Evaluating the role of spatial landscape literacy in public participation processes and opinions on environmental issues and ecosystem services.

Little is known about how spatial literacy influences mapping and decision-making related to environmental management and ecosystem services. We assessed the role of spatial landscape literacy in participatory environmental management and ecosystem service assessments in peri-urban Bogota, Colombia. Spatial landscape literacy (SL) was evaluated by testing stakeholder's ability to locate specific landscapes and landmarks. We then assessed if opinions on environmental decisions and ecosystem services were significantly related to SL. We used an online instrument to capture 2,397 respondent's socioeconomic characteristics, SL, ecosystem service perceptions, and opinions concerning relevant environmental issues. We evaluated and measured respondents' self-perceived SL and ability to locate four landscapes in an integrated online map. Positional accuracy was calculated using a Spatial Landscape Literacy Index (SLI). We then tested for effects of socio-demographics on SLI, modeled the relationship between socio-demographics and SL, and tested the relationship between respondents' SL and their opinions on relevant environmental issues and ecosystem services. We found that about 75% of the respondents correctly located 2 of the 4 landscapes. The SLI model was also poorly predicted by socio-demographic variables. However, we found significant relationships between SLI and opinions concerning the environment. No relationship was found between respondents' levels of active participation in local governance and SLI. Overall, SL was little affected by education levels. Participatory processes using maps should ideally measure SL and not assume a priori that participants are spatially literate. Further research is needed to evaluate how spatial technologies and understanding stakeholder's values towards the environment can democratize participatory-based decision-making.

Physician anaesthesia providers in Switzerland today and tomorrow: results of the National Anaesthesia Workforce Study (NAWOS).

AIMS OF THE STUDY: The Swiss healthcare system is highly ranked, given its unrestricted access to specialised care and short waiting lists for surgery. However, the need for anaesthetic and surgical care is escalating owing to the increasing size and ageing of the Swiss population. In addition, to address the persistent and recurrent SARS-CoV-2 pandemic crisis, the speciality of anaesthesia is under tremendous pressure to maintain an effective workforce in order to address population needs. The current number, characteristics and future evolution of the physician anaesthesia workforce in Switzerland are currently unknown. The purpose of this study was to assess the size and professional and sociodemographic characteristics of the current anaesthesia workforce in Switzerland and to forecast its development up to 2034. METHODS: We performed a cross-sectional study using a 150-item questionnaire prepared by the National Anaesthesia Workforce Study Group (NAWOS). We included all physicians (trainees and certified) practising anaesthesia in Switzerland. We collected demographic and professional information, such as the current position, hospital characteristics, workload, number of shifts and future life plans. We built a computer-based Markov model with Monte Carlo simulations to project both supply and demand for physician anaesthesia provider positions. RESULTS: Of the 2661 distributed questionnaires, 1985 (74.2%) were completed and returned. We found that the average age of anaesthesiologists practising in Switzerland was 45.2 years, with 44.3% of them being women and 76.9% holding a Swiss specialist title. Only 59.6% of respondents worked full time. The forecasting model showed a steady increase in the number of anaesthesiologists retiring by 2034, with 27% of full-time equivalent jobs being lost in the next 8 years. Even if existing full-time equivalent training positions are all filled, a gradual deficit of anaesthesiologists is to be expected after 2022, and the deficit should culminate in 2034 with a deficit ratio of 0.87. CONCLUSIONS: Due to the upcoming high retirement rate of anaesthesiologists, Switzerland is likely to face a shortage of anaesthesiologists in the near future. To compensate for the shortage, the country will likely increase its reliance on medical staff trained abroad. Southern and eastern cantons of Switzerland are particularly at risk, given that they already heavily rely on foreign anaesthesia workforce. This reliance should be considered a national priority because anaesthesiologists are heavily involved in both the treatment of patients with respiratory complications of SARS-CoV2 infection and the care of surgical patients, the number of which is expected to rise steadily in upcoming years.

Spatio-temporal and cumulative effects of land use-land cover and climate change on two ecosystem services in the Colombian Andes.

Climate change can have marked effects on ecosystem service (ES) provision in the Andes, particularly in peri-urban areas. In addition to global-change related processes, cumulative effects such as changing socio-political dynamics, environmental policies, and conflicts are also changing type and magnitude of land use-land cover (LULC) dynamics in the Colombian Andes. Studies in the region have investigated the effects of LULC change, deforestation and extreme climatic events on the hydrology of watersheds and carbon sequestration. Yet, less is known on how the cumulative effects of climate and LULC changes will drive water yield and carbon sequestration. To investigate these cumulative effects, we study two different watersheds near Bogota, Colombia and their ES for the period 2016-2046. We use IPCC-LULC scenarios, expert elicitation, hydro-meteorological data, and integrated modelling using temporal LULC change and ESs valuation models to parse out effects of LULC versus climate change on two representative ESs. Our results show forest and shrublands remain stable during the analysis period. However, urban conversion of agricultural pastures is substantial. We found that climate change scenarios had greater effect on water yield and supply than LULC scenarios in both watersheds. However, carbon sequestration was greater in rural forest and shrubland areas farther from Bogota. In contrast to current land use zoning being promoted by local elected officials, our findings indicate that land-use development and policies in near-urban basins need to minimize urbanization in agriculture and pasture LULCs, as these can have substantial effects on water yield. Similarly, land use polices in ex-urban areas need to conserve forested and shrubland areas to maximize their carbon offset potential. Collectively, our results highlight the need to incorporate climate change conditions in decision making and land use planning processes, in order to maintain the capacity of ecosystems, both urban and rural, to provide services to society.

Sustainability at the local scale: defining highly aggregated indices for assessing environmental performance. The province of Reggio Emilia (Italy) as a case study.

In order to achieve improved sustainability, local authorities need to use tools that adequately describe and synthesize environmental information. This article illustrates a methodological approach that organizes a wide suite of environmental indicators into few aggregated indices, making use of correlation, principal component analysis, and fuzzy sets. Furthermore, a weighting system, which includes stakeholders' priorities and ambitions, is applied. As a case study, the described methodology is applied to the Reggio Emilia Province in Italy, by considering environmental information from 45 municipalities. Principal component analysis is used to condense an initial set of 19 indicators into 6 fundamental dimensions that highlight patterns of environmental conditions at the provincial scale. These dimensions are further aggregated in two indices of environmental performance through fuzzy sets. The simple form of these indices makes them particularly suitable for public communication, as they condensate a wide set of heterogeneous indicators. The main outcomes of the analysis and the potential applications of the method are discussed.