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CAsE MIX DEFINITION BY DRG - 40 - the: data base, the statistical methodology, and the general process by which the methodology was applied to the data in the -, formation of the groups. At the end of Section 2 is an example illustrating the procedure, to which readers may initially refer 1 : f i 1 .Í M EDICAL CA}t for a general understanding of DRG construction. A discussion of the interpretation ana application of the DRGs in utilization review, budgeting, cost control, prospec. tive reimbursement and regional planning is found in Sections 4 through 6.
- 41 - dMLDICAL C.ARE '.Fcbrtanj 1980, Vol. XVIII. No. 2. Supplemnent £^ ^ .. .-. . 1. 1 i. C;onstructlon ot u ,IT PRIMARY OBJECTIVE in the construc- .tion of the DRGs was a definition of case types, eas"h of which could he expected to receive similar outputs or services from a hospital. In order that the set of d
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Page 3 and 4: - ii - liancock, W., D. Magerlein y
Page 5 and 6: FOREWORD These last years, PAHO wit
Page 7 and 8: Workshop .- Education in Operationa
Page 9 and 10: -3. The format of the workshop was
Page 11 and 12: -5- 2. Programs for bringing togeth
Page 13 and 14: II. R.commendations -7- A series of
Page 15 and 16: -9- there are technically trained i
Page 17 and 18: -11- and selected individuals who h
Page 19 and 20: -13- 6. In order to improve the qua
Page 21 and 22: -15- cnve!opment will typically be
Page 23 and 24: -17- 16. All participants sbould pr
Page 25 and 26: A. Short Courses -19- Short courses
Page 27 and 28: -21- 4. Presentation of a case to b
Page 29 and 30: Topic Introduction to Systems Analy
Page 31 and 32: -25- 12. Elementary Statistics ior
Page 33 and 34: -27- 8. Applications of data proces
Page 35 and 36: -29- problems. The graduate should
Page 37 and 38: -31- Lblo-w. Also given is that typ
Page 39 and 40: - 33 -' -Case Mix Definition by Dia
Page 41 and 42: - 35 - Acknowledgment The authors w
Page 43 and 44: ML ICAL CAE1 Februurl 1980, Vol. XV
Page 45: X;' VIII, No. 2. Suippllce,t - 39 -
Page 49 and 50: \'nKV 111,I No. 2, IIIJ·,ri - 43 -
Page 51 and 52: Vol. XVIII, No. 2, Supplenent - 45
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Page 55 and 56: ?Vol. XVIII. No. 2. Sttilluleareilt
Page 57 and 58: .'yo. XVIII. No. 2, Supplentcsit Si
Page 59 and 60: .V'oL XVIII. No. 2. Stpphlidary dia
Page 61 and 62: Vol..'XVlII, No. 2, Supplement - 55
Page 63 and 64: - 57 - MEDICAL CARE Febiuary 1980,
Page 65 and 66: - 59 - .SlDiCL ( :AL.. FcbnartlrJ p
Page 67 and 68: Vol. XVIII, No. 2, Suppletiment - 6
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Page 71 and 72: - 65 - £.¡EDCAL CARE ebrNuarV 1;9
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Page 75 and 76: VoL XVIII. No. 2, Supplemnlent - 69
Page 77 and 78: 'XVII. No. 2. Supplement - 71 - P)i
Page 79 and 80: ;.'. 'Vol. XVIII. No. 2. Siupplemen
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Page 83 and 84: ,VoL XVIII, No. 2, Supplement Major
Page 85 and 86: .. Vol. XVIII, No. 2. Supl|lemcent
Page 87 and 88: i,..X VIII. No. 2. Supplemeiint - 8
Page 89 and 90: T XVIII. No. 2. S.pphlts"t .i¿jor
Page 91 and 92: ·. ¥XVIII. No. 2 Supplement )i, "
Page 93 and 94: - 87 - 'i1. XVIII. No. -. Supplemne
Page 95 and 96: Vl. \'ll. No. 2. Sntiít'ult.uit M.
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- 91 - R. FRIRICHIS AND J. PRAWDA W
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- 93 - 414 R. FRRKICkIS AND J. PRAW
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- 95 - R. F'RERICItS'AND J. PRAWDA
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- 97 - R. F'RRICHS AND J. PRAWDA wh
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- 99 - 420 R. MFRIlC}IS AND J. PRAW
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V - 101 - McUCi. (:Au AWuu IMI. VoL
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GREENLAND ET AL - 103 - the case (p
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CREENLAND iT AL - 105 - TABLE 2. Fi
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GREENLAND ET AL. 3. Cornfleld J, Ha
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160 I indicates the flow of patient
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162 CONGESTION POINTS ANU CONTROL.A
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164 c 8o Table 4. The cffect of cha
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166 B. LEV etal. significant differ
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MEREDITH - 117 - ciety. However. ch
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I MEREDITH - 119 - varying oulcome
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MEDICAL CARE ,arch 1981, Vol. XIX,
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%,I. XIX, No. 3 iclnts. It should d
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n'ol. XIX, No. 3 - 125 - tailed exa
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1 Vol. XIX. No. 3 - 127 - tant for
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Vi. .XIX, No. 3 - 129 - tom' s reco
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- 131 - A \ ,,1. XIX, No. 3 PEHFOHR
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V Xl. IX, No. 3 - 133 - PERFORMANCE
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- 135 - The fourth requirement is l
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- 137 - Systems and Procedures of P
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- 139 - 2. ldentify problemn areas
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c 1 '-a
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u. o a.- 1 W. LZi - 143 - c c S C.
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- 145 - Thc cu rrent appointmren t-
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- 147 - A pure block appointment sy
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- 149 - ihe future. It was discover
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- 151 -
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- 153 - Figui.'¢ VII. Patient Arri
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- 155 - sonnel working in positions
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- 157 - 17. Keep the time span of t
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- 159 - TABLE I: Pnmary DesklConsul
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.Recomme;tded systenz - 161 - .;any
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- 163 - system, there is nr'. :vste
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- 165 - - A major problem with such
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- 167 - T1c Iteole of Olieraionls R
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- 169 - Larry J. Shumc- Harvey Wolf
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- 171 - '- ionoal Heolth Ploanning
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- 173 - Regional Health Planning ar
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- 175 - Regio.,oi Health Planning w
Page 183 and 184:
- 177 - Regionao rfeclth Planning l
Page 185 and 186:
A^CJonoal neonah ronning 21. 1'. F.
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- .,1 - Programming, Budgeting, and
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- 183 - the health care industí ,
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- 185 - was apparently no scarcity.
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ut, u a. íL ._c E 0 t42 a .. 0m u
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plex stochastic distribution of arr
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- 191 cumulated according to any or
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- 193 - Step 2 represents the heart
Page 201 and 202:
ÍA en .aa
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- 197 - analysis, forecasting, and
Page 205 and 206:
Budgeting Attitudes - 199 - The pla
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- 201 Health Services Research most
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a. - 203 - Health Services Research
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- 205 - DESIGN OF ALTERNATIVE PROVI
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- 207 - 1. A change in the immigrat
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- 209 - accessibility of health car
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- 211 - dimensional graph to illust
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- 213 - Primary Care Health Service
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- 215 - different health and educat
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- 217 - The tasks that were rated "
Page 225 and 226:
IC1 o -a - i - w im W..i C -J M. -
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0 z 0 u _ I- 0 Ut. I,, uj CD Q U- ,
Page 229 and 230:
TABLE 3 TASK ANALYSIS OF MALNUTRITI
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11 - 225 - TASK ANALYSIS OF MALNUTR
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- 227 - 12. Reisman, A., F.Staub, B
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- 229 - METHODS Parameters Affectin
Page 237 and 238:
- 231 - ~HNCOCK Fig. 1. Daily censu
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- 233 - HANCOCK Table 1. Parameters
Page 241 and 242:
- 235 - Fig. 3. Maximum average occ
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- 237 - HANCOCK ET AL Fig. 4. Maxim
Page 245 and 246:
- 239 - AECOCL. Table 2. Eflect of
Page 247 and 248:
- 241 - HANCOCK Discussion ET AL Th
Page 249 and 250:
#12 Estinating the Need for Additio
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Pri c= arvicc a ia Indina. - 245 -
Page 253 and 254:
. 1' - - IIINDLE Algorithmn for Det
Page 255 and 256:
- 249 - HINDLE that all tlie primar
Page 257 and 258:
- 251 - HINDLE 6. Computc Mhe Avail
Page 259 and 260:
- 253 - HINDLA Tablek Meamm of Zfic
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HINDLE Tr AL HIALTH falvCU - 255 -
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- 257 - HIiDLZ 26. Ado, An . ad L.
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- 259 - REISMIAN, DEAN, ESOOBUE, AG
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- 261 - REISMAN, DEAN, ESOGBUE, AGG
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- 263 - 1350 REISMiAN, DEAN, ESOOBU
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- 265 - REISMAN, DEAN, ESOOBUE, AGO
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- 267 - 1354 REISMAN, IEAN, ESOGCUE
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- 269 - William J. Abernothy and Jo
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- 271 - William J. Abernathy and Jo
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- 273 - William 1. Abernothy ond Jo
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- 275 - William J. Abrnarthy and Jo
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- 277 - William J. Abernathy and Jo
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- 279 - William J. Aberncthy and Jo
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- 281 - 642 William J. Abernathy an
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Decmand in Mintu és/Day Numnlber o
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Disposal System 326 IIstlic I,',i,
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i Trays 334 Colorful pattenis anid
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tiie, gency L:ghting 347 ,i',., .:.
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- 296 - REVEI.LE we believe to be t
Page 299 and 300:
- 293 R£VELLE is apparent in light
Page 301 and 302:
- 295 - REVEt.EI. ET AL. poSJcd pro
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- 297 - RM.VELLE EL AL. of faciliti
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REVELLE ET AL. HALTOI SERVICUS RESE
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REVELLE ET Al.. - 301 - Fig. 4. Ano
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- 303 - REVet. ¡T AL Act of 1973.
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- 305 - REVELLE possible within ilh
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- 307 - RLVELI.E 29- Khumawala. a.
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- 309 - assuring thal the maxinmum
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-311 - the implemented strategy he
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- 313 - analytical approximalions w
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- 315 - rcquired Ior shipping and o
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- 317 - Controlling ¡he system The
Page 325 and 326:
- 319 - The light pen techniques ar
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- 321 - shipnients have to be on ro
Page 329 and 330:
- 323 THE CREATER NEIW' YORK BLOOD
Page 331 and 332:
_,~ .- - 3. 2- - TABLE 1. PATIENT C
Page 333 and 334:
TABLE 3. MEDICAL INTENSIVE CARE UNI
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Nursing Stalf Level (i of nurss/day
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Table 1. Factors ¡i denad for medi
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e forecast. This section descijbcs
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ei, paid to these standards in cond
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O Emphasis u.on the explicit enumer
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*1 1 21 1 «i 1 1 1 1 - 331, -- For
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Therc are ihreec basic prcessecs fi
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- 343 - Forecasting Hcalth Care Ser
Page 351 and 352:
#20 Jaime 1B. Henrs Rtxlnc. I.. Ro:
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- 347 - I v,'N ti.K 1tHm.pi.l !, t1
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Ra.fo.renem.. aid %.hs '. - 31!9 -
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; / larman u empirical research has
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I Klarman - >3 - benefits that for
Page 361 and 362:
I Klaman Ctitena for Inchmion - 355
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IClarman - 37 - The prevailing tend
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1 Klarman Intargibl Benefits - .5 -
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Kllarman - 361 - thi prospects of r
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- 363 - Thua, it did not consider w
Page 371 and 372:
I Klannan - 365 - again if the new
Page 373 and 374:
Klarman - 367 - At the other pole,
Page 375 and 376:
- 369 - seem worth exploring. Howev
Page 377 and 378:
iKlarman - 371 - in the use of serv
Page 379 and 380:
Kmnnan - 373 - REFERENCES 1. Havema
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- 375 - 59. Valr y, W. S. One eonoi
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- 377 - i aSll a _ . b, CuaMu L. L,
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WAHRNER ANI) I|UTTr)N The puroses I
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WARNER AND HUTfON - 381 - observers
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.AHNF:R AND IIl'TIoN - 383 - rare I
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WARNER AND HUTTrU., TABLE 1. Trenda
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W'AHNER AND IHUTTON - 387 - treatme
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AAHNER AND HU'TON - 389 - Several d
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WARNER AND HUTTON pal orientations
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w'ARNER AND UL'TTOit'u ' . N Engl I
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I,,qr *ir 'ilu.,i XV. Seplteri¡br
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In.lumin- i',)i.eIu XV. Seph.irhb'r
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In#unrvlVolutn XV. September 1978 h
Page 407 and 408:
Problemas identificados - 401 - Dur
Page 409 and 410:
Programas educativos 3 - 403 - 1. S
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- 405 - maestrfa, donde se supone q
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- 407 - presentación formal de inf
Page 415 and 416:
- 409 - * Curso para ingenieros ind
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- 411 - ¢ 16. Hancock, W., D. Mage
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- 413 - 2. Barrenechea, J. J. La se
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- 415 - Curwso (8 a 16 horas) para
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- 417 - 4. Necesidades de los admin
Page 425 and 426:
MOISES ARTEAGA DR. DAVID GOMEZ COVA
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