RESUMEN
This study innovatively uses local government regulations related to manufacturing to quantitatively identify industrial policies. The degree of influence and functional mechanism of China's industrial policies on the green competitiveness of the manufacturing industry are empirically examined using the provincial and regional panel data. Additionally, the synergistic complementary effect between industrial policy power and market forces and the fiscal decentralization's role in influencing industrial policies are investigated. The results reveal that the promulgation and implementation of industrial policies have significantly promoted the green competitiveness of the manufacturing industry. Regarding functional mechanisms, environmental governance has played a positive role in promoting the green competitiveness of the manufacturing industry supported by industrial policies, resource allocation, and innovation incentives. Meanwhile, industrial policies on green competitiveness in manufacturing depend on marketization and fiscal decentralization in local governments. The above findings demonstrate that the local governments in China, a developing economy, can play the role of development-oriented governments. Based on conforming to market deepening and system optimization, they can formulate and implement industrial policies in a rational manner and achieve green development and upgrade the manufacturing industry.
Asunto(s)
Desarrollo Económico , Política Ambiental/legislación & jurisprudencia , Regulación Gubernamental , Industria Manufacturera/normas , Desarrollo Sostenible/legislación & jurisprudencia , China , Industria Manufacturera/legislación & jurisprudenciaRESUMEN
The pressures to maintain a low-carbon economy makes green competitiveness (GC) a significant issue in China. It has been found that the development of Internet and E-commerce contributes significantly to GC of regional economy, yet there are still lack of quantitative investigation on their effects, which can be used to further guide the economic development. Therefore, this study constructs a new evaluation index for the green competitiveness of the regional manufacturing industry in China by introducing Internet application indicators and E-commerce development indexes into its evaluation system. The results show Jiangxi and Gansu moved upward significantly in the GC ranking over the period. The development of the Internet and E-commerce has the most significant impact on GC of regional manufacturing. The lack of green manufacturing capabilities and green innovation drivers led to a decline in the GC ranking of Liaoning, Tianjin, Guangxi and Heilongjiang. Finally, this study uses Moran's I index to investigate the spatial agglomeration effect of the green development of the manufacturing industry at the province level. The results show an increase in the GC of China's regional manufacturing industry, and the GC of manufacturing industry shows a significant agglomeration effect. Based on the above conclusions, the proposal to promote the balanced development of the GC of the manufacturing industry is proposed.
Asunto(s)
Comercio/métodos , Competencia Económica , Industria Manufacturera/métodos , China , Desarrollo Económico , Política Ambiental , Internet , Industria Manufacturera/legislación & jurisprudencia , Análisis EspacialAsunto(s)
COVID-19/terapia , Atención a la Salud/economía , Salud Global/economía , Pandemias/prevención & control , Ventiladores Mecánicos/economía , COVID-19/epidemiología , Salud Global/legislación & jurisprudencia , Humanos , Cooperación Internacional , Industria Manufacturera/economía , Industria Manufacturera/legislación & jurisprudencia , Políticas , Respiración Artificial/instrumentaciónRESUMEN
BACKGROUND: The world is facing an unprecedented outbreak affecting all aspects of human lives which is caused by the COVID-19 pandemic. Due to the virus novelty, healthcare systems are challenged by a high rate of patients and the shortage of medical products. To address an increased need for essential medical products, national authorities, worldwide, made various legislative concessions. This has led to essential medical products being produced by automotive, textile and other companies from various industries and approved under the emergency use authorizations or legal concessions of national regulatory bodies. This paper presents a narrative commentary of the available documentation on emergency use authorizations and legal concessions for medical products during COVID-19 pandemic. METHODOLOGY: The basis for narrative commentary includes scientific articles published in Web of Science, Scopus, PubMed and Embase databases, official publications of international organizations: Food and Drug Agency (FDA), World Health Organisation (WHO), World Bank and United Nations (UN), and national regulatory agency reports in native languages (English, German, Bosnian, and Croatian) published from November 1, 2019 to May 1, 2020. This paper focuses on three types of essential medical products: mechanical ventilators, personal protective equipment (PPE) and diagnostic tests. Evidence-informed commentary of available data and potential identified risks of emergency use authorizations and legal concessions is presented. DISCUSSION: It is recognized that now more than ever, raising global awareness and knowledge about the importance of respecting the essential requirements is needed to guarantee the appropriate quality, performance and safety of medical products, especially during outbreak situation, such as the COVID-19 pandemic. Emergency use authorizations for production, import and approval of medical products should be strictly specified and clearly targeted from case to case and should not be general or universal for all medical products, because all of them are associated with different risk level. CONCLUSION: Presented considerations and experiences should be taken as a guide for all possible future outbreak situations to prevent improvised reactions of national regulatory bodies.
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Betacoronavirus , Comercio/legislación & jurisprudencia , Infecciones por Coronavirus , Concesión de Licencias/legislación & jurisprudencia , Industria Manufacturera/legislación & jurisprudencia , Pandemias , Equipo de Protección Personal/provisión & distribución , Neumonía Viral , Juego de Reactivos para Diagnóstico/provisión & distribución , Ventiladores Mecánicos/provisión & distribución , COVID-19 , Prueba de COVID-19 , Técnicas de Laboratorio Clínico/normas , Infecciones por Coronavirus/diagnóstico , Falla de Equipo , Unión Europea , Salud Global , Humanos , Equipo de Protección Personal/normas , Juego de Reactivos para Diagnóstico/normas , Medición de Riesgo , SARS-CoV-2 , Estados Unidos , United States Food and Drug Administration , Ventiladores Mecánicos/normasAsunto(s)
Conflicto de Intereses , Industria Farmacéutica/economía , Industria Manufacturera/economía , Remuneración , Urólogos/economía , Centers for Medicare and Medicaid Services, U.S. , Bases de Datos Factuales , Industria Farmacéutica/legislación & jurisprudencia , Humanos , Industria Manufacturera/legislación & jurisprudencia , Patient Protection and Affordable Care Act , Estados UnidosRESUMEN
This paper is the first to systematically review the theoretical mechanisms of environmental regulation and trade comparative advantage that affect the green transformation and upgrading of the manufacturing industry. On this basis, corresponding hypotheses are put forward. The non-radial and non-angle SBM (slacks-based measure) efficiency measurement model with undesirable outputs was used, combined with the use of the ML (green total factor productivity index) productivity index to measure green total factor productivity. Finally, the theoretical hypothesis was empirically tested using data from 27 manufacturing industries in China from 2005 to 2017. The results show the following: (1) There is a significant inverted U-shaped curve relationship between environmental regulation and the transformation of the manufacturing industry. In other words, as environmental regulation increases, its impact on the transformation and upgrading of the manufacturing industry is first promoted and then suppressed. (2) When there are no environmental regulations, the trade comparative advantage of the manufacturing industry is not conducive to industrial transformation. However, under the constraints of environmental regulations, the comparative advantage of trade will significantly promote the green transformation and upgrading of manufacturing. Therefore, in order to effectively promote transformation and upgrading of the manufacturing, this paper proposes the following policy recommendations: (1) The Chinese government should pay more attention to the impact of environmental regulation intensity on the transformation of manufacturing industries, further increase the intensity of environmental regulation within the reasonable range, and fully exert the positive effects of environmental regulation on the trade patterns and manufacturing industry transformation. (2) We should further optimize the structure of trade, realize the diversification of manufacturing import and export, and promote its transformation into high-end manufacturing. On this basis, green production technology in the manufacturing industry can be improved through the technology spillover effect. (3) Efforts should be made to improve the level of collaborative development between environmental regulation and trade patterns and to explore the transformation path of the manufacturing industry with the integration of environmental regulation and trade patterns.
Asunto(s)
Comercio , Regulación Gubernamental , Industria Manufacturera/legislación & jurisprudencia , Tecnología/tendencias , China , Desarrollo SostenibleRESUMEN
BACKGROUND: The significance of how occupational noise can influence attitudes towards occupational noise exposure, susceptibility to hearing loss and job performance has generally been neglected in the past studies. OBJECTIVES: The aim of this study was to determine the impact of occupational noise on attitudes towards occupational noise exposure, susceptibility to hearing loss and job performance of manufacturing small and medium enterprises (SMEs) workers in Zimbabwe. METHOD: A survey was conducted involving 250 respondents, including manufacturing SME workers, and the hypotheses were analysed by applying structural equation modelling. RESULTS: Occupational noise had a positive and significant effect on attitudes towards occupational noise exposure and perceived susceptibility to hearing loss amongst manufacturing SME workers. In addition, attitudes towards exposure to occupational noise and the perceived susceptibility of hearing loss have had a positive and significant impact on manufacturing SME workers' job performance. CONCLUSION: The novelty of the research is its analysis of occupational noise as an indicator of attitudes towards occupational noise exposure and susceptibility to hearing loss as well as job performance. This study provides practitioners with beneficial implications. Collective knowledge on occupational noise could help manufacturing SME managers in recognising the perceptions of employees on occupational noise and how it ultimately affects job performance. Moreover, this study is intended to add new knowledge to the current body of African occupational noise literature - a context that has not received much research attention in developing countries.
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Conocimientos, Actitudes y Práctica en Salud , Pérdida Auditiva Provocada por Ruido/psicología , Enfermedades Profesionales/psicología , Rendimiento Laboral , Adolescente , Adulto , Femenino , Pérdida Auditiva Provocada por Ruido/prevención & control , Humanos , Masculino , Industria Manufacturera/legislación & jurisprudencia , Persona de Mediana Edad , Ruido en el Ambiente de Trabajo/efectos adversos , Ruido en el Ambiente de Trabajo/prevención & control , Enfermedades Profesionales/prevención & control , Encuestas y Cuestionarios , Adulto Joven , ZimbabweRESUMEN
Aluminium utensils are ubiquitous in Indian households and other developing countries. Concerns have recently been raised on the pathological effects of aluminium on the human body, due to its leaching from utensils with long-term use, which has been associated with certain clinical conditions such as anaemia, dementia and osteo-malacia. While some studies suggest that cooking in utensils or aluminium foils is safe, others suggest that it may lead to toxic levels of aluminium in the body. However, studies have shown that leaching of aluminium from cooking utensils depends on many factors such as pH, temperature and cooking medium. In healthy controls, 0.01 %-1 % of orally ingested aluminium is absorbed from the gastrointestinal tract and is eliminated by the kidney. Although the metal has a tendency to accumulate in tissues and may result in their dysfunction, the literature suggests that the apprehension is more apt in patients with chronic renal insufficiency. This article offers solutions to mitigate the risk of aluminium toxicity.
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Aluminio/farmacocinética , Utensilios de Comida y Culinaria/normas , Absorción Intestinal , Industria Manufacturera/normas , Eliminación Renal , Aluminio/normas , Aluminio/toxicidad , Anemia/inducido químicamente , Anemia/prevención & control , Utensilios de Comida y Culinaria/legislación & jurisprudencia , Demencia/inducido químicamente , Demencia/prevención & control , Calor/efectos adversos , Humanos , India , Industria Manufacturera/legislación & jurisprudencia , Osteomalacia/inducido químicamente , Osteomalacia/prevención & control , Factores de TiempoRESUMEN
BACKGROUND: Emissions of high concentrations of antibiotics from manufacturing sites select for resistant bacteria and may contribute to the emergence of new forms of resistance in pathogens. Many scientists, industry, policy makers and other stakeholders recognize such pollution as an unnecessary and unacceptable risk to global public health. An attempt to assess and reduce such discharges, however, quickly meets with complex realities that need to be understood to identify effective ways to move forward. This paper charts relevant key actor-types, their main stakes and interests, incentives that can motivate them to act to improve the situation, as well as disincentives that may undermine such motivation. METHODS: The actor types and their respective interests have been identified using research literature, publicly available documents, websites, and the knowledge of the authors. RESULTS: Thirty-three different actor-types were identified, representing e.g. commercial actors, public agencies, states and international institutions. These are in complex ways connected by interests that sometimes may conflict and sometimes pull in the same direction. Some actor types can act to create incentives and disincentives for others in this area. CONCLUSIONS: The analysis demonstrates and clarifies the challenges in addressing industrial emissions of antibiotics, notably the complexity of the relations between different types of actors, their international dependency and the need for transparency. The analysis however also suggests possible ways of initiating incentive-chains to eventually improve the prospects of motivating industry to reduce emissions. High-resource consumer states, especially in multinational cooperation, hold a key position to initiate such chains.
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Antibacterianos , Comercio , Industria Manufacturera/organización & administración , Contaminación Química del Agua/prevención & control , Industria Manufacturera/legislación & jurisprudencia , Instalaciones Industriales y de Fabricación , Contaminación Química del Agua/legislación & jurisprudenciaAsunto(s)
Conflictos Armados , Comercio , Industria Manufacturera , Salud Pública , Armas/legislación & jurisprudencia , Contaminación del Aire/legislación & jurisprudencia , Comercio/ética , Comercio/legislación & jurisprudencia , Humanos , Industria Manufacturera/ética , Industria Manufacturera/legislación & jurisprudencia , Arabia Saudita , Responsabilidad Social , Reino Unido , YemenRESUMEN
In order to achieve regulatory compliance and acquire authorisation for sale in Europe, each medical device must be supported by a clinical evaluation report (CER) which documents the clinical evaluation process in its entirety. This is not a new requirement but highly publicised scandals caused by defective medical devices increased scrutiny of notified bodies (the organisations designated by the European Union to evaluate medical device compliance) meaning they are more liable and must strengthen their inspections of medical device manufacturers. Manufacturers are already under increased pressure due to the new EU Medical device regulation published in 2017. The scope of the new regulation requires many manufacturers to evaluate the documentation for their whole product portfolio. CERs are an important part of regulatory compliance and are also one of the biggest challenges for manufacturers who do not have sufficient resources and do not dedicate enough time to this task. This article examines the background of this requirement while offering medical device manufacturers advice for successful clinical evaluation reports.
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Equipos y Suministros/normas , Industria Manufacturera/legislación & jurisprudencia , Legislación de Dispositivos Médicos , Documentación , Seguridad de Equipos , Equipos y Suministros/economía , Unión Europea/organización & administración , Adhesión a Directriz/legislación & jurisprudencia , Adhesión a Directriz/organización & administración , Adhesión a Directriz/normas , Humanos , Industria Manufacturera/normas , Industria Manufacturera/tendencias , Legislación de Dispositivos Médicos/organización & administración , Legislación de Dispositivos Médicos/tendencias , Seguridad del PacienteRESUMEN
In recent years, China has constantly strengthened environmental regulation (ER) to force the manufacturing industry to upgrade. This study theoretically analyzes interaction mechanism of ER on the upgrading of manufacturing industry through foreign direct investment (FDI) and technological innovation (TI) and carries out empirical verification by using provincial panel data from 2000 to 2016 in China. The results demonstrate that the current ER intensity in China is unable to directly promote the upgrading of manufacturing industry, while through the interaction effects of FDI and TI do boost the upgrading of the industry. The above mechanisms are also robust even if we take the regional heterogeneity into consideration. Basic education and urbanization are favorable for the upgrading of the manufacturing industry. However, the increase in dependence on foreign trade is not conducive to upgrading manufacturing industry. Chinese government should further strengthen ER and give full play of the interaction mechanism of ER to guide the flow of foreign investment and force enterprises to carry out TI. In the meanwhile, Chinese government also needs to ensure balanced regional development, thus better promoting the upgrading of manufacturing industry.
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Política Ambiental , Industria Manufacturera/legislación & jurisprudencia , Industria Manufacturera/métodos , China , Internacionalidad , Invenciones , Inversiones en Salud , Industria Manufacturera/economía , UrbanizaciónRESUMEN
This paper shifts the discussion of low-carbon technology from science to the economy, especially the reactions of a manufacturer to government regulations. One major concern in this paper is uncertainty about the effects of government regulation on the manufacturing industry. On the trust side, will manufacturers trust the government's commitment to strictly supervise carbon emission reduction? Will a manufacturer that is involved in traditional industry consciously follow a low-carbon policy? On the profit side, does equilibrium between a manufacturer and a government exist on deciding which strategy to undertake to meet a profit maximization objective under carbon emission reduction? To identify the best solutions to these problems, this paper estimates the economic benefits of manufacturers associated with policy regulations in a low-carbon technology market. The problem of an interest conflict between the government and the manufacturer is formalized as a game theoretic model, and a mixed strategy Nash equilibrium is derived and analyzed. The experiment results indicate that when the punishment levied on the manufacturer or the loss to the government is sizable, the manufacturer will be prone to developing innovative technology and the government will be unlikely to supervise the manufacturer.
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Carbono , Contaminación Ambiental/legislación & jurisprudencia , Regulación Gubernamental , Industria Manufacturera/legislación & jurisprudencia , China , Toma de Decisiones , TecnologíaRESUMEN
RATIONALE AND OBJECTIVES: The characterization of payments made to physicians by pharmaceutical companies, device manufacturers, and group purchasing organizations is crucial for assessing potential conflicts of interest and their impact on practice patterns. This study examines the compensation received by general radiologists (GR) in the United States, as well as radiologists in the following five subspecialties: body imaging, neuroradiology, pediatric radiology, nuclear radiology and radiological physics, and vascular and interventional radiology. MATERIALS AND METHODS: Data were extracted from the Open Payments database for radiology subspecialists in the United States who received installments in calendar year 2015 from pharmaceutical and device manufacturing companies. RESULTS: In 2015, a total of $43,685,052 was paid in 65,507 payments (mean $667/payment; median $32/payment) to radiologists, including 9826 GR, 362 body imaging radiologists, 479 neuroradiologists, 127 pediatric radiologists, 175 physicians in nuclear radiology and radiological physics, and 1584 vascular and interventional radiologists. Payments were unequally distributed across these six major subspecialties of radiology (p < 0.01), with GR receiving the largest number of total payments (44,695), and neuroradiologists receiving significantly higher median payments than any other subspecialty ($80 vs $32 for all radiologists; p < 0.01). Medtronic Neurovascular was the single largest payer to all radiologists combined. CONCLUSION: Commercial entities make substantial payments to radiologists, with a significant variation in payments made to the different radiology subspecialties. While the largest number of total payments was made to GGR, the highest median payments were made to neuroradiologists, and significant dispersion in these payments was seen across different geographic regions. The impact of these payments on practice patterns remains to be elucidated.
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Industria Farmacéutica/economía , Industria Manufacturera/economía , Radiología/economía , Bases de Datos Factuales , Industria Farmacéutica/legislación & jurisprudencia , Equipos y Suministros , Humanos , Industria Manufacturera/legislación & jurisprudencia , Medicina Nuclear/economía , Medicina Nuclear/estadística & datos numéricos , Radiología/estadística & datos numéricos , Radiología Intervencionista/economía , Radiología Intervencionista/estadística & datos numéricos , Remuneración , Estados UnidosRESUMEN
BACKGROUND AND OBJECTIVES: Over the last decades, medicinal regulations have been put into place and have considerably improved manufacturing practices. Nevertheless, safety issues may still arise. Using the simulation described in this manuscript, our aim is to develop adequate detection methods for manufacturing-related safety signals, especially in the context of biological products. METHODS: Pharmaceutical companies record the entire batch genealogies, from seed batches over intermediates to final product (FP) batches. We constructed a hierarchical tree based on this genealogy information and linked it to the spontaneous safety data available for the FP batch numbers. The tree-based scan statistic (TBSS) was used on simulated data as a proof of concept to locate the source that may have subsequently generated an excess of specific adverse events (AEs) within the manufacturing steps, and to evaluate the method's adjustment for multiple testing. All calculations were performed with a customized program in SAS v9.2. RESULTS: The TBSS generated a close to expected number of false positive signals, demonstrating that it adjusted for multiple testing. Overall, the method detected 71% of the simulated signals at the correct production step when a 6-fold increase in reports with AEs of interest (AEOI) was applied, and 31% when a 2-fold increase was applied. The relatively low detection performance may be attributed to the higher granularity associated with the lower levels of the hierarchy, leading to a lack of power and the stringent definition criteria that were applied for a true positive result. CONCLUSION: As a data-mining method for manufacturing-related safety signal detection, the TBSS may provide advantages over other disproportionality analyses (using batch information) but may benefit from complementary methods (not relaying on batch information). While the method warrants further refinement, it may improve safety signal detection and contribute to improvements in the quality of manufacturing processes.
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Minería de Datos/métodos , Vigilancia de Productos Comercializados/métodos , Vacunas/efectos adversos , Vacunas/normas , Industria Manufacturera/legislación & jurisprudencia , Método de Montecarlo , Seguridad del Paciente , Programas InformáticosRESUMEN
Exponential increase of used and scrapped products has aroused worldwide attention, with various coping strategies regarding environmental protection and resource reutilization being considered and implemented. Among these, remanufacturing, processing used products environmentally and restoring them to like-new conditions, is preferred by nations around the world. China has been committed to developing and advancing the remanufacturing industry along with its products since 2013, however only a few residents are able to recognize and purchase remanufactured products at the present time. This paper aims to investigate the public awareness of Chinese residents on these emerging products by conducting a questionnaire survey and field research for data collection, and analyzing the results statistically. Results show that most Chinese residents are not familiar with remanufactured products, the superior attributes of such products, or the channels available to purchase them. This could be explained by insufficient publicity and promotion on the part of the government and business enterprises. Factors influencing the purchase intentions of customers are illuminated and potential problems are summarized, in response to which, respective recommendations are provided for both policy makers and firms to popularize remanufactured products.