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REVISIÓN SISTEMÁTICA
Prevalencia bayesiana y niveles de burnout en enfermería de urgencias. Una revisión sistemática
Bayesian prevalence and burnout levels in emergency nurses. A systematic review
Luis Albendína, José Luis Gómezb, Guillermo A. Cañadas-de la Fuenteb, Gustavo R. Cañadasb, Concepción San Luisc, Raimundo Aguayob,
Autor para correspondencia
raguayo@ugr.es

Autor para correspondencia.
a Unidad de Gestión Clínica, Cuidados Críticos y Urgencias Interniveles, Área de Gestión Sanitaria Sur de Córdoba, Servicio Andaluz de Salud, Córdoba, España
b Universidad de Granada, Granada, España
c Universidad Nacional de Educación a Distancia, Madrid, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Los profesionales sanitarios afrontan a diario situaciones complejas derivadas de la relaci&#243;n y atenci&#243;n a los procesos de salud-enfermedad&#44; tanto con los pacientes como con sus familiares&#46; Las situaciones derivadas del contexto laboral&#44; hacen que tanto estos como otros profesionales est&#233;n sometidos de forma reiterada a estresores&#44; cuya cronicidad en el tiempo conlleva la aparici&#243;n del s&#237;ndrome de <span class="elsevierStyleItalic">burnout</span>&#46; Seg&#250;n <a class="elsevierStyleCrossRef" href="#bib0145">Maslach y Jackson &#40;1981&#41;</a>&#44; el <span class="elsevierStyleItalic">burnout</span> es un trastorno psicol&#243;gico que se caracteriza por la presencia de cansancio emocional &#40;CE&#41;&#44; despersonalizaci&#243;n &#40;D&#41; y baja realizaci&#243;n personal &#40;RP&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">El padecimiento de <span class="elsevierStyleItalic">burnout</span> implica el deterioro de la salud f&#237;sica y mental&#44; as&#237; como la aparici&#243;n de consecuencias negativas en las esferas laboral y personal &#40;<a class="elsevierStyleCrossRef" href="#bib0085">Epp&#44; 2012</a>&#41;&#46; Entre las profesiones susceptibles de padecer el s&#237;ndrome de <span class="elsevierStyleItalic">burnout</span> se han identificado algunas como los cuerpos y fuerzas de seguridad&#44; docentes o profesionales sanitarios &#40;<a class="elsevierStyleCrossRefs" href="#bib0050">De la Fuente et al&#46;&#44; 2013&#59; Schaufeli&#44; Leiter &#38; Maslach&#44; 2009</a>&#41;&#46; La enfermer&#237;a es&#44; en el &#225;mbito sanitario&#44; una de las profesiones m&#225;s afectadas por el <span class="elsevierStyleItalic">burnout</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0035">Ca&#241;adas-de la Fuente et al&#46;&#44; 2014</a>&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Las consecuencias del s&#237;ndrome afectan la salud f&#237;sica y psicol&#243;gica del profesional de enfermer&#237;a&#44; as&#237; como la calidad de los cuidados prestados y sus resultados en la salud de los pacientes&#59; los niveles de insatisfacci&#243;n que se generan pueden desembocar en absentismo y bajas laborales&#44; por lo que tambi&#233;n afecta a las instituciones donde desarrollan su labor &#40;<a class="elsevierStyleCrossRefs" href="#bib0115">Gasparino&#44; 2014&#59; Hooper&#44; Craig&#44; Janvrin&#44; Wetsel &#38; Reimels&#44; 2010</a>&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">En el caso de la enfermer&#237;a de los servicios de urgencias y emergencias &#40;SUE&#41; existe una exposici&#243;n diaria a situaciones potencialmente generadoras de estr&#233;s&#46; Estos servicios&#44; a pesar de tener unos protocolos de actuaci&#243;n basados en las gu&#237;as de pr&#225;ctica cl&#237;nica y profesionales preparados para las eventualidades propias del servicio&#44; tienen una afluencia de pacientes de diversa &#237;ndole en situaciones cr&#237;ticas que requieren estar alerta y actuar tanto a nivel intra- como extrahospitalario &#40;<a class="elsevierStyleCrossRef" href="#bib0070">Dom&#237;nguez-G&#243;mez &#38; Rutledge&#44; 2009</a>&#41;&#46; Tambi&#233;n se trata de uno de los servicios donde se producen m&#225;s agresiones a los profesionales&#44; lo que obviamente es un factor predisponente en el padecimiento del s&#237;ndrome &#40;<a class="elsevierStyleCrossRef" href="#bib0080">Edward&#44; Ousey&#44; Warelow &#38; Lui&#44; 2014</a>&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Las peculiaridades de los SUE hacen que sea importante conocer el nivel de <span class="elsevierStyleItalic">burnout</span> de los enfermeros&#44; en relaci&#243;n con otras categor&#237;as profesionales en este marco laboral&#44; ya que permitir&#237;a saber el grado en que se ven afectados por el s&#237;ndrome&#46; Por otra parte&#44; resulta de inter&#233;s toda la informaci&#243;n disponible sobre los factores de riesgo que favorecen el desarrollo del <span class="elsevierStyleItalic">burnout</span>&#44; lo que facilitar&#237;a la implantaci&#243;n de programas preventivos del trastorno que ayudar&#237;an a minorar sus consecuencias negativas para los profesionales&#44; para las organizaciones en las que trabajan y para los pacientes que atienden en su quehacer diario&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#bib0005">Adriaenssens&#44; De Gucht y Maes &#40;2015&#41;</a> presentan una revisi&#243;n sistem&#225;tica para explorar la prevalencia del <span class="elsevierStyleItalic">burnout</span> y algunos determinantes del s&#237;ndrome&#59; se basa en trabajos publicados entre 1989 y 2014&#44; en ingl&#233;s&#44; en los que el <span class="elsevierStyleItalic">burnout</span> se mide con varias herramientas y en una poblaci&#243;n de enfermeros de emergencias&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Nuestro inter&#233;s y&#44; por tanto&#44; el motivo de este trabajo de revisi&#243;n&#44; es diferente al de estos autores&#46; Las diferencias m&#225;s importantes son las siguientes&#58; &#40;a&#41; no se ha incluido ninguna restricci&#243;n temporal en la b&#250;squeda&#59; &#40;b&#41; la poblaci&#243;n de inter&#233;s fue enfermeros que trabajan en servicios de urgencias&#44; lo que excluye cualquier otro servicio o actividad que no sea la de urgencias &#40;param&#233;dicos&#44; conductores de ambulancia&#44; enfermeros de cuidados cr&#237;ticos&#44; etc&#46;&#41;&#59; &#40;c&#41; solo hemos considerado investigaciones cuya herramienta de medida del <span class="elsevierStyleItalic">burnout</span> fuera el <span class="elsevierStyleItalic">Maslach Burnout Inventory</span> &#40;MBI&#41;&#44; debido a que es el instrumento m&#225;s utilizado para la evaluaci&#243;n del s&#237;ndrome&#59; y &#40;d&#41; la b&#250;squeda incluye investigaciones en ingl&#233;s&#44; espa&#241;ol y portugu&#233;s&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">El objetivo de este estudio fue realizar una revisi&#243;n sistem&#225;tica de trabajos publicados que informasen de los niveles de <span class="elsevierStyleItalic">burnout</span> en enfermeros de SUE y ofrecer la estimaci&#243;n de la prevalencia del s&#237;ndrome en estos profesionales&#46; Adem&#225;s&#44; se incluye informaci&#243;n sobre la comparaci&#243;n de estos niveles de <span class="elsevierStyleItalic">burnout</span> en relaci&#243;n con otros profesionales de estos servicios&#44; as&#237; como los factores de riesgo asociados al padecimiento del s&#237;ndrome en este colectivo profesional&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">M&#233;todo</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Fuentes de informaci&#243;n y ecuaci&#243;n de b&#250;squeda</span><p id="par0045" class="elsevierStylePara elsevierViewall">Se realiz&#243; una revisi&#243;n sistem&#225;tica siguiendo las recomendaciones propuestas por la declaraci&#243;n PRISMA &#40;<a class="elsevierStyleCrossRef" href="#bib0155">Moher et al&#46;&#44; 2015</a>&#41;&#46; La b&#250;squeda se realiz&#243; en las bases de datos CINAHL&#44; CUIDEN&#44; IBECS&#44; LILACS&#44; Pubmed&#44; Plataforma Proquest &#40;<span class="elsevierStyleItalic">Proquest Health &#38; Medical Complete</span>&#41;&#44; Psycinfo&#44; Scielo&#44; Scopus y la Biblioteca Cochrane&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">La ecuaci&#243;n de b&#250;squeda utilizada en ingl&#233;s fue &#171;<span class="elsevierStyleItalic">emergency AND nurs&#42; AND burnout</span>&#187; y en espa&#241;ol &#171;urgencias AND enfermer&#237;a AND <span class="elsevierStyleItalic">burnout</span>&#187;&#46; Con el objetivo de minimizar el potencial sesgo de publicaci&#243;n&#44; la b&#250;squeda no tuvo limitaci&#243;n temporal&#44; ni del tipo de publicaci&#243;n o del tama&#241;o de la muestra y las bases de datos consultadas incluyen el acceso a la denominada literatura gris&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">La b&#250;squeda se realiz&#243; en octubre de 2014 y mostr&#243; 642 resultados&#44; que se redujeron a 27 estudios tras aplicar los criterios de inclusi&#243;n y exclusi&#243;n&#46; El proceso completo&#44; con indicaci&#243;n de los trabajos descartados junto a los motivos de su eliminaci&#243;n&#44; queda detallado en la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Criterios de inclusi&#243;n y exclusi&#243;n</span><p id="par0060" class="elsevierStylePara elsevierViewall">La revisi&#243;n sistem&#225;tica incluy&#243; trabajos que cumpl&#237;an con los siguientes criterios&#58; &#40;a&#41; estudios primarios que aportasen datos emp&#237;ricos originales&#59; &#40;b&#41; que el constructo <span class="elsevierStyleItalic">burnout</span> fuese medido con el <span class="elsevierStyleItalic">Maslach Burnout Inventory</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0145">Maslach &#38; Jackson&#44; 1981</a>&#41;&#59; &#40;c&#41; que la muestra fuera de profesionales de enfermer&#237;a que trabajasen en SUE&#59; &#40;d&#41; estudios que estuviesen redactados en espa&#241;ol&#44; ingl&#233;s o portugu&#233;s&#59; &#40;e&#41; estudios transversales&#44; pues aportan datos de prevalencia&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Como criterios de exclusi&#243;n se utilizaron&#58; &#40;a&#41; muestras de alumnos en pr&#225;cticas&#59; &#40;b&#41; muestras mixtas que no ofrec&#237;an informaci&#243;n independiente sobre enfermer&#237;a de SUE&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Codificaci&#243;n de los resultados y an&#225;lisis de la informaci&#243;n</span><p id="par0070" class="elsevierStylePara elsevierViewall">Un manual de codificaci&#243;n fue creado para el registro de las variables&#59; dicho material se encuentra disponible previa petici&#243;n al autor de correspondencia&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Se obtuvo de cada uno de los trabajos la siguiente informaci&#243;n&#58; autores&#44; prop&#243;sito principal de la investigaci&#243;n&#44; a&#241;o de publicaci&#243;n&#44; pa&#237;s en que se desarrolla el estudio&#44; idioma &#40;espa&#241;ol&#44; ingl&#233;s y portugu&#233;s&#41;&#44; dise&#241;o de la investigaci&#243;n&#44; tama&#241;o y tipo de muestra &#40;total y profesionales de los SUE&#41;&#44; tasa de respuesta&#44; &#237;ndices de fiabilidad del MBI&#44; tipo de MBI &#40;MBI-HSS&#44; MBI-GS&#41;&#44; niveles en las dimensiones del <span class="elsevierStyleItalic">burnout</span> &#40;bajo&#44; medio&#44; alto&#59; se recogen de cada trabajo y ven&#237;an establecidos seg&#250;n se indica en el manual de la prueba en cada caso&#41;&#44; principales resultados sobre factores de riesgo asociados al <span class="elsevierStyleItalic">burnout</span>&#44; comparaci&#243;n de los niveles de <span class="elsevierStyleItalic">burnout</span> entre enfermeros y otros profesionales de los SUE&#44; as&#237; como el tipo de revista en que se publica la investigaci&#243;n&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Los estudios emp&#237;ricos fueron codificados de forma independiente por dos investigadores&#46; El grado de acuerdo medio en las variables continuas se calcul&#243; a trav&#233;s del coeficiente de correlaci&#243;n intraclase y su valor medio fue de 0&#46;95 &#40;m&#237;nimo<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;84&#59; m&#225;ximo<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#46; El grado de acuerdo medio en las variables categ&#243;ricas se calcul&#243; mediante el coeficiente Kappa de Cohen&#44; obteni&#233;ndose un valor medio de 0&#46;87 &#40;m&#237;nimo<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;74&#59; m&#225;ximo<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="par0085" class="elsevierStylePara elsevierViewall">Respecto a la localizaci&#243;n de los estudios&#44; un 25&#46;9&#37; se realizaron en Espa&#241;a&#44; un 14&#46;8&#37; en Brasil&#44; un 11&#46;1&#37; en Reino Unido&#44; un 7&#46;4&#37; en Estados Unidos y un 3&#46;7&#37; en cada uno de los pa&#237;ses siguientes&#58; Chile&#44; China&#44; Egipto&#44; Grecia&#44; Holanda&#44; Ir&#225;n&#44; Irlanda&#44; M&#233;xico y Turqu&#237;a&#46; En cuanto al idioma&#44; el 59&#46;2&#37; de los estudios estaban publicados en ingl&#233;s&#44; el 25&#46;9&#37; en lengua espa&#241;ola y por &#250;ltimo el 14&#46;8&#37; en portugu&#233;s&#46; El dise&#241;o en los trabajos revisados fue de tipo descriptivo transversal&#44; a excepci&#243;n de un estudio de dise&#241;o longitudinal &#40;Adriaenssen&#44; De Gucht &#38; Maes&#44; 2013&#41;&#46; La mayor&#237;a de los estudios informaron de un tama&#241;o muestral entre 50 y 100 participantes &#40;37&#37;&#41;&#44; una tasa de respuesta superior al 75&#37; &#40;55&#46;6&#37;&#41; y un muestreo de tipo intencional &#40;85&#46;1&#37;&#41;&#46; Por el contrario&#44; tan solo el 26&#37; de ellos inform&#243; del valor alfa de Cronbach de alguna de las dimensiones del MBI &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Prevalencia y valores promedio de <span class="elsevierStyleItalic">burnout</span> en enfermer&#237;a de urgencias</span><p id="par0090" class="elsevierStylePara elsevierViewall">Hay gran variabilidad en los niveles informados de <span class="elsevierStyleItalic">burnout</span> de los enfermeros&#46; En la dimensi&#243;n CE&#44; se obtienen principalmente valores intermedios y altos &#40;<a class="elsevierStyleCrossRefs" href="#bib0045">Casa&#44; Rinc&#243;n &#38; Vila&#44; 2012&#59; Escrib&#225;-Ag&#252;ir&#44; Mart&#237;n-Baena &#38; P&#233;rez-Hoyos&#44; 2006&#59; Fernandes&#44; Sousa&#44; Santos&#44; Rodrigues &#38; Marziale&#44; 2012&#59; Gillespie &#38; Melby&#44; 2003&#59; Keller &#38; Verdes&#44; 1990&#59; Melita&#44; Cruz &#38; Merino&#44; 2008&#59; R&#237;os et al&#46;&#44; 2008&#59; Stathopoulou&#44; Karanikola&#44; Topoulou &#38; Papathanassoglou&#44; 2011&#59; Walsh&#44; Dolan&#44; &#38; Lewis&#44; 1998</a>&#41;&#46; Cabe destacar que en el trabajo de <a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a&#44; Martino&#44; Aniceto y Silva &#40;2012&#41;</a>&#44; se informa de valores altos de CE en un 88&#46;9&#37; de la muestra&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Los estudios revisados informan mayoritariamente de valores altos en D&#44; en este grupo de profesionales &#40;<a class="elsevierStyleCrossRefs" href="#bib0045">Casa et al&#46;&#44; 2012&#59; Fran&#231;a et al&#46;&#44; 2012&#59; Stathopoulou et al&#46;&#44; 2011&#59; Escrib&#225;-Ag&#252;ir et al&#46;&#44; 2006&#59; Keller &#38; Verdes&#44; 1990</a>&#41;&#46; No obstante se encuentran trabajos en los que una parte de la muestra presenta porcentajes o promedios que corresponden a niveles medios o bajos en esta dimensi&#243;n &#40;<a class="elsevierStyleCrossRefs" href="#bib0100">Fernandes et al&#46;&#44; 2012&#59; Melita et al&#46;&#44; 2008&#59; R&#237;os et al&#46;&#44; 2008</a>&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">En RP los niveles encontrados en la literatura tambi&#233;n son contradictorios&#46; Algunos estudios indican que las enfermeras de SUE se sienten realizadas &#40;<a class="elsevierStyleCrossRefs" href="#bib0045">Casa et al&#46;&#44; 2012&#59; Fernandes et al&#46;&#44; 2012&#59; Gillespie &#38; Melby&#44; 2003</a>&#41;&#44; sin embargo&#44; otros autores encuentran niveles bajos de RP &#40;<a class="elsevierStyleCrossRef" href="#bib0195">Stathopoulou et al&#46;&#44; 2011</a>&#41; en un porcentaje importante de la muestra&#59; as&#237;&#44; el 42&#37; de la muestra de <a class="elsevierStyleCrossRef" href="#bib0140">Keller &#38; Verdes &#40;1990&#41;</a> obten&#237;an baja RP&#44; de igual modo ocurr&#237;a en un 46&#46;5&#37; de la muestra de <a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os et al&#46; &#40;2008&#41;</a>&#44; el 41&#46;80&#37; de la muestra de <a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir et al&#46; &#40;2006&#41;</a> e incluso en el 97&#46;4&#37; de la muestra de <a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a et al&#46; &#40;2012&#41;</a>&#46; Otros estudios informan de valores intermedios de RP &#40;<a class="elsevierStyleCrossRef" href="#bib0150">Melita et al&#46;&#44; 2008</a>&#41;&#46; En la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> se incluyen los porcentajes de participantes que obtienen niveles&#44; bajos&#44; medios o altos en cada una de las dimensiones del s&#237;ndrome en los trabajos revisados&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">Algunos de los trabajos revisados no ofrec&#237;an informaci&#243;n que permitiese establecer la prevalencia de <span class="elsevierStyleItalic">burnout</span> en estos profesionales&#59; sin embargo&#44; en ellos se obtiene informaci&#243;n descriptiva diferente que tambi&#233;n permite conocer en qu&#233; medida estos profesionales presentan el s&#237;ndrome&#46; Esta informaci&#243;n se encuentra en la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Los estudios revisados ofrecen an&#225;lisis descriptivos de sus muestras de participantes&#44; sin llegar a ofrecer la estimaci&#243;n de la prevalencia del trastorno para la poblaci&#243;n correspondiente&#46; A partir de los resultados de los estudios revisados&#44; se ha estimado dicha prevalencia poblacional mediante el m&#233;todo bayesiano&#44; especialmente indicado cuando las inferencias se realizan a partir de muestras&#44; algunas de tama&#241;o peque&#241;o &#40;<a class="elsevierStyleCrossRef" href="#bib0215">Wilkinson&#44; 1999</a>&#41;&#46; Las prevalencias estimadas para cada uno de los niveles &#40;bajo&#44; medio&#44; alto&#41; de <span class="elsevierStyleItalic">burnout</span> en cada una de las dimensiones del s&#237;ndrome para la poblaci&#243;n de profesionales de enfermer&#237;a en SUE se incluyen en las <a class="elsevierStyleCrossRefs" href="#tbl0020">tablas 4&#8211;6</a>&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><elsevierMultimedia ident="tbl0030"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Factores de riesgo de padecimiento del s&#237;ndrome de <span class="elsevierStyleItalic">burnout</span></span><p id="par0120" class="elsevierStylePara elsevierViewall">Uno de los factores sociodemogr&#225;ficos asociado con el s&#237;ndrome es el sexo de los profesionales&#46; <a class="elsevierStyleCrossRef" href="#bib0010">Adriaenssens et al&#46; &#40;2013&#41;</a> informan de diferencias significativas en CE entre hombres y mujeres&#44; las &#250;ltimas presentan niveles m&#225;s bajos&#46; Igualmente ocurre en la dimensi&#243;n D&#44; en la que los hombres parecen m&#225;s vulnerables &#40;<a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os et al&#46;&#44; 2008</a>&#41;&#44; aunque algunos autores informan de ausencia de relaci&#243;n significativa entre g&#233;nero y <span class="elsevierStyleItalic">burnout</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0075">Eagar&#44; 2003</a>&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">La relaci&#243;n entre edad y <span class="elsevierStyleItalic">burnout</span> tambi&#233;n ha sido controvertida&#59; algunos estudios indican que los niveles de CE son iguales entre los menores de 29 a&#241;os y los mayores de 30 &#40;<a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a et al&#46;&#44; 2012</a>&#41;&#44; mientras que otros informan de mayor CE en los profesionales que tienen entre 50 y 59 a&#241;os &#40;<a class="elsevierStyleCrossRef" href="#bib0150">Melita et al&#46;&#44; 2008</a>&#41;&#46; Tambi&#233;n hay quienes afirman que no existen diferencias en CE en funci&#243;n de la edad &#40;<a class="elsevierStyleCrossRefs" href="#bib0010">Adriaenssens et al&#46;&#44; 2013&#59; Eagar&#44; 2003&#59; Iba&#241;ez&#44; Vlaregut &#38; Abio&#44; 2004&#59; R&#237;os et al&#46;&#44; 2008</a>&#41;&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Seg&#250;n <a class="elsevierStyleCrossRef" href="#bib0025">Benetti&#44; Stumm&#44; Izolan&#44; Ramos y Kirchner &#40;2009&#41;</a>&#44; los niveles de <span class="elsevierStyleItalic">burnout</span> son m&#225;s elevados en aquellas personas que no tienen una relaci&#243;n estable&#46; Por el contrario <a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os et al&#46; &#40;2008&#41;</a> y <a class="elsevierStyleCrossRef" href="#bib0010">Adriaenssens et al&#46; &#40;2013&#41;</a>&#44; indican que no existen diferencias significativas en los niveles de <span class="elsevierStyleItalic">burnout</span> en funci&#243;n del estado civil o se informa de una tendencia diferencial en D &#40;<a class="elsevierStyleCrossRef" href="#bib0150">Melita et al&#46;&#44; 2008</a>&#41;&#46; De igual modo se ha informado de tendencia a sufrir mayores niveles&#44; en las tres dimensiones del s&#237;ndrome&#44; en personas con hijos &#40;<a class="elsevierStyleCrossRefs" href="#bib0105">Fran&#231;a et al&#46;&#44; 2012&#59; R&#237;os et al&#46;&#44; 2008</a>&#41;&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Respecto a las variables laborales&#44; el salario&#44; n&#250;mero de pacientes atendidos o el nivel de formaci&#243;n&#44; no parecen estar asociadas al desarrollo del s&#237;ndrome &#40;<a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a et al&#46;&#44; 2012</a>&#41;&#46; Atendiendo a la experiencia laboral&#44; parece ser que los grupos extremos son los m&#225;s afectados por el s&#237;ndrome &#40;<a class="elsevierStyleCrossRefs" href="#bib0150">Melita et al&#46;&#44; 2008&#59; R&#237;os et al&#46;&#44; 2008</a>&#41;&#46; En las variables carga y control laboral&#44; recursos materiales y personales&#44; y satisfacci&#243;n y compromiso laboral&#44; se encuentran asociaciones significativas y negativas con la dimensi&#243;n CE del <span class="elsevierStyleItalic">burnout</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0010">Adriaenssens et al&#46;&#44; 2013</a>&#41;&#46; En particular&#44; cabe destacar que la carga laboral presenta asociaci&#243;n negativa con el nivel de D &#40;<a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a et al&#46;&#44; 2012</a>&#41;&#44; aunque algunos autores resaltan que dicha asociaci&#243;n solo refleja una tendencia&#44; que no concluye en la obtenci&#243;n de diferencias significativas en funci&#243;n de las horas de trabajo &#40;<a class="elsevierStyleCrossRef" href="#bib0010">Adriaenssens et al&#46;&#44; 2013</a>&#41;&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">El turno tambi&#233;n parece asociado con el desarrollo del <span class="elsevierStyleItalic">burnout</span>&#59; los enfermeros con turnos exclusivamente diurnos se sienten m&#225;s realizados que los profesionales con turno rotatorio &#40;<a class="elsevierStyleCrossRefs" href="#bib0110">Garc&#237;a-Izquierdo &#38; R&#237;os&#44; 2012&#59; Melita et al&#46;&#44; 2008</a>&#41;&#46; El tipo de contrato parece asociado a la D&#44; los empleados fijos y los sustitutos con contratos de larga duraci&#243;n son los que presentan una puntuaci&#243;n m&#225;s alta en esta dimensi&#243;n &#40;<a class="elsevierStyleCrossRef" href="#bib0110">Garc&#237;a-Izquierdo &#38; R&#237;os&#44; 2012</a>&#41;&#46; La percepci&#243;n de la falta de recursos en la unidad se asocia a niveles m&#225;s altos de CE y significativamente m&#225;s bajos de RP &#40;<a class="elsevierStyleCrossRef" href="#bib0150">Melita et al&#46;&#44; 2008</a>&#41;&#46; El tipo de hospital en el que se trabaja&#44; podr&#237;a ser tambi&#233;n un factor asociado al trastorno y los profesionales que est&#225;n en centros p&#250;blicos son los menos afectados por el s&#237;ndrome&#46; Tener otros empleos no parece tener influencia en el desarrollo del <span class="elsevierStyleItalic">burnout</span> &#40;<a class="elsevierStyleCrossRef" href="#bib0150">Melita et al&#46;&#44; 2008</a>&#41;&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Entre las variables de tipo psicol&#243;gico asociadas con el <span class="elsevierStyleItalic">burnout</span>&#44; la ira no parece predecir los niveles de CE y D&#44; aunque el control de la ira podr&#237;a tener un papel importante en la predicci&#243;n de la RP de los trabajadores &#40;<a class="elsevierStyleCrossRef" href="#bib0090">Ersoy-Kart&#44; 2009</a>&#41;&#46; La presencia de altos niveles de estr&#233;s result&#243; tener una asociaci&#243;n positiva con las tres dimensiones del <span class="elsevierStyleItalic">burnout</span> en enfermer&#237;a de urgencias &#40;<a class="elsevierStyleCrossRef" href="#bib0110">Garc&#237;a-Izquierdo &#38; R&#237;os&#44; 2012</a>&#41;&#46; La ausencia de apoyo emocional junto a la carga de trabajo son predictores de CE&#59; ambas variables junto al tipo de contrato predicen la D y esas variables junto a los conflictos personales predicen bajos niveles de RP de estos profesionales &#40;<a class="elsevierStyleCrossRef" href="#bib0110">Garc&#237;a-Izquierdo &#38; R&#237;os&#44; 2012</a>&#41;&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Otras variables asociadas con los niveles de <span class="elsevierStyleItalic">burnout</span> fueron&#58; la intenci&#243;n de cambiar de trabajo &#40;<a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os&#44; Mart&#237;nez&#44; Sabuco&#44; Lozano &#38; Mateo&#44; 2012</a>&#41;&#44; la realizaci&#243;n de actividad f&#237;sica o tener dolores de espalda &#40;<a class="elsevierStyleCrossRefs" href="#bib0105">Fran&#231;a et al&#46;&#44; 2012&#59; Sorour &#38; Abd El-Maksoud&#44; 2012</a>&#41; y los niveles de ansiedad &#40;<a class="elsevierStyleCrossRef" href="#bib0195">Stathopoulou et al&#46;&#44; 2011</a>&#41;&#46; Los factores de riesgo asociados m&#225;s frecuentemente con el <span class="elsevierStyleItalic">burnout</span> en los trabajos revisados aparecen en la <a class="elsevierStyleCrossRef" href="#fig0010">figura 2</a>&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Comparaci&#243;n de los niveles de <span class="elsevierStyleItalic">burnout</span> con otros profesionales de la unidad de urgencias y otros servicios hospitalarios</span><p id="par0155" class="elsevierStylePara elsevierViewall">Los resultados obtenidos indican que los enfermeros presentaban niveles ligeramente m&#225;s bajos que los m&#233;dicos en CE y D &#40;<a class="elsevierStyleCrossRefs" href="#bib0025">Benetti et al&#46;&#44; 2009&#59; De Quir&#243;s-Arag&#243;n y Labrador-Encinas&#44; 2007&#59; Ritter&#44; Stumm &#38; Kircher&#44; 2009</a>&#41;&#44; o solo en CE &#40;<a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir et al&#46;&#44; 2006</a>&#41; mientras que otros afirman que no existen diferencias significativas entre ambas categor&#237;as &#40;<a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir et al&#46;&#44; 2006</a>&#41;&#46; En los niveles de RP&#44; <a class="elsevierStyleCrossRef" href="#bib0025">Benetti et al&#46; &#40;2009&#41;</a> informa de puntuaciones similares&#44; mientras que <a class="elsevierStyleCrossRef" href="#bib0180">Ritter et al&#46; &#40;2009&#41;</a> y <a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir et al&#46; &#40;2006&#41;</a> obtienen niveles m&#225;s altos para los m&#233;dicos&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Seg&#250;n <a class="elsevierStyleCrossRef" href="#bib0100">Fernandes et al&#46; &#40;2012&#41;</a>&#44; enfermeros y t&#233;cnicos en cuidados auxiliares de enfermer&#237;a &#40;TCAE&#41; tienen niveles similares en CE&#44; mientras que <a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os et al&#46; &#40;2012&#41;</a> concluyen que los enfermeros punt&#250;an m&#225;s alto&#46; Los TCAE despersonalizan m&#225;s seg&#250;n <a class="elsevierStyleCrossRef" href="#bib0100">Fernandes et al&#46; &#40;2012&#41;</a>&#44; y los enfermeros son m&#225;s vulnerables seg&#250;n <a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os et al&#46; &#40;2012&#41;</a>&#46; El nivel de RP es mayor en los profesionales de enfermer&#237;a &#40;<a class="elsevierStyleCrossRef" href="#bib0100">Fernandes et al&#46;&#44; 2012</a>&#41;&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Si se compara la enfermer&#237;a de urgencias con la de otros servicios&#44; se obtiene que los niveles de CE y D fueron mayores en los profesionales de urgencias&#44; quienes se sintieron menos realizados &#40;<a class="elsevierStyleCrossRef" href="#bib0030">Browning&#44; Ryan&#44; Thomas&#44; Greenberg &#38; Rolniak&#44; 2007</a>&#41;&#46; Los enfermeros de urgencias y los de cuidados intensivos presentaban puntuaciones similares en todas las dimensiones del <span class="elsevierStyleItalic">burnout</span> &#40;<a class="elsevierStyleCrossRefs" href="#bib0020">Ahmadi&#44; Azizkhani &#38; Basravi&#44; 2014&#59; Gillespie &#38; Melby&#44; 2003&#59; R&#237;os et al&#46;&#44; 2008</a>&#41;&#59; de igual modo no se encontraron diferencias en relaci&#243;n con otros servicios como medicina interna o los servicios con pacientes semicr&#237;ticos &#40;<a class="elsevierStyleCrossRef" href="#bib0135">Iba&#241;ez et al&#46;&#44; 2004</a>&#41;&#46; En servicios como cirug&#237;a&#44; pediatr&#237;a&#44; obstetricia y ginecolog&#237;a solo se encontraron mayores niveles de RP en la enfermer&#237;a de urgencias y no se encontraron diferencias en CE ni D &#40;<a class="elsevierStyleCrossRef" href="#bib0220">Yao et al&#46;&#44; 2013</a>&#41;&#46; En relaci&#243;n con otros servicios como di&#225;lisis&#44; ortopedia o enfermeros en residencias geri&#225;tricas&#44; el nivel de <span class="elsevierStyleItalic">burnout</span> fue mayor en las urgencias &#40;<a class="elsevierStyleCrossRefs" href="#bib0020">Ahmadi et al&#46;&#44; 2014&#59; Casa et al&#46;&#44; 2012</a>&#41;&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Como contrapartida&#44; <a class="elsevierStyleCrossRef" href="#bib0060">De los R&#237;os&#44; Barrios-Santiago&#44; Ocampo-Mancilla y &#193;vila-Rojas 2007</a> informan que los profesionales de enfermer&#237;a de SUE tienen niveles de <span class="elsevierStyleItalic">burnout</span> significativamente mayores que los que desarrollan su labor en servicios de cirug&#237;a&#44; di&#225;lisis&#44; unidad de cuidados intensivos y medicina interna&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Discusi&#243;n</span><p id="par0175" class="elsevierStylePara elsevierViewall">El an&#225;lisis de la informaci&#243;n recogida indica que m&#225;s del 50&#37; de los participantes en las investigaciones revisadas&#44; desarrollaron el trastorno y se encontraban en niveles medios o altos y&#44; por tanto&#44; como se ha reiterado en la literatura sobre el tema &#40;<a class="elsevierStyleCrossRefs" href="#bib0040">Ca&#241;adas-de la Fuente et al&#46;&#44; 2015&#59; Fran&#231;a et al&#46;&#44; 2012</a>&#41;&#44; en situaci&#243;n de riesgo de estar en una de las fases de mayor gravedad del trastorno&#46; Como han puesto de manifiesto diferentes autores&#44; la prevalencia de <span class="elsevierStyleItalic">burnout</span> en los profesionales de enfermer&#237;a es alta &#40;<a class="elsevierStyleCrossRef" href="#bib0035">Ca&#241;adas-de la Fuente et al&#46;&#44; 2014</a>&#41;&#46; Respecto a las dimensiones m&#225;s importantes del <span class="elsevierStyleItalic">burnout</span>&#44; se estiman prevalencias cercanas al 38 y 28&#37;&#44; respectivamente&#44; en niveles medios y altos&#44; de la dimensi&#243;n CE&#59; y cercanas al 38 y 33&#37; en los niveles medios y altos de la dimensi&#243;n D&#46; Estos datos junto a la totalidad de los incluidos en las tablas de resultados&#44; hablan inequ&#237;vocamente de la gravedad del problema&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Entre los principales factores de riesgo del s&#237;ndrome destacan el g&#233;nero&#44; edad&#44; experiencia y carga laboral&#44; la antig&#252;edad en el servicio&#44; satisfacci&#243;n&#44; compromiso y turno laboral&#46; En variables como el estado civil o el n&#250;mero de hijos la relaci&#243;n con el s&#237;ndrome no es clara&#46; De acuerdo con <a class="elsevierStyleCrossRefs" href="#bib0020">Ahmadi et al&#46;&#44; 2014&#59; Garc&#237;a-Izquierdo y R&#237;os&#44; 2012</a>&#44; consideramos necesaria m&#225;s investigaci&#243;n que incluya el an&#225;lisis de asociaciones entre el <span class="elsevierStyleItalic">burnout</span> y algunas de las variables m&#225;s relevantes asociadas al mismo&#44; lo que permitir&#237;a establecer perfiles de riesgo de padecimiento del s&#237;ndrome entre estos profesionales&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Los enfermeros muestran valores similares aunque algo menores en CE&#44; D y RP que los m&#233;dicos&#44; mientras que obtienen valores superiores a otros profesionales de estos SUE&#46; A excepci&#243;n de los servicios de cuidados intensivos&#44; en el resto de servicios considerados&#44; los profesionales presentan niveles de <span class="elsevierStyleItalic">burnout</span> menores que en urgencias &#40;<a class="elsevierStyleCrossRefs" href="#bib0020">Ahmadi et al&#46;&#44; 2014&#59; Casa et al&#46;&#44; 2012</a>&#41;&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">Los estudios analizados han sido realizados en diferentes pa&#237;ses y Sistemas de Salud&#44; lo que ha podido favorecer que exista una alta variabilidad en los resultados obtenidos&#46; Lo anterior&#44; indica que la revisi&#243;n sistem&#225;tica de los trabajos&#44; aun siendo una buena aproximaci&#243;n inicial al estudio del problema&#44; es mejorable&#46; Adem&#225;s&#44; los indicadores utilizados para evaluar la calidad metodol&#243;gica de los estudios primarios indican que las investigaciones emp&#237;ricas son asimismo mejorables&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Destaca el bajo porcentaje de trabajos que informan de la fiabilidad del MBI obtenida en sus propias muestras&#44; lo que puede sugerir que se est&#233; llevando a cabo la mala pr&#225;ctica llamada inducci&#243;n de la fiabilidad &#40;<a class="elsevierStyleCrossRef" href="#bib0200">Vacha-Haase&#44; Kogan &#38; Thompson&#44; 2000</a>&#41;&#44; como ya lo han mostrado otros estudios &#40;<a class="elsevierStyleCrossRef" href="#bib0015">Aguayo&#44; Vargas&#44; De la Fuente &#38; Lozano&#44; 2011</a>&#41;&#46; Resulta necesario realizar metaan&#225;lisis que permitan concretar la estimaci&#243;n de los tama&#241;os del efecto de las relaciones entre el <span class="elsevierStyleItalic">burnout</span> y aquellos factores de riesgo asociados al s&#237;ndrome&#44; en estos servicios de especial propensi&#243;n al desarrollo del trastorno &#40;<a class="elsevierStyleCrossRef" href="#bib0205">Vargas&#44; Ca&#241;adas&#44; Aguayo&#44; Fern&#225;ndez &#38; De la Fuente&#44; 2014</a>&#41;&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">El presente trabajo tiene algunas limitaciones&#46; En primer lugar el uso de la revisi&#243;n sistem&#225;tica y no del metaan&#225;lisis para la integraci&#243;n de la informaci&#243;n proveniente de los trabajos considerados&#46; Por otra parte&#44; el uso de un bajo n&#250;mero de estudios que informan de la situaci&#243;n de enfermeros de SUE respecto a otras categor&#237;as profesionales y servicios&#44; exige prudencia al interpretar estos resultados&#46; El dise&#241;o de los estudios&#44; aunque coincide en todos los trabajos revisados&#44; no garantiza que los resultados sean siempre comparables&#46; Por &#250;ltimo&#44; indicar que en los trabajos revisados utilizan mayoritariamente el baremo para poblaci&#243;n general de la versi&#243;n del MBI&#46; La interpretaci&#243;n podr&#237;a cambiar si se utilizasen baremos del instrumento obtenidos espec&#237;ficamente para profesionales de enfermer&#237;a lo que existe para alguna otra herramienta &#40;<a class="elsevierStyleCrossRef" href="#bib0055">De la Fuente et al&#46;&#44; 2015</a>&#41; pero&#44; que sepamos&#44; no existe para el MBI&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Financiaci&#243;n</span><p id="par0205" class="elsevierStylePara elsevierViewall">Este trabajo ha sido financiado por el Proyecto de Excelencia P11HUM-7771 &#40;Junta de Andaluc&#237;a&#44; Espa&#241;a&#41; y el Proyecto de Investigaci&#243;n mP&#95;BS&#95;6 &#40;CEI BioTic Granada y Ministerio de Ciencia e Innovacio¿n&#44; Espa&#241;a&#41;&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Este trabajo tiene como objetivos conocer los niveles de <span class="elsevierStyleItalic">burnout</span>&#44; estimar la prevalencia del trastorno as&#237; como analizar las relaciones entre algunos factores de riesgo y el s&#237;ndrome en profesionales de enfermer&#237;a que trabajan en servicios de urgencias&#46; Se ha realizado una revisi&#243;n sistem&#225;tica de estudios primarios cuantitativos que midiesen el s&#237;ndrome de <span class="elsevierStyleItalic">burnout</span> en enfermeros del servicio de urgencias&#46; La b&#250;squeda se realiz&#243; en octubre de 2014 en las siguientes bases&#58; CINAHL&#44; CUIDEN&#44; IBECS&#44; LILACS&#44; Pubmed&#44; Proquest&#44; Psycinfo&#44; Scielo&#44; Scopus y la Biblioteca Cochrane&#46; Siguiendo los criterios de inclusi&#243;n y exclusi&#243;n se obtuvo una muestra final de 27 estudios&#46; Se han encontrado mayoritariamente niveles medios y altos en la dimensi&#243;n cansancio emocional&#46; En la dimensi&#243;n despersonalizaci&#243;n los valores han sido principalmente de nivel intermedio aunque tambi&#233;n se han encontrado estudios que informan de niveles altos&#46; En la dimensi&#243;n realizaci&#243;n personal no existe consenso en la literatura revisada sobre un nivel m&#225;s prevalente&#46; Variables como el g&#233;nero&#44; el turno de trabajo y la carga horaria&#44; entre otras&#44; son factores de riesgo de <span class="elsevierStyleItalic">burnout</span>&#46; Los trabajos revisados informan de niveles intermedios y altos en todas las dimensiones del <span class="elsevierStyleItalic">burnout</span> y concluyen que la prevalencia de <span class="elsevierStyleItalic">burnout</span> en enfermeros de servicios de urgencias es alta&#46; Algunos factores de riesgo sociodemogr&#225;ficos&#44; como edad y sexo&#44; otros laborales como antig&#252;edad en la profesi&#243;n y servicio&#44; y alguno psicol&#243;gico&#44; como ansiedad&#44; juegan un papel importante por su relaci&#243;n con el <span class="elsevierStyleItalic">burnout</span>&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This research sought to explore the level of burnout&#44; to estimate its prevalence&#44; and to analyze the relationships among some risk factors and the syndrome in nurses working at emergency departments&#46; A systematic review of primary quantitative studies that measure the burnout syndrome in emergency department nurses has been performed&#46; The search was done in October 2014 in these databases&#58; CINAHL&#44; CUIDEN&#44; IBECS&#44; LILACS&#44; Pubmed&#44; Proquest&#44; Psycinfo&#44; Scielo&#44; Scopus and Cochrane Library&#46; A sample of 27 studies was obtained following the inclusion and exclusion criteria&#46; Medium and high levels of emotional exhaustion dimension were mostly found&#46; Depersonalization dimension values were mainly middle level&#44; but also some studies found reported high levels&#46; As for the personal accomplishment dimension&#44; there was no consensus as to the most prevalent level in the literature reviewed&#46; Variables such as gender&#44; work shift and workload among others&#44; can play a role as risk factors&#46; The studies reviewed report medium and high level of each burnout dimension&#44; and conclude that the prevalence of burnout in emergency nurses is high&#46; Some sociodemographic risk factors such as age and sex&#44; other occupational risk factors such as seniority in the profession and service&#44; and some psychological risk factors such as anxiety&#44; play an important role in the relationship with burnout&#46;</p></span>"
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Caracter&#237;sticas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Modalidades&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Prop&#243;sito principal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Medir niveles de <span class="elsevierStyleItalic">burnout</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Analizar relaciones entre variables&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&#46;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Cuantitativo longitudinal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tama&#241;o muestral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">18&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50-100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">101-500&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62; 500&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Aleatorizado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Intencional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">85&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tasa de respuesta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25-49&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50-75&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">76-100&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Alfa de Cronbach</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;70-0&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62; 0&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">D&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;70-0&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62; 0&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">RP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;70-0&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62; 0&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tipo de muestra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Solo enfermeras de urgencias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Mixta con otros profesionales o servicios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tipo de MBI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">MBI-Human Services Survey&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">85&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">MBI-General Survey&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Pa&#237;s de realizaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Espa&#241;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Brasil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Reino Unido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Estados Unidos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Otros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Idioma&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Espa&#241;ol&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ingl&#233;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Portugu&#233;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tipo de publicaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Revista Nacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Revista Internacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">88&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Tesis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "es" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los estudios incluidos en la revisi&#243;n &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41;</p>"
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          "leyenda" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">N<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>n&#250;mero total de participantes&#59; &#37; urgencias<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>porcentaje de participantes que trabajan en servicios de urgencias&#46;</p>"
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                  <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="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Cansancio emocional</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Despersonalizaci&#243;n</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Realizaci&#243;n personal</th><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Bajo &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Medio &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Alto &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Bajo &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Medio &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Alto &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Bajo &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Medio &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Alto &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">N &#40;&#37; de urgencias&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0045">Casa&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41 &#40;73&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0075">Eagar&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">173 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Aguir&#44; 2006</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">66&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">46&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">639 &#40;42&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0100">Fernandes&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">41&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50 &#40;34&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">88&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0120">Gillespie&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30 &#40;66&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0140">Keller&#44; 1990</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">532 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0160">O&#8217;Mahony&#44; 2011</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">64 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os&#44; 2008</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">49&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">32&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">41&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">125 &#40;52&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">34&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">21&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">26&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">23&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">21&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">128 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "es" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Descripci&#243;n de los niveles de <span class="elsevierStyleItalic">burnout</span> en enfermeros &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#41;</p>"
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          "leyenda" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">X&#175;<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>media&#59; DT<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>desviaci&#243;n t&#237;pica&#59; N<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>n&#250;mero total de participantes&#59; &#37; urgencias<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>porcentaje de participantes que trabajan en servicios de urgencias&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
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                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="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col">Cansancio emocional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col">Despersonalizaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col">Realizaci&#243;n personal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">X&#175; &#40;DT&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">X&#175; &#40;DT&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">X&#175; &#40;DT&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">N &#40;&#37; de urgencias&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0025">Benetti&#44; 2009</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;8 &#40;0&#46;33&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;6 &#40;0&#46;47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#46;5 &#40;0&#46;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">33 &#40;18&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0030">Browning&#44; 2007</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#46;8 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#46;9 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">37&#46;9 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">228 &#40;43&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0060">De los R&#237;os-Castillo&#44; 2007</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;0 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#46;0 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#46;0 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">70 &#40;24&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0090">Ersoy-Kart&#44; 2009</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#46;1 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0125">Helps&#44; 1997</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#46;3 &#40;9&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;09 &#40;6&#46;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">36&#46;09 &#40;5&#46;47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">51 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0135">Ib&#225;&#241;ez&#44; 2004</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#46;1 &#40;10&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#46;7 &#40;4&#46;40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34&#46;6 &#40;10&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">70 &#40;42&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0150">Melita&#44; 2008</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#46;5 &#40;10&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#46;2 &#40;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34&#46;8 &#40;7&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">91 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0165">Popa&#44; 2010</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;65 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;1 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#46;4 &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4693 &#40;52&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0065">Quir&#243;s-Arag&#243;n&#44; 2007</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#46;07 &#40;8&#46;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#46;07 &#40;4&#46;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">33&#46;0 &#40;8&#46;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">76 &#40;35&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0180">Ritter&#44; 2009</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;9 &#40;0&#46;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#46;60 &#40;0&#46;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#46;57 &#40;0&#46;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38 &#40;86&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0195">Stathopoulou&#44; 2011</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#46;8 &#40;11&#46;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#46;1 &#40;0&#46;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#46;7 &#40;8&#46;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">213 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0220">Yao&#44; 2013</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#46;7 &#40;5&#46;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#46;3 &#40;4&#46;85&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#46;2 &#40;7&#46;91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">845 &#40;13&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CE bajo</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CE medio</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CE alto</th><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0045">Casa&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;193&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;514&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;375&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;546&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;313&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;167&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;481&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0075">Eagar&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;063&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;032&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;103&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">173&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir&#44; 2006</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;807&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;759&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;851&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;193&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;149&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;242&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0100">Fernandes&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;368&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;173&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;589&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;526&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;307&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;739&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;158&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;036&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;347&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;875&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;758&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;957&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0120">Gillespie&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;228&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;083&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;418&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;591&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;384&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;782&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;228&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;083&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;418&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0140">Keller&#44; 1990</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;391&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;253&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;361&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;321&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;403&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">532&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0160">O&#8217;Mahony&#44; 2011</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;667&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;774&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os&#44; 2008</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;313&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;493&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;378&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;609&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;209&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;421&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;438&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;355&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;524&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;346&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;268&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;429&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;223&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;298&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">128&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;216&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;194&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;239&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;379&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;353&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;406&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;285&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;256&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "es" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Estimaci&#243;n puntual y por intervalos bayesiana de la prevalencia de CE en la poblaci&#243;n de enfermeros de SUE</p>"
        ]
      ]
      6 => array:7 [
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        "etiqueta" => "Tabla 5"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">D<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>despersonalizaci&#243;n&#59; L<span class="elsevierStyleInf">I</span><span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>l&#237;mite inferior&#59; L<span class="elsevierStyleInf">S</span><span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>l&#237;mite superior&#59; n<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>n&#250;mero de participantes que trabajan en servicios de urgencias&#59; Punt<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>estimaci&#243;n puntual&#46;</p>"
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            0 => array:2 [
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                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="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">D bajo</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">D medio</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">D alto</th><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0045">Casa&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;411&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;411&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;531&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;698&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0075">Eagar&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;045&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;125&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">173&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir&#44; 2006</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;658&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;601&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;713&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;342&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;287&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;399&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0100">Fernandes&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;474&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;261&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;693&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;368&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;173&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;589&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;064&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;413&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;975&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;911&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;999&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0120">Gillespie&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;909&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;761&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;988&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;091&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;238&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;045&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0140">Keller&#44; 1990</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;221&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;187&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;257&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;339&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;422&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;401&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;443&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">532&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0160">O&#8217;Mahony&#44; 2011</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;591&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;471&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;706&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os&#44; 2008</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;324&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;221&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;436&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;272&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;495&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;209&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;421&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;269&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;197&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;348&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;415&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;586&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;238&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;169&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;315&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">128&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;162&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;143&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;183&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;354&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;407&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;309&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;362&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Estimaci&#243;n puntual y por intervalos bayesiana de la prevalencia de D en la poblaci&#243;n de enfermeros de SUE</p>"
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        "etiqueta" => "Tabla 6"
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        "tabla" => array:2 [
          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">L<span class="elsevierStyleInf">I</span><span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>l&#237;mite inferior&#59; L<span class="elsevierStyleInf">S</span><span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>l&#237;mite superior&#59; n<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>n&#250;mero de participantes que trabajan en servicios de urgencias&#59; Punt<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>estimaci&#243;n puntual&#59; RP<span class="elsevierStyleHsp" style=""></span>&#58;<span class="elsevierStyleHsp" style=""></span>realizaci&#243;n personal&#46;</p>"
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            0 => array:2 [
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                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="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col">RP bajo</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col">RP medio</th><th class="td" title="table-head  " colspan="3" align="left" valign="top" scope="col">RP alto</th><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Punt&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0045">Casa&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;193&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;514&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;313&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;167&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;481&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;375&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;546&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0075">Eagar&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">173&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0095">Escrib&#225;-Ag&#252;ir&#44; 2006</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;465&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;407&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;524&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;535&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;476&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;593&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0100">Fernandes&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;105&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;526&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;307&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;739&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;421&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;215&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;642&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0105">Fran&#231;a&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;865&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;994&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0120">Gillespie&#44; 2003</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;045&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;363&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;181&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;637&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;819&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0140">Keller&#44; 1990</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;378&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;461&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;361&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;321&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;403&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;221&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;187&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;257&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">532&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0170">R&#237;os&#44; 2008</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;423&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;311&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;538&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;272&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;495&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;313&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0175">R&#237;os&#44; 2012</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;108&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;061&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;167&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;223&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;298&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;677&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;594&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;754&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">128&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;318&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;326&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;301&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;352&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;195&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;174&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;217&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1280&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "es" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Estimaci&#243;n puntual y por intervalos bayesiana de la prevalencia de RP en la poblaci&#243;n de enfermeros de SUE</p>"
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      "titulo" => "Referencias"
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              "etiqueta" => "Adriaenssens et al&#46;&#44; 2015"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Determinants and prevalence of burnout in emergency nurses&#58; a systematic review of 25 years of research"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Adriaenssens"
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                            2 => "S&#46; Maes"
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                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.ijnurstu.2014.11.004"
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                        "tituloSerie" => "International Journal of Nursing Studies"
                        "fecha" => "2015"
                        "volumen" => "52"
                        "numero" => "2"
                        "paginaInicial" => "649"
                        "paginaFinal" => "661"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25468279"
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            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "Adriaenssens et al&#46;&#44; 2013"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Causes and consequences of occupational stress in emergency nurses&#44; a longitudinal study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Adriaenssens"
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                    0 => array:2 [
                      "doi" => "10.1111/jonm.12138"
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Nursing Management"
                        "fecha" => "2013"
                        "volumen" => "23"
                        "numero" => "3"
                        "paginaInicial" => "346"
                        "paginaFinal" => "358"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24330154"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "Aguayo et al&#46;&#44; 2011"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A meta-analytic reliability generalization study of the Maslach Burnout Inventory"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Aguayo"
                            1 => "C&#46; Vargas"
                            2 => "E&#46;I&#46; de la Fuente"
                            3 => "L&#46;M&#46; Lozano"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "International Journal of Clinical and Health Psychology"
                        "fecha" => "2011"
                        "volumen" => "11"
                        "numero" => "2"
                        "paginaInicial" => "343"
                        "paginaFinal" => "361"
                      ]
                    ]
                  ]
                ]
              ]
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            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "Ahmadi et al&#46;&#44; 2014"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Correlation between workplace and occupational burnout syndrome in nurses"
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "O&#46; Ahmadi"
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                            2 => "M&#46; Basravi"
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/2277-9175.125751"
                      "Revista" => array:5 [
                        "tituloSerie" => "Advanced Biomedical Research"
                        "fecha" => "2014"
                        "volumen" => "24"
                        "numero" => "3"
                        "paginaInicial" => "44"
                      ]
                    ]
                  ]
                ]
              ]
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            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "Benetti et al&#46;&#44; 2009"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vari&#225;ves de burnout emprofissionais de umaunidade de emergencia hospitalar"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46;R&#46;R&#46; Benetti"
                            1 => "E&#46;M&#46;F&#46; Stumm"
                            2 => "F&#46; Izolan"
                            3 => "L&#46;P&#46; Ramos"
                            4 => "R&#46;M&#46; Kirchner"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5380/ce.v14i2.15613"
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                        "tituloSerie" => "Cogitare de Enfermagem"
                        "fecha" => "2009"
                        "volumen" => "14"
                        "numero" => "2"
                        "paginaInicial" => "269"
                        "paginaFinal" => "277"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "Browning et al&#46;&#44; 2007"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nursing specialty and burnout"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Browning"
                            1 => "C&#46;S&#46; Ryan"
                            2 => "S&#46; Thomas"
                            3 => "M&#46; Greenberg"
                            4 => "S&#46; Rolniak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1080/13548500600568290"
                      "Revista" => array:7 [
                        "tituloSerie" => "Psychology&#44; Health and Medicine"
                        "fecha" => "2007"
                        "volumen" => "12"
                        "numero" => "2"
                        "paginaInicial" => "148"
                        "paginaFinal" => "154"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17365895"
                            "web" => "Medline"
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                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "Ca&#241;adas-de la Fuente et al&#46;&#44; 2014"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evidencia de validez factorial del Maslach Burnout Inventory y estudio de los niveles de burnout en profesionales sanitarios"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46;A&#46; Ca&#241;adas-de la Fuente"
                            1 => "C&#46; San Luis"
                            2 => "L&#46;M&#46; Lozano"
                            3 => "C&#46; Vargas"
                            4 => "I&#46; Garc&#237;a"
                            5 => "E&#46;I&#46; de la Fuente"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0120-0534(14)70005-6"
                      "Revista" => array:6 [
                        "tituloSerie" => "Revista Latinoamericana de Psicolog&#237;a"
                        "fecha" => "2014"
                        "volumen" => "46"
                        "numero" => "1"
                        "paginaInicial" => "44"
                        "paginaFinal" => "52"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "Fuente et al&#46;&#44; 2015"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk factors and prevalence of burnout syndrome in the nursing profession"
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                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46;A&#46; Ca&#241;adas-De la Fuente"
                            1 => "C&#46; Vargas"
                            2 => "C&#46; San Luis"
                            3 => "I&#46; Garc&#237;a"
                            4 => "G&#46;R&#46; Ca&#241;adas"
                            5 => "E&#46;I&#46; de la Fuente"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ijnurstu.2014.07.001"
                      "Revista" => array:7 [
                        "tituloSerie" => "International Journal of Nursing Studies"
                        "fecha" => "2015"
                        "volumen" => "52"
                        "numero" => "1"
                        "paginaInicial" => "240"
                        "paginaFinal" => "249"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25062805"
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                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "Casa et al&#46;&#44; 2012"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "S&#237;ndrome de burnout&#58; enfermedad silenciosa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;P&#46; Casa"
                            1 => "Y&#46;Z&#46; Rinc&#243;n"
                            2 => "R&#46; Vila"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Enfermer&#237;a Integral"
                        "fecha" => "2012"
                        "volumen" => "100"
                        "paginaInicial" => "19"
                        "paginaFinal" => "24"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "De la Fuente et al&#46;&#44; 2013"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development and validation of the Granada Burnout Questionnaire in Spanish police"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
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                      "titulo" => "Sample compositions and variabilities in published studies versus those in test manuals"
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                        "tituloSerie" => "International Journal of Clinical and Health Psychology"
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                    0 => array:2 [
                      "titulo" => "Burnout and stress among A&#38;E nurses"
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                        "tituloSerie" => "Emergency Nurse"
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                      "titulo" => "Task Force on Statistical Inference&#44; APA Board of Scientific Affairs&#44; Statistical Methods in Psychology Journals&#58; Guidelines and Explanations"
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