Insufficient Cooperation Research Articles

An examination for efficient project promotion of the initial-phase intensive support team for dementia in Akita Prefecture

The purpose of this study was to clarify the trends in the activity of the initial-phase intensive support teams in Akita Prefecture and to, clarify the factors contributing to the more efficient promotion of future projects. A survey was conducted by questionnaire among 46 initial-phase intensive support team member for dementia. The results indicated that it is mostly maintained cooperation medical center for dementia and community support promoter for dementia. However, the question was insufficient cooperation with family doctor including visit the home. These findings suggest that it is important to disseminate information and improve awareness among the community as well as foster relationships of trust by families.

Barriers to sustainable construction project management: the case of Iran

PurposeThe barriers to integrating sustainable practices into construction project management require extensive resource allocations to resolve. Within developing countries such as Iran (where resources are scarce), remedial strategies adopted must prioritise tackling those barriers that can be expected to yield maximum return on investment. The candidate barriers are many, and this paper aims to identify a hierarchy of barriers, providing a priority list of remedial targets.Design/methodology/approachA mixed philosophical stance of interpretivism and post-positivism is adopted within a deductive approach and survey strategy. A list of 30 known barriers are identified from extant literature and used to formulate a questionnaire data collection instrument administered within the Iranian construction industry. Data collected from 176 practitioners are analysed using the relative importance index and Mann–Whitney U test to compare groups based on the participants' demographic variables.FindingsThe findings challenge the common assumption that items related to market and workforce experience are major inhibitors of change. That is, economics and regulatory dependent barriers have a higher impact on the failure of a shift to sustainable practices in Iran. The most influential barriers to incorporating sustainability in construction projects are: (1) lack of understanding of the potential benefits; (2) insufficient cooperation among practitioners, research institutions and environmental organisations; and (3) a lack of a systematic approach to pursuing sustainability goals. No significant associations are detected between the affiliation of the respondents and their attitude towards the issue. Thus, a generalised approach can be applied to a broader range of organisations and construction projects in Iran.Originality/valueWhile studies on sustainability impediments at the firm or project level are ubiquitous within literature, this research identifies that the most significant barriers to sustainable project management in Iran, as an underexplored context, are those experienced at the economic and institutional level. Moreover, this novel research presents important insights into the potential effects of participants' demographic profiles on their view of the importance of identified barriers.

Fault Detection Method and Simulation Based on Abnormal Data Analysis in Wireless Sensor Networks

With the rapid development of Internet of things and information technology, wireless sensor network technology is widely used in industrial monitoring. However, limited by the architecture characteristics, software and hardware characteristics, and complex external environmental factors of wireless sensor networks, there are often serious abnormalities in the monitoring data of wireless sensor networks, which further affect the judgment and response of users. Based on this, this paper optimizes and improves the fault detection algorithm of related abnormal data analysis in wireless sensor networks from two angles and verifies the algorithm at the same time. In the first level, aiming at the problem of insufficient spatial cooperation faced by the network abnormal data detection level, this paper first establishes a stable neighbor screening model based on the wireless network and filters and analyzes the reliability of the network cooperative data nodes and then establishes the detection data stability evaluation model by using the spatiotemporal correlation corresponding to the data nodes. Realize abnormal data detection. On the second level, aiming at the problem of wireless network abnormal event detection, this paper proposes a spatial clustering optimization algorithm, which mainly clusters the detection data flow in the wireless network time window through the clustering algorithm, and analyzes the clustering data, so as to realize the detection of network abnormal events, so as to retain the characteristics of events and further classify the abnormal data events. This paper will verify the realizability and superiority of the improved optimization algorithm through simulation technology. Experiments show that the fault detection rate based on abnormal data analysis is as high as 97%, which is 5% higher than the traditional fault detection rate. At the same time, the corresponding fault false detection rate is low and controlled below 1%. The efficiency of this algorithm is about 10% higher than that of the traditional algorithm.

(ENTER ARMENIAN TITLE HERE) (Main Directions of the State Policy to Ensure Competition in Agriculture)

Armenian Abstract: ENTER ARMENIAN ABSTRACT HERE English Abstract: The main mission of agriculture is to ensure food security and increase the welfare of the population. The influence of natural factors on the sustainable development of the agricultural sector is still great. Long-term state support tools, development of technical, technological and insurance systems are important for the management of these risks. The development of agriculture in the Republic of Armenia is considered a priority. At present, the development of agriculture is hindered by a number of factors, such as high risk of farming, small size of farms, land fragmentation, low share of large commodity farms, insufficient co-operation of farmers, productive market infrastructure. In modern conditions, the main criterion for the efficiency of agricultural production is the level of competitiveness of economic entities. At the same time, due to the global socio-economic, geopolitical and environmental problems, the country's food security, production and resource potential of the agro-industrial complex, and the sustainable development of all agricultural production can be prioritized.

A Prospect of Disaster Education and Community Development in Thailand: Learning from Japan

This paper aims to examine a prospect of disaster education and community development at the Hua Takhe community, Thailand. It explores program and participation as well as meaning and implication of the Japanese case studies through field observations and participations. Based on the analysis of the questionnaire survey of its inhabitants, the strengths of the Hua Takhe community include solidarity, human and cultural resources, and location. Nonetheless, its weaknesses are limitation of disaster prevention-related resource, insufficient cooperation between the old and the young generation, lack of systematic disaster management, and low participation in disaster drills. While collaboration with educational institutions, informal and innovative learning, better quality of life, and being an example for other communities can be considered as its opportunities, changing ownership and usage of dwellings and unbalanced development can be its significant threats. Consequently, this paper proposes a disaster education and community development program focusing on enhancing the inclusive learning community, which contributes to the disaster resilience of the Thai communities.

Primary Care Practitioners\u2019 Barriers to and Experience of COVID-19 Epidemic Control in China: a Qualitative Study

BackgroundThe coronavirus disease 2019 (COVID-19) emerged in December 2019 and posed numerous challenges to China’s health system. Almost 4 million primary care practitioners (PCPs) participated in controlling the outbreak. However, PCPs’ barriers to and experience of the epidemic control remain unknown and are essential for improving countermeasures.ObjectiveTo better understand the barriers PCPs faced in COVID-19 epidemic control and their psychological and occupational impacts, and explore potential solutions.DesignThis qualitative study was conducted through semi-structured, in-depth interviews from February 12, to March 10, 2020.ParticipantsA purposive sample of frontline PCPs affiliated with either community health centers or township health centers in four provinces of China were recruited.ApproachInterviews were conducted by telephone, and then recorded, transcribed, and content analyzed. Themes surrounding PCPs’ barriers to COVID-19 epidemic control, their experience, and potential solutions were iteratively identified using the constant comparative method.Key ResultsOf the 21 PCPs interviewed, 10 (48%) were women and 5 (24%) worked in rural areas. Barriers to epidemic control in primary care included inappropriate PCP scheduling and role ambiguity, difficult tasks and inadequate capacities, and inexperienced community workers and insufficient cooperation. Some PCPs perceived respect and a sense of accomplishment and were preoccupied with the outbreak, while others were frustrated by fatigue and psychological distress. PCPs reported potential solutions for improving countermeasures, such as improving management, optimizing workflows, providing additional support, facilitating cooperation, and strengthening the primary care system.ConclusionsDue to their roles in controlling the COVID-19 epidemic, PCPs in China faced a series of barriers that affected them physically and mentally. Support for PCPs should help them to overcome these barriers and work efficiently. The current findings provide insight into the challenges and potential solutions for strengthening the preparedness and response of China’s primary care system in future disease outbreaks.

EKONOMICZNE I ETYCZNO-PRAWNE ASPEKTY CYFRYZACJI W SEKTORZE ROLNO-SPOŻYWCZYM

The article aims to contribute to the discussion and research on economic, ethical and legal aspects of digital transformation in the agri-food sector. The previous technological revolution (the so-called Green Revolution) significantly raised the efficiency indices and productivity in agriculture. At the same time, however, it led to many negative environmental consequences. It also deepened income inequalities in the sector. According to some researchers, the current digital revolution, in fact based on intensive use of knowledge, may reverse the adverse consequences of the previous revolution. On the other hand, there is growing evidence that digital technologies lead to new social divides and to greater inequalities in the world. Many digital products and services are developed with the use of data to which ownership rights remain unclear. At the same time, the ongoing digitalization processes seem to significantly increase the risk of privacy violations. The article discusses the benefits, problems and possible risks associated with the digitalization processes in the agri-food sector. Particular attention is devoted to the ethical aspects of collecting, processing, sharing and using digital data from smart farming systems. It is argued that the potential of the digital revolution in the agri-food sector is not fully realized. The influencing factors are i.a. the lack of laws and regulatory frameworks for the governance of digital data gathered in the agriculture and food sector, the structure of the market of digital products and services favoring large and very large farms, low level of trust between actors in the data value chain and insufficient cooperation between the private and the public sector with regard to using and sharing digital data. Therefore, a broad discussion engaging various stakeholders on the vision of digital transformation in the agri-food sector is necessary. The foundations for the development of the agri-food sector based on data exchange and digital innovation should take into account common values and ethical principles, as well as the need to build mutual trust between the actors in the data value chain.

Current situation and outcomes of pregnancy in women with Turner syndrome in Japan

Reports on pregnancy and delivery in women with Turner syndrome (TS) in Japan are limited to case reports, and the current situation remains unclear. Therefore, this study aimed to clarify the current situation of pregnancy and delivery in women with TS in Japan. Our study comprised primary and secondary surveys and we included perinatal centers approved by the Ministry of Health, Labor and Welfare. A total of 24 cases from 19 facilities were reported, and we obtained individual information for 20 cases from 16 facilities. Of these 20 patients, 13 (65%) had become pregnant via oocyte donation. Three of these patients had received oocyte donation in Japan, while the other 10 had received donations in foreign countries. The other seven patients became pregnant with their own oocyte, with spontaneous menarche. Live babies were delivered by 18 patients, while an induced abortion was required at 18 weeks of gestation in one patient and an intrauterine fetal death from an unknown cause was detected at 38 weeks of gestation in another patient. Cesarean section was performed in 14 patients, with the most frequent indication being cephalopelvic disproportion. The rate of implementation of screening for complications related to TS was low, suggesting insufficient cooperation between facilities responsible for TS treatment, infertility and pregnancy and delivery management. To improve pregnancy outcomes in women with TS, improved cooperation between facilities and laws regarding oocyte donation in Japan are needed.

Carbon Leakage Along with the Green Paradox Against Carbon Abatement? A Review Based on Carbon Tax

Abstract Research background: Insufficient global cooperation in carbon pricing against global warming has the risk of global carbon emissions rise because of carbon leakage. The effect of a carbon tax on the present supply of fossil fuels is also valuable in regard to global carbon emissions. Purpose: The purpose of this study is to gain more insights into the effects of carbon leakage along with the green paradox on global carbon emissions by reviewing the relevant literature. Research methodology: We provide the problem linked to carbon leakage and the green paradox in the introduction. Then, the effects of carbon leakage and the green paradox on global carbon emissions are elaborated separately. Finally the mutual effects of carbon leakage and the green paradox are reviewed comprehensively. Results: It is seen that various factors like interest rates, fossil fuel extraction costs, the fossil fuel reserves to be discovered in the future and carbon tax incidence are equally important determinants in regard to global carbon emissions. Novelty: This study provides an insight into the mutual effects of carbon leakage and the green paradox on global carbon emissions by reviewing the primary literature in the field.

Investigating the Practices, Problems, and Policies for Port Sea–Rail Intermodal Transport in China

Intermodalism is currently a mainstream mode of international transport because of its operational efficiency and cost-effectiveness compared with unimodal transport. In 2011, the Chinese government launched port sea–rail intermodal transport (PIT) projects to promote and facilitate its transport system. As a result, seaports are now ruling the waves of sea–rail intermodal transport in China. However, barriers have occurred in many parts of the system from transport sectors to government departments, challenging the accessibility, connectivity, and accountability of the intermodal system. This paper investigates the various parties that are involved in PIT, and aims to outline its development, including its present status, bottlenecks, and other influential elements. Through a questionnaire survey and content analysis, the main problems are identified as lack of institutional design and system regulation, resistance from the rail sector, insufficient cooperation and investment, and a fragmented information system. Policy recommendations are addressed through a three-step administrative framework: (a) unification of international regulations and standards; (b) rail sector reform for better alignment with other transport sectors; (c) incentive policies for enterprises instead of direct subsidies.

Innovation in the global mining sector and the case of Chile

Recent research has highlighted the upsurge of innovation activity in the mining sector since the early 2000's. By following this research thread, this article contributes to the extant literature by: (i) discussing global innovation trends in the mining sector on the basis of R&D expenditure and patent families; and, (ii) modeling specific obstacles to innovate in the mining sector of Chile, a country with sizeable mineral rents/GDP (i.e., 9.4% average over 1970–2017). The main findings show that, despite the fact that Latin America & the Caribbean accounted for only 1% of worldwide mining patent families during 1970–2018, Chile has become more active in exploration and environmental innovation since 2011. On the other hand, a factor analysis performed on Chile 10th Survey of Innovation in Business (SIB) shows that mining and the remaining economic sectors differ as to how innovation barriers are perceived. Specifically, the mining sector sees cooperation, knowledge, financial, and regulatory obstacles of high importance as one single category, while the remaining sectors see a much weaker association between regulatory impediments and/lack of insufficient cooperation, knowledge and financial funds. A robustness check is conducted on the basis of previous versions of the SIB.

Sliding window reduced FOV reconstruction for real-time cardiac imaging

BackgroundCurrent functional cardiovascular imaging protocols mostly rely on electrocardiogram (ECG) gating and breathholding. The resulting image quality can substantially suffer from insufficient patient cooperation or severe arrhythmia. Real-time imaging can mitigate these effects but requires highly accelerated techniques, usually relying on non-cartesian trajectories and Compressed Sensing (CS). MethodsWe investigate a sliding window reduced field of view (FOV) Echo Planar Imaging (EPI) technique for real-time cardiac MRI. Segmented EPI has been combined with a subtraction technique for reducing the FOV in cardiac applications to the region of the beating heart. Residual respiratory motion, potentially impairing the image quality, has been addressed by continuous update of the static image fraction, which is derived from a low-temporal resolution sliding window reconstruction. For further acceleration, the proposed technique was combined with parallel imaging. ResultsThe sliding window reduced FOV technique was proven feasible to reconstruct images of diagnostic image quality at a temporal resolution of 36.5ms per image. Semi-quantitative evaluation of image quality showed significant improvement over the existing rFOV method (p=0.039). Derived functional parameters show comparable results as with the BH-CINE reference. However, a trend to a slight underestimation of the largest and smallest in-plane volumes is observed. ConclusionThe proposed technique is feasible of providing real-time cardiac MRI with a temporal resolution better than 40ms without the need of computably complex reconstruction techniques.

Susret muzičke pedagogije i psihologije muzike - prilog proučavanju savremenog stručnog muzičkog obrazovanja

This paper discusses the research of psychologists and pedagogues which are committed to issues of professional music education. The statement of Ksenija Radoš (2010) that the psychologist-researchers and music pedagogues pass each other on the same way, and that they go on parallel paths toward the same goals, encountering the same obstacles, and yet never really meet, is the starting point for the review of the relationship between these disciplines. as the first step of our research, the definition of a 'common way' is imposed, and then testing the connection of current issues of music education and music psychology. according to our understanding, there are several important reasons for the mentioned situation in music education: focusing music pedagogy on general music education and 'late' awakening of pedagogy of professional music education as a special scientific discipline; obsolescence of the curriculum of professional music education and insufficient cooperation between music pedagogues and psychologists-researchers. Interplay of these disciplines, implemented through the planned conducted research that focuses on the problems of professional music education, could be an important support for the development and improvement of specific areas of music pedagogy.

Social capital and NGOs toward negative effects of COVID-19 pandemic

The COVID-19 pandemic is a global threat to the survival of the human species, which can be described as a violation of the relative balance in the functioning of the societies and economies of all countries of the world. Its negative effects will be felt for many years and may lead to permanent changes in the functioning of economy and society. The aim of this chapter is to discuss social capital in the context of its role and importance in overcoming crisis situations. Moreover, the discussion focuses on the importance of non-governmental organizations in building this capital. An important thread is also the identification of activities of non-governmental organizations that could help in fighting the threats in the first months of the pandemic. The analysis of these activities leads to the conclusion that in Poland insufficient cooperation between public authorities and NGOs does not contribute to the growth of social capital. Therefore, there is a need to determine its level and assess the quality of its functioning.

The phenomenon of tax avoidance – the essence, causes and measures (clauses) of prevention in the EU

<p>The problem of tax avoidance in the European Union (EU) has existed since the beginning of the EU internal market and is an important aspect at both the national and international levels. Among the most important reasons for this phenomenon are the inconsistent regulations and solutions applied in the tax systems of individual countries, the diverse and complicated nature of fiancial instruments and structures, the insufficient cooperation of tax administrations in EU countries or harmful tax competition. This state of affairs causes negative consequences for the budgets of individual countries and discriminates against honest taxpayers, because tax profits derived from tax evasion are invested in a competitive struggle against companies that reliably settle accounts with the tax authorities. The construction of an efficient and effective, yet fully fair tax system in the EU is intended to eliminate or significantly reduce the problem of tax avoidance. This is achieved by the measures currently underway (e.g. the introduction of a directive against tax avoidance or the elaboration by the Organisation for Economic Co-operation and Development (OECD) regarding the recommendations for local administrations in the field of national tax regulations). This article aims to highlight the importance of the tax avoidance problem and to present selected actions to solve it at both the national and EU levels. The structure of the study has been subordinated to the above, as along with the applied research method, including the analytical and conceptual approach.</p>

Planting a seed - child health care nurses\u2019 perceptions of speaking to parents about overweight and obesity: a qualitative study within the STOP project

BackgroundNurses in child health care (CHC) centers in Sweden play a key role in the early detection and management of childhood overweight/obesity, through meeting families early, regularly and over many years. However, research focusing on CHC nurses’ perceptions of their role in childhood overweight/obesity management is scarce. As part of the EU-funded project “Science and Technology in childhood Obesity Policy” (STOP), this study examines CHC nurses’ perceptions of speaking to parents about children’s overweight/obesity and of their role in referring children to treatment for overweight/obesity.MethodsAll registered CHC nurses in Stockholm County (n = 442) received an email invitation letter explaining the study. Individual face-to-face visits (n = 15) in selected centers, and phone calls (n = 24) to nurses working in these centres were also conducted. In total, 17 CHC nurses (all female, average work experience 6.7 years (SD ± 4.9 years)) from 10 municipalities (including four of the top five municipalities with the highest prevalence of overweight and obesity) in Stockholm County were interviewed. The interviews were conducted by phone, transcribed and analyzed using thematic analysis.ResultsTwo main themes were developed through the analysis: 1) The relationship between the nurse and the parent and 2) Glitch in the system. Under the first theme, nurses reported that weight-related discussions were facilitated by building and maintaining trust with parents. However, nurses also said they were reluctant to address children’s weights if this could compromise parents’ trust. Under the second theme, nurses highlighted several organizational barriers to addressing a child’s weight with parents, including insufficient cooperation with other healthcare providers and limited time for visits. Nurses also identified lack of sufficient knowledge about what to offer the family and lack of confidence in their communication skills as additional barriers.ConclusionsWe found that pediatric nurses perceive relational and organizational factors as barriers to address childhood obesity with parents. To improve care, it is necessary to provide nurses with continuing education about obesity and communication skills and organizational support to improve communication within the healthcare system.Trial registrationClinicalTrials.gov NCT03800823; 11 Jan 2019, prospectively registered.

Collection and treatment of domestic wastewater: a critical review of the achieved results

Introduction. The subject of the review is systems of collection and treatment of domestic wastewater in cities, towns, and settlements (drainage systems of residential areas). The review considers both the entire systems and their constituents, i.e., the facilities of wastewater collection and transportation, wastewater treatment plants, water outfalls, etc. Research and design of effective drainage systems is an essential factor in ensuring the ecological well-being of residential areas. The tightening of standards for the discharge of treated wastewater into water bodies stimulates the development of wastewater treatment and transportation technologies not only for large cities but also for small settlements. The purpose of the review is assessing the efficiency of the technologies used in practice for wastewater collection and treatment, analyzing the relevance of research developments, and formulating promising directions of the work.
 Materials and methods. Publications, technical reports, software products were considered. Methods of system analysis are applied, comparative criteria of efficiency of technologies and designs were suggested.
 Results. A comparison was conducted between foreign and domestic experience gained in solving the main problems of domestic wastewater collection and treatment systems. Special attention was paid to the revelation of cause-and-effect relations between the upgrade of legislative acts at the state and regional levels and the development of the drainage systems. Evaluation of the ecological impact of the drainage systems on the environment was given.
 Conclusions. Investigations by domestic and foreign specialists in the subject were analyzed. It was revealed that there is virtually no research devoted to simulation and efficiency assessment of drainage system operation as a whole. Obviously, this is due to insufficient cooperation between research teams and designers and operators. Just this direction should be considered the most promising in the nearest future.

Educational Competence in the Inclusion of Children with Autism Spectrum Disorder in Early and Pre-school Education Institution

The paper focuses on the analysis of the conditions for inclusion of children with autism spectrum disorders in early and pre-school education by kindergartens teacher. The conditions relate to estimates of theoretical knowledge and attitudes of the educator, assessment of abilities and limitations of children with autism spectrum disorders, self-assessment of the competences of educators for their upbringing and education and assessment of other conditions for the inclusion of children with autism spectrum disorders. The survey results were analyzed by a questionnaire of 68 educators from 6 kindergartens in town of Split. There is a central level of knowledge about inclusion and low self-assessment of educators about their competence in which they are active participants in the inclusion of children with a disorder of the autism spectrum. Attractive factors for the implementation of inclusive education of children with autism spectrum disorder evaluated: inconsistent assurance of nursery assistants, lack of competent educators, and insufficient co-operation with parents of children with autism spectrum disorder. The analysis points to the lack of systematic education of educators for inclusive educational practice. The authors exclude the importance of the knowledge and skills of educators in the area of ​​information communication technology, particularly augmentative and alternative communication.Key words: children with autistic spectrum disorder; information communication technology; competence of the educator; Educational and Teaching Inclusion

Przewlekły kaszel jako główna manifestacja chłoniaka Hodgkina – opis przypadku

A cough lasting longer than 4-8 weeks, defined as chronic cough, always requires thorough diagnostic evaluation. In addition to detailed history-taking and physical examination, simple and available diagnostic methods, such as chest x-ray and spirometry, should be performed. They may be helpful tool to establish the underlying cause of cough. Many younger children may have difficulties in performing the forced expiratory maneuvers and fulfilling repeatability criteria for spirometry. The disturbances resulting from insufficient cooperation should be considered in interpratation of the obtained results. The shape of the flow-volume curve, which suggests upper or central airways obstruction, can not be ignored and always requires further investigation for diagnosis of respiratory pathology. The chest x-ray is the most frequently performed radiographic examination in children. Accurate interpretation is essential in reaching a correct diagnosis. Mediastinal widening on the chest x-ray in children can occur due to a large variety of causes. The normal thymus can take on a variety of sizes and shapes and still be considered normal in the first few years of life. In older children mediastinal widening should be differentiated from mediastinal masses. Lymph node enlargement represents a frequent cause, usually as a result of infection or malignancy. The article reports a case of a 12-year-old boy with chronic cough, mediastinal widening on the chest X-ray and abnormal spirometry results, who was finally diagnosed with stage III Hodgkin’s lymphoma.

What Are the Challenges Faced by Village Doctors in Provision of Basic Public Health Services in Shandong, China? A Qualitative Study.

Background: Village doctors, as gatekeepers for the health of rural residents in China, are confronted with adversity in providing the basic public health services (BPHS), which has significantly impeded them from providing high quality BPHS. This study aimed to explore the obstacles and difficulties faced by village doctors in order to improve the quality and efficiency of BPHS provision and increase the health level of the population. Methods: In-depth interviews were employed to conduct this qualitative study. A total of 51 village doctors in four cities of Shandong Province were interviewed. The interviews were transcribed, anonymized, and imported into NVivo11.0 to facilitate management. Thematic framework analysis employing the constant comparison method was applied to the data analysis. Results: The main challenges faced by village doctors comprised the shortage, gender imbalance, and poor education of village doctors; older village doctors in some villages; low income; lack of social security; inappropriate performance assessment; inadequate professional BPHS training; heavy workload; and insufficient cooperation from rural residents, which have exacerbated the quality, efficiency, and accessibility of BPHS to some extent. Conclusions: Village doctors, as the important BPHS providers in rural Shandong, are facing a wide range of challenges. It is urgent for government officials and policy makers to consider these challenges and concentrate on improving the quality of BPHS provision by developing relevant and practical strategies.