Дисертації з теми "Safety surveillance"
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Strandell, Johanna. "Drug interaction surveillance using individual case safety reports." Doctoral thesis, Linköpings universitet, Klinisk farmakologi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-70424.
Повний текст джерелаSchuh, Anna Kristine. "Occupational Safety Surveillance Using a Statistical Monitoring Approach." Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/24068.
Повний текст джерелаPh. D.
Glenister, Helen Mary. "Surveillance methods for hospital infection." Thesis, University of Surrey, 1991. http://epubs.surrey.ac.uk/664/.
Повний текст джерелаGono, Charles Saye. "Environmental surveillance monitoring XYZ-La Crosse." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001gonoc.pdf.
Повний текст джерелаMcCracken, Selwyn, and n/a. "An injury surveillance framework for the New Zealand construction industry." University of Otago. Dunedin School of Medicine, 2009. http://adt.otago.ac.nz./public/adt-NZDU20090501.140407.
Повний текст джерелаSpeid, Lorna. "The safety assessment of medicines : pre and post-marketing." Thesis, Cardiff University, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.362576.
Повний текст джерелаGillespie, Caroline. "Safety in supply chains: Evaluating sources of evidence." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/203732/1/Caroline_Gillespie_Thesis.pdf.
Повний текст джерелаSyd, Ali Busyairah. "A safety assessment framework for Automatic Dependent Surveillance Broadcast (ADS-B) and its potential impact on aviation safety." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/24713.
Повний текст джерелаLeite, A. "Near real-time vaccine safety surveillance using United Kingdom electronic health records." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2018. http://researchonline.lshtm.ac.uk/4649039/.
Повний текст джерелаBatra, Sonia. "The Impact of the Sentinel Initiative and FAERS Surveillance System on Consumer Safety." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2438.
Повний текст джерелаHoward, Guy. "Effective approaches to water supply surveillance in urban areas of developing countries." Thesis, University of Surrey, 2002. http://epubs.surrey.ac.uk/1032/.
Повний текст джерелаLilley, Rebbecca Catherine, and n/a. "The development of an occupational health and safety surveillance tool for New Zealand workers." University of Otago. Dunedin School of Medicine, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071011.112802.
Повний текст джерелаHam, Bruce W. "The role of the health surveillance program in the Queensland coal mining industry." Thesis, Queensland University of Technology, 2000. https://eprints.qut.edu.au/36768/1/36768_Digitised%20Thesis.pdf.
Повний текст джерелаLengua, Apolaya César. "Coordination, Surveillance and Administrative Responsibility of the Parent Company in Safety and Health at Work." Derecho & Sociedad, 2017. http://repositorio.pucp.edu.pe/index/handle/123456789/118037.
Повний текст джерелаEl presente artículo analizará las obligaciones esenciales que surgen en materia de seguridad y salud en el trabajo respecto de la empresa principal en un esquema de descentralización productiva, el cual se caracteriza en nuestro medio por el empleo difundido de la intermediación laboral y la tercerización de servicios, ambas modalidades reconocidas y reguladas por la legislación peruana.
Backe, Stefan. "Safety promotion and injury surveillance with special focus on young people´s club sports : Challenges and possibilities." Doctoral thesis, Karlstads universitet, Institutionen för sociala och psykologiska studier, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-34429.
Повний текст джерелаMoore, Daniel James. "A Zone-Based Multiple Regression Model to Visualize GPS Locations on a Surveillance Camera Image." Thesis, Virginia Tech, 2015. http://hdl.handle.net/10919/73594.
Повний текст джерелаMaster of Science
Castagnino, Florent. "Les chemins de faire de la surveillance : une sociologie des dispositifs de sécurité et de sûreté ferroviaires en France." Thesis, Paris Est, 2017. http://www.theses.fr/2017PESC1052/document.
Повний текст джерелаThe proliferation of surveillance devices such as access controls, customers profiling, medical records digitalization, as well as radioactivity or atmospheric sensors, have become the target of strong criticism. NGOs, professionals, and researchers have all denounced their harmful effects or called for them to be reinforced. This thesis seeks to explain these diverse and critical opinions that shape the actualization of the risk society and of the surveillance society. It offers an analysis that rewrites surveillance practices in their practical, social and organizational context from two perspectives: the prevention of both accidents (known as safety) and malicious acts (known as security) in the French railway system. This research demonstrates that despite the remoteness of the issues in question, monitoring professionals face similar practical challenges. This thesis tests this result from an historical point of view by demonstrating that the first rail administrator during 19th century dealt with these two problems using the same disciplinary measures. After much specification of these issues during 20th century, sociological analysis of current measures has highlighted a relation between railway safety and security focused on the notion of "risk management". In both case studies, one of the main activities of safety and security professionals is to dispose of data collected during their surveillance measures. Based on these results, the thesis offers to partly renew surveillance practices analysis. Most research within the field of surveillance studies focuses on the processes related to the collecting of data, their social and political impacts that overshadows the omission, exclusion and destruction of data. The thesis calls for more focus on both the process of collection and separation of data to better understand and renew the critical approach of the practices of surveillance
Albrecht, Thomas. "A vision system for mobile maritime surveillance platforms." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/1240.
Повний текст джерелаPeet, Jacqueline Stephanie. "Strengthening nursing surveillance in general wards: A practice development approach." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/205383/1/Jacqueline_Peet_Thesis.pdf.
Повний текст джерелаRusso, Philip L. "Evidence based recommendations for national healthcare-associated infection surveillance." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/100034/1/Philip_Russo_Thesis.pdf.
Повний текст джерелаStar, Kristina. "Safety of Medication in Paediatrics." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-197323.
Повний текст джерелаCross, Martyn. "Occupational respiratory health surveillance at Minara Resources, Murrin Murrin mine site." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2011. https://ro.ecu.edu.au/theses/418.
Повний текст джерелаValente, Dario. "Avaliação higiênico-sanitária e físico-estrutural dos supermercados de Ribeirão Preto, SP." Universidade de São Paulo, 2001. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-22082002-101241/.
Повний текст джерелаThe definition of supermarket is that of a place where retail market of general merchandise, mainly food products, is practiced in a sales area beteween 300m2 and 5000m2. Though it currently represents about 85% of food sales in Brazil, this sector still remains understudied, especially when it comes to its sanitary aspects. In Ribeirão Preto the supermarkets represent the main sales area of food for all social classes, at the same time that it has been the subject of an increasing number of complaints that have arrived at the City Division of Sanitary Surveillance (DSS). This investigation aimed to evaluate the sanitary, hygiene, physical and structural aspects of the supermarkets and hypermarkets (sales area over 5000m2) of Ribeirão Preto, to classify them according to these conditions, to evaluate the applicability of the legislation, to detect areas/conditions of public health risks and to recommend correction measures. The work was conducted during DSS´s routine inspections, using the guidelines for inspection of the food enterprises adopted in the state of São Paulo, which divides the subjects to be inspected in five big blocks. All of the city 56 supermarkets and 2 hipermarkets were included. The percentage of adequacy for each block were 32.2% for block a, corresponding to the situation and conditions of the edification, 27.1% for block b, corresponding to equipments and utensils, 68.1% for block c, corresponding to the production, manipulation and sales staff, 35.9% for block d, corresponding to the raw materials and products displayed for sales; 42.3% for block e, corresponding to the flow of production/manipulation/sales and quality control. Only block c was classified as regular, being the others considered as insufficient. In the final classification of the supermarkets, 46(79.3%) of them were considered insufficient, 11(19.0%) regular and only 1(1.7%) good. Although some inadequacies in the cutoff criteria for classifying the supermarkets are recognized, it becomes clear that the situation demands a rigid intervention of the sanitary authority in order to apply the existing legislation. Based upon the findings of this investigation, some recommendations can be done. Among them is the inclusion in the supermarket staff of an employee skilled in the food field, as well as a change in the criteria used for the classification of the supermarkets, aiming a higher rationality in the DSS programming of routine inspections.
Catchpoole, Jesani Mitsuko. "Developing and evaluating approaches for utilising injury data to support product safety initiatives." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82805/1/Jesani%20Mitsuko_Catchpoole_Thesis.pdf.
Повний текст джерелаJorge, Carlos Alexandre Fructuoso. "Received radiation dose assessment for nuclear plants personnel by video-based surveillance." Instituto de Engenharia Nuclear, 2015. http://carpedien.ien.gov.br:8080/handle/ien/1463.
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This work proposes the development of a system to evaluate received radiation dose for nuclear plants personnel. The system is conceived to operate in a complementary form to the existing approaches for radiological protection, thus o ering redundancy, what is desirable for critical plants operation. The proposed system must operate in an independent form on the actions to be performed by the operators under evaluation. Therefore, it was decided it would be based on methods used for video surveillance. The nuclear plant used as example is Argonauta Nuclear Research Reactor, belonging to Instituto de Engenharia Nuclear, Comiss~ao Nacional de Energia Nuclear (Nuclear Engineering Institute, National Nuclear Energy Commission). During this thesis research, both radiation dose rate distribution and video databases were obtained. Methods available in the literature, for targets detection and/or tracking, were evaluated for this database. From these results, a new system was proposed, with the purpose of meeting the requisites for this particular application. Given the tracked positions of each worker, the radiation dose received by each one during tasks execution is estimated, and may serve as part of a decision support system.
Watson, Angela L. "Piecing the puzzle together : enhancing the quality of road trauma surveillance through linkage of police and health data." Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/79394/1/Angela%20Watson%20Thesis.pdf.
Повний текст джерелаFernandes, Maria de Fátima Alves. "Avaliação da implantação do sistema de hemovigilância no Estado de São Paulo." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/99/99131/tde-06092017-095855/.
Повний текст джерелаHaemovigilance is considered an important tool for transfusion safety. The first national hemovigilance systems in the world were implemented in the 1990s. The Brazilian Hemovigilance System (BHS), which is managed by Agência Nacional de Vigilância Sanitária (Anvisa), began in 2002, focusing on the transfusion reactions (TR) in a limited hospital network. At the end of 2006, the possibility of reporting TR was extended to all health services and state health managers were also included in this process. The state of São Paulo (SP), where a BHS subsystem (BHS-SP) operates, contributed with 41% of the total reported RTs, from 2002 to 2014, according to Anvisa. However, after about 10 years, the BHS-SP has never been evaluated. The objective of this study was to evaluate the implementation of the BHS-SP, in order to obtain inputs for its improvement. This is an evaluative study, using an evaluation methodology based on the Updated Guidelines for Evaluating Public Health Systems of the Centers for Disease Control and Prevention (CDC). Two secondary databases were used: transfusions and reported TR. Three questionnaires designed to identify factors that whether or not contribute to the adherence and to the implementation of the SHN-SP, by hospitals, blood banks (BB) and by health surveillance (Visa) were also used. 81 hospitals, 61 BB and 22 out of 28 regional Visa answered them. It was verified that the BHS-SP has an increasing adherence of the hospitals, especially of the larger ones, although the acceptability of these is low, when compared with the BB. 12,182,981 transfusions were performed in 947 health services, from 2008 to 2015, more than 55% of them, of red blood cells. The number of reported TR increases each year, but there is underreporting, in general and in some specific types of RT. 23,942 TRs were reported from 353 health services. The 23,734 TR occurred in this period were characterized as immediate (97.96%), non-haemolytic (51.81%) and allergic (38.20%). They were classified as non-severe (87.62%), however, there were 35 (0.15%) fatalities. They concentrated on those over 50 years old (51.49%). The incidence of TR in this period varied between 3.44 and 4.55/1,000, higher in granulocyte concentrates transfusions, reaching 53.06 TR/1,000. The BHS-SP has centralized management. Both, the BHS-SP and the information system used for reporting TR are still unknown by the hospitals. There is a shortage of staff to work in the area, in hospitals and in Visa. There is a lack of integration with other related health systems, suggesting the underreporting of bloodborne diseases in BHS-SP, such as hepatitis B and C. The organizational structure of the BHS demonstrates simplicity, but its current functioning in SP impairs the evaluation of this attribute. When RTs defined as sentinel events were analyzed, the timeliness and the quality of the data were considered unsatisfactory. The BHS-SP was considered useful, but adjustments are recommended for its effective functioning.
Fournier, Mélanie. "L'apport de l'imagerie satellitale à la surveillance maritime. Contribution géographique et géopolitique." Phd thesis, Université Paul Valéry - Montpellier III, 2012. http://tel.archives-ouvertes.fr/tel-00829998.
Повний текст джерелаRachedi, Nedjemi Djamel Eddine. "Modélisation et surveillance de systèmes Homme-Machine : application à la conduite ferroviaire." Thesis, Valenciennes, 2015. http://www.theses.fr/2015VALE0009.
Повний текст джерелаThe scope of the thesis is the monitoring of human-machine systems, where the operator is the driver of rail-based transportation system. Our objective is to improve the security of the system preventing and avoiding factors that increase the risk of a human error. Two major problems are identified: characterization, or how to determine indicative and discernible phases of driver's activity and representation, or how to describe and codify driver's actions and its repercussions on the rail system in a mathematical formalism that will allow unequivocal analysis. In order to bring a solution to those problems, we propose, first-of-all, a behavioral model of the human operator representing his control behavior in continuous-time. To consider inter- and intra-individual differences of human operators and situation changes, we propose a transformation of the latter behavioral model in a new space of representation. This transformation is based on the theory of Hidden Markov Models, and on an adaptation of a special pattern recognition technique. Then, we propose a discrete-time behavioral modeling of the human operator, which represents his actions and takes account of errors and unexpected events in work environment. This model is inspired by cognitive models of human operators. These two aspects allow us to interpret observables with respect to reference situations in order to characterize the overall human operator state. Different information sources are considered; as a result the data are heterogeneous and subject to measuring uncertainties, needing a robust data fusion approach that is performed using a Bayesian Network. Finally, the proposed modeling and fusion methodologies are used to design a reliable and unintrusive vigilance system. This system can interpret driving behaviors and to detect driver’s risky states in order to prevent drowsiness. The theoretical study was tested in simulation to check the validity. Then, a feasibility study was conducted using data obtained during experiments on the LAMIH laboratory railroad platform “COR&GEST”. These results allowed us to plan and implement experiments to be conducted on the future multimodal driving simulator “PSCHITT-PMR”
Samples, Agnes Mary Banks. "Validity of Self-Reported Data on Seat Belt Use: The Behavioral Risk Factor Surveillance System." [Johnson City, Tenn. : East Tennessee State University], 2004. http://etd-submit.etsu.edu/etd/theses/available/etd-0315104-172201/unrestricted/SamplesA032604f.pdf.
Повний текст джерелаTitle from electronic submission form. ETSU ETD database URN: etd-0315104-172201. Includes bibliographical references. Also available via Internet at the UMI web site.
Anisi, David A. "On Cooperative Surveillance, Online Trajectory Planning and Observer Based Control." Doctoral thesis, KTH, Optimeringslära och systemteori, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-9990.
Повний текст джерелаQC 20100622
TAIS, AURES
Goutal, Pascale. "Jeux non-coopératifs finis appliqués à la sécurité nucléaire." Paris 6, 1997. http://www.theses.fr/1997PA066362.
Повний текст джерелаVandecasteele, Arnaud. "Modélisation ontologique des connaissances expertes pour l'analyse de comportements à risque : application à la surveillance maritime." Phd thesis, Ecole Nationale Supérieure des Mines de Paris, 2012. http://pastel.archives-ouvertes.fr/pastel-00819259.
Повний текст джерелаGouws, Stephanus Andries. "The impact of hospital surveillance programmes on the incidence of adverse drug reaction reporting in a South African teaching hospital." Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/27186.
Повний текст джерелаMotamed, Cina, and Alain Schmitt. "Application de la vision artificielle à la sécurité en robotique." Compiègne, 1992. http://www.theses.fr/1992COMP0511.
Повний текст джерелаArana, Jorge E. "Comparison of Post-Licensure Safety Surveillance of 13-Valent Pneumococcal Conjugate Vaccine and 7-Valent Pneumococcal Conjugate Vaccine: Data from the Vaccine Advere Event Reporting System (Vaers)." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/159.
Повний текст джерелаBelli, Carla Viotto. "Novas perspectivas no controle dos produtos para saúde no Brasil : a visão do setor regulador e do setor regulado." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-20042007-153337/.
Повний текст джерелаThis is a qualitative and prospective study based on interviews performed with the main stakeholders of the healthcare products regulatory control in Brazil. A total of 44 professionals were involved in the survey: 25 were predominantly employees responsible for regulatory affairs or quality assurance areas in medical device vendors, manufacturers or distributors, including national or multinational companies; 19 were government members responsible for pre-market review and postmarketing surveillance at the vendors or hospitals, located in Brasília or in the state of São Paulo. The participants have answered to four reference questions regarding to the register role, its purpose in assuring the safety and effectiveness of a medical device and the post-market vigilance. The ethical proceedings related to clinical trials in human subjects (Brazilian law RE-CNS 196/96) were followed in the execution of this study. All interviews were recorded, as well as the spoken agreement in participating of the study. Then, the speeches were written to perform the analyses and search for the collective opinions about the medical device controls. The results (176 speeches) were evaluated according to the qualitative methodology of the subjects collective speech. Both vendors and government participants understand the good manufacturing practices issued by the Brazilian law RDC n. 59/00 as important to maintain the medical devices safety as well as their effectiveness and quality. The majority of the stakeholders surveyed do not trust in the good faith since most of them mistrust the information declared in the register submission by the vendors. During this survey, it was reinforced that there is a lack of infrastructure and expertise in the governing bodies and not enough on-market inspecting. The health authorities often acknowledge the medical devices problems when the vendors themselves denounce. The vendors perceive the model of register as mandatory to marketing clearance under the National Agency of Sanitary Surveillance (ANVISA) responsibility. However, this procedure does not assure the quality of the medical devices as a bureaucratic process not followed by an efficient postmarketing control. The speeches express that the system in place does not guarantee the health surveillance objectives described in the Brazilian laws in accomplishment - eliminate, decrease or prevent risks to public health. The participants of this study feel that the postmarketing surveillance is the main prospective to improve the medical device control, linked with the commitment of all stakeholders, including users and health care professionals.
Polisena, Julie. "Factors that Influence the Recognition, Reporting, and Resolution of Incidents Related to Medical Devices and an Investigation of the Continuous Quality Improvement Data Automatically Reported by Wireless Smart Infusion Pumps." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33414.
Повний текст джерелаShockey, Taylor Morgan. "Analysis and Interpretation of Occupational Exposure Monitoring Data from the Occupational Safety and Health Administration’s Integrated Management Information System (IMIS) and OSHA Information System (OIS), 1979 – 2015." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu155715411553358.
Повний текст джерелаLutz, Eric Anthony. "Human and Animal Exposure to Airborne Methicillin-resistant Staphylococcus aureus (MRSA): Laboratory Evaluations and Veterinary Hospital Pilot Study." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1276101615.
Повний текст джерелаVärnild, Astrid. "Vägtrafikskadade i Västmanlands län idag och för tjugo år sedan : Regional uppföljning av det nationella trafiksäkerhetsmålet." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-15022.
Повний текст джерелаThe purpose of the study is to investigate the extent to which it is possible to make a follow- up on the regional level of the national road safety target by using existing police and hospital statistics. Do the two sources provide a similar picture of the changes of the number of persons injured in road traffic accidents during the past twenty years? The survey covers persons injured but survived in road accidents in the county of Västmanland. 2008/2009 figures are compared with 1989/1990 figures. Both sets of statistics provide a similar picture of the changes with regard to the number of injured motorists, motorcyclists and moped drivers. However, concerning pedestrians and cyclists there are significant differences. During the time period being studied, the number of injured persons registered by the hospitals of the county has decreased. This is due to the fact that the number of pedestrians and cyclists injured has decreased. However, it is due to structural changes of the health care difficult to quantify the reduction. The lower number fractures, primarily of pedestrians but also of cyclists, shows that there has been a decrease. On the contrary, the number of injured motorists has increased, but their injuries are less serious than in 1989/1990. However, the number of those motorists with serious injuries (ISS > 8) has increased. For the period 1997 – 2009 there has not had an established national target for the number of seriously injured. According to police statistics, the number of severely injured road users in the county has remained unchanged during the time period being studied. If those being hospitalized in the medical statistics are defined as seriously injured, the number of seriously injured has decreased with 27 %. However, if seriously injured is defined as those with ISS > 8, the number has remained unchanged.
Bouzillé, Guillaume. "Enjeux et place des data sciences dans le champ de la réutilisation secondaire des données massives cliniques : une approche basée sur des cas d’usage." Thesis, Rennes 1, 2019. http://www.theses.fr/2019REN1B023/document.
Повний текст джерелаThe dematerialization of health data, which started several years ago, now generates na huge amount of data produced by all actors of health. These data have the characteristics of being very heterogeneous and of being produced at different scales and in different domains. Their reuse in the context of clinical research, public health or patient care involves developing appropriate approaches based on methods from data science. The aim of this thesis is to evaluate, through three use cases, what are the current issues as well as the place of data sciences regarding the reuse of massive health data. To meet this objective, the first section exposes the characteristics of health big data and the technical aspects related to their reuse. The second section presents the organizational aspects for the exploitation and sharing of health big data. The third section describes the main methodological approaches in data sciences currently applied in the field of health. Finally, the fourth section illustrates, through three use cases, the contribution of these methods in the following fields: syndromic surveillance, pharmacovigilance and clinical research. Finally, we discuss the limits and challenges of data science in the context of health big data
Barbosa, Fabiana Gasperazzo. "Alimentos seguros: percepção dos manipuladores." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/10/10134/tde-06012015-141656/.
Повний текст джерелаFood safety training and education are essential to ensure adequate food handling, but not always results in practice and behavioral changes. The evaluation of training effectiveness must consider not only the theoretical knowledge but also the practices in place. In order to assess the perceptions of food handlers about practices used to ensure food safety, a questionnaire was developed using the Collective Subject Discourse technique. The questionnaire consisted of five open questions, each one related to one of the \"five keys to safer food\" recommended by the World Health Organization, and applied to food workers from commercial restaurants and similar establishments in the São Paulo city downtown area. Forty-eight individuals were interviewed, males (83,3%) and females (16,7%), 18 to 76 years old. Only 39,6% of the interviewed individuals received training on good manufacturing practices. The presence of a food safety consulting service in the establishment was reported by 22,9% of the respondents. In response to Question 1, five categories were identified in answers: must wash hands to prevent cross-contamination, must wash hands, must wash hands after handling garbage, the food handler must not handle garbage. Wrong concepts about wearing gloves were also identified, as well as the anchorage: \"employees must wash hands\". In response to Question 2 three categories were identified in answers: use separate equipment and utensils to manipulate different kinds of food, washing with water alone is an appropriate cleaning practice and washing with water alone is not an appropriate cleaning practice. In response to Question 3 six categories were identified in answers: eggs may be served with a soft yolk, eggs with a soft yolk may be served per customer request but present a health risk, eggs with a soft yolk may be served to please the customer but it is not allowed, eggs with a soft yolk may not be served because it is not allowed, eggs with a soft yolk may not be served because it is a health risk, eggs with a soft yolk may not be served because it is forbidden by the sanitary surveillance department. The anchorage: \"the customer is always right\" was also identified in this question. In response to Question 4 three categories were identified in answers: frozen food should not be thawed at room temperature, frozen food may be thawed at room temperature as long as the product is in a package, and frozen food may be thawed at room temperature. In response to Question 5 three categories were identified in answers: food may be contaminated or expired despite preservation of its organoleptic properties, a product without an expiration date label may not be used, and it is possible to know if food is safe to be consumed by assessing its organoleptic properties. In conclusion, respondents\' perceptions about the researched subjects were heterogeneous regardless if they participated in good manufacturing practices training or if they worked in establishments where consulting service or a technical manager was available.
Vilas-Boas, Vanessa Aparecida 1981. "Carga microbiana dos trocartes de laparoscopia ginecológica, possíveis fontes de contaminação e repercussão clínica." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/283894.
Повний текст джерелаTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Enfermagem
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Resumo: Introdução: Instrumentos cirúrgicos utilizados em cirurgias minimamente invasivas podem oferecer risco de infecção cruzada. Identificar sua fonte de contaminação contribui para prevenção de infecção e prestação do cuidado com qualidade e segurança. Contudo, a infecção de sítio cirúrgico é complexa, multifatorial e pode ser subnotificada se não houver programa de vigilância pós-alta efetivo. Objetivos: avaliar a relação entre carga microbiana de trocartes e microbiota da paciente, bem como a ocorrência de infecção de sítio cirúrgico após laparoscopia ginecológica; validar um instrumento de vigilância pós-alta por contato telefônico para cirurgias vídeo-assistidas. Método: estudo realizado em hospital público especializado em saúde da mulher. Fase I - estudo longitudinal prospectivo, 2011-2012, no qual amostras da microbiota da paciente foram coletadas no dia da internação por esfregaço com zaragatoa nas regiões da pele, ponto de McBurney esquerdo, cicatriz umbilical e fundo de saco vaginal. Após laparoscopia, trocartes foram coletados com técnica asséptica, obtendo-se o lavado microbiológico por adição de água destilada estéril e agitação, filtrados por membrana. As amostras foram incubadas para análise microbiológica. Após alta hospitalar, realizou-se vigilância por retorno ambulatorial e por contato telefônico. Realizada análise descritiva dos dados e aplicação dos testes de concordância de Kappa e Mc Nemar com nível de significância de 5%. Fase II - desenvolvida em duas etapas, a primeira 2011-2012, estudo metodológico com elaboração do instrumento de vigilância pós-alta por contato telefônico, para investigação de sinais e sintomas de infecção de sítio cirúrgico, seguida pela validação por peritos. O instrumento foi avaliado por cinco peritos quanto à pertinência, clareza e abrangência do conteúdo. A validação foi feita analisando-se a porcentagem de concordância entre peritos, sendo válidas as questões que obtiveram 80% de concordância. A segunda etapa, 2013, estudo transversal com aplicação do instrumento validado a pacientes submetidas aos procedimentos de histeroscopia e/ou laparoscopia ginecológica. Os dados foram analisados por estatística descritiva. Resultados: Fase I - a amostra foi composta por 24 pacientes, 68 esfregaços e 52 trocartes. Nos esfregaços encontrou-se predomínio de microbiota de pele Gram-positiva, mas também foram isoladas Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, dentre outros. Trocartes de 5 mm apresentaram crescimento bacteriano em 33,3% dos casos, com carga microbiana de 0-6 UFC. Trocartes de 10 mm apresentaram crescimento em 29,2%, com carga microbiana de 0-366 UFC. Observou-se grau de concordância pobre na comparação entre trocartes e microbiota da paciente (Kappa= 0,05; p= 0,08), exceto para Staphylococcus spp (p< 0,0001) e Corynebacterium spp (p= 0,0002). Não houve infecção decorrente da laparoscopia. Fase II - houve discordância entre peritos na primeira avaliação, o instrumento foi reformulado obtendo-se concordância na segunda avaliação. A amostra foi composta por 68 pacientes, sendo o contato telefônico possível em 86,36% dos casos. Queixas de dor abdominal, sangramento e edema incisional foram mais frequentes. Nenhuma apresentou infecção. Conclusão: Este estudo encontrou baixa contaminação nos trocartes, com a maioria das bactérias pertencentes à microbiota de pele da paciente sugerindo ser esta, sua principal fonte de contaminação. O questionário de vigilância pós-alta para cirurgias vídeo-assistidas foi validado, aplicado e encontra-se disponível para utilização
Abstract: Background: Surgical instruments used in minimally invasive surgery may offer risk of cross infection. Identify its source of contamination contributes to infection prevention and provision of quality and safety care. However, surgical site infection is complex, multifactorial and may be underreported if there is no post-discharge surveillance effective program. Aim: To evaluate the relationship between microbial load of trocars and patient flora as well as the occurrence of surgical site infection after gynecological laparoscopy; validate an instrument of post-discharge surveillance by telephone for video-assisted surgery. Method: study developed in public hospital specializing in women's health. Phase I - longitudinal prospective study, 2011-2012, in which the patient flora samples were collected with swabs the skin regions, left McBurney's point, umbilicus and vaginal fornix, on day of the admission. After the laparoscopy, trocars were collected using sterile technique, obtaining microbiological wash by addition of sterile distilled water and stirring, filtered through the membrane. The samples were incubated for microbiological analysis. After discharge, patients were followed up by outpatient and telephone call. Descriptive statistics, Kappa coefficient and McNemar¿s test were applied with significance level of 5%. Phase II - two stages, the first 2011-2012, methodological study with development of the post-discharge surveillance instrument for investigation of signs and symptoms of surgical site infection by telephone, addied with validation by experts. The instrument was evaluated by five experts on the relevance, clarity and completeness of contents. The validation was performed by analyzing the percentage of agreement among experts being considered valid the questions that have obtained 80% agreement. The second stage, in 2013, was a cross-sectional study with application of validated instrument to patients undergoing to hysteroscopy or gynecological laparoscopy. Data were analyzed using descriptive statistics. Results: Phase I - The sample consisted of 24 patients, 68 swabs and 52 trocars. In smears by swab there was a predominance of Gram-positive skin flora, but were also isolated Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, among others. The 5 mm trocars presented bacterial growth in 33.3% of cases with microbial load of 0-6 CFU. The 10 mm trocars presented bacterial growth in 29.2% with microbial load of 0-366 CFU. Noted poor agreement degree when comparing trocars and patient flora (Kappa= 0.05, p= 0.08), except for Staphylococcus spp (p<0.0001), and Corynebacterium spp (p= 0.0002). There was no infection resulting from laparoscopy. Phase II - there was disagreement among experts in the first evaluation, the instrument was redesigned obtaining agreement in the second evaluation. The sample consisted of 68 patients being telephone call possible in 86.36% of cases. Complaints of abdominal pain, bleeding and incisional edema were more frequent. No patient had infection. Conclusion: This study found low contamination in trocars, with most of the bacteria belonging to patient skin flora, their main source of contamination. The instrument of post-discharge surveillance for video-assisted surgery has been validated, implemented and is available for use
Doutorado
Enfermagem e Trabalho
Doutora em Ciências da Saúde
Persson, Anders J. "Ethical problems in work and working environment contexts." Licentiate thesis, KTH, Infrastructure, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-1741.
Повний текст джерелаThis thesis identifies and systematizes two categories ofpractical problems that stem from work and working environmentcontexts: workplace privacy and occupational health risks. Thefocus of the discussion is on ethical justification. Do we havereason to accept a certain level of (potential) harm toemployees by virtue of the fact that they are employees, and ifso, under what circumstances? The thesis consists of a briefintroduction and three essays.
InEssayI, it is argued that employees have a prima facieright to privacy, but that this right can be overridden bycompeting moral principles that follow, explicitly orimplicitly, from the contract of employment. Three types ofjustification are specified: those that refer to the employer'sinterests, those that refer to the interests of the employee,and those that refer to the interests of third parties. A setof ethical criteria is developed and used in the subsequentessay to determine the moral status of infringement ofworkplace privacy.
InEssayII, these criteria are applied to three broadcategories of intrusive workplace practices: (1) monitoring andsurveillance, (2) genetic testing, and (3) drug testing.Scenarios are used to show that such practical ethical problemscan be handled systematically using proposed guidelines. It isalso shown that some practices are dubious and at least some ofthem can be replaced by less intrusive means of ensuring thedesired outcome, for instance efficiency or safety in aworkplace.
EssayIII deals with the fact that health and safetystandards for employees are less protective than those thatapply to the public. Emphasis is put on the distinction betweenexposure and risk, and this distinction is claimed to be a keyfactor in the relevance of arguments in favour of such doublestandards. The analysis of 'double standards' for public andoccupational exposure to risk aims to show that a justificationof such standards is closely linked to two separate types ofissues, namely empirical and normative issues. It is claimedthat this kind of differentiation seems to be supported neitherby a reasonable conception of the contract of employment nor byany obvious ethical principle that is applicable to workplacesor work situations in general.
Key words:Contract of employment, double standards,drug testing, ethics, ethical justification, exposure, genetictesting, health and safety standards, privacy, surveillance,risks, work, work environment
Flaspoehler, Timothy Michael. "FW-CADIS variance reduction in MAVRIC shielding analysis of the VHTR." Thesis, Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/45743.
Повний текст джерелаLok, Wai-shing. "The food health policy of Hong Kong SAR Government." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B23530145.
Повний текст джерелаBarbosa, Ana de Oliveira. "Risco, vigilância e segurança sanitária: desafios à proteção da saúde." Programa de pós-graduação em saúde coletiva, 2006. http://www.repositorio.ufba.br/ri/handle/ri/10317.
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A expressão segurança sanitária (SS) tem sido freqüentemente referida no debate internacional, sobretudo, em função das crises sanitárias emergentes. Todavia, o sentido conferido a essa expressão não se faz claro, sendo tratada como uma noção. A dissertação tem por objetivo analisar a noção de segurança sanitária incorporada na vigilância sanitária brasileira com a criação da Agência Nacional de Vigilância Sanitária (Anvisa). Para tanto, foi realizado um estudo de caso, do tipo exploratório, contemplando a análise de documentos de cunho técnico e normativo emitidos pela Anvisa, referente ao período de 1999 a 2004, bem como a realização de entrevistas semi-estruturadas com informantes-chave que participaram do processo de formulação do desenho institucional. A partir da massa de dados, identificaram-se situações, em que o termo foi utilizado, extraindo os significados associados à expressão em estudo. Constatou-se que a noção de segurança sanitária, no caso em estudo, gira em torno dos binômios risco-benefício ou risco-proteção da saúde, apresentando-se tanto como uma relação risco/benefício aceitável na perspectiva da proteção e promoção da saúde individual e coletiva quanto uma relação de obrigação do Estado para com a sociedade com vistas à proteção da saúde. No que concerne à extensão da noção, observa-se que ela abrange produtos e serviços de interesse à saúde humana; incorpora ainda, de forma pouco expressiva, questões ambientais, incluindo meio ambiente e ambiente de trabalho. As preocupações em relação à SS recaem sobre questões referentes à produção e ao consumo de medicamentos e tecnologias de interesse da saúde, sobretudo, aquelas que têm como finalidade o diagnóstico e tratamento médico; entretanto, os dados revelam que tem havido uma ampliação do escopo da noção de segurança sanitária.
Salvador
Belleaubre, Micaël. "Contrôle, surveillance et promotion des eaux-de-vie Quel rôle pour l’État ? Angoumois, Aunis, Saintonge et sud Poitou (1709-1870)." Thesis, La Rochelle, 2022. http://www.theses.fr/2022LAROF001.
Повний текст джерелаIn the 18th century, the production of brandy was the main economic activity in a limited area whose reference market became Cognac. Many trades were involved in the production of these products before and after the still. Taxes were soon applied to these drinks. The State thus found new resources, especially as the whole society was concerned, despite the existence of privileges. In order to facilitate trade, the regulations sought to harmonize measures and containers. Controls were carried out to detect fraud. During the 19th century, the presence of the state at local and national level was confirmed in three main ways. Firstly, through the protection of entrepreneurs and private property, which led to the consideration of environmental and public health issues. Secondly, in the context of great creativity, innovation and transformation of distilling material, by the preservation of the rights of inventors through the filing of patent applications which gives the possibility to denounce counterfeiting. Ultimately, the authorities are developing procedures to protect trademarks. Prefectural decrees supplement the legal arsenal that is being deployed. Nevertheless, challenges and other practices limit the reality of the exercise of power
Perroud, Junior Mauricio Wesley 1971. "Avaliação de viabilidade, tolerância e segurança da vacina com células dendríticas autológas maduras em pacientes com carcinoma de pulmão não pequenas células avançado = Assessment of feasibility, safety and tolerance of mature autologous dendritic cells vaccine in patients with advanced non-small cell lung carcinoma." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310256.
Повний текст джерелаTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Os resultados terapêuticos globais do carcinoma de pulmão não pequenas células em estádio avançado são bem limitados. A imunoterapia com células dendríticas foi desenvolvida como uma nova estratégia para o tratamento de câncer de pulmão. O objetivo deste estudo foi avaliar a viabilidade, segurança e respostas imunológicas em pacientes com carcinoma de pulmão não pequenas células tratados com vacina autóloga de células dendríticas maduras pulsadas com antígenos. Cinco pacientes HLA-A2 com carcinoma de pulmão não pequenas células inoperável (estádio III ou IV) foram selecionados para receber duas doses de 5 x 107 de células dendríticas administradas por vias subcutânea e intravenosa, duas vezes em intervalos de duas semanas. A segurança, tolerabilidade e respostas imunológica e tumoral à vacina foram avaliadas pela evolução clínica e laboratorial, ensaio de linfoproliferação e critérios de RECIST, respectivamente. A dose utilizada para a imunoterapia demonstrou ser segura e bem tolerada. O ensaio de linfoproliferação mostrou uma melhora na resposta imune específica após a imunização, com uma resposta significativa após a segunda dose (p = 0,001). Esta resposta não foi persistente e houve uma tendência à redução após duas semanas da segunda dose da vacina. Dois pacientes apresentaram uma sobrevida quase duas vezes maior que a média esperada e foram os únicos que expressaram os antígenos tumorais HER-2 e CEA Apesar do pequeno tamanho da amostra, os resultados sobre o tempo de sobrevida, resposta imune, segurança e tolerabilidade, combinado com os resultados de outros estudos, são animadores para a condução de um estudo clínico com doses múltiplas em pacientes com câncer de pulmão que foram submetidos a tratamento cirúrgico, seguindo as diretrizes do Cancer Vaccine Clinical Trial Working Group
Abstract: Overall therapeutic outcomes of advanced non-small-cell lung cancer (NSCLC) are poor. The dendritic cell (DC) immunotherapy has been developed as a new strategy for the treatment of lung cancer. The purpose of this study was to evaluate the feasibility, safety and immunologic responses in use in mature, antigen-pulsed autologous DC vaccine in NSCLC patients. Five HLA-A2 patients with inoperable stage III or IV NSCLC were selected to receive two doses of 5x107 DC cells administered subcutaneous and intravenously two times at two week intervals. The safety, tolerability and immunologic and tumor responses to the vaccine were evaluated by the clinical and laboratorial evolution, lymphoproliferation assay and RECIST's criteria, respectively. The dose of the vaccine has shown to be safe and well tolerated. The lymphoproliferation assay showed an improvement in the specific immune response after the immunization, with a significant response after the second dose (p = 0.001). This response was not long lasting and a tendency to reduction two weeks after the second dose of the vaccine was observed. Two patients had a survival almost twice greater than the expected average and were the only ones that expressed HER-2 and CEA together. Despite the small sample size, the results on the survival time, immune response, and safety and tolerability, combined with the results of other studies, are encouraging to the conduction of a large clinical trial with multiples doses in patients with early lung cancer who underwent surgical treatment, following the guidelines of the Cancer Vaccine Clinical Trial Working Group
Doutorado
Clinica Medica
Doutor em Ciências