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Jeanette M. Smith, MD
JAMA. 2013;309(6):524. doi:10.1001/jama.2012.176137.
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Children living in northern latitudes have the joy of opening the door on a bright winter morning and imagining the possibilities for a snowy adventure, and cold temperatures are no deterrent for the child who is determined to find a good sledding hill. The thrill of zooming down a snowy slope is epic, until perhaps an icy crust snags the sled runners, sending the rider airborne. Despite the numbness that gradually envelops fingers and toes, a child's face glows with the satisfaction of a day well spent. When at last the snow-caked coats are peeled off, little piles of snow become puddles of melt on the floor. It is a messy business, going out to play in winter, but the snow is simply too beautiful not to be a part of it.

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Gustaf Fjaestad (1868-1948), Silence–Winter, 1914, Swedish. Oil on canvas. 147 × 183 cm. Courtesy of the Toledo Museum of Art (http://www.toledomuseum.org/), Toledo, Ohio; gift of Edward Drummond Libbey, 1914.119. Photo credit: Photography, Incorporated, Toledo, Ohio.



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