">12 months</a> to <a href="https://www.nature.com/articles/0802982">four years</a>).</p> <p>The idea that weight is about willpower is outdated. The current body of evidence <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">suggests</a> we each have a weight set point that our body defends. This is determined by genetics and environment more so than education.</p> <p>There may be associations between weight and health outcomes, but losing weight <a href="https://theconversation.com/just-because-youre-thin-doesnt-mean-youre-healthy-101185">does not necessarily equate</a> with improving health.</p> <p>Fat stigma and fatphobia are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/">harmful too</a> and can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381543/">compromise access to health care</a>.</p> <p>Instead, consider asking a better question. Healthy eating reduces disease risk <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/">regardless of weight</a>. So maybe ask how many vegetables are your patients eating. Would they like to see a dietitian to discuss strategies for a better-quality diet?</p> <p><strong>Liz Sturgiss - GP/researcher </strong></p> <p>No. A <a href="https://pubmed.ncbi.nlm.nih.gov/33211585/">US study</a> estimates it would take a family doctor 131% of their work hours to implement all preventive health-care recommendations. It's impossible to address every recommendation for preventative care at every consultation. One of the key skills of a GP is balancing the patient and doctor agenda.</p> <p><a href="https://www.obesityevidencehub.org.au/collections/treatment/weight-bias-and-stigma-in-health-care">Weight stigma</a> can deter people from seeking health care, so raising weight when a patient doesn't have it on their agenda can be harmful. A strong <a href="https://academic.oup.com/fampra/article/38/5/644/6244494?login=false">therapeutic relationship</a> is critical for safe and effective health care to address weight. </p> <p>Weight is always on my agenda when there is unexpected weight loss. If a patient has rapid weight loss, I am concerned about an undetected <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283307/">cancer</a> or infection. Additionally, I am increasingly seeing patients who are unable to afford food, who often have <a href="https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia/contents/introduction">poor oral health</a>, who lose weight due to <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/1747-0080.12580">poverty</a>. Weight loss for the wrong reasons is also a very concerning part of general practice.</p> <p><strong>Nick Fuller - Obesity researcher </strong></p> <p>Yes. GPs should play a role in the early detection of weight issues and direct patients to evidence-based care to slow this progression. <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Research</a> shows many people with obesity are motivated to lose weight (48%). <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Most</a> want their clinician to initiate a conversation about weight management and treatment options.</p> <p>However, this conversation <a href="https://pubmed.ncbi.nlm.nih.gov/32385580/">rarely occurs</a>, resulting in <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">significant delays to treatment</a>.</p> <p>Starting the conversation presents challenges. Although obesity is a complex disease related to multiple factors, it's still <a href="https://pubmed.ncbi.nlm.nih.gov/25752756/">highly stigmatised</a>in our society and even in the <a href="https://pubmed.ncbi.nlm.nih.gov/23144885/">clinical setting</a>. Sensitivity is required and the wording the clinician uses is important to make the patient feel safe and avoid placing blame on them. Patients often <a href="https://pubmed.ncbi.nlm.nih.gov/20823355/">prefer terms</a> such as “weight” and “BMI” (body mass index) over “fatness,” “size” or “obesity”, <a href="https://pubmed.ncbi.nlm.nih.gov/27354290/">particularly women</a>.</p> <p>Measuring weight, height and waist circumference should be <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">considered routine in primary care</a>. But this needs to be done without judgement, and in collaboration with the patient.</p> <p><strong>Helen Truby - Nutrition scientist </strong></p> <p>Yes. A high body weight contributes to many chronic conditions that negatively impact the <a href="https://www.aihw.gov.au/australias-health/summaries">quality of life and mental health</a> of millions of Australians.</p> <p>Not all GPs feel confident having weight conversations, given the sensitive nature of weight and its stigma. GPs' words matter – they are a <a href="https://doi.org/10.1111/nbu.12320">trusted source</a> of health information. It’s critical GPs gain the skills to know when and how to have <a href="https://doi.org/10.1186/s12875-019-1026-4">positive weight conversations</a>.</p> <p>GPs need to offer supportive and affordable solutions. But effective specialist weight management programs are few and far between. More equitable access to programs is essential so GPs have referral pathways after conversations about weight.</p> <p>GPs' time is valuable. Activating this critical workforce is essential to meet the <a href="https://www.health.gov.au/resources/publications/national-obesity-strategy-2022-2032?language=en">National Obesity Strategy.</a></p> <p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, Deputy Editor and Senior Health Editor, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/should-gps-bring-up-a-patients-weight-in-consultations-about-other-matters-we-asked-5-experts-209681">original article</a>.</em></p>

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Mum who gave birth during coma finally wakes

<p>A woman from the US has woken up from a coma to discover her baby had been born. </p> <p>Jackie Miller James, a 35-year-old beauty and lifestyle influencer, was found found unresponsive by her husband in June, after she suffered a brain aneurysm while heavily pregnant. </p> <p>Jackie fell into a coma following the traumatic event, with her sister posting a fundraiser to help her family through the difficult time. </p> <p>“We are deeply saddened to share that our sister, Jacqueline (Jackie), was nine months pregnant and one week from her due date, when she suffered an aneurysm rupture, leading to severe brain bleeding and injury,” she wrote. </p> <p>“Jackie was found immediately by her husband, Austin, and was rushed to the emergency room and into an operation where they performed an emergency C-section and brain surgery simultaneously.”</p> <p>In a heart-warming update, Jackie's family has confirmed that she is awake and has has an emotional reunion with her baby girl.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/CuNV3eDJP3-/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CuNV3eDJP3-/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jackie Miller James (@jaxandrose)</a></p> </div> </blockquote> <p>The family shared that Jackie's recovery is exceeding expectations, with medical professionals pleased with her most recent tests. </p> <p>“The doctors have been pleased upon her latest tests, numbers and evaluations, noting that Jackie is performing above expectations at this stage of her recovery and is progressing more with every passing day,” the post read.</p> <p>“Jackie and Austin’s baby girl is a constant source of light for the entire family and continues to grow into a happy, healthy, and animated little angel."</p> <p>“Despite James’s delicate state of health, her daughter was delivered safely, spending 12 days in the NICU before going home.”</p> <p>Since Jackie's incident, a <a href="https://www.gofundme.com/f/support-jackies-long-road-to-recovery" target="_blank" rel="noopener">GoFundMe</a> campaign to support her and her family has amassed an incredible $500,000, as the funds will be allocated to cover the costs of Ms James’ speech therapy, physical therapy, necessary home modifications, and alternative therapies to address any lasting impairments she may face.</p> <p>Jackie's family thanked those who have donated for their support, writing, "The resources raised from the GoFundMe will allow us to continue to give Jackie the very best care and every chance at recovery. We are so appreciative of your donations, every little bit continues to help.”</p> <p><em>Image credits: GoFundMe</em></p>

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"Possibly carcinogenic to humans": WHO's dire warning over common ingredient

<p dir="ltr">The World Health Organisation (WHO) has called for one of the world’s most popular artificial sweeteners to be declared a possible carcinogen. </p> <p dir="ltr">The push will be led by the WHO’s research team for the International Agency for Research on Cancer (IARC), pitting it against the food industry and regulators.</p> <p dir="ltr">The sweetener, known as Aspartame, is used in products from Coca-Cola diet drinks, such as Diet Coke and Coke Zero, to Mars’ Extra chewing gum and some Snapple drinks.</p> <p dir="ltr">Later this month, the IARC will list Aspartame for the first time as “possibly carcinogenic to humans”</p> <p dir="ltr">The ruling from the IARC has assessed whether the sweetener is hazardous to humans or not, although it does not stipulate how much of the product a person can safely consume. </p> <p dir="ltr">This advice for individual consumers comes from a different organisation, known as JECFA (the Joint WHO and Food and Agriculture Organisation’s Expert Committee on Food Additives), who make consumption guidelines alongside national regulators. </p> <p dir="ltr">Despite the claims from the WHO, since as early as 1981 JECFA has said aspartame is safe to consume within accepted daily limits.</p> <p dir="ltr">An adult weighing 60kg would have to drink between 12 and 36 cans of diet soft drink, depending on the amount of aspartame in the beverage, every day to be at risk.</p> <p dir="ltr">Its view has been widely shared by national regulators, including in the United States and Europe.</p> <p dir="ltr">These conflicting reports have angered some regulators and consumers alike, with Japan’s Ministry of Health, Labour and Welfare official Nozomi Tomita writing to the WHO, “kindly asking both bodies to coordinate their efforts in reviewing aspartame to avoid any confusion or concerns among the public.”</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

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