Rewilding seeks to address biodiversity loss by restoring trophic interactions and fostering self-regulating ecosystems. Although gaining traction in Europe and North America, the extent to which rewilding can meet post-2020 protected-area targets remains uncertain. We formulated criteria to map suitable areas for rewilding by identifying large tracts of land with minimal human disturbances and the presence of key mammal species. We find that one-quarter of Europe, approximately 117 million hectares (ha), is compatible with our rewilding criteria. Of these, 70% are in cooler climates. Passive rewilding opportunities, focused on managing existing wilderness, are predominant in Scandinavia, Scotland, the Iberian Peninsula, and notably in the Baltic states, Ireland, and southeastern Europe. Active rewilding opportunities, marked by reintroduction of absent trophic guilds, are identified in Corsica, Sardinia, southern France, and parts of the Netherlands, Denmark, Sweden, and Norway. Our mapping supports European nations in leveraging land abandonment to expand areas for nature conservation, aligning with the European Biodiversity Strategy for 2030. Nevertheless, countries with limited potential for rewilding should consider alternative conservation strategies.

An urban wilderness (UW) portrays a coupled relationship between natural dominance and human management in urban spaces. Superior ecosystem services support sustainable urban development. Systematic assessments of the status, changes, and trends of urban wilderness ecosystem services (UWESs) are a debated and complex issue in the field of ecology despite their importance as key components for ensuring the sustainable development of human society. We aimed to analyze the scientific literature on UWESs published between 2000 and 2022. Hence, we used bibliometric methods to comprehensively understand the research lineages, hotspots, and trends in UWESs. We found that the research has roughly encompassed two phases: initial exploration (2000-2011)and rapid growth (2012-2022). The number of publications has shown a continuous growth trend; the research hotspots include UWs compared with urban greenfield ecosystems, the spatio-temporal dynamics of UWs, ecosystem services and value assessments, and the coupling and linkage between ecosystem maintenance and human health. We summarized relevant trends for the concept of harmonious coexistence between human beings and nature, focusing on spatio-temporal dynamics and multidisciplinary integration as well as reinforcing the link with human health. This study can serve as a reference for demonstrating the value of UWESs and their practical application in a UW.

BACKGROUND: Adolescents and young adults (AYAs) affected by cancer are an understudied group. Effective interventions are needed to support coping with the late effects of cancer, its treatment and to promote quality of life. Nature-based interventions may be promising in support of the self-management and health of AYAs affected by cancer. However, randomised controlled studies (RCTs) on the effectiveness of such interventions are lacking. We performed a first pilot RCT (n=42) that showed that it is feasible and safe to conduct such a study. Here, we propose a full-scale RCT to investigate the effectiveness and safety of a wilderness programme on the mental and physical health of AYAs affected by cancer.
METHODS: Participants are 150 AYAs affected by cancer, aged 16-39 years, who will be randomised to a wilderness (n=75) or a hotel stay (n=75). The wilderness programme is an 8-day intervention including a 6-day wilderness expedition. This is followed 3 months later by a 4-day intervention including a 2-day basecamp. Activities include hiking, backpacking, kayaking, rock climbing, mindfulness and bush-crafting. The comparison group is an 8-day hotel stay followed by a 4-day hotel stay (interventions include two travel days) at the same hotel after 3 months. Primary outcomes are psychological well-being and nature connectedness up to 1 year after the study start. Secondary outcomes are quality of life, physical activity and safety parameters.
BACKGROUND: The Swedish Ethical Review Authority approved the study protocol on 27 September 2023 (reference: 2023-05247-01). The recruitment started on 19 February 2024 and the first part is planned to end on 31 December 2027. Study results will be disseminated by means of scientific publications, presentations at conferences, popular articles, interviews, chronicles and books. News items will be spread via social media, websites and newsletters.
BACKGROUND: ISRCTN93856392.

Wilderness areas are natural landscape elements that are relatively undisrupted by human activity and play a critical role in maintaining ecological equilibrium, preserving naturalness, and ensuring ecosystem resilience. Since 2000, monitoring of global wilderness areas has increased owing to the availability of spatial map data and remote sensing imagery related to human activity and/or human footprint. Progress has been made in the remote sensing of wilderness areas by relying on available historical literature (e.g., published papers, books, and reports). However, to our knowledge, a synthesis of wilderness area research from a remote sensing perspective has not yet been performed. In this preliminary review, we discuss the concept of wilderness in different historical eras and systematically summarize dynamic wilderness monitoring at local, national, and global scales, available remotely sensed indicators, disparities and commonalities in identification methods, and mapping uncertainties. Finally, since this field remains in its initial stage owing to a lack of unified standards and vertical/horizontal comparisons, we present insights into future research directions, particularly with regard to remote sensing. The findings of this review may help to improve the overall understanding of current wilderness patterns (i.e., increases/decreases) and the mechanisms by which they change, as well as provide guidance for global nature conservation programs.

Wilderness Search and Rescue (WSAR) focuses on locating and extricating missing persons in remote settings. As unmanned aerial vehicle (UAV) or \"drone\" technology has evolved, so has the literature describing its application in WSAR operations. We conducted a scoping review of literature that describes the use of UAVs in WSAR contexts. The Joanna Briggs Institute Framework for scoping reviews was followed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews method. Additional individual databases, article reference lists, and relevant grey literature were also included in the search to provide an impartial scope. Seven hundred forty-seven articles were identified. Of these, 56 were found to be duplicates. The remaining 691 were further screened and checked for eligibility. Ultimately, 21 studies were found that met our inclusion criteria. This literature supports the use of UAVs to increase the safety and efficiency of a WSAR operation for locating victims, assessing risks, carrying equipment, and restoring communication systems. Unmanned aerial vehicles are a potentially useful adjunct in the management of WSAR operations. Their limitations include objects obscuring victims, weather changes, uneven terrain, battery-limited flight time, and susceptibility to environmental damage.

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Agriculture expansion is already the primary cause of terrestrial biodiversity loss globally1,2; yet, to meet the demands of growing human populations, production is expected to have to double by 2050.3 The challenge of achieving expansion without further detriment to the environment and biodiversity is huge and potentially compounded by climate change, which may necessitate shifting agriculture zones poleward to regions with more suitable climates,4 threatening species or areas of conservation priority.5,6,7 However, the possible future overlap between agricultural suitability and wilderness areas, increasingly recognized for significant biodiversity, cultural, and climate regulation values, has not yet been examined. Here, using high-resolution climate data, we model global present and future climate suitability for 1,708 crop varieties. We project, over the next 40 years, that 2.7 million km2 of land within wilderness will become newly suitable for agriculture, equivalent to 7% of the total wilderness area outside Antarctica. The increase in potentially cultivable land in wilderness areas is particularly acute at higher latitudes in the northern hemisphere, where 76.3% of newly suitable land is currently wilderness, equivalent to 10.2% of the total wilderness area. Our results highlight an important and previously unidentified possible consequence of the disproportionate warming known to be occurring in high northern latitudes. Because we find that, globally, 72.0% of currently cultivable land is predicted to experience a net loss in total crop diversity, agricultural expansion is a major emerging threat to wilderness. Without protection, the vital integrity of these valuable areas could be irreversibly lost.

Sightseeing air tours have proven to be a challenging management issue for many tourist destinations around the world, especially at locations meant to protect natural and cultural resources and wilderness character. Two of the primary challenges with managing air tours are a lack of information about their travel patterns and how such patterns result in a measurable noise impact to listeners. Recent studies have highlighted the usefulness of newer technology for tracking aircraft travel patterns, particularly over national parks. In this synthesis, we pair aircraft tracks with acoustic data using a quantitative observer-based audibility modelling software toolkit. The findings delimit the long-term geographic scope of audibility for specific aircraft noise sources above landscapes of Hawai\'i Volcanoes and Denali National Parks, U.S. and identify practical, 3-dimensional offset distances that can be used to reduce the functional effects of air tour noise in terms of sound level.

Despite advances in cancer treatment and increased survival, adolescents in treatment for cancer often suffer from psychosocial distress, negative mood, and chronic health problems. Wilderness therapy is considered a promising program to address psychosocial issues among adolescents with mental or behavioral health issues. There is little research on whether it may benefit adolescents in cancer treatment.
This program evaluation in the form of a pilot study uses qualitative and quantitative measures to describe the feasibility, acceptability, safety, and to explore the impact of a nine-day wilderness program among adolescents aged 13-17 in treatment or who recently finished treatment for a cancer. Quantitative tracking documented recruitment, retention, safety, and participant satisfaction. PROMIS measures assessed mental and social health, positive affect, fatigue, pain interference and intensity over three time-points: pre, post, and three-months after the nine-day wilderness experience. Mean differences were compared over time. Qualitative data collection involved participant observation and open-ended interviews.
Study enrollment goals were met, enrolling eight adolescent participants with 100% participant retention. No serious adverse events were reported and participants described high satisfaction (9.25/10) with the wilderness experience on the final day and at three-months follow-up (9.5/10). Exploratory data analysis showed scores in a favorable direction indicating improved psychosocial outcomes in physical functioning, anxiety, depression, fatigue, and peer relations. From qualitative analysis it is suggested that program participation supported: increased self-confidence and peer connection. The program was evaluated as increasing personal accomplishment, supporting social interaction, having strong staff support, and capitalizing on the natural surroundings.
Use of a wilderness program is feasible, acceptable, and safe among this highly vulnerable adolescent cancer population. Participants described greater self-confidence and peer connection which developed as participants experienced physical competency, group leadership, and personal strength. Larger randomized controlled studies are needed to learn whether these programs can improve psychosocial outcomes.

The potential for delayed evacuation of injured Service members from austere environments highlights the need to develop solutions that can stabilize a wound and enable mobility during these prolonged casualty care (PCC) scenarios. Lower extremity fractures have traditionally been treated by immobilization (splinting) followed by air evacuation - a paradigm not practical in PCC scenarios. In the civilian sector, treatment of extremity injuries sustained during remote recreational activities have similar challenges, particularly when adverse weather or terrain precludes early ground or air rescue. This review examines currently available fracture treatment solutions to include splinting, orthotic devices, and biological interventions and evaluates their feasibility: 1) for prolonged use in austere environments and 2) to enable patient mobilization. This review returned three common types of splints to include: a simple box splint, pneumatic splints, and traction splints. None of these splinting techniques allowed for ambulation. However, fixed facility-based orthotic interventions that include weight-bearing features may be combined with common splinting techniques to improve mobility. Biologically-focused technologies to stabilize a long bone fracture are still in their infancy. Integrating design features across these technologies could generate advanced treatments which would enable mobility, thus maximizing survivability until patient evacuation is feasible.