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Readers response: What’s one small change you’ve made that’s had a big impact on your physical health?

When it comes to our overall health, sometimes it's the minor changes that can make all the difference in the long run. We asked our readers what one small change has had the biggest impact on their health overall, and the response was overwhelming. Here's what they said. Marlene Hassett - I adopted a retired greyhound that makes sure I go for a walk every morning. Judith Leoni - No small change and it was hardest thing I have ever done, but giving up smoking! Sharolynn Marshman - Twice weekly exercise classes with my husband. Steve Smith - Severely reduced alcohol consumption. Deb Moore - Stop thinking about it. Look after myself. Eat good food, drink good wine, enjoy the fact that I wake up each day. Life is so special and so fragile. If you treasure your life, it will treasure and nurture you. Julieanne Ditchfield - Mindfulness, meditation and breathing techniques. Deedee Cullum - Having an afternoon rest. Margaret Dixon - Going to an exercise physiologist. Bill Nicholson - Retiring! Margaret Bandiera - Cut out sugar, dairy, gluten and alcohol. Image credits: Shutterstock

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Why are we seeing more pandemics? Our impact on the planet has a lot to do with it

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/olga-anikeeva-1522907">Olga Anikeeva</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/jessica-stanhope-1129888">Jessica Stanhope</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/peng-bi-1522908">Peng Bi</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/philip-weinstein-882901">Philip Weinstein</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Pandemics – the global spread of infectious diseases – seem to be making a comeback. In the Middle Ages we had the Black Death (plague), and after the first world war we had the Spanish flu. Tens of millions of people <a href="https://assets.cureus.com/uploads/review_article/pdf/69273/20211019-25919-an4y6h.pdf">died from these diseases</a>. Then science began to <a href="https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2011.00053/full">get the upper hand</a>, with vaccination eradicating smallpox, and polio nearly so. Antibiotics became available to treat bacterial infections, and more recently antivirals as well. But in recent years and decades pandemics <a href="https://assets.cureus.com/uploads/review_article/pdf/69273/20211019-25919-an4y6h.pdf">seem to be returning</a>. In the 1980s we had HIV/AIDS, then several flu pandemics, SARS, and now COVID (no, COVID isn’t over). So why is this happening, and is there anything we can do to avert future pandemics? <h2>Unbalanced ecosystems</h2> Healthy, stable ecosystems provide services that keep us healthy, such as supplying food and clean water, producing oxygen, and making green spaces available for our <a href="https://www.millenniumassessment.org/documents/document.356.aspx.pdf">recreation and wellbeing</a>. Another key service ecosystems provide is disease regulation. When nature is in balance – with predators controlling herbivore populations, and herbivores controlling plant growth – it’s more difficult for pathogens to emerge in a way that causes pandemics. But when human activities <a href="https://books.google.com.au/books?hl=en&lr=&id=rWozz12K1aUC&oi=fnd&pg=PP15&dq=planetary+overload&ots=c9mWuESUXN&sig=-1iP3uSOWazvC2OFLk4vginWbQQ&redir_esc=y#v=onepage&q=planetary%20overload&f=false">disrupt and unbalance ecosystems</a> – such as by way of climate change and biodiversity loss – <a href="https://academic.oup.com/bioscience/article/58/8/756/381265">things go wrong</a>. For example, climate change affects the number and distribution of plants and animals. Mosquitoes that carry diseases can move from the tropics into what used to be temperate climates as the planet warms, and may infect more people in the months that are normally disease free. We’ve studied the relationship between weather and dengue fever transmission in China, and <a href="https://pubmed.ncbi.nlm.nih.gov/27883970/">our findings</a> support the same conclusion reached by <a href="https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008118">many other studies</a>: climate change is likely to put more people at risk of dengue. Biodiversity loss can have similar effects by disrupting food chains. When ranchers cleared forests in <a href="https://www.mdpi.com/1999-4915/6/5/1911">South America</a> for their cattle to graze in the first half of the 20th century, tiny forest-dwelling, blood-feeding vampire bats suddenly had a smörgåsbord of large sedentary animals to feed on. While vampire bats had previously been kept in check by the limited availability of food and the presence of predators in the balanced <a href="https://cir.nii.ac.jp/crid/1130000797648461952">forest ecosystem</a>, numbers of this species exploded in South America. These bats carry the rabies virus, which causes <a href="https://www.who.int/news-room/fact-sheets/detail/rabies">lethal brain infections</a> in people who are bitten. Although the number of deaths from bat-borne rabies has now fallen dramatically due to vaccination programs in South America, rabies caused by bites from other animals still <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168224/">poses a global threat</a>. As urban and agricultural development impinges on natural ecosystems, there are increasing opportunities for humans and domestic animals to become infected with pathogens that would normally only be seen in wildlife – particularly when people hunt and eat animals from the wild. The HIV virus, for example, <a href="https://www.tandfonline.com/doi/abs/10.1076/jmep.27.2.163.2992">first entered human populations</a> from apes that were slaughtered for food in Africa, and then spread globally through travel and trade. Meanwhile, bats are thought to be <a href="https://www.sciencedirect.com/science/article/pii/S0006291X20319434">the original reservoir</a> for the virus that caused the COVID pandemic, which has killed more than <a href="https://www.worldometers.info/coronavirus/">7 million people</a> to date. Ultimately, until we effectively address the unsustainable impact we are having on our planet, pandemics will continue to occur. <h2>Targeting the ultimate causes</h2> Factors such as climate change, biodiversity loss and other global challenges are the ultimate (high level) cause of pandemics. Meanwhile, increased contact between humans, domestic animals and wildlife is the proximate (immediate) cause. In the case of HIV, while direct contact with the infected blood of apes was the proximate cause, the apes were only being slaughtered because large numbers of very poor people were hungry – an ultimate cause. The distinction between <a href="https://link.springer.com/article/10.1007/BF02207379">ultimate causes and proximate causes</a> is important, because we often deal only with proximate causes. For example, people may smoke because of stress or social pressure (ultimate causes of getting lung cancer), but it’s the toxins in the smoke that cause cancer (proximate cause). Generally, health services are only concerned with stopping people from smoking – and with treating the illness that results – not with removing the drivers that lead them to smoke in the first place. Similarly, we address pandemics with lockdowns, mask wearing, social distancing and vaccinations – all measures which seek to stop the spread of the virus. But we pay less attention to addressing the ultimate causes of pandemics – until perhaps very recently. <h2>A planetary health approach</h2> There’s a growing awareness of the importance of adopting a “planetary health” approach to improve human health. This <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60901-1/fulltext?nr_email_referer=1">concept</a> is based on the understanding that human health and human civilisation depend on flourishing natural systems, and the wise stewardship of those natural systems. With this approach, ultimate drivers like climate change and biodiversity loss would be prioritised in preventing future pandemics, at the same time as working with experts from many different disciplines to deal with the proximate causes, thereby reducing the risk overall. The planetary health approach has the benefit of improving both the health of the environment and human health concurrently. We are heartened by the increased uptake of teaching planetary health concepts across the environmental sciences, humanities and health sciences in many universities. As climate change, biodiversity loss, population displacements, travel and trade continue to increase the risk of disease outbreaks, it’s vital that the planetary stewards of the future have a better understanding of how to tackle the ultimate causes that drive pandemics. This article is the first in a series on the next pandemic.<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/226827/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/olga-anikeeva-1522907">Olga Anikeeva</a>, Research Fellow, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/jessica-stanhope-1129888">Jessica Stanhope</a>, Lecturer, School of Allied Health Science and Practice, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>; <a href="https://theconversation.com/profiles/peng-bi-1522908">Peng Bi</a>, Professor, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/philip-weinstein-882901">Philip Weinstein</a>, Professorial Research Fellow, School of Public Health, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> Image credits: Shutterstock 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-are-we-seeing-more-pandemics-our-impact-on-the-planet-has-a-lot-to-do-with-it-226827">original article</a>. </div>

Body

How overcrowding impacts the world’s tourism hotspots

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/joe-pavelka-1548337">Joe Pavelka</a>, <a href="https://theconversation.com/institutions/mount-royal-university-966">Mount Royal University</a> Every summer, millions of people jet off on vacations around the world. The United Nations World Tourism Organization estimates that international arrivals, the measure of global travel, <a href="https://www.unwto.org/news/international-tourism-to-reach-pre-pandemic-levels-in-2024">will be two per cent higher than the pre-pandemic total was in 2019</a>. However, as more of us are taking vacations, some of the world’s tourism hotspots are feeling more crowded than ever. And that’s even led to protests in some popular destinations. Residents in <a href="https://www.ctvnews.ca/lifestyle/a-point-of-no-return-why-europe-has-become-an-epicentre-for-anti-tourism-protests-this-summer-1.6980308">some European</a> cities have marched through popular areas, calling on tourists to “go home.” Some destinations, like Amsterdam, are doing what was previously thought unthinkable and <a href="https://www.cnn.com/travel/2023-worst-destinations-overtourism-avoid-crowds/index.html">actively discouraging visitors</a>. Tourism crowding has become an indelible feature of travel and it warrants some understanding. So, what is overcrowding in tourism? How do we respond to it? And why does it appear to be increasing? <h2>Tourism overcrowding</h2> At its most basic level, overcrowding occurs because a lot of people decide to go to the same place at the same time. There are three basic principles of <a href="https://theconversation.com/overtourism-a-growing-global-problem-100029">tourism overcrowding</a>. Firstly, overcrowding is real and it creates stress and compromises our experience. Secondly, we feel more crowded in the presence of incompatible behaviours. For instance, we are more likely to feel overcrowded on a sidewalk if we have to avoid a skateboarder, a cyclist and a couple of aggressive vendors than we might at a packed music festival where everyone is acting similarly. Thirdly, a place is overcrowded when we think it is. There is no standard measure of overcrowding for the visitor. It is an individually experienced phenomena. We cannot understand tourism crowding without taking into account the context of local residents. We recently learned of <a href="https://www.cnn.com/2024/07/08/travel/barcelona-tourism-protests-scli-intl/index.html">locals spraying tourists in Barcelona with water guns</a> as part of a demonstration. Locals do not do that unless they are truly fed up. This brings us to what I call the host-guest covenant, which is the idea that visitors should keep to touristic areas so residents can maintain the sanctity of their neighbourhoods. With the rise of short-term rentals, many visitors are able to go beyond the touristic parts of town. Some visitors might feel that, by sticking to touristic areas, their trip remains superficial and undeserving of the time and money it costs. Short-term rentals can allow them to avoid other tourists and gain a more “authentic” experience. However, <a href="https://upgo.lab.mcgill.ca/publication/strs-housing-bc-2022/Wachsmuth_BC_2022.pdf">it can make things worse for residents</a>, who must contend with more tourists encroaching on their neighbourhoods. <h2>How people cope with overcrowding</h2> Some people detest crowds, while others are drawn to them. There are <a href="https://doi.org/10.1080/01490400306562">four basic ways people cope with the stress of overcrowding</a>. The first way is to alter travel plans to avoid crowds. It’s the most common coping method and involves avoiding certain places when we know their going to be busy. Another method is rationalization. When people find themselves in tourist crowds, they often rationalize the situation to avoid cognitive dissonance. For instance, visitors to the Louvre Museum might be more willing to tolerate crowds because they expect everyone wants to see the Mona Lisa. It implies people knowingly enter overcrowded tourist spaces. And they do, for several reasons: the attraction, fear of missing out, because crowds offer a sense of safety, and the validation that they’re somewhere important. Rationalization explains why we see thousands of people in the same place at the same time. A third coping method is product shift. It suggests we will intentionally downgrade a product to avoid cognitive dissonance. When someone tells you that Tofino used to be a quaint little surf town and now it’s touristy, they are engaging in product shift. The fourth is direct action, which involves contacting the authorities to rectify a situation. It can be as simple as asking a museum official to quiet down a noisy group or posting a review of Niagara Falls suggesting more information on how to avoid crowds. Coping methods are similar for visitors and the residents of the places they visit, but the latter places more emphasis on displacement. They have a deeper knowledge of the place and ability to navigate crowds effectively. <h2>Social media’s impact</h2> Some argue tourism took a <a href="https://www.cnn.com/travel/social-media-tourism-effect-scn-wellness/index.html">sharp turn for the worse</a> with the advent of social media. Maybe, but the real impact of social media is that it made travel into a more visible status symbol. Prior to social media, returning travellers would print out their photos and share them with family and friends. Today we can share our photos instantly online. In addition, a desire to have the <a href="https://dictionary.cambridge.org/dictionary/english/instagrammable">most “Instagrammable” experiences</a> encourages risk avoidance. In essence, it encourages us to stick to the tried-and-true tours, destinations and attractions, rather than off-the-beaten-path places. This reinforces the basic principle of overcrowding: a lot people deciding to go the same place at the same time. Given all these trends, it is expected that most post-pandemic travel will continue to be trips to “safer” destinations <a href="https://www.unwto.org/news/international-tourism-to-reach-pre-pandemic-levels-in-2024">where tourists feel they are more likely to get their money’s worth</a>. In other words, the Global North travellers going to places in the Global North they feel will be worthwhile experiences. All tourists want to have a good time when on holiday. That often means the wisdom of crowds still holds sway, and no matter how uncomfortable overcrowding might be, thousands of people going the same place at the same time feels less risky than being on your own.<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/235319/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/joe-pavelka-1548337">Joe Pavelka</a>, Professor, Department of Health and Physical Education, <a href="https://theconversation.com/institutions/mount-royal-university-966">Mount Royal University</a> Image credits: Shutterstock 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-overcrowding-impacts-the-worlds-tourism-hotspots-235319">original article</a>. </div>

Travel Trouble

Does screen use really impact our thinking skills? Our analysis suggests it could

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/michoel-moshel-1433565">Michoel Moshel</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a>; <a href="https://theconversation.com/profiles/jennifer-batchelor-1485101">Jennifer Batchelor</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a>; <a href="https://theconversation.com/profiles/joanne-bennett-1485102">Joanne Bennett</a>, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a>, and <a href="https://theconversation.com/profiles/wayne-warburton-402810">Wayne Warburton</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> Screens have become seamlessly integrated into our daily lives, serving as indispensable tools for work, education and leisure. But while they enrich our lives in countless ways, we often fail to consider the potential impact of screen time on our cognitive abilities. In a <a href="https://link.springer.com/article/10.1007/s11065-023-09612-4">new meta-analysis</a> of dozens of earlier studies, we’ve found a clear link between disordered screen use and lower cognitive functioning. The findings suggest we should exercise caution before advocating for more screen time, and before introducing screens into even more aspects of daily life. <h2>Young people’s screen time is increasing</h2> In 2020, a UNSW Gonski Institute for Education report <a href="https://www.gie.unsw.edu.au/sites/default/files/documents/UNSW%20GIE%20GUD%20Phase%201%20Technical%20Report%20MAR20%20v2.pdf">noted a concerning statistic</a>: about 84% of Australian educators believe digital technologies are distracting in a learning environment. And according to the ABC, a recent Beyond Blue <a href="https://www.abc.net.au/news/2023-09-18/mental-health-depression-anxiety-support-coming-for-schools/102831464">survey</a> of Australian teachers identified excessive screen time as the second-most significant challenge for young people, just behind mental health issues. Despite mounting concerns, more than half of Australian schools have embraced a “<a href="https://www.linewize.io/anz/blog/the-rise-of-byod-in-australian-schools">bring your own device</a>” policy. Students are spending more time online than <a href="https://read.oecd-ilibrary.org/education/students-computers-and-learning_9789264239555-en#page46">ever before</a> and starting at increasingly younger ages. A 2021 report by <a href="https://www.commonsensemedia.org/sites/default/files/research/report/8-18-census-integrated-report-final-web_0.pdf">Common Sense Media</a> estimated tweens spend an average of 5 hours and 33 minutes using screen-based entertainment each day, while teenagers devote a whopping 8 hours and 39 minutes. A surge in screen use has led to some individuals, including children, adolescents and adults, developing screen-related addictions. One example is gaming disorder, for which <a href="https://journals.sagepub.com/doi/full/10.1177/0004867420962851">2–3% of people</a> meet the criteria. <h2>What is ‘disordered screen use’?</h2> The impact of screens on our cognitive abilities – that is, our thinking skills such as attention, memory, language and problem-solving – has sparked much debate. On one hand, some researchers and reporters claim screen use can have negative effects, such as <a href="https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-12701-3">health problems</a>, shortened attention <a href="https://time.com/3858309/attention-spans-goldfish/">spans</a> and hindered <a href="https://www.researchgate.net/publication/312489265_The_relationship_between_television_exposure_and_children's_cognition_and_behaviour_A_systematic_review">development</a>. On the other, schools are <a href="https://www.smh.com.au/education/tech-takeover-classrooms-crowded-with-digital-devices-20200125-p53ul1.html">increasingly adopting</a> technology to boost student engagement. Tech companies are also marketing their products as tools to help you enhance your problem-solving and memory skills. Our <a href="https://link.springer.com/article/10.1007/s11065-023-09612-4">recent study</a> sought to understand the potential cognitive consequences of “disordered screen-related behaviours”. This is a broad category of problematic behaviours that may include screen dependency, and persisting with screen use even when it’s harmful. We conducted a meta-analysis of 34 studies that explored various forms of screen use (including gaming, internet browsing, smartphone use and social media use) and compared the cognitive performance of individuals with disordered screen use to those without it. Our findings paint a concerning picture. <h2>Differences in cognitive function</h2> Across these rigorously peer-reviewed studies, individuals with disordered screen use consistently demonstrated significantly poorer cognitive performance compared to others. The most affected cognitive domain was attention, and specifically sustained attention, which is the ability to maintain focus on an unchanging stimulus for an extended period. The second-most notable difference was in their “executive functioning” – particularly in impulse control, which is the ability to control one’s automatic responses. Interestingly, the type of screen activity didn’t make a difference in the results. The trend also wasn’t confined to children, but was observed across all age groups. <h2>Two ways to interpret the results</h2> Why do people with disordered screen-related behaviours have poorer cognitive functioning? The first explanation is that disordered screen use actually leads to poorer cognitive function, including poorer attention skills (but we’ll need more experimental and longitudinal studies to establish causality). If this is the case, it may be the result of being constantly bombarded by algorithms and features designed to capture our attention. By diverting our focus outward, screen use may weaken one’s intrinsic ability to concentrate over time. Crucially, impaired attention also <a href="https://akjournals.com/view/journals/2006/10/1/article-p77.xml">makes it harder to disengage</a> from addictive behaviours, and would therefore make it harder to recognise when screen use has become a problem. The second explanation is that people who already have poorer cognitive functioning (such as less inhibitory control) are more likely to engage in disordered screen use. This could be a result of the plethora of addictive cues designed to keep us glued to our screens. Being bombarded by these could make it harder to <a href="https://akjournals.com/view/journals/2006/9/4/article-p990.xml">pull the brakes</a> on screen use. Although the literature doesn’t seem to favour this explanation – and does seem to suggest that cognitive functioning is impaired as a result of disordered screen use – it’s still a possibility we can’t rule out. Attention is the bedrock of everyday tasks. People with weakened attention may struggle to keep up in less stimulating environments, such as a static workplace or classroom. They may find themselves turning to a screen as a result. Similarly, people with less inhibitory control would also find it more challenging to moderate their screen use. This could be what drives them towards problematic screen-related behaviours in the first place. <h2>Who should shoulder the responsibility?</h2> Research indicates people with impaired cognitive functioning usually aren’t as well equipped to moderate their own screen time. Many users with disordered screen use are <a href="https://www.sciencedirect.com/science/article/pii/S0747563220302326?casa_token=BQv_N_MFffYAAAAA:AsGkAfdwXjCZHJB463G40Mx-ckS2Q1c8jSOn2SWR_9iW64eWaQsru1IJAZBDCgSPXwhZ3Qwl">young</a>, with mainly males engaging in internet gaming and mainly females engaging in social media use. Neurodiverse people are <a href="https://www.mdpi.com/1660-4601/19/9/5587">also at greater risk</a>. Tech companies are driven by the goal of <a href="https://www.theguardian.com/technology/2017/apr/18/netflix-competitor-sleep-uber-facebook">capturing our attention</a>. For instance, Netflix chief executive Reed Hastings acknowledged the company’s <a href="https://www.theguardian.com/technology/2017/apr/18/netflix-competitor-sleep-uber-facebook">most formidable competitor was sleep</a>. At the same time, researchers find themselves struggling to keep up with the pace of technological innovation. A potential path forward is to encourage open-access data policies from tech companies, so researchers can delve deeper into the study of screen use and its effect on individuals. <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/216828/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/michoel-moshel-1433565">Michoel Moshel</a>, PhD/Masters Clinical Neuropsychology Candidate, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a>; <a href="https://theconversation.com/profiles/jennifer-batchelor-1485101">Jennifer Batchelor</a>, Associate Professor, School of Psychological Sciences, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a>; <a href="https://theconversation.com/profiles/joanne-bennett-1485102">Joanne Bennett</a>, Lecturer, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a>, and <a href="https://theconversation.com/profiles/wayne-warburton-402810">Wayne Warburton</a>, Associate Professor, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> Image credits: Shutterstock 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-screen-use-really-impact-our-thinking-skills-our-analysis-suggests-it-could-216828">original article</a>. </div>

Mind

Mothers’ dieting habits and self-talk have profound impact on daughters − 2 psychologists explain how to cultivate healthy behaviors and body image

<a href="https://theconversation.com/profiles/janet-j-boseovski-451496">Janet J. Boseovski</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> Weight loss is one of the most common health and appearance-related goals. Women and <a href="https://www.cdc.gov/nchs/products/databriefs/db340.htm">teen girls</a> are <a href="https://www.cdc.gov/nchs/products/databriefs/db313.htm">especially likely to pursue dieting</a> to achieve weight loss goals even though a great deal of research shows that <a href="https://theconversation.com/what-thin-people-dont-understand-about-dieting-86604">dieting doesn’t work over the long term</a>. We are a <a href="https://www.duck-lab.com/people">developmental psychologist</a> and a <a href="https://psy.uncg.edu/directory/ashleigh-gallagher/">social psychologist</a> who together wrote a forthcoming book, “Beyond Body Positive: A Mother’s Evidence-Based Guide for Helping Girls Build a Healthy Body Image.” In the book, we address topics such as the effects of maternal dieting behaviors on daughters’ health and well-being. We provide information on how to build a foundation for healthy body image beginning in girlhood. <h2>Culturally defined body ideals</h2> Given the strong influence of social media and other cultural influences on body ideals, it’s understandable that so many people pursue diets aimed at weight loss. <a href="https://communityhealth.mayoclinic.org/featured-stories/tiktok-diets">TikTok</a>, YouTube, Instagram and celebrity websites feature slim influencers and “how-tos” for achieving those same results in no time. For example, women and teens are engaging in rigid and extreme forms of exercise such as 54D, a program to <a href="https://54d.com/">achieve body transformation in 54 days</a>, or the <a href="https://health.clevelandclinic.org/75-hard-challenge-and-rules">75 Hard Challenge</a>, which is to follow five strict rules for 75 days. For teens, these pursuits are likely fueled by trendy body preoccupations such as the desire for “<a href="https://www.nytimes.com/2024/02/06/well/move/tiktok-legging-legs-eating-disorders.html">legging legs</a>.” Women and teens have also been been inundated with recent messaging around <a href="https://theconversation.com/drugs-that-melt-away-pounds-still-present-more-questions-than-answers-but-ozempic-wegovy-and-mounjaro-could-be-key-tools-in-reducing-the-obesity-epidemic-205549">quick-fix weight loss drugs</a>, which come with a lot of caveats. Dieting and weight loss goals are highly individual, and when people are intensely self-focused, it is <a href="https://doi.org/10.1521/jscp.2000.19.1.70">possible to lose sight of the bigger picture</a>. Although women might wonder what the harm is in trying the latest diet, science shows that dieting behavior doesn’t just affect the dieter. In particular, for women who are mothers or who have other girls in their lives, these behaviors affect girls’ emerging body image and their health and well-being. <h2>The profound effect of maternal role models</h2> Research shows that mothers and maternal figures <a href="https://doi.org/10.1016/j.brat.2017.11.001">have a profound influence on their daughters’ body image</a>. The opportunity to influence girls’ body image comes far earlier than adolescence. In fact, research shows that these influences on body image <a href="https://www.teenvogue.com/story/how-toxic-diet-culture-is-passed-from-moms-to-daughters">begin very early in life</a> – <a href="https://doi.org/10.1016/bs.acdb.2016.10.006">during the preschool years</a>. Mothers may feel that they are being discreet about their dieting behavior, but little girls are watching and listening, and they are far more observant of us than many might think. For example, one study revealed that compared with daughters of nondieting women, 5-year-old girls whose mothers dieted <a href="https://doi.org/10.1016/S0002-8223(00)00339-4">were aware of the connection between dieting and thinness</a>. Mothers’ eating behavior does not just affect girls’ ideas about dieting, but also their daughters’ eating behavior. The amount of food that mothers eat <a href="https://doi.org/10.1016/j.appet.2018.04.018">predicts how much their daughters will eat</a>. In addition, daughters whose mothers are dieters are <a href="https://doi.org/10.1016/j.appet.2018.04.018">more likely to become dieters themselves</a> and are also <a href="https://doi.org/10.1016/j.eatbeh.2007.03.001">more likely to have a negative body image</a>. Negative body image is <a href="https://theconversation.com/mounting-research-documents-the-harmful-effects-of-social-media-use-on-mental-health-including-body-image-and-development-of-eating-disorders-206170">not a trivial matter</a>. It affects girls’ and women’s mental and physical well-being in a <a href="https://doi.org/10.1177/1359105317710815">host of ways</a> and <a href="https://doi.org/10.1016/j.brat.2011.06.009">can predict the emergence of eating disorders</a>. <h2>Avoiding ‘fat talk’</h2> What can moms do, then, to serve their daughters’ and their own health? They can focus on small steps. And although it is best to begin these efforts early in life – in girlhood – it is never too late to do so. For example, mothers can consider how they think about and talk about themselves around their daughters. Engaging in “fat talk” may inadvertently send their daughters the message that larger bodies are bad, <a href="https://doi.org/10.1016/j.bodyim.2020.07.004">contributing to weight bias</a> and negative self-image. Mothers’ fat talk also <a href="https://doi.org/10.1080/15267431.2021.1908294">predicts later body dissatisfaction in daughters</a>. And negative self-talk isn’t good for mothers, either; it is associated with <a href="https://doi.org/10.1177/1359105318781943">lower motivation and unhealthful eating</a>. Mothers can instead practice and model self-compassion, which involves treating oneself the way <a href="https://doi.org/10.1016/j.bodyim.2016.03.003">a loving friend might treat you</a>. In discussions about food and eating behavior, it is important to avoid moralizing certain kinds of food by labeling them as “good” or “bad,” as girls may extend these labels to their personal worth. For example, a young girl may feel that she is being “bad” if she eats dessert, if that is what she has learned from observing the women around her. In contrast, she may feel that she has to eat a salad to be “good.” Moms and other female role models can make sure that the dinner plate sends a healthy message to their daughters by showing instead that all foods can fit into a balanced diet when the time is right. Intuitive eating, which emphasizes paying attention to hunger and satiety and allows flexibility in eating behavior, is associated with <a href="https://doi.org/10.1007/s40519-020-00852-4">better physical and mental health in adolescence</a>. Another way that women and especially moms can buffer girls’ body image is by helping their daughters <a href="https://doi.org/10.1016/j.bodyim.2021.12.009">to develop media literacy</a> and to think critically about the nature and purpose of media. For example, moms can discuss the misrepresentation and distortion of bodies, such as the use of filters to enhance physical appearance, on social media. <h2>Focusing on healthful behaviors</h2> One way to begin to focus on health behaviors rather than dieting behaviors is to develop respect for the body and to <a href="https://theconversation.com/body-neutrality-what-it-is-and-how-it-can-help-lead-to-more-positive-body-image-191799">consider body neutrality</a>. In other words, prize body function rather than appearance and spend less time thinking about your body’s appearance. Accept that there are times when you may not feel great about your body, and that this is OK. To feel and look their best, mothers can aim to stick to a <a href="https://theconversation.com/whats-the-best-diet-for-healthy-sleep-a-nutritional-epidemiologist-explains-what-food-choices-will-help-you-get-more-restful-zs-219955">healthy sleep schedule</a>, manage their stress levels, <a href="https://theconversation.com/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159">eat a varied diet</a> that includes all of the foods that they enjoy, and <a href="https://theconversation.com/the-runners-high-may-result-from-molecules-called-cannabinoids-the-bodys-own-version-of-thc-and-cbd-170796">move and exercise their bodies regularly</a> as lifelong practices, rather than engaging in quick-fix trends. Although many of these tips sound familiar, and perhaps even simple, they become effective when we recognize their importance and begin acting on them. Mothers can work toward modeling these behaviors and tailor each of them to their daughter’s developmental level. It’s never too early to start. <h2>Promoting healthy body image</h2> Science shows that several personal characteristics are associated with body image concerns among women. For example, research shows that women who are <a href="https://doi.org/10.1016/j.bodyim.2020.02.001">higher in neuroticism</a> <a href="https://doi.org/10.1186/2050-2974-1-2">and perfectionism</a>, <a href="https://doi.org/10.3389/fpsyg.2022.983534">lower in self-compassion</a> or <a href="https://doi.org/10.1016/j.bodyim.2013.08.001">lower in self-efficacy</a> are all more likely to struggle with negative body image. Personality is frequently defined as a person’s characteristic pattern of thoughts, feelings and behaviors. But if they wish, <a href="https://doi.org/10.1002/per.1945">mothers can change personality characteristics</a> that they feel aren’t serving them well. For example, perfectionist tendencies – such as setting unrealistic, inflexible goals – can be examined, challenged and replaced with more rational thoughts and behaviors. A woman who believes she must work out every day can practice being more flexible in her thinking. One who thinks of dessert as “cheating” can practice resisting moral judgments about food. Changing habitual ways of thinking, feeling and behaving certainly takes effort and time, but it is far more likely than diet trends to bring about sustainable, long-term change. And taking the first steps to modify even a few of these habits can positively affect daughters. In spite of all the noise from media and other cultural influences, mothers can feel empowered knowing that they have a significant influence on their daughters’ feelings about, and treatment of, their bodies. In this way, mothers’ modeling of healthier attitudes and behaviors is a sound investment – for both their own body image and that of the girls they love.<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/221968/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/janet-j-boseovski-451496">Janet J. Boseovski</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, Senior Lecturer, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> Image credits: Getty Images 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/mothers-dieting-habits-and-self-talk-have-profound-impact-on-daughters-2-psychologists-explain-how-to-cultivate-healthy-behaviors-and-body-image-221968">original article</a>.

Mind

6 common factors that are impacting your sleep

While we all do our best to make sure we’re get our eight hours every night, at times it can feel as though we’re our own worst enemies. And while we’re all aware of the importance of sleep, it can sometimes be difficult to figure out what the root of the problem is. Here are six common factors that may be negatively impacting your ability to get shut eye. Correct these and you’ll be on your way to enjoy a good night sleep. 1. Light Studies have shown the exposure to light can wreak havoc in terms of our internal circadian rhythm. Try to avoid having your vision obstructed by any light when you’re about to get to sleep and keep the use of mobile and computer devices to a minimum. 2. Food Asides from the correlation between poor quality sleep and processed foods, it’s generally not recommended you have large, heavy meals just before you’re about to go to bed. Also, try to avoid sugar and caffeine in the few hours leading to bedtime. 3. Noise Noise can also affect the pattern of your sleep as anyone who’s tossed and turned at the sound of a neighbour’s party. Earplugs are one option you can explore. It’s also an idea to perhaps try a light fan to drown the noise out somewhat, or some sort of gentle recording. 4. Temperature Each person has an optimal temperature for falling asleep and it varies between people. If you’re feeling a bit hot under the collar (or too cool to start sleeping) it’s worth experimenting with the temperature in your room until you find one that better suits. 5. Schedule Are bodies are fiends for routines, so try to go to bed and get up at the same time every day, even on weekend. Not only will this help integrate your body into a regular sleep/wake pattern, it will also make the actual process of falling asleep seem much easier. 6. Naps While there’s nothing quite as nice as an afternoon nap during the day, it can actually significantly disrupt out sleep patterns during the night. If you really do have to nap during the day, try to keep it short and avoid napping too much in the later parts of the day. Image credits: Getty Images

Body

Cooking (and heating) without gas: what are the impacts of shifting to all-electric homes?

<a href="https://theconversation.com/profiles/trivess-moore-12580">Trivess Moore</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/alan-pears-52">Alan Pears</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>, and <a href="https://theconversation.com/profiles/joe-hurley-157161">Joe Hurley</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> Gas connections for all new housing and sub-divisions will be <a href="https://www.premier.vic.gov.au/new-victorian-homes-go-all-electric-2024">banned in Victoria</a> from January 1 next year. The long-term result of the state government’s significant change to planning approvals will be all-electric housing. The ACT made <a href="https://www.climatechoices.act.gov.au/policy-programs/preventing-new-gas-network-connections">similar changes</a> early this year, in line with a shift away from gas across <a href="https://www.bbc.com/news/science-environment-47559920">Europe</a> and <a href="https://www.theguardian.com/environment/2023/jan/19/gas-stove-culture-war-united-states">other locations</a>, although the NSW Premier Chris Minns has <a href="https://www.theguardian.com/australia-news/2023/jul/31/nsw-wont-ban-gas-in-new-homes-as-premier-declares-i-dont-need-another-complication">baulked</a> at doing the same. Around <a href="https://www.energy.vic.gov.au/renewable-energy/victorias-gas-substitution-roadmap">80% of homes</a> in Victoria are connected to gas. This high uptake was driven by gas being seen as more affordable and sustainable than electricity over past decades. The situation has <a href="https://www.iea.org/events/net-zero-by-2050-a-roadmap-for-the-global-energy-system">changed dramatically</a> as renewable electricity generation increases and <a href="https://www.abc.net.au/news/2023-07-27/aemo-wholesale-electricity-prices-fall-impact-power-bills/102654498">costs fall</a>. <a href="https://theconversation.com/all-electric-homes-are-better-for-your-hip-pocket-and-the-planet-heres-how-governments-can-help-us-get-off-gas-207409">Research</a> has suggested for more than a decade that the benefits of all-electric homes <a href="https://bze.org.au/research_release/energy-efficient-buildings-plan/">stack up in many locations</a>. New homes built under mandatory building energy performance standards (increasing from <a href="https://thefifthestate.com.au/innovation/building-construction/victoria-kicks-the-can-down-the-road-again-on-the-national-construction-code/">6 to 7 stars</a> in Victoria in May 2024) need smaller, cheaper heating and cooling systems. Installing reverse-cycle air conditioning for cooling provides a cost-effective heater as a bonus. Savings from not requiring gas pipes, appliances and gas supply infrastructure help to offset the costs of highly efficient electric appliances. Mandating fully electric homes means economies of scale will further reduce costs. <h2>How does this ban help?</h2> To achieve environmentally sustainable development, reforms of planning policy and regulation <a href="https://theconversation.com/sustainable-cities-australias-building-and-planning-rules-stand-in-the-way-of-getting-there-84263">are essential</a> to convert innovation and best practice to mainstream practice. Planning policy is particularly important for apartment buildings and other housing that may be rented or have an owners’ corporation. Retrofits to improve energy efficiency can be difficult in these situations. Banning gas in new and renovated housing will <a href="https://grattan.edu.au/report/getting-off-gas/">cut greenhouse gas emissions</a>. It’s also <a href="https://theconversation.com/gas-cooking-is-associated-with-worsening-asthma-in-kids-but-proper-ventilation-helps-151591">healthier for households</a> and <a href="https://www.sustainability.vic.gov.au/research-data-and-insights/research/research-reports/the-victorian-healthy-homes-program-research-findings">reduces healthcare costs</a> as well as <a href="https://grattan.edu.au/report/getting-off-gas/">energy bills and infrastructure costs</a>. The Victorian government suggests the change will save all-electric households <a href="https://www.premier.vic.gov.au/new-victorian-homes-go-all-electric-2024">about $1,000 a year</a>. Houses with solar will be even better off. The government appears to be offering wide support to ensure these changes happen, but this will need to be monitored closely. Some households will face extra costs for electric appliances and solar panels. The government’s announcement of <a href="https://www.premier.vic.gov.au/new-victorian-homes-go-all-electric-2024">$10 million</a> for Residential Electrification Grants should help with some of these costs while the industry adjusts. There will be impacts and benefits for the local economy. Some jobs may be lost, particularly in the gas appliance and plumbing industry. The government has announced financial support to retrain people and they will still have essential roles in the existing housing sector. Many gas appliances are imported, including ovens, cooktops and instantaneous gas water heaters. Some components of efficient electric products, such as hot water storage tanks, are made locally. Local activities, including distribution, sales, design, installation and maintenance, comprise much of the overall cost. <h2>Challenges of change must be managed</h2> Sustainability benefits will depend on what <a href="https://grattan.edu.au/report/getting-off-gas/">happens with the energy network</a>. We need more renewable energy, energy storage and smarter management of electricity demand. The shift to all-electric homes may mean winter peak demand for heating increases. Energy market operators and governments will have to monitor demand changes carefully to avoid the reliability issues we already see in summer. However, improving energy efficiency, energy storage and demand management will help reduce this load (and household costs). While the benefits are clear for new homes, the changes may <a href="https://www.bsl.org.au/research/publications/enabling-electrification/">increase gas costs and energy poverty</a> for residents of existing housing who don’t shift to efficient electric solutions. The government has reconfirmed financial rebates to help households switch from gas. In addition, existing housing may face building quality and performance issues. Some may require electrical wiring upgrades as part of the transition. Social acceptance of some electric appliances may also be an issue. For example, <a href="https://www.rmit.edu.au/about/schools-colleges/property-construction-and-project-management/research/research-centres-and-groups/sustainable-building-innovation-laboratory/projects/heet-housing-energy-efficiency-transitions">our research</a> has found some households dislike the way heating from reverse cycle air conditioners feels. Others do not like cooking on induction cooktops. Consumer education and modifications to appliances and buildings may be needed to increase acceptance and avoid backlash. Some electric appliances are available overseas but not in Australia. Higher demand may increase the range of imports. For example, floor-mounted heat pumps can make heating feel similar to gas heating while still providing effective cooling. We should not assume electric appliances are all equal. To improve consumer protection, action is needed on weak standards and limited and inconsistent public information. For example, information on noise levels and efficiency under a range of weather conditions must be standardised. Moving housing away from gas is an <a href="https://link.springer.com/book/10.1007/978-981-99-2760-9">important step</a> in the transition to a zero-carbon economy and energy system. Careful management is needed to ensure this transition is effective, accepted and fair. Continued planning reforms are also essential to ensure environmentally sustainable development of housing and communities. Other urgent priorities include urban cooling and greening, and <a href="https://theconversation.com/turning-the-housing-crisis-around-how-a-circular-economy-can-give-us-affordable-sustainable-homes-208745">circular economy approaches</a> to reduce the material and waste impacts of housing and thus the carbon that goes into building and running homes.<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/210649/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/trivess-moore-12580">Trivess Moore</a>, Senior Lecturer, School of Property, Construction and Project Management, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/alan-pears-52">Alan Pears</a>, Senior Industry Fellow, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>, and <a href="https://theconversation.com/profiles/joe-hurley-157161">Joe Hurley</a>, Associate Professor, Sustainability and Urban Planning, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> Image credits: Getty Images 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/cooking-and-heating-without-gas-what-are-the-impacts-of-shifting-to-all-electric-homes-210649">original article</a>.

Home & Garden

"So traumatic": Michelle Bridges grilled over Biggest Loser's impact

Michelle Bridges has been slammed by a body positivity activist for the negative impact The Biggest Loser's strict rules around weight loss had on viewers. Appearing on The Project for a discussion around health and body image, Bridges went head-to-head with activist April Helene-Horton, who said she was unsure if she wanted to appear in the segment, given the “traumatic” presence The Biggest Loser was in her life. The weight loss program, which aired on Channel Ten from 2006 and ran for 11 seasons, featured Bridges as one of the several tough-talking trainers, motivating overweight contestants to intensively diet and exercise in a contest to lose the most weight in the fastest time for a big cash prize. During the discussion on The Project, Bridges and The Biggest Loser were put to the test to discuss what it means to be healthy. <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/CsFI_QPu7Y9/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CsFI_QPu7Y9/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a> </div> </blockquote> The Project host Sarah Harris asked Helene-Horton who was to blame “for the idea that larger bodies are bad”, as she listed “mainstream media, fashion, doctors who don‘t want to see fat patients, social media” among the main culprits. “Would you put the fitness industry in that same category?” Bridges asked. “Yeah I would. And I’ll be really honest and say, I was somewhat nervous coming here today to see you, because I would genuinely say that the show The Biggest Loser was one of the most traumatic things that ever happened to me,” Helene-Horton replied. “Yeah, I hear you. I absolutely hear you. Going on a show like that back in the day, I really had to dig deep and question my morals about why I’m in the health and fitness industry,” responded Bridges. Helene-Horton said that, having spoken to Bridges, she’d soon realised they had some things in common. “You, like me, are somebody who struggled against the idea that you need to be perfect. But the edit [on The Biggest Loser] still made me feel like someone who had the same values as you … would make me feel shame.” Bridges went on to admit that The Biggest Loser wouldn't "work" today, due to the liberation of the body positivity movement and the change in definition of what it means to be healthy. “When I look back on it, 17 years ago, it was a totally a different culture back then. I don’t think that show would work today. In fact, I know it wouldn’t,” she said. Image credits: The Project <div class="media image" style="caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; text-decoration: none; box-sizing: inherit; display: flex; flex-direction: column; align-items: center; width: 705.202209px; margin-bottom: 24px; max-width: 100%;"> </div>

Body

Locking up kids has serious mental health impacts and contributes to further reoffending

This article contains information on violence experienced by First Nations young people in the Australian carceral system. There are mentions of racist terms, and this piece also mentions self harm, trauma and suicide. The ABC Four Corners report “<a href="https://www.abc.net.au/news/2022-11-14/locking-up-kids:-australias-failure-to-protect/101652954" target="_blank" rel="noopener">Locking up Kids</a>” detailed the horrific conditions for young Aboriginal people in the juvenile justice system in Western Australia. The report was nothing new. In 2016, <a href="https://www.abc.net.au/news/2016-07-25/australias-shame-promo/7649462" target="_blank" rel="noopener">Four Corners</a> detailed the brutalisation of Aboriginal people in the Northern Territory’s Don Dale Youth Detention Centre, in its episode “Australia’s Shame”. Also in 2016, <a href="https://www.amnesty.org.au/amnesty-international-welcomes-queensland-youth-detention-review/" target="_blank" rel="noopener">Amnesty International</a> detailed the abuse children were receiving in Queensland’s juvenile detention facilities. Children should be playing, swimming, running and exploring life. They do not belong behind bars. Yet, on any given day in 2020-21, an average of <a href="https://www.aihw.gov.au/reports/youth-justice/youth-justice-in-australia-2020-21/contents/summary" target="_blank" rel="noopener">4,695</a> young people were incarcerated in Australia. Most of the young people incarcerated are Aboriginal and Torres Strait Islander. Despite Aboriginal and Torres Strait Islander young people in WA making up just <a href="https://www.aihw.gov.au/reports/youth-justice/youth-justice-in-australia-2020-21/contents/state-and-territory-fact-sheets/western-australia" target="_blank" rel="noopener">6.7%</a> of the population, they account for <a href="https://www.oics.wa.gov.au/wp-content/uploads/2021/05/Banksia-Hill-2020-002.pdf" target="_blank" rel="noopener">more than 70%</a> of youth locked up in Perth’s Banksia Hill Juvenile Detention Centre. <a href="https://search.informit.org/doi/abs/10.3316/agispt.20211109056541" target="_blank" rel="noopener">The reasons</a> so many Aboriginal and Torres Strait Islander peoples are detained are linked to the impacts of colonisation, such as intergenerational trauma, ongoing racism, discrimination, and unresolved issues related to self-determination. The Four Corners documentary alleged children in detention were exposed to abuse, torture, solitary confinement and other degrading treatment such as “folding”, which involves bending a person’s legs behind them before sitting on them – we saw a grown man sitting on a child’s legs in this way in the documentary. The documentary also found Aboriginal young people were more likely to be held in solitary confinement, leading to the young people feeling helpless. Racism was also used as a form of abuse, with security calling the young detainees apes and monkeys. One of the young men detained at Banksia Hill expressed the treatment he received made him consider taking his own life. <blockquote class="twitter-tweet"> No action taken against Don Dale guards over 'excessive force' in fresh Four Corners vision <a href="https://t.co/RdJgN8vQhu">https://t.co/RdJgN8vQhu</a> — Sarah Collard (@Sarah_Collard_) <a href="https://twitter.com/Sarah_Collard_/status/1592451372808802305?ref_src=twsrc%5Etfw">November 15, 2022</a></blockquote> How does incarceration impact young people’s mental health? Many young people enter youth detention with pre-existing neurocognitive impairments (such as <a href="https://theconversation.com/indigenous-youth-with-foetal-alcohol-spectrum-disorder-need-indigenous-run-alternatives-to-prison-56615" target="_blank" rel="noopener">foetal alcohol spectrum disorder</a>), trauma, and poor mental health. More than <a href="https://journals.sagepub.com/doi/abs/10.1080/10398560902948696" target="_blank" rel="noopener">80%</a> of Aboriginal and Torres Strait Islander young people in a Queensland detention centre reported mental health problems. Data from the Australian Institute of Health and Welfare revealed that more than <a href="https://www.aihw.gov.au/reports/youth-justice/young-people-in-child-protection/summary" target="_blank" rel="noopener">30%</a> of young people in detention were survivors of abuse or neglect. Rather than supporting the most vulnerable within our community, the Australian justice system is <a href="https://search.informit.org/doi/abs/10.3316/agispt.20211109056541" target="_blank" rel="noopener">imprisoning traumatised</a> and often developmentally compromised young people. <a href="https://reader.elsevier.com/reader/sd/pii/S027273581300010X?token=9CBCD682BF76BBE308B2073C2A3980D63745C157813CAC79F171AA4577C849EC40D0B848B6DB0D009AFACC05B8BC6185&originRegion=us-east-1&originCreation=20221116031322" target="_blank" rel="noopener">Research</a> has shown pre-existing mental health problems are likely exacerbated by experiences during incarceration, such as isolation, boredom and victimisation. This inhumane treatment brings about retraumatisation of the effects of colonisation and racism, with feelings of <a href="https://www.parliament.vic.gov.au/images/stories/committees/SCLSI/Youth_Justice_System/Submissions/Submission_44-Parkville_College.pdf" target="_blank" rel="noopener">hopelessness</a>, worthlessness and <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/completed_inquiries/2004-07/inst_care/report2/c06" target="_blank" rel="noopener">low self-esteem</a>. Youth detention is also associated with an <a href="https://www.ranzcp.org/news-policy/news/detention-of-children-in-adult-prisons-must-stop#:%7E:text='Youth%20detention%20is%20associated%20with,substance%20use%2C%20and%20behavioural%20disorders." target="_blank" rel="noopener">increased risk</a> of suicide, psychiatric disorders, and drug and alcohol abuse. Locking young people up during their <a href="https://www.cypp.unsw.edu.au/sites/ypp.unsw.edu.au/files/Cunneen%20%282017%29%20Arguments%20for%20raising%20the%20minimum%20age%20of%20criminal%20responsibility.pdf" target="_blank" rel="noopener">crucial years</a> of development also has long-term impacts. These include poor emotional development, poor education outcomes, and worse mental health <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260153/" target="_blank" rel="noopener">in adulthood</a>. As adults, post-release Aboriginal and Torres Strait Islander peoples are <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-842X.2004.tb00629.x" target="_blank" rel="noopener">ten times</a> more likely to die than the general population, with suicide the leading cause of death. You don’t have to look far to see the devastating impacts of incarceration on mental health. Just last year, there were <a href="https://www.parliament.wa.gov.au/Hansard/hansard.nsf/0/A4A8FAAE33FDD6BE48258844001C7E29/$File/C41%20S1%2020220511%20All.pdf" target="_blank" rel="noopener">320 reports</a> of self-harm at Banksia Hill, WA’s only youth detention centre. Locking up kids increases the likelihood of reoffending Imprisoning young offenders is also associated with future <a href="https://www.sciencedirect.com/science/article/pii/S027273581300010X?casa_token=TJ6WoQJnWnsAAAAA:NKTzeYv-LJcHuwT7Xs5fxeHUx9lHsKzVlQDpLpWPyG7u4KAXb1866s-sdupwbQmcbPR93qArg99O" target="_blank" rel="noopener">offending behaviours</a> and <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Committees_Exposed/atsia/sentencing/report/chapter2" target="_blank" rel="noopener">continued contact with the justice system</a>. Without proper rehabilitation and support post-release, Aboriginal and Torres Strait Islander young peoples often return to the same conditions that created the patterns of offending in the first place. Earlier this year, the head of Perth Children’s Court, Judge Hylton Quail <a href="https://www.abc.net.au/news/2022-02-10/hylton-quail-slams-conditions-banksia-hill-detention-centre/100819262" target="_blank" rel="noopener">condemned</a> the treatment of a young person in detention at Banksia Hill, stating: <blockquote> When you treat a damaged child like an animal, they will behave like an animal […] When you want to make a monster, this is how you do it. </blockquote> <blockquote class="twitter-tweet"> Today marks 5 years since the recommendations of the Royal Commission into the Detention and Protection of Children in the NT, which recommended closing Don Dale. We now have record numbers of Aboriginal children incarcerated due to punitive bail laws introduced last year. <a href="https://t.co/buxMFFucW7">pic.twitter.com/buxMFFucW7</a> — NAAJA (@NAAJA_NT) <a href="https://twitter.com/NAAJA_NT/status/1593059263223844864?ref_src=twsrc%5Etfw">November 17, 2022</a></blockquote> What needs to be done? There needs to be substantive change in how young people who come in contact with the justice system are treated. We need governments to commit, under <a href="https://www.closingthegap.gov.au/national-agreement" target="_blank" rel="noopener">Closing the Gap</a>, to whole-of-system change through: <ol> <li> recognising children should not be criminalised at ten years old. The <a href="https://raisetheage.org.au/campaign" target="_blank" rel="noopener">Raise the Age</a> campaign is calling for the minimum age of responsibility to be raised to 14. Early prevention and intervention <a href="https://search.informit.org/doi/abs/10.3316/agispt.20211109056541" target="_blank" rel="noopener">approaches</a> are necessary here. Children who are at risk of offending should be appropriately supported, to reduce pathways to offending. </li> <li> an approach addressing why young Aboriginal and Torres Strait Islander peoples are locked up in such great numbers is required, driven by respective First Nations communities. This means investing in housing, health, education, transport and other essential services and crucial aspects of a person’s life. An example of this is found in a pilot program in New South Wales called <a href="https://www.justreinvest.org.au/wp-content/uploads/2022/10/JRNSW-I-Reinvestment-Forum-I-Report.pdf" target="_blank" rel="noopener">Redefining Reinvestment</a>, which tackled the social determinants of incarceration using a community approach. </li> <li> future solutions must be trauma-informed and led by Aboriginal and Torres Strait Islander peoples. </li> </ol> Aboriginal and Torres Strait Islander children are not born criminals. They are born into systems that fail them, in a country that all too often turns a blind eye before locking them up. The Australian government needs to work with First Nations communities to ensure the safety and wellbeing of all Aboriginal and Torres Strait Islander peoples, including our future generations. If this article has caused distress, please contact one of these helplines: <a href="https://www.13yarn.org.au/?gclid=Cj0KCQiAsdKbBhDHARIsANJ6-jfrUNMB9So6Gd1ICVQPd6uvGbfEaceXNR0BNYnEVCoxnMs7eiMmv20aAjDaEALw_wcB">13yarn</a>, <a href="https://www.lifeline.org.au/">Lifeline</a>, <a href="https://headspace.org.au/?gclid=Cj0KCQiAsdKbBhDHARIsANJ6-jdx8qmNF8hzPZNjURGbT9af0wT_xGUjDU26wX5Eftykygb35_OPLccaAp5uEALw_wcB">Headspace</a><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/194657/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> Writen by Summer May Finlay, Ee Pin Chang, Jemma Collova and Pat Dudgeon. Republished with permission from <a href="https://theconversation.com/locking-up-kids-has-serious-mental-health-impacts-and-contributes-to-further-reoffending-194657" target="_blank" rel="noopener">The Conversation</a>. Image: Getty Images

Mind

A history of head injuries could impact your sense of smell

A history of head injuries could make you more likely to experience a loss of your sense of smell, according to a team of international researchers. The study, published in the journal <a href="https://doi.org/10.1001/jamaoto.2022.1920" target="_blank" rel="noopener">JAMA Otolaryngology-Head & Neck Surgery</a>, found that out of 5,961 participants - including 1,666 people who had a history of head injuries - those who had suffered from at least two head injuries or had more severe injuries were more likely to report a loss of smell. If you’ve ever had a nose full of snot during a severe cold or sinus infection, you’ve likely experienced a temoorary bout of anosmia - a full or partial loss of your sense of smell - but it can also be permanent. The team reported that 24 percent of those with a history of head injuries self-reported a loss of smell, in comparison to 20 percent of those with no head injuries, with 15 percent having objective anosmia versus 13 percent in the cohort with no injuries. For those with traumatic brain injuries (TBI), previous studies have found that 14 to 20 percent suffer from a loss of smell, with this most-recent study finding that the likelihood of suffering from smell loss relied on both the number of head injuries and their severity. The researchers found that both self-reporting a loss of smell and being objectively assessed to have anosmia were associated with a person having a history of at least two head injuries which were moderate, severe or penetrating. As for how TBIs cause a loss of smell, the authors suggest that it could include the shearing of the olfactory nerve fibres anchored to the cribriform plate, a part of the ethmoid bone that is anchored in the nasal cavity that is covered in holes to allow for nerves to convey smells to the brain. They also suggest that injuries to the sinonasal tract, olfactory bulbs, and olfactory-eloquent cortical brain regions could be behind smell loss, but note that other factors such as severe depression, posttraumatic epilepsy, and medications prescribed to manage TBIs could be responsible. Surprisingly, the team reported that a high proportion of participants were unaware of the extent of their loss of smell, echoing findings from previous studies. They found that those with a history of head injuries were more likely to under-report or over-report the extent of their smell loss - which was also measured using objective olfactory testing - in comparison to those who hadn’t suffered a head injury. Given that a loss of smell is often inaccurately reported by those with head injuries and that it is associated with negative effects on mental and physical health, the team argue that their study has important considerations for health practitioners working with patients with a history of head injuries. “Findings also suggest important clinical considerations for the diagnosis and treatment of posttraumatic olfactory loss; that individuals with remote prior head injury are at risk for posttraumatic olfactory dysfunction but are unlikely to be aware of their deficits; and conversely, that individuals with prior head injury may be more likely to overreport subjective olfactory deficits, which may not be confirmed by objective testing,” they write. “Taken together, there should be consideration of objective psychophysical olfactory assessment in patients with head injury.” Image: Getty Images

Mind

How the pandemic has impacted retirees

Two years of lockdowns, mask-wearing and rapidly expanding our medical knowledge during the COVID-19 pandemic has affected the world in a variety of ways - and retirees are no exception. New research has found that Australia’s over 50s have shifted their priorities since the pandemic, with 44 percent of seniors wanting to live closer to their families and nearly 70 percent feeling their appreciation of the little things in life has changed. According to the <a href="https://www.seniors.com.au/news-insights/australian-seniors-series-quality-of-life-report" target="_blank" rel="noopener">Australian Seniors Quality of Life Report</a>, which surveyed over 5,000 Australians over 50, one in three Aussies have changed their priorities in retirement because of Covid, and approximately half find that good physical and mental health is their highest priority during retirement. Though Covid has had the biggest impact on retirees' travel plans - according to 55 percent of respondents - spending time with family (42 percent), and socialising and being in the community (36 percent) have been listed as a close second and third. Seniors’ expectations for their quality of life during retirement have also changed following the pandemic. A majority (62 percent) expect they might not be able to travel in the ways they want to, while just over 50 percent expect they may have to deal with greater health risks - with people over 60 more at risk of becoming seriously ill with Covid, it’s unsurprising that this is a big issue for retirees. Even with all of the changes the pandemic has brought to our lives, nearly all seniors agree that living independently is the most important part of retirement and it ranks in the top five of key goals Aussies have. It comes as the preference for living at home and receiving residential care outstrips aged care, with the <a href="https://www.pc.gov.au/research/ongoing/report-on-government-services" target="_blank" rel="noopener">Productivity Commission’s Report on Government Services</a> finding that the number of home-care packages reached 236,554 in the last financial year, while the number of aged care packages stayed stable. “If you asked 100 people where you would rather be, 100 percent say ‘I want to stay home’,” Darren Nelson, an adjustable bed expert at Solace Sleep, told OverSixty. “We are seeing a huge increase in people reaching out, desperate to avoid having to go into an aged care facility.” As a result of this spike in demand, Solace Sleep – a company providing in-home care supplies – has seen the sale of mechanical beds go from less than 10 beds a year to over 300. Not only that, but living at home means that it’s easier to stay connected to friends and family - another key retirement goal. All in all, the COVID-19 pandemic has seen many of us question our priorities in life, and shift our focus to spending time with the people that matter most - and it might be that it’s an antidote to the isolation we’ve faced over the past few years and the key ingredient for a fulfilling life. Image: Getty Images

Retirement Life

Shifting seasons: using Indigenous knowledge and western science to help address climate change impacts

Traditional Owners in Australia are the creators of millennia worth of <a href="https://e360.yale.edu/features/native-knowledge-what-ecologists-are-learning-from-indigenous-people" target="_blank" rel="noopener">traditional ecological knowledge</a> – an understanding of how to live amid changing environmental conditions. Seasonal calendars are one of the forms of this knowledge best known by non-Indigenous Australians. But as the climate changes, these calendars are being disrupted. How? Take the example of wattle trees that flower at a specific time of year. That previously indicated the start of the fishing season for particular species. Climate change is causing these plants to flower later. In response, Traditional Owners on <a href="http://www.archerpoint.com.au/" target="_blank" rel="noopener">Yuku Baja Muliku</a> (YBM) Country near Cooktown are having to adapt their calendars and make new links. That’s not all. The seasonal timing of cultural burning practices is changing in some areas. Changes to rainfall and temperature alter when high intensity (hot) burns and low intensity (cool) burns are undertaken. Seasonal connections vital to Traditional Owners’ culture are decoupling. To systematically document changes, co-author Larissa Hale and her community worked with western scientists to pioneer a Traditional Owner-centred approach to climate impacts on cultural values. This process, <a href="https://escholarship.org/uc/item/7kw7z2c9" target="_blank" rel="noopener">published last week</a>, could also help Traditional Owners elsewhere to develop adaptive management for their Indigenous heritage. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&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/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=450&fit=crop&dpr=1 600w, https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=450&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=450&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=566&fit=crop&dpr=1 754w, https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=566&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/467324/original/file-20220606-15930-59oyt9.JPG?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=566&fit=crop&dpr=3 2262w" alt="Wattle flower" /></a><figcaption>A YBM Traditional Owner showing the wattle flower which used to be an indicator species for good fishing. Author provided</figcaption></figure> Climate change threatens First Nations - their perspectives must be heard Australia’s First Nations people face many threats from climate change, ranging from impacts on food availability to health. For instance, rising seas are already <a href="https://www.smh.com.au/politics/federal/torres-strait-islanders-plead-for-climate-action-as-government-builds-seawall-20220401-p5aa13.html" target="_blank" rel="noopener">flooding islands</a> in the Torres Strait with devastating consequences. The most recent Intergovernmental Panel on Climate Change report on impacts and adaption noted in the <a href="https://www.ipcc.ch/report/ar6/wg2/downloads/report/IPCC_AR6_WGII_FinalDraft_Chapter11.pdf" target="_blank" rel="noopener">Australasia chapter</a> that climate-related impacts on Aboriginal and Torres Strait Islander peoples, their country and cultures are “pervasive, complex and compounding.” While it is important these impacts are recorded, the dominant source of the data is academic literature based on western science. Impacts and pressures Traditional Owners are seeing and managing on their country must be assessed and managed from their unique perspective. Traditional Owners have survived and adapted to climatic shifts during their 60,000+ years in Australia. This includes sea-level rise that flooded the area that is now the Great Barrier Reef and extreme rainfall variability. As a result, <a href="https://theconversation.com/ancient-knowledge-is-lost-when-a-species-disappears-its-time-to-let-indigenous-people-care-for-their-country-their-way-172760" target="_blank" rel="noopener">they have developed</a> a fine-tuned sense of nature’s variability over time. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&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/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=502&fit=crop&dpr=1 754w, https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=502&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/467327/original/file-20220607-20-y7p3ak.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=502&fit=crop&dpr=3 2262w" alt="Drone shot of Annan river" /></a><figcaption>YBM Traditional Owners and scientists surveying freshwater mussel populations on Annan River near Cooktown. Author provided</figcaption></figure> So what did we do? Worried about the changes they were seeing on their Land and Sea Country around Archer Point in North Queensland, the YBM people worked with scientists from James Cook University to create a new way to assess impacts on cultural values. To do this, we drew on the values-based, science-driven, and community-focused approach of the <a href="https://cvi-heritage.org/about" target="_blank" rel="noopener">climate vulnerability index</a>. It was the first time this index had been used to assess values of significance for Indigenous people. YBM people responded to key prompts to assess changes to their values, including: <ul> <li>What did the value look like 100 years ago?</li> <li>What does it look like now?</li> <li>What do you expect it will look like in the climate future around 2050?</li> <li>What management practices relate to that value and will they change?</li> </ul> We then discussed what issues have emerged from these climatic changes. Using this process, we were able to single out issues directly affecting how YBM people live. For instance, traditional food sources can be affected by climate change. In the past, freshwater mussels in the Annan River were easy to access and collect. Extreme temperature events in the last 10 years have contributed to mass die-offs. Now mussels are much smaller in size and tend to be far <a href="https://www.researchgate.net/publication/311066114_Freshwater_mussel_surveys_from_the_Annan_River_Yuku_Baja_Muliku_Country_-_project_findings" target="_blank" rel="noopener">fewer in number</a>. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&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/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=420&fit=crop&dpr=1 600w, https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=420&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=420&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=528&fit=crop&dpr=1 754w, https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=528&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/467325/original/file-20220607-16-b1ny4a.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=528&fit=crop&dpr=3 2262w" alt="Freshwater mussels Annan River" /></a><figcaption>Freshwater mussels used to be more common. Author provided</figcaption></figure> Through the process we also documented that changes to rainfall and temperature have altered the time when some plant foods appear. This is particularly true for plants that depend upon cultural burns to flower or put up shoots. This in turn has meant that the timing of collecting and harvesting has changed. <figure class="align-right zoomable"><a href="https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=237&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=450&fit=crop&dpr=1 600w, https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=450&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=450&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=566&fit=crop&dpr=1 754w, https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=566&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/467328/original/file-20220607-12-61cmu0.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=566&fit=crop&dpr=3 2262w" alt="bushfoods found on YBM country" /></a><figcaption>The timing of when some bushfoods appear is changing. Author provided</figcaption></figure> These climate-linked changes challenge existing bodies of traditional knowledge, altering connections between different species, ecosystems and weather patterns across Land and Sea Country. A key part of this process was developing a mutually beneficial partnership between traditional ecological knowledge holders and western scientists. It was critical to establish a relationship built on trust and respect. Walking the country first – seeing rivers, mangroves, beaches, headlands, bush, wetlands, and looking out at Sea Country – helped researchers understand the perspectives of Traditional Owners. Honouring experience and knowledge (especially that held by Elders and Indigenous rangers) was important. Indigenous cultural and intellectual property <a href="https://www.artslaw.com.au/information-sheet/indigenous-cultural-intellectual-property-icip-aitb/" target="_blank" rel="noopener">protocols</a> were recognised and respected throughout the assessment. <a href="https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/11/UNDRIP_E_web.pdf" target="_blank" rel="noopener">Respecting</a> and working collaboratively with Traditional Owners as expert scientists in their own knowledge system was critical for success. Any effort to incorporate traditional ecological knowledge in climate change assessments must protect sensitive traditional knowledge. As climate change will continue and accelerate, we must work together to minimise resulting impacts on the cultural heritage of First Nations peoples.<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/183229/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/karin-gerhardt-1350288" target="_blank" rel="noopener">Karin Gerhardt</a>, PhD student, <a href="https://theconversation.com/institutions/james-cook-university-1167" target="_blank" rel="noopener">James Cook University</a>; <a href="https://theconversation.com/profiles/jon-c-day-142416" target="_blank" rel="noopener">Jon C. Day</a>, PSM, Adjunct Senior Research Fellow, ARC Centre of Excellence for Coral Reef Studies, <a href="https://theconversation.com/institutions/james-cook-university-1167" target="_blank" rel="noopener">James Cook University</a>; <a href="https://theconversation.com/profiles/larissa-hale-1346434" target="_blank" rel="noopener">Larissa Hale</a>, Yuku Baja Muliku Traditional Owner, <a href="https://theconversation.com/institutions/indigenous-knowledge-4846" target="_blank" rel="noopener">Indigenous Knowledge</a>, and <a href="https://theconversation.com/profiles/scott-f-heron-256521" target="_blank" rel="noopener">Scott F. Heron</a>, Associate Professor in Physics, <a href="https://theconversation.com/institutions/james-cook-university-1167" target="_blank" rel="noopener">James Cook University</a> This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/shifting-seasons-using-indigenous-knowledge-and-western-science-to-help-address-climate-change-impacts-183229" target="_blank" rel="noopener">original article</a>. Image: Yuku Baja Muliku Land and Sea Rangers (Facebook)

Domestic Travel

Impact of Block auction loss on Ronnie and Georgia revealed

A castmate from The Block’s Ronnie Caceres’ time on Celebrity Apprentice has shared a new insight into how he and his wife Georgia handled coming last on the DIY show. The Perth couple had been among the contestants tipped to win the 2021 season, but placed fifth and earned total winnings of $296,000 - a far cry from the $744,000 winning duo Mitch and Mark scored. Now, Ronnie’s Celebrity Apprentice castmate Darren McMullen has revealed that the palpable disappointment the couple displayed on The Block extended to the second show, which was filmed at the same time as The Block’s houses went to auction. The former Voice host told KIIS 101.1’s Breakfast Show with Jase & Lauren that after Ronnie left filming to attend the auction, he came back a different person. “Something changed dramatically after The Block; I think everybody would say that,” he told the show on Wednesday morning. “We were initially segregated into guys’ and girls’ teams - and the boys were really tight; we were winning all the challenges, everything was great. Then Ronnie went down to do The Block auctions in Melbourne and it didn’t go very well; I think they came last. “He came back a different guy.” Despite winning the most room reveal challenges, the couple made the least amount on auction day and even trailed behind the two teams implicated in the season-long “cheating scandal”. Image: The Block

Real Estate

COVID-19’s impacts on heart disease will be with us for years to come

The COVID-19 pandemic has caused major disruptions to heart health services, a new meta-analysis published in the European Heart Journal reveals. COVID-19 impacts on cardiac health have likely been driven by a combination of healthcare system pressures and the spread of the virus itself. “Heart disease is the number-one killer in most countries, and the analysis shows that during the pandemic people across the world did not receive the cardiac care they should have received,” says lead author Ramesh Nadajarah, a British Heart Foundation Clinical Research Fellow at the University of Leeds, UK. “That will have ramifications.” The analysis reports a notable global decline since the start of the pandemic in people being admitted to hospital with cardiovascular disease, longer delays in accessing treatment, and increased death rates from cardiovascular disease. For example, there was a 22% decline in hospitalisations for serious heart attacks in which one artery connected to the heart is completely blocked. A less-severe form of heart attack, in which an artery is partially blocked, saw an even greater drop in hospitalisations of 34%. Heart-attack patients had to wait on average 69 minutes longer than before the pandemic to receive medical assistance. The paper also reported a 34% drop in heart operations globally, and a 17% increase in people dying in hospital after experiencing a major heart attack. “This analysis really brings to light the substantial impact the COVID-19 pandemic has had, and will continue to have, in harming cardiovascular health globally,” says Deepak L. Bhatt, senior author on the meta-analysis and a professor of medicine at Harvard Medical School as well as executive director of interventional cardiovascular programs at Brigham and Women’s Hospital, US. COVID-19 impacts on cardiac health will persist and reinforce inequalities if not addressed, experts say The findings were based on an analysis of data from 189 research papers from 48 countries across six continents, all investigating the impact of COVID-19 on cardiovascular health services in the two years from December 2019. Although the impacts of the pandemic on cardiovascular healthcare were observed globally, many were concentrated in low- and middle-income countries. These countries saw greater declines in hospital attendance for heart attacks and a “sharp” decline in the percentage of heart-attack patients receiving the gold standard of medical care. “The analysis is revealing that the burden of COVID-19 has disproportionately fallen on low- to middle-income countries,” says Samira Asma, a co-author on the paper and Assistant Director-General for Data, Analytics and Delivery for Impact at the World Health Organization (WHO). “We suspect it will widen the inequality gap in health outcomes of cardiac care between high-income countries and low- to middle-income countries, where 80% of the world’s population live. This underscores the need for universal health coverage and access to quality care, even more so during the pandemic.” The disruption caused by the pandemic is likely to cause ongoing health impacts well into the future. Delayed and missed opportunities for diagnosis and treatment cause compounding cardiovascular health problems. “The longer people wait for treatment for a heart attack, the greater the damage to their heart muscle, causing complications that can be fatal or cause chronic ill health,” Nadajarah says. “Health systems need to reinforce systems to help support and treat people whose heart conditions will inevitably be worse because of the pandemic.” The research team called for mitigation strategies to deal with the increased burden of death and disease from cardiovascular disease to be rapidly implemented around the world. “The repercussions of the COVID-19 pandemic on cardiovascular care and outcomes will be with us for a long while yet,” says senior author Chris Gale, a consultant cardiologist and professor at the University of Leeds. “Urgent action is needed to address the burden of cardiovascular disease left in the wake of the pandemic.” This article originally appeared on <a href="https://cosmosmagazine.com/health/covid-19-impacts-on-cardiac-health/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by <a class="fn" style="box-sizing: border-box; font-family: halyard-text, sans-serif; color: #000000; text-decoration-line: none; background-color: #ffffff;" href="https://cosmosmagazine.com/contributor/matilda-handlsey-davis" rel="author">Matilda Handsley-Davis. </a> Image: Shutterstock

Body

News of war can impact your mental health — here’s how to cope

The war in Ukraine has left many across the world <a href="https://www.france24.com/en/live-news/20220303-ukraine-war-sends-western-anxiety-soaring-on-back-of-pandemic">feeling stressed and anxious</a>. Coming on the back of a global pandemic which has already had a <a href="https://www.economist.com/graphic-detail/2021/10/11/covid-19-has-led-to-a-sharp-increase-in-depression-and-anxiety">devastating toll on mental health</a>, news of the war has only compounded feelings of fear and uncertainty which are <a href="https://www.hindawi.com/journals/np/2020/8866386/">known to increase anxiety</a>. People far from the conflict may be wondering why their mental health is suffering as a result of the news and images they’re seeing. Part of this can be explained by the fact that our brains are designed to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276319/">scan for threats</a> to protect us from potential danger. This can lead to an almost unstoppable, constant scouring of the news to help us <a href="https://www.bbc.com/future/article/20140728-why-is-all-the-news-bad">prepare for the worst</a> – a phenomenon many might know better as “doomscrolling”. Research shows that even <a href="https://pubmed.ncbi.nlm.nih.gov/9061893/">short exposure to bad news</a> can lead to increased levels of worry and anxiety that can be long lasting. Bad news can also <a href="https://doi.apa.org/doiLanding?doi=10.1037%2F0022-3514.75.4.887">perpetuate negative thinking</a>, which can lead to feeling caught in a loop of distress. Another reason watching news from Ukraine may be affecting mental health is because witnessing the suffering of others can actually <a href="https://www.sciencedirect.com/science/article/abs/pii/S1053811904005208">cause us to feel pain</a>. Seeing personal stories shared on social media makes us feel more connected to people than statistics about casualties might – increasing our empathy further. Generally, people are told to avoid engaging with the news if it’s affecting their mental health. Yet this is hard to put in practice – especially given the constant stream of unfiltered stories across social media, and a desire to stay up-to-date with what’s going on. Here are some other ways you can manage your mental health that don’t require you to switch off: <h2>Managing wellbeing</h2> Acknowledge the feelings: Many people try and dismiss their feelings by saying things like, “I’m being silly - there are people who are really struggling in the world.” While undoubtedly there are others suffering, this doesn’t invalidate the feelings you have. You can feel anxious and upset for yourself and for others, or even have <a href="https://journals.sagepub.com/doi/full/10.1177/1754073916639661">mixed feelings</a> of being grateful (that you are safe) and sad (that others aren’t). Trying to rationalise or dismiss emotions never actually makes them go away – it can even make you <a href="https://openaccesspub.org/ijpr/article/999">more emotional</a> and less able to cope. Acknowledging and accepting our feelings without judgement can lead to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767148/">improved mental health</a> by reducing the burden of denying negative feelings. Engage with your feelings: The stories that are emerging may trigger our own personal experiences of feeling helpless or out of control, feelings of loss, memories of fear of separation from loved ones, or uncertainty. But the reasons a person experiences each of these emotions will be different. For example, as a person of colour, witnessing the <a href="https://edition.cnn.com/2022/02/28/europe/students-allege-racism-ukraine-cmd-intl/index.html">discrimination of minority refugees</a> has touched on my own experiences of discrimination. Images of <a href="https://twitter.com/BowenBBC/status/1499645055207936001?s=20&t=uvMTUOCigKIAu5aGw3Yf-w">families being separated</a> may remind people of being unable to see their loved ones during the pandemic. It might be <a href="https://mental.jmir.org/2018/4/e11290/">helpful to write down</a> feelings, or talk to a friend. Speaking about silent thoughts we may be struggling with has been shown to <a href="https://pubmed.ncbi.nlm.nih.gov/17576282/">disrupt the stress cycle</a> and have long term benefits such as helping us manage stress better, feel more grounded when we experience anxiety, <a href="https://www.psychologytoday.com/gb/blog/your-personal-renaissance/201906/why-talking-about-our-problems-makes-us-feel-better">and even improve overall health</a>. Take action: Think about whether there are any practical things you can do, such as making a donation to a charity or <a href="https://link.springer.com/article/10.1007/s11266-018-0041-8">volunteering</a>. Both of these may help tackle feelings of helplessness and may also <a href="https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-773">improve your mental health</a> by giving you a <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/scs.12869">sense of reward</a> through helping others. Make time for yourself: Since it’s not always possible – or wanted – to avoid the news altogether, consider controlling when you’re engaging with it. Avoid it just before bed and first thing in the morning because it <a href="https://www.scienceworld.ca/stories/scrolling-bed-heres-what-your-brains/">increases alertness in the brain</a>, which can increase stress levels and make it difficult to relax. You might also want to consider doing something nourishing for yourself – such as phoning a loved one, <a href="https://bjsm.bmj.com/content/52/12/800.abstract">going for a walk</a> with a friend, being <a href="https://www.tandfonline.com/doi/full/10.1080/11745398.2019.1655459">outdoors in nature</a> or <a href="https://journals.sagepub.com/doi/full/10.1177/1090198117736352">making a favourite meal</a>. This will help shift your mind from troubling news and create a more positive and resilient mindset that can better deal with worries. Ultimately, we can’t control the outcome of the conflict. But having control over the things that we can change – such as how much news we consume, or the activities we do to help ourselves unwind – will help us better retain our sense of wellbeing when the world feels out of control. Image credits: Getty Images This article was originally published on <a href="https://theconversation.com/news-of-war-can-impact-your-mental-health-heres-how-to-cope-178734" target="_blank" rel="noopener">The Conversation</a>.

Mind

Concerning impact of long Covid on the brain

Almost two years since Australia plunged into lockdown due to Covid-19, we are still learning many things about the virus. Symptoms of this contagious disease range from mild to severe and people can recover easily, while others struggle to get better. This can be known as long Covid, where symptoms last for weeks or even months, affecting the body greatly. But doctors are now concerned about the effect long Covid has on the brain which shows a decrease in size of the organ. "Parts of the brain related to smell and emotion were found to be smaller when scans were done for patients who have had COVID-19," Neuroscientist Dr Rahul Jandial told <a href="https://9now.nine.com.au/today/what-are-the-long-term-effects-of-covid-19-on-brain-health/ba46e182-3241-47e8-ac72-08dd82484906" target="_blank" rel="noopener">Today</a>. "There are things you can do to improve COVID fog, and the horizon is optimistic, but it does affect the brain." He recommends exercise, eating better, and getting more sleep to combat the brain fog but understands that it is a bit more difficult when you have long Covid. Like chemotherapy patients, Dr Jandial recommends double the intake of coffee and training concentration for brain fog. Dr Jandial does however say “three things stand the test of time”, and that includes walking, sticking to the Mediterranean diet, and interacting with people. Image: Shutterstock

Mind

Putin’s allies in tears over sanctions impacting luxury homes

A Russian TV host has complained about sanctions imposed on Russia by the European Union and how they are impacting his various luxury properties in Italy. Vladimir Soloviev was angered to tears as he discussed the restrictions, and how he was now facing the loss of his two luxury villas in Lake Como: a popular location for Hollywood’s elite. The TV host, who is known for strident attacks on the West, flew into a passionate rage as he debated Italy’s property rights. “I was told that Europe is a citadel of rights, that everything is permitted, that’s what they said … I know from personal experience about the so-called ‘sacred property rights’,’’ he said. During Friday’s program of The Evening With Vladimir Soloviev, he complained, “I bought it, paid a crazy amount of taxes, I did everything. And suddenly someone makes a decision that this journalist is now on the list of sanctions.” “And right away it affects your real estate. Wait a minute. But you told us that Europe has sacred property rights!” A disgusted Soloviev said of the sanctions, “All of a sudden, now they say: ‘Are you Russian? Then we will close your bank account, if it’s in Europe. And if it’s in England, you’re allowed to keep no more than a certain amount there. Why? Because you’re Russian.” Following Soloviev’s on-air spat, hundreds of people flocked to Twitter to express their disgust at his rant, noting that people were dying while he was only concerned about his holiday home. As he concluded his rant, Soloviev looked at his watch before looking at the television camera and saying, “Is Trump coming back yet?” Image credits: Russia-1 / Getty Images

Real Estate

Body and mind: Metastatic breast cancer impacts mental health too

A diagnosis of breast cancer can be a difficult pill to swallow not just for those who receive the diagnosis, with friends, family and others in their support network also needing to come to terms with it. According to Dr Lisa Beatty, a clinical psychologist and senior research fellow at Cancer Council South Australia, everyone will react to their diagnosis differently. “We do know that the distress rates are roughly four in ten women will have what we call clinically significant distress and that is where it is actually getting to the point where it might be causing a real impact in how they’re able to function in their life,” she <a rel="noopener" href="https://www.breastcancertrials.org.au/blog/psychological-impact-breast-cancer" target="_blank">said</a>. Stage IV breast cancer, also called metastatic, advanced or secondary cancer, can be even harder to cope with, as the diagnosis comes with a lower five-year survival rate and the knowledge that cancer cells have spread from the breast to the bones, liver, brain, or lungs. Dr Nicholas Zdenkowski, a breast cancer researcher and member of the Breast Cancer Trials Scientific Advisory Committee, tells OverSixty that metastatic cancer is diagnosed at two time points: as an initial diagnosis or as a recurrence months or years after diagnosis and treatment. <img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7847044/nick.jpg" alt="" data-udi="umb://media/9e95419ba42d4c5caa6a500d9169ac70" /> Dr Nick Zdenkowski says work is continuing into individualising diagnosis of metastatic breast cancer. Image: Supplied “Breast cancer is most likely to be diagnosed around age 60, however it affects women and men across a broad range of ages (younger and older),” he says. According to the Breast Cancer Trials, it is estimated that between five and ten percent of those diagnosed with breast cancer each year will have metastatic breast cancer. Additionally, it is estimated that 20-30 percent of people diagnosed with early breast cancer will go on to develop metastatic cancer. Although the likelihood of developing metastatic breast cancer is well-understood on a population level, Dr Zdenkowsi says identifying exact individuals “is a major challenge”. “We have greatly refined our understanding over the years, but it is still a work in progress,” he explains. “Enormous effort is being put into individualising the level of risk of breast cancer so that further research into screening, prevention and early treatment can reduce the likelihood of metastatic recurrence.” With psychological symptoms of breast cancer diagnoses including anxiety, depression, shock, and issues surrounding body image and intimacy, there have been <a rel="noopener" href="https://jons-online.com/issues/2021/november-2021-vol-12-no-11/4165-information-and-support-needs-of-people-with-newly-diagnosed-metastatic-breast-cancer" target="_blank">appeals</a> from organisations such as Living Beyond Breast Cancer to improve the availability of information for those diagnosed about metastatic breast cancer, mental health, and talking to family. For those looking to support a loved one with breast cancer, <a rel="noopener" href="https://www.cancer.org.au/about-cancer/patient-support/" target="_blank">Cancer Council</a>, <a rel="noopener" href="https://www.bcna.org.au/metastatic-breast-cancer/coping-with-metastatic-breast-cancer/where-to-find-support/" target="_blank">Breast Cancer Network Australia</a>, and <a rel="noopener" href="https://www.breastcancertrials.org.au/blog/online-support-breast-cancer" target="_blank">Breast Cancer Trials</a> have further resources that can help you figure out what to say to your loved ones, and how to support them through treatment. Dr Beatty will also be appearing at a free Q&A panel on metastatic breast cancer hosted by journalist Annabel Crabb and organised by Breast Cancer Trials. Taking place on Monday, February 7 between 5-6.30pm, the <a rel="noopener" href="https://www.breastcancertrials.org.au/qa-events" target="_blank">Q&A</a> panellists will discuss the latest research in metastatic breast cancer and the impacts of the disease on mental health and will be open to questions from registered attendees. Image: Getty Images

Mind

Reducing air travel by small amounts each year could level off the climate impact

Just before the pandemic, aircraft engines were burning <a href="https://www.iata.org/en/iata-repository/pressroom/fact-sheets/industry-statistics/">one billion litres</a> of fuel a day. But then the number of daily civil aviation flights fell from <a href="https://www.iata.org/en/iata-repository/pressroom/fact-sheets/industry-statistics/">110,000</a> to less than 50,000 during 2020, on average. With the easing of travel restrictions, air traffic is increasing back towards its pre-pandemic peak. Most world leaders and delegates will have flown to Glasgow to attend COP26 – the 26th annual UN climate change summit – in person. But as they haggle over emissions targets to limit global warming to 1.5°C, and not <a href="https://theconversation.com/cop26-what-would-the-world-be-like-at-3-c-of-warming-and-how-would-it-be-different-from-1-5-c-171030">3°C or more</a>, aviation is unlikely to be included in them, given the lack of low-carbon alternatives to long-haul flights. But it should be. <a href="https://iopscience.iop.org/article/10.1088/1748-9326/ac286e">In new research</a>, my colleagues and I calculated that if the aviation sector continues to grow on its present trajectory, its jet fuel consumption will have added 0.1˚C to global warming by 2050 – half of it to date, the other half in the next three decades. Aviation is responsible for 4% of the 1.2°C rise in the global mean temperature we have already experienced since the industrial revolution. Without action to reduce flights, the sector will account for 17% of the remaining 0.3°C left in the 1.5°C temperature target, and 6% of the 0.8°C left to stay within 2°C. Airlines effectively add more to global warming <a href="http://globalcarbonatlas.org/en/CO2-emissions">than most countries.</a> <h2>Warming footprints</h2> At the current rate, the world will have warmed by 2°C <a href="https://www.ipcc.ch/report/ar6/wg1/downloads/report/IPCC_AR6_WGI_SPM_final.pdf">within three decades</a>. To quantify how different activities contribute to warming, scientists measure carbon emissions. This is because how much the Earth warms is proportional to cumulative carbon emissions in the atmosphere. This is a very good approximation in many cases, but it is inaccurate for emissions caused by aeroplanes travelling at altitudes of up to 12 kilometres. As well as CO₂, aircraft engines emit nitrogen oxides, water vapour, sulphur and soot, causing <a href="https://www.nature.com/articles/s41467-018-04068-0">contrail cirrus clouds</a> and other complicated chemical reactions in the atmosphere. The sum of these so-called non-CO₂ effects adds more warming on top of the CO₂ emissions. So the total warming footprint of aviation is between two and three times higher than a conventional carbon footprint. <img src="https://images.theconversation.com/files/430221/original/file-20211104-21-xa7pet.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" alt="An aeroplane's trail viewed from between two tall buildings" /> Condensation trails produced by aircraft engines contribute to global warming. <a href="https://pixabay.com/photos/architecture-skyscraper-skyline-3984725/" class="source">MichaelGaida/Pixabay</a>, <a href="http://creativecommons.org/licenses/by/4.0/" class="license">CC BY</a> While a large share of a flight’s CO₂ emissions remain in the atmosphere for many thousands of years, the non-CO₂ effects diminish over time, <a href="https://doi.org/10.1016/j.atmosenv.2020.117834">vanishing within about ten years</a>. So any growth in aviation, measured in global jet fuel consumption, has an amplified impact as both CO₂ and non-CO₂ effects add up. But a decline in aviation can partly reverse some warming, as the non-CO₂ effects disappear over time until only the CO₂ effects remain. Think of the non-CO₂ effects like a bathtub – it fills up when the taps are turned further and further, despite a slow outflow down the plughole. But the same bathtub will eventually empty if the taps are gradually turned down. The non-CO₂ effects of flights on the atmosphere will slowly disappear if fewer and fewer flights are taken, so that aviation’s contribution to warming eventually levels off. In that situation, the increase from continued CO₂ emissions would balance the fall in non-CO₂ effects, and although aviation would still contribute to climate change, the total warming from both would remain constant over time. How much would aviation need to shrink to level off its influence on global warming? Our calculations show that flying does not need to stop immediately to prevent aviation’s contribution to global warming expanding. Flying has already caused 0.04°C of warming to date. But with a yearly decrease of 2.5% in jet fuel consumption, currently only achievable with cuts in air traffic, this warming will level off at a constant level over the coming decades. <h2>When do we really need to fly?</h2> COVID-19 had a huge impact on the aviation sector. Air traffic is still approximately 10-20% below pre-pandemic levels, but is <a href="https://doi.org/10.1088/1748-9326/ac286e">rebounding quickly</a>. Politicians should shift subsidies from flying to more sustainable modes of transport, such as train journeys. And there is much more that can be done. <img src="https://images.theconversation.com/files/430217/original/file-20211104-25-1v0sxdb.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" alt="An aeroplane parked at an airport" /> Forced changes in flying habits due to the pandemic have led some to permanently cut back on flights. <a href="https://pixabay.com/photos/airplane-aircraft-airport-travel-4885803/" class="source">Dmncwndrlch/Pixabay</a>, <a href="http://creativecommons.org/licenses/by/4.0/" class="license">CC BY</a> Lockdowns and the shift to remote working made many people rethink the necessity of flying. People resolving to fly less can contribute considerably to reducing the number of unnecessary flights. Combining in-person and virtual attendance in hybrid meetings wherever possible is a great way to support that shift. Reducing the space that business classes take on aeroplanes is another way to cut the number of flights, as it allows more passengers to travel on one flight. Not allowing airport expansions could also have a big impact. The UK’s Climate Change Committee, an expert body which advises the UK government, has recommended <a href="https://www.theccc.org.uk/wp-content/uploads/2020/12/Sector-summary-Aviation.pdf">not expanding airports</a> to align the sector with climate targets. Yet the expansion of Heathrow airport is currently <a href="https://www.bbc.co.uk/news/explainers-51646562">planned to go ahead</a>. Sustainable aviation fuels, and hydrogen or electric planes, are being developed, but none of these technologies are currently available at the necessary scale. At the moment, there is little chance of the aviation industry meeting any climate targets if it aims for a return to its pre-pandemic rate of growth. <a href="https://theconversation.com/profiles/milan-klower-879339">Milan Klöwer</a>, Postdoctoral Researcher in Weather and Climate Modelling, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a> 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/reducing-air-travel-by-small-amounts-each-year-could-level-off-the-climate-impact-171184">original article</a>. Image: Free-Photos/Pixabay

International Travel

We calculated the impact of ‘long COVID’ as Australia opens up. Even without Omicron, we’re worried

Over the past two years, we’ve learned COVID-19 survivors can develop a range of longer-term symptoms we now call “<a href="https://theconversation.com/long-covid-a-public-health-experts-campaign-to-understand-the-disease-152212">long COVID</a>”. This includes people who did not have severe illness initially. Such <a href="https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1">longer-term symptoms</a> can affect multiple systems in the body. This can result in ongoing, severe fatigue plus a wide range of other symptoms, including pain, as well as breathing, neurological, sleep and mental health problems. So far, Australia has had far fewer COVID-19 cases than many other nations. But as we <a href="https://www.australia.gov.au/framework-national-reopening">re-open</a>, this situation may change. So we will likely see more long COVID in the months and years ahead. Our research, which we posted <a href="https://www.researchsquare.com/article/rs-1066181/v1">online as a pre-print</a> and so has yet to be independently verified, examined the shifting burden of disease of COVID-19 as Australia re-opens and as high vaccination rates reduce mortality and severe illness. We show how long COVID will increasingly drive the burden of COVID illness, even as death rates decline. We <a href="https://iht.deakin.edu.au/wp-content/uploads/sites/153/2021/12/Briefing-Paper_Long-Covid_Final.pdf">also estimate</a> the likely numbers of long COVID cases we can expect in Australia over the two years following reopening. We wrote this <a href="https://iht.deakin.edu.au/wp-content/uploads/sites/153/2021/12/Briefing-Paper_Long-Covid_Final.pdf">briefing paper</a> before the rise of Omicron, the impact of which we’re yet to fully understand. <h2>Here’s what we did and what we found</h2> We examined the 2021 Delta outbreaks in <a href="https://www.coronavirus.vic.gov.au/victorian-coronavirus-covid-19-data">Victoria</a> and <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/covid-19-surveillance-report-20211111.pdf">New South Wales</a> in which nearly 140,000 people had been infected by the end of October. We estimated long COVID prevalence using two sources. A large dataset <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/prevalenceofongoingsymptomsfollowingcoronaviruscovid19infectionintheuk/1april2021">from the UK</a> found more than 13% of people had symptoms after 12 weeks. A much smaller study <a href="https://www.sciencedirect.com/science/article/pii/S2666606521001024?via%3Dihub">conducted in NSW</a> found about 5% had symptoms over roughly the same period. Our modelling suggests, by the end of October, the combined Victoria and NSW outbreaks may <a href="https://iht.deakin.edu.au/wp-content/uploads/sites/153/2021/12/Briefing-Paper_Long-Covid_Final.pdf">have already led to</a> 9,450–19,800 people having developed long COVID that could last 12 weeks after their COVID infection. Even more will have experienced long COVID symptoms for a shorter time: 34,000-44,500 people will likely have symptoms for at least three weeks after first becoming ill, but our model indicates more than half will then recover over the following nine weeks. We also estimated the likely consequences for long COVID if we follow Australia’s national re-opening plan, based on interim modelling from the <a href="https://www.doherty.edu.au/uploads/content_doc/DOHERTY_MODELLING_INTERIM_REPORT_TO_NATIONAL_CABINET_17TH_SEPTEMBER_2021.pdf">Doherty Institute</a>, which has since been updated. The Doherty Institute modelled various scenarios with different vaccination rates and public health measures in place. These gave different estimates of COVID-19 cases. We combined these with our upper and lower estimates for long COVID prevalence. We calculated that more limited relaxation of public health measures could generate 10,000-34,000 long COVID cases (people with symptoms lasting at least 12 weeks). More complete relaxation of public health measures could lead to 60,000-133,000 long COVID cases. Based on the longer-term UK data for long COVID prevalence, we calculated 2,000-11,000 people might still be sick a year after their initial infection. What we cannot be absolutely certain about is the impact of vaccination on the expected number of long COVID cases. Some studies suggest that if vaccinated people become infected, this reduces their chance of developing long COVID, but <a href="https://www.nature.com/articles/d41586-021-03495-2">the evidence remains uncertain</a>. <h2>Many impacts, beyond health</h2> Long COVID can be a debilitating and distressing health condition. It also has a number of economic impacts, for the health system and people’s ability to work. For instance, people with long COVID require <a href="https://ahha.asn.au/publication/health-policy-issue-briefs/deeble-issues-brief-no-40-managing-long-term-health">coordinated care</a> across a range of different health services and specialties. Recent data from the UK’s <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/prevalenceofongoingsymptomsfollowingcoronaviruscovid19infectionintheuk/2december2021">Office for National Statistics</a> indicate that around 1.2 million people reported long COVID symptoms in the four weeks to the end of October. The UK health secretary <a href="https://www.independent.co.uk/news/health/sajid-javid-long-covid-nhs-b1934861.html">said he was alarmed</a> at the growing scale of this problem for the National Health Service. Indeed, attempts to provide long COVID care through specialised hospital-based clinics in the UK and elsewhere have led to <a href="https://www.thetimes.co.uk/article/long-queues-for-long-covid-clinics-jk8jr7tt6">long waiting times and uneven access</a>. <a href="https://images.theconversation.com/files/436524/original/file-20211209-23-1lleiea.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/436524/original/file-20211209-23-1lleiea.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" alt="Exhausted health worker leaning on hospital wall holding cup of coffee" /></a> Health systems will be under strain, particularly if health workers are struggling with long COVID. <a href="https://www.shutterstock.com/image-photo/portrait-tired-exhausted-nurse-doctor-having-1698233623" class="source">Shutterstock</a> By contrast, Australia needs to <a href="https://ahha.asn.au/publication/health-policy-issue-briefs/deeble-issues-brief-no-40-managing-long-term-health">focus urgently on</a> identifying and counting long COVID. It also needs to establish mechanisms to coordinate care for long COVID by mobilising resources across the community and private sectors, not just public hospitals. Meeting the emerging needs of people with long COVID represents an additional burden on health-care systems <a href="https://www.mja.com.au/journal/2021/215/11/entering-australias-third-year-covid-19">already battered</a> by COVID and rapidly rising backlogs of care for other conditions. If health-care workers are <a href="https://pubmed.ncbi.nlm.nih.gov/33830208/">particularly at risk</a> of long COVID as some people claim, this will further stretch health systems as they take time out to recover or leave the workforce. Beyond health care, long COVID again highlights weaknesses which were made clear early in the COVID-19 pandemic, but which have not yet been remedied. COVID-19 has <a href="https://www.theguardian.com/australia-news/datablog/2021/oct/12/delta-deaths-expose-australias-great-disadvantage-divide">more severely affected</a> those who are socially and economically disadvantaged, and who rely on insecure employment. We expect long COVID to continue to be over-represented in this already disadvantaged population. <h2>Avoiding COVID-19 in the first place</h2> While societies around the world grapple with addressing the types of disadvantage the pandemic has exposed, there are several steps individual people can take to minimise their risk of long COVID. Obviously, this means minimising your risk of COVID-19 in the first place. This means vaccination, mask wearing where appropriate, and complying with other public health measures. Meanwhile, if you test positive for COVID-19, isolate early, rest and do not return to work until you have fully recovered.<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; text-shadow: none !important;" src="https://counter.theconversation.com/content/168662/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/martin-hensher-856597">Martin Hensher</a>, Associate Professor of Health Systems Financing & Organisation, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/mary-rose-angeles-1274581">Mary Rose Angeles</a>, Associate Research Fellow, Health System Financing and Sustainability, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> 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/we-calculated-the-impact-of-long-covid-as-australia-opens-up-even-without-omicron-were-worried-168662">original article</a>. Image: Shutterstock

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