A History of Depressed Skull Fractures from Ancient Times to 1800

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.     

The Role of Government Policies and Strategies Behind the Shrinking Urban Core in an Expanding City Region: The Case of Izmir

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.     

Changes in Land-Use Preferences of Small-, Medium- and Large-Scale Industries Located in Metropolitan Areas (Case Study in Istanbul)

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.     

Analysing How Environmental Concerns are Integrated in the Design of the EU Structural Funds Programmes

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.     

Healthy discretion? Breastfeeding and the mutual maintenance of motherhood and public space

Although idealizations of motherhood are ever in flux, specific historical moments can be said to produce distinctive tropes of ‘good’ motherhood that have very real impacts on how women act and conceptualize themselves as mothers. This article examines good motherhood in its current iteration, and how now-common beliefs about breastfeeding are implicated in its construction. Furthermore, it looks at the ways in which idealizations of motherhood discipline the breastfeeding body so that it will fit into public space without disruption. I discuss the contradictory impacts of characterizations of the good mother as they appeared in the pro-breastfeeding dialogs that arose following a 2007 incident in which a mother was asked to cover herself up while nursing in a Kentucky restaurant. I posit that while these characterizations helped to make breastfeeding a more widely accepted public activity, they also had the effect of reifying a very narrow conception of what it means to be a good mother. I make this claim through an analysis of two common refrains heard in pro-public-breastfeeding arguments: breast milk is exceedingly healthy and mothers should not be persecuted if they nurse discreetly. Although these assertions together are compelling to the general public in that they provide a scientific justification for breastfeeding while at once assuaging fears of discomfort presented by a reproductive act being performed in a public space, I suggest that they also work to discipline women and maintain public-space-as-usual.     

Living with patriarchy and poverty: women's agency and the spatialities of gender relations in Afghanistan

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.