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en el caso de OA&#44; permite que los pacientes se cuiden y realicen sus actividades diarias&#46; Esto influye en el proceso de recuperaci&#243;n como parte integral de la atenci&#243;n m&#233;dica<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">6&#8211;8</span></a>&#46; Todas las gu&#237;as coinciden en que la educaci&#243;n&#44; el acceso a informaci&#243;n de calidad&#44; buenos h&#225;bitos posturales&#44; evitando posiciones corporales forzadas que desalineen los segmentos anat&#243;micos&#44; el ejercicio adecuado y la p&#233;rdida de peso son medidas generales eficaces y aplicables a cualquier paciente con OA de rodilla de cualquier grado<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">2&#44;9&#44;10</span></a>&#46; Para ello&#44; ser&#237;a &#250;til para los m&#233;dicos disponer de una herramienta que eval&#250;e su percepci&#243;n de las necesidades educativas de los pacientes &#40;Ned&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">El <span class="elsevierStyleItalic">Educational Needs Assessment Tool</span> &#40;ENAT&#41; es un cuestionario autoadministrado desarrollado en el Reino Unido y validado en varios pa&#237;ses europeos &#40;Espa&#241;a&#44; Portugal&#44; Alemania&#44; Polonia&#44; Holanda&#44; Noruega y Suecia&#41;&#44; dando lugar a SpENAT en versi&#243;n espa&#241;ola<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">11&#44;12</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Debido a la falta de evoluci&#243;n sistem&#225;tica de las Ned en pacientes con OA&#44; se propone realizar este trabajo con el fin de evaluar las Ned mediante el cuestionario SpENAT e identificar la fuente de informaci&#243;n sobre esta enfermedad&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Material y m&#233;todos</span><p id="par0020" class="elsevierStylePara elsevierViewall">Se realiz&#243; un estudio observacional&#44; descriptivo y transversal en pacientes con diagn&#243;stico de OA que acudieron a la consulta protocolizada del servicio de Reumatolog&#237;a&#44; en el Hospital Cl&#237;nico Quir&#250;rgico Hermanos Ameijeiras&#44; durante el per&#237;odo de enero de 2017 a septiembre de 2020&#46; Los criterios de inclusi&#243;n fueron&#58; pacientes mayores de 18 a&#241;os con diagn&#243;stico de OA seg&#250;n los criterios del American College of Rheumatology &#40;ACR por sus siglas en ingl&#233;s&#41;&#44; quienes dieron su consentimiento para participar&#46; Se excluyeron todos aquellos pacientes con diagn&#243;stico de enfermedad neopl&#225;sica y que padecieran cualquier otra afecci&#243;n reum&#225;tica conocida&#44; as&#237; como pacientes psicol&#243;gicamente incapaces de responder&#46; Se registraron datos demogr&#225;ficos comparando las necesidades por dominio seg&#250;n sexo&#44; edad&#44; ocupaci&#243;n&#44; escolaridad&#44; estado nutricional&#44; evoluci&#243;n de los s&#237;ntomas y fuentes de informaci&#243;n m&#225;s utilizadas en relaci&#243;n con los problemas reumatol&#243;gicos&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El SpENAT consta de 39 preguntas agrupadas en 7 dominios&#58; manejo del dolor &#40;6 preguntas&#41;&#44; movimiento &#40;5 preguntas&#41;&#44; sentimientos &#40;4 preguntas&#41;&#44; proceso de osteoartritis &#40;7 preguntas&#41;&#44; tratamiento m&#233;dico &#40;7 preguntas&#41;&#44; tratamiento no m&#233;dico &#40;6 preguntas&#41; y ayuda &#40;4 preguntas&#41;&#46; Las respuestas se basan en una escala tipo Likert de 5 puntos&#58; &#171;nada importante&#187;&#44; &#171;un poco importante&#187;&#44; &#171;bastante importante&#187;&#44; &#171;muy importante&#187; y &#171;extremadamente importante&#187;&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Datos estad&#237;sticos</span><p id="par0030" class="elsevierStylePara elsevierViewall">Las caracter&#237;sticas de la muestra y las Ned de cada dominio se resumieron mediante n&#250;meros absolutos&#44; porcentajes&#44; media y desviaci&#243;n est&#225;ndar&#59; se compararon las necesidades por dominio seg&#250;n sexo&#44; edad&#44; ocupaci&#243;n&#44; educaci&#243;n&#44; estado nutricional&#44; evoluci&#243;n de s&#237;ntomas y fuentes de informaci&#243;n m&#225;s utilizadas&#44; utilizando la t de Student y la Chi cuadrado de Pearson&#46; En todas las pruebas de hip&#243;tesis se utiliz&#243; un nivel de significaci&#243;n &#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0035" class="elsevierStylePara elsevierViewall">En el presente trabajo no se encontraron diferencias significativas en las Ned seg&#250;n edad&#44; sexo&#44; evoluci&#243;n de s&#237;ntomas&#44; ocupaci&#243;n&#44; estado nutricional y nivel educativo&#46; En un universo de 297 pacientes en estudio&#44; la muestra estuvo formada por 215 pacientes con diagn&#243;stico de OA&#46; La <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a> muestra que el sexo femenino predomin&#243; en la investigaci&#243;n en un 72&#44;6&#37;&#46; La edad media fue de 59&#44;47 a&#241;os &#40;DE 13&#44;06&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">Al observar las respuestas obtenidas en el cuestionario SpENAT&#44; se obtuvieron mayores Ned en los dominios de movimiento&#44; ayuda&#44; dolor y sentimiento &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Las mujeres mostraron mayores Ned que los hombres en el dominio de movimiento &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;056&#41;&#59; los pacientes &#8805;<span class="elsevierStyleHsp" style=""></span>50 a&#241;os presentaron mayores Ned en el dominio de osteoartritis &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;218&#41;&#44; y aquellos<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>9&#46;<span class="elsevierStyleSup">o</span> grado de estudio mostraron mayores Ned en los dominios de movimiento &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;790&#41; y ayuda &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;405&#41;&#46; Los pacientes con peso normal presentaron mayores Ned en los dominios de dolor &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;416&#41;&#44; movimiento &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;188&#41; y tratamiento m&#233;dico &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;278&#41;&#46; En cuanto al tiempo de evoluci&#243;n&#44; los pacientes mayores de un a&#241;o tuvieron mayores Ned en el dominio del movimiento &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;083&#41;&#46; No se observaron diferencias estad&#237;sticamente significativas en cada uno de los dominios&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">En cuanto a la fuente de informaci&#243;n a la que suelen acudir los pacientes &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#44; la m&#225;s consultada fue el reumat&#243;logo &#40;91&#44;6&#37;&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discusi&#243;n</span><p id="par0050" class="elsevierStylePara elsevierViewall">El presente estudio evalu&#243; las necesidades educativas de los pacientes en Cuba con diagn&#243;stico de OA&#44; y se encontr&#243; un alto nivel de instrucci&#243;n en relaci&#243;n con esta entidad&#44; lo que podr&#237;a estar relacionado con el alto nivel educativo de los pacientes que participaron en este estudio&#46; En Cuba el nivel educativo es de noveno grado terminado<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">13</span></a>&#46; Adicionalmente&#44; podr&#237;a estar ligado a la cercan&#237;a a los servicios de salud donde cada 120 familias cuentan con un grupo de trabajo b&#225;sico conformado por el m&#233;dico y la enfermera&#44; as&#237; como por especialistas de atenci&#243;n de primer nivel<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">14</span></a>&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Los estudios sobre la prevalencia e incidencia de OA var&#237;an seg&#250;n la zona geogr&#225;fica y el pa&#237;s de origen de la poblaci&#243;n&#44; la articulaci&#243;n estudiada&#44; as&#237; como los factores de riesgo gen&#233;ticos y ambientales&#46; Las mujeres mayores de 50 a&#241;os son las m&#225;s afectadas<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">5&#44;15&#8211;17</span></a>&#44; coincidiendo con nuestro estudio&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">De acuerdo con los resultados obtenidos&#44; la mujer cubana con OA que asiste a la consulta de reumatolog&#237;a est&#225; interesada en el movimiento&#44; resultados que son similares a los reportados por otros autores<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">18&#8211;20</span></a>&#46; Esto podr&#237;a deberse a la necesidad de movimiento que se vive en la poblaci&#243;n cubana en general&#44; donde la vida diaria requiere actividades como llevar baldes de agua&#44; as&#237; como la canasta familiar&#46; Sin embargo&#44; todos los pacientes encuestados tienen un mayor inter&#233;s en recibir informaci&#243;n en los dominios de movimiento&#44; ayuda&#44; dolor&#44; sentimiento&#44; enfermedad&#44; de acuerdo con lo expresado en otros estudios<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">11&#44;21&#44;22</span></a>&#46; Esto podr&#237;a estar relacionado con la incapacidad para realizar las actividades diarias producto del dolor que provoca la OA&#44; y el impacto psicol&#243;gico que puede originar ante el desconocimiento de la enfermedad&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Evaluando la rutina diaria de la vida del paciente&#44; se observ&#243; que la duraci&#243;n en la evoluci&#243;n de la OA tiene un impacto progresivo en la disminuci&#243;n de la capacidad funcional&#44; presentando mayores Ned en el dominio del movimiento&#44; en l&#237;nea con lo se&#241;alado en otras enfermedades reumatol&#243;gicas&#44; como la artritis reumatoide donde los pacientes presentan un aumento de las dificultades con respecto a las actividades diarias en un corto per&#237;odo de tiempo despu&#233;s del diagn&#243;stico de la enfermedad&#44; como sugieren Ambriz Murillo et al&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">23</span></a>&#44; lo que podr&#237;a estar relacionado con la actividad de la enfermedad durante ese corto per&#237;odo de tiempo&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Se evidenci&#243; que los pacientes cuyo nivel de educaci&#243;n exced&#237;a el noveno grado ten&#237;an mayores Ned en los dominios de movimiento y ayuda&#44; planteado de manera similar por Sierakowska et al&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">24</span></a>&#59; dado el nivel de instrucci&#243;n mostrado por los pacientes&#44; podr&#237;a estar relacionado con la necesidad de buscar conocimiento sobre el comportamiento de su enfermedad y el impacto de esta en las actividades diarias&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Se observ&#243; que la principal fuente de informaci&#243;n obtenida por el paciente fue el reumat&#243;logo&#44; coincidiendo con los resultados obtenidos en otros estudios<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">2&#44;7</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">No se puede descartar sesgo de notificaci&#243;n&#44; ya que la administraci&#243;n del cuestionario se realiz&#243; en la consulta de reumatolog&#237;a&#44; debido a la formaci&#243;n masiva del reumat&#243;logo y al libre acceso de los pacientes a los servicios de esta especialidad&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Por otro lado&#44; no haber medido las necesidades de conocimiento utilizando el SpENAT al inicio del diagn&#243;stico de OA o durante la primera consulta de reumatolog&#237;a podr&#237;a tomarse como una limitaci&#243;n de este estudio&#44; ya que este conocimiento podr&#237;a modificar las Ned individuales&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conclusi&#243;n</span><p id="par0090" class="elsevierStylePara elsevierViewall">Se debe mejorar el nivel de conocimiento en pacientes con OA&#44; y aunque en otros contextos se sugiere el concurso de un equipo multidisciplinario<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">25&#44;26</span></a>&#44; en Cuba y especialmente en este estudio&#44; el especialista en reumatolog&#237;a tiene un papel fundamental&#44; quien puede identificar los mejores escenarios para transmitir informaci&#243;n sobre la enfermedad&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conflicto de intereses</span><p id="par0095" class="elsevierStylePara elsevierViewall">Esta investigaci&#243;n no ha recibido ayuda espec&#237;fica de agencias del sector p&#250;blico&#44; entidades comerciales sin fines de lucro&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La osteoartritis de rodilla &#40;OA&#41; es un problema importante de salud p&#250;blica porque causa dolor y limitaci&#243;n funcional en los pacientes&#46; Sin embargo&#44; el compromiso con la autogesti&#243;n puede minimizar el impacto de la OA en la salud de los pacientes que padecen esta enfermedad&#46; Para estar completamente comprometido con las actividades de autogesti&#243;n&#44; el conocimiento sobre OA es un requisito previo&#46; Hay datos acerca de la comprensi&#243;n de las personas sobre OA y sus necesidades de informaci&#243;n sobre OA&#46; La <span class="elsevierStyleItalic">Educational Needs Assessment Tool</span>-versi&#243;n en espa&#241;ol &#40;SpENAT&#44; por sus siglas en ingl&#233;s&#41; es un cuestionario autoinformado que eval&#250;a las necesidades educativas &#40;Ned&#41; con el fin de brindar informaci&#243;n adaptada y enfocada a pacientes con OA de rodilla&#46; Consta de 39 preguntas agrupadas en 7 dominios&#58; dolor&#44; movimiento&#44; sentimientos&#44; osteoartritis&#44; tratamiento m&#233;dico&#44; tratamiento no m&#233;dico y ayuda&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estimar las Ned en pacientes con OA de rodilla utilizando el SpENAT&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Material y m&#233;todo</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio observacional&#44; descriptivo y transversal en 215 pacientes con diagn&#243;stico de OA de rodilla seg&#250;n criterio del American College of Rheumatology que acudieron a la consulta protocolizada de patolog&#237;a de rodilla del servicio de Reumatolog&#237;a del Hospital Cl&#237;nico Quir&#250;rgico Hermanos Ameijeiras durante el per&#237;odo de estudio comprendido entre enero de 2017 y agosto de 2020&#46; Se registraron datos demogr&#225;ficos&#44; nivel educativo y caracter&#237;sticas de la enfermedad&#46; Todos los pacientes completaron el SpENAT y se les pregunt&#243; sobre las fuentes a las que recurrieron para obtener informaci&#243;n sobre su enfermedad&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Predominaron las mujeres mayores de 50 a&#241;os y con sobrepeso con diagn&#243;stico de OA&#46; Se observaron mayores Ned en los dominios movimiento&#44; ayuda&#44; dolor&#44; sentimiento&#44; OA&#46; Los pacientes mayores de 50 a&#241;os&#44; mujeres&#44; con normopeso y trabajador activo mostraron mayor inter&#233;s en el dominio del movimiento&#46; La fuente de informaci&#243;n m&#225;s utilizada fue el reumat&#243;logo &#40;91&#44;60&#37;&#41;&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusi&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las Ned en pacientes con OA de rodilla son altas&#44; resultando m&#225;s altas en los dominios de movimiento&#44; dolor&#44; ayuda y sentimiento&#46; El reumat&#243;logo es la principal fuente de informaci&#243;n para los pacientes con OA&#46; Parece prudente tratar de dise&#241;ar una estrategia espec&#237;fica para educar a las personas sobre OA con el fin de proporcionarles&#44; apoyarlas y prepararlas para el autocuidado&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Knee osteoarthritis &#40;KOA&#41; is a major public health issue because it causes pain and functional limitation in patients&#46; Engagement with self-management may&#44; however&#44; minimize the impact of KOA on the health of patients suffering this illness&#46; To be fully engaged with self-management activities&#44; knowledge about KOA is a prerequisite&#46; There is data on people&#39;s understanding of KOA and their needs for information about KOA&#46; The Educational Needs Assessment Tool- Spanish version &#40;SpENAT&#41; is a self-reported questionnaire that assesses educational needs &#40;Ned&#41; in order to provide information adapted and focused on patients with knee KOA&#46; It comprises 39 questions grouped into seven domains&#58; Pain&#44; Movement&#44; Feelings&#44; Osteoarthritis&#44; Medical treatment&#44; Non-medical treatment&#44; Help&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objectives</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To estimate the Ned in patients with knee KOA using the SpENAT&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Material and method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">An observational&#44; descriptive&#44; and cross-sectional study was carried out in 215 patients with a diagnosis of knee KOA according to the criteria of the American College of Rheumatology who attended the service&#39;s protocolized consultation of knee conditions of rheumatology at the &#8220;Hermanos Ameijeiras&#8221; Surgical Clinical Hospital during the study period between January 2017 and August 2020&#46; Demographic data&#44; educational level and characteristics of the disease were recorded&#46; All patients completed the SpENAT and were questioned about the sources they turn to obtain information on their disease&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Women over 50 years of age and overweight with a diagnosis of OA predominated&#46; Major Ned were observed in the domains of movement&#44; help&#44; pain&#44; feeling&#44; KOA&#46; Patients over 50 years of age&#44; female&#44; normal weight&#44; and active workers showed greater interest in the movement domain&#46; The most used source of information was the rheumatologist &#40;91&#46;60&#37;&#41;&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The Ned in patients with knee KOA are high&#44; and are higher in the domains of movement&#44; pain&#44; help and feeling&#46; The rheumatologist is the main source of information for patients with KOA&#44; it seems wise to design a targeted strategy to educate people about KOA to provide&#44; support and prepare them for self-management&#46;</p></span>"
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                  \t\t\t\t  " colspan="7" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Dominios &#40;SpENAT&#41;Media &#40;DE&#41;</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Dolorn &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Func&#46;n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#193;nimon &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OAn &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Tto&#46; m&#233;dicon &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Tto&#46; no m&#233;dicon &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ayudan &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Edad &#40;a&#241;os&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;82 &#40;1&#44;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;15 &#40;2&#44;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#44;82 &#40;0&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#44;90 &#40;0&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;49 &#40;1&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;36 &#40;1&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;10 &#40;0&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>50&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;77 &#40;1&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;95 &#40;1&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#44;78 &#40;0&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#44;08 &#40;0&#44;87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;82 &#40;1&#44;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;75 &#40;1&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;02 &#40;0&#44;79&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masc&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">20&#44;72 &#40;2&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">17&#44;55 &#40;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#44;83 &#40;0&#44;69&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">26&#44;05 &#40;0&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;83 &#40;1&#44;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;76 &#40;1&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;01 &#40;0&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fem&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;79 &#40;1&#44;71&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;15 &#40;2&#44;28&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#44;77 &#40;0&#44;78&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#44;05 &#40;0&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;73 &#40;1&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;65 &#40;1&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Escolaridad &#40;a&#241;os&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">21&#44;27 &#40;1&#44;43&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">26&#44;20 &#40;0&#44;90&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">20&#44;44 &#40;1&#44;47&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18&#44;37 &#40;1&#44;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13&#44;93 &#40;0&#44;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">20&#44;69 &#40;1&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18&#44;00 &#40;2&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Ocupaci&#243;n</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Jubilados&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">20&#44;65 &#40;2&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
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