ABSTRACT This study aimed to calibrate and test the SARRA-H (Système d’Analyse Régionale des Risques Agroclimatologiques) crop model for cowpea, as well as conducting a climate risk zoning for this crop in a region located in Eastern Amazon, allowing the identification of locations and sowing dates that favor the production considering both the water deficit and the probability of occurrence of severe rains during the harvest period. The model was calibrated and validated with data from experiments conducted between 2013 and 2016 in the municipality of Castanhal, PA, Brazil. Low climate risk areas were defined as those that had a water requirement satisfaction index (WRSI) greater than or equal to 0.5 in the reproductive phase combined with the occurrence of rainfall below 20 mm at the harvest for, at least, 80% of the years for which planting was simulated. The model was able to simulate the water balance, growth and development of cowpea under the climate and soil conditions of the studied location with high precision and accuracy. The optimal period for sowing cowpea comprises the interval between June 5th and 25th for regions located above 2° S and between March 25th and April 15th for regions below 2º S.

RESUMO Esta pesquisa teve como objetivo calibrar e testar o modelo de cultura SARRA-H (Système d’Analyse Régionale des Risques Agroclimatologiques) para o caupi, bem como realizar o zoneamento de risco climático para esta cultura em uma região localizada na Amazônia Oriental, a fim de permitir a identificação de locais e datas de semeadura que favoreçam a produção considerando tanto o déficit hídrico como a probabilidade de ocorrência de chuvas severas durante o período da colheita. O modelo foi calibrado e validado com dados de experimentos realizados entre 2013 e 2016 no município de Castanhal, PA. As áreas de baixo risco climático foram definidas como aquelas que apresentaram índice de satisfação da necessidade hídrica (WRSI) maior ou igual a 0,5 na fase reprodutiva combinado com a ocorrência de chuvas abaixo de 20 mm na colheita por, pelo menos, 80% dos anos onde foi simulado o plantio. O modelo foi capaz de simular o balanço hídrico, crescimento e desenvolvimento do feijão-caupi nas condições climáticas e de solo da região estudada com boa precisão e exatidão. O período de ótima semeadura para o feijão-caupi compreende o intervalo entre 5 e 25 de junho para regiões localizadas acima de 2° S, e entre 25 de março e 15 de abril para regiões abaixo de 2º S.

Resumo Este estudo investigou pela primeira vez, a eficácia de banhos terapêuticos com óleo essencial (OE) de Piper hispidum contra monogenéticos Anacanthorus spathulatus, Notozothecium janauachensis, Mymarothecium boegeri e Linguadactyloides brinkmanni das brânquias de Colossoma macropomum, bem como os efeitos hematológicos e histológicos neste peixe. Foram usados 100 mg/L de óleo essencial de P. hispidum e dois grupos controles (água do tanque de cultivo e água do tanque de cultivo com álcool 70%) expostos durante 1 hora por dia, com intervalos de 48 horas durante 3 dias, três repetições cada. Banhos terapêuticos com 100 mg/L de OE de P. hispidum tiveram uma eficácia de 78,6% contra monogenéticos. A toxicidade foi baixa, pois ocorreram poucas alterações fisiológicas e histopatológicas que não comprometeram o funcionamento das brânquias dos peixes. Portanto, houve eficácia de 100 mg/L de OE de P. hispidum para controle de monogenéticos em C. macropomum, quando usados banhos terapêuticos curtos sem prejudicar a saúde dos peixes expostos.

Abstract This study investigated for the first time the effectiveness of therapeutic baths with essential oil (EO) of Piper hispidum against monogeneans Anacanthorus spathulatus, Notozothecium janauachensis, Mymarothecium boegeri and Linguadactyloides brinkmanni from the gills of Colossoma macropomum, as well as the hematological and histological effects on this fish. In therapeutic baths, 100 mg/L of P. hispidum essential oil and two control groups (water from the culture tank and water from the culture tank with 70% alcohol) were exposed for 1 h/day, with intervals of 48 hours for 3 days, and three replicates each were used. Therapeutic baths with 100 mg/L of P. hispidum essential oil had an efficacy of 78.6% against monogeneans. The toxicity of this essential oil was low, since there were a few physiological and histopathological changes that did not compromise the functioning of the gills of the fish. Therefore, 100 mg/L of P. hispidum essential oil was effective for controlling monogeneans in C. macropomum, when short therapeutic baths were used without compromising the health of the exposed fish.

ABSTRACT The objective of this work was to determine the composition and evaluate in vitro and in vivo effects of essential oils (Lippia sidoides Cham., Ocimum gratissimum L., Cymbopogon citratus Stapf., Ocimum selloi Benth., Citrus sinensis L., Ocimum micranthum Willd., Ocimum sp., and Piper aduncum L.) on the control of Fusarium rot in melon fruits, caused by the fungus Fusarium pallidoroseum. The essential oils were obtained by hydrodistillation and their chemical composition was determined by GCMS and GC-FID. The effect of each essential oil (concentrations of 0, 500, 1500, and 3000µL L-1) on the fungal mycelial growth was evaluated in in vitro experiment. The effective concentration that inhibited 50% of mycelial growth (EC50) was determined through the probit method; mycelial growth index (MGI) was also calculated. The essential oils with higher potential for inhibiting mycelial growth of F. pallidoroseum were evaluated for their inhibitory effect on the fungus spore germination in in vitro and in vivo experiments using melon fruits (variety Galia). Chemical composition analysis of essential oils enabled the identification of varying amounts of chemical compounds, with predominance of monoterpenes. The essential oils of L. sidoides, O. gratissimum, C. citratus, and O. micranthum presented higher inhibiting effects on F. pallidoroseum mycelial growth and spore germination, therefore, they are promising raw materials for the development of commercial fungicides, mainly for controlling postharvest rot caused by F. pallidoroseum.

RESUMO Objetivou-se com esse trabalho determinar a composição e avaliar, ‘in vitro’ e ‘in vivo’, o efeito dos óleos essenciais de alecrim-pimenta (Lippia sidoides Cham.), alfavacacravo (Ocimum gratissimum L.), capim-limão (Cymbopogon citratus Stapf.), elixir-paregórico (Ocimum selloi Benth.), laranja (Citrus sinensis L.), manjericão (Ocimum micranthum Willd.), Ocimum sp. e pimenta-de-macaco (Piper aduncum L.) no controle da podridão por Fusarium causada pelo fungo Fusarium pallidoroseum em frutos de melão. Os óleos essenciais foram obtidos por hidrodestilação e a composição química determinada por GC-MS e GC-FID. No ensaio ‘in vitro’, foi testado o efeito de cada óleo essencial (concentrações de 0, 500, 1500 e 3000µL/L) sobre o crescimento micelial do patógeno. Determinou-se a concentração efetiva que inibiu o crescimento micelial em 50% (EC50) pelo método de probit e o Índice de Crescimento Micelial (ICM). Os óleos essenciais com maior potencial inibidor no crescimento micelial do F. pallidoroseum foram avaliados quanto ao efeito inibitório na germinação de esporos do fungo no ensaio ‘in vitro’ e ‘in vivo’ com frutos de melão ‘Galia’. A análise da composição química possibilitou a identificação de quantidades variáveis de compostos químicos, com predominância dos compostos monoterpênicos. Os óleos essenciais de alecrimpimenta, alfavaca-cravo, capim-limão e manjericão, apresentaram melhores efeitos na inibição do crescimento micelial e germinação dos esporos do fungo, mostrando-se promissores como matériaprima para o desenvolvimento de fungicidas comerciais, em especial no controle de podridão causada por F. pallidoroseum, em póscolheita.

ABSTRACT Cowpeas are of high socioeconomic importance in the North and Northeast regions of Brazil, whereby the search for alternatives that offer increased productivity with financial returns has become an important challenge. Thus, the objective of this study was to estimate and evaluate the economic indicators of cowpea production in 2015 and 2016 when applying drip irrigation to different depths. Irrigation treatments were based on crop evapotranspiration (ETc). The experiment was laid in a randomized complete blocks design with four treatments (0, 25, 50, and 100% ETc) and six replications. For economic analysis, the results were extrapolated to an area of one hectare. Productivity in 2015 was lower than that in 2016; however, in all treatments, it was always higher when plants were grown under adequate water supply. In both years, the total operating costs were higher under irrigation than under rainfed conditions. The 100% ETc treatment resulted in a greater number of cowpea bags (60 kg) produced and a higher gross revenue than the rainfed treatment by 17 bags ha-1, equivalent to 1,020 kg ha-1 (gross revenue US$ 711.48) and 16 bags ha-1, equivalent to 960 kg ha-1 (gross revenue US$ 867.12), in 2015 and 2016, respectively. Water deficit limited cowpea yield in both years but made cultivation economically unfeasible only in 2015.

RESUMO O feijão-caupi apresenta grande importância socioeconômica nas regiões Norte e Nordeste do Brasil, sendo que a busca por alternativas que ofereçam aumento de produtividade com retorno financeiro tem se tornado um importante desafio. Assim, o objetivo deste trabalho foi estimar e avaliar os indicadores econômicos da produção de feijão-caupi nos anos de 2015 e 2016 quando da aplicação de irrigação por gotejamento em diferentes lâminas. Os tratamentos de irrigação foram baseados na evapotranspiração da cultura (ETc). O experimento foi instalado em blocos ao acaso com quatro tratamentos (0, 25, 50 e 100% da ETc) e seis repetições. Para análise econômica, os resultados foram extrapolados para uma área de um hectare. A produtividade em 2015 foi inferior à de 2016; porém, em todos os tratamentos, a produtividade foi sempre maior quando as plantas foram cultivadas sob irrigação adequada. Em ambos os anos, os custos operacionais totais foram maiores sob irrigação do que sob condições de sequeiro. O tratamento 100% ETc resultou em maior número de sacas de feijão-caupi (60 kg) produzidas e receita bruta superior ao tratamento de sequeiro em 17 sacas ha-1, equivalente a 1.020 kg ha-1 (receita bruta US$ 711,48) e 16 sacas ha-1, equivalente a 960 kg ha-1 (receita bruta US$ 867,12), em 2015 e 2016, respectivamente. A deficiência hídrica limitou a produtividade do feijão-caupi nos dois anos, mas inviabilizou economicamente o cultivo apenas em 2015.

Abstract Introduction Head and neck cancer (HNC) and its treatment can cause physical, psychological, and quality of life (QoL) damage, because it can disturb the physiology of eating, breathing, speaking, and compromise self-image. Objective To evaluate the QoL of the pretreatment of patients diagnosed with head and neck cancer according to the anatomical location of the tumor. Methods A descriptive, cross-sectional study was performed on a sample of 144 patients undergoing pretreatment for cancer from February 2017 to July 2019. The University of Washington QoL Questionnaire (version 4) was used to assess the QoL. The anatomical location data were obtained from medical records. The ANOVA test was used to compare the differences in QoL according to tumor location. Results A total of 144 participants were included, 66 (45.5%) of whom had the primary tumor located in the mouth. The median age of the patients was 62 years, with a higher prevalence of male (75.7%), Black (78.5%), single/divorced/widowed people (59%), and illiterates (32.6%); most of them were smokers (84.7%) and alcohol drinkers (79.2%). The mean QoL score was 830 for mouth cancer, 858 for pharynx cancer, and 891 for laryngeal cancer patients. Conclusion Based on the results of this study, it can be concluded that the QoL of patients with head and neck cancer was not influenced by tumor location. The most affected domains in the three groups were pain, appearance, chewing, swallowing, and speech (p < 0.05).

One of the main phenomena causing problems in the oil industry is the precipitation of waxes, which can crystallize and form deposits, clogging lines and reducing flows. Many studies have been conducted seeking to overcome this problem, mainly through application of chemical to increase flow. Some studies have shown that the asphaltenes present in crude oil can also be involved in the process of wax deposition. In this study, model systems were investigated to determine the influence of a natural additive, a chemical additive and their combined use on the fluidity of the samples. The natural additive, consisting of a refinery asphalt residue (ASPR), was studied in relation to the influence of its aggregation states on the fluidity of the wax model systems. All samples were evaluated through the pour point test, according to the ASTM D-97 standard. The results indicated that both the ASPR and the commercial poly(ethylene-co-vinyl acetate) can improve the fluidity. Synergistic effect, using both together, was verified by the significant reduction of pour point for model systems with wax content as high as 13% m v-1. That action was closely related to the concentration of ASPR and its aggregation state, as indicated by tests with different wax concentrations.

Abstract Objectives Evidence suggests that ketamine’s influence on brain-derived neurotrophic factor (BDNF) might be involved in its mechanism of rapid antidepressant action. We aimed to evaluate the differential impact of ketamine and esketamine on serum BDNF levels and its association with response patterns in treatment-resistant depression (TRD). Methods Participants (n = 53) are from a randomized, double-blind clinical trial comparing the efficacy of single-dose ketamine (0.5mg/kg, n = 27) and esketamine (0.25mg/kg, n = 26) in TRD. Depression severity was assessed before and 24 hours, 72 hours, and 7 days after the intervention, using the Montgomery-Åsberg Depression Rating Scale (MADRS). Blood samples were collected before infusion, 24 hours, and 7 days afterwards. Results There were no significant changes in BDNF levels at post-infusion evaluation points, and no difference in BDNF levels comparing ketamine and esketamine. Both drugs exhibited similar therapeutic effect. There was no association between BDNF levels and response to treatment or severity of depressive symptoms. Conclusion There was no significant treatment impact on BDNF serum levels – neither with ketamine nor esketamine – despite therapeutic response. These results suggest that ketamine or esketamine intervention for TRD has no impact on BDNF levels measured at 24 hours and 7 days after the infusion. This clinical trial is registered on the Japan Primary Registries Network: UMIN000032355.

Abstract Fruit ripening promoted by the exogenous application of ethylene analogs, such as calcium carbide, has commercial advantages. Thus, the knowledge of the responses of fruits treated with ethylene-inducing agents is essential to optimize the use of these substances. This work aimed to evaluate the influence of exposure to calcium carbide on the anticipation and standardization of postharvest ripening of cajá-manga fruits. Physiologically mature fruits were exposed to calcium carbide for 24 hours at concentrations 0, 20, 40, 80, and 110 g m-3. The fruits were stored at a temperature of 28±2 °C and evaluated at 0, 2, 4, and 6 days for the loss of fresh mass, color of the epidermis and pulp given by the CIELAB color space, titratable acidity, soluble solids content, the ratio between soluble solids content and titratable acidity, and vitamin C content. Cajá-manga fruits treated with different concentrations of calcium carbide had their ripening anticipated without compromising their characteristics. The concentrations of 20, 40, and 80 g m-3 of calcium carbide allowed the anticipation and standardization of fruit ripening within four days during storage, while for the highest concentration (110 g m-3), complete maturation was accelerated, occurring between two and four days of storage.

Resumo O amadurecimento de frutos promovido pela aplicação exógena de análogos de etileno, como o carbureto de cálcio, tem vantagens comerciais. Assim, o conhecimento das respostas de frutos tratados com agentes indutores de etileno é essencial para otimizar o uso dessas substâncias. Este trabalho teve como objetivo avaliar a influência da exposição ao carbureto de cálcio na antecipação e na padronização do amadurecimento pós-colheita de frutos de cajá-manga. Frutos fisiologicamente maduros foram expostos ao carbureto de cálcio nas concentrações de 0; 20; 40; 80 e 110 g m-3 por 24 horas. Os frutos foram armazenados a uma temperatura de 28±2 °C e avaliados aos 0; 2; 4 e 6 dias quanto à perda de massa fresca, cor da epiderme e polpa dada pelo espaço de cor CIELAB, acidez titulável, teor de sólidos solúveis, relação entre o teor de sólidos solúveis e a acidez titulável, e teor de vitamina C. Frutos de cajá-manga tratados com diferentes concentrações de carbureto de cálcio tiveram seu amadurecimento antecipado sem comprometer suas características. As concentrações de 20; 40 e 80 g m-3 de carbureto de cálcio permitiram a antecipação e a padronização do amadurecimento dos frutos em quatro dias, durante o armazenamento, Enquanto para a maior concentração (110 g m-3), a maturação completa foi acelerada, ocorrendo entre dois e quatro dias de armazenamento.

Abstract Bovine pericardium (BP) has been used as a biomaterial for several decades in many medical applications particularly due to its mechanical properties and the high collagen content. In the acellular form it favors faster tissue repair, providing a three-dimensional support for cellular and vascular events observed during tissue repair and due, to a low elastin content, may favor its use as a breast implant cover, resulting in a low possibility of contracture of the biomaterial, preventing the appearance of irregularities during the reconstruction process. Thus, the aim of this study was to evaluate, histomorphologically, the behavior of acellularized bovine pericardium (ABP) as a mammary implant cover in rats. For this purpose, 16 animals were divided into two groups, with eight animals at each biological point: 7 and 15 days after surgery. Of the 16 animals, 32 specimens were obtained: 16 in the experimental group (EG) and 16 in the control group (CG). Throughout this study, none of the studied groups had postoperative complications. Results: The histomorphological results showed, in the two biological points, both in the EG and in the CG, chronic inflammatory infiltrate, leukocyte fibrin exudate, formation of granulation tissue and deposition of collagen fibers, more evident in the EG, regressive along the biological points. At 15 days, the implanted ABP showed initial biointegration with the fibrous capsule and surrounding tissues of the recipient bed. Conclusion: These results indicate that the due to the observed favorable tissue response ABP may be of potential use as a breast implant cover.

Resumo O pericárdio bovino (PB) tem sido utilizado como biomaterial há várias décadas em diversas aplicações médicas, principalmente devido às suas propriedades mecânicas e ao alto teor de colágeno. Na forma acelular, favorece a reparação tecidual mais rápida, dando um suporte tridimensional para eventos celulares e vasculares observados durante a reparação tecidual e devido ao baixo teor de elastina, pode favorecer seu uso como cobertura de implantes mamários, resultando em baixa possibilidade de contratura do biomaterial, evitando o aparecimento de irregularidades durante o processo de reconstrução. Assim, o objetivo deste estudo foi avaliar, histomorfologicamente, o comportamento do pericárdio bovino acelularizado (PBA) como cobertura de implante mamário em ratos. Dezesseis animais foram divididos em dois grupos, com oito animais em cada ponto biológico: 7 e 15 dias após a cirurgia. Dos 16 animais, 32 espécimes foram obtidos: 16 no grupo experimental (GE) e 16 no grupo controle (GC). Ao longo deste estudo, nenhum dos grupos estudados apresentou complicações pós-operatórias. Os achados histomorfológicos mostraram, nos dois pontos biológicos, tanto no GE quanto no GC, infiltrado inflamatório crônico, exsudato fibrino leucocitário, formação de tecido de granulação e deposição de fibras colágenas, mais evidentes no GE, regressivas ao longo dos pontos biológicos. Aos 15 dias, o PBA implantado apresentou biointegração inicial com a cápsula fibrosa e tecidos circundantes do leito receptor. Esses resultados indicam que, devido à resposta favorável do tecido observado, o PBA pode ser de uso potencial como cobertura de implante mamário.

Abstract This study presents the first complete mitogenome of the Brazilian Atlantic bushmaster Lachesis with insights into snake evolution. The total length was 17,177 bp, consisting of 13 PCGs, 22 tRNAs, two rRNAs and a duplicate control region (CRs). Almost all genes were encoded by the heavy-strand, except for the ND6 gene and eight tRNAs (tRNA-Gln, Ala, Asn, Cys, Tyr, Ser[TGA anticodon], Glu, Pro). Only ATG, ATA, and ATC were starting codons for protein-coding sequences. Stop codons mainly were TAA, AGA, AGG, and TAG; whereas ND1, ND3, and CYTB terminated with incomplete stop codons. Phylogeny retrieved Lachesis within the Crotalinae as the sister group of Agkistrodon; and the Lachesis+Agkistrodon clade as the sister group of (Sistrurus+Crotalus)+Bothrops. The tree supports Crotalinae, Viperinae, and Azemiopinae in the Viperidae family, being sister taxa of Colubridae+(Elapidae+Psammophiidae). The mean genetic distance across 15 snake families and 57 nucleotide sequences was 0.37. The overall mean value of genetic distance across the Crotalinae was 0.23, with Lachesis muta exhibiting the shortest distance of 0.2 with Agkistrodon piscivorus, Protobothrops dabieshanensis and P. flavoviridis and the greatest 0.25 with Gloydius blomhoffii, Trimeresurus albolabris, S. miliarius, and Deinagkistrodon acutus. The complete Atlantic L. muta mitogenome presented herein is only the third annotated mitogenome from more than 430 described Brazilian snake species.

RESUMO Neste trabalho, apresentamos um modelo geral para selecionar carteiras de investimento a partir da maximização de um momento ímpar de ordem superior quando fixados os dois primeiros momentos, considerando um ativo livre de risco e permitindo vendas a descoberto. Deduzimos propriedades geométricas de suas soluções. Propomos ainda uma generalização ao modelo Média-variância de Markowitz, pela minimização de um momento par de ordem superior sujeita a um retorno fixo. trabalho momentos descoberto soluções Médiavariância Média variância Markowitz fixo

ABSTRACT This paper presents a general model to portfolio selection based on maximizing a higher-order odd moment when the first two moments are fixed, considering a risk- free asset, and allowing short sales. We deduce geometric properties from their solutions and also propose a generalization to the Markowitz Mean-Variance model by minimizing a higher-order even moment subject to a fixed return. higherorder higher order risk asset sales MeanVariance Mean Variance return

Three new triterpenes, 3,4-seco-3,11β-epoxyfriedel-4(23)-en-3β-ol (1), friedelan-3α,11β diol (2), 7β,26-epoxyfriedelan-3a,7a-diol (3), a mixture of two new triterpenes 3α-hydroxyfriedelan-29-yl palmitate (4) and 3α-hydroxyfriedelan-29-yl stearate (5) and eleven known compounds were obtained from the hexane extract of Maytenus quadrangulata leaves. The structures and the relative stereochemistry of the new triterpenes were established through 1D/2D nuclear magnetic resonance (NMR), high resolution mass spectrometry (HRMS), and Fourier transform infrared (FTIR) spectral data. The hexane extract and isolated compounds were submitted to the cytotoxicity assays against leukemia (THP-1 and K562), ovarian (TOV-21G) and breast cancer (MDA-MB-231) cell lines. Compounds 1, 2 and 11β-hydroxyfriedelan-3-one (15) displayed high cytotoxicity and selectivity against leukemic cells when compared to positive control cytarabine (for THP-1) and imatinib (for K562). Furthermore, compound 2 showed similar cytotoxicity and an enhanced selectivity towards ovarian and breast cells in comparison to positive control etoposide.

The antifungal potential of volatile organic compounds (VOCs) produced by actinobacterial strains Streptomyces sp. (ACTB-77) and Amycolatopsis sp. (ACTB-290) from the rhizosphere of Caatinga plants against Colletotrichum musae was investigated. VOCs produced by these microorganisms (axenic and co-culture) were investigated using headspace-solid phase micro-extraction (HS-SPME) and gas chromatography-mass spectrometry (GC-MS). Although no exclusive VOC peaks were observed in the co-culture with ACTB-77, the same experiment involving ACTB-290 yielded five new peaks, including two identified alcohols, suggested as bioreductive products of the corresponding ketones by the fungus. Statistical analysis revealed that co-culture ACTB-77/C. musae has a closer similarity to the fungus than to the actinobacteria, while the co culture ACTB-290/C. musae showed closer similarity to the actinobacteria. These confirmed the more pronounced antifungal activity of the ACTB-290 strain, as observed in the fungus growth inhibition experiments. The antifungal activity of ACTB-290 was associated to its sulfur-containing metabolites, while linalool was suggested as responsible for the ACTB-77 activity.

Resumo O objetivo deste artigo é mensurar desigualdades socioeconômicas no acesso a serviços de saúde, no contato com profissionais e em intervenções específicas. Estudo transversal de base populacional com indivíduos (18 anos ou mais) vivendo em Rio Grande. Os desfechos mensurados foram: cobertura da Estratégia de Saúde da Família (ESF), plano de saúde, visita do agente comunitário de saúde, consulta médica, consulta com dentista, aconselhamento nutricional, aula com professor de educação física, vacina da gripe, mamografia, exames citopatológico e de próstata. Medidas de desigualdade absolutas e relativas foram utilizadas para avaliar a distribuição dos desfechos. A taxa de resposta foi de 91% (1.300 adultos entrevistados). A cobertura dos indicadores variou de 16,1%, para ter aula com professor de educação física, a 80,0%, para consulta médica. Cobertura de ESF e visita do agente comunitário de saúde apresentaram maior proporções entre os mais pobres, enquanto desfechos de contato com profissionais de saúde, exames de rastreamento e vacina da gripe foram mais prevalentes entre os mais ricos. Foram observadas baixas coberturas de acesso aos serviços e contato com profissionais, bem como desigualdades sociodemográficas importantes.

Abstract This article aims to measure socioeconomic inequalities regarding access to health services, contact with health professionals, and specific health interventions. This was a cross-sectional population-based study with individuals aged 18 years or older, living in the city of Rio Grande. The outcomes were the following: Family Health Strategy (FHS) coverage; having a health insurance plan; receiving a visit of a community health worker; medical consultation; dental consultation; dietary counseling; having a class with a physical education professional; flu vaccination; mammography, cytopathological and prostate exams. Relative and absolute measures were used to assess inequalities in the distribution of the outcomes. There was a response rate of 91% (1,300 adults were interviewed). Coverage indicators ranged from 16.1%, for having a class with a physical education professional, to 80.0% for medical consultation. FHS coverage and visit of a community health agent presented higher proportions among the poorest while outcomes regarding contact with health professionals, screening exams and flu vaccine were more prevalent among richest group. We observed low coverage levels of access to health services and professionals in addition to marked socioeconomic inequalities.

Resumo O objetivo deste artigo é mensurar desigualdades socioeconômicas no acesso a serviços de saúde, no contato com profissionais e em intervenções específicas. Estudo transversal de base populacional com indivíduos (18 anos ou mais) vivendo em Rio Grande. Os desfechos mensurados foram: cobertura da Estratégia de Saúde da Família (ESF), plano de saúde, visita do agente comunitário de saúde, consulta médica, consulta com dentista, aconselhamento nutricional, aula com professor de educação física, vacina da gripe, mamografia, exames citopatológico e de próstata. Medidas de desigualdade absolutas e relativas foram utilizadas para avaliar a distribuição dos desfechos. A taxa de resposta foi de 91% (1.300 adultos entrevistados). A cobertura dos indicadores variou de 16,1%, para ter aula com professor de educação física, a 80,0%, para consulta médica. Cobertura de ESF e visita do agente comunitário de saúde apresentaram maior proporções entre os mais pobres, enquanto desfechos de contato com profissionais de saúde, exames de rastreamento e vacina da gripe foram mais prevalentes entre os mais ricos. Foram observadas baixas coberturas de acesso aos serviços e contato com profissionais, bem como desigualdades sociodemográficas importantes.

Abstract This article aims to measure socioeconomic inequalities regarding access to health services, contact with health professionals, and specific health interventions. This was a cross-sectional population-based study with individuals aged 18 years or older, living in the city of Rio Grande. The outcomes were the following: Family Health Strategy (FHS) coverage; having a health insurance plan; receiving a visit of a community health worker; medical consultation; dental consultation; dietary counseling; having a class with a physical education professional; flu vaccination; mammography, cytopathological and prostate exams. Relative and absolute measures were used to assess inequalities in the distribution of the outcomes. There was a response rate of 91% (1,300 adults were interviewed). Coverage indicators ranged from 16.1%, for having a class with a physical education professional, to 80.0% for medical consultation. FHS coverage and visit of a community health agent presented higher proportions among the poorest while outcomes regarding contact with health professionals, screening exams and flu vaccine were more prevalent among richest group. We observed low coverage levels of access to health services and professionals in addition to marked socioeconomic inequalities.