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Bulletin of the New York Academy of Medicine

Pub Date : 2014-01-08 DOI: 10.1353/aph.2003.0035

Annabel Thomas

From Conner's Ridge high above the foggy bottom. From the lightning-struck house where, day after day, the wind Sailed slates off into the yard and the sun, Sinking, seemed to touch the chimney, and the moon, Ascending, tangled in the pear tree, that good old man Has gone away. Blue-eyes squinting, he whistled Reels as he hoed the corn in the highfield, or, picking Summer Transparents, crisp and green, he poured Them into baskets. Everything spoke to him. The horses, knee-deep in Black-eyed Susans, wickered. The wheat whispered its growing into his ears. Timothy tapped his knees in time to his step And birdwings brushed his yellow, wide-brimmed hat. When I was ten he died by his own hand.

从康纳岭高处的雾底。从那座日复一日被雷击的房子里，风把石板吹到院子里，太阳下沉，似乎碰到了烟囱，月亮上升，纠结在梨树上，那个善良的老人已经走了。他眯着蓝眼睛，一边在高地上锄地，一边吹着口哨，或者采摘夏天透明的、又脆又绿的玉米，把它们倒进篮子里。一切都在对他说话。马身上裹着及膝深的黑眼苏珊，柳条丛生。小麦在他耳边低语着它的生长。蒂莫西及时地拍拍膝盖，鸟儿的翅膀拂过他的黄色宽边帽。我十岁时，他自杀了。

引用次数: 0

Metatarsus varus. 跖骨内翻。

Bulletin of the New York Academy of Medicine

Pub Date : 2010-05-13 DOI: 10.1542/9781581105162-part13-ch45

R. Kane

IT is appropriate that a symposium on controversies in children's foot problems should begin with metatarsus varus. In no area of children's foot problems is there less agreement. Even the definition has become clouded. The mechanism of the deformity is explained by a variety of conflicting theories and the etiology is ill-defined. Recommendations for management are based on supposed mechanisms and, therefore, vary widely also. In the first quarter of this century, orthopedic surgeons in France, Germany, and Italy began to write about a foot deformity that seemed to be distinct from clubfoot. By 1921 Bankart' in England took note of that work, realized that he and his colleagues had been seeing a similar deformity, and undertook to establish its identity in the English literature. Unlike true clubfoot, this entity had a normal or valgus heel. It had an adducted forefoot but lacked inversion of the sole. He termed this complex metatarsus varus.

一个关于儿童足部问题争议的研讨会应该从跖骨内翻开始。在儿童足部问题的任何领域都没有达成一致意见。甚至连定义都变得模糊不清。各种相互矛盾的理论解释了这种畸形的机制，病因也不明确。对管理的建议是基于假定的机制，因此也有很大的不同。在本世纪的前25年，法国、德国和意大利的整形外科医生开始报道一种似乎与内翻足不同的足部畸形。1921年，英国的班卡特注意到了这项工作，意识到他和他的同事们看到了类似的畸形，并承诺在英国文学中确立其身份。与真正的内翻足不同，这个实体有一个正常或外翻的脚跟。它有一个内收的前足，但缺乏倒置的鞋底。他称之为复杂的跖骨内翻。

引用次数: 11

Concluding remarks. 结束语。

Bulletin of the New York Academy of Medicine

Pub Date : 2007-06-01 DOI: 10.4337/9781843765509.00019

H. Nayer

引用次数: 0

Breast cancer in the elderly 老年人的乳腺癌

Bulletin of the New York Academy of Medicine

Pub Date : 2004-01-01 DOI: 10.3109/9780203092224-11

Lorna Weir

引用次数: 116

Prospects for the Future 展望未来

Bulletin of the New York Academy of Medicine

Pub Date : 2000-01-01 DOI: 10.2307/j.ctt183p5g5.17

William G. Bowen

SUMMARY This paper explores the long-term prospects for airport development between now and the middle of the 21 st Century. It tries to identify both key issues and the range of probable outcomes. It draws on knowledge of the past, analysis of the future prospects, and an appreciation of the limits to extrapolation. It will be revised with the help of numerous experts in the field between now and Spring 2000. It suggests scenarios that need to be considered. Since specific predictions of future events are "always wrong" due to inevitable changes in circumstances, it is preferable to think about the range of probable developments rather than improbable specifics. Recognition of the possible eventualities enables strategic thinkers to build flexibility into their plans so that they can smoothly accommodate to what actually happens. The scenarios focus on three main elements: 1. The levels of traffic -- passengers, cargo and aircraft; 2. The infrastructure that will be provided to accommodate these loads; and 3. The way these facilities will be managed. Traffic: Future levels of traffic are perhaps most questionable. While many Americans rarely if ever fly and the domestic market is far from saturated, there are many reasons to think that the rate of growth of US domestic traffic may continue its long-term decline. As seemingly small differences in assumptions about the rate of growth lead over a generation to enormous differences in totals, we must be very tentative about future levels of traffic. For example, by 2025 the number of enplaned passengers in the United States could be two or even three times the current 600 million a year. The composition of the total traffic is in any case likely to be significantly different from what it is today. The international components could be larger and more pervasive. This could be propelled by two factors: the growth in the number of foreign visitors as the rest of the world catches up to the United States in terms of air travel, and improvements in aircraft range that

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引用次数: 0

Children's exposure to traffic and risk of pedestrian injury in an urban setting. 儿童在城市环境中的交通暴露和行人受伤风险。

Bulletin of the New York Academy of Medicine

Pub Date : 1997-01-01

R Rao, M Hawkins, B Guyer

Pedestrian injuries to children represent a major urban health problem in the United States. Thousands of children each year are struck by moving motor vehicles; such collisions result in numerous hospitalizations and deaths. At particular risk are young school-age children between the ages of 5 and 9 years. Using a survey methodology, we collected data regarding the method by which children in an urban setting travel to and from school, in addition to the number of streets they cross in a typical school day. This information was compared with data from police records on street intersection locations of pedestrian collisions. There is a wide variation in the number of streets children cross in 1 day, calculated as the number of streets crossed in the entire day, not only those crossed to and from school. Children whose parents own a car and home cross an average of 3.7 streets per day, whereas children whose parents do not own both a car and home cross an average of 5.4 streets per day; this difference is highly significant (P < 0.0001). The largest differences in traffic exposure are between families reporting car- and-home ownership (x = 3.70 streets) versus those who do not own both a car and home (x = 5.39 streets) (Mann-Whitney = -5.5, P < 0.0001). There is a significant correlation between the proportion of children driven home from school and the rate of pedestrian injury in different regions of Baltimore. In areas where children are driven home, rates of pedestrian injury are significantly lower, whereas in areas where children walk home, rates of pedestrian injury are high (r = -0.79, P < 0.01). This study underscores the importance of adapting the child's environment to prevent injury. Interventions that alter the nature of the hazard are indicated. Changing the environment may ultimately prove more useful than attempting to change children's behavior.

在美国，行人对儿童的伤害是一个主要的城市健康问题。每年有成千上万的儿童被移动的机动车撞倒;这种碰撞导致许多人住院和死亡。特别危险的是5至9岁的学龄儿童。使用调查方法，我们收集了关于城市环境中儿童往返学校的方法的数据，以及他们在一个典型的上学日中穿过的街道数量。这些信息与警方记录的行人碰撞的十字路口位置数据进行了比较。孩子们在一天内穿过的街道数量有很大的差异，这是根据他们在一天内穿过的街道数量来计算的，而不仅仅是往返学校的街道数量。父母有车有房的孩子平均每天要穿过3.7条街道，而父母无车无房的孩子平均每天要穿过5.4条街道;这一差异非常显著(P < 0.0001)。交通暴露的最大差异是在拥有汽车和住房的家庭(x = 3.70条街道)与没有汽车和住房的家庭(x = 5.39条街道)之间(Mann-Whitney = -5.5, P < 0.0001)。在巴尔的摩不同地区，开车回家的儿童比例与行人受伤率之间存在显著相关性。在儿童开车回家的地区，行人受伤率明显较低，而在儿童步行回家的地区，行人受伤率很高(r = -0.79, P < 0.01)。这项研究强调了适应儿童环境以防止伤害的重要性。指出了改变危险性质的干预措施。改变环境可能最终证明比试图改变孩子的行为更有用。

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引用次数: 0

Losing ground: NIH funding to New York State researchers. 节节败退:美国国立卫生研究院对纽约州研究人员的资助。

Bulletin of the New York Academy of Medicine

Pub Date : 1997-01-01

L S Sturman, M D Sorin, E Larkins, K A Cavanagh, B A DeBuono

引用次数: 0

Question and answer session I. 问答环节一。

Bulletin of the New York Academy of Medicine

Pub Date : 1997-01-01

J M Leiman

引用次数: 0

Question and Answer Session IV. 问答环节四。

Bulletin of the New York Academy of Medicine

Pub Date : 1997-01-01

B H Gray

引用次数: 0

The history of the bulletin of the new york academy of medicine. 《纽约医学学院公报》的历史。

Bulletin of the New York Academy of Medicine

Pub Date : 1997-01-01

引用次数: 0

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