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How to fall asleep without sleeping pills: 7 natural sleep aids that actually work

It’s 3am and you’re suddenly wide awake. Try these seven science-backed strategies to fall back to sleep fast. Give meditation a try As a mindfulness coach, I’m very aware of the day-to-day anxieties and worries that can interfere with a good night’s sleep. One of the most effective natural sleep aids is a quick meditation session to ease yourself out of those stresses. If you’ve never meditated before, you’ll likely find the meditation interrupted by thoughts flashing through your mind. It’s important for you to know that this isn’t a failure on your part, and that you aren’t doing anything wrong. Thinking is just what the brain does, as naturally as lungs take in air. The point is to be non-judgmental yet aware of your thoughts, bodily experiences and breath, moment by moment. Sleep better, feel better! <a href="https://gaiam.innovations.com.au/p/gaiam-wellness/rollers-resistance/27-72435-gaiam-strengthen-stretch-kit?affiliate=GAIAM6O" target="_blank" rel="noopener">This Blackout Sleep Mask from Gaiam</a> will help you feel well rested and renewed. Stop wanting to fall asleep It’s counterintuitive, isn’t it? Sometimes trying too hard to do something is the very thing that prevents us from achieving it – and that’s never more true than when it comes to falling asleep. Desperately wanting to sleep will only stoke anxieties that will further stress your brain, essentially feeding it the message that it’s not safe to sleep. Throw in those worries about your to-do list at work the following day, and the whole thing can snowball into a panic attack. Try letting go of that feeling that you absolutely must sleep now, and observe your own anxieties for what they are without judgment. When you stop looking at sleep as a goal, you’ll find it easier to fall asleep. Before you climb into bed, set aside 10-15 minutes to help relax your body and mind, with <a href="https://gaiam.innovations.com.au/p/gaiam-wellness/restore-massage/27-73353-gaiam-wellness-acupressure-neck-back-pillow?affiliate=GAIAM60" target="_blank" rel="noopener">this wellness acupressure neck and back pillow from Gaiam</a>. Start a journal If you find yourself struggling to fall asleep, pick up a pen and paper (not your phone!), and start writing: simply scribble down an account of what’s going on inside your head. Although there’s no “right” way to journal, you might start by listing the events of your day, and from there, how those events and encounters made you feel. Building this structured picture of your thoughts may help you see that the problem that’s keeping you up at night, and is likely less overwhelming than you thought. Why my insistence on a pen and paper? First off, studies show the simple motor action that’s involved in the act of handwriting has a calming effect. Secondly, the light emitted by laptops and phones isn’t conducive to falling asleep. Find yourself a "3am friend" Some of us are lucky to have a ‘3am friend’, that close confidant you can call up in the wee hours knowing that they won’t hold it against you in the morning. Although it’s great to have someone to talk to when you want to fall asleep, it’s important that the conversation doesn’t just rehash the anxieties that are preventing you from catching shut-eye in the first place. Rather than using the call to seek solutions for those issues, talk about things that calm your nerves, or even have them assist you in deep breathing. It may sound silly, but doing a series of deep, relaxing breaths can help you let go of the troubles that are keeping you wide awake. Take a warm shower Taking a warm shower not only relaxes your muscles and soothes minor aches and pains, but it also raises your core body temperature. As soon as you step out of the shower, your body starts working at lowering that temperature, which is something that normally happens when you’re falling asleep naturally. (That’s why we always feel the need for a blanket when we sleep, no matter how warm it is!) By kick-starting that temperature-lowering process, you’re tricking your body into falling asleep fast. Stretch yourself to sleep Anxiety keeping you up? Research suggests mild stretching can help take the edge off and relax muscles that have become stiff and sore after a long day. We’re not talking intricate yoga poses or acrobatics here, either: Simple stretches like an overhead arm stretch and bending over to touch your toes should do the trick. Ramp up the relaxation potential with a soundtrack of ambient noise at a volume that’s just barely audible. There are plenty of white noise apps that are free to download, but soft music can work as well (so long as there are no lyrics). Just remember, if you’re using an electronic device to play these sleep-promoting sounds, make sure it’s placed screen-down so you’re not distracted by the light it emits. Stretching is healing, and this <a href="https://gaiam.innovations.com.au/p/gaiam-wellness/rollers-resistance/27-72435-gaiam-strengthen-stretch-kit?affiliate=GAIAM60" target="_blank" rel="noopener">Strengthen and Stretch Kit from Gaiam</a> is a great way to start. An on-line workout is also included to get you started. Read (or listen!) to something new When you’re struggling with insomnia, it might be tempting to pull an old favourite off the bookshelf. In reality, it’s better to read or listen to an audio book that covers a topic on which you know absolutely nothing. New information, while taking attention away from the stressors that are keeping you up at night, gives your brain enough of a workout to make it tire more quickly than when it’s engaged with familiar subjects and concepts. Again, if it’s an audio book or podcast you’re listening to, make sure the light-emitting side of the device is face down to keep the room as dark as possible. Darkness and warmth play an essential part in the production and maintenance of melatonin, the hormone that plays the central role falling asleep. Image credits: Getty Images This article by Deepak Kashyap originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/conditions/sleep/how-to-fall-asleep-without-sleeping-pills-7-natural-sleep-aids-that-actually-work" target="_blank" rel="noopener">Reader's Digest</a>.

Body

Awful new details emerge after man's fatal fall from hot air balloon

Warning: Disturbing details New details have emerged of the moments before a man tragically fell to his death from a <a href="https://www.oversixty.com.au/news/news/man-dies-after-falling-from-hot-air-balloon-over-melbourne" target="_blank" rel="noopener">hot air balloon</a>. The man was one of ten people onboard the hot air balloon ride, which took off at around 7am on Monday. A video obtained by 7News, shows the man, dressed in a brown jumper, taking in the view over the city alongside other guests. Witnesses have also reported that the man looked fine and was even chatting with the ride operator about politics as the balloon launched into the air. As the ride reached around 450metres, just ten minutes later, with no warning whatsoever he shockingly exited the basket in what was reported to be an act of self-harm and plunged to his death. The pilot immediately made a distressed may day call as horrified passengers and motorists witnessed him fall through the air. Passengers onboard another hot air balloon, which was launched at the same time, recalled hearing the distress calls over the radio approximately 15 minutes into their ride. Not long after emergency services arrived at the horrifying scene in Albert Street, Preston in the city's north-east, where his body was found in a front yard. One witness recalled the incident and told the Today show: "My brother heard like a loud bang, almost like something like a large item falling in your house. And it wasn’t until we heard all the sirens that we came out." Passengers onboard the hot air balloon have been offered counselling by the operator, with officers currently preparing a report for the coroner. Images: 7News/ Daily Mail

Legal

Man dies after falling from hot air balloon over Melbourne

An unidentified man lost his life early on Monday morning after falling from a hot-air balloon above Preston, Melbourne. The incident, which occurred around 7:30 am on Albert Road, has left the neighbourhood in disbelief. Paramedics swiftly responded to the scene following distress calls, only to find the lifeless body of the man on the street. According to authorities, the victim was riding in the hot air balloon when the tragic accident unfolded. The area quickly became a hive of activity, with dozens of police officers cordoning off the road in both directions. Eyewitnesses reported a scene of chaos, with power lines falling onto the road and emergency service crews rushing to the aid of the victim. One neighbour, speaking to reporters from the Today show, recounted the harrowing moments leading up to the discovery of the man's body. "My brother heard like a loud bang, almost like something like a large item falling in your house. And it wasn’t until we heard all the sirens that we came out," he said. Expressions of condolences and solidarity have poured in from the local community and beyond, as news of the tragedy spreads. More updates are expected as authorities work to unravel the events leading up to this heartbreaking incident. Images: The Today Show | ABC News

News

“Unbelievably legitimate”: Deb Knight falls victim to popular scam

Deb Knight has shared how she fell victim to a popular scam, losing $1,200 while trying to get Taylor Swift tickets for her daughter's birthday. Like many people around Australia, the veteran journalist was eager to get her hands on tickets to the highly anticipated Eras Tour as a once in a lifetime surprise for her eight-year-old daughter's birthday present. After missing out on tickets through all official channels, Deb thought hope was lost, until a friend reached out to her. “A really good friend, who I’ve known all my life, contacted me and said, ‘do you still want Taylor Swift tickets?’” Knight told A Current Affair. “It was my daughter’s eighth birthday and getting my hands on these tickets would be the best present ever." “My friend put me in contact with her friend who had the tickets – or so I thought.” Knight had received a phone call from her close friend who said her cousin was selling tickets, but unbeknownst to everyone involved, the friend’s Facebook account had been hacked. Deb promised to pay half the cost of the tickets as a bond, then pay the rest after she had seen the tickets, which she said looked “unbelievably legitimate". Tech expert Trevor Long joined Deb on ACA, and noticed one major error about the fake tickets. “The difference is a genuine Taylor Swift ticket in an Apple Wallet right now does not have that barcode.” Alarm bells started ringing for the veteran journalist when the so-called seller said the payment had not come through, but by then it was too late. Deb contacted her bank but it was too late to get her $1,200 back, and her hunt to find Taylor Swift tickets continued. “I realised I’d been scammed. I felt sick to the stomach, absolutely humiliated. I also felt embarrassed and ashamed,” she said. “I was reluctant to speak publicly about this but I think we’ve got to. We have to normalise it so people feel there’s less of a stigma about it." “It happens to everyone, even Deb Knight – it’s disgusting, what’s happening, so something needs to be done.” Police have warned Swifties who missed out on tickets to the singer’s upcoming tour not to fall prey to ticketing scams, and only to purchase tickets through official channels such as Ticketek marketplace. Since tickets for the Eras tour went on sale last June, and subsequently sold out in record timing, Victoria Police said there had been more than 250 reports of ticketing scams for Taylor Swift shows alone. Image credits: A Current Affair

Money & Banking

Kyle Sandilands abandons radio show after nasty accident

Kyle Sandilands was forced to abandon his daily radio show on Wednesday morning, after a nasty accident prevented him from heading into the studio. KIISFM was forced to play a pre-recorded episode of the Kyle and Jackie O Show, as just moments before he was set to go on air, Sandilands took a tumble down the stairs. Kyle took Thursday off the show as well to recover from his accident, but called in to speak to his co-host Jackie O to share what happened. “I fell from the top of my internal staircase and rolled, rattled and bumped all the way to the bottom, and I was left splayed out like a Christmas dinner,” Sandilands said. “It’s a big marble staircase, very wide and very long, and in some design flaw, the light [switch] is at the bottom, not at the top, it was pitch black and my foot went,” he added. Sandilands said he was home alone at the time, with his wife Tegan Kynaston and their one-year-old son Otto spending the night away. “So the normal routine wasn’t happening, the nanny wasn’t there because the baby wasn’t there, and the lighting situation wasn’t sorted out,” Sandilands said. “I carry everything in [my] hat, my wallet, keys, cigarettes … That all went everywhere, and I was left at the bottom of the floor.” “I was so injured I thought, ‘That’s it for me. This is the beginning of the end.’” While he said he was left “rattled” by the accident, Sandilands went on to confirm he was doing “fine” now, and was hoping to be back on the air for Friday morning’s show. Image credits: KIISFM

Caring

"I thought I was gone": Grandfather reunited with rescuers after pier fall

John Mirabelli, 88, has been reunited with the three men who saved his life after he accidentally fell into the ocean. The great-grandfather was fishing off Portsea Pier in Victoria last month, when he lost his footing and fell off the pier and into the bay. "I thought I was gone, because when I fell in, I went straight down," Mirabelli told 9News. Dressed in just a raincoat and a pair of gumboots, the 88-year-old was drenched and holding on to a slippery pylon for almost an hour, and just when he thought all hope was lost, local surfer Ben Buxton luckily walked by. "I looked over and I saw John holding onto a little wire and the look on his face, it was kinda terrifying, because he appeared to only have a few moments left until he had to let go of the wire," he said. "I just thought if I can get a board to where John is then he's possibly got a chance." As he paddled over to Mirabelli, police officers Oliver Waters and Adam Gardner arrived, after a call to triple zero. Between them Buxton and Waters took turns reassuring the great-grandfather and convinced him to hold on to the board, as they floated him around the pier for almost 20 minutes to get him back on dry land. "In that time, we were talking to John to try and get him relaxed," Buxton said. "And he kept talking about the calamari that he'd had to let go when he'd fallen into the pier." After a stint in hospital, Mirabelli was reunited with his rescuers. "It's special for us, we really appreciate the chance to catch up with John again," Waters said. "He's a lovely man." Mirabelli embraced the three men and expressed his gratitude: "If it was not for you, I would not be alive." The 88-year-old has fished at the same spot for decades and said that he won't be scared away anytime soon. He even joked about how he will search for the calamari that got away. "Next time I'll fix him up - if it's the same one," he said. Images: Nine

Caring

Sydney woman who died at Robbie Williams concert identified

The woman who tragically died after falling down six rows of seats at Robbie Williams' Sydney concert has been identified. Robyn Hall, who was in her 70s, passed away at St Vincent's Hospital after spending a week in an induced coma after the fall. Her son Michael paid tribute to his mum on Facebook, saying he had lost his "best friend". “I haven’t got the words to say what my mum meant to me,” he said. “Taken from under me and my best friend is no longer with me … I love you forever.” A family friend said Hall loved the British singer and had “thoroughly” enjoyed the evening before tragedy struck. “She was one of those ones who looked 50 but was 70. She took care of herself and didn’t need carers,” he said. “Robyn was the most beautiful human I have ever met. Through all adversity, she smiled, hugged and laughed her way through,” he said. “Broken hearts amongst all her family and friends, she will be missed by all who knew her.” Robyn had remained in an induced coma since Thursday November 16th, when she was rushed from Sydney's Allianz Stadium where Williams was performing on his Australian tour. It is understood that Robyn was climbing over chairs when she slipped and fell down six rows of seating. Paramedics were called to the stadium around 10:15pm, after Robyn suffered serious head and face injuries. She was treated at the scene before being rushed to hospital. The sold-out show kicked off just after 7pm and had wrapped by about 10pm when the 40,000 fans began making their way to the exit. It was around this time the woman began climbing over the seats and fell. Image credits: Getty Images / Facebook

Caring

Falling for New Zealand

Aotearoa, named by the Māori and believed to mean the land of the long white cloud, is such a spiritual-like calling – who could resist? The ethereal beauty of New Zealand stirs the soul, with its two main islands and 15,000km of coastline boasting many spectacular landscapes. And the most inspirational and fulfilling way to experience Aotearoa’s beauty is on a cruise, which is by far the most accommodating and best value-for-money option. Instead of bumping around winding roads over mountains and crossing verdant valleys, you relax onboard a Princess® ship, which has all the luxuries for you to enjoy while cruising happily to your next port of call, all the time being one with the surrounding splendid seas as you go – with cocktail in hand for your pleasure. From the mountains to the sea With soaring peaks in dramatic mountain ranges to braided rivers, patchwork valleys, volcanoes, stark gorges, resplendent fiords, geothermal springs, idyllic beaches and vine-tangled fields, New Zealand has one of the most diverse topographies on the planet. It is surprising how beautiful it is and you become part of it moment after moment. One of the highlights of your cruise is witnessing the achingly beautiful scenery of Fiordland National Park. This ancient landscape in the southwest corner of New Zealand has 14 fiords that have been carved over 100,000 years, including the legendary Milford Sound / Piopiotahi that Conde Nast named as one of the “7 Cruise Wonders of the World”. Cruising on this idyllic, tranquil sound fringed by imposing cliffs will leave you in awe. With tendrils of mist, ancient rainforest and waterfalls giving it an other-worldly aura, Milford Sound will leave an imprint on your heart and make you really feel alive and transformed. New Zealand will become a favourite. <img class="alignnone size-full wp-image-69462" src="https://oversixtydev.blob.core.windows.net/media/2023/10/NZ_MAORI_VILLAGE_13143_1280.jpg" alt="" width="1280" height="720" /> Māori culture To get to know any country it is key to learn about the history of the place, and its people. The Māori have been the ‘tangata whenua’, the indigenous people of Aotearoa for millenia, and on your Princess cruise, you’ll learn about the enriching Māori culture both on – and off – the ship, gaining a deeper understanding of this ancient culture. One of the most important Māori experiences is visiting the Waitangi Treaty Grounds in the Bay of Islands, along with Whakarewarewa, a living Māori village in Rotorua. You will connect with locals and become part of their whanau (family). They will share enriching stories from their heritage with you while enjoying your company as much as you will theirs. A veritable feast of wining and dining Any wine connoisseur will wax lyrical about New Zealand’s wines, from its pinot noir to its sauvignon blancs and other varietals. New Zealand has an embarrassment of riches with its food and wine producers able to take advantage of the fertile soils and perfect terroir to grow and cultivate some of the best food and wine worldwide. You’ll tantalise your tastebuds and raise a glass to your new-found friends with fine wines from such renowned regions as Marlborough, Central Otago, the Wairarapa, Hawkes Bay, Nelson and Waiheke. And oyster lovers will be deliriously happy dining on Bluff Oysters, with crayfish, mouthwatering king salmon and tasty, green-lipped mussels being other local favourites. Add to this, it wouldn’t be a New Zealand cruise without a pavlova or two. <img class="alignnone size-full wp-image-69460" src="https://oversixtydev.blob.core.windows.net/media/2023/10/MP_MilfordSound_MCrawford_1929-1280.jpg" alt="" width="1280" height="720" /> Across the Ditch When cruising with Princess in New Zealand, the exclusive Across the Ditch program offers authentic Māori experiences, culture and local flavours onboard and ashore to showcase what makes New Zealand so unique. You can take advantage of special regional experiences to elevate your cruise and ensure personal growth such as traditional folkloric performances. You can learn the art of Poi dancing or the Haka Māori War Dance and view a pop-up display from the Auckland War Memorial Museum in the Atrium. Family fun New Zealand too, will instill a love of travel and cruising in your children or grandchildren on a family or intergenerational cruise with Princess. New Zealand is a perfect destination with no long flight home and a plethora or exciting activities for kids to enjoy. Onboard, kids will be engaged in new experiences and wonder-filled Kids & Teen Centres. Imagine the joy on the kids’ faces when they visit Hobbiton, the magical recreated and quirky Hobbit village made famous in the Lord of the Rings and The Hobbit trilogies. Then there is the array of activities from rafting to soaking in thermal springs, being mesmerised by bubbling geysers or watching seals frolic, albatross flying or white-flippered blue penguins. Families will have life-long memories from the experiences on their New Zealand Princess cruise, and it will perhaps even help transform and inspire young minds to see the world, learn new things and be educated about Indigenous cultures. <img class="alignnone size-full wp-image-69459" src="https://oversixtydev.blob.core.windows.net/media/2023/10/DSC9247_RGB-TB_1280.jpg" alt="" width="1280" height="720" /> Accessible cruising Princess also welcomes those with limited mobility offering a selection of staterooms that provide full wheelchair-turning space. In addition, these staterooms include a roll-in shower equipped with grab bars and a fold-down bench seat, an easy access closet and accessible writing desk. There are also many accessible shore excursions around New Zealand, ensuring meaningful and inspirational time ashore. New Zealand is a destination for all. You’ll return delighted, with an excited family, a group of new friends and a plan to cruise its magnificence again before long. Ka kite wawe koe – see you soon! For more information, visit <a href="https://www.princess.com/">princess.com</a>. Images: Supplied / Shutterstock This is a sponsored article produced in partnership with Princess Cruises.

Cruising

The rise and fall of antibiotics. What would a post-antibiotic world look like?

<a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> These days, we don’t think much about being able to access a course of antibiotics to head off an infection. But that wasn’t always the case – antibiotics have been available for less than a century. Before that, patients would die of relatively trivial infections that became more serious. Some serious infections, such as those involving the heart valves, were <a href="https://pubmed.ncbi.nlm.nih.gov/20173297/">inevitably</a> fatal. Other serious infections, such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070694/">tuberculosis</a>, weren’t always fatal. Up to a <a href="https://www.biorxiv.org/content/10.1101/729426v1.full.pdf">half</a> of people died within a year with the most severe forms, but some people recovered without treatment and the remainder had ongoing chronic infection that slowly ate away at the body over many years. Once we had antibiotics, the outcomes for these infections were much better. <h2>Life (and death) before antibiotics</h2> You’ve probably heard of Alexander Fleming’s accidental <a href="https://www.acs.org/education/whatischemistry/landmarks/flemingpenicillin.html">discovery of penicillin</a>, when fungal spores landed on a plate with bacteria left over a long weekend in 1928. But the <a href="https://www.ox.ac.uk/news/science-blog/penicillin-oxford-story">first patient</a> to receive penicillin was an instructive example of the impact of treatment. In 1941, Constable Albert Alexander had an infected scratch on his face that had become infected. He was hospitalised but despite various treatments, the infection progressed to involve his head. This required removing one of his eyes. Howard Florey, the Australian pharmacologist then working in Oxford, was concerned penicillin could be toxic in humans. Therefore, he felt it was only ethical to give this new drug to a patient in a desperate condition. Constable Alexander was given the available dose of penicillin. Within the first day, his condition had started to improve. But back then, penicillin was difficult to produce. One way of extending the limited supply was to “recycle” penicillin that was excreted in the patient’s urine. Despite this, supplies ran out by the fifth day of Alexander’s treatment. Without further treatment, the infection again took hold. Constable Alexander eventually died a month later. We now face a world where we are potentially running out of antibiotics – not because of difficulties manufacturing them, but because they’re losing their effectiveness. <h2>What do we use antibiotics for?</h2> We currently use antibiotics in humans and animals for a variety of reasons. Antibiotics reduce the duration of illness and the chance of death from infection. They also prevent infections in people who are at high risk, such as patients undergoing surgery and those with weakened immune systems. But antibiotics aren’t always used appropriately. <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30084-0/fulltext">Studies</a> consistently show a dose or two will adequately prevent infections after surgery, but antibiotics are <a href="https://irp.cdn-website.com/d820f98f/files/uploaded/surgical-prophylaxis-prescribing-in-australian-hospitals-results-of-the-2020-surgical-national-antimicrobial-prescribing-survey.pdf">often</a> continued for several days unnecessarily. And sometimes we use the wrong type of antibiotic. <a href="https://irp.cdn-website.com/d820f98f/files/uploaded/antimicrobial-prescribing-practice-in-australian-hospitals-results-of-the-2020-hospital-national-antimicrobial-prescribing-survey.pdf">Surveys</a> have found 22% of antimicrobial use in hospitals is inappropriate. In some situations, this is understandable. Infections in different body sites are usually due to different types of bacteria. When the diagnosis isn’t certain, we often <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/resp.13334">err</a> on the side of caution by giving broad spectrum antibiotics to make sure we have active treatments for all possible infections, until further information becomes available. In other situations, there is a degree of inertia. If the patient is improving, doctors tend to simply continue the same treatment, rather than change to more appropriate choice. In general practice, the issue of diagnostic uncertainty and therapeutic inertia are often magnified. Patients who recover after starting antibiotics don’t usually require tests or come back for review, so there is no easy way of knowing if the antibiotic was actually required. Antibiotic prescribing can be more complex again if <a href="https://www.mja.com.au/journal/2014/201/2/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care">patients</a> are expecting “a pill for every ill”. While doctors are generally good at educating patients when antibiotics are not likely to work (for example, for viral infections), without confirmatory tests there can always be a lingering doubt in the minds of both doctors and patients. Or sometimes the patient goes elsewhere to find a prescription. For other infections, resistance can develop if treatments aren’t given for long enough. This is particularly the <a href="https://pubmed.ncbi.nlm.nih.gov/11971765/">case</a> for tuberculosis, caused by a slow growing bacterium that requires a particularly long course of antibiotics to cure. As in humans, antibiotics are also used to prevent and treat infections in animals. However, a proportion of antibiotics are used for growth promotion. In Australia, an <a href="https://www.mja.com.au/journal/2019/211/4/antibiotic-use-animals-and-humans-australia">estimated</a> 60% of antibiotics were used in animals between 2005-2010, despite growth-promotion being phased out. <h2>Why is overuse a problem?</h2> Bacteria become resistant to the effect of antibiotics through natural selection – those that survive exposure to antibiotics are the strains that have a mechanism to evade their effects. For example, antibiotics are sometimes given to <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(18)30279-2/fulltext">prevent</a> recurrent urinary tract infections, but a consequence, any infection that does <a href="https://academic.oup.com/cid/article/73/3/e782/6141409">develop</a> tends to be with resistant bacteria. When resistance to the commonly used first-line antibiotics occurs, we often need to reach deeper into the bag to find other effective treatments. Some of these last-line antibiotics are those that had been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202707/">superseded</a> because they had serious side effects or couldn’t be given conveniently as tablets. New drugs for some bacteria have been developed, but many are much more <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7955006/">expensive</a> than older ones. <h2>Treating antibiotics as a valuable resource</h2> The concept of antibiotics as a valuable resource has led to the <a href="https://pubmed.ncbi.nlm.nih.gov/8856755/">concept</a> of “antimicrobial stewardship”, with programs to promote the responsible use of antibiotics. It’s a similar concept to environmental stewardship to prevent climate change and environmental degradation. Antibiotics are a rare class of medication where treatment of one patient can potentially affect the outcome of other patients, through the transmission of antibiotic resistant bacteria. Therefore, like efforts to combat climate change, antibiotic stewardship relies on changing individual actions to benefit the broader community. Like climate change, antibiotic resistance is a complex problem when seen in a broader context. Studies have linked resistance to the values and priorities <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30186-4/fulltext">of governments</a> such as corruption and infrastructure, including the availability of electricity and public services. This highlights that there are broader “causes of the causes”, such as public spending on sanitation and health care. Other <a href="https://academic.oup.com/jac/article/74/9/2803/5512029?login=true">studies</a> have suggested individuals need to be considered within the broader social and institutional influences on prescribing behaviour. Like all human behaviour, antibiotic prescribing is complicated, and factors like what doctors feel is “normal” prescribing, whether junior staff feel they can challenge senior doctors, and even their <a href="https://www.nytimes.com/2016/10/07/upshot/your-surgeon-is-probably-a-republican-your-psychiatrist-probably-a-democrat.html">political views</a> may be important. There are also issues with the <a href="https://www.cambridge.org/core/journals/international-journal-of-technology-assessment-in-health-care/article/value-assessment-of-antimicrobials-and-the-implications-for-development-access-and-funding-of-effective-treatments-australian-stakeholder-perspective/D45758CFB95520DA4FF06E46135E0628">economic model</a> for developing new antibiotics. When a new antibiotic is first approved for use, the first reaction for prescribers is not to use it, whether to ensure it retains its effectiveness or because it is often very expensive. However, this doesn’t really <a href="https://academic.oup.com/cid/article/50/8/1081/449089?login=true">encourage</a> the development of new antibiotics, particularly when pharma research and development budgets can easily be diverted to developing drugs for conditions patients take for years, rather than a few days. <h2>The slow moving pandemic of resistance</h2> <blockquote> If we fail to act, we are looking at an almost unthinkable scenario where antibiotics no longer work and we are cast back into the dark ages of medicine – <a href="https://amr-review.org/">David Cameron</a>, former UK Prime Minister </blockquote> Antibiotic resistance is already a problem. Almost all infectious diseases physicians have had the dreaded call about patients with infections that were essentially untreatable, or where they had to scramble to find supplies of long-forgotten last-line antibiotics. There are already hospitals in some parts of the world that have had to carefully <a href="https://www.reactgroup.org/news-and-views/news-and-opinions/year-2022/the-impact-of-antibiotic-resistance-on-cancer-treatment-especially-in-low-and-middle-income-countries-and-the-way-forward/">consider</a> whether it’s still viable to treat cancers, because of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276316/">high risk</a> of infections with antibiotic-resistant bacteria. A global <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02724-0/fulltext">study</a> estimated that in 2019, almost 5 million deaths occurred with an infection involving antibiotic-resistant bacteria. Some 1.3 million would not have occurred if the bacteria were not resistant. The UK’s 2014 <a href="https://amr-review.org/sites/default/files/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf">O'Neill report</a> predicted deaths from antimicrobial resistance could rise to 10 million deaths each year, and cost 2-3.5% of global GDP, by 2050 based on trends at that time. <h2>What can we do about it?</h2> There is a lot we can do to prevent antibiotic resistance. We can: <ul> <li> <a href="https://www.marketingmag.com.au/news/film-picking-gonorrhoea-wins-tropfest-prize/">raise</a> <a href="https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7258-3">awareness</a> that many infections will get better by themselves, and don’t necessarily need antibiotics </li> <li> use the antibiotics we have more appropriately and for as short a time as possible, supported by co-ordinated clinical and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437704/">public policy</a>, and <a href="https://www.amr.gov.au/">national</a> <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00796-4/fulltext">oversight</a> </li> <li> <a href="https://www.safetyandquality.gov.au/our-work/antimicrobial-resistance/antimicrobial-use-and-resistance-australia-surveillance-system/about-aura-surveillance-system">monitor</a> for infections due to resistant bacterial to inform control policies </li> <li> reduce the inappropriate use of antibiotics in animals, such as <a href="https://nam.edu/antibiotic-resistance-in-humans-and-animals/">growth promotion</a> </li> <li> <a href="https://pubmed.ncbi.nlm.nih.gov/11971765/">reduce</a> cross-transmission of resistant organisms in hospitals and in the community </li> <li> prevent infections by other means, such as clean water, <a href="https://apps.who.int/iris/bitstream/handle/10665/204948/WHO_FWC_WSH_14.7_eng.pdf">sanitation</a>, hygiene and <a href="https://www.who.int/teams/immunization-vaccines-and-biologicals/product-and-delivery-research/anti-microbial-resistance">vaccines</a> </li> <li> continue developing new antibiotics and alternatives to antibiotics and ensure the right <a href="https://www.thelancet.com/journals/lanepe/article/PIIS2666-7762(23)00124-2/fulltext#:%7E:text=We%20consider%20four%20incentive%20options,exclusivity%20extensions%2C%20and%20milestone%20payments.">incentives</a> are in place to encourage a continuous pipeline of new drugs. </li> </ul> <a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, Professor in Infectious Diseases Epidemiology, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/the-rise-and-fall-of-antibiotics-what-would-a-post-antibiotic-world-look-like-213450">original article</a>.

Caring

1 in 6 older adults fall victim to impersonation scams

More older adults are likely to fall victim to scams than are currently recognised according to new US research. The problems are global. <div class="copy"> A research team from Rush University Medical Center in Chicago, US, says older Americans who aren’t cognitively impeded, are also at risk. In their study <a href="https://10.1001/jamanetworkopen.2023.35319" target="_blank" rel="noreferrer noopener">published</a> today in JAMA Network Open, the group reports on a behavioural experiment where they targeted 644 adults aged 64-104 in Rush’s Memory and Aging Project – a local scheme that draws on participants from metropolitan Chicago to participate in research – with a pitch mimicking a real-world impersonation scam. The study’s fictitious ‘US Retirement Protection Task Force’ pitched itself to participants as a government social security initiative. This USRPTF told participants via either post, email or a telephone call there’d been irregular activity on their Medicare or social security file and the inquiry was a routine account security check. As part of this, the fake agency asked participants to call a telephone hotline or login to a provided website to provide their details. Over two-thirds of the study failed to respond to any attempts to obtain information by the phoney scheme. The remainder were evenly split by either responding to requests for contact, but expressing scepticism at the authenticity of the USRPTF, or by responding and engaging with the request for information. Those who were engaged with the request for information, but expressed doubts, were also those with the highest cognitive performance, and lowest proportion of dementia. They were also the most financially literate participants, while those who provided their details had the lowest literacy. Those who provided details were also found to have the lowest scam awareness of all participants. Among this group, 1 in 10 willingly provided personal information and 1 in 5 provided details of their social security number. “If extrapolated to a population level, these numbers are astounding and suggest that a very large number of older adults are at risk of victimisation,” the authors say. They also note that, given the use of a fictitious US government organisation name, the number of people vulnerable to well-organised scams is likely much higher. Last year, the US National Council on Aging reported 92,371 older Americans were defrauded of a total of US$1.7 billion. Most were victims of government department impersonation, sweepstakes and robocall scams. Often such scams will simply demand payment while ‘spoofing’ the phone number of a government agency to add the veil of legitimacy. It’s a similar story around the world. This year, the Australian Competition and Consumer Commission found Australians lost a record $3.1 billion last year, mostly via phone scams. Australians over 65 years of age accounted for a quarter of losses and reports. The UK’s Action Fraud initiative found Britons lost about ₤2.35 billion in the 2020/21 financial year, with those aged 50-69 most susceptible to falling victim. <div> <noscript data-spai="1">&lt;img decoding="async" class="aligncenter size-full wp-image-198773" src="https://cdn.shortpixel.ai/spai/q_lossy+ret_img+to_auto/cosmosmagazine.com/wp-content/uploads/2023/09/Issue-100-embed.jpg" data-spai-egr="1" alt="Subscribe to our quarterly print magazine" width="600" height="154" title="1 in 6 older adults fall victim to impersonation scams 2"&gt;</noscript> </div> Image credits: Getty Images <a href="https://cosmosmagazine.com/people/society/1-in-6-older-adults-fall-victim-to-impersonation-scams/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="null">Cosmos</a>. </div>

Legal

Positive news for injured WA police officer in Croatia

A fundraiser set up for a WA police officer who was injured in an<a href="https://www.oversixty.com.au/health/caring/police-officer-in-critical-condition-after-terrifying-cliff-fall" target="_blank" rel="noopener"> unfortunate cliff fall </a>reached its $500,000 target. Ella Cutler was left fighting for her life after falling off a cliff top while on vacation in Croatia, and her loved ones set up a GoFundMe to help pay for her medical bills and bring her home via air ambulance. Now, Ella is out of the ICU with horrific injuries to her body, including her head and spine. Her friends and family members have been overwhelmed with the outpouring of love and support from strangers who donated, and said that Ella still has a "long road" to recovery, with many surgeries to go. "There's been people that have donated, which is just so heartwarming to see Ella's story has really touched them," friend and fellow police officer Constable Dani Morrison said. "They've never met her and they still donated." Ella will undergo another surgery next week before she can fly home to Perth. Ella, and a 34-year-old Australian man were both injured after they fell 10 metres from a cliff near Fort Lovrijenac, in the Dubrovnik suburb of Piles on August 26. Her family have asked for donations after revealing that Ella's travel insurance denied her claim. As of today, the <a href="https://www.gofundme.com/f/please-help-us-bring-ella-home#xd_co_f=NDIzY2U3YjUtNTQ2Yi00MjhjLWEwNTMtNGNhZTMyZmNiMzc0~" target="_blank" rel="noopener">GoFundMe</a> has raised $517,125. Image: WA Police

Caring

Home and Away star shares shocking injury

Beloved Home and Away star Lynne McGranger has documented a shocking injury she sustained while she was walking her daughter's dog. The 70-year-old shared that she "face planted the road" after taking a tumble and not looking where she was going. She shared a before and after photo of the accident, sharing how quickly her morning had changed. “One minute walking your daughter and son-in-law’s dog with your MOG (mother of the groom). Nek minit (sic) you’ve face planted the road 😳😱😢🤦‍♀️,” she captioned the post. Addressing her caption she later added, “I must’ve been shaken up. I made punctuation mistakes 🤣😱🤦‍♀️”. The close-up of the injuries showed the actress with a bloodied lip and bruising on her chin, right cheek and nose. Friends and followers shared their best wishes for a speedy recovery after the painful accident. “Oh gosh Lynnie!!!! Sending love - I was hoping that was on-set makeup 😮 xx,” former Home and Away actress Sarah Roberts said. “Aww Lynny ❤️❤️❤️ hope you’re all good!” Johnny Ruffo’s partner Tahnee Sims wrote. “Damn, that looks pretty badass! Hope you’re all good though Lynne ❤️,” Home and Away’s Ethan Browne said. <figure><picture>Diehard fans of the show also shared their messages of support, with one person writing, "<source srcset="https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=100&impolicy=sevennews_v2 100w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=150&impolicy=sevennews_v2 150w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=250&impolicy=sevennews_v2 250w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=320&impolicy=sevennews_v2 320w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=414&impolicy=sevennews_v2 414w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=500&impolicy=sevennews_v2 500w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=640&impolicy=sevennews_v2 640w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=828&impolicy=sevennews_v2 828w,https://images.7news.com.au/publication/C-11885705/0db0b6f348379d14736b4992660d3fa675b2b0fd.jpg?imwidth=1024&impolicy=sevennews_v2 1024w" media="(min-width: 0px)" sizes="(max-width: 767px) 95vw,(min-width: 768px) and (max-width: 1020px) 50vw,650px" data-ratio="1080:1350" />Ouch, now how to write that into the script.”</picture> “Oh Lynne. I hope you are ok. That’s a mess. On the plus side, it could make a great story for Irene. Hope you heal quickly, love you lots xxx,” another agreed. Image credits: Instagram </figure>

Caring

Police officer in critical condition after terrifying cliff fall

A WA police officer is fighting for her life after she was severely injured in a 10m fall from a clifftop in Pile, Croatia. Ella Cutler, 25, sustained life threatening injuries including multiple fractures to her skull, spine, 12 ribs and several limbs, puncturing both her lungs, leaving her in critical condition overseas. She is currently receiving around-the-clock care in a Dubrovnik hospital, and her family is desperate to bring the "much loved" police officer home. "We can only imagine how scared she would be if she knew the full extent of her injuries, and we cannot even begin to convey how frightened we are for her, and how important it is for her to come home," her brother Joshua Cutler wrote in a <a href="https://www.gofundme.com/f/please-help-us-bring-ella-home" target="_blank" rel="noopener">GoFundMe</a> page created for Ella. "She has too much living left to do, too many people to help, and too much love to give for this to be how this chapter ends. "She has a long hard road ahead of her, and she will need all the help she can get," he added. Although her loved ones have flown to be by her side, her travel insurance claims have reportedly been knocked back, and her medical bills are increasing by the day. The family hopes to raise $500,000 to cover hospital bills and an air ambulance to bring the “devoted public servant” home. “She will require many more months of care, multiple surgeries and months of physical rehabilitation before she is able to impact the world as she once did,” Josh said. "She can't do this alone, and neither can we," he added. They also thanked the doctors for their hard work, and explained that they hope to provide better facilities for Ella by moving her to a bigger hospital where she can receive specialised care, which is vital for further recovery. "They know the best thing for her is to be home where she can feel the full impact of the love from her family, friends, and community." Images: 7News

Caring

Junk fees and drip pricing: the underhanded tactics we hate yet still fall for

<a href="https://theconversation.com/profiles/ralf-steinhauser-1459112">Ralf Steinhauser</a>, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a> You see a fantastic offer, like a hotel room. You decide to book. Then it turns out there is a service fee. Then a cleaning fee. Then a few other extra costs. By the time you pay the final price, it is no longer the fantastic offer you thought. Welcome to the world of drip pricing – the practice of advertising something at an attractive headline price and then, once you’ve committed to the purchase process, hitting you with unavoidable extra fees that are incrementally disclosed, or “dripped”. Drip pricing – a type of “junk fee” – is notorious in event and travel ticketing, and is creeping into other areas, such as movie tickets. My daughter, for example, was surprised to find her ticket to the Barbie movie had a “booking fee”, increasing the cost of her ticket by 13%. It seems like such an annoying trick that you may wonder why sellers do it. The reason is because it works, due to two fundamental cognitive biases: the way we value the present over the future; and the way we hate losses more than we love gains. <h2>Present bias preference: why starting over feels too costly</h2> In the case of booking that hotel room, you could abandon the transaction and look for something cheaper once the extra charges become apparent. But there’s a good chance you won’t, due to the effort and time involved. This is where the trap lies. Resistance to the idea of starting the search all over again is not simply a matter of laziness or indecision. There’s a profound psychological mechanism at play here, called a present-bias preference – that we value things immediately in front of us more than things more distant in the future. In their seminal 1999 paper, <a href="https://doi.org/10.1257/aer.89.1.103">Doing it now or later</a>, economists Mathew Rabin and Ted O'Donoghue define present-biased preference as “the human tendency to grab immediate rewards and to avoid immediate costs”. They give the example of choosing between doing seven hours of unpleasant activity on April 1 or eight hours two weeks later. If asked about this a few months beforehand, most people will choose the earlier option. “But come April 1, given the same choice, most of us are apt to put off work till April 15.” In simple terms, the inconvenience and effort of doing something “right now” often feels disproportionately large. Drip pricing exploits this cognitive bias by getting you to make a decision and commit to the transaction process. When you’re far into a complicated booking process and extra prices get added, starting all over again feels like a burden. Often enough, this means you’ll settle for the higher-priced hotel room. <h2>Loss aversion: buying more expensive tickets</h2> Beyond the challenge of starting over, there’s another subtle force at work when it comes to our spending decisions. Drip pricing doesn’t just capitalise on our desire for immediate rewards; it also plays on our innate fear of losing out. This second psychological phenomenon that drip pricing exploits is known as loss aversion – that we feel more pain from losing something than pleasure from gaining the same thing. The concept of loss aversion was first outlined by economists Daniel Kahneman and Amos Tversky in <a href="https://www.jstor.org/stable/1914185">a 1979 paper</a> that is the third most-cited article in economics. <hr /> <figure class="align-center "><img src="https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=497&fit=crop&dpr=1 600w, https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=497&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=497&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=624&fit=crop&dpr=1 754w, https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=624&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/543635/original/file-20230821-25-mca6ku.png?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=624&fit=crop&dpr=3 2262w" alt="A graphic representation of loss aversion. The pain from losing a good or service will be greater than the pleasure from gaining the same good or service." /><figcaption>How economists Daniel Kahneman and Amos Tversky graphically represented loss aversion. The pain from losing a good or service is greater than the pleasure from gaining the same good or service. Daniel Kahneman and Amos Tversky, Prospect Theory: An Analysis of Decision under Risk, Econometrica, Vol. 47, No. 2</figcaption></figure> <hr /> Drip pricing exploits this tendency, by dragging us away from more “rational” choices. Imagine you’re booking tickets for a show. Initially attracted by the observed headline price, you are now presented with different seating categories. Seeing the “VIP” are within your budget, you decide to splurge. But then, during the checkout process, the drip of extra costs begins. You realise you could have opted for lower-category seats and stayed within your budget. But by this stage you’ve already changed your expectation and imagined yourself enjoying the show from those nice seats. Going back and booking cheaper seats will feel like a loss. <h2>Do consumers need protection?</h2> Empirical evidence supports the above theoretical predictions about the impact of drop pricing on consumers. <a href="https://doi.org/10.1002/mar.21426">A 2020 study</a> quantified how much consumers dislike the lack of transparency in drip pricing (based on tracking the reactions of 225 undergraduates using fictional airline and hotel-booking websites). The authors liken the practice to the “taximeter effect” – the discomfort consumers feel watching costs accumulate. But drip pricing’s effectiveness from a seller’s perspective is undeniable. A <a href="https://doi.org/10.1016/j.jebo.2020.04.007">experimental study</a> published in 2020 found drip pricing generates higher profits while lowering the “consumer surplus” (the benefit derived from buying a product or service). A <a href="https://doi.org/10.1287/mksc.2020.1261">2021 analysis</a> of data from StubHub, a US website for reselling tickets, calculated drip pricing increased revenue by 20%. Which is why the tactic remains attractive to businesses despite customers disliking it. Buyers would benefit from a ban of drip pricing. Many countries are taking steps to protect consumers from drip pricing. The UK government, for example, announced a <a href="https://www.theguardian.com/business/2023/aug/21/growth-of-airlines-add-on-fees-sparks-calls-for-price-reforms">review of drip pricing</a> in June, with Prime Minister Rishi Sunak flagging the possibility of measures to curb the practice. The US government is also considering <a href="https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/15/president-biden-recognizes-actions-by-private-sector-ticketing-and-travel-companies-to-eliminate-hidden-junk-fees-and-provide-millions-of-customers-with-transparent-pricing/">new regulations</a>, with President Joe Biden denouncing “junk fees” in his <a href="https://www.whitehouse.gov/briefing-room/speeches-remarks/2023/02/07/remarks-of-president-joe-biden-state-of-the-union-address-as-prepared-for-delivery/">2023 State of the Union address</a>. Proposed changes include requiring airlines and online booking services to disclose the full ticket price upfront, inclusive of baggage and other fees. The effectiveness of measures, however, is <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4430453">still being debated</a>. In the meantime, your principal protection is making a more informed decision, by understanding why the tactic works. Bargains may attract you, but you can learn to not fall for hidden costs and align your choices with your budget and values.<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/211117/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ralf-steinhauser-1459112">Ralf Steinhauser</a>, Senior Research Fellow, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/junk-fees-and-drip-pricing-the-underhanded-tactics-we-hate-yet-still-fall-for-211117">original article</a>.

Money & Banking

Elton John hospitalised after fall

Elton John has been hospitalised after suffering a fall at his luxury French villa just outside of Nice on Sunday. The Rocket Man singer, 76, stayed overnight at the Princess Grace Hospital in Monaco after "slipping" in his home, as a precautionary measure. The star has since recovered and is back at home after the incident. "Elton visited the local hospital as a precautionary measure," a representative for the icon told People magazine. "Following check ups, he was immediately discharged this morning and is now back at home and in good health." This comes almost two years after the icon revealed he had a hip replacement surgery in November 2021. "I've had a hip replacement, but I'm full of beans and I'm full of zest. But this is just a prompter to say 'come on you've got more to do now,'" he told the Evening Standard at the time. "I may not look as if I'm 100 per cent fit – but I'm not quite – but I'm still raring to go and I've got a lot more work to do as far as my life goes. So this is just a reminder that there's more to do." He recently ended his <a href="https://www.oversixty.com.au/entertainment/music/elton-john-s-final-message-to-crowd-at-last-concert-ever" target="_blank" rel="noopener">final tour</a> in Stockholm, Sweden with a touching message after 52 years of performing. Image: Getty

Caring

Harrowing footage shows passengers clinging for life in falling cable car

Harrowing new footage has shown the moment 12 people were forced to hold on for dear life inside a falling cable car in Pakistan. The video footage, captured by a <a href="https://www.bbc.com/news/av/world-asia-66597447" target="_blank" rel="noopener">BBC News</a> drone, shows the terrified passengers - six children and six adults - clinging on to parts of the cable car as they dangled stranded for 12 hours. The group were travelling to a school in the cable car when a cable broke halfway through their journey high above the remote Allai valley in Pakistan’s Khyber Pakhtunkhwa province. They were more than 300 metres in the air when they became stranded. A daring rescue operation took more than 12 hours to complete, with the use of a military helicopter and several zip wire experts. <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/CwS_rAiMksY/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CwS_rAiMksY/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by BBC News (@bbcnews)</a> </div> </blockquote> The children were rescued first, with the adults the last to be plucked free. Some of the passengers told AFP that several times they lost hope in ever being rescued, and had considered leaping from the chairlift. “Some of the children were so frustrated and were considering to jump down, but the elder passengers gave us confidence,” 15-year-old Rizwan Ullah told AFP. “When the cable car was twisting, we were terrified and we started reciting the Koran and gave confidence to each other not to jump down.” Gul Faraz, a 25-year-old shopkeeper who was in the cable car, said they had started to lose hope that they would be rescued. “During the whole process we thought we would die. There were some times when we thought we would not survive,” he said. On Twitter, now known as X, Caretaker Prime Minister Anwaar-ul-Haq Kak said he was “relieved” after the safe rescue. “Great team work by the military, rescue departments, district administration as well as the local people.” The owner of the cable car company in Khyber Pakhtunkhwa province was later arrested by police on multiple charges including negligence and endangering valuable lives. Image credits: BBC News

Travel Trouble

Surprise! Scientists find falls likely when texting and walking

It seems obvious that texting while walking is <a href="https://cosmosmagazine.com/people/behaviour/millennials-most-likely-to-text-and-drive/" target="_blank" rel="noreferrer noopener">risky</a> business. But while there has been plenty of research showing it’s a dangerous distraction, <a href="https://www.sciencedirect.com/science/article/abs/pii/S0966636217309670" target="_blank" rel="noreferrer noopener">some</a> <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0179802" target="_blank" rel="noreferrer noopener">studies</a> have suggested that younger people are better at negotiating obstacles while on their phones. <div class="copy"> A study <a href="https://dx.doi.org/10.1016/j.heliyon.2023.e18366" target="_blank" rel="noreferrer noopener">published</a> in Heliyon has refuted this, finding that university students are more likely to fall if they walk while texting. It also found they’re less accurate texters while walking. “On any day it seems as many as 80% of people, both younger and older, may be head down and texting. I wondered: is this safe?” said senior author Dr Matthew Brodie, a neuroscientist and engineer at the University of New South Wales. “This has made me want to investigate the dangers of texting while walking. I wanted to know if these dangers are real or imagined and to measure the risk in a repeatable way.” Brodie and colleagues recruited 50 undergraduate students from UNSW to take part in the study. Participants walked across a specially built tiled surface, fitted with a tile that could slip out halfway through. They were asked to either walk across the surface normally, or walk across it while texting “the quick brown fox jumps over the lazy dog”. The students were strapped to safety harnesses so they couldn’t fall, and told they may or may not slip. <div style="position: relative; display: block; max-width: 100%;"> <div style="padding-top: 56.25%;"><iframe style="position: absolute; top: 0px; right: 0px; bottom: 0px; left: 0px; width: 100%; height: 100%;" src="https://players.brightcove.net/5483960636001/HJH3i8Guf_default/index.html?videoId=6332776122112" allowfullscreen="allowfullscreen"></iframe></div> </div> The methods used in the experiment. Credit: Heliyon Brodie et al. “What surprised me is how differently people responded to the threat of slipping,” says Brodie. “Some slowed down and took a more cautious approach. Others sped up in anticipation of slipping. Such different approaches reinforce how no two people are the same, and to better prevent accidents from texting while walking, multiple strategies may be needed.” The researchers recorded motion data from the students as they moved and slipped, analysing how stable they were. They found that texting while walking made the students significantly less stable. Specifically, the students “trunk angle” – the angle of their torsos – varied more when they were slipping while texting. This means they were less stable. Participants were also less accurate texters when they did it while walking as opposed to sitting down, and least accurate when they did slip over. “Pedestrians should therefore be discouraged through new educational and technology-based initiatives (for example a ‘texting lock’ on detection of walking) from texting while walking on roadside footpaths and other environments where substantial hazards to safety exist,” conclude the researchers in their paper. Image credits: Shutterstock <a href="https://cosmosmagazine.com/health/body-and-mind/texting-walking-falls/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/ellen-phiddian/">Ellen Phiddian</a>. </div>

Body

Why do I fall asleep on the sofa but am wide awake when I get to bed?

<a href="https://theconversation.com/profiles/madeline-sprajcer-1315489">Madeline Sprajcer</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> and <a href="https://theconversation.com/profiles/sally-ferguson-64">Sally Ferguson</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> After a long day, you flop onto the sofa and find yourself dozing off while watching TV. The room is nice and warm, the sofa is comfortable, and the background noise of the TV lulls you to sleep. Then a loved one nudges you awake and reminds you to go sleep – in bed. But when you get there, you find to your frustration that you’re wide awake. Why does sleep come so easily on the sofa but not always in bed? <h2>Why is it so easy to fall asleep on the sofa?</h2> <a href="https://www.sleepfoundation.org/circadian-rhythm/sleep-drive-and-your-body-clock#:%7E:text=Sleep%2Fwake%20homeostasis%20balances%20our,that%20it's%20time%20to%20sleep.">Sleep pressure</a> is one reason why you fall asleep on the sofa. This refers to the strength of the biological drive for sleep. The longer you’ve been awake, the greater the sleep pressure. Your body clock or <a href="https://www.thensf.org/what-is-a-circadian-rhythm/">circadian rhythm</a> is another factor. This tells you to be awake during the day and to sleep at night. Your environment will also impact how likely it is you fall asleep. You might have just <a href="https://theconversation.com/health-check-food-comas-or-why-eating-sometimes-makes-you-sleepy-44355">eaten a meal</a>, your very comfortable sofa is in a warm room, with dim lighting and maybe a TV program in the background. For many people, this environment is perfect for falling asleep. So by the end of the day, sleep pressure is strong, your circadian rhythm is telling you it’s time for sleep and your environment is cosy and comfortable. <h2>What happens after a nap on the sofa?</h2> If you’ve had a nap on the sofa before heading to bed, your sleep pressure is likely much lower than it was before your nap. Instead of having more than 16 hours of wakefulness behind you, you’ve just woken up and therefore have less sleep pressure. This can make it much harder to fall asleep in bed. If you just fell asleep on the sofa for five minutes, you might not have too much trouble getting to sleep in bed. This is because a nap that short is unlikely to reduce your sleep pressure very much. But if you were asleep for an hour, it might be a different story. Your sleep cycles might also be working against you. Most sleep cycles are about <a href="https://www.researchgate.net/profile/Mary-Carskadon/publication/287231408_Normal_Human_Sleep_An_Overview_Principles_and_Practice_of_Sleep_Medicine_MH_Kryger_Ed/links/5db0c338299bf111d4c026c5/Normal-Human-Sleep-An-Overview-Principles-and-Practice-of-Sleep-Medicine-MH-Kryger-Ed.pdf">90 minutes long</a>. They start with light sleep, progress to deep sleep, and then end with light sleep again. If you wake up during deep sleep, you’re probably going to feel groggy – and it might be easy to get back to sleep when you go to bed. But if you wake up during light sleep it could be harder to fall asleep again in bed. The activities you might do when you get up from the sofa – like turning on bright lights or brushing your teeth – can also make you feel more alert and make it harder to sleep when you get to bed. <h2>Why can’t I fall asleep in my own bed?</h2> There are other reasons why falling also in your bed could be challenging. Many people experience anxiety about falling asleep. They <a href="https://pubmed.ncbi.nlm.nih.gov/24005330/">worry</a> about getting enough sleep or falling asleep fast enough. In such cases, getting into bed can be associated with feelings of stress and apprehension, which make it even harder to sleep. It might be easier to fall asleep on the couch, where there is less stress involved. It might also be harder to fall asleep in bed because of poor <a href="https://www.sleepfoundation.org/sleep-hygiene">sleep hygiene</a>. This refers to your pre-sleep behaviours and sleep environment. Good sleep hygiene, or healthy sleep habits, includes having a regular routine before bed, a dark, quiet room to sleep in, and not using your mobile phone in bed. For many people who don’t have good sleep hygiene, their behaviours before bed and their bedroom environment might not be conducive to sleep. <h2>How can I make it easier to fall asleep in bed?</h2> First, make sure your room is dark, quiet and comfortable. In winter this might mean putting a heater on 20 minutes before you go to bed or taking a heat pack to bed with you. In summer, you might consider air conditioning or a fan to make your bedroom comfortable for sleeping. If you find it easy to fall asleep with the TV on, you might like to play “<a href="https://www.youtube.com/watch?v=2iL1Ce1PZFM&t=1s">white noise</a>” in your bedroom as you fall asleep. Some evidence suggests this may make it <a href="https://www.sciencedirect.com/science/article/pii/S1087079220301283#abs0010">easier to fall asleep</a> by masking other disruptive noises. Your behaviour before bed also impacts how easy it is to fall asleep. Making sure you follow the same bedtime routine every night (including going to bed at the same time) can help. Also, even though it’s hard, try not to look at your phone while you’re in bed. Scrolling on your phone before bed can make it <a href="https://ieeexplore.ieee.org/document/8329667">harder to sleep</a> due to both exposure to blue light and the potentially stressful or alerting effect of the content you interact with. <h2>In a nutshell</h2> The best way to make it’s easier to fall asleep in your bed is to avoid falling asleep on the sofa in the first place. This will ensure all the sleep pressure you build up during the day will be directed towards a deep sleep in your bed.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208371/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/madeline-sprajcer-1315489">Madeline Sprajcer</a>, Lecturer in Psychology, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> and <a href="https://theconversation.com/profiles/sally-ferguson-64">Sally Ferguson</a>, Director, Appleton Institute, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-i-fall-asleep-on-the-sofa-but-am-wide-awake-when-i-get-to-bed-208371">original article</a>.

Body

Bruce Springsteen falls on stage leaving fans stunned

With a spring in his step the rock ‘n’ roll icon, who was confidently heading up the stairs at the Johan Cruyff Arena in Amsterdam, fell on stage after missing the last step. The crowd was left stunned as they all gasped in concern. The trip had caused the singer to lay on his back for a moment, guitar still attached to him, before his bandmates rushed over to help him up. The star laughed it off and proved that he is tougher than the rest as he jokingly shouted "Goodnight everybody,” to the roaring crowd. The incident occurred at the May 27 show, as he and the E Street Band were prepping to sing a rendition of their hit song, Ghosts. Springsteen isn’t said to be injured from the fall and continued to perform after having his guitar handed back to him. Images: TikTok

Music

What it means when your teeth fall out in a dream

Dreaming of your teeth falling out is never pleasant, but surprisingly and unfortunately they’re one of the most common types of dreams people experience and there are a few reasons why. 1. Insecurity or shame Dreams often represent feelings more than literal symbolism, and teeth falling out can represent issues with confidence and self-esteem. To interpret this dream, think about any areas of your life where you are experiencing shame or self-doubt. 2. Rebirth or transformation A theory popularised by renowned psychiatrist Carl Jung suggests that teeth falling out in a dream could represent a type of rebirth or transformation. Losing teeth is not necessarily a bad omen, but rather could be a sign of growth or positive changes, as adult teeth come in afterwards. 3. Loss or grief Losing teeth in a dream could represent a real-life loss or grief, and if the subconscious is trying to assimilate a real-life loss, it could lead to ‘losing’ things or parts of you in your sleep. 4. Lack of control Another popular idea is that losing your teeth in a dream is about control, more so a lack thereof. It’s important to consider if there is something in your life that makes you feel powerless, such as an issue out of your control or a sudden change. 5. Literal dental issues There is a possibility that dreaming of your teeth falling out could represent literal dental issues. Researchers in the Frontiers in Psychology study found that teeth dreams often correlated with dental irritation. Image credit: Shutterstock

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