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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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Finding joy at age 100: Talking to centenarians about living their best life at any age

<p><em><a href="https://theconversation.com/profiles/heather-joyce-nelson-1440914">Heather Joyce Nelson</a>, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</a>; <a href="https://theconversation.com/profiles/beverlee-ziefflie-1445320">Beverlee Ziefflie</a>, <a href="https://theconversation.com/institutions/saskatchewan-polytechnic-5681">Saskatchewan Polytechnic</a>, and <a href="https://theconversation.com/profiles/paula-mayer-1445321">Paula Mayer</a>, <a href="https://theconversation.com/institutions/saskatchewan-polytechnic-5681">Saskatchewan Polytechnic</a></em></p> <p>Aging is seen as a period of loss, and there are unhelpful <a href="https://www.nia.nih.gov/health/10-myths-about-aging">myths about older adults</a>. Myths lead to treatable conditions being considered normal parts of aging, including cognitive decline, dementia, depression and loneliness. Some even consider exercise dangerous in older adults.</p> <p>At the same time, mainstream media promotes the message that <a href="https://doi.org/10.4236/jss.2017.58015">being young is central to a person’s value</a>. These ideas lead to ageism and older adults being seen as lesser.</p> <p>After spending time with six female centenarians in assisted living facilities, our research team — which included four nursing researchers and a documentary filmmaker — learned there is plenty still worth living for.</p> <p>Centenarians are a small but growing segment of the population with <a href="https://www150.statcan.gc.ca/n1/en/daily-quotidien/220928/dq220928c-eng.pdf?st=LrkfjZE_">13,844 centenarians in Canada</a>, and our findings debunk myths about the experience of aging.</p> <p>We asked the centenarians questions about what brings them joy and how they plan for the future because we wanted to learn how the very elderly plan for and find ways to live their best lives. The results of this study were <a href="https://vimeo.com/showcase/looking-forward-at-100">turned into a 32-minute documentary</a> that captures participants’ long and interesting lives and offers insight into continued meaning experienced by centenarians in their daily lives. Three of the centenarians died shortly after the interviews took place.</p> <h2>Long and interesting lives</h2> <p>The participants were born between the years 1919 and 1922. They were children during the Great Depression and young adults during the Second World War.</p> <p>One of the women helped build bullet casings and worked on the <a href="https://www.britannica.com/technology/Lancaster-airplane">Lancaster bomber</a>. Another woman helped her husband protect the blueprints of the ill-fated <a href="https://www.thecanadianencyclopedia.ca/en/article/avro-arrow">Avro Arrow aircraft</a> when he brought them home from work. Two women lost their husbands when their children were small and had to go to work to support their families. They all experienced love and adventure.</p> <p>Our team was fascinated by their stories and wanted to further explore what their lives look like today.</p> <p>Betty, 101, saw happiness as a choice. “I don’t know what’s really to complain about. I went through life staying happy,” she said.</p> <h2>Joy and challenges</h2> <p>This study used a research method called <a href="https://www.scribd.com/doc/151684840/Braun-Clarke-2006-Using-Thematic-Analysis">thematic analysis</a> to find four themes: Finding Joy, Act your Age, Looking Forward and Putting Challenges into Perspective.</p> <p>The centenarians found joy each day and enjoyed the little things such as activities, visits and treats. Betty enjoyed cheating at solitaire and Jean, 100, played the piano. Clementina, 101, had fun gambling and Joyce, 100, continued to write stories and watch her grandchildren in music concerts.</p> <p>Family was central to their lives and they enjoyed spending time with their children, grandchildren and great-grandchildren. Two of the women stated that raising their children was the biggest accomplishment in their lives.</p> <p>The centenarians also found great joy in reminiscing about their interesting lives. However, one of the challenges was that there was no one left alive who had the same shared experiences.</p> <h2>Limitations</h2> <p>The centenarians were constrained by the limitations of society, their bodies and their self-perceptions. “You have to act your age,” said Clementina. She physically described this phenomenon by clasping her hands together in her lap and sitting still.</p> <p>Some participants found life to be boring at 100 compared to their lives as younger adults. They had limited opportunities to do what they would like. “We had homes,” said Joyce, 100, describing how they had known better lives, which made it hard to accept the constraints of their current existence.</p> <p>In spite of these feelings, many of the participants continued to be busy and live life fully despite limitations. Jean, despite needing a wheelchair for mobility, continues to do people’s taxes for a volunteer organization, plays piano for church services and leads choirs within her facility.</p> <p>“I am constantly rebelling against my situation physically,” she said.</p> <p>The other women in this study also continued to challenge norms of what their age and disabilities meant. Joyce writes and submits short stories for publication, and has a poem in the war archives in Ottawa.</p> <p>Assisted living facilities often prioritize resident safety, but this can come at a cost to personal freedom. Some residents only leave their facility accompanied by a facility employee or a family member. Clementina rebelled against this restriction and at the age of 97, snuck out of her assisted living facility in a cab to go to the casino, pretending that she was going to meet her son.</p> <p>All of the participants put their life challenges into perspective. They all had lost spouses, friends and some had lost their children. “I was broken,” Clementina said about losing her husband.</p> <p>Christine, 102, was asked how she managed after losing her husband when her children were still small. “I am still here,” she said.</p> <h2>The future</h2> <p>Most of the centenarians had few plans for themselves for the future and were more interested in leading their day-to-day lives. Betty jokingly described the inevitability of her death and that she was “looking for the bucket.” Most described being prepared to die except for Jean, who laughed and said she didn’t have time to die. “I have too many plans.”</p> <p>The centenarians looked to the future of their families and the larger community and entrusted the next generation to make good choices.</p> <p>Participants in this study had long and interesting lives and continued to find meaning each day. This study supports the idea that older adults continue to lead engaging lives and that we need to support older adults to live their best lives at any age.</p> <p><em>This article was also co-authored by journalist and filmmaker Kelly-Anne Riess and retired nursing instructor Susan Page.</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/206852/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/heather-joyce-nelson-1440914"><em>Heather Joyce Nelson</em></a><em>, Assistant Professor of Nursing, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</a>; <a href="https://theconversation.com/profiles/beverlee-ziefflie-1445320">Beverlee Ziefflie</a>, Instructor, Nursing, <a href="https://theconversation.com/institutions/saskatchewan-polytechnic-5681">Saskatchewan Polytechnic</a>, and <a href="https://theconversation.com/profiles/paula-mayer-1445321">Paula Mayer</a>, Associate Research Scientist, Nursing, <a href="https://theconversation.com/institutions/saskatchewan-polytechnic-5681">Saskatchewan Polytechnic</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/finding-joy-at-age-100-talking-to-centenarians-about-living-their-best-life-at-any-age-206852">original article</a>.</em></p>

Caring

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The power of positivity: Starting the year with a positive mindset

<p>As we step into the New Year, many of us are hitting the reset button and focusing enthusiastically on achieving our resolutions. By harnessing this welcome surge in positivity, we can begin to direct our attention towards tackling our goals and embracing a shift in mindset, even after the glitter on New Year’s has settled. But how can we achieve this? Jacqui Manning, the resident psychologist at Connected Women, a female-founded organisation dedicated to cultivating friendships in women in their midlife, shares her tips on how to foster a more positive mindset, year-round. </p> <p>“Developing a positive mindset is all about being intentional, and it begins with a good routine. Carving out time within your week for activities that fill your cup and encourage a more optimistic outlook is key to embracing age with positivity,” Jacqui says. </p> <p>“Set realistic expectations – if you have a New Year’s resolution to make more time for yourself, pencilling time in the diary for self-care is going to be essential. Or, if your goal is to build new connections this year, be sure to set time aside at least once a week for networking. Whether it’s joining a local tennis club, attending a community event, or simply striking up a conversation at your local café, enriching your social circle can bring new perspectives, enhance feelings of optimism, and boost overall well-being,” Jacqui explains. </p> <p><strong>Don’t skimp on self-care!</strong></p> <p>Self-care involves dedicating the time to engage in activities that help to enhance overall well-being. As we age, it becomes increasingly important to develop an adequate self-care routine to support both our mental and physical health.   </p> <p>“Remember that taking time for yourself is essential. Small indulgences such as enjoying a quiet evening at home, book in hand, or heading outside for a leisurely evening stroll can quiet the mind and recharge your emotional batteries.”</p> <p>“As the year progresses, our self-care practices can tend to fall by the wayside. It’s essential to invest in ourselves, which includes prioritising sleep, regular exercise, remaining engaged in hobbies or preferred activities, and maintaining social connections,” Jacqui says. </p> <p>“Dedicating time for yourself helps to create the space necessary to support mental recharge. Goal setting, implementing boundaries to avoid overwhelm, or integrating wellness practices like meditation or mindfulness exercises act as stress-relievers and boost energy levels,” Jacqui explains. </p> <p><strong>Cultivating your crew</strong></p> <p>Research suggests that our social circle holds a meaningful influence over our mood and disposition. Friends have been found to act as a buffer against ageing, positively supporting both our health and overall cognitive function. </p> <p>“The first step to finding friendship is assessing – how supported do you feel within your relationships? Remember, friends exert significant influence over our feelings and behaviours, so finding a tribe that fulfils your emotional needs is essential,” Jacqui explains. </p> <p>“Nurturing successful relationships begins with finding individuals with shared values and interests. Actively engaging in open conversation is a magnet for developing authentic and emotionally fulfilling connections with others.” </p> <p>“Be open-minded – discussing topics like hobbies, future goals, anxieties, and challenges can encourage openness and conceive opportunities to offer support to one another. Openness also lays the foundations for more meaningful friendships to blossom,” Jacqui says. </p> <p>Friendships in adulthood are well worth the investment, and curating your immediate network could be the masterstroke in ageing with positivity (and boosts overall health and cognitive function to boot!). </p> <p>If forming new bonds heads up your list of New Year's resolutions, then joining a vibrant community group like Connected Women could be the ideal place to start. </p> <p><strong>Practice positive self-talk</strong></p> <p>Take a few minutes each day to reflect on the aspects of life that you’re grateful for – whether that be your health, family, friendships, or a stellar career. By focusing on the positive, it encourages a mental shift away from the negative and toward a more optimistic outlook on life (and age for that matter!). </p> <p>“Practicing techniques such as meditation, gentle movement, and journaling regularly can help to cultivate a more relaxed mind, boost serotonin levels in the brain, and decrease feelings of anxiety or depression,” Jacqui says. </p> <p>Jacqui suggests another technique for fostering a mental shift is to incorporate regular gratitude practices.</p> <p>“Reflecting on and recording the things you’re thankful for can be a valuable outlet. Expressing gratitude regularly serves as a reminder of the positive aspects in your current life and can be a useful tool on low days,” Jacqui says. </p> <p>By incorporating these tips, not only will you be working to foster a more optimistic mindset year-round, but you’ll also be laying the groundwork to build and nurture more meaningful relationships with others. </p> <p><em><strong>For more information visit <a href="https://www.connectedwomen.net" target="_blank" rel="noopener">connectedwomen.net</a> </strong></em></p> <p><em><strong>About Connected Women </strong></em></p> <p><em><strong>Jacqui Manning is the resident psychologist at Connected Women, bringing with her over two decades of experience. Founded in 2022, Connected Women facilitates friendships for women over 50 through a range of online and in-person events. With the rising epidemic of loneliness impacting Australians now more than ever - Connected Women aims to provide a community in which women can feel free to be themselves, connect with like-minded women and build life-long friendships. Launched in Perth, Western Australia, Connected Women now also operates in NSW and Victoria, with plans to grow its network to QLD, ACT and SA in the coming year. With a small monthly membership fee, women can join Connected Women events, share and connect over areas of interest, and connect with women in their local areas to arrange meet ups. Whether members prefer big events with lots of action and adventure, or quiet meet ups and walks around the local neighbourhood, Connected Women is committed to providing a safe and inclusive space for women to find their feet and build new friendships in a space that feels most comfortable to them. </strong></em></p> <p><em>Image credits: Getty Images</em></p>

Mind

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Joh Griggs shares positive health update

<p>Joh Griggs has shared a positive health update for her fans, saying she is recovering well after undergoing surgery on her knee. </p> <p>The <em>Better Homes and Gardens</em> host shared a picture from a hospital bed, telling her Instagram followers that she is on the mend after the extensive surgery. </p> <p>She said the procedure was due to "years of damage", but she is now looking forward to being "pain free". </p> <p>In a lengthy caption, she wrote, "Not the most exciting pic I know, but I am happy to update that the surgery on my knee to clean up a couple of tears and years of damage went extremely well."</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/p/C1A8Y5IhpjF/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C1A8Y5IhpjF/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Johanna Griggs AM (@johgriggs7)</a></p> </div> </blockquote> <p>“Huge thanks to orthopaedic surgeon Dr Julian Yu who lived up to his legendary reputation, and to all the staff at Northern Beaches Hospital Sydney who looked after me beautifully."</p> <p>“Enforced rest is a great way to start any holiday."</p> <p>“I’m so happy to have finally had this done and look forward to being pain free (and whinge free) once again."</p> <p>She concluded the post, saying, “Woohoo. This truly was an early Christmas present!”</p> <p>Griggs also thanked her husband, Todd Huggins, for being her “hospital Uber driver” and added the hashtag #feelinglucky to her post.</p> <p>The post was flooded with like and comments of well wishes, with her Channel Seven colleagues and loyal viewers wishing her a speedy recovery. </p> <p>“Sending love!!” wrote <em>7News</em> journalist Abbey Gelmi, while TV personality Barry Du Bois added, “Get well soon Joh, Merry Christmas to you and the family.”</p> <p>“Pleased it went so well!” one follower wrote. “Enjoy putting your feet up (even if enforced!)”</p> <p><em>Image credits: Instagram</em></p>

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Kath & Kim star's positive health update

<p><em>Kath &amp; Kim </em>star Magda Szubanski has candidly opened up about her struggles with binge eating, and in a more positive update, announced that she is no longer pre-diabetic. </p> <p>The 62-year-old took to Instagram to share the major health update, as she shared a photo of her Gordon Ramsay-inspired breakfast. </p> <p>“Have got my Hba1c out of pre-diabetes and back in the normal range,” she wrote in the caption. </p> <p>“I’m far from perfect but I just keep trying.”</p> <p>Pre-diabetes is a condition where blood glucose levels are higher than normal, but not high enough for a type 2 diabetes diagnoses. The HbA1c is a blood test that helps diagnose type 2 diabetes or monitor blood glucose levels in diabetics.</p> <p>“Check out #magdasbignationalhealthcheck #magdashealthcheck on @abctv to find out how sugar is F*CKING with us and why it is so hard to be healthy in Australia,” she added in the caption.</p> <p>“50 per cent of aussies live with chronic illness.</p> <p>“Let’s change that! One brekkie at a time!" she concluded. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CxjO38cyBZV/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CxjO38cyBZV/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Magda Szubanski (@magda_szubanski)</a></p> </div> </blockquote> <p><em>Magda’s Big National Health Check</em>,  which aired on ABC, showcases the actress' personal journey to uncover what health looks like in Australia today. </p> <p>In an old episode which aired in November, the star candidly opened up about how she sought comfort from her overwhelmingly negative feelings by binge eating.</p> <p>Szubanski burst into tears as she revealed that she struggled  with “being able to forgive myself”.</p> <p>“Because I know people are like, ‘Well, why has she done that to herself?’, and it’s like, I felt I had no choice,” she said.</p> <p>“It was the only sane decision I could make given the alternatives that I faced, and then you become this f***ing shame magnet, and it’s like you’re not supposed to fight back.</p> <p>“You’re not allowed to defend yourself, you’re supposed to just hang your head again in shame and say, ‘I’ve brought this upon myself’.”</p> <p>In a previous Instagram update, the star also shared that he had been working to heal her relationship with her body and exercise.</p> <p>“I’m trying to find a way to frame this as not struggling or fighting but accepting resistance,” she said. </p> <p><em>Image: Getty</em></p>

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Positive news for injured WA police officer in Croatia

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

<p>James Leinhardt, a “posture expert” from the United Kingdom, has revealed the worst possible sleeping position for any body. </p> <p>In a video posted to TikTok, he warns viewers about the perils of sleeping on their stomach, claiming that the common position can actually do more harm than good - from muscle strain to the back and spine to chronic pain.</p> <p>“This is literally the worst ever sleeping position,” he declared, after demonstrating what he likes to call “the car crash position”. </p> <p>“You’re rotating your neck, you’re twisting it, you’re putting your head up, you’re fighting all the natural curves of your spine, you’re compressing your vertebrae, you’re getting pins and needles, neck and back pain,” he went on. </p> <p>“And you still do it every night, why? It’s not comfy, it’s just what you’re familiar with. It’s just what your body’s used to. Does this look comfy to you?”</p> <div class="embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; outline: none !important;"><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; outline: none !important; width: 610.266px; max-width: 100%;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7227913453904710939&amp;display_name=tiktok&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40levitex%2Fvideo%2F7227913453904710939&amp;image=https%3A%2F%2Fp16-sign-va.tiktokcdn.com%2Fobj%2Ftos-useast2a-p-0037-aiso%2FoYaEwDEnQGRBcOqebHkRDDAMISdXgTQErJfS7P%3Fx-expires%3D1684810800%26x-signature%3DXA9MNq0Ii1CdE0GzHN5fy%252BuJMx0%253D&amp;key=5b465a7e134d4f09b4e6901220de11f0&amp;type=text%2Fhtml&amp;schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>Luckily, Leinhardt came equipped with a few tips and tricks to help break free from the “awful front sleeping” habit to the “beautiful side sleeping”. </p> <p>To begin, he recommended having a pillow between the tip of the ear and the tip of the shoulder, as well as one between the knees and angles, to help “support and stabilise this hip and keep you feeling safer and you’re less likely to bring that leg over.”</p> <p>Of his next tip, hugging a secondary pillow, he noted that “you’re going to de-weight that top shoulder, hug it, and again you’re more stable and less likely to roll over.” </p> <p>He suggested trying his tips out for just 30 minutes, and “if you don’t like it, if it doesn’t work out, go back to that car crash of a sleeping position and start again tomorrow.” </p> <p>“Please listen to me,” he encouraged, “this is absolutely easy for you to achieve, just try it.”</p> <p>And while many were grateful for Leinhardt’s tips, and keen to try them out, there were still those who had no interest in abandoning their comfy old habits, no matter the cost.</p> <p>“It's comfy in the beginning,” one viewer wrote. “Morning is full of regrets though.”</p> <p>“That looks freakin fantastic to me!” another declared. “I mean I would rather sleep like that than not sleep at all, sooooo that’s why we sleep like that, BECAUSE we sleep”.</p> <p>Meanwhile, one simply wanted to know “why all the pleasures of life are forbidden”.</p> <p><em>Images: TikTok</em></p>

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"So traumatic": Michelle Bridges grilled over Biggest Loser's impact

<p>Michelle Bridges has been slammed by a body positivity activist for the negative impact <em>The Biggest Loser</em>'s strict rules around weight loss had on viewers. </p> <p>Appearing on <em>The Project</em> for a discussion around health and body image, Bridges went head-to-head with activist April Helene-Horton, who said she was unsure if she wanted to appear in the segment, given the “traumatic” presence <em>The Biggest Loser</em> was in her life.</p> <p>The weight loss program, which aired on Channel Ten from 2006 and ran for 11 seasons, featured Bridges as one of the several tough-talking trainers, motivating overweight contestants to intensively diet and exercise in a contest to lose the most weight in the fastest time for a big cash prize.</p> <p>During the discussion on <em>The Project</em>, Bridges and <em>The Biggest Loser</em> were put to the test to discuss what it means to be healthy. </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/CsFI_QPu7Y9/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CsFI_QPu7Y9/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a></p> </div> </blockquote> <p><em>The Project</em> host Sarah Harris asked Helene-Horton who was to blame “for the idea that larger bodies are bad”, as she listed “mainstream media, fashion, doctors who don‘t want to see fat patients, social media” among the main culprits.</p> <p>“Would you put the fitness industry in that same category?” Bridges asked.</p> <p>“Yeah I would. And I’ll be really honest and say, I was somewhat nervous coming here today to see you, because I would genuinely say that the show <em>The Biggest Loser</em> was one of the most traumatic things that ever happened to me,” Helene-Horton replied.</p> <p>“Yeah, I hear you. I absolutely hear you. Going on a show like that back in the day, I really had to dig deep and question my morals about why I’m in the health and fitness industry,” responded Bridges.</p> <p>Helene-Horton said that, having spoken to Bridges, she’d soon realised they had some things in common. </p> <p>“You, like me, are somebody who struggled against the idea that you need to be perfect. But the edit [on <em>The Biggest Loser</em>] still made me feel like someone who had the same values as you … would make me feel shame.”</p> <p>Bridges went on to admit that <em>The Biggest Loser</em> wouldn't "work" today, due to the liberation of the body positivity movement and the change in definition of what it means to be healthy. </p> <p>“When I look back on it, 17 years ago, it was a totally a different culture back then. I don’t think that show would work today. In fact, I know it wouldn’t,” she said.</p> <p><em>Image credits: The Project</em></p> <div class="media image" style="caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; text-decoration: none; box-sizing: inherit; display: flex; flex-direction: column; align-items: center; width: 705.202209px; margin-bottom: 24px; max-width: 100%;"> </div>

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5 books for kids and teens that positively portray trans and gender-diverse lives

<p><a href="https://www.stonewall.org.uk/about-us/blog/trans-day-visibility-global-perspective">International Transgender Day of Visibility</a> is an opportunity to celebrate trans and gender-diverse people – and to raise awareness of the ongoing discrimination they experience.</p> <p>Trans and gender-diverse people <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826417/">experience</a> higher levels of depression, anxiety, self-harm and suicidal behaviours than the general population. </p> <p>Recent events in <a href="https://www.theguardian.com/australia-news/2023/mar/25/whats-behind-the-terrifying-backlash-against-australias-queer-community">Australia</a>, <a href="https://time.com/6250646/united-kingdom-scotland-transgender-bill/">the United Kingdom</a> and <a href="https://www.vice.com/en/article/5d378d/anti-trans-bills-2023">the US</a> remind us of the need to promote acceptance of trans and gender-diverse young people, and to support their mental health and wellbeing.</p> <p>Community, school and family <a href="https://link.springer.com/article/10.1007/s40894-019-00118-w">are vital</a> tools for this. </p> <p>So are books that positively represent trans and gender-diverse experiences, themes and issues. Such books can expand young people’s awareness, understanding and acceptance of gender differences from an early age. They also validate the lived experience of trans and gender-diverse youth.</p> <p>The five books below all positively portray trans and gender-diverse lives in age-appropriate ways.</p> <h2>1. My Shadow is Purple by Scott Stuart (ages 4-9)</h2> <p>This picture book, <a href="https://larrikinhouse.com.au/products/my-shadow-is-purple">My Shadow Is Purple</a>, considers gender diversity through the use of colour. The story focuses on a boy whose shadow is purple: presumably a blend of masculine blue and feminine pink.</p> <p>Early in the story, the boy celebrates his gender hybridity, enjoying a range of both traditionally masculine and feminine activities. Stuart also explores the way society regulates and limits gender expression, and how this can have negative effects on individuals.</p> <p>That said, the picture book is positive and offers a promising message to readers. Through both resistance and collective support, we can acknowledge and celebrate the spectrum of colours our shadows might take.</p> <h2>2. Too Bright to See by Kyle Lukoff (ages 10-12)</h2> <p>In his <a href="http://www.kylelukoff.com/my-books/tbts">award-winning</a> junior novel, <a href="https://www.penguin.com.au/books/too-bright-to-see-9780593111178">Too Bright to See</a>, Kyle Lukoff uses the ghost story to explore <a href="https://www.nhs.uk/conditions/gender-dysphoria/">gender dysphoria</a> and grief. </p> <p>Trans boy Bug, aged 11, lives in a house with relatively benign spirits. However, during the summer before school starts, Bug’s uncle dies and a new ghost takes up residence in the house.</p> <p>It is not only the grief of his uncle’s death that Bug must learn to live with. His best friend, Moira, is eager to give him a feminine makeover and the new ghostly resident seems intent on sending him a message.</p> <p>Bug’s investigation of the ghost and his journey of self-discovery and self-acceptance is sensitive and nuanced, allowing readers to learn about transgender issues (and grief) alongside Bug.</p> <h2>3. Euphoria Kids by Alison Evans (ages 12+)</h2> <p><a href="https://www.echopublishing.com.au/books/euphoria-kids">Euphoria Kids</a> is an urban fantasy young adult novel that centres on three trans and gender-diverse teenagers: Iris, who grew from a seed; Babs, the daughter of a local witch; and the boy, named so because his current name does not fit him.</p> <p>The world Evans creates is one of strange magic, free from the trauma and gender dysphoria often associated with representations of transgenderism <a href="https://theconversation.com/friday-essay-transgenderism-in-film-and-literature-71809">in literature and film</a>. The characters’ quest to break a curse enables them to demonstrate their resilience, develop their confidence and experience euphoria.</p> <p>Evans explains (in the author note) their decision to create a positive narrative for trans youth, "I want people to know about gender euphoria. I want them to learn about it before gender dysphoria. I want young trans kids that will read this book to be proud of who they are, and imagine wonderful magic lives for themselves."</p> <h2>4. Meet Cute Diary by Emery Lee (ages 14+)</h2> <p><a href="https://www.harpercollins.com.au/9780063038837/meet-cute-diary/">Meet Cute Diary</a>, a heartfelt young adult romantic comedy, explores gender identity and sexuality – and recognises self-discovery entails continuous questioning, rather than a linear progression.</p> <p>Noah Ramirez, a Japanese, white, Afro-Caribbean 16-year-old trans boy, loves the idea of falling in love. He writes fictional trans love stories for his blog, “Meet Cute Diary”. Noah is confronted in real life by Drew, a white cisgender boy who Noah has featured on his blog. After Noah explains his actions, Drew agrees to pretend to date him, in order to validate his stories. Their pretending quickly becomes real.</p> <p>Things become complicated, though, when Noah finds himself attracted to his nonbinary and asexual coworker, Devin. The narrative explores the changing nature of relationships and love.</p> <p>Lee creates interesting characters and complex relationships that respect gender fluidity and recognise the blurry boundary between the platonic and romantic.</p> <h2>5. Felix Ever After by Kacen Callender (ages 14+)</h2> <p>Felix, the 17-year-old protagonist of <a href="https://www.harpercollins.com/products/felix-ever-after-kacen-callender?variant=32280909578274">Felix Ever After</a>, is Black, queer and trans. The marginalisation and transphobia he experiences are exacerbated when pre-transition images of him are prominently displayed at his school. Felix’s search for revenge sees him open up more about himself to others. And he forms new relationships, including with his friend, Ezra Patel.</p> <p>Similar to Lee’s depiction of self-discovery in Meet Cute Diary, Callender suggests that learning about yourself and your identity is an ongoing process. Felix continues to make new discoveries about himself, including the realisation that he is not a boy but a <a href="https://queerintheworld.com/what-does-demiboy-mean/">demiboy</a>.</p> <p>Callender’s writing is engaging, and the cast of diverse characters that populate the narrative reflects the variation in our communities. This tender trans young adult romance sensitively explores the complexity of friendship, forgiveness and self-discovery.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/5-books-for-kids-and-teens-that-positively-portray-trans-and-gender-diverse-lives-202832" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Teenagers who have positive relationships with their parents tend to have better outcomes as adults

<p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Parenting teenagers can be challenging, but a new study shows that those efforts ultimately pay off.</span></p> <div class="copy"> <p>When teenagers report higher levels of “parental warmth”,” communication” and time spent together, they are more likely to experience significantly higher general health, optimism and romantic relationships in early adulthood. </p> <p>That’s according to a paper by US paediatricians and social workers <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2802677" target="_blank" rel="noreferrer noopener">published</a> in <em>JAMA Network.</em></p> <p>“The overall pattern of these results suggests strong relationships between adolescents and their mothers and fathers leads to better health and well-being in young adulthood,” <a href="https://www.chop.edu/news/chop-researchers-find-strong-adolescent-parent-relationships-lead-better-long-term-health" target="_blank" rel="noreferrer noopener">said the paper’s lead author</a>, Dr Carol Ford from the Children’s Hospital of Philadelphia.</p> <p>“Efforts to strengthen parent-adolescent relationships may have important long-term health benefits.”</p> <p>Using data from the US National Longitudinal Study of Adolescent to Adult Health, the study followed a cohort of more than 15,000 adolescents aged 12-17 years in 1994-95 through to young adulthood (24-32 years) in 2008-09.</p> <p>The researchers found positive teen-parent relationships were also associated with lower levels of stress, depressive symptoms, nicotine dependence and substance abuse in young adults.</p> <p>The data was gathered by asking secondary-school-aged participants a series of detailed questions about their relationships with each parent, including topics such as warmth, communication, time together, academic expectations, discipline, relationship satisfaction. </p> <p>The aim of the study was to better understand the significance of parent-adolescent relationships for adult health. The study looked at the characteristics of mother-teenager and father-teenager relationships and tried to define what a “warm” relationship is, and what “communication” means.</p> <p>The researchers followed up with the participants once they reached adulthood, to ask about health, mental health, sexual behaviour, substance use and injury.</p> <p>“Adolescents’ perception of parental warmth had the most consistent favourable associations with adult outcomes across domains,” the researchers found.<span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> </span></p> <p><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=240457&amp;title=Teenagers+who+have+positive+relationships+with+their+parents+tend+to+have+better+outcomes+as+adults" width="1" height="1" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /> <!-- End of tracking content syndication --></div> <div id="contributors"> <p><em>This article was originally published on <a href="https://cosmosmagazine.com/health/teenagers-positive-relationships-with-parents-benefits/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Petra Stock. </em></p> <p><em><br />Images: Getty</em></p> </div>

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"The opposite of wellness": Gwyneth Paltrow slammed over "toxic" daily routine

<p>Gwyneth Paltrow has been slammed online for sharing her "detox" wellness routine, making people question her definition of "wellness". </p> <p>The Goop founder appeared on the The Art of Being Well podcast with Dr. Will Cole, where she shared her insanely strict daily regime. </p> <p>The 50-year-old touched on a series of topics, including keyboard warriors and "conscious uncoupling", but it was her comments about her routine and diet that caused the biggest upset.</p> <p>A 40 second clip of the hour long interview has gone viral on TikTok, as Paltrow answered Dr. Cole's question: "What does your wellness routine look like right now?"</p> <div class="embed" style="font-size: 16px; box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; vertical-align: baseline; outline: none !important;"><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border-width: 0px; vertical-align: baseline; width: 610px; max-width: 100%; outline: none !important;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7210104654460521774&amp;display_name=tiktok&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40dearmedia%2Fvideo%2F7210104654460521774&amp;image=https%3A%2F%2Fp16-sign.tiktokcdn-us.com%2Fobj%2Ftos-useast5-p-0068-tx%2F17cff0a159f0493eaee1639d24531142%3Fx-expires%3D1678921200%26x-signature%3D2lWmwOFgi5LyMZXZha769GLwnG4%253D&amp;key=59e3ae3acaa649a5a98672932445e203&amp;type=text%2Fhtml&amp;schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>The actress says, "I eat dinner early in the evening. I do a nice intermittent fast."</p> <p>"I usually eat something about 12 and in the morning I have things that won't spike my blood sugar so I have coffee."</p> <p>"But I really like soup for lunch. I have bone broth for lunch a lot of the days. Try to do one hour of movement, so I'll either take a walk or I'll do Pilates or I'll do my Tracy Anderson."</p> <p>"And then I dry brush and I get in the sauna. So I do my infrared sauna for 30 minutes and then for dinner I try to eat according to paleo - so lots of vegetables."</p> <p>She concluded, "It's really important for me to support my detox."</p> <p>The strict regime welcomed a flood of criticism online, as many questioned Paltrow's definition of the word "wellness". </p> <p>One shocked user wrote, "Is starving wellness?" while another added, "I feel light headed just listening to this."</p> <p>A third person simply said, "I relate to nothing in this video", while another outraged viewer wrote, "Is this wellness? Or is this punishment?"</p> <p>However, the criticism did not stop there as professional dietitians also weighed in with their own thoughts.</p> <p>Expert Lauren Cadillac created a duet with the clip on the video sharing platform to share her reaction to Gwyneth's revelations.</p> <p>In it, the nutritionist repeatedly rolls her eyes, shakes her head, and gasps before claiming "bone broth is not a meal."</p> <p>She concludes, "This is not enough food. Support you detox from WHAT?! You're not eating anything."</p> <p>Another nutritionist weighed in on her routine, simply stating, "This is not wellness. This is not health. This is clinically concerning and toxic behaviour, and it's horrific that it's packaged as new age wellness."</p> <p><em>Image credits: TikTok / Instagram</em></p>

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“Love the skin you are in”: Jana Pittman’s honest snaps prompt outpouring of love

<p>Former Olympic athlete and mother-of-six Jana Pittman has taken to Instagram to share an important message on loving your body with her followers.</p> <p>Jana’s post featured a length caption that was, in her words, “close to my heart”. In it, the 40-year-old was open and honest with her supporters about the impact of motherhood on her body, time, and the “emotional and stressful journey” she has been on over the course of the last year. </p> <p>Alongside the caption came three pictures of Jana, clad in just her underwear and a glowing smile, in a series of poses. One sees her adopting the ‘Superwoman pose’, hands on her hips in a show of strength and power, and another sees her making a heart shape with her own stomach, in a sweet reflection of her “love the skin you are in” message. </p> <p>“I wanted to share these photos because they speak volumes to me. This body used to be ripped and lean, racing for Aus against the world’s best,” Jana wrote. </p> <p>“Fast forward 16 years, 6 kids later and this is where I am at. Yes this is the heaviest I have ever been, yes my body wears the beautiful scars of motherhood, especially the stretched skin from the twins at 39 years old but I am also heavy due to being so time poor!!</p> <p>“Many of my posts show this tough and crazy woman managing so many different facets of life but the reality is I have had to make choices with my time and there has been very little left for me. The last 12 months have been an emotional and stressful journey on several fronts which resulted in comfort eating here and there... so I am now the same weight as when I was heavily pregnant!”</p> <p>Jana went on to share her gratitude for her body and all that it's capable of, while admitting that it isn’t always so easy, telling fans “this is me right now and while I am not exactly comfortable, I am so grateful for this body. It has bravely taken me through so much and even though I don't always honour it, it honours me.</p> <p>“Beauty comes in all shapes and sizes. Love the skin you are in.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/Co5t_B7hxOk/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/Co5t_B7hxOk/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jana Pittman (@janapittmanofficial)</a></p> </div> </blockquote> <p>The post - tagged with the likes of #bodypositive, #beproud, #postpregnancybody, #loveyourself, and #grateful - immediately resonated with Jana’s followers, with many opening up to her and each other about their own journeys with their bodies. </p> <p>“This is an extremely important message and I myself have to remind myself what my body has done and created,” one wrote. “Love every stretch mark and dimple as this is the vessel that helped create and carry life.” </p> <p>“Thank you so much for being so raw and beautiful. You are such an inspiration,” chimed another, who like many was glad to know she wasn’t alone in her feelings. “I really appreciate you sharing as this is exactly how I feel right now and its nice to know we are all in this together.”</p> <p>“I’m the same, after having twins 11 months ago and two other children my stomach has changed shape and bulges. I don’t have time to get into shape, I’m time poor as back at work. Sleep is actually more important for me right now! Better quality sleep!” One told Jana, to which the Olympian replied, agreeing, that going back to work can be a big step with twins who wake during the night. </p> <p>Australian swimmer Shayna Jack even joined the conversation, declaring Jana to be an “amazing inspiration.” </p> <p>And fellow Olympian Anna Meares echoed the sentiment of Shayna and hundreds of others in the comments, writing, “you continue to amaze and inspire me!” </p> <p><em>Images: Instagram</em></p>

Body

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Toxic pollutants can build up inside our homes. Here are 8 ways to reduce the risks

<p>We know everything in our homes gathers dust. What you probably don’t know is whether there are toxic contaminants in your house dust, and where these might come from. </p> <p>Our <a href="https://doi.org/10.1016/j.envres.2022.115173">newly published research</a> found most of the dust inside homes came from outside and contains potentially toxic trace metals such as lead, arsenic and chromium. </p> <p>Worryingly, we found some contaminants can accumulate at higher concentrations inside homes than outside. This happened in homes with certain characteristics: older properties, metal construction materials enriched in zinc, recent renovations and deteriorating paint. </p> <p>Fortunately, you can take some simple steps to reduce your exposure, which we explain later.</p> <h2>What’s in house dust?</h2> <p>Our study explored the connected sources, pathways and potentially harmful exposures to trace metals at homes across Sydney. We collected and analysed 383 samples from nearby road dust (51 samples) and garden soil (166), as well as indoor dust (166).</p> <p>We found the dust in homes comes from a range of sources including outdoor environments and soil, skin, cleaning products, pet hair and cooking particles.<br />Nearly 60% of dust particles inside the homes originated from their immediate outdoor environment – it was <a href="https://theconversation.com/wearing-shoes-in-the-house-is-just-plain-gross-the-verdict-from-scientists-who-study-indoor-contaminants-177542">dirt from outside</a>! Wind, your shoes or your pets can carry in <a href="https://www.sciencedirect.com/science/article/pii/S0160412021002075?via%3Dihub">soil</a> and <a href="https://pubs.acs.org/doi/10.1021/acs.est.1c04494">dust</a>-related contaminants.</p> <p>The remaining 40% of home dust came from indoor sources. These included <a href="https://theconversation.com/microplastics-are-common-in-homes-across-29-countries-new-research-shows-whos-most-at-risk-189051">fibres from clothes, carpets and furnishings</a>, cleaning products, skin and hair.</p> <p>Some dust sources can carry a cocktail of potentially harmful contaminants including:</p> <ul> <li> <p><a href="https://doi.org/10.1016/j.envpol.2021.117064">microplastics</a></p> </li> <li> <p><a href="https://doi.org/10.1016/j.envres.2014.10.009">persistent organic pollutants</a></p> </li> <li> <p><a href="https://doi.org/10.1016/j.scitotenv.2019.05.463">perfluorinated chemicals</a> (PFAS)</p> </li> <li> <p><a href="https://doi.org/10.1016/j.envpol.2021.117593">trace metals</a></p> </li> <li> <p><a href="https://doi.org/10.3389/fenvs.2021.754657">bacterial communities</a></p> </li> <li> <p><a href="https://doi.org/10.1016/j.envint.2021.106501">antimicrobial resistance genes</a>. </p> </li> </ul> <p>The nature of the risk is related to how much of the contaminant you’re exposed to and for how long. The risks are greatest in children under the age of five. This is because they are small, closer to the floor and have frequent hand-mouth contact, which increases ingestion of contaminants.</p> <h2>How do contaminants build up in homes?</h2> <p>Industrial activity has left a marked legacy of contaminants in many city neighbourhoods. We analysed road dust, garden soil and vacuum dust samples from 166 homes in Sydney to see how this risk translated to inside homes. We used high-magnification microscopy and <a href="https://www.climate-policy-watcher.org/earth-sciences/lead-isotopes-as-tools-for-source-identification.html">lead isotopic ratios</a> to understand trace metal composition in the samples. </p> <p>On average, concentrations of trace metals arsenic, chromium, copper, manganese, lead and zinc were all higher inside homes than outside. This means homes are not only “accumulators” of trace metal contaminants but also important sources of a significant proportion of harmful contaminants that we can be exposed to. </p> <p>The lead isotopic ratios, or the lead “fingerprints”, of each home and its garden soil matched. This confirms the soil is the main source of lead inside homes. </p> <p>Most of this lead is the result of the pre-1970s use of high concentrations of lead in <a href="https://www.dcceew.gov.au/environment/protection/chemicals-management/lead/lead-in-house-paint">paints</a> and <a href="http://dx.doi.org/10.1016/j.apgeochem.2017.02.007">petrol</a>, which contaminated many garden soils. Even <a href="https://theconversation.com/why-lead-is-dangerous-and-the-damage-it-does-116506">low levels of lead exposure</a> can be harmful. Lead levels in some <a href="https://theconversation.com/elevated-lead-levels-in-sydney-back-yards-heres-what-you-can-do-68499">Sydney backyards</a> pose a risk for <a href="https://doi.org/10.1016/j.dib.2021.107151">urban veggie growers</a> and <a href="https://theconversation.com/backyard-hens-eggs-contain-40-times-more-lead-on-averagethan-shop-eggs-research-finds-187442">backyard chickens and their eggs</a>.</p> <p>High-magnification images of house dust showed mineral particles that have been blown in or tracked in on shoes. The rest of the dust was elongated fibres and hair from indoor sources.</p> <h2>Which homes are most at risk?</h2> <p>We also collected information about each house, relevant activities and renovations at the property. We found house age, proximity to the city centre and renovations had the greatest influence on levels of lead and other trace metals in the home. </p> <p>All homes more than 50 years old had higher concentrations of arsenic, copper, lead and zinc in their garden soil and house dust. They are typically <a href="https://iupui-earth-science.shinyapps.io/MME_Sydney/">located closer to city centres</a>, where early industrial activity has contaminated soils. </p> <p>As older homes in former industrial areas are renovated, trace metal loads in these homes and gardens can increase. Walls and ceilings contain decades of dust. Old paint buried under more recent layers can also be released, causing <a href="https://www.abc.net.au/radionational/programs/backgroundbriefing/3983094">lead exposure risks</a>. </p> <p>It is critical that home renovators take appropriate remediation steps or <a href="https://painters.edu.au/Training-Courses/CPCCPD3031-Work-safely-with-lead-painted-surfaces-in-the-painting-industry.htm">employ a qualified paint professional</a> so lead dust isn’t spread across the area.</p> <h2>8 ways to reduce your risk</h2> <p>We spend about <a href="https://escholarship.org/uc/item/1zg3q68x#main">70% of our time at home</a>, which the pandemic has increased. Understanding the environmental <a href="https://www.cdc.gov/niosh/topics/exposome/default.html">conditions and contaminants we encounter</a>and their effects on our health is more important than ever. </p> <p>Armed with this knowledge, though, you can take some simple steps to reduce your exposure to contaminants in your home and garden:</p> <ol> <li> <p>regularly vacuum carpeted areas with a good vacuum cleaner fitted with a <a href="https://www2.education.vic.gov.au/pal/ventilation-air-purification/print-all">HEPA filter</a></p> </li> <li> <p>wet mop and wet dust hard surfaces</p> </li> <li> <p>mulch areas of exposed soil in your garden</p> </li> <li> <p>use a quality doormat and wash it regularly, which can roughly <a href="https://nrl.northumbria.ac.uk/id/eprint/51148/1/Manuscript_File_Global_Pb_Modeling_Final_clean_1%20%281%29.pdf">halve the amount of lead</a> in your home within three months</p> </li> <li> <p>leave your shoes at the door as they can <a href="https://theconversation.com/wearing-shoes-in-the-house-is-just-plain-gross-the-verdict-from-scientists-who-study-indoor-contaminants-177542">bring all sorts of nasties into the home</a></p> </li> <li> <p>wash your hands and your veggies thoroughly </p> </li> <li> <p>close windows on windy days</p> </li> <li> <p>when renovating, use dust-mitigation strategies and personal protective equipment (PPE).</p> </li> </ol> <p>You can dig a little deeper into what’s in your own home environment by sending your soil to <a href="https://www.360dustanalysis.com/">VegeSafe Australia</a> or <a href="https://www.epa.vic.gov.au/for-community/get-involved/citizen-science-program/gardensafe">EPA Victoria’s GardenSafe</a> for analysis. If you live in the United States, Canada, United Kingdom or Australia you can also send your vacuum dust to <a href="https://www.360dustanalysis.com/">DustSafe</a> for testing. You will receive a report outlining what was in your sample, with links and advice on what to do next where necessary.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/toxic-pollutants-can-build-up-inside-our-homes-here-are-8-ways-to-reduce-the-risks-197908" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Home Hints & Tips

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Can ‘voluntourism’ outgrow the white saviour stereotype and make a positive change post-pandemic?

<p>As the tourism industry emerges from pandemic shutdowns and border closures, so too is “voluntourism”, the sometimes controversial combination of overseas volunteer work and more traditional tourist experiences.</p> <p>Although hard to measure, pre-pandemic estimates suggest voluntourism was worth <a href="https://sites.lsa.umich.edu/mje/2022/01/22/the-paradox-of-voluntourism-how-international-volunteering-impacts-host-communities/">US$2 billion annually</a>, with up to <a href="https://www.cbi.eu/market-information/tourism/save-tourism/market-potential">ten million volunteers</a> globally. While COVID shut the practice down for the duration, it remains a <a href="https://roadbook.com/opinion/negative-effects-of-voluntourism/">multi-billion-dollar industry</a>, now poised to <a href="https://www.sbs.strath.ac.uk/blogs/SBS/post.aspx?id=1420">return and rebuild</a>.</p> <p>But volunteer tourism has met with considerable criticism. Voluntourists have been accused of putting <a href="https://www.stuff.co.nz/travel/news/109983663/nz-school-students-pay-thousands-to-visit-orphanages-and-volunteer-overseas">vulnerable people at risk</a> (<a href="https://drivingchange.org/do-no-harm-the-dark-side-of-voluntourism/">including children</a>), <a href="https://tourismteacher.com/commodification-volunteer-tourism/">commodifying volunteer work</a>, perpetuating <a href="https://darbymatt.medium.com/voluntourism-is-neo-colonialism-56b6a25f6924">neo-colonialism</a> and <a href="https://www.euronews.com/travel/2022/02/21/how-white-saviour-voluntourism-gets-you-famous-on-tiktok">reinforcing</a> a “white saviour” complex.</p> <p>Voluntourism is also <a href="https://www.thenewhumanitarian.org/2021/06/14/travel-opens-again-aid-voluntourism-needs-get-real">largely unregulated</a>, raising important <a href="https://journalofethics.ama-assn.org/article/voluntourism/2019-09">ethical questions</a> about who it really aims to serve – travellers or hosts. These issues are now being felt in the Pacific, where voluntourism is a relatively new but growing industry. As <a href="https://e-tangata.co.nz/reflections/the-problem-with-white-saviours/">Simone Kaho wrote</a> of her experience in Tonga:</p> <blockquote> <p>In many cases, voluntourism asks the local community to stand back, and allow themselves to be helped. It turns helping into a business model.</p> </blockquote> <p><a href="https://blog.geographydirections.com/2019/09/03/global-encounters-voluntourism-in-fiji/">My research</a> in Fiji has also highlighted the problems associated with the commercialisation and commodification of volunteering. These are real and important issues that need close examination as tourism in general picks up.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">End voluntourism and the white saviour industrial complex <a href="https://t.co/gMHkZfTlsf">https://t.co/gMHkZfTlsf</a> via <a href="https://twitter.com/mailandguardian?ref_src=twsrc%5Etfw">@mailandguardian</a></p> <p>— NGO Watch Africa (@NGOWatchAfrica) <a href="https://twitter.com/NGOWatchAfrica/status/1582376611449491457?ref_src=twsrc%5Etfw">October 18, 2022</a></p></blockquote> <p><strong>Behind the ‘bula smile’</strong></p> <p>The Fiji case study – conducted with an international, for-profit, specialist voluntourism agency – tells a complex story about the benefits and downsides of voluntourism.</p> <p>Volunteers are hosted by local families and included in household life, attending church or religious functions, learning to cook Fijian food, and spending time with children and other family members. Through this, they gain an understanding of life behind the famous “bula” smile. As one staff member said:</p> <blockquote> <p>The host may get angry with you if you leave the light on, you may feel like you are back living with mum and dad because they may give you a lunch box, things like that. But it’s important that they see the person who is paid to smile at the Hilton, what they are like at home with their kids, how they make ends meet, how they eat.</p> </blockquote> <p>Hosts often put considerable energy into sharing their way of life and teaching volunteers Fijian culture. Most hosts and staff took pride in helping travellers find their way around and teaching them Fijian ways. In turn, this helped Fijian staff build knowledge and pride in their own culture.</p> <blockquote> <p>Also the good thing is that we keep up with our culture. Because if you are talking about it every day and you show them and try to talk about it, then the history remains […] Now when we go to the village we do the <em>sevusevu</em> [kava ceremony] and all those things, and we go with the elders. It was our mothers that did that, but now we are doing it, the next generation.</p> <p>When we have volunteers in a Fijian village we will go to any lengths to give them what they want, to try and serve them […] But of course then the volunteers change to become more Fijian!</p> </blockquote> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Are you itching to start travelling, but want to do it with care?</p> <p>Listen to this week's <a href="https://twitter.com/hashtag/WisdomWalks?src=hash&amp;ref_src=twsrc%5Etfw">#WisdomWalks</a> to discover how you can avoid traps like voluntourism and greenwashing when travelling.</p> <p>🎧 27 mins.<a href="https://t.co/f366FJcyQG">https://t.co/f366FJcyQG</a></p> <p>— Curio (@curioio) <a href="https://twitter.com/curioio/status/1587821837932797953?ref_src=twsrc%5Etfw">November 2, 2022</a></p></blockquote> <p><strong>A chance to improve voluntourism</strong></p> <p>The growth of voluntourism in Fiji follows half a century of <a href="https://medium.com/tourism-geographic/paradise-the-noble-savage-and-the-white-savior-in-fiji-7ac7e302e5ec">mass tourism</a>, in which contact between Fijians and tourists has been largely limited and manufactured. Hosts embrace the opportunity to interact with tourists more directly and to build connections across the globe.</p> <p>However, the commercial nature of the encounter has the potential to significantly undermine these connections. The large fees paid by voluntourists mean they – like any tourist – are consumers.</p> <p>Volunteers have certain expectations, ranging from the mundane (internet access, good food and logistical support) to the more profound (a sense of accomplishment, a feeling they’ve made a difference). They will complain if these expectations aren’t met.</p> <p>The pandemic also raised questions about the sustainability of voluntourism. The organisation I studied cut its global workforce significantly. In Fiji it had provided jobs for about a dozen Fijian staff, as well as home-stay income for many households.</p> <p>While there is evidence that <a href="https://theconversation.com/traditional-skills-help-people-on-the-tourism-deprived-pacific-islands-survive-the-pandemic-148987">reliance on customary knowledge, systems and practices</a> helped tourism workers to survive and even thrive during the pandemic, the future for many is uncertain.</p> <p>COVID-19 has been something of a wake-up call that we need to move beyond voluntourism as a pseudo-development practice or as a commodified, profit-making experience. This is an opportunity for the industry to take on board the criticisms, examine past practice and reassess the role and impact of volunteering.</p> <p>Rather than rush back to business as usual, this is the perfect moment to look at reconfiguring the industry in line with the principles of sustainability and <a href="https://medium.com/activate-the-future/understanding-the-opportunity-of-regenerative-tourism-894136cafd3b">regenerative tourism</a>. In the process, perhaps voluntourism’s strengths – building cross-cultural relationships, learning and solidarity – can contribute more to meaningful social and environmental change.<!-- 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/195719/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>Writen by Sharon McLennan. Republished with permission from <a href="https://theconversation.com/can-voluntourism-outgrow-the-white-saviour-stereotype-and-make-a-positive-change-post-pandemic-195719" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Image: Getty Images</em></p>

International Travel

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Explainer: why, exactly, is alcohol bad for us long-term?

<p>What, exactly, makes alcohol unhealthy?</p> <p>After a big night, the answer to this might seem obvious – or perhaps more disturbingly, not obvious at all. But even in moderation, alcohol carries longer-term health risks too.</p> <p>So what are they, and why do they happen? Cosmos investigates.</p> <h2>Why is alcohol bad for you long-term?</h2> <p>The biggest culprit is a substance called acetaldehyde.</p> <p>Alcohol – or strictly speaking, ethanol – doesn’t stay that way in the body for long. The body metabolises it and turns it into a few different compounds, mostly acetaldehyde.</p> <p>As well as causing a lot of the symptoms you’d experience during a hangover, like headaches, nausea, and facial flushing, acetaldehyde is a carcinogen.</p> <p>“Acetaldehyde is highly reactive and extremely toxic,” says Dr Leon Booth, a research fellow at the George Institute for Global Health in Sydney.</p> <p>“It binds to different proteins, or to DNA, and it can impair enzyme and cell functions.</p> <p>“Essentially, because it’s so reactive, it increases the risk of cell mutations and therefore increases the risk of a cancer developing.”</p> <p>Globally, around 4% of cancers can be attributed to alcohol. The Lancet estimates that in 2020, there were 741,300 new cancers around the world that came from alcohol consumption.</p> <p>“A lot of them are in the digestive tract, which kind of intuitively makes sense, because that’s where the alcohol is coming into contact with the body,” says Booth.</p> <p>“So there’s an increased risk of cancer in the throat, mouth, oesophagus, liver, in the colon and for females, quite an increased risk for breast cancer.”</p> <p>One study estimates that a bottle of wine per week is roughly the equivalent of smoking 10 cigarettes per week for women, or five cigarettes per week for men.</p> <p>Acetaldehyde doesn’t stay in your body forever: an enzyme called acetaldehyde dehydrogenase, or ALDH, turns it into largely harmless acetic acid, and then eventually on to carbon dioxide and water.</p> <p>But here’s where genetics can play a role in your susceptibility too: some people have a genetic mutation that makes their ALDH enzymes less effective.</p> <p>This gene is particularly common among people of East Asian descent, which is why some East Asian people flush red after only a small drink. Unfortunately, there’s evidence that people with this gene are also more susceptible to cancer.</p> <p>“In studies of Asian populations, they seem to have a much greater risk of getting cancer from alcohol,” says Booth.</p> <p>While cancer and acetaldehyde draw the most attention, alcohol can have other long-term effects too – like high blood pressure and increased risk of strokes.</p> <p>“If you drink heavily and consistently, you get scarring in the liver – cirrhosis, which is also linked to an increased risk of cancers in the liver,” says Booth.</p> <p>Alcohol can also interfere with hormones, causing poorer sleep or – once again – a higher risk of cancer.</p> <p>It’s also linked to mental health issues, like anxiety and depression, but Booth says this can be a “chicken-and-egg situation”.</p> <p>“There’s a lot of literature to suggest that people with mental health issues drink to help cope. But unfortunately, it tends to make things worse.”</p> <p>All in all, not a great wrap. Is there any good news?</p> <h2>Isn’t low or moderate drinking a little bit good for you?</h2> <p>We’ve all seen – and Cosmos has published – headlines about low and moderate drinkers (around 10 or fewer standard drinks per week) doing better in some health metrics, particularly heart disease.</p> <p>Does this really mean that regular low-moderate drinking might be better than not drinking at all?</p> <p>“Long story short, I think the jury’s probably still out on that one,” says Booth.</p> <p>The trick is that a lot of non-drinkers avoid alcohol for health reasons. This is called the “sick quitter” effect.</p> <p>If you develop a health condition, or discover you’re at an increased risk of something like heart disease, often one of the first things a doctor will recommend is that you stop drinking.</p> <p>“What that means is, sometimes when you do these big population studies, the people who don’t drink alcohol can look less healthy than the people who do drink alcohol,” says Booth.</p> <p>While many of these studies have tried to control for the sick quitter effect, and still produced some compelling evidence that low or moderate drinking helps, other studies have found the opposite.</p> <p>“My overall opinion would be that it’s just a bit too early to know, and to really understand that relationship,” says Booth.</p> <p>“And even in those studies, once you get beyond that moderate consumption, alcohol does seem to be really detrimental to cardiovascular health.”</p> <p>So, for now – other than the benefit you get from spending a night at the pub in good company – you probably can’t claim alcohol’s improving your health. We’re as sorry about this as you are.</p> <p><strong>This article originally appeared in <a href="https://cosmosmagazine.com/health/explainer-alcohol-health/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Ellen Phiddian.</strong></p> <p><em>Image: Shutterstock</em></p>

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Mother dies in her sleep just hours after testing positive to Covid

<p>A family in Sydney have bene left devastated after a mother-of-two died in her sleep just hours after testing positive to Covid. </p> <p>Melaine Leffler was only experiencing minor symptoms of the virus, such as a stuffy nose and are throat, when she tested positive after taking a rapid antigen test.</p> <p>The healthcare worker had received four vaccinations, and was "feeling fine" when she said goodnight to her family on November 19th. </p> <p>Her husband Mick Hogan and their daughters Clemmie, 4, and Lottie, 9 months, had no idea it would be last time they would speak to her, as the 39-year-old mum died in her sleep that night. </p> <p>Her sudden death left her family reeling, as her husband shared the news of her passing on Facebook. </p> <p>“It is with great sadness and a heavy heart that I have to announce to you this way though social media,” Mick wrote.</p> <p>“My loving wife and the mother of 2 beautiful children, Mel Leffler, sadly passed away in her sleep this morning."</p> <p>“She tested positive for Covid last night with a rat test, but only had a runny nose and slightly sore throat. Other than that she was feeling fine.”</p> <p>Melanie’s father Wayne described his daughter as “beautiful, intelligent and loving” person, adding that he and her mother Roz were “deeply shocked and saddened” by her death.</p> <p>“Roz and I lost our beautiful, intelligent and loving 39 y.o. daughter, Mel, overnight,” he wrote in a poignant Facebook post.</p> <p>“To say we’re shocked and deeply saddened would be an understatement. Suddenly, nothing else matters in life other than ensuring the support and wellbeing of Mick and our 2 beautiful granddaughters."</p> <p>“No child should ever pre-decease their parents. It’s just not right."</p> <p>“I awoke hoping Mel’s passing was just a bad dream. I’ve never felt so low. We’re devastated – things will never be the same.”</p> <p>Melanie’s cause of death is yet to be confirmed by a coroner’s report, but her brother Kris Leffler firmly believes it was heart-related.</p> <p>He also revealed that Melanie was inspired to study medical science after a bout of Wilms’ tumour – a rare kidney cancer that primarily affects children – left her with just one kidney.</p> <p>A <a title="www.gofundme.com" href="https://www.gofundme.com/f/Support-Mick-and-his-beautiful-girls?qid=9ed7dd72fb7bcc06a9e07907ace02451" target="_blank" rel="noopener">GoFundMe</a> has been set up to financially support widower Mick and his two daughters, with the page stating “Mel’s beautiful soul will forever live on in her two darling girls”.</p> <p><em>Image credits: GoFundMe / Facebook</em></p>

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800 Covid-positive cruise goers disembark at Sydney

<p dir="ltr">Approximately 800 people who have tested positive to COVID-19 disembarked from the cruise ship Majestic Princess in Sydney over the weekend.</p> <p dir="ltr">The 4,400 passengers and crew disembarked at the end of a 12-night round-trip to New Zealand, with passengers who tested positive instructed not to take public transport after departing Sydney’s Circular Quay.</p> <p dir="ltr">In a statement, operator Carnival Cruise Line said that the positive cases - around 20 percent of the ship’s population - were kept separate from those who tested negative while disembarking.</p> <p dir="ltr">"All guests disembarking have undertaken a rapid antigen test in the past 24 hours, which will determine how they will disembark the ship,” the statement said.</p> <p dir="ltr">Carnival Australia president Marguerite Fitzgerald said at a press conference on Saturday that cases of Covid began to rise about halfway through the trip and that everyone who tested positive were asymptomatic or experiencing mild symptoms.</p> <p dir="ltr">In a statement shared with <em><a href="https://www.9news.com.au/national/majestic-princess-cruise-covid-coronavirus-docks-in-sydney/ea034a4c-9a10-42ed-a9e5-d720f0dddf71" target="_blank" rel="noopener">9News</a></em>, Princess Cruises Senior Vice President Stuart Allison said staff were also assisting those who tested positive to find accommodations to help them continue to isolate.</p> <p dir="ltr">Fitzgerald told <em><a href="https://www.cnn.com/2022/11/13/australia/australia-covid-majestic-princess-cruise-passengers-intl-hnk/index.html" target="_blank" rel="noopener">CNN</a></em> that the cruise line has been using “the most rigorous and strict measures which go well above current guidelines”, with staff and passengers being tested for Covid before boarding and a requirement for 95 percent of guests over the age of 12 to be vaccinated.</p> <p dir="ltr">She said that the more than 50 voyages made by Carnival Australia and over 100,000 guests onboard have been “unimpacted by Covid”.</p> <p dir="ltr">“However, the emergence of COVID in the community has meant we have seen a rise in positive cases on the last three voyages,” she added.</p> <p dir="ltr">The Majestic Princess has since travelled to Melbourne with 220 people from the original cruise, per <em><a href="https://www.sbs.com.au/news/article/cruise-ship-carrying-800-covid-positive-passengers-docks-in-sydney/pf4suhrn6" target="_blank" rel="noopener">SBS News</a></em>.</p> <p dir="ltr">In response to the news, many have taken to social media to share their thoughts, with some questioning why it was happening again after the Ruby Princess allowed Covid-positive passengers to disembark in Sydney in March 2020.</p> <p dir="ltr">“Didn’t… didn’t we already do this?” one person <a href="https://twitter.com/AndrewPStreet/status/1591024965045800962?s=20&amp;t=pkMBODwCjEj2M4w43AVkkg" target="_blank" rel="noopener">tweeted</a>.</p> <p dir="ltr">“Back to square one. That’s how it started,” another <a href="https://twitter.com/DarcyAmaroo/status/1591166905435721729" target="_blank" rel="noopener">wrote</a>.</p> <p dir="ltr">“Why would you still go on a crowded cruise ship with Covid still spreading through the population?”</p> <p dir="ltr">“As the Majestic Princess saga unfolds, it seems not just Covid is in the Circular Quay air, but also a real sense of déjà poo - the feeling that sh*t has happened before,” a third <a href="https://twitter.com/sahar_adatia/status/1591325017421541376" target="_blank" rel="noopener">wrote</a>.</p> <p dir="ltr">The news comes as Australia begins to experience a fourth wave of Covid, with <em><a href="https://www.theguardian.com/australia-news/2022/nov/11/covid-19-case-numbers-exploding-across-australia-as-fourth-wave-takes-off" target="_blank" rel="noopener">The Guardian</a></em> reporting that 58,000 cases have been recorded across the country in the past week.</p> <p dir="ltr">The Queensland government has moved the state to an “amber alert” in response to the uptick in cases, while NSW chief health officer Kerry Chant said the wave is expected to peak before Christmas.</p> <p dir="ltr">“The wave is taking off with some trajectory, it will be quite a steep wave and hopefully the decline will be equally as steep,” she said on Friday.</p> <p dir="ltr">“There is a sense that the wave may well peak before Christmas and we may be on the decline [by then].</p> <p dir="ltr">“But the message is clear … this is an increased risk period for Covid, so please, now is the time to take those protective behaviours.”</p> <p dir="ltr">Meanwhile, New Zealand has reported 21,595 community cases of the virus in the past week, with computational biologist Dr David Welch telling the <a href="https://www.nzherald.co.nz/nz/covid-19-health-officials-to-provide-weekly-update-on-cases/VKB7XS4BIVCIBK7GL3BVEDM43M/">NZ Herald</a> that the country may be “at or near a peak” in cases.</p> <p><span id="docs-internal-guid-b9f7e5dd-7fff-87d1-9683-376d52d18481"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

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What position should I sleep in, and is there a ‘right’ way to sleep?

<p>After 50 years of research, eminent Stanford University sleep researcher William Dement reportedly <a href="https://www.physoc.org/magazine-articles/book-review-why-we-sleep-by-matthew-walker/" target="_blank" rel="noopener">said</a> the only solid explanation he knows for why we sleep is “because we get sleepy”.</p> <p>Even though sleep may be, as one researcher <a href="https://www.nationalgeographic.com/science/article/to-discover-the-point-of-sleep-scientists-breed-flies-that-nod-off-on-demand" target="_blank" rel="noopener">put</a> it, “the only major behaviour in search of a function”, it clearly does <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434546" target="_blank" rel="noopener">matter</a> for our health and wellbeing.</p> <p>But are we doing it right? What does the research say about sleeping position?</p> <h2>Is there a correct position to sleep in?</h2> <p>Most people <a href="https://nsuworks.nova.edu/ijahsp/vol2/iss1/7/" target="_blank" rel="noopener">prefer</a> to sleep on their <a href="https://doi.org/10.2147/NSS.S145777" target="_blank" rel="noopener">side</a>. This is good to hear, as those who lie on their backs are more likely to be <a href="https://doi.org/10.1093/sleep/6.1.52" target="_blank" rel="noopener">poor sleepers</a> or have <a href="https://doi.org/10.1378/chest.118.4.1018" target="_blank" rel="noopener">breathing difficulties</a> during the night.</p> <p>In most cases, we tend to move around quite a lot during the night. <a href="https://doi.org/10.2147/NSS.S145777" target="_blank" rel="noopener">One study</a> of 664 sleepers found, on average, that participants spent about 54% of their time in bed sleeping on their side, about 37% on their back, and about 7% on their front.</p> <p>Males (especially those aged under 35) tend to be most restless, with <a href="https://doi.org/10.2147/NSS.S145777" target="_blank" rel="noopener">more</a> position shifts, and arm, thigh, and upper-back movements during the night.</p> <p>This may not be a bad thing, as allowing your body to move during the night is generally a good idea.</p> <p>During sleep, your body will keep track of any pain or discomfort and adjust position accordingly. This is why we usually avoid developing <a href="https://journals.sagepub.com/doi/10.1177/15347346221081603" target="_blank" rel="noopener">bedsores</a> (or pressure ulcers) in everyday life.</p> <p>If you find you can’t move because your partner (or dog) is taking up too much room in the bed, consider switching sides or getting a larger bed.</p> <p>And don’t tuck yourself in too tightly; give yourself some room to move around on either side.</p> <p>Being comfortable is key. There is <a href="https://www.oarsijournal.com/article/S1063-4584(19)30543-6/fulltext" target="_blank" rel="noopener">no quality research</a> providing clear evidence for an “optimal sleep position”. Your age, weight, environment, activities and whether you’re pregnant, all <a href="https://academic.oup.com/sleep/article/15/2/143/2742862" target="_blank" rel="noopener">play a role</a> in which sleep position is best for your body.</p> <p>Ideally, we can find a position that helps us get a good night’s sleep, and one that avoids us waking up in any pain.</p> <p>Even with our chosen position, some layouts are better than others. In one <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260582" target="_blank" rel="noopener">study</a>, people who rested in a position where there is a rotation of the spine (such as the unsupported side position), woke up with more pain in the morning.</p> <p>Nonetheless, although some forms of side-sleeping may cause a bit of load on the spine, it appears the side positions, in general, are still better than the <a href="https://nsuworks.nova.edu/ijahsp/vol5/iss1/6/" target="_blank" rel="noopener">other options</a>.</p> <h2>What pillow should I choose?</h2> <p>Choosing the right pillow is vital for a good night’s sleep.</p> <p>A lack of support for the head and neck during sleep has been found to severely impact <a href="https://theconversation.com/whats-a-t7-vertebra-and-what-happens-when-you-injure-it-2-experts-explain-156947" target="_blank" rel="noopener">spine</a> alignment, and cause <a href="https://www.clinbiomech.com/article/S0268-0033(21)00083-8/fulltext" target="_blank" rel="noopener">muscle problems</a> such as neck pain, shoulder pain and <a href="https://www.youtube.com/watch?v=ZqwGTso2Wmc" target="_blank" rel="noopener">muscle stiffness</a>.</p> <p>Promisingly, the pillow <a href="https://doi.org/10.1016/j.clinbiomech.2021.105353" target="_blank" rel="noopener">material</a> does not appear to affect the spine. Instead, the shape and the height is what matters. A U-shaped pillow may help you have a <a href="https://www.sciencedirect.com/science/article/abs/pii/S0003687015300338" target="_blank" rel="noopener">longer night’s sleep</a>, and a roll-shaped pillow can reduce morning pain and bedtime pain in those suffering from <a href="https://pubmed.ncbi.nlm.nih.gov/9502063/" target="_blank" rel="noopener">chronic pain</a>.</p> <p>Unfortunately, science has not given us an answer on what is the <a href="https://www.oarsijournal.com/article/S1063-4584(19)30543-6/fulltext" target="_blank" rel="noopener">optimal mattress</a>. With everyone sleeping differently, this would be hard to compare over the long term.</p> <p>However, there are bad mattresses. If your bed is sagging, has lost its firmness, develops noisy springs, or shows clear signs of wear and tear, consider changing your mattress.</p> <p>Rotating the mattress can help with its longevity and improve comfort. This should be done <a href="https://www.sleepfoundation.org/mattress-information/should-you-flip-or-rotate-your-mattress" target="_blank" rel="noopener">at least</a> one to two times per year.</p> <h2>Other tips for a restful night’s sleep</h2> <p>Set a cooler room temperature. The ideal temperature for sleep is <a href="https://www.sleepfoundation.org/bedroom-environment/best-temperature-for-sleep" target="_blank" rel="noopener">18.3℃</a> (ranging between 15-19℃); <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446217/" target="_blank" rel="noopener">higher temperatures</a> can affect sleep.</p> <p>Allow some airflow in the room. Besides bringing nice, fresh air, it also clears away any accumulated heat, keeping us nice and <a href="https://link.springer.com/article/10.1007/s00484-007-0120-9" target="_blank" rel="noopener">cool</a> during the night.</p> <p>Some medications, such as certain types of <a href="https://www.frontiersin.org/articles/10.3389/fphys.2022.841181/full" target="_blank" rel="noopener">antihistamines</a>, may make it easier to get to sleep. On the other hand, stimulants such as caffeine can drastically affect the <a href="https://pubmed.ncbi.nlm.nih.gov/27527212/" target="_blank" rel="noopener">quality</a> of your sleep.</p> <p>Finally, be sure not to go to bed with a full bladder, as having to get up at night to <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/nau.24839" target="_blank" rel="noopener">wee</a> can impact sleep.</p> <p><strong>This article originally appeared on <a href="https://theconversation.com/what-position-should-i-sleep-in-and-is-there-a-right-way-to-sleep-189873" target="_blank" rel="noopener">The Conversation</a>. </strong></p> <p><em>Image: Shutterstock</em></p>

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