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This paper aims to understand why higher education institutions (HEIs) struggle to become sustainable institutions themselves despite providing relevant teaching and research on sustainability.

Using 17 open-ended, semistructured interviews to determine common themes (codes) regarding sustainability, the authors mapped those codes to the adaptive cycle from social innovation theory.

Using the adaptive cycle offered a framework for understanding sustainability at HEIs as a cyclical process where innovation occurs in ebbs and flows. Differing perceptions of power by students and faculty slow down the process, and cross-collaboration is the key to further sustainability.

Insights from the adaptive cycle can contribute to HEI assessment of its sustainability initiatives by identifying the stage of the adaptive cycle relevant to the institution’s present sustainability work.

Applying the adaptive cycle is an original way of understanding the process of anchoring sustainability at HEIs providing concrete insights into advancing this process.

This paper aims to discuss the practical dilemmas of institutional change to tackle the climate crisis in a UK university, identifying key assumptions and issues that block meaningful change. The research was part of an initiative to define a theory of change (ToC) to meet the university’s institutional climate commitments.

The findings are based on interviews with members of an inter-disciplinary ToC working group, a staff–student climate coalition and student representatives at the university. Interviewees were purposively selected to gain insights into assumptions about the nature of the university and its role in tackling the climate crisis, which must be addressed for the university to effectively implement its climate plan.

This paper identified tensions between the university’s role as a public and commercial institution, a lack of clarity over decision-making processes and the difficulties in balancing (and being transparent about) actions with commitments to tackle the climate crisis. A democratic and flexible approach to change is essential to mitigate these issues, providing an opportunity to reflect on the diversity of the university community and openly debate goals and commitments.

In setting out the initial steps of a ToC in a UK university, this paper offers practical insights for higher education institutions looking to change practices. By highlighting assumptions at a particular institution, this paper also contributes a level of granularity to a growing field of research on efforts in higher education institutions to tackle the climate crisis.

LIBRARIANS in Britain stand at the threshold of great possibilities. Having passed through the ages of the ecclesiastical library, the rich collector's private library, the academic institutional library, and the rate‐supported public library—all general libraries —they have reached the age of the special library. The next will be that of the co‐ordinated, co‐operative library service.

Purpose – To discuss the rural–urban dichotomy and its far-reaching implications, first and foremost from a rural sociological point of view, and at the same time, to structure the volume and present the individual chapters.

Methodology/approach – Literature review and analysis of scientific discourse.

Findings – The rural–urban dichotomy has been very persistent in demographic and other kinds of rural and urban research despite intense discussions about its shortcomings in nearly half a century. However, there are mounting arguments for alternative conceptions of rural–urban relations, some of which are found in the chapters in this volume.

Originality/value of chapter – This chapter presents some new ideas about the rural–urban dichotomy, and alternative, more realistic conceptions of rural–urban relations, at the same time as it gives an introduction to the volume.

While traders of agricultural products are known to often exercise market power, this power has rarely been quantified for developing countries. The paper aims to discuss this issue.

In order to derive a measure, the authors estimate the traders’ revenue functions and calculate the marginal value products directly from them. The authors subsequently find the determinants affecting their individual market power.

Results show that market power at the traders’ level exists and is substantial. This market power is amplified in situations of extreme remoteness, and weakens with increasing market size.

An exceptional data set with detailed information on the business practices of rubber traders in Jambi, Indonesia is employed with an innovative methodology to directly estimate revenue functions.

Stroke is a leading cause of death and disability in the USA and worldwide. While stroke care has evolved dramatically, many new acute approaches to therapy focus only on the first 3-12 hours. Significant treatment opportunities beyond the first 12 hours can play a major role in improving outcomes for stroke patients. The purpose of this paper is to highlight the issues that affect stroke care delivery for patients and caregivers and describe an integrated care model that can improve care across the continuum.

This paper details evidence-based research that documents current stroke care and efforts to improve care delivery. Further, an innovative integrated care model is described, and its novel application to stroke care is highlighted.

Stroke patients and caregivers face fragmented and poorly coordinated care systems as they move through specific stroke nodes of care, from acute emergency and in-hospital stay through recovery post-discharge at a care facility or at home, and can be addressed by applying a comprehensive, technology-enabled Integrated Stroke Practice Unit (ISPU) Model of Care.

This paper documents specific issues that impact stroke care and the utilization of integrated care delivery models to address them. Evidence-based research results document difficulties of current care delivery methods for stroke and the impact of that care delivery on patients and caregivers across each node of care. It offers an innovative ISPU model and highlights specific tenets of that model for readers.