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Wetland projects were a leading example of improvement in action in early modern England, offering a counterpoint to many unrealised schemes and dreams that litter the archives. But such ventures were fraught with paradoxes: property rights were transgressed to make more certain ones, while drainage created new floods. Centring the engineers, investors, landowners, settlers, and labourers who propelled improvement on the ground, this chapter examines how their ambitions were altered and restricted by the polarised environmental politics that emerged in Hatfield Level. Improvement was a risky endeavour and the costs of conflict were high. Asking how contemporaries evaluated its ambiguous results in Hatfield Level, this chapter charts the revival of wetland improvement by the network of reformers that coalesced around the ‘intelligencer’ Samuel Hartlib in the mid seventeenth century. The experience of conflict surfaced in debate about, and experiments with, technologies of improvement, which promised to marginalise social negotiation and environmental contingencies.
How did ambitious projects of wetland improvement give rise to a new kind of environmental politics in early modern England? This chapter first asks how such projects reconfigure understandings of when, where, and how environmental change took place in this period. Environmental acts were political, it argues, because they relied on and engendered relationships of power: decision-making institutions, laws, legitimacy, and – above all – negotiation and conflict. It next explores what kind of politics were at work in imagining, implementing, and contesting wetland improvement. In emphasising material and institutional progress, studies of ‘improvement’ and ‘the state’ have often overlooked the contingent processes through which productivity and power were made and disputed on the ground. Mobilising custom as a practice and right, wetland communities played a vital role in the trajectory of improvement. Conflict over improvement exposed the contested nature of political authority in seventeenth-century England and generated material landscapes of flux. Finally, this chapter examines how speech acted and actions spoke to remake wetlands via print, maps, institutions, and environments.
Hydraulic improvement aimed to abolish recurrent flooding in wetland commons and generate an environment capable of supporting intensive cultivation. In practice, however, the interventions of Dutch engineer Cornelius Vermuyden and his collaborators created new flooding in unfamiliar patterns and places. As communities were left more exposed to risk and less able to adapt or recover, a fraught hydro-politics rippled out of drainage in Hatfield Level, pivoting on disputes over risk and responsibility. Displacing customary methods of water management, improved hydraulic systems generated institutional as well as environmental disruption. In 1635, a new sewer commission was established to manage Hatfield Level as a hydrological unit defined by improvement. Lacking legitimacy, it struggled to control flow, contain disorderly commoners, or compel cooperation from improving landowners. Wetland communities negotiated new risks by adapting customary practices, launching petitioning campaigns, and high-profile destruction of improved infrastructure during the English civil wars. In this context, water management became highly politicised and precariously balanced.
At the time and since, early modern wetlands have been subject to double vision: told as a tale of degradation and disaster or celebrated as a site of biodiversity and collective access. Violent Waters is a book about the politics of rapid, anthropogenic, environmental change in early modern England: a politics in which narratives about scarcity and abundance, the past and the future, justice and value became vital to struggles over wetlands. During projects of wetland improvement, environments were forged at the intersection between material conflicts over the distribution of resources and risk and political conflicts about flows of power.
How were environments and politics remade by sovereigns, floods, mapmakers, migrants, rioters, and writers during wetland improvement projects in early modern England? Violent Waters examines flagship ventures which promised to transform unruly fenland fringes into orderly terrain at the heart of national power and productivity. In practice, these projects sparked constitutional controversy, new floods, and huge riots. The first state-led project in Hatfield Level brought local, national, and transnational interests into contact and conflict for almost a century. Elly Robson Dezateux traces the environmental politics that emerged as water and land were constructed and contested, both mentally and materially. These disputes pivoted on urgent questions about risk and justice, which became entangled in civil war conflict and exposed the limits of central authority and technology. Ultimately, improvement was destabilised by a lack of legitimacy and the dynamism of local custom as a method of environmental management and collective action. Wetland communities, as much as improvers and sovereigns, remade the terrain of politics and the future of the fens.
Levoatriocardinal vein is a rare venous anomaly occasionally presenting as a bidirectional shunt in structurally normal hearts. We describe two unique systemic connections of levoatriocardinal vein without intracardiac defects, one causing paradoxical embolism via the hemiazygos vein, and the other draining from the left jugular vein to the pulmonary vein, requiring surgical correction to preserve cerebral venous return.
Volume I offers a broad perspective on urban culture in the ancient European world. It begins with chronological overviews which paint in broad brushstrokes a picture that serves as a frame for the thematic chapters in the rest of the volume. Positioning ancient Europe within its wider context, it touches on Asia and Africa as regions that informed and were later influenced by urban development in Europe, with particular emphasis on the Mediterranean basin. Topics range from formal characteristics (including public space), water provision, waste disposal, urban maintenance, spaces for the dead, and border spaces; to ways of thinking about, visualising, and remembering cities in antiquity; to conflict within and between cities, economics, mobility and globalisation, intersectional urban experiences, slavery, political participation, and religion.
To compare ultrasonography-guided drainage versus conventional surgical incision and drainage in deep neck space abscesses.
Methods
The study was pre-registered on the National Institute of Health Research Prospective Register of Systematic Reviews (CRD42023466809) and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Medline, Embase and Central databases were searched. Primary outcomes were length of hospital stay and recurrence. Heterogeneity and bias risk were assessed, and a fixed-effects model was applied.
Results
Of 646 screened articles, 7 studies enrolling 384 participants were included. Ultrasonography-guided drainage was associated with a significantly shorter hospital stay (mean difference = −2.31, p < 0.00001), but no statistically significant difference was noted in recurrence rate compared to incision and drainage (odds ratio = 2.02, p = 0.21). Ultrasonography-guided drainage appeared to be associated with cost savings and better cosmetic outcomes.
Conclusion
Ultrasonography-guided drainage was associated with a shorter hospital stay, making it a viable and perhaps more cost-effective alternative. More randomised trials with adequate outcomes reporting are recommended to optimise the available evidence.
Partly as a result of coronavirus disease 2019, YouTube has become a more frequent educational source for otolaryngology trainees. This study sought to assess the quality of flexible nasendoscopy and peritonsillar abscess drainage videos.
Method
YouTube was systematically searched using 13 terms related to flexible nasendoscopy and peritonsillar abscess drainage. Two independent reviewers assessed the quality of each video using the Laparoscopic Video Educational Guidelines.
Results
Twenty-seven videos were deemed suitable. The mean total Laparoscopic Video Educational Guidelines scores for videos on flexible nasendoscopy (18 videos) and peritonsillar abscess drainage (9 videos) were 10.3 (standard deviation = 3.1) and 11.7 (standard deviation = 4.6), respectively. Most of the videos were deemed of medium quality. The Laparoscopic Video Educational Guidelines score correlated positively with flexible nasendoscopy video length and how recently a peritonsillar abscess drainage video had been uploaded.
Conclusion
The limited high-quality videos on YouTube are difficult to identify from the search metrics available. Trainees and ENT induction programmes would benefit greatly from an online platform that contains a catalogue of high-quality surgical videos.
Irrigation of crops and drainage of excess water have both positive and negative environmental consequences. Irrigation return flows degrade the quality of receiving streamflow as they transport pollutants. Although return flows cannot be entirely eliminated, they can be reduced by appropriate water management and improved conveyance and delivery systems. This chapter briefly discusses the importance of return flows and the pollutants transported by them.
Different types of crops require different types of climate and soil. Further, different crops and their optimum production have different irrigation requirements with respect to the frequency of irrigation, timing of irrigation, and amount of irrigation water per irrigation. The objective of this chapter is to briefly discuss the types of crops and their water requirements.
The junior otolaryngologist is responsible for recognition and drainage of the peritonsillar abscess. Although other simulators have been proposed, there is still a need for an accessible, educationally useful, low-cost peritonsillar abscess simulator to build skills and confidence in the novice.
Methods
The peritonsillar abscess simulator was constructed from basic disposable healthcare equipment and a party balloon. Evaluation of this Newport Quinsy Simulator was performed by expert and novice clinicians, who provided feedback in the form of Likert scales and free-text qualitative responses.
Results
Overall, 24 clinicians evaluated the simulator. All felt the simulator was useful for the novice otolaryngologist, and represented the key anatomy and motor skills needed to drain a peritonsillar abscess. Qualitative evaluation highlighted the educational usefulness of the simulator as a peritonsillar abscess training device.
Conclusion
The Newport Quinsy Simulator is affordable, accessible, easy to use and educationally valuable to the novice otolaryngologist.
Two definitions of rock density are bulk density and solid matrix or skeleton density. Density depends on porosity, which is classified into open and closed porosity. Types of pores are defined by their interconnectivity, connectivity with surface, and geometry. Due to pore volume decrease with depth, sedimentary rocks possess three types of compressibility: bulk, matrix and pore volume compressibility. Density of rocks varies by density of constituting minerals and total porosity, and may be calculated as an arithmetic mean. Numerical modelling of rock densities may be done using Monte-Carlo simulations or on the basis of the software package Perple_X ’07. The capillary effect of fluid phase in pores depends on the wetting angle and specific surface energy. Drainage and imbibition are two processes that displace and saturate fluid in pores. Mercury porosimetry is a method to estimate pore volume by the intrusion of a nonwetting fluid. Gas-porosimetry relies on the known absorption of gas molecules on the pore surface, which is governed by the Gibbs equation. Kinetics of absorption/desorption processes are described by the Brunauer–Emmett–Teller (BET) equation. Focus Box 2.1: Models of porosity. Focus Box 2.2: Grain and atom arrangements in 3D. Focus Box 2.3: BET isotherm.
The sixth chapter examines how Native communities and haciendas adopted livestock rearing and, in particular, cattle ranching as a new economic activity within the lakes. Responding to the rise of the urban market for meat as well as the demographic decline within Native communities, residents of the chinampa districts expanded into the waters of the lakes in new and destabilizing ways. Alongside the chinampas, many of which survived and retained their value, haciendas and Native communities now fashioned pastures from the swamps. As they pushed further into the lake, pastoralists instituted new environmental management practices and constructed new hydraulic engineering works of their own. At the same time, the colonial administration, responding to renewed fears of flooding in the capital, increasingly intervened in the southern lakes’ hydrology. These new forces for change, when combined with higher rates of rainfall because of renewed climate extremes, undermined both the ecological autonomy and the flood defenses of the Nahua communities, portending of wholesale environmental transformation if not ruination on the eve of Mexico’s Independence.
shifts the perspective to the collective initiatives of inhabitants to secure health in their living and working environments. Those who lived in proximity to one another often shared infrastructures and hygienic routines. Court cases featuring neighbourly disputes reveal how inhabitants routinely tried to secure access to fresh water and hygienic domestic facilities such as cesspits, drainage pipes and latrines, and sought to ban stench and other nuisances from living environments. Expressed in a discourse revolving around damage and disturbance, local well-being – a “good neighbourhood” – was guaranteed by combining social harmony and material or infrastructural functionality, and resulted in forms of community formation and civic participation.
Taking as its focus the drained peatlands of the East Anglian fens, this chapter examines the formation and wastage of peat as a particular case study of human geological agency; a particular instance of the global transformation of a net carbon sink into a net carbon source. Here we see lived encounters with time depth that bring us face-to-face with temporal disjuncture: in particular, we see how the fenlands today find themselves locked-in to a present from which variation becomes unthinkable.
Soil clay minerals in recent natural polders react on a human timescale in response to local environmental conditions. With increasing age, the mineral reaction leads to the dissolution of the chlorite component and a composition change of the different illite-smectite mixed-layer minerals (I-S MLMs): i.e. smectite layer content decreases and illite content increases. The process of oxidation, which is proven by magnetic susceptibility to trigger clay mineral reaction, changes the mineralogical composition of the sediment above the redox front. The mineral changes appear to be a non-linear function of time. In natural conditions the process lasts >1000 y. However, anthropoic forcing such as artificial drainage accelerates the oxidation reaction to complete the whole process in a few tens of years.
‘Green rusts’ are a group of reduced Fe hydroxides with a pyroaurite-like structure. In a new occurrence, green rust is present as a 45–60 mm thick band which lies just below the surface (∼4 mm) of an ochreous deposit at an abandoned coal mine site. The sample is characterized by the presence of μm-sized hexagonal crystals which have been identified from SEM imaging. Chemical analyses reveal an Fe(II):Fe(III) ratio which is close to the characteristic 2:1 ratio, and XRD analysis identifies the material by characteristic lattice spacings. The green rust layer also contains aragonite which is not present in the surrounding ochre. Green rusts are important as they have the potential to be used in water treatment.
Deep neck space abscesses are common head and neck surgery emergencies. Traditionally, surgical incision and drainage has been the main treatment for deep neck abscesses. Recently, it has been suggested that ultrasound-guided drainage of neck abscesses can be an effective and less invasive alternative to incision and drainage.
Methods:
Patients with deep neck space abscesses referred to the emergency department of Amiralam Hospital were assessed and enrolled to the study if they met the inclusion criteria. Patients were randomly assigned to incision and drainage or ultrasound-guided drainage groups using sealed envelopes.
Results:
Sixty patients were evaluated, with 30 patients in each group. There was a significant difference (p < 0.001) in mean length of hospital stay between patients who underwent ultrasound-guided drainage (5.47 days) and those who underwent incision and drainage (9.70 days).
Conclusion:
Ultrasound-guided drainage is an effective and safe procedure, leading to shorter hospital stay, and thus may be a suitable alternative to incision and drainage of deep neck abscesses.
An accurately dated peat profile from a mixed cypress swamp in the Fakahatchee Strand Preserve State Park (FSPSP, Florida, USA) has been examined for pollen and spores. The near-annual resolved pollen record shows a gradual shift from a wet to a relatively dry assemblage during the past 100 years. Timing of drainage activities in the region is accurately reflected by the onset and duration of vegetation change in the swamp. The reconstructed vegetation record has been statistically related to pollen assemblages from surface sediment samples. The response range of the FSPSP wetland to environmental perturbations could thus be determined and this allows better understanding of naturally occurring vegetation changes. In addition, the human impact on Florida wetlands becomes increasingly apparent. Superimposed high-frequency variation in the record suggests a positive correlation between winter-precipitation and pollen productivity of the dominant tree taxa. However, further high-resolution analysis is needed to confirm this relation. The response range of the FSPSP wetland to environmental perturbations on both annual- and decadal-scales documented in this study allows recognition and quantification of natural hydrological changes in older deposits from southwest Florida. The strong link between local hydrology and the El Niño Southern Oscillation makes the palynological record from FSPSP highly relevant for studying past El Niño–variability.