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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abroad&#44; but also in The Netherlands&#44; there are many misunderstandings concerning end of life decisions and euthanasia&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">In general&#44; euthanasia does not play any role in the intensive care units&#44; simply because it does not fulfill the conditions to carry it out&#46; However&#44; there is still confusion&#44; merely due to the assumption that the Dutch situation is different because of their legislation on euthanasia&#46; The use of the unclear terminology such as &#8220;passive euthanasia&#8221;&#44; &#8220;voluntary euthanasia&#8221; or &#8220;involuntary euthanasia&#8221; contributes to the confusion of lay people and physicians&#44; and should therefore be avoided&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">End of life decisions in intensive care patients are in fact a structural part of work of intensivists&#46; Collecting all necessary information including the wishes and will of the patient&#44; medical expertise and acknowledging limitations of medical treatment will help to determine futility of treatment goals&#46; Once it is determined that surviving the intensive care unit with a quality of life acceptable for the patient is beyond reach&#44; the goal of treatment should be improved and the dying process optimized&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Stopping a treatment modality at the request of a will-competent patient or because of futility is not euthanasia&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Todav&#237;a hay confusi&#243;n acerca de la toma de decisiones al final de la vida y la eutanasia&#44; tanto en el extranjero como en los Pa&#237;ses Bajos&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La eutanasia no tiene ning&#250;n papel en las unidades de medicina intensiva&#44; en general&#44; simplemente porque no se cumplen las condiciones necesarias para llevarse a cabo&#46; Aun as&#237; sigue prest&#225;ndose a confusi&#243;n&#44; meramente por la presunci&#243;n de que la situaci&#243;n en los Pa&#237;ses Bajos es diferente debido a la legislaci&#243;n de la eutanasia&#46; El uso de terminolog&#237;a confusa como &#171;eutanasia pasiva&#187;&#44; &#171;eutanasia voluntaria&#187; o &#171;eutanasia involuntaria&#187; genera confusi&#243;n entre los m&#233;dicos y la poblaci&#243;n general&#44; y por ello deben evitarse&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Las decisiones al final de la vida forman&#44; de hecho&#44; parte del trabajo diario de los intensivistas&#46; Para determinar la futilidad de los objetivos terap&#233;uticos&#44; son importantes la experiencia m&#233;dica previa&#44; recoger toda la informaci&#243;n necesaria y conocer las limitaciones de un tratamiento m&#233;dico&#44; pero tambi&#233;n tener en cuenta las voluntades y los deseos del paciente&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Una vez determinado que el objetivo de sobrevivir a la unidad de medicina intensiva con una calidad de vida aceptable para el paciente est&#225; m&#225;s all&#225; de su alcance&#44; el objetivo del tratamiento deber&#237;a ser la optimizaci&#243;n y permisi&#243;n del proceso de la muerte&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Retirar u omitir el tratamiento f&#250;til de soporte vital en un paciente que lo solicita no es eutanasia&#46;</p>"
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                          "autores" => array:1 [
                            0 => "J&#46;A&#46; G&#243;mez Rub&#237;"
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                    ]
                  ]
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                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2002"
                        "editorial" => "Triacastela"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
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                      "titulo" => "End of life decisions in the ICU - a Dutch perspective"
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                          "autores" => array:1 [
                            0 => "A&#46;R&#46;J&#46; Girbes"
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                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Care of the Critically Ill"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "1"
                        "paginaFinal" => "4"
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "titulo" => "Comparative reflections on the Belgian Euthanasia Act 2002"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Adams"
                            1 => "H&#46; Nys"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Law Rev"
                        "fecha" => "2003"
                        "volumen" => "11"
                        "paginaInicial" => "353"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16733879"
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                          ]
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                ]
              ]
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                      "titulo" => "Palliative care and euthanasia in countries with a law on euthanasia"
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                          "autores" => array:2 [
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                    ]
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                        "tituloSerie" => "Palliat Med"
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                        "paginaFinal" => "394"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12882255"
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                          ]
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                    0 => array:2 [
                      "titulo" => "Assisted suicide and euthanasia in Switzerland&#58; Allowing a role for nonphysicians"
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                          "autores" => array:2 [
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                        "paginaFinal" => "273"
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                    0 => array:2 [
                      "titulo" => "Washington follows Oregon to legalize physician assisted suicide"
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                        0 => array:2 [
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                          "autores" => array:1 [
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19001010"
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                      "titulo" => "Dying at the end of your life &#91;editorial&#93;"
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                          "autores" => array:1 [
                            0 => "A&#46;R&#46;J&#46; Girbes"
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                        "tituloSerie" => "Intensiva Cara Mes"
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                        "paginaFinal" => "2144"
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                        0 => array:3 [
                          "colaboracion" => "Grupo de Bio&#233;tica de la SEMICYUC"
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                          "autores" => array:6 [
                            0 => "J&#46;L&#46; Monz&#243;n"
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                            2 => "R&#46; Abizanda"
                            3 => "L&#46; Cabr&#233; Pericasd"
                            4 => "S&#46; Iribarren Diarasarrie"
                            5 => "M&#46;C&#46; Mart&#237;n Delgadof"
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                    0 => array:1 [
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                        "tituloSerie" => "Med Intensiva"
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                      "titulo" => "Use of intensive care at the end of life in the United States&#58; An epidemiologic study"
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                            3 => "L&#46;A&#46; Weissfeld"
                            4 => "R&#46;S&#46; Watson"
                            5 => "T&#46; Rickert"
                          ]
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                      ]
                    ]
                  ]
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                    0 => array:1 [
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                        "tituloSerie" => "Critical Care Med"
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                    0 => array:2 [
                      "titulo" => "El concepto m&#233;dico de la futilidad y su aplicaci&#243;n cl&#237;nica"
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                    0 => array:1 [
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                        "editorial" => "Departamento de Bio&#233;tica"
                        "editorialLocalizacion" => "Pamplona"
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                        "editorial" => "Fondo de Cultura Econ&#243;mica"
                        "editorialLocalizacion" => "Mexico City"
                      ]
                    ]
                  ]
                ]
              ]
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                            2 => "J&#46;J&#46;M&#46; Ligtenberg"
                            3 => "J&#46;E&#46; Tulleken"
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                          "etal" => false
                          "autores" => array:3 [
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                            1 => "D&#46;E&#46; Uehlinger"
                            2 => "R&#46;M&#46; Zuercher-Zenklusen"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1097/01.CCM.0000049945.69373.7C"
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                        "fecha" => "2003"
                        "volumen" => "31"
                        "paginaInicial" => "456"
                        "paginaFinal" => "461"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12576951"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison of outcome predictions made by physicians&#44; by nurses&#44; and by using the mortality prediction model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Copeland-Fields"
                            1 => "T&#46; Griffin"
                            2 => "T&#46; Jenkins"
                            3 => "M&#46; Buckley"
                            4 => "L&#46;C&#46; Wise"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Crit Care"
                        "fecha" => "2001"
                        "volumen" => "10"
                        "paginaInicial" => "313"
                        "paginaFinal" => "319"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11548564"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interfacing the ICU with the general practitioner"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;R&#46; Girbes"
                            1 => "A&#46; Beishuizen"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1186/cc9066"
                      "Revista" => array:5 [
                        "tituloSerie" => "Crit Care"
                        "fecha" => "2010"
                        "volumen" => "14"
                        "paginaInicial" => "172"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20594365"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Care for the dying in intensive care in The Netherlands"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46;J&#46;O&#46; Kompanje"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-006-0394-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "2067"
                        "paginaFinal" => "2069"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17058070"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Population-based study of dying in hospital in six European countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Cohen"
                            1 => "J&#46; Bilsen"
                            2 => "J&#46; Addington-Hall"
                            3 => "R&#46; Lofmark"
                            4 => "G&#46; Miccinesi"
                            5 => "S&#46; Kaasa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0269216308092285"
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                        "tituloSerie" => "Palliat Med"
                        "fecha" => "2008"
                        "volumen" => "22"
                        "paginaInicial" => "702"
                        "paginaFinal" => "710"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18715968"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "End-of-life decision-making in six European countries&#58; Descriptive study"
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                          "etal" => true
                          "autores" => array:6 [
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                            5 => "E&#46; Paci"
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                    ]
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                      "doi" => "10.1016/S0140-6736(03)14019-6"
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                        "paginaFinal" => "350"
                        "link" => array:1 [
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                            "web" => "Medline"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Two decades of research on euthanasia from the Netherlands&#46; What have we learnt and what questions remain&#63;"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:5 [
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                            2 => "B&#46;D&#46; Onwuteaka-Philipsen"
                            3 => "J&#46;J&#46;M&#46; Delden vd"
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                          ]
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                    ]
                  ]
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                        "tituloSerie" => "J Bioeth Inq"
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                        "paginaFinal" => "283"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19718271"
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End of life decisions, the Dutch form through Spanish eyes
Toma de decisiones al final de la vida, el modo neerlandés a través de ojos españoles
M. Belloc Rocasalbas
Corresponding author
mariona@bibtic.com

Corresponding author.
, A.R.J. Girbes
Servicio de Medicina Intensiva, VU University Medical Center, Amsterdam, the Netherlands
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abroad&#44; but also in The Netherlands&#44; there are many misunderstandings concerning end of life decisions and euthanasia&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">In general&#44; euthanasia does not play any role in the intensive care units&#44; simply because it does not fulfill the conditions to carry it out&#46; However&#44; there is still confusion&#44; merely due to the assumption that the Dutch situation is different because of their legislation on euthanasia&#46; The use of the unclear terminology such as &#8220;passive euthanasia&#8221;&#44; &#8220;voluntary euthanasia&#8221; or &#8220;involuntary euthanasia&#8221; contributes to the confusion of lay people and physicians&#44; and should therefore be avoided&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">End of life decisions in intensive care patients are in fact a structural part of work of intensivists&#46; Collecting all necessary information including the wishes and will of the patient&#44; medical expertise and acknowledging limitations of medical treatment will help to determine futility of treatment goals&#46; Once it is determined that surviving the intensive care unit with a quality of life acceptable for the patient is beyond reach&#44; the goal of treatment should be improved and the dying process optimized&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Stopping a treatment modality at the request of a will-competent patient or because of futility is not euthanasia&#46;</p>"
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                    0 => array:2 [
                      "titulo" => "La tecnolog&#237;a y el final de la vida"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;A&#46; G&#243;mez Rub&#237;"
                          ]
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                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2002"
                        "editorial" => "Triacastela"
                        "editorialLocalizacion" => "Madrid"
                      ]
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                  ]
                ]
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                    0 => array:2 [
                      "titulo" => "End of life decisions in the ICU - a Dutch perspective"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;R&#46;J&#46; Girbes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Care of the Critically Ill"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "1"
                        "paginaFinal" => "4"
                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Comparative reflections on the Belgian Euthanasia Act 2002"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Adams"
                            1 => "H&#46; Nys"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Law Rev"
                        "fecha" => "2003"
                        "volumen" => "11"
                        "paginaInicial" => "353"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16733879"
                            "web" => "Medline"
                          ]
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                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Palliative care and euthanasia in countries with a law on euthanasia"
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                          "autores" => array:2 [
                            0 => "L&#46; Deliens"
                            1 => "J&#46; Bernheim"
                          ]
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                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Palliat Med"
                        "fecha" => "2003"
                        "volumen" => "17"
                        "paginaInicial" => "393"
                        "paginaFinal" => "394"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12882255"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assisted suicide and euthanasia in Switzerland&#58; Allowing a role for nonphysicians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;A&#46; Hurst"
                            1 => "A&#46; Mauron"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2003"
                        "volumen" => "326"
                        "paginaInicial" => "271"
                        "paginaFinal" => "273"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12560284"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Washington follows Oregon to legalize physician assisted suicide"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Dyer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2008"
                        "volumen" => "337"
                        "paginaInicial" => "a2480"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19001010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dying at the end of your life &#91;editorial&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;R&#46;J&#46; Girbes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Intensiva Cara Mes"
                        "fecha" => "2004"
                        "volumen" => "30"
                        "paginaInicial" => "2143"
                        "paginaFinal" => "2144"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recomendaciones de tratamiento al final de la vida del paciente cr&#237;tico"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Grupo de Bio&#233;tica de la SEMICYUC"
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;L&#46; Monz&#243;n"
                            1 => "I&#46; Saralegui"
                            2 => "R&#46; Abizanda"
                            3 => "L&#46; Cabr&#233; Pericasd"
                            4 => "S&#46; Iribarren Diarasarrie"
                            5 => "M&#46;C&#46; Mart&#237;n Delgadof"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2008"
                        "volumen" => "3"
                        "paginaInicial" => "121"
                        "paginaFinal" => "133"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of intensive care at the end of life in the United States&#58; An epidemiologic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;C&#46; Angus"
                            1 => "A&#46;E&#46; Barnato"
                            2 => "W&#46;T&#46; Linde-Zwirble"
                            3 => "L&#46;A&#46; Weissfeld"
                            4 => "R&#46;S&#46; Watson"
                            5 => "T&#46; Rickert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Critical Care Med"
                        "fecha" => "2004"
                        "volumen" => "32"
                        "paginaInicial" => "638"
                        "paginaFinal" => "643"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El concepto m&#233;dico de la futilidad y su aplicaci&#243;n cl&#237;nica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Iceta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1995"
                        "editorial" => "Departamento de Bio&#233;tica"
                        "editorialLocalizacion" => "Pamplona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Teor&#237;a de la Justicia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Rawls"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1995"
                        "editorial" => "Fondo de Cultura Econ&#243;mica"
                        "editorialLocalizacion" => "Mexico City"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Decisions around the end of life on Intensive Care&#58; making the transition from curative to palliative treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46;S&#46; Van der Werf"
                            1 => "J&#46;G&#46; Zijlstra"
                            2 => "J&#46;J&#46;M&#46; Ligtenberg"
                            3 => "J&#46;E&#46; Tulleken"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "NTvG"
                        "fecha" => "2005"
                        "volumen" => "149"
                        "paginaInicial" => "742"
                        "paginaFinal" => "746"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical futility&#58; predicting outcome of intensive care unit patients by nurses and doctors &#8722;a prospective comparative study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Frick"
                            1 => "D&#46;E&#46; Uehlinger"
                            2 => "R&#46;M&#46; Zuercher-Zenklusen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.CCM.0000049945.69373.7C"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2003"
                        "volumen" => "31"
                        "paginaInicial" => "456"
                        "paginaFinal" => "461"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12576951"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison of outcome predictions made by physicians&#44; by nurses&#44; and by using the mortality prediction model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Copeland-Fields"
                            1 => "T&#46; Griffin"
                            2 => "T&#46; Jenkins"
                            3 => "M&#46; Buckley"
                            4 => "L&#46;C&#46; Wise"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Crit Care"
                        "fecha" => "2001"
                        "volumen" => "10"
                        "paginaInicial" => "313"
                        "paginaFinal" => "319"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11548564"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interfacing the ICU with the general practitioner"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;R&#46; Girbes"
                            1 => "A&#46; Beishuizen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/cc9066"
                      "Revista" => array:5 [
                        "tituloSerie" => "Crit Care"
                        "fecha" => "2010"
                        "volumen" => "14"
                        "paginaInicial" => "172"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20594365"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Care for the dying in intensive care in The Netherlands"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46;J&#46;O&#46; Kompanje"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-006-0394-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "2067"
                        "paginaFinal" => "2069"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17058070"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "17&#46;"
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                0 => array:1 [
                  "referenciaCompleta" => "Kleyer D&#46; Een onderzoek naar &#40;zelf&#41; regulering bij het staken of onthouden van een levensverlengende behandeling op Intensive Cares in Nederland &#91;tesis doctoral&#93;&#46; University of Groningen&#46; Available from&#58; <a class="elsevierStyleInterRef" href="http://irs.ub.rug.nl/ppn/289011388">http&#58;&#47;&#47;irs&#46;ub&#46;rug&#46;nl&#47;ppn&#47;289011388</a>&#46;"
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              ]
            ]
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              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Population-based study of dying in hospital in six European countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Cohen"
                            1 => "J&#46; Bilsen"
                            2 => "J&#46; Addington-Hall"
                            3 => "R&#46; Lofmark"
                            4 => "G&#46; Miccinesi"
                            5 => "S&#46; Kaasa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0269216308092285"
                      "Revista" => array:6 [
                        "tituloSerie" => "Palliat Med"
                        "fecha" => "2008"
                        "volumen" => "22"
                        "paginaInicial" => "702"
                        "paginaFinal" => "710"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18715968"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "End-of-life decision-making in six European countries&#58; Descriptive study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Heide vd"
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                            2 => "K&#46; Faisst"
                            3 => "T&#46; Nilstun"
                            4 => "M&#46; Norup"
                            5 => "E&#46; Paci"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(03)14019-6"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "2003"
                        "volumen" => "362"
                        "paginaInicial" => "345"
                        "paginaFinal" => "350"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12907005"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Two decades of research on euthanasia from the Netherlands&#46; What have we learnt and what questions remain&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;A&#46;C&#46; Rietjens"
                            1 => "P&#46;J&#46; Maas vd"
                            2 => "B&#46;D&#46; Onwuteaka-Philipsen"
                            3 => "J&#46;J&#46;M&#46; Delden vd"
                            4 => "A&#46; Heide vd"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11673-009-9172-3"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bioeth Inq"
                        "fecha" => "2009"
                        "volumen" => "6"
                        "paginaInicial" => "271"
                        "paginaFinal" => "283"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19718271"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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Medicina Intensiva (English Edition)
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?