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Five family members have been found dead in a home in northeast Ohio in an apparent murder-suicide, authorities say. Police in Uniontown, Stark County, made the grisly discovery after performing a wellbeing check at a home in the 13000 block of Carnation Avenue around 7.30pm on Thursday. Officers found five dead family members, and described the incident as a domestic dispute that “turned deadly”. The victims were identified as Jason Dunham, 46, Melissa Dunham, 42, Renee Dunham, 15, Amber Dunham, 12, and 9-year-old Evan Dunham. The Stark County Sheriff’s Office, Ohio Bureau of Criminal Investigation and the Stark County Prosecutor’s Office are helping Uniontown police with the investigation. Uniontown is a town of approximately 7,000 residents, situated 50 miles south of Cleveland. Read More GOP support for gun restrictions slips a year after Congress passed firearms law Philadelphia officer to be fired over shooting death of Black man as new video contradicts police account Donald Trump’s weight and height in Georgia arrest records raises eyebrows

A new, first-of-its kind study has demonstrated that laughter can indeed be good medicine – especially for those with heart disease. Laughter therapy can increase the functional capacity of the cardiovascular system that includes the heart, lungs, arteries and veins, found the yet-to-be peer-reviewed research presented at the annual meeting of the European Society of Cardiology in Amsterdam. Researchers, including Marco Saffi from the Hospital de Clínicas de Porto Alegre in Brazil, found reduced inflammation and better signs of health among coronary artery disease patients who engaged in a course of laughter therapy. They found laughter therapy sessions could cause the tissue inside a patient’s heart to expand, potentially leading to increased oxygen flow through the body. Until now, different treatments without the use of drugs have been studied in coronary artery disease patients, but the benefits of rehabilitation using laughter therapy was not fully assessed, scientists said. In the new study, the impact of laughter therapy on the functional capacity, tissue function as well as markers of inflammation in the bodies of patients with coronary artery disease was evaluated. The condition, which is one of the most common diseases in the world, arises when the heart’s coronary arteries struggle to supply the organ with enough blood, oxygen and nutrients. Scientists conducted a clinical trial involving 26 adults with an average age of 64 from August 2016 to December 2020, measuring each of their oxygen uptake and the widening of their main artery when blood flow increases. Researchers also measured levels of molecules in the patients’ bodies, indicative of inflammation such as interleukin (IL)-6, IL-10, tumour necrosis factor (TNF)-alpha, vascular cell adhesion molecule (VCAM) and intercellular adhesion molecule (ICAM). Thirteen of the patients were assigned to the group that underwent laughter therapy by watching two self-selected TV comedy shows per week. The other 13 served as the control group and watched “neutral documentaries”, scientists noted. They said the study is the first controlled clinical trial to evaluate the impact of rehabilitation using laughter therapy on patients with coronary artery disease. It revealed an increase in the body’s peak oxygen uptake and improvements in tissue function as well as the body’s markers of inflammation. The new findings are in line with previous research that suggested having a good laughter session makes the body release endorphins, which are hormones that reduce stress and inflammation and help the heart and blood vessels relax. Based on the new results, presented at the world’s largest heart conference, scientists say laughter therapy may constitute an “effective form of cardiac rehabilitation in this patient population”. Read More How many steps a day can cut risk of early death (and it’s not 10,000) A broad genetic test saved one newborn's life. Research suggests it could help millions of others Snoring before age 50 is a health ‘red flag’, experts suggest How many steps a day can cut risk of early death (and it’s not 10,000) Experts warn that snoring before you turn 50 is a health ‘red flag’ ‘Boy moms’ called out for dubious logic behind teaching their sons to cook

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Coming out can be hard at any age, but by the time you’re well into adulthood it may feel terrifying, and be completely life-changing. Many people who come out in their thirties and onwards may have wanted to for a long time but not felt safe enough to do so. As October 11 marks National Coming Out Day, it’s important to reflect on how, if and when people can share their authentic selves. “I wasn’t raised in a time when it felt safe to express attraction to women,” says author and creative mentor Fiona Fletcher Reid, who came out last year at the age of 35. “I wasn’t sure about my sexuality until I had psychosexual therapy and was able to explore all the layers of internalised homophobia and repression that I had accumulated over my 35 years,” she says. So, how you can support someone who is going through it? Don’t assume everyone is the same Not every person’s coming out looks the same, and some LGBTQ+ experiences are not universal. “Coming out is a personal experience and because it is often physically and emotionally dangerous to be openly queer, lots of people never feel able to be open,” says Fletcher Reid, now 36. “Some people might feel free to come out once they have ended a particular relationship, or after meeting people who they feel safe around. “For others, like me, it’s that we don’t consciously acknowledge our sexuality until we are a lot older and have the confidence to work through the emotional implications and real-life consequences that come with that,” The writer, from Glasgow, was going through a divorce at the time with a man she’d been with since the age of 17. “During therapy, I talked a lot about the pain I was experiencing during intercourse as well as my general anxiety around sex. It wasn’t until I’d built up a trusting relationship with my therapist that I felt able to discuss the fact that I thought I might be gay and I did not expect that to come up, so I was just as surprised as everyone else when I came out.” Don’t question their authenticity Validate what the person who has come out is saying. “Don’t say, ‘Are you sure?’ because you can rest assured that the person coming out to you has thought long and hard about this,” says Fletcher Reid. “Casting self-doubt on someone when they have opened up a vulnerable part of themselves to you is hurtful.” Don’t question them about their sex life It’s no one else’s business. “Please don’t ask about whether they have been intimate with anyone, or any other sort of suggestion that they need to ‘prove’ their sexuality to you,” she stresses. Consider what they feel and accept that it is a big deal They are probably feeling “a mix of emotions, including excited, happy, empowered and scared for their safety”, says Fletcher Reid. “Sadly coming out can still cause huge ruptures in relationships so be aware that this is a huge moment for them and comes with real consequences. “Dismissing their experience as ‘not a big deal’ because you think it’s ‘normal to be gay’ now is a dangerous and false narrative.” It may sound simple, but just listening and supporting them is vital. “Be there to listen and try to celebrate all the new things that they are exploring as they come out, whether that’s dating, meeting new people or finding ways to experiment with their identity through fashion,” says Fletcher Reid. “Repeat often that you love and care for them and that you accept this evolution of them, that you are happy to see them happy.” Suggest they find community “Encourage them to talk to other people who have been through similar experiences if you can,” she says. “As much as friends and family want to understand what they are going through, it is far more validating to talk to someone else who has come out later in life and understands the emotional intricacies of the experience. “They can also hopefully show them that there are good times ahead.” Thank them for sharing with you “It is a privilege that someone trusts you with coming out, especially later in life. Tell them that you are honoured to have been trusted with this information, and reassure them that you will keep it private until they are ready to tell other people,” Fletcher Reid suggests. “The best reactions that I had from people were seeing their joy that I had discovered this important part of myself, and that had a huge impact on my ability to feel hopeful amidst the pain caused by my divorce. “Allowing them to feel conflicted and guilty and offering reassurance that they have the right to be themselves will make them feel so much happier.” Read More Israel-Hamas conflict: How to talk to teenagers about distressing news stories Autumn décor ideas for a seasonal refresh Why you shouldn’t tidy your garden too much in autumn World Mental Health Day: 5 ways to beat anxiety and change your life Alternative veg to grow for next season How to spot if your child is struggling with their mental health – and what to do next

By Jonathan Landay and Arshad Mohammed WASHINGTON (Reuters) -The United States said it will stop providing Russia some notifications required