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Sewing Bee winner Annie Phillips’ guide to upcycling clothes: from patching to quilting

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Sewing Bee winner Annie Phillips’ guide to upcycling clothes: from patching to quilting

If you’re a Great British Sewing Bee fan, you might remember my face. I’m Annie Phillips. I won the 2022 series of the show and now I sew for a living. I divide my time between running my own fashion house (Made by Annie) and leading upcycling workshops to breathe new life back into your wardrobe. I’ve even written a book on the subject called Upcycle: A Modern Maker’s Guide to Sewing and Mending a Preloved Wardrobe.

Some of the people who sign up for my classes have never used a sewing machine before, while others are more experienced, but most are coming for the same reason. They’ve fallen out of love with their wardrobe, but they can’t bring themselves to buy new clothes when their old ones still have so much wear.

If that sounds like you, then you should try your hand at upcycling. It’s just another word for the “make do and mend” ethos that has inspired generations of sewers. Here are my top tips for first-timers. You can see all the garments behind my advice in this short video:

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Spire Washington patient speaks over surgeon Leslie Irwin

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Spire Washington patient speaks over surgeon Leslie Irwin

David Render underwent numerous procedures carried out by consultant orthopaedic surgeon Leslie Irwin between 2018 and 2022.

Mr Irwin practised at Spire Washington Hospital and Sunderland Royal Hospital during that period.

David said several procedures were often carried out during a single operation, leaving him at times unsure “exactly what had been done”.

David Render (Image: SUPPLIED)

On two occasions, he claims screws were left protruding from his fingers following surgery, requiring emergency removal.

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He first sought medical treatment in 2017 after damaging his wrists in a fall.

Initially treated by another surgeon, he was referred to Mr Irwin the following year.

Over the next four years, he underwent repeated operations at Spire Washington Hospital on his wrists, fingers and elbows, including extensive tendon and ligament surgery.

Since then, David, from Washington, says he has struggled with daily life.

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Leslie Irwin (Image: SUPPLIED)

Once a keen photographer, he has been unable to return fully to his hobby and says ongoing pain and restricted movement in his arms make everyday tasks difficult.

He also believes the physical and emotional toll of repeated procedures contributed to the breakdown of his marriage.

Although he regarded Mr Irwin, who has since been banned from practising by Spire, as his “saviour”, David was contacted unexpectedly last year by Spire Washington Hospital, raising concerns about some of the procedures he had undergone.

Following an investigation into Mr Irwin’s work, Spire acknowledged there had been “no clinical indication” for at least one of David’s operations.

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Sunderland Royal Hospital (Image: Stuart Boulton)

Concerns were also raised about the standard of surgery, including the use of a thermal wand, described as a technique not accepted practice, which caused damage to his wrist.

“I honestly thought Mr Irwin was amazing, I worshipped him,” David said.

“I believed things would have been far worse without all the operations he carried out.

“When he did several procedures in one go, I thought he was saving time and money, and I trusted him completely to fix what was wrong.

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“But knowing what I know now, it feels very different. It has been such a shock, especially as nothing has actually been put right despite all those operations.

“When Spire contacted me, I assumed it was routine. Finding out what had happened made me very angry. I thought he was a brilliant surgeon and a lovely man. To discover there are so many others affected is awful.”

Mr Irwin who worked for the South Tyneside and Sunderland NHS Trust between 2001 and 2023, retired in 2022, but a selection of his patients have been contacted directly by Spire over potential issues with his work. 

Mr Irwin relinquished his role with the General Medical Council (GMC) in May 2025. 

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Spire Healthcare suspended Mr Irwin in August 2023 and withdrew his practising privileges in September 2024.

Spire Hospital in Washington (Image: Stuart Boulton)

The private practice started recalling patients who were operated on by Mr Irwin during his time at Spire Washington Hospital in the summer of 2025.

The South Tyneside and Sunderland NHS Foundation Trust said that it had “liaised with Spire to understand the scale of their patient recall and to help inform our next steps as a Trust”.

A spokesperson for the Trust added: “We are currently working through the details of which patients we may need to review and will contact those people directly and as a matter of priority.”

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The Care Quality Commission (CQC) confirmed that it inspected Spire Washington Hospital in October last year after concerns were raised with it, and would be publishing its findings in due course.

Mr Render said he had always believed he was receiving the best possible care and, even after the incidents involving screws protruding from his fingers, would “never have dreamed of complaining”.

“Had Spire not contacted me, I would never have known,” he said.

“I would have assumed this was the best outcome I could expect after my accident. I am grateful for their openness and transparency.

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“But there are still so many questions, for me and for other patients and for me. We need to understand what happened and why things have gone so terribly wrong.”

David is being supported by law firm Slater and Gordon, which has been investigating cases involving Mr Irwin for several months. An increasing number of former patients are said to have come forward.



Ayesha Hussain, a clinical negligence solicitor representing David, said: “David placed his full trust in his surgeon, as any patient would, believing he was receiving the highest standard of care.

“To discover that this may have fallen significantly short has been devastating for him, particularly given the regard in which he held his doctor.

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“He is entitled to answers about what happened and why, and we will support him in seeking those answers.

“This is an extremely concerning situation, and we are hearing from a significant number of people with similar concerns. We would urge anyone worried about their treatment to come forward.”

Spire Washington says they have been in touch with patients and are reviewing specific procedures undertaken by Mr Irwin. 

A Spire spokesperson previously said: “We are currently reviewing specific procedures that were provided to a select cohort of patients of Mr Leslie Irwin, a consultant orthopaedic surgeon who previously practised at Spire Washington Hospital. 

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“We are in direct contact with all relevant patients to review their care and offer support. 

“The review is being run in accordance with NHS England’s National Quality Board: Recall Framework, which Spire Healthcare helped to develop.” 

Mr Irwin has not responded to requests for comment by The Northern Echo.

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US Embassy hit by drone strike in Riyadh as urgent ‘shelter’ warning issued

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Daily Record

‘The US Mission to Saudi Arabia has issued a shelter in place notification for Jeddah, Riyadh and Dhahran and are limiting non-essential travel to any military installations in the region’

The US Embassy in Saudi Arabia has been struck by multiple missile strikes, authorities have confirmed.

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Multiple sources at the scene initially reported witnessing multiple blasts which caused the fire. The attacks have since been confirmed by the Saudi Defence Ministry, two drones attacked the United States Embassy in Riyadh, Saudi Arabia, on Monday night.

Later, US officials confirmed the attacks to Fox News. Also confirmed were two new explosions in Riyadh’s diplomatic quarter following the earlier drone attack against the US embassy.

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Per initial estimates, minor material damage was done to the building, and a limited fire broke out.

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The US Embassy Riyadh has issued a statement to American citizens in Saudi Arabia, urging them to shelter in place as the risk of missile attack remains high.

“The US Mission to Saudi Arabia has issued a shelter in place notification for Jeddah, Riyadh and Dhahran and are limiting non-essential travel to any military installations in the region – we recommend American citizens in the Kingdom to shelter in place immediately,” the Riyadh US Embassy statement said. “The US Mission to Saudi Arabia continues to monitor the regional situation.”The embassy urged any Americans who may be in those areas to monitor official information sources and to follow the instructions of local authorities.

The consulate building was empty at the time of the Iranian drone strike, an official has told Fox News. A third drone is en route to US. Embassy in Riyadh, Saudi Arabia, per FOX.

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As the widening war between Iran and the US and its allies has entered its fourth day, the Assistant US Secretary of State for Consular Affairs Mora Namdar urged Americans in countries including Iran, Iraq, Jordan, Lebanon and Israel to “DEPART NOW” using any available commercial transportation.

Namdar’s words came as an evacuation order for the US Embassy in Jordan was also issued, with the consulate evacuated “out of an abundance of caution”.

US president Donald Trump has said that strikes against Iran are likely to last four to five weeks but that he was prepared “to go far longer than that”.

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He said US forces were determined to destroy Iran’s missile capabilities, wipe out its naval capacity, and to stop the country from obtaining nuclear weapons. The President added that the US also seeks to ensure that Iran cannot continue to support allied groups such as Lebanon’s Hezbollah, which fired missiles at Israel, drawing retaliatory airstrikes.

“This was our last, best chance to strike, what we’re doing right now, and eliminate the intolerable threats posed by this sick and sinister regime,” Trump said.

Iran has long threatened, if attacked, to drag the region into total war, including targeting Israel, the Gulf Arab states and the flow of crude oil crucial for global energy markets. All of these came under attack on Monday.

Meanwhile, Saudi Arabia’s Ras Tanura oil refinery came under attack from drones, with defences downing the incoming aircraft, a military spokesman told the state-run Saudi Press Agency. The refinery has a capacity of more than half a million barrels of crude oil a day.

A drone also targeted an oil tanker in the Gulf of Oman, killing one mariner, the sultanate said, while debris fell on an oil refinery in Kuwait. Several ships have been attacked in the Strait of Hormuz, the narrow mouth of the Persian Gulf through which a fifth of all oil trade passes and where Iran has threatened attacks.

“The attack on Saudi Arabia’s Ras Tanura refinery marks a significant escalation, with Gulf energy infrastructure now squarely in Iran’s sights,” said Torbjorn Soltvedt, an analyst at the risk intelligence company Verisk Maplecroft.

“An extended period of uncertainty lies ahead.”

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Daily horoscope March 3, 2026: Predictions for your star sign

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Daily horoscope March 3, 2026: Predictions for your star sign
What’s in store for you today? (Picture: Metro.co.uk)

Today’s Total Lunar Eclipse in Virgo is a chance for reset. It’s a fresh slate for hard truths to be written on.

Aries, Gemini and Cancer, you will realise that something in your life is no longer serving you as it used to. Don’t be afraid to outgrow your past selves.

This is a tough Lunation, but know you have the courage to get through it. Channel the confronting energy and make necessary shifts towards your truest form.

Ahead, you’ll find all star signs’ horoscopes for today: Tuesday March 3, 2026.

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To download your free Unique Personal Horoscope based on your time, date and place of birth, visit patrickarundell.com/free-birth-chart/.

Aries

March 21 to April 20

The Lunar Eclipse in Virgo shines a revealing light on your work and wellness routines and your to-do list. What is not effective becomes impossible to ignore, whether it is a habit, a health choice or a desire to be perfect that is holding you back. You are offered a chance to release the unrealistic and embrace the sustainable. You do not have to go to extremes to be enough.

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Head here for everything you need to know about being an Aries

Today’s celestial guidance for Aries

Taurus

April 21 to May 21

Your zone of creativity, romance and joy is lit up by a major lunation, revealing what is no longer fun or functional. A project may be ready to evolve, or a romantic chapter could shift in surprising ways. This is less about drama and more about divine editing. If it does not light you up, let it go. Reconnect with what brings you pleasure, not just what looks good on paper.

Head here for everything you need to know about being a Taurus

Today’s planetary forecast for Taurus

Gemini

May 22 to June 21

The spotlight shines on your foundations of home, family, roots and emotional security. Something you have outgrown in your private life may be ready to depart, whether it is a physical space, an old issue or a dynamic that has quietly worn out its welcome. Let go of the pressure to keep holding it all together. Today’s Total Lunar Eclipse says establish yourself in truth, not obligation.

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Head here for everything you need to know about being a Gemini

How the stars aligned for Gemini today

Cancer

June 22 to July 23

Today’s potent lunation occurs in your communication zone, shaking up how you think, speak and connect. Outdated ideas, habits of over-explaining or mental clutter may be ready to go. It asks if you are being honest or revising for comfort. You do not need all the answers, just embrace novelty over certainty. A conversation, contract or mindset shift could mark a turning point.

Head here for everything you need to know about being a Cancer

Celestial energies for Cancer today

Leo

July 24 to August 23

Your sector of money, values and self-worth is illuminated, bringing financial truths and personal priorities into sharp focus. If something has been draining your resources or dimming your confidence, it is time to cut ties. Let go of impulsive spending or trying to prove your worth through performance. Today’s Moon phase offers an audit, so prepare to embrace your true value

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Head here for everything you need to know about being a Leo

Your daily zodiac insight for Leo

Virgo

August 24 to September 23

The Lunar Eclipse in your sign is a mirror reflecting the truth of who you are now, not who you were trying to be. Something personal is coming full circle, such as a habit, identity or narrative that no longer fits, and it may be ready for release. You are allowed to change, soften and rewrite your story. Eclipse energy is potent, so give yourself space to feel before you move into action.

Head here for everything you need to know about being a Virgo

Cosmic messages for Cosmic messages for Virgo today

Libra

September 24 to October 23

Something behind the scenes, perhaps a belief, secret or quiet habit, is ready to be liberated. You are wrapping up a chapter that has been running in the background far too long. Let go of guilt, perfectionism or the need to hold it all in. Solitude is sacred, so embrace stillness without apology. A key lunation means insight can arrive through dreams, a hunch or even a brief nap.

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Head here for everything you need to know about being a Libra

Your daily stellar guidance for Libra

Scorpio

October 24 to November 22

Your sector of friendships, future goals and group dynamics is lit up, shaking loose what no longer aligns with your vision. A team, goal or social circle may be shifting, and that is okay. Do not cling out of loyalty to outdated plans. Today’s Eclipse energy clears space for meaningful connections and aspirations. It is time to ask whether certain people and pursuits still inspire you.

Head here for everything you need to know about being a Scorpio

Star alignments for Scorpio today

Sagittarius

November 23 to December 21

Is a role, goal or reputation you have outgrown ready for retirement? Today’s Moon Eclipse is more about changing course than collapse. You are refining what success means, as this lunar phase clears space for more aligned achievements. Let go of trying too hard or being too nice in your public life. The world does not need a saintlier version, it needs the real you, quirks and all.

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Head here for everything you need to know about being a Sagittarius

Today’s astral messages for Sagittarius

Capricorn

December 22 to January 20

Something you once stood firmly behind, whether a worldview, a goal or a well-worn truth, may no longer fit your evolving self. This is your celestial cue to release outdated philosophies and make space for a more inspired path. Do not be afraid to admit you have changed. A course of study or mindset shift could be coming to a close, bringing with it a surprising new direction.

Head here for everything you need to know about being a Capricorn

Your zodiac forecast for Capricorn today

Aquarius

January 21 to February 19

A potent lunar phase dives deep into your sector of transformation, intimacy and shared resources, and the vault of your emotional and energetic investments. Something hidden may come to light and be ripe for release. This is not superficial, but it can prompt deep spring cleaning. Let go of control, trust the process and know that surrender is not weakness, it is wisdom in disguise

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Head here for everything you need to know about being an Aquarius

Daily cosmic update for Aquarius

Pisces

February 20 to March 20

The Lunar Eclipse shines its revealing light on your relationships, asking you to get real about what and who you are committed to. A partnership, whether romantic, professional or platonic, may shift, end or evolve in surprising ways. This is not about loss, more about alignment. If something needs alignment, this is your cue to recalibrate. Release the need to fix or be too accommodating.

Head here for everything you need to know about being a Pisces

Your cosmic energy update for Pisces

Your daily Metro.co.uk horoscope is here every morning, seven days a week (yes, including weekends!). To check your forecast, head to our dedicated horoscopes page.

Head here for this week’s tarot horoscope reading, and see what the cards have in store for you!

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Check out the tarot horoscope reading for the month of March here.

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the rise of in-game photography

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the rise of in-game photography

Hironobu Sakaguci, one of the creators of the long-running Final Fantasy game series, once observed: “The game itself is fun to play, but its strongest characteristic is the visual entertainment the game provides.”

This aesthetic appeal is a big part of the enjoyment players take from their favourite games. Far from the simple graphics of early games, players can now explore photorealistic forests in Kingdom Come Deliverance II (2025), cross neon-drenched cities in Cyberpunk 2077 (2020), or explore alien planets in No Man’s Sky (2016) – all while taking pictures of them.

Players have long documented their adventures in virtual worlds. The practice of taking “screenshots” – still images captured from the screen during gameplay, like a single frame from a film – predates today’s culture of live streaming. At the turn of the millennium, players were already sharing screenshots on forums and early social media platforms. Some wanted to show how they had overcome a difficult section of the game, while others highlighted interesting locations, or captured funny moments.

Game developers noticed, and over time “photo modes” became a standard feature in many games. These allow players to pause the action and take pictures of the game as if they were using a virtual camera.

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Australie/Australia (2025) from Death Stranding 2 (Kojima Productions 2025). From the book Photography, Video Game, Landscape by Pascal Greco.
Courtesy of Pascal Greco

This feature is implemented in different ways. In Grand Theft Auto V (2013), the player character can equip the camera like any other in-game item. They can frame the shots and tune the settings as in a real camera, and export the images from within the game world. Western game Red Dead Redemption 2 (2018) even equips the player with a period-accurate 1898 Kodak camera.

Other games still provide a photo mode without tying it to the in-game world. A camera appearing in the inventory of the 13th century samurai of Ghost of Tsushima (2020) would be out of place. But with the powerful photo mode, the player can still modify numerous image settings, and also the game world itself, such as time of day, weather and the character’s facial expressions, to get the “perfect shot”.

In-game photography as art

Video games are a visual medium, and promotional screenshots remain central to how they are advertised. But several artists have now turned in‑game photography into a serious artistic practice, with radically different approaches.

British in-game photographer Duncan Harris is a pioneer. Already active in the early 2000s, his photographic works are collected in the blog Deadendthrills. Harris also produces promotional imagery for major games-publishers. His images push game-engines to their limits, often using custom tools to showcase impressive graphics of detailed characters and sweeping vistas.

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Other artists have taken more critical or experimental approaches. Dutch artist Robert Overweg takes pictures from impossible angles: inside a wall, underground or inside buildings that are not meant to be accessed by players. His series Flying and Floating, showing visual glitches and the impossible structures of the 1950s Chicago-like city of the game Mafia 2 (2010), was exhibited at the Centre Pompidou in Paris in 2015.

Los Angeles-based artist Kent Sheely adopts a documentary approach and subverts the gameplay accordingly. For his DoD series, inspired by war photographer Robert Capa, he modified the second world war online shooter Day of Defeat (2003). His character carried no weapons, no user interface cluttered the screen, and the “shoot” button was converted into a screenshotting key, as if he were an actual war photographer on the field.

Sheely’s works have been exhibited at venues including the Fotomuseum Winterhur in Switzerland. Ubisoft commissioned his abstract shots, dubbed “Phantom Arrays”, for the Photomode: Out There in Games exhibition in 2022, which showcased what artists can do with the photo mode of their games.

Swiss artist Pascal Greco occupies yet another position between documentary and the avant-garde. A self-taught filmmaker, cinematographer and photographer, Greco has staged live performances in which he plays Death Stranding (2019) while capturing in-game photographs in front of an audience. His photobook Photography, Video Game, Landscape (2025) presents pristine virtual natural landscapes, devoid of human elements, interjected by glitches – fragmented vistas of these landscapes, between the sublime and the abstract.

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Tales From The Real World by Mélanie Courtinat & Pascal Greco.

Questions of authorship

In 2024, the first academic conference dedicated to in-game photography was held in Milan. Among the key topics was authorship. Who owns the rights to in-game photographs: the photographer who takes the picture, or the developers who created the game?

The work of Italian artist Leonardo Magrelli is emblematic in this regard. His photobook West of Here (2021) collects screenshots taken by other players in Grand Theft Auto V. Magrelli edited them into a black-and-white photobook, echoing the traditions of American documentary photography and appropriation work such as Sherrie Levine’s After Walker Evans (1981).

The project provoked strong reactions from online users, who argued that Magrelli had no right to use images he had not personally captured. Subsequent legal enquiries suggested that, in principle, only Rockstar Games – the developer – could pursue legal action regarding the use of its intellectual property. At the time of writing, no such action has been taken.

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In-game photography is an innovative artistic medium that sits at the intersection of play, technology and artistic expression. It is not merely an aesthetic exercise, but rather an experimental terrain where the barrier between spectator and creator is removed, and players become artists, chroniclers or archivists of ever-changing virtual universes.


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This is the dilemma Trump is facing as war with Iran escalates | World News

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President Donald Trump and Defence Secretary Pete Hegseth. Pic: AP

Take the win or double down.

That’s Donald Trump’s dilemma as the war escalates with Iran.

He says there could be weeks more to go, so is he serious and can the US last that long?

Ahead of the war, in highly unusual leaks Pentagon commanders warned the force being assembled in the region would have enough firepower for a week or two at most.

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Iran latest: follow live updates

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President Donald Trump and Defence Secretary Pete Hegseth. Pic: AP

The clock may be running faster for America’s allies in the region. Well-sourced reports claim Gulf states are already begging the US president to end this soon, not least because their stocks of air defence missiles are dwindling worryingly quickly.

This war is asymmetrical. As unbalanced as using Ferraris against e-bikes it’s been said. A multi-million-dollar state-of-the-art Patriot missile for instance will bring down a drone worth only thousands, but doing so indefinitely is not sustainable.

Iran’s strategy to lash out in multiple directions has surprised many. It should not have. They have long warned they would take the gloves off if they faced an attempt to change their regime.

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What’s happening inside Iran?

It could cost them. Gulf states and Saudi Arabia will now be considering joining the fight against Iran with their own forces.

But for now, the strategy is already working putting pressure on the US from vital regional allies to end this war but also forcing their attackers to deplete their stocks of astronomically expensive weaponry.

Read more:
Mapped: What has been hit so far in Iran war
Brits in Doha and Dubai tell of missile strikes and evacuations

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There are unknowns. How quickly can the US reinforce its fighting capability and crucially what is happening on the ground. Is Israel softening up parts of the country from the air to enable regional uprisings armed by agents in the field?

That could take the war in a very different direction – the fragmentation of Iran and internal civil war.

There is no sign of that yet. In the absence of such strategies the regime will most likely survive a few weeks of aerial onslaught however ferocious.

This war is asymmetric in another way too, that of desired outcomes. To win Israel and America must bring about regime change because that is their objective. To declare victory the regime therefore needs only survive, for as long as it takes.

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And maintaining the pace of their attacks on Iran indefinitely for both the US and Israel is not an option.

More US pilots will be shot down, or troops killed on the ground, the impact on the global economy will be too great, regional allies and stability will be too punishing. Domestic support for another foreign war will continue haemorrhaging.

For whatever reason this war will have its limits and if the Iranian regime still stands when it reaches that point, what happens then?

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Photos of revelers celebrating Holi, the Hindu festival of colors, in India’s Mathura

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Photos of revelers celebrating Holi, the Hindu festival of colors, in India's Mathura

Holi celebrations in the north Indian town of Mathura filled the air with music, dance, and clouds of colored powder.

Hundreds of men and women gathered at a temple in the north Indian town of Mathura, believed to be the birthplace of Lord Krishna, one of the most revered Hindu gods with whom this festival is closely associated, to celebrate the festival marking the arrival of spring.

Their faces smeared with colored powder and their wet clothes hanging to their bodies, they swayed to the rhythm of beating music. Holi colors represent spring’s bounty and the festival is seen as a time to forget old grudges and renew friendships.

On a large stage behind the revelers, folk actors recreated scenes from Krishna’s life and his playful flirting with his consort Radha.

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The dark-skinned god is believed to have smeared color on Radha’s fair cheeks to make her look more like him, setting off a tradition in which people smear colors on each other’s cheeks to mark the festival of colors. The divine couple is a favorite subject of the traditional Indian miniature paintings.

Actors then gear up to play another Radha-Krishna episode to the delight of the merry crowd.

In Mathura and other places linked to Krishna’s life, the celebrations last for several days, but March 4 marks the main day of Holi and festivities spread across the country.

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Overdiagnosis? Why finding cancer isn’t always the same as saving lives

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Overdiagnosis? Why finding cancer isn’t always the same as saving lives

When South Korean doctors launched a nationwide thyroid cancer screening programme, diagnoses shot up 15 fold. Yet the death rate from thyroid cancer didn’t budge. More patients were being created than lives were being saved.

It is a clear illustration of a problem that is quietly reshaping how doctors think about cancer: overdiagnosis. Not misdiagnosis but the accurate detection of tumours that would not actually harm the patient.

Modern cancer screening is rightly celebrated as one of medicine’s great achievements. Finding cancer early saves lives. But as technology has become ever more sensitive, are we sometimes doing more harm than good?

Better detection

A cancer doesn’t spring from a single rogue cell flicking a switch. It develops through multiple steps, and many clusters of abnormal cells never complete that journey.

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Some sit quietly in the body for decades. Only a fraction ever become life threatening. The problem is that once an abnormality is detected and labelled as cancer, it triggers a chain reaction – anxiety, aggressive treatment, serious side-effects – for a condition that might never have caused the patient any trouble at all.

Twenty years ago, many of these abnormalities would have been impossible to find. Today, state-of-the-art imaging and highly sensitive detection tests can identify tiny clusters of abnormal cells, faint genetic changes, and the smallest growths. As that technology improves, the boundary between a dangerous cancer and a harmless biological quirk becomes increasingly blurred.

This raises an uncomfortable question about rising cancer rates, particularly the well documented increase in diagnoses among the under-50s. Is this a genuine biological shift – cancers becoming more aggressive and appearing earlier in life – or is it partly a reflection of the fact that today’s younger adults are being screened, scanned and monitored far more intensively than previous generations?

Thyroid cancer is the starkest example. In South Korea in 2011, that 15-fold surge in diagnoses came almost entirely from screening, not from any real increase in disease. Researchers and clinical bodies eventually revised their guidelines in 2013, moving away from screening slow-growing lesions and towards monitoring rather than immediate surgery.

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Thyroid cancer is one of the most overdiagnosed cancers.
fizkes/Shutterstock.com

Prostate cancer tells a similar story. The introduction of the prostate-specific antigen (PSA) test produced a large jump in diagnoses, but death rates stayed flat – suggesting many men were being treated for cancers that grow so slowly, they never would have become life-threatening.

The consequences were serious. Surgery left many men incontinent or impotent, with no improvement in survival. Guidelines now favour active surveillance for many prostate growths.

For these two types of cancers, also those of the colon, the evidence increasingly points in the same direction: “watchful waiting” is often safer than immediate intervention. Surgery, radiotherapy and chemotherapy all carry significant risks and long-term side effects. Exposing a patient to those risks for a tumour that was never going to threaten their life is difficult to justify.

None of this means early detection should be abandoned. For fast-moving cancers – pancreatic, lung, some breast cancers – finding the disease early remains critical. The challenge is learning to distinguish between the cancers that demand urgent action and those that can safely be watched. That requires not just better technology, but better judgement about when to use it.

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Fairness and transparency

Shifting towards a risk-based approach to screening also raises difficult questions about fairness and transparency. Who gets screened, how often and on what grounds? Those decisions carry real consequences, and they deserve a more open public debate than they currently receive.

What is becoming clearer, though, is that the old logic of cancer screening – find it, remove it – is no longer sufficient on its own. Overdiagnosis is a genuine harm, even if it is a less visible one than a missed diagnosis. For some patients, learning to live carefully with a monitored cancer may turn out to be safer than trying to eliminate it entirely.

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Shop price inflation eases but food costs still 3.5% up on a year ago

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Shop price inflation eases but food costs still 3.5% up on a year ago

Overall shop inflation fell slightly to 1.1% from January’s 1.5%, in line with the three-month average of 1.1%, as fierce competition between retailers kept price rises in check and customers benefited from promotions across health, beauty and fashion, according to the British Retail Consortium (BRC) and NIQ.

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Fire horror on United Airlines plane as emergency landing and evacuation ordered

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Belfast Live

A United Airlines flight was forced to evacuate following an engine fire and an emergency landing at Los Angeles International Airport

A United Airlines flight was forced to evacuate and perform an emergency landing after a fire broke out mid-air.

The aircraft was flying from Los Angeles International Airport (LAX) to Newark, New Jersey, when air traffic control received reports of a fire in its left engine.

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The plane turned back and landed safely at LAX at around 11.20am local time. Smoke could be seen billowing from the engine around 40 minutes later as the aircraft was parked on the runway, ABC7 reports.

All 256 passengers and 12 crew members evacuated the jet using emergency slides and air stairs before being taken by bus to the terminal, United said in a statement, The Mirror reports.

The airline added that it was working to ensure passengers reached their final destinations as soon as possible. One person suffered a cut to their finger, but no other injuries were reported.

The Federal Aviation Agency said in a statement: “United Airlines Flight 2127 returned safely to Los Angeles International Airport around 11:20 a.m. local time on Monday, March 2, due to a left engine issue. Passengers deplaned on a taxiway.

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“The Boeing 787-9 Dreamliner was heading to Newark Liberty International Airport in New Jersey. The FAA will investigate. Please contact the airline and airport for additional information.”

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Cambridgeshire school chooses new house name after Samuel Pepys sexism debate

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Cambridgeshire Live

The school previously said investigations into Pepys uncovered “actions that were harmful, abusive and exploitative, especially in his relations with women”

A new house name has been chosen at the Cambridgeshire school where students previously voted to drop the name of Samuel Pepys. Students at Hinchingbrooke School in Huntingdon were asked to vote on whether to choose a new name for Samuel Pepys House.

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The majority of students voted in favour of finding a new namesake for the house. It came after the school informed parents that investigations into Pepys uncovered “actions that were harmful, abusive and exploitative, especially in his relations with women”.

Staff and students at the school, which is part of CAM Academy Trust, have chosen Olivia Bernard Sparrow to replace Pepys as the figurehead for one of the school’s pastoral houses. Sparrow was a local philanthropist committed to improving education.

Sparrow (1775 to 1863) was committed to improving education, investing her own resources into village schools and widening access to learning. Her philanthropic work reached across the Hinchingbrooke estate and surrounding areas, including Brampton, Godmanchester, Huntingdon, and Buckden.

The school council chose three local figures for the school’s vote. The shortlist also included Mary Stuart and former headteacher at Huntingdon Grammar School, John Wakelin.

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The school said both were key figures in transforming Hinchingbrooke from a small grammar school to the largest comprehensive school in Cambridgeshire, as it is today. It said “local connection was key”, meaning the candidates needed to have a link to the school, Huntingdon Grammar School, or the Hinchingbrooke House site.

Andy Hunter, Principal of Hinchingbrooke School, said: “Olivia Bernard Sparrow was a remarkable and influential figure in Huntingdonshire’s history and the school community has enjoyed finding out more about her important work. Her belief in education as a force for opportunity and fairness, combined with her strong local ties, makes her an inspiring and relevant figurehead for our students today and we are very pleased to be naming one of our houses after her.

“Throughout this process, what has stood out most to me as Principal has been the level of thoughtful discussion and genuine engagement from the students in this matter. They have approached the responsibility of choosing a new figurehead with maturity, curiosity and respect and it has been wonderful to see them debating ideas, weighing up the criteria and taking ownership of the final decision.

“I have been incredibly proud of the real sense of student agency I have witnessed across the school. I would also like to thank all parents and carers for their support throughout this process. Their encouragement has helped our students take pride in their school community and engage meaningfully in decisions that shape it.”

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