A historical look at the transmetatarsal amputation and its changing indications

1993 ◽  
Vol 83 (2) ◽  
pp. 79-81 ◽  
Author(s):  
GM Habershaw ◽  
GW Gibbons ◽  
BI Rosenblum
Keyword(s):  
New England ◽  
Diabetic Foot ◽  
Current Approach ◽  
The Past ◽  
Transmetatarsal Amputation ◽  
England Deaconess Hospital

In March 1949, McKittrick described the use of the transmetatarsal amputation for the diabetic foot, along with specific indications. Infection, ischemia, and neuropathic ulcerations of the toes and forefoot were all treated with this procedure. In the past 30 years, however, advances in the management of these problems have led to a decrease in the number of transmetatarsal amputations performed at the New England Deaconess Hospital. With these advances, the current approach to the transmetatarsal amputation has changed, leading to significant modifications in the basic indications for this procedure.

Google Hangout with Annie Baker, Playwright 1/25/16, 2:33 PM

2016 ◽  
Vol 69 (4) ◽  
pp. 57-64
Author(s):  
Genevieve Yue
Keyword(s):  
New York ◽  
New England ◽  
Selection Process ◽  
Pulitzer Prize ◽  
Film Festival ◽  
The Past

Genevieve Yue interviews playwright Annie Baker, whose Pulitzer Prize–winning play The Flick focuses on the young employees of a single-screen New England movie house. Baker is one of the most critically lauded playwrights to emerge on the New York theater scene in the past ten years, in part due to her uncompromising commitment to experimentation and disruption. Baker intrinsically understands that arriving at something meaningful means taking a new way. Accordingly, Baker did not want to conduct a traditional interview for Film Quarterly. After running into each other at a New York Film Festival screening of Chantal Akerman's No Home Movie (2015)—both overwhelmed by the film—Yue and Baker agreed to begin their conversation by choosing a film neither of them had seen before and watching it together. The selection process itself led to a long discussion, which led to another, and then finally, to the Gmail hangout that forms the basis of the interview.

CANADA'S FAILURE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
New England ◽  
Care Delivery ◽  
Health Care Facilities ◽  
User Fees ◽  
Capital Expenditures ◽  
The Past ◽  
Care Facilities ◽  
Dog Owners ◽  
The Government

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!

scholarly journals Rethinking Foster Care: Why Our Current Approach to Child Welfare Has Failed

2020 ◽  
Vol 73 (1) ◽  
pp. 123-139
Author(s):  
Vivek Sankaran ◽  
Christopher Church
Keyword(s):  
Public Health ◽  
Child Abuse ◽  
Child Welfare ◽  
Return On Investment ◽  
Child Welfare System ◽  
Current Approach ◽  
Public And Private ◽  
The Public ◽  
The Past ◽  
Abuse And Neglect

Over the past decade, the child welfare system has expanded, with vast public and private resources being spent on the system. Despite this investment, there is scant evidence suggesting a meaningful return on investment. This Article argues that without a change in the values held by the system, increased funding will not address the public health problems of child abuse and neglect.

How I treat acute myeloid leukemia

Blood ◽  
2010 ◽  
Vol 116 (17) ◽  
pp. 3147-3156 ◽  
Author(s):  
Jacob M. Rowe ◽  
Martin S. Tallman
Keyword(s):  
Acute Myeloid Leukemia ◽  
Myeloid Leukemia ◽  
Allogeneic Transplantation ◽  
Malignant Cell ◽  
Current Approach ◽  
Molecular Abnormalities ◽  
The Past ◽  
Survival Pathways ◽  
Large Populations ◽  
Acute Myeloid

AbstractMore than one quarter of a million adults throughout the world are diagnosed annually with acute myeloid leukemia (AML). Despite considerable progress during the past 3 decades in the therapy of AML, two-thirds of young adults and 90% of older adults still die of their disease. The reported median age has increased over the past few decades, mostly because of a greater willingness of physicians to diagnose and treat older patients, and now is 72 years. The greatest challenge is in this age group. However, much improvement in therapy is needed for all adults with AML. Recent advances in allogeneic transplantation, a better understanding of prognostic factors, and development of targeted agents have only modestly improved overall outcome when large populations of patients are considered. Although an explosion in knowledge about the molecular pathogenesis of AML has outpaced treatment advances, such insights hold promise for the development of new therapies directed at specific molecular abnormalities that perturb malignant cell survival pathways. The current approach in 2010 to the management of this disease is presented through a discussion of illustrative cases.

Screening for Hypothyroidism

PEDIATRICS ◽  
1983 ◽  
Vol 72 (2) ◽  
pp. 263-264
Author(s):  
Howard W. Kilbride ◽  
Robert J. Lull ◽  
Heinz G. Lehman
Keyword(s):  
New England ◽  
Congenital Hypothyroidism ◽  
Human Error ◽  
Screening Program ◽  
Thyroid Stimulating Hormone ◽  
The Past ◽  
Cause Of Failure ◽  
Stimulating Hormone

Although the New England Regional Screening Program report1 indicates that human error is the most likely cause of failure to detect congenital hypothyroidism in infants, our experience suggests that compensated hypothyroidism might be missed in some newborns unless screening includes a thyroid-stimulating hormone (TSH) assay and a thyroxine (T4) concentration. In the past 2 years, we have diagnosed congenital hypothyroidism in three infants. In at least one of these infants, the disease would not have been identified by T4 concentration screening alone.

Distancing

2019 ◽  
pp. 116-160
Author(s):  
Lisa Blee ◽  
Jean M. O’Brien
Keyword(s):  
New England ◽  
American Indians ◽  
Personal Experience ◽  
Geographic Distance ◽  
Related Phenomenon ◽  
History Museum ◽  
The Public ◽  
The Past ◽  
Indigenous Perspectives ◽  
Plimoth Plantation

This chapter brings personal experience with history into focus by recounting interviews with passersby as they talk about Massasoit and what the statue means to them, and juxtaposing these accounts with the living history museum Plimoth Plantation and the Public Broadcasting Station "experiential history" series Colonial House. This chapter seeks to understand three related phenomenon: how people experience historical distance between the past and present; how people endeavour to close the distance through consuming history as experience; and the ways in which Native peoples force a reckoning with Indigenous perspectives in Plymouth-centered narratives. Massasoit statues outside of Plymouth offer the greatest cognitive and geographic distance, and therefore a "safe" way to wrestle with the discomfort involved in coming to terms with colonialism. But the place of Plymouth and presence of Native educators makes a difference for closing the distance. Since the first 1970 United American Indians of New England protests, viewers of Massasoit must engage more fully in the nation's history. Plimoth Plantation and Colonial House likewise work to close the distance between the past and present through personal experience. This chapter argues that Native educators and activists play a crucial role for closing the distance and pushing a reckoning with history.

Introduction

2000 ◽  
Author(s):  
William B. Meyer
Keyword(s):  
New England ◽  
Nathaniel Hawthorne ◽  
Daily Life ◽  
Daily Temperature ◽  
General Belief ◽  
The Past ◽  
Winter Cold ◽  
The Impact

IN THE MID-1830s, the young Nathaniel Hawthorne sat reading "what once were newspapers"—a bound volume of New England gazettes ninety-odd years old. Comparing the daily life that they portrayed with his own, Hawthorne was struck by how different and how much more severe the weather appeared to have been in the past. "The cold was more piercing then, and lingered farther into the spring," he decided; "our fathers bore the brunt of more raging and pitiless elements than we"; "winter rushed upon them with fiercer storms than now—blocking up the narrow forest-paths, and overwhelming the roads. 1 He was not alone in thinking so. Another resident of Salem, Dr. Edward Holyoke, had been of the same opinion. In his later years, the doctor spoke as the classic authority on the weather, the Oldest Inhabitant. Born in 1728, he lived until 1829, the full span of the century that Hawthorne judged mostly at secondhand, and he had kept a daily temperature log for the better part of it. A newspaper in 1824 reported a general belief that the seasons were "more lamb-like" than in earlier times. An English visitor a few years later was frequently told that the climate was moderating. Cold and snowstorms had grown less intense and less frequent: such had been, wrote John Chipman Gray in the 1850s, "and is perhaps still a prevailing impression among the inhabitants of New-England." All the same, that impression of the century gone by was wrong. Gray, who maintained that the winters had not changed, also tried to explain why intelligent observers could have supposed that they had. On one point, he granted, they were correct. Certainly the effects of the weather were not what they had once been. But there was no evidence that a shift in the weather was responsible. Holyoke's own records, analyzed after his death, did not bear out his belief that winter cold and storms had weakened in his lifetime. As Gray pointed out, if the impact of weather on New Englanders had changed, it was because New England society had changed.

Nebraska, New England, New York

2020 ◽  
pp. 17-59
Author(s):  
Melissa J. Homestead
Keyword(s):  
New York ◽  
Family History ◽  
New England ◽  
Young Adulthood ◽  
Willa Cather ◽  
Literary Culture ◽  
College Education ◽  
Literary Work ◽  
The Past ◽  
Adolescence And Young Adulthood

This chapter describes Edith Lewis’s family history, childhood, and education as a background to her first meeting with Willa Cather in Lincoln, Nebraska, in 1903. Because of Lewis’s deeply rooted New England family history, her Nebraska childhood, her elite eastern college education, and her plans to move to New York to pursue literary work, Cather found powerfully concentrated in Lewis two geographically located versions of the past she valued: the Nebraska of her own childhood, adolescence, and young adulthood, and a New England–centered literary culture she encountered through reading. Cather also glimpsed in Lewis the future to which she herself aspired, the glittering promise of literary New York.

scholarly journals Domestic violence policies in the Netherlands: A regime of deficiency

2020 ◽  
pp. 146349962095885
Author(s):  
Arne Mellaard ◽  
Toon van Meijl
Keyword(s):  
Domestic Violence ◽  
The Netherlands ◽  
Violence Against Women ◽  
Technical Problem ◽  
Current Approach ◽  
The Past ◽  
Policy Interventions ◽  
Poor Women ◽  
The Status ◽  
The Impact

In a number of countries, domestic violence is represented as a governable phenomenon that is amenable to policy interventions. Over the past 40 years in the Netherlands, however, this approach has not resulted in a reduction of domestic violence. Yet new policy strategies continue to be designed to improve existing interventions. In this article, we focus on a Dutch policy measure that aims to detect early signals of violence and abuse. We argue that this strategy, by approaching domestic violence as a technical problem, fails to take into account structural and symbolic violence. As a consequence, the impact of domestic violence policies on women, particularly poor women, and especially women with a migration background, is to intensify their difficulties. Moreover, these policies deploy a technology that shapes the subjectivity of professionals engaged in protection practices, while maintaining the status quo of inequality and violence against women. The connection between these two flaws of domestic violence policies leads us to claim that the current approach is constituted as a regime of deficiency.

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