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What’s the difference between a heart attack and cardiac arrest? One’s about plumbing, the other wiring

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/matthew-barton-1184088">Matthew Barton</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>In July 2023, rising US basketball star Bronny James collapsed on the court during practice and was sent to hospital. The 18-year-old athlete, son of famous LA Lakers’ veteran LeBron James, had experienced a <a href="https://apnews.com/article/bronny-james-cardiac-arrest-3953eee8789e83f3cccfb6dd798bc54e">cardiac arrest</a>.</p> <p>Many media outlets incorrectly referred to the event as a “<a href="https://en.as.com/nba/lebron-james-son-bronny-plays-for-the-usc-trojans-for-the-first-time-since-suffering-a-heart-attack-n/">heart attack</a>” or used the terms interchangeably.</p> <p>A cardiac arrest and a heart attack are distinct yet overlapping concepts associated with the heart.</p> <p>With some background in <a href="https://www.youtube.com/watch?v=uKrgEv7-rVM&amp;t=16s">how the heart works</a>, we can see how they differ and how they’re related.</p> <h2>Understanding the heart</h2> <p>The heart is a muscle that contracts to work as a pump. When it contracts it pushes blood – containing oxygen and nutrients – to all the tissues of our body.</p> <p>For the heart muscle to work effectively as a pump, it needs to be fed its own blood supply, delivered by the coronary arteries. If these arteries are blocked, the heart muscle doesn’t get the blood it needs.</p> <p>This can cause the heart muscle to become injured or die, and results in the heart not pumping properly.</p> <h2>Heart attack or cardiac arrest?</h2> <p>Simply put, a heart attack, technically known as a myocardial infarction, describes injury to, or death of, the heart muscle.</p> <p>A cardiac arrest, sometimes called a sudden cardiac arrest, is when the heart stops beating, or put another way, stops working as an effective pump.</p> <p>In other words, both relate to the heart not working as it should, but for different reasons. As we’ll see later, one can lead to the other.</p> <h2>Why do they happen? Who’s at risk?</h2> <p>Heart attacks typically result from blockages in the coronary arteries. Sometimes this is called coronary artery disease, but in Australia, we tend to refer to it as ischaemic heart disease.</p> <p>The underlying cause in about <a href="https://www.ncbi.nlm.nih.gov/books/NBK507799/#:%7E:text=It%20has%20been%20reported%20that,increases%20beyond%20age%2050%20years.">75% of people</a> is a process called <a href="https://youtu.be/jwL4lkSlvSA?si=H2as7dQkhbIqWWkU">atherosclerosis</a>. This is where fatty and fibrous tissue build up in the walls of the coronary arteries, forming a plaque. The plaque can block the blood vessel or, in some instances, lead to the formation of a blood clot.</p> <p>Atherosclerosis is a long-term, stealthy process, with a number of risk factors that can sneak up on anyone. High blood pressure, high cholesterol, diet, diabetes, stress, and your genes have all been implicated in this plaque-building process.</p> <p>Other causes of heart attacks include spasms of the coronary arteries (causing them to constrict), chest trauma, or anything else that reduces blood flow to the heart muscle.</p> <p>Regardless of the cause, blocking or reducing the flow of blood through these pipes can result in the heart muscle not receiving enough oxygen and nutrients. So cells in the heart muscle can be injured or die.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="Heart attack vs cardiac arrest" /></a><figcaption><span class="caption">Here’s a simple way to remember the difference.</span> <span class="attribution"><span class="source">Author provided</span></span></figcaption></figure> <p>But a cardiac arrest is the result of heartbeat irregularities, making it harder for the heart to pump blood effectively around the body. These heartbeat irregularities are generally due to <a href="https://www.youtube.com/watch?v=M_soKG-Tzh0&amp;t=903s">electrical malfunctions</a> in the heart. There are four distinct types:</p> <ul> <li> <p><strong>ventricular tachycardia:</strong> a rapid and abnormal heart rhythm in which the heartbeat is more than <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10541285/">100 beats per minute</a> (normal adult, resting heart rate is generally 60-90 beats per minute). This fast heart rate prevents the heart from filling with blood and thus pumping adequately</p> </li> <li> <p><strong>ventricular fibrillation:</strong> instead of regular beats, the heart quivers or “fibrillates”, resembling a bag of worms, resulting in an irregular heartbeat greater than 300 beats per minute</p> </li> <li> <p><strong>pulseless electrical activity:</strong> arises when the heart muscle fails to generate sufficient pumping force after electrical stimulation, resulting in no pulse</p> </li> <li> <p><strong>asystole:</strong> the classic flat-line heart rhythm you see in movies, indicating no electrical activity in the heart.</p> </li> </ul> <p>Cardiac arrest can arise from numerous underlying conditions, both heart-related and not, such as drowning, trauma, asphyxia, electrical shock and drug overdose. James’ cardiac arrest was attributed to a <a href="https://www.espn.com.au/mens-college-basketball/story/_/id/38260006/bronny-james-cardiac-arrest-caused-congenital-heart-defect">congenital heart defect</a>, a heart condition he was born with.</p> <p>But among the many causes of a cardiac arrest, ischaemic heart disease, such as a heart attack, stands out as the most common cause, accounting <a href="https://pubmed.ncbi.nlm.nih.gov/11898927/">for 70%</a> of all cases.</p> <p>So how can a heart attack cause a cardiac arrest? You’ll remember that during a heart attack, heart muscle can be damaged or parts of it may die. This damaged or dead tissue can disrupt the heart’s ability to conduct electrical signals, increasing the risk of developing arrhythmias, possibly causing a cardiac arrest.</p> <p>So while a heart attack is a common cause of cardiac arrest, a cardiac arrest generally does not cause a heart attack.</p> <h2>What do they look like?</h2> <p>Because a cardiac arrest results in the sudden loss of effective heart pumping, the most common signs and symptoms are a sudden loss of consciousness, absence of pulse or heartbeat, stopping of breathing, and pale or blue-tinged skin.</p> <p>But the common signs and symptoms of a heart attack include chest pain or discomfort, which can show up in other regions of the body such as the arms, back, neck, jaw, or stomach. Also frequent are shortness of breath, nausea, light-headedness, looking pale, and sweating.</p> <h2>What’s the take-home message?</h2> <p>While both heart attack and cardiac arrest are disorders related to the heart, they differ in their mechanisms and outcomes.</p> <p>A heart attack is like a blockage in the plumbing supplying water to a house. But a cardiac arrest is like an electrical malfunction in the house’s wiring.</p> <p>Despite their different nature both conditions can have severe consequences and require immediate medical attention.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/229633/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, Associate Professor of Medicine, <em><a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em> and <a href="https://theconversation.com/profiles/matthew-barton-1184088">Matthew Barton</a>, Senior lecturer, School of Nursing and Midwifery, <em><a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p>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-the-difference-between-a-heart-attack-and-cardiac-arrest-ones-about-plumbing-the-other-wiring-229633">original article</a>.</p> </div>

Body

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The travel hack giving travellers two holidays in one

<p dir="ltr">When it comes to a long-haul flight, a stopover can be exactly what you need to stretch your legs and recharge before the next leg of your journey. </p> <p dir="ltr">But some eager travellers are getting even more out of their stopovers, by booking a few nights in their stopover destination and effectively getting two holidays in one. </p> <p dir="ltr">The “two-for-one holiday” trend is especially popular for those travelling from Australia and New Zealand, as it takes many, many hours to travel from Oceania to Europe, the US, or basically anywhere else in the world. </p> <p dir="ltr">Rather than looking at layovers as a hassle that just prolongs your journey, data shows that travellers are opting to use them as a way to explore new destinations and extend their holidays.</p> <p dir="ltr">According to data from travel search engine <a href="https://www.skyscanner.com.au/">Skyscanner</a>, there has been a notable uptick in bookings for long-haul flights to destinations such as Istanbul, London, Shanghai, and India.</p> <p dir="ltr">When travelling to Europe or the US, many travellers stopover in Asian cities such as Hong Kong, Bangkok in Thailand, Ho Chi Minh City in Vietnam, or Singapore. </p> <p dir="ltr">Alternatively, many stopovers occur in the UAE and Middle East area, with some flights stopping in Abu Dhabi, Dubai, or even Qatar. </p> <p dir="ltr">It’s easy to book your stopover holiday when booking your flights. Just select your original flight to your final destination, but change your second flight to leave the stopover destination a few days later.</p> <p dir="ltr">Skyscanner's travel expert Cyndi Hui told <em><a href="https://travel.nine.com.au/latest/holiday-hacks-two-in-one-stopover-destination/9e77c117-3a14-49a0-903f-b9847bc92fe0">9Travel</a></em> of the travel hack: "With Australia being so far from many global hubs, taking the time to enjoy a stopover instead of rushing through airports allows Australians to truly make the most of their travel experiences".</p> <p dir="ltr">"It's a savvy way to make the most of their travel time, turning what used to be just a stopover into a memorable part of the adventure."</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

Travel Tips

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What’s a recession – and how can we tell if we’re in one?

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/leonora-risse-405312">Leonora Risse</a>, <em><a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p>Today’s <a href="https://www.abs.gov.au/statistics/economy/national-accounts/australian-national-accounts-national-income-expenditure-and-product/latest-release">economic data</a> shows that, outside of the pandemic, the Australian economy has slowed down to its lowest annual rate of growth since the early-1990s recession.</p> <p>That’s prompting the dreaded question: are we headed for another one?</p> <p>Any mention of the “R” word can trigger anxiety. Recessions bring job losses and financial strain, and put serious pressure on people’s mental health.</p> <p>These impacts can be especially severe for people who are already experiencing disadvantage and vulnerabilities.</p> <p>But what exactly does it mean to be in a recession? What are the different ways we define them? And are these current approaches the best way to measure people’s economic pain?</p> <h2>What’s a recession?</h2> <p>A bit like the waves of the ocean, our economy is characterised by ebbs and flows in overall activity.</p> <p>Spending and business growth can swell during times of confidence, but slow down when optimism deflates or the economy is hit by an unexpected shock such as a pandemic or climate disaster. This pattern is what economists describe as “the business cycle”.</p> <p>Most of the time, our economy is constantly growing, even if the pace varies.</p> <p>Conventionally, we measure this pace by tracking changes in the level of <a href="https://www.rba.gov.au/education/resources/explainers/economic-growth.html">gross domestic product</a> (GDP) – the overall volume of items and services being produced, bought and sold in the economy.</p> <p>The <a href="https://www.abs.gov.au/statistics/economy/national-accounts/australian-national-accounts-national-income-expenditure-and-product/jun-2024">latest economic growth rates</a> of 0.2% for the June quarter, and 1% over the past year, tell us that the Australian economy is still growing, even if at a slower pace than previous years.</p> <p>Occasionally, the economy slows down to such a grind that economic activity, from one quarter to the next, shrinks. When this happens, the GDP measurements come out negative.</p> <p>When we have two negative measurements of GDP in a row, this is defined as a <a href="https://www.rba.gov.au/education/resources/explainers/recession.html">technical recession</a>.</p> <p>This is what happened to most countries around the globe during the COVID-19 pandemic. Prior to the pandemic, Australia hadn’t experienced a technical recession since 1991.</p> <p>The latest figures tell us Australia is staying afloat for now. But that doesn’t mean it doesn’t <em>feel</em> like a recession to many people. Some other metrics show why.</p> <h2>Other measures of recession</h2> <p>Growth in economic activity is fuelled, in part, by a growing population. Dividing total economic output by the population size, GDP per capita can offer a more accurate picture of people’s economic reality.</p> <p>This population-adjusted measure of economic growth has long fallen into negative territory. Today’s figures tell us that Australia’s GDP per person has been shrinking for 18 months. Our annual <em>per capita</em> growth rate is now -1.5%.</p> <figure class="align-right zoomable"></figure> <p>In the United States, recessions are measured differently again. Recessions are officially declared by the National Bureau of Economic Research (<a href="https://www.nber.org/research/business-cycle-dating">NBER</a>). Unlike technical recessions, these aren’t based on a simple rule.</p> <p>NBER considers a range of measures beyond GDP – including personal income, employment, personal consumption, wholesale and retail sales, and industrial production across multiple sectors – when deciding whether to declare a US recession.</p> <h2>Is Australia heading for a recession?</h2> <p>This is a challenging question to answer because the GDP figures economists conventionally use to diagnose the situation only come to light after a recession hits.</p> <p>Today’s economic figures from the ABS are for the June 2024 quarter – now more than two months old. Measurements of the current economic climate won’t come through in official statistics for some time.</p> <p>If it occurs, by the time a recession is officially diagnosed, we’re usually well and truly in it.</p> <p>A similar limitation applies to the retrospective approach of the <a href="https://www.nber.org/research/business-cycle-dating">NBER</a>, which “waits until it is confident that a recession has occurred”.</p> <p>It’s like a weather forecaster declaring a cyclone has hit only after the wind gusts have blown your roof away.</p> <p>But we can use other metrics to alert ourselves to recession risks before the eye of the storm hits.</p> <h2>Using jobs numbers as a recession alert</h2> <p>One approach is the <a href="https://fred.stlouisfed.org/series/SAHMCURRENT">Sahm Rule</a>, named after its creator, US economist Claudia Sahm.</p> <p>By analysing patterns in the monthly unemployment data that preceded past recessions, Sahm devised a <a href="https://stayathomemacro.substack.com/p/the-sahm-rule-step-by-step">formula</a> to detect when increases in the current unemployment rate were rapid enough to pose a recession risk.</p> <p>The advantage of this approach is that unemployment statistics come out more quickly and frequently than GDP numbers.</p> <p>Many would also argue that monitoring unemployment, rather than GDP, is a more meaningful metric to reflect people’s everyday experiences of the economy and wellbeing.</p> <p>The Sahm approach tracks how quickly the national unemployment rate is currently rising compared to the past year.</p> <p>It’s calculated by comparing the current three-month moving average of the national unemployment rate to this figure’s lowest value in the previous 12 months. This “moving average” approach smooths out the bumpiness of monthly figures.</p> <p>A jump of 0.5% or more signals the economy’s current pattern is on the cusp of recession.</p> <p>While the Sahm formula was developed for the US economy, it does a fairly good job of waving a red flag where recessions previously occurred in the Australian economy, too.</p> <p>Australia’s latest unemployment rate – inching up to 4.2% in July 2024 – pushed the Sahm value up to 0.5%.</p> <p><iframe id="3d239" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/3d239/5/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>This indicator doesn’t necessarily mean that a recession will occur. But it suggests policymakers should be on high alert.</p> <p>The Sahm indicator also validates the experiences of job seekers who – despite official definitions that the economy is not in recession – are personally feeling the pressures of a slowing economy and shrinking job opportunities.</p> <p>As our approaches to measuring and managing the ups and downs of the economy continue to evolve, these people-centred metrics are an increasingly important part of our toolkit.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/238199/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/leonora-risse-405312"><em>Leonora Risse</em></a><em>, Associate Professor in Economics, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-a-recession-and-how-can-we-tell-if-were-in-one-238199">original article</a>.</em></p> </div>

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Constipation increases your risk of a heart attack, new study finds – and not just on the toilet

<p><em><a href="https://theconversation.com/profiles/vincent-ho-141549">Vincent Ho</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>If you Google the terms “constipation” and “heart attack” it’s not long before the name Elvis Presley crops up. Elvis had a longstanding history of chronic constipation and <a href="https://www.pbs.org/newshour/health/elvis-addiction-was-the-perfect-prescription-for-an-early-death">it’s believed</a> he was straining very hard to poo, which then led to a fatal heart attack.</p> <p>We don’t know what really happened to the so-called King of Rock “n” Roll back in 1977. There were likely several contributing factors to his death, and this theory is one of many.</p> <p>But after this famous case researchers took a strong interest in the link between constipation and the risk of a heart attack.</p> <p>This includes a recent <a href="https://journals.physiology.org/doi/abs/10.1152/ajpheart.00519.2024">study</a> led by Australian researchers involving data from thousands of people.</p> <h2>Are constipation and heart attacks linked?</h2> <p>Large <a href="https://www.nature.com/articles/s41598-023-38068-y">population</a> <a href="https://pubmed.ncbi.nlm.nih.gov/32873621/">studies</a> show constipation is linked to an increased risk of heart attacks.</p> <p>For example, an <a href="https://www.nature.com/articles/s41598-023-38068-y">Australian study</a> involved more than 540,000 people over 60 in hospital for a range of conditions. It found constipated patients had a higher risk of high blood pressure, heart attacks and strokes compared to non-constipated patients of the same age.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/32873621/">Danish study</a> of more than 900,000 people from hospitals and hospital outpatient clinics also found that people who were constipated had an increased risk of heart attacks and strokes.</p> <p>It was unclear, however, if this relationship between constipation and an increased risk of heart attacks and strokes would hold true for healthy people outside hospital.</p> <p>These Australian and Danish studies also did not factor in the effects of drugs used to treat high blood pressure (hypertension), which can make you constipated.</p> <h2>How about this new study?</h2> <p>The recent <a href="https://journals.physiology.org/doi/abs/10.1152/ajpheart.00519.2024">international study</a> led by Monash University researchers found a connection between constipation and an increased risk of heart attacks, strokes and heart failure in a general population.</p> <p>The researchers analysed data from the <a href="https://www.ukbiobank.ac.uk">UK Biobank</a>, a database of health-related information from about half a million people in the United Kingdom.</p> <p>The researchers identified more than 23,000 cases of constipation and accounted for the effect of drugs to treat high blood pressure, which can lead to constipation.</p> <p>People with constipation (identified through medical records or via a questionnaire) were twice as likely to have a heart attack, stroke or heart failure as those without constipation.</p> <p>The researchers found a strong link between high blood pressure and constipation. Individuals with hypertension who were also constipated had a 34% increased risk of a major heart event compared to those with just hypertension.</p> <p>The study only looked at the data from people of European ancestry. However, there is good reason to believe the link between constipation and heart attacks applies to other populations.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/26812003/">Japanese study</a> looked at more than 45,000 men and women in the general population. It found people passing a bowel motion once every two to three days had a higher risk of dying from heart disease compared with ones who passed at least one bowel motion a day.</p> <h2>How might constipation cause a heart attack?</h2> <p>Chronic constipation can lead to straining when passing a stool. This can result in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">laboured breathing</a> and can lead to a rise in blood pressure.</p> <p>In <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">one Japanese study</a> including ten elderly people, blood pressure was high just before passing a bowel motion and continued to rise during the bowel motion. This increase in blood pressure lasted for an hour afterwards, a pattern not seen in younger Japanese people.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">One theory</a> is that older people have stiffer blood vessels due to atherosclerosis (thickening or hardening of the arteries caused by a build-up of plaque) and other age-related changes. So their high blood pressure can persist for some time after straining. But the blood pressure of younger people returns quickly to normal as they have more elastic blood vessels.</p> <p>As blood pressure rises, the risk of heart disease increases. The risk of developing heart disease <a href="https://pubmed.ncbi.nlm.nih.gov/12493255/">doubles</a> when systolic blood pressure (the top number in your blood pressure reading) rises permanently by 20 mmHg (millimetres of mercury, a standard measure of blood pressure).</p> <p>The systolic blood pressure rise with straining in passing a stool has been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">reported to be</a> as high as 70 mmHg. This rise is only temporary but with persistent straining in chronic constipation this could lead to an increased risk of heart attacks.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/22256893/">Some people</a> with chronic constipation may have an impaired function of their vagus nerve, which controls various bodily functions, including digestion, heart rate and breathing.</p> <p>This impaired function can result in abnormalities of heart rate and over-activation of the flight-fight response. This can, in turn, lead to elevated blood pressure.</p> <p>Another intriguing avenue of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399019/">research</a> examines the imbalance in gut bacteria in people with <a href="https://pubmed.ncbi.nlm.nih.gov/3596341/">constipation</a>.</p> <p>This imbalance, known as dysbiosis, can result in microbes and other substances leaking through the gut barrier into the bloodstream and triggering an immune response. This, in turn, can lead to low-grade inflammation in the blood circulation and arteries becoming stiffer, increasing the risk of a heart attack.</p> <p>This latest study also explored genetic links between constipation and heart disease. The researchers found shared genetic factors that underlie both constipation and heart disease.</p> <h2>What can we do about this?</h2> <p>Constipation affects around <a href="https://pubmed.ncbi.nlm.nih.gov/36826591/">19% of the global population</a> aged 60 and older. So there is a substantial portion of the population at an increased risk of heart disease due to their bowel health.</p> <p>Managing chronic constipation through dietary changes (particularly increased dietary fibre), increased physical activity, ensuring adequate hydration and using medications, if necessary, are all important ways to help improve bowel function and reduce the risk of heart disease.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/237209/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/vincent-ho-141549"><em>Vincent Ho</em></a><em>, Associate Professor and clinical academic gastroenterologist, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/constipation-increases-your-risk-of-a-heart-attack-new-study-finds-and-not-just-on-the-toilet-237209">original article</a>.</em></p>

Body

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Why aren’t the Olympics and Paralympics combined into one Games? The reasoning goes beyond logistics

<p><em><a href="https://theconversation.com/profiles/laura-misener-992664">Laura Misener</a>, <a href="https://theconversation.com/institutions/western-university-882">Western University</a> </em></p> <p>As the lights go out on an outstanding Olympic Games in Paris, with <a href="https://www.cbc.ca/mediacentre/press-release/7-in-10-canadians-tune-in-for-paris-2024">record-breaking media attention</a> and <a href="https://olympic.ca/press/paris-2024-team-canada-brings-home-historic-medal-haul/">excellent medal results for Team Canada</a>, it’s important to remember the Games aren’t over — it’s just the halfway mark.</p> <p>While the closing ceremonies on Aug. 11 seemed like the end of the event with the <a href="https://www.ctvnews.ca/sports/as-the-olympic-flame-heads-for-los-angeles-what-can-we-expect-from-the-2028-games-1.6997247">official handover to Los Angeles for the 2028 Summer Games</a>, the 2024 Games are really just on pause.</p> <p>This two-week break between Olympic and Paralympic Games isn’t a respite at all. Paris is now getting ready to host the Paralympic Games, which will <a href="https://olympics.com/en/paris-2024/information/competition-schedule-for-the-paralympic-games">begin on Aug. 28 with the opening ceremony</a>.</p> <p>In two weeks, a whole new set of elite international athletes will descend on Paris for the <a href="https://olympics.com/en/sports/paralympic/">third largest sporting event</a> in the world. Canada will be sending <a href="https://paralympic.ca/news/team-of-126-canadian-athletes-set-to-compete-at-paris-2024-paralympic-games/">126 athletes to the Paris Paralympics</a> to compete in 18 sports.</p> <p>Staff will be working hard to set up venues for the Paralympic sports. This means tearing down some temporary venues and putting up others that facilitate accessibility for Paralympic sports, athletes and their entourage.</p> <p>Transforming <a href="https://olympics.com/en/paris-2024/the-games/village">the village</a>, which housed just over 14,000 athletes and team personnel for the Olympics, to get it ready for the 8,000 para athletes and staff for the Paralympic Games is no simple feat.</p> <h2>A logistical nightmare</h2> <p>At this juncture, the question often arises as to why the Olympics and Paralympics aren’t combined together into one Games. The reasoning behind the decision is more complicated than it might appear.</p> <p>In 2001, the International Olympic Committee and the International Paralympic Committee signed the <a href="https://www.paralympic.org/feature/2-historic-one-bid-one-city-agreement">One Bid, One City</a> agreement to protect the interests of the Paralympic Games. The agreement requires host cities to stage both the Olympic and Paralympic Games using the same venues, facilities and infrastructure. This also unites the two sporting movements.</p> <p>The sheer size of such an event would make it impossible for almost any city to host a single combined Olympic and Paralympic Games. Consider the logistics of an event that would include approximately 15,000 athletes over 50 sporting disciplines.</p> <p>In the current iteration, there are already 15 cities outside of Paris playing host to events. For instance, sailing was <a href="https://olympics.com/en/paris-2024/venues/marseille-marina">held in Marseille</a>, shooting was <a href="https://olympics.com/en/paris-2024/venues/chateauroux-shooting-centre">held in Châteauroux</a> and the rowing and canoe-kayak events were <a href="https://olympics.com/en/paris-2024/venues/vaires-sur-marne-nautical-stadium">held in Vaires-sur-Marne</a>. Even a city with the resources and infrastructure of Paris could not, and would not, host an event of that size.</p> <p>Combining the games would necessitate a change in structure, and inevitably sports — likely Paralympic sports — would be dropped. Hence the two-week break between Games.</p> <h2>Paralympics deserve their own spotlight</h2> <p>The discussion about the separation of the two events goes much deeper than logistical concerns. Some supporters of the Paralympic Games see the need and value for a <a href="https://time.com/7004176/olympic-paralympic-games-separate/">separate event</a> that showcases and highlights elite athletes with disabilities.</p> <p>IPC President Andrew Parsons, for example, argues that hosting the Paralympic Games separately <a href="https://www.insidethegames.biz/articles/1147694/merging-olympic-and-paralympic-games">focuses on their broader mission</a> of drawing attention to “issues of disability rights, accessibility, and broader areas of inclusion for the legacy of the event.”</p> <p>The distinct Paralympic event showcases the elite performances of Para athletes, giving them the attention and celebration deserved. All too often, Para athletes’ successes are overshadowed by the <a href="https://doi.org/10.1177/21674795221103410">tendency of media to prioritize non-disabled athletes</a>, often marginalizing or overlooking the achievements of athletes with disabilities.</p> <p>The challenge, then, is for the host city to maintain the momentum from the Olympics and ensure Paralympic athletes receive the recognition they deserve for their sporting successes. The Canadian Paralympic Committee launched their <a href="https://paralympic.ca/games/paris-2024/">Greatness Moves Us</a> campaign recently to highlight the stories of excellence of Paralympic athletes and galvanize support and viewership.</p> <h2>A lasting legacy</h2> <p>Ultimately, the Paralympic Games showcase elite sporting excellence in a way that no other event does. But the Games are about so much more — championing inclusion, disability rights and a lasting legacy of social change.</p> <p>Paris is an example of a city that has stepped up to the challenge. It put <a href="https://www.nytimes.com/2024/05/06/travel/paris-olympics-accessibility-disabled.html">accessibility at the centre of its bid</a>, knowing full well the challenge ahead of them in the historic city.</p> <p>Leading into the Games, the city has made good on <a href="https://www.insidethegames.biz/articles/1147595/paris-accessibility-paralympics-games">many promises around accessibility</a> and increasing opportunities for people with disabilities. The city upgraded the overground transportation network by adding fully accessible bus and tram lines, and introduced 1,000 accessible taxis.</p> <p>They also tackled some challenging tasks, such as upgrading historic venues into accessible sporting spaces. More than €10 million was allocated to improve the accessibility of six major sports facilities, including the <a href="https://www.paris.fr/en/pages/georges-vallerey-swimming-pool-reopens-after-renovation-work-27046">Georges Vallerey swimming pool</a> and the <a href="https://www.paris.fr/en/pages/the-pierre-de-coubertin-stadium-has-been-renovated-for-the-olympic-games-27211">Pierre de Coubertin stadium</a>.</p> <p>The aim is to sustain the momentum, not only between the Olympic and Paralympic Games, but long after they conclude, with the goal of creating a more <a href="https://olympics.com/en/paris-2024/our-commitments/promoting-the-role-of-sports/more-inclusive-society">inclusive society</a> in France.</p> <p>Leading up to the start of the Paralympics, there is some concern about whether the momentum will be there from a viewership perspective and spectators in the stands. The Tokyo 2020 Paralympic Games set records for viewership in a Games that was largely devoid of spectators in the stand due to the COVID-19 pandemic.</p> <p>American <a href="https://www.wkar.org/wkar-news/2022-01-17/opinion-sports-are-a-shared-human-experience-bringing-us-joy-and-drama-so-it-is-time-to-appreciate-the-paralympics-on-par-with-the-olympics">television network NBC</a> reported 15.5 million viewers per night for the 2020 Olympic Games, in contrast to 14 million viewers in total for the 2020 Paralympic Games.</p> <p>But many of us will be looking more at the momentum of the event to be a catalyst for inclusion, access and opportunity beyond the events. Once all the lights go out on the Games, it is the lasting legacy of social change that will be the ultimate judge of the success of both the Olympic and Paralympic Games.<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/236670/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/laura-misener-992664">Laura Misener</a>, Professor &amp; Director, School of Kinesiology, <a href="https://theconversation.com/institutions/western-university-882">Western University</a></em></p> <p><em>Image credits: ALI HAIDER/EPA-EFE/Shutterstock Editorial </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-arent-the-olympics-and-paralympics-combined-into-one-games-the-reasoning-goes-beyond-logistics-236670">original article</a>.</em></p>

International Travel

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Woman “bullied” on plane over budget seating trick

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

Travel Trouble

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Sorting a loved one’s finances after their death – what you need to know

<p><em><a href="https://theconversation.com/profiles/kate-reed-1548385">Kate Reed</a>, <a href="https://theconversation.com/institutions/university-of-sheffield-1147">University of Sheffield</a></em></p> <p>Financial anxiety is often talked about, but rarely in the context of bereavement. Following the death of a loved one, relatives usually have to complete a range of financial “death administration” tasks.</p> <p>These can be anything from closing bank accounts and settling utility bills to managing probate (things like property sales, asset management and inheritance distribution). The <a href="https://bereavementcommission.org.uk/media/xube5elb/ukbc_summary_report_low-res.pdf">UK Commission on Bereavement</a> has estimated that 61% of adults struggle to deal with such time consuming and time sensitive administrative responsibilities.</p> <p>While research has begun to shed light on some of the financial difficulties bereaved people can face after the death of a <a href="https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-015-0194-1">spouse</a> or a <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/1468-4446.12190">family member</a>, the emotional toll of navigating financial admin after bereavement remains <a href="https://www.bereavementjournal.org/index.php/bcj/article/view/1114">largely invisible</a>.</p> <p>But the good news is there are several resources that can help bereaved people to navigate these processes, including the UK government’s own <a href="https://www.gov.uk/when-someone-dies">step-by-step guide</a>. We conducted <a href="https://thenbs.org/partnerships/death-admin-research-report">research</a> on death admin in collaboration with the <a href="https://thenbs.org/">National Bereavement Service</a>, an organisation that provides free practical and emotional support for anyone who has lost a loved-one. The study showed how government services provide a gateway to sorting out a range of financial issues.</p> <p>Financial organisations require proof of the death through a death certificate. This is provided when you <a href="https://www.gov.uk/when-someone-dies">register</a> a death with the local registrar of births, marriages and deaths. Where there is an inquest, an interim death certificate will be issued.</p> <p>Often, multiple copies of the death certificate are needed. And, at £12.50 for <a href="https://www.gov.uk/order-copy-birth-death-marriage-certificate">each copy</a> (£12 in <a href="https://www.mygov.scot/birth-death-marriage-certificate#:%7E:text=You%20can%20order%20a%20certificate,orders%20made%20in%20another%20way.">Scotland</a>), the financial burden falling on bereaved people can quickly grow.</p> <p>In terms of tax, pensions and benefits, the registrar provides a unique reference number that bereaved people can use to inform the government through a service called <a href="https://www.gov.uk/after-a-death/organisations-you-need-to-contact-and-tell-us-once">Tell Us Once</a>.</p> <p>This is an initiative that notifies national and local government bodies including HM Revenue and Customs (to deal with personal tax and to cancel certain benefits and tax credits) and the Department for Work and Pensions (to cancel benefits and entitlements like universal credit or the state pension). The <a href="https://www.gov.uk/valuing-estate-of-someone-who-died?step-by-step-nav=4f1fe77d-f43b-4581-baf9-e2600e2a2b7a">government website</a> also provides help on how to value the person’s estate and work out inheritance tax.</p> <h2>Avoiding family fall-outs</h2> <p>But other financial aspects of death administration can be more challenging to navigate.</p> <p>Probate, for example, is the legal right to deal with someone’s property, money and possessions (their “estate”) when they die. You can <a href="https://www.gov.uk/applying-for-probate?step-by-step-nav=4f1fe77d-f43b-4581-baf9-e2600e2a2b7a">check</a> on the UK government website whether you require probate.</p> <p>It remains one of the most challenging aspects of death administration. Our <a href="https://thenbs.org/partnerships/death-admin-research-report">research</a> shows that people often seek legal advice to manage probate because they are scared to get things wrong, or because they want to avoid future disputes with family members.</p> <p>The process of closing bank accounts and managing assets can be straightforward when the deceased person had made clear arrangements and had few bank accounts. But financial concerns often arise in situations where there are multiple or complicated banking systems. As one of the participants in our research stated: “It’s been a real mess … my dad had quite a few properties, and it’s been quite difficult winding those down.”</p> <p>Worse still, bereaved people can face threatening letters from companies like utilities providers in relation to bills and closing accounts. We found organisations often lack compassion in this context.</p> <p>We encountered cases of companies continuing to write directly to the deceased person, causing further distress to their loved-ones. One of our participants told us that their stepmother was “still getting the bill with my father’s name on, which distresses her”.</p> <p>It is also worth noting that certain types of death present particular administrative and financial challenges. For example, in 2022 17% of deaths in England and Wales were subject to a <a href="https://www.gov.uk/government/statistics/coroners-statistics-2022/coroners-statistics-2022-england-and-wales#inquests-opened">coroner’s inquest</a>.</p> <p>These deaths can be more difficult to administer on the Tell Us Once initiative due to the time-lag and extra bureaucracy involved. In addition, many people die without a will, which usually makes navigating financial issues much harder.</p> <p>The location of the death can also have financial implications. For example, our <a href="https://www.bereavementjournal.org/index.php/bcj/article/view/1114">research</a> shows how financing a care home stay is usually interconnected with inheritance or selling the person’s house, which places extra pressure on those trying to release the funds.</p> <p>Many organisations could make their administrative processes clearer and train their staff to be more compassionate towards people who have recently been bereaved.</p> <p>There are, however, glimmers of hope that things are improving. My own father died last year and while my experiences of helping my mum deal with the financial aspects of death administration have been mixed, we did experience many acts of kindness and compassion along the way.</p> <p>There is also excellent practical guidance out there from organisations like the <a href="https://thenbs.org/">National Bereavement Service</a>, which along with emotional support from charities like <a href="https://www.cruse.org.uk/">Cruse Bereavement Support</a> are vital to helping people navigate complex administrative systems.</p> <p>The COVID pandemic and death of the queen in 2022 have likely meant that, as a society, we are talking more about death and grief both publicly and privately. Death and bereavement happen to us all, and it is crucial that we talk more openly, not just about our emotional concerns, but about the practical and financial implications too.<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/231967/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/kate-reed-1548385">Kate Reed</a>, Professor of Sociology and Director of the Sheffield Methods Institute, <a href="https://theconversation.com/institutions/university-of-sheffield-1147">University of Sheffield</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/sorting-a-loved-ones-finances-after-their-death-what-you-need-to-know-231967">original article</a>.</em></p>

Money & Banking

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Readers response: What is one holy grail item you always pack on a holiday?

<p>When it comes to packing for a holiday, everyone has that one special item that they make sure they have packed safely. </p> <p>Sometimes that one must-have thing can mean the difference between a good and bad holiday. </p> <p>We asked our readers what their holy grail travel item is, and the responses were overwhelming. Here's what they said. </p> <p><strong>Wendy Parsons</strong> - Small fold-up umbrella.</p> <p><strong><span dir="auto">Antoinet</span></strong><span dir="auto"><strong>te Devlin</strong> - </span><span dir="auto">Definitely my phone and kindle.</span></p> <p><span dir="auto"><strong>Lorraine Lenthall </strong>- Gym shoes.</span></p> <p><span dir="auto"><strong>June Debono</strong> - My bunny called Dude. I'm a Grandma and he goes everywhere with me. A well travelled </span><span dir="auto">rabbit!</span></p> <p><span dir="auto"><strong>Anita Thornton</strong> - My down pillow!</span></p> <p><span dir="auto"><strong>Gail Morgan</strong> - Champagne sealer.</span></p> <p><span dir="auto"><strong>Helen Holt</strong> - My crafts! Sewing, crocheting and knitting.</span></p> <p><span dir="auto"><strong>Sue Perryman</strong> - Vegemite.</span></p> <p><span dir="auto"><strong>Kathie Kirsop</strong> - Ear plugs because you never know who’s going to be your neighbour.</span></p> <p><span dir="auto"><strong>Meg Hallissy</strong> - A sarong. Very versatile!</span></p> <p><span dir="auto"><strong>Felicity Jill Murphy</strong> - A torch. I always pack a torch that has fresh batteries in it.</span></p> <p><span dir="auto"><strong>Sue Bailey</strong> - Lots! Phone, charger, knee pillow, head pillow (chiro approved), folding foot stool.</span></p> <p><span dir="auto"><strong>Chris Ballard</strong> - Comfy shoes.</span></p> <p><span dir="auto"><strong>Carol Hanson</strong> - Lots of b</span>ooks.</p> <p><strong>Juliet Vance</strong> - Everything I can think of.</p> <p><em>Image credits: Shutterstock</em></p> <p> </p>

Travel Trouble

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What’s the difference between ‘strep throat’ and a sore throat? We’re developing a vaccine for one of them

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/kim-davis-1535254">Kim Davis</a>, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a>; <a href="https://theconversation.com/profiles/alma-fulurija-1535255">Alma Fulurija</a>, <a href="https://theconversation.com/institutions/telethon-kids-institute-1608">Telethon Kids Institute</a>, and <a href="https://theconversation.com/profiles/myra-hardy-1535253">Myra Hardy</a>, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a></em></p> <p>the time of the year for coughs, colds and sore throats. So you might have heard people talk about having a “strep throat”.</p> <p>But what is that? Is it just a bad sore throat that goes away by itself in a day or two? Should you be worried?</p> <p>Here’s what we know about the similarities and differences between strep throat and a sore throat, and why they matter.</p> <h2>How are they similar?</h2> <p>It’s difficult to tell the difference between a sore throat and strep throat as they look and feel similar.</p> <p>People usually have a fever, a bright red throat and sometimes painful lumps in the neck (swollen lymph nodes). A throat swab can help diagnose strep throat, but the results can take a few days.</p> <p>Thankfully, both types of sore throat usually get better <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8655103/">by themselves</a>.</p> <h2>How are they different?</h2> <p>Most sore throats are caused by viruses such as common cold viruses, the flu (influenza virus), or the virus that causes glandular fever (Epstein-Barr virus).</p> <p>These viral sore throats can occur at any age. Antibiotics don’t work against viruses so if you have a viral sore throat, you won’t get better faster if you take antibiotics. You might even have some unwanted <a href="https://www.ncbi.nlm.nih.gov/books/NBK401243/#:%7E:text=People%20may%20then%20wonder%20whether,infection%2C%20such%20as%20bacterial%20tonsillitis.">antibiotic side-effects</a>.</p> <p>But strep throat is caused by <em>Streptococcus pyogenes</em> bacteria, also known as strep A. Strep throat is most common in <a href="https://www.tandfonline.com/doi/full/10.2217/fmb-2021-0077">school-aged children</a>, but can affect other age groups. In some cases, you may need antibiotics to avoid some rare but serious complications.</p> <p>In fact, the potential for complications is one key difference between a viral sore throat and strep throat.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=508&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=508&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=508&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption></figcaption></figure> <p>Generally, a viral sore throat is <a href="https://www.bmj.com/content/347/bmj.f6867">very unlikely</a> to cause complications (one exception is those caused by Epstein-Barr virus which has been associated with illnesses such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3893202/">chronic fatigue syndrome</a>, <a href="https://www.science.org/doi/10.1126/science.abj8222">multiple sclerosis</a> and certain <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00404-7/fulltext">cancers</a>).</p> <p>But strep A can cause invasive disease, a rare but serious complication. This is when bacteria living somewhere on the body (usually the skin or throat) get into another part of the body where there shouldn’t be bacteria, such as the bloodstream. This can make people extremely sick.</p> <p>Invasive strep A infections and deaths have been <a href="https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON429">rising in recent years</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10786649/">around the world</a>, especially in young children and older adults. This may be due to a number of factors such as increased social mixing at this stage of the COVID pandemic and an increase in circulating common cold viruses. But overall the reasons behind the increase in invasive strep A infections are not clear.</p> <p>Another rare but serious side effect of strep A is autoimmune disease. This is when the body’s immune system makes antibodies that react against its own cells.</p> <p>The most common example is <a href="https://www.who.int/news-room/fact-sheets/detail/rheumatic-heart-disease">rheumatic heart disease</a>. This is when the body’s immune system damages the heart valves a few weeks or months after a strep throat or skin infection.</p> <p><a href="https://www.nejm.org/doi/10.1056/NEJMoa2102074?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">Around the world</a> more than 40 million people live with rheumatic heart disease and more than 300,000 die from its complications every year, mostly in developing countries.</p> <p>However, parts of Australia have some of the <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50682">highest rates</a> of rheumatic heart disease in the world. <a href="https://www.aihw.gov.au/reports/heart-stroke-vascular-diseases/hsvd-facts/contents/all-heart-stroke-and-vascular-disease/arf-and-rhd">More than 5,300</a> Indigenous Australians live with it.</p> <h2>Why do some people get sicker than others?</h2> <p>We know strep A infections and rheumatic heart disease <a href="https://link.springer.com/chapter/10.1007/82_2012_280">are more common</a> in low socioeconomic communities where poverty and overcrowding lead to increased strep A transmission and disease.</p> <p>However, we don’t fully understand why some people only get a mild infection with strep throat while others get very sick with invasive disease.</p> <p>We also don’t understand why some people get rheumatic heart disease after strep A infections when most others don’t. Our research team is trying to find out.</p> <h2>How about a vaccine for strep A?</h2> <p>There is no strep A vaccine but <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028081/">many</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545125/">groups</a> in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6495378/">Australia</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902606/">New Zealand</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3620221/">and</a> <a href="https://www.clinicalkey.com.au/#!/content/playContent/1-s2.0-S0264410X19316457?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0264410X19316457%3Fshowall%3Dtrue&amp;referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F">worldwide</a> are working towards one.</p> <p>For instance, Murdoch Children’s Research Institute and Telethon Kids Institute have formed the <a href="https://www.asavi.org.au">Australian Strep A Vaccine Initiative</a> to develop strep A vaccines. There’s also a <a href="https://savac.ivi.int/">global consortium</a> working towards the same goal.</p> <p>Companies such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10747066/">Vaxcyte</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696035/">GlaxoSmithKline</a> have also been developing strep A vaccines.</p> <h2>What if I have a sore throat?</h2> <p>Most sore throats will get better by themselves. But if yours doesn’t get better in a few days or you have ongoing fever, see your GP.</p> <p>Your GP can examine you, consider running some tests and help you decide if you need antibiotics.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/230292/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/kim-davis-1535254">Kim Davis</a>, General paediatrician and paediatric infectious diseases specialist, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a>; <a href="https://theconversation.com/profiles/alma-fulurija-1535255">Alma Fulurija</a>, Immunologist and the Australian Strep A Vaccine Initiative project lead, <a href="https://theconversation.com/institutions/telethon-kids-institute-1608">Telethon Kids Institute</a>, and <a href="https://theconversation.com/profiles/myra-hardy-1535253">Myra Hardy</a>, Postdoctoral Researcher, Infection, Immunity and Global Health, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-strep-throat-and-a-sore-throat-were-developing-a-vaccine-for-one-of-them-230292">original article</a>.</em></p> </div>

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Grandfather killed after being mistaken for kidnapper

<p>An Indian grandfather has been tragically killed in a one-punch attack after being mistaken for a kidnapper. </p> <p>Mewa Singh, 60, was visiting his son and grandson in Christchurch when he suffered the fatal blow at the hands of a stranger.</p> <p>His 32-year-old attacker, whose name has been suppressed, was spending time at a park on April 7th 2023 with his son when he drove off and left his child behind to “teach his son a lesson” after the boy was misbehaving, according to <em><a href="https://www.stuff.co.nz/nz-news/350337161/totally-unfair-how-one-punch-changed-familys-life-forever" target="_blank" rel="noopener" data-link-type="article-inline">Stuff</a></em>.</p> <p>When he returned a short time late to pick up his son, the man saw a stranger, later identified as Singh, holding his son’s hand near a bus stop and became enraged, shoving Singh and yelling “that’s my f****** son”.</p> <p>He drove the child back to his ex-partner’s house and explained the situation, when his son allegedly said, Singh was “trying to walk him to daddy’s car”. </p> <p>The man then decided to drive back to the park to find Singh, where he confronted the grandfather by grabbing his shirt collar and accusing him of trying to abduct his son.</p> <p>He then delivered a “haymaker-style punch” to his jaw, which caused Singh to fall backwards and hit his head on the pavement.</p> <p>Believing Singh to be dead, his attacker left and told his ex-partner he thought he killed him, prompting her to phone emergency services.</p> <p>Despite being treated in the ICU at Christchurch Hospital, Singh did not regain consciousness and died on April 9th.</p> <p>Singh’s attacker faced Christchurch High Court on Friday, when he pleaded guilty to manslaughter, and is scheduled to be sentenced in October. </p> <p>Speaking to <em><a href="https://www.stuff.co.nz/nz-news/350337161/totally-unfair-how-one-punch-changed-familys-life-forever" target="_blank" rel="noopener">Stuff</a></em> about the attack 15 months on, Singh’s son Himanshu Keshwer said his family was still beyond devastated at the sudden loss.</p> <p>“He was a very good human being,” he said.</p> <p>Keshwer said what happened to his father was “totally unfair”.</p> <p>“Someone killed my dad and I couldn’t do anything, and still can’t do anything,” he told the outlet.</p> <p>“It makes me sad, it shouldn’t have happened.”</p> <p>A <a href="https://givealittle.co.nz/cause/helping-and-support-the-family" target="_blank" rel="noopener" data-link-type="article-inline">fundraiser</a> was launched to support Singh’s family and transport his body back to India, raising $16,316, which exceeded the $15,000 goal.</p> <p><em>Image credits: givealittle.co.nz</em></p>

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"Worst nightmare": Teen dies one day after flu diagnosis

<p>William Jones was complaining of a sore throat and cough last month and when his mum called the doctor, they were told that it was most likely the flu. </p> <p>However, the following morning when Rebecca Rollason went to check on her 16-year-old son, he was found unresponsive in his bed in their Wellington home. </p> <p>"We ask ourselves how what started as a sore throat, snotty nose and a cough on Tuesday to no longer with us three days later,"  the grieving mum told the <em>NZ Herald</em>. </p> <p>"No one understands, we don't know what happened... it feels like the worst nightmare that we cannot wake from."</p> <p>Rollason explained that her family have to "wait for results" in hopes of understanding what happened and how the teenager, who was barely sick, passed away so suddenly. </p> <p>"We just don’t understand how this can happen to a boy who was barely ever sick and was very healthy," she said.</p> <p> "It is an incredibly hard and devastating time for us."</p> <p>A family friend has helped set up a <a href="https://givealittle.co.nz/cause/rebecca-lost-her-son-william-last-friday" target="_blank" rel="noopener">fundraising page</a> to help relieve the financial pressure on her and William's two brothers while they grieve. </p> <p>"It is every parents worst nightmare and a shocking tragedy to lose a healthy child from a sudden and brief illness," a statement from the fundraising page read. </p> <p>"The money will help the family with funeral costs and ease Financial burden while they grieve and come to terms with Williams passing." </p> <p>On July 1 they shared an update on the fundraising page, saying: "Rebecca and family would like all to know that are incredibly grateful for all the support and kindness." </p> <p><em>Image: Givealittle </em></p>

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Pirates of the Caribbean actor and former pro surfer killed in shark attack

<p>Tamayo Perry, renowned surfer and actor known for his role in <em>Pirates of the Caribbean: On Stranger Tides</em>, tragically lost his life in a shark attack off Oahu's North Shore on Sunday.</p> <p>The 49-year-old was surfing near Goat Island when the incident occurred, as confirmed by Shayne Enright of the Honolulu Emergency Services Department.</p> <p>Perry, who played a buccaneer in the popular movie franchise, had a distinguished career with appearances in films such as <em>Blue Crush</em> and the television series <em>Hawaii Five-O</em>. Beyond his acting career, Perry was celebrated as a former professional surfer and a beloved lifeguard.</p> <p>Responding to an emergency call just before 1pm local time, personnel from Honolulu Ocean Safety, alongside the city's fire, police and emergency medical services departments, rushed to Malaekahana Beach. The caller reported seeing a man who appeared to have suffered shark bites. Lifeguards promptly brought Perry to shore, but he was pronounced dead upon arrival. In response to the attack, Ocean Safety personnel posted shark warnings in the area.</p> <p>"Tamayo's personality was infectious, and as much as people loved him, he loved everyone else more," said Honolulu Ocean Safety acting chief Kurt Lager at a news conference. "Tamayo was a legendary waterman and highly respected," added Honolulu Mayor Rick Blangiardi, describing Perry's death as "a tragic loss".</p> <p>Perry, alongside his wife Emilia, ran the Oahu Surfing Experience, a business offering surfing lessons. According to his biography on the company's website, Perry surfed professionally for over 15 years, notably winning the Pipeline Master trials in 1999. He began his career as a lifeguard on the North Shore for the City and County of Honolulu Ocean Safety in July 2016. That same year, he appeared in <em>Pirates of the Caribbean</em> and an episode of <em>Hawaii Five-0</em>.</p> <p>Perry's wife Emilia shared a heartfelt tribute to her lost husband on Instagram, writing: "We all want to be the hero of our own story, one of the redeeming characteristics of humanity is our desire to follow our convictions always and without fear. Few of us are able to truly be that hero, Tamayo Perry was is and will be forever.</p> <p>"He was everyone’s big brother, stern and uncompromising with an infectious and kolohe smile. He was your rescuer in time of need, your safety when all things fell apart. He was a knight forged in the fires of the North Shore in the 90’s, his faith in Christ the rock upon which he stood. Few are those who truly follow in the footsteps of Jesus, Tamayo never took his eyes off the path.</p> <p>"Tragic though his passing may be, he left this world doing what he loved where he loved to do it. We find strength in knowing he is in heaven with our Lord Jesus Christ, trading barrels at Pipeline with his friends that have gone before him."</p> <p>The World Surf League also expressed their condolences in a statement: "We are deeply saddened to share that the surf community lost a beloved icon yesterday. A well-known surfer and lifeguard, Tamayo Perry, passed away after injuries from a shark attack that occurred on the East Side of Oahu. Tamayo was a Pipeline/Teahupo’o specialist, freesurfer, former competitor, and member of the WSL for many years. He became a lifeguard for the city and was a big part of the North Shore community. Our hearts go out to Tamayo’s family and friends."</p> <p>Perry's passing has left a profound void in both the surfing and local communities, where he was deeply admired for his skills, charisma and generous spirit.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C8nL-QeS5C2/?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/C8nL-QeS5C2/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Tamayo Perry (@oahusurfingexperience)</a></p> </div> </blockquote> <p><em>Image: Walt Disney Studios | Instagram</em></p>

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The one in-flight activity to avoid to conquer jet lag

<p dir="ltr">While many people love to travel and explore new destinations, there’s no doubt that the worst part of a holiday is often the long-haul flight. </p> <p dir="ltr">With many holidays, especially ones overseas, a drastic change of timezones can mean jet lag is unavoidable, but there are a few things you can do to make life easy when you land. </p> <p dir="ltr">According to one travel expert, how you feel when you disembark often boils down to your in-flight activities. </p> <p dir="ltr">Sarah Built, who has worked up a lifetime of long-haul travel as the Etihad Airways Vice President of Sales for Australasia, told <em><a href="https://travel.nine.com.au/latest/flight-tips-how-to-avoid-jet-lag/db8fbda1-2318-44c0-b9fe-e14d11dec70c">9Travel</a></em> that there is one thing she always avoids onboard in order to land at her destination feeling fresh: alcohol. </p> <p dir="ltr">"Whilst the allure of coffee, cocktails and snacks is real (particularly if you're travelling with kids), they can actually contribute to dehydration and worsen jet lag," she says.</p> <p dir="ltr">Instead of that in-flight beer glass of wine, Sarah says to drink water (with lime added for a twist) or herbal tea to boost your hydration and lessen that groggy mid-flight feeling.</p> <p dir="ltr">Drinking water is obviously also the key to staying hydrated, as Sarah says it's important to start drinking extra water the day before your flight, so you're going in prepared.</p> <p dir="ltr">"I carry a reusable water bottle to keep fluids up during the journey (most airports will have water stations for you to refill easily)," she says, which means you won't need to pay for an overpriced bottle at the airport.</p> <p dir="ltr">"Dehydration can cause headaches and fatigue, and you want to be able to hit the ground running on arrival, so always remember to drink plenty of water," she advises.</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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The voice in your head may help you recall and process words. But what if you don’t have one?

<p><em><a href="https://theconversation.com/profiles/derek-arnold-106381">Derek Arnold</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Can you imagine hearing yourself speak? A voice inside your head – perhaps reciting a shopping list or a phone number? What would life be like if you couldn’t?</p> <p>Some people, including me, cannot have imagined visual experiences. We cannot close our eyes and conjure an experience of seeing a loved one’s face, or imagine our lounge room layout – to consider if a new piece of furniture might fit in it. This is called “<a href="https://theconversation.com/a-blind-and-deaf-mind-what-its-like-to-have-no-visual-imagination-or-inner-voice-226134">aphantasia</a>”, from a Greek phrase where the “a” means without, and “phantasia” refers to an image. Colloquially, people like myself are often referred to as having a “blind mind”.</p> <p>While most attention has been given to the inability to have imagined visual sensations, aphantasics can lack other imagined experiences. We might be unable to experience imagined tastes or smells. Some people cannot imagine hearing themselves speak.</p> <p>A <a href="https://www.sciencealert.com/we-used-to-think-everybody-heard-a-voice-inside-their-heads-but-we-were-wrong">recent study</a> has advanced our understanding of people who cannot imagine hearing their own internal monologue. Importantly, the authors have identified some tasks that such people are more likely to find challenging.</p> <h2>What the study found</h2> <p>Researchers at the University of Copenhagen in Denmark and at the University of Wisconsin-Madison in the United States <a href="https://journals.sagepub.com/doi/10.1177/09567976241243004">recruited 93 volunteers</a>. They included 46 adults who reported low levels of inner speech and 47 who reported high levels.</p> <p>Both groups were given challenging tasks: judging if the names of objects they had seen would rhyme and recalling words. The group without an inner monologue performed worse. But differences disappeared when everyone could say words aloud.</p> <p>Importantly, people who reported less inner speech were not worse at all tasks. They could recall similar numbers of words when the words had a different appearance to one another. This negates any suggestion that aphants (people with aphantasia) simply weren’t trying or were less capable.</p> <h2>A welcome validation</h2> <p>The study provides some welcome evidence for the lived experiences of some aphants, who are still often told their experiences are not different, but rather that they cannot describe their imagined experiences. Some people feel anxiety when they realise other people can have imagined experiences that they cannot. These feelings may be deepened when others assert they are merely confused or inarticulate.</p> <p>In my own <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1374349/full">aphantasia research</a> I have often quizzed crowds of people on their capacity to have imagined experiences.</p> <p>Questions about the capacity to have imagined visual or audio sensations tend to be excitedly endorsed by a vast majority, but questions about imagined experiences of taste or smell seem to cause more confusion. Some people are adamant they can do this, including a colleague who says he can imagine what combinations of ingredients will taste like when cooked together. But other responses suggest subtypes of aphantasia may prove to be more common than we realise.</p> <p>The authors of the recent study suggest the inability to imagine hearing yourself speak should be referred to as “anendophasia”, meaning without inner speech. Other authors had suggested <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551557/">anauralia</a> (meaning without auditory imagery). Still other researchers have referred to all types of imagined sensation as being different types of “imagery”.</p> <p>Having <a href="https://www.sciencedirect.com/science/article/abs/pii/S0010945222000417">consistent names</a> is important. It can help scientists “talk” to one another to compare findings. If different authors use different names, important evidence can be missed.</p> <h2>We have more than 5 senses</h2> <p>Debate continues about how many senses humans have, but some scientists reasonably argue for a <a href="https://www.sensorytrust.org.uk/blog/how-many-senses-do-we-have#:%7E:text=Because%20there%20is%20some%20overlap,sensation%20of%20hunger%20or%20thirst.">number greater than 20</a>.</p> <p>In addition to the five senses of sight, smell, taste, touch and hearing, lesser known senses include thermoception (our sense of heat) and proprioception (awareness of the positions of our body parts). Thanks to proprioception, most of us can close our eyes and touch the tip of our index finger to our nose. Thanks to our vestibular sense, we typically have a good idea of which way is up and can maintain balance.</p> <p>It may be tempting to give a new name to each inability to have a given type of imagined sensation. But this could lead to confusion. Another approach would be to adapt phrases that are already widely used. People who are unable to have imagined sensations commonly refer to ourselves as “aphants”. This could be adapted with a prefix, such as “audio aphant”. Time will tell which approach is adopted by most researchers.</p> <h2>Why we should keep investigating</h2> <p>Regardless of the names we use, the study of multiple types of inability to have an imagined sensation is important. These investigations could reveal the essential processes in human brains that bring about a conscious experience of an imagined sensation.</p> <p>In time, this will not only lead to a better understanding of the diversity of humans, but may help uncover how human brains can create any conscious sensation. This question – how and where our conscious feelings are generated – remains one of the great mysteries of science.<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/230973/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/derek-arnold-106381">Derek Arnold</a>, Professor, School of Psychology, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/the-voice-in-your-head-may-help-you-recall-and-process-words-but-what-if-you-dont-have-one-230973">original article</a>.</em></p>

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"Not one ounce of compassion”: BBC star kicked off plane over daughter's allergy

<p>A BBC weather presenter and her family have been kicked off a plane after asking passengers to be wary of her daughter's peanut allergy. </p> <p>British weather presenter Georgie Palmer was flying from London to Turkey with her husband Matt and their daughters Annie and Rosie, as the family boarded their flight at Gatwick Airport with SunExpress airlines. </p> <p>Georgie and her family were kicked off the plane shortly after boarding, after the 49-year-old mother ran into issues around her daughter's severe allergy to peanuts.</p> <p>According to Palmer, she has requested that the captain make an announcement to all passengers asking them not to eat any peanut products on the flight, but the pilot refused. </p> <p>Palmer then took matters into her own hands and one by one asked passengers not to consume peanuts on the four-hour flight, before being asked to disembark the aircraft.</p> <p>The weather presenter took to Instagram to share her side of the story with a lengthy post. </p> <p>She began, “I thanked the beautiful souls on our plane for helping us. Many of them hugged, cheered and held our hands as we were forced to disembark."</p> <p>“The SunExpress captain and cabin crew refused to make the standard announcement on behalf of our daughter. We gently asked the passengers at the front of the plane to share our request."</p> <p>“Row by row, all the passengers turned back to kindly ask the row behind to please not eat nuts on the flight. It was calm, earnest and with an overwhelming sense of solidarity and empathy.”</p> <p>Georgie added: “There’s no beef with simple asks like these. People get it!"</p> <p>“We were hoofed off the plane after the angry little captain shouted at us from the cockpit.”</p> <p>She concluded by saying they were discriminated against for “simply having an allergy”.</p> <p>Georgie told the <a title="www.dailymail.co.uk" href="https://www.dailymail.co.uk/news/article-13457399/bbc-weather-presenter-Georgie-Palmer-flight-nuts.html" target="_blank" rel="noopener"><em>Daily Mail</em>,</a> “The captain decided because of my daughter’s allergy he didn’t want to fly with her on board."</p> <p>“When he found out I had spoken to the other passengers he was screaming at me from the cockpit. He was so angry, the next thing I knew we were told to get off the plane."</p> <p>“How we were treated was disgusting – nobody working on that plane showed one ounce of compassion.”</p> <p>A SunExpress spokesman then shared the airline's version of events, claiming that Georgie's husband had become aggressive, and kicked the family off the plane with their best interests at heart. </p> <p>The statement said, “We take the safety of our passengers very seriously. Shortly after boarding our flight, the passenger raised a concern about one of his family group having a serious peanut allergy."</p> <p>“They requested an announcement to other passengers. We refrain from making these kinds of announcements. Like many other airlines, we cannot guarantee an allergen-free environment on our flights, nor can we prevent other passengers from bringing food items containing allergens on board."</p> <p>“Due to the insistent behaviour of the passenger to others on board, the captain decided it would be safest if the family did not travel."</p> <p>“When this was explained to the passenger, he behaved aggressively towards our crew members and tried to gain access to the cockpit. To ensure the safety of our crew and our passengers on board, we cannot tolerate aggressive and unruly behaviour on our flights."</p> <p>“Our website states that passengers must notify us 48 hours in advance of any special care required due to a medical condition. No such notification was received from the passengers in this instance.”</p> <p>According to <em><a href="https://www.thesun.co.uk/tv/28140666/bbc-family-flight-passengers-peanuts-allergy/" target="_blank" rel="noopener">The Sun</a></em>, Mr Sollom denies acting aggressively.</p> <p>The differing versions of events have divided many on social media as thousands weighed in on the debacle, with plenty of users siding with the pilot.</p> <p>“The pilot is a national treasure,” one person wrote.</p> <p>“As they should have been,” a second wrote, referring to the family getting kicked off.</p> <p>“Would have booted them off as well,” another agreed. </p> <p>A fourth wrote: “I think this story would be found under Self Entitlement in the dictionary.”</p> <p><em>Image credits: Instagram </em></p>

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How do I plan for my retirement? Step one – start right away

<p><em><a href="https://theconversation.com/profiles/bomikazi-zeka-680577">Bomikazi Zeka</a>, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p>Planning for retirement is important because it will help you build the nest egg you’ll need to financially sustain your retirement years.</p> <p>Past <a href="https://www.tandfonline.com/doi/epdf/10.1080/03601277.2012.660859?needAccess=true">studies</a> have shown that those who plan for their retirement are more likely to be better off at retirement compared to those don’t.</p> <p>The sooner the planning process gets underway, the better. This gives your money more time to grow by generating investment returns. And the income from your first job is your first opportunity to save for retirement. As the saying goes: “The best time to plant a tree was 20 years ago. The second best time is now.”</p> <p>As people <a href="https://www.statssa.gov.za/?p=15601">can expect to live longer</a>, they must save more for retirement so that they don’t outlive their savings. This is particularly true given that the pensions landscape worldwide has undergone some major changes.</p> <p>In the past, governments and employers provided retirement income for individuals through government social security benefits and employment-based retirement funds. Because of increasing life expectancies, pension plans that guaranteed a retirement benefit to employees are now rare. Employees are now responsible for making contributions towards their own pensions as well as choosing the investments offered by the pension fund.</p> <p>Since employers are no longer responsible for funding their employees’ retirement and governments lack resources to provide a universal state pension, each person is ultimately responsible for ensuring they have enough retirement savings. So it’s very important to know the basics of the retirement planning process.</p> <p>As a researcher, I’m interested in how people use financial products to overcome economic challenges and build wealth. One of the things I investigate is whether planning for retirement leads to better retirement outcomes. For instance, my <a href="https://www.researchgate.net/profile/Bomikazi-Zeka-2/publication/340130176_Retirement_funding_adequacy_in_black_South_African_townships/links/5e8bf3924585150839c6408b/Retirement-funding-adequacy-in-black-South-African-townships.pdf?_sg%5B0%5D=started_experiment_milestone&amp;origin=journalDetail&amp;_rtd=e30%3D">research</a> has found that individuals whose financial affairs are in order are more likely to maintain their standard of living at retirement.</p> <p>Given that everyone’s financial situation is unique, it’s always a good idea to speak to a financial planner for tailored financial advice.</p> <p>If you haven’t given retirement planning much thought or don’t know where to start, here are four points to help get the ball rolling.</p> <h2>What are my retirement goals?</h2> <p>Retirement goals make you think about what you want to achieve by the time you retire and what you need to do to achieve it. Some people may have a goal in mind about when they want to retire, or how much wealth they’d like to have by the time they retire. And since wealth has different meanings for different people, others may think about maintaining or improving their standard of living at retirement.</p> <p>Once you’ve thought about your retirement goals, the <a href="https://corporatefinanceinstitute.com/resources/management/smart-goal/">“smart” goals</a> framework is a useful guide. It outlines that goals should be: specific, measurable, attainable, relevant and time-bound.</p> <p>When goals are clear, within reach, achievable, realistic and time-sensitive, they become a blueprint to help you turn them into a reality.</p> <h2>How do I start saving for retirement?</h2> <p>For those who have a job that comes with retirement fund membership, a workplace pension is used to provide for retirement. But there are also other options available to help you save.</p> <p>For instance, retirement annuity funds are voluntary retirement savings. Personal assets such as <a href="https://www.allangray.co.za/what-we-offer/unit-trust-investment/#fund-3">unit trusts</a> or <a href="https://www.gov.za/faq/money-matters/how-can-i-make-tax-free-investment">tax-free investments</a> can also be used as a savings tool. Unit trusts are generally better suited for people willing to take on risk because their value is tied to the movements of financial markets. In other words, they can generate positive returns but they can also lose value. The drawback of tax-free investments in South Africa is that they have a lifetime contribution limit. You can’t use them to save more than R500,000 (US$27,400).</p> <p>Each of these options has its advantages and disadvantages and what works best for one person may not be best for another. But there are several ways to save for retirement depending on your financial situation and retirement goals. Getting professional advice will help you determine what’s best for you.</p> <h2>Will my retirement savings be enough?</h2> <p>Once you’ve set your retirement goals and have a retirement savings plan in place, you can calculate whether you are saving enough to achieve your retirement goals.</p> <p>For example, if your retirement goal is: “I want to retire at the age of 65 years with an income equivalent to R35,000 (US$1,900) per month” then you can use a <a href="https://www.sanlam.co.za/tools/Pages/retirement.aspx">retirement calculator</a> to track your progress and determine whether you need to make adjustments to meet your goals.</p> <p>You might have to increase the monthly amount you’re putting away for retirement or reconsider your retirement age. The retirement calculators are also a useful tool for regular check-ins on your progress should your financial situation change – for example, if you change employers and earn a different salary.</p> <h2>What other issues should I consider?</h2> <p>It’s also important to think about your lifestyle and priorities.</p> <p>For instance:</p> <ul> <li> <p>do you aim to retire with your mortgage settled?</p> </li> <li> <p>are there debts you plan to clear before you retire or children who need financial support at retirement?</p> </li> <li> <p>would you like to renovate your home?</p> </li> <li> <p>would you like to buy a new car when you reach retirement age?</p> </li> </ul> <p>Another important consideration is healthcare costs. Many people assume that they will be able to work indefinitely and overlook the fact that healthcare costs may increase with age.</p> <h2>Starting early matters</h2> <p>Many people plan to work after retirement age, while others don’t plan to retire at all. It may be that they can’t afford to. They may have accessed their retirement benefits too soon, made inconsistent retirement fund contributions, or had to pay high administrative costs that eroded the final value of a retirement payout.</p> <p>So best be prepared. Retirement may seem like a distant event to plan and save for, especially when there are more pressing financial needs. It’s important to think about the financial decisions you make now that may cost you in the future. If you start to plan for your retirement now, your future self will thank you for it.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/230553/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/bomikazi-zeka-680577">Bomikazi Zeka</a>, Assistant Professor in Finance and Financial Planning, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-do-i-plan-for-my-retirement-step-one-start-right-away-230553">original article</a>.</em></p>

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If I’m diagnosed with one cancer, am I likely to get another?

<p><em><a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> and <a href="https://theconversation.com/profiles/terry-boyle-1521638">Terry Boyle</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Receiving a cancer diagnosis is life-changing and can cause a range of concerns about ongoing health.</p> <p>Fear of cancer returning is one of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321869/">top health concerns</a>. And <a href="https://www.cancercouncil.com.au/cancer-information/living-well/after-cancer-treatment/fear-of-the-cancer-returning/managing-fear-of-recurrence/">managing this fear</a> is an important part of cancer treatment.</p> <p>But how likely is it to get cancer for a second time?</p> <h2>Why can cancer return?</h2> <p>While initial cancer treatment may seem successful, sometimes a few cancer cells remain dormant. Over time, these cancer cells can grow again and may start to cause symptoms.</p> <p>This is known as cancer recurrence: when a cancer returns after a period of remission. This period could be days, months or even years. The new cancer is the same type as the original cancer, but can sometimes grow in a new location through a process called <a href="https://theconversation.com/how-does-cancer-spread-to-other-parts-of-the-body-219616">metastasis</a>.</p> <p>Actor Hugh Jackman has gone public about his <a href="https://www.skincancer.org/blog/is-basal-cell-carcinoma-serious/">multiple diagnoses</a> of basal cell carcinoma (a type of skin cancer) over the <a href="https://www.bbc.com/news/world-australia-65158945">past decade</a>.</p> <p>The exact reason why cancer returns differs depending on the cancer type and the treatment received. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486871/">Research</a> is <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/cam4.3408">ongoing</a> to identify genes associated with cancers returning. This may eventually allow doctors to tailor treatments for high-risk people.</p> <h2>What are the chances of cancer returning?</h2> <p>The risk of cancer returning differs between cancers, and between <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019423/">sub-types</a> of the same cancer.</p> <p>New screening and treatment options have seen reductions in recurrence rates for many types of cancer. For example, between 2004 and 2019, the risk of colon cancer recurring dropped by <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2812113">31-68%</a>. It is important to remember that only someone’s treatment team can assess an individual’s personal risk of cancer returning.</p> <p>For most types of cancer, the highest risk of cancer returning is within the <a href="https://pubmed.ncbi.nlm.nih.gov/31231898/">first three years</a> after entering remission. This is because any leftover cancer cells not killed by treatment are likely to start growing again sooner rather than later. Three years after entering remission, recurrence rates for most cancers decrease, meaning that every day that passes lowers the risk of the cancer returning.</p> <p>Every day that passes also increases the numbers of new discoveries, and cancer drugs being developed.</p> <h2>What about second, unrelated cancers?</h2> <p>Earlier this year, we learned Sarah Ferguson, Duchess of York, had been diagnosed with malignant melanoma (a type of skin cancer) <a href="https://www.bbc.com/news/uk-68047608">shortly after</a> being treated for breast cancer.</p> <p>Although details have not been confirmed, this is likely a new cancer that isn’t a recurrence or metastasis of the first one.</p> <p>Australian research from <a href="https://bmccancer.biomedcentral.com/articles/10.1186/1471-2407-11-83">Queensland</a> and <a href="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.1002/cncr.31247">Tasmania</a> shows adults who have had cancer have around a 6-36% higher risk of developing a second primary cancer compared to the risk of cancer in the general population.</p> <h2>Who’s at risk of another, unrelated cancer?</h2> <p>With improvements in cancer diagnosis and treatment, people diagnosed with cancer are living longer than ever. This means they need to consider their long-term health, including their risk of developing another unrelated cancer.</p> <p>Reasons for such cancers <a href="https://www.cancer.net/survivorship/what-second-cancer">include</a> different types of cancers sharing the same kind of lifestyle, environmental and genetic risk factors.</p> <p>The increased risk is also likely partly due to the effects that some cancer treatments and imaging procedures have on the body. However, this increased risk is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435077/">relatively small</a> when compared with the (sometimes lifesaving) benefits of these treatment and procedures.</p> <p>While a 6-36% greater chance of getting a second, unrelated cancer may seem large, only around 10-12% of participants developed a second cancer in the Australian studies we mentioned. Both had a median follow-up time of around five years.</p> <p>Similarly, in a <a href="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.1002/cncr.30164">large US study</a> only about one in 12 adult cancer patients developed a second type of cancer in the follow-up period (an average of seven years).</p> <p>The kind of first cancer you had also affects your risk of a second, unrelated cancer, as well as the type of second cancer you are at risk of. For example, in the two Australian studies we mentioned, the risk of a second cancer was greater for people with an initial diagnosis of head and neck cancer, or a haematological (blood) cancer.</p> <p>People diagnosed with cancer as a <a href="https://www.mja.com.au/journal/2020/212/3/second-primary-cancers-people-who-had-cancer-children-australian-childhood">child</a>, <a href="https://www.liebertpub.com/doi/10.1089/jayao.2022.0074">adolescent or young adult</a> also have a greater risk of a second, unrelated cancer.</p> <h2>What can I do to lower my risk?</h2> <p>Regular follow-up examinations can give peace of mind, and ensure any subsequent cancer is caught early, when there’s the best chance of successful treatment.</p> <p><a href="https://www.lymphoma.org.au/lymphoma/treatments/maintenance-therapy/">Maintenance therapy</a> may be used to reduce the risk of some types of cancer returning. However, despite ongoing <a href="https://febs.onlinelibrary.wiley.com/doi/10.1111/febs.15626">research</a>, there are no <em>specific</em> treatments against cancer recurrence or developing a second, unrelated cancer.</p> <p>But there are things you can do to help lower your general risk of cancer – not smoking, being physically active, eating well, maintaining a healthy body weight, limiting alcohol intake and being sun safe. These all reduce the chance of <a href="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.21719">cancer returning</a> and <a href="https://www.cancer.net/survivorship/what-second-cancer">getting a second cancer</a>.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/226386/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, Senior Research Officer, Blood Cells and Blood Cancer Division, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> and <a href="https://theconversation.com/profiles/terry-boyle-1521638">Terry Boyle</a>, Senior Lecturer in Cancer Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/if-im-diagnosed-with-one-cancer-am-i-likely-to-get-another-226386">original article</a>.</em></p>

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How one widow has changed how women solo travel

<p>After Yvonne Vickers' husband passed away in 2014, she thought her opportunities to travel and see the world had slipped away. </p> <p>Yvonne had always been a keen traveller and went on trips with her married friends after becoming a widow, but she "got over being the third wheel", she admitted to <a href="https://travel.nine.com.au/latest/cruising-solo-female-older-passengers/9553953c-84e8-418a-9c2b-8c9b847b9ba4" target="_blank" rel="noopener"><em>9Travel</em></a>. </p> <p>Still wanting to see the world on her own terms, Yvonne took to Facebook where she created a group seeking like-minded women who share her passion for adventure. </p> <p>Now, the Find A Female Cruise or Travel Buddy is an ever-growing group that has connected thousands of women looking for travel companions. </p> <p>Whether they're single, widowed, or just married to someone who doesn't want to travel, the group is open to women across the globe to join.</p> <p>Thanks to her newfound community, Yvonne has taken 41 cruises and dozens of land trips since her husband's death, all while making friends for life, and the rest of the group's members are in the same boat.</p> <p>"It's wonderful to get feedback from ladies saying that it's helped to change their life," Yvonne said. "That's the rewarding part of it for me."</p> <p>Members can make a post in the group, detailing a cruise sailing or trip that they have their eye on booking, to see if anyone else would like to join them.</p> <p>"We have a lot of widows in our group who are cashed up and want to travel but don't have anyone to travel with or share their experiences with," Yvonne said. "The group gives them the opportunity to be able to do that."</p> <p>"There are also a lot of ladies who are married but their husbands don't want to travel. It gives them the opportunity to be able to travel."</p> <p>Yvonne says that cruising is a perfect way for older females to travel, especially if they're on their own.</p> <p>"It's a really safe way to travel as a solo female," she says, also noting that it's an easy way to get around and see places. Recently, she did a 35-day trip around Hawaii with a group of women from the group.</p> <p>For the Find A Female Cruise or Travel Buddy group, there's even more fun trips on the horizon.</p> <p>Yvonne just came back from a trip to Japan with 14 group members, and is heading to Bali in August with a friend she made through the group.</p> <p><em>Image credits: Nine News \ Facebook</em></p>

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Hollywood legend targeted on the street in unprovoked attack

<p>During an increase in unprovoked attacks in New York City, a Hollywood A-lister has been targeted in broad daylight. </p> <p>Actor Steve Buscemi was strolling through Kips Bay in mid-town Manhattan last Wednesday when a man walked up and struck the actor in an attack just before midday.</p> <p>The attack on the 66-year-old star is one of the latest unprovoked assaults in the five boroughs, law enforcement sources told <a href="https://nypost.com/2024/05/12/us-news/boardwalk-empire-star-steve-buscemi-attacked-by-rock-wielding-maniac-in-nyc/" target="_blank" rel="noopener"><em>The New York Post</em></a>.</p> <p>The actor, who starred in <em>Fargo</em> and <em>Boardwalk Empire</em>, suffered swelling to his face and left eye and was taken to Bellevue Hospital for treatment.</p> <p>His attacker fled the scene and is still at large, according to police. </p> <p>“Steve Buscemi was assaulted in Mid-Town Manhattan, another victim of a random act of violence in the city,” Buscemi’s publicist said in a statement to <em>The Post</em>.</p> <p>“He is OK and appreciates everyone’s well wishes, though incredibly sad for everyone that this has happened to while also walking the streets of New York.”</p> <p>A worker in the area who witnessed part of the assault told the publication, “I saw he was with a woman, and then through the corner of the window I saw him trip and fall backwards.”</p> <p>“He right away got up and ran in the opposite direction. I didn’t see who hit him."</p> <p>“It worries me for when we close because we close at 11 and it can get scary around that time,” said the woman.</p> <p><em>Image credits: Shutterstock / NYCPD</em></p>

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Photos are everywhere. What makes a good one?

<p><em><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></em></p> <p>We upload some <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 images online each day</a>. We make <a href="https://www.tandfonline.com/doi/full/10.1080/1051144X.2023.2281163">most of these photos on smartphones</a> and use these devices to document everything from gym progress and our loved ones to a memorable meal.</p> <p>But what makes a “quality” photo? Many people, even those who make images for work, struggle to answer. They often say something along the lines of “I know it when I see it”. But knowing some dimensions of a quality photograph can help make your images stand out and make you a <a href="https://medialiteracy.org.au/media-literacy-framework/">more literate</a> media maker and consumer.</p> <p>Quality can be relative, but knowing the various dimensions at play can help you draw on those that are most relevant for your particular audience, context and purpose.</p> <p>I identified <a href="https://doi.org/10.1177/14648849241253136">six dimensions</a> which will impact the quality of photographs. Here’s what I learnt – and what you can apply to your own photographs.</p> <h2>1. Production and presentation</h2> <p>Think of the factors <a href="https://journals.sagepub.com/doi/full/10.1177/1522637918823261">in front of and behind the lens</a>.</p> <p>If you know you’re being recorded, this can affect your behaviour compared to a candid depiction.</p> <p>You might be more or less comfortable posing for a friend or family member than for a stranger. This comfort, or its lack, can lead to more stiff and awkward poses, or ones that look more natural and confident.</p> <p>Presentation circumstances, like the viewing size and context, also matter.</p> <p>A group shot can make a nice statement piece above a fireplace, but it wouldn’t have the same effect as a profile photo. Be aware of how “busy” your image is, and whether the viewing conditions are well-suited for the nature of your photo.</p> <p>Images with lots of elements, fine textures or other details need to be viewed large to be fully appreciated. Images with fewer, larger and simpler elements can usually be appreciated at smaller sizes.</p> <h2>2. Technical aspects</h2> <p>Technical aspects include proper exposure – meaning the image isn’t too dark or too bright – adequate focus, and appropriate camera settings.</p> <p>Some of these camera settings, like shutter speed, affect whether motion is seen as frozen or blurred.</p> <p>If the image is too blurry, too pixelated, or too light or dark, these technical aspects will negatively impact the photograph’s quality. But some motion blur, as distinct from camera shake, can make more dynamic an otherwise static composition.</p> <h2>3. Who or what is shown</h2> <p>Who or what is shown in the photographs we see is affected, in part, by access and novelty. That’s why we often make more photos during our holidays compared to documenting familiar settings.</p> <p>Some people or locations can be <a href="https://journals.sagepub.com/doi/full/10.1177/1329878X221094374">under-represented</a> and photographing them can lead to more visibility, and, depending on the context, a more empowering framing.</p> <p>Consider in your photography if you’re including people who are typically under-represented, such as older individuals, people of colour, people living with disabilities and queer people. Also consider whether you’re representing them in stereotypical or disempowering ways.</p> <p>As examples, <a href="https://www.tandfonline.com/doi/abs/10.1080/22041451.2022.2137237">when photographing older people</a>, consider whether you’re showing them as lonely, isolated, passive, or in need of mobility aids.</p> <h2>4. Composition</h2> <p>Composition includes positioning of elements in the frame, the balance between positive and negative space, and depth, among others.</p> <p>Generally, images that centre the subject of interest aren’t as visually engaging as images that offset the subject of interest. This is what’s known as the <a href="https://www.adobe.com/au/creativecloud/photography/discover/rule-of-thirds.html">rule-of-thirds</a> approach.</p> <p>Likewise, images that have no depth are generally not as interesting as images with a clear foreground, midground and background. “Seeing through things” with your compositions can help increase the visual depth of your photos alongside their visual appeal.</p> <h2>5. The psycho-physiological</h2> <p>The psycho-physiological concerns how the viewer reacts to what is shown.</p> <p>This includes the <a href="https://psycnet.apa.org/record/2011-07236-024">biological reaction</a> we have to seeing certain colours, for example the way the colour red can increase our heart rate. It also can include the feeling we have when seeing a photo of someone we know.</p> <p>The most powerful photos use colour and other elements of visual language strategically for a specific effect. Looking at these images might evoke a specific emotion, such as empathy or fear, and influence how the viewer responds.</p> <h2>6. Narrative</h2> <p>Narrative concerns the storytelling quality of the image.</p> <p>Images can show something in a literal way (think a photograph from a real estate listing) or they can tell a bigger story about the content represented or about the human condition (think about some of the iconic photos that emerged during Australia’s <a href="https://journals.sagepub.com/doi/abs/10.1177/1329878X211008181">black summer bushfire season</a>).</p> <p>Literal photos help us see what something or someone looks like but they might not have as much of an impact as iconic photos. For example, the well-known photo of three-year-old Syrian boy Aylan Kurdi’s lifeless body on a beach in Turkey <a href="https://www.reuters.com/article/idUSKBN14V2MG/">boosted fundraising for refugees</a> 100-fold.</p> <h2>A more thoughtful process</h2> <p>Next time you pull out your smartphone to make an image, don’t just “<a href="https://www.digitalphotomentor.com/do-you-wait-for-the-decisive-moment-or-do-you-spray-and-pray/">spray and pray</a>”. Try to pre-visualise the story you want to tell and wait for the elements to line up into place.</p> <p>Being aware of aesthetic and ethical considerations alongisde technical ones and emotional resonance can all help engage viewers and lead to more standout imagery.</p> <p>To challenge yourself further, consider taking your phone off full-auto mode and play with camera settings to see how they impact the resulting photos.<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/229011/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, Senior Lecturer in Visual Communication &amp; Digital Media, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/photos-are-everywhere-what-makes-a-good-one-229011">original article</a>.</em></p>

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