Small Country Research Articles

NFS-16. NOVEL AUSTRIAN CARE AND PREVENTION GUIDE FOR CHILDREN AND ADOLESCENTS WITH NF1

Abstract BACKGROUND Unified strategies for the care of children and adolescents affected by Neurofibromatosis type 1 (NF1) are lacking in Europe. While ERN GENTURIS developed guidelines for the tumour surveillance and management in NF1, these recommendations do not cover all other aspects of the disease. This holds not only true on an international level, but also on the national level in Austria. Despite being a small country with a uniform health and social security system, approaches to patient care may be comparable but not identical. AIM In order to standardise and improve patient care for children with NF1 in Austria, a care and prevention sheet was developed. METHODS In close cooperation with the Austrian patient organisation NF Kinder the Austrian NF network was established. This network is composed of dedicated health-care providers (medical as well as psychosocial) involved in the care of patients with NF1 in ten Austrian centres as well as patient representatives, some of whom were also involved in drafting the novel ERN GENTURIS recommendations. This network undertook the task of reviewing existing guidelines and incorporate the national healthcare structure and best practice guidelines into a consensus document. RESULTS The recommendations were condensed into a single sheet that is divided in four sections: clinical examination, lab investigations, imaging, additional consultations. For each parameter, the document advises on the age specific intervals for screening. Furthermore, it indicates the appropriate time points during follow-up (e.g. at initial presentation, at transition, if clinically indicated, …). The recommendations thereby focus not only on the inherent tumour risk but address the broad spectrum of possible symptoms (such as orthopaedic or surgical), specifically emphasising also psychosocial and neurocognitive issues. CONCLUSION The novel Austrian care and prevention guide for children and adolescents with NF1 will facilitate uniform best practice care for affected kids on a national level

“Unkempt Attire Does Not Befit Us”

There are very few European countries with a tradition of national costume. Local, folk, and regional costumes are common. One can even define an outfit topographically in terms of its historical features. However, national dress, which is the identifying mark of a country, a symbol of national identity, well-established through centuries of tradition, is a rather unique phenomenon. Although in several instances the emergence of national attire has an older history (for example, in Switzerland, Spain or Denmark, the trends have been noticeable since the 18th century, while Gustav iii in Sweden in 1778 promulgated a decree on the wearing of national costumes), the greatest explosion of trends to promote national attire occurred in the 19th century. This is related to the widespread national or national liberation tendencies that swept through Europe during this period. Nineteenth-century aspirations to return to some fashion, to look for historical designs or to create national costumes took place especially in smaller countries (or those that did not exist on the maps at the time), which wanted to preserve and assert national identity in this way. From this point of view, it will be interesting to look at the tradition of promoting patriotic and national liberation ideas through clothing in the Polish lands.

Japanese Consciousness of Narrowing from the Perspective of Architecture

One of the characteristics of Japanese culture is the “consciousness of narrowing”. Sei Shonagon once wrote in “The Pillow Book” that “no matter what, small things are exquisite.” The Japanese people's awareness of the beauty of smallness is widespread and is reflected in every aspect, and it can be said that “smallness” exists everywhere in Japan. Japan is a small island country surrounded by the sea on all sides, in such a geographical environment, the Japanese people have developed a “consciousness of narrowing”. This “consciousness of narrowing” has had a profound impact on many aspects of Japanese society, and has led to the formation of a unique Japanese culture. Culturally, the Japanese art of flower arrangement and architecture also pursues subtlety and delicacy in form and structure, and favors a small and exquisite style in its aesthetic sense. Throughout the history of mankind, no matter what era, architecture has always served to protect mankind and avoid danger. Even though the style of architecture has changed with the change of time, the cultural connotation embodied in it is still preserved. Therefore, this thesis analyzes the causes and effects of the “consciousness of narrowing” on Japanese society to further understand the unique culture of the Japanese people. At the same time, by citing representative Japanese buildings and understanding the “consciousness of narrowing” embodied in them, it is hoped that the national character and aesthetic sense of the Japanese people can be further understood, and that Sino-Japanese cultural exchanges can be promoted. At the end of this thesis, we will briefly compare the differences between Japanese traditional culture and Chinese traditional culture represented by “consciousness of narrowing”, hoping to further understand Japanese culture on this basis, and to help promote cultural exchanges between China and Japan.

An Analysis of the Legal Dimensions of the Shanghai Cooperation Organization and the Legal Effects of Iran's Accession to the SCO from an International Law Perspective

The focus of this study is to analyze the legal aspects of the Shanghai Cooperation Organization (SCO) and the implications of Iran joining the organization, with a specific focus on international law. The research employs a descriptive-analytical approach, utilizing various library resources to gather information. The SCO places a high priority on regional security, with all members committed to implementing the SCO treaty's provisions on countering terrorism, separatism, and extremism. Unlike other organizations such as NATO and the Warsaw Pact, the SCO values equal cooperation among its members and does not impose the ideologies of major powers on smaller countries. The organization promotes pluralism in participation and encourages bilateral and multilateral cooperation in areas such as commerce and economics. The Shanghai Declaration emphasizes the need to utilize the extensive potential and opportunities in these fields, with talks on trade and investment facilitation taking place within the SCO framework. Efforts to create regional security through peaceful resolution of all disputes in accordance with UN resolutions, concerns about the situation in Afghanistan as a serious threat to regional and global peace and stability, and opening political dialogue to promote mutual trust and greater multilateral cooperation are among the principles of the Shanghai Cooperation Organization.

Larger nations benefit more than smaller nations from the stabilizing effects of crop diversity.

Crop diversification is increasingly recognized as a strategy to stabilize national food production, yet the benefits of this approach may vary across nations due to the scale dependence of crop diversity and stability. Here we use crop production data from 131 nations from 1961 to 2020 to explore the spatial scale dependence of the crop diversity-stability relationship. Drawing on ecological theory and complementary analytical approaches, we find that as the total national harvested area increases, yield stability increases. Crop diversity stabilizes national yield stability, as does an increase in the number of farms, but these stabilizing effects are weaker in smaller countries. Our findings suggest that enhancing crop diversity at the national level may not provide a de facto universal strategy for increasing yield stability across all countries-with implications for national strategies promoting crop diversification to protect against food system shocks.

Measuring Public Preferences for Strategic Choices in an Era of Great Power Competition: Taiwan as a Case Study

As the U.S.–China relationship tilts toward competition and confrontation, scholars and policymakers have focused on the strategic choices faced by the citizens of small and medium-sized countries caught between the two great powers. However, methodological deficiencies remain in how public preferences for these strategic choices are measured. This paper attempts to fill this gap by developing a new means of measuring public opinion regarding strategic choices. Using survey data collected in Taiwan in March 2023, we demonstrate how this measure is constructed and why it aligns more closely with the theoretical concept of strategic choices. Our findings indicate that preferences for different strategies in Taiwan follow a U-shaped distribution that is centered either on hedging with the United States or with China. Multivariate analyses show that factors such as the threat of China, the U.S. security commitment to Taiwan, skepticism toward the United States, confidence in Taiwan’s military, and partisanship are all correlated with public preferences for different strategies. This paper helps us understand these preferences among citizens in small and medium-sized countries and contributes to the literature on public opinion, international relations theory, and policymaking.

THAILAND’S HEDGING STRATEGY UNDER THE STRATEGIC COMPETITION BETWEEN CHINA AND THE UNITED STATES

Thailand's foreign policy stance has shifted dramatically since the Prayuth regime staged a coup in 2014. The purpose of this study: 1) Complement and expand on the theoretical meaning of hedging strategy. 2) It can theoretically support Thailand in the face of strategic conflict between China and the United States. 3) Be aware of why Thailand implements a hedging strategy and know the specific performance of Thailand’s hedging strategy. 4) It will aid in the growth of Thailand's connections with the two big countries. 5) This article can provide certain reference for research related to Thailand’s diplomatic strategy. The method of this study adopts content documentary analysis, case analysis method, literature research and historical method. According to the findings of this study, Thailand has begun to tilt more toward requesting assistance from China in Prayuth goverment. Many researchers are concerned about Thailand's neutrality. However, Thailand has not yet vanished from the United States. Just a few steps removed from the Obama and Trump administrations. Thailand has begun to rebuild its old friendship with America as the Joe Biden era looms. But anyway Thailand cannot choose a side. Because Thailand is a reliable ally on both sides. This has caused the Prayut government to seek cooperation from other organizations and countries, including Japan, India, and ASEAN. Thailand has accelerated the development of economic links with Japan. Accelerate the political development of relations with India. and establishing ties with ASEAN and Southeastern countries in order to find a way for small countries to maintain their own interests as much as possible in the fight between the two superpowers. Although hedging techniques are currently the preferred option for smaller countries, the variables driving this strategy differ. In Thailand, the majority of the factors that influence hedging tactics originate within the country. But all bordering countries are influenced by foreign causes. As a result, Thailand has become another special case of hedging among ASEAN countries.

Trends and Characteristics of Human Casualties in Wildlife-Vehicle Accidents in Lithuania, 2002-2022.

We analyzed 474 human casualties in wildlife-vehicle accidents (WVAs) that occurred between 2002 and 2022 in Lithuania, which is a small northern European country. The study revealed the escalating trend of WVAs, since 2018 surpassing other transport accidents, although the number of casualties per WVA was ca. 100 times lower compared to other transport accidents. Moose was the primary contributor, responsible for 66.7% of fatalities and 47.2% of injuries, despite much lower species abundance compared to roe deer, which is the main species involved in WVAs without human casualties. Temporal patterns highlighted seasonal, daily, and hourly variations, with the majority of casualties occurring during dusk or dawn in May and September, on weekends, and between 20:00 and 22:00. Spatially, main roads with high traffic density exhibited the highest casualties per unit length. Most casualties occurred after hitting an animal directly with cars and motorcycles being most vulnerable vehicles. The effectiveness of WVA prevention measures was inconclusive: 9.5% of fatalities and 1.4% of injuries were registered in the area of the warning sign, and 10.4% of all casualties occurred on fenced road segments. These findings suggest the need for a critical evaluation of the current prevention strategies in reducing human casualties associated with WVAs.

Награды малых стран Европы в государственно-правовом статусе российской правящей династии в XIX — начале ХХ в.

The article is devoted to the role of awards from small European countries in the state and legal status of the Russian imperial family in the XIX — early XX century. In addition, attention is paid to the history of the imperial family and the relations of the Russian Empire with Western European countries.

Commodity tax competition with consumption externalities

ABSTRACT This paper presents a model of cross-border shopping from a small to a large country that does not appear in standard commodity tax competition analysis. The paper focuses on consumption externalities as the key to the result and shows that the presence of positive externalities associated with consumption choices, e.g. bandwagon effects, leads to an equilibrium in which consumption flows from small countries to large countries with higher tax rates.

Transitionning and the trinity nexus: Scenarios from a small country

The energy issue in both developed and developing countries remains vital. However, in developing countries, energy pressure is much greater. Despite this, few studies have examined credit, entrepreneurship, and energy transition in developing countries. We addressed this research gap by using the data collected from six regions in Burkina Faso. Employing the multivariate probit and the endogenous switching probit model, three scenarios are explored. We find that entrepreneurship promotes energy transition while access to credit is not useful to the energy transition. However, the joint effect of access to credit and entrepreneurship is 4 times higher for solar PV use and 3 times for biogas adoption. Access to credit promotes the energy transition when credit is devolved to the entrepreneur supporting the trinity rather than the trilemma.

Communication with international visitors

Abstract According to Statistics Estonia, in 2022, there were 170 museums in Estonia with 277 visitor sites, all of which contribute to preserving, shaping, and communicating our memory and identity, translating our culture to the people of Estonia and international visitors alike. Among European countries, Estonia has the most museums per 100,000 inhabitants. In 2022, nearly 2.5 million people visited museums, which makes 1,769 attendances per 1000 inhabitants. Museum translation is integral to translation studies but has not been thoroughly studied in Estonia. The article attempts to reflect on the communicative potential of interlingual translation in the University of Tartu Museum, using the concepts developed in museum translation research. Estonia is an interesting case for discussion because, while it is a country with a very small population, it is a multilingual country, where about 30% of the population do not speak Estonian as their first language. As a small and multilingual country, museums cannot rely on Estonian-speaking visitors only; they also depend on foreign visitors. The research objective is to find out how the University of Tartu Museum communicates with visitors who do not understand Estonian and what communicative strategies have been used in the past.

Challenges and Opportunities in Breast Cancer Care in Low-Resourced Countries, Jordan as An Example.

Jordan is a relatively small country with a rapidly growing population and a challenged economy. Breast cancer is the most diagnosed cancer among women worldwide and also in Jordan. Though the age-standardized rate (ASR) of breast cancer incidence is still lower than that in Western societies, the number of newly diagnosed cases continues to increase, involving younger women, and new cases are usually detected at more advanced stages. Improvements in breast cancer care across the health care continuum, including early detection, prevention, treatment, and survivorship and palliative care, have become very visible, but may not match the magnitude of the problem. More organized, goal-oriented work is urgently needed to downstage the disease and improve awareness of, access to, and participation in early detection programs. The cost of recently introduced anti-cancer therapies poses a great challenge, but the impact of these therapies on treatment outcomes, including overall survival, is becoming very noticeable. Though the concept of a multidisciplinary approach to breast cancer treatment is often used at most health care facilities, its implementation in real practice varies significantly. The availability of breast reconstruction procedures, survivorship programs, germline genetic testing, counselling, and palliative care is improving, but these are not widely practiced. In this manuscript, we review the status of breast cancer in Jordan and highlight some of the existing challenges and opportunities.

Interaction effects in the cross-section of country and industry returns

We comprehensively examine the interaction effects in the cross-sectional predictability of country and industry returns. Using nearly five decades of data from 68 countries, we construct all possible double-sorted portfolios based on 44 portfolio characteristics and uncover numerous significant interactions. An out-of-sample value-weighted strategy that selects the top long-short country (industry) interactions generates a monthly World CAPM alpha of 0.33% (0.62%) with a Sharpe ratio of 0.58 (0.75). The strongest interactions stem from implementing momentum and technical analysis signals in small and illiquid countries or industries. Furthermore, the return patterns mainly emanate from frontier and weakly integrated markets—highlighting the role of market frictions and segmentation in the occurrence of abnormal returns. Consistent with these interpretations, the interactions decline over time as global markets mature and become more integrated.

Qatar's FIFA World Cup odyssey: A quest for legacy transforming a small nation into a global destination

This study delves into the profound impact of mega-events on a destination's perception, focusing notably on Qatar's hosting experience during the FIFA World Cup 2022. Employing a qualitative longitudinal research approach, data is drawn from a variety of sources including Scopus articles, international studies, tourism records, newspapers, and interviews with diverse stakeholders such as visitors, tourism experts, executives, and government officials. Through an inductive content analysis of this extensive dataset, the authors identify key influencing factors. They meticulously examine a decade-long evolution using assessments from independent travel and tourism rating organizations alongside various metrics. The findings reveal a significant uptick in Qatar's allure and inbound tourism. Factors contributing to this surge are systematically categorized, with transportation and events infrastructure, hospitality and accommodation facilities, and media exposure emerging as consistent themes across host nations. Additionally, contextual factors like security/safety, culture/heritage, and diversity are highlighted for their pivotal role in shaping a destination's image. This research underscores how mega-events act as catalysts for reshaping Qatar's destination identity and attracting inbound tourism, as evidenced by a range of indicators contingent upon maintaining both universal and contextual factors. It emphasizes the importance of a strategic vision that nurtures these factors over time, aligning with the destination's life cycle to forge a lasting legacy. Furthermore, the study illuminates how mega-events can bolster soft power for small countries lacking significant natural or historical attractions, providing valuable insights for policymakers and marketers to devise effective strategies.

Branding a small state as an innovation business partner

AbstractApproximately 50 small countries depend on international cooperation for their survival as sovereign nations. This case study contributes to the discussion of cosmopolitanism versus internationalism in public diplomacy and place branding. It argues that limited bilateral partnerships with universities and businesses based on government-to-government agreements and shared interest are a safer strategy for small countries seeking reputational security than outspoken support for cosmopolitan values. This strategy is a very useful form of place branding, especially in times of crisis and uncertainty. The case examined is Innovation Centre Denmark, with offices in innovation hotspots in various countries. It organizes its activities as bilateral triple helixes, inspired by the work of Henry Etzkowitz and his colleagues. The center developed as part of a nation branding strategy launched by Denmark, a small Nordic country, following the so-called Muhammad crisis in 2005–2006. Then Prime Minister Anders Fogh Rasmussen described the controversy as Denmark’s worst international relations incident since WW2, as it damaged the country’s brand in some parts of the world. The article is multidisciplinary in nature, as it combines theories from international relations, business studies, and communication. The public diplomacy approach adopted is primarily represented by Nicholas Cull and his colleagues.

Globalization and its Effect on the National Economy: The Albanian Case

Globalization is a widely discussed phenomenon that involves the free flow of goods, services, capital, and people across the world. It is mainly focused on economic and cultural aspects, among others. Globalization can be considered as a trend towards increasing of the interdependence and integration among the countries and regions of the globe. Globalization affects us all and leads a radical change in the human’s lives all over the planet, in the relations between them as well as in culture and other aspects related to institutions. So globalization increases incomes but simultaneously increases social inequalities, leaving some countries and groups of people behind. To put it simply, globalization can rapidly enrich a small group of capable individuals while impoverishing the larger population. This ultimately leads to a decline in living standards across the world. Globalization has both positive and negative sides, globalization also produces winners and losers, both between countries and within them, so there are losses and the lost, but the supporters of globalization do not accept this fact. In conditions when the economies are converging and that this phenomenon is generally acceptable, national governments should look forward to pay attention to the growth of domestic capital the pursuit of international financial reforms with the aim of making it possible to find solutions to help losses and the lost. National governments should have social protection policies on the top of their agenda as well as programs that will help as much as possible in the correcting of the unequal distribution, to help different groups in need. Labor migration is a negative phenomenon that caused by the globalization and damages the economy of small countries in transition as people capable of working move to developed countries for a better life than what they leave in their country of origin. The main indicators of the globalization of the national economy are producing for world markets, being part of the global financial markets, as well as foreign direct investments. Globalization is inevitable, under these conditions the duty of the national governments is to face of the pressure that leads to the subordination of the local economy to the global one. Globalization facilitates the connection of different parts of the world, reducing borders and allowing national economies to cater to global tastes. The decreased transportation costs also contribute to the intermingling of the global and local aspects, ultimately leading to the unification of regions. About globalism, there are currents for and against, while the opponents of globalism as well as those who call globalization the cause of poverty and inequality have not drawn up any alternative model for economic growth and development throughout the globe. Small countries like Albania require large international corporations or companies to invest in them to achieve comprehensive economic development, reduce unemployment, and increase well-being. Financial institutions like the World Bank and the International Monetary Fund also play a crucial role in this process. Received: 25 December 2023 / Accepted: 25 February 2024 / Published: 23 April 2024

Small countries facing the technological revolution: fostering synergies between economic complexity and foresight research

Purpose Although the significance of technological progress in economic development is well-established in theory and policy, it has remained challenging to agree upon shared priorities for strategies and policies. This paper aims to develop a model of how policymakers can develop effective and easy to communicate strategies for science, technology and economic development. Design/methodology/approach By integrating insights from economic complexity, competitiveness and foresight literature, a replicable research framework for analysing the opportunities and challenges of technological revolutions for small catching-up countries is developed. The authors highlight key lessons from piloting this framework for informing the strategy and policies for bioeconomy in Estonia towards 2030–2050. Findings The integration of economic complexity research with traditional foresight methods establishes a solid analytical basis for a data-driven analysis of the opportunities for industrial upgrading. The increase in the importance of regional alliances in the global economy calls for further advancement of the analytical toolbox. Integration of complexity, global value chains and export potential assessment approaches offers valuable direction for further research, as it enables discussion of the opportunities of moving towards more knowledge-intensive economic activities along with the opportunities for winning international market share. Originality/value The research merges insights from the economic complexity, competitiveness and foresight literature in a novel way and illustrates the applicability and priority-setting in a real-life setting.

Outcome of Colorectal Robotic Surgery in Newly Established Robotic Surgery Center: A Case Series

Introduction: The robotic platform compared to laparoscopy has proven to have similar postoperative outcomes; however, its adoption in the Middle East has been slow and there are limited data regarding outcomes with its use in small newly established robotic colorectal programs. Our aim was to report our experience and outcomes of robotic colorectal surgery performed by fellowship-trained robotic colorectal surgeons and compare them to larger, more experienced centers. Methods: This is retrospective review of data collected between November 2021 and March 2023 from a tertiary health care referral center. The series included 51 patients who had elective or urgent robotic colorectal surgery. Patients who had emergency surgery were excluded. The outcomes were overall morbidity, serious morbidity, mortality, conversion to open, length of hospital stay, and quality of oncological specimen. Results: The overall morbidity was 31.4% (n = 16 patients). Only 9.8% (n = 5) had serious morbidity of which three required interventions under general anesthesia. The median length of hospital stay was 6 days (IQR = 4), and there was no mortality. Of 17 rectal cancer resections, 88% had complete mesorectal excision, 15 of them were R0 resections, median lymph node harvested was 14 (IQR = 7) and two cases were converted to open. All the colon cancer resections had R0 resection, median lymph nodes harvested was 21 (IQR = 4) and none were converted to open. Conclusions: The implementation and integration of robotic colorectal surgery at a newly established center in a small country, when led by fellowship-trained robotic colorectal surgeons, is safe and effective in terms of morbidity, mortality, conversion to open and specimen pathological quality.

STOSUNKI LITEWSKO-NIEMIECKIE W SFERZE BEZPIECZEŃSTWA PODCZAS WOJNY ROSYJSKO-UKRAIŃSKIEJ W LATACH 2022-2024

The concept of Lithuanian foreign policy is based on three basic priorities: membership in NATO, membership in the European Union and friendly relations with neighbors. The axiological basis for building international relations was based on values such as common attachment to democratic values, human rights and support for an international order based on rules, law and peace. Thirty-three years later, this Baltic country of about 2.8 million people is taking bold steps to counter Russia’s imperialist aspirations at a time of international security crisis. The aim of the article is to analyze the changing geopolitical reality through the strengthening cooperation between Germany and Lithuania in the area of security policy. The research problem of the work was defined in the form of a question: what are the characteristics of the issues of Lithuanian-German relations during the Russian-Ukrainian war in 2022-2024 In the context of potential threats generated by Russia? What will be the composition of the future German brigade in Lithuania and its preliminary schedule? The starting point of the discussion is the hypothesis that: small countries are able to start a process that can bring benefits to the entire region and thus contribute in their own way to building international peace and security. Moreover, Lithuania, by pursuing an active and effective foreign policy based not only on national but also regional interests, contributes in its own way to building international security; Moreover, tangible results are being achieved thanks to Lithuania’s efforts to attract Berlin’s attention and pressure it to take more decisive action against Ukraine and its eastern flank. The research method used in the work was content and content analysis and analysis of secondary data. The argument for taking up this issue is the lack of both Polish and English-language literature. For this reason, the presentation of preliminary research results provides a perspective for further, in-depth research on this topic.