Exploratory survey of informal vendor-sold fast food in rural South Africa

Background: South Africa is experiencing a dramatic increase in obesity in both urban and rural areas. It is important to understand access to food better and how this influences food choice in rural environments. This study aimed to explore the nature and availability of fast foods in rural South Africa.Method: Convenience sampling was used to procure fast food samples. The study was conducted in rural northeast South Africa in four villages, part of the South African Medical Research Council and University of the Witwatersrand-Agincourt Health and Socio-Demographic Surveillance System (HSDSS). The outcome measures were assessment of the availability of fast foods and their macronutrient composition.Results: This study highlights the availability of fast foods through informal community vendors. Of note is the limited variety of foods sold by informal vendors, of which a striking two thirds were either vetkoek or fried chips, which on average yielded 943–5 552 kJ and 11–64 g fat. Additionally, we found that rural vendors sold a local fast food item, the kota.Conclusion: Given that rural South Africa is undergoing rapid health, social, and nutrition transitions, this study signals the need for more comprehensive research to improve our understanding of the contributory role of fast food and its connection with both livelihoods and the burgeoning obesity epidemic in poorer rural areas. It is through better research and greater understanding that we can work with communities and local government to improve access to more nutrient-rich foods that are less energy dense.Keywords: fast food, vendor, rural, nutrition transition, South Afric

Maziwa Zaidi—Lessons for ASDP-2 Component 2

Irish Ai

Umbrella review and meta‐analysis of antiplatelet therapy for peripheral artery disease

Background The literature on antiplatelet therapy for peripheral artery disease has historically been summarized inconsistently, leading to conflict between international guidelines. An umbrella review and meta‐analysis was performed to summarize the literature, allow assessment of competing safety risks and clinical benefits, and identify weak areas for future research. Methods MEDLINE, Embase, DARE, PROSPERO and Cochrane databases were searched from inception until January 2019. All meta‐analyses of antiplatelet therapy in peripheral artery disease were included. Quality was assessed using AMSTAR scores, and GRADE analysis was used to quantify the strength of evidence. Data were pooled using random‐effects models. Results Twenty‐eight meta‐analyses were included. Thirty‐three clinical outcomes and 41 antiplatelet comparisons in 72 181 patients were analysed. High‐quality evidence showed that antiplatelet monotherapy reduced non‐fatal strokes (3 (95 per cent c.i. 0 to 6) fewer per 1000 patients), In symptomatic patients, it reduced cardiovascular deaths (8 (0 to 16) fewer per 1000 patients), but increased the risk of major bleeding (7 (3 to 14) more events per 1000). In asymptomatic patients, monotherapy reduced non‐fatal strokes (5 (0 to 8) fewer per 1000), but had no other clinical benefit. Dual antiplatelet therapy caused more major bleeding after intervention than monotherapy (37 (8 to 102) more events per 1000), with very low‐quality evidence of improved endovascular patency (risk ratio 4·00, 95 per cent c.i. 0·91 to 17·68). Conclusion Antiplatelet monotherapy has minimal clinical benefit for asymptomatic peripheral artery disease, and limited benefit for symptomatic disease, with a clear risk of major bleeding. There is a lack of evidence to guide antiplatelet prescribing after peripheral endovascular intervention

Dairy Development Forum—Quo Vadis?

Irish Ai

How climate change affects extremes in maize and wheat yield in two cropping regions

Author Posting. © American Meteorological Society, 2015. This article is posted here by permission of American Meteorological Society for personal use, not for redistribution. The definitive version was published in Journal of Climate 28 (2015): 4653–4687, doi:10.1175/JCLI-D-13-00326.1.Downscaled climate model projections from phase 5 of the Coupled Model Intercomparison Project (CMIP5) were used to force a dynamic vegetation agricultural model (Agro-IBIS) and simulate yield responses to historical climate and two future emissions scenarios for maize in the U.S. Midwest and wheat in southeastern Australia. In addition to mean changes in yield, the frequency of high- and low-yield years was related to changing local hydroclimatic conditions. Particular emphasis was on the seasonal cycle of climatic variables during extreme-yield years and links to crop growth. While historically high (low) yields in Iowa tend to occur during years with anomalous wet (dry) growing season, this is exacerbated in the future. By the end of the twenty-first century, the multimodel mean (MMM) of growing season temperatures in Iowa is projected to increase by more than 5°C, and maize yield is projected to decrease by 18%. For southeastern Australia, the frequency of low-yield years rises dramatically in the twenty-first century because of significant projected drying during the growing season. By the late twenty-first century, MMM growing season precipitation in southeastern Australia is projected to decrease by 15%, temperatures are projected to increase by 2.8°–4.5°C, and wheat yields are projected to decline by 70%. Results highlight the sensitivity of yield projections to the nature of hydroclimatic changes. Where future changes are uncertain, the sign of the yield change simulated by Agro-IBIS is uncertain as well. In contrast, broad agreement in projected drying over southern Australia across models is reflected in consistent yield decreases for the twenty-first century. Climatic changes of the order projected can be expected to pose serious challenges for continued staple grain production in some current centers of production, especially in marginal areas.This work was initiated at the Dissertations Initiative for the Advancement of Climate Change Research (DISCCRS) V Symposium, supported by the U.S. National Science Foundation through collaborative Grants SES-0932916 and SES-0931402. CCU was supported by a University of New South Wales Vice-Chancellor Fellowship and the Penzance Endowed Fund and John P. Chase Memorial Endowed Fund at WHOI. TET was supported by the U.S. Department of Energy Award DE-EE0004397. NC was funded by NSF Grant EAR-1204774. We are indebted to the FORMAS-funded Land Use Today and Tomorrow (LUsTT) project (Grant 211-2009-1682) for financial support

Towards Formalisation of the Dairy Development Forum in Tanzania: Lessons from other countries

Irish Ai

Robotic milking technologies and renegotiating situated ethical relationships on UK dairy farms

Robotic or automatic milking systems (AMS) are novel technologies that take over the labor of dairy farming and reduce the need for human-animal interactions. Because robotic milking involves the replacement of 'conventional' twice-a-day milking managed by people with a system that supposedly allows cows the freedom to be milked automatically whenever they choose, some claim robotic milking has health and welfare benefits for cows, increases productivity, and has lifestyle advantages for dairy farmers. This paper examines how established ethical relations on dairy farms are unsettled by the intervention of a radically different technology such as AMS. The renegotiation of ethical relationships is thus an important dimension of how the actors involved are re-assembled around a new technology. The paper draws on in-depth research on UK dairy farms comparing those using conventional milking technologies with those using AMS. We explore the situated ethical relations that are negotiated in practice, focusing on the contingent and complex nature of human-animal-technology interactions. We show that ethical relations are situated and emergent, and that as the identities, roles, and subjectivities of humans and animals are unsettled through the intervention of a new technology, the ethical relations also shift. © 2013 Springer Science+Business Media Dordrecht

Hedonic Pricing of Rice Attributes, Market Sorting, and Gains from Quality Improvement in the Beninese Market

Latent class analysis is applied to a hedonic price model to examine the presence of heterogeneity in consumer valuation of quality attributes in the Beninese rice market. Three classes of consumers are found in proportions of 5, 56, and 39 percent. We employ a partial equilibrium model and find modest gains in consumer surplus from an increase in head rice and reduction in chalkiness. The results provide evidence of market sorting, which should be taken into consideration in upgrading rice value chains. Also, it is important to assess potential gains from quality improvement to determine priorities for research and development