non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial

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  • 7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial

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    Fdlb``fodbs bd ij rbnfd Mjxfiolj`

    [bero Jrjvbdj Uorrbs@FQRNFJ FF

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    fdlb``fd oeodtondf`j`ujeros fdlb``fosos bd qub ios nrmbdbs pjtnbfdnrbsjd vfj `jdjif`uijr-pbrfjpf`ji y por ijs pjrbe

    rjef`uijrbs

    `omo pbrf`orodjrftfs y pjrbebd`foptf`os

    Erbs. Qbd Qocjs, Mfrbiij Afnnfdf Cornb Aijd`o. Fdlb``fodbs Au`o Mjxfio Lj`fjibs. Efjndstf`o y pjut

    Rdfvbrsfeje eb @gfib. Lj`uitje e

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    Eblbdsjs io`jibs

    Bpftbifo eb ij mu`osj fdebmdb

    Liuco sjifvji dormji (JNJ sb`rbtorj) Liorj dormji Pfstbmj eb fdmudfeje eb ij mu`osj

    Lj`torbs gumorjibs Fdmudonioauifdj y sfstbmj `ompibmbdto

    Lj`torbs `biuijrbs Ljno`ftosfs3 [oifmorlodu`ibjrbs y Modo`ftos Ifdlo`ftosfs3 Ifdlo`ftos A y U

    Lj`torbs Aj`tbrfjdos \fruibd`fj

    Dmbro eb aj`tbrfjs

    Lj`torbs qub ebtbrmfdjd ij fdlb``

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    Oeodtondf`j3

    - \j `jdjif`uijr pbrfjpf`ji

    - [jrbebs rjef`uijrbs ([brfoeodtftfs y [brf`orodjrftfs)

    Do Oeodtondf`j3

    - [fbi- Fdlb``fodbs postopbrjtorfjs

    - Urjumj mjxfiolj`fji

    - Eflusfd eb tbrrftorfos jdjtmf`os jdbxos3 sbdo mjxfijr y `jv

    djsji, nideuijs sjifvjibs.

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    FAML3 Bpfebmfoionj

    Bd pbrsodjs ebsprbo`upjejs eb su sjiue au`ji

    Beje mbefj bdtrb 1;-5; jos

    Biifs, eb 52 pj`fbdtbs jtbdefeos bd bi Gospftji Pjd Cueb Efos `od FAML

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    FAML3 Bpfebmfoionj

    Bd ud bstuefo rbjifzjeo bd Justrjifj (Arfenbmjd y `oi, :662) bd :;

    eb FAML

    >

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    puipftfs

    db`rosfs puipjr

    rbvbrsfaibfrrbvbrsfaib sfdtomtf`jfrrbvbrsfaib jsfdtomtf`j

    pbrfoeodtftfsjnuej

    sbrosj supurjej

    `rdf`j

    sfmpib gfpbrpisf`j sup

    JEJJ Nrjduiomj

    Zufstb rjef`uijrJ. suapbrfstf`oOstbomfbiftfs

    J. suamu`oso `biuiftfs

    io`jifzjej eflusj

    J. sua`utdbo

    jnuej `rdf`j

    JEBDFUFPOPUBO -JEBDOLIB

    sb`ubstrjdtb`odebdsjdtb libnmd

    JE

    Ufpos eb fdlb``fodbsoeodtondf`js J

    CFdlb``fodbs AML.

    Efjndstf`o y pjutjs eb trjtjmfbdto.

    R. @gfib 1;;>

    [. jpf`ji sfdtomtf`j

    [. jpf`ji jsfdtomtf`j

    jas`bso jpf`ji jnueo

    jas`bso

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    FDLB@@FO

    DO OEODUOND

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    FDLB@@FODBP DO OEODUON

    Ijs fdlb``fodbs `brvf`olj`fjibs o`upjd jproxfmjejmbdtb bdtrb 1; y 12% pj`fbdtbs jtbdefeos bd ios sbrvf`fos eb @frunj Mjxfiolj`fji. *

    OEODUONDF@OP

    OQFNBD

    DO OEODUONDF@OP

    Ijs fdlb``fodbs do oeodtondf`jsbx`iuybd bi orfnbd ebdtjrfo y sod sb`ufdlb``fodbs nijdeuijrbs, sfdusjibs, posqufrrnf`js, postrjumtf`js, `utmu`osjs, soarb fdlb``fodbs eb dbopijsmjs, qufstbs arjdqufjibs y ebrm

    bdtrb otros.*

    *Jas`bso y libnmd pbrfjmfnejifdo Io bstjmos gj fbdeo afbd?, Qbv. Otorrfdoijrfdnoi. @fr. @jabzj @ubiio 1;;

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    MO OEODUONBDF@OP MO DO

    OEODUONBDF@OP

    [brtbdb`bd j ij [A Jitj bspb`flf`feje

    Do pjtnbdjs (uaf`j`fd y d) [jtnbdjs

    [o`j bspb`flf`feje MO bspb`lf`os

    [oifmf`roafjdjs - vf rus

    - godnos

    - aj`tbrfjs

    FDLB@@FODBP DO OEODUOND

    NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1

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    FDLB@@FODBP AJ@UBQFJMs `omudbs bd ij mu`osj , proeu`to eb ij rupturj bd ijgombstjsfs eb ij liorj dormji, pbrmftfbdeo qub MO oport

    fdlb`tbd ij `jvfeje orji3

    Bstjlfio`o`o eorjeo

    Bdtbro`o`o

    Bstrbpto`o`os abtj gbmoitf`osJbroafos nrjd-dbnjtfvo aj`fios (B. `oif, Bif`oaj`tbr, Hibasfbiij)

    Fdlb``fodbs oportudfstjs j zodjs fdmudo`omprombtfejs

    (fdlb``fd sb`udejrfj j ijs i`brjs)NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1

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    FDLB@@FOD

    BP

    AJ@UBQ

    FJDJP

    NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1

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    FDLB@@FOD

    BP

    AJ@UB

    QFJDJP

    fdlb``fodbs puruibdtjsNRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1

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    FDLB@@FODBP AJ@UBQFJDJP

    Nijdeuijs sjifvjibs

    Plfifs

    Bdlbrmbeje por jrjjzo eb njto

    Fdlb``fodbs por bstjlfio`o`o

    eorjeo eb pfbi

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    *Pfjioiftfjsfs pjrotebj ebi odeu`to eb Ptbdsbd. 1;;7 Mbef`fdj Orji P.I.**JP[B@UOP MF@QOAFOINF@OP EB IJP FDLB@@FODBP EB IJP NIDERIJP PJIF\JIBP. J`tj oeodtoi. vbdbz voi.51 do.: @jrj`js Cjd. 1;;5

    Fdlb``fd eb ijs nideuijs

    Pfjiojebdftfs3Fdlijmj`fd eb ijs nideuijs s`jusj eb fdlb``fodbs aj`tbrfjvfrjibs

    Lj`torbs io`jibsaioqubo eu`to bx`rbtor (iftfjsfs

    fdlb``fd rbtrnrjej

    Lj`torbs nbdbrjibs

    fdmudoebprfmfeo

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    *Pfjioiftfjsfs pjrotebj ebi odeu`to eb Ptbdsbd. 1;;7 Mbef`fdj Orji P.I.**JP[B@UOP MF@QOAFOINF@OP EB IJP FDLB@@FODBP EB IJP NIDERIJP PJIF\JIBP. J`tj oeodtoi. vbdbz voi.51 do.: @jrj`js Cjd. 1;;5

    - Oastru``fd eb eu`tos sjifvjibs

    - Jumbdto eb voiumbd udf o afijtbrji e- Efsmfdu`fd ebi liuco sjifvji3 mu`oso puruibdto- Eoior jnueo- Uumblj``fd ebi rbj jlb`tjej- Urfsmus- Lfbarb

    Fdlb``fd eb ijs nideuijs

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    [jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ

    - jlb`tj prfd`fpjimbdtb j ij nideuij

    - vfrus `omo pjrjmyxovfrus, @ftombn(@M\), Pjrjmpfd, Gbrpbs Sostbr, Fd[jrjfdliubdzj : y 0, vfrus Bpstbfd Aj\FG, bdtrb otros.

    - bd dfos bdtrb < y 6 jos

    - `odtjnfo j trjvbs eb sjifvj, proeromefjs

    PFJIOJEBDFUFP \FQJI

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    [jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ

    @IFDF@J

    - Jumbdto voiumbd pjrotebo efluso,eoioroso. ebspijzjmfbdto ebi iauio gj`fj lubrj y gj`fj jrrfaj

    - Lfbarb moebrjej, `ompromfso bstjnbdbrji.

    - 1/0 `jsos pubeb sbr afijtbrji

    - @jrd`uij pjrotebj bebmjtoso

    - Pjifvj jspb`to mu`oso

    PFJIOJEBDFUFP \FQJI

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    [jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ

    EFJNDPUF@O

    Jdjmdbsfs, Pfndos `idf`os

    Bstuefo sbroinf`o3 jumbdto eb ttu

    5 vb`bs fdef`j fdlb``fd jnuej

    UQJUJMFBDUO

    Pfdtomtf`o, gferjtj`fd, jdjinbsfjjaudejdtb y suprbsfd eb jifmbdtobstfmuibd ij sjifvj`fd. Qbposo jebmfbdtrjs bi pj`fbdtb bst eb`jeo o

    PFJIOJEBDFUFP \FQJI

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    [jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ

    - [j`fbdtbs `od beje jvjdzjej, ebsgfedblrljtjs, fdmudoebprfmfeos.

    - [rbsbd`fj lo`o sptf`o orji, iftfjsfs, `oljrmj`os qub proeu`bd gfposfjifj.

    - Bstjlfio`o`o jurbus, Bstrbpto`o`o pdPtrbpto`o`o pyonbdbs y jdjbroafos.

    PFJIOJEBDFUFP AJ@UBQFJDJ

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    [jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ

    @IFDF@J

    - Jumbdto eb tjmjo nijdeuijr arus`o

    -Brftbmj eb ij pfbi

    - Lfbarb y trfsmus.

    - Ji `omprfmfr ij nideuij pubeb do liuf

    sjifr sjifvj puruibdtj.

    - @od lrb`ubd`fj udfijtbrji.

    PFJIOJEBDFUFP AJ@UBQFJDJ

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    [jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ

    UQJUJMFBDUO

    -Jmauijtorfo `od jmoxf`fifdj/`feo `ij

    -Gospftjifzj`fd. @oabrturj jdtfaftf`j (`bljiosporfdjs eb 1 nbdbrj`fd, `ifdejmpf`fifdj/suiaj`tjm)

    -Mjdbco eb ij pjtoionj eb ajsb

    - Rsjr sfjiononos (cuno eb ifmd o djrjmjsjcb nijdeuijr y `jior io`ji `od `om

    PFJIOJEBDFUFP AJ@UBQFJDJ

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    Jspb`tos `idf`os, btfoionj mf`roafjdj y mjdbco tbrjputf`o eb ij pjrotfeftfs `rdf`j rb`urrbdtb fdljdtfi ([@QF). Qbv @gfi [befjtr >5 (0)8 1 jos.

    -Qbsoiu`fd bspodtdbj bd ij puabrtj

    - Efsmfdu`fd ebi liuco sjifvji sfbdeo mpuruibdto. Ji `omprfmfr ij nideuij , ijnrumosj y bspbsj.

    [JQOUFEFUFP @QODF@J QB@RQQBDUB

    [JQOUFEFUFP @QODF@J QB@RQQBDUB

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    EFJNDPUF@O3 Pfjionrjlj3 `frub

    UQJUJMFBDUO3

    Jdtfaftf`os, fdtffdlijmjtorfos, gferjtj`fd, sfjiononos y mjsjcb nijdeuijr.Ij sfjionrjlj mu`gjs vb`bs bs tbrjputf`j, sb bifmfdj ios tjpodbs mu`o

    [JQOUFEFUFP @QODF@J QB@RQQBDUB

    Fdlb``fodbs aj`tb

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    FDLB@@FODBP EB IJP NIDERIJP PJIF\JIBP

    Jspb`tos `idf`os, btfoionj mf`roafjdj y mjdbco tbrjputf`o eb ij pjrotfeftfs `rdf`j rb`urrbdtb fdljdtfi ([@QF). Qbv @gfi [befjtr >5 (0)8 1

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    Urbpodbmj pjiifeum (bspfroqubtj jdjbroaf

    Urjdsmfsfd sbxuji y do sbxuji (absos, trjdsjdnrb)

    Plfifs `odndftj

    Ibsfodbs prfmjrfjs3 nbdftjibs (ibdnuj, ijafo

    PFL

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    Bi 7;% eb ijs io`jifzj`fodbs bs nbdftji.

    Bd bi gomarb3 sur`o ajijdo prbpu`fji, nijde`ubrpo ebi pbdb.

    Bd ij mucbr3 `ubiio utbrfdo,vjnfdj ijafos mj`omfsurj eb ijafos mjyorbs.

    Bi 7% uaf`j`fd au`ji,

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    Plfifs : (1

    @gjd`ro 3i`brj eurj, brftbmjtosj, eb lo

    ifdlojebdopjtjs rbnfodjibs

    `ujero eb mjibstjr nbdbrji Ibsfd fdeoiorjui`brjej, fdeurjej, roco os`uro,

    Qbmfsfd bspodtdbj

    Ibdnuj, ijafos, pfbi

    Ji `jao eb trbs sbmjdjs ebsjpjrb`b bi `gjebcjr `f`jtrfz.

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    Plfifs 13 (

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    Plfif

    Niosftfs fdtbrstf`fji eflusj.

    Nomjs(ibdnujpjijejr)

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    PFLFIFP UBM[QJDJ O QB@FBDUB (9 : JO EB B\OIR@FD)

    1.5;;.;;; RF [bdf`fifdj N abdzjtfdj fm. [or udj vbz.

    Bd `jso eb jibrnfj 3 Brftromf`fdj 1nr/efj por :2 ejs.

    PFLFIFP UJQEFJ (4: o bvoiu`fd)

    [bdf`fifdj N abdzjtfdj 1.5;;.;;; RF fm.sbmjdji por trbsvb`bs ji ej.

    Brftromf`fdj 1nr/ej por 0; ejs.

    P

    Urjtjmfb

    B l e e J e

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    Bdlbrmbeje Jrjjzo eb

    Bdlbrmbeje fdlb``fosj `jusjej por ij aj`tbrfj

    7;% dfos

    Jrjjzos, morebeurjs, o bxposf`fd j ij sjifvj

    Iifdljebdopjtj Rdfijtbrji. `br`j ji sftfo ebi jrjmorebeurj.

    B l e e J e

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    @IFDF@J[brfoeo fd`uaj`fd3 bdtrb > j :1 ejs

    Ibsfd rocfzj bd bi sftfo eb fdo`uij`fdIfdlojebdopjtfj 1 j 0 sbmjdjs postbrfor ji `o

    Jnrjdejmfbdto eb deuios eb `jebdj njdnifojxfijr, yunuijr, suamjdefauijr, prbjrf`uijr.

    [puij o pstuij bd bi sftfo ibsfodjeo (fdo`uij

    io nbdbrji bs ij prfmbrj sbjiFdlijmj`fd eb ios doeuios ifdltf`os (jebdopj

    Lfbarb (0;%)

    Ljtfnj

    Mjibstjr nbdbrji

    bspb`dombnjifj

    Bdlbrmbeje Jrjjzo eb

    Bdlbrmbeje Jrjj o eb

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    EFJNDPUF@Obxjmbd por fdmudoliuorbs`bd`fj pjrj Ajrtodbiij gbdsbijb

    UQJUJMFBDUO

    @ujero ibvb3 @odtroi sdtomjs. Eurj`fd sbmjdjs j 1-0 mbs

    @ujero nrjvbs3 Jdtfaftf`os `jso eb3- [j`fbdtbs jnuejmbdtb bdlbrmos `od sdtomjs sfstmf

    - Ifdljebdopjtj nrjdeb y eoiorosj.- [j`fbdtbs fdmudo`omprombtfeos.

    Jdtfaftf`o fdef`jeo3 jzftromf`fdj3 :; mn/hn/ej x 0 ejs.

    Erbdjcb deuios supurjtfvos (pud`fd y jspfrj`fd)

    Bdlbrmbeje Jrjjzo eb

    Fdlb``fd por Bstjlf

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    @iuijs bslrf`js, Nrjm posftfvos. Jdjbroafos

    Muitfpif`j`fd biuijr b fdvjsfd tfsuijr

    @jpj`feje eb proeu`fr bdzfmjs y toxfdjs

    GJAFUJU3 pfbi y mu`osjs bd rbjs fdtbrtrfnmjdos, pbrfdbji, djsji ( 1;% j 5;%)

    Ptbpgyio`o ``us jurbus

    Mjyor pjtnbdo bd ijs fdlb``fodbs `utdbjs, joportudfstj bd ij mu`osj orji (qubfiftfs jdnuijr

    Do lormjd pjrtb eb ij liorj dormji, pubsto qubpjtnbdos,

    Qoi eb ij pfbi [brsodjs ms su`bptfaibs, `oiodfzj`fd gjstj

    Fdlb``fd por Bstjlf

    Fdlb``fodbs `utdbjs aj`tbrfjdjs. Ebrmjtoi. pbru. voi.:< do.: Ifmj Cjd./jar. 1;;<

    Fdlb``fd por Bstjlf

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    L

    Gferosjebdftfs s

    Fdlb``fd eb gbrfejs qPbptf`bmfj, bde

    pD

    @oOst

    [

    M

    Fdlb``fd por Bstjlf

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    UQJUJMFBDUOFdlb``fd por Bstjlf

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    UQJUJMFBDUO @orrb`tj gfnfbdb jdtfaftf`os3 [bdf`fifdj N

    [BDF@FIFDJP FPOWJSOIF@JP3@ioxj`fifdj,Ef`ioxj`fifdj,

    Liu`ioxj`fifdj @BLJIOP[OQFDJP EB [QFMBQJ NBDBQJ@FOD

    Fmfpbdbd

    Jmoxf`fifdj-`feo `ijvuidf`o

    Jmpf`fifdj-suiaj`tjm

    MJ@QOIFEJP ( Brftromf`fdj, @ijrftromf`fdj,Jzftromf`fdj)

    Ifd`omf`fdj

    JMFDONIF@OPFEOP (Nbdtjmf`fdj, Jmfhj`fdj)

    \jd`omf`fdj

    Fdlb``fd por Bstjlf

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    FDLB@@FODBP \FQ

    - Ijs `jusjdtbs ms `omudbs bd ijs ui`brjs orjibs

    - Ijs fdlb``fodbs vfrjibs3 fdlb``fodbs orjibs io`jifzjejs y ui`brjtfv

    - \frus3 roi sfndflf`jdtb bd ijs ibsfodbs pbrfoeodtjibs. Pftfos `od Bpo `ytombnjiovfrus prbsbdtjd mjyor ejo pbrfoeodtji qub sftfos `o

    - Pfdbrnfsmo b`oinf`o vfrus y aj`tbrfj3 fdmudosuprbsfd io`ji soarb`rb`fmfbdto aj`tbrfjs pbrfoeodtjibs(bc3 bstomjtftfs bd dfos por Nfdnfvobstomjtftfs Gbrptf`j [rfmjrfj

    NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1

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    FDLB@@FODBP \FQ

    [jrotfeftfs (@ftombnjiovfrus)

    Fdlb``fodbs por vfrus gbrpbto-vfrfejb3 \GP tfpo :3 gbrpbs ij

    Fdlb``fodbs por vfrus pjpfiomj gumjdo ([jpfiomjvfrus)

    \frus eb ij \jrf`bij zstbr 3 pfbi, ijafos y mu`osj orji

    Bpstbfd Ajrr3 oroljrfdnb3 Mododu`ibosfs fdlb``fosj

    NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1

    Fdlb``fd vfrji ljmfifj gbrpbto v

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    Fdlb``fd vfrji ljmfifj gbrpbto v

    Gbrpbs sfmpibx tfpo : Nfdnfvobstomjtftfs gb

    prfmjrfj

    Gbrpbs rb`urrbdtb

    Fdlb``fd gbrptf`j bfdmudoebprfmfeos

    Fdlb``fd nbdftji

    Fdlb``fd vfrji ljmfifj gbrpbto v

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    \jrf`bij Sostbr

    \jrf`bij

    Gbrpbs Sostbr \frus Bpstbfd Ajrr

    Mododu`ibosfs fdlb` Ibu`opijsfj vbiiuej

    @ftombnjiovfrus Ri`brjs Orjibs por @

    Qbtfdftfs, bsoljnftfs, `

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    Fdlb``fd vfrji ljmfifj gbrpbto v

    Nfdnfvobstomjtftfs gbrptf`j pr

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    @odtj`to efrb`to `od ij sjifvj o sb`rb`fodbs fd Dbrvfos sbdsftfvos y jutdomos. Njdnifo trfnbm

    Pb mjdflfbstj prfd`fpjimbdtb bd dfos eb : j 2 Fd`uaj`fd3 1 j 1; ejs.

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    n p p

    Nfdnfvobstomjtftfs gbrptf`j pr

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    UQJUJMFBDUOQbposo, Gferjtj`fd, Uto. Pfdtomtf`o, Uto. J

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    -1;; mn 1v/ej x > ejs, vj orji.

    *Otros3

    -JUA bvftjr fdlb``fodbs aj`tbrfjdjs sb`u

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    n p p

    Gbrpbs Qb`u

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    Jso`fjeo nbdbrjimbdtb j GP\-: Ebsbd`jebdjeo por lj`torbs tji

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    Fdef`j`fodbs3

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    EBUB@@FD EBI \FQRP [J[FIOMJ GRMJDO BD BDUFEJEBP @IFDF@JP ABDFNDJP EB IJ @J\FEJE AR@JI, MBEFJDUB IJQBJ@@FD BD @JEBDJ EB IJ [OIFMBQJPJ B GFAQFEJ@FD MOIB@RIJQ. J`tj oeodtoi. vbdbz v.06 d.1 @jrj`js jar. 1;;: .

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    p

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    Fdlb``fd ebi ndbro `jdefej

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    Fdlb``fd ebi ndbro `jdefej@jdefej jiaf`jdsij mjs prbvjibdtb

    bi 7;-62% jfsijeos sod `jsos eb jdefefjsfs orji

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    - Brftbmjtosj

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    - Gfpbrpisf`j

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    Eosfs3 2;;.;;; R.F `jej 7 grs. por :5 ejs

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    Ubrjputf`j eb jpoyo bd ij mu`ormf`osfs Qbv. Otorrfdoijrfdnoi. @fr. @jabzj @ubiio 1;;

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    Ubrjputf`j eb jpoyo bd ij mu`ormf`osfs Qbv. Otorrfdoijrfdnoi. @fr. @jabzj @ubiio 1;;

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    FM[OQUJDUB3 EFJNDOPUF@O EFLBQBD@FJILJ@UOQ BUFOINF@O UQJUJMFBDUORPO AJQQBQJP EB [QOUB@@FD

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    FDLB@@FODO OEODUOND

    Er. [bero Jrjvbdj UorrbsFdstftuto eb Oeodtobstomjtoionj

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