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"Priceless and precious" war medals found in landfill

<p>A set of treasured war medals has been rescued from the brink of destruction at the Gatton Landfill west of Brisbane – all thanks to the sharp eyes and quick instincts of a local council worker.</p> <p>Tim, a heavy machinery operator at the site, was carrying out his usual duties recently when something out of the ordinary caught his attention in a pile of general waste. Amidst the discarded household items and rubbish, he noticed a small, unusual-looking container. Curious, he paused his work to investigate further and reported the find to his supervisor.</p> <p>What he discovered inside the box was nothing short of remarkable – four official war medals, still in pristine condition, tucked away as though forgotten. The medals, believed to be decades old, were likely of great sentimental and historical value to their rightful owner.</p> <p>“This was a wonderful stroke of luck,” said Lockyer Valley Regional <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Councillor Julie Reck, who holds the Waste Portfolio for the region. “If it hadn’t been for Tim, these priceless and precious medals would have wound up in landfill, likely never to be seen again.”</span></p> <p>Recognising the importance of the find, Council staff acted quickly to trace the medals’ origins. Within days, they were able to track down the family to whom the medals belonged and arrange for their safe return.</p> <p>The grateful owners were reportedly overwhelmed with emotion to have the medals – symbols of service and sacrifice – back in their possession.</p> <p>Councillor Reck praised Tim’s attentiveness and initiative, adding that this story is a timely reminder of how small actions can make a big difference.</p> <p>“It’s moments like these that show how much people care, even in the most unexpected places,” she said. “We're so proud of Tim and the whole team for handling the discovery with such care and respect.”</p> <p>While landfills are not usually associated with good news, this rare find proves that even in the unlikeliest of places, treasures – and touching stories – can still be uncovered.</p> <p><em>Images: Lockyer Valley Regional Council </em></p>

Home & Garden

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TGA approves new drug for Alzheimer’s

<div class="theconversation-article-body"> <p>This week, Australia’s <a href="https://www.tga.gov.au/resources/artg/420194">Therapeutic Goods Administration</a> (TGA) approved a drug called donanemab for people in the early stages of Alzheimer’s disease.</p> <p>Donanemab has previously been approved in a number of other countries, including <a href="https://www.fda.gov/drugs/news-events-human-drugs/fda-approves-treatment-adults-alzheimers-disease">the United States</a>.</p> <p>So what is donanemab, and who will be able to access it in Australia?</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">A drug that is given once a month to slow the cognitive decline associated with Alzheimer’s disease has been approved by the TGA, but will only be available for a select few who can afford it privately. <a href="https://t.co/sJqR3IKhAB">https://t.co/sJqR3IKhAB</a></p> <p>— ABC News (@abcnews) <a href="https://twitter.com/abcnews/status/1925378845135274425?ref_src=twsrc%5Etfw">May 22, 2025</a></p></blockquote> <h2>How does donanemab work?</h2> <p>There are more than 100 different causes <a href="https://www.alzint.org/about/dementia-facts-figures/types-of-dementia/">of dementia</a>, but Alzheimer’s disease alone accounts for about 70% of these, making it <a href="https://www.alzint.org/about/dementia-facts-figures/types-of-dementia/alzheimers-disease/">the most common form</a> of dementia.</p> <p>The disease is believed to be caused by the accumulation in the brain of two abnormal proteins, amyloid and tau. The first is thought to be particularly important, and the “<a href="https://theconversation.com/alzheimers-drug-donanemab-has-been-hailed-as-a-turning-point-for-treatment-but-what-does-it-mean-for-people-with-the-disease-209970">amyloid hypothesis</a>” – which suggests amyloid is the key cause of Alzheimer’s disease – has driven research for many years.</p> <p>Donanemab is a “monoclonal antibody” treatment. Antibodies are proteins the immune system produces that bind to harmful foreign “invaders” in the body, or targets. A monoclonal antibody has one specific target. In the case of donanemab it’s the amyloid protein. Donanemab binds to amyloid protein deposits (plaques) in the brain and allows our bodies to remove them.</p> <p>Donanemab is given monthly, via intravenous infusion.</p> <h2>What does the evidence say?</h2> <p>Australia’s approval of donanemab comes as a result of a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10352931/">clinical trial</a> involving 1,736 people published in 2023.</p> <p>This trial showed donanemab resulted in a significant slowing of disease progression in a group of patients who had either early Alzheimer’s disease, or mild cognitive impairment with signs of Alzheimer’s pathology. Before entering the trial, all patients had the presence of amyloid protein detected via <a href="https://www.healthdirect.gov.au/pet-scan">PET scanning</a>.</p> <p>Participants were randomised, and half received donanemab, while the other half received a placebo, over 18 months.</p> <p>For those who received the active drug, their Alzheimer’s disease progressed 35% more slowly over 18 months compared to those who were given the placebo. The researchers ascertained this using the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4806404/">Integrated Alzheimer’s Disease Rating Scale</a>, which measures cognition and function.</p> <p>Those who received donanemab also demonstrated large reductions in the levels of amyloid in the brain (as measured by PET scans). The majority, by the end of the trial, were considered to be below the threshold that would normally indicate the presence of Alzheimer’s disease.</p> <p>These results certainly seem to vindicate the amyloid hypothesis, which had been <a href="https://pubmed.ncbi.nlm.nih.gov/33049114/">called into question</a> by the results of multiple <a href="https://www.wsj.com/articles/eli-lillys-alzheimers-drug-trial-fails-to-achieve-goals-1479902563">failed previous studies</a>. They represent a major advance in our understanding of the disease.</p> <p>That said, patients in the study did not <em>improve</em> in terms of cognition or function. They continued to decline, albeit at a significantly slower rate than those who were not treated.</p> <p>The actual clinical significance has been <a href="https://academic.oup.com/braincomms/article/6/6/fcae435/7915707">a topic of debate</a>. Some experts have questioned whether the meaningfulness of this result to the patient is worth the potential risks.</p> <h2>Is the drug safe?</h2> <p>Some 24% of trial participants receiving the drug experienced brain swelling. The rates rose to 40.6% in those possessing two copies of a gene called ApoE4.</p> <p>Although three-quarters of people who developed brain swelling experienced no symptoms from this, there were three deaths in the treatment group during the study related to donanemab, likely a result of brain swelling.</p> <p>These risks <a href="https://www.sciencedirect.com/science/article/pii/S2274580725000949">require regular monitoring</a> with MRI scans while the drug is being given.</p> <p>Some 26.8% of those who received donanemab also experienced small bleeds into the brain (microhaemorrhages) compared to 12.5% of those taking the placebo.</p> <h2>Cost is a barrier</h2> <p>Reports indicate donanemab could cost anywhere between <a href="https://www.abc.net.au/news/2025-05-22/alzheimers-drug-donanemab-tga-approval-dementia/105319856">A$40,000 and $80,000</a> each year in Australia. This puts it beyond the reach of many who might benefit from it.</p> <p>Eli Lilly, the manufacturer of donanemab, has made an application for the drug to be listed on the Pharmaceutical Benefits Scheme, with a decision pending perhaps within <a href="https://www.abc.net.au/news/2025-05-22/alzheimers-drug-donanemab-tga-approval-dementia/105319856">a couple of months</a>. While this would make the drug substantially more affordable for patients, it will represent a large cost to taxpayers.</p> <p>The cost of the drug is in addition to costs associated with the monitoring required to ensure its safety and efficacy (such as doctor visits, MRIs and PET scans).</p> <h2>Who will be able to access it?</h2> <p>This drug is only of benefit for people with early Alzheimer’s-type dementia, so not everybody with Alzheimer’s disease will get access to it.</p> <p>Almost 80% of people who were screened to participate <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10352931/">in the trial</a> were found unsuitable to proceed.</p> <p>The terms of the <a href="https://www.ebs.tga.gov.au/servlet/xmlmillr6?dbid=ebs/PublicHTML/pdfStore.nsf&amp;docid=420194&amp;agid=%28PrintDetailsPublic%29&amp;actionid=1">TGA approval</a> specify potential patients will first need to be found to have specific levels of amyloid protein in their brains. This would be ascertained either by PET scanning or by lumbar puncture sampling of spinal fluid.</p> <p>Also, patients with two copies of the ApoE4 gene have been ruled unsuitable to receive the drug. The TGA has judged the risk/benefit profile for this group to be unfavourable. This genetic profile accounts for only 2% of the general population, but <a href="https://www.nih.gov/news-events/nih-research-matters/study-defines-major-genetic-form-alzheimer-s-disease">15% of people with Alzheimer’s disease</a>.</p> <h2>Improving diagnosis and tempering expectations</h2> <p>It’s estimated more than <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/population-health-impacts-of-dementia/prevalence-of-dementia">400,000 Australians</a> have dementia. But only <a href="https://www.aihw.gov.au/reports/dementia/ndap-indicators-dashboard/contents/action-4/measure-4-5-time-from-symptom-onset-to-diagnosis">13% of people</a> with dementia currently receive a diagnosis within a year of developing symptoms.</p> <p>Given those with very early disease stand to benefit most from this treatment, we need to expand our dementia diagnostic services significantly.</p> <p>Finally, expectations need to be tempered about what this drug can reasonably achieve. It’s important to be mindful this is not a cure.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/257321/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/steve-macfarlane-4722">Steve Macfarlane</a>, Head of Clinical Services, Dementia Support Australia, &amp; Associate Professor of Psychiatry, <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/the-tga-has-approved-donanemab-for-alzheimers-disease-how-does-this-drug-work-and-who-will-be-able-to-access-it-257321">original article</a>.</em></p> </div>

Caring

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How to get started investing later in life

<p>For some people – particularly women – investing may not have been an option until now, constrained by a lack of income while raising children or low incomes leaving nothing to invest once the bills were paid.</p> <p>Others find a new-found need to invest later in life, such as after a separation, inability to work through illness or injury, or the sudden death of their partner.</p> <p>No matter your reason for exploring investing later in life, the following pointers will get you on your way to building financial independence and a comfortable retirement.</p> <p><strong>Update your strategy</strong></p> <p>When was the last time you updated your spending and investment plan (or household budget)? It may have been before the kids left home, your mortgage was paid off, or you began transitioning into part-time retirement. </p> <p>If so, your living costs have changed significantly – work expenses, home energy consumption, groceries etc. Furthermore, your goals, healthcare and lifestyle needs may also have changed.</p> <p>Update your strategy to align with your current goals, values, income and spending habits. Only then will you understand how much you can afford to invest and where to direct those funds.</p> <p><strong>Right-size your superannuation</strong></p> <p>In your later years, super is likely to be front of mind. Ensure this investment works its hardest for you by scrutinising its:</p> <p>•<span style="white-space: pre;"> </span>Structure: retail or industry fund? SMSF? Each has its own costs and benefits to contemplate.</p> <p>•<span style="white-space: pre;"> </span>Investments: reexamine the types of assets held, level of diversification and risk weighting.</p> <p>•<span style="white-space: pre;"> </span>Insurances: do you have adequate life, permanent disability and income protection cover? </p> <p>•<span style="white-space: pre;"> </span>Take advantage of superannuation strategies you may not be aware of</p> <p><strong>Unlock home equity</strong></p> <p>The biggest source of money you likely have at this stage of life is equity in your home. </p> <p>This can be used to invest with minimal impact on your everyday finances. In fact, unused equity is effectively dead money (until you sell the property).</p> <p>I always urge caution on reverse mortgages. In theory, they seem like a great way of unlocking equity without saddling you with regular repayments. However, they typically:</p> <p>•<span style="white-space: pre;"> </span>accumulate more debt.</p> <p>•<span style="white-space: pre;"> </span>have higher interest rates than standard mortgages.</p> <p>•<span style="white-space: pre;"> </span>only grant access to a portion of your equity.</p> <p>•<span style="white-space: pre;"> </span>can restrict your options to downsize later.</p> <p>•<span style="white-space: pre;"> </span>could leave you with no remaining equity when you sell the property or nothing to leave to your benefactors when you pass away.</p> <p><strong>Consider downsizing</strong></p> <p>An alternative to refinancing is downsizing from the family home. </p> <p>As well as unlocking money for investing, you benefit from lower upkeep costs (and cleaning!) on a smaller property and can make a lifestyle change at the same time (moving nearer to family, away from bustling cities, or into supported care if required).</p> <p>Additionally, you may be able to use part of the sale proceeds (up to $300,000) to turbocharge your super with a one-off <a href="https://www.ato.gov.au/individuals-and-families/super-for-individuals-and-families/super/growing-and-keeping-track-of-your-super/how-to-save-more-in-your-super/downsizer-super-contributions" target="_blank" rel="noopener">downsizer contribution</a>.</p> <p><strong>Examine pension impacts</strong></p> <p>Investing can impact your ability to claim the age pension when you retire, and how much you receive. </p> <p>This often comes to bite people who unlock equity in their home to invest, without realising that doing so means the money suddenly counts towards the pension means test.</p> <p>Before doing anything, methodically weigh up which will leave you financially better off – claiming a full or part pension, or self-funding your retirement through investments.</p> <p><strong>Minimise tax</strong></p> <p>Hefty tax bills can easily wipe out any investment returns, making tax a crucial factor in your decision-making.</p> <p>Potential tax considerations to factor into your strategy include:</p> <p>•<span style="white-space: pre;"> </span>Determining the most tax-effective ownership structure (e.g. do you invest in your or partner’s name? Through your super? Through a trust or company?</p> <p>•<span style="white-space: pre;"> </span>Incorporating stamp duty into purchase costs.</p> <p>•<span style="white-space: pre;"> </span>Ensuring there is enough profit from the sale of an investment to cover Capital Gains Tax (CGT) and income tax liabilities before deciding to sell.</p> <p>•<span style="white-space: pre;"> </span>Timing a sale to fall within the optimal financial year (e.g. in a year where your taxable income is lower or when relevant tax changes come into effect).</p> <p><strong>Invest in knowledge</strong></p> <p>Later in life, you have fewer working years remaining to recover any losses. Given the far-reaching implications of investing, I highly recommend first speaking to a financial adviser.  Many times the fees are paid for in initial tax savings. </p> <p>They can help you maximise your returns, minimise your tax, ensure you don’t inadvertently leave yourself worse off and give you peace of mind.</p> <p>After all, the whole point of investing is to make money. And, without current professional advice, you simply don’t know what you don’t know!</p> <p><em>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 <a href="http://www.onyourowntwofeet.com.au/" target="_blank" rel="noopener">www.onyourowntwofeet.com.au</a></em></p> <p><em>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.</em></p> <p> </p>

Retirement Income

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Ben Roberts-Smith loses defamation appeal over war crimes findings

<p>Decorated war veteran Ben Roberts-Smith has lost a high-profile legal appeal seeking to overturn findings that he likely engaged in war crimes during his service in Afghanistan.</p> <p>The Federal Court dismissed the former soldier’s defamation appeal on Friday, marking a major defeat for Australia's most decorated living soldier and potentially concluding a years-long legal battle that has captivated the nation. Roberts-Smith, who was not present in court, now faces a substantial legal bill estimated to exceed $25 million.</p> <p>Lawyers for Nine newspapers, who published the original reports in 2018, were seen embracing outside the courthouse, visibly jubilant over the outcome. "The smile says it all," one lawyer told reporters. In contrast, Roberts-Smith’s legal team declined to comment as they left the building.</p> <p>Roberts-Smith, a Victoria Cross recipient, sued Nine and investigative journalists Nick McKenzie and Chris Masters over a series of reports alleging he was involved in the unlawful killing of unarmed civilians while deployed with the SAS in Afghanistan. In 2023, Justice Anthony Besanko ruled the allegations were substantially true, including claims that Roberts-Smith was involved in the murder of four unarmed Afghan men.</p> <p>Among the most damning accusations were that Roberts-Smith executed a man with a prosthetic leg and encouraged fellow soldiers to use the leg as a drinking vessel. He was also accused of ordering the killing of an elderly prisoner in 2009 to initiate a junior soldier, and of kicking a bound prisoner off a cliff before having him executed in 2012. Another killing was linked to a weapons cache found in the village of Cinartu.</p> <p>These claims were upheld by Justice Besanko on the balance of probabilities, a standard used in civil cases. Friday's ruling confirmed the original judgment, with the full court dismissing the appeal. The court’s written reasons are expected to be released in the coming days.</p> <p>Nine successfully argued that its reporting was grounded in solid evidence and that Justice Besanko’s findings were appropriately supported.</p> <p>Roberts-Smith, once hailed as a national hero for his bravery under fire and named Australian Father of the Year, now faces the prospect of paying Nine’s legal costs for both the original trial and the failed appeal. His legal team may consider taking the matter to the High Court, but such a move would be his final legal recourse in a saga that has spanned more than seven years.</p> <p>Despite the serious nature of the findings, Roberts-Smith has not been criminally charged in relation to any of the alleged incidents.</p> <p><em>Image: Today show</em></p>

Legal

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Remains of 4 Australian soldiers discovered just days ahead of Anzac Day

<p>The remains of four Australian soldiers who perished in World War I have been uncovered in northern France, more than a century after they were killed in the brutal Second Battle of Bullecourt.</p> <p>According to the Australian Department of Defence, the discovery was made during a recent fieldwork operation conducted by the Australian Army’s Unrecovered War Casualties unit. The soldiers were among the thousands who fought in the battle in May 1917, a fierce attempt by the Australian Imperial Force to penetrate the German Hindenburg Line.</p> <p>Up to 10,000 Australian troops were either killed or wounded during the operation, with approximately 3,700 confirmed dead between April and May 1917. Tragically, more than half of these fallen soldiers are believed to lie in unmarked graves across the region.</p> <p>The site of their final stand lies near Villers-Bretonneux, where the Australian National Memorial to the Missing was erected to honour the many who have no known grave.</p> <p>Australian Army Chief Lieutenant General Simon Stuart acknowledged the emotional timing of the find, just days before Anzac Day. “As we approach Anzac Day, recovering these four Australian soldiers reminds us the search for the missing is tireless and ongoing,” Lieutenant General Stuart said. “We do not forget the service and sacrifice of those who serve our nation.”</p> <p>Efforts are now underway to identify the soldiers using forensic analysis and historical research. The Defence Department has vowed to ensure they are reburied with full military honours and the dignity they deserve.</p> <p>The Unrecovered War Casualties unit continues to receive dozens of leads each year regarding the locations of Australian war dead. Discoveries like this are not uncommon: nine soldiers from the Battle of Fromelles were identified in 2018, with another five identified as recently as 2023.</p> <p>More than 44,000 Australians died on the Western Front during World War I, and around 17,000 remain without known graves.</p> <p>This Friday, Australians around the world will pause to reflect at dawn services in honour of the more than 103,000 servicemen and women who have laid down their lives in conflicts past, with the latest discovery serving as a reminder of the war's enduring legacy.</p> <p><em>Image: Wikimedia Commons</em></p>

Caring

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Stunning prediction for Aussie homeowners in wake of Trump's trade war

<p>Australian homeowners could see their mortgage repayments tumble by as much as $9,000 annually if Donald Trump’s escalating trade war triggers a global recession, with experts predicting a double interest rate cut as soon as May.</p> <p>As stock markets worldwide reel from the fallout of Trump’s latest trade moves – with China now deeply involved – fears of a US recession are intensifying. On Monday alone, around $100 billion was wiped from the Australian share market amid growing global trade tensions.</p> <p>Yet, for Australian mortgage holders, there could be a surprising silver lining. According to ANZ, homeowners with a $600,000 loan could save between $76 and $156 a month under four forecasted rate cuts of 0.25 per cent each over the next year.</p> <p>For those with a $500,000 mortgage, repayments could fall by about $76 a month, while families with larger $1 million loans could pocket savings of around $153 monthly – amounting to a staggering $9,000 annually.</p> <p>ANZ’s chief economist, Richard Yetsenga, said the Reserve Bank of Australia (RBA) is expected to cut rates in May, July and August.</p> <p>“We now expect the RBA to ease in May, July, and August – 25 basis points at each meeting,” Yetsenga said, adding that a double rate cut of 50 basis points in May is not off the table if global growth deteriorates further.</p> <p>Earlier this year, the RBA trimmed the cash rate by 25 basis points in February, offering homeowners with variable rate loans some relief – saving them around $100 to $150 a month, or potentially more than $1,200 annually.</p> <p>In a stunning prediction, Treasurer Jim Chalmers echoed these forecasts while hinting at up to four interest rate cuts this year, with the potential for a significant 50 basis point cut as early as next month.</p> <p>“The next Reserve Bank interest rate cut in May might be as big as 50 basis points,” Chalmers said. “Forecasting is difficult enough in stable times, but even more so in uncertain times.”</p> <p>Despite the grim outlook for markets, Chalmers offered reassurance, especially for Australians nearing retirement whose superannuation balances are being rocked by market volatility.</p> <p>“Everyone with a super fund, everyone with shares, probably every Australian, is watching the global markets with trepidation,” Chalmers said. “But we are better placed, better prepared, and Australians should take comfort in that.”</p> <p>The Treasurer also voiced concerns about the impact of the trade war on Asia, noting that tariffs are hitting countries like Malaysia, Thailand and Vietnam particularly hard, while China’s economy may prove more resilient. ANZ expects Asian currencies to take the brunt of the adjustment as the tariffs unfold.</p> <p>While uncertainties loom large, for Aussie homeowners at least, the prospect of falling interest rates offers some financial relief in an increasingly unpredictable global economy.</p> <p><em>Images: Youtube</em></p>

Money & Banking

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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><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/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>

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Prince William shares deeply personal message over fallen war hero

<p>Prince William has shared a deeply personal message in remembrance of John 'Paddy' Hemingway, the last surviving pilot from the Battle of Britain, who passed away on St Patrick's Day at the age of 105.</p> <p>The Prince of Wales, a former Royal Air Force (RAF) pilot himself, took to social media on Tuesday to express his condolences and gratitude for Hemingway’s service.</p> <p>"I was sad to hear about the passing of John 'Paddy' Hemingway this morning, the last of 'The Few'," the 42-year-old royal wrote on X, the platform formerly known as Twitter. "We owe so much to Paddy and his generation for our freedoms today. Their bravery and sacrifice will always be remembered. We shall never forget them."</p> <p>Hemingway, born in Dublin, Ireland, in 1919, joined the RAF as a teenager and became one of the young airmen who defended Britain during the pivotal 1940 Battle of Britain. These pilots, immortalised as "The Few" following a famous speech by then-Prime Minister Winston Churchill, played a crucial role in thwarting the German air offensive during World War II.</p> <p>Churchill’s words – "Never in the field of human conflict was so much owed by so many to so few" – have since become a testament to the bravery and sacrifice of Hemingway and his fellow pilots.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">I was sad to hear about the passing of John ‘Paddy’ Hemingway this morning, the last of “The Few”. We owe so much to Paddy and his generation for our freedoms today. Their bravery and sacrifice will always be remembered. We shall never forget them. W</p> <p>— The Prince and Princess of Wales (@KensingtonRoyal) <a href="https://twitter.com/KensingtonRoyal/status/1901914010863202506?ref_src=twsrc%5Etfw">March 18, 2025</a></p></blockquote> <p>Current Prime Minister Keir Starmer also paid tribute to Hemingway, acknowledging his extraordinary courage and contribution to securing the nation's freedom.</p> <p>"Very sad to hear of the passing of Group Captain John 'Paddy' Hemingway, the last known Battle of Britain pilot," Starmer wrote on X. "His courage, and that of all RAF pilots, helped end WWII and secure our freedom. We will never forget their bravery and service. Thank you, John 'Paddy' Hemingway."</p> <p>King Charles has yet to make a public statement, but RAF Air Chief Marshal Sir Rich Knighton honoured Hemingway’s remarkable legacy, remembering him as "an amazing character" who carried the spirit of camaraderie and bravery throughout his life.</p> <p>"Paddy always had a twinkle in his eyes as he recalled the fun times with colleagues in France and London," the RAF said in a statement announcing his passing.</p> <p>Hemingway’s passing marks the end of an era, but his service and sacrifice will live on in history. As the last of 'The Few', he leaves behind a legacy of courage that will continue to inspire generations to come.</p> <p><em>Images: Instagram \ Royal Airforce</em></p>

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200 unexploded WWII bombs found underneath playground

<p>Almost 200 unexploded bombs dating back to World War II have been unearthed from beneath a children's playground in the north of England. </p> <p>The discovery was made in Scotts Play Park in Wooler, Northumberland, with 176 bombs recovered and fears that more could be discovered. </p> <p>The first of the devices, which still contain a charge, were found in January and was followed by much larger finds in the following weeks.</p> <p>It is believed the area was used as a Home Guard training ground during the war, and the explosives were buried at the end of Second World War in 1945.</p> <p>After two bombs were recovered by the British Army, the local parish council was then advised that a full survey of the area was required. </p> <p>“I never thought as a parish councillor I’d be dealing with bomb disposal,” Conservative councillor Mark Mather said, as reported by the <a title="www.bbc.com" href="https://www.bbc.com/news/articles/cy0821yqr4wo" target="_blank" rel="noopener"><em>BBC</em>.</a></p> <p>“It’s quite something to think the children have been playing on bombs and it’s been a really challenging situation.</p> <p>“We’ve only cleared about a third of all the park and we could still find another pit with more bombs in.”</p> <p>The bombs were first discovered in January after the parish council received a grant to build a fully inclusive playground to be added to the existing area.</p> <p>While digging foundations at the site on January 14th, the first bomb was found, with another 150 explosives being found in the following two days. </p> <p>Experts from the local Barracks confirmed the first device was a training bomb and the UK’s Ministry of Defence said a full site survey was needed.</p> <p>“They are called practice bombs so they’re not live,” Mather said.</p> <p>“But they do still carry a charge and were found with the fuse and contents intact so they could be hazardous."</p> <p>“The story we’re getting from locals is that Wooler was a centre for Home Guard training and officers came here from all over the country. After the war it looked like they just buried all the ordnance in one of the pits.”</p> <p><em>Image credits: Wooler Parish Council</em></p>

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Olympic champion breaks down over drug scandal

<p>Olympic swimming champion Shayna Jack has broken down over the drug scandal that almost ended her career in 2019. </p> <p>After entering the jungle as one of this year's <em>I'm A Celebrity... Get Me Out of Here!</em> cast mates, Paris Olympics gold medallist Jack opened up about the 24-month ban she copped from her sport in 2019.</p> <p>She was banned for competing for two long years, for an anti-doping rule violation relating to her unintentional use of the anabolic agent Ligandrol. </p> <p>Jack then spent months embroiled in a case to prove her innocence in which she spent over $180,000, with the case putting her under intense emotional and financial strain. </p> <p>Jack broke down as she revealed to her campmates that her longtime partner, Kookaburras hockey player Joel Rintala, was scared to leave her at home alone for fear she might hurt herself. </p> <p>“Some nights I was in a bad place. He said those nights were the most fearful. He said he’d speed home because he just didn’t know if he was going to walk home into something that he wasn’t able to cope with. [If] I’d done something that I would eternally regret,” she said.</p> <p>Speaking directly to camera in the jungle's confessional, Jack went on to explain why she chose to share the story with her fellow cast members. </p> <p>“It’s using the people around me to continue to open up about it and face those difficulties and stop giving it so much power,” she said of the scandal. </p> <p>“I feel like the more I take it off my chest and take it off my heart, the more I can try to move forward with my life and not feel this huge aspect of my life pulling me back."</p> <p><em>Image credits: Ten</em></p>

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Andrew O'Keefe faces more drug charges

<p>Troubled former TV host Andrew O'Keefe has once again faced court over allegations of driving under the influence of drugs. </p> <p>Andrew O’Keefe, 53, was stopped at 11:30am on July 28th for random testing while driving his Mercedes in Rose Bay, in Sydney’s eastern suburbs.</p> <p>Police say he recorded a positive result for the roadside drug test, while he returned a negative result for the roadside breath test.</p> <p>The former <em>Deal or No Deal</em> host was taken to Waverley Police Station where he underwent a second oral fluid test that returned another positive reading.</p> <p>He was charged with driving a vehicle with an illicit drug present in his system.</p> <p>The former host of The Chase was represented by his lawyer Jahan Kalantar in Waverley Local Court on Monday, where Magistrate Stephen Barlow adjourned the matter until early next month.</p> <p>O’Keefe will remain out on bail.</p> <p>The new charge comes after O’Keefe received a 30-month community corrections order and $2,500 in fines after pleading guilty to drug-related offences in October last year.</p> <p><em>Image credits: Channel Seven</em></p> <p style="box-sizing: inherit; border: 0px; font-stretch: inherit; line-height: inherit; font-family: 'Helvetica Neue', HelveticaNeue, Helvetica, Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; font-size: 18px; margin: 0px 0px 24px; padding: 0px; vertical-align: baseline;"> </p>

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Aussie grandmother found guilty of importing drugs into Japan

<p>Australian grandmother Donna Nelson has been found guilty of importing two kilograms of methamphetamine into Japan, despite her claims that she was the victim of an online scam.</p> <p>The 58-year-old was convicted of the crime by a panel of three professional judges and six members of the public in a decision delivered in Chiba, Tokyo on Wednesday. </p> <p>She has been sentenced to six years in jail, with the 430 days she has already served to be deducted from her time behind bars and she was also fined $10,400.</p> <p>Nelson and her team have two weeks to launch their likely appeal. </p> <p>“I believe this is a very unreasonable decision. We need to talk with Donna but we will fight until the end, until she gets freedom,” her lawyer Rie Nishida said outside the court.</p> <p>“She’s devastated but she’s a strong woman so we will discuss and prepare for the next fight.”</p> <p>Nelson, a prominent Indigenous leader, has maintained her innocence and told the court last month she had no idea the drugs had been hidden in her luggage by a man she thought was her boyfriend. </p> <p>She picked up the travel bag during a three-stop in Laos and claimed she had been tricked into believing it was a sample case he needed for his fashion business in Japan. </p> <p>Nelson started her online romance in 2020, and after several failed attempts to meet in person, her love interest bought her a flight ticket to Japan, which included the Laos stop where an acquaintance of his delivered the bag. </p> <p>She was supposed to meet up with the man in Japan but he never showed, according to prosecutors.</p> <p>Nelson was arrested at Tokyo's Narita Airport in January 2023, and later charged with violating the stimulants control and customs laws.</p> <p>Prosecutors acknowledged the case is linked to a romance scam but accused Nelson of smuggling the drugs, claiming she knew the contents of the suitcase. </p> <p>Nelson's daughters hoped the years of messages between Nelson and the romance scammer would show the court she had no idea about the meth, but the court ruled that she ignored too many red flags about the man she had met online and she should've been suspicious enough to not carry the suitcase for him. </p> <p>The judges said they accepted she was deceived and sympathised with her, so she received a lighter sentence than others given for the same offence. </p> <p>Prosecutors in Japan had initially asked for her to be thrown in jail for 20 years and fined $31,000 if found guilty. </p> <p>Outside court, Nelson's daughter Kristal Hilaire said six years in a Japanese prison away from home and family was in no way a “lenient” sentence.</p> <p>Her loved ones have also launched a GoFundMe to “free our mum and bring her home, where (she) belongs”.</p> <p>They stated that their “beloved” mother “was duped by her partner into carrying a bag into Japan which contained drugs”.</p> <p>“Our Mum had no knowledge of this, and we maintain that she is a victim of a crime and not a criminal,” they continued.</p> <p><em>Image: 7News</em></p>

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New study suggests weight loss drugs like Ozempic could help with knee pain. Here’s why there may be a link

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/christina-abdel-shaheed-425241">Christina Abdel Shaheed</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>The drug semaglutide, commonly known by the brand names Ozempic or Wegovy, was <a href="https://theconversation.com/the-rise-of-ozempic-how-surprise-discoveries-and-lizard-venom-led-to-a-new-class-of-weight-loss-drugs-219721">originally developed</a> to help people with type 2 diabetes manage their blood sugar levels.</p> <p>However, researchers have discovered it may help with other health issues, too. Clinical trials show semaglutide can be effective for <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2032183">weight loss</a>, and hundreds of thousands of people around the world are using it <a href="https://theconversation.com/considering-taking-a-weight-loss-drug-like-ozempic-here-are-some-potential-risks-and-benefits-219312">for this purpose</a>.</p> <p>Evidence has also shown the drug can help manage <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2306963">heart failure</a> and <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2403347">chronic kidney disease</a> in people with obesity and type 2 diabetes.</p> <p>Now, a study published in the <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2403664">New England Journal of Medicine</a> has suggested semaglutide can improve knee pain in people with obesity and osteoarthritis. So what did this study find, and how could semaglutide and osteoarthritis pain be linked?</p> <h2>Osteoarthritis and obesity</h2> <p>Osteoarthritis is a common joint disease, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">2.1 million Australians</a>. Most people with osteoarthritis <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">have pain</a> and find it difficult to perform common daily activities such as walking. The knee is <a href="https://pubmed.ncbi.nlm.nih.gov/37675071/">the joint most commonly affected</a> by osteoarthritis.</p> <p>Being overweight or obese is a <a href="https://pubmed.ncbi.nlm.nih.gov/25447976/">major risk factor</a> for osteoarthritis in the knee. The link between the two conditions <a href="https://pubmed.ncbi.nlm.nih.gov/26821091/">is complex</a>. It involves a combination of increased load on the knee, <a href="https://www.nature.com/articles/s41413-023-00301-9">metabolic factors</a> such as high cholesterol and high blood sugar, and inflammation.</p> <p>For example, elevated blood sugar levels increase the production of inflammatory molecules in the body, which can damage the cartilage in the knee, and lead to the <a href="https://pubmed.ncbi.nlm.nih.gov/30712918/">development of osteoarthritis</a>.</p> <p>Weight loss is strongly recommended to reduce the pain of knee osteoarthritis in people who are overweight or obese. <a href="https://pubmed.ncbi.nlm.nih.gov/31908149/">International</a> and <a href="https://www.safetyandquality.gov.au/sites/default/files/2024-08/osteoarthritis-knee-clinical-care-standard-2024.pdf">Australian guidelines</a> suggest losing as little as 5% of body weight can help.</p> <p>But losing weight with just diet and exercise can be difficult for many people. <a href="https://pubmed.ncbi.nlm.nih.gov/26180980/">One study</a> from the United Kingdom found the annual probability of people with obesity losing 5% or more of their body weight was less than one in ten.</p> <p>Semaglutide has recently entered the market as a potential alternative route to weight loss. It comes from a class of drugs known as GLP-1 receptor agonists and works by increasing a person’s sense of fullness.</p> <h2>Semaglutide for osteoarthritis?</h2> <p>The rationale for the <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2403664">recent study</a> was that while we know weight loss alleviates symptoms of knee osteoarthritis, the effect of GLP-1 receptor agonists was yet to be explored. So the researchers set out to understand what effect semaglutide might have on knee osteoarthritis pain, alongside body weight.</p> <p>They randomly allocated 407 people with obesity and moderate osteoarthritis into one of two groups. One group received semaglutide once a week, while the other group received a placebo. Both groups were treated for 68 weeks and received counselling on diet and physical activity. At the end of the treatment phase, researchers measured changes in knee pain, function, and body weight.</p> <p>As expected, those taking semaglutide lost more weight than those in the placebo group. People on semaglutide lost around 13% of their body weight on average, while those taking the placebo lost around 3% on average. More than 70% of people in the semaglutide group lost at least 10% of their body weight compared to just over 9% of people in the placebo group.</p> <p>The study found semaglutide reduced knee pain significantly more than the placebo. Participants who took semaglutide reported an additional 14-point reduction in pain on a 0–100 scale compared to the placebo group.</p> <p>This is much greater than the pain reduction in another <a href="https://pubmed.ncbi.nlm.nih.gov/36511925/">recent study</a> among people with obesity and knee osteoarthritis. This study investigated the effects of a diet and exercise program compared to an attention control (where participants are provided with information about nutrition and physical activity). The results here saw only a 3-point difference between the intervention group and the control group on the same scale.</p> <p>The amount of pain relief reported in the semaglutide trial is also larger than that reported with commonly used pain medicines such as <a href="https://pubmed.ncbi.nlm.nih.gov/35442752/">anti-inflammatories</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">opioids</a> and <a href="https://www.bmj.com/content/372/bmj.m4825">antidepressants</a>.</p> <p>Semaglutide also improved knee function compared to the placebo. For example, people who took semaglutide could walk about 42 meters further than those on the placebo in a six-minute walking test.</p> <h2>How could semaglutide reduce knee pain?</h2> <p>It’s not fully clear how semaglutide helps with knee pain from osteoarthritis. One explanation may be that when a person loses weight, there’s less stress on the joints, which reduces pain.</p> <p>But recent studies have also suggested semaglutide and other GLP-1 receptor agonists might have <a href="https://www.sciencedirect.com/science/article/pii/S1043661822002651">anti-inflammatory</a> properties, and could even protect against <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6731440/">cartilage wear and tear</a>.</p> <p>While the results of this new study are promising, it’s too soon to regard semaglutide as a “miracle drug” for knee osteoarthritis. And as this study was funded by the drug company that makes semaglutide, it will be important to have independent studies in the future, to confirm the findings, or not.</p> <p>The study also had strict criteria, excluding some groups, such as those taking opioids for knee pain. One in seven Australians seeing a GP for their knee osteoarthritis <a href="https://pubmed.ncbi.nlm.nih.gov/34527976/">are prescribed opioids</a>. Most participants in the trial were white (61%) and women (82%). This means the study may not fully represent the average person with knee osteoarthritis and obesity.</p> <p>It’s also important to consider semaglutide can have a range of <a href="https://theconversation.com/considering-taking-a-weight-loss-drug-like-ozempic-here-are-some-potential-risks-and-benefits-219312">side effects</a>, including gastrointestinal symptoms and fatigue.</p> <p>There are some concerns that semaglutide could reduce <a href="https://www.sciencealert.com/experts-are-concerned-drugs-like-ozempic-may-cause-muscle-loss">muscle mass</a> and <a href="https://www.healthline.com/health-news/ozempic-muscle-mass-loss">bone density</a>, though we’re still learning more about this.</p> <p>Further, it can be difficult to access.</p> <h2>I have knee osteoarthritis, what should I do?</h2> <p>Osteoarthritis is a disease caused by multiple factors, and it’s important to take <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard/information-consumers-osteoarthritis-knee-clinical-care-standard">a multifaceted approach</a> to managing it. Weight loss is an important component for those who are overweight or obese, but so are other aspects of <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">self-management</a>. This might include physical activity, pacing strategies, and other positive lifestyle changes such as improving sleep, healthy eating, and so on.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/243159/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/christina-abdel-shaheed-425241">Christina Abdel Shaheed</a>, Associate Professor, School of Public Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Shutterstocl</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/new-study-suggests-weight-loss-drugs-like-ozempic-could-help-with-knee-pain-heres-why-there-may-be-a-link-243159">original article</a>.</em></p> </div>

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Aussie rocker hits back at John Farnham's drugging claims

<p>A legendary Australian rockstar has hit back at John Farnham's claims that he was <a href="https://oversixty.com.au/health/caring/so-ashamed-john-farnham-opens-up-about-years-of-abuse" target="_blank" rel="noopener">drugged</a> by a former manager. </p> <p>Peter Tilbrook, who was the guitarist for iconic Aussie rock band The Masters Apprentices in the 1960s, has taken to social media to share his own stories about Darryl Sambell, after Farnham wrote in his memoir that Samuel drugged him in the early days of his career. </p> <p>As Farnham wrote in <em>The Voice Inside</em>, he recalled that Sambell “drugged me for years and I had no f**king idea,” until he found a half-dissolved pill at the bottom of a cup of coffee. </p> <p>Asked what it was, Sambell told Farnham: “That’s just something to keep you awake.”</p> <p>However, Tilbrook took aim at the comments saying he also worked with Sambell and only had good experiences.</p> <p>"Sambell was a brilliant and skilful manager to us, and from what we saw and heard, definitely to Farnham as well," Tilbrook said online.</p> <p>"I find it very hard to believe that any another manager at the time could have done any more to further Johnny's incredible career."</p> <p>Sambell, who managed Farnham's early career from 1967 to 1976, also managed The Masters around the same time, and Tilbrook asserted his experience with the late manager was nothing like Farnham's.</p> <p>"He was an amazing, caring and resourceful manager," Tilbrook said. </p> <p><em>Image credits: petertilbrookentertainment.com/news.com.au</em></p> <p> </p>

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Aussie Vietnam vet reunited with lost war medals just in time

<p>A Vietnam veteran has been reunited with his lost war medals that were missing for a year, just in time for Remembrance Day. </p> <p>When attending a Remembrance Day event in New Zealand last year, Townsville veteran Malcolm Edmiston lost his medals somewhere along the journey to Christchurch from Brisbane. </p> <p>The medals were left sitting unclaimed in Brisbane Airport's lost and found after being found in an airport terminal, before airport staff launched a social media campaign to find their owner. </p> <p>After seeing a post on Facebook, Edmiston was finally reunited with his precious medals just in time for this year's Remembrance Day events. </p> <p>"It's very good to have them back, great to have them back, I thought they were gone and gone for good," Malcolm told <em><a href="https://9now.nine.com.au/today/lost-war-medals-returned-to-vietnam-veteran-in-time-for-remembrance-day/b03bf4df-0d3c-440b-9783-1e6c7ac73a11" target="_blank" rel="noopener">Today</a></em>.</p> <p>"The zip was opened on my case and somehow they fell out, so it's a good reminder for us to take extra care when we pack."</p> <p>Malcolm was not the only one in his family to serve the country, sharing how his father served in the Royal Navy, he had uncles in the Royal Australian Air Force and and the Royal Air Force and a brother who served in Naval Reserve.</p> <p>His son also served in the Navy and with so many of his fellow Vietnam veteran soldiers no longer alive, having his medals back today is something special.</p> <p>"Remembrance Day is a very important day for me," he said.</p> <p>Brisbane Airport's media manager Peter Doherty added that he was thrilled to see the medals return to their rightful owner. </p> <p>He said, "For Malcolm's lifetime of service, the least we could do was the door-to-door service to get the medals back to him."</p> <p><em>Image credits: Today </em></p>

Retirement Life

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Disgraced Olympian sentenced over failed drug plot

<p>An Olympic silver medallist and his younger brother, who tried to smuggle hundreds of kilograms of cocaine worth about $200 million into Australia, have been sentenced a second time. </p> <p>Nathan Baggaley, 48, a former champion kayaker and his brother Dru Baggaley, 42, faced Brisbane supreme court on Monday after pleading guilty to attempting to import a commercial quantity of drugs.</p> <p>Dru and another man were intercepted by the navy in July 2017, after he was found using a seven-metre inflatable boat to pick up 650 kilograms of cocaine from a ship near Australia's east coast. </p> <p>The inflatable boat, which was launched from Brunswick Heads on the NSW north coast, had been bought by Nathan and was registered in his name. </p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">The brothers were previously found guilty of </span>attempting to import cocaine by a Brisbane Supreme Court jury in April 2021. </p> <p>Nathan was sentenced to 25 years' imprisonment and his brother 28 years, but they later won appeals against their convictions and were ordered to face the retrial that was supposed to start on October 28, but instead pleaded guilty to the same charge.</p> <p>On Monday, Justice Declan Kelly sentenced Nathan to 13 years in jail and his brother 15 years. </p> <p>With time already served, they are now eligible for parole. </p> <p>During their sentencing hearing, Justice Kelly said there was insufficient evidence to prove Dru knew he was importing cocaine, after the court was told he thought he was collecting tobacco. </p> <p>“Dru was reckless that there was a substantial quantity of a border-controlled drug but there is insufficient evidence that he knew the precise quantity,” Justice Kelly said.</p> <p>He said that Nathan didn't initially know that it was an attempt to import a border-controlled drug until July 30 2018. </p> <p>"From that point in time he was aware of the attempt to import a substantial quantity of a border-controlled drug but was reckless as to the identity of that drug," Justice Kelly said.</p> <p>“It cannot be shown that Nathan knew the drug was cocaine or the precise amount of the drug.”</p> <p>Kelly accepted a defence barrister's submission the facts were profoundly different” compared to their 2021 sentencing, but said that regardless, the importation size was a "“very relevant factor” in his sentencing.</p> <p><em>Image: Erik S Lesser/EPA/ Shutterstock Editorial</em></p>

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Freddy Krueger at 40 – the ultimate horror movie monster (and Halloween costume)

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/adam-daniel-301018">Adam Daniel</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>Movie monsters have captivated audiences since the days of early cinema. They evoke fascination and terror, allowing audiences to confront their fears from the safety of the movie theatre or living room.</p> <p>Arguably one of the most enduring and captivating of these monsters is Freddy Krueger, the villain of the <a href="https://www.imdb.com/title/tt0087800/">A Nightmare on Elm Street</a> series who celebrates his 40th screen birthday this November.</p> <p>Memorably played by Robert Englund, Freddy quickly became a cultural icon of the 1980s and 1990s. Beyond his burned face and iconic bladed glove, Freddy’s dark humour and acidic personality set him apart from other silent, faceless killers of the era, such as Michael Myers in <a href="https://www.imdb.com/title/tt0077651/?ref_=nv_sr_srsg_2_tt_6_nm_0_in_0_q_halloween">Halloween</a> or Jason Vorhees in <a href="https://www.imdb.com/title/tt0080761/?ref_=fn_al_tt_1">Friday the 13th</a>.</p> <p>Written and directed by horror maven <a href="https://theconversation.com/wes-craven-the-scream-of-our-times-46915">Wes Craven</a>, 1984’s A Nightmare on Elm Street garnered positive reviews for its innovative concept: Freddy stalked and attacked his victims in their dreams, making him inescapable and allowing him to tap into their deepest fears. The series (seven films plus a 2010 remake and <a href="https://www.imdb.com/title/tt0329101/?ref_=fn_al_tt_1">Freddy vs. Jason</a> spin offs) blended supernatural horror and surrealism with a dark and twisted sense of humour.</p> <h2>Scary … but funny</h2> <p>Humour was key to Freddy’s “popularity”. Both sinister and strangely charismatic, Freddy’s psychological torture of his adolescent victims often oscillated between terrifying and amusing.</p> <p>A famous kill scene from 1987’s <a href="https://www.imdb.com/title/tt0093629/?ref_=fn_al_tt_1">A Nightmare on Elm Street 3: Dream Warriors</a> demonstrates this paradox.</p> <p>Aspiring actress Jennifer drifts off to sleep while watching a talk show on TV. In her dream, the host of the talk show suddenly transforms into Freddy, who attacks his guest before the TV blinks out. When Jennifer timidly approaches the TV set, Freddy’s head and clawed hands emerge from the device, snatching her while delivering an iconic one-liner: “This is it, Jennifer – your big break in TV!”</p> <p>Freddy turns his victims’ fears or aspirations – their dreams – against them.</p> <figure><iframe src="https://www.youtube.com/embed/dCVh4lBfW-c?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">‘Whatever you do, don’t fall asleep.’</span></figcaption></figure> <h2>Creating a monster</h2> <p>Craven has shared how the character of Krueger came to life in <a href="https://www.imdb.com/title/tt1510985/?ref_=fn_al_tt_1">Never Sleep Again: The Elm Street Legacy</a>, an oral history of the series.</p> <p>He described a childhood experience of seeing a strange mumbling man walking past his childhood home. The man stopped, he said, and looked directly at him “with a sick sense of malice”. This deeply unsettling experience helped shape Freddy’s menacing presence.</p> <p>The character’s creation also emerged from the filmmaker’s interest in <a href="https://www.iflscience.com/nightmare-on-elm-street-was-inspired-by-a-real-life-medical-mystery-60527">numerous reports of Southeast Asian refugees dying in their sleep</a> after experiencing vivid nightmares.</p> <p>In the film, Krueger’s origin story reveals him as a child murderer who was apprehended but released due to a technicality in his arrest. Seeking justice, the parents of his victims take matters into their own hands, and form a vigilante mob. They corner him in his boiler room and burn him alive. But Freddy’s spirit survives to haunt and kill the children of his executioners.</p> <h2>Cultural repression, expressed on film</h2> <p>Film critic and essayist <a href="https://www.cineaste.com/summer2019/robin-wood-on-horror-film-collected-essays-and-reviews#:%7E:text=Freudian%20theory%2C%20a%20crucial%20theoretical,the%20horror%20film%20perpetually%20enacts.">Robin Wood argued</a> horror films often bring to the surface elements society has repressed. These fears, desires, or cultural taboos are not openly acknowledged.</p> <p>But movie monsters act as manifestations of what society suppresses, such as sexuality, violence or deviant behaviour. American academic <a href="https://www.tandfonline.com/doi/abs/10.1080/01956051.1995.9943696">Gary Heba</a> argues Freddy is:</p> <blockquote> <p>an example of America’s political unconscious violently unleashed upon itself, manifesting everything that is unspeakable and repressed in the master narrative (perversion, child abuse and murder, vigilantism, the breakdown of rationality, order, and the family, among others), but still always present in the collective unconscious of the dominant culture.</p> </blockquote> <figure><iframe src="https://www.youtube.com/embed/UBrl4H0Uzng?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Actor Robert Englund calls Freddy Krueger ‘the gift that keeps on giving’.</span></figcaption></figure> <h2>The monster decades</h2> <p>The 1970s and 1980s marked a golden era for the creation of horror film nasties like Krueger, Myers, <a href="https://www.imdb.com/title/tt0072271/?ref_=fn_al_tt_3">The Texas Chainsaw Massacre</a>’s Leatherface and <a href="https://www.imdb.com/title/tt0094862/?ref_=fn_al_tt_19">killer doll Chucky</a>.</p> <p>Since then, the landscape of horror has shifted, with fewer singular monsters emerging. The diversification of horror sub-genres (zombie virus horror, anyone?), the rise of psychological horror (<a href="https://www.imdb.com/title/tt7784604/?ref_=nv_sr_srsg_2_tt_4_nm_2_in_0_q_heredi">Hereditary</a>), and an emphasis on human-driven terror (<a href="https://www.imdb.com/title/tt0416315/?ref_=nv_sr_srsg_1_tt_7_nm_0_in_0_q_wolf%2520creek">Wolf Creek</a>) or supernatural forces all contribute to this shift.</p> <p>While modern horror continues to thrive, few characters have achieved the same iconic status as Freddy – although some would argue Art the Clown from the recent <a href="https://www.imdb.com/title/tt4281724/">Terrifier</a> franchise and the reinvigorated Pennywise from <a href="https://www.imdb.com/title/tt1396484/?ref_=nv_sr_srsg_1_tt_6_nm_1_in_0_q_it">IT</a> could join this exclusive group.</p> <figure><iframe src="https://www.youtube.com/embed/ZuYoEtEI_go?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">‘Five, six, grab your crucifix.’ A 2010 Nightmare on Elm St reboot failed to fire.</span></figcaption></figure> <h2>Happy Halloween!</h2> <p>Despite a <a href="https://www.imdb.com/title/tt1179056/">failed reboot in 2010</a>, the legacy of A Nightmare on Elm Street is strong, having influenced numerous filmmakers with its skilful mix of surrealism and slasher horror.</p> <p>However, it’s the orchestrator of the titular nightmares whose legacy is perhaps the strongest.</p> <p>With each Halloween, new fans choose Freddy for their costume. All it takes is a tattered striped sweater, a brown fedora hat, and a glove with sharp, finger-lengthening blades. Don’t forget makeup to re-create Krueger’s grisly facial burns. Sweet dreams!<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/240905/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/adam-daniel-301018"><em>Adam Daniel</em></a><em>, Associate Lecturer in Communications, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: New Line Cinema - IMDB</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/freddy-krueger-at-40-the-ultimate-horror-movie-monster-and-halloween-costume-240905">original article</a>.</em></p> </div>

Movies

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Tearful Jackie O reveals past drug addiction

<p>Jackie O Henderson has revealed her private battle with drug addiction that resulted in a stint in rehab. </p> <p>On her KIIS FM radio show with Kyle Sandilands, Jackie O read an excerpt from her autobiography <em>The Whole Truth</em>, that is set to his shelves on October 29th, detailing her struggles with addiction two years ago.</p> <p>Henderson said she was “badly addicted” to painkillers, sleeping pills and consuming alcohol for three years, before checking herself in for a month-long stay at the Betty Ford Centre in Palm Springs, California, in November 2022. </p> <p>The radio host said she was feeling “so nervous” to read out the excerpt, as it was “something I haven’t been very forthcoming about or very truthful about”, recalling how she was feeling “diminished, untethered and alone”.</p> <p>“By that point, I had no self-esteem, so I was insecure, vulnerable, and heartbroken,” she read.</p> <p>“It was a recipe for disaster, and I took the coward’s way out to escape those feelings.”</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-permalink="https://www.instagram.com/reel/DBfJRIoSaRz/?utm_source=ig_embed&amp;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/DBfJRIoSaRz/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Kyle and Jackie O (@kyleandjackieo)</a></p> </div> </blockquote> <p>Jackie admitted that it was only a small circle of friends who knew about her addiction, with Sandilands saying he was oblivious to his co-host's struggles. </p> <p>“I just didn’t want anyone to know until I had at least gotten a year or more of sobriety under my belt,” Henderson said.</p> <p>“I can only speak to my experience because my addiction is so different to anyone else’s."</p> <p>“But people can ask me anything they want, and I’m OK with that. I brought this up, I put it out there myself, so I’m well and truly OK talking about it. I’m excited that I can be more authentic than I’ve ever been.”</p> <p>She went on to recall how before she flew to America for rehab, she told her audience that she was taking time off for the end of the year. </p> <p>“But I know I won’t make it that far, I’m hanging on by a thread,” she read from her book.</p> <p>“There’s only one thing to do today, get on a plane for Los Angeles. My best friend and manager Gemma O’Neill is with me … she tells me I won’t need any fancy dresses where I’m going.”</p> <p>Henderson recalled grabbing lunch with O’Neill the day of their flight and being “teary”, adding, "Not because I don’t want to go on this journey but because I don’t have the faintest idea what it will be like and that scares me.”</p> <p>At the Betty Ford Centre, she was enrolled in a 28-day, 12-step program to “treat the substance dependence and drug addiction I’ve been able to keep secret for three long and painful years”.</p> <p>The 49-year-old said there were “lots of different reasons” for her addiction, but did not go into any on-air.</p> <p>Henderson said she went back and forth about whether to share her story but decided to make it public, “to use my story to help people”.</p> <p>She ended the emotional segment by sharing her gratitude that the story had never previously emerged and she was soon to celebrate her two-year sobriety milestone.</p> <p>“My life has changed for the better and I’m really, really thankful that I did it,” she said.</p> <p><em>Image credits: Instagram </em></p>

Caring

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‘Dark tourism’ is attracting visitors to war zones and sites of atrocities in Israel and Ukraine. Why?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/juliet-rogers-333488">Juliet Rogers</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>There is a disturbing trend of people travelling to the sadder places of the world: sites of military attacks, war zones and disasters. Dark tourism is now a phenomenon, with <a href="https://dark-tourism.com/">its own website</a> and dedicated tour guides. People visit these places to mourn, or to remember and honour the dead. But sometimes they just want to look, and sometimes they want to delight in the pain of others.</p> <p>Of course, people have long visited places like the <a href="https://www.auschwitz.org/en/visiting/guided-tours-for-individual-visitors/">Auschwitz-Birkenau</a> Memorial, <a href="https://www.911memorial.org/911-faqs">the site of the Twin Towers</a> destroyed in the 9/11 attacks, <a href="https://www.robben-island.org.za/tour-types/">Robben Island Prison</a>, where Nelson Mandela and others spent many years, and more recently, <a href="https://chernobyl-tour.com/english/">the Chernobyl nuclear power plant</a>. But there are more recent destinations, connected to active wars and aggression.</p> <p>Since the <a href="https://www.newsweek.com/2024/10/11/one-year-hamas-oct-attack-israel-northern-border-1961816.html">Hamas military attacks</a> of October 7 2023, in which around 1,200 people were killed and more than 250 taken hostage, celebrities and tourists have visited the related sites of the Nova music festival and the Nir Oz Kibbutz in Palestine/Israel.</p> <p>The kibbutz tours, guided by former residents, allow people to view and be guided through houses of the dead, to be shown photographs and bullet holes. Sderot, the biggest city targeted by Hamas, is offering <a href="https://apnews.com/article/israel-gaza-hamas-oct-7-tourism-sderot-8b21f590c37fa6780bf9190d6bfb62b7">what it describes as “resilience tours”</a>, connecting tourists with October 7 survivors.</p> <p>Similar places are visited <a href="https://wartours.in.ua/2023/02/25/dark-tourism-in-ukraine/">in Ukraine</a>. The “popular” Donbas war tour, for instance, takes visitors to the front lines of the conflict and offers “a firsthand look at the impact of the war on the local population”, introducing them to displaced locals, soldiers and volunteer fighters. There’s also <a href="https://wartours.in.ua/en/">a Kyiv tour</a>, which takes in destroyed military equipment and what remains of missile strikes.</p> <h2>Solidarity tours</h2> <p>These tours have various names, but <a href="https://touringisrael.com/tour/october-7-solidarity-tour/">one Israeli company</a> calls them “solidarity tours”. The idea of solidarity lessens the presumption of voyeurism, or the accusation of ghoulish enjoyment of pain or suffering. It suggests an affinity with those who have died or those who have lost loved ones.</p> <p>But solidarity is a political affiliation too. These tours are not only therapeutic. They are not only about “bearing witness”, as many guides and visitors attest. They are also about solidarity with the struggle.</p> <p>What is this struggle? Genocide scholar Dirk Moses <a href="https://www.bostonreview.net/articles/more-than-genocide/">has written thoughtfully</a> on this after October 7. Colonial states seek not just security, but “permanent security”. This makes them hyper-defensive of their borders. Israel was created as a nation <a href="https://www.pbs.org/wgbh/americanexperience/features/truman-israel/">by the newly formed United Nations</a> in 1947, two years after the end of World War II and in the shadow of the Holocaust: it was an inevitable product of the <a href="https://theconversation.com/a-century-on-the-balfour-declaration-still-shapes-palestinians-everyday-lives-86662">Balfour Declaration</a> (1917) that carved up the Middle East.</p> <p>The creation of the Israeli state turned relationships between Palestinians and Jewish people into borders to navigate and police, producing a line of security to defend.</p> <p>These borders have long been sites of humiliation and denigration toward Palestinians, whose homelands have been now occupied for many generations. Israeli Defense Force soldiers themselves <a href="https://www.breakingthesilence.org.il/testimonies/videos/29690">have spoken passionately</a> about the brutal and arbitrary violence that occurs there, <a href="https://link.springer.com/article/10.1007/s10978-016-9195-y">including “creative punishments”</a>. These were the borders that protected the sites targeted by Hamas. The Nova music festival was five kilometres from one of these borders.</p> <p>For many Israelis, any breach of those borders, any sense of loss of control, courts the terrors of the past. It raises the spectre of the Holocaust: the destruction of European Jewry, the loss of sovereignty over family, home, and over life, the loss of millions of lives, again. For Israel, as for any colonial state, security is a permanent aspiration, in Moses’s terms. The stakes are high.</p> <p>Dark tourism, seen in this light, is not only solidarity with those who have lost loved ones on October 7. It is solidarity with the border, with those who have lost that security. And that loss is profound, traumatic and, at least psychologically, can provoke violent reactions in an effort to have the borders – geographical and psychological – reasserted.</p> <h2>‘I stand with you’</h2> <p>Transitional justice mechanisms such as the truth commissions in <a href="https://www.justice.gov.za/trc/">South Africa</a>, <a href="https://www.usip.org/publications/2002/02/truth-commission-timor-leste-east-timor">Timor Leste</a> and <a href="https://www.usip.org/publications/1983/12/truth-commission-argentina">Argentina</a> apply legal frameworks to heal nations from the trauma of crimes against humanity. These mechanisms are one choice after experiences of mass violence. Ironically, their catchphrase is <em>Nunca Mas</em> (never again), which was the title of the 1984 report by Argentina’s <a href="https://www.usip.org/publications/1983/12/truth-commission-argentina">National Commission on the Dissappeared</a>.</p> <p>Permanent security of the kind Israel is seeking is another choice – and its catchphrase might well be the same. Never again will Israel’s borders be breached, never again will Jewish life be subjected to mass destruction with impunity.</p> <p>This is what solidarity can mean: not only grieving alongside those who have suffered, but attachment to an identity and borders, which are reinforced through participation. “I stand with you” is perhaps what the visits are for. I stand with you on this land, at this time, and perhaps for all time.</p> <p>But stand beside you in what now? In grief, yes. But also in rage, in pain, in vengeance and, for some, in making Israel great again.</p> <p>The hashtag #standwithus accompanies some calls for visits to the October 7 sites, for this form of tourism. It means stand with us at Israel’s border. From there, you can hear the sound of bombs falling: <a href="https://inews.co.uk/news/world/israel-7-october-massacre-sites-dark-draw-tourists-3101715">in Gaza</a>, a place where no solidarity tour will go. Yet.</p> <h2>Memorials, grief and understanding</h2> <p>Dark tourism is not always for those associated with the events. Some people visit sites of disaster and loss because they want to understand the greater sadnesses of the world and its formidable brutalities. Some want to show their respect to others. It’s not dissimilar to visiting memorials.</p> <p>Memorials collate the disparate parts of grief and reflect it as public memory. They offer fragments of historical pain that can be borne in more than one mind, to create a shared reality.</p> <p>In Pretoria, South Africa, a memorial called <a href="https://www.freedompark.co.za/">Freedom Park</a> depicts the names of every person who died in every war fought in South Africa, as well as those South Africans who died in the world wars. The names are written on a wall that circles the park. It is impossibly long and circular, and you cannot measure it with your own stride. It is disorientating and interminable, like grief.</p> <p>In this memorial-metaphor, you are unable to comprehend – and at the same time are awash with – a history of loss, represented by the names. The walls contain you, and then they cannot. Grief and even solidarity is not always about comprehension or containment. Sometimes it is about proximity. Sometimes, it is about sitting with not knowing. Sometimes, it is about solidarity with something that cannot be made sense of.</p> <p>Trauma, psychoanalysis tells us, is an experience of what we cannot assimilate. If you sit in proximity to people and places where traumatic events have happened, you can learn something. If you see the bullet holes at a site of loss, you can comprehend something. But not everything. Bullet holes in a wall are the very definition of a partial story.</p> <p>People visit memorials and sites of loss to learn and to unlearn. Dark tourism has this quality.</p> <h2>Obscenity of understanding</h2> <p>In my field, criminology and trauma studies, we try to understand why people do the violent things they do. Holocaust filmmaker and commentator <a href="https://www.jstor.org/stable/26303924">Claude Lanzmann has said</a> we must not indulge in what he calls the “obscenity of the project of understanding” in relation to Nazi perpetrators of the Holocaust.</p> <p>He regards curiosity about the minds of perpetrators and the rationale for violence as a violence in itself. Of the Holocaust, he says you cannot ask “Why were the Jews killed?”. It is the result that matters. But it is also the reaction that matters. The state of Israel itself – permanent security and its attendant horrors – is part of that reaction.</p> <p>But understanding can influence the reaction to violence, and contribute something to the promise of Never Again. Understanding allows us to hold more than one story in mind. It allows us to do more than <a href="https://www.ochaopt.org/">count the more than 1,200 killed</a> in Israel, or the 41,689 (plus) Palestinians killed in Gaza. Bodies are always more than numbers. But explanation is one thing, justification another. Justification is best left to the courts, international or otherwise, after the violence has ceased.</p> <p>It is hard to hear about dark tourism in Israel/Palestine and in Ukraine and try to understand it. It is hard not to condemn the tourists. But we are quick to condemn at this time – and even quicker to demand others do the same. Perhaps we should not be so righteous, and we should resist the urge to easily condemn, from our homes in what <a href="https://www.mup.com.au/books/after-mabo-paperback-softback">Tim Rowse has called</a> the “ongoing colonial encounter sometimes called ‘Australia’”.</p> <p>Indigenous people here speak of the lack of memorials on this land. But every bordered property is a site for dark tourism in Australia. Dark tourism is the effort to seek out destinations of violence and devastation, but it is not hard to see genocide from our front door in this country.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/240119/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/juliet-rogers-333488"><em>Juliet Rogers</em></a><em>, Associate Professor Criminology, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/dark-tourism-is-attracting-visitors-to-war-zones-and-sites-of-atrocities-in-israel-and-ukraine-why-240119">original article</a>.</em></p> </div>

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New study finds epilepsy drug could reduce sleep apnoea symptoms

<p>New research has found that a drug used for epilepsy could be used to reduce the symptoms of sleep apnoea. </p> <p>Obstructive sleep apnoea, which affects about one in 20 people, according to the National Institute for Health and Care Excellence in England, includes symptoms like snoring and it causes a person's breathing to start and stop during the night, with many requiring an aid to help keep their airways open. </p> <p>An international study has identified that taking sulthiame, a drug sold under the brand name Ospolot in Europe, may help prevent patients' breathing from temporarily stopping. </p> <p>This provides an additional option for those unable to use mechanical breathing aids like the Cpap machines. </p> <p>“The standard treatment for obstructive sleep apnoea is sleeping with a machine that blows air through a face mask to keep the airways open. Unfortunately, many people find these machines hard to use over the long term, so there is a need to find alternative treatments,” Prof Jan Hedner from Sahlgrenska university hospital and the University of Gothenburg in Sweden said. </p> <p>Researchers conducted a randomised controlled trial of almost 300 obstructive sleep apnoea patients across Europe, who did not use Cpap machines. </p> <p>They were divided into four groups and given either a placebo or different strengths of sulthiame. </p> <p>The study measured patients’ breathing, oxygen levels, heart rhythm, eye movements, as well as brain and muscle activity while asleep. </p> <p>It found after 12 weeks, those taking sulthiame had up to 50% fewer occasions where their breathing stopped, and higher levels of oxygen in their blood. However, a bigger study needs to be done to confirm the beneficial effects on a larger group. </p> <p>The findings, were presented at the European Respiratory Society Congress in Vienna, Austria. </p> <p>Erika Radford, the head of health advice at Asthma + Lung UK said the findings were a positive step forward in moving away from having to rely on mechanical breathing equipment.</p> <p>“This potential alternative to the current main treatment would make it easier for people to manage their condition,” she said. </p> <p><em>Image: Shutterstock</em></p>

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