Unique Outlook Research Articles

The Role of Dual-trained Conventional/Complementary Physicians as Mediators of Integration in Primary Care.

A growing number of physicians study complementary and alternative medicine (CAM). Limited data are available on perspectives of physicians with dual training in conventional medicine and CAM, on issues of communication and collaboration with CAM practitioners (CAMPs). Questionnaires were administered to primary care physicians employed in the largest health maintenance organization (HMO) in Israel and to MD and non-MD CAM practitioners employed by a CAM-related agency of the same HMO. Data for statistical analysis were available from 333 primary care physicians (PCPs) and 241 CAM practitioners. Thirty-one of the 241 CAMPs were dual-trained physicians employed in a CAM-related agency as practitioners and/or triage-consultants. Dual trained physicians and CAMPs shared similar attitudes and supported, more so than PCPs, collaborative physician–CAM practitioner teamwork in clinical practice, medical education and research. Nevertheless, dual trained physicians supported a physician-dominant teamwork model (similar to the PCPs’ approach) in contrast to non-MD CAM practitioners who mainly supported a co-directed teamwork model. Compared to PCPs and non-MD CAM practitioners, dual trained physicians supported significantly more a medical/referral letter as the preferred means of doctor–CAM practitioner communication. Dual trained physicians have a unique outlook toward CAM integration and physician–practitioner collaboration, compared to non-MD CAM practitioners and PCPs. More studies are warranted to explore the role of dual trained physicians as mediators of integration.

Brand value, convictions, flexibility, and New Zealand wine

How can small firms compete successfully in today's complex and dynamic markets without selling out? Seemingly only highly resourced companies can develop global brands that afford some degree of protection from turbulent market forces. But Palliser Estate Wines of New Zealand is one small firm that has managed to develop a strong brand. Adhering to a core set of values, it has ensured the effective use of limited resources and built a competitive advantage through considered action. By blending four different types of marketing practices, Palliser has created a unique cultural outlook that other small business owners can adopt.

Identity Formation Through Language and Literature in the African-Ancestored Cultures of Spanish America: Cuba and Costa Rica

contemporary cultural and literary studies, it is a given that culture, color/ race, class, and gender intersect in formation of identity of New World writers, whether their language is Spanish, Portuguese, French, English, or Dutch. Such a connection may not always be explicit in a specific literary work, but it informs discourse of Americas, and it is hemispheric context in which African American and Latino Studies programs in United States operate. Not only do these factors shape personal, unique outlook of individual author, they also mold self-concept of his family, community, society and nation. As a result of its colonial legacy, identity formation in Latin America is still problematic, for as observed by John Elliot, the very concept of 'identity' in a colonial society is itself fraught with ambiguity (Elliot 8). Moreover, in his study of development of a selfconcept among ruling class {criollos) in colonial Mexico and Peru, Anthony Pagden illustrates that interracial liaisons, whether recognized as legal or not, led to such racial fluidity and mobility that it became ... difficult for criollos to make any unassailable claims to purity of blood {limpieza de sangre) (Pagden 69) in their quest for a closed white elite (Pagden 70). * The public is conscious of this overwhelming concern with color/ and its relationship to perceived cultural and social identities. Thus, Miriam DeCosta-Willis confirms that race is a major component of identity for many writers, particularly those from Cuba, Costa Rica, Uruguay, and other countries where pride in African cultural heritage is valued in casa and barrio {Daughters xxii) . To identify African Hispanophone writers as a richly creative force in Latin American literature is to challenge their de facto racial exclusion from canonical texts and move towards

BETWEEN TWO CULTURES: A CONVERSATION WITH SHULAMIT RAN

Although Israeli performers are widely recognized in the international arena, serious music composed by Israeli composers is far less well known. Yet, throughout Israel's 55-year history to date, contemporary music has attained a remarkably dynamic, thriving impetus despite (and perhaps partly as a consequence of) the harsh realities of daily life. The works of four generations (and a rising fifth generation) of composers in all genres and instrumental combinations may still be known far less than they deserve across the world, yet the amount of new recordings, published studies and performances is encouraging evidence of increasing interest. This article-interview is intended to deepen appreciation of an important repertoire through an introduction to the music and ideas of one of the foremost Israeli composers, the Chicago-based Shulamit Ran, whose unique outlook is influenced by two cultures, those of Israel and America.

Theodore of Mopsuestia Revisited

The author offers a new insight into Theodore of Mopsuestia's christological thought by stressing the Antiochene Father's unique outlook on how Christ functions as the perfect image of God to illumine his meaning of prosopon or person. It suggests too that the image's revelatory, cultic, and binding roles within creation's organic unity can clarify his indwelling of good pleasure. Christ's humanity is seen to image the Word in a real permanent way analogously to how the human body functions as one with its spiritual partner without either nature being compromised.

A design approach to zoological exhibits: The zoo as theater

The purpose of this paper is to present a unique exhibit design approach that is capable of contributing to the conservation of endangered primates. The approach recognizes the need to link the animal's plight to its environmental context, including its natural habitat and the cultural and economic influences of man. The basis of the design recommendations was generated by an analysis of the design dilemmas that confront the exhibit design team, especially the contradictions that exist between the mind and the eye or the message (conservation/education) and the media (exhibit area). The design approach stresses the importance of creating perceptual illusions of the animal's habitat while recognizing the primates' physical, psychological, and social needs. The paper introduces the “zoo as theater” as a means to understand the educational and entertainment opportunities that can be developed in our nation's zoos. This unique outlook is presented to inspire bold thinking and a shift in attitude in the search for imaginative and memorable exhibits that will encourage the visitor “to think globally and act locally” about the conservation of endangered species. The design approach focuses on the reality of illusions and their importance in the zoo visitor's total experience: from the anticipation of the visit, to the actual animal encounters at the zoo, to remembering the visions of the trip. It adopts some basic theories of optical illusions translating them into design guidelines that help 1) simulate the animal's natural habitat, 2) produce an atmosphere similar to the animal's environment, 3) focus on the outstanding physical features of the animal, and 4) emphasize the ecological relationships between animals, habitat and man.

Between Jest and Earnest: The Comedy of Sir John Vanbrugh

The soft stones of Blenheim by now need constant care, but Vanbrugh's playshappily the word is more durable-have weathered unharmed more than forty years of rare and sporadic attention. Perhaps The Relapse (1696) and The Provoked Wife (1697) would be better left as they stand, unencumbered by the scaffolding of busy critics. But the conclusion reached by Bonamy Dobree in 1928, after he had edited not only Vanbrugh's original plays but also his translations, has not yet, it seems, been adequately shaken. Since his work is not very difficult or subtle, and conveys no there does not seem to be very much to say about said Dobree; and whether successive students of the plays turning to the four volumes from the Nonesuch Press have been cowed by this pronouncement or not, only a few of them have ventured into print.' Writing for the most part in the additional shadow of John Palmer, they have tended, like him, to see Vanbrugh as a transitional figure between, as Palmer had put it, kingdoms of comedy. While they have been kinder than Palmer in judging the plays, dropping, for instance, his accusation that Vanbrugh is immoral, still, I believe, they have failed to do him justice.2 For, judging from the two original plays he completed, Vanbrugh had, if not a unique outlook, then one that for its subtlety and seriousness of purpose deserves a better reputation.3