Environmental and energy performances optimization of a neighborhood in Tehran, via IMM® methodology.

Due to the fact that urbanization, as a dominating global development process, has been reached a dramatic measure, series of questions have been arisen about its environmental impacts. The urbanization soaring rate, which its impetus has been provided by unprecedented population growth, has had serious of direct consequences such as inconceivable and unbalanced consumption of natural resources and global warming rate acceleration. In such a dramatic circumstances how urban planning and governance could contribute to climate mitigation and emissions reduction? How urban vulnerability and urban resilience should be managed? Again, how urban transformation should be propelled in order to address these challenges. To demonstrate that sustainability and environmental efficiency is an urban issue this paper shows the application of IMM® (Integrated Modification Methodology) on Shahrak-e Golestan, a newly settled neighborhood located in District 22 of Tehran. Forming this neighborhood for accommodating a part of city’s growing population is a well representative of the common developing manners in Tehran, therefore the transformed model resulted from the study could be considered as a model for further developments of the other districts

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries