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ChatGPT, DALL-E 2 and the collapse of the creative process

<p>In 2022, OpenAI – one of the world’s leading artificial intelligence research laboratories – released the text generator <a href="https://chat.openai.com/chat">ChatGPT</a> and the image generator <a href="https://openai.com/dall-e-2/">DALL-E 2</a>. While both programs represent monumental leaps in natural language processing and image generation, they’ve also been met with apprehension. </p> <p>Some critics have <a href="https://www.theatlantic.com/technology/archive/2022/12/chatgpt-ai-writing-college-student-essays/672371/">eulogized the college essay</a>, while others have even <a href="https://www.nytimes.com/2022/09/02/technology/ai-artificial-intelligence-artists.html">proclaimed the death of art</a>. </p> <p>But to what extent does this technology really interfere with creativity? </p> <p>After all, for the technology to generate an image or essay, a human still has to describe the task to be completed. The better that description – the more accurate, the more detailed – the better the results. </p> <p>After a result is generated, some further human tweaking and feedback may be needed – touching up the art, editing the text or asking the technology to create a new draft in response to revised specifications. Even the DALL-E 2 art piece that recently won first prize in the Colorado State Fair’s digital arts competition <a href="https://www.smithsonianmag.com/smart-news/artificial-intelligence-art-wins-colorado-state-fair-180980703/">required a great deal of human “help”</a> – approximately 80 hours’ worth of tweaking and refining the descriptive task needed to produce the desired result.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Today's moody <a href="https://twitter.com/hashtag/AIart?src=hash&amp;ref_src=twsrc%5Etfw">#AIart</a> style is...</p> <p>🖤 deep blacks<br />↘️ angular light<br />🧼 clean lines<br />🌅 long shadows</p> <p>More in thread, full prompts in [ALT] text! <a href="https://t.co/tUV0ZfQyYb">pic.twitter.com/tUV0ZfQyYb</a></p> <p>— Guy Parsons (@GuyP) <a href="https://twitter.com/GuyP/status/1612539185214234624?ref_src=twsrc%5Etfw">January 9, 2023</a></p></blockquote> <p>It could be argued that by being freed from the tedious execution of our ideas – by focusing on just having ideas and describing them well to a machine – people can let the technology do the dirty work and can spend more time inventing.</p> <p>But in our work as philosophers at <a href="https://www.umb.edu/ethics">the Applied Ethics Center at University of Massachusetts Boston</a>, we have written about <a href="https://doi.org/10.1515/mopp-2021-0026">the effects of AI on our everyday decision-making</a>, <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9780429470325-28/owning-future-work-alec-stubbs">the future of work</a> and <a href="https://doi.org/10.1007/s43681-022-00245-6">worker attitudes toward automation</a>.</p> <p>Leaving aside the very real ramifications of <a href="https://www.latimes.com/opinion/story/2022-12-21/artificial-intelligence-artists-stability-ai-digital-images">robots displacing artists who are already underpaid</a>, we believe that AI art devalues the act of artistic creation for both the artist and the public.</p> <h2>Skill and practice become superfluous</h2> <p>In our view, the desire to close the gap between ideation and execution is a chimera: There’s no separating ideas and execution. </p> <p>It is the work of making something real and working through its details that carries value, not simply that moment of imagining it. Artistic works are lauded not merely for the finished product, but for the struggle, the playful interaction and the skillful engagement with the artistic task, all of which carry the artist from the moment of inception to the end result.</p> <p>The focus on the idea and the framing of the artistic task amounts to <a href="https://theconversation.com/what-paul-mccartneys-the-lyrics-can-teach-us-about-harnessing-our-creativity-170987">the fetishization of the creative moment</a>.</p> <p>Novelists write and rewrite the chapters of their manuscripts. Comedians “write on stage” in response to the laughs and groans of their audience. Musicians tweak their work in response to a discordant melody as they compose a piece.</p> <p>In fact, the process of execution is a gift, allowing artists to become fully immersed in a task and a practice. It allows them to enter <a href="https://www.harpercollins.com/products/flow-mihaly-csikszentmihalyi?variant=32118048686114">what some psychologists call the “flow” state</a>, where they are wholly attuned to something that they are doing, unaware of the passage of time and momentarily freed from the boredom or anxieties of everyday life.</p> <p>This playful state is something that would be a shame to miss out on. <a href="https://www.press.uillinois.edu/books/?id=p073182">Play tends to be understood as an autotelic activity</a> – a term derived from the Greek words auto, meaning “self,” and telos meaning “goal” or “end.” As an autotelic activity, play is done for itself – it is self-contained and requires no external validation. </p> <p>For the artist, the process of artistic creation is an integral part, maybe even the greatest part, of their vocation.</p> <p>But there is no flow state, no playfulness, without engaging in skill and practice. And the point of ChatGPT and DALL-E is to make this stage superfluous.</p> <h2>A cheapened experience for the viewer</h2> <p>But what about the perspective of those experiencing the art? Does it really matter how the art is produced if the finished product elicits delight? </p> <p>We think that it does matter, particularly because the process of creation adds to the value of art for the people experiencing it as much as it does for the artists themselves.</p> <p>Part of the experience of art is knowing that human effort and labor has gone into the work. Flow states and playfulness notwithstanding, art is the result of skillful and rigorous expression of human capabilities. </p> <p>Recall <a href="https://www.youtube.com/watch?v=rUOlnvGpcbs">the famous scene</a> from the 1997 film “<a href="https://www.imdb.com/title/tt0119177/">Gattaca</a>,” in which a pianist plays a haunting piece. At the conclusion of his performance, he throws his gloves into the admiring audience, which sees that the pianist has 12 fingers. They now understand that he was genetically engineered to play the transcendent piece they just heard – and that he could not play it with the 10 fingers of a mere mortal. </p> <p>Does that realization retroactively change the experience of listening? Does it take away any of the awe? </p> <p><a href="https://www.theatlantic.com/magazine/archive/2004/04/the-case-against-perfection/302927/">As the philosopher Michael Sandel notes</a>: Part of what gives art and athletic achievement its power is the process of witnessing natural gifts playing out. People enjoy and celebrate this talent because, in a fundamental way, it represents the paragon of human achievement – the amalgam of talent and work, human gifts and human sweat.</p> <h2>Is it all doom and gloom?</h2> <p>Might ChatGPT and DALL-E be worth keeping around? </p> <p>Perhaps. These technologies could serve as catalysts for creativity. It’s possible that the link between ideation and execution can be sustained if these AI applications are simply viewed as mechanisms for creative imagining – <a href="https://openai.com/blog/dall-e-2-extending-creativity/">what OpenAI calls</a> “extending creativity.” They can generate stimuli that allow artists to engage in more imaginative thinking about their own process of conceiving an art piece. </p> <p>Put differently, if ChatGPT and DALL-E are the end results of the artistic process, something meaningful will be lost. But if they are merely tools for fomenting creative thinking, this might be less of a concern. </p> <p>For example, a game designer could ask DALL-E to provide some images about what a Renaissance town with a steampunk twist might look like. A writer might ask about descriptors that capture how a restrained, shy person expresses surprise. Both creators could then incorporate these suggestions into their work. </p> <p>But in order for what they are doing to still count as art – in order for it to feel like art to the artists and to those taking in what they have made – the artists would still have to do the bulk of the artistic work themselves. </p> <p>Art requires makers to keep making.</p> <h2>The warped incentives of the internet</h2> <p>Even if AI systems are used as catalysts for creative imaging, we believe that people should be skeptical of what these systems are drawing from. It’s important to pay close attention to the incentives that underpin and reward artistic creation, particularly online.</p> <p>Consider the generation of AI art. These works draw on images and video that <a href="https://www.theguardian.com/technology/2022/nov/12/when-ai-can-make-art-what-does-it-mean-for-creativity-dall-e-midjourney">already exist</a> online. But the AI is not sophisticated enough – nor is it incentivized – to consider whether works evoke a sense of wonder, sadness, anxiety and so on. They are not capable of factoring in aesthetic considerations of novelty and cross-cultural influence. </p> <p>Rather, training ChatGPT and DALL-E on preexisting measurements of artistic success online will tend to replicate the dominant incentives of the internet’s largest platforms: <a href="https://doi.org/10.1111/josp.12489">grabbing and retaining attention</a> for the sake of data collection and user engagement. The catalyst for creative imagining therefore can easily become subject to an addictiveness and attention-seeking imperative rather than more transcendent artistic values.</p> <p>It’s possible that artificial intelligence is at a precipice, one that evokes a sense of “<a href="https://www.theatlantic.com/magazine/archive/2004/04/the-case-against-perfection/302927/">moral vertigo</a>” – the uneasy dizziness people feel when scientific and technological developments outpace moral understanding. Such vertigo can lead to apathy and detachment from creative expression. </p> <p>If human labor is removed from the process, what value does creative expression hold? Or perhaps, having opened Pandora’s box, this is an indispensable opportunity for humanity to reassert the value of art – and to push back against a technology that may prevent many real human artists from thriving.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/chatgpt-dall-e-2-and-the-collapse-of-the-creative-process-196461" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Art

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Jacinda Ardern’s resignation: gender and the toll of strong, compassionate leadership

<p>“Uneasy is the head that wears the crown”, wrote Shakespeare, way back in the 1500s. It’s not a new idea that top-level leadership jobs are intensely <a href="https://www.sciencedirect.com/science/article/pii/S1048984316300923">stressful</a> and pose a heavy toll. Extended periods of stress are known to put people at <a href="https://www.annualreviews.org/doi/abs/10.1146/annurev.psych.52.1.397">risk of burnout</a>.</p> <p>Yet probably few of us can ever grasp just how unrelentingly demanding and difficult leading a country actually is. Especially in times of crisis and with our modern media and online environment, every statement and every move a leader makes is subject to extensive scrutiny and commentary. </p> <p>Increasingly, a troubling feature of the commentary about New Zealand Prime Minister Jacinda Ardern has been its abusive, violent, sexist and misogynistic tenor.</p> <p>While she has not focused on this as a reason for her decision to <a href="https://theconversation.com/arderns-resignation-as-new-zealand-prime-minister-is-a-game-changer-for-the-2023-election-198149">resign yesterday</a>, being targeted in this way, and knowing <a href="https://www.newshub.co.nz/home/entertainment/2022/03/where-is-clarke-gayford-jacinda-ardern-laughs-off-conspiracy-theories-reveals-the-answer.html">her partner</a> and even <a href="https://www.rnz.co.nz/news/political/482761/the-hatred-and-vitriol-jacinda-ardern-endured-would-affect-anybody">her child</a> were also targeted, must surely have made an already difficult job so much more challenging.</p> <h2>Crises, kindness and courageous decisions</h2> <p>Crises have long been understood as the most intensive tests of a <a href="https://www.sciencedirect.com/science/article/pii/S1048984322000649">leader’s skill and character</a>. They involve making weighty decisions, at times about matters that quite literally have life and death implications. Decisions have to be made at speed, but often with insufficient information to confidently predict the consequences of the choices made.</p> <p>Ardern’s premiership has thrown crisis after crisis her way. And time and time again, she has displayed a strength of character and <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9781003099109-10/leading-crisis-adaptive-leadership-jacinda-ardern-deidre-le-fevre">considerable leadership skills</a> in responding to them. </p> <p>Her handling of the Christchurch terror attacks won <a href="https://www.washingtonpost.com/world/2019/03/18/new-zealands-prime-minister-wins-worldwide-praise-her-response-mosque-shootings/">global admiration</a> for her composure, compassion and decisive resolve to ensure such heinous acts could not be repeated here.</p> <p>Her response to the <a href="https://www.nzherald.co.nz/nz/white-island-eruption-how-good-is-ardern-world-praises-pm-for-disaster-response/4S5BZ6NCOWXN4R63HDIEV4KXVM/">Whakaari White Island eruption</a> garnered similar praise, showing yet again her intuitive grasp that a leader offering support to those caught up in such a distressing event actually makes a difference. That Ardern has sought to combine compassion and kindness with the courage to make tough decisions is a key feature of <a href="https://www.emerald.com/insight/content/doi/10.1108/978-1-80262-157-020221003/full/html">her style</a>.</p> <h2>Unrealistic expectations of a leader</h2> <p>Throughout the pandemic, Arden has repeatedly proved her willingness to make courageous decisions. Combined with her prowess at <a href="https://journals.sagepub.com/doi/full/10.1177/1742715020929151">mobilising the public’s understanding</a> and support for the government’s COVID response, this was critical to the success of the elimination strategy. Many <a href="https://www.sciencemediacentre.co.nz/2022/03/21/two-years-since-nz-first-locked-down-expert-reaction/">lives and livelihoods have been saved</a> due to her leadership.</p> <p>When Delta and then Omicron emerged, Ardern <a href="https://theconversation.com/why-jacinda-arderns-clumsy-leadership-response-to-delta-could-still-be-the-right-approach-169926">sought to continually adapt</a> the government’s policies to a changing context. While tenacity and resilience may number among her many strengths, dogmatism is not one of her weaknesses. </p> <p>Of course not all decisions <a href="https://www.stuff.co.nz/national/health/coronavirus/300763211/ombudsmans-criticism-of-miq-virtual-lobby-doesnt-go-far-enough">proved to be optimal</a> – expecting them to be so would be wildly unrealistic. Some of her decisions have sparked a <a href="https://thespinoff.co.nz/summer-2022/04-01-2023/the-day-the-grounds-of-parliament-burned-2">strong negative response</a>. But it’s <a href="https://www.amazon.com/Thinking-Differently-About-Leadership-Critical/dp/1784716782">foolish to expect perfection from leaders</a>, and the job unavoidably means making tough calls not everyone will agree with.</p> <h2>Rise in sexist and mysogynistic abuse</h2> <p>No leader is omnipotent, especially in a democracy and in a globally interconnected world. </p> <p>The latest crisis Ardern has been grappling with – the cost of living – is in large measure <a href="https://edition.cnn.com/2022/09/21/economy/central-banks-inflation-global/index.html">driven by global forces</a> far beyond the control of any New Zealand prime minister. New Zealand’s situation is <a href="https://www.stuff.co.nz/business/129353834/think-inflation-is-biting-spare-a-thought-for-turkey">better than many other countries</a>, but unfortunately for Ardern this holds little sway for some people. </p> <p>The reality, then, is that her growing unpopularity has in part been rooted in people having unrealistic expectations of what leaders can and can’t actually do, and needing someone to blame. But there’s also no getting away from the fact that far too much of the criticism directed at her has been coloured by sexist and misogynistic attitudes. </p> <p>There’s a continuum in how this is expressed. It starts with one C word – <a href="https://www.stuff.co.nz/national/politics/opinion/122658284/shes-not-a-doll-so-dont-call-the-prime-minister-cindy">Cindy</a> – which is a sexist attempt to belittle her authority and status as an adult woman who is the elected leader of our country. </p> <p>It ends with the other C word. Research by the <a href="https://thedisinfoproject.org/2022/11/29/dangerous-speech-misogyny-and-democracy/">Disinformation Project</a> shows its usage is enmeshed within a wider discourse that denigrates other aspects of her identity as a woman and extends to <a href="https://twitter.com/justinsight/status/1616144565433663488">fantasising about her rape and death</a>.</p> <p>This kind of behaviour is simply inexcusable. It should be to New Zealand’s eternal shame that Ardern has been subjected to this. It cannot be justified by arguing her policies have been controversial and she “deserves” this abuse: that line of reasoning simply replicates the defence long used by rapists and domestic abusers.</p> <p>Ardern is New Zealand’s third woman prime minister. The <a href="https://www.ceeol.com/search/article-detail?id=277628">glass ceiling</a> for that role is well and truly broken. We now also have <a href="https://www.rnz.co.nz/news/political/477290/women-will-have-equal-share-of-seats-in-parliament-with-soraya-peke-mason-s-swearing-in">equal representation of women</a> within parliament. But the sexist and misogynistic nature of so much of the criticism and abuse directed at Ardern also shows we are a very long way from having equal treatment of women in leadership.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/jacinda-arderns-resignation-gender-and-the-toll-of-strong-compassionate-leadership-198152" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Retirement Life

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"Just pure kindness": Richard E Grant's emotional gift after wife's death

<p>Richard E Grant has shared the story of an incredibly thoughtful gift from his neighbour. </p> <p>The English actor said he was "undone" by his neighbour's gift, which was a heart-warming reminder of his late wife. </p> <p>Grant, 65, lost his wife, dialect coach Joan Washington, to lung cancer in September 2021.</p> <p>The actor shared an emotional video about the gift and how much it meant to him while he is continuing to grieve his loss. </p> <p>“I returned to the Cotswolds today for the weekend and the kind of violence in the silence as you long to hear the person that you can never hear again,” he began, looking visibly emotional.</p> <p>“What has completely floored me is to find that my incredibly generous neighbour Jules Bowsher has gifted me a comfort blanket, or a lap quilt as she calls it."</p> <p>“She has hand embroidered it over months, with all of my wife’s favourite poetry."</p> <p>“All of the names of the actors and coaches she worked with over the decades, films and stage plays that she coached on."</p> <p>“All the expressions that were common to our 38-year-long marriage.”</p> <p>The actor continued, “It includes little 3D pockets of happiness with keepsakes and trinkets, all referencing our long marriage.”</p> <p>“The amount of time she has taken to do this, it’s beyond measure as the kindness of friendship has undone me in the greatest spirit of Christmas as possible,” Grant said.</p> <p>“How can two little words, ‘Thank you,’ begin to adequately convey the enormity of what she has given me?</p> <p>“We’re not related. We’re not family or anything like that. Just pure kindness.”</p> <p>He finished by saying, “Thank you Jules. You’ve made a grown man cry with gratitude.”</p> <p>Fans flocked to comment on what a kind gift it was, sharing their admiration for the actor's thoughtful neighbour. </p> <p>“The hours that lovely lady must have spent, but to see how well received it has been, must give her pleasure too,” one follower wrote.</p> <div> <p>“What a kind lady,” wrote another.</p> <p>“I have lost my only son, and the kindness of people has blown me away; the world can be a hard place to be sometimes, but kindness truly takes over everything else, for sure.”</p> <p><em>Image credits: Instagram </em></p> </div>

Caring

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Mobile phone hoarding: e-waste not good news for the environment

<p>What happened to your previous mobile phone after you upgraded or replaced it? Did it go in a drawer? A box in the garage, perhaps?</p> <p>Today marks International E Waste Day, with this year’s slogan, “Recycle it all, no matter how small!”, specifically targeting small devices with a high recycling value that are often hoarded for years before they become waste.</p> <p>It’s a timely reminder, as results from surveys conducted across Europe suggest that the roughly 5.3 billion mobiles and smartphones dropping out of use this year would reach a height of around 50,000 km if stacked flat and on top of each other.</p> <p>That’s well-and-truly over the average orbiting height of the International Space Station and about an eighth of the distance to the moon.</p> <p>“In 2022 alone, small EEE (Electrical and Electronic Equipment) items such as cell phones, electric toothbrushes, toasters and cameras produced worldwide will weigh an estimated total of 24.5 million tonnes – four times the weight of the Great Pyramid of Giza”, says Magdalena Charytanowicz of the WEEE (Waste Electrical and Electronic Equipment) Forum, responsible for organising <a href="https://www.genevaenvironmentnetwork.org/events/international-e-waste-day-2022/" target="_blank" rel="noreferrer noopener">International E Waste Day</a>. “And these small items make up a significant proportion of the 8% of all e-waste thrown into trash bins and eventually landfilled or incinerated.”</p> <p>With their valuable components of <a href="https://cosmosmagazine.com/technology/critical-minerals-mining-australia/" target="_blank" rel="noreferrer noopener">gold, copper, silver, palladium and other materials</a>, mobile phones ranked fourth amongst small Electrical and Electronic Equipment (EEE) hoarded or unrecoverably discarded – that is put in draws, cupboards or garages – rather than repaired or recycled – or sent to landfill or for incineration.</p> <p>The surveys ran for four months from June 2022 and covered 8,775 households across Portugal, Netherlands, Italy, Romani, Slovenia and the UK and asked participants about common items such as phones, tablets, laptops, electric tools, hair dryers, toasters and other appliances. The top five hoarded small EEE products were (in order): small electronics and accessories (e.g., headphones, remotes), small equipment (e.g., clocks, irons), small IT equipment (e.g., hard drives, routers, keyboards, mice), mobile and smartphones, small food preparation appliances (e.g., toasters, grills).</p> <p>Italy hoarded the highest number of small EEE products, while Lebanon hoarded the least.</p> <p>You might recognise some of the reasons given, which included potential future use, plans to sell or give away, sentimental value, future value, use in a secondary residence or contains sensitive data. Others were also unsure how to dispose of the item or felt there was no incentive to recycle it, and some argued that they’d forgotten, didn’t have time or that the item didn’t take up very much space.</p> <p>This is a shame because such items, despite being small, pack a big punch in recyclability.</p> <div class="newsletter-box"> <div id="wpcf7-f6-p218602-o1" class="wpcf7" dir="ltr" lang="en-US" role="form"> </div> </div> <p>“We focussed this year on small e-waste items because it is very easy for them to accumulate unused and unnoticed in households, or to be tossed into the ordinary garbage bin”, says Pascal Leroy, Director General of the WEEE Forum, who have organised International E Waste Day. “People tend not to realise that all these seemingly insignificant items have a lot of value, and together at a global level represent massive volumes.”</p> <p>“These devices offer many important resources that can be used in the production of new electronic devices or other equipment, such as wind turbines, electric car batteries or solar panels – all crucial for the green, digital transition to low-carbon societies,” says Charytanowicz.</p> <h4>What can be done about e-waste?</h4> <p>At the governmental level, there are a number of initiatives including legislation that are coming into effect or being tightened up in order to address this increasing problem.</p> <p>“The continuing growth in the production, consumption and disposal of electronic devices has huge environmental and climate impacts,” says Virginijus Sinkevičius, European Commissioner for the Environment, Oceans and Fisheries. “The European Commission is addressing those with proposals and measures throughout the whole product life-cycle, starting from design until collection and proper treatment when electronics become waste.”</p> <p>“Moreover, preventing waste and recovering important raw materials from e-waste is crucial to avoid putting more strain on the world’s resources. Only by establishing a <a href="https://cosmosmagazine.com/technology/can-a-circular-economy-eliminate-e-waste/" target="_blank" rel="noopener">circular economy</a> for electronics, the EU will continue to lead in the efforts to urgently address the fast-growing problem of e-waste.”</p> <p>There is also a role for more education and communication.</p> <p>Launched today by UNITAR, the UN Institute for Training and Research (UNITAR), is the first self-paced e-waste<a href="https://www.uncclearn.org" target="_blank" rel="noopener"> online training course</a> open to anyone. A UNITAR certificate is available upon graduation of the roughly 1.5-hour course which aims to use scientific findings in a practical way for international training and capacity building,” says Nikhil Seth, UNITAR’s Executive Director.</p> <p>Finally, The WEEE Forum has been actively involved in collecting, de-polluting, recycling or preparing for re-use more than 30 million tonnes of WEEE and has also run communication campaigns for almost twenty years.</p> <p>“Providing collection boxes in supermarkets, pick up of small broken appliances upon delivery of new ones and offering PO Boxes to return small e-waste are just some of the initiatives introduced to encourage the return of these items,” says WEEE’s Leroy.</p> <p>At the personal level, all you have to do is quite your hoarding habits and recycle, instead!</p> <p><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=218602&amp;title=Mobile+phone+hoarding%3A+e-waste+not+good+news+for+the+environment" width="1" height="1" /></p> <div id="contributors"> <p><em><a href="https://cosmosmagazine.com/earth/e-waste-mobile-phone-bad-news-environment/" target="_blank" rel="noopener">This article</a> was originally published on <a href="https://cosmosmagazine.com" target="_blank" rel="noopener">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/clare-kenyon" target="_blank" rel="noopener">Clare Kenyon</a>. </em></p> <p><em>Image: Getty Images</em></p> </div>

Technology

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AI system sees beyond the frame of famous artworks

<p dir="ltr">A new AI tool can provide a glimpse of what could potentially be going on beyond the frame of famous paintings, giving them a brand new life. </p> <p dir="ltr">OpenAI, a San Francisco-based company, has created a new tool called 'Outpainting' for its text-to-image AI system, DALL-E. </p> <p dir="ltr">Outpainting allows the system to imagine what's outside the frame of famous works such as <em>Girl with The Pearl Earring</em>, <em>Mona Lisa</em> and <em>Dogs Playing Poker</em>.</p> <p dir="ltr">DALL-E relies on artificial neural networks (ANNs), which simulate the way the brain works in order to learn and create an image from text. </p> <p dir="ltr">Now with Outpainting, users must describe the extended visuals in text form for DALL-E to “paint” the newly imagined artwork. </p> <p dir="ltr">Outpainting, which is primarily aimed for professionals who work with images, will let users 'extend their creativity' and 'tell a bigger story', according to OpenAI. </p> <p dir="ltr">US artist August Kamp used Outpainting to reimagine the famous 1665 painting <em>Girl with a Pearl Earring</em> by Johannes Vermeer, extending the background in the original style. </p> <p dir="ltr">The results show the iconic subject in a domestic setting, surrounded by crockery, houseplants, fruit, boxes and more.</p> <p dir="ltr">Other Outpainting attempts took a more creative turn, with one showing the <em>Mona Lisa</em> surrounded by a dystopian wasteland, and a version of <em>A Friend In Need</em> showing an additional table of gambling canines.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">“Outpainting: an apocalyptic Mona Lisa” by tonidl1989<a href="https://twitter.com/hashtag/dalle?src=hash&amp;ref_src=twsrc%5Etfw">#dalle</a> <a href="https://twitter.com/hashtag/dalle2?src=hash&amp;ref_src=twsrc%5Etfw">#dalle2</a> <a href="https://twitter.com/hashtag/aiart?src=hash&amp;ref_src=twsrc%5Etfw">#aiart</a> <a href="https://twitter.com/hashtag/aiartwork?src=hash&amp;ref_src=twsrc%5Etfw">#aiartwork</a> <a href="https://t.co/puYVxjyFMm">pic.twitter.com/puYVxjyFMm</a></p> <p>— Best Dalle2 AI Art 🎨 (@Dalle2AI) <a href="https://twitter.com/Dalle2AI/status/1565168579376566278?ref_src=twsrc%5Etfw">September 1, 2022</a></p></blockquote> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Used DALL-E 2’s new “outpainting” feature to expand the world’s greatest work of art… <a href="https://t.co/0HXQzngt9P">pic.twitter.com/0HXQzngt9P</a></p> <p>— M.G. Siegler (@mgsiegler) <a href="https://twitter.com/mgsiegler/status/1565398150482784256?ref_src=twsrc%5Etfw">September 1, 2022</a></p></blockquote> <p dir="ltr">DALL-E is available to more than one million people to create AI-generated images, all with a series of text prompts. </p> <p dir="ltr">DALL-E is just one of many AI systems infiltrating the art world, joining the likes of Midjourney and Imagen redefining how we create and appreciate art. </p> <p dir="ltr"><em>Image credits: DALL-E - August Kamp</em></p>

Art

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Beverly Hills, 90210 star Joe E. Tata dead at 86

<p dir="ltr"><em>Beverly Hills, 90210</em> star Joe E. Tata has passed away at the age of 86 following a battle with Alzheimer’s. </p> <p dir="ltr">His devastating death was announced by Tata’s co-star Ian Ziering on Instagram, who paid tribute to the man who played Peach Pit owner Nat Bussichio on the show for 10 years.</p> <p dir="ltr">Ziering started off his post acknowledging the deaths of other colleagues, Jessica Klein one of 90210’s most prolific writers and producers, Denise Douse who played Mrs. Teasley, before sharing the heartbreaking announcement. </p> <p dir="ltr">“I’m very sad to say Joe E Tata has passed away. Joey was truly an OG, I remember seeing him on the Rockford files with James Garner years before we worked together on 90210,” his post began.</p> <p dir="ltr">“He was often one of the background villains in the original Batman series. </p> <p dir="ltr">“One of the happiest people I’ve ever worked with, he was as generous with his wisdom as he was with his kindness. </p> <p dir="ltr">“Though the peach pit was a 90210 set, It often felt like the backdrop to the Joe E Tata show. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/ChsG7TirHFW/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/ChsG7TirHFW/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Ian Ziering (@ianziering)</a></p> </div> </blockquote> <p dir="ltr">“The stories of days gone by that he would share, incredible experiences in the entertainment industry that he was a part of would keep us all captivated. </p> <p dir="ltr">“He may have been in the back of many scenes, but he was a leading force, especially to us guys, on how to appreciate the gift that 90210 was. </p> <p dir="ltr">“My smile dims today but basking in fond memories moves him from my eyes to my heart where he will always be.</p> <p dir="ltr">“My sincere condolences go out to his family and friends, and everyone else he was dear too. </p> <p dir="ltr">“Rest In peace Joey.” </p> <p dir="ltr">Tata’s health began to deteriorate in 2014 but it was only in 2018 when he was officially diagnosed with Alzehimer’s </p> <p dir="ltr">“Now 86 years old, his illness has progressed to its final stages," Tata’s daughter Kelly wrote on a crowdsourcing page for her father. </p> <p dir="ltr">"He spends his days scared and confused. The few times I've seen him, there is relief and joy in his eyes."</p> <p dir="ltr">"Nat was a loving father figure to the kids of West Beverly High. In real life, my Dad, Joey, is honest, kind, and a truly incredible father."</p> <p dir="ltr"><em>Images: Instagram</em></p>

Caring

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‘Laid awake and wept’: destruction of nature takes a toll on the human psyche. Here’s one way to cope

<p>Predictions of catastrophic climate change seem endless – and already, its effects are hard to ignore. Events such as bushfires, floods and species loss generate feelings of sadness, anxiety and grief in many people. But this toll on the human psyche is often overlooked.</p> <p>Our research has investigated the negative emotions that emerge in Australians in response to the destruction of nature, and how we can process them. We’ve found being in nature is crucial.</p> <p>Our latest <a href="https://www.mdpi.com/2071-1050/14/13/7948/htm#B9-sustainability-14-07948" target="_blank" rel="noopener">research</a> examined an eco-tourism enterprise in Australia. There, visitors’ emotional states were often connected to nature’s cycles of decay and regeneration. As nature renews, so does human hope.</p> <p>As our climate changes, humans will inhabit and know the world differently. Our findings suggest nature is both the trigger for, and answer to, the grief that will increasingly be with us.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=585&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=585&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=585&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=736&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=736&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/476832/original/file-20220801-70681-b3fz6g.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=736&amp;fit=crop&amp;dpr=3 2262w" alt="three bushwalkers traverse a green ridge" /></a><figcaption><span class="caption">Immersion in nature can improve people’s emotional wellbeing.</span> <span class="attribution">Tourism Queensland</span></figcaption></figure> <p><strong>Emotions of climate distress</strong></p> <p>Our research has previously examined how acknowledging and processing emotions can help humans <a href="https://doi.org/10.1080/17565529.2021.1881425" target="_blank" rel="noopener">heal</a> in a time of significant planetary change. This healing can often come about through social, collective approaches involving connection with the Earth’s natural systems.</p> <p>Eco-tourism experiences offer opportunities to connect with nature. Our recent <a href="https://onlinelibrary.wiley.com/doi/10.1111/1745-5871.12554" target="_blank" rel="noopener">research</a> examined the experiences of tourists who had recently stayed at Mount Barney Lodge in Queensland’s Scenic Rim region.</p> <p>The eco-tourism business is located on Minjelha Dhagun Country, next to the World Heritage-listed Mount Barney National Park. The region was <a href="https://www.climatecouncil.org.au/fires-floods-global-pandemic-mount-barney-lodge/" target="_blank" rel="noopener">badly affected</a> by the Black Summer bushfires of 2019-2020.</p> <p>Through an online questionnaire conducted last year, we sought to understand visitors’ psychological experiences and responses while at the lodge.</p> <p>Seventy-two participants were recruited via an information sheet and flyer placed in the lodge reception. The youngest was aged 18, the oldest was 78 and the average age was 46. Some 71% were female and 29% were male.</p> <p>We found 78% of respondents experienced sadness, anger, anxiety and other grieving emotions in response to current pressures on the Earth’s life supporting systems.</p> <p>One reflected on how they “have laid awake at night thinking about all the biodiversity loss [and] climate change and wept” and another said they felt “so sad for the animals” in the face of bushfires or urban sprawl.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/476830/original/file-20220801-31624-gg9eio.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="two koalas huddle on felled trees" /><figcaption><span class="caption">Environmental destruction triggers sadness and other emotions – but immersion in nature can help.</span> <span class="attribution">WWF Australia</span></figcaption></figure> <p>Another participant spoke of their sadness following bushfires in the Snowy Mountains fires of New South Wales:</p> <blockquote> <p>This area is where I [spent] much of my youth, so it was really sad to see it perish. I felt like I was experiencing the same hurt that the environment (trees, wildlife) was – as my memories were embedded in that location.</p> </blockquote> <p>This response reflects how nature can give people a sense of place and identity – and how damage to that environment can erode their wellbeing.</p> <p>But grief can also emerge in anticipation of a loss that has not yet occurred. One visitor told us:</p> <blockquote> <p>When I was little, I thought of the world as kind of guaranteed – it would always be there – and having that certainty taken away […] knowing that the world might not be survivable for a lot of people by the time I’m a grown-up – it’s grief, and anger, and fear of how much grief is still to come.</p> </blockquote> <p>Anger and frustration towards the then-federal government were also prominent. Participants spoke of a “lack of leadership” and the “government’s inability to commit to a decent climate policy”. They also expressed frustration at “business profits being put ahead of environmental protection”.</p> <p>Participants also said “it feels like we can’t do anything to stop [climate change]” and “anything we do try, and change is never going to be enough”.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/476835/original/file-20220801-9120-yt41gw.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="fire officials stand in front of smoke-filled landscape" /><figcaption><span class="caption">Participants felt they lacked control over the effects of climate change.</span> <span class="attribution">Sean Davey/AAP</span></figcaption></figure> <p><strong>Healing through immersion in nature</strong></p> <p>Emotions such as <a href="https://www.nature.com/articles/s41558-018-0092-2" target="_blank" rel="noopener">ecological grief</a> and <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(20)30144-3/fulltext" target="_blank" rel="noopener">eco-anxiety</a> are perfectly rational responses to environmental change. But we must engage with and process them if their <a href="https://www.nature.com/articles/s41558-020-0712-5" target="_blank" rel="noopener">transformative potential</a> is to be realised.</p> <p>There is increasing <a href="https://link.springer.com/article/10.1023/A:1005566612706" target="_blank" rel="noopener">evidence</a> of nature’s ability to <a href="https://journals.sagepub.com/doi/abs/10.1177/0013916508319745" target="_blank" rel="noopener">help people</a> sit with and process complex emotional states – improving their mood, and becoming happier and more satisfied with life.</p> <p>Participants in our study described how being in natural areas such as Mount Barney helped them deal with heavy emotions triggered by nature’s demise.</p> <p>Participants were variously “retreating to nature as much as possible”, “appreciating the bush more” and “spending as much time outside [so] that I can hear trees, plants, and animals”.</p> <p>Participants explained how “being in nature is important to mental wellbeing”, is “healing and rejuvenating” and “always gives me a sense of spiritual coherence and connection with the natural world”.</p> <p>For some, this rejuvenation is what’s needed to continue fighting. One participant said:</p> <blockquote> <p>If we don’t see the places, we forget what we’re fighting for, and we’re more likely to get burned out trying to protect the world.</p> </blockquote> <p>Similarly, one participant spoke of observing the resilience and healing of nature itself after devastation:</p> <blockquote> <p>[I] find peace and some confidence in its [nature’s] ability to regenerate if given a chance.</p> </blockquote> <figure class="align-center "><img src="https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/476820/original/file-20220801-38718-odw5xf.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="green grass springs from blackened landscape" /><figcaption><span class="caption">This image of Mount Barney National Park shows nature’s ability to regenerate after bushfires.</span> <span class="attribution">Innes Larkin</span></figcaption></figure> <p><strong>The call back to nature</strong></p> <p>Our findings suggest immersing ourselves in nature more frequently will help us process emotions linked to ecological and climate breakdown – and thus find hope.</p> <p>Eco-tourism sites promote opportunities for what’s known as <a href="https://www.cornellpress.cornell.edu/book/9781501715228/earth-emotions/" target="_blank" rel="noopener">eutierria</a> – a powerful state that arises when one experiences a sense of oneness and symbiosis with Earth and her life-supporting systems.</p> <p>Through this powerful state, it’s possible for one to undertake the courageous acts needed to advocate on behalf of nature. This is essential for the transformations Earth desperately needs.<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/187837/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/ross-westoby-755937" target="_blank" rel="noopener">Ross Westoby</a>, Research Fellow, <a href="https://theconversation.com/institutions/griffith-university-828" target="_blank" rel="noopener">Griffith University</a>; <a href="https://theconversation.com/profiles/karen-e-mcnamara-41028" target="_blank" rel="noopener">Karen E McNamara</a>, Associate professor, <a href="https://theconversation.com/institutions/the-university-of-queensland-805" target="_blank" rel="noopener">The University of Queensland</a>, and <a href="https://theconversation.com/profiles/rachel-clissold-1040363" target="_blank" rel="noopener">Rachel Clissold</a>, Researcher, <a href="https://theconversation.com/institutions/the-university-of-queensland-805" target="_blank" rel="noopener">The University of Queensland</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/laid-awake-and-wept-destruction-of-nature-takes-a-toll-on-the-human-psyche-heres-one-way-to-cope-187837" target="_blank" rel="noopener">original article</a>.</em></p> <p><em>Image: Getty Images</em></p>

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What’s taking the biggest toll on our mental health?

<p>The new Labor government arrives at a time of mounting mental health strain: Australians have endured COVID, extreme weather events and financial stress from increased living costs.</p> <p>The new government has a lot to fix in the mental health system but policy priorities should be guided by the voices of Australians.</p> <p>To learn more about the nation’s priority mental health concerns, our <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0268824" target="_blank" rel="noopener">new research</a> surveyed more than 1,000 adults aged 18 to 85 across the nation.</p> <p>Without being prompted, participants consistently highlighted three major issues: the mental health service system, financial stress, and social disconnection.</p> <p><strong>A strained mental health system</strong></p> <p>The COVID pandemic added pressure to an already <a href="https://www.pc.gov.au/news-media/speeches/mental-health" target="_blank" rel="noopener">strained mental health-care system</a>. Countless Australians – many experiencing mental ill-health for the first time – were left without appropriate support.</p> <p>Participants described overwhelming barriers to accessing treatment, including high costs, wait-lists and inaccessibility:</p> <blockquote> <p>The out of pocket expense makes receiving regular, effective psychological treatment prohibitive, especially as a single parent.</p> <p>– female, late 30s, NSW</p> <p>When people are in crisis, they need the help at that time. Not six months down the track when an opening finally becomes available at the counselling centre.</p> <p>– non-binary person, early 70s, Tasmania</p> </blockquote> <p><strong>Financial stress</strong></p> <p>Respondents shared how the pandemic “pressurised” other mental health triggers, like financial stress, as JobKeeper and the Coronavirus Supplement were wound back and cost of living increased.</p> <p>A NSW woman in her late-20s living with a disability shared that prior to receiving the Coronavirus Supplement: “I felt it would be better to kill myself than try and make it work”, but with the supplement, “For the first time in years money wasn’t so tight.”</p> <p>The removal of the supplement was described by another as:</p> <blockquote> <p>crushing and damaging to your mental health</p> <p>– female, late 20s, Tasmania</p> </blockquote> <p>The low payment amount after the supplement was removed was not seen as “sufficient income to live a ‘reasonable life’”.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="Person wringing their hands" /><figcaption><em><span class="caption">Cost of living pressures have had a significant impact on Australians’ mental health.</span> <span class="attribution"><a class="source" href="https://unsplash.com/photos/qbTC7ZwJB64" target="_blank" rel="noopener">Unsplash/Ümit Bulut</a></span></em></figcaption></figure> <p>Together, the stress of low incomes and the return of demanding mutual obligation requirements for JobSeeker (the <a href="https://www.acoss.org.au/media_release/acoss-analysis-shows-mutual-obligation-requirements-are-causing-harm/" target="_blank" rel="noopener">often-unrealistic</a> set of job-related tasks which recipients must undertake to keep receiving payments) worsened some peoples’ mental health, making recovery difficult.</p> <blockquote> <p>The social welfare system isn’t equipped to support those of us who struggle to work because of mental health issues. I cry every day at my full-time job and would like to focus on recovery, but the tiny rate of Centrelink payments means I keep struggling through</p> <p>– female, early 30s, Victoria</p> </blockquote> <p>With increasing living costs, a NSW man in his late 20s reported “stressing about having money to make ends meet […] the cost of food going up, and not having money to heat my home in winter”. He described making difficult financial decisions like choosing to “not eat” in favour of “making sure my dog is fed”.</p> <p>Many spoke of financial stress in relation to housing as a key priority for their mental health, particularly “unaffordable housing prices” (female, early 30s, NSW) and “prohibitive rent” (female, late 60s, Victoria).</p> <p><strong>Social disconnection</strong></p> <p>Many described a lack of social and community connection as a mental health priority, perhaps unsurprising with COVID lockdowns and strict border controls.</p> <p>Some felt this was linked to a lack of physical spaces for socialising:</p> <blockquote> <p>We need facilities for people and communities to socialise in a healthy environment. Get rid of the poker machines and make pubs a place where people can openly socialise again</p> <p>– male, late 40s, NSW</p> </blockquote> <p>Others sensed a broader cultural shift away from valuing community:</p> <blockquote> <p>We need supportive communities […] We are too ‘private’ don’t share our troubles, don’t ask for help</p> <p>– female, late 40s, NSW</p> <p>[S]ociety has become very individually focused and less about support</p> <p>– male, late 40s, Victoria.</p> </blockquote> <p><strong>Building resilience</strong></p> <p>The voices of diverse Australians included in <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0268824" target="_blank" rel="noopener">our study</a> provide clear guidance for the government to build a more resilient and mentally healthy future.</p> <p>Labor’s election promise to re-instate the <a href="https://www.alp.org.au/policies/regional-mental-telehealth-services" target="_blank" rel="noopener">telepsychiatry Medicare item</a> in regional and rural areas is important, but the government must address other pressing service issues, including long wait-times and high costs.</p> <p>The government also needs to address the <em>causes</em> of mental ill-health, such as financial insecurity and social disconnection.</p> <p>While Labor has promised to tackle <a href="https://www.alp.org.au/policies/secure-australian-jobs-plan" target="_blank" rel="noopener">job security</a> and <a href="https://www.alp.org.au/policies/safer-and-more-affordable-housing" target="_blank" rel="noopener">housing affordability</a>, it didn’t back an increase to income support benefits. This should be revisited.</p> <p>In 2021, <a href="https://alp.org.au/media/2594/2021-alp-national-platform-final-endorsed-platform.pdf" target="_blank" rel="noopener">Labor</a> committed to addressing loneliness and social isolation, although no related election promises were made. Doing so would require changes outside the “health” portfolio. We need a whole-of-government <a href="https://mentalhealththinktank.org.au/wp-content/uploads/2022/04/BuildingMentallyHealthyFutures_YouthRecoveryPlan.pdf" target="_blank" rel="noopener">social and emotional well-being lens</a> on all federal policies.</p> <p>Finally, our study highlighted that drivers of poor mental health are further strained in disaster settings, such as pandemics or extreme weather events. As the Labor government develops its <a href="https://www.alp.org.au/policies/disaster-readiness" target="_blank" rel="noopener">disaster readiness plan</a>, mental health impacts – in addition to economic and infrastructure impacts – must be a key consideration.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><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/184148/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/marlee-bower-1000885" target="_blank" rel="noopener">Marlee Bower</a>, Research Fellow, Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841" target="_blank" rel="noopener">University of Sydney</a>; <a href="https://theconversation.com/profiles/maree-teesson-1274573" target="_blank" rel="noopener">Maree Teesson</a>, Professor &amp; Director of The Matilda Centre. Chair, Australia's Mental Health Think Tank, <a href="https://theconversation.com/institutions/university-of-sydney-841" target="_blank" rel="noopener">University of Sydney</a>, and <a href="https://theconversation.com/profiles/scarlett-smout-1350860" target="_blank" rel="noopener">Scarlett Smout</a>, PhD Candidate and Research Program Officer at The Matilda Centre for Research in Mental Health &amp; Substance Use and Australia's Mental Health Think Tank, <a href="https://theconversation.com/institutions/university-of-sydney-841" target="_blank" rel="noopener">University of Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-taking-the-biggest-toll-on-our-mental-health-disconnection-financial-stress-and-long-waits-for-care-184148" target="_blank" rel="noopener">original article</a>.</em></p> <p><em>Image: Getty Images</em></p>

Mind

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The mental health toll of Covid-19 lockdowns

<p dir="ltr">During 2021, most people around the world were subject to a period of lockdown to contain the spread of Covid-19. </p> <p dir="ltr">With lockdowns in Australia lasting several months, the personal effects of these isolation periods are not to be underestimated. </p> <p dir="ltr">According to a new report by the <a href="https://www.nswmentalhealthcommission.com.au/">Mental Health Commission of NSW</a>, one in eight people have emerged from the pandemic with a new mental health condition.</p> <p dir="ltr">As a result, the nation-wide mental health system is facing immense pressure, with wait times for mental health specialists stretching to more than six months in some parts of New South Wales alone. </p> <p dir="ltr">NSW Mental Health Commissioner Catherine Lourey told the <a href="https://www.smh.com.au/national/nsw/lockdown-toll-one-in-eight-have-new-mental-health-condition-20220513-p5al4v.html?fbclid=IwAR0ARZsPxwdkWuRbZoEGRmgXCQM8EF3QjXASs50dTw6keMn2KAKHV0kxa7M">Sydney Morning Herald</a> that Australia will need to recruit from abroad to boost its depleted and exhausted mental health workforce, as demand far outweighs supply for services after two years of lockdowns and pandemic distress.</p> <p dir="ltr">Data from the Australian Institute of Health and Welfare show a dramatic 25 percent increase in those seeking mental health services compared to the same time pre-pandemic.</p> <p dir="ltr">“As demand on services rises, waiting lists for specialists are blowing out to more than six months, particularly in regional parts of NSW,” Lourey said.</p> <p dir="ltr">“Our biggest obstacle is getting nurses and specialists on the ground now. We need intense focus on growing our existing workforce, re-training and looking overseas to recruit more psychologists, peer workers, social workers, nurses and counsellors,” Lourey said.</p> <p dir="ltr">A commission into the ongoing impact of the pandemic shows that the lockdowns of 2021 had a more detrimental effect on mental health than the first year of the pandemic. </p> <p dir="ltr">A survey of more than 2,000 NSW residents in November and December of 2021 found one in eight experienced a new mental health condition, the most common being anxiety and depression. </p> <p dir="ltr">People aged 18 to 29 were the most likely to experience a new mental health issue.</p> <p dir="ltr">Sixty-one percent said their mental health was negatively impacted by COVID-19 in 2021, up from 55 percent in 2020.</p> <p dir="ltr">Professor Ian Hickie, co-director of the University of Sydney’s Brain and Mind Centre, said the report indicated a need for ongoing support as the community realises Covid-19 will still cause disruption in their lives, even though lockdowns have ended.</p> <p dir="ltr">“2020 was bad, 2021 was worse, and 2022 could be at least better than last year, but we are not back to pre-pandemic yet,” he said.</p> <p dir="ltr">“We wouldn’t expect that until at least 2023, and that is assuming nothing else goes wrong.”</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

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True number of Covid deaths revealed

<p dir="ltr">A new report from the World Health Organisation estimates that the true death toll from COVID-19 - both directly and indirectly - over the past two years was nearly 15 million, which is more than double the official death toll of six million.</p> <p dir="ltr">A majority of those who died were in southeast Asia, Europe and the Americas, with 68 percent of deaths concentrated in just ten countries.</p> <p dir="ltr">Dr Tedros Adhanom Ghebreyesus, the WHO’s Director-General, described the figure as “sobering” in the report and said it highlighted the need for countries to invest in their health systems to ensure essential health services could continue during crises such as the pandemic.</p> <p dir="ltr">“These sobering data not only point to the impact of the pandemic but also to the need for all countries to invest in more resilient health systems that can sustain essential health services during crises, including stronger health information systems,” Dr Ghebreyesus said in a <a href="https://www.who.int/news/item/05-05-2022-14.9-million-excess-deaths-were-associated-with-the-covid-19-pandemic-in-2020-and-2021" target="_blank" rel="noopener">statement</a>.</p> <p dir="ltr">Scientists at the WHO estimated that the “excess mortality” - the difference between the number of deaths expected without a pandemic occurring and the number of deaths that occurred - ranged from 13.3 to 16.6 million deaths between January 1, 2020 and December 21, 2021.</p> <p dir="ltr">This number is made up of both people who died as a result of a COVID-19 infection and those who died indirectly, including people unable to access preventative care and treatment because health systems were overburdened by the pandemic.</p> <p dir="ltr">Though the WHO didn’t break down the numbers for direct and indirect deaths, they were broken down by age and sex - with a higher death toll for men and older adults than women and young people.</p> <p dir="ltr">“This may seem like just a bean-counting exercise, but having these WHO numbers is so critical to understanding how we should combat future pandemics and continue to respond to this one,” said Albert Ko, an infectious disease specialist at Yale University who wasn’t involved in the WHO research, per <em><a href="https://7news.com.au/news/coronavirus/who-releases-sobering-number-of-actual-covid-19-fatalities--and-its-more-than-double-the-official-death-toll-c-6697312" target="_blank" rel="noopener">7News</a></em>.</p> <p dir="ltr">The figures from the WHO come as other experts continue to speculate on whether we can truly know how many people have died COVID-19 accurately, due to limited testing and differences in how countries count and record COVID-19 deaths.</p> <p dir="ltr">For example, a team of Canadian researchers recently published a study in the Lancet that estimated that there were more than three million unaccounted Covid deaths in India alone.</p> <p dir="ltr">Meanwhile, India and several other countries have disputed the WHO’s methodology for counting deaths, arguing against the idea that deaths were much higher than official counts.</p> <p dir="ltr">Despite the ongoing debate, Dr Ko said better figures from the WHO might also explain lingering questions about the pandemic, including why Africa appeared to be least affected by the virus despite its low vaccination rate.</p> <p dir="ltr">“Were the mortality rates so low because we couldn’t count the deaths or was there some other factor to explain that?” he queried.</p> <p dir="ltr">Dr Bharat Pankhania, a public health specialist at the University of Exeter, echoed Dr Ko’s theory, saying we may never know the true death toll for various reasons.</p> <p dir="ltr">“When you have a massive outbreak where people are dying in the streets because of a lack of oxygen, bodies were abandoned or people had to be cremated quickly because of cultural beliefs, we end up knowing just how many people died,” he said.</p> <p dir="ltr">Dr Pankhania added that although estimated death tolls from Covid paled in comparison to the 1918 Spanish flu pandemic’s estimated 100 million deaths, the cost of Covid could be more damaging in the long term as the burden of long-Covid increases.</p> <p dir="ltr">“With the Spanish flu, there was the flu and then there were some (lung) illnesses people suffered, but that was it,” he explained.</p> <p dir="ltr">“There was not an enduring immunological condition that we’re seeing right now with COVID-19.</p> <p><span id="docs-internal-guid-dd69d0c0-7fff-fc66-1804-0adafc2928fc"></span></p> <p dir="ltr">“We do not know the extent to which people with long-Covid will have their lives cut short and if they will have repeated infections that will cause them even more problems.”</p> <p dir="ltr"><em>Image: Getty Images</em></p>

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Prepare for a healthy holiday with this A-to-E guide

<p>So your well-earned holiday is finally here. But before you pack your swim gear, magazines and camera, take a moment to think about your health.</p> <p>Experiencing an illness in a foreign destination can be very challenging. Obviously it will reduce the quality of your trip, but it can also leave travellers with unexpected costs and exposed to a foreign medical system. On occasion, serious complications can follow. </p> <p>More than <a href="http://www.abs.gov.au/ausstats/abs@.nsf/products/961B6B53B87C130ACA2574030010BD05">nine million Australians</a> travel internationally per year, with most trips undertaken by people between the ages of 25 and 55. The top ten <a href="http://www.abs.gov.au/ausstats/abs@.nsf/products/961B6B53B87C130ACA2574030010BD05">most popular destinations</a> for Australians are New Zealand, Indonesia, the USA, UK, Thailand, China, Singapore, Japan, Fiji and India. </p> <p>A range of new health problems can be encountered during travel, and existing health problems can be exacerbated. Staying healthy is all about being informed, prepared and sensible.</p> <p>The <a href="http://wwwnc.cdc.gov/eid/article/15/11/09-1147_article">leading causes</a> of infection-related illness during travel are <a href="http://www.bmj.com/content/353/bmj.i1937">travellers’ diarrhoea</a>, <a href="http://www.mja.com.au/journal/2002/177/4/9-infections-returned-traveller">respiratory infections and infections transmitted by mosquitoes</a>. </p> <p>Minimise your chances of experiencing these by following a simple ABCDE.</p> <h2>A: Allow time to prepare</h2> <p>Around popular holiday periods, it pays to allow plenty of time to book an appointment at a travel clinic, or a local medical clinic that offers travel vaccinations.</p> <p>Some vaccinations have two or three doses and may need four weeks for the course to be completed. Examples include vaccines for <a href="https://theconversation.com/zika-dengue-yellow-fever-what-are-flaviviruses-53969">Japanese encephalitis</a> and <a href="https://theconversation.com/explainer-the-rabies-virus-28654">rabies</a>. </p> <p>If travelling as a family, several visits may be required for preparing children for travel certain destinations.</p> <p>Keep in mind that your travel medicine practitioner may need detailed information about your exact itinerary, your past childhood vaccinations, your medical history and medications. If you have all this information readily available, you can get the most out of your travel consultation.</p> <p>If you have an existing medical condition, get checked out to make sure it’s being managed as expected. For example, blood pressure medications may need to be adjusted if your blood pressure is either too high or too low. </p> <p>Yellow fever immunisations and other live vaccines – those that contain active components – should be avoided if you are on medications that reduce your immunity, such as steroids like <a href="http://www.nps.org.au/medicines/hormonal-and-metabolic-system/corticosteroids-oral-and-injectable/prednisolone-corticosteroids-oral-and-injectable">prednisolone</a>. You may need alterations to immunosuppressive medications some weeks before you travel, or an official letter exempting you from a vaccine that is necessary for entry into certain countries (as is the case with yellow fever vaccine). </p> <h2>B: Behaviour - think about it</h2> <p>Holiday makers often seek to get out of their comfort zones. But it’s worth avoiding the temptation to completely let your hair down: behaviours you would never entertain in the home setting should be avoided in a foreign setting as well. You may also need to alter some of your daily living behaviours. </p> <p>Traveller’s diarrhoea can largely be avoided by using bottled water in any setting that you consume water, including staying hydrated, brushing your teeth, washing fruit and salads, and making ice blocks and other drinks. </p> <p>Eat food from venues that appear to adhere to good food hygiene standards – although this can be difficult to judge. Avoid hawker food or street food where items may have been left for long periods at temperatures where bacteria can multiply. When uncertain of hygiene standards, selecting packaged food is the safest choice.</p> <p>Respiratory infections are common in travellers. If you find yourself in a crowded setting where someone appears unwell and is coughing, create a distance to reduce the risk of being infected. Alcohol-based hand gels are useful to maintain hand hygiene and may protect you from infection due to common colds and other viruses that linger on surfaces.</p> <p>Smart packing is also important. You should travel with sunscreen and clothes that protect you from sun exposure, and repellent that has an active component to repel insects if travelling to an area where mosquitoes can transmit infections such as <a href="https://theconversation.com/zika-dengue-yellow-fever-what-are-flaviviruses-53969">dengue</a>, <a href="https://theconversation.com/does-zika-virus-pose-a-threat-to-australia-53557">Zika</a> and <a href="https://theconversation.com/how-the-world-can-cut-malaria-cases-by-90-in-the-next-15-years-47146">malaria</a>.</p> <p>Avoid acquiring a sexually transmitted infection by using barrier protection (condoms) for sexual intercourse. </p> <h2>C: Check safety, and have a check up</h2> <p>Review travel warnings at a reputable website, such as <a href="http://smartraveller.gov.au/Pages/default.aspx">SmartTraveller</a>. </p> <p>A general check up is advised to ensure your health is stable. Health conditions such as inflammatory bowel disease, diabetes or a lowered immune system may put you at greater risk of travellers’ diarrhoea. Cancer or recent operations can increase risk of developing a <a href="http://jamanetwork.com/journals/jama/fullarticle/2297171">blood clot</a>. </p> <p>Check ups are also a good opportunity to ensure that your vaccinations are up-to-date (see below). </p> <h2>D: Drugs (medications) and vaccines are vital</h2> <p>Medications that can reduce the time or severity of travellers’ diarrhoea are recommended for almost any destination, but particularly when travelling to developing countries where food hygiene standards can be variable. Examples include antibiotics such as azithromycin that treat bacterial causes of diarrhoea, and drugs such as tinidazole to treat parasitic causes of diarrhoea. </p> <p>Medications such as doxycycline or malarone that protect against being infected with malaria are recommended in <a href="https://www.cdc.gov/malaria/about/distribution.html">some regions</a> within Africa, Asia, South America and the Pacific. </p> <p><a href="https://theconversation.com/zika-a-rare-benign-virus-suddenly-turns-nasty-and-heads-for-the-us-52792">Zika virus</a> infection generally causes a mild illness or no symptoms at all. Pregnant female travellers are advised to avoid travel to a Zika endemic area. Couples planning a pregnancy in the near future should seek advice from a health professional if travelling to a Zika endemic country.</p> <p>If you’re travelling to destinations that are above 2500 metres (such Cusco in Peru), talk to your doctor about medications that help prevent or manage altitude sickness. </p> <p>The normal schedule of vaccinations provided to Australians may not cover you for illnesses found in your holiday destination. Extra vaccinations are necessary for certain destinations. </p> <p>For example, <a href="https://theconversation.com/zika-dengue-yellow-fever-what-are-flaviviruses-53969">yellow fever</a> is transmitted by mosquitoes and can cause anything from mild fevers to a severe illness involving multiple organs. Vaccination against yellow fever is required for entry into countries with known yellow fever transmission, and for returning back to Australia if visiting an area of known transmission.</p> <p>Australians may consider vaccinations against the following diseases before travel to popular holiday destinations:</p> <ul> <li>Hepatitis A</li> <li>Hepatitis B</li> <li>Influenza</li> <li>Japanese encephalitis</li> <li>Meningococcal disease</li> <li>Rabies</li> <li>Tuberculosis</li> <li>Typhoid</li> <li>Varicella (Chickenpox) </li> <li>Yellow fever</li> <li>Cholera</li> <li>Measles</li> <li>Polio</li> <li>Tetanus</li> </ul> <p>A full <a href="https://wwwnc.cdc.gov/travel/destinations/list/">list of countries and recommended vaccinations</a> has been compiled by the USA’s Centers for Disease Control and Prevention. </p> <p>Even if you’re previously been vaccinated for some of these conditions, as time passes you may require boosters to strengthen your immunity. </p> <h2>E: Enjoy your trip!</h2> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/prepare-for-a-healthy-holiday-with-this-a-to-e-guide-69552" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Domestic Travel

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Last selfless act on behalf of teen killed on e-scooter

<p>After their 13-year-old son was tragically killed in an e-scooter accident on Saturday, Calym Gilbert's heartbroken parents are making sure his legacy lives on. </p> <p>The young teenager and his friend were riding the e-scooters in Perth when they collided with a Ford Ranger at an intersection, "ejecting" both boys from the scooters and leaving them seriously injured. </p> <p>Calym's life-threatening injuries saw him places on life-support, with his parents making the devastating decision to turn off the machines on Wednesday, with Calym passing away a short time later. </p> <p>According to 7News, his parents have decided to donate their son's organs, allowing the teenager to "leave behind a legacy", by giving six other people a second chance at life. </p> <p>Ever since the incident, Calym's father has issued a plea for others to be careful on the road. </p> <p>"Wear a helmet," he told 7News.</p> <p>"He is our baby boy, the love of my life, ripped from us so suddenly and way too soon," his heartbroken mum added.</p> <p>A <a href="https://www.gofundme.com/f/in-loving-memory-of-calym-gilbert" target="_blank" rel="noopener">GoFundMe</a> page has been set up by Calym's relatives to ease any financial "worry" in the wake of the boy's untimely death, with generous supporters already donating over $8,000 to the grieving family. </p> <p>"Calym had a gentle soul and would do anything to help all of those around him. Calym was full of life and love - his internal light filled any room and left a lasting impression on all those that knew him," the page says.</p> <p><em>Image credits: GoFundMe</em></p>

Family & Pets

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E-cigarettes are less effective at helping smokers to quit

<div><div class="copy"><p>Sales of <a href="https://cosmosmagazine.com/people/society/twelve-myths-about-e-cigarettes/" target="_blank" rel="noreferrer noopener">e-cigarettes</a> – particularly those with high nicotine content, similar to traditional cigarettes – skyrocketed in the US in 2017. Proponents of e-cigarettes say this jump in sales should lead to a jump in those quitting smoking, pointing to some clinical trials as evidence of this.</p><p>Unfortunately, this didn’t work out in practice. According to a new <a href="https://doi.org/10.1136/tobaccocontrol-2021-056901" target="_blank" rel="noreferrer noopener">paper</a> in <em>BMJ Tobacco Control,</em> e-cigarettes were linked to lower success rates for those who tried to quit smoking, and they weren’t any better at preventing relapses.</p><p>The study examines data from a US national long-term study on smoking. The researchers looked specifically at data from 2017-2019, on 3,578 established smokers who’d recently tried to quit and 1,323 recent former smokers.</p><p>“We found little evidence that smokers took part in the 2017 surge in e-cigarette sales, which was associated with the introduction of the high-nicotine JUUL e-cigarette,” says co-author Professor John Pierce, a researcher at UC San Diego and UC San Diego Moores Cancer Centre, US.</p><p>“This is the first survey in which e-cigarettes were less popular as a smoking cessation aid than FDA-approved pharmaceutical aids. Not only were e-cigarettes not as popular, but they were associated with less successful quitting.”</p><p>In 2017, over 12% of recent quitters reported using e-cigarettes to quit – either by themselves or with other aids. About 2.5% used other tobacco products, and 21% used pharmaceutical aids or <a href="https://www.cancer.org/healthy/stay-away-from-tobacco/guide-quitting-smoking/nicotine-replacement-therapy.html" target="_blank" rel="noopener">nicotine</a><a href="https://www.cancer.org/healthy/stay-away-from-tobacco/guide-quitting-smoking/nicotine-replacement-therapy.html" target="_blank" rel="noreferrer noopener"> replacement therapy</a>. Almost two-thirds of respondents (64%) didn’t use anything.</p><p>By 2019, those who had used e-cigarettes were less likely to have successfully quit than those who’d gone cold-turkey – 10% versus 19%. In this study, “successful quitting” was defined as having gone 12 months without using tobacco products.</p><p>However, the number of respondents who were using or planning to use e-cigarettes to quit had nearly doubled – to 22% of all respondents.</p><p>The researchers stress that their study is observational – this data can’t show that e-cigarettes are the cause for these failed quitting attempts. But they do point out that their real-world data sits in contrast to other randomised clinical trials, which tend to slightly favour e-cigarettes over other quitting methods.</p><p>“RCTs [randomised clinical trials] are usually conducted under optimal conditions, which means that they may not translate to the effectiveness of the product in community settings,” point out the authors in their paper.</p><p><em>Image credits: Getty Images</em></p><em><!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --> <img id="cosmos-post-tracker" style="height: 1px!important;width: 1px!important;border: 0!important" src="https://syndication.cosmosmagazine.com/?id=181614&amp;title=E-cigarettes+are+less+effective+at+helping+smokers+to+quit" width="1" height="1" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /> <!-- End of tracking content syndication --></em></div><div id="contributors"><p><em>This article was originally published on <a href="https://cosmosmagazine.com/health/body-and-mind/e-cigarettes-us-study-less-effective/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Ellen Phiddian. </em></p></div></div>

Mind

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"Grief hits us like tsunamis": Heartbreak for Richard E Grant

<p><span style="font-weight: 400;">Actor Richard E. Grant has shared how his heart is breaking following the death of Joan Washington, his wife of 35 years.</span></p> <p><span style="font-weight: 400;">Grant said he was overwhelmed by the support he received from fans, fellow actors, and loved ones.</span></p> <p><span style="font-weight: 400;">“[We’re] overwhelmed by the messages of love, condolence &amp; support we have received from loved ones and strangers from all over the world and the appreciation from actors Joan taught over the years,” the </span><em><span style="font-weight: 400;">Posh Nosh</span></em><span style="font-weight: 400;"> star wrote on Twitter.</span></p> <blockquote class="twitter-tweet"> <p dir="ltr">Overwhelmed by the messages of love, condolence &amp; support we have received from loved ones &amp; strangers from all over the world &amp; the appreciation from actors Joan taught over the years. Grief hits us like tsunamis as we try and put one foot in front of the other without her 💔 <a href="https://t.co/VDhpFQwmrh">pic.twitter.com/VDhpFQwmrh</a></p> — Richard E. Grant (@RichardEGrant) <a href="https://twitter.com/RichardEGrant/status/1434221078696562691?ref_src=twsrc%5Etfw">September 4, 2021</a></blockquote> <p><span style="font-weight: 400;">“Grief hits us like tsunamis as we try and put one foot in front of the other without her.”</span></p> <p><span style="font-weight: 400;">Grant announced his wife’s passing on Twitter on Friday, sharing a video of him dancing with her to a song by the Platters.</span></p> <p><span style="font-weight: 400;">“ONLY YOU! Joan - Love of my Life &amp; Giver of Life to our daughter Olivia,” he captioned the clip.</span></p> <p><span style="font-weight: 400;">“Our hearts are broken with the loss of your life last night. 35 years married &amp; 38 together.”</span></p> <p><span style="font-weight: 400;">“To be truly known and seen by you, is your immeasurable gift. Do not forget us, sweet Monkee-mine.”</span></p> <blockquote class="twitter-tweet"> <p dir="ltr">🎵ONLY YOU!🎵Joan - Love of my Life &amp; Giver of Life to our daughter Olivia. Our hearts are broken with the loss of your Life last night. 35 years married &amp; 38 together. To be truly known and seen by you, is your immeasurable gift. Do not forget us, sweet Monkee-mine 💔💔💔💔💔💔 <a href="https://t.co/YcdVAVK1ja">pic.twitter.com/YcdVAVK1ja</a></p> — Richard E. Grant (@RichardEGrant) <a href="https://twitter.com/RichardEGrant/status/1433723682870997001?ref_src=twsrc%5Etfw">September 3, 2021</a></blockquote> <p><span style="font-weight: 400;">Washington worked as a voice and dialect coach with many Hollywood stars during her long career.</span></p> <p><span style="font-weight: 400;">She worked with Anne Hathaway, Cate Blanchett, Jessica Chastain, and Vanessa Redgrace, as well as with actors on both </span><em><span style="font-weight: 400;">Star Wars: The Phantom Menace</span></em><span style="font-weight: 400;"> and </span><em><span style="font-weight: 400;">Attack of the Clones</span></em><span style="font-weight: 400;">.</span></p> <p><span style="font-weight: 400;">Hollywood stars have since shared their tributes to the leading dialect coach, including Chastain.</span></p> <p><span style="font-weight: 400;">“My heart is broken,” she wrote on Twitter. “Joan Washington had such a profound impact on me, yes, as an artist, but mostly as a woman. Every day I was excited to go to work and giggle with Joan.</span></p> <p><span style="font-weight: 400;">“She was a barometer of truth with a wicked sense of humour. I loved her very much.”</span></p> <p><em><span style="font-weight: 400;">Mad Max</span></em><span style="font-weight: 400;"> and </span><em><span style="font-weight: 400;">The Favourite</span></em><span style="font-weight: 400;"> actor Nicholas Hoult shared a message thanking Washington for her kindness.</span></p> <p><span style="font-weight: 400;">“I can never thank her enough for all her kindness, the lessons she taught me and the memories I’ll cherish,” he said.</span></p> <p><span style="font-weight: 400;">Comic and actress Dawn French also paid tribute to Washington.</span></p> <p><span style="font-weight: 400;">“Joan Washington will ALWAYS be remembered by those of us who knew her and were taught by her, as a PHENOMENAL WOMAN. So much love to Richard E. Grant and all the family,” French said.</span></p> <p><em><span style="font-weight: 400;">Image: Richard E. Grant / Instagram</span></em></p>

Family & Pets

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Michelle Pfeiffer celebrates 25th wedding anniversary with sweet tribute

<p>Michelle Pfieffer is letting fans see her life through her own lens – sharing a heart-warming image of her and her husband, TV writer and producer David E. Kelley.</p> <p>Together they have a long list of career achievements – some of Pfieffer's major roles include hit movies <em>The Fabulous Baker Boys</em>, <em>Scarface </em>and<em> Dangerous Minds,</em> while Kelley is the mastermind behind such TV shows as <em>Picket Fences</em>, <em>Ally McBeal</em> and <em>The Practice</em>.</p> <p>The glowing actress took to Instagram to share a sweet image of her and Kelley, smiling ear to ear with a glass of wine captioning it: “My #SundayLove on our recent wedding anniversary – the luckiest girl in the room for 25 years.”</p> <blockquote 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);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/Bs3Rf8HB7Sv/?utm_source=ig_embed&amp;utm_medium=loading" data-instgrm-version="12"> <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> <p style="margin: 8px 0 0 0; padding: 0 4px;"><a style="color: #000; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none; word-wrap: break-word;" rel="noopener" href="https://www.instagram.com/p/Bs3Rf8HB7Sv/?utm_source=ig_embed&amp;utm_medium=loading" target="_blank">My #SundayLove on our recent wedding anniversary - the luckiest girl in the room for 25 years.</a></p> <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 post shared by <a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px;" rel="noopener" href="https://www.instagram.com/michellepfeifferofficial/?utm_source=ig_embed&amp;utm_medium=loading" target="_blank"> Michelle Pfeiffer</a> (@michellepfeifferofficial) on Jan 20, 2019 at 8:48am PST</p> </div> </blockquote> <p>Just recently the actress decided to share more of her life with fans, joining Instagram less than a week ago. Since then, she has amassed over 66,000 Instagram followers and counting.</p> <p>The couple share two children together, Claudia Rose, 25 and John Henry, 24.</p> <p>Kelley and Pfieffer said ‘I do’ in November 1993.</p> <p>What are your tips for a successful long-lasting marriage? Let us know in the comments below.</p> <p> </p>

Movies

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E-biking my way through the South Island

<p><strong><em>Justine Tyerman is a New Zealand journalist, travel writer and sub-editor. Married for 36 years, she lives in rural surroundings near Gisborne on the East Coast of New Zealand with her husband Chris. In this piece, Justine tries her hand at e-biking in South Island.</em></strong></p> <p>My fingers were frozen to the handlebars and the driving rain stinging my cheeks felt suspiciously like sleet as we pedalled stubbornly onwards and upwards into a head wind whipping straight off the Southern Alps.</p> <p>When we set out from Lake Ohau Lodge earlier in the day, we were determined to reach Tarnbrae Track summit on the Alps 2 Ocean cycle trail but we had failed to factor in the nasty barb on the tail end of Cyclone Debbie.</p> <p>Even on our zippy SmartMotion e-bikes, it was no fun so after an hour of pure masochism, we admitted defeat, turned back and slunk into the lounge at the lodge.</p> <p>As we jostled for position in front of the open fire alongside real McCoy cyclists who had battled the elements all day, we carefully omitted the letter ‘e’ while sharing biking stories and downing tummy-warming gluhwein.</p> <p>Luckily, no one spotted our e-bikes outside with their tell-tale grunty batteries.</p> <p>Not that the disapprobation of the pedalling purists worried me in the least. During our two weeks of e-biking in the South Island, we had faced everything from ridicule to admiration. It’s water off my high-vis back these days. E-biking has revolutionised my life and I’m immune to the ‘why-don’t-you-get-a-real-bike-you-wuss’ insults.</p> <p>Unkind jokes about the male anatomy have been slightly more difficult for my husband to cope with but he’d rather we shared active outdoor pursuits like e-biking on holiday than for him to have to relax on a beach or, worse still, hang out in cities, shops and cafes. He’d endure a multitude of insults to escape such torture.</p> <p>Any activity that makes me want to leap out of bed at the crack of dawn and spend the whole day with my legs going round in small circles rather than atrophying under a computer desk at work has got to be positive.</p> <p>Our recent autumn e-bike adventure began in Christchurch where we picked up two Kiwi-designed SmartMotion e-bikes from The Electric Bicycle Company and a self-contained motorhome from JUCY Rentals whom we nicknamed "Lucy" after the buxom lady on the outside.</p> <p>Then we were literally away laughing, heading for Hanmer where we explored forests pathways and St James Conservation area with its massive scree slopes, sparkling rivers and vast, open spaces.</p> <p>At Tekapo we rode alongside the swift, silent turquoise canals that link the McKenzie country lakes in the massive Waitaki hydroelectric power scheme, whizzing along at 30km/h.</p> <p>In Wanaka, we biked the Clutha River loop track from the river outlet to Luggate and back, a scenically spectacular route but a bit too steep and narrow for my noviciate e-bike abilities.</p> <p>The entire Wakatipu Basin is a network of immaculately-maintained hiking and biking trails so we were spoilt for choice there. We cycled along the Arrow, Kawarau and Shotover rivers, crossing a variety of historic suspension and purpose-built bridges. The tall poplars were resplendent in their autumn regalia and the necklace of mountains surrounding us had their first dusting of snow.</p> <p>The only time we rode on the open road was from Kinloch to the Greenstone Valley along the shores of Lake Wakatipu. Here we encountered one 4WD vehicle and a lone Frenchman named Hugo, who was walking the length of New Zealand on the 3000km Te Araroa Trail, The Long Pathway.</p> <p>That’s impressive, I thought as we powered on up the steep hill that lay ahead of him.</p> <p>The undulating gravel road took us across clear mountain streams and through dappled beech forests with the shafts of sunlight flickering like frames in an old movie. Lake Wakatipu is seldom like a mirror but that day, the whole lake was glassy calm.</p> <p>We also paid a visit to Paradise Trust Lodge to see the rebuild of the property after fire destroyed the historic homestead in 2013, a few months after we had stayed there on our first-ever cycle trip with Matt and Kate Belcher’s Revolution Tours.</p> <p>Manager Mandy Groshinski showed us the painstaking work undertaken to restore the place and how they had retained the three stone chimneys as a memorial to the original homestead.</p> <p>Following Mandy’s advice, we cycled a loop track through the forest, past rustic cottages with outside baths and saunas to "one of the most breath-taking views on the planet" — a vantage point high above the Dart River as it carves its way from deep within the Main Divide. Here in Paradise, we were literally in the presence of the gods, surrounded by mountains named Chaos, Poseidon, Nox, Cosmos, Minos and Pluto.</p> <p>We parked Lucy at Mrs Woolly’s super-friendly camping ground at Glenorchy, a temporary site, while an impressive complex — New Zealand’s first sustainable net zero energy campground — is under construction next door.</p> <p>Opening in late 2017, Camp Glenorchy will offer affordable huts, cabins, tent and campervan sites and facilities for trampers, school groups, families, educational workshops and conferences.</p> <p>The sky was studded with thousands of diamonds that night, heralding a clear, crisp dawn.</p> <p>While at Glenorchy, we took a day off cycling and went horse-riding with Ngai Tahu Tourism-owned Dart Stables. It was a peaceful, scenic, relaxing amble along grassy country lanes and across the broad shingle flats of the braided Dart River.</p> <p>Our only other cycle-less day was at Aoraki/Mt Cook where we hiked our favourite Hooker Valley track to the foot of the famous Cloud Piercer. She was hiding in a cloud shroud that day but her enthusiastic, mainly Asian fan club took photos of themselves with where she was supposed to be, regardless of the fact she was invisible. We were dressed in winter tramping gear and were astonished to see a couple of Japanese women shivering in street boots and flimsy dresses posing by the glacier lake.</p> <p>That night, we parked at White Horse Hill campsite near the Hermitage. Thanks to Lucy’s super-efficient gas power, we had hot showers and prepared dinner in a cosy, warm environment without setting foot outside in the near-freezing conditions. Not so a pair of bedraggled-looking German cyclists in a tent nearby, trying to cook on a tiny gas burner.</p> <p>We invited them to join us but they were happy doing their own thing. Next morning, they dismantled their saturated tent, packed their meagre belongings into a couple of saddle bags and pedalled off on the next leg of their quest to cycle the length of New Zealand on the 2500km Nga Haerenga Cycle Trail… in bitterly cold rain.</p> <p>Very impressive, I thought as we turned on the heating, ate a hearty cooked breakfast, loaded the e-bikes onto Lucy’s study back and set off on the final leg of our journey.</p> <p>Some time ago, we decided our days of roughing it were over and we needed a few creature comforts at our age. We love nothing better than to wander around the countryside in a comfy, self-contained motorhome with a couple of e-bikes on the back, going wherever the spirit wills and "the weather suits our clothes"… as the line from Midnight Cowboy goes.</p> <p>We had no fixed itinerary or agenda, the only focus of the day being to find a scenic biking trail which, for the first time in my life, could include hills, thanks to the brilliant invention of e-bikes.</p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.jucy.co.nz" target="_blank">Transport: JUCY Rentals Casa motorhome</a></em></strong></span></p> <p><a href="/smartmotionbikes.co.nz/" target="_blank"><span style="text-decoration: underline;"><strong><em>E-bikes: SmartMotion electric bikes</em></strong></span></a></p> <p><a href="http://www.dartstables.com" target="_blank"><span style="text-decoration: underline;"><strong><em>Horse riding: Dart Stables at Glenorchy</em></strong></span></a></p>

Domestic Travel