Children with anxiety or phobias are being treated with sleep and exposure therapy, in world-first research

The Centre for Emotional Health at Macquarie University is investigating the best time of day to conduct exposure therapy sessions to determine if they are more effective in the morning or in the evening, immediately before sleep.

Postdoctoral research fellow Ella Oar said she was exploring whether sleep could be used as a “learning booster” to increase the efficacy of treatment.

“It affects 20 per cent of kids.

“With our current treatment, the gold-standard treatment for children with anxiety problems, we know that a significant proportion of kids don’t respond that well.

Exposure therapy is a common technique used to help patients overcome their fears, by exposing them to their source of anxiety in a controlled and safe environment.

“With our exposure therapy, what it involves is helping children gain new learnings,” Dr Oar said.

Thank you for visiting My Local Pages. We hope you enjoyed checking this post on “What’s On in the City of Brisbane” titled “Children with anxiety or phobias are being treated with sleep and exposure therapy, in world-first research”. This article was brought to you by My Local Pages as part of our QLD events and what’s on news services.

#Children #anxiety #phobias #treated #sleep #exposure #therapy #worldfirst #research

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Ariana Grande gives presents to hospitals that treated Manchester Arena victims | UK News

Ariana Grande has sent Christmas presents to hundreds of patients in hospitals in Manchester.

It is three years since a terror attack killed 22 people at the pop star’s concert in the Manchester Arena, and the city has been close to her heart since.

The 27-year-old Positions singer sent gifts and Amazon vouchers to patients at Royal Manchester Children’s Hospital and Manchester Royal Infirmary – where a number of the victims were treated.

Shortly after the attack, Grande had visited young patients in the Royal Manchester Children’s Hospital.

Ariana Grande met patient Evie Mills in hospital shortly after the attack

In a post on Facebook on Thursday, the children’s hospital shared pictures of its young patients holding their presents.

Others held up a note addressed to Grande thanking her for the “beautiful gifts” and wishing her “happy holidays”.

“We are extremely grateful to Ariana Grande for thinking of our young patients this Christmas,” the hospital said.

“It means so very much to us that the hospital is close to Ariana’s heart and that she has chosen to spread festive cheer by donating vouchers, toys and gifts for our patients.”

One father told the Manchester Evening News that every child in Manchester Royal Infirmary was given a voucher by the pop star, calling it a “lovely gesture”.

“It’s brought a lot of joy after everything that’s gone on with the pandemic this year,” he said.

Grande, who announced her engagement to boyfriend Dalton Gomez this week, also sent presents to patients at a children’s hospital near her Los Angeles home.

Sharing the news on Instagram, the UCLA Mattel Children’s Hospital thanked the couple for spreading “holiday cheer”.

“Their generosity saw to it that our kid’s holiday wish lists were granted and that the delivery came with surprise pizza and meal deliveries,” it said.

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Disappearance of Sydney businesswoman Melissa Caddick treated as suspicious

NSW detectives are treating the mysterious disappearance of a businesswoman from her cliff-top home in Sydney’s eastern suburbs as suspicious.

Melissa Caddick left her Dover Heights home early on Thursday morning last week and is believed to have gone for a run, but didn’t take her wallet, keys, or mobile phone.

Two days before she vanished, Australian Federal Police (AFP) raided her Wallangra Road property as part of an ongoing investigation by the Australian Securities and Investments Commission (ASIC).

Documents obtained by the ABC reveal the 49-year-old was served court orders recently preventing her from leaving Australia or selling any of her assets.

Detective Inspector Gretchen Atkins today urged anyone in the area to check their CCTV or dashcam to help with the investigation.

“We have some serious concerns for her personal safety — she did not take any of her personal belongings,” she said.

“She hasn’t been in touch with her husband, her son, her family or any of her friends since and we’re actually appealing to anybody who has seen anything.”

Ms Caddick’s brother and husband made a tearful appeal for any information about her whereabouts.(ABC News: Mark Reddie)

Her husband, Anthony Koletti, remained composed when he fronted the media today during a public appeal for information outside Bondi Police Station.

He described her disappearance as “extremely out of character”.

“Melissa is a dedicated and incredible mother, a beautiful daughter, sister and loved wife — we are asking the community to help bring Melissa home — that is all,” he said, reading from a statement.

Mr Koletti said he was asleep when his wife left their home about 5:30am last Thursday.

“You know how much we love you; everything is taken care of — you are not in trouble,” he said.

The property is fitted with a security camera, but sources close to the investigation say it had stopped working two days before Ms Caddick went missing.

Her older brother, Adam Grimley, was teary and choked up as he read a statement as part of the public appeal for information.

“Melissa, please let us know you are safe and sound, we love you — to our communities, we need your help to bring my little sister home,” he said.

“She is a lovely person, a lovely mother and a great sister to me.”

A house
Melissa Caddick left her Dover Heights home last Friday morning.(Supplied)

An air, sea and land search has been conducted by police, but officers admit they are struggling to find any solid leads.

“If Melissa, you are out there, we are really appealing for you to get in touch with us and to come home safely,” Detective Inspector Atkins said.

“It’s suspicious in that we just need to find her.”

Ms Caddick, who is the managing director of a Sydney consulting firm, was last seen wearing a black singlet top, leggings and silver Nike sneakers.

Anyone with information should contact Crime Stoppers or Bondi Police.

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Ensure he is treated fairly: Editors Guild on Arnab Goswami arrest

By: Express News Service | New Delhi |

November 5, 2020 4:49:41 am

Republic TV Editor-in-Chief Arnab Goswami after his arrest, at Alibaug in Raigad on Wednesday. (Express photo: Narendra Vaskar)

Condemning the arrest of Republic TV editor Arnab Goswami in a suicide abetment case, several journalists’ organisations appealed to the Maharashtra government to not “misuse state power for vendetta” and follow “due process”.

In a statement, the Editors Guild of India said it was shocked and asked Maharashtra Chief Minister Uddhav Thackeray to ensure that the state machinery is not used against critical journalism. “We condemn the sudden arrest and find it extremely distressing,” it said, adding that it “calls upon the Chief Minister of Maharashtra to ensure that Goswami is treated fairly and state power is not used against critical reporting by the media”.

The self-regulatory body of television news channels, the News Broadcasters Association, said that though the media is not above the law, due process needs to be followed. It condemned “the manner” in which Goswami “was arrested by the Raigarh Police”. It stated that “according to the police, Goswami was arrested in a 2018 abetment to suicide case”. “NBA is dismayed in the manner in which he was arrested. Even though NBA does not agree with his type of journalism, we denounce retaliatory action, if any, by the authorities against a media editor. Media is not above the law but due process must be followed.”

The NBA also appealed to the Maharashtra Chief Minister “to ensure that Goswami is treated fairly and state power is not misused for vendetta”.

EXPLAINED | What is the suicide case in which Arnab Goswami has been arrested by Maharashtra Police?

Another association of news broadcasters, founded by Goswami and including several regional players, the News Broadcasters Federation also expressed shock at Goswami’s arrest “by resurrecting a two-year-old closed case”. It called upon the Centre and Maharashtra government to “follow the due process of law and ensure fair treatment” to Goswami.

Indian Women’s Press Corps (IWPC) said it “unequivocally condemns the high-handed manner in which the Maharashtra Police” arrested Goswami “ostensibly in a 2018 abetment to suicide case”.

Goswami, IWPC said, “had been cooperating with the police and going to the police station each time he was summoned” and the state government’s “ use of its police force reeks of cynical and self-serving vendetta”.

The Maharashtra government, it said, “must realise that the arbitrary nature” of Goswami’s arrest, “not just violates the principle of liberty, but also seeks to tamp down principles of free speech and expression enshrined in our Constitution,” and stated that it believes “that the Maharashtra government’s attack on the press is dangerous for the media and the people at large”.

The National Union of Journalists called it an “illegal arrest of noted journalist” and said that it “appears an attempt to subdue and throttle the freedom of speech and expression by misuse of the police force by the Maharashtra Government” and said that the “misuse of the police force to gag the media, the fourth estate of democracy, is highly dangerous”.

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Nice Knife Attack Being Treated as Terrorism

PARIS — An assailant with a knife killed at least two people on Thursday morning at a church in the southern French city of Nice, according to local officials who said it appeared to be a terrorist attack.

The assault comes as the country is still reeling from the beheading of a teacher in a Paris suburb this month by a young Muslim man after the teacher showed caricatures of the Prophet Muhammad in a class.

The mayor of Nice, Christian Estrosi, said in a statement posted to Twitter shortly after the attack that he was on the scene with the police and that a suspect had been arrested. He later said at least two people were killed and one seriously injured.

“I confirm that everything suggests a terrorist attack in the Notre-Dame basilica,” the mayor wrote.

Éric Ciotti, a lawmaker who represents the region that includes Nice, told reporters in Paris that, based on the information provided to him by emergency services, “it looks a lot like a terrorist attack.”

The French interior minister, Gérald Darmanin, said in a post on Twitter that he had immediately convened a crisis meeting.

The attack took place at the Notre-Dame de L’Assomption basilica, and the local authorities did not immediately release details about the victims or the circumstances. The police warned residents to stay away from the area around the church as a “very serious” event was underway and controlled explosives were being used. They also urged residents to remain calm.

Videos posted to social media showed lines of people filing out of the area around the church as police evacuated the scene.

In 2016, Nice was also the site of one of France’s worst terrorist attacks, when a man plowed a 19-ton refrigeration truck into crowds that had gathered on the city’s main seaside promenade to watch fireworks, killing 86.

Megan Specia contributed reporting from London.

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Nathan Reynolds died from an asthma attack in prison but nurse treated him for overdose, coronial inquest hears

A nurse assumed a prison inmate dying from a severe asthma attack had overdosed on drugs, a coronial inquest has heard.

Nathan Reynolds died in John Moroney Correctional Centre in September 2018 just a week before he was expected to be released.

The 39-year-old Indigenous man had notified staff he urgently needed help, but was pronounced dead just over an hour later.

Warning: This story contains an image of an Indigenous person who has died.

An inquest into his death today heard emotional evidence from an inmate who tried to save Mr Reynolds.

Jeremy Preo, who gave evidence via video link from jail, told Deputy Coroner Elizabeth Ryan when he came to see what was going on in his wing Mr Reynolds was sitting up, breathing, and using an asthma puffer on a couch.

But as Mr Reynolds was being moved to a wheelchair, he went stiff and took in three sharp breaths.

“That’s when Nathan more or less took his last breaths,” Preo said, as he broke down in tears.

“One of the other inmates beside me said he was blue in the face.”

Nathan Reynolds died in custody from an asthma attack in 2018.(Supplied: Makayla Reynolds)

Preo said he “intervened” by putting Mr Reynolds into a recovery position on his side and clearing his airways of fluid.

“I would say to him, ‘mate, take a breath for me’, and he would do that every time,” he said.

“He would take a deep breath in and one out.

“And that’s how I knew he was still alive at that point in time.”

The inmate said the incident took a turn for the worse when a “young nurse” arrived and rolled Mr Reynolds from his side, on to his back.

“The next thing I remember is her bent over the top of Nathan, slapping him, and shaking him and telling him to wake up,” he said.

Preo told the inquest the nurse then said Mr Reynolds was experiencing a drug overdose which prompted a corrections officer to ask the other inmates if he had taken any substances.

“How can you say that? … you’ve just watched him have an asthma attack,” Preo said he replied.

“I was very distressed and distraught, because I know that when she [the nurse] came in, he was still alive.

“I believe that she just thought he overdosed on drugs, because he was a criminal, he was in jail, he was a junkie.”

Nathan given opioid blocker by nurse

Lawyers for Mr Reynolds’s family said an autopsy found he was given a drug usually administered to people experiencing an opioid overdose.

“[The nurse] arrived and gave Nathan Naloxone — a drug given to patients to counteract the effects of an overdose,” Karly Warner from the Aboriginal Legal Service said.

A girl addresses the media outside the Coroners Court.
Nathan’s sister Makayla Reynolds says her brother died too young and she wants justice.(ABC News: Jonathan Hair)

To mark the start of the inquest, a Welcome to Country ceremony took place at the front of the NSW Coroners Court which included song and dance.

“Anyone that met him, he just lit up the room, he was a jokester … all the kids loved Nathan,” his sister Taleah Reynolds said.

“Nathan would take all the kids out, his nieces, and nephews, stuff like that, he had a heart of gold.

“He should be here,” she said.

Ms Reynolds said she wanted someone held accountable for the death.

The inquest is expected to examine a range of topics and hear from more inmates, nurses, corrections officers and a respiratory specialist.

Counsel Assisting Chris McGory said Mr Reynolds’s condition was “already severe and life threatening” when he called for help.

He also said that immediate specialist medical intervention was needed to save his life.

The inquest is expected to run until mid-next week.

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SA gel blaster laws see toys treated as firearms, business owner fears the worst

Strict new South Australian gel blaster laws have seen a regional business crumble “overnight”, according to its young owner.

Last week South Australian Police (SAPOL) announced that gel blasters – typically used as toys – would be regulated like firearms following a number of incidents that caused injury.

This would mean owners and new purchasers would be required to hold a licence and store the firearms like other guns.

The rules announcement was devastating to Riverland teenager, Abran McIntosh.

The 16-year-old started Nadda 3D Prints two years ago.

He uses a 3D printer to produce gel blaster parts, accessories and even a complete gel blaster if requested by customers.

Abran McIntosh started a business using 3D printers to produce gel blaster accessories.(Supplied: Abran McIntosh)

“As of the announcement, we’ve effectively been shut down overnight,” Abran said.

“We have a six-month amnesty to hand them in or sell them interstate, but in that time, we cannot fire them or do anything with them, basically.”

SAPOL Officer in Charge of Firearms Branch Superintendent Stephen Howard said businesses like Abran’s were unlikely to be able to continue to operate under the rules, but it depended on the types of accessories that were being created.

“If they are integral to the operation of the gel blaster then they are manufacturing firearm parts and they could be committing an offence against the Firearms Act,” he said.

Projectile concerns prompt change

Superintendent Howard explained the changes were not just about the appearance of the blasters, despite their resemblance to real weapons.

“They meet the definition of a firearm because they compress air to fire a projectile,” he said.

“But [how they look] is also concerning.”

Superintendent Howard said more than 100 gel blasters had been handed in, ahead of the April 7, 2021 deadline, since last week’s announcement.

Two large guns and a small hand gun lay on a grey floor.
A man was arrested after allegedly pointing a gel blaster at another car on the Augusta Highway.(Supplied: SAPOL)

But he said skirmish field operators may be able to continue, provided they could comply with regulations.

“We’re sending one of our range inspectors out to a venue this week to look at their set up and see if they comply, and they will be able to apply for an operators’ licence and be registered accordingly,” he said.

Abran said the public needed to be educated about gel blasters and how they could be used safely.

“They do have the potential to cause fear in a public place … purely because they can be mistaken, in some cases, for a real firearm,” he said.

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Plate of Origin was a format without an anchor (and viewers treated it so)

Plate of Origin is decidedly unoriginal, and viewers didn’t bother with its debut last night.

Plate of Origin judges Matt Preston, Manu Feildel and Gary Mehigan (Image: Seven)

As a pun from Seven, Plate Of Origin was weak and rather obvious — it was a weak attempt to trade off the most-watched program on TV (rival Nine’s rugby league three State of Origin games a year).

But Seven powered on regardless – it had a duo of high-priced former MasterChef judges in Matt Preston and Gary Mehigan and former My Kitchen Rules judge Manu Feildel.

The MasterChef duo had been signed at great expense and Manu was hanging round after MKR bombed this year. Plate of Origin smacked of an unnatural idea — a format without an anchor — and viewers responded.

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High blood pressure can be treated without causing erectile dysfunction, shows study

Men with untreated high blood pressure have poorer penile blood flow than those with normal blood pressure, according to research presented today at ESC Congress 2020. The differences disappeared with blood pressure medication.

The results provide reassurance to men concerned about the effects of blood pressure-lowering medications.

Hypertension (high blood pressure) affects more than one billion people worldwide and is the leading cause of premature death.2 A healthy lifestyle is advised, including salt restriction, alcohol moderation, exercise, weight control, and smoking cessation.

Most patients also require drug treatment, which is linked to reduced risks of death, stroke, and heart disease – but around half of patients do not take their pills. Sexual dysfunction is one reason why patients stop medication.

Men with hypertension are almost twice as likely to have impaired penile blood flow and erectile dysfunction compared to men with normal blood pressure, increasing their risk of heart disease and death.

High blood pressure damages artery walls, causing them to harden and narrow, and reducing blood flow to the penis. Erectile dysfunction is an early warning sign of damaged blood vessels.

However, previous studies have shown that erectile dysfunction is more common in treated, than untreated, men with high blood pressure. And certain antihypertensive drugs – notably diuretics and beta blockers – have been linked with deterioration in sexual function.

This study examined the association between blood pressure level and penile blood flow, and whether blood pressure-lowering medication had an effect on the relationship.

The study included 356 men with erectile dysfunction and no history of diabetes or cardiovascular disease who attended a clinic between 2006 and 2019.

The cohort was divided into three categories according to blood pressure: normal, high-normal, and hypertension. A total of 164 (46%) patients were being treated with antihypertensive medications.

All patients underwent a penile colour Doppler ultrasound which is the standard method for evaluating penile blood vessels and erectile dysfunction.

The method involves injecting a drug into the base of the penis to open the blood vessels then measuring blood flow. Penile blood flow is considered impaired when the velocity is lower than 25 cm/s.

Among men not receiving antihypertensive medication, penile blood flow velocity progressively decreased with rising blood pressure – i.e. blood flow was fastest in those with normal blood pressure, slower in those with high-normal blood pressure, and slowest in those with hypertension.

In contrast, among men taking antihypertension therapy, there was no difference in penile blood flow velocity between the three blood pressure categories.

The progressive decrease in penile blood flow velocity across the three blood pressure categories in men not taking antihypertensive medication indicates significant structural changes in the penile blood vessels from longstanding hypertension.”

Charalambos Vlachopoulos, Study Author and Professor, National and Kapodistrian University of Athens

“The blood flow differences across the three blood pressure categories disappeared with treatment, suggesting a medication effect.”

An additional analysis compared treated and untreated men within each blood pressure group. In the hypertension category, treated and untreated patients had similar penile blood flow velocities. However, in the high-normal category, treated men had worse penile blood flow than untreated men. Similarly, in the normal blood pressure category, treated men had worse penile blood flow than untreated men.

Professor Vlachopoulos said: “These results imply that hypertensive patients already have significant structural damage in the penile arteries and adding antihypertensive drugs does not further reduce penile blood flow. But in men with normal or high-normal blood pressure, the penile arteries have minimal structural damage and medications could have a negative impact on penile blood flow.”

He urged men with concerns about sexual dysfunction to discuss it with their doctor. “For men with as yet untreated hypertension, older medications (beta blockers and diuretics) are not ideal and should be used only if absolutely indicated,” he said.

Professor Vlachopoulos noted that changing hypertensive medications in men with erectile dysfunction must be handled with caution. He said: “First, if a co-existing disease dictates using a specific drug category (for example, beta blockers for coronary artery disease and heart failure, diuretics for heart failure), then switching is not advocated.

Alternatives might be considered if patients are at risk of stopping lifesaving therapy because of the detrimental impact of erectile dysfunction on their life.”

“Second, switching to another drug class does not guarantee either the restoration or improvement of erectile function. This has to be carefully explained to patients in advance to avoid unreasonable expectations,” he said.

Professor Vlachopoulos concluded: “Our study shows that high blood pressure can be treated without causing erectile dysfunction. Patients and doctors need to have open discussions to find the best treatment option.”

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