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Breast cancer screening in Australia may change. Here’s what we know so far

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/brooke-nickel-200747">Brooke Nickel</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/katy-bell-134554">Katy Bell</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> The way women are screened for breast cancer in Australia may <a href="https://www.cancer.org.au/about-us/policy-and-advocacy/early-detection/breast-cancer/rosa/key-findings">change</a>. There’s international debate on the <a href="https://www.bmj.com/content/385/bmj.q1353">age</a> women should be invited for screening. But an even larger change being considered worldwide is whether to screen women at <a href="https://www.nature.com/articles/s41416-021-01550-3">high and low risk</a> of breast cancer differently. But what such a “risk-based” approach to screening might look like in Australia is not yet clear. Here’s why researchers and public health officials are floating a change to breast cancer screening in Australia, and what any changes might mean. <h2>Why breast cancer screening may need to change</h2> Mass screening (known as population-based screening) for breast cancer was introduced in Australia and many other developed countries in the 1980s and 90s. This was based on <a href="https://pubmed.ncbi.nlm.nih.gov/26756588/">robust research</a> that found early detection and treatment of cancers before there were symptoms prevented some women from dying from breast cancer. These programs offer regular breast cancer screening to women within a specific age group. For example, <a href="https://www.aihw.gov.au/reports/cancer-screening/national-cancer-screening-programs-participation/contents/breastscreen-australia">in Australia</a>, women aged 40-74 years can have free mammograms (x-rays of the breasts) every two years. The BreastScreen program sends invitations for screening to those aged 50-74. However, evidence has been mounting that mammography screening could be inadvertently causing <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61611-0/abstract">harm</a> for some women. For some, screening causes a false alarm that may cause anxiety, and unnecessary tests and procedures. Even though these tests rule out cancer, these women may remain anxious and perceive something is wrong <a href="https://bmjopen.bmj.com/content/13/4/e072188">for many years</a>. A more insidious harm is <a href="https://theconversation.com/five-warning-signs-of-overdiagnosis-110895">overdiagnosis</a>, where screening detects a non-growing or slow-growing lesion that looks like “cancer” under the microscope, but would not have progressed or caused harm if it had been left alone. This means some women are having unnecessary surgery, radiotherapy and hormone therapy that will not benefit them, but may harm. Although trials have shown screening reduces the risk of dying from breast cancer, questions are being raised about how much it <a href="https://www.bmj.com/content/352/bmj.h6080.abstract">saves lives overall</a>. That is, it’s uncertain how much the reduced risk of dying from breast cancer translates into improvements in a woman’s overall survival. <h2>How about better targeting women?</h2> One idea is to target screening to those most likely to benefit. Under such a “<a href="https://www.nature.com/articles/s41416-021-01550-3">risk-based</a>” approach, a women’s personal risk of breast cancer is estimated. This may be based on her age and many other factors that may include breast density, family history of breast cancer, body-mass index, genetics, age she started and stopped her periods, and the number of children she’s had. Women who are at higher risk would be recommended to start screening at a younger age and to screen more frequently or to use different, more sensitive, imaging tests. Women at lower risk would be recommended to start later and to screen less often. The idea of this more “precise” approach to screening is to direct efforts and resources towards the smaller number of women most likely to benefit from screening via the early detection of cancer. At the same time, this approach would reduce the risk of harm from false positives (detection of an anomaly but no cancer is present) and overdiagnosis (detection of a non-growing or slow-growing cancer) for the larger number of women who are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230256/">unlikely to benefit</a>. On face value this sounds like a good idea, and could be a favourable change for breast cancer screening. <h2>But there’s much we don’t know</h2> However, it’s uncertain how this would play out in practice. For one thing, someone’s future risk of a cancer diagnosis includes the risk of detecting both <a href="https://www.acpjournals.org/doi/10.7326/m17-2792">overdiagnosed cancers</a> as well as potentially lethal ones. This is proving to be a problem in risk-based screening for <a href="https://www.nature.com/articles/s41698-022-00266-8">prostate cancer</a>, another cancer prone to overdiagnosis. Ideally, we’d want to predict someone’s risk of <a href="https://www.thelancet.com/journals/landig/article/PIIS2589-7500(23)00113-9/fulltext">potentially lethal cancers</a> as these are the ones we want to catch early. It is also still uncertain how many women found to be at <a href="https://pubmed.ncbi.nlm.nih.gov/31701797/">low risk</a> will accept a recommendation for <a href="https://pubmed.ncbi.nlm.nih.gov/23092125/">less screening</a>. These uncertainties mean we need robust evidence the benefits outweigh the harms for Australian women before we make changes to the breast cancer screening program. There are several international <a href="https://www.nature.com/articles/s41416-021-01550-3">randomised controlled trials</a> (the gold standard for research) under way to evaluate the effectiveness of risk-based screening compared to current practice. So it may be prudent to wait for their findings before making changes to policy or practice. Even if such trials did give us robust evidence, there are still a number of issues to address before implementing a risk-based approach. One key issue is having enough staff to run the program, including people with the skills and time to discuss with women any concerns they have about their calculated risk. <h2>How about breast density?</h2> Women with dense breasts are at <a href="https://www.sciencedirect.com/science/article/pii/S0960977622001618#:%7E:text=Mammographic%20density%20is%20a%20well,increased%20risk%20of%20breast%20cancer.">higher risk of breast cancer</a>. So notifying women about their breast density has been proposed as a “first step” on the pathway to risk-based screening. However, this ignores the many other factors that determine a woman’s risk of breast cancer. Legislation in the <a href="https://www.fda.gov/radiation-emitting-products/mammography-quality-standards-act-and-program">United States</a> and changes in some <a href="https://australianbreastcancer.org.au/news-stories/latest-news/breast-density-reporting-at-all-sa-clinics/">Australian states</a> mean some women are already being notified about their breast density. The idea is to enhance their knowledge about their breast cancer risk so they can make informed decisions about future screening. But this has happened before we know what the best options are for such women. An <a href="https://www.mja.com.au/journal/2023/219/9/psychosocial-outcomes-and-health-service-use-after-notifying-women-participating">ongoing Australian trial</a> is investigating the effects that breast density notification has on individual women and the health system. <h2>What next?</h2> Robust evidence and careful planning are needed before risk-based screening or other changes are made to Australia’s breast cancer screening program. Where changes are made, there needs to be early evaluation of both the <a href="https://www.bmj.com/content/350/bmj.h1566.abstract">benefits and harms</a>. Programs also need <a href="https://www.bmj.com/content/374/bmj.n2049.long">independent, regular re-evaluation</a> in the longer term.<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/231917/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/brooke-nickel-200747">Brooke Nickel</a>, NHMRC Emerging Leader Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/katy-bell-134554">Katy Bell</a>, Professor in Clinical Epidemiology, Sydney School of Public Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/breast-cancer-screening-in-australia-may-change-heres-what-we-know-so-far-231917">original article</a>. </div>

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Ambulance ramping is getting worse in Australia. Here’s why – and what we can do about it

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/jonathan-karnon-290">Jonathan Karnon</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/andrew-partington-93821">Andrew Partington</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> We’ve seen countless <a href="https://www.heraldsun.com.au/leader/ballarat/ambulance-ramping-leaves-paramedics-unable-to-respond-to-emergencies-says-union/news-story/54b6fee380eb7b7f1c9b2784edf3d2cd">media reports</a> in recent days, weeks and months about the <a href="https://www.couriermail.com.au/news/queensland/qld-politics/worst-cases-of-ambulance-ramping-at-queensland-hospitals-revealed/news-story/bcf4833b5197774329cf983029d77cb4">ramping of ambulances</a> at <a href="https://thewest.com.au/news/health/ambulance-ramping-reaches-record-levels-in-june-as-hospitals-struggle-with-surging-winter-demand-c-15192504">hospital emergency departments</a> (EDs) around Australia. Ambulance ramping occurs when paramedics are made to wait at the hospital’s entrance and are unable to transfer their patient into the emergency department within an appropriate time frame – defined as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/our+performance/ambulance+waiting+times">30 minutes</a> in South Australia. Ramping is an indicator of hospital stress. It means patients are waiting longer to receive care in the emergency department, and patients requiring inpatient care are waiting longer to access a hospital bed. Research suggests <a href="https://www.mja.com.au/journal/2022/217/5/influence-ambulance-offload-time-30-day-risks-death-and-re-presentation-patients">ambulance ramping</a> and <a href="https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.13699">having to wait longer</a> for a hospital bed are associated with a greater risk of patients dying up to 30 days after their initial presentation. So why is ambulance ramping still a problem? And what can we do to fix it? <h2>Ramping is getting worse</h2> Available data indicate the problem has become worse over time. In <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/our+performance/ambulance+waiting+times">South Australia</a>, for example, ramping has been steadily increasing since 2017, from around 500 hours “ramped” per month to around 4,000 hours per month in 2024. This is the sum of the time ambulances spend waiting beyond 30 minutes after arriving at the hospital. In <a href="https://www.bhi.nsw.gov.au/data-portal">New South Wales</a>, we calculate the numbers of patients being ramped increased from around 44,000 patients per month in early 2022 to more than 50,000 in early 2024. <h2>What’s driving the increase in ramping?</h2> The ambulance ramping bottleneck reflects an imbalance between the number of people presenting at emergency departments and the capacity to treat patients and transfer those requiring inpatient care to a ward. Potential drivers of this imbalance are increased emergency department presentations and reduced availability of inpatient beds. The latter may reflect increased demand for beds, including longer hospital stays. Between the financial years 2018–19 and 2022–23 (the latest period for which figures are available), Australian Institute of Health and Welfare data show the numbers of more serious presentations (triage categories 1 to 3) increased by <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/emergency-department-care">almost 700,000</a> across Australia. Some 100,000 fewer patients who presented to an emergency department were <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">admitted as inpatients</a> during this period, but the additional presentations will nonetheless have contributed to more ramping. In the same period, admissions to inpatient beds that did not come through an emergency department increased by <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">almost 400,000</a> across the country. These include admissions for the management of chronic conditions (such as diabetes, heart disease, asthma and so on) and infections and viruses (COVID, flu, RSV and others). Further, COVID and other viruses are likely to have contributed to increased hospital stress via <a href="https://www.aihw.gov.au/reports/workforce/health-workforce">workforce shortages</a>. This has possibly led to delays in seeing patients in the emergency department and in discharging patients from hospital. There has not been a significant increase in <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">patients’ time in hospital</a> receiving required care, but there appear to be increasing numbers of patients waiting for placement in an aged care facility or for home care services after their treatment <a href="https://www.ama.com.au/sites/default/files/2023-02/Hospital%20exit%20block%20-%20a%20symptom%20of%20a%20sick%20health%20system_Final.pdf">has finished</a>. <h2>Many admissions may be preventable</h2> Increased vaccination rates could reduce the impact of viruses. For example, only <a href="https://www.aihw.gov.au/reports/australias-health/immunisation-and-vaccination">21% of Australians</a> aged 65 to 74 received the 2023 COVID booster recommended for their age group. We know there were significant increases in people delaying or avoiding seeing a GP <a href="https://www.abs.gov.au/media-centre/media-releases/more-people-putting-seeing-health-professionals-due-cost">due to cost</a> in 2022–23, which can put extra pressure on hospitals. The government is trying to address this issue by increasing <a href="https://www.health.gov.au/our-work/increases-to-bulk-billing-incentive-payments">incentives to GPs</a> to reduce costs to patients. Meanwhile, government health departments may not have been provided with enough funding to meet increasing demand for health care. Year on year the gap between supply and demand grows. <a href="https://www.theguardian.com/australia-news/article/2024/jun/27/victoria-hospitals-recruitment-freeze-cost-cuts-premier-jacinta-allan">Victorian hospitals</a> are reportedly scrambling to reduce spending in light of proposed budget cuts. <h2>What are the solutions?</h2> The creation of new hospital beds is not the only option for increasing capacity. Governments should design, implement and scale up services that free up hospital capacity by providing appropriate and cost-effective out-of-hospital care. For example, there is further scope to care for patients admitted to hospital in their own homes with the support of digital technologies. Programs such as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/services/hospitals/my+home+hospital/my+home+hospital">My Home Hospital</a> in South Australia aim to provide an alternative to inpatient care. Across Australia, such “hospital in the home” care was provided 150,000 times in 2022–23, compared to <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">6.8 million episodes of care</a> in public hospitals. Virtual ED services are a growing phenomenon across Australia, using <a href="https://theconversation.com/what-is-a-virtual-emergency-department-and-when-should-you-visit-one-228098">virtual consultations</a> to identify patients for whom urgent care can be provided outside hospital. The Victorian virtual ED service is targeting a capacity of <a href="https://www.afr.com/policy/health-and-education/meet-the-two-doctors-revolutionising-emergency-healthcare-20240415-p5fjud">1,000 consults</a> per day. Longer-term solutions require co-operation between state and territory governments and the federal government to prevent and better manage chronic conditions, such as diabetes and heart disease, outside hospital. This includes boosting access to GPs and improving communication between GPs and hospitals. Greater investment in well-designed policies and programs to support healthy ageing would also likely help, as well as improving access to required out-of-hospital aged care and disability services for patients waiting to leave hospital. All these measures could ease the pressure on hospitals and reduce the likelihood of patients waiting in an ambulance, unable to get inside and receive the care they need.<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/232720/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/jonathan-karnon-290">Jonathan Karnon</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/andrew-partington-93821">Andrew Partington</a>, Research Fellow (Health Economics), <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ambulance-ramping-is-getting-worse-in-australia-heres-why-and-what-we-can-do-about-it-232720">original article</a>. </div>

Caring

Still fab after 60 years: how The Beatles’ A Hard Day’s Night made pop cinema history

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/alison-blair-223267">Alison Blair</a>, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a> I first saw A Hard Day’s Night at a film festival over 20 years ago, at the insistence of my mum. By then, it was already decades old, but I remember being enthralled by its high-spirited energy. A Beatles fan, mum had introduced me to the band’s records in my childhood. At home, we listened to Please Please Me, the band’s 1963 single, and the Rubber Soul album from 1965, which I loved. Television regularly showed old black-and-white scenes of Beatlemania that, to a ten-year-old in the neon-lit 1980s, seemed like ancient history. But then, I’d never seen a full-length Beatles film. I had no idea what I was in for. When the lights went down at Dunedin’s Regent Theatre, the opening chord of the film’s title song announced its intentions: an explosion of youthful vitality, rhythmic visuals, comical high jinks and the electrifying thrill of Beatlemania in 1964. This time, it didn’t seem ancient at all. Since that first viewing, I’ve returned to A Hard Day’s Night again and again. I now show it to my students as a historically significant example of pop music film making – visually inventive cinema, emblematic of a fresh era in youth culture, popular music and fandom. <h2>Beatlemania on celluloid</h2> A musical comedy depicting a chaotic 36 hours in the life of the Beatles, A Hard Day’s Night has now reached its 60th anniversary. Directed by <a href="https://www.imdb.com/name/nm0504513/">Richard Lester</a>, the film premiered in London on July 6 1964, with its first public screening a day later (incidentally, also Ringo Starr’s birthday), and the <a href="https://www.discogs.com/master/24003-The-Beatles-A-Hard-Days-Night">album of the same name</a> released on July 10. The band’s popularity was by then reaching dizzying heights of hysteria, all reflected in the film. The Beatles are chased by hordes of fans, take a train trip, appear on TV, run from the police in a Keystone Cops-style sequence, and play a televised concert in front of screaming real-life Beatles fans. Side one of the album provides the soundtrack, and the film inspired pop music film and video from then on, from the <a href="https://www.imdb.com/title/tt0060010/">Monkees TV series</a> (1966–68) to the Spice Girls’ <a href="https://www.imdb.com/title/tt0120185/">Spice World</a> (1997) and music videos as we know them today. <h2>The original music video</h2> Postwar teen culture and consumerism had been on the rise since the 1950s. In 1960s Britain, youth music TV programmes, notably <a href="https://www.imdb.com/title/tt0196287/">Ready Steady Go!</a> (1963–66), meant pop music now had a developing visual culture. The youthful zest and vitality of ‘60s London was reflected in the pop-cultural sensibility, modern satirical humour and crisp visual impact of A Hard Day’s Night. Influenced by <a href="https://nofilmschool.com/french-new-wave-cinema">French New Wave</a> film making, and particularly the early 1960s work of <a href="https://www.imdb.com/name/nm0000419/">Jean-Luc Godard</a>, A Hard Day’s Night employs <a href="https://indiefilmhustle.com/cinema-verite/">cinéma vérité</a>-style hand-held cinematography, brisk jump cuts, unusual framing and dynamic angles, high-spirited action, and a self-referential nonchalance. The film also breaks the “fourth wall”, with characters directly addressing the audience in closeup, and reveals the apparatus of the visual performance of music: cameras and TV monitors are all part of the frame. Cutting the shots to the beat of the music – as in the Can’t Buy Me Love sequence – lends a visual rhythm that would later become the norm in music video editing. Lester developed this technique further in the second Beatles film, <a href="https://www.imdb.com/title/tt0059260/">Help!</a> (1965). The closing sequence of A Hard Day’s Night is possibly the film’s most dynamic: photographic images of the band edited to the beat in the style of stop-motion animation. Sixty years on, it still feels fresh, especially as so much contemporary film making remains hidebound by formulaic Hollywood rules. <figure class="align-center "><img src="https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=453&fit=crop&dpr=1 600w, https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=453&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=453&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=569&fit=crop&dpr=1 754w, https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=569&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/604790/original/file-20240704-17-ov77mn.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=569&fit=crop&dpr=3 2262w" alt="A Hard Day's Night movie poster" /><figcaption>A new pop aesthetic: original film poster for A Hard Day’s Night. Getty Images</figcaption></figure> <h2>Slapstick and class awareness</h2> As with much popular culture from the past, the humour in A Hard Day’s Night doesn’t always doesn’t land the way it would have in 1964. And yet, there are moments that seem surprisingly modern in their razor-sharp irony. In particular, the band’s Liverpudlian working-class-lad jibes and chaotic energy contrast brilliantly with the film’s upper-class characters. Actor Victor Spinetti’s comically over-anxious TV director, constantly hand-wringing over the boys’ rebelliousness, underscores the era-defining change the Beatles represented. Corporate pop-culture consumerism is also satirised. John Lennon “snorts” from a Coca-Cola bottle, a moment so knowingly silly it registers as more contemporary than it really is. George Harrison deflects a journalist’s banal questions with scathingly witty answers, and cuts a fashion company down to size by describing their shirt designs as “grotesque”. And there is Paul McCartney’s running joke that his grandfather – played by Wilfred Brambell from groundbreaking sitcom <a href="https://www.imdb.com/title/tt0057785/">Steptoe and Son</a> (1962–74) – is “very clean”. Even the film’s old-fashioned visual slapstick still holds up in 2024. Showing the film to this year’s students, I didn’t expect quite as much laughter when Ringo’s attempts to be chivalrous result in a fall-down-a-hole mishap. In 2022, the <a href="https://www.criterion.com/">Criterion Collection</a> released a high-resolution restoration of the film, so today A Hard Day’s Night can be seen in all its fresh, black-and-white, youthful vigour. Happy 60th, A Hard Day’s Night. And happy 84th, Ringo. Both still as lively and energetic as ever.<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/228598/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/alison-blair-223267">Alison Blair</a>, Teaching Fellow in Music, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a> Image credits: THA/Shutterstock Editorial This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/still-fab-after-60-years-how-the-beatles-a-hard-days-night-made-pop-cinema-history-228598">original article</a>. </div>

Movies

Grisly find in Sam Armytage's surgery

Samantha Armytage has revealed the grisly find doctors made when she underwent hip replacement <a href="https://www.oversixty.com.au/health/caring/sam-armytage-in-hospital-for-major-surgery" target="_blank" rel="noopener">surgery</a>. The Farmer Wants A Wife host, 47, took to Instagram to share a photo of a piece of cartilage surgeons removed from her joint during the surgery. “Do you want to see something disgusting from my recent operation?” she began with a warning to more squeamish followers. “Lol. I knew you’d all look,” she continued. “This is a 3cm chunk of rock-like cartilage that’s been floating around inside my hip joint for decades. As my surgeon said; ‘you must have been in soooooo much pain!’ I was.” The TV star previously said that she had a skiing accident 30 years ago, which took a toll on her right hip. “I’d torn all the cartilage out,” she wrote on Instagram at the time. “It was bone-on-bone and then became full of severe osteoarthritis.” “I’m now truly bionic and my nearest and dearest are pleased to not have to watch me limp around in pain anymore,” Armytage said. “Huge thanks to the wonderful nurses (at St Vincent’s Hospital Sydney) for the care, a lil’ bit of Endone … heaps of rehab and all my beautiful friends for my flower-filled room!” Images: Instagram

Body

Is an electric bike right for you? Here’s what to consider before you buy

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/muhammad-rizwan-azhar-1472288">Muhammad Rizwan Azhar</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> and <a href="https://theconversation.com/profiles/waqas-uzair-1486684">Waqas Uzair</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> <a href="https://www.theguardian.com/australia-news/2023/oct/08/its-also-just-fun-why-a-growing-number-of-australia-families-are-ditching-cars-for-e-bikes">More Australians than ever</a> are riding electric bikes – a fact you may have noticed on the streets of our cities and towns. Electric bikes, or e-bikes, are typically equipped with an electric motor and a battery, providing power to help you pedal. Some allow you to boost and lower the amount of pedalling assistance you get. Globally, the transport sector produces <a href="https://www.un.org/sites/un2.un.org/files/media_gstc/FACT_SHEET_Climate_Change.pdf">about one-quarter</a> of greenhouse gas emissions. Finding cleaner ways to get around is vital to combating the climate crisis. E-bikes also offer solutions to the problems of traffic congestion, fuel costs and sedentary lifestyles. But is an electric bike right for you? Below, we discuss the pros and cons, to help you decide. <h2>The pros</h2> – Reduce carbon emissions In developed countries, transport can be one of the largest proportions of an individual’s carbon footprint. But you can <a href="https://sustainability.anu.edu.au/options-for-owning-an-e-bike">reduce your travel emissions</a> by 75% if you replace car use with an e-bike for short trips such as the work commute. <a href="https://www.creds.ac.uk/publications/e-bike-carbon-savings-how-much-and-where/">Research has found</a> e-bikes, if used to replace cars, could cut carbon dioxide (CO₂) emissions by up to 50% in England – or about 30 million tonnes a year. Other analysis showed the potential was <a href="https://www.sciencedirect.com/science/article/pii/S0967070X21003401">greatest</a> in rural areas. – Connect with your community The “car-rification” of our cities changed community dynamics. Retail became concentrated in <a href="https://www.sciencedirect.com/science/article/abs/pii/S0264837716312479">out-of-town shopping centres</a>, leading to a decline in smaller town centres. This provided fewer opportunities to meet our neighbours and has contributed to high rates of <a href="https://www.vox.com/features/23191527/urban-planning-friendship-houston-cars-loneliness">loneliness and social isolation</a>. Similar to <a href="https://www.researchgate.net/publication/308794595_From_Pedal_to_People_The_Social_Effects_of_Biking">regular cycling</a>, riding e-bikes helps create community bonds. It makes us more likely to engage with our surroundings and interact with people around us. You can even join an <a href="https://www.meetup.com/topics/electric-bicycles/au/">e-bike group</a> or community ride. – Save money E-bikes offer substantial long-term financial benefits to owners. In Australia, an e-bike costs from about A$1,000 to more than $5,000. An annual e-bike service will set you back <a href="https://www.choice.com.au/transport/bikes/electric/articles/how-to-maintain-your-electric-bike#:%7E:text=How%20much%20does%20an%20e,%24300%2C%20depending%20on%20what's%20included.">between $100 and $300</a>. And retailers <a href="https://crooze.com.au/blogs/news/the-costs-of-owning-an-ebike#:%7E:text=This%20means%20it%20costs%20roughly,electricity%20charges%20per%2030kms%20ridden.">currently</a> <a href="https://www.glowwormbicycles.com.au/blogs/electric-bikes/how-much-should-i-spend-on-an-e-bike">put the cost</a> of a full battery charge at 10–15 cents, translating to roughly $20 per year for an average commuter. Cars, of course, cost far more to run. For example, Victorian motoring body RACV <a href="https://www.racv.com.au/about-racv/newsroom/victorias-cheapest-cars-2023.html">last year found</a> the state’s cheapest car to own and operate was the MG3 Core light Hatch, with monthly costs of $734.84. Even taking into account charging costs and maintenance, you can see how quickly an e-bike would pay for itself. – Get active E-bikes are clearly better for your health than riding in a car. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790588/">2019 study investigated</a> e‐bike commuting for inactive, overweight people living in regional Australia. It found e-bike users increased their physical activity by an average 90 minutes a week. A <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/sms.14155">literature review in 2022</a> found e-biking was a moderately intense physical activity on measures such as energy expenditure, heart rate and oxygen consumption. The benefits were lower than conventional cycling, but generally greater than walking. Women, in particular, have reported benefits from e-bike use. A <a href="https://activetravelstudies.org/article/id/991/">New Zealand study</a> showed e-bikes provided less fit women with “more empowering physical activity experiences” and increased their cycling confidence. <h2>The cons</h2> – Safety challenges Like any form of mobility, e-bikes must be used safely. Concerns around e-bikes include <a href="https://www.abc.net.au/news/2023-09-13/fat-bike-boom-in-sydney-sparks-safety-fears/102823330">speeding</a>, <a href="https://www.nbcnews.com/nightly-news/video/concerns-grow-over-safety-of-e-bikes-amid-reports-of-accidents-192619077845">accidents</a> and people riding <a href="https://www.nbnnews.com.au/2024/03/20/e-bike-safety-concerns-spark-in-lennox-head/">without helmets</a>. In May this year, Sydney’s Northern Beaches Council <a href="https://www.northernbeaches.nsw.gov.au/e-bike-and-e-scooter-safety">launched a public awareness</a> campaign on e-bike safety. <a href="https://www.northernbeaches.nsw.gov.au/council/news/media-releases/northern-beaches-council-leads-pack-e-bike-safety-campaign">The advice includes</a>: <ul> <li>slow to walking pace when others are on the path</li> <li>ring your bell to signal your approach</li> <li>be ready for sudden changes.</li> </ul> Government regulation on e-bikes is also important for public safety. For example <a href="https://fit-ebike.com/en-en/about-us/blog/s-pedelecs/">in Germany</a>, high-speed e-bikes are classed as mopeds and cannot be ridden on bike paths. Separately, e-bikes usually contain lithium-ion batteries which can explode and start fires – particularly in e-bikes bought from overseas retailers that don’t meet Australian standards. Before buying, <a href="https://www.fire.nsw.gov.au/page.php?id=9406">check advice from fire authorities</a>. <figure><iframe src="https://www.youtube.com/embed/U58Pv7-7fnE?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> – Lack of cycling and charging infrastructure Well-designed <a href="https://www.sciencedirect.com/science/article/pii/S2214140519301033">cycling infrastructure</a> encourages e-bike use. In Australia, governments are <a href="https://www.infrastructureaustralia.gov.au/sites/default/files/2019-06/Cycling_Infrastructure_Background_Paper_16Mar09_WEB.pdf">slowly accepting</a> the need for infrastructure such as dedicated bike lanes and <a href="https://www.transport.nsw.gov.au/get-nsw-active/emicro-smart-micro-mobility-infrastructure">charging stations</a>, but <a href="https://theconversation.com/why-do-so-few-people-cycle-for-transport-in-australia-6-ideas-on-how-to-reap-all-the-benefits-of-bikes-229811">more money</a> is needed. In the Netherlands, a surge in e-bike sales has <a href="https://www.government.nl/topics/bicycles">driven</a> investments in cycling paths, improvements in bicycle parking at train stations, and other efforts to promote cycling and e-bike use. – Higher upfront cost than a regular bike The cost of buying an e-bike can be a barrier for some. For example, <a href="https://activetravelstudies.org/article/id/991/">NZ-based research</a> found the purchase cost meant the benefits were less likely to be available to lower-income women. So how can the cost barrier be overcome? In Australia, some companies offer e-bike rentals, via a weekly <a href="https://lug-carrie.com">subscription service</a>. And overseas, <a href="https://www.pbsc.com/blog/2021/09/pbsc-e-bike-sharing-schemes-in-15-cities-around-the-world">share schemes</a> mean people can access e-bikes without having to buy one. In 2023, <a href="https://www.service.tas.gov.au/services/government-help-and-support/concessions-and-discounts/apply-for-an-electric-vehicle-or-e-mobility-rebate">Tasmania became the first Australian state</a> to offer a subsidy for e-bike purchases, and the uptake was rapid. However, the scheme has now closed. – Environmental impacts Almost everything we buy has an environmental impact, and electric bikes are no exception. However, they are obviously a better alternative to conventional cars – and also have less impact than electric vehicles. Over the total lifecycle of the product, including manufacturing, an e-bike emits <a href="https://ecf.com/resources/cycling-facts-and-figures/environmental">about 10%</a> of the CO₂ emissions associated with producing an electric car, according to the European Cyclists Federation. And e-bikes <a href="https://electrek.co/2023/05/04/you-cant-trust-electric-bike-companies-battery-range/">consume</a> about <a href="https://ebikes.ca/learn/solar.html#:%7E:text=6%20wh%2Fkm%20would%20be,heavy%20loads%20and%20riding%20fast.">15 watt-hours per kilometre</a>, compared to electric cars which <a href="https://www.drive.com.au/caradvice/what-is-a-good-energy-consumption-figure-for-electric-vehicles/">consume around</a> 150 to 200 watt-hours per kilometre. E-bike battery systems also typically require fewer raw materials and simpler design than an electric vehicle, which <a href="https://www.sciencedirect.com/science/article/pii/S0892687524000293">simplifies</a> the battery recycling process. <h2>Cleaner, cheaper, better</h2> Electric cars are crucial for replacing traditional vehicles on longer routes and for family travel. However, e-bikes offer a more affordable and lower-impact solution for commuting and short-distance travel – and if you buy a cargo e-bike, you can even take your family. Mass adoption of e-bikes in Australia requires better cycling infrastructure, new government regulation and price incentives. But in the meantime, thousands of Australians are already enjoying the benefits of e-bikes. Perhaps you could too? <a href="https://theconversation.com/profiles/muhammad-rizwan-azhar-1472288">Muhammad Rizwan Azhar</a>, Lecturer of Chemical Engineering, Sustainable Energy and Resources, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> and <a href="https://theconversation.com/profiles/waqas-uzair-1486684">Waqas Uzair</a>, Research Associate, Advanced Battery Systems and Safety, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-an-electric-bike-right-for-you-heres-what-to-consider-before-you-buy-230024">original article</a>. </div>

Travel Trouble

"Double the joy": Red Wiggle welcomes twin daughters

Caterina Mete has finally welcomed her "two little miracles" into the world. The Red Wiggle announced the arrival of her twin girls in a statement shared on Thursday morning. "Double the joy, double the love!", she said. "I am so thrilled to announce the arrival of my precious twin girls, Dolly and Gigi." "My heart is overflowing with happiness as I welcome to the world my two little miracles," she concluded her statement. She also took to Instagram to share a series of photos straight from the hospital, of her holding both girls in her arms. The new mum also shared a video of the twin bond, with the two girls cuddling up to each other. Fellow Wiggles also shared a statement, saying: "We are absolutely thrilled for Caterina and the arrival of her beautiful twin girls." "Her journey to motherhood has been truly inspiring, and we can't wait to meet these adorable new additions to The Wiggles' family." Mete welcomed her twin girls month's after revealing her <a href="https://www.oversixty.com.au/lifestyle/family-pets/two-little-miracles-wiggles-star-announces-pregnancy" target="_blank" rel="noopener">pregnancy via IVF</a> to her fans in February. Fellow Wiggles and fans took to the comments to congratulate the new mum. "Congratulations Kitty! Can’t wait to meet Dolly and Gigi soon," wrote Red Wiggle Simon Pryce. "Yahhhh Kitty……. How beautiful. Double happy," added Purple Wiggle Lachy. "CONGRATULATIONS!! MORE MEMBERS OF THE WIGGLES FAMILY" wrote one fan. "MASSIVE congratulations Caterina! Welcome to the world Dolly and Gigi! Wishing you a smooth recovery and great start to raising your precious girls," added another. Images: Instagram

Family & Pets

Taking too many medications can pose health risks. Here’s how to avoid them

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> When we see an older family member handling a bulky box of medications sorted by day of the week, we might stop and wonder, is it too much? How do all those pills interact? The fact is, as we get older we are more likely to develop different chronic illnesses that require us to take several different medications. This is known as polypharmacy. The concept applies to people taking five or more medications, but there are all sorts of <a href="https://doi.org/10.3390/pharmacy7030126">definitions with different thresholds</a> (for example, four, 10 or 15 medicines). I’m a pharmacist and pharmacoepidemiologist interested in polypharmacy and its impact on the population. The research I carry out with my team at the Faculty of Pharmacy at Université Laval focuses on the appropriate use of medication by older family members. We have published this <a href="https://doi.org/10.1093/ageing/afac244">study</a> on the perceptions of older adults, family carers and clinicians on the use of medication among persons over 65. <h2>Polypharmacy among older adults</h2> Polypharmacy is very common among older adults. In 2021, a quarter of persons over 65 in Canada were prescribed <a href="https://www.cihi.ca/en/drug-use-among-seniors-in-canada">more than ten different classes of medication</a>. In Québec, persons over 65 used an average of <a href="https://www.inspq.qc.ca/sites/default/files/publications/2679_portrait_polypharmacie_aines_quebecois.pdf">8.7 different drugs in 2016</a>, the latest year available for statistics. Is it a good idea to take so many drugs? According to <a href="https://journals.sagepub.com/doi/10.1177/07334648211069553">our study</a>, the vast majority of seniors and family caregivers would be willing to stop taking one or more medications if the doctor said it was possible, even though most are satisfied with their treatments, <a href="https://doi.org/10.1093/ageing/afac244">have confidence in their doctors</a> and feel that their doctors are taking care of them to the best of their ability. In the majority of cases, medicine prescribers are helping the person they are treating. Medications have a positive impact on health and are essential in many cases. But while the treatment of individual illnesses is often adequate, the whole package can sometimes become problematic. <h2>The risks of polypharmacy: 5 points to consider</h2> When we evaluate cases of polypharmacy, we find that the quality of treatment is often compromised when many medications are being taken. <ol> <li> Drug interactions: polypharmacy increases the risk of drugs interacting, which can lead to undesirable effects or reduce the effectiveness of treatments. </li> <li> A drug that has a positive effect on one illness may have a negative effect on another: what should you do if someone has both illnesses? </li> <li> The greater the number of drugs taken, the greater the risk of undesirable effects: for adults over 65, for example, there is an increased risk of confusion or falls, which have significant consequences. </li> <li> The more medications a person takes, the more likely they are to take a <a href="https://www.doi.org/10.1093/fampra/cmz060">potentially inappropriate medication</a>. For seniors, these drugs generally carry more risks than benefits. For example, benzodiazepines, medicine for anxiety or sleep, are the <a href="https://www.inspq.qc.ca/sites/default/files/publications/2575_utilisation_medicaments_potentiellement_inappropries_aines.pdf">most frequently used class</a> of medications. We want to reduce their use as much as possible <a href="https://www.canada.ca/en/health-canada/services/substance-use/controlled-illegal-drugs/benzodiazepines.html">to avoid negative impacts</a> such as confusion and increased risk of falls and car accidents, not to mention the risk of dependence and death. </li> <li> Finally, polypharmacy is associated with various adverse health effects, such as an <a href="https://www.doi.org/10.1007/s41999-021-00479-3">increase in frailty, hospital admissions and emergency room visits</a>. However, studies conducted to date have not always succeeded in isolating the effects specific to polypharmacy. As polypharmacy is more common among people with multiple illnesses, these illnesses may also contribute to the observed risks. </li> </ol> Polypharmacy is also a combination of medicines. There are almost as many as there are people. The risks of these different combinations can vary. For example, the risks associated with a combination of five potentially inappropriate drugs would certainly be different from those associated with blood pressure medication and vitamin supplements. Polypharmacy is therefore complex. <a href="https://doi.org/10.1186/s12911-021-01583-x">Our studies attempt to use artificial intelligence</a> to manage this complexity and identify combinations associated with negative impacts. There is still a lot to learn about polypharmacy and its impact on health. <h2>3 tips to avoid the risks associated with polypharmacy</h2> What can we do as a patient, or as a caregiver? <ol> <li> Ask questions: when you or someone close to you is prescribed a new treatment, be curious. What are the benefits of the medication? What are the possible side effects? Does this fit in with my treatment goals and values? How long should this treatment last? Are there any circumstances in which discontinuing it should be considered ? </li> <li> Keep your medicines up to date: make sure they are all still useful. Are there still any benefits to taking them? Are there any side effects? Are there any drug interactions? Would another treatment be better? Should the dose be reduced? </li> <li> Think about de-prescribing: this is an increasingly common clinical practice that involves stopping or reducing the dose of an inappropriate drug after consulting a health-care professional. It is a shared decision-making process that involves the patient, their family and health-care professionals. The <a href="https://www.deprescribingnetwork.ca">Canadian Medication Appropriateness and Deprescribing Network</a> is a world leader in this practice. It has compiled a number of tools for patients and clinicians. You can find them on their website and subscribe to the newsletter. </li> </ol> <h2>Benefits should outweigh the risks</h2> Medications are very useful for staying healthy. It’s not uncommon for us to have to take more medications as we age, but this shouldn’t be seen as a foregone conclusion. Every medication we take must have direct or future benefits that outweigh the risks associated with them. As with many other issues, when it comes to polypharmacy, the saying, “everything in moderation,” frequently applies.<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/230612/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, Professor in Pharmacy, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-too-many-medications-can-pose-health-risks-heres-how-to-avoid-them-230612">original article</a>. </div>

Body

“28 years today”: Barbra Streisand’s sweet tribute

Barbra Streisand has celebrated two special occasions with her husband James Brolin. The singer and actress took to Instagram to share a throwback photo of the pair on their wedding day, marking both their 26th wedding anniversary and the day they first met almost three decades ago. "28 years today since we met honey… and 26 years today since we married!" she wrote. She added a sweet message for her husband: "Love you. B ❤️." The photo, from their 1998 nuptials, showed Brolin looking dapper in a classic black tuxedo as he wrapped his arms around Streisand looking beautiful in a white, lacy off-the-shoulder wedding dress. The couple first met in 1996 at a blind date dinner party when she was 54 and he was 56. <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/C84gPHeI6AX/?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/C84gPHeI6AX/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Barbra Streisand (@barbrastreisand)</a> </div> </blockquote> They tied the knot in a backyard ceremony at the singer's home in Malibu, California. "I can't tell you how lucky I am that this would happen to me so late in life," Brolin said in his wedding speech at the time. "Every night is a new adventure. Sleeping is a waste of time. I can't wait to see [Streisand] again in the morning." Brolin was previously married to Jane Cameron Agee and Jan Smithers, while Streisand was previously wed to Elliott Gould. Fans were quick to congratulate the couple on their anniversary. "Happy Anniversary!!! What a gorgeous photo," wrote one fan. "Based on your novel: you finally got the love you deserve," added another. "You're such a stunning couple, congratulations, and may you continue to write your love story. Thank you for giving us you," commented a third. Image: Instagram

Relationships

Ash Barty celebrates son's first birthday

Ash Barty and husband Garry Kissick have celebrated their baby boy's first birthday with the help of an adorable hedgehog cake. The three-time grand slam champ took to Instagram to share the update, with a cute family photo captioned: "Cake for breakfast 🥳." Friends and fans took to the comments to wish their birthday wishes. "ALWAYS a good idea!" commented former Diamonds netballer Catherine Coxy. Former Australian tennis player Casey Dellacqua commented, "Get it boy. Happiest 1st bday gorgeous boy. See you for the biggest birthday cuddle soon 😍" "Happy birthday Hayden! Well done mum and dad for surviving the first year x," added former Olympic swimmer Libby Trickett. <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/C86hO9Qhbkf/?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/C86hO9Qhbkf/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Garry Kissick (@gazlfc90)</a> </div> </blockquote> "So sweet," wrote one fan. "Naww happy birthday cutie pie" added another. Just a few months ago, Barty and Hayden had their first mother-and-son <a href="https://www.oversixty.com.au/lifestyle/family-pets/ash-barty-s-first-photoshoot-with-baby-boy" target="_blank" rel="noopener">photoshoot</a> as part of the annual BONDS Baby Search campaign. In an interview with 9honey for the annual campaign, Barty opened up on the trials and tribulations of new parenthood. "I have so much admiration for parents now I have a child of my own – being a parent is the hardest but the best thing in the world," she said. "I don't think anything quite prepares you for motherhood! "For me it's been a huge learning curve and the most wonderful experience of my life. It's not comparable to anything else." She described Hayden as a "happy, relaxed little boy." "He is a beautiful baby and I am enjoying every minute with him, I know how quickly the time passes." Images: Instagram

Family & Pets

John Farnham celebrates his 75th birthday with family

John Farnham has been snapped celebrating his 75th birthday at an intimate dinner with his closest family. The iconic Aussie rockstar turned 75 on Monday, and marked the occasion at a dinner out with his wife Jillian Billman, his son Robert Farnham and Robert’s wife, Melissa. Melissa, who married Robert just months ago, took to social media to celebrate the occasion. “Happy birthday Papa J. Looking forward to making many more happy memories with you guys,” she shared. Robert also posted a sweet image of the “birthday boy” as the pair enjoyed some time relaxing with their feet up. Rob also shared another photo of him and his father to mark the milestone birthday, with the photo showing the father and son duo smiling at each other at Rob's wedding. This is the second time Farnham has been seen on social media since his extensive surgery to remove a tumour from his mouth, resulting in a reconstructing of his jaw. John was recently seen at Robert and Melissa's <a href="https://oversixty.com.au/lifestyle/relationships/john-farnham-steps-out-at-son-s-wedding-for-first-time-since-jaw-surgery" target="_blank" rel="noopener">wedding</a>, as the 74-year-old icon looked remarkably well and largely unchanged since his challenging surgery in August 2022. In the heartwarming photos shared on Instagram, John posed alongside his son, both beaming with happiness, as John looked dapper in a black suit with a bronze tie and matching pocket square. The joyous occasion was beautifully captured in a series of family photos, including John's wife, Jill, and other close family members. Fans flooded the comments with heartfelt messages, celebrating the happy family and John's remarkable recovery. "Such a beautiful father and son pic," one fan wrote, while another added, "Congratulations to you both. It's so nice to see your Dad, he looks fantastic! Love to you all." Image credits: Instagram

Family & Pets

Young woman exposes "hate" response to Origin's Welcome to Country

The young woman who delivered the Welcome to Country at the State of Origin has opened up on the "overwhelming" response to it, revealing how she has "received a lot of hate". Savannah Fynn, 22, was invited to deliver the Welcome to Country and while it was generally well received, it also led to radio host Kyle Sandilands slamming the practice in general, saying the practice had become “overused and lost its impact”. Since then, Fynn revealed that she has received an overwhelming amount of hate online, with some even jumping to criticise her appearance. “I was just so worried I would stutter or mess up my words because I’d never spoken in front of that many people,” Fynn told <a title="www.dailytelegraph.com.au" href="https://www.dailytelegraph.com.au/lifestyle/stellar" target="_blank" rel="noopener" data-tgev="event119" data-tgev-container="bodylink" data-tgev-order="stellar" data-tgev-label="lifestyle" data-tgev-metric="ev">Stellar</a>. “But once I finished, I felt a moment of relief. I ran straight over to my nan, obviously one of my Elders, and I gave her a big hug and a cuddle. It’s definitely an overwhelming feeling, getting all this attention. It’s not something I’m used to at all." “I’m a very quiet person so this is a big change. Even though it’s all positive, I struggle with taking compliments and I get a bit shy. I’m kind of ready for it to die down!” “As sad as it is, being a lighter skin colour, I’ve received a lot of hate for that,” the 22-year-old university student said. “A lot of people have picked on the way I look, the way I speak, even coming down to having blonde hair. My hair is actually dark, I’ve just dyed it blonde." “I think people also get very confused as to what an Acknowledgement and Welcome actually is. We’re not welcoming you to Australia; obviously you live here." “We’re welcoming you to the traditional owners of that land and acknowledging the traditional land. And in terms of comments about overuse, I feel you have to respect everyone’s opinions, even if you may not agree." “Being a First Nations person, I find it wonderful seeing my culture embraced. But obviously you can’t please everyone.” Fynn is aiming to be a young role model and hopes to show “young Indigenous people that we can get up and speak”. Image credits: Nine <p style="box-sizing: inherit; margin: 0px 0px 24px; padding: 0px; border: 0px; font-stretch: inherit; line-height: inherit; font-family: 'Helvetica Neue', HelveticaNeue, Helvetica, Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; font-size: 18px; vertical-align: baseline;">

Country singer dies aged 79

Country singer Kinky Friedman has passed away aged 79. A post shared on his social media account confirmed the news that he was surrounded by family and friends before his death. “Kinky Friedman stepped on a rainbow at his beloved Echo Hill surrounded by family and friends,” the post read. “Kinkster endured tremendous pain and unthinkable loss in recent years but he never lost his fighting spirit and quick wit. Kinky will live on as his books are read and his songs are sung.” The musician, whose real name is Richard Samet Friedman, developed a cult following for his unique and quirky approach to country and Western music. His first album Sold American was released in 1973, and he also toured with Bob Dylan on his Rolling Thunder Revue. Outside of his music career, Friedman was also a writer, penning detective novels and a working as a columnist for Texas Monthly. He published his first book Elvis, Jesus and Coca-Cola: A Novel in 1994 and ten years later published his second one, Kinky Friedman’s Guide to Texas Etiquette: Or How to Get to Heaven or Hell Without Going Through Dallas-Fort Worth. In 2006 he dabbled in politics, running for the Governor of Texas and received 12.6 per cent of the votes among six candidates. He also helped run the Echo Hill Gold Star Camp for children, with his sister Marcie. Kent Perkins, a longtime friend of Friedman, paid tribute to the musician on social media. “Somewhere in heaven,” he wrote, “I’m sure there’s a quiet corner with a big easy chair, a bright floor lamp, a big stack of biographical books, and a few old dogs wagging their tails to the faint smell of cigar smoke.” Image: Rick Diamond/ Shutterstock Editorial

Caring

Julian Assange was isolated for more than a decade. Here’s what that does to the body and mind

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/carol-maher-217811">Carol Maher</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/johanna-badcock-995697">Johanna Badcock</a>, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a> Anyone who lived through the COVID pandemic would likely understand that even a small period of isolation can cause <a href="https://pubmed.ncbi.nlm.nih.gov/35787541/">physical and mental stress</a>. WikiLeaks founder Julian Assange – <a href="https://theconversation.com/julian-assange-will-be-freed-after-striking-plea-deal-with-us-authorities-233210">who will return to Australia</a> after reaching a plea deal with the US Department of Justice – is <a href="https://www.afr.com/policy/foreign-affairs/his-health-is-very-risky-assange-s-brother-fears-for-his-life-20240327-p5ffjw">reported to have suffered</a> various mental and physical challenges during his almost 15 years in some form of isolation. Assange was first arrested in Britain in 2010 after Swedish authorities said they wanted to <a href="https://www.theguardian.com/media/2010/dec/17/julian-assange-sweden">question him over sex crime allegations</a>. After exhausting legal avenues to stop an extradition to Sweden, in June 2012 he entered <a href="https://www.theguardian.com/world/2018/may/15/julian-assange-ecuador-london-embassy-how-he-became-unwelcome-guest">Ecuador’s embassy in London</a>, where he remained for seven years. In early 2019, he was <a href="https://www.reuters.com/article/idUSKCN1S73H5/">jailed for skipping bail</a> and held at London’s Belmarsh prison where he spent most of the following five years fighting extradition to the US. Now, he’s coming home. While we have no idea how Assange is coping from being cooped up inside for so long with few visitors, we do know that isolation can have <a href="https://theconversation.com/my-own-prison-ordeal-gave-me-a-taste-of-what-assange-may-be-feeling-hes-out-but-the-chilling-effect-on-press-freedom-remains-233215">a severe negative impact</a> on many people. <iframe id="qxq2l" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/qxq2l/" width="100%" height="400px" frameborder="0"></iframe> <h2>How physical inactivity impacts your body</h2> Physical activity is vital for <a href="https://jamanetwork.com/journals/jama/articlepdf/2712935/jama_piercy_2018_sc_180005.pdf">overall health</a>. It keeps your heart strong, helps manage weight, and builds muscle and bone strength. Regular exercise also lifts your mood, reducing symptoms of depression and anxiety, and sharpens your mind. Plus, it boosts your <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195025/">immune system</a>, making you more resistant to infections and diseases. When you don’t move enough, especially in isolation, your health can take a hit. Muscles weaken and joints stiffen, making you less strong and flexible. Your <a href="https://www.ahajournals.org/doi/pdf/10.1161/01.CIR.102.9.975">heart health</a> suffers, too, raising the risk of high blood pressure, heart attacks and strokes because your heart isn’t getting the workout it needs. Metabolic issues such as obesity and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908414/">type 2 diabetes</a> become more common with inactivity, especially if you don’t have access to healthy food. Isolation often means less fresh air and sunlight, both crucial for good health. Poor ventilation can lead to <a href="https://www.mdpi.com/1660-4601/17/8/2927/pdf">respiratory problems</a>. Lack of sunlight can cause <a href="https://academic.oup.com/jcem/article-pdf/95/6/2630/9067013/jcem2630.pdf">vitamin D deficiency</a>, weakening bones and the immune system, and increasing the risk of fractures. These effects fit with the reports that Assange suffered a <a href="https://www.theguardian.com/media/2022/mar/23/today-i-will-marry-the-love-of-my-life-julian-assanges-fiancee">mini-stroke</a> in 2021 and a <a href="https://www.theguardian.com/commentisfree/2024/feb/18/julian-assange-press-freedom-wikileaks-uk-high-court">broken rib</a> from persistent coughing fits while in isolation. <h2>What about mental health?</h2> Social disconnection comes in two main forms, both of which have serious consequences for our mental health. The first is social isolation. The reasons for being isolated are many and varied, including geographical distance, lack of access to transport, or incarceration. The end result is the same: you have few relationships, social roles or group memberships, and limited social interaction. The second form of social disconnection is more invisible but just as harmful. <a href="https://psychology.org.au/for-the-public/psychology-topics/loneliness">Loneliness</a> is that subjective, unpleasant feeling of wanting but lacking satisfying relationships with others. You can be isolated and not feel lonely, but the two are often unwelcome bedfellows. Social connection is not a luxury. It’s a fundamental need, as essential to our health as food and water. Just as hunger reminds us to eat, <a href="https://healthymale.org.au/health-article/what-is-loneliness-and-social-isolation">loneliness acts as a signal</a> alerting us that our social relationships are weak and need to be improved if we are to remain healthy. The science around the health impacts of social disconnection is clear, especially when it is prolonged. So much so, the World Health Organization recently launched a <a href="https://www.who.int/groups/commission-on-social-connection">Commission on Social Connection</a> to increase awareness of the impact of social isolation and loneliness on health and have it recognised as a global health priority. Substantial evidence shows social isolation and loneliness are linked to poorer cognitive functioning and an increased risk of dementia, though possibly in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9995915/">different ways</a>. Among adults aged 50 years and over, chronic (meaning persistent and severe) loneliness and social isolation may increase the risk of dementia by <a href="https://www.tandfonline.com/doi/full/10.1080/13651501.2021.1959616">around 50%</a>. A lack of cognitive stimulation that naturally occurs when interacting with others, whether it’s old friends or strangers, might explain <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9995915/">the link</a> between social isolation and cognitive difficulties (think “use it or lose it”). On the other hand, loneliness <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9995915/">may impact cognitive health</a> through its effects on emotional wellbeing. It’s <a href="https://www.nature.com/articles/s41598-022-13049-9">a well-known risk factor</a> for developing depression, anxiety and suicidality. For instance, <a href="https://pubmed.ncbi.nlm.nih.gov/35583561/">studies show</a> the chances of developing depression in adults is more than double in people who often feel lonely, compared with those who rarely or never feel lonely. Other research examining 500,000 middle-aged adults over nine years showed living alone doubled the risk of dying by suicide for men, while loneliness <a href="https://pubmed.ncbi.nlm.nih.gov/33096330">increased the risk of hospitalisation</a> for self-harm in both men and women. In a <a href="https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf">2023 report</a>, the US Surgeon General’s advisory concluded: <blockquote> Given the totality of the evidence, social connection may be one of the strongest protective factors against self-harm and suicide among people with and without serious underlying mental health challenges. </blockquote> <h2>What about after release?</h2> When a person leaves long-term isolation, they’ll face many challenges as they re-enter society. The world will have changed. There’s a lot to catch up on, from technological advancements to shifts in social norms. In addition to these broader changes, there’s a need to focus on rebuilding physical and mental health. Health issues that developed during isolation can <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30460-8/fulltext?cid=in%3Adisplay%3Alfhtn0&dclid=CNKCgb7nle0CFVUkjwodG0YCkg">persist or worsen</a>. A weakened immune system might struggle with new infections in a post-COVID world. To navigate this transition, it’s important to establish a routine that includes regular exercise, nutritious meals and comprehensive medical and psychological care. Gradually increasing social interactions can also help in rebuilding relationships and social connections. These steps are supportive in restoring overall health and wellbeing in a changed world.<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/233214/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/carol-maher-217811">Carol Maher</a>, Professor, Medical Research Future Fund Emerging Leader, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/johanna-badcock-995697">Johanna Badcock</a>, Adjunct Professor, School of Psychological Science | Freelance Research Consultant, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a> Image credits: Ray Tang/Shutterstock Editorial This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/julian-assange-was-isolated-for-more-than-a-decade-heres-what-that-does-to-the-body-and-mind-233214">original article</a>. </div>

Mind

Disturbing development in Matthew Perry's death

An investigation into Matthew Perry's death is rounding out, and authorities reportedly believe that "multiple people" should be charged for his untimely death. The Friends star was found dead eight months ago at the age of 54, in the hot tub of his Los Angeles home, with an autopsy revealing that he had died from the "acute effects of ketamine". A police source has told People that investigation into the star's death is "nearing its conclusion". “A law enforcement investigative source (says the) investigation into Matthew Perry’s ketamine death is ‘nearing its conclusion’ and police believe ‘multiple people’ should be charged,” the source told People “The source says the US Attorney’s Office will make the ultimate decision on whether or not to press charges.” It is understood that Perry was undergoing ketamine infusion therapy to treat anxiety and depression at the time. The autopsy noted that the levels of Ketamine in Perry's system were in the same range for surgical general anaesthesia, which prompted the LAPD to investigate how he received the drug. The LAPD has been working on its investigation since December in conjunction with Drug Enforcement Administration (DEA) and the U.S Postal Inspector. “Law enforcement sources tell us there is an ongoing investigation into where Matthew got the ketamine that ended up playing a part in his death - and the main questions are who provided the drug, and under what circumstances,” TMZ reported at the time. “We do know they’ve already interviewed some key people in Hollywood. “While our sources could not provide names they told us investigators have approached and spoken to people who are known to have a history of drug use or abuse. “We’re told those people are not necessarily the actual source of ketamine, but they could have information leading to the source.” Drowning, coronary artery disease and buprenorphine effects were also listed as other contributing factors in his passing. Image: Warner Bros Tv/Bright/Kauffman/Crane Pro/Koba/ Shutterstock Editorial

Legal

Jamie Oliver renews vows in Las Vegas

Jamie Oliver is celebrating 24 years of marriage! The celebrity chef and his wife Juliette Norton - also known as Jools - celebrated their 24th wedding anniversary by renewing their vows. The couple organised a more fun and laid back ceremony, with a trip to Las Vegas, which, of course, included an Elvis impersonator. "Happy 24th wedding anniversary @joolsoliver 24 years !!! Love you - Las vagus baby !!" Oliver captioned a series of Instagram photos from their special day. "@gracelandweddingchapellv big love really good fun 🙏🏼 jamie xxx." The pair seemed to be having the time of their life posing and dancing alongside the Elvis impersonator. Their outfits also matched the fun occasion with Oliver donning a grey suit paired with aviator sunglasses, while Norton wore a pair of jeans, cowboy boots, a white top and a mini veil. Oliver also included a few snaps from their wedding in July 2000, where they also hired an Elvis impersonator. <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/reel/C8pbo-ztToH/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C8pbo-ztToH/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jools Oliver (@joolsoliver)</a> </div> </blockquote> Norton shared her own Instagram post, with the caption: "Happy 24 crazy married years together🤍 I love you so much." "thank you for indulging my LOVE for Elvis 🤍 I know this marriage has '3 people in it 😂😂 but you get me like NO other! "Just you wait and see what I have planned for our 25th 😉❤️❤️❤️❤️" Images: Instagram

Relationships

Anti-cellulite products are big business – but here’s what the science says

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/rebecca-shepherd-423135">Rebecca Shepherd</a>, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a> Although <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.14815">90% of women have cellulite</a>, we’re yet to see it represented as a normal anatomical characteristic in popular culture. In Greta Gerwig’s 2023 Hollywood blockbuster, for instance, Stereotypical Barbie, played by Margot Robbie, develops dimples on her upper thigh as part of her existential crisis – along with other human faults such as halitosis, flat feet and irrepressible thoughts of death. When Stereotypical Barbie asks doll sage Weird Barbie what the dimples are, she explains: “That’s cellulite. That’s going to spread everywhere. Then you’re going to start getting sad and mushy and complicated.” Barbie’s perfect smooth plastic perfection is marred. Despite its prevalence, then, cellulite has been constructed as a flaw in need of correction. Consumers, it seems, agree, especially when fed a diet of the <a href="https://www.tandfonline.com/doi/full/10.1080/21604851.2021.1913827">photoshop smoothed skin</a> of models, social media influencers – and Hollywood stars. <figure><iframe src="https://www.youtube.com/embed/rmThigh1i8s?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption>“NO!” Barbie shouts when Weird Barbie tells her she has cellulite.</figcaption></figure> Cellulite’s usually found in areas that have greater amounts of subcutaneous fat, when fat deposits push through the connective tissue beneath the skin, leading to a lumpy appearance. It is common, <a href="https://www.sciencedirect.com/science/article/pii/S0738081X1300076X?via%3Dihub">usually painless</a> and harmless. The human skin is the <a href="https://theconversation.com/the-skin-is-a-very-important-and-our-largest-organ-what-does-it-do-91515">body’s largest organ</a>, made up of three layers. At the surface, the epidermis acts as our first line of defence against the environment. This outermost, impermeable layer is made up of cells that are constantly renewed and shed, protecting our body from external elements. Beneath the epidermis lies the dermis, a robust layer containing fibroblasts, the cells responsible for producing essential proteins such as collagen and elastin. These proteins provide structure and elasticity, contributing to the skin’s strength and flexibility. Deeper still is the hypodermis, also known as the subcutaneous layer. This layer is rich in adipose tissue – mostly made up of fat, which plays a crucial role in cushioning and insulating the body, as well as storing fat that can be used when needed. Beneath these three layers of skin, there is muscle. Running from the muscle to the dermis are <a href="https://journals.lww.com/amjdermatopathology/fulltext/2000/02000/cellulite__from_standing_fat_herniation_to.7.aspx">bands of connective tissue</a>, that holds the adipose tissue in “pockets”. Cellulite does not affect health, although some people report that it affects their <a href="https://www.tandfonline.com/doi/abs/10.1080/07853890.2018.1561731">self-esteem and body image</a> but that’s more to do with the social pressure on women to be physically perfect – or spend money, time and energy trying to be as close to perfect as possible. Cellulite, then, has become big business for the beauty industry. In the lead up to summer especially, companies will promote <a href="https://www.asa.org.uk/advice-online/weight-control-cellulite.html">all manner of products</a> from creams and serums to gadgets and pills, all aimed at creating perfectly smooth limbs. The most popular question seems to be, “Do these treatments work?” but as an anatomist I think the more pressing question is, “Why are healthy women’s bodies considered something to treat, cure or correct?” The beauty and wellness industry has long capitalised on societal standards of beauty. The idea that cellulite is undesirable and <a href="https://journals.lww.com/dermatologicsurgery/abstract/1978/03000/So_Called_Cellulite.9.aspx">should be corrected</a> has been perpetuated since Vogue magazine was the <a href="https://archive.vogue.com/article/1968/4/cellulite-the-new-word-for-fat-you-couldnt-lose-before">first English language magazine</a> to use the term “cellulite”, introducing the concept to thousands of women. This marketing strategy taps into the insecurities of consumers, particularly women, and promotes an endless pursuit of “perfection” for bodies that have normal anatomical variation. By framing cellulite as a condition that needs treatment, companies can sell a wide range of products and services, bolstered by celebrity endorsements, which lend credibility and aspirational value to pseudo-medical “smoothing” products. However, there is limited scientific evidence supporting the effectiveness of these supplements in treating cellulite. In fact, the <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1524-4725.1978.tb00416.x">first scientific paper</a> on cellulite, published in 1978, referred to it as “so called cellulite: the invented disease”. Recent product launches include, <a href="https://lemmelive.com/en-gb/products/lemme-smooth-capsules?variant=45597048111318">Lemme Smooth</a>, Kourtney Kardashian-Barker’s latest addition to her vitamin and supplement range. The product’s promotional materials claim that the capsule “visibly reduces cellulite in 28 days”. But what does the science tell us? Supplements like Lemme Smooth claim to improve skin texture and reduce cellulite from within. Kardashian-Barker’s supplement contains a mixture of <a href="https://link.springer.com/article/10.1007/s10298-015-0977-4">french cantaloupe melon</a>, hyaluronic acid, chromium and vitamin C among other ingredients. The body’s ability to absorb and utilise these ingredients in a way that would impact cellulite is still a subject of debate. There is evidence that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110621/#:%7E:text=In%20a%20randomized%2C%20double%2Dblind,in%20part%2C%20to%20the%20skin.">ingested hyaluronic acid</a> can migrate into the skin, stimulating the production of collagens within the dermis – and vitamin C has been shown to <a href="https://www.nature.com/articles/s41598-020-72704-1">thicken the surface layer</a> of the skin. However, the lack of standardisation in testing for the use of these ingredients in the treatment of cellulite means it’s still not clear if they will have a <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1467-2494.2006.00318.x">significant effect</a>. Other products marketed to reduce the appearance of cellulite include topical creams and lotions, containing ingredients like <a href="https://karger.com/books/book/763/chapter-abstract/5600478/Specific-Use-Cosmeceuticals-for-Body-Skin-Texture?redirectedFrom=fulltext">caffeine, retinol, and herbal extracts</a>. Cosmetic products are not able to penetrate the epidermis enough to significantly affect the underlying fat deposits and connective tissue. Some invasive treatments, such as <a href="https://www.aad.org/public/cosmetic/fat-removal/cellulite-treatments-what-really-works">laser therapy, subcision, and acoustic wave therapy</a> can offer more promising results. These procedures work by breaking down the connective tissue bands that cause dimpling and stimulating collagen production in the dermis to improve skin elasticity. While these methods <a href="https://www.aad.org/public/cosmetic/fat-removal/cellulite-treatments-what-really-works">may be more effective</a>, they are often expensive, require multiple sessions to achieve results – and aren’t without risk. Maintaining a healthy diet, drinking lots of water, and regular physical activity can help improve the overall appearance of the skin and reduce the visibility of cellulite. Losing weight and strengthening the muscles in the legs, buttocks and abdomen may make cellulite less noticeable, but it won’t make it <a href="https://jndc-chemistryarticles.info/ijn/article/318">disappear altogether</a>. The bottom line, though, is that cellulite does not need to be treated. It’s a normal anatomical variation that’s been transformed into a condition driving a lucrative market for cures <a href="https://link.springer.com/article/10.1007/s40257-015-0129-5">that don’t exist</a>. My top expert advice in the run up to summer? Be wary of claims from cosmetic companies and save your money. <hr /> The Conversation has approached the Lemme Live brand for comment.<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/232318/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/rebecca-shepherd-423135">Rebecca Shepherd</a>, Senior Lecturer in Human Anatomy, School of Anatomy, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/anti-cellulite-products-are-big-business-but-heres-what-the-science-says-232318">original article</a>. </div>

Body

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

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

Legal

Australia’s tax system is being weaponised against victims of domestic abuse. Here’s how

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/ann-kayis-kumar-466422">Ann Kayis-Kumar</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> When women seeking financial help from the government-funded UNSW <a href="https://www.unsw.edu.au/business/our-schools/accounting-auditing-taxation/about-us/unsw-clinic">Tax and Business Advisory Clinic</a> are asked whether they have ever been affected by family or domestic violence, most say they have. In the past year this number has grown from <a href="https://cdn.theconversation.com/static_files/files/3339/sub009.pdf?1718777706">65%</a> to over 80%. And about <a href="https://ssrn.com/abstract=4746954">14%</a> of the clinic’s clients say their tax debts are a result of intimate partner violence. These debts often arise from business debts, bankruptcy, corporate directorships and director penalty notices. We know that economic abuse is a red flag for other forms of domestic violence. Economic abuse occurs in nearly all Australian domestic and family violence cases, affecting more than <a href="https://www.abs.gov.au/statistics/people/crime-and-justice/personal-safety-australia/latest-release">2.4 million Australians</a> and costing the economy an estimated <a href="https://www.commbank.com.au/content/dam/caas/newsroom/docs/Cost%20of%20financial%20abuse%20in%20Australia.pdf">A$10.9 billion</a> a year. Unfortunately, existing laws fall well short of protecting abuse victim-survivors from financial loss. <h2>How violent partners weaponise tax</h2> The perpetrators of violence can effectively weaponise the tax system by placing tax debts solely in the names of former partners, often because they have made them directors of companies or through family businesses operating through partnerships or trusts. There is a policy assumption that family members benefit from family partnerships. But this does not always hold in practice and can be problematic when there is economic abuse because Australian tax law requires victims report and pay tax on their “share” of the family partnership’s income. The average tax debt at the tax clinic is about $90,000. This can result in debilitating financial burdens, exhausted savings, insecure housing and prolonged economic instability, well after abusive relationships end. <h2>Change is needed</h2> Australia has no specific strategy for relief of tax debts caused by financial abuse. There are “serious hardship” provisions in Australian taxation law, but these are outdated and in need of <a href="https://theconversation.com/sometimes-people-can-do-with-a-break-3-ways-tax-debt-relief-rules-are-too-tough-156948">reform</a>. Usually people do not have the funds up front so the only way the Australian Taxation Office can collect debts from the abused partner is through (generally two-year) payment plans, offsetting future tax refunds, engaging external debt collectors and initiating bankruptcy proceedings. To that end, the decision announced in this year’s budget to give the Tax Commissioner discretion <a href="https://www.ato.gov.au/about-ato/new-legislation/in-detail/businesses/changes-to-offsetting-debts-on-hold">not to offset</a> against tax returns debts previously placed “on hold” is welcome. It will provide short-term relief by enabling abuse victims to get their refunds instead of having it used by the Tax Office to reduce their debt. Colleagues Christine Speidel, Leslie Book and I want this power extended to all <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4746954">forms of tax debts</a> not just for tax debts that have been placed “on hold” especially where the taxpayer is known to have experienced financial abuse. But this wouldn’t go far enough – the victim-survivors would still have the perpetrator’s tax debt hanging over them. Where this happens, financial instability can <a href="https://www.commbank.com.au/content/dam/commbank-assets/support/2021-01/unsw-report-key-findings.pdf">drive women back</a> into abusive relationships. <h2>The US shows what can be done</h2> Legislative reform to shift tax liability from abuse survivors to perpetrators is the key to helping solve the problem. <figure class="align-right zoomable"></figure> The United States has offered some form of “<a href="https://www.irs.gov/individuals/innocent-spouse-relief">innocent spouse relief</a>” since 1971. In 2011 it widened eligibility and <a href="https://www.irs.gov/pub/irs-news/ir-11-080.pdf">removed a two-year time limit</a> for requesting relief. It is important to understand the US provisions apply because the country offers jointly filed “married” tax returns. In Australia tax returns are filed by individuals. Australia’s laws would need to change to ensure abused women do not find themselves jointly liable. Any changes should also include debts incurred in the name of partnerships and company directors. The US is the first and only country to do this, largely because of the advocacy of US low-income tax clinics over decades. Australia now has such clinics, funded as part of the Tax Office <a href="https://www.ato.gov.au/individuals-and-families/financial-difficulties-and-disasters/support-to-lodge-and-pay/national-tax-clinic-program">National Tax Clinic Program</a>. Australia’s adoption of US-style rules could provide a model for other jurisdictions, increase tax debt collection (as perpetrators are likely to have better capacity to pay than victims) and foster greater confidence in the Tax Office. Most importantly, it would acknowledge that victim-survivors with tax debts should not bear responsibility for debts incurred by perpetrators. <hr /> For information and advice about family and intimate partner violence contact 1800 RESPECT (<a href="https://www.1800respect.org.au/">1800 737 732</a>). If you or someone you know is in immediate danger, contact 000. The Men’s Referral Service (<a href="https://ntv.org.au/get-help/">1300 766 491)</a> offers advice and counselling to men looking to change their behaviour.<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/232609/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ann-kayis-kumar-466422">Ann Kayis-Kumar</a>, Founding Director of UNSW Tax and Business Advisory Clinic, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australias-tax-system-is-being-weaponised-against-victims-of-domestic-abuse-heres-how-232609">original article</a>. </div>

Money & Banking

70s singer finally marries fiancé after almost 50 years together

Denise Nolan, 72, has finally tied the knot with her long-term partner Tom Anderson, aged 77. The couple who have been together for 47 years and engaged for around three decades got married in a ceremony in their hometown of Blackpool. "I had a fabulous day," she revealed to OK magazine. Despite being together for so long, the couple revealed that they never felt the need to rush into their marriage. "We've been together now for 47 years and we love each other. We got engaged about 30 years ago, but we didn't think we needed the piece of paper to say that," she continued. "He's asked me to marry him a few times but usually when he's had a drink and is feeling sentimental! Then I mention it to him the next day and he runs a mile." Denise, who was one part of the popular Irish family band The Nolans said that the decision to finally tie the knot was partially prompted by Tom's Parkinson's diagnosis in 2018. She explained that they "didn't want to wait until further down the line where he might be a lot worse and it could be hard work". For the big day, the pair sat next to each other at the alter of The Wedding Chapel on Blackpool Promenade. "Everybody was crying, even Tom was sobbing," Denise said. "I also picked Frank Sinatra's Love And Marriage because I thought, 'I have to have a comic song in there,' and we're all Sinatra addicts in our family. As we walked back down the aisle we had Tom singing Love Will Keep Us Together. To be able to choose all out own music was really special for us." In her speech during the reception, Denise said: "Meeting you was fate, becoming your partner was a choice, but falling in love with you was beyond my control." The couple first met while Denise was in her band and Tom was working as a resident drummer at the London Rooms in London's West End. They have been inseparable since and now live in Blackpool with some family nearby. Images: Instagram

Relationships

Logies 2024 Award nominations revealed

The nominations for the 2024 Logie Awards has just dropped and here are all the stars and shows going for gold this year. Andy Lee, known as the host of The Hundred with Andy Lee is returning to the Logies with his first nomination since 2015, and is hoping to get his very first Gold Logie win for Most Popular Personality on Australian Television. "It's a super exciting time for me and for our show The Hundred which just keeps getting bigger and bigger," he told 9Entertainment. "I think there must've been an administration error and they've confused my name with Hamish [Blake's]," he joked. He is up against, Julia Morris, Robert Irwin and Sonia Kruger among other stars vying for this year's Gold Logie. 60 Minutes and A Current Affair were both nominated in the Best Current Affairs Program category, while Travel Guides and Better Homes and Gardens picked up a nomination in the lifestyle program category. This year's Logies will be hosted by comedian Sam Pang and will be broadcast on Channel Seven on Sunday, August 18. Here is the full list of nominations: <h4>Most popular awards </h4> Gold Logie Award for Most Popular Personality on Australian Television <ul> <li>Andy Lee</li> <li>Asher Keddie</li> <li>Julia Morris</li> <li>Larry Emdur</li> <li>Robert Irwin</li> <li>Sonia Kruger</li> <li>Tony Armstrong </li> </ul> Bert Newton Award for Most Popular Presenter <ul> <li>Hamish Blake, Lego Masters Australia, 9Network</li> <li>Julia Morris, I'm A Celebrity … Get Me Out Of Here!, Network 10</li> <li>Larry Emdur, The Chase Australia and The Morning Show, Seven Network</li> <li>Robert Irwin, I'm A Celebrity … Get Me Out Of Here!, Network 10</li> <li>Sonia Kruger, Dancing With The Stars, The Voice Australia and Big Brother, Seven Network</li> <li>Tony Armstrong, ABC News Breakfast, ABC</li> </ul> Graham Kennedy Award for Most Popular New Talent <ul> <li>Alyla Browne, The Lost Flowers of Alice Hart, Prime Video</li> <li>Ava Caryofyllis, Bay of Fires, ABC</li> <li>Felix Cameron, Boy Swallows Universe, Netflix</li> <li>Imi Mbedla, Bay of Fires, ABC</li> <li>Lee Tiger Halley, Boy Swallows Universe, Netflix</li> <li>Tristan Gorey, Home and Away, Seven Network</li> </ul> <h4>Best awards </h4> TV WEEK SILVER LOGIE for Best Lead Actor in a Drama <ul> <li>Felix Cameron, Boy Swallows Universe, Netflix</li> <li>Hugo Weaving, Love Me, BINGE</li> <li>Rob Collins, Total Control, ABC</li> <li>Rob Collins, RFDS, Seven Network</li> <li>Sam Reid, The Newsreader, ABC</li> <li>Simon Baker, Boy Swallows Universe, Netflix</li> </ul> TV WEEK SILVER LOGIE for Best Lead Actress in a Drama <ul> <li>Aisha Dee, Safe Home, SBS</li> <li>Anna Torv, The Newsreader, ABC</li> <li>Deborah Mailman, Total Control, ABC</li> <li>Phoebe Tonkin, Boy Swallows Universe, Netflix</li> <li>Rachel Griffiths, Total Control, ABC</li> <li>Sigourney Weaver, The Lost Flowers of Alice Hart, Prime Video</li> </ul> <ul class="ContentAlignment_marginBottom__4H_6E ContentAlignment_overflowVisible__N2zKU List_unordered__yNZx8" style="box-sizing: border-box; list-style: none; padding: 0px; margin: 0px 0px 1.5rem; overflow: visible; color: #000000; font-family: abcsans, -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" role="list" data-component="List"> <li class="" style="box-sizing: border-box; position: relative; padding-left: 1.5rem; margin-bottom: 0.5rem;" data-component="ListItem"> </li> </ul> <p class="paragraph_paragraph___QITb" style="box-sizing: border-box; margin-bottom: 1rem; color: #000000; font-family: abcsans, -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">TV WEEK SILVER LOGIE for Best Lead Actor in a Comedy <ul> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Ben Feldman, Population 11, Stan</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Bob Morley, In Limbo, ABC</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Lincoln Younes, C*A*U*G*H*T, Stan</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Matt Okine, Mother and Son, ABC</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Rob Sitch, Utopia, ABC</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Ryan Corr, In Limbo, ABC</li> </ul> TV WEEK SILVER LOGIE for Best Lead Actress in a Comedy <ul> <li>Celia Pacquola, Utopia, ABC</li> <li>Danielle Walker, Gold Diggers, ABC</li> <li>Denise Scott, Mother and Son, ABC</li> <li>Kate Box, Deadloch, Prime Video</li> <li>Kitty Flanagan, Utopia, ABC</li> <li>Madeleine Sami, Deadloch, Prime Video</li> </ul> <ul class="ContentAlignment_marginBottom__4H_6E ContentAlignment_overflowVisible__N2zKU List_unordered__yNZx8" style="box-sizing: border-box; list-style: none; padding: 0px; margin: 0px 0px 1.5rem; overflow: visible; color: #000000; font-family: abcsans, -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" role="list" data-component="List"> <li class="" style="box-sizing: border-box; position: relative; padding-left: 1.5rem; margin-bottom: 0.5rem;" data-component="ListItem"> </li> </ul> <p class="paragraph_paragraph___QITb" style="box-sizing: border-box; margin-bottom: 1rem; color: #000000; font-family: abcsans, -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">TV WEEK SILVER LOGIE for Best Supporting Actor <ul> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Bryan Brown, Boy Swallows Universe, Netflix</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Guy Pearce, The Clearing, Disney+</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Jay Ryan, Scrublands, Stan</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Lee Tiger Halley, Boy Swallows Universe, Netflix</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Stephen Curry, Bay of Fires, ABC</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Travis Fimmel, Boy Swallows Universe, Netflix</li> </ul> <ul class="ContentAlignment_marginBottom__4H_6E ContentAlignment_overflowVisible__N2zKU List_unordered__yNZx8" style="box-sizing: border-box; list-style: none; padding: 0px; margin: 0px 0px 1.5rem; overflow: visible; color: #000000; font-family: abcsans, -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" role="list" data-component="List"> <li class="" style="box-sizing: border-box; position: relative; padding-left: 1.5rem; margin-bottom: 0.5rem;" data-component="ListItem"> </li> </ul> <p class="paragraph_paragraph___QITb" style="box-sizing: border-box; margin-bottom: 1rem; color: #000000; font-family: abcsans, -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">TV WEEK SILVER LOGIE for Best Supporting Actress <ul> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Ariel Donoghue, Wolf Like Me, Stan</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Kerry Fox, Bay of Fires, ABC</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Leah Purcell, The Lost Flowers of Alice Hart, Prime Video</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Mabel Li, Safe Home, SBS</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Michelle Lim Davidson, The Newsreader, ABC</li> <li class="paragraph_paragraph___QITb" style="box-sizing: border-box;">Sophie Wilde, Boy Swallows Universe, Netflix</li> </ul> TV WEEK SILVER LOGIE for Best News or Public Affairs Presenter <ul> <li>Ally Langdon, A Current Affair, 9Network</li> <li>David Speers, Insiders, ABC</li> <li>Liz Hayes, Under Investigation with Liz Hayes, 9Network</li> <li>Michael Usher, 7NEWS and 7NEWS Spotlight, Seven Network</li> <li>Peter Overton, 9News, 9Network</li> <li>Sarah Ferguson, 7.30, ABC</li> </ul> Best Drama Program <ul> <li>Love Me, BINGE</li> <li>NCIS: Sydney, Paramount+</li> <li>RFDS, Seven Network</li> <li>The Newsreader, ABC</li> <li>The Tourist, Stan</li> <li>Total Control, ABC</li> </ul> Best Miniseries or Telemovie <ul> <li>Boy Swallows Universe, Netflix</li> <li>Erotic Stories , SBS</li> <li>Safe Home, SBS</li> <li>The Claremont Murders, Seven Network</li> <li>The Clearing, Disney+</li> <li>The Lost Flowers of Alice Hart, Prime Video</li> </ul> Best Entertainment Program <ul> <li>ABC New Year's Eve, ABC</li> <li>Australian Idol, Seven Network</li> <li>Dancing With The Stars, Seven Network</li> <li>Take 5 With Zan Rowe, ABC</li> <li>The Voice Australia, Seven Network</li> <li>Vision Australia's Carols by Candlelight, 9Network</li> </ul> Best Current Affairs Program <ul> <li>7.30, ABC</li> <li>60 Minutes, 9Network</li> <li>A Current Affair, 9Network</li> <li>Australian Story, ABC</li> <li>Foreign Correspondent, ABC</li> <li>Four Corners, ABC</li> </ul> Best Scripted Comedy Program <ul> <li>Deadloch, Prime Video</li> <li>In Limbo, ABC</li> <li>Mother and Son, ABC</li> <li>Population 11, Stan</li> <li>Strife, BINGE</li> <li>Utopia, ABC</li> </ul> Best Comedy Entertainment Program <ul> <li>Gruen, ABC</li> <li>Hard Quiz, ABC</li> <li>Have You Been Paying Attention?, Network 10</li> <li>Thank God You're Here, Network 10</li> <li>The Weekly With Charlie Pickering, ABC</li> <li>The Yearly With Charlie Pickering, ABC</li> </ul> Best Competition Reality Program <ul> <li>Alone Australia, SBS</li> <li>Australian Survivor: Titans V Rebels, Network 10</li> <li>I'm A Celebrity… Get Me Out Of Here!, Network 10</li> <li>Lego Masters Australia, 9Network</li> <li>MasterChef Australia, Network 10</li> <li>The Block, 9Network</li> </ul> Best Structured Reality Program <ul> <li>Farmer Wants A Wife, Seven Network</li> <li>Gogglebox Australia, FOXTEL and Network 10</li> <li>Married at First Sight, 9Network</li> <li>Muster Dogs, ABC</li> <li>Old People's Home For Teenagers, ABC</li> <li>SAS Australia, Seven Network</li> </ul> Best Lifestyle Program <ul> <li>Better Homes and Gardens, Seven Network</li> <li>Gardening Australia, ABC</li> <li>Love It Or List It Australia, FOXTEL</li> <li>Restoration Australia, ABC</li> <li>Selling Houses Australia, FOXTEL</li> <li>Travel Guides, 9Network</li> </ul> Best News Coverage or Public Affairs Report <ul> <li>A Silver Lining: Silverchair, Australian Story, ABC</li> <li>Ben Roberts-Smith: The Truth, 60 Minutes, 9Network</li> <li>Bishop of Broome, 7NEWS, Seven Network</li> <li>Israel-Hamas War, 7NEWS, Seven Network</li> <li>Old School — Louise Milligan, Four Corners, ABC</li> <li>The Forever War — John Lyons, Four Corners, ABC</li> </ul> Best Factual or Documentary Program <ul> <li>Hot Potato: The Story of The Wiggles, Prime Video</li> <li>John Farnham: Finding The Voice, Seven Network</li> <li>Matildas: The World at Our Feet, Disney+</li> <li>Nemesis, ABC</li> <li>Revealed: Ben Roberts-Smith Truth on Trial, Stan</li> <li>War On Waste, ABC</li> </ul> Best Sports Coverage <ul> <li>2023 AFL Finals Series, Seven Network</li> <li>2023 NRL Grand Final, 9Network</li> <li>2023 State of Origin, 9Network</li> <li>Australian Open, 9Network</li> <li>FIFA Women's World Cup 2023™, Seven Network</li> <li>Fox League Las Vegas Week, FOXTEL and Kayo Sports</li> </ul> Best Children's Program <ul> <li>Beep and Mort, ABC</li> <li>Bluey, ABC</li> <li>Eddie's Lil' Homies, NITV and Netflix</li> <li>Gardening Australia Junior, ABC</li> <li>Ginger and the Vegesaurs, ABC</li> <li>Play School, ABC</li> </ul> Images: Nine/ Seven

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