993 resultados para Sustainable healthcare


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Sustainability is now recognised as a key issue that must be addressed in the design, construction and lifelong maintenance of civil engineering structures. This paper briefly discusses the generic aspects of sustainability, but the main focus is its application to bridges. Motorway bridges built in the 1960s and 1970s had design lives of 120 years; many, however, were showing signs of deterioration after only 20–40 years. This led to much (ongoing) debate on the issue of initial versus full life-cycle costing. In order to address the highly complex issue of the sustainability of bridges, this paper considers the following specific areas that impinge on this important subject: the impact on sustainability of different forms of bridge construction and maintenance/repair/replacement strategies; the utilisation of innovative in situ testing equipment for assessing the long-term durability of concrete; the development of innovative structural designs for bridges that inherently have greatly extended lives at minimal, if any, additional cost.

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Over the last two decades there has been a marked change in the way that the public perceives environmental issues and the concepts associated with sustainable development. Few would argue that this has moved into the mainstream of public consciousness. Coverage of sustainability related concepts within the media, as illustrated by a sample of 112 worldwide newspapers, shows a clear upward trajectory. Taking the example of climate change and sustainable development this paper explores this increasing coverage, and arguably awareness of, sustainability concepts and considers parallels with the concepts of punctuated equilibrium and issue-attention cycles.

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The complexity of sustainable development means that it is often difficult to evaluate and communicate the concept effectively. One standard method to reduce complexity and improve Communication, while maintaining scientific objectivity, is to use selected indicators. The aim of this paper is to describe and evaluate a process Of public participation in the selection of sustainable development indicators that utilised the Q-method for discourse analysis. The Q-method was Utilised to combine public opinion with technical expertise to create a list of technically robust indicators that would be relevant to the public, The method comprises statement collection, statement analysis, Q-sorts and Q-sort analysis. The results of the Q-method generated a list of statements for which a preliminary list of indicators was then developed by a team of experts from the fields of environmental science, sustainable development and Psychology. Subsequently members of the public evaluated the preliminary list of indicators, to select a final list of indicators that were both technically sound and incorporated the views of the public. The Utilisation of the Q-method in this process was evaluated using previously published criteria. The application of the Q-method in this context needs to be considered not only by the quality of the indicators developed, but also from the perspective of the benefit of the process to the participants. it was concluded that the Q-method provided an effective framework for public participation in the selection of indicators as it allowed the public to discuss Sustainable development in familiar language and in the context of their daily lives. By combining this information with expert input, a list of technically robust indicators that resonate with the public was developed. The results demonstrated that many citizens are not aware Of Sustainable development, and if it is to be successfully communicated to them, then indicators and policy need to be couched in terms familiar and relevant to citizen and communities. (C) 2009 Elsevier Ltd. All rights reserved.