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Bibliographic Details
Main Author:	María Agustina Favier Torres
Format:	Artículo científico
Language:	es
Published:	Universidad de Ciencias Médicas de Guantánamo 2014
Subjects:	Medicina Método clínico práctica médica método científico proceso salud enfermedad etapas del método clínico
Online Access:	https://www.redalyc.org/articulo.oa?id=551757262020
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Método clínico. Algunos aspectos esenciales de sus etapas María Agustina Favier Torres Mercedes Samón Leyva Mabel Chi Ceballos Inalvis Alina Calderin Lores Yoni Arcides Rodríguez Llanes Medicina Método clínico práctica médica método científico proceso salud enfermedad etapas del método clínico El método clínico es la aplicación del método científico al estudio del proceso salud-enfermedad en el individuo, con vistas a conocer, valorar y transformar dicho proceso en el individuo o sujeto, de manera que implica a todos los pacientes e incluye a todas las especialidades. Se realiza una revisión bibliográfica con el objetivo de describir algunos aspectos esenciales de las etapas del método clínico en la práctica de la medicina. Comprender la necesidad impostergable del método clínico en la práctica médica, y luchar por su uso y aplicación apropiada, es premisa de primer orden en la calidad de la atención médica individual. Su gran desarrollo tiene el único objetivo de perfilar y hacer más exquisito el diagnóstico médico. 2014 artículo científico 1028-9933 https://www.redalyc.org/articulo.oa?id=551757262020 es http://www.redalyc.org/revista.oa?id=5517 Revista Información Científica application/pdf Universidad de Ciencias Médicas de Guantánamo Revista Información Científica (Cuba) Num.1 Vol.83

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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