Food Waste in Public Food Service Sector-Surplus and Leftovers

Food waste occurs at various stages of the food supply chain, starting from the production stage on farms to processing, distribution, and consumption. It is an important global problem that has social, environmental, ethical, and economic costs. The present work aims to discuss the differences in waste generated from surpluses or leftovers, the monitoring systems of food waste in public food services, and the good practices to reduce food waste. Besides the accessible knowledge about reducing waste, tonnes of food were daily discarded and wasted. To achieve a sustainable food system, food waste must be reduced significantly. Collaborative efforts are necessary to achieve significant reductions in food waste for achieving SDG 12.3 in public food services. Thus, policies that support or enforce larger implementation of best practices are needed. Knowledge about food waste is important to change attitudes and behaviors toward surplus food and leftovers. Some best practices can include promoting awareness campaigns to educate staff about the impact of food waste and the best practices to reduce it, including information on proper storage, portion control, and meal planning; implementing inventory management systems; donating surplus food via collaboration with food banks and charities; optimizing portion sizes, ensuring they are adequate and manageable for customers, reducing the likelihood of leftover food on the plate; allowing customers to order smaller quantities or share a meal; providing packaging to allow customers take their leftovers home for later consumption. The procedures to be adopted by public food services should provide guidance for the selection of products that can be donated. However, specific temperature requirements depending on the food category should be complied with. This paper enlarges the understanding of surpluses and leftovers and the best practices that could be implemented in public food services to minimize food waste.The participation of CG is supported by FCT/UIDB/04033/2020. The participation of FN is supported by FCT UIDB/00616/2020 and UIDP/00616/2020. The participation of SS and CS were supported by the projects UIDB/CVT/00772/2020 and LA/P/0059/2020 funded by the Portuguese Foundation for Science and Technology (FCT). CG, FN and CS would like to thank to project I & D AgriFood XXI, operation NORTE-01-0145-FEDER43 000041, co-funded by European Regional Development Fund (FEDER) through NORTE 2020 (Programa Operacional Regional do Norte 2014/2020)

Integration of statistics and food process engineering: Assessing the uncertainty of thermal processing and shelf-life estimations

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A MULTI-CRITERIA APPROACH FOR IRRIGATION WATER MANAGEMENT

The major implications that the European Union (EU) Water Framework Directive (WFD) may have in irrigated agriculture were analysed using alternative water policy measures. The consequences of policy change were evaluated in a case study (Baixo Alentejo, Portugal), using a Multi-Criteria Decision Making (MCDM) model that simulates farmers’ preferred behaviour. The study compares the effects of water pricing (volumetric and flat tariffs) and consumption quotas, in farmer’s income, water agency revenues, agricultural employment and water demand for irrigation. Model results indicate that the adjustments in farmer’s responses are dependent on the policy strategy enforced and on the policy level

Combining the Water Framework Directive with Agricultural Policy Scenarios: A Multi-Objective Analysis for the Future of Irrigated Agricultural in Portugal

It is clear that the successful management of water resources must take into account the influence of policies affecting the irrigated agriculture sector. Among these, the importance of the Common Agricultural Policy (CAP) and of the Water Framework Directive (WFD) is well recognised. In Portugal, more than 606,000 hectares (INE 2001b) are allocated to irrigated agriculture, which accounts for 74.8% of all water uses (INAG 2002). To study the combined effect of these policies, two irrigated regions of Portugal, Baixo Alentejo and Lezíria do Tejo, were analysed in case studies. Multi-Criteria Decision Making models (MCDM) were applied to characterise farmers’ decision-making attitudes of the main irrigated agriculture systems of these regions. The implications of environmental (WFD) and agricultural (CAP) policy change are assessed by reproducing farmers’ decision-making behaviour. Simulation results indicate that changes in these policies are conducive to substantial adjustments within the irrigated agriculture sector. This study demonstrates that the consequences of implementing the WFD are dependent both on the water price level set by the WFD and on the agricultural policy strategy in place

Dor visceral intensa associada a desnervação simpática renal seletiva: um desafio

Introdução e Objetivos: A desnervação simpática renal seletiva (DSRS) é um procedimento endovascular minimamente invasivo, seguro, recentemente desenvolvido para o tratamento da hipertensão resistente (HR). Até 6 ablações por radiofrequência (RF), com 2 minutos cada são aplicadas em ambas as artérias renais, estando associadas a dor abdominal visceral difusa, muito intensa1,2. Não foi encontrada literatura sobre o manuseamento anestésico deste procedimento. O nosso objetivo é descrever a experiência do nosso departamento na DSRS e sugerir uma abordagem anestésica (AA) adequada para o procedimento. Metodologia: Foram colhidos, retrospetivamente, os dados dos doentes com HR submetidos a DSRS na nossa instituição até novembro de 2012. Variáveis analisadas: dados demográficos, co-morbilidades, estadio físico da American Society of Anesthesiology (ASA-EF), abordagem anestésica e complicações peri-procedimento. Foi também realizada uma revisão bibliográfica na PubMed sobre DSRS e outros procedimentos endovasculares para identificar uma AA apropriada e eficiente para DSRS. Resultados: 16 doentes (9 homens/7 mulheres), idade 59,7 ± 10 anos. ASA-EF II 25%, III 75%. 14 doentes foram submetidos a cuidados anestésicos monitorizados (MAC): 6 com perfusão remifentanil (0.05 a 0.15μg/Kg/min com bólus até 1μ/Kg durante as ablações), 8 com bólus de propofol (até 150mg) associado a bólus de fentanil (até 150μg) e midazolam (1 a 2 mg). 1 doente foi sujeito a anestesia geral balanceada e 1 doente a bloqueio subaracnoideu. O procedimento anestésico durou 75 ± 16 minutos. O procedimento foi considerado bem sucedido em todos os doentes. Não foram observadas complicações. Discussão e Conclusão: Os 2 principais estudos publicados sobre DSRS (Simplicity trials) referem o uso de opiáceos e sedativos intravenosos para o tratamento da dor associada às ablações. Os fármacos usados e respetivas doses não são descritos. As várias AA usadas na nossa instituição refletem a ausência de literatura anestésica sobre a DSRS. A AA mais adequada depende das caraterísticas dos doentes e do tipo de dor associada (intensa, aguda e intermitente) e deve assegurar o máximo conforto do doente, segurança e sucesso técnico do procedimento. Pela nossa análise, a literatura revista e a experiência adquirida noutros procedimentos com dor semelhante consideramos que o remifentanil, pelas suas propriedades farmacológicas únicas, é adequado para o AA da DSRS. Remifentanil nas doses de 0.05 a 0.15μg/Kg/min com bólus até 1μ/Kg durante as ablações parece apropriado. São necessários mais estudos para melhor avaliação

Toxicidade Pulmonar Aguda Precoce Associada à Amiodarona

Amiodarone is a potent anti-arrhythmic drug with a well-known potential chronic pulmonary toxicity. We describe a case of acute pulmonary toxicity (APT) induced by amiodarone in a 57 year old patient submitted to a perfusion of 900 mg in just 6 hours, to control an auricular flutter with rapid ventricular response. During the administration, the patient developed hemodynamic instability and oxygen dessaturation that led to an electrical cardioversion with return of sinus rhythm. Still, the patient continued in progressive respiratory deterioration with acute bilateral infiltrates on chest x-ray and apparent normal cardiac filling pressures confirmed by echocardiography. Anon-cardiogenic pulmonar edema progressing to clinico-physiological ARDS criteria was diagnosed. Expeditive therapeutic measures were undertaken, namely by initiation of non-invasive positive airway pressure support, that attained a good result.Albeit rare, amiodarone-induced APT might have severe consequences, namely progression to ALI/ARDS with a high mortality index.As it is a frequently prescribed drug, there should be a high clinical suspicion towards this phenomenon, allowing precocious therapeutic measures to be taken in a timely fashion to prevent the associated unfavorable outcome