Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012

Objetivos: Determinar la prevalencia del hirsutismo en la ciudad de Manizales, caracterizar la patología desde su perspectiva demográfica y clínica, y relacionar las diferentes variables con la presencia o no de hirsutismo. Metodología: Investigación de corte transversal de nivel analítico, basada e...

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Autores:
Naranjo Cardona, Andrés Leonardo
Montilla Garzón, Juan Carlos
Sepúlveda Gallego, Luz Elena
González G., Leonardo José
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Universidad de Caldas
Repositorio:
Repositorio Institucional U. Caldas
Idioma:
spa
OAI Identifier:
oai:repositorio.ucaldas.edu.co:ucaldas/16281
Acceso en línea:
https://doi.org/10.17151/biosa.2015.14.1.4
https://repositorio.ucaldas.edu.co/handle/ucaldas/16281
Palabra clave:
exceso de andrógenos
hirsutism
students
hyperandrogenism
prevalence
androgen excess
hirsutismo
estudiantes
hiperandrogenismo
prevalencia
exceso de andrógenos
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openAccess
License
Derechos de autor 2015 Biosalud
id RUCALDAS2_66a7ef64e6f47158641ae7f595b39adf
oai_identifier_str oai:repositorio.ucaldas.edu.co:ucaldas/16281
network_acronym_str RUCALDAS2
network_name_str Repositorio Institucional U. Caldas
repository_id_str
dc.title.spa.fl_str_mv Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
dc.title.translated.eng.fl_str_mv Clinical evaluation of terminal body hair and hirsutism prevalence in university students from Manizales (Caldas), 2012
title Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
spellingShingle Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
exceso de andrógenos
hirsutism
students
hyperandrogenism
prevalence
androgen excess
hirsutismo
estudiantes
hiperandrogenismo
prevalencia
exceso de andrógenos
title_short Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
title_full Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
title_fullStr Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
title_full_unstemmed Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
title_sort Evaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012
dc.creator.fl_str_mv Naranjo Cardona, Andrés Leonardo
Montilla Garzón, Juan Carlos
Sepúlveda Gallego, Luz Elena
González G., Leonardo José
dc.contributor.author.spa.fl_str_mv Naranjo Cardona, Andrés Leonardo
Montilla Garzón, Juan Carlos
Sepúlveda Gallego, Luz Elena
González G., Leonardo José
dc.subject.eng.fl_str_mv exceso de andrógenos
hirsutism
students
hyperandrogenism
prevalence
androgen excess
topic exceso de andrógenos
hirsutism
students
hyperandrogenism
prevalence
androgen excess
hirsutismo
estudiantes
hiperandrogenismo
prevalencia
exceso de andrógenos
dc.subject.spa.fl_str_mv hirsutismo
estudiantes
hiperandrogenismo
prevalencia
exceso de andrógenos
description Objetivos: Determinar la prevalencia del hirsutismo en la ciudad de Manizales, caracterizar la patología desde su perspectiva demográfica y clínica, y relacionar las diferentes variables con la presencia o no de hirsutismo. Metodología: Investigación de corte transversal de nivel analítico, basada en el estudio de una población de acceso de 830 estudiantes de primer año de las universidades de la ciudad, quienes fueron encuestadas y examinadas aplicando la escala estandarizada de Ferriman y Gallwey modificada (F-Gm), previo consentimiento informado. Resultados: La prevalencia de hirsutismo encontrada para un puntaje de 8 de la escala de F-Gm es del 20,5%, el percentil 95 hallado equivale a 12 puntos. Se encontró mayor frecuencia de hirsutismo en los diferentes puntos de corte evaluados en las mujeres: con edad entre los 20 y 24 años, mestizas, con antecedente y presencia de acné, con padres con calvicie, con hermanas con hirsutismo. Existe correlación negativa entre el puntaje de la escala de F-Gm y edad de la pubarca, presión arterial sistólica y estrato socioeconómico; y correlación positiva con el perímetro abdominal. Conclusiones: Para la población estudiada el signo hirsutismo presenta prevalencia similar a la encontrada en otros estudios publicados, el percentil 95 como parámetro de normalidad de 12 en la escala F-Gm es superior a los puntos de corte informados en la literatura.
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-02-23 16:03:24
2021-03-07T10:01:28Z
dc.date.available.none.fl_str_mv 2021-02-23 16:03:24
2021-03-07T10:01:28Z
dc.date.issued.none.fl_str_mv 2021-02-23
dc.type.spa.fl_str_mv Artículo de revista
Sección Artículos Originales
dc.type.eng.fl_str_mv Journal Article
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dc.identifier.uri.none.fl_str_mv https://doi.org/10.17151/biosa.2015.14.1.4
https://repositorio.ucaldas.edu.co/handle/ucaldas/16281
dc.identifier.doi.none.fl_str_mv 10.17151/biosa.2015.14.1.4
dc.identifier.eissn.none.fl_str_mv 2462-960X
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url https://doi.org/10.17151/biosa.2015.14.1.4
https://repositorio.ucaldas.edu.co/handle/ucaldas/16281
dc.language.iso.spa.fl_str_mv spa
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dc.relation.citationendpage.none.fl_str_mv 43
dc.relation.citationissue.spa.fl_str_mv 1
dc.relation.citationstartpage.none.fl_str_mv 36
dc.relation.citationvolume.spa.fl_str_mv 14
dc.relation.ispartofjournal.spa.fl_str_mv Biosalud
dc.relation.references.spa.fl_str_mv Escobar-Morreale HF, Carmina E, Dewailly D, Gambineri A, Kelestimur F, Moghetti P, et al. Epidemiology, diagnosis and management of hirsutism: a consensus statement by the Androgen Excess and Polycystic Ovary Syndrome Society. Hum Reprod Update 2012; 18(2):146-70.
Brodell LA, Mercurio MG. Hirsutism: Diagnosis and management. Gend Med 2010; 7(2):79-87.
Somani N, Harrison S, Bergfeld WF. The clinical evaluation of hirsutism. Dermatol Ther 2008; 21(5):376-91.
Yildiz BO, Bolour S, Woods K, Moore A, Azziz R. Visually scoring hirsutism. Hum Reprod Update 2010; 16(1):51-64.
Harrison S, Somani N, Bergfeld WF. Update on the management of hirsutism. Cleve Clin J Med 2010; 77(6):388-98.
Mofid A, Seyyed Alinaghi SA, Zandieh S, Yazdani T. Hirsutism. Int J Clin Pract 2008; 62(3):433-43.
Bremer AA. Polycystic ovary syndrome in the pediatric population. Metab Syndr Relat Disord 2010; 8(5):375-94.
Taponen S, Ahonkallio S, Martikainen H, Koivunen R, Ruokonen A, Sovio U, et al. Prevalence of polycystic ovaries in women with self-reported symptoms of oligomenorrhoea and/or hirsutism: Northern Finland Birth Cohort 1966 Study. Hum Reprod 2004; 19(5):1083-8.
Taponen S, Martikainen H, Jarvelin MR, Sovio U, Laitinen J, Pouta A, et al. Metabolic cardiovascular disease risk factors in women with self-reported symptoms of oligomenorrhea and/or hirsutism: Northern Finland Birth Cohort 1966 Study. J Clin Endocrinol Metab 2004; 89(5):2114-8.
Alemzadeh R, Kichler J, Calhoun M. Spectrum of metabolic dysfunction in relationship with hyperandrogenemia in obese adolescent girls with polycystic ovary syndrome. Eur J Endocrinol 2010; 162(6):1093-9.
Chang AY, Wild RA. Characterizing cardiovascular risk in women with polycystic ovary syndrome: more than the sum of its parts? Semin Reprod Med 2009; 27(4):299-305.
Bhattacharya SM, Ghosh M. Insulin resistance and adolescent girls with polycystic ovary syndrome. J Pediatr Adolesc Gynecol 2010; 23(3):158-61.
Escobar-Morreale HF, Roldán B, Barrio R, Alonso M, Sancho J, De la Calle H, et al. High prevalence of the polycystic ovary syndrome and hirsutism in women with type 1 diabetes mellitus. J Clin Endocrinol Metab 2000; 85(11):4182-7.
Glintborg D, Henriksen JE, Andersen M, Hagen C, Hangaard J, Rasmussen PE, et al. Prevalence of endocrine diseases and abnormal glucose tolerance tests in 340 Caucasian premenopausal women with hirsutism as the referral diagnosis. Fertil Steril 2004; 82(6):1570-9.
Morgan J, Scholtz S, Lacey H, Conway G. The prevalence of eating disorders in women with facial hirsutism: an epidemiological cohort study. Int J Eat Disord 2008; 41(5):427-31.
Drosdzol A, Skrzypulec V, Plinta R. Quality of life, mental health and self-esteem in hirsute adolescent females. J Psychosom Obstet Gynaecol 2010; 31(3):168-75.
Sonino N, Fava GA, Mani E, Belluardo P, Boscaro M. Quality of life of hirsute women. Postgrad Med J 1993; 69(809):186-9.
Karrer-Voegeli S, Rey F, Reymond MJ, Meuwly JY, Gaillard RC, Gomez F. Androgen dependence of hirsutism, acne, and alopecia in women: retrospective analysis of 228 patients investigated for hyperandrogenism. Medicine (Baltimore) 2009; 88(1):32-45.
Li L, Yang D, Chen X, Chen Y, Feng S, Wang L. Clinical and metabolic features of polycystic ovary syndrome. Int J Gynaecol Obstet 2007; 97(2):129-34.
Dane. Proyecciones de población Colombia; 2012. Disponible en: https://www.dane.gov.co/index. php?option=com_content&view=article&id=75&Itemid=72
Martin KA, Chang RJ, Ehrmann DA, Ibanez L, Lobo RA, Rosenfield RL, et al. Evaluation and treatment of hirsutism in premenopausal women: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2008; 93(4):1105-20.
March WA, Moore VM, Willson KJ, Phillips DI, Norman RJ, Davies MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Reprod 2009; 25(2):544-51.
Diamanti-Kandarakis E, Kouli CR, Bergiele AT, Filandra FA, Tsianateli TC, Spina GG, et al. A survey of the polycystic ovary syndrome in the Greek island of Lesbos: hormonal and metabolic profile. J Clin Endocrinol Metab 1999; 84(11):4006-11.
Zargar AH, Wani AI, Masoodi SR, Laway BA, Bashir MI, Salahuddin M. Epidemiologic and etiologic aspects of hirsutism in Kashmiri women in the Indian subcontinent. Fertil Steril 2002; 77 (4):674-8.
Asunción M, Calvo RM, San Millán JL, Sancho J, Ávila S, Escobar-Morreale HF. A prospective study of the prevalence of the polycystic ovary syndrome in unselected Caucasian women from Spain. J Clin Endocrinol Metab 2000; 85(7):2434-8.
Sagsoz N, Kamaci M, Orbak Z. Body hair scores and total hair diameters in healthy women in the Kirikkale Region of Turkey. Yonsei Med J 2004; 45(3):483-91.
DeUgarte CM, Woods KS, Bartolucci AA, Azziz R. Degree of facial and body terminal hair growth in unselected black and white women: toward a populational definition of hirsutism. J Clin Endocrinol Metab 2006; 91(4):1345-50.
Noorbala MT, Kefaie P. The prevalence of hirsutism in adolescent girls in Yazd, Central Iran. Iran Red Crescent Med J 2010; 12:111-117.
Moran C, Tena G, Moran S, Ruiz P, Reyna R, Duque X. Prevalence of polycystic ovary syndrome and related disorders in mexican women. Gynecol Obstet Invest 2010; 69(4):274-80.
Téllez R, Frenkel J. [Clinical evaluation of body hair in healthy women]. Rev Med Chil 1995; 123(11):1349-54.
Sanchón R, Gambineri A, Alpañés M, Martínez-García MA, Pasquali R, Escobar-Morreale HF. Prevalence of functional disorders of androgen excess in unselected premenopausal women: a study in blood donors. Hum Reprod 2012; 27(4):1209-16.
Zhao JL, Chen ZJ, Shi YH, Geng L, Ma ZX, Li Y, et al. [Investigation of body hair assessment of Chinese women in Shandong region and its preliminary application in polycystic ovary syndrome patients]. Zhonghua Fu Chan Ke Za Zhi 2007; 42(9):590-4.
Api M, Badoglu B, Akca A, Api O, Gorgen H, Cetin A. Interobserver variability of modified FerrimanGallwey hirsutism score in a Turkish population. Arch Gynecol Obstet 2009; 279(4):473.
Hatch R, Rosenfield RL, Kim MH, Tredway D. Hirsutism: implications, etiology, and management. Am J Obstet Gynecol 1981; 140(7):815-30.
Perkins AC, Maglione J, Hillebrand GG, Miyamoto K, Kimball AB. Acne vulgaris in women: prevalence across the life span. J Womens Health (Larchmt) 2012; 21(2):223-30.
Devoto Canessa E, Aravena C. L. Hirsutism: experience in diagnosis and treatment in the period 1970-1995. Rev. chil. obstet. ginecol. 1995; 60(4):291-301.
Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, et al. Positions statement: criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: an Androgen Excess Society guideline. J Clin Endocrinol Metab 2006; 91(11):4237-45.
Merkin SS, Azziz R, Seeman T, Calderon-Margalit R, Daviglus M, Kiefe C, et al. Socioeconomic status and polycystic ovary syndrome. J Womens Health (Larchmt) 2011; 20(3):413-9.
Azziz R, Sánchez LA, Knochenhauer ES, Moran C, Lazenby J, Stephens KC, et al. Androgen excess in women: experience with over 1000 consecutive patients. J Clin Endocrinol Metab 2004; 89(2):453-62.
Al-Ruhaily AD, Malabu UH, Sulimani RA. Hirsutism in Saudi females of reproductive age: a hospitalbased study. Ann Saudi Med 2008; 28(1):28-32.
Legro RS, Driscoll D, Strauss JF, Fox J, Dunaif A. Evidence for a genetic basis for hyperandrogenemia in polycystic ovary syndrome. Proc Natl Acad Sci USA 1998; 95(25):14956-60.
Franks S, Berga SL. Does PCOS have developmental origins? Fertil Steril 2012; 97(1):2-6.
dc.relation.citationedition.spa.fl_str_mv Núm. 1 , Año 2015 : Enero - Junio
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spelling Naranjo Cardona, Andrés Leonardo1e386c3e8d1968553bba927fefea6635300Montilla Garzón, Juan Carlos551531a2bf560d5c610c9e2279102573300Sepúlveda Gallego, Luz Elena15bf2bdda3ba468c3fe51adbbe47bf1bGonzález G., Leonardo José4806e96493096f830669e40e211dcbb03002021-02-23 16:03:242021-03-07T10:01:28Z2021-02-23 16:03:242021-03-07T10:01:28Z2021-02-231657-9550https://doi.org/10.17151/biosa.2015.14.1.4https://repositorio.ucaldas.edu.co/handle/ucaldas/1628110.17151/biosa.2015.14.1.42462-960XObjetivos: Determinar la prevalencia del hirsutismo en la ciudad de Manizales, caracterizar la patología desde su perspectiva demográfica y clínica, y relacionar las diferentes variables con la presencia o no de hirsutismo. Metodología: Investigación de corte transversal de nivel analítico, basada en el estudio de una población de acceso de 830 estudiantes de primer año de las universidades de la ciudad, quienes fueron encuestadas y examinadas aplicando la escala estandarizada de Ferriman y Gallwey modificada (F-Gm), previo consentimiento informado. Resultados: La prevalencia de hirsutismo encontrada para un puntaje de 8 de la escala de F-Gm es del 20,5%, el percentil 95 hallado equivale a 12 puntos. Se encontró mayor frecuencia de hirsutismo en los diferentes puntos de corte evaluados en las mujeres: con edad entre los 20 y 24 años, mestizas, con antecedente y presencia de acné, con padres con calvicie, con hermanas con hirsutismo. Existe correlación negativa entre el puntaje de la escala de F-Gm y edad de la pubarca, presión arterial sistólica y estrato socioeconómico; y correlación positiva con el perímetro abdominal. Conclusiones: Para la población estudiada el signo hirsutismo presenta prevalencia similar a la encontrada en otros estudios publicados, el percentil 95 como parámetro de normalidad de 12 en la escala F-Gm es superior a los puntos de corte informados en la literatura.Objectives:.To determine the prevalence of hirsutism in the city of Manizales (Colombia), to characterize its pathology from its demographic and medical perspective and to relate the different variables with the presence or absence of hirsutism. Methodology: Transversal analytical research based on the study of a population composed by 830 female freshmen attending several local universities who were surveyed and examined applying Ferriman and Gallwey modified scale (F-Gm) previous informed consent. Results: The prevalence of hirsutism for a score of 8 in the F-Gm scale was 20.5%; the 95 percentile found is equivalent to 12 points. An increased frequency of hirsutism was found in the cut off points evaluated in women with the following characteristics: age 20 to 24, mestizo, with a history and presence of acne, bald parents and sisters with hirsutism. There is negative relation between the score in the F-Gm scale and the pubarche age, systolic blood pressure, socio-economic status. On the contrary, it positively correlated with abdominal circumference. Conclusions: For the population studied hirsutism showed a similar prevalence to that found in the population studied compared to published data. Nevertheless, the 95 percentile, as a normality parameter of 12 in the F-Gm scale, is higher than the cut off points informed in the literature.application/pdfspaUniversidad de CaldasDerechos de autor 2015 Biosaludhttps://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2https://revistasojs.ucaldas.edu.co/index.php/biosalud/article/view/3802exceso de andrógenoshirsutismstudentshyperandrogenismprevalenceandrogen excesshirsutismoestudianteshiperandrogenismoprevalenciaexceso de andrógenosEvaluación clínica de vello corporal terminal y prevalencia de hirsutismo en estudiantes universitarias de la ciudad de Manizales (Caldas), 2012Clinical evaluation of terminal body hair and hirsutism prevalence in university students from Manizales (Caldas), 2012Artículo de revistaSección Artículos OriginalesJournal Articlehttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a854313614BiosaludEscobar-Morreale HF, Carmina E, Dewailly D, Gambineri A, Kelestimur F, Moghetti P, et al. Epidemiology, diagnosis and management of hirsutism: a consensus statement by the Androgen Excess and Polycystic Ovary Syndrome Society. Hum Reprod Update 2012; 18(2):146-70.Brodell LA, Mercurio MG. Hirsutism: Diagnosis and management. Gend Med 2010; 7(2):79-87.Somani N, Harrison S, Bergfeld WF. The clinical evaluation of hirsutism. Dermatol Ther 2008; 21(5):376-91.Yildiz BO, Bolour S, Woods K, Moore A, Azziz R. Visually scoring hirsutism. Hum Reprod Update 2010; 16(1):51-64.Harrison S, Somani N, Bergfeld WF. Update on the management of hirsutism. Cleve Clin J Med 2010; 77(6):388-98.Mofid A, Seyyed Alinaghi SA, Zandieh S, Yazdani T. Hirsutism. Int J Clin Pract 2008; 62(3):433-43.Bremer AA. Polycystic ovary syndrome in the pediatric population. Metab Syndr Relat Disord 2010; 8(5):375-94.Taponen S, Ahonkallio S, Martikainen H, Koivunen R, Ruokonen A, Sovio U, et al. Prevalence of polycystic ovaries in women with self-reported symptoms of oligomenorrhoea and/or hirsutism: Northern Finland Birth Cohort 1966 Study. Hum Reprod 2004; 19(5):1083-8.Taponen S, Martikainen H, Jarvelin MR, Sovio U, Laitinen J, Pouta A, et al. Metabolic cardiovascular disease risk factors in women with self-reported symptoms of oligomenorrhea and/or hirsutism: Northern Finland Birth Cohort 1966 Study. J Clin Endocrinol Metab 2004; 89(5):2114-8.Alemzadeh R, Kichler J, Calhoun M. Spectrum of metabolic dysfunction in relationship with hyperandrogenemia in obese adolescent girls with polycystic ovary syndrome. Eur J Endocrinol 2010; 162(6):1093-9.Chang AY, Wild RA. Characterizing cardiovascular risk in women with polycystic ovary syndrome: more than the sum of its parts? Semin Reprod Med 2009; 27(4):299-305.Bhattacharya SM, Ghosh M. Insulin resistance and adolescent girls with polycystic ovary syndrome. J Pediatr Adolesc Gynecol 2010; 23(3):158-61.Escobar-Morreale HF, Roldán B, Barrio R, Alonso M, Sancho J, De la Calle H, et al. High prevalence of the polycystic ovary syndrome and hirsutism in women with type 1 diabetes mellitus. J Clin Endocrinol Metab 2000; 85(11):4182-7.Glintborg D, Henriksen JE, Andersen M, Hagen C, Hangaard J, Rasmussen PE, et al. Prevalence of endocrine diseases and abnormal glucose tolerance tests in 340 Caucasian premenopausal women with hirsutism as the referral diagnosis. Fertil Steril 2004; 82(6):1570-9.Morgan J, Scholtz S, Lacey H, Conway G. The prevalence of eating disorders in women with facial hirsutism: an epidemiological cohort study. Int J Eat Disord 2008; 41(5):427-31.Drosdzol A, Skrzypulec V, Plinta R. Quality of life, mental health and self-esteem in hirsute adolescent females. J Psychosom Obstet Gynaecol 2010; 31(3):168-75.Sonino N, Fava GA, Mani E, Belluardo P, Boscaro M. Quality of life of hirsute women. Postgrad Med J 1993; 69(809):186-9.Karrer-Voegeli S, Rey F, Reymond MJ, Meuwly JY, Gaillard RC, Gomez F. Androgen dependence of hirsutism, acne, and alopecia in women: retrospective analysis of 228 patients investigated for hyperandrogenism. Medicine (Baltimore) 2009; 88(1):32-45.Li L, Yang D, Chen X, Chen Y, Feng S, Wang L. Clinical and metabolic features of polycystic ovary syndrome. Int J Gynaecol Obstet 2007; 97(2):129-34.Dane. Proyecciones de población Colombia; 2012. Disponible en: https://www.dane.gov.co/index. php?option=com_content&view=article&id=75&Itemid=72Martin KA, Chang RJ, Ehrmann DA, Ibanez L, Lobo RA, Rosenfield RL, et al. Evaluation and treatment of hirsutism in premenopausal women: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2008; 93(4):1105-20.March WA, Moore VM, Willson KJ, Phillips DI, Norman RJ, Davies MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. 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Fertil Steril 2012; 97(1):2-6.Núm. 1 , Año 2015 : Enero - Juniohttps://revistasojs.ucaldas.edu.co/index.php/biosalud/article/download/3802/3512OREORE.xmltext/xml2707https://repositorio.ucaldas.edu.co/bitstream/ucaldas/16281/1/ORE.xml895afa9bd90bbe1dd3bbd47cc3b560c5MD51ucaldas/16281oai:repositorio.ucaldas.edu.co:ucaldas/162812021-03-07 10:01:28.148Repositorio Digital de la Universidad de Caldasbdigital@metabiblioteca.com

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