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Food, memory, and changing framings of sustainable consumption in Johannesburg

This paper addresses how food, tradition, and memories intersect with how sustainable food consumption is conceived, practiced, and mobilised. Using ethnographic research, the paper examines articulations and practices of ‘good food’ among food system actors and middle-class consumers in Johannesburg, South Africa. It argues that a nuanced and contextualised understanding of foodways and food consumption is required to capture the relationships between food cultures and consumption practices in African contexts, as well as to speculate on emerging pathways to sustainability during contemporary crises through conceptualising eating as an ethical act. After contextualising the research within South Africa’s contemporary food system and the historical legacies that continue to shape it, the paper argues that memory and tradition are central in consumer perceptions of good food. They also enable consumers to viscerally sense both pasts and futures in which they can gain control of their diets, health, and extract some independence from an industrial urban food system that they do not entirely trust. The paper explores the possibilities of combining consumer interest in traditional foods with increasing concern for the biodiversity of underutilised species, and the role of food activists and influencers to promote sustainable food consumption. The paper concludes that a growing interest in traditional foods is emerging at the confluence of fashionable, ‘ethical’ food trends which, if harnessed sensitively, has potential to promote more sustainable foodways.

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Development and evaluation of an intervention designed to increase the prioritisation of health by professionals working in the private sector of urban development: study protocol

ABSTRACT The built environment is known to have a significant influence on population and planetary health, including the incidence of non-communicable disease, but evidence suggests that professionals in the land and development industries struggle to prioritise health and health equity when making urban development decisions amidst challenging structures and competing priorities. The aim of this study is to use a mixed-methods approach to develop, deliver, optimise, and evaluate an intervention for professionals working in the private sector of urban development to increase their intention to act on health and health equity where possible. This protocol describes four planned research activities that constitute this intervention’s development, delivery, and evaluation: 1) Intervention development using an iterative co-production process with non-academic industry partners using the Person-Based Approach and following Medical Research Council guidelines on the development of complex interventions; 2) Development of survey questions to assess intervention effectiveness; 3) Delivery and mixed-methods longitudinal evaluation of the intervention; and 4) Evaluation of the impact of co-production and delivery of the intervention with the project’s industry partners.

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Physical Restraint in a Pediatric Intensive Care Unit: A Cross-Sectional, Observational Study in China.

Research data on the extent of and protocols related to physical restraint (PR) in pediatric intensive care units (PICUs) are scarce. Most previous studies in China on this topic have focused on the prevalence, reasons, and background of PR use among adult patients. This study was designed to delineate the application of PR and the factors associated with PR use in PICUs in China. A cross-sectional study was conducted in one PICU at West China Hospital, Sichuan University, from January 2020 to December 2020. A total of 1,086 pediatric patients in the PICU were included in this study. Data collection was performed over 11 months, utilizing PR observation forms and patient records. Descriptive statistical analysis was used to obtain the data, and logistic regression models were used to analyze the independent risk factors for PR. Of the 1,086 participants, 750 (69.1%) experienced being restrained, and 83.5% of the restrained participants who were pediatric patients were restrained for more than 50% of their time during their PICU stay. The results of logistic regression analysis identified age (1-6 years: OR = 2.090, 95% CI [1.508, 2.897], p < .001; 7-17 years: OR = 0.523, 95% CI [0.358, 0.765], p = .001), use of mechanical ventilation (OR = 2.126, 95% CI [1.480, 3.055], p < .001), use of drainage tubes (OR = 1.916, 95% CI [1.445, 2.541], p < .001), and sedation (OR = 1.494, 95% CI [1.101, 2.026], p = .010) as significantly correlated with the use of PR in the PICU. For the 750 patients who experienced being restrained, PR initiation was documented with a written medical order, and in 604 cases (80.5%), the restraints were removed without similar documentation. The use of PR is common in PICUs in China, with more than half of pediatric patients being restrained during their stay. Age, mechanical ventilation, use of drainage tubes, and use of sedative drugs were identified as significantly associated with PR use. Developing standardized procedures/guidelines for PR use in Chinese PICUs and enhancing medical staff education on PR practices are imperative.

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