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1. Verfasser:	L. Bamonde Rodríguez
Format:	Artículo científico
Sprache:	es
Veröffentlicht:	Asociación Española de Pediatría de Atención Primaria 2009
Schlagworte:	Medicina Encuesta Pediatría de Atención Primaria
Online-Zugang:	https://www.redalyc.org/articulo.oa?id=366638710002
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Situación de la Pediatría de Atención Primaria en Galicia L. Bamonde Rodríguez T. Valls Durán ME. Amigo Ferreriro A. Díaz Sánchez I. Díaz-Cardama Sousa L. Garnelo Suárez J. Grandio Pardo C. Maiz Cal A. Meiriño García R. Pérez Cobeta P. Pereira García M. Pumarega Vergara Medicina Encuesta Pediatría de Atención Primaria Objetivos: averiguar las condiciones sociolaborales y las inquietudes de los pediatras quetrabajan en la Atención Primaria de la Comunidad Autónoma de Galicia.Métodos: durante el segundo semestre del 2007, se envió una encuesta a 315 pediatras denuestra comunidad que incluía preguntas sobre su perfil socio-profesional, centro de trabajo,magnitud del cupo adjudicado, consulta a demanda y programada, consulta de enfermería, in-vestigación, docencia, relaciones con otros compañeros, y expectativas de futuro. Resultados: se recibieron 180 respuestas (57,9%). La mayoría son mujeres, de edad com-prendida entre los 40-55 años, con dos hijos, que han obtenido el título de pediatra por la víaMIR (médico interno residente) y que trabajan en equipos de Atención Primaria en poblacionesrurales-semiurbanas de menos de 50.000 habitantes en turno de mañana, que es el preferidopor casi la totalidad de los encuestados. Con cupos de magnitud muy dispar, trabajan con unprofesional de Enfermería que, en la mitad de los casos, han de compartir con otros compañe-ros, profesional al que consideran motivado, pero muchas veces insuficientemente formado pa-ra la función específica que desarrollan.Conclusiones:finalmente, podemos decir que, en general, el pediatra de Atención Primariade Galicia se siente razonablemente satisfecho con su trabajo, y que el deseo más veces formu-lado para mejorar las condiciones de trabajo y la satisfacción personal es una mayor facilidadpara la formación continuada. La reivindicación salarial, aunque por escasa diferencia, se sitúaen segundo lugar. 2009 artículo científico 1139-7632 https://www.redalyc.org/articulo.oa?id=366638710002 es http://www.redalyc.org/revista.oa?id=3666 Pediatría Atención Primaria application/pdf Asociación Española de Pediatría de Atención Primaria Pediatría Atención Primaria (España) Num.41 Vol.XI

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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