To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
In the coming decades, cities and other local governments will need to transform their infrastructure as part of their climate change mitigation and adaptation efforts. When they do, they have the opportunity to build a more resilient, sustainable, and accommodating infrastructure for humans and non-humans alike. This chapter surveys a range of policy tools that cities and other local governments can use to pursue co-beneficial adaptations for humans, non-humans, and the environment. For example, they can add bird-friendly glass to new and upgraded buildings and vehicles; they can add overpasses, underpasses, and wildlife corridors on transportation systems; they can reduce light and noise pollution that impact humans and nonhumans alike; they can use a novel trash policy to manage rodent populations non-lethally; and more.
The Conclusion reflects on the long-term trajectory of welfare in Europe, highlighting the substantial increases in living standards that have occurred over the past centuries. It considers how technological and institutional developments have enabled sustained economic growth, while also acknowledging the environmental and social challenges that have emerged, particularly in the context of climate change. The Epilogue discusses the potential for future crises, including economic and environmental shocks, and whether Europe’s economic system is resilient enough to manage these challenges. The chapter concludes by emphasizing the importance of learning from historical experiences to address contemporary and future issues related to sustainability, inequality and economic development. By framing modern problems within the context of long-term economic history, the authors offer an optimistic yet cautious outlook on Europe’s ability to continue improving welfare in a sustainable manner.
This review examines the critical role of meteorological data in optimising flight trajectories and enhancing operational efficiency in aviation. Weather conditions directly influence fuel consumption, delays and safety, making their integration into flight planning increasingly vital. Understanding these dynamics becomes essential for risk mitigation as climate change drives more frequent and severe weather events. Synthesising insights from 57 studies published between 2001 and 2024, this article highlights key variables – such as wind, temperature and convective weather – significantly impacting flight operations. A framework is proposed to improve air traffic management’s safety, efficiency and cost-effectiveness. The findings emphasise the need for systematically incorporating meteorological inputs into trajectory optimisation models, such as wind shear, convective storms and temperature gradients. This integration improves operational predictability and safety while advancing sustainability goals by reducing fuel consumption and CO2 emissions – an increasingly important priority amid rising climate variability and global air traffic demand.
This article explores how water conditions in geographical contexts could influence the construction of teachers’ professional identities and, consequently, their knowledge and beliefs about water sustainability. Water sustainability is defined as the responsible management of water from a perspective that integrates environmental, social and economic sustainability principles. This quantitative study employed an ad hoc questionnaire, inspired by the New Water Culture principles as a conceptual sustainability framework. The instrument, designed with Google Forms, was administered to 221 secondary school teachers from two cities with contrasting water and cultural conditions: Bogotá (Colombia) and Melilla (Spain). Results indicate that teachers’ knowledge and beliefs in both cities are not aligned with water sustainability principles, with no significant differences between the two groups due to their different water conditions. However, there are partial differences related to the respective personal experiences: in Bogotá, teachers show greater concern for water quality, whereas in Melilla the focus is more on the quantity available. These findings underline the importance of promoting teachers’ professional development in water sustainability aligned with professional identities, as a key strategy for nurturing aware and engaged citizens. This approach is fundamental to tackle water stress challenges and foster a paradigm shift towards more responsible, sustainable lifestyles globally.
Primary healthcare units (PHCUs) in Austria play a crucial role in providing regionally tailored, high-quality care through interprofessional teams. Barriers, such as limited training and unclear roles, hinder effective interprofessional collaboration (IPC). Additionally, healthcare and social professionals (HCSPs) in primary healthcare (PHC) face a rise in patients with non-communicable diseases and increasing climate-related challenges, underscoring the need for education addressing IPC and sustainability to build resilient healthcare.
Aim:
This paper presents the protocol of the REALISE study, which aims to evaluate the effectiveness of a didactic concept integrating collaborative, digital, and sustainability skills within multimodal training modules (including simulations).
Methods:
In this prospective trial, HCSPs working in PHC and students in their final year of education in related professions are recruited to participate in interprofessional training modules, which take place on four days within a month in person and with additional e-learning elements between those days. The modules consist of didactic elements on IPC and sustainability, simulation scenarios with acting patients, and immersive virtual reality scenarios. The primary outcomes assess IPC by utilizing the Teamwork Assessment Scale, the Interprofessional Socialization and Valuing Scale (9a/9b), and the Interprofessional Collaborative Competency Attainment Survey. Secondary outcomes focus on sustainability and environmental awareness, as well as the organization and structure of the training modules.
Discussion:
The findings of this study will demonstrate the effect of proprietary training modules on IPC and will inform on the integration of respective modules into standard curricula and continuing educational programmes at the Salzburg University of Applied Sciences.
Through examining three areas of focus within public mental health; prevention, healthy environments and reducing inequalities, we consider how interventions in these domains also have the potential to create a more sustainable healthcare system.
Results
We show how psychiatrists and mental health professionals alongside the wider health and social care system can be involved in advocating for this change.
Clinical implications
We aim to empower individuals working within mental health to advocate for change and consider how public mental health approaches can be integrated into their practice to improve outcomes.
The transformation of food systems has emerged as a critical component of global climate action, with food-based dietary guidelines (FBDGs) increasingly recognised as a key policy tool to promote both public health and environmental sustainability. However, despite their importance, many national FBDGs fail to integrate sustainability considerations or adequately support diverse plant-based dietary patterns.
Design:
This review proposes a socioecological framework for enhancing the inclusivity and adaptability of FBDGs, enabling them to better reflect evolving food systems and consumer behaviours while strengthening their role in promoting sustainable and health-conscious diets.
Results:
Five key gaps in current FBDGs worldwide were identified: (1) the need for more inclusive food-group classifications that accommodate plant-based protein sources; (2) clearer recommendations for limiting the consumption of animal-sourced foods (ASF) for health and environmental reasons; (3) guidance on obtaining essential macro- and micronutrients from plant-based sources; (4) the inclusion of plant-based alternatives to ASF within dietary recommendations; and (5) comprehensive advice on well-planned vegetarian and vegan diets.
Conclusion:
Addressing these gaps is crucial to ensuring that FBDGs remain relevant to a broad spectrum of dietary preferences, including those motivated by ecological, ethical, religious, and cultural factors.
We aimed to analyse the effects of nutrition-sensitive agriculture (NSA) interventions on nutrition, examine the pathways within a project cycle and explore the pathways 3 years after the end of the funding period.
Design:
We employed a sequential mixed-methods design using (1) secondary quantitative data and (2) primary qualitative data. The quantitative data were analysed using the Mann–Whitney test, independent sample t test and binary logistic regression. The qualitative data were analysed thematically.
Setting:
This research used the case of the Integrated Agriculture and Health Based Interventions project.
Participants:
The quantitative data comprised 4825 households. The qualitative data included forty-six participants (twenty-eight beneficiaries and eighteen implementers) from two focus group discussions (n 15) and thirty-one semi-structured interviews.
Results:
NSA interventions reduced child underweight and improved household and women’s dietary diversity scores, breastfeeding practices, handwashing and access to Fe–folic acid during pregnancy. Pregnant and lactating women’s minimum dietary diversity increased, while children’s minimum dietary diversity reduced. Key pathways to nutrition during project implementation were food production, nutrition-related knowledge and strengthening local institutions. Sustainability of knowledge was mostly evident, followed by food production, while the strengthening of local institutions was less evident.
Conclusions:
Key pathways to outcomes during the project implementation were food production, nutrition-related knowledge and strengthening local institutions, as these were the main focus of the project. Income and women’s empowerment pathways could be more effective if intentionally integrated. We reiterate the need to enhance children’s dietary diversity, strengthen income–expenditure and women empowerment pathways, sustain livestock production and strengthen local institutions.
Daily life in cities is often about balance and compromise. Urban densities facilitate things being in close proximity and provide convenience for residents, but they also create an opportunity for traffic congestion and increased social and environmental inequity, and the possibility of lower-density suburban sprawl. To promote urban sustainability, a careful balance of economic development, ecology, and equity is required. In this chapter, four examples of urban sustainability crises and the dramatic response to them are examined. The cases include Miami, US; Oslo, Norway; St. Georges, Grenada; and Shenzhen, China. In each situation, the sustainability crisis emerges from a deeply set awareness of diminishing environmental quality of life and a feeling that the residents’ sense of place is under threat. The drivers of this threat are deeply embedded in social and economic factors. In each city, the policy switch to enhanced sustainability results from an aggressive, multi-scalar effort to alter and redirect the pattern of urban spatial development.
Effective strategic planning, implementation and management drive organisational performance. Healthcare managers have recognised the increasing importance of strategic planning and management as the healthcare industry has become more dynamic and complex. However, development of feasible strategy can be difficult, and implementation of even well-developed strategy is often challenging. This has become increasingly complex as healthcare organisations aim to implement triple bottom-line (TBL) reporting to better ensure sustainability. This chapter provides advice on leading and improving strategic planning and management for sustainability in health-service organisations.
In the evolving landscape of healthcare, quality and service improvement are the forefront, driving the shift towards more efficient, effective and patient-centred care. Quality in healthcare includes not only the excellence of medical interventions but also extends to the patient experience and ensuring safe, effective care. The importance of quality is highlighted by the Institute of Medicine’s (IOM) six dimensions: safety, effectiveness, patient-centredness, timeliness, efficiency and equity. These dimensions provide a comprehensive framework for evaluating and enhancing healthcare quality and services. This chapter seeks to broaden the comprehensiveness of the healthcare quality and service improvement model suggested by the IOM and provides real-life case studies in which each of the 12 dimensions is examined and discussed.
Sustainability is one of the most important topics of our time and will continue to stay relevant, as mitigating the effects of global warming will stay a challenge for decades to come. Therefore it is of high importance to teach children the concepts of sustainability and how their actions can affect the climate. We design an experiment for an open day at our university consisting out of a physical and digital demonstrator that aims to teach the consequences of material choice in a product to children aged six and above. To achieve this, a simple carbon footprint calculation for a rocket is conceptualized. The users can manipulate several interacting parameters, creating a complex challenge. The complex topic of sustainability is augmented with gamification elements to provide a level of motivation and interaction and achieve a better accessibility.
To enable a circular economy, remanufacturing is considered a key strategy due to the high level of value retention. However, for short-cycled products, the accelerated obsolescence of conventionally remanufactured products on the secondary market poses challenges to leverage the potential. Cross-Generational Remanufacturing (CG-Reman) has been developed as a new concept in response, which aims to restore used products into the latest generation for sale on the primary market. For its practical success, it is critical to support product engineers in designing products suitably. Hence, in this paper we further explore the overall CG-Reman process with a lifecycle description, derive requirements for the product’s design and conduct a systematic literature review of 209 sources targeting selection, clustering and matching of Design-for-X (DfX) guidelines with the needs for CG-Reman.
Additive manufacturing is enabling on-demand fabrication of desirable polymer designs. Due to the technology’s widespread use, there is a need to ensure sustainable design approaches are practiced. Here, thermoplastics for fused deposition modeling is reviewed for life-cycle stages, mechanical properties, and design strategies. Life-cycle stages assessed include formulation, processing, applications, and end-of-life as well as recycling processes. Mechanical properties are considered for recyclable thermoplastics, with fillers to enhance functionality. Finally, design methods are considered to create mechanically efficient designs, such as metamaterials, that reduce material usage and processing time. The review highlights the great potential for creating sustainable designs with additively manufactured polymers, and their mechanical capabilities for broad applications.
The Sustainable Product Development (SPD) module bridges sustainability concepts into higher education, equipping Master’s students with theoretical knowledge, practical skills, and critical thinking to address sustainability challenges. Combining lectures with hands-on exercises and a flipped classroom, it engages students with tools like Life Cycle Assessment (LCA) and Material Flow Analysis (MFA) to apply sustainability principles in real-world scenarios. Topics such as circular economy, sustainable business models, and ecolabels provide a comprehensive understanding of sustainability across the product lifecycle. The course progresses from foundational principles to advanced applications, linking theory and practice. This prepares students to assess environmental impacts, develop sustainable solutions, and balance competing requirements, meeting industry and societal needs.
This paper presents a systematic literature review to figure out challenges of integration of used components into new product generations. Reuse of components is an essential strategy of circularity and is becoming highly relevant as resources are limited and sustainability requirements have to be meet across industries. The reuse process was examined from a constructive perspective. It was found that the reuse process is not uniformly defined and that there is a divergent understanding of it. This divergent understanding continues through the Reuse process steps and the added value of using Reuse. Various technical challenges of reuse were identified. These challenges were translated into requirements that are intended to enable reuse for used components. An initial concept for solving the design problem of integrating used components is proposed with the help of these requirements.
This study discusses the production of Eco-friendly mask using mushroom-based pulps through physicochemical treatment of mushrooms. Ultimately, it explores an approach to reduce the usage of petrochemical materials. Through the treatment of fruiting bodies from two mushroom species, Pleurotus ostreatus (Oyster mushroom) and Flammulina velutipes (Enoki mushroom), pulp was produced. Then, it was used in wet-laid sheet processing to fabricate both pure MBP sheets and composites blended with cotton. The manufactured textile was subjected to various property analyses, including antibacterial test and was also used to produce a mask prototype. In conclusion, although improvements in breathability are currently needed for practical application, the potential for further research is vast and promising. This study contributes to the advancement of sustainable, biodegradable materials as a solution to environmental challenges posed by the widespread use of synthetic polymers.
The circular economy has long been regarded as a fundamental strategy for achieving sustainable development. Most recently, it has also been acknowledged as an effective approach to crisis response. This study contributes to this nascent literature by introducing a dual hierarchy of 6Rs strategies as an inspiring framework for circular post-disaster recovery and reconstruction, supporting the “Build Back Better” principle through circular initiatives. The key distinction between the proposed hierarchy and the traditional 6Rs framework lies in the two-vector operationalization of each strategy, addressing both past and future considerations. Also, this article examines the case of war-torn Ukraine as one of the most severe man-made disasters. The study explores Ukraine’s potential for circular recovery within the framework of European Union policies in the construction sector.
Sustainability is no longer just a trend for companies, but is now seen as a mandatory measure for the environmentally friendly and responsible use of existing resources. The Digital Product Passport (DPP) is a transformative tool that aims to increase transparency and promote sustainability throughout the product lifecycle. This paper presents the 150% Information List, a comprehensive framework to help companies identify mandatory and optional data for the DPP. Using a systematic literature review, grey literature analysis and interviews with industry stakeholders, the study compiles 148 data points grouped by product relevance, availability and life cycle phase. The findings highlight the flexibility of the list to adapt to different industries and underline its potential to optimise resource use, meet regulatory requirements and drive innovation in product development.
The transition to renewable energy and the urgent need to reduce greenhouse gas emissions highlight green hydrogen’s role in decarbonizing various sectors. To address the increasing demand, the research initiative H2Giga FertiRob focuses on automating the production of hydrogen electrolyzers, emphasizing PEM stack assembly. Existing stack designs are often incompatible with automation and hinder scalable production. This paper introduces an adapted Design for Automation approach for PEM stacks. Through the evaluation of a reference stack, key design limitations are identified, leading to the development of an optimized stack with reduced part diversity, improved handling, and enhanced automation compatibility. The methodology provides a systematic framework to advance the automated production of PEM stacks, supporting the scalability of green hydrogen in the global energy transition.