Traceability of peaches from integrated production in South Brazil Rastreabilidade de pêssegos produzidos no sistema de produção integrada no Sul do Brasil

Traceability is becoming the most effective method to provide a safer food chain and connection producers to consumers. This paper report the application and validation of a traceability system on the production chain of peaches, according the rules for Integrated Production of Peach (IP) and a Hazard Analysis and Critical Control Point (HACCP) systems. The harvesting plots were discriminated using a Global Positioning System (GPS) device. The horticultural practices were registered in a field book according to the Brazilian IP rules. Boxes to transport the fruit, from the orchard on, were barcode labelled to identify the fruits in terms of origin (orchard and harvesting plot), cultivar, quality, picking date and time. Arriving in the factory, by an optical barcode reading device, the fruits in the boxes were assigned to homogeneous batches. Peach cans were labelled according to their corresponding batch number and monitored based on physical and chemical analysis as preconized by the IP rules and HACCP system. An electronic data base was set up and placed over the Internet. Using the batch number, the history of each peaches can could be traceable back to their harvesting plot. Therefore, manufacturers can monitor the product at any time and take any necessary action, such as product recall and/or product reprocessing.<br>A rastreabilidade está se tornando o método mais efetivo para assegurar uma cadeia alimentar mais segura e conectar produtores e consumidores. Nesse trabalho relatamos a aplicação e validação de um sistema de rastreabilidade na cadeia produtiva do pêssego, de acordo com as Normas Brasileiras para Produção Integrada de Pêssego (PIP) e Análises de Perigos e Pontos Críticos de Controle (APPCC). As parcelas de colheita foram discriminadas utilizando-se um aparelho de GPS (Global Positioning System). As práticas horticulturais foram registradas no caderno de campo, de acordo com as normas da PIP. As caixas para transportar as frutas, desde a lavoura, foram etiquetadas com código de barra para identificar as frutas em termos de origem (pomar e parcela de colheita), cultivar, qualidade, data e hora de colheita. Na indústria, utilizando-se um leitor ótico de código de barras, as frutas de cada caixa foram alocadas para um determinado lote homogêneo para fins de processamento. As latas de pêssego foram etiquetadas com o número do lote homogêneo correspondente, foi monitorado com base em análise físicas e químicas, de acordo com as regras da PIP e da APPCC. Uma base d e dados eletrônica foi construída e disponibilizada através da Internet. Utilizando-se o número do lote, foi possível obter todas as informações desde a(s) parcela(s) de colheita correspondente(s) a uma determinada lata de pêssego

Resolved versus confirmed ARDS after 24&#160;h: insights from the LUNG SAFE study

Purpose: To evaluate patients with resolved versus confirmed ARDS, identify subgroups with substantial mortality risk, and to determine the utility of day 2 ARDS reclassification. Methods: Our primary objective, in this secondary LUNG SAFE analysis, was to compare outcome in patients with resolved versus confirmed ARDS after 24\ua0h. Secondary objectives included identifying factors associated with ARDS persistence and mortality, and the utility of day 2 ARDS reclassification. Results: Of 2377 patients fulfilling the ARDS definition on the first day of ARDS (day 1) and receiving invasive mechanical ventilation, 503 (24%) no longer fulfilled the ARDS definition the next day, 52% of whom initially had moderate or severe ARDS. Higher tidal volume on day 1 of ARDS was associated with confirmed ARDS [OR 1.07 (CI 1.01\u20131.13), P = 0.035]. Hospital mortality was 38% overall, ranging from 31% in resolved ARDS to 41% in confirmed ARDS, and 57% in confirmed severe ARDS at day 2. In both\ua0resolved and confirmed\ua0ARDS, age, non-respiratory SOFA score, lower PEEP and P/F ratio, higher peak pressure and respiratory rate were each\ua0associated with mortality. In confirmed ARDS, pH and the presence of immunosuppression or neoplasm were also associated\ua0with mortality. The increase in area under the receiver operating curve for ARDS reclassification on day 2 was marginal. Conclusions: ARDS, whether resolved or confirmed at day 2, has a high mortality rate. ARDS reclassification at day 2 has limited predictive value for mortality. The substantial mortality risk in severe confirmed ARDS suggests that complex interventions might best be tested in this population. Trial Registration: ClinicalTrials.gov NCT02010073. \ua9 2018, Springer-Verlag GmbH Germany, part of Springer Nature and ESICM

Correction to: Potentially modifiable factors contributing to outcome from acute respiratory distress syndrome: the LUNG SAFE study

Correction to: Intensive Care Med (2016) 42:1865\u20131876 DOI 10.1007/s00134-016-4571-