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"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "history of public health, expanded edition"
"autores" => array:1 [
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"autores" => array:1 [
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"host" => array:1 [
0 => array:1 [
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"editorialLocalizacion" => "Baltimore"
]
]
]
]
]
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3 => array:3 [
"identificador" => "bib4"
"etiqueta" => "4."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Gestión de la seguridad alimentaria"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "J.J. Francisco-Polledo"
]
]
]
]
]
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"fecha" => "2002"
"editorial" => "Ediciones Mundi-Prensa"
"editorialLocalizacion" => "Madrid"
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]
]
]
]
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"identificador" => "bib5"
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"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "Ramoneda M. Guillen M. Duran J., coordinadores Control sanitari dels establiments alimentaris. Manual per a l’inspector. Barcelona: Agència de Salut Pública de Barcelona 2004 Disponible en: <a class="elsevierStyleInterRef" href="http://www.aspb.es/quefem/docs/Controlsanitari_establiments_alimentaris.pdf">http://www.aspb.es/quefem/docs/Controlsanitari_establiments_alimentaris.pdf</a>"
]
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"identificador" => "bib6"
"etiqueta" => "6."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
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"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "J.R. Villalbí"
1 => "H. Galdós-Tangüis"
2 => "J.A. Caylà"
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]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "1999"
"volumen" => "112"
"numero" => "Suppl 1"
"paginaInicial" => "111"
"paginaFinal" => "116"
]
]
]
]
]
]
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"identificador" => "bib7"
"etiqueta" => "7."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Community outbreaks of asthma associated with inhalation of soybean dust"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "J.M. Antó"
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2 => "R. Rodríguez-Roisin"
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]
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"autores" => array:1 [
0 => array:2 [
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"autores" => array:5 [
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3 => "R. Armengol"
4 => "J.M. Antó"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "J Epidemiol Community Health"
"fecha" => "2004"
"volumen" => "58"
"paginaInicial" => "461"
"paginaFinal" => "465"
"link" => array:1 [
0 => array:2 [
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"web" => "Medline"
]
]
]
]
]
]
]
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"identificador" => "bib9"
"etiqueta" => "9."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Transmission of HIV-1 from an obstetrician to a patient during a caesarean section"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
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2 => "T. Pumarola"
3 => "A. Erice"
4 => "J.L. Blanco"
5 => "E. Martínez"
]
]
]
]
]
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"doi" => "10.1097/01.aids.0000199831.02854.b2"
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"fecha" => "2006"
"volumen" => "20"
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"url" => "https://www.ncbi.nlm.nih.gov/pubmed/16511424"
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"contribucion" => array:1 [
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"titulo" => "Salud pública, política y administración: ¿rehenes o cómplices?"
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"autores" => array:1 [
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"tituloSerie" => "Gac Sanit"
"fecha" => "2002"
"volumen" => "16"
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"web" => "Medline"
]
]
]
]
]
]
]
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"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Posibilidades legales de actuación en la inspección sanitaria de establecimientos públicos alimentarios"
"autores" => array:1 [
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"etal" => false
"autores" => array:3 [
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]
]
]
]
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"paginaFinal" => "535"
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"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1751742"
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