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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.

Car-sharing services are developing at an ever-increasing pace. Taking into account the reduction of carbon dioxide emissions and pursuit of the sustainable development of transport, implementing electric cars in car-sharing fleets is being proposed. On the one hand, these types of vehicles are referred to as emission-free, but on the other hand, their environmental friendliness is questionable due to the emission of carbon dioxide during the production of energy to power them. Although many scientific papers are devoted to the issue of reducing emissions through car sharing, there is a research gap concerning the real production of carbon dioxide by car-sharing vehicles during car-sharing trips. To fill this research gap, the objective of the article was to analyze the actual level of carbon dioxide emissions from combustion and electric vehicles from car-sharing systems produced when renting rides. The test results showed that the electric car turned out to be significantly less emitting. The use of electric vehicles in car-sharing fleets can reduce carbon dioxide emissions from 14% to 65% compared to using cars with internal combustion engines. However, the key role during car-sharing trips is played by the driving style of the drivers, which has been omitted from the literature to date. This should be properly regulated by service providers and focus on the proper use of energy from electric vehicle batteries, especially at low temperatures. The article provides support for operators planning to modernize their fleet of vehicles and fills the research gap concerning car-sharing emissions.

The crucial role evaluation can play in the co-development of project design and its implementation will be addressed through the analysis of a case study, the Green Communities (GC) project, funded by the Italian Ministry of Environment within the EU Interregional Operational Program (2007-2013) "Renewable Energy and Energy Efficiency". The project's broader goals included an attempt to trigger a change in Italian local development strategies, especially for mountain and inland areas, which would be tailored to the real needs of communities, and based on a sustainable exploitation and management of the territorial assets. The goal was not achieved, and this paper addresses the issues of how GC could have been more effective in fostering a vision of change, and which design adaptations and evaluation procedures would have allowed the project to better cope with the unexpected consequences and resistances it encountered. The conclusions drawn are that projects should be conceived, designed and carried out as dynamic systems, inclusive of a dynamic and engaged evaluation enabling the generation of feedbacks loops, iteratively interpreting the narratives and dynamics unfolding within the project, and actively monitoring the potential of various relationships among project participants for generating positive social change.

Giant urban rail transit (GURT) systems have been formed in many metropolises and play a critical role in addressing serious traffic congestion. Unfortunately, as a dynamic and complex system, the vulnerability of GURT networks under various failure scenarios will be more prominent as the network expansion continues. Thus, it is imperative to explore the complex structural characteristics of the network and improve the ability to deal with the disturbance of emergencies. In this study, the destruction resistance of GURT networks with scale growth is illustrated from a vulnerability perspective. Specifically, taking Shanghai rail transit (SHRT) system as an example, the network topology model is constructed using the Space L method, and the network structure characteristics are analyzed based on the complex network theory. In addition, five attack strategies are developed to represent random and targeted attacks during the simulation of network failure, and two metrics are determined to evaluate the network vulnerability. Some meaningful results have been obtained: (i) The Shanghai rail transit planning network (SHRTPN) has increased the network efficiency by more than 10% over the Shanghai rail transit operating network (SHRTON) and has effectively enhanced the network destruction resistance. (ii) The SHRT network is a small-world network and shows significant vulnerability under the targeted attacks. The failure of only 3% high betweenness stations in SHRTON can lead to a 66.2% decrease in the network efficiency and a 75.8% decrease in the largest connected component (LCC) ratio. (iii) Attacking stations will cause more severe network failures than attacking edges, and it is necessary to focus on preventing catastrophic network failure caused by the critical station’s failure breaking the threshold. Finally, the strategies for improving the destruction resistance of GURT networks are proposed. The findings of this research can provide an essential reference for the rational planning, safety protection, and sustainable construction of GURT systems.

Although the United Nations’ Sustainable Development Goals (SDGs) advocate, through SDG 4 and SDG 10, equitable quality education and the reduction of inequalities within and between countries, respectively, few studies have examined how inequalities in regional sustainability influence higher education. Therefore, this study aims to examine the relationship between regional sustainability and higher education in China using fixed-effects panel modelling. A systematic force framework showing how regional sustainability drives higher education was constructed from economic, social, and environmental perspectives, and the endogeneity in the process of how regional sustainability affects higher education was explored by introducing one-year lagged values as instrumental variables. Our results show that regional sustainability has a significant impact on higher educational attainment in China, with differing effects in the eastern, central, and western regions, respectively. In central China, economic sustainability plays a significant positive role in higher educational attainment; in the western region, economic and social sustainability have stronger positive effects, while environmental sustainability has significantly negative effects. In terms of policy implications, our findings can be used to support regional development policies to promote regional higher education.

Twenty-minute neighbourhoods highlight the importance of well-connected and mixed-used neighbourhoods and communities with proximate access to employment, essential services, public transport, and open spaces. Shorter distances together with re-prioritised public spaces encourage more active transport choices, resulting in public health benefits and reduced environmental pollution. Higher liveability brought about by mixed-use developments enables people to have equitable access to local facilities, amenities, and employment opportunities, promoting vibrancy, social cohesion, and intergenerational connections. The attributes of 20-minute neighbourhoods also combine to create places, that are acknowledged as friendly for all ages, address changing needs across the life course, and provide better support for the ageing population. Furthermore, there are indications that 20-minute neighbourhoods may be more resilient against many of the negative impacts of stringent public health protocols such as those implemented in periods of lockdown during the Covid-19 pandemic. In this article, we evaluate and compare planning policies and practices aimed at establishing 20-minute neighbourhoods in Melbourne (Australia) and Scotland (the UK). Using case studies, we discuss similarities and differences involved in using place-based approaches of 20-minute neighbourhoods to address 21st-century challenges in key areas of health and wellbeing, equity, environmental sustainability, and community resilience.

A key determinant and outcome of successful environmental education is ‘pro-environmental behavior’, i.e., behavior that involves conscious action to mitigate adverse environmental impacts at personal or community level, e.g., reducing resource consumption and waste generation, avoiding toxic substances, and organizing community awareness initiatives. However, some theorists have sought to move away from rationalist models of behavioral modification, towards holistic pedagogical initiatives that seek to develop action competence. In light of the global push towards achievement of the Sustainable Development Goals (SDGs), emerging evidence suggests that education initiatives should foster action competence so students may be equipped to contribute to sustainable development as part of their education. The UNESCO Education for Sustainable Development (ESD) Roadmap 2030 has also identified key priority areas to strengthen ESD in formal curricula. This article reports two informal environmental education initiatives for promoting action competence and pro-environmental behaviors in school-aged children. The authors recommend that formal education settings (e.g., schools) should incorporate self-directed, free-choice project-based learning to augment environmental education programs and promote students’ action competence for contribution to attainment of SDGs. To this end, we propose a Free-Choice Project-based Learning for Action Competence in Sustainable Development (ACiSD) Curriculum, comprising six implementation dimensions, namely: (1) project duration and teaming arrangements, (2) topic selection, (3) student support, (4) teacher support, (5) learning environments, and (6) digital access and equity. For each implementation dimension, we recommend action steps to help educators implement this curriculum in their own educational settings, with the aid of an illustrative worked example.

The lockdown and social distancing policies to reduce COVID-19 spread and perceived safety threats of COVID-19 significantly affected people’s travel behavior. Greece has been suffering from the COVID-19 pandemic, and people’s mobility behavior has been greatly affected. This study aims at: (1) exploring the variations in individuals’ trip frequencies by mode and purpose before and after the COVID-19 outbreak; (2) understanding the effects of individual differences (i.e., sociodemographic details) and perceptions towards COVID-19 (i.e., the perceived threats of COVID-19) on people’s mobility behavior changes after the outbreak; (3) underlining the individuals’ perceptions of the COVID-19 threat on the willingness of public transportation usage. Overall, 403 responses were collected in late 2020. A series of random parameter Probit modeling results reveal multiple individual and perception factors affecting the changes in mobility behavior in Greece. The results from structural equation modeling indicate that perceived COVID-19 threats affect the attitudes and subjective norms towards people’s intentions to use public transportation. The results from this study provide valuable insights for transportation authorities to develop effective strategies to manage traffic during the spread of disease for a possible future epidemic.