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Ocva Ocra Palmn`la

Oabmjnl Bavmjas Rc Onrkat

mi Lass RmoaZAZ usas n prcvai nltarintmva tc tda

trnbmtmcinl umlb-tast-ocbmey-rapant ocbal

ecr bavalcpmif oabmjnl bavmjas tdnt jni

rabuja tmoa-tc-onrkat `y ns oujd ns 01%.

prcgAjt tmoAl

ZAZ Aeecrt Pnta

Ztnibn

Aeecrt P

Dcurs

cE AEEcrt

Mts n jcooci erustrntmci ecr bavmja bavalcpars7 n prctctypa prcbujt ms nvnmln`la

qumjkly, `ut mt ony `a ocitds cr avai yanrs `aecra tdnt bavmja jni `a sclb. ZAZ ceears n enstar npprcnjd.

Ecjusab Anrly Aeecrt ZAZ npplmas n frant banl ce aeecrt anrly

mi tda basmfi prcjass tc tdcrcufdly uibarstnib bavmja euijtmci,

oniuenjturmif, jcst nib ralmn`mlmty. Rdms uibarstnibmif ms baval-

cpab tdrcufd batnmlab avnluntmci ce tda basmfi usmif prabmjtmva

ninlysms, tastmif tc bataromia `nsalmia `adnvmcr, nib jnraeul

ontarmnls jdnrnjtarmzntmci nib salajtmci. @y bmsjcvarmif nib ra-

sclvmif prc`laos anrly, surprmsas nra nvcmbab nib lntar stnfas

ce tda prcjass fc enstar nib ocra socctdly. Jco`miab wmtd

axpartmsa nib axparmaija, tdms elaxm`mlmty ms wdnt oniy jlmaits

jcismbar cur jcopniys ocst vnlun`la nssat.

Elaxm`la, Oultm-Bmsjmplminry Ztneif ZAZ dns tda stneemif

baptd tc baplcy aifmiaars wmtd spajmnlmzab axpartmsa wdai nib

wdara tdamr skmlls nra iaabab. Rdms mijlubas axparts mi tda nrans

ce oajdnimjs, plnstmj nib oatnl ontarmnls, elumbmjs, tdaronl

sjmaija, tastmif, prcbujt/prcjass ralmn`mlmty, nib oniy oniu-

enjturmif prcjassas. Rdasa axparts nra `rcufdt citc tda prcgajt

tano wdai tday nra iaabab mi tda bavalcpoait prcjass nib

sdmet cee ce tda tano cija tdamr axpartmsa ms ic lcifar iajassnry.

OabmjnlRajdiclcfmas

Boabmjnl.strass.jco

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X

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ZZ

c i j A p t X d n s A

a trnbmtmcinl npprcnjd avnluntas wdnt ms

abab nib tcc qumjkly sattlas ci n jcijapt

oaat tdcsa iaabs. Rdms typmjnlly rasults

n jcoprcomsa mi tda basmfi tdnt bcasit

cvmba onxmouo parecronija mi niy

pajt ce tda basmfi.

X r A l m o m i n r y B A s m f i X d n s A

Kay alaoaits ce n basmfi nra Ecro, Emt nib Euijtmci.

Rda trnbmtmcinl npprcnjd ecjusas ci tda ecro nib emt

ce tda jcopciaits ns raqumrab ecr tda jcijapt, cetai

iaflajtmif euijtmci.

B A t n m l B A s m f i X d n s A > & 0

Rda trnbmtmcinl npprcnjd stnrts wmtd tastmif n euijtmcinl

prctctypa, tdai ravmsmif tda jcijapt nsab ci prctctypa parecr-

onija. Nictdar prctctypa ms tdai prcbujab erco tda ravmsab

basmfi nib nfnmi uibarfcas tastmif. Jcisaquaijas ce tdms

npprcnjd nra7 (>) mt jni `a bmeemjult tc jcivarfa ci n eminl basmfi,

(0) tda eminl basmfi ms gust fccb aicufd, nib (:) tda sjnla up

tc prcbujtmci jni prasait pravmcusly uic`sarvab prc`laos.

p A j m E M j n t m c i

niy prcgajts afmi wmtd n lccsaly baemiab spajmem-

tmci ce wdnt tda eminl prcbujt omfdt `a. Ztnrtmif

td n lccsa spajmemjntmci ms rmsky nib jni `a vary

staeul. Basmfimif tc n tnrfat tdnt ms ict raqumrab

l nbb iaablass jcst nib jcoplaxmty. Me ni njtunl

qumraoait ms omssab erco tda mimtmnl spajmemjntmci,

a wdcla jcijapt ony iaab tc `a sjrnppab nib

a tano sait `njk tc tda brnwmif `cnrb.

da ZAZ npprcnjd mijlubas spaibmif nbbmtmcinl

oa nib aeecrt `aecra tda jcijapt pdnsa tc ravmaw,

vmsa, nib jlnrmey tda spajmemjntmci.

a rasult ce tdms aeecrt ms tc prcvmba n spajmemjntmci

nt ontjdas wdnt ms truly raqumrab tc jranta n

cb prcbujt, wmtd ic axtrniacus mtaos icr omssmif

qumraoaits. Rdms ultmontaly snvas bavalcpoait jcst

b rabujas tda rmsk ce rawcrk burmif tda prcgajts.

Z A Z j c i j A p t p d n s A

Rda ZAZ npprcnjd tnkas nbbmtmcinl tmoa mi tda jci-

japt pdnsa tc astn`lmsd n jtmcin`la raqumraoaits

nib oansura `nsalmia parecronija bntn. Zavarnl

jcijapts nra bavalcpab nib avnluntab usmif

aifmiaarmif emrst prmijmplas nib smopla tasts tc

nssass eansm`mlmty. Xrmcr tc tda bcwi-salajt njtmvmty,

tdasa jcijapts nra eurtdar avnluntab ecr tdamr

nitmjmpntab ralmn`mlmty, oniuenjturmif jcoplaxmty,

nib jcst. Rda rasult ce tnkmif tdms nbbmtmcinl tmoa

up-ercit ms mivnrmn`ly n `attar, ocra oniuenjturn`la

jcijapt.

Z A Z X r A l m o m i n r y B A s m f i X d n s A

Mi crbar tc `umlb n dmfdar laval ce uibarstnibmif,

ZAZ jcismbars oultmpla jcijapts mi tda Xralmominry

Basmfi pdnsa aecra salajtmif n praearrab npprcnjd.

Ecr anjd jcijapt wa wmll typmjnlly (>) jranta vmrtunl

ocbals tc prabmjt parecronija nib mbaitmey kay

euijtmcinl jdnrnjtarmstmjs, (0) avnlunta oniuenjtur-

n`mlmty, (:) astmonta saismtmvmty tc tclarnijas nib

(2) tast smoplmemab `ranb-`cnrb ocbals tc varmey

cur ninlysms. Rda rasult ms dmfdar jciembaija tdnt tda

prcbujt wmll parecro ns axpajtab, nib n smfimemjnitly

sdcrtaiab trnisear tc prcbujtmci.

Z A Z b A t n m l A b b A s m f I p d n s A

Rda ZAZ npprcnjd nvcmbs `umlb nib tast

mtarntmcis. ZAZ usas emibmifs erco tda

pralmominry basmfi tc jcivarfa ci n batnmlab

basmfi. Rdms basmfi ms cptmomzab wmtd raspajt

tc tda kay parecronija jdnrnjtarmstmjs

nib plniiab oniuenjturmif oatdcbs. Rda

jrantmci nib tastmif ce prctctypas ms oaraly

ecr jciemrontmci ce prabmjtab parecronija.

Rastmif ms faiarnlly sujjasseul nib nbbmtmcinl

basmfi cr rawcrk ms omimonl.

Z A Z R r n i s E A r t c X r c b u

Rda ZAZ prcjass lavarnfas tda enjt

dnva mijcrpcrntab fccb oniuenjtu

prnjtmjas erco tda vary afmiimif, n

tdrcufdcut tda basmfi prcjass. @aj

basmfi npprcnjdas dnva aai ravma

oniuenjturmif frcups, tdara nra ic

nib ic ongcr rawcrk. Vmtd ZAZ, anr

tmci ce oniuenjturn`mlmty enjmlmtntas n

nib rcutmia trnisear tc prcbujtmci.

R r n i s E A r t c X r c b u j t m c i

Qsmif tda trnbmtmcinl `umlb nib tast npprcnjd,

trnisear tc prcbujtmci jni `a bmeemjult nib tmoa

jcisuomif. Rdms npprcnjd ms ict jcibujmva tc

nrrmvmif nt n prcbujt tdnt ms ansy tc oniuenjtura.

Nb bm tm ci nl ZA Z B as mf i Xd ns as

Jdnrnjtarmzntmci

Rda ZAZ npprcnjd tnkas nbbmtmcinl tmoa tc

astn`lmsd njtmcin`la raqumraoaits nib oansura

`nsalmia parecronija bntn.

Xralmominry Eansm`mlmty & Ninlysms

B Jni mt `a oniuenjturab3

B Vmll mt oaat cparntmcinl axpajtntmcis wmtdmi

tda ontarmnls lmomts3

B Bcas mt enll wmtdmi jcst pnrnoatars3

R m o A Z n v

7/27/2019 SES - Medical Timeline

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N`cut Ztrass Aifmiaarmif Zarvmjas

Astn`lmsdab mi >=60, ZAZ ms ni aoplcyaa cwiab jcopniy.

Va dnva dnb n babmjntab oabmjnl tajdiclcfmas prnjtmja

smija >==1, ecjusmif ci bavmja bavalcpoait, bmnficstmjs,rc`ctmjs, mistruoaits, bmspcsn`las nib ralmn`mlmty. Cur stnee

ms axparmaijab mi n bmvarsa rnifa ce aifmiaarmif bmsjmplmias

mijlubmif oajdnimjnl, mcoabmjnl, oniuenjturmif, alajtrmjnl,

oatnllurfmjnl, ontarmnls, tdacratmjnl nib npplmab oajdnimjs.

Cvar 48% ce ZAZ aifmiaars dclb nbvnijab bafraas, ocst

nra lmjaisab X.A.s nib tda nvarnfa aifmiaar dns ocra tdni

>1 yanrs axparmaija cvar n `rcnb rnifa ce mibustrmas.

Vdnt Jlmaits nra snymif n`cut ZAZ

[ZAZ aifmiaars_ dalpab tnka cur basmfi nib wmtdmi n waak,

moprcvab mt tc dalp snva omllmcis mi prcbujtmci jcsts. M wculb dmfdly

rajcooaib tda Ztrass Aifmiaarmif stnee.aifmiaarmif oninfar

Cur jcopniy dns n lcif dmstcry ce wcrkmif wmtd ZAZ, nib wa

jcitmiua tc `a moprassab wmtd tdamr n`mlmty tc nbnpt tc cur iaabs.

Va astmonta tdamr aeecrts snvab us : ocitds ci ni cvarnll >0 ocitd

sjdabula erco jcijapt tc ralansa, `ut ocra mopcrtnitly tda basmfi

wns eully cptmomzab `aecra tccl ralansa nib tda bavalcpoait pdnsa

wns axtraoaly aeemjmait.

vmja prasmbait ce aifmiaarmif

& prcbujt bavalcpoait

Ecr n Enstar Npprcnjd

tc Bavalcpmif Ocra Palmn`la Oabmjnl Bavmjas

Jnll ZAZ Rcbny nt 1>:-::5-568>

CI RDA VA@ NR OABMJNL.ZRPAZZ.JCO

JMIJMIINRM DCQZRCI IAV CPLANIZ @NRCI PCQFA JNLFNP]

08>0 Ztrass Aifmiaarmif Zarvmjas, Mij. 2>4