20 resultados para Organizational case studies
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Educação - FFC
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The purpose of this paper is to analyze the integration of environmental issues in the context of manufacturing function/production (or operations), which is considered the organizational area that should lead corporate environmental management. We present a background on the greening of the manufacturing area, especially in terms of product development, process, quality management and logistics. Four case studies of Brazilian companies are presented as part of the study, and it is found that the maturity level of these companies' environmental management tends to follow the degree to which the environment has been inserted into subareas of production, especially in the process of product development. However, difficulties encountered in greening a company's logistics activities are also recognized in most cases. It is concluded that companies can overcome this challenge by adopting new concepts of green supply chain management. The notes highlight the observed distance between arguments in the international literature and the reality of Brazilian companies on the greening of manufacturing aspects.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Primary malignant epithelioid hemangioendothelioma (MEH) of the thyroid is a rare neoplasia with only a few cases reported in the literature. We report a 75 year old man, who presented with a substernal goiter and compressive symptoms. Ultrasonographic evaluation revealed a hypoechogenic nodule in the left lobe, measuring 4.1 cm in maximum diameter, and associated gross calcifications. Fine needle aspiration yielded hemorrhagic material. A left thyroid lobectomy and isthmusectomy was performed. The surgical specimen contained a malignant epithelioid hemangioendothelioma measuring 6 x 4 x 3 cm that had infiltrated about 50% of the thyroidal parenchyma, and surrounded a necrotic nodule. Immunohistochemistry results corroborated the histopathological findings; staining was positive for AE1/AE3, CD31, CD34, factor VIII-related antigen, and Ki-67 expression. Because of the patient’s comorbidities, surgical complementation was not undertaken and he has been undergoing conservative treatment.