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The story of managing depressed fractures illustrates how knowledge of proven value does not always get handed down. Celsus was the first to describe sensible management for depressed fractures. As he wrote in Latin this was forgotten. Galen’s Greek writings survived forming the basis of management until the sixteenth century. In 1517, Hans von Gersdorff published a formidable illustrated surgical text. One illustration depicts an instrument for elevating depressed bone fragments. It looked dramatic but could not work and its defects were finally defined in the eighteenth century. Ambroise Paré used a bone punch just as we do today, but no later surgeon mentions this, though the instrument was well known. Elements of chance, fashion, emotionally powerful illustrations, and perhaps stubbornness had a profound effect on management delaying rational treatment for centuries. 相似文献
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Over the last few decades, the term urban shrinkage has come to be accepted as a valid concept in international academic circles, and has gradually gained importance, with its causes the subject of well-documented discussion. While previous discussions of urban shrinkage have directed attention to cities shrinking as a whole, recent research started to recognize the case of shrinkage in growing cities and regions. As such, recent discussions of urban shrinkage indicate that patterns of shrinkage vary considerably from city to city, and from sub-region to sub-region, with the importance of local dynamics in responding to changing economic pressures given much consideration. Recent studies have tended to disregard the role of government policies and strategies put in place to facilitate the adaptation of the urban economies to the new conditions. Taking Izmir as an example, being a fast-growing metropolitan region in Turkey, this paper presents evidence of government policies and strategies aimed at enhancing the development of peripheral areas that have led to shrinkage of the metropolitan core. This paper focuses on this experience and discusses its implications. 相似文献
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In metropolitan areas, the changing spatial land-use preferences of the industrial sector are the most important determinants in the forming of the macro-form. Metropolitan areas, especially in developing European and Asian countries, become troubled cities with agglomerations of population and investment as a result of failures to apply satisfactory macro-policies and plans throughout the country. Industrial investments on various scales and the land-use preferences of investors have changed over time. The land preferences of production and headquarters of the manufacturing sectors have become basic determinants in the formation of settlement systems due to the transformations that occur alongside technological, economic and social development. This article examines whether or not the basic land-use criterion of the manufacturing sector changes in small-, medium- and large-scale businesses according to their labour structure, defined through an examination of the sectoral structure and relations of scale. Taking the increasing rate of the Gross National Product of the industrial sector in metropolitan areas in every country into account, and examining the land-use preferences of various industrial sub-sectors and scales will serve as an important input when making new planning decisions. The industrial land-use criterion will be effective in the transformation, reorganization or directing of new focuses for the agglomerated industrial structure, especially in Istanbul, which features both Asian and European metropolitan area characteristics. This article will define the existing industrial structure of the Istanbul metropolitan area; and differences between the various scales of land-use preferences within industrial investments will be presented, based on the findings of two investigations carried out over a 5-year period. Several important criteria for industrial investors seeking to establish themselves in metropolitan areas will be determined in the article. 相似文献
46.
Margarita Argüelles 《European Planning Studies》2014,22(3):587-609
This paper analyses the environmental measures co-financed by the European Union (EU) Structural Funds in the less-developed regions. Specifically, it studies if these environmental measures are tailored to the specific needs of the different regions and whether they are driven by an ecological modernization approach. The inclusion of environmental goals into the regional policy is also tested by analysing its connection with the main European environmental directives. We find a suitability of the regional programmes to the regional specific environmental factors, a scarce presence of the ecological modernization paradigm behind the programmes implementation and a clear orientation of the regional programmes to meet the EU legislation. 相似文献
47.
Stefan Schütte 《Gender, place and culture : a journal of feminist geography》2014,21(9):1176-1192
This article examines the spatialities of gender relations and women's oppression in urban Afghanistan under conditions of poverty and strict patriarchy. Using empirical data from biographical interviews with Afghan women from urban households in Kabul, Herat, and Jalalabad, the article questions how gender as social relation and gender as difference is lived and experienced among the urban poor in Afghanistan. Looking at urban livelihoods through the lens of feminist geography helps to better understand the gendered spaces of home and the outside world, of households as sites of security and violence, and of urban contexts and ethnic affiliations. The approach allows for reflection on women's subjectivities and their own understandings of gender inequality and injustice. Examining the gendered geographies in urban Afghanistan shows how social difference is lived under conditions of patriarchy and poverty and how women's agency contributes to the livelihoods of their households. 相似文献
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Ariane Knüsel 《Journal of Modern Chinese History》2014,8(2):210-229
This article analyzes the role that commercial interests played in Swiss perceptions of informal imperialism in China during the 1920s. Commercial interests were the driving force behind the establishment of Swiss relations with China in 1918 and Swiss rejections of Chinese demands to abolish extraterritoriality in the 1920s. Swiss commercial relations with China were deeply rooted in the social, economic, and political institutions and processes developed by informal imperialism in China. During the Chinese antiforeign agitation in the 1920s, the Swiss press criticized the unequal treaties as an example of imperialism in China but ignored Switzerland’s participation in it. This discrepancy between the official and media perceptions of Swiss commercial interests in China was caused by the fact that Switzerland’s dependence on privileges connected to the unequal treaties clashed with Swiss national mythology, which was based on neutrality and anti-imperial narratives. Moreover, the negligible importance attributed to Swiss trade with China and the increasing focus on the nationality of foreign companies in China allowed the Swiss media to ignore Swiss commercial interests in China. As a result, Swiss complicity in informal imperialism was downplayed by the Swiss press, which ignored the importance of Swiss commerce to Sino–Swiss relations. 相似文献
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Peiffer J 《Journal of the history of the neurosciences》2006,15(3):210-244
The killing of disabled patients with mental diseases during 1939-1945 is regarded as the precursor to the Holocaust. Although known at least since the Nuremberg Doctors Trial (1946-1947), the reception accorded these crimes against humanity varied (and evolved through time) depending on the parties: the old establishment, the younger generation, the different political interests, and the jurists, the theologians, the historians, the medical authorities. I attempt to distinguish five phases in the debate in light of the political background between 1945 until the present. 相似文献