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, 1990; Rapin et al, 1994; Rodriguez de Turco, Droy-Lefaix, & Bazan, 1993) For instance, Rapin et al (1994) found Egb 761 to decrease plasma hormone levels such as epinephrine, norepinephrine, and corticosterone Alternatively, in their critical review of 40 controlled trials on Ginkgo and cerebral insuf ciency in humans, Kleijnen and Knipschild (1992) found that only eight trials met criteria of good methodology, with only one showing positive effects compared with placebo on symptoms such as dif culty concentrating, memory problems, confusion, lack of energy, tiredness, depressive mood, anxiety, dizziness, tinnitus, and headaches Similarly, a more recent meta-analysis of more than 50 articles (Oken et al, 1998) found only four studies (Hofferberth,.

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electronic folio is cleared from active memory after checkout, the guest departure will be indicated on all other modules of the system. The front desk clerk does not have to telephone the housekeeper to say that room 203 is vacant; the housekeeper need not spend hours reporting room availability status to the front desk clerks. Backup phone calls are still made for situations for which current information is needed from the maintenance department. The maid or houseman can inform the front desk clerk electronically of room availability status. In addition to informing the food and beverage department of guests who have checked out, other departments where guests can incur charges must be noti ed as well to prevent acceptance of unauthorized guest charges. Other departments, such as gift shops, recreational activity centers, and valet service, will also be noti ed so that a guest who has already checked out will no longer be able to charge a closed account. A system for notifying other departments, perhaps not interfaced in the PMS, of guest checkouts should be a basic operating procedure of the front of ce. The entire communication system between the front of ce and other departments is further enhanced by employees who care about doing their jobs right. Desk clerks will want to ensure that rooms showing a ready-to-be-occupied status are indeed available. Housekeeping personnel must report when rooms are ready to be occupied. Careful screening of job candidates and proper training, which includes an explanation of the importance of maintaining communication with other departments, are vital to smooth operations. When everyone works together, the guest is satis ed, the lodging establishment receives a fair return on its investment, and the employee s career opportunities are enhanced.

The GetChartRange procedure is provided here in Listing 18-1.

Studies indicate that the use of preventive care services is related to the age and sex of the physician, with younger physicians and female physicians more likely to provide preventive services (Clancy, 2000) More speci cally, female physicians are more likely to provide Pap smears and recommend mammography to their patients than male physicians (Franks & Clancy, 1993; Lurie et al, 1993) In a study conducted by Lurie, Margolis, McGovern, Mink, and Slater (1997), physicians and patients were surveyed to see why higher rates of breast and cervical cancer screening occur among female physicians The results indicated that higher rates of screening occur because women prefer female physicians and that female physicians are more concerned about prevention issues Female physicians spent more time per visit with patients than male physicians and were more concerned about prevention issues (eg, smoking, sexual practices, seatbelt use, and cancer screening).

Furthermore, female physicians reported feeling more comfortable performing breast exams and Pap smears, as well as taking a sexual history from women Studies have also revealed that male and female physicians communicate differently with patients Roter, Lipkin, and Korsgaard (1991) analyzed 537 audiotapes of medical visits to evaluate gender differences in communication between physicians and patients Female physicians talked 40% longer than male physicians during the history-taking segment of the visit Likewise, patients of female physicians talked 58% more during the history-taking segment of the visit Female physicians spent more time with patients, and patients of female physicians asked more questions and gave more relevant health-related information Hall, Irish, Roter, Ehrlich, and Miller (1994) conducted a similar study to analyze the relationship between gender and physician/patient communication in a primary care setting Physicians and patients were videotaped during medical visits.