How much for your kidney? The rise of the global transplant tourism industry

The term 'Transplant Tourism' is becoming commonly used to describe any form of travel that serves in the attainment of new organs; this practice is utterly condemned by the medical community and the World Health Organisation. Medical Tourism involves tourists travelling to, 'obtain medical, dental and surgical care while simultaneously being holidaymakers' (Connell, 2006, p. 1094). British Medical Journal (2008) highlights that Medical Tourism is a billion dollar industry, where companies advertise health services and attract patients for a fraction of the price they would have paid at home (Turner, 2008a). However, the typically legitimate Medical Tourism industry's reputation is being tarnished by its association with Transplant Tourism. Human organs used in transplantation can be obtained in two ways: live organ donation or cadaveric organ procurement (Lamb, 1990). In general, recipients prefer having living donor transplants over deceased ones, as the former offer them a better chance of survival (Steinberg, 2004). There is a worldwide struggle to meet the demand for organs; the gap between supply and demand has stimulated global organ trade and transplant tourism. Transplant Tourism has been overlooked within tourism literature and hoping to begin a debate, this note investigates the concept of Transplant Tourism, outlining why it cannot, in general, be considered a legitimate part of the Medical Tourism industry

Commercial hospitality : a vehicle for the sustainable empowerment of Nepali women

To illustrate how commercial hospitality has catalysed sustainable social change in Nepal through empowering women. Utilising a new framework, developed by combining existing theories, empowerment of women Tea House owners/ managers is assessed. Within a critical feminist paradigm, primary research consisting of interviews and participant observation was undertaken in Nepal over a three month period in the central region of Nepal. Involvement in the hospitality industry improved the livelihoods of the women Tea House owners/ managers, it also has the potential to facilitate sustainable empowerment for future generations, providing them with education, choice, control and opportunities. Although steps were taken to limit rhetorical issues, language barriers could have influenced the findings of the interviews. To fully investigate the potential for hospitality to act as a vehicle for the sustainable empowerment of women, it is suggested that this study be replicated again in another region or that a detailed ethnographic study be carried out. Demonstrates how the commercial hospitality industry can be a force for good; women working in the industry are agents of change, actively improving their levels of empowerment in their immediate environment. The commercial hospitality industry has pioneered the empowerment of women and this could lay the foundation for the further emancipation of women. To date, there has been limited research into the relationship between involvement in the commercial hospitality sector and the empowerment of women; this paper begins to fill this gap by investigating a tourist region of Nepal

The agency dilemma in the ready-to-drink protein shakes market segment: an investigation with young British consumers

The extent to which the consumer is less knowledgeable and vulnerable within the RTD health shake market has been the focus of this study. Trust is one of the most significant contributing factors in reducing the agency of consumers. Not only do consumers place trust in legislators to protect them, but also in brands with which they have prior experience, as illustrated by the halo effect observed in this research. This study demonstrates that the predominant goal of the young consumer in purchasing RTD health shakes is not health, but the facilitation and satiation of salient and latent beliefs associated with prevailing nutritional concepts such as increased protein consumption resulting in increased muscle mass, or reduced sugar/fat consumption associated with a healthful diet. The perceived risks of ingesting potentially harmful, but legislatively safe, ingredients are trumped by the strength of these prevailing nutritional concepts

Love motels : oriental phenomenon or emergent sector?

This study explores the 'Love Motel' concept by examining the changing attitude of consumers in Taiwan. This will increase knowledge of the sector and define love motels. The literature review charts the development of Taiwanese love motels from a duel origin; American Motels and Japanese 'Love Hotels.' This is followed by an empirical qualitative study consisting of a two-stage collection strategy: focus groups of hospitality and tourism professionals to gather a wide range of opinions on the subject area followed by semi-structured interviews with consumers. The findings split into three interrelated areas: growth of Taiwanese love motels due to more liberal attitudes towards sexual practice; a change in the public perception of motels due to increased standards and an increased satisfaction with the personal consumption experience; these hotels are designed for couples. The empirical element of this study is an exploration of consumer experience in Taiwanese love hotels. Due to the sensitive nature of some of the data that was gathered a qualitative approach has been adopted. The sexual associations with this product appear almost coincidental. If the love motel product is considered in its purest form it is simply a hotel product that provides complete anonymity for its guests. Therefore, despite its application in South East Asia, this hospitality concept has potential to be applied in a variety of guises. The phenomenon of 'Love Hotels' is absent from hospitality management literature; this paper begins to fill that gap by beginning a discussion on this possibly controversial sector

Determining the Anisotropic Exchange Coupling of CrO_2 via First-Principles Density Functional Theory Calculations

We report a study of the anisotropic exchange interactions in bulk CrO_2 calculated from first principles within density functional theory. We determine the exchange coupling energies, using both the experimental lattice parameters and those obtained within DFT, within a modified Heisenberg model Hamiltonian in two ways. We employ a supercell method in which certain spins within a cell are rotated and the energy dependence is calculated and a spin-spiral method that modifies the periodic boundary conditions of the problem to allow for an overall rotation of the spins between unit cells. Using the results from each of these methods, we calculate the spin-wave stiffness constant D from the exchange energies using the magnon dispersion relation. We employ a Monte Carlo method to determine the DFT-predicted Curie temperature from these calculated energies and compare with accepted values. Finally, we offer an evaluation of the accuracy of the DFT-based methods and suggest implications of the competing ferro- and antiferromagnetic interactions.Comment: 10 pages, 13 figure

Iranian hospitality : embodiment, experience and representation

This paper seeks to triangulate methods to locate the essence of Iranian hospitality within heritage settings. It uses caravanserais, hostels for travellers and their trains of animals, and bazaars, covered markets, as its foci. These buildings have always offered multi-sensual experiences and represented aspects of symbolic interaction, as well as facilitating physical exchange, between travellers and locals. Hospitality has been fundamental to their evolution and remains so, particularly for the commercial caravanserais and tea houses which now exist as refurbished heritage accommodation and restaurants. There has always been a strong tradition of hospitality in the Islamic world, and Islamic practice emulates Ibrahim in the Koran. The first method used is to interpret physical structures, and in particular to show how the physical form of caravanserais traditionally embodied dimensions of expectation and behaviour that have characterised hospitality since it was first codified. The second method recognises the importance of personal sensing and reflection as a method, articulating personal experiences between individuals to come to a group experience. Bazaars are the focus of this second method. These were communities within communities, and had commonly caravanserais, tea houses, houses, workshops, baths, mosques and madrasas sited within them. Their architecture is commonly geometrical and enclosed. Personal sensing is used as a means of representing the felt experiences of authenticity and sincerity which these buildings and their communities and users facilitate, and the role of hospitality within this. The third method used is a content analysis of the representations of utilitarian, experiential and symbolic selling points collated from Iranian tourism and hospitality knowledgeables. The third method operationalises the Prentice-O'Gorman Destination Appraisal Matrix methodology, as a means of understanding the experiential and symbolic products offered by contemporary Iranian hospitality. Particular attention is paid to authenticity and sincerity within the hospitality and wider tourism offering of Iran

Origins of ferromagnetism in transition-metal doped Si

We present results of the magnetic, structural and chemical characterizations of Mn<sup>+</sup>-implanted Si displaying <i>n</i>-type semiconducting behavior and ferromagnetic ordering with Curie temperature,T<sub>C</sub> well above room temperature. The temperature-dependent magnetization measured by superconducting quantum device interference (SQUID) from 5 K to 800 K was characterized by three different critical temperatures (T*<sub>C</sub>~45 K, T<sub>C1</sub>~630-650 K and T<sub>C2</sub>~805-825 K). Their origins were investigated using dynamic secondary mass ion spectroscopy (SIMS) and transmission electron microscopy (TEM) techniques, including electron energy loss spectroscopy (EELS), Z-contrast STEM (scanning TEM) imaging and electron diffraction. We provided direct evidences of the presence of a small amount of Fe and Cr impurities which were unintentionally doped into the samples together with the Mn<sup>+</sup> ions, as well as the formation of Mn-rich precipitates embedded in a Mn-poor matrix. The observed T*<sub>C</sub> is attributed to the Mn<sub>4</sub>Si<sub>7</sub> precipitates identified by electron diffraction. Possible origins of and are also discussed. Our findings raise questions regarding the origin of the high ferromagnetism reported in many material systems without a careful chemical analysis

Engineering magnetic domain-wall structure in permalloy nanowires

Using Lorentz transmission electron microscopy we investigate the behavior of domain walls pinned at non-topographic defects in Cr(3 nm)/Permalloy(10 nm)/Cr(5 nm) nanowires of width 500 nm. The pinning sites consist of linear defects where magnetic properties are modified by a Ga ion probe with diameter ~ 10 nm using a focused ion beam microscope. We study the detailed change of the modified region (which is on the scale of the focused ion spot) using electron energy loss spectroscopy and differential phase contrast imaging on an aberration (Cs) corrected scanning transmission electron microscope. The signal variation observed indicates that the region modified by the irradiation corresponds to ~ 40-50 nm despite the ion probe size of only 10 nm. Employing the Fresnel mode of Lorentz transmission electron microscopy, we show that it is possible to control the domain wall structure and its depinning strength not only via the irradiation dose but also the line orientation.Comment: Accepted for publication in Physical Review Applie

"Responsible drinkers create all the atmosphere of a mortuary" : policy implementation of responsible drinking in Scotland

The purpose of this paper is to explore the reaction of customer facing staff and their attitude to the introduction of high profile corporate social responsibility (CSR) programmes; in particular their level of awareness and willingness to implement them. Conducted using a series of site visits and interviews with managers working within the licensed trade, this was followed up with structured interviews of "front line" staff. Despite high levels of awareness of both the social problems relating to alcohol consumption and the legislative changes, engagement with operational CSR was limited and often disinterested. Legal and societal expectations regarding drunkenness are of little concern. This paper is concerned with nascent legislation, the full impact and success of which has not yet emerged. Reviewing this study in five years would add to the strength of the results. Limited to Scotland due to its devolved licensing laws, however, it clearly highlights lack of employee engagement with CSR. Despite placing CSR issues at the forefront of day to day operations within the licensed trade there is little empirical evidence around customer facing staff engagement. CSR is a dynamic process that relies on the involvement of employees for its successful implementation. A new CSR implementation matrix is presented which allows hospitality businesses to be positioned according to levels of both management and employee engagement with CSR policies

Hospitality codes and social exchange theory : the Pashtunwali and tourism in Afghanistan

The Afghan people are shrouded in rumor, myth and superstition. Drawing upon insights from military personnel, intelligence operatives, journalists and others, this study uses Social Exchange Theory (SET) to frame our understanding of their underpinning cultural code, the Pashtunwali. The study contributes both theoretically and empirically: The nature of the Pashtunwali highlights that SET cannot adequately frame some cultural exchange practices and a hybrid framework for negotiated and reciprocal exchange is presented. Furthermore, contextually, this is the first study that explores a code of hospitality through a social exchange lens to explore potential tourism development. A framework exists upon which commercial activity can be built without altering beliefs, social dynamics or day to day pursuits. For commercial development to be successful, it must yield similar or greater levels of income to those that currently exist, more importantly, traditions of autonomy and self-dependence will affect employment and training within an emergent tourism industry