Abstract Background: In Brazil, socioeconomic differences in the incidence of rheumatoid arthritis (RA) have been demonstrated, which are important in the formulation of hypotheses regarding the association between environmental factors, lifestyle and the risk of disease development. This study examines how the socioeconomic condition of the patient with RA in Brazil, assessed according to social class, educational level, employment situation and use of caregivers, affects the times between the beginning of symptoms and diagnosis and the beginning of the use of disease-modifying antirheumatic drugs, as well as the presence of erosive disease and functional status. Methods: This work is part of a multicentric study called REAL - Rheumatoid Arthritis in Real Life in Brazil, which is a prospective observational cohort study. Results: As described in the REAL study, we included a total of 1115 patients. It was noted that patients with an educational classification of up to second grade incomplete presented with erosion percentages above those with a higher grade complete. Patients with caregivers presented a higher percentage of erosion than patients without caregivers. We verified that patients from economic classes above B2 presented fewer occurrences of erosion than those from classes C2, D-E. We also analyzed the average time differences from the beginning of symptoms and diagnosis and the beginning of treatment, according to academic level, erosion and economic classification. Patients with first grade complete showed an HAQ-DI averages higher than those with second grade complete. The patients who had employment showed lower HAQ-DI averages than patients who were not employed. The patients with erosion showed an HAQ-DI value higher than those without erosion. Patients with caregivers showed an HAQ-DI average higher than that of without caregivers. Conclusion: This study showed that the therapeutic window of RA is not being reached, and therefore we should have a policy to expand and ensure access to public health for all patients, especially those with lower levels of education and income. Trial registration: This study was approved by the National Commission of Ethics in Research.

A vermiculita expandida é um material leve, barato e sua resistência térmica permite sua utilização como material isolante. Referente ao seu uso na Apicultura, esta pesquisa testou se a caixa para abelhas melíferas construída com argamassa cimento-vermiculita (ACV) apresenta características similares às da madeira. O estudo foi realizado em Seropédica (ERJ), Brasil, durante oito meses. Comparou-se a argamassa com o material controle, que foi a madeira pinho, em caixas de abelhas e em placas, em um delineamento inteiramente casualizado, quanto ao: controle térmico, a condutividade térmica, a capacidade de absorver e perder água. O custo de produção da caixa ACV para abelhas foi estimado. Não se observaram diferenças da temperatura interna entre as caixas de ACV e de madeira. A condutividade térmica foi similar nas placas de ACV e de madeira. As placas de ACV absorveram mais água, mas perderam mais rapidamente do que as de madeira. Considerando que a caixa de abelhas ACV é de fácil construção, de custo baixo e apresenta características similares a do material tradicional (madeira), este material pode ser recomendado para a apicultura, desde que não migratória.

Exfoliated vermiculite is a light-weight and cheap product that, because of its thermal resistance, has become a valuable insulating material. With regard to its use in beekeeping, this research tested whether the box for honey bees constructed with cement-vermiculite mortar (CVM) presents physical characteristics similar to those of wood. The experiment was carried out at Seropédica, RJ, Brazil, for eight months. The cement-vermiculite mortar was compared with a control material (pinewood), in the construction of Langstroth boxes and boards, in a completely randomized design, with respect to thermal control, thermal conductivity and its capacity to absorb and lose water. The production cost for a CVM box was estimated. There were no internal temperature differences between CVM and wooden boxes. Thermal conductivity values for CVM and pinewood were similar. CVM absorbed more water and lost water faster than pinewood. Since CVM boxes can be easily constructed, at a low cost and with similar characteristics as traditional boxes, made of wood, the material can be recommended for use in non-migratory beekeeping.