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Bibliographic Details
Main Author:	Mikhael Chidiak
Format:	Artículo científico
Language:	es
Published:	Universidad de los Andes 2018
Subjects:	Medicina Enterococcus Shock Séptico Aborto Séptico Síndrome de Mondor
Online Access:	https://www.redalyc.org/articulo.oa?id=331355419009 https://www.redalyc.org/journal/3313/331355419009/ https://www.redalyc.org/journal/3313/331355419009/html/ https://www.redalyc.org/journal/3313/331355419009/331355419009.epub https://www.redalyc.org/journal/3313/331355419009/movil
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Enterococcus sp. como agente causal de Síndrome de Mondor: Reporte de caso Mikhael Chidiak Diana Izurieta Oscar Valero Yorlenis Uzcategui José Javier Salinas David Ruíz Medicina Enterococcus Shock Séptico Aborto Séptico Síndrome de Mondor El síndrome de Mondor es un cuadro toxémico-hemolítico posterior a un aborto provocado o espontáneo, causado con frecuencia por Clostridum perfringens ocasionando un cuadro aparatoso con trastornos de la circulación y shock. Presentamos el caso de una paciente de 30 años que ingresó con escaso sangrado fétido a través de genitales, signos de hipoperfusión tisular y marcado tinte ictérico quien ameritó antibioticoterapia de amplio espectro y legrado uterino por técnica de aspiración. El cultivo arrojó un hallazgo poco común al reportar como agente etiológico: Enterococcus sp. 2018 artículo científico 2477-9369 https://www.redalyc.org/articulo.oa?id=331355419009 https://www.redalyc.org/journal/3313/331355419009/ https://www.redalyc.org/journal/3313/331355419009/html/ https://www.redalyc.org/journal/3313/331355419009/331355419009.epub https://www.redalyc.org/journal/3313/331355419009/movil es http://www.redalyc.org/revista.oa?id=3313 Avances en Biomedicina application/pdf Universidad de los Andes Avances en Biomedicina (República Bolivariana de Venezuela) 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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