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ABSTRACT Objective To establish the diagnostic performance of fine-needle aspiration in detecting benign and malignant neoplasm in comparison with post-thyroidectomy histopathological findings among patients who received a thyroidectomy. Methods Retrospective observational data collected between 2011-2021 were included from patients who received partial or total thyroidectomy. The Bethesda system was used to classify neoplasms from fine-needle aspiration procedures as benign or malignant. Sample characteristics, diagnostic accuracy, sensitivity, specificity, and predictive values were evaluated. Results Patients (n=360) who underwent thyroidectomy were analyzed, of whom 142 (39.4%) and 218 (60.6%) had benign and malignant neoplasms, respectively. Using the Bethesda system, 23 (6.4%) were classified as unsatisfactory result (BI), 83 (23.1%) as benign (BII), 50 (13.9%) as atypia of undetermined significance (BIII), 23 (6.4%) as suspected follicular or Hürthle cell neoplasia (BIV), 102 (28.3%) as suspected malignancy (BV) and 79 (21.9%) as malignant (BVI). The fine-needle aspiration diagnostic accuracy for carcinomas was 92%, while the sensitivity and specificity were 94.4% and 86.9%, respectively. The negative and positive predictive values were 87.9% and 93.9%, respectively. Conclusion Fine-needle aspiration has high diagnostic accuracy, sensitivity and specificity, and is a reliable test for distinguishing between benign and malignant thyroid pathologies.
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RESUMO O objetivo do artigo foi analisar a influência do exercício físico durante a gestação, correlacionando a sua prática com o desfecho materno fetal. O estudo realizado foi de caráter observacional, descritivo, quantitativo e retrospectivo, com entrevistas realizadas com as puérperas primigestas internadas no serviço de pós-parto em uma maternidade pública de Joinville, SC. Os questionários perguntavam sobre informações prévias da puérpera, condições da gestação, exercícios físicos realizados durante a gestação e dados acerca do recém-nascido (RN). As puérperas foram divididas em dois grupos: ativo (n=110) e inativo (n=122), possibilitando, desta maneira, a análise dos diferentes desfechos entre os grupos. Evidenciou-se que o grupo ativo apresentou maiores chances de obter ganho de peso adequado durante a gestação (RC 1,556) e de realização de parto normal (RC 1,899). Em contrapartida, apresentou maiores chances de o RN ser pequeno para a idade gestacional (PIG) (RC 2,436), considerando o intervalo de confiança de 95%. Os dados do presente estudo sugerem que a atividade física durante o período gestacional traz benefícios tanto para a saúde materna quanto para o recém-nascido, desde que realizado de maneira programada, bem orientada e dentro de um limite de intensidade e duração.
ABSTRACT The aim of the article was to analyze the influence of physical exercise during pregnancy, correlating its practice with the fetal maternal outcome. The study was observational, descriptive, quantitative and retrospective, with interviews conducted with primiparous mothers who were in the postpartum service in a public maternity hospital in Joinville, SC. The questionnaires asked about previous information on the postpartum women, pregnancy conditions, physical exercises performed during pregnancy and data about the newborn (NB). The postpartum women were divided into two groups: active (n = 110) and inactive (n = 122), allowing the analysis of the different outcomes between the groups. It was shown that the active group was more likely to obtain adequate weight gain during pregnancy (OR 1,556) and normal delivery (OR 1,899). On the other hand, it was more likely that the newborn was small for gestational age (SGA) (OR 2,436), considering the 95% confidence interval. The data from the present study suggest that physical activity during pregnancy brings benefits to both maternal and newborn health, provided that it is performed in a regular, well-oriented manner and within a limit of intensity and duration.