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Autor principal:	Orestes Dominador Rodríguez Arias
Formato:	Artículo científico
Lenguaje:	es
Publicado:	Centro Provincial de Información de Ciencias Médicas de Santiago de Cuba 2011
Materias:	Medicina Tiroides método clínico endocrinología enfermedad tiroidea
Acceso en línea:	https://www.redalyc.org/articulo.oa?id=368445234017
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

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El método clínico en las enfermedades tiroideas Orestes Dominador Rodríguez Arias Medicina Tiroides método clínico endocrinología enfermedad tiroidea Se analizan algunos aspectos del método clínico en relación con las enfermedades de la glándula tiroidea, que provocan una mayor concurrencia de los pacientes a las consultas de endocrinología en todo el país, donde se carece en ocasiones de reactivos hormonales, así como también de la posibilidad de realizar estudios y terapéuticas con iodo I 131, entre los medios más importantes para diagnosticar y tratar adecuadamente a quienes padecen esas afecciones. 2011 artículo científico 1029-3019 https://www.redalyc.org/articulo.oa?id=368445234017 es http://www.redalyc.org/revista.oa?id=3684 MEDISAN application/pdf Centro Provincial de Información de Ciencias Médicas de Santiago de Cuba MEDISAN (Cuba) Num.10 Vol.15

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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