The 1990 Coastal Zone Reauthorization Amendments (CZARA), a portion of the Clean Water Act, federally mandated coastal states to adopt management measures to regulate non-point source (NPS) pollution. Coastal states adopted management plans between 1997 and 2002, and regulated areas bordering coasts but not other areas of the state. Despite financial outlays, no work examines whether the legisl...

background: patient satisfaction has a key role in reducing side effects and patient complaints. it also increases the efficiency of treatment. this study was performed to investigate patient satisfaction from health services provided by educational hospitals in isfahan, iran. methods: in a descriptive study, 350 outpatients in educational hospitals of isfahan were non-randomly evaluated in 200...

the balanced scorecard framework with a hierarchical, multilayer, and causal-effect structure can shed light on the growth path and pave the development steps, which in addition to monitoring the financial goals. it also considers and controls the other effective and driving factors. in this study, after reviewing the balanced scorecard, a model was proposed in addition to extract the strategic...

Consider a sequence (Xk : k ≥ 0) of regularly varying independent and identically distributed random variables with mean 0 and finite variance. We develop efficient rare-event simulation methodology associated with large deviation probabilities for the random walk (Sn : n ≥ 0). Our techniques are illustrated by examples, including large deviations for the empirical mean and path-dependent event...

Generalized measures of deviation, as substitutes for standard deviation, are considered in a framework like that of classical portfolio theory for coping with the uncertainty inherent in achieving rates of return beyond the risk-free rate. Such measures, associated for example with conditional value-at-risk and its variants, can reflect the different attitudes of different classes of investors...

BACKGROUND The current financial crisis is having a major impact on European economies, especially that of Spain. Past evidence suggests that adverse macro-economic conditions exacerbate mental illness, but evidence from the current crisis is limited. This study analyses the association between the financial crisis and suicide rates in Spain. METHODS An interrupted time-series analysis of nat...

INTRODUCTION The American Society for Gastrointestinal Endoscopy (ASGE) has published a Preservation and Incorporation of Valuable Endoscopic Innovations (PIVI) statement on incorporating an imaging-guided surveillance protocol to replace the current practice of four-quadrant biopsies every two centimeters for Barrett's esophagus (BE) surveillance. We sought to determine if current gastroentero...