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When a baby is stillborn, grandparents are hit with ‘two lots of grief’. Here’s how we can help

<a href="https://theconversation.com/profiles/jane-lockton-811825">Jane Lockton</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/clemence-due-100240">Clemence Due</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/melissa-oxlad-811406">Melissa Oxlad</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> <a href="https://www.stillbirthcre.org.au/resources/stillbirth-facts/">Six babies</a> are stillborn every day in Australia. This significant loss <a href="https://www.sciencedirect.com/science/article/pii/S1744165X12001023">affects parents</a> for years to come, often the rest of their lives. However, stillbirth also affects many others, including grandparents. But until now, we have not heard the experiences of grandparents whose grandchildren are stillborn. Their grief was rarely acknowledged and there are few supports tailored to them. Our recently published <a href="https://www.ncbi.nlm.nih.gov/pubmed/31387781">research</a> is the first in the world to specifically look at grandmothers’ experience of stillbirth and the support they need. In Australia, a baby <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0037109">is defined as</a> stillborn when it dies in the womb from 20 weeks’ gestation, or weighs more than 400 grams. Other countries have slightly different definitions. <a href="https://www.stillbirthcre.org.au/resources/stillbirth-facts/">About 2,200</a> babies are stillborn each year here meaning stillbirth may be more common than many people think. And people <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60107-4/fulltext">don’t tend to talk</a> about this openly despite it leading to significant grief. To explore grandparents’ experience of stillbirth, we interviewed 14 grandmothers for our initial study, and a further 23 grandmothers and grandfathers since then. Many grandparents were not aware stillbirth was a risk today. Most felt unprepared. Like parents, grandparents experienced grief like no other after their grandchild was stillborn. Rose said: "The grief is always there, it never leaves you […] I don’t know why but sometimes it is still very raw." Sally said: "I [would do] anything in my power to take it away, even if it meant, you know, something dreadful happening to me, I would have done it." Grandparents also spoke of anticipating the arrival of their grandchild, and disbelief at their loss. Donna said: "It was as bad as it could be and […] I thought it just couldn’t be real, it couldn’t be real." Where grandparents lived a long way from their child, the loss was even more profound. Distance prevented them from holding their grandchild after birth, attending memorials, or helping their own children. Iris said: "I still miss her now […] When she was born and they had her in the hospital they would text me and say you know she’s got hair like her daddy […] and they would describe her and how beautiful she was, and that’s all they have, you know […] that’s all I have really." Grandparents said they wanted to hide their grief to protect their child from pain. This often made them isolated. Their relationships with family members often changed. Mary said: "It’s like two lots of grief […] but I don’t want it to sound like it’s as bad as my daughter’s loss. It’s different, it’s a different grief, because you’re grieving the loss of a grandchild, and you’re also grieving for your daughter and her loss and it’s like yeah you’ve been kicked in the guts twice instead of once." <h2>What grandparents wanted</h2> Grandparents stressed the importance and ongoing value of being involved in “memory making” and spending time with their stillborn grandchild where possible. Creating mementos, such as taking photos and making footprints and hand prints, were all important ways of expressing their grief. These mementos kept the baby “alive” in the family. They were also a way to ensure their own child knew the baby was loved and remembered. Our research also identified better ways to support grandparents. Grandparents said that if they knew more about stillbirth, they would be more confident in knowing how to help support their children. And if people were more aware of grandparents’ grief, and acknowledged their loss, this would make it easier for them to get support themselves, and reduce feelings of isolation. Our research also found families can recognise that grandparents grieve too, for both their child and grandchild. Grandparents can be encouraged to seek support from other family and friends. Families could also encourage grandparents to seek support from professionals if needed. In hospitals, midwives can adopt some simple, time efficient strategies, with a big impact on grandparents. With parent consent, midwives could include grandparents in memory making activities. By acknowledging the connection grandparents have to the baby, midwives can validate the grief that they experience. In recognising the supportive role of grandparents, midwives can also provide early guidance about how best to support their child. Hospitals can help by including grandparents in the education provided after stillbirth. This might include guidance about support for their child, or simply providing grandparents with written resources and guiding them to appropriate supports. In time, development of peer support programs, where grandparents support others in similar situations, could help. And, as a community, we can support grandparents the same way they support their own children. We can be there, listen and learn. <hr /> All grandparents’ names in this article are pseudonyms. If this article raises issues for you or someone you know, contact <a href="http://www.sands.org.au">Sands</a> (stillbirth and newborn death support) on 1300 072 637. Sands also has <a href="https://www.sands.org.au/images/sands-creative/brochures/127517-For-Grandparents-Brochure.pdf">written information specifically for grandparents</a> of stillborn babies.<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/122313/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/jane-lockton-811825">Jane Lockton</a>, PhD Candidate (Psychology, Health), <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/clemence-due-100240">Clemence Due</a>, Senior Lecturer in the School of Psychology, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/melissa-oxlad-811406">Melissa Oxlad</a>, Lecturer in the School of Psychology, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/when-a-baby-is-stillborn-grandparents-are-hit-with-two-lots-of-grief-heres-how-we-can-help-122313">original article</a>.

Family & Pets

Why are we seeing more pandemics? Our impact on the planet has a lot to do with it

<a href="https://theconversation.com/profiles/olga-anikeeva-1522907">Olga Anikeeva</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/jessica-stanhope-1129888">Jessica Stanhope</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/peng-bi-1522908">Peng Bi</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/philip-weinstein-882901">Philip Weinstein</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Pandemics – the global spread of infectious diseases – seem to be making a comeback. In the Middle Ages we had the Black Death (plague), and after the first world war we had the Spanish flu. Tens of millions of people <a href="https://assets.cureus.com/uploads/review_article/pdf/69273/20211019-25919-an4y6h.pdf">died from these diseases</a>. Then science began to <a href="https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2011.00053/full">get the upper hand</a>, with vaccination eradicating smallpox, and polio nearly so. Antibiotics became available to treat bacterial infections, and more recently antivirals as well. But in recent years and decades pandemics <a href="https://assets.cureus.com/uploads/review_article/pdf/69273/20211019-25919-an4y6h.pdf">seem to be returning</a>. In the 1980s we had HIV/AIDS, then several flu pandemics, SARS, and now COVID (no, COVID isn’t over). So why is this happening, and is there anything we can do to avert future pandemics? <h2>Unbalanced ecosystems</h2> Healthy, stable ecosystems provide services that keep us healthy, such as supplying food and clean water, producing oxygen, and making green spaces available for our <a href="https://www.millenniumassessment.org/documents/document.356.aspx.pdf">recreation and wellbeing</a>. Another key service ecosystems provide is disease regulation. When nature is in balance – with predators controlling herbivore populations, and herbivores controlling plant growth – it’s more difficult for pathogens to emerge in a way that causes pandemics. But when human activities <a href="https://books.google.com.au/books?hl=en&lr=&id=rWozz12K1aUC&oi=fnd&pg=PP15&dq=planetary+overload&ots=c9mWuESUXN&sig=-1iP3uSOWazvC2OFLk4vginWbQQ&redir_esc=y#v=onepage&q=planetary%20overload&f=false">disrupt and unbalance ecosystems</a> – such as by way of climate change and biodiversity loss – <a href="https://academic.oup.com/bioscience/article/58/8/756/381265">things go wrong</a>. For example, climate change affects the number and distribution of plants and animals. Mosquitoes that carry diseases can move from the tropics into what used to be temperate climates as the planet warms, and may infect more people in the months that are normally disease free. We’ve studied the relationship between weather and dengue fever transmission in China, and <a href="https://pubmed.ncbi.nlm.nih.gov/27883970/">our findings</a> support the same conclusion reached by <a href="https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008118">many other studies</a>: climate change is likely to put more people at risk of dengue. Biodiversity loss can have similar effects by disrupting food chains. When ranchers cleared forests in <a href="https://www.mdpi.com/1999-4915/6/5/1911">South America</a> for their cattle to graze in the first half of the 20th century, tiny forest-dwelling, blood-feeding vampire bats suddenly had a smörgåsbord of large sedentary animals to feed on. While vampire bats had previously been kept in check by the limited availability of food and the presence of predators in the balanced <a href="https://cir.nii.ac.jp/crid/1130000797648461952">forest ecosystem</a>, numbers of this species exploded in South America. These bats carry the rabies virus, which causes <a href="https://www.who.int/news-room/fact-sheets/detail/rabies">lethal brain infections</a> in people who are bitten. Although the number of deaths from bat-borne rabies has now fallen dramatically due to vaccination programs in South America, rabies caused by bites from other animals still <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168224/">poses a global threat</a>. As urban and agricultural development impinges on natural ecosystems, there are increasing opportunities for humans and domestic animals to become infected with pathogens that would normally only be seen in wildlife – particularly when people hunt and eat animals from the wild. The HIV virus, for example, <a href="https://www.tandfonline.com/doi/abs/10.1076/jmep.27.2.163.2992">first entered human populations</a> from apes that were slaughtered for food in Africa, and then spread globally through travel and trade. Meanwhile, bats are thought to be <a href="https://www.sciencedirect.com/science/article/pii/S0006291X20319434">the original reservoir</a> for the virus that caused the COVID pandemic, which has killed more than <a href="https://www.worldometers.info/coronavirus/">7 million people</a> to date. Ultimately, until we effectively address the unsustainable impact we are having on our planet, pandemics will continue to occur. <h2>Targeting the ultimate causes</h2> Factors such as climate change, biodiversity loss and other global challenges are the ultimate (high level) cause of pandemics. Meanwhile, increased contact between humans, domestic animals and wildlife is the proximate (immediate) cause. In the case of HIV, while direct contact with the infected blood of apes was the proximate cause, the apes were only being slaughtered because large numbers of very poor people were hungry – an ultimate cause. The distinction between <a href="https://link.springer.com/article/10.1007/BF02207379">ultimate causes and proximate causes</a> is important, because we often deal only with proximate causes. For example, people may smoke because of stress or social pressure (ultimate causes of getting lung cancer), but it’s the toxins in the smoke that cause cancer (proximate cause). Generally, health services are only concerned with stopping people from smoking – and with treating the illness that results – not with removing the drivers that lead them to smoke in the first place. Similarly, we address pandemics with lockdowns, mask wearing, social distancing and vaccinations – all measures which seek to stop the spread of the virus. But we pay less attention to addressing the ultimate causes of pandemics – until perhaps very recently. <h2>A planetary health approach</h2> There’s a growing awareness of the importance of adopting a “planetary health” approach to improve human health. This <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60901-1/fulltext?nr_email_referer=1">concept</a> is based on the understanding that human health and human civilisation depend on flourishing natural systems, and the wise stewardship of those natural systems. With this approach, ultimate drivers like climate change and biodiversity loss would be prioritised in preventing future pandemics, at the same time as working with experts from many different disciplines to deal with the proximate causes, thereby reducing the risk overall. The planetary health approach has the benefit of improving both the health of the environment and human health concurrently. We are heartened by the increased uptake of teaching planetary health concepts across the environmental sciences, humanities and health sciences in many universities. As climate change, biodiversity loss, population displacements, travel and trade continue to increase the risk of disease outbreaks, it’s vital that the planetary stewards of the future have a better understanding of how to tackle the ultimate causes that drive pandemics. This article is the first in a series on the next pandemic.<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/226827/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/olga-anikeeva-1522907">Olga Anikeeva</a>, Research Fellow, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/jessica-stanhope-1129888">Jessica Stanhope</a>, Lecturer, School of Allied Health Science and Practice, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/peng-bi-1522908">Peng Bi</a>, Professor, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/philip-weinstein-882901">Philip Weinstein</a>, Professorial Research Fellow, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-are-we-seeing-more-pandemics-our-impact-on-the-planet-has-a-lot-to-do-with-it-226827">original article</a>.

Body

How you experience the menopause may have a lot to do with your family

<a href="https://theconversation.com/profiles/megan-arnot-416253">Megan Arnot</a>, <a href="https://theconversation.com/institutions/ucl-1885">UCL</a> The <a href="https://www.ncbi.nlm.nih.gov/pubmed/30346539">menopause</a> happens around the age of 50, and for many women, the end of their fertile life is accompanied by uncomfortable symptoms, such as hot flashes, night sweats and anxiety. In the West, it is generally taken as read that these symptoms are a normal part of the menopause. But <a href="https://www.ncbi.nlm.nih.gov/pubmed/11330770">cross-cultural research</a> suggests that menopause symptoms are not necessarily inevitable. For example, <a href="https://www.ncbi.nlm.nih.gov/pubmed/18521049">Japanese women</a> rarely report hot flashes, whereas for European women they are a common complaint. As a result, scientists have begun to focus on what causes this difference in experience and the potential impact that behavioural and lifestyle factors, such as <a href="https://www.ncbi.nlm.nih.gov/pubmed/16735636">smoking</a>, might have. Our latest <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/ece3.5705">study</a> adds to this knowledge. We found that living away from your genetic family may worsen the menopause. <h2>Family matters?</h2> Where people live once they’re married varies across cultures. To investigate whether these different living arrangements affect menopause symptoms, we travelled to south-west China to collect data. In this region, there are groups with distinct living arrangements. First, the Han and the Yi, in which women typically leave their family after they’ve got married and live with their husband’s family. Second, the Mosuo and Zhaba, who engage in the practice of zou hun (“<a href="https://www.ncbi.nlm.nih.gov/pubmed/23486437">walking marriage</a>”), where the husband and wife live separately with their own related families, and only visit each other at night. We found that women who remained living with their own family following marriage had significantly less severe menopause symptoms than those who went to live with their husband’s family. <h2>In-law conflict</h2> Many anthropologists are interested in how different levels of relatedness within households can have behavioural and physiological implications. For the menopause, we think the difference in symptom severity between the groups may be the result of the different levels of conflict that result from being more or less related to other members of your household. If a woman lives with her husband’s family, then until she has children, she is unrelated to anyone in the household. This lack of relatedness can cause <a href="https://link.springer.com/article/10.1007/s40806-017-0114-8">tension</a> between the new wife and her husband’s relatives as they have little direct genetic interest in her. As well as conflict with non-related household members, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/evan.20226">earlier research</a> has shown that women who live with their husband’s family tend to argue with their partners more and are also more likely to get divorced. Additionally, rates of domestic violence are <a href="https://www.ncbi.nlm.nih.gov/pubmed/27279077">higher</a> when women live away from their genetic family. But how does this relate to the severity of menopause symptoms? We think that increased levels of household conflict would result in the woman being more stressed. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795524/">Stress</a> is known to worsen pain perception and so could aggravate menopause symptoms. In contrast to women who leave their kin group, women who live with their own family once they’re married also tend to have higher levels of <a href="https://scholar.harvard.edu/slowes/publications/matrilineal-spousal-cooperation">social support</a>. There are more people to help with childcare and more shoulders to cry on. This can help to lower stress and thus soften the mental and physical burden of the menopause. <h2>Global perspectives</h2> While our research was conducted in China, globally, we see a wide range of living arrangements, which themselves can bring different levels of conflict and social support. In the West, many women live away from their families, which may mean that they lack social support, perhaps contributing to more turbulent menopause symptoms. Distance from one’s own family can also be seen to increase <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/j.1741-3737.2005.00155.x">conflict</a> within the household – be it between a husband and wife, or wife and in-laws. These results aren’t an excuse to visit your in-laws less, but they show that menopause symptoms are not only about hormonal irregularities. They may also be a product of your social environment, which should be worth bearing in mind when approaching and going through the menopause.<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/123621/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/megan-arnot-416253">Megan Arnot</a>, PhD Candidate, Evolutionary Anthropology and Behavioural Ecology, <a href="https://theconversation.com/institutions/ucl-1885">UCL</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-you-experience-the-menopause-may-have-a-lot-to-do-with-your-family-123621">original article</a>.

Body

Michael Mosley used science communication to advance health and wellbeing. We can learn a lot from his approach

<a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/kirsten-adlard-684475">Kirsten Adlard</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> Overnight, we learned of the <a href="https://www.abc.net.au/news/2024-06-09/michael-mosley-body-found-greek-island-clare-bailey-mosley/103957382">tragic passing</a> of Michael Mosley, who went missing last week while on holiday on the Greek island of Symi. The British celebrity doctor was a household name in many countries, including Australia. Mosley was well known for his television shows, documentaries, books and columns on healthy eating, weight management, physical activity and sleep. During the days he was missing and once his death was confirmed, media outlets have acknowledged Mosley’s <a href="https://www.independent.co.uk/arts-entertainment/tv/features/michael-mosley-tv-doctor-death-b2558717.html">career achievements</a>. He is being celebrated for his connection to diverse public audiences and his unrelenting focus on science as the best guide to our daily habits. <h2>From medicine to the media</h2> Mosley was born in India <a href="https://www.bbc.com/news/articles/c8770jyz6vvo">in 1957</a> and was sent to England at age seven to attend boarding school. He later studied philosophy, politics and economics at the <a href="https://michaelmosley.co.uk/biog/">University of Oxford</a>. After a short stint in investment banking, Mosley opted to train in medicine at the Royal Free Hospital in London. Rather than forging a career in clinical practice, <a href="https://michaelmosley.co.uk/biog/">Mosley</a> started working at the BBC in 1985 as a trainee assistant producer. In the decades that followed, Mosley continued to work with the BBC as a producer and presenter. Mosley became a popular public figure by applying his medical training to journalism to examine a breadth of health and wellbeing topics. In 1995, following his documentary on <a href="https://genome.ch.bbc.co.uk/baf970949e3a46a992ae52420395a7c2">Helicobacter pylori</a>, a bacterium that causes ulcers in the stomach, the British Medical Association named him <a href="https://www.bbc.co.uk/programmes/profiles/2kczjZKp8sGSDxSxKYzxsyr/michael-mosley">medical journalist of the year</a>. His other television work on diet, weight management, exercise and sleep earned him <a href="https://www.emmys.com/bios/michael-mosley">Emmy</a>, <a href="https://www.imdb.com/name/nm0608839/awards/">BAFTA</a> (the British Academy of Film and Television Arts), and <a href="https://rts.org.uk/tags/michael-mosley">Royal Television Society</a> <a href="https://www.bbc.co.uk/programmes/profiles/2kczjZKp8sGSDxSxKYzxsyr/michael-mosley">award nominations</a>. Over the past decade, Mosley published <a href="https://www.amazon.com.au/Fast-Diet-Original-Revised-Research/dp/1780722370/ref=sr_1_6?dib=eyJ2IjoiMSJ9.75_akcxo8tanyLrD4CVMwd1lCTliHyckSLPU2W7K4HmdPqRlVqvMbKWKkJ6CPCsrFsAw4Vfw5SWOYkl_Y8ah4yNCSjQksdT3ByCSHhiycNB9AB5h6vVUqB99okxDDWPaXUCwD-CZMzHZDvAjuAotTN">several books</a> on <a href="https://www.fishpond.com.au/Books/Fastexercise-Michael-Mosley-Peta-Bee-With/9781476759982?utm_source=googleps&utm_medium=ps&utm_campaign=AU&gad_source=1&gclid=CjwKCAjw34qzBhBmEiwAOUQcF3wd7d1bj8KMFeEtKS6ZU7py5rRzjiycZhcsMbSEQ9lXhjEBcY4GRxoCwgIQAvD_BwE">exercise</a>, <a href="https://www.amazon.com.au/8-Week-Blood-Sugar-Diet-Recipe/dp/1925456595/ref=sr_1_7?dib=eyJ2IjoiMSJ9.75_akcxo8tanyLrD4CVMwd1lCTliHyckSLPU2W7K4HmdPqRlVqvMbKWKkJ6CPCsrFsAw4Vfw5SWOYkl_Y8ah4yNCSjQksdT3ByCSHhiycNB9AB5h6vVUqB99okxDDWPaXUCwD-CZMzHZDvAjuAotTNxxkW3">healthy eating</a>, <a href="https://www.amazon.com.au/Fast-800-Australian-New-Zealand/dp/B07MPRQWJP/ref=sr_1_8?dib=eyJ2IjoiMSJ9.75_akcxo8tanyLrD4CVMwd1lCTliHyckSLPU2W7K4HmdPqRlVqvMbKWKkJ6CPCsrFsAw4Vfw5SWOYkl_Y8ah4yNCSjQksdT3ByCSHhiycNB9AB5h6vVUqB99okxDDWPaXUCwD-CZMzHZDvAjuAotTNxxkW">intermittent fasting</a>, <a href="https://www.amazon.com.au/Weeks-Better-Sleep-life-changing-improved/dp/1761425927/ref=sr_1_1?dib=eyJ2IjoiMSJ9.75_akcxo8tanyLrD4CVMwd1lCTliHyckSLPU2W7K4HmdPqRlVqvMbKWKkJ6CPCsrFsAw4Vfw5SWOYkl_Y8ah4yNCSjQksdT3ByCSHhiycNB9AB5h6vVUqB99okxDDWPaXUCwD-CZMzHZDvAj">sleep</a> and <a href="https://www.amazon.com.au/Just-One-Thing-Changes-Transform/dp/B0BJVRP94X/ref=sr_1_9?dib=eyJ2IjoiMSJ9.75_akcxo8tanyLrD4CVMwd1lCTliHyckSLPU2W7K4HmdPqRlVqvMbKWKkJ6CPCsrFsAw4Vfw5SWOYkl_Y8ah4yNCSjQksdT3ByCSHhiycNB9AB5h6vVUqB99okxDDWPaXUCwD-CZMzHZDvAjuAotTNxxk">behaviour change</a>. He sold millions of copies of his books around the world, including at least <a href="https://www.simonandschuster.com.au/p/mosley-1mil-sales">one million</a> in Australia and New Zealand. Alongside his wife, Dr Clare Bailey Mosley, he recently embarked on a <a href="https://michaelmosley.co.uk/live/">live theatre show tour</a>, yet another vehicle to bring his key messages to audiences. <h2>A trusted voice</h2> Mosley became a trusted voice for health and wellbeing throughout his journalistic career. His television program <a href="https://www.bbc.co.uk/programmes/b04j9gny">Trust Me, I’m a Doctor</a> drew on his medical qualifications to discuss health and wellbeing credibly on a public platform. His medical training also inferred credibility in examining the scientific literature that underpins the topics he was communicating. At the same time, Mosley used simple terminology that captured the attention of diverse audiences. For many of Mosley’s outputs, he used himself as an example. For instance, in his <a href="https://www.bbc.co.uk/programmes/p09by3yy/episodes/downloads">podcast series</a> Just One Thing and <a href="https://www.amazon.com.au/Just-One-Thing-Changes-Transform/dp/B0BJVRP94X/ref=sr_1_9?dib=eyJ2IjoiMSJ9.75_akcxo8tanyLrD4CVMwd1lCTliHyckSLPU2W7K4HmdPqRlVqvMbKWKkJ6CPCsrFsAw4Vfw5SWOYkl_Y8ah4yNCSjQksdT3ByCSHhiycNB9AB5h6vVUqB99okxDDWPaXUCwD-CZMzHZDvAjuAotTNxxk">companion book</a>, Mosley self-tested a range of evidence-based behavioural habits (while also interviewing subject-matter experts), covering topics such as eating slowly, yoga, listening to music, cooking, gardening and drinking green tea. His focus on intermittent fasting and high-intensity training was fuelled by his <a href="https://www.abc.net.au/news/2024-06-08/how-dr-michael-mosley-popularised-intermittent-fasting/103952408">diagnosis of type 2 diabetes</a>, and his work on sleep health was based on his experience <a href="https://www.sbs.com.au/food/article/sleep-revolution-michael-mosley/okmv5o7qe">with chronic insomnia</a>. At the most extreme end of the spectrum, Mosley <a href="https://www.bbc.com/news/science-environment-25968755">infested himself with tapeworms</a> in the pursuit of exploring their effects on the human body. By using himself as a <a href="https://www.theguardian.com/media/article/2024/jun/09/michael-mosley-favourite-health-tip-slow-deep-breathing">human guinea pig</a>, he fostered a connection with his audience, showing the <a href="https://www.chronicle.com/article/the-personal-touch-using-anecdotes-to-hook-a-reader">power</a> of personal anecdotes. <h2>Some controversies along the way</h2> Despite his notable career achievements, Mosley received ongoing criticisms about his work due to differing opinions within the medical and scientific communities. One key concern was around his promotion of potentially risky diets such as intermittent fasting and other restrictive diets, including the 5:2 diet and low-carb diets. While <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946909/">some evidence</a> supports intermittent fasting as a way to improve metabolic health and enable weight management, Mosley was criticised for not fully acknowledging the potential risks of these diets, such as a potential to lead to <a href="https://clindiabetesendo.biomedcentral.com/articles/10.1186/s40842-023-00152-7">disordered eating</a> habits. His promotion of low-carb diets also raised concerns that his work added to a diet-focused <a href="https://www.independent.co.uk/life-style/health-and-families/lose-a-stone-in-21-days-channel-4-criticism-eating-disorder-food-relationship-beat-a9656531.html">culture war</a>, ultimately to the detriment of many people’s relationship with food and their bodies. More broadly, in his efforts to make scientific concepts simple and accessible to the general public, Mosley was sometimes criticised for overgeneralising science. The concern was that he didn’t properly discuss the nuance and tension inherent in scientific evidence, thereby providing an incomplete synthesis of the evidence. For example, Mosley conceptualised the <a href="https://thebloodsugardiet.com">blood sugar diet</a> (a low-carbohydrate Mediterranean-style diet), which was <a href="https://www.bbc.com/news/health-68452019">criticised</a> for lacking a strong grounding in scientific evidence. Similarly, <a href="https://www.thetimes.com/life-style/health-fitness/article/smoke-and-mirrors-the-truth-about-vaping-nmpf3przr">associating his name with e-cigarettes</a> may have drawn unhelpful attention to the topic, irrespective of the underlying details. <h2>What can we learn from Mosley?</h2> Overall, Mosley has been objectively successful in communicating scientific concepts to large, engaged audiences. Mosley showed us that people want to consume scientific information, whether through the news media, social media, podcasts or books. His passion and persistence in using science to promote health and wellbeing have likely supported public health efforts across the globe.<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/231934/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/kirsten-adlard-684475">Kirsten Adlard</a>, Supervisor of Engagement, Communication, and Outreach, Centre for Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> Image credits: Ken McKay/ITV/Shutterstock Editorial 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/michael-mosley-used-science-communication-to-advance-health-and-wellbeing-we-can-learn-a-lot-from-his-approach-231934">original article</a>.

Caring

Drinking lots of water may seem like a healthy habit – here’s when and why it can prove toxic

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/adam-taylor-283950">Adam Taylor</a>, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a> In late 2023, actor <a href="https://www.glamour.com/story/brooke-shields-recently-experienced-a-full-blown-seizure-and-bradley-cooper-came-running?utm_source=instagram&utm_medium=social&utm_content=instagram-bio-link&client_service_id=31196&client_service_name=glamour&service_user_id=1.78e+16&supported_service_name=instagram_publishing&utm_brand=glm&utm_social_type=owned">Brooke Shields</a> suffered a seizure after “flooding” her body with water. Shields became dangerously low on sodium while preparing for her show by drinking loads of water. “I flooded my system and I drowned myself,” she would later explain. “And if you don’t have enough sodium in your blood or urine or your body, you can have a seizure.” Shields said she found herself walking around outside for “no reason at all”, wondering: “Why am I out here?” <blockquote> Then I walk into the restaurant and go to the sommelier who had just taken an hour to watch my run through. That’s when everything went black. Then my hands drop to my side and I go headfirst into the wall. </blockquote> Shields added that she was “frothing at the mouth, totally blue, trying to swallow my tongue”. Like Shields, many people may be unaware of the dangers of drinking excessive amounts of water – especially because hydration is so often associated with health benefits. Models and celebrities <a href="https://www.teenvogue.com/story/drinking-water-flawless-skin#:%7E:text=If%20you're%20reading%20a,long%20hours%20at%20a%20time.">often advocate</a> drinking lots of water to help maintain clear, smooth skin. Some <a href="https://www.independent.co.uk/life-style/75-hard-challenge-before-and-after-tiktok-b2382706.html">social media influencers</a> have promoted drinking a gallon of water daily for weight loss. But excessive water consumption can cause <a href="https://patient.info/treatment-medication/hyponatraemia-leaflet">hyponatraemia</a> – a potentially fatal condition of low sodium in the blood. <h2>Worried about hydration levels? Check your urine</h2> The body strictly regulates its water content to maintain the optimum level of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2323003/">total body water</a> and “osmolality” – the concentration of dissolved particles in your blood. Osmolality increases when you are dehydrated and decreases when you have too much fluid in your blood. Osmolality is monitored by <a href="https://pubmed.ncbi.nlm.nih.gov/9074779/">osmoreceptors</a> that regulate sodium and water balance in the hypothalamus – the part of the brain that controls numerous hormones. These osmoreceptors signal the release of antidiuretic hormone (ADH), which acts on blood vessels and the kidneys to control the amount of water and salt in the body. <figure><iframe src="https://www.youtube.com/embed/Qghf7Y9ILAs?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> In healthy people, the body releases ADH when osmolality becomes high. ADH tells the kidneys to reabsorb water, which makes urine more concentrated. The reabsorbed water dilutes the blood, bringing osmolality back to normal levels. Low blood osmolality suppresses the release of ADH, reducing how much water the kidneys reabsorb. This dilutes your urine, which the body then passes to rid itself of the excess water. Healthy urine should be clear and odourless. Darker, yellower urine with a noticeable odour can indicate dehydration – although medications and certain foods, including <a href="https://pubmed.ncbi.nlm.nih.gov/3433805/">asparagus</a>, can affect urine colour and odour, too. <h2>How much is too much?</h2> Adults should consume <a href="https://www.nhs.uk/live-well/eat-well/food-guidelines-and-food-labels/water-drinks-nutrition/">two-to-three litres per day</a>, of which around 20% comes from food. However, we can lose <a href="https://www.ncbi.nlm.nih.gov/books/NBK236237/">up to ten litres</a> of water through perspiration – so sweating during exercise or in hot weather increases the amount of water we need to replace through drinking. Some medical conditions can cause overhydration. Approximately <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616165/">one in five</a> schizophrenia patients drink water compulsively, a dangerous condition known as <a href="https://www.theguardian.com/uk-news/2024/apr/15/woman-died-mental-hospital-excessive-water-drinking-inquest#:%7E:text=Woman%20died%20at%20mental%20hospital%20after%20excessive%20water%20drinking%2C%20inquest%20told,-Parents%20of%20Lillian&text=A%20woman%20collapsed%20and%20died,water%2C%20an%20inquest%20has%20heard.">psychogenic polydipsia</a>. One long-term study found that patients with psychogenic polydipsia have a <a href="https://pubmed.ncbi.nlm.nih.gov/18984069/">“74% greater chance</a> of dying before a non-polydipsic patient”. In <a href="https://pubmed.ncbi.nlm.nih.gov/22306188/">some cases</a>, people with <a href="https://psychiatry-psychopharmacology.com/en/childhood-and-adolescence-disorders-psychogenic-polydipsia-in-an-adolescent-with-eating-disorder-a-case-report-132438">anorexia nervosa</a> can also suffer from compulsive water drinking. <figure><iframe src="https://www.youtube.com/embed/ReQew2zcN7c?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> For those suffering from polydipsia, treatment is focused on medication to reduce the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10675986/">urge to drink</a>, as well as <a href="https://www.uptodate.com/contents/overview-of-the-treatment-of-hyponatremia-in-adults/print">increasing sodium levels</a>. This should be done gradually to avoid causing <a href="https://www.ncbi.nlm.nih.gov/books/NBK562251/">myelinolysis</a> – <a href="https://www.ncbi.nlm.nih.gov/books/NBK551697/">neurological damage</a> caused by rapid changes in sodium levels in nerve cells. In rare but often highly publicised cases such as that of <a href="http://news.bbc.co.uk/onthisday/hi/dates/stories/november/13/newsid_2516000/2516593.stm">Leah Betts</a> in 1995, some users of the illegal drug MDMA (also known as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119400/">ecstasy)</a> have <a href="https://pubmed.ncbi.nlm.nih.gov/11265566/">died</a> after drinking copious amounts of water to rehydrate after dancing and sweating. The drug <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008716/">increases body temperature</a>, so users drink water to avoid overheating. Unfortunately, MDMA also triggers the <a href="https://pubmed.ncbi.nlm.nih.gov/12105115/">unnecessary release of ADH</a>, causing water retention. The body becomes unable to rid itself of excess water, which affects its electrolyte levels – causing cells to swell with water. Symptoms of water intoxication start with nausea, vomiting, blurred vision and dizziness. As the condition progresses, sufferers can often display symptoms of <a href="https://www.nhs.uk/mental-health/conditions/psychosis/symptoms/">psychosis</a>, such as inappropriate behaviour, confusion, delusions, disorientation and hallucinations. These symptoms are caused by <a href="https://www.ncbi.nlm.nih.gov/books/NBK470386/">hyponatraemia</a>, where sodium levels are diluted or depleted in blood and the subsequent imbalance of electrolytes affects the nervous system. Water begins to move into the brain causing <a href="https://www.sciencedirect.com/science/article/pii/S1572349604000149">a cerebral oedema</a> – brain swelling because of excessive fluid buildup, which is usually fatal if not treated. A healthy body will tell you when it needs water. If you’re thirsty and your urine is dark with a noticeable odour, then you need to drink more. If you aren’t thirsty and your urine is clear or the colour of light straw, then you’re already doing a good job of hydrating yourself.<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/228715/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/adam-taylor-283950">Adam Taylor</a>, Professor and Director of the Clinical Anatomy Learning Centre, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/drinking-lots-of-water-may-seem-like-a-healthy-habit-heres-when-and-why-it-can-prove-toxic-228715">original article</a>. </div>

Body

Yes, Kate Middleton’s photo was doctored. But so are a lot of images we see today

<a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> Rumours and conspiracies have been <a href="https://www.nytimes.com/2024/02/28/style/princess-kate-middleton-health.html">swirling</a> following the abdominal surgery and long recovery period of Catherine, Princess of Wales, earlier this year. They intensified on Monday when Kensington Palace released a photo of the princess with her three children. <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/C4U_IqTNaqU/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C4U_IqTNaqU/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a> </div> </blockquote> The photo had clear signs of tampering, and international wire services <a href="https://apnews.com/article/kate-princess-photo-surgery-ca91acf667c87c6c70a7838347d6d4fb">withdrew the image</a> amid concerns around manipulation. The princess later <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616">apologised for any confusion</a> and said she had “experimented with editing” as many amateur photographers do. Image editing is extremely common these days, and not all of it is for nefarious purposes. However, in an age of rampant misinformation, how can we stay vigilant around suspicious images? <h2>What happened with the royal photo?</h2> A close look reveals at least eight inconsistencies with the image. Two of these relate to unnatural blur. Catherine’s right hand is unnaturally blurred, even though her left hand is sharp and at the same distance from the camera. The left side of Catherine’s hair is also unnaturally blurred, while the right side of her hair is sharp. These types of edits are usually made with a blur tool that softens pixels. It is often used to make the background of an image less distracting or to smooth rough patches of texture. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=358&fit=crop&dpr=1 600w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=358&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=358&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=450&fit=crop&dpr=1 754w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=450&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=450&fit=crop&dpr=3 2262w" alt="" /></a><figcaption>At least eight logical inconsistencies exist in the doctored image the Prince and Princess of Wales posted on social media. <a class="source" href="https://www.instagram.com/p/C4U_IqTNaqU/">Photo by the Prince of Wales/Chart by T.J. Thomson</a></figcaption></figure> Five of the edits appear to use the “clone stamp” tool. This is a Photoshop tool that takes part of the same or a different image and “stamps” it onto another part. You can see this with the repeated pattern on Louis’s (on the left) sweater and the tile on the ground. You can also see it with the step behind Louis’s legs and on Charlotte’s hair and sleeve. The zipper on Catherine’s jacket also doesn’t line up. The most charitable interpretation is that the princess was trying to remove distracting or unflattering elements. But the artefacts could also point to multiple images being blended together. This could either be to try to show the best version of each person (for example, with a smiling face and open eyes), or for another purpose. <blockquote class="twitter-tweet"> Like many amateur photographers, I do occasionally experiment with editing. I wanted to express my apologies for any confusion the family photograph we shared yesterday caused. I hope everyone celebrating had a very happy Mother’s Day. C — The Prince and Princess of Wales (@KensingtonRoyal) <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616?ref_src=twsrc%5Etfw">March 11, 2024</a></blockquote> <h2>How common are image edits?</h2> Image editing is increasingly common as both photography and editing are increasingly becoming more automated. This sometimes happens without you even knowing. Take HDR (high dynamic range) images, for example. Point your iPhone or equivalent at a beautiful sunset and watch it capture the scene from the brightest highlights to the darkest shadows. What happens here is your camera makes multiple images and automatically stitches them together to make an image <a href="https://www.adobe.com/creativecloud/photography/hub/guides/what-is-hdr-photography.html">with a wider range of contrast</a>. While face-smoothing or teeth-whitening filters are nothing new, some smartphone camera apps apply them without being prompted. Newer technology like Google’s “Best Take” <a href="https://blog.google/products/photos/how-google-photos-best-take-works/">feature</a> can even combine the best attributes of multiple images to ensure everyone’s eyes are open and faces are smiling in group shots. On social media, it seems everyone tries to show themselves in their best light, which is partially why so few of the photos on our <a href="https://www.tandfonline.com/doi/abs/10.1080/15551393.2020.1862663">camera rolls</a> make it onto our social media feeds. It is also why we often edit our photos to show our best sides. But in other contexts, such as press photography, the <a href="https://www.ap.org/about/news-values-and-principles/telling-the-story/visuals">rules are much stricter</a>. The Associated Press, for example, bans all edits beyond simple crops, colour adjustments, and “minor adjustments” that “restore the authentic nature of the photograph”. Professional photojournalists haven’t always gotten it right, though. While the majority of lens-based news workers adhere to ethical guidelines like those published by the <a href="https://nppa.org/resources/code-ethics">National Press Photographers Association</a>, others have let deadline pressures, competition and the desire for exceptional imagery cloud their judgement. One such example was in 2017, when British photojournalist Souvid Datta admitted to <a href="https://time.com/4766312/souvid-datta/">visually plagiarising</a> another photographer’s work within his own composition. <blockquote class="twitter-tweet"> Photographer Souvid Datta appears to have plagiarized Mary Ellen Mark: <a href="https://t.co/iO1Lm8CowU">https://t.co/iO1Lm8CowU</a> <a href="https://t.co/jswHyApGNj">pic.twitter.com/jswHyApGNj</a> — PetaPixel (@petapixel) <a href="https://twitter.com/petapixel/status/859824132258537472?ref_src=twsrc%5Etfw">May 3, 2017</a></blockquote> Concerns around false or misleading visual information are at an all-time high, given advances in <a href="https://theconversation.com/nine-was-slammed-for-ai-editing-a-victorian-mps-dress-how-can-news-media-use-ai-responsibly-222382">generative artificial intelligence (AI)</a>. In fact, this year the World Economic Forum named the risk of misinformation and disinformation as the world’s greatest <a href="https://www.weforum.org/agenda/2024/01/ai-disinformation-global-risks/">short-term threat</a>. It placed this above armed conflict and natural disasters. <h2>What to do if you’re unsure about an image you’ve found online</h2> It can be hard to keep up with the more than <a href="https://theconversation.com/3-2-billion-images-and-720-000-hours-of-video-are-shared-online-daily-can-you-sort-real-from-fake-148630">3 billion photos</a> that are shared each day. But, for the ones that matter, we owe it to ourselves to slow down, zoom in and ask ourselves a few simple <a href="https://www.aap.com.au/factcheck-resources/how-we-check-the-facts/">questions</a>: 1. Who made or shared the image? This can give clues about reliability and the purpose of making or sharing the image. 2. What’s the evidence? Can you find another version of the image, for example, using a <a href="https://tineye.com/">reverse-image search engine</a>? 3. What do trusted sources say? Consult resources like <a href="https://www.aap.com.au/factcheck/">AAP FactCheck</a> or <a href="https://factcheck.afp.com/">AFP Fact Check</a> to see if authoritative sources have already weighed in.<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/225553/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, Senior Lecturer in Visual Communication & Digital Media, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> 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/yes-kate-middletons-photo-was-doctored-but-so-are-a-lot-of-images-we-see-today-225553">original article</a>. Hero image: The Conversation / X / Instagram

Technology

How much weight do you actually need to lose? It might be a lot less than you think

<a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> If you’re one of the <a href="https://www.finder.com.au/new-years-resolutions-statistics">one in three</a> Australians whose New Year’s resolution involved losing weight, it’s likely you’re now contemplating what weight-loss goal you should actually be working towards. But type “setting a weight loss goal” into any online search engine and you’ll likely be left with more questions than answers. Sure, the many weight-loss apps and calculators available will make setting this goal seem easy. They’ll typically use a body mass index (BMI) calculator to confirm a “healthy” weight and provide a goal weight based on this range. Your screen will fill with trim-looking influencers touting diets that will help you drop ten kilos in a month, or ads for diets, pills and exercise regimens promising to help you effortlessly and rapidly lose weight. Most sales pitches will suggest you need to lose substantial amounts of weight to be healthy – making weight loss seem an impossible task. But the research shows you don’t need to lose a lot of weight to achieve health benefits. <h2>Using BMI to define our target weight is flawed</h2> We’re a society fixated on numbers. So it’s no surprise we use measurements and equations to score our weight. The most popular is BMI, a measure of our body weight-to-height ratio. BMI classifies bodies as underweight, normal (healthy) weight, overweight or obese and can be a useful tool for weight and health screening. But it shouldn’t be used as the single measure of what it means to be a healthy weight when we set our weight-loss goals. This is <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">because</a> it: <ul> <li> fails to consider two critical factors related to body weight and health – body fat percentage and distribution </li> <li> does not account for significant differences in body composition based on gender, ethnicity and age. </li> </ul> <h2>How does losing weight benefit our health?</h2> Losing just 5–10% of our body weight – between 6 and 12kg for someone weighing 120kg – can significantly improve our health in four key ways. 1. Reducing cholesterol Obesity increases the chances of having too much low-density lipoprotein (LDL) cholesterol – also known as bad cholesterol – because carrying excess weight changes how our bodies produce and manage lipoproteins and triglycerides, another fat molecule we use for energy. Having too much bad cholesterol and high triglyceride levels is not good, narrowing our arteries and limiting blood flow, which increases the risk of heart disease, heart attack and stroke. But <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4987606/">research</a> shows improvements in total cholesterol, LDL cholesterol and triglyceride levels are evident with just 5% weight loss. 2. Lowering blood pressure Our blood pressure is considered high if it reads more than 140/90 on at least two occasions. Excess weight is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082272/">linked to</a> high blood pressure in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082272/">several ways</a>, including changing how our sympathetic nervous system, blood vessels and hormones regulate our blood pressure. Essentially, high blood pressure makes our heart and blood vessels work harder and less efficiently, damaging our arteries over time and increasing our risk of heart disease, heart attack and stroke. Like the improvements in cholesterol, a 5% weight loss <a href="https://onlinelibrary.wiley.com/doi/10.1002/oby.21358">improves</a> both systolic blood pressure (the first number in the reading) and diastolic blood pressure (the second number). A <a href="https://www.ahajournals.org/doi/10.1161/01.hyp.0000094221.86888.ae">meta-analysis of 25 trials</a> on the influence of weight reduction on blood pressure also found every kilo of weight loss improved blood pressure by one point. 3. Reducing risk for type 2 diabetes Excess body weight is the primary manageable risk factor for type 2 diabetes, particularly for people carrying a lot of visceral fat around the abdomen (belly fat). Carrying this excess weight can cause fat cells to release pro-inflammatory chemicals that disrupt how our bodies regulate and use the insulin produced by our pancreas, leading to high blood sugar levels. Type 2 diabetes can lead to serious medical conditions if it’s not carefully managed, including damaging our heart, blood vessels, major organs, eyes and nervous system. <a href="https://www.nejm.org/doi/full/10.1056/nejmoa012512">Research</a> shows just 7% weight loss reduces risk of developing type 2 diabetes by 58%. 4. Reducing joint pain and the risk of osteoarthritis Carrying excess weight can cause our joints to become inflamed and damaged, making us more prone to osteoarthritis. <a href="https://pubmed.ncbi.nlm.nih.gov/21425246/">Observational studies</a> show being overweight doubles a person’s risk of developing osteoarthritis, while obesity increases the risk fourfold. Small amounts of weight loss alleviate this stress on our joints. <a href="https://pubmed.ncbi.nlm.nih.gov/15986358/">In one study</a> each kilogram of weight loss resulted in a fourfold decrease in the load exerted on the knee in each step taken during daily activities. <h2>Focus on long-term habits</h2> If you’ve ever tried to lose weight but found the kilos return almost as quickly as they left, you’re not alone. An <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/">analysis</a> of 29 long-term weight-loss studies found participants regained more than half of the weight lost within two years. Within five years, they regained more than 80%. When we lose weight, we take our body out of its comfort zone and trigger its survival response. It then counteracts weight loss, triggering several <a href="https://pubmed.ncbi.nlm.nih.gov/25896063/">physiological responses</a> to defend our body weight and “survive” starvation. Just as the problem is evolutionary, the solution is evolutionary too. Successfully losing weight long-term comes down to: <ul> <li> losing weight in small manageable chunks you can sustain, specifically periods of weight loss, followed by periods of weight maintenance, and so on, until you achieve your goal weight </li> <li> making gradual changes to your lifestyle to ensure you form habits that last a lifetime. </li> </ul> Setting a goal to reach a healthy weight can feel daunting. But it doesn’t have to be a pre-defined weight according to a “healthy” BMI range. Losing 5–10% of our body weight will result in immediate health benefits. At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.<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/217287/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-weight-do-you-actually-need-to-lose-it-might-be-a-lot-less-than-you-think-217287">original article</a>.

Body

It’s beginning to look a lot like burnout. How to take care of yourself before the holidays start

<a href="https://theconversation.com/profiles/sophie-scott-1462197">Sophie Scott</a>, <a href="https://theconversation.com/institutions/university-of-notre-dame-australia-852">University of Notre Dame Australia</a> and <a href="https://theconversation.com/profiles/gordon-parker-94386">Gordon Parker</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> It’s getting towards the time of the year when you might feel more overwhelmed than usual. There are work projects to finish and perhaps exams in the family. Not to mention the pressures of organising holidays or gifts. Burnout is a real possibility. Burnout is defined by the <a href="https://www.who.int/standards/classifications/frequently-asked-questions/burn-out-an-occupational-phenomenon#:%7E:text=Burn%2Dout%20is%20defined%20in,has%20not%20been%20successfully%20managed.">World Health Organization</a> (WHO) as having three main symptoms – exhaustion, loss of empathy and reduced performance at work. Australian <a href="https://pubmed.ncbi.nlm.nih.gov/34052460/">research</a> argues for a broader model, particularly as the WHO’s third symptom may simply be a consequence of the first two. So what is burnout really? And how can you avoid it before the holidays hit? <h2>More than being really tired</h2> The Australian research model endorsed exhaustion as the primary burnout symptom but emphasised burnout should not be simply equated with exhaustion. The second symptom is loss of empathy (or “compassion fatigue”), which can also be experienced as uncharacteristic cynicism or a general loss of feeling. Nothing much provides pleasure and joie de vivre is only a memory. The third symptom (cognitive impairment) means sufferers find it <a href="https://www.abc.net.au/news/2023-02-13/gordon-parker-says-the-burnout-definition-needs-to-broaden/101920366">difficult to focus</a> and retain information when reading. They tend to scan material – with some women reporting it as akin to “baby brain”. Research <a href="https://pubmed.ncbi.nlm.nih.gov/34052460/">suggests</a> a fourth symptom: insularity. When someone is burnt out, they tend to keep to themselves, not only socialising less but also obtaining little pleasure from interactions. A potential fifth key feature is an unsettled mood. And despite feeling exhausted, most individuals report insomnia when they’re burnt out. In severe cases, immune functioning can be compromised (so that the person may report an increase in infections), blood pressure may drop and it may be difficult or impossible to get out of bed. Predictably, such features (especially exhaustion and cognitive impairment) do lead to compromised work performance. Defining burnout is important, as rates have <a href="https://dspace.library.uu.nl/bitstream/handle/1874/420608/Burnout_Fatigue_Exhaustion.pdf?sequence=1&isAllowed=y">increased</a> in the last few decades. <h2>‘Tis the season</h2> For many, the demands of the holidays cause exhaustion and risk burnout. People might feel compelled to shop, cook, entertain and socialise more than at other times of year. While burnout was initially defined in those in formal employment, we now recognise the same pattern can be experienced by those meeting the needs of children and/or elderly parents – with such needs typically increasing over Christmas. Burnout is generally viewed according to a simple stress-response model. Excessive demands lead to burnout, without the individual bringing anything of themselves to its onset and development. But the Australian <a href="https://pubmed.ncbi.nlm.nih.gov/34052460/">research</a> has identified a richer model and emphasised how much personality contributes. Formal carers, be they health workers, teachers, veterinarians and clergy or parents – are <a href="https://www.taylorfrancis.com/books/mono/10.4324/9781003333722/burnout-gordon-parker-gabriela-tavella-kerrie-eyers">more likely</a> to experience burnout. But some other professional groups – such as lawyers – are also at high risk. In essence, “good” people - who are dutiful, diligent, reliable, conscientious and perfectionistic (either by nature or work nurture) – are at the <a href="https://journals.lww.com/jonmd/Abstract/2020/06000/A_Qualitative_Reexamination_of_the_Key_Features_of.4.aspx">greatest risk</a> of burnout. <h2>6 tips for avoiding seasonal burnout</h2> You may not be able to change your personality, but you can change the way you allow it to “shape” activities. Prioritising, avoiding procrastination, decluttering and focusing on the “big picture” are all good things to keep in mind. Managing your time helps you regain a sense of control, enhances your efficiency, and reduces the likelihood of feeling overwhelmed by responsibilities. 1. Prioritise tasks Rank tasks based on urgency and importance. The Eisenhower Matrix, <a href="https://www.amazon.com.au/7-Habits-Highly-Effective-People/dp/0743269519">popularised</a> by author Stephen R Covey, puts jobs into one of four categories: <ul> <li> urgent and important </li> <li> important but not urgent </li> <li> urgent but not important </li> <li> neither urgent nor important. </li> </ul> This helps you see what needs to be top priority and helps overcome the illusion that everything is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159458/">urgent</a>. 2. Set realistic goals Break down large goals into smaller, manageable tasks to be achieved each day, week, or month – to prevent feeling overwhelmed. This could mean writing a gift list in a day or shopping for a festive meal over a week. Use tools such as calendars, planners or digital apps to schedule tasks, deadlines and appointments. 3. Manage distractions Minimise <a href="https://psycnet.apa.org/record/2023-66900-001">distractions</a> that hinder productivity and time management. <a href="https://www.journals.uchicago.edu/doi/full/10.1086/691462">Research</a> finds people complete cognitive tasks better with their phones in another room rather than in their pockets. People with phones on their desks performed the worst. Setting specific work hours and website blockers can limit distractions. 4. Chunk your time Group similar tasks together and allocate specific time blocks to focus on them. For example, respond to all outstanding emails in one stint, rather than writing one, then task-switching to making a phone call. This approach <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075496/">increases efficiency</a> and reduces the time spent transitioning between different activities. 5. Take breaks A <a href="https://psycnet.apa.org/record/2022-90592-001">2022 systematic review</a> of workplace breaks found taking breaks throughout the day improves focus, wellbeing and helps get more work done. 6. Delegate Whether at home or work, you don’t have to do it all! Identify tasks that can be effectively delegated to others or automated. To finish the year feeling good, try putting one or more of these techniques into practice and prepare for a restful break.<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/216175/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sophie-scott-1462197">Sophie Scott</a>, Associate Professor (Adjunct), Science Communication, <a href="https://theconversation.com/institutions/university-of-notre-dame-australia-852">University of Notre Dame Australia</a> and <a href="https://theconversation.com/profiles/gordon-parker-94386">Gordon Parker</a>, Scientia Professor, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/its-beginning-to-look-a-lot-like-burnout-how-to-take-care-of-yourself-before-the-holidays-start-216175">original article</a>.

Caring

Lots of women try herbs like black cohosh for menopausal symptoms like hot flushes – but does it work?

<a href="https://theconversation.com/profiles/sasha-taylor-1461085">Sasha Taylor</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Menopause is the stage of life where the ovaries stop releasing eggs and menstrual periods cease. Most Australian women go through menopause between <a href="https://www.nature.com/articles/nrdp20154">45 and 55</a> years of age, with the average age being 51 years, although some women may be younger. Hot flushes and night sweats are <a href="https://www.nature.com/articles/nrendo.2017.180">typical symptoms</a> of menopause, with vaginal dryness, muscle and joint pains, mood changes and sleep disturbance also commonly reported. Up to <a href="https://pubmed.ncbi.nlm.nih.gov/25706184/">75% of women</a> experience menopausal symptoms, with nearly 30% severely affected. These symptoms can negatively impact day-to-day life and wellbeing. The main therapies available include menopausal hormone therapy (MHT) and non-hormonal prescription therapy. Some women will elect to try complementary and alternative medicines, such as herbal medicines and nutritional supplements. Black cohosh is one of them. <h2>What causes hot flushes</h2> The cause of hormonal hot flushes (also called hot flashes) still isn’t completely understood, but the decline in oestrogen at menopause appears to play a role in a process that involves the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833827/">area of the brain that regulates temperature</a> (the hypothalamus). Factors linked to a greater likelihood of hot flushes include <a href="https://pubmed.ncbi.nlm.nih.gov/19675142/">being overweight or having obesity</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/25706184/">smoking</a>. MHT, previously known as hormone replacement therapy (HRT), usually includes oestrogen and is the <a href="https://pubmed.ncbi.nlm.nih.gov/26444994/">most effective treatment</a> for menopausal symptoms, such as hot flushes. But women may choose complementary and alternative medicines instead – either because they shouldn’t take hormone therapy, for example because they have breast cancer, or because of personal preference. Close <a href="https://pubmed.ncbi.nlm.nih.gov/26224187/">to 40%</a> of Australian women report using complementary and alternative medicines for menopausal symptoms, and up to 20% using them specifically to treat hot flushes and sweats. <h2>A long history</h2> Complementary and alternative medicines have a long history of use in many cultures. Today, their potential benefits for menopausal symptoms are promoted by the companies that make and sell them. The <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419242/">complementary and alternative medicines</a> women often try for menopausal symptoms include phytoestrogens, wild yam, dong quai, ginseng and black cohosh. Black cohosh (plant name Cimicifuga racemosa) was <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">traditionally</a> used by Native Americans to treat a variety of health concerns such as sore throat, kidney trouble, musculoskeletal pain and menstrual problems. It is now a popular herbal choice for hot flushes and night sweats, as well as vaginal dryness and mood changes. There are <a href="https://pubmed.ncbi.nlm.nih.gov/37252752/">many theories</a> for how the active ingredients in black cohosh might work in the body, such as acting like oestrogen, or affecting chemical pathways in the brain. But despite extensive research, the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">evidence to support these theories remains inconclusive</a>. It is also not clear whether black cohosh is effective for hot flushes. Results from individual studies are mixed, with <a href="https://pubmed.ncbi.nlm.nih.gov/17565936/">some</a> finding black cohosh improves hot flushes, while <a href="https://pubmed.ncbi.nlm.nih.gov/18257142/">others</a> have found it doesn’t. A 2012 <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">review</a> combined all the results from studies of menopausal women using black cohosh to that date and found overall there was no proof black cohosh reduces hot flushes more effectively than an inactive treatment (placebo). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">This review</a> also revealed that many studies did not use rigorous research methods, so the findings are hard to interpret. A more recent <a href="https://pubmed.ncbi.nlm.nih.gov/33021111/">review</a> of clinical trials claimed black cohosh may ease menopausal symptoms, but the included studies were mostly small, less than six months long, and included women with mild symptoms. There is also no meaningful evidence black cohosh helps other symptoms of menopause, such as vaginal symptoms, sexual problems, or poor general wellbeing, or that it protects against bone loss. Evidence for how black cohosh is absorbed and metabolised by the body is also lacking, and it is not known what dose or formulation is best to use. More good quality studies are needed to decide whether black cohosh works for hot flushes and other menopausal symptoms. <h2>Is it safe to try?</h2> A <a href="https://pubmed.ncbi.nlm.nih.gov/33021111/">review of studies</a> suggests black cohosh is safe to use, although many of the studies have not reported possible adverse reactions in detail. Side effects such as gastrointestinal upset and rashes may occur. While there have been <a href="https://www.mja.com.au/journal/2008/188/7/liver-failure-associated-use-black-cohosh-menopausal-symptoms#0_i1091948">rare reports of liver damage</a>, there is <a href="https://pubmed.ncbi.nlm.nih.gov/21228727/">no clear evidence</a> black cohosh was the cause. Even so, in Australia, black cohosh manufacturers and suppliers are required to put a warning label for the potential of harm to the liver on their products. It is recommended black cohosh is not used by women with menopausal symptoms <a href="https://www.canceraustralia.gov.au/cancer-types/breast-cancer/impacted-by-breast-cancer/physical-changes/menopause/treatments-menopausal-symptoms">after breast cancer</a>, as its safety after breast cancer is uncertain. All women should consult with their doctor before using black cohosh if they are taking other medications in case of possible drug interactions. Many women like to try herbal therapies for hot flushes and other menopausal symptoms. While black cohosh is generally considered safe and some women may find it helps them, at the moment there is not enough scientific evidence to show its effects are any better than placebo. Women experiencing troublesome menopausal symptoms, such as hot flushes, should talk to their doctor about the best treatment options for them.<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/211272/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sasha-taylor-1461085">Sasha Taylor</a>, Research fellow, Chronic Disease & Ageing, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/lots-of-women-try-herbs-like-black-cohosh-for-menopausal-symptoms-like-hot-flushes-but-does-it-work-211272">original article</a>.

Body

No gavels, no hearsay and lots of drinking: a law expert ranks legal dramas by their accuracy

<a href="https://theconversation.com/profiles/dale-mitchell-1468293">Dale Mitchell</a>, <a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</a> From Elle Woods in Legally Blonde to <a href="https://www.tandfonline.com/doi/abs/10.1080/10383441.2015.1087367">Jennifer Walters in She-Hulk</a>, Atticus Finch in To Kill a Mockingbird to Denny Crane in Boston Legal, our popular culture is often where we first see and witness legal practice. Sometimes this comes via the silver screen, other times television. But it would be wrong to think that all we see on legal television shows is accurate – even when it claims to capture reality. Most legal dramas are terrible at capturing the realities of law. <h2>Not accurate: Law(less) and (dis)Order</h2> Law and Order (1990-) innovated television drama by showcasing both the investigation of a crime by police, and then its prosecution in court. With its multiple spin-offs, including Law and Order: Special Victims Unit (1999-) and the shortlived Law and Order: Trial by Jury (2005-2006) (which had the <a href="https://www.youtube.com/watch?v=aolG65V1Dx8">best theme song of all the series</a>), the Law and Order franchise is a televisual legal juggernaut. <figure><iframe src="https://www.youtube.com/embed/aolG65V1Dx8?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> As with most serials, Law and Order presents the criminal justice system as moving quicker than you can say dun dun. This couldn’t be further from the truth. The mean duration of criminal law matters in Australian higher courts was <a href="https://www.abs.gov.au/statistics/people/crime-and-justice/criminal-courts-australia/latest-release">almost one year</a> (50 weeks) across 2021-22. While <a href="http://classic.austlii.edu.au/au/legis/qld/consol_reg/ucpr1999305/s5.html">procedural rules in civil matters</a> require courts to facilitate the “just and efficient resolution of disputes at minimum expense”, in criminal law, speed and efficiency must not be prioritised over accuracy: a person’s liberty is at stake. Most criminal matters do not proceed to a full trial as an accused will often plead guilty to the charges. As a result, the matter proceeds to sentencing without prosecutors needing to prove the offence. The rates of this occurring are quite alarming. <a href="https://www.abs.gov.au/statistics/people/crime-and-justice/criminal-courts-australia/latest-release">Data across 2021-22</a> reveals over 75% of defendants in Australian courts entered a guilty plea, and almost four in five criminal convictions (79%) resulted from a guilty plea. <a href="https://law.unimelb.edu.au/__data/assets/pdf_file/0009/1705761/32_1_8.pdf">Research suggests</a> defendants plead guilty for a variety of reasons, including to avoid the cost of a trial and to receive a lesser sentence. <a href="https://theconversation.com/pandemic-pushed-defendants-to-plead-guilty-more-often-including-innocent-people-pleading-to-crimes-they-didnt-commit-165056">Data from the United States</a> suggests the pressures of the pandemic led to innocent people pleading guilty to crimes they didn’t commit. If Law and Order was a more accurate reflection of criminal law, matters would proceed immediately to sentencing due to guilty pleas. And should an accused be found guilty, a chunk of their sentence would be reduced by time served awaiting trial. <figure><iframe src="https://www.youtube.com/embed/60GV5lv8h3o?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Not accurate: Suits</h2> Suits (2011-19) centres around law firm partner Harvey Specter (Gabriel Macht) and his mentorship of Mike Ross (Patrick Adams) – the “lawyer” who never graduated law school and provides legal advice thanks to his photographic memory. This is, obviously, a brutal ethical breach for all involved, and clearly fraud. In Australia, law students who present themselves to be lawyers are <a href="https://www.abc.net.au/news/2016-09-07/law-graduate-jacob-reichman-fined-posing-solicitor-gold-coast/7824324">subject to sanctions</a> by the Legal Services Commission. They can <a href="https://www.lawyersweekly.com.au/biglaw/35821-fake-lawyer-cops-suspended-jail-sentence">cause harm to clients</a> who have hired their services. And the Legal Admissions Board may <a href="https://www.qlsproctor.com.au/2020/11/chief-justice-wants-answers-before-considering-lawyer-impersonators-bid-to-become-legal-practitioner/">deny their entry</a> into the profession. (Spoilers) Ross is eventually sentenced to two years in prison for this fraud, a similar sentence to <a href="https://www.law.com/thelegalintelligencer/almID/1202786675709/">a recent case in the United States</a>, but he only serves three months before solving a crime and earning early release. More unrealistic than this early release is that Ross does fairly quickly thereafter gain admission to the profession, which seems unlikely to occur so soon after such an act of fraud. While Suits has left its mark(le) on the popular imagination of law, it fails to address one of the primary duties of civil litigation: the duty of disclosure. The MacGuffin-ing of law is common in TV serials. It’s the “smoking gun” found on the day of the trial, or for the lawyers in Suits, the random document which shows up during the trial to turn the case - dramatically presented by our protagonists as they flail into court armed with this data sans ethics. This is not quite accurate. In adversarial legal systems like Australia, New Zealand, the UK and the US, civil litigation rules <a href="http://classic.austlii.edu.au/au/legis/qld/consol_reg/ucpr1999305/s211.html">require parties</a> to disclose to one another all documents in their possession or control which are directly relevant to a matter in dispute. This is a continuing duty, so if you discover such a document at any time during the case, it must be disclosed. While <a href="http://classic.austlii.edu.au/au/legis/qld/consol_reg/ucpr1999305/s212.html">exceptions</a> based on various privileges may apply, this essentially means civil litigation must be run in an “all cards on the table” manner. Randomly producing undisclosed material at trial requires the leave of the court and may result in orders of contempt and <a href="http://classic.austlii.edu.au/au/legis/qld/consol_reg/ucpr1999305/s225.html">cost penalties</a>. It’s not like the lawyers of Suits have ever really been concerned about ethics, though. <figure><iframe src="https://www.youtube.com/embed/wUh9jomHZp4?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Not accurate: How to Get Away with Murder(ing rules of evidence)</h2> While most lawyers would support making it a criminal offence to critique Viola Davis, How to Get Away with Murder (2014-20) presents one of the most common offences within legal dramas: the haphazard approach to rules of evidence. Annalise Keating (Davis) and her ragtag team of morally illiterate law students (although I never see them studying?!?!) manipulate people to obtain evidence and then dramatically prompt witnesses on the stand to read this information into the record, or otherwise “sneak” it into the trial. This is not accurate. And it ignores the basic reality that so much of legal practice is about not just obtaining evidence, but ensuring that evidence is admissible in court. One of the most important rules of evidence deals with <a href="http://classic.austlii.edu.au/au/legis/cth/consol_act/ea199580/s59.html">hearsay evidence</a>. A court cannot allow evidence to be considered if its reliability is unable to be interrogated. Witnesses can only present evidence that they saw, heard or perceived themselves. Unless an exception to the hearsay rule applies, such evidence would be inadmissible. Like in Suits, these approaches to presenting evidence may have serious implications. This poor trial management results in <a href="https://www.aic.gov.au/sites/default/files/2020-05/rpp074.pdf">delays to criminal trials.</a>. <figure><iframe src="https://www.youtube.com/embed/rMB_Gw5-T-I?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Accurate: Fisk</h2> Fisk (2021-) follows Helen Tudor-Fisk (Kitty Flanagan), an established contract lawyer whose personal dramas lead her to move to the boutique Melbourne probate law firm of Gruber and Gruber (played by Marty Sheargold and Julia Zamero). Fisk excels in showing the importance of lawyer-client relations and the word-of-mouth that sustains much of small legal practice. It’s the anti-Suits, and Fisk is more powerful for it. The discussions of wills and estates and most basic legal principles in Fisk are mostly sound – and the show doesn’t need to get into “legalese” as matters are resolved out-of-court. This is a distinct reality of law: litigation is a last resort. Forms of <a href="https://www.qls.com.au/Practising-law-in-Qld/ADR/Alternative-Dispute-Resolution/Types-of-Alternative-Dispute-Resolution-(ADR)">alternative dispute resolution</a>, including mediation, negotiation and conciliation, have become the primary way of resolving legal disputes. Fuelled by <a href="https://www.ag.gov.au/legal-system/alternative-dispute-resolution/civil-dispute-resolution-act-2011">legislative changes</a> which require the exhaustion of alternative dispute resolution measures before proceeding to litigation, and a pursuit of reduced costs, the drama of trial is not something anyone should yearn for. <figure><iframe src="https://www.youtube.com/embed/N1Qt0Wo1gGo?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Accurate: Rake</h2> Cleaver Greene, a character said to be loosely based on the career of a Sydney barrister, shows us the absolute madness of work as a “<a href="https://nswbar.asn.au/the-bar-association/senior-counsel#:%7E:text=Senior%20counsel%20are%20barristers%20who,a%20QC%20or%20queen's%20counsel.">silk</a>”. Rake excels at showing the reality of law. The show raises interesting and accurate questions of law (yes, it is true there is no <a href="https://opus.lib.uts.edu.au/bitstream/10453/18992/1/2011006119.pdf">explicit offence</a> of cannibalism in New South Wales) and presents Australian court process accurately. Thankfully, there’s not a gavel in sight. <a href="https://www.survivelaw.com/post/941-working-hardly-random-facts-about-the-gavel">Australian courts do not use gavels</a>, and their presence in legal dramas in Australian and UK courts shows a lack of attention to detail. The presence of the gavel as a symbol of justice is <a href="http://www5.austlii.edu.au/au/journals/NSWBarAssocNews/1994/17.pdf">an entirely American invention</a>. <figure><iframe src="https://www.youtube.com/embed/qWWI2EdOssk?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> Rake is accurate, in part, because the site of drama is rarely the courtroom, but rather Greene’s personal life. The accuracy of that element for law I will leave up to the jury. But with a <a href="https://www.tandfonline.com/doi/abs/10.1080/13218719.2013.822783">2014 study</a> finding 35% of lawyers engaged in hazardous or harmful drinking and another showing <a href="https://www.abc.net.au/news/2019-08-15/study-finds-high-rates-anxiety-depression-in-legal-profession/11412832">high rates of anxiety and depression</a> in the legal profession, the evidence is compelling.<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/212880/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/dale-mitchell-1468293">Dale Mitchell</a>, Lecturer in Law, <a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/no-gavels-no-hearsay-and-lots-of-drinking-a-law-expert-ranks-legal-dramas-by-their-accuracy-212880">original article</a>.

Legal

What’s in a name? Quite a lot if it’s prosecco, parmesan or mozzarella

<a href="https://theconversation.com/profiles/steven-greenland-2064">Steven Greenland</a>, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a> Prosecco might evoke warm summer evenings while prosciutto conjures scenes of generous platters at a casual weekend lunch. But would “sparkling wine” or “thinly sliced ham” have the same impact? Australian producers would argue they wouldn’t. They are fighting a push by the European Union to stop them from using these and other terms that indicate the geographical origin of numerous cheeses, wines and other foodstuffs now widely produced in Australia. This stoush over using European names for locally made products has stalled <a href="https://www.abc.net.au/news/2023-07-11/european-union-trade-deal-prosecco-feta-geographic-indicators/102583310">this week’s trade talks</a>, with the EU refusing Australia better access to their markets unless Australia agrees to rebrand its products. <a href="https://www.news.com.au/national/politics/anthony-albaneses-warning-on-australiaeu-trade-talks/news-story/fa15fa19a945311c21ac1326c1675653">Prime Minister Anthony Albanese </a>said Australia was keen to conclude the trade agreement but would not sign a deal that wasn’t in Australia’s interests. He is strongly backed by the National Farmers’ Federation and food producers. <h2>So why does Europe want to control the use of food names?</h2> Consumers increasingly want to know their foods’ provenance. They also pay premiums for guarantees about origin and quality. There has been a corresponding rise in so-called geographical indicator registrations, with <a href="https://agenceurope.eu/en/bulletin/article/13128/21">the 3,500th</a> listed earlier this year. Items included on the EU Geographical Indications register cover different foodstuffs that are either applying for or have been accepted for having their geographic origin related name protected from being used for similar foods produced elsewhere. Europe has the highest number of registered products, with most relating to wine, agricultural products and foodstuffs, as well as spirits and beers. Champagne is among those with a widely recognised connection to its place of origin which assures consumers about the regional and cultural values as well as the products’ characteristics and quality. Like high value household product brand names (for example, Coca-Cola which has been valued at US $97.88 billion) geographical indication registered names also attract substantial dollar values. This is because of strong international awareness, familiarity, and appeal among consumers. The geographic indicator name often attracts a price that can easily be double that of a similar but non-registered product. Registered products can therefore bring in significant revenue to the European Union member countries. They contribute to <a href="https://onlinelibrary.wiley.com/doi/10.1111/jwip.12208">regional development </a>by stimulating tourism and by helping to reverse population decline often experienced in rural areas. Like household brands, the names which indicate a product’s origins, are recognised as intellectual property. They have consequently become an integral part of international trade agreements. <h2>What would Australia gain by agreeing to European product names?</h2> In return for complying with European Union demands, Australian producers would gain access to European markets of [<a href="https://www.afr.com/politics/federal/minister-flies-to-brussels-amid-signs-of-eu-trade-deal-breakthrough-20230708-p5dmre">445 million people</a>] with a GDP of $24 trillion. The lost opportunity of non-compliance is best illustrated by Brexit. Since Brexit, UK <a href="https://www.euronews.com/my-europe/2022/12/29/brexit-draft-deal-first-of-many-hurdles-to-a-smooth-exit">exports to Europe have fallen</a> and UK farmers have faced significant challenges finding <a href="https://www.theguardian.com/politics/2022/dec/29/uk-farmers-impact-brexit-trade-deal-losing-common-agricultural-policy">alternative markets</a>. If Australia agrees to the European Union’s conditions to get a trade deal through then producers will need to rename some of their products. This would be a large and costly exercise but might give local producers an opportunity to capitalise on the growing consumer demand for locally sourced food and promote Australia’s unique geographical brand values. Recent research conducted by Charles Darwin University reveals some of the unique brand values of Australian agri-food products, including unique selling points of products from the <a href="https://researchers.cdu.edu.au/en/publications/nt-shelf-stable-food-products-market-opportunity-analysis">Northern Territory</a>. Selling points included the unique climate, soil and traditional community values as selling points. Australia’s reputation for quality and ethically produced goods was also important. Such values may lead to Australia developing more of its own geographical indication registration requirements in the future. Rather than fight the rising tide of European Union registrations, the federal government might embrace the trend, in conjunction with renewed promotion of Australia’s geographical brand benefits. Should the government choose to comply with Europe’s demands then producers will need support to rebrand some of their products. Government and departments such as CSIRO should be keen to support this as it can only strengthen Australia’s agri-food sector’s international reputation.<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/209505/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/steven-greenland-2064">Steven Greenland</a>, Professor in Marketing, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-in-a-name-quite-a-lot-if-its-prosecco-parmesan-or-mozzarella-209505">original article</a>.

Food & Wine

"We got in trouble a lot": Fergie spills all on Princess Diana arrest

Sarah Ferguson has opened up about the time she and the late Princess Diana got themselves arrested in 1986. The pair were celebrating at a nightclub when they were arrested for impersonating law enforcement officers. The two had decided to dress up as police for Fergie’s bachelorette party, unaware that they were setting themselves on a path to trouble in an event described by Royal Expert Tom Quinn as a “riot”. Speaking to The Sun, Fergie claimed that once authorities came to the realisation that she and Diana were actually royals, it wasn’t long before they were released. And while appearing on The Kelly Clarkson Show, she expanded on the tale, outlining exactly how the two had gotten themselves into such a situation in the first place. “It was extraordinary,” the 63-year-old Duchess of York said, “because we went to a nightclub, of course, you go to a nightclub with the Princess of Wales. “We sat down, and the waiter came up to us and said ‘excuse me, this is a members club. It’s for fun, and we don’t serve police officers here’." “They thought you were real police officers?" host Kelly Clarkson exclaimed. Fergie confirmed the detail with a confident "yes!" She explained that once they had been arrested and ushered into the police van, they opted to hide their engagement rings. Fergie went on to recall that Diana had been told off for eating some chips - “smoky bacon-flavoured” she’d found in the vehicle. Their brief encounter with the law didn’t ruin their fun though, with the party continuing on into Annabel’s nightclub - an establishment known to be one of the world’s most exclusive. And their fun reportedly wasn’t limited to their own celebration, with Town and Country Magazine claiming that the two got up to some more mischief when they decided to lock Andrew out of Buckingham Palace after his bachelor party. Their fun kept the two close over the course of their friendship, and Fergie has admitted that she carries Diana everywhere she goes, telling Kelly, “she’s with me all day”. “She and I, we laughed a lot,” Fergie reminisced, “we got into trouble a lot. “You know what she used to do? She used to tell me the worst story, joke story, just before I had to be serious." Although, despite her admiration for Diana’s sense of humour - and her belief that Diana would be “incredibly proud” of her grandchildren - Fergie did once share on Good Morning America that if the two had had the chance to go head-to-head as grandmothers, she believed they’d “have a ‘Granny-off’. Because she would run faster in the races, I wonder … she’d probably be funnier. No, I think I’d be funnier.” Images: Getty

Relationships

"A lot of distress": Rebel Wilson discusses being "outed" by media outlet

Rebel Wilson has opened up about her "pain" and distress" over being outed by a Sydney Morning Herald reporter. The publication was condemned by the Australian Press Council for “outing” her relationship with girlfriend Ramona Agruma, prompting Rebel to break her silence on the ordeal. The actress slammed the “grubby” behaviour of the journalist in question, sharing the “pain” of having to announce her new relationship prematurely. The 42-year-old announced her relationship with the American fashion designer Agruma in June, one month after publicly revealing she was “happily in a relationship”. After making the announcement, Sydney Morning Herald gossip columnist Andrew Hornery called out the actress who “opted to gazump the story”. Horney claimed he contacted the actress and gave her two days to comment before he would out her and publish a story on her same-sex relationship. The Sydney Morning Herald have since removed the article, calling it a "big mistake" to publish the article. Wilson stayed silent until the Australian Press Council condemned the publication, stating that the article was “likely to cause substantial offence and distress”. “Just seeing the news that the Australian Press Council has condemned the Sydney Morning Herald and their journalists for their recent grubby behaviour in trying to out my same-sex relationship,” Wilson began in an Instagram post. “And while I didn’t personally ask for any action to be taken I am glad that this has been officially recorded and recognised.” “Their actions did cause Ramona and I a lot of distress and while we’ve remained classy, there are still pains from having to rush this news publicly which we are dealing with,” she continued. “We move on, focusing on all the absolutely amazing new things in our life though! Sending love to everyone 💗 #loveislove,” her post ended. The ruling from the Australian Press Council deemed that the publication had breached the council’s principles. “The tenor of the publication’s communications with Ms Wilson concerning a deeply personal matter, and the associated commentary on a matter which had no apparent connection to her public activities, intruded on her reasonable expectations of privacy,” a statement said, published on the Herald’s website. Image credits: Getty Images

Relationships

Penny Wong says Australia has “a lot to learn” from New Zealand

Australian Foreign Minister Penny Wong has said the country has “a lot to learn” from New Zealand when it comes to indigenous foreign policy. Wong met with New Zealand’s Foreign Minister, Nanaia Mahuta, at Parliament in Wellington for their first official bilateral talks since the new Australian government came into power under Anthony Albanese, as reported by the <a href="https://www.nzherald.co.nz/nz/penny-wong-says-australia-has-lot-to-learn-from-nz-on-indigenous-issues-china-pacific-discussed/RV4VARZMDACZKX7JATZMXSRPQM/" target="_blank" rel="noopener">NZ Herald</a>. The pair spoke at length in their private meeting, covering climate change, issues in the Pacific, Russia’s war on Ukraine, the Pacific Islands forum next month, and working together on Indigenous-based foreign policy. <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/Ce3RI5xPA9M/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/Ce3RI5xPA9M/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Penny Wong (@senatorpennywong)</a> </div> </blockquote> Wong’s visit to Parliament began with a traditional pōwhiti ceremonial welcome, led by mana whenua Te Āti Awa (one of New Zealand’s Awa tribes). Mana whenua and Mahuta’s side of the room sang Purea Nei, with Wong and her Australian delegation responding with E Toru Ngā Mea. Wong described the experience of being welcomed as “very moving”. “It’s an act of respect and honour, you feel the power of that. Being welcomed into someone’s land, you feel the importance,” she said. <blockquote class="twitter-tweet"> Australia Foreign Minister Penny Wong and her delegation sing the Māori waiata E Toru Ngā Mea during pōwhiri led by mana whenua Te Āti Awa at Parliament <a href="https://t.co/KznD0Xj6WI">pic.twitter.com/KznD0Xj6WI</a> — Michael Neilson (@mr_neilson_) <a href="https://twitter.com/mr_neilson_/status/1537270105943715840?ref_src=twsrc%5Etfw">June 16, 2022</a></blockquote> Wong said one of the main reasons she sought to work in her current role was to be part of a government that implemented the Uluru Statement of the Heart, which calls for constitutional change to give Indigenous Australians representation in Parliament and a Makarta Commission for treaty making and truth telling. She said she appreciated learning on the topic from Mahuta - who is of the Waikato-Tainui, Ngāti Maniapoto and Ngāti Manu iwi (tribes) - who has a “depth of personal wisdom”. Having read Mahuta’s statements and speeches, Wong said she found the use of Māori concepts “extraordinarily powerful”. “We can learn a lot from your country,” Wong said. “We are a modern, multicultural, diverse nation and we have the privilege of one of the oldest continuing cultures on Earth. “And we should integrate that much more into how we engage with the world and how we talk to and with the world and about ourselves.” The pair went on to discuss tensions in the Pacific region, stemming from a security pact signed by the Solomon Islands with China in March, with Wong noting that previous governments hadn’t done enough in the region. She pledged to “do more” for the “Pacific family” and said Australia’s partnership with New Zealand was “indispensable”. “We know we can always rely on each other,” she said. “We’re allies, we’re friends, and we’re partners in the region and the world that, as the minister said, is experiencing a much sharper set of challenges.” When the topic of the controversial 501 deportation policy arose, Wong gave no further information besides saying that Mr Albanese and New Zealand Prime Minister Jacinda Ardern had discussed the issue when they met in Sydney. “We understand the concerns have been raised. We’ll take those into consideration,” Wong said. After their meeting, Wong will be meeting with the Prime Minister and Cabinet ministers in the Solomon Islands, while Mahuta will travel to Rwanda to represent New Zealand at the Commonwealth Heads of Government Meeting. Image: Getty Images

News

"There were a lot of happy tears": New cancer drug smashes expectations

A new cancer drug has returned phenomenal results after curing almost every patient in the trial phase. Dostarlimab, a monoclonal antibody drug which produces white blood cells, had already been approved to treat endometrial cancer in the UK. The cost of Dostarlimab sits at $11,000 (A$15,200) per 500mg dose in the US and has been given to 100 advanced endometrial cancer patients every year. It was used in the hopes that patients could avoid invasive surgery as well as chemotherapy. A trial conducted by New York’s Memorial Sloan Kettering Cancer Center was looking into whether the drug is effective against rectal cancer tumours. The trial proved to be a success where all 18 patients went into remission and no cancer was found. “Our message is: Get tested if you have rectal cancer to see if the tumour is MMRd,” lead author of the paper Dr Luis Diaz said. “No matter what stage the cancer is, we have a trial at Memorial Sloan Kettering that may help you.” The researchers explained that no patients had received prior chemoradiotherapy or undergone surgery. “The results enabled us to omit both chemoradiotherapy and surgery and to proceed with observation alone,” they said. “The implications for quality of life are substantial, especially among patients in whom standard treatment would affect childbearing potential.” Dr Andrea Cercek said there were “a lot of happy tears” when patients were told about the success of the drug. Image: Shutterstock

Body

Teen with “a lot of courage” nabs her dream home at auction

Though she’s fresh out of high school, an 18-year-old has managed to buy her very own dream home.Angela - whose last name has been withheld - beat three other bidders to the punch at the Saturday auction of a 600-square-metre house with four bedrooms, two bathrooms and a double garage.An estimated 40 onlookers witnessed the sale and were reportedly shocked when they realised the 18-year-old had won.The TAFE student secured the property for $1.025 million ($NZD 1.1 million), after bidding began at $940,000 ($NZD 1.01 million).Angela was able to afford the million-dollar price due to a medical payout she received when she was younger, The teen received substantial compensation from the hospital where she was diagnosed with cerebral palsy, after it was discovered she could have been diagnosed sooner.When she realised she had won the auction, Angela reportedly burst into tears of happiness.Martin Millard, the managing director of the company that ran the auction, said Angela’s win was incredible.“I went up and said congratulations with a little tear in my eye. That’s next level [what Angela achieved],” he told <a href="https://www.news.com.au/finance/real-estate/buying/heartwarming-moment-18yo-with-cerebral-palsy-buys-her-first-home/news-story/68aaf2a47ffe2f9e31bd08b1d8b36440" target="_blank" rel="noopener">news.com.au</a>.“It takes a lot of courage to bid at an auction.”<img src="https://oversixtydev.blob.core.windows.net/media/2022/02/auction-teen1.jpg" alt="An estimated 40 people watched as the young woman secured her dream home. Image: news.com.au" width="1280" height="720" />An estimated 40 people watched as the young woman secured her dream home. Image: news.com.auWith decades of experience in the real estate industry, Mr Millard said he’s never seen anything quite like what he witnessed at Saturday’s auction.“I’ve seen rich parents’ kids get given houses and things like that,” he said.“And I’ve seen poor parents give their kids houses.“I’ve never seen an 18-year-old turn up to an auction where there’s multiple bidders and win with her own money.”Mr Millard added that it was unusual to see young people buy their own home, but that it wasn’t impossible.Though he has seen 20-year-olds buy homes off their own back, he said there was something different about this that stood out to him.“Eighteen is a lot younger, you don’t see many 18-year-olds,” he said.“My kids’ dad is a high profile real estate (agent) and yet none of my kids have gone out to an auction and displayed that ability.”After finishing her end of school exam last year, Angela is studying a Certificate Three in Early Childhood.Speaking to <a href="https://www.realestate.com.au/news/teenage-battler-buys-1m-home/?rsf=syn:news:nca:news:spa" target="_blank" rel="noopener">realestate.com.au</a>, she said instantly fell in love with the home but “didn’t know what to expect” from the auction.“I just fell in love with the place as soon as I saw (it),” Angela said.“I didn’t know what to expect. It [the auction] was way more intense than any Year 12 exam.”Angela also hopes that her purchase will show her twin sister, who also has a disability, that they can achieve anything.Image: news.com.au

Real Estate

Why kids should not have lots of toys (and what to do if yours have too many)

The festive season reinforces something parents and carers already know – many children today have a lot of toys. In the United States, children receive more than <a href="https://swnsdigital.com/us/2016/11/average-child-gets-6500-worth-of-toys-in-their-lifetime/">US$6,500 (A$9,073) worth of toys</a> between the ages of two and 12. Here in Australia, the toy industry is worth more than <a href="http://www.roymorgan.com/findings/6954-play-time-where-aussies-buy-their-toys-and-games-201609070858">A$3.7 billion annually</a>. Lockdowns have resulted in online toy sales growing by 21.4% during 2021, with the online toy industry now <a href="https://www.ibisworld.com/au/market-size/online-toy-sales/">growing faster</a> than the overall online retail sector. The number of toys in Australian households is likely to increase when Christmas gift giving starts in earnest. Apart from environmental concerns, having lots of toys can <a href="https://www.psychologytoday.com/au/blog/singletons/201712/study-underscores-why-fewer-toys-is-the-better-option">negatively impact children</a> as well as <a href="https://www.todaysparent.com/family/toys/too-many-toys/">parents and carers</a>. Here are some ideas for dealing with existing toys, as well as the upcoming influx of new ones. <h2>The problem with having too many toys</h2> Spaces with lots of toys are overstimulating and impact the ability for babies, toddlers and younger children to learn and play creatively. <img src="https://images.theconversation.com/files/436025/original/file-20211207-68670-1q22rxm.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" alt="Child sitting in the middle of toys." /> The more toys, the more confusing for kids. www.shutterstock.com Similar to cluttered pantries or office spaces, which make it hard for adults to focus, having too many toys around the house can make it difficult for children to concentrate, learn, and develop important skills around play. Research <a href="https://www.sciencedirect.com/science/article/pii/S0163638317301613">shows</a> fewer toys at a time leads to better quality playtime for toddlers, allowing them to focus on one toy at a time, build concentration skills, and play more creatively. The other issue with having lots of toys “in play” is that we tend to place less value on them. By reducing the number of toys, adults can help children develop <a href="https://www.abc.net.au/news/2017-07-06/too-many-toys-can-lead-to-stuff-addiction-maggie-dent-says/8684264">appreciation and gratitude</a>. <h2>What to do if you have too many toys</h2> De-cluttering is easier said than done, but organising toys has many benefits for children and adults alike. Fewer toys that are well organised leads to a calmer, less stressful environment which also reduces overstimulation in children and contributes to better <a href="https://raisingchildren.net.au/toddlers/behaviour/understanding-behaviour/self-regulation">behavioural regulation</a>. Reducing the number of toys can also increase opportunities for children to build frustration tolerance and having to focus on one or two toys at a time can improve <a href="https://www.tandfonline.com/doi/full/10.1080/03004430.2010.503892">problem solving skills</a> as well as developing independent play experience and creativity. Organising toys can also help parents and carers improve general structure and routine in the home, which is great for everyone! <h2>How to organise toys</h2> A good first step is to conduct an inventory of all the toys in your house. Divide toys into “keep and play”, “keep and store” (toys that are sentimental, family heirlooms or part of a collection that can be put in storage) and “give-away or sell”. Toys that are “keep and play” should be organised in ways that allow children to clearly see and easily access them. Put two-thirds of these toys away in storage. Every month, rotate the number of toys available ensuring you have an interesting selection of “social” and “solo play” toys available and try to include “good” toys. Rotating toys can help with space issues and importantly it keeps the novelty alive. <h2>Is there such a thing as ‘good’ toys?</h2> With such a huge variety of toys available, the choice can be overwhelming. But when you are thinking about buying toys, there are some features that make certain toys better than others. “Good” toys are those that are appropriate for the child’s age and developmental level. If you are not sure if a toy is suitable in this regard, seek advice from staff in specialist toy stores or consult child development websites such as <a href="https://raisingchildren.net.au/">raisingchildren.net.au</a> and <a href="http://www.earlychildhoodaustralia.org.au/parent-resources/">earlychildhoodaustralia.org.au</a>. <img src="https://images.theconversation.com/files/436026/original/file-20211207-21-3sc9sx.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" alt="Mum and daughter playing with blocks." /> Toys that help a child develop and keep them occupied do not need to be expensive. www.shutterstock.com Toys should stimulate learning and keep a child’s interest at the same time and they should be safe and durable. In addition, toys should be able to stand the test of time (think Lego) and ideally be used in a variety of different ways over the years. We recognise that with <a href="https://www.smh.com.au/national/we-don-t-really-have-a-plan-warning-as-australia-fails-to-hit-poverty-goals-20211201-p59dqb.html">more than 17%</a> of Australian children living in poverty, there are also many families who do not have the problem of having too many toys. Good toys <a href="https://www.theguardian.com/lifeandstyle/2021/dec/10/can-toys-be-educational-the-same-can-be-said-for-any-household-object?CMP=Share_iOSApp_Other">don’t have</a> to be expensive. While Australians spend millions each year on toys, it’s worth remembering simple, everyday <a href="https://www.canr.msu.edu/news/10_household_items_you_can_use_for_play_with_toddlers">household items</a> - cardboard boxes, saucepans and cooking implements, buckets and tubs, cardboard tubes, plastic containers and stacking cups - make excellent toys for younger children. <h2>Categorising ‘good’ toys</h2> Parents may find it useful to categorise good toys. This ensures when you are organising toys, children have access to a variety of toys suitable for different types of learning and play development. Here are five ways to categorise toys: 1. manipulative/functional toys - these include construction and building toys, puzzles, stacking and nesting, brain-teasers, dressing toys, beads, blocks, bath toys, and sand and water toys. Manipulative toys are important for helping develop fine and large motor skills, dexterity and coordination, which are vital for drawing, writing, dressing and more. 2. active toys - including various outdoor toys, climbing equipment, sports equipment and ride-on toys. Active toys are great for general physical activity and motor skills development. 3. learning toys - these include board and card games, books, and specific-skill toys such as letter identification and shape and colour sorters. 4. creative toys - such as arts and craft materials, musical toys and instruments including digital music and drawing apps. 5. make-believe - including dress ups and role play (costumes, clothing, hats, masks and accessories), stuffed toys, puppets, dolls, transportation toys. <h2>What to do with toys you don’t need</h2> It can be hard parting with beloved toys, those that have been part of a special collection or even just trying to clear out toys that have accumulated over the years. Many people find it <a href="https://journals.sagepub.com/doi/full/10.1177/1470593111418794">emotionally challenging</a> to give away toys and prefer to keep and pass them on to children and family members. <img src="https://images.theconversation.com/files/436028/original/file-20211207-19-oumje7.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" alt="box of Lego blocks organised into compartments." /> Keep your toys organised to facilitate better play. www.shutterstock.com There are many charitable organisations that will be pleased to find new homes for good quality toys - <a href="https://www.salvationarmy.org.au/donate/clothing-and-goods/">The Salvation Army</a>, <a href="https://www.savethechildren.org.au/our-stories/we-want-your-pre-loved-items">Save the Children</a> and <a href="https://www.vinnies.org.au/page/Donate/Donate_Goods/">Vinnies</a> - all welcome toy donations, especially at this time of year. Also search “toy donation” in your area to find local organisations and make sure what you are giving is in good condition (if it’s a puzzle, make sure it has all the pieces!). Online platforms selling used items or secondhand dealers are other options which will give your treasures a second life. Finally, as we head into Christmas with Australians tipped to spend <a href="http://www.roymorgan.com/findings/8783-ara-media-release-countdown-to-christmas-202109100615">more than $11 billion on gifts</a>, it’s worthwhile having the list of “good” toys handy so you can easily answer friends and relatives when they inevitably ask “what can we get the kids for Christmas?”.<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; text-shadow: none !important;" src="https://counter.theconversation.com/content/172611/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/louise-grimmer-212082">Louise Grimmer</a>, Senior Lecturer in Retail Marketing, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a> and <a href="https://theconversation.com/profiles/martin-grimmer-330523">Martin Grimmer</a>, Professor of Marketing, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a> This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-kids-should-not-have-lots-of-toys-and-what-to-do-if-yours-have-too-many-172611">original article</a>. Image: Phillip Glickman/Unsplash

Family & Pets

"I've got a lot to live for": 95-year-old survives coronavirus

A 95-year-old man from Melbourne has become one of the oldest people to survive coronavirus. Victor Cornell says he owes his life to the love of his family and has spent the last 24 days fighting for his life in Maroondah Hospital. Victor and his partner Jean were diagnosed with the deadly virus, and the father-of-ten has said that his family have been "marvellous". “They have stood by me,” he said. Victor's son Russell said to <a href="https://7news.com.au/lifestyle/health-wellbeing/victorian-victor-cornell-95-survives-coronavirus-after-battle-in-maroondah-hospital-c-1200929">7News</a> that he almost gave up and called him last week to say goodbye. “We told him: ‘Dad, whatever you’re doing you’ve always got to hate Collingwood and barrack for Carlton,’ and he liked that.” Victor started to recover and Eastern Health’s Dr Ortis Estacio said the 95-year-old has been an “inspiration to us all”. "I’ve got a lot to live for."

Relationships

Michael Buble admits he’s received “a lot” of death threats following controversy

Michael Buble has admitted he and his wife were targeted by disgruntled fans after a video showing the singer nudging his partner with his elbow sparked a major controversy. The Canadian star appeared alongside Luisana Lopilato on Instagram to chat to fans back in April. However many supporters became concerned when he appeared to interrupt and grab her. The singer's representative put out a statement calling the controversy "a failed effort of cyber bullying". Speaking on Argentinian TV show Intrusos, Luisana revealed that while the couple received support over stories surrounding the event, there were a lot of hateful comments too. "We received a lot of love from people but you wouldn't believe the amount of people who sent me photos with weapons saying they were going to kill Mike when he reached Argentina, photos of knives from people laughing and saying they were going to cut off his fingers, leave a bomb for us or give him a beating," she said. "It made me afraid and I still feel a little bit frightened." Luisana went on to add: "It's not nice to receive death threats. There were a lot of threats. The positive messages we received outnumbered them but I am worried for my family. I suffered a lot with what happened." "It caused Mike a lot of pain too. He loves Argentina and he loves being with me in Argentina when I'm working. "He loves the friends he has in Argentina. Can you imagine what it feels like to receive a photo from Argentina of a youngster holding a weapon and the warning: 'This is what you're going to get when you come here!'" Buble says he is the victim of a “fake news” campaign. "Mike is a gentleman who is always concerned with trying to make me even more happy than I already am,” Luisana said.

Beauty & Style

Why a trans-Tasman travel bubble makes a lot of sense for Australia and New Zealand

We are hearing <a href="https://www.abc.net.au/radio/adelaide/programs/am/nz-and-australia-discuss-trans-tasman-bubble/12214452">increasing talk about a trans-Tasman “travel bubble”</a>, which could see Australia and New Zealand open their borders to each other. New Zealand Prime Minister Jacinda Ardern was a special guest at Australia’s national cabinet meeting on Tuesday, which discussed the possibility of setting up a travel safe zone. Both Ardern and Australia’s Prime Minister Scott Morrison have cautioned a travel bubble will not happen immediately. After the meeting, Morrison said a safe zone is “still some time away”. But he also stressed, “it is important to flag it, because it is part of the road back”. What would a travel bubble mean in practice for Australia and New Zealand? As tourism researchers in both countries, we see a travel bubble as a great opportunity to kick-start the post-COVID economic recovery, while also focusing on more sustainable tourism. Why the trans-Tasman bubble makes sense A travel bubble would see quarantine-free travel allowed between Australia and New Zealand. The two neighbours have a unique opportunity to do this. Not only are they geographically isolated, both have so far had success containing - perhaps even eliminating - COVID-19 cases within their borders. It is not yet known when international flows of tourists will be possible again. But <a href="https://www.theguardian.com/world/2020/apr/08/lockdowns-cant-end-until-covid-19-vaccine-found-study-says">it is understood</a> that global tourism as we once knew it will not be possible until a COVID-19 vaccine is widely available. Historically, limited travel circuits have been associated with former and current Communist states. Nevertheless, for Australia and New Zealand in 2020, the idea of a travel safe zone makes a lot of sense. In 2018, <a href="https://www.tourism.australia.com/en/markets-and-stats/market-regions/new-zealand.html">New Zealand was Australia’s second largest inbound market for visitor arrivals and fourth largest market for visitor nights and total visitor spend</a>. Australia is New Zealand’s <a href="https://www.mbie.govt.nz/assets/5c05b7bfce/nz-tourism-forecasts-2018-2024-report.pdf">largest visitor market</a>, generating 1.5 million visitors a year as of 2017. The beauty of our shared travel markets is our visitors are generally repeat visitors who head to diverse regions. Because more than <a href="https://www.tourismnewzealand.com/markets-stats/markets/australia/">70% of Australians book self-drive holidays</a>, for example, their spending spreads more widely than some other visitors. Australians seek skiing and adventure in Queenstown, wine in the Martinborough or Waiheke Island regions. They also support Australian sports teams competing in Auckland, Wellington and Dunedin. In reverse, lots of Kiwis head to the Gold Coast but also visit the Hunter Valley for wine or Melbourne, Sydney or Brisbane for sports events. Starting to rebuild these markets while the rest of the world remains in lockdown would represent a huge boost to both economies. What is needed to make a bubble work? After the national cabinet meeting, <a href="https://www.smh.com.au/politics/federal/a-lot-of-work-before-there-s-a-trans-tasman-bubble-ardern-says-20200505-p54pxf.html">Ardern stressed “there is still a lot of work to be done”</a> before the travel safe zone idea can progress. The key to a successful trans-Tasman travel arrangement will be sound planning and implementation. Rigorous public health measures to facilitate safe travel will be essential, including being prepared for all travel to be halted again if the situation changes. Broad stakeholder involvement and coordination will be necessary, including between tourism commissions, airlines and airports, industry associations and a range of government agencies, to ensure any reopening is managed well. Local councils and businesses must also be involved to ensure that the tourism restart is planned, coordinated and controlled. A chance for greener travel A trans-Tasman travel bubble could also lead to a change in both countries’ tourism strategies. Like other countries, Australia and New Zealand have historically prioritised international tourists, particularly <a href="https://www.tourism.australia.com/content/dam/assets/document/1/c/1/3/v/2240923.pdf">“high value travellers”, who spend more and stay longer</a>. A COVID-era focus on domestic and trans-Tasman travel will likely result in lower yield but could also lead to a more sustainable tourism future. Trans-Tasman travel is the least carbon emitting of our international markets, because it does not rely on long-haul flights. Trans-Tasman visitors also tend to have a lower carbon footprint at their destinations. In 2018, <a href="https://www.tourismnewzealand.com/markets-stats/markets/australia/">more than half of all Australian visitors to New Zealand (57%) were repeat visitors</a>. Repeat visitors tend to spend more of their time at regional destinations, and less time incurring the carbon costs of transporting themselves around the country. New Zealand has already begun to <a href="https://www.pce.parliament.nz/our-work/news-insights/media-release-pristine-popular-imperilled">rethink its tourism economy</a> to establish greater sustainability. A trans-Tasman bubble presents an opportunity to foster tourism with a lighter footprint. Could the bubble be expanded? There is a call for an extension of this travel bubble to the <a href="https://www.theguardian.com/world/commentisfree/2020/may/01/if-australia-and-new-zealand-restart-travel-they-should-include-the-pacific-in-their-bubble">Pacific neighbourhood</a>, where there are also low infection numbers. Such a move would not only provide economic support to the Pacific community, it would also represent another step in the long process of restoring normality in different regions of the world. Ardern has kept the door open on this aspect, but noted “at the moment, we are focused on Australia”. She has <a href="https://www.abc.net.au/radio-australia/programs/pacificbeat/should-pacific-countries-be-included-in-transtasman-travel/12214462">also cautioned</a> about not introducing COVID-19 to parts of the Pacific untouched by coronavirus. Even if it remains just Australia and New Zealand, any travel bubble will obviously elevate the risk of COVID-19 reinfection. So, public health priorities must trump the desire to kick-start economies, to make sure we don’t squander our success against coronavirus so far. But if the governments and tourism industries can find the right balance between public health and economic needs, then Australia and New Zealand stand to benefit from a head start on the long road to economic recovery.<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; text-shadow: none !important;" src="https://counter.theconversation.com/content/137878/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/freya-higgins-desbiolles-181651">Freya Higgins-Desbiolles</a>, Senior Lecturer in Tourism Management, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/james-higham-134567">James Higham</a>, Professor of Tourism, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a> This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-a-trans-tasman-travel-bubble-makes-a-lot-of-sense-for-australia-and-new-zealand-137878">original article</a>.

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When a baby is stillborn, grandparents are hit with ‘two lots of grief’. Here’s how we can help

Why are we seeing more pandemics? Our impact on the planet has a lot to do with it

How you experience the menopause may have a lot to do with your family

Michael Mosley used science communication to advance health and wellbeing. We can learn a lot from his approach

Drinking lots of water may seem like a healthy habit – here’s when and why it can prove toxic

Yes, Kate Middleton’s photo was doctored. But so are a lot of images we see today

How much weight do you actually need to lose? It might be a lot less than you think

It’s beginning to look a lot like burnout. How to take care of yourself before the holidays start

Lots of women try herbs like black cohosh for menopausal symptoms like hot flushes – but does it work?

No gavels, no hearsay and lots of drinking: a law expert ranks legal dramas by their accuracy

What’s in a name? Quite a lot if it’s prosecco, parmesan or mozzarella

"We got in trouble a lot": Fergie spills all on Princess Diana arrest

"A lot of distress": Rebel Wilson discusses being "outed" by media outlet

Penny Wong says Australia has “a lot to learn” from New Zealand

﻿﻿"There were a lot of happy tears": New cancer drug smashes expectations

Teen with “a lot of courage” nabs her dream home at auction

Why kids should not have lots of toys (and what to do if yours have too many)

​"I've got a lot to live for": 95-year-old survives coronavirus

Michael Buble admits he’s received “a lot” of death threats following controversy

Why a trans-Tasman travel bubble makes a lot of sense for Australia and New Zealand

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