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Autore principale:	Luis Antonio Dubey Ortega
Natura:	Artículo científico
Lingua:	es
Pubblicazione:	Universidad de Guanajuato 2015
Soggetti:	Multidisciplinarias (Ciencias Sociales) ultrafiltrado neto Diálisis peritoneal diálisis peritoneal crónica prueba de equilibrio peritoneal (PET) diálisis peritoneal continua ambulatoria
Accesso online:	https://www.redalyc.org/articulo.oa?id=41641037004
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Utilidad de la prueba de equilibrio peritoneal (PET) por volumen para estimar el tipo de peritoneo en los niños con diálisis peritoneal crónica Luis Antonio Dubey Ortega Jesús Ramos González Alejandra Dubey Malagón Carlos Kornhauser Araujo María del Socorro Herrera Castro Multidisciplinarias (Ciencias Sociales) ultrafiltrado neto Diálisis peritoneal diálisis peritoneal crónica prueba de equilibrio peritoneal (PET) diálisis peritoneal continua ambulatoria La prueba de equilibrio peritoneal (PET, por sus siglas en inglés) es el método convencio-nal para conocer la permeabilidad de la membrana peritoneal y prescribir el tratamiento dialítico, identificando el tipo de transporte peritoneal por medio del volumen de drenado y la ultrafiltración neta. Para ello, se estudiaron 33 pacientes menores de 16 años con insu-ficiencia renal crónica (IRC), mediante PET estándar y por volumen drenado. El resultado será que en la PET el volumen promedio infundido fue de 1470 ml ± 450 ml, el drenado de 1720 ml ± 545.2 ml y el ultrafiltrado (UF) neto de 249.4 ml ± 147 ml. Con base en el UF neto y al índice de diálisis y en plasma (D/P) creatinina, el 45% al 36% tuvieron un transporte peritoneal alto. La UF durante el PET de 4 h fue de 275.8 ml ± 126.8 ml. El UF neto de la PET y la estancia de 4 h correlacionaron significativamente (p < 0.05). Se concluye que, de acuerdo con el volumen de drenado, es posible conocer las características de transporte del peritoneo. 2015 artículo científico 0188-6266 https://www.redalyc.org/articulo.oa?id=41641037004 es http://www.redalyc.org/revista.oa?id=416 Acta Universitaria application/pdf Universidad de Guanajuato Acta Universitaria (México) Num.1 Vol.25

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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