Macro and Micro Earnings Manipulation: The Role of Accounting Standard Setting Process

Preparers of financial statements are in aposition to influence the view of economic reality presented inthose statements to interested parties. The term 'macromanipulation'is used to describe the lobbying of preparersagainst regulators (accounting standards setters) to persuadethem to produce regulation that is more favorable to theinterests of preparers. The aime of this paper is to introduce asuggested tool that could be used to ascertain why somefinancial accounting standards turn out to the benefit of one ofthe stakeholders involved in the process of accountingstandards setting. This paper utilizes the construct of power toreveal the influences from parties involved in the process ofaccounting standards setting. The comprehensive incomereporting standard is used in this paper as an example of thesetypes of standard that may involve 'macro-manipulation'

An Interpretive Analysis of how Audit Quality is Perceived in Economies in Transition

With the movement of many internationalaccounting firms into Egypt, and the growth of local auditfirms, it is particularly interesting, and relevant forgovernmental legislators, to study how the providers of theaudit service perceive the quality of what they do. In thissense, the purpose of this paper is to report the perceptions ofprofessional auditors in Egypt concerning how they perceivethe quality of the service they provide. The paper also analyzesdifferences between perceptions of the Big 4 audit firms andother local audit firms. Based on 28 semi-structuredinterviews, it was revealed that the interviewees generallybelieved that the audit quality is preserved high in thepresence of four factors: (1) high ethical standards to guideand regulate the profession; (2) a well planned and conductedaudit; (3) a more knowledgeable audit team; and (4) having agood relationship with the client management

The Usefulness of Different Accounting Earnings Measures: The Case of Egypt

The objective of this paper is to investigate whichmeasure of accounting income (comprehensive income,operating income, or net income) is more useful to equityinvestors in explaining future earnings, future cash flows, andstock returns. This study proposes that different measures ofincome are more useful for different uses. The research isundertaken within the Egyptian environment that allowsconsiderable asset revaluations and holds the reporting ofextraordinary items. Therefore, such environment provides arich ground for testing the expected effects of reportingcomprehensive income and its components on the Egyptianinvestors. The results do not support the superiority ofcomprehensive income measures in explaining the followingperiod’s net income compared to net income. None of the fourtested measures of earnings is able to explain the followingperiod’s cash flows. Operating income is superior to the otherthree measures of income in explaining stock return

Carbon Nanoparticles-Decorated Carbon Nanotubes

© 2020, The Author(s). Multi walled carbon nanotubes (MWCNTs) were decorated by activated carbon nanoparticles of resorcinol-formaldehyde aerogels. Carbon nanospheres and MWCNTs were mixed by equal mass ratios for different durations. The products were characterized by Raman spectroscopy, thermal gravimetric analysis, nanoscanning electron microscopy, transmission electron microscopy and x-ray diffraction. The results indicated that a significant decoration with carbon nanoparticles occurred onto the MWCNTs.This publication was made possible by the NPRP award (NPRP 08-014-2-003) from the Qatar National Research Fund (a member of The Qatar Foundation). The statements made herein are solely the responsibility of the authors. Technical support from the Department of Chemical Engineering, the Central Laboratories Unit (CLU) and Gas Processing Centre (GPC) at Qatar University is also acknowledged. The publication of this article was funded by the Qatar National Library

Influence of carbon uniformity on its characteristics and adsorption capacities of CO2 and CH4 gases

Activated carbons of resorcinol-formaldehyde aerogels (AC-RFA) were prepared and mixed with multiwall carbon nanotubes (MWCNTs) with various ratios. Samples were characterized by different techniques. The novelty of the study is in evaluating the effect of uniformity of carbon nanocomposites on their performance for the adsorption of CH4 and CO2 gases as well predicting the separation of their mixtures. The results indicated that, by increasing the percentage of MWCNTs into the sample, its structural uniformity and order ascend. The capacities of CH4 and CO2 by adsorption were measured at various temperatures, and were correlated with the extended dual site Langmuir (DSL) model. Overall, results showed that the adsorption capacity of MWCNTs towards gases is relatively very low compared to that of activated carbons. The DSL model was utilized to forecast the separation of the binary CO2/CH4 mixed gas based on knowledge of single component adsorption isotherm parameters. Adsorption equilibrium data of the CO2/CH4 binary gas mixture was forecasted at different temperatures by DSL model in accordance with the perfect-negative (PN) or perfect-positive (PP) behaviors on the heterogeneous surface of the adsorbent.Acknowledgments: This publication was made possible by the NPRP award (NPRP 08-014-2-003) from the Qatar National Research Fund (a member of Qatar Foundation). Statements made herein are the sole responsibility of the authors. Technical support from the Department of Chemical Engineering, Central Laboratory Unit (CLU) and Gas Processing Centre (GPC) at Qatar University is also acknowledged. Further, the publication of this article was funded by the Qatar National Library.Scopus2-s2.0-8509922365

A review of the features and applications of ZIF-8 and its derivatives for separating CO2 and isomers of C3- and C4- hydrocarbons

Metal organic framework (MOF) membranes have gained more attentions due to their abilities in various applications in gas and liquid separations. The majority of works are related to Zeolite imidazolate frameworks-8 (ZIF-8). This is often attributed to its high stability, easy synthesis, and good gas separation. They have gained a significant interest of scientists and have the aptitude to be utilized in other gas separations and applications. Indeed, the investigation of the literatures revealed that ZIF-8 and its derivatives have a substantial attention due to of its good properties as its large specific surface area, “gate opening” mechanism, etc …, which makes them special in adsorption/membrane separations and other associated aspects. The applications of ZIF-8 based materials for carbon dioxide (CO2) gas adsorption and the C3- and C4- isomers’ (propane, propylene, n-butane and isobutane) gas separation also are discussed. Statistical physics approach was applied throughout this review as a perfect tool to discuss and understand properties of ZIF-8, especially the “gate opening pressure”. Subsequently, this review points to present highlights and applications of ZIF-8 and its derivatives for the purpose of carbon dioxide and hydrocarbon separations. Additionally, this study considers recent advancements of ZIF-8 synthesis and prospects for its use in gas separation. This study can help to better understand effective features of a sorbent and methods for gas separation process. As theoretical discussions are referred to as a crucial issue, this is the first study on Zeolitic Imidazolate Framework (ZIF) membrane application, which provides the use of statistical physics theoretical approach and considers the effect of nanogate opening pressures.Open Access funding provided by the Qatar National Library.Scopus2-s2.0-8511739324

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised