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  • Pakistan Army continue relief operations across flood-hit areas – RADIO PAKISTAN

    1. Pakistan Army continue relief operations across flood-hit areas  RADIO PAKISTAN
    2. Flash floods kill more than 280 people in India and Pakistan as thousands flee  AP News
    3. Probe blames dense fog for copter crash  The Express Tribune
    4. Britain’s Secretary Lammy conveys condolences on loss of lives in flash floods  Dunya News
    5. AWKU donates one-day salary for flood victims  nation.com.pk

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  • Conan O’Brien Weighs In on Colbert Cancellation, Late Night Future

    Conan O’Brien Weighs In on Colbert Cancellation, Late Night Future

    The Television Academy inducted six new members into its Hall of Fame on Saturday night, as Conan O’Brien, Ryan Murphy, Viola Davis, Henry Winkler, music composer Mike Post and late director Don Mischer joined the collection of TV greats.

    The 27th annual ceremony took place at the J.W. Marriott L.A. Live as O’Brien — presented his honor by longtime friend Lisa Kudrow — joked, “You know, people say that television is dying, but I want to ask you — if our industry really was in trouble, would we be gathered right now for our greatest night in a downtown Los Angeles Marriott? On a weekend? In August? No!”

    The longtime TV host used some of his speech to muse about the current state of late night, acknowledging, “Things are changing fast. I don’t claim to know the future of our beloved medium but I know this, getting the privilege to play around with an hour of television has been the great joy of my professional career.”

    He continued, “We’re having this event now in a time when there’s a lot of fear about the future of television, and rightfully so. The life we’ve all known for almost 80 years is undergoing seismic change. But — this might just my nature — I choose not to mourn what is lost, because I think in the most essential way what we have is not changing at all. Streaming changes the pipeline, but the connection, the talent, the ideas that come into our homes, I think it’s as potent as ever, and we have proof here tonight.”

    And in the wake of CBS announcing it will end The Late Show with Stephen Colbert next year, O’Brien said, “Yes, late night television as we have known it since around 1950 is going to disappear, but those voices are not going anywhere. People like Stephen Colbert are too talented and too essential to go away. It’s not going to happen, he’s not going anywhere. Stephen is going to evolve and shine brighter than ever in a new format that he controls completely.” He added the belief that he thinks TV will always prevail “if the stories are good, if the performances are honest and inspire; if the people making it are brave and of good will.”

    Earlier in the night, TV Academy Chair Cris Abrego and WME’s Rick Rosen, chair of the Television Academy Hall of Fame Committee, kicked things off, followed by Sally Field presenting Davis with the first honor of the evening. During her emotional speech, the EGOT winner noted how TV “saved me, it was an elixir. And it has been equally fulfilling being that person in that small screen, that is leaping out to anybody who has allowed me in to shake up their lives in any way I can see fit. My purpose is not what I do, it’s what happens to people when I’m doing it.”

    Journalist Jon Burlingame presented to Post and Disney’s Dana Walden was on hand to celebrate Murphy, as the creator teased at the podium, “I feel that at a certain age in Hollywood, if you’re really lucky and you really do the work, and you are true and you don’t give up and you fight like hell, you can get two things: a Hall of Fame award and a really good facelift. But first things first.”

    Looking back on his nearly three-decade career, Murphy noted how he has “created and written over 250 gay characters, 300 or so women-over-40 characters, over 1,000 trans characters — and I’ve been told I’ve written 10 straight male characters named Brad. I don’t remember a single one of those Brads.” On a more serious note, he commented how he thought after blazing a trail with LGBTQ storytelling, it would “never be overgrown and hidden again. And now oddly in this year of my Hall of Fame award, I find that I am wrong, and all the things that I dedicated my career to — all the fights, all the groundbreaking things — are in danger, shockingly, of going away.”

    Joking that at this stage of his career he thought he could coast and focus on money, Murphy said now “a new darker age that I think none of us suspected has dawned. And so I am pivoting to continue the good fight, which is to create more work featuring the disenfranchised and the ignored, and the marginalized groups,” adding, “my next career move is exact and true, and that is to be bolder.”

    For the remaining honorees, Bob Costas presented Mischer’s award — accepted by his wife and kids — and Adam Sandler sent a video message in support of Winkler; the Barry actor told the crowd, “I am living my dream and what I am the most proud of is to be in a Hall of Fame of television that has been so good to me; that I am still at the table.”

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  • ‘Adolescence’ Writer Jack Thorne On The Netflix Show That Got Everyone Talking

    ‘Adolescence’ Writer Jack Thorne On The Netflix Show That Got Everyone Talking

    Most shows take years to become part of the world’s consciousness, but Netflix show Adolescence did it within weeks of its debut in March of this year. One could try to be smart and say, well of course it did, since it’s a Plan B production, but even the collective wisdom of Brad Pitt’s company couldn’t have known that a gritty drama, set in a small town in the north of England, would reverberate in the way it did. But by being true to its core idea and rejecting all the stereotypical tropes of TV crime series, Adolescence made viewers think in a way that maybe they hadn’t thought before. Because it seemed real. Uncomfortably real.

    Compared to most four-part series of its kind, not a lot actually happens in Adolescence. The main event happens for the most part off-screen: 13-year-old Jamie (Owen Cooper) is accused of murdering a girl in his class at school, and his guilt is established at the end of the very first episode. But this isn’t a whodunit. The power of Adolescence is the way the enormity of this crime plays out over time, starting with the arrest, then the investigation, then the psychological report, and, finally, the family’s attempts to deal with it all.

    The show followed hard on the heels of the 2021 film Boiling Point, a collaboration between Adolescence star Stephen Graham, who plays Jamie’s father Eddie, and director Philip Barantini. It was a one-take drama in which Graham plays a chef on the edge, and the format suited the tension of the situation. With Adolescence, though, Barantini and Graham went a step further, in no small part thanks to writer and co-creator Jack Thorne. By forensically focusing on four specific hours in the crime being covered, Adolescence took audiences quietly but firmly into their worst nightmares. In the ’60s, the question was, “Do you know where your children are?” Today, the question is, “Do you know who your children are?”

    Adolescence made such a big impact that Prime Minister Keir Starmer held a summit at his home in Downing Street, and it quite likely had some bearing on the Online Safety Act, rolled out in increments. Now, in the UK, certain sites — some of them pornographic but not all —need “age assurance”, a measure that Thorne is wary of endorsing.

    “I think the government needs to be doing something more radical,” he says. “I know that that will make me unpopular amongst certain free speech defenders, but why should kids be given unfettered access to such an addictive substance? [The internet] is addictive, and we know it’s addictive. We’re all addicted. Some people are saying, ‘Well, we need to deal with our addiction first.’ But can’t we prevent them from falling into our traps, at least while their brains are the most plastic they’re ever going to be? Can’t we protect them from what we’re dragging them into? Saying we’ll put age verification on certain sites [is not enough]. Kids will find a way around that, because kids are a lot cleverer than we are — and a lot more sophisticated with this technology than we are.”

    Here, Thorne talks about the show and his upcoming projects, which include The Hack, about the very British News International phone-hacking scandal, an adaption of William Golding’s schoolboy survival story Lord of the Flies, and Sam Mendes’s Beatles project.

    DEADLINE: When did you realize that Adolescence was starting to take off? And, more importantly, when did you realize that people were getting it?

    JACK THORNE: There are two answers to that question. The first is, I am a ratings and TV nerd, so I check FlixPatrol, and I check all those weird websites that tell you all sorts of things about what’s number one and where in the world. I was checking that right from the start, which is really sad of me and I’m pathetic for doing so, but I was. [Laughs.] The second was when I started getting letters and emails. Not from people in the industry but mates from school, who were like, “I’ve just had a conversation with my 14-year-old that I never expected to have.” Those started rolling in, literally on day three. I was starting to get really emotional and personal messages from old friends. That was when it was like, “This is really doing something that I wasn’t expecting it to do.”

    DEADLINE: It’s been well covered but do you mind going back to the beginning of the process and explaining what you wanted to do with this story?

    THORNE: Yeah, it started with Stephen. Phil and Stephen had been talking. Phil had talked to Plan B, and Plan B had suggested this idea of doing a TV show. I don’t think they ever suggested doing a Boiling Point TV show, but a TV show that would use the one-shot in some way. Then Stephen phoned me up and said, “Phil and I have been talking. We think we can do a one-shot show, and I want to do it about knife crime. I think there’s a way of doing different angles on the same crime.”

    And it all started from there. Stephen had pretty clear ideas in his head about how he wanted certain things to work. The biggest idea he had in his head was, “I don’t want to blame the parents. I don’t want to make this a show that says, “This happened because Jamie had an alcoholic mother or an abusive father.” As soon as you eliminate that, and as soon as you decide that, at the end of Episode One, Jamie is going to be guilty, then it becomes a case of, “OK, how do we make this story as chaotic as Jamie’s brain? How do we get inside that head and create spheres of blame for him?”

    DEADLINE: How did that evolve?

    THORNE: I talked to Stephen until we had an idea of how each episode would work. Then I’d go away and work with Mariella [Johnson], who researches and builds stuff with me. What we do is, we do all the research on procedure — on what would actually happen — so that we’ve got all that detail down. Then as soon as I had all that stuff down, I talked to Stephen again and just checked in with him about how everything would work, story-wise. As soon as we were totally secure, that’s when I’d start writing. [Laughs.] I’d always be the typist. I was always the typist. Stephen and I would talk, but I was always the typist.

    Owen Cooper as Jamie Miller in ‘Adolescence’.

    Ben Blackall/Netflix

    DEADLINE: How long did it take to research? Were people willing to talk about this? It’s quite a dark subject.

    THORNE: The amazing thing is, there’s always people that will talk about it, and there are always people that are interested in the process enough and want to tell stories about what they’ve been through, whether you’re talking to someone who understands police procedure or someone who understands the legal system. What you then try to do is create layers. So, you’re constantly saying, “OK, so this is what’s happening in the story at this point. What would the lawyer be doing in this situation?” The police might give you one answer, but the lawyer will say, “Actually, I’d be doing something else.” You’re creating a map, and you’re trying to understand how all the different players play a role within that map, because, with this show, the camera can’t travel anywhere without a story.

    DEADLINE: A literal map?

    THORNE: That’s what Phil and Stephen instilled into me. It literally was, “You can’t ever cheat. You can’t ever have the camera travel without a character.” If the camera is traveling with a character, then that character has to have a story. So, in the first episode, we were working out what that police officer’s story was. Later on, we were working out what the lawyer’s story was. We were building this mad spider diagram. Then it was the case of forgetting that entire spider diagram while we were trying to actually write the show.

    DEADLINE: Do you have one of those corkboards covered with pictures and pieces of red string to link them all together?

    THORNE: I don’t. [Laughs.] I try and keep it all in my head, and I rely on Mariella’s head to be more secure than my own. But that bit of research, where it’s straightforward, doesn’t take too long. The stuff that takes a lot longer is going into incel culture and trying to understand all that stuff and trying to talk to young people. Because whilst there are coppers who are very happy to talk to you, finding ways where it’s safe for kids to talk to you is a bit harder.

    DEADLINE: How did you do that? Where did you get that information from?

    THORNE: Just by finding different means by which to do it. Each time, it was slightly different.

    DEADLINE: Can you be a bit more specific? Did you have focus groups with kids?

    THORNE: No, nothing that organized. It was always about finding people that are happy to talk to you and then getting them to talk. And spending a lot of time online. I never catfished anybody. I never pretended to be someone I was not; I was just looking at videos and trying to understand. I wasn’t ever interested in what [content] Andrew Tate makes, but I was very interested in what people around Jamie’s age make. You watch a video that’s largely about, say, Dune, but in the end, they start talking about their relationships with women and chiming in on how they feel about the world. Once you’re involved in that chat, you get a very clear sense of young people very quickly.

    DEADLINE: How did that affect the story you set out to tell? You say you set out to tell a story about knife crime, but, in a way, it isn’t really about knife crime. I think that’s the genius of the show — it doesn’t really explain anything. There are contributing factors, but there isn’t really a reason. There isn’t a motive. There isn’t a rationale.

    THORNE: I’m pleased you think so. I’m really, really pleased you think so. Yes. That was the aim. What we were trying to do was tell a story of complication rather than simplicity. We weren’t trying to make a polemic. But I’d say that it is about knife crime, in that it was about the fact that we were noticing that there were more and more crimes involving knives, cases of boys hurting girls. That increase was the thing that interested us, so, trying to investigate what is going on for young boys right now — that was the starting point of it.

    Incel culture came as a surprise to both of us. It wasn’t in our original conception of the show at all. It came when I was flailing around; I’d written a draft that we were working on, and I was flailing around, going, “Jamie just doesn’t feel full enough to me. There’s something that I’m not understanding.” I was going through various different iterations of what could be behind it, creating dark secrets, doing stuff that was quite conventional, really. It was Mariela who said, “I think you need to look at incel culture.”

    As soon as I read a particular statistic — that, supposedly, 80% of women are attracted to 20% of men — I thought, “If I was 13 and I heard that, I’d believe it. I’d believe that no woman is ever going to find me attractive. I’d believe that I’m not in that group of 20% men. I’d be certain I’m not.” Then, suddenly, Jamie started to make sense, which isn’t to say that Jamie is solely a product of incel culture because — like you say — we don’t ascribe blame to anything. What we do is, we give degrees of blame to all sorts of different places.

    DEADLINE: When I first heard it was four hour-long episodes, I immediately thought the four hours would simply follow on from each other, like 24.

    THORNE: You know what? We never considered doing four consecutive hours. It’s weird. You said that, and I’m thinking, “Oh yeah, we should have talked about that. That could have worked.” [Laughs.]

    DEADLINE: How did you come down to the four situations you chose?

    THORNE: There were some ideas that Stephen came to me with from the beginning, and there was other stuff [that came up] where it was like, “OK, we need to go into schools. We’re not doing this properly unless we look inside the school system.” Stephen always had Jamie meeting a psychiatrist as one of the episodes, even — I think — when he talked to me for the first time, so that was always on the cards. Then the paint scene [in the last episode], I think came as a result of us talking together. Stephen had just turned 50, so it was like, “OK, how we can join all these dots together in order to create a portrait of this family?” The third episode, the psychiatrist episode, that was a real rugby pass of just him going, “Write a David Mamet play. OK, bye.” That was literally what he said to me, and, yeah, that was the one where I went into dark places on my own.

    'Adolescence'

    Stephen Graham with Owen Cooper in ‘Adolescence’

    Netflix

    DEADLINE: This must be the only Stephen Graham project where his character says, “I’ve never set foot inside a police station” …

    THORNE: That was really important for Eddie. That was really important to show who Eddie was, and the fact that — and we talked about that quite a lot — the police invade his home and he’s angry, but he’s also polite. That’s the way he’s been brought up. He has a fear of authority. He doesn’t have an understanding of how they work. I think that’s so beautiful in Stephen’s performance, how he finds that.

    I would say that, because I love Stephen — not just as an actor, I love him as a person — in every part of this process, I was trying to write him. Not to say that he’s just like Eddie, but he has Eddie’s decency, and he has Eddie’s kindness and love, and he has Eddie’s ability to look at himself. There’s lots of stuff within Eddie that isn’t developed enough to be Stephen, but that decency is there. I always said about this show, it was like you had a general at the front who was like, “Come on guys, let’s go!” That general was a mixture of Phil and Stephen. They’re just so fearless, the pair of them, as they joined arms together. Stephen has that general in him. I’ve seen that general in Stephen in virtually every project I’ve done with him. It’s always remarkable how he uses that power, that power of persuasion that’s deep within him. He’s got so much charisma, and it comes out all the time.

    DEADLINE: How did you approach the school scenes?

    THORNE: I was a learning support worker in a school. I worked in a school. My parents were teachers at different times, not through most of their career, but I’d spent a fair amount of time with them. Hannah Walters, who’s Stephen’s wife, but also our exec producer on it, had been a drama teacher. Me and Hannah talked a lot about how we were going to paint this picture of Jamie’s school. Yeah, we went into schools, but really, we knew the sort of school we wanted to paint. It’s a school that’s failing, a school that’s not doing so well, and I’ve seen inside a few of those schools. The brief moment with Jamie’s form tutor is significant, where he basically just says, “I can’t control them.” He’s just such a coward in terms of how he teaches. I do think that tells a lot of the story of how Jamie had spiraled quite so severely through this process, because that duty of care just wasn’t there.

    DEADLINE: Did you go into schools for things like this?

    THORNE: Yeah, yeah, a bit, but really, that was from my memory.

    DEADLINE: Bullying, nowadays, though, is very different to what it used to be, of course…

    THORNE: Yes. It was weird, the response to the show. There were teachers that said, “No way would that happen in the school,” and yet there were other teachers that said, “You’ve got that spot on.” I think that speaks to what’s going on at the moment in our schools, which is just that some are allowed to rise, and others are allowed to sink. We’re not protecting the sinking schools enough.

    But there is a problem. I’ve spoken to teachers, and I’ve spoken to teaching unions about this. There’s a problem with attention. Keeping kids involved in class has become very hard. There’s also a problem with female teachers, who are finding it very, very hard to teach. I have only anecdotal evidence for this, but female teachers are saying that they’re not only being verbally abused, they’re being also physically abused by boys. I was also talking to girls who said things like, “I don’t speak in class, because there’s a group of boys that aren’t very nice, that intimidate me.” That’s happening. That’s why there is a big movement about how we deal with smartphones. Different schools are doing different strategies and it’s distressing that the government isn’t really helping.

    DEADLINE: The interesting thing is that, after all this, it ends with a very introspective episode, and it’s all on Stephen’s shoulders. Did you talk to the families of criminals?

    THORNE: No. We knew how to tell that story. I think I’d read some stuff, but no, I didn’t talk to anyone that had children that had walked down anything like the same path as Jamie. I felt like we could create that. We knew where we wanted Eddie to go, and we knew who we wanted Eddie to be. I did read some stuff, but I didn’t have any one-to-one conversations. When I was doing Best Interests, a BBC show about parents having to decide whether to fight with hospitals about whether to keep their child alive, we sat down with a few parents then, and it was excruciating. We did learn some things, but the pain we were putting them through was unbearable. There wasn’t a need for us to put our hands in someone’s wounds with this one.

    DEADLINE: How did you decide where to leave it, then? It begins with such a bang. How did you know where it was going to end?

    THORNE: I think that happened quite organically. As soon as we worked out what that final phone call was going to be, it was a case of the parents looking themselves in the eye and trying to work out how to survive and trying to work out what they can take from it.

    Keir Starmer and Jack Thorne

    British Prime Minister Keir Starmer with ‘Adolescence’ writer Jack Thorne

    Jack Taylor/Getty Images

    DEADLINE: As soon as it aired in the UK, we had Keir Starmer and his government discussing the show at the highest levels. Did that take you by surprise? Because that kind of thing hasn’t happened since the ‘60s, when Ken Loach’s Cathy Come Home first aired.

    THORNE: It took me hugely by surprise, and it was a huge responsibility, but I’ll tell you what happened on that day in 10 Downing Street. It wasn’t us walking in there. I think that became the story, but it wasn’t us walking in there to give our advice, because we don’t have any advice to give. We knew how to write this show, and we tried to come up with a good question. But we didn’t try and write any answers, like you say.

    What Netflix lined up, brilliantly, was a group of people who did know what they were talking about — the Children’s Society, NSPCC, Movember — people who went in there and they talked to Keir Starmer about the crisis, and they talked to Keir Starmer about possible solutions to that crisis. We said very little around that table. We were the Trojan horse that brought other people to that table, and he did listen very sincerely. It didn’t feel like a publicity stunt. It felt like he was someone who was grappling with something. Thankfully, he wasn’t turning to us as to what to do. He was turning to people that actually know what they’re talking about, that have spent their lives working in this space.

    DEADLINE: What are you working on at the moment?

    THORNE: The Hack’s about to come out in September, and I’m really excited about that. It’s about the phone hacking scandal. We’re in the edit of Lord of the Flies, which is really fun.

    DEADLINE: What can you reveal about either of those things, if possible?

    THORNE: The Hack is a completely different side to David Tennant, an aspect of him that you’ve never seen before. It’s Bobby Carlyle doing something very different, too. It’s about the phone-hacking scandal, but it’s the phone-hacking scandal from the inside of it; it’s two sides of the same coin that then reveal the truth of what was going on during that time. You see them working out how to fight and it’s really, really difficult. It was a very, very difficult show to write. We were working with the Mr. Bates vs The Post Office lot, who are incredible researchers. Getting every detail right, and walking the legal minefield of the hacking scandal, was very complicated.

    DEADLINE: And what can you say about Lord of the Flies?

    THORNE: It’s astonishingly beautiful. The cast are incredible, and Marc Munden wields a camera like a brush — he’s really done something that I’ve not seen happen on TV before, in terms of just his rhythm and the way he tells stories. I feel like I’m a very small part of the authorship of that show. I think it’s Marc’s show, and I think he’s one of the great TV directors. Great directors, not just TV directors. It’s just wonderful to see him use every color in his box.

    DEADLINE: What attracted you to that show, that idea of retelling that story?

    THORNE: It’s a book that I loved. Joe Wilson, who’s the exec on it, is a mate of mine. I was round his house, and he said, “Go on, then. What’s the book? What’s the book you’d walk over glass to do?” I said, “Lord of the Flies, but I’ve tried and it’s not possible.” He went to work and said, “I think it might be possible.” It took a long time talking to the estate to convince them that we had a take that would be respectful of the story, but the estate went with us. I think it’s just a brilliant, brilliant book. I tell you — really, as a kid, it’s one experience. But reading it as an adult, it’s completely different. It’s completely different.

    DEADLINE: Do you think that Golding’s influence seeped into Adolescence?

    THORNE: I think I fell into Adolescence in terms of my awkward teenage years, and I think the reason why I loved Lord of the Flies is because I was an awkward teenager. I’d say that I’m equal parts Adrian Mole and Simon from Lord of the Flies. So, yeah, I think that fed in a bit.

    DEADLINE: You probably can’t speak about this, but are you still involved in Sam Mendes’s Beatles project?

    THORNE: I am, but I cannot speak about it. Genuinely, I’m so frightened of saying the wrong thing that I really can’t talk about it.

    DEADLINE: Can we take it you’re a Beatles fan?

    THORNE: I’m a Beatles fan, yes. And I’m a Sam Mendes fan. So, there we go.

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  • How Much Has Mercury Shrunk?

    How Much Has Mercury Shrunk?

    What do many baked goods and the planet Mercury have in common? They shrink as they cool.

    Evidence suggests that since it formed about 4.5 billion years ago, Mercury has continuously contracted as it has lost heat. And somewhat like a fresh-baked cookie or cheesecake, Mercury also cracks as it cools: Thrust faults cut through the planet’s rocky surface to accommodate the ongoing shrinking.

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  • Terence Stamp, Superman villain and star of The Adventures of Priscilla, Queen of the Desert, has died | Ents & Arts News

    Terence Stamp, Superman villain and star of The Adventures of Priscilla, Queen of the Desert, has died | Ents & Arts News

    British actor Terence Stamp – who famously played General Zod in Superman and Superman II – has died at the age of 87.

    The Oscar-nominated actor, who was born in London’s East End, also starred in hits such as Theorem, A Season in Hell, and The Adventures of Priscilla, Queen of the Desert.

    He formed one of Britain’s most glamorous couples with Julie Christie, with whom he starred in Far From the Madding Crowd in 1967.

    In a statement his family said he died on Sunday morning, adding: “He leaves behind an extraordinary body of work, both as an actor and as a writer that will continue to touch and inspire people for years to come.”

    Image:
    Stamp at the 2008 premiere of Valkyrie. Pic: Reuters

    Stamp received various accolades during his career, including a Golden Globe in 1962 for most promising newcomer for Billy Budd and a Cannes Film Festival best actor award in 1965 for The Collector.

    He also received Academy Award and BAFTA nominations for his performance in Billy Budd, as well as a second BAFTA nod in 1994 for his role in The Adventures of Priscilla, Queen of the Desert – which co-starred Hugo Weaving and Guy Pearce.

    Most recently, Stamp starred in director Edgar Wright’s Last Night in Soho. The 2021 psychological horror film also featured Diana Rigg, Anya Taylor-Joy and Matt Smith.

    Stamp in 2005. Pic: Reuters
    Image:
    Stamp in 2005. Pic: Reuters

    This breaking news story is being updated and more details will be published shortly.

    Please refresh the page for the latest version.

    You can receive breaking news alerts on a smartphone or tablet via the Sky News app. You can also follow us on WhatsApp and subscribe to our YouTube channel to keep up with the latest news.

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  • Patients recall inadequate disclosure of electroconvulsive therapy risks

    Patients recall inadequate disclosure of electroconvulsive therapy risks

    The medical pros of electroconvulsive therapy (ECT) are being exaggerated while the risks are being downplayed, suggest the findings of a survey on the type of information patients and their relatives/friends recall having been given before the procedure, and published online in the Journal of Medical Ethics.

    Based on the responses, the researchers calculate that patients were nearly 4 times more likely to recall being told that resulting memory problems were temporary rather than long term. And they were 6 times more likely to recall being told that ECT can be life-saving rather than about potential heart problems.

    ECT involves inducing a brief, controlled seizure in the brain using electrical currents, usually given in 6 to 12 treatments under general anesthesia over several weeks, explain the researchers.

    Since its invention in 1938, ECT has remained a controversial procedure. And there is still no consensus on its medical pros and cons, exactly how it works–and for which mental health conditions-or the optimal dosing protocol, they add.

    In 2023, a joint report by the World Health Organization (WHO) and the United Nations confirmed that anyone offered ECT should be made aware of all its risks and potential short- and long-term risks, such as memory loss and brain damage.

    But recent audits of patient information leaflets on ECT in Australia and from across the UK suggest that the effectiveness of the treatment is often exaggerated while the risks are minimised, note the researchers.

    To find out what ECT recipients, and their relatives/friends, recall being told about the procedure, the researchers drew on the survey responses of a convenience sample of 858 ECT recipients and 286 relatives and friends from 44 countries, completed between January and September 2024.

    Most respondents were White and female. The average age at the time of their last ECT was 41, but ranged from 12 to 87. Most ECT recipients (73%) had their last ECT between 2010 and 2024. But for around 2% this dated back to between 1950 and 1969.

    The reasons given for the treatment included depression (73%); psychosis/schizophrenia (17%); bipolar disorder/mania (15%); catatonia (8%); other (13%); and ‘don’t know’ (6%).

    Respondents were asked if they remembered having been informed about the possible side effects of ECT, principally heart problems; temporary and long term memory problems, including greater susceptibility to these among women and older people; and the cognitive risks associated with serial general anaesthesia. 

    They were also asked if they remembered having been informed about their legal rights in relation to ECT, including that there’s no evidence ECT has any long-term benefits.

    And they were asked if they recalled being told (and misinformed) that: depression is caused by a chemical imbalance in the brain; ECT corrects this and other brain abnormalities; ECT can be life-saving/prevents suicide; it’s the most effective treatment for severe depression 

    Of the 735 ECT recipients who answered the question about the adequacy of the information received before the procedure, over half (59%) said this wasn’t adequate while 17% weren’t sure. 

    For example, nearly two thirds (63%) recall being told that ‘ECT can cause temporary memory problems’, but only 17% that it ‘can cause long term or permanent memory problems’. 

    Only 12% recall being told that ‘ECT can cause heart problems’ and 28% that there are ‘risks from repeated general anaesthesia’. 

    There were higher levels of recall around the information given about the definite benefits of ECT, although some of these benefits are disputed, say the researchers. 

    When asked to consider a list of items of misinformation, many recipients and relatives recall being told ‘depression is caused by a chemical imbalance in the brain’ (58% and 53%, respectively) and that ‘ECT corrects chemical imbalance or other brain abnormality’ (42% and 41%, respectively).

    Based on 682 ECT recipients who recalled at least one piece of information, the researchers calculated that they were nearly 4 times more likely to remember having been told about temporary memory problems as they were to have been told about long-term or permanent memory problems. 

    They were more than 5 times as likely to recall having been told ECT is the most effective treatment for severe depression as they were that there’s no evidence for any long-term benefits. And they were 6 times more likely to remember having been told that ECT can be ‘life saving/prevents suicide’ as they were about potential heart problems.

    Everyone was invited to include up to two other things they recalled clinicians telling them about ECT, if any: 363 ECT recipients, and 37 family/friends did so. The most common information reported (154 recipients and 11 family/friends) involved minimising memory loss or other side effects in various ways. 

    This included denial of any long-term effects (51) or simply stating that ECT is safe (34). Fifty one respondents recall being told ECT was the only option left for recovery, mostly because psychiatric drugs hadn’t worked. 

    This is a convenience sample and the researchers acknowledge that it may therefore not be representative of all ECT recipients. And those who were dissatisfied with their experience might have been more likely to fill in the survey.

    The responses also relied on personal recall, which, in a few cases, dated back to the 1950s. And events in the period just before ECT are particularly vulnerable to being lost because of the ECT, caution the researchers.

    Nevertheless, the findings align with those of previous studies, they point out. “The minimisation of risks, particularly long-term adverse effects, was pronounced, in both our quantitative and qualitative data,” they highlight, adding: “The legal implications of not ensuring informed consent are substantial.”

    They conclude: “These findings, in conjunction with previous studies, suggest an urgent need for greater efforts to ensure that patients and families are provided with comprehensive, balanced, evidence-based information when deciding whether to have ECT.”

    They suggest: “If efforts to persuade hospitals and clinics to comply with the ethical principIe of informed consent by providing balanced, comprehensive, evidence-based information are unsuccessful, professional, regulatory, and government organisations should intervene.”

    Source:

    Journal reference:

    Read, J., et al. (2025). A large exploratory survey of electroconvulsive therapy recipients, family members and friends: what information do they recall being given? Journal of Medical Ethics. doi.org/10.1136/jme-2024-110629.

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  • A Study of Peripheral Arterial Disease in Type 2 Diabetes Mellitus Using the Ankle-Brachial Pressure Index and Its Correlation With Glycaemic Control and Duration of Diabetes in a Tertiary Care Teaching Hospital

    A Study of Peripheral Arterial Disease in Type 2 Diabetes Mellitus Using the Ankle-Brachial Pressure Index and Its Correlation With Glycaemic Control and Duration of Diabetes in a Tertiary Care Teaching Hospital


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  • Knowledge, Attitude, and Screening of Kidney Disease Among Asymptomatic Healthcare Students at a Tertiary Healthcare Center in Coastal Andhra Pradesh

    Knowledge, Attitude, and Screening of Kidney Disease Among Asymptomatic Healthcare Students at a Tertiary Healthcare Center in Coastal Andhra Pradesh


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  • Trial finds no cardiovascular benefit and higher safety risks with spironolactone in dialysis patients

    Trial finds no cardiovascular benefit and higher safety risks with spironolactone in dialysis patients

    A large international study has found that spironolactone, a medication for high blood pressure and heart failure, does not reduce the risk of heart-related death or hospitalizations in people with kidney failure receiving dialysis, despite earlier smaller studies suggesting benefit.

    The findings were published on August 14 in The Lancet and presented at ERA Congress 2025.

    The study enrolled 2,538 participants from 143 dialysis centres across 12 countries, making it the largest trial to date on spironolactone in people receiving dialysis. All participants had been on dialysis for at least three months and were either over 45 years old, or over 18 with diabetes.

    In people with normal kidney function, spironolactone reduces cardiovascular events. However, people receiving dialysis might not respond the same way to treatments proven effective in the general population. We launched the ACHIEVE study to determine the safety and effectiveness of spironolactone in people with kidney failure.”


    Michael Walsh, principal investigator of the study and senior scientist at the Population Health Research Institute (PHRI), a joint institute of McMaster University and Hamilton Health Sciences

    Researchers tested whether a low daily dose (25 mg) of spironolactone could block aldosterone, a hormone that causes heart remodeling, fibrosis, and raises cardiovascular risk. They wanted to see if this treatment could lower the risk of cardiovascular death or hospitalization for heart failure in patients with kidney failure. “Aldosterone plays a harmful role in heart disease, and its levels tend to be high in dialysis patients,” Walsh said. “That’s why we thought spironolactone might help.”

    Instead, the drug showed no cardiovascular benefit, and it increased the risk of severe hyperkalaemia, a rise in blood potassium levels that can lead to irregular heart rhythms or even death in extreme cases. “Earlier studies suggested this type of medication might help people on dialysis, but they were small and had short follow-ups, unlike our large ACHIEVE study.”

    The trial began recruiting in 2018 and concluded in December 2024. Of the 3,565 patients recruited, 2,538 who tolerated the drug during a seven-week run-in period were randomly assigned to receive either 25 mg of spironolactone daily or a placebo. The trial was stopped early for futility after an independent monitoring committee determined there was little chance of seeing a meaningful benefit.

    Cardiovascular death or hospitalization for heart failure occurred in 258 patients in the spironolactone group, compared to 276 in the placebo group. The difference was not statistically significant. The study noted a potential difference in these incidents between men and women, although more research is needed to understand why:

    • Men: 163 (spironolactone) vs. 201 (placebo)
    • Women: 95 (spironolactone) vs. 75 (placebo)

    Severe hyperkalaemia occurred more often in the spironolactone group: 6.6 per cent of patients in the spironolactone group, compared to 4.5 per cent in the placebo group. “This can be a serious safety concern in an already vulnerable group,” Walsh added.

    Globally, an estimated 2.5 million people receive dialysis for kidney failure. Heart disease is the leading cause of death in this population, responsible for about 40 per cent of all deaths.

    “We really hoped that spironolactone could make a difference for people on dialysis,” said Walsh. “While the results are not what we wanted, they provide much-needed clarity. This study moves us one step closer to finding effective and safe treatments for a group that urgently needs them.”

    ACHIEVE was funded by the Canadian Institutes of Health Research, Medical Research Future Fund, Health Research Council, British Heart Foundation, PHRI, St. Joseph’s Healthcare Hamilton, Accelerating Clinical Trials Canada, CanSOLVE CKD, and Dalhousie Department of Medicine.

    Source:

    Journal reference:

    Walsh, M., et al. (2025). Spironolactone versus placebo in patients undergoing maintenance dialysis (ACHIEVE): an international, parallel-group, randomised controlled trial. The Lancet. doi.org/10.1016/S0140-6736(25)01198-5.

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  • Kopecký wins ERC Barum Czech Rally Zlín

    Kopecký wins ERC Barum Czech Rally Zlín

    Driving a Škoda Fabia RS Rally2, the 2013 ERC champion, co-driven by Jiří Hovorka, secured a stunning 12th Barum win after edging Armstrong by 10.7sec across 13 challenging asphalt stages.

    “I’m shaking now because after last year I was not expecting I could be as fast as this during this year. For sure, thanks a lot to my co-driver and my team and to everyone because it has paid off,” said Kopecký.

    ERC title contender Andrea Mabellini boosted his championship hopes by claiming the final step on the podium, while championship leader Miko Marczyk finished seventh.

    Making a 20th start at the famous asphalt rally, Kopecký once again outlined his class proving to be the driver to beat, recording five stage wins on his way to victory.

    Mabellini caused an upset on Friday night by winning the Zlín super special but his time in the lead was short-lived. The Michelin-shod Škoda, driven by Kopecký, shot to the lead after winning SS2 on Saturday morning.

    It was a lead that Kopecký refused to give up for the remaining 11 stages, although it wasn’t a plain sailing run to victory. Kopecký came under pressure from Hyundai i20N driver Simon Wagner and Mabellini through Saturday, as his advantage was reduced to 1.2sec at midday service.

    Jon Armstrong claimed a second podium finish of the season

    © ERC

    Wagner was on course to steal the lead on Saturday afternoon before suffering a tyre deflation and a half spin in SS7 – the second run through Bunč – which dropped the Austrian out of the battle and down to fourth.

    Stage wins in both passes through Bunč helped M-Sport-Ford World Rally Team’s Armstrong vault from fifth to second, ending Saturday 6.5sec behind leader Kopecký.

    Armstrong, driving a Pirelli-equipped Ford Fiesta Rally2 managed to reduce the deficit to 6.3sec on Sunday morning, before Kopecký responded in front of his home crowd. The Czech driver managed to extend his lead through the remaining five stages as he completed an impressive victory.

    Armstrong equalled his best ERC result as the Irishman claimed his second podium of the season to help his title hopes.

    “What a weekend. I was pushing as much as I can. Yesterday I really enjoyed, today was honestly more of a struggle, more in my head to manage everything,” said Armstrong, who moved to third in the championship.

    Early leader Mabellini produced a strong drive throughout to claim third [+13.8sec] and the Power Stage win to cut the gap to Marczyk in the championship standings to 11 points [the gap calculated without Marczyk’s dropped score].

    “It is incredible. It seems like it is a dream to be in here fighting with Mr Barum [Jan Kopecký]. We must be proud of everything we have done,” said Mabellini.

    Andrea Mabellini moved to second in the championship standings

    Andrea Mabellini moved to second in the championship standings

    © ERC

    Wagner was unable to recover the lost ground on Saturday evening and had to settle for fourth, ahead Erik Cais, who delivered a series of fast stage times. Cais, driving Hyundai i20N Rally2, could have found himself in the podium fight had he avoided tyre damage on SS7 on Saturday evening.

    A gearbox issue hampered Filip Mareš on Sunday which resulted in the Hankook-shod Toyota GR Yaris Rally2 driver falling to sixth, ahead of Marczyk who struggled to find the pace required to challenge the front runners. The Polish driver salvaged two points from the Power Stage.

    “I’m not fully happy because we have had inconsistent pace. There were four or five good stages but also four or five that were below my expectations, and this is why we are fighting for seventh and not the podium places. I will fight [for the title] until the end,” said Marczyk.

    Local driver Adam Březík finished eighth, while Jakub Matulka and Mille Johansson rounded out the top 10.

    The rally proved to be particularly challenging for crews. Last year’s winner and qualifying pacesetter Dominik Stříteský was locked in the fight at the front until SS3 when an overshoot at a chicane triggered damage to three of his four wheels, that prompted an early retirement from fourth position.

    Championship leader Miko Marczyk on his way to finishing seventh

    Championship leader Miko Marczyk on his way to finishing seventh

    © ERC

    Miklós Csomós, making his return to ERC action, retired from the action after crashing out on SS2. Simone Tempestini also hit trouble on the same stage that resulted in the Romanian driver retiring with a suspension issue.

    Chris Ingram endured an eventful return to the stages after a nine month hiatus. The 2019 champion, running on MRF Tyres, reached the finish despite suffering multiple tyre deflations, a bent steering rack and a power steering issue.

    Philip Allen exited 11th position following an off-road excursion in SS6 that inflicted damage to the roll cage of his Škoda Fabia RS Rally2.

    Martin Vlček sealed victory in the Master ERC class with a 5m25.2sec advantage over Darius Biedrzyński. Hubert Kowalczyk took the ERC3 honours from Casey Jay Coleman by 43.8sec.

    Calle Carlberg sealed the Junior ERC title despite suffering a driveshaft failure that ended his rally victory bid on Saturday. The Junior ERC rally victory was claimed by Craig Rahill on his debut driving a Lancia Ypsilon Rally4 HF. Rahill beat Opel Corsa Rally4 driver Karl Peder Nordstrand by 35.9sec.

    The championship heads to Wales for the penultimate round at ERC JDS Machinery Rali Ceredigion from 5-7 September.

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