Resistencia Antimicrobiana

 

NEADPE HÏ@OAE @D HÏ]OAI QOHZIQOI

Vdsostdkaoe ektohoarifoeke. Ohpirtekaoe y dsgudrzis pir aiktdkdrce Qocvoe Noiki-Adrdzi,5* Bisï O. Qektis-Zrdaoe`i,6   Herèe `dc Veyi Hirgèk-Itdri,6   Grekaosai B. Pirrds-Cñpdz 1  y Herèe @icirds Ecaåkter-Aurodc 0  5

Okstotuti Zicotïakoai Keaoikec, Dsaudce Keaoikec `d Aodkaoes Foicñnoaes, @dpertehdkti `d Hoarifoicinèe, Aou`e` `d Hïxoai< 6 Tkovdrso`e` `d Nue`ecebere, Mispotec Aovoc `d Nue`ecebere –Grey Ektikoi Ecaec`d‘, Nue`ecebere, Becosai< 1 Okstotuti Hdxoaeki `dc Qdnuri Qiaoec, Adktri Hï`oai Keaoikec Qonci ]]O, Mispotec `d Zd`oetrèe, Aou`e` `d Hïxoai< 0 Tkovdrso`e` Keaoikec Eutñkihe `d Hïxoai, Geaucte` `d Hd`oaoke, Tko`e` dk Hd`oaoke Dxpdrohdktec, Aou`e` `d Hïxoai. Hïxoai 

Vdsuhdk Ce Irnekozeaoñk Huk`oec `d ce Qecu` dstohe qud dk 6:4: ce rdsostdkaoe featdroeke iaesoikerå 5: hoccikds `d hudrtds. Aihi pertd `dc Zcek `d Eaaoñk Huk`oec sifrd ce Vdsostdkaoe e cis Ektohoarifoekis pripusi rd`ds `d cefiretirois dspdaoecoze`is, pere aiksdrver adpes y iptohozer dc usi `d cis ektohoarifoekis. Dk uk dstu`oi `d 6:5? sd o`dktogoañ qud ces prokaopecds fea-  tdroes `dc nrupi DQLEZD (aik ecte rdsostdkaoe e cis ektofoñtoais hås use`is) qud aeusek okgdaaoikds dk mispotecds `d Hïxoai sik Lcdfsodcce spp. rdsostdktds e hòctopcds gårheais (H@V) y pri`uatires `d fdteceatehese `d dspdatri dxtdk`o`i (FCDD), Dktdrifeatdr spp. FCDD, Eaokdtifeatdr feuhekkoo, Zsdu`ihikes edrunokise H@V, Qtepmyciaiaaus eurdus hdtoaocokirrdsostdktd y Dktdriaiaaus gedaouh rdsostdktd e vekaihoaoke. Aik ce okgirheaoñk `d rdsostdkaoe e cis gårheais sd rdaihodk`ek dsqudhes pere treter ce okgdaaoñk aeuse`e pir Mdcoaifeatdr pyciro, rdceaoike`i aik dc `dserricci `d aåkadr y auye prdvecdkaoe dk ce pifceaoñk e`ucte `d Cetokiehïroae sd dstohe ds `d dktrd 7: y >: %. ZECEFVEQ ACEWD2  Dstretdnoe   Dstretdnoe Keaoikec. Vdsostdkaoe ektohoarifoeke. Nrupi DQLEZD. Mdcoaifeatdr pyciro.

Ektohoarifoec rdsostekad. Ots ohpirtekad ek` dggirts ti aiktric ot  Efstreat Pmd ^irc` Mdectm Irnekozetoik dstohetds tmet featdroec rdsostekad wocc aeusd 5: hoccoik `detms fy 6:4:. Es pert ig tmd Ncifec Eatoik Zcek ik Ektohoarifoec Vdsostekad, ot pripisd` kdtwirls ig spdaoecozd` cefiretirods ok ir`dr ti prdsdrvd streoks ek` iptohozd tmd usd ig ektohoarifoecs. Ok e 6:5? stu`y, tmd heok featdroe ig tmd DQLEZD nriup (wmoam erd monmcy-rdsostekt ti tmd hist wo`dcy usd` ektofoitoas) tmet aeusd okgdatoiks ok Hdxoaek mispotecs wdrd o`dktogod` ti fd hucto`run-rdsostekt (H@V) ek` dxtdk`d` spdatruh fdte-ceatehesd (DQFC)-pri`uaokn Lcdfsodcce spp., DQFC-pri`uaokn Dktdrifeatdr spp., Eaokdtifeatdr feu-  hekkoo, H@V Zsdu`ihikes edrunokise, hdtmoaoccok-rdsostekt Qtepmyciaiaaus eurdus ek` vekaihyaok-rdsostekt Dktdriaiaaus gedaouh. ^otm okgirhetoik ik `run rdsostekad, rdnohdks erd rdaihhdk`d` ti trdet okgdatoik aeusd` fy Mdcoaifeatdr pyciro, e petmindk rdcetd` ti tmd `dvdciphdkt ig aekadr ek` wmisd prdvecdkad ok tmd e`uct pipucetoik ig Cetok Ehdroae os dstohetd` ti reknd fdtwddk 7: ek` >:%. LD_ ^IV@Q2   Ketoikec stretdny. Ektohoarifoec rdsostekad. DQLEZD nriup. Mdcoaifeatdr pyciro.

 Airrdspik`dkaoe2 Airrdspik`dk aoe2 

Gdame `d rdadpaoñk2 56-55-6:5? rdadpaoñk2 56-55-6:5?

*Qocvoe Noiki-Adrdzi

Gdame `d eadpteaoñk2 :1-:5-6:6: eadpteaoñk2 :1-:5-6:6:

D-heoc2 snoikiJyemii.aih

@IO2   5:.60=>4/NHH.6:::4760 @IO2

Nea Hd` Hdx. 6:6:6-5=: @ospikofcd dk ZufHd` www.neadtehd`oae`dhdxoai.aih

::57-1=51/© 6:6: Eae`dhoe Keaoikec `d Hd`oaoke `d Hïxoai, E.A. Zufcoae`i pir Zdrhekydr. Dstd ds uk ertèauci ipdk eaadss   febi ce coadkaoe AA F_-KA-K@ (mttp2//ardetovdaihhiks.irn/coadksds/fy (mttp2//ardetovdaihhiks.irn/coadksds/fy -ka-k`/0.:/ ). ).

5>6

 

Noiki-Adrdzi Q, dt ec.2 Eaaoñk aiktre ce rdsostdkaoe ektohoarifoeke

Oktri`uaaoñk Ce rdsostdkaoe ektohoarifoeke sd `dgokd aihi ce aepeao`e` `d uk hoariirnekoshi pere rdsostor cis dgdatis `d cis ektofoñtoais< ds uke aereatdrèstoae okmdrdktd `d ce featdroe i pud`d sdr uke aepeao`e` e`quoro`e `urektd dc priadsi okgdaaoisi.

y ce prispdro`e`< sodtd `d dsis ifbdtovis todkdk qud vdr aik rdsostdkaoe ektohoarifoeke. 6 Dk dc Zcek `d Eaaoñk Ncifec 6:54 sd dstefcdaoñ dc Qostdhe Ncifec `d Wonocekaoe, dk dc qud mufi uke rdsicuaoñk pir pertd `dc nrupi `d esehfcdèstes `d ce IHQ sifrd rdsostdkaoe ektohoarifoeke, aik ce o`de `d qud dk ce >6e. Esehfcde Huk`oec `d ce Qecu`, dk heyi `d 6:5?, sd prdsdkterek cis evekads `d cis

Qdnòk ce Irnekozeaoñk `d ces Keaoikds Tko`es (IKT), ce rdsostdkaoe featdroeke ds uke `d ces prokaopecds ehdkezes `d secu`, ye qud pikd dk pdconri proiro`e`ds ncifecds aihi dc `dserricci `dserr icci muheki. Dk voste `d ces priguk`es ohpcoaeaoikds dk ces eatovo`e`ds daikñhoaes, ce ecohdkteaoñk, dc turoshi y ces airrodktds honretiroes, e pertor `d dste rd`dgokoaoñk sd mek oksteure`i hdaekoshis `d aiipdreaoñk, aiksucte y vonocekaoe aik heyir i hdkir epiyi `d ae`e peès. Dxostdk trds topis `d okgdaaoikds e pertor `d ce rdsostdkaoe `d ces featdroes qud ces aeusek2 ‑ Okgdaaoikds pir Dktdrifeatdroeaded,  pir su oh-

peèsds< okgirtuke`ehdktd, ko dc sdardteroi ko dc sufsdardteroi `d secu` `d Hïxoai pu`odrik eau`or pere prdsdkter cis evekads `dc peès. 1 Dk dc Zcek `d Eaaoñk Ncifec dxostdk aokai ifbdtovis rdceaoike`is aik dc girtecdaohodkti `dc aikiaohodkti fese`i dk dstu`ois `d vonocekaoe d okvdstoneaoñk. Vdspdati e ces eaaoikds ncifecds, cis peèsds todkdk hdti`icinèes `ogdrdktds pere efir`er cis prifcdhes. Tk aesi dbdhpcer ds dc `d Dste`is Tko`is, peès qud sd me suhe`i ec Ncifec Ektohoarifoec Vdsostekad Qurvdoccekad Qystdh (NCEQQ), qud sd rdgodrd ec usi `d dståk`erds `d vonocekaoe aik cis qud sd prdtdk`d hdbirer ce sdnuro`e` `dc peaodktd.

peati dk ce hirfoco`e` y hirteco`e`. ‑ Okgdaaoikds pir Eaokdtifeatdr spp . Okgirhds dk verois mispotecds rdvdcek qud mey ipaoikds tdrepïutoaes cohote`es aik cis ektofoñtoais `ospikofcds. Cis ektofoñtoais ndkdre`is dk cis òctohis eõis tehpiai todkdk eatovo`e` aiktre ces adpes rdsostdktds e hòctopcds gårheais (H@V, hucto-  `run-rdsostekt ), ), dxtrdhe`ehdktd rdsostdktds e gårheais (]@V, dxtdksovdcy `run rdsostekt ) i rdsostdktds e ti`is cis ektofoñtoais (Z@V, pek`run rdsostekt ). ). ‑ Itres okgdaaoikds nrevds, aihi ces iaesoike`es pir Zsdu`ihikes edrunokise, qud pud`dk iaesoiker hirteco`e` dcdve`e. Dc cdhe `d ce Irnekozeaoñk Huk`oec `d ce Qecu` (IHQ) rdspdati e ce rdsostdkaoe e cis ektohoarifoekis ds –koknuke eaaoñk miy, koknuke aure heõeke‘, ye qud sd dstohe qud ce rdsostdkaoe featdroeke iaesoikerå 5: hoccikds `d hudrtds pir eõi pere dc 6:4: y uke rd`uaaoñk `d 6 y 4 % `dc pri`uati oktdrki fruti dk ecnukis peèsds. Aik fesd dk su okgirhd `d rodsnis, `urektd dc Giri Daikñhoai Huk`oec `d 6:51 sd sotuñ dstd prifcdhe `d secu` e ce per `d ce pricogdreaoñk `d erhes `d `dstruaaoñk hesove y ce arosos daikñhoae huk`oec. huk`oec.5 Cis 5> ifbdtovis `d `dserricci sistdkofcd `d ce

@dsteae ce kdadso`e` `d nerektozer ce aeco`e` `d cis `etis y dstek`erozer cis rdpirtds sifrd featdroes rdsostdktds.0 Dk Dste`is Tko`is, cis Adktris pere dc Aiktric y ce Zrdvdkaoñk `d Dkgdrhd`e`ds (A@A, Adktdrs gir @osdesd Aiktric ek` Zrdvdktoik) ekecozek ces okgdaaoikds esiaoe`es e ce etdkaoñk `d ce secu` (OEEQ) hd`oektd uke rd` keaoikec qud audkte aik hås `d 60 hoc oksteceaoikds `d secu`, esè aihi hås `d 71 hoc usuerois ok`ovo`uecds, ci qud `e adrto`uhfrd sifrd ce aeco`e` `d cis `etis qud sd ndkdrek. 4 Ce IHQ rdaipoce y ekecoze cis `etis sifrd rdsostdkaoe ektohoarifoeke y cis enrdne e ce okgirheaoñk rdcetove e cis peèsds sonuodk`i `dgokoaoikds dståk`er< dk 6:55, `d`oañ dc @èe Huk`oec `d ce Qecu` e ce cuame aiktre ce rdsostdkaoe ektohoarifoeke< dk 6:5 6:54, 4, rdaihdk`ñ qud cis peèsds hodhfris `dserriccerek uk pcek keaoikec `d aihfetd aiktre ce rdsostdkaoe ektohoarifoeke< dk 6:5> dhotoñ dc Zrinrehe `d Wonocekaoe Ncifec `d ce Vdsostdkaoe Ektohoarifoeke. Dk 6:5> 6:5>, dk Hïxoai sd ekukaoñ e kukaoñ ce Dstretdnoe Dstr etdnoe Keaoikec `d Eaaoñk aiktre a iktre ce Vdsostdkaoe Ektohoarifoeke, pufcoae`e aihi Zcek `d eaaoñk aiktre ce rdsostdkaoe e cis ektohoarifoekis pere Hïxoai , auyi nrupi `d trefebi okacuyd e ce Qdardterèe `d D`uaeaoñk Zòfcoae, Qdardterèe Qdar dterèe `d Qecu`, Qdardterèe `d Enroaucture y @dserricci Vurec, Qdardterèe `dc Hd`oi Ehfodktd y Vdaursis Keturecds,

endk`e pere 6:1: `d ce IKT sik uke ccehe`e e ce eaaoñk e ti`is cis peèsds pere drre`oaer ce pifrdze y pritdndr dc pcekdte, esè aihi pere nerektozer ce pez

Qdardterèe `d Daikihèe, Qdardterèe `d Meaodk`e y Arï`oti Zòfcoai, Qdardterèe `d Vdceaoikds Dxtdroirds, Okstotuti Hdxoaeki `dc Qdnuri Qiaoec d Okstotuti `d 5>1

 

Neadte Hï`oae `d Hïxoai. 6:6:

Ces rd`ds rdnoikecds `d rdsostdkaoe featdroeke Ce okvdstoneaoñk sifrd rdsostdkaoe hoarifoeke e cis ektofoñtoais sd rdecoze dk rd`ds oktdr`osaopcokeroes `d cefiretirois y dk esiaoeaoikds `d okvdstoneaoñk keaoikecds, rdnoikecds d oktdrkeaoikecds. Cis dkgiquds oktdr`osaopcokerois sudcdk sdr òtocds, okacusi ok`ospdk-

5>0

Ce Vd` Pdhåtoae `d Okvdstoneaoñk y Wonocekaoe `d ce Gerheairrdsostdkaoe ds tec vdz ce hås ehfoaoise y pri`uatove, ye qud okacuyd 4: mispotecds dk 6: dste`is `ogdrdktds. `ogdrdktds.5:,55 Ce VdCEWVE okacuyd auetri peèsds2 Erndktoke, Fresoc, Hïxoai y Dspeõe< `dc òctohi pertoaopek ce Tkovdrso`e` `d He`ro` y ce Tkovdrso`e` Aihpcutdksd. Dste rd` `d okvdstoneaoñk pdrhotd dc oktdraehfoi `d aikiaohodktis y eprdk`ozebd dktrd dstu`oektds `d pisnre`i d okvdstone`irds. Dc rd`uao`i kòhdri `d rd`ds dspdaoecoze`es dk peticinèes dspdaègoaes y aik ok`oae`irds iftdko`is e pertor `d ce aihpereaoñk `d okgdaaoikds aihukoteroes vdrsus  OEEQ   OEEQ y itris fcekais cohote ce aikstruaaoñk `d `dkihoke`irds pere aikiadr dc ohpeati rdec `d ce rdsostdkaoe e cis ektohoarifoekis. Ce IHQ y ce Irnekozeaoñk Zekehdroaeke `d ce Qecu` mek rdecoze`i uk dsgudrzi dk ce rdnoñk `d ces Ehïroaes pere `dgokor `ordatroads y aikviaer e cis peèsds hodhfris e `dserriccer pcekds `d vonocekaoe. Ces `ordatroads ok`oaek dcdhdktis fåsoais pere ohpcdhdkter y e`epter rd`ds `d

sefcds, pere ce okvdstoneaoñk dxotise `d prifcdhes aihpcdbis aihi ce rdsostdkaoe featdroeke. Ces rd`ds ndkdrek okgirheaoñk rdcetove e cis subdtis egdate`is, dk quï mispotecds, aik qud henkotu` y dxtdksoñk, quï topis `d ektofoñtoais sd dhpcdek, ohpeati dk ce hirteco`e`, nrevd`e` `d ce dkgdrhd`e` d ohpeati daikñhoai, dktrd itris `etis. Ce hdbir `dgokoaoñk ds qud ces rd`ds `d vonocekaoe `d rdsostdkaoe hoarifoeke gevirdadk hdbirds eaaoikds pere ce prdvdkaoñk y aiktric.

vonocekaoe sdnòk ces aepeao`e`ds y `dserricci `d ce rdnoñk (NCEQQ).0 Dk Hïxoai, cis prinrehes keaoikecds `d vonocekaoe `d rdsostdkaoe ektohoarifoeke `dfdk treksoter `d sdr dkukaoetovis e dvicutovis y nerektozer ce aeco`e` `d ce okgirheaoñk, ce auec `dfd sdr pòfcoae y treksperdktd pere nuoer e`daue`ehdktd ces eaaoikds dk cis åhfotis ciaec y rdnoikec y sdr eaadsofcd pere ces okstekaoes oktdrkeaoikecds.

Vd` Cetokiehdroaeke `d Wonocekaoe `d ce Vdsostdkaoe e cis Ektohoarifoekis Ekt ohoarifoekis (VdCEWVE)

Vdaihdk`eaoikds `d ce IHQ dk tirki e ce rdsostdkaoe ektohoarifoeke  ektohoarifoeke dk OEEQ

Ce Vd` Cetokiehdroaeke `d Wonocekaoe `d ce Vdsostdkaoe e cis Ektohoarifoekis (VdCEWVE), arde`e dk 5??7 aik epiyi `d ce Irnekozeaoñk Zekehdroaeke `d ce Qecu`, todkd ce hosoñk `d iftdkdr `etis hoarifoicñnoais aikgoefcds, ipirtukis y rdpri`uaofcds pere sdr use`is dk dc hdbirehodkti `d ce etdkaoñk `dc peaodktd hd`oektd ce oksteureaoñk `d prinrehes sistdkofcds `d nerektèe `d aeco`e`.= Ce prohdre rd` dk Hïxoai gud ce `d ce Esiaoeaoñk Hdxoaeke `d Okgdaticinèe y Hoarifoicinèe Acèkoae, qud gukaoikñ `d 5??> e 6::: y qud trefebñ dk uk sostdhe `d aeco`e` `d cefiretirois pere dc dstu`oi `d featdroes nrehpisotoves y kdnetoves. Zir su pertd, ce Tkovdrso`e`

Qd mek rdnostre`i >:: hoc aesis `d rdsostdkaoe ektohoarifoeke, hås qud cis `d aåkadr, añcdre, `oefdtds y `oerrde. @dfo`i e su ohpeati, ce rdsostdkaoe ektohoarifoeke rdquodrd uke okvdrsoñk `d 6 e 1.4 % `dc pri`uati oktdrki fruti< `d ki ccdversd e aefi pere dc 6:4:, sd aecauce qud mefrå hås `d 5: hoccikds `d hudrtds pir eõi. Ce rdsostdkaoe ektohoarifoeke pud`d ironokersd pir `is hdaekoshis2 ‑ Qdcdaaoñk ertogoaoec `dfo`e e oke`daue`i tretehodkti ektofoñtoai, dk ce qud sd sdcdaaoikek acikes rdsostdktds. ‑ Qdcdaaoñk keturec, rdgdrdktd e ce treksgdrdkaoe mi-

Keaoikec Eutñkihe `d Hïxoai, e trevïs `dc Zrinrehe Tkovdrsoteroi `d Okvdstoneaoñk dk Qecu`, oksteurñ dc Zcek Tkovdrsoteroi Tkovdrsoter oi `d Aiktric `d ce Vdsostdkaoe Ektohoarifoeke. Ektohoarifoeke .?

roziktec `d ndkds, dk ce qud mey uke e`quosoaoñk `d pcåsho`is aik ndkds `d rdsostdkaoe y esè euhdkte ce prdvecdkaoe `d featdroes rdsostdktds. rdsostdktds.56

 

Noiki-Adrdzi Q, dt ec.2 Eaaoñk aiktre ce rdsostdkaoe ektohoarifoeke

Dk Dste`is Tko`is, cis A@A sdõecek ce kdadso`e` `d prdvdkor y `dtdater tdhprekehdktd ce rdsostdkaoe featdroeke. Ce o`dktogoaeaoñk, aiktric, hikotirdi y vonocekaoe sik ces òkoaes eaaoikds qud pud`dk eyu`er e prdvdkor ce `osdhokeaoñk `d ce rdsostdkaoe ektohoarifoeke. Qo fodk sd todkdk dbdhpcis `d añhi sd pripene ce rdsostdkaoe ektohoarifoeke dk dc ehfodktd, dk ce aihuko`e` y dk cis mispotecds, ds kdadseroi priguk`ozer ce

Dc hoarifoñcini pud`d aicefirer dk ce aepeaoteaoñk `dc pdrsikec `d secu` y meadr aehpeões `d aikaodktozeaoñk y ce aihprdksoñk `dc prifcdhe, pertoaopek`i dk ce d`uaeaoñk `d prdnre`i, esè aihi girtecdadr dc aikiaohodkti hd`oektd ce vonocekaoe y ce okvdstoneaoñk. Dk dc cefiretiroi pud`d okvdstoner cis hdaekoshis `d rdsostdkaoe, `dtdater, aikgorher y hd`or dc ohpeati `d ce rdsostdkaoe ektohoarifoeke, esè aihi privddr sus

okvdstoneaoñk dk ae`e uki `d dstis åhfotis, esè aihi hekdber y aikiadr ci qud dstå pesek`i dk dsis kovdcds..51 kovdcds Cis rdpirtds ok`oaek qud mey rdsostdkaoe ektohoarifoeke e cis kudvis ektofoñtoais qud secdk ec hdrae`i, uk dbdhpci dktrd tektis ds dc cokdzico`, qud aihdkzñ e aihdraoecozersd dk 6::: y pere dc 6::5 ye mefèe rdpirtds `d rdsostdkaoe.50 Dk 6:5>, ce IHQ prihivoñ ce okvdstoneaoñk y dc `dserricci `d ektofoñtoais qud mek `dbe`i `d pri`uaorsd pir ce ok`ustroe gerheaïutoae, e`dhås sdõecñ qud mey hoariirnekoshis aik proiro`e`ds arètoaes pirqud aeusek okgdaaoikds aik dcdve`e hirfoco`e` y hirteco`e`,

aikiaohodktis hoarifoicñnoais, hoarifoicñnoais, pere aik a ik dcci epiyer ec hï`oai dk ce dcefireaoñk `d nuèes `d tretehodkti fese`es dk dstu`ois dpo`dhoicñnoais ciaecds dk sdrds muhekis, ekohecds y hd`oiehfodktd. hd`oiehfodktd.54 Cis usuerois `d ce okgirheaoñk `dfdk aikiadr ces `ostoktes dstretdnoes, ces auecds aiksostdk dk2 ‑ Girtecdadr dc aikiaohodkti pere meadr uk fudk usi `d ce okgirheaoñk, tekti dk dc åhfoti ciaec aihi dk dc keaoikec. ‑ Hd`or ce tdk`dkaoe rdnoikec `d ce rdsostdkaoe ektohoarifoeke. ‑ Zroirozer ces dstretdnoes y girhucer uk aiksdksi y rdaihdk`eaoikds ncifecds.

aihi Eaokdtifeatdr feuhekkoo, Zsdu`ihikes edruno-  kise, Dktdriaiaaus, Mdcoaifeatdr pyciro, Qechikdcce, Aehpycifeatdr y Kdossdroe nikirrmided   (rdspiksefcd `d okgdaaoñk `d trekshosoñk sdxuec rdsostdktd e ces adgecispirokes y gcuiriquokicikes). Dk ce aetdnirèe `d proiro`e` hd`oe qud`ñ Qtrdptiaiaaus pkduhikoed , pere dc auec ds kdadseroi `dtdrhoker su pdrgoc `d rdsostdkaoe, e`dhås `d Mdhipmocus okgcudkzed  y  y Qmondcce. Tke sundrdkaoe aiksostd dk dstretogoaer e ces featdroes aihi H@V, ]@V y Z@V, onuec qud sd mead pere Hyaifeatdrouh tufdraucisos , dk vortu` `d qud ae`e vdz sik hås cis rdpirtds `d adpes aik dstes aereatdrèstoaes. Ce IHQ pripikd uk pcek `d eaaoñk fese`i dk ce aikaodktozeaoñk eadrae `dc prifcdhe, dc rdgirzehodkti `d cis aikiaohodktis y ce rd`uaaoñk `d ce okao`dkaoe `d ces okgdaaoikds hd`oektd hd`o`es prdvdktoves aihi dc sekdehodkti ehfodktec, dc ceve`i `d hekis y dc dhpcdi ñptohi `d cis ektohoarifoekis, tekti dk cis muhekis aihi dk cis ekohecds. 4 Dc pcek `d eaaoñk okacuyd hdbirer dc aikiaohodkti y ce aihprdksoñk `d ce rdsostdkaoe ektohoarifoeke dk cis åhfotis ciaecds y keaoikecds, ce vonocekaoe `d su okao`dkaoe, ce iptohozeaoñk `dc nrupi `d ektofoñtoais y dc `dserricci `d hd`o`es `d aiktdkaoñk. Dc aikiaohodkti sifrd ce gerheai`okehoe y gerheaiaokïtoae `d dstis ektohoarifoekis, cis hdaekoshis `d eaaoñk `dc ektofoñtoai, `d

‑ @dtdrhoker cis aihpikdktds `dc sostdhe `d vonocekaoe y topi `d hudstres qud ccdnek e cis cefiretirois. ‑ Aereatdrozer dc pdrgoc `d sdksofoco`e` ektohoarifoeke,7 aik pritiaicis y aiktricds `d aeco`e` oktdrkis y dxtdrkis. ‑ Zrdsdkter okgirhds y esdnurersd `d qud sdek eadpte`is y epcoae`is dk cis mispotecds i dk ce aihuko`e`, sdnòk airrdspik`e. Huames `d dstes hd`o`es ye dståk kirhe`es, pir dbdhpci, ces prudfes `d sdksofoco`e` `d ektofoñtoais sd rdecozek dk cis cefiretirois `d eaudr`i aik dc Acokoaec ek` Cefiretiry Qtek`er`s Okstotutd (ACQO), qud ekuechdktd eatuecoze sus dståk`erds y nuèes. Mey kovdcds `d vonocekaoe qud sd pud`dk proirozer y pud`dk sdrvor pere sefdr auåc ds dc tretehodkti dhpèroai, auåk`i epcoaer prinrehes mispotecerois i ok`ovo`uecds (so cis mey) rdspdati ec usi `d ektofoñtoais y añhi ccdver e aefi dc aiktric `d okgdaaoikds. Ce VdCEWVE epiye cis arotdrois `d ce IHQ pere `dtdrhoker quï suad`d dk ae`e peès `d ce rdnoñk. Zere ce rd`uaaoñk `d ce okao`dkaoe `d okgdaaoikds sd rdaihodk`ek hd`o`es dgdatoves `d monodkd y `d prdvdkaoñk y aiktric, aihi ce monodkd `d hekis dgdatove, cis priad`ohodktis `d cohpodze, ce rd`uaaoñk `d okgdaaoikds esiaoe`es e cis auo`e`is `d ce secu`, ce veaukeaoñk, dc sekdehodkti ehfodktec< rdspdati e

rdsostdkaoe ektohoarifoeke y `d trekshosoñk, esè aihi ce dvecueaoñk `d ce henkotu` `d ce prdvecdkaoe `dpdk`d `d cis hoarifoñcinis y hï`oais.

ce secu` `d cis ekohecds, `d onuec hekdre sd ok`oae ce foisdnuro`e` d monodkd y ce pri`uaaoñk ekohec sustdktefcd. 5>4

 

Neadte Hï`oae `d Hïxoai. 6:6:

Ce rdsostdkaoe ektohoarifoeke ds uk prifcdhe `d secu` pòfcoae dk ti`i dc huk`i rdceaoike`e aik dc usi muheki y ki muheki `d ektohoarifoekis< ds uki `d

5. Dktdriaiaaus gedaouh   rdsostdktd e vekaihoaoke me surno`i aihi uk petñndki kisiaihoec aeusektd `d okgdaaoikds `dc treati urokeroi, mdro`es y `dc tirrdktd seknuèkdi, e`dhås sd me rdceaoike`i aik okgdaaoikds `drove`es `dr ove`es `dc usi `d aetïtdrds a etïtdrds y ce rdecozeaoñk `d priad`ohodktis quoròrnoais. 6. Qtepmyciaiaaus eurdus  girhe   girhe pertd `d ce hoarifoite `d ce podc y zikes mòhd`es `dc audrpi muheki. Dk pirte`irds hdxoaekis sd mek o`dktogoae`i adpes aik susadptofoco`e` ektohoarifoeke veroefcd. Vdspdati e ces OEEQ,   Q. eurdus   sd me esiaoe`i e featdrodhoe, okgdaaoñk `d mdro`e quoròrnoae, dk`iaer`otos, ertrotos poñndke, istdihodcotos, okgdaaoikds `d podc y tdbo`is fcek`is. Dstis eoscehodktis prdsdktek rdsostdkaoe e cis ektofoñtoais fdteceatåhoais, okacuo`e ce hdtoaocoke, dk auyi aesi sd `dkihoke HVQE (hdtmoaoccok rdsos-  tekt Qtepmyciaiaaus eurdus ). ). 1. Lcdfsodcce pkduhiked   ds uke dktdrifeatdroe qud rdprdsdkte uk kovdc `d ehdkeze urndktd< aeuse okgdaaoikds rdsporetiroes, urokeroes y dk tirrdktd seknuèkdi, e`quoro`es tekti dk mispotecds aihi dk ce aihuko`e`. Dk mispotecds, `ik`d pud`dk `osdhokersd y priviaer fritds, sd mek eosce`i adpes pri`uatires `d fdteceateheses `d dspdatri dxtdk`o`i (FCDD) qud okacuydk e ces aerfepdkdheses. 0. Eaokdtifeatdr feuhekkoo  sd  sd rdaikiad eatuechdk-

cis tdhes trete`is dk dc dkgiqud huctosdatiroec `dkihoke`i Tke Qecu`, qud aikbukte e ce IHQ, ce Irnekozeaoñk `d ces Keaoikds Tko`es pere ce

td aihi uk petñndki aeusec `d okgdaaoikds dk peaodktds `d ce uko`e` `d auo`e`is oktdksovis< priviae kduhikèes y featdrodhoes esiaoe`es ec

Zere auhpcor aik dc Zcek `d Eaaoñk Huk`oec `d Vdsostdkaoe Ektohoarifoeke ds kdadseroi esdnurer ce sistdkofoco`e` `d ce dvecueaoñk hd`oektd ce okvdstoneaoñk, pere ci auec sd rdquodrd okvdrsoñk y dc dstefcdaohodkti `d priad`ohodktis, esè aihi eadpter dc pepdc `dc cefiretiroi, ci qud rdpdrautorå dk fdkdgoaoi `dc peaodktd.

Dc nrupi DQLEZD dk Hïxoai

5>7

sdos featdroes qud iaesoikek dkgdrhd`e`ds okgdaaoises nrevds y auyis hdaekoshis `d petindkoao`e` y rdsostdkaoe ektohoarifoeke sik dvicutovehdktd huy 5?   `dserricce`is..5? `dserricce`is Ces featdroes `dc nrupi DQLEZD sik uke ehdkeze arètoae `d secu` pirqud aeusek uk piradktebd sustekaoec `d OEEQ dk dc mispotec hi`drki (cis A@A ok`oaek qud sik rdspiksefcds `d `is tdradres pertds `d ces OEEQ), rdprdsdktek ce heyirèe `d cis eoscehodktis auye rdsostdkaoe e cis ektofoñtoais ds nrevd y sik pere`onhes `d petinïkdsos, trekshosoñk y rdsostdkaoe, pir ci qud ccdvek ec hï`oai e `ocdhes tdrepïutoais. Ces featdroes `dc nrupi DQLEZD sik ces sonuodktds2

 

Noiki-Adrdzi Q, dt ec.2 Eaaoñk aiktre ce rdsostdkaoe ektohoarifoeke

usi `d aetïtdrds. Dk ce eatueco`e`, ce heyirèe `d cis eoscehodktis hudstre huctorrdsostdkaoe okacusi e cis aerfepdkïhoais. 4. Zsdu`ihikes edrunokise  ds uk ipirtukoste kisiaihoec aeusektd `d kduhikèe, featdrodhoe, okgdaaoikds `dc treati urokeroi y `d mdro`es mdr o`es quoròrnoaes, qud tehfoïk sd dkaudktre dk dc hd`oi ehfodktd.. Dc kòhdri `d okgdaaoikds aeuse`es pir ehfodktd

`d H@V, ? % gud Q. eurdus , 65 % gud rdsostdktd e hdtoaocoke, 6 % gud Dktdriaiaaus spp. y 16 % rdsostdktd e vekaihoaoke. Cis okvdstone`irds aikacuydrik qud ces adpes `dc nrupi DQLEZD DQL EZD H@V gudrik ces qud sd eoscerik hås grdaudktdhdktd dk peaodktds aik kdipcesoes mdheticñnoaes. 65 Dc tdradr okgirhd gud pufcoae`i pir dc Zrinrehe Tkovdrsoteroi `d Okvdstoneaoñk dk Qecu` `d ce

dste featdroe me euhdkte`i y ce heyirèe ds H@V. 7. Dktdrifeatdr acieaed ds uk feaoci prdsdktd dk dc treati `ondstovi. Qd me rdceaoike`i aik okgdaaoikds `dc treati urokeroi, `d mdro`e quoròrnoae y featdrodhoe, pdri aik heyir grdaudkaoe sd me o`dktogoae`i dk peaodktds okhukiaihprihdto`is qud sd dkaudktrek mispotecoze`is. @dfo`i e ce febe pdrhdefoco`e` `d su hdhfreke dxtdrke, ces dktdrifeatdroes prdsdktek rdsostdkaoe e pdkoaocoke, ixezioc pdkoaocoke, acok`ehoaoke, cokaihoaokes, ncuaipïpto`is (vekaihoaoke y tdoaipcekoke) y hearñco`is. Dc prohdr dstu`oi `d vonocekaoe `d featdroes `dc nrupi DQLEZD dk Hïxoai gud pufcoae`i dk 6:56 y gud rdeco-

Tkovdrso`e` Keaoikec Eutñkihe `d Hïxoai< dk ïc sd dvo`dkaoe dc dste`i eatuec `d ce rdsostdkaoe ektohoarifoeke dk Hïxoai. Qd okacuydrik 55 ?:: eoscehodktis iftdko`is `urektd 6:57 y 6:5>, privdkodktds `d 50 mispotecds `d sdos dste`is `d ce Vdpòfcoae Hdxoaeke. Qd ifsdrvñ qud ce heyirèe `d cis eoscehodktis (>1 %) privdkèe `d uriauctovis, dk ?5 % sd o`dktogoañ Dsamdroamoe aico y dk  =.4 %, L. pkduhikoed < 6> % `d cis eoscehodktis sd iftuvi `d mdhiauctovis. Ces featdroes nrehkdnetoves gudrik D. aico, L. pkduhikoed , D. acieaed , Z. edrunokise  y E. feuhekkoo . L. pkdu-  hikoed y D. acieaed prdsdkterik rdsostdkaoe e ti`es ces adgecispirokes y 7: % `d cis eoscehodktis gudrik

ze`i `urektd uk eõi dk ce Tko`e` `d Auo`e`is Oktdksovis `dc Mispotec Tkovdrsoteroi dk Hiktdrrdy, Kudvi Cdñk. Qd ekecozerik 57?1 petñndkis `d `ogdrdktds hudstres acèkoaes< sd dkaiktrñ qud ces featdroes `dc nrupi DQLEZD rdprdsdktefek 70 % `d cis eoscehodktis. Dk prohdr cuner, sd dkaiktrñ E. feuhekkoo  y,  y, 6: dk sdnuk`i, Z. edrunokise. Z. edrunokise y E. feuhekkoo  gudrik  gudrik H@V, okacusi e cis aerfepdkïhoais< 6: % `d cis eoscehodktis `d E. feuhekkoo  gudrik  gudrik Z@V< 17 % `d cis eoscehodktis `d L. pkduhikoed  H@V  H@V gudrik pri`uatirds `d FCDD. Ces okgdaaoikds rdsucterik aik dsaeses ipaoikds `d tretehodkti ektohoarifoeki. Vdspdati e ces featdroes nrehpisotoves, 76 % `d cis eoscehodktis `d Q. eurdus  prdsdkterik  prdsdkterik rdsostdkaoe e hdtoaocoke y 0 % e vekaihoaoke< dk auekti e Dktdriaiaaus Dktdr iaiaaus spp  s pp , sd ifsdrvñ qud 5: % gud rdsostdktd e vekaihoaoke. Dc sdnuk`i trefebi pufcoae`i dk Hïxoai sd rdecozñ dk dc Okstotuti Keaoikec `d Aekadricinèe. 65  Qd ekecozerik ces featdroes `dc nrupi DQLEZD eosce`es `d mdhiauctovis `d peaodktds aik aåkadr. Qd rdvoserik hås `d 11 hoc mdhiauctovis iftdko`is `urektd uk pdroi`i `d 5: eõis. Qd ifsdrvñ qud 5> % `d cis mdhiauctovis tdkèek eoscehodkti featdroeki, ?6 % `d dstis gudrik H@V y 4= % gudrik feaocis nrehkdnetovis< 7 % gud L. pkduhikoed, pri`uatir `d FCDD dk edrunoki se, `dc auec 55 % gud H@V. 55 %< 7 % gud Z. edrunokise

pri`uatirds `d FCDD, ci auec dvo`dkaoe ce urndkaoe `d oktdrvdkaoikds pere aiktricer dc prifcdhe `d ce rdsostdkaoe ektohoarifoeke. Cis eoscehodktis nrehpisotovis dstu`oe`is gudrik òkoaehdktd Q. eurdus ,  qud rdprdsdkterik 65 %.? Dc trefebi hås rdaodktd gud pufcoae`i dk herzi `dc 6:5?, dk dc qud pertoaoperik 0> mispotecds `d 6: dste`is `d Hïxoai. Qd dstu`oerik 66 ?01 eoscehodktis iftdko`is `d dkdri e bukoi `d 6:5=, dk cis qud sd dkaiktrñ uk ecti piradktebd `d featdroes nrehkdnetoves rdsostdktds e aerfepdkdheses2 hås `d 4: % `d E. feuhekkoo , 0: % `d Z. edrunokise  y 56 % `d Lcdfsodcce spp. y D. acieaed . Ce H@V gud huy dcdve`e dk E. feuhekkoo  (41   (41 %) y L. pkduhikoed (66 %). Dk dc nrupi `d ces featdroes nrehpisotoves, 65 % gud Q. eurdus  rdsostdktd  rdsostdktd e hdtoaocoke y 65 % gud dktdriaiais rdsostdktds e vekaihoaoke.5: Dk rdsuhdk, ces prokaopecds featdroes `dc nrupi DQLEZD qud aeusek okgdaaoikds kisiaihoecds dk Hïxoai gudrik Lcdfsodcce  spp.  H@V pri`uatire `d FCDD, Dktdrifeatdr spp. pri`uatir `d FCDD, E. feuhek-  koo   y Z. edrunokise  H@V (okacusi rdsostdktd e cis aerfepdkïhoais), Q. eurdus   rdsostdktd e hdtoaocoke y D. gedaouh  rdsostdktd   rdsostdktd e vekaihoaoke. Dk cis òctohis eõis, dk Hïxoai sd okardhdkterik ces okgdaaoikds pir featdroes `dc nrupi DQLEZD, ce heyirèe dk uko`e`ds `d auo`e`is auo` e`is oktdksovis< cis eoscehodk-

Qd dkaiktrñ D. acieaed   aik piradktebd dcdve`i `d pri`uaaoñk `d FCDD, esè aihi E. feuhekkoo   aik 60 % `d H@V. Cis nrehpisotovis prdsdkterik 1> %

tis sd mek aereatdroze`i aihi H@V. E. feuhekkoo H@V y L. pkduhikoed  H@V  H@V rdquodrdk etdkaoñk okhd`oete, esè aihi ces adpes HVQE y D. gedaouh   5>>

 

Neadte Hï`oae `d Hïxoai. 6:6:: % `d cis e`uctis pirtek dstd petñndki. 60 Dk Hïxoai sd mozi uk dstu`oi `d sdriprdvecdkaoe aik hås `d 55 hoc sudris `d peaodktds rdprdsdktetovis `d ti`es ces d`e`ds y `d ti`is cis dste`is `d ce Vdpòfcoae Hdxoaeke. Qd dkaiktrñ qud ce okgdaaoñk dhpodze dk cis prohdris eõis `d vo`e, aihi iaurrd dk cis peèsds dk `dserricci, y `dspuïs `d cis 6: eõis hås `d >: % `d 5>=

featdroe dstå dk dc dstñheni gukaoike aihi uk ehirtonue`ir foicñnoai qud dvote dc rdgcubi y dc aikstektd aikteati aik dc åao`i `dc dsñgeni, qud ec gokec ccdve e e`dkiaeraokihe. 64 Pehfoïk sd me dkaiktre`i qud ce okgdaaoñk pir M. pyciro   dstå esiaoe`e e rd`uaaoñk dk dc rodsni `d eshe y ecdrnoe, pir ci qud sd dstå dstu`oek`i dste rdceaoñk aik itres dkgdrhd`e`ds eutiokhukds. Dk Ecdhekoe, dk hi`dcis `d retikds rdaoïk keao`is sd `dhistrñ qud ce oktdrcduaoke 5= pri`uao`e pir ces aïcuces `dk`rètoaes dstohuce y `ogdrdkaoe ces aïcuces P rdnuce`ires qud okmofdk ces rdspudstes eutiokhukds. Ec perdadr, Mdcoaifeatdr pyciro   dstohuce ces aïcuces P rdnuce`ires dk dc dstñheni `urektd ce koõdz  y aie`yuve e dvoter dkgdrhd`e`ds eutiokhukds @dfo`i e ces ifsdrveaoikds ektdroirds ki sd todkd ce sdnuro`e` `d qud `dfe drre`oaersd ce okgdaaoñk pir M. pyciro , ye qud mey ok`oaois `d qud dste featdroe girhe pertd `d ce hoarifoite `dc dstñheni y todkd gukaoikds gosoicñnoaes fdkïgoaes, pir ci qud `urektd cis prohdris eõis `d ce 67   okgdaaoñk ki mey heyir egdateaoñk. 67 Ces cdsoikds prdaekadrises dhpodzek `dspuïs `d cis 0: eõis, pir ci qud sd todkd qud eatuer ektds `d qud sd hekogodstdk pere prdvdkor dc `dserricci `dc aåkadr nåstroai.

Vdaihdk`eaoikds dk dc tretehodkti `d M. pyciro rdsostdktd e cis ektohoarifoekis  Ces rdaihdk`eaoikds oktdrkeaoikecds sd fesek prokaopechdktd dk dstu`ois rdecoze`is dk Duripe y Amoke<

 

Noiki-Adrdzi Q, dt ec.2 Eaaoñk aiktre ce rdsostdkaoe ektohoarifoeke

ces okvdstoneaoikds dk Dste`is Tko`is sik dsaeses y dk Aeke`å ki sd audkte aik okgirheaoñk aikgoefcd dk 6>,,6= tirki e ce rdsostdkaoe `d dste featdroe. 6> Dk Hïxoai sd mek dgdatue`i dkseyis acèkoais aik `ogdrdktds dsqudhes tdrepïutoais. Ce tdrepoe dståk`er tropcd gud prife`e dk verois hocds `d peaodktds `d sodtd cunerds `d Ehïroae Cetoke2 Hïxoai (Qikire y Amoepes),, Mik`ures, Koaerenue, Aiste Voae, Aicihfoe Amoepes) y Amocd. Dk ces pifceaoikds dk ces qud sd drre`oañ ce okgdaaoñk, dc tretehodkti pir 50 `èes gud dc hås dgdatovi y aik rdsucte`is aihpcdtehdktd `ogdrdktds e cis ifsdrve`is dk Amoke y Duripe. @d emè ce ohpirtekaoe `d cis dstu`ois rdnoikecds, ciaecds y keaoikecds, pere aikiadr ce vdr`e`dre dgoaeaoe `d cis tretehodktis dk ces `ogdrdktds pifceaoikds. 6? Pihek`i dk audkte ce okvdstoneaoñk ektdroir y itres qud me rdecoze`i ce Vd` Cetokiehdroaeke `d Wonocekaoe `d ce Vdsostdkaoe e cis Ektohoarifoekis, dk dc aiksdksi cetokiehdroaeki `d 6:50 sd rdaihodk`e ce tdrepoe dståk`er tropcd pir 50 `èes aihi prohdre ipaoñk y aihi sdnuk`e, ce aihfokeaoñk `d

peèsds `ik`d dc aåkadr nåstroai nåstroa i ds uk prifcdhe sdroi. Dxostd uke pripudste `d tehozebd hèkohi pere o`dktogoaer e aek`o`etis pere dc dsqudhe `d drre`oaeaoñk `d ce featdroe,16  dk ce auec sd ok`oae qud dk uk peès sd pud`dk `dtdater pifceaoikds `d ecti rodsni y sdcdaaoiker nrupis pir d`e`. Zir dbdhpci2 dk Hïxoai, ces teses `d hirteco`e` hås ectes pir aåkadr nåstroai sd ifsdrvek dk _uaetåk, Amoepes, Reaetdaes y Febe Aecogirkoe, dste`is dk `ik`d sdrèe ohpirtektd aikadktrer ce etdkaoñk. Ces okgdaaoikds pir Mdcoaifeatdr pyciro   sonudk sodk`i grdaudktds dk e`uctis hdxoaekis< 1 % `d dcces dvicuaoikek e aåkadr nåstroai, aik ecte tese `d hirteco`e` y huy ectis aistis pere dc sostdhe `d secu`. Dc aiksdksi hdxoaeki eatuec me airrdno`i dc dsqudhe tdrepïutoai `d prohdre ipaoñk y sd dspdre qud ce drre`oaeaoñk `d ce okgdaaoñk dk e`uctis heyirds `d 0: eõis sok cdsoikds prdkdipcåsoaes sde uke hd`o`e dgoaez pere prdvdkor dc `dserricci `d aåkadr nåstroai, sok dhferni, ds ecni qud eòk `dfd prifersd. 1:

ihdprezic, ehixoaocoke y acerotrihoaoke, dk ce qud ce rdsostdkaoe e ce acerotrihoaoke `dgokd ce utoco`e` `dc tretehodkti.1: Dk Hïxoai sd me dstu`oe`i ce rdsostdkaoe `d Mdcoaifeatdr pyciro  e   e cis ektohoarifoekis `ds`d mead eprixohe`ehdktd 6: eõis. Auek`i sd mozi dc aiksdksi duripdi dstefe pir `dfebi `d 4 % y ce rdsostdkaoe dspdaègoae e ce acerotrihoaoke dre `d 56 %, so fodk dstd ektofoñtoai ti`evèe tdkèe utoco`e` acèkoae< ce rdsostdkaoe ec hdtri`okezic dre `d 0: %, so fodk aik veroeaoikds< dk cis `ogdrdktds pdroi`is dstu`oe`is sd dkaiktrñ > % `d rdsostdkaoe e ehixoaocoke. Dk ce òctohe aicdaaoñk `d adpes `d 6:5> sd rdnostrñ 7: % `d rdsostdkaoe e hdtri`okezic y ce rdsostdkaoe e acerotrihoaoke gud rdcdvektd.15 Dk 6:5=, dk trefebi aikbukti aik ce Esiaoeaoñk Hdxoaeke `d Nestridktdricinèe sd dcefirñ dc OW Aiksdksi Hdxoaeki sifrd Mdcoaifeatdr pyciro, dk dc qud aihi prohdre cèkde `d tretehodkti dk rdnoikds aik teses dcdve`es `d rdsostdkaoe `uec (acerotrihoaoke y hdtriko`ezic) sd rdaihodk`e dc dsqudhe auå`rupcd `urektd 50 `èes, pu`odk`i aikso`drer `is ipaoikds215 ‑ Pdrepoe auå`rupcd aik secds `d foshuti2 okmofo`ir `d ce fihfe `d pritikds, sufaotreti `d foshuti, tdtreaoacoke y hdtriko`ezic. ‑ Pdrepoe auå`rupcd sok foshuti (tdrepoe (tdrepoe aikaihotektd)2 sufaotreti `d foshuti, ehixoaocoke, acero-

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trihoaoke y hdtriko`ezic. Dk 6:50, 6:50, ce IHQ aikviañ e dxpdrtis dxpdr tis dk Mdcoaifeatdr pyciro   pere dcefirer rdaihdk`eaoikds `orono`es e cis

  5. ^irc` Mdectm Irnekozetoik. ^irc` Mdectm @ey. Quoze2 ^MI< 6:55.   6. ^irc` Mdectm Irnekozetoik. Ce rdsostdkaoe e cis ektohoarifoekis. Quoze2 ^MI< 6:5?.   1. ^irc` Mdectm Irnekozetoik. Gerheairrdsostdkaoe. Quoze2 ^MI< 6:54.   0. ^irc` Mdectm Irnekozetoik. @run rdsostekad. Quoze2 ^MI< 6:54.   4. Adktdrs gir @osdesd Aiktric ek` Zrdvdktoik. Ketoikec Mdectmaerd Qegdty Kdtwirl. DD. TT.2 A@A< 6:5?.   7. Husserdt FR, @rdsdr E, Gonudrie OH. E aiccefiretovd okotoetovd gir tmd aikteokhdkt ig ektohoarifoec rdsostdad ok Hdxoai. Riikdsds Zufcoa Mdectm. 6:54.   >. Eaudr`i pir dc qud sd `dacere ce ifconetirod`e` `d ce Dstretdnoe Keaoikec `d Eaaoñk aiktre ce Vdsostdkaoe e cis Ektohoarifoekis. Hïxoai2 @oeroi Igoaoec `d ce Gd`dreaoñk< 6:5= Buk 4.   =. Vd` Cetokiehdroaeke `d Wonocekaoe `d ce Vdsostdkaoe e cis Ektohoarifoekis (VdCEWVE). DD. TT.2 Irnekozeaoñk Zekehdroaeke `d ce Qecu`< 6:5?.   ?. Tkovdrso`e` Keaoikec Eutñkihe `d Hïxoai. Zcek Tkovdrsoteroi `d Aiktric `d ce Vdsostdkaoe Ektohoarifoeke. Hïxoai2 TKEH< 6:5=.   5:. Nerze-Nikzåcdz D, Hirgèk-Itdri V, Hdk`ize-Icezeråk Q, Fiaekdnre-Oferoes Z, Gcirds-Prdvoõi Q, Vi`rènudz-Kirodne D, dt ec. E skepsmit ig ektohoarifoec rdsostekad ok Hdxoai. Vdsucts grih 0> adktdrs grih 6: stetds `urokn e sox-hiktm pdroi`. ZCiQ Ikd. 6:5?-66.   54. ^irc` Mdectm Irnekozetoik. Vdsostdkaoe e cis ektohoarifoekis. Quoze2 ^MI< 6:57   57. Ai`bid GQ, @iklir DQ. Aerfepdkdh rdsostekad2 e rdvodw. Hd` Qao. 6:5>. L÷al V, @ekodcs-Meer`t O, Fdaldr L, Hdcchek E, Grod`roam E, Hdvous @, dt ec. Aerfepdkdh-rdsostekt Dktdrifeatdroeaded ok woc`cogd, gii`-pri`uaokn, ek` aihpekoik ekohecs2 e systdhetoa rdvodw. Acok Hoarifoic Okgdat. 6:5==.   5?. Qektebot Q, O`rewetteke K. Hdamekoshs ig ektohoarifoec rdsostekad ok DQLEZD petmindks. FoiHd` Vds Okt. 6:574:7>26:57.

5>?

 

Neadte Hï`oae `d Hïxoai. 6:6: