The business risk audit – A longitudinal case study of an audit engagement

This study examines the impact of the Business Risk Audit (BRA), a development in audit methodology implemented in the late 1990s, on actual audit practice and on practitioners. Evidence is presented through a longitudinal case study developed from a set of actual audit files over a five year period spanning the implementation of the BRA, together with interviews with audit team members. The study contributes to our understanding of the nature of the audit techniques underlying the BRA and the difficulties experienced in implementing them within the existing organizational structures. In addition, the study illuminates the potentially conflicting roles of audit methodology in its organizational context, both in mediating the complex relationship between the administrators and practitioners in the large accounting firms and as the knowledge management structure used to support delivery of the “audit product”.     

The market viability of European mass tourist destinations. A post-stagnation life-cycle analysis

First generation European mass tourist resorts, defined as those that developed in the north of the continent up to and including the first half of this century, have shown a variety of responses to impending decline within the post-stagnation phase of their life-cycle, much as predicted in the tourist area life-cycle (TALC) model. There have been winners and losers, as some destinations have diversified their local economies and others have accepted gradual contraction, whereas a select few have maintained a competitive edge through product investment and reorientation to new markets. For the second generation of European mass tourist resorts, those high density tourist areas that emerged in the Mediterranean in the 1960s, the evolutionary life-cycle has, to date, been of a much shorter duration. The period from exploration to stagnation has lasted a mere 30 years, sometimes less. The nature of these resorts, whereby rapid development has created a tourism monoculture, means that the onset of decline has far more dramatic implications to local economies when compared with first generation resorts. Unfortunately, although strategic planning initiatives are now (belatedly) being practised, it is likely that rejuvenation will only be short-lived due in most cases to the inherent structural weaknesses of these resorts. Their legacy is one of overdevelopment and environmental scarring, they rely too heavily on price as a marketing tool in an increasingly quality conscious market, and the powers of promotion and distribution remain largely in the hands of northern European mass consolidators (tour operators), with little commerical incentive for customer loyalty. This paper thus predicts a pessimistic post-stagnation scenario for most second generation Mediterranean mass market resorts. Copyright © 1999 John Wiley & Sons, Ltd.     

Trade Costs and Changes in Canada's Trade Pattern

This paper measures the size and composition of non‐tariff trade costs such as transport, wholesale, and network costs incurred in Canada's merchandise trade using Statistics Canada's latest ‘trade margins’ statistics. It examines how changes in these trade costs have influenced Canada's merchandise trade pattern and the course of economic integration. Our results show that as tariffs have been substantially reduced and largely abolished, costs associated with transport and distribution services now appear much larger than remaining customs duties; therefore, liberalisation in services might be the next key step in promoting greater merchandise trade. Further, reducing transport and other trade‐related costs has helped ‘reverse’ the ‘home market effect’, expanding Canada's domestic demand and production for exports of differentiated products.     

A driver focused truck crash prediction model

This paper advances a driver focused truck crash prediction model. The model investigates the contribution of driver factors on the number of state reportable crashes in which the driver was involved. The findings suggest that the following factors are significantly related to the likelihood of a crash occurrence: driver age, weight, height, gender, and employment stability as well as previous driver and vehicle violations and past crashes. The results have significance regarding the Federal Motor Carrier Safety Administration imperative to improve safety.     

Riches,Real Estate,and Resistance: How Land Speculation,Debt, and Trade Monopolies Led to the American Revolution

Why did the colonies of North America rebel against England in 1775? More than ideas of political freedom were at stake. It is unlikely that the colonists would have demanded independence if powerful land speculators, merchants, and urban artisans had not joined forces to protect their economic interests. England had levied taxes on the colonies, and the colonists had successfully overturned those measures. Taxation was a superficial problem. But in 1773, when England imposed a commercial monopoly on tea sales, and in 1774, when it cut off settlement in western lands, the colonists saw no choice but to rebel and create their own nation. George Washington, Thomas Jefferson, Patrick Henry, George Mason, Richard Henry Lee, and other wealthy Virginians who led the American Revolution stood to lose their huge investment in potential land sales if England maintained control of the colonies.     

Glycemic control among patients with type 2 diabetes who initiate basal insulin: a retrospective cohort study

Objective:

To examine changes in glycemic control for patients with type 2 diabetes mellitus (T2DM) after initiation of basal insulin and factors associated with improved glycemic control.

Methods:

An analysis of retrospective medical records of patients with T2DM was examined using Humedica’s electronic medical records database (January 2007–August 2012). Patients with T2DM, initiating basal insulin, age ≥21 years, with a recorded HbA1c test in both the 1 year prior and the 2 years post-initiation were included. A multivariate regression examined factors associated with changes in glycemic control. Logistic regressions examined factors associated with improvements or worsening of glycemic control, compared to relatively unchanged glycemic control.

Results:

Many (14,457) individuals met the inclusion–exclusion criteria. Multivariate analyses revealed that older age (p?p?p?=?0.0138), and higher household income (p?=?0.0065) were associated with improved glycemic control. Patients diagnosed with comorbid peripheral vascular disease (p?=?0.0072), cancer (p?=?0.0019), obesity (p?=?0.0002), moderate (p?=?0.0103), and severe chronic kidney disease (p?p?=?0.0075) in the pre-period were found to have significantly improved glycemic control in the post-period. Use of prandial insulin (p?=?0.0087), pre-mix insulin (p?=?0.0003) in the pre-period, a higher pre-period HbA1c score (p?p?Limitations:

Analyses rely on electronic medical records which cannot capture patient healthcare utilization occurring outside of the data capture system. Analyses do not control for insulin dosage or type of basal insulin prescribed.

Conclusions:

Among patients with T2DM treated with basal insulin, a number of factors may influence glycemic outcomes. These findings suggest a role for a more personalized approach to the treatment of patients with T2DM.