Base de datos : IBECS
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Fotocópia
Id: 165877
Autor: Mira-Solves, JJ; Romeo-Casabona, CM; Astier-Peña, MP; Urruela-Mora, A; Carrillo-Murcia, I; Lorenzo-Martínez, S; Agra-Varela, Y.
Título: Si ocurrió un evento adverso piense en decir 'lo siento' / In case of an adverse event don't forget to say sorry
Fuente: An. sist. sanit. Navar;40(2):279-290, mayo-ago. 2017.
Idioma: es.
Resumen: Fundamento. La información al paciente víctima de un evento adverso (EA) presenta ciertas particularidades en función del marco legal del país en el que se produzca, especialmente en lo referido al ofrecimiento de una disculpa. En el presente trabajo se pretende establecer los límites y las condiciones que debemos considerar a la hora de trasladar una disculpa al paciente que ha sufrido un EA. Método. Conferencia de consenso entre 26 profesionales de distintas comunidades autónomas, instituciones y perfiles profesionales con experiencia acreditada en la gestión de sistemas de Seguridad del Paciente y Derecho Penal de diferentes ámbitos laborales (sanidad, aseguradoras, inspección, académico) (AU)

Background. Disclosing information to a patient who is a victim of an adverse event (AE) presents some particularities depending on the legal framework in the country where the AE occurred. The aim of this study is to identify the limits and conditions when apologizing to a patient who has suffered an AE. Methods. A consensus conference involving 26 professionals from different autonomous communities, institutions, and profiles (health, insurance, inspection, academic) with accredited experience in patient safety management systems and criminal law (AU)
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Fotocópia
Id: 165684
Autor: Hussain, Saad A; Abbas, Ashwaq N; Alhadad, Hasan A; Al-Junaili, Ali A; Abdulrahman, Zainab S.
Título: Physician-pharmacist agreement about off-label use of medications in private clinical settings in Baghdad, Iraq
Fuente: Pharm. pract. (Granada, Internet);15(3):0-0, jul.-sept. 2017. tab, graf.
Idioma: en.
Resumen: Objective: 1) To evaluate the relationship between physician-pharmacist agreement about the off-label drug use and 2) and to identify the most common off-label medication category/indications and prescriber clinical disciplines in private settings in Baghdad area, Iraq Methods: This study evaluated 980 off-label use requests in the private clinical settings within Baghdad area, Iraq from October 2013 to September 2015. The efficacy, safety, and convenience of each drug request and its alternative options were evaluated according to the patient health and demographic characteristics and standard guidelines. Results: Of the 980 physician off-label requests, only 22.7% were approved by the pharmacists. Rheumatology and Nephrology accounted for the highest ratio of off-label use requests for adults (30.3% and 26.3%). The pharmacist rejection ratio of off-label use was comparable between the two groups (p>0.05). Most of the issued requests were attributed either to unapproved indication or to combination of more than one drug (38% and 35.3%). A low acceptance rate was reported in the requests issued for treatment in different clinical lines to the authorized one (11.9%). The lowest rate of acceptance was reported in the requests that had very low evidence level (9.1%). The mostly prescribed medications were musculoskeletal agents (28.9%). Finally, 78.2% of the requests came from clinical branches for adults. Although the agreement rate for requests in adults was higher than that in pediatrics, the two rates were not significantly different. Conclusion: Community pharmacists should effectively take responsibility for assessing off-label drug requests in Iraqi private settings. The quality of evidence does not represent the major factor influencing the approval rate of off-label drug use. The availability of safer and/or affordable alternatives and prescribing for a different patient age category highly impacted the pharmacists' approval rate (AU)

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Fotocópia
Id: 165681
Autor: Cheema, Ejaz; Haseeb, Abdul; Khan, Tahir Mehmood; Sutcliffe, Paul; Singer, Donald RJ.
Título: Barriers to reporting of adverse drugs reactions: a cross sectional study among community pharmacists in United Kingdom
Fuente: Pharm. pract. (Granada, Internet);15(3):0-0, jul.-sept. 2017. tab.
Idioma: en.
Resumen: Background: Adverse Drug Reactions (ADRs) are a major public health problem. Prompt reporting of suspected ADRs is fundamental in the post-marketing surveillance of medicines and helps in ensuring medicine safety. However, fewer ADRs are reported in general and in particular by community pharmacists. There is limited knowledge about the factors which are preventing community pharmacists in the UK from reporting an ADR. Objectives: To identify the barriers to ADR reporting among community pharmacists practicing in the UK. Methods: A cross sectional study using a 25-items questionnaire (both online and paper based) including 10 barriers to ADR reporting was conducted from 1st April 2012 to September 2012. Community pharmacists practicing in the West Midlands, UK, were approached for the participation in this study. Chi-Square and regression were applied to identify covariates for the barriers to ADR reporting. A significant value of 0.05 was assigned for analysis. Results: Of the 230 invited community pharmacists, 138 pharmacists responded (response rate 60%). The median age of respondents was 31 years. All pharmacists reported that they would report both serious and mild ADRs from drugs with black triangle among children as well as adults. About 95% (n=131) of the pharmacists were familiar with the paper based ADR reporting system. Store-based pharmacists were more likely to be more confident about which ADRs to report [0.680, 95% Confidence Interval 0.43-3.59]. Lack of time 46.4% (n=64), and pharmacists perception that ADR is not serious enough to report (65.2%; n=90) were identified as barriers to ADR reporting. Majority 63.0% (n=87) of the pharmacists identified training and information about what to report and access to Information Technology (IT) (For example access to internet connection) 61.6% (n=85) as facilitators to ADR reporting process. Conclusion: Lack of time and ADRs considered not serious enough by pharmacists to report were barriers to ADR reporting. Further training and education about the types of ADRs to be reported can help to improve the reporting of ADRs (AU)

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Fotocópia
Id: 164491
Autor: Aguilar Rodríguez, M; Marqués Sulé, E; Serra Añó, P; Dueñas Moscardó, L; Sempere Rubio, N.
Título: Elaboración y validación del «Cuestionario de actitudes hacia la ética profesional en Fisioterapia» / Elaboration and validation of the «Attitudes questionnaire towards professional ethics in Physiotherapy»
Fuente: Fisioterapia (Madr., Ed. impr.);39(4):148-157, jul.-ago. 2017. tab.
Idioma: es.
Resumen: Objetivo: En el contexto universitario resulta necesaria la elaboración y validación de cuestionarios para ser aplicados en la valoración de nuevos modelos formativos que garanticen la adquisición de la competencia ética. El objetivo de este estudio es presentar la elaboración, evaluación de la fiabilidad y unidimensionalidad del «Cuestionario de actitudes hacia la ética profesional en Fisioterapia» (CAEPFIS). Material y método: Se procedió a la elaboración de un cuestionario que analizara las actitudes hacia la ética profesional en estudiantes de Fisioterapia (CAEPFIS) mediante un estudio piloto con estudiantes de Fisioterapia de último curso (n=100). Se llevó a cabo un análisis de consistencia interna (alfa de Cronbach) y se detectaron y eliminaron los ítems indiferenciadores. Posteriormente, se analizó la unidimensionalidad del cuestionario (análisis factorial de componentes principales, prueba de esfericidad de Barlett y medida de adecuación muestral de Kaiser-Meyer-OIkin [KMO]). Finalmente, el cuestionario constó de 33 ítems. Se empleó Predictive Analytics Software (PASW) 18.0 (SPSS Inc., Chicago, IL, EE. UU.). Resultados: El CAEPFIS presenta una elevada consistencia interna (coeficiente alfa de Cronbach=0,898). Los ítems del CAEPFIS se acercan a la unidimensionalidad deseada (análisis factorial de componentes principales: KMO=0,762; χ2=1.871,874; df=528; p<0,001). El primer factor muestra una buena proporción de la varianza total, explica el 25,8% de la misma y todos los ítems presentan pesos por encima de 0,3. Conclusiones: El CAEPFIS muestra fiabilidad y unidimensionalidad para ser empleado como instrumento de recogida de datos para analizar las actitudes hacia la ética profesional en estudiantes de Fisioterapia (AU)

Purpose: In the university context the creation and validation of questionnaires to be applied in assessment of new teaching models that guarantee the acquisition of ethical competence is necessary. This study aims at presenting the creation, assessment of internal consistence and unidimensionality of the 'Attitudes questionnaire towards professional ethics in Physiotherapy' (CAEPFIS). Material and method: A questionnaire analyzing attitudes towards professional ethics in Physiotherapy students (CAEPFIS) was created by means of a study carried out with physiotherapy students in the last year of their degree (n=100). An analysis of internal consistency (Cronbach's Alpha) was carried out, whilst differentiator elements were detected and deleted. Afterwards, unidimensionality of the questionnaire was analyzed (factorial analysis of principal components, Barlett's test of sphericity and Kaiser-Meyer-OIkin KMO). Finally, the questionnaire comprised 33 items. Predictive Analytics Software (PASW) 18.0 (SPSS Inc., Chicago, IL, USA) was used. Results: CAEPFIS shows a high internal consistency (Cronbach's Alfa=0.898). Items of CAEPFIS are close to the desired unidimensionality (Factorial Analysis of Principal Components: KMO=0.762; χ2=1,871.874; df=528; p<0.001). The first factor shows a good proportion of total variance, explains the 25.8% of it and all items present weights higher than 0.3. Conclusions: CAEPFIS shows internal consistency and unidimensionality to be used as a tool of data collection to analyze attitudes towards professional ethics in physiotherapy students (AU)
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Fotocópia
Texto completo SciELO Brasil
Id: 164299
Autor: Picco, Gabriela.
Título: Compasión: una de las tres «C» / Compassion: One of three «Cs»
Fuente: Med. paliat;24(3):170-171, jul.-sept. 2017.
Idioma: es.
Resumen: No disponible

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Texto completo SciELO Brasil
Id: 164292
Autor: Galiana, Laura; Oliver, Amparo; Sansó, Noemí; Pades, Antònia; Benito, Enric.
Título: Validación confirmatoria de la Escala de Afrontamiento de la Muerte en profesionales de cuidados paliativos / Confirmatory validation of the Coping with Death Scale in palliative care professionals
Fuente: Med. paliat;24(3):126-135, jul.-sept. 2017. tab.
Idioma: es.
Resumen: Objetivo: Este estudio tiene un doble objetivo. En primer lugar, estudiar las propiedades psicométricas de la Escala de Afrontamiento de la Muerte en una muestra nacional de profesionales de cuidados paliativos. En segundo lugar, comparar esta competencia de los profesionales frente a otros colectivos en los que se ha evaluado el afrontamiento de la muerte previamente. Método: Diseño y emplazamiento: Mediante una encuesta on-line se invitó a participar a profesionales de cuidados paliativos de toda España. Participantes: 433 respondieron y 385 de estos cumplieron los criterios de inclusión. Mediciones principales: Se evaluó la competencia en afrontamiento de la muerte, autoconciencia, satisfacción y fatiga de la compasión y bienestar psicológico. Se llevaron a cabo estimaciones de consistencia interna, un análisis factorial confirmatorio para el estudio de la validez factorial y correlaciones con los constructos relacionados para conocer la validez predictiva del instrumento. Resultado: Los análisis de fiabilidad mostraron un mal comportamiento psicométrico en 4 de los ítems de la escala, similar al que habían mostrado en estudios anteriores. Tras eliminarlos, se estimó y evaluó el análisis factorial confirmatorio con resultados adecuados. Las correlaciones con la autoconciencia y las dimensiones de calidad de vida y bienestar psicológico fueron todas en la dirección apuntada por la literatura. Interpretación y conclusiones: Este estudio avala las adecuadas propiedades psicométricas de la Escala de Afrontamiento de la Muerte de Bugen en profesionales de la salud en el contexto de los cuidados paliativos (AU)

Aim: The aim of this study was twofold. First, to study the psychometric properties of the Coping with Death Scale in a nationwide sample of palliative care professionals. Second, to compare the competence of these professionals to other groups' coping with death competence previously assessed. Method: Design and site: Through an on-line questionnaire, palliative care professionals from all over Spain were invited to participate. Participants: 433 completed the questionnaire and 385 meet the inclusion criteria. Measurements: Coping with death competence, self-awareness, compassion satisfaction and fatigue, and well-being were assessed. Internal consistency estimations, a confirmatory factor analysis for studying factorial validity, and correlations with other related constructs, in order to deepen in predictive validity were performed. Results: Reliability analyses showed poor psychometric behaviour for 4 items of the scale, similar to the previously found in other studies. After removing these items, a confirmatory factor analysis was estimated and tested, with suitable results. Correlations with self-awareness and the dimensions of quality of life and psychological well-being were similar to those reported in the literature. Interpretation and conclusions: This study supports the psychometric properties of Bugen's Coping with Death Scale in healthcare professionals in an emotionally exhausting context, such as that of palliative care (AU)
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Texto completo SciELO España
Id: 164232
Autor: Murshid, Mohsen Ali; Mohaidin, Zurina.
Título: Models and theories of prescribing decisions: a review and suggested a new model
Fuente: Pharm. pract. (Granada, Internet);15(2):0-0, abr.-jun. 2017. tab, ilus.
Idioma: en.
Resumen: To date, research on the prescribing decisions of physician lacks sound theoretical foundations. In fact, drug prescribing by doctors is a complex phenomenon influenced by various factors. Most of the existing studies in the area of drug prescription explain the process of decision-making by physicians via the exploratory approach rather than theoretical. Therefore, this review is an attempt to suggest a value conceptual model that explains the theoretical linkages existing between marketing efforts, patient and pharmacist and physician decision to prescribe the drugs. The paper follows an inclusive review approach and applies the previous theoretical models of prescribing behaviour to identify the relational factors. More specifically, the report identifies and uses several valuable perspectives such as the 'persuasion theory - elaboration likelihood model', the stimuliûresponse marketing model', the 'agency theory', the theory of planned behaviour,' and 'social power theory,' in developing an innovative conceptual paradigm. Based on the combination of existing methods and previous models, this paper suggests a new conceptual model of the physician decision-making process. This unique model has the potential for use in further research (AU)

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Fotocópia
Id: 162790
Autor: Fernández Aedo, I; Pérez Urdiales, I; Unanue Arza, S; García Azpiazu, Z; Ballesteros Peña, S.
Título: Estudio cualitativo sobre las experiencias y emociones de los técnicos y enfermeras de emergencias extrahospitalarias tras la realización de maniobras de reanimación cardiopulmonar con resultado de muerte / A qualitative study about experiences and emotions of emergency medical technicians and out-of-hospital emergency nurses after performing cardiopulmonary resuscitation resulting in death
Fuente: Enferm. intensiva (Ed. impr.);28(2):57-63, abr.-jun. 2017. tab.
Idioma: es.
Resumen: Objetivo: Explorar las experiencias, emociones y estrategias de afrontamiento de las enfermeras y técnicos de emergencias extrahospitalarias tras la realización de maniobras de resucitación con resultado de muerte. Método: Estudio de análisis de contenido cualitativo. Participaron 7 técnicos en emergencias y 6 enfermeras seleccionados mediante muestreo no probabilístico entre los trabajadores del ámbito de las emergencias sanitarias del País Vasco. Se realizaron reuniones hasta saturación de la información, lográndose tras realizar 6 entrevistas individuales y un grupo focal. Se procedió a la transcripción de las reuniones y se realizó un análisis de contenido de las entrevistas de forma manual e inductiva. Principales resultados: Tras una reanimación fallida afloran diversas reacciones a corto y a largo plazo. Pueden ser negativas, como la tristeza o la incertidumbre, o positivas, como la sensación de certeza con respecto a haber hecho todo lo posible por salvar la vida del paciente. El estrés emocional aumenta a la hora de interactuar con la familia del fallecido o cuando el paciente es un niño, pero los profesionales no contemplan técnicas de afrontamiento más allá de compartir sus emociones con los compañeros de trabajo. Conclusiones: La muerte tras una reanimación cardiopulmonar fallida puede suponer una experiencia traumática para los reanimadores. Convivir en contacto con el sufrimiento ajeno es un elemento generador de estrés emocional con implicaciones directas sobre la vida profesional y personal de los trabajadores de emergencias. A pesar de ello, las estrategias de afrontamiento estructuradas no son habituales en este colectivo profesional (AU)

Objective: To explore the experiences, emotions and coping skills among emergency medical technicians and emergency nurses after performing out-of-hospital cardiopulmonary resuscitation manoeuvres resulting in death. Method: An exploratory qualitative research was performed. Seven emergency medical technicians and six emergency nurses were selected by non-probability sampling among emergency medical system workers. The meetings took place up to information saturation, achieved after six individual interviews and a focal group. The meetings were then transcribed and a manual and inductive analysis of the contents performed. Main results: After a failed resuscitation several short and long-term reactions appear. They can be negatives, such as sadness or uncertainty, or positives, such as the feeling of having done everything possible to save the patient's life. Emotional stress increases when ambulance staff have to talk with the deceased's family or when the patient is a child. The workers don't know of a coping strategy other than talking about their emotions with their colleagues. Conclusions: Death after a failed resuscitation can be viewed as a traumatic experience for rescuers. Being in contact with the suffering of others is an emotional, stress-generating factor with direct repercussions on the working and personal lives of emergency staff. Nevertheless, structured coping techniques are not common among those professionals (AU)
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Fotocópia
Id: 161961
Autor: Alvarez-Risco, A; Yi-Fang, L; Del-Aguila-Arcentales, S; Pei-Wen, Y.
Título: Barreras para la provisión de Atención Farmacéutica en farmacias de Tainan, Taiwán / Barriers to pharmaceutical care practice in pharmacies in Tainan, Taiwan
Fuente: Pharm. care Esp;19(2):58-68, 2017. tab.
Idioma: es.
Resumen: Introducción: Los diferentes sistemas de salud necesitan ser eficientes, es decir, lograr los objetivos económicos, sociales y principalmente clínicos, por lo cual necesitan que se optimicen sus procesos, siendo el proceso de uso de medicamentos crucial para la recuperación y mantenimiento de la salud de los pacientes. La Atención Farmacéutica dirigida a los pacientes es una práctica profesional que contribuye a la optimización del uso de medicamentos y al logro de resultados clínicos; sin embargo, la provisión de la Atención Farmacéutica en farmacias presenta distintas barreras que requieren conocerse en cada realidad para poder formular estrategias que permitan superarlas. Objetivos: Determinar las barreras para la provisión de Atención Farmacéutica en farmacias de la provincia de Tainan, Taiwán. Material y métodos: Estudio observacional, descriptivo y transversal, realizado mediante una encuesta dirigida a 141 farmacéuticos que trabajan en la provincia de Tainan en Taiwán. Se elaboró una ficha de recolección de datos (cuestionario en escala Likert) basada en la información disponible de la literatura. Los resultados obtenidos se procesaron en el programa estadístico SPSS V.24. Resultados: Las barreras muy importantes para la provisión de Atención Farmacéutica son la falta de formación del público hacia los servicios farmacéuticos (95,7%), la falta de pago por el servicio (84,4%), la falta de tiempo (80,9%) y las barreras legales (74,5%); asimismo, las barreras no importantes fueron la actitud inadecuada del dueño de la farmacia hacia la atención farmacéutica (14,8%) y actitud inadecuada de los farmacéuticos (10,6%). Conclusión: Los barreras determinadas en el presente estudio requieren intervenciones desde el Estado, las universidades, los colegios profesionales de farmacéuticos así como de los pacientes. Las barreras encontradas son distintas a las descritas en estudios previos (AU)

Introduction: The different health systems need to be efficient, that is, to achieve the economic, social and especially clinical goals. Thus, they need to optimize their processes. The drug use process is crucial for the recovery and maintenance of patients health. Pharmaceutical Care for patients is a professional practice that contributes to the optimization of medicines' use and the achievement of clinical results. However, the provision of Pharmaceutical Care in pharmacies presents different barriers that need to be known in each reality in order to formulate strategies to overcome them. Objectives: To determine the barriers for the provision of Pharmaceutical Care in pharmacies from Tainan Province, Taiwan. Material and methods: An observational, descriptive and cross-sectional study was conducted through a survey addressed to 141 pharmacists working in Tainan province, Taiwan. A data collection form (Likert scale questionnaire) was developed based on information available in the literature. The results obtained were processed in the statistical program SPSS V.24. Results: According to the model developed, that was based on the opinion of pharmacists of community pharmacies in Tainan province, the most important barriers for the provision of Pharmaceutical Care are: the public lack of training towards pharmaceutical services (95.7%), the non-payment for the service (84.4%), the national health system structure (82.2%), the inappropriate system for the evaluation and promotion of pharmacies towards pharmaceutical care (80.9%), the lack of time (80.9%) and the legal barriers (74.5%). The non-important barriers were the inadequate attitude of the pharmacy owner towards pharmaceutical care (14.8%) and the inadequate pharmacists' attitude (10.6%). Conclusion: The barriers established in the present study require interventions from the State, universities, professional colleges of pharmacists as well as patients. The encountered barriers are different from those described in previous studies (AU)
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Fotocópia
Id: 161676
Autor: Palés Argullós, Jordi; Gasull Casanova, Xavier; Soto, David; Comes, Núria; Nolla Domenjó, Maria; Gual, Arcadi.
Título: Introduciendo el profesionalismo médico en etapas precoces del currículo de medicina: un curso para alumnos de primer año del Grado de Medicina / Introducing medical professionalism in early moments of the medical curriculum: a course for first year's medical students
Fuente: Rev. Fund. Educ. Méd. (Ed. impr.) = FEM (Ed. impresa);20(2):75-78, mar.-abr. 2017. tab.
Idioma: es.
Resumen: La adquisición de valores y actitudes es un aspecto esencial de los resultados del aprendizaje de los estudiantes de medicina junto con los conocimientos y las habilidades prácticas y forma parte de lo que se conoce como profesionalismo médico. El proceso de aprendizaje de un médico implica no sólo el desarrollo de conocimientos y habilidades, sino también un proceso de transformación del alumno en el transcurso del cual aprende a ser diferente y a ser capaz de integrarse en una comunidad profesional. Por ello, debe considerarse seriamente la formación de nuestros estudiantes en este campo. Esta formación debe ser un proceso continuo y desde los primeros momentos del Grado de Medicina. En el contexto de la reforma de Bolonia, la Facultad de Medicina de la Universitat de Barcelona y otras facultades de medicina españolas han definido sus resultados de aprendizaje. Entre ellos, figura que los estudiantes deben ser capaces de aplicar los valores profesionales de excelencia como altruismo, compromiso, responsabilidad, integridad y honestidad en la práctica médica. Sin embargo, esta temática no está suficientemente representada en las actividades de aprendizaje del plan de estudios. Por ello, hace seis años, decidimos implementar un curso introductorio sobre profesionalismo médico dirigido a estudiantes de primer curso de medicina. En este trabajo describimos nuestra experiencia durante esos años. Los resultados de esta experiencia indican que la introducción del profesionalismo desde momentos iniciales del Grado de Medicina es factible y altamente apreciado por los estudiantes (AU)

The acquisition of values and attitudes is an essential aspect of the learning outcomes of medical students together with knowledge and practical skills and they are part of what is known as medical professionalism. The learning process of a physician implies not only the development of knowledge and skills but also a transformational process of the learner, whereby he/she also learns to be different and to be able to join a professional community. Therefore we need to consider seriously the training of our students in this field. This training must be a continuous and on-going process throughout the entire educational continuum, beginning from early moments in medical school. In the context of the Bologna reform the Medical School of the University of Barcelona, and other Spanish medical schools, have defined their learning outcomes. Among them, the students must be able to apply the professional values of excellence, altruism, commitment, responsibility, integrity and honesty in medical practice, but this topic is insufficiently represented in the curriculum learning activities. Consequently six years ago, we decided to implement an introductory course on medical professionalism addressed to first year medical students. We describe our experience during the last six years of the implementation and development of this introductory course. Our results indicate that the introduction of professionalism from the earliest moments of the educative process in medical schools is feasible and is highly appreciated by our students (AU)
Responsable: ES1.1
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