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Corruption has found very fertile ground in the health sector. Many studies demonstrate the negative relationship between sustainability and corruption. However, relatively little is known at this time about how to prevent corruption in healthcare organizations (HCOs), and thus to recover the important sustainability of the entire healthcare system. After noticing this gap in the literature, the authors’ aim in undertaking this study was twofold: first, to analyze the current state of knowledge about how Italian HCOs adopt corruption prevention plans in compliance with the National Plan issued by the National Anti-Corruption Authority; second, to identify some clusters of HCOs which represent different adoption patterns of corruption prevention interventions and to classify these HCOs. For these purposes, the authors studied 68 HCOs along 13 dimensions that characterized the corruption prevention plans. The empirical results showed that the HCOs were not fully compliant with the anti-corruption legislation. At the same time, the authors identified three clusters of HCOs with different patterns of anti-corruption prevention interventions. The clusters that adopted some specific interventions seemed to be more sustainable than others.

Hydrothermal carbonization (HTC) provides an attractive alternative method for the treatment of high-moisture waste and, in particular, digested sludge. HTC could reduce the costs and environmental risks associated with sludge handling and management. Although it is recognized that the dewaterability of hydrochars produced from digested sludge, even at mild temperatures (180–190 °C), is highly improved with respect to the starting material, the filterability of HTC slurries for the recovery of the solid material (hydrochar) still represents a challenge. This study presents the results of an investigation into the filterability of agro-industrial digested sludge HTC slurries produced by a C-700 CarboremTM HTC industrial-scale plant. The filterability of HTC slurries, produced at 190 °C for 1 h, with the use of acid solutions of hydrochloric acid, sulfuric acid or citric acids, was investigated by using a semi-industrial filter press. The use of sulfuric acid or citric acid solutions, in particular, significantly improved the filterability of HTC slurries, reducing the time of filtration and residual moisture content. The acid treatment also promoted the migration of heavy metals and phosphorus (P) in the HTC filtrate solution. This study demonstrates that P can be recovered via the precipitation of struvite in high yields, recovering up to 85 wt% by mass of its initial P content.

In the transition from linear production systems, unsustainable from the point of view of resources, to a model that finds strength in environmental, social and economic sustainability, the circular economy paradigm is the foundation that facilitates the planetary agro-ecological transition. The European Union has taken a number of steps (including the Circular Economy Package of Directives) shaping circularity as a wide-ranging driver measure involving many sectors. The paper intends to provide a regulatory framework on the current general situation regarding circularity in European Union, in order to extrapolate and give evidence to the aspects that intersect the agri-food sector. This is not only because they are poorly addressed in the literature, but also because there is a lack of regulatory instruments on the circular economy specifically addressing this area of interest. For this purpose, the analysis focuses on waste and residue/scrap management issues, recognized by law as by-products and end-of-waste status, as they are covered by circular economy legislation and as they can be applied to the agri-food sector. The latter allow the implementation of circularity strategies in the agri-food sector and, given the numerousness of production chains and the peculiarities of each of them, various regeneration and/or reuse processes of specific resources may be depicted. The intent is to provide useful knowledge on how to implement sustainable waste management, also proposing a concrete case on a by-product of olive oil processing, through which it is possible to highlight how the correct application of regulations favors the adoption of circular economic and management models in the firms involved, as well as informing the relevant economic operators on the possible profiles of legal liability that may arise from insufficient knowledge. Furthermore, this paper delves into the European Green Deal’s Strategy as it enriches the circular economy paradigm with new facets. NextGenerationEU and the National Recovery and Resilience Plan financially support this strategy in the aftermath of the socioeconomic crisis from COVID-19 in the EU Member States. This is in order to achieve the objective of achieving the agro-ecological transition.

The present study provides an assessment of the climate variability at a subnational scale, focusing on the case of the Apulia region, in Southeastern Italy. The variables considered for the purpose of a trend analysis were the minimum, maximum, and mean temperatures, and reference evapotranspiration. These are very important in an urban–rural planning context. The study was based on 38 monitoring stations and consisted in the application of the nonparametric Mann–Kendall test and a progressive trend analysis, both used to detect the changes. The 1950–2003 period was investigated on seasonal and annual scales. The results generally showed a warming process and an acceleration of the atmospheric evaporative demand which took place especially since the mid-1970s. The latter had a significant positive trend, while the period before the break point of the 70s had a cooling effect. Finally, the warming effect was more pronounced for minimum temperatures.

How can urban policies and planning approaches help in achieving a safer mobility and carbon reduction in the transport sector? The attention of planners and policy makers towards the promotion of sustainability and reduction of environmental impacts has grown in recent years. This paper investigates the role that Urban Planning plays in the long term towards a safer and climate friendlier mobility, highlighting the need for integrated approaches gathering spatial planning and mobility management. After a review of several urban policies and planning strategies, initiatives, and approaches, mainly based on the urban scale, the paper presents an urban regeneration case study leading to an increase of pedestrian accessibility at the neighborhood level. This can be seen as a support tool to foster sustainable, safe, and climate friendly mobility in cities. The results of the performed analysis show a dependency of accessibility from two different factors: the distribution of services and the capillarity of the soft mobility network, which can contribute to creating a more walkable space.

Walkability has become a research topic of great concern for preserving public health, especially in the era of the COVID-19 outbreak. Today more than ever, urban and transport policies, constrained by social distancing measures and travel restrictions, must be conceptualized and implemented with a particular emphasis on sustainable walkability. Most of the walkability models apply observation and subjective methods to measure walkability, whereas few studies address walkability based on sense perception. To fill this gap, we aim at investigating the perceived neighbourhood walkability (PNW) based on sense perception in a neighbourhood of Brussels. We designed a survey that integrates 22 items grouped into 5 dimensions (cleanness, visual aesthetics, landscape and nature, feeling of pressure, feeling of safety), as well as the socio-demographic attributes of the participants. Using various statistical methods, we show that socio-demographics have almost no effects on perceived neighbourhood walkability. Nonetheless, we found significant differences between groups of different educational backgrounds. Furthermore, using a binomial regression model, we found strong associations between PNW and at least one item from each grouping dimension. Finally, we show that based on a deep neural network for classification, the items have good predictive capabilities (78% of classification accuracy). These findings can help integrate sense perception into objective measurement methods of walkable environments. Additionally, policy recommendations should be targeted based on differences of perception across socio-demographic groups.

The land transformation process in the last decades produced the urbanization growth in flat and coastal areas all over the world. The combination of natural phenomena and human pressure is likely one of the main factors that enhance coastal dynamics. These factors lead to an increase in coastal risk (considered as the product of hazard, exposure, and vulnerability) also in view of future climate change scenarios. Although each of these factors has been intensively studied separately, a comprehensive analysis of the mutual relationship of these elements is an open task. Therefore, this work aims to assess the possible mutual interaction of land transformation and coastal management zones, studying the possible impact on local coastal communities. The idea is to merge the techniques coming from urban planning with data and methodology coming from the coastal engineering within the frame of a holistic approach. The main idea is to relate urban and land changes to coastal management. Then, the study aims to identify if stakeholders’ pressure motivated the deployment of rigid structures instead of shoreline variations related to energetic and sedimentary balances. The influence of coastal protection (described by an indicator taking into account the linear density of the rigid protection extension alongshore) measures have been considered. Finally, the economical performances in the period just after the land transformation have been studied by means of a dimensionless index based on the concept of the local unit. The method has been applied to the case study of the Abruzzo Region. Results reveal a large urbanization growth and a generalized over-protection of the coast with a resulting spatial alternation of shoreline retreat and advance. On the other hand, the analysis of the local economy reveals that the presence of tourism activities does not necessarily lead to an increase in the local economy. Indeed, the most important improvement in local economies in the region can be associated with coastal stretches characterized by a high environmental value.