Protest communication ecologies

The flurry of protests since the turn of the decade has sustained a growth area in the social sciences. The diversity of approaches to the various facets and concerns raised by the collective action of aggrieved groups the world over impresses through multidisciplinarity and the wealth of insights it has generated. This introduction to a special issue of the international journal Information, Communication and Society is an invitation to recover conceptual instruments — such as the ecological trope — that have fallen out of fashion in media and communication studies. We account for their fall from grace and explicate the rationale for seeking to reinsert them into the empirical terrain of interlocking media, communication practices and protest which we aim to both capture with theory and adopt as a starting point for further analytical innovation

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Kommunale Identität. Eine Mehrebenenanalyse der Determinanten individueller Verbundenheit mit der Gemeinde

Im Zentrum dieses Beitrages steht die Erklärung kommunaler Identität, die als wichtige Voraussetzung zivilgesellschaftlichen und politischen Engagements betrachtet wird. Mit Hilfe von Determinanten aus vier unterschiedlichen Ansätzen zur Erklärung der Verbundenheit mit der Wohngemeinde wird auf der Basis von Mehrebenenanalysen der Frage nachgegangen, welche individuellen und kontextuellen Eigenschaften die Entwicklung kommunaler Identität beeinflussen. Die Analyse von Schweizer Gemeinden zeigt, dass es sich bei der kommunalen Identität um ein mehrdimensionales Konzept handelt, das aus affektiver Verbundenheit sowie informeller und formeller Einbindung besteht. Individuelle und aggregierte räumliche Mobilität wirken insgesamt eher negativ auf die individuelle kommunale Identität. Eigeninteressen in Form von Hausbesitz und Elternschaft zeigen hingegen einen eher positiven Einfluss auf die Entwicklung lokaler Verbundenheit. Schließlich vermögen die Analysen die Bedeutung des Einbezugs kontextueller Rahmenbedingungen deutlich zu machen: Die Generierung kommunaler Identität ist abhängig von der Größe einer Gemeinde sowie von sozioökonomischen, kulturellen, institutionellen und makroökonomischen Kontextmerkmalen

Body-composition changes in the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE)-2 study: A 2-y randomized controlled trial of calorie restriction in nonobese humans

Background: Calorie restriction (CR) retards aging and increases longevity in many animal models. However, it is unclear whether CR can be implemented in humans without adverse effects on body composition.Objective: We evaluated the effect of a 2-y CR regimen on body composition including the influence of sex and body mass index (BMI; in kg/m2) among participants enrolled in CALERIE-2 (Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy), a multicenter, randomized controlled trial.Design: Participants were 218 nonobese (BMI: 21.9-28.0) adults aged 21-51 y who were randomly assigned to 25% CR (CR, n = 143) or ad libitum control (AL, n = 75) in a 2:1 ratio. Measures at baseline and 12 and 24 mo included body weight, waist circumference, fat mass (FM), fat-free mass (FFM), and appendicular mass by dual-energy X-ray absorptiometry; activity-related energy expenditure (AREE) by doubly labeled water; and dietary protein intake by self-report. Values are expressed as means ± SDs.Results: The CR group achieved 11.9% ± 0.7% CR over 2-y and had significant decreases in weight (-7.6 ± 0.3 compared with 0.4 ± 0.5 kg), waist circumference (-6.2 ± 0.4 compared with 0.9 ± 0.5 cm), FM (-5.4 ± 0.3 compared with 0.5 ± 0.4 kg), and FFM (-2.0 ± 0.2 compared with -0.0 ± 0.2 kg) at 24 mo relative to the AL group (all between-group P < 0.001). Moreover, FFM as a percentage of body weight at 24 mo was higher, and percentage of FM was lower in the CR group than in the AL. AREE, but not protein intake, predicted preservation of FFM during CR (P < 0.01). Men in the CR group lost significantly more trunk fat (P = 0.03) and FFM expressed as a percentage of weight loss (P < 0.001) than women in the CR group.Conclusions: Two years of CR had broadly favorable effects on both whole-body and regional adiposity that could facilitate health span in humans. The decrements in FFM were commensurate with the reduced body mass; although men in the CR group lost more FFM than the women did, the percentage of FFM in the men in the CR group was higher than at baseline. CALERIE was registered at clinicaltrials.gov as NCT00427193