Determinants of tourist satisfaction and intention to return

This study shows that satisfaction tends to lead to intention to return. However, satisfaction is not the only factor determining intention to return. Other factors, such as nearness of the destination to the market, prior experience, sociodemographics, and additional trip characteristics, also play a role. Multiple regression analyses were used to show the factors that determine six different aspects of holiday outcome: satisfaction with three separate accommodation elements (price, service, and standard), overall satisfaction with the accommodation, overall satisfaction with the holiday, and intention to return. Before the series of six multiple regression analyses, factor analyses were performed to condense the many explanatory variables into fewer factors. An important contribution of this study is its analysis of the role of accommodation satisfaction overall, as well as the three separate accommodation elements, for overall satisfaction with the holiday and for intention to return. Satisfaction with the accommodation standard is the most important determinant of accommodation satisfaction, but also satisfaction with price, facilities and service offered play a role for acco-mmodation satisfaction. Overall satisfaction with the accommodation is the main driver for overall satisfaction with the holiday. Repeat visitors and domestic visitors tend to expect to return within three years

Testicular Sperm Sampling by Subcapsular Orchiectomy in Klinefelter Patients: A New Simplified Treatment Approach

ObjectiveTo evaluate subcapsular orchiectomy as a method to retrieve spermatozoa from minute testicular foci in men with Klinefelter syndrome (KS).MethodsFourteen men with KS were consecutively recruited to unilateral subcapsular orchiectomy. Testicular tissue was dissected mechanically and enzymatically to identify possible sperm. Previous testosterone replacement therapy was interrupted for 10 months (range: 9-12 months) to minimize a possible effect on the spermatogenesis. Two men with high estrogen/testosterone ratios were treated with aromatase inhibitor (letrozol, 2.5 mg/d for 3 months) before operation.ResultsTesticular sperm were detected in 5 of 14 KS men giving an overall success rate of 36%. The success rate was 50% (5 of 10 men) after exclusion of the 4 men previous treated with androgen substitution. So far, 3 (21%) clinical pregnancies and 2 live births or ongoing pregnancies (14%) have been obtained. Testicular sperm could not be detected in the 2 men treated with aromatase inhibitor before operation. The maximum operative time was 20 minutes, and none had surgical complications such as pain, fever, or hematomas. The mean testosterone level, measured 1-4 months after orchiectomy, decreased to 72% (7.9 ± 2.4 nmol/L) of the preoperative level.ConclusionSubcapsular orchiectomy appears to be easy and quick compared with conventional microtesticular sperm extraction. However, in this pilot study, it has not been possible to demonstrate pregnancy and live birth rates as high as that reported with microtesticular sperm extraction, and further studies are needed before the procedure should be used routinely for sperm retrieval in patients with KS

Progress on outbound tourism expenditure research: A review

This study aims to identify how the paradigm of outbound tourism expenditure (OTE) research transforms from economic to social concern. It also explicates the evolution of OTE from an advocacy platform to a sustainability platform. This study adopts a hybrid of narrative and systematic reviews to study OTE as a complex social phenomenon. This hybrid review is complemented by a thematic review and semantic network analysis on gaps and future directions of relevant studies. The results reveal that the paradigm of OTE research is directed from economic toward social thinking. This study proposes an application of socially related antecedent configurations, social theories, pragmatic methods, and various scales of study contexts as promising solutions to address the complexity and heterogeneity of OTE. The study concludes that the conceptual structure of OTE is premised on a sustainability platform, which is influenced by socio-cultural, environmental, economic, and political issues. This study provides a road map that enlightens the current state of OTE, prevailing topics, and pathways for further research

Virtual discussions to support climate risk decision making on farms

Climate variability represents a significant risk to farming enterprises. Effective extension of climate information may improve climate risk decision making and adaptive management responses to climate variability on farms. This paper briefly reviews current agricultural extension approaches and reports stakeholder responses to new web-based virtual world ‘discussion-support’ tools developed for the Australian sugar cane farming industry. These tools incorporate current climate science and sugar industry better management practices, while leveraging the social-learning aspects of farming, to provide a stimulus for discussion and climate risk decision making. Responses suggest that such virtual world tools may provide effective support for climate risk decision making on Australian sugar cane farms. Increasing capacity to deliver such tools online also suggests potential to engage large numbers of farmers globally

The low density, hot Jupiter TOI-640 b is on a polar orbit

TOI-640 b is a hot, puffy Jupiter with a mass of $0.57 \pm 0.02$ M$_{\rm J}$ and radius of $1.72 \pm 0.05$ R$_{\rm J}$, orbiting a slightly evolved F-type star with a separation of $6.33^{+0.07}_{-0.06}$ R$_\star$. Through spectroscopic in-transit observations made with the HARPS spectrograph, we measured the Rossiter-McLaughlin effect, analysing both in-transit radial velocities and the distortion of the stellar spectral lines. From these observations, we find the host star to have a projected obliquity of $\lambda=184\pm3^\circ$. From the TESS light curve, we measured the stellar rotation period, allowing us to determine the stellar inclination, $i_\star=23^{+3\circ}_{-2}$, meaning we are viewing the star pole-on. Combining this with the orbital inclination allowed us to calculate the host star obliquity, $\psi=104\pm2^\circ$. TOI-640 b joins a group of planets orbiting over stellar poles within the range $80^\circ-125^\circ$. The origin of this orbital configuration is not well understood.Comment: 15 pages, 12 figures, accepted for publication in A&A, in pres

Fertility, Living Arrangements, Care and Mobility

There are four main interconnecting themes around which the contributions in this book are based. This introductory chapter aims to establish the broad context for the chapters that follow by discussing each of the themes. It does so by setting these themes within the overarching demographic challenge of the twenty-first century – demographic ageing. Each chapter is introduced in the context of the specific theme to which it primarily relates and there is a summary of the data sets used by the contributors to illustrate the wide range of cross-sectional and longitudinal data analysed