Placeholder Content Image

"It must be love!": Charles and Camilla mark wedding anniversary with sweet video

<p>April 9 marked a special milestone for King Charles and Queen Camilla as they celebrate their 20th wedding anniversary! The royal couple kicked off the joyous occasion with a charming new video, shared across the royal family's social media accounts.</p> <p>The 60-second clip is a delightful journey through their two decades of marriage, showcasing a collection of heartwarming photos and candid moments. Captioned simply, "20 Happy Years!" accompanied by a white heart emoji, the post captured the love and happiness that has defined their union. Fans were quick to note that the white heart may also be a nod to the traditional 20th anniversary gifts of china or platinum, symbolising strength and beauty.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DIN7uDus6Rg/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DIN7uDus6Rg/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Royal Family (@theroyalfamily)</a></p> </div> </blockquote> <p>Though the royal couple is spending their anniversary abroad in Rome as part of their state visit to Italy, celebrations have been in full swing back home in the UK. Outside Buckingham Palace, the Band of the Household Cavalry serenaded well-wishers with a special performance of It Must Be Love, dedicated to Their Majesties – a perfect musical tribute to their enduring romance.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">It must be love! 🫶</p> <p>A special tribute on the Forecourt of Buckingham Palace, to mark Their Majesties’ 20th wedding anniversary today. <a href="https://t.co/15rlKuevVl">pic.twitter.com/15rlKuevVl</a></p> <p>— The Royal Family (@RoyalFamily) <a href="https://twitter.com/RoyalFamily/status/1909937840185548915?ref_src=twsrc%5Etfw">April 9, 2025</a></p></blockquote> <p>In anticipation of this milestone, the couple also released a new set of portraits earlier this week. Queen Camilla looked radiant in bridal white, wearing a bespoke dress by Anna Valentine, the designer of her original wedding gown. Adding a sentimental touch, Her Majesty adorned her outfit with the lily of the valley brooch once belonging to the Queen Mother, a beautiful symbol of eternal love.</p> <p>The day itself is a working one for the royal couple. King Charles is set to meet with Italy’s prime minister, while later, they will be the guests of honour at a grand state banquet hosted by the Italian president – a fitting celebration for their incredible journey together.</p> <p>King Charles and Queen Camilla’s love story is one for the history books. Though married for 20 years, their connection spans over five decades. From their first meeting at a polo match in 1970 to enduring public scrutiny, they have emerged stronger than ever.</p> <p>Their early years saw them part ways when Charles embarked on an eight-month naval tour, and Camilla married Andrew Parker Bowles. Yet, even through life’s twists and turns, their bond remained unbreakable. Following the tragic passing of Princess Diana, Charles and Camilla slowly reintroduced their relationship to the public, eventually marrying in 2005 in a modest yet heartfelt ceremony.</p> <p>Since then, Queen Camilla has embraced her royal role with grace and dedication, earning the admiration of many. </p> <p>Here’s to King Charles and Queen Camilla – may the next 20 years be just as joyful!</p> <p><em>Images: Royal Family / Instagram</em></p>

Relationships

Placeholder Content Image

Sweet feat: high schooler smashes Raelene Boyle's 57-year-old sprint record

<p>Australian sprinting has a new superstar in the making! In a jaw-dropping performance at the national junior athletics championships in Perth, 17-year-old Leah O’Brien rocketed to glory, obliterating a 57-year-old record set by the legendary Raelene Boyle.</p> <p>O’Brien, a WA schoolgirl, stunned the athletics world by storming to victory in the under-18 100 metres, clocking an electrifying 11.14 seconds – with a perfectly legal tailwind of +1.7 metres per second. Her blistering run toppled Boyle’s iconic mark of 11.20 seconds from the 1968 Mexico City Olympics, a record many believed would stand for generations.</p> <p>“I think I have really put my name out there,” an elated O’Brien said, beaming with pride. “It's crazy to be running these times while still in high school!”</p> <p>But the milestones didn’t stop there. O’Brien’s dazzling dash also catapulted her into Australian sprinting history, drawing level with Olympic gold medallist Sally Pearson on the all-time national open 100m list – now tied at fourth-fastest ever. Only Torrie Lewis (11.10), Melissa Breen (11.11) and Melinda Gainsford-Taylor (11.12) have ever run faster.</p> <p>To make the feat even sweeter, O’Brien now finds herself ranked ninth in the world under-18 rankings, a remarkable achievement for the young star.</p> <p>Cheered on by family and friends, O’Brien soaked up the moment. “This is definitely the most support I’ve ever had. It’s so great to experience this moment with the people I love and share the happiness.”</p> <p>And she wasn’t done yet.</p> <p>Earlier in the championships, O’Brien also stormed to victory in the 200m, clocking a personal best of 23.37 seconds despite facing a stiff headwind of -1.1 m/s. In a thrilling race, she powered past Queensland’s Thewbelle Philp with her trademark long stride and high knee lift, leaving the field in her wake.</p> <p>The sprint sensation isn’t slowing down anytime soon. O’Brien will return to the track this week at the WA Athletics Stadium to contest the open 100m, where she’ll face established stars like Torrie Lewis, Bree Rizzo and Ebony Lane.</p> <p>With talents like O’Brien, Lewis, <a href="https://www.oversixty.com.au/entertainment/tv/i-m-saying-that-hands-down-matt-shirvo-s-bold-prediction" target="_blank" rel="noopener">Gout Gout</a> and Lachlan Kennedy rising rapidly through the ranks, Australia’s sprinting future looks brighter than ever as the countdown to the Brisbane 2032 Olympics begins.</p> <p><em>Images: Australian Athletics</em></p>

Body

Placeholder Content Image

Federal Budget 2025: The short, sharp and – sort of – sweet version

<p>The federal budget is always a massive, jargon-filled beast, but don’t worry – we’ve got your back. Here’s a quick and easy rundown of the key numbers, economic forecasts and big-ticket promises (without making your head spin). Whether it’s tax cuts, energy bill relief, or debt figures that sound like someone’s phone number, this summary gives you the essentials in plain English.</p> <p><strong>THE BIG PICTURE: WHERE THE MONEY’S GOING (AND COMING FROM)</strong></p> <p><strong>Economic Growth:</strong> The economy is expected to grow by 1.5% in 2024-25, which isn’t exactly fireworks but at least it’s moving in the right direction.</p> <p><strong>Unemployment Rate:</strong> The jobless rate is set to rise to 4.25%, meaning more people might be dusting off their résumés.</p> <p><strong>Inflation:</strong> The cost of living squeeze is easing slightly, with inflation forecast to drop to 2.5%, finally giving our wallets a breather.</p> <p><strong>Wages Growth:</strong> Paychecks are expected to grow by 3%, so while you won’t be rolling in cash, you might afford an extra coffee per week.</p> <p><strong>Living Standards:</strong> Household disposable income is expected to rise a bit faster than planned, so that’s a small win for the grocery bill.</p> <p><strong>Migration:</strong> Net overseas migration is slowing down, dropping from 435,000 in 2023-24 to 225,000 by 2026-27, as the government tweaks immigration settings.</p> <p><strong>The Big One: Budget Deficit:</strong> The country will be $27.6 billion in the red this year, which sounds bad, but hey, it’s better than some past years.</p> <p><strong>Commonwealth Debt:</strong> The nation’s credit card balance will hit $940 billion in 2024-25 before cracking $1 trillion the year after, making it one of the biggest IOUs in Aussie history.</p> <p><strong>Net Debt:</strong> The government’s net debt will rise to $556 billion, proving once again that we’re all experts at spending more than we have.</p> <p><strong>WHAT’S IN IT FOR YOU (IF LABOR STAYS IN POWER)?</strong></p> <p>If Labor wins the next election, they’ve got a shopping list of goodies lined up. From tax cuts and cheaper meds to more affordable childcare and a crackdown on dodgy workplace contracts, here’s what they’re promising in order to make life a little easier (or at least a little less expensive).</p> <p><strong>Tax Cuts:</strong> Everyone gets a tiny tax break worth about $10 a week, starting in July 2026 – not enough for a holiday, but maybe an extra beer, depending on where you buy your drinks.</p> <p><strong>Energy Bill Relief:</strong> Households and small businesses will get $150 off their power bills, because, let’s face it, electricity prices are still a killer.</p> <p><strong>Cheaper Medicines:</strong> Prescription drugs will be capped at $25 per script, meaning fewer nasty surprises at the pharmacy checkout.</p> <p><strong>Healthcare Boost:</strong> More bulk-billing, 50 new urgent care clinics, and extra funding for nurses and GPs, costing a whopping $9 billion over four years – great news if you hate long waits at the doctor.</p> <p><strong>Childcare Help:</strong> Families earning up to $500,000 (yes, you read that right) will get at least three days of subsidised childcare, costing $427 million over five years.</p> <p><strong>First Home Buyer Support:</strong> The Help to Buy scheme will get a boost, making it a bit easier for first-home buyers to get into the market (assuming they can still afford avocado toast).</p> <p><strong>Workplace Shake-Up:</strong> Banning non-compete clauses for low- and middle-income workers could boost wages by $2,500 a year – so no more weird contracts stopping you from getting a better job.</p> <p><strong>HECS Debt Slash:</strong> A 20% cut to student loan debt, wiping $16 billion from the books – a rare win for anyone still haunted by their HECS balance.</p> <p><strong>Disaster Recovery:</strong> $1.2 billion is going towards helping communities in southeast Queensland and northern NSW recover from ex-Tropical Cyclone Alfred – because Mother Nature isn’t playing nice.</p> <p><strong>Big Infrastructure Plans:</strong> Expect major upgrades like $7.2 billion for Queensland’s Bruce Highway, $2 billion for a new rail hub in Melbourne, and $1 billion for Sydney’s southwest rail corridor – so maybe, just maybe, your commute will be a little less torturous.</p> <p><strong>Defence Spending:</strong> A fast-tracked $1 billion investment in guided weapons, submarines and frigates, because apparently, we’re getting serious about military hardware.</p> <p>And that’s the budget in a nutshell! More spending, some relief for households, and a debt number that’ll make your calculator cry.</p> <p><em>Images: WikiCommons</em></p>

Money & Banking

Placeholder Content Image

“They are treating us like chumps": Karl fires up over supermarket practices

<p>In a heated interview on the <em>Today </em>show, Karl Stefanovic confronted Treasurer Jim Chalmers over the conduct of major supermarket chains, accusing them of treating Australian consumers like "chumps". The exchange followed the release of the Australian Competition and Consumer Commission’s (ACCC) final report into supermarket practices, highlighting concerns over price-gouging, misleading discounts and "shrinkflation".</p> <p>The ACCC’s inquiry found that the dominance of Woolworths, which controls 38% of the national grocery market, and Coles, which holds 29%, has resulted in an “oligopolistic” effect. Despite this, the regulator refrained from endorsing Opposition Leader Peter Dutton’s call for greater powers to dismantle the supermarket giants, cautioning that there was no “silver bullet” solution.</p> <p>Treasurer Chalmers acknowledged the ongoing cost-of-living pressures, saying that “Australians are still feeling that pressure at the checkout. And that’s why we’re cracking down on the supermarkets.” He added that the government was working to foster greater competition in the industry to prevent further consumer exploitation.</p> <p>However, Stefanovic challenged Chalmers, arguing that no significant changes had been made to curb supermarket dominance. “They are treating us like chumps and they continue to,” he said. “And I’ve not seen anything that’s going to stop them from doing that.”</p> <p>Chalmers then defended the government’s economic policies, citing key improvements including declining inflation, rising real wages and economic growth. “We know that people are still under pressure,” he admitted but insisted that progress was being made.</p> <p>In response to the ACCC report, Coles issued a statement claiming the company also faces financial pressures, including rising rents and electricity costs. “We do not control these inflationary costs in the economy – but they contribute to higher grocery prices for Australian households,” the statement read.</p> <p>Coles also defended its pricing strategy, stating that grocery inflation (excluding tobacco) remained at just 1% for the first half of the financial year. The company assured that it is reviewing the ACCC’s recommendations and has already implemented changes to improve pricing transparency and customer communication.</p> <p><em>Images: The Today show</em></p>

Money & Banking

Placeholder Content Image

Around 3% of us will develop a brain aneurysm in our lives. So what is it and how do you treat it?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/jessica-nealon-1481995">Jessica Nealon</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>Australian radio host Kyle Sandilands announced on air that he <a href="https://www.abc.net.au/news/2025-02-03/kyle-sandilands-brain-aneurysm-diagnosis/104888826">has a brain aneurysm</a> and needs urgent brain surgery.</p> <p>Typically an aneurysm occurs when a part of the wall of an artery (a type of blood vessel) becomes stretched and bulges out.</p> <p>You can get an aneurysm <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/aneurysm">in any blood vessel</a>, but they are most common in the brain’s arteries and the aorta, the large artery that leaves the heart.</p> <p>Many people can have a brain aneurysm and never know. But a brain (or aortic) aneurysm that ruptures and bursts can be fatal.</p> <p>So, what causes a brain aneurysm? And what’s the risk of rupture?</p> <h2>Weakness in the artery wall</h2> <p>Our arteries need strong walls because blood is constantly pumped through them and pushed against the walls.</p> <p>An <a href="https://www.healthdirect.gov.au/aneurysms">aneurysm</a> can develop if there is a weak part of an artery wall.</p> <p>The walls of arteries are made of three layers: an inner lining of cells, a middle layer of muscle and elastic fibres, and a tough outer layer of mostly collagen (a type of protein). Damage to any of these layers causes the wall to become thin and stretched. It can then balloon outward, leading to an aneurysm.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4399795/">Genetics</a> and <a href="https://www.ninds.nih.gov/health-information/disorders/cerebral-aneurysms">certain inherited disorders</a> can cause weak artery walls and brain aneurysms in some people.</p> <p>For all of us, our artery walls become weaker as we age, and brain aneurysms are more common as we get older. The <a href="https://www.ncbi.nlm.nih.gov/books/NBK557867/">average age for a brain aneurysm</a> to be detected is 50 (Sandilands is 53).</p> <p>Females have a higher risk of brain aneurysm than males <a href="https://www.ncbi.nlm.nih.gov/books/NBK507902/">after about age 50</a>. Declining oestrogen around menopause reduces the collagen in the artery wall, causing it to become weaker.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?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/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="An illustration showing a brain aneurysm." /><figcaption><span class="caption">A brain aneurysm occurs when a part of the wall of an artery balloons out.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-vector/human-brain-blocking-stroke-aneurysm-disease-2171173339">Alfmaler/Shutterstock</a></span></figcaption></figure> <p>High blood pressure can increase the risk of a brain aneurysm. In someone with high blood pressure, blood inside the arteries is pushed against the walls with greater force. This can <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3163429/">stretch and weaken the artery walls</a>.</p> <p>Another <a href="https://www.aihw.gov.au/reports/heart-stroke-vascular-diseases/hsvd-facts/contents/introduction">common condition</a> called atherosclerosis can also <a href="https://www.ninds.nih.gov/health-information/disorders/cerebral-arteriosclerosis">cause brain aneurysms</a>. In atherosclerosis, plaques made mostly of fat build up in arteries and stick to the artery walls. This directly damages the cell lining, and weakens the muscle and elastic fibres in the middle layer of the artery wall.</p> <h2>Several lifestyle factors increase risk</h2> <p>Anything that increases inflammation or causes atherosclerosis or high blood pressure in turn increases your risk of a brain aneurysm.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6527044/">Smoking and heavy drinking</a> affect all of these, and nicotine <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6214667/">directly damages</a> the artery wall.</p> <p>Sandilands mentioned <a href="https://www.news.com.au/entertainment/tv/radio/kyle-sandilands-reveals-shock-health-diagnosis-i-may-be-dead/news-story/62f9f05c6f0a03702632ec8d622cf97a">his cocaine use</a> in discussing his diagnosis. He said: "The facts are, a life of cocaine abuse and partying are not the way to go."</p> <p>Indeed, cocaine abuse <a href="https://www.nhs.uk/conditions/brain-aneurysm/causes/">increases the risk of a brain aneurysm</a>. It causes very high blood pressure because it causes arteries to spasm and constrict. Cocaine use is also <a href="https://www.sciencedirect.com/science/article/abs/pii/S1878875023017400">linked to worse outcomes</a> if a brain aneurysm ruptures.</p> <p><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/ejn.15992">Stress</a> and a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6243058/#:%7E:text=High%2Dfat%20diets%20(HFDs),many%20organs%20(see%20text).">high-fat diet</a> also increase inflammation. <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/atherosclerosis#:%7E:text=Atherosclerosis%20is%20thickening%20or%20hardening,activity%2C%20and%20eating%20saturated%20fats.">High cholesterol</a> can also cause atherosclerosis. And <a href="https://www.aihw.gov.au/reports/heart-stroke-vascular-diseases/hsvd-facts/contents/risk-factors/overweight-and-obesity">being overweight</a> increases your blood pressure.</p> <p><a href="https://www.ahajournals.org/doi/10.1161/JAHA.121.022277">A study</a> of more than 60,000 people found smoking and high blood pressure were the strongest risk factors for a brain aneurysm.</p> <h2>Is it always a medical emergency?</h2> <p>About <a href="https://www.ncbi.nlm.nih.gov/books/NBK557867/">three in 100 people</a> will have a brain aneurysm, varying in size from <a href="https://www.ncbi.nlm.nih.gov/books/NBK557867/">less than 5mm to more than 25mm</a> in diameter. The majority are only discovered while undergoing imaging for something else (for example, head trauma), because small aneurysms may not cause any symptoms.</p> <p>Larger aneurysms can cause symptoms because they can <a href="https://www.mayoclinic.org/diseases-conditions/brain-aneurysm/symptoms-causes/syc-20361483">press against brain tissues and nerves</a>.</p> <p>Sandilands described “<a href="https://www.abc.net.au/news/2025-02-03/kyle-sandilands-brain-aneurysm-diagnosis/104888826">a lot of headache problems</a>” leading up to his diagnosis. Headaches can be due to <a href="https://www.mayoclinic.org/diseases-conditions/brain-aneurysm/symptoms-causes/syc-20361483">minor leaks of blood</a> from the aneurysm. They indicate a risk of the aneurysm rupturing in subsequent days or weeks.</p> <p>Less than <a href="https://www.nature.com/articles/s41467-024-46015-2">one in 100 brain aneurysms will rupture</a>, often called a “brain bleed”. This causes a <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/subarachnoid-hemorrhage#:%7E:text=A%20subarachnoid%20hemorrhage%20is%20bleeding,brain%20and%20inside%20the%20skull.">subarachnoid haemorrhage</a>, which is a <a href="https://www.nhs.uk/conditions/subarachnoid-haemorrhage/">type of stroke</a>.</p> <p>If it does occur, rupture of a brain aneurysm is <a href="https://www.ncbi.nlm.nih.gov/books/NBK507902/">life-threatening</a>: nearly one in four people will die within 24 hours, and one in two within three months.</p> <p>If someone’s brain aneurysm ruptures, they usually experience a sudden, severe headache, often described as a “<a href="https://www.bafound.org/blog/three-signs-your-bad-headache-might-be-a-ruptured-brain-aneurysm/">thunderclap headache</a>”. They may also have <a href="https://www.ninds.nih.gov/health-information/disorders/cerebral-aneurysms">other symptoms of a stroke</a> such as changes in vision, loss of movement, nausea, vomiting and loss of consciousness.</p> <h2>Surgery can prevent a rupture</h2> <p>Whether surgery will be used to treat a brain aneurysm depends on its size and location, as well as the age and health of the patient. The medical team will balance the potential benefits with the risks of the surgery.</p> <p>A small aneurysm with low risk of rupture will usually <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2323531/">just be monitored</a>.</p> <p>However, once a brain aneurysm reaches <a href="https://www.ncbi.nlm.nih.gov/books/NBK507902/">7mm or more</a>, surgery is generally needed.</p> <p>In <a href="https://www.nhs.uk/conditions/brain-aneurysm/treatment/#:%7E:text=A%20cut%20is%20made%20in,permanently%20clamped%20on%20the%20aneurysm.">surgery to repair a brain aneurysm</a>, the surgeon will temporarily remove a small part of the skull, then cut through the coverings of the brain to place a tiny metal clip to close off the bulging part of the aneurysm.</p> <p>Another option is <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/endovascular-coiling">endovascular</a> (meaning within the vessel) coiling. A surgeon can pass a catheter into the femoral artery in the thigh, through the aorta to the brain. They can then place a coil inside the aneurysm which forms a clot to close off the aneurysm sac.</p> <p><a href="https://medlineplus.gov/ency/article/007372.htm">After either surgery</a>, usually the person will stay in hospital for up to a week. It can take <a href="https://www.healthline.com/health/brain-aneurysm-clipping-surgery#recovery">6–8 weeks</a> for full recovery, though doctors may continue monitoring with annual imaging tests for a few years afterwards.</p> <p>You can <a href="https://www.medicalnewstoday.com/articles/how-to-prevent-a-brain-aneurysm#prevention">lower your risk of a brain aneurysm</a> by not smoking, moderating alcohol intake, eating a healthy diet, exercising regularly and maintaining a healthy weight.<!-- 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/248882/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/theresa-larkin-952095">Theresa Larkin</a>, Associate Professor of Medical Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/jessica-nealon-1481995">Jessica Nealon</a>, Senior Lecturer in Medical Sciences (Neuroscience), <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</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/around-3-of-us-will-develop-a-brain-aneurysm-in-our-lives-so-what-is-it-and-how-do-you-treat-it-248882">original article</a>.</em></p> </div>

Body

Placeholder Content Image

John Travolta's sweet birthday tribute to son

<p>John Travolta's youngest son, Benjamin Travolta, has turned 14! </p> <p>The <em>Grease </em>actor took to Instagram on Saturday November 23 to share his heartwarming tribute celebrating the teen.</p> <p>"Happy birthday my Ben. Your dad loves you!  And so does Peanut!" he wrote. </p> <p>He shared a photo of the 14-year-old receiving a kiss from their beloved family pup Peanut, who the actor famously adopted after Jamie Lee Curtis brought her onstage during a segment at the 94th Academy Awards in 2022. </p> <p>"The day we adopted Peanut on Oscar night! She’s brought the biggest joy to our family," he wrote in an <a href="https://www.instagram.com/p/C8hSSaDAGTG/?hl=en" target="_blank" rel="noopener">Instagram</a> post at the time. </p> <p>Benjamin is the actor's youngest child with his late wife, actress Kelly Preston. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DCvKudtt8Ri/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DCvKudtt8Ri/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by John Travolta (@johntravolta)</a></p> </div> </blockquote> <p>John and Preston's daughter, Ella Bleu Travolta, 24, also celebrated her little brother on social media with her own post.</p> <p>"Happy Birthday Benjamin!!!!!! I love you," she shared with a red heart emoji and a picture of Benjamin posing in front of a sunset while aboard a boat. </p> <p>Fans and celebrity friends alike were quick to wish the teen a very happy birthday, with Rita Wilson writing: "Happy birthday Ben!" </p> <p>Donnie Walberg added: "HBD! Ben!". </p> <p>"Happy birthday, Ben and Peanut are so sweet!" one fan wrote. </p> <p>"Wonderful picture, so full of love,"  another commented. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DCviMvqOKgz/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DCviMvqOKgz/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Ella Bleu Travolta (@ella.bleu)</a></p> </div> </blockquote> <p>The actor has kept his kids largely out of the spotlight, but often shares stories and glimpses of them on social media. </p> <p>In one interview with Kevin Hart, he opened up about how he approached parenting following the death of his wife in 2020. </p> <p>The actor candidly shared how he approached the topic of death and grief after Ben expressed his fears of losing him. </p> <p>"Ben said to me once, 'Because mom passed away, I'm afraid you're going to,'" the actor recalled. </p> <p>"I said, 'Well, it's a very different thing.' And I went through the differences about my longevity and her limited life," the actor explained.</p> <p>"I said, 'But you know, Ben . . . you always love the truth and I'm going to tell you the truth about life. Nobody knows when they're gonna go or when they're going to stay.' "</p> <p>"Your brother [Jett] left at 16. Too young. Your mother left at 57. That was too young. But who's to say? I could die tomorrow. You could. Anybody can," John continued.</p> <p>"So let's look at it like it's part of life. You don't know exactly. You just do your best at trying to live the longest you can."</p> <p><em>Images: Instagram</em></p> <p> </p>

Family & Pets

Placeholder Content Image

Sam Frost shares sweet family update

<p>Sam Frost has shared an exciting family update with her partner and <em>Survivor </em>star Jordie Hansen on Instagram.</p> <p>The former <em>Home and Away</em> actress announced she is expecting her second child with a picture of the family and her growing baby bump on Monday. </p> <p>“Our family is growing from three to four 💚,” she captioned the post.</p> <p>“It has been a wild ride but we are extremely grateful our little one is healthy and doing okay in there. We are all very excited to meet you, especially your big brother!</p> <p>“Huge thank you to our family and friends for all their love and support over these past few months. We love you xxxx.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DB79aWkv3hk/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DB79aWkv3hk/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Sam Frost (@samfrost)</a></p> </div> </blockquote> <p>Fellow TV icons were quick to comment and congratulate the couple on their growing family. </p> <p>“Congratulations honey!! ❤️❤️,” 7NEWS journalist Abbey Gelmi wrote.</p> <p>“👏👏👏congratulations!!!,” commented <em>Bachelor</em> star Anna Heinrich.</p> <p>"Such beautiful news Sam, and so very happy for you. Huge congrats.❤️❤️❤️❤️xx," added Lisa Wilkinson.</p> <p>"Oh girlllll! This is beautiful news. So happy for you all. Ted is going to be the best big brother ever 🥹 💚," added <em>Gogglebox </em>star Angie Kent.</p> <p>Frost, who rose to fame on <em>The Bachelor </em>after becoming Australia's first Bachelorette, began dating Jordie in early 2022, and a few months later the pair announced their engagement. </p> <p>They welcomed their first child together, their son Theodore, in March 2023. </p> <p><em>Images: Instagram</em></p>

Family & Pets

Placeholder Content Image

How are racehorses really treated in the ‘sport of kings’?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/cathrynne-henshall-572585">Cathrynne Henshall</a>, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a></em></p> <p>It’s the time of year when shiny horses and colourful clothing fill our screens – the <a href="https://www.racing.com/spring-racing">Spring Racing Carnival</a>, which includes high profile races like The Everest, Melbourne Cup and Cox Plate.</p> <p>It’s also the time of year when questions are asked about the welfare of racehorses that compete in the so-called “<a href="https://www.amnh.org/exhibitions/horse/how-we-shaped-horses-how-horses-shaped-us/sport/sport-of-kings#:%7E:text=Thoroughbred%20racing%20began%20around%20300,Asia%2C%20and%20the%20Middle%20East.">sport of kings</a>”.</p> <p>Previously, <a href="https://www.news.com.au/sport/superracing/punters-life/how-many-horses-have-died-in-the-melbourne-cup-the-real-numbers/news-story/5f7e29011a7fbf3da9e0611e902d1ee6">high profile deaths during races</a>, the <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0015622">use of whips</a> and <a href="https://www.abc.net.au/news/2015-02-17/making-a-killing/6127124">what happens to horses after racing</a> have been the focus of community concern.</p> <p>But recently, as we’ve come to know more about what makes a <a href="https://www.worldhorsewelfare.org/advice/welfare-wednesdays/how-to-provide-a-good-life-for-horses-friends-freedom-and-forage">good life for a horse</a>, questions are being raised about the daily lives of racehorses.</p> <p>Industry participants will point to the <a href="https://www.mamamia.com.au/dont-tell-me-the-horse-racing-industry-doesnt-care/">high level care</a> that racehorses receive – comfortable stables, specially formulated diets, the latest vet treatments and added extras such as massages and swimming sessions.</p> <p>But does this care translate into good welfare?</p> <h2>The theory of ‘telos’</h2> <p>Firstly, a quick primer on the difference between care and welfare.</p> <p>Care includes all the things that make sure racehorses get fit, stay fit and stay healthy. This care helps maximise the chance a horse will win races.</p> <p>Welfare is the animal’s subjective or individual experience of its life – <a href="https://pubmed.ncbi.nlm.nih.gov/33066335/">how it feels</a> – and there are a number of ways to assess this.</p> <p>One way is the concept of “telos”, originally developed by Ancient Greek philosopher <a href="https://plato.stanford.edu/entries/aristotle-causality/">Aristotle</a>.</p> <p>Telos is a <a href="https://link.springer.com/article/10.1007/s10806-012-9422-y">species’ anatomical, physiological, behavioural and cognitive characteristics</a> that have been shaped by millions of years of evolution.</p> <p>Telos helps us to identify what matters to animals – their behavioural, psychological and physiological needs.</p> <p>So to consider if racehorse care actually translates to good welfare, we can assess how closely it provides the animal with the things that matter to them, based on their telos.</p> <p>Equine telos involves living in groups, forming long-lived social relationships, grazing fibrous plants and being on the move for up to 18 hours a day, as well as staying safe by sensing danger and then moving away.</p> <p>It also involves living in variable environments to solve challenges, learn, engage in curiosity and play.</p> <p>Let’s compare that to the daily life of a racehorse.</p> <h2>Movement and feeding</h2> <p>Firstly, the vast majority of racehorses live in stables – sometimes up to 23 hours a day.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/17970632/">Multiple studies</a> have found continuous stabling harms horse welfare.</p> <p>Stables significantly restrict opportunities for voluntary movement, and studies show stabled horses spend <a href="https://pubmed.ncbi.nlm.nih.gov/37813129/">the majority of the time inactive</a>.</p> <p>Even though stables house horses communally, most designs limit horses’ opportunities for social interaction.</p> <p>Thirdly, there’s little for a horse to do in a stable other than eat, stand, drink or lie, and they often develop <a href="https://pubmed.ncbi.nlm.nih.gov/34670688/">abnormal behaviours</a> that are associated with stress. These are never seen in free-ranging horses.</p> <p>When racehorses do get to move, they have little say over how far, how fast and for how long they move.</p> <p>The kinds of physical exercise racehorses do are both significantly shorter in duration and at much higher speeds than horses voluntarily choose. It’s those speeds that place them at <a href="https://pubmed.ncbi.nlm.nih.gov/17910268/">risk of suffering a serious injury</a>.</p> <p>What about diet?</p> <p>Although a lot of time and effort is spent ensuring racehorses enjoy high quality diets, they are mostly comprised of concentrated energy sources such as grains, rather the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10135103/">fibre horses evolved to eat</a>.</p> <p>Horses are <a href="https://madbarn.com/slow-feeders-for-horses/#:%7E:text=Horses%20are%20trickle%20feeders%20that,to%2025%20miles%20per%20day.">trickle feeders</a> (grazers), with small stomachs that continuously secrete digestive juices.</p> <p>In the wild, grazing keeps those stomachs full, which prevents the stomach lining from being damaged by digestive acids.</p> <p>In comparison, racehorses often consume their food very quickly – instead of spending up to 75% of their day eating, <a href="https://www.sciencedirect.com/science/article/pii/B9780702026348500137">they spend only 33%</a>.</p> <p>This means their stomachs are empty for most of the day, which is why up to <a href="https://pubmed.ncbi.nlm.nih.gov/37048517/">65% will get painful gastric ulcers</a>.</p> <p>And having to wait to be fed rather than eating when hungry, as happens in free-ranging horses, <a href="https://www.mdpi.com/2076-2615/3/3/663">can lead to frustration</a>.</p> <h2>Other difficulties</h2> <p>Racehorses <a href="https://www.theage.com.au/national/does-whipping-hurt-race-horses-20211102-p595br.html">may be whipped</a>, and <a href="https://beva.onlinelibrary.wiley.com/doi/10.1111/j.2042-3306.1982.tb02389.x">more than 50% </a> will experience some form of musculoskeletal injury during racing, of which between <a href="https://www.mdpi.com/2076-2615/11/2/270">7-49% are fatal</a>.</p> <p>Social relationships, in the limited form possible in a racing stable, are also frequently disrupted because horse populations are highly transient due to spelling, <a href="https://theconversation.com/black-caviars-death-has-prompted-uncomfortable-questions-about-how-champion-mares-spend-their-retirement-237039">retirement</a> or even just going to the races.</p> <p>So even if two horses are able to form a relationship of sorts, chances are one will be taken away. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=henshall+stress+repeated&amp;size=200">Separation distress is a significant stressor</a> for horses.</p> <p>Then there’s the gear that’s used to control them.</p> <p>Horses, like most animal species, escape and avoid painful stimuli.</p> <p>However, in racing (and many other equestrian activties) it is <a href="https://www.racingnsw.com.au/wp-content/uploads/NSWRules.pdf">mandatory to use</a> “bits” to control horses’ behaviour during riding and handling. Bits work by causing uncomfortable pressure and pain and may lead to mouth injuries.</p> <p>Studies have shown many people don’t understand how <a href="https://www.tandfonline.com/doi/full/10.1080/08927936.2023.2166713#abstract">to minimise the harm they can cause</a>. In addition, people also vary widely in their ability to read and <a href="https://www.mdpi.com/2076-2615/9/12/1124">interpret behavioural responses to stress</a>.</p> <p>So, racehorses may be repeatedly exposed to pain from bits and perform a range of behaviours to try to escape that pain, like bolting, mouth opening or head tossing.</p> <p>To remedy this, additional items of restrictive equipment, such as <a href="https://pubmed.ncbi.nlm.nih.gov/34056705/">tongue ties</a>, <a href="https://theconversation.com/dressing-up-for-melbourne-cup-day-from-a-racehorse-point-of-view-104771">nosebands, lugging bits or bit burs</a> may be used to control the horse.</p> <p>Racehorses frequently show signs of difficulty coping with the stressors of racing life, including “going off their feed”, aggression towards handlers, becoming hard to control when ridden and a range of stress behaviours and health issues, <a href="https://avmajournals.avma.org/downloadpdf/view/journals/javma/260/15/javma.22.08.0358.pdf">such as bleeding from the lungs</a>.</p> <h2>What about welfare?</h2> <p>Racehorse care is often directed towards managing issues that are the direct result of the demands of the racing environment.</p> <p>Fancy stables and aqua sessions are not important to horses, and may even cause harm.</p> <p>What matters to horses are opportunities to make meaningful choices, such as the freedom to move, form friendships and graze for the majority of the day.</p> <p>Current racing industry practices often deny horses the chance to make these choices.</p> <p>There’s no doubt people in racing care deeply about their horses. But to experience good welfare during racing, racehorses need more than just good care.<!-- 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/240998/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/cathrynne-henshall-572585">Cathrynne Henshall</a>, Post-doctoral Fellow, School of Agricultural, Environmental and Veterinary Sciences, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt 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/how-are-racehorses-really-treated-in-the-sport-of-kings-240998">original article</a>.</em></p> </div>

Family & Pets

Placeholder Content Image

Princess Eugenie's sweet birthday tribute to Fergie

<p>Princess Eugenie has celebrated her mum's 65th birthday with a special tribute. </p> <p>Sarah Ferguson's youngest daughter took to Instagram to share a series of images, including one of Fergie with one of her grandkids. </p> <p>"Happy birthday to my beautiful mumma," Princess Eugenie's caption began.</p> <p>"So proud of the Grannie you are, the mum you are and the woman you are.</p> <p>"You're an inspiration and our endless chats bring me so much happiness and incredible support."</p> <p>She also included a photo of with Fergie's sister Jane, who lives in Australia, as well as a photo with Princess Beatrice. </p> <p>The Duchess of York took to comments to share her appreciation for her daughters, saying: "Thank you my wonderful, kind, and beautiful daughters ❤️" </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DBJT89iCsHc/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DBJT89iCsHc/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Princess Eugenie (@princesseugenie)</a></p> </div> </blockquote> <p>Royal fans shared their also shared their birthday wishes in the comments, with one writing: "Happy birthday to her! What a wonderful role model she is x."</p> <p>"This is why you endured the trials and tribulations of life so that you could have those happy moments with your children and your sweet grandchildren. And there are more to come,"  another commented. </p> <p>"Happy birthday to your lovely mama," another wrote. </p> <p>The year has been both rewarding and challenging for the Duchess of York, who was diagnosed with <a href="https://www.oversixty.com.au/health/caring/fergie-breaks-silence-amid-second-cancer-battle" target="_blank" rel="noopener">skin cancer </a>earlier this year, her second cancer diagnosis. </p> <p>Despite all her trials, she recently shared her excitement at being a grandmother again, following news that her eldest daughter, Princess Beatrice, is pregnant with her second child. </p> <p>"Such an incredible blessing and an embrace to my heart," she wrote in a social media post at the time. </p> <p>"Wolfie, August, Ernie and Sienna will be over the moon to have the fifth member of the five aside!"</p> <p><em>Images: Instagram</em></p>

Family & Pets

Placeholder Content Image

"Treated as fools": Prime Minister hits out at supermarkets

<p>On Thursday night the Australian Competition and Consumer Commission (ACCC) released an interim report on its supermarket inquiry, and found the price of a typical basket of groceries has increased by more than 20 per cent since 2019. </p> <p>The report found that low-income households spent more than a fifth of their income on food. </p> <p>While prices across all grocery products have increased, the most considerable hikes were in staples such as dairy products by 32 per cent, bread and cereal items by 28 per cent and meat and seafood prices have increased by a fifth. </p> <p>The price of fruit and vegetables has increased by 19 per cent between the March 2019 quarter to the June 2024 quarter. </p> <p>The ACCC released the interim report after examining whether supermarket giants were dudding suppliers and ripping off customers due to a lack of competition. </p> <p>In a statement on Friday, Prime Minister Anthony Albanese has condemned major supermarkets. </p> <p>“Customers don’t deserve to be treated as fools by the supermarkets. They deserve better than that,” he said. </p> <p>“This is an important piece of work and we will study it closely.</p> <p>“My government is taking a range of actions to make sure Australians are paying a fair price at the checkout and Australian suppliers are getting a fair price for their goods.”</p> <p>Assistant Minister for Competition Andrew Leigh said this was the most comprehensive inquiry they've had in 15 years. </p> <p>“Businesses need to do the right thing by Australians,” he said.</p> <p>“Greater competition is critical for lifting dynamism, productivity and wages growth, putting downward pressure on prices and delivering more choice for Australians dealing with cost-of-living pressures.”</p> <p>The report also found that due to "excessive" prices, many shoppers were buying less food and focusing on cheaper products to stay within their budgets. Others were eating less frequently and have smaller meals, or changing their shopping habits by comparing online prices before going in store. </p> <p>As a result, ACCC deputy chair Mick Keogh said Australians were “losing trust in the sale price claims by supermarkets”.</p> <p>“These difficulties reportedly arise from some of the pricing practices of some supermarkets, such as frequent specials, short-term lowered prices, bulk-buy promotions, member-only prices and bundled prices,” he said. </p> <p>In Australia, Woolworths and Coles contribute to 67 per cent of supermarket sales, with Aldi accounting for 9 per cent and IGA contributing 7 per cent. </p> <p>The ACCC will release their recommendations in their final report due in February 2025. </p> <p>This follows the ACCC launching <a href="https://o60.me/2ssagq" target="_blank" rel="noopener">legal action</a> against Coles and Woolworths over allegations of misleading customers with fake discount prices. </p> <p><em>Image: Daria Nipot / Shutterstock.com/ </em><em>MICK TSIKAS/EPA-EFE/ Shutterstock Editorial</em></p>

Money & Banking

Placeholder Content Image

Bindi Irwin's sweet nickname for Robert revealed

<p>Anyone who grew up with siblings is all too familiar with the quirky yet endearing nicknames that seem to stick with us over time. </p> <p>For Robert Irwin, big sister Bindi was the first to give him a nickname, and the moment it happened was caught on camera. </p> <p>In a home video shared on TikTok, a young Bindi can be seen excitedly talking to her father, the late Steve Irwin. </p> <p>"I've got some news," Steve says in the clip. </p> <p>"We're not going home, we're going to the hospital... Mummy just had a baby. She's had a little baby boy, and his name is Robert Clarence Irwin."</p> <p>Donning her iconic khaki uniform from Australia Zoo, the young wildlife warrior could not be more excited to be a big sister, saying: "I'm more excited than Mummy and you!" </p> <p><br class="Apple-interchange-newline" /><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border-width: 0px; border-style: initial; font-size: 16px; vertical-align: baseline; width: 548px; max-width: 100%; color: #323338; font-family: Figtree, Roboto, 'Noto Sans Hebrew', 'Noto Kufi Arabic', 'Noto Sans JP', sans-serif; background-color: #ffffff; outline: none !important;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7394995762217733392&display_name=tiktok&url=https%3A%2F%2Fwww.tiktok.com%2F%40robertirwin%2Fvideo%2F7394995762217733392%3Fembed_source%3D121374463%252C121451205%252C121439635%252C121433650%252C121404359%252C121351166%252C72778571%252C121331973%252C120811592%252C120810756%253Bnull%253Bembed_blank%26refer%3Dembed%26referer_url%3Dwww.skynews.com.au%252Flifestyle%252Fcelebrity-life%252Fbrian-for-short-bindi-irwins-sweet-nickname-for-brother-robert-revealed-in-resurfaced-home-video%252Fnews-story%252Ff54c68817c6db1bd2740a2d65e4c5447%26referer_video_id%3D7394995762217733392&image=https%3A%2F%2Fp16-sign-sg.tiktokcdn.com%2Fobj%2Ftos-alisg-p-0037%2Fd2e3d05f363d4cafb03f3b8877e4f244_1721781651%3Flk3s%3Db59d6b55%26x-expires%3D1727564400%26x-signature%3DqfH%252BN6M9O5jYn3IuA3O8SF04Tac%253D%26shp%3Db59d6b55%26shcp%3D-&key=59e3ae3acaa649a5a98672932445e203&type=text%2Fhtml&schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></p> <p>While cradling her baby brother, Bindi, who must've thought long and hard about the nickname said: "I think by the way he is, I'll call him Brian."</p> <p>Despite Steve's reminder that her brother's name is Robert, Bindi playfully insists "but I'll call him Brian for short".</p> <p>The clip then cuts to Steve holding baby Robert, tearing up as he tells the camera: "It's like the whole reason you've been put on Earth, is to do this." </p> <p>Fans flooded the comment section, with one saying: "The way Steve just accepted his name was Brian 😂😂😂"</p> <p> "Steve's nod. that's a parent choosing their battles with a toddler 😂" another added. </p> <p>"I swear, Steve Irwin was the Dad so many of us needed and wanted!" a third commented. </p> <p><em>Images: TikTok</em></p>

Family & Pets

Placeholder Content Image

Young Aussie medallist's sweet plane gesture

<p>Australian gold medallist Arisa Trew has warmed hearts after sharing her sweet gesture on the plane back from Paris. </p> <p>Trew became the youngest Australian to ever win a gold medal at the Paris games after emerging victorious in the skateboarding competition, capturing the hearts of Australia with her incredible performance. </p> <p>Trew was one of dozens of Aussies who <a href="https://oversixty.com.au/travel/international-travel/just-magical-aussie-olympians-return-home-in-triumph" target="_blank" rel="noopener">flew back</a> from Paris on Wednesday morning, and explained why she was quick to give up her business class seat as a medallist. </p> <p><em>Sunrise</em> host Matt Shirvington said there was a pecking order to the seat allocation on the Qantas plane, explaining, “Apparently, the breakdown is the medallists get first pick of business class, then the two-time Olympians or more get a shot at premium economy, and the rest are out the back of the plane.”</p> <p>By winning gold, Trew was allowed to be in the expensive business class seats, but she told the Jase & Lauren radio show on Nova radio that she had other plans for the lengthy flight.</p> <p>“Where did you get to sit on the plane? Because you’re a gold medallist, you’re 14 years old. Were you right up the front?” Lauren Phillips asked Trew.</p> <p>Trew’s reply stunned the radio hosts, as she admitted, “I mean, I could have been sitting in business with all the medallists, but instead I chose to sit in economy with my two best friends, Chloe and Ruby.”</p> <p>Those friends are fellow skateboarders Chloe Covell and Ruby Trew who both missed out on medals, hence their seats “out the back”.</p> <p>“You’re the cutest thing ever. We couldn’t love you anymore,” Phillips said.</p> <p>“So Arisa, does that mean you got to give someone your gold medal business class seat?”</p> <p>Trew replied, “I’m pretty sure somebody else got it because me and my friends were walking around the plane, and we went up there, and it was all full. So I definitely think somebody else was sitting there but I don’t mind.”</p> <p>Trew also revealed she was heading straight back to school after touching down in Australia and would be there bright and early on Thursday.</p> <p>“I’m gonna go back. I just love going to school, because it’s the skate park where I go to school,” she said.</p> <p>“So I get to see all my friends that skate, that I skate with every day and train with, my coaches, the teachers. Like, it’s just the best thing in the world.”</p> <p><em>Image credits: Ulrik Pedersen/CSM/Shutterstock Editorial </em></p>

International Travel

Placeholder Content Image

Sweet reason why Olympian ditched Closing Ceremony

<p>Aussie medallist Matthew Denny has explained the sweet reason why he missed the Paris 2024 closing ceremony after winning a bronze medal in the men's discus throw event. </p> <p>The athlete spoke with T<em>oday Extra</em> and explained the romantic reason why he missed the special event.</p> <p>"I feel bad, but I didn't end up going to the Closing; I decided [my wife] Mia was going to be by herself, and I need to give back some time to her because ... it's been a pretty brutal 12 months for her," he said.</p> <p>"So I thought it was really important that we had a nice dinner, and we obviously watched the Closing Ceremony, but I just wanted to give her some time." </p> <p>After flying back from Paris to Australia, the athlete said that he had a training session to attend so that he can "finish the year off strong." </p> <p>Denny won third place in the men's discuss throw event, throwing for 69.31 metres on his second attempt of the final. </p> <p>"I'm just thankful that people always back me. To those who didn't think I was going to do it... eat it!" he said to <em>Wide World of Sports </em>following his win. </p> <p>"It's something I'm so proud of, what I do, I get to live an amazing life. I have a great family and support team.</p> <p>"Before I went into this competition, I watched back the Qantas ad we did. I just want to see those people again before I went in here.</p> <p>"I know that's who I'm doing it for. So... yeah, thank you to you guys for supporting me."</p> <p>Despite his win, the athlete is aiming for gold as he hopes to compete again in the Brisbane Olympics. </p> <p>"I can't not be proud of my performance, but the inner critic wants more, and I know there's more there," he said.</p> <p>"To get a medal is amazing but the critic is still there in me. We'll go again. My goal is to get to Brisbane in 2032."</p> <p><em>Image: Xinhua News Agency/ Shutterstock Editorial</em></p>

International Travel

Placeholder Content Image

Why IBD is so hard to treat – and how scientists are making progress

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/falk-hildebrand-1490022">Falk Hildebrand</a>, <a href="https://theconversation.com/institutions/quadram-institute-5557">Quadram Institute</a>; <a href="https://theconversation.com/profiles/katarzyna-sidorczuk-1490026">Katarzyna Sidorczuk</a>, <a href="https://theconversation.com/institutions/quadram-institute-5557">Quadram Institute</a>, and <a href="https://theconversation.com/profiles/wing-koon-1490274">Wing Koon</a>, <a href="https://theconversation.com/institutions/quadram-institute-5557">Quadram Institute</a></em></p> <p>Inflammatory bowel disease (IBD) is a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478758/">life altering</a> chronic illness that is <a href="https://bmjopen.bmj.com/content/13/3/e065186">rising dramatically globally</a>. It is stubbornly difficult to treat, and many people find the treatments we have just don’t work for them.</p> <p>Over the last 30 years, there has been almost a 50% increase in cases – now affecting around 5 million people. Not to be confused with irritable bowel syndrome (IBS) which is a condition that affects the digestive system, IBD is more serious. It is the term for two severe illnesses called <a href="https://www.nhs.uk/conditions/crohns-disease/">Crohn’s disease</a> and <a href="https://www.nhs.uk/conditions/ulcerative-colitis/">ulcerative colitis</a>. More women are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958616/#:%7E:text=Male%20predominance%20in%20IBD.,%2C%202.32%3A1%20in%20CD.">diagnosed with Crohn’s disease</a> while more men are affected by ulcerative colitis.</p> <p>People with IBD can experience a variety of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4106026/">symptoms</a>, ranging from diarrhoea and blood in the stool, to weight loss and belly aches. On paper, this may sound no worse than mild food poisoning, however, this is no normal stomach upset.</p> <p>Experiences are often extreme; people with IBD can suffer excruciating pain and in some cases, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9963331/">require surgery</a> to remove parts of the bowel. This is done by redirecting the bowel to a hole in the abdomen, where faeces are collected in a <a href="https://www.nhs.uk/conditions/colostomy/">colostomy bag</a>.</p> <p>However, we still don’t fully understand the cause of IBD.</p> <h2>The impact of inflammation</h2> <p>The main symptom of IBD is excessive and uncontrolled <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805548/">inflammation</a> – normally a sign of the body fighting off an infection. Although inflammation is an important aspect of our immune system, in IBD it is happening when the body is not under attack. Since we don’t know what causes this over-the-top reaction, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720971/">treatments</a> are limited to managing the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964397/">derailed immune system</a>.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8373857/">Inflammation is controlled</a> by cell signalling. Our cells detect bacteria using receptors that attach to parts of bacteria. This activates the receptor, causing it to send a signal to proteins, and each protein sends on more signals, creating a signal cascade. This is what tells the body it’s under attack.</p> <p>Many treatments follow the strategy of intercepting signals and preventing the signal cascade from starting. However, they are <a href="https://journals.lww.com/co-gastroenterology/abstract/2022/07000/management_of_refractory_inflammatory_bowel.6.aspx">not effective</a> for many people.</p> <p>Scientists are trying to target a different protein network, called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2924159/">NOD2</a>, that often goes haywire in people with IBD but is not targeted by current treatments. A protein, called <a href="https://www.frontiersin.org/articles/10.3389/fphar.2021.650403/full">RIPK2</a>, seems like a promising target since it is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939834/">only found</a> in this network. Researchers from the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10485824/">European Molecular Biology Laboratory</a> are investigating its structure to help scientists design a new medication that will block the signals from this protein.</p> <h2>Importance of the microbiome</h2> <p>Another inspiration for new treatments comes from the bacteria residing in our guts. This community of bacteria, called the gut microbiome, has been associated with <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314516/">all sorts of health conditions</a> ranging from asthma to obesity.</p> <p>Gut bacteria work closely with our bodies and play a vital role in digesting food and managing our <a href="https://www.nature.com/articles/s41422-020-0332-7">immune system</a>. In a healthy person, there is a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4143175/">fine balance</a> between gut bacteria and the immune system. Disruption of this balance can lead to disease, starting from minor discomfort to more severe, long-term conditions.</p> <p>Scientists are trying to understand how our bodies interact with gut bacteria, and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102608/">what changes</a> when people develop IBD.</p> <p>The gut microbiome is an ecosystem. Just like a forest has animals eating different things, microbes can form a <a href="https://www.frontiersin.org/articles/10.3389/fevo.2019.00153/full">food web</a>. Some bacteria will use up one type of food, while others feed off other foods. Some rely on the waste of other bacteria after they’ve eaten. It is now believed that disruption to the gut microbiome is a characteristic of IBD and contributes to its development and progression.</p> <p>It’s a chicken and egg situation. Is there a change in the bacteria and food web that alters our bodies? Or does something else in the body, like our immune system, change the food web, subsequently limiting which bacteria can grow? Scientists aren’t sure of the answer.</p> <p>Instead of trying to figure out what happens first, a team at the <a href="https://www.nature.com/articles/s41467-023-42112-w">Hudson Institute of Medical Research</a> in Australia have focused on investigating which interactions in the food web are the most affected in IBD. This could help scientists to prioritise certain gut bacteria, or their food source, to restore the balance in the microbiome and improve patients’ symptoms.</p> <p>Hopefully, this specialised targeting of the microbiome will lead to more effective and longer lasting treatments.</p> <p>Although we have a long way to go before these ideas for treatments can become a reality, it is a step in the right direction. Targeting a new signalling pathway will hopefully control the inflammation in more patients. And studying the microbiome may reveal how we can reverse changes associated with IBD.</p> <p>Since they are key features of IBD, these developments could allow doctors to stop the disease in the early stages and reduce complications.<!-- 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/218307/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/falk-hildebrand-1490022">Falk Hildebrand</a>, Researcher in Bioinformatician, <a href="https://theconversation.com/institutions/quadram-institute-5557">Quadram Institute</a>; <a href="https://theconversation.com/profiles/katarzyna-sidorczuk-1490026">Katarzyna Sidorczuk</a>, Research Scientist in Metagenomics, <a href="https://theconversation.com/institutions/quadram-institute-5557">Quadram Institute</a>, and <a href="https://theconversation.com/profiles/wing-koon-1490274">Wing Koon</a>, PhD student in Bioinformatics, <a href="https://theconversation.com/institutions/quadram-institute-5557">Quadram 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/why-ibd-is-so-hard-to-treat-and-how-scientists-are-making-progress-218307">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Food and exercise can treat depression as well as a psychologist, our study found. And it’s cheaper

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/adrienne-oneil-268324">Adrienne O'Neil</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/sophie-mahoney-1557294">Sophie Mahoney</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>Around <a href="https://www.aihw.gov.au/getmedia/6b19e493-0ebe-420f-a9a3-e48b26aace9f/aihw-aus-249-ib.pdf?v=20240628145747&amp;inline=true">3.2 million</a> Australians live with depression.</p> <p>At the same time, <a href="https://www.aihw.gov.au/getmedia/6b19e493-0ebe-420f-a9a3-e48b26aace9f/aihw-aus-249-ib.pdf?v=20240628145747&amp;inline=true">few</a> Australians meet recommended dietary or physical activity guidelines. What has one got to do with the other?</p> <p>Our world-first trial, <a href="https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065%2824%2900136-6/fulltext">published this week</a>, shows improving diet and doing more physical activity can be as effective as therapy with a psychologist for treating low-grade depression.</p> <p>Previous studies (including <a href="https://link.springer.com/article/10.1186/s12916-017-0791-y">our own</a>) have found “lifestyle” therapies are effective for depression. But they have never been directly compared with psychological therapies – until now.</p> <p>Amid a nation-wide <a href="https://www.health.gov.au/sites/default/files/2023-10/national-mental-health-workforce-strategy-2022-2032.pdf">shortage</a> of mental health professionals, our research points to a potential solution. As we found lifestyle counselling was as effective as psychological therapy, our findings suggest dietitians and exercise physiologists may one day play a role in managing depression.</p> <h2>What did our study measure?</h2> <p>During the prolonged COVID lockdowns, Victorians’ distress levels were <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50831">high and widespread</a>. Face-to-face mental health services were limited.</p> <p>Our trial targeted people living in Victoria with elevated distress, meaning at least mild depression but not necessarily a diagnosed mental disorder. Typical symptoms included feeling down, hopeless, irritable or tearful.</p> <p>We partnered with our <a href="https://www.barwonhealth.org.au/mhdas/">local mental health service</a> to recruit 182 adults and provided group-based sessions on Zoom. All participants took part in up to six sessions over eight weeks, facilitated by health professionals.</p> <p>Half were randomly assigned to participate in a program co-facilitated by an accredited practising dietitian and an exercise physiologist. That group – called the lifestyle program – developed nutrition and movement goals:</p> <ul> <li>eating a wide variety of foods</li> <li>choosing high-fibre plant foods</li> <li>including high quality fats</li> <li>limiting discretionary foods, such as those high in saturated fats and added sugars</li> <li>doing enjoyable physical activity.</li> </ul> <p>The second group took part in psychotherapy sessions convened by two psychologists. The psychotherapy program used cognitive behavioural therapy (CBT), the gold standard for treating depression in <a href="https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2730724">groups and when delivered remotely</a>.</p> <p>In both groups, participants could continue existing treatments (such as taking antidepressant medication). We gave both groups <a href="https://link.springer.com/article/10.1186/s12888-022-03840-3">workbooks and hampers</a>. The lifestyle group received a food hamper, while the psychotherapy group received items such as a colouring book, stress ball and head massager.</p> <h2>Lifestyle therapies just as effective</h2> <p>We found similar results in each program.</p> <p>At the trial’s beginning we gave each participant a score based on their self-reported mental health. We measured them again at the end of the program.</p> <p>Over eight weeks, those scores showed symptoms of depression reduced for participants in the lifestyle program (42%) and the psychotherapy program (37%). That difference was not statistically or clinically meaningful so we could conclude both treatments were as good as each other.</p> <p>There were some differences between groups. People in the lifestyle program improved their diet, while those in the psychotherapy program felt they had increased their social support – meaning how connected they felt to other people – compared to at the start of the treatment.</p> <p>Participants in both programs increased their physical activity. While this was expected for those in the lifestyle program, it was less expected for those in the psychotherapy program. It may be because they knew they were enrolled in a research study about lifestyle and subconsciously changed their activity patterns, or it could be a positive by-product of doing psychotherapy.</p> <p>There was also not much difference in cost. The lifestyle program was slightly cheaper to deliver: A$482 per participant, versus $503 for psychotherapy. That’s because hourly rates differ between dietitians and exercise physiologists, and psychologists.</p> <h2>What does this mean for mental health workforce shortages?</h2> <p>Demand for mental health services is increasing in Australia, while at the same time the workforce <a href="https://www.health.gov.au/sites/default/files/2023-10/national-mental-health-workforce-strategy-2022-2032.pdf">faces worsening nation-wide shortages</a>.</p> <p>Psychologists, who provide <a href="https://www.aihw.gov.au/getmedia/6b19e493-0ebe-420f-a9a3-e48b26aace9f/aihw-aus-249-ib.pdf?v=20240628145747&amp;inline=true">about half</a> of all mental health services, can have long wait times. Our results suggest that, with the appropriate training and guidelines, allied health professionals who specialise in diet and exercise could help address this gap.</p> <p>Lifestyle therapies can be combined with psychology sessions for multi-disciplinary care. But diet and exercise therapies could prove particularly effective for those on waitlists to see a psychologists, who may be receiving no other professional support while they wait.</p> <p>Many dietitians and exercise physiologists already have advanced skills and expertise in motivating behaviour change. Most accredited practising dietitians are trained in managing <a href="https://link.springer.com/content/pdf/10.1007/978-3-030-67929-3_38-1.pdf">eating disorders</a> or <a href="https://www.nature.com/articles/s41572-020-0200-2">gastrointestinal conditions</a>, which commonly overlap with depression.</p> <p>There is also a cost argument. It is <a href="https://journals.sagepub.com/doi/full/10.1177/1355819616668202">overall cheaper</a> to train a dietitian ($153,039) than a psychologist ($189,063) – and it takes less time.</p> <h2>Potential barriers</h2> <p>Australians with chronic conditions (such as diabetes) can access subsidised dietitian and exercise physiologist appointments under various Medicare treatment plans. Those with eating disorders can also access subsidised dietitian appointments. But mental health care plans for people with depression do not support subsidised sessions with dietitians or exercise physiologists, despite <a href="https://dietitiansaustralia.org.au/sites/default/files/2024-04/Dietitians%20Australia%20Mental%20Health%20Evidence%20Brief%202024.pdf">peak bodies</a> urging them to do so.</p> <p>Increased training, upskilling and Medicare subsidies would be needed to support dietitians and exercise physiologists to be involved in treating mental health issues.</p> <p><a href="https://foodandmoodcentre.com.au/academy">Our training</a> and clinical <a href="https://www.tandfonline.com/doi/full/10.1080/15622975.2022.2112074">guidelines</a> are intended to help clinicians practising lifestyle-based mental health care within their scope of practice (activities a health care provider can undertake).</p> <h2>Future directions</h2> <p>Our trial took place during COVID lockdowns and examined people with at least mild symptoms of depression who did not necessarily have a mental disorder. We are seeking to replicate these findings and are now running <a href="https://foodandmoodcentre.com.au/projects/the-harmone-trial/">a study</a> open to Australians with mental health conditions such as major depression or bipolar disorder.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.<!-- 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/235952/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 --></em></p> <p><em><a href="https://theconversation.com/profiles/adrienne-oneil-268324">Adrienne O'Neil</a>, Professor, Food &amp; Mood Centre, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/sophie-mahoney-1557294">Sophie Mahoney</a>, Associate Research Fellow, Food and Mood Centre, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>Image </em><em>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/food-and-exercise-can-treat-depression-as-well-as-a-psychologist-our-study-found-and-its-cheaper-235952">original article</a>.</em></p> </div>

Mind

Placeholder Content Image

Queen Mary's sweet act after Olympic win

<p>Queen Mary has made a surprise appearance at the Olympics and shared a sweet exchange with the Australian swim team after they snatched up a gold medal. </p> <p>The Australian relay team, with Mollie O’Callaghan, Ariarne Titmus, Lani Pallister, and Brianna Throssel  took home the gold and an Olympic record in the women's 4x200m freestyle relay. </p> <p>After they received their gold medals, Ariarne Titmus noticed the Australian-born queen in the stands, and jogged over to her and straight into her arms for a celebratory hug. </p> <p>Queen Mary was beaming with pride as they reveled in the glory. </p> <p>She also pulled out her phone to snap pictures of the moment and even took selfies with the Olympians. </p> <p>“A gold medal in Paris and a royal hug. Does it get any better!” Karl Stefanovic said on the <em>Today Show</em> on Friday morning.</p> <p>“And at the end of the day, it’s two Tasmanians. Look at her taking photos on her phone, I love this, this is such a special moment,” Sarah Abo added.</p> <p>Stefanovic also said “it’s not every day you get a Queen getting a selfie with you”.</p> <p>“That is just stunning. We know Queen Mary’s presence has been felt. She was in the athletes village with Team Australia taking those selfies and hugging the athletes,” Abo added. </p> <p>"And for her to come to this meet knowing how much it would have meant for the people in Australia as well to see her there."</p> <p><em>Images: Nine</em></p>

International Travel

Placeholder Content Image

What happens in my brain when I get a migraine? And what medications can I use to treat it?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/mark-slee-1343982">Mark Slee</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/anthony-khoo-1525617">Anthony Khoo</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p>Migraine is many things, but one thing it’s not is “just a headache”.</p> <p>“Migraine” <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029040/">comes from</a> the Greek word “hemicrania”, referring to the common experience of migraine being predominantly one-sided.</p> <p>Some people experience an “aura” preceding the headache phase – usually a visual or sensory experience that evolves over five to 60 minutes. Auras can also involve other domains such as language, smell and limb function.</p> <p>Migraine is a disease with a <a href="https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(18)30322-3/fulltext">huge personal and societal impact</a>. Most people cannot function at their usual level during a migraine, and anticipation of the next attack can affect productivity, relationships and a person’s mental health.</p> <h2>What’s happening in my brain?</h2> <p>The biological basis of migraine is complex, and varies according to the phase of the migraine. Put simply:</p> <p>The earliest phase is called the <strong>prodrome</strong>. This is associated with activation of a part of the brain called the hypothalamus which is thought to contribute to many symptoms such as nausea, changes in appetite and blurred vision.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?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/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=485&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=485&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=485&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=610&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=610&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=610&amp;fit=crop&amp;dpr=3 2262w" alt="" /><figcaption><span class="caption">The hypothalamus is shown here in red.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-vector/brain-cross-section-showing-basal-ganglia-329843930">Blamb/Shutterstock</a></span></figcaption></figure> <p>Next is the <strong>aura phase</strong>, when a wave of neurochemical changes occur across the surface of the brain (the cortex) at a rate of 3–4 millimetres per minute. This explains how usually a person’s aura progresses over time. People often experience sensory disturbances such as flashes of light or tingling in their face or hands.</p> <p>In the <strong>headache phase</strong>, the trigeminal nerve system is activated. This gives sensation to one side of the face, head and upper neck, leading to release of proteins such as CGRP (calcitonin gene-related peptide). This causes inflammation and dilation of blood vessels, which is the basis for the severe throbbing pain associated with the headache.</p> <p>Finally, the <strong>postdromal phase</strong> occurs after the headache resolves and commonly involves changes in mood and energy.</p> <h2>What can you do about the acute attack?</h2> <p>A useful way to conceive of <a href="https://www.migraine.org.au/factsheets">migraine treatment</a> is to compare putting out campfires with bushfires. Medications are much more successful when applied at the earliest opportunity (the campfire). When the attack is fully evolved (into a bushfire), medications have a much more modest effect.</p> <p><iframe id="Pj1sC" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/Pj1sC/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p><strong>Aspirin</strong></p> <p>For people with mild migraine, non-specific anti-inflammatory medications such as high-dose aspirin, or standard dose non-steroidal medications (NSAIDS) can be very helpful. Their effectiveness is often enhanced with the use of an anti-nausea medication.</p> <p><strong>Triptans</strong></p> <p>For moderate to severe attacks, the mainstay of treatment is a class of medications called “<a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1678146819/Factsheet_15_2023.pdf?1678146819">triptans</a>”. These act by reducing blood vessel dilation and reducing the release of inflammatory chemicals.</p> <p>Triptans vary by their route of administration (tablets, wafers, injections, nasal sprays) and by their time to onset and duration of action.</p> <p>The choice of a triptan depends on many factors including whether nausea and vomiting is prominent (consider a dissolving wafer or an injection) or patient tolerability (consider choosing one with a slower onset and offset of action).</p> <p>As triptans constrict blood vessels, they should be used with caution (or not used) in patients with known heart disease or previous stroke.</p> <p><strong>Gepants</strong></p> <p>Some medications that block or modulate the release of CGRP, which are used for migraine prevention (which we’ll discuss in more detail below), also have evidence of benefit in treating the acute attack. This class of medication is known as the “gepants”.</p> <p>Gepants come in the form of injectable proteins (monoclonal antibodies, used for migraine prevention) or as oral medication (for example, rimegepant) for the acute attack when a person has not responded adequately to previous trials of several triptans or is intolerant of them.</p> <p>They do not cause blood vessel constriction and can be used in patients with heart disease or previous stroke.</p> <p><strong>Ditans</strong></p> <p>Another class of medication, the “ditans” (for example, lasmiditan) have been approved overseas for the acute treatment of migraine. Ditans work through changing a form of serotonin receptor involved in the brain chemical changes associated with the acute attack.</p> <p>However, neither the gepants nor the ditans are available through the Pharmaceutical Benefits Scheme (PBS) for the acute attack, so users must pay out-of-pocket, at a <a href="https://www.migraine.org.au/cgrp#:%7E:text=While%20the%20price%20of%20Nurtec,%2D%24300%20per%208%20wafers.">cost</a> of approximately A$300 for eight wafers.</p> <h2>What about preventing migraines?</h2> <p>The first step is to see if <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1677043428/Factsheet_5_2023.pdf?1677043428">lifestyle changes</a> can reduce migraine frequency. This can include improving sleep habits, routine meal schedules, regular exercise, limiting caffeine intake and avoiding triggers such as stress or alcohol.</p> <p>Despite these efforts, many people continue to have frequent migraines that can’t be managed by acute therapies alone. The choice of when to start preventive treatment varies for each person and how inclined they are to taking regular medication. Those who suffer disabling symptoms or experience more than a few migraines a month <a href="https://www.nejm.org/doi/full/10.1056/NEJMra1915327">benefit the most</a> from starting preventives.</p> <p>Almost all migraine <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1708566656/Factsheet_16_2024.pdf?1708566656">preventives</a> have existing roles in treating other medical conditions, and the physician would commonly recommend drugs that can also help manage any pre-existing conditions. First-line preventives include:</p> <ul> <li>tablets that lower blood pressure (candesartan, metoprolol, propranolol)</li> <li>antidepressants (amitriptyline, venlafaxine)</li> <li>anticonvulsants (sodium valproate, topiramate).</li> </ul> <p>Some people have none of these other conditions and can safely start medications for migraine prophylaxis alone.</p> <p>For all migraine preventives, a key principle is starting at a low dose and increasing gradually. This approach makes them more tolerable and it’s often several weeks or months until an effective dose (usually 2- to 3-times the starting dose) is reached.</p> <p>It is rare for noticeable benefits to be seen immediately, but with time these drugs <a href="https://pubmed.ncbi.nlm.nih.gov/26252585/">typically reduce</a> migraine frequency by 50% or more.</p> <hr /> <p><iframe id="jxajY" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/jxajY/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <hr /> <h2>‘Nothing works for me!’</h2> <p>In people who didn’t see any effect of (or couldn’t tolerate) first-line preventives, new medications have been available on the PBS since 2020. These medications <a href="https://pubmed.ncbi.nlm.nih.gov/8388188/">block</a> the action of CGRP.</p> <p>The most common PBS-listed <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1708566656/Factsheet_16_2024.pdf?1708566656">anti-CGRP medications</a> are injectable proteins called monoclonal antibodies (for example, galcanezumab and fremanezumab), and are self-administered by monthly injections.</p> <p>These drugs have quickly become a game-changer for those with intractable migraines. The convenience of these injectables contrast with botulinum toxin injections (also <a href="https://www.migraine.org.au/botox">effective</a> and PBS-listed for chronic migraine) which must be administered by a trained specialist.</p> <p>Up to half of adolescents and one-third of young adults are <a href="https://deepblue.lib.umich.edu/bitstream/handle/2027.42/147205/jan13818.pdf">needle-phobic</a>. If this includes you, tablet-form CGRP antagonists for migraine prevention are hopefully not far away.</p> <p>Data over the past five years <a href="https://pubmed.ncbi.nlm.nih.gov/36718044/">suggest</a> anti-CGRP medications are safe, effective and at least as well tolerated as traditional preventives.</p> <p>Nonetheless, these are used only after a number of cheaper and more readily available <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1677043425/Factsheet_2_2023.pdf?1677043425">first-line treatments</a> (all which have decades of safety data) have failed, and this also a criterion for their use under the PBS.<!-- 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/227559/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/mark-slee-1343982">Mark Slee</a>, Associate Professor, Clinical Academic Neurologist, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/anthony-khoo-1525617">Anthony Khoo</a>, Lecturer, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders 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/what-happens-in-my-brain-when-i-get-a-migraine-and-what-medications-can-i-use-to-treat-it-227559">original article</a>.</em></p> </div>

Body

Placeholder Content Image

"My little Spice Girl": Victoria Beckham's sweet tribute as daughter turns 13

<p>David and Victoria Beckham's daughter has turned 13. </p> <p>On Wednesday July 10, the couple marked Harper's milestone birthday with a cute throwback video shared on Instagram. </p> <p>The sweet video — set to Bruno Mars’ <em>Just The Way You Are </em> — featured a compilation of footage of Harper through the years, from her taking her first steps to playing soccer with her dad. </p> <p>"Happy 13th Birthday to my beautiful little girl," David began in the caption. </p> <p>"Daddy is so proud of you, you have grown up to be a kind, generous &amp; a beautiful young lady with the most amazing heart &amp; the most amazing smile that we all love so so much," he continued.</p> <p>"Always be the beautiful person that you are. Harper Seven you're my world."</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/C9Prtgjo_IN/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C9Prtgjo_IN/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by David Beckham (@davidbeckham)</a></p> </div> </blockquote> <p>Victoria also shared a special tribute to her daughter, with the caption: “Happy Birthday to my best friend. You are sweet and kind and your smile warms our hearts every day 😊"</p> <p>"You really are our everything Harper Seven and we are so proud of the happy, beautiful, talented young lady you are becoming. We love you so so much ❤️❤️❤️❤️❤️❤️❤️❤️ "</p> <p>Victoria's celebrity friends took to the comments to share their birthday wishes. </p> <p>“Happy birthday beautiful Harper! We love you so much! ❤️,” wrote Victoria’s best friend Eva Longoria. </p> <p>“Happy birthday Harper, we love you to bits. Xx,” added Spice Girl bandmate Emma Bunton.</p> <p><em>Images: Instagram</em></p> <p> </p>

Family & Pets

Placeholder Content Image

“28 years today”: Barbra Streisand’s sweet tribute

<p>Barbra Streisand has celebrated two special occasions with her husband James Brolin. </p> <p>The singer and actress took to Instagram to share a throwback photo of the pair on their wedding day, marking both their 26th wedding anniversary and the day they first met almost three decades ago. </p> <p>"28 years today since we met honey… and 26 years today since we married!" she wrote. </p> <p>She added a sweet message for her husband:  "Love you. B ❤️."</p> <p>The photo, from their 1998 nuptials, showed Brolin looking dapper in a classic black tuxedo as he wrapped his arms around Streisand looking beautiful in a white, lacy off-the-shoulder wedding dress. </p> <p>The couple first met in 1996 at a blind date dinner party when she was 54 and he was 56. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C84gPHeI6AX/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C84gPHeI6AX/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Barbra Streisand (@barbrastreisand)</a></p> </div> </blockquote> <p>They tied the knot in a backyard ceremony at the singer's home in Malibu, California. </p> <p>"I can't tell you how lucky I am that this would happen to me so late in life," Brolin said in his wedding speech at the time. </p> <p> "Every night is a new adventure. Sleeping is a waste of time. I can't wait to see [Streisand] again in the morning." </p> <p> Brolin was previously married to Jane Cameron Agee and Jan Smithers, while Streisand was previously wed to Elliott Gould.</p> <p>Fans were quick to congratulate the couple on their anniversary. </p> <p>"Happy Anniversary!!! What a gorgeous photo," wrote one fan. </p> <p>"Based on your novel: you finally got the love you deserve," added another. </p> <p>"You're such a stunning couple, congratulations, and may you continue to write your love story. Thank you for giving us you," commented a third. </p> <p><em>Image: Instagram</em></p> <p> </p>

Relationships

Placeholder Content Image

Two young fundraising heroes treated to private party at Buckingham Palace

<p>Two fundraising heroes have been treated to a private tea party, hosted by Queen Camilla herself, after being forced to miss previous royal events.</p> <p>Tony Hudgell, nine, and Lyla O’Donovan, 11, were due to attend a garden party in May, but Hudgell got stuck in a major traffic jam, while Lyla was undergoing treatment for cancer. </p> <p>Tony — whose legs were amputated after horrific child abuse - was devastated to miss the royal event, as his adoptive mother Paula shared on X (formerly Twitter) how they spent two hours stuck behind a fire truck on a major highway. </p> <p>However, a response on the Royal Family indicated all was not lost, as they replied, “Sorry to hear this, Tony! We were looking forward to seeing you too. Fancy trying again another day? Leave it with us.”</p> <p>Two months on, the two youngsters arrived at Buckingham Palace for the rescheduled treat last week and were given a front-row spot to watch the Changing of the Guard.</p> <p>The two children and their families then enjoyed a private tea party with Queen Camilla, 76, in the palace garden’s Summer House.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">🫖 🍰 When Tony and Lyla came to tea … <a href="https://t.co/LTfLrPDjT7">pic.twitter.com/LTfLrPDjT7</a></p> <p>— The Royal Family (@RoyalFamily) <a href="https://twitter.com/RoyalFamily/status/1807667556120969625?ref_src=twsrc%5Etfw">July 1, 2024</a></p></blockquote> <p>The Queen then presented Tony with his British Empire Medal after his nomination in the 2024 New Year’s Honours.</p> <p>Tony, who lost his legs as a baby due to his parents’ cruelty, inspired the nation after doing a 10km walk, raising $2.4 million at age five.</p> <p>Paula said, “We were all extremely honoured and grateful to be invited for afternoon tea with the Queen. Everyone was so kind and thoughtful and made us feel comfortable and relaxed."</p> <p>“Tony chatted to the Queen as if they were old friends. She was lovely with him.</p> <p>“An exceptionally proud moment was when the Queen gave Tony his BEM. It was one of the most memorable days we’ll ever have.”</p> <p>Lyla has raised funds to grant wishes to children affected by cancer or lifelong illness. She said of the event, “Everyone made us feel so comfortable and made me feel super-special. We’re so grateful.”</p> <p>Dad Paul said, “It was an amazing moment for us. Lyla was gutted about missing the original Garden Party but she said she’s glad she missed it now as she’s got to meet the Queen."</p> <p>“There’s no one more important than her, apart from the King, of course.”</p> <p><em>Image credits: Buckingham Palace/WPA Pool/Shutterstock Editorial </em></p>

International Travel

Our Partners