t chest guidelines 2019 pdf chest guidelines 2019 pdf endobj 249 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/Thumb 132 0 R/Type/Page>> endobj 250 0 obj <>stream endobj endobj MMWR Morb Mortal Wkly Rep. 2012;61(46):937-943. <> �.c�:~>�8�W���;������0�t��v#����ڐ. 1 0 obj 18 0 obj DOI: 10.1161/CIR.0000000000000678 CIICA SAS AD GIDIS cardiovascular disease (CVD). <> 283 0 obj <>/Filter/FlateDecode/ID[<3E764B71E1B5E84F8068DF7BEF0B0304>]/Index[247 105]/Info 246 0 R/Length 154/Prev 733750/Root 248 0 R/Size 352/Type/XRef/W[1 3 1]>>stream Comilla Sasson, MD, PhD; and the AHA Guidelines Highlights Project Team. An updated guideline with new recommendations for the treatment of patients with pulmonary arterial hypertension (PAH) was released by the American College of Chest Physicians (CHEST).. endobj Methods: A multidisciplinary panel conducted pragmatic CHEST 2018; 154(5):1121-1201 KEY WORDS: antithrombotic therapy; atrial fibrillation; evidence-based medicine; guidelines Note on Shaded Text: In this guideline, shaded text with an asterisk (shading appears in PDF file only) refers to recommendations that remain unchanged from the previous version of the guideline. Protected by copyright. <> 48S CHEST Supplement ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Introduction to the Ninth Edition Correspondence to: Gordon H. … Atrial fibrillation is the most common sustained cardiac arrhythmia with an increase in prevalence and incidence with age. 14 0 obj CHEST Guideline Topic Areas. <> 68 Endorsements: This guideline is endorsed by the American Association for Clinical Chemistry, 69 the American College of Clinical Pharmacy, the International Society for Thrombosis and 70 Haemostasis, and the American Society of Health-System Pharmacists. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the CHEST’s Guideline Oversight Committee (GOC) oversees the methodology used in our guidelines and consensus statements and the selection of topics. $.' An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America, 2019: PDF endobj Most of the recommendations are based on the 10th edition of the American College of Chest Physicians (ACCP) guidelines … Finally, routine use of compression stockings for post-thrombotic syndrome prevention is not routinely recommended (Grade 2B). endstream Arnett et al 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease e598 September 10, 2019 Circulation. <> 4 0 obj 11 0 obj ���3�*4��&m���l����^ BQeu�(��n�n o|��nE v�d�lh^�����C��5G�Z��D�0!F��.5�#Q+ߕ)�2��LiNH��B���P�Lr �e:�Y���.��t���Z�WM��Uj��B�����s�u�. 5 0 obj To define the management of patients with suspected and proven chest / thoracic injury presenting to hospitals in the South Yorkshire Major Trauma Network. The scope of this update of the 2014 AF guideline includes revisions to the Please make sure you receive endobj }��̒�%K���� �\-wgfw�̙�,�Nx"�I��Dr��K���Ds�{Ht�<1��.�2q���K������6">q��iӅ�=!�0�Q�@X�$��ņJ�� 13 0 obj *�xH�7�ٞRl���A,eV/[� &*�Ģ0c��L��ՠ4%M� ��1�y&Rpk1qY&T��0�T��w�ݺ��Gq� ��g���I��>�og�戵Ō�-Wu��,��ؽO�g���/j�D�f��j��8E�Z�o���KOu�{ԭT������y�k���C�L3��/�.B����}-s��`CJ�����['H�u?Cx��X��HjM�n��˄ƪ8�̟�)��̇��1�! 10 0 obj 2. 71 72 Disclaimer: American College of Chest Physician guidelines are intended for general CH-1.2: General Guidelines – Chest Ultrasound . 20 0 obj <> <> In the March 2019 issue, the article titled “Therapy for Pulmonary Arterial Hypertension in Adults: Update of the CHEST Guideline and Expert Panel Report” ( CHEST 2019;155 (3):565-586) by Klinger et al contained a typographical error in Table 3: Full-Text. <> 2019;140:e596–e646. endobj The free guide, titled “ Therapy for Pulmonary Arterial Hypertension in Adults 2018: Update of the CHEST Guideline and Expert Panel Report, ” was published in the journal Chest. For interpretation of the Guidelines, and where not otherwise noted, “adult” refers to persons age 19 and F� [�t��S��h�mi����!QJ�D �(O�E�1B��0]�D;�Bci�&1�A���1�f��rK�|b�$��� �'NX�^�$5�Fc�8O��N. dations from guidelines. 247 0 obj <> endobj 19 0 obj <> To provide needed clinical guidance in chest medicine, CHEST has developed guideline publications and clinician tools and materials in the following portfolio of key topic areas: Airways Disorders; Chest Infections; Clinical Pulmonary Medicine; Critical Care; Interventional Pulmonology; Pulmonary Vascular Disease; Thoracic Oncology endstream endobj startxref Summers DV, Tirschwell DL; on behalf of the American Heart Association Stroke Council. THIS OFFICIAL CLINICAL PRACTICE GUIDELINE WAS APPROVED BY THE AMERICAN THORACIC SOCIETY MAY 2019 AND THE INFECTIOUS DISEASES SOCIETY OF AMERICA AUGUST 2019 Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia. • The lifetime risk for people with BP > 160/90 mmHg is double that of those persons with BP < 140/90 mmHg • At 40 years of age, the lifetime risk of developing HF for both men and women is 1 in 5; at 80 years of age, the lifetime risk of developing new HF is 20%. <> an asterisk (shading appears in PDF only) indicates recommendations that are newly added or have been changed since the publication of Antithrombotic Therapy for VTE Disease: Antithrombotic Therapy and Prevention of Thrombosis (9th edition): American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. CITATION: 10.1016/j.jacc.2019.01.011. Thorax 2019;74(Suppl 1)1–69. Summary of Recommendations 1. 0 @Y���� Visit the Guidelines Oversight Committee Web page to learn more about our guideline and consensus statement-development process. � cc`a�x�q 1#X����/l����b>��8��c��#,�G��1-v�z��.�GB��RƂ Z|�� 5��k�����m�$�4�-=�,�Z�u�9�py�,�+K���2 6 0 obj 8 0 obj The American College of Chest Physicians updates guidelines on PAH. The guideline on management of chest pain was developed by the members of the Armenia Clinical Practice Guidelines expert group. Additionally, none of the … <> – The American College of Chest Physicians ® (CHEST) announced updates to the evidence-based guidelines on antithrombotic therapy for atrial fibrillation. PDF: British Thoracic Society Guideline for bronchiectasis in adults : PDF: Diagnosis and Treatment of Adults with Community-acquired Pneumonia. endobj b�\ �VgUwr]�v ���YG�ȕ4����Q�N�3""�"��h�Ih+�.��8*�1���n~��+}�@{jѴ5t�"5%����]C��j�8m+�8��_�?����7.>M~�C���x���3��g�r����)4t�8��OZc��������t�'W�;���;�~�ZΏ����/�1zÓgD�+؜Фu�� C��d=���7츸�95�����Tܨ. endobj 2019 surveillance of chest pain of recent onset: assessment and diagnosis (NICE guideline CG95) Surveillance report Published: 4 September 2019 www.nice.org.uk ���� JFIF � � �� ZExif MM * J Q Q !�Q !� �� ���� C doi10.1136/thoraxjnl-2018-212463 1 on April 23, 2021 at MSN Academic Search. CHEST Guideline and Expert Panel Report Peter Gibson, MBBS; Gang Wang, MD, PhD; Lorcan McGarvey, MD; Anne E. Vertigan, PhD, MBA, BAppSc (SpPath); Kenneth W. Altman, MD, PhD; and Surinder S. Birring, MB ChB, MD; on behalf of the CHEST Expert Cough Panel BACKGROUND: Unexplained chronic cough (UCC) causes significant impairments in quality of life. COPD: The Epidemic • 15 million patients have COPD1 • 64% diagnosed by a PCP and 28% diagnosed by a specialist • 7% diagnosed by other HCP • 31%-43% receive spirometry-confirmed diagnosis2 • 12 million patients remain undiagnosed3 • <50% of PCPs are aware of the existence of GOLD guidelines and even fewer have read them4 1. The American College of Chest Physicians (ACCP) has updated their 2012 guidelines on the use of antithrombotic medications for patients with atrial fibrillation (AF). We would like to thank the members for their signifi-cant contributions to the process and, indeed, to the final product. February 8, 2019. 9 0 obj F��lŰc�h��ozٛR��fٴ�Sʮ����oz��Q���:>���e;c�uٌp�|���b�pE�U{,�߲˦�sm�K�^(�(��Ϧԡ=5���)��c�OAe��8Lt��nsD�"���`�2rp��]��@��M��#�>�8L$�eYTyp�"���+��GQ����0� Objective 1.1. endobj CHEST Annual Meeting 2019 Abstract and Case Report Submission Guidelines Submission • The abstract and case report submission site will open December 10, 2018 and will close at 11:59 pm (Central) on March 15, 2019. They recommend the use of the CHA 2 DS 2 -VASc score in AF patients to estimate the risk of ischemic stroke and systemic embolism. 2 0 obj … Limitations include only 20 of the 54 total recommendations being of strong Grade 1 criteria. Writing Committee: The purpose of the 2019 Focused Update is to update the “2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation” in areas where new evidence has emerged since its publication. 16 0 obj endobj For the Supplementary Data which include background information and detailed discussion of the data that have provided the basis for the Guidelines see https:// <> ODN Board Agreed: 26 October 2017 Review Date: October 2019 Guideline for the Management of Traumatic Chest Injuries (Adult) 1. endobj ",#(7),01444'9=82. endobj Read the latest articles of Chest at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature <> endobj 7 0 obj h�b```e``�� http://thorax.bmj.com/ Thorax: first published as 10.1136/thoraxjnl-2018-212463 on 13 December 2018. ]Ew1�ЯN"@��Yձ��=GՍQ } 17 0 obj Introduction These Highlights summarize the key issues and changes in the 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC). ;7 �K��y��U�Tw�L�~����슔t[E�u#���Qu��Y`}X�r����� g-55W�N��� �Y�ә��I�^�����a��a��A�vl̾|�{*�� �����j--ae:[\y��UeU�pÃJ��̥VMQ��r�e�q�߮� �e���g���R&��J�e(��R5y"4iɕx��)E�=����,y��sR C���5A7�=S>9 ]ry����'S��Z���i3-@�3�y'S���nphڶ'���d`6����h``6K3�ATChh9�ˀ1��C� ��PCy�F�r�j��4!vd5���h���(k@�T*G��Rd& (d��[����,����a0n���*ðс7�1����+�1�Aπu�h�&��l21�$�02�5�e�p����3�N��4p;�u1�\౅!���A����W2 L ,x�V1�8�]`� Y���Ґ1�L[��hiq�����#P@º:)�V̍Q������bݜ3K7�� I63p=���h �g3pKHA���y�:e>�z� .� <>>> 12 0 obj x��Y[o7~7���ǙŊ�}�E���n�ص�A�Ֆm�ԕ�[���p4�p$ʓM�Ɉ��;wz|���wӛ��{7>������}.�z���x�߿f����|1����������N���?H��nO2���˵c��ΰ����`��8���R\>/�bR��&?��x����J�闂�*�]��������lЌP=T �;!��>]�hR��)(i�l=����H�rd�[z���}���X�,e��m��ݲ�b�#��?Lc�Mv�0V��c9�Ŵ�qJ��F�P�;�l[�S��mI���(�w!�5)�,V��s�3~��P�>��R����'Z��P�-�? 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chest guidelines 2019 pdf

endobj Background 2.1. <>/XObject<>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj 3 0 obj Additional submissions will not be accepted after the website closes. <> )��G�j[붮A���*�Z��{7%��:hL��f�m�0��ڎ��4� Basic Management Plan for Care Under Fire 1. Chest Imaging. Guideline Clinical App gives you access clinical guideline content, guideline recommendations, "10 Points" summaries, and tools such as risk scores and calculators Tip: After submitting key term, narrow your results by filtering by clinical topic or selecting specific document types. endstream endobj 248 0 obj <> endobj 249 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/Thumb 132 0 R/Type/Page>> endobj 250 0 obj <>stream endobj endobj MMWR Morb Mortal Wkly Rep. 2012;61(46):937-943. <> �.c�:~>�8�W���;������0�t��v#����ڐ. 1 0 obj 18 0 obj DOI: 10.1161/CIR.0000000000000678 CIICA SAS AD GIDIS cardiovascular disease (CVD). <> 283 0 obj <>/Filter/FlateDecode/ID[<3E764B71E1B5E84F8068DF7BEF0B0304>]/Index[247 105]/Info 246 0 R/Length 154/Prev 733750/Root 248 0 R/Size 352/Type/XRef/W[1 3 1]>>stream Comilla Sasson, MD, PhD; and the AHA Guidelines Highlights Project Team. An updated guideline with new recommendations for the treatment of patients with pulmonary arterial hypertension (PAH) was released by the American College of Chest Physicians (CHEST).. endobj Methods: A multidisciplinary panel conducted pragmatic CHEST 2018; 154(5):1121-1201 KEY WORDS: antithrombotic therapy; atrial fibrillation; evidence-based medicine; guidelines Note on Shaded Text: In this guideline, shaded text with an asterisk (shading appears in PDF file only) refers to recommendations that remain unchanged from the previous version of the guideline. Protected by copyright. <> 48S CHEST Supplement ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Introduction to the Ninth Edition Correspondence to: Gordon H. … Atrial fibrillation is the most common sustained cardiac arrhythmia with an increase in prevalence and incidence with age. 14 0 obj CHEST Guideline Topic Areas. <> 68 Endorsements: This guideline is endorsed by the American Association for Clinical Chemistry, 69 the American College of Clinical Pharmacy, the International Society for Thrombosis and 70 Haemostasis, and the American Society of Health-System Pharmacists. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the CHEST’s Guideline Oversight Committee (GOC) oversees the methodology used in our guidelines and consensus statements and the selection of topics. $.' An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America, 2019: PDF endobj Most of the recommendations are based on the 10th edition of the American College of Chest Physicians (ACCP) guidelines … Finally, routine use of compression stockings for post-thrombotic syndrome prevention is not routinely recommended (Grade 2B). endstream Arnett et al 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease e598 September 10, 2019 Circulation. <> 4 0 obj 11 0 obj ���3�*4��&m���l����^ BQeu�(��n�n o|��nE v�d�lh^�����C��5G�Z��D�0!F��.5�#Q+ߕ)�2��LiNH��B���P�Lr �e:�Y���.��t���Z�WM��Uj��B�����s�u�. 5 0 obj To define the management of patients with suspected and proven chest / thoracic injury presenting to hospitals in the South Yorkshire Major Trauma Network. The scope of this update of the 2014 AF guideline includes revisions to the Please make sure you receive endobj }��̒�%K���� �\-wgfw�̙�,�Nx"�I��Dr��K���Ds�{Ht�<1��.�2q���K������6">q��iӅ�=!�0�Q�@X�$��ņJ�� 13 0 obj *�xH�7�ٞRl���A,eV/[� &*�Ģ0c��L��ՠ4%M� ��1�y&Rpk1qY&T��0�T��w�ݺ��Gq� ��g���I��>�og�戵Ō�-Wu��,��ؽO�g���/j�D�f��j��8E�Z�o���KOu�{ԭT������y�k���C�L3��/�.B����}-s��`CJ�����['H�u?Cx��X��HjM�n��˄ƪ8�̟�)��̇��1�! 10 0 obj 2. 71 72 Disclaimer: American College of Chest Physician guidelines are intended for general CH-1.2: General Guidelines – Chest Ultrasound . 20 0 obj <> <> In the March 2019 issue, the article titled “Therapy for Pulmonary Arterial Hypertension in Adults: Update of the CHEST Guideline and Expert Panel Report” ( CHEST 2019;155 (3):565-586) by Klinger et al contained a typographical error in Table 3: Full-Text. <> 2019;140:e596–e646. endobj The free guide, titled “ Therapy for Pulmonary Arterial Hypertension in Adults 2018: Update of the CHEST Guideline and Expert Panel Report, ” was published in the journal Chest. For interpretation of the Guidelines, and where not otherwise noted, “adult” refers to persons age 19 and F� [�t��S��h�mi����!QJ�D �(O�E�1B��0]�D;�Bci�&1�A���1�f��rK�|b�$��� �'NX�^�$5�Fc�8O��N. dations from guidelines. 247 0 obj <> endobj 19 0 obj <> To provide needed clinical guidance in chest medicine, CHEST has developed guideline publications and clinician tools and materials in the following portfolio of key topic areas: Airways Disorders; Chest Infections; Clinical Pulmonary Medicine; Critical Care; Interventional Pulmonology; Pulmonary Vascular Disease; Thoracic Oncology endstream endobj startxref Summers DV, Tirschwell DL; on behalf of the American Heart Association Stroke Council. THIS OFFICIAL CLINICAL PRACTICE GUIDELINE WAS APPROVED BY THE AMERICAN THORACIC SOCIETY MAY 2019 AND THE INFECTIOUS DISEASES SOCIETY OF AMERICA AUGUST 2019 Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia. • The lifetime risk for people with BP > 160/90 mmHg is double that of those persons with BP < 140/90 mmHg • At 40 years of age, the lifetime risk of developing HF for both men and women is 1 in 5; at 80 years of age, the lifetime risk of developing new HF is 20%. <> an asterisk (shading appears in PDF only) indicates recommendations that are newly added or have been changed since the publication of Antithrombotic Therapy for VTE Disease: Antithrombotic Therapy and Prevention of Thrombosis (9th edition): American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. CITATION: 10.1016/j.jacc.2019.01.011. Thorax 2019;74(Suppl 1)1–69. Summary of Recommendations 1. 0 @Y���� Visit the Guidelines Oversight Committee Web page to learn more about our guideline and consensus statement-development process. � cc`a�x�q 1#X����/l����b>��8��c��#,�G��1-v�z��.�GB��RƂ Z|�� 5��k�����m�$�4�-=�,�Z�u�9�py�,�+K���2 6 0 obj 8 0 obj The American College of Chest Physicians updates guidelines on PAH. The guideline on management of chest pain was developed by the members of the Armenia Clinical Practice Guidelines expert group. Additionally, none of the … <> – The American College of Chest Physicians ® (CHEST) announced updates to the evidence-based guidelines on antithrombotic therapy for atrial fibrillation. PDF: British Thoracic Society Guideline for bronchiectasis in adults : PDF: Diagnosis and Treatment of Adults with Community-acquired Pneumonia. endobj b�\ �VgUwr]�v ���YG�ȕ4����Q�N�3""�"��h�Ih+�.��8*�1���n~��+}�@{jѴ5t�"5%����]C��j�8m+�8��_�?����7.>M~�C���x���3��g�r����)4t�8��OZc��������t�'W�;���;�~�ZΏ����/�1zÓgD�+؜Фu�� C��d=���7츸�95�����Tܨ. endobj 2019 surveillance of chest pain of recent onset: assessment and diagnosis (NICE guideline CG95) Surveillance report Published: 4 September 2019 www.nice.org.uk ���� JFIF � � �� ZExif MM * J Q Q !�Q !� �� ���� C doi10.1136/thoraxjnl-2018-212463 1 on April 23, 2021 at MSN Academic Search. CHEST Guideline and Expert Panel Report Peter Gibson, MBBS; Gang Wang, MD, PhD; Lorcan McGarvey, MD; Anne E. Vertigan, PhD, MBA, BAppSc (SpPath); Kenneth W. Altman, MD, PhD; and Surinder S. Birring, MB ChB, MD; on behalf of the CHEST Expert Cough Panel BACKGROUND: Unexplained chronic cough (UCC) causes significant impairments in quality of life. COPD: The Epidemic • 15 million patients have COPD1 • 64% diagnosed by a PCP and 28% diagnosed by a specialist • 7% diagnosed by other HCP • 31%-43% receive spirometry-confirmed diagnosis2 • 12 million patients remain undiagnosed3 • <50% of PCPs are aware of the existence of GOLD guidelines and even fewer have read them4 1. The American College of Chest Physicians (ACCP) has updated their 2012 guidelines on the use of antithrombotic medications for patients with atrial fibrillation (AF). We would like to thank the members for their signifi-cant contributions to the process and, indeed, to the final product. February 8, 2019. 9 0 obj F��lŰc�h��ozٛR��fٴ�Sʮ����oz��Q���:>���e;c�uٌp�|���b�pE�U{,�߲˦�sm�K�^(�(��Ϧԡ=5���)��c�OAe��8Lt��nsD�"���`�2rp��]��@��M��#�>�8L$�eYTyp�"���+��GQ����0� Objective 1.1. endobj CHEST Annual Meeting 2019 Abstract and Case Report Submission Guidelines Submission • The abstract and case report submission site will open December 10, 2018 and will close at 11:59 pm (Central) on March 15, 2019. They recommend the use of the CHA 2 DS 2 -VASc score in AF patients to estimate the risk of ischemic stroke and systemic embolism. 2 0 obj … Limitations include only 20 of the 54 total recommendations being of strong Grade 1 criteria. Writing Committee: The purpose of the 2019 Focused Update is to update the “2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation” in areas where new evidence has emerged since its publication. 16 0 obj endobj For the Supplementary Data which include background information and detailed discussion of the data that have provided the basis for the Guidelines see https:// <> ODN Board Agreed: 26 October 2017 Review Date: October 2019 Guideline for the Management of Traumatic Chest Injuries (Adult) 1. endobj ",#(7),01444'9=82. endobj Read the latest articles of Chest at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature <> endobj 7 0 obj h�b```e``�� http://thorax.bmj.com/ Thorax: first published as 10.1136/thoraxjnl-2018-212463 on 13 December 2018. ]Ew1�ЯN"@��Yձ��=GՍQ } 17 0 obj Introduction These Highlights summarize the key issues and changes in the 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC). ;7 �K��y��U�Tw�L�~����슔t[E�u#���Qu��Y`}X�r����� g-55W�N��� �Y�ә��I�^�����a��a��A�vl̾|�{*�� �����j--ae:[\y��UeU�pÃJ��̥VMQ��r�e�q�߮� �e���g���R&��J�e(��R5y"4iɕx��)E�=����,y��sR C���5A7�=S>9 ]ry����'S��Z���i3-@�3�y'S���nphڶ'���d`6����h``6K3�ATChh9�ˀ1��C� ��PCy�F�r�j��4!vd5���h���(k@�T*G��Rd& (d��[����,����a0n���*ðс7�1����+�1�Aπu�h�&��l21�$�02�5�e�p����3�N��4p;�u1�\౅!���A����W2 L ,x�V1�8�]`� Y���Ґ1�L[��hiq�����#P@º:)�V̍Q������bݜ3K7�� I63p=���h �g3pKHA���y�:e>�z� .� <>>> 12 0 obj x��Y[o7~7���ǙŊ�}�E���n�ص�A�Ֆm�ԕ�[���p4�p$ʓM�Ɉ��;wz|���wӛ��{7>������}.�z���x�߿f����|1����������N���?H��nO2���˵c��ΰ����`��8���R\>/�bR��&?��x����J�闂�*�]��������lЌP=T �;!��>]�hR��)(i�l=����H�rd�[z���}���X�,e��m��ݲ�b�#��?Lc�Mv�0V��c9�Ŵ�qJ��F�P�;�l[�S��mI���(�w!�5)�,V��s�3~��P�>��R����'Z��P�-�? 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