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Main Author:	Alejandra Zúñiga-Fajuri
Format:	Artículo científico
Language:	es
Published:	Universidad Autónoma del Estado de México 2014
Subjects:	Sociología Salud distribución dilemas morales recursos escasos
Online Access:	https://www.redalyc.org/articulo.oa?id=10529071007
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La distribución de recursos escasos en la atención de salud con base en la Teoría de las necesidades, ¿una idea añeja? Alejandra Zúñiga-Fajuri Sociología Salud distribución dilemas morales recursos escasos Se analizan los dilemas morales asociados con la distribución de recursos escasos -como el cuidado sanitario- en atención al principio de las necesidades de Marx, para lo cual se intenta responder a las dificultades que presenta tanto su conceptualización como su delimitación. Se estudian, además, las consecuencias éticas de reconocer un espacio al criterio de la responsabilidad personal o a la eficiencia para los efectos de adjudicar recursos escasos para concluir, desde la perspectiva del marxismo analítico, que si son nuestras necesidades lo que "nos hace humanos", su satisfacción debiera primar por sobre la distribución, con base en la responsabilidad personal o contribución individual. 2014 artículo científico 1405-1435 https://www.redalyc.org/articulo.oa?id=10529071007 es http://www.redalyc.org/revista.oa?id=105 Convergencia. Revista de Ciencias Sociales application/pdf Universidad Autónoma del Estado de México Convergencia. Revista de Ciencias Sociales (México) Num.64 Vol.21

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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