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New device could help GPs detect Alzheimer's in minutes

<p>GPs could soon be able to screen their patients for Alzheimer's Disease in a matter of minutes, using a handheld device the size of a credit card. </p> <p>The first-of-a-kind finger-prick blood test was developed by engineers at Melbourne's Monash University and it can detect the hallmark protein biomarkers of early Alzheimer's Disease within minutes. </p> <p>This could become an important tool for doctors in diagnosing patients before the symptoms progress. </p> <p>In Australia alone there are around 420,000 people living with dementia, with that number set to double by 2054. </p> <p>Associate Professor Sudha Mokkapati, from Monash Materials Science and Engineering, helped lead the development of the testing device.</p> <p>"Detecting very early disease in large populations could dramatically change the trajectory of this burdening disease for many patients, and shave millions off associated healthcare costs," Mokkapati said.</p> <p>"We've completed testing that shows the technology is highly advanced by design and capable of detecting ultra-low levels of several disease biomarkers in blood." </p> <p>The device also has the potential to remove the need for laboratory-based pathology tests, making diagnoses faster and cheaper. </p> <p>The university is currently seeking funding to complete the next stage - clinical validation, which will help bring the device one step closer to reality. </p> <p>"Most patients with neurodegenerative disease are typically diagnosed at advanced stages. Sadly, treatments targeting late-onset disease provide limited therapeutic benefit," Associate Professor Matthew Pase, at Monash's School of Psychological Sciences, said. </p> <p>"Earlier screening could change the outlook for many patients diagnosed with cognitive impairment, increasing the chance of halting or slowing symptom development and the rapid progression of the disease."</p> <p><em>Image: Monash University/ Nine</em></p> <p> </p>

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Are you up to date with your COVID, flu and other shots? It might depend on who your GP is

<p><em><a href="https://theconversation.com/profiles/peter-breadon-1348098">Peter Breadon</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/anika-stobart-1014358">Anika Stobart</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p>Too many older Australians are <a href="https://grattan.edu.au/wp-content/uploads/2023/11/A-fair-shot-How-to-close-the-vaccination-gap-Grattan-Institute-Report.pdf">missing out</a> on recommended vaccinations for COVID, flu, shingles and pneumococcal that can protect them from serious illness, hospitalisation and even death.</p> <p>A new <a href="https://grattan.edu.au/">Grattan Institute report</a> shows vaccination rates vary widely from GP to GP, highlighting an important place to look for opportunities to boost vaccination.</p> <p>Many people get vaccinated at pharmacies, and those vaccinations are counted in our analysis. But we looked at GPs because they have a unique role overseeing someone’s health care, and an important role promoting vaccination.</p> <p>We found that for some GPs, nine in ten of their older patients were vaccinated for flu. For others, the rate was only four in ten. The differences for shingles and COVID were even bigger. For pneumococcal disease, there was a 13-fold difference in GPs’ patient vaccination rates.</p> <p>While some variation is inevitable, these differences are large, and they result in too many people missing out on recommended vaccines.</p> <h2>Some GPs treat more complex patients</h2> <p>A lot of these differences reflect the fact that GPs see different types of patients.</p> <p>Our research shows older people who aren’t proficient in English are up to 15% less likely to be vaccinated, even after other factors are taken into account. And the problem seems to be getting worse.</p> <p>COVID vaccination rates for people 75 years and older fell to just 36% in May 2024. But rates were even lower – a mere 11% – for people who don’t speak English proficiently, and 15% for those who speak a language other than English at home.</p> <p>Given these results, it’s no surprise that GPs with fewer patients who are vaccinated also have more patients who struggle with English. For GPs with the lowest vaccination rates, one-quarter of their patients aren’t proficient in English. For GPs with the highest vaccination rates, it is only 1%.</p> <p>GPs with fewer vaccinated patients also saw more people who live in rural areas, are poorer, didn’t go to university, and don’t have regular access to a GP, all of which reduce the likelihood of getting vaccinated.</p> <p>Many of these barriers to vaccination are difficult for GPs to overcome. They point to structural problems in our health system, and indeed our society, that go well beyond vaccination.</p> <p>But GPs are also a key part of the puzzle. A <a href="https://www.ijidonline.com/article/S1201-9712(14)01379-4/fulltext">strong</a> <a href="https://www.tandfonline.com/doi/full/10.1080/21645515.2020.1780848">recommendation</a> from a GP can make a big difference to whether a patient gets vaccinated. <a href="https://www.aihw.gov.au/reports/primary-health-care/general-practice-allied-health-primary-care">Nearly all</a> older Australians visit a GP every year. And some GPs have room for improvement.</p> <h2>But GPs seeing similar patients can have very different vaccination rates</h2> <p>We compared GPs whose patients had a similar likelihood of being vaccinated, based on a range of factors including their health, wealth and cultural background.</p> <p>Among the GPs whose patients were least likely to get a flu vaccination, some saw less than 40% of their patients vaccinated, while for others in that group, the rate was over 70%.</p> <p>Among GPs with patients who face few barriers to vaccination, the share of their patients who were vaccinated also varied widely.</p> <p>Even within neighbourhoods, GP patient vaccination rates vary a lot. For example, in Bankstown in Sydney, there was a seven-fold difference in COVID vaccination rates and an 18-fold difference for pneumococcal vaccination.</p> <p>Not everything about clinics and patients can be measured in data, and there will be good reasons for some of these differences.</p> <p>But the results do suggest that some GPs are beating the odds to overcome patient barriers to getting vaccinated, while other GPs could be doing more. That should trigger focused efforts to raise vaccination rates where they are low.</p> <h2>So what should governments do?</h2> <p>A comprehensive national reform agenda is <a href="https://grattan.edu.au/wp-content/uploads/2023/11/A-fair-shot-How-to-close-the-vaccination-gap-Grattan-Institute-Report.pdf">needed to increase adult vaccination</a>. That includes clearer guidance, national advertising campaigns, SMS reminders, and tailored local programs that reach out to communities with very low levels of vaccination.</p> <p>But based on the big differences in GPs’ patient vaccination rates, Australia also needs a three-pronged plan to help GPs lift older Australians’ vaccination rates.</p> <p>First, the way general practice is funded needs to be overhauled, providing more money for the GPs whose patients face higher barriers to vaccination. Today, clinics with patients who are poorer, sicker and who struggle with English tend to get less funding. They should get more, so they can spend more time with patients to explain and promote vaccination.</p> <p>Second, GPs need to be given data, so that they can easily see how their vaccination rates compare to GPs with similar patients.</p> <p>And third, Primary Health Networks – which are responsible for improving primary care in their area – should give clinics with low vaccination rates the help they need. That might include running vaccination sessions, sharing information about best practices that work in similar clinics with higher vaccination rates, or offering translation support.</p> <p>And because pharmacies also play an important role in promoting and providing vaccines, governments should give them data too, showing how their rates compare to other pharmacies in their area, and support to boost vaccination uptake.</p> <p>These measures would go a long way to better protect some of the most vulnerable in our society. Governments have better data than ever before on who is missing out on vaccinations – and other types of health care.</p> <p>They shouldn’t miss the opportunity to target support so that no matter where you live, what your background is, or which GP or pharmacy you go to, you will have the best chance of being protected against disease.<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/234175/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/peter-breadon-1348098"><em>Peter Breadon</em></a><em>, Program Director, Health and Aged Care, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/anika-stobart-1014358">Anika Stobart</a>, Senior Associate, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/are-you-up-to-date-with-your-covid-flu-and-other-shots-it-might-depend-on-who-your-gp-is-234175">original article</a>.</em></p>

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Drawings by teen Queen Victoria to go up for auction

<p>A set of 19th century drawings made by a teenage Queen Victoria will be put up for sale at the Old Master, British and European Pictures auction in Roseberys, London next week. </p> <p>A few of the sketches were made when the royal - who reigned from 1837 until her death in 1901 - was still a princess and just 14 years old. </p> <p>Dated July 1833, the drawings depict a knight, a woman, and a veiled woman on a horseback. </p> <p>The fourth drawing was made a year after she ascended the throne, and depicted a woman sitting with a crown and sash, similar to herself, with the inscription: "by Her Majesty." </p> <p>Charlotte Russell, Head of Sales at the auction house, said: "These slightly early drawings show that maybe she was still learning a lot, that she was still honing her craft." </p> <p>"She was very curious and keen as an artist," Russell told <em>CNN</em>.</p> <p>Roseberys set an estimated sale price of £1,500 to £2,500 ($AU2853 to $4755) for the album with the four sketches, as well as works by other artists.  </p> <p>Russel added that the album was likely assembled by Augusta Hayter, daughter-in-law of George Hayter, who was the Queen's court painter and painted her coronation portrait. </p> <p>The album also features royal ephemera, including an invitation to the coronation of King George IV at Westminster Abbey in 1821.</p> <p>"I'm interested to see how it performs," Russell said. </p> <p>Queen Victoria was very passionate about art, receiving her first drawing lesson at just eight years old. </p> <p>She went on to be tutored by renowned artists like Edwin Landseer, William Leighton Leitch and Franz Xaver Winterhalter.</p> <p>"She is known to have experimented quite a lot with different subjects," Russel said, adding that Victoria would make "little sketches of costumes of people in the areas" where she travelled.</p> <p><em>Images: Roseberys Fine Art Auctioneers &amp; Valuers via CNN/ Shutterstock</em></p>

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No, antibiotics aren’t always needed. Here’s how GPs can avoid overprescribing

<p><em><a href="https://theconversation.com/profiles/mina-bakhit-826292">Mina Bakhit</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>The growth in antibiotic resistance threatens to return the world to the pre-antibiotic era – with deaths from now-treatable infections, and some elective surgery being restricted because of the risks of infection.</p> <p>Antibiotic resistance is a major problem worldwide and should be the concern of everyone, including you.</p> <p>We need to develop new antibiotics that can fight the resistant bacteria or antibiotics that bacteria would not be quickly resistant to. This is like finding new weapons to help the immune system fight the bacteria.</p> <p>More importantly, we need to use our current antibiotics – our existing weapons against the bacteria – more wisely.</p> <h2>Giving GPs the tools to say no</h2> <p>In 2022, more than <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/aura-2023-fifth-australian-report-antimicrobial-use-and-resistance-human-health">one-third of Australians</a> had least one antibiotic prescription, with <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/analysis-2015-2022-pbs-and-rpbs-antimicrobial-dispensing-data">88%</a> of antibiotics prescribed by GPs.</p> <p>Many people <a href="https://pubmed.ncbi.nlm.nih.gov/28289114/">mistakenly think</a> antibiotics are necessary for treating any infection and that infections won’t improve unless treated with antibiotics. This misconception is found in studies involving patients with various conditions, including respiratory infections and conjunctivitis.</p> <p>In reality, not all infections require antibiotics, and this belief drives patients requesting antibiotics from GPs.</p> <p>Other times, GPs give antibiotics because they think patients want them, even when they might not be necessary. Although, in reality they are <a href="https://pubmed.ncbi.nlm.nih.gov/17148626/">after symptom relief</a>.</p> <p>For GPs, there are ways to target antibiotics for only when they are clearly needed, even with short appointments with patients perceived to want antibiotics. This includes:</p> <ul> <li> <p>using <a href="https://pubmed.ncbi.nlm.nih.gov/32357226/">decision guides</a> or tests to decide if antibiotics are really necessary</p> </li> <li> <p>giving <a href="https://www.safetyandquality.gov.au/our-work/partnering-consumers/shared-decision-making/decision-support-tools-specific-conditions">patients information sheets</a> when antibiotics aren’t needed</p> </li> <li> <p>giving a “<a href="https://pubmed.ncbi.nlm.nih.gov/33910882/">delayed prescription</a>” – only to be used after the patient waits to see if they get better on their own.</p> </li> </ul> <p>All these strategies need some <a href="https://www.nps.org.au/assets/NPS/pdf/NPS-MedicineWise-Economic-evaluation-report-Reducing-Antibiotic-Resistance-2012-17.pdf">training</a> and practice, but they can help GPs prescribe antibiotics more responsibly. GPs can also learn from each other and use tools like <a href="https://pubmed.ncbi.nlm.nih.gov/24474434/">posters</a> as reminders.</p> <p>To help with patients’ expectations, public campaigns have been run periodically to educate people about antibiotics. These campaigns <a href="https://pubmed.ncbi.nlm.nih.gov/35098267/">explain why</a> using antibiotics too much can be harmful and when it’s essential to take them.</p> <h2>Giving doctors feedback on their prescribing</h2> <p>National programs and interventions can help GPs use antibiotics more wisely</p> <p>One successful way they do this is by <a href="https://pubmed.ncbi.nlm.nih.gov/34356788/">giving GPs feedback</a> about how they prescribe antibiotics. This works better when it’s provided by organisations that GPs trust, it happens more than once and clear goals are set for improvement.</p> <p>The NPS (formerly National Prescribing Service) MedicineWise program, for example, had been giving feedback to GPs on how their antibiotic prescriptions compared to others. This reduced the number of antibiotics prescribed.</p> <p>However, <a href="https://australianprescriber.tg.org.au/articles/the-end-of-nps-medicinewise.html">NPS no longer exists</a>.</p> <p>In 2017, the Australian health department did something similar by sending <a href="https://behaviouraleconomics.pmc.gov.au/projects/nudge-vs-superbugs-behavioural-economics-trial-reduce-overprescribing-antibiotics">feedback letters</a>, randomly using different formats, to the GPs who prescribed the most antibiotics, showing them how they were prescribing compared to others.</p> <p>The most effective letter, which used pictures to show this comparison, reduced the number of antibiotics GPs prescribed by <a href="https://behaviouraleconomics.pmc.gov.au/sites/default/files/projects/nudge-vs-superbugs-12-months-on-report.pdf">9% in a year</a>.</p> <h2>Clearer rules and regulations</h2> <p>Rules and regulations are crucial in the fight against antibiotic resistance.</p> <p>Before April 2020, many GPs’ computer systems made it easy to get multiple repeat prescriptions for the same condition, which could encourage their overuse.</p> <p>However, in April 2020, the Pharmaceutical Benefits Scheme (PBS) <a href="https://www.pbs.gov.au/pbs/industry/listing/elements/pbac-meetings/psd/2019-08/antibiotic-repeats-on-the-pharmaceutical-benefits-scheme">changed the rules</a> to ensure GPs had to think more carefully about whether patients actually needed repeat antibiotics. This meant the amount of medicine prescribed better matched the days it was needed for.</p> <p>Other regulations or policy targets could include:</p> <ul> <li> <p>ensuring all GPs have access to antibiotic prescribing guidelines, such as <a href="https://www.tg.org.au/">Therapeutic Guidelines</a>, which is well accepted and widely available in Australia</p> </li> <li> <p>ensuring GPs are only prescribing antibiotics when needed. Many of the conditions antibiotics are currently prescribed for (such as sore throat, cough and middle ear infections) are self-limiting, meaning they will get better without antibiotics</p> </li> <li> <p>encouraging GP working with antibiotics manufacturers to align pack sizes to the recommended treatment duration. The recommended first-line treatments for uncomplicated urinary tract infections in non-pregnant women, for example, are either three days of trimethoprim 300 mg per night or five days of nitrofurantoin 100 mg every six hours. However, the packs contain enough for seven days. This can mean patients take it for longer or use leftovers later.</p> </li> </ul> <h2>Australia lags behind Sweden</h2> <p>Australia has some good strategies for antibiotic prescribing, but we have not had a sustained long-term plan to ensure wise use.</p> <p>Although Australian GPs have been doing well in <a href="https://www.safetyandquality.gov.au/our-work/antimicrobial-resistance/antimicrobial-use-and-resistance-australia-surveillance-system/aura-2021">reducing antibiotic prescribing</a> since 2015, <a href="https://pubmed.ncbi.nlm.nih.gov/35098269/">more</a> could be done.</p> <p>In the 1990s, Sweden’s antibiotic use was similar to Australia’s, but is now less than half. For more than two decades, Sweden has had a national strategy that reduces antibiotic use by about <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5677604/">7% annually</a>.</p> <p>It is vital Australia invests in a similar long-term national strategy – to have a centrally funded program, but with regional groups working on the implementation. This could be funded directly by the Commonwealth Department of Health and Ageing, or with earmarked funds via another body such as the Australian Centre for Disease Control.</p> <p>In the meantime, individual GPs can do their part to prescribe antibiotics better, and patients can join the national effort to combat antibiotic resistance by asking their GP: “what would happen if I don’t take an antibiotic?”.</p> <p><em><a href="https://theconversation.com/profiles/mina-bakhit-826292">Mina Bakhit</a>, Assistant Professor of Public Health, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, Professor of Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond 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/no-antibiotics-arent-always-needed-heres-how-gps-can-avoid-overprescribing-213981">original article</a>.</em></p>

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I think I have the flu. Should I ask my GP for antivirals?

<p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/yong-qian-koo-1457640">Yong Qian Koo</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>If you test positive for COVID and you’re eligible for antivirals, you’ll likely ask your GP for a script to protect you from severe disease.</p> <p><a href="https://healthdispatch.com.au/news/immunisation-coalition-urging-people-with-flu-like-symptoms-to-g">Antivirals</a> are also available to fight influenza viruses, via a doctor’s prescription. But they have a mixed history, with their benefits at times <a href="https://theconversation.com/controversies-in-medicine-the-rise-and-fall-of-the-challenge-to-tamiflu-38287">overstated</a>.</p> <p>It can be difficult to get an appointment to see your GP. So when should you make the effort to see a GP for a prescription for influenza antivirals? And how effective are they?</p> <h2>What exactly is influenza?</h2> <p>The flu is primarily a viral infection of the respiratory system that can spread through sneezing, coughing, or touching contaminated objects then touching your nose or mouth.</p> <p>Common symptoms include headache, sore throat, fever, runny or blocked nose and body aches that last a week or more.</p> <p>Influenza is actually a group of viruses, divided into several <a href="https://www.cdc.gov/flu/about/viruses/types.htm#:%7E:text=There%20are%20four%20types%20of,global%20epidemics%20of%20flu%20disease,%20https://www.cdc.gov/flu/professionals/acip/background-epidemiology.htm">sub-groups</a>. Flu A and B are the <a href="https://www.health.gov.au/resources/collections/aisr?language=en,%20https://www.health.gov.au/resources/collections/australian-influenza-surveillance-reports-2023?language=en">most common groups</a> that circulate in humans.</p> <h2>What are flu antivirals?</h2> <p>Influenza antivirals, target specific parts of the viral life cycle, which prevents the virus replicating and spreading.</p> <p>Most flu antivirals <a href="https://www.nejm.org/doi/full/10.1056/NEJMra050740">target</a> neuraminidase, an important enzyme the virus uses to release itself from cells.</p> <p>On the other hand, COVID antivirals work by inhibiting other parts of the viral life cycle involved in the <a href="https://www.tga.gov.au/news/media-releases/tga-provisionally-approves-two-oral-covid-19-treatments-molnupiravir-lagevrio-and-nirmatrelvir-ritonavir-paxlovid">virus replicating itself</a>.</p> <p>Three influenza antivirals are <a href="https://australianprescriber.tg.org.au/articles/influenza-overview-on-prevention-and-therapy.html#r20">used in Australia</a>. Relenza (zanamivir) is an inhaled powder and Tamiflu (oseltamivir) is a capsule; both are five-day treatments. Rapivab (peramivir) is a single injection.</p> <p>These antivirals may also come with <a href="https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm">side effects</a>, such as a headache, vomiting, cough, or <a href="https://www.immunisationcoalition.org.au/resources/antiviral-treatments-for-influenza/">fever</a>.</p> <p>Tamiflu and Relenza generally cost A$40-50 in Australia, plus the cost of the consultation fee with your doctor, if applicable.</p> <h2>How effective are antivirals for the flu?</h2> <p>Antivirals have the greatest effect if started 24-72 hours after symptoms. This is to prevent the virus from reaching <a href="https://www.mdpi.com/1660-4601/19/5/3018">high levels in the body</a>.</p> <p>Among healthy adults, if Relenza or Tamiflu are started within 48 hours from your first symptoms, they can <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008965.pub4/full">reduce the duration</a> of symptoms such as cough, blocked nose, sore throat, fatigue, headache, muscle pain and fever by just under a day.</p> <p>For people who have developed severe flu symptoms or who have existing health conditions such as heart disease or chronic obstructive pulmonary disease (COPD), antivirals that start later (but still before day five of symptoms) can still reduce the <a href="https://academic.oup.com/cid/article/52/4/457/378776?login=true">severity of infection</a> and reduce the <a href="https://thorax.bmj.com/content/thoraxjnl/65/6/510.full.pdf?frbrVersion=3">chance of</a> <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/215903">hospitalisation</a> and <a href="https://academic.oup.com/jac/article/72/11/2990/4091484?login=false">death</a>.</p> <p>In a study from the 2009 swine flu (H1N1) pandemic in the United States, treatment with antivirals (Tamiflu and Relenza) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3358088/">reduced</a> the chance of needing to be hospitalised. Around 60% of hospitalisations prevented were among 18-64 years olds, around 20% in children 0-17 years, and 20% in adults aged over 65.</p> <p>The research is less clear about whether antivirals prevent the development of flu complications such as secondary bacterial pneumonia. They might, but so far the data aren’t clear.</p> <h2>Are flu antivirals becoming less effective?</h2> <p>Antiviral resistance to Tamiflu has been <a href="https://link.springer.com/article/10.1007/s10096-020-03840-9">reported</a> around the world, mostly in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223162/">immunocompromised people</a>, as they <a href="https://link.springer.com/article/10.1007/s10096-020-03840-9">have</a> a weakened immune system that allows higher viral loads and prolonged viral shedding.</p> <p>The impact of the antiviral resistance is unclear but there is evidence indicating resistant strains can uphold their ability to replicate effectively and spread. So far it’s not clear if these stains cause more severe disease.</p> <p>However, government agencies and surveillance programs are constantly monitoring the spread of antiviral resistance. Currently there is <a href="https://www.cdc.gov/flu/treatment/antiviralresistance.htm">minimal concern</a> for strains that are resistant to Tamiflu or Relenza.</p> <h2>Antivirals can also prevent the flu if you’ve been exposed</h2> <p>Tamiflu and Relenza can also be used to <a href="https://onlinelibrary.wiley.com/doi/10.1111/irv.12046">prevent flu infections</a>, if we’re exposed to the virus or come into contact with infected people.</p> <p>Some studies suggest Tamiflu and Relenza can <a href="https://www.bmj.com/content/326/7401/1235.long">reduce the chance of developing symptomatic influenza</a> by 70-90%.</p> <p>Many health agencies around the world <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165743/">recommend</a> “prophylactic” treatment for high-risk patients in hospitals or age care setting when people have been in contact with others infected with influenza.</p> <h2>So who should talk to their GP about a prescription?</h2> <p><a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/racf-antiviral-treatments-and-prophylaxis.aspx#:%7E:text=The%20Australian%20Therapeutic%20Guidelines*%20recommends,of%20severe%20disease%20from%20influenza.&amp;text=people%20with%20chronic%20conditions%20including,heart%20disease">Australian guidelines recommend</a> doctors offer antivirals to people with influenza who have severe disease or complications.</p> <p>Doctors can also consider treatment for people at higher risk of developing severe disease from influenza. This includes:</p> <ul> <li>adults aged 65 years or older</li> <li>pregnant women</li> <li>people with certain chronic conditions (heart disease, Down syndrome, obesity, chronic respiratory conditions, severe neurological conditions)</li> <li>people with compromised immunity</li> <li>Aboriginal and Torres Strait Islander people</li> <li>children aged five years or younger</li> <li>residents of long-term residential facilities</li> <li>homeless people.</li> </ul> <p>Doctors can prescribe antivirals for the prevention of influenza <a href="https://australianprescriber.tg.org.au/articles/influenza-overview-on-prevention-and-therapy.html#r20">in</a> vulnerable people who have been exposed to the virus.</p> <p>Antiviral treatment also can be <a href="https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm#:%7E:text=Antiviral%20treatment%20also%20can%20be,48%20hours%20of%20illness%20onset">considered</a> for otherwise healthy symptomatic patients who have confirmed or suspected influenza, if they can start treatment within 48 hours of developing symptoms.</p> <p>In some instances a doctors can make a clinical diagnosis of influenza based on the symptoms and known close flu positive contacts of the patient. However, it is preferred to have flu diagnosed by one of the approved diagnostic tests, such as a <a href="https://24-7medcare.com.au/influenza/australian-gp-influenza-2023-guide/">rapid antigen test</a> (RAT) or the more accurate <a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/influenza_factsheet.aspx">PCR test</a>, similar to what is perfomed for COVID. There are also now combo tests that can <a href="https://www.tga.gov.au/news/media-releases/first-combination-covid-19-and-influenza-self-tests-approved-australia">distinguish between SARS-CoV-2 and influenza virus</a>.</p> <p>Remember, the flu can cause <a href="https://www.abc.net.au/news/2023-07-23/flu-season-hitting-children-hard-antivirals-may-help/102633722">severe illness or death</a>, particularly among people from the high-risk groups. So if you think you might have the flu, wear a mask and stay away to avoid spreading the virus to others. <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/210457/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/yong-qian-koo-1457640">Yong Qian Koo</a>, , <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image </em><em>credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/i-think-i-have-the-flu-should-i-ask-my-gp-for-antivirals-210457">original article</a>.</em></p>

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Should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts

<p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p>Australian of the Year and body positivity advocate Taryn Brumfitt has <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">called for</a> doctors to avoid discussing a patient’s weight when they seek care for unrelated matters.</p> <p>A 15-minute consultation isn’t long enough to provide support to change behaviours, Brumfitt says, and GPs don’t have enough training and expertise to have these complex discussions.</p> <p>“Many people in larger bodies tell us they have gone to the doctor with something like a sore knee, and come out with a ‘prescription’ for a very restrictive diet, and no ongoing support,” Brumfitt <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">told the Nine newspapers</a>.</p> <p>By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns.</p> <p>So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts.</p> <p><strong>Brett Montgomery - GP academic</strong></p> <p>Yes, sometimes – but with great care.</p> <p>I agree that weight stigma is damaging, and insensitively raising weight in consultations can <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251566" target="_blank" rel="noopener">hurt people's feelings and create barriers</a>to other aspects of health care.</p> <p>I also agree people can sometimes be “overweight” yet <a href="https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0287218" target="_blank" rel="noopener">quite healthy</a>, and that common measures and categories of weight are <a href="https://theconversation.com/bmi-alone-will-no-longer-be-treated-as-the-go-to-measure-for-weight-management-an-obesity-medicine-physician-explains-the-seismic-shift-taking-place-208174">questionable</a>.</p> <p>On the other hand, I know obesity <a href="https://www.racgp.org.au/FSDEDEV/media/documents/RACGP/Position%20statements/Obesity-prevention-and-management.pdf" target="_blank" rel="noopener">is associated with</a> heart disease, joint problems, diabetes and cancers.</p> <p>GPs should be ready to help people with their weight when they want help. <a href="https://www.bmj.com/content/377/bmj-2021-069719.full?ijkey=FnARkmvxLOMFvlb&amp;keytype=ref">Our assistance somewhat effective</a>, though sadly dietary efforts often have minimal effect on weight in the long term. Meanwhile, treatments causing larger weight changes (<a href="https://insightplus.mja.com.au/2021/10/bariatric-surgery-public-system-access-still-terrible/">surgery</a> and <a href="https://www.nature.com/articles/s41366-022-01176-2">some medicines</a> are often financially inaccessible.</p> <p>I feel safe discussing weight when my patient raises the issue. Fearing hurting people, I often avoid raising it myself. I focus instead on health rather than weight, discussing physical activity and healthy diet – these are good things for people of any size.</p> <p><strong>Emma Beckett - Nutrition scientist</strong></p> <p>No. It’s not likely to succeed. Large systematic reviews bringing together multiple studies of multiple weight-loss diets show weight loss is not generally maintained long term (<a href="https://pubmed.ncbi.nlm.nih.gov/32238384/">12 months</a> to <a href="https://www.nature.com/articles/0802982">four years</a>).</p> <p>The idea that weight is about willpower is outdated. The current body of evidence <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">suggests</a> we each have a weight set point that our body defends. This is determined by genetics and environment more so than education.</p> <p>There may be associations between weight and health outcomes, but losing weight <a href="https://theconversation.com/just-because-youre-thin-doesnt-mean-youre-healthy-101185">does not necessarily equate</a> with improving health.</p> <p>Fat stigma and fatphobia are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/">harmful too</a> and can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381543/">compromise access to health care</a>.</p> <p>Instead, consider asking a better question. Healthy eating reduces disease risk <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/">regardless of weight</a>. So maybe ask how many vegetables are your patients eating. Would they like to see a dietitian to discuss strategies for a better-quality diet?</p> <p><strong>Liz Sturgiss - GP/researcher </strong></p> <p>No. A <a href="https://pubmed.ncbi.nlm.nih.gov/33211585/">US study</a> estimates it would take a family doctor 131% of their work hours to implement all preventive health-care recommendations. It's impossible to address every recommendation for preventative care at every consultation. One of the key skills of a GP is balancing the patient and doctor agenda.</p> <p><a href="https://www.obesityevidencehub.org.au/collections/treatment/weight-bias-and-stigma-in-health-care">Weight stigma</a> can deter people from seeking health care, so raising weight when a patient doesn't have it on their agenda can be harmful. A strong <a href="https://academic.oup.com/fampra/article/38/5/644/6244494?login=false">therapeutic relationship</a> is critical for safe and effective health care to address weight. </p> <p>Weight is always on my agenda when there is unexpected weight loss. If a patient has rapid weight loss, I am concerned about an undetected <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283307/">cancer</a> or infection. Additionally, I am increasingly seeing patients who are unable to afford food, who often have <a href="https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia/contents/introduction">poor oral health</a>, who lose weight due to <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/1747-0080.12580">poverty</a>. Weight loss for the wrong reasons is also a very concerning part of general practice.</p> <p><strong>Nick Fuller - Obesity researcher </strong></p> <p>Yes. GPs should play a role in the early detection of weight issues and direct patients to evidence-based care to slow this progression. <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Research</a> shows many people with obesity are motivated to lose weight (48%). <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Most</a> want their clinician to initiate a conversation about weight management and treatment options.</p> <p>However, this conversation <a href="https://pubmed.ncbi.nlm.nih.gov/32385580/">rarely occurs</a>, resulting in <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">significant delays to treatment</a>.</p> <p>Starting the conversation presents challenges. Although obesity is a complex disease related to multiple factors, it's still <a href="https://pubmed.ncbi.nlm.nih.gov/25752756/">highly stigmatised</a>in our society and even in the <a href="https://pubmed.ncbi.nlm.nih.gov/23144885/">clinical setting</a>. Sensitivity is required and the wording the clinician uses is important to make the patient feel safe and avoid placing blame on them. Patients often <a href="https://pubmed.ncbi.nlm.nih.gov/20823355/">prefer terms</a> such as “weight” and “BMI” (body mass index) over “fatness,” “size” or “obesity”, <a href="https://pubmed.ncbi.nlm.nih.gov/27354290/">particularly women</a>.</p> <p>Measuring weight, height and waist circumference should be <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">considered routine in primary care</a>. But this needs to be done without judgement, and in collaboration with the patient.</p> <p><strong>Helen Truby - Nutrition scientist </strong></p> <p>Yes. A high body weight contributes to many chronic conditions that negatively impact the <a href="https://www.aihw.gov.au/australias-health/summaries">quality of life and mental health</a> of millions of Australians.</p> <p>Not all GPs feel confident having weight conversations, given the sensitive nature of weight and its stigma. GPs' words matter – they are a <a href="https://doi.org/10.1111/nbu.12320">trusted source</a> of health information. It’s critical GPs gain the skills to know when and how to have <a href="https://doi.org/10.1186/s12875-019-1026-4">positive weight conversations</a>.</p> <p>GPs need to offer supportive and affordable solutions. But effective specialist weight management programs are few and far between. More equitable access to programs is essential so GPs have referral pathways after conversations about weight.</p> <p>GPs' time is valuable. Activating this critical workforce is essential to meet the <a href="https://www.health.gov.au/resources/publications/national-obesity-strategy-2022-2032?language=en">National Obesity Strategy.</a></p> <p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, Deputy Editor and Senior Health Editor, <a href="http://www.theconversation.com/">The Conversation</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/should-gps-bring-up-a-patients-weight-in-consultations-about-other-matters-we-asked-5-experts-209681">original article</a>.</em></p>

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Gastro or endometriosis? How your GP discusses uncertainty can harm your health

<p>You wake with stomach pain that worsens during the day and decide to see your doctor. You describe your symptoms and your doctor examines you. Then the doctor says, “From what I hear, I think you could just have a stomach bug. Rest and come back in three days.”</p> <p>This might be a less definitive answer than you’re after. But doctors can’t always be sure of a diagnosis straight away. As <a href="https://link.springer.com/article/10.1007/s11606-022-07768-y">my review</a> shows, doctors use various ways of communicating such uncertainty.</p> <p>Sometimes there is a mismatch between what doctors say when they’re uncertain and how patients interpret what they say, which can have harmful consequences.</p> <h2>Why does uncertainty matter?</h2> <p>Doctors <a href="https://link.springer.com/article/10.1007/s11606-017-4164-1">cannot always explain</a> what your health problem is or what caused it. Such diagnostic uncertainty is a normal and <a href="https://doi.org/10.1001/jama.2022.2141">ever-present part</a> of the processes leading to a diagnosis. For instance, doctors often have to rule out other possible diagnoses before settling on one that’s most likely.</p> <p>While doctors ultimately get the diagnosis right <a href="http://dx.doi.org/10.1136/bmjqs-2012-001615">in 85-90%</a> of cases, diagnostic uncertainty can lead to diagnostic delays and is a huge contributor to harmful or even deadly misdiagnoses.</p> <p>Every year, <a href="https://www.mja.com.au/system/files/issues/213_07/mja250771.pdf">an estimated</a> 21,000 people are seriously harmed and 2,000-4,000 people die in Australia because their diagnosis was delayed, missed or wrong. That could be because the wrong treatment was provided and caused harm, or the right treatment was not started or given after the condition had already considerably progressed. More than <a href="https://www.mja.com.au/system/files/issues/213_07/mja250771.pdf">80% of diagnostic errors</a> could have been prevented.</p> <p>Three medical conditions – infections, cancer and major vascular events (such as strokes or heart attacks) – are the so-called “<a href="https://doi.org/10.1515/dx-2019-0019">Big Three</a>” and cause devastating harm if misdiagnosed.</p> <p>In my review, the top three symptoms – fever, chest pain and abdominal pain – were most often linked to diagnostic uncertainty. In other words, most of us will have had at least one of these very common symptoms and thus been at risk of uncertainty and misdiagnosis.</p> <p>Some groups are less likely to be diagnosed correctly or without inappropriate delay than others, leading to <a href="https://doi.org/10.1001/jama.2022.7252">diagnostic inequities</a>. This may be the case for <a href="https://www.liebertpub.com/doi/10.1089/whr.2022.0052">women</a>, and other groups marginalised because of their <a href="https://onlinelibrary.wiley.com/doi/10.1111/acem.14142">race or ethnicity</a>, <a href="https://doi.org/10.1016/j.socscimed.2020.113609">sexual orientation or gender identity</a>, or <a href="https://doi.org/10.1001/jama.2022.7252">language proficiency</a>.</p> <h2>How often do you hear ‘I don’t know’?</h2> <p>My research showed doctors often make diagnostic uncertainty clear to patients by using explicit phrases such as: “I don’t know.”</p> <p>But doctors can also keep quiet about any uncertainty or signal they’re uncertain in more subtle ways.</p> <p>When doctors believe patients prefer clear answers, they may only share the most likely diagnosis. They say: “It’s a stomach bug” but leave out, “it could also be constipation, appendicitis or endometriosis”. </p> <p>Patients leave thinking the doctor is confident about the (potentially correct or incorrect) diagnosis, and remain uninformed about possible other causes. </p> <p>This can be especially frustrating for patients with chronic symptoms, where such knowledge gaps can lead to lengthy diagnostic delays, as reported for <a href="https://doi.org/10.1016/j.ajog.2018.12.039">endometriosis</a>.</p> <p>Subtle ways of communicating uncertainty include hedging with certain words (could, maybe) or using introductory phrases (my guess, I think). Other implicit ways are consulting a colleague or the Internet, or making follow-up appointments.</p> <p>If patients hear “I think this could be a stomach bug” they may think there’s some uncertainty. But when they hear “come back in three days” the uncertainty may not be so obvious.</p> <p>Sharing uncertainty implicitly (rather than more directly), can leave patients unaware of new symptoms signalling a dangerous change in their condition.</p> <h2>What can you do about it?</h2> <p><strong>1. Ask about uncertainty</strong></p> <p>Ask your doctor to share any <a href="http://dx.doi.org/10.1515/dx-2021-0086">uncertainty and other diagnostic reasoning</a>. Ask about alternative diagnoses they’re considering. If you’re armed with such knowledge, you can better engage in your care, for example asking for a review when your symptoms worsen.</p> <p><strong>2. Manage expectations together</strong></p> <p>Making a diagnosis can be an evolving process rather than a single event. So ask your doctor to outline the diagnostic process to help manage any <a href="http://dx.doi.org/10.1136/ebm.14.3.66">mismatched expectations</a> about how long it might take, or what might be involved, to reach a diagnosis. Some conditions need time for symptoms to evolve, or further tests to exclude or confirm.</p> <p><strong>3. Book a long appointment</strong></p> <p>When we feel sick, we might get anxious or find we experience heightened levels of fear and other emotions. When we hear our doctor isn’t certain about what’s causing our symptoms, we may get even more anxious or fearful.</p> <p>In these cases, it can take time to discuss uncertainty and to learn about our options. So book a long appointment to give your doctor enough time to explain and for you to ask questions. If you feel you’d like some support, you can ask a close friend or family member to attend the appointment with you and to take notes for you.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/gastro-or-endometriosis-how-your-gp-discusses-uncertainty-can-harm-your-health-196943" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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“The gate is a no”: Apartment security gate draws ire online

<p dir="ltr">While security gates are meant to be secure, one installed at a property in the UK has left many questioning just how effective it will be.</p> <p dir="ltr">A photo shared by the account Design Fails shows a security gate that seems fully functional at first glance, but includes a glaring design flaw.</p> <p><span id="docs-internal-guid-e66f96fc-7fff-e187-a401-03dcf7d48f27"></span></p> <p dir="ltr">Though it has locks and an intercom panel, the design of the gate itself lends it to being a handy ladder that could be used to get inside.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">security gate that doubles as a ladder <a href="https://t.co/TQWmZBiyc7">pic.twitter.com/TQWmZBiyc7</a></p> <p>— Design Fails (@epicdesignfails) <a href="https://twitter.com/epicdesignfails/status/1587076092791328768?ref_src=twsrc%5Etfw">October 31, 2022</a></p></blockquote> <p dir="ltr">“Security gate that doubles as a ladder,” the photo caption read, with the post soon attracting over 33,000 likes, over 6,000 shares and plenty of comments pointing out its fundamental flaw.</p> <p dir="ltr">“OMG What on mother Earth was the designer’s thought doing that,” one person commented.</p> <p dir="ltr">“The gym I never thought I needed. I’d purposefully forget my access card,” another joked.</p> <p dir="ltr">“Whoever designed this gate heaven is waiting for her/him,” a third shared.</p> <p dir="ltr">“So the thieves can climb over the gate 😑,” one user noted.</p> <p dir="ltr">While some tried to defend the design by pointing out that it could be electrified, others were quick to point out the flaws in that argument too.</p> <p dir="ltr">“If its (sic) electric and still has a key, thats weird. To be a gate and a ladder, while not thinking the violator can climb over the gate too is weird. Saying its electrical and not keeping in mind that its on the street is weird. Only turning it on at night is weird,” one person clarified.</p> <p dir="ltr">“The gate is a no.”</p> <p dir="ltr"><span id="docs-internal-guid-e05cfff1-7fff-fca4-5c90-a84d44232244"></span></p> <p dir="ltr"><em>Image: Twitter</em></p>

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Have you fallen for the myth of ‘I can’t draw’? Do it anyway – and reap the reward

<p>Drawing is a powerful tool of communication. It helps build self-understanding and can <a href="https://journals.sagepub.com/doi/abs/10.1177/0276237420923290">boost</a> mental health.</p> <p>But our current focus on productivity, outcomes and “talent” has us thinking about it the wrong way. Too many believe the <a href="http://www.visuallanguagelab.com/P/NC_drawingdevelopment.pdf">myth</a>of “I can’t draw”, when in fact it’s a skill built through practice.</p> <p>Dedicated practice is hard, however, if you’re constantly asking yourself: “What’s the point of drawing?”</p> <p>As I argue in a new <a href="https://www.closure.uni-kiel.de/closure8/fisher">paper</a> in <a href="https://www.closure.uni-kiel.de/start_en">Closure E-Journal for Comic Studies</a>, we need to reframe our concept of what it means to draw, and why we should do it – especially if you think you can’t. </p> <p>Devoting a little time to drawing each day may make you happier, more employable and sustainably productive.</p> <h2>The many benefits of drawing</h2> <p>I’m a keen doodler who turned a hobby into a PhD and then a career. I’ve taught all ages at universities, in library workshops and online. In that time, I’ve noticed many people do not recognise their own potential as a visual artist; self-imposed limitations are common. </p> <p>That’s partly because, over time, drawing as a skill set has been devalued. <a href="https://mili.eu/insights/sunday-times-essential-workers-poll-response">A 2020 poll</a> ranked artist as the top non-essential job. </p> <p>But new jobs are emerging all the time for visual thinkers who can translate complex information into easily understood visuals.</p> <p>Big companies <a href="https://inkfactorystudio.com/">hire</a> comic creators to document corporate meetings visually, so participants can track the flow of ideas in real time. Cartoonists are paid to draft <a href="https://australiacouncil.gov.au/wp-content/uploads/2021/07/Graphic-Storytellers-at-Work-GSAW-Report-Case-Study-One.pdf">innovative, visual contracts</a> for law firms.</p> <p>Perhaps you were told as a child to stop doodling and get back to work. While drawing is often quiet and introspective, it’s certainly not a “waste of time”. On the contrary, it has significant mental health benefits and should be cultivated in children and adults alike.</p> <p>How we feel influences <a href="https://www.researchgate.net/publication/261661107_An_Introduction_to_the_Diagnostic_Drawing_Series_A_Standardized_Tool_for_Diagnostic_and_Clinical_Use">how we draw</a>. Likewise, engaging with drawing affects how we feel; it can help us understand and process our inner world.</p> <p>Art-making can <a href="https://journals.sagepub.com/doi/abs/10.1177/0276237420923290">reduce anxiety</a>, <a href="https://eric.ed.gov/?id=EJ722383">elevate mood</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124538/">improve quality of life</a> and <a href="https://escholarship.org/uc/item/8bq69315">promote general creativity</a>. Art therapy has even been <a href="https://pubmed.ncbi.nlm.nih.gov/16288447/">linked to</a> reduced symptoms of distress and higher quality of life for cancer patients.</p> <p>And it can help you enter a “flow state”, where self-consciousness disappears, focus sharpens, work comes easily to you and mental blockages seem to evaporate.</p> <h2>Cultivating a drawing habit</h2> <p>Cultivating a drawing habit means letting go of biases against drawing and against copying others to learn technique. Resisting the urge to critically compare your work to others’ is also important.</p> <p>Most children don’t care about what’s considered “essential” to a functioning society. They draw instinctively and freely. </p> <p>Part of the reason drawing rates are thought to be <a href="http://mtoku.yourweb.csuchico.edu/vc/Articles/toku/Toku_what%20is%20manga_.html">higher in Japan</a>is their immersion in Manga (Japanese comics), a broadly popular and culturally important medium. </p> <p>Another is an emphasis on diligent practice. Children copy and practise the Manga style, <a href="https://www.jstor.org/stable/20716077">providing a critical stepping stone</a> from free scribbling to controlled representation. Copying is not seen as a no-no; it’s integral to building skill.</p> <p>As researcher and artist Neil Cohn <a href="http://www.visuallanguagelab.com/P/NC_drawingdevelopment.pdf">argues</a>, learning to draw is similar to (and as crucial as) learning language, a skill built through exposure and practice, "Yet, unlike language, we consider it normal for people not to learn to draw, and consider those who do to be exceptional […] Without sufficient practice and exposure to an external system, a basic system persists despite arguably impoverished developmental conditions."</p> <p>So choose an art style you love and copy it. Encourage children to while away hours drawing. Don’t worry about how it turns out. Prioritise the conscious experience of drawing over the result.</p> <p>With regular practice, you may find yourself occasionally melting into states of “<a href="https://en.wikipedia.org/wiki/Flow_(psychology)">flow</a>”, becoming wholly absorbed. A small, regular pocket of time to temporarily escape the busy world and enter a flow state via drawing may help you in other parts of your life.</p> <h2>How to get started</h2> <p>Use simple tools that you’re comfortable with, whether it’s a ballpoint pen on post-it notes, pencil on paper, a dirty window, or a foggy mirror. </p> <p>Times you’d typically be aimlessly scrolling on your phone are prime candidates for a quick sketch. Doodle when you’re on the phone, watching a movie, bored in a waiting room.</p> <p>Together with mindful doodling, drawing from observation and memory form a holy trinity of sustainable proficiency.</p> <p>Drawing from life strengthens your understanding of space and form. Copying other styles gives you a shortcut to new “visual libraries”. Drawing from memory merges the free play of doodling with the mental libraries developed through observation, bringing imagined worlds to life. </p> <p>With time and persistence, you may find yourself producing drawings you’re proud of. </p> <p>At that point, you can ask yourself: what other self-limiting beliefs are holding me back?</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/have-you-fallen-for-the-myth-of-i-cant-draw-do-it-anyway-and-reap-the-rewards-172623" target="_blank" rel="noopener">The Conversation</a>.</em></p>

Art

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Couple ‘draw’ 7,237 kilometre bicycle in name of climate change

<p dir="ltr">A couple has taken a stand against climate change that can be seen from the skies, having cycled more than 7,000 kilometres to create the image of a bike to encourage others to ditch their cars.</p> <p><span id="docs-internal-guid-2924358c-7fff-a56b-b348-0a24954f55ca">UK-based couple Arianna Casiraghi and Daniel Rayneau-Kirkhope first took it upon themselves to “draw” a 956-kilometre-wide bicycle across Europe in 2019, telling the <em>Guardian </em>they did it to “draw attention to the scale of climate breakdown” and get others to think about choosing bikes over cars for shorter trips.</span></p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/ChRmUTSM9j8/?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/ChRmUTSM9j8/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Arianna🇮🇹 - Daniel🇬🇧 - Zola🐶🇫🇮 (@bicycleswillsavetheworld_)</a></p> </div> </blockquote> <p dir="ltr">Though a pandemic, injuries, and poor weather made their short trip anything but, the Italian-British duo eventually finished the task.</p> <p dir="ltr">After quitting their jobs in 2019 to start the ride, Casiraghi suffered a knee injury that put a hold on their journey until November, when the cold and rain made it so miserable they had to stop again.</p> <p dir="ltr">Plans to restart the ride in March 2020 were derailed, but Casiraghi said finishing what they had started was both for a sense of accomplishment and so they didn’t let down the people who had been following their progress.</p> <p dir="ltr">Their trip, which totalled 131 days of cycling, finally came to an end on August 15 and the couple took to Instagram to share the news.</p> <p dir="ltr">“We have completed our gps-trace drawing! And what a drawing it is!” they wrote.</p> <p dir="ltr">“We cycled 7237 km through 7 countries to draw our massive bicycle and hopefully encourage one or two people to use their bike instead of the car.”</p> <p dir="ltr">The pair revealed they had also beaten several records, including the Guinness World Record for the largest GPS drawing, the unofficial record for the largest one completed by a bicycle, and “we have definitely drawn the biggest bicycle ever!”</p> <p><span id="docs-internal-guid-59646a05-7fff-caea-4913-328d6ab06308"></span></p> <p dir="ltr">As if their feat wasn’t impressive enough, the duo also took their Italian water dog, Zola, along for the ride, using custom-built bikes that had a compartment for the pooch to sit in whenever she wasn’t running alongside.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/CeWkHS1s06U/?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/CeWkHS1s06U/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Arianna🇮🇹 - Daniel🇬🇧 - Zola🐶🇫🇮 (@bicycleswillsavetheworld_)</a></p> </div> </blockquote> <p dir="ltr">"We tried to go on small roads where possible, or off-road, so Zola could walk a bit," Rayneau-Kirkhope said.</p> <p dir="ltr">The planning of their drawing was also a complex task, with their first draft route taking them directly through Charles de Gaulle Airport.</p> <p dir="ltr">Reflecting on their trip, the couple said Casiraghi’s injury proved to be “really quite demoralising”.</p> <p dir="ltr">"We had to stop travelling in order to rest and undertake dedicated</p> <p dir="ltr">physiotherapy sessions, which unfortunately meant that our project got delayed," they said.</p> <p dir="ltr">But, people’s reactions to their journey far outshone the harder moments.</p> <p dir="ltr">"The highlight of the trip has been the incredible support that we have received from</p> <p dir="ltr">people along the road," they said.</p> <p dir="ltr">"Without them, cycling through the cold and rainy winter months would simply not have been possible with our tight budget.</p> <p dir="ltr">"We still are amazed about how open-minded and selfless people can be."</p> <p dir="ltr">As for what’s next, the pair said they would be heading home for a rest before hitting the pedals again - though their next trip won’t be so artistic.</p> <p dir="ltr">"Now, we will go home and rest before going for another cycling trip," they said.</p> <p dir="ltr">"No drawing, just pedalling in whichever direction we bloody well please!"</p> <p dir="ltr"><span id="docs-internal-guid-81fc3562-7fff-e4d9-0b25-1e07cd6bb981"></span></p> <p dir="ltr"><em>Image: @bicycleswilsavetheworld_ (Instagram)</em></p>

International Travel

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Artist can draw with both hands and both feet at the same time

<p dir="ltr">Dutch artist Rajacenna van Dam has taken being ambidextrous to the next level, as she taught herself to not only use both her hands to create her art, but her feet as well. </p> <p dir="ltr">Rajacenna is a former child prodigy who, at the age of 16, was discovered as one of the world’s best and youngest hyper-realistic pencil drawing artists.</p> <p dir="ltr">Now 28 years old, Rajacenna is known worldwide for being quadridextrous, as she uses both her hands and both her feet at the same time to create up to six photo-realistic portraits at the same time.</p> <p dir="ltr">While Rajacenna knew she was talented with her hands, she was surprised to discover the talent transferred to her feet. </p> <p dir="ltr">“I love to challenge myself so I thought why not try for the first time painting with my feet while drawing in a realistic way, while being upside down and also one drawing in 3D,” she said.</p> <p dir="ltr">“It surprised me how much control I was able to have over my feet, something I never realised before. All that time I was drawing while I thought my feet were useless with art and now, I discovered they can do way more than I thought!”</p> <p dir="ltr">Rajacenna’s talent was proven during an EEG scan for a popular scientific TV program when it became clear that during drawing, there is superhuman brain activity to be registered in Rajacenna’s brain, according to neuro therapist and world’s number one EEG Biofeedback expert Bill Scott.</p> <p dir="ltr">Mr Scott said Rajacenna is an “extraordinary human being; she has a very exceptional brain”, claiming, “I have never seen this before in anyone’s brain.”</p> <p><iframe title="YouTube video player" src="https://www.youtube.com/embed/enZbw1j8-ZE" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p> <p dir="ltr" style="line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;"><em>Image credits: Youtube</em><span id="docs-internal-guid-59ad9a48-7fff-f220-3f61-c21971eb0597"></span></p>

Art

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Djokovic makes the cut while Barty draws dead

<p><span style="font-weight: 400;">After a last-minute delay, Novak Djokovic’s future in the Australian Open seems to be confirmed following the announcement of the draw on Thursday afternoon.</span></p> <p><span style="font-weight: 400;">The announcement was pushed until after an update from Prime Minister Scott Morrison, with many expecting a comment on Djokovic’s fate.</span></p> <p><span style="font-weight: 400;">Though Minister Alex Hawke still holds the ability to cancel the tennis champion’s visa for a second time, organisers of the Australian Open are treating Djokovic as if he is still going to play.</span></p> <blockquote class="twitter-tweet"> <p dir="ltr">Top seed and nine-time <a href="https://twitter.com/hashtag/AusOpen?src=hash&amp;ref_src=twsrc%5Etfw">#AusOpen</a> champion 🇷🇸 <a href="https://twitter.com/DjokerNole?ref_src=twsrc%5Etfw">@DjokerNole</a> begins his title defence against Miomir Kecmanovic.<a href="https://twitter.com/hashtag/AO2022?src=hash&amp;ref_src=twsrc%5Etfw">#AO2022</a> <a href="https://t.co/96MAlHNElG">pic.twitter.com/96MAlHNElG</a></p> — #AusOpen (@AustralianOpen) <a href="https://twitter.com/AustralianOpen/status/1481500590681198592?ref_src=twsrc%5Etfw">January 13, 2022</a></blockquote> <p><span style="font-weight: 400;">The World No. 1 has been drawn against fellow Serbian and World No. 78 Miromir Kecmanovic.</span></p> <p><span style="font-weight: 400;">Organisers also announced the draw for the women’s singles, with Ash Barty to begin her Australian Open campaign against a qualifier - meaning she will need to win a pre-tournament competition in order to secure her spot.</span></p> <blockquote class="twitter-tweet"> <p dir="ltr">Barty Party in Melbourne 🎊 <br /><br />Top seed 🇦🇺 <a href="https://twitter.com/ashbarty?ref_src=twsrc%5Etfw">@ashbarty</a> starts her <a href="https://twitter.com/hashtag/AusOpen?src=hash&amp;ref_src=twsrc%5Etfw">#AusOpen</a> campaign against a qualifier.<a href="https://twitter.com/hashtag/AO2022?src=hash&amp;ref_src=twsrc%5Etfw">#AO2022</a> <a href="https://t.co/hMDkESm9No">pic.twitter.com/hMDkESm9No</a></p> — #AusOpen (@AustralianOpen) <a href="https://twitter.com/AustralianOpen/status/1481497862840012806?ref_src=twsrc%5Etfw">January 13, 2022</a></blockquote> <p><span style="font-weight: 400;">The announcement comes while Djokovic’s future in the country hangs in the balance, with a decision from Minister Hawke expected on Thursday.</span></p> <p><span style="font-weight: 400;">When asked about the star’s fate at his press conference, Mr Morrison refused to comment.</span></p> <p><span style="font-weight: 400;">"I refer to Minister Hawke's most recent statement and that position hasn't changed," he told reporters on Thursday afternoon.</span></p> <p><span style="font-weight: 400;">"These are personal ministerial powers able to be exercised by Minister Hawke and I don't propose to make any further comment at this time."</span></p> <p><em><span style="font-weight: 400;">Image: @djokernole (Instagram)</span></em></p>

News

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Is this the world’s oldest drawing?

<div> <div class="copy"> <p>A faint, red, cross-hatched design discovered in a cave in South Africa just might be the oldest known drawing in history, researchers say.</p> <p><a rel="noopener" href="https://www.nature.com/articles/s41586-018-0514-3" target="_blank">In a paper</a> published in the journal Nature, a team led by Christopher Henshilwood from the University of Bergen in Norway reveals the discovery of a decorated piece of stone – of a type known as silcrete – excavated at an archaeological site called Blombos Cave, 300 kilometres east of Cape Town.</p> <p>The stone flake features a cross-hatched pattern, which the researchers say microscopic and chemical analysis confirms was applied deliberately with an ochre “crayon” fashioned into a tip between one and three millimetres wide.</p> <p>The design – which has been dubbed the world’s first hashtag – might originally have been part of a larger, more complex piece.</p> <p>The sediment layer in which the decorated stone was recovered has been reliably dated as 73,000 years old. The find is highly significant, because it pre-dates the earliest known abstract and figurative drawings discovered in Africa, Europe and southeast Asia by at least 30,000 years.</p> <p>Henshilwood and his colleagues note that the same sediment layer in the Blombos Cave has previously yielded other artefacts, including shell beads.</p> <p>The latest find, they write, “demonstrates the ability of early Homo sapiens in southern Africa to produce graphic designs on various media using different techniques”.</p> <em>Image credits: Getty Images</em></div> <div id="contributors"> <p><em>This article was originally published on <a rel="noopener" href="https://cosmosmagazine.com/history/archaeology/is-this-the-worlds-oldest-drawing/" target="_blank">cosmosmagazine.com</a> and was written by Andrew Masterson. </em></p> </div> </div>

Art

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Never-before-seen Van Gogh drawing goes on display

<p>A newly discovered Vincent Van Gogh drawing has made its debut in in Amsterdam.</p> <p>The Van Gogh Museum revealed that the never-before-seen piece was drawn in 1882, marking the early days of the famous artist's extraordinary career.</p> <p>The artwork had been sitting in a Dutch family's private collection for over 100 years, and was loaned to the Amsterdam Museum for viewing for the first time.</p> <p>The unique piece will be visible to the public until January 2nd 2022, before returning to the private collection.</p> <blockquote class="twitter-tweet"> <p dir="ltr">🎉We have discovered a new work by Vincent van Gogh! Study for ‘Worn Out’ from 1882 is added to Van Gogh's oeuvre. What do you think of this study? On display in the museum from tomorrow on. Find out more: <a href="https://t.co/LyjgpLkRtv">https://t.co/LyjgpLkRtv</a> <a href="https://t.co/86fu9XRbeY">pic.twitter.com/86fu9XRbeY</a></p> — Van Gogh Museum (@vangoghmuseum) <a href="https://twitter.com/vangoghmuseum/status/1438498921169391623?ref_src=twsrc%5Etfw">September 16, 2021</a></blockquote> <p>The drawing depicts an exhausted old man and has been titled <em>Study for Worn Out</em>.</p> <p>Signed <em>“</em><em>Vincent”</em>, the drawing shows an elderly labourer dressed in boots, trousers and a waistcoat bending over with his head in his hands.</p> <p>Teio Meedendorp, a senior researcher at the Van Gogh Museum, told the BBC that it was "absolutely impossible" to predict how much the piece was worth.</p> <p>The artwork seems to be an earlier version of a more well-known Van Gogh piece titled <em>Worn Out</em>, which has been on display at the museum for many years.</p> <p>This first draft of an artwork gives researchers an exclusive insight into Van Gogh's working process as an early artist.</p> <p>As expected, the team at The Van Gogh Museum, were “delighted with this discovery” and felt like they had contributed to their specialty.</p> <p>The owner of the artwork, who wishes to remain anonymous, was conversing with the museum about the likelihood of the piece being attributed to Vincent Van Gogh.</p> <p>Teio Meedendorp stated, "In stylistic terms, it fits perfectly with the many figures we know from Van Goghs time in the Hague and the connect with <em>Worn Out</em> is obvious”.</p> <p><em>Image credit: Getty Images</em></p>

Art

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Royal fans furious over "cruel" drawing of Prince George

<div class="post_body_wrapper"> <div class="post_body"> <div class="body_text redactor-styles redactor-in"> <p>Royal fans are furious over how animator Gary Janetti has drawn Prince George in Janetti's upcoming cartoon series<span> </span><em>The Prince</em>.</p> <p><em>The Prince,<span> </span></em>an eight-part series, features a range of royal family members, including Meghan Markle and the Queen, while keeping Prince George as the main character.</p> <p>Janetti was formerly a writer on<span> </span><em>Family Guy<span> </span></em>and<span> </span><em>Will &amp; Grace</em><span> </span>and shared a glimpse of Prince George on his Instagram page, with him and his siblings Princess Charlotte and Prince Louis arguing over their Halloween costumes.</p> <blockquote 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);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CHA6wrznXL1/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="13"> <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> <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;" rel="noopener" href="https://www.instagram.com/p/CHA6wrznXL1/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank">A post shared by Gary Janetti (@garyjanetti)</a></p> </div> </blockquote> <p>The series has attracted big names to voice the characters, including Orlando Bloom as Prince Harry and Sophie Turner voicing Princess Charlotte.</p> <p>However, a petition to cancel the show is now circling and has garnered around 700 out of 1,000 signatures.</p> <p>It was created by the Mountbatten-Windsors Royal Fan Page and argues that the series mocks Prince George and exploits an innocent child.</p> <p>“I would like to put an end to a series that mocks an innocent child, his siblings and his family in order to create comedy,” the petition reads.</p> <p>“It is very uncomfortable to use a non-consenting child's likeness in this way without considering how it might affect him in the future. It is irresponsible and cruel.</p> <p>“He is only 7. His siblings are only 5 and 2 and having adults voice them and portray them in ways that are dishonest and crude is very disgusting.”</p> <p>A Disney producer also believes that the show is "cruel and unfair".</p> <p>“It’s one thing for film-makers to play fast and loose with the truth in shows like<span> </span><em>The Crown</em><span> </span>but poking fun at a seven-year-old child seems cruel and unfair,” the insider was quoted.</p> <p>"Some things should be off-limits. It’s morally wrong to use a child to get cheap laughs."</p> <p>Janetti has stated that the jokes are meant "with affection", but the Buckingham Palace has not responded to the controversy so far.</p> </div> </div> </div>

TV

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22-year-old dies of cervical cancer after GPs turned her away 15 times

<p>A 22-year-old woman died of cervical cancer after GPs turned her away 15 times and told her not to worry about the “Jade Goody effect”.</p> <p>Emma Swain pleaded with her GP for a smear test as she was experiencing symptoms, but was told she was too young by medical professionals.</p> <p>Instead, doctors had placed the blame on her contraceptive pill for her symptoms and told her what happened to Jade Goody was unlikely to happen to her.</p> <p>In 2009, TV personality Jade Goody died from cervical cancer at the age of 27.</p> <p>Emma first approached her doctor about a smear test in May 2013 after experiencing back pain and bleeding after sex.</p> <p>But her request was refused because the cervical screening is only offered to women over the age of 25.</p> <p>Her GP has since admitted that if the 22-year-old had been given the smear test, she may still be alive.</p> <p>Devastated at the loss of his daughter, Darren Swain <a rel="noopener" href="https://www.mirror.co.uk/news/uk-news/woman-22-cervical-cancer-told-23084319" target="_blank">told the Mirror</a>: “To have watched one of your children go through that and to know it could have been ­prevented is ­incredibly hard to ­accept.</p> <p>“We trusted these people – the professionals – to know what they were doing. I’ll never forgive them.”</p> <p>Darren, 51, said: “Basically, he told her she was worrying over nothing. He couldn’t have been more wrong. It cost Emma her life.”</p> <p>Over the course of four months, Emma contacted her doctor 14 times but was advised to swap her brand of contraceptive pill.</p> <p>She changed her pill five times during those four months.</p> <p>Unfortunately, Emma was diagnosed with cervical cancer in December of that year and died the following year in 2014.</p> <p>Emma’s family has since been fighting a six-year legal battle, one that they have recently won.</p> <p>Her family has been awarded compensation for her death.</p> <p>In a letter to the dad-of-three, Dr Stephen Golding, Dr Hendrik Parmentier and practice nurse Maureen Dillon from The Haling Park Partnership in Croydon, South London, apologised for what ­happened to Emma.</p> <p>They wrote: “We admit that if the care and treatment provided to your daughter had been of a reasonable standard, on the balance of probabilities, she would have survived.”</p> <p>A spokesperson for the surgery told the Mirror: “Since Emma’s death, the practice has reviewed its processes to ensure lessons have been learned.”</p>

Caring

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Angry neighbour rants over chalk drawings

<p>A Melbourne resident tried to spread joy to her community by drawing on footpaths in chalk, but has since been labelled a "pretentious pr**k" by one of her neighbours.</p> <p>Fiona Cracknell set up Cracknell Chalk Drawings to showcase her chalk designs on Facebook.</p> <p>“I started drawing for my beautiful 3 year old daughter, had no idea it would impact my local neighbourhood while in lockdown this much,” Ms Cracknell wrote on the page.</p> <p>However, another resident took issue with the drawings and has since complained to council.</p> <p>“Someone has complained to the Council about my chalk drawing. Calling me a pretentious p**ck and that I am graffitiing,” Ms Cracknell wrote on the Facebook page on Thursday.</p> <p>“First of all I was doing to bringing joy to the community [sic], not cause drama and second, the Coucil loves it. For the first time in ages I have brought positive news to Gladstone Park.</p> <p>“I cannot believe this! I am really upset and angry. All I wanted was to make people smile at a time they needed it the most.”</p> <p><iframe src="https://www.facebook.com/plugins/video.php?height=314&amp;href=https%3A%2F%2Fwww.facebook.com%2F9NewsMelbourne%2Fvideos%2F266144354828037%2F&amp;show_text=false&amp;width=560" width="560" height="314" style="border: none; overflow: hidden;" scrolling="no" frameborder="0" allowtransparency="true" allow="encrypted-media" allowfullscreen="true"></iframe></p> <p>The letter was sent in anonymously and called the artwork "destructive graffiti".</p> <p>“I’ve copied the letter to the pretentious p**cks at that house in the hope they will see this letter as a warning and cease their crap,” the letter says.</p> <p>“They may also get it into their skulls that graffiti of council land is illegal. Placing the lives of locals at risk because of their desire to.”</p> <p>However, the council won't be doing anything, according to a statement from <em>7News.</em></p> <p>“Chalk messages and drawings on streets have been developed by children and adults alike during the COVID-19 pandemic, bringing hope and joy to Victorians during this difficult time,” the statement to Seven News said.</p> <p>“Council will not issue any fines for these drawings or ask for them to be removed.”</p>

Home & Garden

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“It doesn’t look half bad”: Fake number plate draws acclaim

<p>An Ohio man’s uniquely creative approach to rustling up a fake licence plate has drawn laughs – and some acclaim – from around the world after he was booked by US police when they spotted something a little off with his number plate.</p> <p>The driver was pulled over in Millersburg, Ohio, on September 2, and at the time a Millersburg highway patrol officer said in a statement on Facebook: “Something just didn’t seem right about this particular licence plate.”</p> <p>It turns out – yep, you guessed it – the driver’s licence plate had been completely drawn on, and quite realistically too.</p> <p>“After further investigation it was determined that the driver of the vehicle had no insurance and was driving on a suspended licence,” police explained further, before adding: “Pro Tip: Don’t forget to draw the registration sticker.”</p> <p>While the ultimate penalty handed down to this particular driver remains unknown, reactions to his creative effort had people on Facebook highly amused.</p> <p>“I ain’t even mad,” commented one woman, “that’s dedication.”</p> <p>Another man added “you can’t knock that effort”.</p> <p>And even more went on to comment that the hand-drawn effort was actually surprisingly well done.</p> <p>“I mean... it doesn’t look half bad, if I’m being real,” wrote one commenter.</p> <p>“From art class to the jail house,” said another.</p> <p>Many others agreed that the police could perhaps have spent their time catching more serious perpetrators.</p> <p><strong>Image:</strong> Facebook / Millersburg Police</p>

Travel Trouble

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The new device that charges your phone while you’re on the go

<p><span style="font-weight: 400;">Researchers from Queen’s University in Canada have developed an energy-harvesting device that exploits the side to side movement of a backpack that will generate electricity while you walk.</span></p> <p><span style="font-weight: 400;">The trial version would be suitable for people who work or trek to remote areas and the device has enough power to deploy an emergency beacon or a GPS.</span></p> <p><span style="font-weight: 400;">The researchers experimented with seven different conditions for energy harvesting and found that a load of nine kilograms generated the optimum amount of power without any extra effort to the wearer.</span></p> <p><span style="font-weight: 400;">The nine kilograms would be made up of clothes, food, a stove, fuel, a sleeping bag and a tent which was packed for a long trek.</span></p> <p><span style="font-weight: 400;">The weight of the device and the backpack adds another five kilos. The setup in total produces about .22 watts of electricity which is enough to power GPS and emergency beacons.</span></p> <p><a href="https://royalsocietypublishing.org/doi/10.1098/rsos.182021"><span style="font-weight: 400;">In the paper</span></a><span style="font-weight: 400;">, the researchers Jean-Paul Martin and Qingguo Li calculate that adding more weight to the backpack will help it generate more power. </span></p> <p><span style="font-weight: 400;">“Modelling predicts that an increase in electrical power production could be achieved by increasing the weight carried,” they write.</span></p> <p><span style="font-weight: 400;">“If generating over (one Watt) of electrical power was desired for powering higher demand devices, such as talking or browsing the internet with a cell phone, our model indicates that over 20 kilograms of weight would need to be carried.”</span></p> <p><span style="font-weight: 400;">In total, you would be carrying 14 kilograms on your back to generate enough power for your GPS or emergency beacon.</span></p> <p><span style="font-weight: 400;">Although this might seem like too much weight for most people, it’s next to nothing for soldiers who are used to carrying at least 27 kilograms and as much as 45 kilograms on their back for long-haul missions in Iraq and Afghanistan.</span></p>

Technology