294 research outputs found

    THE IMPACT OF CORPORATE GOVERNANCE ON EARNINGS MANAGEMENT IN ISLAMIC AND CONVENTIONAL BANKS

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    Purpose – This paper aims to examine the association between internal corporate governance and earnings management and to compare earnings management practices in Islamic banks versus conventional banks in the MENA region. Design/methodology/approach – This paper uses an unbalanced panel data of 20 Islamic banks and 100 conventional banks, from eleven countries in the MENA region over the period 2012-2017. Discretionary accruals are used to measure earnings management by estimating loan loss provision. Regression analysis is used to test the hypotheses. Findings – The results indicate that Islamic banks provide fewer earnings management practices compared to conventional banks. Besides, the results show that among the six corporate governance mechanisms studied in this paper only board meetings, board size, and board independence can help in mitigating earnings management for conventional banks. Whereas, for the case of Islamic banks, corporate governance mechanisms have no impact on reducing earnings management. Practical implications – This paper could offer some recommendations for policymakers, regulators, and users of financial statements. The results of this study could assist in improving the monitoring role of the board of directors and understanding the relationship between corporate governance mechanisms and earnings management. Originality/value – This paper contributes by investigating the effect of new mechanisms on earnings management, and by examining earnings management practices in Islamic banks compared to conventional banks in unexamined countries and periods. Keywords Earnings management, Earnings quality, Islamic banks, Conventional banks, Corporate governance mechanisms, Annual reports, MENA region. Paper type Research pape

    Estimation of Yield traits & Correlation in Zea Mays

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    Seven Zea mays genotypes were planted at two sites Aleppo and Edleb which are research centres belongs to the General Commission of Scientific Agricultural research GCSAR northern Syria. Yield traits (ear diameter, ear length, row number per ear-1, grain number per ear-1, thousand grain weight) were studied in order to estimate the variation between genotypes and to between sites and to select the best genotypes concerning studied yield  traits to be applied in maize breeding programs. Results showed that all Studied genotypes of maize had significant differences in yield traits in which both genotypes (Z 263, Z 67) were remarkable in all studied traits like thousand grain weight (391.7, 390.7) g for each of them respectively. Results also revealed that most studied traits were significantly superior in Aleppo comparing to Edleb. Results of correlation showed positively and significantly relations between all studied traits except between each of row number per ear-1 and grain number per ear-1 with thousand grain weight

    LPV Modeling and Control for Active Flutter Suppression of a Smart Airfoil

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    In this paper, a novel technique of linear parameter varying (LPV) modeling and control of a smart airfoil for active flutter suppression is proposed, where the smart airfoil has a groove along its chord and contains a moving mass that is used to control the airfoil pitching and plunging motions. The new LPV modeling technique is proposed that uses mass position as a scheduling parameter to describe the physical constraint of the moving mass, in addition the hard constraint at the boundaries is realized by proper selection of the parameter varying function. Therefore, the position of the moving mass and the free stream airspeed are considered the scheduling parameters in the study. A state-feedback based LPV gain-scheduling controller with guaranteed H infinity performance is presented by utilizing the dynamics of the moving mass as scheduling parameter at a given airspeed. The numerical simulations demonstrate the effectiveness of the proposed LPV control architecture by significantly improving the performance while reducing the control effort

    Impact of timely obstetric simulation on vaginal breech delivery management

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    Background: The management of breech presentations represents a significant challenge in obstetrics, necessitating advanced skills for optimal clinical outcomes. Simulation-based training has emerged as a promising approach to enhance the proficiency of healthcare professionals in assisted vaginal breech deliveries, potentially improving neonatal outcomes. Methods: This research study was conducted at Rafic Hariri University Hospital, Beirut, to evaluate the impact of simulation-based training on the management of breech presentations. Using Robson’s classification, a comparative analysis was performed on the outcomes of breech deliveries before and after the implementation of this training. The focus was primarily on assisted vaginal deliveries within the R6 (all nulliparous women with a single breech baby, cesarean section) and R7 (all multiparous women with a single breech baby, cesarean section) groups. Results: Post-training, there was a notable increase in the rate of assisted vaginal deliveries in the R6 category, indicating the effectiveness of the simulation-based training. However, the rate of assisted vaginal deliveries within the R7 group showed no significant change. Additionally, the positive impact of the training demonstrated a time-sensitive decline, underscoring the necessity for ongoing practice and reinforcement of skills. Conclusions: Simulation-based training offers substantial benefits in managing breech presentations, particularly evident in the increased rate of assisted vaginal deliveries among nulliparous women (R6). However, the absence of change in the multiparous women (R7) group and the time-sensitive reduction in training effectiveness highlight the critical need for continuous skill development and reinforcement

    Intrauterine device is embraced by the placenta

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    The intrauterine device (IUD) is a contraceptive method which are tiny, T-shaped plastic, that is placed within the uterus and left there, is used all throughout the world with more than 99% effectiveness rate. Pregnancy with a levonorgestrel-releasing intrauterine system (LNG-IUS) in situ is very rare. Intracavitary pregnancy with an IUD can lead to a higher risk of infection and preterm birth. We described a case of a live birth with an IUD inserted into the placenta. A 27-year-old Syrian woman in G4P3 with a history of healthy vaginal deliveries arrived in our delivery room at 39+3 weeks gestation complaining of labor pain A vaginal examination revealed bulging membranes and a fully dilated cervix. She delivered a live baby boy, weighing 3100 g and being sent to the nursery with an APGAR score of 9 to 10. When the placenta was examined, a white foreign object that was embedded there was discovered to be an intrauterine device. Although intrauterine pregnancy is a potential problem that must be taken into account, ectopic pregnancy is a reasonably common complication of intrauterine contraceptive devices. Although several studies have shown that term pregnancies with excellent prognoses can occur after the removal of intrauterine devices, close monitoring is necessary to detect misplaced copper-T and prevent undesired births

    An in vitro simulation model to assess the severity of edge loading and wear, due to variations in component positioning in hip joint replacements

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    The aim of this study was to develop a preclinical in vitro method to predict the occurrence and severity of edge loading condition associated with the dynamic separation of the centres of the head and cup (in the absence of impingement) for variations in surgical positioning of the cup. Specifically, this study investigated the effect of both the variations in the medial–lateral translational mismatch between the centres of the femoral head and acetabular cup and the variations in the cup inclination angles on the occurrence and magnitude of the dynamic separation, the severity of edge loading, and the wear rate of ceramic‐on‐ceramic hip replacement bearings in a multi‐station hip joint simulator during a walking gait cycle. An increased mismatch between the centres of rotation of the femoral head and acetabular cup resulted in an increased level of dynamic separation and an increase in the severity of edge loading condition which led to increased wear rate in ceramic‐on‐ceramic bearings. Additionally for a given translational mismatch, an increase in the cup inclination angle gave rise to increased dynamic separation, worst edge loading conditions, and increased wear. To reduce the occurrence and severity of edge loading, the relative positions (the mismatch) of the centres of rotation of the head and the cup should be considered alongside the rotational position of the acetabular cup. This study has considered the combination of mechanical and tribological factors for the first time in the medial–lateral axis only, involving one rotational angle (inclination) and one translational mismatch

    Wear of 36-mm BIOLOX(R) delta ceramic-on-ceramic bearing in total hip replacements under edge loading conditions.

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    Ceramic-on-ceramic bearings have become of great interest due to the substantial improvements in the manufacturing techniques and material properties and due to polyethylene wear debris-induced osteolysis and the issues with metal wear debris and ion release by metal-on-metal bearings. Edge loading conditions due to translational malpositioning (microseparation conditions) have been shown to replicate clinically relevant wear mechanisms and increase the wear of ceramic-on-ceramic bearings; thus, it was necessary to test new bearing materials and designs under these adverse conditions. The aim of this study was to assess the effect of increasing head size on the wear of BIOLOX(®) delta ceramic-on-ceramic bearings under edge loading conditions due to rotational (steep cup inclination angle) and translational (microseparation) malpositioning. In this study, six 36-mm ceramic-on-ceramic bearings (BIOLOX delta, CeramTec, Germany) were tested under standard and edge loading conditions using the Leeds II hip simulator and compared to the 28-mm bearings tested and published previously under identical conditions. The mean wear rate under standard gait conditions was below 0.1 mm(3)/million cycles for both the 28-mm and the 36-mm ceramic-on-ceramic bearings, and increasing the inclination angle did not affect the wear rates. The introduction of microseparation to the gait cycle increased the wear rate of ceramic-on-ceramic bearing and resulted in stripe wear on the femoral heads. Under microseparation conditions, the wear rate of size 36-mm bearings (0.22 mm(3)/million cycles) was significantly higher (p = 0.004) than that for size 28-mm bearings (0.13 mm(3)/million cycles). This was due to the larger contact area for the larger bearings and deprived lubrication under edge loading conditions. The wear rate of BIOLOX delta ceramic-on-ceramic bearings under microseparation conditions was still very low (<0.25 mm(3)/million cycles) compared to earlier generation ceramic-on-ceramic bearings (BIOLOX forte, 1.84 mm(3)/million cycles) and other bearing materials such as metal-on-metal bearings (2-8 mm(3)/million cycles)

    Patterns Of Drug Prescribing In A Hospital In Dubai, United Arab Emirates

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    To determine the pattern of drug prescription by consultants in a private hospital in Dubai, United Arab Emirates, 1190 prescriptions were collected from the hospital's pharmacy over 30 days. In total, 2659 drugs were prescribed. The mean number of drugs per encounter was 2.2. Only 4.4% of all drugs prescribed were generic. Polypharmacy was observed in only 7.5% of all encounters. Information about the prescribing physician and the patient was invariably deficient. Name of patient, age, and gender were absent in 2.9%, 9.7%, and 12% of prescriptions, respectively. In addition, none of the prescriptions mentioned address, diagnosis, or allergy of the patient. Name of physician, signature, speciality and license or registration number were omitted in 12.2%, 10.3%, 20.3%, and 54.9% of prescriptions. The most commonly prescribed therapeutic classes of drugs (and principal drug in each class) were as follows: 23.4% non-steroidal anti-inflammatory drugs (NSAIDs, Diclofenac sodium being 51.6%), 21.4% antibiotics (amoxicillin-clavulanate 13.5%), and 11.5% gastrointestinal drugs (GI, Hyoscine-N-butylbromide 28.1%). Other therapeutic classes included endocrine drugs (6.1%), vitamin supplements (5.9%), nasal decongestants (4%), antihistaminics (3.8%) and cardiovascular drugs (2.6%). Antibiotic injections accounted for 7.4% of all antibiotics prescribed, which was equivalent to 1.6% of all prescriptions. Other agents prescribed in small proportions of encounters collectively amounted to 21.3%. This study reveals the prescription trends, and indicates possible areas of improvement in prescription practice

    Influence of hip joint simulator design and mechanics on the wear and creep of metal-on-polyethylene bearings

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    Hip joint simulators are used extensively for preclinical testing of hip replacements. The variation of simulator design and test conditions used worldwide can affect the tribological performance of polyethylene. The aim of this study was to assess the effects of simulator mechanics and design on the wear and creep of ultra-high molecular weight polyethylene. In the first part of this study, an electromechanical simulator and pneumatic simulator were used to compare the wear and creep of metal-on-polyethylene components under the same standard gait conditions. In the second part of the study the same electromechanical hip joint simulator was used to investigate the influence of kinematics on wear. Higher wear rates and penetration depths were observed from the electromechanical simulator compared with the pneumatic simulator. When adduction/abduction was introduced to the gait cycle, there was no significant difference in wear with that obtained under the gait cycle condition without adduction/abduction. This study confirmed the influence of hip simulator design and loading conditions on the wear of polyethylene, and therefore direct comparisons of absolute wear rates between different hip joint simulators should be avoided. This study also confirmed that the resulting wear path was the governing factor in obtaining clinically relevant wear rates, and this can be achieved with either two axes or three axes of rotations. However, three axes of rotation (with the inclusion of adduction/abduction) more closely replicates clinical conditions and should therefore be the design approach for newly developed hip joint simulators used for preclinical testing

    The aftermath of 'Beirutshima': the role of nursing quantum leadership in primary health care centers

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    Background: The healthcare system in Lebanon faced unprecedented challenges following the COVID-19 pandemic and the devastating beirut blast on August 4th, 2020. The aftermath highlighted the system's vulnerability, corruption, and incapacity to provide essential services, leading to an urgent need for leadership transformation within primary healthcare centers (PHCs). Methods: This qualitative cross-sectional study assessed the quantum leadership skills of nurses in 30 PHCs within a 5-kilometer radius of the blast site. Data were collected six months post-blast using a self-administered questionnaire based on a binary outcome scale of agreement and disagreement, analyzed with IBM SPSS-19 software to evaluate the potential for leadership improvement. Results: The findings indicate a significant correlation between quantum leadership skills and the operational effectiveness of PHCs, particularly those managed by the Ministry of Public Health, which exhibited superior quantum leadership skills compared to others. Conclusions: The study underscores the necessity for a new leadership paradigm rooted in quantum theory to navigate the healthcare system through crises effectively. A quantum leader, characterized by heightened organizational consciousness and energy, is pivotal for ensuring a seamless transition towards recovery and resilience, ultimately fostering a breakthrough in the face of systemic breakdowns
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