alpha-1 antitrypsin deficiency-related liver disease of the European Reference Network (ERN) "Rare Liver" and the European Association for the Study of the Liver (EASL) registry group "Alpha-1 Liver,

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With the increase in large-scale cruise tourism worldwide, researchers have highlighted the inauthenticity of the cruise experience and the reconstruction of space. This research deals with new aspects: fast tourism through time-space compression, and the formation of enclosed, customized ‘tourist bubbles’ that confine the tourists and promote a constructed authenticity of the experience on-shore. The second aim is to advance applied research in slower cruise excursions, especially in emerging cruise destinations. The research is based on extensive field work conducted during nine cruise-excursions to the sand desert and an oasis in the Sultanate of Oman. Oman is in the early stages of developing mega-cruise tourism while having received little attention in tourism research. For this study, in-depth interviews were conducted with German-speaking cruise tourists, cruise employees as well as with local cultural brokers and the Minister of Tourism. Moreover, participant observation, travel ethnography and photography were applied. Results indicate while moving from one customized ‘tourist bubble’ to the next one, time is controlled and enhanced through fast modes of transportation and a tight schedule of the excursion. The tourists and their cultural brokers are ‘contained’ in time and space, while some are struggling for more authentic experiences. They are shielded off from the local environment, ‘grazing’ destinations within a short time.

This article examines the ethics of tourism and cross-cultural communication between Western tourists and the local community in a Muslim country. Communicating with people who have different value systems and communication styles can contribute to various "culture shock situations" and to an increase in stereotypes and "stigma." The main goal of this research is to analyze the dress behavior of cruise tourists, applying the concept of "mindfulness" and secondly to analyze the voices and values of the resident community and of other tourists. Any apparent contradictions will be identified between local values, pretravel information, media social constructions, and tourist dress behaviors, and suggestions will be proposed about how to avoid culture shock situations. Two questionnaire surveys were conducted with German-speaking cruise tourists visiting two different destinations in the Sultanate of Oman during 2012 (N = 830) and 2013 (N = 235). In addition, in-depth interviews were conducted with members of the local community and cultural brokers as well as with tourists, onboard tour guides, and an onboard pastor. Moreover, government officials and the Assistant Grand Mufti were interviewed and pretravel information was studied. The results indicate that a mindless dress behavior has been facilitated by the type of information that is provided prior to travel and by cultural brokers, both on shore and on board, who do not make explicit reference to local dress codes. This approach promotes a concept of tolerance towards the tourist and an "accommodationist" and "laissez faire" attitude. On the other hand, tourist dress behaviors can be seen as a reflection of the posttourist, who is seeking individual authenticity and freedom. For the local community the increase in the number of mindless cruise tourists exceeds the level of acceptable tolerance in both places and has created "culture shock" situations. This research fills a major gap in applied research on the cruise tourist behaviors in a Muslim country and on crosscultural communication.

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