Review of \u3cem\u3eAccounting for Hunger: The Right to Food in the Era of Globilisation.\u3c/em\u3e Olivier De Schutter & Caitlin Y. Cordes, (Eds.). Reviewed by Christina Schiavoni.

Book review of Olivier De Schutter and Caitlin Y. Cordes (Eds.). Accounting for Hunger: The Right to Food in the Era of Globilisation (2011). Hart Publishing. $100.00 (hardcover)

Competing sovereignties, contested processes

This study provides a preliminary theoretical and empirical exploration into how ‘competing sovereignties’ are shaping the political construction of food sovereignty—broadly defined as ‘the right of peoples to healthy and culturally appropriate food produced through ecologically sound and sustainable methods, and their right to define their own food and agriculture systems.’ This study was motivated by a lack of clarity on the ‘sovereignty’ of food sovereignty that had been noted by numerous scholars. Earlier on, questions focused on who was the sovereign of food sovereignty—was it the state? Was it communities? More recently, as there is a growing consensus that there are in fact ‘multiple sovereignties’ of food sovereignty that cut across jurisdictions and scales, the question has become how these ‘multiple sovereignties’ are competing with each other in the attempted construction of food sovereignty. This question is becoming all the more relevant as food sovereignty is increasingly getting adopted into state policy at various levels, calling for state and societal actors to redefine their terms of engagement. This study has attempted to explore questions of competing sovereignties, first by developing an analytical framework using the lenses of scale, geography, and institutions, then by applying that framework to Venezuela, where for the past fifteen years a food sovereignty experiment has been underway in the context of a dynamic, complex, and contested shift in state-society relations

Constructing and Contesting Food Sovereignty: Food Lines, Fault Lines and Seeds of Transformation in Venezuela

An alternative proposal for social and ecological transformation in the face of a converging set of global crises, food sovereignty serves as a galvanizing concept for a growing number of movements across the globe. As scholars grapple with the concept, however, certain issues, such as questions of the role of the state in food sovereignty construction, have surfaced as recur-ring sticking points, or areas of seeming irreconcilable tension. It is argued here that key to theorizing about food sovereignty is drawing lessons from its attempted construction on the ground, as movements and other actors are forced to confront its contradictions, inconsistencies and many gray areas head-on. Toward such ends, this study advances a historical, relational and interactive (HRI) framework that approaches food sovereignty construc-tion as a historically embedded, continually evolving set of processes that are interactively shaped by state and societal forces, reflecting competing paradigms and approaches. The HRI framework is applied to the case of Venezuela, home to one of the longest-running national-level experiments in food sovereignty con-struction since the start of its political process known as the Bolivarian Revolution in 1999. While this experiment has seen some important gains over the years, including in the areas of agrarian reform, nutrition and agroecology, today, ongoing shortages of key food items expose cracks in Venezuela’s food system and highlight both the enormity and urgency of the task of food sovereignty construction, as well as the limitations of ef-forts to date. Examination of the challenges at present gives rise to the question of whether a push for alternatives in efforts to construct food sovereignty may have taken precedence over attempts at dismantling or otherwise transforming Venezuela’s dominant agrifood system. This under-scores that part of what gives food sovereignty its transformative potential is its dual focus on dismantling the structures fostering injustice in the food system while at the same time striving to build viable alternatives. Arguably one cannot come before the other, or without the other, as the persistence of dominant structures will serve as an impediment to the full operationali-zation and scaling of alternatives, at the same time that if these structures are to be dismantled, something must be there to replace them. These dual processes are inherently relational, each shaping and shaped by the other in attempts to construct food sovereignty. From this standpoint, an additional framework of the dialectics of building and dismantling in food sovereignty con-struction is put forward as a springboard into further inquiry. Additionally, this study has sought to advance forms of co-generation of transformation-al knowledge bridging the traditional divide of scholarship and activism, while pointing to the need for further and deeper work in this area

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Competing Sovereignties, Contested Processes: Insights from the Venezuelan Food Sovereignty Experiment

ABSTRACT: This article explores how ‘competing sovereignties’ are shaping the political construction of food sovereignty—broadly defined as ‘the right of peoples to healthy and culturally appropriate food produced through ecologically sound and sustainable methods, and their right to define their own food and agriculture systems’. This study was motivated by a lack of clarity on the ‘sovereignty’ of food sovereignty, as noted by numerous scholars—sovereignty for whom, and how? As there is a growing consensus that there are in fact ‘multiple sovereignties’ of food sovereignty that cut across jurisdictions and scales, there is the question of how these sovereignties are competing with each other in the attempted construction of food sovereignty. This question is becoming ever more relevant as food sovereignty is increasingly adopted into state policy at various levels, calling for state and societal actors to redefine their terms of engagement. This article explores questions of ‘competing sovereignties’ by developing an analytical framework, using the lenses of scale, geography, and institutions, and applying it to Venezuela, where for the past 15 years a food sovereignty experiment has been underway in the context of a dynamic shift in state–society relations