Educate to prevent: science-based materials on food hygiene and safety

Uma importante estratégia para a redução do impacto das doenças de origem alimentar é a prevenção e a promoção da saúde. A população escolar foi escolhida como público-alvo para aumentar a literacia para a saúde e promover práticas saudáveis e seguras relacionadas com os alimentos, através do projeto “Educar para Prevenir”. Foram produzidos e publicados materiais educativos para o público escolar e professores. Estes materiais, que compreendem três diferentes tipos de ferramentas, foram publicados como um kit. O desenvolvimento destes materiais baseou-se na recolha de dados de surtos de doenças de origem alimentar, de 2009 a 2013, do Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA). O risco de ocorrência e os fatores contributivos, bem como as boas práticas, foram identificados e usados como base para a elaboração dos materiais educativos. Adicionalmente, foram usados materiais da Organização Mundial da Saúde como o programa “Cinco Chaves para uma Alimentação Mais Segura”. Nas próximas etapas deste projeto serão produzidos novos materiais para estudantes contendo informação sobre a composição nutricional dos alimentos e a compreensão da rotulagem alimentar.An important strategy to reduce food borne diseases burden is prevention and health promotion. The student’s population was chosen as the target audience for improving health literacy and promoting healthy and safe practices relating to food trough the Project “Educar para Prevenir” (Education for Prevention). School educational materials on food safety, on teacher level, were developed and published, aiming the different school levels. These materials comprised 3 different kinds of tools were published as a kit. The development of these materials was based on data collected foodborne outbreaks from 2009 to 2013, at the National Institute of Health (INSA). The occurrence risk and contributing factors were identified as well as the good practices and were the basis for the elaboration of the educational materials. In addition, some World Health Organization materials, such as “Five Keys to Safer Food” programme, were used. On the next steps of the project include new materials for students will be produced, including information about nutritional composition of the food and understanding of the food labelling.info:eu-repo/semantics/publishedVersio

Validation of methane and carbon monoxide from Sentinel-5 Precursor using TCCON and NDACC-IRWG stations

The Sentinel-5 Precursor (S5P) mission with the TROPOspheric Monitoring Instrument (TROPOMI) on board has been measuring solar radiation backscattered by the Earth\u27s atmosphere and surface since its launch on 13 October 2017. In this paper, we present for the first time the S5P operational methane (CH4) and carbon monoxide (CO) products\u27 validation results covering a period of about 3 years using global Total Carbon Column Observing Network (TCCON) and Infrared Working Group of the Network for the Detection of Atmospheric Composition Change (NDACC-IRWG) network data, accounting for a priori alignment and smoothing uncertainties in the validation, and testing the sensitivity of validation results towards the application of advanced co-location criteria. We found that the S5P standard and bias-corrected CH4 data over land surface for the recommended quality filtering fulfil the mission requirements. The systematic difference of the bias-corrected total column-averaged dry air mole fraction of methane (XCH4) data with respect to TCCON data is −0.26±0.56 % in comparison to −0.68±0.74 % for the standard XCH4 data, with a correlation of 0.6 for most stations. The bias shows a seasonal dependence. We found that the S5P CO data over all surfaces for the recommended quality filtering generally fulfil the missions requirements, with a few exceptions, which are mostly due to co-location mismatches and limited availability of data. The systematic difference between the S5P total column-averaged dry air mole fraction of carbon monoxide (XCO) and the TCCON data is on average 9.22±3.45 % (standard TCCON XCO) and 2.45±3.38 % (unscaled TCCON XCO). We found that the systematic difference between the S5P CO column and NDACC CO column (excluding two outlier stations) is on average 6.5±3.54 %. We found a correlation of above 0.9 for most TCCON and NDACC stations. The study shows the high quality of S5P CH4 and CO data by validating the products against reference global TCCON and NDACC stations covering a wide range of latitudinal bands, atmospheric conditions and surface conditions

Intercomparison of XH2O Data from the GOSAT TANSO-FTS (TIR and SWIR) and Ground-Based FTS Measurements: Impact of the Spatial Variability of XH2O on the Intercomparison

Spatial and temporal variability of atmospheric water vapor (H2O) is extremely high, and therefore it is difficult to accurately evaluate the measurement precision of H2O data by a simple comparison between the data derived from two different instruments. We determined the measurement precisions of column-averaged dry-air mole fractions of H2O (XH2O) retrieved independently from spectral radiances in the thermal infrared (TIR) and the short-wavelength infrared (SWIR) regions measured using a Thermal And Near-infrared Sensor for carbon Observation-Fourier Transform Spectrometer (TANSO-FTS) onboard the Greenhouse gases Observing SATellite (GOSAT), by an intercomparison between the two TANSO-FTS XH2O data products and the ground-based FTS XH2O data. Furthermore, the spatial variability of XH2O was also estimated in the intercomparison process. Mutually coincident XH2O data above land for the period ranging from April 2009 to May 2014 were intercompared with different spatial coincidence criteria. We found that the precisions of the TANSO-FTS TIR and TANSO-FTS SWIR XH2O were 7.3%–7.7% and 3.5%–4.5%, respectively, and that the spatial variability of XH2O was 6.7% within a radius of 50 km and 18.5% within a radius of 200 km. These results demonstrate that, in order to accurately evaluate the measurement precision of XH2O, it is necessary to set more rigorous spatial coincidence criteria or to take into account the spatial variability of XH2O as derived in the present study

Rectal-sparing type of ulcerative colitis predicts lack of response to pharmacotherapies

Abstract Background Ulcerative colitis (UC) is known as an immune disorder of the colon that generally involves the rectum, but an atypical distribution of inflamed mucosa has previously been noted in certain subtypes of UC, such as the rectal-sparing type (RST). As noted in a previous report, patients with the RST may be at elevated risk for disease refractoriness, but the clinical significance of RST remains unknown. Methods UC patients who underwent surgery between January 2010 and April 2015 were included. Patients were classified as having the RST or a non-RST based on colectomy specimens or a pre-operative endoscopy. Possible risk factors for urgent/emergent surgery were analyzed. We specifically determined whether the RST is a significant predictor for urgent/emergent surgery. Results In total, 46/482 patients were classified as having the RST. Disease severity was significantly worse in patients with the RST than in other patients (p = 0.02). Urgent/emergent surgery was required for 24/46 patients with the RST, compared with 107/436 non-RST patients (p < 0.01). The overall incidence of urgent/emergent surgery was 131/482. Disease duration < 70.2 months [odds ratio (OR) 2.45], severe disease (OR 87.1), total administered steroid dose < 5000 mg (OR 3.02), daily pre-operative steroid dose ≥ 9 mg (OR 2.59), and the RST (OR 5.59) were identified as independent risk factors for urgent/emergent surgery. Conclusion The RST was an independent risk factor for urgent/emergent surgery in our analysis of surgically treated patients with UC

Quality comparison between two different types of platelet-rich plasma for knee osteoarthritis

Introduction: Knee osteoarthritis (KOA), the most common form of osteoarthritis (OA) is a considerable health concern worldwide. Platelet-rich plasma (PRP) is a common therapeutic option for KOA. Different types of PRPs have varying efficacies. However, a comparative analysis of the qualities of these PRPs is lacking. Methods: Two types of PRPs, including autologous protein solution (APS), and leukocyte-poor PRP (LP-PRP) along with whole blood (WB) and platelet-poor plasma (PPP) were characterized for platelet content, leukocyte content, and composition in 10 healthy volunteers (HV) (the controlled laboratory study) and 16 KOA patients (a retrospective observational study). Additionally, the levels of the platelet-derived growth factor (PDGF)-BB, and different cytokines were estimated in HV. Results: In HV, the concentrations of platelets and leukocytes, levels of different cytokines, including interleukin 1 receptor antagonist (IL-1Ra), soluble TNF receptor type II (sTNF-RII), and IL-1β, and the ratio of IL-1Ra/IL-1β were significantly higher in APS, whereas the PDGF-BB was higher in LP-PRP than APS. In KOA patients, a higher concentration of platelets was observed in LP-PRP, and a higher concentration of leukocytes was observed in APS than LP-PRP. Following the PAW classification system, LP-PRP was classified as P2-B type in HV (51.3 × 104/μl) and KOA (53.4 × 104/μl), whereas APS was classified as P3-A type in HV (110.1 × 104/μl) and P2-A type in KOA (29.0 × 104/μl). In a retrospective observational study, the KOA patients who underwent APS injection had a higher incidence of arthralgia, and this arthralgia lasted for a longer time than LP-PRP injection in the same individual. Discussion: The quality of the two PRPs differed distinctively depending on their preparation methods, which might affect their clinical efficacies and adverse events. Therefore, the characterization of these parameters should be prioritized while choosing PRP

Predictors of Effectiveness of Platelet-Rich Plasma Therapy for Knee Osteoarthritis: A Retrospective Cohort Study

There has recently been growing interest worldwide in biological therapies such as platelet-rich plasma injection for the treatment of knee osteoarthritis. However, predicting the effectiveness of platelet-rich plasma therapy remains uncertain. Therefore, this retrospective cohort study was performed to assess a range of predictors for the effectiveness of platelet-rich plasma therapy in treating knee osteoarthritis. The study included 517 consecutive patients who underwent three injections of leucocyte-poor platelet-rich plasma therapy from 2016 to 2019 at a single institution. The treatment outcomes, including patient-oriented outcomes (visual analogue scale score and Knee Injury and Osteoarthritis Outcome Score), were analyzed and compared according to the severity of knee osteoarthritis based on Kellgren–Lawrence (KL) grading using standing plain radiographs. Fisher’s exact test, univariate regression, and multivariate regression were used for data analysis. Patient-oriented outcomes were significantly improved 6 and 12 months after platelet-rich plasma therapy. The overall responder rate in patients who met the Outcome Measures in Rheumatology (OMERACT)–Osteoarthritis Research Society International (OARSI) responder criteria was 62.1%. The responder rate was significantly lower in patients with severe knee osteoarthritis (KL4, 50.9%) than in those with mild (KL2, 75.2%) and moderate (KL3, 66.5%) knee osteoarthritis. The multivariate logistic regression analysis revealed that deterioration of the knee osteoarthritis grade (increased KL grade) was a significant predictor of a worse clinical outcome (odds ratio, 0.58; 95% confidence interval, 0.45–0.75; p &lt; 0.001). The relative risk for non-responders in severe (KL4) KOA was 2.1 (95% CI, 1.5–3.0) at 6 months and 2.3 (1.6–3.2) at 12 months compared with mild-to-moderate (KL2-3) KOA. The efficacy of platelet-rich plasma therapy was not affected by age, sex, body weight, or platelet count. This study revealed that the effectiveness of platelet-rich plasma therapy for the treatment of knee osteoarthritis is approximately 60% and that the effectiveness depends on the severity of knee osteoarthritis. This observation is useful not only for physicians but also for patients with knee osteoarthritis