%PDF-1.4 % 4 0 obj << /Type /Page /Annots 149 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 153 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 74 0 R /CS1 73 0 R >> /ExtGState << /GS0 106 0 R /GS1 150 0 R >> /Font << /T1_0 67 0 R /T1_1 80 0 R /T1_2 19 0 R /T1_3 62 0 R /T1_4 21 0 R /T1_5 100 0 R /T1_6 20 0 R /T1_7 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj 7 0 obj << /Type /Page /Annots 156 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 160 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 74 0 R >> /ExtGState << /GS0 106 0 R /GS1 157 0 R >> /Font << /T1_0 80 0 R /T1_1 21 0 R /T1_2 62 0 R /T1_3 100 0 R /T1_4 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj 10 0 obj << /Type /Page /Annots 163 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 167 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 74 0 R /CS1 73 0 R >> /ExtGState << /GS0 106 0 R /GS1 164 0 R >> /Font << /T1_0 80 0 R /T1_1 21 0 R /T1_2 67 0 R /T1_3 62 0 R /T1_4 22 0 R /T1_5 72 0 R /T1_6 20 0 R /T1_7 19 0 R /T1_8 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj 13 0 obj << /Type /Page /Annots 170 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 174 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 74 0 R >> /ExtGState << /GS0 106 0 R /GS1 171 0 R >> /Font << /T1_0 80 0 R /T1_1 67 0 R /T1_2 62 0 R /T1_3 72 0 R /T1_4 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj 16 0 obj << /Type /Page /Annots 177 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 181 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 74 0 R /CS1 73 0 R >> /ExtGState << /GS0 106 0 R /GS1 178 0 R >> /Font << /T1_0 62 0 R /T1_1 67 0 R /T1_2 72 0 R /T1_3 23 0 R /T1_4 19 0 R /T1_5 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj 19 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFGDJ+AdvP7CA8 /Encoding 34 0 R /FirstChar 78 /FontDescriptor 24 0 R /LastChar 78 /ToUnicode 35 0 R /Widths [ 281 ] >> endobj 20 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFGGC+AdvT373 /Encoding 36 0 R /FirstChar 42 /FontDescriptor 28 0 R /LastChar 42 /ToUnicode 37 0 R /Widths [ 385 ] >> endobj 21 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFGLD+AdvPED1283 /Encoding 38 0 R /FirstChar 40 /FontDescriptor 26 0 R /LastChar 144 /ToUnicode 39 0 R /Widths [ 406 406 0 0 250 333 250 0 0 489 0 0 0 489 0 0 0 0 0 0 0 0 0 0 0 604 0 562 656 0 0 645 729 354 0 0 0 802 0 0 552 0 0 458 531 0 0 833 0 0 0 406 0 406 0 0 0 468 468 354 468 354 270 437 541 270 260 500 270 822 541 416 479 447 354 333 291 541 427 687 437 406 0 0 0 0 0 0 0 0 0 1000 0 0 0 0 0 0 0 0 0 0 0 250 250 ] >> endobj 22 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFHPO+AdvT377 /Encoding 40 0 R /FirstChar 42 /FontDescriptor 30 0 R /LastChar 42 /ToUnicode 41 0 R /Widths [ 385 ] >> endobj 23 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFJFE+AdvP4C4E59 /Encoding 42 0 R /FirstChar 35 /FontDescriptor 32 0 R /LastChar 35 /ToUnicode 43 0 R /Widths [ 822 ] >> endobj 24 0 obj << /Type /FontDescriptor /Ascent 697 /CapHeight 630 /CharSet (/N) /Descent -11 /Flags 6 /FontBBox [ -62 -260 1000 854 ] /FontFile3 25 0 R /FontName /NGFGDJ+AdvP7CA8 /ItalicAngle 0 /StemV 0 /XHeight 760 >> endobj 25 0 obj << /Subtype /Type1C /Length 99 >> stream NGFGDJ+AdvP7CA8 M| AdvP7CA8/QHHQQHHQ endstream endobj 26 0 obj << /Type /FontDescriptor /Ascent 709 /CapHeight 637 /CharSet (/T/h/e/w/a/y/s/u/r/g/i/c/l/n/d/m/t/o/b/hyphen/p/f/period/parenleft/ellipsis/parenright/bracketleft/A/bracketright/j/k/S/comma/v/quoteright/I/W/H/five/x/one/D/G/C/q/P/M/quoteleft) /Descent -216 /Flags 6 /FontBBox [ -156 -229 1093 760 ] /FontFile3 27 0 R /FontName /NGFGLD+AdvPED1283 /ItalicAngle 0 /StemV 0 /XHeight 482 >> endobj 27 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 4398 >> stream HT{PSW>An *-*ե*RPDܢXAX1EHxB.! !^!D^ C1jkgina;{Lwv߹|ww~8ݖnSr\$|N=rwQk<~p3'^|: v xrX?Ğ;D(  jN,P3řtv_$X15}>sZ5~oq8,_#%[ԺF>-uvt{GwK]N.[ϨPZ  jR GWNíp#x'e(F(+CHkni\@ 6 Zηp+ *h,4gIR~-֖g2( /aYoa.V&pBJuMh7̄ˢ UZݑ2"i`*ZO! (>L+P%*RKqЇ6EAT9v\]kNUhciakp&72ঋՙdVFOgooõzM ]]0y0p6QwonF5è }npnj KQ0@+"KS2'a09>¨XhlSA#1R#E;cy7J 7wM?\}BiPj-X}_ UqB(bzu(;܌`K?qNwf3=3.A+Uxm>Zt;KCN)QhPIE9,%pc+&:::[JB;;؏#h၈@@A p#<"D+Դ2?>?tc1}ݞdLb 2mVL-M0[HEg⿍@#`qjf̊78T$GjC0>Ëܓhs\)Rl3CCarbf"ZRZKuwjOV]Mdh, 3#:Ŕ. !G ]!ڤ7]م0WU*gg?Ic=PMsO)"4'`u|ec29dfF@ ;]%"BˤZ>*Ӗɽۙ>?9j[Sxlz-7;MoynbȈnfTiNnhnT#0u{:̓lH 325,TbߊA-5kEESc mo~q[v94hɯ'>}' (bgeyS#$~t4]0"^׮>,KX5ew]Lb)- ܹi{!hHbמu{mrS#$˜"潸>?=Sc;*n4vSJKc py!sp#xkoRٝ>ٍ[5k/YF}qۑKr%K8ovY#SYUbKE U+$yo5!z`F&.>rG9''3㺪c4˧JZDv0EkQpD#C6Q.Gsж Tna /W! z!; s۝Ⱦ%vT0}΂ilA[_eߜڻ *`ŕb2-UM[Cq}hp&Y#S8N3حΊ~}'_7r"Ѣ` t?M4KZ\ktf@rxRsFU==h2G4*5F%`$*A eae.+˾vaoREGP56:iM439vXLfsdUx+H86@z}'Qm&*v&z_]pFg)伉}rq#O)0nM֫Ѿghع=<sn7.nF)SU4<-\%#iăhoo[K[&&CrQeM2u$j .!7a}t; :Uۀ@9qvmM6sL SS7S~IP)"j8 G>ijζ>(ƒ2̉ی)%$+ݟj*ݥ"8+ܵ+2{<~[MtB 99T^7wToA@ۗF;0]1WnJv-Vvl;?~;3Ll솜LTLQzFY/hʇ,ڠSkU# s0yBӇn\u"~u*?Z.v7H;( Һ =[(:{Rی×D>.Z0M6izؤaG4LA׈Ms_SvZ ҋ?02:] ⚚)T2`"88>{5h*`y4ѰұʴژmԴJ٥4ij<πo0o VWTburN70n'=X| q)̋ 僓2'enIJQ:Z^Bh5Ij1[]1\DH%ud ?&t*]#=hUK멜wYrY28"aV2Z vC [wkZC.׏Ap0OnLWOF&k5]nYء?XoO~Q|rܶQǡpFwX'4G} &v4gA#c5L?B!rKIą11x7Nw$TarQ^i6@s +eɅ PZb8תpWz.‹ߟ|bvmOL@7tSjaY: oEJZ=尟}As΃E<4~UXټbeO{?O_{=/"sXNvl_?ujhȥw)/_#l2RӨRiT:-5pm3zFC^u 9Z Jz4 DɠrxK&\W%?!$U+˅,%H_` d5EHx0mmXBe&p"> endobj 29 0 obj << /Subtype /Type1C /Length 187 >> stream NGFGGC+AdvT373 nn|\NAdvT373 nwsibb_wmƴisud~]ym{Dn{Iyqt}vuF endstream endobj 30 0 obj << /Type /FontDescriptor /Ascent 715 /CapHeight 715 /CharSet (/asterisk) /Descent -210 /Flags 4 /FontBBox [ -187 -218 1010 979 ] /FontFile3 31 0 R /FontName /NGFHPO+AdvT377 /ItalicAngle 0 /StemV 0 /XHeight 518 >> endobj 31 0 obj << /Subtype /Type1C /Length 235 >> stream NGFHPO+AdvT377 Ong~AdvT377  itlֽyquq䂈ul~k}Ɏ5q\ez~ui~|n5no}~vuxuR endstream endobj 32 0 obj << /Type /FontDescriptor /Ascent 694 /CapHeight 677 /CharSet (/numbersign) /Descent -206 /Flags 6 /FontBBox [ -31 -250 1000 750 ] /FontFile3 33 0 R /FontName /NGFJFE+AdvP4C4E59 /ItalicAngle 0 /StemV 0 /XHeight 431 >> endobj 33 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 219 >> stream Hbd`ab`ddswrsvL) 0q6q5gE+/Iq###~.)m+kmݞmDV [Y{zKMkPQ!g0R%lgOgK۞"4S ﭬ]R S1OìJZi|Nq4 endstream endobj 34 0 obj << /Type /Encoding /Differences [ 78 /N ] >> endobj 35 0 obj << /Filter /FlateDecode /Length 221 >> stream HTPj0 +tlI顇9l-Kk+ݬHO$yh䉝n1@g0nbp[0VUʃv uJȏgX=ؼ7 V++H k0 yxS] :ar ^idE=B^qbq,K-2MtÇ|}-ARlp endstream endobj 36 0 obj << /Type /Encoding /Differences [ 42 /asterisk ] >> endobj 37 0 obj << /Filter /FlateDecode /Length 219 >> stream HTPj0 +tlIn(֍ݵ̰Fqnm {> endobj 39 0 obj << /Filter /FlateDecode /Length 330 >> stream HTn0<S!Dr菚wb/)R1!}w4mdzxXo&_8AYq.^#YHR0YxqS:Nm;@UE->\D-/ޠŹ/N`ۧ=7=Bwxui'sg*-k6ZS?UJ@ ę*0 ąp|~`rEt]Ge޵ $n U$hP-GdX{gRőc_Pc͟QsS(ORy$y}%x9wx'ู|G Q endstream endobj 40 0 obj << /Type /Encoding /Differences [ 42 /asterisk ] >> endobj 41 0 obj << /Filter /FlateDecode /Length 219 >> stream HTPMk0 WуCt rKk+agY $I=w"#8 GGjĭ+L:L~#N FΑWJ_WO ";awR_i/!W i uf[6ȚF GqEnVU}hEݦO1 sX/#(r_Bl endstream endobj 42 0 obj << /Type /Encoding /Differences [ 35 /numbersign ] >> endobj 43 0 obj << /Filter /FlateDecode /Length 219 >> stream HTPj0 +tIv RȡX][ l琿*Гݷdv%85KPV`k2[Ե/y˶=նxsynG4 ?Aa#T.W!FV4 ks H3V,nEk7i!zfYBZn /Χ]ůl endstream endobj 44 0 obj << /S /D >> endobj 45 0 obj << /Nums [ 0 44 0 R ] >> endobj 46 0 obj << /Type /Pages /Count 7 /Kids [ 51 0 R 1 0 R 4 0 R 7 0 R 10 0 R 13 0 R 16 0 R ] >> endobj 47 0 obj << /CreationDate (D:20050127093228-05'00') /ModDate (D:20061211020139Z) /Producer (Acrobat Distiller 5.0.5 \(Windows\)) >> endobj 50 0 obj << /Type /Catalog /Metadata 182 0 R /PageLabels 45 0 R /Pages 46 0 R >> endobj 51 0 obj << /Type /Page /Annots 135 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 139 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 73 0 R /CS1 74 0 R >> /ExtGState << /GS0 106 0 R /GS1 136 0 R >> /Font << /T1_0 67 0 R /T1_1 62 0 R /T1_2 57 0 R /T1_3 72 0 R /T1_4 80 0 R /T1_5 100 0 R /T1_6 95 0 R /T1_7 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj 53 0 obj << /Filter /FlateDecode /Length 219 >> stream HTPMk0 Wу>X][N l?ͺM xO'AF A}tܺRD9ԓжB'pl;i0,!|V /jBؿy כ opJ#+vdc?WYUͩiwfV>C/bXC)lf endstream endobj 54 0 obj << /Type /FontDescriptor /Ascent 722 /CapHeight 722 /CharSet (/question) /Descent -199 /Flags 4 /FontBBox [ -156 -229 1000 791 ] /FontFile3 56 0 R /FontName /NGFFGB+AdvP2A83 /ItalicAngle 0 /StemV 0 /XHeight 502 >> endobj 55 0 obj << /Type /Encoding /Differences [ 63 /question ] >> endobj 56 0 obj << /Subtype /Type1C /Length 145 >> stream NGFFGB+AdvP2A83 0y|$ AdvP2A83 Gr?0?e\qcmoA~q [\|]\_!' endstream endobj 57 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFFGB+AdvP2A83 /Encoding 55 0 R /FirstChar 63 /FontDescriptor 54 0 R /LastChar 63 /ToUnicode 53 0 R /Widths [ 500 ] >> endobj 58 0 obj << /Filter /FlateDecode /Length 314 >> stream HTQMo0 Wة+HjR!z迟t݆yy{6; _qw64CpS /|o;4sZ FiX> endobj 60 0 obj << /Type /Encoding /Differences [ 37 /percent 40 /parenleft /parenright 45 /hyphen /period 48 /zero /one /two /three 53 /five /six /seven 57 /nine /colon 65 /A /B /C /D /E /F /G /H /I /J 77 /M /N /O /P /Q /R /S /T /U 87 /W 97 /a /b /c /d /e /f /g /h /i /j /k /l /m /n /o /p /q /r /s /t /u /v /w /x /y 133 /endash 144 /quoteright ] >> endobj 61 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 3048 >> stream HyPUGneV[ljf0qR8,SB\FѸ"`dQp 7T 8L+9yd1ef>wNJ0T*YdXh0yMR%b$ݦoLeuͫ`A%AШSA0,*aFpV o <+A-AT&v DcV_ ǝBpVxUKTTczQ`AA3DO1^,Osq65TFSe"Lj;Fek2X259ggD+VK3Sf0{vPhuln;"6FZ Z/QEluͣyu)5g"s%eJ|lĞ_q N{Io%>vV}w |z,>X#EOg+/=ЪcصBt%W[C2}1qKBۘS\Ck+jU3e sD؃1clp0tN=M@ t?GH)Gϋݰ(Wi]eQWq8md(A΀ ꙳Ǯ_ Np]u):+% A'ٴ8QA\ e  M;uLj(ql"% go 53(ыJZ[.`nx6Wӑ.ϙ>ÎОżŷ.@9ݙ?=/ٱ˲.ֳd)03%7Rؾ<ȅ Fmewz{hgجL57ăJJ-}cD[ jIة뀿54_8k ֥A@K~(NIeh VV@9ۋX.B|+<  {;3ߑ^ZWkeI|Xk,R@|V鶏VPCd,%RkJ3&FSHv|p8d\0%ᦏa&j#qvV b;)؀ xV1GK$Xn ` @0+.E`)9Cp)@KaYl'O"4_:q" tD::q4+DC/x^[Jb&JC Af608zU0sK}~`.-B~,&?PLm 8ʋn?Ƶ M/@8륃&Y$g>xѽrl%̄y(̈́|K%9-n9eJ oɊ7'U)H.G!*Q=X!euaDiVtOL[]5An{TjxmC0c[xm}`M |`I 2EH=P #J!B l9hN3L /z{JٻIQx 2z;hXsMMs|aW?Y?8yxl'kq \QC}M;Wi6;h1jʠ_80X ŧǗ}>"2>o몳4zr+J87KҳE/E4ҕF+7떕Z<]߬qL mII9^lco' VC D=@ ,x$^]ۗr{vv֥Dqu|rhP.-^ԝBste5GE7ё:?ם%3ׁ3$WKn^v2$[ 'Lߴ?Hs[1? \i7@ÿ\kW[g[@4Ir7YSVNls~^+xcU /<-,c߅a~`'Nzv꺚;yWb5J֪,I @:+B<=Si$&`w@诠NfPyE/x7" jaHe$iZdڡll0LԜW#\w*;`0C9CIq ,+{TmҦ]8BIwE A;;Mw DO3dz %jR . endstream endobj 62 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFFFG+AdvPA0C4 /Encoding 70 0 R /FirstChar 37 /FontDescriptor 69 0 R /LastChar 144 /ToUnicode 68 0 R /Widths [ 708 687 0 291 291 0 0 291 333 291 552 572 572 572 572 572 572 572 572 572 572 291 291 0 572 0 0 802 697 531 656 666 520 479 781 677 229 364 604 385 854 781 822 500 822 541 541 458 666 635 1031 0 572 552 312 0 312 0 500 0 552 552 437 552 489 270 552 520 250 250 458 218 770 520 541 552 552 354 385 239 510 447 718 489 479 500 0 0 0 0 0 0 0 0 0 1000 500 0 0 0 0 0 0 0 0 0 281 281 ] >> endobj 63 0 obj << /Filter /FlateDecode /Length 309 >> stream HTQn0+H $+UЇ q,'픶gwGY;qu6_A8uPHSN{4| #voTp6=b.u"W￰C7 'uLN7 ӹl .J.kPQ:> endobj 65 0 obj << /Type /Encoding /Differences [ 37 /percent 40 /parenleft /parenright 44 /comma /hyphen /period 48 /zero /one /two /three /four /five /six 58 /colon 61 /equal 65 /A /B /C /D /E /F /G /H /I /J /K /L /M /N /O /P 82 /R /S /T /U /V /W 97 /a /b /c /d /e /f /g /h /i /j /k /l /m /n /o /p /q /r /s /t /u /v /w /x /y /z 132 /emdash 143 /quoteleft /quoteright ] >> endobj 66 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 2796 >> stream HtU{ToQf=XXWD@X_E BXLS HSFb/l'X *Y Q@F՚;ۻmOsΞ{{oRF/LN Ui Xm"zЈ d4l?j_Ì! Q1ƛa|#20TIcƃajgTIΘbaf2 oۮ#saF\`T&ENէv횻}_P j6;dgdUdpi\ 1cG3ff^ө֢}_{T;{N\緞eq݂qV|`/nx14Q3m%YY%--m>{)&9uX 0m`u\\ǸCsMK"U`:n/тqIh]:~{L S Vx!B@v=ApBv~Avvs~kksskk~S?4+&^\Ozd؀2oų03 2o<\5" qTЗse_A`ݶw=HQɱFD 5=_Ġ;Hq1V6%4[yHky̖z66;)z\ dJEJUU5Ju԰ !!v-$&MLfpTQۗgpUPA'Rtd&7ʠeKG+b%, ɸޥ0*H"yM6&@ =hM 629WNGÓ'g ɮGZ^v&Ɍ [pkEx~B|^=fXju'u6 v*aYL!1Y@oGRLrnƅf6XLJel;JKpN!D#G=-uk-q+4<\vlSx*J4a%-Qd?B1hXc8: \=I.2́&A4\hX L#0KěZy-27ڸ*d3K\|hۧHg+iO%Z(z'VТ׭kx \M8䦡aYZ˒횲qwL6^9TRX-VPq>F"hNiޓh)0g J|13!؉l1f9B1y>%&*j+xݩkj(7p :$8C0DOc~z/+/DFlHQ60 *}sPj~o#085vt>A-ă`M3Y1ԁ " W0M]4!R5` [Z4u @1\lidxf/Hzp IrH`/Yɣ/ehPfyعXWе^ʐ ё endstream endobj 67 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFFFF+AdvPA0C8 /Encoding 65 0 R /FirstChar 37 /FontDescriptor 64 0 R /LastChar 144 /ToUnicode 63 0 R /Widths [ 770 0 0 270 270 0 0 291 333 291 0 572 572 572 572 572 572 572 0 0 0 291 0 0 572 0 0 0 677 552 604 645 489 458 739 677 250 385 625 406 833 760 781 531 0 562 520 447 656 635 979 0 0 0 0 0 0 0 0 0 562 562 416 562 500 302 562 541 250 250 520 239 802 541 552 562 562 364 406 270 531 489 781 552 520 479 0 0 0 0 0 0 0 0 0 1000 0 0 0 0 0 0 0 0 0 0 291 291 ] >> endobj 68 0 obj << /Filter /FlateDecode /Length 313 >> stream HTMo ;@>JJ(ԪRN"-?YE"zx͋wvW?Nvx ^: yӼ+Oqhd`Xf_A , s_أ -'Udo|1蕽 B Y h3&RFO, EfYE6ZY ,5sOtEX $TA& &.$HXY)6Q &!Zb&9FE#jgSbC: fž_ЗT endstream endobj 69 0 obj << /Type /FontDescriptor /Ascent 868 /CapHeight 754 /CharSet (/S/u/s/t/a/i/n/b/l/e/m/r/y/v/c/o/d/A/q/f/w/k/comma/p/g/h/quoteright/period/C/colon/D/J/T/B/R/W/H/O/G/U/M/two/five/Z/L/K/semicolon/j/at/seven/zero/four/three/endash/one/six/slash/x/I/parenleft/parenright/nine/percent/eight/quoteleft/hyphen/F/P/N/E/emdash/V/z/equal/Q/bracketleft/bracketright/Y/ampersand/underscore) /Descent -267 /Flags 4 /FontBBox [ -156 -260 1104 875 ] /FontFile3 71 0 R /FontName /NGFFFG+AdvPA0C4 /ItalicAngle 0 /StemV 0 /XHeight 468 >> endobj 70 0 obj << /Type /Encoding /Differences [ 37 /percent /ampersand 40 /parenleft /parenright 44 /comma /hyphen /period /slash /zero /one /two /three /four /five /six /seven /eight /nine /colon /semicolon 61 /equal 64 /at /A /B /C /D /E /F /G /H /I /J /K /L /M /N /O /P /Q /R /S /T /U /V /W 89 /Y /Z /bracketleft 93 /bracketright 95 /underscore 97 /a /b /c /d /e /f /g /h /i /j /k /l /m /n /o /p /q /r /s /t /u /v /w /x /y /z 132 /emdash /endash 143 /quoteleft /quoteright ] >> endobj 71 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 3362 >> stream HtT PT { 7kT@AіHԦ֐V+ƉG,XD$ :qU^&Yl5iq{99?w)P(<&'Xf 28l,yal;=`Ƅz:5e Q0ew-#2ToD1L ,aL f- a8F+f*0Z#)Yͬ٫8cTZdr wQLA3ESSSuRN2X٭مol7;Lr&2y"ߨF3ե?[Ճk55ٚB)Sz*>7\K\~B3mvKs[\!w`s ~sh^4}errz͍`;oO/MNa ПbhWqj"mvժq9R)SֲkjtO~ذ9#-3/;_*{jD1Osa9y1K/9[⪍93%O^σ@V(5&8_1b_  |u{ ";aýVwc:-ˆ$$}?i//W|0s rVU:W4C^ʕCHg98[CMhy 1& ɖOkQ@!>{AAC242Ci_Zyx'}|+C梮D##Y2gU^XypPv~t~0 } {ト62NնstCD(Gɵu dD-7HxyXe_;4NA^b 'WXEj7{=RyYxr?|oD~QŮ").]p~QL@_)C X_e/֡hL%(@?У`{,,H %'jzW˛lL(,<{#͉&z@OG8)̇t1`ʽjdw7t7էtlktP* II-mݴ) *){jõ:A-0腓QIi%*aBU1 ?aa.!kehb_'yG[!UF]#y>մDZ̏;=ٔͻr얫pE+dY#@{+-{𡐩Bߡ/j C/ `Itb#o ՗%M_H_N:NAC?^1[?8,0͆loSE'2"K [zK6q:h^fV5z|k`FXt'\4~LV,22YC^>!@}?1 y$94z;D?fmfS9.;$v/~ #a3]qkE@Ԓ'/URDJ0VI<(*kV[ 4v !?RcWcv%[f?AqDDwC2 aAX44G:w9f%Nys99 /fwTO7[n)::,/$.lE,ploFP+(MZ#WԷwv[ ҝN,$*+!y(0m~U< }B& I<3w3j_ưP9NpQ chXy3Xf(ߠCrco[x `7.nA7afȃ|QR n E |?q'a*R0y c4XL};戊cwvq;^La#^4.c'͍8q&O q 9qXu׿XX^[-Z143a4j9lW59;2#uGA:^AZk,X\5{jObJ^}ܠvIGaPafj'_6q $D=Fcn &!){lͶFvl8+h9ҥДTAteäoH,e,Ɋq)/x Ufj?Zxq\;9|3XDaG20v[0A: ,*GSzdIt <û6}[SuIX텯UWV-~vezn].#6eO[P7("A!:?˅` I=yF?)J z*W5 sx2#{˕;5՟VIk"vvYeye&Ϩ7i,KX& 5Yg_Fa݁)",;ƥKi uծ{v} 0k> H6`f2S7Xp 5$^^HۀĒFcIg*uiMeRLrXB#؎^n&$Iux'+ +\7\z0t4 0̀ru>p,FBHU@F=>#]w9 #Bʢbإh^X2K@pkw !O<ᗞ4tG&rGJI @Mls)h endstream endobj 72 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFFHG+AdvPA0C7 /Encoding 60 0 R /FirstChar 37 /FontDescriptor 59 0 R /LastChar 144 /ToUnicode 58 0 R /Widths [ 708 0 0 291 291 0 0 0 333 291 0 572 572 572 572 0 572 572 572 0 572 291 0 0 0 0 0 0 697 531 656 666 520 479 781 677 229 364 0 0 854 781 822 500 822 541 541 458 666 0 1031 0 0 0 0 0 0 0 0 0 552 552 437 552 489 270 552 520 250 250 458 218 770 520 541 552 552 354 385 239 510 447 718 489 479 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 281 ] >> endobj 73 0 obj [ /ICCBased 108 0 R ] endobj 74 0 obj [ /Separation /Black 73 0 R 107 0 R ] endobj 79 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 6296 >> stream HyTT̝€E܋" j!((.Q4aEvT@ U1Fў^b۞{缿a<dMns ;qò_>JYfR |1xay!b Ya1W #0,0Lf`Řjss-/WanE`M% o;Ӛ DE|o nVxpG"fPx?vVC+CQk4Hc4nojvBc7s'nx 7yYB1 Kp7K9#rF C!7&8 00ްqSN2쫑m$tC\E<Yˢ ۟8<\SQQVNJ/cbr O'Q:'"JI|Gh"4)y,pm|x# X'%B`o|W(9el $ `44B*?UVJhP%1X8BtLѩ졟EnF"P$uoyRʡ™tEF]JWeMl++:**c@9JQ 0U+8x9xrsNt`doX-/CǿH!4ժwoIo/j D܇3>mtA&{%W~IMT9UZ"9INzIp櫞i.1erMojƁb¨HV^v^L`\nm0rH?vA! ڼFK# MKiE@'l~ |;}{.<'<;{:п#am[a춝М6kSsm!jQ;2[ӓC> &Ȕn2xJ?bqn=)'A<(%ReP&EV}B$<\ޛV_Fj2ZjRqMҦI;g#URKy[g .NzzWyIB)բ8]a6SRY He4g\UN6B.㲢"%ZLOam8UW{ d` 꺾Ho-`( C?YI>' pdIıۮiʒ"88ା/ie(,@F+Sh+JۦiD?Y/u Y8 g:$,125k~Y `BKG4tAb%ފڧ\&Y_T'mҙ&"ȡSZqbo F+aG4O$EqmZٌ.؝6p[-~0'@Y<?3%@#:R#KO:Нm4&t_kUt`_ gx-,EI9|XCcx{lX9, ]'3rF&  Kƹ#0NJ|m(8ʙ)yd:VGBbvpë]a1-'F)ju>lf3xvNEHK$P9Yk 6(`WPiJjʦ02ű'&U/u9!~Q8 *L -?G)*OZsN嚳iD$?ҘTJ l"ګmI;%e7V}&@ 7obfBlg*ر\ϻh;p[.u~f=xrR1l133R<1׿ AdbŲqFM=rr ZoLR5, qi9X~a?xσjbu7hIOueKwï.7U I\5<: B".M/,^{-~ÿ=KjR }ÂDltŒ)zbQ-_2ӿ61x) ۦt4A`sc4%|cSy-*;En`a7ְ%'L%!Brx.4AxgBFq vi,].aXYa_-2^Ɍ,6*/X Ő\b[j^ H"Eݥ{BCQ ![ȸRzuߺ 4E0m>K'^ {okvc{9U23Tf(28QPϐRd8lQPt>R58r0`b:`is Hݵ'K{+'.?*2K7"eDBO`p<,lSZ W"(f!L 3yՉjr~{dvG$Lkl|/Rݪmή!K@n/ˍ`B@L%-  ^:uz8;ުI{NOev;?_fr<>yެ)7ٓ<)VYqjy&h՝cP!Omߞ"): NOzZ^kZ֖0F:`rA1Ǧ lJ&1qh}³f9uIXRً;J84>찪?ýYܽϲ(8<+~.q/r8wۧWԝf.|!t- Z~Exa.~01Z@=_Cь|ȸ@@lE%.M/$930ק0 R {yx £W÷:wsLF(Gz@> g8rs\:%MuT;^/2 i9=ːKͻ>ʩku K]i"WE~@,שp37ϥFĻ nƒ?`D <&46Ri^yɣYQ)so4E].H w/;Sa{]:2qb亊.GFZZ<X^[Ѓ (LC&n3 \Y0J$B]pU;mgk|Si[Irp,x\9D-W&x6J68*eI Wj >.q기d0<ɻ0Bg-p.Tϙ-AkQ48[kT3Xb+g0}*(_ ERQp]&lRv:QHYSdi.s-,XoK6Wkj*2;@o=y,OWQlS_~<ܫUbfYW߇snǮ]hqCHR82a5u+kX=Fk$2s5_#D·VqBǐ0bzY- ~O]]֦κqy81m÷ D2 >ZLL"|ңp(5FoEߊw5B9'dp`yiXֿB׆rJgX 2RQ)R"f }C'ڦJn֛x9A+dRPꔷ5yFx&: ΁m %D/ǞӬ.e \AG> endobj 81 0 obj << /Type /Encoding /Differences [ 37 /percent 40 /parenleft /parenright 44 /comma /hyphen /period /slash /zero /one /two /three /four /five /six /seven /eight /nine /colon /semicolon 61 /equal 65 /A /B /C /D /E /F /G /H /I /J /K /L /M /N /O /P /Q /R /S /T /U /V /W 97 /a /b /c /d /e /f /g /h /i /j /k /l /m /n /o /p /q /r /s /t /u /v /w /x /y /z 132 /emdash /endash 143 /quoteleft /quoteright ] >> endobj 82 0 obj << /Type /FontDescriptor /Ascent 709 /CapHeight 644 /CharSet (/h/e/r/i/s/c/a/n/t/v/d/b/o/u/q/l/y/m/period/M/w/k/f/g/U/K/comma/p/one/endash/three/O/S/four/six/I/A/C/seven/eight/R/hyphen/quoteleft/quoteright/parenleft/x/parenright/nine/Q/T/H/zero/two/j/W/D/z/five/E/G/P/F/slash/L/percent/equal/colon/semicolon/J/N/V/emdash/B) /Descent -205 /Flags 6 /FontBBox [ -156 -229 1093 760 ] /FontFile3 79 0 R /FontName /NGFFIL+AdvPED1282 /ItalicAngle 0 /StemV 0 /XHeight 468 >> endobj 83 0 obj << /Filter /FlateDecode /Length 293 >> stream HTQn {L~&,U*Ї4wRv.-02 igonTv8Wx ^*j8iơ5B0Niv7X=~*Wcq"p 43$PנcyEtY,JN ._cET;);&&rp'\$-<.#kF~"]tH)9 EJ0Ole 6j9-ѨsZϣ7x3;Z|ٷ endstream endobj 92 0 obj << /Type /FontDescriptor /Ascent 759 /CapHeight 623 /CharSet (/comma) /Descent -182 /Flags 6 /FontBBox [ -20 -281 1020 979 ] /FontFile3 93 0 R /FontName /NGFFPC+AdvP7DB7 /ItalicAngle 0 /StemV 0 /XHeight 759 >> endobj 93 0 obj << /Subtype /Type1C /Length 121 >> stream NGFFPC+AdvP7DB7 wg  AdvP7DB7 ++ֽTUgg:$"'@YrZS endstream endobj 94 0 obj << /Filter /FlateDecode /Length 220 >> stream HTPj0 +tlI.H)u,dE6svnH ==ޓd;;caኣ%(+0VUOʃ~N Z΁W=8 v3o4`p}QUM}pg4ts+He\X6jwib>-볅$n 'Gl^ endstream endobj 95 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFFPC+AdvP7DB7 /Encoding 96 0 R /FirstChar 44 /FontDescriptor 92 0 R /LastChar 44 /ToUnicode 94 0 R /Widths [ 833 ] >> endobj 96 0 obj << /Type /Encoding /Differences [ 44 /comma ] >> endobj 97 0 obj << /Type /FontDescriptor /Ascent 696 /CapHeight 712 /CharSet (/comma/period) /Descent -205 /Flags 6 /FontBBox [ -20 -208 1000 770 ] /FontFile3 99 0 R /FontName /NGFFPB+AdvP7DA6 /ItalicAngle 0 /StemV 0 /XHeight 442 >> endobj 98 0 obj << /Type /Encoding /Differences [ 44 /comma 46 /period ] >> endobj 99 0 obj << /Subtype /Type1C /Length 138 >> stream NGFFPB+AdvP7DA6 wd| AdvP7DA6 8,a]\, endstream endobj 100 0 obj << /Type /Font /Subtype /Type1 /BaseFont /NGFFPB+AdvP7DA6 /Encoding 98 0 R /FirstChar 44 /FontDescriptor 97 0 R /LastChar 46 /ToUnicode 101 0 R /Widths [ 833 0 833 ] >> endobj 101 0 obj << /Filter /FlateDecode /Length 228 >> stream HTn s6?=F3_H#\pjU%Iܯsĩsa3sv/e $F؝t/!.BRMw5!?_Qz4r#B#L%35&ˠؽD+Y1 Ym^nD cXn&Rn endstream endobj 106 0 obj << /Type /ExtGState /SA false /SM 0.02 /TR2 /Default >> endobj 107 0 obj << /BitsPerSample 8 /Domain [ 0 1 ] /Filter /FlateDecode /FunctionType 0 /Length 780 /Range [ 0 1 0 1 0 1 ] /Size [ 255 ] >> stream HĿþ½~}|~|}{}z|z{~yz}xz|wy{wx{vwzuwytvxtuxstwrtvqsuprtpqtopsnprmoqlnplmpklojknikmijlhikghkfgjegidfhdegcdfbceabe`bd`ac_`b^_a]^`\]_[\_[\^Z[]YZ\XY[WXZVWYUVXTUWSTVSSURRTQQSPPROOQNNPMMOLLNKKMJJLIIKHHJHGIGGHFFGEEFDDECCDBBCAAB@@A?>@>=?=<><;<:9;9898787576454343132011/00-..,--*,,)*+()*'((%&'$%&#$%""$ !#   endstream endobj 108 0 obj << /Alternate /DeviceRGB /Filter /FlateDecode /Length 2575 /N 3 >> stream HyTSwoɞc [5laQIBHADED2mtFOE.c}08׎8GNg9w߽'0 ֠Jb  2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'Kt;\ ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹A om?W= x-[0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?׸c. R ߁-25 S>ӣVd`rn~Y&+`;A4 A9=-tl`;~p Gp| [`L`< "A YA+Cb(R,*T2B- ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r 9\A&G rQ hE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()ӔWT6U@P+!~mD eԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel }}Cq9 N')].uJr  wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó ti zf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4 n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY .=b?SƕƩȺy چ k5%4m7lqlioZlG+Zz͹mzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś nLl<9O[$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)Km endstream endobj 128 0 obj << /Type /Font /Subtype /Type1 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 133 0 obj << /Type /Annot /Subtype /Link /A 134 0 R /Border [ 0 0 0 ] /Rect [ 265.983 777.0 323.495 788.0 ] >> endobj 134 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 135 0 obj [ 133 0 R ] endobj 136 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 139 0 obj << /Filter /FlateDecode /Length 5975 >> stream x[rFr}g_vPi~vg(ow] hBΓYٔXM uٱM_|5> 7iLyQqMs{{yX5,S1a5Rk{o02WhsD?6FEw$"q?k9!$4YFO7 ~|Wۻ$?ۻ8΃7poo>^7܌0妃(܇.尪Ⳣɢ<"{? cYCc1Tm=nE:lXWv7uRԍQ\ԗ /"نQo? WؠM3J;h}T5˄Fs$̺=-*T'Y,FY!RGJSTeW|=>BHB%RYl{}of=ʯ/4uQ}=2bDzmsCKMȃV$;_m0Tv(@1) %+bQ`y/~+_~*miL[1E?+^u[7`{^tʋ`˾:zؿv'۲ k[693 dc(RY0k^NV[ϯSK53> b}`+Co22I׃| gª 1h#\Wdg:Lʤ~pD|صaYG_W*7nUeτ޴l#<=4u kVG^tY,!O.h\@/nr/3{[:zuF\ޅ&0YIwe^ {il>(1Q(OIbU~pEBadz0Q8e҄xS% ?>l+JBi?n{gR_DMRxGLᙄֽM9*t lFQ!?KK">k!%L|:S^ RCъf8$]@sFa%-+vee["CR1)Ԭߴ#kd0ʐ\t'a4f{/Иt|tiH˝6 -LOx\ ҆<~D;/G|Q;_`AZb'Py&qf$ ZvZfiCՍ?lw̎>*by ^ͳgx≍vì#ip8b>vͣ]JLWKqjrP~! 9TtL>) MɎxX -:PJ*o@ V|iE<7x#a lSQkv+/*uvJeE3xiQJg"Yx%?4S/eXH]צܭ f ~bզ&V58x*89^= CcΰM!5>aH럥},I&;ax IW{aH\xy$de-#ѷ#.׷|):4s:!Z`X q4 R|f{% WL2!ƑɬZF Mh:k4!3^G[IQmf}.-p*uGs"28ʛbɃA&"dѹM{#9q"Y>ʧr,Nl':z`K^NGqVUaϤȂ'4cWж RRd%ҋ3zp{BܗrDo*8Phuo& Ը/w:2p5R rWpofd"nR'G&`e_K#mUuNEX"L6GSzb6d!,/ }^=o )6ddaj#)C4کP2!y1lxذ,SP^Մ8ݛxdy|&cFykI= 83=ywTC:HRe v}6Ca[YU_p 6I,h-LDtk-ZBj"nS=^v " Υ{sȅ1n_ɗJG;. BɁ "ah!*)$6b(Yltˆimh-^y@a3;B>@ ZDF %cpb2S+!{;ҷeis+)BS$( lZSSҚrFG/*;P8Zl[Ocg bkLOv} YBbsB%w y*`VMs-ɭLbLy$CKx[sФ(]4iTFĉ;I,0ΠDi>=*~- -O>j >KdN-4\`BCHBx^~Pk͖2֘t>K>)%[8ɌTN \n-qX2cN$Qq Fk㠆&G5%c\ 5zsA#ܘȧh"(\6(Chsȃ'gC_P??<]" ,_P+wj QE/FigDEx_m^iF%aiB4s ʵͲ0ks@Kyz j41YC6Nƶ`B UD#>ȱ4Blڲs:,*= \0b,VILn:Kde?C)!QC]䢆xD̑^XHXVVVs k,+!ŀ媟QgM%%-(J_YMRH^-_8bHgs?x_iŝpTn0-@#ʠ))L[ {T* Nx\D-> wM$\](R0`rD:Bz[FΦ)J++m #ۂ,GQp7K߆m%pt*yrܦ)qq5 Wh׻8  TS˝. K^׳. FjH0eIzPU㾈 -)Nи$;%E 0հBov\F_|@﷒A1Ώ;ϒ HK(QqB{Xpzn([JYKy&ep+StAMF| 3WW,:1{Ԟ,;^'G '񓣝8B^$m:A̳FIFN!X-U;HRֹk:m3AU $zjG7YP6#qb"\b +f0[ht\ؗX. .&̹ YzOo1깤Fl׌ŜwHd>F +WkXm(N"9W4r3\LLa!68ڙTT92j82:wM9ùOIܞrZʼnՁ]1$ebB2ISP>wBOUK~9I(nay'xn{J U9^{䫯颋|TfI/8lNFz$g{Kv20koͱUL罒],x*IfszaH#z:SzjPmIJ0Jz31^8Ը4QѪc9ۄ"Q۵]1E_*MS3Ap+hlpTswfG嚌 ;$"Y)&s-}bz0ߗI]Ml8H0[%?/|?L9Z.icQr@7%G3(dJQj4c(zywU9&Ӵ[Ǘ!EFgyHQg!4_;J ==JԙPdw2{q(K/οyLl;{ Qrϼu'*?6<6΄!Qǟ3n98Lrԡx7*n'NW&/O(MQ-ũ" D__'=Yus=c*nO<Gz+2=nJ HC3hfa$2k?KV`w'<%h(hŅ |U+w:4kg,j+7??]{_(`Ib%0UA͋K糽#Dok:FeS>g@ {{l!Sz*^xƊ !MXK xGчd`Xg(,X̯T.\,~ӃZ^xciB th}gôI( kCw QWrSFRtr7m#`ḀM4++J) \R%|Dz"(x#{ ̥%iM,G#!5g^b2&{^pFQ(d>S;U;^VYR Dͩ竛Bˠ0: $qoSj9Vv26/x\o79t\BZDx):58:uj~ٺS$&w{穇* /m)dXV#pL xrJP펹ahC:}kؓ3du;̆6 rss`?&҂4:Lzl"Sp]d2W!)/ xNW"6endstream endobj 140 0 obj << /Type /Annot /Subtype /Link /A 141 0 R /Border [ 0 0 0 ] /Rect [ 265.983 777.0 323.495 788.0 ] >> endobj 141 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 142 0 obj [ 140 0 R ] endobj 143 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 146 0 obj << /Filter /FlateDecode /Length 5941 >> stream x[[sr~_TXOaϮ$qYJM `%|="Sy!\zu݇lj7j,޼VCPhmk֋y[tͻk?F]߾>ư:[|ZR/|?kz|So!b{woY'Cue  ʦyyM+i)ƸThĈD1nQxEUZx;=\I_[淳d=\3鳅т{gmؾ3&ڝFՇ@zX xK>ErWw]uo$Azcj} \jƨ"+˜6gI_ދbT4 y ͣ\{M̫j Įщ^TPpEw%+0zԏU#);oXx4)zOM:释@k^,Sl!QvybK0@pKyX5Gb+%LsHͶe%t.rIcKMYk6;}#Y_**YٷKŜͣv[݆z|(6kZ}`w |q$atz,0c 49}!!1UepuK+G uwA~suT믎Chȧznns{3;qN{,kK+_y~}7*!?u=D Nj2bxv|k'%H;TO.A,&-(R40m|7UKFT*+K%nQ]sCp7".(á>XQ>D TΌrJ-Psl&u%9D^el:6k6TsH.NWqX{Wk4"6a55 7-v[ ߶7}Hf"SI1- q=-W<.x$O)K6eΛ4 Y9JAX*\-8Uo`*Q#B][d3''Fhc!fK(?@IN,ZJǏm@XZd+}Ier[rS#&@]"$d%)BP?3DԇLն0._@%9mS4&rQLBn= ^t!lЕGWc &xwV ApB!eQ&&Md cl$yFSX ZI}Ze*}&V"eE'a"[@ bPgBAMtT(H%v_Li ԪI1uXG(%yK-^&TB,#"vΔ c*uԯf@b e%|k`TZd- w`>o5WYsɠ{h\ VY hznPޛ´U^_' lxY\\a80LSoZBCz,8{,֒۬AA'i-8Q2 l_1F̐KgtTīR(P@uC_ stb()Y8B='[x5iو(u\JETSpA@iqֽ@rc#W'a{4z"< O]t8{\?/!\hzꭴ}|umr&j>QS аX4nPbS:x'Vη'=GN7>\):tϜ>p "ejZh)0Z]vC6Qc.ȐдJktЌ5@L?2%vh_i$?݀U2JeBzqV=Gh rhp9ȴ&p Ƃ|;'y>@90)%ppH$Ye#~}5d" YmmÈ>-BY]C`MW9γOǎ\ُO=DuRhP#I'}EP,"K3*aKH[.Ѿ3(+2+]Q!j/,:y0 eOx_T٧8I^M|FGksg~no#S$\)Jr1U H}aY`tZȉݾg"`Ѷx A\oz! O3z&kbU\¹SN@hΦP_).k2ɹ T;9̃F} (-<`3͚ ϟ;𰤰\O^2i$scB)I DYB', }ǙMuNf׆5-зqcd~:ɥ|tO-23^z+ qh;xf>Ԕ 4hKd7P^6%&Rt4b.e*=m/PF4/N,.k~Ļ5ՖRSUglwSwR &76tZ@YMБ}Lݴ[ wW<^/J2Csg<4μ:6g]ZdsY .th=H -lrχzcPHt!ç8|p7:-Y`p2,3|VPH#E0(Ga{#`;v HT.ENhpG5k/9 V~^ Uiȑ=@ Mp).H\b| Ƨ#-? H-w'ڬ77LOt."F%?w,hd/vʱ(M'_Be†h\m%P(,l9˂Twz>{Jb-׻Qpf(5Cx]16$!^_60` }iT}x-6Fws5 #_̯FqS̃'U;b !:Ds:[&^œM $}y9B*/toHL$$#4J:8D[k^!js@9̻=S+YZCX/ews܀LW끷a.R_dxʻӓ>IOOrlNju5= /~GoiNVw6TBu.P-[*N =rw~ %t:/ܳՑ*7YRY'3/0>.`iܣMsHXN_UtCaq5 ősJht<5uWG]2F1҅4|tC]q5 tő3H2; ύ}]HWt##]a䌮g2h,v.XH-ÍA?4j<8jRdfg.4^\29njo>ji\qj*"`^C½NM, x?d1:ynRuꠂ8 ;َ Hȣ #eZvtr~<@}?/"9Hg.x.ǘU9?)f  _? fI7ҥSaĪLk]͖7*cH9f&F%s9VvrS}'NDEȔI_"a~$5tNt6~.p m&6s(seBG}4{@CfRq.C/,ta$AV?IǿbTGru6QzC;/u8TJȽBb=X[8֍,O X+w(ĮK=8 2-+> endobj 148 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 149 0 obj [ 147 0 R ] endobj 150 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 153 0 obj << /Filter /FlateDecode /Length 4919 >> stream x[[s䶱~ׯRt<8UVš4r1/++| p8nUV n7M5nf3Vݕ4rj>m?4zj34WoOwWo%uxIVdjlgsz  <*+pKE(;S䛻Utx}+SWUʋݷWqijrrB.*}E#h2zϣ Wֲ$uׁ4wq|xkq"6Cܴi,I&y0eKiCL^xLMuɔ83y2e.6*3+qPc;]E6eMzORA.mLTأ'`IۺYMĂyb4e[_*51"$r.Hf^dBζJvE5|&K%0*.LDf]"@~4H0/Ƀrfs 3߷OqR@[smӬg]TՎr2}M/UĦLV DŔ^Žӌ{2 PVs"CK9͈{b Lw($Njrhd[^A6 osXR"N`xDAAXY?pNvn[R' ?ec?MH`G{Ɖ~:^`C[Vݹc &Bی|R@ВT^I) REg:x2!5YYJtJ[[e5tujRmkƀfUN~dž;_T=L~D&&$i8z4jXP'@ A*SNkJ\T0&</ yf PCl)%SrǻM%W^4l)dD\3IůO|7KFj ? (x>r; 4 u,na#~k}j>H{K*&d[(!17L/ {1itU; :'K Hok% 6I (8x őx =b9 ^&h8 '6#-fP!QAI vШ("Oa=xRxy#;0J4E$=sh%G%z{:kXdmIbqO Q0Y2mP/d*D;/bm7%9#K0T^D0B{=M]> |=BT&A*߯CzIHڹLViE(>aK8M8E1$qJyیd},D]hZC4o|l)0.5kРQ;sз$413EN5Ե2ݥIu*:&፵Fbݪ-rMm+ױ5~+%dZx$ 5t/*dF(]AIJ~`heF \Bҧ $_uhWSpsfq(_`YjH#kN yOjY޴P>QJط!zp.+R5O.+gֆ סͺ,Yluf"tM#CʕFŒ'veY[N w d4^+wjA8IjU_(+Tm%i!UrKV%RS3W.B6ܾ2TՋ#ZgQH$т^=6˛tIOҪ$Q ֥|lO;UNnne(|hklu}b_wrx|Wg)+lps-hS4e|@|ń6\F^;KXi\u Eܵnp0чC͙qZdA#^×@#6||Bt/v ϭ7Iq&6k_Q㣜b9Zl>A0@73(-fb9dz+?~l m \"*Um¹%SdjYcX>]U.i1|4;y:Q)Q@zl PiWz_ zۦzM!!ie_P=R(Ti]\,b=؅qvRI= REgƄd֑>֘rM{1xZXė7}{B*?.dx6&S1ȆN +\llL\b=(٠$V)3VQR:f\:1?Ĥy(Crs:&Wٴ:_3ɍ%ӀF ~H]9vy U[8 x@DiVVX|L~+l zԣ2?X`-4]L:uV-| j>0ճf~eI*[1jX2b>03f~eIa*[3EN-~>)?50g~g[1(g!a0b*L g~eI}~ފ~t:Z2 %N.J#,t΀ITbpz"⫦4=fsv.ן%gpD>J!g;ҾaΖ<=&M: OD|J]"zs";2o,_j-Q +9*OEU /@J[X- aQN1@Kϒ|[D@ 2Ҭ7ơ۔E i>liSD ɦS9U8]י@ܡ\X`x*R12Ƅe.'q oh(?% siSZFaѵ[;rMt14ykCdX(QΗ\t( +Ua.nv4&< ^RU4>x}8(s ;.štA\ZΆͧi:KUZ]%eѸ=iӓB4ObncX<K]  L8$p&s >dsOپX[aT[tC3 cl*s8ϖMی1Y. bXA[4С"ݵ}=ݶ__ß仯#rmA]s۸Uß>%xuճendstream endobj 154 0 obj << /Type /Annot /Subtype /Link /A 155 0 R /Border [ 0 0 0 ] /Rect [ 265.983 777.0 323.495 788.0 ] >> endobj 155 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 156 0 obj [ 154 0 R ] endobj 157 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 160 0 obj << /Filter /FlateDecode /Length 6611 >> stream x\[sVr~_R .VyY+ȕIĊ$h\Q~}"嬽3\ }OͪInnCrS|oվfߴzuoᛇbza!yX/uq> :aZ,\a f×޻"]UtK>b5Rѱ;ٳݩ9:F¸հ7rß"ɲf8#GǦֳٱկᏸ\6$8U'RЫ_ǴTV^|۰>yn>˳b+7ب<ꣿ % ŬNu,(˶‘ͪ_ta7tʳ(q>jy\;= 85ݩ&[7. 5ayp'}T-]\IXIxQ6Qy]ZcW\J}'&:{.Q_ޱzc6~棉}< `ScX;4@8ml+$ [#QyX˴}H{hm.$*6N]]M;̖v}w .p&0bGڶU⌍ںD3qc:q{t zK]_Jfwu 4>o:۳:6ᴳ/Fޚ\'hۮi˚uBՉa薲<3eEH4501A@AvX֢Q.jNvb,w*e[uiqno?k"nd2E``o}GWVC {F6em6UzgkCr]A`DѾ=9)_M"MR[mv-:y={~:'Ӊ{g 1k6ݥ;J1xQqB}_zxW %ڪKUd0- +}:g-4l'EO$R[i-_2c Ju GYe9YW&ɖ/h}F+;Vlyp|0'ݑ݄<碑-oPTw-3 JjiJfA(җf^Jfd'W.a)R19я/Yo,ZWUOj ژ=YIdLfM4I?I/̦CX,ږ=k0(H.Iwy|mG[-nz.l_]G=X[챬zV?+r#?pE>U߫/QwXoU)ձof ]?td7X\ziI3 x) Ap7ixڧ;2jɾlyU<lWQ'8]#RI1?:2oԌ9N?ea$Y Wr.9~a#K砅 a;iDh;u=TJ:Ufe{?:jU,KtR1DwԴ\epwtahyb~5QvjwIZtlH~+ˮ CPװ!LzfSCIk"Pl)KJ,<0[ #\Fh[W-G7@mk%+ kwKG09AY;Y8†h8-qB_y'QzN!OczemՐ=j7-eٶubOsQ47V5!#X|'.oKi>-lo-evi 5Ydj[ez!QoZ(dI^cs3vjVͩGnx7D^ٿ^b_x1=Ջ)&EOD]}WP4ڥ͠R,$‰=7Gun #|$am'0.U/ٽ"`A#*C!LEpϞօh PNr~6["6 ա8 }Q;ܽ_q#rh6 .8  Dlv}[(^\aI 樴ܶ8h:U` > l)*ەkh}%3TXVieKVؒSrXv1S$ZzL1m0HnwD|:sV0O %1J/')6 G9&ع8 8>azM.2p*(gWD[ du>@5Qao(RegMF\F3Vx|4pnG 5vQ+(*H> R@O/iYMN"nXxo'}O%KuNުkbXHXrΆ|ֈ$}oANXMWKORwT:,`䣏?~(sŸrn{&isȨ/Sou(lnjRј0'Ьb(&*[KHzo:y {ҶlF]~8BA#< J`,e:^Zr]w`éjNJ֍;YFx$ ,af 5u6뤥Ąu]5K\o,!-/2T0I@IU"IkǓBh`'=RMў =]j,mA77νɗĮSr4[JFUwդPe^(aa*?ӄ|ǚ).ۭw'vS{]l8L 39Eah$"-%o8Ñfwґ2K3lNFaT%ħszBO >y4c *m9J`W#y2<#O= BIUyT$%Z6AaKKW_$3Zyê,`!#fvPvXqqx3e!GE<#@QPFG 4<$X'$@/,NY&2 #i *W; 1%h)Tq|nYUkNMYrb?ǟ[dEb $IpY^4f? 2ss/&7YHS5ڐgTfi:1^mj \7 g qK]ʀ"/rJAITdSK `镔 φ;dkRpz4VY)xE΋܎?”}[$YBWƭc%s.epsW /ɼt=@Anj ac rieND $X̉~fi xxpi:T{M̔ڀ|B"e|r[&&;! #lN2UF,c~ψO,9OY USyNɸH"zxNAu83 ޛ7;9$Y6i8U,],NCNmqP*`"hn=̔>=KMD^٫ߞJ52e}.',d$O?VuupV)6Ҍ)Ein ós=c2..+灀s:D:앜c2mzxV@l)2M%fe()^UyɈYcK Av؜c_AkysWNdG$ْ 4A_̝SR6YȕԛZhZ)%IP7_o4$pEZ5X} ز@T_ȭ-3ۙ)Sj'Tf /H+u~By%7QW ХRWird l0 bi!@ _q2woS4|#xdMuٷ>_K̿jW %;7qF 8汚m%DJXh7^'fIVr6 Uz#@cVTd g UML1զ 5JHj+<Ț,f sڄ.; 'u3}};ϐ~$ɥğC0,t͜ sIQP+@_1)#h^<2Am% ~9nCNhD .1'+"zi l~y9Ƿ"5Z^ U XacB| *]l<( GfU? kTrLᙖG tۘK rk9^WmD|.6:|iNB{V™gL3.yoG_R +%/n%{-1>=9+r s -a{ϴ C lPJ>nN$"L{| Q./+8jIqQ1);J-]fxJTmN2KT|wå\E8; ({ G#|^8<2kJg`B0 M.A+T\HX O~gG nMDaKNu`n~&,Jg89 N~d8XdcmI *hb1%j51S+yIf4Cy(c^k]}p${)ykp+||ɩlY UĴ+yb䏆bőqٔ[`%/Kt)0B / MF5P?M&cuK)+oi$@8Uo+4G*q]|°I۷ً1?49,N.LY;/D!ܽP0$襛S0αջ屣~5<~$~ B}f %A=T'Ng~:hH_X| lD=U0m !M!e ޳/,nwׂ4S%coC?0oendstream endobj 161 0 obj << /Type /Annot /Subtype /Link /A 162 0 R /Border [ 0 0 0 ] /Rect [ 265.983 777.0 323.495 788.0 ] >> endobj 162 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 163 0 obj [ 161 0 R ] endobj 164 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 167 0 obj << /Filter /FlateDecode /Length 5153 >> stream x[KF B=P{x=^ ={hĈ$hUdK=Hz;~ljWh7ozh횽f蚛cC󷻛w3̺d=[i Y|teZ*__lnwߒKSdhJ7RI}X"իJ'FC&w)=n;/O5-]eI:n@Rԋc^?/M7u9SCӃNoUsx{iÛ>sYvut,K}KKF'ö] S%OV~kzȓoX-fI3+ Qr3YZmD8[~mYNWIc{XC=pɇ$/*}"=&R6W+lXr:wWszkOLֻ<}<+쁁ۥh+d%Y!zQ7N%F͋| A<,w2 VnhMjPwh`].DZO[|`˨c!4@Î].=1_5fE2KfZW#WUʤy3X>h`f!+ -&z(&ahr=2tÖDd;J\~q6Sd;~̒n`.>FD&'aCacd7Íe( _x,_.͊QC誔 ьc4 Rcl!?o&?{@&Ku:Rq/ʬrɷ_ظ[ {;z:u$L234 h,-JI%E ]D,w)\%V*dub|Ǯ9Fk`pWd'iZo68 )4)arbh/%fJ{6&P٪ c*+ɢ2STv E"Y}›$3Zva2 ++]i3ylߑ{s#ʐ-)$w+b61Jܱ,;_m} wBQZTf;_wWmdU[Dک Ϣx&8IjSAnDӮ7eD&SWs֒Qَ1:rECOն"d`'LL̊(]< &O5 WYE&*ԕBh.Z.?'/E\"S«"V L7T`id '*"a6grt0ȡ ZCWAذ0 Ar&TK`79 gVww{œ9T )\(5MD%niyVT6 hcԁHAξy{E':HYiWķJ^,:_gmaz>@烲ՙ(<Xǹfiz`gBLbUR@l9W.l ƷSy43 ;VEy @*φ`ĵ'"kU*-|Kz^yATWLU韧 d8Q tUBf$ _ /12n#φ@z\dZeiRSא>άL83T!Kd\+Ntũ_k3gt͙ *DTξN^AqW+:ΜXEƩ]<gt9]3e](,U85~]q.jwFѯk:~iD͜R-\z@ҹ0TTAf_<;܂tUnᾚ-|!+viHx)u 'C/9X(+MwH$H>dz>@R@LDq#]ʂ],!WDˉj+r"Db.u ^wqDU]8 3(Ny>gzlߒ_wCW)ߒ~U_ 7b8`]E#w=Sk.+3[[EJ7tAJ H:-"Bo[DeR- ˙I cU6-gBGIR|7@Z]LU3UcYcN[ꤸph1Uc5uc$;\pOmw) .S/P\E/}灿*tJNd CWx%+ՉK >W3M̫+_QvLaVH[2*Jq.\ (d{EctE$p)2,c;|Ӟ&Fh׋֙h]47R}@ޣ?O7%vnf摿:xq p`!z1ɛY( 0/F߶'~S?(CJ *gPæ8Ȓ4ʦ<`yiPϦf/C_8Պ3sjȧYZKmBTR_REYCVu|Ќ$jKĠmaeD? oa}'>VS1ݰշ'4yF"ϳf<3xNRmryK!{7:c $AG@.Z`H{:W.tݷӱW5W> $2~FpǭܵJ>WnA?+[U)Z٪ ؒA)ɋ4]F~9զI\@ x~fI38 3:S<:d-KX\֘ƒr/扱BMk簜z֡/ngM ™X0Y)nɒ ]fy7>Ts1NW ˘{}LN- Q"wWlG:a~?[Af%Ug+$Mӡ\{XY𭁁2z%YKT ~vqj { \|*VH)M ;>;D`ä#FaϽ:4 }{.^p%ED`Ş/>VG0 Ǣ4&R)R%_rq-Sh8 )mXn[V~:?-@*a2F{‡Xnendstream endobj 168 0 obj << /Type /Annot /Subtype /Link /A 169 0 R /Border [ 0 0 0 ] /Rect [ 265.983 777.0 323.495 788.0 ] >> endobj 169 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 170 0 obj [ 168 0 R ] endobj 171 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 174 0 obj << /Filter /FlateDecode /Length 8338 >> stream x\[sJ~N AWIdKgN6&P7 =@K_fnL K^;hGGzGo~ee]M̻5ś}ٽw'G stO]yO45GqJמc7КU^D],gyuixδB9UхX ,ZnMI\]^Mr<񝢒&eQi Hi>dݶ4,[m Wыm{c{W420q?r T|R`r̞jk?v&Y޴hjih z>0^Or% -{YGED2α(zBg5]n*L7Jžr(e97`upȍ<UD}GSǖhm'-NǮ.a~qTp 2 1Cg]%F%۴zE[UpDz|L:/i|i\R4eZOuuIjWE6 ZzjgU |z}JёL4>f_$^ wm&[-H4w6'4t(A$]܆gV9Pr˩xl BIJ\Yuu̲Iǫ&]%nx}<dAEQވzc"ӬEh:K}Ce_Ydtuj8Ϙ^4͋M;&P"UotG稐?EIst釱q|MCw{|xκ5M18.:FxMAbIJA:! A\[~c!!a7biL+5ORGZ (O7VYeM6-Vn킉SqZhflֵA9XIIW̠#<(?&BJy$y&\a襄Lpoe63# U#>ҰB<݉}x29G+(3͉c>=h}!K|Q$ްIe~ȳU,tdQp:!MVuL'2z>'Aan$lB^fmNDWPZH_Ds*if- ɳ֕W?V{@Ra4% nkc/uJ6>Qyҭ1h/q q)3M=1$dϊ4qޱZYQfļـ\)p.~-VZx.Q(x""uGdr_lV5)Qg5"w_@= SEv#㖘@Zו M`O yANĈ^51QLDaB0ؾ*'a0}d 4`Mqd+X‴Nj Sv} b4Q.ig +1a3nDc3/3I*n-SUEd)qkt#ZjRE)yJbTr|Ȩ΋GHCB$Lgr-L+8YYMnH \UbK`IШЙ7z?%#N$wO51=<5rxi( бMnRwYdk:i9бo-CF+dz+qR Ѫ|l!3B%y)K.*UG涕 lQԯ4ҼFZ( y7|)F}ZY ]lf"2cE.~W8-Lˬ,7x%&ڪ vr97!q"^zc0VMa9;rul#P1賮 чdia2'II^z0 MbVr`T X0,+0]osD` KB˕0 I"gtc3 irȚyfd( lI2'ȌT WQ?U#REKdiٶK6ʪY5AD},v\b{B*Hl%C&iU0AY&m&Kr{Q% n8J<`nj Y1E#nS|/v~ FAc\,AELf3h(D-F2{"}S0cZk1=1$|X*jsN|Lt9Q/ޤ",g'< (&a0^3LKC B ph7u&Id,DjW^Hok7pv(`@@f55X% [X6}`(ABcuq%@Q< q^>yĒ;C !nV`gZwLd% M (B4bג$m Α$ddD9Lв"ԯZN! dL.W`AYOl3:E#EcL2@E#ExN!P~ݰ7:hAv[Θ iw,':2qh&4 )v+զ7AnsrKu uja#H4xyC\c 9 ](d h QFI#m%uߤ]/NHӔTԞ/#K> jq߿\+t>{'c.;4}J7%ճٰڳմbStʳ1ɲ)Ჵ-ʿ6:1a⟐k|8A՗$+/&߷HѬ".#C30ʸL‘Bg`ݴ(ce͵Ұ<{fY0Krm@Œ$=YCXeUNz=u3m1=0E3ߔ剤U]W|:O$'yѐ>q3QA÷4i9D_d0'λN_i Px`wu3mUdw?VO&frFẜ_G2N<z"[ك?00Iɣ<9{/Tq>ÛI hrQS@9C ξOZB`L? gP{iCCR<9Y1lɳYʡѻE.yêEp5ֶdO?YNx8ͺLcR%uVJA,^r|/G pS97$Q_{:=ABmΠτ-\]c2fHRtbm-՜S$fM `A69 9 J# D$M 6u5V\DA YR ~4wXVB"er|l3A\}Hv=t=疇m~t^1IMK4{p,xcR)d=G5G] HJB#Hڝ,>Yv}KJ1"~߻5s34(> sM䊯QX{EԊ L1p /E:[ OS⇕10[TJd} jHH@>~^ Hj$$C @!Mo_v(I+'jzwsMbY2]kfMXKܿPi4 OgtßːglT% <@) [`3Ԩ((E2>(-D"=:&_@"R IO 5zp)Iүl#译FUE>B,:09ݭ { " eEf؜ Ļ2.<Ã'In"t b=W^&{w]YB55ԾI_U+jEHIh)芒dE;3 y#$$ac L{LK@_ƨ}@=f&V)L v roNM_zp!~Dzj͓Mm[61v!n .7 /H/I""z taN!M)D8pN!WrMjV—ʞ q_2DVy[zْK=Y̋rciא; y6|Q}H4${./\S\T,K &V/Hf=,DD X/g?d~6oKOםK;=Qa!({GnKCa?wʳ5^ȍdE\̧dpX>Tjs1;:>|at+b| {j[i]O CXnYH|AuٙIR 02;V< hj["٢8QX h;rN<$xڎ:3qb&kjshYە ґVW:uUmZt+XCSdYbrܗ58Ve]HP5JS목OuҳWPv UCɎixјg!W3?)'3Aīː_RٌIl6šA,𝏼w"cw 61[Zp`ݺc3R5R6d"5NB$yJ. U@Eاjٜˁe֮]<,WI g*]FNփ^\WI.&A$0$@k z+xp?\=IlH"y2o)CCd2ɖ9E0m\)0bNS"&K_oϸ"c'6%Q:bN@ A[hjdH"yS$& Hr4HH@<1u&sYY뮦ץIJ80^̪vHRv#9$2pEEQNE ߦ0u8b}>qdGDa bU/2Z6 ˩(ҾXQP#V_jZW8፱"%chBBiygipQB 9+6/3%NP돬Bw4&NӞUwdliQ 8`E:}h e|pUR3WM1M> 0[F\*6 #* RS}׈ ||[ږIe7Pґowh01[Nأ qό79fI0~Ϝy5E|%w\>9{Qk`Ė|UE!Ayӂ.I} "?ɹg%JxciU}=c@H`%WS$qS'?3ia*KUZҜE}SS/y|5e>Ĩu5?\,/[RԱѧcے>۳<ン65~uĵ!勢hȝV>|7J[ր{$1A2` sja\/ ,L~Ou!Pfi=c,I LITi@er*{"eB/1)4t")M[Q”9[1iE3577L( ] ~Kq†9)FBT$I$Ȉ9D`G(`}ó@/G6ɻ٤7ů֞rpFGr(~c vhkARzA@EW(bN-`p#F|hjQzLJh9#Iu@'Cpț,O_uO() p"\~[*s1lXA8w{ʁWH2) U `}=ea͓2 f̟[ޚ\S>w!_f۾XYەsl v\@ן}i҇!4N l;{QfQwf6b3ŷrd0^MDW 7PE\Hd5Qӷ#ejPL 𭣊xeWSY~ `n#|-{6N%J ?4S O} 1p[3Ϫ55FcP/_ 6 rdhQoe)RL<Dqe0T2VvWE M0 Waߘ`rJ$v=qkaЋK6˝&u+6m|R~5ٜ_!z0hLXH.Z%^Ղ̉^m}<5=e)Rw2G%PaE ?g/g p・.#)Wŀ><9d52f[ZʈmE ܲ7Ec~DZfr,bޘM_QJmO {@zp6Hy5 1,H%O;3:OSMݺQ#s 4&ᄿ?>]\مϲ(_#ahcK$v.|ڲ!|nYC">JH5Y!qV Ldr'pd?^}endstream endobj 175 0 obj << /Type /Annot /Subtype /Link /A 176 0 R /Border [ 0 0 0 ] /Rect [ 265.983 777.0 323.495 788.0 ] >> endobj 176 0 obj << /S /URI /URI (http://qshc.bmj.com) >> endobj 177 0 obj [ 175 0 R ] endobj 178 0 obj << /SA false /SM 1.0 /TR2 /Default >> endobj 181 0 obj << /Filter /FlateDecode /Length 5469 >> stream x[Ys8~ׯPľPMHn{FU"N<1)$8u)jqvwu?WJ57|7'#7̝iMK'`Vz^QKr $NC7M'9 <3>? .%>M^F uz!|" ܴEBkcA }ۓԁÄ&* [3HC%Rx. һ]/r]geё`kFBЪ0S}u%xUۊG@Ϥ t,sVHCmqCODikK:q0M&Zy7u3C:>hK:Zdmܴ~ HS1q_]x.7 Xjg sn5ic=iQUn-zL{KJUC|׆nwŢ~A;Ԡ͊ėw}jeE%} sԿE B<˽K2Р{ғL4H&:'X$ouӷE˨"NSzϨBߢ//+ouSTVn.,<[|O SV"%JcXB%7V0:ˈd<خ/گռo;0Cc3w7nm8Ax¯HE_޴o!?wqD]y͜+xshWEMK`z5jdz~{ޱw 􋽍? Q;ӼRsǩm`Vt Y;OK A8H8= "854։Q5xj֗%/#:Lp,Ґ*է\ /倊6W_?,fdMe.֎,b)ha5`P/Β͋)EyÎeD!'?Y7۬3Me㿀9kBG難$n̺n3`0{yhf+2wTG?xvzsxz8x[>6 g KYSy,zK!9]|xHTT]  =vkݙle+8; OcSl.T ͈"IgƏgam# =|WscJ [@ʙ,_yGF?ݳDɺsV7T!aʯMO!b$Nۄ%#&JxwvN@;mŌ#*YY dpZ^uHnMPT&i}KhddCdP\ dcKSΩe 0E1AnYFSp<;D`(HdIrnXn״,LrZ v: JP^Ci Dpa7} 2#.tl}^w%~9ᇸ^7)($-QӡF>ڤ{;$lq$qٰJvcDe,I,{ 3]̩>@\94r-'Ex\\16 72씼䱺ְ}/68U$ӥ'*du;[ؘeC1 >d85VHL[*5](AmD[lBa؃dI _Rbpu}sȀaB18s=Fcb=d%bL,z<;(ן><!}7ƿ 1INuQO(M@Ɯ`AE`0Wwc_ЁHk#C` ccbXyO`(2R(,:JHG ^.7$5U;X5Е!ahbcՉ4-qTi^Yaq`6mkf^UuL〚-^` !@2 2Z쵱2& EYʢz6o ; woJHC#zOx@9AQBbmKs\6 X-(lCŲz׊9`R&8^@ʙE+PvPTycߠ0 䛵F} (4 ,}`Z0֖ gG ")0 84 ϔs &kz[mfFC{6f#?y.cQv]X~L)5Gv.̏"e"-\%1( M;Z㦰U>ERel Ui܇KqFߧf/ָ0H\&p PNn`~(1av4cQ? `*SЌJtݺpkLsn9gy7sHU\" (R -[~@U MF9^n=`"t쳋C2#ܔP-)Lk1v)0뀄"qso@{})^ᮛ;UՒTpQkzxG-f?Mݯ}0%<e˖^Y( BJsW τgd 0_Yg%d:l+T/Pm\xc͕ E#'j mյG< E.Har@e6cQ:4~drl!lZPJ?Ft/idS0v)}gUǝ(v}ng{:'Sǝd.%b._ƒA 7m zĘW;pfWyٮN?.eX=i qcCW^bAqCٰ4Y=,4/X~9?PJz!0#VeT`TZ! wCc ^)GqH[>( _yKUhX piGhhH$h4ͣTSkZ5A5|c4 F-ci-GIJXlR 9a{Mi pHBaM }[b/Ga)Gc2O ]KS-ѥ 2`Rdy:[^LX7GlCu϶kaWO!-Ỳ6-$m$şXPM5a/l?}o3{m8]Ç-_ |÷ D207`RjBܨ 5ŊJt?#}$|}Ͻ,uvEݺC <5 ruXѾ`UF<2 $l#GG1BB~4<>NߖPȅC×qiu+!t;װhxnF/9 $[swq~Jł${~#):R?3ysvOyڻ/}^"Eo `3$P|?򏠾E{rendstream endobj 182 0 obj << /Type /Metadata /Subtype /XML /Length 1186 >> stream Acrobat Distiller 5.0.5 (Windows) 2005-01-27T09:32:28-05:00 2006-12-11T02:01:39Z 2005-01-27T14:32:28Z uuid:338d1b30-1dd2-11b2-0a00-ec167408b842 uuid:338d1b38-1dd2-11b2-0a00-000000006849 application/pdf endstream endobj 1 0 obj << /Type /Page /Annots 142 0 R /ArtBox [ 57.26 58.11 666.34 848.693 ] /BleedBox [ 57.26 58.11 666.34 848.693 ] /Contents 146 0 R /CropBox [ 0 0 612 792 ] /MediaBox [ 0 0 612 792 ] /Parent 46 0 R /Resources << /ColorSpace << /CS0 74 0 R /CS1 73 0 R >> /ExtGState << /GS0 106 0 R /GS1 143 0 R >> /Font << /T1_0 80 0 R /T1_1 67 0 R /T1_2 19 0 R /T1_3 62 0 R /T1_4 100 0 R /T1_5 72 0 R /T1_6 20 0 R /T1_7 128 0 R >> /ProcSet [ /PDF /Text ] >> /Rotate 0 /TrimBox [ 57.26 58.11 666.34 848.693 ] >> endobj xref 0 183 0000000000 65535 f 0000089357 00000 n 0000000003 00001 f 0000000005 00001 f 0000000012 00000 n 0000000006 00001 f 0000000008 00001 f 0000000519 00000 n 0000000009 00001 f 0000000011 00001 f 0000000975 00000 n 0000000012 00001 f 0000000014 00001 f 0000001495 00000 n 0000000015 00001 f 0000000017 00001 f 0000001951 00000 n 0000000018 00001 f 0000000048 00001 f 0000002432 00000 n 0000002610 00000 n 0000002787 00000 n 0000003271 00000 n 0000003448 00000 n 0000003628 00000 n 0000003849 00000 n 0000004015 00000 n 0000004415 00000 n 0000008903 00000 n 0000009132 00000 n 0000009387 00000 n 0000009616 00000 n 0000009919 00000 n 0000010152 00000 n 0000010460 00000 n 0000010521 00000 n 0000010814 00000 n 0000010882 00000 n 0000011173 00000 n 0000011503 00000 n 0000011905 00000 n 0000011973 00000 n 0000012264 00000 n 0000012334 00000 n 0000012625 00000 n 0000012653 00000 n 0000012694 00000 n 0000012794 00000 n 0000000049 00001 f 0000000052 00001 f 0000012933 00000 n 0000013021 00000 n 0000000075 00001 f 0000013529 00000 n 0000013820 00000 n 0000014050 00000 n 0000014118 00000 n 0000014331 00000 n 0000014509 00000 n 0000014895 00000 n 0000015312 00000 n 0000015662 00000 n 0000018800 00000 n 0000019353 00000 n 0000019734 00000 n 0000020173 00000 n 0000020547 00000 n 0000023433 00000 n 0000023957 00000 n 0000024342 00000 n 0000024876 00000 n 0000025359 00000 n 0000028811 00000 n 0000029325 00000 n 0000029363 00000 n 0000000076 00001 f 0000000077 00001 f 0000000078 00001 f 0000000084 00001 f 0000029417 00000 n 0000035803 00000 n 0000036343 00000 n 0000036757 00000 n 0000037240 00000 n 0000000085 00001 f 0000000086 00001 f 0000000087 00001 f 0000000088 00001 f 0000000089 00001 f 0000000090 00001 f 0000000091 00001 f 0000000102 00001 f 0000037605 00000 n 0000037831 00000 n 0000038020 00000 n 0000038312 00000 n 0000038490 00000 n 0000038555 00000 n 0000038788 00000 n 0000038864 00000 n 0000039070 00000 n 0000039256 00000 n 0000000103 00001 f 0000000104 00001 f 0000000105 00001 f 0000000109 00001 f 0000039557 00000 n 0000039630 00000 n 0000040569 00000 n 0000000110 00001 f 0000000111 00001 f 0000000112 00001 f 0000000113 00001 f 0000000114 00001 f 0000000115 00001 f 0000000116 00001 f 0000000117 00001 f 0000000118 00001 f 0000000119 00001 f 0000000120 00001 f 0000000121 00001 f 0000000122 00001 f 0000000123 00001 f 0000000124 00001 f 0000000125 00001 f 0000000126 00001 f 0000000127 00001 f 0000000129 00001 f 0000043245 00000 n 0000000130 00001 f 0000000131 00001 f 0000000132 00001 f 0000000137 00001 f 0000043344 00000 n 0000043462 00000 n 0000043520 00000 n 0000043549 00000 n 0000000138 00001 f 0000000144 00001 f 0000043604 00000 n 0000049653 00000 n 0000049771 00000 n 0000049829 00000 n 0000049858 00000 n 0000000145 00001 f 0000000151 00001 f 0000049913 00000 n 0000055928 00000 n 0000056046 00000 n 0000056104 00000 n 0000056133 00000 n 0000000152 00001 f 0000000158 00001 f 0000056188 00000 n 0000061181 00000 n 0000061299 00000 n 0000061357 00000 n 0000061386 00000 n 0000000159 00001 f 0000000165 00001 f 0000061441 00000 n 0000068126 00000 n 0000068244 00000 n 0000068302 00000 n 0000068331 00000 n 0000000166 00001 f 0000000172 00001 f 0000068386 00000 n 0000073613 00000 n 0000073731 00000 n 0000073789 00000 n 0000073818 00000 n 0000000173 00001 f 0000000179 00001 f 0000073873 00000 n 0000082285 00000 n 0000082403 00000 n 0000082461 00000 n 0000082490 00000 n 0000000180 00001 f 0000000000 00001 f 0000082545 00000 n 0000088088 00000 n trailer << /ID [ <9969e8e211971a0e868561418e544374> <63bb8570670c8cb03559f0dbd171998c> ] /Info 47 0 R /Root 50 0 R /Size 183 >> startxref 89864 %%EOF