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Bibliographic Details
Main Author:	Fernando Llanos Zavalaga
Format:	Artículo científico
Language:	es
Published:	Instituto Nacional de Salud 2001
Subjects:	Salud Malaria terapia Perú (fuente: BIREME) Factores epidemiológicos
Online Access:	https://www.redalyc.org/articulo.oa?id=36318403
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Factores asociados a la adherencia al tratamiento de Malaria en Piura y Tumbes - Perú Fernando Llanos Zavalaga Armando Cotrina R. Pilar Campana S. Salud Malaria terapia Perú (fuente: BIREME) Factores epidemiológicos La Organización Mundial de Salud considera al tratamiento temprano y adecuado como parte fundamental del programamundial de control de la malaria. Un problema asociado a esta estrategia es la resistencia, especialmente de P. falciparuma las drogas antimaláricas . Objetivo: Determinar los factores sociales, culturales y de los servicios de salud asociadosa la adherencia al tratamiento de malaria desde la perspectiva del usuario y del prestador, en poblados de los departamentosde Piura y Tumbes, Perú. Materiales y métodos: Se realizó un estudio transversal cualitativo en comunidades delos departamentos de Piura y Tumbes durante Febrero y Marzo del 2000, para ello se aplicaron grupos focales yentrevistas en profundidad, bajo el principio de saturación. Estos fueron grabados, transcritos, revisados y codificadosconsiderando los temas de interés, utilizando el software Atlas-ti. Resultados y conclusiones: Existen factores queinfluencian positiva o negativamente en la adherencia al tratamiento antimalárico. Dentro de las primeras, se identificóla conciencia de enfermedad, la confianza en la efectividad de los medicamentos, el conocimiento del riesgo depresentar complicaciones, medicamentos de fácil y corta administración, tratamiento gratuito y supervisado, y la participaciónde promotores de salud. Por otro lado, la rápida recuperación de síntomas, aparición de efectos adversos,presencia de población migrante y predominancia de actividad agrícola, la pobre accesibilidad, la mala calidad deatención y la automedicación influencian negativamente en la adherencia al tratamiento. 2001 artículo científico 1726-4642 https://www.redalyc.org/articulo.oa?id=36318403 es http://www.redalyc.org/revista.oa?id=363 Revista Peruana de Medicina Experimental y Salud Pública application/pdf Instituto Nacional de Salud Revista Peruana de Medicina Experimental y Salud Pública (Perú) Num.4 Vol.18

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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