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Surgery won’t fix my chronic back pain, so what will?

<p><em><a href="https://theconversation.com/profiles/christine-lin-346821">Christine Lin</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/christopher-maher-826241">Christopher Maher</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/fiona-blyth-448021">Fiona Blyth</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/james-mcauley-1526139">James Mcauley</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a>, and <a href="https://theconversation.com/profiles/mark-hancock-1463059">Mark Hancock</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a></em></p> <p>This week’s ABC Four Corners episode <a href="https://www.abc.net.au/news/2024-04-08/pain-factory/103683180">Pain Factory</a> highlighted that our health system is failing Australians with chronic pain. Patients are receiving costly, ineffective and risky care instead of effective, low-risk treatments for chronic pain.</p> <p>The challenge is considering how we might reimagine health-care delivery so the effective and safe treatments for chronic pain are available to millions of Australians who suffer from chronic pain.</p> <p><a href="https://www.aihw.gov.au/getmedia/10434b6f-2147-46ab-b654-a90f05592d35/aihw-phe-267.pdf.aspx">One in five</a> Australians aged 45 and over have chronic pain (pain lasting three or more months). This costs an estimated <a href="https://www.aihw.gov.au/getmedia/10434b6f-2147-46ab-b654-a90f05592d35/aihw-phe-267.pdf.aspx">A$139 billion a year</a>, including $12 billion in direct health-care costs.</p> <p>The most common complaint among people with chronic pain is low back pain. So what treatments do – and don’t – work?</p> <h2>Opioids and invasive procedures</h2> <p>Treatments offered to people with chronic pain include strong pain medicines such as <a href="https://pubmed.ncbi.nlm.nih.gov/30561481/">opioids</a> and invasive procedures such as <a href="https://pubmed.ncbi.nlm.nih.gov/36878313/">spinal cord stimulators</a> or <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/imj.14120">spinal fusion surgery</a>. Unfortunately, these treatments have little if any benefit and are associated with a risk of significant harm.</p> <p><a href="https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06900-8">Spinal fusion surgery</a> and <a href="https://privatehealthcareaustralia.org.au/consumers-urged-to-be-cautious-about-spinal-cord-stimulators-for-pain/#:%7E:text=Australian%20health%20insurance%20data%20shows,of%20the%20procedure%20is%20%2458%2C377.">spinal cord stimulators</a> are also extremely costly procedures, costing tens of thousands of dollars each to the health system as well as incurring costs to the individual.</p> <h2>Addressing the contributors to pain</h2> <p>Recommendations from the latest <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/low-back-pain-clinical-care-standard">Australian</a> and <a href="https://www.who.int/publications/i/item/9789240081789">World Health Organization</a> clinical guidelines for low back pain focus on alternatives to drug and surgical treatments such as:</p> <ul> <li>education</li> <li>advice</li> <li>structured exercise programs</li> <li>physical, psychological or multidisciplinary interventions that address the physical or psychological contributors to ongoing pain.</li> </ul> <p>Two recent Australian trials support these recommendations and have found that interventions that address each person’s physical and psychological contributors to pain produce large and sustained improvements in pain and function in people with chronic low back pain.</p> <p>The interventions have minimal side effects and are cost-effective.</p> <p>In the <a href="https://jamanetwork.com/journals/jama/fullarticle/2794765">RESOLVE</a> trial, the intervention consists of pain education and graded sensory and movement “retraining” aimed to help people understand that it’s safe to move.</p> <p>In the <a href="https://pubmed.ncbi.nlm.nih.gov/37146623/">RESTORE</a> trial, the intervention (cognitive functional therapy) involves assisting the person to understand the range of physical and psychological contributing factors related to their condition. It guides patients to relearn how to move and to build confidence in their back, without over-protecting it.</p> <h2>Why isn’t everyone with chronic pain getting this care?</h2> <p>While these trials provide new hope for people with chronic low back pain, and effective alternatives to spinal surgery and opioids, a barrier for implementation is the out-of-pocket costs. The interventions take up to 12 sessions, lasting up to 26 weeks. One physiotherapy session <a href="https://www.sira.nsw.gov.au/__data/assets/pdf_file/0005/1122674/Physiotherapy-chiropractic-and-osteopathy-fees-practice-requirements-effective-1-February-2023.pdf">can cost</a> $90–$150.</p> <p>In contrast, <a href="https://www.servicesaustralia.gov.au/chronic-disease-individual-allied-health-services-medicare-items">Medicare</a> provides rebates for just five allied health visits (such as physiotherapists or exercise physiologists) for eligible patients per year, to be used for all chronic conditions.</p> <p>Private health insurers also limit access to reimbursement for these services by typically only covering a proportion of the cost and providing a cap on annual benefits. So even those with private health insurance would usually have substantial out-of-pocket costs.</p> <p>Access to trained clinicians is another barrier. This problem is particularly evident in <a href="https://www.ruralhealth.org.au/15nrhc/sites/default/files/B2-1_Bennett.pdf">regional and rural Australia</a>, where access to allied health services, pain specialists and multidisciplinary pain clinics is limited.</p> <p>Higher costs and lack of access are associated with the increased use of available and subsidised treatments, such as pain medicines, even if they are ineffective and harmful. The <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/data-file-57-opioid-medicines-dispensing-2016-17-third-atlas-healthcare-variation-2018">rate of opioid use</a>, for example, is higher in regional Australia and in areas of socioeconomic disadvantage than metropolitan centres and affluent areas.</p> <h2>So what can we do about it?</h2> <p>We need to reform Australia’s health system, private and <a href="https://www.health.gov.au/sites/default/files/documents/2020/12/taskforce-final-report-pain-management-mbs-items-final-report-on-the-review-of-pain-management-mbs-items.docx">public</a>, to improve access to effective treatments for chronic pain, while removing access to ineffective, costly and high-risk treatments.</p> <p>Better training of the clinical workforce, and using technology such as telehealth and artificial intelligence to train clinicians or deliver treatment may also improve access to effective treatments. A recent Australian <a href="https://pubmed.ncbi.nlm.nih.gov/38461844/">trial</a>, for example, found telehealth delivered via video conferencing was as effective as in-person physiotherapy consultations for improving pain and function in people with chronic knee pain.</p> <p>Advocacy and <a href="https://pubmed.ncbi.nlm.nih.gov/37918470/">improving the public’s understanding</a> of effective treatments for chronic pain may also be helpful. Our hope is that coordinated efforts will promote the uptake of effective treatments and improve the care of patients with chronic pain.<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/227450/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/christine-lin-346821"><em>Christine Lin</em></a><em>, Professor, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/christopher-maher-826241">Christopher Maher</a>, Professor, Sydney School of Public Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/fiona-blyth-448021">Fiona Blyth</a>, Professor, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/james-mcauley-1526139">James Mcauley</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a>, and <a href="https://theconversation.com/profiles/mark-hancock-1463059">Mark Hancock</a>, Professor of Physiotherapy, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/surgery-wont-fix-my-chronic-back-pain-so-what-will-227450">original article</a>.</em></p>

Body

Flying home for Christmas? Carbon offsets are important, but they won’t fix plane pollution

<p><em><a href="https://theconversation.com/profiles/susanne-becken-90437">Susanne Becken</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/brendan-mackey-152282">Brendan Mackey</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>Australia is an important player in the global tourism business. In 2016, <a href="https://www.tra.gov.au/research/research">8.7 million visitors arrived in Australia and 8.8 million Australians went overseas</a>. A further 33.5 million overnight trips were made domestically.</p> <p>But all this travel comes at a cost. According to the <a href="http://tourismdashboard.org/explore-the-data/carbon-emissions/">Global Sustainable Tourism Dashboard</a>, all Australian domestic trips and one-way international journeys (the other half is attributed to the end point of travel) amount to 15 million tonnes of carbon dioxide for 2016. That is 2.7% of global aviation emissions, despite a population of only 0.3% of the global total.</p> <p>The peak month of air travel in and out of Australia is December. Christmas is the time where people travel to see friends and family, or to go on holiday. More and more people are <a href="http://climatecommunication.yale.edu/publications/analysis-of-a-119-country-survey-predicts-global-climate-change-awareness/">aware of the carbon implications of their travel</a> and want to know whether, for example, they should purchase carbon offsets or not.</p> <p>Our <a href="http://www.sciencedirect.com/science/article/pii/S0969699716302538">recent study in the Journal of Air Transport Management</a> showed that about one third of airlines globally offer some form of carbon offsetting to their customers. However, the research also concluded that the information provided to customers is often insufficient, dated and possibly misleading. Whilst local airlines <a href="https://www.qantasfutureplanet.com.au/#aboutus">Qantas</a>, <a href="https://www.virginaustralia.com/nz/en/about-us/sustainability/carbon-offset-program/">Virgin Australia</a> and <a href="https://www.airnewzealand.co.nz/sustainability-customer-carbon-offset">Air New Zealand</a> have relatively advanced and well-articulated carbon offset programs, others fail to offer scientifically robust explanations and accredited mechanisms that ensure that the money spent on an offset generates some real climate benefits.</p> <p>The notion of carbon compensation is actually more difficult than people might think. To help explain why carbon offsetting does make an important climate contribution, but at the same time still adds to atmospheric carbon, we created an <a href="https://www.youtube.com/watch?v=xsh-erzGlR0">animated video clip</a>.</p> <figure><iframe src="https://www.youtube.com/embed/xsh-erzGlR0?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Jack’s journey.</span></figcaption></figure> <p>The video features Jack, a concerned business traveller who begins purchasing carbon credits. However, he comes to the realisation that the carbon emissions from his flights are still released into the atmosphere, despite the credit.</p> <p>The concept of “carbon neutral” promoted by airline offsets means that an equal amount of emissions is avoided elsewhere, but it does not mean there is no carbon being emitted at all – just relatively less compared with the scenario of not offsetting (where someone else continues to emit, in addition to the flight).</p> <p>This means that, contrary to many promotional and educational materials (see <a href="https://www.youtube.com/watch?v=cGB2OAg5ffA">here</a> for instance), carbon offsetting will not reduce overall carbon emissions. Trading emissions means that we are merely maintaining status quo.</p> <p>A steep reduction, however, is what’s required by every sector if we were to reach the net-zero emissions goal by 2050, agreed on in the <a href="http://unfccc.int/paris_agreement/items/9485.php">Paris Agreement</a>.</p> <p>Carbon offsetting is already an important “<a href="http://www.sciencedirect.com/science/article/pii/S0261517714000910">polluter pays</a>” mechanism for travellers who wish to contribute to climate mitigation. But it is also about to be institutionalised at large scale through the new UN-run <a href="https://www.icao.int/environmental-protection/Pages/market-based-measures.aspx">Carbon Offsetting and Reduction Scheme for International Aviation (CORSIA)</a>.</p> <p>CORSIA will come into force in 2021, when participating airlines will have to purchase carbon credits for emissions above 2020 levels on certain routes.</p> <p>The availability of carbon credits and their integrity is of major concern, as well as how they align with national obligations and mechanisms agreed in the Paris Agreement. Of particular interest is <a href="http://www.carbon-mechanisms.de/en/introduction/the-paris-agreement-and-article-6/">Article 6</a>, which allows countries to cooperate in meeting their climate commitments, including by “trading” emissions reductions to count towards a national target.</p> <p>The recent COP23 in Bonn highlighted that CORSIA is widely seen as a potential source of billions of dollars for offset schemes, supporting important climate action. Air travel may provide an important intermediate source of funds, but ultimately the aviation sector, just like anyone else, will have to reduce their own emissions. This will mean major advances in technology – and most likely a contraction in the fast expanding global aviation market.</p> <h2>Travelling right this Christmas</h2> <p>In the meantime, and if you have booked your flights for Christmas travel, you can do the following:</p> <ul> <li> <p>pack light (every kilogram will cost additional fuel)</p> </li> <li> <p>minimise carbon emissions whilst on holiday (for instance by biking or walking once you’re there), and</p> </li> <li> <p>support a <a href="http://www.co2offsetresearch.org/consumer/Standards.html">credible offsetting program</a>.</p> </li> </ul> <p>And it’s worth thinking about what else you can do during the year to minimise emissions – this is your own “carbon budget”.<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/89148/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/susanne-becken-90437">Susanne Becken</a>, Professor of Sustainable Tourism and Director, Griffith Institute for Tourism, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/brendan-mackey-152282">Brendan Mackey</a>, Director of the Griffith Climate Change Response Program, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/flying-home-for-christmas-carbon-offsets-are-important-but-they-wont-fix-plane-pollution-89148">original article</a>.</em></p>

Travel Trouble

7 tips for matching wine with food

<p>Food and wine matching is the perfect way to enhance the flavours of your meal, and while the people who get paid to do if for a living would have you think it’s a complex science, it’s actually not too hard to do. Here’s a simple seven-step guide to get you started as a food/wine-matching expert!</p> <p><strong>1. Sweet with heat</strong> – Wines that have a little bit of residual sugar (like a German Riesling) combine really well with spicy foods. This is because as the residual sugar enters your mouth it actually cools down spice in your food and creates a balance that allows you to savour the flavour. </p> <p><strong>2. Smoke with oak</strong> – When cooking foods that have been grilled or charred, you really want to be looking for a wine that has been aged in oak barrels. Oaked wines tend to be a little more intense, so they need to be matched with grilled/charred foods that can match and bring out the fruit flavours.</p> <p><strong>3. Match flavours and textures</strong> – Similar flavours and textures go well together, as you’d imagine. Just as rich foods suit rich wines, mild foods go well with mild wines and as a general rule when food and wine possess similar qualities they can complement each other and enhance common flavours.</p> <p><strong>4. Fats with acid and tannins</strong> – Wines that are high in acid (Sauvignon Blanc) or tannin (Cabernet Sauvignon) go well with fried or fatty foods and help round out the flavours in your mouth. It also acts as a palate cleanser and creates balance between the rich/oily foods and the wine.</p> <p><strong>5. Sweet with salt</strong> – As anyone who’s ever combined blue cheese with port would agree. The combination will bring out the fruity taste in sweet wine and the savoury taste in salty foods. So yeah, you’re completely justified with your pairing of a bottle of Moscato with a packet of Cheezels.</p> <p><strong>6. Sweet with sweet</strong> – But as anyone who’s had ice cream served with another variety of ice cream would agree two sweet things can make a very sweet thing. Sweet wines can help bring out the flavours in the food. Just take care to make sure the wine is sweeter than the food is.</p> <p><strong>7. If it grows together, it goes together</strong> – Hey, there’s a reason why you generally don’t have stein of lager with a bowl of risotto. Foods and wines of a particular ethnicity or region usually work together like clockwork and naturally have flavours and textures that work well in combination. </p> <p><em>Image credits: Getty Images</em></p>

Food & Wine

Renaming obesity won’t fix weight stigma overnight. Here’s what we really need to do

<p><em><a href="https://theconversation.com/profiles/ravisha-jayawickrama-1457644">Ravisha Jayawickrama</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/blake-lawrence-1452739">Blake Lawrence</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>, and <a href="https://theconversation.com/profiles/briony-hill-1041619">Briony Hill</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>The stigma that surrounds people living in larger bodies is pervasive and deeply affects the people it’s directed at. It’s been described as one of the last acceptable <a href="https://theconversation.com/how-australias-discrimination-laws-and-public-health-campaigns-perpetuate-fat-stigma-80471">forms of</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592337">discrimination</a>.</p> <p>Some researchers think the term “obesity” itself is part of the problem, and are calling for a <a href="https://pubmed.ncbi.nlm.nih.gov/27967229/">name change</a> to reduce stigma. They’re <a href="https://onlinelibrary.wiley.com/doi/10.1111/obr.13590">proposing</a> “adipose-based chronic disease” instead.</p> <p>We study the stigma that surrounds obesity – around the time of <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/obr.13147">pregnancy</a>, among <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/oby.23266">health professionals</a> and health <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00071-8/fulltext">students</a>, and in <a href="https://www.phrp.com.au/issues/october-2022-volume-32-issue-3/weight-stigma-in-australia/">public health</a> more widely. Here’s what’s really needed to reduce weight stigma.</p> <h2>Weight stigma is common</h2> <p>Up to <a href="https://pubmed.ncbi.nlm.nih.gov/26596238/">42% of adults</a> living in larger bodies experience weight stigma. This is when others have negative beliefs, attitudes, assumptions and judgements towards them, unfairly viewing them as lazy, and lacking in willpower or self-discipline.</p> <p>People in larger bodies experience <a href="https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.636">discrimination</a> in many areas, including in the workplace, intimate and family relationships, education, health care and the media.</p> <p>Weight stigma is associated with <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1116-5">harms</a> including increased cortisol levels (the main stress hormone in the body), negative body image, increased weight gain, and poor mental health. It leads to decreased uptake of, and quality of, health care.</p> <p>Weight stigma may even pose a <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1116-5">greater threat</a> to someone’s health than increasing body size.</p> <h2>Should we rename obesity?</h2> <p>Calls to remove or rename health conditions or identifications to reduce stigma are not new. For example, in the 1950s homosexuality was classed as a “<a href="https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp-rj.2022.180103">sociopathic personality disturbance</a>”. Following many years of protests and activism, the term and condition <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4695779/">were removed</a> from the globally recognised classification of mental health disorders.</p> <p>In recent weeks, European researchers have renamed non-alcoholic fatty liver disease “metabolic dysfunction-associated steatotic liver disease”. This occurred after <a href="https://www.bmj.com/content/382/bmj.p1587">up to 66%</a> of health-care professionals surveyed felt the terms “non-alcoholic” and “fatty” to be stigmatising.</p> <p>Perhaps it is finally time to follow suit and rename obesity. But is “adiposity-based chronic disease” the answer?</p> <h2>A new name needs to go beyond BMI</h2> <p>There are two common ways people view obesity.</p> <p>First, most people use the term for people with a body-mass index (BMI) of 30kg/m² or above. Most, if not all, public health organisations also use BMI to categorise obesity and <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00138-9/fulltext">make assumptions</a> about health.</p> <p>However, BMI alone is not enough to accurately summarise someone’s health. It does not account for muscle mass and <a href="https://www.cdc.gov/obesity/downloads/bmiforpactitioners.pdf">does not provide</a> information about the distribution of body weight or adipose tissue (body fat). A high BMI can occur <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">without</a> biological indicators of poor health.</p> <p>Second, obesity is sometimes used to describe the condition of excess weight when mainly <a href="https://onlinelibrary.wiley.com/doi/10.1111/obr.13590">accompanied by</a> metabolic abnormalities.</p> <p>To simplify, this reflects how the body has adapted to the environment in a way that makes it more susceptible to health risks, with excess weight a by-product of this.</p> <p>Renaming obesity “adiposity-based chronic disease” acknowledges the chronic metabolic dysfunction associated with what we currently term obesity. It also avoids labelling people purely on body size.</p> <h2>Is obesity a disease anyway?</h2> <p>“Adiposity-based chronic disease” is an acknowledgement of a disease state. Yet there is still no universal consensus on whether obesity is a disease. Nor is there clear agreement on the definition of “disease”.</p> <p>People who take a biological-dysfunction approach to disease <a href="https://pubmed.ncbi.nlm.nih.gov/25336733/">argue</a> dysfunction occurs when physiological or psychological systems don’t do what they’re supposed to.</p> <p>By this definition, obesity may <a href="https://pubmed.ncbi.nlm.nih.gov/37279872/">not be classified as a disease</a> until after harm from the additional weight occurs. That’s because the excess weight itself may not initially be harmful.</p> <p>Even if we do categorise obesity as a disease, there may still be value in renaming it.</p> <p>Renaming obesity may improve public understanding that while obesity is often associated with an increase in BMI, the increased BMI <em>itself</em> is not the disease. This change could move the focus from obesity and body size, to a more nuanced understanding and discussion of the biological, environmental, and lifestyle factors <a href="https://onlinelibrary.wiley.com/doi/10.1111/obr.13590">associated</a> with it.</p> <h2>Workshopping alternatives</h2> <p>Before deciding to rename obesity, we need discussions between obesity and stigma experts, health-care professionals, members of the public, and crucially, <a href="https://www.phrp.com.au/issues/october-2022-volume-32-issue-3/weight-stigma-in-australia/">people living with obesity</a>.</p> <p>Such discussions can ensure robust evidence informs any future decisions, and proposed new terms are not also stigmatising.</p> <h2>What else can we do?</h2> <p>Even then, renaming obesity may not be enough to reduce the stigma.</p> <p>Our constant exposure to the socially-defined and acceptable idealisation of smaller bodies (the “thin ideal”) and the pervasiveness of weight stigma means this stigma is deeply ingrained at a societal level.</p> <p>Perhaps true reductions in obesity stigma may only come from a societal shift – away from the focus of the “thin ideal” to one that acknowledges health and wellbeing can occur at a range of body sizes.<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/209224/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/ravisha-jayawickrama-1457644">Ravisha Jayawickrama</a>, PhD candidate, School of Population Health, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/blake-lawrence-1452739">Blake Lawrence</a>, Lecturer, Curtin School of Population Health, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>, and <a href="https://theconversation.com/profiles/briony-hill-1041619">Briony Hill</a>, Deputy Head, Health and Social Care Unit and Senior Research Fellow, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/renaming-obesity-wont-fix-weight-stigma-overnight-heres-what-we-really-need-to-do-209224">original article</a>.</em></p>

Body

Is the Barbie movie a bold step to reinvent and fix past wrongs or a clever ploy to tap a new market?

<p><em><a href="https://theconversation.com/profiles/lauren-gurrieri-5402">Lauren Gurrieri</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>After a months-long marketing blitz, the much-hyped Barbie movie is released this week.</p> <p>From a <a href="https://news.airbnb.com/barbies-malibu-dreamhouse-is-back-on-airbnb-but-this-time-kens-hosting/">Malibu Barbie dreamhouse</a> listed on AirBnB, an AI tool that <a href="https://www.barbieselfie.ai/au/">transforms selfies into Barbie movie posters</a> and multiple Barbie-themed brand collaborations ranging from nail polish to roller skates, Barbie is everywhere.</p> <p>She has even gone viral as a fashion trend known as <a href="https://www.elle.com.au/fashion/barbiecore-27286">Barbiecore</a>, exploding across social media with people embracing vibrant pink hues and hyper feminine aesthetics. A Barbie world is upon us.</p> <p>Although some have criticised this <a href="https://twitter.com/MosheIsaacian/status/1673415496929267712">saturation</a> strategy, it is a very deliberate marketing ploy to revitalise and redefine a brand with a contested position and history.</p> <p>As well as attracting adults who grew up with Barbie and are curious to see what’s changed, the reinvention is drawing in those younger fans swept up by the tsunami of marketing and merchandise.</p> <p>Despite being one of the <a href="https://www.newsweek.com/brandspark-most-trusted-brands-america-2022">most trusted brands</a> with a value of approximately <a href="https://www.statista.com/statistics/1009126/barbie-brand-value-worldwide/">$US700 million</a>, Barbie has long attracted feminist criticism for fuelling outdated and problematic “plastic fantastic” sexist stereotypes and expectations.</p> <h2>The Barbie backlash</h2> <p>Only a few years back, Barbie was a brand in crisis. <a href="https://time.com/3667580/mattel-barbie-earnings-plus-size-body-image/">Sales plummeted</a> across 2011 to 2015 against the cultural backdrop of a rise in body positivity and backlash against a doll that represented narrow ideals and an impossible beauty standard.</p> <p>After all, at life-size Barbie represents a body shape held by <a href="https://link.springer.com/article/10.1007/BF01544300#page-1">less than 1 in 100,000</a> real people. In fact, she is so <a href="https://rehabs.com/explore/dying-to-be-barbie/#.UWs-5aKyB8F">anatomically impossible</a> that, if she were real, she would be unable to lift her head, store a full liver or intestines, or <a href="https://www.bmj.com/content/305/6868/1575">menstruate</a>.</p> <p>The backlash has also been in response to growing concerns about how she influences child development, particularly how and what children learn about gender. Barbie has been identified as a <a href="https://www.sciencedirect.com/science/article/pii/S1740144521000243#!">risk factor</a> for thin-ideal internalisation and body dissatisfaction for young girls, encouraging <a href="https://www.sciencedirect.com/science/article/abs/pii/S174014451630208X">motivation for a thinner shape</a> that damages body image and self esteem.</p> <p>And despite the multiple careers Barbie has held over the decades, research highlights that girls who play with Barbie believe they have <a href="https://link.springer.com/article/10.1007/s11199-014-0347-y">fewer career options than boys</a>. This speaks to the power of toys to reinforce gender stereotypes, roles and expectations, and how Barbie has imported narrow ideals of femininity, girlhood and womanhood into young girls’ lives.</p> <h2>Reinventing a long-established icon</h2> <p>In response to this backlash, Mattel launched a new range of Barbies in 2016 that were promoted as <a href="https://shop.mattel.com/collections/fashion-dolls#filter.ss_filter_tags_subtype=Fashionistas">diverse</a>, representing different body shapes, sizes, hair types and skin tones. This was not without criticism, with “curvy” Barbie still considered thin and dolls named in ways that drew attention foremost to their bodies.</p> <p>From a white, well-dressed, middle-class, girl-next-door with friends of a similar ilk, Barbie has since been marketed as a symbol of diversity and inclusion. To signify the extent of the transformation, Mattel’s executives gave this project the code name “Project Dawn”.</p> <p>Mattel - like many other brands joining the <a href="https://theconversation.com/victorias-secret-joins-the-inclusive-revolution-finally-realizing-diversity-sells-163955">“inclusivity revolution”</a> - knew that diversity sells, and they needed to make their brand relevant for contemporary consumers.</p> <p>Diversity initiatives included a line of <a href="https://shop.mattel.com/pages/barbie-role-models">female role model dolls</a>, promoted as “introducing girls to remarkable women’s stories to show them you can be anything”.</p> <p>Barbie was also given a voice in the form of <a href="https://www.youtube.com/playlist?list=PL5BsRl9zFaeSKIL4XD-pdGHGbJRvkfe8S">Barbie Vlogs</a>, where she expressed her views on issues including depression and the <a href="https://www.bustle.com/p/barbies-vlog-about-the-sorry-reflex-is-the-feminist-pep-talk-all-90s-babies-need-to-hear-9852366">sorry reflex</a>. A gender neutral collection called “creatable world” was added in 2019 to open up gender expression possibilities when playing with Barbies.</p> <p>Such efforts were crucial to undoing missteps of the past, such as a “Teen Talk Barbie” that was programmed to say “<a href="https://www.youtube.com/watch?v=jSL2-rbE9AM">Math class is tough!</a>”, or the compulsory heterosexuality that Barbie has long advanced.</p> <h2>The latest step in Barbie’s transformation</h2> <p>Barbie the film is simply the next step in an evolution to make brand Barbie inclusive. And with a rumoured film budget of $100 million, the supporting marketing machine provides a critical opportunity to reset the Barbie narrative.</p> <p>With Greta Gerwig, acclaimed director of female-led stories such as Little Women and Lady Bird at the helm, and a diverse cast of Barbies of different races, body types, gender identities and sexual preferences, the film and its creators have sought to assure audiences of the film’s feminist leanings.</p> <p>Addressing the complicated history of Barbie is crucial for audiences who grew up and played with the doll and are grappling with introducing her to the next generation of doll consumers.</p> <p>Yet, Robbie Brenner, executive producer of Mattel Films, has explicitly stated that Gerwig’s Barbie is “not a feminist movie”. Indeed, the main character still represents a narrow beauty standard - tall, thin, blonde, white - with diverse characters in place to support her narrative.</p> <p>Which begs the question: are these inclusion initiatives simply emblematic of diversity washing, where the language and symbolism of social justice are hijacked for corporate profit? Or do they represent a genuine effort to redress the chequered history of a brand that promotes poor body image, unrealistic ideals and rampant materialism?</p> <p>What is clear is that in today’s climate where brands are increasingly rewarded for taking a stand on sociopolitical issues, brand Barbie’s attempts to reposition as inclusive have paid off: sales are now booming.</p> <p>Seemingly, Barbie’s famous tagline that “anything is possible” has shown itself to be true.<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/209394/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/lauren-gurrieri-5402">Lauren Gurrieri</a>, Associate Professor in Marketing, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-the-barbie-movie-a-bold-step-to-reinvent-and-fix-past-wrongs-or-a-clever-ploy-to-tap-a-new-market-209394">original article</a>.</em></p>

Movies

Kate Middleton takes on Roger Federer in astounding match

<p>Undoubtedly one of the best tennis players of all time, Swiss star Roger Federer may have just met his match with the Princess of Wales.</p> <p>While Federer has 20 grand slam titles to his name, the Princess managed to get a shot past the star, which was met with his response, “I think it was on the line. Amazing!”</p> <p>Kate also took the opportunity to grab some coaching advice from the former world No. 1.</p> <p>“Any tips on my serve at the same time would be very helpful,” she asked.</p> <p>However, Federer seemingly had no advice to offer the Princess, responding, “The serve looks good.”</p> <p>The duo were playing a doubles match on No. 3 Court – where Federer won his first match on the way to earning his first Wimbledon title in 2003 – to acknowledge the hard work of ball boys and girls at the tournament.</p> <p>A clip of their encounter surfaced on YouTube and tennis enthusiast Kate is heard saying, “It’s so good to see you, Roger,” before stepping out onto the court ahead of their match.</p> <p>After she got her shot past the tennis legend, who retired from the sport in 2022, Kate gave a celebratory pat on the shoulder to her doubles partner Joel Eboewe, a coach with the Wimbledon Junior Tennis Initiative, which offers free lessons to local children.</p> <p>During their visit earlier in June, the pair accompanied the ball boys and girls in training for the 2023 tournament which commences Monday, 26 June.</p> <p>Federer himself started out as a ball boy in Basel in 1993 at just age 12, but it seemed as though he may have forgotten a thing or two about what goes on beyond playing the game.</p> <p>As tennis balls bounced around at his feet, Federer – with an estimated net worth of $820 million – asked, “Is that supposed to be me picking them up?”</p> <p>Kate also appeared slightly confused, with the royal being told that she was not allowed to catch a ball until it had bounced off the back wall.</p> <p>Every year, about 1,000 children aged 11 to 13 from schools near Wimbledon participate in training sessions, with a lucky quarter of them selected to take part in the tournament.</p> <p>For those being tested, Kate had a message to share, “With all the discipline and everything you’ve learned, you’ll be able to take it into so many other parts of your life; things like confidence and that feeling of pride with being on any of the courts is such a big moment.”</p> <p>Kate and Federer were due to participate in a charity tennis day in 2022, but the Princess pulled out after the Queen’s funeral.</p> <p>Federer has become friends with the Royals and the Middletons, with the tennis legend even spotted at the wedding of Kate's sister Pippa to James Matthews in 2017.</p> <p>He has also visited Prince William and Princess Kate at their home in Anmer Hall in Norfolk and has given Prince George a private tennis lesson.</p> <p>Wimbledon ball boys and girls manager Sarah Goldson said, “We’re proud of the young people who dedicate so much time and effort to their role which plays an integral part in delivering successful championships.”</p> <p>As patron of the All England Club, Kate will present the trophies to the winners of Wimbledon 2023.</p> <p><em>Image credit: Getty</em></p>

International Travel

Why quick health fixes are never the solution

<p>When it comes to diet and exercise, there are no shortcuts. Weight loss, muscle gain, addressing nutritional deficiencies, lowering of things like cholesterol... none of these things can be done quickly. All efforts must have a cumulative effect to work.</p> <p>We love a "quick fix" because we don't like hard work. When a study breaks the news that, for example, a glass of red wine a day is equivalent to going to the gym, people change their approach to their health without understanding what was actually a very flawed, limited study.</p> <p>But the messages from quick fixes are catchy. "I don't have to go to the gym!", "If I eat this, I'll lose weight in three weeks!", "I can get a six-pack without doing crunches!", and so the beliefs go.</p> <p>Knowledge, hard work and discipline is the only secret to achieving health goals. But that doesn't stop people trying to seek out an easier way.</p> <p>Quick fixes are appealing for many reasons. The world of health is complex and often unclear (and even contradictory). Quick fixes are clear cut. They give you explicit instructions that are easily followed, and they're usually one-dimensional, e.g. "don't eat anything except chicken and broccoli".</p> <p>They also often give you a hint of success early on, which gives you confidence. If you dramatically drop your regular diet for a juice cleanse that is only 25 per cent of your regular calorie intake, of course you're going to lose weight. Until you don't.</p> <p>The unsustainable – and usually unhealthy – nature of quick fixes is that they normally come with a yo-yo effect. You'll lose weight dramatically in the first few weeks but then you'll plateau, and then that weight will pile back on with a vengeance.</p> <p>The yo-yo effect is actually called "weight cycling", and is largely psychological. You embark on a reduced calorie diet and/or energy-intensive exercise regimen that is extreme from the outset, and initially you experience pride and elation over your efforts. The effects of fatigue soon set in and force you back to old ways (and often, backwards) in your health-related endeavours.</p> <p>Any kind of quick fix diet will also slow your metabolism down, because when you cut calories you're also cutting macronutrients. The result? Muscle loss instead of fat loss.</p> <p>This unhelpful quick fix mentality applies to "superfoods" and any kind of "ground-breaking" ingredients (think chia seeds, kale, blackcurrants, nut oils and the like) too. No single food can speed up your progress when it comes to your health goals.</p> <p>We're obsessed with quick fixes because they have a cult value to them. They're based around creating a fear of something – whether it's going to the gym or sugary foods – and telling you that if you follow a certain, easily-prescribed doctrine, you can be free of that fear.</p> <p>As a consumer, scepticism is your greatest tool when thinking about supposedly revolutionary health studies and claims made by so-called experts. When reading about a scientific study that claims a quick fix concerning the miraculous benefits of one type of food, specific exercise activity, or diet, there are a few important things to know.</p> <p>Firstly, that study might be taken from a minute group of subjects (e.g. only 10 people), which doesn't provide reliable evidence. Studies also can use unnaturally high concentrations of a "miracle" ingredient, enabling researchers to produce a desirable result that will get published in journals and mainstream media. A great example in recent times of this has been goji berries, and their purported effect on heart disease prevention.</p> <p>It's also vital to know what many studies are funded by corporations that stand to benefit from those desirable results. You, as a consumer, should be wary of any quick fix backed up by a single scientific source, because that research might have solely been conducted with a view to use it to sell a product.</p> <p>When it comes to health fixes, if it's easy and revolutionary, it's too good to be true. Take to Google with a sceptical eye, and you'll find it's easy to discover how misleading any quick fix can be.</p> <p><em>Image credit: Shutterstock</em></p> <p><em>Written by Lee Suckling. First appeared on <a href="http://www.stuff.co.nz/" target="_blank" rel="noopener"><strong><span style="text-decoration: underline;">Stuff.co.nz.</span></strong></a></em></p>

Body

5 simple tips to fix dry hair

<p>As we age, our hair is just one of the parts of our body that goes through a drastic change. Aside from the obvious (going grey), it also becomes thinner, drier, duller, and you may experience some hair loss.</p> <p>But thankfully, you can take steps to ensure your hair looks as healthy as possible no matter what your age.</p> <p>Here are five tips to help you rejuvenate and re-moisturise dry, dull hair.</p> <p><strong>1. Get the temperature right</strong></p> <p>You might like your showers extra hot, but too much heat can force the hair shalt open, and if your hair is dry or damaged, the shaft won’t be able to close fully and the moisture will seep right out. Instead, keep the water warm during washing then finish with a cool rinse to make your hair look shinier.</p> <p><strong>2. Don’t over-wash</strong></p> <p>Using shampoo every day will strip your hair of its healthy natural oils, thus drying it out. Try to use it only every second day, using conditioner in between to add some moisture.</p> <p><strong>3. Raid the kitchen</strong></p> <p>The secret to healthy, shiny hair could be lying in your kitchen. For a rejuvenating, vitamin-packed hair mask, simply mash a super ripe avocado with some olive oil. Apply to your hair, leave for 20 minutes and then rinse off – it’s an easy, natural way to restore moisture and shine.</p> <p><strong>4. Turn off the tools</strong></p> <p>Your hair dryer or straightener may make life easier when it comes to styling, but it’s not doing damaged hair any help. If you absolutely can’t live without them, at least invest in the best tools you can afford.</p> <p>And when choosing a straightener or hair iron, don’t go any hotter than 185 degrees – any higher and your hair may become more damaged. The same goes for hair dryers – avoid the temptation to switch it up to the hottest setting, and before subjecting your hair to any dryers or straighteners, treat it with a heat protectant spray.</p> <p><strong>5. Book a trip to the salon</strong></p> <p>It might not be that your hair is dry, but rather that the ends of your hair are dry, split and in need of a cut. A good way to judge how much you need to trim is by seeing how quickly your hair dries. If the ends air-dry almost immediately while the rest of your hair remains wet, those ends need to go.</p> <p><em>Images: Getty</em></p>

Beauty & Style

Woman matches with brother on dating app

<p dir="ltr">A woman who took the plunge and dived back into the world of dating apps, despite a series of negative experiences, has been left in shock after an unexpected match. </p> <p dir="ltr">Dani, who was using the dating app Hinge - “the app that’s designed to be deleted” - took to TikTok to share her story, telling followers she re-downloaded the app and told herself "let's get back into this.”</p> <p dir="ltr">"And I could vomit at who my most compatible was," she said before revealing a bizarre match.</p> <p dir="ltr">"So this is my brother," she explained, panning the camera back to show her brother Jordan’s profile on Hinge. </p> <p dir="ltr">"Super cute right? Yeah. It runs in the family.”</p> <p dir="ltr">Dani explained that Hinge matched her with her brother due to their “compatibility”.</p> <p dir="ltr">"I don't know if he is the one for me. I mean I guess we are compatible in the sense we share the same parents and shelter growing up and like blood and DNA and all those fun things.</p> <p dir="ltr">"Hinge was really saying to me, 'Girl, I know more for you. We're done with you. Here's your brother. Why don't you try this one out.”</p> <p dir="ltr">At the end of her video, she recommended her brother as a match to any unrelated singles. </p> <p dir="ltr">"While I go pick up my vomit that's on the floor from this, my brother's single, if any ladies out there are interested, just let me know.”</p> <p dir="ltr">The video amused fellow TikTokers, gaining a lot of traction with over 373,000 views.</p> <p dir="ltr">"Most compatible for a blood transfusion maybe," one wrote.</p> <p dir="ltr">"LMAO even Hinge was like girl there's nothing out there, have you tried your family," said another.</p> <p><span id="docs-internal-guid-db485c25-7fff-ee7a-5795-0c06895523ec"></span></p> <p dir="ltr"><em>Image credit: TikTok</em></p>

Family & Pets

Three years into the pandemic, it’s clear COVID won’t fix itself. Here’s what we need to focus on next

<p>On March 11 2020 the World Health Organization classified COVID as a <a href="https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020">pandemic</a>. Three years on, it remains just that.</p> <p>As much as we don’t want it to be, and as much as it is off the front pages, COVID is still very much with us.</p> <p>But how bad has it really been? And, more importantly, what have we learned that could help us accelerate a real and sustained exit?</p> <h2>COVID has hit us hard</h2> <p>There was a <a href="https://theconversation.com/too-late-already-bolted-how-a-faster-who-response-could-have-slowed-covid-19s-spread-160860">slow initial</a> global response to what we now call SARS-CoV-2, the virus that causes COVID. This allowed the virus to get a foothold, contributing to unexpectedly rapid <a href="https://theconversation.com/why-are-there-so-many-new-omicron-sub-variants-like-ba-4-and-ba-5-will-i-be-reinfected-is-the-virus-mutating-faster-182274">viral evolution</a>.</p> <p>Three years into the pandemic, with the removal of almost all mitigation measures in most countries, it’s clear the virus has hit the world very hard. <a href="https://www.worldometers.info/coronavirus/">So far</a>, almost 681 million infections and more than 6.8 million deaths have been reported.</p> <p>This is perhaps best visualised by its impact on life expectancy. There were <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/padr.12477">sharp declines</a> seen across the world in 2020 and 2021, reversing 70 years of largely uninterrupted progress. </p> <p>The excess mortality driving this drop in life expectancy has continued. This includes in Australia, <a href="https://www.actuaries.digital/2023/03/06/almost-20000-excess-deaths-for-2022-in-australia/">where over 20,000 more lives</a> than the historical average are estimated to have been lost in 2022.</p> <h2>Not just COVID deaths</h2> <p>The indirect impacts on the health systems in rich and poor countries alike continue to be substantial. Disruptions to health services have led to <a href="https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00079-6/fulltext">increases</a> in stillbirths, maternal mortality and postnatal depression.</p> <p>Routine <a href="https://www.who.int/news/item/15-07-2022-covid-19-pandemic-fuels-largest-continued-backslide-in-vaccinations-in-three-decades">child immunisation coverage</a> has decreased. Crucial malaria, tuberculosis and HIV programs have been <a href="https://www.theglobalfund.org/en/news/2021/2021-09-08-global-fund-results-report-reveals-covid-19-devastating-impact-on-hiv-tb-and-malaria-programs/#:%7E:text=GENEVA%20%E2%80%93%20The%20COVID%2D19%20pandemic,history%20of%20the%20Global%20Fund">disrupted</a>. </p> <p>A paper out this week highlights the <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1107560/full">severe impact</a> of the pandemic on mental health globally.</p> <h2>Then there’s long COVID</h2> <p>Meanwhile, more evidence of long COVID has emerged around the world. At least <a href="https://www.nature.com/articles/s41579-022-00846-2">65 million people</a> were estimated to be experiencing this debilitating syndrome by the end of 2022. </p> <p>The Australian Institute of Health and Welfare <a href="https://www.aihw.gov.au/reports/covid-19/long-covid-in-australia-a-review-of-the-literature/summary">estimates</a> 5-10% of people who are infected with SARS-CoV-2 will develop long COVID, with symptoms persisting more than three months. That’s between 550,000 and 1.1 million Australians, based on the more than 11 million cases reported <a href="https://www.worldometers.info/coronavirus/country/australia/">so far</a>.</p> <h2>COVID highlighted inequalities</h2> <p>The pandemic has also had a huge economic impact, both directly and indirectly. </p> <p>The United States alone spent <a href="https://impact.economist.com/perspectives/economic-development/understanding-economic-consequences-covid-19-pandemic">US$4 trillion</a> on its response. Economists have estimated the pandemic will contribute an average 0.75% reduction in GDP in countries with high infection rates and high productivity in 2025.</p> <p>Studies in the <a href="https://www.local.gov.uk/health-inequalities-deprivation-and-poverty-and-covid-19">United Kingdom</a>, <a href="https://www.theguardian.com/world/2022/apr/04/us-covid-devastating-toll-poor-low-income-communities">US</a> and <a href="https://www.theguardian.com/australia-news/2022/feb/25/disease-of-disadvantage-melbournes-lower-socioeconomic-areas-suffer-most-covid-deaths-amid-omicron">Australia</a> show COVID has had a disproportionate impact – including higher death rates – in disadvantaged communities and ethnic minorities. </p> <p>The causes range from high exposure in low-paid jobs to inadequate access to health care. And <a href="https://www.brookings.edu/blog/future-development/2021/05/27/covid-19-is-a-developing-country-pandemic/">poorer countries</a> have fared terribly on all fronts from COVID, including inequitable access to vaccines.</p> <h2>There’s no end in sight</h2> <p>We cannot assume there will be a natural exit to the pandemic, where the virus reaches some benign endemicity, a harmless presence in the background. </p> <p>In fact, there is little indication anything like that is imminent.</p> <p>In Australia, since the beginning of January, <a href="https://www.worldometers.info/coronavirus/country/australia/">more than 235,000 COVID cases</a> have been reported, almost as many as in 2020 and 2021 combined. Since the start of January, there have been 2,351 COVID-related deaths, more than twice as many as in the whole of 2020 and around the same as in the whole of 2021.</p> <h2>What needs to happen next?</h2> <p>The future response can be practically distilled into three overlapping actions.</p> <p><strong>1. Politicians need to be frank</strong></p> <p>Our political leaders need to communicate frankly with the public that the pandemic is not over. They need to stress we still have an exceptional problem on our hands with acute disease as well as worrying concerns about long COVID. It’s crucial politicians acknowledge sufferers and those who have died. They need to do this while delivering the good news that addressing COVID does not require lockdowns or mandates. </p> <p>If our politicians did this, the public would be more likely to have their booster vaccines, get tested and treated, and adopt measures such as improving indoor ventilation and wearing high-quality masks.</p> <p>The health system also needs to be greatly strengthened to deal with long COVID.</p> <p><strong>2. Avoiding infections is still important</strong></p> <p>Suppressing the virus is still important. We still can and should reduce the burden of newly acquired COVID and, therefore, long COVID. We have the tools to do this. </p> <p>We need full recognition that COVID is transmitted largely through the air. As this just-published article in the journal <a href="https://www.nature.com/articles/d41586-023-00642-9">Nature</a> discusses, there are things we can do right now to ensure we all breathe air that is safer, not just from SARS-CoV-2 but from other respiratory viruses.</p> <p><strong>3. Adopt new knowledge and technology</strong></p> <p>We should be focusing on the science and be ready to adopt new knowledge and products rapidly. </p> <p>Just a few days ago we had trials of a <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4375620&utm_source=substack&utm_medium=email">promising new approach</a> to treat long COVID with the diabetes drug metformin. </p> <p>There is also intriguing research that has identified <a href="https://www.nature.com/articles/s41579-022-00846-2">persistent infection</a> as a potential underlying cause of organ damage and disease after COVID and in long COVID. This suggests anti-viral drugs such as Paxlovid may have an important role to play in reducing the impact of chronic disease. </p> <p>Many types of new COVID vaccines are being trialled, such as <a href="https://www.nature.com/articles/d41586-022-02824-3">versions administered by nasal sprays</a>, which may be game changers.</p> <h2>The virus won’t fix itself</h2> <p>As we enter the fourth year of the pandemic, we must not leave it up to the virus to fix itself. </p> <p>The biggest lesson of the past three years is there’s little chance that is going to work, at least without an intolerably high cost. </p> <p>Rather, we can end the pandemic by choice. We know <a href="https://theconversation.com/from-covid-control-to-chaos-what-now-for-australia-two-pathways-lie-before-us-174325">what to do</a>. But we are simply not doing it.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/three-years-into-the-pandemic-its-clear-covid-wont-fix-itself-heres-what-we-need-to-focus-on-next-201181" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Caring

6 fixes for the most annoying beauty issues

<p>When beauty blunders pop up – think flat hair, pigmentation issues or yellow teeth – it’s likely that your first instinct is to try to get a handle on the issue immediately. Taking matters into your own hands can be quite effective – but only if you know how to do it correctly. Here we tell you exactly what to do.</p> <p><strong>The issue: Smudged lipstick</strong></p> <p><strong>The fix:</strong> The reason for smudged lipstick usually stems from your lips being dry or flakey before you apply your lippie. You need an ideal surface to start with. So, how do you get one? First, grab your toothbrush and lightly rub it over your lips to gently exfoliate any flakes. Then, apply a thin layer of hydrating primer – the one you use on your face will do the trick – to remove moisture and flatten fine lines so the surface of your lips is smooth and ready for colour. </p> <p>Fill in your lips with liner in the same shade as your lipstick, and dab on a couple thin coats of your lipstick. Finally, set your look by blotting lightly with a tissue and using a large make-up brush to lightly dust a thin layer of powder over your lips.</p> <p><strong>The issue: Flat hair</strong></p> <p><strong>The fix:</strong> Whether you have thick or thin hair, at one point or another I am sure we can all say we’ve suffered from hair that just doesn’t sit how you want to it too. Furthermore, a do that just looks lifeless. If flat hair is a concern for you, you’ll want to try a root-lifting blow-drying trick. </p> <p>First, work a palm full of mousse from your roots through to the ends, then flip your head over and dry your hair upside down and away from the scalp. Hair should be slightly damp before you flip it back up. Voila, volume!</p> <p><strong>The issue: Hair breakage</strong></p> <p><strong>The fix:</strong> Try as you might to care for your hair with the right products and washing it every two days or so, there are some other factors that can wreak havoc to your locks – like hair breakage. To avoid this, there are a few things you can do. For instance, after a shower, gently squeeze and blot the hair (rather than rubbing) with an old cotton T-shirt instead of a towel. It'll still soak up excess moisture, but won't cause breakage. When its time to comb, remember this: Being rough can cause the cuticle of the hair to fray, exposing the fragile inner shaft and making it more likely to snap. </p> <p>Detangle with a wide-tooth comb, working your way up from the end of your hair, using the least amount of strokes as possible. And if you like to tie your hair back, use a gentle tie, like a smooth, all-fabric one. The pressure of a super-tight band around a ponytail can wear away at your hair’s cuticle and cause the strands to break.</p> <p><strong>The issue: Fading hair color</strong></p> <p><strong>The fix:</strong> If you splash out and get your hair colour done at the salon, chances are you’ll want to ensure it lasts as long as possible. Annoyingly, there are some factors that are out of your control. For instance, the water that comes out of your showerhead often contains minerals like copper and chemicals like chlorine that can alter your hair’s hue. </p> <p>Some people like to have a purifying showerhead filter installed. Failing that, use an at-home glaze or gloss like John Frieda's Colour Refreshing Gloss to add high-wattage shine and boost the hue, like a topcoat does for nail polish.</p> <p><strong>The Issue: Brown spots</strong></p> <p><strong>The fix:</strong> Skin pigmentation is an extremely pesky beauty concerns. And getting rid of brown spots entirely is a long-term project that calls for diligent use of brightening products. But if you're looking for quick a fix, artfully applied make-up is your best option. </p> <p>First, dab concealer that's one or two shades lighter than your foundation onto the spot with a concealer brush, then follow with a dot of foundation that exactly matches your skin tone, and blend it well for a seamless look.</p> <p><strong>The issue: Yellow teeth</strong></p> <p><strong>The fix:</strong> Luckily, booking in for teeth whitening with your dentist isn’t your only option when it comes to teeth whitening. Brushing with a paste made of baking soda and water a few times a month removes superficial staining and whitens teeth by a shade or two. </p> <p>Just don't do it more frequently than that, as baking soda is too abrasive for your everyday brush. For an immediate fix, lipsticks with blue undertones can also make teeth appear brighter. </p> <p><em>Image credits: Getty Images</em></p>

Beauty & Style

Garden fixes after heavy rain

<p><em><strong>Better Homes and Gardens’ resident landscaper, Jason Hodges, shares his advice for tending to the garden after heavy rain.</strong></em></p> <p>When it comes to the garden and heavy rain, you need to be prepared. Where does water sit? What gets washed away? How are your drains working or failing? All things you can repair and get working for the future success of your garden.</p> <p>The heavy rain has saturated our soil, and strong winds have toppled over trees all week, but long-term, the saturated soil can hurt all plants in the garden. When the soil is water-logged the root system can drown from lack of oxygen. The first thing I would do is rake some mulch away allowing for some evaporation, either with a garden fork or even something like a cricket stump. Make some holes to allow air in and for the water to fill and again evaporate.</p> <p>Snails and slugs are opportunists and thrive and reproduce when times are good – they love the rain and the wet conditions afterwards. To control them I like to use a take-away container with a splash of beer in it. Placed level with the garden bed the snails go in and never leave.</p> <p>If your garden was flooded don’t be too quick to think the water’s gone down and everything’s fine. If they’re in the garden, avoid eating leafy vegetables such as lettuce, kale and spinach. They may have been contaminated by the flood water. Fruit trees such as citrus should be fine within a short period of time.</p> <p>Now that it has stopped raining it’s never too late to clean the gutters. Overflowing gutters can damage gardens and undermine the footings of your house. When you’re up a ladder either doing the gutters or any other job in the garden I recommend you have a second person with you, an extra set of hands to hold the ladder, spot problems and just pass you tools. It makes the process a lot safer and quicker.</p> <p>Look out for mould, moss and mildew that might grow on shady, damp paths over the next few weeks. A blast with a pressure washer will be a quick fix and a lot more enjoyable than slipping A over Z. A weak solution of vinegar and water will kill mould and mildew if you don’t have a pressure washer.</p> <p>Look for branches that may have been damaged but are still hanging in the tree. They will become more obvious as the foliage browns off and dies. Cleaning up the tear and damage will give the tree a better chance of recovery.</p> <p>If you have a watering system, override it and turn it off for a couple of weeks. The last thing the garden needs is a drink. If your pots were full of water remove the saucers and allow them to drain.</p> <p>It’s a hard time to garden after heavy rain, but let’s be thankful for it and hope we can enjoy the long-term benefits of having moisture deep down in our soil.</p> <p><em>Written by Jason Hodges. First appeared on <a href="http://www.domain.com.au/" target="_blank" rel="noopener"><strong><span style="text-decoration: underline;">Domain.com.au.</span></strong></a></em></p> <p><em>Image: Getty</em></p>

Home & Garden

‘Gone Girl’ fans can get their fix on killer-themed cruise

<p dir="ltr">For fans of the author Gillian Flynn, the mind behind the thrilling novel <em>Gone Girl</em>, this cruise is for you.</p> <p dir="ltr">Flynn’s award-winning book, about a woman faking her own murder to frame her husband, earned actors Ben Affleck and Rosamund Pike a string of accolades for their roles in the blockbuster adaptation. </p> <p dir="ltr">For those who can’t get enough of her stories, which include <em>Sharp Objects</em> and <em>Dark Places</em>, Flynn will be joining passengers on an eight-day cruise down the Danube River.</p> <p dir="ltr">“I am very excited about this,” Flynn told <em>Today Extra</em>.</p> <p dir="ltr">“Along the way I will be telling some stories and doing readings and answering questions about writing, anything about writing in general.</p> <p dir="ltr">“I’m always up to talk about books.”</p> <p dir="ltr">Flynn marked the ten-year anniversary of <em>Gone Girl</em>’s release in May, sharing with fans what a sequel could look like.</p> <p dir="ltr">“Today is the ten-year anniversary of <em>Gone Girl</em>. What am I thinking about?” she wrote on Instagram.</p> <p dir="ltr">“In <em>Gone Girl</em> chronology, Nick and Amy’s child would be close to 16 years old now. I keep wondering what a teenager raised by Amazing Amy would be like… and I’m chilled… in a good way.”</p> <p dir="ltr">Along with spending time with the acclaimed author, passengers on the cruise will be able to take part in various activities and day trips, as the cruise makes stops in Budapest, Visegrad, Vienna, Krems and Grein.</p> <p dir="ltr">The cruise, set to depart on September 15, will set passengers back $4,238 ($NZD 4,723) each and includes seven servings of breakfast and dinner, and six lunches.</p> <p dir="ltr">It is one of Avalon Waterways’ series of Storyteller cruises, with upcoming trips featuring comical novelist <a href="https://www.avalonwaterways.com/river-cruise/storybook-scenery-sarcasm-satire/WZA-T2/?season=2022" target="_blank" rel="noopener">Christopher Moore</a> and musical group <a href="https://www.avalonwaterways.com/river-cruise/active-discovery-on-the-rhine-with-sister-hazel-northbound/WWA-T2/?season=2022" target="_blank" rel="noopener">Sister Hazel</a>.</p> <p dir="ltr">To find out more about the killer cruise, head <a href="https://www.avalonwaterways.com.au/europe-river-cruises/active-discovery-on-the-danube-gillian-flynn-WBLT?season=2022" target="_blank" rel="noopener">here</a>.</p> <p><span id="docs-internal-guid-bdbcb0c5-7fff-e497-15b2-c99a2b499fc1"></span></p> <p dir="ltr"><em>Images: @thegillianflynn (Instagram)</em></p>

Cruising

Game, set and match! Ash Barty ties the knot

<p dir="ltr">Ash Barty has tied the knot with her long term fiancé Garry Kissick in a beautiful intimate ceremony in Queensland.</p> <p dir="ltr">The 26-year-old announced the heartwarming news by sharing a beautiful image of her and Kissick with a simple caption “Husband & Wife”.</p> <p dir="ltr">The adorable couple, who have been together for seven years, announced their engagement in November 2021. </p> <p dir="ltr">At the time of their <a href="https://oversixty.com.au/lifestyle/relationships/ash-barty-reveals-why-she-kept-her-engagement-a-secret" target="_blank" rel="noopener">engagement</a>, Barty confessed that she was debating on whether or not she should share the news. </p> <p dir="ltr">“Garry and I have been together for a long time now and I had designed the ring with him,” she previously said.</p> <p dir="ltr">“We are obviously excited now for the next chapter. We were at home on the couch with the puppies. </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/CgodNphhRB6/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CgodNphhRB6/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Ash Barty (@ashbarty)</a></p> </div> </blockquote> <p dir="ltr">“It was very much just us. It was perfect for us. Everyone has their unique way of doing it.”</p> <p dir="ltr">She also said the <a href="https://oversixty.com.au/lifestyle/relationships/ash-barty-talks-wedding-plans-for-2022" target="_blank" rel="noopener">wedding will be small</a> and intimate with close family and friends. </p> <p dir="ltr">“It will be very low-key, very small, pretty chill, for Garry and I, just the people we love the most, people who have been impactful and important in our lives. </p> <p dir="ltr">“My nieces and nephews will be front and centre, I wouldn’t live it down if they weren’t, they will be dress shopping before I will be.’’</p> <p dir="ltr">Their wedding comes just a few short months after Barty shocked the tennis world by <a href="https://oversixty.com.au/news/news/ash-barty-announces-retirement" target="_blank" rel="noopener">announcing her retirement</a>. </p> <p dir="ltr">“I will be retiring from tennis. It’s the first time I’ve actually said that out loud and it’s hard to say,” she said in an Instagram video.</p> <p dir="ltr">“But I’m so happy and I’m so ready and I just know at the moment in my heart for me as a person, this is right.</p> <p dir="ltr">“I’m so grateful to everything that tennis has given me. It’s given me all of my dreams, plus more.</p> <p dir="ltr">“But I know that the time is right now for me to step away and chase other dreams. And put the racquets down.”</p> <p dir="ltr"><em>Image: Instagram</em></p>

Relationships

You’re probably washing your hair wrong - here’s how to fix it

<p dir="ltr">Unlike many other aspects of life, how to look after our hair isn’t necessarily something we’re taught to do.</p> <p dir="ltr">While there are plenty of tutorials, explainers and hacks for pulling off particular hairstyles, how-to’s for ensuring your hair is healthy (and looks it) seems to still be catching up.</p> <p dir="ltr">Hair expert Zoe Irwin says that many people who are washing hair incorrectly are even inadvertently damaging it, and has gone on a crusade to teach people how to care for their locks.</p> <p dir="ltr">Speaking to <em>The Sun</em>, the creative director at John Frieda Salons said hair is often more of an “afterthought” than other aspects of their physical wellbeing, such as skincare.</p> <p dir="ltr">“Your hair needs the same treatment in order to look its healthiest,” she says.</p> <p dir="ltr">To help your hair look its best and healthiest, here are some of Irwin’s top tips and advice across each stage of the hair-washing process.</p> <p dir="ltr"><strong>Less is more when it comes to shampoo</strong></p> <p dir="ltr">According to Irwin, most of us use too much shampoo, and cutting back can not only save you money by making each bottle last longer but can lessen the amount of chemicals from shampoo that ends up in the environment.</p> <p dir="ltr">She suggests using only a small blob of shampoo - slightly smaller than a 50-cent coin - and to apply it by spreading the shampoo over your hand rather than directly onto your hair. This means that when you do wash your hair, the shampoo will be distributed more evenly.</p> <p dir="ltr">Irwin also discourages rubbing shampoo into your hair to create a lather, since your hair is at its most fragile when wet. </p> <p dir="ltr">Instead, massage your scalp by holding your head still and moving your fingers along your scalp.</p> <p dir="ltr"><strong>Use conditioner from tip to top</strong></p> <p dir="ltr">After shampoo removes dirt and excess oil, conditioner comes in to nourish and replenish lost moisture - and there’s a way to apply it to avoid the dreaded feeling of a greasy scalp. </p> <p dir="ltr">Irwin says applying conditioner starting from the tips of the hair and working up to the top solves this problem, as the amount of product will dilute as you move towards your scalp. </p> <p dir="ltr"><strong>Take care when drying your hair</strong></p> <p dir="ltr">Finally, Irwin says drying your hair should be done with care - avoiding too much friction of heat on your fragile locks.</p> <p dir="ltr">Instead of rubbing your hair dry with a towel, she suggests wrapping it in a towel or hair wrap and delicately pressing and patting the towel against your head. The longer you do this, the less amount of time you’ll need to use your hair dryer.</p> <p dir="ltr">When you do switch on your hair dryer, it’s best to use it in small sections of your hair on medium heat in circular motions. This helps your hair not only dry faster but also reduces the amount of heat damage inflicted.</p> <p dir="ltr"><strong>Wash intuitively and ditch the schedule</strong></p> <p dir="ltr">As for how often to wash your hair, Irwin doesn’t say, but that’s because it's highly subjective. Though there is plenty of debate about washing hair daily, every couple days, once a week or even less frequently, it all comes down to how your hair behaves.</p> <p dir="ltr">Dermatologist Dr Iris Rubin told Cosmopolitan it’s best to shampoo hair as flakiness, excessive grease, itchiness or build-up start to crop up, rather than by following a regular schedule - with finer, straighter hair generally needing more frequent washes compared to thicker, curlier hair.</p> <p><span id="docs-internal-guid-c38228cc-7fff-2500-a403-985e0c9b29c7"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

Beauty & Style

This $2 fix will save your feet next time you wear heels

<p dir="ltr">Heels might make us look great and feel confident, but they can come at a cost to our hardworking feet, namely aches, pains, and even blisters.</p> <p dir="ltr">Rachel Clinkard, who works at family-run shoe retailer Charles Clinkard, is all too familiar with this situation - and she’s got an easy fix she swears works wonders.</p> <p dir="ltr">She says that all you need is a $2 roll-on deodorant, as reported by <em><a href="https://www.mirror.co.uk/news/weird-news/bargain-29p-hack-stop-your-27221303" target="_blank" rel="noopener">The Mirror</a></em>.</p> <p dir="ltr">Clinkard claims that by applying some deodorant to the areas of your feet you think will rub while in heels, it will create a barrier between your skin and the shoe and help to prevent chafing.</p> <p dir="ltr">This hack can replace bandaids, plasters and other products like gel inserts.</p> <p dir="ltr">With deodorant going a long way, each application will be significantly cheaper than many of the alternatives too. Plus they smell great too! </p> <p><span id="docs-internal-guid-150a6878-7fff-0fe5-6738-709a4e71e7c5"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

Beauty & Style

Love match: Nadal's gorgeous family news

<p>Mens tennis’ legend Rafael Nadal and his wife Xisca Perello are expecting their first child together.</p> <p>The news after Nadal’s 14th French Open victory, taking him two clear of Roger Federer and Novak Djokovic with 22 Grand Slams.</p> <p>The couple have yet to formally announce the news. Xisca was spotted wearing loose fitting clothing during the Champions League Final between Liverpool and Real Madrid.</p> <p>Speculation grew and reached a pinnacle after appearing to be sporting a baby bump on a yacht as the couple enjoyed a holiday.</p> <p>This sent social media into a frenzy, following Nadal’s French Open victory after a tender photo of the two after the win melted hearts.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">The best photo of the french open ❤️😭 <a href="https://t.co/YdW7bBpUbq">pic.twitter.com/YdW7bBpUbq</a></p> <p>— Jade Exley (@exley3038) <a href="https://twitter.com/exley3038/status/1533537539897925632?ref_src=twsrc%5Etfw">June 5, 2022</a></p></blockquote> <p>Xisca and Rafa were together for 14 years before marrying in 2019 and have kept their relationship private. Xisca also runs the Rafael Nadal Foundation.</p> <p><em>Images: Getty</em></p>

Family & Pets

7 easy bedtime fixes to help reduce belly bloat while you sleep

<p><strong>What causes belly bloat?</strong></p> <p>Waking up with a bloated stomach is not a good feeling. But before you start blaming your puffy tummy on gas or PMT, you should know that bloating can also be a side effect of other conditions like diarrhoea, constipation, irritable bowel syndrome, or a food allergy or intolerance. For persistent belly bloat, seek a physician’s advice to get the help you need.</p> <p><strong>Eat at the dinner table</strong></p> <p>Lounging in bed while snacking is the perfect recipe for morning bloat. “If you lay down at night to munch, that allows gas to go down into your lower abdomen,” says Dr James Reynolds. “You should be sitting upright when you eat so if you do swallow excess air, it encourages the gas to go up and out versus down and in.” You should also eat slowly and avoid gulping your drink during your meals; inhaling your food and drinking while you eat can also increase air intake and up your risk for developing gas later on. Consuming vegetables like asparagus, bok choy and celery throughout the day are great options for keeping your belly bloat-free.</p> <p><strong>Give your belly a massage</strong></p> <p>Mum might have been onto something when she rubbed your belly as a kid to soothe a tummy ache. Sometimes bloating can be caused by constipation or problems in the gut, so gently massaging your stomach in bed may actually help move things along overnight. It increases your motility to move your hands along your gastrointestinal tract,” says gastroenterologist, Dr Judy Nee. Press along your colon, going from the right side of your lower abdomen up into your stomach area and down to the left side; this follows the path of the gastrointestinal tract. Dr Nee tells her patients to write out “I [heart] U” across their stomachs to ensure they massage their gastrointestinal tract in its entirety.</p> <p><strong>Avoid taking vitamins before bed</strong></p> <p>Some vitamin supplements have earned a bad rap for increased belly bloat because of certain ingredients. “Certain vitamin supplements have non-absorbable sugar alcohols like sorbitol and xylitol syrups in them,” says gastroenterologist, Dr Alan Brijbassie. “These are non-digestible.” Since our body has trouble digesting sugar alcohols, additives and fillers found in some supplements, our gut bacteria have more time to feast on them and produce gas. A good ingredient label is typically short and sweet with easy-to-pronounce words that you know – if it looks like gibberish, chances are it contains additives or fillers. Steer clear of vitamins that list sugar alcohols, lactose and gluten as the ingredients (they may disguise them under words like food starch or wheat germ). An even better bet: get your vitamins and minerals from natural sources by eating a well-balanced diet.</p> <p><strong>Do a low-intensity bedtime workout</strong></p> <p>A small dose of light to moderate exercise before bed may just be the ticket to moving things along overnight and quelling any morning belly bloat. “Walking around or doing light exercise for 15 minutes after you eat increases your motility and moves the gastrointestinal tract along to help that feeling of bloating,” says Dr Nee. Try taking a 15-minute stroll around the neighbourhood after dinner or do some light yoga poses to relieve your digestive discomfort.</p> <p><strong>Colour in an adult colouring book</strong></p> <p>Stressing about that upcoming work presentation or job interview can put a real damper on your mood, hair, skin, heart, weight and even your belly. Your gut is extremely vulnerable to stress, which can cause changes in your motility and inflame your intestines, giving you that puffy, uncomfortable sensation in your stomach. Before bed, take a half-hour to decompress and rid your mind of any negativity or worries. Reading a book, writing in a journal, or dumping out the crayons to colour in an adult colouring book are just a few ways to put your mind – and stomach – at ease.</p> <p><strong>Skip the nightcap</strong></p> <p>“Carbonated beverages and beer are the two biggest culprits of bloating,” says Dr Brijbassie. “Stay away from drinking those at least two hours before bed.” Even better? Avoid all alcohol and food at least two hours before bed to give your digestive system a rest. It takes at least two to three hours for your stomach to empty itself out and laying down while your digestive enzymes are at work pulls the gas further into your abdomen.</p> <p><strong>Drink peppermint tea</strong></p> <p>Peppermint isn’t just reserved for minty fresh breath – it may also help relax the gastrointestinal tract and alleviate bloating. “A lot of the proof is anecdotal but it does help some people,” says Dr Brijbassie. “Peppermint oil [mixed with a little water] may also help the digestive enzymes break down food better.” Simply mix two to three drops of peppermint oil with a cup of hot water and drink up! But avoid sucking on peppermint candies or chewing gum because they may be loaded with sugar alcohols, which the bacteria in the small bowel ferments to produce gas and bloating. If you don’t consider yourself a peppermint person, try taking some artichoke leaf extract before bed.</p> <p><em><span id="docs-internal-guid-66a0327c-7fff-c4af-a2e6-bb74192d91ba">Written by Ashley Lewis. This article first appeared in <a href="https://www.readersdigest.co.nz/healthsmart/7-easy-bedtime-fixes-to-help-reduce-belly-bloat-while-you-sleep" target="_blank" rel="noopener">Reader’s Digest</a>. For more of what you love from the world’s best-loved magazine, <a href="http://readersdigest.innovations.co.nz/c/readersdigestemailsubscribe?utm_source=over60&utm_medium=articles&utm_campaign=RDSUB&keycode=WRA87V" target="_blank" rel="noopener">here’s our best subscription offer.</a></span></em></p> <p><em>Image: Getty Images</em></p>

Body

”Fix the system not me”: A first for Australian Fashion Week

<p dir="ltr">In a first for the yearly week-long display of new Aussie fashion, adaptive clothing has taken the fore through a show solely focused on the underrepresented sphere of fashion.</p> <p dir="ltr">Day four of <a href="https://aafw.com.au/index" target="_blank" rel="noopener">Australian Fashion Week</a> saw a collective of designers take to the runway with fashionable garments that can be worn by both abled and disabled people and were modelled by the very people who inspired them.</p> <p><span id="docs-internal-guid-2d88adce-7fff-0d4e-c964-523093a299c6"></span></p> <p dir="ltr">JAM and Christine Stephens, two designers whose designs were featured, share a mutual goal: to act as a voice for the adaptive designers collective and highlight the possibilities for stylish fashion that is inclusive.</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/CdcVj66rDK8/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CdcVj66rDK8/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Australian Fashion Week (@ausfashionweek)</a></p> </div> </blockquote> <p dir="ltr">“We want to give people living with disabilities a choice. A choice in fashion, a choice to be included and a choice to be heard,” Jessie Sadler and Carol Taylor, two designers for Christine Stephens, said in a press release.</p> <p dir="ltr"><span id="docs-internal-guid-2b0c32f0-7fff-25fa-e0cb-321770502031"></span></p> <p dir="ltr">Taylor, the co-owner and lead designer of the fashion label, said the collection was inspired by a quadriplegic groom-to-be who “would never know what it would be like to unwrap his able-bodied bride”.</p> <p dir="ltr"><img src="https://oversixtydev.blob.core.windows.net/media/2022/05/fashion-week1.jpg" alt="" width="1280" height="720" /></p> <p dir="ltr"><em>Models with disabilities took to the runway for the Adaptive Clothing Collective show. Image: Getty Images</em></p> <p dir="ltr">The outfits included multiple adaptive features, such as particularly magnetic button closures and zips to improve access for prosthetic users and even particularly contrasting colour choices.</p> <p dir="ltr">One model’s outfit, a sky-blue two-piece suit with contrasting magenta collars and inner linings, was inspired by their visual impairment that prevents them from distinguishing between darker colours, as reported by <em><a href="https://www.elle.com.au/fashion/adaptive-clothing-collective-australian-fashion-week-2022-27051" target="_blank" rel="noopener">Elle Australia</a></em>.</p> <p dir="ltr">The runway featured disabled models throughout the show, including actress Chloé Hayden, who told <em><a href="https://www.refinery29.com/en-au/2022/05/10974587/adaptive-fashion-runway" target="_blank" rel="noopener">Refinery29</a></em> being asked to participate was an “out of this world” experience.</p> <p dir="ltr"><span id="docs-internal-guid-785756bc-7fff-3cc7-b5d5-9adacdd5b24c"></span></p> <p dir="ltr">“I grew up practising my model walk, doing personal little photo shoots, going to those Dolly model searches … I’m always jaw dropping at Australian Fashion Week,” she told the publication.</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/CdcszIUBLKa/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CdcszIUBLKa/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Chloé Hayden (@chloeshayden)</a></p> </div> </blockquote> <p dir="ltr">Following her appearance in the show, where she wore olive utility-style boots and a trench coat with the slogan ‘Fix the system, not me’, Hayden took to Instagram to share clips and her excitement.</p> <p dir="ltr">“Australian Fashion Week’s first adaptive runway. Let it not be the last,” she captioned the post. “More posts to come once I stop projectile crying and stimming.”</p> <p dir="ltr">Lisa Cox, an author, consultant and disability influencer who modelled for Christina Stephens, said the opportunity made her feel “seen” by the industry.</p> <p dir="ltr">“I feel more accepted and I feel seen by an industry that I haven’t felt a part of since I became disabled over 16 years ago … I feel both honoured and privileged to be part of such a landmark event in Australian fashion history,” she told <em>Refinery29</em>.</p> <p dir="ltr">Cox added that the absence of inclusivity in fashion has left her feeling unimportant and uncatered for - which she noted was also bad for those in the clothing business.</p> <p dir="ltr">“[It’s] offensive and it really hurts,” she said. </p> <p dir="ltr">“But on the other hand, people with disabilities are consumers too so that attitude is just bad business. My legs don’t work but my credit card does!”</p> <p dir="ltr">Emma Clegg and Molly Rogers, the creators of JAM the label, said the “universal design” of adaptive clothing is more comfortable, convenient and accessible for everyone, and encourage non-disabled people to also give them a try.</p> <p dir="ltr">"Purchasing from and supporting Australian inclusive [and] adaptive fashion brands will prove to the Australian fashion industry that there is the demand out there, and they need to be including people with disability throughout their businesses,” they told <em>Refinery29</em>.</p> <p dir="ltr">“It shouldn't be newsworthy that there is a designer with disabilities or clothes for people with disabilities at AAFW, but for now it must be celebrated,” Cox said. </p> <p dir="ltr">Whether you approach the issue from a position of fairness or business, with 20 percent of Australians living with a disability, it makes sense to design clothing that can be worn and enjoyed by everyone - and hopefully this show is just the first of many more.</p> <p dir="ltr">Here's a look at the styles appearing at the show.</p> <p dir="ltr"><span id="docs-internal-guid-216d0ef3-7fff-5cbe-54b7-b8bfd22e2472"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

Beauty & Style

“Aren’t you my psych?” Woman “matches” with her psychologist on dating app

<p dir="ltr">Bored at home, swiping left or right on potential dates, an Australian woman was shocked to find that her psychologist allegedly matched with her on a dating app. </p> <p dir="ltr">The woman from Byron Bay was on the dating app Hinge and claims to have “matched unintentionally” with the mental health professional. </p> <p dir="ltr">She took to Facebook for advice on what to do, supported with screenshots of the alleged message exchange. </p> <p dir="ltr">“I need a bit of help and don't know what to do,” the young woman started.</p> <p dir="ltr">“My psychologist, who I haven't seen in a few months but have been in contact with, messaged me on Hinge.</p> <p dir="ltr">“I matched with him unintentionally and didn’t realise it was him until he messaged me.” </p> <p dir="ltr">The man reached out first writing, “Hey,” along with a heart eye emoji. “I feel like we’ve matched before.”</p> <p dir="ltr">The woman did not hesitate to ask him, “Aren’t you my psych?”</p> <p dir="ltr">Upon realising the “gross” nature of the situation, the psychologist immediately apologised to the woman, but continued the conversation and asked her how she was. </p> <p dir="ltr">She admitted to feeling “scared and violated” and wanted advice on how to approach the alleged situation. </p> <p dir="ltr">“A part of me wants to do something about it because I worry about other patients of his who he might do this to. Any help and advice on whether I should do something or not would be appreciated,” she said.</p> <p dir="ltr">She also shared a screenshot of a previous text message from the psychologist informing her that it’s been “months” since her last appointment. </p> <p dir="ltr">The woman explained that the reason she “matched” with him is because he was using a different name on the app. </p> <p dir="ltr">The psychologist eventually found out that the woman had shared screenshots of their interaction and threatened to sue her for defamation.</p> <p dir="ltr">“Hello, I believe you have been spreading slander about me on social media. Please expect to be hearing from a lawyer in regard to defamation over the next week or so,’ the psychologist allegedly texted the woman.</p> <p dir="ltr">“How is it defamation when everything is true?” she responded.</p> <p dir="ltr">“What you’ve done is grossly inappropriate and violates ethical codes. You’re not allowed to approach me in public let alone instigate contact on a dating app. Even after I said “aren’t you my psych?”, you still tried to continue the conversation knowing full well my status as a patient of yours. I will be reporting to AHPRA.”</p> <p dir="ltr">“I genuinely did not know that you were a client before you told me. I’m sure you can appreciate that I see a lot of clients and it’s been months since you have had a session,” he concluded. </p> <p dir="ltr">The Health Care Complaints Commission (HCCC) is understood to be investigating the alleged matter, according to <a href="http://news.com.au" target="_blank" rel="noopener">news.com.au</a>.</p> <p dir="ltr"><em>Image: Facebook</em></p> <p> </p>

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