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1. Verfasser:	Miguel Urina-Triana
Format:	Artículo científico
Sprache:	es
Veröffentlicht:	Sociedad Latinoamericana de Hipertensión 2017
Schlagworte:	Medicina Latinoamérica aterosclerosis Afrodescendientes Hipertensión arterial enfermedad arterial coronaria
Online-Zugang:	https://www.redalyc.org/articulo.oa?id=170254309008
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Consideraciones especiales de la hipertensión arterial sistémica en afrodescendientes de América latina Miguel Urina-Triana Daniela Urina-Jassir Manuel Urina-Jassir Manuel Urina-Triana Medicina Latinoamérica aterosclerosis Afrodescendientes Hipertensión arterial enfermedad arterial coronaria En América Latina hacer un análisis del im-pacto en la prevalencia de hipertensión ar-terial producto de la participación de la raza negra en su origen es complejo ya que no hay muchos estudios que analicen esta problemática y en particular porque el comportamiento migratorio que originó la pre-sencia de la raza negra en nuestro continente no tuvo el mismo comportamiento en todos los países. Se requiere que se aumenten las estrategias para lograr la detección, aumentar la cobertura y optimizar el tratamiento en los individuos afrodescendientes en Latinoamérica. Se nece-sitan estudios con suficiente tamaño de muestra para ver las diferencias según género, pureza de la raza, mestizaje, influjo social, migraciones, industrialización y severidad de la hipertensión arterial. 2017 artículo científico 1856-4550 https://www.redalyc.org/articulo.oa?id=170254309008 es http://www.redalyc.org/revista.oa?id=1702 Revista Latinoamericana de Hipertensión application/pdf Sociedad Latinoamericana de Hipertensión Revista Latinoamericana de Hipertensión (República Bolivariana de Venezuela) Num.5 Vol.12

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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