Search Results (690)

To address water sustainability challenges, this study investigates how public water concern influences corporate water responsibility (CWR) and how managerial green cognition moderates this relationship. Drawing on institutional theory and cognitive theory, we analyze a panel of 1292 publicly listed high-water-consuming firms in China from 2015 to 2024. The results show that public water concern significantly improves CWR by increasing legitimacy pressure, while its effect through government water governance attention is not statistically significant. Furthermore, managerial green cognition—including both economic and moral dimensions—positively moderates this relationship. Heterogeneity analysis reveals that the moderating effect is stronger in firms with more female directors, older executives, and internationally experienced teams. These findings contribute to refining institutional theory in the context of environmental responsibility and highlight the critical role of executive cognition and demographic structure in corporate sustainability behavior. Full article

Art therapy serves as a crucial intervention modality for children with autism spectrum disorder (ASD), demonstrating unique value in emotional expression, sensory integration, and social communication. However, current practice presents critical challenges, including the disconnect between design expertise and clinical needs, unclear mechanisms of environmental factors’ impact on therapeutic outcomes, and insufficient evidence-based support for technology integration. Purpose: This study aimed to construct an evidence-based theoretical framework for art therapy environment design for children with autism, clarifying the relationship between environmental design elements and therapeutic effectiveness. Methodology: Based on the Web of Science database, this study employed a dual-track approach comprising bibliometric analysis and micro-qualitative content analysis to systematically examine the knowledge structure and developmental trends. Research hotspots were identified through keyword co-occurrence network analysis using CiteSpace, while 24 representative design cases were analyzed to gain insights into design concepts, emerging technologies, and implementation principles. Key Findings: Through keyword network visualization analysis, this study identified ten primary research clusters that were systematically categorized into four core design elements: sensory feedback design, behavioral guidance design, emotional resonance design, and therapeutic support design. A responsive therapeutic environment conceptual framework was proposed, encompassing four interconnected components based on the ABC model from positive psychology: emotional, sensory, environmental, and behavioral dimensions. Evidence-based design principles were established emphasizing child-centeredness, the promotion of multisensory expression, the achievement of dynamic feedback, and appropriate technology integration. Research Contribution: This research establishes theoretical connections between environmental design elements and art therapy effectiveness, providing a systematic design guidance framework for interdisciplinary teams, including environmental designers, clinical practitioners, technology developers, and healthcare administrators. The framework positions technology as a therapeutic mediator rather than a driver, ensuring technological integration supports rather than interferes with children’s natural creative impulses. This contributes to creating more effective environmental spaces for art therapy activities for children with autism while aligning with SDG3 goals for promoting mental health and reducing inequalities in therapeutic access. Full article

Objectives: Burkholderia cepacia complex (Bcc), a Gram-negative organism, is a well-recognized cause of hospital outbreaks, often linked to a contaminated shared source, such as multidose medications. In this study, we report an outbreak of Bcc infections in a tertiary care hospital, associated with the intrinsic contamination of a prepared solution used in interventional radiology (IR) procedures. Additionally, we provide a detailed explanation of the interventions implemented to control and interrupt the outbreak. Methods: Records from the infection control committee from 1 January 2023 to 31 October 2024 were screened to identify cases with Bcc growth in cultured blood, urine, or respiratory samples. Clinical and laboratory data were collected in March 2025. Bacterial identification was performed using conventional methods and MALDI-TOF (Bruker Daltonics, Bremen, Germany). Controls were matched to cases by ward, date of initial growth, and duration of hospitalization. Demographic and clinical data of these patients were systematically collected and analyzed. Microbiological cultures were obtained from environmental objects of concern and certain medications. Results: A total of 82 Burkholderia species were identified. We enrolled 77 cases and 77 matched controls. The source of contamination was identified in ready-to-use intravenous medications (remifentanil and magnesium preparations) in the IR department. These preparations were compounded in advance by the team and were used repeatedly. Although the outbreak originated from contaminated IV medications used in IR, secondary transmission likely affected 28 non-IR patients via fomites, shared environments, and possible lapses in isolation precautions. The mortality rate among the cases was 16.9%. Infection with Bcc was associated with prolonged intensive care unit stays (p = 0.018) and an extended overall hospitalization duration (p < 0.001); however, it was not associated with increased mortality. The enforcement of contact precautions and comprehensive environmental decontamination successfully reduced the incidence of the Bcc outbreak. No pathogens were detected in cultures obtained after the disinfection. Conclusions: The hospital transmission of Bcc is likely driven by cross-contamination, invasive medical procedures, and the administration of contaminated medications. Implementing stringent infection control measures such as staff retraining, updated policies on medication use, enhanced environmental decontamination, and strict adherence to isolation precautions has proven effective in curbing the spread of virulent and transmissible Bcc. Full article

Drawing on a panel dataset of 27,972 firm-year observations from Chinese A-share listed companies spanning 2009 to 2022, this study employs fixed-effects models to examine the nonlinear relationship between firm-level climate policy uncertainty (FCPU) and corporate green governance expenditure (GGE). The results reveal a robust inverted U-shaped pattern: moderate levels of FCPU encourage firms to increase GGE, while excessive uncertainty discourages it. Financing constraints mediate this relationship; specifically, FCPU exhibits a U-shaped impact on financing constraints, initially easing and then tightening them. Older top management teams accelerate the GGE downturn, while government environmental expenditure delays it, acting as a buffer. Heterogeneity analyses reveal the inverted U-shaped effect is more pronounced for non-polluting firms and state-owned enterprises (SOEs). This study highlights the complex dynamics of FCPU on corporate green behavior, underscoring the importance of climate policy stability and transparency for advancing corporate environmental engagement in China. Full article

Educators must understand current practices and gaps in knowledge regarding environmental sustainability in simulation education to reduce the environmental impact of plastic waste while still maintaining fidelity in simulation education. Therefore, a scoping review was conducted to answer the PICO question, “In healthcare institutions and hospitals, what are the environmentally sustainable practices that can be translated into simulation labs as best practice?” Fourteen studies were identified through a search of seven databases, critically appraised, and analyzed. Three key themes emerged: (1) the 5 R’s, (2) getting people motivated, and (3) larger external collaboration. These themes highlight practical strategies and motivational factors for sustainable practices. An expanded 5 R’s framework (reduce, reuse, recycle, research, and rethink) was introduced to guide a holistic approach. The literature highlights the importance of education, stakeholder engagement, and clearly defined standards as key drivers for motivating individuals and teams to engage in sustainable behaviors. These efforts are most effective when supported by interdisciplinary collaboration, regulatory frameworks, national policies, and technological innovation. Sustainability initiatives should extend beyond individual institutions to foster broader systemic change. Full article

This paper presents a reinforcement learning (RL) approach for solving the team orienteering problem under both deterministic and dynamic travel time conditions. The proposed method builds on the transformer architecture and is trained to construct routes that adapt to real-time variations, such as traffic and environmental changes. A key contribution of this work is the model’s ability to generalize across problem instances with varying numbers of nodes and vehicles, eliminating the need for retraining when problem size changes. To assess performance, a comprehensive set of experiments involving 27,000 synthetic instances is conducted, comparing the RL model with a variable neighborhood search metaheuristic. The results indicate that the RL model achieves competitive solution quality while requiring significantly less computational time. Moreover, the RL approach consistently produces feasible solutions across all dynamic instances, demonstrating strong robustness in meeting time constraints. These findings suggest that learning-based methods can offer efficient, scalable, and adaptable solutions for routing problems in dynamic and uncertain environments. Full article

This study aimed to develop a Causal Loop Diagram (CLD) to visualise how urban environment factors impact dementia and cognitive decline, and potential causal mechanisms. In Group Model Building workshops with 12 researchers, a CLD was created to identify factors contributing to cognitive decline, and the dynamic interrelationships between these factors. The factors were classified in nine main themes: urban design, social environment, travel behaviours, urban design by-products, lifestyle, mental health conditions, disease/physiology, brain physiology, and cognitive decline outcomes. Five selected feedback loops illustrated some dynamics in the system. The workshops helped develop a shared language and understanding of different perspectives from an interdisciplinary team. The CLD creation was part of a comprehensive modelling approach based on experts’ knowledge which informed other research outputs such as an evidence gap map and an umbrella review, helped the identification of environmental variables for future studies and analyses, and helped to identify future possible systems-based interventions to prevent cognitive decline. The study highlights the utility of CLDs and Group Model Building workshops in interdisciplinary research projects investigating complex systems. Full article

To overcome the limitations in the perception performance of individual robots and homogeneous robot teams, this paper presents a distributed multi-robot collaborative SLAM method based on air–ground cross-domain cooperation. By integrating environmental perception data from UAV and UGV teams across air and ground domains, this method enables more efficient, robust, and globally consistent autonomous positioning and mapping. First, to address the challenge of significant differences in the field of view between UAVs and UGVs, which complicates achieving a unified environmental understanding, this paper proposes an iterative registration method based on semantic and geometric features assistance. This method calculates the correspondence probability of the air–ground loop closure keyframes using these features and iteratively computes the rotation angle and translation vector to determine the coordinate transformation matrix. The resulting matrix provides strong initialization for back-end optimization, which helps to significantly reduce global pose estimation errors. Next, to overcome the convergence difficulties and high computational complexity of large-scale distributed back-end nonlinear pose graph optimization, this paper introduces a multi-level partitioning majorization–minimization DPGO method incorporating loss kernel optimization. This method constructs a multi-level, balanced pose subgraph based on the coupling degree of robot nodes. Then, it uses the minimization substitution function of non-trivial loss kernel optimization to gradually converge the distributed pose graph optimization problem to a first-order critical point, thereby significantly improving global pose estimation accuracy. Finally, experimental results on benchmark SLAM datasets and the GRACO dataset demonstrate that the proposed method effectively integrates environmental feature information from air–ground cross-domain UAV and UGV teams, achieving high-precision global pose estimation and map construction. Full article

Background: The number of people with heart failure (HF) is rapidly increasing globally. Self-care plays a key role in improving HF outcomes. The readiness to engage in heart failure self-care (HFSC) behaviors encompasses a commitment to change and the capacity to make the change. Commitment is a personal investment and value toward enacting self-care and health-related behaviors. Capacity includes an individual’s skills, knowledge, beliefs, previous experience, and resources. Aim: The aim of this study was to describe patient-identified commitment and capacity factors influencing their readiness to carry out HFSC behaviors. Methods: A qualitative study using thematic analysis was conducted using data from 21 interviews to develop readiness for HFSC themes. Results: The commitment themes identified were cultural values and beliefs, social roles, will to live, attitude, self-efficacy, HF perceptions, and general emotional state. Capacity themes included HF literacy, functional capacity, environmental resources, comorbidities, time, cognitive functioning, and social support. Conclusions: Novel themes related to an individual’s commitment to HFSC activities included their will to live and social roles, while time emerged as a consideration in the capacity to engage in self-care. To optimize HF outcomes, people with HF must be ready to engage in HFSC. Evaluating an individual’s readiness for HFSC can focus healthcare team efforts on targeting specific self-care activities that require intervention. Enhancing readiness by intervening with specific commitment and capacity factors is a step toward optimizing HFSC and improving patient outcomes. Full article

Material stocks (MS) serve as essential physical foundations for socio–economic systems, reflecting the accumulation, transformation, and consumption of resources over time and space. Positioned at the intersection of environmental and socio–economic systems, MS are increasingly recognized as leverage points for advancing sustainability. However, there is currently a lack of comprehensive overview, making it difficult to fully capture the latest developments and cutting–edge research. We adopt a systems perspective to conduct a comprehensive bibliometric and thematic review of 602 scholarly publications on MS research. The results showed that MS research encompasses has three development periods: preliminary exploration (before 2007), rapid development (2007–2016), and expansion and deepening (after 2016). MS research continues to deepen, gathering multiple teams and differentiating into diverse topics. MS research has evolved from simple accounting to intersection with socio–economic, resources, and environmental systems, and shifted from relying on statistical data to integrating high–spatio–temporal–resolution geographic big data. MS research is shifting from problem revelation to problem solving, constantly achieving new developments and improvements. In the future, it is still necessary to refine MS spatio–temporal distribution, reveal MS’s evolution mechanism, establish standardized databases, strengthen interaction with other systems, enhance problem–solving abilities, and provide powerful guidance for the formulation of dematerialization and decarbonization policies to achieve sustainable development. Full article

Background: Motion capture (MoCap) technologies have transformed athlete monitoring, yet athletic departments face complex decisions when selecting systems for multiple sports. Methods: We conducted a narrative review of peer-reviewed studies (2015–2025) examining optical marker-based, inertial measurement unit (IMU) systems, including Global Navigation Satellite System (GNSS)-integrated systems, and markerless computer vision systems. Studies were evaluated for validated accuracy metrics across indoor court, aquatic, and outdoor field environments. Results: Optical systems maintain sub-millimeter accuracy in controlled environments but face field limitations. IMU systems demonstrate an angular accuracy of 2–8° depending on movement complexity. Markerless systems show variable accuracy (sagittal: 3–15°, transverse: 3–57°). Environmental factors substantially impact system performance, with aquatic settings introducing an additional orientation error of 2° versus terrestrial applications. Outdoor environments challenge GNSS-based tracking (±0.3–3 m positional accuracy). Critical gaps include limited gender-specific validation and insufficient long-term reliability data. Conclusions: This review proposes a tiered implementation framework combining foundation-level team monitoring with specialized assessment tools. This evidence-based approach guides the selection of technology aligned with organizational priorities, sport-specific requirements, and resource constraints. Full article

This study examined the influence of student–teacher relationships and school infrastructure on preschool children’s motor creativity, encompassing fluency, originality, and imagination. Twenty teachers completed the Student–Teacher Relationship Scale for 200 children (10 children per teacher). The research team recorded aspects of the school’s physical environment through Movement Play Scale and assessed children’s motor creativity via the Thinking Creatively in Action and Movement test. The results revealed that dimensions of the student–teacher relationship, such as conflict and dependency, negatively impacted fluency, and originality components of motor creativity. Contrary to expectations, teacher participation in movement activities did not significantly contribute to motor creativity, potentially due to over-direction limiting children’s autonomy. Similarly, the school’s infrastructures were negatively linked to fluency and originality. The findings underscore the importance of nurturing autonomy-supportive environments and balancing guidance with opportunities for independent exploration. Teachers should also invest in adaptable educational spaces to foster creativity without encouraging dependency. This study emphasizes the critical role of supportive relational and environmental factors in shaping preschool children’s creative movement abilities. Full article

While natural grass has been a reliable recreational surface for decades, artificial turf has gained popularity due to its durability, supposed ability to save water, and lower associated costs for municipalities and schools. Growing environmental and health concerns associated with artificial turf have prompted a necessary comparison of the environmental impact, chemical exposure, injury rates, surface heat, and costs of turf with natural grass. The township of Verona, New Jersey, engaged the PSEG Institute for Sustainability Studies’ Green Teams Program interns to perform an environmental impact assessment, literature review, and cost–benefit analysis to determine if the township should restore an aging artificial turf field in the town to natural grass. The environmental impact assessment revealed concerns regarding artificial turf’s high emission profile, microplastic pollution, lack of permeability, and the presence of per- and polyfluoroalkyl substances (PFAS). Natural grass’ high water usage was also identified as a drawback. The literature review revealed safety concerns of artificial turf regarding temperature disparities and no conclusive results regarding differences in overall injury rates. The artificial turf field in this case study was 182% hotter than the natural grass field when measured by an infrared thermometer during mid-day readings in June. The cost–benefit analysis revealed that natural grass offers a lower long-term expense over a 25-year period. Artificial turf has many benefits; however, natural grass was the recommended option when considering environmental sustainability, reduced chemical exposure, lower surface temperatures, and overall cost. The conclusions may further inform policy decisions and support the adoption of environmentally responsible and health-centered practices for sports fields across municipalities in New Jersey and beyond. Full article

Background: Physical activity (PA) is associated with lower mortality and cancer recurrence risks. Although evidence shows health benefits for cancer patients before, during, and immediately after treatment, PA recommendations are not regularly included in the standard care. Objective: The study aimed to identify perceived knowledge, barriers, and facilitators of oncology providers’ PA promotion for cancer patients using the 5A (Assess, Advise, Agree, Assist, and Arrange) framework. Methods: A qualitative research design with a phenomenological approach was adopted. A purposive sample of 16 oncology care providers in Nebraska participated in semi-structured interviews via Zoom/phone. Interviews were audio-recorded, transcribed, and imported into MAXQDA 2024 for thematic analysis. Results: Analysis of the qualitative data identified five themes: (i) Broad and inclusive conceptualizations of PA among oncology care providers suggested that they were able to define PA; (ii) Current Practices in PA Counseling included advising on PA and assessment; (iii) Barriers to PA counseling included lack of guideline awareness, insufficient training, low prioritization, uncertainty about responsibility, time constraints, limited resources, lack of referral systems, patient health conditions, and environmental factors; (iv) Facilitators were identified as acknowledged health benefits for cancer survivors, awareness of PA recommendations, access to community resources, and support from interdisciplinary teams; and (v) Expressed desire among oncology care providers for training on incorporating PA into oncology care. Conclusions: Oncology providers recognized PA’s health benefits for cancer survivors but did not promote it due to inadequate knowledge of guidelines and lack of resources. These barriers require improved PA counselling education to help providers incorporate PA into clinical care. Full article

The UN’s “Global Agenda for Change” focused on global challenges, with the aim of improving quality of life. The focus on People, Planet, Prosperity, Peace, Partnership, and Integrated Action (EU) orients its efforts towards socially needed change. Although the above perspectives, which ultimately shape the goals of sustainable development, refer in effect to the security of the functioning of societies and economies, this issue has not been sufficiently explored in the literature. Taking the above into account, this paper explains the aspect of people’s sustainable security and well-being, and also indicates the importance of determining the social competences needed for a broadly understood sustainable future, which is the main goal of this article. Considering the importance of sustainable awareness among the younger generation, who are responsible for the future modeling of the pace and direction of sustainable changes, the analysis of the literature in the practical findings was supported by qualitative and quantitative methods, as well as statistical analysis techniques using PQstat software, to ensure in-depth research. The results confirm that the studied population generally has good knowledge of the idea of sustainable development. Importantly, this population combines development in a sustainable direction with actions to strengthen people’s safety and well-being. It should be noted that the studied population is most strongly aware of the environmental pillar of sustainable development, suggesting potential to improve knowledge in this area—which is crucial for effective development towards a safe future and important for future decision-makers (the young generation). The findings can serve as a source of information for teams designing study programs and information campaigns on sustainable development in order to further strengthen social education in the studied area. Full article