Table of Contents: :: Library Catalog

Saved in:

Bibliographic Details
Main Author:	Carlos Eduardo Jiménez-Canizales
Format:	Artículo científico
Language:	es
Published:	Sociedad Venezolana de Puericultura y Pediatría 2013
Subjects:	Medicina Colombia miembro superior Anomalías congénitas Deformidades congénitas de la mano deformidades congénitas de las extremidades superiores
Online Access:	https://www.redalyc.org/articulo.oa?id=367937046003
Tags:	Add Tag No Tags, Be the first to tag this record!

Table of Contents:

CARACTERIZACIÓN DE LAS ANOMALÍAS CONGÉNITAS DEL MIEMBRO SUPERIOR EN UNA INSTITUCIÓN PRESTADORA DE SERVICIOS DE SALUD DE IBAGUÉ, TOLIMA, COLOMBIA Carlos Eduardo Jiménez-Canizales Verónica Alzate-Carvajal J. Edward Valencia-M. Santiago Marín-Loaiza Jorge Nayid Alarcón-Z José William Martínez Alfonso J. Rodríguez-Morales Medicina Colombia miembro superior Anomalías congénitas Deformidades congénitas de la mano deformidades congénitas de las extremidades superiores El objetivo de este estudio fue caracterizar las historias clínicas de los pacientes con diagnóstico de Anomalías Congénitas del Miembro Superior (ACMS), en un centro de referencia en la atención de malformaciones congénitas en la ciudad de Ibagué, Tolima, Colombia. Método: Estudio descriptivo, retrospectivo. Se incluyeron todas las historias clínicas de los pacientes con diagnóstico de anomalías congénitas del miembro superior. Las ACMS se agruparon según la clasificación Swanson, modificada por la International Federation of Societies for Surgery of the Hand (Swanson/IFSSH). Se calcularon medias y porcentajes de las ACMS, género y distribución geográfica, frecuencia de malformaciones asociadas, lateralidad, intervención quirúrgica, número de intervenciones y co-morbilidades. Resultados: Se evaluó un total de 194 casos (55,7% hombres y 44,3% mujeres). La edad promedio de consulta fue de 7,82±6,69 años. El 40,7% procedía de la ciudad de Ibagué, y el porcentaje restante de municipios aledaños y otros departamentos. Las más frecuentes fueron polidactilia radial (16,02%), deficiencia del rayo central (14,72%), sindáctila cutánea (11,26%). Se estimó una tasa cruda de incidencia para el departamento del Tolima en el año 2001 de 7,8/10.000 nacidos vivos, en el año 2002 de 8,6/10.000 nacidos vivos y en el año 2004 de 6,5/10.000 nacidos vivos. Conclusiones: Dadas las implicaciones en la funcionalidad, desarrollo cognitivo y productividad laboral de los pacientes con ACMS, se recomienda implementar un sistema de vigilancia epidemiológica que permita discriminar las anomalías congénitas, según su ubicación anatómica, de tal forma que facilite su análisis y permita definir conductas adecuadas. 2013 artículo científico 0004-0649 https://www.redalyc.org/articulo.oa?id=367937046003 es http://www.redalyc.org/revista.oa?id=3679 Archivos Venezolanos de Puericultura y Pediatría application/pdf Sociedad Venezolana de Puericultura y Pediatría Archivos Venezolanos de Puericultura y Pediatría (República Bolivariana de Venezuela) Num.1 Vol.76

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'

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
language	"en"
ui	"standard"
VUFIND_SESSION	"64379a9daae2fff101f8aeea055eb9e2"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1784642659.4655 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "64379a9daae2fff101f8aeea055eb9e2" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1583}
SessionHelper	Laminas\Stdlib\ArrayObject {#1772}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"language=en; ui=standard; VUFIND_SESSION=64379a9daae2fff101f8aeea055eb9e2"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.85"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"12921"
REDIRECT_URL	"/Record/redalyc_367937046003/TOC"
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/redalyc_367937046003/TOC"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1784642659.4596
REQUEST_TIME	1784642659

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
language	"en"
ui	"standard"
VUFIND_SESSION	"64379a9daae2fff101f8aeea055eb9e2"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1784642659.4655 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "64379a9daae2fff101f8aeea055eb9e2" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1583}
SessionHelper	Laminas\Stdlib\ArrayObject {#1772}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"language=en; ui=standard; VUFIND_SESSION=64379a9daae2fff101f8aeea055eb9e2"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.85"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"12921"
REDIRECT_URL	"/Record/redalyc_367937046003/TOC"
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/redalyc_367937046003/TOC"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1784642659.4596
REQUEST_TIME	1784642659

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler

Similar Items

Environment & details:

Environment & details: