Food System Sustainability across Scales: A Proposed Local-To-Global Approach to Community Planning and Assessment

Interest in food systems sustainability is growing, but progress toward them is slow. This research focuses on three interrelated challenges that hinder progress. First, prevailing visions lack a concrete definition of sustainability. Second, global level conceptions fail to guide responses at the local level. Third, these deficiencies may lead to conflicting initiatives for addressing sustainable food systems at the community level that slow collective progress. The purpose of this article is to (1) describe the development of a framework for assessing food system sustainability which accommodates local-level measurement in the context of broader national and global scale measures; and (2) to propose a process that supports community determinacy over localized progress toward sustainable food systems. Using a modified Delphi Inquiry process, we engaged a diverse, global panel of experts in describing “success” with respect to sustainable food systems, today’s reality, and identifying key indicators for tracking progress towards success. They were asked to consider scale during the process in order to explore locally relevant themes. Data were analyzed using the Framework for Strategic Sustainable Development (FSSD) to facilitate a comprehensive and systematic exploration of key themes and indicators. Key results include a framework of indicator themes that are anchored in a concrete definition of sustainability, stable at national and global scales while remaining flexible at the local scale to accommodate contextual needs. We also propose a process for facilitating community-level planning for food system sustainability that utilizes this indicator framework. The proposed process is based on insights from the research results, as well as from previous research and experience applying the FSSD at a community level; it bears promise for future work to support communities to determine their own pathways, while contributing to a more coordinated whole

The impact of advertising patient and public involvement on trial recruitment: embedded cluster randomised recruitment trial

BACKGROUND Patient and public involvement in research (PPIR) may improve trial recruitment rates, but it is unclear how. Where trials use PPIR to improve design and conduct, many do not communicate that clearly to potential participants. Better communication of PPIR might encourage patient enrolment, as trials may be perceived as more socially valid, relevant, and trustworthy. We aimed to evaluate the impact on recruitment of directly advertising PPIR to potential trial participants. METHODS A cluster trial, embedded within a host trial ('EQUIP') recruiting service users diagnosed with severe mental illness. The intervention was informed by a systematic review, a qualitative study, social comparison theory and a stakeholder workshop including service users and carers. Adopting Participatory Design approaches, we co-designed the recruitment intervention with PPIR partners using a leaflet to advertise the PPIR in EQUIP and sent potential participants invitations with the leaflet (intervention group) or not (control group). Primary outcome was the proportion of patients enrolled in EQUIP. Secondary outcomes included the proportions of patients who positively responded to the trial invitation. RESULTS 34 community mental health teams were randomised and 8182 service users invited. For the primary outcome, 4% of patients in the PPIR group were enrolled versus 5.3% of the control group. The intervention was ineffective for improving recruitment rates (adjusted OR= 0.75, 95% CI= 0.53 to 1.07, p=0.113). For the secondary outcome of positive response, the intervention was not effective, with 7.3% of potential participants in the intervention group responding positively versus 7.9% of the control group (adjusted OR=0.74, 95% CI= 0.53 to 1.04, p=0.082). We did not find a positive impact of directly advertising PPIR on any other outcomes. CONCLUSION To our knowledge, this is the largest ever embedded trial to evaluate a recruitment or PPIR intervention. Advertising PPIR did not improve enrolment rates, or any other outcome. It is possible that rather than advertising PPIR being the means to improve recruitment, PPIR may have an alternative impact on trials by making them more attractive, acceptable and patient-centred. We discuss potential reasons for our findings and implications for recruitment practice and research

Regional Holocene climate and landscape changes recorded in the large subarctic lake Torneträsk, N Fennoscandia

Understanding the response of sensitive Arctic and subarctic landscapes to climate change is essential to determine the risks of ongoing and projected climate warming. However, these responses will not be uniform in terms of timing and magnitude across the landscape because of site-specific differences in ecosystem susceptibility to climate forcing. Here we present a multi-proxy analysis of a sediment record from the 330-km2 lake Torneträsk to assess the sensitivity of the Fennoscandian subarctic landscape to climate change over the past ~ 9500 years. By comparing responses of this large-lake system to past climatic and environmental changes with those in small lakes in its catchment, we assessed when the magnitude of change was sufficient to affect an entire region rather than only specific sub-catchments that may be more sensitive to localized environmental changes such as, e.g., tree-line dynamics. Our results show three periods of regional landscape alteration with distinct change in sediment composition: i) landscape development following deglaciation and through the Holocene Thermal Maximum, ~ 9500–3400 cal yr BP; ii) increased soil erosion during the Little Ice Age (LIA); and iii) rapid change during the past century coincident with ongoing climate change. The gradual landscape development led to successive changes in the lake sediment composition over several millennia, whereas climate cooling during the late Holocene caused a rather abrupt shift occurring within ~ 100 years. However, this shift at the onset of the LIA (~ 750 cal yr BP) occurred > 2000 years later than the first indications for climate cooling recorded in small lakes in the Torneträsk catchment, suggesting that a critical ecosystem threshold was not crossed until the LIA. In contrast, the ongoing response to recent climate change was immediate, emphasizing the unprecedented scale of ongoing climate changes in subarctic Fennoscandia

Framing access to medicines in developing countries: an analysis of media coverage of Canada's Access to Medicines Regime

<p>Abstract</p> <p>Background</p> <p>In September 2003, the Canadian government committed to developing legislation that would facilitate greater access to affordable medicines for developing countries. Over the course of eight months, the legislation, now known as Canada's Access to Medicines Regime (CAMR), went through a controversial policy development process and the newspaper media was one of the major venues in which the policy debates took place. The purpose of this study was to examine how the media framed CAMR to determine how policy goals were conceptualized, which stakeholder interests controlled the public debate and how these variables related to the public policy process.</p> <p>Methods</p> <p>We conducted a qualitative content analysis of newspaper coverage of the CAMR policy and implementation process from 2003-2008. The primary theoretical framework for this study was framing theory. A total of 90 articles from 11 Canadian newspapers were selected for inclusion in our analysis. A team of four researchers coded the articles for themes relating to access to medicines and which stakeholders' voice figured more prominently on each issue. Stakeholders examined included: the research-based industry, the generic industry, civil society, the Canadian government, and developing country representatives.</p> <p>Results</p> <p>The most frequently mentioned themes across all documents were the issues of drug affordability, intellectual property, trade agreements and obligations, and development. Issues such as human rights, pharmaceutical innovation, and economic competitiveness got little media representation. Civil society dominated the media contents, followed far behind by the Canadian government, the research-based and generic pharmaceutical industries. Developing country representatives were hardly represented in the media.</p> <p>Conclusions</p> <p>Media framing obscured the discussion of some of the underlying policy goals in this case and failed to highlight issues which are now significant barriers to the use of the legislation. Using the media to engage the public in more in-depth exploration of the policy issues at stake may contribute to a more informed policy development process. The media can be an effective channel for those stakeholders with a weaker voice in policy deliberations to raise public attention to particular issues; however, the political and institutional context must be taken into account as it may outweigh media framing effects.</p

Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio

On the mechanisms governing gas penetration into a tokamak plasma during a massive gas injection

A new 1D radial fluid code, IMAGINE, is used to simulate the penetration of gas into a tokamak plasma during a massive gas injection (MGI). The main result is that the gas is in general strongly braked as it reaches the plasma, due to mechanisms related to charge exchange and (to a smaller extent) recombination. As a result, only a fraction of the gas penetrates into the plasma. Also, a shock wave is created in the gas which propagates away from the plasma, braking and compressing the incoming gas. Simulation results are quantitatively consistent, at least in terms of orders of magnitude, with experimental data for a D 2 MGI into a JET Ohmic plasma. Simulations of MGI into the background plasma surrounding a runaway electron beam show that if the background electron density is too high, the gas may not penetrate, suggesting a possible explanation for the recent results of Reux et al in JET (2015 Nucl. Fusion 55 093013)