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July 7, 2025

Wimbledon and British Open competitors aren’t the only ones at risk of these common elbow injuries

Source: The Conversation – UK – By Dan Baumgardt, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, University of Bristol

Even those who don’t play sports are at risk of tennis elbow. didesign021/ Shutterstock

Professional athletes from around the world spend years training to compete in some of the UK’s biggest summer sporting tournaments: Wimbledon and the British Open. But not all tournament hopefuls will make it to the finals — and some may even be forced to drop out due to a variety of sporting injuries, from torn anterior cruciates to strained shoulders.

Their elbows are at risk too. In fact, two of the most common reasons for elbow pain relate to sporting injuries — the aptly named (and dreaded) tennis and golfer’s elbow.

But it isn’t just professional athletes who are at risk of developing these common elbow injuries. Even those of us sitting on the sidelines or watching from our couches can find ourselves struck down by them – even if we don’t participate in either of these sports.

In general practice, we see patients with elbow conditions fairly frequently. Elbows can become swollen as a result of repetitive strain, gout and can be fractured by a fall.

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Tennis and golfer’s elbow are also common reasons people visit their GP. Both share root causes, arising from inflammation and degeneration of the forearm tendons, which attach either side of the elbow. These typically cause pain on the sides of the joint, which can radiate down the affected side toward the wrist. Establishing which side is injured is crucial to diagnosis.

The reason these conditions are associated with sports is because of the actions that are typical when playing them – the same actions which can result in injury.

Take tennis and one of its killer moves: a lethal backhand stroke, which was part of the tournament-winning arsenal of champions such as Roger Federer, Justine Henin and Stan Wawrinka. Tennis elbow seems to be more strongly associated with the one-handed backhand, affecting the outer side of the elbow.

The cause of tennis elbow can be pinpointed to a poor technique in the backhand stroke or grip. Problems with equipment, such as an incorrectly strung or a too-heavy racquet, might also exacerbate the problem.

Notably, this problem is actually observed less frequently in professional players compared to recreational players. This is probably because of their expertise, form and access to the best equipment and physiotherapy.

Golfer’s elbow refers to pain on the inner side, closest to the body. One action that can cause it is the golfer’s swing, where the player contracts their arm muscles to control the trajectory of the club. Doing so with poor technique or incorrect grip can irritate and damage the tendons. The golfer’s swing uses different muscles to a backhand stroke, so the injury occurs on the opposite side of the elbow.

Both conditions have some overlapping symptoms despite affecting different tendons. For instance, some patients may note pain when using their wrist – such as turning a doorknob or shaking someone’s hand. It can be also be present at rest too – affecting other simple functions, such as using a keyboard.

Tennis elbow is around five to ten times more common than golfer’s elbow, since these tendons are used more frequently in sport and daily life.

Confusingly, the conditions are actually not exclusive to these sports. Some golfers can develop tennis elbow, while some tennis players can develop golfer’s elbow. This is because both games feature a combination of techniques that can affect the tendons on either side.

Other sports that might also lead to a similar type of elbow injury include throwing sports (such as javelin), and batting or other racket sports – including baseball, cricket or squash. Weightlifting moves such as deadlifts, rows and overhead presses can also put considerable strain on the elbows too.

A man wearing a hi-vis vest holds his elbow in pain. — Construction workers may be at particular risk of developing tennis or golfer’s elbow.
PeopleImages.com – Yuri A/ Shutterstock

You can even develop golfer’s or tennis elbow without taking part in either of these sports. Certain hobbies and occupations which strain or damage the tendons come into play here. Workers who are heavy lifters or use vibrating machinery, such as carpenters, sheet metal workers or pneumatic drill operators, are prime candidates.

Treating a sore elbow

If you develop golfer’s or tennis elbow, standard protocol is to “rice” – rest, ice, compress and elevate. Painkillers such as paracetamol and ibuprofen can also help. In many cases, symptoms resolve themselves within a few weeks.

Depending on the severity of the injury, you may also be sent to physiotherapy or given an elbow support or splint. For really severe cases that aren’t getting better with the usual remedies, more invasive treatment is needed.

Steroid injections into the affected area can act to reduce inflammation – but have variable effects, working better for some patients than for others.

Autologous blood injection is a therapy where blood is taken from the patient and then re-injected into the space around the elbow. The thought behind this rather odd-sounding treatment is that the blood induces healing within the damaged tendon. The method is now undergoing a renaissance – and a variation of it, which uses platelet-rich plasma derived from the blood sample.

Surgery is possible, too – but is generally reserved for severe, non-responsive cases or those where a clear anatomical problem (such as damaged tendons or tissue) are causing the symptoms.

Whether or not you’re a tennis or golf pro, persistent elbow pain isn’t normal. It’s best to speak to your doctor to figure out the cause so you can get back to the court or putting green.

Dan Baumgardt does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Wimbledon and British Open competitors aren’t the only ones at risk of these common elbow injuries – https://theconversation.com/wimbledon-and-british-open-competitors-arent-the-only-ones-at-risk-of-these-common-elbow-injuries-260337

July 7, 2025

What research on sexting reveals about how men and women think about consent

Source: The Conversation – UK – By Rikke Amundsen, Lecturer in Digital Media and Culture , King’s College London

Sexting – the creating and exchanging of sexual texts, photos and videos – has become part of many people’s sexual and romantic lives. In an age where interpersonal relations often take place through digital technology, particularly since the pandemic, understanding sexting can help us better understand intimacy.

Discussions around this topic inevitably involve concerns about sexual consent, and violation of it. One frequent concern is the risk of intimate image abuse, where private sexual images are shared without the consent of the person depicted. Another is the risk of receiving unsolicited or non-consensual “dick pics”.

These violations can and do affect people of any gender identity. But research suggests that both types of violation particularly affect girls and women, who are more likely to be victims of the non-consensual further sharing of intimate images and to receive unsolicited dick pics. Girls are also more likely than boys to report feeling pressured into sending nudes or other sexual content.

In my research, I have explored how men and women experience and navigate consent when sexting in heterosexual relationships.

I have found that consent is central to the sexting practices of both women and men, but that they approach it differently. Overall, the women I spoke to were most concerned about the risk of having their consent violated. The men, on the other hand, were more worried about the risk of accidentally violating the consent of the person they were sexting with.

Women’s experiences

Between June 2016 and February 2017, I interviewed 44 women about their use of digital media and technology in their romantic and sexual relations. A core part of this involved discussion about their experiences of sexting. Our conversations focused especially on their experiences of sexting with men, and on their notions of intimacy, risk and trust.

My participants primarily saw mitigating the risk of intimate image abuse as an individual responsibility. In other words, these women saw themselves as responsible for ensuring that their consent was not violated by a sexting partner.

They reflected on the importance of women taking charge to protect themselves. For example, by not placing their trust in the “wrong” kind of person when sexting. Many employed tactics to reduce risk, from not showing their face in an image, to establishing close connections with the friends and family of their sexting partner.

As one participant in her mid-20s explained: “I do try to meet their family and friends beforehand, just so, if anything does happen, I can kind of go and tell his mum.”

Just as the women focused on their individual responsibility for reducing risk, they also understood men as individually responsible for the sexism of sending unsolicited dick pics. Overall, they saw it as an issue of some men behaving badly, rather than part of a broader, systemic issue. This view differs from that of scholars in this area, who have linked non-consensual dick pics to wider misogyny and social issues like rape culture.

Men’s experiences

The 15 interviews I conducted with men took place between May 2022 and May 2023, five years after the interviews with women. During these intervening years, the #MeToo movement gained global reach. This movement raised awareness about the widespread, social and structural issues that lead to sexual consent violations and abuse of power in sexual relations.

This research, the findings of which will be published in a forthcoming book chapter, coincided with what many have recognised as a backlash to #MeToo. This backlash (in politics, entertainment and wider society) has manifested in, for example, the advance of the manosphere and crackdowns on sexual and reproductive rights.

Only one participant mentioned #MeToo specifically, noting its role in putting sexual consent on the agenda. However, it was clear that the rapidly changing and tumultuous social and political landscape regarding sexual consent informed the mens’ experiences.

One participant in his late thirties stressed how an interest in consent was what made him want to participate in an interview. He said: “I’ve grown up through a period where … understanding about consent has changed a lot. Men of my age … I just think we’re very ill prepared for the expectations of modern society.”

My women participants had been most concerned to protect themselves from having their consent violated. But the men appeared to be most worried about the possibility that they might violate a woman’s consent by not having ensured sexual consent when sexting.

Some participants struggled with managing what they understood as conflicting messages regarding women’s expectations of men when sexting. For some, it meant avoiding sexting they saw as “risky”. For others, it meant continuously establishing consent by checking in with a partner.

Moving forward

Overall, my interviews revealed that both men and women take consent seriously, and are eager to prevent its violation.

This is something I explored further in workshops with other researchers, relevant charities and stakeholders. Our discussions, summarised in the Consent in Digital Sexual Cultures report, stress the importance of creating room (for young men especially) to explore ideas around consent without worrying about social repercussions.

Charities like Beyond Equality and Fumble are already creating spaces for such discussions in their meetings with young people at school, in the university and online. We also need to see more of these discussions taking place in the home, at government level and through collaboration with tech companies.

Navigating consent in sexual relationships has long been a fraught task for many. Digital technology has created new opportunities for sexual interaction, but also for the violation of consent. We need spaces for dialogue, to help us figure out – together – what good sexual consent practice is and should look like, for everyone involved.

Rikke Amundsen has received a British Academy/Leverhulme Small Research Grant with reference number
SRG2223230389. This grant covered the costs of the research outlined in the Consent in Digital Sexual Cultures Report.

– ref. What research on sexting reveals about how men and women think about consent – https://theconversation.com/what-research-on-sexting-reveals-about-how-men-and-women-think-about-consent-254760

July 7, 2025

‘Pylon wars’ show why big energy plans need locals on board

Source: The Conversation – UK – By Simone Abram, Professor in the Department of Anthropology, Director of Durham Energy Institute, Durham University

Thousands of new electricity pylons are to be built across parts of England under the government’s plans to decarbonise the electricity. And some people aren’t happy.

A glance at recent Daily Telegraph articles seem to suggest most of the genteel English countryside is about to be taken over by evil metal monsters. Headlines talk of “noisy” pylons set to “scythe through” “unspoiled countryside”, leading to a “pylon penalty” for house prices and even “mass social unrest”.

While some of the stories are rather over the top, they reflect a genuine unease, and there have been significant campaigns against pylons. In Suffolk, for instance, resistance is building against plans for a 114-mile-long transmission line connecting new offshore wind farms to Norwich and beyond.

So why do these towering steel structures evoke such powerful feelings?

Pylons have had a particular fascination since they were first introduced in the 1920s. Even then, the biggest challenge was to get “wayleaves” (permission) to cross farmland. To calm rural protest groups, the government’s electricity board commissioned an architect, Reginald Blomfield, to design transmission towers with an eye to “visual amenity”.

Man stands on wire high above countryside — Pylon cleaning, 1946.
Smith Archive / Alamy

In the most protected areas, expensive underground cabling was used to hide the transmission lines altogether. The board used its copious marketing materials to emphasise that this option was around six times more expensive, and therefore only for exceptional use. By the 1940s pylons were much cheaper than underground cables, providing a techno-economic rationale that remains politically persuasive today.

Why we love the countryside

One reason pylons are so controversial is related to a particularly English fascination with landscape. The geographer David Matless wrote some years ago of the “powerful historical connection” between Englishness and a vision of its countryside. People feel a degree of ownership over a varied landscape, encompassing lowland and upland, north and south, picturesque and bleak, and often have strong opinions about what “fits”, what constitutes “heritage” and what is “out of place”.

Even if most of England is privately owned and commercially farmed, many people still imagine the land as a public good tied to national sentiments and see pylons as intruders in the landscape.

Pylons in fields above reservoir — Intruders? Pylons in England’s Peak District.
Martin Charles Hatch / shutterstock

This could also explain why proposals to build infrastructure across the English countryside often provoke significant objections. My research on planning in the Home Counties (the areas surrounding London) back in the 1990s revealed a very determined population of well-educated and well-resourced people willing to spend significant amounts of time and money ensuring that the landscape met their expectations.

Concerted efforts had seen off a proposal from the then Conservative government to build a motorway through the Chiltern Hills to the west of London, for example.

There were, and still are, innumerable village groups willing to turn up to public enquiries and to pay lawyers to launch appeals and legal challenges. They may have been sceptical of the more grungy road protesters (historically embodied by the indomitable Swampy), but there was certainly common purpose.

My conclusion at the time was never to underestimate the effectiveness of local action where people’s vision of the English countryside was challenged. More recently, plans to run the HS2 rail line through those same hills ran into fierce local opposition, which prompted significant redesigns.

That’s all well and good, but today we face catastrophic climate change and biodiversity loss. Wind turbines are one of the most effective ways to decarbonise electricity supplies, but they are in different places from the old coal and gas power stations. Ironically, the same love of landscape that pushed wind farms out to sea now fuels opposition to the cables that bring the power back to land.

Democratic decisions?

One of the challenges here is that decisions over things like high-voltage transmission lines are based on models that seek to “optimise” the design of equipment, on the basis of cost or effectiveness, or both. These models have no way to account for landscape and heritage value or aesthetics and should never be the sole basis for decisions about infrastructure.

Running pylons across Suffolk might be the cheapest route with least electrical loss, but is it the best option? What would the alternatives be? Starting the discussion from the basis of techno-economic modelling often preempts a properly balanced debate.

This isn’t an argument for or against big pylons. It’s a call for more democratic planning and not less.

Studies consistently show that people resent being excluded from decisions that reshape their landscape and environment. Planning is a political process, and in any such process, humiliating your opponent rarely leads to long-term harmony.

Top down decisions about “national infrastructure” may save time on paper but are not a good way to make progress. It appears autocratic and shifts objectors onto the streets or into the courts.

Real consultation takes time and effort. But it builds trust and leads to better outcomes.

Maybe pylons are the least-worst option. Maybe not. But we won’t know unless we ask – and listen.

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Simone Abram receives funding from EPSRC for research on integrated energy systems and equality, diversity and inclusion in energy research. She received funding from the Norwegian Research Council for research on socially-inclusive energy transitions. Her Chair is co-funded by Ørsted UK but she does not represent the company in any way and any views expressed here remain independent.

– ref. ‘Pylon wars’ show why big energy plans need locals on board – https://theconversation.com/pylon-wars-show-why-big-energy-plans-need-locals-on-board-258877

July 7, 2025

Why snappy dogs, scratchy cats, and hungry worms were part of a medieval woman’s vision of the afterlife

Source: The Conversation – UK – By Diane Watt, Professor of English, University of Surrey

Detail from The Mouth of Hell in The Hours of Catherine of Cleves (1440). The Morgan Library & Museum

The afterlife is not typically associated with aggressive pets and insatiable worms. But these are exactly the creatures that appeared to an unnamed woman recluse living in Winchester, England, over the course of three nights in the summer of 1422. The woman was an anchoress. That means she had chosen – and subsequently vowed – to live in solitary confinement within a small cell attached to a church for the rest of her life.

The recluse wrote a vivid account of her vision and sent it to her confessor and a circle of influential churchmen. Her letter, known today as A Revelation of Purgatory, makes her one of the earliest known women writers in the English language.

Despite deserving this accolade, the Winchester recluse did not appear alongside her more famous contemporaries or near contemporaries, Julian of Norwich (1342 – after 1416) and Margery Kempe (circa 1373 – after 1438), in the British Library’s hugely successful recent exhibition, Medieval Women: In Their Own Words. One likely reason for this is that the manuscript copy of the full account of the vision was not available for display at the time. That situation has now changed.

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The British Library has just announced the purchase of five medieval manuscripts from Longleat House in Wiltshire. One of these manuscripts contains the complete surviving version of the recluse’s letter, which, although referred to in an incomplete version elsewhere as “a revelation recently shown to a holy woman”, is untitled in this particular manuscript. This may be another reason for this woman’s writing having been overlooked until very recently. This exciting purchase will hopefully now give the Winchester recluse and her writing the attention they deserve.

Painting of angels feeding souls through a purgatorial furnace — Angels feeding souls through a purgatorial furnace in the 15th century manuscript Très Riches Heures du Duc de Berry.
Wikimedia Commons

In her vivid, technicolor visions, the recluse watched a dead friend, a nun named Margaret, ushered to the forefront of purgatory by a cat and dog that she had adored and pampered when she was alive.

Transformed into vicious satanic minions, Margaret’s former pets joined the many devils responsible for doling out her punishments. They tore endlessly at her flesh and bit and scratched her relentlessly. They did so to remind her that, as a nun, she had broken her vows by keeping them as her companions in her nunnery and by devoting too much love and attention to them.

In Margaret’s heart, too, a voracious little worm had taken up residence – a so-called “worm of conscience” – that was intent on consuming her from the inside out as part of her torment.

So deeply troubling was this vision of her friend’s suffering that the Winchester recluse immediately summoned her young maid, and the two women started to pray for the nun’s soul. On the very next day the recluse decided there was nothing for it but to document her visions of Margaret’s fate. She not only detailed all she had seen, but also stipulated which prayers, and how many, should be said on behalf of poor Margaret to deliver her from her suffering and help her reach the gates of heaven.

The recluse’s letter is very specific about the date of these visions: they took place on St Lawrence’s day, August 10 1322, which fell on a Sunday that year. There was – and still is – a small church dedicated to this saint very close to the cathedral in Winchester (the so-called Mother Church of Winchester).

As an anchoress, the author would almost certainly have occupied a cell attached to a church somewhere in Winchester. This would also have allowed her the time and the space for contemplation, study and writing.

As has been argued in a recent blog and podcast for the University of Surrey’s Mapping Medieval Women Writers project, it is quite possible that the Church of St Lawrence was the location of her cell, where she experienced her visions, and where she wrote down her account of them.

This manuscript now permanently joins an unparalleled collection of medieval women’s writing in England held in the British Library. It includes not only The Book of Margery Kempe, manuscripts of both the short and long texts of Julian of Norwich’s Revelations, but also the Lais and Fables of Marie de France, the Boke of Saints Albans attributed to Juliana Berners, and the letters of the 15th-century Norfolk gentlewoman Margaret Paston and other female family members.

As such, the work of this unnamed Winchester anchoress now takes up its rightful place alongside the writing of her hitherto better-known literary sisters.

Diane Watt has received funding from the AHRC, British Academy and Leverhulme Trust.

Liz Herbert McAvoy received funding for an associated project from the Leverhulme Trust.

Amy Louise Morgan does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Why snappy dogs, scratchy cats, and hungry worms were part of a medieval woman’s vision of the afterlife – https://theconversation.com/why-snappy-dogs-scratchy-cats-and-hungry-worms-were-part-of-a-medieval-womans-vision-of-the-afterlife-259409

July 7, 2025

Parting by Sebastian Haffner: the forgotten German novel of the early 1930s that’s become a bestseller

Source: The Conversation – UK – By Andrea Hammel, Professor of German, Aberystwyth University

Sebastian Haffner and his novel, Abschied (Parting). Wiki Commons/Canva, CC BY

Abschied (Parting) by Sebastian Haffner (1907-1999) is dominating the bestseller charts in Germany. It has been published posthumously, over 25 years after his death, after the manuscript was found in a drawer.

The novel is a love story between Raimund, a young non-Jewish German student of law from Berlin, and Teddy, a young Jewish woman from Vienna. Raimund and Teddy meet on August 31 1930 in Berlin and the novel covers the time they spend in Berlin and Paris together.

Abschied was written between October 18 and November 23 1932, just before the Nazi takeover. It reads in the breathless, immediate manner in which it was clearly conceived. It also gives a personal insight into the zeitgeist of the final months of the Weimar Republic.

Haffner was born Raimund Pretzel in Berlin, where he trained as a lawyer. He disagreed with the Nazi regime and emigrated to London in 1938. There, in order to protect his family in Germany from potential Nazi retribution he changed his name.

It is estimated that around 80,000 German-speaking refugees from Nazism lived in the UK by September 1939. Most of these refugees were Jewish, but there was also a sizeable number who, like Haffner, had fled for political reasons. Many politically committed exiles arrived soon after 1933 but this was not the case for Haffner. In the 1930s he was busy being a young man in Berlin, training as a lawyer and enjoying himself.

Haffner’s father was an educationalist who had a library with 10,000 volumes. As a young man Haffner liked reading, and toyed with the idea of becoming a writer and journalist, but his father advised him to study law and aim for a career in the civil service. Political developments in Germany made this option increasingly unpalatable. Initially Haffner found it difficult to see a way out. As he wrote in Defying Hitler: “Daily life […] made it difficult to see the situation clearly.”

In the book he also describes how he and other Germans acquiesced to the new regime. Haffner was disgusted with his own reaction to the SA (the Nazi party’s private army) entering the library of the court building where he was a pupil, asking those present whether they were Aryan and throwing out Jewish members of the court.

When questioned by an SA man, Haffner replied that he was indeed Aryan and felt immediately ashamed: “A moment too late I felt the shame, the defeat. I had said, ‘Yes’. […] What a humiliation to have answered the unjustified question whether I was Aryan so easily, even if the fact was of no importance to me.” Haffner never really took up his career as a lawyer, because it would have meant upholding Nazi laws and Nazi justice. Instead he started working as a journalist and writer, first in Germany and after his escape in 1938 in the UK.

Life in the UK

Soon after his arrival in the UK, Haffner finished a book titled Defying Hitler (1939). The memoir was both autobiographical and a political history of the period – but after the outbreak of the second world war it was considered not polemical enough, and was dismissed as an unsuitable explanation for the rise of Nazism at the time. But the intermingling of private and public history is of great interest to readers in the 21st century. Defying Hitler was published posthumously in German (2000) and in English (2003) and became a bestseller in both languages.

After Defying Hitler, Haffner turned to writing another book, Germany: Jekyll and Hyde (1940). It was more clearly anti-Nazi and focused on his journalism – during the war, he worked for the Foreign Office on anti-Nazi propaganda and he was later employed by The Observer as a political journalist. The book was a success, and Winston Churchill is said to have told his cabinet to read it.

The handwritten manuscript for Abschied, which was never published in Haffner’s lifetime, was found in a drawer by his son Oliver Pretzel, some time after his father’s death.

The German critic Volker Weidemann who wrote the epilogue to Parting toys with the idea that it was never published because its focus on the love story was considered a bit too trivial for such a great writer. Thanks to his work for The Observer after 1941, Haffner was a well-regarded political journalist and historical biographer. He became the paper’s German correspondent in 1954, and was well known for his column in West Germany’s Stern magazine and for his biographies, including one on Churchill (1967).

The perspective of a young non-Jewish German living a relatively ordinary life in the early 1930s makes Abschied a fascinating read. Academics have been exploring everyday life under Nazi rule for nearly half a century now, but it seems that modern readers are still keen to learn about it today.

Perhaps the novel resonates with so many German readers because we live in a time where many struggle with the inevitable continuation of everyday life while politics is becoming ever more extraordinary.

Andrea Hammel does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Parting by Sebastian Haffner: the forgotten German novel of the early 1930s that’s become a bestseller – https://theconversation.com/parting-by-sebastian-haffner-the-forgotten-german-novel-of-the-early-1930s-thats-become-a-bestseller-260154

July 7, 2025

How often should you really be washing your bedding? A microbiologist explains

Source: The Conversation – UK – By Primrose Freestone, Senior Lecturer in Clinical Microbiology, University of Leicester

Most of us spend around a third of our lives in bed. Sleep isn’t just downtime; it’s essential for normal brain function and overall health. And while we often focus on how many hours we’re getting, the quality of our sleep environment matters too. A clean, welcoming bed with crisp sheets, soft pillowcases and fresh blankets not only feels good, it also supports better rest.

But how often should we really be washing our bed linens?

According to a 2022 YouGov poll, just 28% of Brits wash their sheets once a week. A surprising number admitted to leaving it much longer, with some stretching to eight weeks or more between washes. So what’s the science-backed guidance?

Let’s break down what’s actually happening in your bed every night – and why regular washing is more than just a question of cleanliness.

Each night, as we sleep, we shed hundreds of thousands of skin cells, excrete oils from our sebaceous glands, and sweat up to half a pint of fluid – even if we’ve showered just before bed. Our skin hosts millions of bacteria and fungi, many of which are transferred onto sheets, pillows and duvets as we move during the night.

That fresh sweat may be odourless, but bacteria on our skin, particularly staphylococci, break it down into smelly byproducts. This is often why you wake up with body odour, even if you went to bed clean.

But it’s not just about microbes. During the day, our hair and bodies collect pollutants, dust, pollen and allergens, which can also transfer to our bedding. These can trigger allergies, affect breathing, and contribute to poor air quality in the bedroom.

Dust mites, fungi and other unseen bedfellows

The flakes of skin we shed every night become food for dust mites – microscopic creatures that thrive in warm, damp bedding and mattresses. The mites themselves aren’t dangerous, but their faecal droppings are potent allergens that can aggravate eczema, asthma and allergic rhinitis.

Fungi also find your bed appealing. Some species, like aspergillus fumigatus, have been detected in used bed pillows and can cause serious lung infections, particularly in people with weakened immune systems.

If you sleep with pets, the microbial party gets even livelier. Animals introduce extra hair, dander, dirt and sometimes faecal traces into your sheets and blankets, increasing the frequency at which you should be washing them.

So, how often should you wash your bedding?

Sheets and pillowcases

When: Weekly, or every three to four days if you’ve been ill, sweat heavily, or share your bed with pets.
Why: To remove sweat, oils, microbes, allergens and dead skin cells.
How: Wash at 60°C or higher with detergent to kill bacteria and dust mites. For deeper sanitisation, tumble dry or iron. To target dust mites inside pillows, freeze for at least 8 hours.

Mattresses

When: Vacuum at least weekly and air the mattress every few days.
Why: Sweat increases moisture levels, creating a breeding ground for mites.
Tips: Use a plastic or allergen-proof mattress protector and replace the mattress every seven years to maintain hygiene and support.

Pillow interiors

When: Every four to six months (check the label first).
Why: Internal filling can harbour bacteria and mould.
How: Wash thoroughly and dry completely to avoid fungal growth.

Blankets and duvet covers

When: Every two weeks, or more often if pets sleep on them.
Why: They trap skin cells, sweat and allergens.
How: Wash at 60°C or as high as the care label allows. Some guidance recommends treating these like towels: regular and hot washes keep them hygienic.

Duvets

When: Every three to four months, depending on usage and whether pets or children share your bed.
Why: Even with a cover, body oils and mites eventually seep into the filling.
How: Check the label: many duvets are machine-washable, others may require professional cleaning.

Your bed may look clean – but it’s teeming with microbes, allergens, mites and irritants that build up fast. Washing your bedding isn’t just about keeping things fresh; it’s a matter of health.

Regular laundering removes the biological soup of sweat, skin, dust and microbes, which helps to reduce allergic reactions, prevent infections and keep odours at bay. And as research continues to show the profound effect of sleep on everything from heart health to mental clarity, a hygienic sleep environment is a small but powerful investment in your wellbeing.

So go ahead – strip the bed. Wash those sheets. Freeze your pillows. Your microbes (and your sinuses) will thank you.

Sweet dreams – and happy laundering.

Primrose Freestone does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. How often should you really be washing your bedding? A microbiologist explains – https://theconversation.com/how-often-should-you-really-be-washing-your-bedding-a-microbiologist-explains-256516

July 7, 2025

Undersea cables are vulnerable to sabotage – but this takes skill and specialist equipment

Source: The Conversation – UK – By John Aitken, Associate, RAND Europe, RAND Europe

Countries have come to rely on a network of cables and pipes under the sea for their energy and communications. So it has been worrying to read headlines about communications cables being cut and, in one case, an undersea gas pipeline being blown up..

Critical undersea infrastructure (CUI) as these connections are known, supports about US$9 trillion (£6.6 trillion) worth of trade per day. A coordinated attack on this network could undoubtedly have devastating consequences.

But, as a former submarine commander who researches maritime security, I believe that attacking and disrupting the network is not as easy as some reports might make it appear. Deliberately snagging a pipeline with a dragging anchor in relatively shallow waters can cause a lot of damage, but it is fairly indiscriminate trick with a shelf life, since the damage can be repaired, and deniability becomes increasingly difficult.

Targeting the cable networks in deeper waters require more sophisticated methods, which are much more challenging to carry out.

A hostile state wishing to attack this network first needs to locate the cables they wish to target. The majority of the newer commercial cables are very clearly charted, but their positions are not exact.

Cables and pipelines, even the heaviest ones, will drift somewhat as they are laid, and the deeper the water they sit in, the greater the distance they may drift.

Those newer cables are often buried in a shallow trench to protect them, which
makes locating and accessing them more challenging. Older cables were laid in slightly less exact navigational times, some before the GPS network was
available for civilian use. They are not in pristine or predictable patterns.

The positions of cables used by the military are generally not advertised at all, for reasons of security. Locating the target cable requires a detailed
understanding of the topography and features of the seabed. That sort of picture can only be built up by survey and reconnaissance.

Accurately surveying the seabed takes time and significant effort. And to get certainty of the picture, the survey or reconnaissance operation needs to be conducted in overlapping rows. This is painstaking work which is conditional upon the state of the sea.

Specialist equipment

Identifying a cable against the seabed or in the trench in which it lies requires a sonar resolution of something in the order of one or two metres, requiring specialist equipment.

In 2024, several submarine telecommunications cables were disrupted in the Baltic Sea. Although there had been suspicions about ships dragging their anchors to damage the cables, authorities were not able to confirm this. The damage has not been conclusively attributed to a third party.

There have been fears about “hybrid warfare”: deniable actions taken another nation that are enough to cause disruption, but are not enough to be an attributable act of war.

In 2017, the UK chief of the defence staff said that Russia posed a threat to undersea cables. Russia has spent considerable money, time and effort in developing the
platforms and capabilities that could target undersea infrastructure, if the country so wished.

An organisation called the Main Directorate of Deep-Sea Research (GUGI) operates deep-diving nuclear submarines, as well as a survey ship that is equipped with a deep diving submersible capable of operating at 6,000 metres.

Russian navy

The Russian navy also operates survey vessels such as the Akademik Vladimirsky. The precise sensors that the ship is equipped with are unknown – but in a 2012 research expedition to the South Pole it deployed a proton magnetometer, which can be used to discover metallic objects on the seabed such as pipelines.

However, there is no suggestion that these survey vessels have been involved in disrupting undersea infrastructure. Nevertheless, operations by such vessels do not go unobserved by the west. Indicators and warnings of their deployments can be gained from imagery, and western submarines are capable of tracking and observing their patrols.

The threat posed to Europe’s critical undersea infrastructure is real, and the consequences of a successful attack could be catastrophic. But this is a difficult business in a very challenging environment.

The most acute threat is in the littoral (shore zone), where cables make landfall and in the shallows around those landing places. Protecting these chokepoints should be a top priority.

That, in turn, requires adequate numbers of attack submarines capable of
monitoring and, if necessary, deterring or disrupting hostile activity. Vigilance,
investment, and realism – not alarmism – will be the foundation of a credible undersea defence.

John Aitken does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Undersea cables are vulnerable to sabotage – but this takes skill and specialist equipment – https://theconversation.com/undersea-cables-are-vulnerable-to-sabotage-but-this-takes-skill-and-specialist-equipment-259417

July 7, 2025

US backs Nato’s latest pledge of support for Ukraine, but in reality seems to have abandoned its European partners

Source: The Conversation – UK – By Stefan Wolff, Professor of International Security, University of Birmingham

Recent news from Ukraine has generally been bad. Since the end of May, ever larger Russian air strikes have been documented against Ukrainian cities with devastating consequences for civilians, including in the country’s capital, Kyiv.

Amid small and costly but steady gains along the almost 1,000km long frontline, Russia reportedly took full control of the Ukrainian region of Luhansk, part of which it had already occupied before the beginning of its full-scale invasion of Ukraine in February 2022.

And according to Dutch and German intelligence reports, some of Russia’s gains on the battlefield are enabled by the widespread use of chemical weapons.

It was therefore something of a relief that Nato’s summit in The Hague produced a short joint declaration on June 25 in which Russia was clearly named as a “long-term threat … to Euro-Atlantic security”. Member states restated “their enduring sovereign commitments to provide support to Ukraine”. While the summit declaration made no mention of future Nato membership for Ukraine, the fact that US president Donald Trump agreed to these two statements was widely seen as a success.

Yet, within a week of the summit, Washington paused the delivery of critical weapons to Ukraine, including Patriot air defence missiles and long-range precision-strike rockets. The move was ostensibly in response to depleting US stockpiles.

This despite the Pentagon’s own analysis, which suggested that the shipment – authorised by the former US president Joe Biden last year – posed no risk to US ammunition supplies.

This was bad news for Ukraine. The halt in supplies weakens Kyiv’s ability to protect its large population centres and critical infrastructure against intensifying Russian airstrikes. It also puts limits on Ukraine’s ability to target Russian supply lines and logistics hubs behind the frontlines that have been enabling ground advances.

Despite protests from Ukraine and an offer from Germany to buy Patriot missiles from the US for Ukraine, Trump has been in no rush to reverse the decision by the Pentagon.

ISW map showing the state of the conflict in Ukraine, July 6 2025 — Russia is now claiming to have completed its occupation of the province of Luhansk in eastern Ukraine.
Institute for the Study of War

Another phone call with his Russian counterpart, Vladimir Putin, on July 3, failed to change Trump’s mind, even though he acknowledged his disappointment with the clear lack of willingness by the Kremlin to stop the fighting. What’s more, within hours of the call between the two presidents, Moscow launched the largest drone attack of the war against Kyiv.

A day later, Trump spoke with Zelensky. And while the call between them was apparently productive, neither side gave any indication that US weapons shipments to Ukraine would resume quickly.

Trump previously paused arms shipments and intelligence sharing with Ukraine in March, 2025 after his acrimonious encounter with Zelensky in the Oval Office. But the US president reversed course after certain concessions had been agreed – whether that was an agreement by Ukraine to an unconditional ceasefire or a deal on the country’s minerals.

It is not clear with the current disruption whether Trump is after yet more concessions from Ukraine. The timing is ominous, coming after what had appeared to be a productive Nato summit with a unified stance on Russia’s war of aggression. And it preceded Trump’s call with Putin.

This could be read as a signal that Trump was still keen to accommodate at least some of the Russian president’s demands in exchange for the necessary concessions from the Kremlin to agree, finally, the ceasefire that Trump had once envisaged he could achieve in 24 hours.

If this is indeed the case, the fact that Trump continues to misread the Russian position is deeply worrying. The Kremlin has clearly drawn its red lines on what it is after in any peace deal with Ukraine.

These demands – virtually unchanged since the beginning of the war – include a lifting of sanctions against Russia and no Nato membership for Ukraine, while also insisting that Kyiv must accept limits on its future military forces and recognise Russia’s annexation of Crimea and four regions on the Ukrainian mainland.

This will not change as a result of US concessions to Russia but only through pressure on Putin. And Trump has so far been unwilling to apply pressure in a concrete and meaningful way beyond the occasional hints to the press or on social media.

Coalition of the willing

It is equally clear that Russia’s maximalist demands are unacceptable to Ukraine and its European allies. With little doubt that the US can no longer be relied upon to back the European and Ukrainian position, Kyiv and Europe need to accelerate their own defence efforts.

A European coalition of the willing to do just that is slowly taking shape. It straddles the once more rigid boundaries of EU and Nato membership and non-membership, involving countries such as Moldova, Norway and the UK.
and including non-European allies including Canada, Japan and South Korea.

The European commission’s white paper on European defence is an obvious indication that the threat from Russia and the needs of Ukraine are being taken seriously and, crucially, acted upon. It mobilises some €800 billion (£690 billion) in defence spending and will enable deeper integration of the Ukrainian defence sector with that of the European Union.

At the national level, key European allies, in particular Germany, have also committed to increased defence spending and stepped up their forward deployment of forces closer to the borders with Russia.

US equivocation will not mean that Ukraine is now on the brink of losing the war against Russia. Nor will Europe discovering its spine on defence put Kyiv immediately in a position to defeat Moscow’s aggression.

After decades of relying on the US and neglecting their own defence capabilities, these recent European efforts are a first step in the right direction. They will not turn Europe into a military heavyweight overnight. But they will buy time to do so.

Stefan Wolff is a past recipient of grant funding from the Natural Environment Research Council of the UK, the United States Institute of Peace, the Economic and Social Research Council of the UK, the British Academy, the NATO Science for Peace Programme, the EU Framework Programmes 6 and 7 and Horizon 2020, as well as the EU’s Jean Monnet Programme. He is a Trustee and Honorary Treasurer of the Political Studies Association of the UK and a Senior Research Fellow at the Foreign Policy Centre in London.

– ref. US backs Nato’s latest pledge of support for Ukraine, but in reality seems to have abandoned its European partners – https://theconversation.com/us-backs-natos-latest-pledge-of-support-for-ukraine-but-in-reality-seems-to-have-abandoned-its-european-partners-260334

July 7, 2025

What people really want from their GP – it’s simpler than you might think

Source: The Conversation – UK – By Helen Atherton, Professor of Primary Care Research, University of Southampton

Booking a GP appointment is a routine task, yet for many people it’s a source of frustration. Long waits, confusing systems and impersonal processes have become all too familiar. While much attention has been paid to how difficult it is to get an appointment, less research has asked a more fundamental question: what do patients actually want from their general practice?

To answer this, my colleagues and I reviewed 33 studies that were a mixture of study designs, and focused on patients’ expectations and preferences regarding access to their GP in England and Scotland.

What people wanted was not complicated or cutting edge. People were looking for connection; a friendly receptionist and good communication from the practice about how they could expect to make an appointment. And they wanted a general practice in their own neighbourhood with clean, calm waiting rooms. So far, so simple.

People wanted booking systems that were simple and user-friendly, without long automated phone menus (“press one for reception”). Preferences varied. Some patients valued the option to book appointments in person at the reception desk, while others preferred the convenience of online booking.

Regardless of how they booked, patients wanted shorter waiting times or, at least, clear information about when they could expect an appointment or a callback.

Ideally, general practice would be open on Saturdays and Sundays for those who cannot attend during the week.

Remote consultations – by phone, video or email – have become more common since the pandemic, and many patients found them helpful. For those with caring responsibilities or mobility issues, they offered a convenient way to access care without needing to leave home.

However, remote appointments weren’t suitable for everyone. Some patients lacked privacy at work, while others – particularly those with hearing impairments – found telephone consultations difficult or impossible to use.

What patients consistently wanted was choice, particularly when it came to remote consultations. While in-person appointments were seen as the gold standard, many recognised that telephone or video consultations could be useful in certain situations. Preferences varied widely, which made the ability to choose the type of consultation especially important.

Patients also wanted choice over who they saw, especially for non-urgent issues or when managing ongoing health conditions.

In today’s general practice, care is often delivered by a range of professionals, including nurses, pharmacists and physiotherapists. While many patients were open to seeing different healthcare professionals, older adults and people from minority ethnic backgrounds were more likely to prefer seeing a GP.

Overall, patients wanted the option to choose a GP over another healthcare professional – or at least be involved in that decision.

Satisfaction at all-time low

Unsurprisingly, what patients want from general practice varies, reflecting different lifestyles, needs and circumstances. But what was equally clear is that many people are not able to get what they want from the appointment system.

According to a recent British Social Attitudes survey, patient satisfaction with general practice is at an all-time low, with just below one in three people reporting that they are very or quite satisfied with GP services.

Some elements of the UK government’s recently announced ten-year plan for the NHS in England may address some of these concerns, but it remains far from certain. The emphasis on the NHS app as a “doctor in your pocket” does not align with what many patients are asking for: genuine choice over whether they access care online or in person.

A mobile phone showing the NHS app. — Not everyone wants a doctor in their pocket.
NHS/Shutterstock.com

The proposal to open neighbourhood health centres on weekends could benefit those who need more flexible access. However, simply increasing the number of appointments misses the point: patients want more than just availability. They want care that is accessible, personalised and responsive to their individual needs.

The evidence is clear and the solutions simple, yet patient satisfaction remains at an all-time low. The government must stop assuming technology is the answer and start listening to what patients are actually telling them. The cost of ignoring their voices is a healthcare system that serves no one well.

Helen Atherton receives funding from the National Institute for Health Research and the Research Council of Norway.

– ref. What people really want from their GP – it’s simpler than you might think – https://theconversation.com/what-people-really-want-from-their-gp-its-simpler-than-you-might-think-260520

July 7, 2025

Georgia: how democracy is being eroded fast as government shifts towards Russia

Source: The Conversation – UK – By Natasha Lindstaedt, Professor in the Department of Government, University of Essex

Georgia was once considered a post-Soviet success story. After years of authoritarian rule, followed by independence which brought near state collapse, corruption and chaos, Georgia appeared to have transitioned to democracy.

In a period after independence in 1991 and before 2020, elections were regularly held and were deemed mostly free and fair, the media and civil society were vibrant and corruption levels had diminished significantly.

The “Rose revolution” in 2003 ushered in an era of unprecedented reform and suggested a move towards democracy and a closer relationship with the west. Georgians were full of hope for the country’s future, and prospects of joining the European Union – or at least moving closer to Europe.

Fast forward two decades and Georgia has fully returned to authoritarianism. Six opposition leaders are in prison or facing charges and now thinktank leaders are being targeted with investigations that could land them in prison. Typically these charges centre around accepting foreign funding or criticising the government.

In moves in line with other authoritarian regimes around the world, opposition organisations such as thinktanks are being told to produce financial documents in short timeframes, and accused of financial mismanagement and threatened with prosecution if they don’t.

In May 2024, Georgia passed a Russian-inspired foreign agent law — which would require non-governmental organisations (NGOs) receiving foreign funding to register themselves and face restrictions. Protests erupted each time Georgia’s parliament debated this measure, but eventually the pro-RussianGeorgia Dream party prevailed. More than 90% of NGOs receive funding from abroad, so the new law cripples the efforts of some 26,000 of them.

Many Georgians were outraged that the passage of the bill may end dreams of one day becoming a European Union candidate country. Regular surveys have found that about 80% of Georgians have aspirations for their country to join the EU.

Though Georgia faces a host of economic problems, the Georgia Dream party has campaigned on delivering a return to traditional values. Like Russia they have also passed a series of laws in 2024 that target the LGBTQ+ community, such as banning content that features same-sex relationships and stripping same-sex couples of rights, such as adoption.

Parallels with Russia?

Georgia Dream also passed legislation making treason a criminal offence, a clear attempt to eliminate political opponents. Any insults of politicians online are also considered a criminal offence.

Also, in June of this year civil society organisations in Georgia received court orders requiring them to disclose highly sensitive data. Meanwhile, members of the Georgia Dream party were accused of assaulting opposition party leader Giorgi Gakharia suffering a broken nose and a concussion, which they denied.

In another effort to exercise greater control over the state, since the beginning of this year more than 800 civil servants have been dismissed. Similar to the purges that took place in Turkey — this is not being done in the name of efficiency, but to ensure that the bureaucracy is loyal to wishes of the Georgia Dream government.

This hasn’t happened overnight, as the laws had already changed several times to weaken legal protections for civil servants.

During its time in government, the Georgia Dream party has moved the country much closer to Russia, often by portraying the nation as locked in a cultural struggle against the west. Despite this, 69% of Georgians still see Russia as Georgia’s main enemy, up from 35% in 2012.

Though the Georgia Dream party faces increasing public opposition to its rule, it gained nearly the same amount of votes in the 2024 elections as it did in 2012 – when it was at its peak of popularity. The election result in October 2024 may be partly explained by accusations of fraud and other irregularities.

How did this happen?

One of the first big threats to Georgia’s democracy came in August 2008 when Russia invaded the country to offer support for two breakaway regions in South Ossetia and Abkhazia which declared themselves independent from Georgia. The international community did little to censure Russia, giving Russian president Vladimir Putin the confidence to engage in further acts of aggression.

Russia has maintained troops in South Ossetia, only about 30 miles from Georgia’s capital Tbilisi, and continues to play an important role in Georgian politics, undermining democracy.

Iran
Infogram

The next threat came from within. Billionaire Bidzina Ivanishvili was elected prime minister of Georgia in 2012 as the leader of Georgia Dream. despite the fact that he officially stepped down from this position in 2013, he has wielded power behind the scenes and is still widely considered to be the de facto leader of Georgia.

Though Georgia did not immediately slide towards autocracy under the Georgia Dream party, today there are few remnants of democracy left. The major opposition parties are banned, opposition politicians and journalists are spied on, and protests are repressed by the police.

Cameras are now installed on the streets of Tbilisi as part of a crackdown on protest and fines for protesting have increased. Elections are no longer considered to be free and fair by the European Union and others as the Georgia Dream party uses its access to the state resources to dole out patronage to its supporters and intimidate voters.

In just over two decades, Georgia has managed to plunge back to authoritarianism. Once hailed as a beacon of democratic reform, the country is now gripped by a Russian-influenced ruling party that has consolidated power through repression, surveillance and manipulation.

But while the Georgia Dream party has tried to dismantle the country’s democratic institutions, support for resistance is high. According to a poll in 2025, more than 60% of respondents supported protests against the government and 45% identified as active supporters. And 82% feel Georgia is in crisis, with 78% blaming Georgian Dream.

It appears that Russia may have succeeded in undermining democracy in Georgia, but not in shaping hearts and minds.

Natasha Lindstaedt does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Georgia: how democracy is being eroded fast as government shifts towards Russia – https://theconversation.com/georgia-how-democracy-is-being-eroded-fast-as-government-shifts-towards-russia-260430