BACKGROUND: Global warming stands as a paramount public health issue of our time, and it is fundamental to explore approaches to green medical imaging departments/(MID). This study aims to map the existing actions in the literature that promote sustainable development in MID towards the promotion of environmental impact reduction.
METHODS: Following the JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), this literature search was conducted on MEDLINE, Embase and CINAHL to encompass studies published after 2013. Combinations of keywords and relevant terms related to environmental sustainability, recycling, medical waste, and greening radiology were applied for this review. Three independent reviewers screened abstracts, titles, and eligible full-text. Disagreement was solved through consensus.
RESULTS: 38 out of 4630 articles met all inclusion criteria, and four additional articles were identified and added through reference search. A third of the studies included were published after 2022, and most were conducted in developed countries (36/41). Articles focused on computed tomography (9/41), magnetic resonance imaging (6/41), interventional radiology (4/41), conventional radiography (4/41), ultrasound (2/41), mixed modalities (10/41), or not applicable to an imaging modality (6/41). Four principal categories were identified to decrease ecological footprint: energy consumption, waste management, justification and environmental pollution.
CONCLUSIONS: To minimise the environmental impact of MIDs raising awareness and promoting education is fundamental. Examinations must be justified adequately, energy consumption must be reduced, and waste management practices need to be implemented. Further studies are required to prioritise the most effective strategies, supporting decision-making among stakeholders.
CONCLUSIONS: Several strategies are already possible to implement to reduce the environmental impact of MIDs and improve the healthcare outcomes for patients.

BACKGROUND: In intensive care units, it is noticeable that there is intensive use of resources in the treatment and care process, leading to a significant amount of waste generation. In addition, the demand for intensive care, increasing life expectancy and surgical interventions, complex comorbidities and ecological crisis make it necessary to make critical care more sustainable.
OBJECTIVE: To explore the perspectives of nurses working in surgical intensive care units regarding responsible medical waste management, energy and medication consumption.
METHODS: This qualitative descriptive study was conducted in surgical intensive care units of a university hospital in Turkey in November 2023. Twenty-three nurses filled in an introductory form and participated in a semi-structured interview. Data were analysed using inductive content analysis.
RESULTS: Three main themes were determined: environmentally sustainable intensive care, prevention of waste in intensive care; responsible consumption and recycling; suggestions for institutional and individual behavioural change regarding environmental sustainability.
CONCLUSIONS: The majority of nurses lack knowledge about sustainable development goals. However, in the intensive care unit, they provided effective and creative solutions for medical waste management, energy and medication consumption and individual and institutional behavioural change regarding environmental sustainability.
CONCLUSIONS: Sustainability strategies should be created in institutions to ensure responsible medical waste management, energy and medicine consumption and reduce carbon footprint. In accordance with this purpose, \'Green teams\' including unit-based doctors, nurses and paramedics should be established. Training should be provided and awareness should be raised to reduce energy use resulting from heating, lighting, ventilation and air conditioning.

BACKGROUND: This paper reports on the scholarship activity of the \'Sustainability in Dentistry\' Special-interest Group (SiG), which met at the Association for Dental Education in Europe (ADEE) annual conference in Liverpool on 25 August 2023. The aim of this study was to (i) identify current teaching practices and approaches to embedding Environmental Sustainability (ES) in the curriculum in ADEE attendee schools and (ii) explore existing barriers/challenges to incorporating ES in dental education and consider potential solutions.
METHODS: A mixed-methods approach was used to fulfil the aims of this study. A pre-workshop questionnaire was used to explore current teaching practices, challenges and drivers of embedding ES in the curriculum. An interactive workshop at the in-person meeting in Liverpool was used to propose key strategies to overcome the most frequent challenges to embedding ES in the curriculum.
RESULTS: The majority of respondents (56%) reported that their institutions do not currently teach ES. Traditional didactic forms of teaching were mostly reported to teach ES in non-clinical environments, and a transition to more environmentally sustainable materials and instruments was the most popular response for clinical teaching. Key barriers to embedding ES in the curriculum were identified, including time constraints and the overloaded curriculum, a lack of expertise/knowledge to teach and lack of practical guidance to support educators, limited learning resources for staff and students and resistance from colleagues regarding the relevance of ES in dentistry. The special-interest group participants proposed strategies to overcome these challenges that centred around 14 themes.
CONCLUSIONS: This paper reports recent scholarship activity by ADEE\'s \'Sustainability in Dentistry\' SiG. Key strategies for overcoming the most common challenges to embedding ES in the curriculum are also discussed.

Phytoremediation coupled with agroproduction (PCA) model contributes to sustainable agriculture and environmental management. This study investigated the impact of continuous cropping early/late season rice (RR) and Sedum alfredii-rice rotation (SR) on soil physical and chemical properties, as well as their relationships with soil microbial community. In 2022, SR treatment significantly increased pH value and organic matter content by 7 % and 17 %, respectively, compared to the levels in 2020, while RR treatment showed no change. RR treatment resulted in a significant decrease in soil concentrations of Ca, Mg, and K by 18.42 %, 29.01 %, and 7.77 %, respectively. Furthermore, SR treatment saw reductions of 29.62 % in total Cd and 38.30 % in DTPA extractable Cd in the soil. Over the two years, both treatments notably influenced the diversity, structure, and network of the rhizosphere bacterial and fungal communities, which are crucial for nutrient cycling and plant health. Notably, SR treatment exhibited a more complex network compared to RR, suggesting a greater impact on the interconnected systems. Therefore, these findings highlight the potential of Sedum rotation system to rehabilitate contaminated soils while supporting agricultural practices, which is essential for food security and environmental sustainability. This research direction holds promise for future exploration and application in the fields of phytoremediation and agroecology.

BACKGROUND: While pesticides are essential for crop protection and food security, they pose serious risks to human health and the environment. Agro-input dealers can play an important role in mitigating pesticide risks, given that they are a major source of pesticides and plant health information for many developing-country farmers. In this article, we assess the willingness of agro-input dealers to offer integrated pest management-based advisory services and promote pesticide risk reduction through a voluntary certification scheme.
RESULTS: Using survey data from 557 agro-input dealers in Uganda and a discrete choice experiment, we find that the proposed certification scheme is significantly valued by agro-input dealers, particularly for its potential to provide training opportunities and ensure safety to human health and the environment. Agro-input dealers have a positive attitude towards a certification scheme that restricts the sale of high-risk pesticide products, especially if it stimulates additional income-generating opportunities. Further analysis shows that preferences for voluntary certification attributes are influenced by certification experience, agro-dealership experience, business ownership status and incidence of acute pesticide poisoning.
CONCLUSIONS: The study findings demonstrate that agro-input dealers are conscious of pesticide risks to human and environmental health and are keen to participate in a certification scheme promoting safer plant protection products. © 2024 The Author(s). Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

This study delves into the intricate relationship between economic growth and its ecological repercussions, employing a comprehensive assessment of ecological footprint across 131 nations. The time period considered for the research spans from 2009 to 2019. Utilizing the CS-ARDL methodology, the results indicate a correlation between reducing ecological footprint and bolstering private sector domestic credit. Additionally, a relationship between diminishing private sector domestic credit of banks and augmenting private sector domestic credit within the financial sector has been identified. In conjunction with other indicators of financial advancement, the significance of domestic lending to the private sector has been underscored. The study reveals a notable reduction in human population\'s adverse impact on the environment. However, increased levels of energy consumption, foreign direct investment and per capita GDP are associated with an improvement in global quality of life. Particularly noteworthy is the validation of the \"pollution haven hypothesis\" in the global economic context. The implications of this research are substantial; suggesting that global economic dynamics may support efforts towards environmental conservation. However, outcomes may vary across regions or countries, particularly regarding the emphasis placed by the financial sector on environmental preservation. This study comprehensively examines the complex nexus between economic progress and its ecological consequences, keeping in consideration factors such as financial growth, urbanization, energy consumption and Foreign Direct Investment (FDI).

The synthetic superabsorbent polymers (SAPs) market is experiencing significant growth, with applications spanning agriculture, healthcare, and civil engineering, projected to increase from $9.0 billion USD in 2019 to $12.9 billion USD by 2024. Despite this positive trend, challenges such as fluctuating raw material costs and lower biodegradability of fossil fuel-based SAPs could impede further expansion. In contrast, cellulose and its derivatives present a sustainable alternative due to their renewable, biodegradable, and abundant characteristics. Lignocellulosic biomass (LCB), rich in cellulose and lignin, shows promise as a source for eco-friendly superabsorbent polymer (SAP) production. This review discusses the applications, challenges, and future prospects of SAPs derived from lignocellulosic resources, focusing on the cellulose extraction process through fractionation and various modification and crosslinking techniques. The review underscores the potential of cellulose-based SAPs to meet environmental and market needs, offering a viable path forward in the quest for more sustainable materials.

In the context of today\'s rapidly changing environmental challenges, accurately predicting the performance and efficiency of environmental management strategies is crucial. Particularly in the Middle East, where research on wastewater treatment plants (WWTPs) is notably lacking, addressing this need is imperative. This study investigates the treatment efficiency of a wastewater treatment plant and proposes various techniques to enhance its performance. Employing a case study method, we utilise the GPS-X model to forecast the plant\'s performance under diverse scenarios, offering solutions for future challenges. The results reveal that the current plant layout operates efficiently, with removal efficiencies for Total Suspended Solids (TSS), Chemical Oxygen Demand (COD), and Biochemical Oxygen Demand (BOD) at 98.3 %, 95.1 %, and 96.1 %, respectively. The outlet Dissolved Oxygen (DO) of 1.9 mg/L meets local wastewater reuse standards. Furthermore, the GPS-X model forecasts the plant\'s performance under different scenarios, suggesting the feasibility of a new layout within 20-25 years and the need for additional units after 40 years. As inflow approaches maximum design capacity, simulation results underscore the importance of utilising the full plant design and expanding it for optimal operation over 60 years. This research provides critical insights for improving WWTP performance and emphasizes the significance of strategic planning in addressing long-term environmental management challenges. Moreover, this study represents a pioneering effort in addressing critical water scarcity challenges in Jordan by exploring the potential of treated wastewater (TWW) as a sustainable solution, thus contributing to the advancement of environmental management practices in the region.

BACKGROUND: Various factors have been found responsible for the increment in ecological footprint resulting difficulties in maintaining environmental sustainability. This has been noticed through a modeling perspective. Identifying the factors affecting Ecological Footprint helps policymakers to formulate policies regarding sustainability. However, studies conducted based upon systematic reviews on Ecological Footprint through modeling are still limited.
OBJECTIVE: This study intends to identify influential factors associated with ecological footprint through a systematic review.
METHODS: ProQuest, Science Direct, Scopus, and Web of Science databases were used to search literature systematically. Particular keywords and Boolean operators were applied to dig out relevant studies for the review. Peer-reviewed research articles published in the English language till September 13, 2023, were incorporated for the analysis. Following the guidelines of Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA), 1011 articles were identified from four different databases and only 37 research papers were eligible for this study. These articles were assessed and relevant information was extracted and then amalgamated into the systematic review.
RESULTS: Gross domestic product, urbanization, energy consumption, renewable energy, non-renewable energy, natural resources, bio-capacity, human capital, foreign direct investment, trade openness, and financial development were observed as key factors of the ecological footprint.
CONCLUSIONS: Factors known to influence ecological footprint need to be addressed properly for environmental sustainability including widespread use of renewable energy.

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