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Malaysia’s government plans to reduce its budget deficit in 2024 through a combination of spending cuts, new taxes

Online apps have been recommended to help people with lower back pain in a bid to tackle NHS waiting lists. Seven platforms have been given the green light for people over the age of 16 to manage their condition in early value assessment guidance published by the National Institute for Health and Care Excellence (Nice). According to the NHS Long Term Plan, lower back pain is the biggest cause of disability and is thought to account for about 30% of GP consultations every year. England affected by long-term back pain" data-source="UKHSA"> UK Health Security Agency (UKHSA) figures show there are 9.11 million people living with long-term back pain in England. Nice said it hopes its guidance will work towards reducing inequalities in care for musculoskeletal conditions. It also hopes the move could reduce NHS waiting lists, as well as bringing down the number for people using medication or waiting for GP or physiotherapy appointments. On Thursday, it emerged that a record 7.75 million people in England were waiting to start NHS treatment at the end of August. The digital platforms our committee has recommended could provide the NHS with extra capacity to get those effected off waiting lists, which vary in length across the country, and into treatment Mark Chapman, Nice Mark Chapman, interim director of medical technology and digital evaluation at Nice, said: “More than two million people suffer from low back pain each year and there are considerable pressures on NHS services to provide the treatment and care to those needing support with this debilitating condition. “The digital platforms our committee has recommended could provide the NHS with extra capacity to get those effected off waiting lists, which vary in length across the country, and into treatment. “We believe these technologies have the potential to offer value for money for the taxpayer, while offering people with low back pain quicker access to get the care they need at a time and place of their choosing.” The platforms recommended for NHS use are ACT for PAIN, getUBetter, Hinge Health, Kaia, Pathway through Pain, selfBACK and SupportBack. Some of the apps are designed for people with new back pain, while others are aimed at those with chronic back pain. These apps are yet another example of how technology can be used help patients get the care they need, when they need it Health minister Will Quince The platforms offer access to multi-disciplinary teams, along with guided exercise videos, and reminder functions for patients to do tasks such as filling in questionnaires. Health minister Will Quince added: “These apps are yet another example of how technology can be used help patients get the care they need, when they need it. “They offer a range of services which will allow patients to manage lower back pain from the comfort of their homes by improving access to musculoskeletal services – which will form a key part of our Major Conditions Strategy. “This will help to reduce pressures on the NHS and can help to cut waiting lists – one of the government’s top priorities – and will help people to live happier, healthier lives.” The technologies recommended in the guidance can be used once they have appropriate regulatory approval and meet the standards within NHS England’s Digital Technology Assessment Criteria, Nice said. The watchdog also recommends lower back pain self-management, exercise, manual therapies, psychological therapy, and combined physical and psychological programmes as well as return to work programmes. Denice Logan Rose, executive director of BackCare (National Back Pain Association), said: “Very many people living with non-specific low back pain feel that they have nowhere to turn for help, they are desperate and are at a complete loss about what they can do to help themselves. “Apps form a significant part of the technology-driven world we live in and if they can be used to help people living with back pain to lead more pain-free and active lives, this is a huge step forward.” Read More From choppy bobs to fox red, 5 celebrity-approved hair trends for autumn The UK’s first dedicated male breast cancer organisation has launched – here’s why it matters How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe 5 must-have bag trends for autumn

The Ukrainian military continues to hold its ground in the face of Russia’s relentless assault on the eastern city of Avdiivka, Volodymyr Zelensky, as the battle intensified for a third day. Russia has moved a large armoured column of three battalions, including some 2,000 troops, dozens of armoured vehicles and jets into the northern flank of the Avdiivka front for what has been described as the biggest military offensive in months. The Ukrainian forces said they repelled more than 20 attacks by the Russian army in Avdiivka and the surrounding regions in the past 24 hours, in what was described as a blow to Moscow’s attempts to use the offensive to show the tide of the war turning in its favour. Mr Zelensky said: “Avdiivka. We are holding our ground. It is Ukrainian courage and unity that will determine how this war will end. We must all remember this.” Municipal officials said the Russian attacks were relentless and the enemy was attacking from all sides. Vitaliy Barabash, head of the city military administration, told Ukrainian television: "The enemy does not stop storming, they come from all directions." Ukrainian Special Operations Forces said Kyiv’s troops had "foiled the plans of the crazed enemy, repelled all attacks and held their positions". Avdiivka holds significant strategic importance for Russia, serving as the crucial gateway to Donetsk, the primary communication hub within the occupied territories. To gain a foothold in occupied Donbas, the Kremlin aims to shift the front line away from Donetsk. In 2022, Russian forces initiated an offensive against Avdiivka, attempting to encircle the city deeply from both sides. This offensive was halted and the region has become a symbol of resistance, holding out against Russian troops ever since. "On average, there are 50-60 instances of intense shelling with artillery and rockets targeting the town," said Mr Barabash. "As for military positions, they get hit at least 500-600 times a day." Oleksandr Shtupun, a spokesperson for Ukraine’s southern group of forces, said Russia saw Avdiivka as an opportunity to win a significant victory and "turn the tide of fighting". "Today the capture or encirclement of Avdiivka is probably the most it can achieve at this stage," he said. Geolocated footage of the area showed Russia had advanced in some villages southwest and northwest of Avdiivka this week, according to the Institute for the Study of War (ISW), an American non-profit research group and think-tank. Around 64 clashes have been reported in the last 24 hours involving 4 missile attacks, 65 airstrikes and around 54 attacks using multiple launch rocket systems on Ukrainian troops and various settlements, the general staff of the Armed Forces of Ukraine said in an update on Facebook. In the latest overnight attacks, Russia intensified strikes on Danube River ports in the southern Odesa region that have become Kyiv’s main route for food exports since Moscow quit a deal allowing shipments via the Black Sea in July. A military spokesperson said Russia had hit a grain storage facility in the Odesa region and some grain had been damaged but did not say how much. It comes amid fears that Moscow will intensify attacks on power infrastructure to freeze Ukrainians as winter sets in in the repeat of events from last winter. Read More IOC bans Russian Olympic Committee for including annexed Ukraine territories French police probe ‘poisoning’ of TV journalist who denounced Putin’s war live on air Ukraine-Russia war – live: IOC bans Russian Olympic Committee for including annexed territories The Body in the Woods | An Independent TV Original Documentary The harrowing discovery at centre of The Independent’s new documentary

Neta had not spoken to her father for years, but she knew he was the only person who could save her.

Lorraine regular Dr Amir Khan and This Morning’s Dr Zoe Williams have joined forces to support the launch of the UK’s first ever dedicated male breast cancer organisation. Called Moobs, the organisation was founded by James Richards, 37, who is currently undergoing treatment for the disease after being diagnosed in February, aged 36. Moobs’ main mission is to raise awareness of breast cancer amongst men, and provide a helpful resource for men who get diagnosed. The organisation also runs a monthly support group via Zoom, to ‘help reduce the isolation’ for men affected. “As a male, I’ve always been aware of the risks of prostate and testicular cancer, but I had no idea men were able to get breast cancer – you just don’t hear of it,” said Richards. “In the days following my diagnosis, I was surprised by the lack of tailored support and information readily available around the disease, and much of my treatment plan was based on what was offered to women. “There are differences, but with so few cases and a lack of funding for male breast cancer, we are in danger of isolating those that need support the most.” Around 55,000 women are diagnosed with breast cancer each year, making it the most common form of cancer in the UK. There are also around 400 new diagnoses a year in men – yet awareness of the condition in males is much lower. It’s believed this is contributing to men being less likely to see their doctor when early signs arise, and a 2019 US study found male breast cancer patients have a 19% higher mortality rate than women. As with women, male breast cancer tends to mostly affect older men, aged 60-70. However, it can potentially occur in younger men too, so being aware of the symptoms is important for everyone. Checking for signs When it comes to checking for warning signs, Dr Amir Khan said it’s “very similar” for both men and women. “I always say to women, be ‘breast aware’ – so that’s knowing what’s normal for you, and then being aware of any changes and getting them checked, and it’s exactly the same for men,” Khan told the PA news agency. “[Often] men don’t know that they’ve got breast tissue – but all men have breast tissue, and that means they’re at risk of getting breast cancer. It is a much lower risk than in women, but the risk is still there. “So what I would say to men is, just as often as you check your balls for any lumps, you should be checking your breasts as well. Do them both – balls and breasts – in the shower, once a month.” Khan explained that the “majority of the breast tissue in men is located around the nipple area -so that is the part you need to be hyper vigilant about” when checking for changes. “But saying that, you should be checking the whole of your chest area, right up to the collarbone and under your arm. “As well as that, nipple changes are really important too – so if one nipple has suddenly changed, if it’s pointing inward instead of outward, or if there’s any skin dimpling, any new unexplained rashes around the breast area, or even unexplained persistent breast pain or chest pain, get that checked out.” See your GP While these things don’t mean you definitely have cancer, it’s always best to get things checked with your GP quickly. “We will be able to either reassure you, or make that onward referral. And it is incredibly rare – we’re talking 400 or so men each year diagnosed with breast cancer,” Khan added. “But it’s always better to be safe than sorry, and the longer you leave it [if it is cancer], sadly, the worse the outcome is likely to be. So as soon as you pick anything up, go and see someone.” For more information, visit moobs.uk Read More How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe 5 must-have bag trends for autumn Dawn O’Porter: ‘I fantasise about the other side of menopause’ Everything you need to know about bedbugs as increase in numbers is predicted

Zainab Abbas says she left because she was scared by a backlash over her old social media posts.

French police are investigating the suspected poisoning of a Russian state TV journalist who denounced Vladimir Putin’s invasion of Ukraine live on air and later fell suddenly ill. Marina Ovsyannikova, who escaped Russia after her on-air protest and settled in France, reported feeling suddenly ill as she left her Paris apartment and was hospitalised after she called emergency services. She said she suspected she was poisoned, the Paris prosecutor’s office said, adding that they were examining her apartment and an investigation was underway. Ovsyannikova, who worked for Russian state television’s Channel One before the war began, drew international headlines in March 2022 when she appeared on screen in the background of a live broadcast by another news anchor and flashed a sign that said: "Stop the war, don’t believe the propaganda, they are lying to you here." She was fined 30,000 roubles (£460) for her protest but continued her opposition to the war. During a subsequent solo protest in Moscow, she held up a poster which read: “Putin is a murderer, his soldiers are fascists.” She was then arrested and put under house arrest in August before she fled along with her daughter in the dark of the night. Media watchdog Reporters Without Borders (RSF), which assisted Ovsyannikova in her efforts to escape a lengthy trial in Moscow and potentially a prison sentence, helped her settle in Paris. Christophe Deloire, director general of RSF, said he met Ovsyannikova after her malaise outside her Paris apartment. Deloire, writing on X, said the possibility Ovsyannikova had been poisoned had not been ruled out, though she was feeling better since the incident. “We have opened an investigation,” a spokesperson for the Paris tribunal prosecutor’s office said by telephone,” he said. “She said she had a malaise.” “All we have for the moment is what she said.” RSF said its team has been ‘’at her side" since she sought medical attention, though they have not disclosed any further details regarding the incident. Earlier this month, a Moscow court sentenced Ovsyannikova in absentia to eight and a half years in prison for spreading false information about the Russian military. Her sentencing was the latest example of Russia’s crackdown on dissenting voices in the country, which has intensified since Russia launched its invasion of Ukraine around 20 months ago. Russia has called its attack on Ukraine a “special military operation” and banned organisations or the media from referring to it as a war or invasion. Read More FA slammed over decision not to light up Wembley in Israel flag colours Russian state TV journalist who spoke out against war live on air recounts daring escape from country Could Putin be arrested? President to leave Russia for first time since international arrest warrant issued

The Russian Olympic Committee (ROC) was banned with immediate effect on Thursday for recognising regional organisations from four territories annexed from Ukraine, the International Olympic Committee said. The IOC added the ROC would not be eligible for any funding after it recognised earlier this month Olympic Councils from the regions of Luhansk, Donetsk, Kherson and Zaporizhzhia but that it would not affect any Russian athletes competing as neutrals. “The unilateral decision taken by the Russian Olympic Committee on 5 October 2023 to include, as its members, the regional sports organisations which are under the authority of the National Olympic Committee (NOC) of Ukraine (namely Donetsk, Kherson, Luhansk and Zaporizhzhia) constitutes a breach of the Olympic Charter,” the IOC said in a statement. It comes after Russian and Ukrainian forces have been fighting fierce battles around the eastern Ukrainian town of Avdiivka after Moscow launched one of its biggest military offensives in months. President Volodymyr Zelensky said Ukrainian forces were holding their ground on the third day of battle, but municipal officials said the Russian attacks were relentless. Avdiivka, in Donetsk, has become a symbol of resistance since Russia’s invasion. Read More French police are probing possible poisoning of Russian journalist who denounced Ukraine war on TV IOC suspends Russian Olympic Committee for incorporating Ukrainian sports regions French police probe ‘poisoning’ of TV journalist who denounced Putin’s war live on air

By Henriette Chacar, Michelle Nichols and Humeyra Pamuk JERUSALEM/NEW YORK/TEL AVIV (Reuters) -Israel's military on Friday called for all civilians

Afghans who worked with the UK are living in fear in Pakistan as it cracks down on migrants without visas.

A few days ago, eastern Poland was basking in unseasonably warm weather. But the winters here are long and harsh, and they can arrive with little warning.

Donald Trump's inflammatory and artless comments about Hamas' horror in Israel emphasize the defining characteristic of his attitude toward foreign policy and his entire political world view: It's all about him.