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Bibliographic Details
Main Author:	Max Ramiro Ochoa Ortega
Format:	Artículo científico
Language:	es
Published:	Centro Provincial de Información de Ciencias Médicas de Camagüey 2016
Subjects:	Medicina LACTANTE TERAPÉUTICA INFORMES DE CASOS TRASTORNOS PSICOMOTORES SÍNDROME DEL CROMOSOMA X FRÁGIL
Online Access:	https://www.redalyc.org/articulo.oa?id=211147809010
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Primeras manifestaciones clínicas de un síndrome de X frágil en la comunidad Max Ramiro Ochoa Ortega Berta de las Mercedes Abreu Carrete Maribel Camejo Pérez Elena María González Ávila Medicina LACTANTE TERAPÉUTICA INFORMES DE CASOS TRASTORNOS PSICOMOTORES SÍNDROME DEL CROMOSOMA X FRÁGIL Fundamento: el síndrome del X frágil es el más común de los trastornos de retraso mental li- gados al cromosoma X. Objetivo: presentar las primeras manifestaciones clínicas de un caso de síndrome de X frágil que no comenzó con retardo del desarrollo psicomotor. Caso clínico: paciente que es remitido a consulta de genética por presentar macrocráneo y orejas dis- plásicas en forma de copa. Al año y seis meses presentó retardo del desarrollo psicomotor. El examen físico, los exámenes complementarios dieron el diagnóstico de un síndrome del X Frágil. Se le puso trata- miento en consulta de estimulación temprana y el paciente mejoró el desarrollo psicomotor. Conclusiones: la aparición de macrocefalia y el retardo del desarrollo psicomotor contribuye- ron a realizar el diagnóstico oportuno de esta enfermedad. La estimulación temprana permitió avances en el desarrollo psicomotor del paciente. 2016 artículo científico 1025-0255 https://www.redalyc.org/articulo.oa?id=211147809010 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.5 Vol.20

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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