El enfoque del paciente ictérico

Fuente: Redalyc

Enregistré dans:

Détails bibliographiques
Auteur principal:	Luis D. Quesada
Format:	Artículo científico
Langue:	es
Publié:	Colegio de Médicos y Cirujanos de Costa Rica 2005
Sujets:	Medicina ictericia hepatopatía enfermedad biliar
Accès en ligne:	Acceder al recurso
Tags:	Ajouter un tag Pas de tags, Soyez le premier à ajouter un tag!

_version_	1876437928064843776
author	Luis D. Quesada
author_facet	Luis D. Quesada
contents	El enfoque del paciente ictérico Luis D. Quesada Henry Zamora Alfredo Martén Medicina ictericia hepatopatía enfermedad biliar Se presenta una revisión actualizada del metabolismo de la bilirrubina, las causas de lahiperbilirrubenemia, la clasificación implícita de las mismas y el abordaje del paciente conenfermedad hepatobiliar e ictericia según se maneja en nuestro medio en forma óptima deacuerdo a los recursos disponibles. 2005 artículo científico 0001-6002 https://www.redalyc.org/articulo.oa?id=43447103 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.1 Vol.47
format	Artículo científico
id	redalyc_43447103
institution	Redalyc
language	es
publishDate	2005
publisher	Colegio de Médicos y Cirujanos de Costa Rica
spellingShingle	El enfoque del paciente ictérico Luis D. Quesada Medicina ictericia hepatopatía enfermedad biliar El enfoque del paciente ictérico Luis D. Quesada Henry Zamora Alfredo Martén Medicina ictericia hepatopatía enfermedad biliar Se presenta una revisión actualizada del metabolismo de la bilirrubina, las causas de lahiperbilirrubenemia, la clasificación implícita de las mismas y el abordaje del paciente conenfermedad hepatobiliar e ictericia según se maneja en nuestro medio en forma óptima deacuerdo a los recursos disponibles. 2005 artículo científico 0001-6002 https://www.redalyc.org/articulo.oa?id=43447103 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.1 Vol.47
title	El enfoque del paciente ictérico
topic	Medicina ictericia hepatopatía enfermedad biliar
url	https://www.redalyc.org/articulo.oa?id=43447103

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'

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
ui	"standard"
language	"fr"
VUFIND_SESSION	"35726099e3836f03a56046cbce506b68"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1790794469.3435 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "35726099e3836f03a56046cbce506b68" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1433}
SessionHelper	Laminas\Stdlib\ArrayObject {#1763}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"ui=standard; language=fr; VUFIND_SESSION=35726099e3836f03a56046cbce506b68"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.147"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"6868"
REDIRECT_URL	"/Record/redalyc_43447103/Details"
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/redalyc_43447103/Details"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1790794469.3293
REQUEST_TIME	1790794469

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
ui	"standard"
language	"fr"
VUFIND_SESSION	"35726099e3836f03a56046cbce506b68"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1790794469.3435 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "35726099e3836f03a56046cbce506b68" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1433}
SessionHelper	Laminas\Stdlib\ArrayObject {#1763}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"ui=standard; language=fr; VUFIND_SESSION=35726099e3836f03a56046cbce506b68"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.147"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"6868"
REDIRECT_URL	"/Record/redalyc_43447103/Details"
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/redalyc_43447103/Details"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1790794469.3293
REQUEST_TIME	1790794469

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler

Documents similaires

Environment & details:

Environment & details: