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Woman baffled by mother-in-law’s insane ask over baby name

A woman has gone head-to-head with her mother-in-law over the name she has chosen for her unborn child. The pregnant woman took to Reddit to share her unusual predicament, explaining how her mother-in-law has demanded she change the name of her baby. The soon-to-be mum shared how she recently had dinner with her husband’s family, where she decided to reveal the baby’s gender and name. She had been keeping the information secret, but with only a few weeks of her pregnancy left, she decided to share the happy news that she was having a baby boy and had chosen the name Shawn for her son. But not everyone shared her happiness over the moniker, as her mother-in-law went pale with shock and demanded she choose a new name. “My in-laws got quiet for a moment before asking if there were other options we'd considered. Apparently, Shawn is the name of my 17-year-old sister-in-law Ashley's former bully who tormented her [for years],” the pregnant woman explained on Reddit. While she empathised with her in-laws, she didn’t want to change the name as it was the only one her and her husband agreed on for their son. She also explained that she hadn’t known about the family connection when they picked the name, and hadn’t picked it out of any malicious intent. “We took forever to pick a name,” she said. “Shawn is the only one we could agree on.” The dinner party soon ended after the argument began, but the mother-in-law didn’t back down, sending the expecting mum demanding messages. “She texted me and my husband again to ask us to find a new name for Ashley's sake.” “Would I be the a**hole for not wanting to change it? We were only able to agree on it a few weeks ago.” Commenters were torn over the subject, with many rushing to the pregnant woman’s defence, saying she can pick whatever name she wants for her son. “My spouse and sibling have the same name. Somehow, you just compartmentalise it,” one shared. “I feel like if a new baby in my family shared a name with my bully I'd just adapt,” another wrote. “After all, Shawn is a VERY common name, so I can't freak out every time I hear it and survive in this world.” However, a select few sided with the mother-in-law, sharing how stunned they were that the couple couldn't find enough compassion to pick another name. One person said, “I understand the difficulty of finding a name that feels right, but for me, after learning this, Shawn would quickly become another name that didn't work. It's only been decided on it for a few weeks so I'd just go back to the drawing board.” Image credits: Shutterstock

Family & Pets

Why do airlines charge so much for checked bags? This obscure rule helps explain why

<a href="https://theconversation.com/profiles/jay-l-zagorsky-152952">Jay L. Zagorsky</a>, <a href="https://theconversation.com/institutions/boston-university-898">Boston University</a> Five out of the six <a href="https://www.oag.com/blog/biggest-airlines-in-the-us">biggest U.S. airlines</a> have <a href="https://www.cnbc.com/2024/03/05/delta-is-the-latest-airline-to-raise-its-checked-bag-fee.html">raised their checked bag fees</a> since January 2024. Take American Airlines. In 2023, it cost US$30 to check a standard bag in with the airline; <a href="https://www.usatoday.com/story/travel/airline-news/2024/02/20/american-airlines-bag-fees-mileage-earning/72669245007/">today, as of March 2024, it costs $40</a> at a U.S. airport – a whopping 33% increase. As a <a href="https://www.bu.edu/questrom/">business school</a> <a href="https://www.bu.edu/questrom/profile/jay-zagorsky/">professor who studies travel</a>, I’m often asked why airlines alienate their customers with baggage fees instead of bundling all charges together. <a href="https://www.vox.com/2015/4/16/8431465/airlines-carry-on-bags">There are</a> <a href="https://www.usatoday.com/story/travel/columnist/2023/06/21/bag-fees-will-stay-a-while-cruising-altitude/70338849007/">many reasons</a>, but an important, often overlooked cause is buried in the U.S. tax code. <h2>A tax-law loophole</h2> Airlines pay the federal government <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D">7.5% of the ticket price</a> when <a href="https://www.pwc.com/us/en/services/tax/library/aircraft-club-nov-2023-air-transport-excise-tax-rates-for-2024.html">flying people domestically, alongside other fees</a>. The airlines dislike these charges, with their <a href="https://www.airlines.org/dataset/government-imposed-taxes-on-air-transportation/">trade association arguing</a> that they boost the cost to the consumer of a typical air ticket by around one-fifth. However, the U.S. Code of Federal Regulations <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D/section-49.4261-8">specifically excludes baggage</a> from the 7.5% transportation tax as long as “the charge is separable from the payment for the transportation of a person and is shown in the exact amount.” This means if an airline charges a combined $300 to fly you and a bag round-trip within the U.S., it owes $22.50 in tax. If the airline charges $220 to fly you plus separately charges $40 each way for the bag, then your total cost is the same — but the airline only owes the government $16.50 in taxes. Splitting out baggage charges saves the airline $6. Now $6 might not seem like much, but it can add up. Last year, passengers took <a href="https://www.transtats.bts.gov/Data_Elements.aspx?Data=1">more than 800 million trips on major airlines</a>. Even if only a fraction of them check their bags, that means large savings for the industry. How large? The government has <a href="https://www.bts.dot.gov/topics/airlines-and-airports/baggage-fees-airline-2023">tracked revenue from bag fees</a> for decades. In 2002, airlines charged passengers a total of $180 million to check bags, which worked out to around 33 cents per passenger. Today, as any flyer can attest, bag fees are a lot higher. Airlines collected over 40 times more money in bag fees last year than they did in 2002. When the full data is in for 2023, <a href="https://www.bts.dot.gov/baggage-fees">total bag fees</a> will likely top $7 billion, which is about $9 for the average domestic passenger. <a href="https://viewfromthewing.com/the-real-reason-airlines-charge-checked-bag-fees-and-its-not-what-you-think">By splitting out the cost of bags</a>, airlines avoided paying about half a billion dollars in taxes just last year. In the two decades since 2002, flyers paid a total of about $70 billion in bag fees. This means separately charging for bags saved airlines about $5 billion in taxes. <iframe id="88MYD" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/88MYD/2/" width="100%" height="400px" frameborder="0"></iframe> It seems clear to me that tax savings are one driver of the unbundling of baggage fees because of a quirk in the law. The U.S. government doesn’t apply the 7.5% tax to <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D/section-49.4261-3">international flights that go more than 225 miles</a> beyond the nation’s borders. Instead, there are fixed <a href="https://www.airlines.org/dataset/government-imposed-taxes-on-air-transportation">international departure and arrival taxes</a>. This is why major airlines charge $35 to $40 <a href="https://www.aa.com/i18n/travel-info/baggage/checked-baggage-policy.jsp">for bags if you’re flying domestically</a>, but don’t charge a bag fee when you’re flying to Europe or Asia. <h2>Do travelers get anything for that money?</h2> This system raises an interesting question: Do baggage fees force airlines to be more careful with bags, since customers who pay more expect better service? To find out, I checked with the Bureau of Transportation Statistics, which has been <a href="https://www.bts.gov/content/mishandled-baggage-reports-filed-passengers-largest-us-air-carriersa">tracking lost luggage for decades</a>. For many years, it calculated the number of mishandled-baggage reports per thousand airline passengers. The government’s data showed mishandled bags peaked in 2007 with about seven reports of lost or damaged luggage for every thousand passengers. That means you could expect your luggage to go on a different trip than the one you are taking about once every 140 or so flights. By 2018, that estimate had fallen to once every 350 flights. In 2019, the government <a href="https://www.bts.gov/topics/airlines-and-airports/number-30a-technical-directive-mishandled-baggage-amended-effective-jan">changed how it tracks</a> mishandled bags, calculating figures based on the total number of bags checked, rather than the total number of passengers. The new data show about six bags per thousand checked get lost or damaged, which is less than 1% of checked bags. Unfortunately, the data doesn’t show improvement since 2019. Is there anything that you can do about higher bag fees? Complaining to politicians probably won’t help. In 2010, two senators <a href="https://www.nj.com/business/2010/04/us_senators_present_bill_to_ba.html">tried to ban bag fees</a>, and their bill went nowhere. Given that congressional action failed, there’s a simple way to avoid higher bag fees: <a href="https://www.cnn.com/travel/article/packing-expert-travel-world-handbag/index.html">travel light</a> and <a href="https://www.nytimes.com/2023/07/08/opinion/carry-on-packing-airlines-lost-luggage.html">don’t check any luggage</a>. It may sound tough not to have all your belongings when traveling, but it might be the best option as bag fees take off.<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/225857/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/jay-l-zagorsky-152952">Jay L. Zagorsky</a>, Associate Professor of Markets, Public Policy and Law, <a href="https://theconversation.com/institutions/boston-university-898">Boston University</a> 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/why-do-airlines-charge-so-much-for-checked-bags-this-obscure-rule-helps-explain-why-225857">original article</a>.

Travel Trouble

“My sister-in-law announced she was pregnant at my child’s funeral”

A woman has asked for advice on how to navigate her relationship with her sister-in-law, after the woman overheard an inappropriate conversation at her child’s funeral. The grieving mother, a 28-year-old named Melissa, took to Reddit to share the heartbreaking story of how her toddler passed away after a battle with cancer. Melissa described the time as the “hardest in my life”, explaining how she felt she lost “a part of herself” after the funeral. While Melissa expected her toddlers’ memorial service to be difficult, she never predicted a family member would make it even harder. The mother said that when she heard her sister-in-law telling people about her pregnancy, she thought the move was just cruel. “She didn't make a big announcement but more than ten people at the service 'heard' and it's what everyone was talking about. To understate it, I was livid,” Melissa wrote on Reddit. Melissa’s post then asked social media users for advice, as she was unsure how much of a relationship she wanted to have with her sister-in-law after the stunt. The 28-year-old shared that she had fallen pregnant herself, and was facing pressure to have a party in celebration, but she didn’t want her whole family in attendance. “I've been working on who I want to invite, and I really don't want my SIL there,” she said. “Besides what she did, she's a vindictive and mean person and I cannot stand her.” “I mentioned it to my husband and he says he couldn't care less whether she's there or not. But for the sake of saving face, I want opinions before I do this.” She asked the online forum if she would be “an a**hole” for not inviting her, addin that she would still be inviting her husband's other sister and husband's brother's wife. “The original SIL will be the only one not invited,” she clarified. The post was flooded with comments as many backed up Melissa, slamming the sister-in-law for her selfish behaviour. “I wouldn't want someone like that around me. Announcing a pregnancy at a child's funeral is insane,” one said. “Cut her off and ignore everyone close to her. You are right to have nothing to do with her. She's totally classless.” However, others encouraged her to have an adult conversation with her sister-in-law in an attempt to mend their relationship. “Please let it go,” one person began. “This happened on a terrible day during a bad time for you. It's possible that could be clouding how you're looking at this, she may not have been malicious at all.” Image credits: Shutterstock

Family & Pets

Could you cope with a shock to your bank balance? 5 ways to check you are financially resilient

<a href="https://theconversation.com/profiles/bomikazi-zeka-680577">Bomikazi Zeka</a>, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a> Imagine the dentist has just said you urgently need a A$2,000 dental crown. A week later, a pipe in your bathroom bursts, causing $8,000 worth of damage. Suddenly, you’ve been hit with a $10,000 financial shock. As the cost-of-living crisis plunges more households into financial uncertainty and at least <a href="https://melbourneinstitute.unimelb.edu.au/data/taking-the-pulse-of-the-nation-2022/2023/australians-face-challenging-budgetary-constraints#:%7E:text=Over%20the%20past%20six%20months,has%20increased%20to%2060%20percent.">one-third</a> of Australians struggle to make ends meet, it’s more important than ever to ask yourself: how financially resilient am I? Being financially resilient means you aren’t left financially devastated when an expensive emergency creeps up on you. Here are five key signs of financial resilience. <h2>1. You have a plan for what you’d do if you suddenly lost your salary</h2> Financial resilience means having a plan to fall back on during tough times. This extends to how you’d make money if you lost your job. In practice, that means things like making sure your skills and contacts are kept up to date so you can more easily find a new job. You might also consider whether a “side hustle” job such as tutoring could work for you in the short term, and how you’d put that plan into practice if needed. Perhaps you have a spare room in your home you could rent out for a period of time if you lost your salary. Those examples won’t work for everyone, of course, but it’s still worth asking yourself the question: what would I do if I lost my salary tomorrow? <h2>2. You have enough liquid assets to meet an unexpected financial expense</h2> Liquid assets means money that can be accessed quickly and easily to overcome an unplanned financial expense. Savings are a good example. They provide a buffer so you can cope in the short term if a financial shock strikes. The federal government’s Moneysmart website suggests you aim to have enough in your emergency savings fund to cover <a href="https://moneysmart.gov.au/saving/save-for-an-emergency-fund">three months of expenses</a>. Having an <a href="https://moneysmart.gov.au/glossary/offset-account">offset account</a> as part of a mortgage is another option that provides a buffer. Putting money in an offset account helps you save while reducing the amount of interest on a home loan. You can still access the money in an offset account at any time. <h2>3. You have bought the right financial products, such as insurance</h2> Financial products, such as insurance, hedge against potential losses. Personal insurance is important because it provides income in the event of death, illness or injury. Examples include: <ul> <li> life insurance (which pays out to your beneficiaries, such as your partner or children, when you die) </li> <li> total and permanent disability insurance (which means you may get some money if you acquire a disability that prevents you from working) </li> <li> income protection (which provides you with an income if you can no longer work) </li> <li> trauma cover (which covers a life-changing illness or injury, such as cancer or a stroke). </li> </ul> Check if your superannuation has any of these insurances included in it. <a href="https://www.griffith.edu.au/__data/assets/pdf_file/0030/295770/FPRJ-V4-ISS1-pp-53-75-insurance-literacy-in-australia.pdf">Research</a> has found that many Australians are underinsured. <h2>4. You can still pay your debts when times are tough</h2> Being able to borrow money can help when you’re in a tight spot. But knowing where to borrow from, how much to borrow and how to manage debt repayments is crucial. Financially resilient people use debt responsibly. That means: <ul> <li> not using debt for frivolous expenses like after-work drinks </li> <li> staying away from private money lenders </li> <li> being cautious about buy-now-pay-later services </li> <li> watching out for debts with high interest rates, such as payday loans and credit card debt </li> <li> maintaining debt repayments consistently. </li> </ul> If you’re having debt problems, talk to your lender about renegotiating your repayment arrangements, or contact the <a href="https://ndh.org.au/">National Debt Helpline</a> on 1800 007 007. <h2>5. You are financially literate</h2> Being financially literate means you can assess the benefits and risks of using savings or taking out debt to meet an unplanned financial need. As I have <a href="https://theconversation.com/are-you-financially-literate-here-are-7-signs-youre-on-the-right-track-202331">written</a> before on The Conversation, key signs of financial literacy include tracking your cashflow, building a budget, as well as understanding what debts you have and which to pay first. It also means storing your money across different places (such as superannuation, savings accounts, property and the share market) and understanding how financial assets like cash, shares and bonds work. Being aware of your financial strengths and weaknesses, and having financial goals is also important. Nobody is born knowing how to make sound financial decisions; it’s a skill that must be learned. It’s good to think about the resources you would draw upon to help get yourself out of a difficult financial situation – well before disaster strikes.<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/218126/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/bomikazi-zeka-680577">Bomikazi Zeka</a>, Assistant Professor in Finance and Financial Planning, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a> Image credits: Getty Images 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/could-you-cope-with-a-shock-to-your-bank-balance-5-ways-to-check-you-are-financially-resilient-218126">original article</a>.

Money & Banking

The sky’s the limit: A brief history of in-flight entertainment

<a href="https://theconversation.com/profiles/olusola-adewumi-john-1490381">Olusola Adewumi John</a>, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</a> As the winter holidays draw near, many of us are already booking flights to see friends and family or vacation in warmer climates. Nowadays, air travel is synonymous with some form of in-flight entertainment, encompassing everything from the reception offered by the aircrew to the food choices and digital content. These services all add value to flying for customers. Passengers are now so familiar with in-flight entertainment that to travel without it is unthinkable. <a href="https://www.globenewswire.com/news-release/2023/10/19/2762903/0/en/In-Flight-Entertainment-Connectivity-Market-to-Worth-21-03-Bn-by-2030-Exhibiting-With-a-15-9-CAGR.html">The in-flight entertainment and connectivity market grew to US$5.9 billion as of 2019</a>, a testament to its economic impact on both the airlines and the GDP of countries with airline carriers. In-flight entertainment is so ubiquitous that, even if all other airline services were offered, <a href="https://travel.stackexchange.com/questions/19427/will-airlines-compensate-me-if-my-entertainment-system-is-not-working">the airline ensures a refund is made to the passenger affected</a> if television content cannot be accessed. <h2>A brief history</h2> In-flight entertainment has evolved significantly over the years. Before in-flight entertainment media was introduced, passengers entertained themselves by reading books or with food and drink services. The original aim of bringing in-flight entertainment into cabins was to attract more customers, drawing inspiration from a variety of sources, including the theatrical and domestic media environments. It was not initially for the comfort and ease of travelling, as it is today. <a href="https://www.academia.edu/5023683/A_History_of_INFLIGHT_ENTERTAINMENT">Inflight entertainment began as an experiment</a> in 1921, when 11 Aeromarine Airways passengers were shown the film Howdy Chicago! on a screen hung in the cabin during the flight. Four years later, another experiment was carried out in 1925 when 12 passengers on board an Imperial Airlines flight from London were shown the film The Lost World. <a href="https://www.smithsonianmag.com/air-space-magazine/when-did-inflight-movies-become-standard-on-airlines-180955566/">It wasn’t until the 1960s</a> that in-flight movies became mainstream for airlines. Trans World Airlines became the first carrier to regularly offer feature films during flights, using a unique film system developed by <a href="https://www.newyorker.com/magazine/1962/06/02/inflight">David Flexer, then-president of Inflight Motion Pictures</a>. Starting in 1964, in-flight entertainment evolved to include various media types like 16-mm film, closed-circuit television, live television broadcasts and magnetic tape. In the 1970s, for example, airplanes might feature a large screen with a 16-mm projector in one part of the plane, while small screens hung overhead in another section. <a href="https://www.smh.com.au/traveller/reviews-and-advice/when-did-airlines-install-seatback-entertainment-20190711-h1g51b.html">Seatback screens were introduced in 1988</a> when Airvision installed 6.9-centimetre screens on the backs of airline seats for Northwest Airlines. They have since morphed into the larger screens we are familiar with today, which are found on nearly every airline. <h2>In-flight entertainment today</h2> Most airlines nowadays have personal televisions for every passenger on long-haul flights. On-demand streaming and internet access are also now the norm. Despite initial concerns about speed and cost, in-flight services are becoming faster and more affordable. In-flight entertainment now includes movies, music, radio talk shows, TV talk shows, documentaries, magazines, stand-up comedy, culinary shows, sports shows and kids’ shows. However, the rise of personal devices, like tablets and smartphones, <a href="https://www.telegraph.co.uk/travel/comment/the-weird-and-wonderful-history-of-in-flight-entertainment/">could spell the end for seatback screens</a>. A number of U.S. airlines, including American Airlines, United Airlines and Alaska Air, have <a href="https://www.bloomberg.com/news/articles/2019-10-09/airline-seatback-screens-may-soon-become-an-endangered-species">removed seatback screens from their domestic planes</a>. This decline is par for the course. To arrive at the complex system used by aircraft today, in-flight entertainment went through a number of different stages, <a href="https://doi.org/10.1007/978-981-19-0641-1_10">as identified by aviation scholar D.A. Reed</a>. It started with an idea phase, which saw the conception of the idea, followed by an arms race phase where most airlines adopted some form of it. Currently, airlines are facing challenges in the final — and current — phase of evolution, and are dealing with failures linked to business concept flaws or low revenue. Now that most air travellers carry electronic devices, fewer airlines are installing seatback screens. From an economic standpoint, this makes sense for airlines: removing seatback screens <a href="https://mobile.nytimes.com/2018/01/01/business/airlines-travel-entertainment.html">improves fuel costs</a> and allows airlines to <a href="https://www.flightglobal.com/systems-and-interiors/united-ups-757-density-with-new-slimline-seats/126574.article">install slimmer seats</a>, allowing for more passengers. <h2>More than entertainment</h2> At some point in the evolution of in-flight entertainment, it started to serve as more than just a form of entertainment or comfort. Now, it’s also a competitive tool for airline advertisements, and a form of cultural production. In-flight entertainment has become an economic platform for investors, business people, manufacturers and entertainment providers, especially Hollywood. It also plays a key role in promoting the national culture of destination countries. However, the evolution of in-flight entertainment hasn’t been without its challenges. As a form of cultural production, it often reflects the interests of advertisers, governments and business entities. It also follows that <a href="https://doi.org/10.1007/978-981-19-0641-1_10">certain ideas, products and cultures are sold to passengers</a> via in-flight entertainment. The lucrative practice of capturing and selling passengers’ attention to advertisers was not limited to screens, either. In-flight magazines have always been packed with advertisements, and by the late 1980s, these advertisements had spread to napkins and the audio channels. Despite its shortcomings and precarious future, in-flight entertainment still offers passengers a sense of comfort, alleviating concerns about being suspended over 30,000 feet above sea level. If you end up flying during the holidays, remember your comfort is partly thanks to this innovation.<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/218996/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/olusola-adewumi-john-1490381">Olusola Adewumi John</a>, Visiting Researcher, Centre for Socially Engaged Theatre, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</a> Image credits: Shutterstock 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/the-skys-the-limit-a-brief-history-of-in-flight-entertainment-218996">original article</a>.

Travel Tips

5 important things to check off your list before your next cruise

The tickets are booked! Here’s what you need to do before you set sail. 1. Visit your doctor Hope for the best and plan for the worst – it’s a good motto to travel by. Visit your doctor to see if you need any vaccinations or medications for exotic locations, and make sure you’re stocked up on all your regular medications. It is a good idea to bring some extras as well as some basic first aid meds (think pain killers and anti nausea tablets) as these can be expensive or hard to come by. 2. Research your ports You only have a short time in each port, so you’ll want to make the most of it. Do some research before you leave and decide what you want to see, how long it will (realistically take) and think about whether you want to take an organised tour. We’re not saying you have to plan a rigid schedule and stick to it, but a rough plan of how you want to spend your day will save time and stress. 3. Check the weather It’s amazing how quickly the weather can change or an unexpected storm can spring up. Keep an eye on the weather for the days before your cruise so you can pack accordingly. That might mean adding in a few extra jumpers or doubling up on the sunscreen. You will have limited opportunities to buy these things onboard and they can be really expensive. You also don’t want to waste a day in port running around looking for something to wear. 4. Talk to your travel buddy How do you imagine you’ll be spending your days? Flopped by the pool or out exploring your next port? Hitting the dancefloor til the wee hours or getting an early night so you can be up for sunrise yoga? These are good conversations to have with your travel partner before you set sail. There’s no right or wrong answer, but many travel arguments have started because people have different ideas of the perfect holiday. 5. Organise your insurance You really should do this when you book your tickets as you’ll be covered from then right up until your cruise at no extra cost. But if you’re left it to the last minute, never fear! Jump online and get yourself insured. Many companies offer policies specific to cruising, so everything you need will be covered. And don’t think that you can skip it if you’re only cruising in Australian waters – Medicare won’t cover you onboard. Image credits: Getty Images

Cruising

Should I be getting my vitamin D levels checked?

<a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> Australia has seen a <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">surge in vitamin D testing</a> of children, with similar trends reported for adults around the <a href="https://pubmed.ncbi.nlm.nih.gov/29659534/">world</a>. GPs are now <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">being urged</a> not to test for vitamin D unnecessarily. So when is low vitamin D a potential concern? And when might you need to get your levels tested? <h2>How much vitamin D do we need?</h2> Vitamin D is not only a nutrient – when metabolised in the body it acts as a <a href="https://pubmed.ncbi.nlm.nih.gov/29080638/">hormone</a>. We have receptors for this hormone all around our body and it helps regulate the metabolism of calcium and phosphorus. Vitamin D also has many other roles, including helping our immune defences and contributing to <a href="https://pubmed.ncbi.nlm.nih.gov/11295155/">DNA repair</a> and cell differentiation. We can thank the sun for most of our vitamin D. A chemical in our skin called 7-dehydrocholesterol is converted to vitamin D after contact with UVB radiation from the sun. While we get some vitamin D also <a href="https://pubmed.ncbi.nlm.nih.gov/35253289/">through our diet</a>, this makes a relatively small contribution. It’s difficult to get much more than one-third of our daily vitamin D requirement from diet without supplementation. Nutritional vitamin D status is <a href="https://en.wikipedia.org/wiki/Calcifediol">typically measured</a> via a blood test. This checks the calcidiol (calcifediol, 25-hydroxyvitamin D) concentrations, which reflect the average intakes from the sun and diet over the past three to four weeks. The <a href="https://pubmed.ncbi.nlm.nih.gov/22708765/">current recommendation</a> is that we should all aim to have at least 50nmol/L (20ng/mL) at the end of winter. However, one problem with vitamin D tests is that there is <a href="https://pubmed.ncbi.nlm.nih.gov/37182753/">variation</a> in measured concentrations between the laboratories and between the assays, and whether you’re deemed to have a deficiency can depend on the testing method used. Doctors do not always agree with what is deficiency. While very low concentrations are likely to prompt doctors to recommend a supplement (and, potentially, follow-up testing), some may consider even relatively high concentrations as inadequate. This is all understandable as research in this space is still evolving, and we know low concentrations do not always cause any symptoms. <h2>Why avoid vitamin D deficiency?</h2> Prolonged, severe vitamin D deficiency will lead to softening of bone tissue and cause diseases such as rickets (children) and osteomalacia (adults). However, avoiding low concentrations is likely to be good for <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">many aspects of health</a>, with consistent evidence suggesting benefits for <a href="https://www.bmj.com/content/356/bmj.i6583">infectious diseases</a> and autoimmune conditions such as multiple sclerosis. Randomised trials have also provided evidence for lower <a href="https://pubmed.ncbi.nlm.nih.gov/35676320/">cancer</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/24414552/">all cause mortality</a> by daily supplementation, although any benefit is likely to be restricted to those who otherwise have insufficient intakes. <h2>Who is at risk of deficiency?</h2> Most of us do not need tests to have a relatively good idea whether we might be at risk of a clinically important deficiency. If it’s not late winter, we spend regularly at least some time outside with skin exposed to the sun, and we do not belong to a specific high-risk group, it is unlikely that our <a href="https://pubmed.ncbi.nlm.nih.gov/22168576/">levels would be very low</a>. The two main reasons for vitamin D deficiency typically relate to: 1. not getting (enough) vitamin D through sun exposure. Deficiency risk <a href="https://www.healthdirect.gov.au/vitamin-d-deficiency">can be high</a> for anyone who is housebound, such as older or disabled people in residential care. The risk of deficiency increases if we always cover our skin carefully by <a href="https://pubmed.ncbi.nlm.nih.gov/19211395/">modest cultural dress,</a> and also <a href="https://pubmed.ncbi.nlm.nih.gov/6119494/">dark skin pigmentation</a> is known to reduce vitamin D synthesis. 2. having a chronic disease that alters your requirement. Medications such as anticonvulsants used to treat epilepsy, and conditions such as <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">liver and kidney diseases</a> can interfere with vitamin D metabolism. Some <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">digestive diseases</a> can reduce vitamin D absorption from your diet, while <a href="https://pubmed.ncbi.nlm.nih.gov/30020507">obesity</a> will increase your vitamin D requirement and make it more difficult to raise your blood levels. <h2>Am I getting enough sun exposure?</h2> In Australia, it is possible to get enough vitamin D from the sun <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">throughout the year</a>. This isn’t so for many people living in the northern hemisphere. For those who live in the top half of Australia – and for all of us during summer – we <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">only need</a> to have skin exposed to the sun a few minutes on most days. The body can only produce a certain amount of vitamin D at the time, so staying in the sun any longer than needed is not going to help increase your vitamin D levels, while it will increase your risk of skin cancer. During winter, catching enough sun can be difficult, especially if you spend your days confined indoors. Typically, the required exposure increases to two to three hours per week in winter. This is because sunlight exposure can only help produce vitamin D if the UVB rays reach us at the correct angle. So in winter we should regularly spend time outside in the middle of the day to get our dose of vitamin D. If you are concerned, you have very dark skin, or are otherwise in a high-risk group, you may want to talk to your GP. In any case, taking a modest daily dose of vitamin D (1,000-2,000 IU) during the darker winter months is unlikely to cause harm and it <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">may be beneficial</a>. <h2>Why does excess vitamin D testing matter?</h2> When not indicated, testing can cause unnecessary worry and promote a cascade of <a href="https://pubmed.ncbi.nlm.nih.gov/32675268/">laboratory, prescription and imaging services</a> that are of low value. Excessive testing is also a waste of health-care resources, with one <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50619">single test</a> costing about the same as a years’ worth of vitamin D supplementation. Very often, we can make relatively small changes to our lifestyles to reduce the risks of vitamin D deficiency. <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/211268/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> Image credits: Getty Images 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-i-be-getting-my-vitamin-d-levels-checked-211268">original article</a>.

Body

Don’t believe the hype. Menopausal women don’t all need to check – or increase – their testosterone levels

<a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Ever heard “low testosterone” blamed for low mood, brain fog and loss of vitality? Despite all evidence to the contrary, social media influencers are increasingly promoting testosterone therapy as an elixir for women experiencing troubling symptoms of menopause. In a series of documentaries and <a href="https://www.dailymail.co.uk/health/article-11792553/Davina-McCall-effect-sparks-menopause-testosterone-treatment-rush-putting-women-risk.html">social media posts</a> about menopause in 2021 and 2022, British TV presenter Davina McCall promoted the use of testosterone therapy in addition to standard <a href="https://www.menopause.org.au/hp/information-sheets/combined-menopausal-hormone-therapy-mht">menopausal hormone therapy</a>. The “<a href="https://www.telegraph.co.uk/news/2023/02/17/davina-effect-fuels-surge-menopausal-women-using-testosterone/#:%7E:text=Chelsea%20Magazine%20Company-,'Davina%20effect'%20fuels%20surge%20in%20menopausal%20women%20using%20testosterone,NHS%20prescriptions%20for%20the%20hormone">Davina effect</a>” has helped fuel a <a href="https://pharmaceutical-journal.com/article/news/nhs-testosterone-prescribing-in-women-rises-ten-fold-in-seven-years#:%7E:text=The%20number%20of%20women%20in,The%20Pharmaceutical%20Journal%20has%20revealed">ten-fold increase</a> in prescribing of testosterone for women in the United Kingdom since 2015. Data isn’t available for Australia, but in my clinical practice, women are increasingly asking to have their testosterone level checked, and seeking testosterone to treat fatigue and brain fog. But while testosterone continues to be an important hormone before and after menopause, this doesn’t mean women should be having a blood test to get their testosterone levels checked – or taking testosterone therapy. <h2>What does testosterone do?</h2> Testosterone is an important hormone in women’s bodies, affecting the blood vessels, skin, muscle and bone, breast tissue and the brain. In both women and men, testosterone can act on its own or be converted into estrogen. Before menopause, testosterone is made in the ovaries, where it helps developing eggs grow and aids in estrogen production. The ovaries release both testosterone and estrogen into the bloodstream, and the levels of the two hormones in the blood peak around ovulation. Some of the testosterone measured in blood is also produced outside the ovaries, such as in fat, where it is made from “pre-hormones” secreted by the adrenal glands. This source of production of testosterone takes over after menopause. <h2>Do we have more testosterone before menopause?</h2> The claim is often made that pre-menopausal women have more testosterone in their bloodstream than estrogen, to justify the need for testosterone replacement after menopause. But, when sex hormones have been measured with precision, studies have shown this is not true. <a href="https://pubmed.ncbi.nlm.nih.gov/31390028/">Our research</a> found estrogen levels are higher than testosterone levels at all stages of the menstrual cycle. Blood testosterone levels <a href="https://pubmed.ncbi.nlm.nih.gov/31390028/">fall</a> by about 25% between the ages of 18 and 40 years in healthy women. The fall in testosterone coincides with the decline in eggs in the ovaries but whether this is a marker of the decline, a consequence, or a cause of the decline is not known. From around 40, the rate of decline slows and blood testosterone levels don’t change when <a href="https://www.menopause.org.au/hp/information-sheets/what-is-menopause">menopause</a> occurs naturally. Studies have not shown testosterone levels change meaningfully during the menopause transition. <h2>Can blood tests detect ‘low testosterone’?</h2> Some influencers claim to have a condition called “testosterone deficiency syndrome” or low levels of testosterone detected in blood tests. But there is no “normal” blood level below which a woman can be diagnosed as having “testosterone deficiency”. So there’s no such thing as having a testosterone deficiency or testosterone deficiency syndrome. This is also in part, because women have very low testosterone concentrations compared with men, and most commercial methods used to measure testosterone cannot separate normal from low levels in women with any certainty. Pre-menopausal women might also be told they have “low” testosterone if blood is drawn early in the menstrual cycle when it is normal for testosterone to be low. (However, it would only be clinically necessary to do this type of blood test to look for high testosterone, in someone with with excessive hair growth or severe acne, for example, not for low testosterone.) In post-menopausal women, much of the action of testosterone occurs in the tissues where it is made, after which testosterone is either converted to estrogen or broken down before it leaks back into the circulation. So blood testosterone concentrations are not a true reflection of tissue concentrations. Further complicating the picture is the enormous variability in the effects of testosterone. At a given blood level of testosterone, some women might have oily skin, acne, increased body hair growth or balding, while others will have no such effects. So, looking for a “low” blood testosterone in women is not helpful. <h2>Can testosterone improve sexual desire? What about other conditions?</h2> There is sound evidence that testosterone therapy may improve sexual desire in post-menopausal women who have developed low sexual desire that bothers them. This was <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">confirmed by</a> a <a href="https://pubmed.ncbi.nlm.nih.gov/31353194/">systematic review</a> of clinical trials comparing testosterone with a placebo or an alternative. These trials, all of which involved a treatment time of at least 12 weeks, showed testosterone therapy, overall, improved desire, arousal, orgasm and sexual satisfaction in post-menopausal women with low desire that caused them distress. Treatment is only indicated for women who want an improvement in sexual desire (after excluding other factors such as depression or medication side effects) and its success can only be determined by each woman’s personal self-reported response. But there is <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">not enough evidence</a> to show testosterone is beneficial for any other symptom or medical condition. The overall available data has shown no effect of testosterone on mood or cognition. As such, testosterone therapy <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">should not be used</a> to treat symptoms such as fatigue, low mood, muscle weakness and poor memory, or to prevent bone loss, dementia or breast cancer. However research continues to investigate these potential uses, including from my <a href="https://www.monash.edu/medicine/sphpm/units/womenshealth">research team</a>, which is investigating whether testosterone therapy can <a href="https://asbmr.onlinelibrary.wiley.com/doi/10.1002/jbmr.534">protect against bone density loss and muscle loss after menopause</a>. You can learn more about participating in one of our studies <a href="https://www.monash.edu/medicine/sphpm/units/womenshealth/join-a-study">here</a>. <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/209516/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Getty Images 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/dont-believe-the-hype-menopausal-women-dont-all-need-to-check-or-increase-their-testosterone-levels-209516">original article</a>.

Body

5 memorable locations from ‘80s films to check out

Everyone loves a good movie, and everyone loves a holiday, so what do you get when you combine the two? The time of your life! It’s widely known that the ‘80s spawned a whole host of films that went on to become cult classics - from the likes of Heathers to Footloose, Dirty Dancing, and The Terminator - and forged the way for cultural changes that ring true decades later. But did you also know that for many of these iconic films, real-life locations served as the inspiration for many memorable scenes? And while some may have changed slightly in the years since cast and crew flocked to them, some are like stepping into a time capsule - or a stage for you to re-enact the films as you see fit. Lake Lure, North Carolina - Dirty Dancing (1987) Anyone who’s seen Dirty Dancing can tell you that ‘the lift scene’ is one of the film’s most iconic moments. And it - along with a few others from the film - were filmed in North Carolina’s very own Lake Lure. And with the spot boasting its very own Lake Lure Inn & Spa - where, coincidentally, the movie’s stars stayed while working on the project - it could be the perfect getaway location for your next holiday. Guesthouse International Hotel, California - National Lampoon Vacation (1983) For those embarking on their very own National Lampoon Vacation, you’re in luck - the hexagonal pool is near exactly the same as it was when Chevy Chase’s Clark Griswold enjoyed a nighttime swim with Christie Brinkley’s The Girl in the Ferrari. New York Public Library, New York - Ghostbusters (1984) The 1984 film sparked an entire host of sequels, games, parodies, and conventions for avid fans across the globe - as well as one incredibly catchy song. However, for those that would like to go above and beyond just calling their friendly neighbourhood ghostbusters, the New York Public Library’s flagship Stephen A Schwarzman building is the spot where the team had their very first encounter with the film’s ghosts. Griffith Observatory, California - The Terminator (1984) Fans of The Terminator should immediately recognise this site as the one where Arnold Schwarzenegger’s Terminator arrived in the nude, and basked in the glory of LA at night. It’s a popular location, and while a must-see for fans of the film, it also makes for a good afternoon out - the observatory itself boasts free entry, stunning views, and a range of fascinating exhibits inside to entertain the keen mind. The Grand Hotel, Michigan - Somewhere in Time (1980) The Grand Hotel was the primary location for romantic drama Somewhere in Time, and they’re proud of it. In fact, a poster for the film is reportedly even still on display there, and hosts weekends of celebration for the 1980 hit, too. The island the hotel is set on doesn’t allow cars, so anyone hoping to throw themselves back in time and fully immerse themselves in a ‘different world’, this National Historic Landmark may be just the place to do it. Images: Getty, Booking.net

Movies

Advice on dealing with tricky in-laws

From heated discussions to awkward family dinners, your relationship with your in-laws can have a big impact on family time. Here’s how to navigate this sometimes tricky dynamic. There’s nothing worse than heading to a family engagement when you have a son-in-law (or your daughter’s parents-in-law) that you just don’t get along with. Whether there's been a fight that you haven’t been able to move on from, or you simply don’t get along, if you find your in-laws draining or annoying, you may need to change the boundaries. Do you know the old saying, “good fences make good neighbours”? Think of your in-laws like your neighbours – there needs to be really good fences (aka boundaries) in place for the relationship to run smoothly. The best way to go about this is in such a way that you don’t make anyone feel as though you're closing them out, but rather comes off that you are simply focussing on yourself and things you have going on. Once you’ve set boundaries, don’t be afraid to talk to your family and in-laws about them, they’re not as fragile as you think. But do choose your words carefully and keep the focus on you and what your needs are, rather than making any judgements or comments about them or their behaviour. Still not sure how to deal with your son, daughter, sister or brother in-law? Here are some top tips for setting boundaries and dealing with awkward situations: <ol> <li>The person with the primary relationship (for example your daughter, not your son-in-law) should be the one to step in and help fix a problem if it arises. You should never be the messenger or go straight to an in-law. Gently raise the issue or concern with your immediate family member. </li> <li>Decide with your partner, or in your own time if you are single or widowed, what type of role you want your in-law/s to play in your life. If you don’t get along and spending time with them just seems to cause issues, then you might want to limit catch-ups to birthdays and big events. This is ok. Just be gentle if asked to explain. And keep your explanation brief and about you. Something along the lines of, my schedule is quite busy at the moment or I don’t feel up to going out too much, but I am looking forward to the next family get together. </li> <li>Never criticise your family for their relationship with his or her spouse/your in-laws, nor comment on your in-law to your immediate family member – for example don’t criticise your son-in-law to your daughter/his wife. This tends to only lead to complications and awkwardness. And remember, you only know what your daughter tells you and if they come to you everytime they’re upset or angry with their partner or their partner’s extended family, you’re only hearing the problems when your daughter is frustrated and upset. You might not hear all the good things and about when they make up. Don’t take these things on board and stay out of it by reserving any judgement or comments. </li> <li>Don’t get involved. Easier said than done, right? You have to trust that you have brought your children up right and they are responsible enough to navigate their own relationships, treat others respectfully and can stand up for themselves if need be. As such, you should not get involved in their issues, arguments and general day-to-day dealings with their other relationships. Stay on the peripheral, be there for some light guidance if need be, but ultimately you should just help them come to their own opinions, decisions and judgements on things rather than sharing your ones with them. </li> <li>Don’t get pulled into arguments by your child and in-law. You can be supportive and still let the couple handle their own problems. Take a step back and trust that you have raised an adult who has the vision and the courage to resolve the problems that concern his/her own family. Couples need to set boundaries for their own relationships and this can, as I am sure you know, take some time to find the right ones. </li> <li>Think of yourself as a guest. When spending time with family in big groups, and especially when you’re at someone else’s home, it is best to think of yourself as a guest and act accordingly. For example you may not like the way you son’s wife is doing things in her home (child rearing, cooking, cleaning etc), but unfortunately it is not really any of your business. This is between your son and his wife. A good checkpoint is to ask yourself if you have a sense of entitlement and expectancy that is inappropriate. If there are issues that you just can’t stand but can’t let go, then you may need to consider not visiting them.</li> </ol> Image credits: Getty Images

Family & Pets

12 things you should always do before you leave your hotel room

Check under the bed and dresser “I always get down on my hands and knees and look under the bed and under the dresser,” says Suzanne Markham-Bagnera, a former general manager at hotels. Young kids especially like to hide things, and then forget about them. “You get the frantic phone call that a child has left their Lovey, their stuffed animal, or their toy and they realised once they get in their car and start driving, but they’re not able to come right back to the hotel,” she adds. Pull the bed linens back Markham-Bagnera typically removes the bedding to both help out the housekeeper and make sure she hasn’t forgotten anything. “That’s my way of securing: I’ve done the clean sweep of the bed. I’m good,” she says. Guest aren’t expected to strip the bed, but should you decide to, make sure to leave the comforter on a chair or in the closet, not on the floor. And don’t ball the bed linens up with the blanket, keep them separate. Leave the used towels in the tub Markham-Bagnera puts all the towels on the bathtub, especially if they’re still wet. That way they’re out of the way and all together in the pile. And the room attendant only has to pick up one pile of dirty linen. “It makes it a lot faster to pick up,” Markham-Bagnera says. Take the food you want to keep If you’ve used the refrigerator, make sure that you take out the items that you want. “The ones that you don’t want, throw away,” she says. Some guests leave alcohol as a tip for the housekeeper, but policies vary from hotel to hotel on whether they can accept it or not. Stack overflow takeaway boxes next to a waste bin Hotel waste bin are pretty small, and the remnants of last night’s dinner may not fit. If you’ve got overflow, pile the boxes next to the waste bin instead of leaving them scattered all around the room. “The messier you leave the room, the harder it is for the room attendant to clean that room,” Markham-Bagnera says. Check between the mattress and box spring When a room doesn’t have a safe, hotel guests will sometimes hide items they don’t want to leave around the room between the mattress and the box spring. Housekeepers have recovered weapons and sex toys there, Markham-Bagnera says. Move the furniture back If hotel guests are travelling with children, they sometimes move one of the beds against the wall so there’s less opportunity for a child to fall out of the bed. That’s fine, but the courtesy is to move the furniture back where you found it before you leave. Take your medications and supplies with you Forgetting your medication can be dangerous for you, but leaving supplies like needles in your room could also be hazardous to your housekeeper. Also, if you gashed yourself shaving and used a towel to stop the blood flow, separate the towel out from the rest. “Hotels will have protocols for how to clean it or for how they have to bag it and have a company come and dispose of it. Because they can’t just put that in the regular trash and be done with it in a hotel,” Markham-Bagnera says. Make sure you have your charger! “If I had a dollar for every charger that I found, I could take my whole family on vacation,” says hotel manager, Adam Sperling. These days, it’s bad news if your phone dies, so take that last look around. “It’s things that get left behind that can often cause you stress at the end of your journey,” he says. Think about a tip Room attendants are typically paid hourly, so their position is different from a bellhop or a server that might make less per hour with the expectation that they will make more in gratuities, Markham-Bagnera says. That said, room attendants work incredibly hard and tipping is appreciated. Things to consider? The quality of the hotel, whether you’re staying one night or multiple nights, and how messy you’re leaving the room. “If you’ve got a lot of people staying in the room and you’ve got a pullout sofa or a cot, and you’ve used a lot more towels, it certainly is nicer to leave a little extra,” Markham-Bagnera says. Call down to the front desk for transportation Mornings can be hectic at hotels, with out-of-town guests rushing to make meetings and flights in cities they don’t know. You can save yourself some of the hassle by doing a little prep before you leave the hotel room. “Call down and say, ‘hey, I’m leaving at 7.30 tomorrow, can my car be waiting for me?’” Sperling suggests. “That helps everybody. Your car’s waiting for you and we’re not scrambling to go get it at 7.25 when you need it at 7.30.” Book your next stay If you really liked your room and are planning to be back in the area, before you leave your hotel is a great time to rebook, Sperling says. He recommends you ask for the front desk manager for face-to-face treatment that can trump the savings online. “You’re likely to get a great rate, and you’re likely to get upgraded,” he says. Image credits: Shutterstock This article originally appeared on <a href="https://www.readersdigest.co.nz/travel/12-things-you-should-always-do-before-you-leave-your-hotel-room?pages=1" target="_blank" rel="noopener">Reader's Digest</a>.

Travel Tips

Dad left “furious” after mother-in-law rubs whiskey on baby’s gums

A dad has been left “furious” after learning his mother-in-law had rubbed whiskey on his six-month-old daughter’s gums as an “old fashioned” remedy for teething. Some have pointed out that the father’s response is a “red flag”, and perhaps the most concerning part of the story. Posting on Reddit’s “Am I the A**hole” forum, the baby’s 28-year-old first-time mother described the ordeal and asked whether she was in the wrong. She said she was at her mother’s house with her daughter, who is “teething horribly”. “My mum does some old fashion things and she’s really into herbs and natural healing and such, so she wanted to try rubbing whiskey on my daughter’s gums,” she wrote. “She said she did it to me and all three of my siblings. I let her, and it did seem to calm my daughter down a bit.” She told her husband when she got home and said “he was furious”. “He said that’s harmful to our daughter and it does not relieve any pain,” she continued. “He got really upset and said I shouldn’t let my mum do something like that, and told me I couldn’t bring our daughter to my mother’s anymore. “He’s since called the next two days off of work, and is super paranoid watching me every second with our daughter. I feel this is unfair.” While experts emphasise parents should never give whiskey or any other alcohol to teething babies, Reddit users had differing opinions. One wrote, “You’re the a**hole, yeah.” “I mean, you know alcohol is unsafe. It also happens not to work as a topical analgesic – if the baby quietens down, it’s because of the general sedative effect of alcohol. I think it’s hilarious how your mother conflates the use of a well understood but completely inappropriate drug with ‘herbs and natural healing’.” The second most popular reply said the woman was not in the wrong. “A tiny drop of alcohol on someone’s finger is absolutely not sedating a baby and is in no way harmful,” the user wrote. “Alcohol absolutely does have a numbing effect and is used topically for infants and adults with toothache as well. It’s absurd to get up in arms over something so mundane and he’s treating her like she allowed the baby to drink shots or something. I swear this sub is off the rails lately. Is it just solely populated by teenagers now?” A third chimed in, saying she made a “bad judgement call” but it was natural to take her own mother's advice. “It’s natural to look to our elders for guidance and to trust them,” they wrote. “While many mothers (including my own) have used this method, we know a lot more about these older ‘tried and true’ remedies these days … You’re not some monster that’s going to harm your child.” Others expressed that the husband’s reaction was worse than the old-fashioned teething remedy. “Honestly, if this is how your husband is reacting, that’s a red flag,” they said. “He’s right, it doesn’t relieve pain, and if you were to start doing it regularly, yeah, it can be harmful. However, it was a one-time thing that you told him about, and now you know not to do it again. “He shouldn’t be acting like it was a conspiracy to intentionally hurt your daughter.” Another user had the same opinion, writing, “Her husband literally took two days off work to micromanage parenting because of this? That’s excessive. It’s called having a conversation between two adults, saying, ‘We shouldn’t do this again’, and moving on!” A third said, "Your husband’s response is actually the most concerning part of this post … taking off work multiple days to ‘watch over’ your wife over something like this. “This should have been an easy discussion about how that’s not the right way to handle teething and then move on. “This isn’t real a big deal, the damage done to the child was literally zero. If this is how something like this is handled how are things that matter going to handled?” Image credit: Shutterstock

Family & Pets

Oscars slammed for In Memoriam snubs

The Oscars have been slammed for leaving out several big names from the In Memoriam segment, which honours the lives and careers of those who have died in the past year. Among those left out of the annual industry tribute was Six Days, Seven Nights star Anne Heche, beloved comedy actor Leslie Jordan, and Sopranos star Tony Sirico. Notably missing from the list was South African actress Charlbi Dean, 32, who died just weeks before the release of her film Triangle Of Sadness – one of the 10 nominated in the Best Picture category this year. Also left off the list was Goodfellas star Paul Sorvino, as his Oscar-winning daughter, Mira Sorvino, was just one of many who were left baffled by the snub. “It is baffling beyond belief that my beloved father and many other amazing brilliant departed actors were left out. The Oscars forgot about Paul Sorvino, but the rest of us never will!” she wrote on Twitter, after the Oscars segment aired with no mention of her famous father. While Paul was left out of the tribute, his fellow Goodfellas actors James Caan and Ray Liotta, who also passed away in the last year, were mentioned in the segment. An emotional John Travolta introduced the tear-jerking tribute segment, and became choked-up as he <a href="https://www.oversixty.co.nz/health/caring/john-travolta-s-teary-tribute-to-olivia-newton-john" target="_blank" rel="noopener">referenced </a>his late Grease co-star and friend, Olivia Newton-John, who died from cancer last August. “In this industry, we have the rare luxury of getting to do what we love for a living, and sometimes getting to do it with people that we come to love,” Travolta said Beginning with Newton-John, a montage of recently departed actors, directors, producers and other industry figures then played on the screen while singer Lenny Kravitz performed a stripped-down version of his song Calling All Angels. Image credits: Getty Images

Movies

Grandma sparks rift by secretly feeding baby its first solids

There are a lot of exciting firsts for parents, significant milestones that should be theirs to celebrate, but one defiant Grandmother doesn’t quite follow this philosophy. A mum has taken to Reddit to express her fury over her mother-in-law feeding her 10-week-old baby ice cream, the first solid food the child had ever been given. The mum explained on Reddit that she and her mother-in-law have a less-than-perfect relationship. While they remain civil, her mother-in-law’s criticism has only increased since the birth of her child. “I am so aggravated and upset,” she began her post titled “My mother-in-law fed my 10-week-old ice cream. When she was pregnant, her mother-in-law even went as far as to say she was “just the incubator”. Even her husband’s maternal grandmother had told her to be nicer. She also had some unusual bonding activities planned for when her granddaughter was born. "She has been itching to give my baby ice cream or frosting from before I even gave birth. I have noooo idea why. Both my husband and I said no multiple times," the mum wrote. "Yesterday she turned her back to me and gave my two-month-old ice cream. I'm assuming it was just the finger tip full of ice cream. I know this was true because later on she told my husband she did it.” Aside from the mother’s outrage, the bub was left with an upset stomach and a nappy rash. Although her baby wasn’t endangered, she remained understandably upset. "I can't forgive my mother-in-law. She knew it was wrong or she wouldn't have hid. We have repeatedly said no. She's still too young, we were worried about allergies, and we want to be there for fun stuff like that (when she's old enough)," she shared. She asked users if she would be taking it too far if she were to cut contact with her mother-in-law for a while, and they were clearly on the mother’s side. “This got me so heated. This is foul behavior from your mother-in-law." one person commented. “Should never be left alone with your kid. Seriously. She has shown herself to be unfit." another added. "Definitely put your mother-in-law in time out," said a third. "I gasped at this title! Never let her alone with your baby," a fourth wrote. "If it were me, she'd be cut off permanently.” Others questioned how a grandmother could risk making their grandchild sick just to prove a point. "A 10-week-old can't even have water - what the eff was she thinking? This would be my hill I'd happily die on. The rage I've got for you!" said a fellow mum. "That seems like a cruel thing to do to little one's digestive track," said another, while another wrote, "She... made your 10-week-old-baby sick.” The mum added an update thanking those who responded, saying she was overwhelmed. “I knew I would get some responses but I'm truly blown away with the amount. I'm even more blown away that you all believe I am not over-reacting," she wrote. "It makes me feel so validated. “In-law relationships can be so tricky but I truly feel they need a 'time out’." Image credit: Shutterstock

Family & Pets

5 reasons to check on your elderly neighbour during a heatwave

We all know someone who insists on wearing a cardigan in summer or refuses to turn on the air conditioning because “it’s not that hot”. Chances are this is an older person, and there’s a good reason for that. As we get older, we tend to not “feel” the heat <a href="https://www.sciencedirect.com/science/article/pii/S1568163710000450?casa_token=LxiONa0xZXQAAAAA:8IYLW0YquTHHUGkd2qiMgz6FNU3y2f4FIW96Lu9a-gjbAWw8iOgt7AOQ9C0UWMmDtXWOkqw#fig4">as much</a> even though our bodies are <a href="https://journals.physiology.org/doi/full/10.1152/japplphysiol.00202.2003">less able to handle the heat</a>. This contradiction can have <a href="https://www.sciencedirect.com/science/article/pii/S0160412017321980?casa_token=-nCG3M20MawAAAAA:VYwlO1kZIpibQnCLlm4LuSKMkK9nNvOgvdrXzUPHglOknNKp20UX0oty1DS2uWrlCZnoZhg">lethal consequences</a>, especially during periods of extreme heat. So, why is extreme heat so dangerous for older people? And what can we do to help? <h2>Why are older people at risk?</h2> <a href="https://www.sciencedirect.com/science/article/pii/S2212420921006324">Extreme heat kills</a> more Australians than <a href="https://www.sciencedirect.com/science/article/pii/S1462901114000999">all other natural hazards</a>, and people aged 60 or older account for 69% of those deaths. There are five key reasons we’re more susceptible to heat as we get older. 1. Bodily changes One of the main ways we lose excess heat, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228253/">blood flowing to our skin</a>, isn’t as effective as we get older. This is in part because the blood vessels in our skin don’t expand fast enough, and we may have less blood pumping with each beat of our heart. <a href="https://www.sciencedirect.com/science/article/pii/S016041202031864X#f0010">Many other changes</a> in our bodies also lead us to gain and store more heat as we get older. These include how our bodies control sweat and how well our kidneys balance fluid, which are both important for staying cool. 2. Social isolation Loneliness and social isolation are <a href="https://www.sciencedirect.com/science/article/pii/S1064748120304425">health risks</a> on their own, but also <a href="https://www.sciencedirect.com/science/article/pii/S0160412020318237#b0065">multiply the risk</a> of heat-related illness. A South Australian <a href="https://www.mdpi.com/1660-4601/10/12/6721">survey</a> of older people showed those who were socially isolated were less confident in asking for help during a heatwave. This is concerning as many older Australians <a href="https://www.aihw.gov.au/reports/older-people/older-australians/contents/housing-and-living-arrangements">live alone</a>, and we are more likely to live alone as we get older. 3. Beliefs and behaviour Older Australians may not respond to heat in ways that protect their own health and wellbeing. Australian culture tends to view heat tolerance as a matter of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3290974/">resilience</a> and <a href="https://www.tandfonline.com/doi/full/10.3402/gha.v5i0.19277">identity</a>, where there is a sense of generational pride in being able to cope with the heat. <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/c67cf100436d8e7082a2dfc9302c1003/Adaptive+capabilities+in+elderly+people+during+extreme+heat+events+in+SA+-+Public+Health+Service+-+scientific+services+20140328.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-c67cf100436d8e7082a2dfc9302c1003-nKKgCmQ">Reports also suggest</a> many older people have concerns about the cost of air conditioning, may be hesitant to use it, or accidentally use reverse cycle units as heaters. 4. Medical issues Many chronic illnesses that are more common with age are also associated with an increased risk for heat-related illness. Because blood flow is so important for regulating our body temperature, it’s not surprising that conditions such as <a href="https://www.sciencedirect.com/science/article/pii/S1071916417300969?casa_token=LEe23NWx7V0AAAAA:-cw7TgysaYdqXq0FTuTtIxxE3Oua1NImlwmmvWWSyt39guUUWbzOsevcsoBI8tw5hbbkwaI">heart failure</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861190/">diabetes</a> are associated with increased heat risk. Similarly, many medications commonly prescribed for chronic illnesses can <a href="https://www.health.vic.gov.au/environmental-health/extreme-heat-information-for-clinicians">interfere</a> with how our body regulates temperature. For instance, some blood pressure medicines reduce our ability to sweat and lose heat. 5. Home environment It is <a href="https://www.anglicare.asn.au/wp-content/uploads/2022/09/Australia-Fair-Ageing-in-Place.pdf">increasingly difficult</a> for older Australians to find affordable and appropriate housing, especially pensioners and renters. Poor home design, lack of insulation, inability to pay their energy bills, and limited income <a href="https://cur.org.au/cms/wp-content/uploads/2016/12/heatwaveshomeshealth-briefing-paper_rmit-2.pdf">all contribute</a> to being vulnerable to heatwaves in Australia. This is particularly troubling as energy prices soar. <h2>What can we do?</h2> Older Australians Knowing the risks of extreme heat is the first step. Don’t <a href="https://www.mdpi.com/1660-4601/10/1/1">underestimate</a> your own risk during a heatwave. There are many practical ways we can all keep ourselves and our homes cool, both safely and efficiently. These include: <ul> <li>using a fan, <a href="https://theconversation.com/how-humid-is-it-3-things-to-keep-you-cool-in-a-hot-and-sticky-summer-and-3-things-that-wont-176365">which is effective</a>, especially when it’s humid, but may <a href="https://www.sciencedirect.com/science/article/pii/S0003687014001355?casa_token=NoCMHlZZ_SUAAAAA:vu-Yk1WnHpy5RsumlwQ-5_SvvuMjJLeV5Cm087QTUYKI6kLUKwjnZ1-FuATlzGDC36WyCTI">not be enough</a> when it’s very hot and dry. If you have an air conditioner, consider using it</li> <li> knowing the conditions inside your home by installing thermometers that ideally also <a href="https://theconversation.com/how-humid-is-it-3-things-to-keep-you-cool-in-a-hot-and-sticky-summer-and-3-things-that-wont-176365">measure humidity</a> so you know which ways will work best to cool down </li> <li> opening windows facing away from the sun when it’s cooler outside; otherwise keep blinds closed in the heat of the day </li> <li> taking cool showers or applying a damp cloth to the back of your neck can help cool the skin </li> <li> taking regular, small drinks of water, even when you’re not thirsty (unless you have <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/heat-stress-and-older-people#how-to-help-an-older-relative-or-friend">heart or kidney problems</a> in which case you need to talk to your doctor first as too much water may be a problem for you) </li> <li> <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/6023f98b-bdcf-416b-9d3a-cfff9ea728c8/A4+Poster+-+Signs+and+symptoms+of+heat+illness.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-6023f98b-bdcf-416b-9d3a-cfff9ea728c8-nwMnDGl">knowing the signs</a> of heat exhaustion and heat stroke. </li> </ul> Older relatives, friends and neighbours We can all keep an eye on our older relatives, friends and neighbours as: <ul> <li> keeping in touch is <a href="https://link.springer.com/article/10.17269/s41997-020-00309-2">great protection</a> from heat-related illness; check in regularly </li> <li> when an older person can’t keep the house cool, support a day trip to a cooler place such as a library, cinema, or shopping centre </li> <li> encourage them to talk to their doctor about how medical conditions or medications might increase their risk to heat. </li> </ul> <h2>We need to raise awareness</h2> Australians are growing complacent about the health risks of extreme heat, see heatwaves as normal and public health messages <a href="https://widgets.figshare.com/articles/7618403/embed?show_title=1">aren’t cutting through</a> any more. It’s also important to remember that older people aren’t all the same, so any public health approaches to extreme heat should be tailored to <a href="https://www.sciencedirect.com/science/article/pii/S0959378010001135?casa_token=e3YcjpeKWsgAAAAA:jzFlD6Wk7dvO05YEuoteZ0jUmMVc6eJczVhLxpDcw8qrLvCoTkvo2dz_wH_puWE-frzQNx4">communities and individuals</a>. One way we’re trying to help is by working directly with older people. Together, we’re <a href="https://www.griffith.edu.au/research/climate-action/climate-transitions/health/ethos-project">researching and developing a smart device</a> that makes it easier to know when your house is getting warm, and customising strategies you can use to cool down safely. <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; background-color: #ffffff;">Image credits: Getty Images <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 0px; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; background-color: #ffffff;">This article originally appeared on <a href="https://theconversation.com/5-reasons-to-check-on-your-elderly-neighbour-during-a-heatwave-196218" target="_blank" rel="noopener">The Conversation</a>.

Retirement Life

Air travel spreads infections globally, but health advice from inflight magazines can limit that

“Travel safe, travel far, travel wide, and travel often,” <a href="https://thoughtcatalog.com/matthew-kepnes/2014/01/53-travel-quotes-to-inspire-you-to-see-the-world/">says</a> <a href="https://www.nomadicmatt.com/">Nomadic Matt</a>, the American who quit his job to travel the world, write about it and coach others to do the same. But there’s a downside to all this travel, with its unprecedented volume of passengers moving from one side of the world to the other, largely by plane. There’s the risk of those passengers spreading infectious diseases and microorganisms resistant to multiple drugs (superbugs) around the world. Yet, our recently published <a href="https://www.sciencedirect.com/science/article/pii/S1477893919301218">research</a> into health advice provided by inflight magazines shows plane passengers are given practically no advice on how to limit the spread of infectious diseases. Should we be worried about the part air travel plays in spreading infectious diseases? And what can we do about it? How big is the risk? Low airfares and a series of social and economic factors have made global air travel more common than ever. According to the Australian government department of infrastructure, transport, cities and regional development the <a href="https://www.bitre.gov.au/publications/ongoing/files/International_airline_activity_CY2018.pdf">number of passengers taking international scheduled flights in 2018 was 41.575 million</a>. But the International Air Transport Association projects passenger demand will <a href="https://www.iata.org/pressroom/pr/Pages/2019-02-27-02.aspx">reach 8.2 billion by 2037</a>. There are many examples of infectious diseases spread via international flying. The World Health Organization documented <a href="https://www.who.int/ith/mode_of_travel/tcd_aircraft/en/">transmission of tuberculosis</a> (TB) on board commercial aircraft during long-haul flights during the 1980s. Research published in 2011 documents the <a href="https://wwwnc.cdc.gov/eid/article/17/7/10-1135_article">transmission of influenza</a> on two transcontinental international flights in May 2009. More recently, the current <a href="https://theconversation.com/why-people-born-between-1966-and-1994-are-at-greater-risk-of-measles-and-what-to-do-about-it-110167">global outbreak of measles</a> in many countries, including the Philippines and the United States, gave rise to the risk of transmission during international travel. In a recent case a <a href="https://www.health.nsw.gov.au/Infectious/alerts/Pages/measles-alert-january.aspx">baby</a> too young to be vaccinated who had <a href="https://www.smh.com.au/national/nsw/measles-alert-after-infectious-baby-flew-from-manila-went-to-central-coast-20190603-p51tzs.html">measles</a> returned from Manilla in the Philippines to Sydney, exposing travellers on that flight to infection. Then there is the risk of transmitting antimicrobial-resistant organisms that cause disease, such as <a href="https://theconversation.com/explainer-what-is-tb-and-am-i-at-risk-of-getting-it-in-australia-75290">multi-drug resistant TB</a>. Recently, patients in Victoria and New South Wales were identified as carrying the drug-resistant fungus <a href="https://www2.health.vic.gov.au/about/news-and-events/healthalerts/candida-auris-case-detected-in-victoria">Candida auris</a>, which they acquired overseas. <a href="https://www.ncbi.nlm.nih.gov/pubmed/27890665">One study</a> estimates that over 300 million travellers visit high-risk areas, such as the western Pacific, Southeast Asia and Eastern Mediterranean, each year worldwide, and more than 20% return as new carriers of resistant organisms. These popular destinations, as well as the Middle East, have high rates of drug resistant organisms. How is this happening? Aircraft move large volumes of people around the world swiftly. But what sets them apart from buses and trains is that passengers are close together, in confined spaces, for a long time. This increases the risk of transmitting infections. Passengers interact with high-touch surfaces, such as tray tables, headsets, seats and handles. We cough, sneeze and touch multiple surfaces multiple times during a flight, with limited opportunities to clean our hands with soap and water. Many infections, such as gastroenteritis and diarrhoea, are spread and contracted by touch and contact. What can we do about it? Providing plane travellers with relevant health advice is one way to limit the spread of infectious diseases via air travel. This would include information and advice on routine hand washing with soap and water, or using alcohol-based hand rubs, and other basic measures including cough etiquette, such as coughing into your elbow and covering your nose and face. <a href="https://academic.oup.com/jtm/article/4/2/102/1847252">Researchers</a> have looked at the role commercial websites and travel agencies might play in providing that advice. And since the 1990s, airline magazines have been <a href="https://academic.oup.com/jtm/article/4/2/102/1847252">highlighted</a> as an underused source of traveller health advice. More than 20 years on, we discovered little has changed. In our recent study, published in the journal <a href="https://www.sciencedirect.com/science/article/pii/S1477893919301218">Travel Medicine and Infectious Disease</a>, we looked at the content of inflight magazines from 103 airlines issued during January 2019. Of the 47 available online, only a quarter (11) included an official section on passengers’ general health and well-being, of which only two contained information related to infection control and the preventing infectious diseases. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=450&fit=crop&dpr=1 600w, https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=450&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=450&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=566&fit=crop&dpr=1 754w, https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=566&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/284424/original/file-20190717-173366-w48bmn.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=566&fit=crop&dpr=3 2262w" alt="" /></a><figcaption>Inflight magazines have a potential audience of billions. So why not include advice on hand hygiene and coughing etiquette? <a class="source" href="https://www.shutterstock.com/download/confirm/1424594042?src=vUDfEziJwFDV7GZr5OYMRA-1-2&studio=1&size=medium_jpg">from www.shutterstock.com</a></figcaption></figure> The first magazine, from a UAE-based airline, had an official section on passenger health and well-being that included very limited relevant content. It advised passengers “with blood diseases or ear, nose and sinus infections should seek medical advice before flying”. There was no further explanation or information, nor were there any strategies to prevent these or other infections. The second magazine, from a USA-based airline, contained general travel health advice, but none specifically about infectious diseases. However there was a full-page, colour advertisement next to the health section. This contained images of many disease causing microorganisms on passengers’ tray tables and advocated the use of a disinfectant wipe for hands and other inflight surfaces. The slogan “because germs are frequent fliers” was displayed across the tray table. This was accompanied by information about the use and effectiveness of disinfectant wipes for hand hygiene and disinfecting surfaces during air travel, public transport use, and in hotels and restaurants. Inflight magazines are valuable assets for airlines and are the source of considerable advertising revenue. They are read by potentially billions of passengers every year. The results of this study show that they are a greatly underused source of information about infection control and measures to prevent the spread of infectious diseases. Airlines should also provide health advice to passengers in other media, in particular video screens, about infection prevention and basic control measures such as hand hygiene, cough etiquette and personal hygiene. Such advice should be provided before, during and after the flight. It could also include destination-related advice for particularly risky travel routes and destinations. More information for passengers Airlines providing health advice to passengers is just one way to limit the spread of infectious diseases and antimicrobial-resistant organisms around the world via air travel. This would need to sit alongside other measures, such as <a href="https://wwwnc.cdc.gov/travel/page/travel-industry-information-center">information and guidelines</a> provided to those who travel via the sea. The simple, low-cost measures highlighted in our research could go a long way to help passengers stay healthy and avoid illness from infectious diseases. At the same time, these measures could reduce the impact of outbreaks of infectious diseases for airlines and society as a whole.<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/120283/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> Writen by Ramon Zenel Shaban and Cristina Sotomayor-Castillo. Republished with permission from <a href="https://theconversation.com/air-travel-spreads-infections-globally-but-health-advice-from-inflight-magazines-can-limit-that-120283" target="_blank" rel="noopener">The Conversation</a>. Image: Getty Images

International Travel

Jonnie Irwin shares an emotional health update

Jonnie Irwin, star of ‘A place in the Sun’ has given fans an emotional update on his health via social media. In a statement released on Monday Irwin, 48, said he wanted to do “as much as we can as a family” before the time comes, with him revealing that doctors have only given him six months to live upon diagnosis with terminal cancer. Despite sharing the news for the first time on Monday 14 November, Irwin was diagnosed with lung cancer in 2020 and learned that his cancer had spread to his brain. “I don’t know how long I have left,” he told Hello magazine. “I try to stay positive and my attitude is that I’m living with cancer, not dying from it.” Irwin developed a huge fanbase as the host of TV show A Place In The Sun, where he helped couples move from homes in Britain to somewhere close to “sun, sea and sand abroad”. He has received an outpouring of supportive messages since revealing his diagnosis prompted him to provide an update on Instagram, where he has an audience of over 78,000 followers. Jonnie and wife Jessica have three sons - three-year-old Rex and two-year-old twins Rada and Cormac. The beloved presenter has told Hello Magazine that he had shifted his mentality from assuming he would not be well enough for certain milestones to instead setting “little markers” of moments he wanted to be around for. Jonnie was in Italy filming A Place in the Sun when he experienced blurry vision while driving, he noticed something was off. “Within a week of flying back from filming, I was being given six months to live,” he said. Despite the initial prognosis, treatment including chemotherapy has helped prolong Irwin’s life. After two years of living with cancer, he said he wanted to share his story beyond the “very small group of friends and family” who knew. Image: Instagram

Caring

Easy cancer checks you can do at home

As life expectancy around the world continues to grow, so does the likelihood of developing cancer. However, despite more people than ever being diagnosed with cancer, we’re also more likely to survive it than ever. This is due not only to greater awareness and improved treatment, but also thanks to more and more people knowing what to look for. Here are just a few easy cancer checks you can do right now, right at home. You never know, you could save your own life. Head and neck cancer <ol> <li>Face – Look out for any new swellings, changes in moles or anything you haven’t noticed before. Turn your head from side to side to make bumps easier to see.</li> <li>Neck – Use your fingers to examine under your jaw and around your neck muscles. See if each side of the neck feels the same and keep an eye out for any swellings.</li> <li>Lips – Feel the inside of your mouth using your fingers, pulling your top lip upwards and bottom lip downwards to check for any sores or changes.</li> <li>Gums – Run your fingers along your top and bottom gums, feeling for anything unusual.</li> <li>Cheeks – Turn your cheeks inside out and examine them for any red or white patches in the mirror. Then, check the cheeks for any ulcers, lumps or soreness with your finger and tongue.</li> <li>Tongue – Gently grab hold of your tongue, lifting it in every direction and looking out for swellings, ulcers or changes in colour. Don’t forget to examine under your tongue, too.</li> <li>Roof of mouth – Tilt your head back, open your mouth and check for any sores or changes in colour or texture.</li> </ol> Skin cancer <ol> <li>Get acquainted with your skin, using a mirror if necessary, noting any spots, moles or noticeable blemishes.</li> <li>Every three months, perform another self-examination, looking out for any new spots or changes in the size, colour, shape or texture of existing spots. If you do find new spots or changes, visit your doctor as soon as possible.</li> </ol> Breast cancer <ol> <li>Feel around your breasts and become familiar with what it feels (and looks) like normally.</li> <li>Perform regular self-examinations, looking out for the following: dimpled, puckered or bulging skin, changes in the nipple, redness, soreness, rash or swelling.</li> <li>To check for lumps, feel around your breasts while lying down, then again while standing up, both with arms lowered and raised. Also, be on the lookout for any discharge from the nipples.</li> <li>If anything appears to be even slightly abnormal, see your doctor as soon as possible.</li> </ol> Testicular cancer <ol> <li>A testicular self-examination should be performed every month, preferably during or after a hot shower or bath, as this is when the skin is most relaxed.</li> <li>Examine one testicle at a time, rolling it gently between your finger. You will be able to feel the epididymis, a soft, rope-like and slightly tender lump. This is normal.</li> <li>Feel for any lumps along the front and sides, but don’t dismiss any as being too small. A lump could be as small as a grain of rice.</li> <li>If you notice any bumps, swelling, pain, or changes in colour or size to your testicles, arrange an appointment with your GP right away.</li> </ol> As always consult with a doctor/medical professional if you have any questions. Image: Getty

Caring

Disturbing twist in children's suitcase homicide

The two suitcases that contained the bodies of siblings in Auckland were reportedly moved from one unit storage to another before the harrowing discovery. Two children’s bodies were discovered in suitcases by an Auckland family who purchased the bags at an auction on August 11. It has now been revealed that the suitcases were moved in the second half of 2021 between different storage units at the same SafeStore Papatoetoe facility, <a href="https://www.nzherald.co.nz/nz/suitcases-containing-childrens-remains-were-moved-between-storage-units-a-year-before-harrowing-discovery/RWQQNLAU6HINPF6A5L6F2EOMIQ/" target="_blank" rel="noopener">NZ Herald</a> reported. A worker told the publication that there were dead flies and rats around the bags but no smell to indicate anything more damning. A SafeStore spokesperson refused to comment due to the ongoing police investigation in which a woman from South Korea, believed to be the children’s mother was arrested. The 42-year-old <a href="https://oversixty.com.au/lifestyle/family-pets/woman-arrested-in-relation-to-dead-children-found-in-suitcases" target="_blank" rel="noopener">woman was arrested</a> by local police following a request from NZ Police. "South Korean authorities arrested the woman today on a Korean arrest warrant pursuant to two charges of murder relating to the two young victims," Detective Inspector Tofilau Faamanuia Vaaelua said at the time of the arrest. "The arrest warrant was issued by the Korean Courts as a result of a request by NZ Police for an arrest warrant under the extradition treaty between New Zealand and the Republic of Korea (South Korea). “NZ Police have applied to have her extradited back to New Zealand to face the charges and have requested she remain in custody whilst awaiting the completion of the extradition process.” At the time, Detective Inspector Vaaelua suggested that the children were aged 10 and five respectively when they died four years ago. The family who purchased the property where the suitcases were found are not involved in the deaths and have asked for privacy. Images: NZ Herald

Legal

Say what? Here’s why you should check your hearing this September

With Women’s Health Week held every September, it offers us a chance to really focus on the different aspects of our health that we might not think about in our day-to-day lives. For Lauren McNee, a clinical trainer and audiologist at Audika, this week provides the opportunity to check in with something many of us ignore: hearing loss. “Overall, Australians are not taking action to look after their hearing, with only one in five planning a hearing test in the next 12 months - compared to 39 percent who intend to get an eye test in the same period,” she tells OverSixty. Over 1.5 billion people live with some form of hearing loss, ranging from mild to profound loss that can affect one or both of your ears. Though we might not think about it all that much, we rely on our ability to hear to interact with the world around us, with the <a href="https://www.who.int/health-topics/hearing-loss#tab=tab_1" target="_blank" rel="noopener">World Health Organisation</a> reporting that hearing loss can result in social isolation, loneliness and frustration, as well as $US 980 billion cost to the global economy each year. McNee says that taking the chance to check up on our ear health is particularly important as we age too, and should be among the various tests and check-ups we do to monitor our health. As we age, most of us will lose our hearing in some way, in a condition called presbycusis. According to the <a href="https://www.nidcd.nih.gov/health/age-related-hearing-loss" target="_blank" rel="noopener">National Institue on Deafness and Other Communication Disorders</a>, most of us will experience a combination of noise-induced hearing loss - from listening to sounds that are too loud or last too long - as well as age-related hearing loss which can occur because of changes to our inner ear. For women, McNee says that those with hearing loss are <a href="http://archotol.jamanetwork.com/article.aspx?articleid=1835392">more likely to suffer from depression</a> - but there are some key signs to look out for to catch hearing loss early. “Some key signs to look for include difficulty following conversations, phone conversations may be unclear, people seem to be mumbling, difficulty locating where sounds are coming from, ringing or buzzing in the ears, or even finding that you have to keep turning up the volume on the TV or radio,” she explains. “When a person’s communication becomes limited due to hearing loss, this can result in withdrawal from social activities and can lead to isolation – which we know can be a gateway to experiencing symptoms of depression.” Who’s at risk of hearing loss? Though McNee says hearing loss “doesn’t discriminate”, there are some factors that can increase your risk of losing your hearing. “It depends on a few factors, including your age and risk factors such as family history, occupation, and any pre-existing conditions like diabetes – which is known to be linked to hearing loss,” McNee explains. Whether our hearing loss is due to exposure or age, the damage and changes in our ears can’t be reversed. But, there are ways to protect your ears from other causes of hearing loss and reduce your risk of further loss. “If you are exposed to loud noises regularly, like renovations, loud music or engines, make sure you are taking steps to protect your ears at those times by wearing appropriate hearing protection,” McNee suggests. “If you like to listen to music, especially with ear bud headphones, make sure the volume is such that you can still hear others around you or keep listening time down.” McNee also suggests checking your hearing regularly, and that an annual check-up if you’re over the age 50 is best. “We usually recommend that people that aren’t exhibiting hearing loss, but are over the age of 50, get screened once a year just to be safe,” McNee says. “If you are at high-risk of hearing loss, or you are exhibiting symptoms, it’s important to get tested as soon as possible. Early detection can help reduce the risk of other related conditions such as depression.” Luckily, checking your hearing is a pretty quick and simple process, with tests offered in-person and online for free. Image: Getty Images

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