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The recovery in Macau’s casino sector strengthened in July, with gaming revenue returning to about 68% of pre-pandemic

Official figures show that German beer sales resumed a long-term downward trend in the first six months of this year after rallying in 2022 thanks to the end of most COVID-19 restrictions

A 79-square-mile area of Los Angeles County is under quarantine after an invasive fruit fly was found there -- the first such quarantine for the pest in the Western Hemisphere, according to California officials.

Psoriasis has been a hot topic in the health world in recent years, thanks in part to one very vocal – and very famous – celebrity. Kim Kardashian has shared the ups and downs of her experience with the skin condition on TV and social media, and penned a piece on the subject for her sister Kourtney’s website Poosh. “When I was 25, I had my first psoriasis flare-up,” the reality star and entrepreneur wrote. “I got a common cold, and since psoriasis is an autoimmune condition, this triggered it. It was all over my stomach and legs.” After an injection of cortisone recommended by a dermatologist, the symptoms went away for five years, but came back when Kardashian was in her 30s. “Psoriasis can start at any age, but most often develops in adults between 20 and 30 years old, and between 50 and 60 years old,” says Dr Nisa Aslam, a GP from Typharm’s Skin Life Sciences Foundation. “The severity varies greatly. For some people, it may be relatively minor, whilst for others, psoriasis has a huge impact on quality of life.” In the case of Kardashian, her psoriasis – which has no known cure – also went away during her two pregnancies, but came back after and has fluctuated ever since. “I’ve become extremely comfortable with my psoriasis,” she continued in her essay, revealing that sometimes she covers it up with body make-up and sometimes she doesn’t. “I hope my story can help anyone else with an autoimmune disease feel confident that there is light at the end of the tunnel.” To mark Psoriasis Awareness Month in August, these are the key facts you need to know about the chronic condition… What are the symptoms of psoriasis? “Psoriasis is a type of skin disease that affects about 2% of the population of the UK,” says consultant dermatologist Dr Natalia Spierings, author of Skintelligent: What You Really Need To Know To Get Great Skin. “Patients develop thickened red plaques of skin with thick silvery white scale over the top.” The most common places for plaques to appear are the backs of the elbows, the front of the knees, the scalp and the lower back. They may be itchy or painful. “On brown and black skin, the patches can also be purple or dark brown in colour, and the scales may look grey,” says Aslam. Psoriasis is also linked with an inflammatory form of arthritis, known as psoriatic arthritis, which Kim Kardashian was diagnosed with in 2019. Aslam explains: “Psoriatic arthritis affects the nails, joints and can affect the eyes, the cardiovascular system and may cause insulin resistance, leading to diabetes.” What is it caused by? “Psoriasis is an ‘immune-mediated’ disease, which means that the skin is inflamed, due to a dysfunction or abnormality in how the immune system works,” Spierings says. Doctors believe that an overactive immune system speeds up skin cell turnover, which causes plaques. “Normal skin cells will grow and then shed off the top of the surface of the skin in a cycle which takes approximately a month,” Spierings continues. “In psoriasis, this process is sped up to only three or four days, so the skin doesn’t have time to shed off, and therefore the scale builds up on the skin.” Diet and lifestyle factors can cause flare-ups of the condition. “Known triggers include drinking excessive alcohol; family history; smoking; stress and hormonal changes, for instance during puberty and menopause,” says Aslam. “Plus certain medicines such as betablockers, used to treat high blood pressure; throat infections; other immune disorders and skin injuries. Obesity has been shown to double the risk of psoriasis.” What treatments are available? While there is no cure for the chronic condition, it is possible to treat the symptoms during flare-ups. “There are a variety of effective prescribed skin treatment options, from steroid ointments and creams, to the development of new formats like medicated tapes such as Fludroxycortide tape,” says Aslam. “This is a transparent medicated surgical tape impregnated with the steroid Fludroxycortide, which can be cut to size. When applied to the skin, it helps to reduce redness, swelling and itching.” UV light or sun exposure has also been shown to help psoriasis. “But remember that uncontrolled sun exposure also increases your risk of skin cancer and premature ageing,” says Spierings. “If you want to use sunlight therapy for your psoriasis, it is best to do this via a dermatologist using special machines to deliver the UV treatment.” Because it’s an inflammatory condition, psoriasis can be affected by what you eat. “Certain foods, particularly ultra-processed foods high in fat, salt and sugar may cause an inflammatory response,” says Aslam. “It’s important to stick to a healthy diet with plenty of vegetables, fruits, wholegrains, beans and lentils, and oily fish with small amounts of lean meat, and small amounts of dairy if liked.” She adds: “Finding the most effective therapy is often a matter of trial and error, so it’s important to keep going back to your doctor, or dermatologist, for advice.” Psoriasis and mental health It’s important to note that skin conditions like psoriasis can have a detrimental impact on mental health. “A recent Typharm survey found that 23% of those surveyed think others believe they are infectious and 19% think they are perceived as unhygienic,” Aslam says. However, it is not contagious or caused by poor hygiene. “Patients with psoriasis have a high risk of developing depression because of their skin problem,” says Spierings. “It is incredibly important to seek proper treatment if you have psoriasis or think you may have it.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How to dress in rainy summer weather How to make the Prince of Wales’s Earthshot burger 13 potential cancer symptoms you should get checked out

Amy Dowden has admitted that she is “not looking forward” to undergoing a procedure that will leave her with a permanently visible scar. The Strictly Come Dancing star, 32, underwent a single mastectomy to treat stage three breast cancer after she was first diagnosed in May. But last month, she was told she needed chemotherapy after further tumours were discovered following the surgery. In her latest update, the professional dancer shared a hospital selfie taken in the bathroom mirror, which showed her wearing a hospital gown and a face mask. She wrote over the photo: “Really not looking forward to this! Another scar this one only [an] inch long but will always remind me and will always be [visible].” Dowden also shared a series of photos from the procedure, which saw her getting fitted for a port for chemotherapy. Dowden wrote in the caption that she wanted to share her journey as she undergoes the treatment to “hopefully get others checking and for understanding what we go through”. “Wasn’t looking forward to it. Wasn’t easy... My veins! Feeling tender, bruised and sore but the port will help massively over the next few weeks and allow me to dance when I feel well enough,” she continued. “A port sits under the skin and the tube goes along my vein to the heart giving safe access for chemo (I believe. I’m no doctor!).” It comes after Dowden, who also suffers from Crohn’s disease, revealed in an Instagram Live chat with breast cancer survivor and Paralympian Erin Kennedy that “everything changed” for her. “I was originally going to have a lumpectomy, radiotherapy and hormone treatment. But then, after my MRI, they found another tumour so then it changed into a mastectomy and then, after my mastectomy, unfortunately, they found even more tumours,” she explained. “They found another type of cancer and then they told me I needed chemo – for me that was a massive blow. It wasn’t in the plan, originally – and I know the plan you can’t get fixated on.” She expressed fears that chemotherapy would stop her from her dance practice, adding: “You can take away my boob but you can’t take my dancing away from me and that’s what I get really upset about.” After her initial breast cancer diagnosis, Dowden was optimistic that she would be able to return to Strictly this year. However, her new treatment means she will not be able to do so in a competitive capacity. “This year, it means I’m not going to be able to dance with a celebrity on Strictly, but I’m in such regular contact with the team – the BBC have just been utterly incredible,” she said. Last week, Dowden made an emotional return to the set of the dance competition to see all her colleagues ahead of her treatment. In an Instagram Story update, she revealed she had surprised her friends on set and said: “I had happy tears to see them all. I got to watch some of the dancing, catch up with them all and hear some exciting plans for this series. I am excited for you guys, it is going to be absolutely brilliant.” Dowden first revealed her diagnosis in hopes it would raise awareness around the disease alongside her existing work on Crohn’s, a lifelong disease that affects parts of the digestive system. In 2020, she fronted a BBC documentary about how her life has been impacted by Crohn’s, titled Strictly Amy: Crohn’s and Me. Dowden is married to her long-term partner Benjamin Jones, who is also a professional dancer. They wed in 2022. Read More A psychic said she’d spoken to my late partner’s spirit – and I didn’t like it Prince Harry’s eco-tourism company quietly announces new board of directors - and he’s not on it Bakery delivers brilliant response to ‘well-known celebrity’ offering ‘exposure’ in return for free cakes Amy Dowden announces absence from Strictly Come Dancing due to chemotherapy Psoriasis Awareness Month: Everything you need to know Mandy Moore opens up about her two-year-old son’s Gianotti-Crosti Syndrome diagnosis

Diageo Plc’s sales growth cooled, especially in North America, after a post-pandemic boost wore off. Sales advanced 6.5%

Britain's Domino's Pizza Group announced a 70 million pound ($89.78 million) share buyback programme on Tuesday and raised

Over a six-week period this spring, the Indonesian nongovernmental organization Sungai Watch collected more than 40 tons, or

A zoo in eastern China has denied suggestions that some of its bears were people dressed in costume after videos of a Malayan sun bear standing on its hind legs -- and looking uncannily human -- went viral, fueling rumors and conspiracy theories on Chinese social media.

After a two-week absence, 'GMA' host Michael Strahan returned to his duties on July 31, delighting viewers with two enjoyable food segments

The number of migrants crossing Panama's dangerous, jungle-clad Darien Gap has swelled to almost 250,000 in the first seven months of 2023, surpassing the number that crossed in all of 2022

The $3.9 billion humanitarian appeal for war-torn Ukraine is less than 30% funded as the country starts preparing for a second winter with more residential buildings damaged and destroyed and thousands of people homeless following the collapse of the Kakhovka dam