Impact of remotely sensed soil moisture and precipitation on soil moisture prediction in a data assimilation system with the JULES land surface model

We show that satellite-derived estimates of shallow soil moisture can be used to calibrate a land surface model at the regional scale in Ghana, using data assimilation techniques. The modified calibration significantly improves model estimation of soil moisture. Specifically, we find an 18 % reduction in unbiased root-mean-squared differences in the north of Ghana and a 21 % reduction in the south of Ghana for a 5-year hindcast after assimilating a single year of soil moisture observations to update model parameters. The use of an improved remotely sensed rainfall dataset contributes to 6 % of this reduction in deviation for northern Ghana and 10 % for southern Ghana. Improved rainfall data have the greatest impact on model estimates during the seasonal wetting-up of soil, with the assimilation of remotely sensed soil moisture having greatest impact during drying-down. In the north of Ghana we are able to recover improved estimates of soil texture after data assimilation. However, we are unable to do so for the south. The significant reduction in unbiased root-mean-squared difference we find after assimilating a single year of observations bodes well for the production of improved land surface model soil moisture estimates over sub-Saharan Africa

Do we (need to) care about canopy radiation schemes in DGVMs? Caveats and potential impacts

Dynamic global vegetation models (DGVMs) are an essential part of current state-of-the-art Earth system models. In recent years, the complexity of DGVMs has increased by incorporating new important processes like, e.g., nutrient cycling and land cover dynamics, while biogeophysical processes like surface radiation have not been developed much further. Canopy radiation models are however very important for the estimation of absorption and reflected fluxes and are essential for a proper estimation of surface carbon, energy and water fluxes. The present study provides an overview of current implementations of canopy radiation schemes in a couple of state-of-the-art DGVMs and assesses their accuracy in simulating canopy absorption and reflection for a variety of different surface conditions. Systematic deviations in surface albedo and fractions of absorbed photosynthetic active radiation (faPAR) are identified and potential impacts are assessed. The results show clear deviations for both, absorbed and reflected, surface solar radiation fluxes. FaPAR is typically underestimated, which results in an underestimation of gross primary productivity (GPP) for the investigated cases. The deviation can be as large as 25% in extreme cases. Deviations in surface albedo range between −0.15 ≤ Δα ≤ 0.36, with a slight positive bias on the order of Δα ≈ 0.04. Potential radiative forcing caused by albedo deviations is estimated at −1.25 ≤ RF ≤ −0.8 (W m−2), caused by neglect of the diurnal cycle of surface albedo. The present study is the first one that provides an assessment of canopy RT schemes in different currently used DGVMs together with an assessment of the potential impact of the identified deviations. The paper illustrates that there is a general need to improve the canopy radiation schemes in DGVMs and provides different perspectives for their improvement

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

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

Fast matrix treatment of 3-D radiative transfer in vegetation canopies: SPARTACUS-Vegetation 1.1

A fast scheme is described to compute the 3-D interaction of solar radiation with vegetation canopies. The canopy is split in the horizontal plane into one clear region and one or more vegetated regions, and the two-stream equations are used for each, but with additional terms representing lateral exchange of radiation between regions that are proportional to the area of the interface between them. The resulting coupled set of ordinary differential equations is solved using the matrix-exponential method. The scheme is compared to solar Monte Carlo calculations for idealized scenes from the RAMI4PILPS intercomparison project, for open forest canopies and shrublands both with and without snow on the ground. Agreement is good in both the visible and infrared: for the cases compared, the root-mean-squared difference in reflectance, transmittance and canopy absorptance is 0.020, 0.038 and 0.033, respectively. The technique has potential application to weather and climate modelling

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

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

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

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

Application of Sentinel-2A data for pasture biomass monitoring using a physically based radiative transfer model

A large proportion of the global land surface is covered by pasture. The advent of the Sentinel satellites program provides free datasets with good spatiotemporal resolution that can be a valuable source of information for monitoring pasture resources. We combined optical remote sensing data (proximal hyperspectral and Sentinel 2A) with a radiative transfer model (PROSAIL) to estimate leaf area index (LAI), and biomass, in a dairy farming context. Three sites in Southern England were used: two pasture farms that differed in pasture type and management, and a set of small agronomy trial plots with different mixtures of grasses, legumes and herbs, as well as pure perennial ryegrass. The proximal and satellite spectral data were used to retrieve LAI via PROSAIL model inversion, which were compared against field observations of LAI. The potential of bands of Sentinel 2A that corresponded with a 10 m resolution was studied by convolving narrow spectral bands (from a handheld hyperspectral sensor) into Sentinel 2A bands (10 m). Retrieved LAI, using these spectrally resampled S2A data, compared well with measured LAI, for all sites, even for those with mixed species cover (although retrieved LAI was somewhat overestimated for pasture mixtures with high LAI). This proved the suitability of 10 m Sentinel 2A spectral bands for capturing LAI dynamics for different types of pastures. We also found that inclusion of 20 m bands in the inversion scheme did not lead to any further improvement in retrieved LAI. Sentinel 2A image based retrieval yielded good agreement with LAI measurements obtained for a typical perennial ryegrass based pasture farm. LAI retrieved in this way was used to create biomass maps (that correspond to indirect biomass measurements by Rising Plate Meter (RPM)), for mixed-species paddocks for a farm for which limited field data were available. These maps compared moderately well with farmer-collected RPM measurements for this farm. We propose that estimates of paddock-averaged and within-paddock variability of biomass are more reliably obtained from a combined Sentinel 2A-PROSAIL approach, rather than by manual RPM measurements. The physically based radiative transfer model inversion approach outperformed the Normalised Difference Vegetation Index based retrieval method, and does not require site specific calibrations of the inversion scheme

Lung cancer screening program factors that influence psychosocial outcomes: A systematic review.

OBJECTIVES: Lung cancer screening (LCS) programs are being designed and implemented globally. Early data suggests that the psychosocial impacts of LCS are influenced by program factors, but evidence synthesis is needed. This systematic review aimed to elucidate the impact of service-level factors on psychosocial outcomes to inform optimal LCS program design and future implementation. METHODS: Four databases were searched from inception to July 2023. Inclusion criteria were full-text articles published in English that reported an association between any program factors and psychosocial outcomes experienced during LCS. Study quality was appraised, and findings were synthesised narratively. RESULTS: Thirty-two articles were included; 29 studies were assessed at high or moderate risk of bias. Study designs were RCT (n = 3), pre-post (n = 6), cross-sectional (n = 12), mixed-methods (n = 1), and qualitative (n = 10) studies, and conducted primarily in the USA (n = 25). Findings suggested that targeted interventions can improve smoking-related or decisional psychosocial outcomes (e.g., smoking cessation interventions increase readiness/motivation to quit) but impacts of interventions on other psychological outcomes were varied. There was limited evidence reporting association between service delivery components and psychological outcomes, and results suggested moderation by individual aspects (e.g., expectation of results, baseline anxiety). Opportunities for discussion were key in reducing psychological harm. CONCLUSIONS: Certain program factors are reportedly associated with psychosocial impacts of LCS, but study heterogeneity and quality necessitate more real-world studies. Future work should examine (a) implementation of targeted interventions and high-value discussion during LCS, and (b) optimal methods and timing of risk and result communication, to improve psychosocial outcomes while reducing time burden for clinicians

'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours

This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation and behaviours in the form of self-harm and self-neglect. Care homes are a significant place of care until death, yet a discourse of silence means that self-harm and suicide is under-reported or not attended to with specialist expertise. The layperson’s concept of an older person ‘giving up’ on life is hardly discussed in the literature. This co-produced qualitative study used an inductive approach to explore this phenomenon through focus groups with 33 care staff across four care homes in South-East England. Findings paint a complex picture, highlighting tensions in providing the right support and creating spaces to respond to such challenging situations. ‘Giving up’ requires skilled detailed assessment to respond to risks alongside improved training and support for paid carers, to achieve a more holistic strategy which capitalises on significant relationships within a wider context