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4 ways to avoid foot pain when travelling

<p>Whether it’s caused by a hectic day of sightseeing or a mad rush through the airports, there’s nothing quite as annoying as foot pain when you’re on holidays. And when you consider how easy it is to avoid (so long as you take the correct preventative measures) you’ll feeling like kicking yourself for putting up with it for all these years.</p> <p>Here are four ways to avoid foot pain when travelling.</p> <p><strong>1. Choosing the right pair of shoes  </strong></p> <p>Out of all the fashion statements, shoes are probably responsible for more chronic foot pain than anything else. So make sure you choose the right pair of shoes for your trip. For example, if you’re going to be walking around all day sightseeing it might be an idea to ditch the stiletto heels for a pair of joggers (even if they’re not quite so aesthetically pleasing).</p> <p>Dr Robert Mathews from Cremorne Medical in NSW says, “I recommend wearing supportive shoe such as running shoes. If you want to wear something more stylish then consider buying some gel insoles to slip in your shoes, you can get a wide variety of these from your local chemist.“</p> <p><strong>2. Manage your feet on flights</strong></p> <p>Foot swelling can become quite a big problem on long haul flight, so managing your feet becomes crucial. Simple, preventative measures anyone can take, like wearing support stocks, standing up every so often to move around or even just flexing your feet and wriggling your toes, can make a big difference and greatly reduce the chance of swelling.</p> <p><strong>3. Slip, slop and slap</strong></p> <p>So many island holidays have been soured by the blistering pain of sunburnt feet. If you’re staying at a resort or near a beach and your feet are exposed, don’t forget to apply sunscreen everywhere. Otherwise you’re going to want to have some aloe vera gel handy!</p> <p><strong>4. Take time to rest</strong></p> <p>While you’re probably in a mad rush to see everything, fear of missing out can put significant strain on your feet. So make sure you set aside plenty of time every day to put your feet up and rest. It also might be worth considering some extra pampering, like a foot bath or even a half hour massage. You are on holidays after all, so why not treat yourself!</p> <p>Dr Matthews adds, “It may also be worth taking with you some thick band aids in case you develop any blisters from long walks.”</p> <p><em>Image credits: Shutterstock</em></p>

Travel Tips

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Two lifesaving heart medicines added to the PBS

<p>Two lifesaving heart medicines have been added to the Pharmaceutical Benefits Scheme (PBS).</p> <p>Previous treatments for the two kinds of heart disorder cardiomyopathy, which affect around 4800 Australians, previously cost patients up to $122,000.</p> <p>Now, with the addition of it to the PBS, patients will only have to pay $31.60 per script, or just $7.70 with a concession card.</p> <p>One of the medications added to the list is Tafamadis (also known as Vyndamax), which is used to treat transthyretin amyloid cardiomyopathy - a rare heart disease that can present as shortness of breath and fatigue.</p> <p>The newly listed treatment slows the progression of the disease and prevents the build-up of thickened heart muscles, and is the most expensive medication costing patients around $122,000 for a year of treatment without the government subsidy. </p> <p>Camzyos, the treatment for hypertrophic cardiomyopathy, which affects around 3600 Australians and previously cost around $30,000 per year of treatment, will also be subsidised.</p> <p>"It's vitally important that Australians have ready and affordable access to the latest treatments," Federal Health Minister Mark Butler said.</p> <p>"By listing Vyndamax and Camzyos on the PBS we're giving patients and their doctors new options for treatment at an affordable price.</p> <p>"It's part of the Albanese Government's commitment to keep medicines cheaper for Australians."</p> <p><em>Image: Nine</em></p>

Caring

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5 ways to avoid going overboard on a cruise

<p>Falling overboard is the stuff of cruising nightmares (and it happens surprisingly more frequently than you might think. Just this year we’ve brought you two stories about passengers falling overboard, but this fishy fate is by no means unavoidable.</p> <p>Here are five ways to ensure you keep your feet dry.</p> <p><strong>1. Limit your alcohol intake</strong></p> <p>If the prices weren’t enough of a reason to go easy on the sauce on your cruise, perhaps the risk of tipping over the balcony will persuade you. Think of it this way – the effect of alcohol on a cruise is the same as the effect of alcohol on dry land, but when you’re on a cruise you’re travelling through sometimes heavy seas at about 20 knots.</p> <p><strong>2. Stay in your room during inclement weather</strong></p> <p>If your ship is sailing into dicey conditions, you’re better off keeping to your quarters. You never know how a cruise liner is going to stand up to the ocean’s wrath, and even if you want a good view of Mother Nature’s nasty side, you’re safer below deck. </p> <p><strong>3. Keep clear of dark corners</strong></p> <p>It’s not a very pleasant thing to think about, but when there are 4,000 passengers on a cruise they’re not all going to be good eggs. Be aware of your surroundings, just as you would be on land, and be sure to report any suspicious activity to a crew member.</p> <p><strong>4. Pay attention during the practice drills</strong></p> <p>Even if you’ve been on 20 cruises it’s a good idea to pay attention during the practice drills. This will reinforce what you need to do in an event of an emergency, and might just save your life (or someone else’s by knowing where to find the safety gear).</p> <p><strong>5. Don’t re-enact the <em>Titanic</em> scene</strong></p> <p>Because going overboard will make you look like anything but, “The king of the world.”</p> <p>Have you ever been on a cruise? Did you ever feel unsafe at any point? Let us know in the comments below, we’d love to hear from you.</p> <p><em>Image credits: Getty Images </em></p>

Cruising

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Best friends on the way to a wedding identified in fatal crash

<p>The best friends who were on their way to a wedding when they were struck in a fatal crash in Brisbane have been identified. </p> <p>Lily Galbraith, 24, and Emma McLean, 23, were travelling in a silver sedan through the Legacy Way tunnel on Wednesday at 3pm when they were hit by a black Audi. </p> <p>Ms Galbraith, a South Australian nurse who was originally from the Northern Territory, died in the crash, while Ms McLean is still fighting for her life in hospital after suffering critical injuries. </p> <p>The driver of the Audi, who also died in the crash, has been identified as former police officer Bruce Daley. </p> <p>After the Audi collided with the sedan, police believe the impact of the crash then pushed the sedan into a small truck, causing serious injuries to the driver of the truck.</p> <p>Mr Daley, who was medically retired from the Queensland Police Service in December 2014, had posted online about relationship struggles and loneliness over several years.</p> <p>Inspector Hansel said speed would be a “focus” of the investigation, with claims the Audi hit speeds of up to 200km/h before the crash.</p> <p>The Nurses and Midwives Memorial Page Australia paid tribute to Ms Galbraith on Thursday. </p> <p>“Rest in peace, Lily. Thank you for your service. Condolences to your family, friends and colleagues,” the post read.</p> <p>“All the very best for Emma and sending love to her family as they wait to see how her progress is. We are also thinking of the bride, groom and any wedding guests also mourning.”</p> <p><em>Image credits: Instagram / Facebook</em></p>

Caring

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Two men charged over felling of iconic Sycamore Gap tree

<p>Two men have been charged with cutting down the iconic Sycamore Gap tree in northern England. </p> <p>Daniel Graham, 38, and Adam Carruthers, 31, were charged with causing criminal damage to the tree and damaging Hadrian’s Wall, which was built by Emperor Hadrian in AD 122 to guard the north-west frontier of the Roman Empire.</p> <p>The Crown Prosecution Service (CPS) added that they will appear in the Newcastle Magistrates Court on May 15.</p> <p>“There has been an ongoing investigation since the Sycamore Gap tree was cut down," <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">said </span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Detective Chief Inspector Rebecca Fenney, the Senior Investigation Officer on the case. </span></p> <p>“As a result of those inquiries, two men have now been charged.</p> <p>“We recognise the strength of feeling in the local community and further afield the felling has caused, however we would remind people to avoid speculation, including online, which could impact the ongoing case.”</p> <p>According to <em>The Sun</em>, the two men were arrested back in October and released on bail. </p> <p>The iconic tree became internationally famous when it was used for a scene in Kevin Costner's 1991 blockbuster film <em>Robin Hood: Prince of Thieves. </em></p> <p>The felling caused widespread <a href="https://www.oversixty.com.au/finance/legal/you-can-t-forgive-that-teen-arrested-after-felling-of-iconic-200-year-old-tree" target="_blank" rel="noopener">outrage</a> at the time, as police tried to find the culprit behind the "deliberate" act of vandalism. </p> <p>Efforts are currently underway to see if the tree can be regrown from the sycamore's stump, with The National Trust hoping that a third of the seeds and cuttings it collected from the tree could be planted later on. </p> <p><em>Image: Getty</em></p> <p> </p>

Travel Trouble

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Kochie reveals the simple way to halve your grocery bill

<p>David Koch has revealed the simple trick to help you save big bucks at the supermarket as the cost of living crisis continues to hit hard. </p> <p>Kochie, who is the Compare the Market's economic director, calculated that Aussies can save up to $100 per trip to the grocery shop by making the switch to home brands. </p> <p>According to research of major Australian supermarkets, the average household can save big bucks by choosing not to buy well-known brands, which can lead to a saving of $5,000 per year. </p> <p>"So, when you're doing your supermarket shop, what's in a brand name? Well, let me tell you - plenty," Kochie said in a video posted to the Compare the Market Instagram account. </p> <p>"You are paying plenty more for that loyalty to a brand that you love."</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/C57UwVrvSZ5/?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/C57UwVrvSZ5/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Compare the Market AU (@comparethemarket_aus)</a></p> </div> </blockquote> <p>Compare the Market took to a major supermarket and bought 25 items from big name brands, and another 25 similar items from a challenger supermarket selling cheaper home brands.</p> <p>Based on substituting big-brand products for lesser-known labels, grocery bills would fall from $201.19 a week to $103.51, taking the weekly saving up to $97.68.</p> <p>"Now, multiply that weekly shop over a whole year and that's a saving of over $5,000."</p> <p>"Almost three return economy airfares to London."</p> <p>Everyday Aussies are continuing to struggle with the rising cost of groceries, with the price of bread and cereal increasing by 7.3 per cent in the year to March, an official monthly measure of inflation showed. </p> <p><em>Image credits: Instagram </em></p>

Money & Banking

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"There's no way": Man receives $52 billion tax bill

<p>An American man has been left confused after receiving a letter from the government claiming he owed $52 billion in unpaid taxes. </p> <p>Barry Tangert got two letters in the mail from the state of Pennsylvania, opening the first to find a refund check from the federal government for over $900.</p> <p>His joy was short-lived though as he opened the second letter to find the income billing notice from the Pennsylvania Department of Revenue claiming that he owed a jaw-dropping $52,950,744,735.28 ($34,576,826,561.47 AUD).</p> <p>“I knew it was an obvious blunder. I don’t even make over $100,000 a year, so there’s no way I could owe anywhere near that,” Barry Tangert told local outlet <em>News 8</em>.</p> <p>The total sum was so large it didn’t even fit on a single line on the document.</p> <p>Tangert immediately knew it was a mistake, with the astonishing number being more than triple the $11 billion America’s richest man Elon Musk says he owed the government in 2022.</p> <p>How the error made it all the way to his doorstep is still a mystery to Tangert.</p> <p>“I don’t know if it was a computer glitch in the transmission or if it was an input error from my tax preparer,” Tangert said, noting that his tax preparer filed an amendment after noticing an error on his 2022 return.</p> <p>He reached out to the Pennsylvania Department of Revenue’s customer service line, which also provided little help to the baffled man.</p> <p>“The first thing he said was, ‘You had a good year.’ And I said, ‘I wish,’” Tangert said.</p> <p>Fortunately, the state department has since resolved the issue, which it chalked up to wrong numbers simply being put into the system.</p> <p><em>Image credits: WGAL News 8</em></p> <p> </p>

Money & Banking

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Two-up, Gallipoli and the ‘fair go’: why illegal gambling is at the heart of the Anzac myth

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/bruce-moore-291912">Bruce Moore</a>, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a></em></p> <p>Two-up is an Australian gambling game in which two coins are placed on a small piece of wood called a “kip” and tossed into the air. Bets are laid as to whether both coins will fall with heads or tails uppermost. It is one of the core activities of Anzac Day celebrations - and a beloved tradition.</p> <p>The word <a href="https://www.britannica.com/topic/ANZAC">ANZAC</a> was created in 1915 as an acronym from Australian and New Zealand Army Corps. By 1916 it was being used emblematically to reflect the traditional view of the virtues displayed by those in the <a href="https://www.britannica.com/event/Gallipoli-Campaign">Gallipoli campaign</a>, especially as these are seen as national characteristics. This cluster of national characteristics includes mateship, larrikin daredevilry, anti-authoritarianism, and egalitarianism.</p> <p>The game of two-up became indicative of these qualities. Mateship was evident in the way the game brought together people of disparate backgrounds. Larrikinism was evident in the defiant rejection of authority and convention.</p> <p>Two-up was always illegal, because the game is an unregulated form of gambling (although from the 1980s it became legal in most Australian states on Anzac Day). But in spite of the illegality, it was widely regarded as the fairest of gambling games, and at the time of the First World War the verbal command for the coins to be spun was not “come in spinner” (as it is now) but “fair go”. Indeed, the important Australian concept of the “fair go” was in part cemented by its role in the game.</p> <p>Two-up was the common pastime of the urban working-class man, and it feeds into the elements of egalitarianism and anti-authoritarianism that are central to both the Anzac myth and the Australian myth.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=466&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=466&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=466&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=585&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=585&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/458543/original/file-20220419-17-6mgarp.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=585&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Two original 1915 Australian pennies in a kip from which they are tossed.</span> <span class="attribution"><span class="source">Roland Scheicher/ Wikimedia</span></span></figcaption></figure> <h2>Two-up and wartime life</h2> <p>From the very early period of the First World War, two-up assumed great importance among the Australian troops. Soldiers reported that two-up was played on the battlefield during the Gallipoli campaign, even when under shellfire. As the war dragged on, numerous stories were told about Australian soldiers’ obsession with playing it.</p> <p>In 1918 the <a href="https://www.awm.gov.au/collection/P10676229">war correspondent Charles Bean</a> studied the daily life of a company of Australian soldiers stationed at a brewery in Querrieu in northern France.</p> <p>He places great emphasis on two-up, writing in his diary in 1918: "Two-up’ is the universal pastime of the men. … It is a game which starts in any quarter of an hour’s interval or lasts the whole afternoon. The side road outside becomes every evening a perfect country fair with groups playing these games in it - a big crowd of 70 or 80 at the bottom the street, in the middle of the road; a smaller crowd of perhaps twenty on a doorstep further up. … The game is supposed to be illegal, I think; but at any rate in this company they wink at it."</p> <p>Two-up was important not just in taking soldiers’ minds off the realities of the war, but also in creating a strong sense of community. Photographs from the war that show the men playing two-up reveal how it brought them together physically in a communal activity.</p> <p>This helps explains why men, who in civilian life may have had little or no interest in gambling, joined in the camaraderie and fun of the two-up fair, and by so doing blotted out the boredom, isolation, and loneliness of much wartime experience.</p> <h2>Anzac Day and tradition</h2> <p>Playing two-up became an integral part of the diggers’ memories of the experience of war, especially when commemorated on Anzac Day. By the 1930s the playing of two-up outdoors after the Anzac Day march had become an entrenched tradition.</p> <p>As the ranks of diggers from the two world wars declined, so the structure of Anzac Day changed in emphasis. In recent years the Dawn Service has increased greatly in popularity, while the Anzac Day march has <a href="https://www.abc.net.au/news/2019-04-07/concern-over-australias-dwindling-number-of-world-war-veterans/10911602">suffered from dwindling numbers</a> of veterans. The streets of Sydney and similar cities are no longer dotted with two-up games in the afternoon. The games have shifted to pubs and clubs, and they are largely played by people with no experience of war.</p> <p>Those people who play the game on this day do so not for any deep-seated gambling impulse or because they would love to play the game on every other day of the year. They play two-up because it has become part of the meaning of Anzac Day.</p> <p>Anzac Day has always combined solemnity and festivity. The Dawn Service commemorates the landing at Gallipoli, and the sacrifices that ensued. Its mood is solemn.</p> <p>In the past, returned soldiers reminisced, told war yarns, drank, and played two-up. The soldiers have passed on, but their larrikinism survives in the tradition of the game they have bequeathed to their descendants.</p> <p>We should not underestimate the significance of rituals of this kind—the playing of two-up is a way in which Australians can become not just observers of, but participants in, their history and their myths. Two-up is a ritual that links the present with the past on this one day of the year.<!-- 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/181337/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/bruce-moore-291912">Bruce Moore</a>, Honorary Associate Professor in the School of Literature, Languages, and Linguistics, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a></em></p> <p><em>Image </em><em>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/two-up-gallipoli-and-the-fair-go-why-illegal-gambling-is-at-the-heart-of-the-anzac-myth-181337">original article</a>.</em></p> </div>

Money & Banking

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Stuck in fight-or-flight mode? 5 ways to complete the ‘stress cycle’ and avoid burnout or depression

<div class="theconversation-article-body"> <p>Can you remember a time when you felt stressed leading up to a big life event and then afterwards felt like a weight had been lifted? This process – the ramping up of the stress response and then feeling this settle back down – shows completion of the “stress cycle”.</p> <p>Some stress in daily life is unavoidable. But remaining stressed is unhealthy. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568977/">Chronic stress</a> increases <a href="https://pubmed.ncbi.nlm.nih.gov/32886587/">chronic health conditions</a>, including heart disease and stroke and diabetes. It can also lead to <a href="https://theconversation.com/were-all-exhausted-but-are-you-experiencing-burnout-heres-what-to-look-out-for-164393">burnout</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137920/">depression</a>.</p> <p>Exercise, cognitive, creative, social and self-soothing activities help us process stress in healthier ways and complete the stress cycle.</p> <h2>What does the stress cycle look like?</h2> <p>Scientists and researchers refer to the “stress response”, often with a focus on the fight-or-flight reactions. The phrase the “stress cycle” has been made popular by <a href="https://www.penguin.co.uk/articles/2019/03/complete-stress-cycle-emotional-exhaustion-burnout">self-help experts</a> but it does have a scientific basis.</p> <p>The <a href="https://www.ncbi.nlm.nih.gov/books/NBK541120/">stress cycle</a> is our body’s response to a stressful event, whether real or perceived, physical or psychological. It could be being chased by a vicious dog, an upcoming exam or a difficult conversation.</p> <p>The stress cycle has three stages:</p> <ul> <li> <p><strong>stage 1</strong> is perceiving the threat</p> </li> <li> <p><strong>stage 2</strong> is the fight-or-flight response, driven by our stress hormones: adrenaline and cortisol</p> </li> <li> <p><strong>stage 3</strong> is relief, including physiological and psychological relief. This completes the stress cycle.</p> </li> </ul> <p>Different people will respond to stress differently based on their life experiences and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181835/#:%7E:text=The%20major%20findings%20regarding%20the,renin%2Dangiotensin%2Daldosterone%20system%20or">genetics</a>.</p> <p>Unfortunately, many people experience <a href="https://www.weforum.org/agenda/2023/01/polycrisis-global-risks-report-cost-of-living/">multiple and ongoing stressors</a> out of their control, including the cost-of-living crisis, extreme weather events and <a href="https://www.aihw.gov.au/family-domestic-and-sexual-violence/types-of-violence/family-domestic-violence">domestic violence</a>.</p> <p>Remaining in stage 2 (the flight-or-flight response), can lead to chronic stress. <a href="https://theconversation.com/how-chronic-stress-changes-the-brain-and-what-you-can-do-to-reverse-the-damage-133194">Chronic stress</a> and high cortisol can increase <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476783/">inflammation</a>, which damages our brain and other organs.</p> <p>When you are stuck in chronic fight-or-flight mode, you don’t think clearly and are more easily distracted. Activities that provide temporary pleasure, such as eating junk food or drinking alcohol are <a href="https://onlinelibrary.wiley.com/doi/10.1111/acer.14518">unhelpful strategies</a> that do not reduce the stress effects on our brain and body. Scrolling through social media is also not an effective way to complete the stress cycle. In fact, this is associated with an <a href="https://www.apa.org/monitor/2022/11/strain-media-overload">increased stress response</a>.</p> <h2>Stress and the brain</h2> <p>In the brain, chronic high cortisol can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561403/">shrink the hippocampus</a>. This can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1557684/#:%7E:text=The%20hippocampal%20formation%20plays%20a,%2C%20memory%2C%20motivation%20and%20emotion.&amp;text=Therefore%2C%20reduced%20hippocampal%20volumes%20should,in%20patients%20with%20major%20depression">impair a person’s memory</a> and their capacity to think and concentrate.</p> <p>Chronic high cortisol also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907136/#:%7E:text=The%20prefrontal%20cortex%20(PFC)%20intelligently,brain%20regions%20(BOX%201).">reduces activity</a> in the prefrontal cortex but <a href="https://www.sciencedirect.com/science/article/pii/S2352289514000101">increases activity</a> in the amygdala.</p> <p>The prefrontal cortex is responsible for higher-order control of our thoughts, behaviours and emotions, and is <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2014.00761/full">goal-directed</a> and rational. The amygdala is involved in reflexive and emotional responses. Higher amygdala activity and lower prefrontal cortex activity explains why we are less rational and more emotional and reactive when we are stressed.</p> <p>There are five <a href="https://www.penguin.co.uk/articles/2019/03/complete-stress-cycle-emotional-exhaustion-burnout">types of activities</a> that can help our brains complete the stress cycle.</p> <figure><iframe src="https://www.youtube.com/embed/eD1wliuHxHI?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">It can help to understand how the brain encounters stress.</span></figcaption></figure> <h2>1. Exercise – its own complete stress cycle</h2> <p>When we exercise we get a short-term spike in cortisol, followed by a <a href="https://www.health.harvard.edu/staying-healthy/exercising-to-relax">healthy reduction</a> in cortisol and adrenaline.</p> <p>Exercise also <a href="https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/exercise-and-stress/art-20044469#:%7E:text=Exercise%20in%20almost%20any%20form,distract%20you%20from%20daily%20worries.&amp;text=You%20know%20that%20exercise%20does,fit%20it%20into%20your%20routine.">increases endorphins and serotonin</a>, which improve mood. Endorphins cause an elated feeling often called “runner’s high” and have <a href="https://pubmed.ncbi.nlm.nih.gov/33396962/">anti-inflammatory effects</a>.</p> <p>When you exercise, there is more blood flow to the brain and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721405/">higher activity</a> in the prefrontal cortex. This is why you can often think more clearly after a walk or run. Exercise can be a helpful way to <a href="https://www.healthline.com/health/heart-disease/exercise-stress-relief">relieve feelings of stress</a>.</p> <p>Exercise can also increase the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041121/">volume</a> of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915811/">hippocampus</a>. This is linked to better short-term and long-term memory processing, as well as reduced stress, depression and anxiety.</p> <h2>2. Cognitive activities – reduce negative thinking</h2> <p>Overly negative thinking can trigger or extend the stress response. In our 2019 research, we found the relationship between stress and cortisol was <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987429/">stronger in people with more negative thinking</a>.</p> <p>Higher amygdala activity and less rational thinking when you are stressed can lead to <a href="https://pubmed.ncbi.nlm.nih.gov/18628348/">distorted thinking</a> such as focusing on negatives and rigid “black-and-white” thinking.</p> <p>Activities to reduce negative thinking and promote a more realistic view can reduce the stress response. In clinical settings this is usually called <a href="https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt">cognitive behaviour therapy</a>.</p> <p>At home, this could be journalling or writing down worries. This engages the logical and rational parts of our brain and helps us think more realistically. Finding evidence to challenge negative thoughts (“I’ve prepared well for the exam, so I can do my best”) can help to complete the stress cycle.</p> <h2>3. Getting creative – a pathway out of ‘flight or fight’</h2> <p>Creative activities can be art, craft, gardening, cooking or <a href="https://heartmindonline.org/resources/10-exercises-for-your-prefrontal-cortex">other activities</a> such as doing a puzzle, juggling, music, theatre, dancing or simply being absorbed in enjoyable work.</p> <p>Such pursuits increase <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2014.00761/full">prefrontal cortex activity</a> and promote flow and focus.</p> <p>Flow is a <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.645498/full">state of full engagement</a> in an activity you enjoy. It lowers high-stress levels of noradrenaline, the brain’s adrenaline. When you are focussed like this, the brain only processes information relevant to the task and ignores non-relevant information, including stresses.</p> <h2>4. Getting social and releasing feel-good hormones</h2> <p>Talking with someone else, physical affection with a person or pet and laughing can all <a href="https://theconversation.com/what-happens-in-our-brain-and-body-when-were-in-love-198885">increase oxytocin</a>. This is a chemical messenger in the brain that increases social bonding and makes us feel connected and safe.</p> <p>Laughing is also a social activity that <a href="https://neurosciencenews.com/laughter-physical-mental-psychology-17339/">activates parts</a> of the limbic system – the part of the brain involved in emotional and behavioural responses. This increases <a href="https://www.jneurosci.org/content/37/36/8581">endorphins</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/27439375/">serotonin</a> and improves our mood.</p> <h2>5. Self-soothing</h2> <p>Breathing <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189422/">exercises</a> and meditation stimulate the parasympathetic nervous system (which calms down our stress responses so we can “reset”) via the <a href="https://theconversation.com/our-vagus-nerves-help-us-rest-digest-and-restore-can-you-really-reset-them-to-feel-better-210469">vagus nerves</a>, and <a href="https://www.tandfonline.com/doi/full/10.1080/17437199.2020.1760727">reduce cortisol</a>.</p> <p>A good <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035568/#:%7E:text=We%20conclude%20that%2C%20in%20addition,self%2Dsoothing%20effects%20of%20crying.">cry can help too</a> by releasing stress energy and increasing oxytocin and endorphins.</p> <p><a href="https://www.medicalnewstoday.com/articles/319631#:%7E:text=Possible%20benefits%20of%20crying%20include,of%201.9%20times%20a%20month.">Emotional tears</a> also remove cortisol and the hormone prolactin from the body. Our prior research showed <a href="https://pubmed.ncbi.nlm.nih.gov/29096223/">cortisol</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9216608/">prolactin</a> were associated with depression, anxiety and hostility.<em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/susan-j-thomas-1293985">Susan J. Thomas</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <h2>Action beats distraction</h2> <p>Whether it’s watching a funny or sad movie, exercising, journalling, gardening or doing a puzzle, there is science behind why you should complete the stress cycle.</p> <p>Doing at least one positive activity every day can also reduce our baseline stress level and is beneficial for good mental health and wellbeing.</p> <p>Importantly, chronic stress and <a href="https://theconversation.com/are-you-burnt-out-at-work-ask-yourself-these-4-questions-118128">burnout</a> can also indicate the need for change, <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/wps.20311">such as in our workplaces</a>. However, not all stressful circumstances can be easily changed. Remember help is always available.</p> <p>If you have concerns about your stress or health, please talk to a doctor.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call <a href="https://www.lifeline.org.au/">Lifeline</a> on 13 11 14 or <a href="https://kidshelpline.com.au/">Kids Helpline</a> on 1800 55 1800.</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/218599/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, Associate professor of Medical Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/susan-j-thomas-1293985">Susan J. Thomas</a>, Associate professor in Mental Health and Behavioural Science, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image </em><em>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/stuck-in-fight-or-flight-mode-5-ways-to-complete-the-stress-cycle-and-avoid-burnout-or-depression-218599">original article</a>.</em></p> </div>

Mind

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How music is changing the way dementia patients think

<p dir="ltr">New research has proven that music truly is the universal language, with experts discovering how the power of music is helping those suffering with dementia. </p> <p dir="ltr">Music therapists have shown that music brings dementia patients back to the present, with some even finding their voice thanks to the nostalgic memories of the past. </p> <p dir="ltr">According to Registered Music Therapist and Managing Director of music therapy company Music Beat, Dr Vicky Abad, the power of music is not to be overlooked when it comes to degenerative diseases.</p> <p dir="ltr">“Music is a window into people’s pasts,” she said. “It builds on strengths and abilities against a disease that can strip a person of their dignity, abilities and quality of life.”</p> <p dir="ltr">The team at <a href="https://www.tricare.com.au/">TriCare Aged Care and Retirement</a>, who see the devastating impact of dementia each and every day,  also experience first-hand the impact music has on residents, with many noticing “unrecognisable” changes in personality when a nostalgic tune is played.</p> <p dir="ltr">Louis Rose, an 80-year-old dementia patient and TriCare resident, was diagnosed with dementia six years ago, and requires assistance with many aspects of day to day life. </p> <p dir="ltr">However, listening to music is one thing he can enjoy on his own.</p> <p dir="ltr">“I grew up in Mauritius and while we didn’t have a lot, we certainly had music. Listening to music has always been an escape for me and a way to relax,” Mr Rose said.</p> <p dir="ltr">“When your brain starts to slow down and you find yourself forgetting things, it can be quite frustrating and confusing. Listening to music has been a way to distract myself from what’s going on in my head, it has helped me so much.”</p> <p dir="ltr">Tamsin Sutherland is a regular live music performer at TriCare facilities across Queensland, and has been able to witness incredible moments with the residents as they come alive as soon as she starts to play. </p> <p dir="ltr">“Watching residents who are often non-verbal sing along to the words is incredible,” she said “It really is like they are coming back to life and reconnecting with who they once were. To be part of that is quite emotional for me.”</p> <p dir="ltr">According to Dr Abad, music can help prevent the restless behaviour that often leads to pacing and wandering, especially in the evenings, which are often difficult times for those battling the disease. </p> <p dir="ltr">“Sundowning usually occurs in the late afternoon as dusk approaches, a time that is also associated with what used to be a busy time period in people’s lives,” she noted. </p> <p dir="ltr">“Personalised music is a simple and effective tool to help residents feel validated in their emotions during this time and provides them an opportunity to experience a calmer state of mind”.</p> <p dir="ltr"><em>Image credits: Getty Images </em></p>

Mind

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Heartbreaking twist after mum dies on her way to a wedding

<p>A mother has been killed in a horrific car crash while on her way to a wedding in regional NSW, just hours after announcing she was expecting her third child. </p> <p>Shellymaine Ah Foon, 32, her partner Troy, and their two young daughters, aged six and two, were on their way to a wedding in Mudgee, NSW when their SUV crashed at Aarons Pass, about 2pm on Friday. </p> <p>Foon was left with critical injuries and was taken to Mudgee hospital, but soon passed away. </p> <p>Her partner was seriously injured and airlifted to Westmead Hospital to undergo surgery after suffering several fractures to both limbs on his left side. </p> <p>Their two daughters were also taken to the same hospital. </p> <p>A family member, who wished to remain anonymous, confirmed the sad detail to 7News. </p> <p>“We spoke to Shelly on the Thursday night, and she told us she was pregnant,” she said. </p> <p>“She was meant to go for tests when she came back from Mudgee to see how far along she was.”</p> <p>Foon was remembered as a "social butterfly" who could “strike up a conversation with anyone.” </p> <p>“She was very family oriented, was always there for anyone who needed anything, she was very selfless with her time,” the family member said. </p> <p>“Her death has really impacted a whole community of people,” she added. </p> <p>A <a href="https://www.gofundme.com/f/in-loving-memory-of-shellymaine-ah-foon" target="_blank" rel="noopener">GoFundMe</a> page has since been organised to help cover funeral costs, support Troy following his surgery, and help Foon's family, who are largely based overseas. </p> <p>“Troy won’t be able to go to work while he recovers,” the woman said.</p> <p>“He still has to undergo rehab, and he will be on crutches for some time.”</p> <p>Their two daughters have since been discharged from the hospital, and are in the care of family while Troy recovers. </p> <p>The family friend added that Foon's love for her kids was exceptional saying: “she was the light of Troy and her girls’ lives.</p> <p>“Their world has changed forever and the love their Mum gave them will never be replicated ever again.”  </p> <p>Police said investigations are still underway into the circumstances leading up to the crash, with the other driver taken to Mudgee Hospital with minor injuries. </p> <p><em>Images: 7News</em></p>

Caring

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No, taking drugs like Ozempic isn’t ‘cheating’ at weight loss or the ‘easy way out’

<p><em><a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Obesity medication that is effective has been a long time coming. Enter semaglutide (sold as Ozempic and Wegovy), which is helping people improve weight-related health, including <a href="https://pubmed.ncbi.nlm.nih.gov/37952131/">lowering the risk</a> of a having a heart attack or stroke, while also silencing “<a href="https://theconversation.com/some-ozempic-users-say-it-silences-food-noise-but-there-are-drug-free-ways-to-stop-thinking-about-food-so-much-208467">food noise</a>”.</p> <p>As demand for semaglutide increases, so are <a href="https://www.smh.com.au/lifestyle/health-and-wellness/in-a-fat-phobic-world-ozempic-is-hardly-the-easy-way-out-20240401-p5fgjd.html">claims</a> that taking it is “cheating” at weight loss or the “easy way out”.</p> <p>We don’t tell people who need statin medication to treat high cholesterol or drugs to manage high blood pressure they’re cheating or taking the easy way out.</p> <p>Nor should we shame people taking semaglutide. It’s a drug used to treat diabetes and obesity which needs to be taken long term and comes with risks and side effects, as well as benefits. When prescribed for obesity, it’s given alongside advice about diet and exercise.</p> <h2>How does it work?</h2> <p>Semaglutide is a <a href="https://en.wikipedia.org/wiki/GLP-1_receptor_agonist">glucagon-like peptide-1</a> receptor agonist (GLP-1RA). This means it makes your body’s own glucagon-like peptide-1 hormone, called <a href="https://en.wikipedia.org/wiki/Glucagon-like_peptide-1">GLP-1</a> for short, work better.</p> <p>GLP-1 gets secreted by cells in your gut when it <a href="https://pubmed.ncbi.nlm.nih.gov/38218319/">detects increased nutrient levels</a> after eating. This stimulates insulin production, which lowers blood sugars.</p> <p>GLP-1 also slows gastric emptying, which makes you feel full, and reduces hunger and feelings of reward after eating.</p> <p><iframe id="tc-infographic-1031" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/1031/c11b606581d4bc58a71f066492d7f740b52c04e1/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <p>GLP-1 receptor agonist (GLP-1RA) medications like Ozempic help the body’s own GLP-1 work better by mimicking and extending its action.</p> <p>Some studies have found less GLP-1 gets released after meals in <a href="https://pubmed.ncbi.nlm.nih.gov/38218319/">adults with obesity or type 2 diabetes mellitus</a> compared to adults with normal glucose tolerance. So having less GLP-1 circulating in your blood means you don’t feel as full after eating and get hungry again sooner compared to people who produce more.</p> <p>GLP-1 has a very short half-life of about <a href="https://pubmed.ncbi.nlm.nih.gov/28443255/">two minutes</a>. So GLP-1RA medications were designed to have a very long half-life of about <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">seven days</a>. That’s why semaglutide is given as a weekly injection.</p> <h2>What can users expect? What does the research say?</h2> <p>Higher doses of semaglutide are prescribed to treat obesity compared to type 2 diabetes management (up to 2.4mg versus 2.0mg weekly).</p> <p>A large group of <a href="https://pubmed.ncbi.nlm.nih.gov/36691309/">randomised controlled trials</a>, called STEP trials, all tested weekly 2.4mg semaglutide injections versus different interventions or placebo drugs.</p> <p>Trials lasting 1.3–2 years consistently found weekly 2.4 mg semaglutide injections <a href="https://pubmed.ncbi.nlm.nih.gov/36691309/">led to 6–12% greater weight loss</a> compared to placebo or alternative interventions. The average weight change depended on how long medication treatment lasted and length of follow-up.</p> <p>Weight reduction due to semaglutide also leads to a <a href="https://pubmed.ncbi.nlm.nih.gov/36769420/">reduction in systolic and diastolic blood pressure</a> of about 4.8 mmHg and 2.5 mmHg respectively, a reduction in <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/triglycerides">triglyceride levels</a> (a type of blood fat) and <a href="https://pubmed.ncbi.nlm.nih.gov/38041774/">improved physical function</a>.</p> <p>Another recent trial in adults with pre-existing heart disease and obesity, but without type 2 diabetes, found adults receiving weekly 2.4mg semaglutide injections had a <a href="https://pubmed.ncbi.nlm.nih.gov/37952131/">20% lower risk</a> of specific cardiovascular events, including having a non-fatal heart attack, a stroke or dying from cardiovascular disease, after three years follow-up.</p> <h2>Who is eligible for semaglutide?</h2> <p>Australia’s regulator, the Therapeutic Goods Administration (TGA), has <a href="https://www.tga.gov.au/safety/shortages/information-about-major-medicine-shortages/about-ozempic-semaglutide-shortage-2022-and-2023">approved</a> semaglutide, sold as Ozempic, for treating type 2 diabetes.</p> <p>However, due to shortages, the TGA had advised doctors not to start new Ozempic prescriptions for “off-label use” such as obesity treatment and the Pharmaceutical Benefits Scheme doesn’t currently subsidise off-label use.</p> <p>The TGA has <a href="https://www.tga.gov.au/resources/prescription-medicines-registrations/wegovy-novo-nordisk-pharmaceuticals-pty-ltd">approved Wegovy to treat obesity</a> but it’s not currently available in Australia.</p> <p>When it’s available, doctors will be able to prescribe <a href="https://pubmed.ncbi.nlm.nih.gov/36934408/">semaglutide to treat obesity</a> in conjunction with lifestyle interventions (including diet, physical activity and psychological support) in adults with obesity (a BMI of 30 or above) or those with a BMI of 27 or above who also have weight-related medical complications.</p> <h2>What else do you need to do during Ozempic treatment?</h2> <p>Checking details of the <a href="https://pubmed.ncbi.nlm.nih.gov/36691309/">STEP trial intervention components</a>, it’s clear participants invested a lot of time and effort. In addition to taking medication, people had brief lifestyle counselling sessions with dietitians or other health professionals every four weeks as a minimum in most trials.</p> <p>Support sessions were designed to help people stick with consuming 2,000 kilojoules (500 calories) less daily compared to their energy needs, and performing 150 minutes of <a href="https://www.healthdirect.gov.au/tips-for-getting-active">moderate-to-vigorous physical activity</a>, like brisk walking, dancing and gardening each week.</p> <p>STEP trials varied in other components, with follow-up time periods varying from 68 to 104 weeks. The aim of these trials was to show the effect of adding the medication on top of other lifestyle counselling.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/38041774/">review of obesity medication trials</a> found people reported they needed less <a href="https://pubmed.ncbi.nlm.nih.gov/28652832/">cognitive behaviour training</a> to help them stick with the reduced energy intake. This is one aspect where drug treatment may make adherence a little easier. Not feeling as hungry and having environmental food cues “switched off” may mean less support is required for goal-setting, self-monitoring food intake and <a href="https://theconversation.com/9-ways-wont-power-is-better-than-willpower-for-resisting-temptation-and-helping-you-eat-better-71267">avoiding things that trigger eating</a>.</p> <h2>But what are the side effects?</h2> <p>Semaglutide’s side-effects <a href="https://pubmed.ncbi.nlm.nih.gov/38041774/">include</a> nausea, diarrhoea, vomiting, constipation, indigestion and abdominal pain.</p> <p>In one study these <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">led to</a> discontinuation of medication in 6% of people, but interestingly also in 3% of people taking placebos.</p> <p>More severe side-effects included gallbladder disease, acute pancreatitis, hypoglycaemia, acute kidney disease and injection site reactions.</p> <p>To reduce risk or severity of side-effects, <a href="https://pubmed.ncbi.nlm.nih.gov/36934408/">medication doses are increased very slowly</a> over months. Once the full dose and response are achieved, research indicates you need to take it long term.</p> <p>Given this long-term commitment, and associated <a href="https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/out-of-pocket-costs#:%7E:text=An%20out%20of%20pocket%20cost,called%20gap%20or%20patient%20payments">high out-of-pocket cost of medication</a>, when it comes to taking semaglutide to treat obesity, there is no way it can be considered “cheating”.</p> <hr /> <p><em>Read the other articles in The Conversation’s <a href="https://theconversation.com/au/topics/ozempic-series-154673">Ozempic series</a> here.</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/219116/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/clare-collins-7316"><em>Clare Collins</em></a><em>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image credits: </em><em>Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/no-taking-drugs-like-ozempic-isnt-cheating-at-weight-loss-or-the-easy-way-out-219116">original article</a>.</em></p>

Body

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10 ways to sneak in meditation into your everyday life

<p><em>Health experts share their tips and tricks on how to sneak meditation into your daily life without going on a yoga retreat.</em></p> <p><strong>Ways to meditate every day</strong></p> <p>Meeting deadlines at work, keeping up with friends, and trying to make time to exercise can be stressful – throw in a global pandemic and all its repercussions and it’s no wonder the majority of Australians feel that stress impacts their physical health (72%) and mental health (64%). But whatever the source of your stress, daily meditation can help you cope without having to change your schedule.</p> <p><strong>1. Try eating a meal without distractions</strong></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/1-lunch-mindful-eating-GettyImages-1263611134-770.jpg" alt="" width="1280" height="720" /></p> <p>When was the last time you did this? According to Rebecca Weible, founder of Yo Yoga!, eating without your phone, tablet or a book creates real awareness. “Take the time to notice each bite, including the taste and texture of your food,” she says. “This is also great for digestion and portion control.”</p> <p><strong>2. Unplug and take a walk</strong></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/2-walk-scooter-kids-parents-GettyImages-932349458-770.jpg" alt="" width="1280" height="720" /></p> <p>Sometimes slowing down is as easy as unplugging from the digital world, including your phone, social media and email and taking in your surroundings. Weible says to take notice of each step: “The first and last part of your foot to hit the ground with each step, your stride and your pace. See how long you can stay present.” Running is also a great way to unplug.</p> <p><strong>3. Try out some yoga moves</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/3-yoga-GettyImages-1051753046-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>Anyone can do yoga, trust us! “Yoga is a moving meditation as you are encouraged to be mindful of each part of your body in every pose and how you are moving from pose to pose,” says Weible. In yoga, you are forced to focus on your breathing and muscle control, which makes you totally present in the moment – a key to good meditation.</p> <p><em>Ensure you have the yoga mat best suited to your needs, <a href="http://gaiam.innovations.com.au/p/gaiam-yoga/mats?affiliate=GAIAM60" target="_blank" rel="noopener">starting with this extensive range from Gaiam</a>.</em></p> <p><strong>4. Really wake up in the morning</strong></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/4-waking-up-stretch-GettyImages-552008811-770.jpg" alt="" width="1280" height="720" /></p> <p>Sure, we all wake up in the morning, but before you hop out of bed for that shower or cup of coffee, Scott Rogers, principal advisor at Innergy Meditation, suggests you really wake before getting out of bed, which means sitting up and taking in your surroundings. “Notice the lighting, the temperature, how you feel,” says Rogers, “Close or lower your eyes for a few breaths – for a few minutes – and rest your attention on the sensations of your body breathing.”</p> <p><strong>5. Whenever you walk through a door, take a deep breath</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/5-walking-through-a-door-GettyImages-1063759498-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>Another way to bring focus and calm is to take a deep breath every time you walk through a doorway. This forces you to look around, see where you are, and again bring focus into your daily life. “Such moments insert an important wedge of awareness that helps reduce stress and steady the mind,” says Rogers.</p> <p><strong>6. Use Post-It notes</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/6-post-it-note-GettyImages-85007668-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>There is no wrong way or right way to meditate. A super-easy way is using Post-It notes. suggests Jackie Itzkowitz and Joel Granik, co-founders of Floating Lotus. “Put a Post-It note on your mirror in your bathroom to remind yourself to think about something you are grateful for,” explain Itzkowitz and Granik. “The fact you can walk, the exciting day you have ahead of you, or even the fact you are alive and well. Taking a moment to be mindful and aware of yourself and the things around you counts as meditating.”</p> <p><strong>7. Check your breathing</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/7-breathing-exercise-GettyImages-1143696586-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>This is a really easy one. “Take a moment to sit up tall with both feet on the floor, hands in your lap. You can close the eyes or leave them open,” suggests Weible. “Take a deep breath in through your nose counting to three, then let it out through your nose counting to three. Take another breath in counting to four, let it out counting to four. Repeat this pattern using a five-count. You can take as many breaths as you like, but three mindful breaths can go a long way towards making you feel less stressed and more at ease.”</p> <p>Add the healing benefits of aromatherapy to your breathing exercises <a href="https://gaiam.innovations.com.au/p/gaiam-wellness/relax/27-73273-gaiam-wellness-usb-mini-diffuser?affiliate=GAIAM60" target="_blank" rel="noopener">with the help of a Gaiam Wellness Mini Diffuser</a>.</p> <p><strong>8. Practise mindfulness</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/8-smelling-flowers-roses-GettyImages-455252101-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>This another meditation practice you can try anywhere. “Mindfulness meditation involves paying attention to our present moment experience and there is no time when we cannot be practising,” says Rogers. “But, we tend to forget or feel too busy to do so” So literally, slow down and smell the roses.</p> <p><strong>9. Try switching hands</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/9-yoghurt-spoon-GettyImages-1226825261-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>Most people have one dominant hand so Rogers suggests switching it up. “When you are ready to eat, place your fork or spoon in your non-dominant hand for your first bite,” he says, “This will slow down the process and engage attention. As you take your first bite, notice the sensory richness of sight, smell and touch.”</p> <p><strong>10. Forget about worrying</strong></p> <p><strong><img src="https://oversixtydev.blob.core.windows.net/media/2024/04/10-meditation-GettyImages-1157178955-770.jpg" alt="" width="1280" height="720" /></strong></p> <p>This one is easier said than done but Itzkowitz and Granik say worrying is the one thing that can bring your meditating down. “Actually worrying about doing meditation wrong is the only thing you can do wrong,” they advise. “Be compassionate with yourself and let yourself relax.”</p> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; background-color: #ffffff;"><span style="box-sizing: border-box;"><span style="color: #212529; font-family: -apple-system, system-ui, Segoe UI, Roboto, Helvetica Neue, Arial, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol, Noto Color Emoji;"><span style="font-weight: bolder;">This article, written by </span><strong>Felissa Benjamin Allard</strong><span style="font-weight: bolder;">, originally appeared on</span></span></span><span style="color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; box-sizing: border-box; font-weight: bolder;"> <a style="box-sizing: border-box; color: #258440; text-decoration-line: none; background-color: transparent; transition: all 0.2s ease-in-out 0s;" href="https://www.readersdigest.com.au/healthsmart/conditions/mental-health/10-ways-to-sneak-in-meditation-into-your-everyday-life" target="_blank" rel="noopener">Reader's Digest</a>.</span></p> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 0px; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; background-color: #ffffff;"><em style="box-sizing: border-box;">Images: Shutterstock | Getty</em></p>

Mind

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Unique way couple raised $11K for their wedding

<p>When Andie Lickiss proposed to Pagan on New Years Eve in 2021, he had no idea that the pair would spend the next year collecting trash from their neighbours. </p> <p>With the cost-of-living on the rise, the couple were doing everything they could to save up for their dream wedding on September 2023. </p> <p>“We were both working two jobs, trying to save for a house, and everything is just so expensive,” Pagan told <em>7Life</em>. </p> <p>“We didn’t want the wedding to put us in debt.”</p> <p>While thinking of ways to cut corners and save more money, Pagan - who was a keen recycler and had been using a state government-run recycling initiative, Return and Earn, since 2018 - felt inspired to take her recycling to the next level after spotting a wheelie bin in her backyard. </p> <p>Pagan then took to her local community Facebook page to ask her neighbours for their unwanted bottles and cans to help with the cost of their wedding, with the initiative offering 10 cents per aluminium can, plastic or glass bottle deposited.</p> <p>“I had about 50 messages from people ... saying they will just stack them outside their house and we can come and collect,” she said. </p> <p>She then started mapping out the perfect route to pick up the recycling ,and not long after, the couple began their trash-collecting journey almost every day after work in their ute and trailer. </p> <p>“People might laugh because it is only 10 cents (per container),” she said. </p> <p>“But every little bit counts.”</p> <p>Over 19 months the couple recycled more than 100,000 containers, and made memories along the way, as they got closer to their neighbours who would donate cardboard boxes and wheelie bins full of empty cans and bottles. </p> <p>They also volunteered at local sporting events and spent weekends cleaning up fields and stadiums. </p> <p>Each dollar went towards their goal of $4,500 to pay for their dream photographer, with the couple sometimes pocketing more than $400 at a time when they cashed in each load. </p> <p>Within six months the couple had reached their goal, but they didn't stop there. </p> <p>“I couldn’t believe it,” Pagan said. </p> <p>“We just decided to keep going. The cost of living wasn’t getting cheaper.”</p> <p>Andie and Pagan cashed in cans and bottles right up until the week before their wedding. </p> <p>“We never told anyone how much we made,” Pagan said. </p> <p>“Our celebrant announced it at the wedding (and) the looks on everyone’s faces! They were so shocked, and our photographers caught it.”</p> <p>The couple collected a grand total of $11,127.50 with the help of their local community, and now Pagan encourages others to reach out and ask for help. </p> <p>“I hope that people who are doing it tough are not afraid to reach out and ask for help.”</p> <p><em>Images: 7News</em></p>

Relationships

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Qantas connects two destinations for the first time in 50 years

<p>Qantas has announced a new international route that will see Aussies connected to a popular holiday destination for the first time in 50 years. </p> <p>Two return flights will operate each week between Sydney and Papua New Guinea's Port Moresby, adding to the service already running to the island nation from Brisbane. </p> <p>“These flights will meet the growing demand from the business community for travel between Australia and Papua New Guinea,” Cam Wallace, CEO of Qantas International and Freight, said. </p> <p>“Our new Sydney service will save customers at least three hours in travel time on return trip by avoiding a stopover in Brisbane.”</p> <p>The route is the latest international service to be added to Qantas’ network out of Sydney, with the airline suggesting it will support both business and trade between Australia and Papua New Guinea.</p> <p>Trailing behind island nations such as Fiji and Indonesia, Papua New Guinea's tourism industry is steadily growing in popularity largely due to containing the world’s third largest rainforest, crystal clear waters, and 45,000km of coral reefs.</p> <p>As the number of annual travellers to PNG increases, so does accommodation options, with Marriott International announcing earlier this year that they would be expanding their accommodation into Papua New Guinea, marketing those wishing to have an “extended stay”.</p> <p>“We are thrilled to establish our inaugural foothold in Papua New Guinea with this milestone opening”, said Sean Hunt, area vice-president of Australia, New Zealand and Pacific for Marriott International, in a statement.</p> <p>“This is also a debut for the Marriott Executive Apartments brand in the region, allowing us to diversify our offering to cater to ambitious and adventurous travellers who seek a premium, trusted extended-stay experience.”</p> <p>While the new tourism initiatives have been put in place to help boost the economy of PNG, Papua New Guinea currently has travel advisory warnings in place, with SmartTraveller urging visitors to “exercise a high degree of caution in Papua New Guinea overall due to high levels of serious crime, with “higher levels” applying in some areas.</p> <p><em>Image credits: Shutterstock</em></p>

International Travel

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The devastating way Shannen Doherty is preparing for death

<p>Shannen Doherty has shared the heart-breaking way she is preparing for her death. </p> <p>The former actress, who is battling stage 4 breast cancer, has candidly shared how she is cleaning out her home and downsizing her possessions to make for an “easier transition” for her mum, Rosa, when she dies.</p> <p>“My priority at the moment is my mum,” the actress said during an episode of her <em><a href="https://podcasts.apple.com/us/podcast/lets-be-clear-with-shannen-doherty/id1718531401" target="_blank" rel="noopener">Let’s Be Clear</a></em><a href="https://podcasts.apple.com/us/podcast/lets-be-clear-with-shannen-doherty/id1718531401" target="_blank" rel="noopener"> podcast</a>. “I know it’s going to be hard on her if I pass away before her.”</p> <p>She continued, “Because it’s going to be so hard on her, I want other things to be a lot easier. I don’t want her to have a bunch of stuff to deal with. I don’t want her to have four storage units filled with furniture.”</p> <p>The 52-year-old explained that over the years, she started going through her belongings to get rid of unnecessary clutter and donate things "just in case" anything happened to her. </p> <p>The actress most recently made a trip to her Tennessee home to pack up her belongings after she decided to let go of her dream of living on the property and fostering horses.</p> <p>“So we were in Tennessee and I was packing up one of the places there,” she continued. “It was really hard and really emotional because to a certain extent — I felt like I was giving up on this dream of building this property out, and putting a house for me and a house for my mum and then extending the barn.”</p> <p>“That was one of my dreams,” she said while tearing up.</p> <p>“I was packing up and I started crying … I felt like I was giving up on a dream and what did that mean for me? Did it mean that I was giving up on life? Did it mean that I was throwing in the towel?"</p> <p>“And my mom was there and she was like, ‘Don’t get rid of this place, it’s fine. You don’t have to and you can keep going.’ I said, ‘Yeah, absolutely I can.’”</p> <p>A week later, Doherty returned to the home to pack everything up and relocate her belongings to her home in California. </p> <p>The actress explained that letting go of the property and other possessions helps “leave behind a cleaner, easier transition” for her family.</p> <p>Through the process, Doherty has learned her belongings don’t bring her as much joy as making memories with her mum and loved ones.</p> <p>“It allows me to take more trips because I’m making money, I’m selling it,” she continued. “Then I get to build different memories and I build memories with the people that I love.</p> <p>“I get to take my mum on vacations because I have all this extra play money lying around and I’m not digging into the money that’s in my estate that’s going to make sure that everybody in my life is taken care of once I’m dead.”</p> <p><em>Image credits: Instagram / Getty Images </em></p>

Caring

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Princess of Wales and King Charles: one in two people develop cancer during their lives – the diseases and treatments explained

<p><em><a href="https://theconversation.com/profiles/gavin-metcalf-1340598">Gavin Metcalf</a>, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p>The Princess of Wales released a <a href="https://x.com/KensingtonRoyal/status/1771235267837321694?s=20">moving video message</a> on March 22 to address speculation about her health. In it, the future queen disclosed that she’d been <a href="https://www.bbc.co.uk/news/health-68641710">diagnosed with cancer</a> following tests conducted after she underwent major abdominal surgery at a clinic in London in January.</p> <p>Catherine explained that she was undergoing “preventative chemotherapy” – but emphasised that her surgery had been successful, and that she was “well” and “getting stronger every day”.</p> <p>The message was the <a href="https://www.theguardian.com/uk-news/2024/mar/22/princess-kate-cancer-royal-family-health-annus-horribilis">second announcement</a> of a royal family cancer diagnosis in recent weeks. On February 5, Buckingham Palace <a href="https://www.royal.uk/a-statement-from-buckingham-palace-5Feb24">published a statement</a> that King Charles III had been diagnosed with an undisclosed form of <a href="https://www.bbc.co.uk/news/uk-68208157">cancer, unrelated</a> to the treatment he had been receiving for an enlarged prostate.</p> <figure><iframe src="https://www.youtube.com/embed/3xzKooCaRXU?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The statement said that he had begun “regular treatments”. The king postponed all public-facing duties during his treatment, but <a href="https://www.bbc.co.uk/news/uk-68213383">reportedly continued</a> with his “constitutional role as head of state, including completing paperwork and holding private meetings”.</p> <p>Cancer is the <a href="https://www.who.int/news-room/fact-sheets/detail/cancer">leading cause of death</a> worldwide. <a href="https://www.nhs.uk/conditions/cancer/#:%7E:text=The%20cancerous%20cells%20can%20invade,of%20cancer%20during%20their%20lifetime.">One in two</a> people will develop some form of cancer in their lifetime – so the condition will affect almost every family. However, many cancers can be cured if, as appears to be the case with the king, the condition is <a href="https://www.bbc.co.uk/news/uk-68213383">detected early</a> and treated effectively.</p> <h2>What is cancer?</h2> <p>Our bodies are made up of more than 100 billion cells, and cancer typically starts with changes in a small group of cells – or even a single one.</p> <p>We have different cell types depending upon where in the body they are and the function that the cell has. The size, amount and function of each of these cells is normally tightly regulated by genes – groups of codes held within our DNA – that instruct cells how to grow and divide.</p> <p>However, changes (mutations) to DNA can alter the way cells grow and multiply – often forming a lump, or solid tumour. Cancers can also develop in blood cells, such as white blood cell cancer which is known as leukaemia. This type of cancer does not form solid tumours; instead, the cancer builds up in the blood or sometimes the marrow in the core of bones, where blood cells are produced.</p> <p>In all, there are <a href="https://www.cancerresearchuk.org/about-cancer/what-is-cancer/how-cancer-starts/types-of-cancer#:%7E:text=For%20example%2C%20nerves%20and%20muscles,of%20cell%20they%20start%20in.">more than 200</a> types of cancer, but all start with mutations in the DNA contained within each and every cell.</p> <h2>What exactly are mutations?</h2> <p>Think of your DNA as a big recipe book, and your genes as individual recipes for making different dishes. Mutations are smudges or missing words from this recipe that can result in key ingredients not being added into the mix.</p> <figure><iframe src="https://www.youtube.com/embed/8BJ8_5Gyhg8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Regardless of the type of cancer or the cells from which it develops, mutations in our genes can result in a cell no longer understanding its instructions.</p> <p>These mutations can happen by chance when dividing, but can also be the result of lifestyle choices such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141049/">smoking</a>, <a href="https://www.ndph.ox.ac.uk/news/new-genetic-study-confirms-that-alcohol-is-a-direct-cause-of-cancer#:%7E:text=These%20mutations%20both%20disrupt%20the,aldehyde%20dehydrogenase%202%20(ALDH2).">drinking</a>, and <a href="https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet">inactivity</a>.</p> <p>Research has found that in order for a normal cell to turn into a cancerous cell, anywhere from <a href="https://www.sanger.ac.uk/news_item/1-10-mutations-are-needed-drive-cancer-scientists-find/">one to ten different mutations</a> are normally required.</p> <h2>How is cancer treated?</h2> <p>Treatment options for cancer depend on a variety of factors, including where your cancer is, how large it is, and whether it has spread to other parts of the body. The main treatments for cancer include surgery, chemotherapy, and radiotherapy.</p> <p>Chemotherapy uses drugs to target and kill cells that are rapidly dividing in our bodies. This approach is effective at targeting fast-growing cells in various cancers – but also has negative side effects. It also targets healthy cells that rapidly divide, such as hair and the cells lining our digestive system. This can lead to commonly reported <a href="https://www.nhs.uk/conditions/chemotherapy/side-effects/">side-effects</a> such as hair loss, nausea and diarrhoea.</p> <p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/chemotherapy?gad_source=1&amp;gclid=Cj0KCQjw-_mvBhDwARIsAA-Q0Q6tyQxTuBzU7vVD7SHjQ5dF-fRdqnL7S74-k5LXyTqODydsrPfJVsoaAkgyEALw_wcB&amp;gclsrc=aw.ds">Chemotherapy</a> can be used both preventatively – as in the case of the princess – and therapeutically.</p> <figure><iframe src="https://www.youtube.com/embed/FkZn5u3MIiY?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Preventative chemotherapy, also known as <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/adjuvant-therapy">adjuvant chemotherapy</a>, is given after surgery or other primary treatments to eliminate any remaining cancer cells in the body. It aims to reduce the risk of the cancer returning (known as recurrence).</p> <p>Therapeutic chemotherapy is used as a treatment option for cancer that has spread or is well established, such as advanced-stage cancers.</p> <p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/surgery/about">Surgery</a> involves the physical removal of cancerous tissues as well as nearby lymph nodes – small glands which act as filters in your body that cancers can spread through – to eliminate the tumour. Surgery is often used to remove localised cancers that haven’t spread throughout the body.</p> <p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/radiotherapy">Radiotherapy</a> uses high-energy radiation beams that are able to target specific areas where tumour cells are located to destroy or shrink the tumour. Radiotherapy can be applied externally or internally.</p> <p>Chemotherapy, surgery, and radiotherapy are often combined in cancer treatment to improve outcomes for patients.</p> <p>Thanks to developments in cancer research over the last 50 years, survival rates have improved greatly – although the rate of improvement has <a href="https://news.cancerresearchuk.org/2024/02/02/world-cancer-day-2024/#:%7E:text=Improvements%20in%20cancer%20survival%20have%20slowed%20in%20recent%20years&amp;text=Survival%20increased%20three%20to%20five,consistently%20lags%20behind%20comparable%20countries.">slowed recently</a>. Cancer survival depends on various factors such as age – people under 40 have a <a href="https://www.cancer.gov/about-cancer/causes-prevention/risk/age">greater chance</a> of survival – overall health and fitness, as well as family history.</p> <h2>What you should do</h2> <p>Particular changes in your body or warning symptoms could indicate the presence of cancer. These include, but are not limited to:</p> <ul> <li>Unexplained weight loss;</li> <li>Fatigue that doesn’t improve with rest;</li> <li>Changes in bowel or bladder habits;</li> <li>Persistent cough or coughing up blood;</li> <li>Difficulty swallowing;</li> <li>Persistent pain;</li> <li>Noticing lumps, such as in a breast or testicle.</li> </ul> <p>The symptoms may not necessarily be the result of cancer. But it is important to get checked by a doctor if you notice anything out of the ordinary or have had persistent symptoms that don’t ease. Early detection and treatment can <a href="https://www.science.org/doi/full/10.1126/science.aay9040">significantly improve</a> outcomes for many types of cancer.<!-- 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/226456/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/gavin-metcalf-1340598">Gavin Metcalf</a>, Cancer Biologist and Lecturer in Biomedical Science, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/princess-of-wales-and-king-charles-one-in-two-people-develop-cancer-during-their-lives-the-diseases-and-treatments-explained-226456">original article</a>.</em></p>

Caring

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Heroic great-grandma saves two-year-old from collapsed ceiling

<p>In a heart-stopping moment of bravery and maternal instinct, 88-year-old Nicky Panagiotidis shielded her great-grandson, two-year-old Harvey, from a collapsing ceiling in their Melbourne home.</p> <p>The incident occurred at Panagiotidis' residence in Ascot Vale, where she was caring for Harvey late in the afternoon.</p> <p>According to Harvey's mother, Nicole Brown, the terrifying ordeal unfolded suddenly. As the ceiling began to crack, Panagiotidis swiftly reacted, rolling over off the couch to cover young Harvey with her own body. Brown, overwhelmed with gratitude and admiration for her grandmother's quick thinking, remarked, "I just know that motherly instinct that she has went through her to be a hero - she is actually a hero for him," <a href="https://www.9news.com.au/national/ascot-vale-great-grandmother-saves-grandson-from-ceiling-collapse/9f2bd38f-5254-4f53-981b-e3fb4b9c1bd9" target="_blank" rel="noopener">she told 9News</a>.</p> <p>In a moment of urgency, Panagiotidis managed to contact her daughter, Julie Polimos, informing her of the dire situation: "The ceiling is on top of me and we can't move." Emergency services promptly arrived at the scene, discovering the pair with thankfully minimal injuries.</p> <p>Despite the trauma of the event, Panagiotidis displayed remarkable resilience. Despite suffering bruising on her back and shoulders, she managed to walk to the ambulance and was later discharged from the hospital.</p> <p>Speaking of her mother's strength, Polimos highlighted Panagiotidis' dedication to traditional values, noting her commitment to home-cooked Greek Mediterranean meals over takeaways. "She doesn't buy takeaways, she always cooks home meals... Greek Mediterranean meals," Polimos proudly stated.</p> <p>The family attributes the ceiling collapse to a water leak, which they had noticed a week prior, observing cracks and sagging in the structure. However, amidst the unfortunate circumstances, they are immensely grateful for the fortunate outcome and the selfless actions of Panagiotidis, which will undoubtedly be remembered as a testament to the extraordinary love shared within the family.</p> <p><em>Images: 9News</em></p>

Family & Pets

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Two iconic locations officially given dual Indigenous titles

<p>In a significant move to recognise and honour the rich cultural heritage of the Indigenous peoples of Australia, two iconic locations in northern NSW will now be officially known by their Indigenous names. This decision comes after impassioned calls from the community to acknowledge the profound significance these sites hold in Indigenous culture and history.</p> <p>Walgan, translating to "shoulder" in the Bundjalung language, has been designated as the dual name for Cape Byron, marking it as the Australian mainland's most easterly point. Cape Byron, situated in the picturesque town of Byron Bay, has long been a hotspot for tourists seeking stunning coastal views. However, beyond its natural beauty, this area holds deep cultural significance for the Arakwal and other Bundjalung people. It has served as a sacred site for important gatherings and traditional ceremonial practices, anchoring it firmly in the cultural tapestry of the region.</p> <p>Similarly, Nguthungulli, referred to as the "Father of the World", will now share its name with Julian Rocks, a renowned diving destination located 2.5km off Cape Byron. This underwater marvel, steeped in Aboriginal lore and legend, is intricately tied to the dreaming stories of the Arakwal and other Bundjalung communities.</p> <p>By bestowing these dual names, authorities aim to not only pay homage to the Indigenous heritage of the land but also to foster a greater understanding and appreciation of its significance among all Australians.</p> <p>The decision to officially recognise these dual names was approved by the NSW Geographical Names Board, following a submission from the National Parks and Wildlife Service. Additionally, in a nod to preserving local Indigenous language and culture, a reserve in the suburb of Bangalow will be formally named Piccabeen Park. The term "Piccabeen" originates from the Bundjalung language, referring to the bangalow palm and the traditional baskets crafted from its fronds.</p> <p>Jihad Dib, the Customer Service Minister, emphasised the NSW government's commitment to safeguarding and promoting Indigenous language and culture through place naming. "All Australians share a relationship to the land and the names we give to places convey their significance, sense of history and identity," he said "Dual-naming acknowledges the significance of Aboriginal culture and represents a meaningful step towards the process of unity in NSW."</p> <p>Echoing these sentiments, David Harris, the Aboriginal Affairs and Treaty Minister, underscored the enduring connections that the Arakwal and other Bundjalung peoples have maintained with these sites since time immemorial. "It is only right to honour that history and that connection through names that bring story and language to life for all Australians to enjoy," he said.</p> <p><em>Image: Getty</em></p>

Legal

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Two more infant deaths at Queensland hospital spark coroner's investigation

<p>In the wake of a recent healthcare scandal involving infant fatalities at a Queensland hospital, the state coroner is now delving into two more heartbreaking cases at the same facility, as <a href="https://www.abc.net.au/news/2024-03-12/coroner-investigating-more-baby-deaths-at-mackay-base-hospital/103573248" target="_blank" rel="noopener">reported by the ABC</a>. This development has reignited concerns about the safety and quality of care provided to expectant mothers and newborns at Mackay Base Hospital.</p> <p>The stories of Chloe Stanley and Jenna McGregor echo a disturbing pattern of maternal distress, dismissal of concerns and tragic outcomes. Stanley's baby girl, Everlee, tragically passed away in her arms just seven days after birth in May 2023, while McGregor lost her son, Hugo, five days after his birth, two months prior. Both infants succumbed to hypoxic-ischaemic encephalopathy, a condition stemming from oxygen or blood flow deprivation during birth.</p> <p>Stanley's harrowing experience sheds light on a systemic issue of young mothers feeling marginalised and ignored by healthcare professionals. At just 19 years old, Stanley expressed her belief that she was being "judged" for her ago, leading to dismissal of her concerns about her baby's well-being, ultimately resulting in devastating consequences. McGregor's ordeal parallels Stanley's, underscoring a troubling lack of responsiveness to maternal distress and the urgent need for systemic reforms.</p> <p>These recent tragedies evoke haunting memories of <a href="https://www.abc.net.au/news/2022-09-30/mackay-hospital-health-service-babies-obstetrics-review/101411172" target="_blank" rel="noopener">a similar case a decade ago</a>, involving the loss of Jessica Beazley's newborn son, Nathan. Like Stanley and McGregor, <a href="https://www.abc.net.au/news/2022-09-30/mackay-base-hospital-obstetrics-harming-mother-and-baby/101485862" target="_blank" rel="noopener">Beazley's concerns </a>appear to have  been disregarded, leading to irreversible harm. An investigation into Mackay Base Hospital's obstetrics and gynaecology service in 2022 revealed a disturbing pattern of inadequate care contributing to infant deaths and maternal suffering, prompting calls for comprehensive reforms.</p> <p>The review uncovered 122 recommendations aimed at improving communication, culture and empathy within the hospital's maternity care system. However, despite assurances of progress, Stanley and McGregor's experiences suggest that critical reforms have yet to be fully implemented, leaving expectant mothers vulnerable to similar tragedies.</p> <p>The Root Cause Analysis conducted by the Mackay Hospital and Health Service (MHHS) following McGregor's loss identified several systemic deficiencies, including delays in care escalation, poor collaboration and communication breakdowns. These findings underscore the urgent need for sustained efforts to address systemic failures and ensure the safety of expectant mothers and their babies.</p> <p>Stanley's and McGregor's accounts of feeling dismissed and unheard by healthcare providers highlight a pervasive culture of neglect and complacency that must be addressed. </p> <p>In response to these tragedies, health authorities have pledged to bolster obstetric care and enhance staff training and empathy initiatives. </p> <p>As the Queensland coroner investigates these heartbreaking cases, it is imperative that lessons are learned, and systemic reforms are swiftly implemented to prevent further loss of innocent lives.</p> <p>Expectant mothers like Chloe Stanley and Jenna McGregor deserve nothing less than the highest standard of care and compassion throughout their pregnancy and childbirth journey.</p> <p><em>Images: Mackay Base Hospital \ Getty Images file photo</em> </p>

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