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Describes a major programme of change embarked on by Kingston Hospital NHS Trust, UK in 1992 to deliver care to its patients more effectively and efficiently. Reports on the training strategy which was required to facilitate this important organizational change and establish it as the new culture at Kingston Hospital.

Using a variety of public opinion polls over a number of years and from a number of countries this paper revisits the questions of crossnational public concern for global warming first examined over a decade ago. Although the scientific community today speaks out on global climatic change in essentially a unified voice concerning its anthropogenic causes and potential devastating impacts at the global level, it remains the case that many citizens of a number of nations still seem to harbor considerable uncertainties about the problem itself. Although it could be argued that there has been a slight improvement over the last decade in the public’s understanding regarding the anthropogenic causes of global warming, the people of all the nations studied remain largely uniformed about the problem. In a recent international study on knowledge about global warming, the citizens of Mexico led all fifteen countries surveyed in 2001 with just twenty‐six percent of the survey respondents correctly identifying burning fossil fuels as the primary cause of global warming. The citizens of the U.S., among the most educated in the world, where somewhere in the middle of the pack, tied with the citizens of Brazil at fifteen percent, but slightly lower than Cubans. In response to President Bush’s withdrawal of the Kyoto Protocol in 1991, the U.S. public appears to be far more supportive of the action than the citizens of a number of European countries where there was considerable outrage about the decision.

During the year the officers of the Board of Customs and Excise have taken numerous samples at the ports with a view to giving effect to the provisions of Section 1 of the Sale of Food and Drugs Act, 1899, and Section 5 of the Butter and Margarine Act, 1907, as to the importation of butter, margarine, milk, condensed milk, cream, and cheese.

Historically, Panama has always been “a place of transit.” While technically the isthmus formed part of Colombia in the nineteenth century, it was linked geopolitically to the United States soon after the California gold rush, beginning in the late 1840s. The first attempt at building a canal ended in failure in 1893 when disease and poor management forced Ferdinand de Lesseps to abandon the project. The U.S. undertaking to build the canal could only begin after Panama declared itself free and broke away from Colombia in 1903, with the support of the United States.

Communism appears to have a “better image” in the West than fascism and Nazism. The apparent reasons for this are revealed and commented on, and the conclusion is that the West should not be misled into a compromise with Soviet communism.

Deals with surveyor variability, in terms of identifying defects, when undertaking surveys of residential properties. It is based on a sample of 38 surveyors who took part in a large‐scale house condition survey (LSHCS). Seeks to quantify the extent of the variability of surveyors in LSHCS, and proposes methods to try to reduce the incidence of variability. Discusses not only the variability of surveyors in identifying defects to building elements, but also their perceptions of lifetimes for building elements. Concludes that the accuracy of data collection (i.e. the process of surveying a dwelling) is paramount if the information derived from the data is to be of value to the parties described. Also concludes that a mechanism for assessing individual surveyor’s variable tendencies needs to be developed to try to reduce the impact of variability at the survey data analysis stage.

Environmental degradation, economic and political threats along with ideological extremism necessitate a global redirection toward sustainability and well-being. Since the survival of all species (humans, animals, and plants) is wholly dependent on a healthy planet, urgent action at the highest levels to address large-scale interconnected problems is needed to counter the thinking that perpetuates the “folly of a limitless world.” Paralleling critical societal roles played by universities – ancient, medieval, and modern – throughout the millennia, this chapter calls for all universities and higher education institutions (HEIs) generally – estimated at over 28,000 – to take a lead together in tackling the pressing complex and intractable challenges that face us. There are about 250 million students in tertiary education worldwide rising to about 600 million by 2040. Time is not on our side. While much of the groundwork has been done by the United Nations (UN) and civil society, concerns remain over the variable support given to the UN-2030 Sustainable Development Goals (SDGs), especially in light of the negative impact of global biodiversity loss on achieving the UN-2030 SDGs. Ten propositions for global sustainability, ranging from adopting the SDGs at national and local levels to ensuring peaceful uses of technology and UN reforms in line with global socioeconomic shifts, are provided for consideration by decisionmakers. Proposition #7 calls for the unifying One Health & Well-Being (OHWB) concept to become the cornerstone of our educational systems as well as societal institutions and to underpin the UN-2030 SDGs. Recognizing the need to change our worldview (belief systems) from human-centrism to eco-centrism, and re-building of trust in our institutions, the chapter argues for the re-conceptualization of the university/higher education purpose and scope focusing on the development of an interconnected ecological knowledge system with a concern for the whole Earth – and beyond. The 2019 novel coronavirus has made clear that the challenges facing our world cannot be solved by individual nations alone and that there is an urgency to committing to shared global values that reflect the OHWB concept and approach. By drawing on our collective experience and expertise informed by the UN-2030 SDGs, we will be in a much stronger position to shape and strengthen multilateral strategies to achieve the UN-2030 Transformative Vision – “ending poverty, hunger, inequality and protecting the Earth’s natural resources,” and thereby helping “to save the world from itself.”