27 research outputs found
Land Grabbing and Global Governance: Critical Perspectives
Land grabbing has emerged as a significant issue in contemporary global governance that cuts across the fields of development, investment, food security, among others. Whereas land grabbing per se is not a new phenomenon, having historical precedents in the eras of imperialism, the character, scale, pace, orientation and key drivers of the recent wave of land grabs is a distinct historical phenomenon closely tied to major shifts in power and production in the global political economy. Land grabbing is facilitated by ever greater flows of capital, goods, and ideas across borders, and these flows occur through axes of power that are far more polycentric than the North-South imperialist tradition. In this introduction we argue that land grabbing speaks to many of the core questions of globalization studies. However, we note scholars of globalization have yet to deeply engage with this new field. We situate land grabbing in an era of advanced capitalism, multiple global crises and the role of new configurations of power and resistance in global governance institutions. The essays in this collection contribute to identifying land grabbing as an important and urgent topic for theoretical and empirical investigations to deepen our understanding of contemporary globalization and governance
Do we need to categorize it? Reflections on constituencies and quotas as tools for negotiating difference in the global food sovereignty convergence space
Convergence–as an objective and as a process–designates the coming together of different social actors across strategic, political, ideological, sectoral and geographic divides. In this paper, we analyze the global food sovereignty movement (GFSM) as a convergence space, with a focus on constituencies and quotas as tools to maintain diversity while facilitating convergence. We show how the use of constituencies and quotas has supported two objectives of the GFSM: alliances building and effective direct representation in global policy-making spaces. We conclude by pointing to some convergence challenges the GFSM faces as it expands beyond its agrarian origins.</p
Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
Background
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods
A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis).
Results
Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent).
Conclusion
Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified
La Via Campesina: The ‘Peasants' Way’ to Changing the System, not the Climate
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Accountability and the Empowerment of Rural People’s Organizations in Global Rural Transformation1
Towards Territorially Embedded, Equitable and Resilient Food Systems? Insights from Grassroots Responses to COVID-19 in Italy and the City Region of Rome
The negative impacts of the COVID-19 pandemic have further exposed and exacerbated the structural weaknesses and inequalities embedded in the global industrial agri-food system. While the mainstream narrative continues to emphasise the importance of ensuring the uninterrupted functioning of global supply chains to counter COVID-related disruptions, the pandemic has also highlighted the resilience of small-scale, sustainable family farming and of spatially and socially embedded food systems. Based on a quantitative and qualitative analysis of three surveys, this study examines organic and agroecological farmers’ responses to the first COVID-related lockdown (March–May 2020) in Italy, as well as the responses of grassroots alternative food networks (AFN) in the city region of Rome. The results show how local grassroots action played a significant role in ensuring food access, provisioning, and distribution, often in the face of delayed or insufficient action of mainstream food system actors and institutions. These grassroots responses identify opportunities and barriers for agri-food system transformation away from neoliberal, market-based interventions and towards policies that support food sovereignty and democracy in the context of localised, agroecology-based and more resilient agri-food systems
Editorial: Resetting Power in Global Food Governance: The UN Food Systems Summit
Effective Protection of Fundamental Rights in a pluralist worl