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Autore principale:	Hernán Fares Taie
Natura:	Artículo científico
Lingua:	es
Pubblicazione:	Federación Bioquímica de la Provincia de Buenos Aires 2005
Soggetti:	Biología guías calidad eficacia eficiencia interferencias
Accesso online:	https://www.redalyc.org/articulo.oa?id=53539308
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Guías para un uso más eficiente de la información bioquímica Hernán Fares Taie Ana Carolina Robín Martín Sandra Santanatoglia Patricia Gentili Biología guías calidad eficacia eficiencia interferencias Con el fin de mejorar la eficiencia en el uso e interpretación de la informaciónbioquímica se han establecido una serie de normativas a través de unSistema de Mejora Continua de la Calidad que permitan alcanzar un óptimoimpacto de los tests en las decisiones médicas. Un resultado exactode laboratorio será tan bueno sólo si lo son la interpretación de su significadoy su impacto sobre las decisiones médicas. Estas guías de mejoraconsisten en cinco pasos: 1) Estandarizar el uso de los tests en seis categoríasespecíficas: diagnóstico, screening, evaluación y pronóstico, monitoreode la terapia, estudio de recidivas y de investigación; 2) Estandarizarlos protocolos de informes; 3) Generar bibliografía estandarizada de fácilconsulta y rápido acceso; 4) Estandarizar las publicaciones científicas parala utilidad e interpretación de los tests; 5) Desarrollar un sistema de mejoracontinua que evalúe el impacto alcanzado por los resultados de losanálisis clínicos y su relación costo-beneficio. La implementación de estasguías facilitará el esfuerzo para lograr un mejor uso e interpretación de lainformación bioquímica y también hacia una más adecuada relación costobeneficio,aspecto de fundamental importancia para los países con menosrecursos económicos asignados al sistema de salud 2005 artículo científico 0325-2957 https://www.redalyc.org/articulo.oa?id=53539308 es http://www.redalyc.org/revista.oa?id=535 Acta Bioquímica Clínica Latinoamericana application/pdf Federación Bioquímica de la Provincia de Buenos Aires Acta Bioquímica Clínica Latinoamericana (Argentina) Num.3 Vol.39

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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