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The insulin pump has opened a whole new world for people with diabetes­­more flexibility in what and when they eat and better blood sugar control, too. Smart Pumping integrates this new successful technology with the physical and psychological aspects of diabetes care, and helps patients adopt the insulin pump into their self-care regime. This book combines a comprehensive medical approach toward intensive diabetes management and pump therapy with a patient-centered appreciation of the real-life challenges and frustrations. Howard Wolpert, M.D., is an instructor in medicine at the Harvard Medical School Joslin Diabetes Center and is also in charge of the pump clinic there. He has written extensively on the use of insulin pumps.
Based on U.S. measuring scales, this handbook covers: why, when and how to use an insulin pump; calculating daily doses, basal rates and boluses; using Humalog in a pump; carbohydrate counting and factors; pattern recognition; safe control of high and low blood sugars; pump use for children, teens and during pregnancy, and more.
An Insightful Examination of Smart Water Systems and Technology Inland water supplies are under increasing pressure. Climate, social, and demographic change have begun tipping the balance toward demand management, as supplies begins to dwindle. Water and wastewater infrastructure will play a central role in the management of this increasingly valuable resource, and Smart Water Technologies and Techniques: Data Capture and Analysis for Sustainable Water Management provides insight on a key part of the solution. Smart water applications optimise the way water and wastewater services are used, allowing more efficient allocation of limited resources while adding flexibility to the system. Automation, real-time data capture, and rapid interpretation allow utilities and users to monitor, manage, and act on the part of the water cycle that matters to them, minimizing costs of providing service through optimal use of extant assets. This book brings together the core principles, key developments, and current state-of-the-art into a single resource that: Considers smart water within operational, economic, policy, and regulatory contexts Provides a comprehensive overview of the smart water concept and the latest advances in the field Examines key considerations and objections raised to date Discusses the potential value of smart water, from perception to policy Shows how smart water systems can optimize efficiency and flexibility of water and wastewater management Explores future directions for smart water development in the pursuit of balanced supply and demand Although primarily designed for water supply and sanitation, smart water systems may be applied to irrigation, reservoir and dam management, inland water flows, and more, making it a valuable asset as water scarcity begins to spread around the globe. This book answers the questions, assuages concerns, and explains the technology that could revolutionize the way water is accessed and supplied.
Scientific and Technical Report No. 24 Performance-Based Contracts (PBC) for Improving Utilities Efficiency: Experiences and Perspectives is a compendium of articles written by members of the PBC taskforce. It focuses on new approaches without delegated management to private operator i.e. service contracts, consulting contracts, Alliance approach, public-public partnership. It also mentions new design and generation of more traditional PPPs, (MC, lease, concession), where a larger proportion of performance-based design is being applied. List of Contents: Performance Based Contracts – Setting the scene; PBC and Results Based Financing: the inverse approach; PBC and Energy Efficiency; Internal Performance Contracts: A Case of the National Water and Sewerage Corporation in Uganda; Performance-Based Service Contracts in Navi Mumbai; Financial Comparison of PBCs and Conventional Approach; Tegucigalpa PBC Case Study; Performance Based Contracts – Key Design Issues; NRW Reduction Optimization Framework; How to improve water services performance? Performance Based Contracts (PBC) and Regulatory issues; Peer-to-Peer Partnerships Operational for sustainable water services; Performance Based Contracts in Malawi: Teamwork Works; Performance based affermage contracts; Performance based Contracts, The Aroona Integrated Alliance Experience; Experience from Eastern Europe; NRW Performance Contract – Kingdom of Bahrain; The way forward and perspectives/trends
Everything you need to know for success on a smart pump. Comprehensive guide to using smart pump features like bolus on board (BOB), duration of insulin action, carb and correction factors. Clear, logical explanations of what to do and how to do it. Dozens of clever pump tricks and new pump concepts. If you are considering a pump or already on one, you definitely want to read this book!
The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.
Since the 1980s, attention has increased in the research of fluid mechanics due to its wide application in industry and phycology. Major advances have occurred in the modeling of key topics such Newtonian and non-Newtonian fluids, nanoparticles, thermal management, and physiological fluid phenomena in biological systems, which have been published in this Special Issue on symmetry and fluid mechanics for Symmetry. Although, this book is not a formal textbook, it will be useful for university teachers, research students, and industrial researchers and for overcoming the difficulties that occur when considering the nonlinear governing equations. For such types of equations, obtaining an analytic or even a numerical solution is often more difficult. This book addresses this challenging job by outlining the latest techniques. In addition, the findings of the simulation are logically realistic and meet the standard of sufficient scientific value.
The twenty-first century could be called the 'Multifunctional Materials Age'. The inspiration for multifunctional materials comes from nature, and therefore these are often referred to as bio-inspired materials. Bio-inspired materials encompass smart materials and structures, multifunctional materials and nano-structured materials. This is a dawn of revolutionary materials that may provide a 'quantum jump' in performance and multi-capability. This book focuses on smart materials, structures and systems, which are also referred to as intelligent, adaptive, active, sensory and metamorphic. The purpose of these materials from the perspective of smart systems is their ability to minimize life-cycle cost and/or expand the performance envelope. The ultimate goal is to develop biologically inspired multifunctional materials with the capability to adapt their structural characteristics (such as stiffness, damping and viscosity) as required, monitor their health condition, perform self-diagnosis and self-repair, morph their shape and undergo significant controlled motion over a wide range of operating conditions.
In a clear and concise style, the extensively revised Putting Your Patients on the Pump offers physicians, nurse practitioners, physician assistants, clinicians, and educators experience and practical guidance on how to help patients successfully manage their diabetes using an insulin pump. Ten chapters provide an in-depth description of insulin pump therapy advantages and disadvantages, pump and infusion set options and selection, pump candidate basics, getting the patient ready, pump start-up, pump therapy management, other considerations (e.g., dining out, alcohol, exercise and physical activity, intimacy, managing sick days, stress, travel, weight change, menses and menopause, pregnancy, pediatrics, and older patients), resources, tips from pump experts, and insulin pumps of the future. Filled with checklists and step-by-step instructions, Putting Your Patients on the Pump is the ideal resource for health care professionals with expertise in diabetes care who wish to successfully start and maintain diabetes patients on insulin pump therapy.
Diabetes affects over 29 million United States citizens and is the 7th leading cause of death, accounting for 23.9 per 100,000. Proper nursing care of the patient with diabetes is critical to the patient’s wellbeing. The treatment of diabetes has been changing rapidly. The articles in this issue cover statistics, pathophysiology, and the current treatment recommendations written in a very practical manor for the bedside or clinic nurse who is not up to date on the latest recommendations and is not an expert in diabetes management. Cecelia Leveque has assembled top authors to write aritcles on the following topics: Review of 2017 Diabetes Standards of Care; Management of Type 1 Diabetes; Management of Type 2 Diabetes; Non-insulin Diabetes Medications; Insulin therapy; Pre-Diabetes; Management of Lipids in Patients with Diabetes; Management of Hypertension in Patients with Diabetes; Insulin Pump Therapy; Hypoglycemia in Patients with Diabetes; Outpatient Diabetes Education; Chronic Kidney Disease in Patients with Diabetes; Management of Children with Diabetes; and Management of Diabetes in Rotating Shift Workers.