UNIVERSIDAD NACINOAL DE CHIMBORAZO FACULT FA CULTAD AD DE CIENCIAS DE LA SALUD SALU D CARRERA DE MEDICINA
UNIVERSIDAD NACIONAL DE CHIMBORAZO VICERRECTORADO ACADÉMICO UNIDAD DE PLANIFICACIÓN ACADÉMICA FACULTAD DE CIENCIAS DE LA SALUD ESCUELA DE MEDICINA
ÉTICA MÉDICA
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Docente: Dr. Guillermo Gul! Curso: "ui#$o Seme%$re &A' Alumna: ESTUDIANTES: A#(re Du)*e N$l+ Me,- Bele# More#o e%%i) Mo#r Vleri Plm+ Fr#/li# Ver(e0o$o D+#r Z12i3 CASO WILLOWBROOK er!o"o Aca"#m!co:
Se!$iem4re 5678 Mr0o 5679 INTRODUCCIÓN
To(o% To(o% %4emo% :ue L Me(i)i# + l Te)#olo3; Te)#olo3; *# <#0(o mu)*o e# lo% 1l$imo% 1l$imo% 2o% + $o(o% e%$o% !ro3r !ro3re%o% e%o% +u(# +u(# )o#%$ruir u# %o)ie(( m=% *um# e# (o#(e el *om4re !ue( (e%rrollr %u% )!)i((e% m=% !le#me#$e. Lo% #ue
>#? (i3# i3#> >%$i) %$i)o o + $r$ r$mie mie#$ #$o o (e l% l% e#@erme((e% %e *# !o(i(o lle<r )4o 3r)i%? e# !r$e? l% i# o)urri> $o(o lo )o#$rr )o#$rrio? io? %e reli0> reli0> u# i##? )o#o)i( )omo el E%$u(io (e illo4roo/. Creo :ue? Por m=% :ue e%$e e%$u(io :uer; +u(r )o# #ue i># # $o$ $o$lm lme# e#$e $e )o#$r el (ere)*o (e l% !er%o#%? l !o#er #i2o% )o# re$r%o me#$l )omo !o4l)i># 4l#)o !r reli0r e%$e e%$u(io? :ui0= lo% i## !r e!erime#$r )o# ello% (e l m#er :ue ello% :uer;#. Mi#i%$erio (e u%$i)i? 5678 Ho+ e# (; %4emo% :ue $o( !er%o# :ue e%$ i#)lui( e# u# i# i># # 4iom 4iom( (i) i)? ? %i# %i# im!o im!or$ r$r r l %i$u %i$u) )i> i># # e# l :ue :ue %e e#)u e#)ue# e#$r $re? e? (e4e (e4e %er %er $r$ $r$( ( )omo )omo Ser Ser Hum Hum#o #o?? re%! re%!e$ e$# #(o (o %u% %u% (ere)*o% . Vlle,o? Vlle,o? 5678 E% %; :ue :ue Nue%$r Nue%$r Co#%$i$ Co#%$i$u)i># u)i># 3r#$i0? 3r#$i0? :ue lo% %ere% *um#o% *um#o% $e#emo% (ere)*o u# !ro!>%i$o %i$o%% e!er e!erime ime#$ #$le%. le%. Mi#i%$ Mi#i%$erio erio (e u%$i)i? 5678 C( %er *um#o $ie#e (ere)*o %er $r$(o )o# (e)e#)i? l )ie#)i m(i) !ue(e <#0r + !ue(e )o#$ri4uir l 4ie#e%$r (e l% !er%o#% !ero #o %e ,u%$iJ) :ue #i#31# m(i)o !o#3 l )ie#)i !or e#)im (e %u% %u% o4li o4li3 3)i )io# o#e% e% )o# )o# %u% %u% !)i !)ie# e#$e $e%% %u 4ie# 4ie#e%$ e%$r r + (i3# (i3#i( i(( (.. Mi#i%$erio (e u%$i)i? 5678 DE$ENSA DEL CASO
E%$ )u%)i># !ri#)i!lme#$e %e 4% e# le+e% re)o!il(% lo lr3o (e lo% lo% 2o% 2o% :ue :ue *# *# $e#i $e#i(o (o 3r# 3r#(e (e%% me,o me,or r%% !r !r el 4e#e 4e#eJ) J)io io *um#o? *um#o? (e l% )ule% )ule% <mo% )i$r lo% m=% im!or$e%. Mi#i%$erio Mi#i%$erio (e u%$i)i? 5678 Mu)*o #$e% (e :ue e%$e )%o %e (ier )o#o)er? *u4o o$ro% )%o% lo% )ule% + (e,ro# u# !re)e(e#$e e# %ere% *um#o% + e% e# 78? :ue lo% ,ue)e% i#)lu+ero# u# %e))i># llm( llm( E!erime#$o% m(i)o% !ermi%i4le%. E%$ %e))i># %e )o#o)i> )omo el C>(i3o (e N1rem4er3 + @ue @ue el !rime !rimerr )>(i )>(i3o 3o i#$er i#$er# #)io )io# #ll (e $i) $i) (e l i# i>#. #. Mi#i%$erio (e u%$i)i? 5678 E%$ %erie (e !u$% e%$4le)iero# lo% !ri#)i!io% 4=%i)o% :ue %e (e4e# %e3uir !r %$i%@)er lo% )o#)e!$o% morle%? $i)o% + le3le% e# l reli0)i># (e i#
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5. El e!er !erim ime# e#$o $o (e4e (e4e reli eli0 0r% r%e e )o# )o# l J#l J#li( i(( ( (e o4$e o4$e#e #err re%ul re%ul$( $(o% o% @ru)$;@ @ru)$;@ero ero%% !r !r el 4ie# (e l %o)ie( %o)ie((? (? :ue #o !o(r; !o(r; o4$e#er%e (e #i#3u# o$r m#er + #o (e4e %er (e #$urle0 le$ori o i##e)e%ri Mi#i%$erio (e u%$i)i? 5678 K. L e!erime#$)i># )o# #imle% e!erime#$)i># )o# %u,e$o% *um#o%
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8. Se (e4e e %i># + %u@rim rimie#$o @;%i)o + me#$l i##e)e%rio% 9. No %e (e4e reli0r #i#31# e!erime#$o %i ei%$e# r0o#e% !r )reer :ue !o(r; !rolo %>lo !or i#
)o#$i#u)i># (el e!erime#$o !o(r; )u%r le%io#e%? (i%)!)i(( o l muer$e (el %u,e$o *um#o. Mi#i%$erio (e u%$i)i? 5678 A(em=% $o( i## e# %ere% *um#o% $e#; + (e4; reli0r%e (e )ue )uerr(o )o# )o# $re% $re% !ri# !ri#)i )i!i !io% o% $i) $i)o% o% 4=%i 4=%i)o )o% % re%!e e%!e$o $o !or !or l% l% !er%o#%? 4e#eJ)e#)i + ,u%$i)i. . E# @orm 3e#erl? %e )o#)uer( e# :ue e%$o% !ri#)i!io% :ue e# $eor; $ie#e# i3ul @uer0 morl 3u;# l !re!r)i># re%!o#%4le (e !ro$o)olo% (e i##. Se31# l% )ir)u#%$#)i%? lo% !ri#)i!io% !ue(e# e!re%r%e (e m#er (i@ere#$e? (,u(i)=r%el (,u(i)=r%ele% e% (i@ere#$e (i@ere#$e !e%o morl + %u !li))i># !ue(e )o#(u)ir )o#(u)ir (i%$i#$% (e)i%io#e% o )ur%o% (e ))i>#. L% !re%e#$e% !u$% e%$=# (iri3i(% l !li))i># (e e%$o% !ri#)i!io% e# l i## e# %ere% *um#o%. Mi#i%$erio (e u%$i)i? 5678 El re%!e$o !or l% !er%o#% i#)lu+e? lo me#o%? (o% )o#%i(er)io#e% $i)% @u#(me#$le% Re%!e$o !or l u$o#om;? :ue im!li) :ue l% !er%o#% )!)e% (e (eli4err %o4re %u% (e)i%io#e% %e# $r$(% )o# re%!e$o !or %u )!)i(( (e u$o(e$ermi#)i># + 4 Pro$e))i># i># (e l% !er%o#% )o# u$o#om; (i%mi %mi#ui( o (e$erior(? :ue im!li) :ue %e (e4e !ro!or)io#r %e3uri(( )o#$r (2o (2o o 4u% 4u%o o $o( $o(%% l% l% !er% !er%o# o#% % (e!e (e!e#( #(ie ie#$ #$e% e% o u$>#o #om m )u# )u#(o (o %e re%! e%!e$ e$ %u (ere) ere)* *o (e u$o(e$ermi#)i>#. E# e%$e )%o %e # !%o %er (e %u% !(re% :uie#e% $m!o)o %e le% !ermi$i> $omr u# (e)i%i># u$>#om + li4re (e )oer)i># o i#Que#)i% i#(e4i(%? #o %e re%!e$> %u u$o#om; (e !o(er (e)i(ir li4reme#$e %i :uer;# :ue %u% *i,o% e%$u
Si3# Si3#iJ) iJ) *)e *)err el 4ie# 4ie#?? mi#i mi#imi mi0 0rr el (2o (2o?? %e $e# $e#$> $> )o#$ )o#$r r e%$e e%$e !ri#)i!io + :ue e%$o% #i2o% @uero# )o#$3i(o% )o# el # e%$= rel)io#( )o# el )=#)er *e!=$i)o? %e !u%o e%o% #i2o%
)o# re$r%o me#$l #i2o% :ue + (e !or %i %o# i># # me#$ me#$l l?? er# er# #i2o #i2o%% :ue :ue mere mere); );# # %olo %olo lo% lo% me,o me,orre% )ui((o% + $r$mie#$o. Si# em4r3o @uero# (i%mi#ui(o% u# m=% %er u%(o% )omo )o#e,illo% (e i#(i%. i#(i%. Vlle,o? Vlle,o? 5678 NO MALE$ICENCIA:
Si3#iJ) #o *)er (2o. No %e re%!e$> $m!o)o e%$e !ri#)i!io )omo %e * me#) me#)io io# #(o (o e%$o e%$o%% #i2o #i2o%% @uer @uero# o# (2 (2(o (o%% + #o %olo %olo @uer @uero# o# )o#$3i(o% )o# el # (e (e%< (e%
No @ue ,u%$o? #o %e le% (io lo :ue (e4; )orre%!o#(er :ue er# el me,or $r$mie#$o (i%!o#i4le? %i#o !or el )o#$rrio %e #$e!u%o lo% i#$e i#$erre%e% e%e% )ie# )ie#$; $;J) J)o% o% + (e i# i># # lo% lo% i#$e i#$erre%e% e%e% (e l% l% !er%o#%? e%$o #o (e4e %u)e(er lo% i#$ere%e% (e u# !er%o# %e #$e!o#e# lo% i#$ere%e% (e l %o)ie((? (em=% el (e%)u4rimie#$o (e4e <ler lo %uJ)ie#$e !r )orrer el rie%3o e# e%$e )%o $m!o)o @ue %; + :ue el rie%3o er m=% 3r#(e :ue lo% 4e#eJ)io% :ue o4$e#;# lo% #i2o%. F4re? 567K B%=#(o#o% e# el )%o !o(emo% (e)ir :ue l i## %e ( e#$re lo% 2o% 796 + 76 e# l )ul !r$ir !r$ir (e 7978 el Dr. Dr. S1l S1l ru3 ru3m m# # i#+e i#+e)$ )$ e# #i2o #i2o%% (i%) (i%)! !) )i$ i$( (o% o% el #i) + )o# @re)ue#)i @$l. F4re? F4re? 567K A(em=%? A(em=%? l% *e)e% %e $omro# $omro# (e lo% #i2o% i#%$i$u)io#li0( i#%$i$u)io#li0(o% o% )o# l *e!$i$i% + l !u%iero# e# 4$i(o%? :ue lue3o @uero# lime#$(o% lo% #i2o% (e #ue %i># # e# l e%)uel !14li)? :ue er l 1#i) o!)i># !r l% @mili% (e )l%e $r4,(or :ue #e)e%i$# $e#)i># (e u# #i2o :ue %u@re (e re$r%o me#$l u o$r (i%)!)i((. F4re? F4re? 567K
L !o4l)i># (e !)ie#$e% e# illo4roo/ @ue 88? )re)ie#(o u# $% (e u# !)ie#$e (e u# (; e# u# l!%o (e $re% 2o%? o (e 76 79 #ue< #ue<% % (mi (mi%io %io#e #e%% !or !or %em %em# #.. E# el !rime !rimerr !u#$ !u#$o o l !o4l !o4l) )i> i># # ei%$e#$e %e (i e# (o% 3ru!o% u# 3ru!o %ir )omo )o#$role% #o i#o)ul(o%? + el o$ro 3ru!o %e i#o)ul> )o# 6?67 ml. (e 3mm3lo4uli# !or li4r (e !e%o )or!orl. Lue3o (e u# %e3u#(o ,ui)io (mi$e% #ue )o# 6?6 ml. (e 3mm3lo4uli# !or li4r (e !e%o )or!orl? u$ili0#(o %; e%$o% #i2o% )omo !rue4% !r 4e#eJ)io (e l i##. Mi#i%$erio (e u%$i)i? 5678 E% %; :ue ei%$iero# i## (e #i2o% e# l e!erime#$)i># m(i). Mi#i%$erio (e u%$i)i? 5678 El !er%o#l (e illo4roo/ illo4roo/ ? ? :uie# lue3o re#u#)i> e# (e%)uer(o o (i%3u%$o e# lo% e!erime#$o%? (e)lr> l !re%i># e,er)i( %o4re l% @mili% + l% @l%% %e3uri((e% :ue re)i4iero# (e lo% (o)$ore%. Cu#(o l e%)uel %e )err> (eJ#i$i<me#$e? lo% #i2o% :ue u# l e#$r( lo% !ro3rm% !ro3rm% (e l% e%)uel% e%)uel% re3ulr re3ulre% e% !r Ni2o% )o# Ne)e%i((e% Ne)e%i((e% E%!e)ile%? + :ue e%$4# i#@e)$(o% )o# el lo #u#) )e#%ur> !or e%$o% 4u%o%? !ero @ue 3lr(o#(o )o# el Premio L%/ L%/er er (e Me(i Me(i)i )i# #.. E# !l !l4r 4r% % (e l Comi Comi%i %i># ># (e L%/ L%/er er?? %i# %i# #i#3u# me#)i># (e lo% #i2o% :ue (iero# %u %lu( + %u # ># M(i M(i) ) Mu#( Mu#(i ill AMM * !romul3(o l De)lr)i># (e Hel%i#/i )omo u# !ro!ue%$ (e !ri#)i!io% $i)o% !r i## m(i) e# %ere% *um#o%? i#)l i#)lui ui( ( l i# i># # (el (el m$e m$eri rill *um *um#o #o + (e i#@o i#@orm rm) )i> i># # i(e#$iJ)4le%. Vlle,o? 5678 E% %; :ue 4%=#(o#o% e# l (e)lr)i># (e Hel%i#/i (e 78 :ue @ue l :ue re3; e# e%e e#$o#)e%? )ue%$io#remo% el ))io#r (e l% !er%o#% im!li)(% e# el )%o ill4roo/ #li0#(o :ue !u#$o% (e
e%$ (e)lr)i># #o @uero# re%!e$(o% (i)* i##. Vlle,o? 5678 Declarac!&n "e 'els!n(!
L De De)l )lr r) )i> i># # @ue @ue ori3 ori3i# i#l lme me#$ #$e e (o! (o!$ $( ( e# ,u#i ,u#io o (e 78 78 e# Hel%i Hel%i#/ #/i? i? Fi#l i#l#( #(i i?? + * %i(o %i(o %ome %ome$i $i( ( )i#) )i#)o o re# e% u# im!or$#$e (o)ume#$o e# l *i%$ori (e l i## $i)? )omo u# %i3#iJ)$i(i3o (e Nurem4er3 #o $u# 3e#erl %o4re lo% %!e)$o% $i)o% (e l i## *um#? u#:ue e# !;%e% )omo Alem#i + Ru%i? i#%!ir> !ol;$i)% #)io#le% %o4re i## e# *um#o%. L De)lr)i># (e%rroll lo% (ie0 !u#$o% (el C>(i3o (e Nurem4er3 + ello% le% %um l De)lr)i># (e Gi#e4r 78? u# e%$$u$o (e (e4ere% $i)o% !r lo% m(i)o%. L De)lr)i># e%!e %!e)iJ) m=% (e$ll(me#$e l i## )l;#i)? reQe,#(o )m4io% e# l !r=)$i) m(i) (e%(e el $r $rmi#o mi#o e! e!er erim ime# e#$ $)i )i># ># *um *um# # u%( u%(o o e# el C>(i C>(i3o 3o (e Nurem4er3. U# )m4io #o$4le re@ere#$e %$e e% u# rel,)i># (e l% l% )o#( )o#(i)i i)io# o#e% e% (el (el )o#% )o#%e# e#$i $imi mie# e#$o $o?? el :ue :ue er er 4% 4%ol olu$ u$m me# e#$e $e e%e#)il e# el C>(i3o (e Nurem4er3. Gr)i% e%$o? *o+ lo% m(i)o% (e)l (e)lr r# # o4$e o4$e#e #err el )o#%e )o#%e#$ #$im imie ie#$ #$o o %i %i e% !o%i !o%i4l 4le e (e !r$ !r$e e (el (el !)ie#$e? !ero l i## $m4i# %e !ermi$e )u#(o @l$ (el )o#%e#$imie#$o (el i#im !r>im )omo u# )ur(or o re!re%e#$#$e le3l. Vlle,o? Vlle,o? 5678 7. L A%o)i %o)i )i># M(i) Mu#(il il AMM * !romul3(o l De)lr)i># (e Hel%i#/i )omo u# !ro!ue%$ (e !ri#)i!io% $i)o% !r !r i# i># # m(i m(i) ) e# %er %ere% *um *um#o #o%? %? i#)l i#)lui ui( ( l i## (el m$eri ril *um#o + (e i#@orm)i># i># i(e#$iJ)4le%. 5. L De)lr)i> De)lr)i># # (e4e %er )o#%i(er )o#%i(er( ( )omo u# u# $o(o + u# !=rr@o !=rr@o (e4e %er !li)(o )o# )o#%i(er)i># (e $o(o% lo% o$ro% !=rr@o% !er$i#e#$e%. K. Co#@orme Co#@orme l m#($ m#($o o (e l AMM? l l De)lr)i># De)lr)i># e%$= e%$= (e%$i#( (e%$i#( !ri#)i!lme#$e lo% m(i)o%. L AMM i#%$ o$ro% i## m(i) e# %ere% *um#o% (o!$r e%$o% !ri#)i!io%. r!nc!)!os *enerales 8. L De De)l )lr r) )i> i># # (e Gi#e4 Gi#e4r r (e l A%o)i A%o)i) )i> i># # M(i M(i) ) Mu#( Mu#(i ill rmul
$o(o !or l %lu( (e mi !)ie#$e'? + el C>(i3o I#$er#)io#l (e E$i) M(i) Jrm :ue El m(i)o (e4e )o#%i(err lo me,or !r el !)ie#$e )u#(o !re%$e $e#)i># m(i)'. 9. El (e4er (e4er (el m(i)o m(i)o e% !romo )i># # m(i) m(i).. Lo% Lo% )o#o)i )o#o)imie mie#$o #$o%% + l )o#)ie# )o#)ie#)i )i (el m(i)o *# (e %u4or(i#r%e l )um!limie#$o (e e%e (e4er. (e4er. . El !ro3r !ro3re%o e%o (e l me(i)i# me(i)i# %e 4% e# l i# )i># # :ue? e# 1l$imo $rmi#o? (e4e i#)luir e%$u(io% e# %ere% *um#o%. . El !ro! !ro!>% >%i$ i$o o !ri# !ri#)i )i! !ll (e l i# i># # m(i m(i) ) e# %er %ere% *um#o% *um#o% e% )om!re#(er )om!re#(er l% )u%%? )u%%? e# e# + e@e)$o% e@e)$o% (e l% e#@e e#@errme( me((e (e%% + me,o me,or rrr l% l% i#$e i#$er< r #>%$ %$i) i)% % + $er $er! !u$ u$i) i)% % m$ m$o( o(o% o%?? !ro) !ro)e( e(im imie ie#$ #$o% o% + $r$m $r$mie# ie#$o% $o%. . I#)lu%o I#)lu%o?? l% me,or me,ore% e% i#$er< i#$er i># # !r !r :ue :ue %e# %e# %e3u %e3ur% r%?? eJ eJ) ))e )e%? %? e@e) e@e)$i $i< <%? %? ))e%i4le% + (e )li((. . L i# i## # m(i) e%$= e%$= %u,e$ #orm% #orm% $i)% $i)% :ue %ir i># # m(i m(i) ) e% 3e#err 3e#err #ue#. 76. E# l i# i## m( m(ii)? e% (e (e4er (el (el m( m(i)o !ro !ro$e3er l i>#? #? l i#$i i#$imi mi( (( ( + l )o#J )o#J(e (e#) #)i ili li( (( ( (e l i#@o i#@orrm)i m)i># ># !er% !er%o# o#l l (e l% l% !er% !er%o# o#% % :ue :ue !r$ !r$i) i)i! i!# # e# i# i>#. #. L re%!o# e%!o#% %4i 4ili( li(( ( (e l !ro$ !ro$e) e))i> )i># # (e l% l% !er%o !er%o# #%% :ue :ue $om $om# # !r$ !r$e e e# l i## ># (e4e (e4e re) re)er er %iem!re e# u# m(i)o u o$ro !ro@e%io#l (e l %lu( + #u#) e# lo% !r$i)i!#$e% e# l i##? u#:ue *+# o$or3(o %u )o#%e#$imie#$o. 77. Lo% m(i)o% (e4e# )o# )o#%i(err l% l% #orm% + e%$=#(re% $i) $i)o% o%?? le3 le3le le%% + ,ur; ,ur;(i (i)o )o%% !r !r l i# i># # e# %er %ere% *um#o% e# %u% !ro!io% !;%e%? l i3ul :ue l% #orm% + e%$=#(re% i#$er#)io#le% # !r l% !er%o#% :ue !r$i)i!# e# l i## e%$4le)i( e# e%$ De)lr)i>#. 75. L i## m(i) (e4e re reli0r%e (e m# m#er :ue :ue re(u0) l m;#imo el !o%i4le (2o l me(io m4ie#$e.
7K. L i## m(i) e# %ere% *um#o% (e4e %er lle<( )4o %>lo !or !er%o#% )o# l e(u))i>#? @orm)i># + )liJ))io#e% )ie#$;J)% + $i)% !ro!i(%. L i## e# !)ie#$e% o # (e u# m(i)o u o$ro !ro@e%io#l (e l %lu( )om!e$e#$e + )liJ)(o !ro!i(me#$e. 78. Lo% 3ru!o% :ue e%$=# %u4re!re%e#$(o% e# l i## m(i) (e4e# $e#er u# ))e%o !ro!i(o l !r$i)i!)i># e# l i##. 79. El m(i)o :ue )om4i# l i## m(i) )o# l $e#) $e#)i> i># # m( m(i) i) (e4e e4e i#< i# i># # %>lo %>lo e# l me(i me(i( ( e# :ue :ue e%$o e%$o )r )re(i$ e(i$e e u# ,u%$iJ)(o <lor !o$e#)il !re%$i)o o $er!u$i)o + %i el m(i)o $ie#e 4ue#% r0o#e% !r )reer :ue l !r$i)i!)i># e# el e%$u(io #o @e)$r= (e m#er (#. 7. Se (e4e e4e %e %e3u 3ur rrr )om )om!e !e# #%)i %)i> ># + $r$ $r$m mie ie# #$o !r !ro!i o!i(o (o%% !r l% !er%o#% :ue %o# (2(% (ur#$e %u !r$i)i!)i># e# l i##. R!es*os+ Costos , Bene-c!os 7. E# l l !r= !r=)$ )$i) i) (e (e l l me( me(i) i)i# i# + (e l l i#< i## i># m( m(i) i)? ? l m+or; (e l% i#$er# m(i) e# %ere% *um#o% %>lo (e4e reli0r%e )u#(o l im!or$#)i (e %u o4,e$i#. 7. To( i## m(i) e# %ere% *um#o% (e4e %er !re)e(i(o (e u# )ui((o% )om!r)i># (e lo% rie%3o% + lo% )o%$o% !r l% !er%o#% + lo% 3ru!o% :ue !r$i)i!# e# l i# )i>#? #? e# )om!r )om!r)i )i># ># )o# lo% 4e#eJ) 4e#eJ)io% io% !re# e# %ere% *um#o% me#o% (e :ue e%$# %e3uro% (e :ue lo% rie%3o% *# %i(o (e)u(me#$e e<lu(o% + (e :ue e% !o%i4le *)erle% @re#$e (e m#er %$i%@)$ori. 55. Cu# Cu#(o (o lo% lo% rie rie%3 %3o o% :ue :ue im!l im!li) i)# # %o# %o# m=% m=% im! im!or$ or$#$ #$e% e% :ue :ue lo% 4e#eJ)io% e%!er(o% o %i ei%$e# !rue4% )o#)lu+e#$e% (e re%ul$(o% (eJ#i$i
5K. Al3u#o% 3ru 3ru!o% + !er !er%o#% %om %ome$i(% l i# i## %o# %o# !r$i)ulrme#$e # e%!e);J). 59. L i#< i## m( m(i) e# u# u# 3ru 3ru!o l %>lo %e ,u%$iJ) %i l i## re%!o#(e l% #e)e%i((e% o !riori((e% !riori((e% (e %lu( (e e%$e 3ru!o + l i# i## # #o !ue(e reli0r%e e# u# 3ru!o #o #. 123 Re4u!s u!s!to !tos c!e c!ent nt55-co cos s , )ro )roto toco colo los s "e "e !n/ !n/es estt!*ac !*ac!& !&n n 5. L i## m(i) e# %ere% *um#o% (e4e )o#@ )o#@or orm mr% r%e e )o# )o# lo% lo% !ri# !ri#)i )i!i !io% o% )ie# )ie#$; $;J) J)o% o% 3e#e 3e#er rlm lme# e#$e $e )e!$(o% )e!$(o% + (e4e !o+r%e !o+r%e e# u# !ro@u#(o !ro@u#(o )o#o)imie#$ )o#o)imie#$o o (e l 4i4 4i4lio lio3r@ 3r@; ; )ie# )ie#$; $;J) J)? ? e# o$r% $r% @ue# @ue#$e $e%% (e i#@o i#@orrm)i m)i> ># !er$ !er$i# i#e# e#$$e%? e%? %; %; )omo )omo e# e!er !erim ime# e#$o $o%% (e l4o l4or r$o $ori rio o )orre)$me#$e reli0(o% + e# #imle%? )u#(o %e o!or$u#o. Se (e4e )ui(r $m4i# (el 4ie#e%$r (e lo% #imle% u$ili0(o% e# lo% e!erime#$o%. 5. El !r !ro+e)$ +e)$o o + el m$o $o(o (e $o( $o(o o e%$ e%$u u(io (io e# e# %er %ere% *um *um# #o% (e4e# (e%)ri4ir%e )lrme#$e + %er ,u%$iJ)(o% e# u# !ro$o)olo (e i##. 5. El !ro$o)olo (e4e *)er re@ere#)i %iem!re l% )o#%i(er)io#e% $i)% :ue @uer# (el )%o + (e4e i#(i)r )>mo %e *# )o#%i( %i(er( r(o lo% !ri# ri#)i!io% e#u#)i(o% e# e%$ %$ De)l De )lr r) )i> i>#. #. El !ro$ !ro$o) o)ol olo o (e4e (e4e i#)l i#)lui uirr i#@o i#@orrm)i m)i># ># %o4r %o4re e J##)i J##)imi mie#$ e#$o? o? !$ro !$ro)i# )i#(o (ore re%? %? Jli) Jli)io# io#e% e% i#%$i$u i#%$i$u)io )io#l #le%? e%? !o%i4le% )o#Qi)$o% (e i#$er% e i#)e#$i# %o4re l% e%$i!ul)io#e% !r $r$r o )om! )om!e# e#% %rr l% l% !er% !er%o o#% #% :ue :ue *# *# %u@r %u@ri( i(o o (2 (2o% )omo omo )o#%e)ue#)i (e %u !r$i)i!)i># e# l i##. K6. E# lo% e#%+o% )l;#i)o%? el !ro$o)olo $m4i# (e4e (e%) (e%)ri ri4i 4irr lo% lo% rr rre3lo e3lo%% !ro !ro!i !i( (o% o% !r !r l% l% e%$i e%$i!u !ul l)i )io# o#e% e% (e%!u% (el e#%+o. Com!t#s "e #t!ca "e !n/est!*ac!&n K7. El !ro$o)olo (e l i## (e4e e##? )ome#$rio? )o#%e,o + !ro4)i># l )omi$ (e $i) (e i## !er$i#e#$e #$e% (e )ome#0r el e%$u(io. E%$e )omi$ (e4e %er $r#%!re#$e e# %u @u#)io#mie#$o? (e4e %er %er i#(e i#(e!e !e#( #(ie ie#$ #$e e (el (el i#
i# i>#? #? )omo )omo $m4 $m4i i# # l% l% #or #orm% m% i#$e i#$err#)i #)io# o#l le% e% # e%$4le)i(% e# e%$ De)lr)i>#. K5. El )om )omi$ $ie $ie#e el (e (ere)*o (e )o )o#$rolr lo% lo% e#% e#%+o% e# )ur% )ur%o. o. El i# )i># # (e !ro! !ro!or or)io )io# #rr i#@o i#@orrm)i> m)i># # (el (el )o#$ )o#$ro roll l )omi )omi$ $?? e# e%!e) e%!e)il il %o4r %o4re e $o(o $o(o i#)i(e#$e (# + !ro4)i># (el )omi$. De%! De %!u u%% :ue :ue $erm $ermi# i#e e el e%$u e%$u(i (io? o? lo% lo% i## + l )o#J(e#)ili(( (e %u i#@orm)i># !er%o#l. Consent!m!ento !n6orma"o K8. L !r$i)i!)i># (e !er%o#% )!)e% (e (r %u )o#%e#$imie#$o i#@orm(o e# l i## m(i) (e4e %er # m m(i) e# %ere% *u *um#o% ) )!)e% (e (r %u )o#%e#$imie#$o i#@orm(o? )( i#(i# (e)u( )er) (e lo% o4,e$i#. L !er%o# !o$e#)il (e4e %er i#@orm( (el (ere)*o (e !r$i)i!r o #o e# l i## + (e re$ir e$irr r %u )o#% )o#%e# e#$i $imi mie# e#$o $o e# )ul )ul:u :uie ierr mome mome#$ #$o? o? %i# %i# e!o#er%e re!re%li%. Se (e4e !re%$r e%!e)il $e#)i># l% #e)e #e)e%i( %i(( (e% e% e%!e e%!e); );J) J)% % (e i#@or i#@orm m)i )i># ># (e )( )( i#(i i#(i#. K. De%!u% (e %e3urr%e (e :ue el i#(i#? el m(i)o u o$r !er%o# )liJ)( !ro!i !ro!i( (me# me#$e $e (e4e (e4e !e(ir !e(ir e#$o#) e#$o#)e%? e%? !re@er !re@eri4l i4leme eme#$e #$e !or e%)ri$o? el )o#%e#$imie#$o i#@orm(o +
K. To(% l% !er%o#% :ue !r$i)i!# e# l i## m(i m(i) ) (e4e (e4e# # $e#e $e#err l o!)i> o!)i># # (e %er i#@or i#@orm m( (%% %o4r %o4re e lo% lo% re%ul$(o% 3e#erle% (el e%$u(io. K. Al !e( !e(ir el )o# )o#%e# %e#$imi $imie# e#$o $o i#@o i#@orrm( m(o !r !r l l !r !r$i $i)i )i! !)i> )i># # e# l i# )i>#? #? el m(i)o m(i)o (e4e (e4e !o#er !o#er e%!e)i e%!e)il l )ui(( )ui((o o )u#(o el i#(i# (e (e!e#(e#)i o %i )o#%ie#$e 4,o !re%i>#. E# u# %i$u)i># %i$u)i># %;? el )o#%e#$imi )o#%e#$imie#$o e#$o i#@orm(o i#@orm(o (e4e %er !e(i(o !e(i(o !or u# !er%o# )liJ)( (e)u(me#$e + :ue #( $e#3 :ue #. K. Cu#(o el i#(i# :ue #o $e#3 !o%i4ili((e% (e 4e#eJ)io !r ell%? me#o% :ue %$ $e#3 )omo o4,e$i i># # #o !ue( !ue(e e rel reli0 i0r r%e %e e# !er%o !er%o# #%% )! )!)e )e%% (e (r (r %u )o#% )o#%e# e#$i $imi mie# e#$o $o i#@o i#@orrm(o m(o + l i# i># # im!l im!li) i) %>lo %>lo u# rie% rie%3o 3o + )o%$ )o%$o o m;#imo%. 86. Si u# i#(i i#(i i># # )o#%i(er(o i#)!0 (e (r %u )o#%e#$imie#$o i#@orm(o e% )!0 (e (r %u %e#$imie#$o !r$i)i!r o #o e# l i##? el m(i)o (e4e !e(irlo? (em=% (el )o#%e )o#%e#$ #$im imie ie#$ #$o o (el (el re!r re!re% e%e# e#$ $#$ #$e e le3 le3l. l. El (e%) (e%)ue uer( r(o o (el (el i#(i i># # e# e# i#( i#(i< ilo %i l )o#(i)i># @;%i)me#$l :ue im!i(e o$or3r el )o#%e#$imie#$o i#@orm(o e% u# )r)$er;%$i) #e)e%ri (el 3ru!o i##? el e%$u(io !ue(e lle<r%e )4o %i# )o#%e#$imie#$o i#@orm(o? %iem!re :ue l% r0o#e% e%!e);J)% !r i#)luir i#(i# + el e%$u(io *+ %i(o !ro4(o !or u# )omi$ (e $i) (e i##. El )o#%e#$imie#$o !r m#$e#er%e e# l i# i># # (e4e (e4e o4$e o4$e#e #er% r%e e l 4re< 4re# :ue $ie#e# rel)i># )o# l
i# i>#. #. L #e3 #e3$i $i< < (el (el !)i !)ie# e#$e $e !r$ !r$i) i)i! i!r r e# u# u# i## o %u (e)i%i># (e re$irr%e #u#) (e4e @e)$r (e m#er (# m(i)o!)ie#$e. 8K. Pr l i# i## m( m(i) e# :u :ue %e u$ u$ili)e m$ m$eri ril o ($o ($o%% *um *um#o #o%% i(e# i(e#$i $iJ) J)4 4le le%? %? )omo )omo l i# i># # %o4r %o4re e m$eril o ($o% )o#$e#i(o% e# 4io4#)o% o (e!>%i$o% %imilre%? el m(i m(i)o )o (e4e (e4e !e(i !e(irr el )o#% )o#%e# e#$i $imie mie#$ #$o o i#@o i#@orm rm( (o o !r !r l re)o re)ole le)) ))i> i>#? #? lm lm)e )e# #mi mie# e#$o $o + reu$ reu$ili ili0 0)i )i># >#.. Po(r= o(r= *4e *4err %i$u %i$u) )io io#e #e%% e)e!) )e!)io io# #le% le% e# l% l% :ue :ue %er= %er= im!o im!o%i %i4 4le o im!r)$i)4le o4$e#er el )o#%e#$imie#$o !r (i)* i##. E# e%$ %i$u)i>#? l i## %>lo !ue(e %er reli0( (e%!u% (e %er )o#%i(er( + !ro4( !or u# )omi$ (e $i) (e i##. Uso "el )lace0o 88. Lo% !o%i !o%i4 4le% 4e# 4e#eJ)io%? io%? ri rie%3o%? )o )o%$o %$o% + eJ) eJ))i (e $o $o( i#$er# i># #ue< (e4e# %er e<lu(o% me(i#$e %u )om!r)i># )o# l% me,ore% i#$er# i># !r !ro4(? el el u% u%o (e (e u# u# !l)e4o? o #i#3u# i#$er#? e% )e!$4le o )u#(o !or r0o#e% me$o(ol>3i)% )ie#$;J)me#$e %>li(% + )o## el u%o (e )ul:uier i#$er# me#o% eJ)0 :ue l me,or !ro4(? el u%o (e u# !l)e4o o #i#3u# i#$er#. 8. Lo% !) !)ie#$e% :ue :ue re)i re)i4 4e# )u )ul:uier i# i#$er )i># me# me#o% eJ)0 :ue l me,or !ro4(? el !l)e4o o #i#3u# i#$er#? #o )orrer=# rie%3o% (i)io#le% (e (2o 3r# !ro4(. 8. Se (e (e4e $e $e#er mu mu)*;%imo )u )ui((o ! !r e< e#. Est!)ulac!ones )ost ensa,o 8. A#$ A#$e% (el (el e# e#%+ %+o )l;# )l;#i) i)o? o? lo% lo% u%! u%!i) i)i i( (ore% ore%?? i#< i## :ue * %i(o i(e#$iJ)( )omo 4e#eJ)io% e# el e#%+o. E%$ i#@orm)i># $m4i# %e (e4e !ro!or)io#r lo% !r$i)i!#$e% (ur#$e el !ro)e%o (el )o#%e#$imie#$o i#@orm(o. Inscr!)c!&n , )u0l!cac!&n "e la !n/est!*ac!&n , "!6us!&n "e resulta"os 8. To(o e%$u(io (e i## )o# %ere% *um#o% (e4e %er i#%)ri$o e# u# 4%e (e ($o% (i%!o#i4le l !14li)o #$e% (e )e!$r l !rimer !er%o#. 96. Lo% i## + (i@u%i># (e lo% re%ul$(o% (e %u i##. Lo%
i## (el !14li)o lo% re%ul$(o% (e %u i## e# %ere% *um#o% + %o# re%!o#%4le% (e l i#$e3ri(( + e)$i$u( (e %u% i#@orme%. To(% To(% l% !r$e% (e4e# )e!$r l% #orm% $i)% (e e#$re3 (e i#@orm)i>#. Se (e4e# !u4li)r $#$o lo% re%ul$(o% #e3$i# (el !14li)o. E# l !u4li))i># %e (e4e )i$r l @ue#$e (e J##)i J##)imi mie#$ e#$o? o? Jli) Jli)io# io#e% e% i#%$i$ i#%$i$u)i u)io# o#le% le% + )o#Qi) )o#Qi)$o% $o% (e i#$ere%e%. Lo% i#@orme% %o4re i# i># # #o (e4e (e4e# # %er %er )e!$(o% !r %u !u4li))i>#. Inter/enc!ones no )ro0a"as )ro0a"as en la )r7ct!ca cl5n!ca 97. Cu#(o e# e# l l $ $e#)i># (e (e u# u# e# e#@ermo l l% i# i#$er# #ue< (e4e %er re3i%$r( +? )u# )u#(o (o %e %e o!or$ !or$u u#o? #o? !ue%$ ue%$ (i%! (i%!o o%i)i %i)i> ># (el (el !14l !14li) i)o o. Mi#i%$erio (e u%$i)i? 5678 LE8 OR.9NICA DE LA SALUD Art3 23 Es res)onsa0!l!"a" res)onsa0!l!"a" "el M!n!ster!o "e Salu" ;0l!ca:
. E%$4le)er !ro3rm% (e !re# + $e#)i># i#$e3rl e# %lu( )o#$r l
e Ser o!or$u#me#$e i#@orm( %o4 %o4re l% l$er#$i<% (e $r$mie#$o? !ro(u)$o% + %er
i#$e3r#$e% (e lo% !ue4lo% i#(;3e#%? (e %er el )%o? %er=# i#@orm(o% e# %u le#3u m$er# * E,er)er l u$o#om; (e %u %$i)o + $r$mie#$o? %l%$i)o%? e)e!$o )u#(o l le+ e!re%me#$e lo (e$ermi#e o e# )%o (e emer3e#)i o ur3e#)i e# :ue !eli3re %u ?3 >?3 Lo% !l#e # ># Pol;$ Pol;$i) i) (e l Re!14li) e!14li)? ? i#)o i#)or! r!o orr= rr=# # el (e% (e%rrrollo ollo (e l u$o u$oe% e%$i $im m?? !romo3 L% i#%$i$u)io#e% !14li)% + !ri<(%? lo% !ro@e%io#le% (e %lu( + l !o4l)i># e# 3e#erl? re!or$r=# e# @orm o!or$u# l ei%$ i%$e# e#)i )i (e )%o )%o%% %o%! %o%!e) e)* *o%o% o%o%?? !ro !ro44 44le%? le%? )om )om!$ !$i4le i4le%% + )o#Jrm(o% (e e#@erme((e% (e)lr(% !or l u$ori(( %#i$ri #)io #)io# #ll )omo )omo (e #o$i #o$iJ) J)) )i> i># # o4li o4li3 3$o $ori ri + :ue :uell ll% % (e re!o re!or$ r$e e i#$er#)io#l. L% i#%$i$u)io#e% + !ro@e%io#le% (e %lu(? 3r#$i0r=# l )o#J(e#)ili(( (e l i#@orm)i># e#$re3( e#$re3( + re)i4i(. Art3 2@3 E# )%o% (e %o%!e)* o (i3#>%$i)o (e l ei%$e#)i (e e#@erme((e% $r#%mi%i4le%? el !er%o#l (e %lu( e%$= o4li3(o $omr l% me(i(% (e 4io%e3uri(( + o$r% #e)e%ri% !r e i%i># # + !ro! !ro!3) 3)i># i># (e )o#@or )o#@ormi( mi(( ( )o# l% (i%!o%i (i%!o%i)io )io#e% #e% e%$4le)i(% !or l u$ori(( %#i$ri #)io#l.
TITULO II re/enc!&n , control "e en6erme"a"es en6erme"a"es CAITULO I
Esta0lec!m!entos Esta0lec!m!entos suetos a control san!tar!o
re%!o#% #%4il 4ili( i(( ( (e l u$ori u$ori(( (( %#i$ %#i$ri ri #)io# #)io#l? l? Art3 Art3 ><<3 ><<3 E% re%!o e!e(ir #orm% + )o#$rolr l% )o#(i)io#e% *i3i#i)o %#i$ri% (e e%$4le)imie#$o% (e %er# l !14li)o + o$ro% %u,e$o% )o#$rol %#i$rio? !r el o$or3mie#$o o re#o<)i># (el !ermi%o (e @u#)io#mie#$o. E# el )%o )%o (e e%$ e%$4l 4le) e)im imie ie#$ #$o% o% e(u) e(u)$ $i< i(i)me !eri>(i)me#$e #$e l i#@re%$ru i#@re%$ru)$ur )$ur + )o#(i) )o#(i)io# io#e% e% *i3i#i) *i3i#i)% % %#i$ri %#i$ri%% re:ui re:ui%i$o %i$o%% #e)e% #e)e%rio rio%% !r !r %u @u#)io#mie#$o. Eerc!c!o )ro6es!onal Art3 1>3 E% re%!o#%4ili(( (e lo% !ro@e%io#le% (e %lu(? 4ri#(r $e#)i># (e )li((? )o# )li(e0 + eJ))i? e# el =m4i$o (e %u% )om!e$ )om!e$e#) e#)i% i%?? 4u%)# 4u%)#(o (o el m+or m+or 4e#eJ) 4e#eJ)io io !r !r l %lu( %lu( (e %u% !)ie#$e% + (e l !o4l)i>#? re%!e$#(o lo% (ere)*o% *um#o% + lo% !ri#)i!io% 4io$i)o%.
E% %u (e4er ei3ir )o#(i)io#e% 4=%i)% !r el )um!limie#$o (e lo %e2l(o e# el i#)i%o !re)e(e#$e. Co#%$i$u+e i#@r))i># i#@r))i># e# el e,er)i)io e,er)i)io (e l% !ro@e%io#e% !ro@e%io#e% (e Art3 113 Co#%$i$u+e %lu(? $o(o )$o i#(i i># # (el (el !ro@ !ro@e% e%io io# #ll (e l %lu %lu( ( )o# )o# omi%i># (el )ui((o o (ili3e#)i ei3i4le +? ( Ne3li3e#)i? e# l )$u)i># (el !ro@e%io#l (e l %lu( )o# omi%i># o (emor i#,u%$iJ)( e# %u o4li3)i># !ro@e%io#l. Art3 1?3 Lo% %er# (el !)ie#$e o (e l !er%o# :ue le re!re%e#$ le3lme#$e? #o eime (e re%!o#%4ili(( l !ro@e%io#l o l %er#. E% o4li3)i># (el E%$(o? l
%o)ie(( + l @mili %e3urr !or $o(o% lo% me(io% %u l)#)e? %u %u!er# (el ># (e )ul:uier $)#i) o !r=)$i) :ue !o#3 e# !eli3ro %u mi)% #e)e%ri% !r %u (e%rrollo i#$e3rl. E%$e E%$e (er (ere)*o e)*o i#)l i#)lu+ u+e e :ue :uell ll% % !re% !re%$ $)i )io# o#e% e% :ue :ue %e3 %e3ur ure# e# u# u# lime#$)i># #u$ri$i<? e:uili4r( + %uJ)ie#$e? re)re)i># + ,ue3o? ))e%o lo% %er# (e )li((? # (e 4rrer% r:ui$e)$>#i)% !r l )omu#i))i># + $r#%!or$e. Art3 1<3 Dere)*o l %lu(. Lo% #i2o%? #i2% + (ole%)e#$e% $ie#e# (er (ere)*o e)*o (i%@ (i%@ru ru$ $rr (el (el m=% m=% l$o l$o #i3i) + %eul. El (ere)*o l %lu( (e lo% #i2o%? #i2% + (ole%)e#$e% )om!re#(e 7. A))e%o 3r$ui$o lo% !ro3rm% + ))io#e% (e %lu( !14li)o%? u# #u$ri)i># (e)u( + u# me(io m4ie#$e %lu(4le 5. A))e A))e%o %o !erm !erm# #e# e#$e $e e i#i# i#i#$e $err rrum um!i !i(o (o lo% lo% %er#? $r$mie#$o (e l% e#@erme((e% + l re*4 e*4il ili$ i$) )i> i># # (e l %lu %lu(. (. Lo% %er< %er# %o4re %u e%$(o (e %lu(? (e )uer(o l #i# + e(u))i># %o4re lo% !ri#)i!io% 4=%i)o% (e !re# e# m$eri (e %lu(? %#emie#$o m4ie#$l? !rimero% uilio%
O4li3) )io io#e #e%% (e lo% lo% e%$ e%$4l 4le) e)im imie ie#$ #$o% o% (e %lu %lu(. (. Lo% Lo% Art3 Art3 ?3 ?3 O4li3 e%$4le)imie#$o% (e %lu(? !14li)o% + !ri<(o%? )ul:uier %e %u #i# !re$ !re$e e$o $o (e l u%e# u%e#)i )i (el (el re!r re!re%e e%e#$ #$# #$e $e le3 le3l? l? l )re )re#) #)i i (e re)ur e)ur%o %o%% e)o# e)o#>m >mi) i)o% o%?? l @l$ @l$ (e )u!o )u!o?? l )u% )u% u ori3 ori3e# e# (e l emer3e#)i u o$r )ir)u#%$#)i %imilr 76. Pro!or)io#r u# $r$o (e )li(e0 + )li(( )om!$i4le% )o# l (i3#i(( (el #i2o? #i2 + (ole%)e#$e
Dere re)* )*o o l i#$e i#$e3r 3ri( i(( ( !er% !er%o# o#l l. . Lo% Lo% #i2o #i2o%? %? #i2 #i2%% + Art3 Art3 F3 F3 De (ole%)e#$e% $ie#e# (ere)*o :ue %e re%!e$e %u i#$e3ri(( !er%o#l? @;%i @;%i) )?? !%i) !%i)ol ol>3 >3i) i)? ? )ul$ )ul$ur url l?? @e) @e)$i $i< < + %eu %eul l.. No !o(r !o(r=# =# %er %er %ome$i(o% $or$ur%? $r$o% )ruele% + (e3r(#$e% Art3 Art3 FF3 FF3 Dere)*o (e lo% #i2o%? #i2% + (ole%)e#$e% )o# (i%)!)i((e% o #e)e%i((e% e%!e)ile%. A(em=% (e lo% (ere)*o% + 3r#$;% 3e#erle% :ue l le+ )o#$em!l @#. Art3 Art3 2<3 2<3 Co#)e! Co#)e!$o $o (e ml$r ml$r$o $o. . Se e#$ie# e#$ie#(e (e !or ml$r ml$r$o $o $o( $o( )o#(u)$? (e ))i># u omi%i>#? :ue !ro3i) o %eul (e u# #i2o? #i2 o (ol (ole% e%))e#$ e#$e? !or !or !r$e r$e (e )ul )ul:u :uie ierr !er% !er%o o#? #? i#)l i#)lui ui( (o% %u% %u% !ro3e#i$ore%? o$ro% !rie#$e%? e(u)(ore% + !er%o#% )r3o (e %u )ui((o )ule%:uier %e# el me(io u$ili0(o !r el e@e)$o? %u% )o#% )o#%e) e)ue ue#) #)i i%% + el $iem $iem!o !o #e)e #e)e% %rio rio !r !r l re)u re)u!e !er r)i )i># ># (e l <;)$im. Se i#)lu+e# e# e%$ )liJ))i># el $r$o #e3li3e#$e o (e%)ui(o 3r# (e lime#$o%? lime#$)i>#? $e#)i># m(i) e(u))i># o )ui((o% (irio% + %u u$ili0)i># e# l me#(i)i((.
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