SUMMARY OBJECTIVE: This study aimed to evaluate postoperative pain and quality of life in patients undergoing median sternotomy. METHODS: A cohort study was carried out on a sample of 30 patients who underwent elective cardiac surgery by longitudinal median sternotomy. Patients were interviewed at Intensive Care Unit discharge and hospital discharge, when the Visual Numeric Scale and the Brief Pain Inventory were applied, and 2 weeks after hospital discharge, when the World Health Organization Quality of Life-Bref questionnaire was administered. The normality of the results was analyzed by the Shapiro-Wilk test, and Wilcoxon Rank Sum and McNemar tests were utilized for the analysis of numerical and categorical variables. For correlation between numerical variables, Spearman's linear correlation test was applied. To compare numerical variables, Mann-Whitney U and Kruskal-Wallis tests were applied. Differences between groups were considered significant when the p-value was <0.05. RESULTS: Between Intensive Care Unit and hospital discharge, there was a reduction in median pain intensity assessed by the Visual Numeric Scale from 5.0 to 2.0 (p<0.001), as well as in eight Brief Pain Inventory parameters: worst pain intensity in the last 24 h (p=0.001), analgesic relief (p=0.035), and pain felt right now (p=0.009); and in interference in daily activities (p<0.001), mood (p=0.017), ability to walk (p<0.001), relationship with other people (p=0.005), and sleep (p=0.006). Higher pain intensity at Intensive Care Unit discharge was associated with worse performance in the psychological domain of quality of life at out-of-hospital follow-up. CONCLUSION: Proper management of post-sternotomy pain in the Intensive Care Unit may imply better quality of life at out-of-hospital follow-up.

O objetivo do estudo é verificar a relação entre a concessão do Agroamigo e o desenvolvimento e crescimento econômico, representados pelo IFDM e pela taxa de crescimento do PIB per capita, respectivamente. Para isso, estimamos um Vetor Autorregressivo para Dados em Painel (PVAR), abrangendo 1.626 municípios do Nordeste e norte de Minas Gerais, no período de 2010 a 2016. Nossos resultados apontam para uma resposta positiva e estatisticamente significante, no curto prazo, advindo de choques do microcrédito rural sobre o IFDM, no qual nos primeiros períodos (aproximadamente 1 ano), os repasses do Agroamigo parecem expandir o bem-estar social nos municípios analisados.

ABSTRACT This study characterized the theoretical and empirical academic production on competencies in public administration, in national and international journals, in the Spell and Web of Science databases, considering methods and themes addressed. A bibliometric analysis of the literature was applied, with methodological typification, multiple correspondence analysis, and strategic diagrams prepared based on the keywords of the 86 articles analyzed. The findings showed a distinction between national and international research because, while the former frequently employed case studies, the latter proved to be more heterogeneous. These results indicate the need for methodological and thematic diversification of Brazilian research on the topic, especially using a quantitative approach and considering different public administration sectors, to identify what influences its development and results. A research agenda was also presented for researchers and public managers, given the importance of closer ties between management activity and academia for developing knowledge on the subject in Brazil.

RESUMEN Este estudio caracterizó la producción académica teórico-empírica sobre competencias en administración pública, disponible en revistas nacionales e internacionales, en las bases Spell y Web of Science, considerando aspectos metodológicos y temas abordados. Se aplicó un análisis bibliométrico de la literatura, con tipificación metodológica, análisis de correspondencias múltiples y diagramas estratégicos elaborados con las palabras clave de los 86 artículos analizados. Los resultados mostraron una distinción entre la investigación nacional e internacional, pues mientras la primera empleó mayoritariamente estudios de caso, la segunda resultó más heterogénea. Estos resultados indican la necesidad de diversificación metodológica y temática de la investigación brasileña sobre el tema, especialmente utilizando un enfoque cuantitativo y considerando diferentes sectores de la administración pública, para identificar lo que influye en el desarrollo de las competencias y sus resultados. Se presenta una agenda de investigación para investigadores y gestores, dada la importancia de estrechar los vínculos entre la actividad de gestión y la academia para el desarrollo del conocimiento sobre el tema.

RESUMO Este estudo caracterizou a produção acadêmica teórico-empírica sobre competências na administração pública disponível em periódicos nacionais e internacionais, nas bases Spell e Web of Science, considerando aspectos metodológicos e temas abordados. Foi aplicada uma análise bibliométrica da literatura, com tipificação metodológica, análise de correspondência múltipla e diagramas estratégicos, elaborados com as palavras-chave dos 86 artigos analisados. Evidenciou-se distinção entre as pesquisas nacional e internacional, pois, enquanto a primeira empregou majoritariamente estudos de caso, a segunda se mostrou mais heterogênea. Esses resultados indicam a necessidade de diversificação metodológica e temática da pesquisa brasileira sobre o tópico, sobretudo utilizando abordagem quantitativa e considerando distintos setores da administração pública, para identificar o que influencia o desenvolvimento das competências e seus resultados. Apresenta-se uma agenda de pesquisa para atuação de pesquisadores e gestores, dada a importância do estreitamento de laços entre atividade gerencial e academia para o desenvolvimento do conhecimento sobre o tema no Brasil.

RESUMO: Este estudo foi conduzido com o objetivo de identificar os efeitos da suplementação com ractopamina, cromo picolinato, cromo levedura, ou da restrição alimentar energética, sobre o desempenho e o perfil de ácidos graxos da gordura subcutânea de fêmeas suínas em fase final de terminação. Foram utilizadas 20 fêmeas suínas, geneticamente similares, com peso inicial de 105,35 ± 4,77 kg e peso final de 131,37 ± 5,58 kg, distribuídas em delineamento experimental de blocos ao acaso em cinco tratamentos (controle; ractopamina: 20 ppm; picolinato de cromo: 0,48 ppm; cromo levedura: 0,80 ppm; e restrição energética: -150 kcal kg-1 de energia metabolizável) com quatro repetições de um animal cada. As dietas experimentais foram isonutritivas, exceto para o nível de energia metabolizável da dieta fornecida ao grupo submetido à restrição energética. Não houve efeito dos tratamentos sobre o desempenho e as características de carcaça. As suplementações com ractopamina e cromo orgânico (picolinato ou levedura) aumentaram a concentração de ácidos graxos poli-insaturados. A proporção do ácido α-linolênico foi maior com a inclusão da ractopamina ou do cromo levedura na dieta. A restrição energética aumentou a proporção n-6:n-3 e reduziu a concentração do ácido α-linolênico. As suplementações com ractopamina, picolinato de cromo, cromo levedura, ou restrição alimentar energética, não influenciaram o desempenho e as características de carcaça, mas alteraram o perfil lipídico da gordura subcutânea de fêmeas suínas. As suplementações com ractopamina e cromo orgânico aumentaram a proporção de AGPI.

ABSTRACT: This study identified the effects of dietary supplementation with ractopamine, chromium picolinate, chromium yeast, or an energetic feed restriction on the growth performance and lipid profile of subcutaneous fat, in late finishing gilts. Twenty genetically similar gilts with initial body weight of 105.35 ± 4.77 kg and a final body weight of 131.37 ± 5.58 kg were distributed in a completely randomized block design with five treatments (control; ractopamine: 20 ppm; chromium picolinate: 0.48 ppm; chromium yeast: 0.80 ppm; and energetic feed restriction: -150 kcal kg-1 of metabolizable energy), with four replicates of one animal each. The experimental diets were isonutritives, except for the metabolizable energy level of the diet fed to the group subjected to energy restriction. There were no effects on the growth performance and carcass characteristics. Ractopamine and organic chromium (picolinate and yeast) supplementation increased the concentration of total polyunsaturated fatty acid. The proportion of α-linolenic fatty acids were higher when the diets were supplemented with ractopamine or chromium yeast. The energy restriction increased the n-6:n-3 ratio and reduced α-linolenic acid concentration. Therefore, ractopamine, chromium picolinate, chromium yeast supplementation, and energetic feed restriction did not affect the growth performance or carcass characteristics but altered the lipid profile of subcutaneous fat in finishing gilts. Ractopamine and organic chromium supplementation increased PUFA in the fat of finishing female pigs.

Abstract An experiment was conducted to evaluate the fatty acid profile of subcutaneous fat from barrowS of same genetic lineage supplemented with organic chromium and selenium initiated in different weight ranges in the finishing phase using 24 carcasses. Three different diets were used that represent the time when supplementation starts: control - without the inclusion of organic Cr and Se; CrSe70 - control with 500 g ton-1 of organic Cr and Se of 70 to 130 kg in body weight; and CrSe100 - control with inclusion of 500 g ton-1 of organic Cr and Se from 100 kg to 130 kg body weight. Performance, carcass characteristics, and lipid profile were evaluated. The data were submitted to analysis of variance, and with significant differences (p<0.05), the means were compared using the Tukey test. From 70 to 100 kg, control and CrSe70 animals consumed less feed than CrSe100. From 100 kg body weight, it reduced the C20:5n3 and C24:1n9 acids and increased the activity of the Δ-6 desaturase, elongase, Δ-5 desaturase enzymes in the supplemented animals. The moment when supplementation starts of organic chromium and selenium does not improve the performance and carcass characteristics, does not change the fatty acid profile, and does not improve the quality of the fat.

Abstract Objective: Comprehend the profile and prevalence of non-suicidal self-injury (NSSI) in adolescents and its association with impulsiveness and loneliness. Methods: Cross-sectional study carried out in 2017 in Maceió-Alagoas, Northeast Brazil, in the households of 505 adolescents aged 12–17 years, using a sample stratified and randomized by gender and neighborhood. The following instruments were used: a sociodemographic questionnaire, Brazilian version of Functional Assessment of Self-Mutilation (FASM), the Brazilian Barratt Impulsiveness Scale (BIS-11), and the Brazilian Loneliness Scale (UCLA-BR). Results: A prevalence of 6.53% was found for non-suicidal self-injury disorder (DSM-5). Significant differences ( p ≤ 0.05) were observed regarding: the most frequently used forms of NSSI were the items “cut oneself” and “scratch oneself”; engaging in three or more different forms of self-injurious behavior (66.67%) and, reporting as reasons, “to relieve feelings of emptiness or indifference” and “to stop bad feelings/sensations.” Significance was also related to the sociodemographic profile: 72.73% were females and 63.54% had family income below one minimum wage. Individuals with self-injurious behavior also had higher impulsiveness and loneliness scores (p ≤ 0.05). Conclusions: The study identified a direct association between NSSI and impulsiveness and loneliness among adolescents, being more prevalent in females and in young individuals with socioeconomic vulnerability. The data provide support for improving public health policies, aimed at education, prevention, and treatment of adolescents with NSSI.

Abstract This study was conducted to evaluate the period of chromium yeast supplementation on lipid profile of backfat and Longissimus lumborum muscle of barrows. It was evaluated carcass samples from forty barrows, genetically similar. Pigs diets were supplemented with 0.4 mg kg-1 of chromium yeast in four periods (0, 38, 62 and 94 days before slaughter). The experimental design was completely randomized with four treatments, ten replicates, and each experimental unit consisting of one animal. Lipid profiles of backfat and Longissimus lumborum muscle were analyzed by gas chromatography. The increase in the period of chromium yeast use had a quadratic effect (P<0.05) for stearic and oleic fatty acids, and total saturated, monounsaturated and unsaturated fatty acids in backfat. DH-γ-linolenic and arachidonic fatty acids reduced when the period of chromium yeast use increased. In the meat, there was a quadratic effect (P<0.05) only in the γ-linoleic fatty acid. The use of chromium yeast for different periods influences the lipid profile of the backfat and the Longissimus lumborum muscle, with less effect in the meat.

We report herein the design and synthesis via click chemistry of twelve novel triazole retinoid analogues of tamibarotene (AM80) and the evaluation of their anticancer activities against six cancer cell lines: HL60, K562, 786, HT29, MCF7 and PC3. Among the synthesized compounds, two were more potent than tamibarotene against solid tumor cells, and one of them had similar potency to tamibarotene against HL60 cells. The bioisosteric exchange between the amide group and the 1,2,3-triazole core in the retinoid agent tamibarotene (AM80) reported in this work is a valid strategy for the generation of useful compounds against cancer.

RESUMO: Este estudo foi conduzido para avaliar o efeito das concentrações de ractopamina no perfil lipídico da gordura e carne suína. Utilizou-se 90 machos castrados, pesando inicialmente 71,9±4,4kg, foram distribuídos em delineamento de blocos ao acaso em três concentrações de ractopamina (0, 10 e 20ppm), com quinze repetições e dois animais por unidade experimental. Foi utilizada cromatografia gasosa para analisar os perfis lipídicos da gordura subcutânea e da carne. A inclusão de ractopamina na dieta alterou (P<0,05) os níveis dos ácidos graxos α-linolênico e eicosatrienoico na gordura subcutânea e não afetou (P>0,05) nenhum dos outros ácidos graxos ou índices avaliados. Em relação à gordura da carne, houve efeito (P<0,05) sobre nove ácidos graxos avaliados, com redução (P<0,05) dos ácidos graxos láurico, mirístico e palmítico, e aumento (P<0,05) do linoleico, γ-linolênico, dihomo-γ-linolênico e eicosapentaenoico. A ractopamina também afetou (P<0,05) a concentração do linolênico e araquidônico na carne. Os índices avaliados também foram afetados (P<0,05). A inclusão de 10ppm diminuiu a concentração dos ácidos graxos saturados, índice aterogênico, índice trombogênico e ômega 6: ômega 3, e aumentou a concentração dos ácidos graxos insaturados e poli-insaturados. A inclusão de ractopamina teve menor efeito na gordura subcutânea do que na carne, sendo que o nível de 10ppm melhorou o perfil lipídico da carne.

ABSTRACT: This study was conducted to evaluate the effect of ractopamine concentrations on swine fat and meat lipid profiles. Ninety finishing barrows, initially weighing 71.9±4.4kg, were distributed in a randomized block design in three ractopamine concentrations (0, 10 and 20ppm) with fifteen replicates of two animals in each. Gas chromatography was used to analyze the lipid profiles of backfat and meat. The inclusion of ractopamine in the diet changed (P<0.05) α-linolenic acid and eicosatrienoic acid concentrations in the backfat but did not affect (P>0.05) any of the other fatty acids or indexes evaluated. In the meat, a significant effect (P<0.05) was observed on nine fatty acids evaluated, with a decrease (P<0.05) in lauric, myristic, and palmitic fatty acids, and an increase (P<0.05) in linoleic, γ-linolenic, dihomo-γ-linolenic, and eicosapentaenoic acid. Ractopamine also affected (P<0.05) the concentration of α-linolenic and arachidonic acid in the meat (P<0.05). The indexes evaluated were also affected (P<0.05). Addition of 10ppm decreased the saturated fatty acid concentration, atherogenic index, thrombogenic index and omega 6: omega 3, while it increased unsaturated and polyunsaturated fatty acids concentrations. Ractopamine addition had less effect on the backfat than on the meat, and the 10ppm level improved the meat lipid profile.

RESUMO: Este estudo foi conduzido com o objetivo de avaliar o efeito dos níveis de energia líquida no perfil lipídico da gordura e carne suína. Foram utilizados 90 animais, com peso inicial de 71,94±4,43kg, distribuídos em delineamento de blocos ao acaso em cinco níveis de energia líquida (2.300, 2.425, 2.550, 2.675 e 2.800Kcal kg-1 de ração), com nove repetições e dois animais por unidade experimental. Foram analisados os perfis lipídicos da gordura subcutânea e da carne por cromatografia gasosa. O aumento do nível de energia líquida usando óleo de soja melhorou o perfil lipídico da gordura subcutânea e da carne, aumentando linearmente (P<0,05) a concentração dos ácidos graxos poli-insaturados, especialmente ácido linoleico e α-linolênico, reduzindo linearmente (P<0,05) os ácidos graxos monoinsaturados e saturados e ômega 6: ômega 3. No tecido adiposo foi observado redução linear (P<0,05) dos índices aterogênico e trombogênico. Em conclusão, o aumento do nível de energia líquida da dieta, com a utilização do óleo de soja, melhora o perfil lipídico da gordura subcutânea e da carne suína.

ABSTRACT: This study was conducted to evaluate the effects of net energy levels on the lipid profile of adipose tissue and muscle of swines. A total of 90 animals, with initial weight of 71.94±4.43kg, were used, and distributed in a randomized block design in five net energy levels (2,300, 2,425, 2,550, 2,675, and 2,800Kcal kg-1 feed), with nine replicates and two animals per experimental unit. Lipid profiles of adipose tissue and muscle were analyzed using gas chromatography. Increasing the levels of net energy using soybean oil, improved the lipid profile of adipose tissue and muscle, increased linearly (P<0.05) the concentrations of polyunsaturated fatty acids, especially linoleic and α-linolenic acid, reduced linearly (P<0.05) the monounsaturated and saturated fatty acids and omega 6: omega 3. In adipose tissue was observed linear reduction (P<0.05) of atherogenic and thrombogenic indexes. In conclusion, increasing the level of net energy of the diet using soybean oil improved the lipid profile of adipose tissue and muscle.

Os óleos de frutos estão sendo estudados por seu potencial na indústria de alimentos e também para aumento do consumo de ácidos graxos monos e poli-insaturados. Este estudo objetivou determinar as constantes físico-químicas, composição centesimal, identificar e quantificar os principais ácidos graxos presentes na fração lipídica da polpa e da amêndoa dos frutos de guarirova, espécie Syagrus oleracea (Mart.) Becc. Foi realizada a caracterização físico-química dos óleos, composição de ácidos graxos e índices de qualidade nutricional. O óleo da amêndoa possui maior concentração de ácidos graxos saturados (89,2%), sendo representado principalmente pelo ácido láurico (48,34%). A polpa apresentou ácidos graxos monoinsaturados (24,84%) e poli-insaturados (33,25%), com maior percentual de ômega-6 (31,94%) e ômega-9 (19,15%); e menor de ômega-3 (1,31%).

The oils of fruits are being studied for its potential in the food industry and also to increase the consumption of mono and polyunsaturated fatty acids. This study aimed to determine the physio-chemical constants, chemical composition and identify and quantify the major fatty acids present in the lipid fraction of pulp and kernel of the fruits of guarirova, species Syagrus oleracea (Mart.) Becc. It was performed the physicochemical characterization of oils, fatty acid composition and nutritional quality indexes. Almond oil has the highest concentration of saturated fatty acids (89,2%), represented mainly by lauric acid (48,34%). The pulp showed monounsaturated (24,84%) and polyunsaturated fatty acids (33,25%), with higher percentage of omega-6 (31,94%) and omega-9 (19,15%) and lower omega-3 (1,31%).

Com o objetivo de analisar a evolução das desigualdades socioespaciais na mortalidade por causas externas e homicídios em Salvador, Bahia, Brasil, entre 2000-2006, foi realizado um estudo ecológico, tendo as zonas de informação e estratos sociais como unidades de análise. O Instituto Brasileiro de Geografia e Estatística (IBGE) e a Secretaria Municipal de Saúde foram fontes de dados. As causas básicas de óbito foram revisadas e reclassificadas com base em relatórios do IML. As zonas de informação foram classificadas em quatro estratos sociais a partir da renda e da escolaridade. Calculou-se a razão entre as taxas de mortalidade (razão de desigualdade). Verificou-se aumento de 98,5% na taxa de homicídios no período. Em 2000, o risco de morte por causas externas e homicídios no estrato de piores condições de vida foi, respectivamente, 1,40 e 1,94 vezes maior que no estrato de referência. Em 2006, esses valores foram de 2,02 e 2,24. Os autores discutem as implicações para as políticas públicas intersetoriais evidenciadas pelos achados do presente estudo.

An ecological study was carried out using information zones as units of analysis in order to assess the evolution of socio-spatial inequalities in mortality due to external causes and homicides in Salvador, Bahia State, Brazil, in 2000 and 2006. The Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE) and the City Health Department (Secretaria Municipal de Saúde) provided the data sources, and causes of death were reviewed and reclassified based on reports from the Institute of Legal Medicine (Instituto Médico Legal). The information zones were classified into four social strata according to income and schooling. The ratio between mortality rates (inequality ratio) was calculated and confirmed a rise of 98.5% in the homicide rate. In 2000, the risk of death due to external causes and murders in the stratum with the worst living conditions was respectively 1.40 and 1.94 times greater than in the reference stratum. In 2006 these figures were 2.02 and 2.24. The authors discuss the implications for inter-sectoral public policies, based on evidence from the study's findings.

Com o objetivo de analisar a evolução das desigualdades socioespaciais na mortalidade por causas externas e homicídios em Salvador, Bahia, Brasil, entre 2000-2006, foi realizado um estudo ecológico, tendo as zonas de informação e estratos sociais como unidades de análise. O Instituto Brasileiro de Geografia e Estatística (IBGE) e a Secretaria Municipal de Saúde foram fontes de dados. As causas básicas de óbito foram revisadas e reclassificadas com base em relatórios do IML. As zonas de informação foram classificadas em quatro estratos sociais a partir da renda e da escolaridade. Calculou-se a razão entre as taxas de mortalidade (razão de desigualdade). Verificou-se aumento de 98,5% na taxa de homicídios no período. Em 2000, o risco de morte por causas externas e homicídios no estrato de piores condições de vida foi, respectivamente, 1,40 e 1,94 vezes maior que no estrato de referência. Em 2006, esses valores foram de 2,02 e 2,24. Os autores discutem as implicações para as políticas públicas intersetoriais evidenciadas pelos achados do presente estudo.

An ecological study was carried out using information zones as units of analysis in order to assess the evolution of socio-spatial inequalities in mortality due to external causes and homicides in Salvador, Bahia State, Brazil, in 2000 and 2006. The Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE) and the City Health Department (Secretaria Municipal de Saúde) provided the data sources, and causes of death were reviewed and reclassified based on reports from the Institute of Legal Medicine (Instituto Médico Legal). The information zones were classified into four social strata according to income and schooling. The ratio between mortality rates (inequality ratio) was calculated and confirmed a rise of 98.5% in the homicide rate. In 2000, the risk of death due to external causes and murders in the stratum with the worst living conditions was respectively 1.40 and 1.94 times greater than in the reference stratum. In 2006 these figures were 2.02 and 2.24. The authors discuss the implications for inter-sectoral public policies, based on evidence from the study's findings.

O objetivo deste trabalho foi avaliar a aplicação de nitrogênio em cobertura na cultura da mamona (Ricinus communis L.), em Campo Grande, MS. As doses de N foram 0, 30, 60 e 120 kg ha-1. A semeadura foi realizada em 27 de janeiro de 2006. O espaçamento entre linhas utilizado foi de 0,9 m e 0,45 m entre plantas. Foram realizadas as seguintes avaliações: altura e diâmetro de caule das plantas, número de cachos e de frutos por planta, matéria seca, produtividade e teor de óleo. A utilização de 80 kg ha-1 de N em cobertura aumentou a produtividade sem alterar o teor de óleo das sementes.

The development of castor plants (Ricinus communis L.) under nitrogen sidedressing fertilization was evaluated in a randomized block design, constituted by different level of nitrogen sidedressing fertilization (0, 30, 60 and 120 kg ha-1). The sowing was performed on January 27, 2006, comprising three lines of 4 m every plot. The spaces were 0.9 m between lines and 0.45 m between plants. Height and diameter plants, dry matter, yield and oil content were evaluated. The 80 kg ha-1 nitrogen sidedressing fertilization increases the yield and did not alter seed oil content.

OBJETIVO: avaliar a resistência vascular da artéria central da retina, por meio do fluxo Doppler, nas diferentes fases do ciclo menstrual ovulatório. MÉTODOS: estudo observacional, longitudinal e prospectivo com avaliação de 34 mulheres saudáveis, submetidas a estudo dopplerfluxométrico do fundo do olho para avaliação da resistência vascular da artéria central da retina nas posições sentada e deitada, durante quatro fases do ciclo menstrual: fase folicular inicial, fase folicular média, fase periovulatória e fase lútea média. A confirmação da ovulação no ciclo de estudo foi feita pela dosagem de progesterona sérica na fase lútea média. Foram avaliados os índices de pulsatilidade (IP) e de resistência, e as velocidades máxima, mínima e média. RESULTADOS: a idade média foi de 29,7 anos. Não foram observadas diferenças entre os índices obtidos para ambos os olhos; assim, utilizamos as médias dos índices para realizar o cálculo estatístico. Quando comparadas às posições de realização do exame, detectou-se um IP maior na posição sentada; assim, as análises foram avaliadas em separado, respeitando-se a posição da paciente. O IP da artéria central da retina, avaliado com a paciente deitada, variou durante o ciclo menstrual, apresentando-se significativamente mais baixo nas fases folicular média (1,5±0,3) e periovulatória (1,5±0,3) quando comparadas às fases folicular precoce (1,7±0,4) e lútea média (1,7±0,4). Quando a avaliação foi feita com a paciente sentada não foram observadas diferenças para as diferentes fases do ciclo. CONCLUSÕES: num ciclo menstrual ovulatório ocorre diminuição da resistência vascular na artéria central da retina e posterior reversão do efeito, como demonstrado pelas variações do IP.

PURPOSE: to evaluate the vascular blood flow of the central retinal arteries using dopplervelocimetry in the different phases of the ovulatory menstrual cycle. METHODS: we performed an observational, longitudinal and prospective study evaluating 34 healthy and ovulatory women. All women were submitted to Doppler scan of the eye to evaluate the vascular resistance of the central retinal arteries, either lying down or on a seated position, during four phases of the menstrual cycle. Confirmation of ovulation was performed by measuring serum progesterone during the luteal phase. We analyzed the pulsatility and resistance index and the maximum, minimum and mean velocity. RESULTS: mean age was 29.7 years. No differences were observed between the indexes obtained in both eyes, therefore a mean index was used for comparisons. As the comparison between the positions used for the exams showed a higher PI for the seated position, the analyses were performed separately. The pulsatility index in the lying position was different among the different phases of the menstrual cycle. The arterial resistance was significantly lower during the intermediate follicular and the periovulatory phases, as compared to the early follicular and luteal phases. When the comparison was performed with the patient in the seated position, no differences were observed. CONCLUSIONS: Our results demonstrate a reduction in the vascular resistance of the cerebral microcirculation and a posterior reversal, as shown by changes in the PI.