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Bibliographische Detailangaben
1. Verfasser:	Jessica Gazel Bonilla
Format:	Artículo científico
Sprache:	es
Veröffentlicht:	Colegio de Cirujanos Dentistas de Costa Rica 2011
Schlagworte:	Medicina Salud Dental Higiene Bucal Enfermedad de Alzheimer Cuidados Bucales en Adultos Mayores
Online-Zugang:	https://www.redalyc.org/articulo.oa?id=324227913007
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Inhaltsangabe:

Manejo Odontológico del paciente Adulto Mayor con Alzheimer Manejo Odontológico del paciente Adulto Mayor con Alzheimer. Protocolo Dental en pacientes con Alzheimer. Jessica Gazel Bonilla Medicina Salud Dental Higiene Bucal Enfermedad de Alzheimer Cuidados Bucales en Adultos Mayores La enfermedad de Alzheimer (EA) es una demencia que se caracteriza por ser neurodegenerativa, progresiva e irreversible, es una afección que se presenta en pacientes adultos mayores y es la causa más frecuente de demencia. Los factores etiológicos son múltiples y la evolución es lenta pero progresiva. Por tratarse de un segmento de la población en constante aumento; la siguiente revisión bibliográfica busca familiarizar al Odontólogo con las características clínicas de la enfermedad y la manera de planificar el tratamiento odontológico en este tipo de pacientes. Se describe que en pacientes con EA, hay una mala higiene bucal y una mayor prevalencia de enfermedades orales, debido a la imposibilidad de realizar una adecuada higiene oral. Hay cinco elementos importantes en la atención de la salud bucal: los síntomas, el examen oral, el tratamiento, el rol del cuidador frente a la salud bucal del paciente, y el papel del odontólogo. 2011 artículo científico 1659-1992 https://www.redalyc.org/articulo.oa?id=324227913007 es http://www.redalyc.org/revista.oa?id=3242 Revista Científica Odontológica application/pdf Colegio de Cirujanos Dentistas de Costa Rica Revista Científica Odontológica (Costa Rica) Num.1 Vol.7

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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