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Fresh claims about Queen Elizabeth's health in her final days

Former British Prime Minister Boris Johnson has shared a sad claim about Queen Elizabeth and her secret health battle that she was going through before her death in 2022. Johnson reflected on his relationship with the former monarch in his upcoming memoir, Unleashed, detailing his final meeting with the Queen at Balmoral Castle just days before she died. In the book, he explained that the Queen had been battling bone cancer and was worried about the deterioration of her condition. “I had known for a year or more that she had a form of bone cancer, and her doctors were worried that at any time she could enter a sharp decline,” Johnson wrote in an excerpt obtained by the <a href="https://www.dailymail.co.uk/news/article-13901877/BORIS-JOHNSON-meeting-Queen-inspirational-words-wisdom.html">Daily Mail</a>. Before their meeting, Johnson claimed the Queen’s private secretary, Edward Young, warned him that her health had “gone down quite a bit over the summer.” “She seemed pale and more stooped, and she had dark bruising on her hands and wrists, probably from drips or injections,” Johnson wrote. He continued, “But her mind – as Edward had also said – was completely unimpaired by her illness, and from time to time in our conversation she still flashed that great white smile in its sudden mood-lifting beauty.” Queen Elizabeth died just two days after their final meeting. According to Johnson, the Queen “had known all summer that she was going, but was determined to hang on and do her last duty” by overseeing the “peaceful and orderly transition” of power from him to his successor Liz Truss. Johnson isn’t the first person to have claimed the late monarch was diagnosed with cancer during her final years, as royal author Gyles Brandreth wrote about rumours Her Majesty had a rare form of myeloma, a bone marrow cancer, in his book, Elizabeth: An Intimate Portrait. He explained that the diagnosis “would explain her tiredness and weight loss and those ‘mobility issues’ we were often told about during the last year or so of her life.” However, the Queen’s official cause of death was listed as “old age” and the palace has never disclosed any other medical records. Image credits: Andrew Parsons/No 10 Downing Street/UPI/Shutterstock Editorial

Caring

We tend to underestimate our future expenses – here’s one way to prevent that

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/ray-charles-chuck-howard-1361224">Ray Charles "Chuck" Howard</a>, <a href="https://theconversation.com/institutions/texas-aandm-university-1672">Texas A&M University</a>; <a href="https://theconversation.com/profiles/abigail-sussman-227057">Abigail Sussman</a>, <a href="https://theconversation.com/institutions/university-of-chicago-952">University of Chicago</a>; <a href="https://theconversation.com/profiles/david-j-hardisty-753777">David J. Hardisty</a>, <a href="https://theconversation.com/institutions/university-of-british-columbia-946">University of British Columbia</a>, and <a href="https://theconversation.com/profiles/marcel-lukas-1236384">Marcel Lukas</a>, <a href="https://theconversation.com/institutions/university-of-st-andrews-1280">University of St Andrews</a> <h2>The big idea</h2> When asked to estimate how much money they would spend in the future, people underpredicted the total amount by more than C$400 per month. However, when prompted to think about unexpected spending in addition to typical expenses, people made much more accurate predictions. These are the main findings of a series of <a href="https://doi.org/10.1177%2F00222437211068025">studies and experiments that we conducted</a> and which have just been published in the <a href="https://journals.sagepub.com/home/mrj">Journal of Marketing Research</a>. In our first study, we began by asking 187 members of a Canadian credit union to predict their weekly spending for the next five weeks. Then, at the end of each week, we asked them how much they actually spent. For the first four weeks, people underpredicted their weekly spending by about $100 per week or $400 for the month. In the study’s fifth and final week, we ran an experiment to see if we could improve people’s prediction accuracy. Specifically, we randomly assigned participants to one of two groups. In group one, participants estimated their spending for the next week just as they had done in previous weeks. These folks once again significantly underpredicted their spending. In group two, participants were asked to think of three reasons why their spending for the next week might be different than usual before making their estimate. This led them to make higher and much more accurate predictions – coming within just $7 of what they actually spent. Importantly, participants in each group spent roughly the same amount of money that week, on average. The only difference between the two groups was whether they accurately predicted that amount. <iframe id="WlDv3" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/WlDv3/3/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe> Next, we conducted nine experiments to better understand why people underpredict their spending and whether being prompted to think of unusual expenses helps improve accuracy. In all, over 5,800 people participated in these experiments, including a representative sample of U.S. residents. These experiments revealed two important insights. First, people primarily base their spending predictions on typical expenses like groceries, gasoline and rent. They usually fail to account for irregular – though still common – expenses like car repairs, last-minute concert tickets or one-off health care bills. This is what leads to underprediction. Second, prompting people to think of irregular expenses in addition to typical expenses helps them to make more accurate spending predictions. In our studies, people did not factor in atypical expenses unless we asked them to do so. <h2>Why it matters</h2> Helping people improve the accuracy of their spending predictions could help them improve their financial well-being. Underpredicting expenses can be costly. For example, 12 million Americans <a href="https://www.pewtrusts.org/en/research-and-analysis/reports/2012/07/19/who-borrows-where-they-borrow-and-why">borrow a total of more than $7 billion</a> in payday loans each year because they can’t meet their monthly expenses. These loans typically have extremely high interest rates – <a href="https://www.pewtrusts.org/en/research-and-analysis/data-visualizations/2022/how-well-does-your-state-protect-payday-loan-borrowers">more than 250% in some states</a>. Payday loans also come due in full so quickly that around three in four borrowers <a href="https://www.pewtrusts.org/en/research-and-analysis/reports/2012/07/19/who-borrows-where-they-borrow-and-why">end up borrowing again</a> to pay off the original loan. If consumers could better anticipate how much money they will spend in the future, it might help motivate them to spend less and save more in the present. In fact, one of our studies shows that our suggested prediction strategy <a href="https://doi.org/10.1177/0022243721106802">not only boosted spending estimates</a>, it also increased intentions to save. <h2>What’s next</h2> Members of our research team are currently investigating if, when and why underpredicting one’s expenses may be beneficial. For example, if a person sets an optimistically low budget and actively tracks their spending against it, does that help them reduce their spending? We are also investigating whether people who work in the gig economy show a corresponding tendency to mispredict their future income.<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/189100/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ray-charles-chuck-howard-1361224">Ray Charles "Chuck" Howard</a>, Assistant Professor of Marketing, <a href="https://theconversation.com/institutions/texas-aandm-university-1672">Texas A&M University</a>; <a href="https://theconversation.com/profiles/abigail-sussman-227057">Abigail Sussman</a>, Professor of Marketing, <a href="https://theconversation.com/institutions/university-of-chicago-952">University of Chicago</a>; <a href="https://theconversation.com/profiles/david-j-hardisty-753777">David J. Hardisty</a>, Assistant Professor of Marketing & Behavioral Science, <a href="https://theconversation.com/institutions/university-of-british-columbia-946">University of British Columbia</a>, and <a href="https://theconversation.com/profiles/marcel-lukas-1236384">Marcel Lukas</a>, Lecturer in Banking and Finance, <a href="https://theconversation.com/institutions/university-of-st-andrews-1280">University of St Andrews</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/we-tend-to-underestimate-our-future-expenses-heres-one-way-to-prevent-that-189100">original article</a>. </div>

Money & Banking

Iconic Days of Our Lives star dies aged 70

Drake Hogestyn has passed away aged 70. The Days of Our Lives actor, known for his long-running role as John Black passed away on Saturday after a battle with pancreatic cancer, according to a statement shared by his family on Instagram. “It’s with heavy hearts that we announce the passing of Drake Hogestyn,” the statement began. “He was thrown the curve ball of his life when he was diagnosed with pancreatic cancer, but he faced the challenge with incredible strength and determination.” “After putting up an unbelievable fight, he passed peacefully surrounded by loved ones. He was the most amazing husband, father, papa and actor. He loved performing for the ‘Days’ audience and sharing the stage with the greatest cast, crew, and production team in the business. We love him and we will miss him all the Days of our Lives.” Hogestyn first appeared on the iconic US soap opera in 1986, and played John Black for 38 years. In a statement to Soap Opera Digest, Days Of Our Lives executive producer Ken Corday remembered the actor, who appeared in more than 4,200 episodes of the show. “This is a very difficult one for all of us,” he said. “Hogey was the ultimate team player and there are not sufficient words to express how deeply he will be missed. His impact on our show, personally and professionally, was profound and will forever remain unmatched.” His co-stars and colleagues have also paid their respects on social media. “I’m so saddened by this news,” tweeted Kassie DePaiva, who played Eve on the soap. “One of the kindest people I have ever worked with. What an amazing life he lived. He will be missed. He made the world a better place.” Fellow veteran soap star Nancy Lee Grahn, who plays Alexis on General Hospital tweeted: “My deepest condolences to Drake Hogestyn’s family, friends and fans. What a lovely, lovely gracious man.” Image: SplashNews.com/ Shutterstock Editorial

Caring

Why are we seeing more pandemics? Our impact on the planet has a lot to do with it

<a href="https://theconversation.com/profiles/olga-anikeeva-1522907">Olga Anikeeva</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/jessica-stanhope-1129888">Jessica Stanhope</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/peng-bi-1522908">Peng Bi</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/philip-weinstein-882901">Philip Weinstein</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Pandemics – the global spread of infectious diseases – seem to be making a comeback. In the Middle Ages we had the Black Death (plague), and after the first world war we had the Spanish flu. Tens of millions of people <a href="https://assets.cureus.com/uploads/review_article/pdf/69273/20211019-25919-an4y6h.pdf">died from these diseases</a>. Then science began to <a href="https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2011.00053/full">get the upper hand</a>, with vaccination eradicating smallpox, and polio nearly so. Antibiotics became available to treat bacterial infections, and more recently antivirals as well. But in recent years and decades pandemics <a href="https://assets.cureus.com/uploads/review_article/pdf/69273/20211019-25919-an4y6h.pdf">seem to be returning</a>. In the 1980s we had HIV/AIDS, then several flu pandemics, SARS, and now COVID (no, COVID isn’t over). So why is this happening, and is there anything we can do to avert future pandemics? <h2>Unbalanced ecosystems</h2> Healthy, stable ecosystems provide services that keep us healthy, such as supplying food and clean water, producing oxygen, and making green spaces available for our <a href="https://www.millenniumassessment.org/documents/document.356.aspx.pdf">recreation and wellbeing</a>. Another key service ecosystems provide is disease regulation. When nature is in balance – with predators controlling herbivore populations, and herbivores controlling plant growth – it’s more difficult for pathogens to emerge in a way that causes pandemics. But when human activities <a href="https://books.google.com.au/books?hl=en&lr=&id=rWozz12K1aUC&oi=fnd&pg=PP15&dq=planetary+overload&ots=c9mWuESUXN&sig=-1iP3uSOWazvC2OFLk4vginWbQQ&redir_esc=y#v=onepage&q=planetary%20overload&f=false">disrupt and unbalance ecosystems</a> – such as by way of climate change and biodiversity loss – <a href="https://academic.oup.com/bioscience/article/58/8/756/381265">things go wrong</a>. For example, climate change affects the number and distribution of plants and animals. Mosquitoes that carry diseases can move from the tropics into what used to be temperate climates as the planet warms, and may infect more people in the months that are normally disease free. We’ve studied the relationship between weather and dengue fever transmission in China, and <a href="https://pubmed.ncbi.nlm.nih.gov/27883970/">our findings</a> support the same conclusion reached by <a href="https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008118">many other studies</a>: climate change is likely to put more people at risk of dengue. Biodiversity loss can have similar effects by disrupting food chains. When ranchers cleared forests in <a href="https://www.mdpi.com/1999-4915/6/5/1911">South America</a> for their cattle to graze in the first half of the 20th century, tiny forest-dwelling, blood-feeding vampire bats suddenly had a smörgåsbord of large sedentary animals to feed on. While vampire bats had previously been kept in check by the limited availability of food and the presence of predators in the balanced <a href="https://cir.nii.ac.jp/crid/1130000797648461952">forest ecosystem</a>, numbers of this species exploded in South America. These bats carry the rabies virus, which causes <a href="https://www.who.int/news-room/fact-sheets/detail/rabies">lethal brain infections</a> in people who are bitten. Although the number of deaths from bat-borne rabies has now fallen dramatically due to vaccination programs in South America, rabies caused by bites from other animals still <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168224/">poses a global threat</a>. As urban and agricultural development impinges on natural ecosystems, there are increasing opportunities for humans and domestic animals to become infected with pathogens that would normally only be seen in wildlife – particularly when people hunt and eat animals from the wild. The HIV virus, for example, <a href="https://www.tandfonline.com/doi/abs/10.1076/jmep.27.2.163.2992">first entered human populations</a> from apes that were slaughtered for food in Africa, and then spread globally through travel and trade. Meanwhile, bats are thought to be <a href="https://www.sciencedirect.com/science/article/pii/S0006291X20319434">the original reservoir</a> for the virus that caused the COVID pandemic, which has killed more than <a href="https://www.worldometers.info/coronavirus/">7 million people</a> to date. Ultimately, until we effectively address the unsustainable impact we are having on our planet, pandemics will continue to occur. <h2>Targeting the ultimate causes</h2> Factors such as climate change, biodiversity loss and other global challenges are the ultimate (high level) cause of pandemics. Meanwhile, increased contact between humans, domestic animals and wildlife is the proximate (immediate) cause. In the case of HIV, while direct contact with the infected blood of apes was the proximate cause, the apes were only being slaughtered because large numbers of very poor people were hungry – an ultimate cause. The distinction between <a href="https://link.springer.com/article/10.1007/BF02207379">ultimate causes and proximate causes</a> is important, because we often deal only with proximate causes. For example, people may smoke because of stress or social pressure (ultimate causes of getting lung cancer), but it’s the toxins in the smoke that cause cancer (proximate cause). Generally, health services are only concerned with stopping people from smoking – and with treating the illness that results – not with removing the drivers that lead them to smoke in the first place. Similarly, we address pandemics with lockdowns, mask wearing, social distancing and vaccinations – all measures which seek to stop the spread of the virus. But we pay less attention to addressing the ultimate causes of pandemics – until perhaps very recently. <h2>A planetary health approach</h2> There’s a growing awareness of the importance of adopting a “planetary health” approach to improve human health. This <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60901-1/fulltext?nr_email_referer=1">concept</a> is based on the understanding that human health and human civilisation depend on flourishing natural systems, and the wise stewardship of those natural systems. With this approach, ultimate drivers like climate change and biodiversity loss would be prioritised in preventing future pandemics, at the same time as working with experts from many different disciplines to deal with the proximate causes, thereby reducing the risk overall. The planetary health approach has the benefit of improving both the health of the environment and human health concurrently. We are heartened by the increased uptake of teaching planetary health concepts across the environmental sciences, humanities and health sciences in many universities. As climate change, biodiversity loss, population displacements, travel and trade continue to increase the risk of disease outbreaks, it’s vital that the planetary stewards of the future have a better understanding of how to tackle the ultimate causes that drive pandemics. This article is the first in a series on the next pandemic.<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/226827/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/olga-anikeeva-1522907">Olga Anikeeva</a>, Research Fellow, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/jessica-stanhope-1129888">Jessica Stanhope</a>, Lecturer, School of Allied Health Science and Practice, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/peng-bi-1522908">Peng Bi</a>, Professor, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/philip-weinstein-882901">Philip Weinstein</a>, Professorial Research Fellow, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/why-are-we-seeing-more-pandemics-our-impact-on-the-planet-has-a-lot-to-do-with-it-226827">original article</a>.

Body

Olympian's life "a living nightmare" after simple self-check out mistake

A former Olympian has spoken about how her life was ruined after she accidentally failed to scan to items at a self-checkout machine in Walmart. Canadian athlete Meaggan Pettipiece, 48, was arrested on March 28 in Indiana for theft, possession of marijuana and possession of a controlled substance. The charges have since been dropped, but Pettipiece lost her prestigious job as the head coach of the Valparaiso University softball team as a result and says her career and reputation have been ruined. The ordeal began when the self-checkout machine at Walmart reportedly failed to scan the asparagus and ham that Pettipiece intended to purchase. Walmart security saw that she failed to scan the items — worth a total of $67 — prompting them to call the police despite her having paid $167 for her other groceries. Pettipiece was arrested and when police searched her they found three disposable vapes in her purse, along with two unopened blister packs containing anti-nausea medication Zofran. The former athlete said the vapes did not contain any nicotine or THC, and the anti-nausea pills belonged to an assistant coach who had asked her to keep them in her purse during a softball game, days before her arrest. “We both forgot about them,” Pettipiece told the National Post. The outlet reported that earlier this month, her lawyer submitted an application for dismissal that included her account of the incident, proof of her assistant’s prescription, and character reference letters. After reading the application, her charges were dropped by justice officials on September 19, but the damage caused by the incident "changed everything". “It is bittersweet,” she told National Post. “I’m happy, obviously, the charges were dismissed. The sad part is the damage it did to my career. It has changed everything in my life.” Pettipiece resigned as head coach of the softball team shortly after the Walmart incident. "It's been five months, a living nightmare. I lost my career, I lost my job, the life I was building and it's been really difficult." Along with the damage to her career, Pettipiece said the effect on her reputation has been equally heartbreaking. “The softball community is a tight-knit group and it (the news) went through like wildfire,” she said. “You really do learn who the people are that really believe in you and trust you and are truly a friend for you." The former athlete is now living in Ohio with her family, and though the charges against her have been dismissed she is worried the damage "can't be reversed". “The tough thing is, how do you get out to people that you are innocent? And this damage was done for something so ridiculous,” Pettipiece told the outlet. “I’m not sure of the future. For now, I’m going to stay at home and focus on my kids. I’d like to figure out which direction I’m going to go in.” Image: Valparaiso University Athletics/ ZikG / Shutterstock.com

Legal

Kiwi pilot freed after being held hostage for 592 days

After 592 days in <a href="https://www.oversixty.co.nz/news/news/rebel-fighters-share-eerie-footage-of-abducted-kiwi-pilot" target="_blank" rel="noopener">captivity</a>, a New Zealand pilot is finally going home. Phillip Mehrtens was taken hostage in Indonesia by a West Papua rebel group in February 2023 when he was working for Indonesian airline Susi Air. The pilot was kidnapped by rebels from the West Papua National Liberation Army (TPNPB) insurgent group at Papua’s Nduga airport on February 7th 2023, and spent over a year and a half in captivity. On Saturday, the 38-year-old was collected by police and military forces from a village in Nduga district before being given medical and psychological checks. He was then flown to the Papuan city of Timika before jetting to the capital Jakarta where he was handed over to New Zealand’s ambassador. “Today I have been freed,” Mehrtens told reporters. “I am very happy that shortly I will be able to go home and meet my family." “Thank you to everybody who helped me today so I can get out safely in a healthy condition.” New Zealand Foreign Minister Winston Peters earlier said Mehrtens was “safe and well” and had been able to speak with his family, saying, “This news must be an enormous relief for his friends and loved ones." Mehrtens' long-anticipated release came after intense negotiation efforts between Wellington and Jakarta, with Indonesian President Joko Widodo saying that Jakarta had secured Mehrtens’ freedom through negotiation, not force. “We prioritised the safety of the pilot who was held hostage. It took a long process and I appreciate the authorities,” he told reporters. The rebels had demanded that the Indonesian government recognise Papuan independence in return for his freedom, as Mehrtens' kidnapping was part of a long-term, often brutally violent conflict between the Indonesian government and West Papua’s Indigenous people. Image credits: The West Papuan National Liberation Army / Handout

Travel Trouble

Simon Dorante-Day calls for "four-way paternity test" to prove royal lineage

Simon Dorante-Day has called for a "four-way paternity test" to prove his royal lineage, while also casting doubt on if Prince William and Prince Harry are actually sons of the monarch. The Queensland man, who has been claiming to be the secret son of King Charles and Queen Camilla since 2005, has called for an official DNA test to prove his claims in a lengthy Facebook post. Dorante-Day's post highlights a photo comparison of himself, King Charles and William and Harry as evidence supporting his demand for answers from the royal family. “This comparison of William, Myself, Charles, and Harry demonstrates something very clearly, there is no consistency. The fact that the left side of my face identically matches Charles whilst neither William nor Harry’s does, raises the obvious question, just who are Charles’s real sons?” "This is why my wife, Dr. Elvianna, and I believe a 4-way Paternity test is the only way to resolve this issue once and for all. The truth of the game that has been played by the Monarchy, the Government, and the Establishment for 58 years needs to be exposed." "It's not just what happened to me as a child, and what I remember from growing up in England, but it’s also what’s happened since to myself, my wife, and my children in Australia that supports our argument. These covert and illegitimate activities that are targeted towards us constantly are an attempt to stop us on this journey, nothing more. They will not succeed. They will only strengthen our argument and provides us with evidence to demonstrate what has occurred, in a court room, to judges." "My question to all of you is how will you truly react when you hear the truth of what has occurred? Would you still want them on the throne?" Dorante-Day was born in Portsmouth in the UK in 1966, and was adopted at just eight months old. According to his claims, his adoptive mother, who worked for Queen Elizabeth II confessed on her death bed that he was the son of Charles and Camilla. Image credits: Facebook

Family & Pets

Kate Middleton confirms the end of her chemotherapy

The Princess of Wales has confirmed that she has finished chemotherapy and is now focused on staying cancer free. Kate Middleton, who announced in March that she was undergoing preventative chemotherapy for an undisclosed type of cancer, shared the update on social media with a deeply personal message. "As the summer comes to an end, I cannot tell you what a relief it is to have finally completed my chemotherapy treatment," she began in the video, which was shot last month in Norfolk. "The last nine months have been incredibly tough for us as a family. Life as you know it can change in an instant and we have had to find a way to navigate the stormy waters and road unknown," she continued. “The cancer journey is complex, scary and unpredictable for everyone, especially those closest to you. “With humility, it also brings you face to face with your own vulnerabilities in a way you have never considered before, and with that, a new perspective on everything. “This time has above all reminded William and me to reflect and be grateful for the simple yet important things in life, which so many of us often take for granted. Of simply loving and being loved.” Prince William, Prince George, Princess Charlotte and Prince Louis all feature alongside Kate in the video, as they're surrounded by nature, with the couple even showing a rare display of public affection. <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/C_s6SukNNne/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C_s6SukNNne/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a> </div> </blockquote> The Princess said that going forward her focus would be on “doing what I can to stay cancer-free” but was “looking forward to being back at work”, with plans to undertake a light program of engagements until the end of the year. “Although I have finished chemotherapy, my path to healing and full recovery is long and I must continue to take each day as it comes,” she added. “Despite all that has gone before, I enter this new phase of recovery with a renewed sense of hope and appreciation of life.” She then thanked the public for their support, saying how grateful the family were and how they had “drawn great strength from all those who are helping us at this time”. "Everyone's kindness, empathy and compassion has been truly humbling." “To all those who are continuing their own cancer journey – I remain with you, side by side, hand in hand. Out of darkness, can come light, so let that light shine bright,” she concluded. The Princess of Wales plans to support her family at the Cenotaph in Whitehall on Remembrance Sunday in November and host her annual televised Together At Christmas carol service at Westminster Abbey the following month. Images: Instagram/ Kensington Palace

Caring

Does intermittent fasting increase or decrease our risk of cancer?

<a href="https://theconversation.com/profiles/amali-cooray-1482458">Amali Cooray</a>, <a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822">WEHI (Walter and Eliza Hall Institute of Medical Research)</a> Research over the years has suggested intermittent fasting has the potential to improve our health and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946160/">reduce the likelihood</a> of developing cancer. So what should we make of a <a href="https://www.nature.com/articles/s41586-024-07840-z">new study</a> in mice suggesting fasting increases the risk of cancer? <h2>What is intermittent fasting?</h2> Intermittent fasting means switching between times of eating and not eating. Unlike traditional diets that focus on what to eat, this approach focuses on when to eat. There are lots of commonly used <a href="https://dietitiansaustralia.org.au/health-advice/intermittent-fasting">intermittent fasting schedules</a>. The 16/8 plan means you only eat within an eight-hour window, then fast for the remaining 16 hours. Another popular option is the 5:2 diet, where you eat normally for five days then restrict calories for two days. In Australia, poor diet contributes to <a href="https://www.health.gov.au/topics/food-and-nutrition/what-were-doing">7% of all cases of disease</a>, including coronary heart disease, stroke, type 2 diabetes, and cancers of the bowel and lung. Globally, poor diet is linked to <a href="https://www.thelancet.com/article/S0140-6736(19)30041-8/fulltext">22% of deaths</a> in adults over the age of 25. Intermittent fasting has gained a lot of attention in recent years for its potential health benefits. Fasting <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/metabolism">influences metabolism</a>, which is how your body processes food and energy. It can affect how the body absorbs nutrients from food and burns energy from sugar and fat. <h2>What did the new study find?</h2> The <a href="https://www.nature.com/articles/s41586-024-07840-z">new study</a>, published in Nature, found when mice ate again after fasting, their <a href="https://www.nature.com/articles/s12276-024-01179-1">gut stem cells</a>, which help repair the intestine, became more active. The stem cells were better at regenerating compared with those of mice who were either totally fasting or eating normally. This suggests the body might be better at healing itself when eating after fasting. However, this could also have a downside. If there are <a href="https://www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-changes-infographic">genetic mutations</a> present, the burst of stem cell-driven regeneration after eating again might make it easier for cancer to develop. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4027058/">Polyamines</a> – small molecules important for cell growth – drive this regeneration after refeeding. These polyamines can be produced by the body, influenced by diet, or come from gut bacteria. The findings suggest that while fasting and refeeding can improve stem cell function and regeneration, there might be a tradeoff with an increased risk of cancer, especially if fasting and refeeding cycles are repeated over time. While this has been shown in mice, the link between intermittent fasting and cancer risk in humans is more complicated and not yet fully understood. <h2>What has other research found?</h2> <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-nutr-071816-064634">Studies in animals</a> have found intermittent fasting can help with weight loss, improve blood pressure and blood sugar levels, and subsequently <a href="https://pubmed.ncbi.nlm.nih.gov/27810402/">reduce the risks</a> of diabetes and heart disease. Research in humans <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811116">suggests</a> intermittent fasting can reduce body weight, improve <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361187/">metabolic health</a>, reduce inflammation, and enhance <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946160/">cellular repair processes</a>, which remove damaged cells that could potentially turn cancerous. However, other studies warn that the benefits of intermittent fasting are the same as what can be achieved through <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2623528">calorie restriction</a>, and that there <a href="https://www.sciencedirect.com/science/article/pii/S2161831322007542">isn’t enough evidence</a> to confirm it reduces cancer risk in humans. <h2>What about in people with cancer?</h2> In studies of people who have cancer, fasting has been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2815756/">reported to</a> protect against the side effects of chemotherapy and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311547/">improve the effectiveness</a> of cancer treatments, while decreasing damage to healthy cells. Prolonged fasting in some patients who have cancer has been shown to be safe and <a href="https://pubmed.ncbi.nlm.nih.gov/34383300/">may potentially</a> be able to decrease tumour growth. On the other hand, some experts advise caution. Studies in mice show intermittent fasting could <a href="https://www.nature.com/articles/s41423-023-01033-w">weaken the immune system</a> and make the body less able to fight infection, potentially leading to worse health outcomes in people who are unwell. However, there is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8757987/">currently no evidence</a> that fasting increases the risk of bacterial infections in humans. <h2>So is it OK to try intermittent fasting?</h2> The current view on intermittent fasting is that it can be beneficial, but experts agree more research is needed. Short-term benefits such as weight loss and better overall health are well supported. But we don’t fully understand the long-term effects, especially when it comes to cancer risk and other immune-related issues. Since there are many different methods of intermittent fasting and people react to them differently, it’s hard to <a href="https://www.nature.com/articles/s41423-023-01033-w">give advice that works for everyone</a>. And because most people who participated in the studies were overweight, or had diabetes or other health problems, we don’t know how the results apply to the broader population. For healthy people, intermittent fasting is generally considered safe. But it’s <a href="https://dietitiansaustralia.org.au/health-advice/intermittent-fasting">not suitable for everyone</a>, particularly those with certain medical conditions, pregnant or breastfeeding women, and people with a history of eating disorders. So consult your health-care provider before starting any fasting program.<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/238071/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/amali-cooray-1482458">Amali Cooray</a>, PhD Candidate in Genetic Engineering and Cancer, <a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822">WEHI (Walter and Eliza Hall Institute of Medical Research)</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/does-intermittent-fasting-increase-or-decrease-our-risk-of-cancer-238071">original article</a>.

Body

Readers response: What have you had to cut out of your life to cope with cost of living pressures?

As the cost of living continues to rise, many people have had to cut things out of their day to day spending to cope with the financial struggles. We asked our readers what they have had to cut out of their budgets to cope with cost of living pressures, and the response was overwhelming. Here's what they said. Wendy Oliver - We don’t eat out often at all… I spend too much in the supermarket. Christine Brooks - I've cut out steak, good nutritional foods, TV streaming, entertainment, haircuts, new clothes, pets, pool cleaning, and more. Kerrie Dare - I limit steak meals. I've stopped my haircuts to every 4 months. Internet is getting chopped. I can only afford exercise classes twice a week. I don't eat as much fruit as I used too. I only buy groceries when on special. One bottle of wine per fortnight. One slice of sourdough in the morning, which means the loaf lasts a week. I turn on my washing machine around every 10 days & I have quick showers. No eating out or take away. Maybe one cup of coffee per week with a friend. Movies once every 6 weeks as a social group. No concerts or clubs. I drive only locally, so a tank of petrol lasts 1 month. No weekends away. Jane Dawes - No coffees, beauty treatments, hairdresser, eating out, takeouts etc. The trouble is not affording to spend on certain items has a flow on effect for businesses. Everyone is suffering. Lois E. Fisk - Going out to eat or see movies in the cinema or live plays or new clothes. I shop at the least expensive grocery stores as much as possible, and good cuts of meat rarely happen. Janice Stenning - Don't go to the hairdressers as often and don't buy as many clothes. Debra Dugar - Thinking about dropping my extras cover of my insurance. By the time I pay for it, I can't afford the gap you have to pay. Robyn Lee - Living in my own house. I now live with my family. Rhondda Hughes - Well, petrol is expensive so I have to really think if I can afford to visit anyone. I can’t eat meat much and even vegetables can be expensive. We have three chickens so they give us eggs but good quality eggs and healthy chickens require money too. Fortunately I live in Perth so, in comparison to other states, it isn’t as cold however the cost of heating is a significant consideration and therefore I just tend to go to bed. <div style="font-family: inherit;">Felicity Jill Murphy - Stopped going out to shopping centres. That's where I spend money unnecessarily.</div> <div style="font-family: inherit;">Image credits: Shutterstock </div>

Money & Banking

Woman who died in office cubicle found four days later

The body of an employee at one of America's biggest banks was in her office cubicle four days after she passed away, according Arizona police officials. Denise Prudhomme, 60, had used her ID to scan into the building on August 16 at 7am, four days later her dead body was found slumped over in her cubicle at the bank's office in Tempe. “To hear she’s been sitting at the desk like that would make me feel sick,” an employee at Wells Fargo told local news outlet K12News. “And nobody did anything. That’s how she spent her last moments.” The employee told the outlet that several workers had complained of a foul smell when they came back to work after the weekend, but thought it was just bad plumbing. K12News reported that another employee found Prudhomme dead at her desk in a cubicle while walking around the building, and the security guards then alerted police. One employee said that the building's security guards should have found her body earlier. “That’s the scary part. That’s the uneasy part,” they said. “It’s negligence in some part.” Prudhomme’s cause of death has not yet been released, though officials have said that based on the preliminary investigation there was no sign of foul play. The investigation is ongoing. Wells Fargo shared a statement with several other news outlets saying that they were “deeply saddened by the tragic loss of our colleague” and will be providing counsellors to support office employees. They are also co-operating with police in their investigation. Image: Larry Zhou / Shutterstock.com

Legal

“Absolutely livid”: Woman discovers she’s been fired via text on her wedding day

A woman has recalled the moment she discovered she had lost her job after her boss delivered the news via text on the woman’s wedding day. The bride shared that she got the message from her boss just 30 minutes after she walked down the aisle. The woman shared the story with Ben Askins, who regularly shares stories online of toxic employers, as she read out the messages she received on what was supposed to be the happiest day of her life. “On my wedding day, half an hour after the ceremony, I got a text from my boss to let me know I had been fired,” she said. The message from her boss read, “Hey, I hope your wedding went well and that you had a nice time away. I just wanted to let you know that the decision has been made to unfortunately let you go.” “An email has been sent to your personal email address detailing this. I'm really sorry that it didn't work out and wish you all the best moving forward x.” As she was surrounded by loved ones, the bride struggled to contain her emotions as she quickly checked her emails. “I hope your wedding went well and you had a good time. This email is to inform you that your employment will be terminated effective the 20th of May,” the email read. “Your employment has been terminated as we unfortunately feel your performance doesn't meet the expectations that we require for the role.” The woman explained how she felt her manager's email was a “coward's way” of letting her go while she wasn't at work, and was unable to defend herself. “I wasn't going to let it go but what they did... I was really angry at them,” she said. “They had the opportunity to do it in person. Everyone was let go in person except for me.” Askins said the woman’s story was one of the “worst things” he's ever heard a boss do to an employee. “It's meant to be one of the best, most amazing days ever and they've done that to you,” he told the woman. “You have every right to be absolutely livid with them.” Askins' video of the woman’s story has been viewed more than 600,000 times, with many taking particular issue on the bride's boss for being “petty” and “inappropriate”. “This person could have waited a day. It's done on purpose to ruin your special day. Only narcissists would do that,” one said. Another added, “The fact that she texted her to let her know about the email is so petty. She wanted her to know on her wedding day.” Image credits: Shutterstock

Legal

Distraught wife of cricket legend reveals cause of death

The grieving wife of late cricket legend Graham Thorpe has spoken out after her husband's untimely <a href="https://oversixty.com.au/health/caring/tragic-news-cricket-legend-dies-at-just-55" target="_blank" rel="noopener">death</a>, revealing that he tragically took his own life. After an illustrious cricket career in the UK, Thorpe died on August 5th at just 55 years old, leaving behind his wife and four children. Thorpe had previously been hospitalised in May 2022 following a suicide attempt, but made a full recovery. His wife Amanda has spoken out about her husband's mental illness, sharing how he had been suffering for many years. “Despite having a wife and two daughters whom he loved and who loved him, he did not get better,” Amanda told The Times. “He was so unwell in recent times and he really did believe that we would be better off without him.” She added: “We are devastated that he acted on that and took his own life.” Amanda said Graham had suffered from major depression and anxiety “for a couple of years”, explaining, “Despite glimpses of hope and of the old Graham, he continued to suffer from depression and anxiety, which at times got very severe." “We supported him as a family and he tried many, many treatments but unfortunately none of them really seemed to work." “Graham was renowned as someone who was very mentally strong on the field and he was in good physical health. But mental illness is a real disease and can affect anyone.” Following his sudden death, the England and Wales Cricket Board released a statement that said, “It is with great sadness that we share the news that Graham Thorpe, MBE, has passed away." “There seem to be no appropriate words to describe the deep shock we feel at Graham’s death." “More than one of England’s finest-ever batters, he was a beloved member of the cricket family and revered by fans all over the world." Need to talk to someone? Don't go it alone. Call Lifeline on 0800 543 354 or <a href="https://www.lifeline.org.nz" target="_blank" rel="noopener">lifeline.org.nz</a> Image credits: Colorsport/Shutterstock Editorial

Caring

Woman “bullied” on plane over budget seating trick

A young woman has recalled a flight from hell when she was “bullied” by a couple who were trying to utilise a seating hack that went viral on TikTok. The solo traveller took to Reddit to recount the story and ask social media users if she was in the wrong for her action. The woman began by saying she usually pays more to select her plane seat ahead of time, but a medical emergency on another plane had her waiting on standby and left with no option other than to sit in a middle seat. When she was finally able to board, she was greeted by a couple who had purchased both the window and aisle seats in a bid to have more space, utilising a travel “trick” that has been popular on TikTok. The method, which has been dubbed the 'poor man's business class', usually leaves travellers with an empty middle seat and more space, and few travellers opt to pick a middle seat. “When I got to my row the man and woman were chatting and sharing a snack... it was obvious they were together. I mentioned to the man that I'm in the middle, and he got up to let me in,” the unsuspecting traveller wrote on Reddit. “I asked them if they would prefer to sit together, I said I was totally okay with that. The woman reacted rudely to this and said ‘you're not supposed to be sitting here anyway’.” After noticing how the plane was full, she offered to show the pair her new ticket with the correct seat number on it. “She flicked her hand at my ticket and made a disgusted sound. I offered again if they wanted to sit together to which she didn't reply, her partner said it's okay and... made some small talk,” she continued. The man’s girlfriend then interrupted their conversation to ask,”'Did you use one of those third party websites to book your flight? It's so frustrating when people cheap out to inconvenience others.” The American woman explained that she had booked her flight directly and she had been placed on standby like everyone else and didn't choose the middle seat - she was assigned it. She then tried to keep the peace by refusing to engage with the furious woman. “I was so done with her attitude, I put my headphones on and attempted to do my own thing,” she explained. But the “entitled” girlfriend wasn't letting it go, as the woman explained, “This woman kept reaching over me and tapping her partner and trying to talk to him in a way that was super intrusive.” “I could tell even her partner was trying to engage her less so that she would hopefully stop, but she didn't.” “I think they tried to pull that tactic where they don't sit together on purpose...hoping no one will sit between them. But on full flights it doesn't work. And even so - it's not the other person's fault.” The traveller's post was met with hundreds of comments slamming the girlfriend’s behaviour, as one person wrote, “It's like a toddler having a tantrum.” “She was disappointed and a total a**hole. Gross entitled people,” another added. Another person applauded the traveller’s level-headed behaviour, writing, “Wow! You are my hero for keeping it classy - I’m afraid I would not have been as kind as you.” Image credits: Shutterstock

Travel Trouble

Six-year-old denied passport over trademarked name

A mother from the UK has been left "absolutely devastated" after her six-year-old daughter's passport application was denied because she is named after a famous character in the fantasy series Game of Thrones. Lucy, a 39-year-old mum from South West England, told the <a href="https://www.bbc.com/news/articles/c4ng1xd06xwo" target="_blank" rel="noopener">BBC</a> that things went downhill when she started planning their “dream” trip to Disneyland Paris as a family and needed to get her daughter a passport. She said that the initial application to get her daughter, Khaleesi, 6, was unable to be processed, with officials telling her she needed approval from Warner Brothers because they own the name’s trademark. “I was absolutely devastated, we were so looking forward to our first holiday together,” Lucy said. “I had a letter come through from the Passport Office, saying her name is trademarked by Warner Brothers,” she said. “It was the first I’ve heard of such a thing — I was astonished.” After receiving legal advice, the mum learned her daughter was legally allowed to use that name, and forwarded that information along to the Passport Office. “I didn’t understand and felt frustrated. If she could get a birth certificate, would something not have been flagged up then?” she said. “I never thought you could trademark a name,” she added. The Passport Office reportedly later called Lucy to apologise for the error and said they would continue with the process of little Khaleesi's passport. Lucy said she believes the problem was only solved because she complained on social media. “If I hadn’t posted this on social media, nothing would have been done. I would have been stuck, not knowing what to do,” she said, adding that others had reached out saying they’d experienced something similar. Lucy now said she is waiting until her daughter’s passport arrives before booking a new trip to Disneyland Paris. “I am hoping the passport will be issued soon and was promised that they would call back in a few days to see if it had progressed,” she told the BBC. She also hopes her story may help others stuck in a similar situation, saying, “I think there might be other people in this situation, that they may have had their passports declined recently because of something like this. Hopefully, they now know it can be resolved." Image credits: HBO / BBC / Family Handout

Legal

Food and exercise can treat depression as well as a psychologist, our study found. And it’s cheaper

<a href="https://theconversation.com/profiles/adrienne-oneil-268324">Adrienne O'Neil</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/sophie-mahoney-1557294">Sophie Mahoney</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Around <a href="https://www.aihw.gov.au/getmedia/6b19e493-0ebe-420f-a9a3-e48b26aace9f/aihw-aus-249-ib.pdf?v=20240628145747&inline=true">3.2 million</a> Australians live with depression. At the same time, <a href="https://www.aihw.gov.au/getmedia/6b19e493-0ebe-420f-a9a3-e48b26aace9f/aihw-aus-249-ib.pdf?v=20240628145747&inline=true">few</a> Australians meet recommended dietary or physical activity guidelines. What has one got to do with the other? Our world-first trial, <a href="https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065%2824%2900136-6/fulltext">published this week</a>, shows improving diet and doing more physical activity can be as effective as therapy with a psychologist for treating low-grade depression. Previous studies (including <a href="https://link.springer.com/article/10.1186/s12916-017-0791-y">our own</a>) have found “lifestyle” therapies are effective for depression. But they have never been directly compared with psychological therapies – until now. Amid a nation-wide <a href="https://www.health.gov.au/sites/default/files/2023-10/national-mental-health-workforce-strategy-2022-2032.pdf">shortage</a> of mental health professionals, our research points to a potential solution. As we found lifestyle counselling was as effective as psychological therapy, our findings suggest dietitians and exercise physiologists may one day play a role in managing depression. <h2>What did our study measure?</h2> During the prolonged COVID lockdowns, Victorians’ distress levels were <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50831">high and widespread</a>. Face-to-face mental health services were limited. Our trial targeted people living in Victoria with elevated distress, meaning at least mild depression but not necessarily a diagnosed mental disorder. Typical symptoms included feeling down, hopeless, irritable or tearful. We partnered with our <a href="https://www.barwonhealth.org.au/mhdas/">local mental health service</a> to recruit 182 adults and provided group-based sessions on Zoom. All participants took part in up to six sessions over eight weeks, facilitated by health professionals. Half were randomly assigned to participate in a program co-facilitated by an accredited practising dietitian and an exercise physiologist. That group – called the lifestyle program – developed nutrition and movement goals: <ul> <li>eating a wide variety of foods</li> <li>choosing high-fibre plant foods</li> <li>including high quality fats</li> <li>limiting discretionary foods, such as those high in saturated fats and added sugars</li> <li>doing enjoyable physical activity.</li> </ul> The second group took part in psychotherapy sessions convened by two psychologists. The psychotherapy program used cognitive behavioural therapy (CBT), the gold standard for treating depression in <a href="https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2730724">groups and when delivered remotely</a>. In both groups, participants could continue existing treatments (such as taking antidepressant medication). We gave both groups <a href="https://link.springer.com/article/10.1186/s12888-022-03840-3">workbooks and hampers</a>. The lifestyle group received a food hamper, while the psychotherapy group received items such as a colouring book, stress ball and head massager. <h2>Lifestyle therapies just as effective</h2> We found similar results in each program. At the trial’s beginning we gave each participant a score based on their self-reported mental health. We measured them again at the end of the program. Over eight weeks, those scores showed symptoms of depression reduced for participants in the lifestyle program (42%) and the psychotherapy program (37%). That difference was not statistically or clinically meaningful so we could conclude both treatments were as good as each other. There were some differences between groups. People in the lifestyle program improved their diet, while those in the psychotherapy program felt they had increased their social support – meaning how connected they felt to other people – compared to at the start of the treatment. Participants in both programs increased their physical activity. While this was expected for those in the lifestyle program, it was less expected for those in the psychotherapy program. It may be because they knew they were enrolled in a research study about lifestyle and subconsciously changed their activity patterns, or it could be a positive by-product of doing psychotherapy. There was also not much difference in cost. The lifestyle program was slightly cheaper to deliver: A$482 per participant, versus $503 for psychotherapy. That’s because hourly rates differ between dietitians and exercise physiologists, and psychologists. <h2>What does this mean for mental health workforce shortages?</h2> Demand for mental health services is increasing in Australia, while at the same time the workforce <a href="https://www.health.gov.au/sites/default/files/2023-10/national-mental-health-workforce-strategy-2022-2032.pdf">faces worsening nation-wide shortages</a>. Psychologists, who provide <a href="https://www.aihw.gov.au/getmedia/6b19e493-0ebe-420f-a9a3-e48b26aace9f/aihw-aus-249-ib.pdf?v=20240628145747&inline=true">about half</a> of all mental health services, can have long wait times. Our results suggest that, with the appropriate training and guidelines, allied health professionals who specialise in diet and exercise could help address this gap. Lifestyle therapies can be combined with psychology sessions for multi-disciplinary care. But diet and exercise therapies could prove particularly effective for those on waitlists to see a psychologists, who may be receiving no other professional support while they wait. Many dietitians and exercise physiologists already have advanced skills and expertise in motivating behaviour change. Most accredited practising dietitians are trained in managing <a href="https://link.springer.com/content/pdf/10.1007/978-3-030-67929-3_38-1.pdf">eating disorders</a> or <a href="https://www.nature.com/articles/s41572-020-0200-2">gastrointestinal conditions</a>, which commonly overlap with depression. There is also a cost argument. It is <a href="https://journals.sagepub.com/doi/full/10.1177/1355819616668202">overall cheaper</a> to train a dietitian ($153,039) than a psychologist ($189,063) – and it takes less time. <h2>Potential barriers</h2> Australians with chronic conditions (such as diabetes) can access subsidised dietitian and exercise physiologist appointments under various Medicare treatment plans. Those with eating disorders can also access subsidised dietitian appointments. But mental health care plans for people with depression do not support subsidised sessions with dietitians or exercise physiologists, despite <a href="https://dietitiansaustralia.org.au/sites/default/files/2024-04/Dietitians%20Australia%20Mental%20Health%20Evidence%20Brief%202024.pdf">peak bodies</a> urging them to do so. Increased training, upskilling and Medicare subsidies would be needed to support dietitians and exercise physiologists to be involved in treating mental health issues. <a href="https://foodandmoodcentre.com.au/academy">Our training</a> and clinical <a href="https://www.tandfonline.com/doi/full/10.1080/15622975.2022.2112074">guidelines</a> are intended to help clinicians practising lifestyle-based mental health care within their scope of practice (activities a health care provider can undertake). <h2>Future directions</h2> Our trial took place during COVID lockdowns and examined people with at least mild symptoms of depression who did not necessarily have a mental disorder. We are seeking to replicate these findings and are now running <a href="https://foodandmoodcentre.com.au/projects/the-harmone-trial/">a study</a> open to Australians with mental health conditions such as major depression or bipolar disorder. If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.<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/235952/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/adrienne-oneil-268324">Adrienne O'Neil</a>, Professor, Food & Mood Centre, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/sophie-mahoney-1557294">Sophie Mahoney</a>, Associate Research Fellow, Food and Mood Centre, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</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/food-and-exercise-can-treat-depression-as-well-as-a-psychologist-our-study-found-and-its-cheaper-235952">original article</a>.

Body

Cancer diagnosis can be devastating, but for some it gives permission to live more radically

<a href="https://theconversation.com/profiles/kevin-dew-577291">Kevin Dew</a>, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</a>; <a href="https://theconversation.com/profiles/alex-broom-121063">Alex Broom</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/chris-cunningham-1534054">Chris Cunningham</a>, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>; <a href="https://theconversation.com/profiles/elizabeth-dennett-1532423">Elizabeth Dennett</a>, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a>; <a href="https://theconversation.com/profiles/kerry-chamberlain-103714">Kerry Chamberlain</a>, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>, and <a href="https://theconversation.com/profiles/richard-egan-400188">Richard Egan</a>, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a> A diagnosis of life-limiting cancer can be overwhelming and cause feelings of panic and anxiety. But for some people, it provides a license to live life differently, including quitting toxic jobs and becoming more adventurous. In our <a href="https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.13797">recently published research</a>, we sought to understand the impact of a cancer diagnosis and subsequent experiences for cancer survivors. We talked with 81 New Zealanders (23 Māori and 58 non-Māori) who had lived longer than expected with a life-limiting or terminal diagnosis of cancer (four to 32 years since first diagnosis), and 25 people who were identified as their supporters. We found there are vastly different ways in which people experience and respond to a cancer diagnosis, but for some it’s a prompt to make significant changes. Of the 81 participants, 26 expressed the view, unsolicited, that cancer had some positive impact on their lives – without downplaying the negative impacts it could have as well. <h2>A licence to change</h2> Being told you only have limited time left to live can undoubtedly be a shock. But it can lead to profound change. It’s not uncommon for people who receive a serious diagnosis to draw up a “<a href="https://theconversation.com/paris-in-spring-bali-in-winter-how-bucket-lists-help-cancer-patients-handle-life-and-death-225682">bucket list</a>”. Some people in our study took the opportunity to travel or move to a new home. For others, the diagnosis provided a chance to rethink their lives and make more significant changes to the way they lived. They decided to be culturally more adventurous and to take up new skills. Many of these people quit their jobs or changed to jobs that suited them better. Many changed their relationships with the people around them. One talked about showing more affection for his children, another was kinder and stopped fretting over small things. Some decided to be more selective and no longer be around people who were negative. Others took up new hobbies or crafts which they felt were healing. For one person, the cancer diagnosis provided the impetus to look at things and people differently, which they thought would not have happened otherwise. Individuals could also undergo a transformation to become what they felt they were meant to be in life. One person, given two months to live, embraced rongoā (Māori traditional healing), including its spiritual side. They now love their “journey” and feel this was what they were “supposed to do”. For many, a diagnosis of cancer gave them license to be different people and to resist conforming to social norms, including having a job, being thrifty or not taking risks. <h2>Disrupting diagnoses</h2> One person, given only months to live, moved out of her flat, gave away her possessions, quit her job that she described was toxic, and returned home to say goodbye to her family. Most importantly for her, she worked on experiencing “joy” – after receiving the diagnosis, she realised she had lost it. But she continues to live many years later. After a while, she had to find a new flat, get a new job and the recovery of her joy was challenged: <blockquote> I had to start working again. And, of course, with working again, joy goes down, time goes down, rest goes down, spirituality goes down. </blockquote> But not everyone has the opportunity to change. Some peoples’ lives were limited because of the physical effects of the cancer, its treatment, or because of their personal, social or financial resources. Some go to great lengths to ensure their lives change as little as possible after diagnosis to maintain a sense of normality. <h2>Why we need to know</h2> Given the fear a cancer diagnosis can elicit, it is important to see there are different ways of responding. It is also worth knowing there are people who live longer than expected. Many people in our study were given just months to live, but one woman was still alive 12 years after being told she had a year left. Beyond that, this research documents how the disruption produced by a cancer diagnosis can prompt people to breach social norms. Where people have the capacity and resources to change, those around them and their health professionals can support them in taking opportunities to live life differently. We heard people say they think of their cancer as a friend or an amazing opportunity. Some even felt thankful. The possibility of cancer providing opportunities for some in no way diminishes the grief or a sense of loss, fear and anxiety that can accompany such diagnoses. Our research supports a reframing of cancer narratives, to consider ways of tempering the negative impacts of a diagnosis – while remaining cognisant of the struggle that can follow such news, and the variability in people’s capacity to engage with that struggle.<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/233782/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/kevin-dew-577291">Kevin Dew</a>, Professor of Sociology, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</a>; <a href="https://theconversation.com/profiles/alex-broom-121063">Alex Broom</a>, Professor of Sociology & Director, Sydney Centre for Healthy Societies, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/chris-cunningham-1534054">Chris Cunningham</a>, Professor of Maori & Public Health, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>; <a href="https://theconversation.com/profiles/elizabeth-dennett-1532423">Elizabeth Dennett</a>, Associate Professor in Surgery, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a>; <a href="https://theconversation.com/profiles/kerry-chamberlain-103714">Kerry Chamberlain</a>, Professor of Social and Health Psychology, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>, and <a href="https://theconversation.com/profiles/richard-egan-400188">Richard Egan</a>, Associate Professor in Health Promotion, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</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/cancer-diagnosis-can-be-devastating-but-for-some-it-gives-permission-to-live-more-radically-233782">original article</a>.

Body

"My days are numbered": Rod Stewart reveals candid thoughts on death

Sir Rod Stewart is one of the best-selling music artists of all time, and he's well aware he can't live forever. As he nears 80-years-old, the music legend shared his views on death, and how he knows his "days are numbered", but that won't stop him from toning down his rock 'n' roll lifestyle as he kicks off his last run of Las Vegas shows after 13 years of residency. "I'm aware my days are numbered but I've got no fear," he told The Sun. "We have all got to pass on at some point, so we are all in the same basket. "I am going to be enjoying myself for these last few years as much as I can. I say few — probably another 15. I can do that easy mate, easy," he added. He then admitted: "I'm not like I was in the '70s and '80s and I can't stay up all night, get drunk and go mad and still have a voice just like that. Nowadays I have to protect my voice before and after every show." The singer said he counts on staying hydrated to keep up with his performance demands as he got older, but he definitely has not vowed off the booze. "You're talking to Rod Stewart here, mate. We go mad after every show. There are 13 of us, six women, really great musicians and I make them drink. We absolutely love it," he said. Despite keeping up his party ways, the rock star is also very conscious of his health, after he revealed that he had experienced a private three-year battle with prostate cancer in 2019. "I am more aware of my health now than before. You should be when you start getting on a bit. It's very important," he said. The rock star said he works out three or four times a day with his personal trainer of three years who has been keeping him in check for over three decades. Images: Kiko Huesca/EPA-EFE/ Shutterstock Editorial

Family & Pets

Sinéad O'Connor's cause of death finally revealed

One year after the tragic <a href="https://www.oversixty.co.nz/news/news/sin-ad-o-connor-passes-away-at-just-56" target="_blank" rel="noopener">passing of iconic singer Sinead O'Connor</a> at just 56 years of age, the cause of her death has finally been officially revealed. According to the Irish Independent, O'Connor succumbed to complications from obstructive pulmonary disease and asthma. The Grammy Award-winning artist, known for her powerful voice and poignant lyrics, died from an "exacerbation of chronic obstructive pulmonary disease and bronchial asthma, together with a low-grade lower respiratory tract infection", as stated on her death certificate. This information was made public after the certificate was registered by her former husband, John Reynolds, in London on July 24. Julian Morris, the senior coroner for Inner South London, certified the cause of death following a thorough post-mortem examination. The news has brought a sombre clarity to the tragic loss of O'Connor, whose music touched the hearts of many worldwide. Sinead O'Connor, born in Dublin, was celebrated for her distinctive voice and fearless approach to music and social issues. Her legacy continues to inspire fans and musicians alike. O'Connor also courageously shared her battle with mental illness, revealing that she was diagnosed with bipolar disorder. In 2017, she posted a poignant video on Facebook while staying in a New Jersey motel, expressing that she was holding on for the sake of others and admitting her own struggles. In 2022, she faced immense heartache when her teenage son, Shane, died by suicide. O'Connor's emotional response on Twitter at the time – that there was "no point living without him" – led to her hospitalisation. Image: Instagram

Caring

Clint Eastwood's partner's cause of death revealed

The cause of death of Clint Eastwood's partner has been revealed, just days after the actor addressed her tragic passing. Christina Sandera, Eastwood's partner of 10 years, died suddenly on July 18th at just 61 years of age. Now, a representative from the Monterey County Health Department confirmed to <a href="https://nypost.com/2024/07/23/entertainment/clint-eastwoods-partner-christina-sanderas-cause-of-death-revealed/" target="_blank" rel="noopener">The New York Post</a> that Sandera died of a heart attack. The death certificate listed her immediate cause as cardiac arrhythmia, which is an abnormality in the timing or pattern of the heartbeat. Atherosclerotic coronary artery disease was also outlined as an additional condition that led to Sandera’s death. Eastwood addressed the passing of his partner after the Hollywood Reporter confirmed her death, with the actor writing, “Christina was a lovely, caring woman, and I will miss her very much.” The pair met when Sandera worked as a hostess at a hotel and restaurant owned by the actor in California, before they started dating in 2014. The couple largely kept their romance out of the public eye with Sandera only attended a handful of events with the Hollywood icon during their 10-year relationship. The couple, who never married, walked their last red carpet together in November 2019 at AFI Fest in Hollywood. One of Eastwood's children from a previous marriage Morgan, 27, paid tribute to her father’s longtime love on Sunday by sharing a photo of herself, her father and Eastwood and her wedding, writing, “A devastating loss for our whole family. Thank you Christina for being a good partner to my Dad ❤️ you will be greatly missed.” Image credits: John McCoy/UPI/Shutterstock Editorial

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Food and exercise can treat depression as well as a psychologist, our study found. And it’s cheaper

Cancer diagnosis can be devastating, but for some it gives permission to live more radically

"My days are numbered": Rod Stewart reveals candid thoughts on death

Sinéad O'Connor's cause of death finally revealed

Clint Eastwood's partner's cause of death revealed