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Optimal disease management can be achieved only through the partnership and active participation of a knowledgeable, motivated patient and staff Research regarding several aspects of the patient practitioner relationship and their relationships to adherence and health outcomes are reviewed in the following section Patient Participation In accordance with ndings in other chronic illness populations (Garrity, 1981), it has been suggested that by increasing patients participation and responsibility in their care, motivation for adherence and disease management may be enhanced (Green eld, Kaplan, Ware, Yano, & Frank, 1988) Several studies have sought to empirically examine the effects of the patients level of involvement in the patient-practitioner.

Stress Since the seventeenth century, psychological stress has been suspected to be a psychosomatic factor involved in diabetes. In the twentieth century, clinical observation and anecdotal evidence gave way as Walter Cannon (1941) introduced the experimental study of the effects of stress on diabetes with his research on stress-induced hyperglycemia in normal cats. A detailed review of the literature on stress and diabetes is beyond the scope of this chapter (see Evans, 1985; Surwit & Williams, 1996); however, we include a brief review of the research linking stress and the development and management of type 1 and type 2 diabetes.

Remove the checkmark from the Allow Web sites to install software box. Place a checkmark in the Load Images box. Uncheck the Enable Java box.

Jump to 33 and learn about CSS absolute-positioning tricks. Proceed to 31 to learn about using CSS to define fonts.

Once you understand the business at hand, just go and construct a few dashboards for others to critique. It is easier to throw darts at a target than a blank wall. Jonathan Rothman

Click the Start button in the lower-left corner of Windows. Click the Control Panel. (If you don t see this option, then your Start menu is in classic mode. In that case, click Settings, and then select the Control Panel.) If the Control Panel is in category view, click the Appearance and Themes category, and then click the Folder Options icon. If the Control Panel is in classic view, simply double-click the Folder Options icon. A window opens. Click the Of ine Files tab. If you want to use of ine les but haven t yet enabled this feature, then click Enable of ine les. Put a checkmark in the Encrypt of ine les to secure data box (see Figure 18-10).

Get thee to http://xmlrpc.com/ and you ll see that Extensible Markup Language Remote Procedure Calls (XML-RPC) is a specification that enables different applications to talk to each other by throwing chunks of XML at each other. XML might seem to be quite a verbose way of doing it, but it does have a few advantages: it compresses easily, it s simple to use and debug, and should be if the application designer is sensible pretty much self-explanatory whenever you see a new call.

The factor (multiplier) of 0.5674 was obtained from Exhibit 12.4 on the year-5 line under the 12 percent column. The factors in Exhibit 12.4 are based on the assumption that the money is all received in a lump sum on the last day of the year. This is not normally the case in reality, since outflows of cash for expenses (e.g., wages, supplies, and maintenance) occur continuously or periodically throughout its life and not just at the end of each year. Although continuous discounting is feasible, for most practical purposes the year-end assumption, using the factors from Exhibit 12.4, will give us solutions that are acceptable for decision making. For a series of annual cash flows, one simply applies the related annual discount factor for that year to the cash inflow for that year. For example, a cash inflow of $1,000 a year for each of three years using a 10 percent factor will give us the following total discounted cash flow: Year 1 2 3 Factor 0.9091 0.8264 0.7513 Amount $1,000 1,000 1,000 Total $ 909.10 826.40 751.30 $2,486.80

Example 14.2.1 (A sequence of n zeros) If we assume that the computer knows n, a short program to print this string is

$2,280,000