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Mystery illness kills more than 50 people within hours

An unknown illness has killed more than 50 people in northwestern Congo over the past five weeks, according doctors on the ground and the World Health Organisation (WHO). The interval between the onset of symptoms - which include fever, vomiting and internal bleeding - and death has been 48 hours in the majority of cases, and “that’s what’s really worrying”, according to Serge Ngalebato, medical director of Bikoro Hospital, a regional monitoring centre. The outbreak began on January 21, with 419 cases recorded including 53 deaths. According to WHO's Africa office, the outbreak began in the town of Boloko after three children ate a bat and died within 48 hours following the “hemorrhagic fever” symptoms. While these symptoms are commonly linked to known deadly viruses, such as Ebola, dengue, Marburg and yellow fever, researchers have ruled these out following a series of tests of more than a dozen samples collected so far. The tests were conducted after the second outbreak of the mystery disease in the town of Bomate on February 9, with samples from 13 cases sent to the National Institute for Biomedical Research in DR Congo’s capital Kinshasa for testing, the WHO said. All samples were negative for common hemorrhagic fever diseases, although some tested positive for malaria. The number of outbreaks from diseases spreading from animals to humans in places where wild animals are popularly eaten has been a concern, with outbreaks in Africa surging by more than 60 per cent in the last decade, the WHO said in 2022. Last year, another mystery flu-like illness that killed dozens of people in another part of Congo was determined to be likely malaria. Image: Shutterstock

Caring

Jack the Ripper's identity revealed after 137 years

A major breakthrough in the Jack the Ripper case could have identified the notorious serial killer after 137 years of mystery. Jack the Ripper terrorised the streets of London in 1888, with police believing he was responsible for the brutal rape and murders of at least five women – known as the Canonical Five – but could very well have committed at least six more. The victims, who were all brutally slain between August and November 1888, were Mary Nichols, 43, Annie Chapman, 47, Elizabeth Stride, 44, Catherine Eddowes, 46, and Mary Jane Kelly, 25. Police, historians and crime buffs have long questioned the real identity of the serial killer, and despite a long list of potential suspects, investigators have not been able to definitively pin down a single suspect to the crimes. However, new evidence has emerged in the case, leading to a possible answer. Self-proclaimed ‘Ripperologist’ and British author Russell Edwards purchased a shawl belonging to one of the victims, Catherine Eddowes, which contained blood and semen back in 2007. Years later, the shawl was put through rigorous forensic testing where it was found to contain DNA from two separate people. One of them matched a descendant of the female victim, while the other matched the descendants of a Polish immigrant, who would have been around 23 at the time of the murders. Upon discovering this male’s name, Edwards was able to reveal the true identity of the infamous‘Jack the Ripper’: Aaron Kosminski. “Considering his DNA is on the shawl that was at the murder scene and he was named, I have never considered anyone else to be the Ripper,” Edwards told <a href="https://www.news.com.au/lifestyle/real-life/news-life/we-may-finally-know-the-true-identity-of-jack-the-ripper-after-137-years-of-mystery/news-story/14f22046597546a64113567752d972c9" target="_blank" rel="noopener">news.com.au</a>. “I have, however, looked into every other suspect in order to eliminate them. The DNA work was a huge four-year process. We had to bypass the issue of contamination, plus many other hurdles." “It was a voyage of discovery, with many twists and turns. The adventure was thrilling from beginning to end and I was lucky to experience it.” Edwards said that when he discovered the DNA from the shawl matched, he was absolutely elated to have made such a breakthrough. “When we matched the DNA from the blood on the shawl with a direct female descendant of the victim, it was the singular most amazing moment of my life at the time,” he said. “We tested the semen left on the shawl. When we matched that, I was dumbfounded that we actually had discovered who Jack the Ripper truly was.” Born in Kłodawa in central Poland, Kosminski moved to England with his family as a child and eventually began working as a barber in London’s Whitechapel district. Medical records show that he had suffered from mental illness since at least 1885 and had spent time in various ‘lunatic asylums’ around London, with his condition reportedly taking the form of auditory hallucinations, a fear of being fed by other people, as well as a refusal to wash or bathe. He later died in 1919 at age 53. The descendants of Jack the Ripper’s victims are now calling for police to do an immediate investigation into Aaron Kosminski to make Edwards’ findings official. Karen Miller, the great-great-great-granddaughter of victim Catherine Eddowes, said that it would “mean a lot” to her and her family to put an end to this 137-year-old mystery. “The name Jack the Ripper has become sensationalised, it has gone down in history as this famous character,” the 53-year-old told the <a title="www.dailymail.co.uk" href="https://www.dailymail.co.uk/news/article-14234461/Descendants-Jack-Rippers-victims-DNA-breakthrough.html" target="_blank" rel="noopener">Daily Mail</a>. “It has all been about him, this iconic name, but people have forgotten about the victims who did not have justice at the time." “What about the real name of the person who did this? Having the real person legally named in a court which can consider all the evidence would be a form of justice for the victims. We have got the proof, now we need this inquest to legally name the killer." “It would mean a lot to me, to my family, to a lot of people to finally have this crime solved.” Despite the excitement over the new evidence, some have cast doubt on the findings. The research has not yet been published in a scientific peer-reviewed journal, which means that the claims cannot be independently verified or the methodology scrutinised. Under UK law, it is up to the attorney general to approve a further inquest into the Jack the Ripper case, with Attorney-General Michael Ellis refusing the request two years ago, saying there was “not sufficient new evidence” to support an inquest. Image credits: Instagram

Legal

‘A virtual seat at the family table’: why older people are among the biggest users of social media

<a href="https://theconversation.com/profiles/bernardo-figueiredo-336532">Bernardo Figueiredo</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> and <a href="https://theconversation.com/profiles/torgeir-aleti-92509">Torgeir Aleti</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> The Australian government’s <a href="https://theconversation.com/australias-social-media-ban-for-kids-under-16-just-became-law-how-it-will-work-remains-a-mystery-244736">recent decision to ban under 16s</a> from social media has focused attention on the harms it can cause – especially for young people. But young people are just one segment of the population who use social media. According to the <a href="https://wearesocial.com/au/blog/2024/01/digital-2024/">Digital 2024 report</a>, 78.3% of Australians regularly use platforms such as Facebook and Instagram – mainly for keeping in touch with friends and family. Perhaps surprisingly, a large proportion of these users are older people. For example, the Digital 2024 report also shows that 21.3% of Meta’s ad audience in Australia (on Messenger, Facebook and Instagram) are 55 years or older. This makes it the second largest age group after 25–34 year olds (25.4%). So what does research say about how social media affects older people’s social lives and wellbeing? <h2>The growing presence of older adults on social media</h2> <a href="https://www.digitalinclusionindex.org.au/digital-inclusion-the-australian-context-in-2023/">The digital divide is shrinking</a> as older generations embrace social media. <a href="https://www.benetas.com.au/news/digial-habits-of-older-australians">According to data from earlier this year</a>, more than 70% of Australians aged 65 and older use social media to some degree. <a href="https://www.aarp.org/content/dam/aarp/research/surveys_statistics/technology/2023/2023-tech-trends.doi.10.26419-2Fres.00584.001.pdf">Facebook remains the most popular</a> among this demographic, serving as a gateway to reconnect with family and long-lost friends. Beyond reconnecting, <a href="https://apo.org.au/node/313717">our research indicates</a> older adults often use these platforms to share memories, participate in community groups and access news. This growing trend is driven by both internal and external factors. <a href="https://www.emerald.com/insight/content/doi/10.1108/oir-06-2021-0332/full/html">Research shows</a> many older users are motivated by the desire to stay connected with their families, particularly grandchildren, who often share their lives through social media. For others, the COVID pandemic <a href="https://www.abc.net.au/news/2020-05-18/are-we-headed-to-a-cashless-economy-post-coronavirus/12244846">accelerated the adoption of digital tools</a>, making social media a lifeline during periods of isolation. <h2>Enhanced connection</h2> <a href="https://www.nature.com/articles/s41562-024-02048-7">A recent study</a> found positive associations between internet use and mental health among older adults in 23 countries. Social media, in particular, works by: 1. Maintaining family ties. Social media provides older adults with a virtual seat at the family table. By viewing photos, videos and updates, <a href="https://theconversation.com/video-chats-can-ease-social-isolation-for-older-adults-during-coronavirus-pandemic-135890">they can remain engaged with their loved ones’ lives</a>, no matter the physical distance. Platforms such as WhatsApp and Facebook Messenger are particularly popular for private family group chats, enabling older adults to exchange messages and share moments in real time. 2. Rekindling old friendships. Platforms such as Facebook have proven effective in <a href="https://www.tandfonline.com/doi/pdf/10.1080/10510974.2021.1975143?needAccess=true">reconnecting older adults with long-lost friends</a>. For many, revisiting old relationships provides a sense of nostalgia and belonging. Studies have shown such interactions can <a href="https://pubmed.ncbi.nlm.nih.gov/32700541/">bolster feelings of inclusion</a> and reduce loneliness, a significant concern for ageing populations. 3. Building new communities. Social media groups dedicated to specific interests such as gardening, photography or travel offer older adults opportunities to form new connections. <a href="https://www.emerald.com/insight/content/doi/10.1108/jkm-02-2021-0087/full/html">These virtual communities</a> are inclusive spaces where members exchange advice, share experiences and foster friendships based on shared hobbies. <h2>Improved well-being</h2> Social media’s ability to foster connection among older adults <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8465959/#B7-healthcare-09-01143">directly impacts their wellbeing</a>. Regular online interactions can reduce feelings of loneliness and depression, providing a sense of purpose and belonging. <a href="https://www.tandfonline.com/doi/abs/10.1080/10410236.2020.1859722">Research shows</a> active participation, such as posting photos, is associated with a feeling of competence in older users, which is related to well-being. For some, becoming “<a href="https://www.smh.com.au/lifestyle/life-and-relationships/80-years-old-with-11-million-followers-meet-tiktok-s-granfluencers-20230602-p5ddje.html">grandfluencers</a>” on platforms like Instagram or TikTok introduces an unexpected avenue for creative expression and social influence. Online forums are also gaining traction as a tool for health information and advocacy. <a href="https://www.jmir.org/2013/2/e35">Older adults participate in support groups</a> for chronic conditions, share wellness tips and even engage in civic discussions. This demonstrates social media platforms’ broader potential beyond social interaction. <h2>Online challenges</h2> Despite its benefits, social media is not without challenges for older adults. For some, navigating the complex interface of platforms can be intimidating. <a href="https://www.mdpi.com/2076-0760/13/9/496">Our research</a> shows half of older adults feel anxious about using communication technologies, with older women experiencing more anxiety than older men. Issues such as <a href="https://apo.org.au/sites/default/files/resource-files/2021-08/apo-nid313717.pdf">privacy concerns, misinformation and online scams can also create barriers to engagement</a>. Additionally, while social media facilitates connection, it <a href="https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.18546">cannot replace the depth of face-to-face interactions</a>. <a href="https://journals.sagepub.com/doi/full/10.1177/14413582231187652">Our research</a> shows those with higher digital literacy are more likely to experience the positive effects of social media because of ongoing “self-socialisation” without having to interact with others, which might undermine learning and confidence. For others, initiatives aimed at <a href="https://www.dss.gov.au/improving-digital-skills-older-australians/resource/evaluation-be-connected">improving digital skills among older adults</a> – such as digital mentoring programs – can significantly enhance their confidence and ability to engage safely online. <h2>A bridge and a barrier</h2> Social media can keep older adults connected. But its impact <a href="https://karger.com/ger/article/59/4/378/149065/Social-Media-Use-of-Older-Adults-A-Mini-Review">depends on how it is used</a>. For many, it serves as a vital link to family, friends and new communities, enriching their social lives and reducing isolation. However, to unlock its full potential, addressing barriers such as digital literacy and online safety are crucial. As the world becomes increasingly digital, <a href="https://www.emerald.com/insight/content/doi/10.1108/jsm-12-2022-0393/full/html?skipTracking=true">empowering older adults</a> to engage meaningfully with social media will ensure they remain not only connected but also active participants in a rapidly evolving social landscape.<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/245156/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/bernardo-figueiredo-336532">Bernardo Figueiredo</a>, Associate Professor of Marketing, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> and <a href="https://theconversation.com/profiles/torgeir-aleti-92509">Torgeir Aleti</a>, Senior Lecturer in Marketing, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> Image credits: Shutterstock 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/a-virtual-seat-at-the-family-table-why-older-people-are-among-the-biggest-users-of-social-media-245156">original article</a>.

Technology

“What is wrong with people?”: Baggage claims photo reignites age-old debate

A single photo of an airport’s baggage claim area has kicked off a heated debate about travel etiquette. A frustrated traveller snapped the image of a crowded luggage carousel at Melbourne Airport and posted it to Reddit, reigniting the age-old debate about one of people’s most annoying habits when going on holiday. "I returned to Melbourne last night on an international full flight, and the lack of self-awareness from some people was astounding," the post read, accompanied by the photo of a crowded baggage claim carousel. "Despite the clear signs instructing passengers to stay behind the yellow line at baggage collection, many ignored them, standing right in front of it," she continued. "As someone who is on the shorter side, I already struggle to see over a 6ft grown man. After taking this photo, two more people stood directly in front of me.” "At that point, I firmly said in a loud voice, 'Stand behind the yellow line; it's there for a reason'. Thankfully, they moved." "Seriously, what is wrong with people? There's plenty of space around – why stand right in front of me? Rude AF!" The post quickly received hundreds of comments, with plenty of people equally baffled by the act and wondering why the selfish act takes over so many people in airports. "Those two are probably the first to stand up and get their carry-on bags out of the overhead compartments as soon as the wheels touch down," one person commented. "You really triggered them with this one. Imagine asking people to be considerate," another said. But others didn't see an issue at all, with one person writing, "I just say 'excuse me' and reach between people to grab my bag. Most people get out of your way." Image credits: Shutterstock

Travel Trouble

Social media star Pesto the penguin celebrates first birthday

Social media star Pesto the penguin, who has earned an army of online followers for his big and fluffy appearance, is turning one. The King Penguin, who calls the Sea Life Melbourne Aquarium home, has celebrated his birthday with a slimmed down look, worlds away from the 23.5 kilogram big boy who went viral in 2024. "It's kind of crazy how fast this year has gone, it feels like only yesterday that he hatched out of his little egg," Sea Life Aquarium Melbourne's Catherine Bushell told Today. "He only weighed around 200 grams, then went up to 23.5 kilograms at his heaviest and now back down to around 16 kilograms." Pesto's special day will be celebrated on Friday, which also happens to be Sea Life Aquarium Melbourne's 25th anniversary. "It's going to be a pretty big day, lots of celebration going on both in and out of the exhibit. Pesto has got a jelly cake today and lots of fun enrichment for he and the rest of his colony to enjoy," she said. "There's also lots of fun for the people, our first 1000 guests today will all get a free cupcake, but the party's going on all weekend, we've got a DJ and all sorts of celebrations happening tomorrow as well, so it will certainly be a party fit for a king." Image credits: Instagram

Family & Pets

Eagles star announces retirement after shock health diagnosis

Steuart Smith, the lead guitarist of iconic rock band The Eagles has announced his retirement. The 72-year-old musician, who joined the band back in 2001, shared that he would be leaving the band following a shock health diagnosis. "It is with profound regret that, due to performance issues associated with my recently diagnosed Parkinsonism, I find that I must bow out of my role with The Eagles while I can still do so gracefully," Smith told People magazine. "It's been a great quarter of a century, and I had hoped to be able to finish out this year with the band, but I must now do what’s best for all concerned." According to Parkinsons.org.uk, parkinsonism is "an umbrella term used to cover a range of conditions that share similar symptoms to Parkinson's". Bandmate and founding member of The Eagles, Don Henley, also released a statement praising Smith's talents, adding that the group will "be forever grateful" for his contributions to the band and their tour. “Steuart Smith has retired from touring. The Eagles will be forever grateful for the extraordinary talents that he brought to both our recordings and live performances," he told the publication. "Steuart will be greatly missed, but he will always be a part of our musical family. We know our many fans join us in wishing him well." The Eagles, were formed in 1972 with founding members Henley, Glenn Frey, Bernie Leadon and Randy Meisner. They are known for their hit songs like Hotel California and Lyin Eyes. <em style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; color: #323338; font-family: Figtree, Roboto, 'Noto Sans Hebrew', 'Noto Kufi Arabic', 'Noto Sans JP', sans-serif; background-color: #ffffff; outline: none !important;">Image: SplashNews.com/ Shutterstock Editorial

Caring

How we diagnose and define obesity is set to change – here’s why, and what it means for treatment

<a href="https://theconversation.com/profiles/louise-baur-5284">Louise Baur</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/john-b-dixon-11630">John B. Dixon</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>; <a href="https://theconversation.com/profiles/priya-sumithran-1529047">Priya Sumithran</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>, and <a href="https://theconversation.com/profiles/wendy-a-brown-1665">Wendy A. Brown</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Obesity is <a href="https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks#:%7E:text=Having%20overweight%20or%20obesity%20increases,the%20cells%20in%20your%20body">linked to</a> many common diseases, such as type 2 diabetes, heart disease, fatty liver disease and knee osteoarthritis. Obesity is currently defined using a person’s body mass index, or BMI. This is <a href="https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight">calculated</a> as weight (in kilograms) divided by the square of height (in metres). In people of European descent, the BMI for obesity is 30 kg/m² and over. But the risk to health and wellbeing is not determined by weight – and therefore BMI – alone. We’ve been part of a global collaboration that has spent the past two years discussing how this should change. Today we publish how we think obesity should be defined and why. As we outline in <a href="https://www.thelancet.com/commissions/clinical-obesity">The Lancet</a>, having a larger body shouldn’t mean you’re diagnosed with “clinical obesity”. Such a diagnosis should depend on the level and location of body fat – and whether there are associated health problems. <h2>What’s wrong with BMI?</h2> The risk of ill health depends on the relative percentage of fat, bone and muscle making up a person’s body weight, as well as where the fat is distributed. Athletes with a relatively high muscle mass, for example, may have a higher BMI. Even when that athlete has a BMI over 30 kg/m², their higher weight is due to excess muscle rather than excess fatty tissue. People who carry their excess fatty tissue <a href="https://www.abc.net.au/news/health/2017-09-06/waist-size-why-it-matters-and-when-its-a-risk/8839708">around their waist</a> are at greatest risk of the health problems associated with obesity. Fat stored deep in the abdomen and around the internal organs can release damaging molecules into the blood. These can then <a href="https://theconversation.com/body-fat-deep-below-the-surface-is-a-toxic-risk-especially-for-your-heart-146307">cause problems</a> in other parts of the body. But BMI alone does not tell us whether a person has health problems related to excess body fat. People with excess body fat don’t always have a BMI over 30, meaning they are not investigated for health problems associated with excess body fat. This might occur in a very tall person or in someone who tends to store body fat in the abdomen but who is of a “healthy” weight. On the other hand, others who aren’t athletes but have excess fat may have a high BMI but no associated health problems. BMI is therefore an imperfect tool to help us diagnose obesity. <h2>What is the new definition?</h2> The goal of the <a href="https://pubmed.ncbi.nlm.nih.gov/36878238">Lancet Diabetes & Endocrinology Commission on the Definition and Diagnosis of Clinical Obesity </a>was to develop an approach to this definition and diagnosis. The commission, established in 2022 and led from King’s College London, has brought together 56 experts on aspects of obesity, including people with lived experience. The commission’s <a href="https://www.thelancet.com/commissions/clinical-obesity">definition and new diagnostic criteria</a> shifts the focus from BMI alone. It incorporates other measurements, such as waist circumference, to confirm an excess or unhealthy distribution of body fat. We define two categories of obesity based on objective signs and symptoms of poor health due to excess body fat. 1. Clinical obesity A person with clinical obesity has signs and symptoms of ongoing organ dysfunction and/or difficulty with day-to-day activities of daily living (such as bathing, going to the toilet or dressing). There are 18 diagnostic criteria for clinical obesity in adults and 13 in children and adolescents. These include: <ul> <li> breathlessness caused by the effect of obesity on the lungs </li> <li> obesity-induced heart failure </li> <li> raised blood pressure </li> <li> fatty liver disease </li> <li> abnormalities in bones and joints that limit movement in children. </li> </ul> 2. Pre-clinical obesity A person with pre-clinical obesity has high levels of body fat that are not causing any illness. People with pre-clinical obesity do not have any evidence of reduced tissue or organ function due to obesity and can complete day-to-day activities unhindered. However, people with pre-clinical obesity are generally at higher risk of developing diseases such as heart disease, some cancers and type 2 diabetes. <h2>What does this mean for obesity treatment?</h2> Clinical obesity is a disease requiring access to effective health care. For those with clinical obesity, the focus of health care should be on improving the health problems caused by obesity. People should be offered evidence-based treatment options after discussion with their health-care practitioner. <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01210-8/abstract">Treatment</a> will <a href="https://www.thelancet.com/journals/landia/article/PIIS2213-8587(22)00047-X/fulltext">include</a> management of obesity-associated complications and may include specific obesity treatment aiming at decreasing fat mass, such as: <ul> <li> support for <a href="https://www.obesityevidencehub.org.au/collections/treatment/behavioural-interventions-for-the-management-of-overweight-and-obesity-in-adults">behaviour change</a> <a href="https://www.obesityevidencehub.org.au/collections/treatment/managing-overweight-and-obesity-in-children-and-adolescents">around</a> diet, physical activity, sleep and screen use </li> <li> obesity-management medications to reduce appetite, lower weight and <a href="https://www.obesityevidencehub.org.au/collections/treatment/medication-and-surgery-for-the-treatment-of-overweight-and-obesity-in-adults">improve health</a> outcomes such as blood glucose (sugar) and blood pressure </li> <li> metabolic <a href="https://theconversation.com/thinking-about-bariatric-surgery-for-weight-loss-heres-what-to-consider-184153">bariatric surgery</a> to treat obesity or reduce weight-related health complications. </li> </ul> <h2>Should pre-clinical obesity be treated?</h2> For those with pre-clinical obesity, health care should be about risk-reduction and prevention of health problems related to obesity. This may require health counselling, including support for health behaviour change, and monitoring over time. Depending on the person’s individual risk – such as a family history of disease, level of body fat and changes over time – they may opt for one of the obesity treatments above. Distinguishing people who don’t have illness from those who already have ongoing illness will enable personalised approaches to obesity prevention, management and treatment with more appropriate and cost-effective allocation of resources. <h2>What happens next?</h2> These new criteria for the diagnosis of clinical obesity will need to be adopted into national and international clinical practice guidelines and a range of obesity strategies. Once adopted, training health professionals and health service managers, and educating the general public, will be vital. Reframing the narrative of obesity may help eradicate misconceptions that contribute to stigma, including making false assumptions about the health status of people in larger bodies. A better understanding of the biology and health effects of obesity should also mean people in larger bodies are not blamed for their condition. People with obesity or who have larger bodies should expect personalised, evidence-based assessments and advice, free of stigma and blame.<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/245164/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/louise-baur-5284">Louise Baur</a>, Professor, Discipline of Child and Adolescent Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/john-b-dixon-11630">John B. Dixon</a>, Adjunct Professor, Iverson Health Innovation Research Institute, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>; <a href="https://theconversation.com/profiles/priya-sumithran-1529047">Priya Sumithran</a>, Head of the Obesity and Metabolic Medicine Group in the Department of Surgery, School of Translational Medicine, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>, and <a href="https://theconversation.com/profiles/wendy-a-brown-1665">Wendy A. Brown</a>, Professor and Chair, Monash University Department of Surgery, School of Translational Medicine, Alfred Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-we-diagnose-and-define-obesity-is-set-to-change-heres-why-and-what-it-means-for-treatment-245164">original article</a>.

Body

Days of our Lives star found dead at age 39

Days of our Lives star Francisco San Martin has been found dead at the age of 39. The actor was reportedly found dead in his Los Angeles home, with news of his sudden passing prompting tributes from his heartbroken co-stars. Camila Banus, who played his on-screen sister Gabi, wrote on Instagram, “Pepe, what can I say but I love you and rest in peace, my friend. Love you mucho mucho mucho. I wish I had told you more.” The actor moved to the US from Spain when he was a child, and went on to pursue a career in acting and modelling. He starred on Days of Our Lives between 2010 and 2011, before also going on to enjoy roles in projects like 2013 movie Behind the Candelabra, CW show Jane the Virgin, and US soap The Bold and The Beautiful in 2017. “Very, very sad. I am a bit in shock, as I saw Francisco at my gym most every day,” tweeted Journalist Michael Fairman. Fans also shared their heartbreak, with one posting, “So sad to hear about the death of Francisco San Martin, a star from Days of Our Lives and Jane the Virgin. He was only 39! His contributions to television will never be forgotten.” Image credits: NBC/AFF-USA/Shutterstock Editorial

Caring

Why do some people’s hair and nails grow quicker than mine?

<a href="https://theconversation.com/profiles/michelle-moscova-310728">Michelle Moscova</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Throughout recorded history, our hair and nails played an important role in signifying who <a href="https://www.psychiatrictimes.com/view/gender-culture-and-social-constructs-in-body-focused-repetitive-behaviors">we are and our social status</a>. You could say, they separate the caveman from businessman. It was no surprise then that many of us found a new level of appreciation for our hairdressers and nail artists during the COVID lockdowns. Even Taylor Swift reported <a href="https://abcnews.go.com/GMA/Culture/taylor-swift-reveals-shes-cutting-hair-covid-19/story?id=74757540&t">she cut her own hair during lockdown</a>. So, what would happen if all this hair and nail grooming got too much for us and we decided to give it all up. Would our hair and nails just keep on growing? The answer is yes. The hair on our head grows, on average, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9917549/">1 centimeter per month</a>, while our fingernails grow an average of just <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11436330/">over 3 millimetres</a>. When left unchecked, our hair and nails can grow to impressive lengths. Aliia Nasyrova, known as the Ukrainian Rapunzel, holds the world record for the longest locks on a living woman, which measure an <a href="https://www.youtube.com/watch?v=1TdlEIQdVwo&t=81s">impressive 257.33 cm</a>. When it comes to record-breaking fingernails, Diana Armstrong from the United States holds that record <a href="https://www.youtube.com/watch?v=nwql937j-7Q">at 1,306.58 cm</a>. Most of us, however, get regular haircuts and trim our nails – some with greater frequency than others. So why do some people’s hair and nails grow more quickly? <h2>Remind me, what are they made out of?</h2> Hair and nails are made mostly from keratin. Both grow from matrix cells below the skin and grow through different patterns of cell division. Nails grow steadily from the matrix cells, which sit under the skin at the base of the nail. These cells divide, pushing the older cells forward. As they grow, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5383514/">the new cells slide</a> along the nail bed – the flat area under the fingernail which looks pink because of its rich blood supply. A hair also starts growing from the matrix cells, eventually forming the visible part of the hair – the shaft. The hair shaft grows from a root that sits under the skin and is wrapped in a sac known as the hair follicle. This sac has a nerve supply (which is why it hurts to pull out a hair), oil-producing glands that lubricate the hair and a tiny muscle that <a href="https://www.ncbi.nlm.nih.gov/books/NBK546248/">makes your hair stand up</a> when it’s cold. At the follicle’s base is the hair bulb, which contains the all-important hair papilla that supplies blood to the follicle. Matrix cells near the papilla divide to produce new hair cells, which then harden and form the hair shaft. As the new hair cells are made, the hair is pushed up above the skin <a href="https://www.jidonline.org/article/S0022-202X(15)41553-2/fulltext">and the hair grows</a>. But the papilla also plays an integral part in regulating hair growth cycles, as it sends signals to the stem cells to move to the base of the follicle and form a hair matrix. Matrix cells then get signals to divide and start a new growth phase. <h2>Unlike nails, our hair grows in cycles</h2> Scientists have identified <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9917549/">four phases of hair growth</a>, the: <ol> <li> anagen or growth phase, which lasts between two and eight years </li> <li> catagen or transition phase, when growth slows down, lasting around two weeks </li> <li> telogen or resting phase, when there is no growth at all. This usually lasts two to three months </li> <li> exogen or shedding phase, when the hair falls out and is replaced by the new hair growing from the same follicle. This starts the process all over again. </li> </ol> <figure class="align-center "><img src="https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=308&fit=crop&dpr=1 600w, https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=308&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=308&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=387&fit=crop&dpr=1 754w, https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=387&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/637402/original/file-20241210-15-gtv259.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=387&fit=crop&dpr=3 2262w" alt="Stages of hair growth graphic" /><figcaption>Hair follicles enter these phases at different times so we’re not left bald. <a class="source" href="https://www.shutterstock.com/image-vector/stages-hair-growth-cycle-vector-isolated-2433656865">Mosterpiece/Shutterstock</a></figcaption></figure> Each follicle goes through this cycle <a href="https://www.longdom.org/open-access/a-note-on-the-human-hair-follicle-from-the-origin-to-the-death-93871.html?t">10–30 times in its lifespan</a>. If all of our hair follicles grew at the same rate and entered the same phases simultaneously, there would be times when we would all be bald. That doesn’t usually happen: at any given time, only one in ten hairs is in the resting phase. While we lose about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9917549/">100–150 hairs daily</a>, the average person has <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9917549/">100,000 hairs</a> on their head, so we barely notice this natural shedding. <h2>So what affects the speed of growth?</h2> Genetics is the most significant factor. While hair growth rates vary between individuals, they tend to be <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4201279/">consistent among family members</a>. Nails are also influenced by genetics, as siblings, especially identical twins, tend to have <a href="https://link.springer.com/referenceworkentry/10.1007/978-3-319-26594-0_121-1">similar nail growth rates</a>. But there are also other influences. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9917549/">Age makes a difference</a> to hair and <a href="https://link.springer.com/referenceworkentry/10.1007/978-3-319-26594-0_121-1">nail</a> growth, even in healthy people. Younger people generally have faster growth rates because of the slowing metabolism and cell division that comes with ageing. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7432488/">Hormonal changes</a> can have an impact. Pregnancy often <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7432488/">accelerates</a> hair and nail growth rates, while menopause and high levels of the stress hormone cortisol can <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7432488/">slow growth rates</a>. Nutrition also changes <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6380979/">hair</a> and <a href="https://ijdvl.com/nails-in-nutritional-deficiencies/?t">nail</a> strength and growth rate. While hair and nails are made mostly of keratin, they also contain water, fats and various minerals. As hair and nails keep growing, these minerals need to be replaced. That’s why a balanced diet that includes sufficient nutrients to support your hair and nails is essential for maintaining their health. Nutrient deficiencies may contribute to hair loss and nail breakage by disrupting their growth cycle or weakening their structure. Iron and zinc deficiencies, for example, have both been linked to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6380979/">hair loss</a> and <a href="https://ijdvl.com/nails-in-nutritional-deficiencies/?t">brittle nails</a>. This may explain why thick hair and strong, well-groomed nails have long been associated with perception of good health and high status. However, not all perceptions are true. <h2>No, hair and nails don’t grow after death</h2> A persistent myth that may relate to <a href="https://www.britannica.com/topic/vampire">the legends of vampires</a> is that hair and nails continue to grow after we die. In reality, they only appear to do so. As the body dehydrates after death, the skin shrinks, making hair and nails <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2151163/">seem longer</a>. Morticians are well aware of this phenomenon and some <a href="https://www.adomonline.com/mortuary-man-reveals-how-he-handles-nails-of-the-dead/?t">inject tissue filler</a> into the deceased’s fingertips to minimise this effect. So, it seems that living or dead, there is no escape from the never-ending task of caring for our hair and nails.<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/241556/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/michelle-moscova-310728">Michelle Moscova</a>, Adjunct Associate Professor, Anatomy, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Shutterstock 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/why-do-some-peoples-hair-and-nails-grow-quicker-than-mine-241556">original article</a>.

Body

Even calm people can fly into a rage behind the wheel. Here’s how to curb your road rage – before it’s too late

<a href="https://theconversation.com/profiles/milad-haghani-1454675">Milad Haghani</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> If someone bumps into us on the footpath or in the mall, we’re generally quite forgiving. We instinctively apologise or step aside, and usually don’t scream at, stalk, or attack the other person. But put us in a car, and <a href="https://x.com/Boenau/status/1755234912540459059">something changes</a>. People who appear calm in everyday life suddenly tailgate, honk, or shout at strangers. <a href="https://www.sciencedirect.com/science/article/pii/S0925753524002467?casa_token=76NSmREtG8MAAAAA:yFEcndOLjARRfthZMFwOQ3UmPeqgJEwSuAvkaA51rH8fA7v8RzHDamohBhf8Ai7jb3Nrp98pz4I">Problems at work</a> or home can suddenly explode in the form of righteous anger toward other road users. Road rage <a href="https://www.sciencedirect.com/science/article/pii/S0001457523000192">increases crash risk</a>, and victims of road rage incidents often have <a href="https://www.mynrma.com.au/media/press-releases/2024/nrma-releases-worrying-road-rage-data">children in the car</a> with them. So, why does driving <a href="https://www.sciencedirect.com/science/article/pii/S0022437524000914?dgcid=raven_sd_recommender_email">bring out the worst in us</a>? And more importantly, <a href="https://www.sciencedirect.com/science/article/pii/S0001457521001755?dgcid=raven_sd_recommender_email">what can we do about it</a>? <h2>Road rage remains common</h2> <a href="https://www.mynrma.com.au/media/press-releases/2024/nrma-releases-worrying-road-rage-data">Recent</a> <a href="https://www.budgetdirect.com.au/car-insurance/research/road-rage-study.html?utm_source=chatgpt.com">surveys</a> indicate road rage remains common in Australia. In September 2024, insurer NRMA <a href="https://www.mynrma.com.au/media/press-releases/2024/nrma-releases-worrying-road-rage-data">reported</a> a survey of 1,464 of its members in two states found many had witnessed road rage incidents such as: <ul> <li>tailgating (71%)</li> <li>drivers beeping other drivers (67%)</li> <li>drivers gesturing angrily at other drivers (60%)</li> <li>drivers deliberately cutting in front of other vehicles (58%)</li> <li>drivers getting out of their car to confront to confront another driver (14%)</li> <li>stalking (10%)</li> <li>physical assault (4%).</li> </ul> Another insurer, Budget Direct, <a href="https://www.budgetdirect.com.au/car-insurance/research/road-rage-study.html">reported</a> last year on a survey of 825 people that found about 83% had experienced shouting, cursing, or rude gestures from other people on the road (up by 18% since 2021). And of the female respondents, 87% reported they’d copped this kind of behaviour from other road users. Common triggers for driver anger include tailgating, perceived rudeness (such as not giving a “thank you” wave), and witnessing another person driving dangerously. Aggressive driving behaviours tend to be more common in <a href="https://search.informit.org/doi/abs/10.3316/informit.031918298391749">younger, male drivers</a>. Road rage is a global problem, with studies finding road rage remains common in places such as <a href="https://www.sciencedirect.com/science/article/pii/S0001457509002012?casa_token=G4nhNdF3olAAAAAA:8tdP0GyMiwN4_n4fekvQB-EiUSLa8Q2sgbpMhfUNWh0w9YqeiWft1aPY2ZSFLngcSFZAHfMOQhA">Japan</a>, the <a href="https://newsroom.aaa.com/2016/07/nearly-80-percent-of-drivers-express-significant-anger-aggression-or-road-rage/">US</a>, <a href="https://www.sciencedirect.com/science/article/abs/pii/S1369847805000884">New Zealand</a> and the <a href="https://www.sciencedirect.com/science/article/abs/pii/S1369847898000096">UK</a>, but the degree varies significantly from country to country. <h2>Who is more likely to fly into a rage on the road?</h2> Some of us are more likely than others to fly into a rage while driving. One way researchers <a href="https://www.sciencedirect.com/science/article/pii/S1369847815001722">measure</a> this is via a testing tool known as the <a href="https://www.yorku.ca/rokada/psyctest/driving.pdf">Driving Anger Scale</a>. Data from many studies using this test show drivers who are more prone to anger in general are <a href="https://research.monash.edu/en/publications/driving-anger-as-a-psychological-construct-twenty-years-of-resear">more likely to turn that anger into aggression</a>. They get annoyed by more things, are quicker to act on their feelings, take more risks, and as a result, are more likely to be involved in anger-related crashes. Research suggests that while female drivers experience anger just as much as male drivers, they are less likely to act on it in a <a href="https://www.turkpsikiyatri.com/PDF/C18S3/en/angerExpression.pdf">negative way</a>. Female drivers tend to feel more intense anger in certain situations, such as when <a href="https://www.sciencedirect.com/science/article/pii/S1369847815001722#f0010">faced with hostile gestures or traffic obstructions</a>, compared to their male counterparts. <h2>What can I do to reduce my road rage?</h2> In a car, we’re physically separated from others, which creates a sense of distance and anonymity – two factors that lower our usual social filters. Encounters feel fleeting. There’s a good chance you won’t be held accountable for what you or say or do, compared to if you were outside the car. And yet, we perceive the stakes as high because mistakes or bad decisions on the road can have serious consequences. This mix of isolation, stress, and the illusion of being in a bubble is a perfect recipe for heightened frustration and anger. <a href="https://www.sciencedirect.com/science/article/abs/pii/S0001457521001755?dgcid=raven_sd_recommender_email">Research</a> suggests techniques drawn from cognitive behavioural therapy may help. These include learning to identify when you are starting to feel angry, trying to find alternative explanations for other people’s behaviour, using mindfulness and <a href="https://www.sciencedirect.com/science/article/pii/S1369847815001758">relaxation</a> and trying to move away from the trigger. The American Automobile Association also <a href="https://exchange.aaa.com/wp-content/uploads/2013/06/Road-Rage-Brochure.pdf">suggests</a> you can reduce road rage incidents by being a more considerate driver yourself – always use your indicator, avoid cutting others off and maintain a safe distance from other cars. Try to stay calm when other drivers are angry, and allow extra time in your journey to reduce stress. If driving anger is a frequent issue, consider seeking support or <a href="https://www.healthdirect.gov.au/anger-management">anger management resources</a>. Avoiding — or at least being aware of — <a href="https://www.sciencedirect.com/science/article/pii/S1369847821002667">anger rumination</a> can make a big difference. This happens when someone replays anger-inducing events, like being cut off in traffic, over and over in their mind. Instead of letting it go, they dwell on it, fuelling their frustration and making it harder to stay calm. Recognising this pattern and shifting focus — like taking a deep breath or distracting yourself — can help stop anger from escalating into aggression. More broadly, public awareness campaigns highlighting the link between anger and risky driving could also encourage more drivers to seek help. The next time you get behind the wheel, try to remember the other driver, the cyclist, or pedestrian is just another person — someone you might pass on the street without a second thought. We’re often good at forgiving minor missteps in non-driving contexts. Let’s try to bring that same patience and understanding to the road.<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/244402/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/milad-haghani-1454675">Milad Haghani</a>, Senior Lecturer of Urban Risk & Resilience, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Shutterstock 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/even-calm-people-can-fly-into-a-rage-behind-the-wheel-heres-how-to-curb-your-road-rage-before-its-too-late-244402">original article</a>.

Mind

Christmas can be challenging for people with hearing loss. Here are 7 ways you can help

<a href="https://theconversation.com/profiles/katie-ekberg-1534998">Katie Ekberg</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/louise-hickson-2280688">Louise Hickson</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> For many people, Christmas can be the most social time of the year. The holiday period is often filled with parties, lunches, dinners and celebrations of all kinds with family, friends and colleagues. For adults with hearing loss, however, these social gatherings can bring unique challenges. Communicating with others can be difficult, particularly in group conversations. And the more <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2019.1670363">background noise</a> there is (for example, Christmas music or children playing), the harder it is. For age-related or acquired hearing loss, hearing ability typically starts to decline from <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0107720">age 50 onwards</a>. <a href="https://www.health.gov.au/hearing-health/resources/publications/one-in-six-australians-experience-hearing-loss-poster-0?language=en">One in six Australians</a> experience some hearing loss, so it’s possible someone around your Christmas dinner table will be struggling to hear. Unfortunately, many adults with hearing loss suffer these challenges in silence. Our <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">research</a> shows adults with hearing loss often hide their hearing loss from others, even close family members and friends, because of feeling shame due to stigma. But there are some things you can do to ensure a loved one with hearing loss is included this Christmas. <h2>Stigma and stereotypes</h2> Stigma is when someone is treated differently by others due to a particular physical or social attribute. Across a <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">series of studies</a>, we conducted surveys and interviews with adults with hearing loss, their families and hearing care professionals to explore experiences of stigma for adults with hearing loss. Our research also included video recordings of real-life conversations between adults with hearing loss and their families and friends. The <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2353862">results</a> suggested people often associate hearing loss with negative stereotypes of ageing, disability, reduced intelligence, having a problem or weakness, and difference. For example, one participant with hearing loss told us: <blockquote> Once they are aware that you can’t really comprehend or hear what they’re saying, they treat you different. And it’s not always positive, it’s quite often negative […] Even people who are familiar with you, my twin brother, he thinks that there’s something wrong with me because I can’t hear him properly. </blockquote> Old age was the most common stereotype associated with hearing loss. For example, one adult with hearing loss commented: <blockquote> I guess it’s just a sign of ageing. Like wearing glasses and grey hair. </blockquote> But as hearing can start declining from middle age, many adults experiencing hearing difficulties do not fit this stereotype. We see this stereotype appear in popular media as well. For example, in the TV show Bluey, the character Bingo dresses up as a “<a href="https://www.bluey.tv/characters/granny-rita/">Can’t-Hear-Anything granny</a>” in a number of episodes. In <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2418970">our research</a>, people with hearing loss reported feeling embarrassment, shame, frustration, sadness and fatigue from trying to manage their hearing difficulties during everyday conversations. In the results of <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">a survey</a> currently under peer review, almost two-thirds felt other people laughed about or treated their hearing loss as a joke, often making them feel uncomfortable. An example <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2389189">of this teasing</a> can be seen in a real-life conversation we recorded with a grandfather with hearing loss and his extended family while having afternoon tea. After the older man has ongoing trouble hearing his granddaughters, his wife teases him with the question “You got your hearing aids in Grandpa?”, which receives laughter from his son and granddaughters. While this sort of teasing might seem light-hearted, it can cause someone with hearing loss to feel embarrassed when they have trouble hearing. A key finding from <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2406885">our interview research</a> was that adults with hearing loss respond to experiences of stigma by not telling others about their hearing loss. Similarly, in an international <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">survey of 331 adults</a> with hearing loss, the results of which are yet to be published in a peer-reviewed journal, one in four had not told anyone about their hearing loss. Others only told certain people in specific circumstances. There might, therefore, be family and friends at your Christmas gatherings facing the challenges of hearing loss without anyone knowing. <h2>Supporting loved ones with hearing loss this Christmas</h2> For adults with hearing loss, experiences of stigma can cause them to start to withdraw from social situations, participate less in conversations, and become more <a href="https://journals.lww.com/psychosomaticmedicine/abstract/2013/02000/social_isolation_and_loneliness__relationships.9.aspx">socially isolated and lonely</a>. But a greater awareness about hearing loss and inclusive communication can help tackle the stigma. Here are some simple ways you can be more inclusive of people with hearing loss this festive season: <ol> <li> Think about the location of your event – how noisy is it? When possible, choose restaurants and social settings that are quieter. Outdoor settings will generally be less noisy than indoor ones (apps such as <a href="https://theambientmenu.com.au/">The Ambient Menu</a> can help you choose). </li> <li> Turn down background noise if you can (for example, TV, radio, music). </li> <li> Speak face-to-face as much as possible. This allows for lip-reading so that people are not just reliant on their hearing. If you know someone has difficulty hearing, move closer to them and talk clearly and slightly more slowly. </li> <li> Arrange seating in a way that allows everyone to face each other. Round tables are best. </li> <li> Give people the opportunity to choose where they are seated around a table or in a restaurant. Adults with hearing loss may position themselves in the middle of a table or next to specific people they need to hear. </li> <li> If you are at an event with speeches, use a microphone when possible. </li> <li> If you notice a person not joining in the conversation you could ask them if they can hear OK and, if not, what you can do to help.<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/245943/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> </li> </ol> <a href="https://theconversation.com/profiles/katie-ekberg-1534998">Katie Ekberg</a>, Senior Lecturer, College of Nursing and Health Sciences, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/louise-hickson-2280688">Louise Hickson</a>, Professor of Audiology, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> Image credits: Shutterstock 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/christmas-can-be-challenging-for-people-with-hearing-loss-here-are-7-ways-you-can-help-245943">original article</a>.

Body

Whoopi Goldberg reveals birth name

Whoopi Goldberg has surprised The View audiences by revealing her birth name. On Monday’s episode of the US daytime talk show, the co-hosts debated the necessity of a new platform that can tell house hunters in the US the political affiliations of their potential neighbours. While they were discussing the topic, Whoopi casually dropped her real birth name, with viewers wondering if they'd heard her correctly. Whoopi made it clear that she was against the start-up, saying: “That is not a good idea because number one, it’s none of your business, and number two, it just fosters more division." Co-host Sunny Hostin said: “I have a multiracial family, my goddaughter is gay, some of my best friends are trans. I wouldn’t want to live next to an extremist that would make my family feel unwelcome.” She then clarified, “But I don’t think that’s a political affiliation thing. I think it’s a behavioural thing.” Goldberg added that there's been a shift in recent years with more people openly talking about their political affiliations. “I was raised, you never asked anybody how they were voting. I would say, ‘Ma, who are you going to vote for?’ and she’d just give me that look. And she’d say to me, ‘Caryn, that’s nobody’s business,’” she recalled. Whoopi’s birth name is actually Caryn - pronounced ‘Karen'. When asked why she changed it, Goldberg replied in an old interview: “Here’s the thing. When you’re performing on stage, you never really have time to go into the bathroom and close the door. So if you get a little gassy, you’ve got to let it go. “So people used to say to me, ‘You are like a whoopee cushion.’ And that’s where the name came from.” Image: The View

Is it ethical to take a luxury holiday in a ‘developing’ country?

<a href="https://theconversation.com/profiles/paul-hanna-390180">Paul Hanna</a>, <a href="https://theconversation.com/institutions/university-of-surrey-1201">University of Surrey</a> Thinking of booking a luxury holiday to a developing country so you can experience the authenticity of a culture untouched by Western influences? And are you hoping to help the underprivileged in the country to “lift them out of poverty” through your tourist spending? It’s worth exploring just how ethical such a trip might be. International tourism numbers have risen year-on-year ever <a href="http://mkt.unwto.org/publication/unwto-tourism-highlights-2016-edition">since the 1950s</a> with the consistent increase expected long into the future. In employment terms, more and more people are reliant on the tourism industry. For example, in 2016, there were 292m people employed in the tourism industry, representing <a href="https://www.wttc.org/research/economic-research/economic-impact-analysis/">one in ten jobs globally</a>. International governments have long been promoting tourism as a “smoke-free”, “non-polluting” industry with almost unparalleled power to boost national GDP. Both “developed” and “developing” countries fight to win over and attract potential tourists through national tourism campaigns – think <a href="https://twitter.com/PureNewZealand?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor">Pure New Zealand</a>, <a href="http://www.visitmorocco.com/en">Visit Morocco</a>, and “Jamaica: once you go you know”. But is it really all as good as it is made out to be? <figure><iframe src="https://www.youtube.com/embed/aSBNrsYLLLw?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> We know that mass tourism isn’t always a guaranteed bonus for countries and local residents. Take, for example, the Spanish seaside resort of Benidorm, where unrestricted tourism development led to the over-development of the region with little to no gain for the local communities. In fact, there has been a <a href="https://theconversation.com/anti-tourism-attacks-in-spain-who-is-behind-them-and-what-do-they-want-82097">widespread backlash</a> against mass tourism and its impacts in Spain, with protesters taking to the streets and holidaymakers being attacked. Consequently, niche tourism markets, such as “sustainable”, “ethical” and “luxury” tourism, are a direct response to the often negative impacts of “mass tourism”. After all, as a government or destination manager, why would you want lots of people spending little, when you could have a few people spending lots. <h2>Going upmarket</h2> Tourists thinking of booking a holiday might see a luxury trip as a way to experience the “crème de la crème” of rest and relaxation, while also paying more for a product that presumably has fewer negative impacts than “cheap-and-dirty” mass tourism. Further, if the luxury holiday is in a “developing” country, you could be excused for thinking that your money will have a positive impact on that country’s ability to “prosper”. Take, for example, the comprehensive <a href="http://www.oecd.org/regional/leed/46761560.pdf">Vision 20-20 document</a> produced by the Moroccan government. It outlines how sustainable tourism is seen as a key part of the country’s future development. But let’s look at the Maldives, a well-established luxury destination. With tourism accounting for <a href="https://www.wttc.org/-/media/files/reports/economic%20impact%20research/countries%202015/maldives2015.pdf">approximately 41.5% of national GDP</a>, it seems that the island state is doing well out of the industry. But, as in all societies, such economic benefits are not equally distributed and an over-reliance on tourism receipts results in the demise of traditional industries and an increasing <a href="https://lirias.kuleuven.be/bitstream/123456789/517380/1/Maldives+case+study+CfSG.pdf">vulnerability to local and global events</a>. Further, a look at those working in the tourism industry in the Maldives reveals that the situation is far from “ethical”. Because the hotels are scattered over numerous islands which have no other facilities, many of those working in the <a href="https://maldivesresortworkers.wordpress.com/2009/06/14/461/">tourism industry in the Maldives</a> have to live away from home for months on end, separated from family and friends. They also often live in conditions far removed from the “luxury” experience of the tourist, work seven-day weeks and often <a href="http://maldivesindependent.com/business/hundreds-of-resort-workers-quitting-over-non-payment-of-wages-116639">go months without pay</a>. And the Maldives aren’t unique in this – the situation is similar in many developing countries that are engaging with the luxury tourism market. <h2>The environmental cost</h2> From an environmental perspective, luxury tourism doesn’t fare particularly well either. Tourism is notoriously problematic for some developing destinations as it diverts often scarce water and energy resources from the host community <a href="http://www.sciencedirect.com/science/article/pii/S0160738312000047">to the tourist</a> (as they have more money). This process is further accentuated in the luxury tourism sector as luxury tourists generally consume even <a href="https://link.springer.com/chapter/10.1007%2F978-981-10-2917-2_8">more than your “average” tourist</a>, intentionally or not. Take the components of your average luxury holiday. There are swimming pools, exclusive islands, private jets, cruises, golf courses and spas – all are energy and water intensive. Plants and green spaces must be kept lush, air conditioning, spas and monsoon showers must be powered. Beaches and other places are made private, with locals prohibited. And in some cases, <a href="http://www.unavainabienspanish.com/why-are-all-inclusives-bad/">up to 80%</a> of the economic benefits leave the country. Further, <a href="http://pcag.uwinnipeg.ca/Prairie-Perspectives/PP-Vol14/Tousignant-Eberts-Sanchez.pdf">waste is often dispersed</a> within the “poor” local communities. <h2>Defining ‘developing’</h2> It’s also worth reflecting on what is meant by “developed” and “developing”. These terms generally are used in relation to economics and GDP. But it might also be useful from an ethical perspective to recognise that those countries branded as “developing” often have more developed relationships with the natural environment, thanks to traditional farming practices and a lack of over consumption. The same can often be said about community reciprocity and human to human relationships. Consequently, while “ethical tourists” might think that they are helping cultures develop through their tourist expenditure, perhaps we must ask what is the “good life” – and is financial capital really the route to it? Indeed, are we simply engaging in a new form of colonialism by which Western ideologies are being forced upon cultures through the guise of helping them to “develop”. In fact, luxury tourism today is similar to the fashion and fads of previous forms of tourism, such as the <a href="https://frugaltraveler.blogs.nytimes.com/2008/05/14/what-is-the-grand-tour/">Grand Tour</a> of the 18th and 19th centuries, representing little more than a mode of class-based distinction. So while the tourism market is important for many countries, it’s useful to look further into how tourist income might be distributed, whether the destination is managed purely for the benefit of the tourist at the expense of the local, and what the impact of the holiday might be. Ultimately, we must also ask whether on a moral level it is beneficial for people and environments around the world to “develop” to live like those in the West.<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/80984/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/paul-hanna-390180">Paul Hanna</a>, Lecturer in Sustainable Tourism, <a href="https://theconversation.com/institutions/university-of-surrey-1201">University of Surrey</a> Image credits: Shutterstock 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/is-it-ethical-to-take-a-luxury-holiday-in-a-developing-country-80984">original article</a>.

Travel Trouble

Many people don’t measure their blood pressure properly at home – here’s how to get accurate readings

<a href="https://theconversation.com/profiles/niamh-chapman-2262829">Niamh Chapman</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/dean-picone-2264237">Dean Picone</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/eleanor-clapham-2264235">Eleanor Clapham</a>, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a> Measuring your blood pressure at home means you can take readings over several days to get a better picture of your health, instead of one-off measurements at the doctor’s clinic. It’s important you follow specific steps to get an accurate reading. But <a href="https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.124.23678">our study</a> found most Australians do not measure their blood pressure correctly at home and very few were told the steps to follow. We have created <a href="https://bloodpressuretoolkit.com/">resources</a> to help people measure their blood pressure at home, understand their readings and take action with their health-care team. <h2>High blood pressure is a big issue</h2> High blood pressure is a major health problem in Australia and globally. <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51350">One in three Australian adults</a> have high blood pressure, also called hypertension. This is when your <a href="https://www.heartfoundation.org.au/your-heart/blood-pressure-and-your-heart">blood pressure</a> is <a href="https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.15026">at or above 140/90mmHg</a> (mmHg refers to millimetres of mercury, a standard measurement of blood pressure). High blood pressure is the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10881002/">leading contributor</a> to preventable health issues and early death among Australians because it is the main risk factor for heart disease, stroke, dementia and kidney disease. <h2>Why measuring blood pressure is important</h2> High blood pressure often has no symptoms. So the only way to know if you have it is to measure it. You may also need to check if your blood pressure has lowered after starting medication or if you’re making changes to your lifestyle, such as doing more exercise, giving up smoking or reducing salt intake. Low blood pressure (<a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/blood-pressure-low-hypotension">hypotension</a>) can also be an issue. But blood pressure changes based on how we are feeling, what we’ve eaten or the activities we have just been doing. These normal responses mean our blood pressure can change from minute to minute and hour to hour. This is why there are specific, recommended steps to follow to reliably measure your blood pressure and to be able to compare readings taken days, months and years apart. <hr /> <iframe id="lBVm6" class="tc-infographic-datawrapper" style="border: 0px none currentcolor;" src="https://datawrapper.dwcdn.net/lBVm6/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe> <hr /> <h2>Mistakes are common</h2> We surveyed and interviewed 350 people (who were all measuring their blood pressure at home) from around Australia to find out how Australians measure blood pressure at home and if they receive any education to help them know what to do. Our study found no one followed all of the specific, recommended steps to measure their blood pressure. Instead they said they measured their blood pressure at different times of the day after doing different things. We found most people measured their blood pressure while sitting down (90%) and with the cuff on their bare arm (77%), which is the right thing to do. While 58% of people took two blood pressure measures each time, which is correct, only 40% used the average of the two blood pressure readings. Very few (15%) measured their blood pressure over several days in both the morning and evening. Only half of the people in our study used a blood pressure device that had been <a href="https://bloodpressuretoolkit.com/what_device_should_i_use">clinically validated</a>. This means the device has been <a href="https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.117.10237">tested for accuracy</a> by the manufacturer according to <a href="https://www.iso.org/sectors/health">international standards</a>, not just safety. <h2>Consultation and communication</h2> Regardless of whether or not a doctor had recommended they measure their blood pressure at home, most people (78%) reported their blood pressure readings to their doctor. These findings tell us doctors often use home blood pressure readings to help diagnose and manage high blood pressure. This emphasises how important it is to ensure people measure blood pressure correctly. Many people were measuring their blood pressure a few times a week or month. But most <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4671913/">guidelines</a> recommend blood pressure only needs to be measured at home: every day over a week, every six months; and ideally before you see your doctor and after you start or change blood pressure medication. Measuring blood pressure at home can bring peace of mind, which many study participants described. But measuring your blood pressure too often may create unnecessary stress, potentially leading to higher blood pressure readings. Instead, it’s better to agree with your doctor how often you should measure your blood pressure and to follow the recommended steps each time to make sure your readings are as accurate and useful as possible. <h2>Support for blood pressure measurement</h2> We found few people had received any education or guidance from health-care professionals about how to measure their blood pressure at home. Instead, many study participants looked for information online to help them know what their blood pressure numbers meant and changes they could make to lower their blood pressure. They were less interested in learning how to measure accurately. So we have worked with people who measure and manage their blood pressure at home to create a <a href="https://bloodpressuretoolkit.com/">simple guide</a> to help you choose a blood pressure device, measure your blood pressure accurately, understand your blood pressure readings and take action to control your blood pressure. <hr /> For more information about managing your blood pressure at home, <a href="https://bloodpressuretoolkit.com/">see our resources</a>. You can also check if your blood pressure device has been <a href="https://bloodpressuretoolkit.com/what_device_should_i_use">tested for accuracy</a>.<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/244161/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/niamh-chapman-2262829">Niamh Chapman</a>, Senior Research Fellow, Hypertension and Patient Engagement, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/dean-picone-2264237">Dean Picone</a>, Senior Research Fellow, Sydney School of Health Sciences, Faculty of Medicine and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/eleanor-clapham-2264235">Eleanor Clapham</a>, PhD candidate, School of Health and Medicine, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a> Image credits: Shutterstock 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/many-people-dont-measure-their-blood-pressure-properly-at-home-heres-how-to-get-accurate-readings-244161">original article</a>.

Body

Eight people detained over Laos methanol poisoning

Eight men have been detained over the suspected mass methanol poisoning in Laos that killed six tourists, including two Australians. Police in Laos told the <a href="https://www.abc.net.au/news/2024-11-26/laos-methanol-poisoning-detained/104650642" target="_blank" rel="noopener">ABC</a> that detained men were staff and management of the Nana Backpackers hostel, where Melbourne teenagers Bianca Jones and Holly Bowles were staying when they fell sick. The two 19 year olds had consumed the alcoholic beverages in the party town of Vang Vieng, and later died in seperate hospitals in Thailand. Four other tourists from Denmark, the UK and the US have also died. Police in Laos last week forcibly shut down the Nana hostel, where five of the six victims who died were staying. They questioned staff, ranging in ages from 23 to 47, including the bartender and owner, while the Laos government vowed to bring the perpetrators to justice. The arrests come as the bodies of Bianca Jones and Holly Bowles arrived home in Australia on Tuesday night, with Bianca's father Mark fronting the media at Melbourne Airport to welcome the news of the arrests. "We want to grieve. We miss our daughters desperately. I was happy to hear there's been some movement over in Laos," he said. "I would continue to urge our government to continue to pursue whomever. We will make every effort we can to help raise awareness of methanol poisoning." Image credits: RUNGROJ YONGRIT/EPA-EFE/Shutterstock

Legal

Sixteen people missing after tourist yacht sinks

Egyptian officials have confirmed sixteen people are missing after a tourist yacht capsized in the Red Sea after being struck by strong waves. The governor of the Red Sea region, Amr Hanafy, said rescuers saved 28 people from the sinking vessel south of the coastal town of Marsa Alam, and some were airlifted to receive medical treatment. The Egyptian Navy warship El Fateh and military aircraft have intensified their efforts to locate the missing, with rescue teams working around the clock. A total of 44 people were on board the yacht, including 13 Egyptians, and 31 foreign nationals from the United States, Germany, United Kingdom, Poland, Belgium, Switzerland, Finland, China, Slovakia, Spain and Ireland. The governor confirmed that 16 people are still missing, including four Egyptians and 12 foreign tourists. The boat had no technical issues, while passengers onboard said the reason behind the sinking was a strong wave that hit the boat, causing it to capsize. The governorate received a report shortly before dawn on Monday of a distress call made from the yacht, which had left Marsa Alam for a five-day journey. The Egyptian Meteorological Authority on Saturday warned about turbulence and high waves on the Red Sea and advised against maritime activity for Sunday and Monday. The boat is the second vessel to sink in the area this year. Image credits: Facebook

Travel Trouble

What is ‘doll therapy’ for people with dementia? And is it backed by science?

<a href="https://theconversation.com/profiles/nikki-anne-wilson-342631">Nikki-Anne Wilson</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> The way people living with dementia <a href="https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/how-dementia-changes-perception">experience the world</a> can change as the disease progresses. Their sense of reality or place in time can become distorted, which can cause <a href="https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/symptoms/restlessness">agitation and distress</a>. One of the best ways to support people experiencing changes in perception and behaviour is to <a href="https://www.dementia.org.au/professionals/designing-dementia-friendly-care-environments">manage their environment</a>. This can have profound benefits including <a href="https://www.agedcarequality.gov.au/resource-library/reducing-use-sedatives-aged-care-video">reducing the need for sedatives</a>. One such strategy is the use of dolls as comfort aids. <h2>What is ‘doll therapy’?</h2> More appropriately referred to as “<a href="https://www.dementia.com.au/resource-hub/the-use-of-dolls-in-dementia-care">child representation</a>”, lifelike dolls (also known as empathy dolls) can provide comfort for some people with dementia. Memories from the <a href="https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/symptoms/memory-loss#:%7E:text=Older%20memories%20%E2%80%93%20which%20have%20been,detailed%20memories%20from%20earlier%20life.">distant past</a> are often more salient than more recent events in dementia. This means that past experiences of parenthood and caring for young children may feel more “real” to a person with dementia than where they are now. <a href="https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/hallucinations#:%7E:text=Visual%20hallucinations%20are%20more%20common,hallucinating%20and%20how%20others%20respond.">Hallucinations or delusions</a> may also occur, where a person hears a baby crying or fears they have lost their baby. Providing a doll can be a tangible way of reducing distress without invalidating the experience of the person with dementia. <h2>Some people believe the doll is real</h2> A recent case involving <a href="https://www.theguardian.com/australia-news/2024/nov/06/deplorable-nurse-slammed-therapy-doll-dementia-patient-believed-was-real-baby-on-table-nsw-tribunal-hears">an aged care nurse mistreating a dementia patient’s therapy doll</a> highlights the importance of appropriate training and support for care workers in this area. For those who do become attached to a therapeutic doll, they will treat the doll as a real baby needing care and may therefore have a profound emotional response if the doll is mishandled. It’s important to be guided by the person with dementia and only act as if it’s a real baby if the person themselves believes that is the case. <h2>What does the evidence say about their use?</h2> Evidence shows the use of empathy dolls may help <a href="https://www.sciencedirect.com/science/article/pii/S0197457223002677">reduce agitation and anxiety</a> and <a href="https://www.mdpi.com/2039-4403/14/4/200">improve overall quality of life</a> in people living with dementia. Child representation therapy falls under the banner of <a href="https://www.sciencedirect.com/science/article/pii/S0149763423004761">non-pharmacological approaches to dementia care</a>. More specifically, the attachment to the doll may act as a form of <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6494367/">reminiscence therapy</a>, which involves using prompts to reconnect with past experiences. Interacting with the dolls may also act as a form of <a href="https://www.health.vic.gov.au/dementia-friendly-environments/sensory-stimulation">sensory stimulation</a>, where the person with dementia may gain comfort from touching and holding the doll. Sensory stimulation may <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.13169?casa_token=ro96fxe2VPoAAAAA%3AKOS10VkTdcrf0yTI_F9p6cI5Kpbj85ZTFq13PQ56YHxi0i3-5BOnFQfW1WFWqiCZ8-mk5sp_EGkGtKM">support emotional well-being and aid commnication</a>. However, not all people living with dementia will respond to an empathy doll. The <a href="https://www.alzheimerswa.org.au/wp-content/uploads/2017/07/2.00-Guidlines-for-Use-of-Dolls-and-Mechanized-Pets-as-a-Therapeutic-Tool-4-pages.pdf">introduction of a therapeutic doll</a> needs to be done in conjunction with careful observation and consideration of the person’s background. Empathy dolls may be inappropriate or less effective for those who have not previously cared for children or who may have experienced past birth trauma or the loss of a child. Be guided by the person with dementia and how they respond to the doll. <h2>Are there downsides?</h2> The approach has <a href="https://pubmed.ncbi.nlm.nih.gov/33125455/">attracted some controversy</a>. It has been suggested that child representation therapy “infantilises” people living with dementia and may increase negative stigma. Further, the attachment may become so strong that the person with dementia will <a href="https://www.dementiauk.org/information-and-support/living-with-dementia/doll-therapy/">become upset if someone else picks the doll up</a>. This may create some difficulties in the presence of grandchildren or when cleaning the doll. The introduction of child representation therapy may also require additional staff training and time. Non-pharmacological interventions such as child representation, however, have been shown to be <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10180718/">cost-effective</a>. <h2>Could robots be the future?</h2> The use of more <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8247474/#:%7E:text=Therefore%2C%20an%20interactive%20baby%20robot,mental%20support%20for%20older%20adults.">interactive empathy dolls</a> and <a href="https://journals.sagepub.com/doi/full/10.1177/14713012231155985">pet-like robots</a> is also gaining popularity. While robots have been shown to be <a href="https://www.sciencedirect.com/science/article/pii/S1568163722000757">feasible and acceptable in dementia care</a>, there remains some contention about their benefits. While some studies have shown <a href="https://academic.oup.com/innovateage/article/5/2/igab013/6249558?login=false">positive outcomes</a>, including reduced agitation, others show <a href="https://www.sciencedirect.com/science/article/pii/S1568163722000757">no improvement</a> in cognition, behaviour or quality of life among people with dementia. Advances in artificial intelligence are also being used to help support people living with dementia and <a href="https://journals.sagepub.com/doi/full/10.1177/1471301221998888">inform</a> the community. <a href="https://feel-lab.org/research_projects/ai-viv-and-friends/">Viv and Friends</a>, for example, are AI companions who appear on a screen and can interact with the person with dementia in real time. The AI character Viv has dementia and was co-created with women living with dementia using verbatim scripts of their words, insights and experiences. While Viv can share her experience of living with dementia, she can also be programmed to talk about common interests, such as gardening. These companions are currently being trialled in some residential aged care facilities and to help educate people on the lived experience of dementia. <h2>How should you respond to your loved one’s empathy doll?</h2> While child representation can be a useful adjunct in dementia care, it requires sensitivity and appropriate consideration of the person’s needs. People living with dementia <a href="https://pubmed.ncbi.nlm.nih.gov/38325063/">may not perceive the social world the same way</a> as a person without dementia. But a person living with dementia is not a child and should never be treated as one. Ensure all family, friends and care workers are <a href="https://www.alzheimerswa.org.au/wp-content/uploads/2017/07/2.00-Guidlines-for-Use-of-Dolls-and-Mechanized-Pets-as-a-Therapeutic-Tool-4-pages.pdf">informed about the attachment to the empathy doll</a> to help avoid unintentionally causing distress from inappropriate handling of the doll. If using an interactive doll, ensure spare batteries are on hand. Finally, it is important to reassess the attachment over time as the person’s response to the empathy doll may change.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/243589/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nikki-anne-wilson-342631">Nikki-Anne Wilson</a>, Postdoctoral Research Fellow, Neuroscience Research Australia (NeuRA), <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-doll-therapy-for-people-with-dementia-and-is-it-backed-by-science-243589">original article</a>.

Mind

What causes the itch in mozzie bites? And why do some people get such a bad reaction?

<a href="https://theconversation.com/profiles/cameron-webb-6736">Cameron Webb</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Are you one of these people who loathes spending time outdoors at dusk as the weather warms and mosquitoes start biting? Female mosquitoes <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-ento-120811-153618">need blood</a> to develop their eggs. Even though they take a tiny amount of our blood, they can leave us with itchy red lumps that can last days. And sometimes something worse. So why does our body react and itch after being bitten by a mosquito? And why are some people more affected than others? <h2>What happens when a mosquito bites?</h2> Mosquitoes are attracted to warm blooded animals, including us. They’re attracted to the <a href="https://www.cambridge.org/core/journals/bulletin-of-entomological-research/article/abs/role-of-carbon-dioxide-in-hostfinding-by-mosquitoes-diptera-culicidae-a-review/2506B86EF63852B2D02EC3FCEE1E3B8B">carbon dioxide</a> we exhale, our body temperatures and, most importantly, <a href="https://www.abc.net.au/news/2024-11-08/mosquitoes-climate-change-skin/104548122">the smell of our skin</a>. The <a href="https://www.cell.com/trends/parasitology/abstract/S1471-4922(21)00237-3">chemical cocktail</a> of odours from bacteria and sweat on our skin <a href="https://www.cell.com/current-biology/fulltext/S0960-9822(23)00532-8">sends out a signal</a> to hungry mosquitoes. <a href="https://www.sciencedirect.com/science/article/pii/S2667114X21000522">Some people’s</a> skin smells more appealing to mosquitoes, and they’re more likely to be bitten than others. Once the mosquito has made its way to your skin, things get a little gross. The mosquito pierces your skin with their “proboscis”, their feeding mouth part. But the proboscis isn’t a single, straight, needle-like tube. There are multiple tubes, <a href="https://www.npr.org/sections/health-shots/2016/06/07/480653821/watch-mosquitoes-use-6-needles-to-suck-your-blood">some designed</a> for sucking and some for spitting. Once their mouth parts have been inserted into your skin, the mosquito will inject some saliva. This contains a mix of chemicals that gets the blood flowing better. There has even been a suggestion that future medicines could be inspired by the <a href="https://www.sydney.edu.au/news-opinion/news/2018/03/29/mosquito-saliva-vital-to-the-discovery-of-future-drugs.html">anti-blood clotting properties</a> of mosquito saliva. It’s not the stabbing of our skin by the mosquito’s mouth parts that hurts, it’s the mozzie spit our bodies don’t like. <h2>Are some people allergic to mosquito spit?</h2> Once a mosquito has injected their saliva into our skin, a variety of reactions can follow. For the lucky few, nothing much happens at all. For most people, and irrespective of the type of mosquito biting, <a href="https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2022.1024559/full">there is some kind of reaction</a>. Typically there is <a href="https://www.sciencedirect.com/science/article/abs/pii/S0161589023002304?via%3Dihub">redness and swelling of the skin</a> that appears within a few hours, but often more quickly, after just a few minutes. Occasionally, the reaction can cause pain or discomfort. Then comes the <a href="https://www.abc.net.au/news/health/2023-01-20/mosquito-bites-itchy-calamine-heat-ice-antihistamine-toothpaste/101652608">itchiness</a>. Some people do suffer severe reactions to mosquito bites. It’s a condition often referred to as “<a href="https://www.webmd.com/allergies/what-is-skeeter-syndrome">skeeter syndrome</a>” and is an allergic reaction caused by the protein in the mosquito’s saliva. This can cause large areas of swelling, blistering and fever. The chemistry of mosquito spit hasn’t really been well studied. But it has been shown that, for those who do suffer allergic reactions to their bites, the <a href="https://www.sciencedirect.com/science/article/abs/pii/S0091674904022183">reactions may differ</a> depending on the type of mosquito biting. We all probably get more tolerant of mosquito bites as we get older. Young children are certainly more likely to suffer more following mosquito bites. But as we get older, the reactions are less severe and may pass quickly without too much notice. <h2>How best to treat the bites?</h2> Research into treating bites <a href="https://linkinghub.elsevier.com/retrieve/pii/S0161589023002304">has yet to provide</a> a single easy solution. There are many <a href="https://www.healthline.com/health/outdoor-health/home-remedies-for-mosquito-bites">myths and home remedies</a> about what works. But there is little scientific evidence supporting their use. The best way to treat mosquito bites is by applying a cold pack to reduce swelling and to keep the skin clean to avoid any secondary infections. Antiseptic creams and lotions may also help. There is some evidence that <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10309056/">heat may alleviate</a> some of the discomfort. It’s particularly tough to keep young children from scratching at the bite and breaking the skin. This can form a nasty scab that may end up being worse than the bite itself. Applying an anti-itch cream may help. If the reactions are severe, <a href="https://www.healthdirect.gov.au/insect-bites-and-stings">antihistamine medications</a> may be required. <h2>To save the scratching, stop the bites</h2> Of course, it’s better not to be bitten by mosquitoes in the first place. Topical <a href="https://theconversation.com/insect-repellents-work-but-there-are-other-ways-to-beat-mosquitoes-without-getting-sticky-171805">insect repellents</a> are a safe, effective and affordable way to reduce mosquito bites. Covering up with loose fitted long sleeved shirts, long pants and covered shoes also provides a physical barrier. <a href="https://theconversation.com/are-mosquito-coils-good-or-bad-for-our-health-88548">Mosquito coils and other devices</a> can also assist, but should not be entirely relied on to stop bites. There’s another important reason to avoid mosquito bites: millions of people around the world suffer from mosquito-borne diseases. More than <a href="https://www.who.int/news-room/fact-sheets/detail/malaria">half a million people die</a> from malaria each year. In Australia, <a href="https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1005070">Ross River virus</a> infects more than 5,000 people every year. And in recent years, there have been cases of serious illnesses caused by <a href="https://www.science.org/content/article/how-rains-pigs-and-waterbirds-fueled-shocking-disease-outbreak-australia">Japanese encephalitis</a> and <a href="https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1256149/full">Murray Valley encephalitis</a> viruses. <a href="https://theconversation.com/profiles/cameron-webb-6736">Cameron Webb</a>, Clinical Associate Professor and Principal Hospital Scientist, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-causes-the-itch-in-mozzie-bites-and-why-do-some-people-get-such-a-bad-reaction-243044">original article</a>.

Body

Hospice nurse reveals people's last words before they die

A hospice nurse has revealed the number one thing people say in their final moments before they die. Healthcare expert Julie McFadden, who makes online videos discussing death to help break the taboo around dying, has shared the three most common regrets patients share on their death beds. Speaking to NHS surgeon Dr Karan Rajan on his podcast, Julie said these final discussions tend to centre around what they've taken for granted. "The first one I hear all the time is that they regret not appreciating their health while they had it," Ms McFadden said, reflecting on her 15 years of working in the health sector. "That's the number one thing people say to me, I wish I would have understood how amazing it is to have a working body." The second regret she often hears is people admitting they "worked too much" and wish they hadn't worked their life away, and rather spent time doing things that brought them joy. Finally, she revealed in the clip shared to Instagram, that many dying patients have regrets about relationships. The nurse explained people either wish they had maintained certain relationships and friendships, or regret holding grudges. Dr Rajan responded to Ms McFadden's insight with a story of a young patient that made him realise we are not 'immortal' and we should not take our life "for granted". In the clip shared with his 1.5million followers he said, "A few years ago when I saw a young woman come in with pancreatitis in her 20s, within three hours this young woman is in the intensive care unit, she's intubated, ventilated, and the next day, she had passed away." "That just made me think wow, I'm in my 30s now, I'm 34, life can just go in a flash. So yes, truly don't take it for granted, we sometimes have this tendency to walk around like we're immortal." Image credits: YouTube

Caring

Dwayne Johnson's emotional moment with cancer-stricken fan

A heartfelt moment between Hollywood actor Dwayne 'The Rock' Johnson and a fan battling stage 4 cancer has gone viral. While on a trip to Target in New Jersey, Johnson met a woman who shared candidly that she was facing stage 4 pancreatic cancer. Johnson greeted her warmly in the shop, “Good to see you, how are you feeling?” With a smile, the woman replied: “Stage 4 pancreatic cancer. Can’t do anything about it.” Johnson then offered to take a photo with her, to which she responded, “I would love to.” As they posed together, the woman proudly declared, “I’m a warrior,” prompting Johnson to affirm, “You are a warrior,” before the woman joked that they looked alike since they both had no hair. Before he parted, she told Johnson: “We gotta keep fighting, fight fight fight.” <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/DCTEM7ixvm1/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DCTEM7ixvm1/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Dwayne Johnson (@therock)</a> </div> </blockquote> The Rock then posted a video of the sweet moment to his Instagram, reflecting on the moment with the caption, "As frenzied, and chaotic as all this was - it hit me here just how unpredictable, yet beautiful life truly is." The video quickly racked up hundreds of thousands of likes, with many commenting words of support for the fan. "The Rock is the most humble guy ever," one person wrote, while another added, "You made that woman's day!" Image credits: Instagram

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What causes the itch in mozzie bites? And why do some people get such a bad reaction?

Hospice nurse reveals people's last words before they die

Dwayne Johnson's emotional moment with cancer-stricken fan