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Bibliographic Details
Main Author:	Francisco Tenorio-González
Format:	Artículo científico
Language:	es
Published:	Academia Mexicana de Cirugía, A.C. 2005
Subjects:	Medicina ética cáncer cuidados paliativos
Online Access:	https://www.redalyc.org/articulo.oa?id=66273614
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Ética y cuidados paliativos en el enfermo con cáncer avanzado Francisco Tenorio-González Medicina ética cáncer cuidados paliativos Los avances en el conocimiento de la biología del cáncer y de sutratamiento médico han aumentado el promedio de vida de losenfermos. El cáncer ha dejado de considerarse una enfermedadletal y se ha transformado en una enfermedad crónica, principalmenteporque si bien es mayor el número de enfermos que securan, también crece la cifra de enfermos con remisión que sobrevivenvarios años, con el temor de la recurrencia y con lanecesidad del tratamiento de los síntomas físicos y psicosociales.Un informe de la Sociedad Americana de Cáncer refiere que en1992 en Estados Unidos había más de ocho millones de sobrevivientesdespués del tratamiento antineoplásico, de ellos, más decuatro millones habían sobrevivido de cuatro a cinco años. Eneste escrito se hace una revisión de los actuales criterios encuanto a cuidados paliativos, en el tratamiento del dolor y seinsiste en las disciplinas éticas y psicológicas relacionadas con laatención de los enfermos con cáncer avanzado y de su familia 2005 artículo científico 0009-7411 https://www.redalyc.org/articulo.oa?id=66273614 es http://www.redalyc.org/revista.oa?id=662 Cirugía y Cirujanos application/pdf Academia Mexicana de Cirugía, A.C. Cirugía y Cirujanos (México) Num.6 Vol.73

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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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