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5 ways to avoid going overboard on a cruise

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. Here are five ways to ensure you keep your feet dry. 1. Limit your alcohol intake 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. 2. Stay in your room during inclement weather 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. 3. Keep clear of dark corners 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. 4. Pay attention during the practice drills 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). 5. Don’t re-enact the Titanic scene Because going overboard will make you look like anything but, “The king of the world.” 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. Image credits: Getty Images

Cruising

Sad end in search for overboard cruise passenger

A body has been found in the search for a missing passenger who was reported overboard in waters off the coast of Sydney. An alarm was raised onboard P&O’s Pacific Adventure cruise ship around 4am on Monday morning to alert the crew that a passenger had gone overboard. The alarm prompted a search and rescue operation about 10 nautical miles (18.5km) off Sydney Heads, with the crew from the ship also aiding in the rescue instead of docking in Sydney Harbour. Police said the search effort was made difficult due to rough conditions, with crews facing swells up to 5m and 50 to 60km/h winds. It was then confirmed at 10:30am that the body of a man was located in the water and retrieved. A P&O spokesperson then added that the Pacific Adventure, which was carrying 2,600 passengers, has been cleared by police to return to port. “We thank guests for their care, understanding and patience on what’s been a distressing day for guests and crew,” they said. “Our thoughts are with the family of the guest at this difficult time.” Passengers on board the ship described the atmosphere as “tense” and “very sombre” as search efforts unfolded. Police have launched an investigation into the death and will prepare a report for the coroner. Image credits: ABC News

Cruising

Tragic new details emerge over Aussie brothers missing in Mexico

Authorities have recovered three bodies in the Baja California region of Mexico, believed to be those of brothers Callum and Jake Robinson and their American friend who went missing while on a surfing trip. The Perth siblings and their American friend Jack Carter Rhoad went missing last week after they failed to show up at their planned accommodations. Mexican Authorities believe that the brothers were attacked in a robbery gone wrong, and fought back, prompting gunfire from the alleged thieves. The three bodies had gunshots to the head, execution-style, and were found 10 metres down a well outside Santo Tomás about 2km away from what is believed to be the men's campsite. While officials are waiting for DNA results, they believe that there is a "very high probability that it is them". "They were in a state of decomposition. That is why we have to run the genetic tests," Baja California Attorney General Maria Elena Andrade Ramírez told 9News. Police have also said that shell casings were found at the scene. <a href="https://www.oversixty.com.au/health/caring/arrests-made-over-aussie-surfers-missing-in-mexico" target="_blank" rel="noopener">Two men and one woman</a> have been arrested in connection with the attempted robbery, after they were found in possession of methamphetamines and one of the missing men's phones. Ramírez also said evidence found along with the abandoned tents was linked to the three people being questioned about the missing foreigners. Local TV network Milenio reported that the suspects appeared to have stolen the surfers’ truck and some of its parts were found in another truck belonging to one of the suspects. "A working team (of investigators) is at the site where they were last seen, where tents and other evidence was found that could be linked to these three people we have under investigation," Ramírez said on Thursday. "There is a lot of important information that we can't make public." A fourth body was also found deeper down the well, but Ramirez confirmed that it had no connection to the investigation. Image: Nine

Caring

Nine-year-old Aussie ballet prodigy scores full New York scholarship

A talented nine-year-old is heading to New York City, after scoring a full scholarship to a prestigious ballet school. Malcolm Doyle's dad Nick said he and his wife knew their son had a talent for dance from a young age, and could not be more proud of the international attention his dancing has garnered. "He's been doing really well here in Australia and since last year, there's been a bit of a focus from overseas," Nick told <a href="https://9now.nine.com.au/today/aussie-billy-elliot-nine-year-old-ballet-prodigy-scores-scholarship-to-prestigious-new-york-academy/4e3fdf08-3fb7-41a4-89df-eb6ee4b58095" target="_blank" rel="noopener">Today</a>. "He got brought in to do an audition for Chicago's A and A Ballet, who were doing a world broadcast for auditions and from there, we just started to get a bit of interest." "And then this year, we let him do the auditions for the Royal Ballet and he ended up in Hong Kong over Easter." From there, Nick said the American Ballet Theatre in New York got in contact and offered Malcolm a scholarship. Malcolm ultimately turned down the offer and signed with another NYC school, the Ellison Theatre, who offered the youngster a full ride. The family are currently saving up to buy flights over to the US to check out the school, with Nick saying they will do anything and everything to support their son's dream. "It's taking quite a bit of the funds out of my bank account, but the love he's got for dancing, you can't stop him and even if we wanted to, I mean we get home after he's had a full day of dance and he's still dancing around the house," Nick said. Malcolm's dad has a performing arts background and his mum is also a classically trained ballerina and teacher, so Nick said Malcolm was either going to inherit the genes or "end up having three left feet". "He went and saw a production by the Queensland Ballet on the weekend, which he had never seen before and he walked out with half the choreography memorised in his head and trying to reproduce it.," Nick said. After being dubbed "Australia's own Billy Elliot", the Today hosts asked Malcom what it is he loves so much about dancing. "It makes me feel really excited and it's so amazing for me, the feeling I get when I dance," Malcolm said. Image credits: Today

Music

How much time should you spend sitting versus standing? New research reveals the perfect mix for optimal health

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/christian-brakenridge-1295221">Christian Brakenridge</a>, <a href="https://theconversation.com/institutions/baker-heart-and-diabetes-institute-974">Baker Heart and Diabetes Institute</a> People have a pretty intuitive sense of what is healthy – standing is better than sitting, exercise is great for overall health and getting <a href="https://theconversation.com/could-not-getting-enough-sleep-increase-your-risk-of-type-2-diabetes-225179">good sleep is imperative</a>. However, if exercise in the evening may disrupt our sleep, or make us feel the need to be more sedentary to recover, a key question emerges – what is the best way to balance our 24 hours to optimise our health? <a href="https://link.springer.com/article/10.1007/s00125-024-06145-0">Our research</a> attempted to answer this for risk factors for heart disease, stroke and diabetes. We found the optimal amount of sleep was 8.3 hours, while for light activity and moderate to vigorous activity, it was best to get 2.2 hours each. <iframe id="dw4bx" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/dw4bx/" width="100%" height="400px" frameborder="0"></iframe> <h2>Finding the right balance</h2> Current health guidelines recommend you stick to a <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-adults-18-to-64-years">sensible regime</a> of moderate-to vigorous-intensity physical activity 2.5–5 hours per week. However <a href="https://doi.org/10.1016/j.jacc.2019.02.031">mounting evidence</a> now <a href="https://doi.org/10.2337/dc14-2073">suggests</a> how you spend your day can have meaningful ramifications for your health. In addition to moderate-to vigorous-intensity physical activity, this means the time you spend sitting, standing, doing light physical activity (such as walking around your house or office) and sleeping. Our research looked at more than 2,000 adults who wore body sensors that could interpret their physical behaviours, for seven days. This gave us a sense of how they spent their average 24 hours. At the start of the study participants had their waist circumference, blood sugar and insulin sensitivity measured. The body sensor and assessment data was matched and analysed then tested against health risk markers — such as a heart disease and stroke risk score — to create a model. Using this model, we fed through thousands of permutations of 24 hours and found the ones with the estimated lowest associations with heart disease risk and blood-glucose levels. This created many optimal mixes of sitting, standing, light and moderate intensity activity. When we looked at waist circumference, blood sugar, insulin sensitivity and a heart disease and stroke risk score, we noted differing optimal time zones. Where those zones mutually overlapped was ascribed the optimal zone for heart disease and diabetes risk. <h2>You’re doing more physical activity than you think</h2> We found light-intensity physical activity (defined as walking less than 100 steps per minute) – such as walking to the water cooler, the bathroom, or strolling casually with friends – had strong associations with glucose control, and especially in people with type 2 diabetes. This light-intensity physical activity is likely accumulated intermittently throughout the day rather than being a purposeful bout of light exercise. Our experimental evidence shows that <a href="https://diabetesjournals.org/care/article/39/6/964/29532/Benefits-for-Type-2-Diabetes-of-Interrupting">interrupting our sitting</a> regularly with light-physical activity (such as taking a 3–5 minute walk every hour) can improve our metabolism, especially so after lunch. While the moderate-to-vigorous physical activity time might seem a quite high, at more than 2 hours a day, we defined it as more than 100 steps per minute. This equates to a brisk walk. It should be noted that these findings are preliminary. This is the first study of heart disease and diabetes risk and the “optimal” 24 hours, and the results will need further confirmation with longer prospective studies. The data is also cross-sectional. This means that the estimates of time use are correlated with the disease risk factors, meaning it’s unclear whether how participants spent their time influences their risk factors or whether those risk factors influence how someone spends their time. <h2>Australia’s adult physical activity guidelines need updating</h2> Australia’s <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-adults-18-to-64-years">physical activity guidelines</a> currently only recommend exercise intensity and time. A <a href="https://www.uow.edu.au/media/2023/why-adults-need-to-move-more-stop-sitting-and-sleep-better-.php">new set of guidelines</a> are being developed to incorporate 24-hour movement. Soon Australians will be able to use these guidelines to examine their 24 hours and understand where they can make improvements. While our new research can inform the upcoming guidelines, we should keep in mind that the recommendations are like a north star: something to head towards to improve your health. In principle this means reducing sitting time where possible, increasing standing and light-intensity physical activity, increasing more vigorous intensity physical activity, and aiming for a healthy sleep of 7.5–9 hours per night. Beneficial changes could come in the form of reducing screen time in the evening or opting for an active commute over driving commute, or prioritising an earlier bed time over watching television in the evening. It’s also important to acknowledge these are recommendations for an able adult. We all have different considerations, and above all, movement should be fun.<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/228894/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/christian-brakenridge-1295221">Christian Brakenridge</a>, Postdoctoral research fellow at Swinburne University, Centre for Urban Transitions, <a href="https://theconversation.com/institutions/baker-heart-and-diabetes-institute-974">Baker Heart and Diabetes Institute</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-time-should-you-spend-sitting-versus-standing-new-research-reveals-the-perfect-mix-for-optimal-health-228894">original article</a>. </div>

Body

Elderly couple left stranded by cruise ship

An elderly American couple was left behind by a Norwegian Cruise Line while on holiday in Spain this week. Richard and Claudene Gordon- aged 84 and 81 - were on a Mediterranean cruise aboard the Norwegian Viva with plans to celebrate Richard's birthday before things went downhill. The couple decided to take an independent excursion by themselves while the ship was docked in Motril, Spain, but on their return, their bus was delayed for an hour due to poor weather, so they ran late for the 5:30pm all-aboard time ahead of a scheduled 6pm departure. “I am a very experienced traveler and have probably been on as many as 30 cruises during my lifetime,” Richard told CNN. “Never before have we ever missed catching a ship on time at a port. So we are not someone who abuses the system.” Richard claimed that at 5:45pm they notified a relative on board who raised the alarm that they were nearby and running late, but nothing could be done at that point as the ship had to leave on time. By the time the couple arrived at 6:10pm, the boat had left the harbour, but Richard claimed that the cruise line had a tendency to depart behind schedule, and made no attempt to contact them until late Tuesday. “Our cruise began in Lisbon and we departed from Lisbon about one and a half hours after the scheduled departure at 4pm,” he claimed. “Then the next night or two, at least a half-hour late from the dock, so it is clear that they do not always leave on the exact moment scheduled.” The couple were left stranded without their medication, eyeglasses and spare hearing aid batteries, which were left on board. Their daughter ended up having to book her parents a flight to Palma de Mallorca, where the boat was making its next call Wednesday morning, according to the publication. By the time the couple got to Mallorca, they were met with "a beautiful black BMW limousine" which took them back to their ship. "There we were met by the head of ship services who escorted us inside the ship to meet the general manager of the ship, then they escorted us to breakfast, then they escorted us to our cabin.They said they have already complained about the harbour master who was supposed to take care of things for them. "But of course the ship had not contacted us directly for two days so that doesn’t speak so well for them.” The Norwegian Cruise Line disputed the couple’s account of what happened. “After several attempts to contact these guests with the phone numbers provided, as well as trying to phone their emergency contact, we were unable to speak to them directly. However, we worked closely with the local port agents to make arrangements for the guests to rejoin the vessel,” a spokesperson said. “It is important to note that a delayed departure has the potential to impact the ship’s ability to deliver its planned itinerary and thus influence the experience for all guests on-board. While this was a very unfortunate situation, guests are responsible for ensuring they return to the ship at the published time.” Image: Getty

Travel Trouble

New birthday portrait of Princess Charlotte revealed

The Prince and Princess of Wales have shared a new photo of their daughter, Princess Charlotte, to celebrate her ninth birthday. “Happy 9th birthday, Princess Charlotte! Thank you for all of the kind messages today,” they captioned the portrait of the young royal, which was posted on Instagram. Charlotte smiled confidently for the camera as she leaned against a fence surrounded by flowers in the garden of their home in Windsor. The young royal donned a dark red cardigan, a blue top and a denim skirt with stockings in the picture taken by her mother, Kate Middleton. <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C6dejAktAsO/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C6dejAktAsO/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a> </div> </blockquote> Royal fans shared their birthday wishes and praised the Princess of Wales' photography skills. “Another gorgeous photo taken by Catherine,” wrote one fan. “Am enjoying seeing her grow up and flourish.” “She’s growing up so fast and isn’t she the image of her father,” another follower wrote. “Magical. Happy birthday young lady,” commented a third. One fan noted that Charlotte had her father’s eyes and her mother’s “beautiful smile”, while a few others commented on how quickly she was growing up. Just last week Charlotte’s younger brother Louis turned six, and as part of their tradition, a portrait <a href="https://www.oversixty.com.au/lifestyle/family-pets/kate-middleton-shares-new-birthday-photo-of-prince-louis" target="_blank" rel="noopener">photo</a> of him that was taken by his mother was also released. Image: Instagram/ Getty

Family & Pets

Samantha Murphy's alleged killer faces fresh new charges

The man accused of murdering Samantha Murphy has been hit with fresh charges over a drug and alcohol-fuelled bender. Patrick Orren Stephenson, 22, who has been charged with murdering Ms Murphy, has been slapped with several drink and drug driving charges after he allegedly crashed a motorbike into a tree on the night of October 1st. He has also been also charged with careless driving. A former friend of Stephenson told the <a href="https://www.heraldsun.com.au/truecrimeaustralia/police-courts-victoria/accused-samantha-murphy-killer-patrick-stephenson-charged-with-driving-offences/news-story/1ce6e68acdb7575b876f9e7f9100f285" target="_blank" rel="noopener">Herald Sun</a> the crash occurred following an AFL Grand Final gathering that kicked off in the afternoon and ran late into the night. Stephenson was first arrested in connection with the Ballarat mother's disappearance on March 7th, weeks after the 51-year-old was last seen alive. Samantha Murphy was last seen by her loved ones on the morning of February 4th when she went to go on her daily morning run in the Canadian State Forest. Stephenson has been charged with one count of murder, and is said to not be cooperating with police in efforts to find her body. The new charges come after police have continued their gruelling search for Ms Murphy, three months after she went missing. Despite numerous searches, Victoria Police detectives appear no closer to finding her body despite having her alleged killer in custody. A Victoria Police spokesperson told <a href="https://www.dailymail.co.uk/news/melbourne/article-13374863/Alleged-killer-Samantha-Murphy-fresh-charges-Victoria.html" target="_blank" rel="noopener">Daily Mail Australia</a> this week that the investigation remained "very much active and ongoing". "We are continuing to do all we can to locate her," the spokesperson said. Image credits: Nine

Legal

What is childhood dementia? And how could new research help?

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/kim-hemsley-1529322">Kim Hemsley</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a>; <a href="https://theconversation.com/profiles/nicholas-smith-1529324">Nicholas Smith</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/siti-mubarokah-1529323">Siti Mubarokah</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> “Childhood” and “dementia” are two words we wish we didn’t have to use together. But sadly, around <a href="https://doi.org/10.1093/brain/awad242">1,400 Australian children and young people</a> live with currently untreatable childhood dementia. Broadly speaking, childhood dementia is caused by any one of <a href="https://www.childhooddementia.org/what-is-childhood-dementia#what">more than 100</a> rare genetic disorders. Although the causes differ from dementia acquired later in life, the progressive nature of the illness is the same. <a href="https://doi.org/10.1093/brain/awad242">Half</a> of infants and children diagnosed with childhood dementia will not reach their tenth birthday, and most will die <a href="https://www.childhooddementia.org/what-is-childhood-dementia#what">before turning 18</a>. Yet this devastating condition has lacked awareness, and importantly, the research attention needed to work towards treatments and a cure. <h2>More about the causes</h2> Most types of childhood dementia are <a href="https://academic.oup.com/brain/article/146/11/4446/7226999">caused</a> by <a href="https://www.genome.gov/genetics-glossary/Mutation">mutations</a> (or mistakes) in our <a href="https://www.genome.gov/genetics-glossary/Deoxyribonucleic-Acid">DNA</a>. These mistakes lead to a range of rare genetic disorders, which in turn cause childhood dementia. <a href="https://doi.org/10.1093/brain/awad242">Two-thirds</a> of childhood dementia disorders are caused by “<a href="https://www.ncbi.nlm.nih.gov/books/NBK459183/">inborn errors of metabolism</a>”. This means the metabolic pathways involved in the breakdown of carbohydrates, lipids, fatty acids and proteins in the body fail. As a result, nerve pathways fail to function, neurons (nerve cells that send messages around the body) die, and progressive cognitive decline occurs. <h2>What happens to children with childhood dementia?</h2> Most children initially appear unaffected. But after a period of apparently normal development, children with childhood dementia <a href="https://doi.org/10.1016/j.pediatrneurol.2023.09.006">progressively lose</a> all previously acquired skills and abilities, such as talking, walking, learning, remembering and reasoning. Childhood dementia also leads to significant changes in behaviour, such as aggression and hyperactivity. Severe sleep disturbance is common and vision and hearing can also be affected. Many children have seizures. The age when symptoms start can vary, depending partly on the particular genetic disorder causing the dementia, but the average is around <a href="https://doi.org/10.1093%2Fbrain%2Fawad242">two years old</a>. The symptoms are caused by significant, progressive brain damage. <h2>Are there any treatments available?</h2> Childhood dementia treatments currently <a href="https://www.childhooddementia.org/news/report-reveals-global-research-inequity">under evaluation</a> or approved are for a very limited number of disorders, and are only available in some parts of the world. These include gene replacement, <a href="https://doi.org/10.1002/jmd2.12378">gene-modified cell therapy</a> and protein or <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1712649">enzyme replacement therapy</a>. Enzyme replacement therapy is available in Australia for <a href="https://australianprescriber.tg.org.au/articles/cerliponase-alfa-for-neuronal-ceroid-lipofuscinosis-type-2-disease.html">one form of childhood dementia</a>. These therapies attempt to “fix” the problems causing the disease, and have shown promising results. Other experimental therapies include ones that <a href="https://doi.org/10.3390/life12050608">target</a> faulty protein production or <a href="https://doi.org/10.1056/nejmoa2310151">reduce inflammation</a> in the brain. <h2>Research attention is lacking</h2> Death rates for Australian children with cancer <a href="http://www.childhooddementia.org/getasset/2WX39O">nearly halved</a> between <a href="https://www.aihw.gov.au/reports/children-youth/australias-children/contents/health/cancer-incidence-survival">1997 and 2017</a> thanks to research that has enabled the development of multiple treatments. But over recent decades, <a href="http://www.childhooddementia.org/getasset/2WX39O">nothing has changed</a> for children with dementia. In 2017–2023, research for childhood cancer received over four times more funding per patient compared to funding for <a href="https://www.childhooddementia.org/getasset/2WX39O">childhood dementia</a>. This is despite childhood dementia causing a <a href="https://doi.org/10.1093/brain/awad242">similar number of deaths</a> each year as childhood cancer. The success <a href="https://www.aihw.gov.au/reports/children-youth/australias-children/contents/health/cancer-incidence-survival">for childhood cancer sufferers</a> in recent decades demonstrates how adequately funding medical research can lead to improvements in patient outcomes. Another bottleneck for childhood dementia patients in Australia is the lack of access to clinical trials. An <a href="https://www.childhooddementia.org/news/report-reveals-global-research-inequity">analysis</a> published in March this year showed that in December 2023, only two clinical trials were recruiting patients with childhood dementia in Australia. Worldwide however, 54 trials were recruiting, meaning Australian patients and their families are left watching patients in other parts of the world receive potentially lifesaving treatments, with no recourse themselves. That said, we’ve seen a slowing in the establishment of <a href="https://www.childhooddementia.org/news/report-reveals-global-research-inequity">clinical trials</a> for childhood dementia across the world in recent years. In addition, we know from <a href="https://www.childhooddementia.org/join-us/professionals/impacts">consultation with families</a> that current care and support systems <a href="https://www.childhooddementia.org/getasset/44MLP8">are not meeting the needs</a> of children with dementia and their families. <h2>New research</h2> Recently, we were awarded <a href="https://www.premier.sa.gov.au/media-releases/news-items/major-funding-boost-for-research-into-childhood-dementia">new funding</a> for <a href="https://www.flinders.edu.au/giving/our-donors/impact-of-giving/improving-the-lives-of-children-with-dementia">our research</a> on childhood dementia. This will help us continue and expand studies that seek to develop lifesaving treatments. More broadly, we need to see increased funding in Australia and around the world for research to develop and translate treatments for the broad spectrum of childhood dementia conditions. Dr Kristina Elvidge, head of research at the <a href="https://www.childhooddementia.org/our-people">Childhood Dementia Initiative</a>, and Megan Maack, director and CEO, contributed to this article.<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/228508/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/kim-hemsley-1529322">Kim Hemsley</a>, Head, Childhood Dementia Research Group, Flinders Health and Medical Research Institute, College of Medicine and Public Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a>; <a href="https://theconversation.com/profiles/nicholas-smith-1529324">Nicholas Smith</a>, Head, Paediatric Neurodegenerative Diseases Research Group, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/siti-mubarokah-1529323">Siti Mubarokah</a>, Research Associate, Childhood Dementia Research Group, Flinders Health and Medical Research Institute, College of Medicine and Public Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-childhood-dementia-and-how-could-new-research-help-228508">original article</a>. </div>

Mind

Anthony Albanese's new $925 million pledge

Anthony Albanese has pledged $925 million to help victims of domestic violence flee dangerous situations, in the wake of the recent increase of violence against women. The Prime Minister established the Leaving Violence Program on Wednesday, which will invest $925m over a five year period to help women escape violence at home. Albanese convened an urgent national cabinet meeting after declaring violence against women a “national emergency” following the killings of 27 women across Australia this year. Following the crisis talks, the Prime Minister announced the permanent establishment of the government’s Leaving Violence Payment to assist people experiencing violence with the financial costs of leaving a violent situation. “Those eligible will be able to access up to $5000 in financial support along with referral services, risk assessments, and safety planning. This commitment builds on measures put in place by our government to help address financial barriers to escaping violence,” Mr Albanese said. Australia will also introduce legislation that will ban the creation and distribution of deep fake pornography and the sharing of sexually explicit material using technology such as artificial intelligence. Communications Minister Michelle Rowland said governments around the world were grappling with how to keep online spaces safe. "I think the other important point to note is that as a society, we do need to do more and this is a role not only for government, not only for regulators and civil society, but also for the platforms themselves," she said. "And part of this is putting the emphasis on the platforms to enforce their existing terms of service and where they are not doing that, to examine what are the measures governments can take." The government will also bring forward legislation in early August to outlaw the release of private information online with an intent to cause harm, known as doxxing. Albanese added that violence against women was a "national crisis", saying, "It's an issue for all of us to work together in the national interest to deal with what is a scourge of violence against women that is having a real impact out there, with one every four days a woman losing their life at the hand of a domestic or former domestic partner," he said. Longer-term priorities include strengthening accountability and consequences for perpetrators, including early intervention with high-risk perpetrators and serial offenders, and better support for victim and survivors. Image credits: Getty Images

Legal

Aussie cruising fanatics share their top cruise tips

An Aussie couple who are dedicated to cruising have shared their top tips to keep in mind before setting sail. Marty and Jessica Ansen are about to set off on their 130th cruise and have made headlines around the world for their devotion to spending most of their lives at sea. Together they have sailed roughly 770,000 nautical miles over more than 2,300 days on board, which equates to more than six years spent at sea. The Brisbane grandparents, both 77, have just headed off on their tenth trip around the globe, which is also their 52nd consecutive cruise adventure. During all their time spent at seas, the Ansens have learned a thing or two about life onboard, and have shared their top ten tips to make time on a cruise ship as smooth sailing as possible. Their number one tip for cruise travellers is to take a backup credit or debit card, as Marty told <a href="https://travel.nine.com.au/cruising/cruise-tips-couple-princess-cruises-marty-and-jessica-ansen-australia/c61281dd-c47a-41bf-b166-608b581eccdf" target="_blank" rel="noopener">9Travel</a>, "Replacing a lost or stolen card while overseas is not for the fainthearted." The Ansens recommend making a clear and legible copy of your passport, as consulates find it a lot easier if you can provide a copy ready to go when you disembark. After all their years at sea, Marty and Jessica are pro-packers, and recommend wearing all your heaviest clothing when you check in to better adhere to a strict weight limit. "Jessica and I have one piece of luggage, usually under 20kg," Marty said. "We also each have one bag of hand luggage. Going on board, regardless of weather, I wear my heaviest clothing." When it comes to packing, they also advise leaving your toiletries at home. "Leave consumables like shampoo, conditioner, toothpaste and any creams and potions at home as Princess (cruise line) provides basic toiletries and anything you do need can be bought at the first port," Marty said. Marty and Jessica also recommend packing all your essentials in your hand luggage, as it can often take a while for your checked bags to arrive in your cruise ship cabin. "Place all jewellery, passports, visas, medication money and credit/debit cards in your hand luggage for easy retrieval," Marty said. Marty said one thing every traveller must check before setting sail is what electrical connection is used onboard. "Check what electrical connection is used onboard and have the right adapter ready to charge your devices,' Marty said. Many ships have American and European plug points, while newer ones may have USB connections too. When it comes to bringing medications, the Ansens said you should always bring extras, as well as the required paperwork. "As an extra precaution carry copies of scripts so that if you do run out or lose your medications it will be easier to prove what you need to overseas pharmacies or doctors," Marty said. Lastly, like any overseas adventure, the Ansens said it is important to always have travel insurance, and to make copies of your policy. Image credits: X (Twitter)

Cruising

What just happened to Bonza? Why new budget airlines always struggle in Australia

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/ian-douglas-2932">Ian Douglas</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/seena-sarram-1469656">Seena Sarram</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> The history of budget jet airlines in Australia is a long road <a href="https://www.smh.com.au/traveller/travel-news/grounded-five-of-australias-biggest-airline-failures-20221216-h28pzn.html">littered with broken dreams</a>. New entrants have consistently struggled to get a foothold. Low-cost carrier Bonza has just become the industry’s <a href="https://www.afr.com/companies/transport/bonza-flights-cancelled-as-aircraft-repossessed-20240430-p5fnjf">latest casualty</a>, entering voluntary administration on Tuesday after abruptly cancelling all flights. Losing the airline would be heartbreaking for the 24 regional Australian locations that were <a href="https://www.accc.gov.au/system/files/domestic-airline-competition-report-february2024_0.pdf">not connected directly</a> by any other airline. It would also mean even less competition in a heavily concentrated domestic air travel market. Over 85% of routes are operated by just <a href="https://www.accc.gov.au/system/files/domestic-airline-competition-report-february2024_0.pdf">three airline groups</a>. But Bonza hasn’t just fallen into this situation by chance. Strategic missteps likely played a key role from the very beginning. <h2>What went wrong</h2> First, running an airline is an expensive business – any cost savings airlines can find are extremely valuable. Bonza chose to enter the Australian market with a very small fleet of <a href="https://skybrary.aero/aircraft-family/b737-series">Boeing B737</a> jet aircraft. But these had no operating cost advantage over the B737s already flown by Qantas, Virgin and Rex. Bonza’s small fleet also lacked any scale advantage in scheduling aircraft or crew. Second, to sell tickets, Bonza adopted a radically different “<a href="https://flybonza.com/media/bonza-gets-wheels-up#:%7E:text=Bonza%20is%20the%20first%20airline,uniform%20including%20custom%20Bonza%20sneakers.">app first</a>” approach. The only place customers could search for and book tickets directly was the official Bonza app. But this meant potential customers using conventional search tools – such as search engines or booking websites – often couldn’t find Bonza flights. The fact Bonza <a href="https://www.couriermail.com.au/business/qld-business/gold-coast-airport-sweetheart-deals-raise-concern-for-bonza/news-story/5ecdfe749b7c8a636cfe740ee0359ba3">struggled</a> to gain traction on its routes to Gold Coast airport, which handles a sizeable 250,000 domestic passengers each month, underscores this issue with the company’s approach. And third, although it served a unique range of locations, Bonza’s flight schedule across its network was far from optimal. In some cases, routes were flown only once weekly, compared to much more frequent gateway city services on Rex and QantasLink. For European airlines like easyJet or Ryanair, less-than-daily flights to smaller tourist destinations might be viable. But these airlines have the scale and connectivity to offer customers alternative pathways across their networks. Unlike Bonza, small regional routes are not at the core of their business model. <h2>Making an airline succeed</h2> Bonza isn’t the first Australian budget carrier to fail, and likely won’t be the last. Why are so many new entrants doomed to fail? Making a jet airline succeed hinges on optimising three key factors – market scale, airport access, and geography. For would-be budget airlines, Australia offers a brutal starting ground on all three. Market scale <a href="https://www.icao.int/sustainability/Pages/Low-Cost-Carriers.aspx">Low-cost carrier</a> and ultra low-cost carrier airlines have successfully gained strong footholds in Europe, the US, and Southeast Asia. But these markets are orders of magnitude larger than Australia. The US, for example, offers airlines a market of <a href="https://www.statista.com/statistics/183600/population-of-metropolitan-areas-in-the-us/">large cities across a large area</a>. New York’s population is approaching 20 million, Chicago 9.6 million, Houston 7.1 million, and Miami 6.1 million. The population of the European Union is close to 450 million. And if you include the UK, there are over 30 cities in Europe with populations over 1 million. Australian carriers have only a handful of cities on that scale. Australia lacks both the population density of Europe, and the range of secondary airports that European low-cost carriers have leveraged to access nearby markets and to drive down operating costs. After more than a year of operation, Bonza had only achieved an overall market share of <a href="https://www.accc.gov.au/system/files/domestic-airline-competition-report-february2024_0.pdf">about 2%</a>. Airport access Airport access is the next key barrier facing low-cost and ultra low-cost market entrants. The main routes between large Australian cities are all in a corridor along the east coast, and the largest flow into Sydney. Use of Sydney airport is heavily constrained, both by the incumbent operators who <a href="https://australianaviation.com.au/2023/07/sydney-slot-system-a-threat-to-bonza-owner-hints/">hold most of the slots</a>, and by regulations that artificially limit the flow of aircraft at peak times to just 80 movements (take-offs or landings) per hour. In contrast, London Heathrow, another constrained two-runway airport, delivers a capacity of <a href="https://www.caa.co.uk/media/dwfgyk53/estimating-the-congestion-premium-at-heathrow.pdf">88 movements per hour</a>. Completion of the new Western Sydney Airport will provide some relief from this capacity constraint. But it will not alter the fact Sydney Airport operates under an imposed constraint on operations. Geography Geography is the third constraint in Australia. Unlike Europe, the US, or Southeast Asia, most of our major cities are in a line on the east coast. There is no hub to connect our major cities with smaller regional points. Towns that are too distant for convenient rail or road links often have populations that are too small to support viable – let alone frequent – flights to the larger centres. Some regional routes are successfully serviced by small “<a href="https://nbaa.org/business-aviation/business-aircraft/turboprop-aircraft/">turboprop</a>” aircraft. Operating these incurs a higher cost per passenger than the passenger jets connecting the major cities. But it makes no sense to fly larger aircraft on these routes if the planes are half empty. <h2>A big loss for regional Australia</h2> The combination of Australia’s small population, the capacity constraints imposed on Sydney Airport, the presence of strong incumbent airlines, and our linear east coast market make new entry difficult. Virgin Blue occupied the space created by the collapse of Ansett. But Impulse, Tiger, Air Australia, Ozjet, and two versions of Compass were unsuccessful market entrants. Even Air New Zealand – which has the fleet, brand strength, and market access to support entering the market – chooses not to operate domestically in Australia. Understanding why new entrants fail offers little consolation to underserved regional towns in Australia. But given Bonza’s small footprint, capital city travellers looking for more competition on the major east coast routes will hardly notice a change.<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/228995/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ian-douglas-2932">Ian Douglas</a>, Honorary Senior Lecturer, UNSW Aviation., <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/seena-sarram-1469656">Seena Sarram</a>, Lawyer and Casual Academic, UNSW School of Aviation, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Bonza - PR Image 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/what-just-happened-to-bonza-why-new-budget-airlines-always-struggle-in-australia-228995">original article</a>. </div>

Travel Trouble

Prince and Princess of Wales receive new royal title

King Charles has issued new royal titles for Prince William and Princess Kate. Kate has been appointed Royal Companion of The Order of the Companions of Honour. The Order was founded by King George V in 1917 to recognise outstanding achievements in the Arts, Sciences, Medicine and Public Service. Since becoming a member of the royal family, a lot of Kate's work has been on the arts, mental health and early education. The appointment comes after the Princess of Wales was diagnosed with cancer, and is currently undergoing treatment for it. Prince William was also given a new title as the Great Master of the Most Honourable Order of the Bath. The Most Honourable Order of the Bath was established by King George I in 1725, and is awarded to members of the military or civil service for their exemplary service. King Charles had received the same title when he was the Prince of Wales, and the position was left vacant until now. Previous Grand Masters include Prince Henry, Duke of Gloucester and Prince Arthur, Duke of Connaught and Strathearn. The Buckingham Palace have announced several other new appointments this week. Queen Camilla as been appointed the Grand Master and First or Principal Dame Grand Cross of the Most Excellent Order of the British Empire. The title was previously held by the late Duke of Edinburgh, the late Queen's grandmother – Queen Mary of Teck, and King George VI when he was the Prince of Wales. The Duchess of Gloucester has become a Royal Lady Companion of the Most Noble Order of the Garter, and is expected to make her debut at the ceremony on June 17. The Order of the Garter is the oldest and most senior Order of Chivalry in Britain, which was established by King Edward III almost 700 years ago. Other appointments to the Order include Air Chief Marshal the Lord Peach, The Right Honourable the Lord Kakkar and Lord Lloyd-Webber. These appointments come after the monarchy was rocked by a number of unexpected health challenges this year, namely King Charles and Princess Kate's cancer diagnosis. Image: Getty

Family & Pets

Kate Middleton shares new birthday photo of Prince Louis

Prince Louis has turned six! Prince William and Princess Kate have released a new photo of the young royal to mark his special day. "Happy 6th Birthday, Prince Louis! Thank you for all the kind wishes today,” the couple wrote on social media. In the picture, taken by the Princess of Wales, the young royal donned a plaid shirt with blue pants and was smiling at the camera. Eagle-eyed royal watchers noticed one sweet detail in the photo: Prince Louis appears to have had a visit from the tooth fairy, as one of his bottom front-teeth was missing. “Thank you so much for sharing this delightful picture. I see the tooth fairy has been visiting - goodness time flies so fast,” one fan wrote on X. "Happy birthday Prince Louis!! Can’t believe how grown up he is looking, hope he has the best day!" wrote another on Instagram. <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C6GhkvDNg0H/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C6GhkvDNg0H/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a> </div> </blockquote> "So glad to hear from Princess Catherine via this delightful photo. HBD, little Louis !" added a third. "Wishing this sweet little prince the happiest of the birthdays," commented a fourth. Kate is known for taking photos of her kids for their birthdays, and this milestone comes after a difficult period for the royal family, with both Kate and King Charles' cancer diagnosis. The family of five have taken time out of the spotlight in recent weeks and celebrated a more low-key and private Easter break in Norfolk. Image: Getty

Family & Pets

Teen with Down Syndrome sets new world record

A 19-year-old teen with Down Syndrome has conquered the London Marathon and became a Guinness World Record after just five months of training. Lloyd Martin from Cardiff completed the 42.1 km course across the capital with his mother cheering him on. Guinness World Record has awarded him the certificate for becoming the youngest person in his learning disability category to finish a marathon. "I'm so excited to run London. I love being fit and healthy and I want to make my family and friends proud," the teenager said. Mum Ceri Hooper also told the BBC how proud she was of her son's accomplishment. "In Lloyd's words, it's achieving his dream," she said. "Really anything is possible if you put your mind to it. With a bit of work, you can achieve it." Recalling the experience, the proud mum said: "He ran continuously for 14 miles which is the longest he's ever run before." Although Lloyd walked for a bit after his 14-mile-long streak, the crowd cheered him on every step of the way, and despite the challenge the mother-and-son duo had "a ball". The pair were at a loss for words when he finally crossed the finish line and they both "burst into tears." Lloyd is also now the third Welsh Special Olympics athlete to compete in the London Marathon. Prior to completing the world-famous marathon, Lloyed had completed an astonishing 30 Parkruns. Until last Christmas the teenager had never run further than three miles, but his mother was determined to get him marathon-ready. Ceri, who has taken on the London Marathon four times, created a specialised training regime for her son which included weekly runs. Lloyd managed to secure a spot in the marathon thanks to the help of the Special Olympics GB, where he is also a footballer and a gymnast. Images: Facebook/ Twitter

Caring

Police release new images in search for church rioters

The images of 12 men who were allegedly involved in the violent riot outside The Good Shepherd Church in Wakeley have been released by NSW Police. Three men have been charged over their alleged involvement in the riot last Monday, shortly after bishop Mar Mari Emmanuel was stabbed during a service that was being live-streamed. A 16-year-old boy has been <a href="https://www.oversixty.com.au/finance/legal/teenage-boy-in-custody-after-stabbing-at-sydney-church" target="_blank" rel="noopener">arrested</a> over the stabbing incident, with police describing it as a "terror incident". Now, Strike Force Dribs have been established to investigate the violent incidents, and they have released the images of the men they would like to speak to. Acting Assistant Commissioner Andrew Holland said that around 2,000 people were at the scene but up to 50 were there "to start problems". "We know that there's groups of families involved that have gone there to support their parishioners, and we're not looking for those people," he said. "We're looking to speak with them if they can provide us information about the people involved." In the immediate aftermath of the incident, dozens of police were injured, their cars vandalised, and some officers and paramedics were forced to take shelter inside the church. One police officer had their jaw broken, while another suffered facial and knee injuries. Superintendent Andrew Evans said that the images of the men have been released "due to the violent and aggressive nature of their actions". "We are doing everything we can to identify these men and are now appealing for public assistance," he said in a statement. "Someone in the community knows who they are." One man — known as Person A — had his face covered but was filmed jumping on top of police cars. He has a large tattoo of Jesus Christ on his stomach, and others on his left arm. Another — known as Person C — was described as being of Mediterranean or Middle Eastern appearance with short black hair and a beard. A full list of all the people police believed were involved in the riots were released on their <a href="https://www.police.nsw.gov.au/news/news?sq_content_src=%2BdXJsPWh0dHBzJTNBJTJGJTJGZWJpenByZC5wb2xpY2UubnN3Lmdvdi5hdSUyRm1lZGlhJTJGMTExNTU0Lmh0bWwmYWxsPTE%3D" target="_blank" rel="noopener">website</a>, with descriptions of their features and the clothes they were wearing. Investigators are also collecting evidence including mobile phone and CCTV footage to identify those involved. Over the weekend, Issa Haddad, 28, was charged and granted bail for over the public disorder incident. Two others, Dani Mansour, 19, and Sam Haddad, 45, have also been charged and granted bail. Images: NSW Police/ SBS News

Legal

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

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a> Mild cognitive impairment – an early stage of dementia – is widely underdiagnosed in people 65 and older. That is the key takeaway of two recent studies from our team. In the first study, we used Medicare data for about 40 million beneficiaries age 65 and older from 2015 to 2019 to estimate the prevalence of mild cognitive impairment in that population and to identify what proportion of them had actually been diagnosed. Our <a href="https://doi.org/10.1186/s13195-023-01272-z">finding was sobering</a>: A mere 8% of the number of cases with mild cognitive impairment that we expected based on a statistical model had actually been diagnosed. Scaled up to the general population 65 and older, this means that approximately 7.4 million cases across the country remain undiagnosed. In the second study, we analyzed data for 226,756 primary care clinicians and found that <a href="https://doi.org/10.14283/jpad.2023.131">over 99% of them underdiagnosed mild cognitive impairment</a> in this population. <h2>Why it matters</h2> Mild cognitive impairment is an early symptom of Alzheimer’s disease in <a href="https://doi.org/10.1001/jama.2019.2000">about half of cases</a> and progresses to dementia <a href="https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment">at a rate of 10% to 15% per year</a>. It includes symptoms such as losing the ability to remember recent events and appointments, make sound decisions and master complex tasks. Failure to detect it might deprive patients of an opportunity to get treated and to slow down disease progression. Mild cognitive impairment can sometimes be caused by easily addressable factors, such as medication side effects, thyroid dysfunction or <a href="https://theconversation.com/vitamin-b12-deficiency-is-a-common-health-problem-that-can-have-serious-consequences-but-doctors-often-overlook-it-192714">vitamin B12 deficiency</a>. Since mild cognitive impairment has <a href="https://doi.org/10.1016/j.amjopharm.2008.06.004">the same risk factors as cardiovascular disease</a>, such as high blood pressure and cholesterol, medication management of these risks combined with diet and exercise <a href="https://doi.org/10.1016/S0140-6736(15)60461-5">can reduce the risk of progression</a>. In 2023, the Food and Drug Administration <a href="https://www.fda.gov/news-events/press-announcements/fda-converts-novel-alzheimers-disease-treatment-traditional-approval">approved the drug lecanemab</a> as the <a href="https://theconversation.com/what-the-fdas-accelerated-approval-of-a-new-alzheimers-drug-could-mean-for-those-with-the-disease-5-questions-answered-about-lecanemab-197460">first disease-modifying treatment</a> <a href="https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/what-happens-brain-alzheimers-disease">for Alzheimer’s disease</a>, the most common cause of mild cognitive impairment. In contrast to previous drugs, which can temporarily improve symptoms of the disease, such as memory loss and agitation, this new treatment addresses the underlying cause of the disease. Lecanemab, a monoclonal antibody, <a href="https://www.news-medical.net/health/What-are-Amyloid-Plaques.aspx">reduces amyloid plaques</a> in the brain, which are toxic protein clumps that are believed to contribute to the progression of the disease. In a large clinical trial, lecanemab was able to <a href="https://doi.org/10.1056/NEJMoa2212948">reduce the progression</a> of early-stage Alzheimer’s disease. A similar drug, donanemab, also <a href="https://doi.org/10.1001/jama.2023.13239">succeeded in a clinical trial</a> and is expected to be <a href="https://www.medicalnewstoday.com/articles/fda-delays-approval-of-alzheimers-drug-donanemab-what-experts-think">approved sometime in 2024</a>. However, these drugs must be used in the early stages of Alzheimer’s disease, ideally when a patient has only mild cognitive impairment, as there is <a href="https://www.alz.org/alzheimers-dementia/treatments/lecanemab-leqembi">no evidence that they are effective in advanced stages</a>. <figure><iframe src="https://www.youtube.com/embed/w3IbAscNjsQ?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption>An earlier diagnosis leads to early treatment and better outcomes.</figcaption></figure> <h2>What still isn’t known</h2> Many factors contribute to the <a href="https://doi.org/10.1002/alz.13051">lack of timely detection</a>. But researchers don’t have a good understanding of the relative importance of those individual factors or how to reduce the high rate of underdiagnosis. While distinct, symptoms are subtle and their slow progression means that they can be overlooked or misinterpreted as normal aging. A neurologist in China told our research team that diagnosis rates spike in China after the New Year’s holiday, when children who haven’t seen their parents for a year notice changes that are harder to pick up when interacting with someone daily. Doctors also commonly discount memory concerns as normal aging and doubt that much can be done about it. While cognitive tests to distinguish mild cognitive impairment from pathologic decline do exist, they take about 15 minutes, which can be hard to come by during the limited time of a doctor’s visit and may require a follow-up appointment. <h2>What’s next</h2> People, particularly those in their 60s and beyond, as well as their families and friends need to be vigilant about cognitive decline, bring it up during doctor’s appointments and insist on a formal assessment. The <a href="https://www.medicare.gov/coverage/yearly-wellness-visits">Medicare yearly “wellness” visit</a> is an opportunity to explore such concerns, but only about half of beneficiaries <a href="https://doi.org/10.1377/hlthaff.2019.01795">take advantage of it</a>. Just as physicians ask patients about unexplained weight loss and take those concerns seriously, we believe questions that explore a patient’s cognitive state need to become the norm. The <a href="https://theconversation.com/us/topics/research-brief-83231">Research Brief</a> is a short take on interesting academic work.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/216892/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, Director of the USC Dornsife Brain Health Observatory, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, Research Scientist, Center for Economic and Social Research, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/new-studies-suggest-millions-with-mild-cognitive-impairment-go-undiagnosed-often-until-its-too-late-216892">original article</a>. </div>

Mind

Good news: midlife health is about more than a waist measurement. Here’s why

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/rob-newton-12124">Rob Newton</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> You’re not in your 20s or 30s anymore and you know regular health checks are important. So you go to your GP. During the appointment they measure your waist. They might also check your weight. Looking concerned, they recommend some lifestyle changes. GPs and health professionals commonly <a href="https://theconversation.com/the-body-mass-index-cant-tell-us-if-were-healthy-heres-what-we-should-use-instead-211190">measure waist circumference</a> as a vital sign for health. This is a better indicator than body mass index (BMI) of the amount of intra-abdominal fat. This is the really risky fat around and within the organs that can drive heart disease and metabolic disorders such as type 2 diabetes. Men are at greatly increased risk of health issues if their waist circumference is <a href="https://www.bmj.com/content/311/7017/1401">greater than 102 centimetres</a>. Women are considered to be at greater risk with a waist circumference of <a href="https://www.bmj.com/content/311/7017/1401">88 centimetres or more</a>. More than <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/waist-circumference-and-bmi/latest-release">two-thirds of Australian adults</a> have waist measurements that put them at an increased risk of disease. An even better indicator is waist circumference divided by height or <a href="https://www.baker.edu.au/news/in-the-media/waist-height-ratio#:%7E:text=According%20to%20research%2C%20a%20healthy,the%20highest%20risk%20of%20disease.">waist-to-height ratio</a>. But we know people (especially women) have a propensity to <a href="https://www.ajog.org/article/S0002-9378(19)30588-5/abstract">gain weight around their middle during midlife</a>, which can be very hard to control. Are they doomed to ill health? It turns out that, although such measurements are important, they are not the whole story when it comes to your risk of disease and death. <h2>How much is too much?</h2> Having a waist circumference to height ratio larger than 0.5 is associated with greater risk of chronic disease as well as premature death and this applies in adults of any age. A healthy waist-to-height ratio is between 0.4 to 0.49. A ratio of 0.6 or more <a href="https://www.baker.edu.au/news/in-the-media/waist-height-ratio#:%7E:text=According%20to%20research%2C%20a%20healthy,the%20highest%20risk%20of%20disease">places a person at the highest risk of disease</a>. Some experts recommend <a href="https://www.nature.com/articles/s41574-019-0310-7">waist circumference be routinely measured in patients during health appointments</a>. This can kick off a discussion about their risk of chronic diseases and how they might address this. Excessive body fat and the associated health problems manifest more strongly during midlife. A range of social, personal and physiological factors come together to make it more difficult to control waist circumference as we age. Metabolism tends to slow down mainly due to decreasing muscle mass because people do <a href="https://onlinelibrary.wiley.com/doi/10.1002/jcb.25077">less vigorous physical activity, in particular resistance exercise</a>. For women, hormone levels begin changing in mid-life and this also <a href="https://www.tandfonline.com/doi/full/10.3109/13697137.2012.707385">stimulates increased fat levels particularly around the abdomen</a>. At the same time, this life phase (often involving job responsibilities, parenting and caring for ageing parents) is when elevated stress can lead to <a href="https://journals.lww.com/psychosomaticmedicine/abstract/2000/09000/stress_and_body_shape__stress_induced_cortisol.5.aspx">increased cortisol which causes fat gain in the abdominal region</a>. Midlife can also bring poorer sleep patterns. These contribute to fat gain with <a href="https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0010062">disruption to the hormones that control appetite</a>. Finally, your family history and genetics can <a href="https://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1002695">make you predisposed to gaining more abdominal fat</a>. <h2>Why the waist?</h2> This intra-abdominal or visceral fat is much more metabolically active (it has a greater impact on body organs and systems) than the fat under the skin (subcutaneous fat). Visceral fat surrounds and infiltrates major organs such as the liver, pancreas and intestines, releasing a variety of chemicals (hormones, inflammatory signals, and fatty acids). These affect inflammation, lipid metabolism, cholesterol levels and insulin resistance, <a href="https://academic.oup.com/eurheartjsupp/article/8/suppl_B/B4/461962">contributing to the development of chronic illnesses</a>. The issue is particularly evident <a href="https://www.ajog.org/article/S0002-9378(19)30588-5/abstract">during menopause</a>. In addition to the direct effects of hormone changes, <a href="https://www.sciencedirect.com/science/article/pii/S0960076013001118?via%3Dihub">declining levels of oestrogen change brain function, mood and motivation</a>. These psychological alterations can result in reduced physical activity and increased eating – often of comfort foods high in sugar and fat. But these outcomes are not inevitable. Diet, exercise and managing mental health can limit visceral fat gains in mid-life. And importantly, the waist circumference (and ratio to height) is just one measure of human health. There are so many other aspects of body composition, exercise and diet. These can have much larger influence on a person’s health. <h2>Muscle matters</h2> The quantity and quality of skeletal muscle (attached to bones to produce movement) a person has makes a <a href="https://www.nature.com/articles/nrendo.2012.49">big difference</a> to their heart, lung, metabolic, immune, neurological and mental health as well as their physical function. On current evidence, it is equally or more important for health and longevity to <a href="https://www.bmj.com/content/345/bmj.e7279">have</a> higher muscle mass and better cardiorespiratory (aerobic) fitness than waist circumference within the healthy range. So, if a person does have an excessive waist circumference, but they are also sedentary and have less muscle mass and aerobic fitness, then the recommendation would be to focus on an appropriate exercise program. The fitness deficits should be addressed as priority rather than worry about fat loss. Conversely, a person with low visceral fat levels is not necessarily fit and healthy and may have quite poor aerobic fitness, muscle mass, and strength. <a href="https://bjsm.bmj.com/content/45/6/504">The research evidence</a> is that these vital signs of health – how strong a person is, the quality of their diet and how well their heart, circulation and lungs are working – are more predictive of risk of disease and death than how thin or fat a person is. For example, a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510687/">2017 Dutch study</a> followed overweight and obese people for 15 years and found people who were very physically active had no increased heart disease risk than “normal weight” participants. <h2>Getting moving is important advice</h2> Physical activity has many benefits. Exercise can counter a lot of the negative behavioural and physiological changes that are occurring during midlife including for people going through menopause. And regular exercise reduces the tendency to use food and drink to help manage what can be a <a href="https://journals.lww.com/acsm-msse/fulltext/2008/05000/physical_activity,_sedentary_index,_and_mental.7.aspx">quite difficult time in life</a>. Measuring your waist circumference and monitoring your weight remains important. If the measures exceed the values listed above, then it is certainly a good idea to make some changes. Exercise is effective for fat loss and in particular <a href="https://bjsm.bmj.com/content/57/16/1035">decreasing visceral fat</a> with greater effectiveness when <a href="https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-019-0864-5">combined with dietary restriction of energy intake</a>. Importantly, any fat loss program – whether through drugs, diet or surgery – is also a muscle loss program unless resistance exercise is part of the program. Talking about your overall health with a doctor is a great place to start. <a href="https://www.essa.org.au/Public/Public/Searches/find-aep-withdistance.aspx">Accredited exercise physiologists</a> and <a href="https://member.dietitiansaustralia.org.au/Portal/Portal/Search-Directories/Find-a-Dietitian.aspx">accredited practising dietitians</a> are the most appropriate allied health professionals to assess your physical structure, fitness and diet and work with you to get a plan in place to improve your health, fitness and reduce your current and future health risks.<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/226019/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/rob-newton-12124">Rob Newton</a>, Professor of Exercise Medicine, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/good-news-midlife-health-is-about-more-than-a-waist-measurement-heres-why-226019">original article</a>. </div>

Body

New twist in real identity of "elderly" shoplifter

New details have emerged after an "elderly" woman was photographed after allegedly being targeted by police for <a href="https://oversixty.com.au/finance/legal/old-woman-targeted-and-accused-of-shoplifting" target="_blank" rel="noopener">shoplifting</a>. The original photo, which was shared to X, showed an older woman standing outside a Coles supermarket, while two officers sifted through her groceries to check she wasn't stealing. The post garnered widespread outrage, with many people leaping to the woman's defence and calling for people to "boycott Woolies and Coles". Now, it turns out that the shopper wasn't an old woman at all, but a 32-year-old woman dressing to appear older. According to reports from <a href="https://7news.com.au/lifestyle/new-twist-after-photo-of-elderly-coles-shopper-being-stopped-by-police-sparks-furious-reaction-c-14356492" target="_blank" rel="noopener">7News</a>, the woman was impersonating an elderly shopper during the trip to Coles and was discovered with a significant amount of groceries. Victoria Police confirmed they were called to the supermarket, and issued the woman with a caution for shoplifting. “Police responded to reports of shoplifting at a centre in Richmond about 3.30pm on 17 April,” police said. “Officers arrived to discover a woman had been detained on the ground by a loss prevention officer employed by the store. Police separated the parties and spoke with a 32-year-old woman from Glenroy who was cautioned for shoplifting.” In the initial post to social media, the bystander took aim at Coles and Victoria Police for targeting the shopper, who they believed was elderly, describing her apprehension as “forcible”. “I told the police that I’ll pay for her food and let her go and then I got threatened with being arrested for ‘obstructing police’,”the X user said In further posts, the bystander made even more serious allegations about the incident. “When I intervened to help the lady I then got threatened by the police of being arrested for ‘obstructing a police matter’,” they posted. Image credits: X (Twitter)

Legal

"I believe he is alive": Father of young man who jumped off cruise ship speaks out

The father of the young man who jumped off a cruise ship on its way to Florida has spoken out, saying he believes his son is still alive. While the Liberty of the Seas was travelling back from the Dominican Republic on its way to Florida, 20-year-old Levion Parker <a href="https://www.oversixty.com.au/health/caring/young-man-who-jumped-off-cruise-ship-identified" target="_blank" rel="noopener">jumped overboard</a>. The ship was reportedly about 90km off the southern most island of the Bahamas when the young man, who was allegedly under the influence of alcohol, jumped overboard in the early hours of the morning. Witnesses recounted the harrowing scene, describing how a young man took a spontaneous plunge from one of the ship's decks, despite the desperate pleas and helplessness of his father and brother who stood witness to the impulsive act. After days of searching, the US coast guard called off their search for the young man. Now, Legion's father Francel said he believes his son is still alive. “As soon as he went off the side, I prayed over him. I was confident the prayers I said over my son were heard. I stand on the word of God. I believe he is alive,” Mr Parker told local Florida paper, the <a href="https://www.yoursun.com/" target="_blank" rel="noopener">Daily Sun, </a>on Wednesday. Francel went open to say that he threw six life rings off the ship in hopes of saving his son before the vessel was able to come to a stop about 20 minutes later. When news broke onboard of the tragedy, travellers reported that many people came out of their cabins to stare at the sea, hoping to be able to spot the young man in the water. Levion was reportedly “drunk” on the night of the incident, although details around this are unclear as the minimum age to consume alcohol on Royal Caribbean ships on voyages from North America or the Caribbean is 21. “We don’t drink,” Levion’s father Francel said. “I’d like to know how my son was served so much alcohol.” Francel, who owns an air-conditioning business, was invited, together with his family, aboard the ship as guests of Florida-based air-conditioning wholesalers Tropic Supply to mark the company’s 50th anniversary. Image credits: Facebook

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

Good news: midlife health is about more than a waist measurement. Here’s why

New twist in real identity of "elderly" shoplifter

"I believe he is alive": Father of young man who jumped off cruise ship speaks out

Our Partners

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Newspaper

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Lifestyle

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5 ways to avoid going overboard on a cruise

Sad end in search for overboard cruise passenger

Tragic new details emerge over Aussie brothers missing in Mexico

Nine-year-old Aussie ballet prodigy scores full New York scholarship

How much time should you spend sitting versus standing? New research reveals the perfect mix for optimal health

Elderly couple left stranded by cruise ship

New birthday portrait of Princess Charlotte revealed

Samantha Murphy's alleged killer faces fresh new charges

What is childhood dementia? And how could new research help?

Anthony Albanese's new $925 million pledge

Aussie cruising fanatics share their top cruise tips

What just happened to Bonza? Why new budget airlines always struggle in Australia

Prince and Princess of Wales receive new royal title

Kate Middleton shares new birthday photo of Prince Louis

Teen with Down Syndrome sets new world record

Police release new images in search for church rioters

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

Good news: midlife health is about more than a waist measurement. Here’s why

New twist in real identity of "elderly" shoplifter

"I believe he is alive": Father of young man who jumped off cruise ship speaks out

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