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To what extent are we witnessing real transformatory change towards a low- or zero-carbon economy following the optimism surrounding the COP21 Paris agreements? Taking the energy/agri-food nexus as a major focus, the paper examines what it regards as highly contested co-evolutionary trends associated both with carbonised and geo-politically motivated ‘lock-in’ on the one hand, but nevertheless, the rise of significant post-carbon strategies and practices on the other. The latter may be significantly encouraged by the rise of what are termed as ‘stranded assets’ and disinvestments in the financial investment sector, and the opportunities for more distributed systems of production in the energy/agri-food nexus. These shifts suggest a more polyvalent set of post-carbonised capitalist and post-capitalist processes which demand a renewed political- ecological approach by scholars in understanding these multiple resources and transformatory processes. Overall, this would suggest that the transformations before us will not assume a ‘business as usual’ model of conventional (and concentrated) capitalist development.

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Patients and methods Study populationThis was a prospective, single -center study that included 300 consecutive patients with newly diagnosed CAD based on CTCA. A flowchart and the inclusion / exclusion criteria for the study have been published elsewhere. 6 All patients provided their informed consent and the study received Ethics Committee approval (1681). The patients were managed according to the current European Society of Cardiology guidelines, and participation in the study did not influence treatment recommendations.Laboratory tests All the patients underwent laboratory investigations (the Central Laboratory in the National Institute of Cardiology) directly after CTCA, including a complete blood count (reference range [RR] for hemoglobin, 11.2-15.7 g/dl in women and 13.7-17.5 g/dl in men), iron (RR, vitamin B 12 (RR,, folic acid (RR, 4.6-18.7 ng/ml), creatinine (RR, 0.5-0.9 mg/dl in women and 0.7-1.2 mg/dl in men), high -sensitivity C -reactive protein (hsCRP; RR <0.5 mg/dl), and a complete lipid profile evaluation. Anisocytosis was considered to be present when RDW -CV values were above the upper limit of normal (11.7%-14.4% for women and 11.6%-14.4% for men).Follow -up and study outcomes Medical history data were obtained via interviews with the patients and from the medical documentation.