Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios
Antecedentes: La neuralgia del trigémino (NT) es un dolor facial paroxístico unilateral severo, descrito a menudo por los pacientes como "el peor dolor del mundo". La NT se manifiesta principalmente en las zonas de los dientes o tejidos cercanos inervados por las ramas del trigémino, de al...
- Autores:
-
Abril Nuñez, Martha Carolina
Cárdenas Mayorga, María Fernanda
Duarte Garcia, Adriana Milena
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2022
- Institución:
- Universidad Santo Tomás
- Repositorio:
- Repositorio Institucional USTA
- Idioma:
- spa
- OAI Identifier:
- oai:repository.usta.edu.co:11634/45320
- Acceso en línea:
- http://hdl.handle.net/11634/45320
- Palabra clave:
- Trigeminal nerve pain,
Root canal therapy,
Process
Medication
Odontogenic pain
Therapy
Failed
Wrong
Enfermedades de los dientes
Odontología - toma de decisiones
Odontología basada en evidencias
Dolor del nervio trigémino,
Terapia de conducto radicular,
Proceso,
Medicación,
Dolor odontogénico,
Terapia,
Fallido
Erróneo
- Rights
- openAccess
- License
- CC0 1.0 Universal
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Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| title |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| spellingShingle |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios Trigeminal nerve pain, Root canal therapy, Process Medication Odontogenic pain Therapy Failed Wrong Enfermedades de los dientes Odontología - toma de decisiones Odontología basada en evidencias Dolor del nervio trigémino, Terapia de conducto radicular, Proceso, Medicación, Dolor odontogénico, Terapia, Fallido Erróneo |
| title_short |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| title_full |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| title_fullStr |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| title_full_unstemmed |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| title_sort |
Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios |
| dc.creator.fl_str_mv |
Abril Nuñez, Martha Carolina Cárdenas Mayorga, María Fernanda Duarte Garcia, Adriana Milena |
| dc.contributor.advisor.none.fl_str_mv |
Moreno Munera, Marcela del Pilar Jiménez Peña, Oscar Mauricio |
| dc.contributor.author.none.fl_str_mv |
Abril Nuñez, Martha Carolina Cárdenas Mayorga, María Fernanda Duarte Garcia, Adriana Milena |
| dc.subject.keyword.spa.fl_str_mv |
Trigeminal nerve pain, Root canal therapy, Process Medication Odontogenic pain Therapy Failed Wrong |
| topic |
Trigeminal nerve pain, Root canal therapy, Process Medication Odontogenic pain Therapy Failed Wrong Enfermedades de los dientes Odontología - toma de decisiones Odontología basada en evidencias Dolor del nervio trigémino, Terapia de conducto radicular, Proceso, Medicación, Dolor odontogénico, Terapia, Fallido Erróneo |
| dc.subject.lemb.spa.fl_str_mv |
Enfermedades de los dientes Odontología - toma de decisiones Odontología basada en evidencias |
| dc.subject.proposal.spa.fl_str_mv |
Dolor del nervio trigémino, Terapia de conducto radicular, Proceso, Medicación, Dolor odontogénico, Terapia, Fallido Erróneo |
| description |
Antecedentes: La neuralgia del trigémino (NT) es un dolor facial paroxístico unilateral severo, descrito a menudo por los pacientes como "el peor dolor del mundo". La NT se manifiesta principalmente en las zonas de los dientes o tejidos cercanos inervados por las ramas del trigémino, de allí que los pacientes opten por acudir a los odontólogos generales o especialistas. Objetivo: Determinar cómo el desconocimiento de la fisiopatología de la neuralgia del trigémino lleva a odontólogos y endodoncistas a prescribir tratamientos de conductos innecesarios. Métodos de búsqueda: Se utilizaron bases de datos como PubMed, Scopus, Cochrane, Web Of Science y Embase. Criterios de selección: Artículos publicados desde el año 2015 hasta el 2021, de todos los idiomas, relacionados con la neuralgia del trigémino y fallo en su diagnóstico, desconocimiento de fisiopatología y tratamientos innecesarios, estudios analíticos, descriptivos, sistemáticos cuantitativos y cualitativos. Recopilación y análisis de datos: Se utilizaron diferentes declaraciones para hacer lectura crítica y evaluación de la calidad metodológica de los artículos tales como la guía CONSORT, guía STROBE y la guía CARE Resultados: De los 21 artículos potencialmente elegibles, 12 fueron excluidos obteniendo finalmente 9 investigaciones. De las publicaciones tres fueron reportes de caso y seis estudios descriptivos, todos evaluaron cómo el desconocimiento de la fisiopatología de la neuralgia del trigémino lleva a odontólogos y endodoncistas a prescribir tratamientos de conductos innecesarios. Conclusiones: El desconocimiento de la fisiopatología de la neuralgia del trigémino lleva a odontólogos y endodoncistas a prescribir tratamientos endodónticos innecesarios. Los odontólogos solicitan apoyo y educación continua sobre la NT. |
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2022 |
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2022-06-22T19:39:26Z |
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2022-06-22T19:39:26Z |
| dc.date.issued.none.fl_str_mv |
2022-06-22 |
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Trabajo de grado |
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info:eu-repo/semantics/acceptedVersion |
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Formación de Recurso Humano para la Ctel: Trabajo de grado de Especialización |
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Abril Núñez, M.,Cárdenas Mayorga M, Duarte Garcia A,.(2022) Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios. [Trabajo de especialización].Universidad Santo Tomás. Bucaramanga, Colombia |
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Abril Núñez, M.,Cárdenas Mayorga M, Duarte Garcia A,.(2022) Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios. [Trabajo de especialización].Universidad Santo Tomás. Bucaramanga, Colombia reponame:Repositorio Institucional Universidad Santo Tomás instname:Universidad Santo Tomás repourl:https://repository.usta.edu.co |
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http://hdl.handle.net/11634/45320 |
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spa |
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Alonso, A. A., & Nixdorf, D. R. (2006). Case Series of Four Different Headache Types Presenting as Tooth Pain. Journal of Endodontics, 32(11), 1110–1113. https://doi.org/10.1016/j.joen.2006.02.033 Antonaci, F., Arceri, S., Rakusa, M., Mitsikostas, D. D., Milanov, I., Todorov, V., Ramusino, M. C., & Costa, A. (2020). Pitfals in recognition and management of trigeminal neuralgia. Journal of Headache and Pain, 21(1), 1–8. https://doi.org/10.1186/s10194-020-01149-8 Araya, E. I., Claudino, R. F., Piovesan, E. J., & Chichorro, J. G. (2019). Trigeminal Neuralgia: Basic and Clinical Aspects. Current Neuropharmacology, 18(2), 109–119. https://doi.org/10.2174/1570159x17666191010094350 Ardila García, E. (2018). Neuralgia Del Trigémino De Origen Dental. UstaSalud, 3(2), 122. https://doi.org/10.15332/us.v3i2.1885 Ayele, B. A., Mengesha, A. T., & Zewde, Y. Z. (2020). Clinical characteristics and associated factors of trigeminal neuralgia: Experience from Addis Ababa, Ethiopia. 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S., Wong, M. L., & Keong Loh, V. W. (2019). Managing tooth pain in general practice. Singapore Medical Journal, 60(5), 224–228. https://doi.org/10.11622/smedj.2019044 De Laat, A. (2020). Differential diagnosis of toothache to prevent erroneous and unnecessary dental treatment. Journal of Oral Rehabilitation, 47(6), 775–781. https://doi.org/10.1111/joor.12946 Devor, M., Amir, R., & Rappaport, Z. H. (2002). Pathophysiology of trigeminal neuralgia: The ignition hypothesis. Clinical Journal of Pain, 18(1), 4–13. https://doi.org/10.1097/00002508-200201000-00002 Devor, M., Wood, I., Sharav, Y., & Zakrzewska, J. M. (2008). Trigeminal neuralgia during sleep. Pain Practice, 8(4), 263–268. https://doi.org/10.1111/j.1533-2500.2008.00214.x Fernández Rodríguez, B., Simonet, C., Cerdán, D. M., Morollón, N., Guerrero, P., Tabernero, C., & Duarte, J. (2019). Familial classic trigeminal neuralgia. Neurologia, 34(4), 229–233. https://doi.org/10.1016/j.nrl.2016.12.004 Gambeta, E., Chichorro, J. G., & W. Zamponi, G. (2020). Trigeminal neuralgia: An overview from pathophysiology to pharmacological treatments. Molecular Pain, 16. https://doi.org/10.1177/1744806920901890 Garvan, N. J., & Siegfried, J. (1983). Trigeminal neuralgia-earlier referral for. 59(July), 435–437. Ghurye, S., & McMillan, R. (2017). Orofacial pain - An update on diagnosis and management. British Dental Journal, 223(9), 639–647. https://doi.org/10.1038/sj.bdj.2017.879 Go, J. L., Kim, P. E., & Zee, C. S. (2001). The trigeminal nerve. Seminars in Ultrasound CT and MRI, 22(6), 502–520. https://doi.org/10.1016/S0887-2171(01)90004-6 Gossweiler, A. G. (2018). Case report Management of a patient with Trigeminal Neuralgia associated with failed endodontic therapy using Ozone Therapy : A Case Report. Revista Española de Ozonoterapia, 8(1), 129–143. Grin, E. J., Grin, P., & Rocha Navarro, M. L. (2018). Neuralgia del trigémino: un caso clínico. Rev. ADM, 75(3), 164–167. Herrero Babiloni, A., Guay, S., Nixdorf, D. R., De Beaumont, L., & Lavigne, G. (2018). Non-invasive brain stimulation in chronic orofacial pain: A systematic review. Journal of Pain Research, 11, 1445–1457. https://doi.org/10.2147/JPR.S168705 Hilton, D., Love, S., Gradidge, T., & Coakham, H. (1967). Pathological findings associated with trigeminal neuralgia caused by vascular compression. Angewandte Chemie International Edition, 6(11), 951–952., 35(2). Jannetta, P. J. (1967). Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. Journal of Neurosurgery, 26(1). https://doi.org/10.3171/jns.1967.26.1part2.0159 Jurge, S. (2016). Pain Part 7: Trigeminal neuralgia. Dental Update, 43(2), 138–149. https://doi.org/10.12968/denu.2016.43.2.138 Kamel, H. A. M., & Toland, J. (2001). Trigeminal nerve anatomy: Illustrated using examples of abnormalities. American Journal of Roentgenology, 176(1), 247–251. https://doi.org/10.2214/ajr.176.1.1760247 Kawasaki, K., Sugawara, S., Watanabe, K., Hong, C., Tu, T. T. H., Watanabe, T., Sakamoto, J., Yoshino, N., Suga, T., Mikuzuki, L., Takenoshita, M., Takada, S., Kurabayashi, T., & Toyofuku, A. (2020). Differences in the clinical characteristics of persistent idiopathic facial pain (atypical odontalgia) patients with or without neurovascular compression of the trigeminal nerve. Pain Medicine (United States), 21(4), 814–821. https://doi.org/10.1093/PM/PNZ300 Maarbjerg, S., Di Stefano, G., Bendtsen, L., & Cruccu, G. (2017). Trigeminal neuralgia - Diagnosis and treatment. Cephalalgia, 37(7), 648–657. https://doi.org/10.1177/0333102416687280 Marín-Medina, D. S., & Gámez-Cárdenas, M. (2019). Neuralgia del trigémino: aspectos clínicos y terapéuticos TT - Trigeminal neuralgia: clinical and therapeutic aspects. Acta Neurológica Colombiana, 35(4), 193–203. Moneada, E., & Graff-Radford, S. B. (1995). 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Dental extraction and full mouth root canal therapy in a patient with atypical odontalgia: Report of invasive malpractice. 24(1), 1–4. https://doi.org/10.14295/bds.2021.v24i1.2315 Peñarrocha-Diago, M., Bandrés, A., Peñarrocha, M. A., & Bagán, J. V. (2001). Relationship between oral surgical and endodontic procedures and episodic cluster headache. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 92(5), 499–502. https://doi.org/10.1067/moe.2001.116153 Regina Dowgan Tesseroli De Siqueira, S., Cláudio Marinho Nóbrega, J., Biella Souza Valle, L., Jacobsen Teixeira, M., & Tadeu Tesseroli De Siqueira, J. (2004). Idiopathic trigeminal neuralgia: Clinical aspects and dental procedures. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 98(3), 311–315. https://doi.org/10.1016/j.tripleo.2004.05.005 Remick, R. A., Blasberg, B., Barton, J. S., Campos, P. E., & Miles, J. E. (1983). Ineffective dental and surgical treatment associated with atypical facial pain. Oral Surgery, Oral Medicine, Oral Pathology, 55(4), 355–358. https://doi.org/10.1016/0030-4220(83)90189-5 Renton, T., & Yilmaz, Z. (2011). Profiling of patients presenting with posttraumatic neuropathy of the trigeminal nerve. Journal of Orofacial Pain, 25(4), 333–344. Simms, H. N., & Honey, C. R. (2011). The importance of autonomic symptoms in trigeminal neuralgia: Clinical article. Journal of Neurosurgery, 115(2), 210–216. https://doi.org/10.3171/2011.4.JNS101843 Slettebo, H. (2021). Is this really trigeminal neuralgia ? Diagnostic re- evaluation of patients referred for neurosurgery Spencer, C. J., Neubert, J. K., Gremillion, H., Zakrzewska, J. M., & Ohrbach, R. (2008). Toothache or Trigeminal Neuralgia: Treatment Dilemmas. Journal of Pain, 9(9), 767–770. https://doi.org/10.1016/j.jpain.2008.07.001 Taheri, A., & Sepehrmand, S. (2021). Is trigeminal neuralgia the only definitive diagnosis for pain in a tooth extraction site? BMC Oral Health, 21(1), 1–3. https://doi.org/10.1186/s12903-021-01645-6 Teruel, R. S. A., Kumar, S., & Clark, G. (2014). Updated information and services including high-resolution figures, can be found in the online version of this article at: 140(12), 1485–1493. https://doi.org/10.1136/bmj.c4875.7. Tesseroli, J., Ching, L. H., Nasri, C., Regina, S., & Tesseroli, D. (2004). Clinical Study of Patients With persistent orofacial pain. Journal Canadian Dental Association. Journal De L’Association Dentaire Canadienne, 62(August), 988–996. Tripathi, M., Sadashiva, N., Gupta, A., Jani, P., Pulickal, S. J., Deora, H., Kaur, R., Kaur, P., Batish, A., Mohindra, S., & Kumar, N. (2021). Please spare my teeth! Dental procedures and trigeminal neuralgia. Surgical Neurology International, 11(455), 1–5. https://doi.org/10.25259/SNI_729_2020 Viana, M., Tassorelli, C., Allena, M., Nappi, G., Sjaastad, O., & Antonaci, F. (2013). Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review. The Journal of Headache and Pain, 14(1). https://doi.org/10.1186/1129-2377-14-14 von Eckardstein, K. L., Keil, M., & Rohde, V. (2015). Unnecessary dental procedures as a consequence of trigeminal neuralgia. Neurosurgical Review, 38(2), 355–360. https://doi.org/10.1007/s10143-014-0591-1 Zakrzewska, J. M., & Linskey, M. E. (2015). Trigeminal neuralgia. BMJ (Online), 350(March), 10–12. https://doi.org/10.1136/bmj.h1238 |
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Moreno Munera, Marcela del PilarJiménez Peña, Oscar MauricioAbril Nuñez, Martha CarolinaCárdenas Mayorga, María FernandaDuarte Garcia, Adriana Milena2022-06-22T19:39:26Z2022-06-22T19:39:26Z2022-06-22Abril Núñez, M.,Cárdenas Mayorga M, Duarte Garcia A,.(2022) Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesarios. [Trabajo de especialización].Universidad Santo Tomás. Bucaramanga, Colombiahttp://hdl.handle.net/11634/45320reponame:Repositorio Institucional Universidad Santo Tomásinstname:Universidad Santo Tomásrepourl:https://repository.usta.edu.coAntecedentes: La neuralgia del trigémino (NT) es un dolor facial paroxístico unilateral severo, descrito a menudo por los pacientes como "el peor dolor del mundo". La NT se manifiesta principalmente en las zonas de los dientes o tejidos cercanos inervados por las ramas del trigémino, de allí que los pacientes opten por acudir a los odontólogos generales o especialistas. Objetivo: Determinar cómo el desconocimiento de la fisiopatología de la neuralgia del trigémino lleva a odontólogos y endodoncistas a prescribir tratamientos de conductos innecesarios. Métodos de búsqueda: Se utilizaron bases de datos como PubMed, Scopus, Cochrane, Web Of Science y Embase. Criterios de selección: Artículos publicados desde el año 2015 hasta el 2021, de todos los idiomas, relacionados con la neuralgia del trigémino y fallo en su diagnóstico, desconocimiento de fisiopatología y tratamientos innecesarios, estudios analíticos, descriptivos, sistemáticos cuantitativos y cualitativos. Recopilación y análisis de datos: Se utilizaron diferentes declaraciones para hacer lectura crítica y evaluación de la calidad metodológica de los artículos tales como la guía CONSORT, guía STROBE y la guía CARE Resultados: De los 21 artículos potencialmente elegibles, 12 fueron excluidos obteniendo finalmente 9 investigaciones. De las publicaciones tres fueron reportes de caso y seis estudios descriptivos, todos evaluaron cómo el desconocimiento de la fisiopatología de la neuralgia del trigémino lleva a odontólogos y endodoncistas a prescribir tratamientos de conductos innecesarios. Conclusiones: El desconocimiento de la fisiopatología de la neuralgia del trigémino lleva a odontólogos y endodoncistas a prescribir tratamientos endodónticos innecesarios. Los odontólogos solicitan apoyo y educación continua sobre la NT.Background: Trigeminal neuralgia (TN) is severe unilateral paroxysmal facial pain, often described by patients as "the worst pain in the world". TN manifests itself mainly in the areas of the teeth or nearby tissues innervated by the trigeminal branches, which is why patients choose to go to general dentists or specialists. Objective: To determine how ignorance of the pathophysiology of trigeminal neuralgia leads dentists and endodontists to prescribe unnecessary root canal treatments. Search methods: The following databases were used, PubMed, Scopus, Cochrane, Web of Science and Embase. Selection criteria: Articles published from 2015 to 2021, articles in all languages, articles indexed in the aforementioned databases, articles related to trigeminal neuralgia and failure to diagnose it, ignorance of pathophysiology and unnecessary treatments, analytical, descriptive, systematic quantitative and qualitative studies. Data collection and analysis: Different statements were used to critically read and evaluate the methodological quality of the articles, such as the CONSORT guide, the STROBE guide, and the CARE guide. Results: Of the 21 potentially eligible articles, 12 were excluded, finally obtaining 9 investigations. Of the publications, three were case reports and six descriptive studies, all of which evaluated how ignorance of the pathophysiology of trigeminal neuralgia leads dentists and endodontists to prescribe treatment of trigeminal neuralgia. unnecessary pipes. Conclusions: Ignorance of the pathophysiology of trigeminal neuralgia leads dentists and endodontists to prescribe unnecessary endodontic treatments. Dentists request support and continuing education on NT.Especialista en Endodonciahttp://www.ustabuca.edu.co/ustabmanga/presentacionEspecializaciónapplication/pdfspaUniversidad Santo TomásEspecialización EndodonciaFacultad de OdontologíaCC0 1.0 Universalhttp://creativecommons.org/publicdomain/zero/1.0/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Neuralgia del Trigémino como factor determinante en la administración de tratamientos endodónticos innecesariosTrigeminal nerve pain,Root canal therapy,ProcessMedicationOdontogenic painTherapyFailedWrongEnfermedades de los dientesOdontología - toma de decisionesOdontología basada en evidenciasDolor del nervio trigémino,Terapia de conducto radicular,Proceso,Medicación,Dolor odontogénico,Terapia,FallidoErróneoTrabajo de gradoinfo:eu-repo/semantics/acceptedVersionFormación de Recurso Humano para la Ctel: Trabajo de grado de Especializaciónhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisCRAI-USTA BucaramangaAlonso, A. 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BMJ (Online), 350(March), 10–12. https://doi.org/10.1136/bmj.h1238ORIGINAL2022CardenasMaria.pdf2022CardenasMaria.pdfTrabajo de gradoapplication/pdf813907https://repository.usta.edu.co/bitstream/11634/45320/3/2022CardenasMaria.pdfcb20bbf0c0915e8a54c1fd4bfbd74375MD53open access2022CardenasMaria1.pdf2022CardenasMaria1.pdfAprobación de facultadapplication/pdf122587https://repository.usta.edu.co/bitstream/11634/45320/4/2022CardenasMaria1.pdfd50a9db34a81aaad39058efdee498b41MD54metadata only access2022CardenasMaria2.pdf2022CardenasMaria2.pdfAcuerdo de Publicaciónapplication/pdf137152https://repository.usta.edu.co/bitstream/11634/45320/5/2022CardenasMaria2.pdfece10aa536961859c71876834dd4ebb6MD55metadata only access2022CardenasMaria3.pdf2022CardenasMaria3.pdfApéndiceapplication/pdf961393https://repository.usta.edu.co/bitstream/11634/45320/6/2022CardenasMaria3.pdf64eb05fc66095392dd558e2ef1b08d89MD56open accessCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8701https://repository.usta.edu.co/bitstream/11634/45320/7/license_rdf42fd4ad1e89814f5e4a476b409eb708cMD57open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8807https://repository.usta.edu.co/bitstream/11634/45320/8/license.txtaedeaf396fcd827b537c73d23464fc27MD58open accessTHUMBNAIL2022CardenasMaria.pdf.jpg2022CardenasMaria.pdf.jpgIM Thumbnailimage/jpeg6010https://repository.usta.edu.co/bitstream/11634/45320/9/2022CardenasMaria.pdf.jpgbe29b799e86126c74c417940a4bc11faMD59open access2022CardenasMaria1.pdf.jpg2022CardenasMaria1.pdf.jpgIM Thumbnailimage/jpeg8702https://repository.usta.edu.co/bitstream/11634/45320/10/2022CardenasMaria1.pdf.jpg39ce7e51c29fa6f5c96faf42cf9189e4MD510open access2022CardenasMaria2.pdf.jpg2022CardenasMaria2.pdf.jpgIM Thumbnailimage/jpeg8499https://repository.usta.edu.co/bitstream/11634/45320/11/2022CardenasMaria2.pdf.jpg5af796d014b7c8692f86e6c3cd1084baMD511open access2022CardenasMaria3.pdf.jpg2022CardenasMaria3.pdf.jpgIM Thumbnailimage/jpeg9137https://repository.usta.edu.co/bitstream/11634/45320/12/2022CardenasMaria3.pdf.jpg51190af31bcd694660fcb871fcd80049MD512open access11634/45320oai:repository.usta.edu.co:11634/453202022-10-24 03:04:16.759open accessRepositorio Universidad Santo Tomásrepositorio@usantotomas.edu.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 |