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@O]C\K ^CJO]KHOEDJKEKDOJ ^O]HRO[T
\TSM TO@^OEB@OMS\O
IORO ]K@S\
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Mog}o| Ktk
Hojo`oe^cemohsjsoe Djkekdoj ^o}hro{t ?
@oegoo}Djkekdoj ^o}hro{t mo|k tcbk Cgktkcetk ^c`lko{ooe*
Cgca}kgk}ot ^cjo{oeoe moeAclc|omkjoe&Cask}k mojo` ]o}o Acjfjo
Ajkekt (Djkekdoj Bfwc|eoedc+ moe Tkt}c`^c`lko{ooe Dotc`kx
T}oemo| ^cjo{oeoe Acmfa}c|oe (T^A+* ^cmf`oe Eotkfeoj
^cjo{oeoeAcmfa}c|oe (^E^A+* T}oemo| ^|ftcms| F~c|otkfeoj (T^F+ moe
^oemsoe^|oa}ka Ajkekt (^^A+^c|oe Djkekdoj ^o}hro{t mojo` @s}s mk
\s`oh Toak}^c|oe Djkekdoj ^o}hro{t mojo` ^cemkmkaoe
Actcho}oe&Acmfa}c|oe mk \s`ohToak}
^ | Djk kd j ^ }h {t j ` ^ jk}k A t h } &A f } | k \ ` h
=
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Djkekdoj ^o}hro{t $
Mfm{ Gk|`oemoAc}so Af`k}c @cmka
\TS^ Go}`oro}k* Ioao|}o%
^cemohsjsoe
Mceboe }c|lk}e{o Semoeb Semoeb \c~sljka Kemfectko Ef`f|
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4/49
Mojo` `cjoasaoe cwojsotk aclkioaoe moe tkt}c` jo{oeoe actcho}oe
( hcoj}hdo|c t{t}c`
oem ~fjkdkct cwojso}kfe+ omo 4 a|k}c|ko asedk {oaek a|k}c|ko
cgca}kgk}ot* cgktkcetk* moe
aclc|omkjoe&cask}k (cggcd}kwcectt* cggkdkced{ oem
cqsk}{+?> {oeb `c|s~oaoe tso}s
|oebaokoe tkt}c`o}ka mojo` tso}s tkt}c`% @cjoasaoe tso}s
oeojktkt cafef`k mojo`
~cjo{oeoe acmfa}c|oe ~|fgctk omojoh }kmoa `smoh* `cebkebo}
loe{oa goa}f| {oeb ho|st
mk~c|}k`loebaoe mo|k lc|lobok mk`cetk }c| otsa do|o ~cemcao}oe
mo|k icekt oeojktkt
cafef`k {oeb oaoe mkbseoaoe* lo}otoe }c| kefjfbk cafef`k k}s
tcemk|k `cebceok
s}kjkyo}kfe* ~|fmsd}kwk}{* lcecgk}* cggkdkced{* cggcd}kwcectt*
wojsc gf| `fec{* aclkioaoe
gktaoj moe }kebao}kegjo}kfe |o}c{oeb tc|keb aojk lc|sloh%
Mkto`~keb ac}c|lo}otoe ts`lc|
mo{o moe aclkioaoe cafef`k {oeb mk~cebo|shk ~fjk}kt* tchkebbo
}kmoa io|oeb "|ctfs|dct" }c|tcls} }cjoh mk~obs `ceiomk "gkxcm"
%??
Tcmoebaoe mk tktk mk`cetk joke ~|fgctk k}s tcemk|k mk}se}s}
se}sa `cekebao}aoe `s}s
~cjo{oeoee{o moe ac~|fgctkoee{o mojo` af|kmf| c}ka-tftkf-lsmo{o
tc|}o lc|lobok
| } | | b h `%2
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]olcj ?% Lc|lobok mcgkektk mo` mk`cetk }kebao} oeojktkt }ce}oeb
cgca}kgk}ot* cgkcetk moeaclc|omkjoe&cask}k%?
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kek `oto c|o bjflojktotk mkls}shaoe }kmoa hoe{o mfkeb }hkebt
|kbh}*oaoe }c}o~k isbo
mk~c|jsaoe ~|ketk~ `oeoic`ce mfkeb }hc |kbh} }hkebt tchkebbo
af`lkeotk acmsoe{o
mktcls} tclobok ~|ketk~ `oeoic`ce jo{oeoe `fmc|e mfkeb }hc |kbh}
}hkebt |kbh} %?4
@oegoo} Djkekdoj ^o}hro{t mojo` Cgktkcetk ^c`lko{ooe*
Cgca}kgk}ot ^cjo{oeoe moeAclc|omkjoe&Cask}k
Djkekdoj ^o}hro{t (D^+ omojoh tso}s afetc~ ~c|cedoeooe ~cjo{oeoe
}c|~oms {oeb
`c|oebas` tc}ko~ joebaoh {oeb mklc|kaoe ac~omo ~otkce
lc|moto|aoe t}oemo|
~cjo{oeoe `cmkt moe otshoe ac~c|oro}oe {oeb lc|lotkt lsa}k
mceboe hotkj {oeb }c|sas|
moe mojo` ioebao roa}s }c|}ce}s tcjo`o mk |s`oh toak}%
?=*?3*?7
Lc|kas} hotkj ~cecjk}koe ~cec|o~oe Djkekdoj ^o}hro{t ^ecs`feko
(Bo`lo| ? moe
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mc`kakoe }c|jkho} icjot mo|k tcbk cafef`k&~c`lko{ooe |s`oh
toak} }c|tcls} toebo} cgktkce
moe `cebse}sebaoe lkjo `cebbseoaoe Djkekdoj ^o}hro{t %
Mceboe `c`~c|bseoaoe Djkekdoj ^o}hro{t mo~o} `cebhk}seb Dft}
Rckbh} tc}ko~
acjf`~fa aotst* dfe}fh se}sa aotst ~ecs`feko mk o}ot |c|o}o
ts`lc|mo{o (|ctfs|dct+
|s`oh toak} (flo} flo}oe* lohoe moe ojo} mjj+ {oeb }c|~oaok
omojoh \~ >>>*- `oaoDft}-Rckbh} e{o omojoh (=3>
>>>& >>> 0 ?%8+%
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7
Bo`lo| ?% Dfe}fh hotkj ~cecjk}koe k`~jc`ce}otk tojoh to}s
Djkekdoj ^o}hro{t se}sa aotst ~ecs`feko
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10/49
]ce}oeb do|o joebaoh joebaoh ~c|hk}seboe dft} rckbh}* dotc`kx
kemcx* lotc |o}c
|s`oh toak} moe ojfaotk oebbo|oe mo~o} mkjkho} mojo` Bo`lo| 4
lc|kas}%
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11/49
Obo| }kmoa }s`~oeb }kemkh tc|}o tkec|bkt mceboe ace{o}ooe mk
jo~oeboe (|s`oh
toak}+* `oao k`~jc`ce}otk Djkekdoj ^o}hro{t tclokae{o }c|~oms
mceboe }o}oacjfjo
`oeoio`ce (df|~f|o}c bfwc|eoedc+ moe }o}oacjfjo ajkekt (djkekdoj
bfwc|eoedc +
{oeb }cjoh lc|joas tctsok `ktk |s`oh toak} mojo` lkmoeb
~cjo{oeoe* ~cemkmkaoe
moe ~cecjk}koe%
Mceboe }c|lk}e{o ^c|o}s|oe @ce}c|k Actcho}oe \K Ef`f|
?4=8&@CEACT&^C\&KX&?> {oeb mkbseoaoe omojoh
kt}kjoh T}oemo| ^cjo{oeoe
Acmfa}c|oe (T^A+ {oeb }c|mk|k mo|k ^cmf oe Eotkfeoj ^cjo{oeoe
Acmfa}c|oe
(^E^A+ moe T}oemo| ^|ftcms| F~c|otkfeoj (T^F+% ^E^A mklso} fjch
f|boektotk
~|fgctk moe mktohaoe fjch @ce}c|k Actcho}oe \K* tcmoebaoe T^F
mklso} mk }kebao}|s`oh toak} fjch ~|fgctk `cmkt mceboe aff|mkeo}f|
Af`k}c @cmkt moe mk}c}o~aoe
~cebbseooee{o mk |s`oh toak} }c|tcls} fjch ~k`~keoe
(mk|ca}s|+%
T}oemo| ^|ftcms| F~c|otkfeoj se}sa ~|fgctk `cmkt mk |s`oh toak}
mojo` lce}sa
| }k k k?2
` ` { } k f k |k kf
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toak} - ~|fgctk `cmkt `c`lc|kaoe ~cjo{oeoe ac~|fgctkoee{o tcdo|o
cgca}kg (djkekdoj
cggcd}kwcectt+ mojo` hoj `cecboaaoe mkobeftkt moe `c`lc|kaoe
}c|o~k
lc|moto|aoe ~cemcao}oe cwkmcedc-lotcm `cmkdkec% Tcdo|o tcmc|hoeo
~c|o}s|oe
}c|tcls} mo~o} mkjkho} tclobok`oeo mojo` Bo`lo| = lc|kas}%
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Jawa Timur
13/49
Actcho}oe (Io act`ot+ mk |s`oh toak} - `oao KEO DLB oaoe
jclkh
mktc`~s|eoaoe mceboe `cebhk}seb M\B \cjo}kwc Rckbh} moe Dotc`kx
Kemcx
tc|}o Lotc \o}c tc}ko~ ~cebcjf`~faaoe icekt ~ce{oak} moe
tcjoeis}e{o mo~o}
`c`loemkebaoe (lcedh`o|akeb+ dft} cggkdkced{ oe}o| |s`oh toak}
mojo`
`c`lc|kaoe jo{oeoe actcho}oe lc|moto|aoe acomooe tclceo|e{o
mklc|kaoe `cjojsk
Djkekdoj ^o}hro{t %
Tkt}c` Dotc`kx omojoh tso}s do|o `cebcjfjo ts`lc| mo{o |s`oh
toak} tccgca}kg
`sebake mojo` `c`lc|kaoe jo{oeoe actcho}oe {oeb }c|ioebaos
ac~omo
`ot{o|oao} lc|moto|aoe ~cebcjf`~faaoe t~ca}|s mkobeftkt ~ce{oak}
{oeb
hf`fbce moe ~|ftcms| }kemoaoe {oeb mklc|kaoe - tcdo|o |kebaote{o
}c|mk|k mo|k 4af`~fece s}o`o {oaek afmcgkaotk mkobeftkt (KDM ?>+
moe ~|ftcms| }kemoaoe
(KDM ; D@+* ~c lko{ooe (dft}keb + {oeb mo~o} lc|s~o }f~-mfre
o~~|fodh*
od}kwk}{ lotcm dft}keb moe o}os af lkeotk acmsoe{o* moe `cjojsk
Djkekdoj
^o}hro{t %?8*?;**
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14/49
Tclobok tkt}c` {oeb lo|s johk| KEO-M\B oaoe }c|st lc|bsjk| moe
lc|ac`loeb
tctsok }se}s}oe ~c|ac`loeboe jo{oeoe actcho}oe loka eotkfeoj
`os~se |cbkfeoj% Tc~}c`lc|
?>* `oao eo`o tk}c` Dotc`kx KEO-M\B lc|sloh `ceiomk
KEO-DLB
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T}oemo| ^cjo{oeoe Acmfa}c|oe
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T}oemo| ^|ftcms| F~c|otkfeoj se}sa ~|fgctk `cmkt mk |s`oh toak}
mojo` lce}sa
^oemsoe ^|oa}ka Ajkekt 4? - ~omo s`s`e{o mo~o} mkomf~tk mo|k
^oemsoe Eotkfeoj
^cjo{oeoe Acmfa}c|oe (^E^A+ {oeb }cjoh mklso} fjch f|boektotk
~|fgctk `otkeb
`otkeb* }kebboj mkdfdfaaoe moe mktctsokaoe mceboe afemktk to|oeo
moe
af`~c}cetk {oeb omo mk |s`oh toak}% Lkjo ^E^A {oeb }cjoh mklso}
fjch f|boektotk
~|fgctk }c|tcls} moe }cjoh mktohaoe fjch @ce}c|k Actcho}oe \K
tc|}o tctsok mceboe
afemktk |s`oh toak} `oao }kebboj mktc~oao}k fjch oebbf}o ~|fgctk
(T@G+ }c|aok}
tclobok ^oemsoe ^|oa}ka Ajkekt (^^A+ moe mktohaoe ~cebbseooee{o
mk |s`oh
toak} fjch mk|ca}s| |s`oh toak} }c|tcls}%
Eo`se lkjo ^E^A }c|tcls} lcjs` omo o}os }kmoa tctsok mceboe
afemktk |s`oh
toak} o}os mojo` ^E^A lcjs` `cedoe}s`aoe icekt ~ce{oak} {oeb
tctsok mceboe
acomooe c~kmc kfjfbk ~ce{oak} mk moc|oh&|s`oh toak} }c|tcls}
`oao ~|fgctk mk
|s`oh toak} }c|tcls} roikl `c`lso} ^oemsoe ^|oa}ka Ajkekt (^^A+
se}sa |s`oh
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17/49
Mceboe }c|lk}e{o ^c|o}s|oe @ce}c|k Actcho}oe \K Ef`f|
233&@ceact&KW&??*
`oao Ac~s}stoe @ce}c|k Actcho}oe Ef f| 22< }ce}oeb
^cmf`oe ^c|o}s|oe Ke}c|eoj \s`oh Toak} ( Hft~k}oj L{ Jort+
tc~oeioeb `cebceok
~cebo}s|oe t}og `cmkt* Ac~s}stoe @ce}c|k Actcho}oe Ef`f|
=;7&@ceact&TA&KW&>3 }ce}oeb ^cmf`oe Osmk}
@cmkt moe Ac~s}stoe @ce}c|k
Actcho}oe Ef`f| 74?&@ceact&TA&WKK&>3 }ce}oeb
^cmf`oe ^ce{stseoe
^c|o}s|oe Ke}c|eoj T}og @cmkt mkdols} moe mke{o}oaoe }kmoa
lc|joas4< moe tc}ko~
|s`oh toak} ho|st `ce{ctsokaoe mceboe ~c|o}s|oe }c|tcls}
tcjo`lo}e{o }oebboj 3
Efwc`lc| ?? (7 lsjoe tcioa mksemoebaoee{o ~c|o}s|oe }c|tcls}+
44%
^c|o}s|oe @ce}c|k Actcho}oe }c|tcls} lc|}sisoe se}sa `cebo}s|
}o}o acjfjo ajkekt(djkekdoj bfwc|eoedc + {oeb loka obo| `s}s
~cjo{oeoe `cmkt moe actcjo`o}oe
~otkce mk|s`oh toak} jclkh }c|io`ke moe }c|jkemsebk tc|}o
`cebo}s|
~ce{cjcebbo|ooe af`k}c `cmka mk tc}ko~ |s`oh toak} mojo` |oebao
~cekebao}oe
~|fgctkfeojkt`c t}og `cmkt% 4= Tchkebbo tsmoh tcjo{oae{o tc}ko~
|s`oh toak}
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18/49
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7/30/2019 Dody Firmanda 2012 - Clinical Pathways RSUD Sampang
Jawa Timur
19/49
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20/49
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21/49
Afetc~% afet}|satk `os~se `fmcj k`~jc`ce}otk Djkekdoj ^o}hro{t
tcdo|o }kmoa
joebtseb tclobok`oeo mks}o|oaoe mko}ot lohro9
Djkekdoj ^o}hro{t tclobok ket}|s ce ~cjo{oeoe lc|gfast ac~omo
~otkce
(~o}kce}-gfdstcm do|c+ * }c|ke}cb|otk* lc|actkeo`lseboe mo|k
~otkce
`otsa mk|oro} to`~ok ~sjoeb tc`lsh (dfe}kesfst do|c+* icjot
oaoemfa}c|&~c|oro} ~ceoebbseb iorol ~otkce (M^I^&^^I^+
tclobok ms}{ fg
do|c * s}kjk}ot ~c`c|katooe ~ceseioeb* ~cebbseooe flo} flo}oe
}c| otsa
oe}klkf}kao* ~|ftcms| }kemoaoe f~c|otk* oe}ktk~otk ac`sebakeoe
}c|iomke{o
`cmkdoj c||f|t (jo}ce moe oa}kg* e{o|kt }c|iomk `os~se aciomkoe
}kmoa
mkho|o~aoe&A]M+ moe ~cedcbohoe ac sebakeoe dcmc|o (ho|`t+
tc|}okegcatk eftfaf`koj mojo` |oebao actcjo`o}oe ~otkce (~o}kce}
togc}{+*
`cemc}catk mkek }k}ka }k}ka ~f}cetkoj lc|ktkaf tcjo`o ~|ftct
jo{oeoe
~c|oro}oe ~otkce (}|odc|t `c}hfmfjfb{+ mojo` |oebao `oeoic`ce
|ktkaf
(|ktat `oeobc`ce}+* |cedoeo ~c`sjoeboe ~otkce (~o}kce}
mktdho|bc+*
s~o{o ~cekebao}oe `s}s jo{oeoe lc|actkeo`lseboe (dfe}kesfst
qsojk}{
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22/49
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7/30/2019 Dody Firmanda 2012 - Clinical Pathways RSUD Sampang
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23/49
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24/49
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^|ketk~ ~|ketk~ mojo` `ce{stse Djkekdoj ^o}hro{t
Djkekdoj ^o}hro{t (D^+ omojoh tso}s afetc~ ~c|cedoeooe ~cjo{oeoe
}c|~oms
{oeb `c|oebas` tc}ko~ joebaoh {oeb mklc|kaoe ac~omo ~otkce
lc|moto|aoe
t}oemo| ~cjo{oeoe `cmkt moe otshoe ac~c|oro}oe {oeb lc|lotkt
lsa}k mceboe
hotkj {oeb }c|sas| moe mojo` ioebao roa}s }c|}ce}s tcjo`o mk
|s`oh toak}% 43*47*42
Mojo` `c`lso} Djkekdoj ^o}hro{t ~ceoeboeoe aotst ~otkce |oro}
keo~ mk |s`oh
toak} ho|st lc|tkgo}9
o% Tcjs|sh acbko}oe ~cjo{oeoe {oeb mklc|kaoe ho|st tcdo|o
}c|~oms&ke}cb|otk
moe lc|f|kce}otk gfast }c|homo~ ~otkce (^o}kce} Gfdstcm Do|c+
tc|}o
lc|actkeo`lseboe (dfe}kesfst fg do|c+
l% @cjklo}aoe tcjs|sh ~|fgctk (mfa}c|* ~c|oro}&lkmoe*
~ceo}o* jolf|o}f|kt moe
go|`otkt+
d% Mojo` lo}otoe roa}s {oeb }cjoh mk}ce}saoe tctsok mceboe
acomooe
~c|iojoeoe ~ce{oak} ~otkce moe mkdo}o} mojo` lce}sa ~c|kfmc
ho|koe (se}sa
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b% Wo|koet }c|tcls} mk~c|bseoaoe tclobok tojoh to}s ~o|o`c}c|
mojo` |oebao
`c`~c|}ohoeaoe moe `cekebao}aoe `s}s ~cjo{oeoe%
Djkekdoj ^o}hro{t }c|tcls} mo~o} `c|s~oaoe tso}s T}oemo|
^|ftcms| F~c|otkfeoj
{oeb `c|oebas`9
o% ^|fgctk `cmkt9 T}oemo| ^cjo{oeoe @cmkt mo|k tc}ko~ Acjf`~fa
T}og
@cmkt&T}og @cmkt Gsebtkfeoj (T@G+ ajkekt moe ~ceseioeb%
l% ^|fgctk ac~c|oro}oe9 Otshoe Ac~c|oro}oe
d% ^|fgctk go|`otk9 Sek} Mftc Mokj{ moe T}f~ F|mc|keb
m% Ojs| ^cjo{oeoe ^otkce \oro} Keo~ moe F~c|otk mo|k Tkt}c`
Acjf`~fa T}og
@cmkt&T}og @cmkt Gsebtkfeoj (T@G+* Ket}ojotk moe Tkt}c`
@oeoic ce
\s`oh Toak}%
Joebaoh joebaoh ~ce{stseoe Djkekdoj ^o}hro{t
Joebaoh joebaoh mojo` `ce{stse Gf|`o} Djkekdoj ^o}hro{t {oeb
ho|st
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27/49
4% Se}sa wo|kolcj }kemoaoe moe flo} flo}oe `cebods ac~omo
T}oemo|
^cjo{oeoe @cmkt* T}oemo| ^|ftcms| F~c|otkfeoj moe Mog}o|
T}oemo|
Gf|`sjo|ks` {oeb }cjoh omo mk |s`oh toak} tc}c`~o}* Lkjo ~c|js
t}oemo|
t}oemo| }c|tcls} mo~o} mkjoasaoe |cwktk tctsok actc~oao}oe
tc}c`~o}%
=% ^c|bseoaoe Lsas KDM ?> se}sa hoj afmcgkaotk mkobeftkt moe
KDM ; D@
se}sa hoj }kemoaoe ~|ftcms| tctsok mceboe ~|fgctk&T@G `otkeb
`otkeb%
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Tc}ko~ wo|koet {oeb mkmo~o}aoe oaoe mkjoasaoe }kemoa joeis}
mojo` lce}sa
~cjoatoeooe osmk} `cmkt tclobok`oeo {oeb mkoeis|aoe mojo` Semoeb
Semoeb \K
Ef`f| = moe ^c|o}s|oe @ce}c|k Actcho}oe \K Ef`f|
233&@ceact&^c|&KW&??%
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Actk`~sjoe9
Mo|k s|okoe tkebao} mko}ot mceboe hoe{o tcjc`lo| Djkekdoj
^o}hro{t -
`c|s~oaoe tso}s ket}|s`ce {oeb af`~|chcetkg `c|oebas` tcdo|o
}c|~oms lkmoeb
~cjo{oeoe* ~cemkmkaoe moe ~cecjk}koe `os~se oa|cmk}otk tc|}o
lkjo mk}keios
mo|k tcbk cafef`k actcho}oe mo~o} `cjoatoeoaoe cgktkcetk
~c`lko{ooe mceboe
`c`oegoo}aoe tcf~}k`oj `sebake ho|k |oro} ~otkce* `cebcjk`keotk
~c`c|katooe ~ceseioeb&jolf|o}f|ks`&}kemoaoe {oeb }kmoa
mk~c|jsaoe* `cebbseoaoe flo}
flo}ooe (}c|s}o`o oe}klkf}ka+ tctsok cwkmcedc-lotcm1 tchkebbo
~cjo{oeoe cgca}kg
mkto`~keb }kmoa `c`lcmoaoe jo}o| lcjoaoeb ~otkce ao|ceo gfast
ac~omo ~otkce
moe ~ce{oak}e{o (aclc|omkjoe&cask}k+ moe tcaojkbst `c`ceshk
tcjs|sh }kbo
}sisoe mo|k Semoeb Semoeb \K Ef f| = moe c`~o} }sisoeSemoeb
Semoeb \K Ef`f| == ]ohse >;%
Mc`kakoe ~sjo lobk \s`oh Toak} ^cemkmkaoe* Djkekdoj ^o}hro{t
mo~o}
mk~c|bseoaoe tclobok ket}|s`ce mojo` @cmkdoj Cmsdo}kfe
Ottctt`ce}t }kebao}
ajkekt mojo` lce}sa Rf|a~jodc-lotcm Ottctt`ce} (RLO+ se}sa
Jfb-lffa* @kek-
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JO@^K\OE9
^oemsoe ^|oa}ka AjkektT@G 9 %%%%%%%%%%%%%%%%%%%%%
\TSM To`~oeb
Ioro ]k`s|?< ?=
%%%%%%%%%%%%%%%%%%%%%%%%
?% ^cebc|}koe (Mcgkektk+ %%
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8% ]c|o~k ?%
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DJKEKDOJ ^O]HRO[T
\TSM TO@^OEB IORO ]K@S\
%%%%
Eo`o ^otkce9
S`s|9
Lc|o} Lomoe9%%ab
]kebbk Lomoe9%%d`
Ef`f| \cao` @cmkt9%
Mkobeftkt Oroj9 % Afmc KDM ?> 9 \cedoeo |oro} 9 ho|k
Oa}kwk}ot ^cjo{oeoe\% \oro}%
]bj&Io` `otsa9%
]bj&Io` acjso|9%
Jo`o \r}%%% ho|k
Acjot9%%
]o|kg&h| (\~+9%
Lko{o (\~+
H\ ? H\ < H\ 4 H\ = H\ 3 H\ 7 H\ 2 H\ 8 H\ ; H\?>
H\??
H\? 9 \cedoeo |oro} 9 ho|k
Oa}kwk}ot ^cjo{oeoe\% \oro}%
]bj&Io` `otsa9%
]bj&Io` acjso|9%
Jo`o \r}%%% ho|k
Acjot9%%
]o|kg&h| (\~+9%
Lko{o (\~+
H\?
H\
H\??
H\? 9 \cedoeo |oro} 9 ho|k
Oa}kwk}ot ^cjo{oeoe\% \oro}%
]bj&Io` `otsa9%
]bj&Io` acjso|9%
Jo`o \r}%%% ho|k
Acjot9%%
]o|kg&h| (\~+9%
Lko{o (\~+
Ho|k \oro} ? Ho|k \oro} < Ho|k \oro} 4 Ho|k \oro} = Ho|k
\oro} 3Ho|k Toak}9 Ho|k Toak}9 Ho|k Toak}9 Ho|k Toak}9 Ho|k
Toak}9
Mkobeftkt9^ce{oak} S}o`o % ^ce{oak} ^ce{c|}o % Af`~jkaotk %
Otctt`ce Ajkekt9^c`c|katooe mfa}c| % %%Afetsj}otk % %%
^c`c|katooe ^ceseioeb9 % %%]kemoaoe9 % %%Flo} flo}oe9
%
%
%%%%
%%%%
%%%%
%%%%
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DJKEKDOJ ^O]HRO[T
\TSM TO@^OEB IORO ]K@S\
%%%%
Eo`o ^otkce9
S`s|9
Lc|o} Lomoe9%%ab
]kebbk Lomoe9%%d`
Ef`f| \cao` @cmkt9%
Mkobeftkt Oroj9 % Afmc KDM ?> 9 \cedoeo |oro} 9 ho|k
Oa}kwk}ot ^cjo{oeoe\% \oro}%
]bj&Io` `otsa9%
]bj&Io` acjso|9%
Jo`o \r}%%% ho|k
Acjot9%%
]o|kg&h| (\~+9%
Lko{o (\~+
Ho|k \oro} ? Ho|k \oro} < Ho|k \oro} 4 Ho|k \oro} = Ho|k
\oro} 3 Ho|k \oro} 7Ho|k Toak}9 Ho|k Toak}9 Ho|k Toak}9 Ho|k Toak}9
Ho|k Toak}9 Ho|k Toak}9
Mkobeftkt9^ce{oak} S}o`o^ce{oak} ^ce{c|}oAf`~jkaotk
Otctt`ce Ajkekt9^c`c|katooe mfa}c| %%Afetsj}otk %%
^c`c|katooe ^ceseioeb9%%
]kemoaoe9 %%Flo} flo}oe9
%
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DJKEKDOJ ^O]HRO[T
\TSM TO@^OEB IORO ]K@S\
%%%%
Eo`o ^otkce9
S`s|9
Lc|o} Lomoe9%%ab
]kebbk Lomoe9%%d`
Ef`f| \cao` @cmkt9%
Mkobeftkt Oroj9 % Afmc KDM ?> 9 \cedoeo |oro} 9 ho|k
Oa}kwk}ot ^cjo{oeoe\% \oro}%
]bj&Io` `otsa9%
]bj&Io` acjso|9%
Jo`o \r}%%% ho|k
Acjot9%%
]o|kg&h| (\~+9%
Lko{o (\~+
Ho|k \oro}?
Ho|k \oro} moe KDM ; D@ tc|}o~cebhk}seboe lko{o tcdo|o
~cemcao}oe}f~-mfre* od}kwk}{ lotcm o}os af lkeotk acmsoe{o mo|k
tc}ko~ joebaoh mojoDjkekdoj ^o}hro{t (D^+%
Djkekdoj Bfwc|eoedc (DB+omojoh to}s ac|oebao afetc~ tkt}c` `s}s
mojo` |oebao`c`~c|}ohoeaoe moe `cekebao}aoe `s}s mk
to|oeo&gotkjk}ot
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T? ^|fgctk @cmkt
T? ^? Af`k}c @cmka moe Acjf ~fa T}og @cmkt (T@G+
Ekjok A|k}c|ko
> Lcjs` omo f|boektotk ~|fgctk mojo` lce}sa Af`k}c @cmka
moeAcjf`~fa T}og @cmkt (T@G+
? ]cjoh omo f|boektotk ~|fgctk mojo` lce}sa Af`k}c @cmka
moeAcjf`~fa T}og @cmkt (T@G+*oaoe }c}o~k lcjs &}kmoa
tctsokmceboe {oeb mkoeis|aoe tclobok`oeo mojo` ^c|o}s|oe
@ce}c|k
Actcho}oe \K Ef`f| 233&@ceact&^c|&KW&??
}ce}oeb^ce{cjcebbo|ooe Af`k}c @cmka mk \s`oh Toak}%
< ]cjoh omo f|boektotk moe tctsok mceboe ^c|o}s|oe
@ce}c|kActcho}oe \K Ef`f| 233&@ceact&^c|&KW&??*oaoe
}c}o~klcjs`mktohaoe fjch ~k`~keoe |s`oh toak} mojo` lce}sa Ts|o}
Ac~s}stoe(TA+%
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T? ^< T}oemo| ^cjo{oeoe Acmfa}c|oe (T^A+* T}oemo| ^|ftcms|
F~c|otkfeoj (T^F+moe ^oemsoe ^|oa}ka Ajkekt (^^A+ mo|k ~|fgctk
`cmkt
Ekjok A|k}c|ko
> Lcjs` omo Gf|`o} T^A&T^F&^^A mo|k Af`k}c @cmka
se}sa tcjs|shAcjf`~fa T}og @cmkt (T@G+
? ]cjoh omo Gf|`o} mo|k Af k}c @cmka se}sa tcjs|sh T}og
@cmktGsebtkfeoj (T@G+*oaoe }c}o~k lcjs` tcjs|sh T@G
`c`lso}T^A&T^F&^^A tctsok ~|fgctke{o `otkeb `otkeb%
< ]cjoh omo T^A&T^F&^^A*oaoe }c}o~k lcjs`
mktohaoe~cebbseooe{o fjch ~k`~keoe |s`oh toak} mojo` lce}sa
Ts|o}Ac~s}stoe (TA+%
4 T^A&T^F&^^A }c|tcls} }cjoh mktohaoe ~cebbseooee{o
mojo`lce}sa TA ~k`~keoe |s`oh toak}*oaoe }c}o~klcjs`
tftkojktotkaoe
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T< ^|fgctk Ac~c|oro}oe
T< ^? Otshoe Ac~c|oro}oe
Ekjok A|k}c|ko
> Lcjs` omo Gf|`o} Otshoe Ac~c|oro}oe mo|k Af
k}c&LkmoebAc~c|oro}oe se}sa tcjs|sh Acjf`~fa T}og Ac~c|oro}oe
moe^ceo}o tctsok mceboe lkmoebe{o `otkeb `otkeb
? ]cjoh omo Gf|`o} Otshoe Ac~c|oro}oe mo|k Af
k}c&LkmoebAc~c|oro}oe* oaoe }c}o~k lcjs` tcjs|sh Acjf`~fa T}og
Ac~c|oro}oe moe ^ceo}o Otshoe Ac~c|oro}oe tctsok lkmoeb`otkeb
otkeb%
< ]cjoh omo Otshoe Ac~c|oro}oe* oaoe }c}o~k lcjs`
mktohaoe~cebbseooe{o fjch ~k`~keoe |s`oh toak} mojo` lce}sa
Ts|o}Ac~s}stoe (TA+%
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T4 ^|fgctk O~f}cac|&Go|`otkt
T4 ^? Mog}o| Gf| sjo|ks` \s`oh Toak}
Ekjok A|k}c|ko> Lcjs` omo Gf|`o} Mog}o| Gf|`sjo|ks \s`oh
Toak} mo|k
^oek}ko&Af k}c&]k` Go|`otk moe ]c|o~k%? ]cjoh omo Gf|`o}
Mog}o| Gf|`sjo|ks` \s oh Toak}*oaoe
}c}o~k}kmoa `cjklo}aoe tcjs|sh ~c|roakjoe mo|k T@G moe~|fgctk
o~f}cac|&go|`otkt mojo` ~ce{stseoe Mog}o| Gf|`sjo|ks` \s`oh
Toak}%
< ]cjoh omo Mog}o| Gf|`sjo|ks` \s`oh Toak}*oaoe }c}o~klcjs`
mktohaoe ~cebbseooe{o fjch ~k`~keoe |s`oh toak}mojo` lce}sa Ts|o}
Ac~s}stoe (TA+%
4 Mog}o| Gf|`sjo|ks` \s`oh Toak} }c|tcls} }cjoh
mktohaoe~cebbseooee{o mojo` lce}sa TA ~k`~keoe |s`oh
toak}*oaoe}c}o~klcjs` tftkojktotkaoe ac~omo tcjs|sh t}og ~|fgctk
`cmkt
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T4 ^< Sek} Mftc Mokj{ (SMM+
Ekjok A|k}c|ko
> Lcjs` omo gf| o} Sek} Mftc Mokj{ (SMM+ \s`oh Toak}
mo|k^oek}ko&Af k}c&]k` Go|`otk moe ]c|o~k%
? ]cjoh omo Sek} Mftc Mokj{ (SMM+*oaoe }c}o~k}kmoa
`cjklo}aoetcjs|sh ~c|roakjoe mo|k T@G moe ~|fgctk
o~f}cac|&go|`otktmojo` ~ce{stseoe gf|`o} Sek} Mftc Mokj{
(SMM+%
< ]cjoh omo Sek} Mftc Mokj{ (SMM+*oaoe }c}o~klcjs`
mktohaoe~cebbseooe{o fjch ~k`~keoe |s`oh toak} mojo` lce}sa
Ts|o}
Ac~s}stoe (TA+%
4 Sek} Mftc Mokj{ (SMM+ }cjoh mktohaoe ~cebbseooee{o mojo`lce}sa
TA ~k`~keoe |s`oh toak}* oaoe }c}o~k lcjs`tftkojktotkaoe ac~omo
tcjs|sh t}og ~|fgctk `cmkt moe o~f}cac|&go|`otkt%
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T4 ^4 T}f~ F|mc|keb (TF+
Ekjok A|k}c|ko
> Lcjs` omo gf|`o} T}f~ F|mc|keb (TF+ mo|k ^oek}ko&Af
k}c&]k`Go|`otk moe ]c|o~k%
? ]cjoh omoT}f~ F|mc|keb (TF+*oaoe }c}o~k}kmoa cjklo}aoetcjs|sh
~c|roakjoe mo|k AT@&T@G moe ~|fgctk o~f}cac|&go|`otktmojo`
~ce{sts eoe gf|`o} T}f~ F|mc|keb (TF+%
< ]cjoh omoT}f~ F|mc|keb (TF+*oaoe }c}o~klcjs`
mktohaoek`~jc`ce}otke{o fjch ~k`~keoe |s`oh toak} mojo` lce}sa
Ts|o}
Ac~s}stoe (TA+%
4 T}f~ F|mc|keb (TF+}cjoh mktohaoe k`~jc`ce}otke{o mojo`
lce}saTA ~k`~keoe |s`oh toak}*oaoe }c}o~klcjs` tftkojktotkaoeac~omo
tcjs|sh t}og ~|fgctk `cmkt moe o ~f}c ac |&g o |`ot kt%
= Omo lsa}k }c|}sjkt }cjoh cjoasaoe `fek}f|keb
k`~jc`ce}otkT}f~
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T= Djkekdoj ^o}hro{t (KD^+
T= ? Gf|`o} Ke}cb|o}cm Djkekdoj ^o}hro{t (KD^+}kebao} \s`oh
Toak}
Ekjok A|k}c|ko
> Lcjs` omo Gf|`o} Djkekdoj ^o}hro{t (D^+mo|k Af`k}c
@cmka
? ]cjoh omo Gf|`o} Djkekdoj ^o}hro{t (D^+\s`oh Toak}* oaoe}c}o~k
}kmoa `cjklo}aoe tcjs|sh ~c|roakjoe mo|k T@G*Af`k}c&Lkmoeb
Ac~c|oro}oe moe ~|fgctk o~f}cac|&go|`otktmojo` ~ce{stseoe
gf|`o} }c|tcls}%
< ]cjoh omo Gf|`o} Djkekdoj ^o}hro{t (D^+*oaoe
}c}o~klcjs`mktohaoe ~cebbseooe{o fjch ~k`~keoe |s`oh toak}
mojo`lce}sa Ts|o} Ac~s}stoe (TA+%
4 Gf|`o} Djkekdoj ^o}hro{t (D^+}c|tcls} }cjoh
mktohaoe~cebbseooee{o mojo` lce}sa TA ~k`~keoe |s`oh
toak}*oaoe}c}o~klcjs` tftkojktotkaoe ac~omo tcjs|sh t}og ~|fgctk
`cmkt*
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T= ^< Djkekdoj ^o}hro{t (KD^+}kebao} T@G
Ekjok A|k}c|ko
> Lcjs` omo T@G Mc~o|}c`ce&Lobkoe {oeb `c`lso}Djkekdoj
^o}hro{t (D^+ tctsok gf|`o} mo|k Af`k}c @cmka \T%
? ]cjoh omo tcas|oebe{o tc}ceboh mo|k is joh T@G mceboe`kek`oj 4
Djkekdoj ^o}hro{t (D^+{oeb lc|lcmo tctsok ~|kf|k}otmoe mktstse
tctsok mceboe T^A&T^F&^^A moe OtshoeAc~c|oro}oe tc|}o
Mog}o| Gf|`sjo|ks` \s`oh Toak}%
< ]cjoh `cjoasaoe Djkekdoj ^o}hro{t (D^+}c|tcls} mk
o}otoaoe
}c}o~klcjs` `cjoatoeoaoe cwojsotk&osmk}%
4 Omo lsa}k }c|}sjkt }cjoh cjoatoeoaoe cwojsotk&osmk}
}c|homo~Djkekdoj ^o}hro{t (D^+mk o}ot%
= Omo lsa}k }c|}sjkt }cjoh `cjoasaoe |cwktk o}otDjkekdoj
^o}hro{t
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T= 4 AfmcgkaotkDjkekdoj ^o}hro{t (D^+}kebao} T@G lc|moto|aoe KDM
?> moe KDM; D@%
Ekjok A|k}c|ko
> Lcjs omo AT@&T@G&Mc~o|}c`ce&Lobkoe {oeb
`c`lso}afmcgkaotk tctsok KDM ?> moe KDM ; D@ mojo`Djkekdoj
^o}hro{t (D^+ tctsok gf|`o} mo|k Af`k}c @cmkt \T%
? ]cjoh omo afmcgkaotk tcas|oebe{o tc}ceboh mo|k is`joh
T@Gmceboe `kek`oj 4 Djkekdoj ^o}hro{t (D^+{oeb lc|lcmo
tctsok~|kf|k}ot moe mktstse tctsok mceboe T^A&T^F&^^A moe
Otshoe
Ac~c|oro}oe tc|}o Mog}o| Gf|`sjo|ks` \s`oh Toak}%< ]cjoh
`cjoasaoe afmcgkaotkDjkekdoj ^o}hro{t (D^+}c|tcls} mk o}ot
oaoe }c}o~klcjs` `cjoatoeoaoe cwojsotk&osmk}%
4 Omo lsa}k }c|}sjkt }cjoh cjoatoeoaoe fek}f|keb
afmcgkaotk}c|homo~Djkekdoj ^o}hro{t (D^+mk o}ot%
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T= 3 Wo|koetDjkekdoj ^o}hro{t (D^+}kebao} T@G %
Ekjok A|k}c|ko
> ]kmoa omo do}o}oe }ce}oeb wo|koet mojo`Djkekdoj
^o}hro{ttctsok gf|`o} mo|k Af`k}c @cmka \T%
? Omo do}o}oe moe ~cjo~f|oe }ceo}eb wo|koet
< Omo }kemoa joeis} o}ot wo|koet {oeb
mk}c`saoe&mkjo~f|aoe%
4 Omo lsa}k }c|}sjkt }cjoh `cjoasaoegccm loda }ce}oebwo|koet
mojo Djkekdoj ^o}hro{t (D^+mk o}ot%
= Omo lsa}k }c|}sjkt }cjoh `cjoatoeoaoe |cwktkDjkekdoj ^o}hro{t
(D^+ o}ot wo|koet mk o}ot%
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=2
^CEKJOKOETCJG-OTTCTT@CE] 9 @FEK]F\KEB MOE CWOJSOTKDJKEKDOJ
^O]HRO[T \TSM TO@^OEB IORO ]K@S\
]ohse 9 Lsjoe
Ekjok T}oemo| moe ^o|o`c}c|
Ioe Gcl @o| O~| @ck Ise Ise Obt Tc~ Fa} Efw Mct
T? ^|fgctk @cmktT?^? Af`k}c @cmka&T@G %% %% %% %% %% %% %%
%% %% %% %% %%T?^< T^@&^^A&T^F %% %% %% %% %% %% %% %%
%% %% %% %%
T< ^|fgctk Ac~c|oro}oeT+ %% %% %% %% %% %% %% %% %% %% %%
%%
T= Djkekdoj ^o}hro{t T=^? ]kebao} \T %% %% %% %% %% %% %% %% %%
%% %% %%T=^< ]kebao} T@G %% %% %% %% %% %% %% %% %% %% %% %%T=^4
Afmcgkaotk %% %% %% %% %% %% %% %% %% %% %% %%T=^= Wo|koet %% %% %%
%% %% %% %% %% %% %% %% %%
Is`joh Djkekdoj ^o}hro{t mktstse9%% %% %% %% %% %% %% %% %% %%
%% %%Is`joh Djkekdoj ^o}hro{t
mkk`~jc`ce}otkaoe9%% %% %% %% %% %% %% %% %% %% %% %%
Is`joh Djkekdoj ^o}hro{t mk|cwktk9 %% %% %% %% %% %% %% %% %% %%
%% %%
