ABSTRACT
PurposeSustainable supply chain management (SSCM) ensures integration of socially, environmentally and economically feasible practices in entire supply chain. SSCM principles can be implemented to improve efficiency and productivity of a system by different attributes of the system. The purpose of this article is to identify the most appropriate existing (SSCM) framework that can be implemented suitably in Indian smart manufacturing industries.Design/methodology/approachValidity and reliability analysis on the existing SSCM frameworks was carried out with the help of empirical data collected using questionnaire survey methodology from various Indian smart manufacturing organizations. The empirical data were gathered from various experts from top- and middle-level management in different smart manufacturing organizations across the country. Further, factor analysis was carried on the collected data to estimate the unidimensionality of each SSCM frameworks. Cronbach's alpha value was used to assess reliability of each framework. Subsequently, the frequency distribution analysis was done to obtain familiar elements in the segregated frameworks based on validity and reliability analysis.FindingsThe work observed that only five SSCM frameworks have shown unidimensionality in terms of the elements or constructs. The work further found that these segregated frameworks have not shown sufficiently high level of reliability. Additionally, this work attempted frequency distribution analysis and observed that there were very few elements which were being repeatedly used in numerous frameworks proposed by researchers. Based on the findings of this work, the work concluded that there is acute need of a new SSCM framework for Indian smart manufacturing industries.Research limitations/implicationsThis study gathered empirical data from 388 Indian smart manufacturing organizations. Thus, before generalizing the findings of the study across the sectors, there is a possibility of some more explication.Originality/valueThe main purpose of this article is to explore the feasibility of the existing SSCM frameworks in Indian smart manufacturing sector. The study also assumes that the manufacturing managers and executives may have the complete understanding on the existing sustainable manufacturing frameworks and a chance to executing proper suitable framework in the respective manufacturing organization.
ABSTRACT
Presentation of cervico-thoracic extradural hematoma in pediatric age is rare with stroke-like features. Its association with COVID-19 in the active stage of the disease had not been reported and its management presents a management dilemma as COVID-19 with stroke-like features. A 14-year-old boy was referred to our institute with complaints of sudden-onset upper and middle back pain, associated with loss of sensation below the middle of the back, sudden progressive weakness of both lower limbs (power 0/5) and upper limbs (power grade-2/5), and incontinence of urine, following bouts of vomiting 12 days back. There was no history of trauma, bleeding diathesis, etc. Blood investigation was suggestive of leukocytosis, and RT-PCR test for COVID-19 was positive with raised D-dimer, serum ferritin, and C-reactive protein. MRI spine was suggestive of cervicothoracic extradural hematoma extending from C5-D3 level and compressing the spinal cord. The patient refused surgical decompression and was managed conservatively, following which he improved with power grade in limbs to 4/5. Surgical decompression is the treatment of choice but the patient can sometimes improve on medical management. Association of COVID-19 with spontaneous cervicothoracic extradural hematoma had not been reported earlier in the active stage, but its role in inducing vasculopathy and increased chances of bleeding at the uncommon site had been reported in the literature, and it may precipitate such cervical epidural hematoma.