Healthcare systems are large contributors to global emissions, and intensive care units (ICUs) are a complex and resource-intensive component of these systems. Recent global movements in sustainability initiatives, led mostly by Europe and Oceania, have tried to mitigate ICUs\' notable environmental impact with varying success. However, there exists a significant gap in the U.S. knowledge and published literature related to sustainability in the ICU. After a narrative review of the literature and related industry standards, we share our experience with a Green ICU initiative at a large hospital system in Texas. Our process has led to a 3-step pathway to inform similar initiatives for sustainable (green) critical care. This pathway involves (1) establishing a baseline by quantifying the status quo carbon footprint of the affected ICU as well as the cumulative footprint of all the ICUs in the healthcare system; (2) forming alliances and partnerships to target each major source of these pollutants and implement specific intervention programs that reduce the ICU-related greenhouse gas emissions and solid waste; and (3) finally to implement a systemwide Green ICU which requires the creation of multiple parallel pathways that marshal the resources at the grass-roots level to engage the ICU staff and institutionalize a mindset that recognizes and respects the impact of ICU functions on our environment. It is expected that such a systems-based multi-stakeholder approach would pave the way for improved sustainability in critical care.

Sediments are an integral component of aquatic systems, linking multiple water uses, functions, and services. Contamination of sediments by chemicals is a worldwide problem, with many jurisdictions trying to prevent future pollution (prospective) and manage existing contamination (retrospective). The present review assesses the implementation of sediment toxicity testing in environmental regulations globally. Currently, the incorporation of sediment toxicity testing in regulations is most common in the European Union (EU), North America, and Australasian regions, with some expansion in Asia and non-EU Europe. Employing sediment toxicity testing in prospective assessments (i.e., before chemicals are allowed on the market) is most advanced and harmonized with pesticides. In the retrospective assessment of environmental risks (i.e., chemicals already contaminating sediments), regulatory sediment toxicity testing practices are applied inconsistently on the global scale. International harmonization of sediment toxicity tests is considered an asset and has been successful through the widespread adoption and deployment of Organisation for Economic Co-operation and Development guidelines. On the other hand, retrospective sediment assessments benefit from incorporating regional species and protocols. Currently used toxicity testing species are diverse, with temperate species being applied most often, whereas test protocols are insufficiently flexible to appropriately address the range of environmental contaminants, including nanomaterials, highly hydrophobic contaminants, and ionized chemicals. The ever-increasing and -changing pressures placed on aquatic resources are a challenge for protection and management efforts, calling for continuous sediment toxicity test method improvement to insure effective use in regulatory frameworks. Future developments should focus on including more subtle and specific toxicity endpoints (e.g., incorporating bioavailability-based in vitro tests) and genomic techniques, extending sediment toxicity testing from single to multispecies approaches, and providing a better link with ecological protection goals. Environ Toxicol Chem 2024;43:1697-1716. © 2024 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.

Climate change mitigation will trigger major changes in human activity, energy systems, and material use, potentially shifting pressure from climate change to other environmental problems. We provide a comprehensive overview of such \"environmental problem shifting\" (EPS). While there is considerable research on this issue, studies are scattered across research fields and use a wide range of terms with blurred conceptual boundaries, such as trade-off, side effect, and spillover. We identify 506 relevant studies on EPS of which 311 are empirical, 47 are conceptual-theoretical, and 148 are synthetic studies or reviews of a particular mitigation option. A systematic mapping of the empirical studies reveals 128 distinct shifts from 22 categories of mitigation options to 10 environmental impacts. A comparison with the recent IPCC report indicates that EPS literature does not cover all mitigation options. Moreover, some studies systematically overestimate EPS by not accounting for the environmental benefits of reduced climate change. We propose to conceptually clarify the different ways of estimating EPS by distinguishing between gross, net, and relative shifting. Finally, the ubiquity of EPS calls for policy design which ensures climate change mitigation that minimizes unsustainability across multiple environmental dimensions. To achieve this, policymakers can regulate mitigation options-for example, in their choice of technology or location-and implement complementary environmental policies.

Payments for ecosystem services programs (PESPs) are increasingly being adopted globally to enhance sustainability outcomes. There are also hundreds of studies yearly on various aspects of PESPs, but research on their contributions to sustainability of communities and the ecosystems they depend upon at the global scale are rare. Our global review explores twelve key characteristics of PESPs at three different phases (inputs - implementation - outputs and outcomes) and their relationship types of these characteristics to sustainability outcomes. To do so, we review 376 peer-review journal articles on PESPs, and test three hypotheses related to these relationships. Our findings confirm that the relationships between each of these characteristics and sustainability outcomes are bidirectional and/or multidirectional to some extent and can be positive, negative or both, depending on specific cases and research methods used to study these relationships. The findings also disclose that separating one characteristic as the primary causal factor in any relationship or outcome is not easy as relevant characteristics are linked in a complex network. Thereby, determining key characteristics of PESPs that drive relationships for the sake of sustainability is important. Through analyzing relationships between PESP characteristics, this study offers a series of suggestions to further aid the contributions of PESPs\' contributions to sustainability in the future.

This paper examines the common themes delivered in studies on corporate reporting in relation to Sustainable Development Goals (SDGs). Articles of the aforesaid studies were mostly acquired from Scopus and Web of Science (WoS) archives from year 2015 to 2022 in which the contents were carefully reviewed for selection. To systematise the literature, PRISMA 2020 statement is used. Descriptive analysis reveals an increase in publications on corporate SDG reporting, although most are focused on developed nations. The analysis also shows a scarcity of studies on the consumer goods, agricultural, fishery, and forestry sectors. Furthermore, current studies have yet to adopt a qualitative or mixed-method approach. There are fundamentally six themes that emerged from the review of literature-the degree of SDG engagement, the quality of SDG reporting, the determining factor in SDG reporting mechanism, the consequences of SDG reporting, the legitimisation approaches, as well as the institutional/stakeholder pressure. For determinants of SDG reporting, it is observed that environmental governance is not explored. This paper identifies the least addressed SDGs that businesses can focus on to accelerate their SDG contribution rate. This paper guides future research and informs decision-making by organisations and stakeholders interested in promoting sustainable development through SDG reporting.

Neighborhoods have received worldwide interest in sustainability assessment due to their suitable scale for representing the relationship between the individual and the city. Consequently, this has led to a focus on developing neighborhood sustainability assessment (NSA) systems and, thereby, studying the prominent NSA tools. Alternatively, this study aims to uncover formative concepts shaping the assessment of sustainable neighborhoods based on a systematic review of the empirical work by researchers. The study included a Scopus database search for papers measuring neighborhood sustainability and a literature review of 64 journal articles published between 2019 and 2021. Our results suggest that criteria related to sustainable form and morphology are the most widely measured criteria in the reviewed papers, interconnected with multiple aspects of neighborhood sustainability. The paper contributes to expanding the existing knowledge on neighborhood sustainability evaluation, further adding to the literature on designing sustainable cities and communities and achieving Sustainable Development Goal 11.

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The analysis of environmental governance and the analytical frameworks used to study this concept in Latin America show that the term is diffuse and polysemic. The term governance refers to democratic societies that theoretically encourage the plural participation of actors in decision making to solve public or collective socioenvironmental problems. However, in Latin America, there is a broad social perception of a democratic deficit that affects the socioenvironmental sphere. The objective of this work is to determine the main trends in studies on environmental governance in Latin America, the most commonly used analytical frameworks and the predominant approaches to characterize the scientific and political uses of the concept. A systematic literature review is carried out on databases in English and Spanish, and 140 articles that consider environmental governance using various analytical frameworks are analyzed. The main finding is the predominance of a critical perspective on the effectiveness of environmental governance, as well as the associated institutional components and social organizations, because the democratic practices that should support it are questionable.

Anthropogenic carbon emissions have the potential to trigger changes in climate and ecosystems that would be catastrophic for the well-being of humans and other species. Widespread shifts in production and consumption patterns are urgently needed to address climate change. Although transnational agreements and national policy are necessary for a transition to a fully decarbonized global economy, fluctuating political priorities and lobbying by vested interests have slowed these efforts. Against this backdrop, bottom-up pressure from social movements and shifting social norms may offer a complementary path to a more sustainable economy. Furthermore, norm change may be an important component of decarbonization policies by accelerating or strengthening the impacts of other demand-side measures. Individual actions and policy support are social processes-they are intimately linked to expectations about the actions and beliefs of others. Although prevailing social norms often reinforce the status quo and unsustainable development pathways, social dynamics can also create widespread and rapid shifts in cultural values and practices, including increasing pressure on politicians to enact ambitious policy. We synthesize literature on social-norm influence, measurement, and change from the perspectives of psychology, anthropology, sociology, and economics. We discuss the opportunities and challenges for the use of social-norm and social-tipping interventions to promote climate action. Social-norm interventions aimed at addressing climate change or other social dilemmas are promising but no panacea. They require in-depth contextual knowledge, ethical consideration, and situation-specific tailoring and testing to understand whether they can be effectively implemented at scale. Our review aims to provide practitioners with insights and tools to reflect on the promises and pitfalls of such interventions in diverse contexts.

The relationship between risks to health equity and climate change is well established, and various international organizations and literature has called for intersectoral action for tackling these issues. While there is a growing recognition of the importance of equity-focused responses to climate change, if and how health equity measures are incorporated into climate-change-related policy decisions has not yet been adequately explored. There are numerous approaches and frameworks for conducting policy analysis, and for understanding equity in the context of climate change and public health separately; however, a comprehensive framework for exploring the complexity of these interacting factors is hard to find. This review aims to systematically identify policy analysis frameworks and studies focusing on health equity in climate change related policies. Five electronic databases will be searched for peer-reviewed articles in English and from 2000. Articles will be subjected to systematic retrieval and quality assessment, and thematic analysis will be used for data analysis. The study findings will provide insight into different existing policy-analysis frameworks and policy-analysis approaches to understand health equity considerations in climate change policies and in health policies related to climate change.