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New studies suggest millions with mild cognitive impairment go undiagnosed, often until it’s too late

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a></em></p> <p>Mild cognitive impairment – an early stage of dementia – is widely underdiagnosed in people 65 and older. That is the key takeaway of two recent studies from our team.</p> <p>In the first study, we used Medicare data for about 40 million beneficiaries age 65 and older from 2015 to 2019 to estimate the prevalence of mild cognitive impairment in that population and to identify what proportion of them had actually been diagnosed.</p> <p>Our <a href="https://doi.org/10.1186/s13195-023-01272-z">finding was sobering</a>: A mere 8% of the number of cases with mild cognitive impairment that we expected based on a statistical model had actually been diagnosed. Scaled up to the general population 65 and older, this means that approximately 7.4 million cases across the country remain undiagnosed.</p> <p>In the second study, we analyzed data for 226,756 primary care clinicians and found that <a href="https://doi.org/10.14283/jpad.2023.131">over 99% of them underdiagnosed mild cognitive impairment</a> in this population.</p> <h2>Why it matters</h2> <p>Mild cognitive impairment is an early symptom of Alzheimer’s disease in <a href="https://doi.org/10.1001/jama.2019.2000">about half of cases</a> and progresses to dementia <a href="https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment">at a rate of 10% to 15% per year</a>. It includes symptoms such as losing the ability to remember recent events and appointments, make sound decisions and master complex tasks. Failure to detect it might deprive patients of an opportunity to get treated and to slow down disease progression.</p> <p>Mild cognitive impairment can sometimes be caused by easily addressable factors, such as medication side effects, thyroid dysfunction or <a href="https://theconversation.com/vitamin-b12-deficiency-is-a-common-health-problem-that-can-have-serious-consequences-but-doctors-often-overlook-it-192714">vitamin B12 deficiency</a>. Since mild cognitive impairment has <a href="https://doi.org/10.1016/j.amjopharm.2008.06.004">the same risk factors as cardiovascular disease</a>, such as high blood pressure and cholesterol, medication management of these risks combined with diet and exercise <a href="https://doi.org/10.1016/S0140-6736(15)60461-5">can reduce the risk of progression</a>.</p> <p>In 2023, the Food and Drug Administration <a href="https://www.fda.gov/news-events/press-announcements/fda-converts-novel-alzheimers-disease-treatment-traditional-approval">approved the drug lecanemab</a> as the <a href="https://theconversation.com/what-the-fdas-accelerated-approval-of-a-new-alzheimers-drug-could-mean-for-those-with-the-disease-5-questions-answered-about-lecanemab-197460">first disease-modifying treatment</a> <a href="https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/what-happens-brain-alzheimers-disease">for Alzheimer’s disease</a>, the most common cause of mild cognitive impairment. In contrast to previous drugs, which can temporarily improve symptoms of the disease, such as memory loss and agitation, this new treatment addresses the underlying cause of the disease.</p> <p>Lecanemab, a monoclonal antibody, <a href="https://www.news-medical.net/health/What-are-Amyloid-Plaques.aspx">reduces amyloid plaques</a> in the brain, which are toxic protein clumps that are believed to contribute to the progression of the disease. In a large clinical trial, lecanemab was able to <a href="https://doi.org/10.1056/NEJMoa2212948">reduce the progression</a> of early-stage Alzheimer’s disease. A similar drug, donanemab, also <a href="https://doi.org/10.1001/jama.2023.13239">succeeded in a clinical trial</a> and is expected to be <a href="https://www.medicalnewstoday.com/articles/fda-delays-approval-of-alzheimers-drug-donanemab-what-experts-think">approved sometime in 2024</a>.</p> <p>However, these drugs must be used in the early stages of Alzheimer’s disease, ideally when a patient has only mild cognitive impairment, as there is <a href="https://www.alz.org/alzheimers-dementia/treatments/lecanemab-leqembi">no evidence that they are effective in advanced stages</a>.</p> <figure><iframe src="https://www.youtube.com/embed/w3IbAscNjsQ?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">An earlier diagnosis leads to early treatment and better outcomes.</span></figcaption></figure> <h2>What still isn’t known</h2> <p>Many factors contribute to the <a href="https://doi.org/10.1002/alz.13051">lack of timely detection</a>. But researchers don’t have a good understanding of the relative importance of those individual factors or how to reduce the high rate of underdiagnosis.</p> <p>While distinct, symptoms are subtle and their slow progression means that they can be overlooked or misinterpreted as normal aging. A neurologist in China told our research team that diagnosis rates spike in China after the New Year’s holiday, when children who haven’t seen their parents for a year notice changes that are harder to pick up when interacting with someone daily.</p> <p>Doctors also commonly discount memory concerns as normal aging and doubt that much can be done about it. While cognitive tests to distinguish mild cognitive impairment from pathologic decline do exist, they take about 15 minutes, which can be hard to come by during the limited time of a doctor’s visit and may require a follow-up appointment.</p> <h2>What’s next</h2> <p>People, particularly those in their 60s and beyond, as well as their families and friends need to be vigilant about cognitive decline, bring it up during doctor’s appointments and insist on a formal assessment.</p> <p>The <a href="https://www.medicare.gov/coverage/yearly-wellness-visits">Medicare yearly “wellness” visit</a> is an opportunity to explore such concerns, but only about half of beneficiaries <a href="https://doi.org/10.1377/hlthaff.2019.01795">take advantage of it</a>.</p> <p>Just as physicians ask patients about unexplained weight loss and take those concerns seriously, we believe questions that explore a patient’s cognitive state need to become the norm.</p> <p><em>The <a href="https://theconversation.com/us/topics/research-brief-83231">Research Brief</a> is a short take on interesting academic work.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/216892/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, Director of the USC Dornsife Brain Health Observatory, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, Research Scientist, Center for Economic and Social Research, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</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/new-studies-suggest-millions-with-mild-cognitive-impairment-go-undiagnosed-often-until-its-too-late-216892">original article</a>.</em></p> </div>

Mind

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Think $5.50 is too much for a flat white? Actually it’s too cheap, and our world-famous cafes are paying the price

<p><em><a href="https://theconversation.com/profiles/emma-felton-143029">Emma Felton</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Even in a stubborn cost-of-living crisis, it seems there’s one luxury most Australians <a href="https://www.comparethemarket.com.au/news/what-australians-wont-give-up-cost-of-living-crisis-report/">won’t sacrifice</a> – their daily cup of coffee.</p> <p>Coffee sales have largely <a href="https://www.statista.com/statistics/866543/australia-domestic-consumption-of-coffee/">remained stable</a>, even as financial pressures have bitten over the past few years.</p> <p>So too have prices. Though many of us became upset when prices began to creep up last year, they’ve since largely settled in the range between $4.00 and $5.50 for a basic drink.</p> <p>But this could soon have to change. By international standards, Australian coffee prices are low.</p> <p>No one wants to pay more for essentials, least of all right now. But our independent cafes are struggling.</p> <p>By not valuing coffee properly, we risk losing the <a href="https://bizcup.com.au/australian-coffee-culture/">internationally renowned</a> coffee culture we’ve worked so hard to create, and the phenomenal quality of cup we enjoy.</p> <h2>Coffee is relatively cheap in Australia</h2> <p>Our recent survey of Australian capital cities found the average price of a small takeaway flat white at speciality venues is A$4.78.</p> <p>But in <a href="https://pabloandrustys.com.au/blogs/drinkbettercoffee/global-coffee-prices">some international capitals</a>, it’s almost double this, even after adjusting for local <a href="https://www.investopedia.com/updates/purchasing-power-parity-ppp/">purchasing power parity</a>.</p> <p><iframe id="gaplH" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/gaplH/" width="100%" height="400px" frameborder="0"></iframe></p> <p>In London, a small flat white costs about A$6.96. Singapore, A$8.42. In Athens, as much as A$9.95.</p> <h2>The cafe business is getting harder</h2> <p>Over the past few decades, coffee prices haven’t kept pace with input costs. In the early 2000s, after wages, food costs, utilities and rent, many cafes <a href="https://www.coffeecommune.com.au/blog-why-are-cafes-so-expensive/">earned healthy profit margins</a> as high as 20%.</p> <p>The <a href="https://www.ibisworld.com/au/industry/cafes-coffee-shops/2015/">most recent data from IBISWorld</a> show that while Australian cafe net profits have recovered from a drop in 2020, at 7.6%, they remain much lower than the Australian <a href="https://www.money.com.au/research/australian-business-statistics">average business profit margin of 13.3%</a>.</p> <p>For an independent owner operating a cafe with the <a href="https://www.ibisworld.com/au/industry/cafes-coffee-shops/2015/">average turnover of A$300,000</a>, this would amount to a meagre A$22,800 annual net profit after all the bills are paid.</p> <h2>What goes into a cup?</h2> <p>Just looking at the cost of raw inputs – milk, beans, a cup and a lid – might make the margin seem lucrative. But they don’t paint the whole picture.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=600&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=600&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=600&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=754&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=754&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/584949/original/file-20240328-24-rlngpk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=754&amp;fit=crop&amp;dpr=3 2262w" alt="A takeaway coffee cup showing the price inputs, with wages and operation costs making up over 65% of the cost of a coffee" /><figcaption><span class="caption">Chart: The Conversation.</span> <span class="attribution"><a class="source" href="https://pabloandrustys.com.au/blogs/drinkbettercoffee/whats-in-the-cost-of-coffee">Data: Pablo and Rusty's Coffee Roasters</a>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <p>Over the past few years, renting the building, keeping the lights on and paying staff have all become <a href="https://www.reuters.com/business/ground-down-australia-coffee-shops-an-early-inflation-casualty-2023-07-10/">much bigger factors</a> in the equation for coffee shop owners, and many of these pressures aren’t easing.</p> <p><strong>1. Green coffee price</strong></p> <p>Increasingly <a href="https://www.aa.com.tr/en/environment/brewing-crisis-how-climate-change-is-reshaping-coffee-production/3113886">subject to the effects</a> of climate change, the baseline commodity price of green (unroasted) coffee is <a href="https://perfectdailygrind.com/2024/02/demand-for-robusta-prices-record-high/">going up</a>.</p> <p>Arabica – the higher quality bean you’re most likely drinking at specialty cafes – is a more expensive raw product. Despite levelling off from post-pandemic highs, its price is still trending up. In 2018, it <a href="https://www.statista.com/statistics/675807/average-prices-arabica-and-robusta-coffee-worldwide/">sold</a> for US$2.93 per kilogram, which is projected to increase to US$4.38 dollars in 2025.</p> <p>Robusta coffee is cheaper, and is the type <a href="https://www.lavazza.com.au/en/coffee-secrets/difference-type-arabica-robusta-coffee">typically used to make instant coffee</a>. But serious drought in Vietnam has just pushed the price of robusta to an <a href="https://www.barchart.com/story/news/25094367/coffee-rallies-with-robusta-at-a-record-high-on-shrinking-coffee-output-in-vietnam">all-time high</a>, putting pressure on the cost of coffee more broadly.</p> <p><strong>2. Milk prices</strong></p> <p>The price of fresh milk has risen by <a href="https://cdn-prod.dairyaustralia.com.au/-/media/project/dairy-australia-sites/national-home/resources/reports/situation-and-outlook/situation-and-outlook-report-march-2024.pdf?rev=b0222df4b01b40d0ae36cf8ac7b01bc0">more than 20%</a> over the past two years, and remains at a peak. This has put sustained cost pressure on the production of our <a href="https://gitnux.org/australian-coffee-consumption-statistics/#:%7E:text=Coffee%20is%20a%20beloved%20beverage,approximately%206%20billion%20cups%20annually.">most popular drink orders</a>: cappuccinos and flat whites.</p> <p><strong>3. Wages and utilities</strong></p> <p>Over the past year, Australian wages have grown at their <a href="https://ministers.treasury.gov.au/ministers/jim-chalmers-2022/media-releases/real-wages-growth-back">fastest rate</a> since 2009, which is welcome news for cafe staff, but tough on operators in a sector with low margins.</p> <p>Electricity prices remain elevated after significant inflation, but could <a href="https://www.sbs.com.au/news/article/heres-how-much-your-energy-bills-might-go-down-by-and-when/k8g00jheg">begin to fall mid-year</a>.</p> <h2>Specialty vs. commodity coffee: why price expectations create an industry divide</h2> <p>One of the key factors keeping prices low in Australia is consumer expectation.</p> <p>For many people coffee is a fundamental part of everyday life, a marker of livability. Unlike wine or other alcohol, coffee is not considered a luxury or even a treat, where one might expect to pay a little more, or reduce consumption when times are economically tough. We anchor on familiar prices.</p> <p><iframe id="oDbah" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/oDbah/" width="100%" height="400px" frameborder="0"></iframe></p> <p>Because of this, it really hurts cafe owners to put their prices up. In touch with their customer base almost every day, they’re acutely aware of how much inflation can hurt.</p> <p>But in Australia, a huge proportion of coffee companies are also passionate about creating a world-class product by only using “<a href="https://medium.com/@samandsunrise/why-is-specialty-coffee-so-expensive-6cf298935e4b#:%7E:text=Specialty%20Shops%20Feature%20High%20Grade%20Coffees&amp;text=Their%20coffees%20are%20hand%2Dpicked,even%20on%20the%20same%20tree.">specialty coffee</a>”. Ranked at least 80 on a quality scale, specialty beans cost significant more than commodity grade, but their production offers better working conditions for farmers and encourages more sustainable growing practices.</p> <p>Although not commensurate with the wine industry, there are similarities. Single origin, high quality beans are often sourced from one farm and demand higher prices than commodity grade coffee, where cheaper sourced beans are often combined in a blend.</p> <p>Running a specialty cafe can also mean roasting your own beans, which requires a big investment in expertise and equipment.</p> <p>It’s an obvious example of doing the right thing by your suppliers and customers. But specialty cafes face much higher operating costs, and when they’re next to a commodity-grade competitor, customers are typically unwillingly to pay the difference.</p> <h2>Approach price rises with curiosity, not defensiveness</h2> <p>When cafe owners put up their prices, we often rush to accuse them of selfishness or profiteering. But they’re often just trying to survive.</p> <p>Given the quality of our coffee and its global reputation, it shouldn’t surprise us if we’re soon asked to pay a little bit more for our daily brew.</p> <p>If we are, we should afford the people who create one of our most important “<a href="https://theconversation.com/how-cafes-bars-gyms-barbershops-and-other-third-places-create-our-social-fabric-135530">third spaces</a>” kindness and curiosity as to why. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/226015/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/emma-felton-143029"><em>Emma Felton</em></a><em>, Adjunct Senior Researcher, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</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/think-5-50-is-too-much-for-a-flat-white-actually-its-too-cheap-and-our-world-famous-cafes-are-paying-the-price-226015">original article</a>.</em></p>

Money & Banking

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How much stress is too much? A psychiatrist explains the links between toxic stress and poor health − and how to get help

<p><a href="https://theconversation.com/profiles/lawson-r-wulsin-1493655">La<em>wson R. Wulsin</em></a><em>, <a href="https://theconversation.com/institutions/university-of-cincinnati-1717">University of Cincinnati </a></em></p> <p>COVID-19 taught most people that the line between tolerable and toxic stress – defined as persistent demands that lead to disease – varies widely. But some people will age faster and die younger from toxic stressors than others.</p> <p>So how much stress is too much, and what can you do about it?</p> <p>I’m a <a href="https://researchdirectory.uc.edu/p/wulsinlr">psychiatrist specializing in psychosomatic medicine</a>, which is the study and treatment of people who have physical and mental illnesses. My research is focused on people who have psychological conditions and medical illnesses as well as those whose stress exacerbates their health issues.</p> <p>I’ve spent my career studying mind-body questions and training physicians to treat mental illness in primary care settings. My <a href="https://www.cambridge.org/core/books/toxic-stress/677FA62B741540DBDB53E2F0A52A74B1">forthcoming book</a> is titled “Toxic Stress: How Stress is Killing Us and What We Can Do About It.”</p> <p>A 2023 study of stress and aging over the life span – one of the first studies to confirm this piece of common wisdom – found that four measures of stress all speed up the pace of biological aging in midlife. It also found that persistent high stress ages people in a comparable way to the <a href="https://doi.org/10.1097/PSY.0000000000001197">effects of smoking and low socioeconomic status</a>, two well-established risk factors for accelerated aging.</p> <figure><iframe src="https://www.youtube.com/embed/yiglpsqv5ik?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Children with alcoholic or drug-addicted parents have a greater risk of developing toxic stress.</span></figcaption></figure> <h2>The difference between good stress and the toxic kind</h2> <p>Good stress – a demand or challenge you readily cope with – is good for your health. In fact, the rhythm of these daily challenges, including feeding yourself, cleaning up messes, communicating with one another and carrying out your job, helps to regulate your stress response system and keep you fit.</p> <p>Toxic stress, on the other hand, wears down your stress response system in ways that have lasting effects, as psychiatrist and trauma expert Bessel van der Kolk explains in his bestselling book “<a href="https://www.penguinrandomhouse.com/books/313183/the-body-%20keeps-the-score-by-bessel-van-der-kolk-md/">The Body Keeps the Score</a>.”</p> <p>The earliest effects of toxic stress are often persistent symptoms such as headache, fatigue or abdominal pain that interfere with overall functioning. After months of initial symptoms, a full-blown illness with a life of its own – such as migraine headaches, asthma, diabetes or ulcerative colitis – may surface.</p> <p>When we are healthy, our stress response systems are like an orchestra of organs that miraculously tune themselves and play in unison without our conscious effort – a process called self-regulation. But when we are sick, some parts of this orchestra struggle to regulate themselves, which causes a cascade of stress-related dysregulation that contributes to other conditions.</p> <p>For instance, in the case of diabetes, the hormonal system struggles to regulate sugar. With obesity, the metabolic system has a difficult time regulating energy intake and consumption. With depression, the central nervous system develops an imbalance in its circuits and neurotransmitters that makes it difficult to regulate mood, thoughts and behaviors.</p> <h2>‘Treating’ stress</h2> <p>Though stress neuroscience in recent years has given researchers like me <a href="https://doi.org/10.1097/PSY.0000000000001051">new ways to measure and understand stress</a>, you may have noticed that in your doctor’s office, the management of stress isn’t typically part of your treatment plan.</p> <p>Most doctors don’t assess the contribution of stress to a patient’s common chronic diseases such as diabetes, heart disease and obesity, partly because stress is complicated to measure and partly because it is difficult to treat. In general, doctors don’t treat what they can’t measure.</p> <p>Stress neuroscience and epidemiology have also taught researchers recently that the chances of developing serious mental and physical illnesses in midlife rise dramatically when people are exposed to trauma or adverse events, especially during <a href="https://www.cdc.gov/violenceprevention/aces/ace-brfss.html">vulnerable periods such as childhood</a>.</p> <p>Over the past 40 years in the U.S., the alarming rise in <a href="https://www.cdc.gov/diabetes/health-equity/diabetes-by-the-numbers.html">rates of diabetes</a>, <a href="https://www.cdc.gov/nchs/data/hestat/obesity-child-17-18/overweight-obesity-child-H.pdf">obesity</a>, depression, PTSD, <a href="https://www.cdc.gov/nchs/products/databriefs/db433.htm">suicide</a> and addictions points to one contributing factor that these different illnesses share: toxic stress.</p> <p>Toxic stress increases the risk for the onset, progression, complications or early death from these illnesses.</p> <h2>Suffering from toxic stress</h2> <p>Because the definition of toxic stress varies from one person to another, it’s hard to know how many people struggle with it. One starting point is the fact that about 16% of adults report having been exposed to <a href="https://www.cdc.gov/violenceprevention/aces/fastfact.html">four or more adverse events in childhood</a>. This is the threshold for higher risk for illnesses in adulthood.</p> <p>Research dating back to before the COVID-19 pandemic also shows that about 19% of adults in the U.S. have <a href="https://doi.org/10.7249/TL221">four or more chronic illnesses</a>. If you have even one chronic illness, you can imagine how stressful four must be.</p> <p>And about 12% of the U.S. population <a href="https://blogs.worldbank.org/opendata/introducing-second-edition-world-banks-global-subnational-atlas-poverty">lives in poverty</a>, the epitome of a life in which demands exceed resources every day. For instance, if a person doesn’t know how they will get to work each day, or doesn’t have a way to fix a leaking water pipe or resolve a conflict with their partner, their stress response system can never rest. One or any combination of threats may keep them on high alert or shut them down in a way that prevents them from trying to cope at all.</p> <p>Add to these overlapping groups all those who struggle with harassing relationships, homelessness, captivity, severe loneliness, living in high-crime neighborhoods or working in or around noise or air pollution. It seems conservative to estimate that about 20% of people in the U.S. live with the effects of toxic stress.</p> <figure><iframe src="https://www.youtube.com/embed/WuyPuH9ojCE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Exercise, meditation and a healthy diet help fight toxic stress.</span></figcaption></figure> <h2>Recognizing and managing stress and its associated conditions</h2> <p>The first step to managing stress is to recognize it and talk to your primary care clinician about it. The clinician may do an assessment involving a <a href="https://doi.org/10.1097/PSY.0000000000001051">self-reported measure of stress</a>.</p> <p>The next step is treatment. Research shows that it is possible to retrain a dysregulated stress response system. This approach, <a href="https://lifestylemedicine.org/">called “lifestyle medicine</a>,” focuses on improving health outcomes through changing high-risk health behaviors and adopting daily habits that help the stress response system self-regulate.</p> <p>Adopting these lifestyle changes is not quick or easy, but it works.</p> <p>The <a href="https://www.cdc.gov/diabetes/prevention/index.html">National Diabetes Prevention Program</a>, the <a href="https://www.ornish.com/">Ornish “UnDo” heart disease program</a> and the <a href="https://www.ptsd.va.gov/understand_tx/tx_basics.asp">U.S. Department of Veterans Affairs PTSD program</a>, for example, all achieve a slowing or reversal of stress-related chronic conditions through weekly support groups and guided daily practice over six to nine months. These programs help teach people how to practice personal regimens of stress management, diet and exercise in ways that build and sustain their new habits.</p> <p>There is now strong evidence that it is possible to treat toxic stress in ways that improve health outcomes for people with stress-related conditions. The next steps include finding ways to expand the recognition of toxic stress and, for those affected, to expand access to these new and effective approaches to treatment.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/222245/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/lawson-r-wulsin-1493655"><em>Lawson R. Wulsin</em></a><em>, Professor of Psychiatry and Family Medicine, <a href="https://theconversation.com/institutions/university-of-cincinnati-1717">University of Cincinnati</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/how-much-stress-is-too-much-a-psychiatrist-explains-the-links-between-toxic-stress-and-poor-health-and-how-to-get-help-222245">original article</a>.</em></p>

Mind

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Attempts to access Kate Middleton’s medical records are no surprise. Such breaches are all too common

<p><a href="https://theconversation.com/profiles/bruce-baer-arnold-1408">Bruce Baer Arnold</a>, <em><a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p>The <a href="https://www.abc.net.au/news/2024-03-20/claim-hospital-staff-tried-to-access-kate-middleton-health-info/103608066">alleged</a> data breach involving Catherine, Princess of Wales tells us something about health privacy. If hospital staff can apparently access a future queen’s medical records without authorisation, it can happen to you.</p> <p>Indeed it may have already happened to you, given many breaches of health data go under the radar.</p> <p>Here’s why breaches of health data keep on happening.</p> <h2>What did we learn this week?</h2> <p>Details of the alleged data breaches, by <a href="https://www.mirror.co.uk/news/royals/breaking-kate-middleton-three-london-32401247">up to three staff</a> at The London Clinic, emerged in the UK media this week. These breaches are alleged to have occurred after the princess had abdominal surgery at the private hospital earlier this year.</p> <p>The UK Information Commissioner’s Office <a href="https://ico.org.uk/about-the-ico/media-centre/news-and-blogs/2024/03/ico-statement-in-response-to-reports-of-data-breach-at-the-london-clinic/">is investigating</a>. Its report should provide some clarity about what medical data was improperly accessed, in what form and by whom. But it is unlikely to identify whether this data was given to a third party, such as a media organisation.</p> <h2>Health data isn’t always as secure as we’d hope</h2> <p>Medical records are inherently sensitive, providing insights about individuals and often about biological relatives.</p> <p>In an ideal world, only the “right people” would have access to these records. These are people who “need to know” that information and are aware of the responsibility of accessing it.</p> <p>Best practice digital health systems typically try to restrict overall access to databases through hack-resistant firewalls. They also try to limit access to specific types of data through grades of access.</p> <p>This means a hospital accountant, nurse or cleaner does not get to see everything. Such systems also incorporate blocks or alarms where there is potential abuse, such as unauthorised copying.</p> <p>But in practice each health records ecosystem – in GP and specialist suites, pathology labs, research labs, hospitals – is less robust, often with fewer safeguards and weaker supervision.</p> <h2>This has happened before</h2> <p>Large health-care providers and insurers, including major hospitals or chains of hospitals, have a <a href="https://www.theguardian.com/australia-news/2023/dec/22/st-vincents-health-australia-hack-cyberattack-data-stolen-hospital-aged-care-what-to-do">worrying</a> <a href="https://www.afr.com/technology/medical-information-leaked-in-nsw-health-hack-20210608-p57z7k">history</a> of <a href="https://www.innovationaus.com/oaic-takes-pathology-company-to-court-over-data-breach/">digital breaches</a>.</p> <p>Those breaches include hackers accessing the records of millions of people. The <a href="https://www.theguardian.com/world/2022/nov/11/medical-data-hacked-from-10m-australians-begins-to-appear-on-dark-web">Medibank</a> data breach involved more than ten million people. The <a href="https://www.hipaajournal.com/healthcare-data-breach-statistics/">Anthem</a> data breach in the United States involved more than 78 million people.</p> <p>Hospitals and clinics have also had breaches specific to a particular individual. Many of those breaches involved unauthorised sighting (and often copying) of hardcopy or digital files, for example by nurses, clinicians and administrative staff.</p> <p>For instance, this has happened to public figures such as <a href="https://www.latimes.com/archives/la-xpm-2008-mar-15-me-britney15-story.html">singer</a> <a href="https://journals.lww.com/healthcaremanagerjournal/abstract/2009/01000/health_information_privacy__why_trust_matters.11.aspx">Britney Spears</a>, actor <a href="https://www.nytimes.com/2007/10/10/nyregion/10clooney.html">George Clooney</a> and former United Kingdom prime minister <a href="https://www.theguardian.com/uk-news/2024/mar/20/when-fame-and-medical-privacy-clash-kate-and-other-crises-of-confidentiality">Gordon Brown</a>.</p> <p>Indeed, the Princess of Wales has had her medical privacy breached before, in 2012, while in hospital pregnant with her first child. This was no high-tech hacking of health data.</p> <p>Hoax callers from an Australian radio station <a href="https://theconversation.com/did-2day-fm-break-the-law-and-does-it-matter-11250">tricked</a> hospital staff into divulging details over the phone of the then Duchess of Cambridge’s health care.</p> <h2>Tip of the iceberg</h2> <p>Some unauthorised access to medical information goes undetected or is indeed undetectable unless there is an employment dispute or media involvement. Some is identified by colleagues.</p> <p>Records about your health <em>might</em> have been improperly sighted by someone in the health system. But you are rarely in a position to evaluate the data management of a clinic, hospital, health department or pathology lab.</p> <p>So we have to trust people do the right thing.</p> <h2>How could we improve things?</h2> <p>Health professions have long emphasised the need to protect these records. For instance, medical ethics bodies <a href="https://www.bmj.com/content/350/bmj.h2255">condemn</a> medical students who <a href="https://www.abc.net.au/news/2014-04-14/picture-sharing-app-for-doctors-raises-privacy-concerns/5389226">share</a> intimate or otherwise inappropriate images of patients.</p> <p>Different countries have various approaches to protecting who has access to medical records and under what circumstances.</p> <p>In Australia, for instance, we have a mix of complex and inconsistent laws that vary across jurisdictions, some covering privacy in general, others specific to health data. There isn’t one comprehensive law and set of standards <a href="https://theconversation.com/governments-privacy-review-has-some-strong-recommendations-now-we-really-need-action-200079">vigorously administered</a> by one well-resourced watchdog.</p> <p>In Australia, it’s mandatory to report <a href="https://www.oaic.gov.au/privacy/notifiable-data-breaches">data breaches</a>, including breaches of health data. This reporting system is currently <a href="https://theconversation.com/governments-privacy-review-has-some-strong-recommendations-now-we-really-need-action-200079">being updated</a>. But this won’t necessarily prevent data breaches.</p> <p>Instead, we need to incentivise Australian organisations to improve how they handle sensitive health data.</p> <p>The best policy <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/1475-4932.12693">nudges</a> involve increasing penalties for breaches. This is so organisations act as responsible custodians rather than negligent owners of health data.</p> <p>We also need to step-up enforcement of data breaches and make it easier for victims to sue for breaches of privacy – princesses and tradies alike.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/226303/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/bruce-baer-arnold-1408">Bruce Baer Arnold</a>, Associate Professor, School of Law, <em><a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></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/attempts-to-access-kate-middletons-medical-records-are-no-surprise-such-breaches-are-all-too-common-226303">original article</a>.</em></p> <p><em>Images: Getty</em></p>

Legal

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"Am I being too sensitive?": Woman's dilemma after partner forgets 60th birthday

<p>A woman has shared her dilemma on how to approach her partner of 30 years, after he forgot her 60th birthday. </p> <p>"It's my 60th birthday today, and my partner of 30 years has not acknowledged it. Should I tell him?" she titled her post on Reddit. </p> <p>"It's my actual birthday today, and whilst we have planned a big party for next weekend, when I woke up this morning I expected a 'Happy Birthday!' and a smile," she continued. </p> <p>"I didn't get anything. He started my coffee but he does that almost every morning.</p> <p>"At first I thought maybe he forgot but now I am thinking that he thinks he doesn't have to say anything because we are having a big party this weekend. </p> <p>"Am I being too sensitive? Should I tell him? If so, how?" she asked in her post. </p> <p>Hundreds of Reddit users took to the comments to share their thoughts on how to approach the situation, with a few sharing crafty solutions of their own. </p> <p>"I'd make a joke of it. 'I can't believe they moved my birthday!' Or 'I saw on the TV we should ask easy questions to check for dementia- I'll ask you first, when's my birthday?'" one user playfully suggested. </p> <p>"I'm going to say the absolute minimum I'd expect for ANY birthday is my wife wishing me a Happy Birthday. Don't let it fester and ruin your day - just ask him about it" another added. </p> <p>One user saw the bright side of things and said:  "He's handed you the best birthday present of all - the opportunity to use this against him for the next twenty years.</p> <p>"I'd be rubbing my hands with glee. Happy Birthday!" </p> <p>"Happy Birthday. Go out and buy a large cake. Eat it all yourself. Nobody need ever know" to which she responded: "there is a Costco not that far away. Go big or go home." </p> <p>Another Redditor came up with an elaborate plan on how she could get her partner's attention. </p> <p>"Purchase this 'Acknowledge Me' t-shirt of WWE wrestle Roman Reigns. Then write 'Birthday' on a piece of card and use some tape to stick on the t-shirt. 'Acknowledge Me Birthday.' Then just wear it around the house," they said. </p> <p>The woman was onboard with the plan, but luckily she didn't need to apply any of their crafty solutions and shared an update. </p> <p>"He just came up to my home office and gave me a big hug, admitting he had forgotten because he was so focussed on both work and next weekend's party," she wrote. </p> <p>"He apologised sheepishly, which was exactly the best outcome possible. Now I have both my birthday acknowledged as well as a fine story and/or bit of ammo to be saved for another day.</p> <p>"So there you go. I've cancelled the 'acknowledge me' t-shirt order, and shall now share my Costco cake with him instead of eating it from across the table, glaring.</p> <p>"Thank you everyone for the very fine passive aggressive suggestions which made me smile. Much appreciated!"</p> <p><em>Image: Getty</em></p> <p> </p>

Relationships

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“The system is too soft”: Ally Langdon fires up over stabbing death of Vyleen White

<p>Ally Langdon has called for an overhaul of the youth crime system in the wake of the violent death of Queensland grandmother Vyleen White. </p> <p>The <em>A Current Affair</em> host was discussing the death of the 70-year-old, as she became visibly frustrated while talking about the rising rates of youth crime.</p> <p>Langdon hinted at a nationwide issue, citing the recent stabbing death of young doctor Ash Gordon in Melbourne, who was also allegedly murdered by a teenager less than a month ago.</p> <p>“Whatever we’re doing to deal with youth crime, it’s failing,” she said.</p> <p>“The police do everything they can, but the system is too soft on serious crime, and we have lost faith in it and our politicians.”</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-permalink="https://www.instagram.com/reel/C29TB0HvWGj/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C29TB0HvWGj/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by A Current Affair (@acurrentaffair9)</a></p> </div> </blockquote> <p>Ms White’s daughter and widowed husband echoed Ally's sentiment thoughts on the program, saying, “Justice has to be done, not for my sake, for the memory of Vyleen.”</p> <p>“People want action and harsher laws for crimes they are committing,” her husband Victor said.</p> <p>“For several years (politicians) have been promising a lot, a lot of rubbish talk to the public out there, and nothing happens."</p> <p>“All you hear is increase of violence, car stealing … This is due to slackness in the law."</p> <p>“The law is weak as water.”</p> <p> Ms White’s daughter, Cindy Micallef said harsher penalties for youth crimes are needed.</p> <p>“Youth crime, I hate to say it, it’s like having a koala, it’s a protected species, there’s no action,” she said.</p> <p>“They do heinous crimes and it’s getting worse, I don’t care what nationality or race.</p> <p>“If we let people get away with this, it’s going to increase.”</p> <p>A 16-year-old boy was <a href="https://oversixty.com.au/finance/legal/update-on-tragic-stabbing-of-queensland-grandmother" target="_blank" rel="noopener">charged</a> with Ms White’s murder on Tuesday morning, and is also facing charges of unlawful use of a motor vehicle and stealing. </p> <p>Vyleen was <a href="https://www.oversixty.com.au/health/caring/grandmother-fatally-stabbed-in-front-of-granddaughter" target="_blank" rel="noopener">fatally stabbed</a> in the chest in Town Square Redbank Plains Shopping Centre’s underground carpark around 6pm on Saturday, while she was shopping with her granddaughter. </p> <p><em>Image credits: Facebook / A Current Affair</em></p>

Legal

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"Too good to be true": Bank teller saves couple from losing $40k

<p>A Tasmanian couple have been saved from losing $40k into an online investment scam after a bank teller noticed the red flags. </p> <p>The couple visited the NAB branch in Rosny, Hobart after their account was blocked during an attempt to transfer the money to an ‘online investment firm’ in Perth. </p> <p>The payment was the first of two instalments that they were set to pay the "firm" but NAB Customer Advisor Erin Bugg saved them from a massive loss. </p> <p>Bugg became suspicious of the firm after they promised a 12 per cent return on their term deposit  and a guaranteed pay out if the firm went bust. </p> <p>“If there was a scam red flags bingo card, ‘online investment opportunity’ would be top of the list,”  the NAB Customer Advisor said. </p> <p>“Immediately, alarm bells went off for me. It sounded like an investment scam and I was concerned this couple could lose their life savings.” </p> <p>The couple, however, insisted that they weren't being scammed so Bugg decided to look into the matter further and found a website and article about the firm. </p> <p>When she looked into the rates they offered she realised it “was literally too good to be true." </p> <p>“No one likes to be told they’re being lied to, especially when they feel like they’ve done all the right things. They had done their own research, and even spoken to the company on the phone,” she said. </p> <p>She added that "alarm bells" started ringing when the wife explained that a man from the firm kept calling her to thank her for the investment and encourage her to open an account. </p> <p>The couple then rang the "firm" in front of Bugg to try and convince her it was real. </p> <p>“I declined to speak to the ‘firm’, but I could hear them telling the customers, ‘Oh, NAB always flags us as a scam’,’”  she recalled. </p> <p>NAB’s fraud team then informed them that the firm had a bank account at another bank, and to call the bank to confirm whether it was legit. </p> <p>After calling the other bank, they found that the account was not connected to the investment firm and suggested them to not transfer anything. </p> <p>“It was such a relief to hear from the customer that they’d avoided being scammed,” Bugg said. </p> <p>This comes after Scamwatch received  over 7,000 reports of investment scams collectively costing Aussies  over $275 million in the last year. </p> <p><em>Image: NAB </em></p>

Money & Banking

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"Gone way too soon”: Neighbours star dead at 48

<p><em>Neighbours </em>star Troy Beckwith, who immortalised the infamous villain Michael Martin, has passed away at the age of 48.</p> <p>The news was confirmed by his former co-star, Kym Valentine, leaving the <em>Neighbours</em> community and fans around the world mourning the loss of a talented actor and cherished friend.</p> <p>Valentine took to social media to share the heartbreaking news, saying, “It pains me so much to have to say this. Our dear old friend Troy Beckwith has passed away.” The void left by his departure is felt deeply by those who knew him, with Valentine expressing sorrow over the untimely loss of another member of their TV family.</p> <p>“Another member of our TV family gone way too soon. There will be no funeral as per Troy’s request. Thanks for all the memories my cheeky mate and all my love to your friends and family.”</p> <p>Troy's character, "Sicko Micko", became an iconic figure in the world of <em>Neighbours</em> during his run from 1992 to 1998. Ausculture even likened him to "the Charles Manson of Ramsay Street" because of the profound impact he had on fans and the show's legacy. His portrayal of Michael Martin earned him a special place in the hearts of viewers, and he remains a fixture in lists ranking the best <em>Neighbours </em>characters of the 1990s.</p> <p>As the news spread, tributes poured in from fellow cast members and friends. Brett Stark actor Brett Blewitt, currently part of the <em>Neighbours</em> revival, shared his thoughts, describing Troy as a "lovely person" who was "deeply thoughtful and empathetic". The pain of the loss is palpable in Blewitt's words, echoing the sentiments of many who had the privilege of knowing Troy.</p> <p>Even as the <em>Neighbours</em> family grapples with the shock, Lucinda Cowden, who plays Melanie Pearson, expressed her sorrow through a series of broken heart emojis. The collective grief is evident, as the cast and crew mourn the departure of a talent gone too soon.</p> <p>Troy's friend Selina Laine Bonica reflected on the complexity of their relationship, saying, “Troy, you were a pain in my a**, but I loved you dearly. I’m just glad you’re free from pain.”</p> <p>Beckwith's impact extended beyond <em>Neighbours</em>, as evidenced by his role in the series <em>Pugwall</em>. Ricky Fleming, his co-star, paid tribute by remembering the mischievous adventures they shared, saying, “May you be in peace and still be the infectious joy of those who are in your presence now.”</p> <p>The absence of a cause of death only deepens the sense of loss, leaving fans to remember a talent that graced their screens and a person who touched the hearts of many. </p> <p><em>Images: Facebook</em></p>

Caring

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"It's too late": Sister of mother who died waiting for ambulance speaks out

<p><em>A Current Affair </em>host Ally Langdon teared up during an interview with the heartbroken sister of Cath Groom, the Brisbane mum who <a href="https://www.oversixty.com.au/health/caring/mother-dies-after-ambulance-fails-to-arrive" target="_blank" rel="noopener">died after waiting for an ambulance</a> that never arrived. </p> <p>Groom had initially complained of severe chest pain in the hours before she was found dead by her son, Nicholas, on the morning of her 52nd birthday.</p> <p>Groom's sister, Bec McQuilty said that her family will never get over the tragedy, as she details exactly what happened that night. </p> <p>McQuilty said her sister had not only complained of severe chest pains, but was also vomiting profusely and had pain between the shoulder blades. </p> <p>She said Nicholas, Grooms's only son, called triple zero "multiple times" to request an ambulance, but after 90 minutes of no help, Groom decided to go to sleep. </p> <p>She got up at some point in the night, collapsed and died. </p> <p>"For a young boy to have to see his mum like that, it just shouldn't happen," McQuilty said.</p> <p>"He was petrified he didn't know what to do.</p> <p>"He's been taught through all his life that you can rely on these people and to make a phone call to triple zero and them not be there for him when they should have been, is just blatant neglect.</p> <p>"I will never forget the look on his face of just absolute despair."</p> <p>The <em style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">A Current Affair </em>broke down the moment McQuilty recalled Nicholas calling her in a panic after finding his dead mum. </p> <p>"I just think this hits all of us, hearing this," Langdon said. </p> <p>"That scene no doubt will haunt you for a long time."</p> <p>McQuilty shared that prior to Groom's passing the family was experiencing "the highest of highs to the lowest of lows in the space of 24 hours," after celebrating Nicholas' high school graduation on the Friday. </p> <p>"To get to such an incredible point of his high school graduation and just to be so proud of him on that day," McQuilty said. </p> <p>"I could see it in her face that she was just, you know, so so proud.</p> <p>"And literally 24 hours later he's finding his mother deceased, unnecessarily. </p> <p>"He's numb, he's angry and he's got a really long road ahead of him."</p> <p>Nicholas has now lost both parents, as his dad passed away when he was a baby. </p> <p>McQuilty revealed that her mum was admitted to the ER after finding out the devastating news and "never come back from this". </p> <p>"She herself was taken to the ER from just complete shock and her own heart," McQuilty said.</p> <p>"So I have my sister deceased in the house. I have my mom in the ER.</p> <p>"You know, it's just, no family, Ally, should ever ever have to go through what our family has gone through."</p> <p>McQuilty hopes that there will be changes made to emergency health system in the wake of her sister's death.</p> <p>"Put some more money into our hospital system and our health system maybe.</p> <p>"It's too late for my family, it's too late. But maybe that can save somebody else."</p> <p><em>Images: Nine/ A Current Affair</em></p>

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How 22 minutes of exercise a day could reduce the health risks from sitting too long

<p><em><a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>People in developed countries spend an average of <a href="https://doi.org/10.1136/bjsports-2022-106568">nine to ten hours</a> a day sitting. Whether it’s spending time in front of a computer, stuck in traffic, or unwinding in front of the TV, our lives have become increasingly sedentary.</p> <p>This is concerning because prolonged time spent sitting is <a href="https://bjsm.bmj.com/content/54/24/1451?s=09&amp;int_source=trendmd&amp;int_medium=cpc&amp;int_campaign=usage-042019">linked to a number of health issues</a> including obesity, heart disease, and certain types of cancers. These health issues can contribute to earlier death.</p> <p>But a <a href="https://doi.org/10.1136/bjsports-2022-106568">new study</a> suggests that for people over 50, getting just 22 minutes of exercise a day can lower the increased risk of premature death from a highly sedentary lifestyle.</p> <h2>What the researchers did</h2> <p>The team combined data from two studies from Norway, one from Sweden and one from the United States. The studies included about 12,000 people aged 50 or older who wore wearable devices to track how active and sedentary they were during their daily routines.</p> <p>Participants were followed up for at least two years (the median was 5.2 years) during the study period, which spanned 2003-2020.</p> <p>Analyses took several lifestyle and health factors into account, such as education, alcohol intake, smoking status, and previous history of heart disease, cancer and diabetes. All this data was linked to national death registries.</p> <h2>A 22 minute threshold</h2> <p>A total of 805 participants died during follow up. The researchers found people who were sedentary for more than 12 hours a day had the highest risk of death (a 38% higher risk than people who were sedentary for eight hours).</p> <p>However, this was only observed in those who did less than 22 minutes of moderate to vigorous physical activity daily. So for people who did more than 22 minutes of exercise, there was no longer a significantly heightened risk – that is, the risk became generally similar to those who were sedentary for eight hours.</p> <p>Higher daily duration of physical activity was consistently associated with lower risk of death, regardless of total sedentary time. For example, the team reported an additional ten minutes of moderate to vigorous physical activity each day could lower mortality risk by up to 15% for people who were sedentary less than 10.5 hours a day. For those considered highly sedentary (10.5 hours a day or more), an additional ten minutes lowered mortality risk by up to 35%.</p> <h2>The study had some limitations</h2> <p>The team couldn’t assess how changes in physical activity or sedentary time over several months or years may affect risk of death. And the study included only participants aged 50 and above, making results less applicable to younger age groups.</p> <p>Further, cultural and lifestyle differences between countries may have influenced how data between studies was measured and analysed.</p> <p>Ultimately, because this study was observational, we can’t draw conclusions on cause and effect with certainty. But the results of this research align with a growing body of evidence exploring the relationship between physical activity, sedentary time, and death.</p> <h2>It’s positive news</h2> <p>Research has previously suggested <a href="https://bjsm.bmj.com/content/54/24/1499">physical activity may offset</a> health risks associated with <a href="https://www.jacc.org/doi/abs/10.1016/j.jacc.2019.02.031">high sedentary time</a>.</p> <p>The good news is, even short bouts of exercise can have these positive effects. In this study, the 22 minutes wasn’t necessarily done all at once. It was a total of the physical activity someone did in a day, and would have included incidental exercise (activity that’s part of a daily routine, such as climbing the stairs).</p> <p>Several studies using wearable devices have found short bursts of high-intensity everyday activities such as stair climbing or energetic outdoor home maintenance activities such as mowing the lawn or cleaning the windows can lower <a href="https://www.nature.com/articles/s41591-022-02100-x">mortality</a>, <a href="https://academic.oup.com/eurheartj/article/43/46/4801/6771381">heart disease</a> and <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2807734">cancer</a> risk.</p> <p>A recent study using wearable devices found moderate to vigorous bouts of activity <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00183-4/fulltext">lasting three to five minutes</a> provide similar benefits to bouts longer than ten minutes when it comes to stroke and heart attack risk.</p> <p>Several other studies have found <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2596007">being active just on the weekend</a> provides similar health benefits as <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2794038">being active throughout the week</a>.</p> <p>Research has also shown the benefits of <a href="https://jamanetwork.com/journals/jamaneurology/fullarticle/2795819">physical activity</a> and <a href="https://jamanetwork.com/journals/jama/article-abstract/2809418">reducing sedentary time</a> extend to cognitive health.</p> <p>Routines such as desk jobs can foster a sedentary lifestyle that may be difficult to shift. But mixing short bursts of activity into our day can make a significant difference towards improving our health and longevity.</p> <p>Whether it’s a brisk walk during lunch, taking the stairs, or even a short at-home workout, this study is yet another to suggest that every minute counts.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/216259/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, Postdoctoral Research Fellow, Faculty of Medicine and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, Professor of Physical Activity, Lifestyle, and Population Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</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/how-22-minutes-of-exercise-a-day-could-reduce-the-health-risks-from-sitting-too-long-216259">original article</a>.</em></p>

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Feeling lonely? Too many of us are. Here’s what our supermarkets can do to help

<p><em><a href="https://theconversation.com/profiles/louise-grimmer-212082">Louise Grimmer</a>, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a></em></p> <p>Even <a href="https://endingloneliness.com.au/wp-content/uploads/2020/11/Ending-Loneliness-Together-in-Australia_Nov20.pdf">before COVID-19</a>, <a href="https://aifs.gov.au/resources/resource-sheets/understanding-and-defining-loneliness-and-social-isolation">social isolation and loneliness</a> were all too common across the community. Living among millions of other people is no comfort for people in cities, where the pace of life is often hectic, and technology and digitisation often limit, rather than help with, social interaction.</p> <p>The pandemic <a href="https://www.apa.org/pubs/journals/releases/amp-amp0001005.pdf">amplified these problems</a>. In its wake, more of us report we’re lonely.</p> <p>For some, a weekly shopping trip may be the only chance to interact with others. A supermarket chain in the Netherlands is helping to combat loneliness with so-called “slow” checkouts where chatting is encouraged. Could a similar approach work here?</p> <h2>We’re getting lonelier</h2> <p>Around a third of Australians report feeling lonely. <a href="https://lonelinessawarenessweek.com.au/download/512/">One in six</a> experience severe loneliness.</p> <p>According to the annual Household, Income and Labour Dynamics in Australia (<a href="https://melbourneinstitute.unimelb.edu.au/hilda/publications/hilda-statistical-reports">HILDA</a>) Survey, people <a href="https://www.abc.net.au/news/2023-07-17/social-media-work-hours-cost-of-living-rising-loneliness/102563666">aged 15 to 24</a> report the greatest increase in social isolation over the past 20 years and the highest rates of loneliness. Another <a href="https://www.abc.net.au/news/2023-07-14/middle-aged-men-experiencing-high-level-loneliness/102563492">Australian survey</a> found men aged 35 to 49 had the highest levels of loneliness.</p> <p>Loneliness and social isolation are <a href="https://www.abc.net.au/news/2023-07-17/social-media-work-hours-cost-of-living-rising-loneliness/102563666">not the same</a>. Social isolation is a matter of how often we have contact with friends, family and others, which can be measured.</p> <p>Loneliness is more subjective. It describes how we feel about the “quality” of our interactions with others.</p> <p>Technology is <a href="https://www.psychologytoday.com/au/blog/live-long-and-prosper/202210/technology-use-loneliness-and-isolation#:%7E:text=Technology%20compulsion%20might%20lead%20to,disconnection%20and%20reduce%20well%2Dbeing.">contributing</a> to <a href="https://www.abc.net.au/news/2023-07-17/social-media-work-hours-cost-of-living-rising-loneliness/102563666">high rates of loneliness</a>. Instead of meaningful face-to-face interactions, many of us now rely on social media, phone apps and video calls to socialise.</p> <p>We’re also working longer hours, often at home. And due to the cost of living, many of us are choosing to stay home and save money, rather than eat out or go to “the local”.</p> <p>It isn’t only in Australia where this is happening. In the UK, around <a href="https://www.lonelinessawarenessweek.org/statistics">3.9 million older people</a> say television is their main company. Half a million may go five or six days a week without seeing anyone.</p> <p>The World Health Organisation <a href="https://www.who.int/teams/social-determinants-of-health/demographic-change-and-healthy-ageing/social-isolation-and-loneliness">recognises</a> loneliness and social isolation as public health issues and priorities for policymakers. These issues seriously affect people’s mental and physical health as well as longevity. The impacts are comparable with other <a href="https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15967-3">risk factors</a> such as smoking, alcohol consumption, obesity and not being physically active.</p> <h2>Could slow, ‘chatty’ checkouts be part of the solution?</h2> <p>For many, a visit to the supermarket may be the only time they interact with others. Sadly, increased use of technology, including self-serve checkouts, and cashiers tasked with speedily processing customers can make it challenging to have a conversation.</p> <p><iframe title="The FASTEST checkout cashier ever😮 TikTok: rogerlopez7511" src="https://www.youtube.com/embed/TpALSOvw4LU" width="100%" height="750" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p> <p>Four years ago, the Netherlands’ second-largest supermarket chain, <a href="https://jumbo.com">Jumbo</a>, introduced <em>Kletskassa</em> or “chat checkout”. It’s for shoppers who want to chat and aren’t in a hurry. Recognising loneliness was an issue for many, the idea was to increase social interaction between customers and staff by slowing things down and encouraging conversation.</p> <p>Jumbo’s chief commercial officer, Colette Cloosterman-van Eerd, <a href="https://www.dutchnews.nl/2021/09/jumbo-opens-chat-checkouts-to-combat-loneliness-among-the-elderly/">explained</a>:</p> <blockquote> <p>Many people, especially the elderly, sometimes feel lonely. As a family business and supermarket chain, we are at the heart of society. Our shops are an important meeting place for many people, and we want to play a role in identifying and reducing loneliness.</p> </blockquote> <p>The first <em>Kletskassa</em>, in Vlijmen in Brabant, was so successful the family-owned company started rolling out slow checkouts in <a href="https://www.dutchnews.nl/2021/09/jumbo-opens-chat-checkouts-to-combat-loneliness-among-the-elderly/">200 of its stores</a>. Not only were customers responding positively, the concept also appealed to Jumbo’s employees. They are trained to recognise signs of loneliness and come up with local initiatives to combat social isolation.</p> <p>Cloosterman-Van Eerd said:</p> <blockquote> <p>We are proud our staff want to work the chat checkout. They really want to help people and make contact with them. It’s a small gesture but it’s a valuable one, particularly in a world that is becoming more digital and faster.</p> </blockquote> <p>The original focus of Jumbo’s initiative was older shoppers. However, the trial showed people of all ages were keen to use the <em>Kletskassa</em>. The desire for human interaction didn’t change across age groups.</p> <p>So, these “chatty” checkouts are open to anyone who will benefit from social connection. Some Jumbo stores also have an <a href="https://www.brightvibes.com/dutch-supermarket-introduces-a-unique-chat-checkout-to-help-fight-loneliness/">All Together Coffee Corner</a>, where locals can enjoy a coffee and chat with neighbours and volunteers who also <a href="https://scoop.upworthy.com/dutch-supermarket-introduces-a-unique-slow-checkout-lane-to-help-fight-loneliness-595693-595693">help out</a> with shopping and gardening.</p> <p>The Netherlands’ government is partnering a range of organisations, local government and companies to come up with solutions to combat loneliness across the country. Some 50% of the 1.3 million people over 75 report they regularly feel lonely. Jumbo’s initiatives are part of the Health Ministry’s <a href="https://www.globalwellnesssummit.com/blog/governments-ramp-up-the-war-on-loneliness/">One Against Loneliness</a> campaign.</p> <figure><iframe src="https://www.youtube.com/embed/11SY0wG6Zc8?wmode=transparent&amp;start=10" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Jumbo supermarket’s innovation of slow chat checkouts has been extended to 200 of its stores.</span></figcaption></figure> <h2>Supermarkets as ‘third places’ to combat loneliness</h2> <p>In the 1980s, sociologist Ray Oldenberg coined the term <a href="https://link.springer.com/article/10.1007/BF00986754">“third place”</a> – a place that’s not home (the “first place”) and not work (the “second place”). Third places are familiar public spaces where people can connect over a shared interest or activity.</p> <p>Libraries, coffee shops, book stores, community gardens, churches, gyms and clubs are examples of third places. They all provide the opportunity for close proximity, interaction and often serendipitous conversations with other people we might not usually meet.</p> <p><em>Kletkassa</em> have helped thousands of people, of all ages and backgrounds, by providing a few minutes of kindness and conversation. Imagine what could be achieved if our supermarkets offered their own version of the “slow checkout” for anyone who’s in need of a chat to brighten their day.</p> <p>The first chain to introduce this sort of initiative in Australia would have a solid advantage over competitors through differentiation and prioritising customers. At the same time, it would make a small but meaningful contribution to improving social wellbeing.</p> <p>Challenge extended!<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/211126/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/louise-grimmer-212082">Louise Grimmer</a>, Senior Lecturer in Retail Marketing, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</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/feeling-lonely-too-many-of-us-are-heres-what-our-supermarkets-can-do-to-help-211126">original article</a>.</em></p>

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Beyond Barbie and Oppenheimer, how do cinemas make money? And do we pay too much for movie tickets?

<p><em><a href="https://theconversation.com/profiles/peter-martin-682709">Peter Martin</a>, <a href="https://theconversation.com/institutions/crawford-school-of-public-policy-australian-national-university-3292">Crawford School of Public Policy, Australian National University</a></em></p> <p>I’ve got two questions about blockbuster movies like Barbie and Oppenheimer.</p> <ol> <li> <p>Why aren’t the cinemas charging more for them, given they’re so popular?</p> </li> <li> <p>Why are they the same price, given Oppenheimer is an hour longer?</p> </li> </ol> <p>The opening weekend <a href="https://www.smh.com.au/culture/movies/how-australian-cinemas-and-audiences-handled-the-barbenheimer-juggernaut-20230724-p5dqso.html">for both films</a> saw an avalanche of Australians returning to the cinema. Extra staff had to be put on (although probably not enough) to manage queues, turn away pink-clad fans who couldn’t get in, and clean up mountains of popcorn trampled underfoot.</p> <p>An obvious solution to such a rush of demand is to push up prices. Airlines do it when they are getting low on seats. When more people want to get a ride share, Uber makes them pay with “<a href="https://www.uber.com/au/en/drive/driver-app/how-surge-works/">surge pricing</a>”.</p> <p>Even books are sold at different prices, depending on the demand, their length, their quality and how long they’ve been on the shelves.</p> <p>But not movie tickets, which are nearly always the same price, no matter the movie. Why? And how much has the cost of a trip to the movies risen over the past 20 years?</p> <h2>Why not charge more for blockbusters?</h2> <p>In suburban Melbourne, Hoyts is charging $24.50 for the two-hour Barbie – the same as it is charging for the three-hour Oppenheimer, even though it could fit in far fewer showings of Oppenheimer in a day. It’s also the same price as it is charging for much less popular movies, such as Indiana Jones and the Dial of Destiny.</p> <p>It’s also how things are in the United States, where James Surowiecki, author of <a href="https://www.penguinrandomhouse.com/books/175380/the-wisdom-of-crowds-by-james-surowiecki/">The Wisdom of Crowds</a> blames convention and says "it costs you as much to see a total dog that’s limping its way through its last week of release as it does to see a hugely popular film on opening night."</p> <p>Australian economists Nicolas de Roos of The University of Sydney and Jordi McKenzie of Macquarie University quote Surowiecki in their <a href="https://www.sciencedirect.com/science/article/abs/pii/S0167718714000174">2014 study</a> of whether cinema operators could make more by cutting the price of older and less popular films and raising the price of blockbusters.</p> <p>By examining what happened to demand on <a href="https://www.eventcinemas.com.au/Promotions/HalfPriceTuesdays#cinemas=59">cheap Tuesdays</a>, and developing a model taking into account advertising, reviews and the weather, they discovered Australian cinemas could make a lot more by <a href="https://www.sciencedirect.com/science/article/abs/pii/S0167718714000174">varying their prices</a> by the movie shown. We turn out to be highly price sensitive. So why don’t cinemas do that?</p> <h2>‘There’s a queue, it must be good’</h2> <p>It’s the sort of thing that puzzled <a href="https://www.nobelprize.org/prizes/economic-sciences/1992/becker/biographical/">Gary Becker</a>, an economic detective of sorts who won the Nobel Prize for Economics in the early 1990s. A few years earlier, he turned his attention to <a href="https://www.jstor.org/stable/2937660">restaurants</a> and why one particular seafood restaurant in Palo Alto, California, had long queues every night but didn’t raise its prices.</p> <p>Across the road was a restaurant that charged slightly more, sold food that was about as good, and was mostly empty.</p> <p>His conclusion, which he used a lot of maths to illustrate, was there are some goods for which a consumer’s demand depends on the demand of other consumers.</p> <p>Queues for restaurants (or in 2023, long queues and sold out sessions, as crowds were turned away from Barbie) are all signals other consumers want to get in.</p> <p>This would make queues especially valuable to the providers of such goods, even if the queues meant they didn’t get as much as they could from the customers who got in. The “buzz” such queues create produces a supply of future customers persuaded that what was on offer must be worth trying.</p> <p>Importantly, Becker’s maths showed that getting things right was fragile. It was much easier for a restaurant to go from being “in” to “out” than the other way around. Once a queue had created a buzz, it was wise not to mess with it.</p> <h2>Cashing in from the snack bar</h2> <p>There are other reasons for cinemas to charge a standard ticket price, rather than vary it movie by movie.</p> <p>One is that it is hard to tell ahead of time which movies are going to soar and which are going to bomb, even if you spend a fortune on advertising as the <a href="https://variety.com/2023/film/box-office/barbie-marketing-campaign-explained-warner-bros-1235677922/">makers of Barbie did</a>. In the words of an insider, “<a href="https://variety.com/2018/film/opinion/william-goldman-dies-appreciation-1203030781/">nobody knows anything</a>.”</p> <p>Another is the way cinemas make their money. They have to pay the distributor a share of what they get from ticket sales (typically <a href="https://www.sciencedirect.com/science/article/abs/pii/S0167718714000174">35-40%</a>). But they don’t have to pay a share of what they make from high-margin snacks.</p> <p>This means it can make sense for some cinemas to charge less than what the market will bear – because they’ll sell more snacks – even if it means less money for the distributor.</p> <h2>Rising prices, despite some falling costs</h2> <p>But cinemas still charge a lot. From 2002 to 2022, Australian cinemas jacked up their average (not their highest) prices <a href="https://www.screenaustralia.gov.au/fact-finders/cinema/industry-trends/box-office/ticket-prices">from $9.13 to $16.26</a> – an increase of 78%.</p> <p>In the same 20 year period, overall prices in Australia, as measured by the <a href="https://theconversation.com/whats-in-the-cpi-and-what-does-it-actually-measure-165162">consumer price index</a>, climbed 65% – less than the rise in movie ticket prices.</p> <hr /> <p><iframe id="E2kxi" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/E2kxi/5/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <p>A 2015 study found Australian cinemas charge more <a href="https://www.researchgate.net/publication/306227560_Counting_the_cost_the_impact_of_cinema_ticket_prices_in_Australia">than cinemas in the US</a>.</p> <p>Yet some of the cinemas’ costs have gone down. They used to have to employ projectionists to lace up and change reels of film. Digital delivery means much less handling.</p> <p>A now-dated <a href="https://www.accc.gov.au/about-us/publications/developments-in-the-cinema-distribution-exhibition-industry">1990s report</a> to the Australian Competition and Consumer Commission found the two majors, Hoyts and Greater Union/Village, charged near identical prices except where they were faced with competition from a nearby independent, in which case they discounted.</p> <p>Whether “<a href="https://www.accc.gov.au/system/files/The%20Cinema%20Industry.pdf">by design or circumstance</a>”, the two cinema chains rarely competed with each other, clustering their multiplexes in different geographical locations.</p> <h2>Longer films no longer displace shorter films</h2> <p>I think it might be the multiplex that answers my second question: why cinemas don’t charge more for movies that are longer (and movies are <a href="https://www.smh.com.au/culture/movies/bigger-than-ben-hur-why-movies-are-getting-longer-and-longer-20220322-p5a6ty.html">getting longer</a>).</p> <p>In the days of single screens, a cinema that showed a long movie might only fit in (say) four showings a day instead of six. So it would lose out unless it charged more.</p> <p>But these days, multiplexes show many, many films on many screens, some of them simultaneously, meaning long films needn’t displace short films.</p> <p>Although we have <a href="https://www.screenaustralia.gov.au/fact-finders/cinema/industry-trends/screens-and-theatres">fewer cinema seats</a> than we had a decade ago (and at least until the advent of Barbie, we’ve been <a href="https://www.screenaustralia.gov.au/fact-finders/cinema/industry-trends/screens-and-theatres">going less often</a>) we now have <a href="https://www.screenaustralia.gov.au/fact-finders/cinema/industry-trends/screens-and-theatres">far more screens</a>.</p> <p>Long movies no longer stop the multiplexes from playing standard ones. And because cinemas like to keep things simple, you pay the same price, no matter which movie you chose. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/211121/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/peter-martin-682709">Peter Martin</a>, Visiting Fellow, <a href="https://theconversation.com/institutions/crawford-school-of-public-policy-australian-national-university-3292">Crawford School of Public Policy, Australian National 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/beyond-barbie-and-oppenheimer-how-do-cinemas-make-money-and-do-we-pay-too-much-for-movie-tickets-211121">original article</a>.</em></p>

Movies

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UK family at risk of deportation for being "too old"

<p>A family from the UK are at risk of being deported from Australia, after the immigration policy deemed them "too old" to stay. </p> <p>In 2015, Parents Glenn, 57, and Sheena Tunnicliff, 50, moved from the UK to Perth to start a new life with their two young daughters, Tazmin and Molly.</p> <p>The family settled in the city's north, where Glenn started working as a plasterer and Sheena opened a Helloworld franchise, where she employed three others. </p> <p>Their daughters are now starting their own careers, as Tazmin, 21, has started working as a nurse and Molly, 18, is studying Australian Sign Language (ASLAN). </p> <p>Despite living, studying and working in Australia for almost a decade, the entire family is now being faced with the reality of being deported back to their home country. </p> <p>Glenn and Sheena were ordered to leave the country by August 4th after they were unable to secure permanent residency due to various visa and job changes over the years. </p> <p>Permanent residency has an age limit of 45, meaning now, neither parent qualifies. </p> <p>“We don’t want to go back to the UK. We’ve made a life here,” Sheena previously told <em><a href="https://www.9news.com.au/national/visa-exclusive-immigration-australia-perth-family-face-being-sent-back-to-uk-despite-in-demand-job/2d59c8eb-e720-48bc-8d74-7be5a883ebf4?ocid=Social-9News" target="_self" data-tgev="event119" data-tgev-container="bodylink" data-tgev-order="2d59c8eb-e720-48bc-8d74-7be5a883ebf4" data-tgev-label="national" data-tgev-metric="ev">Nine News</a></em>. </p> <p>“Now we are over that magic figure of 45 there is no route to PR for us. Australia classes us as too old [but] we are the ones with the experience and training.”</p> <p>Since moving to Australia, the family has spent over $80,000 in visas, and will now have to fork out more for a "temporary Band-Aid fix" hat will extend their visas until July 2024. </p> <p>However, the family are planning to relocate to New Zealand, where the age cut-off for permanent residency is 55, meaning Sheena would be eligible.</p> <p>Bizarrely, after five years across the Tasman, the Tunnicliffs could become New Zealand citizens which would allow them to return to Australia to live. </p> <p>“We’d take all our skills and we’d go to New Zealand,” Sheena said. </p> <p>“It’s crazy. Australia’s lost all our skills. In five years time we could walk back into Australia.” </p> <p><em>Image credits: Facebook</em></p>

Legal

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10 pantry items you’re probably keeping for too long

<p><strong>Should you toss these pantry items?</strong></p> <p>It’s likely that many of the items you store in your pantry have a surprising expiration date months (or even years) from now. But just because a product hasn’t expired yet doesn’t mean that it’s in its ideal state for consumption.</p> <p>While you already know which foods you shouldn’t eat past the expiration date, like milk and cheese, it wouldn’t be surprising if you didn’t give a second thought about the food in your pantry. It may be worthwhile to double check the items you have had sitting in your pantry forever. And make sure you think about removing these foods that shouldn’t go in your pantry in the first place.</p> <p><strong>Quinoa</strong></p> <p>The shelf life of whole grains like quinoa and farro is largely dependent on their fat content. Heat, air, and moisture are the top three enemies of whole grains because the elements can negatively affect their healthy oils, which in turn can cause your grains to go rancid sitting in your pantry.</p> <p>“Grains should always look and smell faintly sweet or have no aroma at all,” states the Whole Grains Council. “If you detect a musty or oily scent, the grains have passed their peak.”</p> <p><strong>Turmeric</strong></p> <p>Your favourite ground spices like turmeric, paprika, and nutmeg generally lose their potency after about two to three years.</p> <p>Eating old spices isn’t harmful to your health, but they won’t add any flavour to your recipes anymore. Do a quick sniff and taste test to determine if your spice is still fresh.</p> <p><strong>Baking powder</strong></p> <p>The same rules for ground spices apply to baking ingredients as well. Bags of baking powder and baking soda will lose their leavening power over time, which means a sad, flat cake for you.</p> <p>You can test their leavening power with this easy science experiment in your kitchen: Mix baking soda with vinegar and baking powder with hot water. If they foam up and bubble, it means the ingredients are still fresh enough for baking.</p> <p><strong>Nuts and seeds</strong></p> <p>You’ll want to eat un-shelled nuts like almonds and peanuts within a matter of a few weeks to a few months. “Nuts and seeds typically have a high amount of oil in them and that oil will start to go rancid after a couple of months in your pantry,” Tryg Siverson, chef and co-founder of Feel Good Foods, told INSIDER.</p> <p>Signs of rancidity on a nut or seed include a grassy or paint-like odour and dark or oily appearance. For optimal freshness and longevity, place the nuts and seeds in a clear freezer bag and pop them in your fridge for up to a year.</p> <p><strong>Tea</strong></p> <p>Your tea bags should be consumed within a year because the oils in the tea will go old and give your morning cup of tea a bad flavour. The same goes for your coffee beans and grounds.</p> <p>According to Isabel Maples, MEd, RDN, a registered dietitian nutritionist, you’re best off consuming beans and grounds within two to four weeks. Instant coffee lovers have a bit more time: about two months.</p> <p><strong>Brown sugar</strong></p> <p>An opened bag of brown sugar tends to dry up and harden from exposure to the air after four months in your pantry.</p> <p>Slip the brown sugar into a resealable plastic bag or airtight container to keep it soft and make it last longer.</p> <p><strong>Olive oil</strong></p> <p>Light and heat are not olive oil’s friends. You shouldn’t get sick from an old bottle of olive oil, but an opened bottle of the stuff can taste a bit off after six months.</p> <p>If you don’t use olive oil often, only buy a small bottle so you can use it before the flavour spoils.</p> <p><strong>Whole grain flour</strong></p> <p>Most people store their flour in the pantry, but you should actually store it in the refrigerator or freezer to keep it fresh longer. And does flour ever expire? Whole grain flour lasts up to eight months in the fridge and up to a year in the freezer.</p> <p>“Whole grain flours turn rancid before white flour does,” Maples said. “It doesn’t affect food safety but does affect food quality and taste.”</p> <p><strong>Potatoes</strong></p> <p>The spuds typically last up to two weeks in the refrigerator and two months in the pantry. You’ll know their time is up when they start growing sprouts and developing soft black spots on the skin.</p> <p><strong>Brown rice</strong></p> <p>Although brown rice is a slightly healthier alternative to white rice, it doesn’t last nearly as long on your pantry shelf. “With brown rice, there is oil in its bran layer,” Siverson told INSIDER. “When that oil goes rancid, it gives brown rice a shorter shelf life of about six months. You can store it in the freezer for up to a year.”</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/food-home-garden/10-pantry-items-youre-probably-keeping-for-too-long?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Food & Wine

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Too big, too heavy and too slow to change: road transport is way off track for net zero

<p><a href="https://theconversation.com/profiles/robin-smit-594126">Robin Smit</a>, <em><a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a></em></p> <p>The need to cut the emissions driving climate change is urgent, but it’s proving hard to decarbonise road transport in Australia. Its share of the nation’s total greenhouse gas emissions <a href="https://ageis.climatechange.gov.au/">doubled</a> from 8% in 1990 to 16% in 2020. New vehicles sold in Australia have <a href="https://theconversation.com/we-thought-australian-cars-were-using-less-fuel-new-research-shows-we-were-wrong-122378">barely improved</a> average emissions performance for the last decade or so.</p> <p>The federal government <a href="https://www.dcceew.gov.au/climate-change/publications/australias-emissions-projections-2022">publishes</a> emission forecasts to 2035 – 15 years short of 2050, the net-zero target date. Our <a href="https://www.transport-e-research.com/_files/ugd/d0bd25_7a6920bdd9e8448385863a7c23ec9ecf.pdf">newly published study</a> forecasts road transport emissions through to 2050. The estimated reduction by 2050, 35–45% of pre-COVID levels in 2019, falls well short of what’s needed.</p> <p>Our findings highlight three obstacles to achieving net zero. These are: Australia’s delay in switching to electric vehicles; growing sales of large, heavy vehicles such as SUVs and utes; and uncertainties about hydrogen as a fuel, especially for freight transport. These findings point to policy actions that could get road transport much closer to net zero.</p> <h2>How was this worked out?</h2> <p>Emissions and energy use vary from vehicle to vehicle, so reliable forecasting requires a detailed breakdown of the on-road fleet. Our study <a href="https://www.transport-e-research.com/software">used</a> the Australian Fleet Model and the net zero vehicle emission model (n0vem).</p> <p>The study focused on so-called <a href="https://www.cummins.com/news/2022/05/26/well-wheel-emissions-simplified">well-to-wheel emissions</a> from fuel production, distribution and use while driving. These activities account for about 75–85% of vehicle emissions. (<a href="https://theconversation.com/how-climate-friendly-is-an-electric-car-it-all-comes-down-to-where-you-live-179003">Life-cycle assessment</a> estimates “cradle-to-grave” emissions, including vehicle manufacture and disposal.)</p> <p>Working with European Union colleagues, our emissions simulation drew on an updated <a href="https://www.transport-e-research.com/_files/ugd/d0bd25_7a6920bdd9e8448385863a7c23ec9ecf.pdf">EU scenario</a> (EU-27) showing the changes in the EU vehicle fleet needed to meet the latest (proposed) CO₂ targets. Our study assumed Australia will be ten years behind the EU across all vehicle classes.</p> <p>We further modified the scenario to properly reflect Australian conditions. For instance, the EU has a much higher proportion of plug-in hybrid vehicles than Australia, where buyers are now bypassing them for wholly electric vehicles.</p> <h2>Energy use is shifting, but too slowly</h2> <p>Using this modified scenario, the simulation produces a forecast fall in total wheel-to-wheel emissions from Australian transport from 104 billion tonnes (Mt) in 2018 to 55-65Mt in 2050. Within the range of this 35–45% reduction, the outcome depends largely on the balance of renewable and fossil-fuel energy used to produce hydrogen.</p> <p>The modelling nonetheless predicts a large shift in energy use in road transport in 2050, as 2019 was basically 100% fossil fuels.</p> <p>The on-road energy efficiency of battery electric vehicles is roughly twice that of fuel cell electric (hydrogen) vehicles and roughly three times that of fossil-fuelled vehicles of similar type.</p> <p>The modelling results make this clear. In 2050, battery electric vehicles account for about 70% of total travel, but 25% of on-road energy use and only about 10% of total emissions.</p> <p>In contrast, fossil-fuelled vehicles account for about 25% of total travel in 2050, 60% of energy use and 75-85% of emissions. That’s even allowing for expected efficiency improvements.</p> <p>This means the shift to a mostly electric fleet by 2050 plus the use of hydrogen is predicted to fall short of what’s needed to get to net zero. It will require aggressive new policies to increase the uptake of electric vehicles across all classes.</p> <h2>Lighter vehicles make a big difference</h2> <p>But that is not the whole story. One neglected issue is the growing proportion of <a href="https://theconversation.com/we-may-be-underestimating-just-how-bad-carbon-belching-suvs-are-for-the-climate-and-for-our-health-190743">big, heavy passenger vehicles</a> (SUVs, utes). This trend is very noticeable in Australia. The laws of physics mean heavier vehicles need much more energy and fuel per kilometre of driving, and so produce more emissions.</p> <p>Currently, a large diesel SUV typically emits a kilogram of CO₂ for every 3 kilometres of driving, compared to 15km for a light electric vehicle and 200 kilometres for an e-bike. An average electric vehicle currently emits 1kg of CO₂ every 7km.</p> <p>This distance is expected to be around 60km in 2050, when renewables power the electricity grid. A lightweight electric car will more than double the distance to 125km per kilogram of CO₂. Reducing vehicle weights and optimising energy efficiency in transport will be essential to meet emission targets.</p> <p>The study modelled the impacts of <a href="https://www.automotiveworld.com/special-reports/vehicle-lightweighting-2/">lightweighting</a> passenger vehicles while keeping buses and commercial vehicles the same. If Australians had driven only small cars in 2019 for personal use, total road transport emissions would have been about 15% lower.</p> <p>The reduction in emissions from simply shifting to smaller cars is <a href="https://www.dcceew.gov.au/climate-change/publications/national-greenhouse-accounts-2019/national-inventory-report-2019">similar to</a> emissions from domestic aviation and domestic shipping combined. Importantly, lightweighting cuts emissions for all kinds of vehicles.</p> <h2>The uncertainties about hydrogen</h2> <p>Fuel cell electric vehicles using hydrogen account for only a few percent of all travel, but most will likely be large trucks. As a result, in our scenarios, they use a little over 10% of total on-road energy and produce 5-20% of total emissions, depending on the energy source used for hydrogen production and distribution.</p> <p>The modified EU scenario includes a significant uptake of hydrogen vehicles by 2050. That’s by no means guaranteed.</p> <p>The uptake in Australia has been negligible to date. That’s due to costs (vehicle and fuel), the need for new hydrogen fuel infrastructure, less mature technology (compared to battery electric vehicles) and limited vehicle availability. <a href="https://theconversation.com/we-must-rapidly-decarbonise-transport-but-hydrogens-not-the-answer-166830">Unresolved aspects</a> of hydrogen in transport include lower energy efficiency, the <a href="https://theconversation.com/for-australia-to-lead-the-way-on-green-hydrogen-first-we-must-find-enough-water-196144">need for clean water</a>, uncertainty about leakage, fuel-cell durability and value for consumers.</p> <h2>How do we get back on track?</h2> <p>Our study suggests Australia is on track to miss the net-zero target for 2050 mainly because of the large proportions of fossil-fuelled vehicles and large and heavy passenger vehicles.</p> <p>These two aspects could become targets for new policies such as public information campaigns, tax incentives for small, light vehicles, bans on selling fossil fuel vehicles and programs to scrap them. Other options to cut emissions include measures to reduce travel demand, optimise freight logistics and shift travel to public transport, to name a few.</p> <p>The study confirms the scale of the challenge of decarbonising road transport. Australia will need “all hands on deck” – government, industry and consumers – to achieve net zero in 2050.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/208655/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/robin-smit-594126">Robin Smit</a>, Adjunct Associate Professor, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a></em></p> <p><em>Image credits: </em><em>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/too-big-too-heavy-and-too-slow-to-change-road-transport-is-way-off-track-for-net-zero-208655">original article</a>.</em></p>

Travel Trouble

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Not just a youth movement: history too often forgets older protesters

<p><a href="https://theconversation.com/profiles/effie-karageorgos-453765">Effie Karageorgos</a>, <em><a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Recent sustained anti-coal action by Blockade Australia in the Hunter Valley has brought public protest back into the news cycle. Activists have <a href="https://www.abc.net.au/news/2023-06-21/coal-protests-block-rail-lines-to-newcastle-port/102504056">occupied trains, railway lines and machinery</a> in an attempt to obstruct coal production and broadcast their message about the climate crisis.</p> <p>Under recent <a href="https://www.humanrights.unsw.edu.au/research/commentary/explainer-what-are-your-rights-to-protest-australia#:%7E:text=In%202022%2C%20Tasmania%20passed%20anti,%E2%80%9C%E2%80%A6">anti-protest legislation</a> in New South Wales, which has been matched by similar laws in other states, some protesters have been charged by police for their activism.</p> <p>Internationally, protesters faced with arrest have devised new ways to protest. Recently, Iranian activists have started engaging in “<a href="https://www.hks.harvard.edu/faculty-research/policy-topics/international-relations-security/civil-upheaval-iran-why-widespread">micro-protests</a>”, which are small-scale protests over a shorter period of time, to evade arrest.</p> <p>My historical research into the infrastructure of protest, using the anti-Vietnam War campaign in New South Wales as a case study, has found that many Australians who did not or could not actively or publicly protest similarly found “quieter” ways to express their opposition to the conflict.</p> <h2>The youth are revolting</h2> <p>In the popular Australian imagination, it seems the protester is a young person creating a public spectacle – holding up a sign, occupying a building or marching down a city street, even though older activists regularly play a part in protest movements.</p> <p>Many might think of figures like <a href="https://theconversation.com/lidia-thorpes-mardi-gras-disruption-is-the-latest-in-an-ongoing-debate-about-acceptable-forms-of-protest-at-pride-200713">Lidia Thorpe</a> disrupting the 2023 Sydney Gay and Lesbian Mardi Gras Parade or ongoing protests by <a href="https://www.schoolstrike4climate.com/">School Strike 4 Climate</a>, which have shown how willing young people are to agitate for their collective futures.</p> <p>But, in fact, one of the two anti-coal activists charged on last month for occupying a train in Singleton, New South Wales, is <a href="https://www.police.nsw.gov.au/news/news?sq_content_src=%2BdXJsPWh0dHBzJTNBJTJGJTJGZWJpenByZC5wb2xpY2UubnN3Lmdvdi5hdSUyRm1lZGlhJTJGMTA3MTc3Lmh0bWwmYWxsPTE%3D">64 years old</a>.</p> <p>My research shows our public memory of protest doesn’t come close to capturing everyone who used their energies to protest Australian involvement in Vietnam in the 1960s and 1970s, so we need to shift our idea of both protest and the protester to understand the potential scope of activism.</p> <figure><iframe src="https://www.youtube.com/embed/Thm03IUiJ6U?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Quiet protest</h2> <p>Vietnam War-era protest organisations, such as the Association for International Cooperation and Disarmament, Save Our Sons, Youth Campaign Against Conscription and the Vietnam Moratorium Campaign, were aware of how important “quiet protest” was to the wider movement.</p> <p>They <a href="https://collection.sl.nsw.gov.au/record/1JkmeexY">continually appealed to supporters</a> for help selling buttons, putting up posters, selling raffle tickets, filling envelopes, leafleting and other clerical work. These were all carried out by people who were opposed to the war, and are all considered acts of protest.</p> <p>Social movement theorists agree that time and availability are crucial in drawing people to protest. As far back as 1974, the sociologist <a href="https://journals.sagepub.com/doi/10.1177/002188637401000206">Anthony Orum</a> wrote: "Without people who have time on their hands, great revolutions would probably never get off the ground."</p> <h2>Time and capacity</h2> <p>But what of those who did not have the time or capacity to march on streets, but who still saw themselves as part of the anti-Vietnam War movement?</p> <p>The <a href="https://collection.sl.nsw.gov.au/record/1l4dPbX1">administrative records</a> of protest organisations held in the <a href="https://www.sl.nsw.gov.au/">State Library of New South Wales</a> let us into the lives of such people.</p> <p>These include Ian Robertson, a full-time Macquarie University student, whose parents had banned political activity because they feared it would disrupt his studies. Another silent protester was a Mrs Thomson, who was too busy organising her daughter Sue’s wedding to participate in anti-Vietnam protest activities. Public servants were also not permitted to publicly support the movement.</p> <p>Most such records come from elderly members of the movement. In November 1969, Mabel Wilson, who in her words was “six years an octogenarian,” sent $5 to the <a href="https://www.awm.gov.au/collection/C96428">Committee in Defiance of the National Service Act</a>, writing: "I admire your courage and am completely in sympathy with your ideals. Alas! I am very old […] As you can see I can be of practically no use to you – or anyone […] My heart is with you all the way."</p> <p>Similarly, on March 21 1970, Doris J Wilson of Asquith sent a donation to the Northern Districts Vietnam Moratorium Group with a letter saying: "I am past the age where I can do very much more than be just a voice."</p> <p>On September 14 1970, L.T. Withers sent the same group a letter saying: "Congratulations for what you have accomplished. I feel rather guilty at being so useless […] myself and my wife are not as energetic as we used to be as the years are catching up on us a bit. I have enclosed a small donation to your local funds […] I would also be grateful if you could keep me informed of your activities."</p> <p>Ruth Fryer of Hornsby sent a letter on February 9 1971 with a $3 donation: "Sometimes you wish you were young &amp; strong again! But the hard work seems to be left to the young ones."</p> <p>These Australians, among many others, were interested in the anti-Vietnam campaign and wanted to be involved as much as they could, given their limitations.</p> <h2>The infrastructure of historical protest</h2> <p>Studying the infrastructure of historical protest organisations shows us that we need to expand our idea of what a protest movement is and who it includes if we want to achieve the present-day goals of activist campaigning.</p> <p>These findings are exciting because they capture a larger group of Australians in the protest tradition, and move past a limited, and often ableist and ageist, vision of protest to incorporate many others who feel just as strongly about the issues governing their lives.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/208472/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/effie-karageorgos-453765">Effie Karageorgos</a>, Lecturer, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</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/not-just-a-youth-movement-history-too-often-forgets-older-protesters-208472">original article</a>.</em></p>

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Hallucinations in the movies tend to be about chaos, violence and mental distress. But they can be positive too

<p><em><a href="https://theconversation.com/profiles/christopher-patterson-308185">Christopher Patterson</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/nicholas-procter-147517">Nicholas Procter</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180"><em>University of South Australia</em></a></em></p> <p>Hallucinations are often depicted in the movies as terrifying experiences. Think Jake Gyllenhaal seeing a monstrous rabbit in <em><a href="https://www.imdb.com/title/tt0246578/">Donnie Darko</a></em>, Leonardo DiCaprio experiencing the torture of <em><a href="https://www.psychologytoday.com/au/blog/reel-therapy/201002/shutter-island-separating-fact-fiction">Shutter Island</a></em>, Natalie Portman in <em><a href="https://www.imdb.com/title/tt0947798/">Black Swan</a></em>, or Joaquin Phoenix as the <em><a href="https://www.theguardian.com/film/2019/oct/21/joker-mental-illness-joaquin-phoenix-dangerous-misinformed">Joker</a></em>.</p> <p>Each character experiences some form of psychological distress. Scenes connect to, or even explain, a decline into chaos and violence.</p> <p>Experiencing hallucinations can be distressing for some people and their loved ones. However, focusing solely on such depictions perpetuates myths and misconceptions about hallucinations. They also potentially perpetuate harmful stereotypes of mental distress.</p> <p>Movies such as Joker use a broad, <a href="https://www.theguardian.com/film/2019/oct/21/joker-mental-illness-joaquin-phoenix-dangerous-misinformed">arguably incorrect</a>, brush to connect hallucinations, mental health issues and violence. This reinforces the misconception that hallucinations always indicate mental health issues, when this is not necessarily true.</p> <h2>What are hallucinations?</h2> <p>Hallucinations are perceptions that occur without a corresponding external stimulus. They can involve any of the human senses.</p> <p>Auditory hallucinations involve hearing things that aren’t there, such as voices or sounds. Visual hallucinations involve seeing things that aren’t there, such as lights, objects or people. Tactile hallucinations involve feeling things that aren’t there, such as a sensation of something crawling on your skin. Gustatory hallucinations involve taste and smell.</p> <p>People often confuse hallucinations and delusions. The two can be related, but they are not the same thing. Delusions are false beliefs, firmly held by a person despite evidence to the contrary. A person might believe someone is following them (a delusion), and see and hear that figure (a hallucination).</p> <p>Before the 17th century, hallucinations were commonly thought to be of <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2015.00991/full">cultural and religious</a> significance.</p> <p>However, between the mid-1600s and 1700s, hallucinations began to be understood as medical concerns, related to both mental and physical illnesses. This medical lens of hallucination remains. Now we know which <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702442/">parts of the brain</a> are activated when someone has a hallucination.</p> <h2>What causes hallucinations?</h2> <p>Hallucinations can be a sign of serious mental health issues. The presence or experience of hallucinations is, for example, one of the criteria used to <a href="https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM-5-Schizophrenia.pdf">diagnose schizophrenia</a> (delusions are another).</p> <p>Hallucinations may also provide insight into mental health issues such as bipolar disorder, post-traumatic stress disorder and depression.</p> <p>However, hallucinations can also be linked to other medical conditions.</p> <p>Hallucinations can be caused by fever, as well as disease or damage impacting the brain or <a href="https://theconversation.com/what-is-charles-bonnet-syndrome-the-eye-condition-that-causes-hallucinations-122322">optic nerves</a>. Parkinson’s disease causes visual, auditory and tactile hallucinations <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7116251/">in up to 75% of people</a>. Epilepsy and migraine headaches are also linked to hallucinations, and can cause perceptual disturbances, sometimes for days. Substance use, particularly of <a href="https://theconversation.com/weekly-dose-ayahuasca-a-cautionary-tale-for-tourists-eager-to-try-this-shamanic-brew-73953">hallucinogenic drugs</a> such as LSD or ketamine, can also cause hallucinations.</p> <p>Hallucinations can also occur in people without any underlying medical conditions. For example, some people may experience hallucinations during times of <a href="https://academic.oup.com/schizophreniabulletin/article/46/6/1367/5939754">extreme distress or grief</a>.</p> <p>Environmental factors such as <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00303/full">sleep deprivation</a> can cause a range of perceptual disturbances, including visual and auditory hallucinations. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354964/">Sensory deprivation</a>, such as being placed in a soundproof room, can also cause hallucinations.</p> <p>But still, the common image that hallucinations are connected only to mental health issues persists.</p> <h2>Hallucinations can be frightening, but not always</h2> <p>Hallucinations can be frightening for people, and their families. And the <a href="https://journals.sagepub.com/doi/10.1177/0020764016675888">stigma</a> and misconceptions surrounding hallucinations can have a significant impact on someone who experiences them.</p> <p>People who have hallucinations may be afraid or embarrassed of being considered “bizarre” or “unsafe”, and therefore may avoid seeking help.</p> <p>But hallucinations are <a href="https://www.intervoiceonline.org/voices-visions/voices-as-a-gift">not always scary or disturbing</a>. Some hallucinations can be neutral or even pleasant. People have been sharing on social media their positive and empowering experience of hallucinations. In the example below, we see one person’s positive experience of hearing voices. Yet we rarely see such depictions of hallucinations in the movies.</p> <hr /> <p><iframe id="tc-infographic-853" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/853/9f702c4fefadeb810f9d64d7b4512b39a655a262/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>How to support someone having hallucinations</h2> <p>If you are with someone who is having hallucinations, particularly if these are new or distressing for them, here are several ways you can support them:</p> <ul> <li> <p>ask the person if they want to talk about what they are experiencing and listen to them without judgment: “I cannot hear what you are hearing, can you tell me about it?”</p> </li> <li> <p><a href="https://tuneinnotout.com/videos/r-u-ok-ask-experts-nicholas-procter/">listen</a>. Don’t argue or blame. Acknowledge that hallucinations are real to the person, even if they are seemingly unusual and not based in reality: “I cannot see what you see, but I do understand you see it.”</p> </li> <li> <p>empathise with how the person feels about their experiences. “I cannot feel or taste it, but I can imagine it would be a difficult experience. I can see how much it is concerning you.”</p> </li> <li> <p>support someone to seek care. Persistent or distressing hallucinations should always be evaluated by a qualified health professional. Establishing potential causes is important: “I cannot hear it like you, but let’s talk to a health professional about it. They can help us understand what might be happening.”</p> </li> <li> <p>encourage the person to <a href="https://www.intervoiceonline.org/national-networks#content">reach out to their peers</a> as well as to <a href="https://www.tandfonline.com/doi/full/10.1080/01612840.2023.2189953?src=recsys">hearing voices groups</a> for ongoing support.</p> </li> </ul> <p><em>We’d like to acknowledge <a href="https://www.nswmentalhealthcommission.com.au/staff-profile/tim-heffernan">Tim Heffernan</a>, Deputy Commissioner of the Mental Health Commission of New South Wales, who contributed to this article.</em></p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14. <!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em><a href="https://theconversation.com/profiles/christopher-patterson-308185">Christopher Patterson</a>, Senior Lecturer, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/nicholas-procter-147517">Nicholas Procter</a>, Professor and Chair: Mental Health Nursing, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</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/hallucinations-in-the-movies-tend-to-be-about-chaos-violence-and-mental-distress-but-they-can-be-positive-too-204547">original article</a>.</em></p>

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Our cemeteries face a housing crisis too. 4 changes can make burial sustainable

<p><em><a href="https://theconversation.com/profiles/kate-falconer-1171812">Kate Falconer</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/hannah-gould-999499">Hannah Gould</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Australia’s housing crisis is no secret. What many people don’t realise is that there’s another, less visible housing crisis. Australia’s urban cemeteries are <a href="https://theconversation.com/housing-the-dead-what-happens-when-a-city-runs-out-of-space-70121">running out of space</a> to house the dead.</p> <p>In Sydney, for example, a <a href="https://www.cemeteries.nsw.gov.au/sites/default/files/2023-01/Statutory-Review-of-the-Cemeteries-Crematoria-Act.pdf">2020 report</a> found all of the city’s existing public cemeteries would be full by 2032. This will leave the communities they serve without a place to bury their dead.</p> <p>We know how to solve this crisis. A few key changes can make Australia’s cemeteries more sustainable and viable for generations to come.</p> <p>But these changes require political will to act. That’s because the solutions involve changes to the state-based laws that govern cemeteries. We can start with Victoria’s <a href="https://www.health.vic.gov.au/cemeteries-and-crematoria/cemeteries-and-crematoria-regulations-2015">Cemeteries and Crematoria Regulations 2015</a>, which must be updated by 2025.</p> <h2>Make renewable grave tenure the default option</h2> <p>Most Australians <a href="https://theconversation.com/losing-the-plot-death-is-permanent-but-your-grave-isnt-33459">assume graves last forever</a>. This system of perpetual tenure is mandatory in Victoria and the ACT. It’s the (near-universal) default in New South Wales, Queensland and Tasmania.</p> <p>But this system makes our burial space a “single use” resource. Overseas, perpetual tenure is the exception rather than the rule. Almost all <a href="https://www.talkdeath.com/cemetery-overcrowding-leading-europe-recycle-burial-plots/">European</a> and <a href="https://theconversation.com/lack-of-burial-space-is-changing-age-old-funeral-practices-and-in-japan-tree-burials-are-gaining-in-popularity-161323">East Asian countries</a> have limited tenure for burial, or actively encourage cremation.</p> <p>Where grave renewal occurs in Australia, it happens a long time after burial, typically between 25 and 99 years. By this time, the physical remains of the grave’s previous occupant have significantly degraded. Any remnants are preserved in an ossuary or dug deeper into the soil.</p> <p>Cemeteries in South Australia and Western Australia already have renewable grave tenure. Families have an option to extend tenure, should they wish to do so.</p> <p>By making renewable tenure the default option across Australia, cemeteries will greatly increase future capacity. If all of Sydney’s public cemeteries adopted a 35-year renewable tenure system, for example, it has <a href="https://www.cemeteries.nsw.gov.au/sites/default/files/2023-01/Statutory-Review-of-the-Cemeteries-Crematoria-Act.pdf">been estimated</a> the city’s burial needs over the next 99 years would require 38% less land.</p> <figure><iframe src="https://www.youtube.com/embed/zysuo1Pw-2w?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">One of Perth’s major cemeteries is redeveloping existing burial grounds in response to running out of space.</span></figcaption></figure> <h2>Create dedicated natural burial grounds</h2> <p>One simple, more environmentally friendly option is “<a href="https://www.gmct.com.au/services/natural-burials">natural burial</a>”. Natural burial eschews embalming, caskets made from hardwood or metal, and monumental headstones. Instead, the body is buried in biodegradable materials, such as wicker or cardboard.</p> <p>Green burial grounds are popular in the United Kingdom and Europe. They require less irrigation and maintenance. They also offer <a href="https://theecologist.org/2019/jan/14/case-natural-burial">a way to conserve natural woodlands</a> and so help foster biodiversity.</p> <p>Some Australian cemeteries offer <a href="https://smct.org.au/murrun-naroon-natural-burials">natural burial as an option</a> next to traditional grave plots. There are, however, few dedicated natural burial grounds. Legislating natural burial grounds as distinct entities will allow specific regulations that give priority to regular grave renewal and positive environmental impact.</p> <p>Natural burial grounds may also make “better neighbours” than traditional cemeteries if communities are going to be <a href="https://www.abc.net.au/news/2023-01-23/sydney-is-running-out-of-burial-space/101881570">asked to live alongside new cemeteries</a>. Overcoming resistance to new cemetery developments is essential to secure future burial capacity.</p> <h2>Legalise alternative disposal methods</h2> <p>We are all familiar with burial and cremation. But what about dissolving bodies in an alkaline solution – known as “<a href="https://www.smithsonianmag.com/innovation/could-water-cremation-become-the-new-american-way-of-death-180980479/">water cremation</a>” or “alkaline hydrolysis” – or transforming them into compost (“natural organic reduction”)?</p> <p>These options have <a href="https://theconversation.com/life-after-death-americans-are-embracing-new-ways-to-leave-their-remains-85657">robust environmental credentials</a>. They require less space than burial, as they produce portable remains in the form of ashes or soil. <a href="https://www.bbc.com/news/world-us-canada-64140571">Several US states</a> now permit these options.</p> <p>In most of Australia, these options exist in a legal grey area. In <a href="https://content.legislation.vic.gov.au/sites/default/files/2020-04/03-80aa034%20authorised_0.pdf">Victoria</a>, authorisation must be sought from the Department of Health to dispose of a body other than by burial or cremation. Queensland has no comprehensive cemeteries legislation, and thus no guidance on the legality of these alternatives.</p> <p><a href="https://legislation.nsw.gov.au/view/pdf/asmade/sl-2011-568">New South Wales</a> legalised water cremation (but not natural organic reduction) in 2011. The state now has two such facilities.</p> <p>Other states and territories should follow NSW in explicitly legalising viable alternative disposal methods. This will ease pressure on cemeteries and provide greater choice to families.</p> <h2>Invest in cemeteries as multi-use green spaces</h2> <p>Current regulatory frameworks emphasise the cemetery as a space of sombre reflection and remembrance. <a href="https://content.legislation.vic.gov.au/sites/default/files/2020-07/15-59sra003%20authorised.pdf">Victoria</a>, for example, prohibits a wide range of activities, including dancing, fishing and sport.</p> <p>However, as <a href="https://www.acf.org.au/natural_solutions_needed_for_our_overheating_cities">green space becomes scarce</a> in Australia’s major cities, public opinion and current practices are falling out of alignment with such regulations. In a <a href="https://theconversation.com/visions-of-future-cemeteries-5-models-and-how-australians-feel-about-them-149150">recent national survey</a>, two-thirds of respondents disagreed with the sentiment that cemeteries were solely spaces for memorialisation. They supported the use of cemeteries as public green space.</p> <p>Historic cemeteries, where new burials and visits are rare, offer even greater potential as multi-use public space. In <a href="https://www.sciencedirect.com/science/article/pii/S1618866722001418">cities overseas</a>, jogging, walking the dog and picnics are common in these cemeteries.</p> <p>Australia is yet to feel the full effects of the impending crisis of cemetery space. While big changes are needed to avert this crisis, at least the path forward is clear.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/205987/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/kate-falconer-1171812">Kate Falconer</a>, Lecturer, T.C. Beirne School of Law, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/hannah-gould-999499">Hannah Gould</a>, Research Fellow, Social And Political Sciences, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</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/our-cemeteries-face-a-housing-crisis-too-4-changes-can-make-burial-sustainable-205987">original article</a>.</em></p>

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Am I too old to build muscle? What science says about sarcopenia and building strength later in life

<p><a href="https://theconversation.com/profiles/david-scott-1258511">David Scott</a>, <em><a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em> and <a href="https://theconversation.com/profiles/robin-m-daly-19560">Robin M. Daly</a>, <em><a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>Sarcopenia is the progressive and accelerated loss of muscle mass and strength as we age.</p> <p>The term was coined in the 1980s, and the condition has been recognised as a disease for less <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50432">than a decade</a>, but the concept is as old as time: use it or lose it.</p> <p>But what if you’re in your 60s, 70s, 80s or 90s? Is it “too late” to build muscle and fight sarcopenia? Here’s what the research says.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/525756/original/file-20230511-19-34yuj7.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Exercise training during weight loss can also prevent bone loss.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <h2>Sarcopenia isn’t just unfortunate. It’s dangerous</h2> <p>All of us will start to gradually lose muscle from our mid-30s, but this loss accelerates in later years. For up to 30% of adults aged over 60, the declines are substantial enough to meet the <a href="https://onlinelibrary.wiley.com/doi/10.1002/jcsm.12783">definition for sarcopenia</a>.</p> <p>Sarcopenia increases your risk of falls, fractures, hospitalisation, loss of independence and many other chronic diseases.</p> <p>However, people who are active in early life and maintain this as they age can delay or prevent the <a href="https://onlinelibrary.wiley.com/doi/10.1002/jcsm.13218">onset of sarcopenia</a>.</p> <p>The good news is it’s never too late to make a start, even if you are already experiencing the debilitating effects of sarcopenia.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=392&fit=crop&dpr=1 600w, https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=392&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=392&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=492&fit=crop&dpr=1 754w, https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=492&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/525520/original/file-20230511-29-5201jv.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=492&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">It’s never too late to make a start.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <h2>What the science says</h2> <p>Resistance training is the most effective way to build and strengthen muscle at all ages. That means things like:</p> <ul> <li> <p>lifting free weights like dumbbells</p> </li> <li> <p>using machine weights, like you find in a gym</p> </li> <li> <p>using resistance bands</p> </li> <li> <p>bodyweight exercises such as push-ups, squats, wall-sits or tricep dips.</p> </li> </ul> <p>It’s OK to start with even very light weights, or do modified, easier versions of bodyweight exercises (for example, you might do a shallow squat rather than a deep one, or a push-up against a wall or windowsill instead of on the floor). Something is always better than nothing.</p> <p>Aim to make the exercise harder over time. Lift progressively heavier weights or do increasingly harder versions of bodyweight or resistance band exercises. This is called progressive resistance training.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/525565/original/file-20230511-27-1sxqpo.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Aim to make the exercise harder over time.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <p><a href="https://link.springer.com/article/10.1007/s40279-020-01331-7?fbclid=IwAR06PPIz8cf2xZExNvrnlueQp0-7SWQwT1x0bUdnZrgTOqcyiAdTrpufTjU">Clinical trials</a> have consistently shown all adults – even very frail people over the age of 75 – can make significant gains in muscle mass and strength by doing progressive resistance training at least twice a week. The improvements can be seen in as little as eight weeks.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/2342214/">One seminal study</a> included ten frail, institutionalised 86–96 year olds who did a high-intensity progressive resistance training program.</p> <p>After just eight weeks, the average mid-thigh muscle area had increased by almost 10% (which is equivalent to the amount of muscle typically lost over a decade) and leg strength increased by about 180%.</p> <p>In other words, these older people were almost three times stronger at the end of the short training program than before.</p> <p>It really can be done. British-Swiss man <a href="https://www.youtube.com/watch?v=rGgoCm1hofM">Charles Eugster</a> (1919–2017), for example, took up progressive resistance training in his late 80s after noticing a decline in his muscle mass. He went on to become a <a href="https://www.bodybuilding.com/fun/lessons-from-a-95-year-old-bodybuilder.html">bodybuilder</a>, and in 2012 gave a TEDx <a href="https://www.youtube.com/watch?v=rGgoCm1hofM">talk</a> titled “Why bodybuilding at age 93 is a great idea”.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&rect=0%2C0%2C6689%2C4466&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&rect=0%2C0%2C6689%2C4466&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/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/525755/original/file-20230511-23-xwcq71.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Resistance training is the most effective way to build and strengthen muscle at all ages.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <h2>What if my doctor has told me to lose weight?</h2> <p>Many older adults have obesity, which increases the risk of cardiovascular disease and type 2 diabetes.</p> <p>They’re often told to lose weight, but any dieting (or other strategy aimed at weight loss) also usually causes muscle loss.</p> <p>Losing muscle mass in older age could increase the risk for many common chronic conditions. For example, muscle is crucial to keeping blood sugar levels under control, so excessive muscle loss could blunt the benefits of weight loss for people with type 2 diabetes.</p> <p>If you’re losing weight, it’s important to try to minimise muscle mass loss at the same time. How? Progressive resistance training.</p> <p>By combining progressive resistance training with weight loss, one study found the resulting muscle loss is <a href="https://pubmed.ncbi.nlm.nih.gov/29596307/">negligible</a>. (It’s also important that if you are dieting, you are still eating <a href="https://www.clinicalnutritionjournal.com/article/S0261-5614(14)00111-3/fulltext">enough protein</a>, so your body has the ingredients it needs to build new muscle).</p> <p>Exercise training during weight loss can also prevent <a href="https://www.sciencedirect.com/science/article/pii/S2095254621000491">bone loss</a>, which reduces fracture risk in older people.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&rect=0%2C19%2C4368%2C2877&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&rect=0%2C19%2C4368%2C2877&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/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/520175/original/file-20230411-26-v63lvh.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">An accredited exercise professional can help design a program that suits you.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <h2>Aim for at least twice a week – more if you can</h2> <p>Whether or not you’re trying to lose weight, and regardless of whether you think you have sarcopenia, all older adults can benefit from strengthening their muscles.</p> <p>Even if getting to a gym or clinic is hard, there are plenty of resistance exercises you can do at home or outdoors that will help build strength.</p> <figure class="align-right zoomable"><a href="https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=237&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=900&fit=crop&dpr=1 600w, https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=900&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=900&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=1130&fit=crop&dpr=1 754w, https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=1130&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/525783/original/file-20230512-35478-3o1th8.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=1130&fit=crop&dpr=3 2262w" alt="" width="498" height="747" /></a><figcaption></figcaption></figure> <p>Talk to a health professional before starting a moderate to high intensity progressive resistance training program. An accredited exercise professional can help design a program that suits you.</p> <p>Generally, we should aim to do progressive resistance training at least <a href="https://link.springer.com/article/10.1007/s12603-021-1665-8">twice a week</a>.</p> <p>Try to target 8–10 muscle groups, and start out at about 30–40% of your maximum effort before progressing over time to 70–80% of your maximum.</p> <p>As the name suggests, it is key to progressively increase the effort or challenge of your program so you can feel the improvements and achieve your goals.</p> <p>It’s never too late to start training for your fight against sarcopenia and loss of independence in older age. The health benefits will be worth it. As Socrates <a href="https://www.sacred-texts.com/cla/plato/theaetet.htm">said</a> in the 4th Century BC:</p> <blockquote> <p>is not the bodily habit spoiled by rest and idleness, but preserved for a long time by motion and exercise?<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/203562/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> </blockquote> <p><a href="https://theconversation.com/profiles/david-scott-1258511">David Scott</a>, Associate Professor (Research) and NHMRC Emerging Leadership Fellow, <em><a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em> and <a href="https://theconversation.com/profiles/robin-m-daly-19560">Robin M. Daly</a>, Professor of Exercise and Ageing, Institute for Physical Activity and Nutrition, Deakin University, <em><a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>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/am-i-too-old-to-build-muscle-what-science-says-about-sarcopenia-and-building-strength-later-in-life-203562">original article</a>.</p>

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Why it's never too late to start dating

<p>Thinking about getting back into the dating game? It’s a new world out there and going on a date has changed. Here’s what you need to know.</p> <p>Whether you’re looking for love and companionship in your 20s and 30s or your 60s and 70s, dating is a universal experience that remains timeless. You’re never too old to meet someone new, rendezvous for a dinner and a movie, and possibly have something develop into a relationship. It’s just the act of “going on a date” that can change over the decades.</p> <p>If you’re looking to get back into the dating game but aren’t sure what to expect, don’t worry because you’re not alone. Many singles in their 50s and 60s would like to find a companion to share their life with but aren’t sure how to go about dipping their toe back into the dating pool.</p> <p><a href="http://www.valeriegibson.com/" target="_blank" rel="noopener">Valerie Gibson</a>, US-based dating and relationship expert and author of <em>The Later Dater</em>, says dating again doesn’t have to be scary, it’s what you make of it. “Most people just want to have someone in their life who loves them, cares about them, is supportive, fun to be with, interesting to talk to and shares their goals,” she says.</p> <p>“That’s what dating is all about – the search to hopefully find someone with whom you can joyfully and happily spend your later years. You may not find them right away, but the journey through dating while you’re searching can be fun and exciting, and make ageing a fascinating adventure.” With that in mind, here are some tips from Valerie Gibson to get you comfortable with the idea of dating at any age.</p> <p><strong>Dating later</strong><br />While dating is a universal and timeless experience for everyone, it can be different depending on your age. In your 20s and 30s, dating is young, passionate, romantic, and carries the prospect of a long-term relationship leading to marriage.</p> <p>“The pleasure of dating in your later years is that dating is a little more low-key and less energetic, but can be much more meaningful and have a lot of depth and satisfaction, and often a lot of commitment.</p> <p>“Both parties have had relationships/marriages and are well aware of what they want now in a personal connection. Although dating at these lovely ages may not have the same wildfire of that in your 20s and 30s (which can burn out quickly at times), meeting someone new and dating them can be just as exciting at a later age as it was when you were much younger.” However, she adds that a lot depends on your positive attitude, youthful spirit and health as to whether later dating works for you.</p> <p><strong>First date jitters affect everyone</strong><br />One thing that affects singles, no matter their age, is a feeling of nervousness when meeting someone for the first time, particularly on a first date! It can be an intimidating experience, particularly if you haven’t done this in a good 20 to 30 years.</p> <p>The best way forward is to leave your expectations at the door and simply enjoy the experience of meeting and learning about a new person when on your date. Relax, enjoy yourself, learn about the other person and ask questions.</p> <p>“Most people are nervous at that first meeting and often trying too hard to impress. It usually eases on the second date and contrary to most opinions “chemistry” is not necessarily there immediately – it can grow.” If you don’t feel like it’s a good match from the get-go, however, when the time comes politely exit. Always treat people how you would like to be treated in similar circumstances.</p> <p><strong>Winning conversation</strong></p> <p>Whether you’re on a first date or not, there are a few topics you should steer clear of when meeting a person for the first time. It’s generally agreed that religion and politics are no-go zones, since these subjects are too inflammatory and divisive, and certain to make sure there isn’t another date.</p> <p>“I always tell people to not pour out all of their previous problems with their dates, marriages or relationships on the first date, especially any horror stories of your last ex. A person wants to know a little about you and who you are but not your complete life history and all of your life’s disappointments.</p> <p>“Keep it light and basically informative, discuss subjects such as music, books, movies, your travels, food and wine, hobbies, and you can also find out whether you have interests in common which is important.”</p> <p><strong>It’s a digital world</strong></p> <p>The dating game has changed quite a bit over the years, mostly with the arrival of the internet. Meeting someone online through a dating website has become one of the most popular ways where people are now searching for Mr or Mrs Right, particularly singles in their 50s and 60s.</p> <p>“There’s no question that online dating has become the most popular way of meeting someone when you’re over 60. The biggest growing demographic for online dating sites are people 50-plus.</p> <p>“It’s because it can be done from the comfort of your home, there’s some controllable privacy and anonymity to it which older people find reassuring and protective, and it’s the only way to meet hundreds, if not thousands, of other singles in your age group who you would never meet in everyday life – all at the click of a key.”</p> <p>Valerie warns that while there are genuine people looking for love online, you may unfortunately come across others who are not so genuine. Be cautious and if in doubt, ask a friend or family member for advice.</p> <p>While online dating is one great way to meet a partner, other options include through mutual friends, volunteering, joining clubs and groups, taking classes and basically, just getting out and mingling with people. “You’ll never meet someone sitting at home.”</p> <p><strong>Be informed about the new world</strong><br />For those looking to start meeting new people and go on dates, the best way to prepare yourself is to learn as much about the new world of dating as you can. Read books, ask friends (even talk to your children if they’re dating!), do some research and get yourself ready both emotionally and physically.</p> <p>“Always remember you have been through a lot in your life and dating isn’t life threatening after all! Make up your mind that you’re going to enjoy it and enjoy the people you meet, whether or not they are Mr or Mrs Right or someone who fits your long list of requirements.</p> <p>“The people you meet are also probably nervous, just like you, and also looking for someone they might like, can get along with, possibly fall in love with and maybe share their life with or maybe just to share some good times!”</p>

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