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They shall identify as a minimum: a Scope of auditor s work in obtaining an understanding of the internal control structure and assessing risk b The reportable conditions including separate identi cation of material weaknesses identi ed as a result of the auditor s work 4 Auditors performing government audits are required to obtain 80 hours of continuing education every two years, of which 24 hours should be directly related to government At least 20 of the 80 hours should be completed in each year of the two-year period 5 Audit organizations performing government audits are required to establish an internal quality control system and participate in an external quality control review program 6 The auditor communicates certain information related to the conduct of the audit to the audit committee or to the individuals with whom they have contracted for the audit (a) THE SINGLE AUDIT ACT AMENDMENTS OF 1996 Many state and local governments are required to obtain a periodic audit of the federal funds they receive usually once a year The audits are normally performed by an independent certi ed public accountant (CPA) or public accountant, or, in some states, by the government s internal audit personnel A few jurisdictions have an independently elected or appointed auditor who conducts the audit Single audits are conducted in accordance with GAAS, Government Auditing Standards, and the Single Audit Amendments Act of 1996 and its implementing regulation OMB Circular A-133, including its Compliance Supplement These requirements have been updated for scal years beginning on or after July 1, 1997, by the Single Audit Amendments Act of 1996 The objectives of the Act are:

Click the line of ActionScript that says setProperty From the Property drop-down list, choose a property In our example, we use the _width property Click the Target text box Then click the Insert a Target Path button just above the code In the Insert Target Path dialog box, choose myChangeMe, the instance name of the symbol you created Click OK Click the Value text box Type size, the variable name you gave to the Input text box At the right of the Value text box, click the Expression check box Your Action panel should look like

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To promote the ef cient and effective use of audit resources To ensure that federal departments and agencies, to the maximum extent practicable, rely on

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and use audit work performed pursuant to the requirements of the Single Audit Act Though the single audit builds on the annual nancial statement audit currently required by most state and larger local governments, it places substantial additional emphasis on the consideration and testing of internal controls and the testing of compliance with laws and regulations The Single Audit Act and OMB Circular A-128 require the auditor to determine whether:

men often have clinical or subclinical neuropathy and their production of nNO will be decreased This is why the results of the PDE5i are not as positive in men with diabetes than with other risk factors for ED, such as hypertension alone, or hyperlipidemia According to Costabile, no one PDE5i is more bene cial in diabetes than any other, although no head-tohead trials have been done to date in this population [393] Rendell et al showed good results with sildena l versus placebo in men with diabetes, but not as good as the pivotal trials in a general population [394] Sildena l was found to be more ef cacious in men whose diabetes was under better glycemic control In a study the men with diabetes had a 64% success rate when their HbA1C levels were < 90%, and of 44% when the HbA1C was >90% [70] Additionally, neuropathy, in diabetic men with good sugar control, also reduced the success rate to 50% Goldstein et al studied 452 men with diabetes who took vardena l for ED [395] Patients with diabetic neuropathy and retinopathy were included in the study, but previous sildena l failures were excluded Although not quite as good as in their pivotal studies, 64% of the men were able to penetrate their partners, and 54% to complete intercourse versus 36% and 23%, respectively, for the placebo group S enz de Tejada et al evaluated the effect of tadala l in 191 men with diabetes and ED, mainly moderate to severe, and including men with neuropathy and retinopathy [396] Here also the results fell short of the pivotal trials for tadala l in a general population, but were signi cantly higher than placebo Their results were reported as percentage improvement over baseline, such that the ability to penetrate intravaginally increased 226% versus 4% for placebo Fonseca et al pooled several trials using tadala l in diabetic men, for a total of 637 men with diabetes versus 1681 men without diabetes [397] The baseline IIEF erectile function domain scores showed that the diabetic men had more severe ED 126 for the diabetic men and 150 for the non-diabetic men The men who received tadala l had a mean improvement of their IIEF score of 74 versus 09 for the placebo group It is also interesting that the baseline IIEF scores correlated inversely with the HbA1C levels, showing that control of the diabetes correlates with the sever-.

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