Health care costs in the United States are rising at an extraordinary rate. The escalation has been attributed to a variety of factors, including the managed-care backlash, consumer choice, consumerism in an aging society, and insufficient competition in the health care industry. In addition, anecdotal evidence suggests that regulatory control may be a significant driver of health care costs. I...

Market competition and the rise of managed care are transforming the healthcare system from a physician-dominated cottage industry into a manager-dominated corporate enterprise. The managed care revolution is also undermining the safe-guards offered by medical ethics and raising serious public concerns. These trends highlight the growing importance of ethical standards for managers. The most co...

The unique demands of exercise and competition can predispose diabetic athletes to harmful complications. A basic understanding of glucose metabolism during exercise, nutritional adequacy, blood glucose control, medications, and management of on-field complications is important for medical personnel who care for diabetic athletes on a daily basis. Diabetic athletes are best managed by "individu...

SOFTWARE IS THE number-one decisive competitive factor in the automotive industry. Innovations such as driver-assistance systems and energy-efficient driving require complex solutions with complex software functionality. Not only must the growing complexity be managed, but also safe behavior must be ensured. Global competition and fast release cycles enforce continuous efficiency improvement an...

Competitive pressure demands that companies constantly strive to catch up to world class manufacturing performance and practice. Continuous change is a mode of competition for many companies [1]. This is a departure from the punctuated equilibrium model of change in which change is event triggered. This paper reports on exploratory studies from a multinational company adopting centrally managed...

The Internet Domain Name System (DNS) is a hierarchical name space that enables the assignment of unique, mnemonic identifiers to Internet hosts and the consistent mapping of these names to IP addresses. The root of the domain name system is the top of the hierarchy and is currently managed by a quasi-private centralized regulatory authority, the Internet Corporation for Assigned Names and Numb...

Countries of the Asia-Pacific region have adopted a variety of structural and regulatory reforms in the telecommunications sector for two reasons: (1) to promote the development of the industry, expanding basic service availability and (2) to further enhance the infrastructure, providing greater diversity of advanced telecommunications services. Where the Asia-Pacific region departs from the ot...