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"I'm going straight into surgery": Barnaby Joyce opens on cancer diagnosis

<p>Former Deputy Prime Minister and long-time Nationals MP Barnaby Joyce has revealed he is battling prostate cancer, using the opportunity to encourage Australian men to prioritise their health.</p> <p>In his first public comments since the diagnosis, Joyce spoke candidly with <em>Sunrise </em>on Monday morning, just hours before heading into surgery.</p> <p>“Literally, straight after this … I’m going … straight down the road and straight into surgery,” the newly re-elected Member for New England told host Natalie Barr.</p> <p>Joyce said he was feeling well despite the diagnosis, highlighting a common danger with prostate cancer. “I feel fine. I suppose that’s the problem with prostate cancer, you don’t feel bad.”</p> <p>He explained that his cancer was discovered during the election campaign, thanks to a persistent doctor who urged him to take a prostate-specific antigen (PSA) test. “It was like ‘bingo’ – there were elevated levels,” Joyce recalled.</p> <p>Following a PSA test, Joyce underwent an MRI and then a biopsy, which confirmed the presence of early-stage prostate cancer. “They said, ‘You’re lucky, it’s early stages, you’ve got to do something about it,’” he said.</p> <p>Despite the diagnosis, Joyce chose to delay surgery until after the election to avoid disrupting his campaign. “I didn’t want a big circus going on during the election,” he said.</p> <p>In a lighter moment, Joyce revealed he was delayed getting to hospital because of a flat tyre. “I can’t help myself, can I?” he joked.</p> <p>Joyce said his experience serves as a warning to other men. “If you’re a man, or you know a man, if you’re in your 40s, 50s, go get a PSA test and clear your own mind that everything is fine,” he urged. “If you get it early you’re overwhelmingly going to be OK.”</p> <p>Environment Minister Tanya Plibersek, also appearing on <em>Sunrise</em>, praised Joyce’s decision to speak openly about his diagnosis. “I really do think that having high-profile people like Barnaby talk about their health challenges is really important to encourage other men to get the test,” she said.</p> <p>Professor Damien Bolton, Urologist and President of the Urological Society of Australia and New Zealand (USANZ) also added a message of support in response to Joyce’s openness. “By being open and honest about his prostate cancer diagnosis, Barnaby Joyce is helping raise awareness about a disease that is the second most common cause of cancer related deaths in men,” said Bolton. “If caught early, prostate cancer is nearly always curable with 97 percent of men still alive five years after their diagnosis.”</p> <p>Joyce concluded with a message of hope and perspective: “Look at this beautiful world; you want to live as long as you possibly can.”</p> <p><em>Image: Sunrise</em></p>

Caring

Outrage after shirtless man knocks out 92-year-old woman

<p>In a horrifying broad daylight attack that has shaken the Williamstown community southwest of Melbourne, CCTV footage has captured the moment a shirtless man allegedly knocked a 92-year-old woman unconscious outside a busy shopping centre.</p> <p>The unprovoked incident occurred just after midday, as the elderly woman was walking along Douglas Parade in Williamstown. According to Victoria Police, a shirtless man approached her and suddenly swung his arm, striking her in the head. The blow sent the woman crashing to the pavement, rendering her unconscious.</p> <p>Disturbing CCTV vision shows the man calmly walking away from the scene as the elderly victim lies motionless on the ground. Witnesses can be seen rushing to her aid moments later, with some members of the public reportedly restraining the man until police arrived.</p> <p>Ambulance Victoria confirmed the woman was transported to hospital in a stable condition. Miraculously, her injuries are not considered life-threatening.</p> <p>In a statement later released from her hospital bed, the woman expressed deep gratitude to those who came to her aid.</p> <p>"I wish to thank all those who have been so caring of me," she said. "I remember nothing of the actual incident, but when I woke up, I was surrounded by the police and ambulance and caring onlookers. I wish to thank everyone for their concern. I'm pleased to go home as I have a loving family and supportive friends."</p> <p>The alleged attacker, a 39-year-old man with no fixed address, was arrested on the scene and has since been charged with intentionally causing injury.</p> <p>Police are continuing their investigation and are urging anyone who witnessed the attack or has further footage to come forward.</p> <p><em>Images: Victoria Police</em></p>

Caring

"Find a life worth enjoying": King Charles opens up on his battle with cancer

<p>King Charles III has opened up publicly for the first time about his battle with cancer, offering a heartfelt reflection on the lessons he has learned during a special event at Buckingham Palace.</p> <p>The monarch, who was diagnosed with cancer in February 2024, described the experience as one that “brings into sharp focus the very best of humanity”, as he addressed guests gathered to celebrate community initiatives raising cancer awareness and supporting those affected by the disease.</p> <p>“Each diagnosis, each new case, will be a daunting and at times frightening experience for those individuals and their loved ones,” the King said. “It has certainly given me an even deeper appreciation of the extraordinary work undertaken by the remarkable organisations and individuals gathered here this evening.”</p> <p>The event was attended by healthcare professionals, volunteers, advocates and families affected by cancer, many of whom Charles has supported throughout his public life. He praised their efforts, noting that his own experience had reinforced a long-held belief: that compassion and connection are vital to the healing journey.</p> <p>“The darkest moments of illness can be illuminated by the greatest compassion,” he said, highlighting the roles of hospice volunteers, specialist nurses and support groups in forming what he called a “community of care”.</p> <p>Charles also expressed his family's deep gratitude to the healthcare professionals involved in cancer treatment across the UK. “They have my whole family’s deepest admiration and gratitude,” he said. “Their care represents the very best our country can offer.”</p> <p>While the King has kept the specific details of his condition private, Buckingham Palace confirmed he was <a href="https://www.oversixty.com.au/health/caring/king-charles-admitted-to-hospital" target="_blank" rel="noopener">hospitalised last month</a> due to side effects from his treatment. His diagnosis came just weeks before Princess Kate, 43, revealed she was undergoing preventative chemotherapy, sparking concern and sympathy across the nation and beyond.</p> <p>Global statistics underscore the urgency of the fight against cancer: in 2022, approximately 20 million new cases were diagnosed worldwide, with 9.7 million lives lost, according to the American Cancer Society.</p> <p>Concluding his remarks, King Charles shared a quote from Dame Deborah James – the beloved British journalist and campaigner who died of bowel cancer in 2022 – whose parents were in attendance at the Palace.</p> <p>“‘Find a life worth enjoying; take risks; love deeply; have no regrets; and always, always have rebellious hope,’” he said.</p> <p><em>Image: Sunrise</em></p>

Caring

Andre Agassi victorious in pro pickleball debut!

<p>Andre Agassi, former tennis demigod and proud wearer of 1990s denim shorts, just served up a win in his professional pickleball debut, the sport that sounds like a snack and plays like a caffeine-fuelled family reunion in Florida.</p> <p>Fresh off turning 55 (and presumably fuelled by birthday cake and a lifetime supply of Voltarin), Agassi teamed up with 18-year-old phenom Anna Leigh Waters. Together, they defeated a duo of teens young enough to still ask permission before downloading apps. The final score: 11-8, 9-11, 11-7 – a tight match that was equal parts strategy, reflex and Agassi’s uncanny ability to intimidate opponents with his résumé.</p> <p>Let’s take a moment to appreciate this image: one of tennis’s all-time greats, who once faced Pete Sampras at Wimbledon, now facing… someone who probably wasn't alive when Agassi last hoisted a Grand Slam trophy. And yet, here he is, paddle in hand, knees holding together like true American heroes, navigating a sport that’s basically what would happen if tennis and ping pong had a baby in a Florida retirement community.</p> <p>Agassi, who retired from tennis in 2006 and was inducted into the Hall of Fame when flip phones still roamed the earth, has since dabbled in pickleball exhibition matches, mostly as an excuse to promote paddle gear online and to remind the world that he still has better footwork than most 25-year-olds.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">✅ make pro Pickleball debut<br />✅ WIN pro Pickleball debut</p> <p>Andre Agassi and Anna Leigh Waters take home the W! <a href="https://t.co/ONUqDLaxWc">pic.twitter.com/ONUqDLaxWc</a></p> <p>— CBS Sports Network (@CBSSportsNet) <a href="https://twitter.com/CBSSportsNet/status/1917629532716073248?ref_src=twsrc%5Etfw">April 30, 2025</a></p></blockquote> <p>Pickleball, in case you’ve been trapped under a yoga mat, is the fastest-growing sport in America, and is making huge strides here in Australia too. It’s played with paddles, a plastic wiffleball, and the unwavering confidence of people who own ergonomic lawn chairs. It now boasts over 13 million U.S. players and rising – about 12.9 million of whom are currently trying to explain the rules to their confused spouses.</p> <p>Naturally, Agassi wasn’t quite sure how to feel about entering the pro scene.</p> <p>"I have this conflict, like I can't tell. Is this fun? Is this anxiety?" he admitted, possibly while trying to remember if his insurance covers pickleball-related injuries. He also joked that many of his tennis peers were tuning in “to watch a slow-motion train wreck”. (Spoiler: it never crashed.)</p> <p>His personal goal for the tournament wasn’t medals or glory – it was approval from his teenaged partner. “A win for me will be when this is over and Anna Leigh looks at me and says, ‘Do you want to play again?’” he said. </p> <p>While it’s too early to say whether this marks the start of a new career or just an elaborate midlife crisis with a paddle, one thing’s for sure: pickleball will never be the same.</p> <p>And who knows? At this rate, Roger Federer could be lacing up orthopaedic sneakers any minute now...</p> <p><em>Images: Instagram</em></p>

Body

Forming new habits can take longer than you think. Here are 8 tips to help you stick with them

<div class="theconversation-article-body"> <p>If you’ve ever tried to build a new habit – whether that’s exercising more, eating healthier, or going to bed earlier – you may have heard the popular claim that it only takes 21 days to form a habit.</p> <p>It’s a neat idea. Short, encouraging and full of promise. But there’s just one problem: it’s not true.</p> <p>The 21-day myth can be traced back to <a href="https://www.amazon.com/gp/product/0671700758/ref=as_li_qf_sp_asin_il_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=0671700758&linkCode=as2&tag=jamesclear-20&linkId=6DQ32IRAG3LU4PKA">Maxwell Maltz</a>, a plastic surgeon in the 1960s, who observed it took about three weeks for his patients to adjust to physical changes. This idea was later picked up and repeated in self-help books, eventually becoming accepted wisdom.</p> <p>But as psychologists and behavioural scientists have since discovered, habit formation is <a href="https://www.scientificamerican.com/article/how-long-does-it-really-take-to-form-a-habit/">much more complex</a>.</p> <h2>How long does it really take?</h2> <p>A <a href="https://onlinelibrary.wiley.com/doi/10.1002/ejsp.674">2010 study</a> followed volunteers trying to build simple routines – such as drinking water after breakfast or eating a daily piece of fruit – and found it took a median of 66 days for the behaviour to become automatic.</p> <p>We recently <a href="https://www.mdpi.com/2227-9032/12/23/2488">reviewed several studies</a> looking at how long it took people to form health-related habits. We found, on average, it took around two to five months.</p> <p>Specifically, the studies that measured time to reach automaticity (when a behaviour becomes second nature) found that habit formation took between 59 and 154 days. Some people developed a habit in as few as four days. Others took nearly a year.</p> <p>This wide range highlights that habit formation isn’t one-size-fits-all. It depends on what the behaviour is, how often it’s repeated, how complex it is, and who’s doing it.</p> <h2>What determines whether a habit will stick?</h2> <p>Habit strength plays a key role in consistency. A <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.626750/full">2021 systematic review</a> focused on physical activity and found the stronger the habit (meaning the more automatic and less effortful the behaviour felt) the more likely people were to exercise regularly.</p> <p>It’s not entirely surprising that easy, <a href="https://bjgp.org/content/62/605/664">low-effort behaviours</a> such as drinking water or taking a daily vitamin tend to form faster than complex ones like training for a marathon.</p> <p>But whatever the habit, <a href="https://www.nature.com/articles/s44159-024-00305-0">research shows</a> sticking to it is not just about boosting motivation or willpower. Interventions that actively support habit formation – through repetition, cues and structure – are much more effective for creating lasting change.</p> <p>For example, programs that encourage people to schedule regular exercise at the same time each day, or apps that send reminders to drink water after every meal, help build habits by making the behaviour easier to repeat and harder to forget.</p> <p>Our <a href="https://www.mdpi.com/2227-9032/12/23/2488">research</a>, which drew on data from more than 2,600 people, showed habit-building interventions can make a real difference across a range of behaviours – from flossing and healthy eating to regular exercise.</p> <p>But what stood out most was that even small, everyday actions can grow into powerful routines, when repeated consistently. It’s not about overhauling your life overnight, but about steadily reinforcing behaviours until they become second nature.</p> <h2>8 tips for building lasting habits</h2> <p>If you’re looking to build a new habit, here are some science-backed tips to help them stick:</p> <ol> <li> <p>Give it time. Aim for consistency over <a href="https://www.mdpi.com/2227-9032/12/23/2488">60 days</a>. It’s not about perfection – missing a day won’t reset the clock.</p> </li> <li> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3505409/">Make it easy</a>. Start small. Choose a behaviour you can realistically repeat daily.</p> </li> <li> <p>Attach your new habit <a href="https://www.mdpi.com/2227-9032/12/23/2488">to an existing routine</a>. That is, make the new habit easier to remember by linking it to something you already do – such as flossing right before you brush your teeth.</p> </li> <li> <p><a href="https://www.tandfonline.com/doi/full/10.1080/0144929X.2020.1801840">Track your progress</a>. Use a calendar or app to tick off each successful day.</p> </li> <li> <p>Build in <a href="https://www.sciencedirect.com/science/article/pii/S2212267215011181?casa_token=-VKsr03fXOUAAAAA:pKV0oAB5VVuj8RcPAW5T7prjo3efSVpi6P6TXFoeTLHBX_vFK0ttF6tFM9-8Fp6o45XPu_lcij5d">rewards</a>, for example making a special coffee after a morning walk or watching an episode of your favourite show after a week of consistent workouts. Positive emotions help habits stick, so celebrate small wins.</p> </li> <li> <p>Morning is best. Habits practised <a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2Fhea0000510">in the morning</a> tend to form more reliably than those attempted at night. This may be because people typically have more motivation and fewer distractions earlier in the day, making it easier to stick to new routines before daily demands build up.</p> </li> <li> <p>Personal choice boosts success. People are more likely to stick with habits <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2020.00560/full">they choose themselves</a>.</p> </li> <li> <p><a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/ejsp.674">Repetition</a> in a stable context is key. Performing the same behaviour in the same situation (such as walking right after lunch each day) increases the chances it will become automatic.</p> </li> </ol> <h2>Why the 21-day myth matters</h2> <p>Believing habits form in 21 days sets many people up to fail. When change doesn’t “click” within three weeks, it’s easy to feel like you’re doing something wrong. This can lead to frustration, guilt and giving up entirely.</p> <p>By contrast, understanding the real timeline can help you stay motivated when things feel slow.</p> <p>Evidence shows habit formation usually takes at least two months, and sometimes longer. But it also shows change is possible.</p> <p>Our <a href="https://www.mdpi.com/2227-9032/12/23/2488">research</a> and <a href="https://bjgp.org/content/62/605/664">other evidence</a> confirm that repeated, intentional actions in stable contexts really do become automatic. Over time, new behaviours can feel effortless and deeply ingrained.</p> <p>So whether you’re trying to move more, eat better, or improve your sleep, the key isn’t speed – it’s consistency. Stick with it. With time, the habit will stick with you.<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/255118/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By</em> <em><a href="https://theconversation.com/profiles/ben-singh-1297213">Ben Singh</a>, Research Fellow, Allied Health & Human Performance, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/ashleigh-e-smith-201327">Ashleigh E. Smith</a>, Associate Professor, Healthy Ageing, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South 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/forming-new-habits-can-take-longer-than-you-think-here-are-8-tips-to-help-you-stick-with-them-255118">original article</a>.</em></p> <p><em>Image: Shuttertock</em></p> </div>

Mind

Brain disorder more common than MS – but often goes undiagnosed

<div class="theconversation-article-body"> <p>Imagine suddenly losing the ability to move a limb, walk or speak. You would probably recognise this as a medical emergency and get to hospital.</p> <p>Now imagine the doctors at the hospital run some tests and then say, “Good news! All your tests were normal, clear scans, and nothing is wrong. You can go home!” Yet, you are still experiencing very real and disabling symptoms.</p> <p>Unfortunately, <a href="https://doi.org/10.1080/09638288.2024.2333491">this is the experience of many people</a> with functional neurological disorder. Even worse, some are blamed and reprimanded for <a href="https://academic.oup.com/brain/article/148/1/27/7750481?login=false">exaggerating</a> or faking their symptoms.</p> <p>So, what is this disorder, and why is it so challenging to recognise and treat?</p> <h2>What is functional neurological disorder?</h2> <p><a href="https://my.clevelandclinic.org/health/diseases/neurological-disorders">Neurological disorders</a> are conditions that affect how the nervous system works. The nervous system sends and receives messages between the brain and other parts of your body to regulate a wide range of functions, such as movement, speaking, vision, thinking and digestion.</p> <p>To the untrained eye, functional neurological disorder can resemble other conditions such as stroke, multiple sclerosis or epilepsy.</p> <p>But, unlike these conditions, functional neurological symptoms <a href="https://neurosymptoms.org/en/causes/how-was-it-happened/">aren’t due</a> to damage or a disease process affecting the nervous system. This means the disorder doesn’t appear on routine brain imaging and other tests.</p> <p>Functional symptoms are, instead, due to dysfunction in the processing of information between several brain networks. Simply put, <a href="https://neurosymptoms.org/en/causes/how-was-it-happened/">it’s a problem</a> of the brain’s software, not the hardware.</p> <h2>What are the symptoms?</h2> <p>Functional neurological disorder can produce a kaleidoscope of diverse and changing symptoms. This often adds to confusion for patients and make diagnosis more challenging.</p> <p><a href="https://neurosymptoms.org/en/symptoms/">Symptoms</a> may include paralysis or abnormal movements such as tremors, jerks and tics. This often leads to difficulty walking or coordinating movements.</p> <p>Sensory symptoms may involve numbness, tingling or loss of vision.</p> <p>Dissociative symptoms, such as functional seizures and blackouts, are also common.</p> <p>Some people experience cognitive symptoms including brain fog or problems finding the right words. Fatigue and chronic pain frequently coexist with these symptoms.</p> <p>These symptoms can be severe and distressing and, without treatment, <a href="https://pubmed.ncbi.nlm.nih.gov/31167232/">can persist for years</a>. For example, some people with functional neurological disorder cannot walk and must use a wheelchair for decades.</p> <p>Diagnosis involves <a href="https://www.bmj.com/content/371/bmj.m3745">identifying established diagnostic signs</a> and ensuring no other diagnoses are missed. This process is best carried out by an experienced neurologist or neuropsychiatrist.</p> <h2>How common is it?</h2> <p>Functional neurological disorder is one of the most common medical conditions seen in <a href="https://doi.org/10.1001/jamaneurol.2020.3753">emergency care</a> and in <a href="https://doi.org/10.1093/brain/awp220">outpatient neurology clinics</a>.</p> <p>It affects around <a href="https://doi.org/10.1136/jnnp-2024-334767">10–22 people per 100,000 per year</a>. This makes it more common than multiple sclerosis.</p> <p>Despite this, it is often under-recognised and misunderstood by health-care professionals. This leads to <a href="https://academic.oup.com/brain/article/148/1/27/7750481?login=false">delays in diagnosis and treatment</a>.</p> <p>This lack of awareness also contributes to the perception that it’s rare, when it’s actually common among neurological disorders.</p> <h2>Who does functional neurological disorder affect?</h2> <p>This condition can affect anyone, although it is more common in women and younger people. Around two thirds of patients are female, but this <a href="https://jnnp.bmj.com/content/93/6/609">gender disparity reduces with age</a>.</p> <p>Understanding of the disorder has <a href="https://pubmed.ncbi.nlm.nih.gov/33722822/">developed significantly over the past few decades</a>, but there’s still more to learn. Several biological, psychological, and social factors can <a href="https://pubmed.ncbi.nlm.nih.gov/35430029/">predispose people</a>.</p> <p>Genetics, traumatic life experiences, anxiety and depression can increase the risk. Stressful life events, illness, or physical injuries can trigger or worsen existing symptoms.</p> <p>But not everyone with the disorder has experienced significant trauma or stress.</p> <h2>How is it treated?</h2> <p>If left untreated, about <a href="https://doi.org/10.1093/brain/awz138">half the people</a> with this condition will remain the same or their symptoms will worsen. However, with the help of experienced clinicians, many people can make rapid recoveries when treatment starts early.</p> <p>There are no specific medications for functional neurological disorder but personalised rehabilitation guided by experienced clinicians is <a href="https://fndhope.org/living-fnd/">recommended</a>.</p> <p>Some people may need a team of multidisciplinary clinicians that may include physiotherapists, occupational therapists, speech therapists, psychologists and doctors.</p> <p>People also need accurate information about their condition, because <a href="https://doi.org/10.1093/brain/aws129">understanding and beliefs</a> about the disorder play an important role in recovery. Accurate information helps patients to develop more realistic expectations, reduces anxiety and can empower people to be more active in their recovery.</p> <p>Treating common co-existing conditions, such as anxiety or depression, can also <a href="https://www.bmj.com/content/376/bmj.o64.abstract">be helpful</a>.</p> <h2>A dark history</h2> <p>The origins of the disorder are deeply rooted in the sexist <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8564048/">history of its pre-scientific ancestor – hysteria</a>. The legacy of hysteria has cast a long shadow, contributing to a misogynistic bias in perception and treatment. This historical context has led to ongoing stigma, where symptoms were often labelled as psychological and not warranting treatment.</p> <p>Women with functional symptoms often face scepticism and dismissal. In some cases, <a href="https://jnnp.bmj.com/content/94/10/855">significant harm</a> occurs through stigmatisation, inadequate care and poor management. Modern medicine has attempted to address these biases by recognising functional neurological disorder as a legitimate condition.</p> <p>A <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11414792/">lack of education</a> for medical professionals likely contributes to stigma. Many <a href="https://doi.org/10.1016/j.jocn.2019.06.008">clinicians report low confidence and knowledge</a> about their ability to manage the disorder.</p> <h2>A bright future?</h2> <p>Fortunately, awareness, research and interest has grown over the past decade. Many treatment approaches are being trialled, including <a href="https://www.physio4fmd.org/">specialist physiotherapy</a>, <a href="https://jnnp.bmj.com/content/92/1/36.abstract">psychological therapies</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/35115389/">non-invasive brain stimulation</a>.</p> <p>Patient-led organisations and <a href="https://fndhope.org/">support networks</a> are making headway advocating for improvements in health systems, research and education. The goal is to unite patients, their families, clinicians, and researchers to advance a new standard of care across the world.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/250501/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By</em> <a href="https://theconversation.com/profiles/benjamin-scrivener-2329913"><em>Benjamin Scrivener</em></a><em>, PhD Candidate, Faculty of Medical and Health Sciences, <a href="https://theconversation.com/institutions/university-of-auckland-waipapa-taumata-rau-1305">University of Auckland, Waipapa Taumata Rau</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/tremors-seizures-and-paralysis-this-brain-disorder-is-more-common-than-multiple-sclerosis-but-often-goes-undiagnosed-250501">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Body

Pope Francis' cause of death and burial wishes revealed

<p>The Vatican has confirmed that Pope Francis died from a stroke followed by heart failure, according to an official statement released by the Vatican press office. The 88-year-old pontiff passed away on Easter Monday, April 21, with underlying health conditions also contributing to his death.</p> <p>In a statement signed by Andrea Arcangeli, Director of the Health and Hygiene Directorate of the Vatican City State, the Vatican revealed that Francis had suffered a previous episode of acute respiratory failure, along with arterial hypertension and type II diabetes.</p> <p>Pope Francis made his final public appearance on Easter Sunday, where he delivered a brief Easter blessing to thousands gathered in St Peter’s Square. Unable to finish reading his address, the ailing pope sat as an aide delivered the rest of the speech, which called for peace in war-torn regions such as Gaza, Ukraine and Sudan.</p> <p>Following his death, the Vatican also made public the burial wishes outlined in the pope’s will. Francis requested a simple burial in the ground at Rome’s Basilica di Santa Maria Maggiore – marked only with the Latin inscription <em>Franciscus</em>. This will be the first time in over a century that a pope will be buried outside the Vatican.</p> <p>According to the will, an anonymous benefactor has agreed to cover the costs of his burial.</p> <p>With the pontiff’s passing, the Catholic Church now enters a traditional period of mourning known as the Novendiales, lasting nine days. During this time, Pope Francis will lie in state as preparations for his funeral are made.</p> <p>The conclave – the sacred process to elect a new pope – is expected to begin no sooner than 15 days and no later than 20 days following his death.</p> <p>Pope Francis, born Jorge Mario Bergoglio, became the first pope from the Americas and the first Jesuit pope. His death marks the end of a papacy defined by humility, progressive stances and a deep focus on global humanitarian issues.</p> <p><em>Images: Wikimedia Commons</em></p>

Caring

A simple, science-backed way to sharpen thinking and improve memory – and it's not what you think

<div class="theconversation-article-body">Many of us turn to Sudoku, Wordle or brain-training apps to sharpen our minds. But research is increasingly showing one of the best ways to boost memory, focus and brain health is exercise.</p> <p>Our <a href="https://bjsm.bmj.com/content/early/2025/03/06/bjsports-2024-108589">new research</a> reviewed data from more than 250,000 participants across 2,700 studies. We found exercise helps boost brain function – whether it’s walking, cycling, yoga, dancing, or even playing active video games such as Pokémon GO.</p> <p>Moving your body improves how we think, make decisions, remember things and stay focused – no matter your age.</p> <h2>What the science says</h2> <p>Our review adds to a growing body of research that shows regular physical activity <a href="https://bjsm.bmj.com/content/early/2025/03/06/bjsports-2024-108589">improves</a> three key areas of brain function:</p> <ul> <li> <p>cognition, which is your overall ability to think clearly, learn and make decisions</p> </li> <li> <p>memory, especially short-term memory and the ability to remember personal experiences</p> </li> <li> <p>executive function, which includes focus, planning, problem-solving and managing emotions.</p> </li> </ul> <p>We conducted an umbrella review, which means we looked at the results of more than 130 high-quality research reviews that had already combined findings from many exercise studies. These studies usually involved people starting a new, structured exercise program, not just tracking the exercise they were already doing.</p> <p>To assess the effects on cognition, memory and executive function, the original studies used a range of brain function tests. These included things like remembering word lists, solving puzzles, or quickly switching between tasks – simple activities designed to reliably measure how well the brain is working.</p> <p>The improvements were small to moderate. On average, exercise led to a noticeable boost in cognition, with slightly smaller but still meaningful gains in memory and executive function.</p> <p>The benefits showed up across all age groups, though children and teens saw major gains in memory.</p> <p>People with attention-deficit hyperactivity disorder (ADHD) showed greater improvements in executive function after physical activity than other population groups.</p> <p>The brain started responding fairly quickly – many people experienced improvements after just 12 weeks of starting regular exercise.</p> <p>Generally, the greatest benefits were seen in those doing at least 30 minutes of exercise on most days of the week, aiming for a total of about 150 minutes per week.</p> <h2>What’s happening in the brain?</h2> <p>Activities such as walking or cycling can <a href="https://www.pnas.org/doi/abs/10.1073/pnas.1015950108">increase the size of the hippocampus</a>, the part of the brain responsible for memory and learning.</p> <p>In <a href="https://www.pnas.org/doi/full/10.1073/pnas.1015950108">one study</a>, older adults who did aerobic exercise for a year grew their hippocampus by 2%, effectively reversing one to two years of age-related brain shrinkage.</p> <p>More intense workouts, such as running or high-intensity interval training, can further <a href="https://onlinelibrary.wiley.com/doi/full/10.1155/2017/8305287">boost neuroplasticity</a> – the brain’s ability to adapt and rewire itself. This helps you learn more quickly, think more clearly and stay mentally sharp with age.</p> <h2>Another reason to get moving</h2> <p>The world’s population is ageing. By 2030, <a href="https://www.who.int/news-room/fact-sheets/detail/ageing-and-health">one in six of people will be aged over 60</a>. With that comes a rising risk of dementia, Alzheimer’s disease and cognitive decline.</p> <p>At the same time, many adults aren’t moving enough. One in three adults <a href="https://www.who.int/news-room/fact-sheets/detail/physical-activity">aren’t meeting the recommended levels</a> of physical activity.</p> <p>Adults <a href="https://www.who.int/initiatives/behealthy/physical-activity">should aim for</a> at least 150 of moderate exercise – such as brisk walking – each week, or at least 75 minutes of more vigorous activity, like running.</p> <p>It’s also important to incorporate muscle-strengthening exercises, such as lifting weights, into workouts at least twice a week.</p> <h2>Everyday movement counts</h2> <p>You don’t need to run marathons or lift heavy weights to benefit. Our study showed lower-intensity activities such as yoga, tai chi and “exergames” (active video games) can be just as effective – sometimes even more so.</p> <p>These activities engage both the brain and body. Tai chi, for instance, requires focus, coordination and memorising sequences.</p> <p>Exergames often include real-time decision-making and rapid response to cues. This trains attention and memory.</p> <p>Importantly, these forms of movement are inclusive. They can be done at home, outdoors, or with friends, making them a great option for people of all fitness levels or those with limited mobility.</p> <p>Although you may already be doing a lot through daily life – like walking instead of driving or carrying shopping bags home – it’s still important to find time for structured exercise, such as lifting weights at the gym or doing a regular yoga class, to get the full benefits for your brain and body.</p> <h2>Real-life applications</h2> <p>If you’re a grandparent, consider playing Wii Sports virtual tennis or bowling with your grandchild. If you’re a teenager with signs of ADHD, try a dance class, and see if it impacts your concentration in class. If you’re a busy parent, you might be more clear-headed if you can squeeze a 20-minute yoga video session between meetings.</p> <p>In each of these cases, you’re not just being active, you’re giving your brain a valuable tune-up. And unlike most brain-training apps or supplements, exercise delivers far reaching benefits, including improved <a href="https://www.sciencedirect.com/science/article/pii/S1389945721002914?casa_token=pXaOJcQJ7d0AAAAA:0i4BjaxqJ21AQ2bGXI4DfQ6twKNybrg7c2f0_Xs7t-hWyDOH0SuKGTfruy-JlC_rMokUM3iWdlSQ">sleep</a> and <a href="https://bjsm.bmj.com/content/57/18/1203">mental health</a>.</p> <p>Workplaces and schools are starting to take note. <a href="https://onlinelibrary.wiley.com/doi/10.1002/smi.2654">Short movement breaks</a> are being introduced during the workday to improve employee focus.</p> <p>Schools that incorporate <a href="https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-017-0569-9">physical activity</a> into the classroom are seeing improvements in students’ attention and academic performance.</p> <p>Exercise is one of the most powerful and accessible tools we have for supporting brain health. Best of all, it’s free, widely available and it’s never too late to start.<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/253751/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/ben-singh-1297213">Ben Singh</a>, Research Fellow, Allied Health & Human Performance, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/ashleigh-e-smith-201327">Ashleigh E. Smith</a>, Associate Professor, Healthy Ageing, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South 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/heres-a-simple-science-backed-way-to-sharpen-your-thinking-and-improve-your-memory-253751">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Mind

"Absolutely stunning!": Jelena Dokic wows fans with new look

<p>Former tennis star Jelena Dokic has debuted a striking new look, showcasing her dramatic weight loss and inspiring thousands with her message of self-love.</p> <p>The 41-year-old, once ranked world No. 4, made a radiant return to the spotlight as part of Channel 9’s coverage of the Billie Jean King Cup. A photo from the broadcast set quickly sparked an outpouring of support from fans, celebrating not just her transformation, but her ongoing role as a symbol of strength and positivity.</p> <p>“Back in the studio and back doing the tennis and TV with my @channel9 @wwos family,” Dokic shared with her 285,000 Instagram followers on Thursday. “Nice little lead into the next 3 grand slams of the year with a @billiejeankingcup week.”</p> <p>Supportive messages flooded the post, with fans praising her radiant presence. “You’re a dead set LEGEND Jelena,” one admirer wrote, while another added, “Absolutely stunning!”</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/DIQMMW5pIcp/?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/DIQMMW5pIcp/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by JELENA DOKIC 🇦🇺🇦🇺🇦🇺 (@dokic_jelena)</a></p> </div> </blockquote> <p>Dokic has been open about her personal struggles, candidly discussing her battles with mental health, weight challenges and online bullying. In a heartfelt Instagram post from March 11, she reflected on her journey, using side-by-side images to convey a powerful message about body image.</p> <p>“What is the difference between the two images?” she asked. “Nothing except what you see on the outside, my BODY SIZE. I am the same hardworking person, respectful, generous, empathetic, compassionate, humble, kind, driven, strong, resilient, capable and loving person, woman and friend.”</p> <p>She continued, urging her followers to look beyond appearances: “Beauty has nothing to do with looks. It’s how you are as a person. It’s how you make others feel especially about themselves. No beauty shines brighter than that of a kind heart.”</p> <p>Now thriving as an author, expert tennis commentator and vocal advocate for mental health and body positivity, Dokic continues to inspire others with her authenticity and courage. Her documentary <em>Unbreakable</em>, which aired on Channel 9 earlier this year after its successful cinematic release in December 2024, has been met with rave reviews for its raw and honest portrayal of her life and career.</p> <p><em>Image: Instagram</em></p>

Body

Hollywood legend reveals secret cancer battle

<p>Hollywood icon Anjelica Huston has opened up for the first time about her private battle with cancer, revealing she was diagnosed back in 2019 but is now celebrating four years of being cancer-free.</p> <p>The Oscar-winning actress, 73, shared that the diagnosis came as a “big shock” shortly after the release of <em>John Wick: Chapter 3 – Parabellum</em>, in which she starred alongside Keanu Reeves and Halle Berry. While Huston chose not to disclose the exact type of cancer she faced, she expressed pride in overcoming the illness and praised her medical team for their care.</p> <p>“It came as a big shock, but it made me conscious of what I shouldn’t do, of places I shouldn’t go,” Huston told <em>People</em> magazine. “Sometimes you feel like you don't want to talk about it for the obvious reasons, but there's a lot to be said for talking about it and getting it out there and celebrating the fact that one's come through.”</p> <p>Reflecting on her journey, she added, “I managed to survive it, and I’m proud of myself.”</p> <p>Huston, best known for her roles in <em>The Addams Family</em>, <em>The Witches</em>, and <em>Prizzi's Honor</em>, comes from a legendary Hollywood lineage. She is the daughter of famed director and screenwriter John Huston and the granddaughter of Canadian star Walter Huston. Several of her siblings have also pursued acting careers.</p> <p>Her personal life has also captured public interest over the years. Huston famously dated actor Jack Nicholson, describing their relationship as an "emotional rollercoaster." In 1992, she married sculptor Robert Graham, who sadly passed away in 2008.</p> <p>Now, with her cancer battle behind her, Huston is embracing life with renewed appreciation and strength, inspiring fans worldwide.</p> <p><em>Images: Instagram</em></p>

Caring

A new COVID variant is on the rise: what you need to know

<div class="theconversation-article-body"> <p>More than five years since COVID was <a href="https://www.who.int/europe/emergencies/situations/covid-19">declared a pandemic</a>, we’re still facing the regular emergence of new variants of the virus, SARS-CoV-2.</p> <p>The latest variant on the rise is LP.8.1. It’s <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">increasing in Australia</a>, making up close to <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">one in five COVID cases</a> in New South Wales.</p> <p>Elsewhere it’s become even more dominant, comprising at least three in five cases <a href="https://inews.co.uk/news/health/lp-covid-variant-cases-future-waves-3598768">in the United Kingdom</a>, for example.</p> <p>So what is LP.8.1? And is it cause for concern? Let’s look at what we know so far.</p> <h2>An offshoot of Omicron</h2> <p>LP.8.1 was first <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">detected in July 2024</a>. It’s a descendant of Omicron, specifically of KP.1.1.3, which is descended from <a href="https://theconversation.com/the-emergence-of-jn-1-is-an-evolutionary-step-change-in-the-covid-pandemic-why-is-this-significant-220285">JN.1</a>, a subvariant that caused large waves of COVID infections around the world in late 2023 and early 2024.</p> <p>The <a href="https://www.who.int/activities/tracking-SARS-CoV-2-variants">World Health Organization</a> (WHO) designated LP.8.1 as a <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">variant under monitoring</a> in January. This was in response to its significant growth globally, and reflects that it has genetic changes which may allow the virus to spread more easily and pose a greater risk to human health.</p> <p>Specifically, LP.8.1 has mutations at six locations in its spike protein, the protein which allows SARS-CoV-2 to attach to our cells. One of these mutations, V445R, is thought to allow this variant to spread more easily relative to other circulating variants. V445R has been shown to increase binding to human lung cells in <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(25)00015-5/fulltext">laboratory studies</a>.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=468&fit=crop&dpr=1 600w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=468&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=468&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=588&fit=crop&dpr=1 754w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=588&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=588&fit=crop&dpr=3 2262w" alt="A chart showing the distribution of different COVID variants in different colours." /><figcaption><span class="caption">The proportion of COVID cases caused by LP.8.1 has been rising in New South Wales.</span> <span class="attribution"><a class="source" href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">NSW Health</a></span></figcaption></figure> <p>Notably, the symptoms of LP.8.1 don’t appear <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">to be any more severe</a> than other circulating strains. And the WHO has evaluated the additional public health risk LP.8.1 poses at a global level to be low. What’s more, LP.8.1 remains a variant under monitoring, rather than a variant of interest or a variant of concern.</p> <p>In other words, these changes to the virus with LP.8.1 are small, and not likely to make a big difference to the trajectory of the pandemic.</p> <h2>That doesn’t mean cases won’t rise</h2> <p>COVID as a whole is still a major national and international health concern. So far this year there have been close to <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">45,000 new cases recorded in Australia</a>, while around <a href="https://covidlive.com.au/report/daily-hospitalised/aus">260 people are currently in hospital</a> with the virus.</p> <p>Because many people are no longer testing or reporting their infections, the real number of cases is probably far higher.</p> <p>In <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">Australia</a>, LP.8.1 has become the <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">third most dominant strain in NSW</a> (behind <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">XEC</a> and KP.3).</p> <p>It <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">has been growing</a> over the past couple of months and this trend looks set to continue.</p> <p>This is not to say it’s not growing similarly in other states and territories, however NSW Health publishes <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Pages/reports.aspx">weekly respiratory surveillance</a> with a breakdown of different COVID variants in the state.</p> <p>Sequences of LP.8.1 in the <a href="https://gisaid.org/">GISAID database</a>, used to track the prevalence of variants around the world, increased from <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">around 3%</a> at the end of 2024 to 38% of global sequences as of <a href="https://x.com/Mike_Honey_/status/1905816340331728914">mid March</a>.</p> <p>In some countries it’s climbed particularly high. In the United States LP.8.1 is responsible for <a href="https://covid.cdc.gov/covid-data-tracker/#variant-proportions">55% of cases</a>. In <a href="https://inews.co.uk/news/health/lp-covid-variant-cases-future-waves-3598768">the UK</a>, where LP.8.1 is making up at least 60% of cases, scientists fear <a href="https://inews.co.uk/news/science/new-covid-wave-cases-hospitalisations-3611459?srsltid=AfmBOor_V7pQrPMPhUYQA2KCZgRfsI_CpxTwIRiHDFJHIJhq2kbAmD42">it may be driving a new wave</a>.</p> <h2>Will COVID vaccines work against LP.8.1?</h2> <p>Current COVID vaccines, including the most recently available <a href="https://theconversation.com/new-covid-vaccines-may-be-coming-to-australia-heres-what-to-know-about-the-jn-1-shots-237652">JN.1 shots</a>, are still expected to <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">offer good protection</a> against symptomatic and severe disease with LP.8.1.</p> <p>Nonetheless, due to its designation as a variant under monitoring, WHO member countries will continue to study the behaviour <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">of the LP.8.1 variant</a>, including any potential capacity to evade our immunity.</p> <p>While there’s no cause for panic due to LP.8.1 variant at this stage, COVID can still be a severe disease for some. Continued vigilance and vaccination, particularly <a href="https://www.health.gov.au/our-work/covid-19-vaccines/getting-your-vaccination">for medically vulnerable groups</a>, is essential in minimising the impact of the disease.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253237/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></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></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-covid-variant-is-on-the-rise-heres-what-to-know-about-lp-8-1-253237">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

Refinancing your home later in life – what you need to know

<p>There are many reasons why you may look to refinance your home. The obvious one is to lower mortgage repayments with a better rate. However, other reasons people refinance later in life include:</p> <ul> <li>unlocking equity to invest</li> <li>paying down other debts</li> <li>buying a holiday home</li> <li>funding extended travel</li> <li>launching a new business</li> <li>supporting children with a property deposit</li> </ul> <p>Regardless of why you want to refinance, the points below will help you navigate your options.</p> <p><strong>Changing lenders</strong></p> <p>It may have been a while since you last revisited your mortgage, meaning you may not be aware of current lending options and traps.</p> <p>A common trick lenders use is the so-called “headline rate” to grab your attention. However, this interest rate is typically not what you end up paying. It may only be an introductory rate for the first few months, or hefty fees attached may wipe out any savings.</p> <p>Banks aren’t the only ones offering loans nowadays. Registered non-bank lenders, fintechs and online lenders can refinance your mortgage and provide other credit services the same as any bank; they just don’t take cash deposits. Alternatively, you could explore credit unions and mutual societies.</p> <p>Also consider any shareholder benefits you may have. Most banks have done away with them now but may still honour pre-existing ones. If you change lenders, you could lose this entitlement – permanently.</p> <p><strong>Reverse mortgages</strong></p> <p>Generally, only available to people aged 60-plus, a reverse mortgage effectively allows you to unlock equity in your home without you needing to make immediate repayments.</p> <p>However, they often have strict conditions including:</p> <ul> <li>minimum borrowing amounts</li> <li>maximum borrowing ratios</li> <li>higher interest rates than standard mortgages</li> </ul> <p>Crucially, the interest accrues over time and is repaid when you sell, move or pass away. As such, your debt liability grows over time – potentially impacting your future living arrangements and how much is left for beneficiaries in your will. The Govt has the “loan equity scheme” as another option to lenders. I just want to highlight the need to be careful with reverse mortgages.</p> <p><strong>Changing homes</strong></p> <p>Rather than selling, downsizing could involve making an investment property your primary residence and then renting out your existing home.</p> <p>This approach may require you to refinance both loans simultaneously. There will also be tax considerations to work through – including Capital Gains Tax liabilities when you do sell, negative gearing, depreciation, and changes to your income tax.</p> <p>Then there are the lifestyle factors to weigh up, especially if you are moving to a different area:</p> <ul> <li>living expenses</li> <li>insurance and travel costs</li> <li>access to healthcare</li> <li>rental income</li> <li>property management expenses</li> </ul> <p>Remember that if you have a Self Managed Super Fund (SMSF), it CANNOT own any property that you directly use yourself, including your home.</p> <p><strong>Becoming Bank of Mum and Dad</strong></p> <p>Refinancing can unlock equity to support adult children with their first property deposit. However, it isn’t without its risks.</p> <p>Ask yourself honestly:</p> <ul> <li>Will this be a gift or loan?</li> <li>If a loan, under what terms? Will interest be applied? How and when will repayments be made? What if they default?</li> <li>What happens if their relationship breaks down, will you get your money back?</li> <li>How does going without that money affect your retirement?</li> <li>Do you have alternative assets to support you if your circumstances change?</li> <li>How does this affect inheritances or deposit contributions to your other children?</li> <li>Can you assist them another way without using your home equity?</li> </ul> <p>Draw up a written agreement outlining all conditions and scenarios to avoid disagreements in the future.</p> <p><strong>Pension impacts</strong></p> <p>Don’t overlook how refinancing your home could impact your pension. While your home is exempt from the means test, any income or assets you generate from unlocking equity is not.</p> <p>You could inadvertently see your pension amount reduced or your eligibility voided altogether. This would come as a nasty shock if you haven’t pre-budgeted for such a change!</p> <p><strong>Getting advice</strong></p> <p>To ensure you get the best bang for your buck when refinancing, be sure to enlist the help of a good:</p> <ul> <li>mortgage broker to source the best loans for your circumstances</li> <li>insurance broker to ensure your cover is right sized for your needs, risk and budget</li> <li>accountant to work through any tax implications</li> <li>estate planner to manage any changes</li> <li>financial adviser to keep your investments and financial strategy working for you</li> </ul> <p>Ultimately, decisions – including about refinancing – are only as good the information you have at hand. So, make sure you have all the relevant facts before signing on the dotted line.</p> <p><em><span style="line-height: 18.4px; font-family: Calibri, sans-serif; color: #242424;">Helen Baker is a licensed Australian financial adviser and author of the new book, Money For Life: How to build financial security from firm foundations (Major Street Publishing $32.99). Helen is among the 1% of financial planners who hold a master’s degree in the field. Proceeds from book sales are donated to charities supporting disadvantaged women and children. Find out more at </span><a style="color: #467886;" title="http://www.onyourowntwofeet.com.au/" href="http://www.onyourowntwofeet.com.au/"><span style="line-height: 18.4px; font-family: Calibri, sans-serif;">www.onyourowntwofeet.com.au</span></a></em></p> <p><em><span style="line-height: 18.4px; font-family: Calibri, sans-serif; color: #242424;">Disclaimer: The information in this article is of a general nature only and does not constitute personal financial or product advice. Any opinions or views expressed are those of the authors and do not represent those of people, institutions or organisations the owner may be associated with in a professional or personal capacity unless explicitly stated. Helen Baker is an authorised representative of BPW Partners Pty Ltd AFSL 548754.</span></em></p>

Money & Banking

Incredible new pacemaker tinier than a grain of rice

<p>Engineers from Northwestern University in the US have developed a groundbreaking pacemaker so tiny that it can fit inside the tip of a syringe – is smaller than a grain of rice – and be non-invasively injected into the body. This innovation could revolutionise cardiac care by offering a minimally invasive alternative to traditional pacemakers.</p> <p>"We have developed what is, to our knowledge, the world's smallest pacemaker," said bioelectronics pioneer John A Rogers, who led the development. The small, wireless device is biocompatible and designed to be gradually broken down and absorbed by the body, reducing the need for surgical extraction.</p> <p>Rogers and his colleagues tested the effectiveness of their tiny, temporary pacemaker in human heart tissue and animal models. Measuring just 1.8mm by 3.5mm by 1mm, the device is smaller than any previously reported pacemaker. It is paired with a soft, flexible, wireless wearable device mounted on a patient’s chest, which controls the pacing. When an irregular heartbeat is detected, the wearable device emits a light pulse that penetrates through the skin, breastbone and muscles to activate the pacemaker and regulate heart rhythm.</p> <p>While designed to work for hearts of all sizes, the pacemaker is particularly well-suited for newborns with congenital heart defects. Northwestern experimental cardiologist Igor Efimov, who co-led the study, said this device could play a<span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> critical role in the effective treatment</span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> of infants.</span></p> <p>"Our major motivation was children," Efimov explained. "About 1 percent of children are born with congenital heart defects, regardless of whether they live in a low-resource or high-resource country. The good news is that these children only need temporary pacing after surgery. In about seven days or so, most patients’ hearts will self-repair. But those seven days are absolutely critical."</p> <p>Researchers believe this pacemaker could provide a safer alternative to traditional pacemakers for temporary pacing in patients with bradycardia, a condition characterised by a resting heart rate below 60 beats per minute. Additionally, they suggest that the technology’s versatility could extend to broader medical applications in bioelectronic medicine, such as aiding nerve and bone healing and blocking pain.</p> <p>This revolutionary development represents a significant step forward in cardiac treatment, potentially improving outcomes for both infants and adults requiring temporary heart pacing.</p> <p><em>Images: Northwestern University</em></p>

Body

Do stem cell injections for knee osteoarthritis actually work?

<div class="theconversation-article-body">More than 500 million people around the world <a href="https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00163-7/fulltext">live with osteoarthritis</a>. The knee is affected more often than any other joint, with symptoms (such as pain, stiffness and reduced movement) affecting work, sleep, sport and <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">daily activities</a>.</p> <p>Knee osteoarthritis is often thought of as thinning of the protective layer of cartilage within the joint. But we now understand it affects all the structures of the joint, including the bones, muscles and nerve endings.</p> <p>While there are things that <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard/information-consumers-osteoarthritis-knee-clinical-care-standard">can be done to manage</a> the symptoms of knee osteoarthritis, there is no cure, and many people experience persistent pain. As a result, an opportunity exists for <a href="https://www.rheuma.com.au/stem-cell-therapy-good-bad-ugly/174">as yet unproven treatments</a> to enter the market, often before regulatory safeguards can be put in place.</p> <p>Stem cell injections are one such treatment. A <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a> my colleagues and I published this week finds that evidence of their benefits and harms remains elusive.</p> <h2>Stem cell treatments</h2> <p>Stem cells are already established as treatments for some diseases – <a href="https://www.lymphoma.org.au/lymphoma/treatments/stem-cell-transplants/autologous-stem-cell-transplant/">mostly disorders of the blood</a>, bone marrow or immune system – which has led to suggestions they could be used for a much wider array of conditions.</p> <p>Stem cells have been touted as promising treatments for osteoarthritis because they have special properties which allow them to replicate and develop into the mature healthy cells that make up our body’s organs and other tissues, including cartilage.</p> <p>Stem cell treatments for osteoarthritis generally involve <a href="https://www.aboutstemcells.org/treatments">taking a sample of tissue</a> from a site that is rich in stem cells (such as bone marrow or fat), treating it to increase the number of stem cells, then injecting it into the joint.</p> <p>The hope is that if the right type of stem cells can be introduced into an osteoarthritic joint in the right way and at the right time, they may help to repair damaged structures in the joint, or have other effects such as reducing inflammation.</p> <p>But no matter how convincing the theory, we need good evidence for effectiveness and safety before a new therapy is adopted into practice.</p> <p>Stem cell injections have not been approved by Australia’s <a href="https://www.tga.gov.au/news/news/stem-cell-treatments-and-regulation-quick-guide-consumers#:%7E:text=Does%20the%20TGA%20regulate%20stem,does%20not%20regulate%20medical%20practice">Therapeutic Goods Administration</a> for the treatment of osteoarthritis. Nonetheless, some clinics in Australia and around the world still offer them.</p> <p>Because of the regulatory restrictions, we don’t have reliable numbers on how many procedures are being done.</p> <p>They’re not covered by Medicare, so the procedure can cost the consumer thousands of dollars.</p> <p>And, as with any invasive procedure, both the <a href="https://coroners.nsw.gov.au/documents/findings/2016/Findings%20Drysdale.pdf">harvest of stem cells</a> and the joint injection procedure may carry the potential for harm, such as infection.</p> <h2>What we found</h2> <p>Our <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a>, published by the independent, international group the Cochrane Collaboration, looks at all 25 randomised trials of stem cell injections for knee osteoarthritis that have been conducted worldwide to date. Collectively, these studies involved 1,341 participants.</p> <p>We found stem cell injections may slightly improve pain and function compared with a placebo injection, but the size of the improvement may be too small for the patient to notice.</p> <p>The evidence isn’t strong enough to determine whether there is any improvement in quality of life following a stem cell injection, whether cartilage regrows, or to estimate the risk of harm.</p> <p>This means we can’t confidently say yet whether any improvement that might follow a stem cell injection is worth the risk (or the cost).</p> <h2>Hope or hype?</h2> <p>It’s not surprising we invest hope in finding a transformative treatment for such a common and disabling condition. Belief in the benefits of stem cells is widespread – more than <a href="https://www.arthroscopyjournal.org/article/S0749-8063(21)00571-5/abstract">three-quarters of Americans</a> believe stem cells can relieve arthritis pain and more than half believe this treatment to be curative.</p> <p>But what happens if a new treatment is introduced to practice before it has been clearly proven to be safe and effective?</p> <p>The use of an unproven, invasive therapy is not just associated with the risks of the intervention itself. Even if the treatment were harmless, there is the risk of unnecessary cost, inconvenience, and a missed opportunity for the patient to use existing therapies that are known to be effective.</p> <p>What’s more, if we need to play catch-up to try to establish an evidence base for a treatment that’s already in practice, we risk diverting scarce research resources towards a therapy that may not prove to be effective, simply because the genie is out of the bottle.</p> <h2>Working towards a clearer answer</h2> <p>Several more large <a href="https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12620000870954">clinical trials</a> are currently underway, and should increase our understanding of whether stem cell injections are safe and effective for knee osteoarthritis.</p> <p>Our review incorporates “<a href="https://www.cochrane.org/news/cochranes-pioneering-role-living-evidence">living evidence</a>”. This means we will continue to add the results of new trials as soon as they’re published, so the review is always up to date, and offers a comprehensive and trustworthy summary to help people with osteoarthritis and their health-care providers to make informed decisions.</p> <p>In the meantime, there are a number of <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/knee-and-hip-osteoarthritis/summary-plain-language">evidence-based treatment options</a>. Non-drug treatments such as physiotherapy, regular exercise, maintaining a healthy weight, and cognitive behavioural therapy can be more effective than you think. Anti-inflammatory and pain medications can also play a supporting role.</p> <p>Importantly, it’s not inevitable that osteoarthritic joints get worse with time. So, even though <a href="https://aoanjrr.sahmri.com/background">joint replacement surgery</a> is often highly effective, it’s the last resort and fortunately, many people never need to take this step.<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/253404/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/samuel-whittle-2357927">Samuel Whittle</a>, ANZMUSC Practitioner Fellow, <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/people-are-getting-costly-stem-cell-injections-for-knee-osteoarthritis-but-we-dont-know-if-they-work-253404">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Body

New study suggests shingles vaccine may lower dementia risk

<p>A groundbreaking new study suggests that getting vaccinated against shingles could offer protection against dementia, adding to the growing evidence linking viral infections to cognitive decline.</p> <p>Shingles is a painful and debilitating condition that occurs in individuals who have previously had chickenpox. The varicella-zoster virus, responsible for both diseases, can lie dormant for years before reactivating as shingles.</p> <p>The latest research, published recently in <em>Nature</em>, analysed data from over 280,000 older adults in Wales. The findings reveal that individuals who received the original live-virus shingles vaccine were 20% less likely to develop dementia than those who were not vaccinated.</p> <p>The study was made possible by a unique public health policy in Wales, which provided an unusual opportunity to compare similar populations. On September 1, 2013, the vaccine was offered to individuals who were 79 years old on that date but not to those who had turned 80. This created two nearly identical groups, differing only in their eligibility for the vaccine, allowing researchers from Germany and Stanford University to examine its impact on dementia risk.</p> <p>“This study is essentially like a randomised controlled trial, which is the gold standard in research,” said Dr Pascal Geldsetzer, a Stanford University assistant professor of medicine and senior author of the study.</p> <p>Previous research has suggested an association between the newer Shingrix vaccine – which replaced the live-virus version in 2020 – and a lower risk of dementia, particularly in women. However, earlier studies were unable to fully account for differences between vaccinated and unvaccinated individuals, such as overall health status.</p> <p>Dr Allison Aiello, a professor of epidemiology at Columbia University’s Aging Centre, praised the design of the Welsh study. “It’s like having a control group compared to a treated group,” Aiello, who was not involved in the research, said. “The 20% reduction in dementia risk is a pretty strong effect, which aligns with other findings that suggest herpes viruses might influence dementia.”</p> <p>Scientists do not yet fully understand how the varicella-zoster virus increases dementia risk. One theory is that viral reactivation may contribute to the buildup of abnormal proteins associated with Alzheimer’s disease. Another possibility is that shingles reactivation might also trigger herpes simplex virus (HSV), which has previously been linked to dementia.</p> <p>Herpes viruses, including HSV-1 and HSV-2, can linger in the body indefinitely, often reactivating when the immune system weakens with age. These viruses can infiltrate the central nervous system, potentially leading to brain inflammation and neurodegenerative effects. A 2024 study found that among 70-year-olds without dementia at the outset, those diagnosed with herpes simplex were more than twice as likely to develop dementia over 15 years.</p> <p>While the new study offers compelling evidence, it is not a definitive randomised controlled trial, cautioned Dr William Schaffner, an infectious disease expert at Vanderbilt University Medical Centre. “It’s provocative, interesting and exciting,” he said. However, he noted that it would be unethical to randomly assign people to receive or forgo the vaccine.</p> <p>The US FDA may eventually review the accumulating research and consider updating the shingles vaccine label to reflect a possible dementia-protection benefit, Schaffner added. Even if such an update does not occur, doctors may use these findings to encourage more people over 50 to get vaccinated.</p> <p>“There are still many eligible people who haven’t received the vaccine,” Schaffner said. “If they hear that it might help prevent dementia, that could be the push they need.”</p> <p><em>Image: Supplied</em></p>

Caring

Do any non-drug treatments help back pain? Here’s what the evidence says

<div class="theconversation-article-body"> <p>Jason, a 42-year-old father of two, has been battling back pain for weeks. Scrolling through his phone, he sees ad after ad promising relief: chiropractic alignments, acupuncture, back braces, vibrating massage guns and herbal patches.</p> <p>His GP told him to “stay active”, but what does that even mean when every movement hurts? Jason wants to avoid strong painkillers and surgery, but with so many options (and opinions), it’s hard to know what works and what’s just marketing hype.</p> <p>If Jason’s experience sounds familiar, you’re not alone. Back pain is one of the most common reasons people visit a doctor. It can be challenging to manage, mainly due to widespread <a href="https://theconversation.com/having-good-posture-doesnt-prevent-back-pain-and-bad-posture-doesnt-cause-it-183732">misunderstandings</a> and the <a href="https://ebm.bmj.com/content/early/2025/03/02/bmjebm-2024-112974">overwhelming number</a> of ineffective and uncertain treatments promoted.</p> <p>We assessed the best available evidence of non-drug and non-surgical treatments to alleviate low back pain. <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">Our review</a> – published today by the independent, international group the Cochrane Collaboration – includes 31 Cochrane systematic reviews, covering 97,000 people with back pain.</p> <p>It <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">shows</a> bed rest doesn’t work for back pain. Some of the treatments that do work can depend on how long you’ve been in pain.</p> <h2>Is back pain likely to be serious?</h2> <p>There are different types of low back pain. It can:</p> <ul> <li>be short-lived, lasting less than six weeks (acute back pain)</li> <li>linger for a bit longer, for six to twelve weeks (sub-acute)</li> <li>stick around for months and even years (chronic, defined as more than 12 weeks).</li> </ul> <p>In <a href="https://www.thelancet.com/article/S0140-6736(16)30970-9/abstract">most cases</a> (90-95%), back pain is non-specific and cannot be reliably linked to a specific cause or underlying disease. This includes common structural changes seen in x-rays and MRIs of the spine.</p> <p>For this reason, imaging of the back is <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60172-0/abstract">only</a> recommended in rare situations – typically when there’s a clear suspicion of serious back issues, such as after physical trauma or when there is numbness or loss of sensation in the groin or legs.</p> <p>Many people expect to receive <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013815.pub2/full">painkillers</a> for their back pain or even surgery, but these are no longer the front-line treatment options due to limited benefits and the high risk of harm.</p> <p>International <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30489-6/fulltext">clinical guidelines</a> recommend people choose non-drug and non-surgical treatments to relieve their pain, improve function and reduce the distress commonly associated with back pain.</p> <p>So what works for different types of pain? Here’s what <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">our review found</a> when researchers compared these treatments with standard care (the typical treatment patients usually receive) or no treatment.</p> <h2>What helps for short-term back pain</h2> <p><strong>1. Stay active – don’t rest in bed</strong></p> <p>If your back pain is new, the best advice is also one of the simplest: keep moving despite the pain.</p> <p>Changing the way you move and use your body to protect it, or resting in bed, can seem like to right way to respond to pain – and may have even been recommended in the past. But we know know this excessive protective behaviour can make it harder to return to meaningful activities.</p> <p>This doesn’t mean pushing through pain or hitting the gym, but instead, trying to maintain your usual routines as much as possible. Evidence suggests that doing so won’t make your pain worse, and may improve it.</p> <p><strong>2. Multidisciplinary care, if pain lingers</strong></p> <p>For pain lasting six to 12 weeks, multidisciplinary treatment is likely to reduce pain compared to standard care.</p> <p>This involves a coordinated team of doctors, physiotherapists and psychologists working together to address the many factors contributing to your back pain persisting:</p> <ul> <li> <p>neurophysiological influences refer to how your nervous system is currently processing pain. It can make you more sensitive to signals from movements, thoughts, feelings and environment</p> </li> <li> <p>psychological factors include how your thoughts, feelings and behaviours affect your pain system and, ultimately, the experience of pain you have</p> </li> <li> <p>occupational factors include the physical demands of your job and how well you can manage them, as well as aspects like low job satisfaction, all of which can contribute to ongoing pain.</p> </li> </ul> <h2>What works for chronic back pain</h2> <p>Once pain has been around for more than 12 weeks, it can become more difficult to treat. But relief is still possible.</p> <p><strong>Exercise therapy</strong></p> <p>Exercise – especially programs tailored to your needs and preferences – is likely to reduce pain and help you move better. This could include aerobic activity, strength training or Pilates-based movements.</p> <p>It doesn’t seem to matter what type of exercise you do – it matters more that you are consistent and have the right level of supervision, especially early on.</p> <p><strong>Multidisciplinary treatment</strong></p> <p>As with short-term pain, coordinated care involving a mix of physical, occupational and psychological approaches likely works better than usual care alone.</p> <p><strong>Psychological therapies</strong></p> <p>Psychological therapies for chronic pain include approaches to help people change thinking, feelings, behaviours and reactions that might sustain persistent pain.</p> <p>These approaches are likely to reduce pain, though they may not be as effective in improving physical function.</p> <p><strong>Acupuncture</strong></p> <p>Acupuncture probably reduces pain and improves how well you can function compared to placebo or no treatment.</p> <p>While some debate remains about how it works, the evidence suggests potential benefits for some people with chronic back pain.</p> <h2>What doesn’t work or still raises uncertainty?</h2> <p>The review found that many commonly advertised treatments still have uncertain benefits or probably do not benefit people with back pain.</p> <p>Spinal manipulation, for example, has uncertain benefits in acute and chronic back pain, and it likely does not improve how well you function if you have acute back pain.</p> <p>Traction, which involves stretching the spine using weights or pulleys, probably doesn’t help with chronic back pain. Despite its popularity in some circles, there’s little evidence that it works.</p> <p>There isn’t enough reliable data to determine whether advertised treatments – such back braces, vibrating massage guns and herbal patches – are effective.</p> <h2>How can you use the findings?</h2> <p>If you have back pain, start by considering how long you’ve had it. Then explore treatment options that research supports and discuss them with your GP, psychologist or physiotherapist.</p> <p>Your health provider should reassure you about the importance of gradually increasing your activity to resume meaningful work, social and life activities. They should also support you in making informed decisions about which treatments are most appropriate for you at this stage.</p> <p><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/253122/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" />By <a href="https://theconversation.com/profiles/rodrigo-rossi-nogueira-rizzo-1544189">Rodrigo Rossi Nogueira Rizzo</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/neuroscience-research-australia-976">Neuroscience Research Australia</a> and <a href="https://theconversation.com/profiles/aidan-cashin-2355450">Aidan Cashin</a>, NHMRC Emerging Leadership Fellow, <a href="https://theconversation.com/institutions/neuroscience-research-australia-976">Neuroscience Research 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/do-any-non-drug-treatments-help-back-pain-heres-what-the-evidence-says-253122">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Body

King Charles admitted to hospital

<p>Reports from Buckingham palace have revealed that King Charles has been forced to cancel a series of public engagements after being admitted to hospital due to side effects from his ongoing cancer treatment.</p> <p>The Palace released a statement on Thursday evening confirming that the 72-year-old monarch had “experienced temporary side effects that required a short period of observation in hospital” following his scheduled and ongoing medical treatment for cancer. The King has since returned to Clarence House, where he resides with Queen Camilla.</p> <p>“As a precautionary measure, acting on medical advice, tomorrow’s diary program will also be rescheduled,” the Palace added. Although the Palace did not specify the exact nature of the side effects, sources suggest such occurrences are not uncommon among cancer patients.</p> <p>A royal insider described the medical incident to <em>The Daily Mail</em> as a “most minor bump in a road that’s very much heading in the right direction”. However, in order to “protect and prioritise [his] continued very positive recovery”, King Charles has regretfully cancelled his planned engagements in Birmingham on Friday.</p> <p>The King was diagnosed with an undisclosed form of cancer in February last year and has been receiving outpatient treatment since then. Initially, he had to withdraw from public duties for several weeks but resumed engagements in April. Since then, he has travelled internationally – including a visit to Australia last October – and hosted numerous state visits while continuing his recovery.</p> <p>Last week, King Charles visited Ulster University’s Pharmacy and Pharmacology department in Northern Ireland to learn about their groundbreaking cancer research. During his visit, he shared words of encouragement with fellow cancer patients, quoting Winston Churchill’s famous phrase: “Keep buggering on.” Regarding the side effects of treatment, he remarked, “You just have to push on, don’t you?”</p> <p>While the specific type of cancer affecting the King has not been disclosed, reports suggest that it was caught at a very early stage. Royal sources remain optimistic about his recovery, and say his treatment is progressing positively.</p> <p><em>Image: Department of the Prime Minister and Cabinet/ Millie Pilkington</em></p>

Caring

Hilarious gift for Home and Away icon after her final scene

<p>After an incredible 33-year run on <em>Home and Away</em>, beloved actress Lynne McGranger has filmed her final scene, marking the end of an era for both the show and its devoted fans. Portraying the iconic Irene Roberts, McGranger’s departure is a moment of celebration and nostalgia for the Australian TV industry.</p> <p>McGranger wrapped up her last scene on the legendary Pier Diner set at Seven’s Eveleigh Studios in Sydney on Wednesday. The emotional moment was met with cheers and heartfelt applause as the cast and crew gathered to witness the final take for the longest-serving female cast member in the show’s history.</p> <p>Producer Lucy Addario led the tributes, presenting McGranger with a bouquet of flowers on behalf of the <em>Home and Away</em> production team. Adding a touch of humour and nostalgia, she was also gifted the famous “Hamburger Phone” – a prop synonymous with the Diner – as a token of appreciation for her unforgettable contribution to the show.</p> <p>Grateful and emotional, McGranger reflected on her incredible journey. “I’ve had the ride of my life. And I love each and every one of you so much: The cast – Ray, Georgie, Emily, Shane, Ada, James, all the youngins,” she said. “The art department, the writers, everybody – there’s so many unsung heroes. This show is made up of so many parts. You’re all amazing, and it’s been my great privilege to work with each and every one of you. I’m touched, I’m humbled, and I’m so honoured. Thank you so much.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DHp-tuUCy-h/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DHp-tuUCy-h/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by 7NEWS Sydney (@7newssyd)</a></p> </div> </blockquote> <p>Though McGranger’s time on set has concluded, her character’s exit storyline promises to keep viewers captivated for months to come. Since her debut in January 1993, Irene has been a cornerstone of Summer Bay, known for her toughness, sharp wit and heart of gold. A recovered alcoholic who turned her life around, Irene’s journey has seen her take in numerous foster children and face some of the show’s most dramatic storylines, from battling breast cancer to surviving bomb explosions and plane crashes.</p> <p>Throughout the years, Irene’s signature catchphrases – “girly”, “darl”, and “flippin’ heck!” – have cemented her place in Australian pop culture. In 2023, <em>TV WEEK</em> even ranked her the second Greatest Australian TV Character Of All Time, a testament to McGranger’s unforgettable performance <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">(Alf was No.1, in case you're wondering)</span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">.</span></p> <p>Even as fans prepare to say goodbye to Irene Roberts over the coming months, McGranger’s legacy will live on in the hearts of <em>Home and Away</em> viewers. Her unmistakable charm has left an indelible mark on the show, and she will always be remembered as a true Summer Bay icon.</p> <p><em>Images: Network 7</em></p>

"Patrons yelled to stop": Comedy Festival rocked by death on opening night

<p>Melbourne’s comedy scene was rocked by tragedy on the opening night of this year’s International Comedy Festival, as an attendee suffered a fatal medical episode mid-show, leading to the abrupt cancellation of the event.</p> <p>The distressing incident occurred during comedian Michael Hing’s performance at the Palais Theatre, where a man on the upper level of the venue suffered a medical emergency. Attendees quickly responded, providing CPR in the dark while Hing remained unaware of the unfolding crisis.</p> <p>“[It] would have been at least 15 mins worth before the show stopping, and [it] only stopped as patrons yelled to stop performing,” one audience member told <em>The Daily Mail</em>.</p> <p>Another witness expressed dismay over the handling of the situation, stating, “I can’t believe they [the organisers] didn’t communicate with backstage to halt the show, and that it took the public to yell out to the comedian to stop for something to happen.”</p> <p>The Melbourne International Comedy Festival addressed the incident in a statement posted on Instagram, confirming the show’s cancellation.</p> <p>“Melbourne International Comedy Festival regrets to confirm that there was a medical emergency while the Opening Night Allstars Supershow was taking place this evening at the Palais Theatre,” a festival spokesman said. “The show was stopped and cancelled. The Festival will be in touch with all ticket holders tomorrow.”</p> <p>Victoria Police later confirmed the man’s death. “Police will prepare a report for the Coroner following the death of a man in St Kilda on Wednesday, 26 March,” a spokesman said. “Emergency services were called to a theatre on Lower Esplanade about 9pm. A man, who is yet to be formally identified, died at the scene.”</p> <p>Health worker Andrea Bortoli, who was sitting in the upper level’s front row, described the distressing scene as people began leaving and it “became quite obvious that someone was getting CPR. It was just obviously really distressing, so we wanted to leave,” she told <em>The Age</em>. </p> <p>Eventually, the theatre lights were turned on, and patrons were informed that the show had been cancelled.</p> <p>The Allstars Gala is one of the most anticipated nights of the festival, bringing together some of the biggest names in comedy. This year’s event was hosted by Hing.</p> <p>As news of the tragedy spread, comedian Dave Hughes expressed his sympathies on social media, writing, “All performers thoughts are with the family affected”.</p> <p><em>Images: Palais Theatre / MichaelHing.com</em></p>

Caring

"Game changer": Aussie women welcome new early-detection cancer test

<p>Australian women will soon have access to a revolutionary blood test designed to aid in the early detection of breast cancer. The innovative test, known as BREASTEST plus™, was developed by BCAL Diagnostics and is set to complement traditional breast cancer screening methods such as mammograms and ultrasounds.</p> <p>BCAL Diagnostics chair Jayne Shaw <a href="https://7news.com.au/news/public-health/australian-first-blood-test-to-help-early-detection-of-breast-cancer-comes-to-sydney-before-nationwide-rollout-c-18153750" target="_blank" rel="noopener">revealed to 7NEWS</a> that the development of the test had taken 15 years, describing it as a "game changer" for women worldwide.</p> <p>“The breast test is a game changer for all women everywhere because it’s a blood test to detect breast cancer alongside other diagnostic tools like ultrasound and a mammogram,” Shaw said.</p> <p>She pointed out that a similar blood test for prostate cancer, which has been available since 1989, has significantly improved clinical outcomes for men. “Early diagnosis for all cancers will lead to improved survivability rates, and it was only inevitable that a blood test would be developed to diagnose breast cancer earlier,” she added.</p> <p>One of the major advantages of the new blood test is its ability to detect breast cancer in women with high breast density. Around 40-50% of Australian women undergoing screening have high breast density, which can obscure abnormalities on mammograms and make diagnosis more difficult.</p> <p>With the ability to identify breast cancer markers, the blood test will provide a valuable additional tool for detecting cancers that might otherwise go unnoticed.</p> <p>Breast Cancer Network Australia director Vicki Durston welcomed the new test, especially for its potential to improve the reporting of high breast density cases, where cancers are often missed. “Breast Cancer Network Australia has long been calling for the uplift in the breast density statement nationally to see standardised reporting across the country,” Durston said.</p> <p>She also noted that while high breast density is just one of many risk factors, the new test represents an innovative step forward in improving early detection and treatment.</p> <p>Breast cancer remains the most commonly diagnosed cancer among Australian women, accounting for approximately 28% of all new cancer cases. In 2024 alone, around 21,194 people were diagnosed with breast cancer in Australia, including 20,973 women and 221 men. However, survival rates have improved dramatically, with Australia’s peak breast cancer body reporting that the five-year survival rate has risen from 78% in 1994 to 92% in 2020, with many people living long and healthy lives beyond this period.</p> <p>While the test currently comes at an out-of-pocket cost, there is hope that the Australian government will eventually provide subsidies under Medicare to make it more accessible. The first tests will be available at the <a href="https://www.sydneybreastclinic.com.au/" target="_blank" rel="noopener">Sydney Breast Clinic</a> starting Thursday, followed by a rollout in Melbourne, with plans to expand nationwide by the end of the year.</p> <p><em>Images: Shutterstock / 7NEWS</em></p>

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King Charles admitted to hospital

Hilarious gift for Home and Away icon after her final scene

"Patrons yelled to stop": Comedy Festival rocked by death on opening night

"Game changer": Aussie women welcome new early-detection cancer test

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