Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2021
- Institución:
- Universidad de Caldas
- Repositorio:
- Repositorio Institucional U. Caldas
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.ucaldas.edu.co:ucaldas/24016
- Acceso en línea:
- https://repositorio.ucaldas.edu.co/handle/ucaldas/24016
https://doi.org/10.17151/hpsal.2021.26.2.9
- Palabra clave:
- Insuficiencia cardíaca
educación en salud
autocuidado
automanejo
enfermedades cardiovasculares (Fuente: DeCS, BIREME).
Heart failure
health education
self-care
self-management
cardiovascular diseases (Source: MeSH, NCBI)
Insuficiência cardíaca
educação em saúde
autocuidado
auto manejo
doenças cardiovasculares (Fonte: DeCS, BIREME)
- Rights
- openAccess
- License
- Hacia la Promoción de la Salud - 2021
| id |
REPOUCALDA_77a42ddc682e543ee3870f24c3cfc8ba |
|---|---|
| oai_identifier_str |
oai:repositorio.ucaldas.edu.co:ucaldas/24016 |
| network_acronym_str |
REPOUCALDA |
| network_name_str |
Repositorio Institucional U. Caldas |
| repository_id_str |
|
| dc.title.none.fl_str_mv |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca Nursing intervention, decision-making for symptom management of people with heart failure |
| title |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca |
| spellingShingle |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca Insuficiencia cardíaca educación en salud autocuidado automanejo enfermedades cardiovasculares (Fuente: DeCS, BIREME). Heart failure health education self-care self-management cardiovascular diseases (Source: MeSH, NCBI) Insuficiência cardíaca educação em saúde autocuidado auto manejo doenças cardiovasculares (Fonte: DeCS, BIREME) |
| title_short |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca |
| title_full |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca |
| title_fullStr |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca |
| title_full_unstemmed |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca |
| title_sort |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíaca |
| dc.subject.none.fl_str_mv |
Insuficiencia cardíaca educación en salud autocuidado automanejo enfermedades cardiovasculares (Fuente: DeCS, BIREME). Heart failure health education self-care self-management cardiovascular diseases (Source: MeSH, NCBI) Insuficiência cardíaca educação em saúde autocuidado auto manejo doenças cardiovasculares (Fonte: DeCS, BIREME) |
| topic |
Insuficiencia cardíaca educación en salud autocuidado automanejo enfermedades cardiovasculares (Fuente: DeCS, BIREME). Heart failure health education self-care self-management cardiovascular diseases (Source: MeSH, NCBI) Insuficiência cardíaca educação em saúde autocuidado auto manejo doenças cardiovasculares (Fonte: DeCS, BIREME) |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-07-01T00:00:00Z 2021-07-01T00:00:00Z 2021-07-01 2025-10-08T21:26:19Z 2025-10-08T21:26:19Z |
| dc.type.none.fl_str_mv |
Artículo de revista http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 Text info:eu-repo/semantics/article Journal article http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
0121-7577 https://repositorio.ucaldas.edu.co/handle/ucaldas/24016 10.17151/hpsal.2021.26.2.9 2462-8425 https://doi.org/10.17151/hpsal.2021.26.2.9 |
| identifier_str_mv |
0121-7577 10.17151/hpsal.2021.26.2.9 2462-8425 |
| url |
https://repositorio.ucaldas.edu.co/handle/ucaldas/24016 https://doi.org/10.17151/hpsal.2021.26.2.9 |
| dc.language.none.fl_str_mv |
spa |
| language |
spa |
| dc.relation.none.fl_str_mv |
128 2 115 26 Hacia la Promoción de la Salud 2020 ACC/AHA Clinical Performance and Quality Measures for Adults with Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. J Am Coll Cardiol 2020; 7(21):2527-2564. Disponible en: DOI: https://doi.org/10.1016/j.jacc.2020.07.023 Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics–2015 update: A report from the American Heart Association. Circulation. 2015; 131(4): e29-322. Disponible en: DOI: https://doi.org/10.1161/CIR.0000000000000152 Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo et al. Heart Disease and Stroke Statistics-2017 Update: A Report from the American Heart Association. Circulation. 2017; 135(10), e146–e603. Disponible en: DOI: https://doi.org/10.1161/CIR.0000000000000485 Tang L, Wu YY, Lip GY, Yin P, Hu Y. Heart failure and risk of venous thromboembolism: a systematic review and metaanalysis. Lancet Haematol. 2016; 3: e30-44. Disponible en: DOI: 0.1016/S2352-3026(15)00228-8 Jonkman NH, Westland H, Groenwold RH, Ågren S, Atienza F, Blue L et al. Do self-management interventions work in patients with heart failure? An individual patient data meta-analysis. Circulation. 2016; 133(12):1189-98. Disponible en: DOI: http://doi.org/10.1161/CIRCULATIONAHA.115.018006 Clark AM, Wiens KS, Banner D, Kryworuchko J, Lorraine Thirsk L, Lianne McLean L, et al. A systematic review of the main mechanisms of heart failure disease management interventions. Heart. 2016; 102(9): 707-711. Disponible en: DOI:10.1136/heartjnl-2015-308551 Huntley AL, Johnson R, King A, Morris RW, Purdy S. Does case management for patients with heart failure based in the community reduce unplanned hospital admissions? A systematic review and meta-analysis. BMJ Open. 2016; 6(5): e010933. Disponible en: DOI: http://doi.org/10.1136/bmjopen-2015-010933 Oyangurena J, Latorre PM, Torcal J, Lekuona I, Rubio S, Maull S et al. Efectividad y determinantes del éxito de los programas de atención a pacientes con insuficiencia cardiaca: revisión sistemática y metanálisis. Rev Esp Cardiol. 2016; 69(10): 900-14. Disponible en: DOI: https://doi.org/10.1016/j.recesp.2016.05.008 Savard LA, Thompson DR, Clark AM. A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions. Trials. 2011; 16(12): 194. Disponible en: DOI: 10.1186/1745-6215-12-194 Riegel B, Dickson VV, Faulkner KM. The Situation-specific Theory of Heart Failure Self-care: Revised and updated. J Cardiovasc Nurs. 2016; 31(3): 226-35. Disponible en: DOI: 10.1097/JCN.0000000000000244 Riegel B, Moser DK, Buck HG, Dickson VV, Dunbar SB, Lee CS, et al. Self-care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American Heart Association. J Am Heart Assoc. 2017; 6(9). e006997. Disponible en: DOI: 10.1161/JAHA.117.006997 Riegel B, Dickson VV, Topaz M. Qualitative analysis of naturalistic decision making in adults with chronic heart failure. Nurs Res. 2013; 62(2):91-8. Disponible en: DOI: 10.1097/NNR.0b013e318276250c Dickson VV, Melkus GD, Katz S, Levine-Wong A, Dillworth J, Cleland CM, Riegel B. Building skill in heart failure selfcare among community dwelling older adults: Results of a pilot study. Patient Education and Counseling, 96(2), 188-96. PMID: 24910422. Disponible en: DOI: http://dx.doi.org/doi:10.1016/j.pec.2014.04.018 Herrera E. Toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca: ensayo clínico aleatorizado. Tesis para optar el título de Doctora en Enfermería. Repositorio Universidad Nacional de Colombia. 2019. Disponible en: https://repositorio.unal.edu.co/handle/unal/69852 Herrera GE, Céspedes CV. Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención. Avances en enfermería. 2020; 38(1): 9-17. Disponible en: DOI: https://doi.org/10.15446/av.enferm.v38n1.75993 Herrera-Guerra EP, Céspedes-Cuevas VM. Design and validation of educational material aimed at adults with Heart Failure. Rev. cienc. cuidad. 2020; 17(1):31-42. Disponible en: DOI: https://doi.org/10.22463/17949831.1366 Lipshitz R, Klein G, Orasanu J, Salas E. Taking stock of naturalistic decision making. J Behav Dec Making. 2001; 14:331- 52. Disponible en DOI: http://doi.org/10.1002/BDM.381 Molano D, Hernández C. Papel de la enfermera en las unidades de falla cardiaca y educación en falla cardiaca. Rev Col Cardiol. 2016; 23 (Supl 1):31-3 Disponible en DOI: 10.1016/j.rccar.2016.01.009 Riegel B, Lee CS, Dickson, VV, Carlson, B. An update on the self-care of heart failure index. J Cardiovasc Nurs. 2009; 24(6):485-97. Disponible en: DOI: http://doi.org/10.1097/JCN.0b013e3181b4baa0 Riegel B, Dickson VV. A situation-specific theory of heart failure self-care. J Cardiovasc Nurs. 2008; 23(3): 190-6. Disponible en: DOI: http://doi.org/10.1097/01.JCN.0000305091.35259.85 Barbaranelli C, Lee CS, Vellone E, Riegel B. Dimensionality and reliability of teh Self-care of Heart Failure Index scales: Further Evidence from confirmatory factor analysis. Res Nurs Health. 2014; 37(6): 524-37. Disponible en: DOI:10.1002/nur.21623 Jaarsma T, Stromberg A, Martensson J, Dracup K. Development and testing of the European Heart Failure Self-Care Behaviour Scale. Eur J Heart Fail. 2003; 5(3): 363-70. Disponible en: DOI: 10.1016/s1388-9842(02)00253-2 Vellone E, Riegel B, Cocchieri A, Barbaranelli C, D’Agostino F, Antonetti G, et al. Psychometric testing of the Self-care of Heart Failure Index version 6.2. Res Nurs Health. 2013; 36(5): 500-11. Disponible en DOI: 10.1002/nur.21554 Peduzzi P, Henderson W, Hartigan P, Lavori P. Analysis of randomized controlled trials. Epidemiol Rev 2002; 24:26-38. Disponible en: DOI: 10.1093/epirev/24.1.26 Ferrán-Aranaz M. SPSS para Windows Análisis estadístico. McGraw-Hill Interamericana de España. Madrid. 2001. pp. 196-203 Toukhsati SR, Jaarsma T, Babu AS, Driscoll A, Hare DL. Self-Care Interventions That Reduce Hospital Readmissions in Patients with Heart Failure; Towards the Identification of Change Agents. Clinical Medicine Insights: Cardiology. 2019; (13):1-8. Disponible en DOI: 10.1177/1179546819856855 Jonkman NH, Schuurmans MJ, Jaarsma T, Shortridge-Baggett LM, Hoes AW, Trappenburg JC. Self-management interventions: proposal and validation of a new operational definition. J Clin Epidemiol. 2016; 80: 34-42. Disponible en DOI: 10.1016/j.jclinepi.2016.08.001 Attaallah S, Klymko K, Hopp FP. Self-care among older adults with heart failure. Gerontol Geriatr Med. 2016; 2:2333721416684013. Disponible en DOI: 10.1177/2333721416684013 Michie S, Prestwich A. Are interventions theory-based? development of a theory coding scheme. Health Psychol. 2010; 29: 1-8. Disponible en DOI: 10.1037/a0016939 Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner M. et al. ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 128(16): e240-e327. Disponible en DOI: 10.1161/CIR.0b013e31829e8776 Barnason S, Zimmerman L, Young L. An integrative review of interventions promoting self-care of patients with heart failure. Journal of Clinical Nursing. 2012; 21(3-4), 448-75 Disponible en DOI: 10.1111/j.1365-2702.2011.03907.x Núm. 2 , Año 2021 : Julio - Diciembre https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/download/5175/4683 |
| dc.rights.none.fl_str_mv |
Hacia la Promoción de la Salud - 2021 https://creativecommons.org/licenses/by-nc-sa/4.0/ info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
| rights_invalid_str_mv |
Hacia la Promoción de la Salud - 2021 https://creativecommons.org/licenses/by-nc-sa/4.0/ http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Universidad de Caldas |
| publisher.none.fl_str_mv |
Universidad de Caldas |
| dc.source.none.fl_str_mv |
https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/5175 |
| institution |
Universidad de Caldas |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1855532526874918912 |
| spelling |
Intervención de enfermería toma de decisiones para el manejo de síntomas en personas con falla cardíacaNursing intervention, decision-making for symptom management of people with heart failureInsuficiencia cardíacaeducación en saludautocuidadoautomanejoenfermedades cardiovasculares (Fuente: DeCS, BIREME).Heart failurehealth educationself-careself-managementcardiovascular diseases (Source: MeSH, NCBI)Insuficiência cardíacaeducação em saúdeautocuidadoauto manejodoenças cardiovasculares (Fonte: DeCS, BIREME)Universidad de Caldas2021-07-01T00:00:00Z2025-10-08T21:26:19Z2021-07-01T00:00:00Z2025-10-08T21:26:19Z2021-07-01Artículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articleJournal articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85application/pdf0121-7577https://repositorio.ucaldas.edu.co/handle/ucaldas/2401610.17151/hpsal.2021.26.2.92462-8425https://doi.org/10.17151/hpsal.2021.26.2.9https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/5175spa128211526Hacia la Promoción de la Salud2020 ACC/AHA Clinical Performance and Quality Measures for Adults with Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. J Am Coll Cardiol 2020; 7(21):2527-2564. Disponible en: DOI: https://doi.org/10.1016/j.jacc.2020.07.023Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics–2015 update: A report from the American Heart Association. Circulation. 2015; 131(4): e29-322. Disponible en: DOI: https://doi.org/10.1161/CIR.0000000000000152Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo et al. Heart Disease and Stroke Statistics-2017 Update: A Report from the American Heart Association. Circulation. 2017; 135(10), e146–e603. Disponible en: DOI: https://doi.org/10.1161/CIR.0000000000000485Tang L, Wu YY, Lip GY, Yin P, Hu Y. Heart failure and risk of venous thromboembolism: a systematic review and metaanalysis. Lancet Haematol. 2016; 3: e30-44. Disponible en: DOI: 0.1016/S2352-3026(15)00228-8Jonkman NH, Westland H, Groenwold RH, Ågren S, Atienza F, Blue L et al. Do self-management interventions work in patients with heart failure? An individual patient data meta-analysis. Circulation. 2016; 133(12):1189-98. Disponible en: DOI: http://doi.org/10.1161/CIRCULATIONAHA.115.018006Clark AM, Wiens KS, Banner D, Kryworuchko J, Lorraine Thirsk L, Lianne McLean L, et al. A systematic review of the main mechanisms of heart failure disease management interventions. Heart. 2016; 102(9): 707-711. Disponible en: DOI:10.1136/heartjnl-2015-308551Huntley AL, Johnson R, King A, Morris RW, Purdy S. Does case management for patients with heart failure based in the community reduce unplanned hospital admissions? A systematic review and meta-analysis. BMJ Open. 2016; 6(5): e010933. Disponible en: DOI: http://doi.org/10.1136/bmjopen-2015-010933Oyangurena J, Latorre PM, Torcal J, Lekuona I, Rubio S, Maull S et al. Efectividad y determinantes del éxito de los programas de atención a pacientes con insuficiencia cardiaca: revisión sistemática y metanálisis. Rev Esp Cardiol. 2016; 69(10): 900-14. Disponible en: DOI: https://doi.org/10.1016/j.recesp.2016.05.008Savard LA, Thompson DR, Clark AM. A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions. Trials. 2011; 16(12): 194. Disponible en: DOI: 10.1186/1745-6215-12-194Riegel B, Dickson VV, Faulkner KM. The Situation-specific Theory of Heart Failure Self-care: Revised and updated. J Cardiovasc Nurs. 2016; 31(3): 226-35. Disponible en: DOI: 10.1097/JCN.0000000000000244Riegel B, Moser DK, Buck HG, Dickson VV, Dunbar SB, Lee CS, et al. Self-care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American Heart Association. J Am Heart Assoc. 2017; 6(9). e006997. Disponible en: DOI: 10.1161/JAHA.117.006997Riegel B, Dickson VV, Topaz M. Qualitative analysis of naturalistic decision making in adults with chronic heart failure. Nurs Res. 2013; 62(2):91-8. Disponible en: DOI: 10.1097/NNR.0b013e318276250cDickson VV, Melkus GD, Katz S, Levine-Wong A, Dillworth J, Cleland CM, Riegel B. Building skill in heart failure selfcare among community dwelling older adults: Results of a pilot study. Patient Education and Counseling, 96(2), 188-96. PMID: 24910422. Disponible en: DOI: http://dx.doi.org/doi:10.1016/j.pec.2014.04.018Herrera E. Toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca: ensayo clínico aleatorizado. Tesis para optar el título de Doctora en Enfermería. Repositorio Universidad Nacional de Colombia. 2019. Disponible en: https://repositorio.unal.edu.co/handle/unal/69852Herrera GE, Céspedes CV. Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención. Avances en enfermería. 2020; 38(1): 9-17. Disponible en: DOI: https://doi.org/10.15446/av.enferm.v38n1.75993Herrera-Guerra EP, Céspedes-Cuevas VM. Design and validation of educational material aimed at adults with Heart Failure. Rev. cienc. cuidad. 2020; 17(1):31-42. Disponible en: DOI: https://doi.org/10.22463/17949831.1366Lipshitz R, Klein G, Orasanu J, Salas E. Taking stock of naturalistic decision making. J Behav Dec Making. 2001; 14:331- 52. Disponible en DOI: http://doi.org/10.1002/BDM.381Molano D, Hernández C. Papel de la enfermera en las unidades de falla cardiaca y educación en falla cardiaca. Rev Col Cardiol. 2016; 23 (Supl 1):31-3 Disponible en DOI: 10.1016/j.rccar.2016.01.009Riegel B, Lee CS, Dickson, VV, Carlson, B. An update on the self-care of heart failure index. J Cardiovasc Nurs. 2009; 24(6):485-97. Disponible en: DOI: http://doi.org/10.1097/JCN.0b013e3181b4baa0Riegel B, Dickson VV. A situation-specific theory of heart failure self-care. J Cardiovasc Nurs. 2008; 23(3): 190-6. Disponible en: DOI: http://doi.org/10.1097/01.JCN.0000305091.35259.85Barbaranelli C, Lee CS, Vellone E, Riegel B. Dimensionality and reliability of teh Self-care of Heart Failure Index scales: Further Evidence from confirmatory factor analysis. Res Nurs Health. 2014; 37(6): 524-37. Disponible en: DOI:10.1002/nur.21623Jaarsma T, Stromberg A, Martensson J, Dracup K. Development and testing of the European Heart Failure Self-Care Behaviour Scale. Eur J Heart Fail. 2003; 5(3): 363-70. Disponible en: DOI: 10.1016/s1388-9842(02)00253-2Vellone E, Riegel B, Cocchieri A, Barbaranelli C, D’Agostino F, Antonetti G, et al. Psychometric testing of the Self-care of Heart Failure Index version 6.2. Res Nurs Health. 2013; 36(5): 500-11. Disponible en DOI: 10.1002/nur.21554Peduzzi P, Henderson W, Hartigan P, Lavori P. Analysis of randomized controlled trials. Epidemiol Rev 2002; 24:26-38. Disponible en: DOI: 10.1093/epirev/24.1.26Ferrán-Aranaz M. SPSS para Windows Análisis estadístico. McGraw-Hill Interamericana de España. Madrid. 2001. pp. 196-203Toukhsati SR, Jaarsma T, Babu AS, Driscoll A, Hare DL. Self-Care Interventions That Reduce Hospital Readmissions in Patients with Heart Failure; Towards the Identification of Change Agents. Clinical Medicine Insights: Cardiology. 2019; (13):1-8. Disponible en DOI: 10.1177/1179546819856855Jonkman NH, Schuurmans MJ, Jaarsma T, Shortridge-Baggett LM, Hoes AW, Trappenburg JC. Self-management interventions: proposal and validation of a new operational definition. J Clin Epidemiol. 2016; 80: 34-42. Disponible en DOI: 10.1016/j.jclinepi.2016.08.001Attaallah S, Klymko K, Hopp FP. Self-care among older adults with heart failure. Gerontol Geriatr Med. 2016; 2:2333721416684013. Disponible en DOI: 10.1177/2333721416684013Michie S, Prestwich A. Are interventions theory-based? development of a theory coding scheme. Health Psychol. 2010; 29: 1-8. Disponible en DOI: 10.1037/a0016939Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner M. et al. ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 128(16): e240-e327. Disponible en DOI: 10.1161/CIR.0b013e31829e8776Barnason S, Zimmerman L, Young L. An integrative review of interventions promoting self-care of patients with heart failure. Journal of Clinical Nursing. 2012; 21(3-4), 448-75 Disponible en DOI: 10.1111/j.1365-2702.2011.03907.xNúm. 2 , Año 2021 : Julio - Diciembrehttps://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/download/5175/4683Hacia la Promoción de la Salud - 2021https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Herrera-Guerra, Eugenia del Pilaroai:repositorio.ucaldas.edu.co:ucaldas/240162025-10-08T21:26:19Z |
