About the Difficult Relationship Between the Polish Idea and the Polish Ethos in Contemporary Art. Marginalized Transcendentals, Critical De-coincidence, Intensive Dialogue, and Affirmative ‘Renewal’

Difficult doctor‒patient relationships are a common reality in many health-care organizations. Its harmful impacts have been mainly discussed from the perspectives of patients. However, understanding of its negative effects on physicians is limited. Drawing on the job demands-resources model and the conservation of resources theory, we hypothesize that difficult relationships with patients negatively predict physicians' work engagement, mediated by physicians' personal resources (e.g. prosocial motivation and problem-solving pondering). A sample of 588 physicians from 24 Chinese hospitals completed questionnaires in a two-wave survey. Structural equation modeling and bootstrap estimation results provide support for the hypothesized relationships. Difficult doctor‒patient relationships have a direct and negative effect on physicians' work engagement. Specifically, there is a sequence in which the difficult doctor‒patient relationship first impedes physicians' prosocial motivation, leading to decreased problem-solving pondering, which subsequently impairs physicians' work engagement. Theoretical and practical implications of these findings are discussed.

Background:Although compassion fatigue has received significant attention in nursing management, compassion satisfaction has been less studied.Purpose:This study was designed to elucidate the positive and negative trends in nursing empathy from a dialectical perspective and investigate the impact of difficult nurse-patient relationship on compassion fatigue and satisfaction, and the underlying mechanisms.Methods:A cross-sectional study was conducted from November to December 2022 at a tertiary hospital in a northeastern province of China on 1,756 nurses. A moderated mediation model was constructed using structural equation modeling, and multi-group comparative analysis was used to examine the differences in the proposed model.Results:After adjusting for controlled variables, empathic concern and personal distress were shown to mediate the relationship between difficult nurse-patient relationship and, respectively, compassion satisfaction and burnout. Personal distress was found to mediate the relationship between difficult nurse-patient relationship and secondary traumatic stress, while self-reflection was found to moderate the effect of difficult nurse-patient relationship on empathic concern. Finally, differences in the structural model were detected between those with and without hospital traumatic experience.Conclusions/Implications for Practice:The findings reveal the mechanisms and boundary conditions underlying difficult nurse-patient relationship that influence compassion fatigue and compassion satisfaction. Interventions that increase the level of self-reflection and empathic concern may help reduce burnout and increase compassion satisfaction in nurses.

Objective: To determine the frequency of antenatal anxiety and depression and its risk profile including demographic, psychosocial and obstetric risk factors, in middle socioeconomic women.
 Methods: A cross-sectional study was carried out at two private hospital centres of Karachi, over a pe- riod of five months from October 2016 to March 2017. A questionnaire (age, education, parity, socio- economic status, employment) and the Hospital Anxiety and Depression Scale (HADS) were the tools used to gather required information from pregnant women. Data collected was entered in SPSS 16 software. Descriptive statistics were used to calculate frequency and mean values. Logistic regres- sion both binary and multinomial was performed to identify significant predictors of anxiety and de- pression.
 Results: Our study showed that out of 520 pregnant women, 130 (25%) women had anxiety, whereas
 220 (42.3%) had depression. The mean age of women was 26.9 ± 4.198 years. The range being from 18 years to 35 years. Significant risk factors among anxiety group were: working woman; 30.8% (p-value=0.000, OR=0.286), domestic violence; 84.6% (p-value=0.000, OR=2.8), difficult relationship with in-laws; 84.6% (p-value=0.000, OR=12.375), sleep disturbance; 76.9% (p-value=0.000, OR=9.667), primigravida; 23% (p-value=0.000, OR=2.576) and unplanned pregnancy; 23.1% (p- value=0.029, OR=0.511).
 Significant risk factors among women with depression were: working woman; 31.8% (p- value=0.000,OR=0.286), domestic violence; 68.2% (p-value=0.000, OR=3.571), difficult relationship with in-laws; 22.7% (p-value=0.000, OR=4.8), sleep disturbance; 54.5% (p-value=0.008, OR=2.0), primigravida; 45.5% (p-value=0.000, OR=17.246) and unplanned pregnancy; 18.2% (p-value=0.000, OR=3.0). Other factors that were found to be significant in the depression group only were: unsatis- factory relationship with husband; 22.7% (p-value=0.000, OR=4.118), stressful life event in previous year; 45.5% (p-value=0.000, OR=2.167), and tertiary education; 68.2% (p-value=0.002, OR=0.916).
 Conclusion: Psychosocial and demographic factors such as working woman, domestic violence, and difficult relationship with in-laws and sleep disturbance had a significant association with antenatal anxiety and depression. Obstetric risk factors were primigravida and unplanned pregnancy. Significant association with depression was unsatisfactory relationship with husband, stressful life event in a previous year and tertiary education.

The conflict between reporters and editors has existed since the beginning of time. The basic cause was simple: reporters and editors had different interests/responsibilities. Early reporters were trained on-the-job. Their lessons were harsh and working conditions dreadful. Reporters were most upset, however, by editors' handling of their stories. Editors' views were much different. They worked at top speed all day, pressured from all sides. They were responsible for obtaining the day's news accurately and efficiently, for presenting that news in an attractive format, and for implementing their newspapers' policies, including policies they disagreed with. They used a combination of rewards/punishments to train their staffs and to obtain instant compliance with their orders.

In a thoughtful essay, Rogers Brubaker points to the paradoxes of populism unveiled by the pandemic: populists’ difficult relationship with expertise; their challenge of facing a crisis which was not created by them; and their new anti-protectionist feelings that were generated by the alleged overprotectedness of government measures. I certainly agree with him that the pandemic effectively challenged populism, and this is probably the main reason why the COVID-19 crisis, as Brubaker put it, ‘has not generated a coherent or large-scale populist response’ – which could have been expected. After all, populists are supposed to capitalize on crises and, being mostly in opposition, they can easily criticize mainstream politics. Although we cannot say that the pandemic would have swept away populism, it is certainly true that the popularity of populist parties is not soaring. Therefore, I believe Brubaker’s point is valid and the pandemic posed a real challenge to populists.

Architecture and sustainability – a difficult relationship

Amongst those « corporations » with which journalists have relations worthy of sociological study, historians are of the more important. Yves Lavoinne analyses this « privileged relationship of rare complexity » from an historical point of view, for since the advent of modern journalism at the end of the 19th century until the desire to live, or illusion of living history in the making, the interaction between these two worlds has changed. Questioning the new conception which both parties have of time, Lavoinne paves the way for new identity problematics for journalists, thanks to an original point of view - the difficult relationship with historians and their material.

Neste artigo tratamos, fundamentalmente, da dificil relacao entre regime politico, neoliberalismo e lutas sociais na America Latina nos anos de 1990. Esta dificil relacao tem causado, aos setores populares, uma especie de mal-estar politico e ideologico, uma vez que as democracias instauradas desnudam seus limites conforme as acoes dos movimentos anti-sistemicos se intensificam.

Why do Japan–South Korea relations remain tense despite repeated efforts to overcome the past? Elite narratives in Japan and South Korea reify the bilateral relationship as a difficult problem. For the Japanese policy elites, the difficulty is due to South Korean unwillingness to embrace a future-oriented relationship; whereas for the South Korean policy elites, the source of the problem is the unwillingness of the Japanese to sincerely address past wrong-doing. The result is a self-fulfilling prophecy of an intractable mutual misapprehension, suggesting that the difficult relationship is here to stay. I analyse pronouncements by both the Japanese and South Korean policy elites appearing in official documents and media reports for clues into the manner in which the bilateral relationship is reified into a difficulty purportedly due to the recalcitrance of the neighbour. The narratives consistently show that both the Japanese and South Korean policy elites consider the onus of improvement lies with the troublesome/insincere neighbour. In short, the bilateral relationship is a clash of realities, with the logical conclusion being that the difficult relationship will persist for the foreseeable future.

This article seeks to investigate the family factors that influence the resilience potential of male and female adolescent students. It is a cross-sectional study with data derived from an epidemiological survey with the participation of 889 randomly selected adolescents in the 9th year of public and private schools in a municipality in the state of Rio de Janeiro. Social and demographic variables indicate that family violence factors such as a difficult relationship with the mother or stepmother and a lack of family supervision, the presence of depression and low use of active and supportive coping strategies for distraction are associated with a low resilience potential. Tests of association between variables and resilience were made, considering a significance level of 5%. Variables like living in a confined space and having a difficult relationship with siblings only appear harmful to the resilience potential of girls. Public policies and programs need to work with families to understand the needs of adolescents, as a way of preventing mental health problems and promoting health in this population from a gender standpoint.

Aim: Some of the patient-physician encounters are considered "difficult" by the relevant physicians. Somatic symptoms, substance abuse, aggression, hostility, and lack of co-operation are the most common features related to difficult patients. That is, the risk of encountering difficult patients in psychiatric practice is high. The difficult relationship may be related to the patient as well as to the physician. We aimed to investigate the difficult patient characteristics associated with the patient in this study. Material and Methods: Difficult relationship is defined as "situations in which the psychiatrist-patient relationship is perceived as problematic”. The cases were defined as difficult relationship with at least two of the psychiatrists who were studying. Controls consisted of patients without difficult relationships. 45 cases and 90 controls were included in the study. Results: There was no significant difference in terms of age, sex, marital status, education status, and working status between the two groups. The number of hospitalization, drugs used, psychotherapy, and social intervention was higher in the case group than in the control group. Personality disorders was significantly higher in the case group. Conclusion: The use of more medicines, more social interventions, more hospital admissions have been attributed to the dissatisfaction of these patients. The improved good therapeutic relationship can lead to less symptoms and fewer applications in these difficult patients. Further systematic research should be conducted with respect to patient-physician relationship to provide a greater understanding of both its etiology and solution.

Fundamentals and Applications – The Difficult Relationship between Research, Development and Politics. The modern world is the product of the scientific and technical mind. Science and technology in the tradition of the schools and the workshops, respectively, came together at the beginning of this modern world, and their increasing interdependence has essentially determined its more recent developments. Technology is no longer merely applied science, and science itself moves forward in the form of technology. At the same time pure basic research, application‐oriented basic research, and product‐oriented applied research form a research continuum. Against the background of this continuum, growing demands are placed on a new kind of transdisciplinarity and on the responsibilities of science and technology for the future of a “Leonardo World”.

Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women

The domination of today’s construction processes by safety regulations for structures contributes to the prevention of personal injury, property loss, and environmental damage. Nevertheless, while revaluation of historic buildings, current safety requirements may collide with heritage protection interests. The purpose of the study is to show that treating each historic building as an individual case and balancing aspects of usage, efficiency, and aesthetics can help to preserve the beauty and the uniqueness of cultural heritage for posterity. During their research, the authors analyzed current German safety regulations for reconstruction of historic buildings with the focus on load bearing capacity of structural systems. Using literature studies and own experimental investigations, they provide solutions how to balance the interests of construction safety authorities, owners, and authorities for the protection of historic buildings. The conclusion is that for planning and performing construction works in existing protected structures, architects and civil engineers need specialized high-level competence. Knowledge about historic building techniques as well as about today’s safety requirements is necessary for acting in compliance with current safety regulations and building heritage interests. It should be in the interest of owners, planners, construction safety authorities as well as engineers to find individual solutions for protected historic structures to support cultural heritage protection.

Background: Africa and the West – a difficult relationship