[Reregistration of the population residing in Foz do Iguaçu, Brazil, in compliance with the Primary Health Care PolicyReinscripción de la población residente en Foz do Iguaçu, Brasil, en cumplimiento de la Política de atención primaria de salud]. / Recadastramento da população residente em Foz do Iguaçu, Brasil, em atendimento à Política de Atenção Primária à Saúde.

Objective: To present the experience and results of the reregistration of residents in Foz do Iguaçu, a border town located in the state of Paraná, Brazil, to meet the guidelines of the national Primary Health Care (PHC) Policy and its new financing model (Programa Previne Brasil). Method: A scanning strategy (convenience sample) was used for data collection, with 52 263 households visited and 22 710 interviews conducted from September to November 2019. The interviews were conducted face-to-face by 54 community health workers. Data were collected on the household (ownership status, urban or rural location, type of household, construction material, availability of electrical and sewage networks, water supply and waste disposal). Demographic and health information on the residents was also collected. Results: The reregistration process revealed that most residents were home owners and lived in well-constructed homes, located mostly in urban areas, served by electricity, with access to water supply and garbage collection. Of the reregistered population, 52.8% were women, 62.5% were aged between 15 and 59 years and 60.0% declared themselves white. Among respondents aged 15 or over, 90.0% had completed elementary school. The main occupation was "formal salaried job". Additionally, 18.6% of the interviewees declared themselves to be hypertensive and 7.0%, diabetic. Conclusions: The reregistration process uncovered relevant information to support both PHC planning as well as social assistance, work and housing initiatives; it was also fundamental to define health care strategies in this border town during the COVID-19 pandemic.

Objetivo: Presentar la experiencia y los resultados de la reinscripción de la población residente en Foz do Iguaçu, un municipio fronterizo ubicado en el estado de Paraná (Brasil), en cumplimiento de las directrices de la Política de atención primaria de salud y su nuevo modelo de financiamiento (Programa Previne Brasil). Métodos: Utilizando una estrategia de barrido (muestreo de conveniencia) para la recolección de datos, se visitaron 52 263 hogares y se realizaron 22 710 entrevistas entre septiembre y noviembre de 2019. Las entrevistas fueron presenciales y estuvieron a cargo de 54 trabajadores comunitarios de salud. Se recopilaron datos sobre el hogar (régimen de propiedad de la vivienda, ubicación en una zona urbana o rural, tipo de vivienda, material de construcción, disponibilidad de redes de energía eléctrica y alcantarillado, abastecimiento de agua y eliminación de desechos) e información sobre la composición demográfica y la salud de los residentes. Resultados: La reinscripción reveló que los residentes eran propietarios de sus viviendas y que estas se encontraban ubicadas en zonas urbanas, estaban bien construidas y tenían servicios de energía eléctrica, abastecimiento de agua y recolección de basura. El 52,8% de la población registrada correspondió a mujeres, el 62,5% tenía entre 15 y 59 años y el 60,0% declaró que era de raza blanca. El 90,0% de los entrevistados mayores de 15 años había terminado la escuela primaria. La ocupación principal era "persona asalariada con carnet de trabajo". Además, el 18,6% de los entrevistados indicó que tenía hipertensión y el 7,0%, diabetes. Conclusiones: La reinscripción aportó información relevante para apoyar la planificación de la atención primaria de salud , así como las iniciativas en materia de asistencia social, trabajo y vivienda; también fue fundamental para definir las estrategias de atención de salud en ese municipio fronterizo durante la pandemia de COVID-19.

Case Report: Transcatheter aortic valve implantation using balloon-expandable bioprosthesis in patients with severe pure aortic regurgitation on noncalcified native valves: a series of cases.

Background: For individuals with pure aortic regurgitation (AR), transcatheter aortic valve implantation (TAVI) is cautiously recommended only for those with a high or prohibitive surgical risk. We aimed to describe the results of a case series of transcatheter implantation of a balloon-expandable aortic valve bioprosthesis (BEV) for the treatment of noncalcified native valve AR. Methods: From February 2022-November 2022, we performed TAVI in patients with severe pure AR. Cases were indicated on the basis of symptoms, high/prohibitive surgical risk, or patient refusal of conventional treatment. Results: Five patients underwent successful TAVI. The mean age was 81.9 ± 6.6 years, 3 (60%) female and 5 (100%) in NYHA class III or IV. The baseline echocardiogram showed an ejection fraction of 49.0 ± 10.6% and left ventricular end-systolic diameter 28.5 ± 4.7 mm/m². The average area of the aortic annulus was 529.1 ± 47.0mm² and the area oversizing index was 17.6 ± 1.2%. In the 30-day follow-up, there were no cases of prosthesis embolization, annulus rupture, stroke, acute myocardial infarction, acute renal failure, hemorrhagic complication or death. One patient required a permanent pacemaker and another had a minor vascular complication. The clinical follow-up were 19.8 months (16.7-21.8). During this period, all patients remained alive and in NYHA class I or II. One of the patients developed a moderate paravalvular leak. Conclusion: TAVI with a BEV proved to be safe and effective in this small case series of patients with noncalcified native valve AR in a follow-up longer than 1 year.

Epidemic curves and the profile of patients hospitalized by COVID-19 in a border region.

OBJECTIVE: to describe the epidemic curves and analyze the epidemiological profile of patients hospitalized with COVID-19 in a triple border city. METHOD: descriptive-quantitative. The population consisted of COVID-19 cases that required hospitalization, analyzing variables such as: age, gender, race/color, city where they lived, occupation, pregnant woman, institutionalized patient and evolution. Descriptive statistical analysis and analysis of variance and chi-square tests were used. RESULTS: four epidemic curves were identified in the studied period. Among hospitalized cases, males predominated (55%). Cure was the most frequent outcome in curves 1, 2 and 4, but with no statistical difference (p = 0.2916). Curve 3 showed a higher frequency of deaths (41.70%) in relation to cures (38.77%). The mean ages were significantly different between the curves, with curve 4 having the lowest mean age. CONCLUSION: it was concluded that the epidemic curves were influenced by different situations; unvaccinated population, easing of restrictive measures, reopening of the Brazil-Paraguay border, interruption of control actions, crowding of people and circulation of new variants of the disease. Through the epidemiological profile of hospitalized patients, it was concluded that being male, of mixed race/color, aged between 61 and 85 years, and being deprived of freedom were associated with hospitalization and the occurrence of death.

Risk areas for the occurrence of leprosy in border countries of South America - Brazil and Argentina.

OBJECTIVE: The aim was to analyze the spatial association and relative risk (RR) of leprosy cases diagnosed in southern Brazil and in the Argentinean province of Misiones during 2010 to 2016. METHODS: This ecological-type epidemiological study analyzed data from the Health Ministries of both countries. The analysis included frequency measures, spatial autocorrelation, RR cluster analysis and map construction. RESULTS: A hyperendemic occurrence was identified in all study regions, in the state of Paraná 71.2% of the municipalities were hyperendemic and in Misiones, Argentina 41.2%. The GI* statistical analysis showed clusters of high incidence rates in the state of Paraná and low-risk clusters in much of the state of Rio Grande do Sul, both in Brazil. The analysis indicated an area with RR equal to 3.87 - (p < .0001) when considering the entire territory and an RR of 2.80 - (p < .0001) excluding the state of Paraná, with the number of departments of Misiones, Argentina included in the risk clusters increasing significantly. CONCLUSIONS: The findings indicate a high probability of similar illness in adjacent areas, according to their relative position in space, as the occurrence of the disease is influenced by neighboring clusters.

Evaluation of the accuracy of mammography, ultrasound and magnetic resonance imaging in suspect breast lesions.

OBJECTIVES: In breast cancer diagnosis, mammography (MMG), ultrasonography (USG) and magnetic resonance imaging (MRI) are the imaging methods most used. There is a scarcity of comparative studies that evaluate the accuracy of these methods in the diagnosis of breast cancer. METHODS: A cross-sectional study was carried out through the review of electronic medical records of 32 female patients who underwent breast imaging examinations at a imaging diagnostic center in Teresina, State of Piauí, Brazil. Patients who had these three imaging methods at the time of the evaluation of the same nodule were included. The nodule must have been classified as suspect by the BI-RADS® system in at least one of the methods. Data from each method were compared with the histopathological examination. Statistical analysis used the calculation of proportions in Excel 2010. RESULTS: MMG showed 56.2%, 87.5%, 81.8%, 66.7% and 71.8% of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy, respectively. USG had 75%, 18.8%, 48%, 42.8% and 46.9% of sensitivity, specificity, PPV, NPV and accuracy, respectively. In turn, MRI had 100%, 50%, 66.7%, 100% and 75% of sensitivity, specificity, PPV, NPV and accuracy, respectively. CONCLUSION: Thus, MRI and MMG were more accurate in evaluating suspicious breast lumps. MRI had a low specificity, mainly to high breast density, while MMG had also sensitivity limited due to high breast density and USG has been proven to be useful in these patients.

Vivência e expectativas de doulas em região brasileira de fronteira / Experience and expectations of doulas in a Brazilian border region

RESUMO O estudo buscou compreender a vivência e as expectativas das doulas que atuam ou atuaram em dois municípios de região de fronteira: Foz do Iguaçu e Cascavel, Paraná, Brasil. Tratou-se de uma pesquisa qualitativa pautada no referencial da Fenomenologia Social. A coleta das informações deu-se por entrevistas com roteiro semiestruturado em língua portuguesa. As entrevistas foram feitas on-line. Os resultados foram classificados em seis categorias: motivação para tornar-se doula, conhecimento sobre o papel da doula, o cotidiano das doulas, abarcando as subcategorias de experiências exitosas e desafios da atividade na região de fronteira, a invisibilidade da doulagem, as expectativas enquanto doulas frente ao cenário obstétrico e o esperado da sua atuação profissional. O estudo permitiu compreender a vivência das doulas e o conhecimento do papel da sua função no Sistema Único de Saúde (SUS), no setor privado e em partos domiciliares, evidenciando a importância da atuação multiprofissional. Foram ponderadas resistências no cenário obstétrico por desconhecimento dos profissionais da assistência sobre o papel da doula. Em relação à atuação na região de fronteira, as doulas relataram o acompanhamento de mulheres paraguaias no Brasil e, com menos frequência, no Paraguai. As barreiras culturais e linguísticas foram destacadas como obstáculos para o exercício profissional em outro país.

ABSTRACT The study sought to understand the experience and expectations of doulas who worked or worked in two municipalities in the border region: Foz do Iguaçu and Cascavel, Paraná, Brazil. This was a qualitative research based on the framework of Social Phenomenology. The collection of information took place through interviews with a semi-structured script in Portuguese. The interviews were done online. The results were classified into six categories: motivated to become a doula, knowledge about the role of the doula, the daily life of the doulas, covering the subcategories of successful experiences and challenges of the activity in the border region, the invisibility of the doula, the expectations as doulas facing the obstetric scenario and what is expected of their professional performance. The study made it possible to understand the experience of doulas and knowledge of the role of their role in the Unified Health System (SUS), in the private sector and in home births, highlighting the importance of multidisciplinary action. Resistance in the obstetric scenario was considered due to the lack of knowledge on the part of care professionals about the role of the doula. Regarding work in the border region, the doulas reported accompanying Paraguayan women in Brazil and, less frequently, in Paraguay. Cultural and linguistic barriers were highlighted as reasons that make professional practice in another country unfeasible.

Recadastramento da população residente em Foz do Iguaçu, Brasil, em atendimento à Política de Atenção Primária à Saúde / Reregistration of the population residing in Foz do Iguaçu, Brazil, in compliance with the Primary Health Care Policy / Reinscripción de la población residente en Foz do Iguaçu, Brasil, en cumplimiento de la Política de atención primaria de salud

RESUMO Objetivo. Apresentar a experiência e os resultados do recadastramento da população residente em Foz do Iguaçu, um município de fronteira localizado no estado do Paraná, Brasil, para atender às diretrizes da Política de Atenção Primária à Saúde (APS) e ao seu novo modelo de financiamento pelo Programa Previne Brasil. Métodos. Utilizando uma estratégia de varredura (amostra de conveniência) para coleta de dados, foram visitados 52 263 domicílios e realizadas 22 710 entrevistas de setembro a novembro de 2019. As entrevistas foram realizadas pessoalmente por 54 agentes comunitários de saúde. Foram coletados dados sobre o domicílio (status de posse da moradia, localização urbana ou rural, tipo de domicílio, material da construção, disponibilidade de rede elétrica e de esgoto, abastecimento de água e destino do lixo) e informações demográficas e de saúde dos moradores. Resultados. O recadastramento revelou que os domicílios eram predominantemente casas próprias, em área urbana, bem edificados e servidos por energia elétrica, rede geral de água e coleta de lixo. Sobre a população recadastrada, 52,8% eram mulheres, 62,5% tinham idade de 15 a 59 anos e 60,0% se autodeclararam brancos. Entre os entrevistados com 15 anos ou mais, 90,0% tinham completado o ensino fundamental. A principal ocupação foi "assalariado com carteira de trabalho". Ainda, 18,6% dos entrevistados se autodeclararam hipertensos e 7,0%, diabéticos. Conclusões. O recadastramento trouxe informações relevantes para subsidiar o planejamento da APS, assim como iniciativas de assistência social, trabalho e habitação; também foi fundamental para definir estratégias de atenção à saúde nesse município de fronteira durante a pandemia de COVID-19.

ABSTRACT Objective. To present the experience and results of the reregistration of residents in Foz do Iguaçu, a border town located in the state of Paraná, Brazil, to meet the guidelines of the national Primary Health Care (PHC) Policy and its new financing model (Programa Previne Brasil). Method. A scanning strategy (convenience sample) was used for data collection, with 52 263 households visited and 22 710 interviews conducted from September to November 2019. The interviews were conducted face-to-face by 54 community health workers. Data were collected on the household (ownership status, urban or rural location, type of household, construction material, availability of electrical and sewage networks, water supply and waste disposal). Demographic and health information on the residents was also collected. Results. The reregistration process revealed that most residents were home owners and lived in well-constructed homes, located mostly in urban areas, served by electricity, with access to water supply and garbage collection. Of the reregistered population, 52.8% were women, 62.5% were aged between 15 and 59 years and 60.0% declared themselves white. Among respondents aged 15 or over, 90.0% had completed elementary school. The main occupation was "formal salaried job". Additionally, 18.6% of the interviewees declared themselves to be hypertensive and 7.0%, diabetic. Conclusions. The reregistration process uncovered relevant information to support both PHC planning as well as social assistance, work and housing initiatives; it was also fundamental to define health care strategies in this border town during the COVID-19 pandemic.

RESUMEN Objetivo. Presentar la experiencia y los resultados de la reinscripción de la población residente en Foz do Iguaçu, un municipio fronterizo ubicado en el estado de Paraná (Brasil), en cumplimiento de las directrices de la Política de atención primaria de salud y su nuevo modelo de financiamiento (Programa Previne Brasil). Métodos. Utilizando una estrategia de barrido (muestreo de conveniencia) para la recolección de datos, se visitaron 52 263 hogares y se realizaron 22 710 entrevistas entre septiembre y noviembre de 2019. Las entrevistas fueron presenciales y estuvieron a cargo de 54 trabajadores comunitarios de salud. Se recopilaron datos sobre el hogar (régimen de propiedad de la vivienda, ubicación en una zona urbana o rural, tipo de vivienda, material de construcción, disponibilidad de redes de energía eléctrica y alcantarillado, abastecimiento de agua y eliminación de desechos) e información sobre la composición demográfica y la salud de los residentes. Resultados. La reinscripción reveló que los residentes eran propietarios de sus viviendas y que estas se encontraban ubicadas en zonas urbanas, estaban bien construidas y tenían servicios de energía eléctrica, abastecimiento de agua y recolección de basura. El 52,8% de la población registrada correspondió a mujeres, el 62,5% tenía entre 15 y 59 años y el 60,0% declaró que era de raza blanca. El 90,0% de los entrevistados mayores de 15 años había terminado la escuela primaria. La ocupación principal era "persona asalariada con carnet de trabajo". Además, el 18,6% de los entrevistados indicó que tenía hipertensión y el 7,0%, diabetes. Conclusiones. La reinscripción aportó información relevante para apoyar la planificación de la atención primaria de salud , así como las iniciativas en materia de asistencia social, trabajo y vivienda; también fue fundamental para definir las estrategias de atención de salud en ese municipio fronterizo durante la pandemia de COVID-19.

Atuação dos bacharéis em saúde coletiva na atenção primária à saúde em município de fronteira / Performance of bachelors in public health in primary health care in a border municipality

Trata-se de um estudo qualitativo fundamentado na abordagem Fenomenológica Social de Alfred Schütz, que objetivou compreender as vivências e as expectativas dos bacharéis em saúde coletiva na atenção primária à saúde do município de Foz do Iguaçu, Paraná. Na ótica dos entrevistados, a atuação dos bacharéis em saúde coletiva foi sob o enfoque da gestão com o fortalecimento do modelo de atenção no nível primário. Os desafios estavam relacionados à construção de uma identidade profissional e a conquista de espaço dentro dos serviços de saúde. Foram observadas as expectativas por mudanças organizacionais com a inserção do bacharel em saúde coletiva nos vários níveis de atenção à saúde. Conclui-se que o bacharel em saúde coletiva é um profissional importante para o Sistema Único de Saúde e para a atenção primária à saúde, tendo identidade de gestor em saúde, podendo atuar em outras frentes de cuidado e atenção à saúde. (AU)

This is a qualitative study based on Alfred Schütz's Social Phenomenological approach that aimed to understand the experiences and expectations of bachelors in public health in primary health care in the municipality of Foz do Iguaçu, in the state of Paraná. From the perspective of the interviewees, the performance of the bachelors in public health was under the focus of management with the strengthening of the model of care at the primary level. The challenges related to the construction of a professional identity and the conquest of space within the health services. Expectations for organizational changes were observed with the insertion of the bachelor in public health at the various levels of health care. It is concluded that the bachelor in collective health is an important professional for the Unified Health System and for primary health care, having the identity of a health manager, being able to work on other fronts of care and health care. (AU)

Intervenções não farmacológicas como medidas de enfrentamento à pandemia de Covid-19 em município de fronteira / Non-pharmaceutical interventions as measures to tackle Covid-19 pandemic in a border town

As intervenções não farmacológicas são medidas de Saúde Pública que visam reduzir a transmissão de determinada doença. Em Foz do Iguaçu, fronteira entre Brasil, Paraguai e Argentina, a medida foi implementada como barreiras sanitárias objetivando identificar cidadãos sintomáticos respiratórios suspeitos de infecção por Covid-19. Realizou-se a implementação de 17 barreiras sanitárias em pontos estratégicos do município. O processo de monitoramento transcorreu a partir da elaboração de um formulário na ferramenta gratuita Epicollect5, tendo como resultado final o Painel de Monitoramento das Barreiras Sanitárias elaborado na plataforma Google Data Studio. Os resultados foram o aprimoramento da gestão na utilização de ferramentas livres de informação, a identificação dos casos sintomáticos no ato da abordagem nas barreiras sanitárias e a observação do fluxo transfronteiriço nesta região. Conclui-se que a estratégia de implementação e monitoramento das barreiras sanitárias utilizada é qualificada para sistematização e análise das informações em ferramentas livres de análise de dados. (AU)

The non-pharmaceutical interventions are public health measures that aim to reduce disease transmission. At Foz do Iguaçu, border city between Brazil, Paraguay, and Argentina, were implemented community measures as NPIs that aim to identify people with respiratory diseases symptoms suspected of coronavirus infection. Seventeen community measures were implemented in city strategic points. The monitoring process was carried out after data collection with a form created in the free tool Epicollect5, resulting in a Community Measure Monitoring Report developed in the Google Data Studio platform. The results were the management improvement in the use of information free tools, symptomatic cases identification in the inquiry and the cross-border flow observation in this region. In conclusion, implementation and monitoring strategies used are qualified to data analysis and systematization community measures data using free tools for data analysis. (AU)

Evaluation of the accuracy of mammography, ultrasound and magnetic resonance imaging in suspect breast lesions

OBJECTIVES: In breast cancer diagnosis, mammography (MMG), ultrasonography (USG) and magnetic resonance imaging (MRI) are the imaging methods most used. There is a scarcity of comparative studies that evaluate the accuracy of these methods in the diagnosis of breast cancer. METHODS: A cross-sectional study was carried out through the review of electronic medical records of 32 female patients who underwent breast imaging examinations at a imaging diagnostic center in Teresina, State of Piauí, Brazil. Patients who had these three imaging methods at the time of the evaluation of the same nodule were included. The nodule must have been classified as suspect by the BI-RADS® system in at least one of the methods. Data from each method were compared with the histopathological examination. Statistical analysis used the calculation of proportions in Excel 2010. RESULTS: MMG showed 56.2%, 87.5%, 81.8%, 66.7% and 71.8% of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy, respectively. USG had 75%, 18.8%, 48%, 42.8% and 46.9% of sensitivity, specificity, PPV, NPV and accuracy, respectively. In turn, MRI had 100%, 50%, 66.7%, 100% and 75% of sensitivity, specificity, PPV, NPV and accuracy, respectively. CONCLUSION: Thus, MRI and MMG were more accurate in evaluating suspicious breast lumps. MRI had a low specificity, mainly to high breast density, while MMG had also sensitivity limited due to high breast density and USG has been proven to be useful in these patients.

Ultra-deep sequencing reveals the microRNA expression pattern of the human stomach.

BACKGROUND: While microRNAs (miRNAs) play important roles in tissue differentiation and in maintaining basal physiology, little is known about the miRNA expression levels in stomach tissue. Alterations in the miRNA profile can lead to cell deregulation, which can induce neoplasia. METHODOLOGY/PRINCIPAL FINDINGS: A small RNA library of stomach tissue was sequenced using high-throughput SOLiD sequencing technology. We obtained 261,274 quality reads with perfect matches to the human miRnome, and 42% of known miRNAs were identified. Digital Gene Expression profiling (DGE) was performed based on read abundance and showed that fifteen miRNAs were highly expressed in gastric tissue. Subsequently, the expression of these miRNAs was validated in 10 healthy individuals by RT-PCR showed a significant correlation of 83.97% (P<0.05). Six miRNAs showed a low variable pattern of expression (miR-29b, miR-29c, miR-19b, miR-31, miR-148a, miR-451) and could be considered part of the expression pattern of the healthy gastric tissue. CONCLUSIONS/SIGNIFICANCE: This study aimed to validate normal miRNA profiles of human gastric tissue to establish a reference profile for healthy individuals. Determining the regulatory processes acting in the stomach will be important in the fight against gastric cancer, which is the second-leading cause of cancer mortality worldwide.

Avaliação das ações estratégicas na atenção à saúde do idoso em Unidades Básicas de Saúde de Teresina-PI / Evaluation of strategic actions in the health of the elderly in Basic Health Units of Teresina-PI / Evaluación de las acciones estratégicas en el cuidado de la salud en las personas mayores Unidades de Salud Básica de Teresina-PI

A cada ano, cerca de 650 mil novos idosos são incorporados à população surgindo a necessidade de reorganizar os modelos sociais para atender à saúde no envelhecimento como uma prioridade, os quais visam recuperar, manter e promover autonomia e independência, direcionando medidas coletivas e individuais de saúde para esse fim. O objetivo desta pesquisa foi avaliar as ações estratégicas na atenção à saúde do idoso em Unidades Básicas de Saúde (UBS) de Teresina-PI. Realizado estudo observacional transversal, através da aplicação de questionários de Avaliação para Melhoria da Qualidade da Estratégia Saúde da Família Modificado - Cadernos de Autoavaliação 4 e 5 - Equipe Saúde da Família ­ Parte II ­ SAÚDE DE IDOSOS, aplicados aos representantes da diretoria colegiada de 20 UBS de Teresina-PI, após assinatura de TCLE, conforme resolução 196/96, observou-se que 70% das UBS desenvolvem ações coletivas; 60% desenvolvem atividades educativas; 100% apresentam registro dos idosos atualizado; 95% apresentam vacinação em dia; 50% apresentam exame da cavidade oral como rotina; 70% negam acompanhamento pela Saúde Bucal; 70% apresentam exame da superfície corporal como rotina; 60% intervém na capacitação de cuidadores domiciliares; 65% intervém na detecção precoce de demências; 80% dos profissionais conhecem a Política Nacional de Saúde da Pessoa Idosa (PNSPI); 80% negam capacitação para desenvolvimento das ações da PNSPI; 65% não atuam na identificação de incapacidades. Concluiu-se através da avaliação das ações estratégicas na atenção à saúde do idoso que há déficits que se correlacionam com a prática profissional no âmbito interno das UBS de Teresina-PI.

Each year, about 650,000 elderly people are incorporated to the population, raising the necessity to reorganize, primarily, the social models in order to meet decent health care standards for the aging population. These models seek to recover, maintain and promote autonomy and independence, directing individual and collective health measures to this end. The purpose of this research was to evaluate the strategic actions in the health care of the elderly in Basic Health Units (BHU) in Teresina, State of Piaui. A cross-sectional observational study was carried out through questionnaires of the 'Modified Assessment to Improve the Quality of Family Health Strategy - Self-assessment brochures 4 and 5 - Family Health Team - Part II - HEALTH OF THE ELDERLY' applied to the 20 BHU executive board members in Teresina, after signing the term of consent, according to resolution 196/96. It was possible to observe that 70% of the units develop collective actions, 60% develop educational activities, 100% have updated registration of elderly patients, 95% monitor vaccination to date, 50% have a complete oral examination as a routine activity, 70% are not monitored by the Dental Health Team; 70% develop examination of the body surface as a routine, 60% are involved in the training of home care workers, 65% are involved in early detection of dementia, 80% of the professionals know the National Health Policy for the Elderly (PNSPI), 80% refuse training for action development at the PNSPI, 65% do not work at the identification of disabilities. It was possible to conclude, through the evaluation of the strategic actions in health care for the elderly, that there are deficits related to the internal professional practice at the UBS system in Teresina.

Cada año, alrededor de 650,000 nuevos ancianos son incorporados a la población surgiendo la necesidad de reorganizar los modelos sociales para cumplir con el envejecimiento saludable como una prioridad, cuyo objetivo es restaurar, mantener y promover la autonomía y la independencia, la dirección de medidas colectivas e individuales de salud para este propósito. El objetivo de este estudio fue evaluar las acciones estratégicas en el cuidado de la salud de los ancianos en Unidades Básicas de Salud (UBS) Teresina-PI. Estudio transversal observacional, a través de cuestionarios de evaluación para la mejora de la calidad de estrategia salud de la familia Modificado - Diario de la Auto-evaluación 4 y 5 - Equipo de Salud Familiar - Parte II - SALUD DE LOS ANCIANOS, aplicados a los representantes de la junta directiva UBS 20 Teresina-PI, después de la firma del consentimiento informado, en conformidad con la Resolución 196/96, se observó que el 70% de UBS desarrollan acciones conjuntas, 60% desarrollan actividades educativas, 100% presentan registro actualizado de los, ancianos, 95% presentan vacunación al día, 50% presentan examen de cavidad oral como una rutina, 70% niegan acompañamiento mediante el control de la Salud Bucal, 70% presentan examen de la superficie del cuerpo como una rutina, 60% participan en la formación de cuidadores a domicilio, 65% participan en la detección precoz de la demencia, 80% de los profesionales conocen la Política Nacional de Salud de la Persona Anciana (PNSPA); 80% niegan capacitación el desarrollo de las acciones de PNSPA, 65% no actúan en la identificación de incapacidad. Se concluyó a través de una revisión de las acciones estratégicas en el cuidado de la salud del anciano que hay déficits los cuales se correlacionan con la práctica profesional en el ámbito interno de las UBS Teresina-PI.