Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis

20 Páginas.

Autores:
Santacruz Herrera, Carlos Andrés
Tipo de recurso:
Fecha de publicación:
2011
Institución:
Universidad de la Sabana
Repositorio:
Repositorio Universidad de la Sabana
Idioma:
spa
OAI Identifier:
oai:intellectum.unisabana.edu.co:10818/1403
Acceso en línea:
http://hdl.handle.net/10818/1403
Palabra clave:
Terapia respiratoria
Cuidados intensivos (Medicina)
Unidades de cuidados intensivos-Atención al enfermo
Insuficiencia respiratoria-Tratamiento
Síndrome de dificultad respiratoria-Tratamiento
Rights
License
http://purl.org/coar/access_right/c_abf2
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network_name_str Repositorio Universidad de la Sabana
repository_id_str
dc.title.es_CO.fl_str_mv Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
title Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
spellingShingle Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
Terapia respiratoria
Cuidados intensivos (Medicina)
Unidades de cuidados intensivos-Atención al enfermo
Insuficiencia respiratoria-Tratamiento
Síndrome de dificultad respiratoria-Tratamiento
title_short Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
title_full Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
title_fullStr Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
title_full_unstemmed Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
title_sort Tratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisis
dc.creator.fl_str_mv Santacruz Herrera, Carlos Andrés
dc.contributor.advisor.none.fl_str_mv Buitrago Bernal, Ricardo Antonio
Oliveros Rodríguez, Henry
dc.contributor.author.none.fl_str_mv Santacruz Herrera, Carlos Andrés
dc.subject.es_CO.fl_str_mv Terapia respiratoria
Cuidados intensivos (Medicina)
Unidades de cuidados intensivos-Atención al enfermo
Insuficiencia respiratoria-Tratamiento
Síndrome de dificultad respiratoria-Tratamiento
topic Terapia respiratoria
Cuidados intensivos (Medicina)
Unidades de cuidados intensivos-Atención al enfermo
Insuficiencia respiratoria-Tratamiento
Síndrome de dificultad respiratoria-Tratamiento
description 20 Páginas.
publishDate 2011
dc.date.created.none.fl_str_mv 2011
dc.date.issued.none.fl_str_mv 2011
dc.date.accessioned.none.fl_str_mv 2012-03-13T21:25:40Z
dc.date.available.none.fl_str_mv 2012-03-13T21:25:40Z
dc.type.none.fl_str_mv bachelorThesis
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dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.none.fl_str_mv Tesis de especialización
dc.type.hasVersion.none.fl_str_mv publishedVersion
dc.identifier.citation.none.fl_str_mv Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in Adults. Lancet 1967; 290: 319-323.
Thomas L Petty, David G Ashbaugh. The Adult Respiratory Distress Syndrome: Clinical Features, Factors Influencing Prognosis and Principles of Management. Chest 1971; 60; 233-239
Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, et al. The AmericanEuropean Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994; 149: 818-824
Papazian L, et al. Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome. N Engl J Med 2010; 363: 1107-16
Christian Brun-Buisson, Francois Lemaire, et al. Epidemiology and outcome of acute lung injury in European intensive care units: Results from the ALIVE study. Intensive Care Med 2004; 30: 51-61
Mario A. Domínguez Perera. Algunas consideraciones bioéticas en el paciente critico. Rev Cub Med Int Emerg 2003;2(84-92)
Laurence L. Brunton, John S. Lazo, Keith L. Parker. Principios generales. Goodman y Gilman. Las bases farmacológicas de la terapéutica 11ª Edición. Sección 1. Pag 12-13;2006
Jean-Louis Vincent, Massimo Zambon. Why do patients who have acute lung Injury/Acute Respiratory Distress Syndrome die from Multiple Organ Dysfunction Syndrome? Implications for Management. Clin Chest Med 2006; 27: 725-731
Raoof S, Goulet K, Esan A, Hess DR, Sessler CN. Severe Hypoxemic Respiratory Failure Part 2. Nonventilatory Strategies. Chest 2010; 137(6): 1437-48.
Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med 2000; 342: 1334- 1349.
The National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome. N Engl J Med 2004; 351: 327-36
Matthias Briel, Maureen Meade, Alain Mercat, et al. Higher vs. Lower positive end-expiratory pressure in patients with Acute Lung Injury and Acute Respiratory Distress Syndrome. Systematic Review and Meta-analysis. JAMA 2010; 303(9): 865-873 (doi:10.1001/jama.2010.218).
Jason Phua, Niall D Ferguson, et al. Has Mortality from Acute Respiratory Distress Syndrome Decreased Over Time? A Systematic Review. AJRCCM Articles in Press. Am J Respir Crit Care Med 2010.
Shariatpanahi ZV, Taleban FA, Mokhtari M, Shahbazi S. Ginger extract reduces delayed gastric emptying and nosocomial pneumonia in adult respiratory distress syndrome patients hospitalized in an intensive care unit. J Crit Care 2010; 25(4): 647-50. Epub 2010 Feb 10.
Lu Q, Zhang M, Girardi C, Bouhemad B, Kesecioglu J, Rouby JJ. Computed tomography assessment of exogenous surfactant-induced lung reaeration in patients with acute lung injury. Crit Care 2010; 14(4): R135. Epub 2010 Jul 15.
Michelle Ng Gong, MD, MS. Genetic Epidemiology of Acute Respiratory Distress Syndrome: Implications for Future Prevention and Treatment. Clin Chest Med 2006; 27(4): 705-x. doi:10.1016/j.ccm.2006.07.001
Anita J Reddy, Steven R Kleeberger. Genetic polymorphisms associated with acute lung injury. Pharmacogenomics 2009; 10(9): 1527-1539. doi:10.2217/pgs.09.89.
Adhikari Neill KJ, Burns Karen EA, Meade Maureen O, Ratnapalan Mohana. Pharmacologic therapies for adults with acute lung injury and acute respiratory distress syndrome. Cochrane Database of Systematic Reviews. In: The Cochrane Library, Issue 10, Art. No. CD004477. DOI: 10.1002/14651858.CD004477.pub4.
Jan O Friedrich, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010; 36: 585-599
Meduri U, et al. Methylprednisolone Infusion in Early Severe ARDS Results of a Randomized Controlled trial. Chest 2007; 131; 954-963
Gadek J, et al. Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome. Critical Care Medicine 1999; 27.
Singer P, et al. Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury. Crit Care Med 2006; 34(4).
Pontes-Arruda, et al. The Use of an Inflammation-Modulating Diet in Patients with Acute Lung Injury or Acute Respiratory Distress Syndrome: A Meta-Analysis of Outcome Data. JPEN J Parenter Enteral Nutr 2008; 32: 596.
Abroug, et al. An updated study-level meta-analysis of randomized controlled trials on proning in ARDS and acute lung injury. Critical Care 2011; 15: R6.
Friedrich, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010; 36: 585-599.
Karen A Roberston, Kay Dickersin. Development of a highly sensitive search strategy for the retrieval of reports of controlled trials using PubMed. International Journal of Epidemiology 2002;31:151-153
Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011
Higgins, et al. Quantifying heterogeneity in a meta-analysis. Statist Med 2002; 21: 1539-1558.
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10818/1403
dc.identifier.local.none.fl_str_mv 151760
TE00159
identifier_str_mv Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in Adults. Lancet 1967; 290: 319-323.
Thomas L Petty, David G Ashbaugh. The Adult Respiratory Distress Syndrome: Clinical Features, Factors Influencing Prognosis and Principles of Management. Chest 1971; 60; 233-239
Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, et al. The AmericanEuropean Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994; 149: 818-824
Papazian L, et al. Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome. N Engl J Med 2010; 363: 1107-16
Christian Brun-Buisson, Francois Lemaire, et al. Epidemiology and outcome of acute lung injury in European intensive care units: Results from the ALIVE study. Intensive Care Med 2004; 30: 51-61
Mario A. Domínguez Perera. Algunas consideraciones bioéticas en el paciente critico. Rev Cub Med Int Emerg 2003;2(84-92)
Laurence L. Brunton, John S. Lazo, Keith L. Parker. Principios generales. Goodman y Gilman. Las bases farmacológicas de la terapéutica 11ª Edición. Sección 1. Pag 12-13;2006
Jean-Louis Vincent, Massimo Zambon. Why do patients who have acute lung Injury/Acute Respiratory Distress Syndrome die from Multiple Organ Dysfunction Syndrome? Implications for Management. Clin Chest Med 2006; 27: 725-731
Raoof S, Goulet K, Esan A, Hess DR, Sessler CN. Severe Hypoxemic Respiratory Failure Part 2. Nonventilatory Strategies. Chest 2010; 137(6): 1437-48.
Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med 2000; 342: 1334- 1349.
The National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome. N Engl J Med 2004; 351: 327-36
Matthias Briel, Maureen Meade, Alain Mercat, et al. Higher vs. Lower positive end-expiratory pressure in patients with Acute Lung Injury and Acute Respiratory Distress Syndrome. Systematic Review and Meta-analysis. JAMA 2010; 303(9): 865-873 (doi:10.1001/jama.2010.218).
Jason Phua, Niall D Ferguson, et al. Has Mortality from Acute Respiratory Distress Syndrome Decreased Over Time? A Systematic Review. AJRCCM Articles in Press. Am J Respir Crit Care Med 2010.
Shariatpanahi ZV, Taleban FA, Mokhtari M, Shahbazi S. Ginger extract reduces delayed gastric emptying and nosocomial pneumonia in adult respiratory distress syndrome patients hospitalized in an intensive care unit. J Crit Care 2010; 25(4): 647-50. Epub 2010 Feb 10.
Lu Q, Zhang M, Girardi C, Bouhemad B, Kesecioglu J, Rouby JJ. Computed tomography assessment of exogenous surfactant-induced lung reaeration in patients with acute lung injury. Crit Care 2010; 14(4): R135. Epub 2010 Jul 15.
Michelle Ng Gong, MD, MS. Genetic Epidemiology of Acute Respiratory Distress Syndrome: Implications for Future Prevention and Treatment. Clin Chest Med 2006; 27(4): 705-x. doi:10.1016/j.ccm.2006.07.001
Anita J Reddy, Steven R Kleeberger. Genetic polymorphisms associated with acute lung injury. Pharmacogenomics 2009; 10(9): 1527-1539. doi:10.2217/pgs.09.89.
Adhikari Neill KJ, Burns Karen EA, Meade Maureen O, Ratnapalan Mohana. Pharmacologic therapies for adults with acute lung injury and acute respiratory distress syndrome. Cochrane Database of Systematic Reviews. In: The Cochrane Library, Issue 10, Art. No. CD004477. DOI: 10.1002/14651858.CD004477.pub4.
Jan O Friedrich, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010; 36: 585-599
Meduri U, et al. Methylprednisolone Infusion in Early Severe ARDS Results of a Randomized Controlled trial. Chest 2007; 131; 954-963
Gadek J, et al. Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome. Critical Care Medicine 1999; 27.
Singer P, et al. Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury. Crit Care Med 2006; 34(4).
Pontes-Arruda, et al. The Use of an Inflammation-Modulating Diet in Patients with Acute Lung Injury or Acute Respiratory Distress Syndrome: A Meta-Analysis of Outcome Data. JPEN J Parenter Enteral Nutr 2008; 32: 596.
Abroug, et al. An updated study-level meta-analysis of randomized controlled trials on proning in ARDS and acute lung injury. Critical Care 2011; 15: R6.
Friedrich, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010; 36: 585-599.
Karen A Roberston, Kay Dickersin. Development of a highly sensitive search strategy for the retrieval of reports of controlled trials using PubMed. International Journal of Epidemiology 2002;31:151-153
Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011
Higgins, et al. Quantifying heterogeneity in a meta-analysis. Statist Med 2002; 21: 1539-1558.
151760
TE00159
url http://hdl.handle.net/10818/1403
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dc.publisher.program.none.fl_str_mv Especialización en Medicina Crítica y Cuidado Intensivo
dc.publisher.department.none.fl_str_mv Facultad de Medicina
publisher.none.fl_str_mv Universidad de La Sabana
dc.source.none.fl_str_mv Universidad de La Sabana
Intellectum Repositorio Universidad de La Sabana
institution Universidad de la Sabana
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spelling Buitrago Bernal, Ricardo AntonioOliveros Rodríguez, HenrySantacruz Herrera, Carlos AndrésEspecialista en Medicina Crítica y Cuidado Intensivo2012-03-13T21:25:40Z2012-03-13T21:25:40Z20112011Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in Adults. Lancet 1967; 290: 319-323.Thomas L Petty, David G Ashbaugh. The Adult Respiratory Distress Syndrome: Clinical Features, Factors Influencing Prognosis and Principles of Management. Chest 1971; 60; 233-239Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, et al. The AmericanEuropean Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994; 149: 818-824Papazian L, et al. Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome. N Engl J Med 2010; 363: 1107-16Christian Brun-Buisson, Francois Lemaire, et al. Epidemiology and outcome of acute lung injury in European intensive care units: Results from the ALIVE study. Intensive Care Med 2004; 30: 51-61Mario A. Domínguez Perera. Algunas consideraciones bioéticas en el paciente critico. Rev Cub Med Int Emerg 2003;2(84-92)Laurence L. Brunton, John S. Lazo, Keith L. Parker. Principios generales. Goodman y Gilman. Las bases farmacológicas de la terapéutica 11ª Edición. Sección 1. Pag 12-13;2006Jean-Louis Vincent, Massimo Zambon. Why do patients who have acute lung Injury/Acute Respiratory Distress Syndrome die from Multiple Organ Dysfunction Syndrome? Implications for Management. Clin Chest Med 2006; 27: 725-731Raoof S, Goulet K, Esan A, Hess DR, Sessler CN. Severe Hypoxemic Respiratory Failure Part 2. Nonventilatory Strategies. Chest 2010; 137(6): 1437-48.Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med 2000; 342: 1334- 1349.The National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome. N Engl J Med 2004; 351: 327-36Matthias Briel, Maureen Meade, Alain Mercat, et al. Higher vs. Lower positive end-expiratory pressure in patients with Acute Lung Injury and Acute Respiratory Distress Syndrome. Systematic Review and Meta-analysis. JAMA 2010; 303(9): 865-873 (doi:10.1001/jama.2010.218).Jason Phua, Niall D Ferguson, et al. Has Mortality from Acute Respiratory Distress Syndrome Decreased Over Time? A Systematic Review. AJRCCM Articles in Press. Am J Respir Crit Care Med 2010.Shariatpanahi ZV, Taleban FA, Mokhtari M, Shahbazi S. Ginger extract reduces delayed gastric emptying and nosocomial pneumonia in adult respiratory distress syndrome patients hospitalized in an intensive care unit. J Crit Care 2010; 25(4): 647-50. Epub 2010 Feb 10.Lu Q, Zhang M, Girardi C, Bouhemad B, Kesecioglu J, Rouby JJ. Computed tomography assessment of exogenous surfactant-induced lung reaeration in patients with acute lung injury. Crit Care 2010; 14(4): R135. Epub 2010 Jul 15.Michelle Ng Gong, MD, MS. Genetic Epidemiology of Acute Respiratory Distress Syndrome: Implications for Future Prevention and Treatment. Clin Chest Med 2006; 27(4): 705-x. doi:10.1016/j.ccm.2006.07.001Anita J Reddy, Steven R Kleeberger. Genetic polymorphisms associated with acute lung injury. Pharmacogenomics 2009; 10(9): 1527-1539. doi:10.2217/pgs.09.89.Adhikari Neill KJ, Burns Karen EA, Meade Maureen O, Ratnapalan Mohana. Pharmacologic therapies for adults with acute lung injury and acute respiratory distress syndrome. Cochrane Database of Systematic Reviews. In: The Cochrane Library, Issue 10, Art. No. CD004477. DOI: 10.1002/14651858.CD004477.pub4.Jan O Friedrich, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010; 36: 585-599Meduri U, et al. Methylprednisolone Infusion in Early Severe ARDS Results of a Randomized Controlled trial. Chest 2007; 131; 954-963Gadek J, et al. Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome. Critical Care Medicine 1999; 27.Singer P, et al. Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury. Crit Care Med 2006; 34(4).Pontes-Arruda, et al. The Use of an Inflammation-Modulating Diet in Patients with Acute Lung Injury or Acute Respiratory Distress Syndrome: A Meta-Analysis of Outcome Data. JPEN J Parenter Enteral Nutr 2008; 32: 596.Abroug, et al. An updated study-level meta-analysis of randomized controlled trials on proning in ARDS and acute lung injury. Critical Care 2011; 15: R6.Friedrich, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010; 36: 585-599.Karen A Roberston, Kay Dickersin. Development of a highly sensitive search strategy for the retrieval of reports of controlled trials using PubMed. International Journal of Epidemiology 2002;31:151-153Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011Higgins, et al. Quantifying heterogeneity in a meta-analysis. Statist Med 2002; 21: 1539-1558.http://hdl.handle.net/10818/1403151760TE0015920 Páginas.Tratamientos farmacológicos en SDRA El síndrome de distrés respiratorio agudo es una enfermedad común en la unidad de cuidados intensivos, con alta mortalidad y sin un tratamiento farmacológico recomendado. Se desea una revisión de la literatura y posible meta-análisis de los ECC en pacientes con SDRA que evalúen la eficacia de los tratamientos farmacológicos en pacientes con SDRA en los desenlaces, la disfunción de múltiples órganos, el hospital / UCI duración de la estancia de días libres de ventilación mecánica al compararlos con la terapia estándar Se incluirán los ECA de tratamiento farmacológicos que valoren mortalidad en adultos,> 18 años de edad. Se excluirán niños, mujeres embarazadas, animales y ECA sin definición de SDRA. Los resultados no están disponibles todavíaspaUniversidad de La SabanaEspecialización en Medicina Crítica y Cuidado IntensivoFacultad de MedicinaUniversidad de La SabanaIntellectum Repositorio Universidad de La SabanaTerapia respiratoriaCuidados intensivos (Medicina)Unidades de cuidados intensivos-Atención al enfermoInsuficiencia respiratoria-TratamientoSíndrome de dificultad respiratoria-TratamientoTratamientos farmacológicos en pacientes con Síndrome de Dificultad Respiratoria Aguda (SDRA): Revisión sistemática y meta-análisisbachelorThesisTesis de especializaciónpublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/access_right/c_abf2ORIGINALCarlos Andrés Santacruz Herrera.pdfCarlos Andrés Santacruz Herrera.pdfVer documento en PDFapplication/pdf169894https://intellectum.unisabana.edu.co/bitstream/10818/1403/1/Carlos%20Andr%c3%a9s%20Santacruz%20Herrera.pdfc00d3dee53dc1aed71cafe1d62873b16MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/1403/2/license.txtf52a2cfd4df262e08e9b300d62c85cabMD52TEXTCarlos Andrés Santacruz Herrera.pdf.txtCarlos Andrés Santacruz Herrera.pdf.txtExtracted Texttext/plain20https://intellectum.unisabana.edu.co/bitstream/10818/1403/3/Carlos%20Andr%c3%a9s%20Santacruz%20Herrera.pdf.txt1ce16875dfcb2a5f27fbe1195d81a285MD5310818/1403oai:intellectum.unisabana.edu.co:10818/14032020-02-12 10:34:03.932Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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