Aim: describe the methodological approach adopted to build a Brazilian database of LCTFs in the country. Methods: This exploratory research was conducted between August 2020 and 2021 based on primarily publicly accessible data. First, the database of the Sistema Único de Assistência Social for 2019 was adopted as the primary source of information. In addition, public agencies and managers were consulted and invited to share their databases. Likewise, researchers and private entities also collaborated by making their spreadsheets available. The information collected was placed in individual spreadsheets for each Brazilian state. LTCFs not catering to older adults (aged 60 and over) were excluded. Duplicate data were excluded when overlaps were identified for each new aggregated source. Results amp; Discussion: This brief communication describes the methodology adopted for mapping the current status of Brazilian LTCFs. Despite its caveats, this study represents an important advance in the identification, characterization, and monitoring of these services nationwide. A total of 5769 facilities were found in the 2019 SUAS census. After excluding facilities not caring for residents aged 60 or over, this total decreased to 2381 LTCFs. Consolidating and filtering the information from multiple data sources led to the identification of 7029 LTCFs for the country as a whole.

CONTEXTUALIZAÇÃO: Sugeriu-se que treinamento de potência muscular deve ser implementado em programas de exercícios na doença de Parkinson (DP). Entretanto, há necessidade de se determinar a viabilidade e a segurança associadas ao treinamento de movimentos rápidos em tais indivíduos. OBJETIVOS: Determinar a taxa de recrutamento dos participantes; a taxa de presença nas sessões de treinamento; o nível de adesão ao protocolo de intervenção e a taxa de eventos adversos relacionados. MÉTODO: Indivíduos com DP, usuários do Sistema Único de Saúde (SUS), receberam treinamento de potência muscular para os membros inferiores três vezes/semana durante dez semanas. Dados sobre o número de indivíduos recrutados bem como a presença e adesão ao tratamento foram registrados. A segurança foi avaliada pela presença de eventos adversos, dor durante a atividade, número de quedas e risco de lesão associado ao tratamento. RESULTADOS: Em oito meses, 62 indivíduos com DP foram triados, e apenas 13 participaram do programa até o final. As taxas de presença e adesão foram de 88% e 97%, respectivamente. Não houve evento adverso durante o treinamento. Dois participantes reportaram dores articulares, e um reportou quedas durante o período de treinamento. CONCLUSÕES: A taxa de recrutamento foi baixa devido à dificuldade de transporte e à falta de interesse dos indivíduos com DP em participar do estudo. As altas taxas de presença e adesão e a ausência de eventos adversos sugerem que o treinamento de potência muscular é viável e seguro na DP.

BACKGROUND: It has been suggested that power training should be implemented in interventions in Parkinson's disease (PD). However, it is necessary to determine the feasibility and safety of training rapid movements in such individuals. OBJECTIVES: To determine the rate of recruitment of potential participants, the rate of attendance at training sessions, the levels of adherence to the intervention, and the rate of adverse events. METHOD: Patients with PD, users of the national public health system underwent power training of the lower limb muscles three times a week for 10 weeks. The number of people who were screened and recruited was recorded, as well as the rate of attendance at the training sessions and adherence to the intervention protocol. Safety was assessed by the presence of adverse events, pain, number of falls, and risk of injury associated with the intervention. RESULTS: Over the course of eight months, 62 individuals were screened and only 13 completed the program. The rates of attendance and adherence were 88% and 97%, respectively. There were no adverse events during training. Two participants reported joint pain and one reported falls during the training period. CONCLUSIONS: The recruitment rate was low due to the subjects' difficulties with transportation and lack of interest. The high rates of adherence and attendance and the absence of adverse events suggest that power training is feasible and safe in PD.

Introduction  Vector electronystagmography is widely used to evaluate vestibular function; however, elderly patients may show changes not due to vestibular disorders. Aim  This study aims to characterize vector electronystagmography tests in the elderly participants in a service station of the Brazilian public health system, the Unified Health System (SUS) in the city of Natal, who presented with dizziness. Methods  A cross-sectional and clinical study to characterize the vector electronystagmography in 10 members of an elderly SUS referral center located in the city of Natal with dizziness. Results  Of 10 patients interviewed, 9 were women, and just 1 was a man. All complained of dizziness in the last year, and most of them had more than one type of dizziness. The main differential diagnosis was benign paroxysmal positional vertigo. Regarding vector electronystagmography, we found 20% of patients with semispontaneous nystagmus in at least one direction and changes in saccades latency in 100% of patients, with 20% in relation to the accuracy of pendular tracking changes at the frequency of 0.2 Hz, 10% at 0.4 Hz, and 80% at 0.8 Hz, and 10% change in optokinetic gain. No patient had altered caloric test. Conclusion  Vector electronystagmography alterations in the elderly do not always indicate disease.