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Bibliographic Details
Main Author:	Gilberto Rodríguez Herrera
Format:	Artículo científico
Language:	es
Published:	Colegio de Médicos y Cirujanos de Costa Rica 2003
Subjects:	Medicina apendicectomía Apendicitis aguda tratamientos previos enfermedad de morera diagnóstico temprano
Online Access:	https://www.redalyc.org/articulo.oa?id=43445207
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Revisión de casos operados con diagnóstico clínico de apéndicitis aguda en pacientes Gilberto Rodríguez Herrera Medicina apendicectomía Apendicitis aguda tratamientos previos enfermedad de morera diagnóstico temprano Justificación y objetivo: La apendicitis aguda es la urgencia quirúrgica abdominal más frecuente de la infancia.El objetivo del presente estudio fue realizar un análisis médico quirúrgico sobre el grupo de edad más común, género,grado de apendicitis y tratamientos previos de los pacientes apendicectomizados en el Servicio de CirugíaPediátrica del Hospital de San Carlos.Método: Se incluyeron 120 pacientes de ambos sexos, apendicectomizados en el Servicio de Cirugía Pediátricadel Hospital de San Carlos, con edades comprendidas entre los 0 y 13 años, durante el período de enero de 1999a agosto de 2001. La recolección de los datos fue llevada a cabo por el investigador, en una revisión exhaustivade las historias clínicas y los expedientes.Resultados: Entre los 120 pacientes operados, el grupo de edad más frecuente es de 10 a 13 años, el género alque mayormente se le realizó apendicectomía fue el masculino, el grado clínico patológico que predominó fue elsegundo. Entre los tratamientos previos más utilizados están los analgésicos no opioides y los antinflamatoriosno esteroidales. Los pacientes que recibieron tratamiento médico previo presentaron mayor grado apendicularclínico patológico durante la apendicectomía.Conclusiones: El diagnóstico de apendicitis aguda es principalmente clínico. Su retraso y el inicio de tratamientomédico son factores importantes que repercuten en la evolución y en el incremento de la morbilidad y mortalidaddel paciente pediátrico. 2003 artículo científico 0001-6002 https://www.redalyc.org/articulo.oa?id=43445207 es http://www.redalyc.org/revista.oa?id=434 Acta Médica Costarricense application/pdf Colegio de Médicos y Cirujanos de Costa Rica Acta Médica Costarricense (Costa Rica) Num.2 Vol.45

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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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