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Headache is a clinical syndrome affecting over 90% of the population at some time during their life, resulting in it being considered a major public health issue (Mannix, 2001). It is the seventh leading presenting complaint in ambulatory care in the United States, accounting for about 18 million of ce visits a year (Barrett, 1996). The impact of headache is considerable. For example, it accounts for over 100 million bedridden days per year, costs U.S. employers over $13 billion per year, and signi cantly decreases quality of life, much more so than many other chronic illnesses (Mannix, 2001). Although most headaches are relatively benign, for 1% to 3% of patients the etiology can be life-threatening (Evans, 2001). Consequently, nonphysician practitioners are urged to refer all headache patients to a physician who is experienced with evaluating headache and then to maintain a close collaboration during treatment as necessary. Even after arranging a medical evaluation, the nonphysician therapist must be continually alert for evidence of a developing underlying physical problem. Table 11.1 lists some danger signs that may suggest a need for immediate referral to a physician. This chapter focuses chie y on the two headache types most likely to be seen by nonmedical practitioners migraine, experienced by about 18% of females and 7% of males, and tension-type headache, experienced by about 40% of the population (Mannix, 2001), but provides brief attention to other forms of headache likely to be encountered

This chapter described procedures for processing guest charges and payments in a front of ce that uses a property management system. This process is based on knowledge of basic bookkeeping concepts assets, liabilities, debits, and credits as they apply to the guest ledger and city ledger. Folios, transfers, and paid-out slips provide a communication system to track the charges and payments from the various departments and guests. The interface of the property management system with the point-of-sale was presented as it affects the guest bookkeeping system. Transferring accounting data from the guest ledger and city ledger to the back of ce accounts was also discussed. The importance of adhering to standard operating procedures in processing guest charges and payments for the night audit was emphasized. The preparation of a training program for new front of ce personnel was also mentioned as a way to ensure that this goal is achieved. These operating procedures are essential to maintaining the integrity of the guest s bill and streamlining the bookkeeping process for the hotel.

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be active for transmission and reception of a single packet An application tting this description is that of wireless light switches, in which the lamp itself is mains powered and the switches are battery powered (or powered by the toggling of the switch itself [39]) The power consumption of a receiver is trivial compared to that of the lamp itself, so it remains on at all times; however, the battery-powered switches bene t from the low duty cycle of the ALOHA protocol 8232 CSMA Carrier sense multiple-access (CSMA) algorithms attempt to improve upon the relatively poor channel capacity of ALOHA, by requiring that a device attempting to transmit rst sense (monitor) the channel for any ongoing activity prior to transmission [40].

The specific cost structure of a business is also a major factor influencing pricing decisions Cost structure in this context means the breakdown of costs into fixed and variable ones Fixed costs are those that normally do not change in the short run, such as a manager s salary or insurance expense Variable costs are those that increase or decrease, depending on sales volume An example is food cost A business with high fixed costs relative to variable ones will likely have less stable profits as the volume of sales revenue increases or decreases In such a situation, having the right prices for the market becomes increasingly important In the short run, any price in excess of the variable cost will produce a contribution to fixed costs and net income, and the lower the variable costs, the wider is the range of possible prices.

There are many variations of CSMA, and they have become popular for wireless personal area networks (WPANs), largely because of their distributed nature (no controller is needed), a requirement for ad hoc networks, and for their overall adequate performance The fundamental principle of CSMA that one should check to see that the channel is idle prior to transmission is an old idea, and probably an anthropomorphic one A natural part of human conversation is to pause before speaking, to ensure that the recipient is not already engaged Early manual radiotelegraphic networks operated in a similar fashion, even going so far as to employ what is now called the request-to-send/clear-to-send (RTS/CTS) protocol, to minimize the effect of simultaneous transmissions [41 43] Its use in packet data networks, however, is relatively recent; Kleinrock and Tobagi [ref 40, p 1401 fn] give credit to D.

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