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Bibliographic Details
Main Author:	Nereida Ferraz Vieira do Prado
Format:	Artículo científico
Language:	pt
Published:	Sociedade Brasileira de Geriatria e Gerontologia 2017
Subjects:	Multidisciplinaria (Ciencias Naturales y Exactas) idoso Síndrome do QT longo preparações farmacêuticas
Online Access:	https://www.redalyc.org/articulo.oa?id=739780701008
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ANÁLISE DO PROLONGAMENTO DO INTERVALO QT E FÁRMACOS EM PACIENTES IDOSOS EM ATENDIMENTO AMBULATORIAL Nereida Ferraz Vieira do Prado Ana Elize Turini Giuliana Tonani Bollis Fernanda Linhares Alessandra Tieppo Lívia Terezinha Devens Renato Lírio Morelato Multidisciplinaria (Ciencias Naturales y Exactas) idoso Síndrome do QT longo preparações farmacêuticas OBJETIVOS: O objetivo deste estudo foi avaliar a frequência de síndrome do intervalo QT longo (SQTL) no traçado eletrocardiográfico de pessoas idosas e o uso concomitante de fármacos que possam agravá-la. MÉTODOS: Trata-se de um estudo observacional, do tipo corte transversal, de pacientes idosos atendidos nos ambulatórios de especialidades do Hospital Santa Casa de Misericórdia de Vitória (ES), durante o período de seis meses. RESULTADOS: Participaram do estudo 163 pacientes com 75 ± 8 (60–94) anos de idade, 60,7% (n = 99) dos quais eram do sexo feminino. Do total de pacientes, 33,1% (n = 54) faziam uso regular de pelo menos um fármaco de risco para prolongamento de intervalo QT corrigido (QTc). Trinta e quatro pacientes (20,9%) apresentaram QTc longo e 15 (9,2%), QTc de risco. Dos pacientes com QTc de risco, 4 (23,5%) faziam uso de pelo menos 1 fármaco de risco para prolongamento do intervalo QT (p = 0,07). CONCLUSÃO: Nesta amostra, observou-se alta frequência de SQTL, bem como o uso de fármacos potencialmente causadores de SQTL e arritmias. 2017 otro 2447-2115 https://www.redalyc.org/articulo.oa?id=739780701008 pt http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.2 Vol.11

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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