379 research outputs found

    Preventing and responding to depression, self-harm, and suicide in older people living in long term care settings: a systematic review

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    Abstract Objective: The well documented demographic shift to an aging population means that more people will in future be in need of long term residential care. Previous research has reported an increased risk of mental health issues and suicidal ideation among older people living in residential care settings. However, there is little information on the actual prevalence of depression, self-harm, and suicidal behavior in this population, how it is measured and how care homes respond to these issues. Method: This systematic review of international literature addressed three research questions relating to; the prevalence of mental health problems in this population; how they are identified and; how care homes try to prevent or respond to mental health issues. Results: Findings showed higher reported rates of depression and suicidal behavior in care home residents compared to matched age groups in the community, variation in the use of standardised measures across studies and, interventions almost exclusively focused on increasing staff knowledge about mental health but with an absence of involvement of older people themselves in these programmes. Conclusion: We discuss the implications of these findings in the context of addressing mental health difficulties experienced by older people in residential care and future research in this area

    Impact of screening participation on modelled mortality benefits of a multi-cancer early detection test by socioeconomic group in England

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    Background: Cancer burden is higher and cancer screening participation is lower among individuals living in more socioeconomically deprived areas of England, contributing to worse health outcomes and shorter life expectancy. Owing to higher multi-cancer early detection (MCED) test sensitivity for poor-prognosis cancers and greater cancer burden in groups experiencing greater deprivation, MCED screening programmes may have greater relative benefits in these groups. We modelled potential differential benefits of MCED screening between deprivation groups in England at different levels of screening participation. / Methods: We applied the interception multi-cancer screening model to cancer incidence and survival data made available by the National Cancer Registration and Analysis Service in England to estimate reductions in late-stage diagnoses and cancer mortality from an MCED screening programme by deprivation group across 24 cancer types. We assessed the impact of varying the proportion of people who participated in annual screening in each deprivation group on these estimates. / Results: The modelled benefits of an MCED screening programme were substantial: reductions in late-stage diagnoses were 160 and 274 per 100 000 persons in the least and most deprived groups, respectively. Reductions in cancer mortality were 60 and 99 per 100 000 persons in the least and most deprived groups, respectively. Benefits were greatest in the most deprived group at every participation level and were attenuated with lower screening participation. / Conclusions: For the greatest possible population benefit and to decrease health inequalities, an MCED implementation strategy should focus on enhancing equitable, informed participation, enabling equal participation across all socioeconomic deprivation groups. / Trial registration number: NCT05611632

    Impact of screening participation on modelled mortality benefits of a multi-cancer early detection test by socioeconomic group in England.

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    BACKGROUND: Cancer burden is higher and cancer screening participation is lower among individuals living in more socioeconomically deprived areas of England, contributing to worse health outcomes and shorter life expectancy. Owing to higher multi-cancer early detection (MCED) test sensitivity for poor-prognosis cancers and greater cancer burden in groups experiencing greater deprivation, MCED screening programmes may have greater relative benefits in these groups. We modelled potential differential benefits of MCED screening between deprivation groups in England at different levels of screening participation. METHODS: We applied the interception multi-cancer screening model to cancer incidence and survival data made available by the National Cancer Registration and Analysis Service in England to estimate reductions in late-stage diagnoses and cancer mortality from an MCED screening programme by deprivation group across 24 cancer types. We assessed the impact of varying the proportion of people who participated in annual screening in each deprivation group on these estimates. RESULTS: The modelled benefits of an MCED screening programme were substantial: reductions in late-stage diagnoses were 160 and 274 per 100 000 persons in the least and most deprived groups, respectively. Reductions in cancer mortality were 60 and 99 per 100 000 persons in the least and most deprived groups, respectively. Benefits were greatest in the most deprived group at every participation level and were attenuated with lower screening participation. CONCLUSIONS: For the greatest possible population benefit and to decrease health inequalities, an MCED implementation strategy should focus on enhancing equitable, informed participation, enabling equal participation across all socioeconomic deprivation groups. TRIAL REGISTRATION NUMBER: NCT05611632

    Water and energy budgets over hydrological basins on short and long timescales

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    Quantifying regional water and energy fluxes much more accurately from observations is essential for assessing the capability of climate and Earth system models and their ability to simulate future change. This study uses satellite observations to produce monthly flux estimates for each component of the terrestrial water and energy budget over selected large river basins from 2002 to 2013. Prior to optimisation, the water budget residuals vary between 1.5 % and 35 % precipitation by basin, and the magnitude of the imbalance between the net radiation and the corresponding turbulent heat fluxes ranges between 1 and 12 W m−2 in the long-term average. In order to further assess these imbalances, a flux-inferred surface storage (Sfi) is used for both water and energy, based on integrating the flux observations. This exposes mismatches in seasonal water storage in addition to important inter-annual variability between GRACE (Gravity Recovery and Climate Experiment) and the storage suggested by the other flux observations. Our optimisation ensures that the flux estimates are consistent with the total water storage changes from GRACE on short (monthly) and longer timescales, while also balancing a coupled long-term energy budget by using a sequential approach. All the flux adjustments made during the optimisation are small and within uncertainty estimates, using a χ2 test, and inter-annual variability from observations is retained. The optimisation also reduces formal uncertainties for individual flux components. When compared with results from the previous literature in basins such as the Mississippi, Congo, and Huang He rivers, our results show better agreement with GRACE variability and trends in each case.</p
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