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Background: An increased prevalence of diabetic ketoacidosis at diagnosis of type 1 diabetes in children was observed in various diabetes centres worldwide during the COVID-19 pandemic. We aimed to evaluate trends in the prevalence of diabetic ketoacidosis at diagnosis of paediatric type 1 diabetes before and during the COVID-19 pandemic, and to identify potential predictors of changes in diabetic ketoacidosis prevalence during the pandemic. Methods: For this international multicentre study, we used data from 13 national diabetes registries (Australia, Austria, Czechia, Denmark, Germany, Italy, Luxembourg, New Zealand, Norway, Slovenia, Sweden, USA [Colorado], and Wales). The study population comprised 104 290 children and adolescents aged 6 months to younger than 18 years, who were diagnosed with type 1 diabetes between Jan 1, 2006, and Dec 31, 2021. The observed diabetic ketoacidosis prevalence in 2020 and 2021 was compared to predictions based on trends over the pre-pandemic years 2006–19. Associations between changes in diabetic ketoacidosis prevalence and the severity of the COVID-19 pandemic and containment measures were examined with excess all-cause mortality in the whole population and the Stringency Index from the Oxford COVID-19 Government Response Tracker. Findings: 87 228 children and adolescents were diagnosed with type 1 diabetes between 2006 and 2019, 8209 were diagnosed in 2020, and 8853 were diagnosed in 2021. From 2006 to 2019, diabetic ketoacidosis at diagnosis of type 1 diabetes was present in 23 775 (27·3%) of 87 228 individuals and the mean annual increase in the prevalence of diabetic ketoacidosis in the total cohort from 2006 to 2019 was 1·6% (95% CI 1·3 to 1·9). The adjusted observed prevalence of diabetic ketoacidosis at diagnosis of type 1 diabetes was 39·4% (95% CI 34·0 to 45·6) in 2020 and 38·9% (33·6 to 45·0) in 2021, significantly higher than the predicted prevalence of 32·5% (27·8 to 37·9) for 2020 and 33·0% (28·3 to 38·5) for 2021 (p

Purpose This study aims to find out the influence of green practices used by the five-star hotels on the guest’s online hotel assessment and their revisit intentions. It also evaluated how the use of green practices by the hotels influenced the guest’s willingness to pay a premium price. Apart from the conventional hotel service attributes, this study also identified some new and innovative services offered by the hotels which have an overall effect on the guest’s revisit intentions. Design/methodology/approach This study applied focus group interviews from 12 hotel managers and accessed the hotel’s internal database to identify the latest and innovative service attributes offered by the hotels. The information regarding the green practices offered by the hotels was collected through TripAdvisor and LEED-IGBC website. It identified 10 independent and four dependent variables based on previous literature. Guest’s revisit intentions were measured on a five-point Likert scale. Data was analysed using a multi-step hierarchical regression model. Findings The use of green practices by the hotels revealed a positive and significant influence on the guest’s revisit-intentions and their intention to pay a premium price. It was also found that the use of new and innovative green practices has a positive influence on the guest’s overall online evaluation of the hotel. Practical implications This study suggests that the amalgamation of green practices along with the conventional service attributes may help in the incremental revisit and online hotel assessment intentions, which might be of use for the managers and hotel policymakers. Originality/value Although previous studies have explored the conventional hotel service attributes in the context of Indian Hotel industry, this is one of the first studies which discussed the influence of recent and emerging hotel service attributes on the guest’s revisit and pay a premium price intention. Moreover, the influence of green practices on the guest’s overall online evaluation of the five-star hotels in Delhi was discussed in this study which was not performed before.

Purpose This study aims to investigate the impact of a firm’s supply chain capabilities on supply chain resilience, and the impact of supply chain resilience on sustainable supply chain performance in a data-driven business environment. The study also aims to explore the function of supply chain resilience in mediating the relationship between a firm’s supply chain capability and sustainable supply chain performance. Design/methodology/approach Primary data were acquired through a survey of 310 managers of small- and medium-sized businesses in a variety of industries across Bangladesh. The data were analyzed using partial least squares structural equation modeling. Findings A firm’s supply chain capabilities include information technology, leadership and collaboration. Supply chain capability is positively associated with supply chain resilience. The resilience of a firm’s supply chain is also positively correlated with its sustainable supply chain performance. Supply chain resilience plays a mediating role in the relationship between a firm’s supply chain capabilities and its sustainable supply chain performance. Research limitations/implications This study provides a theoretical contribution by corroborating practical knowledge focusing on firms’ supply chain capability, supply chain resilience and sustainable supply chain performance by using a resource-based view and dynamic capability theory – a relevant and unexplored subject in the supply chain literature – and proposes several opportunities for future research. Practical implications The results highlight the study’s managerial and social relevance from the perspective of firms in developing countries. As firms shift toward an online environment, managers and decision-makers need to make strategic decisions, as they did to overcome the challenges presented by COVID-19. Originality/value The study’s findings demonstrate that firms’ supply chain capabilities can be leveraged to increase supply chain resilience. Firms’ resilience during COVID-19 allowed them to avoid losses and to improve their supply chain’s sustainable performance. To the best of the authors’ knowledge, their complex higher order model is a unique contribution to the literature on firms’ supply chain capability and extends previous research on this topic.

Purpose The purpose of this study is to understand the determinants affecting behavioral intention (BI) to use ePharmacy services. The moderating role of technology discomfort in the relationship between BI and the actual use of ePharmacies in the context of Bangladesh is also examined. Design/methodology/approach A descriptive, quantitative approach was used to consider the UTAUT-2 model. Using the convenience sampling method, 255 responses were collected. The data were analyzed using Smart-PLS 3.2 software to investigate the hypothesized relationships. Findings The findings reveal that website information, doctors’ services, performance expectancy, return policy, social influence, perceived reliability and facilitating conditions are significantly related to the BI to use ePharmacy services. Interestingly, the structural equation modeling results also confirmed that technology discomfort has no moderating effect on the relationship between BI and actual usage behavior. Research limitations/implications This research provides theoretical contribution by extending the practical knowledge focusing on the relationship of ePharmacy, BI and actual usage behavior by using UTAUT-2 model – a relevant and unexplored issue in the easting literature, offering several research opportunities as the future avenue. Practical implications The result highlights the economic and social relevance from the perspective of a developing country. As people are showing their intention toward ePharmacy, managers and decision-makers need to take strategic decision to overcome any difficulties. Policymakers need to improve their services for the expansion of ePharmacy through different development projects. Originality/value This study advances past studies on the use of ecommerce in the pharmaceutical industry and provides a general understanding of customers in developing countries.