O aborto faz parte da realidade brasileira e deve ser abordado pelos programas públicos de saúde e enfatizado na formação dos profissionais da área. Este trabalhou buscou identificar e comparar o conhecimento da legislação brasileira relativa ao aborto entre estudantes de curso médico, verificar entre os concluintes as abordagens recebidas com relação ao aborto durante o curso e discutir possíveis implicações para o desempenho profissional. A pesquisa foi realizada mediante a aplicação de um questionário estruturado a todos os estudantes do 1º e 6º ano do curso médico (90 alunos em cada turma) de uma Universidade pública do estado de São Paulo, e os dados foram analisados com o pacote estatístico SPSS, versão 17. Verificou-se que não há diferença entre o conhecimento dos alunos do 1º e 6º ano com relação aos casos previstos na legislação brasileira para a prática do aborto. Embora 87% dos concluintes mencionem ter recebido algum conteúdo a respeito do tema aborto, 72,7% não consideravam que esse conteúdo era suficiente para o conhecimento que deveriam ter na formação médica. Considera-se fundamental revisitar a formação médica que, além do conhecimento técnico, deve incorporar questões do direito sexual e reprodutivo na saúde da mulher.

Objective: To compare the citation characteristics of the case reports and the case series versus the other study designs of articles published, in 2008-2009, in Brazilian journals of ophthalmology indexed in Science Citation Index Expanded (SCIE). Methods: This study was a systematic review. Original articles were identified by review of documents published at the two Brazilians ophthalmology journals indexed at SCIE ("Arquivos Brasileiros de Oftalmologia" and "Revista Brasileira de Oftalmologia"). All documents ("articles" and "reviews") listed at SCIE from January 1, 2008 to December 31, 2009 were included, except: "editorial materials"; "corrections"; "letters"; and "biographical items". The outcomes were the distributions, the number of citations (through the end of second year after publication date), the mean of the number of citations, and the likelihood of citation (cited at least once vs. no citation), according the study design of the article. Results: The search at the Web of Science revealed 382 articles. The distribution of articles according to study design was: Case Reports 106 articles (27.7%) Case Series 50 (13.1%), Sectional Studies 92 (24.1%), Clinical Trials, Phase I or Phase II 40 (10.5%), Clinical Trials, Phase III or Phase IV 29 (7.6%), Non-Systematic Reviews 33 (8.6%) and Experimental Studies 32 (8.4%). The citation count was statistically lower (P < .001) in the Case Reports/Case Series (0.55-SD 1.05) compared with the others study designs (1.04-SD 1.63). The likelihood citation was statistically lower (P < .001) in the Case Reports/Case Series (49/156-31.4%) compared with the others study designs (110/226-48.7%). Conclusion: Case reports and case series showed lower number of citations and likelihood citation than others study designs. The results of this study suggest that the editorial boards should publish only original or very rare Case Reports / Case Series with clinical significance or implications.

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Aim: To investigate whether the water-drinking test (WDT) and the postural-change test (PCT) can predict the 24-hour diurnal tensional curve (DTC) intraocular pressure (IOP) peak and fluctuation by assessing the correlation and agreement between these three tests in medically treated primary open-angle glaucoma (POAG) patients.Methods: 18 POAG patients underwent the DTC, WDT and PCT. Pearson’s correlation coefficient and Bland-Altman plots were used to assess the correlation and agreement between the results, respectively.Results: Mean DTC IOP peak was 18.72 + 4.31 mmHg and mean DTC IOP fluctuation was 7.00 + 2.54 mmHg. The IOP peak was outside office hours in 50% of the subjects. We observed poor correlations between the DTC and WDT fluctuations and the DTC and PCT fluctuations (r=-0.125, P=0.619; r=0.349, P=0.155, respectively). There was a moderate positive correlation between the DTC and WDT peaks (r=0.493, P=0.03) and a strong positive correlation between the DTC and PCT peaks (r=0.722, P<0.001). However, Bland-Altman plots demonstrated poor agreement between the IOP peaks and fluctuations between the 3 tests. WDT and DTC IOP peaks differed by 2 mmHg or more in 56% of the measurements. PCT and DTC IOP peaks showed that 83% of the measurements had differences greater than 2 mmHg.Conclusions: Despite moderate to strong correlations between DCT and WDT peaks and DTC and PCT IOP peaks, the agreement was generally poor, suggesting that they should be used with caution to estimate peak IOP.