DOCSLIB.ORG

CHAPTER 3 Perineal Wound Healing After

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
CHAPTER 3 Perineal Wound Healing After UvA-DARE (Digital Academic Repository) Management of early neoplasms and surgical complications of the rectum Musters, G.D. Publication date 2016 Document Version Final published version Link to publication Citation for published version (APA): Musters, G. D. (2016). Management of early neoplasms and surgical complications of the rectum. General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: https://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. UvA-DARE is a service provided by the library of the University of Amsterdam (https://dare.uva.nl) Download date:11 Oct 2021 MANAGEMENT OF EARLY NEOPLASMS AND SURGICAL COMPLICATIONS OF THE RECTUM GIJSBERT MUSTERS Management of early neoplasms and surgical complications of the rectum Gijsbert D. Musters ISBN: 978-94-028-0045-6 Copyright © Gijsbert D. Musters, 2016. No parts of this thesis may be produced, stored or transmitted in any form by any means, without prior permission of the author. Financial support for the printing of this thesis was kindly provided by: Rembrandt Medical B.V., Chipsof B.V., Olympus Nederland B.V, B. Braun Medical B.V., Acelity company, Nederlandse Vereniging voor Gasteroenterologie, Tergooi ziekenhuizen,Wetenschappelijk Fonds Chirurgie AMC. Management of early neoplasms and surgical complications of the rectum ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam op gezag van de Rector Magnifcus prof. dr. D.C. van den Boom ten overstaan van een door het College voor Promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel op woensdag 6 april 2016, te 14:00 uur door Gijsbert Daniël Musters geboren te Huizen Promotiecommissie: Promotor: Prof. dr. W.A. Bemelman Universiteit van Amsterdam Copromotores: Dr. P.J. Tanis Universiteit van Amsterdam Prof. dr. E. Dekker Universiteit van Amsterdam Overige leden: Prof. dr. O.R.C. Busch Universiteit van Amsterdam Prof. dr. M.A. Boermeester Universiteit van Amsterdam Prof. dr. P. Fockens Universiteit van Amsterdam Prof. dr. L.P.S. Stassen Universiteit van Maastricht Dr. E.J.R. de Graaf IJsselland ziekenhuis Faculteit der Geneeskunde TABLE OF CONTENT General Introduction and outline of the thesis 7 CHAPTER 1 Endoscopic mucosal resection of large rectal adenomas in the era of 19 centralization: results of a multicenter collaboration. United European Gastroenterol J 2014; 2(6): 497-504 CHAPTER 2 Perineal wound healing afer abdominoperineal resection for rectal 33 cancer; a systematic review and meta-analysis. Dis Colon Rectum 2014; 57(9): 1129-1139 CHAPTER 3 Perineal wound problems afer abdominoperineal resection for 53 rectal cancer; a two-institutional experience in the era of intensifed oncological treatment. Int J Colorectal Dis 2014; 29(9):1151-1157 CHAPTER 4 Biological mesh closure of the pelvic foor afer extralevator 67 abdominoperineal resection for rectal cancer (BIOPEX-study). BMC Surg 2014; 27: 58 CHAPTER 5 Biological mesh closure of the pelvic foor afer extralevator 79 abdominoperineal resection for rectal cancer: a single blinded, multicentre randomised controlled trial (the BIOPEX-study). Submitted CHAPTER 6 Local application of gentamicin in the prophylaxis of perineal wound 109 infection afer abdominoperineal resection, a systematic review. World J Surg 2015; 39(11): 2786-2794 CHAPTER 7 Is there a place for a biological mesh in perineal hernia repair? 125 Submitted CHAPTER 8 Surgery for complex perineal fstula following rectal cancer treatment 139 using biological mesh combined with gluteal perforator fap. Tech Coloproctol 2014; 18(10): 955-959 CHAPTER 9 Early reconstruction of the leaking ileal pouch-anal anastomosis: a novel 149 solution to an old problem. Colorectal Dis 2015; 17(5): 426-432 CHAPTER 10 Major morbidity afer ileostomy closure: results from an institutional 161 change in practice and awareness. Int J Colorectal Dis 2016 CHAPTER 11 Intersphincteric completion proctectomy with omentoplasty for chronic 173 presacral sinus afer low anterior resection for rectal cancer. Colorectal Dis 2015 Appendices Summary and future perspectives 187 Samenvatting en toekomstige perspectieven 195 Ph.D. portfolio 203 List of publications 207 Dankwoord 213 About the author 219 General introduction and outline of the thesis General introduction and outline of the thesis 8 General introduction and outline of the thesis GENERAL INTRODUCTION Colorectal cancer (CRC) is one of the most common cancers in the world and is expected to rise from 1.4 million annually diagnosed patients worldwide in 2012 to 2.4 million patients by 2035.1 In the Netherlands, currently 13.000 new patients are diagnosed with CRC each year, of which approximately one third have rectal cancer.2 Te prognosis of patients with rectal cancer has improved signifcantly during the last two decades in the Netherlands. Te cornerstone of locoregional treatment is still surgery, and improved quality of resection as well as locally advanced rectal cancer by specialised surgical teams contributed substantially to these improvements. Tis was also facilitated by optimized pre-operative staging using MRI and the introduction of down-sizing neoadjuvant treatment. Furthermore, improvement has been achieved in the treatment of distant metastases, both by more efective systemic treatment and by increased application of local treatment modalities of liver and/or lung metastases. Further improvement of the prognosis can be expected from the recently started screening programme in the Netherlands, enabling treatment of (advanced) adenomas and early detection of rectal cancer. Rectal cancer surgery is complex and requires specifc expertise. But despite specialisation and centralisation, there is still a relatively high risk of postoperative complications. In contrast to literature on treatment of rectal cancer, prevention and treatment of short and long-term surgical complications has less extensively been explored. At the time prognosis improves, quality of life and management of treatment related morbidity becomes more and more important. Treatment of rectal cancer requires a multidisciplinary evidenced based approach, in which the treatment related morbidity has to be weighed against the expected health beneft. Treatment of rectal adenomas With the start of screening programs, adenomas are more frequently encountered.3 Early detection and removal of colorectal adenomas reduces the incidence of colorectal cancer and its associated morbidity.4 Removal of these rectal adenomas face their own therapeutic challenges. Resection of adenomas can be performed endoscopically or with microsurgery. For small adenomas, endoscopic resection can be performed by simple loop polypectomy, piecemeal endoscopic mucosal resection (EMR), or single-piece endoscopic submucosal dissection (ESD). For larger non-pedunculated adenomas, EMR is most ofen being performed. With EMR, the large rectal adenoma is submucosal lifed and snare piecemeal resection is performed. For EMR, light sedation is most ofen sufcient and no specialized equipment or overnight hospital stay is required. With transanal endoscopic microsurgery (TEM), the adenoma can be dissected submucosally or by full-thickness en bloc resection. TEM requires general anaesthesia, hospital admission and specialized instrumentation. TEM can be replaced by transanal minimally invasive surgery (TAMIS) platforms using standard laparoscopic equipment.5 Te results of TEM have been extensively reported in literature whereas data on endoscopic resection is limited for large rectal adenomas.6 9 General introduction and outline of the thesis Surgical treatment principles in rectal cancer Afer low anterior resection (LAR) following total mesorectal excision (TME) and beyond TME principles, continuity can be restored by a colo-anal anastomosis in diferent confgurations and using both stapling and hand-sewn techniques. Te decision to restore continuity depends on the sphincter function of the patient preoperatively, the distance of the tumour to the anal verge, the resection margins that can be achieved in relation to the sphincter complex and levator muscle, age and comorbidity, lower border of the radiation feld, and patient preference. When an anastomosis is not made for any reason, there are two alternatives. If the sphincter complex and pelvic foor can be preserved, the rectal stump is closed and an end colostomy is created, also referred to as a low Hartmann’s procedure. When the sphincter complex and/or levator muscle cannot be spared anymore, an abdominoperineal resection (APR) is performed. Low anterior resection with colo-anal anastomosis One of the most feared complications afer reconstructive rectal surgery is an anastomotic leakage, occurring between 6 to 20% of the patients afer LAR.7 An anastomotic leakage is a defect of the intestinal wall integrity at the anastomotic site,
Load more

Recommended publications
  • General Index
    General Index Italicized page numbers indicate figures and tables. Color plates are in- cussed; full listings of authors’ works as cited in this volume may be dicated as “pl.” Color plates 1– 40 are in part 1 and plates 41–80 are found in the bibliographical index. in part 2. Authors are listed only when their ideas or works are dis- Aa, Pieter van der (1659–1733), 1338 of military cartography, 971 934 –39; Genoa, 864 –65; Low Coun- Aa River, pl.61, 1523 of nautical charts, 1069, 1424 tries, 1257 Aachen, 1241 printing’s impact on, 607–8 of Dutch hamlets, 1264 Abate, Agostino, 857–58, 864 –65 role of sources in, 66 –67 ecclesiastical subdivisions in, 1090, 1091 Abbeys. See also Cartularies; Monasteries of Russian maps, 1873 of forests, 50 maps: property, 50–51; water system, 43 standards of, 7 German maps in context of, 1224, 1225 plans: juridical uses of, pl.61, 1523–24, studies of, 505–8, 1258 n.53 map consciousness in, 636, 661–62 1525; Wildmore Fen (in psalter), 43– 44 of surveys, 505–8, 708, 1435–36 maps in: cadastral (See Cadastral maps); Abbreviations, 1897, 1899 of town models, 489 central Italy, 909–15; characteristics of, Abreu, Lisuarte de, 1019 Acequia Imperial de Aragón, 507 874 –75, 880 –82; coloring of, 1499, Abruzzi River, 547, 570 Acerra, 951 1588; East-Central Europe, 1806, 1808; Absolutism, 831, 833, 835–36 Ackerman, James S., 427 n.2 England, 50 –51, 1595, 1599, 1603, See also Sovereigns and monarchs Aconcio, Jacopo (d. 1566), 1611 1615, 1629, 1720; France, 1497–1500, Abstraction Acosta, José de (1539–1600), 1235 1501; humanism linked to, 909–10; in- in bird’s-eye views, 688 Acquaviva, Andrea Matteo (d.
    [Show full text]
  • Origin of Circular Collapsed Landforms in the Chryse Region of Mars ⇑ Manuel Roda A,B, , Maarten G
    Icarus 265 (2016) 70–78 Contents lists available at ScienceDirect Icarus journal homepage: www.journals.elsevier.com/icarus Origin of circular collapsed landforms in the Chryse region of Mars ⇑ Manuel Roda a,b, , Maarten G. Kleinhans b, Tanja E. Zegers b, Rob Govers b a Universitá degli Studi di Milano, Dipartimento di Scienze della Terra, Via Mangiagalli, 34, 20133 Milano, Italy b Universiteit Utrecht, Faculty of Geosciences, Heidelberglaan 2, 3584 CS Utrecht, The Netherlands article info abstract Article history: The quasi-circular collapsed landforms occurring in the Chryse region of Mars share similar morpholog- Received 29 June 2015 ical characteristics, such as depth of collapse and polygonally fractured floors. Here, we present a statis- Revised 20 October 2015 tical analysis of diameter, maximum and minimum depth, and amount of collapse of these features. Accepted 21 October 2015 Based on their morphometric characteristics, we find that these landforms have a common origin. In par- Available online 27 October 2015 ticular, the investigated landforms show diameter-depth correlations similar to those that impact craters of equivalent diameters exhibit. We also find that the observed amount of collapse of the collected fea- Keywords: tures is strongly correlated to their diameter. Furthermore, the linear relation between minimum filling Geological processes and pristine depth of craters, the constant ratio between collapse and the amount of filling and the frac- Ices Impact processes tured and chaotic aspect of the filling agree with melting and subsequent collapse of an ice layer below a Mars, surface sediment layer. This interpretation is consistent with a buried sub-ice lake scenario, which is a non-climatic mechanism for producing and storing abundant liquid water under martian conditions.
    [Show full text]
  • The Deposition and Alteration History of the Northeast Syrtis Major Layered Sulfates
    The deposition and alteration history of the northeast Syrtis Major layered sulfates Daven P. Quinn1 and B.L. Ehlmann1,2 1Division of Geological and Planetary Sciences, California Institute of Technology, Pasadena, California, USA 2Jet Propulsion Laboratory, California Institute of Technology, Pasadena, California, USA October 12, 2018 Abstract The ancient stratigraphy on the western margin of the Isidis basin records the history of wateron early Mars. Noachian units are overlain by layered, basaltic-composition sedimentary rocks that are enriched in polyhydrated sulfates and capped by more resistant units. The layered sulfates – uniquely exposed at northeast Syrtis Major – comprise a sedimentary sequence up to 600-m thick that has undergone a multi-stage history of deposition, alteration, and erosion. Siliciclastic sed- iments enriched in polyhydrated sulfates are bedded at m-scale and were deposited on slopes up to 10°, embaying and thinning against pre-existing Noachian highlands around the Isidis basin rim. The layered sulfates were then modified by volume-loss fracturing during diagenesis, and the fractures hosted channelized flow and jarosite mineral precipitation to form resistant ridges upon erosion. The depositional form and diagenetic volume-loss recorded by the layered sulfates suggest deposition in a deepwater basin. After their formation, the layered sulfates were first capped by a “smooth capping unit” and then eroded to form paleovalleys. Hesperian Syrtis Ma- jor lavas were channelized by this paleotopography, capping it in some places and filling it in others. Later fluvial features and phyllosilicate-bearing lacustrine deposits, which share a con- sistent regional base level (~-2300 m), were superimposed on the sulfate-lava stratigraphy.
    [Show full text]
  • School Board to Hold Special Meeting on Replacing Andrews
    50 CENTS 113TH YEAR • THURSDAY EDITION JUNE 28, 2012 A series of guest columns written by local leaders in the community begins in this issue. See the Opinion section, page A-4. OOSCEOLASCEOLA NNEWSEWS-G-GAZETTEAZETTE www.aroundosceola.com • www.holaosceola.com School Board to hold special meeting on replacing Andrews By Fallan Patterson Hartig accused Andrews of A superintendent search day’s workshop, agreed with Staff Writer breech of contract and pre- typically takes between two Wheeler. The Osceola County sented a box of evidence per- and four months to complete, “I don’t think that’s fair,” School Board at an upcoming taining to such at the June 19 School Board attorney Larry he said. “The board would be special meeting will discuss School Board meeting. Brown said. doing a disservice if we ap- whether to appoint an inter- Chairman Barbara Horn Board member Jay Wheel- point somebody (permanent) im superintendent or conduct initially made the motion last er opposed finding a perma- before the new board is sat.” News-Gazette Photo/Andrew Sullivan a search for a permanent re- week requesting his termina- nent replacement until after Hartig disagreed, citing While Debby hasn’t caused major damage in Osceola County, placement after current Su- tion from the position. The the election in which Hartig discussions with district staff several days of rain still leaves the hazard of standing water perintendent Terry Andrews motion failed 3-2. is running for re-election and who expressed to her their Vice Chairman Julius Melen- desire to have a permanent on roadways.
    [Show full text]
  • Appendix I Lunar and Martian Nomenclature
    APPENDIX I LUNAR AND MARTIAN NOMENCLATURE LUNAR AND MARTIAN NOMENCLATURE A large number of names of craters and other features on the Moon and Mars, were accepted by the IAU General Assemblies X (Moscow, 1958), XI (Berkeley, 1961), XII (Hamburg, 1964), XIV (Brighton, 1970), and XV (Sydney, 1973). The names were suggested by the appropriate IAU Commissions (16 and 17). In particular the Lunar names accepted at the XIVth and XVth General Assemblies were recommended by the 'Working Group on Lunar Nomenclature' under the Chairmanship of Dr D. H. Menzel. The Martian names were suggested by the 'Working Group on Martian Nomenclature' under the Chairmanship of Dr G. de Vaucouleurs. At the XVth General Assembly a new 'Working Group on Planetary System Nomenclature' was formed (Chairman: Dr P. M. Millman) comprising various Task Groups, one for each particular subject. For further references see: [AU Trans. X, 259-263, 1960; XIB, 236-238, 1962; Xlffi, 203-204, 1966; xnffi, 99-105, 1968; XIVB, 63, 129, 139, 1971; Space Sci. Rev. 12, 136-186, 1971. Because at the recent General Assemblies some small changes, or corrections, were made, the complete list of Lunar and Martian Topographic Features is published here. Table 1 Lunar Craters Abbe 58S,174E Balboa 19N,83W Abbot 6N,55E Baldet 54S, 151W Abel 34S,85E Balmer 20S,70E Abul Wafa 2N,ll7E Banachiewicz 5N,80E Adams 32S,69E Banting 26N,16E Aitken 17S,173E Barbier 248, 158E AI-Biruni 18N,93E Barnard 30S,86E Alden 24S, lllE Barringer 29S,151W Aldrin I.4N,22.1E Bartels 24N,90W Alekhin 68S,131W Becquerei
    [Show full text]
  • Fracture Geometry and Statistics of Ceres' Floor Fractures
    1 Fracture Geometry and Statistics of Ceres’ Floor Fractures 2 3 K. Krohn1, D. L. Buczkowski2, I. von der Gathen1, R. Jaumann1,3, F. Schulzeck1, K. Stephan1, R. 4 Wagner1, J. E. C. Scully4, C. A. Raymond4, C. T. Russell5 5 6 1Institute of Planetary Research, German Aerospace Center, Berlin, Germany; 2Johns Hopkins 7 University Applied Physics Laboratory, Laurel, MD, USA; 3Freie Universiät Berlin, Germany; 8 4NASA JPL, California Institute of Technology, Pasadena, California, USA; 5UCLA, Institute of 9 Geophysics, Los Angeles, CA, USA 10 11 Corresponding author: Katrin Krohn, [email protected], Rutherfordstraße 2, 12489 Berlin, Germany 12 13 Keywords: Ceres, dwarf planet, floor fractured craters 14 15 16 Highlights: 17 18 We measured 2336 fractures in thirteen floor-fractured craters (FFC) on Ceres. 19 20 Floor-fractured craters on Ceres share similarities with FFCs on other planetary bodies 21 especially those on the Moon and Mars. 22 23 On Ceres some floor-fractured craters are impact-driven; other appear to be related to cooling- 24 melting processes, outgassing and/or tectonics such as doming of the subsurface. 25 26 Fracture studies point out brittle surface materials. 27 28 29 30 Abstract 31 32 Floor-fractured craters are one of the most distinct features on Ceres. Most of the fractures are located 33 on the crater floors. The floor-fractures are concentric, radial or polygonal and share similarities with 34 Class 1 and 4 floor-fractured craters (FFC) on the Moon (e.g., Buczkowski et al., 2018; Schultz, 1976) 35 In total we measured 2336 fractures in thirteen craters.
    [Show full text]
  • Water and Martian Habitability Results of an Integrative Study Of
    Planetary and Space Science 98 (2014) 128–145 Contents lists available at ScienceDirect Planetary and Space Science journal homepage: www.elsevier.com/locate/pss Water and Martian habitability: Results of an integrative study of water related processes on Mars in context with an interdisciplinary Helmholtz research alliance “Planetary Evolution and Life” R. Jaumann a,b,n, D. Tirsch a, E. Hauber a, G. Erkeling c, H. Hiesinger c, L. Le Deit a,d, M. Sowe b, S. Adeli a, A. Petau a, D. Reiss c a DLR, Institute of Planetary Research, Berlin, Germany b Freie Universität Berlin, Institute of Geosciences, Berlin, Germany c Institut für Planetologie, Westfälische Wilhelms-Universität, Münster, Germany d Laboratoire de Planétologie et Géodynamique, UMR 6112, CNRS, Université de Nantes, Nantes, France article info abstract Article history: A study in context with the Helmholtz Alliance ‘Planetary Evolution and Life’ focused on the (temporary) Received 11 March 2013 existence of liquid water, and the likelihood that Mars has been or even is a habitable planet. Both Received in revised form geomorphological and mineralogical evidence point to the episodic availability of liquid water at the 10 February 2014 surface of Mars, and physical modeling and small-scale observations suggest that this is also true for Accepted 21 February 2014 more recent periods. Habitable conditions, however, were not uniform over space and time. Several key Available online 5 March 2014 properties, such as the availability of standing bodies of water, surface runoff and the transportation of Keywords: nutrients, were not constant, resulting in an inhomogeneous nature of the parameter space that needs to Mars be considered in any habitability assessment.
    [Show full text]
  • Origin and Distribution of Floor-Fractured Craters on Mars
    Eighth International Conference on Mars (2014) 1108.pdf ORIGIN AND DISTRIBUTION OF FLOOR-FRACTURED CRATERS ON MARS. M. Bamberg1,2, R. Jau- mann2,3 and H. Asche1, 1Geoinformation Research Group, Department of Geography, University of Potsdam, Germany, 2German Aerospace Center, Institute of Planetary Research, Berlin, Germany, 3Freie Universität Berlin, Department of Earth Sciences, Institute of Geosciences, Remote Sensing of Earth and Planets, Germany ([email protected]) Introduction: Floor-Fractured Craters (FFCs) are We developed automated and statistical analysis tools a specific impact crater type [1,2]. These craters are [3,4]. They operate on the FFC database and defined characterized by the distinct appearance of their floors, key parameters for each origin process. The tools ob- which exhibit fractures and knobs. They show a diverse tain results, which rely on defined geostatistical tech- set of surface features and occur in different Martian niques (measurements, calculations, classifications). environments. Several processes, such as volcanism, Based on these tools the craters are classified regarding tectonics, water, and ice are responsible for the devel- to the most potential origin process [4]. opment of fractures [2]. We established FFC distributions [2,3] and classi- fied the reason for fracturing.We defined key parame- ters and rules for each origin process. The FFC classi- fication with regard to the involved fracturing process is based on these rules [4]. The research about FFCs will help to gain a better understanding of the spatial distribution of craters on Mars and the involved processes in FFC formation and evolution. Finding these craters on Mars and identify- Figure 1: Example FFC (CTX images & HRSC DTM).
    [Show full text]
  • Quantitative and Statistical Analysis of Floor Fractured Craters
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Institute of Transport Research:Publications EPSC Abstracts Vol. 8, EPSC2013-416, 2013 European Planetary Science Congress 2013 EEuropeaPn PlanetarSy Science CCongress c Author(s) 2013 Quantitative and Statistical Analysis of Floor Fractured Craters M. Bamberg (1, 2), H. Asche (1), R. Jaumann (2,3) and T. Kneissl (3) (1) Geoinformation Research Group, Department of Geography, University of Potsdam, Germ any (2) German Aerospace Center, Institute of Planetary Research, Berlin, Germany (3) Freie Universität Berlin, Department of Earth Sciences, Institute of Geosciences, Remote Sensing of Earth and Planets, Germany ([email protected] / Fax: +49 30 670 55 402) Abstract 2.1 Location Floor-Fractured Craters (FFCs) present a certain 421 potential FFCs have been identified on Mars [1] impact crater type. The floors are refilled and by using High Resolution Stereo Camera (HRSC) [3] dissected into knobs/plates of different size and shape. and Context Camera (CTX) [4] images. FFCs are Several origins for the fracturing systems are found within 50°S and 45°N (Fig.1). Three clusters discussed in previous studies. The origins are related have been identified: along the dichotomy boundary, to the location and environmental conditions of the close to the outflow channels and in the Martian crater itself. To affirm this hypothesis, a quantitative highlands. and statistical analysis of FFCs is presented here. 1. Introduction A classification of FFCs concerning location and origin has been done on Mars based on various image data [1, 2]. Two very diverse craters are used as a case study and we compared them regarding appearance of the surface units, chronology, and geological processes in previous research [1].
    [Show full text]
  • GIPE-026215-Contents.Pdf (2.378Mb)
    McGRAW-.HILL SERIES IN GEOGR~P}IY t . V. C. FINCH, Consulting Ji!.ditor •" ~~~~ PHYSICAL ELEMENTS 01= GEOGRAPHY. McGRAW-HILL SERIES IN GEOGRAPHY Bennett-SOIL CONSERVATION Finch and Trewartha-ELEMENTS OF GEOGRAPHY: Physical and Cultural Finck and Trewartha-PHYSICAL ELEMENTS OF GEOGRAPHY (A republication of Part I of the above} Platt-LATIN AMERICA: Countrysides and United Regions Raisz-GENERAL CARTOGRAPHY Trewartha-AN INTRODUCTION TO WEATHER ·AND CLIMATE Whitbeck and Finch-E C 0 N 0 M I C GEOGRAPHY-. Whitbeck and Williams-ECONOMIC GEOGRAPHY OF SOUTH AMERI.CA· ELEMENTS OF GEOGRAPHY Physical and Cultural HJJ VERNOR C. FINCH /'roft·.~sor of Ut·ography, University of Wisconsin and <iLENN T. TREWARTHA /'rof.-.v.wr of Geography, University of Wisconsin ELEMENTS OF GEOGRAPHY­ PHYSICAL AND CULTURAL CoPYRIGHT, 1936, 1942, BY VERNOR c. FINCH AND GLENN T. TREWARTH., PRINTED IN THE UNITED STATES OF AMERICA . All rights reseNJed. This book, or paris thereof, may not be reproduced in any form without permission of the publishers. THE MAPLE PRESS COMPANY, I'ORK, PA. PREFACE The second edition of this book, like the first, is designed to supply textual material covering the elements of geography in a form particu­ larly suited to classroom discussion in beginning courses in college geograP.hy. The special merit of the treatment of the subject employed in this text is believed to lie in the choice of the material that has been included in it, in the structure of its organization, and in the maimer of its presentation. The selection of material for inclusion has been made with a single objective: to describe and depict the major elements of geography and to enable the student to.itc.9,1.1ire a background for interpreting the significance of their areal association--The material included is confined to the development of what may be considered a check list of the elements of natural earth and the elements of material culture.
    [Show full text]
  • Mcginty Washington 0250E 19
    © Copyright 2018 Megan C. McGinty Teaching Towards Deep Ecological Understanding: Sociocultural Influences and Epistemic Navigation in Outdoor Science Education Megan C. McGinty A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy University of Washington 2018 Reading Committee: Dr. Megan Bang, Chair Dr. Philip Bell Dr. Leslie Herrenkohl Dr. Jude Apple Program Authorized to Offer Degree: College of Education University of Washington Abstract Teaching Towards Deep Ecological Understanding: Sociocultural Influences and Epistemic Navigation in Outdoor Science Education Megan C. McGinty Chair of the Supervisory Committee: Professor Megan Bang College of Education Leaning Sciences and Human Development This dissertation begins with a description of the territory that lies between sociocultural theory, education, and the natural world. It consists of three separate studies that all focus on moments of science teaching and learning that are intentionally situated outdoors. The second, third and fourth chapters are written as somewhat independent manuscripts, but they all revolve around the central concept of teaching and learning with and within complex ecological systems as influenced by nature-culture relations. The second chapter focuses on school gardens and is a case study of one garden educator working within a series of systems that influence her teaching. Culture and power are not often discussed in this context and human dominance is often taken as a given, reifying human exceptionalism. An analysis of the ethnographic data shows that normative and power- laden structures actually prevent her from sharing her expertise with students while she is teaching. I outline how those structures manifest in the garden lessons and the teacher’s moves of resistance.
    [Show full text]
  • The Astronomer Magazine Index
    The Astronomer Magazine Index The numbers in brackets indicate approx lengths in pages (quarto to 1982 Aug, A4 afterwards) 1964 May p1-2 (1.5) Editorial (Function of CA) p2 (0.3) Retrospective meeting after 2 issues : planned date p3 (1.0) Solar Observations . James Muirden , John Larard p4 (0.9) Domes on the Mare Tranquillitatis . Colin Pither p5 (1.1) Graze Occultation of ZC620 on 1964 Feb 20 . Ken Stocker p6-8 (2.1) Artificial Satellite magnitude estimates : Jan-Apr . Russell Eberst p8-9 (1.0) Notes on Double Stars, Nebulae & Clusters . John Larard & James Muirden p9 (0.1) Venus at half phase . P B Withers p9 (0.1) Observations of Echo I, Echo II and Mercury . John Larard p10 (1.0) Note on the first issue 1964 Jun p1-2 (2.0) Editorial (Poor initial response, Magazine name comments) p3-4 (1.2) Jupiter Observations . Alan Heath p4-5 (1.0) Venus Observations . Alan Heath , Colin Pither p5 (0.7) Remarks on some observations of Venus . Colin Pither p5-6 (0.6) Atlas Coeli corrections (5 stars) . George Alcock p6 (0.6) Telescopic Meteors . George Alcock p7 (0.6) Solar Observations . John Larard p7 (0.3) R Pegasi Observations . John Larard p8 (1.0) Notes on Clusters & Double Stars . John Larard p9 (0.1) LQ Herculis bright . George Alcock p10 (0.1) Observations of 2 fireballs . John Larard 1964 Jly p2 (0.6) List of Members, Associates & Affiliations p3-4 (1.1) Editorial (Need for more members) p4 (0.2) Summary of June 19 meeting p4 (0.5) Exploding Fireball of 1963 Sep 12/13 .
    [Show full text]