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Bruce Willis has been diagnosed with frontotemporal dementia, one of the rarer types of dementia. 

His family said difficulties with communication are “just one of the challenges” the 67-year-old actor faces.

So what is frontotemporal dementia and what are people diagnosed with it likely to experience?

Frontotemporal dementia and its symptoms

Frontotemporal dementia (FTD) is thought to account for less than one in 20 of all dementia cases.

It is named for the parts of the brain it affects: the frontal and temporal lobes. It is sometimes called Pick’s disease or frontal lobe dementia.

There are different types of frontotemporal dementia. Behaviour variant FTD is the most common and mainly causes changes in someone’s personality and behaviour.

People with behavioural variant FTD may lose motivation; struggle to focus on tasks, make plans and decisions; lose their inhibitions; show repetitive behaviours and become less considerate of others.

The other main type of FTD is primary progressive aphasia (PPA) which has two sub-types: semantic variant PPA and non-fluent variant PPA.

Semantic variant PPA causes a person to forget the meaning of words.

The person is likely to lose their vocabulary over time and forget what familiar objects are used for.

Non-fluent variant PPA causes a person to have problems with speaking.

Over time, the person will find it more difficult to get their words out and may start to put words in the wrong order, miss out words and say the opposite of what they mean.

Last year, the Die Hard star retired from acting after being diagnosed with aphasia.

Bruce Willis in 1999
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Bruce Willis in 1999

How is it different to other types of dementia?

The first noticeable symptoms of FTD are different to other types of dementia.

While people with Alzheimer’s disease often have early problems with day-to-day memory, many people in the early stages of FTD can still remember recent events.

By contrast, the early symptoms of FTD are changes to personality and behaviour and/or difficulties with language.

Who does it affect?

FTD typically affects people between the ages of 45 and 64 but can affect people younger or older than this.

How is it treated?

There’s currently no cure for frontotemporal dementia or any treatment that will slow it down, according to the NHS.

However, treatments such as medicines, therapies and memory activities can help control some of the symptoms.

There’s also a glimmer of hope for people with FTD thanks to researchers at Durham University working on developing treatments.

Professor Andy Whiting said they had conducted some “promising” research that “directly addresses the reasons why there is nerve cell loss”.

He said he was “hopeful” the current lack of treatment could change over the next few years.

** HOLD FOR RELEASE/PUBLICATION DATE TBD FOR MEDICAL WRITER MARILYNN MARCHIONE STORY ** Dr. William Burke goes over PET brain scan Tuesday, Aug. 14, 2018 at Banner Alzheimers Institute in Phoenix. It may be too late to stop Alzheimer's in people who already have some mental decline but Banner is conducting two studies that target the very earliest brain changes while memory and thinking skills are still intact in hope of preventing the disease. (AP Photo/Matt York).
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Brain scans from a study targeting the earliest brain changes in dementia. Pic: Matt York/AP

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Celebrities send messages to ‘legend’ Bruce Willis

What is the outlook for people with FTD?

As FTD progresses, the differences between behavioural variant FTD and primary progressive aphasia become less obvious.

People who started with language difficulties often develop changes in their behaviour and vice versa.

People may eventually lose all speech.

The later stages of all types of FTD bring a greater range of symptoms, which are similar to the later stages of other types of dementia.

The person may become forgetful, have delusions or hallucinations, get agitated easily and no longer recognise family and friends. They may require full-time care.

How quickly FTD progresses and the person’s life expectancy will depend on the individual.

The average survival time after symptoms start is 8 to 10 years, according to the NHS.

How is FTD caused?

FTD is caused by damage to cells in areas of the brain called the frontal and temporal lobes.

There is a build up of proteins which clump together and damage the brain cells, eventually causing them to die.

It’s not fully understood why this happens, but there’s often a genetic link according to the NHS.

Around 1 in 8 people who get frontotemporal dementia will have relatives who also experienced the condition.

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Trump’s tariffs are about something more than economics: power

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Trump's tariffs are about something more than economics: power

Tanking stock markets, collapsing world orders, devastating trade wars; economists with their hair ablaze are scrambling to keep up.

But as we try to make sense of Donald Trumps’s tariff tsunami, economic theory only goes so far. In the end this surely is about something more primal.

Power.

Understanding that may be crucial to how the world responds.

Yes, economics helps explain the impact. The world’s economy has after all shifted on its axis, the way it’s been run for decades turned on its head.

Instead of driving world trade, America is creating a trade war. We will all feel the impact.

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PM will ‘fight’ for deal with US

Donald Trump says he is settling scores, righting wrongs. America has been raped, looted and pillaged by the world trading system.

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But don’t be distracted by the hyperbole – and if you think this is about economics alone, you may be missing the point.

Above all, tariffs give Donald Trump power. They strike fear into allies and enemies, from governments to corporations.

This is a president who runs his presidency like a medieval emperor or mafia don.

It is one reason why since his election we have seen what one statesman called a conga line of sycophants make their way to the White House, from world leaders to titans of industry.

The conga line will grow longer as they now redouble their efforts hoping to special treatment from Trump’s tariffs. Sir Keir Starmer among them.

President Trump’s using similar tactics at home, deploying presidential power to extract concessions and deter dissent in corporate America, academia and the US media. Those who offer favours are spared punishment.

His critics say he seeks a form power for the executive or presidential branch of government that the founding fathers deliberately sought to prevent.

Whether or not that is true, the same playbook of divide and rule through intimidation can now be applied internationally. Thanks to tariffs

Each country will seek exceptions but on Trump’s terms. Those who retaliate may meet escalation.

This is the unforgiving calculus for governments including our own plotting their next moves.

The temptation will be to give Trump whatever he wants to spare their economies, but there is a jeopardy that compounds the longer this goes on.

Read more:
Do Trump’s numbers on tariffs really add up?
Trump hits island home only to penguins with 10% tariffs

Chinese Vice President Han Zheng gestures to Britain's Chancellor of the Exchequer Rachel Reeves following a photo session at the Great Hall of the People in Beijing, Saturday, Jan. 11, 2025. (Florence Lo/Pool Photo via AP)
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Could America’s traditional allies turn to China? Pic: AP

Malcolm Turnbull, the former Australian prime minister who coined the conga line comparison, put it this way: “Pretty much all the international leaders I have seen that have sucked up to Trump have been run over. The reality is if you suck up to bullies, whether it’s global affairs or in the playground, you just get more bullying.”

Trading partners may be able to mitigate the impact of these tariffs through negotiation, but that may only encourage this unorthodox president to demand ever more?

Ultimately the world will need a more reliable superpower than that.

In the hands of such a president, America cannot be counted on.

When it comes to security, stability and prosperity, allies will need to fend for themselves.

And they will need new friends. If Washington can’t be relied on, Beijing beckons.

America First will, more and more, mean America on its own.

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‘A genius actor’, ‘firecracker’, and ‘my friend’: Tributes paid to Top Gun star Val Kilmer

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'A genius actor', 'firecracker', and 'my friend': Tributes paid to Top Gun star Val Kilmer

Actors, directors and celebrity friends have paid tribute to Val Kilmer, after he died aged 65.

The California-born star of Top Gun, Batman and Heat died of pneumonia on Tuesday night in Los Angeles, his daughter Mercedes told the Associated Press.

She said Kilmer was diagnosed with throat cancer in 2014 but later recovered.

Tributes flooded in after reports broke of the actor’s death, with No Country For Old Men star Josh Brolin among the first to share their memories.

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Watch: Val Kilmer in his most iconic roles

He wrote on Instagram: “See ya, pal. I’m going to miss you. You were a smart, challenging, brave, uber-creative firecracker. There’s not a lot left of those.

“I hope to see you up there in the heavens when I eventually get there. Until then, amazing memories, lovely thoughts.”

Kyle Maclachlan, who co-starred with Kilmer in the 1991 biopic The Doors, wrote on social media: “You’ll always be my Jim. See you on the other side my friend.”

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Michael Mann, who directed Kilmer in 1995’s Heat, also paid tribute in a statement, saying: “I always marvelled at the range, the brilliant variability within the powerful current of Val’s possessing and expressing character.

“After so many years of Val battling disease and maintaining his spirit, this is tremendously sad news.”

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Heat co-star Danny Trejo also called Kilmer “a great actor, a wonderful person, and a dear friend of mine” on Instagram.

Cher, who once dated the actor, said on X that “U Were Funny, crazy, pain in the ass, GREAT FRIEND… BRILLIANT as Mark Twain, BRAVE here during ur sickness”.

Lifelong friend and director of Twixt, Francis Ford Coppola said: “Val Kilmer was the most talented actor when in his High School, and that talent only grew greater throughout his life.

“He was a wonderful person to work with and a joy to know – I will always remember him.”

The Top Gun account on X also said it was remembering Kilmer, who starred as Iceman in both the 1986 original and 2022 sequel, and “whose indelible cinematic mark spanned genres and generations”.

Nicolas Cage added that “I always liked Val and am sad to hear of his passing”.

“I thought he was a genius actor,” he said. “I enjoyed working with him on Bad Lieutenant and I admired his commitment and sense of humor.

“He should have won the Oscar for The Doors.”

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Island home only to penguins hit by tariffs – and other things you may have missed on ‘Liberation Day’

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Island home only to penguins hit by tariffs - and other things you may have missed on 'Liberation Day'

No one expected penguins to bear the brunt of Liberation Day. 

But among the barrage of tariffs set out by Donald Trump, the US also took aim at uninhabited islands, talked up American beef and turned its nose up at plastic eggs.

Here is what you might have missed in the US leader’s expansive announcement.

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What the numbers behind Trump’s tariffs really mean

Tiny territories hit with big tariffs

At first glance, newly imposed tariffs on countries such as China, the European Union, India and the UK stand out – ranging from 34% to 10% respectively.

But the president also imposed tariffs on dozens of tiny territories – some of which don’t even have human inhabitants.

One of those was the Heard and McDonald Islands, an external territory of Australia in the Antarctic that is inhabited only by penguins and seals.

All of Australia's external territories that have been hit with US tariffs
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All of Australia’s external territories that have been hit with US tariffs

Despite having no human residents – or imports and exports – the island now faces a 10% tariff for any goods bound for the US.

According to export data from the World Bank, the US imported $1.4m (£1m) of mainly “machinery and electrical” products from Heard Island and McDonald Islands in 2022.

Australian territory Norfolk Island, a volcanic island 600 miles east of Queensland, was also hit with a hefty 29% tariff on exports to the US. That’s much higher than mainland Australia, which had a 10% tariff imposed.

The news was met with confusion by some of Norfolk Island’s 2,188 residents.

“Norfolk Island is a little dot in the world,” Richard Cottle, owner of a concrete-mixing business on the island, said on Thursday.

“We don’t export anything. It was just a mistake”.

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How is the world reacting to Trump’s tariffs?

Although the island does ship a modest amount of Kentia palm seeds abroad, this is typically worth less than $1m (£760,000) a year, with the products mostly going to Europe.

According to US government data, America has recorded trade deficits with Norfolk Island for the past three years.

Other tiny nations and territories were also hit with 10% tariffs, including Tokelau, a dependent territory of New Zealand, with a population of around 1,600 people, and the Cocos Islands, another territory of Australia, with a population of around 600 people.

Australian Prime Minister Anthony Albanese told reporters he had no explanation for the tariffs, calling them “unexpected” and “a bit strange”.

A Southern Elephant Seal pup on the beach below the Baudissin Glacier on Heard Island.
Pic: VWPics/AP
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We have a feeling the seals won’t welcome Trump for his next holiday to the Heard Island… Pic: AP

‘Our beef is beautiful, theirs is weak’

After announcing a 20% tariff against the European Union, Mr Trump’s secretary of commerce Howard Lutnick spoke to Fox News to try to explain what was behind the decision.

In a brief but bizarre rant, Mr Lutnick spoke about the bloc’s ban on imported chicken from the US.

“I mean European Union won’t take chicken from America,” he said.

“They will take lobsters from America… they hate our beef because our beef is beautiful and theirs is weak.”

The EU has a ban on chicken washed in chlorine – a practice that is approved by the United States Department of Agriculture.

Although US beef is not completely prohibited in Europe, any beef that has been treated with artificial growth hormones – which is legal in the US and common among producers – is banned by the EU.

Why was Russia exempt?

Russia was not on Mr Trump’s tariff list, despite his threat to introduce some on Russian oil imports last week.

The US president made the threat after telling NBC’s Kirsten Welker he was “very angry” and “pissed off” after Vladimir Putin criticised the credibility of Ukraine’s president Volodymyr Zelenskyy, as fragile peace negotiations are ongoing.

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Do Trump’s ‘Liberation Day’ tariff numbers add up?

Mr Trump said that if Russia was unable to make a deal on “stopping bloodshed in Ukraine” – and Mr Trump felt that Moscow was to blame – then he would put secondary tariffs on “all oil coming out of Russia”.

“That would be that if you buy oil from Russia, you can’t do business in the United States. There will be a 25% tariff on all oil, a 25 to 50-point tariff on all oil,” he said.

Axios reported that White House press secretary Karoline Leavitt told the publication on Wednesday that Russia was left off the tariffs list because US sanctions already “preclude any meaningful trade”.

Russia ran a $2.5bn goods trade surplus with the US in 2024, according to the US Trade Representative’s office, falling from $35bn in 2021 as a result of sanctions put in place due to the war in Ukraine.

World’s poorest nations face highest tariffs

Many of Mr Trump’s tariffs have targeted the world’s poorest countries.

Lesotho in southern Africa, listed as the 22 poorest country in the world, has been slapped with the highest duty of 50%. It primarily exports diamonds and garments, with the US as one of the top five exporting destinations, Sky News’ US partner network NBC News reported.

The second-highest tariff went to Cambodia at 49%, even though the US is Cambodia’s largest single-country export destination.

Madagascar in east Africa, the world’s ninth poorest country, will face 47% reciprocal tariffs. It primarily exports vanilla, cloves, and garments, with the US among the top five countries it exports to, according to NBC.

‘Huge complexities’ for Northern Ireland and the Republic

Tanaiste Simon Harris speaks to media outside Government Buildings, Dublin. Picture date: Thursday April 3, 2025. PA Photo. See PA story IRISH Tariffs . Photo credit should read: Cillian Sherlock/PA Wire
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Deputy premier Simon Harris said the difference in tariffs between the Republic of Ireland and Northern Ireland will cause complexities. Pic: Cillian Sherlock/PA Wire

Under the 10% tariff imposed on the UK, Northern Irish goods will also be covered at the same rate.

Whereas the Republic of Ireland will subject to a 20% tariffs – which Mr Trump imposed on the entirety of the EU.

Reacting to the announcement, Ireland deputy premier Simon Harris said the tariff difference would create “huge complexities” for products that need to be carried across the cross-border dimension during production.

He said the issues were similar to those at play during the Brexit debate around maintaining a frictionless land border on the island of Ireland.

Mr Harris said it was on the US to “outline their understanding” on how the 10% differential between Northern Ireland and Ireland will play out.

Trump defines groceries

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Trump says ‘groceries’ is a ‘beautiful term’

As has become common when delivering major addresses, the US president repeatedly deviated from his script.

At one point, he took time to define the word groceries: “It’s a bag with a lot of different things in it.”

He went on to describe the word as “old-fashioned” but “beautiful”.

‘Could you use plastic eggs?’

In another part of his wide-ranging speech, Mr Trump got onto the topic of eggs – the price of which reached an all-time high earlier this year in the US due to the outbreak of bird flu.

On Wednesday, Mr Trump confirmed that the annual White House tradition of rolling around 30,000 Easter eggs across the South Lawn is expected to proceed, and will use real eggs, despite pleas for plastic ones to be used instead.

“They were saying that for Easter ‘Please don’t use eggs. Could you use plastic eggs?’ I say, we don’t want to do that,” Mr Trump said.

He did not clarify who was telling him not to use real eggs.

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