From Provider to Enabler of Care: Reconfiguring Local Authority Support for Older People and Carers in Leeds, 2008 to 2013

This article explores developments in the support available to older people and carers (i.e., caregivers) in the city of Leeds, United Kingdom, and examines provision changes during a period characterized by unprecedented resource constraint and new developments in national-local governance. Using documentary evidence, official statistics and findings from recent studies led by the author, the effects of these changes on service planning and delivery and the approach taken by local actors to mitigate their impact are highlighted. The statistical data show a marked decline in some types of services for older people during a five year period during which the city council took steps to mobilize citizens and develop new services and system improvements. The analysis focuses on theories of social quality as a framework for analysis of the complex picture of change related to service provision. It concludes that although citizen involvement and consultations exerted a positive influence in delivering support to some older people and carers, research over a longer timescale is needed to show if these changes are adequate to protect older people and carers from the effects of ongoing budgetary constraints

Delivery of maternal health care in Indigenous primary care services: baseline data for an ongoing quality improvement initiative

Extent: 10p.BACKGROUND: Australia's Aboriginal and Torres Strait Islander (Indigenous) populations have disproportionately high rates of adverse perinatal outcomes relative to other Australians. Poorer access to good quality maternal health care is a key driver of this disparity. The aim of this study was to describe patterns of delivery of maternity care and service gaps in primary care services in Australian Indigenous communities. METHODS: We undertook a cross-sectional baseline audit for a quality improvement intervention. Medical records of 535 women from 34 Indigenous community health centres in five regions (Top End of Northern Territory 13, Central Australia 2, Far West New South Wales 6, Western Australia 9, and North Queensland 4) were audited. The main outcome measures included: adherence to recommended protocols and procedures in the antenatal and postnatal periods including: clinical, laboratory and ultrasound investigations; screening for gestational diabetes and Group B Streptococcus; brief intervention/advice on health-related behaviours and risks; and follow up of identified health problems. RESULTS: The proportion of women presenting for their first antenatal visit in the first trimester ranged from 34% to 49% between regions; consequently, documentation of care early in pregnancy was poor. Overall, documentation of routine antenatal investigations and brief interventions/advice regarding health behaviours varied, and generally indicated that these services were underutilised. For example, 46% of known smokers received smoking cessation advice/counselling; 52% of all women received antenatal education and 51% had investigation for gestational diabetes. Overall, there was relatively good documentation of follow up of identified problems related to hypertension or diabetes, with over 70% of identified women being referred to a GP/Obstetrician. CONCLUSION: Participating services had both strengths and weaknesses in the delivery of maternal health care. Increasing access to evidence-based screening and health information (most notably around smoking cessation) were consistently identified as opportunities for improvement across services.Alice R. Rumbold, Ross S. Bailie, Damin Si, Michelle C. Dowden, Catherine M. Kennedy, Rhonda J. Cox, Lynette O’Donoghue, Helen E. Liddle, Ru K. Kwedza, Sandra C. Thompson, Hugh P. Burke, Alex D. H. Brown, Tarun Weeramanthri and Christine M. Connor

IPCC DDC: NERC HadGEM3-GC31-LL model output prepared for CMIP6 PMIP

Project: Coupled Model Intercomparison Project Phase 6 (CMIP6) datasets - These data have been generated as part of the internationally-coordinated Coupled Model Intercomparison Project Phase 6 (CMIP6; see also GMD Special Issue: http://www.geosci-model-dev.net/special_issue590.html). The simulation data provides a basis for climate research designed to answer fundamental science questions and serves as resource for authors of the Sixth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC-AR6). CMIP6 is a project coordinated by the Working Group on Coupled Modelling (WGCM) as part of the World Climate Research Programme (WCRP). Phase 6 builds on previous phases executed under the leadership of the Program for Climate Model Diagnosis and Intercomparison (PCMDI) and relies on the Earth System Grid Federation (ESGF) and the Centre for Environmental Data Analysis (CEDA) along with numerous related activities for implementation. The original data is hosted and partially replicated on a federated collection of data nodes, and most of the data relied on by the IPCC is being archived for long-term preservation at the IPCC Data Distribution Centre (IPCC DDC) hosted by the German Climate Computing Center (DKRZ). The project includes simulations from about 120 global climate models and around 45 institutions and organizations worldwide. Summary: These data include the subset used by IPCC AR6 WGI authors of the datasets originally published in ESGF for 'CMIP6.PMIP.NERC.HadGEM3-GC31-LL' with the full Data Reference Syntax following the template 'mip_era.activity_id.institution_id.source_id.experiment_id.member_id.table_id.variable_id.grid_label.version'. The HadGEM3-GC3.1-N96ORCA1 climate model, released in 2016, includes the following components: aerosol: UKCA-GLOMAP-mode, atmos: MetUM-HadGEM3-GA7.1 (N96; 192 x 144 longitude/latitude; 85 levels; top level 85 km), land: JULES-HadGEM3-GL7.1, ocean: NEMO-HadGEM3-GO6.0 (eORCA1 tripolar primarily 1 deg with meridional refinement down to 1/3 degree in the tropics; 360 x 330 longitude/latitude; 75 levels; top grid cell 0-1 m), seaIce: CICE-HadGEM3-GSI8 (eORCA1 tripolar primarily 1 deg; 360 x 330 longitude/latitude). The model was run by the Natural Environment Research Council, STFC-RAL, Harwell, Oxford, OX11 0QX, UK (NERC) in native nominal resolutions: aerosol: 250 km, atmos: 250 km, land: 250 km, ocean: 100 km, seaIce: 100 km

Data for: Drivers of Holocene Palsa Distribution in North America

Dataset contains supplementary data for the article "Drivers of Holocene palsa distribution in North America" by Fewster et al. Specifically, Dataset S1 contains the catalogue of modern palsas and peat plateaus in North America used to fit our binary logistic regression model; Dataset S2 contains modern climate data extracted from the CRU TS 4.02 climatology for each grid cell in our study area and also presents the presence/absence of peat, the timing of deglaciation, peat initiation, and terrestrial drainage; Dataset S3 contains the palaeoclimate data extracted from equilibrium-type HadCM3 simulations and used to simulate past distributions of the climate envelope; Dataset S4 contains the peatland basal date catalogue used to constrain timings of peat initation in North America; and Dataset S5 contains the Spearman's Rank correlation matrix for each variable included in our final model

A Tortonian (Late Miocene, 11.61–7.25 Ma) global vegetation reconstruction

This contains the Tortonian data-model hybrid global map of vegetation (figure 6B of Pound et al., 2011). Please remember to cite the original journal article when using it. For full details on the construction of this global biome map for 11.6-7.25 million years ago, please see: Pound, M.J., Haywood, A.M., Salzmann, U., Riding, J.B., Lunt, D.J. and Hunter, S.J., 2011. A Tortonian (late Miocene, 11.61–7.25 Ma) global vegetation reconstruction. Palaeogeography, Palaeoclimatology, Palaeoecology, 300 (1-4), pp.29-45. https://doi.org/10.1016/j.palaeo.2010.11.02

Supplementary material for the thesis “Modelling carbon isotopes to examine ocean circulation and the marine carbon cycle”

Files for adding carbon isotopes (13C and 14C) and water age to the ocean component of the FAMOUS General Circulation Model and model output used to evaluate the performance of the new tracer schemes

Supplementary material for the thesis “Modelling carbon isotopes to examine ocean circulation and the marine carbon cycle”

Files for adding carbon isotopes (13C and 14C) and water age to the ocean component of the FAMOUS General Circulation Model and model output used to evaluate the performance of the new tracer schemes

Holocene temperature reconstruction using paleoclimate data assimilation

A reconstruction of Holocene temperature made using paleoclimate data assimilation.  Spatial and mean quantities are presented, as well as information about the experimental design and proxies.  The code used to make this reconstruction is available at https://github.com/Holocene-Reconstruction/Holocene-code

Holocene Reconstruction: Model and proxy data for running code

This is the model output and proxy data for running the Holocene data assimilation. The data assimilation code can be found by searching for "Holocene reconstruction code". Newer versions of the code may be found at https://github.com/Holocene-Reconstruction/Holocene-code. To read more about the Holocene data assimilation, see the paper Erb et al., 2022: "Reconstructing Holocene temperatures in time and space using paleoclimate data assimilation". Once downloaded, unzip this holocene_da_data.zip file. It contains a variety of directories. Some are empty but are present to accommodate output generated by the data assimilation code mentioned above. Directories with data are: models/original_model_data/TraCE_21ka/: TraCE-21ka temperature output from: https://www.earthsystemgrid.org/project/trace.htmlmodels/original_model_data/HadCM3_transient21k/: HadCM3 temperature output (the spatially smoothed version, signified by "_s" at the end of the filename)proxies/temp12k/ - Temperature 12k proxy records from: https://lipdverse.org