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How does the precarity of creative work iterate with the precarity of creative spaces? In answer, we examine Covid-19 pandemic experiences of workers across diverse creative sectors in Sydney, Australia, drawing upon qualitative mapping research. Our findings highlight divergent experiences of precarity before and during the pandemic: many suffered, others adapted, some even thrived, depending upon the nature of their work, access to socialisation and networking opportunities, plus whether livelihood precariousness was worsened and overlaid with additional geographic factors, including venue loss, tenure vulnerability, housing insecurity, and access to production spaces. Using conceptual insights from labour and feminist geography, we argue that for the creative sectors to flourish and support diverse, well-remunerated and satisfying work, there must also be discussions of the post-pandemic geography of creative work. Space and social relations within and beyond the work sphere are co-constitutive of precarity. [ABSTRACT FROM AUTHOR]

As governments encourage circular economy (CE) initiatives, markets for waste recirculation are taking shape. But implementation is in its infancy and material circuits are emergent. Early food waste CEs shaped by commercial players emphasise capital investment, routinised forms of waged labour, processing sites distant from food waste sources, and transactional relationships. Less well understood is the potential for vernacular circularity beyond market-based, transactional frames. This paper reports from a collaborative research exercise with a non-profit community farm in nonmetropolitan Australia, seeking to connect with cafés to access food waste for composting. Cafés are a nexus of production and consumption, ubiquitous in the contemporary multicultural Australian context, and therefore ideal for grassroots CEs. Ten local cafes participated, reviewing existing food waste practices, motivations for circularity, and contextual factors including the regional setting. We found that food waste circularity emerges via divergent pathways related to enterprise type and scale, environmental values of actors, place embeddedness, and local relationships. These pathways reflect the place-based attributes and diverse sustainability values of residents and businesses in the coastal, industrial city of Wollongong, where the study is based. Contrasting distant, transactional circuits, are more-than-transactional food waste pathways, developed by microscale actors shaping vernacular material flows and "hacking" public provision of Food Organic and Garden Organic (FOGO) waste services to mobilise environmental values and community relationships. Overlooked by "big policy" more-than-transactional relationships bind producers, intermediaries and consumers in closer loops and, in so doing, enrich place and facilitate an ethic of care for soil and land. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic brought to the surface the critical qualities of air – airflow, ventilation, particulates etc. – in relation to the well-being of people living in high-rise. Engineering and architectural research has burgeoned in response. However, in focusing on models of airflow, ventilation and particulates as discrete variables, engineering and architectural discourse fails to capture the diverse ways that air enters into and shapes the everyday lived experience of high-rise dwelling. Drawing on research in Sydney's Southwestern suburbs, we reveal high-rise as an assemblage that links apartment dwelling with air, via car-dependent suburbanisation, pollution and climate-change induced temperature extremes in the Anthropocene. In addition to viruses, air teems with carbon, insects, noise and pollutants, while viscerally mediating human encounters with fluctuating temperatures. Multiple relations between people, buildings and air unfold simultaneously, confounding attempts to account for air's elemental milieu through single variables like greenhouse gas or COVID-19. While embedded in relations of power, high-rise assemblages unleash vernacular adaptation that through low-tech and low-cost technologies work to connect suburban high-rise with evolving ecological systems. Recognising the pharmacological quality of air, as both 'poison' and 'cure', we contrast models of high-rise as encapsulated environments with resident (and other) experiments that orient high-rise to the elements, and the interlinked challenges of urban living in the Anthropocene. [ABSTRACT FROM AUTHOR]

Critiques of intersectionality as an additive and simplistic model of understanding identity politics has led to calls for renewed concepts that better grasp the complexity and potential of shared struggle. In this article, we contend that the experiences of activists attempting to practice an intersectional human and animal rights politics are a crucial yet overlooked resource in the development of such conceptual imaginaries and ethical practice. Drawing on an historical case study conducted with activists involved in the 1990s anarchist collective 'One Struggle' in Israel/Palestine, we argue that an ethic of shared human and animal rights struggle cannot be separated from place-based and embodied politics. We show that activists cultivating intersectional politics in practice must negotiate affective forces of discomfort, alienation and exhaustion that wear down and constrain the potential for intersectional coalitions and joint struggles. These affects are generated through state disincentives, violence the cultural politics of nationalism and incommensurable differences. In this context, intersectional politics are a precarious achievement, dependent on the capacities of activists to continue to compromise and negotiate affectively charged encounters in everyday settings. To better capture the precarious, contingent and provisional nature of animal and human rights activism, we therefore propose the concept of 'actually existing intersectionality', illustrating how intersectionality is retheorised via emplaced, embodied activist practices. In so doing we make visible the work through which intersectional politics coheres through negotiation by actors in particular places and times. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Limited research has assessed how virtual care (VC) affects cardiovascular disease (CVD) risk management, especially in community clinic settings. This study assessed change in community clinic patients' CVD risk management during the COVID-19 pandemic and CVD risk factor control among patients who had primarily in-person or primarily VC visits. STUDY DESIGN: Retrospective interrupted time-series analysis. METHODS: Data came from an electronic health record shared by 52 community clinics for index (March 1, 2019, to February 29, 2020) and follow-up (July 1, 2020, to February 28, 2022) periods. Analyses compared follow-up period changes in slope and level of population monthly means of 10-year reversible CVD risk score, blood pressure (BP), and hemoglobin A1c (HbA1c) among patients whose completed follow-up period visits were primarily in person vs primarily VC. Propensity score weighting minimized confounding. RESULTS: There were 10,028 in-person and 6593 VC patients in CVD risk analyses, 9874 in-person and 5390 VC patients in BP analyses, and 8221 in-person and 4937 VC patients in HbA1c analyses. The VC group was more commonly younger, female, White, and urban. Mean reversible CVD risk, mean systolic BP, and percentage of BP measurements that were 140/90 mm Hg or higher increased significantly from index to follow-up periods in both groups. Rate of change between these periods was the same for all outcomes in both groups, regardless of care modality. CONCLUSIONS: Among community clinic patients with CVD risk, receiving a majority of care in person vs a majority of care via VC was not significantly associated with longitudinal trends in reversible CVD risk score or key CVD risk factors. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Understanding how the COVID-19 pandemic affected cardiovascular disease (CVD) risk monitoring in primary care may inform new approaches for addressing modifiable CVD risks. This study examined how pandemic-driven changes in primary care delivery affected CVD risk management processes. STUDY DESIGN: This retrospective study used electronic health record data from patients at 70 primary care community clinics with scheduled appointments from September 1, 2018, to September 30, 2021. METHODS: Analyses examined associations between appointment type and select care process measures: appointment completion rates, time to appointment, and up-to-date documentation for blood pressure (BP) and hemoglobin A1c (HbA1c). RESULTS: Of 1,179,542 eligible scheduled primary care appointments, completion rates were higher for virtual care (VC) vs in-person appointments (10.7 percentage points [PP]; 95% CI, 10.5-11.0; P < .001). Time to appointment was shorter for VC vs in-person appointments (--3.9 days; 95% CI, --4.1 to --3.7; P < .001). BP documentation was higher for appointments completed pre-- vs post pandemic onset (16.2 PP; 95% CI, 16.0-16.5; P < .001) and for appointments completed in person vs VC (54.9 PP; 95% CI, 54.6-55.2; P < .001). HbA1c documentation was higher for completed appointments after pandemic onset vs before (5.9 PP; 95% CI, 5.1-6.7; P < .001) and for completed VC appointments vs in-person appointments (3.9 PP; 95% CI, 3.0-4.7; P < .001). CONCLUSIONS: After pandemic onset, appointment completion rates were higher, time to appointment was shorter, HbA1c documentation increased, and BP documentation decreased. Future research should explore the advantages of using VC for CVD risk management while continuing to monitor for unintended consequences. [ABSTRACT FROM AUTHOR]

Introduction: Health centers provide primary and behavioral health care to the nation's safety net population. Many health centers served on the frontlines of the COVID-19 pandemic, which brought major changes to health center care delivery., Objective: To elucidate primary care and behavioral health service delivery patterns in health centers before and during the COVID-19 public health emergency (PHE)., Methods: We compared annual and monthly patients from 2019 to 2022 for new and established patients by visit type (primary care, behavioral health) and encounter visits by modality (in-person, telehealth) across 218 health centers in 13 states., Results: There were 1581,744 unique patients in the sample, most from health disparate populations. Review of primary care data over 4 years show that health centers served fewer pediatric patients over time, while retaining the capacity to provide to patients 65+. Monthly data on encounters highlights that the initial shift in March/April 2020 to telehealth was not sustained and that in-person visits rose steadily after November/December 2020 to return as the predominant care delivery mode. With regards to behavioral health, health centers continued to provide care to established patients throughout the PHE, while serving fewer new patients over time. In contrast to primary care, after initial uptake of telehealth in March/April 2020, telehealth encounters remained the predominant care delivery mode through 2022., Conclusion: Four years of data demonstrate how COVID-19 impacted delivery of primary care and behavioral health care for patients, highlighting gaps in pediatric care delivery and trends in telehealth over time., Competing Interests: Conflict of interest:: The authors have no conflicts of interest to declare., (© Copyright by the American Board of Family Medicine.)