Self-esteem, coping styles, and quality of life in polish adolescents and young adults with unilateral cleft lip and palate.

Objectives : To evaluate self-esteem, coping styles, and health-related quality of life and their relationships in Polish adolescents and young adults with unilateral complete cleft lip and palate and related sex differences. Design and Participants : Self-report questionnaires measuring self-esteem (Multidimensional Self-Esteem Inventory), coping styles (Coping Inventory for Stressful Situations), and health-related quality of life (WHOQOL-BREF) were completed by 48 participants with cleft lip and palate (age, 16 to 23 years; 31 males, 17 females) and 48 controls without cleft lip and palate (age, 16 to 23 years; 28 males, 20 females) matched for age, place of residence, and socioeconomic status. Results : Regarding self-esteem, individuals with cleft lip and palate scored higher on body functioning (P < .01) and defensive self-enhancement (P < .05). Self-control showed an interaction effect: Females with cleft lip and palate scored higher than controls, but males did not differ between groups (P < .05). Males with cleft lip and palate scored lower than controls in personal power but higher in body functioning (P < .05); females showed no differences between groups. The groups did not differ with regard to coping styles or quality of life, but several correlations were found between self-esteem and coping styles, and quality of life (P < .01). Conclusions : Late adolescents and young adults with and without cleft lip and palate differed little in terms of psychological adjustment measures. The higher scores in defensive self-enhancement of individuals with cleft lip and palate suggest the need for instruments measuring social approval in psychosocial adjustment research involving this group.

Dispositional self-control capacity and trait anxiety as relates to coping styles

In the present article, we analyzed the relationship between dispositional self-control capacity, trait anxiety, and coping styles. Since self-control is often crucial for adapting one’s behavior to be positive, we predicted that dispositional differences in the capacity to exert self-control play a role in determining individuals coping styles. To test this assumption, we assessed participants’ (N = 163) dispositional self-control capacity using the Self-Control Scale, and their dispositional coping styles by using the short version of the German Coping Questionnaire SVF78 (German: Stressverarbeitungsfragebogen). A path analysis supported our hypothesis; higher levels of dispositional self-control capacity were positively associated with positive coping style and negatively associated with negative coping style. Basing on attentional control theory, we further assumed that this relationship was mediated by trait anxiety. In a second study based on a sample of N = 98 participants, we additionally applied the trait version of the State-Trait Anxiety Inventory. The results of a path analysis revealed that trait anxiety mediated the relationship between dispositional self-control capacity and coping styles. The results suggest that it may be useful to take a closer look at the role of self-control in the anxiety-coping relationship.

Attributional styles and stress-related atherogenic plasma lipid reactivity in essential hypertension.

OBJECTIVE Hypertension and an atherogenic lipid profile are known risk factors for coronary heart disease (CHD). Hypertensives show greater changes in atherogenic plasma lipids to acute stress than normotensives. In this study, we investigated whether attribution of failure is associated with lipid stress reactivity in hypertensive compared with normotensive men. METHODS 18 normotensive and 17 hypertensive men (mean±SEM; 45±2.2 years) underwent an acute standardized psychosocial stress task that can be viewed as a situation of experimentally induced failure. We assessed external-stable (ES), external-variable (EV), internal-stable (IS), and internal-variable (IV) attribution of failure and psychological control variables (i.e. extent of depression and neuroticism). Moreover, total cholesterol (TC), low-density-lipoprotein cholesterol (LDL-C), and norepinephrine were measured immediately before and several times after stress. RESULTS ES moderated TC- and LDL-C-stress reactivity in hypertensives as compared to normotensives (interaction mean arterial pressure [MAP]-by-ES for TC: F=3.71, p=.015; for LDL-C: F=3.61, p=.016). TC and LDL-C levels were highest in hypertensives with low ES immediately after stress (p≤.039). In contrast, hypertensives with high ES did not differ from normotensives in TC and LDL-C immediately after stress (p's>.28). Controlling for norepinephrine, depression, and neuroticism in addition to age and BMI did not significantly change results. There were no significant associations between lipid baseline levels or aggregated lipid secretion and IS, IV, or EV (p's>.23). CONCLUSION Our data suggest that ES may independently protect from elevated lipid stress reactivity in hypertensive individuals. ES thus might be a protective factor against CHD in hypertension.

Aus dem Schreiben eines russischen Generals an einen Verwandten in Berlin: Was wir von einer russischen Invasion etwa zu erwarten haben, darüber giebt uns folgender Brief ein Bild ...: Petersburg, den 13. März alten Styles (26. April) 1848: In meinem glücklichen Vaterlande leben wir guten Muthes unter dem Schutze weiser Gesetze ...

Welsch (Projektbearbeiter): Abdruck eines - tatsächlichen oder fiktiven - Briefes eines ungenannten russischen Generals, in dem dieser angesichts der revolutionären Geschehnisse in Preußen - "Noch nie war die Menschheit ... so tief herabgesunken vom Throne der Gottheit und Wahrheit als jetzt ..." - die vermeintlich gerechten und revolutionsresistenten Zustände seiner Heimat preist: "Denn hier zu Lande ist das Vertrauen zu Gott und zum Monarchen felsenfest und unerschüttert."

A qualitative analysis of leadership styles and the selection of quality improvement in primary care practice

In the Practice Change Model, physicians act as key stakeholders, people who have both an investment in the practice and the capacity to influence how the practice performs. This leadership role is critical to the development and change of the practice. Leadership roles and effectiveness are an important factor in quality improvement in primary care practices.^ The study conducted involved a comparative case study analysis to identify leadership roles and the relationship between leadership roles and the number and type of quality improvement strategies adopted during a Practice Change Model-based intervention study. The research utilized secondary data from four primary care practices with various leadership styles. The practices are located in the San Antonio region and serve a large Hispanic population. The data was collected by two ABC Project Facilitators from each practice during a 12-month period including Key Informant Interviews (all staff members), MAP (Multi-method Assessment Process), and Practice Facilitation field notes. This data was used to evaluate leadership styles, management within the practice, and intervention tools that were implemented. The chief steps will be (1) to analyze if the leader-member relations contribute to the type of quality improvement strategy or strategies selected (2) to investigate if leader-position power contributes to the number of strategies selected and the type of strategy selected (3) and to explore whether the task structure varies across the four primary care practices.^ The research found that involving more members of the clinic staff in decision-making, building bridges between organizational staff and clinical staff, and task structure are all associated with the direct influence on the number and type of quality improvement strategies implemented in primary care practice.^ Although this research only investigated leadership styles of four different practices, it will offer future guidance on how to establish the priorities and implementation of quality improvement strategies that will have the greatest impact on patient care improvement. ^

Association of coping styles & adolescent substance use

Adolescent substance use is a serious public health concern with long-lasting consequences. Although specific coping behaviors have been associated with adolescent substance use, less is known about the role of multidimensional coping styles that account for both positive and negative coping behaviors. This study examined the association of coping styles and substance use (alcohol, marijuana, and other illicit drugs) of 1,019 ethnically diverse high school students. Coping styles were categorized by high or low negative coping behaviors (e.g. distraction, social withdrawal, self-criticism, blame others, wishful thinking, resignation, and negative emotional regulation) and high or low positive coping behaviors (e.g. cognitive restructuring, problem-solving, social support, and positive emotional regulation). My hypothesis that high positive coping, regardless of the use of negative coping behaviors, would be protective against substance use was rejected. Logistic regression analyses controlling for age, gender, race, and parent education indicated that adolescents who relied primarily on adaptive coping were 45-67% less likely to report lifetime or past year substance use than any other coping style. However, mixed copers (i.e. high in both positive and negative coping behaviors) were 2 to 3 times as likely to report substance use than their adaptive coping counterparts.^

Leadership and project management competences in executive women: different styles from the agents' perceptions

The exercise of management and leadership are key aspects to achieve objectives, goals and relationships in the current knowledge society marked by increasingly competitive environments in which cognitive factors, creativity, knowledge and information determine the success of organizations. Both concepts have been historically associated with the male domain because of the underrepresentation of women in managerial positions. However, the increasing participation of women in the workplace has led to the development of an extensive literature on the possible existence of differences between the styles of male and female leadership, although it has not been addressed from the analysis of competences associated with each sex. Through a participatory process the abilities and skills related to women managers are analyzed and the differences in leadership styles. The results indicate that women particularly value the skills associated with human relationships, and that female leadership style tends to be transformational.

La rehabilitación de construcciones militares para uso hotelero: la red de Paradores de Turismo, (1928-2012)

Fundamento de la tesis: Al comienzo del siglo XX, el interés por el turismo unido a la necesidad de restaurar un abundante patrimonio histórico, posibilitó en España que los poderes públicos se embarcaran en una singular experiencia: la creación de una infraestructura hotelera a partir de la rehabilitación de edificios históricos. La preservación, mantenimiento e incluso rentabilidad de una gran parte del patrimonio español se haría efectiva a través de la innovadora fórmula patrimonio‐turismo, cuya máxima expresión se materializó en la Red de Paradores desde su fundación en la segunda década del siglo pasado hasta nuestros días. Sorprendentemente, este tema no ha sido todavía investigado en su vertiente arquitectónica pese a que España ha sido pionera y modelo en la cuestión de la hotelería pública. Este trabajo aborda el estudio del caso más significativo de todos los edificios de la red, en tanto que el patrimonio que ha servido de base a los fines hoteleros del Estado ha contado con un total de seis tipos arquitectónicos a lo largo de su historia, dentro de los cuales la arquitectura militar despunta con su mayoritaria presencia dentro del contexto de los edificios históricos de la red. El carácter arquetípico de los castillos y fortalezas, arraigado en el inconsciente colectivo, les hizo especialmente atractivos como alojamiento turístico al permitir evocar la remota época medieval, pese a ser el tipo arquitectónico más comprometido para la rehabilitación hotelera. El estudio de las intervenciones operadas en estos inmuebles se revela de forma clara como escaparate de los distintos criterios de intervención patrimonial que se han sucedido en el siglo XX, hasta enlazar con la perspectiva interdisciplinar actual. La tesis abarca en, primer lugar, diferentes aspectos generales relativos al promotor hotelero, la hotelería pública de ámbito nacional e internacional, y la caracterización de los inmuebles de la red estatal española, desde el punto de vista hotelero y arquitectónico, entendida esta última en sus tres escalas de influencia: la arquitectónica, la urbana o paisajística, y la del interiorismo. Se analiza en segundo término la arquitectura militar dentro del contexto de la Red de Paradores, desde la consideración de su transformación hotelera, para lo cual ha sido necesario realizar una clasificación propia, que abarca tanto edificios que respondieron a una estructura de cuartel, como castillos‐palacio, o fortalezas que habían servido a los fines de una orden religiosa militar, además de considerarse las intervenciones en recintos históricos de carácter militar, donde se hacía obligatorio construir de nueva planta. En tercer y último lugar, se analiza a lo largo de las distintas etapas del organismo turístico las rehabilitaciones realizadas en estas construcciones militares, a la vez que se tienen en cuenta las intervenciones en los restantes edificios históricos, para evitar la descontextualización. Este recorrido comienza con la promoción de los dos primeros paradores a cargo del Comisario Regio, el marqués de la Vega‐Inclán, que sirvieron para sentar las bases de los conceptos e ideas que habrían de desarrollarse en las siguientes décadas. Posteriormente, se desarrolló y tomó forma la red con el Patronato Nacional del Turismo, en la que las primeras intervenciones en tipos militares se tradujeron en reformas interiores de locales. La etapa clave de la red, y en particular de la arquitectura militar, tuvo lugar con el Ministerio de Información y Turismo, marcada por la “repristinación” de monumentos, tras un período preparatorio con la Dirección General del Turismo en el que lo militar había quedado de telón de fondo de otros tipos arquitectónicos. Tras el auge del Ministerio llegó el período de decadencia en el que los castillos y fortalezas desaparecieron de los intereses de las Secretarias de Turismo, hasta llegar a las inauguraciones de los novedosos establecimientos del siglo XXI y el resurgimiento del tipo militar con el parador de Lorca. Metodología empleada: Este trabajo de investigación se ha servido fundamentalmente de documentación inédita, procedente de diversos archivos, además de una muy extensa toma de datos in situ. Dentro del patrimonio analizado, los inmuebles que responden al tipo arquitectónico militar se han dividido en tres grandes grupos: inmuebles rehabilitados que entraron en funcionamiento en la red, inmuebles en proceso de transformación hotelera, e inmuebles que fueron adquiridos con fines hoteleros pero que no llegaron a rehabilitarse. Para cada uno de ellos ha sido necesario determinar en qué estado llegaron a manos de la Administración Turística, cuál fue el mecanismo a través del cual se adquirieron, en qué consistió su primera rehabilitación hotelera, y cuáles fueron las ampliaciones o reformas más significativas que se realizaron posteriormente. Estos datos se han sintetizado en fichas y se han extraído conclusiones al comparar cada unidad con el conjunto. Simultáneamente se introdujeron dos factores externos: la historia del turismo que permitió hacer una ordenación cronológica de los inmuebles según etapas, y la historia de la teoría y práctica de la intervención patrimonial en España que permitió comparar los criterios patrimoniales de la Administración competente respecto de las intervenciones de la Administración Turística, cuyo contacto se haría obligatorio a partir del Decreto, de 22 de abril de 1949, que dejaba bajo la tutela del Estado a todos los castillos y fortalezas. Aportación de la tesis: Con carácter general, la tesis centra una ordenación y sistematización completa del patrimonio inmobiliario de la red, desde el punto de vista de los tipos hoteleros y arquitectónicos, además de poner por primera vez en conexión distintos modelos de hotelería pública, para constituirse en el sustrato de futuras investigaciones. El estudio realizado se ha hecho extensivo a las distintas escalas que inciden de forma interconectada en la implantación de un parador: la arquitectónica, la urbana y la del interiorismo, hasta ahora referenciado desde la exclusiva visión arquitectónica. Se han definido las etapas de la historia de la red, no ya sólo a partir del hilo conductor de la cadena sucesiva de organismos turísticos, sino que por primera vez se hace en razón de la evolución que sufren las intervenciones patrimoniales a lo largo del tiempo, a la vez que se entra en conexión con la teoría y praxis de la restauración monumental. Con carácter particular, la arquitectura militar dentro del contexto de los paradores se destaca en el período del Ministerio, en el que se experimentaron todas las posibilidades que presentaba su rehabilitación. En este sentido se ha puesto de manifiesto en este trabajo un tipo híbrido de parador, a caballo entre la rehabilitación y la edificación de nueva planta, las dos formas básicas de establecimiento creadas en la Comisaría Regia, al que se ha denominado edificación de nueva planta en recinto histórico militar. Esta nueva caracterización se ha valorado como la forma más eficiente de implantar paradores, cuyas pautas arquitectónicas abarcaron un abanico de posibilidades: imitación de modelos arquitectónicos históricos con utilización de elementos patrimoniales prestados que dieran el valor de la historia, utilización de un lenguaje moderno, o la inspiración en la arquitectura vernácula. La amalgama de elementos, estilos e intervenciones sucesivas de ampliación fue la característica común tanto para la implantación de un parador en un edificio como en un recinto amurallado. La arquitectura militar transformada en establecimiento hotelero evidencia la vocación escenográfica de las intervenciones patrimoniales, secundada por el interiorismo, además de su aportación a la arquitectura hotelera en lo referente al confort, organización y funcionamiento de sus instalaciones. La tesis ahonda en los diversos aspectos de la rehabilitación hotelera apuntados de forma parcial por algunos autores, y pone de manifiesto la “ambientación medieval” operada en la arquitectura militar, que llegó a tener su máxima expresión con el criterio de la “unidad de estilo” del Ministerio de Información y Turismo. La rehabilitación hotelera dentro del contexto de la Red de Paradores, queda caracterizada en la tesis en relación a intervenciones en construcciones militares, cuya sistematización puede ser extrapolable a otros tipos arquitectónicos o cadenas hoteleras de titularidad pública, a partir del estudio que se ha avanzado en este trabajo. Thesis basis: At the beginning of the 20th century the interest in tourism added to the plentiful heritage in Spain enabled the authorities to embark on a singular experience: the creation of a hotel infrastructure from the restoration of historic buildings. Preservation, maintenance, and even profitability of a large part of the Spanish heritage would be effective through the innovative formula heritage-tourism. Its greatest expression materialized in the Paradores Network since its foundation in last century’s second decade to the present day. Surprisingly, this subject has not yet been investigated in its architectural aspect, even though Spain has been a pioneer and a model in the matter of public hotel business. This project tackles the study of the most significative case of all the network’s buildings, since the heritage which has served throughout history as a base for the State hotel purposes has altogether six architectural types, among which military architecture stands out with its majority presence in the context of the historical buildings of the network. The archetypal character of castles and fortresses, ingrained in the collective subconscious, made them specially attractive for tourist accommodation, as it allowed the evocation of far medieval times, despite being the most awkward architectural type for hotel restoration. The study of the interventions in these buildings clearly reveals itself as a showcase of the different criteria of heritage intervention along the 20th century, connecting to the present interdisciplinary perspective. Firstly, the thesis covers different general aspects regarding the hotel developer, the domestic and international public hotel business, and the description of the Spanish state network buildings from a hotel business and an architectural point of view, the latter from its three influence scales: architectural, urban or landscape, and interior design. Secondly, the transformation of the military architecture in the Paradores Network into hotels is analyzed. For that purpose it was necessary to create a specific classification, which included barrack-structured buildings, castle-palaces, or fortresses which served the purposes of military-religious orders. The interventions in those military historical places where new building became compulsory were also taken into consideration. Thirdly and lastly, the thesis analyses the restorations in these military constructions through the different stages of the tourist organization. In order to avoid decontextualization, interventions in other historical buildings were also considered. This route begins with the promotion of the two first Paradores by the Royal Commissioner, the marquis of Vega-Inclán, which paved the way for the concepts and ideas that were developed in the following decades. Subsequently, the network was developed and took shape with the National Tourism Board. The first interventions on military types were inside refurbishments. The Network’s key period, and in particular of its military architecture, took place with the Ministry of Information and Tourism, a time marked by the “restoration to its original state” of monuments. This stage arrived after a preparatory period with the State Tourist Office, when the military type was left as a backdrop for other architectural types. After the Ministry’s boom arrived a decline, in which castles and fortresses disappeared from the Tourist Department’s interests up to the opening of the 21st century new establishments and the resurgence of the military type with Lorca’s Parador. Methodology: The present research project has mainly used unpublished documentation from several archives and has done an extensive in situ data-gathering. Within the heritage analyzed, military buildings have been divided into three main groups: restored buildings that began to operate in the network, those in process of hotel transformation, and those acquired for hotel purposes, but which did not become restored. In each case, it has been necessary to determine the condition in which they arrived to the Tourist Administration, the procedure by which they were acquired, what their first hotel restoration consisted of, and which their subsequent most significative enlargements and alterations were. These facts have been synthesized in cards, and conclusions were drawn by comparing each unit with the whole. Simultaneously, two external factors were introduced: the history of tourism, that allowed establishing a chronological order according to different periods, and the history of Spanish heritage intervention’s theory and practice, that permitted to compare the heritage criteria from the competent Administration with those of the Tourist Administration’s interventions. Both Administrations came compulsorily into contact after the Decree of 22nd April 1949, by which all castles and fortresses became under the protection of the State. Thesis contribution: In general, the thesis focuses on a complete order and systematization of the network’s heritage buildings from the hotel and architectural types points of view, besides connecting for the first time different public hotel business models, becoming the substratum for future investigations. The study has included the different scales that impact interconnected on the establishment of a Parador: architectural, urban and interior design, only referenced to date from an architectural point of view. The Network’s history stages have been defined according to not only a consecutive series of tourist organizations, but also, and for the first time, to the evolution of heritage interventions over time, thus connecting with the theory and praxis of monumental restoration. In particular, within the Paradores, military architecture stands out in the Ministry’s period, in which all kind of restoration possibilities were explored. In this sense, the present project puts forth a hybrid type of Parador between restoration and new building, the two basic ways of establishment created in the Royal Commission, termed new building in military historic enclosure. This new characterization has been evaluated as the most efficient for establishing Paradores, whose architectonic guidelines include a wide range of possibilities: the imitation of historical architectonic models with use of borrowed heritage components that provide historical value, the use of modern language, or the inspiration in vernacular architecture. The amalgam of elements, styles and consecutive enlargement interventions was the common feature of the establishment of a Parador, both in a building or in a walled enclosure. The military architecture transformed into a hotel establishment gives proof of the scenographic vocation of heritage interventions, supported by interior design, as well as of its contribution to hotel architecture, related to its comfort, organization and the functioning of its facilities. The thesis delves into the diverse aspects of hotel restoration, partially pointed out by several authors, and puts forth the creation of a “medieval atmosphere” in military architecture, which came to its highest expression with the “unitary style” criteria of the Ministry of Information and Tourism. Hotel restoration within the context of the Paradores’ Network is defined in this thesis in relation to interventions in military constructions, whose systemization can be extrapolative to other architectural types or public hotel chains, based on the study which has been put forward in this project.