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The coronavirus disease 2019 (COVID-19) pandemic has subjected a considerable strain on the healthcare (HC) systems around the world. The most affected countries are developing countries because of their weak HC infrastructure and meagre resources. Hence, building the resilience of the HC system of such countries becomes essential. Therefore, this study aims to build a resilience-based model on the HC sector of Pakistan to combat the COVID-19 and future pandemics in the country.

The study uses a novel hybrid approach to formulate a model based on resilient attributes (RAs) and resilient strategies (RSs). In the first step, the multi-criteria decision-making (MCDM) technique, i.e. full consistency method (FUCOM) is used to prioritize the RAs. Whereas, the fuzzy quality function deployment (QFD) is used to rank the RSs.

The findings suggest “leadership and governance capacity” to be the topmost RA. Whereas “building the operational capacity of the management”, “resilience education” and “Strengthening laboratories and diagnostic systems” are ranked to be the top three RSs, respectively.

The model developed in this study and the prioritization RAs and RSs will help build resilience in the HC sector of Pakistan. The policymakers and the government can take help from the prioritized RAs and RSs developed in this study to help make the current HC system more resilient towards the current COVID-19 and future pandemics in the country.

A new model has been developed to present a sound mathematical model for building resilience in the HC sector consisting of FUCOM and fuzzy QFD methods. The main contribution of the paper is the presentation of a comprehensive and more robust model that will help to make the current HC system of Pakistan more resilient.

This study examines the dynamics of the comovement and causal relationship between conventional (Bitcoin, Ethereum and Binance coin) and Islamic (OneGram, X8X token and HelloGold) cryptocurrencies.

This study uses wavelet coherence approach to examine the time-varying lead-lag relationship between conventional and Islamic cryptocurrencies. Furthermore, the authors use BEKK-GARCH model to estimate the optimal weights, hedge ratio and hedging effectiveness in pre-COVID-19 and during the COVID-19 period.

The authors find no significant comovement in pre-COVID-19. However, the authors find significant positive comovement in conventional and Islamic cryptocurrencies at the beginning of the pandemic, and in most cases, conventional cryptocurrencies are leading. X8X and HelloGold have no/weak correlation with conventional cryptocurrencies, implying that investors can diversify the risk by making an Islamic and conventional cryptocurrencies portfolio. The authors also calculate the optimal weights, hedge ratio and hedging effectiveness using the BEKK-GARCH model. Based on the optimal weights, for the portfolios of conventional–Islamic cryptocurrencies, investors are suggested to increase their investment in Islamic cryptocurrencies during the COVID-19 than normal period. The results of hedge ratios show that hedging costs are higher during COVID-19 than before.

The findings of the paper offer several practical policy implications for investors, portfolio manager, Shariah advisors and policymakers pertaining to asset allocation, risk management, forecasting and diversification. Specifically, investors can maximize the risk adjusted returns of their conventional cryptocurrencies portfolio by adding some portions of Islamic cryptocurrencies. Considering the comovement is time-varying, investors/manager should adjust their investment strategies frequently. For the entrepreneurs in crypto-industry, it is advised to introduce new Islamic cryptocurrencies, as it has a huge growth potential because of their distinct features and performance.

This is the first study that explores the linkages between conventional and Islamic cryptocurrencies, therefore this study extends the literature of Islamic finance, stablecoins and cryptocurrencies in pre-COVID-19 and during COVID-19 period. The study results provide insights to conventional crypto investor on how to manage their portfolio during normal and turbulent period.

Social development is the ultimate goal of every nation, and climate change is a major stumbling block. Climate Risk Index has documented several climate change events with their devastations in terms of lives lost and economic cost. This study aims to link the climate change and renewable energy with the social progress of extreme climate affected countries.

This research used the top 50 most climate-affected countries of the decade and estimated the impact of climate risk on social progress with moderation effects of renewable energy and technology. Several competing panel data models such as quantile regression, bootstrap quantile regression and feasible generalized least square are used to generate robust estimates.

The results confirm that climate hazards obstruct socioeconomic progress, but renewable energy and technology can help to mitigate the repercussion. Moreover, improved institutions enhance the social progress of nations.

Government should improve the institutional quality that enhances their performance in terms of Voice and Accountability, Political Stability and Absence of Violence, Government Effectiveness, Regulatory Quality, Rule of Law and Control of Corruption to increase social progress. In addition, society should use renewable energy instead of fossil fuels to avoid environmental degradation and health hazards. Innovation and technology also play an important role in social progress and living standards, so there should be free hand to private business research and development, encouraging research institutes and universities to come forward for innovation and research.

The ultimate goal of all human struggle is to have progress that facilitates human beings to uplift their living standard. One of the best measures that can tell us about a nation’s progress is Social Progress Index (SPI), and one of many factors that can abruptly change it is the climate; so this study is an attempt to link the relationship among these variables and also discuss the situation where the impact of climate can be reduced.

Although social progress is an important concept of today’s economics discussion, relatively few studies are using the SPI to measure social well-being. Similarly, there is consensus about the impact of climate on people, government and crops but relatively less study about its overall impact on social progress, so this study attempts to fill the gap about the relationship between social progress and climate change.

The main contribution of this study is the solution for the impact of climate risk. Climate risk is not in human control, and we cannot eliminate it, but we can reduce the negative impacts of climate change. Moderator impact of renewable energy decreases the negative impact of climate change, so there is a need to use more renewable energy to mitigate the bad consequences of climate on social progress. Another moderator is technology; using technology will also mitigate the negative consequences of the climate, so there is a need to facilitate technological advancement.

The purpose of this research is to identify major barriers to the implementation of reverse logistics (RL). Also, the study addresses best practices among reuse, remanufacture, recycling, refurbishment and repair as alternatives for RL processes.

This study targets supply chain management experts for their opinions regarding the identification of critical barriers and alternatives for RL implementation. Their opinions were extracted through a Web questionnaire based on 14 criteria with 5 alternatives. The tools of multi-criteria decision-making are used for analysis, i.e. fuzzy VIKOR and fuzzy TOPSIS.

The results indicate that lack of recognition of competitive advantage to be gained through RL practice is the most critical barrier to RL implementation. The least barrier or major facilitator for RL is “supportive initiative for end-of-life products.” The top-ranked alternative in this study is reuse followed by remanufacturing. The least important alternative is “repair” in the case of Pakistan. These alternatives are ranked based on “q values” derived through fuzzy VIKOR.

The results of this study can only be generalized for the manufacturing sector of Pakistan during the period of the study.

The findings of this study will assist managers in deploying the best practices concerning RL.

Fuzzy VIKOR and fuzzy TOPSIS have not been applied to RL alternatives in previous research.

The rate of cesarean sections has been rapidly increased in the last few decades in all the developing as well as developed countries. The rate of cesarean sections determined by the World Health Organization has been crossed by many countries, like Brazil, India, China, USA, Australia, etc. Similarly, this rate has also increased in Pakistan. The purpose of this paper is to explore and identify the factors that are responsible for the rising rate of cesarean sections in Pakistan.

These factors are categorized under medical and non-medical factors. The medical factors include the obesity of mother, age of mother, weight of the baby, umbilical cord prolapse, fetal distress, abnormal presentation, dystocia and failure to progress. The non-medical factors include financial incentives of doctors, time convenience for doctors, high tolerance to surgery, patient’s preference toward cesarean section, private hospitals, public hospitals, income status of patients, rural areas, urban areas and the education of patients. To identify the critical factors, data have been collected and a multi-criteria decision-making technique, called Decision Making Trial and Evaluation Laboratory, is used.

The result shows that the medical factors that are responsible for the rise in the rate of cesarean sections are umbilical cord prolapse, age of mother and obesity of mother. On the other hand, the non-medical factors that are the reasons for the increase in cesarean sections are the large number of private hospitals and the unethical acts of the doctors in these hospitals, preference of patients, and either the unavailability of doctors or poor conditions of hospitals in rural areas.

Cesarean section is an important surgical intervention and is considered to be very essential in the cases of existing as well as potential medical problems to the mother or the baby. Cesarean section is also performed for non-medical reasons. In Pakistan, the number of private hospitals has increased and these hospitals provide good health care. However, these hospitals do not work under the rules and regulations set by the government. The doctors in private hospitals perform unnecessary cesarean sections in order to fulfill the demands of private hospital’s owners. In addition to this, it is also found that, nowadays, most women prefer to give birth through cesarean section in order to eliminate the pain of normal vaginal delivery.

China Pakistan Economic Corridor (CPEC) projects are widely spread throughout Pakistan with the potential to have a massive impact on Pakistan’s economic future. CPEC projects have, therefore, made it imperative that green practices are adapted to provide sustainability to the CPEC projects. The adoption of green supply chain management (GSCM) framework will significantly increase the value attained from CPEC projects through the increased benefits to the socio-cultural and economic conditions of Pakistan without causing harm to the environment. The purpose of this paper is to identify and rank the GSCM practices for implementation in the construction industry of Pakistan according to expert opinion.

This study targets the experts who are employed as supply chain managers in the different construction industries of Pakistan. The opinions of these experts have been extracted through an online questionnaire that was based on six alternatives along with four criteria. The tool of multi-criteria decision making (MCDM) that is a Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) has been used to analyze the results.

Six alternatives that have been used for this study are green design, green procurement, green production, green warehousing, green transportation and green recycling. The top-ranked alternative as a practice for GSCM is green warehousing followed by green production. The lowest ranked alternative in this study is green recycling. The alternatives have been ranked on the basis of “cc” values derived through TOPSIS.

As the advancement in the construction industry will definitely going to impact the environmental sustainability of the country, the results derived through this research will assist the managers of the construction industry of Pakistan to adopt best practices among green supply chain in order to lower their impact.

Framework using TOPSIS in order to find the best GSCM practice in Pakistan has not been reported before this study.

Globalization in supply chain networks is urging manufacturing companies for the production of sustainable products with re-engineering technologies that offer competitive advantage in current market. However, the increasing sustainable illumes are influencing reverse logistics (RL) systems to analyze their impacts on economy, environment and society. Recently, China’s $62bn investment under the egis of China Pakistan Economic Corridor (CPEC), which comprises a number of infrastructure and energy projects is developing Pakistan as a part of “One Belt One Road” initiative. Accordingly, a substantial number of economical, ecological and social exercises will occur in closest future. The purpose of this paper is to investigate the impact of sustainable practices, i.e., environmental, economic and social sustainability on RL recovery options.

Sustainable concepts including environmental, economic and social and RL recovery options are extracted through extensive literature review. A number of researchers used a variety of methodologies for achieving their research objectives. However, the authors will be using a combination of VIsekriterijumska optimizacija i KOmpromisno Resenje (VIKOR) and grey relational analysis (GRA) technique under fuzzy environment in the case of CPEC.

Results show that waste management, impact on bio-diversity and economic growth are the most significant factors in designing sustainable RL recovery options. Moreover, remanufacture and reuse rank top among RL recovery options due their significant economic and environmental effects, whereas recycle and resell position last due to their high cost and cutting edge modern technologies.

Finally based on this model, it is possible for authorities to design a sustainable RL strategy for efficient operations in case of CPEC projects and other developing countries as well.

Negligible work has been done regarding sustainable modeling in RL strategies using a combination of VIKOR and GRA techniques subjected to fuzzy environment in the case of CPEC from perspective of developing country, i.e., Pakistan.

Cement industry for both developed and developing countries is important from the economic point of view. It is playing a vital role in economic development of a developing country like Pakistan. However, these industries are posing threat to the environment, human health and plant species. The purpose of this paper is to identify the most critical factors of cement industry that have a negative impact on the environment, human health and plant species in the context of Pakistan.

The factors are categorized into air pollution, noise pollution, soil pollution, human health and plant species. These factors are categorized on the basis of previous literature and environmental safety reports. Air pollution is caused by iron and sulphur while noise pollution is mainly caused by crusher room and rotatory kiln end. The soil is being polluted by zinc and lead while human health and plant species are being damaged by sulphur dioxide and nitrogen dioxide. For the analysis purpose, a multi-criteria decision-making (MCDM) technique, i.e., decision-making trial and evaluation laboratory (DEMATEL) is used.

The result shows that the major cause of air pollution is “sulphur” while “crusher room and rotatory kiln end” are responsible for noise pollution. On the other hand, “mercury” is responsible for causing soil pollution while human health and plant species are influenced by the toxic effect of “nitrogen dioxide.”

The results obtained are specific to cement manufacturing industry of Pakistan and cannot be generalized for any other manufacturing sector.

The proposed methodology shows the most critical factors toward which concertation should be given for mitigating their impact. This study will help the government and the cement industry to focus on all those elements that are the most responsible for causing different types of pollution.

No such work is reported in previous research that proposes a framework using DEMATEL technique for analysis of critical factors of cement industries that have a dangerous impact on the environment and human health, especially in a developing country, like Pakistan.

This study aims to cover issues regarding traveling to a tourist destination which has seen war and terrorism. These problems can be addressed altogether, as they are interrelated. Based on tourists’ opinions, this paper aims to focus on measures or steps that can be taken to ensure changing their perceptions about a certain destination.

This study targets tourism experts for their opinions regarding the measures most necessary to change the perceptions of tourists. Their opinions were extracted through a questionnaire based on three criteria with four alternatives. Furthermore, raw data extracted are studied using the Fuzzy-VIKOR technique to rank the alternatives in order of importance. Moreover, the questionnaire also aims to know the perception of participants by asking them what would make them trust a destination with a history of terrorism.

The problems captivate the attention of government, guiding them to ensure that they need to focus more on physical security of tourists if they expect tourism industry to thrive. It was found that the steps needed to be taken are in the areas of international trade, cultural exchange programs and social media advertising.

Research based on improving tourist perception of Pakistan to develop Pakistan as a tourist destination is scarce. The study takes four different alternatives into account for image recovery and based on those alternatives, it provides a unique solution to the government in this regard with the necessary steps they need to take and attempts to help the government ensure tourism expansion in the country.

The change in climate and depletion of natural resources because of the harmful emissions from different materials becomes a main issue for the globe. Some of the developed and developing countries have focused on this issue and performed research to provide a solution. The purpose of this study is to identify the best types of concrete based on its impact on the environment and economy.

The life cycle assessment and life cycle cost analysis of six concrete mixtures that include construction and demolition wastes (CDW), marble sludge, rice husk and bagasse ash as a partial replacement of cement, are performed. These types of concrete are compared with each other and with ordinary concrete to select the best possible concrete type for a developing country, like Pakistan.

The results show that, although for an agricultural country like Pakistan, the agriculture wastes such as rice husk and bagasse ash are preferable to be used, if the emissions of CO₂ and CO from rice husk and NOx and SO₂ from bagasse ash are properly controlled. However, based on the results, it is recommended to use the CDW in concrete because of the small amount of air emissions and affordable prices.

Through this study, a path has been provided to construction companies and relative government organizations of Pakistan, which leads to sustainable practices in the construction industry. Moreover, the base is provided for future researchers who want to work in this area, as for Pakistan, there is no database available that helps to identify the impact of different concrete on the environment.