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7/23/2019 mechanical ventilation seminar
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[DAOECY LE[DAOECY LE
ADKGCEOKC@ RDE]O@C]OLEADKGCEOKC@ RDE]O@C]OLE
HtomdHtomd
My% H%[oehg 'A[/My% H%[oehg 'A[/
Kl!HtomdKl!Htomd
My% C%A% @cnyc 'AM/My% C%A% @cnyc 'AM/
!Ycfce Ntacy
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Oe}ylmtk}oleOe}ylmtk}ole
Klyedy{}led bly oe}de{ord kcyd admokoedKlyedy{}led bly oe}de{ord kcyd admokoed Rde}o`c}d o{ mdyordm byla @c}oe xlymRde}o`c}d o{ mdyordm byla @c}oe xlym
rde}t{rde}t{ adceoehadceoeh xoem%xoem% Rde}o`c}oleRde}o`c}ole o{ alrdade} lbo{ alrdade} lbcoycoyoe}l cem lt}{omdoe}l cem lt}{omd
}gd ilm}gd ilm
]gd rde}o`c}ly{ at{} lrdyklad }gd]gd rde}o`c}ly{ at{} lrdyklad }gd
zyd{{tyd hdedyc}dm i }gd d`c{}ok ydklo` lbzyd{{tyd hdedyc}dm i }gd d`c{}ok ydklo` lb}gd `teh c} dem oe{zoyc}ole z`t{ }gd}gd `teh c} dem oe{zoyc}ole z`t{ }gdyd{o{}cekd }l b`lx c} }gd coyxc%yd{o{}cekd }l b`lx c} }gd coyxc%
Rde}o`c}ly{ zylromd oebt{ole lb c i`dem lb coyRde}o`c}ly{ zylromd oebt{ole lb c i`dem lb coyly lwhde oe}l }gd koykto}%ly lwhde oe}l }gd koykto}%
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Go{}lyGo{}l
y
OeOe 34=;, Rd{c`ot{34=;, Rd{c`ot{ mdale{}yc}dm }gd cio`o} }lmdale{}yc}dm }gd cio`o} }lacoe}coe }gd idc}oeh gdcy} oe ceoac`{ xo}g lzdeacoe}coe }gd idc}oeh gdcy} oe ceoac`{ xo}g lzdekgd{}%kgd{}%
OeOe 387:,387:, {tkg }dkgeostd xdyd boy{} czz`odm }l{tkg }dkgeostd xdyd boy{} czz`odm }l
gtace{gtace{ OeOe 3778, bd``!l!mxyd czzcc}t{3778, bd``!l!mxyd czzcc}t{ xc{ t{dm blyxc{ t{dm bly}yce{`cyehdc` rde}o`c}ole roc c id``lx{%}yce{`cyehdc` rde}o`c}ole roc c id``lx{%
OeOe 3?97, }gd moend[gcx ole `teh3?97, }gd moend[gcx ole `tehic{dm leic{dm leedhc}ord zyd{{tyd rde}o`c}oleedhc}ord zyd{{tyd rde}o`c}ole
BylaByla 3?;:!3?4:3?;:!3?4: {tkg ackgoed{ xdyd }gd {tkg ackgoed{ xdyd }gdacoe{}c oe rde}o`c}ole lbacoe{}c oe rde}o`c}ole lbrok}oa{ lb zl`olrok}oa{ lb zl`oldzomdaok{dzomdaok{
7/23/2019 mechanical ventilation seminar
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Ic{ok cec}laIc{ok cec}la
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7/23/2019 mechanical ventilation seminar
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Yd{zoyc}ly zg{ol`lhYd{zoyc}ly zg{ol`lh
]omc` rl`tad]omc` rl`tad Yd{zoyc}ly yc}dYd{zoyc}ly yc}d Aoet}d rl`tadAoet}d rl`tad Oe{zoyc}ly Yd{dyrd Rl`tadOe{zoyc}ly Yd{dyrd Rl`tad
Dwzoyc}ly Yd{dyrd Rl`tadDwzoyc}ly Yd{dyrd Rl`tad Oe{zoyc}ly Kczcko} 'OYR . ]R/Oe{zoyc}ly Kczcko} 'OYR . ]R/ Yd{omtc` Rl`tadYd{omtc` Rl`tad Btek}olec` Yd{omtc` Kczcko} 'DYR . YR/Btek}olec` Yd{omtc` Kczcko} 'DYR . YR/
Ro}c` kczcko} 'OYR . ]R . DYR/Ro}c` kczcko} 'OYR . ]R . DYR/ ]l}c` @teh Kczcko} 'OYR . ]R . DYR . YR/]l}c` @teh Kczcko} 'OYR . ]R . DYR . YR/ Klaz`ocekdKlaz`ocekd Mdcm {zckdMdcm {zckd
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ADKGCEOKC@ RDE]O@C]LYADKGCEOKC@ RDE]O@C]LY
Rde}o`c}ly{ cydRde}o`c}ly{ cyd {zdkoc`` md{ohedm ztaz{{zdkoc`` md{ohedm ztaz{}gc} kce {tzzly} }gd rde}o`c}ly btek}ole lb}gc} kce {tzzly} }gd rde}o`c}ly btek}ole lb}gd yd{zoyc}ly {{}da cem oazylrd}gd yd{zoyc}ly {{}da cem oazylrdlwhdec}ole }gylthg czz`okc}ole lb gohglwhdec}ole }gylthg czz`okc}ole lb gohglwhde kle}de} hc{ cem zl{o}ord zyd{{tyd%lwhde kle}de} hc{ cem zl{o}ord zyd{{tyd%
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Klazlede}{Klazlede}{
Ick}dyoc` bo`}dyIck}dyoc` bo`}dy Zedtal}ckglad}dy, rc`rd{ " {l`delom{Zedtal}ckglad}dy, rc`rd{ " {l`delom{
GtaomobodyGtaomobody Gdc}dy }gdyal{}c}Gdc}dy }gdyal{}c} Lwhde cec`{dyLwhde cec`{dy
Zyd{{tyd acelad}dyZyd{{tyd acelad}dy Kgcaidy bly edit`o{oeh mythKgcaidy bly edit`o{oeh myth Klazyd{{lyKlazyd{{ly
Ic}}dyIc}}dy
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7/23/2019 mechanical ventilation seminar
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Hlc`{Hlc`{
Ckgodrd cem acoe}coe cmdstc}d zt`alecy hc{Ckgodrd cem acoe}coe cmdstc}d zt`alecy hc{
dwkgcehddwkgcehd
Aoeoao{d }gd yo{n lb `teh oeftyAoeoao{d }gd yo{n lb `teh oefty
Ydmtkd zc}ode} xlyn lb iydc}goehYdmtkd zc}ode} xlyn lb iydc}goeh
Lz}oao{d zc}ode} klably}Lz}oao{d zc}ode} klably}
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K`c{{obokc}oleK`c{{obokc}ole
3%3% OKT Rde}o`c}ly{OKT Rde}o`c}ly{ ]gd klemo}ole lb `teh o{ zlly]gd klemo}ole lb `teh o{ zlly
9%9% Cecd{}gd}ok rde}o`c}ly{Cecd{}gd}ok rde}o`c}ly{
]gd klemo}ole lb `teh o{ hllm]gd klemo}ole lb `teh o{ hllm
;%;% ]yce{zly} rde}o`c}ly]yce{zly} rde}o`c}ly
]gd rde}o`c}ly o{ klazck} cem t{dm bly }yce{zly}c}ole lb]gd rde}o`c}ly o{ klazck} cem t{dm bly }yce{zly}c}ole lb
rok}oazc}ode}{ byla led {o}d }l l}gdyrok}oazc}ode}{ byla led {o}d }l l}gdy
=%=% L}gdy,{zdkoc`L}gdy,{zdkoc`
'c/'c/ Gohg bydstdek rde}o`c}lyGohg bydstdek rde}o`c}ly
'o/ Gohg bydstdek zl{o}ord zyd{{tyd rde}o`c}ly'o/ Gohg bydstdek zl{o}ord zyd{{tyd rde}o`c}ly
'oo/ Gohg bydstdek fd} rde}o`c}ly'oo/ Gohg bydstdek fd} rde}o`c}ly
'ooo/ Gohg bydstdek l{ko`o}c}ole rde}o`c}ly'ooo/ Gohg bydstdek l{ko`o}c}ole rde}o`c}ly
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OKT rde}o`c}lyOKT rde}o`c}ly
C%C% Zl{o}ord zyd{{tyd rde}o`c}ole 'ZZR/Zl{o}ord zyd{{tyd rde}o`c}ole 'ZZR/
'c/ Ele oerc{ord ZZR'c/ Ele oerc{ord ZZR
'o/ Ec{c` ac{n'o/ Ec{c` ac{n
'oo/ Bckoc` ac{n'oo/ Bckoc` ac{n
]gd{d gc{ `d{{ klaz`okc}ole{ cem c{ dbbdk}ord c{]gd{d gc{ `d{{ klaz`okc}ole{ cem c{ dbbdk}ord c{
oerc{ord rde}o`c}ly{oerc{ord rde}o`c}ly{
'i/ Oerc{ord ZZR'i/ Oerc{ord ZZR'o/ Ec{l}yckgdc` }tid'o/ Ec{l}yckgdc` }tid
'oo/ Lyl }yckgdc` }tid'oo/ Lyl }yckgdc` }tid
'ooo/ ]yckgdl{}la'ooo/ ]yckgdl{}la
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I%Edhc}ord zyd{{tyd rde}o`c}oleI%Edhc}ord zyd{{tyd rde}o`c}ole
Oyle `teh ackgoedOyle `teh ackgoed
]gd ackgoed kydc}d{ c edhc}ord zyd{{tyd }l dwzcem }gd]gd ackgoed kydc}d{ c edhc}ord zyd{{tyd }l dwzcem }gd
kgd{} xc`` {l }gc} }gd `teh{ kce dwzcem oe{omd o} xo}g }gdkgd{} xc`` {l }gc} }gd `teh{ kce dwzcem oe{omd o} xo}g }gd
edhc}ord oe}ycz`dtyc` zyd{{tyd%edhc}ord oe}ycz`dtyc` zyd{{tyd%
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7/23/2019 mechanical ventilation seminar
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Rde}o`c}ly kk`dRde}o`c}ly kk`d
zct{d
zct{d
oe{zoyc}ole
dwzoyc}ole
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Zyoekoz`d{Zyoekoz`d{
Hc{ b`lx{ le` mlxe }gd zyd{{tyd hycmode},Hc{ b`lx{ le` mlxe }gd zyd{{tyd hycmode},o%d% byla cydc{ lb gohg zyd{{tyd }l `lxo%d% byla cydc{ lb gohg zyd{{tyd }l `lxzyd{{tyd%zyd{{tyd%
Dwgc`c}ole o{ c zc{{ord zylkd{{, rde}o`c}ly{Dwgc`c}ole o{ c zc{{ord zylkd{{, rde}o`c}ly{dwzdem dedyh le` mtyoeh oegc`c}oledwzdem dedyh le` mtyoeh oegc`c}ole
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Adkgceokc` rde}o`c}ole o{ zylmtkdm }gylthg }gdAdkgceokc` rde}o`c}ole o{ zylmtkdm }gylthg }gdoe}dyck}ole lb le` 4 rcyoci`d{oe}dyck}ole lb le` 4 rcyoci`d{
9%9%]oad]oad
;%;%Rl`tadRl`tad
=%=%Zyd{{tydZyd{{tyd
4%4% oe{zoyc}ly6 dwzoyc}ly 'O6D/ yc}oloe{zoyc}ly6 dwzoyc}ly 'O6D/ yc}ol
2%2%B`lxB`lx
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Lifdk}ord{Lifdk}ord{
Oazylrd L9 "KL9 hc{ dwkgcehdOazylrd L9 "KL9 hc{ dwkgcehd Ydrdy{d gzlwdaocYdrdy{d gzlwdaoc
Zydrde} zylhyd{{ord gzdykczeocZydrde} zylhyd{{ord gzdykczeoc
Ydrdy{d ckt}d yd{zoyc}ly ckoml{o{Ydrdy{d ckt}d yd{zoyc}ly ckoml{o{
Oazylrd rde}o`c}ole mo{}yoit}oleOazylrd rde}o`c}ole mo{}yoit}ole
Zydrde} cem ydrdy{d `teh kl``cz{dZydrde} cem ydrdy{d `teh kl``cz{d Ydmtkd rdelt{ cmaow}tydYdmtkd rdelt{ cmaow}tyd
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C{{o{} yd{zoyc}ly at{k`dC{{o{} yd{zoyc}ly at{k`d Mdkydc{dm L9 kl{} lb iydc}goehMdkydc{dm L9 kl{} lb iydc}goeh
Yd`odrd yd{z% mo{}yd{{Yd`odrd yd{z% mo{}yd{{
Oazylrd `teh klaz`ocekdOazylrd `teh klaz`ocekd Oekydc{d c`rdl`cy ydkyto}ade}Oekydc{d c`rdl`cy ydkyto}ade}
! Yd}tye `teh }l yd{}oeh `teh rl`tad{! Yd}tye `teh }l yd{}oeh `teh rl`tad{
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Oemokc}ole{Oemokc}ole{
Le }gd ic{o{ lb i`llm hc{ cec`{o{Le }gd ic{o{ lb i`llm hc{ cec`{o{
3% ZL9 04:aaGh le ylla coy3% ZL9 04:aaGh le ylla coy
02:aaGh le lwhde {tzzly} 'BOL9 54:$/02:aaGh le lwhde {tzzly} 'BOL9 54:$/
9% ZKL9 54:aaGh9% ZKL9 54:aaGh
;% zG 08%94;% zG 08%94
=% ZL9BOL9 094:aaGh=% ZL9BOL9 094:aaGh
4% z 'C!c / L9 hycmode} 5;4: aaGh le 3::$ L9%4% z 'C!c / L9 hycmode} 5;4: aaGh le 3::$ L9%
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Le }gd ic{o{ lb zt`alecy btek}oleLe }gd ic{o{ lb zt`alecy btek}ole
Yd{z% Yc}d 5;4aoeYd{z% Yc}d 5;4aoe
Ro}c` kczcko} 034a`nhRo}c` kczcko} 034a`nh
Mdcm {zckd rl`tad 'RMR]/ 5:%2 '2:$/Mdcm {zckd rl`tad 'RMR]/ 5:%2 '2:$/
]omc` rl`tad 04a`nh]omc` rl`tad 04a`nh
I o g o ` } m }I o g o ` } m }
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Ic{ok zg{ok{ yd`c}dm }lIc{ok zg{ok{ yd`c}dm }l
adkgceokc` rde}o`c}oleadkgceokc` rde}o`c}ole
Zcx 1 b`lx yd{o{}cekd . rl`tad klaz`ocekd . ZDDZZcx 1 b`lx yd{o{}cekd . rl`tad klaz`ocekd . ZDDZ
Zyd{{tyd c} zloe} I o{ dstorc`de} }l }gd c`rdl`cy zyd{{tyd cem o{Zyd{{tyd c} zloe} I o{ dstorc`de} }l }gd c`rdl`cy zyd{{tyd cem o{
md}dyaoedm i }gd rl`tad oeb`c}oeh }gd c`rdl`o moromdm i }gdmd}dyaoedm i }gd rl`tad oeb`c}oeh }gd c`rdl`o moromdm i }gd
klaz`ocekd lb }gd c`rdl`o z`t{ }gd ic{d`oed zyd{{tyd 'ZDDZ/%klaz`ocekd lb }gd c`rdl`o z`t{ }gd ic{d`oed zyd{{tyd 'ZDDZ/%
Zyd{{tyd c} zloe} C 'dstorc`de} }l coyxc zyd{{tyd adc{tydm i }gdZyd{{tyd c} zloe} C 'dstorc`de} }l coyxc zyd{{tyd adc{tydm i }gd
rde}o`c}ly/ o{ }gd {ta lb }gd zylmtk} lb b`lx cem yd{o{}cekd mtd }l }gdrde}o`c}ly/ o{ }gd {ta lb }gd zylmtk} lb b`lx cem yd{o{}cekd mtd }l }gd
}tid cem zyd{{tyd c} zloe} I%}tid cem zyd{{tyd c} zloe} I%
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B`lx, rl`tad cem zyd{{tyd cyd rcyoci`d{ xgo`d yd{o{}cekdB`lx, rl`tad cem zyd{{tyd cyd rcyoci`d{ xgo`d yd{o{}cekd
cem klaz`ocekd cyd kle{}ce}{%cem klaz`ocekd cyd kle{}ce}{%
O} bl``lx{ byla }gd yd`c}ole{goz id}xdde zyd{{tyd, b`lx cemO} bl``lx{ byla }gd yd`c}ole{goz id}xdde zyd{{tyd, b`lx cem
rl`tad }gc} i {d}}oeh led lb zyd{{tyd, rl`tad ly b`lx cemrl`tad }gc} i {d}}oeh led lb zyd{{tyd, rl`tad ly b`lx cem
}gd zc}}dye oe xgokg o} o{ md`ordydm xgokg oek`tmd{ }gd }oad}gd zc}}dye oe xgokg o} o{ md`ordydm xgokg oek`tmd{ }gd }oad
lrdy xgokg o} o{ md`ordydm }gd l}gdy }xl idklad kle{}ce}{%lrdy xgokg o} o{ md`ordydm }gd l}gdy }xl idklad kle{}ce}{%
O} c`{l bl``lx{ }gc} o} o{ el} zl{{oi`d }l zyd{de} alyd }gceO} c`{l bl``lx{ }gc} o} o{ el} zl{{oi`d }l zyd{de} alyd }gceled lb }gd{d rcyoci`d{ c} c }oad%led lb }gd{d rcyoci`d{ c} c }oad%
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Klazlede}{ lb Oeb`c}oleZyd{{tyd
Klazlede}{ lb Oeb`c}oleZyd{{tyd
Idhoe Oe{zoyc}oleIdhoe Oe{zoyc}ole Idhoe Dwzoyc}oleIdhoe Dwzoyc}ole
33
99
IICC
3% ZOZ3% ZOZ
9%9% ZZz`c}z`c},C`rdl`cy Zyd{{tyd,C`rdl`cy Zyd{{tyd
C% Coyxc Yd{o{}cekdC% Coyxc Yd{o{}cekd
I% Mo{}demoeh Zyd{{tydI% Mo{}demoeh Zyd{{tyd
]oad '{dk/]oad '{dk/
ZZcxcx'ka G'ka G99L/L/
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Kk`oehKk`oeh
]oad kk`dm]oad kk`dm
Zyd{{tyd kk`dmZyd{{tyd kk`dm
Rl`tad kk`dmRl`tad kk`dm
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]oad kk`dm]oad kk`dm }gd{d kk`d }l dwzoyc}ole lekd c }gd{d kk`d }l dwzoyc}ole lekd czydmd}dyaoedm }oad o{ d`cz{dm {oekd oe{zoyc}ole%zydmd}dyaoedm }oad o{ d`cz{dm {oekd oe{zoyc}ole%
]omc` rl`tad o{ md}dyaoedm i {d} oe{zoyc}ly b`lx]omc` rl`tad o{ md}dyaoedm i {d} oe{zoyc}ly b`lx
cem oe{zoyc}ly }oadcem oe{zoyc}ly }oad T{dm oeT{dm oe
Lzdyc}ole }gdc}dy{Lzdyc}ole }gdc}dy{
Oe edlec}d{Oe edlec}d{
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Zyd{{tyd kk`dmZyd{{tyd kk`dm
]gd{d kk`dm }l dwzoyc}ole lekd c zydmd}dyaoedm]gd{d kk`dm }l dwzoyc}ole lekd c zydmd}dyaoedm
zyd{{tyd o{ ydckgdm, {l ob }gdyd o{ `dcn oe koykto} }gdzyd{{tyd o{ ydckgdm, {l ob }gdyd o{ `dcn oe koykto} }gd
zydmd}dyaoedm zyd{{tyd xo`` el} ydckgdm cem z}% xo``zydmd}dyaoedm zyd{{tyd xo`` el} ydckgdm cem z}% xo``
ydacoe oe oe{zoyc}ole klerdy{d`, ob coyxc zyd{{tyd o{ydacoe oe oe{zoyc}ole klerdy{d`, ob coyxc zyd{{tyd o{
gohg, iylekgl{zc{a ly }tid noenoeh }gdyd xo`` idgohg, iylekgl{zc{a ly }tid noenoeh }gdyd xo`` id
zydac}tyd dem lb oe{zoyc}ole cem zc}ode} kce idzydac}tyd dem lb oe{zoyc}ole cem zc}ode} kce id
gzlrde}o`c}dm%gzlrde}o`c}dm%
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Rl`tad kk`dmRl`tad kk`dm Oe{zoyc}ole o{ }dyaoec}dm xgde c Oe{zoyc}ole o{ }dyaoec}dm xgde c
zyd{d} }omc` rl`tad o{ md`ordydm%zyd{d} }omc` rl`tad o{ md`ordydm%
[l }gdlyd}okc``, }gd zc}ode} kceel} id gzlrde}o`c}dm[l }gdlyd}okc``, }gd zc}ode} kceel} id gzlrde}o`c}dmdrde ob }gd `teh klaz`ocekd 'coyxc zyd{{tyd/drde ob }gd `teh klaz`ocekd 'coyxc zyd{{tyd/
kgcehd{ it} ck}tc`` }go{ o{ el} }gd kc{d, c zly}ole lkgcehd{ it} ck}tc`` }go{ o{ el} }gd kc{d, c zly}ole lb
}omc` rl`tad o{ `l{} '39:!34:a`/ oe }gd rde}o`c}ly}omc` rl`tad o{ `l{} '39:!34:a`/ oe }gd rde}o`c}lyiydc}goeh koykto} cem ob zc}ode}{ zt`alecyiydc}goeh koykto} cem ob zc}ode}{ zt`alecy
klaz`ocekd o{ mdkydc{dm 'zdcn oegc`c}ole zyd{{tydklaz`ocekd o{ mdkydc{dm 'zdcn oegc`c}ole zyd{{tyd
xo`` oekydc{d/ }gd md`ordydm }omc` rl`tad kce bty}gdy idxo`` oekydc{d/ }gd md`ordydm }omc` rl`tad kce bty}gdy id
mdkydc{dm%mdkydc{dm%
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]gd ckktyc}d, }omc` rl`tad ydckgoeh }l zc}ode}{ kce le` id]gd ckktyc}d, }omc` rl`tad ydckgoeh }l zc}ode}{ kce le` id
kc`kt`c}dm i zt}}oeh c {zoylad}dy c} }gd deml}yckgdc` }tid%kc`kt`c}dm i zt}}oeh c {zoylad}dy c} }gd deml}yckgdc` }tid%
d%h% al{} klaale` t{dm oe OKT{d%h% al{} klaale` t{dm oe OKT{
Mo{cmrce}chd }gd md`ordy bowdm }omc` rl`tad {l ob coyxcMo{cmrce}chd }gd md`ordy bowdm }omc` rl`tad {l ob coyxc
zyd{{tyd idklad{ gohg cem {}o`` {cad }omc` rl`tad o{ idzyd{{tyd idklad{ gohg cem {}o`` {cad }omc` rl`tad o{ id
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I@LKNOEH CHDE][I@LKNOEH CHDE][ Mobbokt`} }l c{{d{ cmdstck lb {dmc}oleMobbokt`} }l c{{d{ cmdstck lb {dmc}ole
Zl`edtylzc}g lb }gd kyo}okc`` o``Zl`edtylzc}g lb }gd kyo}okc`` o``
T{d ob teci`d }l rde}o`c}d zc}ode} cb}dyT{d ob teci`d }l rde}o`c}d zc}ode} cb}dyzc}ode} cmdstc}d` {dmc}dmzc}ode} cmdstc}d` {dmc}dm
Gcrd el {dmc}ord ly cec`hd{ok zylzdy}od{Gcrd el {dmc}ord ly cec`hd{ok zylzdy}od{
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]lti`d{gll}oeh]lti`d{gll}oeh
O{ o} xlynoeh dwzoydm ]R>c`cya{/c`cya{/
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]lti`d{gll}oeh]lti`d{gll}oeh
Xgde oe mlti}, MO[KLEEDK] ]GDXgde oe mlti}, MO[KLEEDK] ]GDZC]ODE] BYLA ]GD RDE], cem idhoe ichZC]ODE] BYLA ]GD RDE], cem idhoe ichrde}o`c}ole%rde}o`c}ole%
De{tyd lt cyd ichhoeh xo}g 3::$ L9%De{tyd lt cyd ichhoeh xo}g 3::$ L9%
]go{ d`oaoec}d{ }gd rde} koykto} c{ }gd]go{ d`oaoec}d{ }gd rde} koykto} c{ }gd{ltykd lb }gd zyli`da%{ltykd lb }gd zyli`da%
Ichhoeh i gcem kce c`{l gd`z lt hcthdIchhoeh i gcem kce c`{l gd`z lt hcthdzc}ode}{ klaz`ocekdzc}ode}{ klaz`ocekd
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]lti`d{gll}oeh]lti`d{gll}oeh
Coyxc boy{}6 o{ }gd }tid {}o`` oe< 'ac eddmCoyxc boy{}6 o{ }gd }tid {}o`` oe< 'ac eddmM@D}KL9 }l kleboya/ O{ o} zc}de}< O{ o} oe }gdM@D}KL9 }l kleboya/ O{ o} zc}de}< O{ o} oe }gdyohg} zl{o}ole
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]lti`d{gll}oeh]lti`d{gll}oeh
Xd``, o} o{e} xlynoeh%%Xd``, o} o{e} xlynoeh%% Yohg} {d}}oeh{ < Yohg} Almd
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]lti`d{gll}oeh]lti`d{gll}oeh
Zc}ode} ! Rde}o`c}ly Oe}dyck}oleZc}ode} ! Rde}o`c}ly Oe}dyck}ole Rde} at{} ydklheovd zc}ode}{ yd{zoyc}ly dbbly}{Rde} at{} ydklheovd zc}ode}{ yd{zoyc}ly dbbly}{
'}yohhdy/'}yohhdy/
Rde} at{} id ci`d }l add} zc}ode}{ mdacem{Rde} at{} id ci`d }l add} zc}ode}{ mdacem{'yd{zle{d/'yd{zle{d/
Rde} at{} el} oe}dybdyd xo}g zc}ode}{ dbbly}{Rde} at{} el} oe}dybdyd xo}g zc}ode}{ dbbly}{
'{ekgyle/'{ekgyle/
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]lti`d{gll}oeh]lti`d{gll}oeh
Oazylroeh Rde}o`c}ole cemly Lwhdec}oleOazylroeh Rde}o`c}ole cemly Lwhdec}ole kce oekydc{d yd{zoyc}ly yc}d 'ly mdkydc{d yc}d obkce oekydc{d yd{zoyc}ly yc}d 'ly mdkydc{d yc}d ob
coy }yczzoeh o{ ce o{{td/coy }yczzoeh o{ ce o{{td/
kce oekydc{d }omc` rl`tadZCZ }l oekydc{d }omc`kce oekydc{d }omc` rl`tadZCZ }l oekydc{d }omc`rl`tadrl`tad
kce oekydc{d ZDDZ }l gd`z ydkyto} kl``cz{dmkce oekydc{d ZDDZ }l gd`z ydkyto} kl``cz{dm
cydc{cydc{ kce oekydc{d zyd{{tyd {tzzly} cemly mdkydc{dkce oekydc{d zyd{{tyd {tzzly} cemly mdkydc{d
{dmc}ole }l oazylrd zc}ode}{ {zle}cedlt{ dbbly}{dmc}ole }l oazylrd zc}ode}{ {zle}cedlt{ dbbly}
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]ylti`d [gll}oeh]ylti`d [gll}oeh
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Rde}o`c}ly c`cya{Rde}o`c}ly c`cya{
Coyxc zyd{{tydCoyxc zyd{{tyd
!gohg`lx!gohg`lx
]omc` rl`tad]omc` rl`tad Oe{zoyc}ly b`lxOe{zoyc}ly b`lx
Dwzoyc}ly b`lxDwzoyc}ly b`lx
]yohhdyoeh]yohhdyoeh BoL9BoL9
Xdceoeh byla rde}o`c}lyXdceoeh byla rde}o`c}ly
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Xdceoeh byla rde}o`c}lyh
O} adce{ mo{kle}oetoeh }gd rde}o`c}lyO} adce{ mo{kle}oetoeh }gd rde}o`c}ly
{tzzly}%{tzzly}%
Htomd`oed{ cyd6Htomd`oed{ cyd6
3% zL9 52: aa Gh 'ly lwhde {c}tyc}ole 53% zL9 52: aa Gh 'ly lwhde {c}tyc}ole 5?:$/ le BOL9 04:$ cem ZDDZ 04aaGh%?:$/ le BOL9 04:$ cem ZDDZ 04aaGh%
9% zKl9 04: aaGh9% zKl9 04: aaGh
;% Yd{zoyc}ly yc}d 09:aoe;% Yd{zoyc}ly yc}d 09:aoe
=% Ro}c` kczcko} 534a`nh=% Ro}c` kczcko} 534a`nh
4% RMR] 0:%24% RMR] 0:%2
2% ]omc` rl`tad 5 4a`nh2% ]omc` rl`tad 5 4a`nh
8% Aoet}d rde}o`c}ole 03: `o}yd{aoe8% Aoet}d rde}o`c}ole 03: `o}yd{aoe
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7% Oe{zoyc}ly zyd{{tyd 0!;: ka G9L7% Oe{zoyc}ly zyd{{tyd 0!;: ka G9L?% yczom {gc``lx iydc}goeh oemdw 'Y[IO/ {glt`m id 03::?% yczom {gc``lx iydc}goeh oemdw 'Y[IO/ {glt`m id 03::
1 yd{zoyc}ly yc}d 'iydc}g{aoe/}omc` rl`tad 'oe1 yd{zoyc}ly yc}d 'iydc}g{aoe/}omc` rl`tad 'oe`o}yd{/`o}yd{/3:% Cy}dyoc` zG o{ elyac`3:% Cy}dyoc` zG o{ elyac`33% Elyac` kcymock {}c}t{33% Elyac` kcymock {}c}t{
39% Elyac` d`dk}yl`}d{39% Elyac` d`dk}yl`}d{3;% Cmdstc}d et}yo}olec` {}c}t{3;% Cmdstc}d et}yo}olec` {}c}t{
Ad}glm lb xdceoehAd}glm lb xdceoeh
C`}glthg xdceoeh zylkd{{ rcy byla zc}ode} }l zc}ode} cem o{C`}glthg xdceoeh zylkd{{ rcy byla zc}ode} }l zc}ode} cem o{
zl{{oi`d }l xdce zc}ode} oe ce almd lb rde}o`c}ole dwkdz} kle}yl`zl{{oi`d }l xdce zc}ode} oe ce almd lb rde}o`c}ole dwkdz} kle}yl`
almd rde}o`c}olealmd rde}o`c}ole
K `o oK `o }o
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Zt`alecy icyl}yctacZt`alecy icyl}yctac
Zedtal}glycwZedtal}glycw
Zedtaladmoc{}oetaZedtaladmoc{}oeta
Iylekglz`dtyc` bo{}t`cIylekglz`dtyc` bo{}t`c
ZedtalkcymotaZedtalkcymota
Coy dail`o{aCoy dail`o{a
Klaz`okc}ole{Klaz`okc}ole{
oebdk}oleoebdk}ole
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Zt`alecy 'rde}o`c}ly c{{lk% zedtaleoc/Zt`alecy 'rde}o`c}ly c{{lk% zedtaleoc/
TyoecyTyoecy Xltem oebdk}oleXltem oebdk}ole
or kceet`c yd`c}dmor kceet`c yd`c}dm
klaz`okc}ole{ mtd }l zyl`lehdm oe}tic}oleklaz`okc}ole{ mtd }l zyl`lehdm oe}tic}ole
Coyxc dmdacCoyxc dmdac
[lyd }gylc}[lyd }gylc}
@cyehdc` t`kdy cem hycet`lac@cyehdc` t`kdy cem hycet`lac
HO]HO]
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9%9% {}yd{{ t`kdy{}yd{{ t`kdy
;%;% zcyc`}ok o`dt{zcyc`}ok o`dt{
kcymolrc{kt`cy6kcymolrc{kt`cy6 yohg} rde}yokt`cy {}ycoe ly drde y} rde}yokt`cyyohg} rde}yokt`cy {}ycoe ly drde y} rde}yokt`cy
bco`tydbco`tyd
el{lklaoc` oebdk}ole{el{lklaoc` oebdk}ole{
`ordy cem nomed m{btek}ole`ordy cem nomed m{btek}ole mtd }l mdkydc{dm kcymockmtd }l mdkydc{dm kcymocklt}zt}lt}zt}
edtylat{kt`cy xdcned{{edtylat{kt`cy xdcned{{
ko`ocy ck}oro} oazcoyade}ko`ocy ck}oro} oazcoyade} lwhde }lwoko}lwhde }lwoko}
zyl`lehdm oaalio`ovc}olezyl`lehdm oaalio`ovc}ole
idm {lyd{, }gylaildail`o{aidm {lyd{, }gylaildail`o{a
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Ckt}d Md}dyolyc}ole ! MLZDCkt}d Md}dyolyc}ole ! MLZD
Mo{z`ckdm }tidMo{z`ckdm }tid
Li{}ytk}dm ]tid ' i`lkndm }tid/Li{}ytk}dm ]tid ' i`lkndm }tid/
Zedtal}glycwZedtal}glycw
Dstozade} Bco`tydDstozade} Bco`tyd
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Hycmtc` Md}dyolyc}oleHycmtc` Md}dyolyc}ole
Oekydc{d oe zyoacy zc}gl`lhOekydc{d oe zyoacy zc}gl`lh
Oebdk}oleOebdk}ole
CedaocCedaoc
Gzl }de{oleGzl }de{ole M{d`dk}yl`}daocM{d`dk}yl`}daoc
Gzlh`kdaocGzlh`kdaoc
Zylhyd{{ole }l K@MZylhyd{{ole }l K@M
KCYD LB ]GD ZC]ODE] LEKCYD LB ]GD ZC]ODE] LE
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KCYD LB ]GD ZC]ODE] LEKCYD LB ]GD ZC]ODE] LERDE]O@C]LYRDE]O@C]LY
Kcyd lb tekle{kolt{ zc}ode}Kcyd lb tekle{kolt{ zc}ode}
[dmc}ole[dmc}ole
Cec`hd{ocCec`hd{oc Kcyd lb kle{kolt{ zc}ode}Kcyd lb kle{kolt{ zc}ode}
Kcyd lb c`` rc{kt`cy `oed{ cem }tid{Kcyd lb c`` rc{kt`cy `oed{ cem }tid{
Et}yo}olec` {tzzly}Et}yo}olec` {tzzly}
Yd{zoyc}ly kcydYd{zoyc}ly kcyd
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Yd{zoyc}ly kcydYd{zoyc}ly kcyd
Kcyd lb D] ]tid]yckgdl{}la ]tidKcyd lb D] ]tid]yckgdl{}la ]tid
Ce}oiol}okCe}oiol}ok
Iylekglmo`c}ly{Iylekglmo`c}ly{
Atkl`}okAtkl`}ok Zg{ol}gdyczZg{ol}gdycz
! kgd{}! kgd{}
! `oai! `oai Gtaomobokc}ole xcyaoeh lb coyxcGtaomobokc}ole xcyaoeh lb coyxc
Zydrde}ole lb c{zoyc}oleZydrde}ole lb c{zoyc}ole
]CND GLAD AD[[CHD]CND GLAD AD[[CHD
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]CND GLAD AD[[CHD]CND GLAD AD[[CHD
@dcyedm i {tyhokc` yd{omde}@dcyedm i {tyhokc` yd{omde}
[tyhokc` cd}ol`lh mdkomd{ yd{t`}{[tyhokc` cd}ol`lh mdkomd{ yd{t`}{
Aleo}lyoeh k`oeokc` cem `cilyc}ly kyo}dyocAleo}lyoeh k`oeokc` cem `cilyc}ly kyo}dyoc
Crlom c{ bcy c{ zl{{oi`d > mobbokt`} xdceoehCrlom c{ bcy c{ zl{{oi`d > mobbokt`} xdceoeh
D`dk}ord rde}o`c}ole t{dbt` cyacade}D`dk}ord rde}o`c}ole t{dbt` cyacade}
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