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Este trabalho versa sobre o controle em uma instituição pública municipal, com objetivo de verificar quais os mecanismos de controle interno adotados no município de Três Rios - RJ e se estes estão aderentes ao regimento legal. Além disso, analisou-se o perfil dos responsáveis pelos controles interno e externo e, especialmente, se eles compreendem a sistemática que os envolve. Por meio de entrevista, levantaram-se os mecanismos de controle interno adotados pela prefeitura e, pela aplicação de questionários, avaliou-se o controle externo exercido pela Câmara. Tendo em vista que os mecanismos de controle adotados são importantes para o desenvolvimento das atividades administrativas no município, pode-se notar que a prefeitura e a Câmara de Três Rios desempenham de forma satisfatória suas atribuições, mas há pontos a serem melhorados. Sugerem-se como soluções às principais limitações detectadas: o treinamento e contratação de pessoal e a criação de departamentos específicos para auditoria e controle.

The notification of sexually transmitted diseases (STD) is a prime component of well-designed public health policy. However, peculiar aspects of STD must be taken into account for the correct management of surveillance activities. Here, we describe the distribution of the most common sexually transmitted diseases among patients attended by the gynecological clinics of the principal public hospitals of Brasilia and the Federal District, Brazilian capital, during six years. A total of 142,158 patients had their cervicovaginal samples collected for Papanicolaou preparations and eventual biopsies. Diagnosis was made according to cytological and histological alterations, distinguishing among vaginal infections, and pre-cancerous and cancerous cervical lesions. We also looked at the annual prevalence of the various types of infections and alterations. There was a high prevalence of bacterial vaginosis, trichomoniasis and candidiasis, with suggestive changes over the years. Pre-cancerous and cancerous lesions increased 2.2 fold during the six years. A large proportion of the cases involved late stages of cervical cancer, indicating the necessity of prompt attendance of the population in a routine gynecological prevention program

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Since seaports are common and crucial links in the supply chains of several organizations, the objective of this work was to identify what risks a port can offer to the organizations in its chain and how they are treated by the port’s managers. An exploratory survey was carried out using semi-structured interviews with employees of the company that operates the container and coal terminal of the second largest Brazilian port. The results revealed there is no structured risk management process by the port administration, but several actions taken revealed concern for reaction to risk situations. This highlights the benefits of clarifying the issues, contributing to the literature and assisting professionals in structuring a supply chain risk management process.

We report a case of Papillary carcinoma with nodular fasciitis-like stroma that is a rare variant of Papillary carcinoma characterized by a prominent stromal cell proliferation that causes difficulties in cytologic and histologic diagnosis. The patient was a 34-year-old woman, pregnant, presented with a 1-year history of a growing mass in neck, dysphagia, and hoarseness. Physical examination revealed a firm nodular mass in thyroid gland. The fine needle aspiration biopsy specimen contained, besides diagnostic epithelial features of Papillary thyroid carcinoma, discohesive arrangement of bland spindle cells. Macroscopically, the specimen consisted of nodular tumor measuring 10 x 6 x 6 cm. Histologically the tumor was composed of small foci of neoplastic epithelial component distributed in abundant stroma. In immunohistochemistry, spindle cells in the stroma were positive for alpha-smooth muscle actin and the neoplastic cells showed positive staining for TTF-1 and progesterone receptor.