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The increase in the number of patients treated for carotid stenosis and the respective costs of care make it essential to develop an economic model of the procedure. To perform an economic analysis of the costs of carotid endarterectomy in a tertiary care hospital in Costa Rica. From March 1994 to June 1996, 1211 patients underwent carotid endarterectomy. Cost analysis was performed through the diagnosis-related group database. An additional cost estimation was based on the calculation of an elaborated surgical time. The total cost was 11,744.42 US dollars. It varied from 6,849.92 US dollars for those treated between 1994 and 1995 to 17,069.53 US dollars for those treated between 1993 and 1994. The overall mean cost was 10,713.23 US dollars. The overall costs represent 6.64% of the total cost of hospitalization. This study shows that carotid endarterectomy is an elective procedure, but to achieve a real cost containment it is essential to include the costs of the greatest possible number of patients.Enforcement
Disputes between stakeholders may be resolved through mediation, discussions and consultation.
Regulatory enforcement actions are implemented through statutory enforcement powers and administrative mechanisms.
Statutory enforcement powers of the Provincial Government include the West Coast Environmental Protection Act, the Conservation of Agricultural Lands, and the Fisheries Act.
The Provincial Government also imposes conservation orders under the Conservation of Agricultural Lands Act and the Fisheries Act to protect lands and waters from contamination.
administrative mechanisms, such as consent orders, are available to the Provincial Government to manage compliance with standards and requirements.
Procedure for Settling Disputes
Actions to resolve a dispute include mediation, discussions, and consultation.
First, a resolution can be facilitated through mediation or other conciliation by the conservation officer, with a view to achieving compliance.
Whenever a conservation order is issued that requires action to be taken to rectify an alleged violation, the institution of charges under the Conservation
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The Municipal elections in Croatia are a form of municipal elections held in Croatia. These are held every four years (except for the first round held in 2011). During the elections a municipal government or city council is elected for a term of four years, as opposed to the state government’s term of office (four years). At the time of writing these elections were held in October 2015.
Municipal elections are the only political events organised by the city government, the rest of elections are organised by the Parliament of Croatia.
There are two types of elections for city councils in Croatia. They are direct elections and indirect elections.
In the direct election, the citizens are all eligible to vote for the city council. This is the most common election format for city councils.
The second option for electing the city council is indirect elections. The citizens will vote for the city council through an electoral list. The electoral list is a group of 5 or 10 citizens from the political party, who will support the candidate who was selected to lead the council.
Members of the electoral list have the right to select the candidates for the city council. The council also has the right to reject the candidates and replace