Navegando por Palavras-chave "Análise De Risco"

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    A análise de risco nas regulações envolvidas na importação de alimentos: estudo integrado da regulação sanitária, do setor regulado e dos fiscais federais
    (Universidade Federal de São Paulo (UNIFESP), 2019-07-11) Barros, Simone Crispim Fernandes [UNIFESP]; Stedefeldt, Elke [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The area of international food trade in Brazil presents itself in a complex international and national context with diverse actors and antagonistic interests, from the perspective of protection and security of the population and bureaucracy for free trade. Given this, the study aimed to verify if the process of food importation in Brazil, from the perspective of the practice of federal sanitary surveillance, includes the items described in the Risk Analysis, according to Codex Alimentarius. The study covers the qualitative and quantitative research of cross-sectional, descriptive and exploratory design, and is guided by the theme: Legislation of food imports under the scope of the National Health Surveillance Agency (Anvisa). A priori, documentary research was used to describe the evolution and knowledge of the national and international scenario in which food imports are inserted. Afterwards, a case study based on content analysis followed, in which the categorical grouping is guided by Bardin (2016). To understand the procedures described by Bardin, Bauer and Gaskell (2002) were used as theoretical reference. The quantitative approach was performed through the relative and absolute frequency of the findings, to explore and discuss the articulations and changes related to Anvisa regarding the introduction of the Foreign Trade Facilitation Agreement and its convergence with the Risk Analysis, according to Codex Alimentarius. The conclusion was to clarify the understanding of the concept of risk, danger by the companies involved in the food import process and risk, danger and health risk by Anvisa federal inspectors based in the Santos port complex. The results demonstrated the evolution in the food import regulatory framework, influenced by the impositions of the World Trade Organization and its Agreements, providing regulatory tools convergent with the international determinations. On the other hand, these changes have gaps in stages related to Risk Assessment and Risk Communication, which are pointed out by those responsible for operating these laws in Brazil - Anvisa federal inspectors - and confirmed by the workers of the companies involved in the importation of food, both in conducting the consent of these foods, as well as their perceptions of danger, risk and health risk.
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    Risco de fibrilação atrial em longevos
    (Universidade Federal de São Paulo (UNIFESP), 2019-06-27) Sepulvida, Mariana Bellaguarda De Castro [UNIFESP]; Miranda, Roberto Dischinger [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: Ageing is an important risk factor for Atrial Fibrillation (AF) and Cardioembolic Stroke. Objectives: To access, in the very elderly, the AF prevalence and risk using a new method and to estimate the embolic risk by a clinical score. Methods: Elderly aged 80 and over were included from a geriatric outpatient assistance. AF risk was estimated using an automated analysis system from a 60- minute electrocardiogram (Stroke Risk Analysis - SRAÒ). The patients were classified according to the exam as low risk (LR), elevated risk (ER) or manifested AF (mAF). We calculated the presumed cardioembolic stroke risk using CHADS2 and CHA2DS2- VASc scores. Results: Data from 307 patients were analyzed, being 237 of them female (77,2%). The mean age was 86,8 years old. mAF was detected in 16 patients (5,2%), ER in 131 (42,7%) and LR in 160 of them (52,1%). For each year old, they were 9% more likely to present ER (p=0,002) and increased 18% the risk of mAF (p=0,017). A high-risk score, whereas CHADS2 ≥ 2 and CHA2DS2-VASc ≥ 4, was identified in 254 (82,7%) and in 247 (80,5%) participants, respectively. Conclusion: In this very elderly population, the AF risk was elevated, as well as the presumed stroke risk. Our results corroborate the importance of the active AF screening and the SRA might be a promising method for this aim.