13 research outputs found
SI_2 – Supplemental material for Pollen-inferred regional vegetation patterns and demographic change in Southern Anatolia through the Holocene
No full textSupplemental material, SI_2 for Pollen-inferred regional vegetation patterns and demographic change in Southern Anatolia through the Holocene by Jessie Woodbridge, C Neil Roberts, Alessio Palmisano, Andrew Bevan, Stephen Shennan, Ralph Fyfe, Warren J Eastwood, Adam Izdebski, Canan Çakırlar, Henk Woldring, Nils Broothaerts, David Kaniewski, Martin Finné and Inga Labuhn in The Holocene</p
Privacy and Dignity in Continence Care for Older People. Report on Phase 1.
No full textIn recent years dignity in care has become a priority and the focus of a number of government reports and policy initiatives. (DH 2003, 2007), (SCIE 2006). The National Service Framework for older people (DH 2001) and its follow up document, (DH 2006a) for example stated that maintaining dignity was pivotal in improving care for older people. However, despite this political support, there continue to be problems in health and social care settings related to preserving the dignity of older people (Levenson 2007). There is a risk therefore that generalised policy statements have little effect on actual practice and care unless they are operational, and supported by detailed guidelines for practice.
Alongside policy, there has also been an increase in studies of dignity in health care (Chochinov et al,2002a), (Woolhead et al 2006) particularly focusing on the ways in which dignity is defined and what it means to people. There have, however, been far fewer on the relationship between dignity and personal care particularly when care involves sensitive issues such as incontinence. This report provides an initial analysis of emerging themes and findings from Phase 1 of the study of privacy and dignity in continence care for older people funded by the Royal College of Physicians and the British Geriatrics Society.
The overall objectives of this two year project are to:
i. develop reflective standards/guidelines for dignified care,
ii. produce recommendations for best practice,
iii. provide advice with regard to changing practice in the clinical setting
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The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action
No full textDespite the initial hope inspired by the 2015 Paris Agreement, the world is now dangerously close to breaching its target of limiting global multiyear mean heating to 1·5°C. Annual mean surface temperature reached a record high of 1·45°C above the pre-industrial baseline in 2023, and new temperature highs were recorded throughout 2024. The resulting climatic extremes are increasingly claiming lives and livelihoods worldwide.The Lancet Countdown: tracking progress on health and climate change was established the same year the Paris Agreement entered into force, to monitor the health impacts and opportunities of the world's response to this landmark agreement. Supported through strategic core funding from Wellcome, the collaboration brings together over 300 multidisciplinary researchers and health professionals from around the world to take stock annually of the evolving links between health and climate change at global, regional, and national levels.The 2024 report of the Lancet Countdown, building on the expertise of 122 leading researchers from UN agencies and academic institutions worldwide, reveals the most concerning findings yet in the collaboration's 8 years of monitoring.</p
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The 2025 report of the Lancet Countdown on health and climate change: climate change action offers a lifeline
No full textDriven by human-caused greenhouse gas emissions, climate change is increasingly claiming lives and harming people's health worldwide. Mean annual temperatures exceeded 1·5°C above those of pre-industrial times for the first time in 2024. Despite ever more urgent calls to tackle climate change, greenhouse gas emissions rose to record levels that same year. Climate change is increasingly destabilising the planetary systems and environmental conditions on which human life depends.Authored by 128 multidisciplinary experts worldwide, the 2025 report of the Lancet Countdown on health and climate change is the ninth—and most comprehensive—assessment of the links between climate change and health. The data in this report reveal that, as the health risks and impacts of climate change break concerning new records, progress is being reversed across key areas, further threatening health and survival. However, the evidence in this report also exposes important opportunities to accelerate action and prevent the most catastrophic impacts of climate change.</p
Sex differences in stroke incidence, prevalence,mortality and disability-adjusted life years: Results from the global burden of disease study 2013
No full textBackground: Accurate information on stroke burden in men and women are important for evidence-based healthcare planning and resource allocation. Previously, limited research suggested that the absolute number of deaths from stroke in women was greater than in men, but the incidence and mortality rates were greater in men. However, sex differences in various metrics of stroke burden on a global scale have not been a subject of comprehensive and comparable assessment for most regions of the world, nor have sex differences in stroke burden been examined for trends over time. Methods: Stroke incidence, prevalence, mortality, disability-adjusted life years (DALYs) and healthy years lost due to disability were estimated as part of the Global Burden of Disease (GBD) 2013 Study. Data inputs included all available information on stroke incidence, prevalence and death and case fatality rates. Analysis was performed separately by sex and 5-year age categories for 188 countries. Statistical models were employed to produce globally comprehensive results over time. All rates were age-standardized to a global population and 95% uncertainty intervals (UIs) were computed. Findings: In 2013, global ischemic stroke (IS) and hemorrhagic stroke (HS) incidence (per 100,000) in men (IS 132.77 (95% UI 125.34-142.77); HS 64.89 (95% UI 59.82-68.85)) exceeded those of women (IS 98.85 (95% UI 92.11-106.62); HS 45.48 (95% UI 42.43-48.53)). IS incidence rates were lower in 2013 compared with 1990 rates for both sexes (1990 male IS incidence 147.40 (95% UI 137.87-157.66); 1990 female IS incidence 113.31 (95% UI 103.52-123.40)), but the only significant change in IS incidence was among women
Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: The GBD 2013 study
No full textBackground: Global stroke epidemiology is changing rapidly. Although age-standardized rates of stroke mortality have decreased worldwide in the past 2 decades, the absolute numbers of people who have a stroke every year, and live with the consequences of stroke or die from their stroke, are increasing. Regular updates on the current level of stroke burden are important for advancing our knowledge on stroke epidemiology and facilitate organization and planning of evidence-based stroke care. Objectives: This study aims to estimate incidence, prevalence, mortality, disability-adjusted life years (DALYs) and years lived with disability (YLDs) and their trends for ischemic stroke (IS) and hemorrhagic stroke (HS) for 188 countries from 1990 to 2013. Methodology: Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated using all available data on mortality and stroke incidence, prevalence and excess mortality. Statistical models and country-level covariate data were employed, and all rates were age-standardized to a global population. All estimates were produced with 95% uncertainty intervals (UIs). Results: In 2013, there were globally almost 25.7 million stroke survivors (71% with IS), 6.5 million deaths from stroke (51% died from IS), 113 million DALYs due to stroke (58% due to IS) and 10.3 million new strokes (67% IS). Over the 1990-2013 period, there was a significant increase in the absolute number of DALYs due to IS, and of deaths from IS and HS, survivors and incident events for both IS and HS. The preponderance of the burden of stroke continued to reside in developing countries, comprising 75.2% of deaths from stroke and 81.0% of stroke-related DALYs. Globally, the proportional contribution of stroke-related DALYs and deaths due to stroke compared to all diseases increased from 1990 (3.54% (95% UI 3.11-4.00) and 9.66% (95% UI 8.47-10.70), respectively) to 2013 (4.62% (95% UI 4.01-5.30) and 11.75% (95% UI 10.45-13.31), respectively), but there was a diverging trend in developed and developing countries with a significant increase in DALYs and deaths in developing countries, and no measurable change in the proportional contribution of DALYs and deaths from stroke in developed countries. Conclusion: Global stroke burden continues to increase globally. More efficient stroke prevention and management strategies are urgently needed to halt and eventually reverse the stroke pandemic, while universal access to organized stroke services should be a priority
Erratum: Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015 (The Lancet (2016) 388(10053) (1775–1812)(S0140673616314702)(10.1016/S0140-6736(16)31470-2))
No full textGBD 2015 Maternal Mortality Collaborators. Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388: 1775–812—In this Article, an extra affiliation has been added for Simon I Hay. The affiliation for Monica Cortinovis has been edited. The funding statement for Simon I Hay has been added. These corrections have been made to the online version as of Jan 5, 2017
Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015
No full textGlobal, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 201
Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015
No full textGlobal, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 201
