Denudation and geomorphic change in the Anthropocene; a global overview

The effects of human activity on geomorphic processes, particularly those related to denudation/sedimentation, are investigated by reviewing case studies and global assessments covering the past few centuries. Evidence we have assembled from different parts of the world, as well as from the literature, show that certain geomorphic processes are experiencing an acceleration, especially since the mid-twentieth century. This suggests that a global geomorphic change is taking place, largely caused by anthropogenic landscape changes

Denudation and geomorphic change in the Anthropocene; a global overview

The effects of human activity on geomorphic processes, particularly those related to denudation/sedimentation, are investigated by reviewing case studies and global assessments covering the past few centuries. Evidence we have assembled from different parts of the world, as well as from the literature, show that certain geomorphic processes are experiencing an acceleration, especially since the mid-twentieth century. This suggests that a global geomorphic change is taking place, largely caused by anthropogenic landscape changes. Direct human-driven denudation (through activities involving excavation, transport, and accumulation of geological materials) has increased by a factor of 30 between 1950 and 2015, representing a ten-fold increase of per capita effect. Direct plus indirectly human-induced denudation (triggered by land surface alteration) is presently at least one order of magnitude greater than denudation due to purely natural processes. The activity of slope movements, which represent an important contribution to denudation, sediment generation and landscape evolution, also shows a clear intensification. Frequency of hazardous events and disasters related to slope movements (an indirect measure of process frequency) in specific regions, as well as at continental and global levels, has grown considerably, in particular after the mid-twentieth century. Intense rainstorm events are often related to slope movement occurrence, but the general increasing trend observed is not satisfactorily explained by climate. Sedimentation has augmented considerably in most regions and all kinds of sedimentation environments. Although the link between denudation and sedimentation is not direct and unequivocal, it is safe to assume that if sedimentation rates increase in different regions during a given period, denudation must have increased too, even though their magnitudes could be different. This augmentation, particularly marked from the second half of the last century onwards, appears to be determined mainly by land surface changes, in conjunction with climate change. The changes observed suggest: a) there is evidence at a global scale of a growing response of geomorphic systems to socio-economic drivers, being Gross Domestic Product density, a good indicator of the human potential to cause such impacts; b) Land use/cover changes enhance effects of climate change on global denudation/sedimentation and landslide/flood frequency, and appear to be a stronger controlling factor; c) Our findings point to the existence of a global geomorphic change. This manifestation of global change is especially evident since the ?great geomorphic acceleration? that began in the middle of the 20th century, and constitutes one of the characteristics of the proposed Anthropocene.This work was supported, at different stages, by projects: FEDER, AEI, CGL2017-82703-R (Ministerio de Ciencia e Investigacion, Spain) and PICT2011-1685; MTM2014-56235-C2-2215 (Ministerio de Ciencia, Tecnología e Innovacion, Argentina). We also thank Dr. Anthony R. Berger for critical review and writing assistance

Associations between length of stay in long term care facilities and end of life care. Analysis of the pace cross-sectional study

Long term care facilities (LTCFs) are increasingly a place of care at end of life in Europe. Longer residence in an LTCF prior to death has been associated with higher indicators of end of life care; however, the relationship has not been fully explored. The purpose of this analysis is to explore associations between length of stay and end of life care. The analysis used data collected in the Palliative Care for Older People in care and nursing homes in Europe (PACE) study, a cross-sectional mortality follow-back survey of LTCF residents who died within a retrospective 3-month period, conducted in Belgium, England, Finland, Italy, the Netherlands and Poland. Primary outcomes were quality of care in the last month of life, comfort in the last week of life, contact with health services in the last month of life, presence of advance directives and consensus in care. Longer lengths of stay were associated with higher scores of quality of care in the last month of life and comfort in the last week of life. Longer stay residents were more likely to have advance directives in place and have a lasting power of attorney for personal welfare. Further research is needed to explore the underlying reasons for this trend, and how good quality end of life care can be provided to all LTCF resident

Length of stay in long-term care facilities:A comparison of residents in six European countries. Results of the PACE cross-sectional study

Objectives This paper aims to investigate resident, facility and country characteristics associated with length of stay in long-term care facilities (LTCFs) across six European countries. Setting Data from a cross-sectional study of deceased residents, conducted in LTCFs in Belgium, England, Finland, Italy, the Netherlands and Poland. Participants All residents aged 65 years and older at admission who died in a 3-month period residing in a proportional random sample of LTCFs were included. Primary and secondary outcome measures The primary outcome was length of stay in days, calculated from date of admission and date of death. Resident, facility and country characteristics were included in a proportional hazards model. Results The proportion of deaths within 1 year of admission was 42% (range 32%-63%). Older age at admission (HR 1.04, 95% CI 1.03 to 1.06), being married/in a civil partnership at time of death (HR 1.47, 95% CI 1.13 to 1.89), having cancer at time of death (HR 1.60, 95% CI 1.22 to 2.10) and admission from a hospital (HR 1.84, 95% CI 1.43 to 2.37) or another LTCF (HR 1.81, 95% CI 1.37 to 2.40) were associated with shorter lengths of stay across all countries. Being female (HR 0.72, 95% CI 0.57 to 0.90) was associated with longer lengths of stay. Conclusions Length of stay varied significantly between countries. Factors prior to LTCF admission, in particular the availability of resources that allow an older adult to remain living in the community, appear to influence length of stay. Further research is needed to explore the availability of long-term care in the community prior to admission and its influence on the trajectories of LTCF residents in Europe. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ

Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study

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Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study

Contains fulltext : 217389.pdf (publisher's version ) (Open Access

Measuring relatives' perceptions of end-of-life communication with physicians in five countries: a psychometric analysis

The Family Perceptions of Physician-Family Caregiver Communication scale (FPPFC) was developed to assess quality of physician-family end-of-life communication in nursing homes. However, its validity has been tested only in the USA and the Netherlands. The aim of this paper is to evaluate the FPPFC construct validity and its reliability, as well as the psychometric characteristics of the items comprising the scale. Data were collected in cross-sectional study in Belgium, Finland, Italy, the Netherlands and Poland. The factorial structure was tested in confirmatory factor analysis. Item parameters were obtained using an item response theory model. Participants were 737 relatives of nursing home residents who died up to 3 months prior to the study. In general, the FPPFC scale proved to be a unidimensional and reliable measure of the perceived quality of physician-family communication in nursing home settings in all five countries. Nevertheless, we found unsatisfactory fit to the data with a confirmatory model. An item that referred to advance care planning performed less well in Poland and Italy than in the Northern European countries. In the item analysis, we found that with no loss of reliability and with increased coherency of the item content across countries, the full 7-item version can be shortened to a 4-item version, which may be more appropriate for international studies. Therefore, we recommend use of the brief 4-item FPPFC version by nursing home managers and professionals as an evaluation tool, and by researchers for their studies as these four items confer the same meaning across countries

Measuring relatives’ perceptions of end-of-life communication with physicians in five countries:a psychometric analysis

The Family Perceptions of Physician-Family Caregiver Communication scale (FPPFC) was developed to assess quality of physician-family end-of-life communication in nursing homes. However, its validity has been tested only in the USA and the Netherlands. The aim of this paper is to evaluate the FPPFC construct validity and its reliability, as well as the psychometric characteristics of the items comprising the scale. Data were collected in cross-sectional study in Belgium, Finland, Italy, the Netherlands and Poland. The factorial structure was tested in confirmatory factor analysis. Item parameters were obtained using an item response theory model. Participants were 737 relatives of nursing home residents who died up to 3 months prior to the study. In general, the FPPFC scale proved to be a unidimensional and reliable measure of the perceived quality of physician-family communication in nursing home settings in all five countries. Nevertheless, we found unsatisfactory fit to the data with a confirmatory model. An item that referred to advance care planning performed less well in Poland and Italy than in the Northern European countries. In the item analysis, we found that with no loss of reliability and with increased coherency of the item content across countries, the full 7-item version can be shortened to a 4-item version, which may be more appropriate for international studies. Therefore, we recommend use of the brief 4-item FPPFC version by nursing home managers and professionals as an evaluation tool, and by researchers for their studies as these four items confer the same meaning across countries