A single-entry model and wait time for hip and knee replacement in eastern health region of Newfoundland and Labrador 2011–2019

Background A single-entry model in healthcare consolidates waiting lists through a central intake and allows patients to see the next available health care provider based on the prioritization. This study aimed to examine whether and to what extent the prioritization reduced wait times for hip and knee replacement surgeries. Method The survival regression method was used to estimate the effects of priority levels on wait times for consultation and surgery for hip and knee replacements. The sample data included patients who were referred to the Orthopedic Central Intake clinic at the Eastern Health region of Newfoundland and Labrador and had surgery of hip and knee replacements between 2011 and 2019. Result After adjusting for covariates, the hazard of having consultation booked was greater in patients with priority 1 and 2 than those in priority 3 when and at 90 days after the referral was made for both hip and knee replacements. Regarding wait time for surgery after the decision for surgery was made, while the hazard of having surgery was lower in priority 2 than in priority 3 when and indifferent at 182 days after the decision was made, it was not significantly different between priority 1 and priority 3 among hip replacement patients. Priority levels were not significantly related to the hazard of having surgery for a knee replacement after the decision for surgery was made. Overall, the hazard of having surgery after the referral was made by a primary care physician was greater for patients in high priority than those in low priority. Preferring a specific surgeon indicated at referral was found to delay consultation and it was not significantly related to the total wait time for surgery. Incomplete referral forms prolonged wait time for consultation and patients under age 65 had a longer total wait time than those aged 65 or above. Conclusion Patients with high priority could have a consultation booked earlier than those with low priority and prioritization in a single entrance model shortens the total wait time for surgery. However, the association between priority levels and wait for surgery after the decision for surgery was made has not well-established.

ONE DIMENSIONAL MODELLING FOR PULSED FLOW TWIN-ENTRY TURBINE

One-dimensional (1D) modelling is critical for turbomachinery unsteady performance prediction and system response assessment of internal combustion engines. This paper uses a novel 1D modelling (TURBODYNA) and proposes two additional features for the application to a twin-entry turbocharger turbine. Compared to single-entry turbines, twin-entry turbines enhance turbocharger transient response and reduce engine exhaust valve overlap periods. However, out-of-phase high frequency pulsating pressure waves lead to an unsteady mixing process from the two flows and pose great challenges to traditional 1D modelling. The present work resolves the mixing problem by directly solving mass, momentum and energy conservation equations during the mixing process instead of applying constant pressure assumption at the limb-rotor joint. Comparisons of TURBODYNA and an experimentally validated CFD suggest that TURBODYNA can not only provide a very good agreement on turbine performance, but also accurately capture unsteady features due to flow field inertial and pressure wave propagation. Levels of accuracy achieved by TURBODYNA have proved superior to traditional 1D modelling on turbine performance and the generality of the current 1D modelling has been explored by extending the application to another turbine featuring distinct characteristics.

Reciprocity without reciprocal pronouns

In this paper, I claim that reciprocity consists of three independentsemantic components, namely (i) the distributivity component, (ii) the anaphoricitycomponent and (iii) the disjointness component. I show that a distributor sorezorein Japanese induces a reciprocal reading when the configuration between sorezoreand its antecedent violates Condition B. Adopting the plural dynamic semanticframework (van den Berg 1996; Nouwen 2007; Brasoveanu 2007: among others), Ipropose that the co-reference condition of sorezore is collectively evaluated, but itsscope domain is distributively evaluated. As a result, sorezore and its antecedentare co-referential at the level of plural individuals, but disjoint at the level ofatomic individuals, deriving a reciprocal reading. This suggests that the disjointnesscondition is not hard-wired in the semantics of sorezore. I further discuss otherreciprocal strategies in Japanese and in other languages and suggest that distributivityand anaphoricity are not always encoded to a single entry, either.

Teocentrismo, Antropocentrismo y Contabilidad: de la Edad Media al Renacimiento

The change in the accounting method from single entry to double entry in the 15th century has been tried to explain by the influence of some different issues such as the appearance of capitalism or by the contact of Italy with other peoples. However, none of them has been able to do so satisfactorily. That is why this work, tries to show how this accounting change could be pushed by a paradigm shift: the philosophical and religious perception of the world and its passed from the Middle Ages to the Renaissance. It will be seen using a qualitative methodology which helps to know how the methods of charge and discharge and double entry respond to the prevailing ways of thinking in which they developed. The first one, can be associated with a Theocentric thought, typical of the Middle Ages, and the second one, double entry bookkeeping, philosophical viewpoint that are the are the most important entity in the world, which is characteristic of the Renaissance. El cambio del método contable de la partida simple a la doble en el siglo XV se ha intentado explicar por la influencia de diferentes factores como la aparición del capitalismo o por el contacto de Italia con otros pueblos. Sin embargo, ninguno de ellos aisladamente, lo ha podido hacer de forma satisfactoria. Por lo tanto, utilizando una metodología cualitativa, este trabajo intenta arrojar luz indagando cómo este cambio contable se pudo deber a un cambio en la percepción filosófica y religiosa del mundo, al pasarse de la Edad Media al Renacimiento. Se verá cómo los métodos del cargo y descargo y de la partida doble responden a las formas de pensamiento imperantes en el que se desarrollaron. En consecuencia, que partida simple se puede asociar a un pensamiento Teocéntrico, propio de la Edad Media, y que la partida doble se puede relacionar con el Antropocéntrico característico del Renacimiento.

Assessing the financial result at the early development phase of the accounting methodology

Subject. The article discusses methods and techniques for assessing the financial result at the early development phase of the accounting methodology. Objectives. The study is intended to find the evidence of the evolutionary coherence of methods and techniques used to assess the financial result through the single-entry and double-entry bookkeeping. Methods. I combined the analysis and synthesis, induction and deduction, the historical and logic methods of research. Results. I proved the existence of two methods for assessing the financial result through the single-entry accounting. As part of the first one, the financial result is assessed in accounts (first of all, the account of goods and account of payables). As part of the second one, the financial result is assessed by comparing the value of property, which is not encumbered with debts (net property) as of the beginning and end of the accounting period. To do so, the opening and closing inventory lists are compared. Illustrating the balance prepared by J. Gottlieb, I show the coherence of methods and techniques for assessing the financial result through the single-entry and double-entry bookkeeping methodology. Conclusions. The article presents two methods for assessing the financial result through the single-entry method and shows the relationship of methods used to determine the financial result in the single-entry and double-entry methods. In the single-entry and double-entry bookkeeping, the economic substance of the financial result was found to have been interpreted as a growth in net assets for a certain period. The findings are applicable to explain the nature of the financial result, define it and develop the accounting methodology for assessing the financial result.

Genetic Diversity Analysis for Yield Associated and Quality Traits in Promising Rice Varieties of Tamil Nadu

An experiment was conducted with 55 rice varieties to assess the genetic diversity by using Mahalanobis D2 Statistical and characterization of genotypes using principal component analysis. All genotypes exhibited a wide and significant variation for 19 traits, by cluster analysis grouped into ten clusters. The maximum genotypes were included in Cluster 6 (16) followed by cluster 4 (10), cluster 3 (8), cluster 2 (7), cluster 5 (5), cluster 8 (4), cluster 1 (2), with 29.09, 18.18, 14.54, 12.72, 9.09, 7.27 and 3.63 proportion respectively, the rest of three clusters had one genotype each. Maximum cluster distance obtained between cluster×constituted by single entry (Pusa Basmati) showed highest inter cluster distance from cluster V (20727.37), VII (18414.79), I (17228.89) and cluster III (17010.24) are having very high inter cluster distance and also by cluster IX from cluster VIII (8852.36), VI (7559.67), I (7444.68) and cluster VII (6666.83) followed by cluster VI from cluster V (6225.95). The lowest inter cluster distance was observed between cluster II and cluster IV III and VI followed by between cluster I and cluster VIII, XI, II, VI and cluster IV. The intra cluster D2 values ranged from Zero (Cluster VII, IX, X) to 2233.91 (Cluster VIII). Contribution of amylose content was highest towards genetic divergence (23.43%) by taking 348 times ranked first followed by days to 50% flowering (23.37%) by 347 times, single plant yield (23.3%) by 346 times. The PCA analysis showed that first eight principal components accounted for about 85.4%.

The history of accounting in China

Subject. This paper examines the history of accounting in China, describes the main characteristics of its development in different periods of time and the prospects for its further development. Objectives. The paper aims to consider the history of the development of accounting in China. Methods. For the study, I used analysis, synthesis, and other general scientific methods. Conclusions. Accounting in China has undergone an evolutionary path of development from simple to complex, from ancient to modern, from single-entry bookkeeping to double-entry bookkeeping under the influence of various factors: economic, political, legal, social, cultural, and technological. According to the characteristics of development, the history of accounting can be divided into three main stages: accounting in Ancient China, accounting in the new period, and accounting in modern times. In different eras, accounting had different time characteristics. Accounting must get adapted to the needs of modern society and get improved along with its socioeconomic development.

Experimental assessment of the rotor outlet flow in a twin-entry radial turbine by means of Laser Doppler Anemometry

The current paper presents the validation of some hypotheses used for developing a one-dimensional twin-entry turbine model with experimental measurements. A Laser Doppler Anemometry (LDA) technique has been used for measuring the axial Mach number and for counting the number of particles downstream of the rotor outlet. These measurements have been done for different mass flow ratio (MFR) and reduced turbocharger speed conditions. The flow coming from each turbine entry does not fully mix with the other within the rotor since, downstream of the rotor, they can still be differentiated. Thus, the hypothesis of studying twin-entry turbines as two separated single-entry turbines in one-dimensional models is corroborated. Moreover, the rotor outlet area corresponding to each flow branch has linear trends with the MFR value. Therefore, the rotor outlet effective area used for one-dimensional models should vary linearly with the MFR value.

Based on AHP to Discuss Critical Factors in Open Government Data

The expansion of the government has the role definition and administrative category become more complicated. Meanwhile, the government controls the capacity and power to collect huge domestic national data, whose quantity and quality possessed by the government far exceed those controlled by private enterprises, organizations, and individuals. Along with the boom of digital technology and Internet, the emerging brand-new service depends on huge open government data. The questionnaire for this study is randomly distributed to the mass society in southern Taiwan to understand the weights of factors in the mass society. Total 300 copies of questionnaire are distributed, and 271 valid copies are retrieved, with the retrieval rate 90%. The research results reveal that political and social is mostly emphasized among dimensions in Hierarchy, followed by technical and economic and top five indicators, among 15, are ordered public license, single entry, governance transparency, data resolution, and data reuse. According to the results, discussion and suggestions are proposed, expecting to help the government further legislates for simplifying the openness process, reduce costs or commercial data use, and promote domestic competitiveness.