PERIPHERAL VASCULAR DISEASEArthur W. Allen|Archives of Surgery|1940 During the past decade there has been widespread interest in disorders of the peripheral circulation. This has led to the establishment of special clinics for the study and treatment of these conditions in a large number of medical centers in the United States. In spite of the continued lack of accurate knowledge of the underlying causes, much has been learned regarding the care of patients suffering from inadequate arterial flow to the extremities. Most of the disorders resulting from this condition have certain common characteristics, and the same general principles of management can be applied to them. Although the types of disability encountered in patients suffering from peripheral lesions associated with diseased veins are different in many respects from those encountered in patients with narrowed arteries, their management has usually been taken over by the special clinics interested in the whole problem of peripheral circulation. Concentrated interest in such conditions
Controlling Site to Evaluate History: Vegetation Patterns of a New England Sand PlainThe widespread and long—lasting impact of human activity on natural ecosystems indicates that land—use history must be treated as an integral aspect of ecological study and a critical component of conservation planning. The New England landscape has undergone a complete transformation as forests were converted to agriculture in the 18th and 19th centuries followed by succession to woodland as a result of widespread agricultural abandonment. Despite the prevalence of human impacts, the effect and longevity of land—use practices on modern forest conditions are poorly understood. In the present study of pitch pine—scrub oak vegetation on a sand plain in the Connecticut Valley of Massachusetts, we address the following questions: (1) what is the relative importance of human and natural disturbance and environmental factors in controlling vegetation composition, structure, and landscape patterns; (2) what are the mechanisms underlying human impacts on vegetation, and what is the duration of these impacts; and (3) what are the implications of land—use history for the interpretation and conservation of these communities? Sand plain vegetation was selected for investigation because the homogeneity of site conditions facilitates the interpretation of land—use and natural disturbance impacts, and because the uncommon vegetation and constituent species are priorities for conservation efforts. Paleoecological data suggest that pre—European fires were common on the study area, perhaps ignited by a large regional Indian population. The area was noted historically as an extensive pine plain and was used for wood products from the 18th to the mid—19th century. Eighty—two percent of the area was subsequently plowed for agriculture before being abandoned in the early 20th century. Soil analyses confirm the homogeneity of site conditions and suggest that land uses (plowing, woodlot/pasture) were determined according to ownership pattern rather than site factors. Previously cultivated parcels have distinct Ap (plow horizons) 15—33 cm deep, whereas uncultivated parcels have A horizons 3—10 cm in depth. Soil physical and chemical characteristics are similar among land uses and modern vegetation types. Aerial photographs document a dramatic transformation in plant cover over the last 50 yr. In 1939, the vegetation was grassland or shrub—heath (49%), open—canopy forest (29%), and scrub—oak shrublands (15%). In 1985, 73% of the study area was forested with pitch pine (40%), hardwood (12%), or mixed stands (21%), 9% was in open—canopy stands, and 3% was covered by grass or shrubs. Vegetation/land—use relations are striking. Pitch pine occurs almost exclusively (97%) on former plowed sites, whereas scrub oak stands occur preferentially (89%) on sites that have not been plowed. Land use explains the greatest variation in modern vegetation as well as the distribution and abundance of many taxa. Fire has been common across the study area but has influenced vegetation largely within patterns resulting from prior land use. Land—use patterns and factors controlling vegetation composition and structure are broadly paralleled at similar sites elsewhere in the Connecticut Valley. The study indicates that conservation biologists interested in preserving species, communities, and landscape patterns on sand plains in the northeastern United States need to incorporate a dynamic perspective of biological systems that includes the overriding impact of prior land use. In order to appreciate, study, and display these land—use and vegetation patterns it is essential to conserve the mosaic of assemblages and historical uses within a landscape setting.
Vegetation patterns in heterogeneous landscapes: The importance of history and environmentGlenn Motzkin, Paul Wilson, David R. Foster et al.|Journal of Vegetation Science|1999 Abstract. Throughout the eastern United States, plant species distributions and community patterns have developed in response to heterogeneous environmental conditions and a wide range of historical factors, including complex histories of natural and anthropogenic disturbance. Despite increased recognition of the importance of disturbance in determining forest composition and structure, few studies have assessed the relative influence of current environment and historical factors on modern vegetation, in part because detailed knowledge of prior disturbance is often lacking. In the present study, we investigate modern and historical factors that control vegetation patterns at Harvard Forest in central Massachusetts, USA. Similar to the forested uplands throughout the northeastern United States, the site is physiographically heterogeneous and has a long and complex history of natural and anthropogenic disturbance. However, data on forest composition and disturbance history collected over the past > 90 years allow us to evaluate the importance of historical factors rigorously, which is rarely possible on other sites. Soil analyses and historical sources document four categories of historical land use on areas that are all forested today: cultivated fields, improved pastures/mowings, unimproved pastures, and continuously forested woodlots. Ordination and logistic regressions indicate that although species have responded individualistically to a wide range of environmental and disturbance factors, many species are influenced by three factors: soil drainage, land use history, and C:N ratios. Few species vary in accordance with ionic gradients, damage from the 1938 hurricane, or a 1957 fire. Contrary to our expectation that the effects of disturbance will diminish over time, historical land use predicts 1992 vegetation composition better than 1937 composition, perhaps because historical woodlots have become increasingly differentiated from post‐agricultural stands through the 20th century. Interpretations of modern vegetation must consider the importance of historical factors in addition to current environmental conditions. However, because disturbances such as land use practices and wind damage are complex, it is often difficult to detect disturbance effects using multivariate approaches, even when the broad history of disturbance is known.
AN APPRAISAL OF RESECTION OF THE COLON FOR DIVERTICULITIS OF THE SIGMOID*Welch, Claude E. M.D.; Allen, Arthur W. M.D.; Donaldson, Gordon A. M.D. Author Information
The Incidence of Retinal Detachment Following Extracapsular Cataract Extraction