Placeholder Content Image

For type 2 diabetes, focusing on when you eat – not what – can help control blood sugar

<p><em><a href="https://theconversation.com/profiles/evelyn-parr-441878">Evelyn Parr</a>, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> and <a href="https://theconversation.com/profiles/brooke-devlin-2237174">Brooke Devlin</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Type 2 diabetes affects <a href="https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-common-is-diabetes/type-2-diabetes">1.2 million Australians</a> and accounts for <a href="https://www.diabetesaustralia.com.au/about-diabetes/type-2-diabetes/">85-90%</a> of all diabetes cases. This chronic condition is characterised by high blood glucose (sugar) levels, which carry serious <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30058-2/abstract">health</a> risks. <a href="https://www.nature.com/articles/nrendo.2017.151">Complications</a> include heart disease, kidney failure and vision problems.</p> <p>Diet is an important way people living with type 2 diabetes manage blood glucose, alongside exercise and medication. But while we know individualised, professional dietary advice improves blood glucose, it can be <a href="https://linkinghub.elsevier.com/retrieve/pii/S0168822717317588">complex</a> and is not always <a href="https://www.publish.csiro.au/py/PY13021">accessible</a>.</p> <p><a href="https://www.sciencedirect.com/science/article/pii/S0168822724008039">Our new study</a> looked at the impact of time-restricted eating – focusing on when you eat, rather than what or how much – on blood glucose levels.</p> <p>We found it had similar results to individualised advice from an accredited practising dietitian. But there were added benefits, because it was simple, achievable, easy to stick to – and motivated people to make other positive changes.</p> <h2>What is time-restricted eating?</h2> <p>Time-restricted eating, also known as <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-nutr-082018-124320">the 16:8 diet</a>, became popular for weight loss around 2015. Studies have since shown it is also an <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811116">effective way</a> for people with type 2 diabetes to manage blood glucose.</p> <p>Time-restricted eating involves limiting when you eat each day, rather than focusing on what you eat. You restrict eating to a window during daylight hours, for example between 11am and 7pm, and then fast for the remaining hours. This can sometimes naturally lead to also eating less.</p> <p>Giving your body a break from constantly digesting food in this way helps align eating with natural <a href="https://doi.org/10.1111/jne.12886">circadian rhythms</a>. This <a href="https://doi.org/10.1111/jnc.15246">can help</a> regulate metabolism and improve overall health.</p> <p>For people with type 2 diabetes, there may be specific benefits. They often have their <a href="https://doi.org/10.2337/dc12-2127">highest blood glucose</a> reading in the morning. Delaying breakfast to mid-morning means there is time for physical activity to occur to help reduce glucose levels and prepare the body for the first meal.</p> <h2>How we got here</h2> <p>We ran an <a href="https://www.mdpi.com/2072-6643/12/11/3228">initial study</a> in 2018 to see whether following time-restricted eating was achievable for people with type 2 diabetes. We found participants could easily stick to this eating pattern over four weeks, for an average of five days a week.</p> <p>Importantly, they also had improvements in blood glucose, spending less time with high levels. <a href="https://www.mdpi.com/2072-6643/12/2/505">Our previous research</a> suggests the reduced time between meals may play a role in how the hormone insulin is able to reduce glucose concentrations.</p> <p><a href="https://doi.org/10.1001/jamanetworkopen.2023.39337">Other studies</a> have confirmed these findings, which have <a href="https://doi.org/10.1186/s12986-021-00613-9">also shown</a> notable improvements in HbA1c. This is a <a href="https://www.ncbi.nlm.nih.gov/books/NBK304271/">marker</a> in the blood that represents concentrations of blood glucose over an average of three months. It is the <a href="https://journals.sagepub.com/doi/10.4137/BMI.S38440">primary clinical tool</a> used for diabetes.</p> <p>However, these studies provided intensive support to participants through weekly or fortnightly meetings with researchers.</p> <p>While we know this level of support <a href="https://www.nature.com/articles/0802295">increases</a> how likely people are to stick to the plan and improves outcomes, it is not readily available to everyday Australians living with type 2 diabetes.</p> <h2>What we did</h2> <p>In our <a href="https://www.sciencedirect.com/science/article/pii/S0168822724008039">new study</a>, we compared time-restricted eating directly with advice from an <a href="https://dietitiansaustralia.org.au/working-dietetics/standards-and-scope/role-accredited-practising-dietitian">accredited practising dietitian</a>, to test whether results were similar across six months.</p> <p>We recruited 52 people with type 2 diabetes who were currently managing their diabetes with up to two oral medications. There were 22 women and 30 men, aged between 35 and 65.</p> <p>Participants were randomly divided into two groups: diet and time-restricted eating. In both groups, participants received four consultations across the first four months. During the next two months they managed diet alone, without consultation, and we continued to measure the impact on blood glucose.</p> <p>In the diet group, consultations focused on changing their diet to control blood glucose, including improving diet quality (for example, eating more vegetables and limiting alcohol).</p> <p>In the time-restricted eating group, advice focused on how to limit eating to a nine-hour window between 10am and 7pm.</p> <p>Over six months, we measured each participant’s blood glucose levels every two months using the HbA1c test. Each fortnight, we also asked participants about their experience of making dietary changes (to what or when they ate).</p> <h2>What we found</h2> <p>We found time-restricted eating was as effective as the diet intervention.</p> <p>Both groups had reduced blood glucose levels, with the greatest improvements occurring after the first two months. Although it wasn’t an objective of the study, some participants in each group also lost weight (5-10kg).</p> <p>When surveyed, participants in the time-restricted eating group said they had adjusted well and were able to follow the restricted eating window. Many told us they had family support and enjoyed earlier mealtimes together. Some also found they slept better.</p> <p>After two months, people in the time-restricted group were looking for more dietary advice to further improve their health.</p> <p>Those in the diet group were less likely to stick to their plan. Despite similar health outcomes, time-restricted eating seems to be a simpler initial approach than making complex dietary changes.</p> <h2>Is time-restricted eating achievable?</h2> <p>The main barriers to following time-restricted eating are social occasions, caring for others and work schedules. These factors may prevent people eating within the window.</p> <p>However, there are many benefits. The message is simple, focusing on when to eat as the main diet change. This may make time-restricted eating more translatable to people from a wider variety of socio-cultural backgrounds, as the types of foods they eat don’t need to change, just the timing.</p> <p>Many people don’t have access to more individualised support from a dietitian, and receive nutrition advice from their GP. This makes time-restricted eating an alternative – and equally effective – strategy for people with type 2 diabetes.</p> <p>People should still try to stick to <a href="https://www.eatforhealth.gov.au/guidelines/guidelines">dietary guidelines</a> and prioritise vegetables, fruit, wholegrains, lean meat and healthy fats.</p> <p>But our study showed time-restricted eating may also serve as stepping stone for people with type 2 diabetes to take control of their health, as people became more interested in making diet and other positive changes.</p> <p>Time-restricted eating might not be appropriate for everyone, especially people on medications which don’t recommend fasting. Before trying this dietary change, it’s best speak to the healthcare professional who helps you manage diabetes.<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/241472/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/evelyn-parr-441878">Evelyn Parr</a>, Research Fellow in Exercise Metabolism and Nutrition, Mary MacKillop Institute for Health Research, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> and <a href="https://theconversation.com/profiles/brooke-devlin-2237174">Brooke Devlin</a>, Lecturer in Nutrition and Dietetics, School of Human Movement and Nutrition Sciences, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</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/for-type-2-diabetes-focusing-on-when-you-eat-not-what-can-help-control-blood-sugar-241472">original article</a>.</em></p>

Body

Placeholder Content Image

Michael Schumacher attends first 'public' event since accident

<p>Michael Schumacher has reportedly attended his <a href="https://www.oversixty.com.au/lifestyle/relationships/michael-schumacher-s-daughter-ties-the-knot-at-luxury-spanish-villa" target="_blank" rel="noopener">daughter's wedding</a>, making this his first public appearance in 11 years. </p> <p>Gina Schumacher tied the knot with Iain Bethke at the family’s luxury villa in Mallorca over the weekend, and while Michael's attendance was previously unknown, several outlets have reported that he attended the special event. </p> <p>The Formula 1 icon's wife, Corinna, has kept his condition private since his tragic skiing accident in 2013, with only an extremely small inner circle of people allowed to see him, therefore this marks the first time that Michael has been 'seen' by extended friends and family. </p> <p><em>The Daily Mail</em> reported that privacy was extremely tight at the event, with wedding guests required to leave their phones at the front door upon arrival. </p> <p>The family also reportedly looked at hiring a large security team to keep photographers away. </p> <p>The success of the event has reportedly raised hopes that the family will consider future opportunities for the Ferrari icon to be seen in public, with more people reportedly being let into the 'inner circle'. </p> <p>Michael's son Mick, who has been dating 23-year-old Danish model Laila Hasanovic for two years, is reportedly engaged to her, and in January it was reported that she had been given approval to visit the F1 legend. </p> <p>Updates on the former racer's health have been few and far between.</p> <p>Late last year, Schumacher's former boss at Ferrari and close friend Jean Todt revealed: "He is simply not the Michael he used to be. He is different, and is wonderfully guided by his wife and children who protect him. His life is different now, and I have the privilege of sharing moments with him. That's all there is to say."</p> <p>Corinna also spoke publicly about the accident and her decision to keep Michael's condition private in a 2021 Netflix documentary.</p> <p>"'Private is private’, as he always said. It’s very important to me that he can continue to enjoy his private life as much as possible,” she said. </p> <p>“Michael always protected us and now we are protecting Michael. What he really didn’t like was the press, the people, all the hype around him. That’s not what he wanted. He wanted to do the sport," she continued. </p> <p>In the documentary she also said: “I miss Michael every day.</p> <p>“But it is not just me who misses him. It’s the children, the family, his father, everyone around him. I mean, everybody misses Michael, but Michael is here.</p> <p>“Different, but he’s here, and that gives us strength. We’re together. We live together at home.”</p> <p>Michael reportedly moved from his Swiss home to the exclusive Spanish villa where Gina's wedding was held in September 2020 according to the Spanish press. </p> <p>According to<em> The Sun</em>, Michael spent much of his recent life at the  $50 million villa, which is believed to have been adapted allowing a team of doctors and nurses to provide round-the-clock care. </p> <p><em>Image: Instagram</em></p>

Caring

Placeholder Content Image

What is ‘health at every size’ lifestyle counselling? How does it compare with weight-focused treatments?

<p><em><a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/jordan-stanford-1631336">Jordan Stanford</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>, and <a href="https://theconversation.com/profiles/maria-gomez-martin-1218567">María Gómez Martín</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Health at every size (or HAES) is a lifestyle counselling approach that promotes mindful eating and lifestyle behaviours to pursue health and wellness, without focusing on weight loss. Weight loss is seen as a <a href="https://www1.racgp.org.au/newsgp/clinical/understanding-the-%E2%80%98health-at-every-size%E2%80%99-paradigm">beneficial side effect</a>, rather than a goal.</p> <p>The <a href="https://www.sizeinclusivehealth.org.au/What-is-HAES">Association for Size Diversity and Health</a> first developed the approach in 2003 and revised it in 2013 and 2024. Its current <a href="https://asdah.org/haes/">core principles</a> promote:</p> <ul> <li>minimising weight discrimination</li> <li>encouraging body acceptance</li> <li>intuitive eating</li> <li>enjoyable physical activities.</li> </ul> <p>It also aims to address <a href="https://theobesitycollective.org.au/our-work/#weight-stigma-awareness">stigma and discrimination</a> that people in larger bodies may experience when seeking medical care.</p> <p>Internationally, a <a href="https://asdah.org/listing/">range of health professionals</a> have incorporated the HAES approach into their treatment and services. Some organisations, such as <a href="https://obesitycanada.ca/guidelines/nutrition/">Obesity Canada</a>, have included HAES in their <a href="https://pubmed.ncbi.nlm.nih.gov/32753461/">guidelines for obesity treatment</a>.</p> <h2>How does it compare with weight-focused treatments?</h2> <p>We conducted a <a href="https://pubmed.ncbi.nlm.nih.gov/38563692/">systematic review and meta-analysis</a> of all the research studies published until November 2022 that had used HAES-based programs.</p> <p>Across 19 scientific papers, we compared the outcomes of people living in larger bodies who used HAES-based programs <a href="https://pubmed.ncbi.nlm.nih.gov/38563692/">with</a>:</p> <ul> <li>conventional weight loss programs (six studies)</li> <li>people on waiting lists receiving no treatment at all (six studies)</li> <li>groups where people received weekly social support in groups (four studies).</li> </ul> <p>We evaluated the program’s impact on appetite, weight, physical health measurements including cholesterol and blood pressure, and also wellbeing and mental health.</p> <p>Our analysis found HAES interventions were beneficial in reducing susceptibility to hunger more than other approaches, meaning people had less subjective perceptions of hunger or eating in response to emotions.</p> <p>However, compared to control interventions, HAES did not show superior results for improving any other physical health outcome – weight loss, blood cholesterol levels, blood pressure – or wellbeing or mental health outcomes.</p> <p>Given the results to date, the choice about whether to use a HAES-based approach (or not) will depend on each person’s preference, needs and goals.</p> <h2>Don’t get your health advice from influencers</h2> <p>While HAES has been used in clinical practice for many years, some United States and Canadian anti-diet practitioner’s motives have been scrutinised because of their links <a href="https://www.washingtonpost.com/wellness/2024/04/03/diet-culture-nutrition-influencers-general-mills-processed-food/">with processed food companies</a>.</p> <p>The spotlight was put on the <a href="https://nutritionbycarrie.com/2024/04/washington-post-dietitians.html">very small number</a> of dietitian “influencers” (roughly 20 from a membership of more than 80,000 dietitians in the US and Canada) promoting “eat what you feel like” and discouraging people from making weight loss attempts, under the banner of HAES. They failed to mention they were being paid to promote products sold by food, beverage or supplement companies.</p> <p>US <a href="https://nutritionbycarrie.com/2024/04/washington-post-dietitians.html">author and dietitian Carrie Dennet</a> urges people to not look to influencers for health advice. Instead, seek non-judgemental health care from your GP.</p> <h2>What might treatment look like?</h2> <p>When improving your health is a treatment goal, a good place to start your journey is to have a health check-up with your doctor, as well as to assess your relationship with food.</p> <p>A healthy relationship with food means being able to eat appropriate amounts and variety of foods to meet your nutritional, health and wellbeing goals. This might include strategies such as:</p> <ul> <li>keeping a <a href="https://theconversation.com/what-does-having-a-good-relationship-with-food-mean-4-ways-to-know-if-youve-got-one-202622">food mood diary</a></li> <li>reflecting on factors that influence your eating</li> <li>practising <a href="https://theconversation.com/thinking-youre-on-a-diet-is-half-the-problem-heres-how-to-be-a-mindful-eater-99207">mindful eating</a></li> <li>learning about nutrient needs</li> <li>focusing on food enjoyment and the pleasure that comes from preparing, sharing and eating with others.</li> </ul> <p>If you need more help to develop this, ask your doctor to refer you to a health practitioner who can assist.</p> <h2>What if your goal is weight loss?</h2> <p>When it comes to medical nutrition therapy to treat weight-related health conditions, such as high blood pressure and type 2 diabetes, the approach will depend on individual needs and expectations.</p> <p>Broadly, there are three graded energy intake target levels:</p> <ol> <li> <p>a reduced-energy diet where the goal is to lower energy intake by 2,000 to 4,000 kilojoules (kJ) per day by identifying food substitutions, like swapping soft drinks and other sugar-sweetened drinks for zero or diet versions or water.</p> </li> <li> <p>a <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">low-energy diet</a>, which uses an energy intake goal in the range of 4,200-5,000 kJ, up to 7,000 kJ per day depending on an individual’s energy expenditure.</p> </li> <li> <p>the most restricted regime is a <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">very low-energy diet</a>, has an energy intake target less than 2,500 kJ/day, achieved using formulated meal replacement products.</p> </li> </ol> <p>The aim of a <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">very low-energy diet</a> is to facilitate rapid weight loss when this is essential to improve health acutely such as poorly controlled type 2 diabetes. Such a diet should be used under supervision by your doctor and dietitian.</p> <p>When selecting an initial <a href="https://theconversation.com/health-check-whats-the-best-diet-for-weight-loss-21557">strategy</a>, seek a balance between energy intake goals and your ability to stick to it. Your approach may change over time as your health needs change.</p> <p>If you need personalised nutrition advice, ask for a referral to an accredited practising dietitian. The <a href="https://member.dietitiansaustralia.org.au/Portal/Portal/Search-Directories/Find-a-Dietitian.aspx">register of service providers though Dietitians Australia</a> allows you to view their expertise and location.</p> <p>Regardless of whether your practitioner uses a HAES approach or not, your health providers should always treat you with respect and address your personal health and wellbeing.<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/234376/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, Postdoctoral Researcher, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/jordan-stanford-1631336">Jordan Stanford</a>, Post Doctorate Fellow, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>, and <a href="https://theconversation.com/profiles/maria-gomez-martin-1218567">María Gómez Martín</a>, Dietitian and early career researcher, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image </em><em>credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-health-at-every-size-lifestyle-counselling-how-does-it-compare-with-weight-focused-treatments-234376">original article</a>.</em></p>

Body

Placeholder Content Image

Ovarian cancer is hard to detect. Focusing on these 4 symptoms can help with diagnosis

<p><em><a href="https://theconversation.com/profiles/jenny-doust-12412">Jenny Doust</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Ovarian cancers are often found when they are already advanced and hard to treat.</p> <p>Researchers <a href="https://ascopubs.org/doi/10.1200/JCO.2010.32.2164">have long believed</a> this was because women first experienced symptoms when ovarian cancer was already well-established. Symptoms can also be <a href="https://cancer.org.au/cancer-information/causes-and-prevention/early-detection-and-screening/early-detection-of-ovarian-cancer">hard to identify</a> as they’re vague and similar to other conditions.</p> <p>But <a href="https://ijgc.bmj.com/content/early/2024/07/24/ijgc-2024-005371">a new study</a> shows promising signs ovarian cancer can be detected in its early stages. The study targeted women with four specific symptoms – bloating, abdominal pain, needing to pee frequently, and feeling full quickly – and put them on a fast track to see a specialist.</p> <p>As a result, even the most aggressive forms of ovarian cancer could be detected in their early stages.</p> <p>So what did the study find? And what could it mean for detecting – and treating – ovarian cancer more quickly?</p> <h2>Why is ovarian cancer hard to detect early?</h2> <p>Ovarian cancer <a href="https://pubmed.ncbi.nlm.nih.gov/24979449/">cannot be detected</a> via cervical cancer screening (which used to be called a pap smear) and pelvic exams <a href="https://pubmed.ncbi.nlm.nih.gov/24979449/">aren’t useful</a> as a screening test.</p> <p>Current <a href="https://www.canceraustralia.gov.au/cancer-types/gynaecological-cancers/clinicians-hub/ovarian-cancer-guidelines">Australian guidelines</a> recommend women get tested for ovarian cancer if they have symptoms for <a href="https://www.canceraustralia.gov.au/sites/default/files/publications/assessment-symptoms-may-be-ovarian-cancer-guide-gps/pdf/ocg_assessment_of_symptoms_gp_card_0.pdf">more than a month</a>. But many of the <a href="https://cancer.org.au/cancer-information/types-of-cancer/ovarian-cancer">symptoms</a> – such as tiredness, constipation and changes in menstruation – are vague and overlap with other common illnesses.</p> <p>This makes early detection a challenge. But it is crucial – a woman’s <a href="https://seer.cancer.gov/statfacts/html/ovary.html">chances of surviving ovarian cancer</a> are associated with how advanced the cancer is when she is diagnosed.</p> <p>If the cancer is still confined to the original site with no spread, the five-year survival rate is 92%. But over half of women diagnosed with ovarian cancer first present when the cancer has <a href="https://seer.cancer.gov/statfacts/html/ovary.html">already metastatised</a>, meaning it has spread to other parts of the body.</p> <p>If the cancer has spread to nearby lymph nodes, the survival rate is reduced to 72%. If the cancer has already metastasised and spread to distant sites at the time of diagnosis, the rate is only 31%.</p> <p>There are mixed findings on whether detecting ovarian cancer earlier leads to better survival rates. For example, a trial in the UK that screened more than 200,000 women <a href="https://pubmed.ncbi.nlm.nih.gov/37183782/">failed to reduce deaths</a>.</p> <p>That study screened the general public, rather than relying on self-reported symptoms. The new study suggests asking women to look for specific symptoms can lead to earlier diagnosis, meaning treatment can start more quickly.</p> <h2>What did the new study look at?</h2> <p>Between June 2015 and July 2022, the researchers recruited 2,596 women aged between 16 and 90 from 24 hospitals across the UK.</p> <p>They were asked to monitor for these four symptoms:</p> <ul> <li>persistent abdominal distension (women often refer to this as bloating)</li> <li>feeling full shortly after starting to eat and/or loss of appetite</li> <li>pelvic or abdominal pain (which can feel like indigestion)</li> <li>needing to urinate urgently or more often.</li> </ul> <p>Women who reported at least one of four symptoms persistently or frequently were put on a <a href="https://pubmed.ncbi.nlm.nih.gov/22479719/">fast-track pathway</a>. That means they were sent to see a gynaecologist within two weeks. The fast track pathway has been used in the UK since 2011, but is not specifically part of Australia’s guidelines.</p> <p>Some 1,741 participants were put on this fast track. First, they did a blood test that measured the cancer antigen 125 (CA125). If a woman’s CA125 level was abnormal, she was sent to do a internal vaginal ultrasound.</p> <h2>What did they find?</h2> <p>The study indicates this process is better at detecting ovarian cancer than general screening of people who don’t have symptoms. Some 12% of women on the fast-track pathway were diagnosed with some kind of ovarian cancer.</p> <p>A total of 6.8% of fast-tracked patients were diagnosed with high-grade serous ovarian cancer. It is the most aggressive form of cancer and responsible for 90% of ovarian cancer deaths.</p> <p>Out of those women with the most aggressive form, one in four were diagnosed when the cancer was still in its early stages. That is important because it allowed treatment of the most lethal cancer before it had spread significantly through the body.</p> <p>There were some promising signs in treating those with this aggressive form. The majority (95%) had surgery and three quarters (77%) had chemotherapy. Complete cytoreduction – meaning all of the cancer appears to have been removed – was achieved in six women out of ten (61%).</p> <p>It’s a promising sign that there may be ways to “catch” and target ovarian cancer before it is well-established in the body.</p> <h2>What does this mean for detection?</h2> <p>The study’s findings suggest this method of early testing and referral for the symptoms leads to earlier detection of ovarian cancer. This may also improve outcomes, although the study did not track survival rates.</p> <p>It also points to the importance of public awareness about symptoms.</p> <p>Clinicians should be able to recognise all of the ways ovarian cancer can present, including vague symptoms like general fatigue.</p> <p>But empowering members of the general public to recognise a narrower set of four symptoms can help trigger testing, detection and treatment of ovarian cancer earlier than we thought.</p> <p>This could also save GPs advising every woman who has general tiredness or constipation to undergo an ovarian cancer test, making testing and treatment more targeted and efficient.</p> <p>Many women remain <a href="https://www.google.com/url?q=https://pubmed.ncbi.nlm.nih.gov/24612526/&amp;sa=D&amp;source=docs&amp;ust=1723610085733806&amp;usg=AOvVaw3J5o5DwRFiDzFaQcD7VTQn">unaware of the symptoms</a> of ovarian cancer. This study shows recognising them may help early detection and treatment.<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/236775/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/jenny-doust-12412">Jenny Doust</a>, Clinical Professorial Research Fellow, Australian Women and Girls' Health Research Centre, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</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/ovarian-cancer-is-hard-to-detect-focusing-on-these-4-symptoms-can-help-with-diagnosis-236775">original article</a>.</em></p>

Body

Placeholder Content Image

Swimmer drowns unnoticed during event

<p>An athlete has drowned in the middle of a livestreamed sporting competition in the US, with spectators and competitors alike not realising until it was too late.</p> <p>Lazar Đukić, an athlete from Belgrade, Serbia, was one of many competing at the CrossFit competition in Texas, when he reportedly vanished near the end of a live-streamed 800-metre swim in Fort Worth’s Marine Creek Lake, near Dallas, on Thursday. </p> <p>Spectators, staff and swimmers initially didn't notice the man had drowned, as the Fort Worth Fire Department told AP it was called to assist police because there “was a participant in the water that was down and hadn’t been seen in some point in time”.</p> <p>Two hours after he was last seen, a body was pulled from the lake. </p> <p>One distressed spectator said “people were still swimming over him where he went down”.</p> <p>The organisers of the CrossFit Games issued a statement on Thursday, saying they are "deeply saddened" by the turn of events. </p> <p>“CrossFit is deeply saddened by the death of a CrossFit Games competitor during the swimming portion of Individual Event 1 at the 2024 CrossFit Games,” the statement read.</p> <p>“We are fully co-operating with authorities and doing everything we can to support the family at this time.”</p> <p>Mr Đukić, 28, has been remembered as a “beloved friend and elite athlete”.</p> <p>A <a title="www.gofundme.com" href="https://www.gofundme.com/f/lazar-dukic-support-fund">GoFundMe fundraising page</a> has been set up by one of Mr Đukić sponsors drinks brand Fitaid, to “support his loved ones during this time”, and has already raised $215,000 of $228,000 goal. </p> <p>“Known for his kindness, humour, and supportive nature, Lazar brought a breath of fresh air wherever he went,” state the page.</p> <p>“Beyond his athletic achievements, Lazar was caring, humorous and relentlessly supported those around him. His warm, supportive nature and quick wit left a lasting impression on everyone he met.”</p> <p><em>Image credits: GoFundMe</em></p>

Caring

Placeholder Content Image

Does hosting the Olympics, the World Cup or other major sports events really pay off?

<p><em><a href="https://theconversation.com/profiles/ivan-savin-678930">Ivan Savin</a>, <a href="https://theconversation.com/institutions/escp-business-school-813">ESCP Business School</a></em></p> <p>After a long battle, <a href="https://www.france24.com/en/europe/20240213-paris-booksellers-stay-olympics-macron-bouquiniste-france">Paris’s beloved <em>bouquinistes</em> will be staying put</a> this summer. The decision, announced on 13 February by the French government, came after considerable public backlash to the police prefecture’s original plan to move part of the iconic Seine booksellers elsewhere for the inauguration of the Olympics Games on 26 July.</p> <p>Meanwhile, less than six months away from the event, Parisians continue to grumble over a <a href="https://www.ouest-france.fr/jeux-olympiques/cest-aberrant-ce-maire-vient-dapprendre-que-sa-ville-accueillera-les-jeux-de-paris-ab1fa968-cfd1-11ee-89c0-6cefac77e04a">lack of consultations</a> with locals, warnings of <a href="https://www.rfi.fr/en/france/20231130-paris-vehicle-traffic-to-be-heavily-restricted-during-2024-olympic-games">gridlocked traffic</a>, closed metro stations, extensive video surveillance and other grievances. So for host countries, what was the point of the Olympics, again?</p> <p>In academia, the debate about the potential positive and negative effects of large-scale sporting events is ongoing. Although these events are often associated with substantial economic losses, the long-term benefits are the main argument in favour of hosting them. These include the development of material and soft infrastructure such as hotels, restaurants or parks. Big games can also help put the host region on the map as an attractive place for sports and cultural events, and inspire a better entrepreneurial climate.</p> <h2>The pros and the cons of big sporting events?</h2> <p>The cost of these benefits, as the Parisians have realised, is steep. Host countries appear to suffer from increased tax burdens, low returns on public investments, high construction costs, and onerous running cost of facilities after the event. Communities can also be blighted by noise, pollution, and damage to the environment, while increased criminal activity and potential conflicts between locals and visitors can take a toll on their quality of life. As a result, in the recent past several major cities, including Rome and Hamburg, <a href="https://www.dw.com/en/6-cities-that-rejected-the-olympics/a-46289852">withdrew their bids to host the games</a>.</p> <p>A common feature of the economics of large-scale sporting events is that our expectations of them are more optimistic than what we make of them once they have taken place. Typically, expenditure tends to tip over the original budget, while the revenue-side indicators (such as the number of visitors) are rarely achieved.</p> <p>When analysing the effect of hosting large-scale sporting events on tourist visits, it is important to take into consideration both the positive and negative components of the overall effect. While positive effects may be associated with visitors, negative effects may arise when “regular” tourists refuse to visit the location due to the event. This might be because of overloaded infrastructure, sharp increases in accommodation costs, and inconveniences associated with overcrowding or raucous or/and violent visitors. On top of that, reports of poverty or crime in the global media can actually undermine the location’s attractiveness.</p> <h2>When big sporting events crowd out regular tourists</h2> <p>In an <a href="https://doi.org/10.1177/1527002523120639">article published in the <em>Journal of Sports Economics</em></a> with Igor Drapkin and Ilya Zverev, I assess the effects of hosting large-scale sporting events, such as Winter and Summer Olympics plus FIFA World Cups, on international tourist visits. We utilise a comprehensive dataset on flow of tourists covering the world’s largest destination and origin countries between 1995 and 2019. As a first step, we built an econometric model that effectively predicts the flow of tourists between any pair of countries in our data. Subsequently we compared the predicted tourist inflow in a hypothetical scenario where no large-scale sporting event would have taken place with the actual figures. If the actual figures exceed the predicted ones, we consider the event to have a net positive impact. Otherwise, we consider that it had a “crowding out” effect on “regular” tourists. While conducting this analysis, we distinguished between short-term (i.e., focusing just on the year of the event) and mid-term (year of the event plus three subsequent years).</p> <p>Our results show that the effects of large-scale sporting events vary a lot across host countries: The World Cup in Japan and South Korea 2002 and South Africa 2010 were associated with a distinct increase in tourist arrivals, whereas all other World Cups were either neutral or negative. Among the Summer Olympics, China in 2008 is the only case with a significant positive effect on tourist inflows. The effects of the other four events (Australia 2000, Greece 2004, Great Britain 2012, and Brazil 2016) were found to be negative in the short- and medium-term. As for the Winter Olympics, the only positive case is Russia in 2014. The remaining five events had a negative impact except the one-year neutral effect for Japan 1998.</p> <p>Following large-scale sporting events, host countries are therefore typically less visited by tourists. Out of the 18 hosting countries studied, 11 saw tourist numbers decline over four years, and three did not experience a significant change.</p> <h2>The case for cautious optimism</h2> <p>Our research indicates that the positive effect of hosting large-scale sporting events on tourist inflows is, at best, moderate. While many tourists are attracted by FIFA World Cups and Olympic games, the crowding-out effect of “regular” tourists is strong and often underestimated. This implies that tourists visiting for an event like the Olympics typically dissuade those who would have come for other reasons. Thus, efforts to attract new visitors should be accompanied by efforts to retain the already existing ones.</p> <p>Large-scale sporting events should be considered as part of a long-term policy for promoting a territory to tourists rather than a standalone solution. Revealingly, our results indicate that it is easier to get a net increase in tourist inflows in countries that are less frequent destinations for tourists – for example, those in Asia or Africa. By contrast, the United States and Europe, both of which are traditionally popular with tourists, have no single case of a net positive effect. Put differently, the large-scale sporting events in Asia and Africa helped promote their host countries as tourist destinations, making the case for the initial investment. In the US and Europe, however, those in the last few decades brought little return, at least in terms of tourist inflow.<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/222118/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/ivan-savin-678930">Ivan Savin</a>, Associate professor of quantitative analytics, research fellow at ICTA-UAB, <a href="https://theconversation.com/institutions/escp-business-school-813">ESCP Business School</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/does-hosting-the-olympics-the-world-cup-or-other-major-sports-events-really-pay-off-222118">original article</a>.</em></p>

Travel Tips

Placeholder Content Image

Extreme weather events are exactly the time to talk about climate change – here’s why

<p><em><a href="https://theconversation.com/profiles/josh-ettinger-1302389">Josh Ettinger</a>, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a></em></p> <p>Record-breaking heatwaves are <a href="https://public.wmo.int/en/media/news/simultaneous-heatwaves-hit-northern-hemisphere-summer-of-extremes">sweeping across the northern hemisphere</a>, affecting large parts of southern Europe, the US and China. On July 24, Sicily recorded blistering temperatures <a href="https://www.bbc.com/news/world-europe-66302472">of more than 47.5℃</a> and wildfires are currently <a href="https://www.theguardian.com/world/2023/jul/25/how-bad-are-wildfires-in-greece-what-caused-them-visual-guide-heatwave">tearing through Greece</a>. The heatwaves come as <a href="https://www.reuters.com/graphics/CANADA-WILDFIRE/HISTORIC/znvnzebmavl/">record numbers of fires continue to burn</a> across Canada.</p> <p>A <a href="https://www.bbc.co.uk/news/science-environment-66289489">study by the World Weather Attribution group</a> found that these heatwaves would have been “virtually impossible” without climate change. In fact, the heatwave that is affecting parts of China was made 50 times more likely by global warming. This is exactly what climate scientists have been warning us about for decades – climate change makes many types of extreme weather event <a href="https://www.carbonbrief.org/explainer-what-the-new-ipcc-report-says-about-extreme-weather-and-climate-change/">more likely, more intense and longer lasting</a>.</p> <p>As a PhD researcher examining extreme weather events and climate change communication, I have spent the past four years exploring how extreme weather events may affect the way the public feels, thinks and acts on climate change.</p> <p>One area of interest to researchers is how extreme weather events might reduce the <a href="https://www.sciencedirect.com/science/article/pii/S0272494422000676">“psychological distance”</a> associated with climate change. While climate change can feel abstract and vague, extreme weather is something people can experience firsthand.</p> <p>But <a href="https://iopscience.iop.org/article/10.1088/1748-9326/ab466a/meta">research offers contrasting results</a>. Some studies have found that extreme weather events lead to an <a href="https://www.journals.uchicago.edu/doi/full/10.1017/S0022381612000448?casa_token=dTns6Kvds1AAAAAA%3AkQcleVJ95vJUyh5Pg2vxvFEDbzfR1RsuOI131QCMO0wvdtIiLSVEq4EW6fZYwC7Yhraxj-NB9g">increased belief</a> that human-driven climate change is occurring and <a href="https://link.springer.com/article/10.1007/s10584-016-1837-4">greater support for climate action</a>. Others <a href="https://link.springer.com/article/10.1007/s10584-021-03176-z">find no effects</a> or suggest that these effects are <a href="https://www.sciencedirect.com/science/article/abs/pii/S0959378017309135?via%3Dihub">only temporary</a>.</p> <p>However, <a href="https://www.nature.com/articles/s41467-022-32412-y">we often underestimate</a> how much the public already cares about climate change. In Britain, <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1164127/desnz-pat-spring-2023-net-zero-and-climate-change.pdf">just 4% of the public</a> say they are not at all concerned about climate change, while only <a href="https://climatecommunication.yale.edu/about/projects/global-warmings-six-americas/">11% of Americans</a> dismiss the issue.</p> <p>Given that <a href="https://www.pewresearch.org/short-reads/2019/04/18/a-look-at-how-people-around-the-world-view-climate-change/">most people</a> are already concerned about climate change, an important question now is how to shift these existing concerns into action.</p> <p><a href="https://theconversation.com/how-to-talk-to-your-family-and-friends-about-the-new-ipcc-report-five-tips-from-climate-change-communication-research-202306">Talking about climate change</a> is a powerful way of mobilising climate action, and extreme weather events provide helpful climate conversation starters. We can use these moments as opportunities to <a href="https://journals.sagepub.com/doi/10.1177/20563051231177930">engage our families, friends and communities</a> in discussions about how climate change may relate to these events and <a href="https://drawdown.org/solutions">what we can do about it</a>.</p> <p>So, if you decide to engage people you know in discussions about extreme weather and climate change, here are a few thoughts and guidelines to keep in mind.</p> <h2>1. Listen and share perspectives</h2> <p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0887618520300773">Extreme weather events can be traumatic</a> and climate change can evoke a wide range of emotional responses. If the person you are talking to is comfortable discussing the topic, ask them about their experiences and observations.</p> <p>Encourage them to tell stories and affirm the validity of their emotional response – whether they are afraid, angry, hopeful or worried. There is no one right way to feel about climate change, so listen to what they have to say and then share your own perspective too.</p> <h2>2. Talk about planning and preparation</h2> <p>When discussing extreme weather events, some people may link their experiences to climate change, while others focus on various local factors that contribute to extreme weather risks.</p> <p>The risks associated with extreme weather arise from a <a href="https://www.ipcc.ch/report/ar6/wg2/chapter/summary-for-policymakers/">combination</a> of factors. These include the weather itself, which can be influenced by climate change, the level of exposure of people and places to extreme weather and the vulnerability of those to harm.</p> <p>Climate change, for instance, can affect the frequency, intensity and duration of wildfires. But emergency responses, evacuation procedures, firefighting and healthcare systems are crucially important to reduce risks. There are also significant equity and justice implications of extreme weather as different populations are <a href="https://link.springer.com/article/10.1007/s41885-020-00060-5">affected disproportionally</a>.</p> <p>It’s also important to bear in mind that while climate change affects many extreme weather events, it <a href="https://www.carbonbrief.org/climate-change-not-the-main-driver-of-madagascar-food-crisis-scientists-find/">does not necessarily affect every instance</a>. Weather systems are complex and there are <a href="https://theconversation.com/heres-why-climate-change-isnt-always-to-blame-for-extreme-rainfall-206958">meteorological processes</a> that scientists are still trying to understand.</p> <p>We also need to make sure the roles of local planning and preparation in minimising the impact of these events are not overlooked.</p> <h2>3. Challenge arguments about politicising the weather</h2> <p>In May 2023, Republican governor of Florida, Ron DeSantis, dismissed concerns about global warming by claiming that he rejects the <a href="https://www.independent.co.uk/news/world/americas/us-politics/desantis-climate-change-fox-news-b2346211.html">“politicisation of the weather”</a>. Ontario premier, Doug Ford, recently <a href="https://www.cbc.ca/news/canada/toronto/ontario-climate-change-forest-fires-politics-ford-stiles-1.6869071">made a similar argument</a> about Canada’s wildfires.</p> <p>In conversations, it’s possible that someone might accuse you too of “politicising” the weather. You can (respectfully) push back against this claim.</p> <p>This argument is a <a href="https://www.cambridge.org/core/journals/global-sustainability/article/discourses-of-climate-delay/7B11B722E3E3454BB6212378E32985A7">discourse of climate delay</a>. Rather than denying the existence of human-driven climate change, climate delay discourses try to shut down climate discussions and cast doubt on the need to act very quickly. These arguments disingenuously assert that acting on climate is too expensive, too late or that someone else should take care of it – and they are <a href="https://theconversation.com/climate-change-multi-country-media-analysis-shows-scepticism-of-the-basic-science-is-dying-out-198303">becoming increasingly common</a>.</p> <p>If we shouldn’t discuss climate change when extreme weather occurs, then when is the right time? If we want to protect lives, we need to talk about – and act upon – the risks associated with extreme weather events and the disasters they can cause.</p> <p>If talking about climate change politicises the weather, so be it. The politics of climate denial and delay affected this summer’s weather, and our current decisions will shape our planet for thousands of years.</p> <p>The science is clear. Act now or face increasingly dire consequences.<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/210412/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/josh-ettinger-1302389">Josh Ettinger</a>, Doctoral researcher, School of Geography and the Environment, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</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/extreme-weather-events-are-exactly-the-time-to-talk-about-climate-change-heres-why-210412">original article</a>.</em></p>

Travel Trouble

Placeholder Content Image

For some LGBTQ+ older people, events like World Pride can be isolating – we need to better understand how to support them

<p><a href="https://sydneyworldpride.com/">World Pride</a> has come to Sydney, with the annual <a href="https://sydneyworldpride.com/events/mardi-gras-parade/">Mardi Gras Parade</a> on Saturday having returned to its Oxford Street home for the first time in three years.</p> <p>The 17-day festival is expected to host 500,000 participants over more than 300 events. It is an opportunity to celebrate all things queer, and a good time to take stock of the changes LGBTQ+ older people have experienced, and the challenges they continue to face.</p> <p>LGBTQ+ people aged in their 70s, 80s and 90s have witnessed extraordinary social change regarding gender and sexual diversity. For example, in Australia, same-sex marriage is now legal, <a href="https://www.scientificamerican.com/article/where-transgender-is-no-longer-a-diagnosis/">Gender Identity Disorder</a> has been removed as a clinical diagnosis, and all states have an equal age of consent for homosexual and heterosexual sex.</p> <p>These have been hard-fought gains after many years of adversity and advocacy on the part of LGBTQ+ older people, among others.</p> <p>Each year, the <a href="https://www.78ers.org.au/">78ers</a> – who were involved in the Sydney marches and protests between June and August 1978 – take pride of place towards the front of the parade.</p> <h2>Loneliness and social isolation</h2> <p>Despite these achievements, the consequences of living most of one’s life in a homophobic and transphobic society have been considerable, particularly in terms of mental illness and social isolation.</p> <p><a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">Australian</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/34326557/">US</a> research indicates loneliness is more common among lesbian, gay and bisexual older people than the general population. This is particularly so for those who live alone and are not in a relationship. Similar findings are reported in relation to <a href="https://www.lgbtagingcenter.org/resources/pdfs/LGBT%20Aging%20and%20Health%20Report_final.pdf">transgender older people</a>, although more research is needed.</p> <p><a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">Loneliness</a> is also more common among lesbian and gay older people who are disconnected from LGBTQ+ communities and who hold negative attitudes towards their own same-sex attraction.</p> <p>For LGBTQ+ older people experiencing social isolation and loneliness, what might be their experience of watching World Pride from a distance? What might it be like navigating rainbow paraphernalia while shopping at <a href="https://www.coles.com.au/about/sustainability/better-together/our-team/pride">Coles</a> (a World Pride partner)? How might they perceive the glitz and glamour of the Mardi Gras Parade?</p> <p>World Pride may be challenging for those who don’t feel an attachment to LGBTQ+ communities or who feel negative about their own sexuality. And this may reinforce a sense of disconnection.</p> <p>But some may gain comfort from witnessing the sense of community on display. It may even strengthen their perceived connection to other LGBTQ+ people. And, for those who are not open about their sexuality or authentic gender, it may support their journey to “come out” later in life.</p> <h2>The impact of discrimination</h2> <p>For many LGBTQ+ older people, the experience of discrimination remains very real in their lives. <a href="https://pubmed.ncbi.nlm.nih.gov/33770516/">Past and recent discrimination</a> leads to delays seeking treatment and support, simply because people expect to be discriminated against when accessing services.</p> <p>In Australia, previous discrimination has been found to predict <a href="https://www.tandfonline.com/doi/abs/10.1080/00918369.2021.2005999?journalCode=wjhm20">loneliness</a> and <a href="https://www.cambridge.org/core/journals/ageing-and-society/article/abs/recent-versus-lifetime-experiences-of-discrimination-and-the-mental-and-physical-health-of-older-lesbian-women-and-gay-men/90988215582414EA0AB7936B6384FC97">lower mental health</a> among older lesbian and gay people. In the US, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779303/">microaggressions</a> – small everyday interactions that reinforce the experience of being “other” – have predicted greater impairment, higher rates of depression and lower quality of life among LGBTQ+ people aged 80 and over.</p> <p>There remain major gaps in evidence on the issues faced by LGBTQ+ older people, particularly for bisexual, queer, transgender and nonbinary older people. This is mainly due to the failure to systematically collect inclusive data on gender and sexual diversity, through variables such as those recommended by the <a href="https://www.abs.gov.au/statistics/standards/standard-sex-gender-variations-sex-characteristics-and-sexual-orientation-variables/latest-release">Australian Bureau of Statistics</a>.</p> <h2>Strengths and resilience</h2> <p>This year, older people seemed to occupy a more prominent place in the Mardi Gras Parade. Perhaps this is because of the natural ageing of our community activists. Older people were also represented in the wider World Pride festival, such as in the theatre production <a href="https://sydneyworldpride.com/events/all-the-sex-ive-ever-had/">All the Sex I’ve Ever Had</a>, in which older Sydney residents reflect on the evolution of their sexuality over the course of their lives.</p> <p>A festival like World Pride showcases the strengths and resilience of LGBTQ+ people and communities. The organisation of such an event should not be underestimated. This reflects LGBTQ+ people’s high level of civic engagement and commitment to giving back to society, as demonstrated by their greater likelihood of being <a href="https://www.tandfonline.com/doi/abs/10.1080/0312407X.2021.1899256">volunteers</a> and <a href="https://www.caregiving.org/wp-content/uploads/2020/05/2015_CaregivingintheUS_Final-Report-June-4_WEB.pdf">caregivers</a>. And the contribution of volunteers and caregivers during the HIV/AIDS crisis of the 1980s and ‘90s is not forgotten.</p> <p>LGBTQ+ older people generally are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241752/">resilient and maintain good health</a>. Many report increased <a href="https://link.springer.com/article/10.1007/s13178-021-00653-z">confidence and self-esteem</a>, compared with when they were younger. And many have created their own families – their families of choice – to support each other in later life.</p> <p>But we don’t know enough about their needs and how to provide them with inclusive services as they get older. World Pride is an opportunity to reflect on the hard-won gains but not ignore the challenges ahead.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/for-some-lgbtq-older-people-events-like-world-pride-can-be-isolating-we-need-to-better-understand-how-to-support-them-200533" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Caring

Placeholder Content Image

Being declared dead when you’re still alive – why these very rare events occur

<p>An 82-year-old woman who was recently pronounced dead at a New York nursing home was later <a href="https://edition.cnn.com/2023/02/07/us/new-york-woman-found-alive-funeral-home/index.html">discovered to be alive</a> by funeral home staff. This follows a similar incident in Iowa where a 66-year-old woman with early-onset dementia was declared dead by a nurse, only to be found <a href="https://www.nytimes.com/2023/02/05/us/iowa-presumed-dead-body-bag-alzheimers.html">gasping for air</a> when funeral home staff unzipped the body bag.</p> <p>Fortunately, these events are very rare. But fear of them is visceral, which might explain an <a href="https://www.usni.org/press/books/naval-ceremonies-customs-and-traditions-6th-edition">old naval custom</a>. When sewing the canvas shroud for a dead sailor, the sailmaker would take the last stitch through the nose of the deceased. Having a sailcloth needle through the nose was presumed to be a potent enough stimulus to wake any sailor who was actually still alive.</p> <p>Confirmation of death these days is thankfully a lot less brutal. </p> <p>An absence of heart and breath sounds over a period of time, the presence of fixed, dilated pupils, and a failure to respond to any stimulus should mean that the person is deceased. All doctors are taught how to do this and all are aware of their duties.</p> <p>Unfortunately, there have been instances where death has been confirmed by this process, yet the patient has shown signs of life afterwards. </p> <p>Over the years, I have seen this happen. One day in a hospital, a colleague pronounced an elderly woman dead, but a short while later, she started breathing again and her pulse was briefly restored. </p> <p>In another unforgettable incident, the medical emergency team was summoned with the words: “Cardiac arrest. Mortuary. This is not a joke!” A woman had taken an overdose of barbiturates prescribed for her epilepsy. She had been seen by a general practitioner who certified that she was dead. </p> <p>But on arrival at the mortuary, one of her legs was seen to be twitching. Excruciating embarrassment all round. And if I recall correctly, she recovered.</p> <p>Failure to perform the confirmation-of-death procedure properly explains some instances of people being incorrectly declared dead. A cursory examination while distracted could easily lead to a failure to hear heart sounds and spot shallow, infrequent breaths. It pays to be thorough. However, some drugs we give patients can make the task harder. </p> <h2>Drugs, toxins and cold water</h2> <p>Sedating drugs are thought in some way to protect the brain from damage and this is made use of in anaesthesia for major surgical procedures, particularly if it is necessary to stop the circulation for a time. </p> <p>Less usefully, and with the potential to cause alarm, an overdose of sedatives reduces responsiveness and depresses the breathing and circulation, leading to the impression of death while protecting the brain from hypoxia (oxygen starvation). Later on, as the drug is cleared from the body, the person may wake up. </p> <p><a href="https://www.independent.co.uk/news/world/americas/man-wakes-up-funeral-open-casket-mourners-family-members-watson-franklin-mandujano-doroteo-peru-tingo-maria-a8021851.html">Diazepam</a> (brand name Valium), <a href="https://abcnews.go.com/US/woman-mistakenly-pronounced-dead-breathing-body-bag-funeral/story?id=96871056">alprazolam</a> (brand name Xanax) have both caused people to mistakenly be declared dead.</p> <p>Certain toxins may have a similar effect. Voodoo practitioners called Bokors apparently <a href="https://sites.duke.edu/ginalisgh323/zombification-process/">administered powders to victims</a> to make them seem dead. These powders reportedly contained small doses of tetrodotoxin from puffer fish to paralyse the victim, who was then presumably abducted before burial and enslaved. Could neurological damage from the “zombification” process account for the popular image of the zombie?</p> <p>Immersion in cold water can also lead to the illusion of death because of its effect on slowing the heart rate. Survival after <a href="https://www.sciencedirect.com/science/article/pii/S073646791930424X?casa_token=fWpL51aDu6wAAAAA:Mr0x81LUUog0hT-HSRneimKcRlYW6DHK4nUBODKqOao_L82J8bLIMHszMNwR9qVd69GkuCh8zqsb">considerable periods of time</a> in the water is well documented.</p> <p>In emergency medicine, it has long been taught that a drowned patient is not proven dead until they have been warmed up. Good neurological recovery has been reported after periods of cold water immersion of <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/aor.13818?casa_token=ukJcJCgH-n4AAAAA%3Annr3Tgd4LuJ8Ky-l_1UGB_IxLHuU-odWkM1DKgJEhXw3IYXP8_DrpfNxr2eIL8KJJ3PSRX_JUltjpfsLTg">up to 70 minutes</a></p> <p>Fainting might also deceive the certifying doctor. Activation of the vagus nerve (the longest cranial nerve in the body) occurs during fainting, slowing the heart and reducing blood pressure. </p> <p>This might account for <a href="https://www.mirror.co.uk/news/world-news/dead-teen-wakes-screaming-inside-6315389">a very sad case</a> reported from Honduras. A pregnant teenager was thought to have died from shock after hearing gunfire in her neighbourhood. She was heard screaming within her tomb a day after her funeral. It is quite possible that she had woken up after a prolonged faint.</p> <p>Many cases seem to originate outside of Europe. Geographical variation in medical confirmation of death procedure may explain this. Perhaps errors arise when people are less likely to be able to afford the costs of a doctor. </p> <p>Whatever the cause, these cases appear in the media because they are sensational and attract lurid attention, but ultimately they are very rare.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/being-declared-dead-when-youre-still-alive-why-these-very-rare-events-occur-199524" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Caring

Placeholder Content Image

When hosting mega-events like FIFA, cities market themselves at the expense of the most vulnerable

<p>Few events capture the attention of the globe like the Men’s FIFA World Cup — in 2018, the event boasted a viewership of <a href="https://www.fifa.com/tournaments/mens/worldcup/2018russia/media-releases/more-than-half-the-world-watched-record-breaking-2018-world-cup">3.5 billion people</a>. Yet, despite the enormous popularity of the World Cup, <a href="https://www.aljazeera.com/sports/2022/11/17/do-host-countries-make-money-from-the-world-cup">host cities and countries invariably lose money</a> on the event itself, with FIFA capturing most of the profits despite its non-profit status.</p> <p>The calculus of host cities is based on the hope that successfully hosting a World Cup (or Olympics) will significantly enhance a city’s urban brand and ultimately lead to long-term increases in tourism and foreign direct investment.</p> <p>In other words, the argument is that a successful stint as a host city will identify that city as “<a href="https://www.jstor.org/stable/40643231">world-class</a>” and change its economic fortunes. This justification, at least from an economic point of view, relies on <a href="https://doi.org/10.1080/02614360500504628">some pretty fuzzy math and long-term forecasting that rarely gets audited</a>.</p> <p>I attended the 2010 World Cup in South Africa to study how various communities attempted to have their voices heard and needs met through the planning process for that event. I continue to research how hosting large-scale events intersect with other trends in global and local urbanization.</p> <p><strong>Urban branding</strong></p> <p>This mission of improving one’s urban brand to attract tourist and foreign investment leads cities to focus their attention to the perceived needs. Or, more precisely, the perceived desires of potential tourists and investors, as opposed to the needs and desires of the people who already live, work and play in these cities.</p> <p>This shift in focus is part of larger trends of cities becoming <a href="https://doi.org/10.1080/04353684.1989.11879583">increasingly entrepreneurial in our globalized world</a>.</p> <p>And to this end, host cities pursue a fairly predictable path to demonstrate their world-classness. As Streetnet International, a South Africa-based international organization of street vendors, put it in their World Class Cities For All campaign:</p> <blockquote> <p>“It has become a boringly predictable reality that, when a country prepares to host a high-profile international event, <a href="https://streetnet.org.za/document/world-class-cities-for-all/">the country and its local government authorities prepare to create ‘World Class Cities’ of a particular type</a>, i.e. ‘World Class Cities’ which will attract foreign investment; have modern up-to-date infrastructure; have no visible signs of urban decay; have smooth traffic flows; have no visible poor people or social problems.”</p> </blockquote> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?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/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=402&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=402&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=402&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=506&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=506&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/497721/original/file-20221128-4871-ip7vgt.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=506&amp;fit=crop&amp;dpr=3 2262w" alt="overhead view of a building site in the desert" /></a><figcaption><span class="caption">In Doha, several stadiums were built to host the FIFA World Cup.</span> <span class="attribution">(AP Photo/Vadim Ghirda)</span></figcaption></figure> <p><strong>Increased policing, decreased social investment</strong></p> <p>There are common themes to how cities approach their hosting duties and branding pursuits. However, the particular interventions that each city makes to create this type of world- class city are unique to their particular context.</p> <p>Unfailingly, cities significantly increase policing, both in the sheer numbers of police, military and surveillance measures as well as the powers afforded to the police and military. These powers are used to police undesirable activities and individuals — those activities and people deemed incommensurate with the desired world-class brand.</p> <p>Youth, the unhoused or precariously housed, street vendors and racialized individuals <a href="https://doi.org/10.1080/17430437.2010.520938">experience the brunt of these increases</a>.</p> <p>In South Africa in 2010, FIFA courts were established to exact “<a href="https://www.nytimes.com/2010/06/21/sports/soccer/21iht-wcsoccer.html">swift and severe justice</a>” for crimes committed against tourists and journalists during the 2010 World Cup. In Qatar, there has been <a href="https://www.thestar.com/politics/2022/11/24/lgbtq-and-other-rights-issues-at-world-cup-a-huge-blemish-on-fifa-hall-of-famer.html">targeted policing of LGBTQ+ people and allies</a>.</p> <p>Additionally, the quest for this type of world-class-city brand also leads to uneven investment and under-investment as cities are forced to make choices about how to invest their municipal budgets.</p> <p>Tourist areas <a href="https://www.jstor.org/stable/25765282">see significant infrastructure investments while those off the tourist map are often ignored</a>. This is intensified by <a href="https://doi.org/10.1177/0196859905275971">television coverage of these places and events</a>.</p> <p>In Durban, South Africa, this meant significant investment along the waterfront and the construction of a shiny new soccer stadium (across the street from an existing rugby stadium) while other parts of the city, off the beaten path of journalists and tourists, continued to lack even basic infrastructure.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;rect=0%2C0%2C1920%2C1080&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;rect=0%2C0%2C1920%2C1080&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/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/497776/original/file-20221128-14-4gf988.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="armed police on horseback watch over a crowd." /></a><figcaption><span class="caption">In this image from video, Qatari police stand by on horseback as other security officials try to control a crowd at a FIFA Fan Zone on Nov. 19, 2022. Authorities turned away thousands of fans from a concert celebrating the World Cup beginning the next day.</span> <span class="attribution">(AP Photo/Srdjan Nedeljkovic)</span></figcaption></figure> <p><strong>Exposes the cracks</strong></p> <p>The current approach to hosting a World Cup puts unique and focused pressures on urban systems and infrastructure. In the process, it exposes the already existing cracks in the system and exacerbates existing inequalities.</p> <p>The World Cup did not create the labour system and working conditions of temporary migrant workers in Doha. However, both the magnitude and speed of construction to meet hosting needs undoubtedly ramped up the exploitation of the system, leading to <a href="https://www.theguardian.com/global-development/2021/feb/23/revealed-migrant-worker-deaths-qatar-fifa-world-cup-2022">thousands of worker deaths</a>.</p> <p>We need to reframe how a world-class city is defined to one that is more liveable, sustainable and just. This will inspire future host cities to pursue this status in a manner that does not increase policing and exacerbate inequalities.<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/195069/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>Writen by David Roberts. Republished with permission from <a href="https://theconversation.com/when-hosting-mega-events-like-fifa-cities-market-themselves-at-the-expense-of-the-most-vulnerable-195069" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Image: Getty Images</em></p>

Real Estate

Placeholder Content Image

Crown Princess Mary stuns at fashion event

<p dir="ltr">Crown Princess Mary stunned crowds as she gave the opening speech at the Global Fashion Summit in Copenhagen, Denmark.</p> <p dir="ltr">The 50-year-old attended the event on June 7 which is the leading international forum for sustainability in fashion. </p> <p dir="ltr">Photos of the event were shared by the Danish Royal Family on their Instagram as they shared the Princess’s experience at the popular event. </p> <p dir="ltr">“These days, more than 1000 representatives of the fashion industry are gathered in Copenhagen for the Global Fashion Summit, which is a leading international summit focusing on sustainability in the fashion and textile industry,” the caption read. </p> <p dir="ltr">“Her Royal Highness the Crown Princess today gave the opening speech at the Opera in her capacity as patron of the Global Fashion Summit and Global Fashion Agenda. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/Ceg3E0tA0Ov/?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/p/Ceg3E0tA0Ov/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by DET DANSKE KONGEHUS 🇩🇰 (@detdanskekongehus)</a></p> </div> </blockquote> <p dir="ltr">“The Crown Princess first participated in the Global Fashion Summit in 2009, and since then, the green transition in the fashion industry has come at the top of the summit's agenda.</p> <p dir="ltr">“According to a recent UN report, the fashion and textile industry accounts for 4% of global greenhouse gas emissions. Global Fashion Agenda, which is the organization behind the Global Fashion Summit, works, among other things, for the industry to be climate neutral in 2050.”</p> <p dir="ltr">Following the Crown Princess’s speech, she attended a number of panels with several decision makers in the fashion industry. </p> <p dir="ltr">Princess Mary was then able to experience first-hand how fashion designers ethically and environmentally create their clothes. </p> <p dir="ltr">“The Crown Princess could experience the restoration of recycled clothing, digitization of the textile industry's value chain, environmentally friendly dyeing of clothing and many other innovative solutions to the green transformation in the fashion industry.”</p> <p dir="ltr"><em>Images: Instagram</em></p>

Beauty & Style

Placeholder Content Image

“Our children did not deserve this”: Texas school teacher recounts harrowing events

<p dir="ltr">A school teacher from Robb Elementary School has spoken about how the “longest 35 minutes of my life” unfolded during the school shooting that claimed the lives of 19 children and two teachers.</p> <p dir="ltr">The teacher spoke to a reporter from <em><a href="https://www.nbcnews.com/news/us-news/teacher-uvalde-texas-describes-longest-35-minutes-life-rcna30571" target="_blank" rel="noopener">NBC News</a></em> on the condition that she not be named, partly because district administrators asked staff not to speak with reporters, but also because she was terrified.</p> <p dir="ltr">On Wednesday night, 28 hours and 45 minutes after the gunman charged into the school and opened fire, the teacher answered her door with puffy eyes from hours of crying and almost no sleep.</p> <p dir="ltr">“What do you want me to say?” she asked the reporter. “That I can’t eat? That all I hear are their voices screaming? And I can’t help them?”</p> <p dir="ltr">She recalled how her students had been watching a Disney movie that morning as part of their end-of-year celebration.</p> <p dir="ltr">When she heard gunfire from down the hall, she knew exactly what it was, telling her kids to get under their desks and sprinting to lock the door.</p> <p dir="ltr">“They’ve been practising for this day for years,” the teacher said, referring to active shooter drills that have been incorporated into American public education over the years.</p> <p dir="ltr">“They knew this wasn’t a drill. We knew we had to be quiet or else we were going to give ourselves away.”</p> <p dir="ltr">While her students huddled under their desks, staying quiet while hearing their wounded classmates down the hall, the teacher sat in the middle of the room. She said she tried to stay calm and be strong for them.</p> <p dir="ltr">She said what followed was “the longest 35 minutes of my life”.</p> <p dir="ltr">As some of her students began to cry, she motioned for them to come sit with her and held them, whispering for them to pray silently.</p> <p dir="ltr">Without saying a word, she tried to convey to the class: ‘You’re OK. We’re going to be OK.’</p> <p dir="ltr">When the police finally broke the classroom windows, the teacher called for her students to line up as they would every day for recess and lunch before they were helped out of the window.</p> <p dir="ltr">“After the last kid, I turned around to ensure everyone was out,” the teacher said. “I knew I had to go quickly, but I wasn’t leaving until I knew for sure.”</p> <p dir="ltr">She later reunited with her students at another school facility across town and tried to comfort those who were worried about their best friends or cousins down the hall.</p> <p dir="ltr">Then, as the toll of the shooting became clearer, some parents texted her, writing: “Thank you for keeping my baby safe.” </p> <p dir="ltr">“But it’s not just their baby,” the teacher said, sobbing on her front porch. “That’s my baby, too. They are not my students. They are my children.”</p> <p dir="ltr">Before closing her door, she had an important message to share with the reporter.</p> <p dir="ltr">“I want you to say this in your article,” the teacher said. “Our children did not deserve this. They were loved. Not only by their families, but their family at school.”</p> <p><span id="docs-internal-guid-7a22a724-7fff-6177-e8bb-a8eb04de1097"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

Caring

Placeholder Content Image

Queen Elizabeth welcomed to jubilee event with rousing applause

<p>Queen Elizabeth has been welcomed to a major Platinum Jubilee event with an overwhelming round of applause. </p> <p>Her Majesty arrived at <em>A Gallop Through History</em>, a star-studded show featuring acting and musical performances alongside horse displays on Sunday. </p> <p>Thousands of royal enthusiasts packed into the grounds of Windsor Castle, and rose to their feet with an almighty round of applause as the 96-year-old monarch arrived. </p> <p>Despite health issues forcing her to cancel multiple engagements in recent weeks, Queen Elizabeth then walked unaided along a red carpet to her seat using a walking stick.</p> <p>Her Majesty wore a glitzy grey cardigan and blue dress to the outing and was joined by her son, Prince Edward.</p> <p>In celebration of the Queen’s 70 years on the throne, the televised event featured more than 1,300 performers, 500 horses and was attended by multiple big names including Dame Helen Mirren, Tom Cruise and other members of the royal family.</p> <p>Cruise said it was “a real honour and privilege” to be a part of the Queen’s Platinum Jubilee celebrations.</p> <p>“What she has accomplished is historic. She has met presidents, world leaders, people from all walks of life,” the <em>Top Gun</em> star told reporters.</p> <p>“Not just Americans, but the world knows the dignity, devotion and kindness, that is what I have always felt about her.</p> <p>“Someone that understands her position and has held it through a history that’s just been extraordinary the past 70 years.”</p> <p><em>Image credits: Getty Images</em></p>

Caring

Placeholder Content Image

Learn something new at a Pint of Science event near you

<p dir="ltr">Global science festival <a href="https://pintofscience.com.au/festival/2022/" target="_blank" rel="noopener">Pint of Science</a> is back for 2022, with in-person and online events across 23 pubs and breweries from May 9-11.</p> <p dir="ltr">As the name suggests, Pint of Science takes scientific talks - tackling everything from tarantulas and time travel to 3D-printing body parts and the afterlife of stars - into a community environment to drive our appreciation of all things science.</p> <p dir="ltr">This year’s program sees a return of talks to venues across <a href="https://pintofscience.com.au/locations/" target="_blank" rel="noopener">11 Australian cities</a> and one New Zealand location, including:</p> <ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Melbourne</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Brisbane</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Sydney</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Adelaide</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Perth</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Canberra</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Hobart</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Darwin</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Cairns</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Newcastle</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Geelong</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Palmerston North</p> </li> </ul> <p dir="ltr">The festival’s online component will see scientists take over podcasts and radio shows to talk about their field, and will include interviews and articles diving into science, and Pod of Science, a piece of festival you can listen to wherever you are via <a href="https://soundcloud.com/user-307180657" target="_blank" rel="noopener">Soundcloud</a>. </p> <p dir="ltr">“After two years of being able to enjoy Pint of Science in your comfy loungeroom, we’re stoked to welcome you back to your local pub,” Pint of Science CEOs Jin-oh Choi and Chanel Egan <a href="https://pintofscience.com.au/festival/2022/" target="_blank" rel="noopener">said in a statement</a> on Pint of Science’s website.</p> <p dir="ltr">“The brilliant thing about Pint of Science is that everyone learns from the events - the attendees learn about current research, the speakers gain experience in presenting their research, the local volunteers meet like-minded people and have fun organising events, and the national volunteers gain experience about how a not-for-profit works behind the scenes to facilitate a banger of a festival.”</p> <p dir="ltr">The entire festival is run entirely by volunteers, with this year’s program enlisting the help of 38 national volunteers, 100 event volunteers, and 120 speakers.</p> <p dir="ltr">To find out what’s happening near you and buy tickets, click <a href="https://pintofscience.com.au/locations/" target="_blank" rel="noopener">here</a> for Australia’s program or <a href="https://pintofscience.nz/locations/" target="_blank" rel="noopener">here</a> for New Zealand’s. </p> <p><span id="docs-internal-guid-c85afb15-7fff-185e-2cf3-a17b2b539c7a"></span></p> <p dir="ltr"><em>Image: Pint of Science AU (Facebook)</em></p>

Domestic Travel

Placeholder Content Image

Readers respond: What single event or decision do you think most affected the rest of your life?

<p>From travelling and seeing the world, to getting married and settling down, there are a lot of moments that can change your life forever.</p> <p>We asked our readers what single event or decision changed the trajectory of their lives, and the responses were overwhelming. </p> <p><strong>Kathleen Farrell</strong> - My decision to come to Australia! Changed my life and I have never regretted it!</p> <p><strong>Glen Crawford</strong> - Sunday 1st April 1979, I’d spent the entire weekend in the surf after 10 weeks forced abstinence due to a serious surfing accident, and I was tired, sunburnt and in need of a good nights sleep. </p> <p>2 of my young surfing mates turned up at the door and said they were taking me to the disco as I hadn’t been out for too long. I reluctantly agreed, and within the hour had met the young lady who’s been my best friend and wife for 42 years.</p> <p><strong>Tanya B Lyons</strong> - Giving birth to my Daughter, followed by getting sober and immigrating to the best country in the world Australia 40 yrs ago.</p> <p><strong>Noelene O'Donnell</strong> - Partner rang me at work and asked if I want to go to WA to live in 1983. I said YES (we were in NSW) and here we are still.</p> <p><strong>Helen Knowles </strong>- Leaving my first husband. Best decision I ever made for myself and my life.</p> <p><strong>Lewis Turner</strong> - I migrated from England to Australia 48 years ago. </p> <p><strong>Margaret Inglis</strong> - Buying a ticket at a spur of the moment for a trip to Sydney. My friend and myself were having morning tea, lunch time put a deposit on a ticket. Early 1969, Wellington NZ. </p> <p>Boat left Wellington for Sydney September 1969. Also on board were a group of guys. One ended up being my husband for nearly 42 years until he passed 7 years ago. Still in Australia.</p> <p><strong>Lorna Embling Tudball</strong> - Meeting &amp; marrying my husband, nearly 62 years ago.</p> <p><strong>Norma Fowler</strong> - At age 10 determined to go to selective high school despite mum wanting me to go elsewhere... to become a teacher.</p> <p><strong>Rhondda Walters</strong> - I quit my job, packed my bags and enrolled in University at the age of 32. A decision that changed my life.</p> <p><strong>Kim Galuschin</strong> - I had a Gastric-bypass operation at age 35. Now I'm 52 and have not gained any of the 40kg that I lost during the year after my surgery.</p> <p><em>Image credits: Getty Images</em></p>

Mind

Placeholder Content Image

Djokovic enters vaxxed-only event

<p>Tennis champion Novak Djokovic has entered into next month's Indian Wells ATP event in California, just weeks after he was prevented from competing in the Australian Open. </p><p>Organisers for the ATP event announced the player entry list on Thursday, and said proof of full vaccination will be required to enter the grounds for the event that runs from March 7th to March 20th. </p><p>Many tennis fans have taken Novak's registration in the event as a sign the Serbian star has finally received his Covid-19 vaccinations. </p><p>Organisers at Indian Wells released a statement saying vaccines will be required for the event, but also said player protocols for Djokovic and other men’s players will be decided by the ATP in line with US restrictions.</p><p>“With health and safety as the tournament’s top priority, the BNP Paribas Open will require valid proof of full vaccination to enter the Indian Wells Tennis Garden for the tournament,” a statement said.</p><p>“The guidelines for the players are governed by the protocols established by their respective governing bodies, the WTA and ATP, as well as any restrictions established by the United States of America in regard to the vaccination status of international travellers entering the country.”</p><p>Novak was set to compete for his fourth consecutive Australian Open title in January, before being turned away at the border for his invalid visa and vaccination passport. </p><p>Spain’s Rafael Nadal, who is also on the Indian Wells entry list, won the Australian Open to set the record with his 21st career slam singles crown.</p><p>Last week, author of Novak's biography <em>A Lifetime At War</em>, suggested that seeing Nadal take out the Australian Open win may have been a motivating factor for the Serbian to get vaccinated. </p><p><em>Image credits: Getty Images </em></p>

Travel Trouble

Placeholder Content Image

Government funds bail out festival cancellations with Event Saver Fund

<p><span style="font-weight: 400;">As another year of music festivals and summer events have been cancelled in the eleventh hour by the pandemic, the NSW government has put their hand up to help the arts. </span></p> <p><span style="font-weight: 400;">The state government recently announced the Event Saver Fund, which is aimed at financially supporting the state’s music industry that has been devastated by the latest wave of Omicron. </span></p> <p><span style="font-weight: 400;">At a recent press conference, NSW Treasurer Matt Kean revealed that a $43 million fund has been established for organisers of the cancelled events to be financially supported if they've been cancelled or may be affected by changes to public health orders.</span></p> <p><span style="font-weight: 400;">“This fund is a $43 million fund that will ensure that we will underwrite sunk costs for the festivals that could be impacted by changes to public health orders,” he said.</span></p> <p><span style="font-weight: 400;">The fund will help organisers to pay their staff and suppliers, as well as recoup other costs lost in the event planning that got cancelled or cut short due to lockdowns or border closures. </span></p> <p><span style="font-weight: 400;">Minister for the Arts Ben Franklin said the vital funding will give event organisers to continue to plan festivals without the stress of a last-minute cancellation costing them thousands. </span></p> <p><span style="font-weight: 400;">“Major events provide tremendous social benefits to the community, bringing us together to enjoy live performances,” he said.</span></p> <p><span style="font-weight: 400;">“As we look to rebound from the effects of the past two years, this funding will help support local jobs and ensure major event organisers can plan with confidence to safely deliver their events in 2022/23.”</span></p> <p><span style="font-weight: 400;">Australian Festivals Association chair Julia Robertson welcomed the Event Saver package, and emphasised how much the industry has suffered since the start of the pandemic. </span></p> <p><span style="font-weight: 400;">“This package is really great for building confidence,” she said.</span></p> <p><span style="font-weight: 400;">“For helping those festivals that have got events coming up — to maintain those festival lineups — but also to those events that have had to be cancelled over the last couple of weeks due to the Omicron variant.</span></p> <p><span style="font-weight: 400;">“We will be able to help those events recover some of those costs that they’ve lost. We’ve got a really long way to building that confidence for the festival industry, so thank you.”</span></p> <p><em><span style="font-weight: 400;">Image credits: Getty Images</span></em></p>

Music

Placeholder Content Image

Travel bans and event cancellations: how the art market is suffering from coronavirus

<p>The recently released <a href="https://www.artbasel.com/about/initiatives/the-art-market">The Art Market 2020</a> report provides a timely insight into how COVID-19-related disruptions are likely to impact growth and sales in the global art market.</p> <p>The report estimates global art market sales in 2019 were worth US$64.1 billion (A$97 billion), down 5% on 2018.</p> <p>This drop reflects the <a href="https://www.un.org/development/desa/dpad/publication/world-economic-situation-and-prospects-september-2019-briefing-no-130/">decline in global economic growth</a> driven by increasing geopolitical tensions and the trend toward trade protectionism led by the United States.</p> <p>In 2020, measures to control the spread of coronavirus through government restrictions on travel and large social events are already having a dramatic impact on the international art market.</p> <p>In the last six weeks, multiple art fairs have announced either <a href="https://news.artnet.com/market/miart-2020-1795875">postponement or cancellation</a>, including Jingart Beijing, Art Basel Hong Kong, Miaart Milan, Art Paris, Art Berlin and Art Dubai.</p> <p>The European Fine Art Fair in Maastricht went ahead, but reported <a href="https://news.artnet.com/market/tefaf-fair-quiet-coronavirus-fears-1795797">a 27% drop</a> in attendance of VIPs at the opening, when many major sales are traditionally made.</p> <h2>The growing art fair market</h2> <p>As in previous years, 2019 art market sales were highly concentrated in three major hubs. The United States, the United Kingdom and China collectively accounted for 82% of the total value of sales.</p> <p>The Art Market report identified a growing shift away from public auctions toward private sales. The overall auction sector (including public auctions and private sales by auction houses, online and offline) represented 42% of total market sales in 2019.</p> <p>The overall dealer sector (including dealer, gallery and online retail sales) represented 58% of total art market sales in 2019, with the value of sales increasing by 2%.</p> <p>Within this sector, dealers with turnover of more than US$1 million (A$1.5 million) experienced a much larger growth of 20%. These dealers are the fastest-growing sector and the most reliant on art fair sales.</p> <p>Almost half of all sales in the dealer sector were made at art fairs in 2019, amounting to US$16.5 billion (A$25 billion) – 26% of all sales made in the global art market.</p> <p>This concentration of sales at the top end of the dealer market is perhaps the art market’s Achilles heel when considering potential fallout from the impending COVID-19 pandemic.</p> <p>Dealers in this turnover bracket attended twice as many art fairs as smaller dealers, with international fairs (as opposed to local fairs) contributing to more than half their total art fair sales.</p> <p>For dealers with turnover of more than US$10 million (A$15.1 million), international art fairs represented a staggering 70% of their art fair sales.</p> <h2>An unwelcome ‘distraction’</h2> <p>Besides the sales generated at art fairs, dealers have become increasingly dependent on fairs for expanding client lists and developing their businesses.</p> <p>The unfolding COVID-19 pandemic represents an immediate threat to this business model. One dealer quoted in The Art Market report noted the undesirable impact disruptions from outside the art world can have on art market demand:</p> <p>"2020 will be a challenging year, but rather than major political dramas having a direct financial impact, their main danger for us is to distract people’s attention. Distractions and anxieties can take people away from buying art, even if the economy is booming and they’re still in a position to spend."</p> <p>While this dealer was more likely referring to topical political issues, such as Brexit or trade sanctions, the COVID-19 outbreak has the potential to provide a far greater “distraction” for art buyers.</p> <p>The impact of COVID-19 on the long-term health of the art market remains to be seen.</p> <p>Art fairs <a href="https://news.artnet.com/market/art-fair-saturation-1484986">had already been struggling</a> due to multiple economic headwinds in the latter part of 2019, with increasing numbers of retractions and cancellations worldwide.</p> <p>In 2019, Art Basel Hong Kong featured 242 galleries from 35 countries and was attended by 88,000 visitors over five days. This was a pivotal event on the regional calendar and its loss to the 2020 art market will be sorely felt.</p> <p>The global footprints and nimble business structures of international auction houses may help these businesses weather this storm, as <a href="https://www.nytimes.com/2017/10/12/arts/christies-sothebys-auctions.html">they have done in the past</a>. But the picture is worrying for commercial galleries.</p> <p>Artists and galleries <a href="https://www.smh.com.au/culture/art-and-design/australian-galleries-count-cost-as-coronavirus-shutters-hk-art-fair-20200207-p53yts.html">prepare for months</a> in advance of fairs and exhibitions.</p> <p>In a survey of the <a href="https://www.theartnewspaper.com/analysis/behind-closed-doors-how-museums-in-china-are-coping-with-coronavirus">impact of the coronavirus</a> on the art market in China, 73.8% of respondents in the visual arts industry reported their businesses will not survive for longer than three months if the current containment situation continues.</p> <p><a href="https://news.artnet.com/art-world/coronavirus-hong-kong-online-gallery-platform-1794369">Creative initiatives</a> are emerging, such as Art Basel Hong Kong’s online viewing platform. But with uncertainty about how long it will be until this pandemic is under control, the future health of the global art industry is yet to be determined.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article was first published on <a rel="noopener" href="https://theconversation.com/travel-bans-and-event-cancellations-how-the-art-market-is-suffering-from-coronavirus-133161" target="_blank">The Conversation</a>.</em></p>

Art

Placeholder Content Image

Bride ‘apologises’ for COVID-19 super spreader event

<p><span style="font-weight: 400;">A bride’s apology to guests who attended her ‘super spreader’ wedding has missed the mark for one guest.</span></p> <p><span style="font-weight: 400;">Taking to Reddit, the disgruntled guest shared the story with the title ‘Person I went to high school with held the super-spreader event of the year and this is her apology’.</span></p> <p><span style="font-weight: 400;">The user attached a screenshot of the apology which the bride sent via email.</span></p> <p><span style="font-weight: 400;">“One week ago was the best day of our lives, and despite this absolute mess of COVID spreading I would relive it again and again,” she wrote in the email.</span></p> <p><span style="font-weight: 400;">“I am so very sorry to anyone that caught COVID, but we keep reminding ourselves that 1) we broke no rules, as there are no restrictions, and 2) we didn’t force anyone to go and 3) it was everyone’s personal choice.</span></p> <p><span style="font-weight: 400;">“Some people have made us feel guilty for what has happened, but this was nothing we anticipated. We point no fingers as we know this was a risk. All we care about is that no one is terribly sick.”</span></p> <p><img style="width: 474.22680412371136px; height: 500px;" src="https://oversixtydev.blob.core.windows.net/media/7843555/fxjw89hfl5k71.jpg" alt="" data-udi="umb://media/fb7b9813e64e4b009e1de890f275239c" /></p> <p><em><span style="font-weight: 400;">Image: Reddit</span></em></p> <p><span style="font-weight: 400;">The bride ended the message with the hope that a “miracle happens” and they can still go on their honeymoon.</span></p> <p><span style="font-weight: 400;">“Here’s to spending our first two weeks of marriage quarantining away from one another, and praying to god a miracle happens and we don’t have to postpone our honeymoon,” she wrote.</span></p> <p><span style="font-weight: 400;">“If we get through this, honey, we can get through it all,” she concluded, adding a winking emoji at the end.</span></p> <p><span style="font-weight: 400;">Other users on the platform were quick to share their disapproval of the bride’s way of apologising, labelling it as “tone deaf”.</span></p> <p><span style="font-weight: 400;">“Obvious sign that she went ahead with the mentality of ‘it won’t happen at MY wedding’,” one person commented.</span></p> <p><span style="font-weight: 400;">“How tone deaf is this women,” another added.</span></p> <p><span style="font-weight: 400;">“Yes, and their conclusion is the hope that their HONEYMOON isn’t postponed?” a third queried. “Oh yes, let’s TRAVEL after hosting a super spreader [event].</span></p> <p><span style="font-weight: 400;">“If it’s only been a week it’s much too early for her to be so confident about no one getting seriously sick,” another person said. “She can’t know who their guests have infected and people stay sick with COVID much longer than just a week.”</span></p>

Relationships