Background Internal audit operates within international professional practices established by the Institute of Internal Auditors (IIA). It contains an independent role from the organizational structure and represents the third line of defense in the implemented model of government, risk management, and internal control. Internal audit provides reasonable safety regarding the quality of the processes, including reporting to management about internal control and risk management. Objective Internal control processes and risk management in the scope of the processing of calls and the charging of the outsourcing company. Formulate recommendations for performance improvement in the ambit of health policies. Methods For its fulfilment, this work was based on international norms for professional practice in Internal Audit. The risk management methodology – COSO ERM (Enterprise Risk Management – Integrating with Strategy and Performance) and COSO (Internal Control – Integrated Framework) were also used for the analysis of internal control. Results There were identified two risks of operational nature and internal origin, two risks of a strategic nature related to the market, and three risks of a technological nature. Conclusions The recommendations described in the report are based on the relationship between public and health policies that have gained importance in recent years with the Covid-19 pandemic, since the beginning of 2020, accelerating the digital transition process in Portugal. Contributing to outstanding dissemination of Teleconsultations, technological development and privileging paperless recipes, meeting the guidelines for EU Digitization by 2030. What is already known on this topic? The European Commission sees eHealth as a priority and encourages the creation of a global strategy in the countries of the European Union, with the objective of developing the transformation, the Telehealth Contact Center sorting system has been optimized with the introduction of Artificial Intelligence in the branching of the algorithms and in the conclusion diagnosis. Main contribution to Evidence-Based Practice In the current context, with the growing tendency to health digitalization and the market potential in telehealth, the role of internal audit has been gaining an indispensable position in the success of a company, fomenting quality and rigor in decision making. In this way, internal audit is capable of significatively contributing to risk reduction and the improvement of management quality, converting itself into lucrative processes for the company.  Implications for healthcare practice The relation between the diagnosed risks and the improvement recommendations allowed the correlation of internal policies with public health which sustains the sector.

Introduction and Objectives: Acute appendicitis (AA) is one of the most common causes of urgent surgery in children and is still associated with diagnostic difficulties. As the red blood width (RDW) and mean platelet volume (MVP) may be related to inflammatory processes, this study aims to evaluate the diagnostic value of RDW in AA in pediatric population. Methods: A retrospective and observational study was conducted. Data was collected from medical records of all patients with clinical suspicion of AA who underwent appendectomy at a secundary hospital during a period of 36 months. Preoperative analytical values were analyzed and compared with a control group. Results: Medical records of 305 patients with a mean age of 12.1 years were analyzed. Children with simple or perforated appendicitis had significantly higher RDW than those with a normal appendix. Compared with the controls mean RDW was significantly higher in the acute appendicitis group (14.16 ± 1.2% vs.13.09 ± 0.9%, p <0.05). No statistically significant differences were found in the analytical parameter VPM in the diagnosis of AA. Conclusion: In this study, children with an histologically diagnosed acute appendicitis have higher RDW than children without appendicitis. Being a parameter included in the blood count and without additional costs, it may represent a valuable aid in the diagnosis of acute appendicitis in children. Further research is needed due to the limited number of studies on this topic in childhood.

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A obra Musa Praguejadora (2014), de Ana Miranda, constitui material interessante para análise do hibridismo típico do gênero biográfico, à luz das práticas da literatura contemporânea. Identificada como biografia de Gregório de Matos e Guerra, Musa Praguejadora reconstitui o arco de existência do poeta seiscentista e o ambiente da Bahia colonial, por meio de costura original de minuciosa pesquisa histórica com releitura de poemas do biografado. Mas Musa Praguejadora é também uma reflexão sobre a condição das mulheres no século XVII, no Brasil e em Portugal. Neste trabalho, demonstra-se como Ana Miranda mobiliza recursos literários para construir uma imagem de mulheres que não apenas se submetiam à opressão patriarcal, mas também criavam espaços de resistência e realização.