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Nuevos datos normativos de la versión española de la Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) forma A
New normative data from the Spanish-language version of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), form A
S. Muntala,b,
Autor para correspondencia
silmunt@gmail.com

Autor para correspondencia.
, E. Dovalc, D. Badenesa, L. Casas-Hernanza, N. Cerullad, N. Calzadoe, M. Aguilara
a Unitat de Diagnòstic i Tractament de les Demències, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, España
b Hospital de Sant Celoni, Sant Celoni, Barcelona, España
c Departament de Psicobiologia i de Metodologia de les Ciències de la Salut (UAB), Barcelona, España
d Unitat de Demències del Consorci Sanitari de Terrassa, Terrassa, Barcelona, España
e Fundació Privada AVAN, Sabadell, Barcelona, España
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normalizados y validados para la poblaci&#243;n a estudiar&#46; Es una tarea compleja que requiere una aproximaci&#243;n multidimensional&#44; mucho m&#225;s que la simple administraci&#243;n de test&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Para la ENP de la demencia lo m&#225;s aconsejable es utilizar una bater&#237;a multidimensional con propiedades psicom&#233;tricas que incluya pruebas sensibles para cada &#225;rea cognitiva<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">2</span></a>&#46; En cuanto a los instrumentos de evaluaci&#243;n en nuestro pa&#237;s destacan el <span class="elsevierStyleItalic">Programa Integrado de Exploraci&#243;n Neuropsicol&#243;gica-Test Barcelona</span>&#44; con su versi&#243;n inicial<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">1&#44;2</span></a> o abreviada<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">3</span></a>&#44; y otras bater&#237;as breves&#44; como la <span class="elsevierStyleItalic">Repeteable Battery for the Assessment of Neuropsychological Status</span> &#40;RBANS&#41;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">4</span></a>&#44; la <span class="elsevierStyleItalic">Mattis Dementia Ratting Scale</span><a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">5</span></a> y el <span class="elsevierStyleItalic">Cambridge Cognitive Examination</span>&#44; incluido en el <span class="elsevierStyleItalic">Cambridge Mental Disorders of the Elderly Examination</span><a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">6</span></a>&#44; adecuadas para la evaluaci&#243;n del deterioro cognitivo en diferentes poblaciones&#44; as&#237; como otras dise&#241;adas espec&#237;ficamente para la evaluaci&#243;n en poblaci&#243;n con demencia como la <span class="elsevierStyleItalic">Alzheimer&#39;s Disease Assessment Scale</span><a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">7</span></a> o el <span class="elsevierStyleItalic">Consortium to Establish a Registry for Alzheimer&#39;s Disease</span><a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">La RBANS presenta algunas ventajas respecto a otras bater&#237;as&#46; Es un m&#233;todo de evaluaci&#243;n neuropsicol&#243;gica multidimensional&#46; Dispone de 4 formas equivalentes de evaluaci&#243;n paralelas &#40;forma A&#44; B&#44; <span class="elsevierStyleSmallCaps">C</span> y D&#41; dise&#241;adas para evitar el efecto del aprendizaje en evaluaciones sucesivas&#46; Se administra de forma individual&#44; con una duraci&#243;n de 20 a 30<span class="elsevierStyleHsp" style=""></span>minutos y su administraci&#243;n es sencilla<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">9</span></a>&#46; Se han realizado diferentes traducciones y validaciones de la prueba en diferentes pa&#237;ses y continentes&#44; entre ellos Australia<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">10</span></a>&#44; Rusia<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">11</span></a>&#44; Asia<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">12&#8211;14</span></a> Turqu&#237;a<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">15</span></a> y Espa&#241;a<a class="elsevierStyleCrossRefs" href="#bib0225"><span class="elsevierStyleSup">16&#44;17</span></a>&#46; Con respecto a la versi&#243;n espa&#241;ola recientemente se ha publicado un estudio de baremaci&#243;n de las puntuaciones<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">16</span></a>&#46; En el estudio se presentan los datos normativos correspondientes a 6 grupos de edad&#44; de 20 a 89 a&#241;os en rangos de 10 a&#241;os&#46; Los datos normativos correspondientes a edades superiores a 60 a&#241;os est&#225;n basados en muestras de tama&#241;o limitado &#40;entre 40 y 44 casos&#41;&#46; Nuestro prop&#243;sito es proporcionar nuevos datos normativos para un mayor n&#250;mero de categor&#237;as de edad definidas por rangos de 3 a&#241;os&#46; Para optimizar la muestra normativa en cada uno de los rangos contemplados&#44; hemos seguido la metodolog&#237;a propuesta por NEURONORMA<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">18</span></a>&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Participantes</span><p id="par0020" class="elsevierStylePara elsevierViewall">La muestra se reclut&#243; de forma consecutiva entre los acompa&#241;antes de los pacientes que acud&#237;an a la Unidad de Memoria y Tratamiento de las Demencias del Servicio de Neurolog&#237;a del Hospital Universitari M&#250;tua de Terrassa&#44; procedentes de otros centros asistenciales y voluntarios de la poblaci&#243;n general&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">La participaci&#243;n fue voluntaria&#44; no remunerada y todos los participantes cumplieron los siguientes criterios de inclusi&#243;n y exclusi&#243;n&#58;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Criterios de inclusi&#243;n&#58; a&#41; sujetos residentes en Espa&#241;a&#44; aut&#243;ctonos del pa&#237;s&#59; b&#41; aceptaci&#243;n de participaci&#243;n mediante consentimiento informado oral&#59; c&#41; edad entre 20 y 89 a&#241;os&#59; d&#41; saber leer y escribir&#59; e&#41; presentar una audici&#243;n&#44; una visi&#243;n y unas condiciones f&#237;sicas adecuadas para poder realizar el test&#59; f&#41; MMSE<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">19</span></a><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>24&#59; y g&#41; presentar un buen estado funcional de acuerdo a los criterios de normalidad de la BDRS<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">20</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Criterios de exclusi&#243;n&#58; a&#41; padecer cualquier enfermedad del sistema nervioso central que afecte a la cognici&#243;n y&#47;o a las habilidades funcionales&#59; b&#41; historia de infecciones del sistema nervioso central &#40;meningitis&#44; encefalitis&#44; etc&#46;&#41;&#59; c&#41; ausencia de historia presente o pasada de enfermedad psiqui&#225;trica grave seg&#250;n criterios DSM <span class="elsevierStyleSmallCaps">IV</span>&#59; <span class="elsevierStyleItalic">d&#41;</span> hipotiroidismo cl&#237;nicamente significativo no tratado&#59; e&#41; alteraciones metab&#243;licas conocidas&#59; f&#41; historial o presencia de abuso de alcohol u otras drogas en los 24 meses anteriores&#59; y g&#41; presencia de cualquier situaci&#243;n que&#44; seg&#250;n el investigador principal&#44; fuera motivo para no poder participar en el estudio&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Instrumento</span><p id="par0040" class="elsevierStylePara elsevierViewall">Para la actual normalizaci&#243;n se utiliz&#243; la versi&#243;n espa&#241;ola del RBANS publicada en 2012<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">17</span></a>&#46; Como la versi&#243;n original est&#225; dirigida a adultos entre 20 y 89 a&#241;os y est&#225; formada por 12 pruebas con las que se pueden calcular&#44; adem&#225;s de una puntuaci&#243;n total&#44; las puntuaciones correspondientes a 5 funciones cognitivas&#58; atenci&#243;n &#40;evaluada con las pruebas &#171;repetici&#243;n de d&#237;gitos&#187; y &#171;clave de n&#250;meros&#187;&#41;&#44; lenguaje &#40;evaluado con las pruebas &#171;denominaci&#243;n de dibujos&#187; y &#171;fluencia sem&#225;ntica&#187;&#41;&#44; habilidad visuoespacial&#47;constructiva &#40;evaluada con las pruebas &#171;copia de la figura&#187; y &#171;orientaci&#243;n de l&#237;neas&#187;&#41;&#44; memoria inmediata &#40;evaluada con las pruebas &#171;aprendizaje de palabras&#187; y &#171;memoria de la historia&#187;&#41; y memoria diferida &#40;evaluada con las pruebas &#171;recuerdo de la lista&#187;&#44; &#171;reconocimiento de palabras&#187;&#44; &#171;recuerdo de la historia&#187; y &#171;recuerdo de la figura&#187;&#41;&#46; En el proceso de adaptaci&#243;n los elementos de las pruebas con contenido verbal del RBANS se tradujeron utilizando el m&#233;todo de traducci&#243;n-retrotraducci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0250"><span class="elsevierStyleSup">21&#8211;23</span></a>&#44; y se adaptaron siguiendo los criterios de imaginabilidad y frecuencia de uso de las palabras<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">24</span></a>&#46; Los resultados de fiabilidad y validez fueron publicados por Muntal Encinas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">17</span></a>&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Procedimiento</span><p id="par0045" class="elsevierStylePara elsevierViewall">A todos los participantes se les someti&#243; a una valoraci&#243;n previa mediante anamnesis&#44; se les administr&#243; el MMSE y la escala funcional BDRS&#46; Una vez cumplidos los criterios de inclusi&#243;n y exclusi&#243;n se les administr&#243; la bater&#237;a RBANS-E<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">19</span></a> en una sola sesi&#243;n&#44; de forma individual y por un equipo de neuropsic&#243;logos formados para la administraci&#243;n de la bater&#237;a&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">An&#225;lisis estad&#237;stico</span><p id="par0050" class="elsevierStylePara elsevierViewall">Los baremos fueron elaborados siguiendo el procedimiento normativo aplicado por el equipo NEURONORMA en la baremaci&#243;n de pruebas<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">18</span></a>&#46; El procedimiento se fundamenta en los siguientes 4 puntos&#58;</p><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Identificaci&#243;n de las variables sociodemogr&#225;ficas a considerar en los baremos</span><p id="par0055" class="elsevierStylePara elsevierViewall">Se calcula la correlaci&#243;n entre las variables sociodemogr&#225;ficas edad&#44; n&#250;mero de a&#241;os de escolarizaci&#243;n y sexo y las puntuaciones brutas de las subescalas del RBANS&#46; Las variables sociodemogr&#225;ficas que comparten al menos un 5&#37; de la varianza con las puntuaciones brutas &#40;coeficiente de determinaci&#243;n r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; se consideran relevantes para la interpretaci&#243;n de las puntuaciones&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Maximizaci&#243;n del n&#250;mero de casos en los baremos</span><p id="par0060" class="elsevierStylePara elsevierViewall">En caso de que la edad cumpla el criterio de relevancia anterior&#44; se elaboran baremos ajustados por dicha variable&#46; Para el ajuste por edad en nuestro estudio se definieron 20 grupos de edad con los valores m&#237;nimo y m&#225;ximo siguientes&#58; 20-24&#44; 25-27&#44; 28-30&#44; 31-33&#44; 34-36&#44; 37-39&#44; 40-42&#44; 43-45&#44; 46-48&#44; 49-51&#44; 52-54&#44; 55-57&#44; 58-60&#44; 61-63&#44; 64-66&#44; 67-69&#44; 70-72&#44; 73-75&#44; 76-78&#44; 79-89&#46; Como puede observarse&#44; excepto los grupos extremos&#44; el resto cubre un rango de 3 a&#241;os&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Con el fin de maximizar la informaci&#243;n referida a cada grupo de edad para la elaboraci&#243;n de los baremos&#44; y de acuerdo con la estrategia propuesta por Pauker<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">25</span></a>&#44; se definieron categor&#237;as con edades solapadas&#46; En nuestro estudio se definieron categor&#237;as que&#44; desde los 20 a&#241;os&#44; ten&#237;an un rango de 10 a&#241;os&#44; con la excepci&#243;n de los grupos de menos y m&#225;s edad&#44; que fueron respectivamente de 9 y 14 a&#241;os&#46; Los valores de edad m&#237;nimos y m&#225;ximos de cada categor&#237;a definida para el an&#225;lisis fueron los siguientes&#58; 20-28&#44; 21-31&#44; 24-34&#44; 27-37&#44; 30-40&#44; 33-43&#44; 36-46&#44; 39-49&#44; 42-52&#44; 45-55&#44; 48-58&#44; 51-61&#44; 54-64&#44; 57-67&#44; 60-70&#44; 63-73&#44; 66-76&#44; 69-79&#44; 72-82&#44; 75-89&#46; Excepto en los grupos de edad extrema&#44; el valor medio de estas categor&#237;as de edad definidas para los an&#225;lisis coincide con el valor medio de los grupos de edad considerados en los baremos&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">C&#225;lculo de las puntuaciones escalares normativas</span><p id="par0070" class="elsevierStylePara elsevierViewall">Las puntuaciones brutas se normalizan transform&#225;ndolas en puntuaciones escalares &#40;PE&#41; siguiendo la metodolog&#237;a propuesta por Ivnik et al&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">26</span></a>&#46; Se asignan rangos percentiles a las puntuaciones brutas&#46; El c&#225;lculo de los rangos percentiles se realiza siguiendo las indicaciones de Crawford et al&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">27</span></a>&#44; y considerando continuidad en las puntuaciones&#46; Posteriormente&#44; mediante una transformaci&#243;n lineal&#44; los rangos percentiles se convierten en PE con media 10 y desviaci&#243;n est&#225;ndar 3&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Ajuste de las puntuaciones escalares por escolarizaci&#243;n y g&#233;nero</span><p id="par0075" class="elsevierStylePara elsevierViewall">El ajuste de las puntuaciones escalares se realiza mediante modelos de regresi&#243;n de acuerdo con Pe&#241;a-Casanovas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">18</span></a>&#46; Si las variables &#171;a&#241;os de escolarizaci&#243;n&#187; o &#171;g&#233;nero&#187; resultan relevantes para una puntuaci&#243;n&#44; se calcula una regresi&#243;n lineal tomando la variable sociodemogr&#225;fica como explicativa y la PE como explicada&#46; De este modo&#44; la PE ajustada se calcula de la siguiente manera&#58;</p><p id="par0080" class="elsevierStylePara elsevierViewall">PE<span class="elsevierStyleInf">ajustada</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>PE-&#40;B<span class="elsevierStyleInf">1</span> &#42;&#91;escolaridad-&#40;X&#175;escolaridad&#41;&#93;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>B<span class="elsevierStyleInf">2</span>&#42;&#91;g&#233;nero&#93;&#41;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Donde B es el coeficiente no estandarizado de regresi&#243;n&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">De acuerdo con el procedimiento descrito por Mungas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">28</span></a>&#44; en el an&#225;lisis se considera la diferencia entre los a&#241;os de escolarizaci&#243;n &#40;escolaridad&#41; y un valor de referencia&#46; Siguiendo a Pe&#241;a-Casanova et al&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">18</span></a> se utiliza el valor medio de los a&#241;os de escolarizaci&#243;n de la muestra de baremaci&#243;n&#44; que en el presente estudio fue de 11 a&#241;os&#46; Los valores que resultan de aplicar la f&#243;rmula anterior se truncan al entero inferior&#46;</p></span></span></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Resultados</span><p id="par0095" class="elsevierStylePara elsevierViewall">Tras aplicar los criterios de inclusi&#243;n y exclusi&#243;n la muestra fue formada por 609 individuos sanos&#44; 273 hombres entre 20 y 89 a&#241;os&#44; con una media de edad de 52&#44;42 a&#241;os &#40;sd<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19&#44;49&#41; y un nivel de escolaridad de 11&#44;38 a&#241;os &#40;sd<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#44;63&#41; y 336 mujeres con una media de edad de 50&#44;51 a&#241;os &#40;sd<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#44;17&#41; y con un promedio de 10&#44;66 a&#241;os de escolaridad &#40;sd<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#44;40&#41;&#46; El 96&#44;7&#37; de los participantes fueron diestros&#44; un 2&#44;1&#37; ambidiestros y un 1&#44;1&#37; zurdos&#46; Las caracter&#237;sticas demogr&#225;ficas de la muestra se describen en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> muestra los valores de las correlaciones y de los coeficientes de determinaci&#243;n de las diferentes puntuaciones del RBANS y la edad&#44; los a&#241;os de escolaridad y el g&#233;nero&#46; Todas las puntuaciones analizadas compartieron m&#225;s del 5&#37; de la varianza con la edad&#44; lo que indic&#243; la necesidad de un baremo diferente para cada rango de edad considerado&#46; Los baremos fueron corregidos seg&#250;n la cantidad de a&#241;os de escolarizaci&#243;n&#44; puesto que esta variable tambi&#233;n comparti&#243; un porcentaje de varianza superior al 5&#37; con todas las puntuaciones del RBANS&#44; excepto con las puntuaciones de la subescala denominaci&#243;n&#46; Por el contrario&#44; los resultados de la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> no indicaron la necesidad de hacer ninguna correcci&#243;n por g&#233;nero &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">Los baremos para algunos de los 20 rangos de edad contemplados se muestran en las <a class="elsevierStyleCrossRefs" href="#tbl0015">tablas 3&#8211;5</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#tbl0030">tabla 6</a> contiene las correcciones que deben aplicarse a las puntuaciones escalares del RBANS seg&#250;n los a&#241;os de escolarizaci&#243;n&#46; El valor resultante de esta tabla se debe sumar al valor escalar obtenido en las <a class="elsevierStyleCrossRefs" href="#tbl0015">tablas 3-5</a>&#46; Supongamos&#44; por ejemplo&#44; que a la puntuaci&#243;n bruta obtenida por una persona en la subescala &#171;lista&#187; le corresponde una puntuaci&#243;n escalar igual a 5&#46; Si el nivel de escolaridad de esa persona fuese de 5 a&#241;os&#44; la puntuaci&#243;n escalar corregida ser&#237;a igual a 5<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46; Si su nivel de escolaridad fuese de 17&#44; la puntuaci&#243;n escalar corregida ser&#237;a igual a 5&#8211;1<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46; Obs&#233;rvese que los valores escalares de la subescala &#171;denominaci&#243;n de dibujos&#187; no tienen ninguna correcci&#243;n en funci&#243;n del nivel de escolaridad&#46;</p><elsevierMultimedia ident="tbl0030"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">En lo que respecta a las variables sociodemogr&#225;ficas&#44; se observ&#243; una influencia estad&#237;sticamente significativa de la edad y la escolaridad sobre todos los subtest&#44; a excepci&#243;n de ciertas franjas de escolaridad &#40;9 a 13 a&#241;os&#41; donde no se observ&#243; esta relaci&#243;n&#46; Adem&#225;s&#44; en los casos de 8 y 14 a&#241;os de escolarizaci&#243;n &#250;nicamente se ver&#237;an influenciadas por este factor las puntuaciones obtenidas en el subtest de claves&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Discusi&#243;n</span><p id="par0120" class="elsevierStylePara elsevierViewall">En el presente estudio se han podido obtener nuevos datos normativos para poblaci&#243;n espa&#241;ola de edades comprendidas entre los 20 y los 89 a&#241;os&#46; La selecci&#243;n de la muestra estuvo supeditada a los criterios de inclusi&#243;n y exclusi&#243;n anteriormente descritos&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Una de las posibles limitaciones de nuestro estudio fue la referente a la b&#250;squeda de controles sanos&#46; En primer lugar&#44; y debido a que parte de nuestros sujetos eran cuidadores de personas afectadas de demencia&#44; podr&#237;amos hablar de que existe la posibilidad de que el componente gen&#233;tico actuara como sesgo no controlado&#44; aunque ello no implique necesariamente que dichos familiares hayan comenzado a desarrollar la enfermedad &#40;o que lo vayan a hacer&#41;&#44; ni que presenten alteraciones cognitivas propias de la enfermedad que puedan interferir en su rendimiento en la prueba&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Por otro lado&#44; el punto de corte utilizado como criterio de inclusi&#243;n en la prueba de screening cognitivo MMSE &#40;&#8805;<span class="elsevierStyleHsp" style=""></span>24&#41;&#44; que provee de una alta sensibilidad ampliamente reconocida para la diferenciaci&#243;n entre demencia y normalidad<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">19</span></a>&#44; y es un criterio de inclusi&#243;n en otros estudios de datos normativos espa&#241;oles<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">29</span></a> no fuera la herramienta m&#225;s precisa como criterio de inclusi&#243;n&#44; ya que es posible que no sea lo suficientemente sensible para diferenciar entre deterioro cognitivo leve y normalidad&#46; De ah&#237; que se haya de resaltar la importancia del resto de criterios de inclusi&#243;n y exclusi&#243;n&#46; Estos criterios se establecieron con el prop&#243;sito de intentar conseguir una muestra con puntuaciones que se situaran alrededor de la zona media de la distribuci&#243;n normal &#40;y no en zonas altas o bajas&#41;&#44; con lo que as&#237; se garantizar&#237;a una mayor adecuaci&#243;n de los baremos a la poblaci&#243;n normal&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Llevando a cabo un an&#225;lisis observacional de los baremos obtenidos para cada uno de los subtest de nuestra prueba se encontraron algunas puntuaciones que&#44; mientras en otras pruebas neuropsicol&#243;gicas ser&#237;an un indicador de enfermedad&#44; aqu&#237; mostraron un rendimiento dentro de la normalidad&#46; Esto fue as&#237; para los baremos referentes a la prueba de &#171;recuerdo demorado de la lista de palabras&#187; para una edad superior a 70 a&#241;os&#46; As&#237;&#44; una persona que obtenga una puntuaci&#243;n de 0 &#40;no recordar ninguna palabra de la lista&#41; se encontrar&#237;a dentro de la normalidad para su grupo de edad&#44; siendo patol&#243;gico en otros test de memoria como el <span class="elsevierStyleItalic">Free and Cued Selective Reminding Test</span><a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">29</span></a>&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Este hallazgo podr&#237;a explicarse como resultado de un posible sesgo de la muestra para este subtest para estas franjas de edad&#44; por un reducido tama&#241;o muestral&#44; o por una baja sensibilidad de esta subprueba para la detecci&#243;n de alteraci&#243;n cognitiva en fases prodr&#243;micas de la enfermedad a partir de los 70 a&#241;os&#44; plante&#225;ndonos aumentar el tama&#241;o muestral para esta franja de edad en futuras investigaciones&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Otro de los hallazgos en nuestro estudio&#44; y una vez m&#225;s en relaci&#243;n con el papel que desempe&#241;an las variables sociodemogr&#225;ficas&#44; se centrar&#237;a en la construcci&#243;n de los baremos&#44; y m&#225;s concretamente en la distribuci&#243;n de las puntuaciones en ellos&#46; Posiblemente el contexto sociodemogr&#225;fico en el que se desarroll&#243; la investigaci&#243;n&#44; unido a las caracter&#237;sticas particulares de la muestra&#44; hayan provocado que algunas celdas de los baremos resulten infrarrepresentadas&#46; Es decir&#44; que las puntuaciones escalares que se podr&#237;an obtener ser&#237;an diferentes en funci&#243;n de la prueba y de la edad&#44; encontrando muchas que no estar&#237;an emparejadas con puntuaciones directas&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">As&#237;&#44; todas las particularidades y limitaciones descritas nos obligan de forma ineludible a invitar a la cautela de cara a la valoraci&#243;n e interpretaci&#243;n cl&#237;nica en algunas franjas de edad&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Los instrumentos de evaluaci&#243;n cognitiva deben estar adaptados a la poblaci&#243;n de referencia&#44; deben estar normalizados y deben poseer buenas propiedades psicom&#233;tricas&#44; siendo interesante tener nuevos datos normativos de las diferentes versiones de la RBANS en futuras investigaciones&#46; Las puntuaciones normativas y de validaci&#243;n de la bater&#237;a RBANS-E que aqu&#237; se presentan no tienen mayor af&#225;n que el de prestar una ayuda en la detecci&#243;n y diagn&#243;stico del deterioro cognitivo&#46; De esta forma&#44; un bajo rendimiento en el test no puede ser tomado&#44; de forma aislada&#44; como indicativo de la existencia de demencia&#44; debi&#233;ndose as&#237; realizar un examen exhaustivo atendiendo a las m&#250;ltiples variables que&#44; en definitiva&#44; conforman el perfil cl&#237;nico de una persona&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflicto de intereses</span><p id="par0160" class="elsevierStylePara elsevierViewall">No hay conflicto de intereses para los autores&#46;</p></span></span>"
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          "titulo" => "Abstract"
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                  "titulo" => "Identificaci&#243;n de las variables sociodemogr&#225;ficas a considerar en los baremos"
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                  "titulo" => "Maximizaci&#243;n del n&#250;mero de casos en los baremos"
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                  "titulo" => "C&#225;lculo de las puntuaciones escalares normativas"
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                  "titulo" => "Ajuste de las puntuaciones escalares por escolarizaci&#243;n y g&#233;nero"
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            2 => "<span class="elsevierStyleItalic">Repeatable Battery for the Asessment of Neuropsychological Status</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"><span class="elsevierStyleItalic">Repeatable Battery for the Asessment of Neuropsychological Status</span> &#40;RBANS&#41; es utilizada habitualmente en la pr&#225;ctica cl&#237;nica para la evaluaci&#243;n de funciones cognitivas&#46; Se caracteriza por su corta duraci&#243;n&#44; 20-30<span class="elsevierStyleHsp" style=""></span>minutos de administraci&#243;n&#44; por la ausencia de efecto aprendizaje&#44; dispone de 4 versiones paralelas y por su capacidad discriminativa de diferentes enfermedades&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presentan datos normativos de la RBANS-E &#40;versi&#243;n espa&#241;ola forma A de la bater&#237;a&#41; para poblaci&#243;n espa&#241;ola de 20-89 a&#241;os&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Seiscientos nueve individuos accedieron a participar&#46; Se les someti&#243; a una valoraci&#243;n previa mediante anamnesis que inclu&#237;a el <span class="elsevierStyleItalic">Mini Mental State Examination</span> como instrumento de cribado cognitivo y la <span class="elsevierStyleItalic">Blessed Disability Rating Scale</span> como escala funcional&#46; A los 609 sujetos sanos de entre 20 y 89 a&#241;os de edad se les administr&#243; la bater&#237;a RBANS-E en una sola sesi&#243;n&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados muestran la influencia de la escolaridad en las puntuaciones de todos los subtest&#46; No se observa influencia del g&#233;nero en ninguno de ellos&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las normas obtenidas aportan datos de gran utilidad cl&#237;nica para la evaluaci&#243;n cognitiva de poblaci&#243;n joven y adulta&#46;</p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The Repeatable Battery for the Assessment of Neuropsychological Status &#40;RBANS&#41; is frequently used in clinical practice to evaluate cognitive function&#46; It is quick to administer &#40;20-30<span class="elsevierStyleHsp" style=""></span>minutes&#41; and is not influenced by a learning effect&#46; The RBANS includes 4 parallel versions and has a high discriminative ability&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Our study provides normative data from the RBANS-E &#40;Spanish-language version of RBANS form A&#41; for a Spanish population aged 20 to 89 years&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The study included 609 subjects aged 20 to 89 years&#46; Participants were evaluated at baseline with a short interview&#44; a cognitive screening test &#40;Mini&#8211;Mental State Examination&#41;&#44; and a functional scale &#40;Rapid Disability Rating Scale&#41;&#46; The RBANS-E was then administered to all 609 participants&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Our results show the influence of education on all subtest scores&#46; Sex was observed to have no impact on any subtest&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Our study provides highly useful normative data for the cognitive evaluation of young and adult populations&#46;</p></span>"
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;100&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">0&#44;378&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
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#8211;0&#44;104&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Claves&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">&#8211;0&#44;034&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;001&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"><span class="elsevierStyleHsp" style=""></span>Recuerdo demorado lista&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;393&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;508&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;039&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
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Reconocimiento de palabras&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;0&#44;528&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;279&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;164&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"><span class="elsevierStyleHsp" style=""></span>Recuerdo demorado historia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8211;0&#44;041&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
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Recuerdo demorado figura&nbsp;\t\t\t\t\t\t\n
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                  """
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              "imagenFichero" => array:1 [
                0 => "xTab2320627.png"
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        "descripcion" => array:1 [
          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Correlaciones &#40;r&#41; y coeficientes de determinaci&#243;n &#40;r<span class="elsevierStyleSup">2</span>&#41; de las puntuaciones brutas de los subtest del RBANS con la edad&#44; los a&#241;os de escolarizaci&#243;n y el g&#233;nero</p>"
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      2 => array:8 [
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        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
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        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabla "
            "rol" => "short"
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          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">C&#58; claves&#59; CF&#58; copia figura&#59; D&#58; denominaci&#243;n&#59; FS&#58; fluencia sem&#225;ntica&#59; H&#58; historia&#59; OL&#58; orientaci&#243;n de l&#237;neas&#59; L&#58; lista&#59; RD&#58; repetici&#243;n d&#237;gitos&#59; RDF&#58; recuerdo demorado figura&#59; RDH&#58; recuerdo demorado historia&#59; RDL&#58; recuerdo demorado lista&#59; RP&#58; reconocimiento de palabras&#46;</p>"
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OL&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">D&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RDL&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" scope="col" style="border-bottom: 2px solid black">RP&nbsp;\t\t\t\t\t\t\n
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                  \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">RDH&nbsp;\t\t\t\t\t\t\n
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                  \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">RDF&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0-21&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\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0-18&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
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0-14&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0-5&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\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0-2&nbsp;\t\t\t\t\t\t\n
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                  \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">Media &#40;DE&#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
                  \t\t\t\t">31&#44;7 &#40;3&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;9 &#40;3&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">20 &#40;0&#44;2&#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">19 &#40;1&#44;2&#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
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#44;9 &#40;0&#44;4&#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">19&#44;7 &#40;3&#44;7&#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">9&#44;7 &#40;1&#44;9&#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">59 &#40;10&#44;4&#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">7&#44;9 &#40;1&#44;9&#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\ttable-entry\n
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                  \t\t\t\t">9&#44;7 &#40;2&#44;1&#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 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2320623.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Puntuaciones escalares ajustadas para las edades 20-24 &#40;rango para la elaboraci&#243;n de las normas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20-28&#46; Tama&#241;o de la muestra<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">C&#58; claves&#59; CF&#58; copia figura&#59; D&#58; denominaci&#243;n&#59; FS&#58; fluencia sem&#225;ntica&#59; H&#58; historia&#59; L&#58; lista&#59; OL&#58; orientaci&#243;n de l&#237;neas&#59; RD&#58; repetici&#243;n d&#237;gitos&#59; RDF&#58; recuerdo demorado figura&#59; RDH&#58; recuerdo demorado historia&#59; RDL&#58; recuerdo demorado lista&#59; RP&#58; reconocimiento de palabras&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
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                0 => """
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OL&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  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RDL&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  " align="left" valign="\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RDF&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\ttable-entry\n
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                  \t\t\t\t">0-9&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</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0-12&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">0-5&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">0-9&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">3&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">1&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">21-23&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">-&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
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                  \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">16&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">8&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
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&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">-&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">26-32&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">-&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">13-16&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">-&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</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">-&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">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</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><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><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">4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">14-15&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">73-75&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">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">-&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\ttable-entry\n
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                  \t\t\t\t">76-81&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\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&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">17&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
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                  \t\t\t\t">99&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">39&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">24&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\ttable-entry\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">82-87&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\ttable-entry\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">-&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">18&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"><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>99&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">40&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\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\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">30-40&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\ttable-entry\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">-&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">-&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">-&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">-&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  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&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">Media &#40;DE&#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">31&#44;8 &#40;3&#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;3 &#40;3&#44;4&#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">19&#44;9 &#40;0&#44;3&#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">19&#44;3 &#40;1&#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">9&#44;9 &#40;0&#44;3&#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;6 &#40;4&#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">9&#44;8 &#40;2&#44;1&#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">58&#44;1 &#40;9&#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">7&#44;9 &#40;1&#44;8&#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">19&#44;5 &#40;1&#44;1&#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">9&#44;8 &#40;1&#44;8&#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;5 &#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2320626.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Puntuaciones escalares ajustadas para las edades 25-27 &#40;rango para la elaboraci&#243;n de las normas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21-31&#46; Tama&#241;o de la muestra<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>107&#41;</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "tbl0025"
        "etiqueta" => "Tabla 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at5"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">C&#58; claves&#59; CF&#58; copia figura&#59; D&#58; denominaci&#243;n&#59; FS&#58; fluencia sem&#225;ntica&#59; H&#58; historia&#59; L&#58; lista&#59; OL&#58; orientaci&#243;n de l&#237;neas&#59; RD&#58; repetici&#243;n d&#237;gitos&#59; RDF&#58; recuerdo demorado figura&#59; RDH&#58; recuerdo demorado historia&#59; RDL&#58; recuerdo demorado lista&#59; RP&#58; reconocimiento de palabras&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><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">Puntuaci&#243;n escalar&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">Rango percentil&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  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OL&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">D&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">FS&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">RD&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">C&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">RDL&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">RP&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">RDH&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">RDF&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-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">2&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"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>1&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">0-20&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">0-9&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0-17&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">0-13&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">0-7&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">0-9&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0-5&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">0-25&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">0-3&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">0-12&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">0-4&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">0-9&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">3&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">1&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">21-23&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">10&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&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">14-15&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">8&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">10&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">-&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">26-32&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">-&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">13-15&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">5&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">-&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">4&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">2&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">24&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">-&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">19&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">-&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">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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&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">-&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">33&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">4&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">16&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">6&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">10&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">5&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">3-5&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&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">11&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">-&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">16&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">-&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">12&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">6&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">34-42&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
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \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
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">6-10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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