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Stabilize Benefit Costs through Increased Cost Sharing with Employees. Challenge: Action: Undertake a comprehensive restructuring of our health benefits. We increased employee contributions for health care and dental benefits. We increased our co-pays for both medical appointments and medicine. We made sure employees knew about our opt-out policy, where we pay a small amount in each paycheck to those who get their medical coverage elsewhere. Finally, we decided to self-fund our dental plan. Altogether, we budgeted for approximately $300,000 in savings because of these changes last year. Controller, manufacturing, 600 employees, Illinois.

It is not just repeat business from one IP address that is worth monitoring; almost all customer behaviour whilst accessing an on-line shop or service can be of value. Although we have tended to concentrate on Web server statistics, because they are commonly gathered and understood, there is no reason why other sources of shopping behaviour cannot be analysed in the same way. User behaviour can also be monitored on the client (the

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11 Shih Ie M, Kurman RJ Ovarian tumorigenesis: a proposed model based on morphological and molecular genetic analysis Am J Pathol 2004;164:1511 1518 12 Bell DA Origins and molecular pathology of ovarian cancer Mod Pathol 2005;18(suppl):S19 S32 13 Koonings PP, Campbell K, Mishell DR Jr, Grimes DA Relative frequency of primary ovarian neoplasms: a 10-year review Obstet Gynecol 1989;74:921 926 14 Rapkiewicz AV, Espina V, Petricoin EF III, Liotta LA Biomarkers of ovarian tumours Eur J Cancer 2004;40:2604 2612 15 Murta EF, Nomelini RS Early diagnosis and predictors of malignancy of adnexal masses Curr Opin Obstet Gynecol 2006;18:14 19 16 Woolas RP, Xu FJ, Jacobs IJ, et al Elevation of multiple serum markers in patients with stage I ovarian cancer J Natl Cancer Inst 1993;85:1748 1751 17 Jacobs I, Davies AP, Bridges J, et al Prevalence screening for ovarian cancer in postmenopausal women by CA 125 measurement and ultrasonography.

Until relatively recently, fashion had always been litist and was used by its adopters to show that they were above the common people. Even the inventions of the eighteenth and nineteenth centuries; the spinning jenny, the water frame and the sewing machine have not had as great an effect on the market as have cultural changes and the explosion of the media during the twentieth century.

The primary prevention of eating disorders within a health promotion perspective is paradoxical as it is best not to have eating disorders at the focus This is because the disease prevention paradigm can have negative effects such as giving information about eating disorders to healthy people who do not want it, and the risk of planting unhealthy ideas into vulnerable people Also, any model must take into account the irrationality of the mind and our decision making, the complexity of the information forces in the multimedia society, as well as the complexity of eating disorders per se Rather, a health promotion perspective on primary prevention puts eating disorders in a wider context by including the complex mix of risk and resilience factors.

The challenge facing the modern organization is finding the correct balance between coherence and agility. The object of this book is to help organizations solve this puzzle and find that balance. Later in the book, we examine the answers that have already been found for the increasing demands for both agility and coherence. Because these answers focus on only one side of the scale (either agility or coherence), there is no answer yet for how to achieve a continuing balance between the two forces. Therefore, the lion s share of this publication will be dedicated to providing an answer to this urgent question. As a first step, the idea of Dynamic Architecture must be introduced and developed into a practical model. This model, by keeping agility and coherence in balance, helps utilize IT to such an extent that its full potential in helping to achieve business objectives will be realized.

BMJ 1993;306:1030 1034 18 Bast RC, Jr, Badgwell D, Lu Z, et al New tumor markers: CA125 and beyond Int J Gynecol Cancer 2005;15(suppl):274 281 19 Zhang Z, Yu Y, Xu F, et al Combining multiple serum tumor markers improves detection of stage I epithelial ovarian cancer Gynecol Oncol 2007;107:526 531 20 Visintin I, Feng Z, Longton G, et al Diagnostic markers for early detection of ovarian cancer Clin Cancer Res 2008;14:1065 1072 21 Campbell S, Bhan V, Royston P, Whitehead MI, Collins WP Transabdominal ultrasound screening for early ovarian cancer BMJ 1989;299:1363 1367 22 Fishman DA, Cohen L, Blank SV, et al The role of ultrasound evaluation in the detection of earlystage epithelial ovarian cancer Am J Obstet Gynecol 2005;192:1214-1222; discussion 1221 1222 23 Olivier RI, Lubsen-Brandsma MA, Verhoef S, van Beurden M.

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