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"I know what you've done": Doctor who first treated Erin Patterson speaks out

<p>The doctor who first treated triple-murderer Erin Patterson after she arrived at hospital suffering symptoms from her own poisonous mushroom meal says he knew she was guilty from the beginning.</p> <p>Dr Chris Webster was the first medical professional to speak with Patterson when she presented to Leongatha Hospital around 8am on July 31, 2023 – the day after the fatal beef Wellington lunch that killed three members of her extended family and left a fourth critically ill.</p> <p>Patterson stayed just five minutes before self-discharging against medical advice, prompting Dr Webster to call emergency services. That triple zero call – along with dozens of other exhibits – has now been publicly released.</p> <p>“This is Dr Chris Webster calling from Leongatha Hospital. I have a concern regarding a patient that presented here earlier but has left the building and is potentially exposed to a fatal toxin from mushroom poisoning,” Webster told the operator. “I've tried several times to get hold of her on her mobile phone.”</p> <p>Dr Webster explained that Patterson left the hospital before a nurse could begin observations. “I had a brief chat with her about where the mushrooms were obtained and after that, while I was attending to the other patients, the nurse informed me she had discharged herself against medical advice,” he told the operator.</p> <p>Speaking out for the first time, Dr Webster said something about Patterson's arrival set off alarm bells. “My heart skipped a beat,” he said. “I bypassed all of the usual triage protocols and just brought her straight in and sat her down and just looked her straight in the eye directly and said ‘the people at Dandenong suspect death cap mushroom poisoning, where did you get the mushrooms?’</p> <p>“That’s when she said ‘Woolworths’. She was fairly impassive, wasn’t loud or hysterical, wasn’t crying. She just answered the question in a pretty matter-of-fact way.</p> <p>“After that I was like: 'OK, I don’t want to talk to you anymore, I know what you’ve done'.”</p> <p>At the time, Ian and Heather Wilkinson were also in hospital, gravely ill. But Patterson, he said, showed no sign of concern.</p> <p>“She wasn’t shaking, Erin was sat in a chair, I don’t even remember her looking at Ian and Heather,” he said. “She’s evil. She wanted people out of her life and rather than using normal channels she snuffed out their lives and attempted to snuff out another.”</p> <p>Dr Webster’s call to emergency services was the first step in a chain of events that would ultimately lead to Patterson’s arrest, trial, and conviction for three counts of murder and one count of attempted murder.</p> <p>“When she didn’t respond in a way that would instantly explain it was a tragic accident, from that moment in my mind she was guilty. She was evil, and she was very smart to carry it all out but she didn’t cross the Ts and dot the Is,” he said.</p> <p>Recalling the moment he saw Patterson again, this time in the courtroom, Webster said the atmosphere was unmistakable.</p> <p>“When I looked at her, when I found the opportunity to sneak a peek, it was visceral, I felt the intensity, the hostility, the negativity, it was an intense gaze,” he said.</p> <p>“She’s evil and she had a problem, she had a dilemma, and the solution that she chose is sociopathic.</p> <p>“If you don’t like your in-laws there are other things you can do besides snuffing out a family.”</p> <p><em>Images: Victoria Supreme Court / Nine News</em></p>

Legal

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Sleep divorce: could sleeping separately from your partner lead to a better night’s rest?

<div class="theconversation-article-body"> <p>Hundreds of years ago, it was common for married couples among the European upper classes to have separate bedrooms. Sleeping separately was a <a href="https://www.bedstar.co.uk/sleep-talk/queens-and-kings-separate-beds.html">symbol of luxury and status</a> historically reserved for royalty and the very wealthy.</p> <p>Nowadays, it’s common for married couples and other couples in relationships to sleep in the same bed. But sometimes – for reasons from conflicting schedules to snoring to sleep talking – couples might choose to sleep separately in pursuit of a better night’s sleep.</p> <p>This is known as “sleep divorce”. Though I prefer the term “sleep separation”, as this doesn’t have to be a permanent arrangement – but more on that later.</p> <p>So why might couples choose to sleep separately? And what does the evidence say about the effects on sleep quality if you sleep alone versus with a partner?</p> <h2>Why do couples opt for a sleep separation?</h2> <p>Couples may choose to sleep apart if one partner’s sleep is disturbing the other’s, or both are disrupting one another. This can happen for a variety of reasons.</p> <p>These include waking up frequently in the night, mismatched body clocks (for example, one person coming to bed later than the other), conflicting schedules (for example, shift workers), snoring, twitching legs or sleep talking.</p> <p>Parents with babies and young children may choose to sleep separately to avoid both partners’ sleep being disturbed.</p> <p>Those with conflicting preferences for sleeping environments, such as one partner liking a cool room with a fan and the other preferring warmth, may also decide to sleep apart.</p> <h2>What are the benefits of sleeping alone?</h2> <p>Many couples <a href="https://pubmed.ncbi.nlm.nih.gov/22609123/">say they prefer</a> to sleep – and sleep better – next to their partner.</p> <p>But when scientists measure sleep objectively, such as via an electroencephalogram (EEG) to assess brain waves, the data actually shows <a href="https://pubmed.ncbi.nlm.nih.gov/22609123/">poorer sleep quality</a> when co-sleeping. So sleeping alone may, in fact, mean better quality and longer sleep.</p> <p>Research also shows when one member of the couple has a sleep disorder, such as insomnia or <a href="https://www.healthdirect.gov.au/obstructive-sleep-apnoea">sleep apnoea</a> (where breathing is frequently interrupted during sleep), these people often inadvertently <a href="https://pubmed.ncbi.nlm.nih.gov/10818830/">wake up their partner</a> <a href="https://pubmed.ncbi.nlm.nih.gov/31553049/">when they wake</a> in the night. So sleeping alone could be a good idea if your bed partner has a sleep disorder.</p> <p>What’s more, <a href="https://journals.sagepub.com/doi/abs/10.1177/02654075231193449">studies have found</a> <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2644899/">sleep disturbances</a> are linked to <a href="https://pubmed.ncbi.nlm.nih.gov/15164910/">reduced relationship satisfaction</a>. So sleeping apart could actually mean happier couples.</p> <p>Finally, anyone who has struggled with their sleep will know anxiety around sleep is common. Many clients I have seen who experience insomnia report sleeping alone can alleviate some of their anxiety because at least they know they won’t disturb, or be disturbed by, their partner.</p> <h2>Are there any downsides to separate sleeping arrangements?</h2> <p>Some people dislike sleeping alone, reporting comfort, and feelings of safety and protection when sleeping alongside their partner – and loneliness when they don’t.</p> <p>Sleeping separately also requires two rooms, or at least two beds. Many couples may not have these options available to them in their home.</p> <p>Sleeping separately is <a href="https://www.abc.net.au/news/2023-06-22/couples-on-why-they-love-sleeping-separately/102448812">often stigmatised</a>, with some people seeing it as the death of a couple’s sex life. But while sleeping in separate beds may provide fewer opportunities for sex, this doesn’t necessarily mean the end of intimacy.</p> <p>Sleeping apart could mean some couples actually have more sex. We know better sleep is linked to more <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2644899/">positive feelings about relationships</a>, so it’s possible the desire to be intimate could increase after a good night’s sleep in separate beds. Sleeping apart may even mean some couples have more energy to be intimate.</p> <p>Nonetheless, if you choose to sleep separately from your partner, it’s important to have an open discussion and prioritise opportunities for connection and intimacy. One client I worked with referred to “visiting rights” where her partner came into her bed for a short period before sleep or in the morning.</p> <h2>Who should potentially consider a sleep separation?</h2> <p>You may wish to think about a “sleep separation” if you are disturbing each other’s sleep, have young children, or have different preferences in terms of temperature, light and noise, which are causing issues.</p> <p>Ultimately, if sleeping in the same bed is leading to poor sleep then sleeping apart, if it’s possible, could help.</p> <p>If you can’t sleep separately there may be other ways to reduce disturbance from a partner such as using an eye mask, white noise or earplugs.</p> <p>If you decide to try a sleep separation, remember this can be a flexible arrangement or “re-set” and doesn’t have to be permanent, or every night. Some couples find sleeping separately during the working week but sharing a bed on the weekend works well for them.</p> <p>Lastly, it’s important to talk to your GP about any persistent sleep problems, such as snoring, insomnia, or unusual behaviour during sleep (for example, shouting or walking around), as there may be an underlying sleep disorder which needs treating.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/258085/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/alix-mellor-2406858">Alix Mellor</a>, Research Fellow, Psychology, <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/sleep-divorce-could-sleeping-separately-from-your-partner-lead-to-a-better-nights-rest-258085">original article</a>.</em></p> <p><em>Image: Pexels / </em><em>Kampus Production</em></p> </div>

Relationships

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Does eating cheese before bed really give you nightmares?

<div class="theconversation-article-body"> <p>Have you heard people say eating cheese before bed will cause you to have vivid dreams or nightmares?</p> <p>It’s a relatively common idea. And this week, a <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1544475/full">new study</a> has landed this suggestion <a href="https://www.canberratimes.com.au/story/9005656/are-cheese-dreams-real-new-study-reveals-how-diet-affects-sleep/">back in the spotlight</a>.</p> <p>But is it true? Let’s unpack the evidence.</p> <h2>A gouda night’s sleep?</h2> <p>Canadian researchers recently <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1544475/full#h3">investigated this idea</a> in a sample of 1,082 undergraduate psychology students. The students completed a survey, which included questions about how they perceived their diet influenced their sleep and dreams.</p> <p>Some 40% of participants reported certain foods impacted their sleep, with 25% of the whole sample claiming certain foods worsened their sleep, and 20% reporting certain foods improved their sleep.</p> <p>Only 5.5% of respondents believed what they ate affected the nature of their dreams. But many of these people thought sweets or dairy products (such as cheese) made their dreams more strange or disturbing and worsened their sleep.</p> <p>In contrast, participants reported fruits, vegetables and herbal teas led to better sleep.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Snacking on cheese late at night may haunt your dreams, Canadian study finds<a href="https://t.co/ne5poEo7N7">https://t.co/ne5poEo7N7</a> <a href="https://t.co/rMpSbzoGzk">pic.twitter.com/rMpSbzoGzk</a></p> <p>— Edmonton Journal (@edmontonjournal) <a href="https://twitter.com/edmontonjournal/status/1940531062615990327?ref_src=twsrc%5Etfw">July 2, 2025</a></p></blockquote> <p>This study used self-reporting, meaning the results rely on the participants recalling and reporting information about their sleep and dreams accurately. This could have affected the results.</p> <p>It’s also possible participants were already familiar with the notion that cheese causes nightmares, especially given they were psychology students, many of whom may have studied sleep and dreaming.</p> <p>This awareness could have made them more likely to notice or perceive their sleep was disrupted after eating dairy. In other words, the idea cheese leads to nightmares may have acted like a self-fulfilling prophecy and results may overestimate the actual likelihood of strange dreams.</p> <p>Nonetheless, these findings show some people perceive a connection between what they eat and how they dream.</p> <p>While there’s no evidence to prove cheese <em>causes</em> nightmares, there is evidence that does explain a link.</p> <h2>The science behind cheese and nightmares</h2> <p>Humans are diurnal creatures, meaning our body is primed to be asleep at night and awake during the day. Eating cheese before bed means we’re challenging the body with food at a time when it really doesn’t want to be eating.</p> <p>At night, our physiological systems <a href="https://doi.org/10.1016/j.smrv.2024.101953">are not primed to digest food</a>. For example, it takes longer for food to move through our <a href="https://doi.org/10.1111/j.1440-1681.2009.05254.x">digestive tract</a> at night compared with during the day.</p> <p>If we eat close to going to sleep, our body has to process and digest the food while we’re sleeping. This is a bit like running through mud – we can do it, but it’s slow and inefficient.</p> <p>Cheese can be particularly challenging to digest at night because of <a href="https://doi.org/10.1016/j.idairyj.2006.11.006">high concentrations of fat and protein</a>, which <a href="https://doi.org/10.1113/jphysiol.1997.sp021881">slows down our digestion</a>.</p> <p>If your body is processing and digesting food instead of focusing all its resources on sleep, this can affect your shut-eye. Research has shown eating close to bedtime <a href="https://doi.org/10.3945/an.116.012336">reduces our sleep quality</a>, particularly our time spent in rapid eye movement (REM) sleep, which is the stage of sleep associated with <a href="https://doi.org/10.1016/j.tics.2009.12.001">vivid dreams</a>.</p> <p>People will have an even harder time digesting cheese at night if they’re lactose intolerant, which might mean they experience even greater impacts on their sleep. This follows what the Canadian researchers found in their study, with lactose intolerant participants reporting poorer sleep quality and more nightmares.</p> <p>It’s important to note we might actually have vivid dreams or nightmares every night – what could change is whether we’re aware of the dreams and can remember them when we wake up.</p> <p>Poor sleep quality often means we wake up more during the night. If we wake up during REM sleep, <a href="https://doi.org/10.1126/science.1063530">research shows</a> we’re more likely to report vivid dreams or nightmares that we mightn’t even remember if we hadn’t woken up during them.</p> <p>This is very relevant for the cheese and nightmares question. Put simply, eating before bed impacts our sleep quality, so we’re more likely to wake up during our nightmares and remember them.</p> <h2>Can I still have brie before bedtime?</h2> <p>Don’t panic – I’m not here to tell you to give up your cheesy evenings. But what we eat before bed can make a real difference to how well we sleep, so timing matters.</p> <p>General <a href="https://www.sleephealthfoundation.org.au/sleep-topics/sleep-hygiene-good-sleep-habits">sleep hygiene guidelines</a> suggest avoiding meals at least two hours before bed. So even if you’re eating a very cheese-heavy meal, you have a window of time before bed to digest the meal and drift off to a nice peaceful sleep.</p> <h2>How about other dairy products?</h2> <p>Cheese isn’t the only dairy product which may influence our sleep. Most of us have heard about the benefits of having a warm glass of milk before bed.</p> <p>Milk can be easier to digest than cheese. In fact, milk is a good choice in the evening, as <a href="https://doi.org/10.3390/nu12040936">it contains tryptophan</a>, an amino acid that helps promote sleep.</p> <p>Nonetheless, we still don’t want to be challenging our body with too much dairy before bed. Participants in the Canadian study did report nightmares after dairy, and milk close to bed might have contributed to this.</p> <p>While it’s wise to steer clear of food (especially cheese) in the two hours before lights out, there’s no need to avoid cheese altogether. Enjoy that cheesy pasta or cheese board, just give your body time to digest before heading off to sleep. If you’re having a late night cheese craving, opt for something small. Your sleep (and your dreams) will thank you.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/260205/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/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/does-eating-cheese-before-bed-really-give-you-nightmares-heres-what-the-science-says-260205">original article</a>.</em></p> <p><em>Image: Pexels / </em><em>Ivan Oboleninov</em></p> </div>

Mind

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What is aflatoxin, the toxic chemical behind Coles’ peanut butter recall?

<div class="theconversation-article-body"> <p>Coles <a href="https://www.foodstandards.gov.au/food-recalls/recall-alert/coles-supermarkets-peanut-butter-smooth-1kg-and-peanut-butter-crunchy-1kg">is recalling</a> two of its homebrand peanut butter products, over concerns they have been contaminated with aflatoxin, a toxic chemical linked to liver cancer.</p> <p>The supermarket chain <a href="https://www.coles.com.au/help/safety/product-recalls/coles-smooth-and-coles-crunchy-peanut-butter-1kg">has issued the recall notice</a> for Coles Smooth Peanut Butter 1kg and Coles Crunchy Peanut Butter 1kg, with the best before date of February 5 2027. They were sold in supermarkets and online nationally between May 1 and June 30 this year.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">⚠️ Food recall notice⚠️<br />Coles Supermarkets are conducting a recall on Coles Smooth and Coles Crunchy Peanut Butter 1kg with all best before dates 5/2/27. The recall is due to Biotoxin (aflatoxin) contamination. The product has been available at Coles Supermarkets and online. <a href="https://t.co/7eunBttfD3">pic.twitter.com/7eunBttfD3</a></p> <p>— Queensland Health (@qldhealth) <a href="https://twitter.com/qldhealth/status/1939606370791325892?ref_src=twsrc%5Etfw">June 30, 2025</a></p></blockquote> <p>Aflatoxin can cause injury or illness if eaten, according to Australia’s <a href="https://www.foodstandards.gov.au/food-recalls/recall-alert/coles-supermarkets-peanut-butter-smooth-1kg-and-peanut-butter-crunchy-1kg">food safety authority</a>.</p> <p>But what is aflatoxin? How does it get into food? And what is the risk if you eat it?</p> <h2>What is aflatoxin? Where does it occur?</h2> <p>Aflatoxins are a toxic chemical (a mycotoxin) produced by fungi. The mould-like fungi that produce aflatoxins belong to a large group called <em><a href="https://www.adelaide.edu.au/mycology/fungal-descriptions-and-antifungal-susceptibility/hyphomycetes-conidial-moulds/aspergillus#aspergillus-flavus-complex">Aspergillus</a></em>.</p> <p>These fungi are found in all environments, for example in soils, compost, building surfaces and on crops and other plants, and can cause infections or poisoning <a href="https://www.foodstandards.gov.au/sites/default/files/2023-11/Peanut%20pistachio%20and%20aflatoxins.pdf">in humans and animals</a>.</p> <p><em>Aspergillus flavus</em> and <em>Aspergillus parasiticus</em>, which produce aflatoxins, thrive mainly in agricultural crops but also in soils, rotting food and compost. The fungi emerge as spores and form networks of microscopic filaments that can grow on products such as grains and nuts.</p> <p>As these fungi grow they release a range of chemicals, including aflatoxins, that <a href="https://www.who.int/news-room/fact-sheets/detail/mycotoxins">can lead to contamination</a> of produce before and after harvest, or after processing.</p> <p>Aflatoxins are some of the <a href="https://www.who.int/news-room/fact-sheets/detail/mycotoxins">most poisonous types</a> of mycotoxin.</p> <p>Different kinds of aflatoxins <a href="https://www.fda.gov/food/natural-toxins-food/mycotoxins">usually affect</a> contaminated food (aflatoxins B1, B2, G1), crops (G2) and milk (M1).</p> <h2>Which foods are most risky?</h2> <p>Crops produced and stored in warm, humid or moist tropical locations are most at risk, as toxin-producing moulds <a href="https://www.fda.gov/food/natural-toxins-food/mycotoxins">thrive in these conditions</a>.</p> <p>High-risk foods include peanuts, corn and tree nuts (such as brazil, walnut and pistachio nuts). The toxin-producing fungi <a href="https://www.who.int/news-room/fact-sheets/detail/mycotoxins">can also grow</a> on wheat, rice, <a href="https://www.britannica.com/plant/sorghum-grain">sorghum</a> and spice crops such as turmeric, chilli, ginger and coriander.</p> <p>If animals graze on contaminated crops, their milk and meat can also become contaminated.</p> <p>Internationally, the Joint Food and Agriculture Administration and World Health Organization is responsible for setting guidelines and monitoring standards for mycotoxins via its <a href="https://www.who.int/groups/joint-fao-who-expert-committee-on-food-additives-(jecfa)/about">expert committee on food additives</a>.</p> <p>In Australia, aflatoxin food contamination <a href="https://www.foodstandards.gov.au/sites/default/files/2023-11/Peanut%20pistachio%20and%20aflatoxins.pdf">is not common</a>. In the past decade, there have only been <a href="https://www.sbs.com.au/language/urdu/en/article/australian-supermarkets-revealed-to-be-selling-dangerous-or-banned-foods/r8z2f4pvf">a handful of recalls</a>.</p> <h2>Why are aflatoxins dangerous?</h2> <p>Aflatoxins can damage your liver and cause cancer.</p> <p>Eating <a href="https://www.who.int/news-room/fact-sheets/detail/mycotoxins">a lot of contaminated foods</a> over a short period of time can lead to <a href="https://www.ncbi.nlm.nih.gov/books/NBK557781/">aflatoxicosis</a>, acute poisoning that immediately damages the liver. Symptoms can include nausea, vomiting, abdominal pain and convulsions, and may be life-threating.</p> <p>Over <a href="https://www.fda.gov/food/natural-toxins-food/mycotoxins">a long period</a>, smaller amounts of contaminated foods can lead to liver cancer, birth defects, kidney disease and immune system dysfunction.</p> <p>There is <a href="https://www.ncbi.nlm.nih.gov/books/NBK557781/">no specific treatment</a> for alfatoxins. Management after acute or long-term exposure focuses on addressing symptoms and monitoring liver health.</p> <h2>How can I stay safe?</h2> <p>There is <a href="https://www.fda.gov/food/natural-toxins-food/mycotoxins">not much individuals can do</a> to control the presence of aflatoxin and other mycotoxins in foods, as contamination occurs during agriculture and processing.</p> <p>You should store nuts and nut products in a way that stops mould growing. Use well-sealed containers kept in dry and cool conditions.</p> <p>Freezing and cooking may <a href="https://www.mdpi.com/1422-0067/22/24/13322">kill the fungi</a>, but the toxin can survive extreme temperatures.</p> <p>Unfortunately, it is difficult to see the fungi with the naked eye. However <a href="https://www.who.int/news-room/fact-sheets/detail/mycotoxins">you should avoid</a> visibly mouldy foods and throw away nuts and grains that are shrivelled or discoloured.</p> <h2>What should I do if I’ve bought or eaten these products?</h2> <p>Coles <a href="https://www.coles.com.au/help/safety/product-recalls/coles-smooth-and-coles-crunchy-peanut-butter-1kg">has advised</a> customers to return the products to stores and contact its hotline for more information (1800 061 562).</p> <p>If you’re concerned you may have eaten contaminated peanut butter, speak to a health professional.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/260194/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/thomas-jeffries-1511629">Thomas Jeffries</a>, Senior Lecturer in Microbiology, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a> and <a href="https://theconversation.com/profiles/charles-oliver-morton-2423921">Charles Oliver Morton</a>, Senior Lecturer in Medical Microbiology, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney 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-is-aflatoxin-the-toxic-chemical-behind-coles-peanut-butter-recall-260194">original article</a>.</em></p> <p><em>Image: Queensland Government</em></p> </div>

Food & Wine

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Hero dad jumps overboard to save daughter who fell from Disney cruise ship

<p>A father and his daughter were rescued from the ocean after falling overboard from a Disney Cruise Line ship on Sunday afternoon, prompting praise for the ship’s crew and relief among passengers who witnessed the ordeal unfold in real time.</p> <p>The incident occurred aboard the <em>Disney Dream</em> as it sailed on a roundtrip voyage between Florida and the Bahamas. Passenger Gar Frantz said he was on the fourth-floor deck when he saw the child, who had been sitting on the ship’s railing while the father took a picture, fall into the water.</p> <p>“Then the child fell overboard,” Frantz recalled. “We watched it, you could see two little things ... it was crazy, it was horrific.”</p> <p>The father reportedly jumped in immediately after the child in an effort to save her.</p> <p>Fellow passenger Gail Merrick was playing bingo when she noticed a sudden commotion outside. “We came to find out that it was a child and then the father had gone in after the child, so we were watching with bated breath basically waiting for what would happen,” she told <em>NBC News</em>.</p> <p>Merrick said she saw a yellow rescue boat with crew members being deployed, and the <em>Disney Dream</em> itself made a sharp turn to return to the spot. According to Disney, the two guests were recovered within minutes.</p> <p>“We commend our Crew Members for their exceptional skills and prompt actions, which ensured the safe return of both guests to the ship,” Disney said in a statement. “We are committed to the safety and wellbeing of our guests, and this incident highlights the effectiveness of our safety protocols.”</p> <p>Disney did not provide any identifying details about the guests or clarify how far into the journey the ship was when the fall occurred.</p> <p>Passenger James Tackett said he felt the ship lurch into a sharp turn before hearing what had happened. “When they did officially get the people, everyone cheered,” he said. “It was a good moment.”</p> <p>His mother, Brenda Tackett, who was also onboard, praised the crew’s swift and professional response.</p> <p>“You could tell they’ve practiced this – hopefully have never used it before – but they were great,” she said. “The whole thing was maybe 10, 15 minutes and they safely got back on board.”</p> <p>Disney After the rescue, the <em>Disney Dream</em> resumed its journey. “Thankfully it turned out positive,” Merrick said, “and we were able to enjoy the rest of the cruise.”</p> <p><em>Images: Disney Dream / NBC News</em></p>

Travel Trouble

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Neighbours star splits from billionaire husband

<p>Former <em>Neighbours</em> actress and pop star Holly Valance has reportedly split from her husband, billionaire property developer and Reform UK treasurer Nick Candy, after 13 years of marriage.</p> <p>According to <em>The Sun</em>, the couple parted ways in recent weeks and are heading for divorce. Valance, 42, and Candy, 52, married in 2012 in a star-studded ceremony in California attended by 300 guests. They share two daughters.</p> <p>“This has been a very difficult period for both Nick and Holly, and they are keeping things private out of respect for their family,” a family friend told the newspaper. “The joint parenting of their two amazing daughters remains their top priority.”</p> <p>“They’ve had to juggle a demanding lifestyle. Between family, public life, and Nick’s intense work commitments, it’s been a tough balance,” the source added. “This is a family matter and they’re doing their best to handle things thoughtfully.”</p> <p>A spokesperson for Valance said there would be no official comment, adding: “The privacy of all parties involved is respectfully requested.”</p> <p>The couple are known for their political connections and involvement with Reform UK. In 2022, they visited former US President Donald Trump at his Mar-a-Lago resort, accompanied by party leader Nigel Farage.</p> <p>Valance first rose to fame playing Felicity ‘Flick’ Scully on <em>Neighbours</em> before launching a successful pop career, including her chart-topping debut single “Kiss Kiss” in 2002. She later appeared in a string of television and film roles and reached the semi-finals of <em>Strictly Come Dancing</em> in 2011.</p> <p>Candy is one half of the high-profile Candy brothers, renowned for developing luxury properties in London.</p> <p><em>Image: Woman's Weekly</em></p>

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Lung cancer screening is about to start. Here's what you need to know

<div class="theconversation-article-body"> <p>From July, eligible Australians will be screened for <a href="https://www.health.gov.au/our-work/nlcsp">lung cancer</a> as part of the nation’s first new <a href="https://www.health.gov.au/topics/cancer/screening-for-cancer">cancer screening</a> program for almost 20 years.</p> <p>The program aims to detect lung cancer early, before symptoms emerge and cancer spreads. This early detection and treatment is predicted to <a href="https://www.nejm.org/doi/10.1056/NEJMoa1911793?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">save lives</a>.</p> <h2>Why lung cancer?</h2> <p><a href="https://www.canceraustralia.gov.au/sites/default/files/migrated-files/publications/report-lung-cancer-screening-enquiry/pdf/report_on_the_lung_cancer_screening_enquiry_0.pdf">Lung cancer</a> is Australia’s fifth most diagnosed cancer but causes the greatest number of cancer deaths.</p> <p>It’s <a href="https://www.canceraustralia.gov.au/sites/default/files/migrated-files/publications/report-lung-cancer-screening-enquiry/pdf/report_on_the_lung_cancer_screening_enquiry_0.pdf">more common</a> in Aboriginal and Torres Strait Islander people, rural and remote Australians, and lower income groups than in the general population.</p> <p><a href="https://www.canceraustralia.gov.au/sites/default/files/migrated-files/publications/report-lung-cancer-screening-enquiry/pdf/report_on_the_lung_cancer_screening_enquiry_0.pdf">Overall</a>, less than one in five patients with lung cancer will survive five years. But for those diagnosed when the cancer is small and has not spread, two-thirds of people survive five years.</p> <h2>Who is eligible?</h2> <p>The lung cancer screening program only targets people at higher risk of lung cancer, based on their smoking history and their age. This is different to a population-wide screening program, such as screening for bowel cancer, which is based on age alone.</p> <p>The lung cancer program <a href="https://www.health.gov.au/our-work/nlcsp">screens people</a> 50-70 years old with no signs or symptoms of lung cancer such as breathlessness, a persisting cough, coughing up blood, chest pain, becoming very tired or losing weight.</p> <p>To be eligible, current smokers must also have a history of at least 30 “<a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/pack-year">pack years</a>”. To calculate this you multiply the number of packets (of 20 cigarettes) you smoke a day by the number of years you’ve been smoking them.</p> <p>For instance, if you smoke one packet (20 cigarettes) a day for a year that is one pack year. Smoking two packets a day for six months (half a year) is also a pack year.</p> <p>People who have quit smoking in the past ten years but have accumulated 30 or more pack years before quitting are also eligible.</p> <h2>What does screening involve?</h2> <p>Ask your GP or health worker if you are eligible. If you are, you will be referred for a low-dose computed tomography (CT) scan. This uses much lower doses of x-rays than a regular CT but is enough to find nodules in the lung. These are small lumps which could be clumps of cancer cells, inflammatory cells or scarring from old infections.</p> <p>Imaging involves lying on a table for 10-15 minutes while the scanner takes images of your chest. So people must also be able to lie flat in a scanner to be part of the program.</p> <p>After the scan, the results are sent to you, your GP and the <a href="https://www.ncsr.gov.au/">National Cancer Screening Register</a>. You’ll be contacted if the scan is normal and will then be reminded in two years’ time to screen again.</p> <p>If your scan has findings that need to be followed, you will be sent back to your GP who may arrange a further scan in <a href="https://www.health.gov.au/our-work/nlcsp/about#the-screening-pathway">three to 12 months</a>.</p> <p>If lung cancer is suspected, you will be referred to a lung specialist for further tests.</p> <h2>What are the benefits and risks?</h2> <p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1911793">International</a> <a href="https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(25)00082-8/fulltext">trials</a> show screening people at high risk of lung cancer reduces their chance of dying prematurely from it, and the benefits outweigh any harm.</p> <p>The aim is to <a href="https://www.nejm.org/doi/10.1056/NEJMoa1911793?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">save lives</a> by <a href="https://www.health.gov.au/our-work/nlcsp/about#why-screening-is-important">increasing the detection</a> of <a href="https://www.cancercouncil.com.au/lung-cancer/diagnosis/staging-prognosis/">stage 1 disease</a> (a small cancer, 4 centimetres or less, confined to the lung), which has a greater chance of being treated successfully.</p> <p>The risks of radiation exposure are minimised by using low-dose CT screening.</p> <p>The other greatest risk is a false positive. This is where the imaging suggests cancer, but further tests rule it out. This varies across studies from almost <a href="https://jamanetwork.com/journals/jama/fullarticle/2777242">one in ten to one in two</a> of those having their first scan. If imaging suggests cancer, this usually requires a repeat scan. But about <a href="https://jamanetwork.com/journals/jama/fullarticle/2777242">one in 100</a> of those whose imaging suggests cancer but were later found not to have it have invasive biopsies. This involves taking a sample of the nodule to see if it contains cancerous cells.</p> <p>Some people will be diagnosed with a cancer that will never cause a problem in their lifetime, for instance because it is slow growing or they are likely to die of other illnesses first. This so-called overdiagnosis varies from <a href="https://jamanetwork.com/journals/jama/fullarticle/2777242">none to two-thirds of lung cancers diagnosed</a>, depending on the study.</p> <h2>How much will it cost?</h2> <p>The Australian government <a href="https://lungfoundation.com.au/advocacy/national-lung-cancer-screening-program/">has earmarked</a> A$264 million over four years to screen for lung cancer, and $101 million a year after that.</p> <p>The initial GP consultation will be free if your GP bulk bills, or if not you may be charged an out-of-pocket fee for the consultation. This may be a barrier to the uptake of screening. Subsequent investigations and consultations will be billed as usual.</p> <p>There will be no cost for the low-dose CT scans.</p> <h2>What should I do?</h2> <p>If you are 50-70 and a heavy smoker see your GP about screening for lung cancer. But the <a href="https://www.ilcn.org/smoking-cessation-in-lung-cancer-screening-the-latest-randomized-controlled-trial-evidence/">greater gain</a> in terms of reducing your risk of lung cancer is to also give up smoking.</p> <p>If you’ve already given up smoking, you’ve already reduced your risk of lung cancer. However, since lung cancer can take several years to develop or show on a CT scan, see your GP if you were once a heavy smoker but have quit in the past ten years to see if you are eligible for screening.</p> <p><em>By <a href="https://theconversation.com/profiles/ian-olver-1047">Ian Olver</a>, Adjunct Professsor, School of Psychology, Faculty of Health and Medical Sciences, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/lung-cancer-screening-is-about-to-start-what-you-need-to-know-if-you-smoke-or-have-quit-253227">original article</a>.</em></p> <p><em>Image: Pexels / </em><em>Towfiqu barbhuiya</em></p> </div>

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What causes the 'winter blues' and why is it more common in women?

<div class="theconversation-article-body">Winter is here. As the days grow shorter and the skies turn darker, you might start to feel a bit “off”. You may notice a dip in your mood or energy levels. Maybe you’re less motivated to do things you previously enjoyed in the warmer months.</p> <p>The “winter blues” can feel like an inevitable part of life. You might feel sluggish or less social, but you can still get on with your day.</p> <p>However, if your winter blues are making everyday life difficult and interfering with your work and relationships, it could be the sign of something more serious.</p> <p>Seasonal affective disorder is more than a seasonal slump – it’s a <a href="https://www.nhs.uk/mental-health/conditions/seasonal-affective-disorder-sad/symptoms/">recognised psychiatric condition</a>. Here’s what to look for and how to get help.</p> <h2>What is seasonal affective disorder?</h2> <p><a href="https://www.sciencedirect.com/science/article/pii/S0022395623001899?via%3Dihub">The Diagnostic and Statistical Manual of Mental Disorders</a> officially recognises seasonal affective disorder as a recurrent major depressive disorder “with seasonal pattern”.</p> <p>In other words, the condition shares many symptoms with major depressive disorder, but it also follows a seasonal rhythm. While this might be most common in winter, the disorder can also occur in <a href="https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder">summer</a>.</p> <p><a href="https://www.nhs.uk/mental-health/conditions/seasonal-affective-disorder-sad/symptoms/">Symptoms include</a>:</p> <ul> <li> <p>persistent low mood or feelings of sadness</p> </li> <li> <p>loss of interest in activities you once enjoyed</p> </li> <li> <p>low energy and fatigue, even after lots of sleep</p> </li> <li> <p>changes in appetite</p> </li> <li> <p>weight gain or weight loss</p> </li> <li> <p>difficulty concentrating</p> </li> <li> <p>sleeping more or less than usual</p> </li> <li> <p>feelings of hopelessness or worthlessness</p> </li> <li> <p>in some cases, thoughts of self-harm or suicide.</p> </li> </ul> <p>Research suggests seasonal affective disorder affects up to <a href="https://www.tandfonline.com/doi/full/10.2147/PRBM.S114906">10% of the global population</a>.</p> <p>Although it can affect anyone, it is more common in <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4673349/">women</a>, people aged between <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4673349/">18 and 30 years</a>, and those living <a href="https://www.tandfonline.com/doi/full/10.1080/08039480902799040">far from the equator</a>, where winter daylight hours are especially limited.</p> <p>A <a href="https://www.sciencedirect.com/science/article/pii/S0022395623001899?via%3Dihub">review</a> of the Australian research on seasonal affective disorder showed the highest proportion of Australians with seasonal affective disorder was found in the most southern state, Tasmania (9% of the population).</p> <h2>What causes it?</h2> <p>Unfortunately, the exact cause of seasonal affective disorder is still poorly understood.</p> <p>Some theories propose it is primarily caused by a lack of light in the environment, although we are not exactly sure how this leads to depression.</p> <p>As sunlight is responsible for the production of vitamin D, some have suggested a lack of vitamin D is what causes depression. However, the evidence for such a link is <a href="https://www.sciencedirect.com/science/article/pii/S2530312022000431">inconclusive</a>.</p> <p><a href="https://www.tandfonline.com/doi/full/10.31887/DCNS.2007.9.3/alewy">Others</a> suggest a lack of light in winter delays the circadian rhythms which regulate our sleep/wake cycle. Poor sleep is related to many mental health difficulties, <a href="https://theconversation.com/theres-a-strong-link-between-anxiety-and-depression-and-sleep-problems-and-it-goes-both-ways-76145">including depression</a>.</p> <h2>Seasonal affective disorder can be treated</h2> <p>Fortunately, there are several evidence-based treatments for seasonal affective disorder. Relief may be found through a combination of approaches.</p> <p><strong>Bright light therapy</strong> is usually the <a href="https://onlinelibrary.wiley.com/doi/full/10.1155/2017/6867957">first treatment recommended</a> for seasonal affective disorder. It involves sitting near a specially designed lightbox (with a strength of 10,000 lux) for about 20 to 30 minutes a day to mimic natural sunlight and help regulate the body’s internal clock.</p> <p><strong>Cognitive behavioural therapy</strong> aims to help people develop some flexibility around <a href="https://www.nhs.uk/mental-health/conditions/seasonal-affective-disorder-sad/treatment/">the negative thoughts</a> that might maintain seasonal affective disorder symptoms (for example, “I am worthless because I never get up to anything meaningful in winter”).</p> <p><strong>Lifestyle changes</strong> such as regular exercise, time spent outdoors (even on gloomy days), a balanced diet, and good sleep hygiene <a href="https://www.nhs.uk/mental-health/conditions/seasonal-affective-disorder-sad/treatment/">can all support recovery</a>.</p> <p><strong>Antidepressants</strong> – especially selective serotonin reuptake inhibitors (SSRIs) – <a href="https://www.nhs.uk/mental-health/conditions/seasonal-affective-disorder-sad/treatment/">may be prescribed</a> when symptoms are moderate to severe, or when other treatments have not worked.</p> <h2>What else helps?</h2> <p>Even those without seasonal affective disorder might need to fight the winter blues. So, what works?</p> <p><strong>Prioritise social connection</strong></p> <p>Schedule regular, achievable and pleasant <a href="https://link.springer.com/article/10.1007/s00127-024-02722-1">activities with friends</a>, such as trivia at the pub or a brisk walk.</p> <p><strong>Reframe winter</strong></p> <p>Rather than dreading the cold, see if you can embrace what is special about this time of year. The mindset of “<a href="https://denmark.dk/people-and-culture/hygge">hygge</a>” (a Danish and Norwegian term for cosiness and contentment) may help.</p> <p>Let winter be your excuse for snuggling on your couch with a thick blanket and hot chocolate while catching up on books and TV shows. Or see if there are any winter-specific activities (such as night markets) where you live.</p> <p><strong>Maximise daylight</strong></p> <p>Taking a walk during lunchtime <a href="https://www.nhs.uk/mental-health/conditions/seasonal-affective-disorder-sad/treatment/">when the sun is out</a>, even briefly, can make a difference.</p> <h2>The bottom line</h2> <p>If your “winter blues” last more than two weeks, start interfering with your daily life or feel overwhelming, then it might be time to seek professional help.</p> <p>Speaking to your GP or mental health professional can help you get support early and prevent symptoms getting worse.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/259375/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/kelvin-shiu-fung-wong-1468053">Kelvin (Shiu Fung) Wong</a>, Senior Lecturer in Clinical Psychology, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</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/trouble-getting-out-of-bed-signs-the-winter-blues-may-be-something-more-serious-259375">original article</a>.</em></p> <p><em>Image: Pexels / </em></p> </div>

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Family speaks out after teen found guilty of murdering Melbourne doctor

<p>The grieving family of Melbourne doctor Ash Gordon has spoken of their bittersweet relief after the teenager who stabbed him to death was found guilty of murder.</p> <p>A Supreme Court jury convicted the 17-year-old boy following a harrowing trial in which the youth had already pleaded guilty to two counts of aggravated burglary.</p> <p>Dr Gordon was killed in the early hours of January 13 last year after waking to find intruders in his Doncaster unit, in Melbourne’s north-east. He chased the two 16-year-olds into the street, but was fatally stabbed less than a kilometre from his home.</p> <p>The brutal and senseless loss of the much-loved doctor sent shockwaves through his community – and left his family shattered.</p> <p>Speaking to <em>A Current Affair</em>, Ash’s sister Nat said the guilty verdict brought some measure of justice after what she described as a long, “gut-wrenching” legal process.</p> <p>"To get a guilty verdict was a huge relief for the family,” she said. “It will never bring him back but it cements for us that we have everyone behind us."</p> <p>Their father, Glen Gordon, described the emotional toll the trial had taken – and the quiet moment of comfort that came with the jury’s decision.</p> <p>"It's been a struggle, but after the verdict today, it just felt like a big weight has been lifted off our shoulders," he said. "It's still a sad situation, but at least the person got what he deserved."</p> <p>Since Ash’s death, the family has channelled their grief into a push for reform – advocating for tougher bail laws and stronger sentencing for youth offenders.</p> <p> </p> <p>"It definitely doesn't get any easier, nothing will ever bring him back, but a small win was had today – not only by us but the wider community and the justice system,” Nat said.</p> <p>Determined not to let her brother’s death be in vain, she issued a heartfelt plea for change. "At the end of the day, if there is no verdict and no consequences, they will continue to do this,” she said. “It won’t be just my family – it will be every family within the country feeling the pain that we’re feeling, and I never, ever want to inflict that pain on any other family."</p> <p>"I don’t want my brother’s memory to be in vain."</p> <p><em>Images: A Current Affair</em></p>

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How old are you really? Are the latest ‘biological age’ tests all they’re cracked up to be?

<div class="theconversation-article-body"> <p>We all like to imagine we’re ageing well. Now a simple blood or saliva test promises to tell us by measuring our “<a href="https://www.si.com/soccer/cristiano-ronaldo-shocking-biological-age">biological age</a>”. And then, as many have done, we can <a href="https://nypost.com/2024/07/25/entertainment/khloe-kardashian-40-learns-her-biological-age-is-28/">share</a> how “young” we really are on social media, along with our secrets to success.</p> <p>While chronological age is how long you have been alive, <a href="https://www.medicalnewstoday.com/articles/chronological-aging">measures of biological age</a> aim to indicate how old your body actually is, purporting to measure “wear and tear” at a molecular level.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Cristiano Ronaldo is biologically 29 years old! 😱</p> <p>CR7’s WHOOP stats put his body at 12 years younger than his actual age! 💪</p> <p>Cristiano’s dedication to his health and longevity is second to none 👏</p> <p>(Via <a href="https://twitter.com/Cristiano?ref_src=twsrc%5Etfw">@cristiano</a>/<a href="https://twitter.com/WHOOP?ref_src=twsrc%5Etfw">@WHOOP</a>) <a href="https://t.co/PwKqc77031">pic.twitter.com/PwKqc77031</a></p> <p>— DAZN Football (@DAZNFootball) <a href="https://twitter.com/DAZNFootball/status/1925894821203321009?ref_src=twsrc%5Etfw">May 23, 2025</a></p></blockquote> <p>The appeal of these tests is undeniable. Health-conscious consumers may see their results as reinforcing their anti-ageing efforts, or a way to show their journey to better health is paying off.</p> <p>But how good are these tests? Do they actually offer useful insights? Or are they just clever marketing dressed up to look like science?</p> <h2>How do these tests work?</h2> <p>Over time, the chemical processes that allow our body to function, known as our “metabolic activity”, lead to damage and a decline in the activity of our cells, tissues and organs.</p> <p>Biological age tests aim to capture some of these changes, offering a snapshot of how well, or how poorly, we are <a href="https://www.aginganddisease.org/EN/10.14336/AD.2022.1107">ageing on a cellular level</a>.</p> <p>Our DNA is also affected by the ageing process. In particular, chemical tags (methyl groups) attach to our DNA and affect gene expression. These changes occur in predictable ways with age and environmental exposures, in a process called methylation.</p> <p>Research studies have used “epigenetic clocks”, which measure the methylation of our genes, to estimate biological age. By analysing methylation levels at specific sites in the genome from participant samples, researchers apply predictive models to estimate the cumulative wear and tear on the body.</p> <h2>What does the research say about their use?</h2> <p>Although the science is rapidly evolving, the evidence underpinning the use of epigenetic clocks to measure biological ageing in research studies is <a href="https://pubmed.ncbi.nlm.nih.gov/39743988/">strong</a>.</p> <p>Studies have shown epigenetic biological age estimation is a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5940111/">better predictor</a> of the risk of death and ageing-related diseases than chronological age.</p> <p>Epigenetic clocks also have been found to <a href="https://www.sciencedirect.com/science/article/pii/S1279770725001277?dgcid=rss_sd_all">correlate strongly</a> with lifestyle and environmental exposures, such as smoking status and diet quality.</p> <p>In addition, they have been found to be able to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8484046/">predict</a> the risk of conditions such as cardiovascular disease, which can lead to heart attacks and strokes.</p> <p>Taken together, a growing body of research indicates that at a population level, epigenetic clocks are robust measures of biological ageing and are strongly linked to the risk of <a href="https://www.aginganddisease.org/EN/10.14336/AD.2022.1107">disease and death</a></p> <h2>But how good are these tests for individuals?</h2> <p>While these tests are valuable when studying populations in research settings, using epigenetic clocks to measure the biological age of individuals is a different matter and requires scrutiny.</p> <p>For testing at an individual level, perhaps the most important consideration is the “signal to noise ratio” (or precision) of these tests. This is the question of whether a single sample from an individual may yield widely differing results.</p> <p>A <a href="https://www.nature.com/articles/s43587-022-00248-2">study from 2022</a> found samples deviated by up to nine years. So an identical sample from a 40-year-old may indicate a biological age of as low as 35 years (a cause for celebration) or as high as 44 years (a cause of anxiety).</p> <p>While there have been significant improvements in these tests over the years, there is considerable <a href="https://www.nature.com/articles/s43587-022-00248-2">variability</a> in the precision of these tests between commercial providers. So depending on who you send your sample to, your estimated biological age may vary considerably.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Khloé Kardashian, 40, learns her biological age after confessing bad eating habits <a href="https://t.co/vlipIl9Im2">https://t.co/vlipIl9Im2</a> <a href="https://t.co/s1zRdpht0K">pic.twitter.com/s1zRdpht0K</a></p> <p>— New York Post (@nypost) <a href="https://twitter.com/nypost/status/1816322940532650399?ref_src=twsrc%5Etfw">July 25, 2024</a></p></blockquote> <p>Another limitation is there is currently no standardisation of methods for this testing. Commercial providers perform these tests in <a href="https://www.livescience.com/health/ageing/new-biological-aging-test-predicts-your-odds-of-dying-within-the-next-12-months">different ways</a> and have different algorithms for estimating biological age from the data.</p> <p>As you would expect for commercial operators, providers don’t disclose their methods. So it’s difficult to compare companies and determine who provides the most accurate results – and what you’re getting for your money.</p> <p>A third limitation is that while epigenetic clocks correlate well with ageing, they are simply a “<a href="https://frontlinegenomics.com/opinion-direct-to-consumer-epigenetic-tests-are-not-getting-enough-scrutiny/#:%7E:text=Companies%20claim%20that%20epigenetic%20variants,in%20the%20usual%20DTC%20scrutiny">proxy</a>” and are not a diagnostic tool.</p> <p>In other words, they may provide a general indication of ageing at a cellular level. But they don’t offer any specific insights about what the issue may be if someone is found to be “ageing faster” than they would like, or what they’re doing right if they are “ageing well”.</p> <p>So regardless of the result of your test, all you’re likely to get from the commercial provider of an epigenetic test is generic advice about what the science says is healthy behaviour.</p> <h2>Are they worth it? Or what should I do instead?</h2> <p>While companies offering these tests may have good intentions, remember their ultimate goal is to sell you these tests and make a profit. And at a cost of around A$500, they’re not cheap.</p> <p>While the idea of using these tests as a personalised health tool has potential, it is clear that <a href="https://www.theguardian.com/science/2022/jun/13/biological-age-startups-why">we are not there yet</a>.</p> <p>For this to become a reality, tests will need to become more reproducible, standardised across providers, and validated through long-term studies that link changes in biological age to specific behaviours.</p> <p>So while one-off tests of biological age make for impressive social media posts, for most people they represent a significant cost and offer limited real value.</p> <p>The good news is we already know what we need to do to increase our chances of living longer and healthier lives. These <a href="https://theconversation.com/you-cant-reverse-the-ageing-process-but-these-5-things-can-help-you-live-longer-214580">include</a>:</p> <ul> <li>improving our diet</li> <li>increasing physical activity</li> <li>getting enough <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">sleep</a></li> <li>quitting smoking</li> <li><a href="https://theconversation.com/how-much-stress-is-too-much-a-psychiatrist-explains-the-links-between-toxic-stress-and-poor-health-and-how-to-get-help-222245">reducing stress</a></li> <li>prioritising social connection.</li> </ul> <p>We don’t need to know our biological age in order to implement changes in our lives right now to improve our health.</p> <p><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><em><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/257710/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" />By </em><em><a href="https://theconversation.com/profiles/hassan-vally-202904">Hassan Vally</a>, Associate Professor, Epidemiology, <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/how-old-are-you-really-are-the-latest-biological-age-tests-all-theyre-cracked-up-to-be-257710">original article</a>.</em></p> <p><em>Image: Pexels / Cottonbro Studio</em></p> </div>

Body

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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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253130/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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

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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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/257961/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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

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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>

TV

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‘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?<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/256559/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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

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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

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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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/257121/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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>

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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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/256342/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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

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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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/257821/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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>

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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>

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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&amp;q=10953&amp;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&amp;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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/247450/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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>

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