Placeholder Content Image

Four ways to tell the designer fashion items worth investing in from the ones that aren’t

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/naomi-braithwaite-156824">Naomi Braithwaite</a>, <a href="https://theconversation.com/institutions/nottingham-trent-university-1338">Nottingham Trent University</a></em></p> <p>Whether it’s aspiring to the “quiet luxury” or <a href="https://theconversation.com/new-clean-girl-and-old-money-aesthetics-on-tiktok-make-the-same-old-link-between-hygiene-and-class-208566">“old money” looks</a> taking over TikTok, or cringing at the “<a href="https://theconversation.com/far-from-the-ludicrously-capacious-what-the-fashion-of-succession-tells-us-about-the-show-and-about-society-202744">ludicrously capacious bag</a>” scene in the last season of Succession, designer clothes and accessories have been a hot topic in 2023. But with continued sales growth in <a href="https://www.mckinsey.com/industries/retail/our-insights/state-of-fashion">designer fashion</a>, and concerns about shopping more <a href="https://fashionunited.uk/news/retail/consumers-want-to-shop-sustainably-what-are-the-opportunities-for-brands/2022102465829">sustainably</a>, it’s worth considering investing your money in products that will last longer.</p> <p>Sales in luxury fashion have increased significantly since the pandemic. <a href="https://www.just-style.com/features/covid-two-years-on-expert-analysis-of-top-10-global-apparel-companies/?cf-view">Louis Vuitton</a>, for example, has increased its sales from 2019. And British luxury brand, Burberry, reported sales growth to be <a href="https://www.theguardian.com/business/2021/jul/16/burberry-sales-return-to-pre-pandemic-levels-as-younger-shoppers-splash-out">86% higher</a> in the year following the pandemic (though there has been <a href="https://news.sky.com/story/burberry-shares-take-10-hit-on-warning-of-slump-in-luxury-demand-13009401">another dip in sales</a> more recently).</p> <p>The <a href="https://www.limitlessmanufacturinggroup.com/blog/the-rise-of-athleisure-how-activewear-became-mainstream-fashion">rise of athleisure</a> in fashion and designer collaborations such as <a href="https://www.manoloblahnik.com/gb/the-latest/post/manolo-blahnik-for-birkenstock">Manolo Blahnik for Birkenstock</a>, <a href="https://www.gucci.com/uk/en_gb/st/capsule/adidas-gucci">Gucci x Adidas</a> and <a href="https://uk.burberry.com/c/collaborations-supreme-burberry/">Burberry x Supreme</a> have made luxury more available. But prices are still high, so how can you know whether a purchase will stand the test of time and become an investment piece or a fashion flop? Here are four key factors to consider when making a designer purchase.</p> <h2>1. Resale value</h2> <p>An expensive purchase price may not guarantee that your product will hold its value. A key factor to consider is what the resale value of your purchase will be, as this will indicate the item’s investment potential.</p> <p>A fashion investment piece tends to be a luxury product with a higher price ticket. Prices of luxury fashion have increased over the last decade. Chanel bags, for example, have <a href="https://www.forbes.com/sites/walterloeb/2022/02/21/luxury-brand-prices-rise-sharply--will-it-cut-demand/">almost doubled</a> in price. Chanel’s iconic medium flap bag has increased from <a href="https://luxecollectivefashion.com/blogs/communique/your-expert-guide-to-the-chanel-price-increases-2023">£7,550 in 2022 to £8,530 in 2023</a> and is considered to be one of the most covetable designs in the <a href="https://www.whowhatwear.co.uk/best-luxury-handbags-resale-value/slide2">resale market</a>.</p> <p>Similarly, Hermès’ famous Birkin and Kelly bag designs, renowned for their quality, are <a href="https://www.sothebys.com/en/articles/hermes-bag-review-2022-birkin-bag-and-hermes-kelly-bag-remain-most-popular">undoubtedly investment pieces</a>. Despite the high price ticket, <a href="https://www.whowhatwear.co.uk/birkin-bag-prices/slide2">Birkin bags are in demand</a>. They are the most collectable and classic of designer bags, with an average retail price of USD$10,000 (£8,237), <a href="https://www.scmp.com/lifestyle/fashion-beauty/article/3211640/why-hermes-birkin-bag-such-good-investment-according-experts-other-luxury-handbags-might-not-be">which can double in the resale market</a>.</p> <p>Luxury fashion <a href="https://www.pursebop.com/new-app-calculates-the-resale-value-of-designer-handbags/">resaler Vestiaire</a>, along with online marketplaces like eBay, are useful sources for researching and calculating what the value of your purchase will be in the resale market. While designer bags can hold their value post-purchase, <a href="https://www.yourmoney.com/investing/can-clothing-ever-be-considered-an-investment/">clothes can be less straightforward</a> and will depend on the other following factors.</p> <h2>2. Quality and style</h2> <p>A <a href="https://www.voguebusiness.com/fashion/marketing-at-scale-explaining-luxurys-new-brand-identifiers">2023 report</a> has stated that the overt use of logos in recent years, from brands such as <a href="https://www.surefront.com/blog/is-logomania-really-over">Balenciaga and Louis Vuitton</a>, has been replaced by an interest in quiet luxury.</p> <p>Quiet luxury means <a href="https://www.businessinsider.com/quiet-luxury-explained-which-brands-will-benefit-2023-4?r=US&amp;IR=T">more simplistic, classic and timeless styling</a>. The focus on exquisite fabrics and design gives a sense of fashion that is not disposable and durable. A cashmere sweater from <a href="https://uk.loropiana.com/en/c/woman/knitwear">Lorna Piana</a> may cost over £1,700 but its quality and classic styling will ensure it’s an investment piece that transcends fashion trend cycle.</p> <p>Consideration of fabrics, styling and design aesthetic are all key in ensuring your fashion investment has longevity.</p> <h2>3. Brand authenticity</h2> <p><a href="https://www.researchgate.net/publication/303917660_The_Role_of_Heritage_and_Authenticity_in_the_Value_Creation_of_Fashion_Brand">Heritage and authenticity</a> can secure the value of fashion purchases. Brands that have a strong heritage – that have been around and respected for a long time – are better investment pieces, <a href="https://wwd.com/fashion-news/designer-luxury/luxury-fashion-heritage-chanel-dior1234792018-1234792018/">particularly in the categories of watches, jewellery and handbags</a>. Rolex watches are renowned as investment pieces, with models that are most rare commanding the higher appreciation values.</p> <p>In the realm of clothing, Burberry’s iconic trench coat – which has remained largely untouched in design terms for over 100 years – has been reported to be a good wardrobe investment by <a href="https://www.vogue.co.uk/fashion/article/burberry-trench-coats">Vogue</a>. The trench’s timeless design, alongside its long history, has secured its place as an investment product.</p> <p>However, when it comes to making the purchase it is important to go with <a href="https://www.gentlemansgazette.com/burberry-trench-coat/">Burberry’s original design</a>, rather than the fashion-led versions whose value may diminish as seasonal trends move on.</p> <h2>4. Product endorsement</h2> <p>Celebrity endorsement is a popular brand strategy for increasing the value of fashion products. While it may drive sales, it is important to consider what effect it will have on investment quality.</p> <p>A recent example was when the British pop star <a href="https://www.imdb.com/name/nm4089170/">Harry Styles</a> wore the <a href="https://harpersbazaar.com.au/adidas-gucci-collaboration-collection/">luxe Adidas x Gucci Gazelle trainers</a>, during his 2023 tour, resulting in a <a href="https://www.sneakerfreaker.com/news/harry-styles-gucci-adidas-gazelle-samba-statistics?page=0">reported 100%</a> increase in sales of the trainer.</p> <p>While sneakers have previously had a bouyant <a href="https://www.fashionbeans.com/article/sneaker-reselling-guide/">resale market</a>, that is now <a href="https://www.voguebusiness.com/fashion/has-the-sneaker-bubble-finally-burst">declining</a>, raising questions as to whether they will continue to be positive investment pieces. Celebrities may create hype – but their endorsement does not always ensure the longevity of a product’s value.</p> <p>In 1999, <a href="https://hypebae.com/2018/10/dior-saddle-bag-history-john-galliano">Dior’s saddle bag</a> was featured on US TV series <a href="https://www.hbo.com/sex-and-the-city">Sex and the City</a>, securing its place as an <a href="https://garage.vice.com/en_us/article/mbxjmn/dior-saddle-bag-sex-in-the-city">iconic designer bag</a>. While this increased its value and desirability at the time, the bag eventually faded from view, until 2018, when Maria Grazia Chiuri, Dior’s current design director, relaunched it. This resulted in a frenzy of interest <a href="https://www.harpersbazaar.com/uk/fashion/a42118540/dior-saddle-bag/">in the original Galliano designs</a>.</p> <p>Endorsement creates hype and desirability, but occasionally it can also create a classic too. But this takes time, and it’s best to consider other factors including brand authenticity, quality and style when planning an investment purchase.</p> <p>Also, value does not always have to have a price attributed to it. In the world of designer fashion, it is important not to overlook the significance of the <a href="https://www.theguardian.com/fashion/2023/oct/13/fashion-thats-begging-for-love-designers-want-to-create-meaningful-stuff">emotional durability</a> of our purchases and how that can ensure an enduring value and longevity.</p> <p><em><a href="https://theconversation.com/profiles/naomi-braithwaite-156824">Naomi Braithwaite</a>, Associate Professor in Fashion Marketing and Branding, <a href="https://theconversation.com/institutions/nottingham-trent-university-1338">Nottingham Trent 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/four-ways-to-tell-the-designer-fashion-items-worth-investing-in-from-the-ones-that-arent-215831">original article</a>.</em></p> </div>

Beauty & Style

Placeholder Content Image

John Farnham tells all about gruelling surgery and recovery

<p>John Farnham has candidly shared the details of his mammoth surgery to remove a cancerous tumour from his jaw, and the subsequent recovery process. </p> <p>Revealing all in his new memoir <em>The Voice Inside</em>, the Aussie music legend spoke about his recent health challenges after he was diagnosed with oral cancer in August 2022 which saw him undergo a marathon 12-hour surgery to the tumour. </p> <p>The procedure involved the reconstruction of part of his jaw and required intensive care and an extended recovery period, as surgeons removed all his bottom teeth and scraped his jaw bone.</p> <p>Farnham’s recounting of the experience in his memoir, marking the first time the music legend has talked publicly about the surgery and his recovery.</p> <p>“I was told later that someone from the medical team called Jillian [Billman, Farnham’s wife] a couple of times while I was in ­theatre – apparently I was very close to dying,” he said.</p> <p>He went on to write about the lengthy journey of finding his voice again, writing, “My facial disfigurement from the surgery means I can’t open my mouth wide enough for a strip of spaghetti, let alone to sing a top C."</p> <p>"At this stage I can’t get the movement to make the sounds I want to make, and that’s where the vibrations and my voice come from,” he wrote.</p> <p>“It’s still a very disconcerting thing. And trying hurts [...] I can barely open my mouth but I still wail in the shower.”</p> <p>Farnham's memoir comes after his long-time friend Gaynor Wheatley told <em>Today</em> that he has not ruled out the possibility of ever <a href="https://oversixty.com.au/health/caring/longtime-friend-opens-up-on-john-farnham-s-potential-return-to-singing" target="_blank" rel="noopener">performing</a> again. </p> <p>"As soon as I saw him in the studio doing the audiobook and as soon as he got behind the microphone, the twinkle was in the eye," she told the show on Wednesday. </p> <p>"That's when I thought, you know, we're still in with a shot and he can still sing, his voice box is still great, there's just a few more things to do with the mouth recovery, but we all know he's as strong as a boxer so if he wants to do something, he'll do it.</p> <p>"If I say to him, 'You won't sing, you can't sing, what a shame', then he'll go, 'Yes I can, I'll prove you wrong'."</p> <p><em>Image credits: Getty Images / Facebook</em></p>

Caring

Placeholder Content Image

How light tells you when to sleep, focus and poo

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/frederic-gachon-1379094">Frederic Gachon</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/benjamin-weger-1646210">Benjamin Weger</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Exposure to light is crucial for our physical and mental health, as this and future articles in the series will show.</p> <p>But the <em>timing</em> of that light exposure is also crucial. This tells our body to wake up in the morning, when to poo and the time of day to best focus or be alert. When we’re exposed to light also controls our body temperature, blood pressure and even chemical reactions in our body.</p> <p>But how does our body know when it’s time to do all this? And what’s light got to do with it?</p> <h2>What is the body clock, actually?</h2> <p>One of the key roles of light is to re-set our body clock, also known as the circadian clock. This works like an internal oscillator, similar to an actual clock, ticking away as you read this article.</p> <p>But rather than ticking you can hear, the body clock is a network of genes and proteins that regulate each other. This network sends signals to organs via hormones and the nervous system. These complex loops of interactions and communications have a rhythm of about 24 hours.</p> <p>In fact, we don’t have one clock, we have trillions of body clocks throughout the body. The central clock is in the hypothalamus region of the brain, and each cell in every organ has its own. These clocks work in concert to help us adapt to the daily cycle of light and dark, aligning our body’s functions with the time of day.</p> <p>However, our body clock is not precise and works to a rhythm of <em>about</em> 24 hours (24 hours 30 minutes on average). So every morning, the central clock needs to be reset, signalling the start of a new day. This is why light is so important.</p> <p>The central clock is directly connected to <a href="https://journals.sagepub.com/doi/abs/10.1177/07487304231225706">light-sensing cells</a> in our retinas (the back of the eye). This daily re-setting of the body clock with morning light is essential for ensuring our body works well, in sync with our environment.</p> <p>In parallel, <a href="https://theconversation.com/does-it-matter-what-time-of-day-i-eat-and-can-intermittent-fasting-improve-my-health-heres-what-the-science-says-203762">when we eat food</a> also plays a role in re-setting the body clock, but this time the clock in organs other than the brain, such as the liver, kidneys or the gut.</p> <p>So it’s easy to see how our daily routines are closely linked with our body clocks. And in turn, our body clocks shape how our body works at set times of the day.</p> <h2>What time of day?</h2> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?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/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/627494/original/file-20241023-14-729bed.gif?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Matt Garrow/The Conversation.</span> <span class="attribution"><a class="source" href="https://delos.com/blog/why-natural-light-is-important-for-mental-and-physical-health/">Adapted from Delos</a>, <a class="license" href="http://creativecommons.org/licenses/by/4.0/">CC BY</a></span></figcaption></figure> <h2>Let’s take a closer look at sleep</h2> <p>The naturally occurring brain hormone <a href="https://pubmed.ncbi.nlm.nih.gov/30311830/">melatonin</a> is linked to our central clock and makes us feel sleepy at certain times of day. When it’s light, our body stops making melatonin (its production is inhibited) and we are alert. Closer to bedtime, the hormone is made, then secreted, making us feel drowsy.</p> <p>Our sleep is also <a href="https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2019.00944/full">partly controlled</a> by <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-genom-121222-120306">our genes</a>, which are part of our central clock. These genes influence our <a href="https://theconversation.com/does-it-matter-what-time-i-go-to-bed-198146">chronotype</a> – whether we are a “lark” (early riser), “night owl” (late sleeper) or a “dove” (somewhere in between).</p> <p>But exposure to light at night when we are supposed to be sleeping can have harmful effects. Even dim light from light pollution can impair our <a href="https://www.pnas.org/doi/10.1073/pnas.2113290119">heart rate and how we metabolise sugar</a> (glucose), may lead to <a href="https://doi.org/10.1038/s44220-023-00135-8">psychiatric disorders</a> such as depression, anxiety and bipolar disorder, and increases the overall risk of <a href="https://www.pnas.org/doi/10.1073/pnas.2405924121">premature death</a>.</p> <p>The main reason for these harmful effects is that light “at the wrong time” disturbs the body clock, and these effects are more pronounced for “night owls”.</p> <p>This “misaligned” exposure to light is also connected to the detrimental health effects we often see in people who <a href="https://theconversation.com/why-does-night-shift-increase-the-risk-of-cancer-diabetes-and-heart-disease-heres-what-we-know-so-far-190652">work night shifts</a>, such as an increased risk of cancer, diabetes and heart disease.</p> <h2>How about the gut?</h2> <p>Digestion also follows a circadian rhythm. Muscles in the colon that help move waste <a href="https://doi.org/10.1111/j.1572-0241.2004.40453.x">are more active</a> during the day and slow down at night.</p> <p>The most significant increase in colon movement starts at 6.30am. This is one of the reasons why most people feel the urge to poo <a href="https://theconversation.com/why-do-i-poo-in-the-morning-a-gut-expert-explains-229624">in the early morning</a> rather than at night.</p> <p>The gut’s day-night rhythm is a direct result of the action of the gut’s own clock and the central clock (which synchronises the gut with the rest of the body). It’s also influenced by when we eat.</p> <h2>How about focusing?</h2> <p>Our body clock also helps control our attention and alertness levels by changing how our brain functions at certain times of day. Attention and alertness levels improve in the afternoon and evening but dip during the night and early morning.</p> <p>Those fluctuations <a href="https://www.frontiersin.org/journals/molecular-neuroscience/articles/10.3389/fnmol.2012.00050/full">impact performance</a> and can lead to decreased productivity and an <a href="https://www.nature.com/articles/s41598-019-40914-x">increased risk</a> of errors and accidents during the less-alert hours.</p> <p>So it’s important to perform certain tasks that <a href="https://pubmed.ncbi.nlm.nih.gov/30923475/">require our attention</a> at certain times of day. That includes driving. In fact, disruption of the circadian clock at the start of daylight savings – when our body hasn’t had a chance to adapt to the clocks changing – <a href="https://www.sciencedirect.com/science/article/pii/S0960982219316781?via%3Dihub">increases the risk</a> of a car accident, particularly in the morning.</p> <h2>What else does our body clock control?</h2> <p>Our body clock influences many other aspects of our biology, including:</p> <ul> <li><strong>physical performance</strong> by controlling the activity of our <a href="https://doi.org/10.1038/s41574-023-00805-8">muscles</a></li> <li><strong>blood pressure</strong> by controlling the <a href="https://theconversation.com/what-time-of-day-should-i-take-my-medicine-125809">system of hormones</a> involved in regulating our blood volume and blood vessels</li> <li><strong>body temperature</strong> by controlling our metabolism and our level of physical activity</li> <li><strong>how our body handles drugs and toxins</strong> by <a href="https://doi.org/10.1080/17460441.2023.2224554">controlling enzymes</a> involved in how the liver and kidneys eliminate these substances from the body.</li> </ul> <h2>Morning light is important</h2> <p>But what does this all mean for us? Exposure to light, especially in the morning, is crucial for synchronising our circadian clock and bodily functions.</p> <p>As well as setting us up for a good night’s sleep, increased morning light exposure benefits our <a href="https://www.sciencedirect.com/science/article/pii/S0165032721008612?via%3Dihub">mental health</a> and <a href="https://academic.oup.com/jcem/article/101/9/3539/2806883">reduces the risk of obesity</a>. So boosting our exposure to morning light – for example, by going for a walk, or having breakfast outside – can directly benefit our mental and metabolic health.</p> <p>However, there are other aspects about which we have less control, including <a href="https://www.sciencedirect.com/science/article/pii/S0168952524001100">the genes</a> that control our body clock.<!-- 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/236780/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/frederic-gachon-1379094">Frederic Gachon</a>, Associate Professor, Physiology of Circadian Rhythms, Institute for Molecular Bioscience, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/benjamin-weger-1646210">Benjamin Weger</a>, NHMRC Emerging Leadership Fellow Institute for Molecular Bioscience, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-light-tells-you-when-to-sleep-focus-and-poo-236780">original article</a>.</em></p> </div>

Body

Placeholder Content Image

I have hay fever. How can I tell what I’m allergic to?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/ryan-mead-hunter-1480189">Ryan Mead-Hunter</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em></p> <p>When we think of spring we think of warming weather, birdsong and flowers. But for many people, this also means the return of their seasonal hay fever symptoms.</p> <p>Around <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/health-conditions-prevalence/latest-release">24% of Australians</a> get hay fever, with sneezing, a runny or blocked nose, and itchy or watery eyes the most common symptoms. In <a href="https://www.healthdirect.gov.au/hay-fever#:%7E:text=Key%20facts,dust%20mites%2C%20and%20animal%20fur">severe cases</a>, this may impact sleep and concentration, or be linked to increased frequency of sinus infections.</p> <p>The exact timing of the symptoms depends on your exposure to an allergen – the thing you’re allergic to. Those impacted by tree pollen (from plane trees or cypress pine, for example) may experience symptoms at different times of the year than those impacted by grass pollen (such as rye grass). This will also vary around the country.</p> <p>In Perth, for example, tree pollen (cypress pine) is generally present in August to October, while grass pollen counts tend to be highest in October to November. Other cities and regions may have longer pollen seasons, which may extend further into summer.</p> <h2>Remind me, how does hay fever impact the body?</h2> <p>What we know colloquially as hay fever is called allergic rhinitis. Exposure to a specific allergen (or allergens) triggers an immune response in the body. This leads to inflammation and swelling of the tissue lining the nasal passages in the nose.</p> <p>A range of <a href="https://www.healthdirect.gov.au/hay-fever#:%7E:text=Key%20facts,dust%20mites%2C%20and%20animal%20fur.">allergens</a> may trigger such a response: pollen (from trees, grass or weeds), dust mites, pet fur, dander, mould and some air pollutants.</p> <p>Those with allergies that are only present for part of the year, such as pollen, experience what we call seasonal hay fever, while those with allergies that may be present at any time, such as dust mites and pet dander, experience perennial hay fever.</p> <h2>Getting a diagnosis</h2> <p>Many people with hay fever self-manage their symptoms by limiting exposure to allergens and using over-the-counter <a href="https://theconversation.com/how-do-hay-fever-treatments-actually-work-and-whats-best-for-my-symptoms-213071">antihistamines and steroid nasal sprays</a>.</p> <p>But this may require assistance from your GP and confirmation that what you’re experiencing is hay fever. Your GP can assess your symptoms and medical history, provide a diagnosis, and help with treating and managing your symptoms.</p> <p>Your GP may also be able help you identify potential allergens, based on when you experience symptoms and the environments to which you’re exposed.</p> <p>If symptoms persist, your GP may suggest allergy testing. They may refer you to a specialist called an immunologist, to determine what particular allergen is causing your symptoms, using <a href="https://www.allergy.org.au/patients/allergy-testing/allergy-testing">skin prick tests or blood tests</a>. Tests typically involve controlled exposure to small quantities of suspected allergens.</p> <p>But note, there are a number of tests marketed online that are unproven and not recommended by reputable bodies.</p> <h2>How else can I work out what I’m allergic to?</h2> <p>For those with seasonal hay fever, resources are available to help manage exposures, based on the flowering seasons for common allergy-related species or through pollen forecasting services.</p> <p>The Australian Society of Clinical Immunology and Allergy provides a <a href="https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/guide-to-common-allergenic-pollen">useful pollen guide</a> for each species and when they’re most likely to cause symptoms, broken down for each state and territory.</p> <p>Pollen monitoring and forecasting services – such as <a href="https://www.perthpollen.com.au/">Perth Pollen</a>, <a href="https://www.melbournepollen.com.au/">Melbourne Pollen</a> and <a href="https://www.sydneypollen.com.au/">Sydney Pollen</a>, as well as for other cities – can help you plan outdoor activities.</p> <p>There are also associated phone apps for these services, which can give notifications when the pollen count is high. You can down load these apps (such as <a href="https://airrater.org/">AirRater</a>, Perth Pollen, Melbourne Pollen and Sydney Pollen) from your preferred app store.</p> <p>Apps such as <a href="https://airrater.org/">AirRater</a> also allow you to enter information about your symptoms, which can then be matched to the environmental conditions at the time (pollen count, temperature, smoke, and so on).</p> <p>Using statistical modelling, the app may be able to establish a link between symptoms and exposure. If a sufficiently high correlation is established, the app can send you notifications when the <a href="https://airrater.org/how-does-it-work/">exposure risk</a> is high. This may prompt you to limit outdoor activities and have any medication readily available.</p> <hr /> <p><em>Further information about managing allergic rhinitis is available from <a href="https://www.healthdirect.gov.au/hay-fever">healthdirect</a> and <a href="https://allergyfacts.org.au/__interest/allergic-rhinitis/">Allergy and Anaphylaxis Australia</a></em><!-- 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/ryan-mead-hunter-1480189">Ryan Mead-Hunter</a>, Senior lecturer, School of Population Health, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin 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/i-have-hay-fever-how-can-i-tell-what-im-allergic-to-240450">original article</a>.</em></p> </div>

Body

Placeholder Content Image

I have a stuffy nose, how can I tell if it’s hay fever, COVID or something else?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/deryn-thompson-1449312">Deryn Thompson</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Hay fever (also called allergic rhinitis) affects <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/national-health-survey-state-and-territory-findings/latest-release">24%</a> of Australians. <a href="https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/allergic-rhinitis-or-hay-fever">Symptoms</a> include sneezing, a runny nose (which may feel blocked or stuffy) and itchy eyes. People can also experience an itchy nose, throat or ears.</p> <p>But COVID is still <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">spreading</a>, and <a href="https://theconversation.com/i-feel-sick-how-do-i-know-if-i-have-the-flu-covid-rsv-or-something-else-234266">other viruses</a> can cause cold-like symptoms. So how do you know which one you’ve got?</p> <h2>Remind me, how does hay fever cause symptoms?</h2> <p><a href="https://www.allergy.org.au/hp/papers/allergic-rhinitis-clinical-update">Hay fever</a> happens when a person has become “sensitised” to an allergen trigger. This means a person’s body is always primed to react to this trigger.</p> <p>Triggers can include allergens in the air (such as pollen from trees, grasses and flowers), mould spores, animals or house dust mites which mostly live in people’s mattresses and bedding, and feed on shed skin.</p> <p>When the body is exposed to the trigger, it produces IgE (immunoglobulin E) antibodies. These cause the release of many of the body’s own chemicals, including histamine, which result in hay fever symptoms.</p> <p>People who have asthma may find their asthma symptoms (cough, wheeze, tight chest or trouble breathing) worsen when exposed to airborne allergens. Spring and sometimes into summer can be the worst time for people with grass, tree or flower allergies.</p> <p>However, animal and house dust mite symptoms usually happen year-round.</p> <h2>What else might be causing my symptoms?</h2> <p>Hay fever does not cause a fever, sore throat, muscle aches and pains, weakness, loss of taste or smell, nor does it cause you to cough up mucus.</p> <p>These symptoms are likely to be caused by a virus, such as COVID, influenza, respiratory syncytial virus (RSV) or a “cold” (often caused by rhinoviruses). These conditions can occur all year round, with some overlap of symptoms:</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=582&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=582&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=582&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=731&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=731&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/624085/original/file-20241007-16-xf6euv.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=731&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="attribution"><a class="source" href="https://theconversation.com/i-feel-sick-how-do-i-know-if-i-have-the-flu-covid-rsv-or-something-else-234266">Natasha Yates/The Conversation</a></span></figcaption></figure> <p>COVID still <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">surrounds</a> us. <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/health+statistics/surveillance+of+notifiable+conditions/respiratory+infections+dashboard">RSV and influenza</a> rates appear higher than before the COVID pandemic, but it may be <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10888990/#:%7E:text=Increases%20in%20RSV%20patient%20volume,with%20an%20RSV%20diagnosis%20occurred">due to more testing</a>.</p> <p>So if you have a fever, sore throat, muscle aches/pains, weakness, fatigue, or are coughing up mucus, stay home and avoid mixing with others to limit transmission.</p> <p>People with COVID symptoms can take a rapid antigen test (<a href="https://www.health.gov.au/sites/default/files/2024-04/coronavirus-covid-19-rapid-antigen-tests.pdf">RAT</a>), ideally when <a href="https://www.cochrane.org/CD013705/INFECTN_how-accurate-are-rapid-antigen-tests-diagnosing-covid-19">symptoms start</a>, then isolate until symptoms disappear. <a href="https://www.mja.com.au/journal/2023/219/11/covid-19-rapid-antigen-tests-approved-self-testing-australia-published">One negative RAT alone</a> can’t rule out COVID if symptoms are still present, so test again 24–48 hours after your initial test if symptoms persist.</p> <p>You can now test yourself for COVID, RSV and influenza in a <a href="https://www.tga.gov.au/sites/default/files/2024-02/covid-19-rapid-antigen-self-tests-are-approved-australia-ifu-406813.PDF">combined RAT</a>. But again, a negative test doesn’t rule out the virus. If your symptoms continue, <a href="https://www.tga.gov.au/sites/default/files/2024-02/covid-19-rapid-antigen-self-tests-are-approved-australia-ifu-406813.PDF">test again</a> 24–48 hours after the previous test.</p> <h2>If it’s hay fever, how do I treat it?</h2> <p>Treatment involves blocking the body’s histamine release, by taking antihistamine medication which helps reduce the symptoms.</p> <p>Doctors, nurse practitioners and pharmacists can develop a <a href="https://www.allergy.org.au/images/pc/ASCIA_Allergic_Rhinitis_Treatment_Plan_2024.pdf">hay fever care plan</a>. This may include using a nasal spray containing a topical corticosteroid to help reduce the swelling inside the nose, which causes stuffiness or blockage.</p> <p>Nasal sprays need to delivered <a href="https://allergyfacts.org.au/are-you-using-your-nasal-spray-correctly/">using correct technique</a> and used over several weeks to work properly. Often these sprays can also help lessen the itchy eyes of hay fever.</p> <p>Drying bed linen and pyjamas inside during spring can <a href="https://www.allergy.org.au/patients/allergy-treatments/allergen-minimisation">lessen symptoms</a>, as can putting a <a href="https://www.nps.org.au/consumers/managing-hay-fever">smear of Vaseline</a> in the nostrils when going outside. Pollen sticks to the Vaseline, and gently blowing your nose later removes it.</p> <p>People with asthma should also have an <a href="https://asthma.org.au/manage-asthma/asthma-action-plan/">asthma plan</a>, created by their doctor or nurse practitioner, explaining how to adjust their asthma reliever and preventer medications in hay fever seasons or on allergen exposure.</p> <p>People with asthma also need to be <a href="https://www.nationalasthma.org.au/living-with-asthma/resources/patients-carers/factsheets/thunderstorm-asthma">alert for thunderstorms</a>, where pollens can burst into tinier particles, be inhaled deeper in the lungs and cause a severe asthma attack, and even death.</p> <h2>What if it’s COVID, RSV or the flu?</h2> <p>Australians aged 70 and over and others with underlying health conditions who test positive for COVID are <a href="https://www.healthdirect.gov.au/covid-19/medications#at-home">eligible for antivirals</a> to reduce their chance of severe illness.</p> <p>Most other people with COVID, RSV and influenza will recover at home with rest, fluids and paracetamol to relieve symptoms. However some groups are at greater risk of serious illness and may require additional treatment or hospitalisation.</p> <p>For <a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/respiratory-syncytial-virus.aspx">RSV</a>, this includes premature infants, babies 12 months and younger, children under two who have other medical conditions, adults over 75, people with heart and lung conditions, or health conditions that lessens the immune system response.</p> <p>For influenza, people at <a href="https://www.health.nsw.gov.au/Infectious/Influenza/Pages/at-risk.aspx">higher risk</a> of severe illness are pregnant women, Aboriginal people, people under five or over 65 years, or people with long-term medical conditions, such as kidney, heart, lung or liver disease, diabetes and decreased immunity.</p> <p>If you’re concerned about severe symptoms of COVID, RSV or influenza, consult your doctor or call 000 in an emergency.</p> <p>If your symptoms are mild but persist, and you’re not sure what’s causing them, book an appointment with your doctor or nurse practitioner. Although hay fever season is here, we need to avoid spreading other serious infectious.</p> <p><em>For more information, you can call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria); use the <a href="https://www.healthdirect.gov.au/symptom-checker">online Symptom Checker</a>; or visit <a href="http://healthdirect.gov.au/">healthdirect.gov.au</a> or the <a href="https://www.allergy.org.au/patients/allergy-treatments/allergen-minimisation">Australian Society of Clinical Immunology and Allergy</a>.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/240453/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/deryn-thompson-1449312">Deryn Thompson</a>, Eczema and Allergy Nurse; Lecturer, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</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/i-have-a-stuffy-nose-how-can-i-tell-if-its-hay-fever-covid-or-something-else-240453">original article</a>.</em></p> </div>

Body

Placeholder Content Image

What’s a recession – and how can we tell if we’re in one?

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/leonora-risse-405312">Leonora Risse</a>, <em><a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p>Today’s <a href="https://www.abs.gov.au/statistics/economy/national-accounts/australian-national-accounts-national-income-expenditure-and-product/latest-release">economic data</a> shows that, outside of the pandemic, the Australian economy has slowed down to its lowest annual rate of growth since the early-1990s recession.</p> <p>That’s prompting the dreaded question: are we headed for another one?</p> <p>Any mention of the “R” word can trigger anxiety. Recessions bring job losses and financial strain, and put serious pressure on people’s mental health.</p> <p>These impacts can be especially severe for people who are already experiencing disadvantage and vulnerabilities.</p> <p>But what exactly does it mean to be in a recession? What are the different ways we define them? And are these current approaches the best way to measure people’s economic pain?</p> <h2>What’s a recession?</h2> <p>A bit like the waves of the ocean, our economy is characterised by ebbs and flows in overall activity.</p> <p>Spending and business growth can swell during times of confidence, but slow down when optimism deflates or the economy is hit by an unexpected shock such as a pandemic or climate disaster. This pattern is what economists describe as “the business cycle”.</p> <p>Most of the time, our economy is constantly growing, even if the pace varies.</p> <p>Conventionally, we measure this pace by tracking changes in the level of <a href="https://www.rba.gov.au/education/resources/explainers/economic-growth.html">gross domestic product</a> (GDP) – the overall volume of items and services being produced, bought and sold in the economy.</p> <p>The <a href="https://www.abs.gov.au/statistics/economy/national-accounts/australian-national-accounts-national-income-expenditure-and-product/jun-2024">latest economic growth rates</a> of 0.2% for the June quarter, and 1% over the past year, tell us that the Australian economy is still growing, even if at a slower pace than previous years.</p> <p>Occasionally, the economy slows down to such a grind that economic activity, from one quarter to the next, shrinks. When this happens, the GDP measurements come out negative.</p> <p>When we have two negative measurements of GDP in a row, this is defined as a <a href="https://www.rba.gov.au/education/resources/explainers/recession.html">technical recession</a>.</p> <p>This is what happened to most countries around the globe during the COVID-19 pandemic. Prior to the pandemic, Australia hadn’t experienced a technical recession since 1991.</p> <p>The latest figures tell us Australia is staying afloat for now. But that doesn’t mean it doesn’t <em>feel</em> like a recession to many people. Some other metrics show why.</p> <h2>Other measures of recession</h2> <p>Growth in economic activity is fuelled, in part, by a growing population. Dividing total economic output by the population size, GDP per capita can offer a more accurate picture of people’s economic reality.</p> <p>This population-adjusted measure of economic growth has long fallen into negative territory. Today’s figures tell us that Australia’s GDP per person has been shrinking for 18 months. Our annual <em>per capita</em> growth rate is now -1.5%.</p> <figure class="align-right zoomable"></figure> <p>In the United States, recessions are measured differently again. Recessions are officially declared by the National Bureau of Economic Research (<a href="https://www.nber.org/research/business-cycle-dating">NBER</a>). Unlike technical recessions, these aren’t based on a simple rule.</p> <p>NBER considers a range of measures beyond GDP – including personal income, employment, personal consumption, wholesale and retail sales, and industrial production across multiple sectors – when deciding whether to declare a US recession.</p> <h2>Is Australia heading for a recession?</h2> <p>This is a challenging question to answer because the GDP figures economists conventionally use to diagnose the situation only come to light after a recession hits.</p> <p>Today’s economic figures from the ABS are for the June 2024 quarter – now more than two months old. Measurements of the current economic climate won’t come through in official statistics for some time.</p> <p>If it occurs, by the time a recession is officially diagnosed, we’re usually well and truly in it.</p> <p>A similar limitation applies to the retrospective approach of the <a href="https://www.nber.org/research/business-cycle-dating">NBER</a>, which “waits until it is confident that a recession has occurred”.</p> <p>It’s like a weather forecaster declaring a cyclone has hit only after the wind gusts have blown your roof away.</p> <p>But we can use other metrics to alert ourselves to recession risks before the eye of the storm hits.</p> <h2>Using jobs numbers as a recession alert</h2> <p>One approach is the <a href="https://fred.stlouisfed.org/series/SAHMCURRENT">Sahm Rule</a>, named after its creator, US economist Claudia Sahm.</p> <p>By analysing patterns in the monthly unemployment data that preceded past recessions, Sahm devised a <a href="https://stayathomemacro.substack.com/p/the-sahm-rule-step-by-step">formula</a> to detect when increases in the current unemployment rate were rapid enough to pose a recession risk.</p> <p>The advantage of this approach is that unemployment statistics come out more quickly and frequently than GDP numbers.</p> <p>Many would also argue that monitoring unemployment, rather than GDP, is a more meaningful metric to reflect people’s everyday experiences of the economy and wellbeing.</p> <p>The Sahm approach tracks how quickly the national unemployment rate is currently rising compared to the past year.</p> <p>It’s calculated by comparing the current three-month moving average of the national unemployment rate to this figure’s lowest value in the previous 12 months. This “moving average” approach smooths out the bumpiness of monthly figures.</p> <p>A jump of 0.5% or more signals the economy’s current pattern is on the cusp of recession.</p> <p>While the Sahm formula was developed for the US economy, it does a fairly good job of waving a red flag where recessions previously occurred in the Australian economy, too.</p> <p>Australia’s latest unemployment rate – inching up to 4.2% in July 2024 – pushed the Sahm value up to 0.5%.</p> <p><iframe id="3d239" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/3d239/5/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>This indicator doesn’t necessarily mean that a recession will occur. But it suggests policymakers should be on high alert.</p> <p>The Sahm indicator also validates the experiences of job seekers who – despite official definitions that the economy is not in recession – are personally feeling the pressures of a slowing economy and shrinking job opportunities.</p> <p>As our approaches to measuring and managing the ups and downs of the economy continue to evolve, these people-centred metrics are an increasingly important part of our toolkit.<!-- 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/238199/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/leonora-risse-405312"><em>Leonora Risse</em></a><em>, Associate Professor in Economics, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</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/whats-a-recession-and-how-can-we-tell-if-were-in-one-238199">original article</a>.</em></p> </div>

Money & Banking

Placeholder Content Image

"Weak": Raygun's tell-all interview divides audience

<p>Raygun has finally faced the music after her disappointing Olympics performance, sitting down with <em>The Project</em>'s Waleed Aly to share her side of the story from the breakdancing event in Paris. </p> <p>Rachael Gunn, 37, represented Australia in the breakdancing competition at the Paris Olympics where she failed to score a single point, and her unusual routine quickly went viral around the world. </p> <p>While some people, including Prime Minister Anthony Albanese, thought Raygun gave it her best try, others were quick to call her out for "making a mockery of Australia". </p> <p>In her first exclusive tell-all interview since the Olympics, Raygun told Waleed Aly that the backlash to her performance had a huge impact on her mental health. </p> <p>“I didn’t understand the scale of it,” she said. “I did preview some comments and I was like, ‘Oh, no’, and this kind of sick feeling started coming out. I was like, ‘Oh, goodness! What has happened?’”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C_fbu5PvItj/?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/C_fbu5PvItj/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a></p> </div> </blockquote> <p>“That was really wild,” Gunn said. “If people are chasing me, what do I do? But that really did put me in a state of panic for a while after that and I was quite nervous being out in public because I just didn’t know what was safe, if anyone was going to recognise me, how they were going to respond to seeing me."</p> <p>“And it was pretty nerve-racking for a while there.”</p> <p>She went on to say that the hate she received, both in person and online, took a toll. </p> <p>“It was really sad, how much hate that it did evoke,” she said. “There’s been a portion of very angry and awful responses, not only attacking me but attacking my husband, attacking my crew, attacking the breaking and street dance community in Australia, my family. The energy and vitriol that people had was pretty alarming.”</p> <p>Despite her candid answers on <em>The Project</em>, the interview as a whole divided audiences, as some viewers were unhappy with the style of interviewing, claiming Waleed hadn't gone hard enough on her and saying that Raygun is still not taking any accountability for "making a mockery" of Australia and hip-hop culture.</p> <p>"Weak AF interview," one person raged on Facebook. "Just another absolute p***take by her and Waleed's questions."</p> <p>"Of course it will be a Waleed interview. Let Steve Price ask her a few questions," someone else commented, with another agreeing, "Pity Steve Price didn't do the interview."</p> <p>"No apology for making a mockery of the breaking hip-hop culture. And there are other female breakers who are much more talented," one person said. "She needs to apologise for taking the place of talented dancers. She’s an embarrassment that scored a zero. That has to be a first," someone else ranted.</p> <p>Not everyone had a problem with the line of questioning, with some labelling Waleed as "kind and respectful".</p> <p>"Very well done, and very kind interview. You asked some tough questions, and she gave some tough answers," one person said. "Bravo, Waleed, that was a wonderful interview. You were probing but also kind and respectful," someone else commended. </p> <p><em>Image credits: The Project/Paul Kitagaki, Jr/ZUMA Press Wire/Shutterstock</em></p>

TV

Placeholder Content Image

Can a 10-year-old be responsible for a crime? Here’s what brain science tells us

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/susan-m-sawyer-109573">Susan M. Sawyer</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nandi-vijayakumar-1644262">Nandi Vijayakumar</a>, <a href="https://theconversation.com/institutions/deakin-university-757"><em>Deakin University</em></a></em></p> <p>The age a child can be arrested, charged and jailed in Australia is back in the spotlight.</p> <p>Last year, the Northern Territory became the first jurisdiction to raise the age of criminal responsibility from ten to 12. Now its new, tough-on-crime government has pledged to <a href="https://www.sbs.com.au/nitv/article/incoming-chief-minister-says-age-of-criminal-responsibility-to-be-lowered-to-10-years-old/a1xm9jy9c">return it to ten</a>. It comes after Victoria <a href="https://www.abc.net.au/news/2024-08-13/victoria-youth-justice-reform-criminal-age/104217160">walked back</a> its earlier commitment to raise the age to 14, settling instead on 12.</p> <p>But the United Nations Committee on the Rights of the Child says 14 should be the absolute <a href="https://www.ohchr.org/en/documents/general-comments-and-recommendations/general-comment-no-24-2019-childrens-rights-child">minimum</a>. It raised this age from its earlier recommendation (in 2007) of 12, citing a decade of new research into child and adolescent development.</p> <p>So what does the science say? What happens to the brain between ten and 14? And how much can those under 14 understand the consequences of their actions?</p> <h2>Who is an adolescent?</h2> <p>Our research shows adolescence is a <a href="https://pubmed.ncbi.nlm.nih.gov/30169257/">critical period</a> for development. It’s the time children’s experiences and explorations shape how they develop cognitive skills (including critical thinking and decision making), as well as social and emotional skills (including moral reasoning).</p> <p>Adolescence also lasts longer than we tend to think. Important brain development begins during late childhood, around eight to nine years. Intense changes then follow during early adolescence (ages ten to 14). But these changes continue well into the twenties, and full cognitive and emotional maturity is not usually reached until around age 24.</p> <p>However, everyone’s brain matures at a different rate. That means there is no definitive age we can say humans reach “adult” levels of cognitive maturity. What we do know is the period of early adolescence is critical.</p> <h2>What does puberty do to the brain?</h2> <p>Puberty is a defining feature of early adolescence. Most of us are familiar with the changes that occur to the body and reproductive systems. But the increase in puberty hormones, such as testosterone and oestrogen, also trigger changes to the brain. These hormones <a href="https://www.sciencedirect.com/science/article/abs/pii/S0306453017313252?via%3Dihub">increase most sharply</a> between ten and 15 years of age, although gradual changes continue into the early twenties.</p> <p>Puberty hormones change the structures in the brain which process emotions, including the amygdala (which encodes fear and stress) and ventral striatum (involved in reward and motivation).</p> <p>This makes adolescents particularly reactive to emotional rewards and threats. <a href="https://doi.org/10.1016/j.cortex.2019.04.024">Our research</a> has shown the brain’s sensitivity to emotions increases throughout early adolescence until around 14 or 15 years old.</p> <p>At the same time, changes in puberty have <a href="http://dx.doi.org/10.1037/pspp0000172">been linked</a> to increased sensation seeking and impulsive behaviours during early adolescence.</p> <p>This context is crucial when we discuss the behaviour of children in the ten to 14 age range. The way their brains change during this period makes them more sensitive and responsive to emotions, and more likely to be seeking experiences that are new and intense.</p> <h2>How do adolescents make decisions?</h2> <p>The emotional context of puberty influences how younger adolescents make decisions and understand their consequences.</p> <p>Decision making relies on several basic cognitive functions, including the brain’s flexibility, memory and ability to control impulses.</p> <p>These cognitive abilities – which together help us consider the consequences of our actions – undergo some of the <a href="https://doi.org/10.1523/JNEUROSCI.1741-13.2013">steepest development</a> between ages ten and 14. By age 15, the ability to make complex decisions has usually <a href="https://doi.org/10.1037/lhb0000315">reached adult maturity</a>.</p> <p>But adolescents at this age remain highly susceptible to emotions. So while their brain may be equipped to make a complex decision, their ability to think through the consequences, weighing up costs and benefits, can be clouded by emotional situations.</p> <p>For example, <a href="https://doi.org/10.1111/cdev.12085">research has shown</a> 13-14 year-olds were more distracted from completing a task and less able to control their behaviour when they viewed images that made them feel negative emotions.</p> <p>The social world of teenagers also has a significant impact on how they make decisions – especially in early adolescence. One study found that while older adolescents (aged 15-18) are more influenced by what adults think when weighing up risk, adolescents aged 12-14 <a href="https://journals.sagepub.com/doi/full/10.1177/0956797615569578">look to other teenagers</a>.</p> <p>Experiments <a href="https://doi.org/10.1177/0272431616648453">have also shown</a> adolescents aged 12-15 make riskier decisions when they are with peers than by themselves. Their brain responses also suggest they experience a greater sense of reward in taking those risks <a href="https://doi.org/10.1093/scan/nsy071">with peers</a>.</p> <h2>How do teens understand the consequences of their actions?</h2> <p>The concept of <a href="https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/rp/rp2122/Quick_Guides/MinimumAgeCriminalResponsibility">criminal responsibility</a> is based on whether a person is able to understand their action and know whether it is wrong.</p> <p>Moral reasoning – how people think about right and wrong – depends on the ability to understand another person’s mental state and adopt their perspective. These skills are in development <a href="https://doi.org/10.1016/j.biopsych.2020.09.012">across adolescence</a>.</p> <p>Research suggests it may take more effort for adolescent brains to process <a href="https://doi.org/10.1162/jocn.2009.21121">“social” emotions</a> such as guilt and embarrassment, compared to adults. This is similar when they make <a href="https://doi.org/10.1080/17470919.2014.933714">moral judgements</a>. This evidence suggests teenage brains may have to work harder when considering other people’s intentions and desires.</p> <p>Young adolescents have the cognitive ability to appreciate they made a bad decision, but it is more mentally demanding. And social rewards, emotions and the chance to experience something new all have a strong bearing on their decisions and actions in the moment — possibly more than whether it is right or wrong.</p> <h2>Early adolescence is critical for the brain</h2> <p>There are also a number of reasons adolescent brains may develop differently. This includes various forms of neurodisability such as acquired brain injury, fetal alcohol spectrum disorder, attention-deficit hyperactivity disorder (ADHD) and intellectual disability, as well as exposure to trauma.</p> <p>Teenagers with neurodevelopmental disorders will likely cope differently with decision making, social pressure, impulse control and risk assessment, and face <a href="https://www.mcri.edu.au/images/research/strategic-collaborations/Flagships/Neurodevelopment/Neurodevelopment_Flagship_Brochure.pdf">extra difficulties</a>. Across the world, they are <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30217-8/fulltext">disproportionately incarcerated</a>.</p> <p>In Australia, Indigenous children and adolescents are incarcerated <a href="https://www.indigenoushpf.gov.au/measures/2-11-contact-with-the-criminal-justice-system#:%7E:text=On%20an%20average%20day%20in%202021%E2%80%9322%2C%20there%20were%3A,AIHW%202023d%3A%20Table%20S76a">in greater numbers</a> than their non-Indigenous peers.</p> <p>Each child matures differently, and some face extra challenges. But for every person, the period between ten and 14 is critical for developing the cognitive, social and emotional skills they’ll carry through the rest of their life.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/237552/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/susan-m-sawyer-109573">Susan M. Sawyer</a>, Professor of Adolescent Health The University of Melbourne; Director, Royal Children's Hospital Centre for Adolescent Health, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nandi-vijayakumar-1644262">Nandi Vijayakumar</a>, Research Fellow, School of Psychology, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin 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/can-a-10-year-old-be-responsible-for-a-crime-heres-what-brain-science-tells-us-237552">original article</a>.</em></p> </div>

Mind

Placeholder Content Image

What your nose can tell you about your health

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/dan-baumgardt-1451396">Dan Baumgardt</a>, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p>Thanks to a quirk known as <a href="https://www.psychologytoday.com/us/blog/brain-babble/201502/is-how-the-brain-filters-out-unimportant-details">unconscious selective attention</a>, your brain has learned to ignore your nose. A prominent feature that’s positioned closely to the eyes, the schnoz could get in the way of our vision – but the nervous system cleverly filters it out.</p> <p>You can choose to look for your nose though. Either close one eye or look left, right or downwards and it’ll pop into view.</p> <p>But, although your brain works hard to stop your nose from interfering with your line of vision, your snout is not something to ignore. Like <a href="https://theconversation.com/navel-gazing-checking-your-belly-button-can-tell-you-a-lot-about-your-health-228759">many other</a> parts of your body, examining the nose can help diagnose external skin conditions – and internal diseases.</p> <h2>Acne</h2> <p>While there are a <a href="https://www.nhs.uk/conditions/acne/">number of forms</a> of <a href="https://patient.info/skin-conditions/acne-leaflet">acne</a>, <a href="https://dermnetnz.org/topics/acne-vulgaris">acne vulgaris</a> is the most common – and it often affects the nose.</p> <p>This skin condition develops from the clogging of tiny glands in the skin that secrete protective oils, which leads to <a href="https://www.medicalnewstoday.com/articles/comedonal-acne#outlook">open and closed comedones</a>. Open comedones – better known as blackheads – develop a dark coloured plug, whereas closed comedones are whiteheads that form when the pore is blocked completely. Clogged pores can also develop into larger lumps and bumps which can become infected, inflamed and and pus-filled and can even scar the skin.</p> <p><a href="https://dermnetnz.org/topics/rosacea">Acne rosacea</a> has a different appearance. It is an inflammatory skin condition that causes erythema – or reddening of the skin – most often across the nose and cheeks. Rosacea <a href="https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/rosacea/#:%7E:text=Although%20rosacea%20can't%20be,you%20can%20stop%20treatment%20temporarily.">is currently incurable</a> but it can be managed, often with long-term treatment. Patients with rosacea may often develop a rash papules and pustules that resembles acne – and also have visible blood vessels that appear as thin red or purplish lines across the nose and cheeks.</p> <p>In some cases, rosacea can cause the skin of the nose to grow and thicken. This condition is referred to as <a href="https://patient.info/doctor/rosacea-and-rhinophyma">rhinophyma</a>, and, like other visible skin conditions, can result in profound changes to appearance and seriously affect self-esteem in sufferers.</p> <figure><iframe src="https://www.youtube.com/embed/cO9pa0aGBTY?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Both acne vulgaris and rosacea have been connected with <a href="https://pubmed.ncbi.nlm.nih.gov/32238884/">various risk factors</a> and health conditions, though some links are stronger than others. In the case of rosacea, the list includes <a href="https://pubmed.ncbi.nlm.nih.gov/32621366/">high blood pressure and cholesterol</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/29107339/">diabetes and rheumatoid arthritis</a>.</p> <h2>Wolf’s nose</h2> <p><a href="https://www.sarcoidosisuk.org/information-hub/what-is-sarcoidosis/">Sarcoidosis</a>, is an inflammatory disease that can affect any of the body’s tissues – though mainly the lungs and lymph nodes. The condition can generate patches of bluish or purplish rashes, particularly on the body’s extremities where the skin is typically cooler. This includes the ears, the fingers and toes, and of course, the nose. When sarcoidosis affects the nose, it’s known as <a href="https://dermnetnz.org/topics/lupus-pernio">lupus pernio</a>, although the name is a misnomer because this condition is not the same as the <a href="https://lupusuk.org.uk/the-symptoms/">autoimmune disease known as lupus</a>.</p> <p>Regular lupus is a completely different condition where the body attacks its own tissues. It takes its name from the Latin word for “wolf” and the name dates back to <a href="https://pubmed.ncbi.nlm.nih.gov/32380218/">medieval times</a> when the associated skin rash was said to resemble the bite of a wolf.</p> <p>When lupus, rather than sarcoidosis, affects the skin it generates a <a href="https://www.medicalnewstoday.com/articles/321594">butterfly rash</a> – or <a href="https://www.ncbi.nlm.nih.gov/books/NBK555981/">malar rash</a>, which fans across the cheeks and nasal bridge. This rash can look very similar to rosacea.</p> <p>In fact, lupus is known as <a href="https://www.nature.com/articles/nm1103-1337a">“the great imitator”</a> because it shares similar symptoms to many different diseases.</p> <h2>Trigeminal trophic syndrome</h2> <p><a href="https://dermnetnz.org/topics/trigeminal-trophic-syndrome">Trigeminal trophic syndrome</a> is a rare condition triggered by damage to the <a href="https://teachmeanatomy.info/head/cranial-nerves/trigeminal-nerve/">trigeminal nerve</a>, which controls chewing but also gives sensation to the face. When the smaller nerve branches supplying the area of skin around the nostrils are damaged, sensation is affected. The patient notices either the skin becoming desensitised, or numb – or that it prickles, like pins and needles, creating an urge to pick or scratch. Repeated damage to the skin can <a href="https://rarediseases.org/rare-diseases/trigeminal-trophic-syndrome/">cause ulcers</a> to develop around the nostrils.</p> <p>This condition differs from <a href="https://theconversation.com/skin-picking-is-often-trivialised-as-a-bad-habit-but-dermatillomania-can-be-dangerous-224659">skin picking disorder</a> – or dermatillomania – when a psychological compulsion drives the desire to pick at the skin.</p> <p>So, close one eye every now and then in order to admire your hooter, or, even better have a good look at it in the mirror. It deserves more recognition than the blind spot your brain allows.<!-- 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/228760/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/dan-baumgardt-1451396">Dan Baumgardt</a>, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</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-your-nose-can-tell-you-about-your-health-228760">original article</a>.</em></p> </div>

Body

Placeholder Content Image

What your nails can tell you about your health

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/dan-baumgardt-1451396">Dan Baumgardt</a>, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p>As a medical student, nails were one part of my anatomy course that I really struggled with. I found it difficult, at first, to stomach the sight of <a href="https://www.medicalnewstoday.com/articles/nail-bed-injury#Pictures">painful nail injuries</a>.</p> <p>My squeamishness may have stemmed from witnessing someone sharply removing a plaster from their stubbed big toe – only to take the whole toenail away with it. Ouch. I’ve recovered now, which is lucky since nails can tell doctors a lot about the health of a patient.</p> <p><a href="https://teachmeanatomy.info/upper-limb/misc/nail-unit/">Toe and fingernails</a> are an extension of your skin, like hair. They are formed of keratin, a tough material that grows in the direction of your fingertip into a <a href="https://www.healthline.com/health/nail-matrix">hard plate</a>. <a href="https://www.healthline.com/health/cuticle#:%7E:text=It's%20important%20to%20keep%20your,and%20keeps%20your%20nails%20clean.">The cuticle</a> (the strip of skin covering the junction between skin and nail) offers extra protection against injury and infection.</p> <p>Keep an eye on any changes in the appearance and texture of your nails – they can give important clues about your health. Here are some key things to look out for.</p> <h2>Spoon-shaped nails</h2> <p>Your toe and fingernails should have a slight convex curve without any dips or depressions in them. In contrast, <a href="https://www.pcds.org.uk/clinical-guidance/koilonychia">koilonychia</a> is a condition where the nail is concave – in some cases, forming a central depression deep enough to hold a drop of fluid, like medicine in a spoon (hence the common name of “spoon nails”). Typically, nails affected in this way also look thinner and can become more brittle.</p> <p>Koilonychia can indicate anaemia, meaning there are not enough red blood cells in a person’s circulation to carry oxygen to the body’s tissues. This is associated with <a href="https://www.nhs.uk/conditions/iron-deficiency-anaemia/">iron deficiency</a>. Low iron can be caused by poor nutrition, <a href="https://www.nhs.uk/conditions/coeliac-disease/">coeliac disease</a>, or cancer of the gastrointestinal tract, for example.</p> <p><a href="https://www.sciencedirect.com/science/article/abs/pii/B9781416023562500244">Mechanics and hairdressers</a> can be at particular risk of developing koilonychia because of their work with <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3442766/">petroleum-based solvents</a> found in engine oils and perm agents. However, the possible underlying causes of spoon-shaped nails are <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/jdv.13610?saml_referrer">extensive</a>, so it’s worth checking with your doctor if you have this condition over a long period.</p> <h2>Discoloured nails</h2> <p>Normally, the nail beds (the skin beneath the nail) should be of a well-perfused pink colour. Discoloration of either the bed or the entire nail can occur as a result of disease or infection. Yellow nails, for instance, might indicate a <a href="https://www.nhs.uk/conditions/fungal-nail-infection/">fungal infection</a> or changes due to a skin condition such as <a href="https://patient.info/skin-conditions/psoriasis-leaflet/psoriatic-nail-disease">psoriasis</a>.</p> <figure><iframe src="https://www.youtube.com/embed/PRftXdvENRw?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Then there is <a href="https://dermnetnz.org/topics/white-nail">leukonychia</a> – the technical term for white discolouration of the nails, which can take several forms.</p> <p>In some cases, white marks on nails can indicate heavy metal poisoning by <a href="https://www.who.int/news-room/fact-sheets/detail/lead-poisoning-and-health">lead</a> or <a href="https://www.who.int/news-room/fact-sheets/detail/arsenic">arsenic</a> – both of which remain a problem in <a href="https://www.who.int/publications/i/item/9789289071796">many countries worldwide</a> because of pollution in the water system.</p> <p>If the whiteness extends over the whole of the nail and involves multiple nails, the problem is more likely to be a deficiency of protein in the circulation. This could potentially indicate either liver or kidney disease.</p> <p>However, small white marks on your nail most likely suggest some form of traumatic damage – ranging from stubbing or dropping something heavy on your toe, to closing a door on your finger. Even the common practices of nail biting and overenthusiastic manicuring can lead to damage to the nail.</p> <p>And if you’ve ever stubbed your toe or trapped a finger, you may also have noticed a resulting dark purple, blue or red discolouration to the nail. This is a <a href="https://dermnetnz.org/topics/subungual-haemorrhage">subungual haematoma</a> – a collection of blood between the nail and its bed after trauma. These typically heal themselves over time, but can also trigger infections or separation of the <a href="https://dermnetnz.org/topics/onycholysis">nail from the bed</a>.</p> <h2>Emergency nail tests</h2> <p>During a medical emergency, a patient’s nails are often checked by doctors for blood oxygen saturation. This is measured by a <a href="https://www.yalemedicine.org/conditions/pulse-oximetry">pulse oximeter</a>, which attaches to a finger and shines light through the fingertip, then measures the amount of blood passing through. This demonstrates how much oxygen is entering the bloodstream, and therefore how effectively your heart and lungs are working.</p> <p>Another indication of how well your circulation is functioning is the <a href="https://www.resus.org.uk/library/abcde-approach">capillary refill time (CRT)</a> test, when a clinician presses on a nail or fingertip for five seconds to make the skin underneath blanch.</p> <figure><iframe src="https://www.youtube.com/embed/EwaDSZRH1LE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>After they stop pressing, the skin should return to its prior colour within two seconds. Longer than this and you could be dehydrated, cold, or have <a href="https://link.springer.com/chapter/10.1007/978-3-642-28233-1_4#:%7E:text=Discussion%3A%20Clinical%20signs%20of%20poor,increase%20in%20capillary%20refill%20time.">poor peripheral perfusion</a> – where the heart isn’t pumping hard enough or something is making it harder for enough blood to reach the furthest parts of your body, possibly as <a href="https://www.ncbi.nlm.nih.gov/books/NBK557753/">a result of shock</a>.</p> <p>Nails can also be pressed to check a patient who is drowsy or unconscious. This test forms part of the <a href="https://www.glasgowcomascale.org/">Glasgow Coma Scale</a>, which measures responsiveness and the extent of impaired consciousness in patients.</p> <h2>What to do if you notice something unusual</h2> <p>There are many more examples of nail problems besides these, including crumbling nails, pitted or lined nails, <a href="https://patient.info/doctor/clubbing">clubbed</a> or swollen nails, and those with <a href="https://theconversation.com/what-your-feet-can-tell-you-about-your-health-227728">red marks</a> under them. And the list of potential diagnoses is extensive, ranging from the mild to the serious.</p> <p>If you’re worried about nail discoloration or a change in the shape of your nails, do get them checked by your GP. This can also go for serious nail injuries – especially if you end up pulling off the nail. If you injure the skin under your <a href="https://www.bssh.ac.uk/patients/conditions/1020/nailbed_injuries">nail</a>, it’s important to care for it properly to prevent complications such as an infection – while also checking for other damage like a broken bone.</p> <p>And a final word of warning: <a href="https://theconversation.com/gel-manicures-and-acrylic-nails-might-look-beautiful-but-they-come-with-ugly-health-risks-232857">false or painted nails</a> can hide visible changes. So, be careful not to gloss over your nails, and take note of what they might be telling you about your health.<!-- 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/232687/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/dan-baumgardt-1451396">Dan Baumgardt</a>, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</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-your-nails-can-tell-you-about-your-health-232687">original article</a>.</em></p> </div>

Body

Placeholder Content Image

I’ve been diagnosed with cancer. How do I tell my children?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/cassy-dittman-1380541">Cassy Dittman</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/govind-krishnamoorthy-1467986">Govind Krishnamoorthy</a>, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>, and <a href="https://theconversation.com/profiles/marg-rogers-867368">Marg Rogers</a>, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p>With around <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/cancer/2022">one in 50 adults</a> diagnosed with cancer each year, many people are faced with the difficult task of sharing the news of their diagnosis with their loved ones. Parents with cancer may be most <a href="https://www.sciencedirect.com/science/article/pii/S1462388914000994">worried about</a> telling their children.</p> <p>It’s best to give children factual and age-appropriate information, so children don’t create their own explanations or <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)33202-1/fulltext">blame themselves</a>. Over time, supportive family relationships and open communication <a href="https://link.springer.com/article/10.1007/s00520-016-3214-2">help children adjust</a> to their parent’s diagnosis and treatment.</p> <p>It’s natural to feel you don’t have the <a href="https://onlinelibrary.wiley.com/doi/10.1111/ecc.12018">skills or knowledge</a> to talk with your children about cancer. But preparing for the conversation can improve your confidence.</p> <h2>Preparing for the conversation</h2> <p>Choose a suitable time and location in a place where your children feel comfortable. Turn off distractions such as screens and phones.</p> <p>For teenagers, who can find face-to-face conversations confronting, think about talking while you are going for a walk.</p> <p>Consider if you will tell all children at once or separately. Will you be the only adult present, or will having another adult close to your child be helpful? Another adult might give your children a person they can talk to later, especially to answer questions they might be worried about asking you.</p> <p>Finally, plan what to do after the conversation, like doing an activity with them that they enjoy. Older children and teenagers might want some time alone to digest the news, but you can suggest things you know they like to do to relax.</p> <p>Also consider what you might need to support yourself.</p> <h2>Preparing the words</h2> <p>Parents might be worried about the <a href="https://www.bmj.com/content/321/7259/479.full.pdf+html">best words or language</a> to use to make sure the explanations are at a level their child understands. Make a plan for what you will say and take notes to stay on track.</p> <p>The toughest part is likely to be saying to your children that you have cancer. It can help to practise saying those words out aloud.</p> <p>Ask family and friends for their feedback on what you want to say. <a href="https://www.cancer.org.au/cancer-information/types-of-cancer/childhood-cancers/talking-to-kids-about-cancer">Make use of guides</a> by the Cancer Council, which provide age-appropriate wording for explaining medical terms like “cancer”, “chemotherapy” and “tumour”.</p> <h2>Having the conversation</h2> <p>Being open, honest and factual is important. Consider the balance between being too vague, and providing too much information. The <a href="https://www.sciencedirect.com/science/article/pii/S1462388914000994">amount and type</a> of information you give will be based on their age and previous experiences with illness.</p> <p>Remember, if things don’t go as planned, you can always try again later.</p> <p>Start by telling your children the news in a few short sentences, describing what you know about the diagnosis in language suitable for their age. Generally, this information will include the name of the cancer, the area of the body affected and what will be involved in treatment.</p> <p>Let them know what to expect in the coming weeks and months. Balance hope with reality. For example:</p> <blockquote> <p>The doctors will do everything they can to help me get well. But, it is going to be a long road and the treatments will make me quite sick.</p> </blockquote> <p>Check what your child knows about cancer. Young children may not know much about cancer, while primary school-aged children are starting to understand that it is a <a href="https://journals.sagepub.com/doi/epdf/10.1177/0165025408093663">serious illness</a>. Young children may worry about becoming unwell themselves, or other loved ones becoming sick.</p> <p>Older children and teenagers may have experiences with cancer through other family members, friends at school or social media.</p> <p>This process allows you to correct any misconceptions and provides opportunities for them to ask questions. Regardless of their level of knowledge, it is important to reassure them that the cancer is not their fault.</p> <p>Ask them if there is anything they want to know or say. Talk to them about what will stay the same as well as what may change. For example:</p> <blockquote> <p>You can still do gymnastics, but sometimes Kate’s mum will have to pick you up if I am having treatment.</p> </blockquote> <p>If you can’t answer their questions, be OK with saying “I’m not sure”, or “I will try to find out”.</p> <p>Finally, tell children you love them and offer them comfort.</p> <h2>How might they respond?</h2> <p>Be prepared for a range of <a href="https://link.springer.com/article/10.1007/s00520-016-3214-2">different responses</a>. Some might be distressed and cry, others might be angry, and some might not seem upset at all. This might be due to shock, or a sign they need time to process the news. It also might mean they are trying to be brave because they don’t want to upset you.</p> <p>Children’s reactions will change over time as they come to terms with the news and process the information. They might seem like they are happy and coping well, then be teary and clingy, or angry and irritable.</p> <p>Older children and teenagers may ask if they can tell their friends and family about what is happening. It may be useful to come together as a family to discuss how to inform friends and family.</p> <h2>What’s next?</h2> <p>Consider the conversation the first of many ongoing discussions. Let children know they can talk to you and ask questions.</p> <p>Resources might also help; for example, The Cancer Council’s <a href="https://www.campquality.org.au/kids-guide-to-cancer/">app for children and teenagers</a> and Redkite’s <a href="https://www.redkite.org.au/service/book-club/">library of free books</a> for families affected by cancer.</p> <p>If you or other adults involved in the children’s lives are concerned about how they are coping, speak to your GP or treating specialist about options for psychological support.<!-- 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/228012/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/cassy-dittman-1380541">Cassy Dittman</a>, Senior Lecturer/Head of Course (Undergraduate Psychology), Research Fellow, Manna Institute, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/govind-krishnamoorthy-1467986">Govind Krishnamoorthy</a>, Senior Lecturer, School of Psychology and Wellbeing, Post Doctoral Fellow, Manna Institute, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>, and <a href="https://theconversation.com/profiles/marg-rogers-867368">Marg Rogers</a>, Senior Lecturer, Early Childhood Education; Post Doctoral Fellow, Manna Institute, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</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/ive-been-diagnosed-with-cancer-how-do-i-tell-my-children-228012">original article</a>.</em></p> </div>

Family & Pets

Placeholder Content Image

How to tell if your loved one is depressed

<p>Around one in 10 people suffer from depression and anxiety, meaning it’s likely at some stage in your life someone you know will be suffering and need your help. These are five of the less-obvious signs and symptoms that a friend or family member might be going through a hard time.</p> <p><strong>1. They seem exhausted all the time</strong></p> <p>Changes to a sleeping patterns can be a sign of depression, whether it’s not sleeping enough or sleeping too much.  </p> <p>Tip: Help your loved one by taking them out for the day to re-set their body clock.</p> <p><strong>2. They never want to socialise anymore</strong></p> <p>If your loved one is finding it difficult to leave the house and attend any social events, even for a catch-up over coffee, that they would normally enjoy, it could be a sign</p> <p>Tip: Recognise that at the time it is very hard for your loved one to go out and socialise. Reassure them that you’d love to catch-up with them, and if it does get too much that you’re happy to do something they’d be happy with.</p> <p><strong>3. They get frustrated at everything</strong></p> <p>Does your loved one seem to be losing their patience more than usual? Anger and irritability, more than usual, can be a sign of depression.</p> <p>Tip: Chat to your friend about their feelings of frustration and irritability. You will be better placed to see if it’s a passing mood or longer-term change.</p> <p><strong>4. Their appetite has changed</strong></p> <p>Whether your loved one is constantly and consistently “not hungry” or they’re eating a lot more than usual and gaining weight, changes in appetite are a common sign of depression.</p> <p>Tip: People living with depression are often exhausted, where the thought of making meals or even what to eat, can be an overwhelming decision. Help prepare some meals for your loved one.</p> <p><strong>5. They’ve suddenly lost self-confidence</strong></p> <p>A loss of self-confidence and self-esteem is a common sign of depression. When a loved one starts to feel like everything they do is rubbish, it can be difficult to feel otherwise.</p> <p>Tip: When a loved one says they feel useless, reassure them with specific examples and evidence that it’s not true at all.</p> <p><em>Image credits: Getty Images</em></p>

Caring

Placeholder Content Image

Dawn French tells all in candid interview

<p>Dawn French spills all in her latest interview with<em> 60 minutes</em>. </p> <p>The beloved British comedian revealed that being imperfect is perfect for her, in a world where unrealistic beauty standards are starting to dominate social  media. </p> <p>"I can't believe that we, especially women, have come this far to hand our daughters a life where they have to do selfies and be filtered to try to look perfect," she told 60 minutes reporter Tara Brown. </p> <p>"I don't know how to connect to all those perfect people. I'm in the anti-perfection league frankly."</p> <p>The comedian revealed that the secret to her happiness is finding joy in the simple things in life, an outlook that she gained following the devastating loss of her father when she was 18.  </p> <p>"I find joy in lots of tiny things. I'm the sort of person who doesn't need to be swimming with dolphins, I find happiness in the simple things," she added. </p> <p>French said that losing her father to suicide at such a young age shaped who she was, and that she was grateful for the love he showed and the lessons he taught her. </p> <p>"Now that I look back on it as an adult, I think he needed to give me some armour, he told me that I should value myself and that I deserved the very best," she said. </p> <p>"As a little chubby girl I could have grown up with all kinds of insecurities, but because of him I have never doubted that I'm not worth something."</p> <p>Her father's struggle with mental health gave her a deeper understanding of the complexity of depression and a greater appreciation for her own emotional stability.</p> <p>"He kept his depression very well hidden, so most of the time dad was very cheerful but he also had these black dog moments where he just couldn't cope," she said.</p> <p>"Then he would get stronger and he would be back on the horse again."</p> <p>"I've had sadness, but I haven't sunk to depths like that. I have worried that it's inherited, but I don't seem to have that, I've got too much to live for I think," she added. </p> <p>The French and Saunders actress is currently enjoying her life in a quaint village in the English countryside with her husband, therapist Mark Bignell.</p> <p>"I've got a love for life, and I love and am loved back by a lot of people, so I can't ask for more than that," she said.</p> <p>You can find the full episode <a href="https://www.9now.com.au/60-minutes" target="_blank" rel="noopener">here</a>. </p> <p><em>Image: 60 minutes</em></p>

TV

Placeholder Content Image

The body mass index can’t tell us if we’re healthy. Here’s what we should use instead

<p><em><a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850">Rachael Jefferson-Buchanan</a>, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a></em></p> <p>We’ve known for some time the <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">body mass index (BMI) is an inaccurate measuring stick</a> for assessing someone’s weight and associated health. But it continues to be the go-to tool for medical doctors, population researchers and personal trainers.</p> <p>Why is such an imperfect tool still being used, and what should we use instead?</p> <h2>First, what is BMI?</h2> <p>BMI is an internationally recognised screening method for sorting people into one of four weight categories: underweight (BMI less than 18.5), normal weight (18.5 to 24.9), overweight (25.0 to 29.9) or obese (30 or greater).</p> <p>It’s a value <a href="https://www.cdc.gov/healthyweight/assessing/bmi/index.html">calculated</a> by a measure of someone’s mass (weight) divided by the square of their height.</p> <h2>Who invented BMI?</h2> <p>Belgian mathematician <a href="https://www.britannica.com/biography/Adolphe-Quetelet">Lambert Adolphe Jacques Quetelet</a> (1796-1874) devised the BMI in 1832, as a mathematical model to chart the average Western European man’s <a href="https://pubmed.ncbi.nlm.nih.gov/17890752/">physical characteristics</a>.</p> <p>It was initially called the <a href="https://www.msdmanuals.com/en-au/professional/multimedia/clinical-calculator/body-mass-index-quetelets-index">Quetelet Index</a> and was never meant to be used as a medical assessment tool. The Quetelex Index was renamed the “body mass index” in 1972.</p> <h2>What’s wrong with the BMI?</h2> <p>Using a mathematical formula to give a full picture of someone’s health is just not possible.</p> <p>The BMI <a href="https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html">does not measure excess body fat</a>, it just measures “excess” weight. It does not distinguish between excess body fat or bone mass or musculature, and does not interpret the distribution of fat (which <em>is</em> a <a href="https://www.health.harvard.edu/staying-healthy/abdominal-fat-and-what-to-do-about-it">predictor</a> of health, including type 2 diabetes, metabolic disorders, and heart disease).</p> <p>It also cannot tell the difference between social variables such as sex, age, and ethnicity. Given Quetelet’s formula used only Western European men, the findings are not appropriate for many other groups, including non-European ethnicities, post-menopausal women and pregnant women.</p> <p>The medical profession’s <a href="https://pubmed.ncbi.nlm.nih.gov/37432007/">overreliance on BMI</a> may be <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2930234/">harming patients’ health</a> as it ignores much of what makes us healthy and focuses only on mass.</p> <h2>What should we use instead?</h2> <p>Rather than seeing BMI as the primary diagnostic test for determining a person’s health, it should be used in conjunction with other measures and considerations.</p> <p>Since researchers know belly fat around our vital organs carries the most <a href="https://www.bmj.com/content/370/bmj.m3324">health risk</a>, <a href="https://www.hsph.harvard.edu/obesity-prevention-source/obesity-definition/how-to-measure-body-fatness/">waist circumference</a>, waist-to-hip ratio or waist-to-height ratio offer more accurate measurements of health.</p> <p><strong>Waist circumference</strong>: is an effective measure of fat distribution, particularly for athletes who carry less fat and more muscle. It’s most useful as a predictor of health when <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027970/">combined with the BMI</a>. Waist circumference should be less than 94cm for men and 80cm for women for <a href="https://www.heartfoundation.org.au/bundles/your-heart/waist-measurement">optimal health</a>, as measured from halfway between the bottom of your ribs and your hip bones.</p> <p><strong>Waist-to-hip ratio</strong>: calculates the proportion of your body fat and how much is stored on your waist, hips, and buttocks. It’s the waist measurement divided by hip measurement and according to the World Health Organisation it should be <a href="https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf;jsessionid=A119D165CFFF5E7B5BDBD51D9DD25684?sequence=1">0.85 or less for women, and 0.9 or less in men</a> to reduce health risks. It’s especially beneficial in predicting health outcomes in <a href="https://link.springer.com/article/10.1007/s40200-021-00882-4">older people</a>, as the ageing process alters the body proportions on which BMI is founded. This is because fat mass increases and muscle mass decreases with age.</p> <p><strong>Waist-to-height ratio</strong>: is height divided by waist circumference, and it’s <a href="https://www.nice.org.uk/news/article/keep-the-size-of-your-waist-to-less-than-half-of-your-height-updated-nice-draft-guideline-recommends">recommended</a> a person’s waist circumference be kept at less than half their height. Some studies have found this measure is <a href="https://bmjopen.bmj.com/content/6/3/e010159">most strongly correlated</a> with health predictions.</p> <p>Body composition and body fat percentage can also be calculated through <a href="https://www.youtube.com/watch?v=a1A9m0wO17g">skinfold measurement tests</a>, by assessing specific locations on the body (such as the abdomen, triceps or quadriceps) with skin callipers.</p> <p>Additional ways to gauge your heart health include asking your doctor to monitor your cholesterol and blood pressure. These more formal tests can be combined with a review of lifestyle, diet, physical activity, and family medical history.</p> <h2>What makes us healthy apart from weight?</h2> <p>A diet including whole grains, low fat protein sources such as fish and <a href="https://en.wikipedia.org/wiki/Legume">legumes</a>, eggs, yoghurt, cheese, milk, nuts, seeds, and plenty of fresh fruit and vegetables <a href="https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-healthy-diet/art-20047702">reduces our risk</a> of heart and vessel disease.</p> <p>Limiting <a href="https://www.foodstandards.gov.au/consumer/generalissues/Pages/processed-foods.aspx">processed food</a> and sugary snacks, as well as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/healthy+living/healthy+eating/healthy+eating+tips/eat+less+saturated+and+trans+fats">saturated and trans fats</a> can help us with weight management and ward off diet-related illnesses.</p> <p>Being physically active most days of the week improves general health. This <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians">includes</a> two sessions of strength training per week, and 2.5 to five hours of moderate cardio activity or 1.25 to 2.5 hours of vigorous cardio activity.</p> <p>Weight is just one aspect of health, and there are much better measurements than BMI.<!-- 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/211190/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850"><em>Rachael Jefferson-Buchanan</em></a><em>, Lecturer in Human Movement Studies (Health and PE) and Creative Arts, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/the-body-mass-index-cant-tell-us-if-were-healthy-heres-what-we-should-use-instead-211190">original article</a>.</em></p>

Body

Placeholder Content Image

"Truly magical": A Lasting Tale gives everyday Australians a voice

<p>Amidst a world engulfed in fake news, endless scrolling, and the pursuit of instant gratification, Dimity Brassil firmly advocates for the significance of collecting the stories and wisdom of our elderly.</p> <p>Following the unfortunate loss of her father and sister in rapid succession, Dimity approached her 89-year-old mother, Anne, with a heartfelt request to capture her life story in her own voice. Anne graciously agreed, leading the duo to create <a href="https://www.alastingtale.com/" target="_blank" rel="noopener">A Lasting Tale</a> – a project that would later prove to empower older Australians in sharing their life stories with their loved ones, unbeknownst to Dimity at the time.</p> <p>"When my father and sister passed away, it became apparent that we had not adequately documented their histories, especially my sister, who left behind a young child," Dimity reflects.</p> <p>"I realised that we would soon forget the sound of her voice and that we hadn't captured many of her stories in her own words for her daughter to cherish."</p> <p>Motivated by this realisation, Dimity was determined to do the same for her mother, a captivating individual whose accomplishments, community work, and insightful, witty observations on life remained largely unknown to even her own children, let alone her grandchildren.</p> <p>Recently launched nationwide, A Lasting Tale now engages 40 professional journalists in recording private audio life stories for families across Australia. To date, over 1500 everyday Australians have shared their life stories for the benefit of their families.</p> <p>By utilising the app's interactive questions or availing themselves of the professional podcasting service, families can capture essential information and stories from their loved ones. These recordings can be preserved as personalised audio series, serving as cherished mementos for generations to come.</p> <p>A Lasting Tale provides a free mobile app and collaborates with retirement villages, palliative care providers, libraries, community organisations, and even runs specialised life story intergenerational programs in aged care facilities.</p> <p>One of the most interesting stories of people who have used the new service is that of Carla Lidbury, whose mum, Linda, was diagnosed with terminal cancer and passed not long after the recording.</p> <p> Carla says, “When Mum was diagnosed with cancer, my sister and I knew we wanted to have her life story recorded.</p> <p>“Mum had such an amazing memory and was really visual with how she described things. I felt it was enabling us to keep a piece of mum forever.</p> <p>“Mum was an aerobics teacher in the 1980s and such fun. She had so many amazing stories to tell that would be lost after she passed, and luckily Mum was open to the experience and looking forward to it.”</p> <p>Linda passed not long after recording her story.</p> <p>Carla adds: “I didn’t listen to Mum’s audio life story until a few weeks after she passed. Wow! It was magical to hear her voice. It brought joy, I laughed, I cried.</p> <p>“There were so many emotions and happy moments when we heard it. It made me realise she wasn’t just my Mum – she was Linda, she was a person who had her adventures and career and friends. She was amazing.”</p> <p>Through this remarkable project, countless families have been given the gift of capturing the essence of their loved ones' lives, creating a lasting legacy that transcends time.</p> <p>Each recorded tale becomes a precious treasure, offering solace, laughter, and tears – a reminder that behind the roles of parents and grandparents, there are individuals with vibrant histories, remarkable adventures, and a wealth of wisdom to impart.</p> <p>A Lasting Tale reminds us to cherish and celebrate the stories that make us who we are, bridging generations and weaving a tapestry of human experiences that will endure for years to come.  </p>

Family & Pets

Placeholder Content Image

How do I tell my kids we are currently short on money – without freaking them out?

<p><em><a href="https://theconversation.com/profiles/rachael-sharman-96073">Rachael Sharman</a>, <a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</a></em></p> <p>I was a teenager during Australia’s 1990s “<a href="https://www.theguardian.com/business/2019/nov/17/remembering-the-recession-the-1990s-experience-changed-my-view-of-the-world">recession we had to have</a>”, and remember clearly a friend asking his dad for some money to go to the movies.</p> <p>With equal parts frustration and resignation, the dad explained he’d been retrenched and wasn’t certain employment was on the horizon in his near future. So he really didn’t have any spare money for cinema tickets.</p> <p>Rather than being scary or upsetting, as rather clueless teenagers this felt like something of a lightbulb moment.</p> <p>Many kids learn about their parents financial difficulties this way. Something they’ve always been able to have is suddenly denied them. The penny drops.</p> <p>But it’s not easy talking to your kids about the cost-of-living crunch. Many fear worrying their kids or leaving them with a lifelong “scarcity mindset”, where a person is forever cursed with a feeling spending money is always wrong.</p> <p>So how can parents communicate the financial realities to their children? And how might the messaging be different with younger kids versus teens?</p> <h2>For younger kids, keep things calm and simple</h2> <p>Most primary-aged children are oblivious to macro conditions outside their home and immediate community. They haven’t yet developed the ability to put sudden changes into perspective.</p> <p>The key here is not to have your own anxieties rub off on your kids.</p> <p>Children this age look to their parents as beacons of information and will very much <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2794157">mirror</a> any fear or anxiety you express. They may even blow things out of proportion.</p> <p>Keeping things calm and simple is key.</p> <p>Provide a basic explanation that things cost money, and you don’t have as much money as normal right now, so as a family there are certain things you just can’t afford.</p> <p>Very young children can be relentlessly narcissistic in their outlook – this is developmentally normal.</p> <p>They might even demand you work more or harder so they can afford their desired items and activities. The best you can do is laugh it off and offer to try – but explain that for now, the kids will have to come up with something else to do.</p> <p>Consider a plan to substitute their previous activities with free ones. For example, explain they can’t play their usual sport this season, but you are going to head to the local park every week to kick the ball around and have a picnic instead.</p> <h2>Ask teens for their opinions and ideas</h2> <p>Depending on their intrinsic interest in the news and understanding of maths, finance and economics, a sudden and unexpected drop in finances may also come as a shock to teenagers.</p> <p>But at around 12 years of age, children undergo somewhat of an explosion in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621648/">frontal lobe function</a>. Their capacity to comprehend and process even complex information increases quite markedly.</p> <p>So teens may not only understand your current situation, but be able to help out.</p> <p>Giving teens a “role” to play in assisting the family builds a sense of competence and offers a team-based problem-solving approach to the emotional concerns they may be feeling. In other words, they’ll feel less powerless.</p> <p>This approach is underpinned by what psychologists and researchers call “<a href="https://selfdeterminationtheory.org/theory/">self-determination theory</a>”.</p> <p>This well-studied concept posits that most humans have an innate need to:</p> <ul> <li> <p>experience and demonstrate autonomy (making your own choices, acting on your own volition)</p> </li> <li> <p>competence (feeling like you’re good at something, have achieved something worthwhile)</p> </li> <li> <p>relatedness (working well with others, especially people important to you).</p> </li> </ul> <p>So working as a team towards a common goal is a great way for a family to pull together and help each others’ mental wellbeing.</p> <p>Discuss with your teens what activities, events and items might need to go on the backburner or be discontinued.</p> <p>And don’t forget, teens have a very well-honed hypocrisy radar – there’s no point suggesting they cut back on recreational activities, for example, if you are not willing to do the same.</p> <p>Use this as an opportunity to discuss the difference between “wants” and “needs” and ask them to sort family spending into those categories. Discuss points of disagreement calmly.</p> <p>Ask your teens to brainstorm ways to improve your financial efficiency – and help you in doing so. They might enjoy coming up with ideas such as grocery shopping with a strict meal plan in cheaper stores, looking for specials, riding or walking to school where possible, getting a part time job or helping out with childcare.</p> <p>Rather than fixating on what we have to go without, work with your teenagers to come up with proactive ideas on what you can do differently. Frame it as working together to achieve the same aim.</p> <p>Teach your kids there can be challenges in life, but how you go about managing them is the key. This will help them develop into resilient adults.<!-- 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/208008/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/rachael-sharman-96073">Rachael Sharman</a>, Senior Lecturer in Psychology, <a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-do-i-tell-my-kids-we-are-currently-short-on-money-without-freaking-them-out-208008">original article</a>.</em></p>

Money & Banking

Placeholder Content Image

How to tell people about your divorce

<p>While it may not be the most pleasant topic of conversation, if you’re in the midst of a separation or divorce you’ll eventually have to tell your nearest and dearest (and some relative strangers) that you are no longer part of a couple. There’s a strong chance that many of us would rather have a tooth pulled than sit down with friends and family and announce that our marriage has ended but putting off the inevitable never ends well. A lack of transparency can make it difficult to move forward while also placing you in the uncomfortable position of having to tell people at an awkward moment down the track when you may have been divorced for months but the news comes as a complete shock to them as they’re hearing it for the first time. Having a strategy for approaching conversations can be helpful, here’s what the experts recommend.</p> <p><strong>1. Tell your close friends first</strong></p> <p>There’s a strong possibility they are abreast of the situation already, at least to some extent. Sharing the official news however allows you to start the grieving process and move slowly towards closure. Your closest friends are the ones most likely to be there for you as your life changes and it’s important to let them in and lean on their support.</p> <p><strong>2. Share with your family</strong></p> <p>It can be difficult to share with your loved ones that a relationship they may have been part of for years has ended. Telling your children should be of utmost importance. Whether you do that individually or as a group is completely up to you but having an honest conversation and allowing both you and them to grieve is essential.</p> <p><strong>3. Work</strong></p> <p>While it’s not always necessary to share the minutia of your life with your workplace, you may need to fill your immediate manager in on what’s happened. Likewise, if you work within a very close knit team or are especially friendly with people at work you may want to let them know.</p> <p><strong>4. Extended family</strong></p> <p>Unless you want to subject yourself to a plethora of phone calls, an email may be best for your extended family. Keep them in the loop and let them know what’s happened so that they can offer support but don’t exhaust yourself with feeling as if you need to explain the situation to every single person in your life.</p> <p><em>Images: Getty</em></p>

Relationships

Placeholder Content Image

10 things cruise lines won’t tell you

<p>Cruiser industry insiders reveal the secrets that cruise lines choose to conceal from passengers.</p> <p>1. “Our ships might sink, but we won’t.”</p> <p>Not necessarily sink, but there are numerous examples of accidents, leaving thousands of passengers stranded at sea waiting for assistance.</p> <p>2. “Feeling queasy? It might be more than seasickness.”</p> <p>Remember if the food seems strange, it might be best not to eat it.</p> <p>3. “We’ve got a drinking problem.”</p> <p>The cruiser liners WANT you to drink as much as you can. It’s where the money is at.</p> <p>4. “Hire a tour guide, just not through us.”</p> <p>If you book excursions through the cruise liners, you are paying an inflated price. Go to a local operator at your cruise destination instead, or even book online.</p> <p>5. “We’ll find a way to hit you up.”</p> <p>The cruise liner is always going to try to convince you to pay for all sort of extras. And like travellers stuck at an airport, passengers on cruises are a captive audience.</p> <p>6. “You need a Ph.D. to choose your cabin.”</p> <p>With thousands of passengers and therefore thousands of rooms, choosing the right cabin is an art. Space is limited and rooms are inevitably near engines or decks.</p> <p>7. “Running late? See you later.”</p> <p>Don’t expect your cruise to give you your money back the closer it is to your departure date.</p> <p>8. “There is still plenty of peril on the sea.”</p> <p>Cruises sounds like a nice, relaxing, safe holiday option but there’s still plenty of danger on board. Because of the heavy drinking, rates of sexual assault are 50 per cent higher than on land.</p> <p>9. “Labour laws don’t always apply to us.”</p> <p>Passengers rarely appreciate how hard the staff in the cruising industry work, and since cruise liners can be registered in other countries, it means sometimes staff don’t get minimum wage, over time or sick time.</p> <p>10. “Don’t swim in our wake.”</p> <p>From sulphurous engine emissions that contribute to smog to so-called blackwater (essentially what goes down the toilet), cruise liners leave a lot of waste in its wake.</p> <p><em>Images: Getty</em></p>

Cruising

Placeholder Content Image

A win for the press, a big loss for Ben Roberts-Smith: what does this judgment tell us about defamation law?

<p><a href="https://theconversation.com/profiles/david-rolph-118815">David Rolph</a>, <em><a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>At the heart of the spectacular defamation trial brought by decorated Australian soldier Ben Roberts-Smith were two key questions.</p> <p>Had the Age, the Sydney Morning Herald and the Canberra Times damaged his reputation when they published in 2018 a series of explosive stories accusing him of murder and other crimes while in Afghanistan?</p> <p>And could the newspapers successfully defend their reporting as true?</p> <p>Today, in Sydney, Federal Court Justice Anthony Besanko found the newspapers were indeed able to establish the “substantial truth” of key allegations around killing of unarmed Afghan male prisoners.</p> <p>An <a href="https://twitter.com/Kate_McClymont/status/1664130451869663232">appeal</a> may still be on the cards, but this is a high-profile loss for a very prominent person. The costs will be substantial. The usual rule is that the losing party pays their own costs and those of the winning party.</p> <p>So, even though people say defamation law in Australia has a reputation for favouring plaintiffs, this case shows even plaintiffs do sometimes lose defamation cases in Australia.</p> <p>More broadly, this case shows how hard it is to use defamation law to repair any perceived damage to your reputation. Once a case begins, you never can control what will be said in court.</p> <h2>What was this case about?</h2> <p>The case centred on several defamatory meanings (or, as they’re known in defamation law, “<a href="https://www.fedcourt.gov.au/services/access-to-files-and-transcripts/online-files/ben-roberts-smith">imputations</a>”) that Roberts-Smith said the papers had made against him.</p> <p>Among these were that he’d <a href="https://www.theage.com.au/national/110-days-41-witnesses-and-15-key-questions-to-answer-what-the-ben-roberts-smith-case-was-about-20230209-p5cjdp.html">killed</a> unarmed Afghan male prisoners and ordered junior soldiers to execute others in Afghanistan between 2006 and 2012.</p> <p>Roberts-Smith denied wrongdoing, but the newspapers had pleaded a defence of truth. That means to win this case, they needed to prove the meanings conveyed by their reporting – even if those meanings were unintended – were true.</p> <p>Besanko, reading a summary judgment today, said the newspapers were able to establish the substantial truth of some of the most serious imputations in the case.</p> <p>For other imputations, Besanko found the newspapers were able to establish “contextual truth”.</p> <p>Substantial truth means what is sounds like – that the allegation published was, in substance, true. Defamation law does not require strict, complete or absolute accuracy. Minor or inconsequential errors of detail are irrelevant. What matters is: has the publisher established what they published was, in substance, true?</p> <p>Contextual truth is a fallback defence. The court has to weigh what has been found to be true against what has been found to be unproven. If the true statements about the plaintiff were worse than the unproven statements, then the plaintiff’s reputation was not overall damaged by the unproven statements, and the publisher has a complete defence.</p> <p>In other words, Besanko found most of the imputations to be true. And, when considered against those which were not proven to be true, the remaining unproven imputations did not damage Roberts-Smith’s reputation.</p> <h2>What does this case tell us about defamation in Australia?</h2> <p>The court heard several explosive claims during the course of this trial, including that evidence on USB sticks had been put into a <a href="https://www.theguardian.com/australia-news/2021/aug/13/court-hears-ben-roberts-smiths-ex-wife-dug-up-usb-sticks-from-family-backyard">lunchbox and buried</a> in a backyard and that Roberts-Smith had allegedly <a href="https://www.theguardian.com/australia-news/2022/may/13/woman-who-says-ben-roberts-smith-punched-her-sustained-an-injury-in-a-fall-earlier-on-same-night-defamation-trial-hears">punched a woman</a> in their hotel room.</p> <p>Roberts-Smith said he didn’t bury the USBs or withhold information from a war crimes inquiry and denied that he had punched the woman.</p> <p>But the fact this widely scrutinised case yielded such astonishing testimony, day in and day out, shows how risky it is to use defamation law to restore perceived injury to one’s reputation.</p> <p>Defamation law is seeking to correct people’s views about the plaintiff. But it’s open to doubt that defamation law is actually any good at securing its own stated purpose of changing people’s minds about the plaintiff.</p> <p>The problem is the law is a very blunt instrument. It’s very hard to get people to change their minds about what they think of you.</p> <p>All litigation involves risk and defamation trials are even riskier. You never can control what can come out in court, as this litigation demonstrates so clearly.</p> <p>Roberts-Smith has sued to protect his reputation, but in doing so, a range of adverse things have been said in court. And whatever is said in court is covered by the defence of absolute privilege; you can’t sue for defamation for anything said in court that is reported accurately and fairly.</p> <h2>The 2021 defamation law reforms</h2> <p>The law that applies in the Roberts-Smith case is the defamation law we had before major reforms introduced in July 2021 across most of Australia.</p> <p>These reforms introduced a new defence known as the public interest defence. To use this defence, a publisher has to demonstrate that they reasonably believed the matter covered in their published material is in the public interest.</p> <p>As this defence didn’t exist prior to 2021, the publishers in the Roberts-Smith case used the defence of truth.</p> <p>If a case like this were litigated today following these reforms, it is highly likely the publisher would use the new public interest defence.</p> <p>Given the <a href="https://theconversation.com/lachlan-murdoch-could-well-have-won-his-crikey-lawsuit-so-why-did-he-drop-it-204279">Murdoch versus Crikey</a> case was settled, we may yet wait some time to see what’s required to satisfy the public interest test in a defamation case.</p> <p>But as today’s decision demonstrates, sometimes the truth alone will prevail.<!-- 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/206759/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/david-rolph-118815">David Rolph</a>, Professor of Law, <em><a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-win-for-the-press-a-big-loss-for-ben-roberts-smith-what-does-this-judgment-tell-us-about-defamation-law-206759">original article</a>.</em></p> <p><em>Images: Getty</em></p>

Legal

Placeholder Content Image

The best anti-ageing secrets dermatologists won’t tell you for free

<p><strong>The best tips from top dermatologists </strong></p> <p>A wide array of over-the-counter anti-ageing skincare products aim to improve the signs of ageing, such as skin spots, fine lines, wrinkles, and boost collagen. Yet, most of these products are more hype – it’s important for consumers to understand when a product is a cosmetic, drug, or both to evaluate the validity of these claims. So, which products can actually deliver results that improve the signs of ageing?</p> <p>We spoke with medical experts who told us the best anti-ageing secrets for better skin health.</p> <p><strong>Opt for sunscreen to fight ageing skin</strong></p> <p>Sunscreen is one of the best weapons when it comes to protecting your skin against skin cancer, and it’s also one of the best ways to keep your skin looking younger and healthier. “The sun emits ultraviolet radiation that damages skin, both the overlying epidermis and the underlying dermis,” explains dermatologist, Dr Jerome Garden. “In addition to increasing your risk of skin cancer, the sun causes brown spots, red spots, and wrinkles.”</p> <p><strong>Expensive products are not always more effective</strong></p> <p>It may be tempting to splurge on a skin-care item that promises to yield worthy results, but pricey doesn’t always equal quality. There are some great inexpensive products that can produce great results, according to dermatologist, Dr Dendy Engelman. “A higher price tag can mean better quality ingredients or a higher concentration of an ingredient, but the ingredients list is always more important than the brand selling the product,” she says.</p> <p><strong>Don't buy generic skincare</strong></p> <p>You don’t need to spend a fortune to get a high-quality skincare product, but there is a difference between a brand name product and a generic one, according to dermatologist, Dr Joshua Zeichner.</p> <p>“Many generic products are packaged to look similar to the original, and may even have the same ingredients list, however, the difference is the quality of the ingredients and how they are actually formulated,” he says.</p> <p><strong>Skimp on a fancy cleanser</strong></p> <p>No matter what an expensive cleanser may cost, it’s not going to work any more magic than most lower-cost competitors, according to dermatologists. “The goal of a cleanser is to remove dirt, oil, makeup and pollution from the skin without disrupting the outer skin layer – and the ingredients used to create a product that can do this are not expensive,” says Dr Zeichner. “In fact, some of the best quality cleansers are actually among the least expensive products on the market.”</p> <p><strong>Opt for a serum</strong></p> <p>Serums, which are meant to be layered underneath your daily and nightly moisturiser, often are the first skincare products to be skipped. But, they actually play an important role in your daily routine. “Serums contain a high concentration of active ingredients and are lightweight, so they penetrate deeper into your skin to provide maximum benefits,” says dermatologist, Dr Whitney Bowe.</p> <p>She recommends looking for serums that contain ceramides and amino acids, which help to bolster the skin’s natural barrier, and antioxidants, which protect skin from sun damage and free radicals.</p> <p><strong>Don't trust anti-wrinkle face cream claims </strong></p> <p>“We develop fine lines because of repeated folding of the skin from underlying muscles,” explains Dr Zeichner. “Young, healthy skin has a strong foundation that resists folding and bounces back to its original shape, but, with age, that skin foundation gets weaker.”</p> <p>While topical creams will certainly help keep the skin barrier strong, the only way to truly reduce wrinkles is to relax the muscles underneath the skin, according to Dr Zeichner.</p> <p><strong>Wear sunscreen year-round</strong></p> <p>It’s true that even on the cloudiest or snowiest of days, sunscreen should be a part of your daily skincare routine. “Incidental sun exposure for only 10 to 15 minutes a day adds up over time and can cause significant sun damage and accelerated photoaging,” says Dr Engelman.</p> <p>In order to keep skin looking its youngest and healthiest, she recommends applying sunscreen every single day of the year, as brief sun exposures throughout the year can add up to significant damage (think driving with the sunroof open or walking around outdoor shopping centres during peak sun hours).</p> <p><strong>Use retinol - it really works</strong></p> <p>According to dermatologist, Dr Hadley King, topical retinoids are the most effective topical anti-ageing products (after sun protection). “There is great data that supports their effectiveness and safety,” she says. “While prescription retinoids are the most effective, there are now plenty of over-the-counter products that contain retinol and work well, especially on those with sensitive skin.”</p> <p><strong>Invest in laser treatments</strong></p> <p>If you’re looking for fast results without the use of creams, Dr Garden recommends laser treatments, which he specialises in. “We have lasers for brown spots, red spots, blood vessels and wrinkles,” he says. “Newer devices called fractionated lasers can produce impressive results with less downtime than before.” Although they’re on the pricier side, he says that these treatments can offer results far superior to creams.</p> <p>But the only caveat is that these machines are powerful and, in many states, can be operated by unqualified individuals who are not even physicians. He recommends making sure that your laser treatments are being performed by a board-certified dermatologist to avoid complications.</p> <p><strong>Try collagen supplements </strong></p> <p>Collagen is a protein that’s a building block for our hair, skin and nails. “Supplemental collagen is fragmented pieces of amino acids and peptides that connect in the bloodstream with enzymes that trigger the production of collagen,” explains Dr Engelman. “In a collagen-deficient system, this will support and increase collagen production.” It’s important, however, that you choose the right type of collagen, since 16 different strains exist.</p> <p>“For oral supplements, hydrolysed collagen is easiest to digest, as it is broken down into the smallest forms of peptides and amino acids,” she says. “I like pills and powders because they are easy to incorporate no matter what your lifestyle.”</p> <p><strong>Don't fall for 'trendy' products</strong></p> <p>The latest and greatest products on the market might be eye-catching, but their popularity doesn’t mean that they’re effective. “Just because something is ‘hot’ right now in the beauty industry, does not mean that you should run out to purchase it,” says Dr Bowe. “I always encourage my patients to look for scientific studies and statistics which prove that products deliver the results they promise.”</p> <p><strong>Follow a healthy diet</strong></p> <p>No matter how much time, energy and money you spend on your skincare regimen, if you’re not supplementing it with a healthy diet, you’re wasting your efforts, according to experts. “Your skin is a reflection of your overall health and wellness and your diet absolutely impacts the appearance and health of your skin,” says Dr Bowe.</p> <p>“For example, sugar in any form causes multiple changes in our body, from our cellular membranes and our arteries to our hormones, immune systems, gut, and even microbiome – the microbes in our intestines that affect our biology all the way out to our skin.”</p> <p><strong>Allergy pill and a nap may reduce dark circles and puffy eyes</strong></p> <p>There are other causes of dark circles that are unrelated to your skin, such as seasonal allergies or lack of sleep. Dermatologist, Dr Joel Schlessinger recommends trying Clarityne or Zyrtec, drinking more water, or heading to bed an hour earlier to clock in more sleep. If your dark circles and puffiness aren’t improved by any of those suggestions, then he says a well-formulated and hydrating eye cream could help.</p> <p><strong>Avoid sleeping on your side</strong></p> <p>Believe it or not, the way you sleep does have an effect on the smoothness of your skin. “Sleeping on your side presses your cheek into the pillow and causes the skin on your chest to be scrunched, creating new or reinforcing existing wrinkles,” warns Dr Schlessinger. “Train yourself to sleep on your back as much as you can – it will keep skin as flat and smooth as possible.”</p> <p><strong>Don't wait until it's too late too start Botox</strong></p> <p>Some fine lines and wrinkles are caused by repetitive movements, so starting these treatments early, even in your late 20s and early 30s, may potentially help prevent them or slow their progression, according to cosmetic dermatologist, Dr Sejal Shah.</p> <p>“People are often afraid of injectables because they don’t want to look ‘frozen’ or overdone, but many neurotoxins (Botox, Dysport, Xeomin, and Jeuveau) can look very natural when appropriately placed.” Just be sure to seek treatment from trained individuals, such as a board-certified dermatologist.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/beauty/the-best-anti-ageing-secrets-dermatologists-wont-tell-you-for-free?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Beauty & Style

Our Partners