1659-1321 1659-1321 S1659-13212019000100016 10.15517/am.v30i1.32106 Costa Rica Costa Rica Costa Rica 00 04 2019 00 04 2019 30 1 239 253

2010 56 26-32 2009 8 1953-8 2012 45 1 1 11-6 2009 89 2025S-39S 2010 55 505-19 2010 89 2166-72 2011 45 117-81 2012 41 2064-9 2009 22 1661-6 COMIECO (Consejo de Ministros de Integración Económica) 2011 2012 91 2282-7 2009 1-7 2008 64 85-98 2006 37 4 4 69-73 2011 7 165-8 Hy-Line 2013 Hy-Line 2014 Institute-of-Medicine 2000 2013 12 2011 24 279-84 2001 80 1378-83 2008 53 466-71 2013 28 1396-406 2007 20 1135-55 2002 40-3 2013 92 285-94 MS (Ministerio de Salud) 2012 2008 88 475-83 2010 74 43-50 2001 32 225-7 NRC (National Research Council) 1994 9 2004 2007 50 1331-40 2007 2004 41 161-77 2010 19 354-60 2013 58 91-7 2003 11 5 5 32-4 2006 2005 84 1900-1