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What happens the moment you give up alcohol

<div class="theconversation-article-body"> <p>Alcohol has many negative effects on our health, some of which may surprise you. These include short-term impacts such as waking up with a <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/hangovers">pounding head</a> or <a href="https://theconversation.com/why-do-i-get-so-anxious-after-drinking-heres-the-science-behind-hangxiety-240991">anxiety</a>, to <a href="https://www.health.gov.au/topics/alcohol/about-alcohol/what-are-the-effects-of-alcohol#longterm-effects">long-term</a> effects including <a href="https://www.who.int/europe/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health">cancer</a>.</p> <p>If you are thinking about taking some time off alcohol, you’ll find many quick wins and long-term gains for your health.</p> <p>How long will you have to wait to feel the benefits?</p> <p>We’ve made a timeline – based on scientific research – that shows what you might feel in the first days, weeks, months and years after taking a break from alcohol.</p> <p>Some benefits start immediately, so every day without alcohol is a win for your health.</p> <p><iframe id="tc-infographic-1187" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/1187/3a7f432af336224429f29c110db908db78417797/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <h2>After one day</h2> <p>Alcohol takes <a href="https://www.healthline.com/health/how-long-does-alcohol-stay-in-your-system">around 24 hours</a> to completely leave your body, so you may start noticing improvements after just one day.</p> <p>Alcohol makes you <a href="https://pubmed.ncbi.nlm.nih.gov/20497950">need to urinate more often</a>, causing dehydration. But your body can absorb a glass of water <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3351614">almost immediately</a>, so once alcohol is out of your system alcohol dehydration is reduced, improving digestion, brain function and energy levels.</p> <p>Alcohol also reduces the liver’s ability to <a href="https://www.ncbi.nlm.nih.gov/books/NBK573079">regulate blood sugar</a>. Once alcohol leaves the system, blood sugar begins to normalise.</p> <p>If you are a daily drinker you may <a href="https://www.healthline.com/health/alcoholism/withdrawal#symptoms">feel a bit worse</a> to start with while your body adjusts to not having alcohol in its system all the time. You may initially notice disrupted sleep, mood changes, sweating or tremors. Most symptoms usually resolve in about a week without alcohol.</p> <h2>After one week</h2> <p>Even though alcohol can make you feel sleepy at first, it <a href="https://www.sciencedirect.com/science/article/pii/B9780444626196000240">disrupts your sleep cycle</a>. By the end of an alcohol-free week, you may notice you are <a href="https://www.tandfonline.com/doi/full/10.1080/08870446.2020.1743840">more energetic</a> in the mornings as a result of getting better quality sleep.</p> <p>As the body’s filter, the liver does much of the heavy lifting in processing alcohol and can be easily damaged even with <a href="https://www.sciencedirect.com/science/article/pii/S0002916523233262">moderate drinking</a>.</p> <p>The liver is important for cleaning blood, processing nutrients and producing bile that helps with digestion.</p> <p>But it can also regenerate quickly. If you have only mild damage in the liver, <a href="https://britishlivertrust.org.uk/lyl-alcohol-and-the-liver/#:%7E:text=Because%20the%20liver%20is%20able,weeks%20after%20giving%20up%20alcohol">seven days may be enough</a> to reduce liver fat and heal mild scarring and tissue damage.</p> <p>Even small amounts of alcohol can <a href="https://www.bmj.com/content/357/bmj.j2353">impair brain functioning</a>. So quitting can help <a href="https://www.bmj.com/content/357/bmj.j2353">improve brain health</a> within a few days in light to moderate drinkers and <a href="https://movendi.ngo/science-digest/quitting-alcohol-can-improve-cognitive-function-for-people-experiencing-severe-alcohol-use-disorder-in-just-18-days/">within a month</a> even for very heavy dependent drinkers.</p> <h2>After one month</h2> <p>Alcohol can make <a href="https://www.beyondblue.org.au/mental-health/alcohol-and-mental-health">managing mood</a> harder and worsen symptoms of anxiety and depression. After a few weeks, most people start to <a href="https://www.mentalhealth.org.uk/explore-mental-health/a-z-topics/alcohol-and-mental-health#:%7E:text=Regular%20heavy%20drinking%20is%20linked,few%20weeks%20of%20stopping%20drinking.">feel better</a>. Even very heavy drinkers report better mood after <a href="https://www.webmd.com/mental-health/addiction/what-to-expect-when-you-quit-drinking">one to two months</a>.</p> <p>As your sleep and mood improve you may also notice <a href="https://pubmed.ncbi.nlm.nih.gov/32216557/">more energy and greater wellbeing</a>.</p> <p>After a month of abstinence regular drinkers also report <a href="https://pubmed.ncbi.nlm.nih.gov/32216557/">feeling more confident</a> about making changes to how they drink.</p> <p>You may <a href="https://bmjopen.bmj.com/content/8/5/e020673">lose weight</a> and body fat. Alcohol contains a lot of <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/Alcohol-and-weight-gain">kilojules</a> and can trigger hunger reward systems, making us overeat or choose less healthy foods when drinking.</p> <p>Even your skin will thank you. Alcohol can make you look <a href="https://pubmed.ncbi.nlm.nih.gov/31531169/">older</a> through <a href="https://www.medicalnewstoday.com/articles/alcoholic-skin#summary">dehydration and inflammation</a>, which can be reversed when you quit.</p> <p>Alcohol <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5513683">irritates the gut</a> and disrupts <a href="https://www.bmj.com/content/341/bmj.c6731">normal stomach functioning</a>, causing bloating, indigestion, heartburn and diarrhoea. These symptoms usually <a href="https://publications.aap.org/pediatricsinreview/article-abstract/18/8/282/36760/Alcoholic-Gastritis">start to resolve</a> within <a href="https://arcr.niaaa.nih.gov/media/671/download">four weeks</a>.</p> <p>One month of abstinence, <a href="https://www.mayoclinic.org/diseases-conditions/obesity/multimedia/vid-20536756">insulin resistance</a> – which can lead to high blood sugar – <a href="https://bmjopen.bmj.com/content/8/5/e020673">significantly</a> reduces by 25%. <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/blood-pressure">Blood pressure</a> also reduces (by 6%) and <a href="https://www.sciencedirect.com/topics/neuroscience/cancer-growth-factor">cancer-related growth factors</a> declines, lowering your risk of cancer.</p> <h2>After six months</h2> <p>The liver <a href="https://pubmed.ncbi.nlm.nih.gov/33868869/">starts to repair</a> within weeks. For moderate drinkers, damage to your liver could be <a href="https://britishlivertrust.org.uk/lyl-alcohol-and-the-liver">fully reversed</a> by six months.</p> <p>At this point, even heavy drinkers may notice they’re better at <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4590616">fighting infections</a> and feel healthier overall.</p> <h2>After one year or more</h2> <p>Alcohol contributes to or causes a large number of <a href="https://www.cdc.gov/alcohol/about-alcohol-use/index.html#:%7E:text=Other%20chronic%20diseases,your%20chances%20of%20getting%20sick">chronic diseases</a>, including heart disease, stroke, type 2 diabetes, and seven different types of cancer, as well as mental health issues. All of these risks can be reduced by quitting or cutting back on alcohol.</p> <p>Alcohol increases <a href="https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/blood-pressure/faq-20058254">blood pressure</a>. High blood pressure (hypertension) is the <a href="https://world-heart-federation.org/what-we-do/hypertension/">top risk factor</a> for death in the world. A small <a href="https://pubmed.ncbi.nlm.nih.gov/12493255/">2mmHg increase in blood pressure</a> above the normal range (120mmHG) increases death from stroke by 10% and from coronary artery disease by 7%.</p> <p>Cutting back on alcohol to less than two drinks a day can <a href="https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/blood-pressure/faq-20058254">reduce blood pressure significantly</a>, reducing risk of stroke and heart disease. Reducing blood pressure also <a href="https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20045868">reduces risk</a> of kidney disease, eye problems and even erectile dysfunction.</p> <p>With sustained abstinence, your risk of getting any type of cancer drops. <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2795595">One study</a> looked at cancer risk for more than 4 million adults over three to seven years and found the risk of alcohol-related cancer dropped by 4%, even for light drinkers who quit. Reducing from heavy to moderate drinking reduced alcohol-related cancer risk by 9%.</p> <h2>Making a change</h2> <p>Any reduction in drinking will have some noticeable and immediate benefits to your brain and general health. The less you drink and the longer you go between drinks, the healthier you will be.</p> <p>Whether you aim to cut back or quit entirely, there are <a href="https://theconversation.com/trying-to-cut-back-on-alcohol-heres-what-works-179664">some simple things</a> you can do to help you stick with it:</p> <ul> <li> <p>set clear goals plus the smaller steps you need to take to get there</p> </li> <li> <p>pay attention to the benefits you notice from quitting</p> </li> <li> <p>monitor your progress with a <a href="https://hellosundaymorning.org/drink-tracker/">Drink Tracker</a></p> </li> <li> <p>get support from others, for example Hello Sunday Morning’s anonymous <a href="https://hellosundaymorning.org/daybreak-app/">Daybreak app</a>, <a href="https://smartrecoveryaustralia.com.au">SMART Recovery</a>, <a href="https://www.counsellingonline.org.au">CounsellingOnline</a> or <a href="https://www.soberinthecountry.org">Sober in the Country</a>.</p> </li> </ul> <p>If you are still wondering about whether to make changes or not you can check your drinking risk <a href="https://hellosundaymorning.org/nib_alcohol_self-assessment/">here</a>.</p> <p>If you have tried to cut back and found it difficult you may need professional help. Call the National Alcohol and other Drug Hotline on 1800 250 015 and they will put you in touch with services in your area that can help. You can also talk to your GP.</p> <p><em>We would like to thank Dr Hannah MacRae for assistance in identifying the research used in this article.</em><!-- 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/249272/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/nicole-lee-81635">Nicole Lee</a>, Adjunct Professor at the National Drug Research Institute (Melbourne based), <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a> and <a href="https://theconversation.com/profiles/katinka-van-de-ven-159873">Katinka van de Ven</a>, Alcohol and other drug specialist, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/even-a-day-off-alcohol-makes-a-difference-our-timeline-maps-the-health-benefits-when-you-stop-drinking-249272">original article</a>.</em></p> <p><em>Pexels / </em><em>Helena Lopes</em></p> </div>

Body

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

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

Legal

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Does eating cheese before bed really give you nightmares?

<div class="theconversation-article-body"> <p>Have you heard people say eating cheese before bed will cause you to have vivid dreams or nightmares?</p> <p>It’s a relatively common idea. And this week, a <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1544475/full">new study</a> has landed this suggestion <a href="https://www.canberratimes.com.au/story/9005656/are-cheese-dreams-real-new-study-reveals-how-diet-affects-sleep/">back in the spotlight</a>.</p> <p>But is it true? Let’s unpack the evidence.</p> <h2>A gouda night’s sleep?</h2> <p>Canadian researchers recently <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1544475/full#h3">investigated this idea</a> in a sample of 1,082 undergraduate psychology students. The students completed a survey, which included questions about how they perceived their diet influenced their sleep and dreams.</p> <p>Some 40% of participants reported certain foods impacted their sleep, with 25% of the whole sample claiming certain foods worsened their sleep, and 20% reporting certain foods improved their sleep.</p> <p>Only 5.5% of respondents believed what they ate affected the nature of their dreams. But many of these people thought sweets or dairy products (such as cheese) made their dreams more strange or disturbing and worsened their sleep.</p> <p>In contrast, participants reported fruits, vegetables and herbal teas led to better sleep.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Snacking on cheese late at night may haunt your dreams, Canadian study finds<a href="https://t.co/ne5poEo7N7">https://t.co/ne5poEo7N7</a> <a href="https://t.co/rMpSbzoGzk">pic.twitter.com/rMpSbzoGzk</a></p> <p>— Edmonton Journal (@edmontonjournal) <a href="https://twitter.com/edmontonjournal/status/1940531062615990327?ref_src=twsrc%5Etfw">July 2, 2025</a></p></blockquote> <p>This study used self-reporting, meaning the results rely on the participants recalling and reporting information about their sleep and dreams accurately. This could have affected the results.</p> <p>It’s also possible participants were already familiar with the notion that cheese causes nightmares, especially given they were psychology students, many of whom may have studied sleep and dreaming.</p> <p>This awareness could have made them more likely to notice or perceive their sleep was disrupted after eating dairy. In other words, the idea cheese leads to nightmares may have acted like a self-fulfilling prophecy and results may overestimate the actual likelihood of strange dreams.</p> <p>Nonetheless, these findings show some people perceive a connection between what they eat and how they dream.</p> <p>While there’s no evidence to prove cheese <em>causes</em> nightmares, there is evidence that does explain a link.</p> <h2>The science behind cheese and nightmares</h2> <p>Humans are diurnal creatures, meaning our body is primed to be asleep at night and awake during the day. Eating cheese before bed means we’re challenging the body with food at a time when it really doesn’t want to be eating.</p> <p>At night, our physiological systems <a href="https://doi.org/10.1016/j.smrv.2024.101953">are not primed to digest food</a>. For example, it takes longer for food to move through our <a href="https://doi.org/10.1111/j.1440-1681.2009.05254.x">digestive tract</a> at night compared with during the day.</p> <p>If we eat close to going to sleep, our body has to process and digest the food while we’re sleeping. This is a bit like running through mud – we can do it, but it’s slow and inefficient.</p> <p>Cheese can be particularly challenging to digest at night because of <a href="https://doi.org/10.1016/j.idairyj.2006.11.006">high concentrations of fat and protein</a>, which <a href="https://doi.org/10.1113/jphysiol.1997.sp021881">slows down our digestion</a>.</p> <p>If your body is processing and digesting food instead of focusing all its resources on sleep, this can affect your shut-eye. Research has shown eating close to bedtime <a href="https://doi.org/10.3945/an.116.012336">reduces our sleep quality</a>, particularly our time spent in rapid eye movement (REM) sleep, which is the stage of sleep associated with <a href="https://doi.org/10.1016/j.tics.2009.12.001">vivid dreams</a>.</p> <p>People will have an even harder time digesting cheese at night if they’re lactose intolerant, which might mean they experience even greater impacts on their sleep. This follows what the Canadian researchers found in their study, with lactose intolerant participants reporting poorer sleep quality and more nightmares.</p> <p>It’s important to note we might actually have vivid dreams or nightmares every night – what could change is whether we’re aware of the dreams and can remember them when we wake up.</p> <p>Poor sleep quality often means we wake up more during the night. If we wake up during REM sleep, <a href="https://doi.org/10.1126/science.1063530">research shows</a> we’re more likely to report vivid dreams or nightmares that we mightn’t even remember if we hadn’t woken up during them.</p> <p>This is very relevant for the cheese and nightmares question. Put simply, eating before bed impacts our sleep quality, so we’re more likely to wake up during our nightmares and remember them.</p> <h2>Can I still have brie before bedtime?</h2> <p>Don’t panic – I’m not here to tell you to give up your cheesy evenings. But what we eat before bed can make a real difference to how well we sleep, so timing matters.</p> <p>General <a href="https://www.sleephealthfoundation.org.au/sleep-topics/sleep-hygiene-good-sleep-habits">sleep hygiene guidelines</a> suggest avoiding meals at least two hours before bed. So even if you’re eating a very cheese-heavy meal, you have a window of time before bed to digest the meal and drift off to a nice peaceful sleep.</p> <h2>How about other dairy products?</h2> <p>Cheese isn’t the only dairy product which may influence our sleep. Most of us have heard about the benefits of having a warm glass of milk before bed.</p> <p>Milk can be easier to digest than cheese. In fact, milk is a good choice in the evening, as <a href="https://doi.org/10.3390/nu12040936">it contains tryptophan</a>, an amino acid that helps promote sleep.</p> <p>Nonetheless, we still don’t want to be challenging our body with too much dairy before bed. Participants in the Canadian study did report nightmares after dairy, and milk close to bed might have contributed to this.</p> <p>While it’s wise to steer clear of food (especially cheese) in the two hours before lights out, there’s no need to avoid cheese altogether. Enjoy that cheesy pasta or cheese board, just give your body time to digest before heading off to sleep. If you’re having a late night cheese craving, opt for something small. Your sleep (and your dreams) will thank you.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/260205/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/charlotte-gupta-347235">Charlotte Gupta</a>, Senior Postdoctoral Research Fellow, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/does-eating-cheese-before-bed-really-give-you-nightmares-heres-what-the-science-says-260205">original article</a>.</em></p> <p><em>Image: Pexels / </em><em>Ivan Oboleninov</em></p> </div>

Mind

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

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

Travel Trouble

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

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

Caring

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

<div class="theconversation-article-body"> <p>We all like to imagine we’re ageing well. Now a simple blood or saliva test promises to tell us by measuring our “<a href="https://www.si.com/soccer/cristiano-ronaldo-shocking-biological-age">biological age</a>”. And then, as many have done, we can <a href="https://nypost.com/2024/07/25/entertainment/khloe-kardashian-40-learns-her-biological-age-is-28/">share</a> how “young” we really are on social media, along with our secrets to success.</p> <p>While chronological age is how long you have been alive, <a href="https://www.medicalnewstoday.com/articles/chronological-aging">measures of biological age</a> aim to indicate how old your body actually is, purporting to measure “wear and tear” at a molecular level.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Cristiano Ronaldo is biologically 29 years old! 😱</p> <p>CR7’s WHOOP stats put his body at 12 years younger than his actual age! 💪</p> <p>Cristiano’s dedication to his health and longevity is second to none 👏</p> <p>(Via <a href="https://twitter.com/Cristiano?ref_src=twsrc%5Etfw">@cristiano</a>/<a href="https://twitter.com/WHOOP?ref_src=twsrc%5Etfw">@WHOOP</a>) <a href="https://t.co/PwKqc77031">pic.twitter.com/PwKqc77031</a></p> <p>— DAZN Football (@DAZNFootball) <a href="https://twitter.com/DAZNFootball/status/1925894821203321009?ref_src=twsrc%5Etfw">May 23, 2025</a></p></blockquote> <p>The appeal of these tests is undeniable. Health-conscious consumers may see their results as reinforcing their anti-ageing efforts, or a way to show their journey to better health is paying off.</p> <p>But how good are these tests? Do they actually offer useful insights? Or are they just clever marketing dressed up to look like science?</p> <h2>How do these tests work?</h2> <p>Over time, the chemical processes that allow our body to function, known as our “metabolic activity”, lead to damage and a decline in the activity of our cells, tissues and organs.</p> <p>Biological age tests aim to capture some of these changes, offering a snapshot of how well, or how poorly, we are <a href="https://www.aginganddisease.org/EN/10.14336/AD.2022.1107">ageing on a cellular level</a>.</p> <p>Our DNA is also affected by the ageing process. In particular, chemical tags (methyl groups) attach to our DNA and affect gene expression. These changes occur in predictable ways with age and environmental exposures, in a process called methylation.</p> <p>Research studies have used “epigenetic clocks”, which measure the methylation of our genes, to estimate biological age. By analysing methylation levels at specific sites in the genome from participant samples, researchers apply predictive models to estimate the cumulative wear and tear on the body.</p> <h2>What does the research say about their use?</h2> <p>Although the science is rapidly evolving, the evidence underpinning the use of epigenetic clocks to measure biological ageing in research studies is <a href="https://pubmed.ncbi.nlm.nih.gov/39743988/">strong</a>.</p> <p>Studies have shown epigenetic biological age estimation is a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5940111/">better predictor</a> of the risk of death and ageing-related diseases than chronological age.</p> <p>Epigenetic clocks also have been found to <a href="https://www.sciencedirect.com/science/article/pii/S1279770725001277?dgcid=rss_sd_all">correlate strongly</a> with lifestyle and environmental exposures, such as smoking status and diet quality.</p> <p>In addition, they have been found to be able to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8484046/">predict</a> the risk of conditions such as cardiovascular disease, which can lead to heart attacks and strokes.</p> <p>Taken together, a growing body of research indicates that at a population level, epigenetic clocks are robust measures of biological ageing and are strongly linked to the risk of <a href="https://www.aginganddisease.org/EN/10.14336/AD.2022.1107">disease and death</a></p> <h2>But how good are these tests for individuals?</h2> <p>While these tests are valuable when studying populations in research settings, using epigenetic clocks to measure the biological age of individuals is a different matter and requires scrutiny.</p> <p>For testing at an individual level, perhaps the most important consideration is the “signal to noise ratio” (or precision) of these tests. This is the question of whether a single sample from an individual may yield widely differing results.</p> <p>A <a href="https://www.nature.com/articles/s43587-022-00248-2">study from 2022</a> found samples deviated by up to nine years. So an identical sample from a 40-year-old may indicate a biological age of as low as 35 years (a cause for celebration) or as high as 44 years (a cause of anxiety).</p> <p>While there have been significant improvements in these tests over the years, there is considerable <a href="https://www.nature.com/articles/s43587-022-00248-2">variability</a> in the precision of these tests between commercial providers. So depending on who you send your sample to, your estimated biological age may vary considerably.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Khloé Kardashian, 40, learns her biological age after confessing bad eating habits <a href="https://t.co/vlipIl9Im2">https://t.co/vlipIl9Im2</a> <a href="https://t.co/s1zRdpht0K">pic.twitter.com/s1zRdpht0K</a></p> <p>— New York Post (@nypost) <a href="https://twitter.com/nypost/status/1816322940532650399?ref_src=twsrc%5Etfw">July 25, 2024</a></p></blockquote> <p>Another limitation is there is currently no standardisation of methods for this testing. Commercial providers perform these tests in <a href="https://www.livescience.com/health/ageing/new-biological-aging-test-predicts-your-odds-of-dying-within-the-next-12-months">different ways</a> and have different algorithms for estimating biological age from the data.</p> <p>As you would expect for commercial operators, providers don’t disclose their methods. So it’s difficult to compare companies and determine who provides the most accurate results – and what you’re getting for your money.</p> <p>A third limitation is that while epigenetic clocks correlate well with ageing, they are simply a “<a href="https://frontlinegenomics.com/opinion-direct-to-consumer-epigenetic-tests-are-not-getting-enough-scrutiny/#:%7E:text=Companies%20claim%20that%20epigenetic%20variants,in%20the%20usual%20DTC%20scrutiny">proxy</a>” and are not a diagnostic tool.</p> <p>In other words, they may provide a general indication of ageing at a cellular level. But they don’t offer any specific insights about what the issue may be if someone is found to be “ageing faster” than they would like, or what they’re doing right if they are “ageing well”.</p> <p>So regardless of the result of your test, all you’re likely to get from the commercial provider of an epigenetic test is generic advice about what the science says is healthy behaviour.</p> <h2>Are they worth it? Or what should I do instead?</h2> <p>While companies offering these tests may have good intentions, remember their ultimate goal is to sell you these tests and make a profit. And at a cost of around A$500, they’re not cheap.</p> <p>While the idea of using these tests as a personalised health tool has potential, it is clear that <a href="https://www.theguardian.com/science/2022/jun/13/biological-age-startups-why">we are not there yet</a>.</p> <p>For this to become a reality, tests will need to become more reproducible, standardised across providers, and validated through long-term studies that link changes in biological age to specific behaviours.</p> <p>So while one-off tests of biological age make for impressive social media posts, for most people they represent a significant cost and offer limited real value.</p> <p>The good news is we already know what we need to do to increase our chances of living longer and healthier lives. These <a href="https://theconversation.com/you-cant-reverse-the-ageing-process-but-these-5-things-can-help-you-live-longer-214580">include</a>:</p> <ul> <li>improving our diet</li> <li>increasing physical activity</li> <li>getting enough <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">sleep</a></li> <li>quitting smoking</li> <li><a href="https://theconversation.com/how-much-stress-is-too-much-a-psychiatrist-explains-the-links-between-toxic-stress-and-poor-health-and-how-to-get-help-222245">reducing stress</a></li> <li>prioritising social connection.</li> </ul> <p>We don’t need to know our biological age in order to implement changes in our lives right now to improve our health.</p> <p><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/257710/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" />By </em><em><a href="https://theconversation.com/profiles/hassan-vally-202904">Hassan Vally</a>, Associate Professor, Epidemiology, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-old-are-you-really-are-the-latest-biological-age-tests-all-theyre-cracked-up-to-be-257710">original article</a>.</em></p> <p><em>Image: Pexels / Cottonbro Studio</em></p> </div>

Body

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Why do some people need less sleep than others?

<div class="theconversation-article-body"> <p>Have you ever noticed how some people bounce out of bed after just a few hours of sleep, while others can barely function without a solid eight hours?</p> <p>Take Margaret Thatcher, for example. The former British prime minister was known for sleeping <a href="https://www.bbc.com/news/magazine-22084671">just four hours a night</a>. She worked late, rose early, and seemed to thrive on little sleep.</p> <p>But for most of us, that kind of sleep schedule would be disastrous. We’d be groggy, unfocused, and reaching for sugary snacks and caffeinated drinks by mid-morning.</p> <p>So why do some people seem to need less sleep than others? It’s a question that’s fascinated scientists for years. Here’s what we know so far.</p> <h2>Natural short sleepers</h2> <p>There is a small group of people who don’t need much sleep. We call them <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6879540/">natural short sleepers</a>. They can function perfectly well on just four to six hours of sleep each night, often for their entire lives.</p> <p>Generally they <a href="https://academic.oup.com/sleep/article/44/Supplement_2/A154/6260529">don’t feel tired</a>, they don’t nap, and they don’t suffer the usual negative consequences of sleep deprivation. Scientists call this the natural short sleep phenotype – a biological trait that allows people to get all the benefits of sleep in less time.</p> <p>In 2010 researchers discovered genetic mutations that help explain this phenomenon. Natural short sleepers carry rare variants <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2884988/">in certain genes</a>, which seem to make their sleep more efficient.</p> <p>More recently, a <a href="https://www.pnas.org/doi/epub/10.1073/pnas.2500356122">2025 study</a> assessed a woman in her 70s with one of these rare mutations. Despite sleeping just six hours a night for most of her life, she remained physically healthy, mentally sharp, and led a full, active life. Her body, it seems, was simply wired to need less sleep.</p> <p>We’re still learning about how common these genetic mutations are and why they occur.</p> <h2>Not everyone who sleeps less is a natural short sleeper</h2> <p>But here’s the catch: most people who think they’re natural short sleepers aren’t. They’re just chronically sleep-deprived. Often, their short sleep is due to long work hours, social commitments, or a belief sleeping less is a sign of strength or productivity.</p> <p>In today’s hustle culture, it’s common to hear people boast about getting by on only a few hours of sleep. But for the average person, that’s not sustainable.</p> <p>The effects of short sleep build up over time, creating what’s known as a “sleep debt”. This <a href="https://www.sciencedirect.com/science/article/pii/S0149763417301641">can lead to</a> poor concentration, mood swings, micro-sleeps (brief lapses into sleep), reduced performance and even <a href="https://www.sciencedirect.com/science/article/pii/S1389945716301381">long-term health risks</a>. For example, short sleep has been linked to an increased risk of obesity, diabetes, high blood pressure and cardiovascular disease (heart disease and stroke).</p> <h2>The weekend catch-up dilemma</h2> <p>To make up for lost sleep during the week, many people try to “catch up” on weekends.</p> <p>This can help repay some of the sleep debt that has accumulated in the short term. Research <a href="https://www.sciencedirect.com/science/article/pii/S2352721823001663?via%3Dihub">suggests</a> getting one to two extra hours of sleep on the weekend or taking naps when possible may help reduce the negative effects of short sleep.</p> <p>However, it’s not a perfect fix. Weekend catch-up sleep and naps may not fully resolve sleep debt. The topic remains one of ongoing scientific debate.</p> <p>A recent <a href="https://academic.oup.com/sleep/article/47/11/zsae135/7696120">large study</a> suggested weekend catch-up sleep may not offset the cardiovascular risks associated with chronic short sleep.</p> <p>What’s more, large swings in sleep timing can disrupt your body’s <a href="https://www.nature.com/articles/s41598-017-03171-4">internal clock</a>, and sleeping in too much on weekends may make it harder to fall asleep on Sunday night, which can mean starting the working week less rested.</p> <p>Increasing evidence indicates <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">repeated cycles of irregular sleep</a> may have an important influence on general health and the risk of early death, potentially even more so than how long we sleep for.</p> <p>Ultimately, while moderate catch-up sleep might offer some benefits, it’s no substitute for consistent, high-quality sleep throughout the week. That said, maintaining such regularity can be particularly challenging for people with non-traditional schedules, such as shift workers.</p> <h2>So, was Thatcher a true natural short sleeper?</h2> <p>It’s hard to say. Some reports suggest <a href="https://www.theguardian.com/lifeandstyle/2021/aug/27/from-aristotle-to-einstein-a-brief-history-of-power-nappers">she napped during the day</a> in the back of a car between meetings. That could mean she was simply sleep-deprived and compensating for an accumulated sleep debt when she could.</p> <p>Separate to whether someone is a natural short sleeper, there are a range of other reasons people may need more or less sleep than others. Factors <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">such as age</a> and underlying health conditions can significantly influence sleep requirements.</p> <p>For example, older adults often experience changes in their circadian rhythms and are more likely to suffer from fragmented sleep due to conditions <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">such as arthritis</a> or <a href="https://link.springer.com/article/10.1007/s11886-023-01939-x">cardiovascular disease</a>.</p> <p>Sleep needs vary from person to person, and while a lucky few can thrive on less, most of us need <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">seven to nine hours</a> a night to feel and function our best. If you’re regularly skimping on sleep and relying on weekends to catch up, it might be time to rethink your routine. After all, sleep isn’t a luxury – it’s a biological necessity.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/256342/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/kelly-sansom-2390567">Kelly Sansom</a>, Research Associate, College of Medicine and Public Health, Flinders University; Research Associate, Centre for Healthy Ageing, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a> and <a href="https://theconversation.com/profiles/peter-eastwood-2316718">Peter Eastwood</a>, Deputy Vice Chancellor, Research and Innovation, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-some-people-need-less-sleep-than-others-a-gene-variation-could-have-something-to-do-with-it-256342">original article</a>.</em></p> <p><em>Image: </em></p> </div>

Body

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Meet the young princess and future queen who's moving to Australia

<p>In a delightful development that has captivated royal watchers and Australians alike, Norway's Princess Ingrid Alexandra is preparing to start an exciting new chapter – right here in Australia. (Sydney, to be more precise!)</p> <p>The 21-year-old royal, who is second in line to the Norwegian throne, will soon trade Oslo’s snowy landscapes for Sydney’s sunny shores as she embarks on full-time university study. The Royal House of Norway confirmed that the princess will begin a Bachelor of Social Science at the University of Sydney this August, with a focus on international relations and political economy.</p> <p>Adding a touch of tradition to this modern tale, Princess Ingrid Alexandra will be living on campus at the prestigious St Andrew's College. In a warm message to students, the college principal, Dr Daniel Tyler, encouraged the community to respect the princess’s privacy as she settles into campus life.</p> <p>While the Norwegian royal family may be lesser-known in Australia compared to their British or Danish counterparts, that’s expected to change quickly. Crown Princess Mette-Marit, Ingrid’s mother, also has ties to Australia, having studied at Wangaratta High School in Victoria as a teenager. Now, it’s her daughter’s turn to embrace life Down Under.</p> <p>Born in Oslo in 2004, Princess Ingrid Alexandra is poised to make history as Norway's first queen regnant in over 600 years. Her grandfather, King Harald V, currently holds the throne as Europe’s oldest reigning monarch at 88. Ingrid is the eldest child of Crown Prince Haakon and Crown Princess Mette-Marit and has a younger brother, Prince Sverre Magnus.</p> <p>Far from a traditional royal upbringing, Princess Ingrid has forged a path that blends duty, discipline and adventure. Just this April, she completed 15 months of military service, earning respect as an engineer soldier and rifleman with the Norwegian Army's Brigade North. “You are much stronger together,” she told Norwegian media of the experience. “Without [my team], I would not have enjoyed myself as much here.”</p> <p>Ingrid’s move to Australia will pause her official royal duties for up to three years, though she is expected to return home during breaks. She has only recently begun taking on regular public roles, including a landmark appearance at a state banquet earlier this year and joining her family on the royal palace balcony to celebrate Norway’s National Day.</p> <p>Passionate about the environment and global affairs from a young age, Princess Ingrid’s academic focus aligns with her growing commitment to public service. She began official engagements as a child, attending World Environment Day at just five years old, and by age 11 she had already christened a rescue vessel for the Norwegian Society for Sea Rescue.</p> <p>And she’s not just a scholar or a soldier – she's also a sports fan. A talented surfer, Ingrid was named Norway’s junior surfing champion in 2020. She’s also an avid skier and kickboxer, embodying a refreshingly modern image of royalty.</p> <p>With a surfboard possibly in one hand and a textbook in the other, Princess Ingrid Alexandra’s time in Sydney promises to be a uniquely royal adventure – and Australia will be watching with warm anticipation.</p> <p><em>Images: Instagram</em></p>

International Travel

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Can you treat headaches with physiotherapy?

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

Caring

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

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

Body

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“Angels in scrubs”: Cancer survivor's pledge to repay the nurses who saved his life

<p>Just six months after completing one of the most aggressive cancer treatment regimens his hospital had ever seen, Shane Whiteford is lacing up his running shoes – not to escape his past, but to honour those who carried him through it.</p> <p>Diagnosed in December 2023 with a rare and dangerously situated Ewing Sarcoma in his neck, Shane’s year-long battle with cancer included major surgery, a gruelling 12 months of chemotherapy, and four relentless weeks of daily radiation.</p> <p>Now in recovery, the devoted father of two, husband and son is taking on a different kind of challenge: running 200 kilometres in the month of June to raise funds – not for hospital equipment or research – but for the nurses he calls “angels in scrubs”!</p> <p>“They help you understand the complexities of treatment, they talk you through each step,” Shane said. “And along the way, they become friends, therapists, a shoulder to cry on, and your rock to rely on.”</p> <p>From chemo chairs to emotional breakdowns, the oncology nurses at <a href="https://www.calvarycare.org.au/hospitals/calvary-mater-newcastle/services-and-clinics-3/cancer-services-3/medical-oncology" target="_blank" rel="noopener">Calvary Mater Newcastle’s Day Treatment Centre</a> were with Shane through it all. And now, he wants to give back.</p> <p>“This fundraiser is for them,” Shane wrote on his <a href="https://www.gofundme.com/f/oncology-nurses-at-calvery-mater-newcastle" target="_blank" rel="noopener">GoFundMe page</a>. “Not the hospital, not the directors… but for my great support team.” The funds raised will go toward whatever the nursing team chooses – “something to make their workdays a little brighter.”</p> <p>Running an average of six kilometres per day, Shane’s goal is part of his ongoing rehab – his return to physical fitness only beginning in February 2025 after months of debilitating treatment.</p> <p>“I am now six months clear and have started to gain my ‘new’ normal life,” he shared. “This run is my way of saying thank you. I couldn't have done my journey without them.”</p> <p>With every kilometre, Shane is not only rebuilding his strength but reminding the world of the quiet heroes in our hospitals. His battle cry?</p> <p><em>“FU Cancer. I kicked your ass.”</em></p> <p>And now, with every step, he’s lifting others up – one stride, one donation and one angel in scrubs at a time.</p> <p><em>Image: GoFundMe</em></p>

Caring

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

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

Money & Banking

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

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

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Who will the next pope be? Here are some top contenders

<div class="theconversation-article-body"> <p>The death of Pope Francis marks the end of a <a href="https://theconversation.com/pope-francis-has-died-aged-88-these-were-his-greatest-reforms-and-controversies-229111">historic papacy</a> and the beginning of a significant transition for the Catholic Church. As the faithful around the world mourn his passing, attention now turns to the next phase: the election of a new pope.</p> <p>This election will take place through a process known as <a href="https://theconversation.com/how-will-a-new-pope-be-chosen-an-expert-explains-the-conclave-250506">the conclave</a>. Typically held two to three weeks after a pope’s funeral, the conclave gathers the College of Cardinals in the Vatican’s Sistine Chapel. Here, through prayer, reflection and secret ballots, they must reach a two-thirds majority to choose the next Bishop of Rome.</p> <p>While, in theory, any baptised Catholic man can be elected, for the past seven centuries the role has gone to a cardinal. That said, the outcome can still be unpredictable – sometimes even surprising the electors themselves.</p> <h2>An unlikely candidate</h2> <p>Cardinal Jorge Mario Bergoglio – who became Pope Francis – wasn’t among the front-runners in 2013. Nonetheless, after five rounds of voting, he emerged as the top candidate. Something similar could happen again.</p> <p>This conclave will take place during a time of tension and change within the church. Francis sought to decentralise Vatican authority, emphasised caring for the poor and the planet, and tried to open dialogue on sensitive issues such as <a href="https://time.com/7267052/pope-francis-impact-on-the-lgbtq-community/">LGBTQIA+ inclusion</a> and <a href="https://www.reuters.com/world/abuse-victims-say-they-saw-progress-under-pope-francis-just-not-enough-2025-04-22/">clerical abuse</a>. The cardinals must now decide whether to continue in this direction, or steer towards a more traditional course.</p> <p>There is historical precedent to consider. For centuries, Italians dominated the papacy. Of the 266 popes, 217 have <a href="https://worldpopulationreview.com/country-rankings/popes-by-country">been Italian</a>.</p> <p>However, this pattern has shifted in recent decades: Francis was from Argentina, John Paul II (1978–2005) from Poland, and Benedict XVI (2005–2013) from Germany.</p> <h2>The top papabili</h2> <p>As with any election, observers are speaking of their “favourites”. The term <em>papabile</em>, which in Italian means “pope-able”, or “capable of becoming pope”, is used to describe cardinals who are seen as serious contenders.</p> <p>Among the leading <em>papabili</em> is Cardinal <a href="https://en.wikipedia.org/wiki/Pietro_Parolin">Pietro Parolin</a>, aged 70, the current Secretary of State of Vatican City. Parolin has long been one of Francis’ closest collaborators and has led efforts to open dialogue with difficult regimes, <a href="https://catholicweekly.com.au/vatican-diplomat-discusses-china/">including the Chinese Communist Party</a>.</p> <p>Parolin is seen as a centrist figure who could appeal to both reform-minded and more conservative cardinals. Yet some <a href="https://www.politico.eu/article/pope-francis-death-who-succeed-parolin-pizzaballa-tagle-turkson-besungu-burke-spengler-erdo/">observers argue</a> he lacks the charismatic and pastoral presence that helped define Francis’ papacy.</p> <p>Another name to watch is Cardinal <a href="https://en.wikipedia.org/wiki/Pierbattista_Pizzaballa">Pierbattista Pizzaballa</a>, the Latin Patriarch of Jerusalem. At 60, he is younger than many of his colleagues, but brings extensive experience in interfaith dialogue in the Middle East. His fluency in Hebrew and his long service in the Holy Land could prove appealing.</p> <p>Then again, his relative youth may cause hesitation among those concerned about electing a pope who could serve for decades. As the papacy of John Paul II demonstrated, such long reigns can have a profound impact on the church.</p> <p>Cardinal <a href="https://en.wikipedia.org/wiki/Luis_Antonio_Tagle">Luis Antonio Tagle</a> of the Philippines is also frequently mentioned. Now 67, Tagle is known for his deep commitment to social justice and the poor. He has spoken out against human rights abuses in his home country and has often echoed Francis’ pastoral tone. But some cardinals may worry that his outspoken political views could complicate the church’s diplomatic efforts.</p> <p>Cardinal <a href="https://en.wikipedia.org/wiki/Peter_Turkson">Peter Turkson</a> of Ghana, now 76, was a prominent figure during the last conclave. A strong voice on environmental and economic justice, he has served under both Benedict XVI and Francis.</p> <p>Turkson has largely upheld the church’s traditional teachings on matters such as male-only priesthood, marriage between a man and a woman, and sexuality. He is also a strong advocate for transparency, and has spoken out against corruption and in defence of human rights.</p> <p>Though less widely known among the public, Cardinal <a href="https://en.wikipedia.org/wiki/Mykola_Bychok">Mykola Bychok</a> of Melbourne may also be considered. His election would be as surprising (and perhaps as symbolically powerful) as that of John Paul II in 1978. A Ukrainian-Australian pope, chosen during the ongoing war in Ukraine, would send a strong message about the church’s concern for suffering peoples and global peace.</p> <p>Other names that may come up are Cardinal <a href="https://en.wikipedia.org/wiki/Fridolin_Ambongo_Besungu">Fridolin Ambongo Besungu</a> from the Democratic Republic of the Congo, and Cardinal <a href="https://en.wikipedia.org/wiki/Jaime_Spengler">Jaime Spengler</a> of Brazil – both of whom lead large and growing Catholic communities. Although news reports don’t always list them among the top contenders, their influence within their regions – and the need to recognise the church’s global demographic shifts – means their voices will matter.</p> <p>On the more conservative side is American Cardinal <a href="https://en.wikipedia.org/wiki/Raymond_Leo_Burke">Raymond Burke</a>, who had been one of Francis’ most vocal critics. But his confrontational stance makes him an unlikely candidate.</p> <p>More plausible would be Cardinal <a href="https://en.wikipedia.org/wiki/P%C3%A9ter_Erd%C5%91">Péter Erdő</a> of Hungary, aged 71. Erdő is a respected canon lawyer with a more traditional theological orientation. He was mentioned in 2013 and may reemerge as a promising candidate among conservative cardinals.</p> <figure class="align-right zoomable"><a href="https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=792&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=792&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=792&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=996&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=996&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/663322/original/file-20250423-56-vunzyq.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=996&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Cardinal Péter Erdő was ordained as a priest in 1975 and has a doctorate in theology. He will be a top pick among conservatives.</span> <span class="attribution"><span class="source">Wikimedia</span>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <h2>One tough act to follow</h2> <p>Although Francis appointed many of the cardinals who will vote in the conclave, that doesn’t mean all of them supported his agenda. Many come from communities with traditional values, and may be drawn to a candidate who emphasises older church teachings.</p> <p>The conclave will also reflect broader questions of geography. The church’s growth has shifted away from Europe, to Asia, Africa and Latin America. A pope from one of these regions could symbolise this change, and speak more directly to the challenges faced by Catholic communities in the Global South.</p> <p>Ultimately, predicting a conclave is impossible. Dynamics often change once the cardinals enter the Sistine Chapel and begin voting. Alliances shift, new names emerge, and consensus may form around someone who was barely discussed beforehand.</p> <p>What is certain is that the next pope will shape the church’s future: doctrinally, diplomatically and pastorally. Whether he chooses to build on Francis’ legacy of reform, or move in a new direction, he will need to balance ancient traditions with the urgent realities of the modern world.<!-- 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/255006/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/darius-von-guttner-sporzynski-112147">Darius von Guttner Sporzynski</a>, Historian, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/who-will-the-next-pope-be-here-are-some-top-contenders-255006">original article</a>.</em></p> <p><em>Image: Rawpixel.com</em></p> </div>

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

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

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"Miss you so much": John Travolta's touching family tribute

<p>Hollywood icon John Travolta has posted an emotional tribute to his late son, Jett, in honour of what would have been his 33rd birthday.</p> <p>Travolta, 71, took to Instagram to share a touching throwback photo of Jett as a young child, accompanied by a simple but deeply moving caption: "Happy birthday Jett – I miss you so much! Love you forever!"</p> <p>Jett, the eldest child of Travolta and his late wife, actress Kelly Preston, tragically passed away in 2009 while the family was on holiday in The Bahamas. He was just 16 years old. An autopsy later revealed that Jett had suffered a fatal seizure.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DIZIjRwpbbp/?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/p/DIZIjRwpbbp/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by John Travolta (@johntravolta)</a></p> </div> </blockquote> <p>The loss devastated the family, who described Jett as "the most wonderful son that two parents could ever ask for", in a statement at the time. "He lit up the lives of everyone he encountered," they added. "We are heartbroken that our time with him was so brief. We will cherish the time that we had with him for the rest of our lives."</p> <p>Jett had battled multiple health challenges throughout his life. In a 2012 interview on <em>The Doctors</em>, Preston revealed that her son had been autistic and had a history of seizures. She also shared that he had suffered from Kawasaki Syndrome as a young child, and that the couple believed environmental factors may have contributed to his health issues.</p> <p>The family found hope again in 2010, when they welcomed their youngest child, Benjamin, 18 months after Jett's passing. Travolta and Preston also shared their daughter, Ella, now 25.</p> <p>Preston herself faced her own private battle with illness, passing away in July 2020 at the age of 57 after a quiet fight with breast cancer.</p> <p>In 2021, Travolta opened up about a heartbreaking conversation he had with Benjamin, who had expressed fear of losing his father after his mother’s passing. "Ben said to me once, 'Because mum passed away, I'm afraid you're going to,'" Travolta recalled during an appearance on Kevin Hart’s <em>Hart to Heart</em>.</p> <p>Travolta gently explained life’s uncertainties to his young son. "Nobody knows when they're gonna go or when they're going to stay," he told Ben. "You just do your best at trying to live the longest you can."</p> <p><em>Images: Instagram</em></p>

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Our ancestors didn’t eat 3 meals a day. So why do we?

<div class="theconversation-article-body"> <p>Pop quiz: name the world’s most famous trio? If you’re a foodie, then your answer might have been breakfast, lunch and dinner. It’s an almost universally accepted trinity – particularly in the Western world.</p> <p>But how did it come about?</p> <h2>The first meals</h2> <p><a href="https://theconversation.com/when-did-we-become-fully-human-what-fossils-and-dna-tell-us-about-the-evolution-of-modern-intelligence-143717#:%7E:text=Fossils%20and%20DNA%20suggest%20people,%3A%2050%2C000%2D65%2C000%20years%20ago">Early humans</a> were nomadic. Forming small communities, they would travel with the seasons, following local food sources.</p> <p>While we can only guess what daily mealtimes rhythms looked like, evidence dating back <a href="https://global.oup.com/academic/product/feast-9780199209019?cc=nz&lang=en&">30,000 years</a> from the South Moravia region, Czech Republic, shows people visited specific settlements time and again. They gathered around hearths, cooking and sharing food: the first signs of human “commensality”, the practice of eating together.</p> <p>One of the best-preserved hunter-gatherer sites we’ve found is <a href="https://global.oup.com/academic/product/feast-9780199209019?cc=nz&lang=en&">Ohalo II</a> – located on the shores of the modern-day Sea of Galilee (also called Lake Tiberias or Lake Kinneret) in Israel, and dating back some 23,000 years.</p> <p>In addition to several small dwellings with hearths, it provides evidence of diverse food sources, including more than 140 types of seeds and nuts, and various birds, fish and mammals.</p> <p>The development of <a href="https://education.nationalgeographic.org/resource/development-agriculture/">agricultural knowledge</a> some 12,000 years ago gave rise to permanent settlements. The earliest were in the Levant region (across modern-day Iraq, southwestern Iran and eastern Turkey), in an area called the “Fertile Crescent”.</p> <p>Permanent agriculture led to the production of a <a href="https://www.nationalgeographic.com/foodfeatures/evolution-of-diet/">surplus of food</a>. The ability to stay in one place with food on-hand meant the time it took to cook no longer mattered as much.</p> <p>It quickly became common to eat one <a href="https://www.bloomsbury.com/us/history-of-the-world-in-6-glasses-9780802718594/">light meal</a> early in the day, followed by a larger <a href="https://global.oup.com/academic/product/feast-9780199209019?cc=nz&lang=en&">hearth-prepared meal</a> later on. The specific timings would have varied between groups.</p> <h2>Eating together as a rule</h2> <p>The communal nature of foraging and hunting, and later farming, meant humans almost always ate their meals in the <a href="https://doi.org/10.1525/gfc.2009.9.3.42">company of others</a>. In the ancient city-state of Sparta, in the <a href="https://doi.org/10.2307/293895">4th century BCE</a>, these practices were codified as common main meals called <a href="https://doi.org/10.1525/gfc.2017.17.2.51"><em>syssitia</em></a> (meaning “eating together”).</p> <p>These meals were consumed at the end of the day in communal dining halls. Food was served by young boys to tables of 15 or so men who lived together and fought in the same <a href="https://www.perseus.tufts.edu/hopper/text?doc=Perseus%3Atext%3A1999.04.0063%3Aalphabetic+letter%3DS%3Aentry+group%3D5%3Aentry%3Dsyssitia-cn">military division</a>. The men gradually shared generational knowledge with the young boys, who themselves would join the tables by age 20.</p> <p>In the 5th century BCE, Greek historian Herodotus <a href="https://www.penguin.co.nz/books/the-histories-9780140455397">wrote about</a> how <em>syssitia</em> evolved from a Spartan military practice to having deep political meaning in society. Similarly, <a href="https://www.penguin.co.nz/books/the-republic-9780140455113">Plato</a> <a href="https://www.penguin.co.nz/books/the-laws-9780140449846">wrote</a> common meals were an integral component of civil society, and that missing a meal without good reason was a civic offence.</p> <p>By dining in <a href="https://doi.org/10.2307/293895">full view</a> of the rest of society, citizens were compelled to maintain self-discipline. Mealtime was also an opportunity for social linkage, and <a href="https://doi.org/10.1525/gfc.2017.17.2.51">important discussions</a> ranging from business deals to politics.</p> <p>The eating habits of Spartan women are missing in the texts, although it is implied they <a href="https://doi.org/10.1525/gfc.2017.17.2.51">ate at home</a>.</p> <h2>Bunches of lunches</h2> <p>Counter to the tough Spartan way of life, the Romans enjoyed their main meal, <a href="https://www.press.jhu.edu/books/title/1550/everyday-life-ancient-rome?srsltid=AfmBOooVPsJL24HR9woTdVNQwEG1uCU7q0k7r2beD-KD13m0KX-l1dSY"><em>cena</em></a>, earlier in the day, followed by a lighter meal just before bed.</p> <p>The northern European tribes tended towards two larger meals per day, as more <a href="https://doi.org/10.1002/ajpa.23071">sustenance</a> is required in colder climes. To the Vikings, these meals were known as <a href="https://www.historyonthenet.com/what-did-vikings-eat"><em>dagmal</em> and <em>nattmal</em></a>, or day meal and night meal. <em>Nattmal</em> was the cooked evening meal, while <em>dagmal</em> usually consisted of leftover <em>nattmal</em> with the addition of bread and beer or mead.</p> <p>In Australia, evidence suggests Aboriginal peoples tended toward a <a href="https://www.tandfonline.com/doi/full/10.1080/03122417.2022.2089395">daily single meal</a>, which aligns with the predominant method of cookery: slow-cooking with hot coals or rocks in an <a href="https://doi.org/10.1080/03122417.2022.2089395">earth oven</a>. This underground oven, used by Aboriginal and also Torres Strait Islander communities, was referred to as a <a href="https://www.facebook.com/watch/?v=745326709638881&t=0"><em>kup murri</em></a> or <a href="https://www.sbs.com.au/food/the-cook-up-with-adam-liaw/recipe/slow-cooker-kap-mauri/lfza7eqs4"><em>kap mauri</em></a> by some groups.</p> <p>This is similar to other Indigenous preparations throughout the Pacific, such as the New Zealand Māori <a href="https://doi.org/10.1080/15528014.2024.2381305"><em>hāngī</em></a>, Hawaiian <a href="https://www.jstor.org/stable/20707103?seq=1"><em>imu</em></a>, Fijian <a href="https://www.proquest.com/docview/1021389307?accountid=8440&parentSessionId=605Pt1iTclBEC77VSlZvrnxxY%2Bdc7e%2Bx9pT4MgRLPqQ%3D&sourcetype=Dissertations%20&%20Theses"><em>lovo</em></a>, and even the Mayan <a href="https://doi.org/10.1007/s12231-012-9207-2"><em>píib</em></a>.</p> <p>The once-daily meal would have been supplemented with snacks throughout the day.</p> <h2>Three’s the magic number</h2> <p>The timing of meals was heavily influenced by class structure, local climate and people’s <a href="https://www.wiley.com/en-us/Cuisine+and+Culture%3A+A+History+of+Food+and+People%2C+3rd+Edition-p-9780470403716">daily activities</a>. Practicality also played a part. Without reliable lighting, meals had to be prepared and eaten before dark. In settled parts of Northern Europe, this could be as early as 3pm.</p> <p>So how did we go from one or two main meals, to three? The answer may lie with the British Royal Navy.</p> <p>Since its inception in the 16th century, the navy served <a href="https://www.historyhit.com/what-did-sailors-in-the-georgian-royal-navy-eat/">three regular meals</a> to align with the shipboard routine. This included a simple breakfast of ship’s biscuits, lunch as the main meal, and dinner as more of a light supper.</p> <p>Some sources suggest the term “<a href="https://www.grammar-monster.com/sayings_proverbs/square_meal.htm">square meal</a>” may have come from the square wooden trays meals were served in.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=455&fit=crop&dpr=1 600w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=455&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=455&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=572&fit=crop&dpr=1 754w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=572&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=572&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Initially, sailors recieved a daily gallon of beer with meals. This was later changed to watered-down rum, the infamous ‘grog’, which is being handed out in this 1940 photo taken aboard HMS King George V.</span> <span class="attribution"><a class="source" href="https://www.iwm.org.uk/collections/item/object/205185139">Imperial War Museums</a>, <a class="license" href="http://creativecommons.org/licenses/by-nc/4.0/">CC BY-NC</a></span></figcaption></figure> <p>The <a href="https://www.bbc.com/news/magazine-20243692">Industrial Revolution</a>, which started around 1760, arguably also played a role in formalising the concept of three specific mealtimes across the Western world.</p> <p>The cadence of breakfast, lunch and dinner matched the routine of the longer, standardised workdays. Workers ate breakfast and dinner at home, before and after work, while lunch was eaten with coworkers at a set time.</p> <p>With minimal breaks, and no time for snacking, three substantial meals became necessary.</p> <h2>The fall of the holy trinity</h2> <p>Today, many factors impact the <a href="https://doi.org/10.1016/j.cmet.2015.09.005">time and frequency</a> of our meals, from long work commutes to juggling hobbies and social obligations.</p> <p>The COVID pandemic also impacted how and what we eat, leading us to eat larger amounts of <a href="https://doi.org/10.1016/j.jhealeco.2022.102641">higher calorie foods</a>. The rapid growth of <a href="https://doi.org/10.1017/S1368980020000701">delivery services</a> also means a meal is no more than a few minutes away from most people.</p> <p>All of this has resulted in mealtimes becoming less rigid, with social meals such as <a href="https://rowman.com/ISBN/9781442229433/Brunch-A-History">brunch</a>, <a href="https://www.harpercollins.co.nz/9780261102354/the-fellowship-of-the-ring/">elevenses</a> and <a href="https://rowman.com/ISBN/9781442271029/Afternoon-Tea-A-History">afternoon teas</a> expanding how we <a href="https://doi.org/10.3390/ijerph18126235">connect over food</a>. And mealtimes will continue to <a href="https://doi.org/10.1525/gfc.2013.13.3.32">evolve</a> as our schedules become ever more complicated.<!-- 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/250773/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/rob-richardson-2328981">Rob Richardson</a>, Senior Lecturer in Culinary Arts & Gastronomy, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a> and <a href="https://theconversation.com/profiles/dianne-ma-2331997">Dianne Ma</a>, Lecturer in Culinary Arts & Gastronomy, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/our-ancestors-didnt-eat-3-meals-a-day-so-why-do-we-250773">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Food & Wine

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

<div class="theconversation-article-body"> <p>More than five years since COVID was <a href="https://www.who.int/europe/emergencies/situations/covid-19">declared a pandemic</a>, we’re still facing the regular emergence of new variants of the virus, SARS-CoV-2.</p> <p>The latest variant on the rise is LP.8.1. It’s <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">increasing in Australia</a>, making up close to <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">one in five COVID cases</a> in New South Wales.</p> <p>Elsewhere it’s become even more dominant, comprising at least three in five cases <a href="https://inews.co.uk/news/health/lp-covid-variant-cases-future-waves-3598768">in the United Kingdom</a>, for example.</p> <p>So what is LP.8.1? And is it cause for concern? Let’s look at what we know so far.</p> <h2>An offshoot of Omicron</h2> <p>LP.8.1 was first <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">detected in July 2024</a>. It’s a descendant of Omicron, specifically of KP.1.1.3, which is descended from <a href="https://theconversation.com/the-emergence-of-jn-1-is-an-evolutionary-step-change-in-the-covid-pandemic-why-is-this-significant-220285">JN.1</a>, a subvariant that caused large waves of COVID infections around the world in late 2023 and early 2024.</p> <p>The <a href="https://www.who.int/activities/tracking-SARS-CoV-2-variants">World Health Organization</a> (WHO) designated LP.8.1 as a <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">variant under monitoring</a> in January. This was in response to its significant growth globally, and reflects that it has genetic changes which may allow the virus to spread more easily and pose a greater risk to human health.</p> <p>Specifically, LP.8.1 has mutations at six locations in its spike protein, the protein which allows SARS-CoV-2 to attach to our cells. One of these mutations, V445R, is thought to allow this variant to spread more easily relative to other circulating variants. V445R has been shown to increase binding to human lung cells in <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(25)00015-5/fulltext">laboratory studies</a>.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=468&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=468&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=468&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=588&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=588&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=588&amp;fit=crop&amp;dpr=3 2262w" alt="A chart showing the distribution of different COVID variants in different colours." /><figcaption><span class="caption">The proportion of COVID cases caused by LP.8.1 has been rising in New South Wales.</span> <span class="attribution"><a class="source" href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">NSW Health</a></span></figcaption></figure> <p>Notably, the symptoms of LP.8.1 don’t appear <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">to be any more severe</a> than other circulating strains. And the WHO has evaluated the additional public health risk LP.8.1 poses at a global level to be low. What’s more, LP.8.1 remains a variant under monitoring, rather than a variant of interest or a variant of concern.</p> <p>In other words, these changes to the virus with LP.8.1 are small, and not likely to make a big difference to the trajectory of the pandemic.</p> <h2>That doesn’t mean cases won’t rise</h2> <p>COVID as a whole is still a major national and international health concern. So far this year there have been close to <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">45,000 new cases recorded in Australia</a>, while around <a href="https://covidlive.com.au/report/daily-hospitalised/aus">260 people are currently in hospital</a> with the virus.</p> <p>Because many people are no longer testing or reporting their infections, the real number of cases is probably far higher.</p> <p>In <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">Australia</a>, LP.8.1 has become the <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">third most dominant strain in NSW</a> (behind <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">XEC</a> and KP.3).</p> <p>It <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">has been growing</a> over the past couple of months and this trend looks set to continue.</p> <p>This is not to say it’s not growing similarly in other states and territories, however NSW Health publishes <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Pages/reports.aspx">weekly respiratory surveillance</a> with a breakdown of different COVID variants in the state.</p> <p>Sequences of LP.8.1 in the <a href="https://gisaid.org/">GISAID database</a>, used to track the prevalence of variants around the world, increased from <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">around 3%</a> at the end of 2024 to 38% of global sequences as of <a href="https://x.com/Mike_Honey_/status/1905816340331728914">mid March</a>.</p> <p>In some countries it’s climbed particularly high. In the United States LP.8.1 is responsible for <a href="https://covid.cdc.gov/covid-data-tracker/#variant-proportions">55% of cases</a>. In <a href="https://inews.co.uk/news/health/lp-covid-variant-cases-future-waves-3598768">the UK</a>, where LP.8.1 is making up at least 60% of cases, scientists fear <a href="https://inews.co.uk/news/science/new-covid-wave-cases-hospitalisations-3611459?srsltid=AfmBOor_V7pQrPMPhUYQA2KCZgRfsI_CpxTwIRiHDFJHIJhq2kbAmD42">it may be driving a new wave</a>.</p> <h2>Will COVID vaccines work against LP.8.1?</h2> <p>Current COVID vaccines, including the most recently available <a href="https://theconversation.com/new-covid-vaccines-may-be-coming-to-australia-heres-what-to-know-about-the-jn-1-shots-237652">JN.1 shots</a>, are still expected to <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">offer good protection</a> against symptomatic and severe disease with LP.8.1.</p> <p>Nonetheless, due to its designation as a variant under monitoring, WHO member countries will continue to study the behaviour <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">of the LP.8.1 variant</a>, including any potential capacity to evade our immunity.</p> <p>While there’s no cause for panic due to LP.8.1 variant at this stage, COVID can still be a severe disease for some. Continued vigilance and vaccination, particularly <a href="https://www.health.gov.au/our-work/covid-19-vaccines/getting-your-vaccination">for medically vulnerable groups</a>, is essential in minimising the impact of the disease.<!-- 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/253237/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/thomas-jeffries-1511629">Thomas Jeffries</a>, Senior Lecturer in Microbiology, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-new-covid-variant-is-on-the-rise-heres-what-to-know-about-lp-8-1-253237">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

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

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

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Do stem cell injections for knee osteoarthritis actually work?

<div class="theconversation-article-body">More than 500 million people around the world <a href="https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00163-7/fulltext">live with osteoarthritis</a>. The knee is affected more often than any other joint, with symptoms (such as pain, stiffness and reduced movement) affecting work, sleep, sport and <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">daily activities</a>.</p> <p>Knee osteoarthritis is often thought of as thinning of the protective layer of cartilage within the joint. But we now understand it affects all the structures of the joint, including the bones, muscles and nerve endings.</p> <p>While there are things that <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard/information-consumers-osteoarthritis-knee-clinical-care-standard">can be done to manage</a> the symptoms of knee osteoarthritis, there is no cure, and many people experience persistent pain. As a result, an opportunity exists for <a href="https://www.rheuma.com.au/stem-cell-therapy-good-bad-ugly/174">as yet unproven treatments</a> to enter the market, often before regulatory safeguards can be put in place.</p> <p>Stem cell injections are one such treatment. A <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a> my colleagues and I published this week finds that evidence of their benefits and harms remains elusive.</p> <h2>Stem cell treatments</h2> <p>Stem cells are already established as treatments for some diseases – <a href="https://www.lymphoma.org.au/lymphoma/treatments/stem-cell-transplants/autologous-stem-cell-transplant/">mostly disorders of the blood</a>, bone marrow or immune system – which has led to suggestions they could be used for a much wider array of conditions.</p> <p>Stem cells have been touted as promising treatments for osteoarthritis because they have special properties which allow them to replicate and develop into the mature healthy cells that make up our body’s organs and other tissues, including cartilage.</p> <p>Stem cell treatments for osteoarthritis generally involve <a href="https://www.aboutstemcells.org/treatments">taking a sample of tissue</a> from a site that is rich in stem cells (such as bone marrow or fat), treating it to increase the number of stem cells, then injecting it into the joint.</p> <p>The hope is that if the right type of stem cells can be introduced into an osteoarthritic joint in the right way and at the right time, they may help to repair damaged structures in the joint, or have other effects such as reducing inflammation.</p> <p>But no matter how convincing the theory, we need good evidence for effectiveness and safety before a new therapy is adopted into practice.</p> <p>Stem cell injections have not been approved by Australia’s <a href="https://www.tga.gov.au/news/news/stem-cell-treatments-and-regulation-quick-guide-consumers#:%7E:text=Does%20the%20TGA%20regulate%20stem,does%20not%20regulate%20medical%20practice">Therapeutic Goods Administration</a> for the treatment of osteoarthritis. Nonetheless, some clinics in Australia and around the world still offer them.</p> <p>Because of the regulatory restrictions, we don’t have reliable numbers on how many procedures are being done.</p> <p>They’re not covered by Medicare, so the procedure can cost the consumer thousands of dollars.</p> <p>And, as with any invasive procedure, both the <a href="https://coroners.nsw.gov.au/documents/findings/2016/Findings%20Drysdale.pdf">harvest of stem cells</a> and the joint injection procedure may carry the potential for harm, such as infection.</p> <h2>What we found</h2> <p>Our <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a>, published by the independent, international group the Cochrane Collaboration, looks at all 25 randomised trials of stem cell injections for knee osteoarthritis that have been conducted worldwide to date. Collectively, these studies involved 1,341 participants.</p> <p>We found stem cell injections may slightly improve pain and function compared with a placebo injection, but the size of the improvement may be too small for the patient to notice.</p> <p>The evidence isn’t strong enough to determine whether there is any improvement in quality of life following a stem cell injection, whether cartilage regrows, or to estimate the risk of harm.</p> <p>This means we can’t confidently say yet whether any improvement that might follow a stem cell injection is worth the risk (or the cost).</p> <h2>Hope or hype?</h2> <p>It’s not surprising we invest hope in finding a transformative treatment for such a common and disabling condition. Belief in the benefits of stem cells is widespread – more than <a href="https://www.arthroscopyjournal.org/article/S0749-8063(21)00571-5/abstract">three-quarters of Americans</a> believe stem cells can relieve arthritis pain and more than half believe this treatment to be curative.</p> <p>But what happens if a new treatment is introduced to practice before it has been clearly proven to be safe and effective?</p> <p>The use of an unproven, invasive therapy is not just associated with the risks of the intervention itself. Even if the treatment were harmless, there is the risk of unnecessary cost, inconvenience, and a missed opportunity for the patient to use existing therapies that are known to be effective.</p> <p>What’s more, if we need to play catch-up to try to establish an evidence base for a treatment that’s already in practice, we risk diverting scarce research resources towards a therapy that may not prove to be effective, simply because the genie is out of the bottle.</p> <h2>Working towards a clearer answer</h2> <p>Several more large <a href="https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12620000870954">clinical trials</a> are currently underway, and should increase our understanding of whether stem cell injections are safe and effective for knee osteoarthritis.</p> <p>Our review incorporates “<a href="https://www.cochrane.org/news/cochranes-pioneering-role-living-evidence">living evidence</a>”. This means we will continue to add the results of new trials as soon as they’re published, so the review is always up to date, and offers a comprehensive and trustworthy summary to help people with osteoarthritis and their health-care providers to make informed decisions.</p> <p>In the meantime, there are a number of <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/knee-and-hip-osteoarthritis/summary-plain-language">evidence-based treatment options</a>. Non-drug treatments such as physiotherapy, regular exercise, maintaining a healthy weight, and cognitive behavioural therapy can be more effective than you think. Anti-inflammatory and pain medications can also play a supporting role.</p> <p>Importantly, it’s not inevitable that osteoarthritic joints get worse with time. So, even though <a href="https://aoanjrr.sahmri.com/background">joint replacement surgery</a> is often highly effective, it’s the last resort and fortunately, many people never need to take this step.<!-- 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/253404/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/samuel-whittle-2357927">Samuel Whittle</a>, ANZMUSC Practitioner Fellow, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-are-getting-costly-stem-cell-injections-for-knee-osteoarthritis-but-we-dont-know-if-they-work-253404">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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