Terrain, politics, history

This article is based on the 2019 Dialogues in Human Geography plenary lecture at the Royal Geographical Society. It has four parts. The first discusses my work on territory in relation to recent work by geographers and others on the vertical, the volumetric, the voluminous, and the milieu as ways of thinking space in three-dimensions, of a fluid and dynamic earth. Second, it proposes using the concept of terrain to analyse the political materiality of territory. Third, it adds some cautions to this, through thinking about the history of the concept of terrain in geographical thought, which has tended to associate it with either physical or military geography. Finally, it suggests that this work is a way geographers might begin to respond to the challenge recently made by Bruno Latour, where he suggests that ‘belonging to a territory is the phenomenon most in need of rethinking and careful redescription; learning new ways to inhabit the Earth is our biggest challenge’. Responding to Latour continues this thinking about the relations between territory, Earth, land, and ground, and their limits

Military uses of groundwater : a driver of innovation

Military need has been a positive driver to the development of the modern day, and now mature, science of hydrogeology. The important synergy between geology and water supply was appreciated by military men in the mid-nineteenth century but the first real test of this learning only took place in the First World War. German, British and American geologists then mapped water resources and the potential for exploiting groundwater in Belgium and northern France. Technical innovations included deployment of rapid drilling techniques and the promotion of well screens for use in unconsolidated sediments. The mapping techniques were developed further during the Second World War when innovative remote mapping of enemy-occupied territory became an important planning tool to both Allied and German armies. Work in North Africa and other arid and semi-arid terrains promoted insight into the occurrence of groundwater in fresh-water aquifers little replenished by recharge. Mapping of hard rock basement-type environments in the islands of Jersey and Guernsey by German geologists was a concept new to the British Isles. Collectively, these varied initiatives provided part of the foundation for post-Second World War development of modern-day applied hydrogeology

Predictors of mortality in staphylococcus aureus bacteremia

Staphylococcus aureus bacteremia (SAB) is an important infection with an incidence rate ranging from 20 to 50 cases/100,000 population per year. Between 10% and 30% of these patients will die from SAB. Comparatively, this accounts for a greater number of deaths than for AIDS, tuberculosis, and viral hepatitis combined. Multiple factors influence outcomes for SAB patients. The most consistent predictor of mortality is age, with older patients being twice as likely to die. Except for the presence of comorbidities, the impacts of other host factors, including gender, ethnicity, socioeconomic status, and immune status, are unclear. Pathogen-host interactions, especially the presence of shock and the source of SAB, are strong predictors of outcomes. Although antibiotic resistance may be associated with increased mortality, questions remain as to whether this reflects pathogen-specific factors or poorer responses to antibiotic therapy, namely, vancomycin. Optimal management relies on starting appropriate antibiotics in a timely fashion, resulting in improved outcomes for certain patient subgroups. The roles of surgery and infectious disease consultations require further study. Although the rate of mortality from SAB is declining, it remains high. Future international collaborative studies are required to tease out the relative contributions of various factors to mortality, which would enable the optimization of SAB management and patient outcomes