Linking clean energy consumption, globalization, and financial development to the ecological footprint in a developing country: Insights from the novel dynamic ARDL simulation techniques.

Developing countries have been facing economic difficulties for over three and a half decades due to numerous factors, including fossil fuel consumption and dwindling biocapacity. It is necessary to pinpoint the factors that may be culpable for poor environmental quality leading to a rising ecological footprint (EFP). This study explores the effect of clean energy, financial development (FDV), and globalization on the EFP in a developing country using the novel dynamic ARDL simulation techniques and the bootstrap causality test. The findings suggest that green energy has no meaningful impact on the EFP. Globalization and FDV significantly reduce the EFP by 0.25% and 0.08%, respectively. Besides, the findings confirm the existence of the EKC hypothesis. Furthermore, the causality results affirm a unidirectional causality from globalization and FDV to EFP, while economic growth drives globalization. Also, a one-way causality flows from globalization to FDV, just as FDV Granger causes green energy. In line with the findings, the study recommends that public policies focus on funding environmental-friendly technologies and green innovations. The funding must be on recently developed energy-saving technologies that can ensure complementarity between increased economic growth and environmental deterioration.

Efficacy of Bilateral Erector Spinae Block in Patients Undergoing Posterior Spine Fusion Surgeries: A Comparative Randomised Controlled Trial.

Introduction During spine surgeries, various levels of tissue injury can result in varying hemodynamic responses and significant postoperative pain. Perioperative pain management is essential to controlling hemodynamic responses and postoperative pain management. Erector spinae plane (ESP) blocks can help alleviate this pain by blocking the dorsal rami of the spinal nerve. This study aims to evaluate the efficacy of ESP by assessing the perioperative opioid requirement, hemodynamic parameters, and visual analogue score (VAS) during the postoperative period. Methods In this study, 56 patients underwent elective posterior spine fusion surgeries under conventional anaesthesia and were allocated into two groups: 28 patients were included in the conventional group (Group C) and 28 patients in the ESP group (Group E). Group C patients received 20 ml of 0.9% sodium chloride (NaCl) on each side, and Group E patients received 20 ml of 0.25% bupivacaine + 4 mg dexamethasone on each side under ultrasound sonography guidance. Postoperative pain was assessed using the VAS score. The hemodynamic parameters during the intraoperative period, the time for the first opioid analgesia requirement until 24 hours in the postoperative period, and the amount of cumulative opioid consumption during the perioperative period were observed. Results Postoperative VAS was lower in Group E (P < 0.001). There were significant differences in hemodynamic parameters: heart rate (P < 0.045), systolic blood pressure (P < 0.002), diastolic blood pressure (P < 0.003), and mean arterial pressure (P < 0.002) at the time of incision in Group E. Intraoperative opioid requirements at the time of incision (P < 0.036), 60th minutes (P < 0.023), 120th minutes (P < 0.023), and postoperative opioid requirements at the first hour (P < 0.001), sixth hour (P < 0.004), 14th hour (P < 0.025), 20th hour (P < 0.009), and 24th hour (P < 0.025) had lower opioid requirements in Group E than Group C. Conclusion ESP block is a more site-specific dorsal rami block with a better perioperative hemodynamic profile, a part of multimodal analgesia intraoperatively, and excellent postoperative analgesia with fewer postoperative opioid requirements in multilevel spine fusion surgeries.

Impact of Economic Policy Uncertainty and Pandemic Uncertainty on International Tourism: What do We Learn From COVID-19?

Uncertainty is an overarching aspect of life that is particularly pertinent to the present COVID-19 pandemic crisis; as seen by the pandemic's rapid worldwide spread, the nature and level of uncertainty have possibly increased due to the possible disconnects across national borders. The entire economy, especially the tourism industry, has been dramatically impacted by COVID-19. In the current study, we explore the impact of economic policy uncertainty (EPU) and pandemic uncertainty (PU) on inbound international tourism by using data gathered from Italy, Spain, and the United States for the years 1995-2021. Using the Quantile on Quantile (QQ) approach, the study confirms that EPU and PU negatively affected inbound tourism in all states. Wavelet-based Granger causality further reveals bi-directional causality running from EPU to inbound tourism and unidirectional causality from PU to inbound tourism in the long run. The overall findings show that COVID-19 has had a strong negative effect on tourism. So resilient skills are required to restore a sustainable tourism industry.

Military spending, financial development, and ecological footprint in a developing country: insights from bootstrap causality and Maki cointegration.

Military spending is required for national sovereignty, but it comes at a cost. The ecological consequences of military activities remain insufficiently investigated, especially in developing countries, where military spending is on the rise due to terrorism and civil unrest created by different secessionists' groups. As such, this study has a maiden attempt to address this gap by exploring the effects of military spending on the ecological footprint (EF) using the bootstrap causality test and the Maki (2012) cointegration test under multiple structural breaks. The findings suggest that military spending increases the EF. Also, while energy consumption and economic growth degrade the environment, financial development enhances environmental wellbeing by reducing the ecological footprint. The causality results suggest a unidirectional causality from military spending to EF, while feedback causality exists between military spending and economic growth. The result of this study affirms the existence of destruction theory and also provides a better understanding of the links behind environmental degradation and is applicable for the design and implementation of environmental policies.

Quantile estimation of ecological footprint and economic complexity in emerging economies: The moderating role of increasing energy consumption.

There are increasing debates on the relationship between economic complexity and environmental degradation. This study deepens our understanding of this nexus in 11 emerging economies given the moderating role of energy consumption while controlling for economic development, trade openness and population growth. The findings from the quantile regression technique reveal that emerging economies are characteristic of low energy consumption, leading to insignificant contributions of economic complexity to environmental degradation across the spectrum as they also have very low-trade openness. Further results show the invalidity of the EKC between energy use (such as fossil fuels) and environmental degradation in emerging economies. Moreover, the Environmental Kuznets Curve (EKC) between economic development and environmental degradation is valid especially for those countries in the low and median quantiles (Egypt, Indonesia, and Vietnam). Also, the EKC hypothesis between population and environmental degradation is valid only for countries in the high and highest quantiles (Korea Republic, Turkey, Mexico and Iran). Finally, the results revealed that trade openness strictly reduces environmental degradation across the spectrum. Policy implications, limitations of the study and direction for future research are discussed.

An Uncommon Case of Brucellar Spondylodiscitis: A Case Report.

Introduction: Infective spondylodiscitis refers to simultaneous inflammation of vertebrae and disc and usually occurs through hematogenous spread. The most common presentation of brucellosis is febrile illness, but it can rarely present as spondylodiscitis. Rarely, human cases of brucellosis are diagnosed and treated clinically. We describe a case of previously healthy man in his early 70s who presented with symptoms suggestive of spinal tuberculosis, then diagnosed to have brucellarspondylodiscitis. Case Report: A 72-year-old farmer presented to our orthopedic department with a history of chronic lower back pain. Spinal tuberculosis was suspected at a medical facilitynear his residence, based on magnetic resonance imaging consistent with infective spondylodiscitis, and the patient was referred to our hospital for further management. Investigations revealed that the patient had an uncommon diagnosis of Brucellar spondylodiscitis for which he was managed accordingly. Conclusion: Brucellar spondylodiscitis may clinically mimic spinal tuberculosis; hence, it must be considered as a differential diagnosis in a patient presenting with the lower back pain (particularly in the elderly) and signs of a chronic infection. Screening serological testing is vital in early identification and management of spinal brucellosis.

Mitigating energy production-based carbon dioxide emissions in Argentina: the roles of renewable energy and economic globalization.

The energy sector of Argentina is predominantly reliant on fossil fuels. Consequently, such fossil fuel dependency within the nation's power sector, in particular, has aggravated the environmental quality in Argentina by amplifying the nation's energy production-based carbon emission levels. However, keeping into consideration the international commitments pledged by Argentina under the Paris Accord and the Sustainable Development Goals agenda, it is pertinent for this South American country to curb its energy production-based emission of greenhouse gases, especially carbon dioxide. Against this milieu, this study examines the impacts of renewable electricity generation, economic globalization, economic growth, and urbanization on carbon dioxide emissions generated from the production of electricity and heat in the context of Argentina. Using annual frequency data from 1971 to 2016, recent econometric methods are applied to control for multiple structural breaks in the data. The major findings from the ecnometric analyses affirmed long-run associations between renewable electricity generation, economic globalization, economic growth, urbanization, and energy production-based carbon dioxide emissions in Argentina. Besides, enhancing renewable electricity output shares is found to curb these emissions while economic globalization and urbanization are witnessed to boost them. Moreover, renewable electricity generation and economic globalization are found to jointly reduce the energy production-related carbon dioxide emissions in Argentina. The results also validate the authenticity of the Environmental Kuznets Curve (EKC) hypothesis. Finally, the causality analysis reveals evidence of unidirectional causalities running from renewable electricity generation, economic globalization, economic growth, and urbanization to energy production-related carbon dioxide emissions in Argentina. In line with these findings, this study recommends several viable policies which can be implemented to help Argentina control the growth of its energy production-based carbon dioxide emissions.

The relationship between external debt and ecological footprint in SANE countries: insights from Kónya panel causality approach.

There are many studies on the relationship between energy consumption and various environmental indicators in Africa, and SANE countries in particular. However, there is a dearth of studies that relate external debt to CO2 emissions, and even the ecological footprint, which is a more comprehensive environmental indicator. As such, this paper applies advanced estimation techniques to explore the role of external debt in the famous energy-growth-environmental nexus in SANE countries from 1970 to 2018. The findings from the Augmented Mean Group estimator indicate that economic growth and energy consumption increase environmental pressure in the SANE countries. On country-level results, the environmental Kuznets curve (EKC) hypothesis, monotonic increase, and monotonic decrease for ecological footprint holds in South Africa, Algeria, and Nigeria, respectively. Also, the results reveal that external debt increases the ecological footprint in South Africa and Algeria. Furthermore, the Kónya (2006) bootstrap country-level Granger causality test shows that ecological footprint is sensitive to economic growth and energy consumption in South Africa and Nigeria, while economic growth is sensitive to the ecological footprint in both Algeria and Nigeria. This study argues that stringent policy suggestions should be centred on reducing the overdependence on non-renewable energy sources since it underscores the major deteriorating state of environmental quality across SANE countries.

Revisiting the EKC hypothesis by assessing the complementarities between fiscal, monetary, and environmental development policies in China.

Recently, China has declared its national objective of becoming carbon neutral by 2060. Hence, mitigating carbon dioxide emissions has become an important agenda of the Chinese government. Against this backdrop, this paper aims to evaluate the effectiveness of pursuing expansionary fiscal and monetary policies on China's carbon dioxide emission figures by using annual frequency data from 1980 to 2018. Accordingly, this study considers the levels of government expenditure and broad money supply as fiscal and monetary policy instruments, respectively. Besides accounting for structural break concerns in the data, the findings from the empirical analysis reveal that there are long-run associations between carbon dioxide emissions, economic growth, and fiscal and monetary expansion in China. Moreover, the results also show that in both the short- and long-run expansionary fiscal policy trigger higher carbon dioxide emissions while expansionary monetary policy inhibits the carbon dioxide emission figures of China. Furthermore, the results invalidate the existence of the Environmental Kuznets Curve hypothesis since the relationship between China's economic growth and carbon dioxide emissions is evidenced to portray an N-shape. In line with these findings, it is recommended that China achieve environmentally sustainable economic growth by aligning the national fiscal and monetary policies with the 2060 carbon-neutrality objective.

Linking external debt and renewable energy to environmental sustainability in heavily indebted poor countries: new insights from advanced panel estimators.

There are numerous studies on the linkage between renewable energy and environmental sustainability. These studies have tried to show how renewable energy is relevant in curbing the environmental difficulties associated with climate change. However, the role of external debt is seldom considered in the nexus. As such, this study applies advanced estimation techniques compatible with two core panel data issues (cross-sectional dependence and heterogeneity) to investigate the role of external debt in the growth-energy-emissions relationship in thirty-three heavily indebted poor countries (HIPC) from 1990 to 2015. The findings of the study reveal that economic growth increases emissions thereby degrading the environment, while renewable energy ensures environmental sustainability by abating CO2 emissions. Further findings from the study suggest that external debt increases CO2 emissions in HIPC across the three estimators. The country-wise results reveal that economic growth deteriorates the environment in all the countries except in Burkina Faso, Congo, Mali, Mauritania, Nicaragua, and The Gambia. Also, the result reveals a bidirectional causal relationship between external debt and economic growth, CO2 emissions and economic growth, external debt and CO2 emissions, and renewable energy and economic growth. This study argues that the consumption of clean energy sources and strong institutional quality could help mitigate the trade-offs between economic growth and environmental quality and also curtail the negative effects of external debt on the environment. The limitations of the study and directions for future research are discussed.

Economic complexity versus ecological footprint in the era of globalization: evidence from ASEAN countries.

The Association of Southeast Asian Nations (ASEAN) countries have witnessed significant growth over the years amidst increase energy consumption, dwindling biocapacity, and increasing ecological footprint (EF). However, while the influence of energy consumption, globalization, and economic growth on EF has been previously examined, the literature is silent as regards the association between the level of skills and knowledge needed in the creation of exported goods and the EF, particularly in the ASEAN region. The current study is a maiden attempt to explore the impact of economic complexity on EF and CO2 emissions in the said region while considering heterogeneity and cross-sectional dependence among countries. From the findings, economic complexity, energy consumption, and economic growth increase EF and CO2 emissions. Globalization reduces the EF, but its impact on CO2 emissions remains unclear. Economic complexity has a more devastating impact in Indonesia, but less severe in Singapore. The direction of causality flows from economic growth, economic complexity, and energy consumption to EF. A feedback causality exists between globalization and EF, and between energy consumption, globalization, and CO2 emissions. The limitations of the study and directions for future research have been highlighted along with relevant policy directions.

Environmental pollution and energy research and development: an Environmental Kuznets Curve model through quantile simulation approach.

Energy research and development (R&D) and environmental sustainability is often referred to as two interrelated trends, especially in the current context of the 4th industrial revolution. As a primary input of energy innovations, R&D in the energy sector constitutes a vital tool in addressing global environmental and energy challenges. In this frame, we observe the effects of disaggregated energy R&D on environmental pollution within the Environmental Kuznets Curve (EKC) framework in thirteen developed countries over the period 2003-2018. By employing the panel quantile regression technique, we find an inverted U-shaped nexus between economic growth and carbon emissions only in higher carbon-emitting countries, thus, confirming the EKC hypothesis. However, the U-shaped nexus is more predominant in lower carbon-emitting countries. As such, we demonstrate that there is not any single dynamic in the relationship between economic growth and pollution as reported in previous studies. Contrary to expectations, we find that energy efficiency research and development is more effective in curbing carbon emissions compared to fossil fuels and renewable energy research and development. The empirical results indicate also that only energy efficiency R&D mitigates significantly the CO2 emissions from the 50th quantile up to 90th quantile, although the magnitude of the negative sign is more pronounced (in absolute term) at the highest quantile (90th). In this light, our findings would guide policymakers in the establishment of sustainable energy research and development schemes that will allow the preservation of equilibrium for the environment while also promoting energy innovations.

The roles of nuclear energy, renewable energy, and economic growth in the abatement of carbon dioxide emissions in the G7 countries.

In the current century, the G7 countries have attached more importance to energy security, and have prioritized low-carbon sources which have necessitated the consumption of nuclear and renewable energy resources to achieve a resilient low-carbon system. However, it is still not clear if the sacrifice has paid-off since the environmental quality in the majority of these countries is yet to be significantly improved. As such, this study employs advanced panel data econometric techniques that account for cross-sectional dependence and slope heterogeneity issues to explore the impacts of nuclear and renewable energy use in respect of CO2 emission mitigation in six of the seven G7 countries. The core objective of this study is to justify whether energy diversification through the promotion of nuclear and renewable energy consumption can assist the G7 nations in complying with their commitments concerning the Paris Climate Change and Sustainable Development Goals agendas. The overall findings from the econometric analysis affirm the abating role of nuclear energy on CO2 emissions. However, renewable energy consumption is found to be statistically insignificant in explaining the variations in the CO2 emission levels. On the other hand, economic growth is found to initially boost the CO2 emission level but mitigate it later on; thus, the authenticity of the environmental Kuznets curve hypothesis is established in the G7 context. Besides, the country-specific results suggest that nuclear energy significantly reduces CO2 emissions in all the countries, except in Canada and the USA. Also, renewable energy significantly curbs CO2 emissions only in Canada and France. Furthermore, the environmental Kuznets curve hypothesis is validated for Canada, France, the UK, and the USA. In line with these findings, it is pertinent for the G7 countries to boost nuclear energy use to reduce the fossil fuel dependency in the majority of the G7 nations to mitigate CO2 emissions. Moreover, it is also suggested that these nations adopt relevant policies to further green their consumption and production processes to ensure complementarity between economic growth and environmental development.

What drives ecological footprint in top ten tourist destinations? Evidence from advanced panel techniques.

The persistent dwindling of the biocapacity has caused the ecological footprint (EF) to keep increasing in the top ten tourist destinations over the last three decades. Moreso, economic growth, natural resource rent, and urbanization substantially increased for the same period. Tourism contributes to economic prosperity. However, growth in tourism promotes an increase in energy consumption, natural resource exploration, transportation, and consequential ecological distortions. It is important to understand the predictors of EF to suggest suitable policies for environmental sustainability. Hence, this study examines the predictors of EF by considering factors that could influence EF. More precisely, the study analyzes the linkage among economic growth, natural resource rent, urbanization, energy intensity, and tourism using some of the most advanced and reliable econometric techniques, such as Westerlund's (J Appl Econ 23(2):193-233, 2008) cointegration technique, and the continuously updated full modified (CUP-FM) and continuously updated bias-corrected (CUP-BC), long-run estimators. The outcomes of the analysis indicate that EF has a negative association with urbanization and natural resources, which implies that an abundance of natural resources and increasing urban population can help to reduce environmental degradation. Likewise, energy intensity helps in decreasing EF, while economic growth adds to EF. Tourist arrival and tourist receipt also add to EF and, therefore, negatively affect environmental quality. Finally, policy directions are discussed to reduce environmental degradation without reducing economic growth.

Environmental degradation in ASEAN: assessing the criticality of natural resources abundance, economic growth and human capital.

The ASEAN countries have enjoyed significant economic advancement over the years. The region is also blessed with lots of natural resources. However, natural resource abundance and economic growth could contribute to environmental deterioration, especially when the exploration and consumption of natural resource is not sustainable. This study has a maiden attempt to constitute the dynamic linkages between natural resources, human capital, economic growth, and ecological footprint (EF) in ASEAN. The Augmented Mean Group (an advanced econometric estimator) is adopted for empirical analysis over the period 1990 to 2016. The findings confirm the adverse effect of economic growth and natural resource on environmental quality. Human capital, though with a negative coefficient, is not efficient in mitigating environmental degradation in ASEAN. The country-wise results affirm that economic growth intensifies environmental degradation in all the countries, and the outcome was consistent with the dynamic OLS results. Further findings from the country-wise results suggest that natural resource is not harmful in Laos PDR and Thailand, but constitute environmental deterioration in the other countries. Finally, a feedback causality is discovered between natural resource and economic growth, and between human capital and economic growth. The limitations of the study and directions for future research have been highlighted along with relevant policy directions.

Trivariate modelling of the nexus between electricity consumption, urbanization and economic growth in Nigeria: fresh insights from Maki Cointegration and causality tests.

In this era of intensive electricity utilization for economic development, the role of urbanization remains inconclusive, especially in developing economies. Here, this study examined the electricity consumption and economic growth nexus in a trivariate framework by incorporating urbanization as an additional variable. Using the recent novel Maki cointegration test, Ng-Perron, Zivot-Andrews, and Kwiatkowski unit root tests along with FMOLS, DOLS and the CCR estimation methods, we relied on an annual frequency data from 1971-2014. Results from FMOLS, DOLS and the CCR regression confirms the electricity consumption-driven economic growth. This is desirable as Nigeria is heavily dependent on energy (electricity) consumption. A unidirectional causality from urbanization to electricity consumption and economic growth was found but the long-run empirical findings revealed urbanization impedes growth - a situation that has policy implications. The study highlights that though urbanization is a good predictor of Nigeria's economic growth, however, the adjustment of the energy portfolio to meet the growing urban demand will curtail the adverse and far-reaching impact of urbanization on the economy.

Carbon dioxide abatement in Africa: The role of renewable and non-renewable energy consumption.

The study explores the importance of renewable and non-renewable energy consumption on CO2 abatement in Africa from 1990 to 2014 with available balanced panel data for selected 19 countries employing the Augmented Mean Group (AMG) estimation technique. The study adopts both first-and-second-generation unit root and cointegration tests. Findings affirm cointegration among the variables. Results from the AMG estimate reveal that while renewable energy inhibits CO2 emissions insignificantly in Africa, non-renewable energy increases CO2 emissions significantly. Country-specific results reveal that the influence of both types of energy sources on CO2 emissions vary in terms of the nature of the relationship, the magnitude of influence and the level of significance. We further observed a one-way causality from renewable & non-renewable energy to CO2 emissions. Based on findings, policies for enhancing growth and curtailing environmental degradation with a view to achieving sustainable development were suggested.

Is the Cage an Additional Hardware in Lumbar Interbody Fusion for Low Grade Spondylolisthesis? A Prospective Study.

INTRODUCTION: Lumbar interbody fusion has become the standard of care for the management of lumbar instability, where fusion is achieved using bone grafts, cages, etc. AIM: The aim of the study was to compare the outcomes of the interbody fusion using interbody cage technique and stand alone local bone graft technique. MATERIALS AND METHODS: A total of 30 patients, operated for single level instability with low grade lytic and degenerative spondylolisthesis of L4-5/L5-S1, were selected and grouped into two groups: Group I (stand alone grafts) and Group II (interbody cage and graft) based on computer generated random numbers. All patients who underwent interbody fusion through conventional open posterior approach were included in the study. Data regarding the time taken for interbody fusion, formaninal height maintenance, disc height restoration, translation, functional scores (VAS,ODI) and operative complications were analysed using in both the groups was collected and a student's-t test was performed to evaluate the difference. RESULTS: The mean age of patients in Group I was 46.7 years whereas, the mean age of patients in Group II was 43.5 years with mean age of 46.7 years and 43.5 years respectively. Interbody fusion, was achieved in seven and eight months in Group I and II respectively (p>0.05). The clinical results of both groups were comparable and there was no significant difference between the two groups in VAS score (p-0.147) and ODI score (p-0.983). Radiological parameters were also comparable and there was no significant difference between the postoperative measurements of the two groups (p=0.348 for translation, p=0.310 for intervertebral disc height and p=0.135 for foraminal height). One patient in Group I had transient foot drop which recovered, while one in Group II had infection, wound was managed with wound wash and antibiotics and another patient in Group II had pseudoarthrosis. CONCLUSION: Lumbar interbody fusion with standalone local bone grafts is sufficient in single level low grade spondylolisthesis treated by conventional open surgery.

Spontaneous resolution of postoperative lumbar pseudomeningoceles: A report of four cases.

Pseudomeningocele is an extradural cerebrospinal fluid collection arising from a dural defect, that may be congenital, traumatic, or more commonly as a result of postoperative complication. Majority of the postoperative pseudomeningoceles occurring after lumbar spine surgeries are small and resolve spontaneously. However, large pseudomeningoceles are rare and spontaneous resolution of such pseudomeningoceles has not been described. We report four cases of postoperative large lumbar pseudomeningoceles that presented as asymptomatic soft fluctuant swelling over the back which resolved spontaneously. We also reviewed the related literatures and operative records of these patients to find the possible mechanism of occurrence, their management, prevention, and reasons for spontaneous resolution. We conclude that nonoperative management under close observation can be employed for asymptomatic postoperative large lumbar pseudomeningoceles. Surgical exploration and repair should be reserved for symptomatic cases presenting with clinical features of intracranial hypotension, worsening neurology, external fistula or infection, thereby avoiding morbidity and potential complications associated with surgical treatment.