Toward Cyborg PPGIS: exploring socio-technical requirements for the use of web-based PPGIS in two municipal planning cases, Stockholm region, Sweden

Web-based Public Participation Geographic Information Systems (PPGIS) are increasingly used for surveying place values and informing municipal planning in contexts of urban densification. However, research is lagging behind the rapid deployment of PPGIS applications. Some of the main opportunities and challenges for the uptake and implementation of web-based PPGIS are derived from a literature review and two case studies dealing with municipal planning for urban densification in the Stockholm region, Sweden. A simple clustering analysis identified three interconnected themes that together determine the performance of PPGIS: (i) tool design and affordances; (ii) organisational capacity; and (iii) governance. The results of the case studies augment existing literature regarding the connections between the different socio-technical dimensions for the design, implementation and evaluation of PPGIS applications in municipal planning. A cyborg approach to PPGIS is then proposed to improve the theoretical basis for addressing these dimensions together

Distributed Generation: Opportunities for Distribution Network Operators, Wider Society and Generators

This study explores and quantifies the benefits of connecting more distributed generation (with and without the use of smart connections) across different parties (Distribution Network Operators, wider society and generators). Different connection scenarios are proposed (with partial and full interruptible capacity quota, a mix of generation and different technology-specific curtailment levels) for integrating DG units in the constrained area of the March grid (East of England). This constitutes the trial area of the Flexible Plug and Play project, which is being implemented by UK Power Networks. The smart connection option is by far the preferred option across all the scenarios (higher NPV/MW). However, for some generators the results are very sensitive to the discount rate used (i.e. solar PV). The analysis of the distribution of benefits suggests that generators capture most of the benefits while DNOs and wider society capture much less benefit. A smart connection incentive, which recreates the benefits to DNOs from an earlier losses incentive, is proposed. In contrast with other societally desirable metrics which are usually incentivised or penalised, there is currently no direct connection between more DG MWs connected and DNO incentive payments. Our proposed smart connection incentive, by charging DG for smarter connection may help to distribute more efficiently the benefits for connecting more DG

Exploring practices for facilitating integrated strategic land use and transport planning in the Nordic countries

Drawing on examples from the Nordic countries, this article aims to explore the practical application of strategic policy and planning instruments and approaches that facilitate the integration of land use and transport planning and promote sustainable policy measures through collaboration among stakeholders across various governance levels. This research applies a qualitative research design including literature research, interviews, and workshops involving practitioners from the five Nordic countries. In this paper, we present an overview of the planning structure in the Nordic countries, including institutions that govern land use and transport planning. We identify different approaches to bridge the gap between land use and transport planning, such as the Finger Plan in Denmark, MAL in Finland, Concept Studies in Norway, and Strategic Choice of Measures in Sweden. Many of the examples employ informal collaborative approaches among authorities to form a shared vision and seek consensus on a combination of policy measures and actions. The paper examines collaborative approaches in relation to regulatory planning and discusses the role of these processes in advancing integrated land use and transport planning and fostering sustainable urban development

Exploring practices for facilitating integrated strategic land use and transport planning in the Nordic countries

Drawing on examples from the Nordic countries, this article aims to explore the practical application of strategic policy and planning instruments and approaches that facilitate the integration of land use and transport planning and promote sustainable policy measures through collaboration among stakeholders across various governance levels. This research applies a qualitative research design including literature research, interviews, and workshops involving practitioners from the five Nordic countries. In this paper, we present an overview of the planning structure in the Nordic countries, including institutions that govern land use and transport planning. We identify different approaches to bridge the gap between land use and transport planning, such as the Finger Plan in Denmark, MAL in Finland, Concept Studies in Norway, and Strategic Choice of Measures in Sweden. Many of the examples employ informal collaborative approaches among authorities to form a shared vision and seek consensus on a combination of policy measures and actions. The paper examines collaborative approaches in relation to regulatory planning and discusses the role of these processes in advancing integrated land use and transport planning and fostering sustainable urban development

Childhood Obstructive Sleep Apnea Associates with Neuropsychological Deficits and Neuronal Brain Injury

BACKGROUND: Childhood obstructive sleep apnea (OSA) is associated with neuropsychological deficits of memory, learning, and executive function. There is no evidence of neuronal brain injury in children with OSA. We hypothesized that childhood OSA is associated with neuropsychological performance dysfunction, and with neuronal metabolite alterations in the brain, indicative of neuronal injury in areas corresponding to neuropsychological function. METHODS AND FINDINGS: We conducted a cross-sectional study of 31 children (19 with OSA and 12 healthy controls, aged 6–16 y) group-matched by age, ethnicity, gender, and socioeconomic status. Participants underwent polysomnography and neuropsychological assessments. Proton magnetic resonance spectroscopic imaging was performed on a subset of children with OSA and on matched controls. Neuropsychological test scores and mean neuronal metabolite ratios of target brain areas were compared. Relative to controls, children with severe OSA had significant deficits in IQ and executive functions (verbal working memory and verbal fluency). Children with OSA demonstrated decreases of the mean neuronal metabolite ratio N-acetyl aspartate/choline in the left hippocampus (controls: 1.29, standard deviation [SD] 0.21; OSA: 0.91, SD 0.05; p = 0.001) and right frontal cortex (controls: 2.2, SD 0.4; OSA: 1.6, SD 0.4; p = 0.03). CONCLUSIONS: Childhood OSA is associated with deficits of IQ and executive function and also with possible neuronal injury in the hippocampus and frontal cortex. We speculate that untreated childhood OSA could permanently alter a developing child's cognitive potential

Regional cerebral blood flow alterations in obstructive sleep apnea

Obstructive sleep apnea (OSA) is a condition characterized by upper airway muscle atonia with continued diaphragmatic efforts, resulting in repeated airway obstructions, periods of intermittent hypoxia, large thoracic pressure changes, and substantial shifts in arterial pressure with breathing cessation and resumption. The hypoxic exposure and hemodynamic changes likely induce the structural and functional deficits found in multiple brain areas, as shown by magnetic resonance imaging (MRI) procedures. Altered cerebral blood flow (CBF) may contribute to these localized deficits; thus, we examined regional CBF, using arterial spin labeling procedures, in 11 OSA (age, 49.1±12.2 years; 7 male) and 16 control subjects (42.3±10.2 years; 6 male) with a 3.0-Tesla MRI scanner. CBF maps were calculated, normalized to a common space, and regional CBF values across the brain quantified. Lowered CBF values emerged near multiple bilateral brain sites in OSA, including the corticospinal tracts, superior cerebellar peduncles, and pontocerebellar fibers. Lateralized, decreased CBF appeared near the left inferior cerebellar peduncles, left tapetum, left dorsal fornix/stria terminalis, right medial lemniscus, right red nucleus, right midbrain, and midline pons. Regional CBF values in OSA are significantly reduced in major sensory and motor fiber systems and motor regulatory sites, especially in structures mediating motor coordination; those reductions are often lateralized. The asymmetric CBF declines in motor regulatory areas may contribute to loss of coordination between upper airway and diaphragmatic musculature, and lead to further damage in the syndrome

Rehabilitation of Cardiovascular Disorders and Sleep Apnea

Obstructive sleep apnea (OSA) is present in more than 50% of patients referred to cardiac rehabilitation units. However, it has been under-recognized in patients after stroke and heart failure. Those with concurrent OSA have a worse clinical course. Early treatment of coexisting OSA with continuous positive airway pressure (CPAP) results in improved rehabilitation outcomes and quality of life. Possible mechanisms by which CPAP may improve recovery include decreased blood pressure fluctuations associated with apneas, and improved left ventricular function, cerebral blood flow, and oxygenation. Early screening and treatment of OSA should be integral components of patients entering cardiac rehabilitation units

Are Local Authorities Building Their Capacity to Plan for Reduced Climate Impact? A Longitudinal Analysis of Swedish Comprehensive Plans

Spatial planning conducted by the local authorities has been identified as a key part of shaping carbon-neutral societies. Nevertheless, the question of whether local authorities are building their institutional capacity for integrating climate change mitigation aspects into spatial planning remains under-researched. This paper aims to fill this gap while also analysing the role of Strategic Environmental Assessment (SEA) in facilitating organisational learning. The methods employed were a longitudinal document analysis of Comprehensive Plans belonging to eight municipalities in Stockholm County, complemented by a focus group interview. A significant difference was identified, as the recently adopted Comprehensive Plans included more strategies for climate change mitigation and, to a greater extent, linked these strategies to reduced climate impact or energy efficiency than previously adopted Comprehensive Plans. However, numerous additional strategies could have been given further consideration in each studied Comprehensive Plan. Thus, this calls for more continuous and cyclical comprehensive planning processes to facilitate capacity building, primarily by being a vehicle for mobilising political support. Lastly, the findings indicate that SEA can lead to organisational learning of both single-loop and double-loop nature, where the latter can enable SEA to shape the planning process in a more profound and sustainability-oriented manner