Qualidade dos pescados comercializados durante as festas do peixe de Dourados – MS / Quality of commercialized fish during the Dourados fish festivals - MS

 O objetivo deste trabalho foi realizar o monitoramento da qualidade do pescado fresco comercializado durante as festas do Peixe de Dourados nos anos de 2016, 2017 e 2018. A Princípio era realizado um monitoramento sanitário nas pisciculturas participantes da comercialização. Durante o período da festa. Realizava-se o monitoramento quanto as características organolépticas utilizando Método do Índice de Qualidade, pH e temperatura de cada espécie em comercialização, levando em conta sua origem. Em relação a questão sanitária de produção, Todas as pisciculturas visitadas atenderam os padrões para produção de alimento de qualidade. Quanto aos peixes, as somas dos pontos para o grau de frescor variaram entre 24 a 17 nos três anos avaliados, considerado de excelente a bom estado de frescor. O Valor de pH variou de 5,71 a 6,68, sendo que nesta faixa de pH, o produto entra na classificação de produto perecível, portanto, foi utilizado gelo para manutenção da qualidade e as temperaturas variaram de -0,9 a 6,8 ºC, nos anos avaliados. Em virtude destes resultados, Conclui-se que os pescados comercializados nas festas do peixe em Dourados de 2016, 2017 e 2018 atenderam os padrões de qualidade e segurança alimentar desejados

Núcleos de Ensino da Unesp: artigos 2008

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)