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Trust in a hotel begins with the hotel s establishing a good track record in handling the small details of hospitality ef ciency in processing reservations, registrations, checkout procedures, and in the maintenance of clean and attractive facilities This trust (along with a good room rate and adequate meeting space) increases room sales to small conferences The guest history will also provide information about the method of advertising that helped to secure the reservation and registration (Figure 9-7) If guest histories reveal that a large number of reservations originated with a particular travel or tour agency, then the marketing and sales department will want to maintain a strong relationship with that agency and to develop relationships with other agencies within that particular point of origin as well.

, Bickman, 1987; Chen, 1990) The idea is to construct, based on local program ideas, general social science theory, or both, a kind of theoretical model of program activities, processes, and outcomes This program theory would then be used to help guide the evaluation, such as in the choice of outcome measures (eg, Bickman, 1987; Chen, 1990) Despite the potential usefulness of program theory, theory can also have some undesirable consequences (eg, Greenwald, Pratkanis, Leippe, & Baumgardner, 1986) Using theory to guide evaluation design is unlikely to be harmful if one s theory is fully correct But theories are usually only partially correct at best, and the theory-driven evaluation may exclude important outcome measures that the (imperfect) theory did not specify, ignore possible mediators other than those speci ed in the theory, and fail to search for important moderators of the program s success.

Strong adherence to a program theory can even lead one to misinterpret results or overgeneralize conclusions (Greenwald et al, 1986) In addition, just as formal goals may sometimes be set for public.

FAM (familiarization) tours complimentary visits sponsored by the lodging property that host representatives of travel organizations, bus associations, social and nonpro t organizations, and local corporate traf c managers can produce an increase in future room revenue During these tours, representatives can see rsthand what the property has to offer A lodging property that has a 70 percent corporate client market might also want to review who makes the reservations for these business professionals at the corporate client s of ce The administrative assistant, traf c manager, or executive secretary is probably the person who makes the reservation If this is the case, the lodging establishment.

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report that women with complete SCI experience orgasm in response to genital and nongenital stimulation Changes in heart rate, blood pressure, and arousal were monitored in 16 women with complete SCI and 5 able-bodied women Despite having complete SCIs, the women retained the ability to achieve orgasm and registered physiologic and subjective changes similar to those of the able-bodied women Post-SCI amenorrhea is a common occurrence (Charlifue et al, 1992, Comarr, 1966) and can last an average of ve months With the resumption of the ovulatory menstrual cycle, a woman s ability to conceive also returns However, Charlifue et al found that the greater the level of impairment, the likelihood of having children decreased This nding may possibly be due to women s recognition of the dif culty associated with caring for a child.

Medical problems associated with pregnancy in women with SCI include urinary tract infection (UTI) secondary to incomplete emptying of the bladder, spasticity, decubiti, increased risk of respiratory distress, and autonomic dysre exia, which is the most life-threatening complication Autonomic dysre exia and preeclampsia must be distinguished to provide appropriate treatment Complications associated with the loss of sensation include an absence of awareness of labor However, women with SCI can be taught to recognize sympathetic nervous system symptoms as indicators of labor There do not appear to be increased risks of preterm or rapid labor, nor of mode of delivery in this population (Baker & Cardenas, 1996) Aging and Physiologic Changes The history of spinal cord injury survival in this country provides a good illustration of the process of aging with SCI In the 1940s, the only survivors of spinal cord trauma were individuals with low- to mid-level paraplegia.