OECD

OECD
  • 文章类型: Journal Article
    目的:纯化的花青素缺乏详细的安全性,提示需要进行全面的口服毒性研究。材料和方法:8周龄的Sprague-Dawley大鼠在急性毒性中口服300mg/kg矢车菊素14天(OECD423)。在亚急性研究(OECD407)中,成年SD大鼠分别口服7.5、15和30mg/kg/天的花青素,持续28天。结果:急性毒性表明LD50超过300mg/kg/天,无不良反应。7.5-30mg/kg/天的亚急性毒性在两种性别中均显示出良好的耐受性反应。器官重量没有显著变化,血液学参数,观察到肝/肾功能或不良组织病理学结果。结论:大鼠口服矢车菊苷具有较高的安全性和耐受性,建立30毫克/千克/天的NOAEL,肯定花青素口服使用的安全性。
    花青素,水果和蔬菜中的天然色素,缺乏详细的安全档案。这项研究调查了花青素的口服毒性,一种常见的花青素。在大鼠中的急性毒性试验显示,在高达300mg/kg的剂量下没有副作用。在亚急性研究中,在28天内7.5-30mg/kg/天的剂量耐受性良好,对器官功能或组织病理学无明显负面影响。研究结果表明,花青素在大鼠中口服使用是安全的,没有观察到的不良反应水平(NOAEL)建立在30mg/kg/天。
    大鼠研究揭示了花青素,一种常见的花青素,在剂量高达300mg/kg/天的情况下显示出高口服安全性,为更安全的膳食补充剂使用铺平了道路。#毒理学#SafetyResearch。
    Aim: Purified anthocyanins lack a detailed safety profile, prompting the need for comprehensive oral toxicity research. Materials & methods: Sprague-Dawley rats aged 8 weeks received 300 mg/kg cyanidin orally for 14 days in acute toxicity (OECD 423). In the subacute study (OECD 407), adult SD rats were administered 7.5, 15 and 30 mg/kg/day cyanidin orally for 28 days. Results: Acute toxicity indicated an LD50 exceeding 300 mg/kg/day without adverse effects. Subacute toxicity at 7.5-30 mg/kg/day showed well-tolerated responses in both genders. No significant alterations in organ weights, hematological parameters, liver/kidney functions or adverse histopathological findings were observed. Conclusion: Oral cyanidin administration demonstrated high safety and tolerance in rats, establishing a NOAEL at 30 mg/kg/day, affirming cyanidin\'s safety for oral use.
    Anthocyanins, natural pigments found in fruits and vegetables, lack a detailed safety profile. This study investigated the oral toxicity of cyanidin, a common anthocyanin. Acute toxicity testing in rats showed no adverse effects at doses up to 300 mg/kg. In the subacute study, doses of 7.5–30 mg/kg/day over 28 days were well tolerated, with no significant negative effects on organ function or histopathology. The findings suggest that cyanidin is safe for oral use in rats, with a No Observed Adverse Effect Level (NOAEL) established at 30 mg/kg/day.
    Rat studies reveal cyanidin, a common anthocyanin, shows high oral safety at doses up to 300 mg/kg/day, paving the way for safer dietary supplement use. #Toxicology #SafetyResearch.
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  • 文章类型: Journal Article
    由于临床担心有限的医疗保健资源分配会影响医生的研究生产率,本研究考察了经济合作与发展组织(OECD)国家眼科研究的文献计量指标与国家经济指标之间的关系.
    在1996年至2019年间,搜索了《ScimagoJournalandCountry》排名来源,以获取经合组织国家在眼科方面的研究生产率数据。文献计量指标包括:文献编号,可引用文档的数量和百分比,引用号,每个文档的引用次数,和H指数。每个国家的最新经济指标(人均国内生产总值[国内生产总值],卫生支出占GDP的百分比(卫生支出),用于研究的国内总支出,和发展占GDP[GERD]的百分比)是从世界银行和经合组织网站上收集的。进行了经济和文献计量指标与多元线性回归分析之间的相关性。
    在分析的267,444个文档中,相关分析发现卫生支出与H指数之间有很强的相关性(r=0.711,p<0.001);卫生支出与文献数量之间有中等的相关性(r=0.589,p<0.001),引用文献数(r=0.593,p<0.001)和引用文献数(r=0.673,p<0.001);GERD与H指数呈中等相关性(r=0.564,p<0.001)。控制经济因素的多元回归分析,人口和语言显示了这些参数与文献计量指数的独立关联。
    这项研究表明,眼科研究的文献计量指标与经济因素之间存在正相关关系,特别是卫生支出,在OECD国家中。我们的结果表明,国内卫生投资有利于扩大眼科领域的学术生产力。
    UNASSIGNED: Prompted by the clinical concern that limited healthcare resources allocation affects physicians\' research productivity, this study examines the association between bibliometric indices of ophthalmologic research and national economic indicators in Organisation for Economic Co-operation and Development (OECD) countries.
    UNASSIGNED: The Scimago Journal and Country rank source was searched for research productivity data in ophthalmology among OECD countries between 1996 and 2019. Bibliometric indices included: documents number, number and percent of citable documents, citations number, citations per document, and H-index. The updated economic indicators of each country (gross domestic product [GDP] per capita, health spending as percent of GDP (health expenditure), gross domestic expenditure on research, and development as percent of GDP [GERD]) were collected from the World Bank and the OECD websites. Correlation between economic and bibliometric metrics and multivariate linear regression analyses were performed.
    UNASSIGNED: Among 267,444 documents analyzed, correlation analysis found a strong correlation between health expenditure and H index (r = 0.711, p < 0.001); a moderate correlation between health expenditure and documents number (r = 0.589, p < 0.001), number of citable document (r = 0.593, p < 0.001) and citations number (r = 0.673, p < 0.001); and a moderate correlation between GERD and H index (r = 0.564, p < 0.001). Multivariate regression analysis controlling for economic factors, population and language showed the independent association of these parameters with bibliometric indices.
    UNASSIGNED: This study demonstrates a positive correlation between bibliometric indicators of ophthalmology research and economic factors, particularly health expenditure, among the OECD countries. Our results suggest an advantage of domestic investment in health to expand academic productivity in the field of ophthalmology.
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  • 文章类型: Journal Article
    我们已经开发了一种定量的安全预测模型,用于亚慢性重复剂量的不同有机化学物质对大鼠使用新的定量阅读结构-活性关系(q-RASAR)方法,它使用基于相似性的描述符来生成预测模型。实验-Log(NOAEL)值在这里已被用作大鼠口服亚慢性安全性的潜在指标,因为它确定了未发现观察到的化学品不良反应的最大剂量水平。使用结构和物理化学(0D-2D)描述符,总共使用了186个不同有机化学物质的数据点用于模型生成。跨读派生的相似性,错误,并从初步的0D-2D描述符中提取了一致性度量(RASAR描述符)。然后,通过使用偏最小二乘(PLS)算法,采用RASAR组合池和训练集确定的0D-2D描述符来开发最终模型.根据经济合作与发展组织(OECD)的建议,开发的PLS模型已通过各种内部和外部验证指标进行了严格验证。最终的q-RASAR模型被证明是统计上合理的,稳健和外部预测性(R2=0.85,Q2LOO=0.82和Q2F1=0.94)取代了相应的定量结构-活性关系(QSAR)模型以及先前报道的亚慢性重复剂量毒性模型的内部和外部预测性。简而言之,q-RASAR是一种有效的方法,有可能作为一种很好的替代方法来提高外部预测性,可解释性,亚慢性口服安全性预测和生态毒性风险识别的可转移性。
    We have developed a quantitative safety prediction model for subchronic repeated doses of diverse organic chemicals on rats using the novel quantitative read-across structure-activity relationship (q-RASAR) approach, which uses similarity-based descriptors for predictive model generation. The experimental -Log (NOAEL) values have been used here as a potential indicator of oral subchronic safety on rats as it determines the maximum dose level for which no observed adverse effects of chemicals are found. A total of 186 data points of diverse organic chemicals have been used for the model generation using structural and physicochemical (0D-2D) descriptors. The read-across-derived similarity, error, and concordance measures (RASAR descriptors) have been extracted from the preliminary 0D-2D descriptors. Then, the combined pool of RASAR and the identified 0D-2D descriptors of the training set were employed to develop the final models by using the partial least squares (PLS) algorithm. The developed PLS model was rigorously validated by various internal and external validation metrics as suggested by the Organization for Economic Co-operation and Development (OECD). The final q-RASAR model is proven to be statistically sound, robust and externally predictive (R2 = 0.85, Q2LOO = 0.82 and Q2F1 = 0.94), superseding the internal as well as external predictivity of the corresponding quantitative structure-activity relationship (QSAR) model as well as previously reported subchronic repeated dose toxicity model found in the literature. In a nutshell, the q-RASAR is an effective approach that has the potential to be used as a good alternative way to improve external predictivity, interpretability, and transferability for subchronic oral safety prediction as well as ecotoxicity risk identification.
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  • 文章类型: Journal Article
    本文重点研究了1990年至2021年期间,在经合组织成员国的背景下,人均环境技术发展对负载能力因子(LCF)的影响。为了调查这些关系,我们采用AMG估计器和FM-LS估计器。此外,我们探讨了这些国家的负荷能力曲线的有效性,并估计了人均收入与环境可持续性关系的拐点。我们的发现使我们得出结论,环境技术对环境可持续性没有重大影响。此外,我们观察到对环境技术发展的负面影响,这可以归因于与实施相关的负外部性和缺乏社会采纳。此外,我们的估计显示,人均GDP的拐点为45,251.90美元,在此基础上,研究国家的可持续性状况得到了改善。
    This paper focuses on examining the effects of per capita environmental technology development on the load capacity factor (LCF) within the context of OECD member countries during the period spanning 1990 to 2021. To investigate these relationships, we employ the AMG estimator and FM-LS estimator. Additionally, we explore the validity of the load capacity curve for these countries and estimate the inflection points in the income per capita-environmental sustainability relationship. Our findings lead us to the conclusion that there is no significant impact of environmental technologies on environmental sustainability. Furthermore, we observe a negative influence on the development of environmental technologies, which can be attributed to the negative externalities associated with their implementation and the lack of societal adoption. Moreover, our estimations reveal an inflection point at $45,251.90 in terms of GDP per capita, beyond which the sustainability condition of the studied countries improves.
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  • 文章类型: Journal Article
    在一个以全球化和快速技术进步为标志的时代,农业食品行业面临着前所未有的挑战和机遇。其中,数字可追溯系统已经成为提高运营效率的关键,确保食品安全,并促进整个供应链的透明度。本研究对数字可追溯性采用及其对经济合作与发展组织(OECD)成员国的影响进行了比较分析。通过利用多维分析框架,这项研究调查了国家法规,法律框架,以及受数字可追溯性实施影响的关键食品。它系统地评估了这些系统在满足消费者透明度期望方面的有效性,法规遵从性,以及可持续农业食品供应链的总体目标。通过案例研究和经验证据,本文阐明了技术创新和监管环境之间复杂的相互作用,提供最佳实践和潜在整合障碍的见解。最终,这项全面的调查有助于学术上关于数字可追溯性的讨论,为政策制定者提供可操作的建议,行业利益相关者,和学术界来驾驭现代农业食品系统的复杂性。
    In an era marked by globalization and rapid technological advancements, the agri-food sector confronts both unprecedented challenges and opportunities. Among these, digital traceability systems have emerged as pivotal in enhancing operational efficiencies, ensuring food safety, and promoting transparency throughout the supply chain. This study presents a comparative analysis of digital traceability adoption and its impact across member countries of the Organization for Economic Co-operation and Development (OECD). By utilizing a multidimensional analytical framework, this study investigates national regulations, legal frameworks, and key food commodities affected by digital traceability implementations. It systematically assesses the efficacy of these systems in meeting consumer transparency expectations, regulatory compliance, and the overarching goal of sustainable agri-food supply chains. Through case studies and empirical evidence, the paper elucidates the complex interplay between technological innovation and regulatory environments, offering insights into best practices and potential integration barriers. Ultimately, this comprehensive investigation contributes to the scholarly discourse on digital traceability, providing actionable recommendations for policymakers, industry stakeholders, and academia to navigate the complexities of modern agri-food systems.
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  • 文章类型: Journal Article
    在经济协调和发展组织(经合组织)最近关于综合护理预防和管理慢性病的最佳做法的报告中,已列出了有关鼻炎和哮喘的应用程序(MASK-air®)。经合组织是政府大量使用的基于证据的政策分析和经济数据的可靠来源。它已经发表了一些关于公共卫生的BP。2023年5月10日,经合组织发布了13个欧盟关于整合护理以预防和管理慢性病的BPs。该报告并未涵盖所有综合护理模式,更确切地说,它的重点是(D)对决策者具有关键战略利益的那些。\“新的MASK-air®研究(未在报告中公布)包括股权,应用程序在老年人中的可用性,经济影响,生活质量和过敏原免疫疗法。MASK-air®在30个国家的iOS和Android上免费提供,最近在美国推出。MASK-air®OECDBP代表了一种数字化模式,使用共同决策的整体方法,以患者为中心的慢性病护理。
    In the recent report of the Organisation for Economic Co-operation and Development (OECD) on Best Practices (BPs) for Integrating Care to Prevent and Manage Chronic Diseases, an app on rhinitis and asthma (MASK-air [Mobile Airways Sentinel networK for airway diseases]) has been listed. The OECD is a reliable source of evidence-based policy analysis and economic data largely used by governments. It has published several BPs on public health. On May 10, 2023, the OECD published 13 BPs for Integrating Care to Prevent and Manage Chronic Diseases in the European Union. The report did not cover all models of integrated care; rather, it \"focuse(d) on those that are of key strategic interest to policy makers.\" New MASK-air studies (not published in the report) include equity, usability of the app in old-age adults, economic impact, quality of life, and allergen immunotherapy. MASK-air is freely available on iOS and Android in 30 countries and has been recently introduced in the United States. The MASK-air OECD BP represents a model of digitally enabled, patient-centered care for chronic diseases using a holistic approach of shared decision making.
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  • 文章类型: Journal Article
    当前的经济合作与发展组织第487号测试指南(OECDTGNo.487)提供了如何进行体外微核试验的指导。该测定法是测量测试项目致突变性的金标准方法之一;然而,它旨在测试低分子量分子,并且可能不适用于颗粒材料(例如工程纳米颗粒[ENPs])。这项研究旨在适应ENP测试的体外微核试验,并支持OECD指导文件的开发。一个和谐的,纳米特异性方案由两个独立的实验室生成和评估.使用的细胞系是人淋巴母细胞(TK6)细胞,人肝细胞(HepG2)细胞,中国仓鼠肺成纤维细胞(V79)细胞,全血,和健康人类志愿者的血沉棕黄层细胞。这些细胞暴露于来自联合研究委员会(JRC)的参考ENPs:SiO2(RLS-0102),Au5nm和Au30nm(RLS-03,RLS-010),CeO2(NM212),和BaSO4(NM220)。碳化钨-钴(WC/Co)用作试验颗粒阳性对照。所有细胞培养物中的化学对照均为阳性,但WC/Co仅在TK6和血沉棕黄层细胞中呈阳性。在TK6细胞中,观察到SiO2-和两种Au类型的致突变性。在HepG2细胞中,Au5nm和SiO2显示微核的亚两倍增加。在V79细胞中,全血,还有血沉棕黄层细胞,试验材料未检测到遗传毒性。数据证实ENPs可以用协调协议进行测试,此外,在使用V79细胞的两个实验室中观察到了一致的数据.当使用TK6和血沉棕黄层细胞时,WC/Co可能是体外微核试验中合适的微粒阳性对照。因此,提供了详细的建议,以适应经合组织TGNo.487用于测试ENP。
    The current Organisation for Economic Co-Operation and Development test guideline number 487 (OECD TG No. 487) provides instruction on how to conduct the in vitro micronucleus assay. This assay is one of the gold standard approaches for measuring the mutagenicity of test items; however, it is directed at testing low molecular weight molecules and may not be appropriate for particulate materials (e.g. engineered nanoparticles [ENPs]). This study aimed to adapt the in vitro micronucleus assay for ENP testing and underpins the development of an OECD guidance document. A harmonized, nano-specific protocol was generated and evaluated by two independent laboratories. Cell lines utilized were human lymphoblastoid (TK6) cells, human liver hepatocytes (HepG2) cells, Chinese hamster lung fibroblast (V79) cells, whole blood, and buffy coat cells from healthy human volunteers. These cells were exposed to reference ENPs from the Joint Research Council (JRC): SiO2 (RLS-0102), Au5nm and Au30nm (RLS-03, RLS-010), CeO2 (NM212), and BaSO4 (NM220). Tungsten carbide-cobalt (WC/Co) was used as a trial particulate positive control. The chemical controls were positive in all cell cultures, but WC/Co was only positive in TK6 and buffy coat cells. In TK6 cells, mutagenicity was observed for SiO2- and both Au types. In HepG2 cells, Au5nm and SiO2 showed sub-two-fold increases in micronuclei. In V79 cells, whole blood, and buffy coat cells, no genotoxicity was detected with the test materials. The data confirmed that ENPs could be tested with the harmonized protocol, additionally, concordant data were observed across the two laboratories with V79 cells. WC/Co may be a suitable particulate positive control in the in vitro micronucleus assay when using TK6 and buffy coat cells. Detailed recommendations are therefore provided to adapt OECD TG No. 487 for testing ENP.
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  • 文章类型: Journal Article
    这项范围审查是建立德国心理健康监测系统的又一步。它总结和分析了经济合作与发展组织(OECD)国家用于0-18岁儿童和青少年公共心理健康监测的指标。
    我们搜索了PubMed-MEDLINE,PsycINFO,Cochrane数据库,和谷歌学者从2000年到2022年9月。搜索使用了五个一般关键词类别:1)人口层面的"指标/监测/监视",2)“心理/心理,\“3)\”健康/疾病,\"4)\"儿童和青少年,\“和5)38个经合组织国家。搜索得到了广泛的灰色文献检索的补充,包括经合组织公共卫生机构和使用谷歌的互联网搜索。应用一组预定义的纳入和排除标准。
    筛选了超过15,500篇文章和文献(科学搜索N=10,539,灰色文献检索超过5,000)。700多篇文章和文献全文评估,最终包括382。在提取的7477个指标中,最初的6,426个指标符合我们的指标纳入标准。合并重复和类似内容后,这个初始集合被分为19个主题,最终形成了210个不同的指标。该分析强调了自2008年以来对该主题的兴趣日益增加,但针对年轻人的指标,特别是那些0到2岁的人,不太容易获得。
    我们的研究提供了对儿童和青少年心理健康指标现状的全面了解,确定(1)在以前的成人范围审查中提到的公共心理健康指标,以及(2)该年龄组特有的新指标。这些发现有助于为儿童和青少年制定有效的公共卫生监测策略,并为该领域的未来研究提供信息。
    This scoping review is a further step to build up the Mental Health Surveillance System for Germany. It summarizes and analyzes indicators used or described in Organization for Economic Co-operation and Development (OECD) countries for public mental health monitoring in children and adolescents aged 0-18 years.
    We searched PubMed-MEDLINE, PsycINFO, Cochrane Databases, and Google Scholar from 2000 to September 2022. The search used five general keyword categories: 1) \"indicators/monitoring/surveillance\" at the population level, 2) \"mental/psychological,\" 3) \"health/disorders,\" 4) \"children and adolescents,\" and 5) 38 OECD countries. The search was complemented with an extensive grey literature search, including OECD public health institutions and an internet search using Google. A predefined set of inclusion and exclusion criteria was applied.
    Over 15,500 articles and documents were screened (scientific search N = 10,539, grey literature search more than 5,000). More than 700 articles and documents have been full-text assessed, with 382 being ultimately included. Out of 7,477 indicators extracted, an initial set of 6,426 indicators met our inclusion criteria for indicators. After consolidating duplicates and similar content, this initial set was categorized into 19 topics, resulting in a final set of 210 different indicators. The analysis highlighted an increasing interest in the topic since 2008, but indicators for the younger age, particularly those aged 0 to 2 years, were less readily available.
    Our research provides a comprehensive understanding of the current state of mental health indicators for children and adolescents, identifying both (1) indicators of public mental health noted in a previous scoping review on adults and (2) new indicators specific to this age group. These findings contribute to the development of effective public health surveillance strategies for children and adolescents and inform future research in this field.
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  • 文章类型: Journal Article
    虽然分组/跨读被广泛用于填补数据空白,由于仅基于结构相似性的类别理由薄弱,化学注册档案经常被拒绝。代谢组学通过源物质和靶物质共享分子效应的证据,提供了一条通往强大化学类别的途径。为了获得国际认可,这种方法必须证明高可靠性,需要最佳实践指导。用于化学分组(匹配)的MetAbolomics环试验,包括六个工业,政府和学术环审判合作伙伴,评估实验室间的可重复性,并致力于最佳实践。一个独立的小组选择了八种物质(WY-14643,4-氯-3-硝基苯胺,17α-甲基睾酮,群勃龙,苯胺,二氯丙-p,2-氯苯胺,非诺贝特);环试验合作伙伴对他们的身份和作用方式视而不见。血浆样本来自28天的大鼠试验(每种物质两种剂量),等分,分发给合作伙伴。每个合作伙伴都应用他们首选的液相色谱-质谱(LC-MS)代谢组学工作流程来获取,process,质量评估,统计分析并将其分组结果报告给欧洲化学品管理局,确保环试验的盲检条件。六个合伙人中的五个,其代谢组学数据集通过了质量控制,正确识别了将八种测试物质分为三类,对于雄性和雌性老鼠。引人注目的是,即使使用了一系列代谢组学方法,这也是实现的.通过评估研究内质量控制样本,第六个伙伴观察到技术差异很大,无法对这些物质进行分组。通过比较工作流,我们得出结论,代谢组学方法中的一些异质性对一致的分组并不有害,在分组之前评估数据质量是至关重要的。我们建议制定质量控制验收标准的国际指南。这项研究证明了代谢组学用于化学分组的可靠性,并致力于实现最佳实践。
    While grouping/read-across is widely used to fill data gaps, chemical registration dossiers are often rejected due to weak category justifications based on structural similarity only. Metabolomics provides a route to robust chemical categories via evidence of shared molecular effects across source and target substances. To gain international acceptance, this approach must demonstrate high reliability, and best-practice guidance is required. The MetAbolomics ring Trial for CHemical groupING (MATCHING), comprising six industrial, government and academic ring-trial partners, evaluated inter-laboratory reproducibility and worked towards best-practice. An independent team selected eight substances (WY-14643, 4-chloro-3-nitroaniline, 17α-methyl-testosterone, trenbolone, aniline, dichlorprop-p, 2-chloroaniline, fenofibrate); ring-trial partners were blinded to their identities and modes-of-action. Plasma samples were derived from 28-day rat tests (two doses per substance), aliquoted, and distributed to partners. Each partner applied their preferred liquid chromatography-mass spectrometry (LC-MS) metabolomics workflows to acquire, process, quality assess, statistically analyze and report their grouping results to the European Chemicals Agency, to ensure the blinding conditions of the ring trial. Five of six partners, whose metabolomics datasets passed quality control, correctly identified the grouping of eight test substances into three categories, for both male and female rats. Strikingly, this was achieved even though a range of metabolomics approaches were used. Through assessing intrastudy quality-control samples, the sixth partner observed high technical variation and was unable to group the substances. By comparing workflows, we conclude that some heterogeneity in metabolomics methods is not detrimental to consistent grouping, and that assessing data quality prior to grouping is essential. We recommend development of international guidance for quality-control acceptance criteria. This study demonstrates the reliability of metabolomics for chemical grouping and works towards best-practice.
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  • 文章类型: Journal Article
    寻找实现可持续发展的途径,本文采用截面ARDL(CS-ARDL)方法探索碳排放之间的相互作用,经济发展,和经合组织国家的医疗保健支出。首先,我们进行了横截面测试,以检查数据是否遇到了这个问题。其次,我们进行面板单位根检验和协整检验,以确认基于ARDL的方法是否适合我们的数据。第三,我们分析了结果并提供了可能的解释。最后,我们进行了短期因果关系检验,以检测不同变量之间的联系。我们研究的主要结论包括:1)医疗保健是经合组织国家的必需品。2)环境恶化给经合组织国家的医疗保健支出带来沉重负担。3)去年的医疗保健支出对医疗保健支出产生负面影响。4)二氧化碳、经济发展、以及经合组织国家青年对医疗保健支出的依赖率。根据我们对结果的分析,提出了相关的政策建议。
    To find a way to realize sustainable development, this paper applied a cross-sectional ARDL (CS-ARDL) method to explore the interaction between carbon emissions, economic development, and health care expenditure for OECD countries. Firstly, we conduct a cross-sectional test to check whether the data is confronted with this issue. Secondly, we conduct a panel unit root test and cointegration test to confirm whether the ARDL-based method is suitable for our data. Thirdly, we analyze the results and provide possible explanations. Lastly, we conduct a short-term causality test to detect the connection between different variables. The main conclusion of our study includes: 1) Health care is a necessity in OECD countries. 2) Environmental deterioration places a heavy burden on health care expenditure in OECD countries. 3) Health care expenditure of last year negatively affects health care expenditure. 4) There is a short-run causality relationship from CO2, economic development, and dependency rate of youth to health care expenditure in OECD countries. Related policy proposals are provided according to our analysis of the results.
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