Prevalence and costs of hospitalizations for poisoning and accidental intoxication in Brazilian elderly

Realizou-se um estudo transversal de dados secundários obtidos no Sistema de Informação Hospitalar (SIH), nos anos 2008/2009. Estudou-se a distribuição das principais internações segundo sexo; faixa etária; cor/raça; região e unidade federativa de residência; valor médio pago e média de permanência das internações hospitalares; ano de internação e as taxas de mortalidade (TM). Os dados coletados foram tabulados por meio do TabNet e transcritos para o Programa Microsoft Excel® 2007. Verificou-se que idosos do sexo masculino (54,3%), com 60 e 69 anos de idade (50,6%), não brancos (36,3%) e residentes nas regiões Sudeste e Norte do País apresentaram os maiores percentuais de internação hospitalar. Idosos ficam em média 4,8 dias internados, sendo as principais causas a exposição ao álcool (43,7%) e a medicamentos (33,9%). Os gastos com as internações equivaleram a R$529.817,70. As maiores taxas de mortalidade foram registradas no sexo feminino (TM=4,34), em idosos entre 80 anos e superior (TM=10,16) e pessoas brancas (TM=3,95), sendo as substâncias farmacológicas de ação sobre o Sistema Nervoso Autônomo maiores causas do óbito. Existem diferenças demográficas na morbimortalidade desses idosos, visto que apesar de homens e idosos mais jovens serem as principais vítimas, mulheres e idosos com idade mais avançada morrem mais. Sendo as principais causas de internação o álcool e os medicamentos.A cross-sectional study of secondary data/information obtained from the Hospital Information System (HIS) spanning the years 2008 - 2009 was performed. The distribution of the main hospital admissions by gender, age, color/race, region and federal unit of residence, average expenditure and average length of hospital stay, year of hospitalization and mortality rates (MR) were studied. The data collected were tabulated by TabNet and keyed into Microsoft Excel 2007. It was verified that elderly males (54.3$ 529,817.70. The highest mortality rates were recorded among females (MR = 4.34), in elderly, 80 years or older (MR = 10.16) and Caucasians (MR = 3.95), where pharmacological substances with action on the Autonomic Nervous System were the leading cause of death. There are demographic differences in morbi-mortality of these elderly since, although men and younger elderly were the main victims, women and elderly of advanced age have greater mortality. The leading causes of hospitalization were alcohol and drugs

7-Chloro-4-[(E)-2-(2,5-dimeth­oxy­benzyl­idene)hydrazin-1-yl]quinoline

In the nearly planar title compound (r.m.s. deviation for the 24 non-H atoms = 0.064 Å), C18H16ClN3O2, the conformation about the N=C bond is E. Supra­molecular chains propagated by glide symmetry along [001] are found in the crystal packing. These are sustained by N—H⋯N hydrogen bonds with the quinoline N atom being the acceptor. The chains are connected into a three-dimensional architecture by π–π inter­actions involving all three aromatic rings [centroid–centroid distances = 3.5650 (9)–3.6264 (9) Å]

Efeito da ingestão hídrica sobre a recuperação cardiovascular pós-exercício

Physical exercise elicits an increase in heart rate (HR), blood pressure (BP) and, consequently, in the rate-pressure product (RPP). Recovery of HR immediately after exercise indicates cardiovascular health. Blood pressure also decreases after exercise, occasionally reaching values lower than pre-exercise levels (postexercise hypotension). Studies have shown a positive effect of water intake on HR recovery after exercise. However, little is known about the effect of water intake on postexercise BP and RPP responses. The objective of this study was to evaluate the effects of water intake on postexercise cardiac work assessed by HR, BP and RPP. Fourteen healthy volunteers (22 ± 1.4 years) participated in the study. The experimental session consisted of HR, systolic (SBP) and diastolic BP (DBP) recording at rest, followed by submaximal exercise on a cycle ergometer. Next, the subjects consumed water and the cardiovascular variables were recorded during recovery. In addition, a control session without postexercise water intake was performed. The RPP was calculated from the product of HR and SBP. Water intake prevented a postexercise hypotensive effect on DBP, but accelerated postexercise HR and RPP reduction during recovery when compared to the control session. It was concluded that water intake is an effective strategy to reduce postexercise cardiac work.O exercício físico promove a elevação da frequência cardíaca (FC), pressão arterial (PA) e, por consequência, do duplo produto (DP). Imediatamente após o término do exercício, há a recuperação da FC; resposta que indica boa saúde cardiovascular. A PA também apresenta queda pós-exercício, atingindo, eventualmente, valores abaixo do repouso (hipotensão pós-exercício; HPE). Estudos têm demonstrado efeito positivo da ingestão hídrica (IH) sobre a recuperação da FC pós-exercício. Pouco se sabe a respeito do efeito dessa estratégia sobre o comportamento da PA e do DP nesse período. O objetivo do estudo foi investigar o efeito da IH sobre o trabalho cardiovascular pós-exercício, por meio da avaliação da FC, PA e DP. Quatorze voluntários saudáveis (22 ± 1,4 anos) participaram desse estudo. A sessão experimental constou do registro da FC e PA sistólica (PAS) e diastólica (PAD) de repouso, seguido de exercício físico submáximo em cicloergômetro. Posteriormente, realizou-se a IH e registro das variáveis cardiovasculares na recuperação. Adicionalmente, realizou-se uma sessão controle, excluindo-se a IH pós-exercício. O DP foi calculado a partir do produto da FC pela PAS. A IH impediu a ocorrência de HPE na PAD, porém acelerou a redução da FC e do DP, no período da recuperação pós-exercício, quando comparada à sessão controle. Pode-se concluir que a IH é uma estratégia eficiente na redução do trabalho cardiovascular pós-exercício

N-(4-Bromo­phen­yl)pyrazine-2-carbox­amide

The mol­ecule of the title compound, C11H8BrN3O, is close to planar (r.m.s. deviation of all 16 non-H atoms = 0.103 Å), a conformation stabilized by an intra­molecular N—H⋯N hydrogen bond, which generates an S(5) ring. In the crystal structure, supra­molecular chains mediated by C—H⋯O contacts (along a) are linked into a double layer via N⋯Br halogen bonds [3.207 (5) Å] and C—Br⋯π inter­actions [Br⋯ring centroid(pyrazine) = 3.446 (3) Å]. The layers stack along the b axis via weak π–π inter­actions [ring centroid(pyrazine)⋯ring centroid(benzene) distance = 3.803 (4) Å]

7-Chloro-4-[(E)-2-(4-methoxy­benzyl­idene)hydrazin-1-yl]quinoline monohydrate

The organic mol­ecule in the title hydrate, C17H14ClN3O·H2O, has a small but significant twist from planarity, as seen in the dihedral angle of 12.10 (17)° between the quinoline and benzene rings. The conformation about the C=N bond is E. Chains along the b axis are formed in the crystal structure aided by water–quinoline O—H⋯N (× 2) and hydrazone–water N—H⋯O hydrogen bonds. Layers of these chains stack along the a axis via C—H⋯π and π–π inter­actions [ring centroid–ring centroid distance = 3.674 (2) Å]. C—H⋯O inter­actions are also present

4-[(E)-2-(2-Chloro­benzyl­idene)hydrazin-1-yl]quinolin-1-ium chloride dihydrate

In the title hydrated salt, C16H13ClN3 +·Cl−·2H2O, a small twist is evident in the cation so that the chloro­benzene ring is not coplanar with the central hydrazinyl group [the N—C—C—C torsion angle = −4.8 (12)°]. The conformation about the imine N=C bond [1.284 (10) Å] is E. The components of the structure are connected into a three-dimensional architecture via O—H⋯O, O—H⋯Cl and N—H⋯Cl hydrogen bonds. One water H atom is disposed over two sites of equal occupancy

4-[(E)-2-(2,4-Dichloro­benzyl­idene)hydrazin-1-yl]quinolin-1-ium chloride monohydrate

In the title hydrated salt, C16H12Cl2N3 +·Cl−·H2O, there is a small twist in the cation as seen in the torsion angle linking the benzene ring to the rest of the mol­ecule [171.96 (17)°]. In the crystal, the quinolinium H atom forms a hydrogen bond to the lattice water mol­ecule, which also forms hydrogen bonds to two Cl− anions. Each Cl− ion also accepts a hydrogen bond from the hydrazine H atom. The three-dimensional architecture is also stabilized by π–π inter­actions between centrosymmetrically related quinoline residues [centroid–centroid distance = 3.5574 (11) Å]

Synthesis and Biological Aspects of Mycolic Acids: An Important Target Against Mycobacterium tuberculosis

Mycolic acids are an important class of compounds, basically found in the cell walls of a group of bacteria known as mycolata taxon, exemplified by the most famous bacteria of this group, the Mycobacterium tuberculosis (M. tb.), the agent responsible for the disease known as tuberculosis (TB). Mycolic acids are important for the survival of M. tb. For example, they are able to help fight against hydrophobic drugs and dehydration, and also allow this bacterium to be more effective in the host's immune system by growing inside macrophages. Due to the importance of the mycolic acids for maintenance of the integrity of the mycobacterial cell wall, these compounds become attractive cellular targets for the development of novel drugs against TB. In this context, the aim of this article is to highlight the importance of mycolic acids in drug discovery