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Bibliographic Details
Main Author:	Joel Cárdenas
Format:	Artículo científico
Language:	es
Published:	Universidad Nacional Mayor de San Marcos 2004
Subjects:	Medicina glucosa macrosomia fetal diabetes gestacional embarazo en diabetes Test de tolerancia a la glucosa
Online Access:	https://www.redalyc.org/articulo.oa?id=37965102
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Prueba de tolerancia oral a la glucosa modificada en puérperas como diagnóstico retrospectivo de diabetes gestacional Joel Cárdenas Leonor Arroyo Medicina glucosa macrosomia fetal diabetes gestacional embarazo en diabetes Test de tolerancia a la glucosa OBJETIVO: Determinar la relación entre la prueba de tolerancia oral a la glucosa (PTOG) en puérperas conmacrosomia fetal y plantearla como método de diagnóstico retrospectivo para diabetes gestacional. DISEÑODE ESTUDIO: Estudio clínico, de corte transversal, analítico, casos y controles. MATERIAL Y MÉTODOS:Estudio de 142 puérperas, 71 con recién nacidos macrosómicos y 71 con recién nacidos con pesos enpercentiles de la normalidad. Se realizó una PTOG modificada de dos horas (basal, 1h y 2 h), con 100 g deglucosa, entre las primeras 8 y 48 horas posparto (positivo si [glicemia 2h basal] + [glicemia 1h basal] >110mg/dL). Se utilizó el SPSS 10,0 para crear la base de datos y realizar el análisis estadístico: análisis univariado,bivariado para evaluar la hipótesis, y finalmente un análisis multivariado. RESULTADOS: La PTOG anormalresultó un factor de riesgo para macrosomia fetal, con un odds ratio ajustado de 5,9; IC95% 2,6-13,4. Seencontró asociación entre antecedente de macrosomia fetal, odds ratio 15,7; IC95% 1,9-123,6 y controlprenatal odds ratio 5,7; IC95% 1,2-26,8. CONCLUSIÓN: Existe relación entre la PTOG en puérperas y macrosomiafetal, que puede ser usada como prueba diagnóstica retrospectiva de diabetes gestacional. 2004 artículo científico 1025-5583 https://www.redalyc.org/articulo.oa?id=37965102 es http://www.redalyc.org/revista.oa?id=379 Anales de la Facultad de Medicina application/pdf Universidad Nacional Mayor de San Marcos Anales de la Facultad de Medicina (Perú) Num.1 Vol.65

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// 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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