Verifying footage showing Sudanese army inside key townpublished at 14:09 BST
14:09 BST
Peter Mwai and Kumar Malhotra BBC Verify senior journalists
The Sudanese army, which has been fighting the paramilitary Rapid Support Forces (RSF) in a civil war since 2023, has announced the retaking of the town of Bara in the North Kordofan region of central Sudan – an important gain in its attempt to control more of the country.
With the fighting often taking place in remote areas, verifying videos and images posted on social media is an important means of confirming events.
We have located several videos showing Sudanese army soldiers and fighters from allied groups at several locations inside the town on Thursday, which is consistent with reports of its recapture.
The videos were filmed at a main road junction, outside the town courthouse, and at the main hospital. In some videos, the people filming mention the date as 11 September.
Image source, X
Image caption,
A key commander, Abu Aqla Keikal, seen with other fighters outside a Bara Hotel
One video filmed outside a hotel in the town shows a key commander Abu Aqla Keikal – who defected from the RSF last year. His defection enabled the army to take back another part of central Sudan from the RSF.
We have matched the buildings and other landmarks we see in the clips to images available on Google Maps and checked previous images of the army commander to the person seen in the video filmed at the hotel.
Controlling Bara allows the army the secure the North Kordofan state capital, El-Obeid and control another supply route into central Sudan from the capital, Khartoum, which it took back from the RSF earlier this year.
Minakshi produced a clinical performance to defeat England’s Alice Pumphrey in the women’s 48kg quarter-finals and assure India’s fourth medal in the World Boxing Championships 2025 in Liverpool on Friday.
World Boxing Cup Astana silver medallist Minakshi used her long reach to dominate Alice Pumphrey from the very first round and won the bout convincingly with a 5-0 verdict.
The Indian boxer joins the likes of Nupur Sheoran (women’s 80kg+) as well as Olympians Jaismine Lamboria (women’s 57kg) and Pooja Rani (women’s 80kg) in the semi-finals of the World Boxing Championships.
In the men’s 50kg category, Jadumani Singh Mandengbam faced former world champion Sanzhar Tashkenbay of Kazakhstan in the quarter-finals.
The 21-year-old Indian boxer, competing in his first world championships, took the fight to his more experienced opponent but could not avoid a 4-0 loss.
Later in the day, Jaismine Lamboria and Nupur Sheoran will try to seal spots in the gold medal matches when they take the ring in their respective semi-finals.
In the women’s 57kg weight category, Jaismine will be up against Paris Olympian Omailyn Carolina Alcala Cegovia of Venezuela, while Nupur will take on Seyma Duztas of Türkiye.
Nupur and Duztas had also squared off in the semi-finals of the World Boxing Cup Astana, with the Indian boxer winning the bout 5-0.
India have fielded a 20-member contingent at the inaugural World Championships. Commonwealth Games champion Nikhat Zareen crashed out of the World Championships on Wednesday, while Tokyo 2020 Olympic bronze medallist Lovlina Borgohain endured a disappointing outing with a second-round exit in the women’s 75kg.
Mikel Arteta has said that Bukayo Saka and William Saliba “want to be a big part of Arsenal’s future” as talks about new contracts for the pair continue.
Saka and Saliba, both 24, are in the last two years of their contracts with their current deals expiring in 2027.
Centre-back Saliba said in the summer while on the club’s pre-season tour of Singapore and Hong Kong that he would “hopefully” sign a new deal with the Gunners.
Arsenal have tried to secure the futures of their key players with Saliba’s centre-back partner signing a deal until 2029 and Myles Lewis-Skelly and Ethan Nwaneri signing new long-term contracts.
Saliba has been linked with Real Madrid in the past but has said the speculation is not something he thinks about and winger Saka has said he “wants to win wearing this [Arsenal’s] badge”.
Manager Arteta, speaking before Arsenal’s match with Nottingham Forest on Saturday, says the work to secure the players’ future hasn’t slowed down despite a busy transfer window with sporting director Andrea Berta taking a lead on discussions.
“That never stops,” Arteta said. “The collaboration around the club with what Andrea is doing and the agent is very good.
“The good thing is the players want to remain here and they want to be a big part of the history in this club over the next few years.
“Andrea will drive that and we will see where we go.”
Saka has been ruled out of tomorrow’s match with a hamstring injury while Saliba, who has an ankle issue, took part in today’s training session.
The Gunners have spent around £300m this summer as they look to try to win a first trophy since 2020.
This week is the first time Arteta will have the full complement of his players at the training ground since the transfer window shut and the arrival of Piero Hincapie on transfer deadline day, with Arteta saying the squad has “clarity” and he is “happy”.
Arsenal take on Forest at home on Saturday in what will be Ange Postecoglou’s first game in charge of his new team.
The former Tottenham Hotspur manager has yet to beat Arteta, losing his last three games against Arsenal but the Gunners boss is expecting a tough game.
“I think with Ange you know, his biggest strength is the way he has been. He has put his fingerprints on the team,” Arteta said.
“He has a very clear way of playing, a very clear DNA. Extremely good to watch, learn a lot from him. It will be a very difficult game.”
American consumers are downbeat about the economy, according to preliminary results of a monthly survey conducted by the University of Michigan.
The index measuring consumer sentiment fell unexpectedly this month to 55.4 from 58.2 in August as inflation is on the rise and job prospects are worsening. September’s reading also represents a 21% decline compared to a year ago, well before President Donald Trump took office and raised tariffs on practically everything the country imports.
In addition to inflation and the labor market, tariffs also remain a concern for consumers, Joanne Hsu, the survey’s director, noted.
“Trade policy remains highly salient to consumers, with about 60% of consumers providing unprompted comments about tariffs during interviews,” Hsu, said in a statement, noting that the same thing happened in the previous month.
Economists polled by FactSet had been anticipating a minor improvement in consumer sentiment from August. Despite sentiment that’s near historic lows in a survey that goes back to the early 1950s, consumers are still feeling slightly better about the economy now compared to April and May during Trump’s initial rollout of so-called “reciprocal” tariffs, according to prior readings.
The survey also spotlights what appears to be an increasingly bifurcated economy between income classes, where higher-income Americans continue to spend relatively freely and are feeling more optimistic about the state of the economy, while lower and middle-income Americans are cutting back and are more worried.
While the economy is nowhere close to where it was in the 1970s and 1980s, when the nation’s annual inflation rate and unemployment rate both hit double-digit levels, recent employment and inflation data have led to mounting concerns of stagflation – when the economy slows significantly while inflation accelerates.
Consumer prices rose 0.4% last month, bringing the annual inflation rate to 2.9%, according to Consumer Price Index data released Thursday. Meanwhile, there’s a laundry list of recent data pointing to a weakening labor market.
For example, first-time applications for unemployment benefits surged last week to their highest level in four years. Also for the first time in four years, there are more people looking for work than there are jobs available for them.
To top it off, the August employment report showed employers hired just 22,000 new workers and the unemployment rate rose to 4.3%, the highest level since 2021. The labor force snapshot also revealed that the US economy lost 13,000 workers in June, marking the first month since 2020 when employers laid off more workers than they hired.
“Economic sentiment declined more than expected in September largely because Americans are fearful of losing their jobs,” Heather Long, chief economist at Navy Federal Credit Union, said in a statement on Friday.
This string of data has essentially guaranteed the Federal Reserve will cut interest rates at its monetary policy meeting next week after having held rates steady for close to a year. Traders are also now betting on cuts at the subsequent two meetings this year, which has helped push stocks to record highs.
This story has been updated with additional developments and context.
Ovarian, endometrial, cervical, vaginal, and vulvar cancers are categorized as Gynecological Cancers (GC).1 The largest number of estimated new cancer cases among GC in both the US and Korea was endometrial, followed by ovarian and cervical cancer.2,3 The overall five-year survival rate of endometrial cancer is 81%; however, the five-year relative survival for distant metastasis was relatively low, at 18%.2 The five-year relative survival rate for ovarian cancer is about 50% because more than 70% of ovarian cancers are diagnosed at stage III or IV.2 The five-year relative survival rate of cervical cancer is 67%, and that of the early stage is more than five times higher than that of the advanced stage.2
Women with advanced GC receive various treatments and experience a low quality of life.4–6 They often experience disease-related symptoms and side effects such as anemia, indigestion, and neuropathy.5 People with advanced cancer also fear cancer progression, upcoming pain, and death because of an uncertain prognosis.7,8 Due to these significant physical symptoms and psychosocial burdens, advanced cancer is an existential threat and a major stressor for affected patients.9
Coping Strategies (CS) refer to constantly changing cognitive and behavioral means to manage specific external or internal needs generated by stressful events evaluated to exceed an individual’s resources.10 People with advanced cancer use various CS when faced with stressors.11 Classifying and organizing CS have been major research topics.12 Carver et al have developed a list of CS and aimed to confirm their usefulness.13 They suggested 14 distinct CS using elements of Lazarus and Folkman’s stress and coping model10 and Carver and Sheier’s self-regulation model.14 They are often categorized into three groups: Problem-focused Coping Strategies (PCS), Active Emotional Coping Strategies (Active ECS), and Avoidant Emotional Coping Strategies (Avoidant ECS).15 Specific CS are related to overall quality of life, including mental aspects such as depression and anxiety.11 The use of PCS and Active ECS correlated positively with quality of life.15,16 On the other hand, the use of Avoidant ECS negatively affected the quality of life.17
Previous studies have dealt with CS and the relationship between CS and quality of life in women with GC.18,19 In addition, earlier studies focused on the CS used by patients with advanced cancer and factors influencing the chosen CS.11,20 However, studies on CS used by women with advanced GC and the factors affecting the CS are limited.
Conceptual Framework
The Stress Adaptation Model by Stuart can provide an overview of the care process through predisposing factors, precipitating stressors, appraisal of stressors, coping resources, and coping mechanisms.21 The present study considered factors that affect CS based on the Stress Adaptation Model (Figure 1). This study modeled demographic characteristics as predisposing factors, clinical characteristics as precipitating stressors, and uncertainty as appraisal of stressors. In addition, three categories of CS are evaluated as a series of adaptive and maladaptive responses.
Figure 1 Conceptual framework of the study based on the Stress Adaptation Model by Stuart. Predisposing factors, precipitating stressors, appraisal of stressors, and coping strategies were arranged according to flow. The continuum of coping responses was evaluated as adaptive and maladaptive.
The purpose of the study was to identify the factors influencing CS in women with advanced GC. The specific aims were: 1) to determine if there are variations in the frequency of use of the 14 CS based on demographic and clinical characteristics, and 2) to ascertain whether there are differences in the frequency of use of the three categories of CS—PCS, Active ECS, and Avoidant ECS—based on demographic characteristics, clinical characteristics, and uncertainty.
Methods
Study Design
This study analyzed secondary data from a cross-sectional survey that examined the mediating effect of CS on the relationship between uncertainty and quality of life in women with GC.22
Data Source
As a secondary data analysis study, this research used data. There was no missing data in the 143 data sets. The purpose of the original study was to investigate how CS mediated the association between quality of life and uncertainty in Korean women with GC. However, the goal of the current study was to focus more specifically on the variables influencing CS in women with advanced GC. Therefore, questionnaire items related to demographic and clinical characteristics, uncertainty, and CS were analyzed, while items assessing quality of life were excluded. The data for the present study were collected from a previous cross-sectional study performed between October and December 2022 with 165 participants at the Department of Gynecology at Hospital A, a tertiary medical institution in Seoul.22 The original data used in this study were informed of consent from study participants according to the guidelines set out in the Helsinki Declaration and approved by the Institutional Review Board of Asan Medical Center (S2022-2082-0001). Women to be included in the secondary data analysis were selected based on a diagnosis of GC in stage III or stage IV. A total of 143 participants were investigated. The statistical power analysis program G*POWER version 3.1.5 was used to determine whether the number of participants met the minimum sample size. The minimum required sample size was 139 to maintain a power level of 0.80, a medium effect size of 0.15, and a significance level α of 0.05 for multiple regression analysis.
Measurements
Uncertainty in Illness
The Mishel Uncertainty in Illness Scale (MUIS-A), developed based on disease uncertainty in illness theory, was administered to measure illness uncertainty.23 This instrument has 33 items rated on a five-point Likert scale that ranges from strongly agree (5 points) to strongly disagree (1 point). The higher is the score, the greater is the degree of illness uncertainty. The Cronbach’s alpha in a study by Mishel was 0.91 to 0.93,23 compared to 0.85 in a study conducted by Chung et al.24 In the present study, the translated Korean version of the MUIS-A showed a Cronbach’s alpha of 0.89.
Coping Strategies
The participants’ CS were assessed using the Brief Coping Orientation to Problems Experienced (Brief COPE) survey.25 This instrument has 28 items rated on a four-point Likert scale that ranges from “I haven’t been doing this at all” (1 point) to “I’ve been doing this a lot” (4 points). The Brief COPE was selected to measure CS, as it has the advantage of containing 14 different CS. Higher scores indicate a higher tendency to use the corresponding CS. The Cronbach’s alpha of the 14 sub-scales in a study by Carver ranged from 0.5 to 0.9,25 and that in a study by Kim ranged from 0.52 to 0.96.26 In the present study, 14 CS were grouped into three categories: PCS including active coping, planning, instrumental support, and religion; Active ECS including venting, positive reframing, humor, acceptance, and emotional support; Avoidant ECS including self-distraction, denial, behavioral disengagement, self-blame, and substance use.15 In this study, the translated Korean version of the Brief COPE showed a Cronbach’s alpha from 0.69 to 0.84.
Data Analysis
The analyses were conducted using IBM SPSS Statistics software Version 25.0 (IBM, Armonk, NY, USA). First, descriptive data were analyzed according to mean, standard deviation, frequency, and percentage. Second, differences in the frequency of use of 14 CS depending on demographic and clinical characteristics were analyzed through t-test and ANOVA. Third, the influences of demographic characteristics, clinical characteristics, and uncertainty on the tendency to use three categories of CS (PCS, Active ECS, Avoidant ECS) were analyzed through multiple linear regression. Simple linear regression was used to confirm whether these factors affected each of the three categories of CS. Then multiple linear regression was conducted using all significant factors from the simple linear regression. Multiple linear regression was used to identify the potential factors associated with the three categories of CS. A significant amount of linear intercorrelation between explanatory variables is represented by the multicollinearity, which is absent from the regression model as the variance inflation factor is lower than 10.27
Results
Characteristics, Uncertainty, and Coping Strategies of the Participants
The participant characteristics, uncertainty and CS are shown in Tables 1 and 2. The demographic data indicated that 67.2% of the participants were in their 50s or 60s, 81.8% were married, and 79.7% were unemployed. Most participants were in the middle subjective economic level (74.1%) and were high school graduates or above (72.8%). Of the participants, 55.2% identified as religious. Analysis of the clinical data indicated that 63.6% of participants had one or more comorbidities and 58.7% had ovarian cancer. Most participants experienced recurrence (60.1%) and metastases (75.5%). Regarding treatment experience, 70.6% underwent both surgery and chemotherapy. Of those participating in the study, 48.3% had been diagnosed for fewer than two years and 28.0% for more than four years. The mean score of uncertainty was 94.80 (SD = 14.05). The scores of the 14 CS were as follows. The three most used CS were acceptance, positive reframing, and self-distraction. The mean score of acceptance was 6.24 (SD = 1.22), positive reframing was 6.16 (SD = 1.76), and self-distraction was 5.98 (SD = 1.91). On the other hand, the least used CS was substance use, with a mean score of 2.03 (SD = 0.33).
Table 1 Demographic and Clinical Characteristics of the Participants
Table 2 Uncertainty and Coping Strategies of the Participants
Demographic and Clinical Characteristics Influencing the 14 Coping Strategies
Table 3 shows the differences in PCS according to demographic and clinical characteristics. Among the four sub-scales, there were significant differences in active coping, planning, and religion. Significant factors in active coping and planning were age, education, religion, comorbidity, and treatment experience. Participants in their 70s were less likely to use active coping (p <0.01) and planning (p <0.001) than those in their 40s. Compared to participants who were middle school graduates or below, those who had undergraduate degrees or above more frequently used active coping and planning (p <0.001). Participants who identified as Christian tended to use more active coping and planning than those who identified as Buddhist (p <0.01). Those who had one or more comorbidities were less likely to use active coping and planning than those who did not (p <0.001). Those who experienced both surgery and chemotherapy more frequently used active coping (p <0.05) and planning (p <0.01) compared to those who experienced only chemotherapy. Regarding religion, significant factors were education and subjective economic level. The participants who were undergraduates or above tended to use more religious coping than those who were elementary school graduates or below (p <0.01). Those in the higher subjective economic level were likely to use more religious coping than those in the lower (p <0.05).
Table 3 Differences in Problem-Focused Coping Strategies According to Demographic and Clinical Characteristics
The Table 4 shows the differences in Active ECS and Avoidant ECS according to demographic and clinical characteristics. Among the five sub-scales of Active ECS, there were significant differences in positive reframing and acceptance. Regarding positive reframing, a significant factor was subjective economic level. Participants in the higher subjective economic level tended to more frequently use positive reframing than those in the lower (p <0.05). Regarding acceptance, significant factors were education, subjective economic level, comorbidity, and recurrence. Compared to others, those who were elementary school graduates or below used acceptance less frequently (p <0.001). Those in the higher subjective economic level more frequently used acceptance than those in the middle, and those in the middle more frequently used acceptance than those in the lower (p <0.001). Those who had one or more comorbidities were less likely to use acceptance than those who did not (p <0.01). Those who experienced recurrence tended to use acceptance more frequently than those who did not (p <0.05).
Table 4 Differences in Active Emotional and Avoidant Emotional Coping Strategies According to Demographic and Clinical Characteristics
Among the five sub-scales of Avoidant ECS, there were significant differences in behavioral disengagement. The significant factors were subjective economic level and lymphedema. Compared to other participants, those in the higher subjective economic level tended to use less frequent behavioral disengagement than those in the lower and middle levels (p <0.01). Those with lymphedema were more likely to use more behavioral disengagement than those who did not (p <0.05).
Factors Influencing the Three Categories of Coping Strategies
In Table 5, the use of CS was influenced by various factors including demographic characteristics, clinical characteristics, and uncertainty. Regarding PCS, there were significant differences according to education, religion, and uncertainty. The use of PCS by those with elementary school degrees or below versus those with undergraduate degrees or above differed significantly (β = 0.353, p <0.05). There were significant differences in the use of PCS by Christian and non-religious participants (β = 0.330, p <0.001). There were negative relationships between PCS and uncertainty (β = −0.256, p <0.01). The regression model was statistically significant (F: 8.133, p <0.001), and the explanatory power of the model was 39.5% (R2: 0.450, R2 adjusted: 0.395). Regarding Active ECS, there was a significant difference according to uncertainty. There was a negative association between Active ECS and uncertainty (β = −0.394, p <0.001). The regression model was statistically significant (F: 4.669, p <0.001), and the explanatory power of the model was 20.5% (R2: 0.261, R2 adjusted: 0.205). Regarding Avoidant ECS, there was a significant difference according to uncertainty. There was a positive relationship between Avoidant ECS and uncertainty (β = 0.434, p <0.001). The regression model was statistically significant (F: 6.379, p <0.001), and the explanatory power of the model was 21.0% (R2: 0.249, R2 adjusted: 0.210).
Table 5 Factors Influencing Three Categories of Coping Strategies
Discussion
Based on the Stress Adaptation Model, this study identified adaptive or maladaptive CS used by women with advanced GC and evaluated the factors influencing CS. The study provided insight into the provision of interventions to help women with advanced GC use adaptive CS.
Demographic and Clinical Characteristics Influencing the 14 Coping Strategies
Modifiable Variables
There were differences in active coping, planning, and acceptance depending on the participants’ level of education. Some previous studies suggested that patients with lower education levels were able to cope more effectively with stress, as they are more likely to believe in recovery and accept cancer and therapy more readily.28 However, participants with less education used active coping and planning less frequently than those with higher levels of education in this study. Participants with higher levels of education were more likely to adopt effective stress-reduction strategies because they actively sought out opportunities to learn relevant information.29
There were differences in positive reframing, acceptance, behavioral disengagement, and religion depending on the degree of participants’ subjective economic level. Women suffered financial burdens and distress in the long-term course of cancer treatment, and these economic constraints could be important considerations in choosing CS.30,31
Non-Modifiable Variables
There were differences in CS depending on age, treatment experience, comorbidity, and lymphedema. Health providers should identify women with non-modifiable influencing factors associated with the use of maladaptive CS as a high-risk group and provide additional interventions.
In this study, older women with cancer used less frequent active coping and planning than younger women with cancer. Young women with breast cancer also perceived cancer as a challenge and took an active role in their treatment and recovery, while older women were more likely to experience hopelessness and helplessness when faced with cancer.32
Participants who have undergone both chemotherapy and surgery often use more active coping and planning than those who have only undergone chemotherapy. Surgery is an important treatment method for women with advanced GC.6 However, women who did not undergo surgery due to a terminal stage or changes in their condition or those who received neoadjuvant chemotherapy only underwent chemotherapy.6 Even if chemotherapy reduced the cancer size, they felt anxious because they did not undergo surgery, which is considered an PCS.33
Participants who had one or more comorbidities were less likely to use active coping, planning, and acceptance than those who did not. When experiencing new symptoms or deterioration, participants with one or more comorbidities were focused on diseases rather than health.34 In this situation, they used avoidant ECS such as not thinking or crying to gain energy to withstand stressful situations.34
Whether a person had lymphedema or not affected their level of behavioral disengagement. While patients with lymphedema in a previous study tended to adopt confrontation—a positive CS—the participants in the present study frequently employed behavioral disengagement, one of the avoidant ECS.35 This difference may be attributed to the clinical characteristics of the participants in this study, who had advanced cancer and experienced more severe symptoms compared to those in the previous study, which included patients with lower stages of swelling and less pain. These differences appear to have influenced the choice of CS. Women with lymphedema felt uncomfortable due to swelling symptoms and changes in body image.36 They used passive CS such as helplessness and depression to alleviate emotional damage.36
Factors Influencing the Three Categories of Coping Strategies
There were differences in PCS depending on education, religion, uncertainty, and Active/Avoidant ECS depending on uncertainty. In this study, uncertainty affected the three groups of CS; the higher was the level of uncertainty, the more frequent was the Avoidant ECS, and the less frequent were the PCS and Active ECS. If the uncertainty was high, women with advanced GC more often used maladaptive CS that were negatively related to quality of life.17
Clinical Implications
The findings of this study provide valuable evidence for developing interventions by identifying factors that affect CS of women with advanced GC. First, health providers should educate women with lower levels of education on adaptive CS and their implementation. In this study, women with higher education levels more frequently used active coping, planning, and acceptance than those with lower education levels. To address this gap, healthcare providers can introduce participants with limited educational backgrounds to adaptive strategies such as Acceptance and Commitment Therapy and problem-solving skills training.16,37 Education on adaptive CS may help these individuals better accept their condition, commit to value-based action, and improve self-management.16,37
Second, policy managers should provide social support to reduce the economic burden of the patients, while health providers should connect financially distressed women with advanced GC to appropriate support services. In this study, women with lower perceived economic status demonstrated less frequent use of positive reframing and acceptance, and more frequent use of behavioral disengagement. To address this, policies aimed at reducing the financial burden of cancer care are needed. Healthcare providers may guide patients to available financial assistance services within clinics or cancer centers.30
Third, health providers should identify women with non-modifiable influencing factors as a high-risk group and provide additional interventions. For high-risk groups, intensive interventions that encourage the early and sustained use of adaptive CS—such as acceptance, planning, and positive reframing—can reduce anxiety and depression and improve quality of life.38 In addition, social support from family and health professionals can enhance the use of adaptive CS among these high-risk groups.20
Fourth, uncertainty management interventions should be provided for women with advanced GC. The study found that women with higher levels of uncertainty were less likely to use PCS and Active ECS, and more likely to use Avoidant ECS. When individuals learn from their own experiences, cultural background, social resources, and medical professionals, their uncertainty can gradually decrease.23 In addition to educating women with advanced GC, health providers should support women in evaluating their situations and help them gain autonomy and a sense of control in managing illness-related uncertainty.39
Study Limitations
This study had several limitations. First, changes in CS over time and unique CS could not be observed because data were cross-sectional and quantitative. Future studies should explore how the use of different CS evolves throughout the course of cancer treatment and survivorship. In addition, incorporating qualitative data would help identify culturally specific CS that may not be captured through standardized instruments.
Second, the findings cannot be generalized as this study included a convenience sample of women with advanced GC from one tertiary medical center in Korea. While this study offers a valuable foundation for developing tailored interventions for women with advanced GC, its applicability to other cancer populations is limited. To reduce generalization bias, future research should include participants from hospitals of varying sizes and geographic regions. Additionally, further studies are needed to validate these findings across diverse populations, including individuals of different genders, nationalities, and cancer types.
Third, the study cannot identify all effects of factors affecting CS because this was a secondary analysis study using data collected for other studies. Future research should consider various factors that can affect CS based on the unique disease-related characteristics of women with advanced GC.
Conclusion
This study investigated the factors influencing CS used by women with advanced GC, based on the Stress Adaptation Model by Stuart. The findings revealed that acceptance, positive reframing, and self-distraction were most frequently employed, whereas substance use was the least. The statistically significant factors associated with the 14 CS were divided into modifiable (education and subjective economic level) and non-modifiable (age, treatment experience, comorbidity, and lymphedema) groups. The factor influencing all three groups of CS (PCS, Active ECS, and Avoidant ECS) was uncertainty.
Exploring and developing interventions that help women with advanced GC use adaptive CS should first identify factors associated with the CS. Considering the modifiable variables, health providers can provide educational programs and guide financial search services to women with lower education levels and subjective economic levels. In addition, considering the non-modifiable variables, health providers can perform intensive and individualized interventions by selecting women with variables that are highly related to maladaptive CS. Additionally, uncertainty management would be important when caring for women with advanced GC because uncertainty affected all three categories of CS.
Funding
There are no sources of funding for the original study.
Disclosure
The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
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It’s a tense time to be a nepo baby. On one hand, we have Romy Mars coaxing Jacob Elordi into TikTok dances, and Elon Musk’s daughter Vivian using her platform to relentlessly troll her father. (As she should). On the other hand, there are the slightly less inspiring, faux-humble, multi-hyphenate creatives, but I’ll leave names out of this. Personally, it’s easy to be pro-nepo when the offspring pays their dues to their famous parents and, crucially, to their parents’s legendary looks.
Sunday Rose arriving for a Chanel dinner in New York this week.
Photo: Getty Images
Nicole Kidman attending the Strictly Ballroom Premiere, 1992.
Photo: Getty Images
Case in point: Sunday Rose, Nicole Kidman and Keith Urban’s 17-year-old daughter, is currently making the rounds at New York Fashion Week. Rather than shying away from her nepo credentials, Sunday is leaning in. Much like Lila Moss faithfully channeling Kate’s most iconic looks via sheer slip dresses, LBDs, and beaten-up leather jackets, Sunday is embracing two of ’90s Nicole’s signatures: micro-sunglasses and tousled curls. The result is a Gen Z-meets-mini-Nicole moment that feels like a respectful nod to her famous family lineage.
It’s a style that, today, with the current trend rotation, is pretty easy to replicate yourself. Think tailored separates and said teensy, weensy vintage sunglasses, baby tees under blazers, tank tops with suit trousers. In need of a Nicole Kidman refresher? Circle back to the red carpet and street style moments she enjoyed while making movies like To Die For, The Portrait of a Lady, Eyes Wide Shut, Moulin Rouge!, The Others, and The Hours.
Nicole Kidman, 1999.
Photo: Getty Images
Sunday Rose at the Miu Miu Miutine party last week.
Photo: Getty Images
After making her runway debut for Miu Miu last year—alongside a star-studded line-up that included Alexa Chung, Little Simz, Hilary Swank, and Willem Dafoe—Sunday Rose Kidman Urban is claiming her place as part of fashion’s new nepo-baby wave. Also spotted hanging out with the aforementioned Romy Mars at the launch of Sofia Coppola’s new Chanel Haute Couture publication, could this be a sign that the band of TikTok-literate offspring is recruiting for its newest members? Nepo babies, your time is now.
The Pakistan Stock Exchange (PSX) ended the week on a bearish note, with the benchmark KSE-100 Index sliding 1,701 points, or 1.09%, to close at 154,440 on Friday.
The session began on a positive footing, but momentum faded quickly as profit-taking set in, pushing the index below the key 155,000 level.
Heavy selling in index-heavy sectors—banks, fertilisers, power, cement, and exploration and production—exerted downward pressure. UBL, FFC, ENGROH, HUBC, LUCK, and OGDC collectively knocked off 970 points from the benchmark, according to Ali Najib, Deputy Head of Trading at Arif Habib Ltd.
Also Read: Govt seeks IMF nod for new tax
Trading activity moderated, with volumes declining to 984.9 million shares, valued at Rs39.8 billion. FNEL led the chart with 61.9 million shares changing hands.
Despite Friday’s slump, the KSE-100 managed to finish the week marginally positive, adding 163 points, or 0.11%. The index opened the week at 155,057, touched a record high of 157,817, and dipped to 154,360 before closing at 154,440.
Analysts expect volatility to persist in the coming sessions, as investors continue booking profits. However, the 154,000 level is seen as a strong support zone, providing some stability to the market.
The Italian fashion house Giorgio Armani could soon be sold or become a publicly listed company, according to the late founder’s will.
The fashion designer, who died last week at the age of 91, said in the document that he wants his heirs to sell a 15% stake in the business within 18 months.
And three to five years after that he has instructed that an additional 30% to 54.9% stake be sold to the same buyer, according to a copy of the will reported on by Reuters, which also says an initial public offering could be pursued as an alternative.
The will says priority should be given to the luxury business LVMH, which is controlled by France’s richest man, Bernard Arnault; the beauty firm L’Oréal; or the eyewear company EssilorLuxottica, a commercial partner of Armani.
Armani stated his heirs should also consider other fashion and luxury companies in which Giorgio Armani has commercial ties.
The late designer was the sole shareholder in the company, under the control of his foundation.
On Friday, the company’s executive committee said that the Fondazione Giorgio Armani, which he set up in 2016 to guide future management and protect his values and principles, would always hold a stake of at least 30% in the business.
“Regardless of the corporate structure adopted, the foundation … shall never hold less than 30% of the capital, thereby acting as a permanent guarantor of compliance with the founding principles,” the executive committee said.
It added that the foundation would first focus on finding a new chief executive for the group. The executive committee also said it would give its full support to Armani’s will.
It added that all short- and medium-term decisions would remain with the founder’s family and his partner, Leo Dell’Orco, the head of the men’s style office, with support from the foundation.
Giorgio Armani: a celebrated fashion icon – video obituary
Armani set up Giorgio Armani SpA with his late partner, Sergio Galeotti, in the 1970s. He maintained tight managerial and creative control throughout his career and reportedly refused numerous offers to become part of one of the big four luxury fashion conglomerates.
He described the independence of his brand as “an essential value”.
Armani made €2.3bn (£2bn) in revenues last year, and over the decades the group has expanded to include a collection of hotels, restaurants, nightclubs, cosmetics, chocolates and even floristry.
In an interview with the Financial Times, published days before his death, Armani explained how he planned to pass on his vast estate.
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“My plans for succession consist of a gradual transition of the responsibilities that I have always handled to those closest to me … such as Dell’Orco, the members of my family and the entire working team.”
He added that he “would like the succession to be organic and not a moment of rupture”.
Armani has no children and the heirs to the fashion house are considered to be his sister, Rosanna, and nieces and nephew, Silvana, Roberta and Andrea, as well as his partner and right-hand man, Dell’Orco.
His family members all sit on the board, with the nieces and nephew also holding senior positions in the luxury fashion house.
Born in Piacenza, in northern Italy, in 1934, Armani originally pursued a career in medicine. He left the University of Milan before completing his degree to join the army. Shortly after, he began looking for a different type of career.
After working as a window dresser and later a sales associate at La Rinascente, a notable department store in Milan, he took on a menswear design role at Nino Cerruti.
Armani was 41 when he launched his own label. It was Galeotti, an architect by training, who convinced him to sell his Volkswagen Beetle to fund his own company. Galeotti ran the books while Armani focused on the creative side. When Galeotti died in 1985, Armani continued alone.
