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Pokies? Lotto? Sports betting? Which forms of problem gambling affect Australians the most?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/alex-russell-133860">Alex Russell</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/matthew-browne-97705">Matthew Browne</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>, and <a href="https://theconversation.com/profiles/matthew-rockloff-569">Matthew Rockloff</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p>Gambling, especially sports and race betting, is a hot political issue at the moment.</p> <p>This is largely due to the recommendations from a 2023 report from a nonpartisan federal government committee, chaired by the late Peta Murphy, called <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/House/Social_Policy_and_Legal_Affairs/Onlinegamblingimpacts/Report">You Win Some, You Lose More</a>.</p> <p>This report <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/House/Social_Policy_and_Legal_Affairs/Onlinegamblingimpacts/Report/List_of_recommendations">recommended</a> “the Australian government, with the cooperation of the states and territories, implement a comprehensive ban on all forms of advertising for online gambling”.</p> <p>This has led to lots of debate and controversy.</p> <p>Recently, Peter V’landys, head of the NRL and Racing NSW, <a href="https://www.smh.com.au/politics/federal/nanny-state-nrl-afl-storm-the-field-over-gambling-ads-20240920-p5kc2q.html">claimed</a> lotteries were more harmful than race and sports betting combined, citing independent statistics.</p> <p>Let’s explore the relative harm of different types of gambling and see if this claim holds up.</p> <h2>Australians love a punt</h2> <p>Gambling is widespread in Australia, with <a href="https://www.gamblingresearch.org.au/publications/second-national-study-interactive-gambling-australia-2019-20">more than half of adults</a> engaging in at least one form each year.</p> <p>According to the <a href="https://www.gamblingresearch.org.au/publications/second-national-study-interactive-gambling-australia-2019-20">latest national data</a>, lotteries are the most common type (40% of Australians buy a ticket annually), followed by race betting (17%), pokies (16%), scratchies (15.7%) and sports betting (9.6%).</p> <p>However, the popularity of a gambling form doesn’t necessarily reflect its harm. Different gambling activities have distinct characteristics.</p> <p>Two key factors mean that some gambling forms are more harmful than others: the speed of gambling and bet size.</p> <p>Pokies allow for frequent, small bets, with spins every three seconds. Race and sports betting can involve much larger sums and betting that is relatively fast, but still slower than pokie spins.</p> <p>Sports betting, in particular, is getting faster with in-play betting and <a href="https://pubmed.ncbi.nlm.nih.gov/30386964/">microbetting</a>.</p> <figure><iframe src="https://www.youtube.com/embed/hI_XFOc4is0?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Poker machines, or ‘pokies’ are the biggest single source of gambling losses in Australia.</span></figcaption></figure> <p>Lotteries, on the other hand, are much slower-paced.</p> <p>People typically spend a small amount on tickets and wait for a draw to find out if they’ve won.</p> <p>Although it’s possible to spend a lot on tickets, <a href="https://www.qgso.qld.gov.au/statistics/theme/society/gambling/australian-gambling-statistics">people tend not to</a>, unlike with faster gambling forms.</p> <p>The average spend on pokies among the 16% who play them is around $4,782 per year, compared to an average spend on lotteries of $377 per year. These are averages. Most won’t spend these amounts but some will spend far more, which raises the average amount.</p> <p>V’landys’ claim about lotteries being more harmful than race and sports betting was based on “independent statistics”.</p> <p>He said that of 100 people seeking help from a gambling hotline, 70 had issues with pokies, 15 with lotteries, eight with race betting, four with sports betting, and three with casinos.</p> <p>We were unable to verify these figures – if anyone has the data, we’d love to see the research to assess them.</p> <p>However, we do have publicly available data.</p> <h2>What the data say</h2> <p>The NSW GambleAware website’s <a href="https://www.gambleaware.nsw.gov.au/-/media/ghs-annual-activity-report-2020-21.ashx?rev=e070f9c8bdbf4031816a852f27246c54&amp;hash=C5FC3AA23BE5F2EF69D551A5E2292BA9#:%7E:text=Of%20the%20clients%20receiving%20counselling,36.9%25%20of%20all%20female%20clients.">2020-21</a> report shows that of 2,886 people seeking help, 73.3% identified pokies as their primary form of gambling, while only 13 people (less than 1%) listed lotteries. Race betting accounted for 13.1%, and sports betting for 7.9%.</p> <p>These patterns were consistent with <a href="https://www.gambleaware.nsw.gov.au/about-us/corporate-documents">previous years</a>.</p> <p>People who experience problems also usually take part in more than one form of gambling, as the NSW report showed.</p> <p>When these secondary gambling activities were considered, sports betting was cited by 35.5%, race betting by 33.5%, pokies by 19.5%, and lotteries by 13.7%.</p> <h2>What we discovered</h2> <p>The best evidence on gambling problems and harm comes from large-scale prevalence studies, typically commissioned by governments and conducted by independent researchers.</p> <p>These studies offer high-quality insights into how each gambling form contributes to problems.</p> <p>While one prevalence study is great, our team recently combined data from seven national and state-based prevalence studies. This resulted in a very high-quality dataset that we can use to study this question.</p> <p>In <a href="https://akjournals.com/view/journals/2006/12/1/article-p182.xml">our analysis</a>, we used statistical techniques to show how strongly each gambling form is associated with problems.</p> <p>These techniques give us regression coefficients, which are just numbers that tell us how strong the association is. A higher number means a stronger association between that form and gambling problems.</p> <p>The most problematic form was pokies (coefficient = 0.147), followed by casino games (0.136), sports betting (0.068) and race betting (0.038).</p> <p>Lotteries, with a coefficient of 0.001, were the least problematic and were not statistically significant even in our large sample.</p> <p>As you might guess from such a low number, there’s very little relationship between lotteries and gambling problems.</p> <h2>What about prevalence?</h2> <p>Prevalence matters too – while pokies were most strongly associated with problems, the number of people participating in each gambling form is also important.</p> <p>Let’s consider an analogy – a car that gives out a lot of exhaust fumes. That car is harmful, but if virtually no one owns one, then it’s not going to account for much pollution.</p> <p>The same idea applies for gambling forms. If a gambling form is very harmful but very few people do it, it doesn’t account for many problems in the population.</p> <p>It works the other way, too – if there is a very clean type of car that many people drive, they also won’t add up to much pollution.</p> <p>Similarly, if we have gambling forms that have very little association with problems, it won’t add up to many problems in the population, even if lots of people take part.</p> <p>The regression coefficients tell us how problematic each gambling form is. Prevalance tells us how many people do it.</p> <p>When we combine these two bits of information, we can work out the degree of problems in the community that come from each form.</p> <p>When we did this, pokies were responsible for 52-57% of gambling problems in the community.</p> <p>Sports and race betting each contributed 9-11%, with a combined total of around 20%.</p> <p>Lotteries accounted for just 0.1-1% of problems.</p> <p>Even if we include scratchies as part of lotteries, this only adds another 2-5% of problems, still far below sports and race betting.</p> <hr /> <p><iframe id="quxHH" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/quxHH/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <hr /> <h2>The real issue</h2> <p>What’s the takeaway?</p> <p>Lotteries are widely played but are not typically associated with much harm.</p> <p>Sports and race betting, despite having fewer participants, are more harmful due to their faster pace and the potential for large, frequent bets.</p> <p>Lotteries involve slower betting and lower spending, making them much less risky.</p> <p>If we aim to reduce gambling harm in our community, the focus should be on pokies, which are widespread in pubs and clubs <a href="https://akjournals.com/view/journals/2006/12/3/article-p721.xml">outside WA</a>, casino games and race and sports betting.</p> <p>These forms have features that make them far more harmful than slower-paced gambling like lotteries.<!-- 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/240665/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/alex-russell-133860">Alex Russell</a>, Principal Research Fellow, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/matthew-browne-97705">Matthew Browne</a>, Senior Lecturer in Statistics, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>, and <a href="https://theconversation.com/profiles/matthew-rockloff-569">Matthew Rockloff</a>, Head, Experimental Gambling Research Lab, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity 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/pokies-lotto-sports-betting-which-forms-of-problem-gambling-affect-australians-the-most-240665">original article</a>.</em></p> </div>

Money & Banking

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I’m iron deficient. Which supplements will work best for me and how should I take them?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/alannah-mckay-1548258">Alannah McKay</a>, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a></em></p> <p>Iron deficiency is common and can be debilitating. It mainly affects women. One in three premenopausal women <a href="https://static1.squarespace.com/static/57bfc0498419c24a01318ae2/t/607fc2e06ace2f22d5ca9a43/1618985699483/20210421+-+IDC+-+economic+impact+of+iron+deficiency+-+FINAL.pdf">are low in iron</a> compared to just 5% of Australian men. Iron deficiency particularly affects teenage girls, women who do a lot of exercise and those who are pregnant.</p> <p>The <a href="https://pubmed.ncbi.nlm.nih.gov/11160590/">body needs iron</a> to make new red blood cells, and to support energy production, the immune system and cognitive function. If you’re low, you may experience a range of symptoms including fatigue, weakness, shortness of breath, headache, irregular heartbeat and reduced concentration.</p> <p>If a blood test shows you’re iron deficient, your doctor may recommend you start taking an oral iron supplement. But should you take a tablet or a liquid? With food or not? And when is the best time of day?</p> <p>Here are some tips to help you work out how, when and what iron supplement to take.</p> <h2>How do I pick the right iron supplement?</h2> <p>The iron in your body is called “elemental iron”. Choosing the right oral supplement and dose will depend on how much elemental iron it has – your doctor will advise exactly how much you need.</p> <p>The sweet spot is between <a href="https://www.sciencedirect.com/science/article/pii/S0098299720300364?via%3Dihub">60-120 mg of elemental iron</a>. Any less and the supplement won’t be effective in topping up your iron levels. Any higher and you risk gastrointestinal symptoms such as diarrhoea, cramping and stomach pain.</p> <p>In Australia, iron salts are the most common oral supplements because they are cheap, effective and come in different delivery methods (tablets, capsules, liquid formulas). <a href="https://www.ncbi.nlm.nih.gov/books/NBK557376/">The iron salts</a> you are most likely to find in your local chemist are ferrous sulfate (~20% elemental iron), ferrous gluconate (~12%) and ferrous fumarate (~33%).</p> <p>These formulations <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867244/">all work similarly</a>, so your choice should come down to dose and cost.</p> <p>Many multivitamins may look like an iron supplement, but it’s important to note they usually have too little iron – usually less than 20 mg – to correct an iron deficiency.</p> <h2>Should I take tablets or liquid formulas?</h2> <p>Iron contained within a tablet is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867244/">just as well absorbed</a> as iron found in a liquid supplement. Choosing the right one usually comes down to personal preference.</p> <p>The main difference is that liquid formulas tend to contain less iron than tablets. That means you might need to take more of the product to get the right dose, so using a liquid supplement could work out to be more expensive in the long term.</p> <h2>What should I eat with my iron supplement?</h2> <p>Research <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajh.26987">has shown</a> you will absorb more of the iron in your supplement if you take it on an empty stomach. But this can cause more gastrointestinal issues, so might not be practical for everyone.</p> <p>If you do take your supplement with meals, it’s important to think about what types of food will boost – rather than limit – iron absorption. For example, taking the supplement alongside vitamin C improves your body’s ability to absorb it.</p> <p>Some supplements already contain vitamin C. Otherwise you could take the supplement along with a glass of orange juice, or other <a href="https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/">vitamin C-rich foods</a>.</p> <p>On the other hand, tea, coffee and calcium all <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajh.26987">decrease the body’s ability to absorb iron</a>. So you should try to limit these close to the time you take your supplement.</p> <h2>Should I take my supplement in the morning or evening?</h2> <p>The best time of day to take your supplement is in the morning. The body can <a href="https://journals.lww.com/acsm-msse/fulltext/2019/10000/the_impact_of_morning_versus_afternoon_exercise_on.20.aspx">absorb significantly more</a> iron earlier in the day, when concentrations of hepcidin (the main hormone that regulates iron) are at their lowest.</p> <p>Exercise also affects the hormone that regulates iron. That means taking your iron supplement after exercising can <a href="https://journals.humankinetics.com/view/journals/ijsnem/32/5/article-p359.xml">limit your ability to absorb it</a>. Taking your supplement in the hours following exercise will mean significantly poorer absorption, especially if you take it between two and five hours after you stop.</p> <p><a href="https://journals.lww.com/acsm-msse/fulltext/2024/01000/iron_absorption_in_highly_trained_male_runners_.14.aspx">Our research</a> has shown if you exercise every day, the best time to take your supplement is in the morning before training, or immediately after (within 30 minutes).</p> <h2>My supplements are upsetting my stomach. What should I do?</h2> <p>If you experience gastrointestinal side effects such as diarrhoea or cramps when you take iron supplements, you may want to consider taking your supplement every second day, rather than daily.</p> <p>Taking a supplement every day is still the fastest way to restore your iron levels. But a recent study <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00463-7/fulltext#%20">has shown</a> taking the same total dose can be just as effective when it’s taken on alternate days. For example, taking a supplement every day for three months works as well as every second day for six months. This results in fewer side effects.</p> <p>Oral iron supplements can be a cheap and easy way to correct an iron deficiency. But ensuring you are taking the right product, under the right conditions, is crucial for their success.</p> <p>It’s also important to check your iron levels prior to commencing iron supplementation and do so only under medical advice. In large amounts, <a href="https://www.ncbi.nlm.nih.gov/books/NBK430862/">iron can be toxic</a>, so you don’t want to be consuming additional iron if your body doesn’t need it.</p> <p>If you think you may be low on iron, talk to your GP to find out your best options.<!-- 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/235315/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/alannah-mckay-1548258">Alannah McKay</a>, Postdoctoral Research Fellow, Sports Nutrition, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic 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/im-iron-deficient-which-supplements-will-work-best-for-me-and-how-should-i-take-them-235315">original article</a>.</em></p> </div>

Body

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Walking or running: for the same distance, which consumes more energy?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/clement-lemineur-1529211">Clément Lemineur</a>, <a href="https://theconversation.com/institutions/universite-cote-dazur-2917">Université Côte d’Azur</a>; <a href="https://theconversation.com/profiles/clement-naveilhan-1495411">Clément Naveilhan</a>, <a href="https://theconversation.com/institutions/universite-cote-dazur-2917">Université Côte d’Azur</a>, and <a href="https://theconversation.com/profiles/francois-dernoncourt-1495410">François Dernoncourt</a>, <a href="https://theconversation.com/institutions/universite-cote-dazur-2917">Université Côte d’Azur</a></em></p> <p>It’s Monday morning, the alarm goes off and it’s already 7:30 a.m. – and you’re 30 minutes late. Normally you need 45 minutes to walk the 3 kilometres to work, but this morning you’ll be running for 20 minutes. Yes, but by lunchtime you’re feeling more tired and you have the impression that you’ve expended more energy than usual on the trip. Yet you’ve covered the same distance as on the other days. How can this be?</p> <p>The calorie expenditure associated with any activity is called the “metabolic cost”, and corresponds to the energy consumed by our organs to cover a given distance. This metabolic cost can be determined by analysing the oxygen our bodies consume and the carbon dioxide they produce, we can estimate the amount of energy expended, and thus the metabolic cost. It was using this method that <a href="https://pubmed.ncbi.nlm.nih.gov/692303/">researchers had already answered our question back in the 1970s</a>.</p> <p>Perhaps not surprisingly, running consumes more energy than walking for the same distance covered. But why?</p> <h2>Energy lost when running</h2> <p>Imagine you’re watching someone running. Now look closely at the vertical movement (up and down) of their pelvis and head. As you can see from the diagram below, when we run, the distance that our body moves up and down is greater than when we walk. To produce this vertical movement, the muscles of the lower limbs have to generate more force, and that consumes more energy, yet doesn’t bring us any closer to our destination. So when running, part of the energy expended is used to move our bodies <a href="https://pubmed.ncbi.nlm.nih.gov/16029949/">upward rather than forward</a>. The energy needed to cover those 3 km is therefore higher for running than for walking.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/602769/original/file-20240625-18-xilv63.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/602769/original/file-20240625-18-xilv63.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/602769/original/file-20240625-18-xilv63.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=287&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/602769/original/file-20240625-18-xilv63.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=287&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/602769/original/file-20240625-18-xilv63.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=287&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/602769/original/file-20240625-18-xilv63.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=361&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/602769/original/file-20240625-18-xilv63.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=361&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/602769/original/file-20240625-18-xilv63.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=361&amp;fit=crop&amp;dpr=3 2262w" alt="Illustration of the oscillations of running and walking" /></a><figcaption><span class="caption">Running involves much greater vertical oscillation of the centre of mass than walking. This is the main reason why running consumes more energy than walking for the same distance covered.</span> <span class="attribution"><span class="source">François Dernoncourt</span>, <span class="license">Fourni par l'auteur</span></span></figcaption></figure> <p>This difference between walking and running is not confined to what happens during the activity itself. In fact, each physical exercise causes a delayed expenditure of energy, which is added to the expenditure during the activity.</p> <p>Taking this into account, it’s once again running that uses more energy than walking. Immediately after running your 3 km, the increased energy consumption (compared with resting) lasts for several minutes, mainly because of the increase in body temperature and the replenishment of energy reserves. This additional expenditure after running is <a href="https://pubmed.ncbi.nlm.nih.gov/22446673/">more than twice that observed after walking</a>, due to the difference in intensity between the two exercises.</p> <h2>It all depends on speed</h2> <p>Running therefore involves a higher calorie expenditure than walking for the same distance covered. But this is on condition that the walking speed considered is “normal” (around 5 km/h). So, if we walk very slowly, it will take us so long to cover the 3 km that the calorie expenditure will be greater in the end. This is because the body expends a certain amount of energy per unit of time no matter what, regardless of the activity performed (known as the “basal metabolic rate”).</p> <p>The same applies if the walking speed is very fast (<a href="https://pubmed.ncbi.nlm.nih.gov/29925582/">more than 8 km/h</a>): running is more energy-efficient. Here, the coordination required to walk at such a speed means that we need to activate our muscles more, without being able to take advantage of the elasticity of our tendons, as is the case with running.</p> <p>Moreover, we have a very precise intuitive perception of the energy efficiency of a particular style of movement. If we’re on a treadmill whose speed gradually increases, the point at which we spontaneously switch from walking to running coincides with the <a href="https://www.sciencedirect.com/science/article/pii/S096663622100120X">moment when it would become more energy-consuming to walk than to run</a>.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=395&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=395&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=395&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=497&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=497&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/604700/original/file-20240703-17-4dlrj.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=497&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Modelling of metabolic cost (kilocalories expended per kilogram per kilometre covered) as a function of speed (kilometres per hour) for walking and running. The curves cross at a certain speed (purple line; around 8 km/h): this means that above this speed, walking becomes more energy-intensive than running. It’s at around this threshold speed that people spontaneously switch from walking to running.</span> <span class="attribution"><span class="source">François Dernoncourt, Adapted from Summerside et al</span>, <span class="license">Fourni par l'auteur</span></span></figcaption></figure> <p>In conclusion, because of greater oscillation of the centre of mass and increased energy expenditure after exercise, running to work is more energy-intensive than covering the same distance by walking. But remember, whether you choose to walk or run to work, the most important thing is that you’re already saving energy!<!-- 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/233943/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/clement-lemineur-1529211">Clément Lemineur</a>, Doctorant en Sciences du Mouvement Humain, <a href="https://theconversation.com/institutions/universite-cote-dazur-2917">Université Côte d’Azur</a>; <a href="https://theconversation.com/profiles/clement-naveilhan-1495411">Clément Naveilhan</a>, Doctorant en Sciences du Mouvement Humain, <a href="https://theconversation.com/institutions/universite-cote-dazur-2917">Université Côte d’Azur</a>, and <a href="https://theconversation.com/profiles/francois-dernoncourt-1495410">François Dernoncourt</a>, Doctorant en Sciences du Mouvement Humain, <a href="https://theconversation.com/institutions/universite-cote-dazur-2917">Université Côte d’Azur</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/walking-or-running-for-the-same-distance-which-consumes-more-energy-233943">original article</a>.</em></p> </div>

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What are the most common symptoms of menopause? And which can hormone therapy treat?

<p><em><a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Despite decades of research, navigating menopause seems to have become harder – with conflicting information on the internet, in the media, and from health care providers and researchers.</p> <p>Adding to the uncertainty, a recent <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00462-8/fulltext">series in the Lancet</a> medical journal challenged some beliefs about the symptoms of menopause and which ones menopausal hormone therapy (also known as hormone replacement therapy) can realistically alleviate.</p> <p>So what symptoms reliably indicate the start of perimenopause or menopause? And which symptoms can menopause hormone therapy help with? Here’s what the evidence says.</p> <h2>Remind me, what exactly is menopause?</h2> <p>Menopause, simply put, is complete loss of female fertility.</p> <p>Menopause is traditionally defined as the final menstrual period of a woman (or person female at birth) who previously menstruated. Menopause is diagnosed after 12 months of no further bleeding (unless you’ve had your ovaries removed, which is surgically induced menopause).</p> <p>Perimenopause starts when menstrual cycles first vary in length by seven or more days, and ends when there has been no bleeding for 12 months.</p> <p>Both perimenopause and menopause are hard to identify if a person has had a hysterectomy but their ovaries remain, or if natural menstruation is suppressed by a treatment (such as hormonal contraception) or a health condition (such as an eating disorder).</p> <h2>What are the most common symptoms of menopause?</h2> <p><a href="https://srh.bmj.com/content/early/2024/02/21/bmjsrh-2023-202099.long">Our study</a> of the highest quality menopause-care guidelines found the internationally recognised symptoms of the perimenopause and menopause are:</p> <ul> <li>hot flushes and night sweats (known as vasomotor symptoms)</li> <li>disturbed sleep</li> <li>musculoskeletal pain</li> <li>decreased sexual function or desire</li> <li>vaginal dryness and irritation</li> <li>mood disturbance (low mood, mood changes or depressive symptoms) but not clinical depression.</li> </ul> <p>However, none of these symptoms are menopause-specific, meaning they could have other causes.</p> <p>In <a href="https://journals.lww.com/menopausejournal/abstract/2015/07000/moderate_to_severe_vasomotor_and_sexual_symptoms.6.aspx">our study of Australian women</a>, 38% of pre-menopausal women, 67% of perimenopausal women and 74% of post-menopausal women aged under 55 experienced hot flushes and/or night sweats.</p> <p>But the severity of these symptoms <a href="https://journals.lww.com/menopausejournal/abstract/2015/07000/moderate_to_severe_vasomotor_and_sexual_symptoms.6.aspx">varies greatly</a>. Only 2.8% of pre-menopausal women reported moderate to severely bothersome hot flushes and night sweats symptoms, compared with 17.1% of perimenopausal women and 28.5% of post-menopausal women aged under 55.</p> <p>So bothersome hot flushes and night sweats appear a reliable indicator of perimenopause and menopause – but they’re not the only symptoms. Nor are hot flushes and night sweats a western society phenomenon, as has been suggested. Women in Asian countries are <a href="https://journals.lww.com/menopausejournal/fulltext/2022/05000/prevalence,_severity,_and_associated_factors_in.9.aspx">similarly affected</a>.</p> <p>Depressive symptoms and anxiety are also often linked to menopause but they’re less menopause-specific than hot flushes and night sweats, as they’re common across the entire adult life span.</p> <p>The <a href="https://srh.bmj.com/content/early/2024/02/21/bmjsrh-2023-202099.long">most robust guidelines</a> do not stipulate women must have hot flushes or night sweats to be considered as having perimenopausal or post-menopausal symptoms. They acknowledge that new mood disturbances may be a primary manifestation of <a href="https://www.cell.com/cell/abstract/S0092-8674(23)00905-4?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867423009054%3Fshowall%3Dtrue">menopausal hormonal changes</a>.</p> <p>The extent to which menopausal hormone changes impact memory, concentration and problem solving (frequently talked about as “brain fog”) is uncertain. <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2022.2122792">Some studies</a> suggest perimenopause may impair verbal memory and resolve as women transition through menopause. But strategic thinking and planning (executive brain function) <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2022.2122792">have not been shown to change</a>.</p> <h2>Who might benefit from hormone therapy?</h2> <p>The Lancet papers <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00462-8/fulltext">suggest</a> menopause hormone therapy <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02799-X/fulltext">alleviates</a> hot flushes and night sweats, but the likelihood of it improving sleep, mood or “brain fog” is limited to those bothered by vasomotor symptoms (hot flushes and night sweats).</p> <p>In contrast, the highest quality <a href="https://srh.bmj.com/content/early/2024/02/21/bmjsrh-2023-202099.long">clinical guidelines</a> consistently identify both vasomotor symptoms and mood disturbances associated with menopause as reasons for menopause hormone therapy. In other words, you don’t need to have hot flushes or night sweats to be prescribed menopause hormone therapy.</p> <p>Often, menopause hormone therapy is prescribed alongside a topical vaginal oestrogen to treat vaginal symptoms (dryness, irritation or urinary frequency).</p> <p>However, none of these guidelines recommend menopause hormone therapy for cognitive symptoms often talked about as “brain fog”.</p> <p>Despite musculoskeletal pain being the most common menopausal symptom in <a href="https://journals.lww.com/menopausejournal/abstract/2016/07000/prevalence_and_severity_of_vasomotor_symptoms_and.6.aspx">some populations</a>, the effectiveness of menopause hormone therapy for this specific symptoms still needs to be studied.</p> <p>Some guidelines, such as an <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783">Australian endorsed guideline</a>, support menopause hormone therapy for the prevention of osteoporosis and fracture, but not for the prevention of any other disease.</p> <h2>What are the risks?</h2> <p>The greatest concerns about menopause hormone therapy have been about breast cancer and an increased risk of a deep vein clot which might cause a lung clot.</p> <p>Oestrogen-only menopause hormone therapy is <a href="https://www.nice.org.uk/guidance/ng23">consistently considered</a> to cause little or no change in breast cancer risk.</p> <p>Oestrogen taken with a progestogen, which is required for women who have not had a hysterectomy, <a href="https://www.moh.gov.my/moh/resources/Penerbitan/CPG/Women%20Health/CPG_Management_of_Menopause_2022_e-version-1.pdf">has been associated with a small increase</a> in the risk of breast cancer, although any <a href="https://www.bmj.com/content/bmj/371/bmj.m3873.full.pdf">risk appears to vary</a> according to the type of therapy used, the dose and duration of use.</p> <p>Oestrogen taken orally has also been associated with an increased risk of a deep vein clot, although the risk varies according to the formulation used. This risk is avoided by using estrogen patches or gels <a href="https://www.bmj.com/content/bmj/364/bmj.k4810.full.pdf">prescribed at standard doses</a></p> <h2>What if I don’t want hormone therapy?</h2> <p>If you can’t or don’t want to take menopause hormone therapy, there are also effective non-hormonal prescription therapies available for troublesome hot flushes and night sweats.</p> <p>In Australia, most of these options are “off-label”, although the new medication <a href="https://australianprescriber.tg.org.au/articles/management-of-menopause.html">fezolinetant</a> has just been <a href="https://www.tga.gov.au/resources/artg/401401">approved</a> in Australia for postmenopausal hot flushes and night sweats, and is expected to be available by mid-year. Fezolinetant, taken as a tablet, acts in the brain to stop the chemical neurokinin 3 triggering an inappropriate body heat response (flush and/or sweat).</p> <p>Unfortunately, most over-the-counter treatments promoted for menopause are either <a href="https://srh.bmj.com/content/early/2024/02/21/bmjsrh-2023-202099.long">ineffective or unproven</a>. However, cognitive behaviour therapy and hypnosis <a href="https://journals.lww.com/menopausejournal/abstract/2023/06000/the_2023_nonhormone_therapy_position_statement_of.4.aspx">may provide symptom relief</a>.</p> <p><em>The Australasian Menopause Society has useful <a href="https://www.menopause.org.au/health-info/fact-sheets">menopause fact sheets</a> and a <a href="https://www.menopause.org.au/health-info/find-an-ams-doctor">find-a-doctor</a> page. The <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783">Practitioner Toolkit for Managing Menopause</a> is also freely available.</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/225174/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-davis-10376">Susan Davis</a>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash 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/what-are-the-most-common-symptoms-of-menopause-and-which-can-hormone-therapy-treat-225174">original article</a>.</em></p>

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What are ‘good’ and ‘bad’ debts, and which should I pay off first?

<p><em><a href="https://theconversation.com/profiles/angel-zhong-1204643">Angel Zhong</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>With the cost of living soaring and many struggling to get a pay rise, it’s not surprising people are using debt to navigate life’s financial twists and turns.</p> <p>Owing money can sometimes feel challenging, but not all debts should keep you awake at night.</p> <p>So which debts are good and which are bad? And in what order should you pay them off? As it all depends on your personal circumstances, all I can offer is general information and not financial advice. Ideally, you should seek guidance from an accredited financial adviser. But in the meantime, here are some ideas to consider.</p> <h2>What is a ‘good debt’?</h2> <p>Good debts can be strategic tools and help build a solid foundation for your future. They usually increase your net worth by helping you generate income or buy assets that increase in value.</p> <p>With good debts, you usually get back more than what you pay for. They usually have lower interest rates and longer repayment terms. But personal finance is dynamic, and the line between good and bad debt can be nuanced. If not managed properly, even good debts can cause problems.</p> <p>Some examples of “good debts” might include:</p> <p><strong>Mortgages</strong>: A mortgage allows you to buy a house, which is an asset that generally increases in value over time. You may potentially get tax advantages, such as <a href="https://www.ato.gov.au/forms-and-instructions/rental-properties-2023/other-tax-considerations">negative gearing</a>, through investment properties. However, it’s crucial not to overstretch yourself and turn a mortgage into a nightmare. As a rule of thumb, try avoid spending <a href="https://www.cnbc.com/select/mortgage-affordability/">more than 30% of your income</a> per year on your mortgage repayments.</p> <p><strong>Student loans</strong>: Education is an investment in yourself. Used well, student loans (such as <a href="https://www.studyassist.gov.au/help-loans/hecs-help">HECS-HELP</a>) can be the ticket to a higher-paying job and better career opportunities.</p> <h2>What is a ‘bad debt’?</h2> <p>“Bad debts” undermine your financial stability and can hinder your financial progress. They usually come with high interest rates and short repayment terms, making them more challenging to pay off. They can lead to a vicious cycle of debt.</p> <p>Examples of bad debts include:</p> <p><strong>Payday loans</strong>: A payday loan offers a quick fix for people in a financial tight spot. However, their steep interest rates, high fees and tight repayment terms often end up worsening a person’s financial problems. The interest and fee you may end up paying can get close to the loan amount itself.</p> <p><strong>Credit card debt:</strong> Credit cards can be like quicksand for your finances. If you don’t pay off your purchase on time, you’ll be subject to an annual interest rate of around <a href="https://www.rba.gov.au/statistics/tables/">19.94%</a>. For a A$3,000 credit card debt, for example, that could mean paying nearly $600 annual interest. Carrying credit card debt from month to month can lead to a seemingly never-ending debt cycle.</p> <p><strong>Personal loans:</strong> People usually take personal loans from a bank to pay for something special, such as a nice holiday or a car. They often come with higher interest rates, averaging around <a href="https://www.finder.com.au/personal-loans">10%</a>. Spending money that you don’t have can lead to prolonged financial headaches.</p> <p><strong>Buy-now-pay-later services:</strong> Buy-now-pay-later services often provide interest-free instalment options for purchases. This can be tempting, but the account fees and late payment fees associated with buy-now-pay-later services can lead to a long-term financial hangover. The convenience and accessibility of buy-now-pay-later services can also make it easy to get further and further into debt.</p> <h2>So in what order should I pay off my debts?</h2> <p>There is no one right answer to this question, but here are three factors to consider.</p> <p><strong>Prioritise high-interest debts</strong>: Start by confronting the debts with the highest interest rates. This typically includes credit card debt and personal loans. Paying off high-interest debts first can save you money and reduce your total debt faster.</p> <p><strong>Negotiate interest rates or switch lenders:</strong> Don’t be shy. A simple call to your lender requesting a lower rate can make a significant difference. You may also take advantage of sign-on offers and refinancing your loan with a new lender. In the banking business, customers are not usually rewarded for their loyalty.</p> <p><strong>Consider different repayment strategies:</strong> Choose a debt repayment strategy that aligns with your preferences. Some people get a psychological boost from paying off smaller debts first (this is often called the “<a href="https://www.wellsfargo.com/goals-credit/smarter-credit/manage-your-debt/snowball-vs-avalanche-paydown/#:%7E:text=The%20%22snowball%20method%2C%22%20simply,all%20accounts%20are%20paid%20off.">snowball method</a>”). Others focus on high-interest debts (often known as the “<a href="https://www.wellsfargo.com/goals-credit/smarter-credit/manage-your-debt/snowball-vs-avalanche-paydown/#:%7E:text=The%20%22snowball%20method%2C%22%20simply,all%20accounts%20are%20paid%20off.">avalanche method</a>”). Find what works for you. The most important thing is to have a plan and stick to it.</p> <p>Review the terms of each debt carefully. Certain loans offer flexibility in repayment schedules, while others may impose penalties for early settlement. Take note of these conditions as you develop your repayment plan.</p> <p>Debt can be a useful tool or a dangerous trap, depending on how you use it. By understanding the difference between good and bad debts, and by having a smart strategy for paying them off, you can take charge of your financial future.<!-- 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/217779/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/angel-zhong-1204643"><em>Angel Zhong</em></a><em>, Associate Professor of Finance, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT 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/what-are-good-and-bad-debts-and-which-should-i-pay-off-first-217779">original article</a>.</em></p>

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How can I get some sleep? Which treatments actually work?

<p><em><a href="https://theconversation.com/profiles/alexander-sweetman-1331085">Alexander Sweetman</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a>; <a href="https://theconversation.com/profiles/jen-walsh-1468594">Jen Walsh</a>, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a>, and <a href="https://theconversation.com/profiles/nicole-grivell-1468590">Nicole Grivell</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p>Do you have difficulty falling asleep? Do you stay awake for a long time at night? Do these sleep problems make you feel fatigued, strung-out, or exhausted during the day? Has this been happening for months?</p> <p>If so, you’re not alone. About <a href="https://www.sleephealthfoundation.org.au/special-sleep-reports/chronic-insomnia-disorder-in-australia">12-15%</a> of Australian adults have chronic insomnia.</p> <p>You might have tried breathing exercises, calming music, white noise, going to bed in a dark and quiet bedroom, eating different foods in the evening, maintaining a regular sleep pattern, or reducing caffeine. But after three to four weeks of what seems like progress, your insomnia returns. What next?</p> <h2>What not to do</h2> <p>These probably won’t help:</p> <ul> <li> <p><strong>spending more time in bed</strong> often results in more time spent <em>awake</em> in bed, which can make <a href="https://theconversation.com/how-do-i-stop-my-mind-racing-and-get-some-sleep-207904">insomnia patterns worse</a></p> </li> <li> <p><strong>drinking coffee and taking naps</strong> might help get you through the day. But <a href="https://theconversation.com/nope-coffee-wont-give-you-extra-energy-itll-just-borrow-a-bit-that-youll-pay-for-later-197897">caffeine</a> stays in the system for many hours, and can disrupt our sleep if you drink too much of it, especially after about 2pm. If naps last for more than 30 minutes, or occur after about 4pm, this can reduce your “sleep debt”, and can make it <a href="https://theconversation.com/why-do-i-fall-asleep-on-the-sofa-but-am-wide-awake-when-i-get-to-bed-208371">more difficult</a> to fall asleep in the evening</p> </li> <li> <p><strong>drinking alcohol</strong> might help you fall asleep quicker, but <a href="https://journals.sagepub.com/doi/10.1300/J465v26n01_01">can cause</a> more frequent awakenings, change how long you sleep, change the time spent in different “stages” of sleep, and reduce the overall quality of sleep. Therefore, it is not recommended as a sleep aid.</p> </li> </ul> <h2>What to do next?</h2> <p>If your symptoms have lasted more than one or two months, it is likely your insomnia requires targeted treatments that focus on sleep patterns and behaviours.</p> <p>So, the next stage is a type of non-drug therapy known as cognitive behavioural therapy for insomnia (or <a href="https://www.sleepprimarycareresources.org.au/insomnia/cbti">CBTi</a> for short). This is a four to eight week treatment that’s been shown to be <a href="https://doi.org/10.1016/j.smrv.2022.101687">more effective</a> than sleeping pills.</p> <p>It involves education about sleep, and offers psychological and behavioural treatments that address the underlying causes of long-term insomnia.</p> <p>You can do this one-on-one, in a small group with health professionals trained in CBTi, or via self-guided <a href="https://www.sleepprimarycareresources.org.au/insomnia/cbti/referral-to-digital-cbti-programs">online programs</a>.</p> <p>Some GPs are trained to offer CBTi, but it’s more usual for specialist <a href="https://psychology.org.au/find-a-psychologist">sleep psychologists</a> to offer it. Your GP can refer you to one. There are some Medicare rebates to subsidise the cost of treatment. But many psychologists will also charge a gap fee above the Medicare subsidy, making access to CBTi a challenge for some.</p> <p><a href="https://doi.org/10.12703%2Fr%2F11-4">About 70-80%</a> of people with insomnia sleep better after CBTi, with improvements lasting <a href="https://doi.org/10.1016/j.smrv.2019.08.002">at least a year</a>.</p> <h2>What if that doesn’t work?</h2> <p>If CBTi doesn’t work for you, your GP might be able to refer you to a specialist sleep doctor to see if other sleep disorders, such as <a href="https://doi.org/10.1016/j.smrv.2016.04.004">obstructive sleep apnoea</a>, are contributing to your insomnia.</p> <p>It can also be important to manage any mental health problems such as <a href="https://doi.org/10.5694/mja2.51200">depression and anxiety</a>, as well as physical symptoms such as pain that can also disrupt sleep.</p> <p>Some lifestyle and work factors, such as shift-work, might also require management by a specialist sleep doctor.</p> <h2>What about sleeping pills?</h2> <p>Sleeping pills are <a href="https://www.sleepprimarycareresources.org.au/insomnia/pharmacological-therapy">not the recommended</a> first-line way to manage insomnia. However, they do have a role in providing short-term, rapid relief from insomnia symptoms or when CBTi is not accessible or successful.</p> <p>Traditionally, medications such as benzodiazepines (for example, temazepam) and benzodiazepine receptor agonists (for example, zolpidem) have been used to help people sleep.</p> <p>However, these can have <a href="https://doi.org/10.1136/bmj.38623.768588.47">side-effects</a> including a risk of falls, being impaired the next day, as well as tolerance and dependence.</p> <p>Melatonin – either prescribed or available from pharmacies for people aged 55 and over – is also often used to manage insomnia. But the <a href="https://doi.org/10.1016/j.smrv.2022.101692">evidence suggests</a> it has limited benefits.</p> <h2>Are there new treatments? How about medicinal cannabis?</h2> <p>Two newer drugs, known as “orexin receptor antagonists”, are available in Australia (suvorexant and lemborexant).</p> <p>These block the wake-promoting pathways in the brain. <a href="https://doi.org/10.4088/PCC.22nr03385">Early data suggests</a> they are effective in improving sleep, and have lower risk of potential side-effects, tolerance and dependence compared with earlier medicines.</p> <p>However, we don’t know if they work or are safe over the long term.</p> <p><a href="https://doi.org/10.1093/sleep/zsab149">Medicinal cannabis</a> <a href="https://doi.org/10.1111/jsr.13793">has only in recent years</a> <a href="https://doi.org/10.1093/sleepadvances/zpac029.048">been studied</a> as a treatment for <a href="https://doi.org/10.1093/sleepadvances/zpac029.005">insomnia</a>.</p> <p>In an Australian survey, <a href="https://doi.org/10.2147/nss.s390583">more than half</a> of people using medicinal cannabis said they used it to treat insomnia. There are reports of <a href="https://doi.org/10.1371/journal.pone.0272241">significant benefit</a>.</p> <p>But of the four most robust studies so far, <a href="https://doi.org/10.1093/sleep/zsab149">only one</a> (led by one of us, Jen Walsh) has demonstrated an improvement in insomnia after two weeks of treatment.</p> <p>So we need to learn more about which cannabinoids – for example, delta-9-tetrahydrocannabinol, cannabidiol or cannabinol – and which doses may be beneficial. We also need to learn who can benefit most, and whether these are safe and effective over the long term.</p> <h2>What now?</h2> <p>If you’ve had trouble sleeping for a short time (under about a month) and nothing you try is working, there may be underlying reasons for your insomnia, which when treated, can provide some relief. Your GP can help identify and manage these.</p> <p>Your GP can also help you access other treatments if your insomnia is more long term. This may involve non-drug therapies and/or referral to other services or doctors.</p> <hr /> <p><em>For more information about insomnia and how it’s treated, see the Sleep Health Foundation’s <a href="https://www.sleephealthfoundation.org.au/sleep-disorders/insomnia-2">online resource</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/212964/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/alexander-sweetman-1331085">Alexander Sweetman</a>, Research Fellow, College of Medicine and Public Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a>; <a href="https://theconversation.com/profiles/jen-walsh-1468594">Jen Walsh</a>, Director of the Centre for Sleep Science, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a>, and <a href="https://theconversation.com/profiles/nicole-grivell-1468590">Nicole Grivell</a>, Research Coordinator and final year PhD Candidate at FHMRI Sleep Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-can-i-get-some-sleep-which-treatments-actually-work-212964">original article</a>.</em></p>

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We found 3 types of food wasters, which one are you?

<p><em><a href="https://theconversation.com/profiles/trang-nguyen-1454838">Trang Nguyen</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/patrick-oconnor-109973">Patrick O'Connor</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Each year, Australian households discard about <a href="https://workdrive.zohopublic.com.au/external/06152b9ff5971843391f39fc4d32a847e56fb907c167a4a645887b0a4bc43000">2.5 million tonnes of food</a>. Most (73%) of this food waste <a href="https://www.sciencedirect.com/science/article/pii/S0959652622042081">ends up in landfill</a>.</p> <p>This is costly and contributes to <a href="https://pubmed.ncbi.nlm.nih.gov/37118273/">escalating greenhouse gas emissions</a>, because food waste rotting in landfill produces methane. So reducing household food waste and diverting it from landfill saves money, improves food security and benefits the environment.</p> <p>To address the problem, we need to understand how people generate and dispose of food waste. In <a href="https://doi.org/10.1016/j.foodqual.2023.105000">our new study</a>, we found households fell into three categories – based on the amount of food wasted, how much of that waste was avoidable and how it was sorted. These insights into consumer behaviour point to where the most worthwhile improvements can be made.</p> <figure><iframe src="https://www.youtube.com/embed/JvAFaD5f1Lo?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption></figcaption></figure> <h2>Three types of households</h2> <p>We conducted an online survey of 939 households in metropolitan Adelaide between April and May 2021.</p> <p>The sample closely matched the national Australian population in terms of gender, age and income.</p> <p>We asked about the types of food waste produced, the amount of food waste typically discarded in a week and motivations towards reducing and sorting food waste.</p> <p>We identified three distinct types of households:</p> <p><strong>Warriors</strong> are typically older and highly motivated to reduce and sort food waste. They generate minimal waste (9.6 litres per week), such as bones and vegetable peels, that is mostly unavoidable. This group comprised 39.6% of the sample.</p> <p><strong>Strugglers</strong> mainly consist of families with children who produce the largest amount of food waste (33.1 litres per week). They produce the highest proportion of avoidable food waste, such as uneaten fruits and vegetables, bread and cereals. They are moderately motivated to reduce and sort food waste, but more than half of their food waste still ends up in landfill. This group made up 19.6% of the sample.</p> <p><strong>Slackers</strong> are generally younger. They show little concern about reducing or sorting food waste. Slackers produce the smallest amount of food waste overall (9 litres a week), but the proportion of avoidable food waste (such as mixed leftovers) is significantly higher (38.9%) compared to warriors (24.5%). They are more than twice as likely to live in units, with 17.2% doing so, compared to just 7.8% of warriors. This group was 40.8% of the sample.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&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/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=361&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=361&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=361&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=454&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=454&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=454&amp;fit=crop&amp;dpr=3 2262w" alt="Graphic explainer showing the three types of households with their typical characteristics and food waste behaviours." /></a><figcaption><span class="caption">The three types of households with their typical characteristics and food waste behaviours.</span> <span class="attribution"><a class="source" href="https://doi.org/10.1016/j.foodqual.2023.105000">Trang Nguyen using Canva.com</a>, <a class="license" href="http://creativecommons.org/licenses/by-nc-nd/4.0/">CC BY-NC-ND</a></span></figcaption></figure> <h2>What can households do about their food waste?</h2> <p>Reducing household food waste involves changing behaviours in both food management (“upstream”) and waste management (“downstream”).</p> <p>Upstream measures aim to prevent food waste in the first place. For example, households can avoid buying or cooking too much food. Supporting households to plan and buy just the right amount of food is a great starting point.</p> <p>Once food waste has been produced, downstream measures come into play. The focus shifts to how we handle and dispose of this waste.</p> <p>When households engage in food waste recycling they <a href="https://doi.org/10.3390/su131911099">start thinking more</a> about their behaviour including purchasing and cooking.</p> <p>In Australia, food waste management is mainly the responsibility of local councils.</p> <p>There are three ways to target household food waste management and drive behavioural change:</p> <ul> <li> <p>providing kerbside collection of food organics and garden organics, also known as “FOGO”</p> </li> <li> <p>changing social norms around food waste</p> </li> <li> <p>offering economic incentives and disincentives.</p> </li> </ul> <h2>1. Providing a FOGO system</h2> <p>Councils should provide this option at a minimum. This ensures sufficient infrastructure is available to support motivated households to sort food waste.</p> <p>Unfortunately <a href="https://experience.arcgis.com/experience/e6b5c78e1dac47f88e7e475ffacfc49b">fewer than half of Australian councils</a> provide a garden organics system and only a quarter of councils provide a FOGO system.</p> <p>You can explore <a href="https://experience.arcgis.com/experience/e6b5c78e1dac47f88e7e475ffacfc49b">the FOGO interactive map</a> to see how your area stacks up.</p> <p><a href="https://www.greenindustries.sa.gov.au/resources/adelaide-metro-kerbside-waste-performance-report-2021-22">Most councils in metropolitan Adelaide</a> provide access to food waste recycling through the FOGO bin. But <a href="https://doi.org/10.1016/j.jclepro.2022.134636">our research</a> indicates more than half of household food waste still ends up in landfill. So we need additional programs to promote more sustainable behaviours.</p> <h2>2. Changing social norms</h2> <p>Social norms, the unspoken rules about what behaviours are deemed appropriate, can drive behavioural change.</p> <p>Examples of promoting social norms around food waste reduction include a <a href="https://www.stopfoodwaste.com.au/stop-food-waste-nationwide-consumer-campaign-summit-communique/">nationwide consumer campaign</a> on stopping food waste and the <a href="https://www.cityofadelaide.com.au/resident/recycling-waste/kitchen-caddies/">kitchen caddy</a> for benches to increase convenience for collecting food waste.</p> <p>But our research suggests some groups, like slackers, remain unmotivated without additional incentives. Economic incentives might motivate this group to engage in more sustainable behaviours.</p> <h2>3. Economic incentives</h2> <p>Currently, Australians pay for waste management through their council rates. This is a “pay-as-you-own” system.</p> <p>The cost is determined by the property’s value, regardless of the amount of waste generated. Renters indirectly contribute to this cost by paying rent.</p> <p>Neither owner-occupiers nor renters have any incentive to reduce waste generation when the cost is levied on property value rather than the amount of waste.</p> <p>An alternative approach gaining momentum in other parts of the world is the “pay-as-you-throw” approach, such as <a href="https://www.collectors2020.eu/wcs-ppw/stockholm-se/">Stockholm</a> and <a href="https://pocacito.eu/sites/default/files/WasteCharging_Taipei.pdf">Taipei</a>. This system charges households based on the weight of their waste, usually the general waste that needs to be discarded in landfill, while the collection of food waste and other recyclables remains free to encourage waste sorting.</p> <p>Recent <a href="https://doi.org/10.1016/j.jclepro.2023.137363">research</a> in Italy shows pay-as-you-throw schemes result in significant reductions in both the quantity of waste and costs associated with waste disposal in many Italian municipalities.</p> <p>The reduced costs flow on to savings for councils that could potentially reduce waste management fees passed on to homeowners and renters through council rates. Giving households incentives to reduce waste and find alternatives to disposal encourages residents to place a higher value on food that may otherwise be sent to landfill.</p> <h2>Reducing food waste is a win-win</h2> <p>Tackling food waste is a win-win for people and the planet. It’s worth using various approaches to encourage people to change their behaviour.</p> <p>Our findings can help inform the design of interventions aimed at reducing and sorting food waste in specific segments of the Australian population.<!-- 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/214482/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> <figure><iframe src="https://www.youtube.com/embed/Dx7RWtfgbVw?wmode=transparent&amp;start=11" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">No time to waste: Halving Australia’s food waste by 2030 (Fight Food Waste Cooperative Research Centre)</span></figcaption></figure> <p><a href="https://theconversation.com/profiles/trang-nguyen-1454838"><em>Trang Nguyen</em></a><em>, Postdoctoral Fellow, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/patrick-oconnor-109973">Patrick O'Connor</a>, Associate Professor, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/we-found-3-types-of-food-wasters-which-one-are-you-214482">original article</a>.</em></p>

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Handkerchief or tissue? Which one’s better for our health and the planet?

<p><em><a href="https://theconversation.com/profiles/mark-patrick-taylor-11394">Mark Patrick Taylor</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> and <a href="https://theconversation.com/profiles/hester-joyce-122106">Hester Joyce</a>, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a></em></p> <p>Maybe you have hay fever, COVID, a cold or the flu, and are reaching for a tissue or handkerchief.</p> <p>But which one’s better at stopping infections spreading? Which has a smaller environmental impact? Is it the hanky, which has been with us since at least Roman times? Or the more recent and widely-used paper tissue?</p> <p>You might be surprised at the results.</p> <h2>A short history of the handkerchief and tissue</h2> <p>Today, we think of hankies as something to wipe noses, and catch coughs and sneezes. But such a simple square of cloth has a complex history.</p> <p>In the first century, the Romans <a href="http://margaretroedesigns.com/wp-content/uploads/HandkerchiefHist.pdf">used</a> a <em>sudarium</em> (Latin for sweat cloth) to wipe off sweat, or to mask the mouth and face.</p> <p>Over time, people have used what we now call a handkerchief or hanky, as a head covering, as a veil and for disguise, to clean hands, for wounds and to staunch blood.</p> <p>Wealthy people have used them to signify class and manners, and for discretely wiping away phlegm rather than smearing snot on sleeves or down skirts. Royalty have used them to indicate wealth and power through their gifts of fine linen and silk handkerchiefs to favoured subjects. Henry VIII owned an extensive collection, some embossed with gold and silver.</p> <p>Handkerchiefs have also been <a href="https://www.bl.uk/collection-items/italian-handkerchief">markers of</a> love, fidelity and sexual preferences. In the late 19th century the “handkerchief code” was a system of colour coding and handkerchief placement used to indicate sexual preferences, <a href="https://www.refinery29.com/en-au/lgbtq-secret-handkerchief-code-language">which is still active</a> in LGBTQ+ communities today.</p> <p>We can <a href="https://www.euppublishing.com/doi/epub/10.3366/cult.2020.0214">trace the origins</a> of paper tissue to China in the 2nd century BC. But it wasn’t until the 1920s that tissue as we know it today <a href="https://www.kleenex.co.uk/kleenex-history">was developed</a> to remove make-up and wipe runny noses from hay fever.</p> <h2>So, which one is better for our health?</h2> <p>More than 100 years ago, a cloth hanky was considered a “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5248216/pdf/hosplond73063-0008b.pdf">little flag of Death</a>” because of the germs it carried and how it contaminated pockets it was left in. Later, we were urged to use a hanky <a href="http://resource.nlm.nih.gov/101449736">as</a> “coughs and sneezes spread diseases”.</p> <figure class="align-right zoomable"><figcaption></figcaption></figure> <p>Today, we know nasal secretions harbour cold-type viruses that can be <a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.22027">transferred</a> to a <a href="https://www.abc.net.au/health/talkinghealth/factbuster/stories/2011/06/02/3231404.htm">range of surfaces</a> – hands, handkerchiefs, tissues, door knobs, keyboards – sometimes surviving <a href="https://doi.org/10.1093/oxfordjournals.aje.a113473">long after</a> the initial exposure.</p> <p>So blowing your nose into a reusable cotton hanky, then touching another object, means these viruses can spread. Even if you put your cotton hanky in the wash immediately, you’d likely contaminate surfaces on the way, such as doorknobs, and use your infected hands to operate the washing machine.</p> <p>Viruses don’t tend to <a href="https://doi.org/10.1093/infdis/146.1.47">survive so long</a> on tissues. As long as you throw tissues away after using them, and don’t leave them lying around for others to pick up, the chance of passing germs to others from a used tissue is far lower.</p> <p>Then there’s the question of whether hankies or tissues are effective barriers to coughing and respiratory spray.</p> <p>Basic cloth coverings, such as handkerchiefs or bandannas, can catch sputum, as can tissues. But several studies have shown they do not effectively <a href="https://doi.org/10.1021/acs.nanolett.0c02211">filter</a> <a href="https://aaqr.org/articles/aaqr-13-06-oa-0201.pdf">respiratory aerosols</a>, or <a href="https://doi.org/10.1177/153567601001500204">stop you inhaling</a> pollutants, pathogens or <a href="https://doi.org/10.1016/j.ijheh.2018.03.012">small airborne particles</a>.</p> <h2>Which one is better for the planet?</h2> <p>If you want to look at environmental considerations, US company Ecosystem Analytics <a href="https://ecosystem-analytics.com/wp-content/uploads/2013/10/Complete-LCA-Facial-Tissue-Handkerchief.pdf">compared</a> resusable cotton hankies to disposable paper tissues using a <a href="https://doi.org/10.1007/BF02978505">lifecycle analysis</a>. It considered four measures of environmental impacts associated with production, transport, use and disposal:</p> <ul> <li> <p>climate change (sum of greenhouse gases: carbon dioxide, methane, water vapour, nitrous oxide and CFCs)</p> </li> <li> <p>ecosystem quality (chemical pollution of land and water)</p> </li> <li> <p>human health (carcinogenic and non‐carcinogenic toxicity to humans)</p> </li> <li> <p>resources (total energy requirements of non‐renewable energy and mineral extraction).</p> </li> </ul> <p>The verdict? Across the four measures, a cotton hanky had five to seven times greater impact than an equivalent tissue.</p> <p>And, by far, the greatest impacts were related to the production of each of these products, rather than using or disposing of them.</p> <p>If you’re still keen to use a cotton hanky, you could opt for organic cotton, which has a <a href="https://www.sei.org/publications/ecological-footprint-water-analysis-cotton-hemp-polyester/">lower ecological footprint</a> compared to standard cotton produced in the same location. But organic cotton production has <a href="https://www.nytimes.com/wirecutter/blog/is-organic-cotton-better-for-the-environment/">lower yields</a> than its conventional equivalent, meaning more land is needed to produce an equivalent amount, compounding the total environmental impact.</p> <p>If you want to feel better about using tissues, ones made from recycled material may be a better option. Their manufacture leads to <a href="https://doi.org/10.1007/s11367-013-0597-x">fewer</a> greenhouse gas emissions compared with making regular tissues.</p> <h2>The verdict</h2> <p>Wiping our noses with paper tissues we dispose of properly after use (and don’t store in our pocket), made from recycled material, is preferable from both a health and environmental perspective.</p> <p>But tissues don’t quite have the same panache as the historic and versatile cloth hanky.<!-- 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/213065/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/mark-patrick-taylor-11394"><em>Mark Patrick Taylor</em></a><em>, Chief Environmental Scientist, EPA Victoria; Honorary Professor, School of Natural Sciences, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> and <a href="https://theconversation.com/profiles/hester-joyce-122106">Hester Joyce</a>, Adjunct Associate Professor, Creative Arts, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe 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/handkerchief-or-tissue-which-ones-better-for-our-health-and-the-planet-213065">original article</a>.</em></p>

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Paracetamol versus ibuprofen – which works best and when?

<p><em><a href="https://theconversation.com/profiles/tina-hinton-329706">Tina Hinton</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jessica-pace-1401278">Jessica Pace</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>In most cases, pain and fever relief is as simple as a trip to your local supermarket for some paracetamol or ibuprofen.</p> <p>While both are effective at reducing pain, they work in different ways. So deciding which one you should choose is dependent on the type of pain you are experiencing. Sometimes it might be appropriate to take a medication that contains both drugs.</p> <p>In Australia, <a href="https://www.tga.gov.au/paracetamol-practitioner-fact-sheet#:%7E:text=It%20is%20available%20in%20many,Panamax%2C%20Chemist%20Own%20and%20Dymadon.">paracetamol</a> is branded as Panadol, Herron Paracetamol, Panamax, Chemist Own or Dymadon, plus there are generic chemist brands. Nurofen is the common brand name for <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/PICMI?OpenForm&amp;t=&amp;q=ibuprofen">ibuprofen</a>, which is also sold under generic brand names.</p> <p>So how do you know which one to choose and when?</p> <h2>Different blocking actions</h2> <p>While ibuprofen and paracetamol can be taken for similar reasons (pain relief) each works in a slightly different way.</p> <p>Ibuprofen is a <a href="https://www.healthdirect.gov.au/anti-inflammatory-medicines">non-steroidal anti-inflammatory drug</a>, which means it acts by blocking the enzymes that produce a group of chemicals called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081099/">prostaglandins</a>. These chemicals are important for normal body functions such as relaxing blood vessels, preventing blood clotting, secreting protective mucus in the gut and helping the uterus contract. They are also involved in inflammation, pain and fever.</p> <p>It is still not completely understood how paracetamol works. Like ibuprofen, it is thought to act by blocking the enzymes that produce prostaglandins, although through a different mechanism to ibuprofen. There is also good evidence paracetamol <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590544/">interacts</a> with the brain’s <a href="https://www.healthline.com/health/endocannabinoid-system">endocannabinoid system</a> and the “<a href="https://www.physio-pedia.com/Pain_Descending_Pathways">descending pain pathway</a>”, which inhibits the perception of pain.</p> <h2>Is one drug better than the other?</h2> <p>Because they each provide pain relief in different ways, paracetamol can be better at treating some types of pain, while ibuprofen is better at treating other types. But be wary of packaging that claims a medication is useful for targeting pain associated with a specific condition as these claims are <a href="https://www.abc.net.au/news/2017-08-03/nurofen-offers-3.5-million-compensation-to-customers/8770910">not true</a>.</p> <p>Because it reduces inflammation, the <a href="https://www.tg.org.au/">Australian Therapeutic Guidelines</a> state ibuprofen is the better choice for pain associated with osteo- and rheumatoid arthritis, period pain, some types of headache, and for pain that comes from having an operation. Paracetamol does not reduce inflammation but it is a better choice when fever is associated with the pain, like when you have a cold or flu.</p> <p>The Australian government recommends either paracetamol or ibuprofen if you have <a href="https://www.healthdirect.gov.au/covid-19/treating-symptoms-at-home">pain associated with COVID</a>.</p> <h2>What about taking both or ‘piggybacking’ them at intervals?</h2> <p>We can sometimes get better relief when we take both types of medicine at the same time, since each targets a different cause or pathway of the pain. If one pathway does not completely control the pain then it can be useful to target the other one. The effects of each drug <a href="https://www.frontiersin.org/articles/10.3389/fphar.2017.00158/full">can add</a> together for a bigger effect.</p> <p>Combination products that contain both paracetamol and ibuprofen in a single tablet include <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&amp;id=CP-2022-CMI-02442-1&amp;d=20230620172310101">Nuromol</a> and <a href="https://maxigesic.com.au/wp-content/uploads/2021/05/cmi-approved.pdf">Maxigesic</a>.</p> <p>Using a combination product means you can take fewer tablets. However, the doses in these combined products are sometimes less than the maximum recommended dose, meaning they might not work as well when compared with taking the tablets individually.</p> <p>Other times, you can get the best effect by alternating doses of ibuprofen and paracetamol. This keeps the levels of the medication in the body more constant and helps to provide more steady pain relief. This may be particularly useful when treating <a href="https://www.rch.org.au/kidsinfo/fact_sheets/Pain_relief_for_children_-_Paracetamol_and_Ibuprofen/#:%7E:text=So%20that%20your%20child%27s%20pain,too%20much%20of%20either%20medicine.">pain</a> and <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009572.pub2/full?highlightAbstract=therapy%7Cfor%7Cibuprofen%7Calternating%7Cchildren%7Creview%7Cfour%7Ctherapi%7Caltern%7Ccombin%7Cfebril%7Ccombined%7Cparacetamol%7Cfebrile%7Cchild">fever</a> in children. To do this, one drug is given, then a dose of the other drug is given a few hours later, with you continuing to alternate between the two throughout the day.</p> <p>If you are alternating between different pain medicines, make sure you leave <a href="https://www.nhs.uk/medicines/paracetamol-for-children/taking-paracetamol-for-children-with-other-medicines-and-herbal-supplements/#:%7E:text=If%20you%27ve%20given%20your%20child%20paracetamol%20and%20they%27re,1%20medicine%20at%20a%20time">time (at least one hour)</a> between the dosing of each product to get more effective and consistent relief. Only give the recommended dose of each medicine as outlined on the pack. And do not administer more than the maximum recommended number of doses for each medicine per day.</p> <h2>How do the side effects compare?</h2> <p>Side effects from either drug are rare and generally mild.</p> <p><a href="https://www.tga.gov.au/sites/default/files/otc-template-pi-ibuprofen.rtf">Ibuprofen</a> does have a <a href="https://www.webmd.com/rheumatoid-arthritis/features/anti-inflammatory-drugs-rheumatoid-arthritis">reputation</a> for causing stomach problems. These can manifest as nausea, indigestion, bleeding in the stomach, and diarrhoea. For this reason, people with a history of bleeding or ulcers in the gut should not take ibuprofen. Ibuprofen is also known to sometimes cause headaches, dizziness, and higher blood pressure.</p> <p>Because ibuprofen thins the blood, it should also not be taken by people who are taking other medicines to thin the blood; like aspirin, warfarin, and clopidogrel. Ibuprofen should also be <a href="https://www.tga.gov.au/sites/default/files/otc-template-pi-ibuprofen.rtf">avoided</a> by pregnant women and people with asthma. In these cases, paracetamol is the better choice.</p> <p>However, you need to be careful when using these medicines to make sure you don’t use more than is recommended. This is particularly important for <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50296">paracetamol</a>.</p> <p>Paracetamol at the recommended doses is not toxic but too much can lead to liver failure.</p> <p>Because paracetamol is found in lots of different products, it can be hard to keep track of exactly how much paracetamol you have taken and this increases the risk of taking too much.</p> <h2>Both work, both need to be used safely</h2> <p>Paracetamol and ibuprofen are effective medications for the relief of both pain and fever; however, care must be taken to use them safely.</p> <p>Always read the label so you know exactly what products you are using and how much. Only take the recommended dose, and if you need to, write down the time you take each dose. Your pharmacist or doctor can also advise on the best medicine for your pain and fever and how to use the selected medicine safely.<!-- 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/207921/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/tina-hinton-329706">Tina Hinton</a>, Associate Professor of Pharmacology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jessica-pace-1401278">Jessica Pace</a>, Associate Lecturer, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, Associate Professor of the Sydney Pharmacy School, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</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/paracetamol-versus-ibuprofen-which-works-best-and-when-207921">original article</a>.</em></p>

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Know thyself, know thy finances: which of the 5 money personalities are you?

<p><em><a href="https://theconversation.com/profiles/ayesha-scott-867030">Ayesha Scott</a>, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a> and <a href="https://theconversation.com/profiles/aaron-gilbert-867098">Aaron Gilbert</a>, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a></em></p> <p>When it comes to money, are you a big spender or a fearful saver? Do you give away all your money or ignore financial demands until they become urgent?</p> <p>After decades of focus on financial literacy, it has become clear there is more to how we manage our money than access to information. Now new research has identified five distinct money personalities that drive how we spend.</p> <p>Commissioned by Te Ara Ahunga Ora (Retirement Commission) for their free, independent personal finance site <a href="https://sorted.org.nz/">Sorted</a>, <a href="https://assets.retirement.govt.nz/public/Uploads/Financial-Capability-Research/Report-Money-Personality-Tool-Project-AUT-vFINAL.pdf">our study</a> included an extensive review of the research on personality traits, values and attitudes. We then created an online survey, completed by nearly 500 New Zealanders, exploring how people engaged with their money.</p> <p>The research findings form the backbone of a <a href="https://sorted.org.nz/tools/money-personality-quiz">new online money personality quiz</a> designed to help people understand their money personality and inform their financial decisions and behaviour.</p> <p>With New Zealand <a href="https://www.rnz.co.nz/news/business/492013/new-zealand-in-recession-as-gdp-falls-for-second-quarter">officially in a recession</a>, it has never been more important to understand money management. Despite our best intentions, we often struggle to make “good” financial decisions consistently – including saving enough, using debt wisely, and staying on top of insurance policies and KiwiSaver.</p> <h2>Doing better with our money</h2> <p>According to Te Ara Ahunga Ora, New Zealanders are <a href="https://assets.retirement.govt.nz/public/Uploads/Research/TAAO-RC-NZ-FinCap-Survey-Report.pdf">good with the basics of financial capability</a> – budgeting and keeping track of money. But we score lower than comparable countries like Canada, Norway, Australia and Ireland on more advanced financial capabilities like long-term savings. We also lack confidence when it comes to our cash.</p> <p>There is a growing body of evidence that personality traits, money values and attitudes each play a crucial part in either aiding or hindering us making those “smart” financial decisions.</p> <p>Attitudes towards saving, the degree to which we value material possessions, and how comfortable we are with risk, will all affect the financial decisions we make – and, as a result, our financial wellbeing.</p> <h2>The 5 money personalities</h2> <p>We identified five distinct money personalities, each with their own strengths and weaknesses: the enterpriser, socialite, minimalist, contemporary and realist.</p> <p><strong>An enterpriser</strong> is a financially confident, future-orientated planner who enjoys looking after their finances and is proud of being money savvy. Their strengths include self-control, financial knowledge and making their money work for them.</p> <p>An enterpriser is unlikely to make impulsive or emotional purchases. However, their aspirational approach – viewing money as a priority and a symbol of success – may pair badly with materialism, causing them to spend money to gain status rather than for value or utility. Enterprisers benefit from learning about investing and planning for the future.</p> <p><strong>The minimalist</strong> is frugal, confident with their saving ability, and on top of their financial situation. Minimalists value a simpler life, scoring low on materialism and are not prone to impulsive or emotional purchases.</p> <p>Their weakness is not always making their money work as hard for them as it could, as they are less likely to take financial risks – even where there is a potential for higher investment returns. Low-cost, passive investment strategies may appeal to minimalists.</p> <p><strong>A socialite</strong> is a joyful risk taker, outgoing, and confident with their money handling. A generous extrovert, they are more likely to be materialistic than other personality types and tend to live for today rather than plan for tomorrow.</p> <p>Their high tolerance for risk suggests some socialites may take on unwise levels of financial risk. Those in this group who are also impulsive or prone to emotional purchases may find themselves overspending or vulnerable to over-extending themselves with consumer debt.</p> <p>Socialites may like to explore active investment strategies and riskier investment classes, however. Taking calculated risks and building financial resilience is an important focus for them.</p> <p><strong>A contemporary</strong> doesn’t enjoy managing their money and they lack confidence when it comes to financial matters. They are likely to say they’re a spender despite being less materialistic than others; living for today, they tend to engage in impulsive emotional spending and are generous to a fault.</p> <p>For contemporaries, the focus is increasing financial resilience by paying down debt and building an emergency savings fund, enabling them to share their wealth with others without affecting their own financial well-being. Working on their money mindset and general financial knowledge may allow them to build confidence and savings, then take a passive or “set and forget” approach to their financial life.</p> <p><strong>A realist</strong> is future-focused, very conservative with risk, and values money highly. But they are not confident with their money handling, despite paying close attention to their financial situation.</p> <p>The most introverted personality type, a more aspirational realist may be materialistic but is unlikely to make impulsive or emotional purchases a habit. This suggests building confidence and encouragement to take appropriate investment risks is important. Given they do not like making money decisions, automation of bill payments and savings may appeal.</p> <h2>Know thy money self</h2> <p>Each money personality offers different challenges when it comes to making financial decisions.</p> <p>Taking Sorted’s money personality quiz is fun, but it’s also a useful financial decision you can make right now.</p> <p>It’s not just about the label. Knowing your money personality can help you understand your strengths and weaknesses when it comes to financial decision making, giving you tools to improve your financial resiliency and security.<!-- 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/207621/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/ayesha-scott-867030">A<em>yesha Scott</em></a><em>, Senior Lecturer - Finance, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a> and <a href="https://theconversation.com/profiles/aaron-gilbert-867098">Aaron Gilbert</a>, Professor of Finance, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/know-thyself-know-thy-finances-which-of-the-5-money-personalities-are-you-207621">original article</a>.</em></p>

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I’m over 65 and worried about the flu. Which vaccine should I have?

<p><em><a href="https://theconversation.com/profiles/magdalena-plebanski-1063786">Magdalena Plebanski</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/jennifer-boer-1210047">Jennifer Boer</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/katie-louise-flanagan-1066858">Katie Louise Flanagan</a>, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a>, and <a href="https://theconversation.com/profiles/kirsty-wilson-1103649">Kirsty Wilson</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>Influenza, or the flu, is a virus transmitted by respiratory droplets from coughing and sneezing. It can cause the sudden onset of a fever, cough, runny nose, sore throat, headache, muscle and joint pain.</p> <p>In Australia, the flu is responsible for <a href="https://www1.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi4004f.htm">more than 5,000 hospitalisation and 100 deaths</a> a year. The highest rates are among those over 65, whose immune systems aren’t as effective as they used to be, and children under five, whose immune systems are yet to mature.</p> <p>To combat the decline in immunity as we age, specific vaccines are available for people aged 65 and over. So how do they work, and why exactly are they needed?</p> <h2>Remind me, how does the immune system work?</h2> <p>The immune system uses multiple mechanisms to fight viral infections, which can be divided into two major arms of the immune system, called innate and adaptive immunity.</p> <p>Innate immunity involves multiple inflammatory cells and chemicals that are triggered immediately, or within hours of encountering an infection. They activate the immune system to clear the infection.</p> <p>Adaptive immunity takes a little longer (weeks) to work and involves memory T cells and antibody-producing B cells, which can be reactivated when the body encounters a virus or other pathogen.</p> <p>The combined innate and adaptive immune response determines how well we respond to an invading virus like influenza.</p> <h2>Why are older people more at risk from the flu?</h2> <p>Generally, as we age past 65, the innate cells become less effective at their job of clearing infections. They also start <a href="https://www.annualreviews.org/doi/full/10.1146/annurev-cellbio-100616-060718">producing more inflammation</a>.</p> <p>New T and B cell numbers also decrease with increasing age and hence the adaptive immune response is also not as effective as when we are younger. This immune system decline is called immunosenescence, which leads to increased susceptibility, hospitalisation and death from influenza.Certain medical conditions, such as cancer and heart and lung conditions, increase susceptibility to severe influenza, with older people being more likely to have additional medical conditions than younger people.</p> <h2>What flu vaccines are available?</h2> <p><a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">Annual flu vaccines</a> are recommended to protect against the common circulating strains of influenza, which can differ from year to year.</p> <p>The standard flu vaccines offered to adults aged under 65 consist of surface proteins of the virus or inactivated (killed) virus from four influenza strains: two A strains (H1N1 and H3N2) and two B strains.</p> <p>When you’re vaccinated, your immune system makes antibodies from B cells which protect you if you become exposed to these strains of the virus.</p> <p>However, the standard influenza vaccine is less effective in older people. Two stronger or augmented vaccines have been made targeting this age group. They contain the same components as the standard vaccine, but one vaccine – called <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&amp;id=CP-2020-CMI-01074-1&amp;d=20230529172310101">Fluad</a> – uses a strong adjuvant (an agent used to increase the immune response to vaccination) called MF59 to stimulate better immunity.</p> <p>The other augmented vaccine, called <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&amp;id=CP-2020-CMI-02062-1">Fluzone</a>, uses a four-fold higher dose of each influenza strain to increase immunity.</p> <h2>How do they compare?</h2> <p><a href="https://academic.oup.com/cid/article/73/11/e4251/5992287?login=false">Studies comparing Fluad and Fluzone</a> show both vaccines stimulate stronger immunity against influenza than the standard flu vaccine and are therefore likely to provide better protection.</p> <p>Studies directly testing for improved clinical outcomes with vaccines for over-65s show a small benefit of receiving either of the vaccines over the standard vaccine, including a modest decrease in lab-confirmed influenza, <a href="https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(17)30235-7/fulltext">hospitalisations</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563546/">emergency department visits</a> compared to the standard influenza vaccine.</p> <p>They are however yet to show and impact on flu-related deaths.</p> <figure class="align-right "> </figure> <p>In the few studies comparing <a href="https://academic.oup.com/cid/article/73/11/e4251/5992287?login=false">Fluad and Fluzone directly</a>, there is little evidence of a difference between them in reducing influenza and serious flu outcomes. <a href="https://www.health.gov.au/resources/publications/atagi-advice-on-seasonal-influenza-vaccines-in-2023">The Australian Technical Advisory Group on Immunisation therefore recommends</a> using either Fluad or Fluzone.</p> <p>While both have been Therapeutic Goods Administration (TGA) approved since 2020, only Fluad is available for free on the National Immunisation Program for people aged 65 and over.</p> <p>Fluzone is only available with a private prescription if you’re 60 years and over, at a cost of around A$65-70.</p> <p>If neither augmented vaccine is available, a standard influenza vaccine is also acceptable for older people, since any influenza vaccine is preferable to receiving none.</p> <p>Flu vaccines can also be given at the same time as COVID vaccines.</p> <h2>How else can we protect against the flu?</h2> <p>While influenza vaccination is the single most effective way of preventing influenza, other measures such as social distancing and wearing a mask or N95 respirator can also provide some <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779801/">community protection</a>.</p> <p>Wearing a mask or N95 respirator significantly <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779801/">reduces the risk</a> of infecting others when infected.</p> <p>The evidence for protecting oneself against infection is less conclusive, mainly because it’s linked to early, consistent and, importantly, the <a href="https://cdn.who.int/media/docs/default-source/influenza/advice-on-the-use-of-masks-in-the-community-setting-in-influenza-a-(h1n1)-outbreaks.pdf?sfvrsn=24a45a95_1&amp;download=true">correct use of masks</a>.<!-- 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/204810/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/magdalena-plebanski-1063786">Magdalena Plebanski</a>, Professor of Immunology, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/jennifer-boer-1210047">Jennifer Boer</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/katie-louise-flanagan-1066858">Katie Louise Flanagan</a>, Infectious Diseases Specialist and Clinical Professor, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a>, and <a href="https://theconversation.com/profiles/kirsty-wilson-1103649">Kirsty Wilson</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT 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/im-over-65-and-worried-about-the-flu-which-vaccine-should-i-have-204810">original article</a>.</em></p>

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Which medicines don’t go well with flying?

<p>Every day, <a href="http://www.iata.org/pressroom/pr/Pages/2012-12-06-01.aspx">more than 10 million people</a> take a flight somewhere in the world. While flying is relatively safe, the unique environmental conditions can put passengers at risk if they’re taking certain medications.</p> <p>These include any hormone-based drugs, like the contraceptive pill and some fertility medicines, and drugs used to prevent heart attack and stroke. Antihistamines should also not be used to help passengers sleep during a flight.</p> <h2>What makes flying different from other forms of travel?</h2> <p>While flying is <a href="https://theconversation.com/whats-most-likely-to-kill-you-measuring-how-deadly-our-daily-activities-are-72505">one of the safest forms of travel</a>, there are specific risks that come with air travel, regardless of the length of the flight. </p> <p>Passenger planes are typically pressurised to the same atmospheric conditions that are found at 10,000 feet altitude. <a href="https://www.ncbi.nlm.nih.gov/pubmed/6823572">At that level</a>, <a href="https://www.higherpeak.com/altitudechart.html">the effective oxygen level is only 14.3%</a>, which is much lower than the 20.9% found at ground level.</p> <p>An additional risk is reduced blood flow from a lack of movement and sitting in cramped conditions, unless of course you’re fortunate enough to be in business or first class. And finally, dehydration is also a common side effect of flying due to the lack of humidity in the air.</p> <p>When these conditions are combined, it results in an increased risk of <a href="https://www.healthdirect.gov.au/deep-vein-thrombosis">deep vein thrombosis</a>, which is also known as DVT. This is a type of blood clot that occurs in the veins deep in the body and occurs most often in the legs. The development of a blood clot can result in blocked blood flow to the lungs, heart, or brain, which in turn can cause a heart attack or stroke.</p> <h2>Contraceptive pill and other hormone-based medicines</h2> <p>Given the inherent risk of a blood clot when flying, a passenger should use with caution any medication that can further increase the risk of a clot.</p> <p>Some brands of contraceptive for women (tablet or implant formulation) are <a href="http://www.theaustralian.com.au/national-affairs/health/new-bloodclot-alerts-added-to-diane35-eds-product-information/news-story/eaa0b596541a760e9c6cf89b37900c42">known to increase the chances of a blood clot</a>, although the overall increase in risk is small. While it’s thought the major risk comes from the hormone <a href="http://www.healthywomen.org/condition/estrogen">estrogen</a>, <a href="http://www.cochrane.org/CD010813/FERTILREG_contraceptive-pills-and-venous-thrombosis">a review of all the medical evidence in 2014</a> showed there’s a risk of blood clot from all contraceptive medicines.</p> <p>Likewise, <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hormone-replacement-therapy-hrt-and-menopause">hormone replacement therapy</a>, particularly those that include estrogen, or some fertility medicines, such as <a href="https://www.babycenter.com/0_fertility-drug-gonadotropins_6188.bc">gonadotrophins</a>, can increase the risk of a blood clot.</p> <p>If you take one of these medicines, it does not mean you cannot fly, nor that you should necessarily stop taking the drug. Many millions of women fly while taking these medicines and suffer no ill effects.</p> <p>But the risk is also increased if you have an underlying health condition that includes type II diabetes, heart disease, and prior heart attacks or strokes. As such, passengers who also take medications to help prevent heart attacks and strokes should consult their doctor or pharmacist before flying.</p> <p>If you’re at increased risk of a blood clot, then an anti-platelet medication may be suitable for you. These medicines act by stopping the blood cells from sticking together and include prescription medicines such as <a href="http://www.melbournehaematology.com.au/fact-sheets/warfarin.html">warfarin</a> and <a href="https://www.nps.org.au/australian-prescriber/articles/clopidogrel">clopidogrel</a>, and over-the-counter medicines such as <a href="https://www.healthdirect.gov.au/medicines/brand/amt,34661000168102/aspirin-low-dose-pharmacy-action">low dose aspirin</a>.</p> <h2>Antihistamines</h2> <p>Many passengers can have trouble sleeping when flying, especially on long-haul flights. Parents flying with young children can also be concerned about them not sleeping or being unsettled and annoying other passengers.</p> <p>In these instances, many will turn to <a href="https://www.healthdirect.gov.au/antihistamines">sedating antihistamines</a>, like <a href="https://www.healthdirect.gov.au/medicines/brand/amt,22661000168108/phenergan">promethazine</a> to try to induce sleep. But this is a bad option.</p> <p>The Australian Medical Association specifically recommends <a href="http://www.smh.com.au/national/australian-medical-association-warns-against-sedating-children-on-long-journeys-20150405-1mesd0.html">parents do not do this</a>, as sometimes it can have the reverse effect and make children less sleepy and more active. These types of <a href="http://www.medsafe.govt.nz/profs/PUArticles/Mar2013ChildrenAndSedatingAntihistamines.htm">antihistamines are also known to depress breathing</a>, and in the low oxygen environment of the aircraft this can be especially dangerous.</p> <p>If you feel you or another family member will need sedation when flying, don’t use an antihistamine. Consult your doctor or pharmacist for a more suitable medication. Examples include prescription sleeping tablets, such as <a href="https://sleepfoundation.org/sleep-topics/melatonin-and-sleep">melatonin</a>, or natural remedies, such as <a href="https://www.webmd.com/vitamins-supplements/ingredientmono-870-valerian.aspx?activeingredientid=870">valerian</a>.</p> <h2>What to do before and during your flight</h2> <p>Before you fly, if you’re taking any form of medication, it’s recommended you meet with your doctor or pharmacist to discuss the suitability of your medicines. They may advise you there’s little risk for you, or if there is a risk, they may recommend a different medicine for the trip or recommend a new medicine to reduce the risk of blood clots.</p> <p>During your flight, don’t take antihistamines, and reduce your chance of a blood clot by drinking lots of water, stretching in your seat, and moving about the cabin as much as is appropriate.</p> <p>Finally, the effects of alcohol can be increased when flying – so drink in moderation, and try to avoid tea, coffee, and other caffeinated drinks as these can have dehydrating effects and make it harder to sleep.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/which-medicines-dont-go-well-with-flying-90222" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Neighbours reveals which stars are moving back to Ramsay Street

<p>New details have emerged over which <em>Neighbours</em> cast members will be returning to Ramsay St when the series launches on Amazon’s FreeVee late 2023. </p> <p>The show - axed after 27 years on air - will benefit from the presence of a few fan favourite faces, with Annie Jones, Rebekah Elmaloglou, Georgie Stone, and Tim Kano reprising their roles as Jane Harries, Terese Willis, Mackenzie Hargreaves, and Leo Tanaka respectively. </p> <p>And for those hoping to see Ramsay St’s iconic faces in the mix again, have no fear, Ian Smith will be returning at Harold Bishop. He will, however, only be returning as a guest, along with April Rose Pengilly (the actress behind Chloe Brennan), and Melissa Bell (Lucy Robinson). </p> <p>The announcement is not the first to delight fans of the long-running soap, with the likes of Stefan Dennis (Paul Robinson), Jackie Woodburne (Susan Kennedy), Alan Fletcher (Karl Kennedy), and Ryan Moloney (Toadie Rebecchi) already having confirmed their commitment to the revival. </p> <p>Georgie Stone took to Instagram to share the news of her return, along with a series of snaps with her fellow cast members. </p> <p>“Ramsay Street here we come… (again!),” she captioned the image, noting her excitement and that fans should “stay tuned”.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CpNEXARrsfH/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CpNEXARrsfH/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Georgie Stone (@georgiestone)</a></p> </div> </blockquote> <p>Fans were thrilled with the news, and showered Georgie with their enthusiasm in the comments - a few, however, were miffed that they’d been through an entire finale only to have to pick it all back up again. </p> <p>“Fantastic to see the familiar favourites all coming back!” gushed one fan. “Can't wait for <em>Neighbours</em> to start back again! Honestly, I barely watch TV anymore without my daily fix of Neighbours.”</p> <p>“Yes, can't wait for watch <em>Neighbours </em>again,” echoed one. </p> <p>“Cannot wait to have you back on our screens,” wrote another.</p> <p>And in a comment that appeared to speak for the masses, one declared “love that you guys are all back!” </p> <p>The news was also shared to Neighbours’ official twitter account, with a special video from the cast members to commemorate the announcement. </p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">We're so excited to announce that Annie Jones, Georgie Stone, Rebekah Elmaloglou and Tim Kano will be reprising their roles in the new episodes of <a href="https://twitter.com/hashtag/Neighbours?src=hash&amp;ref_src=twsrc%5Etfw">#Neighbours</a> later this year! 🎉✨ Plus we will have special guest appearances by Ian Smith, April Rose Pengilly &amp; Melissa Bell! <a href="https://t.co/6ZLKkmKJWE">pic.twitter.com/6ZLKkmKJWE</a></p> <p>— Neighbours (@neighbours) <a href="https://twitter.com/neighbours/status/1630529084013834240?ref_src=twsrc%5Etfw">February 28, 2023</a></p></blockquote> <p><em>Neighbours</em>’ producers have announced that the series will not be jumping around with its timeline, instead picking up where the finale left off. </p> <p>The series is set to go into production in the next few months, with new episodes likely in the spring - Australians will be able to catch the first-run episodes on Channel 10, and one week later on Amazon Prime Video. </p> <p><em>Images: Instagram</em></p>

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Which seat on a plane is the safest? We asked an aviation expert

<p>When booking a flight, do you ever think about which seat will protect you the most in an emergency? Probably not. </p> <p>Most people book seats for comfort, such as leg room, or convenience, such as easy access to toilets. Frequent flyers (this author included) might book their seat as close as possible to the front so they can disembark more quickly.</p> <p>We rarely book a flight with hopes of getting one of the middle seats in the last row. Well, guess what? These seats are statistically <a href="https://time.com/3934663/safest-seat-airplane/">the safest ones on an airplane</a>.</p> <h2>Air travel is safe</h2> <p>Before we get into it, I should reiterate that air travel is the <a href="https://www.sbs.com.au/news/article/how-safe-is-flying-heres-what-the-statistics-say/knzczab06">safest mode of transport</a>. In 2019, there were just under <a href="https://www.flightradar24.com/blog/flightradar24s-2019-by-the-numbers/">70 million</a>flights globally, with only <a href="https://www.forbes.com/sites/michaelgoldstein/2020/01/02/aviation-safety-in-2019-fewer-deaths-but-more-fatal-accidents/?sh=58d372f74ceb">287 fatalities</a>.</p> <p>According to the US National Safety Council’s analysis of census data, the odds of <a href="https://time.com/3934663/safest-seat-airplane/">dying in a plane</a> are about 1 in 205,552, compared with 1 in 102 in a car. Even so, we pay little attention to fatal road accidents, but when we hear about an <a href="https://www.theguardian.com/world/2023/jan/15/nepal-plane-crash-with-72-onboard-leaves-at-least-16-dead">ATR72 crashing in Nepal</a> it’s the lead story on every news page.</p> <p>Our interest in plane crashes might lie in wanting to understand why they happen, or what the odds are of them happening again. And perhaps it’s not a bad thing; our concern ensures these tragic incidents are <a href="https://apnews.com/article/plane-crashes-nepal-singapore-kathmandu-accidents-3b26342109872610d922f515fe94455b">thoroughly investigated</a>, which helps keep air travel safe.</p> <p>Frankly speaking, there is no real need to worry about safety when you board a commercial flight. But if you’ve still got that nagging question in your head, driven by sheer curiosity, read on.</p> <h2>In the middle, at the back</h2> <p>It’s worth remembering accidents by their very nature do not conform to standards. In the 1989 <a href="https://www.britannica.com/event/United-Airlines-Flight-232">United Flight 232</a> crash in Sioux City, Iowa, 184 of the 269 people onboard survived the accident. Most of the survivors were sitting behind first class, towards the front of the plane.</p> <p>Nonetheless, a <a href="https://time.com/3934663/safest-seat-airplane/">TIME investigation</a> that looked at 35 years of aircraft accident data found the middle rear seats of an aircraft had the lowest fatality rate: 28%, compared with 44% for the middle aisle seats.</p> <p>This logically makes sense too. Sitting next to an exit row will always provide you with the fastest exit in the case of an emergency, granted there’s no fire on that side. But the wings of a plane store fuel, so this disqualifies the middle exit rows <a href="https://www.rd.com/list/flight-safety/">as the safest row option</a>.</p> <p>At the same time, being closer to the front means you’ll be impacted before those in the back, which leaves us with the last exit row. As for why the middle seats are safer than the window or aisle seats, that is, as you might expect, because of the buffer provided by having people on either side.</p> <h2>Some emergencies are worse than others</h2> <p>The type of emergency will also dictate survivability. Running into a mountain will decrease chances of survival exponentially, as was the case in a tragic 1979 disaster in New Zealand. Air New Zealand Flight TE901 crashed into the slopes of Mt Erebus <a href="https://nzhistory.govt.nz/culture/erebus-disaster">in Antarctica</a>, killing 257 passengers and crew.</p> <p>Landing in the ocean nose-first also decreases chances of survival, as witnessed with the 2009 <a href="https://www.theguardian.com/world/2022/oct/10/air-france-flight-af477-2009-crash-trial-airbus">Air France Flight 447</a>, in which 228 passengers and crew perished. </p> <p>Pilots are trained to minimise potential risk in an emergency event as best as they can. They will try to avoid hitting mountains and look for a level place, such as an open field, to land as normally as possible. The technique for <a href="https://www.aviationsafetymagazine.com/features/the-myths-of-ditching/">landing in water</a> requires assessing the surface conditions and attempting to land between waves at a normal landing angle.</p> <p>Aircraft are designed to be very robust in emergency situations. In fact, the main reason the cabin crew remind us to keep our seat belts fastened is not because of crash risk, but because of “<a href="https://www.skybrary.aero/articles/clear-air-turbulence-cat">clear air turbulence</a>” that can be experienced at any time at high altitudes. It is this weather phenomenon that can cause the most damage to <a href="https://www.usnews.com/news/us/articles/2022-12-20/turbulence-persists-as-a-major-cause-of-injuries-on-flights">passengers and aircraft</a>. </p> <p>Manufacturers are designing new planes with more composite materials capable of handing in-flight stress. In these designs, the wings are not rigid and can flex to absorb <a href="https://www.wired.com/2010/03/boeing-787-passes-incredible-wing-flex-test/">extreme loading</a> to prevent structural failure. </p> <h2>Does the type of plane make a difference?</h2> <p>Granted, there are certain variables, such as impact from airspeed, that can vary slightly between different airplane types. However, the <a href="https://www.grc.nasa.gov/www/k-12/UEET/StudentSite/dynamicsofflight.html">physics of flight</a> is more or less the same in all planes.</p> <p>Generally, larger planes will have more structural material and therefore more strength to withstand pressurisation at altitude. This means they may provide some additional protection in an emergency – but this, again, is highly dependent on the severity of the emergency.</p> <p>That’s not to say you should book your next flight on the largest plane you can find. As I’ve mentioned, air travel remains very safe. So I’d suggest thinking about what movie you’ll watch instead, and hoping they don’t run out of chicken and only have the <a href="https://www.cnbc.com/2018/11/19/6-airplane-foods-you-should-avoid-according-to-food-safety-experts.html">shrimp</a> left!</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/which-seat-on-a-plane-is-the-safest-we-asked-an-aviation-expert-198672" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Four ways in which Leonardo da Vinci was ahead of his time

<p>Leonardo da Vinci is generally recognised as one of the great figures of the Renaissance and one of the greatest ever polymaths. As the world marks the 500th anniversary of his death, it’s important to look at some of the ways in which he showed that – as well as being a painter, sculptor and engineer – he was a thinker who was way ahead of his time.</p> <h2>Engineering – Dr Hywel Jones</h2> <p>Leonardo da Vinci is renowned as much for his inventions as his works of art, studies of architecture and anatomical drawings. The documents that survive show us his ideas for a wide range of devices. They include some of the first concepts for gliders, helicopters, parachutes, diving suits, cranes, gearboxes and many types of weapons of war. Many of these may be seen in use today, having taken the best part of 400 years to become practical realities.</p> <p>He combined an imagination ahead of his time, an understanding of the emerging principles of science and engineering, and his superlative draftsmanship to devise new uses for levers, gears, pulleys, bearings and springs. His creations were designed to be useful but also to be appealing to his patrons: the warring dukes and kings of late 15th- and early 16th-century France and Italy.</p> <p>Although he apparently despised war, he was employed for much of the time as a military engineer, devising new defences and concepts for terrifying weapons. His sketches show a prototype “tank” circa 1485, with armour plating and the ability to fire in any direction.</p> <p>We now know that Leonardo’s “tank”, as drawn, <a href="https://leonardodavinci.stanford.edu/submissions/ghoe/leonardo.htm">was not practical</a> – it had mistakes in its gearing and would have been so heavy that it could not have manoeuvred. Other weapons, designed to impress and intimidate as much as actually work, included the giant (27-metre) cross-bow, a gun with 33 barrels, ammunition which resembles today’s “cluster bombs”, and the first example of aerodynamically stabilised artillery shells.</p> <p>His sketches for an “aerial screw” (1486-90) anticipate the idea of the helicopter, although it was not the first demonstration of vertical flight – a <a href="http://www.aerospaceweb.org/design/helicopter/history.shtml">Chinese toy with rotors</a> predates this by 1,800 years.</p> <p>Ornithopters, human powered flying machines which mimicked bird flight, were a fascination for him – and he drew many beautiful and innovative designs. However, bird flight was not fully understood at this time and he was unaware that a human being could never generate the required power to operate such devices.</p> <p>Most of Leonardo’s designs were never built or tested, although modern-day attempts to recreate them have met with mixed <a href="https://www.youtube.com/watch?v=7C2YKrSxsWc&amp;list=PL7Gl77owRvTswswcbrhnAYKRnv53z14Vn&amp;index=5">success</a>, including <a href="https://www.youtube.com/watch?v=ZmfmUGTfZjs&amp;list=PL7Gl77owRvTswswcbrhnAYKRnv53z14Vn&amp;index=7">some spectacular failures</a>. His imagination was so far ahead of its time that it would take four centuries before ideas such as the tank became practical through the development of light and strong materials, such as steel and aluminium, and new sources of power in the form of engines powered by fossil fuels. He would no doubt recognise – and be fascinated by – much of the machinery of modern life that we take for granted.</p> <h2>Mathematics – Dr Jeff Waldock</h2> <p>Although da Vinci is best known for his artistic works, he considered himself <a href="https://www.engineering.com/Blogs/tabid/3207/ArticleID/34/Leonardo-da-Vinci.aspx">more of a scientist than an artist</a>. <a href="http://monalisa.org/2012/09/12/leonardo-and-mathematics-in-his-paintings/">Mathematics</a> – in particular, perspective, symmetry, proportions and geometry – had a significant influence over his drawings and paintings, and he was most certainly ahead of his time in making use of it.</p> <p>Da Vinci used the mathematical principles of linear perspective – parallel lines, the horizon line, and a vanishing point – to create the illusion of depth on a flat surface. In The Annunciation, for example, he uses perspective to emphasise the corner of a building, a walled garden and a path.</p> <p>Leonardo’s Last Supper is a prime example of the use of the mathematics of perspective. The architecture of the building around Jesus and the 12 apostles, as well as lines on the floor beneath the table, create a “vanishing point”, providing a subconscious focal point for the painting.</p> <p>Leonardo knew of Vitruvius’s work – that with the navel as the centre, a perfect circle could be drawn around a body with outstretched arms and legs. He realised that if arm span and height are related, the person would fit perfectly inside a square. His Vitruvian Man took these observations and attempted to solve the problem of “squaring” a circle. It’s not, in fact, possible to do this exactly (squaring the circle is a metaphor for the impossible), but he managed to come very close.</p> <p>There exists in mathematics a number, called the “<a href="https://www.canva.com/learn/what-is-the-golden-ratio/">Golden Ratio</a>”, which appears in some patterns in nature – such as the spiral arrangement of leaves. It was first recognised by <a href="https://famous-mathematicians.com/luca-pacioli/">Luca Pacoli in 1509</a> that the use of the Golden Ratio led to aesthetically-pleasing images. Da Vinci believed it was critical in providing accurate proportionality, and it underpins the structure of the Mona Lisa.</p> <p>The importance of mathematics cannot be understated when discussing Leonardo’s later work, and he seems obsessed with these issues; while working on Mona Lisa, for example, Leonardo was reported to be concentrating on geometry, stating: “Let no one read me who is not a mathematician.”</p> <h2>Water – Dr Rebecca Sharpe</h2> <p>Leonardo da Vinci described water as “the vehicle of nature” (vetturale di natura), water being to the world what blood is to our bodies. From his earliest landscape drawings of a river cascading over rocks (1473), to the famous Mona Lisa (1503) and to his final deluge sketches (1517-18), a lot of Leonardo’s paintings featured water.</p> <p>He was not, however, just fascinated by water’s artistic features. He wanted to understand the fluid dynamics of water: the eddies and vortices under and on water surfaces. As a polymath, he was able to combine his knowledge and ability in art, design, science, philosophy and engineering to design projects, ideas and instruments to <a href="http://hydrologie.org/bluebooks/SP009.pdf">test his hypotheses</a>.</p> <p>In a compilation of writings – the <a href="https://www.businessinsider.com/look-inside-the-codex-leicester-which-bill-gates-bought-for-30-million-2015-7?r=US&amp;IR=T">Codex Leicester</a> (1510) – Leonardo made 730 conclusions about water alone. Through this work and others, da Vinci made <a href="https://books.google.co.uk/books?hl=en&amp;lr=&amp;id=oL2cBAAAQBAJ&amp;oi=fnd&amp;pg=PT5&amp;dq=Jha,+2015+da+vinci&amp;ots=2y7j8TMLbi&amp;sig=pDTYnx3OK46RcdFYcCFhpmsgGB4#v=onepage&amp;q=Jha%2C%202015%20da%20vinci&amp;f=false">many contributions to modern water engineering and science</a> including accurately describing the hydrological cycle, understanding the impact of flow speed on pressure, and engineering canals and reservoirs for flood management and irrigation.</p> <p>Not all of his long list of water ideas and creations were as influential or as accurate, such as his water walking device, but collectively, his uniqueness and overriding contribution to water science and engineering is the development of a scientific approach. He is arguably the <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/hyp.6207">first hydrologist who formulated hypotheses</a> on the basis of empirical evidence.</p> <p>The ramifications of his rigour live on today in a much wider sphere. As water is the vehicle of nature, Leonardo da Vinci is the driving force behind the foundations of water science and engineering.</p> <h2>Visual illusions – Dr Alessandro Soranzo</h2> <p>Leonardo da Vinci pioneered the study of physiognomy by introducing the concepts of “moti mentali” contained in the <a href="https://www.britannica.com/topic/Codex-Urbinas-Latinus-1270">Codex Urbinae</a>, written between 1452 and 1519 and printed by Raffaelo du Fresne as Trattato della Pittura in 1651. Moti mentali can be translated as the representation of transient, dynamic mental states, thoughts and emotions. For da Vinci, the goal of portraitists should be representing the inner thoughts of their sitters, not just the external appearance.</p> <p>For this reason, Leonardo created “ambiguous” facial expression. In ambiguous expressions there is a constant “change: of appearance, hence dynamicity. Leonardo developed the technique of "sfumato” (from the Italian word for vanishing like smoke) for this purpose. In sfumato, the transitions from bright to dark, or from one colour to another, are subtle to soften or obscure sharp edges.</p> <p>This technique was not invented by Leonardo, but he further developed it and his use is unique. I agree with <a href="https://www.jstor.org/stable/i20166872">Alexander Nagel’s idea</a> that Leonardo’s use of sfumato is different from any other painter/s – including from that of Andrea del Verrocchio, who was Leonardo’s teacher.</p> <p>In particular, in many of Leonardo’s portraits, it is almost impossible to say when one colour ends and another starts – and this is evident in some crucial parts of his paintings, such as the mouths of his sitters. For example, the Laboratoire du Centre de Recherche et de Restauration des Musées de France, in collaboration with the European Synchrotron Radiation Facility, <a href="https://www.csmonitor.com/From-the-news-wires/2010/0716/Mona-Lisa-examination-reveals-layers-of-paint-for-dreamy-quality">reported that</a> Leonardo used up to 30 layers of varnish to achieve the subtle shading around the mouth of the La Bella Principessa (a portrait attributed to Leonardo <a href="https://books.google.it/books?hl=en&amp;lr=&amp;id=i2osO3TsTXQC&amp;oi=fnd&amp;pg=PP2&amp;ots=lVCXPANimQ&amp;sig=XoylZ5Qo8AhjVksY4g6T3RP6Z1Y&amp;redir_esc=y#v=onepage&amp;q&amp;f=false">by Martin Kemp</a> as recently as 2011). Each of these layers was <a href="http://www.theartnewspaper.com/articles/Leonardoin-%20a-new-light/21415">half the thickness of a human hair</a>. The area around the mouth of the Mona Lisa has a <a href="https://www.nature.com/articles/466694a">similar level of detail</a>.</p> <p>My colleague, Michelle Newberry, and I <a href="https://www.sciencedirect.com/science/article/pii/S0042698915002163">suggested in 2015</a> that Leonardo created a sort of illusion around the mouth area in some of his portraits (for example, Mona Lisa and Bella Principessa) – from some vantage points, the sitters look content and cheerful but at other times they appear pensive or melancholic.</p> <p>It is remarkable that Leonardo, creating visual illusions, played with the disagreement between the eyes and the brain centuries before scientists understood the mechanisms behind it.</p> <p>Taking each discipline separately, there have undoubtedly been better artists, more important engineers or greater mathematicians. But as an individual, da Vinci was unprecedented and remains without peer – in art or science.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/four-ways-in-which-leonardo-da-vinci-was-ahead-of-his-time-115338" target="_blank" rel="noopener">The Conversation</a>.</em></p>

Art

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Hard vs soft luggage – which is better?

<p>Your suitcase will be your most faithful travel partner, so make sure you choose the right one.</p> <p><strong>1. How are you travelling?</strong></p> <p>When you’re checking your luggage in for a standard flight, it makes very little difference whether it’s hard or soft. But other modes of transport can be difficult with a hard suitcase. It’s much harder to fit in the back of a taxi or car, and it can be trickier to stow on a bus or train. If you’re taking flights on very small planes your luggage might be restricted even further and hard sided bags can even be banned, so read the fine print.</p> <p><strong>2. What are you taking?</strong></p> <p>Hard suitcases can provide more protection if you travel with a lot of breakables, like glass cosmetic bottles or electronics. It’s also good for flimsy souvenirs that you might pick up along the way. If you like to keep all your breakables in your carry on, then soft luggage should suit you fine.</p> <p><strong>3. Are you an organised packer (and unpacker)?</strong></p> <p>Soft suitcases will generally come with a few more internal pockets or dividers, allowing you to separate out your items. Hard suitcases tend to be a big empty space. If you like things to be organised, soft luggage is the best bet. Hard suitcases also take up more room than soft, so if you like to live out of your case on the floor of your hotel room (rather than hanging things up) you could find it gets in the way.</p> <p><strong>4. How often do you travel?</strong></p> <p>Hard luggage is more durable than soft and will usually stand up to the rough treatment of time in the cargo hold or being dragged around cobblestone streets. If you travel frequently, you’ll want your luggage to be able to survive multiple journeys without showing too much wear and tear.</p> <p><strong>5. Do you worry about security?</strong></p> <p>It can be easier to break into a soft suitcase, if only because thieves can simply slash the fabric sides. It’s not usually possible to do this to a hard suitcase, so you are giving yourself an extra layer of protection. However, keep in mind that a good travel lock will usually deter most opportunistic thieves, so most types of suitcase are relatively safe.</p> <p><em>Image: Getty</em></p>

Travel Tips

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Jane Fonda reveals which surgery she’s “not proud of”

<p dir="ltr">Jane Fonda has opened up about her beauty procedures, admitting there is one she “is not proud” to have done.</p> <p dir="ltr">The 84-year-old’s latest interview with <em><a href="https://www.vogue.com/article/jane-fonda-hm-workout-wear" target="_blank" rel="noopener">Vogue</a></em> saw her get candid about going under the knife, including her regrets about getting a facelift.</p> <p dir="ltr">“I had a facelift and I stopped because I don’t want to look distorted. I’m not proud of the fact that I had [one],” Fonda said.</p> <p dir="ltr">“Now, I don’t know if I had it to do over if I would do it. But I did it. I admit it, and then I just say, OK, you can get addicted. Don’t keep doing it. A lot of women, I don’t know, they’re addicted to it,” she said.</p> <p dir="ltr">As for her skincare routine, Fonda revealed that face creams weren’t a big part at all.</p> <p dir="ltr">“I don’t do a lot of facials,” she explained. </p> <p dir="ltr">“I don’t spend a lot of money on face creams or anything like that, but I stay moisturised, I sleep, I move, I stay out of the sun, and I have good friends who make me laugh. Laughter is a good thing too.”</p> <p dir="ltr">When asked about her H&amp;M Move campaign, which is focused on “getting the whole world moving”, she told the publication she still felt youthful in her 80s and hoped to help others abate their fears about getting older.</p> <p dir="ltr">“I’m almost 85, but I don’t seem that old,” Fonda said. </p> <p><span id="docs-internal-guid-a1c7b210-7fff-3b2d-9fa2-36a0c465c8e4"></span></p> <p dir="ltr">“So getting young people to stop being afraid of being old, helping people realise that just because you’re a certain age doesn’t mean you have to give up on life, give up on having fun … or whatever you want to do.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CgzSQ8ZLh06/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CgzSQ8ZLh06/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jane Fonda (@janefonda)</a></p> </div> </blockquote> <p dir="ltr">She added that ageing doesn’t have to be intimidating, and she wants more people to know that it can be positive and healthy.</p> <p dir="ltr">“I know better than I did even when I was younger that no matter how old you are or who you are or where you are, keeping moving in a way that’s appropriate for your age is absolutely critical to your healthy lifespan.”</p> <p dir="ltr"><span id="docs-internal-guid-4022a4ca-7fff-6803-fc21-54b618c2cdf9"></span></p> <p dir="ltr"><em>Image: H&amp;M</em></p>

Beauty & Style

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Which of these pictures is a deepfake? Your brain knows the answer before you do

<p>Deepfakes – AI-generated videos and pictures of people – are becoming more and more realistic. This makes them the perfect weapon for disinformation and fraud.</p> <p>But while you might consciously be tricked by a deepfake, new evidence suggests that your brain knows better. Fake portraits cause different signals to fire on brain scans, according to a paper <a href="https://doi.org/10.1016/j.visres.2022.108079" target="_blank" rel="noreferrer noopener">published</a> in <em>Vision Research.</em></p> <p>While you consciously can’t spot the fake (for those playing at home, the face on the right is the phony), your neurons are more reliable.</p> <p>“Your brain sees the difference between the two images. You just can’t see it yet,” says co-author Associate Professor Thomas Carlson, a researcher at the University of Sydney’s School of Psychology.</p> <p>The researchers asked volunteers to view a series of several hundred photos, some of which were real and some of which were fakes generated by a GAN (a Generative Adversarial Network, a common way of making deepfakes).</p> <p>One group of 200 participants was asked to guess which images were real, and which were fake, by pressing a button.</p> <p>A different group of 22 participants didn’t guess, but underwent electroencephalography (EEG) tests while they were viewing the images.</p> <p>The EEGs showed distinct signals when participants were viewing deepfakes, compared to real images.</p> <p>“The brain is responding different than when it sees a real image,” says Carlson.</p> <div class="newsletter-box"> <div id="wpcf7-f6-p197814-o1" class="wpcf7" dir="ltr" lang="en-US" role="form"> </div> </div> <p>“It’s sort of difficult to figure out what exactly it’s picking up on, because all you can really see is that it is different – that’s something we’ll have to do more research to figure out.”</p> <p>The EEG scans weren’t foolproof: they could only spot deepfakes 54% of the time. But that’s significantly better than the participants who were guessing consciously. People only found deepfakes 37% of the time – worse than if they’d just flipped a coin.</p> <p>“The fact that the brain can detect deepfakes means current deepfakes are flawed,” says Carlson.</p> <p>“If we can learn how the brain spots deepfakes, we could use this information to create algorithms to flag potential deepfakes on digital platforms like Facebook and Twitter.”</p> <p>It could also be used to prevent fraud and theft.</p> <p>“EEG-enabled helmets could have been helpful in preventing recent bank heist and corporate fraud cases in Dubai and the UK, where scammers used cloned voice technology to steal tens of millions of dollars,” says Carlson.</p> <p>“In these cases, finance personnel thought they heard the voice of a trusted client or associate and were duped into transferring funds.”</p> <p>But this is by no means a guarantee. The researchers point out in their paper that, even while they were doing the research, GANs got more advanced and generated better fake images than the ones they used in their study. It’s possible that, once the algorithms exist, deepfakers will just figure out ways to circumvent them.</p> <p>“That said, the deepfakes are always being generated by a computer that has an ‘idea’ of what a face is,” says Carlson.</p> <p>“As long as it’s generating these things from this ‘idea’, there might be just the slightest thing that’s wrong. It’s a matter of figuring out what’s wrong with it this time.”</p> <p><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=197814&amp;title=Which+of+these+pictures+is+a+deepfake%3F+Your+brain+knows+the+answer+before+you+do" width="1" height="1" /></p> <div id="contributors"> <p><em><a href="https://cosmosmagazine.com/technology/deepfakes-brain-eegs/" target="_blank" rel="noopener">This article</a> was originally published on <a href="https://cosmosmagazine.com" target="_blank" rel="noopener">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/ellen-phiddian" target="_blank" rel="noopener">Ellen Phiddian</a>. Ellen Phiddian is a science journalist at Cosmos. She has a BSc (Honours) in chemistry and science communication, and an MSc in science communication, both from the Australian National University.</em></p> <p><em>Image: Moshel et al. 2022, Vision Research, https://doi.org/10.1016/j.visres.2022.108079</em></p> </div>

Technology

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Which Centrelink payments are going up from July 1

<p>From July the 1st, over 1.4 million Australian families will benefit from an increase to their Centrelink payments.</p> <p>The federal government has announced increases to the Family Tax Benefit (Part A and B) to keep up with the rising cost of living.</p> <p>Under the Family Tax Benefit Part A, payments for families with a child aged under 13 will increase up to $204.40 over 2022-2023.</p> <p>The payments will also increase by a maximum of $255.50 for families with a child 13 years and older.</p> <p>For those receiving Family Tax Benefit Part B, there will be an increase of as much as $164.25 per year where a family has their youngest child under 5.</p> <p>For those families on Family Tax Benefit Part B with a youngest child aged between five to eighteen will receive up to $116.80 more per year.</p> <p>The changes are expected to impact more than 1.4 million families, Social Services Minister Amanda Rishworth said.</p> <p>It was also announced that the amount of income or assets an Age Pension, Disability Support Pension or Carer Payment recipient can have before their payment is affected will increase.</p> <p>“Social security and family payments have a built-in safeguard where they are automatically indexed at regular intervals to help them maintain purchasing power,” Rishworth said.</p> <p>Those who receive other family payments, such as Multiple Birth Allowance and Newborn Supplement are also set to receive an increase.</p> <p><em>Image: Getty</em></p>

Money & Banking

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Readers Respond: Which tourist attraction disappointed you?

<p dir="ltr">When you go on holiday the last thing you expect is to be disappointed with your destination.</p> <p dir="ltr">But that’s the whole point of travelling! You never really know what you’re getting yourself into until you’re there, do you?</p> <p dir="ltr">To that end, we asked our readers to share which tourist attractions disappointed you the most and – well – let’s just say your responses disappointed US, because we just didn’t expect that.</p> <p dir="ltr">From the famous Stonehenge to the Trevi Fountain - your responses were quite interesting. </p> <p dir="ltr">But hands down the winner’s response just has to be the one from Virginia Lewington who said: “Anywhere with my ex, he spoilt it everytime.”  </p> <p dir="ltr">Check out other less brutal responses below. </p> <p dir="ltr">Lynn Pilling - Paris as a whole. Quite dirty. I had been looking forward to going there for a long time. The hotel room was the size of a closet and my knees hit the wall when I sat on the toilet.</p> <p dir="ltr">Debbie Van Den Dungen - For me it’s often overseas beaches eg Venice beach, Santa Monica…We are so spoiled for fantastic beaches here in Australia. Also Noumea and Vanuatu- shocked at the rundown state of the towns, bars on windows etc not the paradise I imagined.</p> <p dir="ltr">Dot Willcoxson - Stonehenge very disappointing.</p> <p dir="ltr">Tanya Pertot - The Mona Lisa - it was smaller than I expected and I couldn't see what all the “hype” was about - for me there are many works of art that are better.</p> <p dir="ltr">Sandy Dynon - The Trevi Fountain. It’s small, the building behind makes it look bigger.</p> <p dir="ltr">Frances Smith - The Leaning Tower of Pisa. </p> <p dir="ltr">Sandra Varley Donoghue - Hollywood Walk of Fame.</p> <p dir="ltr">Bev Hooper - The pyramids near Cairo.</p> <p dir="ltr">Anita Worsdell - The beaches along the coast of California and Waikiki beach, Hawaii. Australia has the best beaches by far.</p> <p dir="ltr">Laraine Beattie - Prague. Litter, cigarette butts and everybody seemed to be smoking…two visits the same, but beautiful city otherwise.</p> <p dir="ltr">Judy Lee Flynn - The Little Mermaid in Copenhagen, it was so small.</p> <p dir="ltr">Lawrence Gray - The Sphinx, badly weathered.</p> <p dir="ltr">Were you disappointed in an attraction and it wasn’t on the list? Share it <a href="https://www.facebook.com/oversixtys/posts/pfbid0LUC6Ye4ri9DKeukxzh16x1RvyQ3TzVd4wPGWhVWCkK5DEpzDEJDjHpRfH4ssNUwUl" target="_blank" rel="noopener">here</a>.</p> <p dir="ltr"><em>Image: Shutterstock</em></p>

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