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1. Given the substantial contributions of forest biodiversity and ecosystem services to society, forest sciences have a large potential to contribute to the integrity and sustainability of our future. This is especially true when the roles of biodiversity for sustaining ecosystem services are considered. 2. The rapid expansion of sustainable forest management (SFM) has resulted in the adoption of various forest management frameworks intended to safeguard biodiversity. Concurrently, the importance of forest ecosystem services has been increasingly recognized. Although some initiatives aimed at conserving both biodiversity and ecosystem services are emerging, knowledge gaps still exist about their relationships and potential trade-offs in forests. Given recent advancements, increasing opportunities and some lags in forest ecology, further research on biodiversity, ecosystem functions and services will play substantial roles in the development of SFM practices. 3. Here, we identified key issues including (i) relationships between biodiversity and ecosystem function as a foundation of ecological integrity, (ii) resilience thinking to better prepare for and adapt to environmental changes, (iii) social-ecological perspectives that facilitate realworld conservation and management and (iv) theory-driven restoration that bridges science and practice. Thus, we illustrate priorities and future possibilities in applied ecology studies in forests, which will help society and ecosystems to build capacity and resilience to face uncertainty in the changing environment. 4. Synthesis and applications. Under substantial human influences, forests are highly likely to be largely altered, potentially leading to the emergence of novel ecosystems or alternative stable states. Management thus needs more flexible, novel measures to address the significant uncertainty this generates. Resilience-based approaches are important to respond adaptively to future changes and cope with surprises, potentially providing multiple options. Although challenges exist, theory should play an important role in managing, conserving and restoring forest ecosystems. The issues discussed here should receive further attention in the context of the multiple goals of sustainable forest management.

Aim: Large disturbances increasingly shape the world's forests. Concomitantly, increasing amounts of forest are subject to salvage logging. Understanding and managing the world's forests thus increasingly hinges upon understanding the combined effects of natural disturbance and logging disturbance, including interactions so far unnoticed. Here, we use recent advances in disturbance-interaction theory to disentangle and describe the mechanisms through which natural disturbance (e.g., wildfire, insect outbreak or windstorm) can interact with anthropogenic disturbance (logging) to produce unanticipated effects. We also explore to what extent such interactions have been addressed in empirical research globally. Insights: First, many ecological responses to salvage logging likely result from interaction modifications—i.e., from non-additive effects–between natural disturbance and logging. However, based on a systematic review encompassing 209 relevant papers, we found that interaction modifications have been largely neglected. Second, salvage logging constitutes an interaction chain because natural disturbances increase the likelihood, intensity and extent of subsequent logging disturbance due to complex socio-ecological interactions. Both interaction modifications and interaction chains can be driven by nonlinear responses to the severity of each disturbance. We show that, whereas many of the effects of salvage logging likely arise from the multiple kinds of disturbance interactions between natural disturbance and logging, they have mostly been overlooked in research to date. Conclusions: Interactions between natural disturbance and logging imply that increasing disturbances will produce even more disturbance, and with unknown characteristics and consequences. Disentangling the pathways producing disturbance interactions is thus crucial to guide management and policy regarding naturally disturbed forests.

Background Increasing amounts of older people are able to stay in their own homes, with the opportunity and desire to continue their lives that way, though they often have diverse age-related needs. This means healthcare staff has to have right conditions to work with advanced holistic person-centered care. The aim Was to identify panel consensus regarding attitudes toward challenges and opportunities in healthcare support for older people living at home. Methods Data was collected through three rounds of chronological mail rounds, with 45 statements presented to an panel ( n =20) of that represents the network and decision makers surrounding care and support for older people in ordinary housing on municipal level. Results All statements achieved a certain level of consensus. Today's care recipients are both older and frailer with major healthcare needs, and family members are in turn in need of recovery. Housing is also not always adapted to the increased needs of older people. Also, there is a lack of communication and collaboration between stakeholders’ design of nursing efforts, access to human resources, and use of health and welfare technology. Conclusions It is important to consider both individual and organizational conditions when planning an extended home care for older people. This should take place in team cooperation to also ensure that personnel resources are used for the right tasks, and that digital solutions are optimized in line with the wishes and expressed needs of the older people and their families.

The study aims to describe Swedish RNs' experiences of acute assessments at home. More patients with complex nursing needs are cared for at home due to an ageing population. Registered nurses (RNs) who work with home healthcare need a broad medical competence and clinical experience alongside adapted decision support systems for maintaining patient safety in acute assessments within home healthcare. A content analysis of qualitative survey data from RNs (  = 19) working within home healthcare in Sweden. There were challenges in the acute assessments at home due to a lack of competence since several of the RNs did not have much experience working as an RN in home healthcare. Important information was missing about the patients, such as access to medical records due to organizational challenges and limited access to equipment and materials. The RNs needed support in the form of cooperation with a physician, support from colleagues, and a decision support system. To increase the possibility of patient-safe assessments at home, skills development, collegial support, and an adapted decision support system are needed. Collaboration with primary healthcare, on-call physicians, and nursing staff, and having the opportunity to consult with someone also provide security in acute assessments.

Background Society places increased demands on regions and municipalities to jointly carry out activities for multi-diagnosed older persons with extensive coordination needs. Interprofessional collaboration is reported as an important success factor for the overall health care of this group of patients. This project focuses on older persons with multiple diagnoses and their relatives’ own experiences of what is most important for safety and security in their homes. The aim of the study was: to illuminate the meaning of success for the ability to stay at home as experienced by older persons with multiple diagnoses and their relatives. Methods The project had a descriptive explorative design with a phenomenological hermeneutic approach based on analysis of 14 in-depth interviews with older people and their relatives. Findings Own resources were identified such as belief in the future, spiritual belief, social network, having loved ones and pets. Technical aids were seen as helpful resources, working as indoor and outdoor security safeguards. These resources included having good telephone contact with social and professional networks as well as other forms of personal equipment such as a personal alarm. The professional network was a resource, acting as support when the patient’s own abilities were not sufficient. Finally, having personnel who had the time and interest to listen was seen as crucial to experience safety. Conclusions The main reason for being able to continue homecare was the person’s self-care system, their personal, social, and technical resources. Professional care development should anchor team work to the patient’s own system of self and informal care.

The majority of the world's forests are used for multiple purposes, which often include the potentially conflicting goals of timber production and biodiversity conservation. A scientifically validated management approach that can reduce such conflicts is retention forestry, an approach modeled on natural processes, which emerged in the last 25 years as an alternative to clearcutting. A portion of the original stand is left unlogged to maintain the continuity of structural and compositional diversity. We detail retention forestry's ecological role, review its current practices, and summarize the large research base on the subject. Retention forestry is applicable to all forest biomes, complements conservation in reserves, and represents bottom-up conservation through forest manager involvement. A research challenge is to identify thresholds for retention amounts to achieve desired outcomes. We define key issues for future development and link retention forestry with land-zoning allocation at various scales, expanding its uses to forest restoration and the management of uneven—age forests.

1. Retention forestry, in which trees and tree patches are set aside at harvest to promote biodiversity, has been proven to have positive effects on biodiversity at the stand-level across different taxa. However, the effectiveness of retention approaches with regard to landscape composition remains unexplored. 2. We linked the effect sizes from two meta-analyses (31 case studies and 1050 comparisons from boreal and temperate regions), which quantified the effectiveness of biodiversity conservation as a result of retention practices, with the stand property of retention level (the percentage of trees retained after logging) and with Landsat-retrieved landscape data on forest cover and spatial configurations at three spatial scales (1, 3, and 5 km radii). 3. We found that, in addition to the fundamental importance of tree retention as a local-scale implementation for conservation, landscape properties were important in models to predict biodiversity responses. The effect sizes for species richness decreased with increasing patch contiguity within the landscapes at all spatial scales. Similar results were observed for abundance responses at the largest spatial scale. These results suggest that biodiversity responses to tree retention may be weaker in less fragmented landscapes, which is in agreement with theoretical and empirical findings from agricultural landscapes ('the intermediate landscape-complexity hypothesis'). 4. The benefits of retention levels within a stand (percentage of trees retained) varied amongst species with different habitat requirements (forest-dependent, open habitat, and generalist species). Whilst this stand-level property was often an important determinant of biodiversity responses, models that included landscape properties as explanatory variables always performed better than those that were only based on the retention levels for all species groups. Thus, within-stand habitat conditions and landscape configurations likely have synergetic influences on biodiversity responses. 5. Synthesis and applications. In addition to the importance of stand-level properties, such as the action of retention harvesting itself and the number of trees retained, conditions in the surrounding landscape can simultaneously affect biodiversity in stands that are managed under retention forestry. Our study suggests that retention patches are particularly important in moderately fragmented landscapes. Retention practices could be less important in previously unlogged and less fragmented landscapes, where setting aside large reserves is a conservation priority. For highly fragmented landscapes, different actions of forest restoration, which are not limited to set-aside actions during logging, would be important. Our study emphasizes that carefully planned conservation schemes with a large-scale perspective, as well as local-scale actions, such as retention forestry, are critical for effective forest management and conservation planning.

The aim was to describe experiences of the reconciliation process when living with insulin treated diabetes. The study has a qualitative descriptive design, based upon nineteen in- depth interviews with persons diagnosed with insulin treated diabetes, analysed using qualitative content analysis. The study show the reconciliation process during different time periods that appeared as domains in the interviews. The time at diagnosis showed experiences of striving for control getting insights and knowledge. It meant striving for control of life circumstance changes, supported by professionals but also from others. In Presence showed developing strategies as a tool struggling for balance in body and life and the need of evaluating relations to others. Future was sometimes avoided as this might lead to speculations about a future life with threats and uncertainty about disease complications, as well as adaption. This meant on the same time an uncertainty, as a degree of risk-taking and hope for the best. Persons with insulin treated diabetes need to develop flexible strategies for daily life to continuously re-evaluate their planning for attaining reconciliation. A conclusion is also that these persons need to develop a flexible regime that facilitates both quality of life and medical outcomes to reach reconciliation.

This study aims to describe experiences of the implementation of a new integrated healthcare model for older adults with complex care needs due to multimorbidity, living at home, from a health and welfare personnel perspective. The goal was to diminish hospitalization and still carry out high quality care at home for older adults living with multimorbidity. The model was implemented by two organizations working in cooperation, the municipality, and the region that handles interprofessional social care and healthcare in people's homes. Open-ended group interviews with personnel were carried out, three of the group interviews pre-implementations of the model, and three of the group interviews post-implementation. The interviews were audiotaped and analysed according to the procedure of thematic analysis. The quality of the integrated care model was based on care-chain cooperation, shared professionalism, and creating relations with the patient including closeness to next of kin, which was underlined by the participants. Unencumbered time gave the professionals the possibility to develop quality in integrated healthcare as part of integrated and person-centred care. The coproduction of education, research interviews and the follow-up meeting identified successes in diminishing hospitalization rates according to the participants' experiences of the post-implementation interviews. An identified failure was, however, that shared professionalism was not developed over time, rather the different responsibilities were accentuated according to the information retrieved at the follow-up meeting. Quality aspects of the model were identified in the present study. However, when implementation of a new model is completed, the organizations always have their own interpretation of how to further understand the model in question.

Background Reablement has a health promotive perspective. The goal is to enhance or maintain health and functional ability and, thereby, the ability of older adults to live in their own homes. The intervention described in this study was introduced so the older person would remain at home and be given the opportunity to regain or maintain functional ability physically, mentally, and socially to live independently and have optimal health and well-being. This paper aims to report the measured effects of reablement among the older adults in terms of bio-psycho-social health that emerged in the randomized controlled trial (RCT). Methods A sample of older adults (65+) was studied, consisting of those who applied for homecare in the municipal home service ( n  = 237), those who received intensive home reablement (IHR) carried out by an interprofessional team, and a control group who received home-based care as usual. Data were collected at three different occasions with validated instruments: at inclusion, after completion of IHR, and 3 months after completed intervention. Results Both groups improved significantly at the post-measurement, and this improvement was maintained at the 3-month follow-up regarding: global quality of life (HACT); general health (EQ-5D-5 L); the self-estimates for mobility, hygiene, daily activities, pain/discomfort, anxiety/depression (EQ-5D-5 L); subjective well-being (GP-CORE); self-assessed capacity to perform physical activities as well as satisfaction with performance (COPM); measures of physical activity capacity regarding lower extremities (SPPB); upper extremities (hand dynamometer test). No between group differences were statistically significant. At the 3-month follow-up, the average number of homecare hours was slightly lower in the group that underwent IHR than in the group receiving usual homecare and rehabilitation interventions, but the difference was not statistically certain. Conclusions In this RCT with a relatively short follow-up period, IHR was equivalent to traditional homecare regarding older people’s self-reported health, physical activity ability and number of homecare hours. Trial registration ClinicalTrials.gov (https://clinicaltrials.gov/study/NCT03565614?intr=Reablement&rank=4) Registration number: NCT03565614. Registered on 1 January 2016.