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Nutrition plays a key role in the recovery of pediatric trauma patients. A catabolic state in trauma patients may hinder recovery and inadequate nutrition may increase morbidity, mortality and length of hospital stay. The purpose of this paper is to review the current nutrition support practices for pediatric trauma patients at McMaster Children’s Hospital (MCH), describe patient demographics and identify areas to improve the quality of patient care.

A retrospective chart review was conducted on pediatric trauma patients (age<18 years) identified through the trauma registry of MCH. Pediatric trauma patients admitted from January 2010 to March 2014 with an Injury Severity Score (ISS)=12 and a hospitalization of =24 hours were included.

In total, 130 patients were included in this study, 61.1 percent male, median age ten years (range: 0-17 years) and median ISS of 17 (range: 12-50). Blunt trauma accounted for 97.7 percent of patients admitted and 73.3 percent had trauma team activation. In total, 93 patients (71.5 percent) had ICU stays. The median time to feed was 29 hours (interquartile range: 12.5-43 hours) from the time of admission. An increased hospital length of stay was associated with longer time to initiation of nutrition support, a higher ISS and greater number of surgeries (p<0.05).

Local nutritional support practices for pediatric trauma patients correspond with recommended principles of early feeding and preferential enteral nutrition. Harmonization of paper-based and electronic data collection is recommended to ensure that prescribed nutritional support is being delivered and nutritional needs of pediatric trauma patients are being met.

The customer as an active and engaged value co-creator raises new challenges for theory and practice, especially in the hospitality industry. However, the connection between engagement and co-creation is little studied in the hotel/tourism literature. This paper proposes a connection between customer engagement (CE) and value co-creation frameworks to ascertain and depict the internal actors' activities and factors that foster or hinder guests' co-creation and destruction of value.

The researchers used qualitative methods (35 in-depth interviews, document analysis and four observation sessions) in seven regions of Ghana to explore the customer's perspective. Data were analyzed with NVivo11 within a thematic analysis framework.

The findings suggest that positive and negative engagement fosters or hinders guests' interactions, which lead to value co-creation or destruction. The research also discovered that negative interactions occasioned by any factor or actor trigger value destruction at multiple stages of the experience journey.

Industry players can use the framework developed to assess their businesses, explore and reflect on the proposed value they aim to generate, and thus be more aware of how they can better facilitate value co-creation with their consumers and avoid value destruction.

This research proposes a novel connection between customer interactions, engagement and value co-creation to ascertain and depict the internal actors' activities and factors that foster or hinder customers' experience in the hotel/tourism industry.

The purpose of this paper to report on the role of luxury value perceptions and ethical concerns in consumers’ environmentally significant behaviour and purchase intent for genuine leather products.

Non-probability sampling was done and 429 South African males and females, aged 26 years and older and who fell in a household income bracket that allowed them to purchase genuine leather products, completed a structured questionnaire during September 2016.

The study determined that South African consumers’ strong functional and individual luxury value perceptions drive their above-average purchase intent for genuine leather products. Strong individual value perceptions correlated negatively with their purchase intent. Respondents’ expressed strong ethical concerns but almost never participate in environmentally significant behaviour.

Findings have implications for the leather industry and retailers and brands who would like to enter the South African luxury leather market. Due to the sampling method, findings can, however, not been generalised to the total population.

The leather industry and leather brands should market themselves with the message that the highest pro-environmental and ethical standards have been maintained and that their products should therefore fulfil important individual and functional value perceptions.

This study was the first of its kind about the multi-cultural South African leather market’s luxury value perceptions, ethical concerns and environmentally significant behaviour.

The aim of this study was to examine the extent to which several workplace factors are implicated in school principals' well-being. Two job resources (i.e. participatory climate and collegial climate) and two job demands (i.e. barriers to professional learning and staff shortages) were investigated, along with two well-being outcomes (i.e. job satisfaction and occupational commitment). Interaction effects between the job resource and job demand variables were also tested.

Data were from 5,951 principals in 22 Organization for Economic Co-operation and Development (OECD) countries that participated in the Teaching and Learning International Survey (TALIS) 2013. Path analysis of direct and interaction effects was tested, along with multigroup path analysis to determine any differences in results across nations.

The results showed that staff shortages and collegial climate predicted job satisfaction. All of the job resources and demands predicted occupational commitment. In addition, one interaction effect was significant showing that a participatory climate was especially important for occupational commitment under conditions of high staff shortages. The findings were similar across the 22 countries.

The study yields important knowledge about the cross-national salience of four job resources and demands that are associated with principals' well-being at work.

The success of retail service innovations is contingent upon a thorough understanding of the antecedent factors that drive adoption intention. Using the example of a novel kiosk technology, the purpose of this paper is to analyze the antecedents of kiosk use intention and to find out how perceptions of antecedent factors vary among potential and early adopters.

Based on the “Unified theory of acceptance and use of technology” and the technology readiness (TR) concept, the proposed framework identifies several factors underlying adoption intention. The framework is tested on potential and early adopters of a kiosk system recently launched by Taiwan's largest convenience retailer.

Results show that while performance expectancy, effort expectancy, facilitating conditions and social influence impact overall use intention, the perceptions of these antecedents vary significantly between potential versus early users. Further, individual TR does not intervene with technology perceptions.

Retail practitioners can use the findings to more effectively target these two important adopter segments and to prioritize their technology investments.

Most of extant technology adoption researches assume that factors driving adoption behaviour remain constant as diffusion progresses. This work joins a limited number of studies, which propose a dynamic nature of antecedent factors. The paper shows how perceptions of antecedent factors differ among potential and early users of a novel kiosk system. Overall, this paper emphasizes the need for a more segmented‐oriented approach in the promoting of innovative retail technologies.

The purpose of this paper is to investigate market-contextual variations in consumers’ self-service technology (SST) usage intentions.

Applications of the unified theory of acceptance and use of technology support the exploration of antecedents of usage intention for SSTs in two market contexts, through a survey among Taiwanese and Austrian college students. The cross-cultural nature of the study suggested the need for factor analyses to evaluate measurement equivalence. A Chow-Test confirmed structural stability, followed by regression analysis and independent samples t-tests to confirm the hypotheses.

Substantial differences arise across market contexts that shape usage intentions. In a collectivistic, emerging market context (Taiwan), performance expectancy, effort expectancy, social influence, facilitating conditions, and personal innovativeness significantly influence usage intention. In an individualistic, advanced market context (Austria), only performance expectancy and social influence have significant impacts on usage intention. Personal innovativeness moderates only the relationship between performance expectancy and usage intention.

The findings suggest that usage intention is subject to the market environment in which the technology is introduced. Consumers are influenced by the local and institutional-cultural environment.

Globalization has accelerated the launch of retail services innovations. It is imperative to understand consumers’ usage intentions from a global perspective. This study advances SST research by analyzing and comparing adoption behavior in an advanced vs emerging market setting.

This paper aims to explore the virtual experience to understand its components and its effects on consumers’ real world.

Our approach relies on a rarely used projective method: “Album-on-Line” (AOL). This technique allows identifying consumers’ representations of their experience. It uses images to immerse participants in a virtual experience and to lead an individual reflection, then a group reflection.

Virtual experiences have utilitarian, hedonic, psychological and social dimensions. When immersing in virtual experiences, consumers’ perception and consumption of products and services change. A projection occurs leading to an identification to virtual characters. This projection also leads to a consumption aiming at finding back the excitement and challenge lived during virtual experiences.

The main limitation of this research relates with the fuzzy distinction between the virtual and the electronic in consumers’ minds and even in the literature. Future work should propose a multidisciplinary definition of the virtual experience, considering its specificities and components.

This research offers companies a better understanding of consumers’ motivations to live virtual experiences. It may bring insights on how to provide a more customized offering and a more adapted communication.

Compared to previous work, the present research offers a better understanding of the components of online and offline virtual experiences by considering the virtual in its broadest meaning. The use of the AOL technique enabled a closer look at the specificities of the virtual experience as perceived by consumers. It was also possible to explore the “post-experience” stage by understanding the effect of virtual experiences on consumers’ perceptions and consumptions.