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Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Quality Assurance01:19

Quality Assurance

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Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
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Modeling and Similitude01:12

Modeling and Similitude

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Scaled modeling is a fundamental technique in engineering, enabling the study of large and complex systems by creating smaller, manageable replicas that recreate critical characteristics of the original. In hydrology and civil infrastructure, for example, scaled models of dams help analyze water flow, turbulence, and pressure. This method allows for accurate predictions of real-world behavior within a controlled environment, significantly reducing the cost and time involved in full-scale...
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Testing Water Quality01:14

Testing Water Quality

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When the quality of water for concrete preparation is uncertain, its impact on the setting time of cement and compressive strength of mortar is assessed by comparison with de-ionized or distilled water benchmarks. American Society for Testing and Materials (ASTM) C1602 requires the setting times to be within 90 minutes of the control, British Standard (BS) 3146:1980 allows a 30-minute variance in the initial setting, while British Standards European Norm (BS EN) 1008 specifies initial setting...
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Reliability and Validity01:29

Reliability and Validity

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Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
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Testing a Claim about Standard Deviation01:19

Testing a Claim about Standard Deviation

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A complete procedure to test a claim about population standard deviation or population variance is explained here.
The hypothesis testing for the claim of population standard deviation (or variance) requires the data and samples to be random and unbiased. The population distribution also must be normal. There is no specific requirement on the sample size as the estimation is based on the chi-square distribution.
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Related Experiment Video

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Development of a Virtual Reality Assessment of Everyday Living Skills
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The Kelowna Diabetes Program: Bridging the Gap Between Testing Guidelines and Reality.

Duncan Innes1, David Cameron1, Andrew Farquhar2

  • 1Valley Medical Laboratories, Kelowna, British Columbia, Canada.

Canadian Journal of Diabetes
|April 9, 2016
PubMed
Summary

A diabetes management program improved lab testing frequency and metabolic control for participants. This initiative supports self-management by providing direct access to laboratory results for patients and physicians.

Keywords:
Clinical practice guidelinesLignes directrices de pratique cliniquechronic disease managementdirect reporting to patientsprise en charge du diabète par le patientprise en charge à long termerésultats donnés directement aux patientsself-management of diabetessoins diabétologiques assistéssupported diabetes care

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Area of Science:

  • Endocrinology
  • Public Health
  • Laboratory Medicine

Background:

  • Canadian Diabetes Association (CDA) practice recommendations guide optimal diabetes care.
  • Effective laboratory testing is crucial for monitoring and managing diabetes.
  • Direct patient and physician access to results can enhance self-management.

Purpose of the Study:

  • To describe a laboratory-based program designed to improve adherence to CDA testing recommendations.
  • To assess the program's impact on testing frequency and metabolic control in people with diabetes.
  • To support diabetes self-management through direct provision of laboratory results.

Main Methods:

  • Description of a laboratory-based program in the Central Okanagan, British Columbia.
  • Inclusion of data from an uncontrolled case series.
  • Analysis of program registration and physician participation rates.

Main Results:

  • High program registration (69%) and physician participation (98%) achieved.
  • Program participants demonstrated higher testing frequencies compared to non-participants and BC residents with diabetes.
  • Participants showed better achievement of CDA targets for HbA1c, LDL cholesterol, and systolic blood pressure.

Conclusions:

  • A laboratory-based program can improve testing frequency and metabolic control in diabetes patients.
  • Direct provision of test results empowers patients in self-management.
  • Further independent studies are underway to compare clinical outcomes with control communities.