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Whether you’re away on holiday or lounging in the sun at home, needing a siesta after lunch or a disco nap before dinner on a hot summer’s day is normal. But how can you tell when warm weather-induced drowsiness is something more serious? We asked doctors to explain… What is heat exhaustion? “Prolonged exposure to the heat can cause heat exhaustion. It is the body’s response to excessive loss of water and salt,” says Dr Preethi Daniel, deputy medical director at London Doctors Clinic. “Symptoms may be characterised by heavy sweating, rapid breathing, headache, high temperature, nausea, a faster and weak pulse, light-headedness, feeling fatigued and heat cramps.” Older people, babies, children and those with chronic illnesses are much more likely to develop heat exhaustion. “Symptoms are usually the same in adults and children, and can make children tired and floppy,” says Dr Luke Powles, associate clinical director at Bupa Health Clinics. While not life-threatening, heat exhaustion is a warning sign that you need to cool down promptly to prevent progression to heat stroke, which means getting out of the sun immediately. “Remove any unnecessary clothing, lie down and raise your feet so they are above the level of your heart and drink plenty of water,” says Powles. “You can also use a cool sponge to cool your skin. Make sure someone stays with you until you feel a bit better – which you should do in half an hour or so.” If you don’t start to cool down after 30 minutes, see medical help, as you may have developed heatstroke. What is the difference between heat exhaustion and tiredness? “Heat exhaustion is the direct result of spending too much time in the sun and often raises your core body temperature to over 38 degrees, which isn’t an indicator of general tiredness,” says Dr Carolyn Barshall, GP at independent charitable hospital King Edward VII’s. “Whereas tiredness can be caused by many lifestyle factors such as disordered sleeping patterns, alcohol and poor diet.” Daniel adds: “If you have a lack of energy or aches and pains, consider it tiredness, but if you have any of the other symptoms mentioned above, it could be heat exhaustion.” What is heatstroke? “Heatstroke is the end result of overheating,” says Daniel. “Our internal temperature rises and creates confusion, drowsiness and can lead to seizures.” Much more serious than heat exhaustion, it can cause a change in mental status such as, Barshall says: “Confusion, delirium, combativeness, seizures, loss of consciousness, and a core body temperature above 40 degrees.” Symptoms may also include skin that’s not sweating even when it feels hot, fast breathing or shortness of breath. “Heat exhaustion and heatstroke are often confused, but there is a difference,” says Powles. “Heatstroke should be treated as an emergency, whereas with heat exhaustion, the person needs to be cooled down.” If you suspect someone has heatstroke you should call 999 or seek emergency help immediately. How to stay safe in the sun To prevent heat exhaustion during summer, it’s important not to spend too long in the sun and to stay hydrated. “Avoid direct sunlight between 11am and 3pm, and wear light-coloured, loose clothing,” says Daniel. “Drink plenty of cold drinks and water throughout the day and limit alcohol intake.” To help little ones, she says: “You can keep a pram or buggy cool by covering it with a damp cloth and refreshing it every 30 minutes.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live King Charles enjoys a wee dram at the Met Highland Gamesv Why have the birds disappeared from my garden? Top Films: w/c Saturday, August 12

Health “guru” Dr Michael Mosley has offered his advice to those seeking to reduce their risk of developing osteoporosis, a condition characterised by weak or brittle bones. The medical expert and former doctor is known for his regular appearances on The One Show, as well as his TV programmes on health and medicine. Writing in his column for MailOnline, the creator of the 5:2 and Fast800 diets said he had found his bones were not as strong as they could be while filming a series about healthy ageing in 2022. “Like many Britons, my bones are weaker than they should be,” he wrote. “While filming a series about healthy ageing last year, I had a DXA scan, which uses low-dose X-rays to see how dense (or strong) your bones are. “Although I have a sturdy spine, my hip bones aren’t in great shape, though I don’t have osteoporosis.” Dr Mosley explained that the key to avoiding osteoporis involves getting a healthy intake of both calcium and Vitamin D, as well as a short but effective burst of exercise each day. “As well as obvious good calcium sources such as dairy and leafy green veg, you may want to top up on prunes,” he suggetsed. “A study last October in the American Journal of Clinical Nutrition, involing 235 older women, concluded eating five to six prunes a day improved bone density. The theory is that anti-inflammatory compounds in prunes may slow bone breakdown.” He also suggested that daily exercise could also help, citing a study that showed two minutes of hopping each day can improve hip bone strength. In 2020, Dr Mosley claimed that men were “more deluded” than women when it came to their own weight and fitness, while fronting a Channel 4 series to help people who had gained weight during lockdown. He told the Press Association: “An awful lot of people are unaware of how much weight they put on, particularly around the gut.” Research shows that only 10 per cent of people who are obese know they are but that the figure is only 7 per cent for men, Dr Mosley said, while “women are more aware of it”. He also denied that the show, which offers practical advice to overhaul viewers’ lifestyles, was about fat shaming: “Body shaming is awful. It is incredibly ineffective. Telling people they’re fat never, ever works,” he said. “None of this is about fat-shaming. It is entirely about helping people who are obese and who want to do something about it. Any diet is only ever going to work if the person wants to do it.” Read More Jamie Foxx and Jennifer Aniston issue statements over ‘antisemitic’ Instagram post Why is every celebrity couple breaking up? Relationship experts think we shouldn’t be so shocked Eye masks, kombucha and ‘the full spectrum of milks’: Gwyneth Paltrow finally gave us a tour of her fridge Health expert Dr Michael Mosley shares two tips for avoiding osteoporosis Will Smith says Willow ‘mutiny’ changed his view on family success Who was controversial vegan raw food influencer Zhanna D’Art:

Zhanna Samsonova was just 39 when she died, reportedly from “starvation and exhaustion”, thousands of miles from her birthplace in Moscow, Russia. The Instagram influencer’s tragic story has come under scrutiny due to her promotion of a completely “raw” diet, which reports have suggested was linked to her death. Under the name Zhanna D’Art, Samsonova regularly wrote about how she subsisted exclusively on fruit, vegetables, seeds, smoothies and juices while living in Malaysia. Her mother, Vera, attributed Samsonova’s death to a “cholera-like infection” that was exacerbated by her diet. In recent weeks, Samsonova had been unusually quiet on Instagram, with the exception of a troubling post shared just days before her death on 21 July. “Life is meaningless but worth living provided you recognise it’s meaningly,” she wrote, over a photo of herself wearing sunglasses, with a gasping expression on her face. Vera, 63, told Russian newspaper Novye Izvestia how she had begged her daughter to return home as she feared for her health. “I understood that Zhanna was about to die, but still I could not help her in any way. My daughter's life has turned into a nightmare,” she said, via LBC. She told the publication that she had “fought for years” to save her daughter, once an aspiring model, but she “refused to listen”. Samsonova is believed to have left Russia in 2006, buying a one-way ticket to spend the past 17 years travelling around Asia while blogging and practicing yoga. Photos shared by Vera showed a smiling Samsonova apparently taking part in a modelling contest. The images are in stark contrast to the final photos she shared of herself before her death, where she appeared visibly gaunt and malnourished. Her friends also spoke with local media, confessing they feared she was suffering from anorexia and that her diet was becoming increasingly limited. One of her neighbours, who was not named, said she was “horrified” when they met in Sri Lanka a few months ago, as Samsonova looked “exhausted” and had swollen legs “oozing lymph”. “They sent her home to seek treatment. However, she ran away again. When I saw her in Phuket, I was horrified,” the friend said, according to The Sun. “I lived one floor above her and every day I feared finding her lifeless body in the morning. I convinced her to seek treatment, but she didn’t make it.” Samsonova regularly made claims about the supposed benefits of her raw food diet, including that it offered “natural” protection from Covid-19. She also claimed that her body did not “require” water, writing last year that her fruit-based diet meant she had gone without water for the past six years. In recent months, she appeared to have become a fan of the durian fruit, sharing frequent posts that promoted it. “It’s that fabulous time of year again – Durian Season in Thailand!” she wrote in the caption of one of her final videos. “Wake Up And Smell the Durian! For all you durian lovers out there, isn’t it just the best? And for those who haven’t yet experienced the joy of durian, you’re in for a wild ride!” When she died, Samsonova had around 16,000 followers. At the time of writing, however, that number had increased to 33,000. There have been previous cases where people have starved to death due to their extreme diets, including children whose food intake was controlled by their parents. Last year, a vegan mother was sentenced to life in prison over the death of her 18-month-old son, who was fed a diet of raw fruits and vegetables. Prosecutors said that Sheila O’Leary’s son Ezra was severely malnourished, and weighed just 17 pounds when he died in September 2019. O’Leary was convicted by a Florida jury in June 2022 of first-degree murder, aggravated child abuse, aggravated manslaughter of a child, child abuse and two counts of child neglect. For anyone struggling with the issues raised in this article, eating disorder charity Beat’s helpline is available 365 days a year on 0808 801 0677. NCFED offers information, resources and counselling for those suffering from eating disorders, as well as their support networks. Visit eating-disorders.org.uk or call 0845 838 2040 Read More Vegan raw food influencer ‘dies of starvation and exhaustion’ ‘Love, obsession, extortion and murder’: The dramatic downfall of TikTok influencer who became a killer Royal family silent as Meghan Markle celebrates 42nd birthday Who was controversial vegan raw food influencer Zhanna D’Art: Health expert Dr Michael Mosley shares two tips for avoiding osteoporosis Will Smith says Willow ‘mutiny’ changed his view on family success

With a trio of indictments looming overhead, Donald Trump took time to assure his voters that he was focused on what really matters heading into 2024 — his shower's water pressure. During the keynote speech of a GOP dinner in South Carolina on Saturday, Mr Trump told the crowd that modern water pressures just weren't getting the job done. Though Mr Trump has proven in past speeches that he does not need segues — preferring instead to crash from topic to topic without regard for logic or causality — he did lead into his shower rant, sort of, by complaining about regulations. “You know I have this gorgeous head of hair – when I take a shower, I want water to pour down on me. When you go into these new homes with showers, the water drips down slowly, slowly,” Mr Trump told the diners. It is unclear where Mr Trump — whose two main domiciles are a luxury golf resort in Florida and a gilded skyscraper in Manhattan, both of which he owns — is experiencing these shower troubles. “You have suds, beautiful nice wonderful suds, a lot of money, Procter & Gamble, all that crap that they sell they say is good, probably costs ’em about two cents and they sell it for $10," Mr Trump said. "It takes you 10 minutes to wash your hair. You know what you do? You just stay in the shower about 10 times longer than you would have, it’s the same, you probably use more water. I broke all that up.” It's not the first time Mr Trump has complained about his bathroom activities being disrupted by water conservation efforts. In 2019 he made the telling-on-himself admission that Americans had to flush their toilets "10 times, 15 times, as opposed to once," blaming water regulating standards for his apparent need to flush a dozen times per use. “You turn on the faucet and you don’t get any water. They take a shower and water comes dripping out. Just dripping out, very quietly dripping out,” he said at the time. “People are flushing toilets 10 times, 15 times, as opposed to once.” The water issue was one of the few things Mr Trump did while in office that aligned with his early campaign promises; he directed the Department of Energy to ease up water conservation standards for showerheads. The former president may have changed the rules, but it didn't really change the way products were manufactured. Nearly all commercially available showerheads during his presidency adhered to the previous standards. Joe Biden reversed the measure following Mr Trump's presidency. Perhaps the most baffling element of Mr Trump's water gripes is his insistence that easing up regulations would actually save water. “[Americans] end up using more water. So [the] EPA is looking at that very strongly at my suggestion,” Mr Trump said in 2019. And later in 2019: “You go into a new building or a new house or a new home and they have standards only you don’t get water. You can’t wash your hands practically, there’s so little water comes out of the faucet. And the end result is you leave the faucet on and it takes you much longer to wash your hands,” Mr Trump said. He then told his supporters that his administration would be "looking at" the concept of "rain" and "opening that up." It is unclear what he was talking about, but here is what he said. “There may be some areas where we’ll go the other route – desert areas – but for the most part you have many states where they have so much water – it comes down, it’s called rain. They don’t know what to do with it,” he said, laughing at what presumably was a joke. “So we’re going to be looking at opening up that I believe. And we’re looking at changing the standards very soon.” Read More Trump attacks ‘delusional’ Pence over key role in election indictment: ‘Gone to the dark side’ Trump demands Judge Tanya Chutkan be removed from election case after ruling against him DoJ requests protective order after Trump threatens revenge in Truth Social post Trump attacks ‘delusional’ Pence over key role in election indictment Trump demands Judge Tanya Chutkan be removed from election case Vivek Ramaswamy's Hindu faith is front and center in his GOP presidential campaign

Ohio looked ready to pass an abortion rights amendment. Then Republicans planned another vote.

Los Angeles public employees citing “repeated labor law violations” said they will stop work for 24 hours on

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Will Smith says a “mutiny” by his daughter, Willow Smith, is what first caused him to change his perspective of success. The Hollywood actor has been stepping back into the spotlight following his infamous outburst at the 2022 Oscars, where he slapped Chris Rock on stage after the comedian made a joke about his wife, Jada Pinkett Smith. In an interview with fellow actor and comedian Kevin Hart, on his Peacock show Hart to Hart, Smith spoke about the moment his family rose to fame in 2010. While Smith had enjoyed his own success from 1999 thanks to NBC’s sitcom The Fresh Prince of Bel Air, Willow and his son Jada achieved their own fame in the early Noughties. Musician Willow, 22, released her debut single “Whip My Hair” in 2010, breaking into the UK and US charts when she was just nine years old. Meanwhile Jaden, a rapper and actor, starred opposite Jackie Chan and Taraji P Henson in The Karate Kid that same year, when he was 11. “2010 was like the greatest year as an artist, as a parent,” Smith told Hart, Metro reports. “Karate Kid came out in June and ‘Whip My Hair’ came out in October. I’m building this dream of a family I’ve had in my mind. I’m going to do it better than my father did it. We’ve talked about it, my father was abusive.” Smith seemed to imply that he was too hard on his family while trying to achieve the vision he had of a successful family. “‘No one wanted to be in a platoon,” he said. “Willow was the first one to begin the mutiny and it was my first realisation that success and money don’t mean happiness. “Up until that point, I really believed that you could succeed your way – to a house and a family – and you could win your way to happiness.” In a 2022 interview with The Independent, Willow Smith revealed that her parents struggled to understand her while she was growing up, due to their different upbringings. Meanwhile Jaden, 25, asked to become emancipated – where a child is removed from the control of their parents or legal guardians – from his parents when he was a minor, aged 15. His request came after he starred opposite his father in the box-office disaster, After Earth, which was also panned by critics. In his 2021 memoir, Smith recalled the moment his “heart shattered” when Jaden asked to become emancipated. “And what was worse was that Jaden took the hit,” the Independence Day star wrote, adding: “Jaden had faithfully done everything that I’d instructed him to do, and I had coached him into the worst public mauling he’d ever experienced.” Jaden ultimately decided against pursuing emancipation, but moved out of his family home that year. Will Smith is currently shooting a Bad Boys sequel with Martin Lawrence, with whom he has co-starred in three previous Bad Boys films, including the 1999 original. Read More Netflix leaves fans distraught as it announces end of beloved series One Tree Hill star Sophia Bush changes name after ‘filing for divorce’ from husband Grant Hughes Zhanna D’Art: Who was the controversial vegan raw food influencer who died from ‘starvation’? Who was controversial vegan raw food influencer Zhanna D’Art: Eva Mendes reveals she doesn’t let her daughters use the internet What is Stiff Person Syndrome?

Eva Mendes has revealed that she doesn’t let her and Ryan Gosling’s daughters use the internet. The actor, 49, took to Instagram on 3 August to share one of the rules that she has for her and Gosling’s daughters - Esmeralda, eight, and Amada, seven. Mendes shared a video of herself shaking her head no and wagging her finger, as she pointed out that’s how she responds to her children when they ask to use the internet. “When my kids ask me if they’re old enough to go on the internet, social media or anything requiring wifi,” she wrote in the caption. When a fan in the comments asked when she will allow her children use the internet, Mendes candidly confessed that she’s still figuring that out. She also specified that she’s been doing research on how social media can impact children as they continue to get older. “I honestly don’t know. I have to see where it goes,” the Hitch star responded. “For now, I’m observing them and keeping up with research about how social media can impact a child’s brain.” She responded to another fan who praised her parenting decision, with Mendes noting that while she’s “just sharing what [she] feels now”, she thinks it’ll be harder to keep her children away from the internet as they get older. Mendes clarified that her children are still given screentime, adding: “I let my kids use the iPad to make movies and watch films I’ve downloaded, but I don’t have internet access on the iPad.” The actress was also hit with some criticism for her parenting rule, with one Instagram user writing: “We are in the internet century so eventually everyone will need or want to access the internet sorry.” While it appears the comment has since been deleted, Mendes responded to the remark by explaining why she doesn’t feel like the internet is a safe space for her children. “In my house, children do not have access to the internet,” she responded to the remark, as reported by E! News. “It’s too dangerous. Just like drinking or voting or getting a driver’s license (etc..) isn’t allowed for children, the internet falls under that category for me. Especially social media.” While Mendes and Gosling - who’ve been together since 2011 - are notoriously private about their family life, the couple have shared a few details about raising children together. During an interview with Byrdie in July 2022, Mendes explained that she and her partner want to make sure that their children feel confident in themselves throughout everything they do in life. “Hopefully Ryan and I are doing the work by just loving them, completely loving them, and doing most of that work for them so that they grow up feeling like they’re enough,” she said. “That’s the one thing that’s really important to me. Because once they feel like they’re enough, no matter what they do, no matter what they end up doing, that will feed into every area of your life. Especially into how attractive you feel, or any of that stuff.” In a cover story interview with GQ in June, Gosling also shared some candid thoughts about fatherhood. He revealed that prior to his relationship with Mendes, he didn’t think much about becoming a father. However, that all changed when Mendes told him she was pregnant. “Eva said she was pregnant,” he recalled. “I would never want to go back, you know? I’m glad I didn’t have control over my destiny in that way, because it was so much better than I ever had dreamed for myself.” Elsewhere in the interview, the Barbie star clarified previous comments he made about the moment Mendes learned she was pregnant. While he maintained that he “wasn’t thinking about kids” before they met, Gosling said: “After I met Eva, I realised that I just didn’t want to have kids without her.” Read More Eva Mendes shows off dress made out of sponges as she jokes it’ll be her Oscars outfit Ryan Gosling’s daughters hilariously prove ‘nobody plays with Ken’ Ryan Gosling’s subtle tribute to Eva Mendes at the Barbie premiere Eva Mendes reveals she doesn’t let her daughters use the internet What is Stiff Person Syndrome? Nearly half of US adults are interested in taking weight loss prescription drugs

A Texas judge has sided with a group of women who were denied abortions in the state, putting their health and lives at risk during dangerous complications. The judge has temporarily blocked the state’s ban on abortions during medically complicated pregnancies in response to a lawsuit from 13 women seeking urgent clarity in the state’s anti-abortion law. An injunction from District judge Jessica Mangrum on 4 August follows harrowing courtroom testimony from five plaintiffs during a two-day hearing in which they were cross examined by attorneys for the state, which has sought to toss the case out altogether. The judge has also rejected that request. “For the first time in a long time, I cried for joy when I heard the news,” lead plaintiff Amanda Zurawski said in a statement from the Center for Reproductive Rights, which is representing the women in the case. “This is exactly why we did this. This is why we put ourselves through the pain and the trauma over and over again to share our experiences and the harms caused by these awful laws,” she added. “I have a sense of relief, a sense of hope, and a weight has been lifted. Now people don’t have to be pregnant and scared in Texas anymore. We’re back to relying on doctors and not politicians to help us make the best medical decisions for our bodies and our lives.” Texas outlaws most abortions except for conditions that qualify as “medical emergencies,” sparking widespread confusion among providers and hospitals fearing legal blowback or severe criminal penalties. Healthcare providers in the state found in violation of those laws could lose their medical license, face tens of thousands of dollars in fines, or prison. The lawsuit asked the court to help provide clarity around what circumstances qualify as exceptions, allowing doctors to use their own medical judgment without fear of prosecution. In her ruling, Judge Jessica Mangrum wrote that doctors cannot be prosecuted for using their own “good faith judgment” in providing such care, and that “physical medical conditions include, at a minimum: a physical medical condition or complication of pregnancy that poses a risk of infection, or otherwise makes continuing a pregnancy unsafe for the pregnant person; a physical medical condition that is exacerbated by pregnancy, cannot be effectively treated during pregnancy, or requires recurrent invasive intervention; and/or a fetal condition where the fetus is unlikely to survive the pregnancy and sustain life after birth.” The injunction will be temporarily blocked if and when the state appeals the decision. “This makes me hopeful that we can continue to provide competent rational care,” said Dr Damla Karsan, who is among two obstetrician-gynecologists who joined 13 other Texas women in the case. “It’s exactly what we needed,” she added. “The court has guaranteed that we can once again provide the best care without fear of criminal or professional retribution. We can once again rely on our knowledge and training especially in challenging situations where abortions are necessary.” More than a dozen states, largely across the US South, have effectively outlawed abortions in the aftermath of the US Supreme Court decision to revoke a constitutional right to abortion care. The decision to overturn Roe v Wade and ensuing anti-abortion laws have upended access to care for millions of Americans who are forced to travel outside their states where abortion is protected, compounding the already-fractured and patchwork system for abortion care across the country. Anti-abortion laws in Texas have “paralyzed” health providers from being able to properly counsel and advise their patients, Dr Austin Dennard testified during the Texas abortion lawsuit hearing. “We’re truly doing the best that we can with the situation that has been given to us,” she said. Read More Texas women detailed agonising pregnancies after being denied abortions. The state blames doctors Texas women suing over anti-abortion law give heartbreaking testimony in landmark case. The stress causes one to vomit on the stand Texas man who threatened poll workers and Arizona officials is sentenced to 3 1/2 years Colorado fugitive who was captured in Florida was leading a posh lifestyle and flaunting his wealth A cyberattack has disrupted hospitals and health care in several states

The US Food and Drug Administration approved Astellas Pharma Inc.’s Izervay for the treatment of age-related macular degeneration,

The verdict is clear: Vietnamese people love coffee, but they don’t really seem to like Starbucks.