633 research outputs found

    The dynamics of the contemporary governance of the world's food supply and the challenges of policy redirection

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    This document is the Accepted Manuscript version. The final publication is available at Springer via https://doi.org/10.1007/s12571-015-0429-x.This paper identifies the governance dynamics and the international policy architecture that frame contemporary policy actions in relation to the food supply and elaborates on key governance tensions that policy makers need to address to feed the world’s growing population by the mid-21st century. Two main dimensions of governance are examined: the international policy space, composed of nation states collaborating through international regimes with other international actors; and the private corporate led governance of the food supply. At the international levels, policy discontinuities and gaps are identified, for example between international environmental regimes and food security institutions. The so-called Washington Consensus has given way to a post Washington divergence of policy approaches amongst states, reflecting the “varieties of capitalism” thesis, and a more multi-polar international policy space over food and agriculture. In the past decade, policy makers have engaged industry in the international pursuit of sustainability, with a focus on policy actions around achieving sustainable consumption and production of food. The resulting contemporary governance trajectories are providing a disjointed but widespread set of policy guidelines with some evidence of convergence. These governance forms are helping to shape the terms of debate but the reliance on industry mediated food sustainability will need to be augmented by stronger political leadership from the individual nation states. Policy advances will need to build on the more collaborative and inclusive forms of governance that are being put in place, and continue to improve the balance of sustainable production and consumption of foodPeer reviewe

    Fortran 4 program for two-impulse rendezvous analysis

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    Program determines if rendezvous in near space is possible, and performs an analysis to determine the approximate required values of the magnitude and direction of two thrust applications of the upper stage of a rocket firing. The analysis is performed by using ordinary Keplerian mechanics

    Hungry for change: the Sydney Food Fairness Alliance

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    The Sydney Food Fairness Alliance is one of a growing number of nascent food movements in Australia to have emerged out of concern for the country’s food future, as well as the deleterious effect the present food system is having on its citizens’ health and the continent’s fragile environment. The Alliance’s structure and activities clearly position it as a new social movement (NSM) engaged in collective action on a specific issue, in this instance, food security/justice, and operating outside the political sphere while aiming to influence and affect societal change. Food security as a human right lies at the heart of the Alliance’s philosophy, and equitable, sustainable food policies for New South Wales are a core focus of its advocacy work. The authors argue that the Alliance is a distinctive food movement in that it positions itself as an \u27umbrella\u27 organization representing a wide range of stakeholders in the food system. This chapter reflects on the values, achievements, issues of concern, strengths and weaknesses, and future of the Sydney Food Fairness Alliance. This resource is Chapter 8 in \u27Food Security in Australia: Challenges and Prospects for the Future\u27 published by Springer in 2013

    The ADDITION-Cambridge trial protocol: a cluster -- randomised controlled trial of screening for type 2 diabetes and intensive treatment for screen-detected patients.

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    BACKGROUND: The increasing prevalence of type 2 diabetes poses a major public health challenge. Population-based screening and early treatment for type 2 diabetes could reduce this growing burden. However, the benefits of such a strategy remain uncertain. METHODS AND DESIGN: The ADDITION-Cambridge study aims to evaluate the effectiveness and cost-effectiveness of (i) a stepwise screening strategy for type 2 diabetes; and (ii) intensive multifactorial treatment for people with screen-detected diabetes in primary care. 63 practices in the East Anglia region participated. Three undertook the pilot study, 33 were allocated to three groups: no screening (control), screening followed by intensive treatment (IT) and screening plus routine care (RC) in an unbalanced (1:3:3) randomisation. The remaining 27 practices were randomly allocated to IT and RC. A risk score incorporating routine practice data was used to identify people aged 40-69 years at high-risk of undiagnosed diabetes. In the screening practices, high-risk individuals were invited to take part in a stepwise screening programme. In the IT group, diabetes treatment is optimised through guidelines, target-led multifactorial treatment, audit, feedback, and academic detailing for practice teams, alongside provision of educational materials for newly diagnosed participants. Primary endpoints are modelled cardiovascular risk at one year, and cardiovascular mortality and morbidity at five years after diagnosis of diabetes. Secondary endpoints include all-cause mortality, development of renal and visual impairment, peripheral neuropathy, health service costs, self-reported quality of life, functional status and health utility. Impact of the screening programme at the population level is also assessed through measures of mortality, cardiovascular morbidity, health status and health service use among high-risk individuals. DISCUSSION: ADDITION-Cambridge is conducted in a defined high-risk group accessible through primary care. It addresses the feasibility of population-based screening for diabetes, as well as the benefits and costs of screening and intensive multifactorial treatment early in the disease trajectory. The intensive treatment algorithm is based on evidence from studies including individuals with clinically diagnosed diabetes and the education materials are informed by psychological theory. ADDITION-Cambridge will provide timely evidence concerning the benefits of early intensive treatment and will inform policy decisions concerning screening for type 2 diabetes. TRIAL REGISTRATION: Current Controlled trials ISRCTN86769081.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are
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