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Bibliographic Details
Main Author:	J. Sinay Arévalo L.
Format:	Artículo científico
Language:	es
Published:	Universidad El Bosque 2001
Subjects:	Filosofía ética justicia bioética decisión racional Filosofía de la medicina
Online Access:	https://www.redalyc.org/articulo.oa?id=41400508
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Teoría de la decisión racional y filosofía de la medicina. Aplicación en la distribución de órganos para trasplantar J. Sinay Arévalo L. Filosofía ética justicia bioética decisión racional Filosofía de la medicina Tradicionalmente las decisiones de los doctores pareceríanser subjetivas o hasta mágicas, creando entre los usuariosy aún entre los mismos colegas sentimientos de desconfianza;ocasionando, de igual manera, procesos aparentementeno estandarizados. Citando como ejemplo una situación complejay difícil como los trasplantes de órganos, se revisan los procesosintrínsecos que caracterizarían una asignación justa de recursos,tomando como guía algunos principios de la teoría de la decisiónracional para aplicarlos a la reflexión teórica médica. Así, un marcocientífico se enriquece con el contexto social y crece como vacreciendo la aplicación técnico y tecnológica. 2001 artículo científico 0124-4620 https://www.redalyc.org/articulo.oa?id=41400508 es http://www.redalyc.org/revista.oa?id=414 Revista Colombiana de Filosofía de la Ciencia application/pdf Universidad El Bosque Revista Colombiana de Filosofía de la Ciencia (Colombia) Num.5 Vol.2

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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