This paper examines the sustainability practices implemented by healthcare establishments, mainly Small and Medium enterprises (SMEs), We focus on identifying opportunities with challenges involved. This systematic literature analyses 47 studies that explore sustainability practices in the healthcare system globally. The finding from the studies reveals that healthcare organizations with SMEs adopt diverse measures like renewable energy, a reduction, and a response procurement in minimizing the impact on the environment and ensuring financial stability. The challenges SMEs face comprise limited financial resources, lack of expertise, with difficulties accessing information and support. Furthermore, we suggest opportunities for SMEs to enhance sustainability practices with partnerships with other organizations and investing in educating employees. Implementation of sustainability practices will improve the financial stability, and environmental impact, with the wellbeing of healthcare stakeholders. The empirical evidence, comparative studies with cross-disciplinary are needed in exploring the effectiveness of the different suitability practices, potential trade-offs, synergies between sustainability and other organizational goals, the effect of sustainability practice in the financial with non-financial performance on SMEs in healthcare establishment are positive, with cost-effectiveness, efficiencies operations, improving brand reputations and engaging the employee. Established factors like regulating frameworks and government initiatives play a major role in the influence of adopting sustainability practices with cultural factors.

Road accidents involving motorcyclists significantly threaten sustainable mobility and community safety, necessitating a comprehensive examination of contributing factors. This study investigates the behavioral aspects of motorcyclists, including riding anger, sensation-seeking, and mindfulness, which play crucial roles in road accidents. The study employed structural equation modeling to analyze the data, utilizing a cross-sectional design and self-administered questionnaires. The results indicate that riding anger and sensation-seeking tendencies have a direct impact on the likelihood of road accidents, while mindfulness mitigates these effects. Specifically, mindfulness partially mediates the relationships between riding anger and road accident proneness, as well as between sensation-seeking and road accident proneness. These findings underscore the importance of effective anger management, addressing sensation-seeking tendencies, and promoting mindfulness practices among motorcyclists to enhance road safety and sustainable mobility. The insights gained from this research are invaluable for relevant agencies and stakeholders striving to reduce motorcycle-related accidents and foster sustainable communities through targeted interventions and educational programs.

This study employs a mixed-methods approach to explore the financial ramifications and perceived hurdles of adopting international accounting guidelines on asset value reduction in small and medium-sized enterprises (SMEs) in Barranquilla, Colombia, over a recent multi-year timeframe. Through scrutiny of fiscal data and thorough dialogues with SME leaders and finance professionals, the investigation unveils significant industry-specific variations in the monetary impact of embracing these global standards. Manufacturing SMEs are found to shoulder a weightier burden compared to their counterparts in the service sector. The research underscores the pivotal role of perceived standard intricacy in molding the financial outcomes for SMEs, even when accounting for factors such as acquaintance with the guidelines and professional tenure. These discoveries augment our comprehension of global accounting standard adoption in emerging economies and accentuate the necessity for bespoke support mechanisms to assist SMEs in traversing the complexities of implementing these international norms. The insights gleaned from this inquiry can guide policymakers and accounting authorities in crafting sector-specific directives and resources. Such targeted assistance can aid SMEs in harmonizing with worldwide accounting practices while curtailing potential adverse effects on their fiscal performance.

Conversion of the ocean’s vertical thermal energy gradient to electricity via OTEC has been demonstrated at small scales over the past century. It represents one of the planet’s most significant (and growing) potential energy sources. As described here, all living organisms need to derive energy from their environment, which heretofore has been given scant serious consideration. A 7th Law of Thermodynamics would complete the suite of thermodynamic laws, unifying them into a universal solution for climate change. 90% of the warming heat going into the oceans is a reasonably recoverable reserve accessible with existing technology and existing economic circumstances. The stratified heat of the ocean’s tropical surface invites work production in accordance with the second law of thermodynamics with minimal environmental disruption. TG is the OTEC improvement that allows for producing two and a half times more energy. It is an endothermic energy reserve that obtains energy from the environment, thereby negating the production of waste heat. This likewise reduces the cost of energy and everything that relies on its consumption. The oceans have a wealth of dissolved minerals and metals that can be sourced for a renewable energy transition and for energy carriers that can deliver ocean-derived power to the land. At scale, 31,000 one-gigawatt (1-GW) TG plants are estimated to displace about 0.9 W/m² of average global surface heat into deep water, from where, at a depth of 1000 m, unconverted heat diffuses back to the surface and is available for recycling.