119 research outputs found

    Mine bookkeeping: a comprehensive system of records and accounts for mining operations of moderate dimensions

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    This book has been prepared in the belief that a real need exists among engineers and operators for a comprehensive outline of bookkeeping and accounting methods, applicable to the requirements of mining operations of modest size. At the beginning, it can be stated with conviction that neither the perfect system of accounting nor the perfect set of accounts has yet been produced, at least as applied to the mining industry. A timely word of caution is extended to the reader against the too literal acceptance per se of the forms and records as given. Each individual case presents its own set of conditions, to which the records must be adapted, and the various forms should be regarded as suggestive rather than constituting a definite outline to be followed under all circumstances. In the following pages, a knowledge of the principles of simple bookkeeping has been assumed

    Home Healthcare Nurse Knowledge of Palliative Care and Hospice: A Quality Improvement ProjectM

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    This DNP project\u27s objective was to educate home healthcare (HHC) nurses about palliative care/hospice (PC/H) benefits so they can recommend a referral if they believe it would enhance the patient\u27s and family\u27s quality of life. The purpose of the study was to determine if providing additional education to HHC nurses improves their perceptions of palliative care and hospice knowledge. The HHC nurses at one organization were provided with an information sheet, a consent form, demographic inquiries, and a pre-survey and instructed to review an evidence-based educational module. Upon completion of the module, participants were requested to complete a post-survey. After 30 days, a subsequent post-survey was distributed to the participants.The data indicate that the participants acquired knowledge after the initial post-survey and demonstrated retention of the information after 30 days following the second post-survey. The statistical analysis of the mean Likert Scale score indicated significant findings (t=-5.914, p.

    Use of Sensors in the Treatment and Follow-up of Patients with Diabetes Mellitus

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    Glucose control is the cornerstone of Diabetes Mellitus (DM) treatment. Although self-regulation using capillary glycemia (SRCG) still remains the best procedure in clinical practice, continuous glucose monitoring systems (CGM) offer the possibility of continuous and dynamic assessment of interstitial glucose concentration. CGM systems have the potential to improve glycemic control while decreasing the incidence of hypoglycemia but the efficiency, compared with SRCG, is still debated. CGM systems have the greatest potential value in patients with hypoglycemic unawareness and in controlling daily fluctuations in blood glucose. The implementation of continuous monitoring in the standard clinical setting has not yet been established but a new generation of open and close loop subcutaneous insulin infusion devices are emerging making insulin treatment and glycemic control more reliable

    Estimating Plasma Glucose from Interstitial Glucose: The Issue of Calibration Algorithms in Commercial Continuous Glucose Monitoring Devices

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    Evaluation of metabolic control of diabetic people has been classically performed measuring glucose concentrations in blood samples. Due to the potential improvement it offers in diabetes care, continuous glucose monitoring (CGM) in the subcutaneous tissue is gaining popularity among both patients and physicians. However, devices for CGM measure glucose concentration in compartments other than blood, usually the interstitial space. This means that CGM need calibration against blood glucose values, and the accuracy of the estimation of blood glucose will also depend on the calibration algorithm. The complexity of the relationship between glucose dynamics in blood and the interstitial space, contrasts with the simplistic approach of calibration algorithms currently implemented in commercial CGM devices, translating in suboptimal accuracy. The present review will analyze the issue of calibration algorithms for CGM, focusing exclusively on the commercially available glucose sensors
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