Lara Arias is a rare female golf course superintendent and she's in charge at the Marco Simone club outside Rome that will host the Ryder Cup next week

Psoriasis has been a hot topic in the health world in recent years, thanks in part to one very vocal – and very famous – celebrity. Kim Kardashian has shared the ups and downs of her experience with the skin condition on TV and social media, and penned a piece on the subject for her sister Kourtney’s website Poosh. “When I was 25, I had my first psoriasis flare-up,” the reality star and entrepreneur wrote. “I got a common cold, and since psoriasis is an autoimmune condition, this triggered it. It was all over my stomach and legs.” After an injection of cortisone recommended by a dermatologist, the symptoms went away for five years, but came back when Kardashian was in her 30s. “Psoriasis can start at any age, but most often develops in adults between 20 and 30 years old, and between 50 and 60 years old,” says Dr Nisa Aslam, a GP from Typharm’s Skin Life Sciences Foundation. “The severity varies greatly. For some people, it may be relatively minor, whilst for others, psoriasis has a huge impact on quality of life.” In the case of Kardashian, her psoriasis – which has no known cure – also went away during her two pregnancies, but came back after and has fluctuated ever since. “I’ve become extremely comfortable with my psoriasis,” she continued in her essay, revealing that sometimes she covers it up with body make-up and sometimes she doesn’t. “I hope my story can help anyone else with an autoimmune disease feel confident that there is light at the end of the tunnel.” To mark Psoriasis Awareness Month in August, these are the key facts you need to know about the chronic condition… What are the symptoms of psoriasis? “Psoriasis is a type of skin disease that affects about 2% of the population of the UK,” says consultant dermatologist Dr Natalia Spierings, author of Skintelligent: What You Really Need To Know To Get Great Skin. “Patients develop thickened red plaques of skin with thick silvery white scale over the top.” The most common places for plaques to appear are the backs of the elbows, the front of the knees, the scalp and the lower back. They may be itchy or painful. “On brown and black skin, the patches can also be purple or dark brown in colour, and the scales may look grey,” says Aslam. Psoriasis is also linked with an inflammatory form of arthritis, known as psoriatic arthritis, which Kim Kardashian was diagnosed with in 2019. Aslam explains: “Psoriatic arthritis affects the nails, joints and can affect the eyes, the cardiovascular system and may cause insulin resistance, leading to diabetes.” What is it caused by? “Psoriasis is an ‘immune-mediated’ disease, which means that the skin is inflamed, due to a dysfunction or abnormality in how the immune system works,” Spierings says. Doctors believe that an overactive immune system speeds up skin cell turnover, which causes plaques. “Normal skin cells will grow and then shed off the top of the surface of the skin in a cycle which takes approximately a month,” Spierings continues. “In psoriasis, this process is sped up to only three or four days, so the skin doesn’t have time to shed off, and therefore the scale builds up on the skin.” Diet and lifestyle factors can cause flare-ups of the condition. “Known triggers include drinking excessive alcohol; family history; smoking; stress and hormonal changes, for instance during puberty and menopause,” says Aslam. “Plus certain medicines such as betablockers, used to treat high blood pressure; throat infections; other immune disorders and skin injuries. Obesity has been shown to double the risk of psoriasis.” What treatments are available? While there is no cure for the chronic condition, it is possible to treat the symptoms during flare-ups. “There are a variety of effective prescribed skin treatment options, from steroid ointments and creams, to the development of new formats like medicated tapes such as Fludroxycortide tape,” says Aslam. “This is a transparent medicated surgical tape impregnated with the steroid Fludroxycortide, which can be cut to size. When applied to the skin, it helps to reduce redness, swelling and itching.” UV light or sun exposure has also been shown to help psoriasis. “But remember that uncontrolled sun exposure also increases your risk of skin cancer and premature ageing,” says Spierings. “If you want to use sunlight therapy for your psoriasis, it is best to do this via a dermatologist using special machines to deliver the UV treatment.” Because it’s an inflammatory condition, psoriasis can be affected by what you eat. “Certain foods, particularly ultra-processed foods high in fat, salt and sugar may cause an inflammatory response,” says Aslam. “It’s important to stick to a healthy diet with plenty of vegetables, fruits, wholegrains, beans and lentils, and oily fish with small amounts of lean meat, and small amounts of dairy if liked.” She adds: “Finding the most effective therapy is often a matter of trial and error, so it’s important to keep going back to your doctor, or dermatologist, for advice.” Psoriasis and mental health It’s important to note that skin conditions like psoriasis can have a detrimental impact on mental health. “A recent Typharm survey found that 23% of those surveyed think others believe they are infectious and 19% think they are perceived as unhygienic,” Aslam says. However, it is not contagious or caused by poor hygiene. “Patients with psoriasis have a high risk of developing depression because of their skin problem,” says Spierings. “It is incredibly important to seek proper treatment if you have psoriasis or think you may have it.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How to dress in rainy summer weather How to make the Prince of Wales’s Earthshot burger 13 potential cancer symptoms you should get checked out

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Olivia Rodrigo has sparkled in a silver gown on the 2023 MTV VMA’s pink carpet. The “Vampire” singer arrived at the award show ceremony in a crystal-covered , floor-length liquid silver Roger Vivier gown that sparkled in every direction. Rodrigo’s appearance marks the Disney Channel alum’s first award show appearance since the recent release of her sophomore album, Guts. During this album cycle, the singer has aimed for sleeker, more glamourous looks that are definitely turning heads among her fans. She paired the dress with her hair worn pin straight and parted down the middle, choosing the soft glam look that she usually gravitates toward. She accessorised the look with a nod to her album cover with a couple of rings that spell out “Guts.” Viewers were collectively in awe of Rodrigo’s showstopping look. One fan wrote X, formerly known as Twitter: “The queen! She is dazzling!” “Olivia Rodrigo the princess that you are,” someone else wrote, comparing the singer-songwriter to Ariel in the ending scene of the animated version of Disney’s The Little Mermaid. A third commented that Rodrigo “is not playing this era”. Rodrigo’s fans aren’t the only ones excited to see her make an appearance at the VMA’s, as K-pop group Stray Kids said that the musical act they’re looking forward to seeing the most is Rodrigo. “We would really like to see Olivia Rodrigo,” group member Bang Chan told Entertainment Tonight host Rachel Smith. Read More 2023 MTV VMAs: The best-dressed stars on the red carpet, from Olivia Rodrigo to Doja Cat Selena Gomez returns to the VMAs red carpet in red gown for first appearance since 2015 MTV VMAs: Most iconic outfits of all time, from Lil’ Kim to Lady Gaga

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Gareth Southgate believes the fight against racism in football may have reached a defining moment as the fall-out from the abuse levelled against Real Madrid’s Vinicius Junior in Valencia last weekend continues. The England boss has led calls for stricter punishment since his side came close to walking off the field after some players were subjected to racial abuse during a match in Bulgaria in 2019. Vinicius threatened to leave the pitch in the second half of Sunday’s LaLiga match at the Mestalla after being subjected to alleged monkey chants from the crowd and Real Madrid, who said the incident constituted a “hate crime”, filed a complaint with the Spanish State Attorney General’s Office. In response, Valencia were given a partial stadium ban for five matches plus a fine of 45,000 euros (£39,000) – a punishment the club called “totally disproportionate”, while Valencia head coach Ruben Baraja vowed to lead the fight back against what he described as “smears”. Southgate said: “It is a disgusting situation. I think it is so bad that it looks like it is going to force change. I am hoping there will be something positive to come from it. “If anyone suggests to me we don’t have a problem in society with racism then there is another example of what we are dealing with, and more examples of people burying their heads in the sand, quite frankly. “Hopefully it is a story that doesn’t just disappear in 24-48 hours without there being some significant change.” The action by the Spanish football federation (RFEF), who order that Valencia shut the Mario Kempes south stand, where the alleged abuse happened, for five matches, was strongly criticised by the club, who vowed to appeal. That criticism was echoed by Baraja in a prepared statement prior to a press conference on Wednesday, in which he stressed he was “absolutely against racism”, but added: “I am not going to allow the Valencia CF fans and Mestalla to be smeared with labels that do not represent us. “Just as a player rightly fights back against insults and I support that with all my might, we as a club and a fanbase rebel against those who, during the days since the game, have accused us of being what we are not.” Earlier, Valencia had issued a robust statement against the ruling, saying: “Valencia CF wishes to show its total disagreement and indignation at the unfair and disproportionate penalty imposed by the competition committee on the club with the closure of the stand for five games. “Valencia CF wants to publicly denounce that in this resolution of the RFEF competition committee they show evidence that contradicts what the national police and LaLiga say. “In addition, this sanction is based on evidence that the club has not been able to see and without giving us a hearing. Valencia CF will appeal to the last instance the closure of the stand, a sanction that it considers totally unfair and one more offense in the latest disciplinary decisions that have been taken against the club Valencia official statement “Valencia CF has condemned, condemns and will condemn in the most energetic way any act of racism or violence. These behaviours have no place in football or in society and we will continue to act in the most forceful way to eradicate this scourge. “For this reason, Valencia CF is collaborating from the first minute with the police and all relevant authorities to clarify the events that occurred last Sunday. “In addition, it has applied the maximum possible sanction with the expulsion for life from our stadium to the fans that the police have identified for their racist behaviour. “For this reason we consider that penalising and depriving all the fans who were not involved in these unfortunate incidents from seeing their team is a totally disproportionate, unfair and unprecedented measure against which we will fight. “The fight against racism requires the real commitment of all the parties involved without using it as a pretext to incur serious injustices. “Valencia CF will appeal to the last instance the closure of the stand, a sanction that it considers totally unfair and one more offence in the latest disciplinary decisions that have been taken against the club. Valencia CF asks for the utmost respect and rigour for our institution and fans.” In announcing the punishment against Valencia, the RFEF said in a statement: “The competition committee has sanctioned Valencia CF with the partial closure of the Mestalla stadium for five matches, more specifically the Mario Kempes south stand, following the events that occurred during the league match between the local team and Real Madrid CF. “It is considered proven that, as reflected by the referee in his minutes, there were racist shouts at Vinicius, a Real Madrid CF player, during the aforementioned match, altering the normal course of the match and considering the infractions very serious.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Jos Buttler excited to be part of Lancashire’s Vitality Blast campaign No regrets for Eddie Jones as he relishes Twickenham return with Barbarians LTA’s fine for banning players contributes to operating losses of £9.5million

The Federal Trade Commission proposed Friday a rule to rein in marketers who use fake reviews of products, and signaled the commission's plans to use "all available means" to target such deceptive advertising.