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New book seeks to understand what old age is for

<div class="theconversation-article-body">The “memoir boom” of the past few decades has brought an extraordinary expansion in the kinds of work written in the first person. Some offer new approaches, focusing on aspects or phases of the author’s life or feelings.</p> <p>Alongside these, a kind of hybrid form has developed in which authors, while not seeking to produce a memoir, include extensive discussion of their personal experience and reflections to illustrate different themes and issues.</p> <p>Bloomer, by Carol Lefevre, is a hybrid work of this latter kind. The author tells us quite a lot about herself and her current life, especially her experience of ageing. She deals at some length with her grief at losing her mother and with her own health issues. She makes clear her resentment of the growing invisibility that is such a common experience for older women, and her irritation at being patronised and discounted because of her age when engaging in journalism.</p> <p>Nonetheless Bloomer is not and does not present itself as a memoir. It is, as we are told very clearly at the start, a book about women and ageing in a society in which ageism is widespread – and directed particularly at women. It is seeking also to offer pathways that allow the possibility of flourishing in old age, written by a woman who is using herself as an example.</p> <p>The negative ways that ageing, especially women’s ageing, is seen and dealt with in contemporary Australian society and culture is evident from the start. She finds the prospect of “ageing in a time and place that does not value old people” “daunting”. Having devoted much of her life to activism of various kinds, she has decided to take on ageism.</p> <p>The book itself is a form of activism, concerned not only to critique and raise awareness about the many different forms of ageism that abound, but:</p> <blockquote> <p>to question the ageist narrative of decline and decrepitude, of ageing as a road that only runs downhill.</p> </blockquote> <p>Women today, Lefevre points out, enter old age with laptops and mobile phones and a range of new possibilities. It is within this framework that the concept of blooming is so important.</p> <h2>Tending to one’s garden</h2> <p>For Lefevre, the great consolation and antidote to ageing is gardening. She writes movingly of her immense pleasure in tending a small, walled garden which enables her to watch her flowers, herbs and trees bloom and flourish. Her enthusiasm for gardening is one of the most engaging aspects of the book.</p> <p>She includes several sections from her own gardening journals interspersed between chapters. Some of these depict the changing seasons, providing the structure for the book. There are also discussions of the ideas and practices of other gardeners and of the writing about gardens of several authors including Vita Sackville-West, Sylvia Townsend-Warner and an author who seems generally to be one of Lefevre’s favourites: <a href="https://www.britannica.com/biography/Colette">Colette</a>.</p> <p>In the clearest illustration of how this book is intended to offer a pathway that others should follow, Lefevre points out how beneficial gardening is. Research has shown, we are told, getting one’s hands in the soil, “boosts serotonin levels and that serotonin, a natural antidepressant, strengthens the immune system”. No other group of people is so in need of garden therapy she insists “as those of us contemplating the more than half-empty glass”.</p> <p>As she contemplates the whole question of ageing and seeks to come to terms with her experiences, Lefevre turns not only to gardening, but to literature. Although insistent there are no novels with older women as heroines or central figures, she cites several novelists, memoirists, and writers of short stories who address ageing in their work, sometimes in insightful ways.</p> <p>Gardening writers are important here too. Lefevre deals with her own pain at her changing sense of time and losing a sense of herself at a younger age, for example, not only by gardening, but by reading Sackville-West, Nathaniel Hawthorne and Virginia Woolf. The slight she receives as an older woman seeking to photograph two young men for a magazine (involving a throw-away line about “old grannies”) leads her to the <a href="https://theconversation.com/friday-essay-grey-haired-and-radiant-reimagining-ageing-for-women-182336">reflections on ageing</a> and to a discussion of others who have written well about ageing: May Sarton and Doris Lessing.</p> <p>Alongside her own experiences, Lefevre deals with some of the serious issues and problems confronting older women. While she has a home and a garden, many other women face a crisis in terms of shelter and finding a place to live. Bemoaning the end of multi-generational families in which the elderly lives at home, she discusses the alarming incidence of homelessness among ageing single women. Residential care is sometimes available, but not without problems.</p> <p>One that concerns her particularly is that of unexpected intimacy, which is sometimes an affront to adult children and to nursing home administrators not accustomed to thinking about love in relation to ageing bodies. Loneliness too is dealt with here and so inevitably, is death and the question of voluntary assisted dying.</p> <p>The book provides useful information and reflections on many issues that face older women in a very accessible way. But it is not always an easy or engaging read. The hybrid form is clearly an issue here as the linking of personal experience and general discussion is sometimes a little awkward.</p> <h2>Still blooming</h2> <p>While being told about the author’s life, we are always held at arm’s length from her. One yearns sometimes for the kind of intimacy that allows the reader to share the author’s feelings, as we find in some memoirs of ageing, Diana Athill’s <a href="https://www.goodreads.com/book/show/5960563-somewhere-towards-the-end">Somewhere Towards the End</a>, for example.</p> <p>There is also something slightly problematic about Lefevre’s central concern. In seeking to understand and overcome ageism, she wants not only to write sympathetically about women and ageing, but “to understand what old age is for”.</p> <p>I must confess to finding it hard to understand precisely what this statement means. Stages of life, in general, do not seem to be “for” anything. They are a necessary part of life and move one on to the next stage. In the case of old age, it is hard to see this could be anything other than moving one on to very old age – and inevitably death.</p> <figure class="align-left zoomable"><figcaption></figcaption></figure> <p>This concern to find a meaning and purpose for old age is linked to the sense of activism against ageism, something the author claims not only for herself, but enjoins other bloomers to undertake too. Having been shaped in the social and protest movements of the sixties, she wants us all to “do something about changing the ageing narrative” by talking about age and “rescuing the word ‘old’ from its position of insult”.</p> <p>There is no question about the extent and nature of ageism in Australia – especially in relation to women. Nor is there any doubt many older people, especially women, suffer from homelessness and isolation.</p> <p>At the same time, there is little recognition of the many facilities and social organisations available to older people or advocating for them, including the University of the Third Age or National Seniors Australia, or of the many ways “seniors” organise themselves – in walking, travel, theatre, film and book groups.</p> <p>The slightly embattled sense one has of the author and her enjoining of others to become active with her in protesting against the negative narratives of ageing seems to belie the many ways other older women are continuing to bloom.<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/253130/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/barbara-caine-205093">Barbara Caine</a>, Professor Emerita of History, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-new-book-seeks-to-understand-what-old-age-is-for-but-is-this-the-right-question-253130">original article</a>.</em></p> <p><em>Image: Carol Lefevre / Affirm Press</em></p> </div>

Books

What does Trump’s looming ‘revenge tax’ mean for Australia?

<div class="theconversation-article-body">The Australian Labor Party just won an <a href="https://theconversation.com/albanese-increases-majority-and-dutton-loses-seat-in-stunning-election-landslide-255616">election victory for the ages</a>. Now, it may be forced to walk back one of the key achievements of its first term.</p> <p>Here’s why: United States President Donald Trump is about to declare an income tax war on much of the world – and we Australians are not on the same side.</p> <p>Over in the US, the “<a href="https://www.congress.gov/bill/119th-congress/house-bill/1/text">One Big Beautiful Bill act</a>” – a tax and spending package worth trillions of dollars – has been <a href="https://www.theguardian.com/us-news/2025/may/22/what-is-trump-big-beautiful-bill">passed</a> by the House of Representatives. It’s now before the Senate for consideration.</p> <p>Within it lies a new and highly controversial provision: <a href="https://www.axios.com/2025/05/30/taxes-section-899-big-beautiful-bill">Section 899</a>. This increases various US tax rates payable by taxpayers from any country the US claims is maintaining an “unfair foreign tax” by five percentage points each year, up to an additional 20% loading.</p> <p>Having been an integral part of an international effort to create a global 15% minimum tax, Australia now finds itself in the firing line of Trump’s “<a href="https://finance.yahoo.com/news/revenge-tax-buried-deep-budget-213451951.html">revenge tax</a>” warfare – and it’s a fight we’re unlikely to win.</p> <h2>A global minimum tax rate</h2> <p>The origins of the looming income tax war <a href="https://www.oecd.org/en/publications/2013/07/action-plan-on-base-erosion-and-profit-shifting_g1g30e67.html">started in 2013</a>, when the Organisation for Economic Co-operation and Development (<a href="https://www.oecd.org/en/about.html">OECD</a>) released its plan to stamp out “base erosion and profit shifting”.</p> <p>This refers to a range of strategies often used by multinational companies to minimise the tax they pay, exploiting differences and gaps in the tax rules of different countries.</p> <p>The OECD’s first attempt to tackle the problem was a collection of disparate measures directed not only at corporate tax avoidance, but also controlling tax poaching by national governments and “<a href="https://www.theguardian.com/politics/2013/apr/29/sweetheart-tax-deals">sweetheart deals</a>” negotiated by tax officials.</p> <p>Under both Labor and the Coalition, Australia was initially an enthusiastic backer of these attempts.</p> <p>However, the project was not a widespread success. Many countries endorsed the final reports but, unlike Australia, few countries acted on them.</p> <p>After the failure of this first project, the OECD tried again in 2019. This evolved to encompass two “pillars” to change the global tax rules.</p> <p><a href="https://www.oecd.org/content/dam/oecd/en/topics/policy-issues/cross-border-and-international-tax/pillar-one-amount-a-fact-sheet.pdf">Pillar one</a> would give more tax to countries where a company’s customers are located. <a href="https://www.oecd.org/en/topics/sub-issues/global-minimum-tax/global-anti-base-erosion-model-rules-pillar-two.html">Pillar two</a> is a minimum tax of 15% on (a version of) the accounting profits of the largest multinationals earned in each country where the multinational operates.</p> <p>Labor picked up this project for the 2022 election, <a href="https://jimchalmers.org/latest-news/media-releases/labor-s-plan-to-ensure-multinationals-pay-their-fair-share-of-tax/">promising</a> to support both pillars – and they honoured that promise.</p> <h2>Mixed success</h2> <p>Around the world, the two pillar project had mixed success. Pillar one was dead-on-arrival: most countries did nothing. But Australia and several other countries, mostly in Europe, implemented pillar two – the global minimum tax.</p> <p>The OECD has always maintained the base erosion and profit shifting (BEPS) project was a coalition of the willing, meant to rebalance the way income tax is allocated between producer and consumer countries, and rid the world of tax havens.</p> <p>In the US, Republicans <a href="https://www.reuters.com/world/us/yellen-us-negotiating-rd-tax-credit-part-global-tax-deal-2024-04-30/">did not share that view</a>. For them, BEPS was simply another attempt by foreign countries to get more tax from US companies.</p> <p>This Republican dissatisfaction with the OECD is now on full display. On the first day of his second term, Trump issued an <a href="https://www.whitehouse.gov/presidential-actions/2025/01/the-organization-for-economic-co-operation-and-development-oecd-global-tax-deal-global-tax-deal/">executive order</a>, formally repudiating any OECD commitments the Biden administration might have given.</p> <p>He also directed his officials to report on options for retaliatory measures the US could take against any foreign countries with income tax rules that are “extraterritorial” or “disproportionately affect American companies”.</p> <h2>Why Australia is so exposed</h2> <p>Australia could find itself in the firing line of Trump’s tax warfare on many fronts. And the US doesn’t lack firepower. Section 899 adds to a number of <a href="https://theconversation.com/what-is-the-90-year-old-tax-rule-trump-could-use-to-double-us-taxes-on-foreigners-248154">retaliatory tax provisions</a> the US already had at its disposal.</p> <p>The increased tax rates would affect Australian super funds and other investors earning dividends, rent, interest, royalties and other income from US companies. Australian super funds in particular are heavily invested in US markets, which have outperformed local stocks in recent years.</p> <p>It would also affect Australian managed funds owning land and infrastructure assets in the US, as well as Australian entities such as banks that carry on business in the US.</p> <p>And there are other measures that would expose US subsidiaries of Australian companies to US higher tax.</p> <p>The bill would even remove the doctrine of sovereign immunity for the governments of “offending” countries. <a href="https://www.ato.gov.au/individuals-and-families/your-tax-return/if-you-disagree-with-an-ato-decision/object-to-a-decision/what-to-include-in-your-objection/supporting-information-to-provide/sovereign-immunity">Sovereign immunity</a> refers to a tax exemption on returns that usually applies to governments. This means the Australian government itself could have to pay tax to the US.</p> <p>There are <a href="https://www.bloomberg.com/news/articles/2025-05-30/trump-revenge-tax-would-lower-foreign-investment-in-us-scorekeeper-predicts">concerns on Wall Street</a> this will dampen demand for US government bonds from foreign governments, which are big buyers of US Treasuries. The argument may sway some in the Senate – but how many remains to be seen.</p> <h2>What Australia may need to do next</h2> <p>We may be incredulous that anyone would consider our tax system combative, but enacting the OECD pillar two was always known to be risky.</p> <p>There are other, homegrown Australian tax measures that have drawn American ire.</p> <p>In 2015, Australia enacted an income tax measure (commonly called the “<a href="https://www.smh.com.au/business/the-economy/google-restructures-to-avoid-hefty-penalties-in-australia-as-tax-bill-hits-16-million-20160429-goi8fl.html">Google tax</a>”) specifically directed at US tech companies. In 2017, we followed this up with a <a href="https://www.ato.gov.au/businesses-and-organisations/international-tax-for-business/in-detail/doing-business-in-australia-or-overseas/diverted-profits-tax">diverted profits tax</a>. Trump’s bill specifically targets both measures.</p> <p>Tying ourselves to the OECD’s global minimum tax project might have seemed like a good idea in 2019. In 2025, it looks decidedly unappealing, and not just because of Trump.</p> <p>First, there is not actually any serious revenue in pillar two for Australia. Treasury’s <a href="https://archive.budget.gov.au/2023-24/bp2/download/bp2_2023-24.pdf">revenue estimate</a> totalled only $360 million after four years, just slightly more than a rounding error in the federal budget.</p> <p>Second, we are increasingly alone and vulnerable in this battle. It might feel emotionally satisfying to stand up to the US. If there was a sizeable coalition alongside us, there might be some point.</p> <p>If Trump’s One Big Beautiful Bill act does pass through the US Senate, the Australian government and business will be left exposed to much higher costs.</p> <p>Since abandoning the US market is not really an option, it might be time to surrender quietly and gracefully – by reversing, at the very least, the contentious bits of pillar two.<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/257961/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/graeme-cooper-3215">Graeme Cooper</a>, Professor of Taxation Law, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australia-is-in-the-firing-line-of-trumps-looming-revenge-tax-its-a-fight-were-unlikely-to-win-257961">original article</a>.</em></p> <p><em>Image: Pexels / <span style="font-family: 'Canva Sans', 'Helvetica Neue', Roboto, -apple-system, blinkmacsystemfont, sans-serif; font-size: 14px; white-space: pre;">Nataliya Vaitkevich</span></em></p> </div>

Money & Banking

ABC rumoured to be axing Q+A amid fresh round of cuts

<p>Long-running ABC current affairs program <em>Q+A</em> is reportedly facing the axe after 17 years on Australian television, with multiple media outlets citing unnamed sources within the national broadcaster.</p> <p>The influential panel show, which launched in 2008 with Tony Jones as host, is said to have been dropped ahead of its scheduled return in August. The decision places <em>Q+A</em> among a growing list of legacy programs facing the chopping block, coming just days after Channel Ten confirmed it was ending <em>The Project</em> following a 16-year run.</p> <p><em>Q+A</em> went into its scheduled hiatus in mid-May, and it remains unclear whether it will return at all in 2025. ABC’s new managing director, Hugh Marks, is expected to reveal sweeping changes at the public broadcaster this week, including potential staff redundancies and confirmation of the show’s fate.</p> <p>The Media Entertainment and Arts Alliance (MEAA) warned ABC staff on Tuesday that job cuts were imminent, with employees reportedly being called into meetings to discuss a major restructure. Marks, who replaced David Anderson in March, has previously signalled a focus on streamlining the broadcaster’s operations, suggesting the ABC may need to “do fewer things better” in the future.</p> <p>In addition to cuts, the ABC is expected to announce new content initiatives, including a dedicated documentary unit championed by ABC chair Kim Williams.</p> <p>Created by executive producer Peter McEvoy, <em>Q+A</em> debuted in May 2008 and quickly became a flagship program for the ABC. Its format, inspired by the BBC’s <em>Question Time</em>, brought politicians, experts and members of the public together to debate national issues in real time.</p> <p>Following Jones’ departure in 2019, the show struggled to maintain its ratings. Hamish Macdonald took over as host in 2020, before stepping down amid mixed reviews. Stan Grant’s brief tenure in 2022 ended after he became the target of racist abuse unrelated to the show. The current host, Patricia Karvelas, has led the program since early 2023.</p> <p>While viewership has modestly improved under Karvelas, the show’s ratings remain among the lowest in the ABC’s current affairs stable. A 2023 “Garma Special” episode drew just 84,000 metro viewers – <em>Q+A</em>’s lowest figures on record.</p> <p>The ABC has not officially confirmed the program’s cancellation. However, the coming days are expected to bring clarity as the national broadcaster embarks on a major overhaul under new leadership.</p> <p><em>Image: ABC</em></p>

‘Not available in your region’: what is a VPN and how can I use one safely?

<div class="theconversation-article-body"> <p>“This video is not available in your location”. It’s a message familiar to many people trying to watch global content online. But beneath this frustration lies a deeper question – how do we navigate digital borders safely and ethically?</p> <p>As our digital lives expand, so too does our desire for access. Maybe you want to see the latest streaming shows before they arrive in your country. Maybe you’re a sports fan wanting to watch live broadcasts of international events. Or perhaps you need to log into your company’s secure intranet while at home or overseas.</p> <p>Enter the virtual private network (VPN) – a technology that’s become as essential as antivirus software for many. With many commercial and free VPN providers on the market, interest in these services <a href="https://www.comparitech.com/vpn/vpn-statistics/">has grown in recent years</a>.</p> <h2>How does a VPN work?</h2> <p>A <a href="https://computingaustralia.com.au/5-minute-helpdesk-what-is-a-vpn-and-why-should-i-use-one/">VPN</a> is like a secure tunnel between your device and the internet. When you use a VPN, your <a href="https://www.esafety.gov.au/key-topics/online-tools-and-features/encryption">internal traffic is scrambled into unreadable data</a> and routed through a remote server, which also masks your real IP address.</p> <p>Think of it like this: instead of sending a postcard with your return address, you send it in an envelope to a trusted friend overseas who mails it on your behalf. To anyone looking at the envelope, it looks like the message came from your friend and not you.</p> <p>This technique shields your identity, protects your data from snoopers, and tricks websites into thinking you are browsing from another location.</p> <p>While often marketed as <a href="https://www.le-vpn.com/australia-cyber-privacy-vpn/">tools for online privacy</a>, VPNs have grown popular for another reason: access.</p> <p>Many people use VPNs to access geo-blocked content, secure their internet activity, work remotely – <a href="https://www.cyber.gov.au/protect-yourself/staying-secure-online/security-tips-remote-working">especially when handling sensitive data</a> – and protect against online tracking and targeted advertising.</p> <h2>VPNs are legal, if a bit grey</h2> <p>VPN services are offered by dozens of providers globally. Companies such as NordVPN, ProtonVPN, ExpressVPN and Surfshark offer paid subscriptions with strong security guarantees. Free VPNs also exist but come with caveats (more on this in a moment).</p> <p>In <a href="https://us.norton.com/blog/privacy/are-vpns-legal">most countries</a>, including <a href="https://www.cyber.gov.au/protect-yourself/staying-secure-online/connecting-to-public-wi-fi">Australia</a>, using a VPN is completely legal.</p> <p>However, what makes it murky is what one might use it <em>for</em>. While using a VPN is legal, engaging in illegal activities while using one remains prohibited.</p> <p>Streaming services like Netflix or Disney+ license content by region. Using a VPN to access a foreign catalogue may violate their terms of service and potentially be grounds for account suspension.</p> <p>Australian law does not criminalise accessing geo-blocked content via VPN, but the copyright act does prohibit circumventing “technological protection measures” in certain cases.</p> <p>The grey area lies in enforcement. Technically, copyright law does ban getting around certain protections. However, the <a href="https://www.copyright.org.au/browse/book/ACC-Geoblocking%2C-VPNs-%26-Copyright-INFO127">latest advice does not mention</a> any cases where regular users have been taken to court for this kind of behaviour.</p> <p>So far, enforcement has mostly targeted websites and platforms that host or enable large-scale copyright infringement; not everyday viewers who want to watch a show a bit early.</p> <h2>Beware of ‘free’ VPNs</h2> <p>Not all VPNs are created equal. While premium services invest in strong encryption and privacy protections, free VPNs often make money by collecting user data – <a href="https://www.choice.com.au/electronics-and-technology/internet/connecting-to-the-internet/buying-guides/vpn-services">the very thing you may be trying to avoid</a>.</p> <p>Risks of unsafe VPNs include data leaks, injection of ads or trackers into your browsing, and malware and spyware, <a href="https://www.abc.net.au/news/2017-01-25/viruses-spyware-found-in-alarming-number-of-android-vpn-apps/8210796">especially in free mobile apps</a> that claim to provide a VPN service.</p> <p>Using a poorly designed or dishonest VPN is like hiring a bodyguard who sells your location. It might give the impression of safety, but you may actually be more vulnerable than before.</p> <h2>Okay, so how do I choose a VPN?</h2> <p>With so many VPNs available, both free and paid, it can be hard to know which one to trust. If you are considering a VPN, here are five things to look for.</p> <p><strong><a href="https://www.expressvpn.com/what-is-vpn/policy-towards-logs">No-log policy</a>.</strong> A trustworthy VPN should have a strict no-log policy, meaning it does not store any records of your internet activity, connection time or IP address. This ensures even if the VPN provider is hacked, subpoenaed or pressured by a government, they have nothing to hand over.</p> <p><strong>Strong encryption standards.</strong> Encryption is what makes your data unreadable to anyone snooping on your connection, such as hackers on public WiFi or your internet provider. A somewhat technical thing to look out for is <a href="https://www.kiteworks.com/risk-compliance-glossary/aes-256-encryption/">AES 256-bit encryption</a> – it’s extremely secure and is used by banks and governments.</p> <p><strong>Independent audits.</strong> Reliable VPN services <a href="https://vpncentral.com/nordvpn-reaffirms-no-log-claims-with-fifth-deloitte-audit/">voluntarily undergo third-party audits</a> to verify their privacy claims and the security of their infrastructure.</p> <p><strong>Kill switch.</strong> A kill switch is a critical safety feature that automatically blocks internet traffic if the VPN connection drops. This prevents your real IP address and data from being exposed, even momentarily.</p> <p><strong>Jurisdiction.</strong> VPNs are subject to the laws of the country they are based in. The countries in the <a href="https://cyberinsider.com/5-eyes-9-eyes-14-eyes/">Five Eyes intelligence alliance</a> (Australia, Canada, United Kingdom, United States and New Zealand) may legally compel providers to hand over user data. If a VPN service has a strict no-log policy and does not collect information about what you do online, then even under legal pressure, there is nothing to hand over. So, you are safe.</p> <p>In an era of growing surveillance, cybercrime and corporate data collection, VPNs are essential tools for reclaiming your online privacy and data.</p> <p>But like any tool, the effectiveness (and ethics) of VPNs depend on how you use them. Next time you fire up your VPN, ask yourself – am I just dodging a digital border, or actively protecting my online freedom?<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/256559/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/meena-jha-542776">Meena Jha</a>, Head Technology and Pedagogy Cluster CML-NET, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/not-available-in-your-region-what-is-a-vpn-and-how-can-i-use-one-safely-256559">original article</a>.</em></p> </div>

Technology

Iconic singer reveals sad diagnosis

<p>Morten Harket, the iconic voice behind A-ha’s global smash "Take on Me", has revealed he has been diagnosed with Parkinson’s disease – a progressive condition that may bring an end to his singing career.</p> <p>The 65-year-old Norwegian singer shared the news in a moving interview published on the band’s official website, explaining that although treatment has eased some of the condition’s physical toll, it has also affected his voice – the very heart of his artistry.</p> <p>“I don’t feel like singing, and for me that’s a sign,” Harket said candidly. “As things stand now, that’s out of the question.”</p> <p>For the past year, Harket has undergone deep brain stimulation, a complex treatment involving two surgeries to implant electrodes on both sides of his brain. The procedure delivers electrical impulses that help control tremors and muscle stiffness, but in Harket’s case, has also dulled his soaring vocal range.</p> <p>Despite the gravity of the diagnosis, Harket said he feels at peace with it. He credits his 94-year-old father for encouraging him to “use whatever works” in coping with the challenges of the degenerative disorder.</p> <p>“There’s so much to weigh up,” he said. “It’s a difficult balancing act between taking the medication and managing its side effects.”</p> <p>A-ha last toured in 2020 and played what may be their final show together in 2022 at the Hollywood Bowl. Harket said he has continued to work on new music but is unsure whether the songs will ever be finished.</p> <p>Still, in classic form, he offered fans words of hope rather than despair.</p> <p>“Don’t worry about me,” he said. “Spend your energy addressing real problems… and know that I am being taken care of.”</p> <p><em>Images: Instagram</em></p>

Caring

Most of us will leave behind a large ‘digital legacy’ when we die. Here’s how to plan what happens to it

<div class="theconversation-article-body"> <p>Imagine you are planning the funeral music for a loved one who has died. You can’t remember their favourite song, so you try to login to their Spotify account. Then you realise the account login is inaccessible, and with it has gone their personal history of Spotify playlists, annual “wrapped” analytics, and liked songs curated to reflect their taste, memories, and identity.</p> <p>We tend to think about inheritance in physical terms: money, property, personal belongings. But the vast volume of digital stuff we accumulate in life and leave behind in death is now just as important – and this “<a href="https://digitallegacyassociation.org">digital legacy</a>” is probably more meaningful.</p> <p>Digital legacies are increasingly complex and evolving. They include now-familiar items such as social media and banking accounts, along with our stored photos, videos and messages. But they also encompass virtual currencies, behavioural tracking data, and even AI-generated avatars.</p> <p>This digital data is not only fundamental to our online identities in life, but to our inheritance in death. So how can we properly plan for what happens to it?</p> <h2>A window into our lives</h2> <p>Digital legacy is commonly classified into two categories: <a href="https://www.esafety.gov.au/key-topics/digital-wellbeing/what-happens-to-your-digital-accounts-after-you-die">digital assets and digital presence</a>.</p> <p>Digital assets include items with economic value. For example, domain names, financial accounts, monetised social media, online businesses, virtual currencies, digital goods, and personal digital IP. Access to these is spread across platforms, hidden behind passwords or restricted by privacy laws.</p> <p>Digital presence includes content with no monetary value. However, it may have great personal significance. For example, our photos and videos, social media profiles, email or chat threads, and other content archived in cloud or platform services.</p> <p>There is also data that might not seem like content. It may not even seem to belong to us. This includes analytics data such as health and wellness app tracking data. It also includes behavioural data such as location, search or viewing history collected from platforms such as Google, Netflix and Spotify.</p> <p>This data reveals patterns in our preferences, passions, and daily life that can hold intimate meaning. For example, knowing the music a loved one listened to on the day they died.</p> <p>Digital remains now also include scheduled <a href="https://go-paige.com/memories/">posthumous messages</a> or <a href="https://www.hereafter.ai">AI-generated avatars</a>.</p> <p>All of this raises both practical and ethical questions about identity, privacy, and corporate power over our digital afterlives. Who has the right to access, delete, or transform this data?</p> <h2>Planning for your digital remains</h2> <p>Just as we prepare wills for physical possessions, we need to plan for our digital remains. Without clear instructions, important digital data may be lost and inaccessible to our loved ones.</p> <p>In 2017, I helped develop key recommendations for <a href="https://accan.org.au/files/Grants/Death%20and%20the%20Internet_2017-web.pdf">planning your digital legacy</a>. These include:</p> <ul> <li>creating an inventory of accounts and assets, recording usernames and login information, and if possible, downloading personal content for local storage</li> <li>specifying preferences in writing, noting wishes about what content should be preserved, deleted, or shared – and with whom</li> <li>using password managers to securely store and share access to information and legacy preferences</li> <li>designating a <a href="https://www.tonkinlaw.com/resources/digital-estate-planning-victoria-safeguarding-online-assets/">digital executor</a> who has legal authority to carry out your digital legacy wishes and preferences, ideally with legal advice</li> <li>using legacy features on available platforms, such as <a href="https://www.facebook.com/help/1070665206293088">Facebook’s Legacy Contact</a>, <a href="https://support.google.com/accounts/answer/3036546?hl=en">Google’s Inactive Account Manager</a>, or <a href="https://digital-legacy.apple.com">Apple’s Digital Legacy</a>.</li> </ul> <h2>What if your loved one left no plan?</h2> <p>These steps may sound uncontroversial. But digital wills remain uncommon. And without them, managing someone’s digital legacy can be fraught with legal and technical barriers.</p> <p>Platform terms of service and privacy rules often prevent access by anyone other than the account holder. They can also require official documentation such as a death certificate before granting limited access to download or close an account.</p> <p>In such instances, gaining access will probably only be possible through imperfect workarounds, such as searching online for traces of someone’s digital life, attempting to use account recovery tools, or scouring personal documents for login information.</p> <figure><iframe src="https://www.youtube.com/embed/WmQH27MNLz8?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>The need for better standards</h2> <p>Current platform policies have clear limitations for handling digital legacies. For example, policies are inconsistent. They are also typically limited to memorialising or deleting accounts.</p> <p>With no unified framework, service providers often prioritise data privacy over family access. Current tools prioritise visible content such as profiles or posts. However, they exclude less visible yet equally valuable (and often more meaningful) behavioural data such as listening habits.</p> <p>Problems can also arise when data is removed from its original platform. For example, photos from Facebook can lose their social and relational meaning without their associated comment threads, reactions, or interactivity.</p> <p>Meanwhile, emerging uses of posthumous data, especially AI-generated avatars, raise urgent issues about digital personhood, ownership, and possible harms. These “digital remains” may be stored indefinitely on commercial servers without standard protocols for curation or user rights.</p> <p>The result is a growing tension between personal ownership and corporate control. This makes digital legacy not only a matter of individual concern but one of digital governance.</p> <p><a href="https://www.archivists.org.au/community/representation/standards-australias-committee-it-21-records-management-and-archives">Standards Australia</a> and the <a href="https://dcj.nsw.gov.au/news-and-media/media-releases-archive/2022/reform-to-allow-data-access-after-death.html">New South Wales Law Reform Commission</a> have recognised this. Both organisations are seeking <a href="https://lawreform.nsw.gov.au/documents/Current-projects/Digital%20assets/Preliminary%20submissions/PDI10.pdf">consultation</a> to develop frameworks that address inconsistencies in platform standards and user access.</p> <p>Managing our digital legacies demands more than practical foresight. It compels critical reflection on the infrastructures and values that shape our online afterlives.<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/257121/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/bjorn-nansen-102356">Bjorn Nansen</a>, Associate Professor, School of Computing and Information Systems, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/most-of-us-will-leave-behind-a-large-digital-legacy-when-we-die-heres-how-to-plan-what-happens-to-it-257121">original article</a>.</em></p> <p><em>Image: Pexels / Mart Production</em></p> </div>

Why do some people need less sleep than others?

<div class="theconversation-article-body"> <p>Have you ever noticed how some people bounce out of bed after just a few hours of sleep, while others can barely function without a solid eight hours?</p> <p>Take Margaret Thatcher, for example. The former British prime minister was known for sleeping <a href="https://www.bbc.com/news/magazine-22084671">just four hours a night</a>. She worked late, rose early, and seemed to thrive on little sleep.</p> <p>But for most of us, that kind of sleep schedule would be disastrous. We’d be groggy, unfocused, and reaching for sugary snacks and caffeinated drinks by mid-morning.</p> <p>So why do some people seem to need less sleep than others? It’s a question that’s fascinated scientists for years. Here’s what we know so far.</p> <h2>Natural short sleepers</h2> <p>There is a small group of people who don’t need much sleep. We call them <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6879540/">natural short sleepers</a>. They can function perfectly well on just four to six hours of sleep each night, often for their entire lives.</p> <p>Generally they <a href="https://academic.oup.com/sleep/article/44/Supplement_2/A154/6260529">don’t feel tired</a>, they don’t nap, and they don’t suffer the usual negative consequences of sleep deprivation. Scientists call this the natural short sleep phenotype – a biological trait that allows people to get all the benefits of sleep in less time.</p> <p>In 2010 researchers discovered genetic mutations that help explain this phenomenon. Natural short sleepers carry rare variants <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2884988/">in certain genes</a>, which seem to make their sleep more efficient.</p> <p>More recently, a <a href="https://www.pnas.org/doi/epub/10.1073/pnas.2500356122">2025 study</a> assessed a woman in her 70s with one of these rare mutations. Despite sleeping just six hours a night for most of her life, she remained physically healthy, mentally sharp, and led a full, active life. Her body, it seems, was simply wired to need less sleep.</p> <p>We’re still learning about how common these genetic mutations are and why they occur.</p> <h2>Not everyone who sleeps less is a natural short sleeper</h2> <p>But here’s the catch: most people who think they’re natural short sleepers aren’t. They’re just chronically sleep-deprived. Often, their short sleep is due to long work hours, social commitments, or a belief sleeping less is a sign of strength or productivity.</p> <p>In today’s hustle culture, it’s common to hear people boast about getting by on only a few hours of sleep. But for the average person, that’s not sustainable.</p> <p>The effects of short sleep build up over time, creating what’s known as a “sleep debt”. This <a href="https://www.sciencedirect.com/science/article/pii/S0149763417301641">can lead to</a> poor concentration, mood swings, micro-sleeps (brief lapses into sleep), reduced performance and even <a href="https://www.sciencedirect.com/science/article/pii/S1389945716301381">long-term health risks</a>. For example, short sleep has been linked to an increased risk of obesity, diabetes, high blood pressure and cardiovascular disease (heart disease and stroke).</p> <h2>The weekend catch-up dilemma</h2> <p>To make up for lost sleep during the week, many people try to “catch up” on weekends.</p> <p>This can help repay some of the sleep debt that has accumulated in the short term. Research <a href="https://www.sciencedirect.com/science/article/pii/S2352721823001663?via%3Dihub">suggests</a> getting one to two extra hours of sleep on the weekend or taking naps when possible may help reduce the negative effects of short sleep.</p> <p>However, it’s not a perfect fix. Weekend catch-up sleep and naps may not fully resolve sleep debt. The topic remains one of ongoing scientific debate.</p> <p>A recent <a href="https://academic.oup.com/sleep/article/47/11/zsae135/7696120">large study</a> suggested weekend catch-up sleep may not offset the cardiovascular risks associated with chronic short sleep.</p> <p>What’s more, large swings in sleep timing can disrupt your body’s <a href="https://www.nature.com/articles/s41598-017-03171-4">internal clock</a>, and sleeping in too much on weekends may make it harder to fall asleep on Sunday night, which can mean starting the working week less rested.</p> <p>Increasing evidence indicates <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">repeated cycles of irregular sleep</a> may have an important influence on general health and the risk of early death, potentially even more so than how long we sleep for.</p> <p>Ultimately, while moderate catch-up sleep might offer some benefits, it’s no substitute for consistent, high-quality sleep throughout the week. That said, maintaining such regularity can be particularly challenging for people with non-traditional schedules, such as shift workers.</p> <h2>So, was Thatcher a true natural short sleeper?</h2> <p>It’s hard to say. Some reports suggest <a href="https://www.theguardian.com/lifeandstyle/2021/aug/27/from-aristotle-to-einstein-a-brief-history-of-power-nappers">she napped during the day</a> in the back of a car between meetings. That could mean she was simply sleep-deprived and compensating for an accumulated sleep debt when she could.</p> <p>Separate to whether someone is a natural short sleeper, there are a range of other reasons people may need more or less sleep than others. Factors <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">such as age</a> and underlying health conditions can significantly influence sleep requirements.</p> <p>For example, older adults often experience changes in their circadian rhythms and are more likely to suffer from fragmented sleep due to conditions <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">such as arthritis</a> or <a href="https://link.springer.com/article/10.1007/s11886-023-01939-x">cardiovascular disease</a>.</p> <p>Sleep needs vary from person to person, and while a lucky few can thrive on less, most of us need <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">seven to nine hours</a> a night to feel and function our best. If you’re regularly skimping on sleep and relying on weekends to catch up, it might be time to rethink your routine. After all, sleep isn’t a luxury – it’s a biological necessity.<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/256342/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/kelly-sansom-2390567">Kelly Sansom</a>, Research Associate, College of Medicine and Public Health, Flinders University; Research Associate, Centre for Healthy Ageing, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a> and <a href="https://theconversation.com/profiles/peter-eastwood-2316718">Peter Eastwood</a>, Deputy Vice Chancellor, Research and Innovation, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-some-people-need-less-sleep-than-others-a-gene-variation-could-have-something-to-do-with-it-256342">original article</a>.</em></p> <p><em>Image: </em></p> </div>

Body

What is mantle cell lymphoma? Magda Szubanski’s ‘rare and fast-moving’ cancer explained

<div class="theconversation-article-body"><em><a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822"> </a></em>Beloved Australian actor Magda Szubanski has revealed she’s been diagnosed with a “very rare, very aggressive, very serious” blood cancer called mantle cell lymphoma.</p> <p>In a <a href="https://www.instagram.com/magda_szubanski/reel/DKOM_tZSuO2/">post on social media</a>, Szubanski said she would be starting treatment in a few weeks for the stage 4 cancer, which she called “one of the nasty ones, unfortunately”.</p> <p>So, what is mantle cell lymphoma? And how is it treated?</p> <h2>What is mantle cell lymphoma?</h2> <p>There are more than 100 subtypes of blood cancers, but they are commonly divided into one of two groups. These are <a href="https://medschool.ucla.edu/news-article/leukemia-vs-lymphoma-what-is-the-difference">based on</a> where they originate: leukaemias develop in the bone marrow, and lymphomas develop in the lymphatic system.</p> <p>Lymphomas develop from white blood cells (lymphocytes), which circulate in the blood and lymphatic system and help fight infection.</p> <p>You may not have heard of the <a href="https://cancer.ca/en/cancer-information/what-is-cancer/lymphatic-system">lymphatic system</a>, but it plays a key role in your immune response.</p> <p>The lymphatic circulatory system is responsible for transporting fluids (lymph) around your body. <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lymph#:%7E:text=Listen%20to%20pronunciation,the%20body%20in%20lymph%20vessels.">Lymph</a> comes from blood plasma, and helps remove waste from your tissues.</p> <p>As part of the lymphatic system, tissues like the spleen and thymus help produce many of the immune cells you use to fight infections.</p> <p>These cells are then housed in specialised organs called lymph nodes – small pea-sized glands located throughout your body.</p> <p>Lymph nodes are kind of like the “war room” of your <a href="https://www.ncbi.nlm.nih.gov/books/NBK279395/">immune</a> <a href="https://www.ncbi.nlm.nih.gov/books/NBK279396/">system</a>.</p> <p>Your body contains hundreds of lymph nodes, and each contains millions of lymphocytes. These include the T and B cells – the main fighting cells in adaptive immunity.</p> <p>If B cells in an area of the lymph node known as the “<a href="https://www.lymphoma.org.au/types-of-lymphoma/non-hodgkin-lymphoma/aggressive-fast-growing-b-cell-nhl/mantle-cell-lymphoma-mcl/">mantle zone</a>” become cancerous, it is called mantle cell lymphoma.</p> <h2>How rare is it?</h2> <p>In 2020, <a href="https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia/contents/blood-cancer-incidence-and-survival-by-histology-e">there were 330 cases</a> of mantle cell lymphoma diagnosed in Australia, accounting for a small fraction (5%) of lymphoma cases.</p> <p>Overall, lymphomas account for around <a href="https://www.canceraustralia.gov.au/cancer-types/lymphoma/lymphoma-australia-statistics">one in twenty</a> new cancer diagnoses. This makes mantle cell lymphoma quite rare.</p> <p>Mantle cell lymphoma is about <a href="https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia/contents/blood-cancer-incidence-and-survival-by-histology-e">three times more common in men than in women</a>, and mostly affects people over the age of 60.</p> <h2>Is there a cure?</h2> <p>Unfortunately, mantle cell lymphoma is largely <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/ajh.26523">considered incurable</a> with the therapies currently available.</p> <p>Like many cancers, mantle cell lymphoma can vary in how quickly it develops and its severity.</p> <p>As Szubanski’s cancer has been described as “fast-moving” and is already stage 4, it appears that it is a more serious case.</p> <p>Stage 4 is the most advanced stage – meaning the <a href="https://theconversation.com/how-does-cancer-spread-to-other-parts-of-the-body-219616">cancer has spread</a> (metastasised) to other tissues.</p> <p>Treatment at this stage can be more complicated than when the cancer is caught earlier. But treatment can still help people go on to live for many years.</p> <h2>What does treatment involve?</h2> <p>In her social media post, Szubanski said she will be receiving “one of the best treatments available (the Nordic protocol)”.</p> <p>This is one of the most common treatments for an aggressive lymphoma.</p> <p>The main component is “R-CHOP” – a <a href="https://www.cancer.gov/about-cancer/treatment/drugs/r-chop">combination therapy</a>. It involves a mixture of different drugs, including chemotherapy, to attack the cancer from multiple angles at the same time.</p> <p>Different strengths of the drugs can be used (the maximum strength is sometimes called R-maxi-CHOP).</p> <p>A stem cell transplantation may also be included in the regimen.</p> <p>How effective this treatment is will depend on many different factors, including the type and stage of the lymphoma.</p> <p>The aim is to kill as many cancer cells as possible, and therefore extend a patient’s life for as long as possible.</p> <p>Therapy also focuses on providing a high quality-of-life for patients.</p> <h2>How is it diagnosed?</h2> <p>Szubanski’s mantle cell lymphoma was detected during a breast cancer screen where, <a href="https://www.instagram.com/magda_szubanski/reel/DKOM_tZSuO2/">she says</a>, “they found my lymph nodes were up”.</p> <p>Imaging techniques, such as a mammogram or MRI, may detect tell-tale signs of lymphoma, such as swollen lymph nodes.</p> <p>However a biopsy – <a href="https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/biopsy/art-20043922">a small sample of tissue from the affected area</a> – would then be required to confirm the presence of cancer cells and identify what type.</p> <p>Blood cancer symptoms can be vague, but it’s good to know what to look for.</p> <p>As well as swollen lymph nodes, <a href="https://www.leukaemia.org.au/blood-cancer/blood-cancer-signs-and-symptoms/">symptoms of lymphoma</a> include nausea, tiredness, loss of appetite, fevers, gastrointestinal issues, unexplained weight loss, and night sweats.</p> <p>If you have any concerns, you should consult a doctor.<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/257821/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/john-eddie-la-marca-1503690">John (Eddie) La Marca</a>, Senior Research Officer, Blood Cells and Blood Cancer, <a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822">WEHI (Walter and Eliza Hall Institute of Medical Research) </a> and <a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, Senior Research Officer, Blood Cells and Blood Cancer Division, <a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822">WEHI (Walter and Eliza Hall Institute of Medical Research) </a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-mantle-cell-lymphoma-magda-szubanskis-rare-and-fast-moving-cancer-explained-257821">original article</a>.</em></p> <p><em>Image: ABC / Instagram</em></p> </div>

Body

From tragedy to joy: Channel 9 star shares baby news

<p>In a beautiful announcement that has touched hearts across the country, 9News Perth presenter Tracy Vo has shared the joyful news that she and husband Liam Connolly are expecting a baby girl – their rainbow baby – due on October 7.</p> <p>The couple’s exciting news comes just months after they experienced the devastating loss of their son, James, when Vo was five months pregnant in 2024. Now, the couple is embracing hope and healing with the anticipation of a new chapter in their lives.</p> <p>“We had some extra baggage during our Vietnam adventure,” Vo shared on Instagram, accompanied by a radiant photo. “Our rainbow baby is due in Spring 🌈 We can’t wait to meet our baby girl and Sophia is excited to be a big sister. We know our boy James is looking after his little sister already 🤍.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DKQjHGYTHqE/?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/DKQjHGYTHqE/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Tracy Vo (@tracy_vo)</a></p> </div> </blockquote> <p>The due date carries a special significance – October 7 marks Tracy and Liam’s second wedding anniversary. “We were like, ‘Oh, well, it’s meant to be!’” she <a href="https://honey.nine.com.au/parenting/irena-gilbert-pregnancy-after-loss-no-one-tells-you-experience-rainbow-baby-anxiety-regret/6a00d6cd-32a8-47fd-82ff-9c414a1bfe47" target="_blank" rel="noopener">told 9News</a>.</p> <p>Vo, 41, opened up about the complex emotions that come with expecting after loss, describing their journey as “cautiously excited”. She and Liam waited until 21 weeks to share the news with loved ones, choosing to keep it close as they processed both hope and anxiety.</p> <p>“I think as the months go on it becomes more real and a step closer to having our little girl in our arms,” she said. “We’re just counting down those weeks.”</p> <p>Tracy says the experience has brought her and Liam even closer, strengthening their marriage through shared grief, healing and unwavering support.</p> <p>“I’m very grateful that Liam was a huge support,” she said. “We also had a great support network as well – our family, our friends.”</p> <p>The couple gently shared the happy news with Connolly’s six-year-old daughter, Sophia, by giving her a teddy bear that revealed the baby’s gender. Now eagerly preparing to be a big sister, Sophia is joining the family in their excitement.</p> <p>As for pregnancy cravings? “Cookies and ice cream,” Tracy revealed. “And then oranges. I’m just loving oranges. I could just eat oranges all day!”</p> <p>Vo hopes their story brings comfort and encouragement to others who have experienced pregnancy loss. Since sharing her journey, she has received messages from people with similar stories – all bound by strength.</p> <p>“Hopefully it just spreads the hope and the love for people out there,” Vo said.</p> <p><em>Images: Instagram</em></p>

Family & Pets

What’s the difference between ageing and frailty?

<div class="theconversation-article-body"> <p>Ageing is a normal part of the life course. It doesn’t matter how many green smoothies you drink, or how many “anti-ageing” skin care products you use, you can’t stop the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2685272/">ageing process</a>.</p> <p>But while we’re all getting older, not everyone who ages will necessarily become frail. Ageing and frailty are closely related, but they’re not the same thing.</p> <p>Let’s break down the difference between the two.</p> <h2>What is ageing?</h2> <p>On a biological level, ageing is the result of the build-up of <a href="https://www.who.int/news-room/fact-sheets/detail/ageing-and-health">cellular and molecular damage</a> in the body over time.</p> <p>The ageing process causes a gradual decline in physical and mental function, a higher risk of disease, and eventual (and unavoidable) death.</p> <p>Still, some people think they can cheat the system, <a href="https://fortune.com/well/article/bryan-johnson-live-longer-unrecognizable-anti-aging-procedure/">spending millions</a> trying to stay young forever. While we may be able to reduce the <a href="https://theconversation.com/do-these-three-popular-anti-ageing-skincare-ingredients-work-heres-what-the-evidence-says-182200">appearance of ageing</a>, ultimately there’s <a href="https://www.nature.com/articles/s44324-024-00040-3">no magic pill</a> to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2685272/">increase our longevity</a>.</p> <p>Around one in six Australians are over the age of 65 (<a href="https://www.aihw.gov.au/reports/older-people/older-australians/contents/demographic-profile">16% of the total population</a>). Yet <a href="https://www.tandfonline.com/doi/full/10.1080/03601277.2024.2402056">as individuals</a> and <a href="https://theconversation.com/fear-of-ageing-is-really-a-fear-of-the-unknown-and-modern-society-is-making-things-worse-220925">a society</a> many of us still have a <a href="https://www.smh.com.au/lifestyle/health-and-wellness/we-ve-been-constructed-to-think-a-certain-way-the-psychology-of-ageing-20231213-p5er6a.html">fear of ageing</a>.</p> <p>But what is it about ageing we are so afraid of? When it comes down to it, many people are probably less afraid of ageing, and more afraid of becoming frail.</p> <h2>What is frailty?</h2> <p><a href="https://www.afn.org.au/what-is-frailty/">Frailty</a> is defined as a state of vulnerability characterised by a loss of reserve across multiple parts of the body.</p> <p>Frailty is generally characterised by <a href="https://www1.racgp.org.au/newsgp/clinical/frailty-declared-a-medical-condition">several physical symptoms</a>, such as weakness, slow walking speed, exhaustion, unintentional weight loss, and low activity level.</p> <p>Lower bone density and osteoporosis (a condition where the bones become weak and brittle) are also <a href="https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-04875-w">associated with frailty</a>, increasing the risk of <a href="https://www.sciencedirect.com/science/article/pii/S1279770723020250">falls and fractures</a>.</p> <p>Notably, someone who is frail is less able to “bounce back” (or recover) after a stressor event compared to someone who is not frail. A stressor event could be, for example, having a fall, getting a urinary infection, or even being admitted to hospital.</p> <p>Frailty is more common in older people. But in some cases, frailty can affect younger people too. For example, people with advanced chronic diseases, such as <a href="https://academic.oup.com/eurjcn/article/22/4/345/6775229">heart failure</a>, can <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja15.00801">develop frailty</a> much younger.</p> <p>Frailty is dynamic. While it can get worse over time, in some cases <a href="https://www.sciencedirect.com/science/article/pii/S037851221830478X">frailty can also be reversed</a> or even prevented through health and lifestyle changes.</p> <p>For example, we know physical inactivity and a sedentary lifestyle can <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31786-6/abstract">significantly increase a person’s risk</a> of becoming frail. On the flip side, evidence shows doing more exercise can <a href="https://pubmed.ncbi.nlm.nih.gov/36746389/">reduce frailty in older adults</a>.</p> <p>There are other lifestyle modifications we can make too. And the earlier we make these changes, the better.</p> <h2>Preventing frailty</h2> <p>Here are some <a href="https://youtu.be/41cMkvsaOOM">key things</a> you can do to <a href="https://www.self.com/story/how-to-avoid-frailty-old-age">help prevent frailty</a>:</p> <p><strong>1. Get moving</strong></p> <p>Exercise more, including resistance training (such as squats and lunges, or grab some stretchy resistance bands). Many of these sorts of exercises can be done at home. YouTube has some <a href="https://youtu.be/XDQo4wslr7I?si=FAoyHLDZgSG5AN1r">great resources</a>.</p> <p>You might also consider joining a gym, or asking your GP about seeing an accredited exercise physiologist or physiotherapist. Medicare <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=10953&qt=item">subsidies may be available</a> for these specialists.</p> <p>The <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-older-australians-65-years-and-over">physical activity guidelines</a> for older Australians recommend at least 30 minutes of moderate intensity physical activity on most days or preferably every day.</p> <p>The guidelines also highlight the importance of incorporating different types of activities (such as resistance, balance or flexibility exercises) and reducing the time you spend sitting down.</p> <p><strong>2. Stay socially active</strong></p> <p>Social isolation and loneliness can <a href="https://academic.oup.com/gerontologist/article-abstract/64/10/gnae114/7734069">contribute to the progression of frailty</a>. Reach out to friends and family for support or contact local community groups that you may be able to join. This might include your local Zumba class or bridge club.</p> <p><strong>3. Ask your doctor or pharmacist to regularly check your medications</strong></p> <p>“Polypharmacy” (when someone is prescribed <a href="https://www.safetyandquality.gov.au/our-work/healthcare-variation/fourth-atlas-2021/medicines-use-older-people/61-polypharmacy-75-years-and-over">five or more medications</a>) is associated with an increased <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6005607/">risk of frailty</a>. The presence of frailty can also interfere with how the <a href="https://www.sciencedirect.com/science/article/pii/S0047637419300387">body absorbs medicines</a>.</p> <p><a href="https://www.healthdirect.gov.au/home-medicines-review">Home medicine reviews</a> are available for older adults with a <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=900">chronic medical condition or a complex medication regimen</a>. These reviews aims to help people get the most benefit from their medicines and reduce their risk of <a href="https://www.safetyandquality.gov.au/sites/default/files/2021-04/fourth_atlas_2021_-_6.2_medications_management_reviews_75_years_and_over_0.pdf">experiencing adverse effects</a>.</p> <p>Always consult your doctor before making any changes to your current medications.</p> <p><strong>4. Eat a protein-rich diet with plenty of fruit and vegetables</strong></p> <p><a href="https://academic.oup.com/biomedgerontology/article/61/6/589/589472?login=true#9578331">Low nutrient intake</a> can negatively impact physical function and may increase your risk of becoming frail. There’s some evidence to suggest eating more protein may <a href="https://academic.oup.com/ageing/article/49/1/32/5618813">delay the onset of frailty</a>.</p> <p>A food-first approach is best when looking to increase the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7598653/#:%7E:text=Many%20studies%20have%20described%20an,are%20necessary%20to%20prevent%20frailty.">protein in your diet</a>. Protein is found in <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/protein#protein-foods">foods such as</a> lean meats, poultry, seafood, eggs, dairy products, legumes and nuts.</p> <p>Adults over 50 should aim to eat <a href="https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients/protein">64 grams of protein</a> per day for men and 46g per day for women. Adults over 70 should aim for 81g per day for men and 57g per day for women.</p> <p>Ask your GP for a referral to a dietitian who can provide advice on a dietary regime that is best for you.</p> <p>Supplements may be recommended if you are struggling to meet your protein needs from diet alone.<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/247450/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/julee-mcdonagh-1525476">Julee McDonagh</a>, Senior Research Fellow of Frailty Research, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/caleb-ferguson-72">Caleb Ferguson</a>, Professor of Nursing and Director of Health Innovations, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-ageing-and-frailty-one-is-inevitable-the-other-is-not-247450">original article</a>.</em></p> <p><em>Image: Mikhail Nikov / Pexels</em></p> </div>

Body

What makes somebody a narcissist?

<div class="theconversation-article-body"> <p>Narcissism has become the armchair diagnosis of the decade. Social media is awash with people flinging the label around. Everyone’s ex seems to be a narcissist, some of our parents are under suspicion, and that office villain? They definitely tick the box, too.</p> <p>The accuracy of these rampant diagnoses warrants scepticism. But the reality is narcissists do exist. At its extreme, narcissism is a rare mental health diagnosis, known as <a href="https://www.ncbi.nlm.nih.gov/books/NBK556001/">narcissistic personality disorder</a>. But narcissism also describes a cluster of personality traits, which we all display to varying degrees.</p> <p>For those of us who have been in close quarters with someone high in narcissistic traits, we rarely walk away unscathed. And we may be left with lingering questions. For example, what made them this way?</p> <p>In a recent <a href="https://doi.org/10.1016/j.paid.2025.113255">meta-analysis</a>, my colleagues and I pulled together studies examining the link between narcissism and adult attachment styles. Our findings offer an important clue – especially when it comes to the potential roots of vulnerable narcissism.</p> <h2>Types of narcissism</h2> <p>There are two main types of <a href="https://doi.org/10.1111/j.1467-6494.2010.00711.x">narcissism</a>.</p> <p>Grandiose narcissism is what typically comes to mind. It is characterised by an overtly grandiose, aggressive and dominant interpersonal style. In contrast, vulnerable narcissism is marked by introversion, hypersensitivity to criticism, and a defensive, insecure grandiosity that masks fragile self-esteem.</p> <p>Antagonistic traits such as entitlement, manipulation, and a lack of empathy lie at the core of both narcissism types. This helps to explain the <a href="https://doi.org/10.1037/abn0000298">interpersonal difficulties</a> linked to each.</p> <p>Vulnerable narcissism, in particular, has been linked to a range of harmful behaviours in romantic relationships. Individuals high in this trait are more likely to engage in <a href="https://www.respectvictoria.vic.gov.au/news/red-flags-what-love-bombing-and-why-it-bad">love bombing</a>, <a href="https://doi.org/10.1016/j.tele.2023.101985">ghosting and breadcrumbing</a>.</p> <p>They also tend to report <a href="https://doi.org/10.1080/15298868.2019.1707272">lower relationship satisfaction</a>, hold more permissive attitudes towards <a href="https://doi.org/10.1037/fam0001126">infidelity</a> and perpetrate <a href="https://doi.org/10.1177/15248380231196115">intimate partner violence</a> at higher rates.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DIyj175t6iV/?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/DIyj175t6iV/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Amanda E. White, LPC, LMHC (@therapyforwomen)</a></p> </div> </blockquote> <h2>Secure versus insecure attachment</h2> <p>Researchers have turned to <a href="https://theconversation.com/attachment-theory-what-people-get-wrong-about-pop-psychologys-latest-trend-for-explaining-relationships-195034">attachment styles</a> to help explain how individuals high in narcissism behave in romantic relationships.</p> <p><a href="https://doi.org/10.1002/9781118938119.ch2">Attachment theory</a> proposes that early experiences with primary caregivers shape our beliefs about ourselves and others. These beliefs are thought to persist into adulthood and influence how we experience and navigate adult relationships.</p> <p>If we felt safe, loved and supported as children, we are more likely to have a positive view of our self and others. This is the hallmark of secure attachment, which lays the foundation for healthy, stable relationships in adulthood.</p> <p>But when early relationships are marked by neglect, inconsistency or abuse, they can give rise to insecure attachment styles. <a href="https://psycnet.apa.org/record/1991-33075-001">Adult attachment models</a> generally identify three types of insecure attachment.</p> <p>Preoccupied attachment develops from a negative view of the self and a positive view of others. Individuals with this style often feel unworthy of love and seek constant reassurance in relationships, fearing rejection and abandonment.</p> <p>Dismissive attachment is rooted in a positive view of the self but a negative view of others. These individuals tend to prioritise independence over intimacy. As a result, they often struggle to form deep connections.</p> <p>Fearful attachment involves negative views of both the self and others. Those with this style typically crave connection while at the same time fearing it, leading to push-pull dynamics in relationships.</p> <h2>An interesting pattern</h2> <p>In our meta-analysis, we combined the results of 33 previous studies comprising more than 10,000 participants to examine how narcissism relates to each of the four adult attachment styles. Overall, narcissism was linked to each of the three insecure attachment styles.</p> <p>But when we looked at the two types of narcissism separately, an interesting pattern emerged. Vulnerable narcissism was consistently linked to insecure attachment styles – with associations of moderate strength for preoccupied and fearful attachment styles.</p> <p>In contrast, grandiose narcissism showed no such link.</p> <p>Does this mean insecure attachment causes vulnerable narcissism? Not necessarily. The studies we reviewed were “correlational”, which means they looked at connections, not causes. So we can’t say attachment styles cause vulnerable narcissism. To answer that, we’d need longitudinal research tracking people over time.</p> <p>Still, our findings suggest that insecure attachment – particularly preoccupied and fearful attachment styles – may be an important risk factor in the development of vulnerable narcissism.</p> <p>Of course, not everyone with an insecure attachment style has high levels of vulnerable narcissism. However, for some, vulnerable narcissism may emerge as a defensive coping strategy that arises when early attachments were marked by inconsistency, neglect or abuse.</p> <h2>Healing childhood wounds</h2> <p>Attachment styles tend to be <a href="https://doi.org/10.1207/S15327957PSPR0602_03">fairly consistent throughout a person’s life</a>, however change is possible. Attachment-focused therapies, such as <a href="https://theconversation.com/im-a-failure-how-schema-therapy-tackles-the-deep-rooted-beliefs-that-affect-our-mental-health-250789">schema therapy</a> and <a href="https://www.psychologytoday.com/au/therapy-types/emotionally-focused-therapy">emotionally focussed therapy</a>, can help individuals heal attachment wounds and build more secure relationship patterns. These approaches may be especially helpful for those high in vulnerable narcissism.</p> <p>At the same time, it is important that families have access to free and timely mental health care, so that children are supported to process and heal from trauma before it shapes their adult relationships, and the way they parent the next generation.</p> <p>But prevention is better than cure.</p> <p>Supporting parents and caregivers to build secure attachments with the their children and equipping them with the tools to parent effectively is essential. This is especially urgent given disturbingly <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51873">high rates of child maltreatment in Australia</a>, including emotional abuse, physical abuse and neglect – all of which have been <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51873">linked to the development of vulnerable narcissism</a>.</p> <p>We don’t need to look too far to see the cost of turning a blind eye.<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/257468/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/megan-willis-8914">Megan Willis</a>, Associate Professor, School of Behavioural and Health Sciences, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-makes-somebody-a-narcissist-mounting-evidence-suggests-links-to-insecure-attachment-styles-257468">original article</a>. </em></p> <p>Images: <span style="font-family: 'Canva Sans', 'Helvetica Neue', Roboto, -apple-system, blinkmacsystemfont, sans-serif; font-size: 14px; white-space: pre;">Engin Akyurt / pexels.com</span></p> </div>

Mind

Can you treat headaches with physiotherapy?

<div class="theconversation-article-body">You might’ve noticed some physiotherapists advertise they offer treatments for headaches and wondered: would that work?</p> <p>In fact, there’s a solid body of research showing that physiotherapy treatments can be really helpful for certain types of headache.</p> <p>Sometimes, however, medical management is also necessary and it’s worth seeing a doctor. Here’s what you need to know.</p> <h2>Cervicogenic headache: when pain travels up your neck</h2> <p>Cervicogenic headache is where pain is referred from the top of the neck (an area known as the upper cervical spine).</p> <p>Pain is usually one-sided. It generally starts just beneath the skull at the top of the neck, spreading into the back of the head and sometimes into the back of the eye.</p> <p>Neck pain and headache are often triggered by activities that put strain on the neck, such as holding one posture or position for a long time, or doing repetitive neck movements (such as looking up and down repeatedly).</p> <p>Unlike in migraine, people experiencing cervicogenic headache don’t usually get nausea or sensitivity to light and sound.</p> <p>Because this is a musculoskeletal condition of the upper neck, physiotherapy treatments that <a href="https://pubmed.ncbi.nlm.nih.gov/12221344/">improve</a> neck function – such as manual therapy, exercise and education – can <a href="https://pubmed.ncbi.nlm.nih.gov/27497890/">provide</a> <a href="https://pubmed.ncbi.nlm.nih.gov/38902195/">short- and long-term benefits</a>.</p> <h2>Can physio help with migraine?</h2> <p>Migraine is a neurological disorder whereby the brain has difficulty processing sensory input.</p> <p>This can cause episodic attacks of moderate to severe headache, as well as:</p> <ul> <li>sensitivity to light and noise</li> <li>nausea and</li> <li>intolerance to physical exertion.</li> </ul> <p>There are many triggers. Everyone’s are different and identifying yours is crucial to self-management of migraine. Medication can also help, so seeing a GP is the first step if you <a href="https://headacheaustralia.org.au/migraine/">suspect you have migraine</a>.</p> <p>About <a href="https://pubmed.ncbi.nlm.nih.gov/35166137/">70-80%</a> of people with migraine also have neck pain, commonly just before or at the onset of a migraine attack. This can make people think their neck pain is triggering the migraine.</p> <p>While this may be true in some people, our <a href="https://pubmed.ncbi.nlm.nih.gov/34214181/">research</a> has shown many people with migraine have nothing wrong with their neck despite having neck pain.</p> <p>In those cases, neck pain is part of migraine and can be a warning (but not a cause or trigger) of an imminent migraine attack. It can signal patients need to take steps to prevent the attack.</p> <p>On the other hand, if the person has musculoskeletal neck disorder, physiotherapy neck treatments may help improve their migraine. Musculoskeletal neck disorder is what physiotherapists call typical neck pain caused by, for instance, a sports injury or sleeping in a weird way.</p> <p>You may have heard of the Watson manual therapy technique being used to treat migraine. It involves applying manual pressure to the upper cervical spine and neck area.</p> <p>There are currently no peer-reviewed studies looking at how effective this technique is for migraine.</p> <p>However, recent studies investigating a combination of manual therapy, neck exercises and education tailored to the individual’s circumstances <a href="https://pubmed.ncbi.nlm.nih.gov/36739510/">show</a> some <a href="https://www.researchgate.net/publication/342117351_Neck_treatment_compared_to_aerobic_exercise_in_migraine_A_preference-based_clinical_trial">small effects</a> in improving the number of migraine attacks and the disabling effects of headache.</p> <p>Manual therapy and neck exercises can also give short-term pain relief.</p> <p>However, in some cases the neck can become very sensitive and easily aggravated in <a href="https://pubmed.ncbi.nlm.nih.gov/15907257/">migraine</a>. That means inappropriate assessment or treatment could end up triggering a migraine.</p> <p>Physiotherapy can help with migraine but you first need a comprehensive and skilled physical assessment of the neck by an experienced physiotherapist. It’s crucial to identify if a musculoskeletal neck disorder is present and, if so, which type of neck treatment is needed.</p> <p>It is also important people with migraine understand how their migraine is triggered, what lifestyle factors contribute to it and when to take the appropriate medications to help manage their migraines.</p> <p>A trained physiotherapist can provide some of this information and help patients make sense of their condition and recommend the patient see their GP for medication, when appropriate.</p> <h2>What about tension headaches?</h2> <p>Tension type headache is the most common type of headache, characterised by a feeling of “tightness” or “band-like” pain around the head.</p> <p>Nausea and sensitivity to light and noise are not usually present with this type of headache.</p> <p>Like migraine, tension type headache is often associated with neck pain and also has different aggravating factors, not all of which are due to the neck.</p> <p>Again, a detailed assessment by a trained physiotherapist is needed to identify if the neck is involved and what type of neck treatment is best.</p> <p>There is some evidence a combination of <a href="https://pubmed.ncbi.nlm.nih.gov/35236143/">manual therapy and exercise</a> can reduce tension type headache.</p> <p>Physiotherapists can also provide education and advice on aggravating factors and self management.</p> <h2>Seeking help</h2> <p>There are many types and causes of headache. If you suffer frequent headaches or have a new or unusual headache, ask a doctor to investigate.</p> <p>There is good evidence physiotherapy treatment will improve cervicogenic headache and emerging evidence it might help migraine and tension type headache (alongside usual medical care).</p> <p>If you are wondering if you have cervicogenic headache or if you have bothersome neck pain associated with headache, ask your doctor to refer you to a skilled physiotherapist trained in headache treatment. A careful assessment can determine if physiotherapy treatment will help.<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/256581/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By </em><a href="https://theconversation.com/profiles/zhiqi-liang-2392952"><em>Zhiqi Liang</em></a><em>, Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>; <a href="https://theconversation.com/profiles/julia-treleaven-2393094">Julia Treleaven</a>, Associate Professor in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>, and <a href="https://theconversation.com/profiles/lucy-thomas-2392963">Lucy Thomas</a>, Teaching and research academic in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-you-treat-headaches-with-physiotherapy-heres-what-the-research-says-256581">original article</a>.</em></p> <p><em>Image: Marcus Aurelius / Pexels</em></p> </div>

Caring

RBA cuts interest rate - so what happens now?

<div class="theconversation-article-body"> <p>The Reserve Bank of Australia <a href="https://www.rba.gov.au/media-releases/2025/mr-25-13.html">cut the official interest rate</a> for the second time this year, as it lowered forecasts for Australian economic growth and pointed to increasing uncertainty in the world economy.</p> <p>The bank lowered the <a href="https://www.rba.gov.au/cash-rate-target-overview.html">cash rate target</a> by 0.25%, from 4.1% to 3.85%, saying inflation is expected to remain in the target band.</p> <p>All the big four banks swiftly passed the cut on to households with mortgages. This will save a household with a $500,000 loan about $80 a month.</p> <p>Announcing the cut, the Reserve Bank <a href="https://www.rba.gov.au/media-releases/2025/mr-25-13.html">stressed</a> in its accompanying statement it stands ready to reduce rates again if the economic outlook deteriorates sharply.</p> <blockquote> <p>The Board considered a severe downside scenario and noted that monetary policy is well placed to respond decisively to international developments if they were to have material implications for activity and inflation in Australia.</p> </blockquote> <h2>Inflation is back under control</h2> <p>The latest <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/consumer-price-index-australia/latest-release">Consumer Price Index</a> showed that inflation remained around the middle of the Reserve Bank’s <a href="https://www.rba.gov.au/education/resources/explainers/australias-inflation-target.html">medium-term target band of 2-3%</a> in the March quarter.</p> <p>The Reserve Bank was also comforted by the underlying inflation measure called the “trimmed mean”. This measure excludes items with the largest price movements up or down.</p> <p>The bank noted that it has returned to the 2–3% target band for the first time since 2021. This suggests inflation is not just temporarily low due to temporary factors such as the electricity price rebates.</p> <p><iframe id="QQ6io" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/QQ6io/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>In February, Reserve Bank Governor Michele Bullock <a href="https://parlinfo.aph.gov.au/parlInfo/download/committees/commrep/28670/toc_pdf/Economics%20Committee_2025_02_21_Official.pdf;fileType=application%2Fpdf">conceded</a> the bank had arguably been “late raising interest rates on the way up”. It did not want to be late on the way down.</p> <p>Perhaps Bullock is being unduly modest. The central bank looks to have judged well the extent of monetary tightening. It did not raise interest rates as much as its peers, but still got inflation back to the target.</p> <p><iframe id="ZIcUE" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/ZIcUE/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <h2>Unemployment remains low</h2> <p>Last week, we got an <a href="https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia/latest-release">update</a> on the strength of the labour market. Unemployment stayed at 4.1%. It has now been around 4% since late 2023, a remarkable achievement.</p> <p>This is below the 4.5% the Reserve Bank had <a href="https://www.rba.gov.au/speeches/2019/sp-ag-2019-06-12-2.html">regarded</a> as the level consistent with steady inflation (in economic jargon, the <a href="https://www.rba.gov.au/education/resources/explainers/nairu.html">NAIRU</a>). But neither prices nor <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/wage-price-index-australia/latest-release">wages</a> have accelerated.</p> <p><iframe id="WYjUU" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/WYjUU/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <h2>Households and businesses may turn cautious</h2> <p>In its updated <a href="https://www.rba.gov.au/publications/smp/2025/may/pdf/statement-on-monetary-policy-2025-05.pdf">forecasts</a>, the bank sees headline inflation dropping to 2.1% by mid-year but going back to 3.0% by the end of the year, as the electricity subsidies are removed. By mid-2027, it will be back near the middle of the 2-3% target.</p> <p>Underlying inflation is forecast to stay around the middle of the target band throughout.</p> <p>The Reserve Bank cut its forecast for gross domestic product (GDP) to 2.1% by December, down from its previous forecast of 2.4% made in February. It said:</p> <blockquote> <p>Economic policy uncertainty has increased sharply alongside recent global developments, and this is expected to prompt some households to increase their precautionary savings and some businesses to postpone some investment decisions.</p> </blockquote> <p>The unemployment rate is expected to increase to 4.3% by the end of the year and remain there through 2026.</p> <p>Cost of living pressures look set to ease, as real household disposable income grows faster than population.</p> <p>As the Reserve Bank governor told a media conference on Tuesday:</p> <blockquote> <p>There’s now a new set of challenges facing the economy, but with inflation declining and the unemployment rate relatively low, we’re well positioned to deal with them. The board remains prepared to take further action if that is required.</p> </blockquote> <h2>Economic and policy ‘unpredictability’</h2> <p>The main uncertainty in the global economy is how the trade war instigated by US President Donald Trump will play out. <a href="https://www.washingtonpost.com/business/2025/05/14/trump-tariffs-china-trade/">According to one count</a>, he has announced new or revised tariff policies about 50 times.</p> <p>“The outlook for the global economy has deteriorated since the February statement. This is due to the adverse impact on global growth from higher tariffs and widespread economic and policy unpredictability,” the bank noted.</p> <p>The US tariff pauses on the highest rates on China and most other nations are due to be in place for 90 days. But more measures may be announced before then.</p> <p>This uncertainty is likely to be stifling trade, and even more so investment decisions by companies in the face of rapidly changing policies. And it will weaken the global economy.</p> <p>In her <a href="https://rba.livecrowdevents.tv/MediaConferenceMonetaryPolicyDecision20May2025/stream">press conference</a>, Bullock said the board’s judgement was that “global trade developments will overall be disinflationary for Australia”. Not only is the global outlook weaker, but some goods no longer being sold to the US could be diverted to Australia.</p> <h2>Where will interest rates go from here?</h2> <p>The Reserve Bank’s updated <a href="https://www.rba.gov.au/publications/smp/2025/may/pdf/statement-on-monetary-policy-2025-05.pdf">forecasts</a> assume interest rates will fall further, to 3.4% by the end of the year.</p> <p>But this is just a reflection of what <a href="https://www.rba.gov.au/statistics/cash-rate/assumptions/index.html">financial markets are implying</a>. It is not necessarily what the bank itself <em>expects</em> to do. It is certainty not a <em>promise</em> of what they will do.</p> <p>But the Reserve Bank still regards its stance as “restrictive”, or weighing on growth. So if it continues to believe inflation will stay within the target band, or the global outlook deteriorates, it will cut rates further.<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/256798/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/john-hawkins-746285">John Hawkins</a>, Senior Lecturer, Canberra School of Politics, Economics and Society, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/rba-cuts-interest-rates-ready-to-respond-again-if-the-economy-weakens-further-256798">original article</a>. </em></p> <p><em>Image: Sky News</em></p> </div>

Money & Banking

Why do some people get a curved back as they age and what can we do to avoid it?

<div class="theconversation-article-body"> <p>As we age, it’s common to notice posture changes: shoulders rounding, head leaning forward, back starting to curve. You might associate this with older adults and wonder: will this happen to me? Can I prevent it?</p> <p>It’s sometimes called “hunchback” or “roundback”, but the medical term for a curved back is kyphosis.</p> <p>When the curve is beyond what’s considered normal (greater than 40 degrees), we refer to this as hyperkyphosis. In more <a href="https://www.jospt.org/doi/10.2519/jospt.2010.3099#_i12:%7E:text=gold%2Dstandard%20radiograph.-,Clinical%20Consequences%20of%20Hyperkyphosis,-Functional%20Limitations">severe cases</a>, it may lead to pain, reduced mobility and physical function, or lower quality of life.</p> <p>Here’s how it happens, and how to reduce your risk.</p> <h2>What causes a curved back?</h2> <p>A healthy spine has an elongated s-shape, so a curve in the upper spine is completely normal.</p> <p>But when that curve becomes exaggerated and fixed (meaning you can’t stand up straight even if you try), it can signal a problem.</p> <p>One common cause of a curved back is poor posture. This type, called postural kyphosis, usually develops over time due to muscle imbalances, particularly in younger people who spend hours:</p> <ul> <li>hunched over a desk</li> <li>slouched in a chair, or</li> <li>looking down at a phone.</li> </ul> <p>Fortunately, this kind of curved back is often reversible with the right exercises, stretches and posture awareness.</p> <p>Older adults often develop a curved back, known as age-related kyphosis or hyperkyphosis.</p> <p>This is usually due to wear and tear in the spine, including vertebral compression fractures, which are tiny cracks in the bones of the spine (vertebrae).</p> <p>These cracks are most often caused by osteoporosis, a condition that makes bones more fragile with age.</p> <p>In these cases, it’s not just bad posture – it’s a structural change in the spine.</p> <h2>How can you tell the difference?</h2> <p>Signs of age-related hyperkyphosis include:</p> <ul> <li>your back curves even when you try to stand up straight</li> <li>back pain or stiffness</li> <li>a loss of height (anything greater than 3-4 centimetres compared to your peak adult height may be considered outside of “normal” ageing).</li> </ul> <p>Other causes of a curved back include:</p> <ul> <li><a href="https://pubmed.ncbi.nlm.nih.gov/30407981/">Scheuermann’s kyphosis</a> (which often develops during adolescence when the bones in the spine grow unevenly, leading to a forward curve in the upper back)</li> <li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4347150/">congenital kyphosis</a> (a rare condition present from birth, caused by improper formation of the spinal bones. It can result in a more severe, fixed curve that worsens as a child grows)</li> <li>scoliosis (where the spine curves sideways into a c- or s-shape when viewed from behind), and</li> <li>lordosis (an excessive inward curve in the lower back, when viewed from the side).</li> </ul> <p>In addition to these structural conditions, arthritis, and in rare cases, spinal injuries or infections, can also play a role.</p> <h2>Should I see a doctor about my curved back?</h2> <p>Yes, especially if you’ve noticed a curve developing, have ongoing back pain, or have lost height over time.</p> <p>These can be signs of vertebral fractures, which can occur in the absence of an obvious injury, and are often painless.</p> <p>While one in five older adults have a vertebral fracture, as many as two-thirds of these fractures are <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002934315010128?casa_token=DzXngmS6GIoAAAAA:3ub0V4PuHbKjrqO9xYDo8vx2m9k6tbOtmz4yIVzkQvH-VylhgO_KnKaTYDLXpiHc9_4Jz0iNdQ">not diagnosed and treated</a>.</p> <p>In Australia, the Royal Australian College of General Practitioners and Healthy Bones Australia <a href="https://healthybonesaustralia.org.au/wp-content/uploads/2022/12/oa-racgp-osteoporosis-clinical-guidelines-2nd-ed.pdf">recommend</a> a spine x-ray for:</p> <ul> <li>people with kyphosis</li> <li>height loss equal to or more than 3 centimetres, or</li> <li>unexplained back pain.</li> </ul> <h2>What can I do to reduce my risk?</h2> <p>If you’re young or middle-aged, the habits you build today matter.</p> <p>The best way to prevent a curved back is to keep your bones strong, muscles active, and posture in check. That means:</p> <ul> <li>doing regular resistance training, especially targeting upper back muscles</li> <li>staying physically active, aiming for at least <a href="https://www.who.int/initiatives/behealthy/physical-activity">150 minutes per week</a></li> <li>getting enough protein, calcium, and vitamin D to support bone and muscle health</li> <li>avoiding smoking and limiting alcohol to reduce risk factors that worsen bone density and overall wellbeing</li> </ul> <p>Pay attention to your posture while sitting and standing. Position your head over your shoulders and shoulders over your hips. This reduces strain on your spine.</p> <h2>What exercises help prevent and manage a curved back?</h2> <p>Focus on <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5112023/">exercises that strengthen the muscles</a> that support an upright posture, particularly the upper back and core, while improving mobility in the chest and shoulders.</p> <p>In general, you want to prioritise extension-based movements. These involve straightening or lifting the spine and pulling the shoulders back.</p> <p>Repeated forward-bending (or flexion) movements may make things worse, especially in people with osteoporosis or spinal fractures.</p> <p>Good exercises include:</p> <ul> <li>back extensions (gently lift your chest off the floor while lying face down)</li> <li>resistance exercises targeting the muscles between your shoulder blades</li> <li>weight-bearing activities (such as brisk walking, jogging, stair climbing, or dancing) to keep bones strong and support overall fitness</li> <li>stretching your chest and hip flexors to open your posture and relieve tightness.</li> </ul> <p>Flexibility and balance training (such as yoga and pilates) can be <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3700806/">beneficial</a>, particularly for posture awareness, balance, and mobility. But <a href="https://pubmed.ncbi.nlm.nih.gov/31034509/">research</a> increasingly supports muscle strengthening as the cornerstone of prevention and management.</p> <p>Muscle strengthening exercises, such as weight lifting or resistance training, reduces spinal curvature while enhancing muscle and bone mass.</p> <p>If you suspect you have kyphosis or already have osteoporosis or a vertebral fracture, consult a health professional before starting an exercise program. There may be some activities to avoid.</p> <h2>Can a curved back be reversed?</h2> <p>If it’s caused by poor posture and muscle weakness, then yes, it’s possible.</p> <p>But if it’s caused by bone changes, especially vertebral fractures, then full reversal is unlikely. However, treatment can reduce pain, improve function, and slow further progression.</p> <p>Protecting your posture isn’t just about appearance. It’s about staying strong, mobile and independent as you age.<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/252811/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/jakub-mesinovic-2351870">Jakub Mesinovic</a>, Research Fellow at the Institute for Physical Activity and Nutrition, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/david-scott-1258511">David Scott</a>, Associate Professor (Research) and NHMRC Emerging Leadership Fellow, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-some-people-get-a-curved-back-as-they-age-and-what-can-i-do-to-avoid-it-252811">original article</a>.</em></p> <p><em>Image: Life Care Home Health</em></p> </div>

Body

What is a blood cholesterol ratio? And what should yours be?

<div class="theconversation-article-body"> <p>Have you had a blood test to check your cholesterol level? These check the different blood fat components:</p> <ul> <li>total cholesterol</li> <li>LDL (low-density lipoprotein), which is sometimes called “bad cholesterol”</li> <li>HDL (high-density lipoprotein), which is sometimes called “good cholesterol”</li> <li>triglycerides.</li> </ul> <p>Your clinician then compares your test results to normal ranges – and may use ratios to compare different types of cholesterol.</p> <p><iframe id="8KC9s" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/8KC9s/6/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>High blood cholesterol is a major risk factor for cardiovascular disease. This is a broad term that includes disease of blood vessels throughout the body, arteries in the heart (known as coronary heart disease), heart failure, heart valve conditions, arrhythmia and stroke.</p> <p>So what does cholesterol do? And what does it mean to have a healthy cholesterol ratio?</p> <h2>What are blood fats?</h2> <p>Cholesterol is a waxy type of fat made in the liver and gut, with a small amount of pre-formed cholesterol coming from food.</p> <p>Cholesterol is found in all cell membranes, contributing to their structure and function. Your body <a href="https://www.ncbi.nlm.nih.gov/books/NBK513326/">uses cholesterol to make</a> vitamin D, bile acid, and hormones, including oestrogen, testosterone, cortisol and aldosterone.</p> <p>When there is too much cholesterol in your blood, it gets deposited into artery walls, making them hard and narrow. This process is called <a href="https://en.wikipedia.org/wiki/Atherosclerosis">atherosclerosis</a>.</p> <p>Cholesterol is <a href="https://www.ncbi.nlm.nih.gov/books/NBK513326/">packaged with</a> <a href="https://en.wikipedia.org/wiki/Triglyceride">triglycerides</a> (the most common type of fat in the body) and specific <a href="https://en.wikipedia.org/wiki/Apolipoprotein">“apo” proteins</a> into “lipo-proteins” as a package called “very-low-density” lipoproteins (VLDLs).</p> <p>These are transported via the blood to body tissue in a form called low-density lipoprotein (LDL) cholesterol.</p> <p>Excess cholesterol can be transported back to the liver by high-density lipoprotein, the HDL, for removal from circulation.</p> <p>Another less talked about blood fat is Lipoprotein-a, or Lp(a). This is determined by your genetics and <a href="https://www.victorchang.edu.au/heart-disease/high-cholesterol">not influenced by lifestyle factors</a>. About one in five (<a href="https://www1.racgp.org.au/ajgp/2021/may/lipid-management-and-implications-for-australian-g">20%</a>) of Australians are carriers.</p> <p>Having a high Lp(a) level is an independent cardiovascular disease risk factor.</p> <h2>Knowing your numbers</h2> <p>Your blood fat levels <a href="https://www.heartfoundation.org.au/your-heart/high-blood-cholesterol">are affected by</a> both modifiable factors:</p> <ul> <li>dietary intake</li> <li>physical activity</li> <li>alcohol</li> <li>smoking</li> <li>weight status.</li> </ul> <p>And non-modifiable factors:</p> <ul> <li>age</li> <li>sex</li> <li>family history.</li> </ul> <p><iframe id="S7Xp4" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/S7Xp4/1/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <h2>What are cholesterol ratios?</h2> <p>Cholesterol ratios are sometimes used to provide more detail on the balance between different types of blood fats and to evaluate risk of developing heart disease.</p> <p>Commonly used ratios include:</p> <h2>1. Total cholesterol to HDL ratio</h2> <p>This ratio is used in Australia to <a href="https://www.cvdcheck.org.au/calculator">assess risk of heart disease</a>. It’s calculated by dividing your total cholesterol number by your HDL (good) cholesterol number.</p> <p>A higher ratio (<a href="https://www.medicalnewstoday.com/articles/cholesterol-ratio-calculator#how-to-calculate">greater than 5</a>) is associated with a higher risk of heart disease, whereas a lower ratio is associated with a lower risk of heart disease.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/36589799/">study</a> of 32,000 Americans over eight years found adults who had either very high, or very low, total cholesterol/HDL ratios were at 26% and 18% greater risk of death from any cause during the study period.</p> <p>Those with a ratio of greater than 4.2 had a 13% higher risk of death from heart disease than those with a ratio lower than 4.2.</p> <h2>2. Non-HDL cholesterol to HDL cholesterol ratio (NHHR)</h2> <p>Non-HDL cholesterol is the total cholesterol minus HDL. Non-HDL cholesterol includes all blood fats such as LDL, triglycerides, Lp(a) and others. This ratio is abbreviated as NHHR.</p> <p>This ratio has been used more recently because it compares the ratio of “bad” blood fats that can contribute to atherosclerosis (hardening and narrowing of the arteries) to “good” or anti-atherogenic blood fats (HDL).</p> <p>Non-HDL cholesterol is a <a href="https://pubmed.ncbi.nlm.nih.gov/31170997/">stronger predictor of cardiovascular disease risk</a> than LDL alone, while <a href="https://pubmed.ncbi.nlm.nih.gov/37228232/">HDL is associated with</a> lower cardiovascular disease risk.</p> <p>Because this ratio removes the “good” cholesterol from the non-HDL part of the ratio, it is not penalising those people who have really high amounts of “good” HDL that make up their total cholesterol, which the first ratio does.</p> <p>Research has suggested this ratio may be a stronger <a href="https://pubmed.ncbi.nlm.nih.gov/39949279/">predictor of atherosclerosis in women than men</a>, however more research is needed.</p> <p>Another <a href="https://pubmed.ncbi.nlm.nih.gov/39415313">study</a> followed more than 10,000 adults with type 2 diabetes from the United States and Canada for about five years. The researchers found that for each unit increase in the ratio, there was around a 12% increased risk of having a heart attack, stroke or death.</p> <p>They identified a risk threshold of 6.28 or above, after adjusting for other risk factors. Anyone with a ratio greater than this is at very high risk and would require management to lower their risk of heart disease.</p> <h2>3. LDL-to-HDL cholesterol ratio</h2> <p>LDL/HDL is calculated by dividing your LDL cholesterol number by the HDL number. This gives a ratio of “bad” to “good” cholesterol.</p> <p>A lower ratio (<a href="https://www.medicalnewstoday.com/articles/cholesterol-ratio-calculator#how-to-calculate">ideal is less than 2.0</a>) is associated with a lower risk of heart disease.</p> <p>While there is lesser focus on LDL/HDL, these ratios have been shown to be predictors of occurrence and <a href="https://pubmed.ncbi.nlm.nih.gov/35843962/">severity of heart attacks</a> in patients presenting with chest pain.</p> <p>If you’re worried about your cholesterol levels or cardiovascular disease risk factors and are aged 45 and over (or over 30 for First Nations people), consider seeing your GP for a Medicare-rebated <a href="https://www.heartfoundation.org.au/your-heart/heart-health-checks">Heart Health Check</a>.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253126/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> and <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, Postdoctoral Researcher, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-a-blood-cholesterol-ratio-and-what-should-yours-be-253126">original article</a>.</em></p> <p><em>Image: Everlabs</em></p> </div>

Caring

"It's simple": Sussan Ley reveals stance on Welcome to Country

<p>Newly elected Liberal leader <a href="https://oversixty.com.au/finance/legal/sussan-ley-elected-first-female-leader-of-the-liberal-party" target="_blank" rel="noopener">Sussan Ley </a>has called on her party to modernise and reconnect with contemporary Australian values following one of its worst electoral defeats in history.</p> <p>In her first press conference since defeating Angus Taylor for the leadership, Ms Ley pledged a fresh approach to politics, saying the Liberal Party must "respect, reflect, and represent modern Australia".</p> <p>“We have to meet the people where they are. And that’s what I am committed to doing and what I am determined to do,” she said. “I want to do things differently, and we have to have a fresh approach.”</p> <p>Ley described her election to the party’s top job as an “enormous privilege”, adding: “I am humbled. I am honoured. And I am up for the job.”</p> <p>The leadership transition follows a bruising election campaign that saw the Liberals suffer significant losses, prompting calls for renewal and deeper engagement with a changing electorate.</p> <p>Cultural recognition also emerged as a flashpoint during the campaign’s final days, with controversy over audience reactions to Welcome to Country ceremonies. Addressing the issue head-on, Ms Ley called for authenticity in cultural acknowledgements.</p> <p>“With respect to Welcome to Country, it’s simple: if it’s meaningful, if it matters, if it resonates, then it’s in the right place,” she said. “If it is done in a way that is ticking a box on a Teams meeting then I don’t think it is relevant. It actually diminishes the value of what it is.”</p> <p>On the issue of national symbols, Ms Ley said she frequently stands in front of the Indigenous flag but would prefer to see Australians united under a single banner.</p> <p>“We should unite under the one Australian flag, that is my firm view,” she stated.</p> <p>Ms Ley now faces the challenge of steering a divided and diminished Liberal Party toward renewal, with pressure mounting to appeal to a broader, more diverse Australia. Her leadership marks a potential turning point for the party as it seeks to rebuild and redefine its identity in opposition.</p> <p><em>Image: Instagram</em></p>

Legal

Bindi shares heartbreaking update from hospital bed

<p>Beloved Aussie conservationist Bindi Irwin has updated fans following a recent health scare that saw her <a href="https://www.oversixty.com.au/health/caring/bindi-irwin-rushed-to-hospital-in-the-us" target="_blank" rel="noopener">rushed to hospital</a> during a trip to Las Vegas. The 26-year-old was in the city to attend the annual Steve Irwin Gala Dinner, held in honour of her late father, when she was suddenly hospitalised.</p> <p>In a heartfelt video recorded from her hospital bed, Irwin addressed her concerned followers, expressing gratitude for the outpouring of support she’s received.</p> <p>“Hey guys, Bindi here. I just wanted to thank you so much for your incredible well wishes. I just got out of surgery about an hour ago,” she said in the clip, visibly groggy but smiling.</p> <p>Irwin revealed the extent of her medical ordeal, explaining that doctors had removed her appendix and discovered 14 new endometriosis lesions, which were also excised. Additionally, surgeons repaired a hernia during the operation.</p> <p>“I’m sorry if I’m a little out of it in this video,” she said, “but I just wanted you to know that I’m on the road to recovery one step at a time and I am so lucky to have so much love in my life from my beautiful family.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DJkni9ypEfA/?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/DJkni9ypEfA/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Bindi Irwin (@bindisueirwin)</a></p> </div> </blockquote> <p>Her younger brother, Robert Irwin, 21, confirmed that Bindi’s appendix had ruptured, calling the situation an unexpected shock for the family. Speaking from the gala event, where he stepped in for his sister, he told reporters: “She’s going to be OK, but surgery – out of all the things we were ready for, that was not one of them.”</p> <p>This is not the first time Irwin has opened up about her health. In March 2023, she publicly shared her struggle with endometriosis, a painful condition in which tissue similar to the uterine lining grows outside the uterus, often causing chronic pain and fatigue. At the time, she underwent surgery and disclosed that doctors had removed 37 lesions and a large ovarian cyst, commonly referred to as a “chocolate cyst”.</p> <p>“Going in for surgery was scary but I knew I couldn’t live like I was,” she said last year. “Every part of my life was getting torn apart because of the pain.”</p> <p>She also recalled the sobering words of her doctor post-operation: “How did you live with this much pain?”</p> <p>Bindi’s family has rallied around her once again, with brother Robert writing under her latest post, “Stay strong Bindi! Love you!” Her husband of five years, Chandler Powell, also commented: “Strongest person I know.”</p> <p><em>Image: Instagram</em></p>

Caring

What is grounding and can it improve your sleep?

<div class="theconversation-article-body">Have you ever felt an unexpected sense of calm while walking barefoot on grass? Or noticed your stress begin to fade as you stood ankle deep in the ocean? If so, you may have unknowingly “grounded” yourself to the earth.</p> <p>Grounding, <a href="https://www.sciencedirect.com/science/article/pii/S2319417022001573">also known as earthing</a>, is the practice of making direct physical contact with the Earth’s surface. Our ancestors embraced this trend without knowing it. But with the invention of indoor homes, footpaths, roads, and even shoes, we have become <a href="https://onlinelibrary.wiley.com/doi/10.1155/2012/291541">less physically connected with the earth</a>.</p> <p>Grounding has been suggested to have <a href="https://www.healthline.com/health/grounding">a number of benefits</a>, such as improving mood, and reducing stress and pain. But overall, there’s limited conclusive evidence on the benefits of grounding.</p> <p>Somewhat ironically, the concept of grounding in 2025 is heavily influenced by technology, rather than getting out into nature. Consumers are being hit with social media reels promoting a range of technologies that ground us, and improve our health.</p> <p>Among the most common are promises of improved sleep with the use of a grounding sheet or mat. But is this just another TikTok trend, or could these products really help us get a better night’s sleep?</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DHne7CasELA/?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/DHne7CasELA/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Grounding (@groundingofficial)</a></p> </div> </blockquote> <h2>Bringing the outdoors in</h2> <p>The <a href="https://www.sciencedirect.com/science/article/pii/S2319417022001585">human body is conductive</a>, which means it can exchange electricity with Earth and artificial sources, such as electronic devices or objects. (Sometimes, this exchange can result in an electric or <a href="https://theconversation.com/why-do-i-get-static-shocks-from-everyday-objects-is-it-my-shoes-240554">static shock</a>.)</p> <p>Proponents of grounding <a href="https://www.sciencedirect.com/science/article/pii/S1550830719305476">claim the practice reconnects</a> “the conductive human body to the Earth’s natural and subtle surface electric charge”.</p> <p>They credit this process with physiological and psychological benefits (but again, the evidence is limited).</p> <p>Grounding technologies can vary in type (for example, under-desk foot mats, mattress toppers and bed sheets) but all are designed to provide a path for electric charges to flow between your body and the earth.</p> <p>The bottom prong you see in your three-prong wall socket is a “ground” or “earth” terminal. It provides a direct connection to earth via your building’s wiring, diverting excess or unsafe voltage into the ground. This protects you and your devices from potential <a href="https://store.standards.org.au/reader/as-nzs-3112-2017?preview=1&utm">electrical faults</a>.</p> <p><a href="https://www.mdpi.com/2227-9059/11/1/57">Grounding technology</a> uses this terminal as a pathway for the proposed electrical exchange between you and earth, while in the comfort of your home.</p> <h2>Could grounding improve your sleep?</h2> <p>The research in this area is still emerging.</p> <p>A <a href="https://www.sciencedirect.com/science/article/pii/S2212958825000059">2025 study</a> from Korea recruited 60 participants, gave half of them a grounding mat, and gave the other half a visually identical mat that didn’t have grounding technology. The researchers used a “double-blind” protocol, meaning neither the participants nor the researchers knew which participants were given grounding mats.</p> <p>All participants wore sleep trackers and were asked to use their mat (that is, sit or lie on it) for six hours per day. The researchers found that after 31 days, participants in the grounding mat group slept longer on average (as measured by their sleep trackers) than those in the control group.</p> <p>The researchers also used questionnaires to collect measures of insomnia, sleep quality, daytime sleepiness, and stress. After 31 days, participants in both groups improved on all measures.</p> <p>There were no differences between the grounded and ungrounded groups for sleep quality, daytime sleepiness, and stress. And while grounded participants showed significantly lower insomnia severity after the intervention, this difference was also present at the start of the study. So it’s unclear if grounding had a tangible impact on sleep.</p> <p>In another double-blind study, published in 2022, researchers in Taiwan examined the effectiveness of using grounding mats to improve sleep among patients with Alzheimer’s disease. The findings indicated that spending <a href="https://www.mdpi.com/2227-9032/10/3/581">30 minutes on a grounding mat</a> five times per week resulted in improved sleep quality.</p> <p>While previous research has suggested using grounding technologies may lead to <a href="https://pubmed.ncbi.nlm.nih.gov/25748085/">improvements in mood</a>, no differences were seen in measures of anxiety and depression in this study.</p> <h2>Grounding for gains?</h2> <p>Grounding technology has also been touted as <a href="https://www.tiktok.com/@down_to_ground/video/7310937768811597074?q=grounding%20mattress&t=1742787657768">having other benefits</a>, such as reducing pain and inflammation.</p> <p>A <a href="https://doi.org/10.3389/fphys.2019.00035">2019 study</a> found participants who slept on a grounding mat after intense exercise felt less sore and showed lower levels of inflammation in their blood compared to those who were ungrounded.</p> <p>Grounding after a workout may help you feel better and recover faster, but it’s still unclear whether and how grounding affects long-term training results or fitness gains.</p> <h2>Add to cart?</h2> <p>So should you cash in on your favourite influencer’s discount code and grab a grounding mat? At the risk of spouting a common cliche of cautious scientists, our answer is that we don’t know yet.</p> <p>What we do know is the existing research, albeit emerging, has shown no evidence grounding technology can negatively affect your sleep or recovery after exercise. So if you love your grounding mat or grounding sheet, or want to see if grounding works for you, feel free to give it a go.</p> <p>Keep in mind, grounding products can retail for anywhere from around A$30 to $300 or more.</p> <p>On the other hand, grounding on the grass in the great outdoors is free. While there’s limited evidence that grounding outdoors can improve sleep, spending time in outdoor light may itself benefit <a href="https://pubmed.ncbi.nlm.nih.gov/34488088/">sleep, regulate circadian rhythms</a>, and improve mood.</p> <p>Finally, while grounding could be an interesting strategy to try, if you’re experiencing ongoing problems with your sleep, or suspect you may have a sleep disorder, the first step should be reaching out to a medical professional, such as your GP.<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/253347/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/dean-j-miller-808724">Dean J. Miller</a>, Senior Lecturer, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> and <a href="https://theconversation.com/profiles/charlotte-gupta-347235">Charlotte Gupta</a>, Senior Postdoctoral Research Fellow, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-grounding-and-could-it-improve-my-sleep-heres-the-science-behind-this-tiktok-trend-253347">original article</a>.</em></p> <p><em>Images: Instagram</em></p> </div>

Body

What’s the difference between osteoarthritis and rheumatoid arthritis?

<div class="theconversation-article-body"> <p><a href="https://www.arthritis.org/health-wellness/about-arthritis/understanding-arthritis/what-is-arthritis">Arthritis</a> – an umbrella term for around <a href="https://www.arthritis.org/health-wellness/healthy-living/managing-pain/understanding-pain/sources-of-arthritis-pain">100 conditions</a> that damage the joints – affects <a href="https://pubmed.ncbi.nlm.nih.gov/39647490/">4.1 million</a> Australians. This is expected <a href="https://pubmed.ncbi.nlm.nih.gov/39647490/">to rise</a> by 31% to 5.4 million by 2040 and cost the Australian health-care system an estimated $12 billion each year.</p> <p>The two most common types, osteoarthritis and rheumatoid arthritis, can both cause joint pain, swelling and stiffness. Both are more common in <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/arthritis">women</a>. Neither can be cured.</p> <p>But their causes, risk factors and treatments are different – here’s what you need to know.</p> <h2>What is osteoarthritis?</h2> <p>Osteoarthritis is the most common form of arthritis. It affects <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/osteoarthritis">2.1 million Australians</a>, mostly older people. About a third of <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/osteoarthritis">Australians</a> aged 75 and older have the condition.</p> <p>It can affect any joint but is most common in the knees, hips, fingers, thumbs and big toes.</p> <p>The main symptom is pain, especially during movement. Other symptoms may include swelling, stiffness and changes to the shape of joints.</p> <p>The <a href="https://www.who.int/news-room/fact-sheets/detail/osteoarthritis">main risk factors</a> are ageing and obesity, as well as previous injuries or surgery. For osteoarthritis in the hands, <a href="https://pubmed.ncbi.nlm.nih.gov/35843480/">genetics</a> also play a big role.</p> <p>Signs of osteoarthritis can appear on knee scans from around <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">age 45</a> and become more common with age.</p> <p>However, this type of arthritis not simply the “wear and tear” of ageing. Osteoarthritis is a complex disease that affects the <a href="https://www.nature.com/articles/nrdp201672">whole joint</a>. This includes the <a href="https://my.clevelandclinic.org/health/body/23173-cartilage">cartilage</a> (“shock-absorbing” connective tissue protecting your bones), bones, <a href="https://my.clevelandclinic.org/health/body/21604-ligament">ligaments</a> (connective tissue holding bones and body parts in place) and joint lining.</p> <h2>How is it diagnosed?</h2> <p>Diagnosis is <a href="https://www.nice.org.uk/guidance/ng226/chapter/Recommendations#diagnosis">based on</a> symptoms (such as pain and restricted movement) and a physical exam.</p> <p>The disease generally worsens over time and cannot be reversed. But the severity of damage does not always <a href="https://pubmed.ncbi.nlm.nih.gov/21281726/">correlate with pain</a> levels.</p> <p>For this reason, x-rays and <a href="https://pubmed.ncbi.nlm.nih.gov/29886437/">MRI scans</a> are usually unhelpful. Some people with early osteoarthritis experience severe pain, but the damage won’t show up on a scan. Others with advanced and visible osteoarthritis may have few symptoms or none at all.</p> <h2>What about rheumatoid arthritis?</h2> <p>Unlike osteoarthritis, rheumatoid arthritis is an autoimmune disease. This means the immune system attacks the joint lining, causing inflammation and damage.</p> <p>Common symptoms include pain, joint swelling and stiffness, <a href="https://arthritis-research.biomedcentral.com/articles/10.1186/ar4146">especially in the morning</a>.</p> <p>Rheumatoid arthritis is less common than osteoarthritis, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis">around 514,000 Australians</a>. It mostly impacts the wrists and small joints in the hands and feet, though larger joints such as the elbows, shoulders, knees and ankles can also be involved.</p> <p>It can also affect other organs, including the skin, lungs, eyes, heart and blood vessels. Fortunately, disease outside the joint has become <a href="https://pubmed.ncbi.nlm.nih.gov/38240831/">less common</a> in recent years, likely due to better and earlier treatment.</p> <p><a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis?request=smoothstate">Rheumatoid arthritis</a> often develops earlier than osteoarthritis but can occur at any age. Onset is most frequent in those aged <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis">35–64</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/21149499/">Smoking</a> increases your risk.</p> <h2>How is it diagnosed?</h2> <p>As with osteoarthritis, your doctor will diagnose rheumatoid arthritis based on your symptoms and a physical exam.</p> <p>Some other tests can be useful. Blood tests may pick up specific <a href="https://www.nature.com/articles/nrdp20181">antibodies</a> that indicate rheumatoid arthritis, although you can still have the condition <a href="https://arthritisaustralia.com.au/managing-arthritis/medical-management/blood-test-for-arthritis/">with negative results</a>.</p> <p>X-rays may also reveal joint damage if the disease is advanced. If there is uncertainty, an <a href="https://pubmed.ncbi.nlm.nih.gov/35022703/">ultrasound or MRI</a> can help detect inflammation.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.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/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=456&fit=crop&dpr=1 600w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=456&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=456&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=573&fit=crop&dpr=1 754w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=573&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=573&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="attribution"><span class="source">The Conversation</span>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <h2>How is osteoarthritis treated?</h2> <p>No treatment can stop osteoarthritis progressing. However many people manage their symptoms well with advice from their doctor and self-care. Exercise, weight management and pain medicines <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">can help</a>.</p> <p>Exercise has been shown to be safe for osteoarthritis of the <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004376.pub4/full">knee</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/24756895/">hip</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/29032354/">hand</a>. Many types of exercise are <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">effective</a> at reducing pain, so you can choose what suits you best.</p> <p>For knee osteoarthritis, managing weight through diet and/or exercise is <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">strongly recommended</a>. This may be because it reduces pressure on the joint or because losing weight <a href="https://pubmed.ncbi.nlm.nih.gov/30390883/">can reduce inflammation</a>. <a href="https://theconversation.com/new-study-suggests-weight-loss-drugs-like-ozempic-could-help-with-knee-pain-heres-why-there-may-be-a-link-243159">Anti-obesity medicines</a> may also reduce pain.</p> <p>Topical and oral <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">anti-inflammatories</a> are usually recommended to manage pain. However, <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">opioids</a> (such as tramadol or oxycodone) are not, due to their risks and limited evidence they help.</p> <p>In some cases <a href="https://pubmed.ncbi.nlm.nih.gov/33472813/">antidepressants</a> such as duloxetine may also be considered as a treatment for pain though, again, evidence they help is limited.</p> <h2>What about rheumatoid arthritis?</h2> <p>Treatments for rheumatoid arthritis focus on preventing joint damage and reducing inflammation.</p> <p>It’s essential to get an <a href="https://rheumatology.org.au/Portals/2/Documents/Public/Professionals/Clinical%20Care%20Standards/RAQS-UPDATE-Clinicians-ACCESS-03-7May24.pdf?ver=2024-05-07-135934-023">early referral to a rheumatologist</a>, so that treatment with medication – called “disease-modifying anti-rheumatic drugs” – can begin quickly.</p> <p>These <a href="https://app.magicapp.org/#/guideline/LqRV3n">medicines</a> suppress the immune system to stop inflammation and prevent damage to the joint.</p> <p>With no cure, the <a href="https://creakyjoints.org/about-arthritis/rheumatoid-arthritis/ra-treatment/remission-low-disease-activity-rheumatoid-arthritis/">overall goal</a> is to achieve remission (where the disease is inactive) or get symptoms under control.</p> <h2>Advances in treatment</h2> <p>There is an increasing interest in prevention for both types of arthritis.</p> <p>A large international <a href="https://pubmed.ncbi.nlm.nih.gov/38144515/">clinical</a> trial is currently investigating whether a diet and exercise program can prevent knee osteoarthritis in those with higher risk – in this case, women who are overweight and obese.</p> <p>For those already affected, <a href="https://acrabstracts.org/abstract/levi-04-a-novel-neurotrophin-3-inhibitor-substantially-improves-pain-and-function-without-deleterious-effects-on-joint-structure-in-people-with-knee-osteoarthritis-a-randomized-controlled-phase-ii/">new medicines</a> in early-stage clinical trials show promise in reducing pain and improving function.</p> <p>There is also hope for rheumatoid arthritis with Australian researchers <a href="https://www.uq.edu.au/news/article/2024/07/drug-free-life-rheumatoid-arthritis-patients-possible-within-decade">developing</a> a new immunotherapy. This treatment aims to reprogram the immune system, similar to a vaccine, to help people achieve long-term remission without lifelong treatment.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/249154/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/rachelle-buchbinder-449750">Rachelle Buchbinder</a>, Professor of Clinical Epidemiology and Rheumatologist, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-osteoarthritis-and-rheumatoid-arthritis-249154">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Body

When can you expect to benefit from Albanese's election promises?

<p>Following the sweeping victory for Prime Minister Anthony Albanese and the Labor Party over the weekend, Australians are now looking to the government to deliver on a suite of cost-of-living promises aimed at easing financial pressures across the country.</p> <p>Finance expert and Money editor Effie Zahos told the <em>Today</em> show that the scale of the Labor win should pave the way for campaign commitments to be swiftly translated into policy. "The strength of the government's win should make the passage from promise into law a lot easier," Zahos said. "And there were so many promises made – everything from a two-year beer tax freeze to a new 1800 Medicare line."</p> <p>Among the most anticipated reforms is a no-receipt $1000 tax deduction for work-related expenses, set to roll out on July 1 next financial year. Zahos described the measure as an "exciting" step in a broader tax overhaul, but she also offered a word of caution: "This is a tax deduction, not a refund. So how much you get will come down to your tax bracket. Assuming you're on a 30 per cent tax rate, your relief will be $300."</p> <p>The Albanese government estimates around six million Australians will benefit, with average savings of $205 per person. However, a broader income tax cut for those earning between $45,000 and $80,201 – reducing the rate from 16 per cent to 14 per cent – won't take effect until July 1, 2027.</p> <p><strong>Housing and Construction Promises</strong></p> <p>On the housing front, the government has committed to enabling five per cent deposits for home buyers and offering shared equity loans, starting July 1. However, Zahos noted that implementation could vary. "The shared equity one still is uncertain because they've got to be pushed out through the states as well," she said.</p> <p>Additional measures include the construction of 100,000 new homes and a $10,000 bonus for apprentice tradies such as bricklayers, electricians, carpenters, and plumbers living away from home. The bonus will be distributed in $2000 instalments beginning in the new financial year.</p> <p><strong>Support for Students and Parents</strong></p> <p>In a bid to appeal to younger voters, the government has pledged to cut 20 per cent off student HELP debts before June 1. The move is expected to reduce the average student loan by more than $5000. </p> <p>From January 5, 2026, parents will be entitled to three days of subsidised childcare per week – a policy that removes the activity test, meaning employment will no longer be a requirement for access.</p> <p><strong>Energy Relief on the Horizon</strong></p> <p>Households can also expect temporary relief on energy costs, with rebates and a 30 per cent discount on home batteries starting from July 1. But Zahos warned these benefits will expire by the end of 2025. "And then the pain will continue," she said, hinting at the ongoing challenges Australians face despite the short-term reprieve.</p> <p>With expectations high and timelines tight, all eyes are now on the Albanese government to turn its electoral promises into tangible support for everyday Australians.</p> <p><em>Image: ABC News</em></p> <p> </p>

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