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Your friend has been diagnosed with cancer. Here are 6 things you can do to support them

<p><em><a href="https://theconversation.com/profiles/stephanie-cowdery-2217734">Stephanie Cowdery</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/anna-ugalde-2232654">Anna Ugalde</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/trish-livingston-163686">Trish Livingston</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>, and <a href="https://theconversation.com/profiles/victoria-white-1888110">Victoria White</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>Across the world, <a href="https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services">one in five</a> people are diagnosed with cancer during their lifetime. By age 85, almost <a href="https://www.cancer.org.au/cancer-information/what-is-cancer/facts-and-figures">one in two</a> Australians will be diagnosed with cancer.</p> <p>When it happens to someone you care about, it can be hard to know what to say or how to help them. But providing the right support to a friend can make all the difference as they face the emotional and physical challenges of a new diagnosis and treatment.</p> <p>Here are six ways to offer meaningful support to a friend who has been diagnosed with cancer.</p> <h2>1. Recognise and respond to emotions</h2> <p>When facing a cancer diagnosis and treatment, it’s normal to experience a range of <a href="https://www.canceraustralia.gov.au/impacted-by-cancer/emotions#:%7E:text=It's%20likely%20that%20feelings%20will,these%20feelings%20ease%20with%20time">emotions</a> including fear, anger, grief and sadness. Your friend’s moods may fluctuate. It is also common for feelings to <a href="https://link.springer.com/article/10.1007/s00520-014-2492-9">change over time</a>, for example your friend’s anxiety may decrease, but they may feel more depressed.</p> <p>Some friends may want to share details while others will prefer privacy. Always ask permission to raise sensitive topics (such as changes in physical appearance or their thoughts regarding fears and anxiety) and don’t make assumptions. It’s OK to tell them you feel awkward, as this acknowledges the challenging situation they are facing.</p> <p>When they feel comfortable to talk, follow their lead. Your support and willingness <a href="https://www.cancervic.org.au/get-support/stories/what-to-say-and-not-say.html">to listen without judgement</a> can provide great comfort. You don’t have to have the answers. Simply acknowledging what has been said, providing your full attention and being present for them will be a great help.</p> <h2>2. Understand their diagnosis and treatment</h2> <p><a href="https://onlinelibrary.wiley.com/doi/full/10.1002/pon.4722">Understanding</a> your friend’s diagnosis and what they’ll go through when being <a href="https://www.cancer.org/cancer/caregivers/what-a-caregiver-does/treatment-timeline.html">treated</a> may be helpful.</p> <p>Being informed can reduce your own worry. It may also help you to listen better and reduce the amount of explaining your friend has to do, especially when they’re tired or overwhelmed.</p> <p>Explore reputable sources such as the <a href="https://www.cancer.org.au/">Cancer Council website</a> for accurate information, so you can have meaningful conversations. But keep in mind your friend has a trusted medical team to offer personalised and accurate advice.</p> <h2>3. Check in regularly</h2> <p>Cancer treatment can be isolating, so regular check-ins, texts, calls or visits can help your friend feel less alone.</p> <p>Having a normal conversation and sharing a joke can be very welcome. But everyone copes with cancer differently. Be patient and flexible in your support – some days will be harder for them than others.</p> <p>Remembering key dates – such as the next round of chemotherapy – can help your friend feel supported. Celebrating milestones, including the end of treatment or anniversary dates, may boost morale and remind your friend of positive moments in their cancer journey.</p> <p>Always ask if it’s a good time to visit, as your friend’s immune system <a href="https://www.cancerresearchuk.org/about-cancer/what-is-cancer/body-systems-and-cancer/the-immune-system-and-cancer#:%7E:text=to%20fight%20cancer-,Cancer%20and%20treatments%20may%20weaken%20immunity,high%20dose%20of%20steroids">may be compromised</a> by their cancer or treatments such as chemotherapy or radiotherapy. If you’re feeling unwell, it’s best to postpone visits – but they may still appreciate a call or text.</p> <h2>4. Offer practical support</h2> <p>Sometimes the best way to show your care is through practical support. There may be different ways to offer help, and what your friend needs might change at the beginning, during and after treatment.</p> <p>For example, you could offer to pick up prescriptions, drive them to appointments so they have transport and company to debrief, or wait with them at appointments.</p> <p>Meals will always be welcome. However it’s important to remember cancer and its treatments may <a href="https://www.cancer.gov/about-cancer/treatment/side-effects/nutrition#effects-of-cancer-treatment-on-nutrition">affect</a> taste, smell and appetite, as well as your friend’s ability to eat enough or absorb nutrients. You may want to check first if there are particular foods they like. <a href="https://www.cancervic.org.au/downloads/resources/booklets/nutrition-cancer.pdf">Good nutrition</a> can help boost their strength while dealing with the side effects of treatment.</p> <p>There may also be family responsibilities you can help with, for example, babysitting kids, grocery shopping or taking care of pets.</p> <h2>5. Explore supports together</h2> <p>Studies <a href="https://pubmed.ncbi.nlm.nih.gov/35834503/">have shown</a> mindfulness practices can be an effective way for people to manage anxiety associated with a cancer diagnosis and its treatment.</p> <p>If this is something your friend is interested in, it may be enjoyable to explore classes (either online or in-person) together.</p> <p>You may also be able to help your friend connect with organisations that provide emotional and practical help, such as the Cancer Council’s <a href="https://www.cancer.org.au/support-and-services/cancer-council-13-11-20">support line</a>, which offers free, confidential information and support for anyone affected by cancer, including family, friends and carers.</p> <p><a href="https://www.researchgate.net/publication/5659099_Systematic_review_of_peer-support_programs_for_people_with_cancer">Peer support groups</a> can also reduce your friend’s feelings of isolation and foster shared understanding and empathy with people who’ve gone through a similar experience. GPs <a href="https://pubmed.ncbi.nlm.nih.gov/34333571/">can help</a> with referrals to support programs.</p> <h2>6. Stick with them</h2> <p>Be committed. Many people feel <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11120751/">isolated</a> after their treatment. This may be because regular appointments have reduced or stopped – which can feel like losing a safety net – or because their relationships with others have changed.</p> <p>Your friend may also experience emotions such as worry, lack of confidence and uncertainty as they adjust to a <a href="https://www.cancer.gov/about-cancer/coping/survivorship/new-normal">new way of living</a> after their treatment has ended. This will be an important time to support your friend.</p> <p>But don’t forget: looking after <a href="https://www.healthdirect.gov.au/caring-for-someone-with-cancer">yourself</a> is important too. Making sure you eat well, sleep, exercise and have emotional support will help steady you through what may be a challenging time for you, as well as the friend you love.</p> <p><a href="https://www.deakin.edu.au/faculty-of-health/research/cancer-carer-hub">Our research</a> team is developing new programs and resources to support carers of people who live with cancer. While it can be a challenging experience, it can also be immensely rewarding, and your small acts of kindness can make a big difference.<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/239844/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/stephanie-cowdery-2217734">Stephanie Cowdery</a>, Research Fellow, Carer Hub: A Centre of Excellence in Cancer Carer Research, Translation and Impact, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/anna-ugalde-2232654">Anna Ugalde</a>, Associate Professor &amp; Victorian Cancer Agency Fellow, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/trish-livingston-163686">Trish Livingston</a>, Distinguished Professor &amp; Director of Special Projects, Faculty of Health, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>, and <a href="https://theconversation.com/profiles/victoria-white-1888110">Victoria White</a>, Professor of Pyscho-Oncology, School of Psychology, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/your-friend-has-been-diagnosed-with-cancer-here-are-6-things-you-can-do-to-support-them-239844">original article</a>.</em></p>

Caring

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"Never been seen before": Fergie reveals new details from 9/11 near miss

<p>Sarah Ferguson, affectionately known as Fergie, has taken to Instagram overnight to share new details of her 9/11 near miss. </p> <p>24 years on, the Duchess of York, who has previously revealed that she was meant to be in the World Trade Centre's North Tower when the plane struck the building, has shared more details of the day.</p> <p>Fergie recalled how her friend, billionaire businessman Howard Lutnick, gave her an office on the 101st floor of the World Trade Centre at the time, for her charity Chances for Children. </p> <p>The charity's logo had a mascot called Little Red, which was eventually made into a doll for a child named PJ who survived the 1995 Oklahoma City Bombings.</p> <p>On the day of the 9/11 attacks Fergie was due to attend a meeting in the office, but was running late because of an earlier engagement, so she was still on route to the building when the terrorists struck. </p> <p>"I was driving in the car and I was late for work... and Little Red was found in the rubble," she said in the video. </p> <p>Fergie opened a box to reveal her own Little Red doll that survived the attacks. While she has previously talked about the doll, this is the first time she revealed what it looked like. </p> <p>"A fireman picked her up, carried her out, like the fireman that picked up PJ all those years ago in the Oklahoma City Bombing," she continued. </p> <p>"And CNN filmed it and said, 'Look, a child's doll.' And Larry King said, 'That's no child's doll. That's Fergie's Little Red' and she stands for children's rights all over the world and she's a sign of hope for children.</p> <p>"What no one has ever seen before and I would like to share this with you is the actual doll that survived in 9/11.</p> <p>"So here, I have it at home. Normally I talk about Little Red and here is the actual doll that survived.</p> <p>"You can see the dust from the building — that's never been seen before.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/C_xjdvMKSCn/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C_xjdvMKSCn/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Sarah Ferguson (Fergie) (@sarahferguson15)</a></p> </div> </blockquote> <p>"And I hope Little Red will be talked about all over the world because she's just a very strong, stoic little person."</p> <p>She also shared that on the day, Little Red "sat on her desk overlooking Manhattan on that fateful day when the towers came down."</p> <p>"She came down through the rubble and landed fully intact," she wrote.</p> <p>"Little Red was carried out of the rubble in the fireman's hat exactly as PJ, a child burn victim, was carried years earlier in the Oklahoma City bombing, where the doll was first inspired to bring hope during difficult times and raise money for aid.</p> <p>"Little Red now sits in the 9/11 memorial museum and serves as a reminder of hope within the darkness. We will #neverforget," she continued before encouraging her followers to donate to the Cantor Relief Fund, to support families affected by disaster. </p> <p><em>Images: Instagram</em></p>

Caring

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“Absolutely livid”: Woman discovers she’s been fired via text on her wedding day

<p dir="ltr">A woman has recalled the moment she discovered she had lost her job after her boss delivered the news via text on the woman’s wedding day.</p> <p dir="ltr">The bride shared that she got the message from her boss just 30 minutes after she walked down the aisle. </p> <p dir="ltr">The woman shared the story with Ben Askins, who regularly shares stories online of toxic employers, as she read out the messages she received on what was supposed to be the happiest day of her life. </p> <p dir="ltr">“On my wedding day, half an hour after the ceremony, I got a text from my boss to let me know I had been fired,” she said. </p> <p dir="ltr">The message from her boss read, “Hey, I hope your wedding went well and that you had a nice time away. I just wanted to let you know that the decision has been made to unfortunately let you go.” </p> <p dir="ltr">“An email has been sent to your personal email address detailing this. I'm really sorry that it didn't work out and wish you all the best moving forward x.”</p> <p dir="ltr">As she was surrounded by loved ones, the bride struggled to contain her emotions as she quickly checked her emails.</p> <p dir="ltr">“I hope your wedding went well and you had a good time. This email is to inform you that your employment will be terminated effective the 20th of May,” the email read.</p> <p dir="ltr">“Your employment has been terminated as we unfortunately feel your performance doesn't meet the expectations that we require for the role.”</p> <p dir="ltr">The woman explained how she felt her manager's email was a “coward's way” of letting her go while she wasn't at work, and was unable to defend herself. </p> <p dir="ltr">“I wasn't going to let it go but what they did... I was really angry at them,” she said. </p> <p dir="ltr">“They had the opportunity to do it in person. Everyone was let go in person except for me.”</p> <p dir="ltr">Askins said the woman’s story was one of the “worst things” he's ever heard a boss do to an employee. </p> <p dir="ltr">“It's meant to be one of the best, most amazing days ever and they've done that to you,” he told the woman. “You have every right to be absolutely livid with them.”</p> <p dir="ltr">Askins' video of the woman’s story has been viewed more than 600,000 times, with many taking particular issue on the bride's boss for being “petty” and “inappropriate”. </p> <p dir="ltr">“This person could have waited a day. It's done on purpose to ruin your special day. Only narcissists would do that,” one said.</p> <p dir="ltr">Another added, “The fact that she texted her to let her know about the email is so petty. She wanted her to know on her wedding day.”</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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Woman “bullied” on plane over budget seating trick

<p dir="ltr">A young woman has recalled a flight from hell when she was “bullied” by a couple who were trying to utilise a seating hack that went viral on TikTok. </p> <p dir="ltr">The solo traveller took to Reddit to recount the story and ask social media users if she was in the wrong for her action. </p> <p dir="ltr">The woman began by saying she usually pays more to select her plane seat ahead of time, but a medical emergency on another plane had her waiting on standby and left with no option other than to sit in a middle seat.</p> <p dir="ltr">When she was finally able to board, she was greeted by a couple who had purchased both the window and aisle seats in a bid to have more space, utilising a travel “trick” that has been popular on TikTok.</p> <p dir="ltr">The method, which has been dubbed the 'poor man's business class', usually leaves travellers with an empty middle seat and more space, and few travellers opt to pick a middle seat. </p> <p dir="ltr">“When I got to my row the man and woman were chatting and sharing a snack... it was obvious they were together. I mentioned to the man that I'm in the middle, and he got up to let me in,” the unsuspecting traveller wrote on Reddit.  </p> <p dir="ltr">“I asked them if they would prefer to sit together, I said I was totally okay with that. The woman reacted rudely to this and said ‘you're not supposed to be sitting here anyway’.”</p> <p dir="ltr">After noticing how the plane was full, she offered to show the pair her new ticket with the correct seat number on it.</p> <p dir="ltr">“She flicked her hand at my ticket and made a disgusted sound. I offered again if they wanted to sit together to which she didn't reply, her partner said it's okay and... made some small talk,” she continued. </p> <p dir="ltr">The man’s girlfriend then interrupted their conversation to ask,”'Did you use one of those third party websites to book your flight? It's so frustrating when people cheap out to inconvenience others.”</p> <p dir="ltr">The American woman explained that she had booked her flight directly and she had been placed on standby like everyone else and didn't choose the middle seat - she was assigned it.</p> <p dir="ltr">She then tried to keep the peace by refusing to engage with the furious woman.  </p> <p dir="ltr">“I was so done with her attitude, I put my headphones on and attempted to do my own thing,” she explained.</p> <p dir="ltr">But the “entitled” girlfriend wasn't letting it go, as the woman explained, “This woman kept reaching over me and tapping her partner and trying to talk to him in a way that was super intrusive.”</p> <p dir="ltr">“I could tell even her partner was trying to engage her less so that she would hopefully stop, but she didn't.”</p> <p dir="ltr">“I think they tried to pull that tactic where they don't sit together on purpose...hoping no one will sit between them. But on full flights it doesn't work. And even so - it's not the other person's fault.”</p> <p dir="ltr">The traveller's post was met with hundreds of comments slamming the girlfriend’s behaviour, as one person wrote, “It's like a toddler having a tantrum.”</p> <p dir="ltr">“She was disappointed and a total a**hole. Gross entitled people,” another added. </p> <p dir="ltr">Another person applauded the traveller’s level-headed behaviour, writing, “Wow! You are my hero for keeping it classy - I’m afraid I would not have been as kind as you.”</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

Travel Trouble

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I’ve been sick. When can I start exercising again?

<p><em><a href="https://theconversation.com/profiles/ken-nosaka-169021">Ken Nosaka</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p>You’ve had a cold or the flu and your symptoms have begun to subside. Your nose has stopped dripping, your cough is clearing and your head and muscles no longer ache.</p> <p>You’re ready to get off the couch. But is it too early to go for a run? Here’s what to consider when getting back to exercising after illness.</p> <h2>Exercise can boost your immune system – but not always</h2> <p>Exercise <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6523821/">reduces the chance</a> of getting respiratory infections by increasing your immune function and the ability to fight off viruses.</p> <p>However, an acute bout of endurance exercise may temporarily increase your susceptibility to upper respiratory infections, such as colds and the flu, via the short-term suppression of your immune system. This is known as the “open window” theory.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/20839496/">study</a> from 2010 examined changes in trained cyclists’ immune systems up to eight hours after two-hour high-intensity cycling. It found important immune functions were suppressed, resulting in an increased rate of upper respiratory infections after the intense endurance exercise.</p> <p>So, we have to be more careful after performing harder exercises than normal.</p> <h2>Can you exercise when you’re sick?</h2> <p>This depends on the severity of your symptoms and the intensity of exercise.</p> <p>Mild to moderate exercise (reducing the intensity and length of workout) may be OK if your symptoms are a runny nose, nasal congestion, sneezing and minor sore throat, without a fever.</p> <p>Exercise may help you feel better by opening your nasal passages and temporarily relieving nasal congestion.</p> <p>However, if you try to exercise at your normal intensity when you are sick, you risk injury or more serious illness. So it’s important to listen to your body.</p> <p>If your symptoms include chest congestion, a cough, upset stomach, fever, fatigue or widespread muscle aches, avoid exercising. Exercising when you have these symptoms may worsen the symptoms and prolong the recovery time.</p> <p>If you’ve had the flu or another respiratory illness that caused a high fever, make sure your temperature is back to normal before getting back to exercise. Exercising raises your body temperature, so if you already have a fever, your temperature will become high quicker, which makes you sicker.</p> <p>If you have COVID or other contagious illnesses, stay at home, rest and isolate yourself from others.</p> <p>When you’re sick and feel weak, don’t force yourself to exercise. Focus instead on getting plenty of rest. This may actually shorten the time it takes to recover and resume your normal workout routine.</p> <h2>I’ve been sick for a few weeks. What has happened to my strength and fitness?</h2> <p>You may think taking two weeks off from training is disastrous, and worry you’ll lose the gains you’ve made in your previous workouts. But it could be just what the body needs.</p> <p>It’s true that almost all training benefits are <a href="https://journals.lww.com/acsm-csmr/fulltext/2019/04000/sports_training_principles.2.aspx">reversible</a> to some degree. This means the physical fitness that you have built up over time can be lost without regular exercise.</p> <p>To study the effects of de-training on our body functions, researchers have undertaken “bed rest” studies, where healthy volunteers spend up to 70 days in bed. They <a href="https://journals.physiology.org/doi/full/10.1152/japplphysiol.00415.2017">found</a> that V̇O₂max (the maximum amount of oxygen a person can use during maximal exercise, which is a measure of <a href="https://my.clevelandclinic.org/health/articles/7050-aerobic-exercise">aerobic</a> fitness) declines 0.3–0.4% a day. And the higher pre-bed-rest V̇O₂max levels, the <a href="https://journals.physiology.org/doi/full/10.1152/japplphysiol.00415.2017">larger</a> the declines.</p> <p>In terms of skeletal muscles, upper thigh muscles <a href="https://doi.org/10.1152/japplphysiol.00363.2020">become smaller by</a> 2% after five days of bed rest, 5% at 14 days, and 12% at 35 days of bed rest.</p> <p><a href="https://journals.physiology.org/doi/full/10.1152/japplphysiol.00363.2020">Muscle strength declines more</a> than muscle mass: knee extensor muscle strength gets weaker by 8% at five days, 12% at 14 days and more than 20% after around 35 days of bed rest.</p> <p>This is why it feels harder to do the same exercises after resting for even five days.</p> <p>But in <a href="https://iaaspace.org/product/guidelines-for-standardization-of-bed-rest-studies-in-the-spaceflight-context/">bed rest studies</a>, physical activities are strictly limited, and even standing up from a bed is prohibited during the whole length of a study. When we’re sick in bed, we have some physical activities such as sitting on a bed, standing up and walking to the toilet. These activities could reduce the rate of decreases in our physical functions compared with study participants.</p> <h2>How to ease back into exercise</h2> <p>Start with a lower-intensity workout initially, such as going for a walk instead of a run. Your first workout back should be light so you don’t get out of breath. Go low (intensity) and go slow.</p> <p>Gradually increase the volume and intensity to the previous level. It may take the same number of days or weeks you rested to get back to where you were. If you were absent from an exercise routine for two weeks, for example, it may require two weeks for your fitness to return to the same level.</p> <p>If you feel exhausted after exercising, take an extra day off before working out again. A day or two off from exercising shouldn’t affect your performance very much.<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/233130/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/ken-nosaka-169021">Ken Nosaka</a>, Professor of Exercise and Sports Science, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ive-been-sick-when-can-i-start-exercising-again-233130">original article</a>.</em></p>

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Readers response: What is the most memorable cruise you've ever been on?

<p>The dream holidays of many take place on the high seas, with many eager travellers keen to reflect on their favourite voyages.</p> <p>We asked our readers what their most memorable cruise was, for either good or bad reasons, and the response was overwhelming. Here's what you said.</p> <p><strong>Kate Oz</strong> - European river cruise was fabulous. </p> <p><span dir="auto"><strong>Jean Murray Cure</strong> - Coming to Australia as a migrant and a Christmas cruise to New Caledonia. Loved them both!</span></p> <p><span dir="auto"><strong>Carol Hanson</strong> - Christmas cruise. Fantastic atmosphere on board.</span></p> <p><span dir="auto"><strong>Brenda Glass Brooks</strong> - When I slipped on a wet surface and cracked my L2 excruciating pain, arrived home and ended up in hospital where I was told I also had COVID. </span>Will never ever cruise again.</p> <p><span dir="auto"><strong>Geraldine Bayles</strong> - The Holland America, 10 day Roman Empire cruise on the Noordam 20</span>12. Every day was an adventure! On board entertainment fantastic! Smooth sailing.</p> <p><span dir="auto"><strong>Linda Woods</strong> - NZ on Queen Elizabeth. The best ship we've been on.</span></p> <p><span dir="auto"><strong>Cheryl Barrett </strong>- Loved cruising from Vancouver to Alaska. It was mind blowing.</span></p> <p><span dir="auto"><strong>Rhonda Moffitt</strong> - 4 years ago. 1st day, ship didn't leave Port as conditions of heat &amp; wind were severe. </span>2nd day, weather too severe to visit Kangaroo Island so day spent at sea. 3rd day, Port Lincoln as scheduled. 4th day, Phillip Island hit by a severe storm and spent 2 hours on tender which could not dock and offload passengers back on ship. That night Penguin Parade excursion cancelled due to bad weather.</p> <div> <div dir="auto">This was my first cruise, a taster for my future retirement. Princess cruise had no offer for credits and, I know weather is unpredictable, but a totally disappointing experience.</div> <p><strong>Dianne Whitton</strong> - 2013 World Cruise on the Sea Princess. It was good. The best was 2016 Circle Pacific. Too bad Princess doesn't put it on any more.</p> <p><span dir="auto"><strong>Cheryl Quested</strong> - Windstar cruise in Tahiti was the best.</span></p> <p><span dir="auto"><strong>Heather Dixon</strong> - Hurricane cruise in Norway, absolutely the most stunning scenery.</span></p> <p><em><span dir="auto">Image credits: Shutterstock</span></em></p> </div>

Cruising

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For a century, it’s been illegal to swim in the Seine. Will Paris’s clean-up make the river safe for Olympic swimmers?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/ian-a-wright-5162">Ian A. Wright</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>Five eagerly anticipated events in the Paris Olympics will be the mens and womens 10 kilometre marathon swimming races, as well as the 1,500 metre swimming section of three triathlon events. Why? Because all will be held in the Seine River in the centre of Paris. The swimmers – including <a href="https://www.swimmingworldmagazine.com/news/trio-complete-an-historic-australian-olympic-marathon-swim-team-for-paris-2024">four Australians</a> – will pass famous landmarks such as the Musee d'Orsay as they swim through the historic heart of the city. This will have enormous scenic appeal for spectators.</p> <p>But will it be safe for swimmers? Rivers running through large cities are <a href="https://www.nature.com/articles/s42949-021-00026-w">often polluted</a>, whether from stormwater, chemical pollution or wastewater spills. As the marathon swimmers pass the <a href="https://musee-egouts.paris.fr/en/">Paris Sewer Museum</a>, they may well wonder if they’re in clean water.</p> <p>For more than 100 years, swimming in the Seine has actually been illegal, due to concerns over what the water could do to human health. Authorities <a href="https://www.theguardian.com/sport/article/2024/may/24/olympic-games-clean-up-aims-to-leave-parisians-swimming-in-the-seine">have been working</a> to clean up the water, spending A$2.2 billion (€1.3 billion) on improving water quality. The goal: cut bacterial contamination by 75% before the first swimmer touches the water. These measures are having an impact – but recent heavy rains have seen bacteria levels spike.</p> <p>While officials have put on brave faces, there’s now a <a href="https://www.reuters.com/sports/olympics/paris-2024-sets-up-reserve-site-marathon-swimming-if-seine-unsuitable-2024-07-05/">contingency plan</a> in case the Seine isn’t safe.</p> <h2>Why swim in the Seine at all?</h2> <p>Urban rivers have a questionable reputation. But this isn’t the first time the Seine River has been used for Olympic swimming.</p> <p>In the 1900 Paris Olympics, <a href="https://olympics.com/en/olympic-games/paris-1900/results/swimming">seven swimming events</a> were all held in the river. These games were the first modern Olympics where <a href="https://olympics.com/ioc/faq/history-and-origin-of-the-games/when-did-women-first-compete-in-the-olympic-games">women could compete</a> in some sports, but swimming was not one of those permitted.</p> <p>The Australian swimmer who competed, Frederick Lane, had to swim under the United Kingdom’s flag as Australia did not have a flag until Federation the following year. He won two gold medals. One was for the 200 metre freestyle race, and the other for a bizarre race never held again: the 200m <a href="https://www.olympedia.org/results/4433">swimming obstacle race</a>, where swimmers had to climb over poles and boats. These Olympics also saw the first and last underwater swimming race, which was also in the Seine.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=378&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=378&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=378&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=475&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=475&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/606823/original/file-20240715-17-kajph6.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=475&amp;fit=crop&amp;dpr=3 2262w" alt="historic photo swimming seine river paris" /></a><figcaption><span class="caption">Swimmers took to the Seine’s waters at the 1900 Paris Olympics, when the river ran cleaner.</span> <span class="attribution"><a class="source" href="https://commons.wikimedia.org/wiki/File:Swimming_1900.jpg">Wikimedia Commons</a>, <a class="license" href="http://creativecommons.org/licenses/by/4.0/">CC BY</a></span></figcaption></figure> <p>Back then, the waters of the Seine were cleaner. That’s because there was a great demand for human waste on farms – and cities were the main source. Back then, “night soil” (human waste) had a <a href="https://hess.copernicus.org/articles/11/1757/2007/hess-11-1757-2007.pdf">real market value</a>. No one would think of dumping it in rivers.</p> <p>But as time went on, sewerage systems developed and other fertilisers such as guano and mineral fertilisers arrived. By the early 20th century, most of the city’s wastewater went into the Seine. In 1923, the swimming ban came into effect. A year later, Paris hosted the Olympics for its second time – and swimmers competed in 50 metre pools.</p> <p>In recent years, many cities around the world have worked to clean up their urban waterways. River swimming is <a href="https://www.timeout.com/news/the-european-cities-cleaning-up-rivers-for-wild-swimmers-101821">now common</a> in cities such as Copenhagen, Berlin and Vienna, where river health has improved dramatically.</p> <h2>How can you clean a river like the Seine?</h2> <p>Cleaning the Seine is a challenge. Paris is home to 11 million people, with plenty of industry. Urban rivers are almost inevitably polluted by waste from the <a href="https://www.nature.com/articles/s42949-021-00026-w%5D">surrounding city</a>.</p> <p>Leaking and overflowing sewage systems are a major source of pollution. In places like the UK, <a href="https://www.bbc.com/news/explainers-62631320">sewage spills</a> into waterways have become a major political issue.</p> <p>When wastewater spills into rivers, it carries pollutants and dangerous loads of <a href="https://www.cdc.gov/mmwr/volumes/67/wr/mm6725a1.htm">disease-causing microorganisms</a>, such as <em>Escherichia coli</em> (commonly known as E. coli). Untreated water can have viruses, bacteria and disease-causing protozoa.</p> <p>In the lead-up to the Paris games, authorities have been working to improve water quality enough to bring some Olympic swimming back to the Seine. Stormwater – often contaminated by dog poo or sewage overflows – is <a href="https://www.theguardian.com/environment/2023/oct/08/can-paris-clean-seine-for-next-year-2024-olympics">being cleaned</a> before it is released into the river.</p> <p>Despite the money and effort, there are still real questions over whether it will be enough to guarantee swimmer safety. Bacterial levels hit risky levels <a href="https://edition.cnn.com/2024/07/11/sport/paris-olympics-seine-triathlon-bacteria-spiking-intl/index.html">most days in June</a> due to unseasonally heavy rains, but the water has <a href="https://www.france24.com/en/france/20240712-seine-clean-enough-to-swim-for-most-of-past-12-days-paris-says-ahead-of-olympics">improved in July</a>.</p> <p>This week, French sports minister Amélie Oudéa-Castéra <a href="https://www.nbclosangeles.com/paris-2024-summer-olympics/french-sports-minister-takes-dip-in-seine-river-2024-paris-olympics/3458469/">swam a few metres</a> in the Seine in an effort to douse concerns.</p> <p>By contrast, the other Olympic swimming events will take place in a recently constructed 50 metre pool, which will have very good water quality. The pool water is filtered and treated with a disinfectant such as chlorine or bromine. It will be regularly tested to ensure optimal water quality.</p> <p>At the Tokyo 2020 Olympics, triathletes had to swim in polluted Tokyo Bay. But similar concerns over sickness proved unfounded. The real challenge was the <a href="https://www.theguardian.com/environment/2021/aug/05/olympic-athletes-and-volunteers-in-tokyo-tortured-by-heat">oppressive heat</a>.</p> <h2>What’s at risk?</h2> <p>The most likely outcome if races are held when bacterial levels are unsafe would be getting a gastrointestinal bug.</p> <p>Officials have some control over this. Contamination is worst after heavy rain. Races could be delayed if need be.</p> <p>Many swimmers – especially those who compete in open-water competitions – are familiar with swimming in water with some level of pollution. Some see it as worth the risk. Italian double world champion swimmer Gregorio Paltrinieri <a href="https://www.france24.com/en/live-news/20240226-paris-holds-its-breath-for-olympic-swimming-events-in-murky-seine">said in January</a>:</p> <blockquote> <p>Even if the water is dirty, I would rather swim in an electric atmosphere in the centre of Paris than in an anonymous stretch of water.</p> </blockquote> <p>Paris 2024 organisers previously warned there was no plan B for the 10 km marathon races in the Seine if water quality testing is unsuitable. But this has now changed. If the river isn’t clean enough, open water swimming <a href="https://www.reuters.com/sports/olympics/paris-2024-sets-up-reserve-site-marathon-swimming-if-seine-unsuitable-2024-07-05/">will be moved</a> to the rowing venue.</p> <p>The Olympic triathlon is planned around a swimming leg in the Seine. But triathletes <a href="https://www.espn.com.au/olympics/story/_/id/39912675/triathlon-leg-cancelled-seine-quality-paris-2024-chief">have been told</a> the swim leg could be skipped if the water is unsafe, which would turn the race into a running and cycling duathlon.</p> <p>As the world’s attention turns to Paris, there will be many anxious officials behind the scenes hoping their hard work on making the Seine swimmable pays off.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/231705/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/ian-a-wright-5162">Ian A. Wright</a>, Associate Professor in Environmental Science, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: CARON/ZEPPELIN/SIPA/Shutterstock Editorial </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/for-a-century-its-been-illegal-to-swim-in-the-seine-will-pariss-clean-up-make-the-river-safe-for-olympic-swimmers-231705">original article</a>.</em></p> </div>

Travel Trouble

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Been scammed? Here's how to financially recover

<p>Many people feel shame and embarrassment after realising they have been scammed. But you shouldn’t. You did nothing wrong; you are the victim of a crime. </p> <p>Not only are such feelings bad for your mental wellbeing, but they also often stop people reporting the scam or taking action to avoid further losses. </p> <p>Remember too that you’re not alone: victims reported more than 601,000 scams to the ACCC in 2023, together losing a staggering $2.74 billion. People of all ages, professions, and backgrounds have been affected. </p> <p>As hard as it may be, try to leave emotion aside and approach this like any other money matter – logically and methodically. Doing so will help you act faster and more decisively, which is crucial to your financial recovery. </p> <p>The following checklist will help you through this process:</p> <ul> <li><strong>Step 1 – Try to recoup your stolen money</strong></li> </ul> <p>Report the scam immediately. Contact your bank or card provider to stop the transaction being processed. Notify the company or marketplace where it occurred – they may have options to reverse the payment or for you to claim compensation for fraud. </p> <p>Also inform the ACCC’s Scamwatch and police if relevant, which may aid in tracking down the scammer and will help them alert the wider public on what to look out for. </p> <p>Unfortunately, the money is likely gone for good, but prompt action may just help you get some or all of it back. </p> <ul> <li><strong>Step 2 – Secure your accounts from further thefts</strong></li> </ul> <p>Once scammers have found a way to steal money, they often go back to try for more. Don’t let them! </p> <p>Freeze or cancel affected debit and credit cards, accounts etc. Change and strengthen all your passwords. Set up two-factor authentication if you haven’t already. Remove any suspicious applications on electronic devices. </p> <p>Double check the registrations of any business, adviser or tradesperson before engaging their services. Regularly check your superannuation, investments etc. to monitor for any inconsistencies.</p> <ul> <li><strong>Step 3 – Safeguard your cash flow</strong></li> </ul> <p>Don’t multiplying your losses by racking up new debts to cover the stolen money. That means limiting the use of credit cards, payday lenders and Buy Now, Pay Later schemes. Consider paying with cash instead to help you stick to a budget.</p> <p>If you have lost everything, register with Centrelink for income support. You may also be able to apply for hardship provisions with your bank, phone and energy providers and other essential services.</p> <ul> <li><strong>Step 4 – Get reputable advice</strong></li> </ul> <p>Legal advice may be able to get you out of bogus contracts, like loans or phone plans, and help you in the event your personal information has been stolen (which can be used in various ways to steal money). If you can’t afford a lawyer, there are free alternatives such as Legal Aid or Community Legal Centres. Specialist services such as the Women’s Legal Service may offer support where partner coercion or domestic abuse is involved.</p> <p>Accounting and financial advice may also help you navigate assistance options and longer term recovery efforts.</p> <ul> <li><strong>Step 5 – Rebuild your finances</strong></li> </ul> <p>Your ability to rebuild your finances after a scam will depend on a range of factors, including how much was lost plus your age and circumstances.</p> <p>You could seek to increase your earnings and/or cut your spending by tweaking your household budget, delaying retirement, or temporarily taking a second job to boost your income. </p> <p>Another option is to make your remaining finances work harder than before, such as adjusting your investment strategies (e.g. changing your risk weightings or selling assets) including within your superannuation or accessing equity in your home.</p> <p>If you’re a self-funded retiree, you may now qualify for a part or full pension if your scam losses push your total assets below the means test threshold.</p> <p>Ultimately, the most important things when dealing with the fallout from a scam is to look after yourself and protect what you have left.</p> <p>Scammers have already taken off with your dollars. Don’t let them steal your sense too!</p> <p><em><strong>Helen Baker is a licensed Australian financial adviser and author of On Your Own Two Feet: The Essential Guide to Financial Independence for all Women. Helen is among the 1% of financial planners who hold a master’s degree in the field. Proceeds from book sales are donated to charities supporting disadvantaged women and children. Find out more at <a href="http://www.onyourowntwofeet.com.au/">www.onyourowntwofeet.com.au</a></strong></em></p> <p><em><strong>Disclaimer: The information in this article is of a general nature only and does not constitute personal financial or product advice. Any opinions or views expressed are those of the authors and do not represent those of people, institutions or organisations the owner may be associated with in a professional or personal capacity unless explicitly stated. Helen Baker is an authorised representative of BPW Partners Pty Ltd AFSL 548754.</strong></em></p> <p><em>Image </em><em>credits: Shutterstock </em></p>

Money & Banking

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I’ve been diagnosed with cancer. How do I tell my children?

<p><em><a href="https://theconversation.com/profiles/cassy-dittman-1380541">Cassy Dittman</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/govind-krishnamoorthy-1467986">Govind Krishnamoorthy</a>, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>, and <a href="https://theconversation.com/profiles/marg-rogers-867368">Marg Rogers</a>, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p>With around <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/cancer/2022">one in 50 adults</a> diagnosed with cancer each year, many people are faced with the difficult task of sharing the news of their diagnosis with their loved ones. Parents with cancer may be most <a href="https://www.sciencedirect.com/science/article/pii/S1462388914000994">worried about</a> telling their children.</p> <p>It’s best to give children factual and age-appropriate information, so children don’t create their own explanations or <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)33202-1/fulltext">blame themselves</a>. Over time, supportive family relationships and open communication <a href="https://link.springer.com/article/10.1007/s00520-016-3214-2">help children adjust</a> to their parent’s diagnosis and treatment.</p> <p>It’s natural to feel you don’t have the <a href="https://onlinelibrary.wiley.com/doi/10.1111/ecc.12018">skills or knowledge</a> to talk with your children about cancer. But preparing for the conversation can improve your confidence.</p> <h2>Preparing for the conversation</h2> <p>Choose a suitable time and location in a place where your children feel comfortable. Turn off distractions such as screens and phones.</p> <p>For teenagers, who can find face-to-face conversations confronting, think about talking while you are going for a walk.</p> <p>Consider if you will tell all children at once or separately. Will you be the only adult present, or will having another adult close to your child be helpful? Another adult might give your children a person they can talk to later, especially to answer questions they might be worried about asking you.</p> <p>Finally, plan what to do after the conversation, like doing an activity with them that they enjoy. Older children and teenagers might want some time alone to digest the news, but you can suggest things you know they like to do to relax.</p> <p>Also consider what you might need to support yourself.</p> <h2>Preparing the words</h2> <p>Parents might be worried about the <a href="https://www.bmj.com/content/321/7259/479.full.pdf+html">best words or language</a> to use to make sure the explanations are at a level their child understands. Make a plan for what you will say and take notes to stay on track.</p> <p>The toughest part is likely to be saying to your children that you have cancer. It can help to practise saying those words out aloud.</p> <p>Ask family and friends for their feedback on what you want to say. <a href="https://www.cancer.org.au/cancer-information/types-of-cancer/childhood-cancers/talking-to-kids-about-cancer">Make use of guides</a> by the Cancer Council, which provide age-appropriate wording for explaining medical terms like “cancer”, “chemotherapy” and “tumour”.</p> <h2>Having the conversation</h2> <p>Being open, honest and factual is important. Consider the balance between being too vague, and providing too much information. The <a href="https://www.sciencedirect.com/science/article/pii/S1462388914000994">amount and type</a> of information you give will be based on their age and previous experiences with illness.</p> <p>Remember, if things don’t go as planned, you can always try again later.</p> <p>Start by telling your children the news in a few short sentences, describing what you know about the diagnosis in language suitable for their age. Generally, this information will include the name of the cancer, the area of the body affected and what will be involved in treatment.</p> <p>Let them know what to expect in the coming weeks and months. Balance hope with reality. For example:</p> <blockquote> <p>The doctors will do everything they can to help me get well. But, it is going to be a long road and the treatments will make me quite sick.</p> </blockquote> <p>Check what your child knows about cancer. Young children may not know much about cancer, while primary school-aged children are starting to understand that it is a <a href="https://journals.sagepub.com/doi/epdf/10.1177/0165025408093663">serious illness</a>. Young children may worry about becoming unwell themselves, or other loved ones becoming sick.</p> <p>Older children and teenagers may have experiences with cancer through other family members, friends at school or social media.</p> <p>This process allows you to correct any misconceptions and provides opportunities for them to ask questions. Regardless of their level of knowledge, it is important to reassure them that the cancer is not their fault.</p> <p>Ask them if there is anything they want to know or say. Talk to them about what will stay the same as well as what may change. For example:</p> <blockquote> <p>You can still do gymnastics, but sometimes Kate’s mum will have to pick you up if I am having treatment.</p> </blockquote> <p>If you can’t answer their questions, be OK with saying “I’m not sure”, or “I will try to find out”.</p> <p>Finally, tell children you love them and offer them comfort.</p> <h2>How might they respond?</h2> <p>Be prepared for a range of <a href="https://link.springer.com/article/10.1007/s00520-016-3214-2">different responses</a>. Some might be distressed and cry, others might be angry, and some might not seem upset at all. This might be due to shock, or a sign they need time to process the news. It also might mean they are trying to be brave because they don’t want to upset you.</p> <p>Children’s reactions will change over time as they come to terms with the news and process the information. They might seem like they are happy and coping well, then be teary and clingy, or angry and irritable.</p> <p>Older children and teenagers may ask if they can tell their friends and family about what is happening. It may be useful to come together as a family to discuss how to inform friends and family.</p> <h2>What’s next?</h2> <p>Consider the conversation the first of many ongoing discussions. Let children know they can talk to you and ask questions.</p> <p>Resources might also help; for example, The Cancer Council’s <a href="https://www.campquality.org.au/kids-guide-to-cancer/">app for children and teenagers</a> and Redkite’s <a href="https://www.redkite.org.au/service/book-club/">library of free books</a> for families affected by cancer.</p> <p>If you or other adults involved in the children’s lives are concerned about how they are coping, speak to your GP or treating specialist about options for psychological support.<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/228012/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/cassy-dittman-1380541">Cassy Dittman</a>, Senior Lecturer/Head of Course (Undergraduate Psychology), Research Fellow, Manna Institute, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/govind-krishnamoorthy-1467986">Govind Krishnamoorthy</a>, Senior Lecturer, School of Psychology and Wellbeing, Post Doctoral Fellow, Manna Institute, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>, and <a href="https://theconversation.com/profiles/marg-rogers-867368">Marg Rogers</a>, Senior Lecturer, Early Childhood Education; Post Doctoral Fellow, Manna Institute, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ive-been-diagnosed-with-cancer-how-do-i-tell-my-children-228012">original article</a>.</em></p>

Family & Pets

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Julian Assange has been in the headlines for almost two decades. Here’s why he’s such a significant public figure

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/matthew-ricketson-3616">Matthew Ricketson</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>“The price of freedom is eternal vigilance” is a famous quotation usually attributed to Thomas Jefferson, a founder of US democracy.</p> <p>For Julian Assange, the price of freedom has been five years in jail while he fought extradition to the United States to face charges no democracy worthy of the name should ever have brought.</p> <p>It is profoundly heartening news to see Assange’s release from London’s Belmarsh prison and flight home to Australia via a US territory in the western pacific. He’ll face a hearing and sentencing <a href="https://theconversation.com/julian-assange-plea-deal-what-does-it-mean-for-the-wikileaks-founder-and-what-happens-now-233207">this morning</a> in Saipan in the Northern Mariana Islands, to formalise a plea deal with the US government.</p> <p>It is profoundly disheartening, though, to see the lengths to which a nation state has gone to punish a publisher who released documents and videos that revealed US troops allegedly committing war crimes in the Iraq war two decades ago.</p> <p>Assange has been a controversial international figure for so many years now it’s easy to lose sight of what he has done, why he attracted such fiercely polarised views, and what his incarceration means for journalism and democracy.</p> <h2>What did he do?</h2> <p>Assange, an Australian national, came to prominence in the 2000s for setting up <a href="https://wikileaks.org/">WikiLeaks</a>, a website that published leaked government, military and intelligence documents disclosing a range of <a href="https://www.bbc.com/news/technology-47907890">scandals</a> in various countries.</p> <p>Most of the documents were released in full. For Assange, this fulfilled his aim of radical transparency. For critics, it led to the release of documents that could <a href="https://www.aljazeera.com/news/2011/9/3/wikileaks-criticised-over-uncensored-cables">endanger the lives</a> of intelligence sources.</p> <p>This remains a point of contention. Some have asserted Assange’s attitude toward those named in leaked documents was cavalier and that the publication of some documents was <a href="https://apnews.com/article/b70da83fd111496dbdf015acbb7987fb">simply unnecessary</a>.</p> <p>But critics, especially those in the US military, have been unable to point to <a href="https://theconversation.com/a-new-book-argues-julian-assange-is-being-tortured-will-our-new-pm-do-anything-about-it-183622">specific instances</a> in which the release of documents has led to a person’s death. In 2010, Joe Biden, the then vice-president, <a href="https://www.nbcnews.com/id/wbna40702904">acknowledged</a> WikiLeaks’ publications had caused “no substantive damage”. Then US Defense Secretary Robert Gates <a href="https://www.npr.org/2019/04/12/712659290/how-much-did-wikileaks-damage-u-s-national-security">said</a> at the time countries dealt with the US because it was in their best interests, “not because they believe we can keep secrets”.</p> <p>The key to WikiLeaks’ success was that Assange and his colleagues found a way to <a href="https://www.bbc.com/news/technology-11026659">encrypt the documents</a> and make them untraceable, to protect whistleblower sources from official retribution. It was a strategy later <a href="https://www.theguardian.com/technology/2014/jun/05/guardian-launches-securedrop-whistleblowers-documents">copied</a> by mainstream media organisations.</p> <p>WikiLeaks became famous around the globe in April 2010 when it released hundreds of thousands of <a href="https://www.bbc.com/news/technology-47907890">documents</a> in tranches known as the Afghan war logs, the Iraq war logs and Cablegate. They revealed numerous alleged war crimes and provided the raw material for a shadow history of the disastrous wars waged by the Americans and their allies, including Australia, in Afghanistan and Iraq following the September 11 2001 terrorist attacks.</p> <p>Documents are one thing, video another. Assange released <a href="https://upload.wikimedia.org/wikipedia/commons/transcoded/6/61/CollateralMurder.ogv/CollateralMurder.ogv.360p.vp9.webm">a video</a> called “Collateral Murder”. It showed US soldiers in a helicopter shooting and killing Iraqi civilians and two Reuters journalists in 2007.</p> <p>Apart from how the soldiers in the video speak – “Hahaha, I hit them”, “Nice”, “Good shot” – it looks like most of the victims are civilians and the journalists’ cameras are mistaken for rifles.</p> <p>When one of the wounded men tries to crawl to safety, the helicopter crew, instead of allowing their US comrades on the ground to take him prisoner as required by <a href="https://www.icrc.org/en/rules-of-war">the rules of war</a>, seeks permission to shoot him again.</p> <hr /> <p><iframe id="tc-infographic-1064" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/1064/0f0903c8d2249ac24316f2a86f5e0f231b6546e6/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <p>The soldiers’ request for authorisation to shoot is granted. The wounded man is carried to a nearby minibus, which is then shot to pieces with the helicopter’s gun. The driver and two other rescuers are killed instantly while the driver’s two young children inside are seriously wounded.</p> <p>US army command investigated the matter, <a href="https://theconversation.com/a-new-book-argues-julian-assange-is-being-tortured-will-our-new-pm-do-anything-about-it-183622">concluding</a> the soldiers acted in accordance with the rules of war. Despite this, US prosecutors <a href="https://www.theguardian.com/media/2020/jun/15/julian-assange-indictment-fails-to-mention-wikileaks-video-that-exposed-us-war-crimes-in-iraq">didn’t include</a> the video in its indictment against Assange, leading to accusations it didn’t want such material further exposed in public.</p> <p>Equally to the point, the public would never have known an alleged war crime had been committed without the release of the video.</p> <h2>Going into exile</h2> <p>Assange and WikiLeaks had no sooner become famous than it all began to come to a halt.</p> <p>He was alleged to have sexually assaulted <a href="https://www.bbc.com/news/world-europe-50473792">two women</a>. He holed up the <a href="https://www.nytimes.com/2012/08/17/world/americas/ecuador-to-let-assange-stay-in-its-embassy.html">Ecuadoran embassy</a> in London for <a href="https://apnews.com/article/7276b35e8d5944e7b5ca280ab0390b26">seven years</a> to avoid being extradited to Sweden for questioning over the alleged assaults, from where he could then be extradited to the US. Then he was <a href="https://mondediplo.com/2024/02/11assange">imprisoned in England</a> for the past five years.</p> <p>It has been confusing to following the byzantine twists and turns of the Assange case. His character has been reviled by his opponents and revered by his supporters.</p> <p>Even journalists, who are supposed to be in the same business of speaking truth to power, have adopted contradictory stances towards Assange, oscillating between giving him awards (a <a href="https://www.walkleys.com/board-statement-4-16/">Walkley</a> for his outstanding contribution to journalism) and shunning him (<a href="https://www.nytimes.com/2019/05/23/opinion/julian-assange-wikileaks.html">The New York Times</a> has said he is a source rather than a journalist).</p> <h2>Personal suffering</h2> <p>After Sweden eventually <a href="https://www.bbc.com/news/world-europe-50473792">dropped</a> the sexual assault charges, the US government swiftly ramped up its request to extradite Assange to face charges under the Espionage Act, which, if successful, could have led to a jail term of up to <a href="https://www.theguardian.com/media/article/2024/jun/25/explainer-who-is-julian-assange-and-what-are-the-details-of-his-plea-deal#:%7E:text=After%20his%20departure%20from%20the,to%20175%20years%20in%20prison.">175 years</a>.</p> <p>Until this week, most of the recent headlines about Assange have been about this extradition attempt. Most recently, he was granted the <a href="https://theconversation.com/julian-assanges-appeal-to-avoid-extradition-will-go-ahead-it-could-be-legally-groundbreaking-227859">right to appeal</a> the UK Home Secretary’s order that he be extradited to the US.</p> <p>This brings us to now, where if all goes according to legal planning, Assange will <a href="https://theconversation.com/julian-assange-plea-deal-what-does-it-mean-for-the-wikileaks-founder-and-what-happens-now-233207">plead guilty</a> to one count under the US Espionage Act, then fly back to Australia.</p> <p>But the long, protracted and very public case, legal or otherwise, has raised questions yet to be fully reckoned with.</p> <p>Nils Melzer, the United Nations Special Rapporteur on Torture, thoroughly investigated the case against Assange and laid it out in forensic detail in a <a href="https://theconversation.com/a-new-book-argues-julian-assange-is-being-tortured-will-our-new-pm-do-anything-about-it-183622">2022 book</a>.</p> <p>In it, he wrote:</p> <blockquote> <p>The Assange case is the story of a man who is being persecuted and abused for exposing the dirty secrets of the powerful, including war crimes, torture and corruption. It is a story of deliberate judicial arbitrariness in Western democracies that are otherwise keen to present themselves as exemplary in the area of human rights.</p> </blockquote> <p>He’s also suffered significantly in legal and diplomatic processes in at least four countries.</p> <p>Since being imprisoned in 2019, <a href="https://www.theguardian.com/media/article/2024/jun/25/julian-assange-plea-deal-with-us-free-to-return-australia#:%7E:text=WikiLeaks%20said%20on%20X%20that,isolated%2023%20hours%20a%20day%E2%80%9D">Assange’s team says</a> he’s spent much of that time in solitary confinement for up to 23 hours a day, has been denied all but the most limited access to his legal team, let alone family and friends, and was kept in a <a href="https://www.bbc.com/news/uk-54060427">glass box</a> during his seemingly interminable extradition hearing.</p> <p>His physical and mental health have suffered to the point where he has been put on <a href="https://www.cbsnews.com/news/wikileaks-julian-assange-at-very-high-risk-of-suicide-attempt-psychiatric-expert-tells-court/">suicide watch</a>. Again, that seems to be the point, as Melzer writes:</p> <blockquote> <p>The primary purpose of persecuting Assange is not – and never has been – to punish him personally, but to establish a generic precedent with a global deterrent effect on other journalist, publicists and activists.</p> </blockquote> <p>So while Assange himself is human and his suffering real, his lengthy time in the spotlight have turned him into more of a symbol. This is true whether you think of him as the hero exposing the dirty secrets of governments, or as something much more sinister.</p> <p>If his experience has taught us anything, it’s that speaking truth to power can come at an unfathomable personal cost.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/233232/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/matthew-ricketson-3616">Matthew Ricketson</a>, Professor of Communication, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>Image credits: Vianney Le Caer/Shutterstock Editorial</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/julian-assange-has-been-in-the-headlines-for-almost-two-decades-heres-why-hes-such-a-significant-public-figure-233232">original article</a>.</em></p> </div>

Legal

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Do you have a mental illness? Why some people answer ‘yes’, even if they haven’t been diagnosed

<p><em><a href="https://theconversation.com/profiles/jesse-tse-1429151">Jesse Tse</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nick-haslam-10182">Nick Haslam</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722"><em>The University of Melbourne</em></a></em></p> <p>Mental illnesses such as depression and anxiety disorders have become more prevalent, especially among <a href="https://www.aihw.gov.au/mental-health/overview/prevalence-and-impact-of-mental-illness#changeovertime">young people</a>. Demand for treatment is surging and prescriptions of some <a href="https://pubmed.ncbi.nlm.nih.gov/35176912/">psychiatric medications</a> have climbed.</p> <p>These upswinging prevalence trends are paralleled by rising public attention to mental illness. Mental health messages saturate traditional and social media. Organisations and governments are developing awareness, prevention and treatment initiatives with growing urgency.</p> <p>The mounting cultural focus on mental health has obvious benefits. It increases awareness, reduces stigma and promotes help-seeking.</p> <p>However, it may also have costs. Critics worry <a href="https://www.bacp.co.uk/bacp-journals/therapy-today/2023/april-2023/the-big-issue/">social media</a> sites are incubating mental illness and that ordinary unhappiness is being pathologised by the overuse of diagnostic concepts and “<a href="https://www.bustle.com/wellness/is-therapy-speak-making-us-selfish">therapy speak</a>”.</p> <p>British psychologist <a href="https://www.psych.ox.ac.uk/team/lucy-foulkes">Lucy Foulkes</a> argues the trends for rising attention and prevalence are linked. Her “<a href="https://www.sciencedirect.com/science/article/pii/S0732118X2300003X">prevalence inflation hypothesis</a>” proposes that increasing awareness of mental illness may lead some people to diagnose themselves inaccurately when they are experiencing relatively mild or transient problems.</p> <p>Foulkes’ hypothesis implies that some people develop overly broad concepts of mental illness. Our research supports this view. In a new study, <a href="https://www.sciencedirect.com/science/article/pii/S2666560324000318?via%3Dihub">we show</a> that concepts of mental illness have broadened in recent years – a phenomenon we call “<a href="https://www.tandfonline.com/doi/full/10.1080/1047840X.2016.1082418">concept creep</a>” – and that <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-023-05152-6">people differ</a> in the breadth of their concepts of mental illness.</p> <h2>Why do people self-diagnose mental illnesses?</h2> <p>In our new <a href="https://doi.org/10.1016/j.ssmmh.2024.100326">study</a>, we examined whether people with broad concepts of mental illness are, in fact, more likely to self-diagnose.</p> <p>We defined self-diagnosis as a person’s belief they have an illness, whether or not they have received the diagnosis from a professional. We assessed people as having a “broad concept of mental illness” if they judged a wide variety of experiences and behaviours to be disorders, including relatively mild conditions.</p> <p>We asked a nationally representative sample of 474 American adults if they believed they had a mental disorder and if they had received a diagnosis from a health professional. We also asked about other possible contributing factors and demographics.</p> <p>Mental illness was common in our sample: 42% reported they had a current self-diagnosed condition, a majority of whom had received it from a health professional.</p> <p>Unsurprisingly, the strongest predictor of reporting a diagnosis was experiencing relatively severe distress.</p> <p>The second most important factor after distress was having a broad concept of mental illness. When their levels of distress were the same, people with broad concepts were substantially more likely to report a current diagnosis.</p> <p>The graph below illustrates this effect. It divides the sample by levels of distress and shows the proportion of people at each level who report a current diagnosis. People with broad concepts of mental illness (the highest quarter of the sample) are represented by the dark blue line. People with narrow concepts of mental illness (the lowest quarter of the sample) are represented by the light blue line. People with broad concepts were much more likely to report having a mental illness, especially when their distress was relatively high.</p> <p>People with greater mental health literacy and less stigmatising attitudes were also more likely to report a diagnosis.</p> <p>Two interesting further findings emerged from our study. People who self-diagnosed but had not received a professional diagnosis tended to have broader illness concepts than those who had.</p> <p>In addition, younger and politically progressive people were more likely to report a diagnosis, consistent with some <a href="https://www.sciencedirect.com/science/article/pii/S2666560321000438">previous research</a>, and held broader concepts of mental illness. Their tendency to hold these more expansive concepts partially explained their higher rates of diagnosis.</p> <h2>Why does it matter?</h2> <p>Our findings support the idea that expansive concepts of mental illness promote self-diagnosis and may thereby increase the apparent prevalence of mental ill health. People who have a lower threshold for defining distress as a disorder are more likely to identify themselves as having a mental illness.</p> <p>Our findings do not directly show that people with broad concepts over-diagnose or those with narrow concepts under-diagnose. Nor do they prove that having broad concepts <em>causes</em> self-diagnosis or results in <em>actual</em> increases in mental illness. Nevertheless, the findings raise important concerns.</p> <p>First, they suggest that rising mental health awareness may <a href="https://www.newscientist.com/article/mg25934573-900-why-being-more-open-about-mental-health-could-be-making-us-feel-worse/">come at a cost</a>. In addition to boosting mental health literacy it may increase the likelihood of people incorrectly identifying their problems as pathologies.</p> <p>Inappropriate self-diagnosis can have adverse effects. Diagnostic labels may become identity-defining and self-limiting, as people come to believe their problems are enduring, <a href="https://www.sciencedirect.com/science/article/abs/pii/S0165032724002489?via%3Dihub">hard-to-control</a> aspects of who they are.</p> <p>Second, unwarranted self-diagnosis may lead people experiencing relatively mild levels of distress to seek help that is unnecessary, inappropriate and ineffective. Recent <a href="https://pubmed.ncbi.nlm.nih.gov/37844607/">Australian research</a> found people with relatively mild distress who received psychotherapy worsened more often than they improved.</p> <p>Third, these effects may be particularly problematic for young people. They are most liable to hold broad concepts of mental illness, in part due to <a href="https://www.sciencedirect.com/science/article/pii/S0010440X22000682?via%3Dihub">social media</a> <a href="https://www.tandfonline.com/doi/full/10.1080/10810730.2023.2235563">consumption</a>, and they experience mental ill health at relatively high and rising rates. Whether expansive concepts of illness play a role in the youth mental health crisis remains to be seen.</p> <p>Ongoing cultural shifts are fostering increasingly expansive definitions of mental illness. These shifts are likely to have mixed blessings. By normalising mental illness they may help to remove its stigma. However, by pathologising some forms of everyday distress, they may have an unintended downside.</p> <p>As we wrestle with the mental health crisis, it is crucial we find ways to increase awareness of mental ill health without inadvertently inflating it.<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/231687/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/jesse-tse-1429151">Jesse Tse</a>, PhD Candidate at Melbourne School of Psychological Sciences, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nick-haslam-10182">Nick Haslam</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-you-have-a-mental-illness-why-some-people-answer-yes-even-if-they-havent-been-diagnosed-231687">original article</a>.</em></p>

Mind

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I’ve been given opioids after surgery to take at home. What do I need to know?

<p><em><a href="https://theconversation.com/profiles/katelyn-jauregui-1527878">Katelyn Jauregui</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/asad-patanwala-1529611">Asad Patanwala</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jonathan-penm-404921">Jonathan Penm</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/shania-liu-1433659">Shania Liu</a>, <a href="https://theconversation.com/institutions/university-of-alberta-1232">University of Alberta</a></em></p> <p>Opioids are commonly prescribed when you’re discharged from hospital after surgery to help manage pain at home.</p> <p>These strong painkillers may have unwanted side effects or harms, such as constipation, drowsiness or the risk of dependence.</p> <p>However, there are steps you can take to minimise those harms and use opioids more safely as you recover from surgery.</p> <h2>Which types of opioids are most common?</h2> <p>The <a href="https://journals.sagepub.com/doi/full/10.1177/0310057X231163890">most commonly prescribed</a> opioids after surgery in Australia are oxycodone (brand names include Endone, OxyNorm) and tapentadol (Palexia).</p> <p>In fact, <a href="https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.16063">about half</a> of new oxycodone prescriptions in Australia occur after a recent hospital visit.</p> <p><a href="https://journals.sagepub.com/doi/full/10.1177/0310057X231163890">Most commonly</a>, people will be given immediate-release opioids for their pain. These are quick-acting and are used to manage short-term pain.</p> <p>Because they work quickly, their dose can be easily adjusted to manage current pain levels. Your doctor will provide instructions on how to adjust the dosage based on your pain levels.</p> <p>Then there are slow-release opioids, which are specially formulated to slowly release the dose over about half to a full day. These may have “sustained-release”, “controlled-release” or “extended-release” on the box.</p> <p>Slow-release formulations are primarily used for chronic or long-term pain. The slow-release form means the medicine does not have to be taken as often. However, it takes longer to have an effect compared with immediate-release, so it is not commonly used after surgery.</p> <p>Controlling your pain after surgery is <a href="https://www.nps.org.au/assets/4811a27845042173-00a4ff09097b-postoperative-pain-management_36-202.pdf">important</a>. This allows you get up and start moving sooner, and recover faster. Moving around sooner after surgery prevents muscle wasting and harms associated with immobility, such as bed sores and blood clots.</p> <p>Everyone’s pain levels and needs for pain medicines are different. Pain levels also decrease as your surgical wound heals, so you may need to take less of your medicine as you recover.</p> <h2>But there are also risks</h2> <p>As mentioned above, side effects of opioids include constipation and feeling drowsy or nauseous. The drowsiness can also make you more likely to fall over.</p> <p>Opioids prescribed to manage pain at home after surgery are usually prescribed for short-term use.</p> <p>But up to <a href="https://pubmed.ncbi.nlm.nih.gov/35545810/">one in ten</a> Australians still take them up to four months after surgery. <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/msc.1837">One study</a> found people didn’t know how to safely stop taking opioids.</p> <p>Such long-term opioid use may lead to dependence and overdose. It can also reduce the medicine’s effectiveness. That’s because your body becomes used to the opioid and needs more of it to have the same effect.</p> <p>Dependency and side effects are also more common with <a href="https://www.anzca.edu.au/getattachment/535097e6-9f50-4d09-bd7f-ffa8faf02cdd/Prescribing-slow-release-opioids-4-april-2018#:%7E:text=%E2%80%9CSlow%2Drelease%20opioids%20are%20not,its%20Faculty%20of%20Pain%20Medicine.">slow-release opioids</a> than immediate-release opioids. This is because people are usually on slow-release opioids for longer.</p> <p>Then there are concerns about “leftover” opioids. One study found 40% of participants were prescribed <a href="https://journals.sagepub.com/doi/full/10.1177/0310057X231163890">more than twice</a> the amount they needed.</p> <p>This results in unused opioids at home, which <a href="https://www.anzca.edu.au/getattachment/558316c5-ea93-457c-b51f-d57556b0ffa7/PS41-Guideline-on-acute-pain-management">can be dangerous</a> to the person and their family. Storing leftover opioids at home increases the risk of taking too much, sharing with others inappropriately, and using without doctor supervision.</p> <h2>How to mimimise the risks</h2> <p>Before using opioids, speak to your doctor or pharmacist about using over-the-counter pain medicines such as paracetamol or anti-inflammatories such as ibuprofen (for example, Nurofen, Brufen) or diclofenac (for example, Voltaren, Fenac).</p> <p>These can be quite effective at controlling pain and will lessen your need for opioids. They can often be used instead of opioids, but in some cases a combination of both is needed.</p> <p>Other techniques to manage pain include physiotherapy, exercise, <a href="https://theconversation.com/hot-pack-or-cold-pack-which-one-to-reach-for-when-youre-injured-or-in-pain-161086">heat packs or ice packs</a>. Speak to your doctor or pharmacist to discuss which techniques would benefit you the most.</p> <p>However, if you do need opioids, there are some ways to make sure you use them <a href="https://www.safetyandquality.gov.au/sites/default/files/2022-04/opioid-analgesic-stewardship-in-acute-pain-clinical-care-standard.pdf">safely and effectively</a>:</p> <ul> <li> <p>ask for <a href="https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16085">immediate-release</a> rather than slow-release opioids to lower your risk of side effects</p> </li> <li> <p>do not drink alcohol or take sleeping tablets while on opioids. This can increase any drowsiness, and lead to reduced alertness and slower breathing</p> </li> <li> <p>as you may be at higher risk of falls, remove trip hazards from your home and make sure you can safely get up off the sofa or bed and to the bathroom or kitchen</p> </li> <li> <p>before starting opioids, have a plan in place with your doctor or pharmacist about how and when to stop taking them. Opioids after surgery are ideally taken at the lowest possible dose for the shortest length of time.</p> </li> </ul> <h2>If you’re concerned about side effects</h2> <p>If you are concerned about side effects while taking opioids, speak to your pharmacist or doctor. Side effects include:</p> <ul> <li> <p><a href="https://theconversation.com/health-check-what-causes-constipation-114290">constipation</a> – your pharmacist will be able to give you lifestyle advice and recommend laxatives</p> </li> <li> <p>drowsiness – do not drive or operate heavy machinery. If you’re trying to stay awake during the day, but keep falling asleep, your dose may be too high and you should contact your doctor</p> </li> <li> <p>weakness and slowed breathing – this may be a sign of a more serious side effect such as respiratory depression which requires medical attention. Contact your doctor immediately.</p> </li> </ul> <h2>If you’re having trouble stopping opioids</h2> <p>Talk to your doctor or pharmacist if you’re having trouble stopping opioids. They can give you alternatives to manage the pain and provide advice on gradually lowering your dose.</p> <p>You may experience withdrawal effects, such as agitation, anxiety and insomnia, but your doctor and pharmacist can help you manage these.</p> <h2>How about leftover opioids?</h2> <p>After you have finished using opioids, take any leftovers to your local pharmacy to <a href="https://theconversation.com/health-check-what-should-you-do-with-your-unused-medicine-81406">dispose of them safely</a>, free of charge.</p> <p>Do not share opioids with others and keep them away from others in the house who do not need them, as opioids can cause unintended harms if not used under the supervision of a medical professional. This could include accidental ingestion by children.</p> <hr /> <p><em>For more information, speak to your pharmacist or doctor. Choosing Wisely Australia also has <a href="https://www.choosingwisely.org.au/resources/consumers-and-carers/patient-guide-to-managing-pain-and-opioid-medicines">free online information</a> about managing pain and opioid medicines.</em><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/228615/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/katelyn-jauregui-1527878">Katelyn Jauregui</a>, PhD Candidate and Clinical Pharmacist, School of Pharmacy, Faculty of Medicine and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/asad-patanwala-1529611">Asad Patanwala</a>, Professor, Sydney School of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jonathan-penm-404921">Jonathan Penm</a>, Senior lecturer, School of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/shania-liu-1433659">Shania Liu</a>, Postdoctoral Research Fellow, Faculty of Medicine and Dentistry, <a href="https://theconversation.com/institutions/university-of-alberta-1232">University of Alberta</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ive-been-given-opioids-after-surgery-to-take-at-home-what-do-i-need-to-know-228615">original article</a>.</em></p>

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Announcing Kate Middleton’s cancer diagnosis should have been simple. But the palace let it get out of hand

<p><em><a href="https://theconversation.com/profiles/victoria-fielding-236389">Victoria Fielding</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/saira-ali-1522239">Saira Ali</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>The British royal family is famous for its carefully curated media image. That’s why it was a surprise to see them lose control of the narrative in the wake of what we now know is a serious health crisis befalling Catherine, Princess of Wales (or Kate Middleton as she’s popularly known).</p> <p>It is clear the nearly 1,000-year-old institution of the monarchy and its tradition of “<a href="https://news.northeastern.edu/2024/03/14/kate-middleton-photo-pr-crisis/">never complain, never explain</a>” is being tested by social media and its power to spread rumours and misinformation. The palace’s public relations team has underestimated how difficult it is to manage relationships with social media audiences. Their reactive attempts to rein in speculation has turned Catherine’s health challenge into a PR disaster.</p> <p>Social media, with its lax regulations and freer environment, offers a more open forum for users to say whatever they like about the royals. It’s served as a hotbed for Catherine conspiracies, particularly on TikTok. These theories are as wild as they are ridiculous, from Catherine being a prisoner in the palace to her hiding in <a href="https://www.prdaily.com/kate-middleton-stanley-alabama-retail/">Taylor Swift’s London home</a>.</p> <p>What should have been a simple announcement to a sympathetic public about a popular royal having cancer turned into a spider’s web of competing conspiracy theories across social media. How did it all go so terribly wrong?</p> <h2>I’ve lost track, what happened?</h2> <p>All was well with the Prince and Princess of Wales when they were filmed attending church on Christmas Day. As usual when royals are out in public, the scene was picture perfect with everyone dutifully smiling for the cameras in “<a href="https://www.harpersbazaar.com/celebrity/latest/a46227698/kate-middleton-royal-blue-christmas-day-church-service-prince-william-kids/">co-ordinated</a>” outfits.</p> <p>Two weeks later, Kensington Palace announced Catherine had undergone planned abdominal surgery, with <a href="https://abcnews.go.com/GMA/Culture/princess-kate-hospitalized-after-planned-abdominal-surgery-palace/story?id=106441561">palace sources</a> telling media the surgery had been “successful” and she would need two weeks to recover.</p> <p>On January 29, the palace announced Catherine had returned home to recuperate. <a href="https://www.townandcountrymag.com/society/tradition/a46569739/king-charles-discharged-from-hospital/">Unlike King Charles</a> when he released news of his cancer diagnosis on February 5, Catherine was not photographed leaving hospital. This was the first PR misstep. She had appeared outside hospital soon after giving birth to her three children, but this time she remained uncharacteristically out of the public eye.</p> <p>Almost a month later, when Prince William <a href="https://au.lifestyle.yahoo.com/prince-william-pulls-memorial-godfather-211406977.html?amp;guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&amp;guce_referrer_sig=AQAAAG6tOzuXsqZXP6G2nLLd-lnWzZhYKHVJ5TJ-w5XCCfgMjerRrR8v1R8unjtcoQTbvPDsVt3mtTcZ_g0os6zwOuEFfMKCh0kfEExvz-dB2FG0uqcy6-GoryjvG99TEhMli66hNZLjLENmMhq1mwoV7GmM0AYezMDsZtZVtONH9C1b&amp;guccounter=2">unexpectedly withdrew</a> from his godfather’s memorial citing “personal reasons”, social media users started asking “Where is Princess Kate?”.</p> <p>Used to a steady stream of content about the royal family, the public were unsurprisingly questioning if there was more to Catherine’s abdominal surgery than they were being told.</p> <p>In a rare reactive move, the palace tried to quell questions about Catherine’s whereabouts by releasing a <a href="https://people.com/palace-responds-kate-middleton-conspiracy-theories-online-surgery-recovery-rare-statement-8602191">statement</a> reiterating that she would not be returning to public duties until Easter.</p> <p>On March 4, US outlet <a href="https://www.tmz.com/2024/03/04/kate-middleton-seen-spotted-public-first-time-mystery-hospitalization/">TMZ published</a> a paparazzi photo of Catherine driving with her mother. Social media audiences asked if it really was Catherine.</p> <p>Over the next week, conspiracy theories about Catherine’s absence reached frenzied levels. To show everything was fine, Kensington Palace released a <a href="https://twitter.com/KensingtonRoyal/status/1766750995445387393?s=20">Mother’s Day photo</a> of Catherine and her children on their social media accounts. Social media users spotted apparently edited flaws and global news agencies announced “<a href="https://apnews.com/article/kate-princess-photo-surgery-ca91acf667c87c6c70a7838347d6d4fb">kill orders</a>”, saying the image had been manipulated. The next day, Catherine <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616">apologised</a> on social media for editing the photo.</p> <p>Although royals have been <a href="https://www.townandcountrymag.com/society/tradition/a60191061/royal-photoshop-history/">editing their pictures</a> for centuries, it seems particularly digitally naive of the palace’s PR team to release such an obviously edited image into an already cynical social media environment, creating fodder for more conspiracy theories.</p> <p>Mainstream news outlets then joined social media users in asking questions about Catherine’s absence. Although this media attention did not legitimise wild conspiracies, in some ways it fuelled them.</p> <p>Days later, TMZ <a href="https://www.youtube.com/watch?v=erWJNmbrECs">published footage</a> of Catherine and William shopping. At this point in the media chaos, many social media users claimed it was fake.</p> <p>This intense public speculation finally ended on March 23, when Catherine <a href="https://twitter.com/KensingtonRoyal/status/1771235267837321694?s=20">released a video</a> explaining her extended absence after abdominal surgery was caused by the surgeons discovering cancer.</p> <p>During a crisis, the public crave transparency, authenticity, honesty and reassurance. These elements were missing in the royal PR team’s carefully worded statements made directly to mainstream media along with reactive, overly curated social media posts.</p> <p>By providing scant details, the palace seemed to believe they could control public perception. But public image is increasingly difficult to control.</p> <h2>The double-edged sword of social media</h2> <p>After Princess Diana’s death in a paparazzi-chase car accident, privacy laws and <a href="https://time.com/4914324/princess-diana-anniversary-paparazzi-tabloid-media/">media regulations</a> forbade the most invasive breaches of the royal family’s privacy, particularly for her children, princes William and Harry. However, tabloid appetite for uncontrolled access soon returned once the princes became adults.</p> <p>Recently, Harry and his wife Meghan have been involved in <a href="https://www.reuters.com/world/uk/prince-harry-his-many-lawsuits-against-press-2023-12-15/">several lawsuits</a> against media companies over breaches of privacy, including phone hacking.</p> <p>The rise of social media has typically been viewed as a tool that gives royals more control over their image through the curation of their own personal content. Previously, the fact Catherine was the one <a href="https://www.businessinsider.com/kate-middleton-cutest-family-photos-2018-5">taking photos</a> of her children was seen as a sign of authenticity and being down to earth (as much as a princess could be).</p> <p>Yet, social media is both a blessing and a curse for the management of public reputations.</p> <p>The perpetuation of contested facts and theories on social media in the wake of Princess Catherine’s unexplained absence shows how difficult it is to curate a controlled image using social media. Lack of verified information in mainstream media helps fuel speculative flames.</p> <p>While <a href="https://www.thedrum.com/news/2024/03/22/where-the-palace-lost-the-plot-and-what-we-can-learn-about-pr-and-empathy-kategate">PR experts</a> believe it is understandable and appropriate for Catherine and her family to have privacy during this time, more timely, direct and honest communication would have gone a long way to prevent relentless gossip.</p> <p>Once rumours and conspiracies gained momentum, the palace perhaps thought the less information provided, the better. However, silence during a crisis just fuels more speculation because the lack of information makes it look like there is something to hide.</p> <p>Catherine’s personal video announcing her cancer diagnosis helped end the social media frenzy. This shows a simple, clear statement posted by Kensington Palace to social media weeks ago would likely have avoided the PR disaster and provided Catherine the privacy she so clearly needs.</p> <p>The palace is now <a href="https://www.sheknows.com/entertainment/articles/2986509/kate-middleton-cancer-pr-disaster/">being criticised</a> for complicating a situation that was relatively simple in retrospect. Many social media users are also upset Catherine took public blame for the photoshopping incident.</p> <p>Any organisation that deals with the media to maintain positive reputations, including the British monarchy, has no choice but to adapt to all kinds of media, including social media. The long-time practice of keeping calm and carrying on amid controversy and the 24-hour gossip cycle doesn’t work in the era of TikTok, X and YouTube.</p> <p>In the absence of trusted information, social media will do what it does best: take mostly innocuous online chatter and amplify it until it goes viral.<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/226490/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/victoria-fielding-236389">Victoria Fielding</a>, Lecturer, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/saira-ali-1522239">Saira Ali</a>, Senior Lecturer in Media, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/announcing-kate-middletons-cancer-diagnosis-should-have-been-simple-but-the-palace-let-it-get-out-of-hand-226490">original article</a>.</em></p>

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Funding for refugees has long been politicized − punitive action against UNRWA and Palestinians fits that pattern

<p><em><a href="https://theconversation.com/profiles/nicholas-r-micinski-207353">Nicholas R. Micinski</a>, <a href="https://theconversation.com/institutions/university-of-maine-2120">University of Maine</a> and <a href="https://theconversation.com/profiles/kelsey-norman-862895">Kelsey Norman</a>, <a href="https://theconversation.com/institutions/rice-university-931">Rice University</a></em></p> <p>At least a dozen countries, including the U.S., have <a href="https://news.un.org/en/story/2024/01/1145987">suspended funding to the UNRWA</a>, the United Nations agency responsible for delivering aid to Palestinian refugees.</p> <p>This follows allegations made by Israel that <a href="https://www.wsj.com/world/middle-east/at-least-12-u-n-agency-employees-involved-in-oct-7-attacks-intelligence-reports-say-a7de8f36">12 UNRWA employees participated</a> in the Oct. 7, 2023, Hamas attack. The UNRWA responded by <a href="https://www.reuters.com/world/middle-east/un-palestinian-refugee-agency-investigates-staff-suspected-role-israel-attacks-2024-01-26/">dismissing all accused employees</a> and opening an investigation.</p> <p>While the seriousness of the accusations is clear to all, and the U.S. has been keen to <a href="https://www.nytimes.com/2024/01/30/us/politics/aid-gaza-israel.html">downplay the significance</a> of its pause in funding, the action is not in keeping with precedent.</p> <p>Western donors did not, for example, defund other U.N. agencies or peacekeeping operations amid accusations of <a href="https://www.hrw.org/news/2020/01/11/un-peacekeeping-has-sexual-abuse-problem">sexual assault</a>, <a href="https://www.justice.gov/usao-sdny/pr/former-un-general-assembly-president-and-five-others-charged-13-million-bribery-scheme">corruption</a> or <a href="https://www.hrw.org/legacy/summaries/s.bosnia9510.html">complicity in war crimes</a>.</p> <p>In real terms, the funding cuts to the UNRWA will affect <a href="https://www.unrwa.org/where-we-work/gaza-strip">1.7 million Palestinian refugees in Gaza</a> along with an additional 400,000 Palestinians without refugee status, many of whom benefit from the UNRWA’s infrastructure. Some critics have gone further and said depriving the agency of funds <a href="https://jacobin.com/2024/01/unrwa-defunding-gaza-israel">amounts to collective punishment</a> against Palestinians.</p> <p>Refugee aid, and humanitarian aid more generally, is theoretically meant to be neutral and impartial. But as experts in <a href="https://www.cambridge.org/core/books/reluctant-reception/558E2A93FF99B8F295347A8FA2053698">migration</a> <a href="https://www.routledge.com/UN-Global-Compacts-Governing-Migrants-and-Refugees/Micinski/p/book/9780367218836">and</a> <a href="https://press.umich.edu/Books/D/Delegating-Responsibility">international relations</a>, we know funding is often used as a foreign policy tool, whereby allies are rewarded and enemies punished. In this context, we believe the cuts in funding for the UNRWA fit a wider pattern of the politicization of aid to refugees, particularly Palestinian refugees.</p> <h2>What is the UNRWA?</h2> <p>The UNRWA, short for the U.N. Relief and Works Agency for Palestine Refugees in the Near East, was established two years after about <a href="https://theconversation.com/the-nakba-at-75-palestinians-struggle-to-get-recognition-for-their-catastrophe-204782">750,000 Palestinians were expelled or fled from their homes</a> during the months leading up to the creation of the state of Israel in 1948 and the subsequent Arab-Israeli war.</p> <p>Prior to the UNRWA’s creation, international and local organizations, many of them religious, provided services to displaced Palestinians. But after <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">surveying the extreme poverty</a> and dire situation pervasive across refugee camps, the U.N. General Assembly, including all Arab states and Israel, voted to create the UNRWA in 1949.</p> <p>Since that time, <a href="https://www.unrwa.org/what-we-do">the UNRWA has been the primary aid organization</a> providing food, medical care, schooling and, in some cases, housing for the 6 million Palestinians living across its five fields: Jordan, Lebanon, Syria, as well as the areas that make up the occupied Palestinian territories: the West Bank and Gaza Strip.</p> <p>The mass displacement of Palestinians – known as the <a href="https://theconversation.com/the-nakba-at-75-palestinians-struggle-to-get-recognition-for-their-catastrophe-204782">Nakba, or “catastrophe</a>” – occurred prior to the <a href="https://www.unhcr.org/about-unhcr/who-we-are/1951-refugee-convention">1951 Refugee Convention</a>, which defined refugees as anyone with a well-founded fear of persecution owing to “events occurring in Europe before 1 January 1951.” Despite a <a href="https://www.unhcr.org/sites/default/files/legacy-pdf/4ec262df9.pdf">1967 protocol extending the definition</a> worldwide, Palestinians are still excluded from the primary international system protecting refugees.</p> <p>While the UNRWA is responsible for providing services to Palestinian refugees, the United Nations also created the U.N. Conciliation Commission for Palestine in 1948 to seek a <a href="https://www.refworld.org/docid/4fe2e5672.html">long-term political solution</a> and “to facilitate the repatriation, resettlement and economic and social rehabilitation of the refugees and the payment of compensation.”</p> <p>As a result, the UNRWA does not have a mandate to push for the traditional durable solutions available in other refugee situations. As it happened, the conciliation commission was active only for a few years and has since been sidelined in favor of the U.S.-brokered peace processes.</p> <h2>Is the UNRWA political?</h2> <p>The UNRWA has been <a href="https://www.migrationpolicy.org/article/palestinian-refugees-dispossession">subject</a> to political headwinds since its inception and especially during periods of heightened tension between Palestinians and Israelis.</p> <p>While it is a U.N. organization and thus ostensibly apolitical, it has <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">frequently been criticized</a> by Palestinians, Israelis as well as donor countries, including the United States, for acting politically.</p> <p>The UNRWA performs statelike functions across its five fields – including education, health and infrastructure – but it is restricted in its mandate from performing political or security activities.</p> <p>Initial Palestinian objections to the UNRWA stemmed from the organization’s early focus on economic integration of refugees into host states.</p> <p>Although the UNRWA officially adhered to the U.N. General Assembly’s <a href="https://www.unrwa.org/content/resolution-194">Resolution 194</a> that called for the return of Palestine refugees to their homes, U.N., U.K. and U.S. <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">officials searched</a> for means by which to resettle and integrate Palestinians into host states, viewing this as the favorable political solution to the Palestinian refugee situation and the broader Israeli-Palestinian conflict. In this sense, Palestinians perceived the UNRWA to be both highly political and actively working against their interests.</p> <p>In later decades, the UNRWA <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">switched its primary focus</a> from jobs to education at the urging of Palestinian refugees. But the UNRWA’s education materials were <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">viewed</a> by Israel as further feeding Palestinian militancy, and the Israeli government insisted on checking and approving all materials in Gaza and the West Bank, which it has occupied since 1967.</p> <p>While Israel has <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">long been suspicious</a> of the UNRWA’s role in refugee camps and in providing education, the organization’s operation, which is internationally funded, <a href="https://www.crisisgroup.org/middle-east-north-africa/east-mediterranean-mena/israelpalestine/242-unrwas-reckoning-preserving-un-agency-serving-palestinian-refugees">also saves</a> Israel millions of dollars each year in services it would be obliged to deliver as the occupying power.</p> <p>Since the 1960s, the U.S. – UNRWA’s primary donor – and other Western countries have <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">repeatedly expressed their desire</a> to use aid to prevent radicalization among refugees.</p> <p>In response to the increased presence of armed opposition groups, the <a href="https://cup.columbia.edu/book/refuge-and-resistance/9780231202855">U.S. attached a provision</a> to its UNRWA aid in 1970, requiring that the “UNRWA take all possible measures to assure that no part of the United States contribution shall be used to furnish assistance to any refugee who is receiving military training as a member of the so-called Palestine Liberation Army (PLA) or any other guerrilla-type organization.”</p> <p>The UNRWA adheres to this requirement, even publishing an annual list of its employees so that host governments can vet them, but it also <a href="https://www.crisisgroup.org/middle-east-north-africa/east-mediterranean-mena/israelpalestine/242-unrwas-reckoning-preserving-un-agency-serving-palestinian-refugees">employs 30,000 individuals</a>, the vast majority of whom are Palestinian.</p> <p>Questions over the links of the UNRWA to any militancy has led to the rise of Israeli and international <a href="https://cufi.org/issue/unrwa-teachers-continue-to-support-antisemitism-terrorism-on-social-media-un-watch/">watch groups</a> that document the social media activity of the organization’s large Palestinian staff.</p> <h2>Repeated cuts in funding</h2> <p>The United States has used its money and power within the U.N. to block criticism of Israel, vetoing at least <a href="https://www.un.org/depts/dhl/resguide/scact_veto_table_en.htm">45 U.N. resolutions</a> critical of Israel.</p> <p>And the latest freeze is not the first time the U.S. has cut funding to the UNRWA or other U.N. agencies in response to issues pertaining to the status of Palestinians.</p> <p>In 2011, the <a href="https://www.reuters.com/article/idUSTRE79U5ED/#:%7E:text=WASHINGTON%20(Reuters)%20%2D%20The%20United,grant%20the%20Palestinians%20full%20membership.">U.S. cut all funding to UNESCO</a>, the U.N. agency that provides educational and cultural programs around the world, after the agency voted to admit the state of Palestine as a full member.</p> <p>The Obama administration defended the move, claiming it was required by a 1990s law to defund any U.N. body that admitted Palestine as a full member.</p> <p>But the impact of the action was nonetheless severe. Within just four years, UNESCO was <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/1758-5899.12459">forced to cut its staff in half</a> and roll back its operations. President Donald Trump later <a href="https://www.pbs.org/newshour/politics/u-s-and-israel-officially-withdraw-from-unesco">withdrew the U.S. completely from UNESCO</a>.</p> <p>In 2018, the Trump administration paused its <a href="https://www.nytimes.com/2018/08/31/us/politics/trump-unrwa-palestinians.html">US$60 million contribution to the UNRWA</a>. Trump claimed the pause would create political pressure for Palestinians to negotiate. President Joe Biden restarted U.S. contributions to the UNRWA in 2021.</p> <h2>Politicization of refugee aid</h2> <p>Palestinian are not the only group to suffer from the politicization of refugee funding.</p> <p>After World War II, states established different international organizations to help refugees but strategically excluded some groups from the refugee definition. For example, the U.S. funded the <a href="https://www.nationalww2museum.org/war/articles/last-million-eastern-european-displaced-persons-postwar-germany">U.N. Relief and Rehabilitation Administration to help resettle displaced persons after World War II</a> but resisted Soviet pressure to forcibly repatriate Soviet citizens.</p> <p>The U.S. also created a separate organization, <a href="https://academic.oup.com/ijrl/article-abstract/1/4/501/1598187">the precursor to the International Organization for Migration</a>, to circumvent Soviet influence. In many ways, the UNRWA’s existence and the exclusion of Palestinian refugees from the wider refugee regime parallels this dynamic.</p> <p>Funding for refugees has also been politicized through the earmarking of voluntary contributions to U.N. agencies. Some agencies receive funding from U.N. dues; but the UNRWA, alongside the U.N. High Commissioner for Refugees and the International Organization for Migration, receive the majority of their funding from voluntary contributions from member states.</p> <p>These contributions can be earmarked for specific activities or locations, leading to donors such as the <a href="https://www.peio.me/wp-content/uploads/2019/01/PEIO12_paper_107.pdf">U.S. or European Union dictating which refugees get aid and which do not</a>. Earmarked contributions amounted to nearly <a href="https://unsceb.org/fs-revenue-agency">96% of the UNHCR’s budget, 96% of the IOM’s budget and 74% of UNRWA funding in 2022</a>.</p> <p>As a result, any cuts to UNRWA funding will affect its ability to service Palestinian refugees in Gaza – especially at a time when so many are <a href="https://www.cnn.com/2024/01/30/middleeast/famine-looms-in-gaza-israel-war-intl/index.html">facing hunger, disease and displacement</a> as a result of war.<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/222263/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/nicholas-r-micinski-207353"><em>Nicholas R. Micinski</em></a><em>, Assistant Professor of Political Science and International Affairs, <a href="https://theconversation.com/institutions/university-of-maine-2120">University of Maine</a> and <a href="https://theconversation.com/profiles/kelsey-norman-862895">Kelsey Norman</a>, Fellow for the Middle East, Rice University's Baker Institute for Public Policy, <a href="https://theconversation.com/institutions/rice-university-931">Rice University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/funding-for-refugees-has-long-been-politicized-punitive-action-against-unrwa-and-palestinians-fits-that-pattern-222263">original article</a>.</em></p>

Money & Banking

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The royals have historically been tight-lipped about their health – but that never stopped the gossip

<p><em><a href="https://theconversation.com/profiles/lisa-j-hackett-458612">Lisa J. Hackett</a>, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a>; <a href="https://theconversation.com/profiles/huw-nolan-1309470">Huw Nolan</a>, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a>, and <a href="https://theconversation.com/profiles/jo-coghlan-1585">Jo Coghlan</a>, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p>King Charles III has been diagnosed with cancer. This is an unexpected announcement: it is unusual for the royal family to release details of medical conditions to the public.</p> <p>“<a href="https://journal.media-culture.org.au/index.php/mcjournal/article/view/2986">Don’t let the daylight in</a>” was how British essayist Walter Bagehot advised the British monarchy to deal with the public in 1867. “[A]bove all things our royalty is to be reverenced […] its mystery is its life,” he wrote.</p> <p>For Queen Elizabeth II this attitude framed her response to public information about the royals, quipping “<a href="https://www.news24.com/you/royals/news/royal-author-explains-queens-never-complain-never-explain-mantra-20220620">never complain, never explain</a>”. Maybe this explains why Princess Kate’s <a href="https://www.theguardian.com/uk-news/2024/feb/05/king-charles-diagnosed-with-cancer-buckingham-palace-announces">recent abdominal surgery</a> has not been disclosed to the public, with media reports saying she is “determined to keep her medical details private”.</p> <p>In revealing the fragility of the royal body much of the mystique about them as anointed by God fades away. But the royals’ health has, occasionally, been the subject of official news, and, more commonly, the subject of gossip.</p> <h2>Henry VIII’s ‘soore legge’</h2> <p>Henry VIII’s (1491–1547) health was well-documented and discussed in state-papers and diplomatic dispatches of the day.</p> <p>In his early years, he was known for his robust health. In his later years, he would be described as “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789029/">cursed</a>” by his deteriorating health.</p> <p>As Henry aged, his access to fine food led to an increase of weight. Doctors today might diagnose him with obesity, and it has been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789029/">speculated by contemporary medical historians</a> he suffered from hypertension and Type II diabetes.</p> <p>This disease, which can lead to diabetic neuropathy and <a href="https://www.cdc.gov/diabetes/library/features/healthy-feet.html">serious foot complications</a>, could account for the persistent and odorous ulcers on his “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789029/#:%7E:text=In%20the%20same%20year%20Henry,annual%20salary%20of%2020%20shillings.">sorre legge</a>”, as described by his contemporaries.</p> <p>Knowledge about Henry’s health was not widespread. The king had sequestered himself in his private apartments. Even his attending <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2388216/pdf/annrcse00840-0011.pdf">physicians did not keep notes</a>, perhaps concerned about being accused of treason in the volatile politics of the time. Most of our knowledge today is gleaned from diplomatic reports sent by diplomats to their own leaders.</p> <h2>Queen Anne’s lupus</h2> <p>Queen Anne (1665-1714) had 17 pregnancies, 11 of which resulted in miscarriages or stillbirths, with the remainder all dying in childhood. Despite the regularity of her failed pregnancies, her physician, John Radcliffe, repeatedly declared she was in good health and her miscarriages were due to “<a href="https://www.tandfonline.com/doi/pdf/10.1111/j.1540-6563.1986.tb00702.x">the vapours</a>”, a vague diagnosis often attributed to aristocratic women.</p> <p>It is <a href="https://go.gale.com/ps/i.do?id=GALE%7CA12456274&amp;sid=googleScholar&amp;v=2.1&amp;it=r&amp;linkaccess=abs&amp;issn=17592151&amp;p=AONE&amp;sw=w&amp;userGroupName=anon%7Ee39109f7&amp;aty=open-web-entry">now believed Anne</a> may have been afflicted with the autoimmune condition lupus.</p> <p>For Anne’s contemporaries, the name of the illness perhaps mattered less than the real political issue it presented: who would become monarch after her? With no heirs, there was real political fear her Catholic half-brother <a href="https://www.nottingham.ac.uk/manuscriptsandspecialcollections/learning/biographies/jamesfrancisedwardstuart(1688-1766).aspx">James Francis Edward Stuart</a> (“The Old Pretender”) would claim the throne.</p> <p>But the law <a href="https://www.parliament.uk/about/living-heritage/evolutionofparliament/parliamentaryauthority/revolution/collections1/parliamentary-collections/act-of-settlement/">excluded Catholics</a> from the taking the crown, and ensured Anne would be succeed by her second cousin, George I of Hanover and Britain.</p> <h2>George III and mental illness</h2> <p>George III (1738–1820) famously suffered from bouts of mental illness, more recently been speculated to be caused by <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/porphyria">Porphyria</a>, a hereditary blood disorder.</p> <p>Throughout his illness <a href="https://blogs.ncl.ac.uk/speccoll/2023/11/01/bulletin-on-the-state-of-king-george-iiis-health-october-2011-2/">bulletins were issued</a> by his doctors informing the public of his condition.</p> <p>These were kept <a href="https://blogs.ncl.ac.uk/speccoll/2023/11/01/bulletin-on-the-state-of-king-george-iiis-health-october-2011-2/">deliberately vague</a>, with the aim to reassure the public rather than divulge details. His repeated bouts of illness mean his health was <a href="https://oro.open.ac.uk/92656/3/92656.pdf">a constant in the media of the time</a>, with frequent, at times twice-daily, updates during episodes.</p> <p>His illness called into <a href="https://oro.open.ac.uk/92656/3/92656.pdf">question his ability to be monarch</a>, a situation eventually resolved by the installing of his son, later George IV, as Prince Regent.</p> <h2>A family of haemophilia</h2> <p>Queen Victoria has been called the “<a href="https://hekint.org/2020/02/10/royal-blood-queen-victoria-and-the-legacy-of-hemophilia-in-european-royalty/?highlight=%E2%A3%82%E2%A3%9A%20Buy%20Viagra%20from%20%240.31%20per%20pill%20%3A%20%F0%9F%8F%A5%20www.LloydsPharmacy.xyz%20%F0%9F%8F%A5%20-%20Pharma%20without%20prescription%20%E2%A3%9A%E2%A3%82Viagra%20Cialis%20Levitra%20Staxyn%20Online%20Viagra%20Online%20Information">Grandmother of Europe</a>” due to her many descendants. This also came with a deadly legacy, haemophilia, given the moniker “the royal disease”.</p> <p><a href="https://www.cdc.gov/ncbddd/hemophilia/facts.html">Haemophilia</a> is an inherited disorder which mostly affects males, where the blood does not clot properly. This can lead to severe or spontaneous bleeding which can be dangerous if not treated properly. While the illness can be managed well today, in Victoria’s time little was known about it.</p> <p>It is believed Victoria passed on the trait to <a href="https://www.hemophilia.org/bleeding-disorders-a-z/overview/history">three of her nine children</a>, at a time when life expectancy for those who had the disease was just 13 years old. Two of her daughters were asymptomatic carriers, however her fourth son Prince Leopold (1853-1884) was afflicted with the disease.</p> <p>While the royal family were careful to <a href="https://pubmed.ncbi.nlm.nih.gov/21764831/">manage what information was publicly released</a> about his illness, his status meant it garnered public attention. It was covered in medical journals of the time, and later in newspapers.</p> <p>As knowledge of the illness grew, both the public and members of the royal family were able to use it to guide decisions on marriages to limit its spread.</p> <h2>A new approach</h2> <p>In the days leading up to Elizabeth’s death on 2022, the media reported her as resting “<a href="https://www.forbes.com/sites/siladityaray/2022/09/08/queen-under-medical-supervision-as-doctors-are-concerned-for-her-health/?sh=42c483e9140e">comfortably</a>” and provided no information on the nature of her illness. Even her <a href="https://abcnews.go.com/GMA/News/queen-elizabeth-iis-death-revealed-death-certificate/story?id=90696648">death certificate</a> failed to reveal her cause of death, other than as old age.</p> <p>Charles has signalled he wants to do monarchy differently than his mother. After his recent prostate surgery, his office stated he wanted to inspire men to look after their prostates. Anecdotal evidence suggests more men have sought medical tests in response which is being called the “<a href="https://www.ausdoc.com.au/news/king-charles-effect-spurs-aussie-men-to-consult-their-gp-for-prostate-symptoms/">King Charles effect</a>”.</p> <p>Now, the announcement of Charles’s cancer diagnosis signals a new approach by the royals. <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/222873/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/lisa-j-hackett-458612"><em>Lisa J. Hackett</em></a><em>, Lecturer, Humanities, Arts and Social Sciences, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a>; <a href="https://theconversation.com/profiles/huw-nolan-1309470">Huw Nolan</a>, Animal Welfare scientist and pop culture researcher, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a>, and <a href="https://theconversation.com/profiles/jo-coghlan-1585">Jo Coghlan</a>, Associate Professor Humanities Arts and Social Sciences, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/the-royals-have-historically-been-tight-lipped-about-their-health-but-that-never-stopped-the-gossip-222873">original article</a>.</em></p>

Caring

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I’ve just been diagnosed with cancer, now what?

<p><em><a href="https://theconversation.com/profiles/marilynne-n-kirshbaum-1462224">Marilynne N Kirshbaum</a>, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a></em></p> <p>In one pivotal instant your life has changed and there will be no turning back. How will you accept, adjust and adapt to being “someone who has cancer”?</p> <p>Well, first, you are still the same person. But now you have a definitive diagnosis calling for your immediate attention.</p> <p>There are hundreds of kinds of cancer, <a href="https://www.cancer.gov/about-cancer/diagnosis-staging/staging">distinguished</a> and identified according to site, type of cell involved, aggressiveness and evidence of spread. These are the <a href="https://www.aihw.gov.au/reports-data/health-conditions-disability-deaths/cancer/overview">critical details</a> you need to know as you begin to understand what is going on in your body.</p> <p>There will be much to learn and understand about the disease and prognosis; social, emotional, sexual and spiritual effects; treatments, therapies and their side-effects; work implications and how all these opportunities and challenges will be intertwined.</p> <p>But you don’t need to do everything at once. In time, and with support, you’ll be able to move forward with poise, strength, calm and intelligence.</p> <h2>Emotions will vary – from you and others</h2> <p>Whatever your usual demeanour and emotional state, be ready for some surprises. This will be a period of uncertainty. Expect to find yourself experiencing the full gamut of reactions such as shock, anger, grief and guilt, along with warm and deep feelings of love, compassion and gratitude for the people and environment that surround you.</p> <p>In the first few days, you might want to limit who you tell about your diagnosis or keep your news private to give yourself a chance to adjust without interference. Because, although well meaning, some people will react in unexpected ways and might cause you distress rather than be truly supportive or helpful.</p> <p>Some people will be inclined to ask lots of questions, but you may not have all the answers. They might want to tell you other people’s stories, which you might not want or be ready to hear yet.</p> <p>You have the option to completely accept the guidance of health-care professionals, who will give you the information they think you need at the time and direct you to further diagnostic tests and appointments.</p> <p>However, you may want to know more about the type of cancer you have, the treatments being recommended, all possible side effects and seek out other sources. This will place the information you have received into perspective and will inform further questions. It is important to find <a href="https://www.cancer.org.au/cancer-information">resources</a> that are <a href="https://www.aihw.gov.au/reports-data/health-conditions-disability-deaths/cancer/overview">credible</a>.</p> <h2>Continuing work might be beneficial</h2> <p>For working people, the decision about returning to work will depend on how you feel and the flexibility of your workplace.</p> <p>Assuming your body is up to it and it’s not a period where you will be immunosuppressed and susceptible to harmful effects of infections, work done at a steady pace is usually not only a boost to finances, but will have <a href="https://www.cancer.net/navigating-cancer-care/young-adults-and-teenagers/school-and-work-during-cancer/going-work-during-and-after-cancer#:%7E:text=You%20might%20work%20as%20much,support%2C%20including%20health%20insurance%20benefits">cognitive, social and emotional benefits</a>.</p> <p>The strategy here is to do a risk assessment of your job. Specify the challenges and discuss how they could be reduced with your manager. If you are your own boss, be flexible and kind.</p> <h2>Responding to cancer-related fatigue</h2> <p>The most common side effect of living with cancer (before, during and after all types of treatment) is a specific kind of extreme tiredness and lethargy called cancer-related fatigue.</p> <p>Sometimes it appears alongside <a href="https://www.canceraustralia.gov.au/clinical-best-practice/psychosocial-care">non-clinical depression and hopelessness</a>. Some people can feel so awful they decline medical treatment, but for the majority, this type of fatigue gets in the way of enjoying life.</p> <p>Research on the most effective interventions to reduce cancer-related fatigue has <a href="https://pubmed.ncbi.nlm.nih.gov/20870636/">evaluated</a> a range of approaches, including medications and complementary therapies. Assuming the cause is not anaemia, which can be treated by a transfusion, the <a href="https://www.ncbi.nlm.nih.gov/books/NBK74155/">strongest evidence recommends</a> physical, moderately aerobic exercise, often defined as “enough to break a sweat”.</p> <p>However, for those who are not able to exercise at a moderate level – for example, if the cancer has metastasised to bones or if lung capacity is compromised – less physically demanding approaches <a href="https://link.springer.com/chapter/10.1007/978-3-030-76932-1_4">can be valuable</a>.</p> <h2>Prioritising things that bring you joy</h2> <p>A “<a href="https://link.springer.com/book/10.1007/978-3-030-76932-1">joyful freedom</a>” approach to cancer-related fatigue aims to bring back vitality through subtle, lifestyle adjustments. It’s a framework researchers developed based on a series of studies.</p> <p>The first task is to list activities that bring joy. Then categorise each joy according to five attributes of energy-restoring activities:</p> <ul> <li>purposeful</li> <li>expansive</li> <li>connecting</li> <li>awe-inspiring</li> <li>nourishing.</li> </ul> <p>This will raise awareness of how to best spend limited amounts of physical, emotional and cognitive energy.</p> <p>Consider adding more of what brings joy into your life and remove some of the energy-depleting activities you do not enjoy. Making small changes can have a profound effect on your energy levels and give you the boost you need to live well with cancer.</p> <p>In an ideal, well resourced national health service, GPs and specialist nurses would be available to provide holistic health promotion support for people with cancer. Realistically, this is rarely offered through mainstream public services. These services are more widely available in the private sector, or you may be able to find what you need through your <a href="https://www.cancer.org.au/">local Cancer Council</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/211522/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/marilynne-n-kirshbaum-1462224">Marilynne N Kirshbaum</a>, Professor and Chair of the Human Research Ethics Committee, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ive-just-been-diagnosed-with-cancer-now-what-211522">original article</a>.</em></p>

Caring

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"You've been bumped": Vietnam vet slams Qantas for booting him from business class

<p dir="ltr">Qantas has come under fire for booting a Vietnam war veteran from his paid seat in business class so that a young Qantas "tech" – later revealed to be a pilot – could travel in the luxury seat in his place.</p> <p dir="ltr">Stephen Jones, 78, and his wife were travelling home to Adelaide after a holiday in Christchurch. Their flight was passing through Melbourne on its way to their home in Adelaide, and the pair were enjoying coffee in the Melbourne airport lounge – just 30 minutes before they were set to continue their journey – when they were given the bad news by Qantas staff.</p> <p dir="ltr">"I went up to the desk and the Qantas employee there said, 'I've got some bad news for you, you've been bumped'," Mr Jones told Melbourne’s <em><a href="https://www.3aw.com.au/vietnam-war-veteran-booted-from-business-class-for-younger-qantas-employee/">3AW</a></em> radio program with Ross &amp; Russ. </p> <p dir="ltr">"It didn't register at first," continued Mr Jones. "I wasn't quite sure what 'bumped' meant... I said, 'What?', and she said, 'Yes, I'll have to re-issue your ticket for economy class. We have a tech who's flying to Adelaide and his contract states that he must fly Business Class."</p> <p dir="ltr">Mr Jones then explained that while he retreated to his economy seat, the Qantas employee was seated next to his wife up in business class, and that "he wouldn't even look at her".</p> <p dir="ltr">Mr Jones went on to explain that, after filing a letter of complaint, he was offered 5000 Frequent Flyer points in return for the downgrade and an apology.</p> <p dir="ltr">Mr Jones, who served in Vietnam in a combat unit in the 1960s, claimed he turned down the offer of 5000 points, saying, “I don’t think anything is going to change until there’s ramifications for Qantas, or costs for Qantas when they upset their customers.”</p> <p dir="ltr">Justin Lawrence, Partner at Henderson Ball Lawyers, later told the 3AW radio show hosts that there’s little customers can do about such a move by the airline and said it was “standard operating procedure”.</p> <p dir="ltr">“Unfortunately, their terms of carriage allow them to do this sort of thing – this happens so often they’ve actually got a term for it, buckle up, they call this 'involuntary downgrading,'” he said.</p> <p dir="ltr">“They’ll overprescribe business class or first class, they will need to bump someone out, and they’ll do it almost immediately prior to the flight – not just Qantas, they all do it."</p> <p dir="ltr">“Any time you go to a travel agent or online to Qantas to buy a seat, and we think we’re buying a seat in a particular class, there are no guarantees that when that plane takes off, you’ll be sitting in that class.”</p> <p dir="ltr">Mr Jones said he understood that Qantas pilots were entitled to rest comfortably on their way to another flight, but the ordeal was “unsettling and made me a little irritable”.</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

Travel Trouble

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"It has been the hardest time": Ronan Keating speaks out after family tragedy

<p>Ronan Keating has broken his silence for the first time since the sudden death of his brother. </p> <p>The Irish musician and former Boyzone member said it has been the "hardest time" dealing with the sudden loss, after his older brother Ciaran was killed in a car crash in his native Ireland in July.</p> <p>On Saturday, Ronan addressed the tragedy for the first time, revealing how he and his family are dealing with their grief. </p> <p>He wrote on Instagram, "Just wanted to say thank you for the love and respect you have shown my family over the last 5 weeks. It has been the hardest time for us all, and everyone is trying to manage a life now without our brother (very hard to even type that 💔)." </p> <p>"Thank you for all your messages of support and also respecting our privacy during this time."</p> <p>Along with the caption, Ronan shared a series of snaps from South Africa, where the family are holidaying to get away from their busy life and take time to reckon with the tragedy. </p> <p>"There is no more fitting a place to heal, than in South Africa surrounded by Mother Nature and great people and our little bundles of joy Cooper and Coco, have kept us going constantly. Thank you god."</p> <p>"Back to work for me in another part of the world I love now… it all seems rather difficult to make sense of but trying my best. "</p> <p>"Take care of each other and from Storm, myself and all my family, thank you."</p> <p>The post was flooded with comments of well wishes and condolences, while fans encouraged Ronan and his family to take as much time out as they needed to heal.</p> <p>Just days after the post, Ronan shared a sweet tribute to his wife Storm, as the couple celebrated their eight year wedding anniversary while on their family getaway. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/CwHDRkGpnbQ/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CwHDRkGpnbQ/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Ronan Keating (@rokeating)</a></p> </div> </blockquote> <p>Along with a heartwarming video of some of their best moments together, Ronan wrote, "Thank you for the absolute unwavering honesty and love. Without you I would be somewhere very dark. Your love is my compass."</p> <p>"Eight years married but a lifetime together. The memories the laughs the babies the family. It’s you and me love. Happy anniversary."</p> <p>"In this lifetime and everyone one that the universe gives after that I will find you. No two spirits were more connected."</p> <p><em>Image credits: Instagram </em></p>

Family & Pets

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Research reveals who’s been hit hardest by global warming in their lifetime - and the answer may surprise you

<p><a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/ed-hawkins-104793">Ed Hawkins</a>, <a href="https://theconversation.com/institutions/university-of-reading-902">University of Reading</a>; <a href="https://theconversation.com/profiles/hunter-douglas-1460792">Hunter Douglas</a>, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</a>, and <a href="https://theconversation.com/profiles/luke-harrington-489028">Luke Harrington</a>, <a href="https://theconversation.com/institutions/university-of-waikato-781">University of Waikato</a></p> <p>Earth is warming and the signs of climate change are everywhere. We’ve seen it in the past few weeks as temperatures hit record highs around the world – both in the Northern Hemisphere and the <a href="https://theconversation.com/why-is-australia-having-such-a-warm-winter-a-climate-expert-explains-210693">warm Australian winter</a>.</p> <p>Global warming is caused by humanity’s greenhouse gas emissions, which continue at <a href="https://theconversation.com/global-carbon-emissions-at-record-levels-with-no-signs-of-shrinking-new-data-shows-humanity-has-a-monumental-task-ahead-193108">near-record pace</a>. These emissions are predominantly generated by people in the world’s wealthiest regions.</p> <p>Our world-first analysis, <a href="https://iopscience.iop.org/article/10.1088/2752-5295/aceff2">published today</a>, examines the experience of global warming over the lifetimes of people around the world: young and old, rich and poor. We sought to identify who has perceived warmer temperatures most keenly.</p> <p>We found middle-aged people in equatorial regions have lived through the most perceptible warming in their lifetimes. But many young people in lower-income countries could experience unrecognisable changes in their local climate later in life, unless the world rapidly tackles climate change.</p> <h2>Measuring the climate change experience</h2> <p>We examined temperature data and population demographics information from around the world.</p> <p>Key to our analysis was the fact that not all warming is due to human activity. Some of it is caused by natural, year-to-year variations in Earth’s climate.</p> <p>These natural ups and downs are due to a number of factors. They include variations in the energy Earth receives from the sun, the effects of volcanic eruptions, and transfers of heat between the atmosphere and the ocean.</p> <p>This variability is stronger in mid-to-high-latitude parts of the world (those further from the equator) than in low-latitude areas (in equatorial regions). That’s because the weather systems further away from the equator draw in hot or cold air from neighbouring areas, but equatorial areas don’t receive cold air at all.</p> <p>That’s why, for example, the annual average temperature in New York is naturally more variable than in the city of Kinshasa (in the Democratic Republic of Congo).</p> <p>To account for this, we applied what’s known as the “<a href="https://archive.ipcc.ch/ipccreports/tar/wg1/346.htm#:%7E:text=The%20%EF%BF%BDsignal%20to%20noise,to%20this%20natural%20variability%20noise.">signal-to-noise ratio</a>” at each location we studied. That allowed us to separate the strength of the climate change “signal” from the “noise” of natural variability.</p> <p>Making this distinction is important. The less naturally variable the temperature, the clearer the effects of warming. So warming in Kinshasa over the past 50 years has been much more perceptible than in New York.</p> <p>Our study examined two central questions. First, we wanted to know, for every location in the world, how clearly global warming could be perceived, relative to natural temperature variability.</p> <p>Second, we wanted to know where this perceived change was most clear over human lifetimes.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=394&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=394&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=394&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=495&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=495&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/541474/original/file-20230807-17-ogjdti.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=495&amp;fit=crop&amp;dpr=3 2262w" alt="Annual-average temperatures at four major cities with signal-to-noise ratios shown for 20, 50 and 80 years up to 2021." /></a><figcaption><span class="caption">Annual-average temperatures at four major cities with signal-to-noise ratios shown for 20, 50 and 80 years up to 2021.</span> <span class="attribution"><span class="source">Author provided</span></span></figcaption></figure> <h2>Our results</h2> <p>So what did we find? As expected, the most perceptible warming is found in tropical regions – those near the equator. This includes developing parts of the world that constitute the Global South – such as Africa, Latin America and the Caribbean, and Asia.</p> <p>Household incomes in the Global South are typically lower than in industrialised nations (known as the Global North). We might, then, conclude people in the poorest parts of the world have experienced the most perceptible global warming over their lifetimes. But that’s not always the case.</p> <p>Why? Because most parts of the Global South have younger populations than wealthier regions. And some people under the age of 20, including in northern India and parts of Sub-Saharan Africa, haven’t experienced warming over their lifetimes.</p> <p>In these places, the lack of recent warming is likely down to a few factors: natural climate variability, and the local cooling effect of particles released into the atmosphere from <a href="https://iopscience.iop.org/article/10.1088/1748-9326/ac3b7a">pollution</a> and changes in land use.</p> <p>There’s another complication. Some populated regions of the world also experienced slight cooling in the mid-20th century, primarily driven by human-caused <a href="https://www.nature.com/articles/nature10946">aerosol emissions</a>.</p> <p>So, many people born earlier than the 1950s have experienced less perceptible warming in their local area than those born in the 1960s and 1970s. This may seem counter-intuitive. But a cooling trend in the first few decades of one’s life means the warming experienced over an entire lifespan (from birth until today) is smaller and less detectable.</p> <p>So what does all this mean? People in equatorial areas born in the 1960s and 1970s – now aged between about 45 and 65 – have experienced more perceptible warming than anyone else on Earth.</p> <h2>Rich countries must act</h2> <p>Our findings are important, for several reasons.</p> <p>Identifying who has experienced significant global warming in their lives may help explain <a href="https://www.nature.com/articles/nclimate2660">attitudes to tackling climate change</a>.</p> <p>Our findings also raise significant issues of fairness and equity.</p> <p>Humanity will continue to warm the planet until we reach global net-zero emissions. This means many young people in lower-income countries may, later in life, experience a local climate that is unrecognisable to that of their youth.</p> <p>Of course, warming temperatures are not the only way people experience climate change. Others include sea-level rise, more intense drought and rainfall extremes. We know many of these impacts are felt most acutely by <a href="https://www.aljazeera.com/opinions/2022/5/11/climate-change-is-devastating-the-global-south">the most vulnerable populations</a>.</p> <p>Cumulative greenhouse gas emissions are much higher in the Global North, due to economic development. To address this inequality, rich industrialised nations must take a leading role in reducing emissions to net-zero, and helping vulnerable countries adapt to climate change.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211108/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, Senior Lecturer in Climate Science, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/ed-hawkins-104793">Ed Hawkins</a>, Professor of Climate Science, <a href="https://theconversation.com/institutions/university-of-reading-902">University of Reading</a>; <a href="https://theconversation.com/profiles/hunter-douglas-1460792">Hunter Douglas</a>, PhD Candidate, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</a>, and <a href="https://theconversation.com/profiles/luke-harrington-489028">Luke Harrington</a>, Senior Lecturer in Climate Change, <a href="https://theconversation.com/institutions/university-of-waikato-781">University of Waikato</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/research-reveals-whos-been-hit-hardest-by-global-warming-in-their-lifetime-and-the-answer-may-surprise-you-211108">original article</a>.</em></p>

Travel Trouble

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"It's been really hard": Nicole Kidman's Mother's Day heartbreak

<p>Nicole Kidman has opened up about her heartache on Mother’s Day this year as she continues to remain in lockdown during the coronavirus pandemic.</p> <p>The 52-year-old is currently living with husband Keith Urban and their two daughters, 11-year-old Sunday Rose and nine-year-old Faith Margaret in her Nashville home.</p> <p>And despite spending the special day with her daughters, there was one person noticeably absent from the day.</p> <p>Speaking to the Sydney Morning Herald via telephone, Nicole became emotional due to not seeing her mum on Mother’s Day this year.</p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/B9pwH7fpfow/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="12"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="margin: 8px 0 0 0; padding: 0 4px;"><a style="color: #000; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none; word-wrap: break-word;" rel="noopener" href="https://www.instagram.com/p/B9pwH7fpfow/?utm_source=ig_embed&utm_campaign=loading" target="_blank">Happy Birthday to my darling Mumma. I love you so much. This photo is so US! 😂 ❤️ 🥰</a></p> <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 post shared by <a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px;" rel="noopener" href="https://www.instagram.com/nicolekidman/?utm_source=ig_embed&utm_campaign=loading" target="_blank"> Nicole Kidman</a> (@nicolekidman) on Mar 12, 2020 at 4:40pm PDT</p> </div> </blockquote> <p>“We’re in a position where we just have to relinquish control right now and go day by day,” she said.</p> <p>But as much as she tries to remain optimistic, that hasn’t detracted from the hard reality of being away from her extended family.</p> <p>“I have my immediate family here, but I don’t have my extended family, who are so much a part of me. I can’t touch them,” she said.</p> <p>“So many people are in exactly the same position. So many people right now are going, ‘When do I see my family again?’”</p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CAA2TmspCxP/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="12"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="margin: 8px 0 0 0; padding: 0 4px;"><a style="color: #000; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none; word-wrap: break-word;" rel="noopener" href="https://www.instagram.com/p/CAA2TmspCxP/?utm_source=ig_embed&utm_campaign=loading" target="_blank">I know so many of us are not getting the chance to kiss and hug our Mums today, but to all the Mothers of the world - we are always with you and celebrating you 💕 #MothersDay</a></p> <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 post shared by <a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px;" rel="noopener" href="https://www.instagram.com/nicolekidman/?utm_source=ig_embed&utm_campaign=loading" target="_blank"> Nicole Kidman</a> (@nicolekidman) on May 10, 2020 at 9:00am PDT</p> </div> </blockquote> <p>The actress described her mum as “my mentor, my guide and my nurturer”, while adding that she was extremely grateful for Keith’s mother Marienne.</p> <p>“She gave me Keith, she gave me the greatest gift,” she said.</p> <p>“And I am down-on-my-knees grateful to her.”</p> <p>For the day itself, Kidman described her ideal celebration with her mum.</p> <p>"I would love to be able to have a cup of tea with mum and sit on the balcony and talk about life and have her tell me what I should be doing," the actress said.</p> <p>She also said that it had been “really hard” as her mother made the difficult decision to move back to Australia so she can spend time with her 80-year-old mum.</p> <p>"Talk about just gut-wrenching. At least there's FaceTime and technology because that's been a saving grace... It's been really hard," she said.</p>

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