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Détails bibliographiques
Auteur principal:	Esther Soto Gómez
Format:	Artículo científico
Langue:	es
Publié:	Asociación Colombiana de Nutrición Clínica 2020
Sujets:	Medicina soporte nutricional Nutrición parenteral malnutrición infantil
Accès en ligne:	https://www.redalyc.org/articulo.oa?id=718279900008
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Table des matières:

Características clínicas de los pacientes con nutrición parenteral en el Hospital de Especialidades Pediátricas Omar Torrijos Herrera, Panamá Esther Soto Gómez Judith Ho Urriola Medicina soporte nutricional Nutrición parenteral malnutrición infantil Introducción: el paciente pediátrico se caracteriza por ser más sensible a las restricciones energéticas y de nutrientes. Los equipos de soporte nutricional han optimizado la práctica nutricional intrahospitalaria. Objetivo: describir las características clínicas de los pacientes con nutrición parenteral en el Hospital de Especialidades Pediátricas Omar Torrijos Herrera, entre 2008 y 2016. Metodología: estudio descriptivo retrospectivo, no experimental, para el cual se utilizó la base de datos del Equipo de Soporte Nutricional (2008 - 2016). Se utilizó el programa Epi Info 7.2.0.1 para crear la base de datos y su análisis, calculando frecuencia, distribuciones, y medidas de resumen y dispersión. Resultados: en el estudio se incluyeron 416 pacientes. El grupo etario de mayor frecuencia fue el de los escolares (30 %), con un promedio de edad y desviación estándar de 5,7 años ± 5,0 años. El 62,5 % era de sexo masculino. La principal indicación de nutrición parenteral fue la cirugía gastrointestinal (46,4 %) y la apendicitis complicada perforada fue el diagnóstico más frecuente. El intervalo de duración de uso de 1 - 7 días se presentó con mayor frecuencia (61,1 %). Conclusión: La utilización de protocolos y guías clínicas es necesaria para establecer las indicaciones, requerimientos y seguimiento de la nutrición parenteral. 2020 artículo científico 2619-3906 https://www.redalyc.org/articulo.oa?id=718279900008 es http://www.redalyc.org/revista.oa?id=7182 Revista de Nutrición Clínica y Metabolismo application/pdf Asociación Colombiana de Nutrición Clínica Revista de Nutrición Clínica y Metabolismo (Colombia) Num.1 Vol.3

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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