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Bibliographic Details
Main Author:	Leandro A. Segura Pujal
Format:	Artículo científico
Language:	es
Published:	Centro Provincial de Información de Ciencias Médicas de Camagüey 2012
Subjects:	Medicina ANCIANO EQUIPOS MARCAPASO ARTIFICIAL SUMINISTROS ELÉCTRICOS EPIDEMIOLOGÍA DESCRIPTIVA
Online Access:	https://www.redalyc.org/articulo.oa?id=211121511007
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Variante técnica en la confección del bolsillo de marcapasos Leandro A. Segura Pujal Medicina ANCIANO EQUIPOS MARCAPASO ARTIFICIAL SUMINISTROS ELÉCTRICOS EPIDEMIOLOGÍA DESCRIPTIVA Fundamento: con la variante a la técnica de implante de marcapasos a la hora de confeccionar el bolsillo se reduce el tamaño de la incisión y se simplifica el cierre de la herida. Objetivo: mostrar variante de la técnica en la confección clásica del bolsillo del marcapasos. Método: se realizó un estudio descriptivo retrospectivo en un grupo básico de trabajo del servicio de cardiología del Hospital Universitario Manuel Ascunce Domenech de Camagüey, desde enero de 2003 hasta diciembre de 2010. El universo de estudio lo constituyeron 1540 pacientes a los que se les implantó marcapasos. La muestra no aleatoria la constituyeron 598 pacientes. Resultados: predominó el sexo masculino y las edades sobre los 60 años, con 80 implantes como promedio anual. Del total, predominó el implante primario y los generadores monocámaras. Las complicaciones se presentaron en el orden del 1.82%. Conclusiones: con esta variante técnica para la confección del bolsillo se disminuyó el tamaño de la herida, el número de complicaciones y de recursos materiales. 2012 artículo científico 1025-0255 https://www.redalyc.org/articulo.oa?id=211121511007 es http://www.redalyc.org/revista.oa?id=2111 Archivo Médico de Camagüey application/pdf Centro Provincial de Información de Ciencias Médicas de Camagüey Archivo Médico de Camagüey (Cuba) Num.1 Vol.16

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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