Abstract Surge arresters are at the forefront of protection against voltage surges. The loss of the protective effect of surge arresters imposes accidents and unplanned shutdowns on the power system. It directly affects the interruption of power supplies and imposes fines on service providers. Monitoring and diagnostics in the lightning rod field require studies and work that present the degradation behaviour of surge arresters to help develop and improve existing techniques. This paper presents the development of a laboratory with a low-energy, mobile current waveform impulse generator. It allows for conducting aging tests by applying discharges to low-voltage zinc oxide surge arresters used in the energy distribution sector. Samples of surge arresters were subjected to the discharges produced by the developed generator, and they exhibited degradation, thus showing asymmetry between the positive and negative half-cycles of leakage current.

Abstract As high-voltage circuit breakers (HVCBs) are responsible for switching off the load in the event of anomalies, they suffer various wear and tear, both on their main contacts and on the other actuation mechanisms. Not only load maneuvers but also weather conditions can bring factors that contribute to deterioration and, consequently, contribute to failures of this component that is so important for energy supply. Both failures and maintenance shutdowns generate costs for substations, something that could be minimized if there was monitoring of the condition of the HVCBs. This paper shows a methodology to analyze the vibration signal of HVCB in order to identify and quantify contact failures. The proposed methodology is verified through an experimental setup. The results show that it is possible not only to identify the fault but also to assess its intensity using vibration analysis.

Abstract Background Sedentary behavior has been associated with several cardiometabolic risk factors during childhood. However, little is known about the impact of sedentary behavior on the health and eating habits of physically active children and adolescents. Objective To evaluate the association between sedentary behavior and cardiometabolic risk factors and eating habits in physically active children and adolescents. Methods This cross-sectional study was conducted, including 516 physically active children and adolescents (10 to 18 years old; both sexes) enrolled in the social project “Estação Conhecimento-Vale” were evaluated. Biochemical and lifestyle variables (questionnaire) were collected. Sedentary behavior was determined indirectly (questionnaire), by using sitting time ≥ 3 hours per day as a cutoff point. A p-value < 0.05 was considered statistically significant for all tests. Results Sedentary behavior was not associated with overweight/obesity (odds ratio = 0.72 [95% confidence interval (CI): 0.325-1.389]), hypertriglyceridemia (odds ratio = 0.63 [95% CI: 0.306-1.297]), low HDL cholesterol (odds ratio = 0.57 [95% CI: 0.323-1.019]), or high non-HDL cholesterol (odds ratio = 0.63 [95% CI: 0.283-1.389]). However, children and adolescents with sedentary behavior were more likely to regularly consume food in front of the television (odds ratio = 1.96 [95% CI: 1.114-3.456]) and to consume at least one ultra-processed food per day (odds ratio = 2.42 [95% CI: 1.381-4.241]). In addition, they were less likely to consume fruit regularly (odds ratio = 0.52 [95% CI: 0.278-0.967]). Conclusion There was no association between sedentary behavior and cardiometabolic risk factors in physically active children and adolescents. However, sedentary behavior was associated with inadequate eating habits. Thus, we may suggest that the regular engagement in physical activity may attenuate the deleterious effects of sedentary behavior on the cardiometabolic parameters of children and adolescents.

Resumo Fundamento O comportamento sedentário tem sido associado a diversos fatores de risco cardiometabólicos durante a infância. No entanto, pouco se sabe sobre o impacto do comportamento sedentário na saúde e nos hábitos alimentares de crianças e adolescentes fisicamente ativos. Objetivo Avaliar a associação entre comportamento sedentário e fatores de risco cardiometabólicos e hábitos alimentares em crianças e adolescentes fisicamente ativos. Métodos Esse estudo transversal avaliou 516 crianças e adolescentes (10 a 18 anos; ambos os sexos) fisicamente ativos integrados no projeto social “Estação Conhecimento-Vale”. O comportamento sedentário foi determinado de maneira indireta (questionário), utilizando como ponto de corte o tempo sentado ≥ 3 h/dia. Foram estatisticamente significantes as análises com p-valor < 0,05. Resultados O comportamento sedentário não foi associado ao excesso de peso (odds ratio = 0,72 [intervalo de confiança (IC) de 95%: 0,325-1,389]), hipertrigliceridemia ( odds ratio = 0,63 [IC95%: 0,306-1,297]), HDL colesterol baixo ( odds ratio = 0,57 [IC95%: 0,323-1,019]) e HDL não colesterol alto ( odds ratio = 0,63 [IC95%: 0,283-1,389]). Contudo, crianças e adolescentes que adotavam comportamento sedentário apresentaram maior chance de consumir regularmente alimentos em frente à televisão ( odds ratio =1,96 [IC95%: 1,114-3,456]) e de consumir pelo menos um alimento ultraprocessado por dia ( odds ratio =2,42 [IC95%: 1,381-4,241]). Além disso, apresentaram menor chance de consumir frutas regularmente (OR=0,52 [IC95%: 0,278-0,967]). Conclusão Não houve associação entre comportamento sedentário e fatores de risco cardiometabólicos em crianças e adolescentes fisicamente ativos. Contudo, o comportamento sedentário foi associado a hábitos alimentares inadequados. Dessa forma, podemos sugerir que a prática regular de atividade física pode atenuar os efeitos deletérios do comportamento sedentário nos parâmetros cardiometabólicos de crianças e adolescentes.

Abstract Clonal growth can be especially advantageous in spatially heterogeneous environments and some clonal plants are highly invasive or superdominant, especially in disturbed environments. However, their temporal dynamics in the absence of large disturbances are not well known. We assessed whether patches dominated by the native bracken fern Pteridium arachnoideum expanded or retracted in area over six years. We mapped the contour of eight patches occupied by P. arachnoideum in a savanna-forest transition every two years from 2009 to 2015. The area occupied by most patches was overall stable, indicating that forested patch boundaries may be unsuitable for an effective vegetative spread of P. arachnoideum. One patch fully retracted during the study period, possibly due to extensive herbivory by leafcutter ants. Thus, although clonal foraging may enable the spread of the species to more suitable sites from these patches, these results indicate that P. arachnoideum does not represent a threat to the biodiversity of savanna-riparian forest transitions in the absence of extensive disturbances, as the area of the largest patches remained stable or decreased during our study. These findings highlight that specific characteristics of the local disturbance regime may be key to the cost-effective management of some superdominant native species.

Resumo O crescimento clonal tende a ser especialmente vantajoso em ambientes espacialmente heterogêneos e algumas plantas clonais são altamente invasivas ou superdominantes, especialmente em ambientes perturbados. No entanto, a sua dinâmica temporal na ausência de distúrbios maiores não é bem conhecida. Nós acompanhamos manchas dominadas pela samambaia nativa Pteridium arachnoideum ao longo de um período de seis anos para avaliar se elas aumentaram ou diminuíram de tamanho durante este tempo. Nós amostramos seis manchas ocupadas por P. arachnoideum em uma transição entre floresta e savana e mapeamos o seu contorno de dois em dois anos, de 2009 a 2015. Não houve incêndios na área de estudo durante este período e a área ocupada pela maioria das manchas se manteve no geral estável, indicando que limites de manchas de floresta parecem não serem adequadas para uma expansão vegetativa efetiva do P. arachnoideum. Além disso, uma mancha retraiu completamente durante o tempo de estudo, possivelmente devido a herbivoria intensa por formigas-cortadeiras. Assim, embora forrageamento clonal possa permitir o espalhamento desta espécie para sítios mais adequados a partir das manchas já ocupadas, estes resultados indicam que P. arachnoideum não é uma ameaça à biodiversidade em transições entre savana e floresta ripária na ausência de grandes distúrbios, já que a área das manchas permaneceu estável ou diminuiu durante o estudo. Estas descobertas enfatizam que decisões relacionadas ao manejo de espécies nativas superdominantes (e.g., controle ativo ou regeneração natural) devem considerar como estas espécies respondem ao regime local de distúrbios.

ABSTRACT The ability to maintain high competitiveness under a wide range of conditions is common among successful invasive species. The performance of rhizomatous macrophytes in different habitats is closely related to morphological and physiological adaptations in the rhizome system. We investigated the effects of soil moisture conditions on the microstructure of rhizomes of Hedychium coronarium (Zingiberaceae), an aggressive invader of Neotropical riparian sites. We collected rhizome fragments of H. coronarium and soil samples in wet and dry regions of riparian areas dominated by this species in southeastern Brazil. We measured soil moisture content gravimetrically and rhizome fragments were fixed, sectioned, and stained for histological analysis. Only rhizomes from wet regions exhibited aerenchyma, whereas amyloplasts were much more abundant and larger in rhizomes from dry regions than in rhizomes from wet regions. Even though low starch content in wet soils indicates the occurrence of anaerobic metabolism, the presence of aerenchyma may contribute to the typically high performance of H. coronarium in waterlogged soils. Although further studies are needed to assess how responses at the rhizome level affect the competitive ability of H. coronarium, our findings show that they may play a role in the dominance of this species in Neotropical riparian sites.

Abstract The continuity of an electrical system's services is linked to its equipment's correct operation. The more correctly they worked, the higher the quality of the services provided. Thus, they must have their functioning scanned closely and that minor defects have their evolution monitored. This fact creates the possibility of making predictions about how long equipment can operate without compromising the system's continuity. This follow-up is proper for predictive maintenance. This paper presents three on-going COPEL Generation and Transmission projects in essential elements of its electrical system: circuit breakers, lightning arresters, and SF6 substation. The central idea of all monitoring projects is to check the early problem in this equipment and facilities.

Resumo Neste trabalho foi determinada a influência da temperatura, do pH e do tempo de armazenamento na estabilidade enzimática de frutosiltransferase (E.C.2.4.1.9) extracelular de Aspergillus oryzae IPT-301, produzida por fermentação submersa. Os parâmetros termodinâmicos mostraram tendência de aumento da desnaturação da enzima com o aumento da temperatura. A atividade de transfrutosilação máxima foi obtida para a enzima incubada em pH 5,5. Durante o armazenamento a 4 °C, a atividade de transfrutosilação diminuiu, enquanto a atividade hidrolítica aumentou, principalmente nas primeiras nove horas, período em que a enzima apresentou 45,6% de sua atividade inicial de transfructosilação. Esses resultados contribuem para a melhoria das condições de armazenamento, imobilização e utilização das frutosiltransferases solúveis na produção de frutooligossacarídeos.

Abstract In this work, it was determined the influence of temperature, pH and storage time on the enzymatic activity and stability of an extracellular fructosyltransferase (FTase E.C.2.4.1.9) from Aspergillus oryzae IPT-301 produced by submerged fermentation. The thermodynamic parameters showed a tendency for increasing enzyme denaturation with the rise in temperature. The maximum transfructosylation activity was obtained at the incubation pH 5.5. During storage at 4 °C, the transfructosylation activity decreased, whereas the hydrolytic activity increased, especially in the first nine hours, a time in which the enzyme presented 45.6% of its initial transfructosylation activity. These results contributed to the improvement of the conditions of storage, immobilization and use of the soluble fructosyltransferases (FTase) in fructooligosaccharide (FOS) production.

Abstract Purpose: In laparoscopic incisional hernia repair, meshes with a tissue-separating barrier are positioned intraperitoneally. Despite this property, the close contact between mesh and viscera involves a risk of adhesion formation. Some natural products, such as red propolis (RP), could reduce these adhesions owing to their anti-inflammatory properties. This study aimed to compare two different intraperitoneal meshes with respect to their characteristics of adhesion formation, histological findings and evaluate the role of RP in the development of these adhesions. Methods: 40 Wistar rats received placement of two different meshes (Symbotex and Dynamesh IPOM) on peritoneum. The animals were divided into two groups: control group (mesh) and treatment group (mesh and RP). After 7 and 14 days, 20 animals of each group underwent midline laparotomy to determine the adhesions and histological characteristics. Results: Out of the 40 animals, there were two deaths in the test group and two in the control group. All animals in both groups developed adherence to the mesh. At postoperative day (POD) 7, two Symbotex meshes presented firm adhesions and at POD 14, two Dynamesh meshes had firm adhesions as well. The comparison between the meshes under the effect of RP in relation to the control group showed no statistical difference. Conclusions: Both meshes showed intraperitoneal adhesions in all evaluated samples with similar results on the characteristics of adhesions. RP showed no effect on the incidence or gradation of intraperitoneal adhesions with the mesh.

RESUMO: O objetivo do presente estudo é descrever e caracterizar um surto nosocomial provocado por S. Typhimurium multirresistente em bezerros hospitalizados em um hospital escola de medicina veteriária localizado no Brasil. Sessenta e três (96,9%) bezerros apresentaram letargia, hipertermia e diarreia profusa e, apesar do tratamento, vinte e seis animais (41,2%) morreram. Cinco animais foram necropsiados e amostras fecais de seis bezerros foram coletadas. As estirpes isoladas foram submetidas a testes de susceptibilidade a antimicrobianos pelo método de disco-difusão e foram genotipadas pelo ERIC-PCR. Lesões macroscópicas sugestivas de salmonelose, como enterite fibrinonecrótica e hepatoesplenomegalia, foram observadas. Salmonelose foi confirmada pelo isolamento de S. Typhimurium em amostras fecais e órgãos de sete animais. Dos sete isolados, seis apresentaram 100% de similaridade ao ERIC-PCR, sugerindo ocorrẽncia de transmissão nosocomial de S. Typhimurium entre os bezerros hospitalizados. Com excessão de uma estirpe, todas foram resistentes a marbofloxacina, enrofloxacina, florfenicol, oxitetraciclina e trimetoprima/sulfametoxazol, agentes antimicrobianos amplamente utilizados para o tratamento humano e animal. Esse é o primeiro estudo que demonstra um surto nosocomial de estirpes de S. Typhimurium resistentes a múltiplas drogas em um hospital veterinário no Brasil, enfatizando a necessidade de medidas preventivas que reduzam os riscos aos animais hospitalizados e a pessoas que entrarem em contato com esses animais.

ABSTRACT: The present study aimed to describe and characterize a nosocomial outbreak caused by a multidrug resistant Salmonella Typhimurium in hospitalized calves at a veterinary medical teaching hospital from Brazil. Sixty-three (96.9%) calves showed lethargy, hyperthermia and profuse diarrhea and despite treatment, 26 (41.2%) animals died. Five animals were necropsied and stool samples of six calves were collected. The isolated strains were subjected to antimicrobial susceptibility test by disc-difusion method and were fingerprinted by ERIC-PCR. Macroscopic lesions suggestive of salmonellosis, such as fibrinonecrotic enteritis and hepatosplenomegaly were observed. Salmonellosis was confirmed by isolation of S. Typhimurium from stool samples and organs from seven affected animals. Six out of seven isolates of S. Typhimurium, exhibited 100% of similarity at ERIC-PCR, suggesting occurrence of nosocomial transmission of S. Typhimurium among the hospitalized calves. All but one S. Typhimurium isolated were resistant to marbofloxacin, enrofloxacin, florfenicol, oxytetracycline and trimethoprim/sulfamethoxazole, antimicrobial agents largely used for humans and animal treatment. This is the first study of a nosocomial outbreak of multidrug resistant S. Typhimurium in a veterinary hospital in Brazil and highlighted the need for preventive measures to reduce the risks for inpatients and humans in contact with animals.

Abstract Annona leptopetala (R.E.Fr.) H. Rainer, Annonaceae, is used in folk medicine like antitumor and anti-inflammatory. The aim of this study was to determine chemical composition, toxicity and antitumor activity of A. leptopetala leaves volatile oil. Fresh leaves were hydrodistilled and then the volatile oil chemical composition was assessed by gas chromatography and mass spectrometry. Toxicity was assessed using haemolysis, micronucleus and acute toxicity protocols. Antitumor effects were determined in vitro and in vivo, using sulforhodamine B assay and sarcoma 180 murine tumor model, respectively. Spathulenol was the major component identified (12.56%). The volatile oil showed in vitro antitumor activity mainly in leukemia cell line (K-562), with Total growth inhibit (TGI) (concentration producing TGI) of 0.64 µg/ml. In other hand, the volatile oil <250 µg/ml did not inhibit HaCat non-tumor cell line growth. The concentration that produced 50% haemolysis was 372.8 µg/ml. The 50% lethal dose in mice was approximately 447.2 mg/kg intraperitoneally. Sarcoma 180 tumor growth inhibition rates were 59.29% and 58.77% at 100 and 150 mg/kg intraperitoneally, respectively. The volatile oil presented moderate gastrointestinal toxicity and no genotoxicity was observed at 350 mg/kg. Thus, the volatile oil shows antitumor activity with moderate toxicity.

RESUMO: O objetivo do presente estudo foi descrever e caracterizar, pela primeira vez, dois surtos de salmonelose causados por Salmonella Ndolo em potros e bezerros do Brasil e comparar esses isolados com Salmonella Ndolo previamente identificada em répteis assintomáticos. Os animais infectados apresentaram febre, letargia e diarreia profusa. Os isolados foram submetidos a testes de susceptibilidade a antimicrobianos e foram caracterizados conforme a presença de genes de virulência e diversidade genética, utilizando-se o ERIC-PCR. Salmonella Ndolo foi identificado em amostras fecais de dois potros e quatro bezerros. Um isolado de bezerro foi resistente a amoxicilina/ácido clavulanico, trimethoprima/sulfametoxazol e florfenicol. Estirpes de dois outros bezerros foram resistentes a oxitetraciclina. Todos os genes de virulência testados foram identificados nos isolados e dois grandes grupos de estirpes geneticamente relacionadas foram identificados pelo ERIC-PCR, um para cada surto. Esse é o primeiro relato de Salmonella Ndolo em animais domésticos e sintomáticos. Previamente, esse sorovar foi identificado apenas em infecções humanas. A presença de fatores de virulência relevantes em todos os isolados e a detecção de estirpes multirresistentes a antimicrobianos destaca a importância do monitoramento de sorovares associados a salmonelose em animais domésticos.

ABSTRACT: The present study aimed to describe and characterize, for the first time, two outbreaks of salmonellosis caused by Salmonella Ndolo in foals and calves in Brazil and compare the isolated strains with S. Ndolo previously identified in asymptomatic reptiles. The affected calves and foals presented fever, lethargy, and profuse diarrhea. Isolated strains were subjected to antimicrobial susceptibility testing, characterized according to virulence genes, and fingerprinted by ERIC-PCR. Salmonella Ndolo was identified in fecal samples from two foals and four calves. One isolate from a calf was resistant to amoxicillin/clavulanic acid, trimethoprim/sulfamethoxazole, and florfenicol. Strains from two other calves were resistant to oxytetracycline. All virulence genes tested were present in the isolates, and two major clusters of closely related strains were identified by ERIC-PCR, each per outbreak. This is the first report of Salmonella Ndolo infection in domestic and symptomatic animals. Previously, this serovar had been identified only in human infections. The presence of relevant virulence genes in all Salmonella Ndolo isolates and the detection of antimicrobial multi-resistant strains highlighted the importance of monitoring serovars associated with salmonellosis in domestic animals.

RESUMO: A importância de Clostridium perfringens e C. difficile para a maioria das espécies silvestres ainda não está clara. O objetivo do presente estudo foi isolar e genotipar C. perfringens e C. difficile em amostras de fezes de macacos-prego (Sapajus flavius e Sapajus libidinosus) de vida livre e criados em cativeiros no Brasil. Dez S. flavius de vida livre e 14 S. libidinosus de cativeiro foram incluídos no presente estudo. Para isolamento de C. difficile, as amostras de fezes foram inoculadas em agar cicloserina-cefoxitina frutose, suplementado com sangue e taurocolato de sódico. Para isolamento de C. perfringens, foram testados dois protocolos: plaqueamento direto em ágar seletivo e enriquecimento em caldo seguido de plaqueamento em ágar seletivo. C difficile não foi detectado no presente estudo. Os resultados foram idênticos para ambos os protocolos testados para isolamento de C. perfringens, resultando em quatro animais (16,7%) positivos para C. perfringens tipo A. Destes, uma amostra era de um animal de vida livre (4,2%) e três de animais de cativeiro (12,5%), não havendo diferença entre esses dois grupos. Os isolados de C. perfringens foram negativos para todos os fatores de virulência adicionais avaliados, incluindo o gene codificador de enterotoxina (cpe) e o gene codificador beta-2 (cpb2). O presente estudo sugere C. perfringens tipo A como parte da microbiota de macacos-prego, embora esse agente seja menos frequente como comensal, do que relatado anteriormente, em animais domésticos.

ABSTRACT: The importance of Clostridium perfringens and C. difficile for most wild animal species remains unclear. This study aimed to isolate and genotype C. perfringens and C. difficile in stool samples from free-living and captive capuchin monkeys (Sapajus flavius and Sapajus libidinosus) in Brazil. Ten free-living S. flavius and 14 captive S. libidinosus were sampled for this study. To isolate C. difficile, stool samples were inoculated on plates containing cycloserine-cefoxitin fructose agar supplemented with horse blood and sodium taurocholate. Two different protocols for C. perfringens isolation were tested: direct plating onto selective agar and enrichment in brain heart infusion (BHI) broth followed by plating onto selective agar. C. difficile was not detected in the present study. The results were identical for both protocols tested for isolation of C. perfringens. Four samples (16.7%) were positive for C. perfringens type A, including one sample from a free-living animal (4.2%) and three from captive animals (12.5%), meaning there was no significant difference between these two groups. C. perfringens isolates were negative for all additional virulence factors evaluated, including enterotoxin encoding-gene (cpe) and beta-2 encoding-gene (cpb2). These results suggested that C. perfringens type A is found in the microbiota of capuchin monkeys, although it is less frequent than previously reported in domestic animals.

Coatings technologies with biopolymeric films are effective in maintaining the chemical and sensory characteristics of several fruits. Cassava starch is an attractive biopolymeric because of its renewable characteristics and low cost, but it has a high transfer rate of water vapor. Hydrophilic compounds of organically modified montmorillonite clay by ion exchange can be used to improve the limiting properties of starch in exchange for additives such as lipids. The solutions prepared with 5% m/v starch / 5% m/m cationic / anionic clay and uncoated were applied in caja fruit, harvested at physiological maturity, selected for absence of defects and color uniformity. The experimental design was performed with four storage times (0, 3, 6 and 9 days). For the maturation index, there was an isolated effect of the type of coating and storage time, showing the composite films of modified cationic clay with greater MI of the fruits in comparison to the control fruits.

Resumo Fundamento: Em nosso conhecimento, não há estudos que avaliam a influência da unidade de primeiro contato na frequência e tempo para o tratamento farmacológico durante um evento de síndrome coronariana aguda (SCA). Objetivos: O principal objetivo foi investigar se a unidade de primeiro contato influencia a frequência e o tempo para tratamento com aspirina no estudo "Estratégia de Registro de Insuficiência Coronariana" (ERICO). Métodos: Analisamos o tempo para o tratamento farmacológico em 830 participantes do estudo ERICO - 700 indivíduos cuja primeira unidade de contato foi o hospital, e 130 que procuraram, num primeiro momento, unidades de atenção primária. Construímos modelos de regressão logística para estudar se a unidade de primeiro contato estava associada a um tempo de tratamento de menos de três horas. Resultados: Indivíduos que buscaram unidades de atenção primária receberam a primeira dose de aspirina nestas unidades em 75,6% dos casos. Os outros 24,4% receberam a aspirina no hospital. Apesar deste achado, indivíduos de unidades de atenção primária receberam aspirina em três horas mais frequentemente do que aqueles que foram ao hospital (76,8% vs 52,6%; p<0,001 e 100% vs, 70,7%; p=0,001 para SCA sem elevação do segmento ST e infarto agudo do miocárdio com elevação do ST, respectivamente). Em modelos ajustados, indivíduos vindos de unidades de atenção primária tinham mais probabilidade de receber aspirina mais rapidamente (razão de chances: 3,66; 95% intervalo de confiança: 2,06-6,51). Conclusões: Neste contexto, indivíduos provenientes de unidades de atenção primária tinham maior chance de receber aspirina mais rapidamente. O aprimoramento da capacidade das unidades de atenção primária para proporcionar tratamento precoce e transporte seguro pode ser benéfico em contextos similares.

Abstract Background: To the best of our knowledge, there are no studies evaluating the influence of the unit of the first contact on the frequency and time of pharmacological treatment during an acute coronary syndrome (ACS) event. Objectives: The main objective was to investigate if the unit of first contact influenced the frequency and time of aspirin treatment in the Strategy of Registry of Acute Coronary Syndrome (ERICO) study. Methods: We analyzed the pharmacological treatment time in 830 ERICO participants - 700 individuals for whom the hospital was the unit of first contact and 130 who initially sought primary care units. We built logistic regression models to study whether the unit of first contact was associated with a treatment time of less than three hours. Results: Individuals who went to primary care units received the first aspirin dose in those units in 75.6% of the cases. The remaining 24.4% received aspirin at the hospital. Despite this finding, individuals from primary care still had aspirin administered within three hours more frequently than those who went to the hospital (76.8% vs 52.6%; p<0.001 and 100% vs. 70.7%; p=0.001 for non ST-elevation ACS and ST-elevation myocardial infarction, respectively). In adjusted models, individuals coming from primary care were more likely to receive aspirin more quickly (odds ratio: 3.66; 95% confidence interval: 2.06-6.51). Conclusions: In our setting, individuals from primary care were more likely to receive aspirin earlier. Enhancing the ability of primary care units to provide early treatment and safe transportation may be beneficial in similar settings.