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While existing work has demonstrated that campaign donations can buy access to benefits such as favorable legislation and preferential contracting, we highlight another use of campaign contributions: buying reductions in regulatory enforcement. Specifically, we argue that in return for campaign contributions, Colombian mayors who rely on donor-funding (compared with those who do not) choose not to enforce sanctions against illegal deforestation activities. Using a regression discontinuity design, we show that deforestation is significantly higher in municipalities that elect donor-funded as opposed to self-funded politicians. Further analysis shows that only part of this effect can be explained by differences in contracting practices by donor-funded mayors. Instead, evidence of heterogeneity in the effects according to the presence of alternative formal and informal enforcement institutions, and analysis of fire clearance, support the interpretation that campaign contributions buy reductions in the enforcement of environmental regulations.

Background. Patients with chronic obstructive pulmonary disease (COPD) typically experience multidimensional symptoms throughout the course of their disease, with burdensome physical symptoms, social isolation, and additional psychological suffering. COVID-19 lockdown resulted in restrictions on chronic care delivery at primary healthcare (PHC) facilities, and it is not known what the care experiences of patients with COPD were during this time.Objectives. To describe patient experiences of the impact of the lockdown on their needs and their experiences of the primary care received for their COPD.Methods. The data reported in this paper are from a cohort of 49 patients with COPD receiving primary care, recruited in February and March 2020, before recruitment was paused for COVID-19 lockdown, for a feasibility stepped-wedge hybrid type II design randomised controlled trial of integrated person-centred palliative care in primary care for patients with COPD in Cape Town, South Africa. Data are open-text responses from participants who responded to a single question on a validated measure of primary care consultation empathy (CARE), and describe patient experiences of the impact of the lockdown on the primary care received for their COPD, prior to crossover to trial intervention.Results. Thirty-two patients with COPD gave between 1 and 9 responses each to the open-ended question between March and December 2020. The average age of the participants was 58.6 years, and 53.1% (n=17) were female. Inductive analysis of the open-text data identified four main themes. Participants described decreased access to chronic care and a desire for more person-centred care in interactions with healthcare professionals. The socioeconomic ramifications of the COVID-19 lockdown added to the burden they experienced.Conclusion. The COVID-19 lockdown PHC service restrictions caused a disruption to the continuity of care for patients with COPD, with associated worry, anxiety and disappointment. Medication access was largely supported by the home delivery of chronic medication. We suggest that there are opportunities for providing more sustained support for patients with COPD through referrals to community health workers, and also through telephonic patient follow-up by primary care teams

Objectives\ud Despite successful treatment, people living with HIV experience persisting and burdensome multidimensional problems. We aimed to assess the validity, reliability and responsiveness of Positive Outcomes, a patient-reported outcome measure for use in clinical practice.\ud \ud Methods\ud In all, 1392 outpatients in five European countries self-completed Positive Outcomes, PAM-13 (patient empowerment), PROQOL-HIV (quality of life) and FRAIL (frailty) at baseline and 12 months. Analysis assessed: (a) validity (structural, convergent and divergent, discriminant); (b) reliability (internal consistency, test-retest); and (c) responsiveness.\ud \ud Results\ud An interpretable four-factor structure was identified: ‘emotional wellbeing’, ‘interpersonal and sexual wellbeing’, ‘socioeconomic wellbeing’ and ‘physical wellbeing’. Moderate to strong convergent validity was found for three subscales of Positive Outcomes and PROQOL (ρ = −0.481 to −0.618, all p < 0.001). Divergent validity was found for total scores with weak ρ (−0.295, p < 0.001). Discriminant validity was confirmed with worse Positive Outcomes score associated with increasing odds of worse FRAIL group (4.81-fold, p < 0.001) and PAM-13 level (2.28-fold, p < 0.001). Internal consistency for total Positive Outcomes and its factors exceeded the conservative α threshold of 0.6. Test-retest reliability was established: those with stable PAM-13 and FRAIL scores also reported median Positive Outcomes change of 0. Improved PROQOL-HIV score baseline to 12 months was associated with improved Positive Outcomes score (r = −0.44, p < 0.001).\ud \ud Conclusions\ud Positive Outcomes face and content validity was previously established, and the remaining validity, reliability and responsiveness properties are now demonstrated. The items within the brief 22-item tool are designed to be actionable by health and social care professionals to facilitate the goal of person-centred care.

Despite the importance of surface energy budgets (SEBs) for land-climate interactions in the Arctic, uncertainties in their prediction persist. In situ observational data of SEB components - useful for research and model validation - are collected at relatively few sites across the terrestrial Arctic, and not all available datasets are readily interoperable. Furthermore, the terrestrial Arctic consists of a diversity of vegetation types, which are generally not well represented in land surface schemes of current Earth system models. This dataset describes the environmental conditions for 64 tundra and glacier sites (>=60°N latitude) across the Arctic, for which in situ measurements of surface energy budget components were harmonized (see Oehri et al. 2022). These environmental conditions are (proxies of) potential drivers of SEB-components and could therefore be called SEB-drivers. The associated environmental conditions, include the vegetation types graminoid tundra, prostrate dwarf-shrub tundra, erect-shrub tundra, wetland complexes, barren complexes (≤ 40% horizontal plant cover), boreal peat bogs and glacier. These land surface types (apart from boreal peat bogs) correspond to the main classification units of the Circumpolar Arctic Vegetation Map (CAVM, Raynolds et al. 2019). For each site, additional climatic and biophysical variables are available, including cloud cover, snow cover duration, permafrost characteristics, climatic conditions and topographic conditions.

Despite the importance of surface energy budgets (SEBs) for land-climate interactions in the Arctic, uncertainties in their prediction persist. In situ observational data of SEB components - useful for research and model validation - are collected at relatively few sites across the terrestrial Arctic, and not all available datasets are readily interoperable. Furthermore, the terrestrial Arctic consists of a diversity of vegetation types, which are generally not well represented in land surface schemes of current Earth system models. This dataset comprises harmonized, standardized and aggregated in-situ observations of surface energy budget components measured at 64 sites on vegetated and glaciated sites north of 60° latitude, in the time period from 1994 till 2021. The surface energy budget components include net radiation, sensible heat flux, latent heat flux, ground heat flux, net shortwave radiation, net longwave radiation, surface temperature and albedo, which were aggregated to daily mean, minimum and maximum values from hourly and half-hourly measurements. Data were retrieved from the monitoring networks FLUXNET, AmeriFlux, AON, GC-Net and PROMICE.

Despite the importance of surface energy budgets (SEBs) for land-climate interactions in the Arctic, uncertainties in their prediction persist. In situ observational data of SEB components - useful for research and model validation - are collected at relatively few sites across the terrestrial Arctic, and not all available datasets are readily interoperable. Furthermore, the terrestrial Arctic consists of a diversity of vegetation types, which are generally not well represented in land surface schemes of current Earth system models. This dataset describes the data generated in a literature synthesis, covering 358 study sites on vegetation or glacier (>=60°N latitude), which contained surface energy budget observations. The literature synthesis comprised 148 publications searched on the ISI Web of Science Core Collection.

Despite the importance of surface energy budgets (SEBs) for land-climate interactions in the Arctic, uncertainties in their prediction persist. In-situ observational data of SEB components - useful for research and model validation - are collected at relatively few sites across the terrestrial Arctic, and not all available datasets are readily interoperable. Furthermore, the terrestrial Arctic consists of a diversity of vegetation types, which are generally not well represented in land surface schemes of current Earth system models. Therefore, we here provide four datasets comprising: 1. Harmonized, standardized and aggregated in situ observations of SEB components at 64 vegetated and glaciated sites north of 60° latitude, in the time period 1994-2021 2. A description of all study sites and associated environmental conditions, including the vegetation types, which correspond to the classification of the Circumpolar Arctic Vegetation Map (CAVM, Raynolds et al. 2019). 3. Data generated in a literature synthesis from 358 study sites on vegetation or glacier (>=60°N latitude) covered by 148 publications. 4. Metadata, including data contributor information and measurement heights of variables associated with Oehri et al. 2022.