Doctors, who have been pushed to accept less to deliver care and assume more of the risk of unexpected spikes in medical costs, may not be willing - or able - to provide care under these terms.

This works by looking for unexpected spikes in crankshaft speed, as caused when the rear wheel suddenly loses grip, and when it detects them it retards the ignition to reduce power.

An unexpected spike in an important inflation warning signal that tracks labor costs spooked financial markets yesterday, overshadowing a separate Government report that showed the robust American economy took a breather in the spring.

There were allegations in a dossier that several matches, including eight at Wimbledon, were under suspicion of being fixed by professional gambling syndicates after bookmakers noted unexpected spikes in betting patterns.

Would there be a case or mixing both methods--having a core on-site server center, and contracting with Amazon for the unexpected spikes?

Now drivers, with the unexpected spike in gasoline prices, drivers are feeling the pinch again.

She likened the terrorist attack to an unexpected spike in crime: with the right police tactics, she told herself, the problem could be brought under control.

But rather than an unexpected spike in such incidents, they are a reflection of a morbid fact of life in New Jersey.

The Riviera's Web site discloses the fee when an online reservation is made, citing the reason as an "unexpected spike in Nevada energy prices."

One disclosed a worrying drop-off in sales while the other warned of an unexpected spike in costs.