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Getting antivirals for COVID too often depends on where you live and how wealthy you are

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/peter-breadon-1348098">Peter Breadon</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p>Medical experts <a href="https://www.health.gov.au/health-alerts/covid-19/treatments/eligibility">recommend</a> antivirals for people aged 70 and older who get COVID, and for other groups at risk of severe illness and hospitalisation from COVID.</p> <p>But many older Australians have missed out on antivirals after getting sick with COVID. It is yet another way the health system is failing the most vulnerable.</p> <h2>Who missed out?</h2> <p>We <a href="https://grattan.edu.au/wp-content/uploads/2024/10/How-we-analysed-COVID-antiviral-uptake-Grattan-Institute.pdf">analysed</a> COVID antiviral uptake between March 2022 and September 2023. We found some groups were more likely to miss out on antivirals including Indigenous people, people from disadvantaged areas, and people from culturally and linguistically diverse backgrounds.</p> <p>Some of the differences will be due to different rates of infection. But across this 18-month period, many older Australians were infected at least once, and rates of infection were higher in some disadvantaged communities.</p> <h2>How stark are the differences?</h2> <p>Compared to the national average, Indigenous Australians were nearly 25% less likely to get antivirals, older people living in disadvantaged areas were 20% less likely to get them, and people with a culturally or linguistically diverse background were 13% less likely to get a script.</p> <p>People in remote areas were 37% less likely to get antivirals than people living in major cities. People in outer regional areas were 25% less likely.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=329&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=329&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=329&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=413&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=413&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/620627/original/file-20240920-20-yc7sq5.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=413&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Dispensing rates by group.</span> <span class="attribution"><span class="source">Grattan Institute</span></span></figcaption></figure> <p>Even within the same city, the differences are stark. In Sydney, people older than 70 in the affluent eastern suburbs (including Vaucluse, Point Piper and Bondi) were nearly twice as likely to have had an antiviral as those in Fairfield, in Sydney’s south-west.</p> <p>Older people in leafy inner-eastern Melbourne (including Canterbury, Hawthorn and Kew) were 1.8 times more likely to have had an antiviral as those in Brimbank (which includes Sunshine) in the city’s west.</p> <h2>Why are people missing out?</h2> <p>COVID antivirals should be taken when symptoms first appear. While awareness of COVID antivirals is generally strong, people often <a href="https://link.springer.com/article/10.1007/s40121-024-01003-3">don’t realise</a> they would benefit from the medication. They <a href="https://www.phrp.com.au/?p=43363">wait</a> until symptoms get worse and it is too late.</p> <p>Frequent GP visits make a big difference. Our analysis found people 70 and older who see a GP more frequently were much more likely to be dispensed a COVID antiviral.</p> <p>Regular visits give an opportunity for preventive care and patient education. For example, GPs can provide high-risk patients with “COVID treatment plans” as a reminder to get tested and seek treatment as soon as they are unwell.</p> <p>Difficulty seeing a GP could help explain low antiviral use in rural areas. Compared to people in major cities, people in small rural towns have about 35% <a href="https://hwd.health.gov.au/resources/data/gp-primarycare.html">fewer</a> GPs, see their GP about half as often, and are 30% more likely to <a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/latest-release">report</a> waiting too long for an appointment.</p> <p>Just like for <a href="https://grattan.edu.au/wp-content/uploads/2023/11/A-fair-shot-How-to-close-the-vaccination-gap-Grattan-Institute-Report.pdf">vaccination</a>, a GP’s focus on antivirals probably matters, as does providing care that is accessible to people from different cultural backgrounds.</p> <h2>Care should go those who need it</h2> <p>Since the period we looked at, evidence has emerged that raises <a href="https://url.au.m.mimecastprotect.com/s/FmjFC91ZVBSmBpXpZSEh9CqMtQx?domain=nejm.org">doubts</a> about how effective antivirals are, particularly for people at lower risk of severe illness. That means getting vaccinated is more important than getting antivirals.</p> <p>But all Australians who are eligible for antivirals should have the same chance of getting them.</p> <p>These drugs have cost more than A$1.7 billion, with the vast majority of that money coming from the federal government. While dispensing rates have fallen, more than <a href="http://medicarestatistics.humanservices.gov.au/statistics/do.jsp?_PROGRAM=%2Fstatistics%2Fpbs_item_standard_report&amp;itemlst=%2712910L%27%2C%2712996B%27&amp;ITEMCNT=2&amp;LIST=12910L%2C12996B&amp;VAR=SERVICES&amp;RPT_FMT=6&amp;start_dt=202201&amp;end_dt=202408">30,000</a> packs of COVID antivirals were dispensed in August, costing about $35 million.</p> <p>Such a huge investment shouldn’t be leaving so many people behind. Getting treatment shouldn’t depend on your income, cultural background or where you live. Instead, care should go to those who need it the most.</p> <p>People born overseas have been <a href="https://www.abs.gov.au/articles/covid-19-mortality-australia-deaths-registered-until-31-january-2024#deaths-due-to-covid-19-country-of-birth">40% more likely</a> to die from COVID than those born here. Indigenous Australians have been <a href="https://www.abs.gov.au/articles/covid-19-mortality-australia-deaths-registered-until-31-january-2024#covid-19-mortality-among-aboriginal-and-torres-strait-islander-people">60% more likely</a> to die from COVID than non-Indigenous people. And the most disadvantaged people have been <a href="https://www.abs.gov.au/articles/covid-19-mortality-australia-deaths-registered-until-31-january-2024#deaths-due-to-covid-19-socio-economic-status-seifa-">2.8 times</a> more likely to die from COVID than those in the wealthiest areas.</p> <p>All those at-risk groups have been more likely to miss out on antivirals.</p> <p>It’s not just a problem with antivirals. The same groups are also disproportionately missing out on COVID <a>vaccination</a>, compounding their risk of severe illness. The pattern is repeated for other important preventive health care, such as <a href="https://www.aihw.gov.au/getmedia/54a38a6a-9e3c-4f58-b2f6-cdef977a7d60/aihw-can-155_15sept.pdf?v=20230915162104&amp;inline=true">cancer</a> <a href="https://www.aihw.gov.au/getmedia/27f32443-5206-4189-8775-0c1f55a26bc4/aihw-can-160.pdf?v=20240617095924&amp;inline=true">screening</a>.</p> <h2>A 3-step plan to meet patients’ needs</h2> <p>The federal government should do three things to close these gaps in preventive care.</p> <p>First, the government should make Primary Health Networks (PHNs) responsible for reducing them. PHNs, the regional bodies responsible for improving primary care, should share data with GPs and step in to boost uptake in communities that are missing out.</p> <p>Second, the government should extend its <a href="https://www.health.gov.au/our-work/mymedicare">MyMedicare</a> reforms. MyMedicare gives general practices flexible funding to care for patients who live in residential aged care or who visit hospital frequently. That approach should be <a href="https://grattan.edu.au/report/a-new-medicare-strengthening-general-practice/">expanded</a> to all patients, with more funding for poorer and sicker patients. That will give GP clinics time to advise patients about preventive health, including COVID vaccines and antivirals, before they get sick.</p> <p>Third, team-based pharmacist prescribing should be introduced. Then pharmacists could quickly dispense antivirals for patients if they have a prior agreement with the patient’s GP. It’s an approach that would also <a href="https://theconversation.com/pharmacists-should-be-able-to-work-with-gps-to-prescribe-medicines-for-long-term-conditions-212359">work</a> for medications for chronic diseases, such as cardiovascular disease.</p> <p>COVID antivirals, unlike vaccines, have been <a href="https://theconversation.com/covid-wave-whats-the-latest-on-antiviral-drugs-and-who-is-eligible-in-australia-218423">keeping up</a> with new variants without the need for updates. If a new and more harmful variant emerges, or when a new pandemic hits, governments should have these systems in place to make sure everyone who needs treatment can get it fast.</p> <p>In the meantime, fairer access to care will help close the big and persistent <a href="https://www.aihw.gov.au/getmedia/0cbc6c45-b97a-44f7-ad1f-2517a1f0378c/hiamhbrfhsu.pdf?v=20230605184558&amp;inline=true">gaps</a> in health between different groups of Australians.<!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/peter-breadon-1348098">Peter Breadon</a>, Program Director, Health and Aged Care, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/getting-antivirals-for-covid-too-often-depends-on-where-you-live-and-how-wealthy-you-are-239497">original article</a>.</em></p> </div>

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What is type 1.5 diabetes? It’s a bit like type 1 and a bit like type 2 – but it’s often misdiagnosed

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> and <a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>While you’re likely familiar with type 1 and type 2 diabetes, you’ve probably heard less about type 1.5 diabetes.</p> <p>Also known as latent autoimmune diabetes in adults (LADA), type 1.5 diabetes has features of <a href="https://diabetesjournals.org/diabetes/article/69/10/2037/16062/Management-of-Latent-Autoimmune-Diabetes-in-Adults">both type 1 and type 2 diabetes</a>.</p> <p>More people became aware of this condition after <a href="https://www.imdb.com/name/nm0004726/">Lance Bass</a>, best known for his role in the iconic American pop band NSYNC, <a href="https://www.foxnews.com/health/pop-singer-lance-bass-type-1-5-diabetes-know-disease">recently revealed</a> he has it.</p> <p>So, what is type 1.5 diabetes? And how is it diagnosed and treated?</p> <h2>There are several types of diabetes</h2> <p>Diabetes mellitus is a group of conditions that arise when the levels of glucose (sugar) in our blood are higher than normal. There are actually <a href="https://diabetesjournals.org/care/article/37/Supplement_1/S81/37753/Diagnosis-and-Classification-of-Diabetes-Mellitus">more than ten types</a> of diabetes, but the <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01301-6/fulltext">most common</a> are type 1 and type 2.</p> <p>Type 1 diabetes is an <a href="https://diabetesjournals.org/care/article/44/11/2589/138492/The-Management-of-Type-1-Diabetes-in-Adults-A">autoimmune condition</a> where the body’s immune system attacks and destroys the cells in the pancreas that make the hormone insulin. This leads to very little or no insulin production.</p> <p>Insulin is important for moving glucose from the blood into our cells to be used for energy, which is why people with type 1 diabetes need <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995794/">insulin medication daily</a>. Type 1 diabetes usually <a href="https://www.nature.com/articles/s41390-024-03107-5">appears</a> in children or young adults.</p> <p>Type 2 diabetes is not an autoimmune condition. Rather, it happens when the body’s cells become resistant to insulin over time, and the pancreas is no longer able to make enough insulin to <a href="https://diabetesjournals.org/care/article/47/Supplement_1/S20/153954/2-Diagnosis-and-Classification-of-Diabetes">overcome this resistance</a>. Unlike type 1 diabetes, people with type 2 diabetes still produce some insulin.</p> <p>Type 2 is more common in adults but is <a href="https://www.sciencedirect.com/science/article/abs/pii/S1871402121002733">increasingly</a> seen in children and young people. Management <a href="https://www.racgp.org.au/getattachment/41fee8dc-7f97-4f87-9d90-b7af337af778/Management-of-type-2-diabetes-A-handbook-for-general-practice.aspx">can include</a> behavioural changes such as nutrition and physical activity, as well as oral medications and insulin therapy.</p> <h2>How does type 1.5 diabetes differ from types 1 and 2?</h2> <p>Like type 1 diabetes, type 1.5 occurs when the immune system attacks the pancreas cells that make insulin. But people with type 1.5 often don’t need insulin <a href="https://diabetesjournals.org/diabetes/article/69/10/2037/16062/Management-of-Latent-Autoimmune-Diabetes-in-Adults">immediately</a> because their condition develops more slowly. Most people with type 1.5 diabetes will need to use insulin within <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5111528/">five years</a> of diagnosis, while those with type 1 typically require it from diagnosis.</p> <p>Type 1.5 diabetes is usually diagnosed in people <a href="https://diabetesjournals.org/diabetes/article/69/10/2037/16062/Management-of-Latent-Autoimmune-Diabetes-in-Adults">over 30</a>, likely due to the slow progressing nature of the condition. This is older than the typical age for type 1 diabetes but younger than the usual diagnosis age for type 2.</p> <p>Type 1.5 diabetes shares <a href="https://www.nature.com/articles/nrendo.2017.99">genetic and autoimmune risk factors</a> with type 1 diabetes such as specific gene variants. However, evidence has also shown it may be influenced by lifestyle factors such as <a href="https://pubmed.ncbi.nlm.nih.gov/29589073/">obesity</a> and <a href="https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2019.00320/full">physical inactivity</a> which are more commonly associated with type 2 diabetes.</p> <h2>What are the symptoms, and how is it treated?</h2> <p>The symptoms of type 1.5 diabetes are highly variable between people. Some have no symptoms at all. But generally, people may experience the following <a href="https://www.ncbi.nlm.nih.gov/books/NBK557897/">symptoms</a>:</p> <ul> <li>increased thirst</li> <li>frequent urination</li> <li>fatigue</li> <li>blurred vision</li> <li>unintentional weight loss.</li> </ul> <p>Typically, type 1.5 diabetes is <a href="https://diabetesjournals.org/diabetes/article/69/10/2037/16062/Management-of-Latent-Autoimmune-Diabetes-in-Adults">initially treated</a> with oral medications to keep blood glucose levels in normal range. Depending on their glucose control and the medication they are using, people with type 1.5 diabetes may need to monitor their blood glucose levels regularly throughout the day.</p> <p>When average blood glucose levels increase beyond normal range even with oral medications, treatment may progress to insulin. However, there are <a href="https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2022.959011/full">no universally accepted</a> management or treatment strategies for type 1.5 diabetes.</p> <h2>Type 1.5 diabetes is often misdiagnosed</h2> <p>Lance Bass said he was initially diagnosed with <a href="https://www.healthline.com/health-news/lance-bass-misdiagnosed-diabetes">type 2 diabetes</a>, but later learned he actually has type 1.5 diabetes. This is <a href="https://journals.lww.com/jaanp/abstract/2009/03000/latent_autoimmune_diabetes_of_adulthood__lada___an.4.aspx">not entirely uncommon</a>. Estimates suggest type 1.5 diabetes is misdiagnosed as type 2 diabetes <a href="https://www.sciencedirect.com/science/article/abs/pii/S1043276018301292">5–10% of the time</a>.</p> <p>There are a few possible reasons for this.</p> <p>First, accurately diagnosing type 1.5 diabetes, and distinguishing it from other types of diabetes, requires special <a href="https://journals.lww.com/jaanp/abstract/2009/03000/latent_autoimmune_diabetes_of_adulthood__lada___an.4.aspx">antibody tests</a> (a type of blood test) to detect autoimmune markers. Not all health-care professionals necessarily order these tests routinely, either due to cost concerns or because they may not consider them.</p> <p>Second, type 1.5 diabetes is commonly found in adults, so doctors might wrongly assume a person has developed type 2 diabetes, which is more common in this age group (whereas type 1 diabetes usually affects children and young adults).</p> <p>Third, people with <a href="https://diabetesjournals.org/diabetes/article/69/10/2037/16062/Management-of-Latent-Autoimmune-Diabetes-in-Adults">type 1.5 diabetes</a> often initially make enough insulin in the body to manage their blood glucose levels without needing to start insulin medication. This can make their condition appear like type 2 diabetes, where people also produce some insulin.</p> <p>Finally, because type 1.5 diabetes has <a href="https://www.ncbi.nlm.nih.gov/books/NBK557897/">symptoms</a> that are similar to type 2 diabetes, it may initially be treated as type 2.</p> <h2>We’re still learning about type 1.5</h2> <p>Compared with type 1 and type 2 diabetes, there has been much less research on how common type 1.5 diabetes is, especially in <a href="https://www.sciencedirect.com/science/article/abs/pii/S1043276018301292">non-European populations</a>. In 2023, it was estimated type 1.5 diabetes represented <a href="https://pubmed.ncbi.nlm.nih.gov/37428296/">8.9%</a> of all diabetes cases, which is similar to type 1. However, we need more research to get accurate numbers.</p> <p>Overall, there has been a limited awareness of type 1.5 diabetes and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683931/">unclear diagnostic criteria</a> which have slowed down our understanding of this condition.</p> <p>A misdiagnosis can be stressful and confusing. For people with type 1.5 diabetes, being misdiagnosed with type 2 diabetes might mean they don’t get the insulin they need in a timely manner. This can lead to worsening health and a greater likelihood of complications down the road.</p> <p>Getting the right diagnosis helps people receive the most appropriate treatment, save money, and reduce <a href="https://diabetesjournals.org/diabetes/article/73/Supplement_1/55-OR/155112/55-OR-Diabetes-Distress-among-Persons-Living-with">diabetes distress</a>. If you’re experiencing symptoms you think may indicate diabetes, or feel unsure about a diagnosis you’ve already received, monitor your symptoms and chat with your doctor.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/237041/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, Accredited Practising Dietitian and Lecturer, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> and <a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-type-1-5-diabetes-its-a-bit-like-type-1-and-a-bit-like-type-2-but-its-often-misdiagnosed-237041">original article</a>.</em></p> </div>

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People who are bad with numbers often find it harder to make ends meet – even if they are not poor

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/wandi-bruine-de-bruin-275600">Wändi Bruine de Bruin</a>, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a> and <a href="https://theconversation.com/profiles/paul-slovic-359838">Paul Slovic</a>, <a href="https://theconversation.com/institutions/university-of-oregon-811">University of Oregon</a></em></p> <h2>The big idea</h2> <p>People who are bad with numbers are more likely to experience financial difficulties than people who are good with numbers. That’s according to <a href="https://doi.org/10.1371/journal.pone.0260378">our analyses</a> of the <a href="https://wrp.lrfoundation.org.uk/explore-the-poll">Lloyd’s Register Foundation World Risk Poll</a>.</p> <p>In this World Risk Poll, people from 141 countries were asked if 10% was bigger than, smaller than or the same as 1 out of 10. Participants were said to be bad with numbers if they did not provide the correct answer – which is that 10% is the same as 1 out of 10. <a href="https://doi.org/10.1371/journal.pone.0260378">Our analyses</a> found that people who answered incorrectly are often among the poorest in their country. Prior studies in the <a href="https://doi.org/10.1111/j.1468-0297.2010.02394.x">United States</a>, <a href="https://doi.org/10.1111/j.1475-5890.2007.00052.x">United Kingdom</a>, <a href="https://doi.org/10.1016/j.joep.2016.02.011">the Netherlands</a> and <a href="https://doi.org/10.1111/joca.12294">Peru</a> had also found that people who are bad with numbers are financially worse off. But <a href="https://doi.org/10.1371/journal.pone.0260378">our analyses of the World Risk Poll</a> further showed that people who are bad with numbers find it harder to make ends meet, even if they are not poor.</p> <p>When we say that they found it harder to make ends meet, we mean that they reported on the poll that they found it difficult or very difficult to live on their current income, as opposed to living comfortably or getting by on their current income.</p> <p><a href="https://doi.org/10.1371/journal.pone.0260378">Our analyses</a> also indicate that staying in school longer is related to better number ability. People with a high school degree tend to be better with numbers than people without a high school degree. And college graduates do even better. But even among college graduates there are people who are bad with numbers – and they struggle more financially.</p> <p><iframe id="yOIiX" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/yOIiX/3/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>Of course, being good with numbers is not going to help you stretch your budget if you are very poor. <a href="https://doi.org/10.1371/journal.pone.0260378">We found</a> that the relationship between number ability and struggling to make ends meet holds across the world, except in low-income countries like Ethiopia, Somalia and Rwanda.</p> <p><iframe id="RejA1" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/RejA1/8/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <h2>Why it matters</h2> <p>The ability to understand and use numbers is also called <a href="http://doi.org/10.1093/oso/9780190861094.001.0001">numeracy</a>. Numeracy is <a href="https://doi.org/10.1787/1f029d8f-en">central to modern adult life</a> because numbers are everywhere.</p> <p>A lot of well-paying jobs involve working with numbers. People who are bad with numbers often perform worse in these jobs, including <a href="https://doi.org/10.1111/ecin.12873">banking</a>. It can therefore be hard for people who are bad with numbers to <a href="http://www.doi.org/10.1108/00400919710164125">find employment and progress in their jobs</a>.</p> <p>People who are bad with numbers are less likely <a href="https://www.pnas.org/content/116/39/19386.short">to make good financial decisions</a>. Individuals who can’t compute how interest compounds over time <a href="https://doi.org/10.1111/j.1540-6261.2009.01518.x">save the least and borrow the most</a>. People with poor numerical skills are also more likely <a href="https://doi.org/10.1037/0022-3514.41.3.586">to take on high-cost debt</a>. If you’re bad with numbers, it is hard to <a href="https://doi.org/10.1017/S1474747215000232">recognize</a> that paying the US$30 minimum payment on a credit card with a $3,000 balance and an annual percentage rate of 12% means it will never be paid off.</p> <h2>What still isn’t known</h2> <p>It is clear that people who are bad with numbers also tend to struggle financially. But we still need to explore whether teaching people math will help them to avoid financial problems.</p> <h2>What’s next</h2> <p>In her book “<a href="http://doi.org/10.1093/oso/9780190861094.001.0001">Innumeracy in the Wild</a>,” Ellen Peters, director of the Center for Science Communication Research at the University of Oregon, suggests that it is important for students to take math classes. American high school students who had to <a href="https://doi.org/10.3368/jhr.51.3.0113-5410R1">take more math courses</a> than were previously required had better financial outcomes later in life, such as avoiding bankruptcy and foreclosures.</p> <p>Successfully teaching numeracy also means helping students gain confidence in using numbers. People with <a href="https://doi.org/10.1073/pnas.1903126116">low numerical confidence</a> experience bad financial outcomes, such as a foreclosure notice, independent of their numeric ability. This is because they may not even try to take on complex financial decisions.</p> <p>Numerical confidence can be boosted in different ways. Among American <a href="https://doi.org/10.1037/0022-3514.41.3.586">elementary school children</a> who were bad with numbers, setting achievable goals led to better numerical confidence and performance. Among American <a href="https://doi.org/10.1371/journal.pone.0180674">undergraduate students</a>, a writing exercise that affirmed their positive values improved their numerical confidence and performance.</p> <p>Other important next steps are to find out whether training in numeracy can also be provided to adults, and whether training in numeracy improves the financial outcomes of people who do not live in high-income countries.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/172272/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/wandi-bruine-de-bruin-275600"><em>Wändi Bruine de Bruin</em></a><em>, Professor of Public Policy, Psychology and Behavioral Science, USC Sol Price School of Public Policy, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a> and <a href="https://theconversation.com/profiles/paul-slovic-359838">Paul Slovic</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-oregon-811">University of Oregon</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-who-are-bad-with-numbers-often-find-it-harder-to-make-ends-meet-even-if-they-are-not-poor-172272">original article</a>.</em></p> </div>

Money & Banking

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How often should you really weigh yourself?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Few topics are more debated in health than the value of the humble bathroom scale. Some experts advocate daily self-weigh-ins to promote accountability for weight management, particularly when we’re following a diet and exercise program to lose weight.</p> <p>Others suggest ditching self-weigh-ins altogether, arguing they can trigger negative <a href="https://link.springer.com/article/10.1007/s13679-015-0142-2">psychological responses and unhealthy behaviours</a> when we don’t like, or understand, the number we see on the scale.</p> <p>Many, like me, recommend using scales to weigh yourself weekly, even when we’re not trying to lose weight. Here’s why.</p> <h2>1. Weighing weekly helps you manage your weight</h2> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2588640/?tool=pmcentrez&amp;report=abstract">Research</a> confirms regular self-weighing is an effective weight loss and management strategy, primarily because it helps increase awareness of our current weight and any changes.</p> <p>A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2588640/?tool=pmcentrez&amp;report=abstract">systematic review of 12 studies</a> found participants who weighed themselves weekly or daily over several months lost 1–3 BMI (body mass index) units more and regained less weight than participants who didn’t weight themselves frequently. The weight-loss benefit was evident with weekly weighing; there was no added benefit with daily weighing.</p> <p>Self-weigh-ins are an essential tool for weight management as we age. Adults <a href="https://pubmed.ncbi.nlm.nih.gov/23638485/">tend to gain weight</a> progressively <a href="https://pubmed.ncbi.nlm.nih.gov/8363190/">through middle age</a>. While the average weight gain is typically between <a href="https://www.sciencedirect.com/science/article/abs/pii/S0031938414001528">0.5–1kg per year</a>, this modest accumulation of weight can lead to obesity over time. Weekly weighing and keeping track of the results helps avoid unnecessary weight gain.</p> <p>Tracking our weight can also help identify medical issues early. Dramatic changes in weight can be an early sign of some conditions, including problems with our thyroid, digestion and diabetes.</p> <h2>2. Weekly weighing accounts for normal fluctuations</h2> <p>Our body weight can fluctuate within a single day and across the days of the week. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192384/">Studies</a> show body weight fluctuates by 0.35% within the week and it’s typically higher after the weekend.</p> <p>Daily and day-to-day body weight fluctuations have several causes, many linked to our body’s water content. The more common causes include:</p> <p><strong>The type of food we’ve consumed</strong></p> <p>When we’ve eaten a dinner higher in carbohydrates, we’ll weigh more the next day. This change is a result of our bodies temporarily carrying more water. We <a href="https://pubmed.ncbi.nlm.nih.gov/25911631/">retain 3–4 grams of water</a> per gram of carbohydrate consumed to store the energy we take from carbs.</p> <p>Our water content also increases when we consume <a href="https://www.ncbi.nlm.nih.gov/books/NBK50952/">foods higher in salt</a>. Our bodies try to maintain a balance of sodium and water. When the concentration of salt in our bloodstream increases, a mechanism is triggered to restore balance by retaining water to dilute the excess salt.</p> <p><strong>Our food intake</strong></p> <p>Whether it’s 30 grams of nuts or 65 grams of lean meat, everything we eat and drink has weight, which increases our body weight temporarily while we digest and metabolise what we’ve consumed.</p> <p>Our weight also tends to be lower first thing in the morning after our food intake has been restricted overnight and higher in the evening after our daily intake of food and drinks.</p> <p><strong>Exercise</strong></p> <p>If we weigh ourselves at the gym after a workout, there’s a good chance we’ll weigh less due to sweat-induced fluid loss. The amount of water lost varies depending on things like our workout intensity and duration, the temperature and humidity, along with our sweat rate and hydration level. On average, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4993146/">we lose 1 litre of sweat</a> during an hour of <a href="https://link.springer.com/article/10.1007/BF00421168">moderate-intensity exercise</a>.</p> <p><strong>Hormonal changes</strong></p> <p><a href="https://theconversation.com/from-energy-levels-to-metabolism-understanding-your-menstrual-cycle-can-be-key-to-achieving-exercise-goals-131561">Fluctuations in hormones</a> within your menstrual cycle can also affect fluid balance. Women may experience <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154522/">fluid retention</a> and temporarily gain 0.5–2kg of weight at this time. Specifically, the luteal phase, which represents the second half of a woman’s cycle, results in a shift of fluid from your blood plasma to your cells, and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154522/">bloating</a>.</p> <p><strong>Bowel movements</strong></p> <p>Going to the bathroom can lead to small but immediate weight loss as waste is eliminated from the body. While the amount lost will vary, we generally eliminate <a href="https://pubmed.ncbi.nlm.nih.gov/1333426/">around 100 grams of weight</a> through our daily bowel movements.</p> <p>All of these fluctuations are normal, and they’re not indicative of significant changes in our body fat or muscle mass. However, seeing these fluctuations can lead to unnecessary stress and a fixation with our weight.</p> <h2>3. Weekly weighing avoids scale obsession and weight-loss sabotage</h2> <p>Weighing too frequently can create an obsession with the number on the scales and do more harm than good.</p> <p>Often, our reaction when we see this number not moving in the direction we want or expect is to further restrict our food intake or embark on fad dieting. Along with not being enjoyable or sustainable, fad diets also ultimately increase our weight gain rather than reversing it.</p> <p>This was confirmed in a <a href="https://pubmed.ncbi.nlm.nih.gov/21829159/">long-term study</a> comparing intentional weight loss among more than 4,000 twins. The researchers found the likelihood of becoming overweight by the age of 25 was significantly greater for a twin who dieted to lose 5kg or more. This suggests frequent dieting makes us more susceptible to weight gain and prone to future weight gain.</p> <h2>So what should you do?</h2> <p>Weighing ourselves weekly gives a more accurate measure of our weight trends over time.</p> <p>Aim to weigh yourself on the same day, at the same time and in the same environment each week – for example, first thing every Friday morning when you’re getting ready to take a shower, after you’ve gone to the bathroom, but before you’ve drunk or eaten anything.</p> <p>Use the best quality scales you can afford. Change the batteries regularly and check their accuracy by using a “known” weight – for example, a 10kg weight plate. Place the “known” weight on the scale and check the measurement aligns with the “known” weight.</p> <p>Remember, the number on the scale is just one part of health and weight management. Focusing solely on it can overshadow other indicators, such as <a href="https://theconversation.com/can-you-be-overweight-and-healthy-182219">how your clothes fit</a>. It’s also essential to pay equal attention to how we’re feeling, physically and emotionally.</p> <p>Stop weighing yourself – at any time interval – if it’s triggering anxiety or stress, and get in touch with a health-care professional to discuss this.</p> <hr /> <p><em>At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223864/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-often-should-you-really-weigh-yourself-223864">original article</a>.</em></p> </div>

Body

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New studies suggest millions with mild cognitive impairment go undiagnosed, often until it’s too late

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a></em></p> <p>Mild cognitive impairment – an early stage of dementia – is widely underdiagnosed in people 65 and older. That is the key takeaway of two recent studies from our team.</p> <p>In the first study, we used Medicare data for about 40 million beneficiaries age 65 and older from 2015 to 2019 to estimate the prevalence of mild cognitive impairment in that population and to identify what proportion of them had actually been diagnosed.</p> <p>Our <a href="https://doi.org/10.1186/s13195-023-01272-z">finding was sobering</a>: A mere 8% of the number of cases with mild cognitive impairment that we expected based on a statistical model had actually been diagnosed. Scaled up to the general population 65 and older, this means that approximately 7.4 million cases across the country remain undiagnosed.</p> <p>In the second study, we analyzed data for 226,756 primary care clinicians and found that <a href="https://doi.org/10.14283/jpad.2023.131">over 99% of them underdiagnosed mild cognitive impairment</a> in this population.</p> <h2>Why it matters</h2> <p>Mild cognitive impairment is an early symptom of Alzheimer’s disease in <a href="https://doi.org/10.1001/jama.2019.2000">about half of cases</a> and progresses to dementia <a href="https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment">at a rate of 10% to 15% per year</a>. It includes symptoms such as losing the ability to remember recent events and appointments, make sound decisions and master complex tasks. Failure to detect it might deprive patients of an opportunity to get treated and to slow down disease progression.</p> <p>Mild cognitive impairment can sometimes be caused by easily addressable factors, such as medication side effects, thyroid dysfunction or <a href="https://theconversation.com/vitamin-b12-deficiency-is-a-common-health-problem-that-can-have-serious-consequences-but-doctors-often-overlook-it-192714">vitamin B12 deficiency</a>. Since mild cognitive impairment has <a href="https://doi.org/10.1016/j.amjopharm.2008.06.004">the same risk factors as cardiovascular disease</a>, such as high blood pressure and cholesterol, medication management of these risks combined with diet and exercise <a href="https://doi.org/10.1016/S0140-6736(15)60461-5">can reduce the risk of progression</a>.</p> <p>In 2023, the Food and Drug Administration <a href="https://www.fda.gov/news-events/press-announcements/fda-converts-novel-alzheimers-disease-treatment-traditional-approval">approved the drug lecanemab</a> as the <a href="https://theconversation.com/what-the-fdas-accelerated-approval-of-a-new-alzheimers-drug-could-mean-for-those-with-the-disease-5-questions-answered-about-lecanemab-197460">first disease-modifying treatment</a> <a href="https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/what-happens-brain-alzheimers-disease">for Alzheimer’s disease</a>, the most common cause of mild cognitive impairment. In contrast to previous drugs, which can temporarily improve symptoms of the disease, such as memory loss and agitation, this new treatment addresses the underlying cause of the disease.</p> <p>Lecanemab, a monoclonal antibody, <a href="https://www.news-medical.net/health/What-are-Amyloid-Plaques.aspx">reduces amyloid plaques</a> in the brain, which are toxic protein clumps that are believed to contribute to the progression of the disease. In a large clinical trial, lecanemab was able to <a href="https://doi.org/10.1056/NEJMoa2212948">reduce the progression</a> of early-stage Alzheimer’s disease. A similar drug, donanemab, also <a href="https://doi.org/10.1001/jama.2023.13239">succeeded in a clinical trial</a> and is expected to be <a href="https://www.medicalnewstoday.com/articles/fda-delays-approval-of-alzheimers-drug-donanemab-what-experts-think">approved sometime in 2024</a>.</p> <p>However, these drugs must be used in the early stages of Alzheimer’s disease, ideally when a patient has only mild cognitive impairment, as there is <a href="https://www.alz.org/alzheimers-dementia/treatments/lecanemab-leqembi">no evidence that they are effective in advanced stages</a>.</p> <figure><iframe src="https://www.youtube.com/embed/w3IbAscNjsQ?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">An earlier diagnosis leads to early treatment and better outcomes.</span></figcaption></figure> <h2>What still isn’t known</h2> <p>Many factors contribute to the <a href="https://doi.org/10.1002/alz.13051">lack of timely detection</a>. But researchers don’t have a good understanding of the relative importance of those individual factors or how to reduce the high rate of underdiagnosis.</p> <p>While distinct, symptoms are subtle and their slow progression means that they can be overlooked or misinterpreted as normal aging. A neurologist in China told our research team that diagnosis rates spike in China after the New Year’s holiday, when children who haven’t seen their parents for a year notice changes that are harder to pick up when interacting with someone daily.</p> <p>Doctors also commonly discount memory concerns as normal aging and doubt that much can be done about it. While cognitive tests to distinguish mild cognitive impairment from pathologic decline do exist, they take about 15 minutes, which can be hard to come by during the limited time of a doctor’s visit and may require a follow-up appointment.</p> <h2>What’s next</h2> <p>People, particularly those in their 60s and beyond, as well as their families and friends need to be vigilant about cognitive decline, bring it up during doctor’s appointments and insist on a formal assessment.</p> <p>The <a href="https://www.medicare.gov/coverage/yearly-wellness-visits">Medicare yearly “wellness” visit</a> is an opportunity to explore such concerns, but only about half of beneficiaries <a href="https://doi.org/10.1377/hlthaff.2019.01795">take advantage of it</a>.</p> <p>Just as physicians ask patients about unexplained weight loss and take those concerns seriously, we believe questions that explore a patient’s cognitive state need to become the norm.</p> <p><em>The <a href="https://theconversation.com/us/topics/research-brief-83231">Research Brief</a> is a short take on interesting academic work.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/216892/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/soeren-mattke-1484707">Soeren Mattke</a>, Director of the USC Dornsife Brain Health Observatory, <a href="https://theconversation.com/institutions/university-of-southern-california-1265">University of Southern California</a> and <a href="https://theconversation.com/profiles/ying-liu-1221170">Ying Liu</a>, Research Scientist, Center for Economic and Social Research, <a href="https://theconversation.com/institutions/usc-dornsife-college-of-letters-arts-and-sciences-2669">USC Dornsife College of Letters, Arts and Sciences</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/new-studies-suggest-millions-with-mild-cognitive-impairment-go-undiagnosed-often-until-its-too-late-216892">original article</a>.</em></p> </div>

Mind

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Elephant tourism often involves cruelty – here are steps toward more humane, animal-friendly excursions

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/michelle-szydlowski-1495781">Michelle Szydlowski</a>, <a href="https://theconversation.com/institutions/miami-university-1934">Miami University</a></em></p> <p>Suju Kali is a 50-year-old elephant in Nepal who has been carrying tourists for over 30 years. Like many elephants I encounter through my <a href="https://doi.org/10.1080/10888705.2022.2028628">research</a>, Suju Kali exhibits anxiety and can be aggressive toward strangers. She suffers from emotional trauma as a result of prolonged, commercial human contact.</p> <p>Like Suju Kali, many animals are trapped within the tourism industry. Some venues have no oversight and little concern for animal or tourist safety. Between 120,000 and 340,000 animals are used globally in a variety of wildlife tourism attractions, including <a href="https://doi.org/10.1371/journal.pone.0138939">endangered species</a> like elephants. Over a quarter of the world’s <a href="https://www.iucnredlist.org/species/7140/45818198">endangered elephants</a> reside in captivity with little oversight.</p> <p>Wildlife tourism – which involves viewing wildlife such as primates or birds in conservation areas, feeding or touching captive or “rehabilitated” wildlife in facilities, and bathing or riding animals like elephants – is <a href="https://doi.org/10.1080/14724049.2022.2156523">tricky business</a>. I know this because I am <a href="https://scholar.google.com/citations?user=YbweA2MAAAAJ&amp;hl=en">a researcher studying human relationships with elephants</a> in both tourism and conservation settings within Southeast Asia.</p> <p>These types of experiences have long been an <a href="https://kathmandupost.com/money/2021/06/17/tourism-is-nepal-s-fourth-largest-industry-by-employment-study">extremely popular and profitable</a> part of the <a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.1002074">tourism market</a>. But now, many travel-related organizations are urging people not to participate in, or <a href="https://www.usatoday.com/story/travel/destinations/2018/04/27/animal-welfare-travelers-how-enjoy-wildlife-without-harming/544938002/">calling for an outright ban on, interactive wildlife experiences</a>.</p> <p>Tourism vendors have started marketing more “ethical options” for consumers. Some are attempting to truly improve the health and welfare of wildlife, and some are transitioning captive wildlife into touch-free, non-riding or lower-stress environments. In other places, organizations are attempting to <a href="https://www.fao.org/documents/card/es/c/b2c5dad0-b9b9-5a3d-a720-20bf3b9f0dc2/">implement standards of care</a> or create manuals that outline good practices for animal husbandry.</p> <p>This marketing, academics argue, is often simply “<a href="https://doi.org/10.1016/j.gecco.2017.11.007">greenwashing</a>,” <a href="http://dx.doi.org/10.1080/13683500.2023.2280704">applying marketing labels to make consumers feel better</a> about their choices without making any real changes. Worse, research shows that some programs marketing themselves as ethical tourism may instead be widening economic gaps and harming both humans and other species that they are meant to protect.</p> <h2>No quick fix</h2> <p>For example, rather than tourist dollars trickling down to local struggling families as intended by local governments, many tourism venues are owned by nonresidents, <a href="http://dx.doi.org/10.3126/japfcsc.v2i1.26746">meaning the profits do not stay in the area</a>. Likewise, only a small number of residents can afford to own tourism venues, and venues do not provide employment for locals from lower income groups.</p> <p>This economic gap is especially obvious in Nepalese elephant stables: Venue owners continue to make money off elephants, while elephant caregivers continue to work 17 hours a day for about US$21 a month; tourists are led to believe they are “<a href="https://www.cabidigitallibrary.org/doi/book/10.1079/9781800624498.0000">promoting sustainability</a>.”</p> <p>Yet, there are no easy answers, especially for elephants working in tourism. Moving them to sanctuaries is difficult because with no governmental or global welfare oversight, elephants may end up in worse conditions.</p> <p>Many kindhearted souls who want to “help” elephants know little about their biology and mental health needs, or what it takes to keep them healthy. Also, feeding large animals like Suju Kali is pricey, <a href="https://doi.org/10.3390/ani14010171">costing around $19,000 yearly</a>. So without profits from riding or other income, owners – or would-be rescuers – can’t maintain elephants. Releasing captive elephants to the jungle is not a choice – many have never learned to live in the wild, so they cannot survive on their own.</p> <h2>Hurting local people</h2> <p>Part of the problem lies with governments, as many have marketed tourism as a way to fund conservation projects. For example in Nepal, a percentage of ticket sales from elephant rides are given to community groups to use for forest preservation and support for local families.</p> <p>Increasing demand for <a href="https://www.routledge.com/Tourism-and-Animal-Ethics/Fennell/p/book/9781032431826">wildlife-based tourism</a> may increase traffic in the area and thus put pressure on local governments to further limit local people’s access to forest resources.</p> <p>This may also lead to <a href="https://www.worldanimalprotection.org/latest/news/un-world-tourism-organisation-urged-create-better-future-animals/">increased demands on local communities</a>, as was the case in Nepal. In the 1970s, the Nepalese government removed local people from their lands in what is now Chitwan National Park as part of increasing “conservation efforts” and changed the protected area’s boundaries. Indigenous “Tharu,” or people of the forest, were forced to abandon their villages and land. While some were offered access to “buffer zones” in the 1990s, many remain poor and landless today.</p> <p>In addition, more and more desirable land surrounding conservation areas in Nepal is being developed for tourist-based businesses such as hotels, restaurants and shops, <a href="http://dx.doi.org/10.3126/japfcsc.v2i1.26746">pushing local poor people farther away</a> from central village areas and the associated tourism income.</p> <p>Some activists would like humans to simply release all wildlife back into the wild, but <a href="https://www.cabidigitallibrary.org/doi/book/10.1079/9781800624498.0000">there are multiple issues</a> with that. Elephant habitats throughout Southeast Asia have been transformed into croplands, cities or train tracks for human use. Other problems arise from the fact that tourism elephants have <a href="https://doi.org/10.4324/9781315457413">never learned</a> how to be elephants in their natural elements, as they were <a href="https://www.pugetsound.edu/sites/default/files/file/8342_Journal%20of%20Tourism%20%282009%29_0.pdf">separated from their herds</a> at an early age.</p> <p>So tourism may be vital to providing food, care and shelter to captive elephants for the rest of their lives and providing jobs for those who really need them. Because elephants can live beyond 60 years, this can be a large commitment.</p> <h2>How to be an ethical tourist</h2> <p>To protect elephants, tourists should check out reviews and photos from any venue they want to visit, and look for clues that animal welfare might be impacted, such as tourists allowed to feed, hold or ride captive wildlife animals. Look for healthy animals, which means doing research on what “healthy” animals of that species should look like.</p> <p>If a venue lists no-touch demonstrations – “unnatural” behaviors that don’t mimic what an elephant might do of their own accord, such as sitting on a ball or riding a bike, or other performances – remember that the behind-the-scenes training used to achieve these behaviors can be <a href="https://doi.org/10.21832/9781845415051-014">violent, traumatic or coercive</a>.</p> <p>Another way to help people and elephant is to to use small, local companies to book your adventures in your area of interest, rather than paying large, international tourism agencies. Look for locally owned hotels, and wait to book excursions until you arrive so you can use local service providers. Book homestay programs and attend cultural events led by community members; talk to tourists and locals you meet in the target town to get their opinions, and use local guides who provide wildlife viewing opportunities <a href="https://nepaldynamicecotours.com/">while maintaining distance from animals</a>.</p> <p>Or tourists can ask to visit <a href="https://www.americanhumane.org/press-release/global-humane-launches-humane-tourism-certification-program/">venues that are certified</a> by international humane animal organizations and that <a href="https://www.su4e.org/">do not allow contact</a> with wildlife. Or they can opt for guided hikes, canoe or kayak experiences, and other environmentally friendly options.</p> <p>While these suggestions will not guarantee that your excursion is animal-friendly, they will help decrease your impact on wildlife, support local families and encourage venues to stop using elephants as entertainment. Those are good first steps.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219792/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/michelle-szydlowski-1495781">Michelle Szydlowski</a>, Visiting Assistant Professor, Department of Biology, Project Dragonfly, <a href="https://theconversation.com/institutions/miami-university-1934">Miami University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/elephant-tourism-often-involves-cruelty-here-are-steps-toward-more-humane-animal-friendly-excursions-219792">original article</a>.</em></p> </div>

Travel Tips

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Why and how often do I need to wash makeup brushes and sponges?

<p><em><a href="https://theconversation.com/profiles/enzo-palombo-249510">Enzo Palombo</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> and <a href="https://theconversation.com/profiles/rosalie-hocking-1428271">Rosalie Hocking</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p>From the bristles of brushes to the porous surfaces of sponges, your makeup kit can harbour a host of bacteria and fungi.</p> <p>These potentially hazardous contaminants can originate not only from the cosmetics themselves, but also from the very surface of our skin.</p> <p>So, how can we keep things hygienic and avoid microbial growth on makeup brushes and sponges? Here’s what you need to know.</p> <h2>How do germs and fungi get in my brushes and sponges?</h2> <p>Germs and fungi can make their way into your makeup kit in lots of ways.</p> <p>Ever flushed a toilet with the lid open with your makeup brushes nearby? There’s a good chance <a href="https://theconversation.com/mobile-phones-are-covered-in-germs-disinfecting-them-daily-could-help-stop-diseases-spreading-135318">faecal particles</a> have landed on them.</p> <p>Perhaps a family member or housemate has used your eyeshadow brush when you weren’t looking, and transferred some microbes across in the process.</p> <p>Bacteria that trigger a pimple outbreak can be easily transferred from the surface of your skin to a makeup brush or sponge.</p> <p>And tiny little mites called Demodex mites, which have been linked to certain rashes and acne, live on your skin, as well, and so may end up in your sponge or brushes.</p> <p>Bacterial contamination of <a href="https://pubmed.ncbi.nlm.nih.gov/38020232/">lip cosmetics</a>, in particular, can pose a risk of skin and eye infections (so keep that in mind if you use lip brushes). Lipsticks are frequently contaminated with bacteria such as <em>Staphylococcus aureus</em>, <em>E. coli</em>, and <em>Streptococcus pneumoniae</em>.</p> <p>Low-quality cosmetics are more likely to have higher and more diverse microbial growth compared to <a href="https://www.sciencedirect.com/science/article/pii/S1319562X23002978?pes=vor">high-quality cosmetics</a>.</p> <p>Brushes exposed to sensitive areas like the eyes, mouth and nose are particularly susceptible to being potential sources of infection.</p> <p>The range of conditions caused by these microorganisms includes:</p> <ul> <li> <p>abscesses</p> </li> <li> <p>skin and soft tissue infections</p> </li> <li> <p>skin lesions</p> </li> <li> <p>rashes</p> </li> <li> <p>and dermatitis.</p> </li> </ul> <p>In severe cases, infections can lead to invasion of the bloodstream or deep tissues.</p> <p>Commercially available cosmetics contain varying amounts and types of preservatives aimed at inhibiting the growth of fungi and bacteria.</p> <p>But when you apply makeup, different cosmetics with unique formulations of preservatives can become mixed. When a preservative meant for one product mixes with others, it might not work as well because they have different water amounts or pH levels.</p> <p>So preservatives are not foolproof. We also need to observe good hygiene practices when it comes to brushes and other cosmetics applicators.</p> <h2>Keeping brushes clean</h2> <p>Start with the basics: never <a href="https://www.semanticscholar.org/paper/Isolation-of-Pathogenic-Microbes-from-Beauty-Salons-Hassan-Hamad/0199635290628fe326fcd04a2b8a2422884a8240">share makeup brushes or sponges</a>. Everyone carries different microbes on their skin, so sharing brushes and sponges means you are also sharing germs and fungi.</p> <p>If you need to share makeup, use something disposable to apply it, or make sure any shared brushes are washed and sterilised before the next person uses it.</p> <p>Clean makeup brushes by washing with hot soapy water and rinsing thoroughly.</p> <p>How often? Stick to a cleaning routine you can repeat with consistency (as opposed to a deep clean that is done annually). <a href="https://www.aad.org/public/everyday-care/skin-care-secrets/routine/clean-your-makeup-brushes#:%7E:text=To%20protect%20your%20skin%20and,every%207%20to%2010%20days.">Once a week</a> might be a good goal for some, while others may need to wash more regularly if they are heavy users of makeup.</p> <p>Definitely wash straight away if someone else has used your brushes or sponges. And if you’ve had an eye infection such as conjunctivitis, ensure you clean applicators thoroughly after the infection has resolved.</p> <p>You can use bactericidal soap, 70% ethanol or chlorhexidine solutions to wash. Just make sure you wash very thoroughly with hot water after, as some of these things can irritate your skin. (While some people online say alcohol can degrade brushes and sponges, opinion seems to be mixed; in general, most disinfectants are unlikely to cause significant corrosion.)</p> <p>For some brushes, heating or steaming them and letting them dry may also be an effective sterilisation method once they are washed with detergent. Microwaving sponges isn’t a good idea because while the heat generated by a domestic microwave would kill microbes, it would need temperatures approaching 100°C for a decent period of time (at least several minutes). The heat could melt some parts of the sponge and hot materials could be a scalding hazard.</p> <p>Once clean, ensure brushes and sponges are stored in a dry place away from water sources (and not near an open toilet).</p> <p>If you’re having makeup applied professionally, brushes and applicators should be sterilised or changed from person to person.</p> <h2>Should I wash them with micellar water?</h2> <p>No.</p> <p>Not only is this expensive, it’s unnecessary. The same benefits can be achieved with cheaper detergents or alcohol (just rinse brushes carefully afterwards).</p> <p>Disinfection methods such as using bactericidal soap, 70% ethanol, or chlorhexidine are all very good at reducing the amount of microbes on your brushes and sponges.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/220280/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/enzo-palombo-249510"><em>Enzo Palombo</em></a><em>, Professor of Microbiology, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> and <a href="https://theconversation.com/profiles/rosalie-hocking-1428271">Rosalie Hocking</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-and-how-often-do-i-need-to-wash-makeup-brushes-and-sponges-220280">original article</a>.</em></p>

Beauty & Style

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Travellers with disability often face discrimination. What should change and how to complain

<p><em><a href="https://theconversation.com/profiles/kelsey-chapman-1345505">Kelsey Chapman</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/elizabeth-kendall-210342">Elizabeth Kendall</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/lisa-stafford-1505408">Lisa Stafford</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>Australia’s former disability discrimination commissioner, Graeme Innes, has settled his dispute <a href="https://www.abc.net.au/news/2024-01-23/adelaide-airport-graeme-innes-disability-discrimination-dispute/103375068">with Adelaide Airport</a>. His complaint to the Human Rights Commission was lodged after being denied access to a body scanner with his assistance dog in <a href="https://graemeinnes.com/2022/05/17/airport-discrimination-dash-i-am-angry-as-hell-and-im-not-going-to-take-it-anymore/">May 2022</a>.</p> <p>Unfortunately, Innes’ experience will resonate widely with Australia’s <a href="https://www.aihw.gov.au/reports/disability/people-with-disability-in-australia/contents/people-with-disability/prevalence-of-disability">4.4 million people with disability</a>.</p> <p>“People with disability know how challenging air travel can be, and that experience needs to be more inclusive,” said Innes, who was disability discrimination commissioner for nine years and is on the board of the <a href="https://www.ndis.gov.au/about-us/governance/board/board-profiles">National Disability Insurance Agency</a>.</p> <p>Experiences like Innes’ have been widely <a href="https://www.theguardian.com/australia-news/2023/feb/03/australias-airlines-and-airports-urged-to-improve-treatment-of-travellers-with-disabilities">reported</a> and have happened to <a href="https://www.smh.com.au/national/graeme-innes-fights-to-change-how-disabled-people-are-treated-when-they-fly-20220516-p5alqs.html">prominent Australians with disability</a>. The everyday experience of air travel is likely even more shocking. Change is happening, but it is moving slowly.</p> <h2>Airport and airline ableism</h2> <p>The Human Rights Commission received more than <a href="https://www.infrastructure.gov.au/sites/default/files/documents/awptor2023-submission-a16-australian-human-rights-commission.pdf">100 disability discrimination complaints against airlines</a> in the six years to 2022, including the period in which COVID restrictions saw air travel severely limited.</p> <p>Issues included:</p> <ul> <li>assistance animal refusals</li> <li>inaccessible facilities</li> <li>inaccessible ticketing arrangements for people with vision impairments</li> <li>taxis and rideshare providers not turning up, long delays or refusing passengers with disability aids and/or assistance animals.</li> </ul> <p>These issues highlight a system underpinned by unchallenged <a href="https://theconversation.com/ableism-and-disablism-how-to-spot-them-and-how-we-can-all-do-better-204541">ableism</a> – discrimination that favours people without disability.</p> <h2>Freedom of movement</h2> <p>An important right under the <a href="https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities/article-20-personal-mobility.html">United Nations Convention on the Rights of Persons with Disabilities</a> is freedom of movement. This right seeks to enable all people to be <a href="https://www.tandfonline.com/doi/full/10.1080/09687599.2023.2203307">included in society in ways they self-determine</a>.</p> <p>Ableism in air travel is a fundamental denial of independence and freedom of movement. Discrimination can be even more blatant and offensive. People have been removed from flights or denied boarding because there are <a href="https://www.infrastructure.gov.au/sites/default/files/documents/awptor2023-submission-a16-australian-human-rights-commission.pdf">limits on the number of wheelchair users who can access an aircraft</a> or because they require additional support to access facilities.</p> <p>People with disability report the removal of, or damage to, <a href="https://www.abc.net.au/news/2023-10-31/virgin-airline-wheelchair-damage-broken-compensation/103010472">personal mobility equipment</a>, and lack of suitable equipment. In the most severe cases, people have been <a href="https://www.9news.com.au/national/australians-with-disabilities-suffer-dehumanising-treatment-at-airports-travel-news/b7de6139-258a-4e86-a615-031eb0e89074">injured during travel</a> or left stranded in dangerous circumstances.</p> <h2>Inconsistency can fuel ableism</h2> <p>Inconsistent policies and practices significantly impact travellers with disability. This is made worse by the fact that individual airlines and airports are encouraged by government to develop their own <a href="https://www.infrastructure.gov.au/infrastructure-transport-vehicles/aviation/aviation-access-forum-aaf/dafp">Disability Access Facilitation Plans</a>.</p> <p>So, it is not surprising when news reports highlight instances of assistance dogs being denied travel <a href="https://www.abc.net.au/news/2023-12-15/jetstar-assistance-dog-policy-criticised/103221894">domestically</a> and <a href="https://www.nytimes.com/2023/08/22/travel/jetblue-service-animal-dot-open-form.html">internationally</a>, even when they’ve <a href="https://www.abc.net.au/news/2023-12-20/qantas-sued-over-assistance-dog/103223736">previously been approved</a> by other airlines.</p> <p>Lack of consistency, negative attitudes, stereotypes and prejudices in the air travel industry have resulted in <a href="https://www.independent.co.uk/travel/singapore-airlines-disability-discrimination-amputee-b2301471.html">reportedly aggressive eviction of passengers</a> with disability from exit rows. Others report being told to “<a href="https://qdn.org.au/wp-content/uploads/2023/06/Voice-of-Queenslanders-with-Disability-report.pdf">catheterise</a>” (to insert a tube through the urethra to the bladder) to avoid needing toilet facilities on an overseas flight. Many people with disability experience situations like Innes’ where they are subjected to alternative, sometimes undignified, processes.</p> <p>Ongoing experiences of ableism not only deny people with disability their rights to travel but can also <a href="https://www.tandfonline.com/doi/full/10.1080/09687599.2023.2203307">damage their dignity</a>. Anticipation of discrimination can increase anxiety and stress for travellers with disability or prevent them travelling altogether.</p> <h2>Slow reform</h2> <p>These stories and many others point to the need for urgent reform.</p> <p>Stories shared by more than 60 participants in a special Disability Royal Commission session prompted its chair to <a href="https://disability.royalcommission.gov.au/news-and-media/media-releases/chair-writes-ceos-airlines-and-airports#:%7E:text=The%20Chair%20of%20the%20Disability,their%20experiences%20with%20air%20travel">write directly to the CEOs</a> of Australian airlines and airports, urging them to work on solutions.<br />The review and modernisation of the <a href="https://www.infrastructure.gov.au/infrastructure-transport-vehicles/transport-accessibility/transport-disability-standards">2002 Disability Standards for Accessible Public Transport</a> along with the upcoming release of the Australian government’s <a href="https://www.infrastructure.gov.au/infrastructure-transport-vehicles/aviation/aviation-white-paper">Aviation White Paper</a> could be key mechanisms to address systemic discrimination. But only if key recommendations from disability organisations and advocacy centres are adopted. They include:</p> <ol> <li> <p><a href="https://www.infrastructure.gov.au/sites/default/files/documents/agp2023-submission-c170-australian-federation-of-disability-organisations-and-national-inclusive-transport-advocacy-network.pdf">specific standards</a> for air travel co-designed with people with disability and representative organisations. <a href="https://www.engineersaustralia.org.au/sites/default/files/2022-04/Universal-Design-for-Transport-TAs-discussion-paper-20220421.pdf">Universal design</a> aims to make products and environments usable by all people, without adaptation. It can play an important role in overcoming the systemic barriers in infrastructure and service design to create more seamless and inclusive transport and air travel experiences</p> </li> <li> <p><a href="https://piac.asn.au/wp-content/uploads/2023/12/PIAC-Submission-to-Aviation-Green-Paper.pdf">reportable and enforceable standards</a> and independent oversight, such as funding the Human Rights Commission to oversee compliance.</p> </li> </ol> <h2>Complaints are just one route</h2> <p>The exclusion of people with disability from seamless airline travel is a violation of their fundamental right to freedom of movement.</p> <p>Decades of travel horror stories in the media, continuing legislative reviews and national enquiries should bring change. Everyone should be able to make journeys with dignity and autonomy. People with disability deserve the same travel privileges as non-disabled Australians.</p> <p>Governments and the aviation industry will need to collaborate to implement comprehensive accessibility measures, ranging from wheelchair-friendly facilities to trained staff capable of providing appropriate assistance. Embracing inclusivity in air travel not only aligns with the principles of equity but also contributes to a society that celebrates diversity.</p> <p>For now, there are a number of ways to raise complaints, including with the individual airline or with the <a href="https://humanrights.gov.au/complaints/make-complaint">Human Rights Commission</a>. Raising complaints with the Human Rights Commission can be completed by anyone who experiences discrimination. Legal support and advice may also be sought from some state-based legal aid organisations.</p> <p>While complaints are one mechanism for change, more proactive methods for change include the disability royal commission’s recommendation for the design and implementation of a <a href="https://teamdsc.com.au/resources/inside-the-disability-royal-commission-s-final-report">Disability Rights Act</a>, which would see human rights enshrined in legislation and facilitate barrier-free travel.<!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/kelsey-chapman-1345505"><em>Kelsey Chapman</em></a><em>, Research Fellow Dignity Project, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/elizabeth-kendall-210342">Elizabeth Kendall</a>, Professor, Director, Griffith Inclusive Futures, Griffith University, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/lisa-stafford-1505408">Lisa Stafford</a>, Adjunct Senior Research Fellow, Inclusive Futures Centre, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/travellers-with-disability-often-face-discrimination-what-should-change-and-how-to-complain-221740">original article</a>.</em></p>

Travel Trouble

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How often should you wash your sheets and towels?

<p><em><a href="https://theconversation.com/profiles/rietie-venter-100529">Rietie Venter</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Everyone seems to have a different opinion when it comes to how often towels and <a href="https://7news.com.au/video/lifestyle/cleaning/dr-karl-on-how-often-you-should-wash-our-sheets-bc-6320410318112">bed sheets should be washed</a>. While many people might wonder whether days or weeks is best, in one survey from the United Kingdom, <a href="https://www.bbc.com/news/newsbeat-61259074">almost half of single men</a> reported not washing their sheets for up to four months at a time.</p> <p>It’s fairly clear that four months is too long to leave it, but what is the ideal frequency?</p> <p>Bed linen and towels are quite different and so should be washed at different intervals. While every week or two will generally suffice for sheets, towels are best washed every few days.</p> <p>Anyway, who doesn’t love the feeling of a fresh set of sheets or the smell of a newly laundered towel?</p> <h2>Why you should wash towels more often</h2> <p>When you dry yourself, you deposit thousands of <a href="https://www.frontiersin.org/articles/10.3389/fmicb.2018.02362/full">skin cells</a> and millions of <a href="https://www.ajicjournal.org/article/S0196-6553(23)00402-9/fulltext">microbes</a> onto the towel. And because you use your towel to dry yourself after a shower or bath, your towel is regularly damp.</p> <p>You also deposit a hefty amount of dead skin, microbes, sweat and oils <a href="https://theconversation.com/your-bed-probably-isnt-as-clean-as-you-think-a-microbiologist-explains-163513">onto your sheets</a> every night. But unless you’re a prolific night sweater, your bedding doesn’t get wet after a night’s sleep.</p> <p>Towels are also made of a thicker material than sheets and therefore tend to stay damp for longer.</p> <p>So what is it about the dampness that causes a problem? Wet towels are a breeding ground for bacteria and moulds. <a href="https://www.qld.gov.au/housing/public-community-housing/public-housing-tenants/looking-after-your-home/safety/mould">Moulds</a> especially love <a href="https://www.asthmaandlung.org.uk/living-with/indoor-air-pollution/allergies">damp environments</a>. Although mould won’t necessarily be visible (you would need significant growth to be able to see it) this can lead to an unpleasant smell.</p> <p>As well as odours, <a href="https://www.nhs.uk/common-health-questions/infections/can-clothes-and-towels-spread-germs/">exposure to these microbes</a> in your towels and sheets can cause <a href="https://aafa.org/allergies/types-of-allergies/insect-allergy/dust-mite-allergy/">asthma</a>, allergic skin irritations, or other <a href="https://wwwnc.cdc.gov/eid/article/11/4/04-1094_article">skin infections</a>.</p> <h2>So what’s the ideal frequency?</h2> <p>For bedding, it really depends on factors such as whether you have a bath or shower just before going to bed, or if you fall into bed after a long, sweaty day and have your shower in the morning. You will need to wash your sheets more regularly in the latter case. As a rule of thumb, once a week or every two weeks should be fine.</p> <p>Towels should ideally be washed more regularly – perhaps every few days – while your facecloth should be cleaned after every use. Because it gets completely wet, it will be wet for a longer time, and retain more skin cells and microbes.</p> <p>Wash your towels at a high temperature (for example, 65°C) as that will <a href="https://pubmed.ncbi.nlm.nih.gov/34465009/">kill many microbes</a>. If you are conscious of saving energy, you can use a lower temperature and add a cup of vinegar to the wash. The vinegar will kill microbes and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8231443/">prevent bad smells</a> from developing.</p> <p>Clean your washing machine regularly and dry the fold in the rubber after every wash, as this is another place microbes like to grow.</p> <h2>Smelly towels</h2> <p>What if you regularly wash your towels, but they still smell bad? One of the reasons for this pong could be that you’ve left them in the washing machine too long after the wash. Especially if it was a warm wash cycle, the time they’re warm and damp will allow microbes to happily grow. Under <a href="https://textbookofbacteriology.net/growth_3.html">lab conditions</a> the number of these bacteria can double every 30 minutes.</p> <p>It’s important to hang your towel out to dry after use and not to leave towels in the washing machine after the cycle has finished. If possible, hang your towels and bedding out in the sun. That will dry them quickly and thoroughly and will foster that lovely fresh, clean cotton smell. Using a dryer is a good alternative if the weather is bad, but outdoors in the sun is always better if possible.</p> <p>Also, even if your towel is going to be washed, don’t throw a wet towel into the laundry basket, as the damp, dirty towel will be an ideal place for microbes to breed. By the time you get to doing your washing, the towel and the other laundry around it may have acquired a bad smell. And it can be difficult to get your towels smelling fresh again.</p> <h2>What about ‘self-cleaning’ sheets and towels?</h2> <p>Some companies sell “quick-dry” towels or “self-cleaning” towels and bedding. Quick-dry towels are made from synthetic materials that are weaved in a way to allow them to dry quickly. This would help prevent the growth of microbes and the bad smells that develop when towels are damp for long periods of time.</p> <p>But the notion of self-cleaning products is more complicated. Most of these products contain <a href="https://www.degruyter.com/document/doi/10.1515/chem-2016-0005/html">nanosilver</a> or copper, antibacterial metals that kill micro-organisms. The antibacterial compounds will stop the growth of bacteria and can be useful to limit smells and reduce the frequency with which you need to clean your sheets and towels.</p> <p>However, they’re not going to remove dirt like oils, skin flakes and sweat. So as much as I would love the idea of sheets and towels that clean themselves, that’s not exactly what happens.</p> <p>Also, excessive use of antimicrobials <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636436/pdf/idr-12-1985.pdf">such as nanosilver</a> can lead to <a href="https://www.frontiersin.org/articles/10.3389/fmicb.2021.652863/full">microbes becoming resistant</a> to them.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/216083/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/rietie-venter-100529"><em>Rietie Venter</em></a><em>, Associate professor, Clinical and Health Sciences, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-often-should-you-wash-your-sheets-and-towels-216083">original article</a>.</em></p>

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It’s time to limit how often we can travel abroad – ‘carbon passports’ may be the answer

<p><em><a href="https://theconversation.com/profiles/ross-bennett-cook-1301368">Ross Bennett-Cook</a>, <a href="https://theconversation.com/institutions/university-of-westminster-916">University of Westminster</a></em></p> <p>The summer of 2023 has been very significant for the travel industry. By the end of July, international tourist arrivals globally <a href="https://www.unwto.org/news/international-tourism-swiftly-overcoming-pandemic-downturn">reached 84% of pre-pandemic levels</a>. In <a href="https://joint-research-centre.ec.europa.eu/jrc-news-and-updates/eu-tourism-almost-full-recovery-pre-pandemic-levels-2023-10-23_en">some European countries</a>, such as France, Denmark and Ireland, tourism demand even surpassed its pre-pandemic level.</p> <p>This may be great <a href="https://skift.com/insight/state-of-travel/">news economically</a>, but there’s concern that a return to the status quo is already showing dire environmental and social consequences.</p> <p>The summer saw record-breaking heatwaves across many parts of the world. People were forced to flee <a href="https://www.theguardian.com/world/2023/jul/24/greece-wildfires-corfu-evia-rhodes-heatwave-northern-hemisphere-extreme-weather-temperatures-europe">wildfires in Greece</a> and <a href="https://www.independent.co.uk/climate-change/news/hawaii-fires-update-biden-b2393188.html">Hawaii</a>, and extreme <a href="https://www.manchestereveningnews.co.uk/news/world-news/foreign-office-issues-spain-weather-27339111">weather warnings</a> were issued in many popular holiday destinations like Portugal, Spain and Turkey. Experts <a href="https://theconversation.com/european-heatwave-whats-causing-it-and-is-climate-change-to-blame-209653">attributed these extreme conditions</a> to climate change.</p> <p>Tourism is part of the problem. The tourism sector <a href="https://wttc.org/Portals/0/Documents/Reports/2021/WTTC_Net_Zero_Roadmap.pdf">generates around one-tenth</a> of the greenhouse gas emissions that are driving the climate crisis.</p> <p>The negative impacts of tourism on the environment have become so severe that some are suggesting drastic changes to our travel habits are inevitable. In a <a href="https://www.intrepidtravel.com/sites/intrepid/files/basic_page/files/A%20Sustainable%20Future%20For%20Travel%20From%20Crisis%20To%20Transformation-231016-02.pdf">report</a> from 2023 that analysed the future of sustainable travel, tour operator Intrepid Travel proposed that “carbon passports” will soon become a reality if the tourism industry hopes to survive.</p> <h2>What is a carbon passport?</h2> <p>The idea of a carbon passport centres on each traveller being assigned a yearly carbon allowance that they cannot exceed. These allowances can then “ration” travel.</p> <p>This concept may seem extreme. But the idea of personal carbon allowances is not new. A <a href="https://publications.parliament.uk/pa/cm200708/cmselect/cmenvaud/565/565.pdf">similar concept</a> (called “personal carbon trading”) was discussed in the House of Commons in 2008, before being shut down due to its perceived complexity and the possibility of public resistance.</p> <p>The <a href="https://www.nature.org/en-us/get-involved/how-to-help/carbon-footprint-calculator/#:%7E:text=A%20carbon%20footprint%20is%20the,is%20closer%20to%204%20tons.">average annual carbon footprint</a> for a person in the US is 16 tonnes – one of the highest rates in the world. In the UK this figure sits at 11.7 tonnes, still more than five times the figure recommended by the <a href="https://www.openaccessgovernment.org/the-average-british-carbon-footprint-is-five-times-over-paris-agreement-recommendations/152669/#:%7E:text=Despite%20rising%20environmental%20awareness%20across,equivalent%20(tCO2e)%20per%20year.">Paris Agreement</a> to keep global temperature rise below 1.5°C.</p> <p>Globally, the average annual carbon footprint of a person is closer to 4 tonnes. But, to have the best chance of preventing temperature rise from overshooting 2°C, the average global carbon footprint <a href="https://www.nature.org/en-us/get-involved/how-to-help/carbon-footprint-calculator/#:%7E:text=Globally%2C%20the%20average%20carbon%20footprint,tons%20doesn't%20happen%20overnight!">needs to drop</a> to under 2 tonnes by 2050. This figure equates to around <a href="https://www.theguardian.com/environment/ng-interactive/2019/jul/19/carbon-calculator-how-taking-one-flight-emits-as-much-as-many-people-do-in-a-year">two return flights</a> between London and New York.</p> <p>Intrepid Travel’s report predicts that we will see carbon passports in action by 2040. However, <a href="https://www.politico.eu/article/travel-short-haul-flights-europe-under-fire-climate-change-cop26/">several laws and restrictions</a> have been put in place over the past year that suggest our travel habits may already be on the verge of change.</p> <h2>Targeting air travel</h2> <p>Between 2013 and 2018, the amount of CO₂ emitted by commercial aircrafts worldwide <a href="https://theicct.org/sites/default/files/publications/ICCT_CO2-commercl-aviation-2018_20190918.pdf">increased by 32%</a>. Improvements in fuel efficiency are slowly reducing per passenger emissions. But <a href="https://www.sciencedirect.com/science/article/pii/S1352231014004889">research</a> from 2014 found that whatever the industry’s efforts to reduce its carbon emissions, they will be outweighed by the growth in air traffic.</p> <p>For emission reductions to have any meaningful effect, ticket prices would have to rise by 1.4% each year, discouraging some people from flying. However, in reality, <a href="https://www.climatecentral.org/news/increase-in-flights-will-outweigh-carbon-cuts-17875">ticket prices are falling</a>.</p> <p>Some European countries are beginning to take measures to reduce air travel. As of April 1 2023, passengers on short-haul flights and older aircraft in Belgium have been <a href="https://www.euronews.com/green/2022/12/12/private-jets-and-short-haul-flights-face-pollution-busting-tax-increases-in-belgium">subject to increased taxes</a> to encourage alternative forms of travel.</p> <p>Less than two months later France banned <a href="https://www.bbc.co.uk/news/world-europe-65687665">short-haul domestic flights</a> where the same trip can be made by train in two-and-a-half hours or less. <a href="https://businesstravelerusa.com/news/spain-to-follow-frances-lead-plans-to-ban-short-haul-domestic-flights/">Spain</a> is expected to follow suit.</p> <p>A similar scheme could also be on the horizon for Germany. In 2021, a <a href="https://www.cleanenergywire.org/news/seventy-percent-germans-favour-banning-short-haul-flights-survey">YouGov poll</a> found that 70% of Germans would support such measures to fight climate change if alternative transport routes like trains or ships were available.</p> <h2>Cruises and carbon</h2> <p>It’s not just air travel that’s being criticised. An <a href="https://www.transportenvironment.org/wp-content/uploads/2023/06/The-return-of-the-cruise-June-2023.pdf">investigation</a> by the European Federation for Transport and Environment in 2023 found that cruise ships pump four times as many sulphuric gases (which are proven to cause acid rain and <a href="https://www.forbes.com/sites/jamesellsmoor/2019/04/26/cruise-ship-pollution-is-causing-serious-health-and-environmental-problems/?sh=468ee2f637db">several respiratory conditions</a>) into the atmosphere than all of Europe’s 291 million cars combined.</p> <p>Statistics like these have forced European destinations to <a href="https://www.ft.com/content/8727387d-590d-43bd-a305-b5ec208a4dfe">take action</a> against the cruise industry. In July, Amsterdam’s council <a href="https://www.bbc.co.uk/news/world-europe-66264226">banned cruise ships</a> from docking in the city centre in a bid to reduce tourism and pollution – an initiative that has shown success elsewhere.</p> <p>In 2019 Venice was the most polluted European port, due to large numbers of cruise ship visits. But it dropped to 41st place in 2022 after a ban on large cruise ships entering the city’s waters <a href="https://www.transportenvironment.org/discover/europes-luxury-cruise-ships-emit-as-much-toxic-sulphur-as-1bn-cars-study/">reduced air pollutants from ships</a> in Venice by 80%.</p> <h2>Changing destinations</h2> <p>Intrepid Travel’s report also highlights that not only how we travel, but <a href="https://joint-research-centre.ec.europa.eu/jrc-news-and-updates/global-warming-reshuffle-europes-tourism-demand-particularly-coastal-areas-2023-07-28_en">where we travel</a> will soon be impacted by climate change. Boiling temperatures will probably diminish the allure of traditional beach destinations, prompting European tourists to search for cooler destinations such as Belgium, Slovenia and Poland for their summer holidays.</p> <p><a href="https://www.travelweekly.com/Travel-News/Tour-Operators/Travelers-seek-cooler-destinations-this-summer">Several travel agencies</a> reported seeing noticeable increases in holiday bookings to cooler European destinations like Scandinavia, Ireland and the UK during 2023’s peak summer travel months.</p> <p>Whatever the solution may be, changes to our travel habits look inevitable. Destinations across the globe, from <a href="https://www.theneweuropean.co.uk/barcelonas-war-on-tourism-ada-colau/">Barcelona</a> to the <a href="https://www.dw.com/en/italy-tourism-bans-controls-fees-restrictions/a-66453047">Italian riveria</a> and even <a href="https://theconversation.com/death-on-everest-the-boom-in-climbing-tourism-is-dangerous-and-unsustainable-114033">Mount Everest</a> are already calling for limits on tourist numbers as they struggle to cope with crowds and pollution.</p> <p>Holidaymakers should prepare to change their travel habits now, before this change is forced upon them.<!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/ross-bennett-cook-1301368"><em>Ross Bennett-Cook</em></a><em>, Visiting Lecturer, School of Architecture + Cities, <a href="https://theconversation.com/institutions/university-of-westminster-916">University of Westminster</a></em></p> <p><em>Image credits: Getty Images  </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/its-time-to-limit-how-often-we-can-travel-abroad-carbon-passports-may-be-the-answer-216503">original article</a>.</em></p>

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Homeowners often feel better about life than renters, but not always – whether you are mortgaged matters

<p><a href="https://theconversation.com/profiles/rachel-ong-viforj-113482">Rachel Ong ViforJ</a>, <em><a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em>; <a href="https://theconversation.com/profiles/hiroaki-suenaga-1477343">Hiroaki Suenaga</a>, <em><a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em>, and <a href="https://theconversation.com/profiles/ryan-brierty-1477346">Ryan Brierty</a>, <em><a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em></p> <p>Homeownership has long been thought of as the <a href="https://www.abc.net.au/news/2017-08-23/why-australians-are-obsessed-with-owning-property/8830976">great Australian dream</a>. For individuals, it’s seen as the path to adulthood and prosperity. For the nation, it’s seen as a cornerstone of economic and social policy.</p> <p>Implicit in this is the assumption that owning a home rather than renting one makes people better off.</p> <p>It’s an assumption we are now able to examine using data from the government-funded <a href="https://melbourneinstitute.unimelb.edu.au/hilda">Household, Income and Labour Dynamics in Australia</a> (HILDA) survey, which for two decades has asked questions both about homeownership and satisfaction with life.</p> <p>The <a href="https://melbourneinstitute.unimelb.edu.au/__data/assets/pdf_file/0007/4694137/ContinuingPersonQuestionnaireW23M.pdf">overarching question</a> asks "all things considered, how satisfied are you with your life? Pick a number between 0 and 10 to indicate how satisfied you are".</p> <p>We also looked at people’s satisfaction with their financial situation, their home and the neighbourhood in which they live.</p> <p>In a study published in the journal <a href="https://journals.sagepub.com/doi/10.1177/00420980231190479">Urban Studies</a>, we linked those answers to home ownership and characteristics including age and income.</p> <p>As expected, we found homeowners were generally more satisfied with their lives than renters. But we also find the extent to which they were more satisfied depended on whether or not they were still paying off a mortgage.</p> <h2>Mortgaged homeowners about as satisfied as renters</h2> <p>Outright home owners were 1.5 times as likely to report high overall satisfaction as renters. But home owners still paying off a mortgage were only a little more likely to feel high overall satisfaction.</p> <p>Similarly, outright owners were 2.3 times as likely to report high financial satisfaction as renters – but mortgaged owners were only 1.1 times as likely.</p> <p>When it comes to satisfaction with their home and neighbourhood, the differences were less extreme.</p> <p>Outright home owners were 3.1 times as likely to report high satisfaction with their home as renters, while mortgaged owners were 2.8 times as likely.</p> <p>Outright owners were 1.6 times as likely to report high satisfaction with their neighbourhood as renters, and mortgaged owners 1.4 times as likely.</p> <p>The results also varied with age and income.</p> <hr /> <p><iframe id="hK9Ua" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/hK9Ua/3/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <p>As shown in the graph above, outright owners were more likely to report high financial satisfaction than renters across almost the entire age range.</p> <p>But mortgaged owners only showed a demonstrably greater financial satisfaction than renters between the ages of 25 and 50.</p> <p>Beyond age 50, the existence of a mortgage debt burden appeared to cancel out any boost to financial satisfaction from homeownership. This potentially reflects the growing financial stress of making mortgage payments as retirement approaches.</p> <hr /> <p><iframe id="f2GSl" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/f2GSl/3/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <p>By income, mortgaged owners reported experiencing more financial satisfaction compared to renters the more they earned between A$80,000 and A$240,000. Outright owners experienced more financial satisfaction than renters up to A$320,000.</p> <p>Beyond these income levels, owners did not have greater financial satisfaction than renters, perhaps because high-earning renters have other sources of financial satisfaction.</p> <h2>How satisfied people feel beyond 60</h2> <p>In other respects, outright owners and mortgaged homeowners showed similar patterns, becoming more satisfied with their homes relative to renters the more they age up – until the age of 60. That’s when their satisfaction relative to renters declined, as illustrated below.</p> <p>This decline might reflect the growing physical burden of maintaining an owned home as people age.</p> <hr /> <p><iframe id="oLrHz" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/oLrHz/2/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <p>Our study has important implications. One is that age matters.</p> <p>Although older people consistently express a desire to <a href="https://www.ahuri.edu.au/analysis/brief/whats-needed-make-ageing-place-work-older-australians">age in place</a>, we found satisfaction among those who owned vs rented their home declined beyond age 60. This suggests better integration between housing and care is critical to support people ageing in place.</p> <p>Another implication is that as low-income owners are more reliant on their homes as a source of relative financial satisfaction than high earners, they are <a href="https://www.cambridge.org/core/journals/journal-of-social-policy/article/housing-equity-withdrawal-perceptions-of-obstacles-among-older-australian-home-owners-and-associated-service-providers/268F54A8EAA1E9ECA118E243505AA9FD">more exposed</a> in times of crisis. They may face the risk of being forced to sell suddenly with little time to consider the consequences.</p> <p>And another implication is as the relative financial satisfaction of mortgage holders disappears after the age of 50, and as more of us approach retirement with mortgages intact, more of us will either <a href="https://journals.sagepub.com/doi/10.1177/00420980211026578">postpone retirement</a> or become dissatisfied.</p> <p>Our findings suggest the extension of mortgage debt into later life should be discouraged if the benefits of the Australian dream are to be preserved.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215147/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/rachel-ong-viforj-113482"><em>Rachel Ong ViforJ</em></a><em>, ARC Future Fellow &amp; Professor of Economics, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/hiroaki-suenaga-1477343">Hiroaki Suenaga</a>, Senior Lecturer School of Accounting, Economics and Finance, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>, and <a href="https://theconversation.com/profiles/ryan-brierty-1477346">Ryan Brierty</a>, PhD candidate, School of Accounting, Economics and Finance, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/homeowners-often-feel-better-about-life-than-renters-but-not-always-whether-you-are-mortgaged-matters-215147">original article</a>.</em></p>

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Why am I online? Research shows it’s often about managing emotions

<p><em><a href="https://theconversation.com/profiles/wally-smith-1450210">Wally Smith</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/greg-wadley-203663">Greg Wadley</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Most of us <a href="https://wearesocial.com/au/blog/2022/02/digital-2022-australia-online-like-never-before/">go online</a> multiple times a day. About half of 18–29 year olds surveyed in a 2021 <a href="https://www.pewresearch.org/short-reads/2021/03/26/about-three-in-ten-u-s-adults-say-they-are-almost-constantly-online/">Pew Research Study</a> said they are “almost constantly” connected.</p> <p>How are we to make sense of this significant digital dimension of modern life?</p> <p>Many questions have rightly been asked about its broader consequences for society and the economy. But there remains a simpler question about what motivates people across a range of ages, occupations and cultures to be so absorbed in digital connection.</p> <p>And we can turn this question on ourselves: <em>why am I online?</em></p> <h2>What are we doing when we go online?</h2> <p>As the American sociologist Erving Goffman <a href="https://www.nytimes.com/1975/02/16/archives/frame-analysis.html">pointed out</a>, asking “What is it that’s going on here?” about human behaviour can yield answers framed at different levels. These range from our superficial motives to a deeper understanding of what we are “really” doing.</p> <p>Sometimes we might be content to explain our online behaviour in purely practical terms, like checking traffic routes or paying a bill. Other times we might struggle to articulate our reasons for going or remaining online.</p> <p>Why are we continually looking at our phones or computers, when we could be getting on with physical tasks, or exercising, or meditating, or engaging more fully with the people who are physically around us?</p> <h2>The ever-present need to manage our emotions</h2> <p>As researchers of human-computer interaction, we are exploring answers in terms of the ever-present need to manage our emotions. Psychologists refer to this activity as <a href="https://www.guilford.com/books/Handbook-of-Emotion-Regulation/James-Gross/9781462520732">emotion regulation</a>.</p> <p>Theories of the nature and function of emotions are complex and contested. However, it is safe to say they are expressions of felt needs and motivations that arise in us through some fusion of physiology and culture.</p> <p>During a typical day, we often feel a need to <a href="https://journals.sagepub.com/doi/abs/10.1037/1089-2680.2.3.271">alter our emotional state</a>. We may wish to feel more serious about a competitive task or more sad at a funeral. Perhaps we would like to be less sad about events of the past, less angry when meeting an errant family member, or more angry about something we know in our heart is wrong.</p> <figure><iframe src="https://www.youtube.com/embed/PQkNb4CLjJ8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Digital emotion regulation is becoming increasingly common in our everyday lives.</span></figcaption></figure> <p>One way to understand our frequent immersions into online experience is to see them as acts within a broader scheme of managing such daily emotional demands. Indeed, in <a href="https://www.sciencedirect.com/science/article/abs/pii/S1071581922001732">earlier research</a> we found up to half of all smartphone use may be for the purpose of emotional regulation.</p> <h2>Digital technologies are becoming key tools of emotion regulation</h2> <p>Over the pandemic lockdowns of 2020–21 in Melbourne, Australia, we investigated how digital technologies are becoming <a href="https://dl.acm.org/doi/10.1145/3491102.3517573">key tools of emotion regulation</a>. We were surprised to find that people readily talked of their technology use in these emotion-managing terms.</p> <p>Occasionally, this involved specially designed apps, for mindfulness and so on. But more often people relied on mundane tools, such as using social media alongside Zoom to combat feelings of boredom or isolation, browsing for “retail therapy”, playing phone games to de-stress, and searching online to alleviate anxiety about world events.</p> <p>To some extent, these uses of digital technology can be seen as re-packaging <a href="https://www.tandfonline.com/doi/abs/10.1080/026999399379285">traditional methods</a> of emotion management, such as listening to music, strengthening social connections, or enjoying the company of adorable animals. Indeed, people in our study used digital technologies to enact familiar strategies, such as immersion in selected situations, seeking distractions, and reappraising what a situation means.</p> <p>However, we also found indications that digital tools are changing the intensity and nature of how we regulate emotions. They provide emotional resources that are <a href="https://en.wikipedia.org/wiki/Ubiquitous_computing">nearly always available</a>, and virtual situations can be accessed, juxtaposed and navigated more deftly than their physical counterparts.</p> <p>Some participants in our study described how they built what we called “emotional toolkits”. These are collections of digital resources ready to be deployed when needed, each for a particular emotional effect.</p> <h2>A new kind of digital emotional intelligence</h2> <p>None of this is to say emotion regulation is automatically and always a good thing. It can be a means of avoiding important and meaningful endeavours and it can itself become dysfunctional.</p> <p>In our study of a small sample of Melburnians, we found that although digital applications appeared to be generally effective in this role, they are volatile and can lead to <a href="https://www.theguardian.com/commentisfree/2020/sep/27/social-dilemma-media-facebook-twitter-society">unpredictable emotional outcomes</a>. A search for energising music or reassuring social contact, for example, can produce random or unwanted results.</p> <p>A new kind of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187756/">digital emotional intelligence</a> might be needed to effectively navigate digital emotional landscapes.</p> <h2>An historic shift in everyday life</h2> <p>Returning to the question: <em>what am I doing online?</em> Emotion regulation may well be the part of the answer.</p> <p>You may be online for valid instrumental reasons. But equally, you are likely to be enacting your own strategies of <a href="https://cis.unimelb.edu.au/hci/projects/digitalemotionregulation">emotion regulation through digital means</a>.</p> <p>It is part of an historic shift playing out in how people negotiate the demands of everyday life. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208483/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/wally-smith-1450210">Wally Smith</a>, Professor, School of Computing and Information Systems, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/greg-wadley-203663">Greg Wadley</a>, Senior Lecturer, Computing and Information Systems, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-am-i-online-research-shows-its-often-about-managing-emotions-208483">original article</a>.</em></p>

Technology

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Not just a youth movement: history too often forgets older protesters

<p><a href="https://theconversation.com/profiles/effie-karageorgos-453765">Effie Karageorgos</a>, <em><a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Recent sustained anti-coal action by Blockade Australia in the Hunter Valley has brought public protest back into the news cycle. Activists have <a href="https://www.abc.net.au/news/2023-06-21/coal-protests-block-rail-lines-to-newcastle-port/102504056">occupied trains, railway lines and machinery</a> in an attempt to obstruct coal production and broadcast their message about the climate crisis.</p> <p>Under recent <a href="https://www.humanrights.unsw.edu.au/research/commentary/explainer-what-are-your-rights-to-protest-australia#:%7E:text=In%202022%2C%20Tasmania%20passed%20anti,%E2%80%9C%E2%80%A6">anti-protest legislation</a> in New South Wales, which has been matched by similar laws in other states, some protesters have been charged by police for their activism.</p> <p>Internationally, protesters faced with arrest have devised new ways to protest. Recently, Iranian activists have started engaging in “<a href="https://www.hks.harvard.edu/faculty-research/policy-topics/international-relations-security/civil-upheaval-iran-why-widespread">micro-protests</a>”, which are small-scale protests over a shorter period of time, to evade arrest.</p> <p>My historical research into the infrastructure of protest, using the anti-Vietnam War campaign in New South Wales as a case study, has found that many Australians who did not or could not actively or publicly protest similarly found “quieter” ways to express their opposition to the conflict.</p> <h2>The youth are revolting</h2> <p>In the popular Australian imagination, it seems the protester is a young person creating a public spectacle – holding up a sign, occupying a building or marching down a city street, even though older activists regularly play a part in protest movements.</p> <p>Many might think of figures like <a href="https://theconversation.com/lidia-thorpes-mardi-gras-disruption-is-the-latest-in-an-ongoing-debate-about-acceptable-forms-of-protest-at-pride-200713">Lidia Thorpe</a> disrupting the 2023 Sydney Gay and Lesbian Mardi Gras Parade or ongoing protests by <a href="https://www.schoolstrike4climate.com/">School Strike 4 Climate</a>, which have shown how willing young people are to agitate for their collective futures.</p> <p>But, in fact, one of the two anti-coal activists charged on last month for occupying a train in Singleton, New South Wales, is <a href="https://www.police.nsw.gov.au/news/news?sq_content_src=%2BdXJsPWh0dHBzJTNBJTJGJTJGZWJpenByZC5wb2xpY2UubnN3Lmdvdi5hdSUyRm1lZGlhJTJGMTA3MTc3Lmh0bWwmYWxsPTE%3D">64 years old</a>.</p> <p>My research shows our public memory of protest doesn’t come close to capturing everyone who used their energies to protest Australian involvement in Vietnam in the 1960s and 1970s, so we need to shift our idea of both protest and the protester to understand the potential scope of activism.</p> <figure><iframe src="https://www.youtube.com/embed/Thm03IUiJ6U?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Quiet protest</h2> <p>Vietnam War-era protest organisations, such as the Association for International Cooperation and Disarmament, Save Our Sons, Youth Campaign Against Conscription and the Vietnam Moratorium Campaign, were aware of how important “quiet protest” was to the wider movement.</p> <p>They <a href="https://collection.sl.nsw.gov.au/record/1JkmeexY">continually appealed to supporters</a> for help selling buttons, putting up posters, selling raffle tickets, filling envelopes, leafleting and other clerical work. These were all carried out by people who were opposed to the war, and are all considered acts of protest.</p> <p>Social movement theorists agree that time and availability are crucial in drawing people to protest. As far back as 1974, the sociologist <a href="https://journals.sagepub.com/doi/10.1177/002188637401000206">Anthony Orum</a> wrote: "Without people who have time on their hands, great revolutions would probably never get off the ground."</p> <h2>Time and capacity</h2> <p>But what of those who did not have the time or capacity to march on streets, but who still saw themselves as part of the anti-Vietnam War movement?</p> <p>The <a href="https://collection.sl.nsw.gov.au/record/1l4dPbX1">administrative records</a> of protest organisations held in the <a href="https://www.sl.nsw.gov.au/">State Library of New South Wales</a> let us into the lives of such people.</p> <p>These include Ian Robertson, a full-time Macquarie University student, whose parents had banned political activity because they feared it would disrupt his studies. Another silent protester was a Mrs Thomson, who was too busy organising her daughter Sue’s wedding to participate in anti-Vietnam protest activities. Public servants were also not permitted to publicly support the movement.</p> <p>Most such records come from elderly members of the movement. In November 1969, Mabel Wilson, who in her words was “six years an octogenarian,” sent $5 to the <a href="https://www.awm.gov.au/collection/C96428">Committee in Defiance of the National Service Act</a>, writing: "I admire your courage and am completely in sympathy with your ideals. Alas! I am very old […] As you can see I can be of practically no use to you – or anyone […] My heart is with you all the way."</p> <p>Similarly, on March 21 1970, Doris J Wilson of Asquith sent a donation to the Northern Districts Vietnam Moratorium Group with a letter saying: "I am past the age where I can do very much more than be just a voice."</p> <p>On September 14 1970, L.T. Withers sent the same group a letter saying: "Congratulations for what you have accomplished. I feel rather guilty at being so useless […] myself and my wife are not as energetic as we used to be as the years are catching up on us a bit. I have enclosed a small donation to your local funds […] I would also be grateful if you could keep me informed of your activities."</p> <p>Ruth Fryer of Hornsby sent a letter on February 9 1971 with a $3 donation: "Sometimes you wish you were young &amp; strong again! But the hard work seems to be left to the young ones."</p> <p>These Australians, among many others, were interested in the anti-Vietnam campaign and wanted to be involved as much as they could, given their limitations.</p> <h2>The infrastructure of historical protest</h2> <p>Studying the infrastructure of historical protest organisations shows us that we need to expand our idea of what a protest movement is and who it includes if we want to achieve the present-day goals of activist campaigning.</p> <p>These findings are exciting because they capture a larger group of Australians in the protest tradition, and move past a limited, and often ableist and ageist, vision of protest to incorporate many others who feel just as strongly about the issues governing their lives.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208472/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/effie-karageorgos-453765">Effie Karageorgos</a>, Lecturer, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/not-just-a-youth-movement-history-too-often-forgets-older-protesters-208472">original article</a>.</em></p>

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This is how often you should be replacing your bed linen

<p>The ultimate bed is one you want to dive right in to. Beautifully dressed, lofty and full, it is accessorised thoughtfully with perfectly plump pillows, a soft throw and plush duvet. But knowing when to replace certain key elements is essential.</p> <p><strong>Mattress</strong></p> <p>A quality mattress should be chosen according to your age and perhaps body type. “Look for a mattress that promotes perfect posture and comfort, while reducing pressure on your entire body,” says Timothy Dutt from <u><a href="https://ultimatebeds.com.au/">Ultimate Beds</a></u>. “It should be constructed of natural materials and not include metals, latex or synthetic fabrics.”</p> <p>Contrary to popular belief, a premium mattress requires minimal maintenance, he says, and shouldn’t need to be flipped. “If it does, it is generally a sign that it will collapse, and the manufacturer is hoping to ensure it will collapse evenly,” says Dutt. “A quality mattress should also feature removable breathable covers and sit on a bed base with quality solid slats that provide adequate ventilation.”</p> <p>Because our bodies change as we get older, consider the support your mattress provides.</p> <p>“A general rule of thumb, is that a mattress should be changed every seven to 10 years. This is also for hygiene and health reasons,” says Dutt. “Look for signs it is failing, like lumps in the pillow top, dead spots in the springs, sleep impressions, waking up with aches and pains and not feeling rested.”</p> <p><strong>Pillows</strong></p> <p>When choosing your perfect pillow, being aware of your habitual sleep positions is imperative to make the right selection.</p> <p>“You might be a back, tummy or side-sleeper, or a bit of everything,” says Lauren Roe, Creative Director at <a href="https://www.ilovelinen.com.au/">I Love Linen</a>.</p> <p>“Different pillow styles are designed to support your head and neck based on how your body will be positioned at night. For example, if you prefer side-sleeping or you are a larger frame, a high-loft pillow might work best for you.”</p> <p>A pillow is only as comfortable as what is inside it. “Always ask about its inners,” she says. “If it’s microfibre, ensure it is soft, long-stapled and high quality, not cheap, rough polyfill. If the filling is natural fibres like feathers, ensure they are virgin. It means it is animal-friendly and a better quality filling.”</p> <p>Daily plumping is also essential for keeping your pillows in tip-top condition.</p> <p>“Every pillow has its own specific-care recommendations that should be closely followed,” she says. “Daily plumping is really effective for ensuring good air flow throughout and keeping fibres soft and supple.”</p> <p>Every 12 months check your pillows for signs of wear and tear. “You are spending so much time in close contact with your pillow, that for your own comfort and health it pays to replace them. If they feel flat or lumpy or show signs of holding too much dust, there could be dust mites trapped inside.”</p> <p><strong>Bed linen</strong></p> <p>“You know you have high-quality bed linen, when it’s still the set you want to dress your bed in years after you purchased it,” says Alex McCabe, designer at Australian bed linen company <a href="https://kipandco.com.au/">Kip and Co</a>.</p> <p>“When purchasing, look for fabrics that will really last. That means that they need to be good quality and can mix and match well. Always select for the season. I love the warmth and comfort of jersey and velvet, but during the warmer months I gravitate towards 100 per cent cotton or French linen.”</p> <p>This summer, beds are set to bloom with beautiful botanicals, she says. “Think timeless florals, creeping vines, stone and citrus-fruit pops,” says McCabe. “Our latest collection is called In Full Bloom. It’s inspired by colour-drenched Europe in the spring.”</p> <p>For long-lasting, dreamy bed linen, be sure to launder mindfully. “Bed linen doesn’t have a use-by date,” she says, “but it will last a long time if you follow the care instructions.”</p> <p>When the fabric begins to look worn out or threadbare, it’s time to be replaced. “For longevity, let each set of bed linen rest by rotating it regularly. Each season, add to your collection, but don’t throw out your old stuff. Changing it up means it lasts longer and is a great way to refresh the whole look and feel of your bedroom.”</p> <p><em>Written by Elizabeth Clarke. Republished with permission of Domain.com.au.</em></p> <p><em>Images: Getty</em></p>

Home & Garden

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Ethical non-monogamy: what to know about these often misunderstood relationships

<p>Imagine Sarah and John have been in a <a href="https://www.queerlit.co.uk/products/rewriting-the-rules?_pos=1&amp;_sid=0287cd7c7&amp;_ss=r">monogamous relationship</a> for five years. Although they love each other, Sarah, who is bisexual, has recently started feeling an attraction to her coworker, Andrea. This has led to several sexual encounters, leaving Sarah feeling guilty. However, she has not talked to John about her feelings or experiences with Andrea.</p> <p>No matter how much you love your partner, it’s common to feel attracted to someone outside of a relationship. Some couples may even want sexual encounters with other people. It can be difficult to navigate these feelings, especially when they conflict with the commitment and promises made in the relationship. While the sex between Sarah and Andrea was consensual, Sarah engaged in non-consensual sex by stepping outside of her monogamous relationship without John’s consent.</p> <p>There is growing curiosity about ethical or consensual <a href="https://doi.org/10.1016/j.copsyc.2022.101468">non-monogamous relationships</a>, particularly among young people. YouGov data found that 43% of millennial Americans say their <a href="https://today.yougov.com/topics/society/articles-reports/2020/01/31/millennials-monogamy-poly-poll-survey-data">ideal relationship</a> is non-monogamous, even if few are in such a relationship. And a survey commissioned by sex toy brand <a href="https://www.independent.co.uk/life-style/love-sex/throuples-restaurants-valentines-day-b2010151.html">Lelo</a>, found that 28% of aged 18 to 24 would consider an open relationship.</p> <p>What makes non-monogamy “ethical” is an emphasis on <a href="https://bettymartin.org/videos/">agreed, ongoing consent</a> and mutual respect. All parties involved are fully aware of the situation and voluntarily agree to participate. Partners are free to change their minds at any time and (re)negotiate boundaries that work for everyone involved. Ethical non-monogamy can take many forms, including <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8321986/">polyamory</a>, open relationships and <a href="https://bpspsychub.onlinelibrary.wiley.com/doi/abs/10.1348/014466606X143153">swinging</a>.</p> <p>These relationships are often <a href="https://journals.sagepub.com/doi/epub/10.1177/01461672221139086">stigmatised</a> and misunderstood. They challenge the traditional notion of monogamy, which is commonly viewed in most western and religious societies as the only acceptable way of engaging in romantic relationships.</p> <p>Yet <a href="https://journals.sagepub.com/doi/10.1177/1948550619897157">research has shown</a> that consensual non-monogamy can have positive effects on relationships and the people in them. People in consensual non-monogamous relationships have <a href="https://journals.sagepub.com/doi/pdf/10.1177/1088868312467087?casa_token=We5Fp9hOPjQAAAAA:LI0m000j1SwvqGMbCVWekUcZ5z9DfqzuMmUtdIi59-OJiEZJ0_EjxlYq3pU6xcUZr5jIG9vlvXxztA">reported</a> higher levels of sexual and relationship satisfaction and greater <a href="https://www.tandfonline.com/doi/full/10.1080/19419899.2011.631571">relational intimacy</a> than people in monogamous relationships.</p> <h2>Misconceptions and stigma</h2> <p>One <a href="https://link.springer.com/article/10.1007/s13178-021-00667-7">stigmatising view</a> is that people in non-monogamous relationships pose a greater risk to their partners’ sexual health. This is based on the assumption that having multiple sexual partners increases the likelihood of <a href="https://www.researchgate.net/publication/282130422_A_Comparison_of_Sexual_Health_History_and_Practices_among_Monogamous_and_Consensually_Nonmonogamous_Sexual_Partners">sexually transmitted infections</a> (STIs).</p> <p>However, research shows that people in open and non-monogamous relationships have <a href="https://www.sciencedirect.com/science/article/abs/pii/S174360951534008X?via%3Dihub">safer sex practices</a> than monogamous, but unfaithful partners. Ethical non-monogamy can be a safer outlet for sexual expression compared with monogamous relationships that have led to <a href="https://academic.oup.com/jsm/article-abstract/12/10/2022/6966715">cheating</a> where someone ends up passing an STI to their partner.</p> <p>In healthy relationships, partners recognise that each person has their own unique sexual preferences and <a href="https://link.springer.com/article/10.1007/s13178-021-00667-7">diverse needs</a>. For consensually non-monogamous partners, this means understanding that their primary relationship may not always fulfil all their sexual desires.</p> <p>Although jealousy can still exist within non-monogamous relationships, <a href="https://www.tandfonline.com/doi/full/10.1080/1041794X.2018.1531916">research</a> has found that it can be more <a href="https://nsuworks.nova.edu/cgi/viewcontent.cgi?article=3297&amp;context=tqr">manageable</a> than in monogamous ones. This is because, in secure non-monogamous partnerships, there are open discussions about sexual attraction and setting boundaries, where partners can address jealousy anxiety.</p> <h2>Exploring non-monogamy</h2> <p>Ethical non-monogamy is not for everyone. You should only explore this type of relationship if it feels comfortable, you seek appropriate consent and the existing relationship is solid. Outsiders often hold the <a href="https://pubmed.ncbi.nlm.nih.gov/33990929/">stereotypical</a> view that people only engage in ENM if their current relationship is unstable.</p> <p>If you decide that it’s right for you, keep the following in mind.</p> <p><strong>1. Communicate openly</strong></p> <p>Communication is important in any relationship, but especially critical in ENM relationships. Partners must be transparent and honest about their intentions, feelings, expectations and boundaries. People in non-monogamous relationships need to be aware of their emotional boundaries and be prepared to navigate feelings of <a href="https://link.springer.com/article/10.1007/s10508-018-1286-4">jealousy</a>.</p> <p><strong>2. Practice safe sex</strong></p> <p>Sexual health is key regardless of your relationship status or style. Get tested regularly for STIs and to use protection during sexual encounters to minimise the risk of transmission.</p> <p><strong>3. Stop shame</strong></p> <p>Managing stigma is one of the most difficult parts of an ENM relationship. When people are socialised to believe that having multiple partners is wrong or immoral, this can lead to feelings of shame and self-doubt. It is important to recognise that consensually non-monogamous and multipartnered relationships are a valid lifestyle choice. You can seek support from like-minded people or talk to a sex and relationship therapist if necessary.</p> <p>While non-monogamy is not everyone’s cup of tea, these tips can be helpful for any relationship. Ultimately, it is essential to keep communication, consent and respect at the heart of your partnership.</p> <p><em>Image credit: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/ethical-non-monogamy-what-to-know-about-these-often-misunderstood-relationships-200785" target="_blank" rel="noopener">The Conversation</a>.</em></p>

Relationships

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"I want people to be afraid of the women I dress": the celebrated – and often controversial – designs of Alexander McQueen

<p>Alexander McQueen: Mind, Mythos, Muse was first conceived at the Los Angeles County Museum of Art. </p> <p>That museum, like many around the world, is being <a href="https://www.latimes.com/entertainment-arts/story/2022-10-13/lacma-funding-news-update-construction">completely redeveloped</a> to embrace not just spectacular new buildings, but new attitudes towards museum collections. </p> <p>Gone are the boundaries between materials, forms, cultures, nationalities and hierarchies of the arts. No more gallery of, say, “18th century North American silver” or “Medieval and Renaissance art in the European North”. Instead, arts from varied times, places and hierarchies all sit together. </p> <p>An exhibition of the work of Alexander McQueen (1968-2010) was an interesting response to this challenge of a new museum, which also highlighted the relatively late arrival of fashion as a category worthy of study in the global museum. </p> <p>It paired garments by McQueen – many specially donated by one woman collector – with the rich Los Angeles County Museum of Art collections in order to suggest the ways in which McQueen had generated his ideas. </p> <p>Now the exhibition has come to the National Gallery of Victoria, with most of the McQueens on display here donated by Melbourne fashion philanthropist Krystyna Campbell Pretty.</p> <h2>Flourishing postmodernism</h2> <p>This new show is extensive. We have 120 McQueen looks and 80 other works of art. Paintings and decorative arts star in this show, notably the spectacular Jean-Baptiste Greuze painting of a young French actress in Turkish-style dress, on loan from Los Angeles.</p> <p>The visual pairings, which range from 18th century English porcelain figures to lavish Russian gold-woven cloths, drive much of the tempo. </p> <p>Important loans from the Los Angeles County Museum of Art are joined by treasures from the NGV, including a spectacular Morris embroidered wall cloth and the Netherlandish flower paintings that contain within them the idea of memento mori – remember that you die.</p> <p>Lee Alexander McQueen was born in 1968, so he was young in the 1980s, absorbing all the flashes of art, design and culture in which postmodernism flourished. </p> <p>Working-class, McQueen did not first go to art school as his middle-class counterparts might. Instead, he apprenticed in Savile Row, the epicentre of bespoke British tailoring, mastering the cut of jackets and trousers.</p> <p>He became so technically proficient that when he applied to tutor technique at art school he was invited to enrol in a Masters. </p> <p>And so the celebrated – and often controversial – McQueen high fashion design was born.</p> <h2>An immersive experience</h2> <p>As well as new ways of dressing for women, McQueen gave us new ways of representing fashion: high concept runways, fashion films, live screenings and putting Paralympian Aimee Mullins on the runway, generating new modes of beauty.</p> <p>At the NGV we have a fully immersive experience and bold scenography.</p> <p>“Mythos” examines three collections through the filter of mythology and theology. McQueen loved to make the present strange by incorporating elements from religious practice, even prejudice, from the past. </p> <p>Everything from angels to demons, from witch burning to Catholic rites might be incorporated for design, fabrication or the runway. </p> <p>These go past simply being artistic source material to generate new ways of looking and appearing for women. “I want people to be afraid of the women I dress,” he said.</p> <p>This exhibition celebrates McQueen’s technical bravura across both tailoring and soft dressmaking, two categories of making clothes that were often conducted separate from the other in the west. </p> <p>Intimate backstage photographs are shown, indicating how the clothes were really worn by models and friends. Here the “muse” is no longer a house model or elegant confidant, but rather a whole set of cultural reflections.</p> <p>The third and final section is called “Fashion Narratives”. Here we see a visual imagination ranging across Siberia, Tibet and other exotic locales.</p> <p>McQueen might, in this section, be accused of cultural appropriation, but this would be unfair. </p> <p>Rather than appropriation, his fashion designs were about fantasy, and fantasy put to good ends, making things from gender to place to sexuality off centre or strange, so we are aware of the fragile accord we have between our identities and our appearances. </p> <p>As Catherine Brickhill, the first designer employed by McQueen to work on his label notes in the catalogue, McQueen, "delved deep into the differences between our culture and other cultures. It wasn’t cultural appropriation, but an openness to and curiosity to be explored and celebrated."</p> <p>Other narratives in this section include the most controversial ones that swirled around McQueen, notably <a href="https://blog.metmuseum.org/alexandermcqueen/tag/highland-rape/">Highland Rape collection</a>, in which McQueen suggested the appearance of Scottish widows during the Highland Wars in ripped and tattered clothes.</p> <p>It would be as silly to accuse McQueen of misogyny here as it would to claim Elsa Schiaparelli hated women for dressing them in <a href="https://spikeartmagazine.com/?q=articles/tears-dress-elsa-schiaparelli-and-salvador-dali">ripped dresses</a> suggestive of assault or accident in the 1930s. </p> <p>Instead, McQueen gives us clothes not just as theatre but as “choreographed deception”, in which male and female elements come together to cancel the other out.</p> <h2>Beyond good</h2> <p>In an era of increasing specialisation, vocational training and narrow fields of research and investigation, this exhibit shows us how a great designer goes beyond good.</p> <p>It shows us how his vision extended well beyond clothes to how they were imagined, and how women might imagine themselves, at all times.</p> <p>When you wear trousers with a very low rear; slip on a <a href="https://textilefocus.com/overview-digital-textile-printing-technology/">digitally printed</a> fabric or has allusions to nature – crystals, leaves, water; wear an asymmetrical outfit with slightly extended shoulders; don impossible shoes to your New Year’s party; or put on an eyeshadow that makes you look like a hummingbird: McQueen was there first. </p> <p>Alexander McQueen: Mind, Mythos, Muse is at NGV International, Melbourne, until April 16 2023.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/i-want-people-to-be-afraid-of-the-women-i-dress-the-celebrated-and-often-controversial-designs-of-alexander-mcqueen-194731" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Beauty & Style

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Why do I sprain my ankle so often and how can I cut the risk of it happening again?

<p>Are you one of those people who seems to be forever spraining their ankle?</p> <p>To some extent, ankle sprains are <a href="https://meridian.allenpress.com/jat/article/54/6/603/420863/Epidemiology-of-Ankle-Sprains-and-Chronic-Ankle" target="_blank" rel="noopener">part and parcel</a> of being active.</p> <p>But if it’s happening again and again, here’s what may be going on – and how you can reduce your risk of recurrent ankle sprain.</p> <h2>One sprain can lead to another… and another</h2> <p>A large <a href="https://link.springer.com/article/10.1007/s40279-013-0102-5" target="_blank" rel="noopener">review</a> of ankle sprain studies in the journal <a href="https://link.springer.com/article/10.1007/s40279-013-0102-5" target="_blank" rel="noopener">Sports Medicine</a> found most people who actively play sport or train can expect to have a fairly low incidence of ankle sprain per 1,000 hours of training time. But it also said:</p> <blockquote> <p>Females were at a higher risk of sustaining an ankle sprain compared with males and children compared with adolescents and adults, with indoor and court sports the highest risk activity.</p> </blockquote> <p>The most frequent type of ankle sprain occurs if the ligaments on the outside of the ankle are stretched or torn when the joint moves beyond the normal range of movement. This is known as an inversion or lateral ankle sprain.</p> <p>Strong evidence from <a href="https://meridian.allenpress.com/jat/article/56/6/578/466668/Lateral-Ankle-Sprain-and-Subsequent-Ankle-Sprain" target="_blank" rel="noopener">studies</a> suggests once people sprain their ankle, they are more likely to re-sprain it. As one <a href="https://meridian.allenpress.com/jat/article/56/6/578/466668/Lateral-Ankle-Sprain-and-Subsequent-Ankle-Sprain" target="_blank" rel="noopener">review</a> of the evidence put it:</p> <blockquote> <p>a history of lateral ankle sprain is known to disrupt the structural integrity of the ligaments and sensorimotor function, likely impairing an individual’s ability to avoid injurious situations.</p> </blockquote> <p>Some ankle sprains might seem to be very minor, with almost no swelling or mobility problems. But some people can end up with what’s known as chronic ankle instability, where they tend to re-sprain their ankle again and again.</p> <p>Another <a href="https://link.springer.com/article/10.1007/s40279-017-0781-4" target="_blank" rel="noopener">review</a> looking at factors contributing to chronic ankle instability found</p> <blockquote> <p>feelings of instability and recurrent ankle sprain injuries (termed chronic ankle instability, or CAI) have been reported in up to 70% of patients. The subsequent development of CAI has adverse health consequences including reduced quality of life and early-onset osteoarthritis.</p> </blockquote> <p>Once an ankle fracture is excluded, busy hospital emergency departments often send patients home with instructions to ice the ankle and keep off it for a day or two. There’s often no advice to follow up with a physio for rehabilitation.</p> <p>This is unfortunate, as evidence suggests people with a history of ankle sprains will likely:</p> <ul> <li> <p>become progressively <a href="https://meridian.allenpress.com/jat/article/50/7/742/112426/Physical-Activity-Levels-in-College-Students-With" target="_blank" rel="noopener">less active</a></p> </li> <li> <p>have <a href="https://bjsm.bmj.com/content/50/24/1496.long" target="_blank" rel="noopener">higher</a> body mass indices</p> </li> <li> <p>report more general body <a href="https://bjsm.bmj.com/content/50/24/1496.long" target="_blank" rel="noopener">pain</a> and</p> </li> <li> <p>generally tend to have a lower <a href="https://bjsm.bmj.com/content/50/24/1496.long" target="_blank" rel="noopener">quality of life</a>.</p> </li> </ul> <h2>Even the other ankle may be at risk</h2> <p>Research suggests people who sprain their ankle may be more likely to have <a href="https://meridian.allenpress.com/jat/article/56/6/578/466668/Lateral-Ankle-Sprain-and-Subsequent-Ankle-Sprain" target="_blank" rel="noopener">injuries</a> to other joints on the same leg, or even the opposite leg. A review in the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196323/" target="_blank" rel="noopener">International Journal of Sports Physiotherapy</a> noted “an ankle sprain is linked to both re-injury and subsequent injury to the contralateral side”.</p> <p>Why? It may have something to do with the brain’s tremendous ability to continually adapt.</p> <p>Just as <a href="http://www.ajnr.org/content/36/11/2048" target="_blank" rel="noopener">extended bed rest</a> or prolonged microgravity exposure in <a href="https://doi.org/10.1007/978-3-319-68201-3_3" target="_blank" rel="noopener">astronauts</a> can cause changes in the brain and the way it relates to movement, perhaps our brains subconsciously compensate after an ankle injury.</p> <p>That could be by, for example, via limping or a slight change in the way you walk; perhaps you subconsciously don’t want to challenge the ankle due to fear of re-spraining. This may put other joints or the opposite limb at heightened risk.</p> <p>This neuroplasticity adds new challenges to the assessment or rehabilitation of ankle injury, and to predicting who is likely to be at increased <a href="https://www.tandfonline.com/doi/abs/10.1080/00913847.2020.1780098?journalCode=ipsm20" target="_blank" rel="noopener">risk of subsequent injuries</a>.</p> <h2>What can you do to reduce the risk of re-spraining your ankle?</h2> <p>If you’re getting recurrent ankle sprains, see a physiotherapist. They will be able to teach you how to reduce the risk.</p> <p>Currently the best evidence for reducing the chances of re-spraining your ankle sprain comes down to two main things:</p> <p>1) Protecting the joint with an ankle brace when active</p> <p>This could mean using a <a href="https://meridian.allenpress.com/jat/article/54/6/650/420871/Prevention-of-Lateral-Ankle-Sprains" target="_blank" rel="noopener">professionally fitted external support brace</a> (not an elastic sleeve). This is a relatively low cost and effective means of risk reduction.</p> <p>2) Using balancing exercises and ‘proprioceptive training’</p> <p>Examples of <a href="https://meridian.allenpress.com/jat/article/52/11/1065/112804/Proprioceptive-Training-for-the-Prevention-of" target="_blank" rel="noopener">proprioceptive training</a> include:</p> <ul> <li> <p>balancing on each leg, one at a time, while throwing and catching a ball against a wall</p> </li> <li> <p>balancing on an ankle disc or wobble board for three to five minutes daily.</p> </li> </ul> <p>These exercises can help strengthen the muscles and ligaments in your ankle. As one literature review put it:</p> <p>Proprioceptive training is a cost- and time-effective intervention that can benefit patients who have sustained a previous ankle sprain during physical activity and can subsequently reduce the risk of further complications.</p> <p><strong>This article originally appeared on <a href="https://theconversation.com/why-do-i-sprain-my-ankle-so-often-and-how-can-i-cut-the-risk-of-it-happening-again-190751" target="_blank" rel="noopener">The Conversation</a>.</strong></p> <p><em>Image: Shutterstock</em></p>

Body

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How often should you wash your sheets?

<p><strong>Cleaning your sheets</strong></p> <p>How often should you wash your sheets? It may not be a question you ask yourself regularly. After all, unless you spill something on them or your pet has an accident, it’s easy to assume they’re clean and just get into bed. But, unfortunately, there’s a lot lying on those sheets besides you.</p> <p>We spend upwards of 60 hours a week on our sheets, according to Annette Grant and Sarah Karakaian, full-time short-term rental managers and hosts of the Thanks for Visiting podcast. “If you think of it like wearing the same t-shirt or pants for 60 hours a week, laundering your sheets more often doesn’t seem like such a tall order. Caring for your bedding can directly affect your health and the quality of your sleep,” they say.</p> <p><strong>How often should you wash your sheets?</strong></p> <p>“Washing once a week is best,” says lifestyle expert Cheryl Nelson. “But definitely wash sheets AT LEAST once every two weeks. That’s the maximum amount of time you should go. You’re washing off germs, sweat, saliva, body oils, allergens, pollen, makeup residue, dead skin cells, pet dander, dust mites, bacteria, fungi, and even bodily fluids/faecal matter, all of which can cause health problems.”</p> <p>What happens if you don’t wash your sheets often enough? “More exposure to pollen, pet dander, fungi, etc can worsen allergy and asthma symptoms,” Nelson points out. “Dirty sheets can also cause contact dermatitis or trigger eczema.”</p> <p><strong>Some people may need to wash their sheets more often</strong></p> <p>How often you should wash your sheets depends on your body and lifestyle. Nelson suggests you wash your sheets every few days if you:</p> <ul> <li>Suffer from allergies or asthma</li> <li>Sweat excessively</li> <li>Eat in bed</li> <li>Let your pets sleep in your bed</li> <li>Have an infection or lesion on your body</li> <li>Sleep naked</li> <li>Don’t shower before getting into bed</li> </ul> <p>All of these factors make it more likely that you’ll have some kind of negative reaction if you don’t wash your sheets regularly.</p> <p><strong>Why it's important to wash your sheets regularly</strong></p> <p>Because your skin comes in direct contact with them for so many hours, some of the negative reactions you can have to dirty sheets include:</p> <ul> <li>Skin irritations</li> <li>Acne</li> <li>Eczema</li> <li>Allergies</li> <li>Infections</li> </ul> <p>However, you can rest assured that you will not get bed bugs from dirty sheets. “Bed bugs have nothing to do with cleanliness,” explains Nelson. “They ‘hitchhike’ a ride on other items brought in from outside, like luggage, bags, and shoes.”</p> <p><strong>How often should you buy new sheets</strong></p> <p>According to Grant and Karakaian, the quality of your sheets will directly affect how long they last. “Sheets made of higher-end cotton are more durable and can last up to four to five years,” they say, “but the average polyester sheet will start to break down after two or three years.”</p> <p>Some of the signs that you need to invest in new sheets include pilling, tearing, thinning, and stretching. If your sheets have stains that can’t be removed, they don’t smell as fresh after washing anymore, or they just don’t feel as good against your skin, toss them. Depending on your preferences, consider buying a set of cooling sheets or some cosy flannel sheets for a good night’s sleep.</p> <p>“If you really hate doing laundry, we recommend having extra sheets on hand,” say Grant and Karakaian. “That way, you can still change your sheets every week but you don’t have to wash them as often.”</p> <p><strong>Should you wash brand-new sheets?</strong></p> <p>“Yes!” says Nelson. “Sheets are often made with chemicals and dyes that can irritate skin, eyes, and airways – especially if you have allergies or sensitive skin. I always wash sheets first with a hypoallergenic and fragrance-free laundry detergent to ensure they’re clean.”</p> <p><strong>How to wash sheets </strong></p> <p>Even if you know how to do laundry, you’ll want to know how to choose the best washing machine temperature and how to choose the best dryer setting for getting your sheets their cleanest. Here’s a step by step guide to washing your sheets, according to Grant and Karakaian, who, as full-time short-term rental managers, have perfected the process.</p> <ul> <li>Check the instructions and laundry symbols on the care tags before doing anything.</li> <li>Pretreat any stains by soaking in your desired stain remover in it for an hour.</li> <li>Unless otherwise noted on the care instructions, select the normal cycle on your washing machine and opt for warm water.</li> <li>When the wash cycle is complete, remove the sheets and hang them on the line or toss them into your dryer. If using a dryer, hoose the permanent press setting if your machine offers it. This will allow sheets to continue tumbling after the cycle is through until you’re ready to remove them. If your machine doesn’t offer permanent press, select the medium or warm setting. Do not dry your sheets on high! Doing so will significantly cut the lifespan of your sheets.</li> <li>Remove sheets from the dryer just before they’re completely dry. Place your sheet on the bed and smooth out with your hand.</li> <li>When folding bedding to be stored, keep an iron and ironing board close by. Fold the sheets into thirds, then take a warm iron and run it over the folded sheets. Fold them again and take the warm iron to them one more time before storing. When you pull them out to make the bed, they’ll be fresh and crisp</li> </ul> <p><em>Image credits: Getty Images </em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/food-home-garden/home-tips/how-often-should-you-wash-your-sheets" target="_blank" rel="noopener">Reader's Digest</a>.  </em></p>

Home & Garden

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Here’s how often you should be washing your dish towels

<p><strong>Easily forgotten job</strong></p> <p>Most people are probably not throwing their dish towels in the washing machine quite often enough. It’s easy to forget them, and after they’ve air-dried, they look ready for another use. But too often, we keep using them long after they’ve gotten dirty, and all we’re really doing is spreading bacteria and germs on everything they touch.</p> <p>“Believe it or not, dish towels can be one of the dirtiest items in your home. From cleaning up spills to wiping off counter tops, they often get used more than they’re cleaned,” said Bailey Carson, head of cleaning at Handy. A study by the American Society of Microbiology showed that half of kitchen towels tested contained some sort of bacterial growth, such as E. coli or staph.</p> <p><strong>Bacteria breeding ground</strong></p> <p>Because dish towels are so absorbent, they are the perfect home for bacteria, mildew and even mould. Your damp, warm towel is also the ideal breeding ground for that bacteria. That smell you associate with your dish towels and washcloths? Yup. That’s mould and mildew. If your towels or cloths smell, it’s time for a wash in very hot water. If they come out of the dryer still smelling less than pleasant? It’s time to get a new set.</p> <p><strong>Stopping the spread</strong></p> <p>But exactly how often DO you need to wash your dish towels to avoid spreading germs? That answer is: It depends. It depends on what exactly you’re using your dish towels for. Are they just for drying your hands after washing them, with maybe a quick use to mop up some spilled water or a food stain on the front of your cupboards?</p> <p>In that case, Julie Finch-Scally, founder of The Duster Dollies, says that it’s all right to reuse that type of towel for three to four days. If you’re using your dish towels to wipe up anything other than your wet hands, they’re getting more use than a towel you use after you shower, and you’ll have to wash them more often than the average amount of time you should wait between washing your bath towels.</p> <p><strong>Other surfaces</strong></p> <p>If you’re using your dish towels to wipe down cutting boards, wash down stovetops, clean up after spills, or even for drying your dishes, you may have to replace them a bit more often. In this case, Liz O’Hanlon, director of Metro Cleaning (UK) Ltd, says, “Ideally you should change your dishcloths once a day. Unless you use the towel to wipe up spillages which include raw meat or fish; then the towel should be washed immediately after use.”</p> <p><strong>Wash together weekly</strong></p> <p>Of course, this doesn’t mean you have to run a load of a few towels every single day. Laura Smith, owner of All Star Cleaning Services, recommends collecting dirty towels in a small bin under your sink and washing them when you’ve got a full load. That way, once you’ve figured out how often you need to wash your bedsheets, you can throw them all in together.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/food-home-garden/heres-how-often-you-should-be-washing-your-dish-towels" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Home & Garden

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How often you should clean these household items according to science

<p>Everyone knows the importance of keeping on top of the household chores but sometimes they can get buried in the busyness of life.</p> <p>To help you know how long you have until you need to do a clean an item, here is scientific advice about when you should clean these household items.</p> <p><strong>1. Bed linen</strong></p> <p>When: Every 1-2 weeks</p> <p>Although this timeframe needs to be altered if you shower at night or sleep naked, head of the Allergen and Upper Airways Group at the Woolcock Institute of Medical research, Euan Tovey, says that our bed linen is cleaner than we think. “We’ve done research that showed you don’t get as much exposure to dust mites in bed as we once thought.”</p> <p><strong>2. Pillowcases</strong></p> <p>When: Every 3 days</p> <p>It is a good idea to have a clean pile of pillowcases on hand so that you can swap your old one every two or three nights. This will stop old hair and skin residue from coming back onto you.</p> <p><strong>3. Mattress protector</strong></p> <p>When: Every two months</p> <p>Although this item can be forgotten, it is important to wash your mattress protector every two months. While you are cleaning your protector, it is also beneficial to clean your mattress with baking soda. If you sprinkle the mattress with baking soda for 30 minutes and then vacuum it up, you will remove any odours.</p> <p><strong>4. Microwave</strong></p> <p>When: Weekly</p> <p>A microwave contains all sorts of food splatter, so it is important to do a thorough clean weekly. My Domaine recommends wiping it down and putting a dish filled with half a cup of water and half a cup of white vinegar inside. Then put the microwave on high until the window steams up. Finish by wiping the inside of the microwave with a sponge.</p> <p><strong>5. Sponges</strong></p> <p>When: After every use</p> <p>Unfortunately, microwaving sponges does not rid them of bacteria. Instead, clean them after every use with hot water and dish soap. Reader’s Digest recommends washing them on the hottest washing machine cycle every few days.</p> <p><strong>6. Light switches</strong></p> <p>When: Once a week</p> <p>Light switches should be wiped once a week due to the number of dirty fingers that touch them regularly.</p> <p><strong>7. Bathtub</strong></p> <p>When: Once a week</p> <p>Simmons College found that skin infection causing bacteria was in 26 per cent of baths. So make sure your bath doesn’t get overlooked when you clean the toilet weekly.</p> <p><strong>8. Carpets professionally cleaned</strong></p> <p>When: Every 6-12 months</p> <p>Getting your carpets cleaned professionally every six to 12 months can improve air quality inside your home, according to Robin Wilson. </p> <p><em>Image: Getty</em></p>

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