31 research outputs found

    FOOD2GATHER: What is migrants’ food all about in Europe? A media discourse analysis through the lens of controversies

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    This report is part of the HERANET funded project FOOD2GATHER. The project aims at understanding the question of integration/exclusion of migrants through foodscapes. An important step in this direction is to analyse the contextual framework within which food-related practices, norms and values are embedded in European societies. Food controversies that have raised and have been reported in the media since the “2015 migrants’ crisis” across Europe can reveal important aspects related to such norms and values and indicate possible tensions and compromises. This report presents and discusses relevant food controversies that occurred in the six countries participating in the study (Belgium, France, Germany, Italy, Norway, and the Netherlands). This will generate a contextual overview of the integration/exclusion of migrants through foodscapes. Controversy has been used as a tool and a scanner. Each of the six FOOD2GATHER teams provided two relevant controversies that have reached media attention in the last ten years. One of the two had to be related to halal food. The analysis of the controversies has been conducted by identifying issues they tackled, agents they involved, (public) spaces and situations in which controversies took place and what they produced. A comparative analysis of relevant variables related to migrations, such as the geopolitical position of the countries, organization of reception and food provision, has been conducted as well. The six countries included in the study have different traditions related to migration and have been exposed to the “migrants’ crisis” in different ways. These differences are reflected in the proposed controversies. However, some common traits tend to emerge and reveal power relationships within societies that are different or shared by the countries involved in the project. We show that these power relationships particularly deal with the right to food, citizens’ commitment, identity, the place of religion, animal welfare and political issues. Our study indicates that analysing controversies adds an important dimension to the study of foodscapes. Food controversies that reach the media attention are seldom something migrants have brought up themselves. The migrants’ representation in the media based on food controversies indicated that migrants are given little opportunity to negotiating values and practices, as norms about “the right” quantity and quality of food tend to reproduce the food model of the country they migrate to, also when there is a “positive” focus on ethnic business. To better understand these dynamics, we propose the concept of “food encounters” and illustrate how the type of food encounters can play a role in how foodscapes could evolve or even emerge.Consumption Research Norway (SIFO), OsloMe

    Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

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    RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

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    IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

    Migrants' participation in Food Issues: a motto or a reality?

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    Based on various media and approaches, the workshop focuses on the benefits and the blind spots of migrants'participation in food issues of concern to them. Guests will join Food2Gather associate partners, participants and academics from Belgium and address the following questions: what are the ways, impacts and limits of migrants’ participation? How doage and gender impact on their participation? How are participatory research methods and migrants’ participation related?FOOD2GATHE

    L'alimenpédie enfantique. Le guide du petit anthropologue sur l'alimentation.

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    Nous sommes des petits anthropologues et voici notre encyclopédie sur l'alimentation ! Cela raconte toutes nos aventures dans le cadre du projet Food2Gather. Découvre nos collages, nos vidéos, nos photos, nos enregistrements, nos dessins inventés sans oublier nos invités ! En route vers une lecture appétissante avec un soupçon de folie !D/2022/VivierRazyFOOD2GATHE

    An Insight into Migrants' and their Children's Participation in Food

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    Food2Gather. Exploring foodscapes as public spaces for integration10. Reduced inequalitie
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