ࡱ>  OAbjbj .cc)8%p p 8(W?"aaa<<<VVVVVVV$Y\pV-<<<<<VaaV <aaV <V PcTaMQ,{VV0(WQ] ]XcT,T]T<< <<<<<VV <<<(W<<<<]<<<<<<<<<p }: COPD Management (Read code H3) Definition A chronic progressive deterioration of small airway obstruction with little variation in lung function and incomplete reversibility. Spirometry essential. Usually over the age of 35 with a history of greater than 10 pack years of smoking (daily smokes x years of smoking divided by 20). Common (2x angina) but often undiagnosed. Post bronchodilator FEV1 < 80% of predicted and FEV1/FVC ratio < 0.7 indicating an obstructive picture with a history consistent with COPD. Do not Read code as COPD (H3 or by severity as below) unless the diagnosis is confirmed by history and post bronchodilator spirometry. All FEV1 and FVC values should be Read coded! Diagnosis should only be made with postbronchodilator spirometry and coded as such for QOF Grading of severity On the basis of post bronchodilator FEV1/predicted in patients with an FEV1/FVC ratio <0.7 (Global initiative for Chronic Obstructive Lung Disease: GOLD) SeverityPOST bronchodilator FEV1 (% of predicted value)Read code suggestedMild airflow obstruction*  > 80%*XaElVModerate airflow obstruction  5079%XaElWSevere airflow obstruction  30 49%XaElYV. Severe airflow obstruction ** <30%XaN4a * Only code as COPD if symptoms present ** Or FEV < 50% predicted and respiratory failure MRC dyspnoea scale GradeDegree of breathlessness related to activities1Not troubled by breathlessness except on strenuous exercise2Short of breath when hurrying or walking up a slight hill3Walks slower than contemporaries on level ground because of breathlessness, or has to stop for breath when walking at own pace4Stops for breath after walking about 100m or after a few minutes on level ground5Too breathless to leave the house, or breathless when dressing or undressing Assessment at diagnosis Hx > 10 pack years smoking hx and > 35 years if not re-consider the diagnosis. Objective assessment with post bronchodilator FEV1/FEV ratio < 0.7 with no significant reversibility. Record grade: mild, moderate or severe on the basis of percentage post bronchodilator FEV1 vs predicted. Record BMI CXR to exclude bullae, tumour, pulmonary oedema, bronchiectasis (CT may be required ) Consider FBC if there is a clinical suspicion of anaemia or polycythaemia. Consider alpha-antrypsin deficiency if < 40 years old When to refer Uncertain diagnosis e.g. History or Examination: age <35, < 10 pack years, wt loss, haemoptysis , unilateral signs. Atypical spirometry restrictive rather than an obstructive picture. Failure to respond to Rx. (CHECK COMPLIANCE AND INHALER TECHNIQUE FIRST and Read code this) Consideration for oral steroids long term, home nebs or LTOT. Complications, such as Cor Pulmonale. Severe COPD. Management Non-pharmacological Explanation of the diagnosis.  HYPERLINK "http://publications.nice.org.uk/chronic-obstructive-pulmonary-disease-ifp101" http://publications.nice.org.uk/chronic-obstructive-pulmonary-disease-ifp101 (patient info)  HYPERLINK "http://www.patient.co.uk/health/chronic-obstructive-pulmonary-disease" http://www.patient.co.uk/health/chronic-obstructive-pulmonary-disease Add Read code (H3) from formulary and promote to Problem. (NB Only if formal diagnosis confirmed by postbronchodilator spirometry!) Consider Read coding severity as above Smoking cessation advice. Pneumovax and annual flu vaccination. Increasing exercise +/- weight loss increase lung function and decrease symptom scoring. Screen for and treat depression, which is often missed by doctors. Dont forget carer strain in severe cases of COPD. Walking aids or wheelchair may be required if short of breath with minimal exertion. Refer to pulmonary rehabilitation if the patient agrees and meets local criteria Pulmonary rehabilitation Individually tailored and designed to optimise the individuals physical and social performance. Offered to all patients who consider themselves functionally disabled by COPD (usually MRC grade 3 and above). Pulmonary rehabilitation is not suitable for patients who are unable to walk or who have had a recent MI. Work with the patient to develop a self management plan: When to seek an antibiotic. When to seek oral steroids. When to seek medical advice. When to seek emergency medical advice. Info about COPD. Medical Therapy Promote effective inhaled therapy Step 1 Add SABA ( first line ) or SAMA ( second line) as required for symptoms (not both: consider one month trial of SAMA and stop if ineffective #) Step 2 - In people with stable COPD who remain breathless or have more than two exacerbations per year despite use of short-acting bronchodilators (SAMAs or SABAs) as required, offer the following as maintenance therapy: if post bronchodilator FEV1 e" 50% predicted: either long-acting beta2 agonist (LABA) or long-acting antimuscarinic (LAMA*) if post bronchodilator FEV1 < 50% predicted: either LABA with an inhaled corticosteroid (ICS) in a combination inhaler, or LAMA. OR offer LAMA* irrespective of FEV1 percent predicted # Step 3 - Offer LAMA* in addition to LABA+ICS to people with COPD who remain breathless or have exacerbations despite taking LABA+ICS, irrespective of their FEV1. OR add LABA +/- ICS and consider triple therapy LABA with ICS and LAMA # * stop SAMA if adding LAMA Consider all additions of treatment as trial: stop if no improvement in symptoms or reduction of exacerbations. Oral therapy Try mucolytic e.g. carbocisteine for 4 weeks if they have a chronic productive cough, only continue if it has conferred benefit (avoid if Hx of peptic ulcer). Also consider a trial of theophylline if SAMAs and SABAs are ineffective Maintenance oral steroids are not normally recommended. Consider providing standby antibiotics and steroids (with instructions) and add to repeat prescriptions. Ref for LTOT assessment if: Post bronchodilator FEV/predicted < 49% Cyanosis Polycythemia Cor pulmonale Peripheral oedema O2 saturation <92% in room air Consider Palliative care if 2 or more of following consistently Post bronchodilator FEV1/predicted <30% SOB on any exertion Significant wt loss Recurrent admissions for exacerbations with no or little improvements Social isolation/depression Severe heart failure Consider referral to COPD specialist nurse at any stage after diagnosis Annual Review Add Read code (H3) (and promote to Major Problem with no end date) if this has not already been done. QOF points ( see below ) Factors to assess at COPD review! (USE THE BRIG ROYD TEMPLATE and AUTOCONSULTATION FOR COPD) Is the correct Read code in the Problem Summary? Are they aware of their next annual review date? Patient understanding of their inhalers and their appropriate use. Check inhaler technique and Read code. Measure and record FEV1 and percentage FEV1 predicted: has this changed? Smoking status and provide cessation advice. Record number of exacerbations, hospital admissions or oral steroid use since last review? Review the need for inhaled steroid prophylaxis (post bronchodilator FEV1 < 50% predicted). Change self management plan or step up treatment if poor symptom control or frequent exacerbations. Step down treatment if not indicated e.g. step down / stop ICS if FEV1> 50% predicted, ineffective trial of treatment e.g. mucolytic Reconsider if ICS still indicated if episodes LRTI, especially if admitted MRC dyspnoea scale assessment to be recorded. Consider pulmonary rehab referral (usually for patients with MRC scale score > 2) especially if recent admission Check and record Pulse Oximetry (QOF requirement if MRC SOB scale 3 or worse ) if SpO2 < 92% on air consider referral for ?LTOT. Use Read code Oxygen saturation at periphery X770D (other oximetry codes are not recognized for QOF ) Consider providing standby antibiotics and steroids (with instructions) and add to repeat prescriptions. Record BMI and offer diet advice if appropriate. Consider DEXA scan or osteoporosis Rx (see protocol below) Read code annual review done (Xalet) this is a QOF requirement Exacerbations of COPD Antibiotics should be used to treat exacerbations associated with a history of more purulent sputum. Exacerbations without purulent sputum do not need antibiotic therapy unless there is consolidation on CXR or signs of pneumonia. First line Amoxicillin 500mg TDS or clarithromycin 500mg BD or Doxycycline 200mg stat then 100mg OD. +Antibiotics should be given until clinical improvement. Review after 5days-,up to 10 days treatment may be required. If there is no clinical benefit after the first antibiotic consider using an alternative first line option and review culture and sensitivity reports (Calderdale Primary Care Antimicrobial Guidelines September 2013) In the absence of significant contraindications oral prednisolone 30mg per day for 7 to 14 days should be considered for patients with an exacerbation associated with a significant increase in breathlessness. Consider CXR if no improvement with treatment (SIGN guidance) Self-management _ Encourage people at risk of having an exacerbation to respond quickly to the symptoms of an exacerbation by: starting oral corticosteroid therapy (unless contraindicated) if increased breathlessness interferes with activities of daily living starting antibiotic therapy if their sputum is purulent adjusting bronchodilator therapy to control symptoms. _ Give people at risk of exacerbations a course of antibiotic and corticosteroid tablets to keep at home. Indications for admission Signs of a severe acute exacerbation = cyanosis, RR > 25, Pulse > 110, unable to speak in sentences or confused. SaO2 <90% Patient already on maximum treatment. Patient on LTOT. Patient unable to cope at home. Failure to respond to Rx. Complications e.g. Cor pulmonale. After admission Consider invite for review: what factors caused the exacerbation and/or admission? Are there any factors that could be improved e.g. px compliance or self management? Consider coding admission. XaJFu Consider referral to pulmonary rehab. Treatment strategy for preventing steroid induced osteoporosis Consider every patient for active osteoporosis prevention who has had: Oral or iv steroid treatment for greater than 3 months. A cumulative lifetime dose of 1g oral prednisolone (e.g. > 4 x seven day courses in a lifetime). Inhaled steroid > 1000mcg day beclomethasone. If unable to have a DEXA then treat, 1st line = a bisphosphonate. If steroid course likely to > 3 months then treat, 1st line = a bisphosphonate. If able to have a DEXA and the T score above -1.5 treat with lifestyle measures +/- calcium supplementation. NB DEXA needs repeating every 3 years If the T score is = -1.5 or lower then treat, 1st line = a bisphosphonate. NB Consider repeat DEXA every 3 years Another strategy for deciding who warrants a DEXA scan is to use Qfracture - HYPERLINK "http://www.qfracture.org/index.php%20"http://www.qfracture.org/index.php (or FRAX via SystmOne) where a DEXA is indicated if risk >10%. QOF summary points COPD001 COPD register 3 COPD002 post-bronchodilator spirometry 5 if diagnosed after 1/4/11 (3/12 before to 12/12 after diagnosis) COPD003 Annual review, including 9 MRC dyspnoea scale COPD004 FEV1 within 12 months 7 COPD005 SpO2 if MRC score 3 or above 5 COPD007 fluvax in preceding 1st August 6 to 31st March total 35 Reference:  HYPERLINK "http://www.nice.org.uk/nicemedia/live/13029/49399/49399.pdf" http://www.nice.org.uk/nicemedia/live/13029/49399/49399.pdf NICE 2010  HYPERLINK "http://www.sign.ac.uk/guidelines/fulltext/59/section4.html" http://www.sign.ac.uk/guidelines/fulltext/59/section4.html  HYPERLINK "https://bma.org.uk/practical-support-at-work/contracts/gp-contracts-and-funding/independent-contractors/qof-guidance" https://bma.org.uk/practical-support-at-work/contracts/gp-contracts-and-funding/independent-contractors/qof-guidance The management of chronic breathlessness in patients with advanced and terminal illness BMJ2015;349doi: http://dx.doi.org/10.1136/bmj.g7617(Published 02 January 2015)  HYPERLINK "http://www.pcc-cic.org.uk/sites/default/files/articles/attachments/copd_ruleset_v26.0_0.pdf" http://www.pcc-cic.org.uk/sites/default/files/articles/attachments/copd_ruleset_v26.0_0.pdf GPUpdate handbook 2015 Useful Read codes (Systm1) COPD H3 Post bronchodilator spirometry XaXeg Referral for spirometry XaK02 COPD annual review XaIet MRC dyspnoea scale 1 XaIUi MRC dyspnoea scale 2 XaIUl MRC dyspnoea scale 3 XaIUm MRC dyspnoea scale 4 XaIUn MRC dyspnoea scale 5 XaIUo Mild COPD XaElV Moderate COPD XaElW Severe COPD XaElY Very severe COPD XaN4a Oxygen saturation at periphery X770D Admit COPD emergency XaJFu Number of COPD exacerbations in past year XaK8U Summary reproduced from BNF 68 0/3 2015 p 184 3.1  Example of COPD exacerbation info for patients BRIG ROYD SURGERY COPD Action Plan WHAT ACTION TO TAKE IF YOUR SYMPTOMS (cough, sputum or shortness of breath) GET WORSE 1. RELIEVER TREATMENT Via inhaler or nebuliser Maximum dose ______ / ______ times per day 2. Check the colour of your sputum: Cough sputum onto a white tissue If your sputum colour has changed from clear or pale to a darker shade e.g. yellow or green: start ANTIBIOTICS: Please take your home supply or obtain a prescription without delay from the surgery 3. PREDNISOLONE If breathlessness is not improved by relievers, take 30mg once daily (6 x 5mg tablets) for planned course (duration may vary). 4. Follow up Let us know (same or next working day) if you have needed to use your standby treatment. We will usually want to review your chest and treatment after an episode like this 5. If you are not getting better with treatment or getting worse despite treatment, let us know (or out of hours NHS 111) as you may need an urgent assessment. Further information for patients and carers:  HYPERLINK "http://www.blf.org.uk/Page/Living-with-a-lung-condition" http://www.blf.org.uk/Page/Living-with-a-lung-condition http://www.patient.co.uk/health/chronic-obstructive-pulmonary-disease-leaflet Adapted from Primary Care Respiratory Society 2010     PAGE  PAGE 6  +ORK u v    ̾}ppfUHh!h2OJQJ^J!h^h^B* OJQJ^JphPh^OJQJ^Jh)hPOJQJ^Jh)hC;^OJQJ^Jh)h^LaOJQJ^Jh)h2OJQJ^Jh)h K:OJQJ^Jh)h!OJQJ^Jh)h!5OJQJ^J#h)h!5CJOJQJ^JaJ#h)h25CJOJQJ^JaJh^5CJOJQJ^JaJ +K u v     )  $7$8$H$Ifgdggd2 & Fgd2gd2gd!$a$gd2 8 > L k ~    ) 9 õߧߋ{iWE8h)h2OJQJ^J"h)h25CJOJQJ\^J"h)h!5CJOJQJ\^J"h!h^La5CJOJQJ\^Jh!h~e56OJQJ^Jh!h~e5OJQJ^Jh!hc5OJQJ^Jh!hC;^5OJQJ^Jh!h`5OJQJ^Jh!h!5OJQJ^Jh!h^5OJQJ^Jh!h25OJQJ^J#h!h25CJOJQJ^JaJ9 M P [   , - = > ȷnN550h)h^CJOJQJ^JaJmH nH sH tH ?h^h^5B* CJOJQJ\^JaJmH nH phPsH tH 6h)h^5CJOJQJ\^JaJmH nH sH tH 6h)h^5CJOJQJ\^JaJmH nH sH tH !hI8h2B*OJQJ^Jph!hI8h$B*OJQJ^Jph!hI8hPB*OJQJ^Jphh)hPOJQJ^Jh)h2OJQJ^Jh)h8OJQJ^J  , - > D j\\\\ $7$8$H$Ifgdgkd$$IfTlF     t06    44 layt^T> D E b c p r s t z { ʱʱnN?h$h$5B*CJOJQJ\^JaJmH nH phsH tH  h)h^CJOJQJ^JaJ*h^CJOJQJ^JaJmH nH sH tH 6h)h^5CJOJQJ\^JaJmH nH sH tH 0h)h^CJOJQJ^JaJmH nH sH tH .h)h^5CJOJQJ\^JaJnH tH 9h^h^B* CJOJQJ^JaJmH nH phPsH tH D E b c t z j\\\\ $7$8$H$Ifgdgkd$$IfTlF     t06    44 layt^Tz { j\\\\ $7$8$H$Ifgdgkd$$$IfTlF     t06    44 layt^T j\\\\ $7$8$H$Ifgdgkd$$IfTlF     t06    44 layt^T   D E Y ƪthYF3!"h)h25CJOJQJ\^J%hI8h<B*CJOJQJ^Jph%hI8h$B*CJOJQJ^Jphh)h^LaCJOJQJ^JheLCJOJQJ^Jh`CJOJQJ^Jh)h2OJQJ^J9h^h^B* CJOJQJ^JaJmH nH phPsH tH 6h)h^5CJOJQJ\^JaJmH nH sH tH 0h)h^CJOJQJ^JaJmH nH sH tH ?h$h^5B*CJOJQJ\^JaJmH nH phsH tH   E F Y _ je````WW $Ifgd2gd2gd2kdH$$IfTlF     t06    44 layt^TY ^ _   0123JK 9D°reXXXeh!hDOJQJ^Jh!h^OJQJ^Jh!h8OJQJ^Jh!h2OJQJ^J"h!h25CJOJQJ\^J"h!hQ5CJOJQJ\^J"h)hC;^5CJOJQJ\^J h)h2OJQJ^JmH sH  h)h2CJOJQJ^JaJh)h2OJQJ^Jh)h20JOJQJ^J" RRkd6$$If40 634a $Ifgd2Rkd$$If40 634a   RRkd$$If40 634a $Ifgd2Rkd$$If40 634a012KLRMHMgd2gd2Rkd$$If40 634a $Ifgd2RkdJ$$If40 634aLlwNOP^_u ' & Fgd2 & FgdC;^gd2gd2h^hgd2 & Fgd2DX\alw,1<IMNP^_̲̲̿̓̆̆y̓fS%h!h25>*CJOJQJ\^J%h!hQ5>*CJOJQJ\^Jh!h>-nOJQJ^Jh!hcOJQJ^J"h!h25CJOJQJ\^Jh!h!OJQJ^Jh!h*TOJQJ^Jh!hQOJQJ^Jh!h2OJQJ^Jh!h^OJQJ^Jh!hDOJQJ^Jh!hjOJQJ^J &'()56{|~ƻkVIIIh)hQOJQJ^J)h`h2B*OJQJ^JmH phsH )h`h(rxB*OJQJ^JmH phsH $h`h(rx0JOJQJ^JmH sH )h`h(rxB*OJQJ^JmH phsH $jh(rxB*OJQJU^Jphh`h(rxmH sH !h(rxh(rxB*OJQJ^Jphh)h2OJQJ^Jh!h2OJQJ^Jh!h25OJQJ^J'}~*Dk;89rs & Fgd2 7$8$H$gd2gd2 & Fgd2^gd(rx*M]9;Uq`qOAh!h2OJQJ\^J!hI8h2B*OJQJ^Jph!hI8h B*OJQJ^Jph!hI8h$B*OJQJ^Jphh!hQOJQJ^Jh!hC;^OJQJ^Jh$OJQJ^Jh!h>-nOJQJ^Jh!h2OJQJ^Jh!h*TOJQJ^Jh)hQOJQJ^Jh)h2OJQJ^Jh(rxOJQJ^Jh)h26OJQJ^J789r5<TWjw˹yi`VMCMCM:h!hO^Jh!h>-n5^Jh!h>-n^Jh!h45^Jh!h2^Jh!h25>*OJQJ^Jh!hC;^5>*OJQJ^Jh!h2OJQJ^Jh!h25OJQJ^J(h!h$OJQJ^JmH nH sH tH "h2OJQJ^JmH nH sH tH (h!h2OJQJ^JmH nH sH tH h!h25OJQJ\^Jh!h`5OJQJ\^J5\+`gdQ  & Fh^hgd`  & F^gd4  & F^gdneS & Fgd4 & F^`gd>-n & Fgd4 & F^`gd4gd2gd2 & Fgd2&B^p\b"().BEFǾǾuh!hneS5^Jh!h4^Jh!hnr^Jh!h2H*^Jh!hM]^JhI8h B*^JphhI8h>-nB*^Jphh!h>-n^Jh!h>-n5^Jh!h25^Jh!h45^Jh!h2^Jh!hO^Jh!hneS^J._`abos|Xc̾|obYPYGY>h!hWCX^Jh!hC;^^Jh!hj^Jh!hQ^Jh!hWCXOJQJ^Jh!h OJQJ^Jh!h >*OJQJ^Jh!hQOJQJ^Jh!hQ5OJQJ^Jh!h 5OJQJ^Jhu]5OJQJ^Jh!hu]5OJQJ^Jh!hh4L5OJQJ^Jh!hnr5^Jh!h`5^Jh!hneS^Jh!hh4L^J`aboX @ J W e w !!)!o!! & Fgd2gd2  & F^gdWCX & F8^8`gdQ^gdQgdQ   > } !!!!!!!!"""""̿̿̿rararP h!h LOJQJ^JmH sH  h!hQOJQJ^JmH sH  h!h2OJQJ^JmH sH h!h2CJaJh!h4CJaJh!hC;^CJaJh!hc5OJQJ^Jh!hQOJQJ^Jh!h2OJQJ^Jh!hUOJQJ^Jh!hQ5OJQJ^Jh!h25OJQJ^Jh!hC;^5^J!!!!!!`"a"|"}"~""" #>####$z$$:%% &9&&.' & FgdWCXgd2gd2gdc & Fgd2"")":";"<"="]"^"_"`"a"k"{"|"}"~""̺ygUCUg0$hI8hnr5B*OJQJ^Jph#h!hq5OJQJ^JmH sH #h!h25OJQJ^JmH sH #h!hUa5OJQJ^JmH sH  h!hUaOJQJ^JmH sH  h!h LOJQJ^JmH sH h OJQJ^JmH sH  h!h2OJQJ^JmH sH #h!h26OJQJ^JmH sH h 6OJQJ^JmH sH #h!h L6OJQJ^JmH sH #h!hQ6OJQJ^JmH sH """""""" #<#a#####$ $$퟊u`K6)hI8hQB*OJQJ^JmH phsH )hI8h B*OJQJ^JmH phsH )hI8h|B*OJQJ^JmH phsH )hI8h K:B*OJQJ^JmH phsH )hI8hUaB*OJQJ^JmH phsH )hI8h2B*OJQJ^JmH phsH $hI8ha4k5B*OJQJ^Jph$hI8hUa5B*OJQJ^Jph$hI8hnr5B*OJQJ^Jph$hI8h25B*OJQJ^Jph$$$0$Y$y$z$$$$$$$$$$$ %9%:%իՅՅp[[F[)hI8hnrB*OJQJ^JmH phsH )hI8h|B*OJQJ^JmH phsH )hI8h#3B*OJQJ^JmH phsH )hI8hQB*OJQJ^JmH phsH !hI8h2B*OJQJ^Jph)hI8hQB*OJQJ^JmH phsH )hI8h B*OJQJ^JmH phsH )hI8h2B*OJQJ^JmH phsH )hI8h:B*OJQJ^JmH phsH :%M%%% & &8&9&&&&&&&&îwbM8)hI8h`B*OJQJ^JmH phsH )hI8hnrB*OJQJ^JmH phsH )hI8h|B*OJQJ^JmH phsH !hI8hQB*OJQJ^Jph)hI8hQB*OJQJ^JmH phsH !hI8h2B*OJQJ^Jph)hI8h2B*OJQJ^JmH phsH !hI8h B*OJQJ^Jph)hI8h B*OJQJ^JmH phsH ,hI8h 5B*OJQJ^JmH phsH &&&(','-'.'<'E'd'''(1(2(E(m(կpcN=,!hI8h|B*OJQJ^Jph!hI8h LB*OJQJ^Jph)hI8hQB*OJQJ^JmH phsH hI8hWCXB*^Jph)hI8h`B*OJQJ^JmH phsH )hI8h LB*OJQJ^JmH phsH )hI8hnrB*OJQJ^JmH phsH !hI8hQB*OJQJ^Jph)hI8h|B*OJQJ^JmH phsH )hI8hQB*OJQJ^JmH phsH )hI8h B*OJQJ^JmH phsH .''(2(m(((((())**f+g+8,9,w,x,,, 7$8$H$gdq 7$8$H$gd>gd2gdu]$a$gd2gd K: & FgdWCX  & FdgdWCX^gdWCXm(((((((()-))))))ķyly_R<'(h!h>OJQJ^JmH nH sH tH +h!hz5OJQJ^JmH nH sH tH h!h>OJQJ^Jh!hDOJQJ^Jh!h LOJQJ^Jh!ha4kOJQJ^Jh!h2OJQJ^J#h!h25CJOJQJ^JaJ#h!hu]5CJOJQJ^JaJh!h K:OJQJ^J!hI8h K:B*OJQJ^Jph)hI8h LB*OJQJ^JmH phsH )hI8h K:B*OJQJ^JmH phsH ))))*****V+d++7,8,9,g,l,m,v,w,x,֑|cVIVIV<h!hqOJQJ^Jh!hC;^OJQJ^Jh!hDOJQJ^J0h!h>CJOJQJ^JaJmH nH sH tH (h!h OJQJ^JmH nH sH tH 4h!h>56OJQJ\]^JmH nH sH tH (h!h{OJQJ^JmH nH sH tH (h!hzOJQJ^JmH nH sH tH (h!h>OJQJ^JmH nH sH tH (h!hvsOJQJ^JmH nH sH tH x,,,--Y.Z.[.\.v.....a/b/////W0\0ķugYL?h!h,zOJQJ^Jh!h4HOJQJ^Jh!hu]5OJQJ^Jh!h4H5OJQJ^Jh!hcOJQJ^Jh!hUaOJQJ^Jh!hq>OJQJ^Jh!h25OJQJ^Jh!h2OJQJ^Jh!hqOJQJ^J h!hqh!hqOJQJ^J&h!hq5CJOJQJ\^JaJ&h!hq5CJOJQJ\^JaJ,~---Z.[.\.v.../(/H/b////^00000 1E1 & Fgd| dd[$\$gdQgdc & F  & F gdUagd2 7$8$H$gdq\0]0^0000000w1112O2Q2220323O3d3s3u3333}}}pcXIXjh!h OJQJUh!h OJQJh!h OJQJ^Jh!h LOJQJ^Jh!h|H*OJQJ^Jh!hQOJQJ^Jh!hu]OJQJ^Jh!h|OJQJ^Jh!h|5OJQJ^Jh!hu]5OJQJ^Jh!h4HOJQJ^J!h h B*OJQJ^Jphh4HOJQJ^Jh OJQJ^JE111122k2l233L3s3t3u3[4\4]4^4_4`4a4b4444444gd gd| & Fgd|33344[4\4]4b4e4f44444444444444455?5D5µ~p~cVVVcVIcVIh!hzOJQJ^Jh!hu]OJQJ^Jh!h^OJQJ^Jh!hz5OJQJ^Jh!h#a5OJQJ^Jh!hC5OJQJ^Jh!h^5OJQJ^Jh!hCOJQJ^Jh!h#aOJQJ^Jh!h OJQJ!h!h 0JB*OJQJphjh!h OJQJU#jh!h OJQJU4455E5[5\55555555556666!7"788u8-D9D@&M gdtpgdcgd| ^`gd^D5E5H5I5R5\5y5~555555555555555555666L6̡̻̮wfYh!h|OJQJ^J!jh!h|OJQJU^Jh!h#a5OJQJ^Jh!h|5OJQJ^Jh!hu]H*OJQJ^Jh!h#aOJQJ^Jh!hIOJQJ^J h!hCCJOJQJ^JaJh!hzOJQJ^Jh!hCOJQJ^Jh!hu]OJQJ^Jh!h^OJQJ^JL6M6N66666666677!7"7#7778888u8ںڭڭ{n{[{nA2h!htp5KH$OJQJ\^JmH nH sH tH %h!htp0JB*OJQJ^Jphh!htpOJQJ^J!jh!htpOJQJU^Jh!hzOJQJ^J'jNh!h|OJQJU^Jh!h|OJQJ^Jh!hCOJQJ^J%h!h|0JB*OJQJ^Jph!jh!h|OJQJU^J'jh!h|OJQJU^Ju8x8y8}888888888839499999׺zi\iIi\<h!hh4LOJQJ^J%h!hC0JB*OJQJ^Jphh!hCOJQJ^J!jh!hCOJQJU^Jh!h|OJQJ^Jh!htpOJQJ^JJh!htpOJQJ^Jeh@fHmH nH q r@sH tH 9h!htpOJQJ^JfHmH nH q sH tH Ph!htp6OJQJ]^Jeh@fHmH nH q r@sH tH u8889999999999: :;:<:Y:v:::::::;(;);O;gdcgd|gdtp9999999:::(;O;;;;;;;-<?<Ǻyly[yN8+h!hC E5CJ OJPJQJaJ mH sH h!hC EOJQJ^J!jh!hqOJQJU^Jh!h{J<OJQJ^Jh!hqOJQJ^Jh!h,zOJQJ^Jh!h_,OJQJ^Jh!h^OJQJ^Jh!hh4LOJQJ^Jh!h OJQJ^Jh!hI5OJQJ^Jh!h)5OJQJ^Jh!h 5OJQJ^Jh!h`5OJQJ^JO;P;m;n;;;;;;;;;;;;;;;;;;;;;;;;;;;gdc;;;;;;;;;;;;;;;;,<-<?<P<Q<<<<==&= 7$8$H$gdC E dgdC Egdc?<P<<<<=&=== >>>>Y?v?&@'@l@m@@@(A)Aннннн{gNAh!hC EOJQJ^J0jh!hC E>*OJPJQJU^JmH sH 'h!hC E>*OJPJQJ^JmH sH (h!hC ECJOJPJQJaJmH sH 1jh!hC ECJOJPJQJUaJmH sH 'h!hC E5OJPJQJ^JmH sH $h!hC EOJPJQJ^JmH sH *h!hC E5OJPJQJ\^JmH sH 2h!hC E5CJOJPJQJ\^JaJmH sH &=G==== > >>b>>>V?????&@@@@(A)A+A,A.A/A1Agdc dgdC E 7$8$H$gdC E)A*A,A-A/A0A2A3A5A6AA@AAAGAHAIAJAKAMANAOAh!hC EOJQJ^Jh 0JmHnHuhu] hu]0Jjhu]0JUhI8jhI8U1A2A4A5A>A?A@AKALAMANAOAgdch]hgdUa &`#$gd" ,1h. A!"#$% $$If!vh#v #v :V l t06,5 5 yt^T$$If!vh#v #v :V l t06,5 5 yt^T$$If!vh#v #v :V l t06,5 5 yt^T$$If!vh#v #v :V l t06,5 5 yt^T$$If!vh#v #v :V l t06,5 5 yt^TZ$$If!vh#v#v:V 46,534Z$$If!vh#v#v:V 46,534Z$$If!vh#v#v:V 46,534Z$$If!vh#v#v:V 46,534Z$$If!vh#v#v:V 46,534Z$$If!vh#v#v:V 46,534DyK yK ^http://www.qfracture.org/index.phpyX;H,]ą'c}DyK <http://www.nice.org.uk/nicemedia/live/13029/49399/49399.pdfyK http://www.nice.org.uk/nicemedia/live/13029/49399/49399.pdfyX;H,]ą'cyDyK ;http://www.sign.ac.uk/guidelines/fulltext/59/section4.htmlyK http://www.sign.ac.uk/guidelines/fulltext/59/section4.htmlyX;H,]ą'cDd R Z  C 6ACOPD_algorithmb(^Sn n(^SnPNG  IHDR4IsRGBgAMA a pHYs."."ݒIDATx^ew .]X5hp ]~3W`^NWW/Ο? pܹ/I&}*Tyr`۶mƍr劕~ڴiK.Y9?Kvɓ7n|Q+<}C^^^ܹsg„ k׮ҟ۷5Vp-:o߾Vگɓ3f,XJ*ϟO=wa˖-:uj@-iӦAkժUݑ={6sŋ됁AG`_>#Fԯ_Co _>cs/B 9sӧO[Z4Əo߆/^Nl֭TϟLS6md> ٳg[i'zŋ,~۷orQ+hɭ'hѢ2vX+IS_mLXKI]6 4J7nX իW>|-ٹs3ʔ)'Nh N8A"G??9dȐ9I oAӷjժ7.k n4)˗ǏoL={vJؼy/YfbnKZp(/6ƈ#bĈ׮]Ws̱ҟ~?;?q: _J5|ŋϝ;gp]~=!  `b Fw^.AcƌcND*ynըQ#L0sERBQDQ!Do9sDSJ" HC,2SPB%D͂'Ɋd@˚crȁdΜ9SL>:p aÆ4 K%+WmjeS>t%,XAM ( nСN@4Ƌ+VLMdJrpo.ȑ#˩J:xS'O4T( 0 QuMNE5o܇` *2rI1cFA2!3̰` |{!',|9pCZuRD7tO,Y2EԪ]zE58Dtz_|QbEC(9d ?F}͚5h͕+74SB/jׯ!B&0a8EzOHz9iҤ *T~}`XL6&8cƌtppDQ= oO @:_dNdJ*Dj.A_dI'zlETpnjU!0`JO0qz,`b~ TR8Puѣ-Z=QFSȉze"ț7/VZQ(+C3gδeVKr1rosM2nܸSNņ"N2 Q7죮+Z1XP۶mYŋ'IC'ND& A!> !3Ng'9Fk.\8 ХD8x@$U QjX@dXnpw0Ih6mc5)\Q3cq1^TF>rڀ̟?hV>"wԉ012@}(˘{4p9ڵ+2F%Idʔ)Ɩ-[""ZS+ad:ƚC7_0 Ԝp-WYG{^`ʡT8N8Ƞ٢K "$.z4DHN̔o0rh#3܆߆#ΜlxF 4(1 $i< *Ic' D$ӧO/ZhX $ &FL/WC,[16{d>21(2LXĠa*OcЭ[7sds7X+EOs-dP/I`WC `,"WTO`@CɸLEEВرnM>/I6/G-[JI81#\ M#Ko3[NX4$9*o)MD} 4LM!iO'OĬ&VRY"7IucUEdȐv.SJ&B4g:8+$XB2r!cxs!3;?>I=׭׶l/zW!O`פ$d/FM\m5UTI9[ԫ\;Sɓc/;?~|8Ϟ,-PLl?wm~^xWL >)Ge?yQ,&x,I^)U־3;Y\9%/\68qӰHԶOL LCDp|vv[a4*!ȏiPfMO>4P&C"i =\lY!LH˗BvW$ Fv|RThv/sL,:e*Tua, fqDIfqQNǏ&-1 tc Μ9'/jFJCÇV %MchU_Khذ!m !`k׏ b,=V`>%X0SNEi_KL 5]BKK T̾UdC11 ȉE!zj1y3C_ ^bt:t^KFC?}{p銉uGnL&M@Q>-!=mipQGK9c"1M|e 3L И1cUIj $jOL yQ5z1c?Y!{RzHz60Se3QR @A|?vL0}:Mq# .w^M& .dmpPo,? +St:=^4~4nic)$}""30jR6"? zR Tl$ǍFHt;ub^eiH0j*WCd5 H ̵ .ゐ,Y22TOrJ!; XDT;ӣS4:+X% p'u{sA.awLa+abɚLzs=͵AЦѽtgШsQCr׮]rZjivh8D{ (%/ I9 {3-5UXB{DGg(K$ 2ģѳc 8?_=_w=5qH꙯W*a?>VIާB J t\mC3ϑMi@û% '&ve4vdkxfkVB-bLɃhK qP<9"Ā]YWZ%%tqiYLeMxq͚5D6]Jg8pY -.FRdQM62XbŸq𲑉tzngm]]v*رc0F'ҥEd p:Q=/1 !~'MC/)ӧ9dĉ$S,2Q AԢE{E>uEt:oHԊ[/e F5 1dV@8 Xfd om^ =x"3[tHx cht#ƗqpI+^Ɨqlq3u  ~'\2hgt-n 3J9QT)@  T#Fp.sվ}B f u`) -1R|^ѿN;Fup"&PyʗOL`CŅ"v$Ir^TJҨ&շP8+B44t2+BKd̛wj9L'`ֱ4I|mta٘-TV;dcX|)MaqڎLjܹ3w$m5k3q#en` &6K0I70x+ľchoZ--[n Aڂ񬲁37_vɓu ~W <.\лwoǗe&]޽q;v|mababab&9sYf# yk ,XDb/^FdgG ?Vׇ$;k>Jl#PdӿycUԨQV_~yc˗/K&6000000&6pCO 1^|~ݚ ~{aWyk޴iB 3X`AΜ9e=7];wAYi+UԿ+~z"E5j|+oŴi~+},H H  \#G *X`_83fqY>ϪUiB”)SRuԆ>:;d+vXv- T?B0.PH9s+V 7lP͛7'>}ɓ7:Є?XpaJpA@0q!L^)&MԽ{ÇBgL>bGd,Y(VcvƏ?HÇ[iÎ;h`͚5?w];w.tӧǑz͛7/nz)͛VZл?mԨQJ>z4AIabC|/[eʔ!}ǏweDu5jb @zm۶MݻGD[rrA'ʟ~)wܔ'OΝ;߸q#W\aÆ]|y۶mV:m4>x` :T_~+V.K̙C(m9{ի>$]FUWƍ;RRR>,J*ؚc* ڮR1B߹o6y *4mѣ3۷ԪUK1o<h4'Nر}Z:udo ʌ իW#`FEt (۷C UV }FJ.ݻwow%`PBeʔAׯ1+3f18シ(yȑd&ӆ5s̒%K3flݺ53yń!3Ƹ3ȑlbÆ (i,-b@T $ +V,mîY$2dct׊ %X4)K8 6LdɒqYidg&.WG e˖ȊP5֭[#\&W_}E3l \=Sl}b11^se,%'O4i0~1PG.abCL+9ac#6/^Ϟ={At;eʔwN:jԨ0" Qa1ct :f]6w߾}"EVI& }޽;F$ϑ#GDWz:wN"r lRQHB[lA ݻ7uZ"'*ȶm& 31nܸʕ+i#/Cv\K 8J7p9rP1?R1XC4I ?cdUR9"Z@MCI &ظq͡@,|:hw7k Hѱt)&RVd'(Q"\+V\v Jf0wGL3JVTR14Xrn|Y00|&6p9ٲeCX|9Kǔ <8AipSIB cRa.}j׮Ǐ_xA0GRdK.lgϞq117mIf( zXbh SN!נAϽ{`5߾}Dϟ?)0=͓'Oo+Q)X 24@@_ īVlp-I*õpDB AҤIܹCz*'<`z ]bWthU10c 8 xQtG q0զpiܸ1+.]:d1FD!;3qR ,@+ϝ;7z\("0a0$u/CTիWŋ'IitZ'O"#  \bœmzb lۣ!P2&£z*J<AZ$!Wٳ#CR4 "ի)߬Yl޼9qbXnݺxhޝVtrT$ɯ+O 42CQ=JFtGS!BĉHbĶiHYr *Wl6'3D\7;v숌N?+`117=i=Eկ_?ySW(~:IFCѱ!֔+Fg" 6;'43K -xNf0i;l8.0cǾr 5:t(%#N;abl'N2el͞={ɒ%J [lٳgnYCB9stf'M_۷o޽oݺ6m-&?~o 駟(ʆN F| ȌiF3sLDŽ&L)kѣG @h_~Py4=zXxxrd<}tQ ߸o.JK6lЫW/4Tf9؎7^U`/Uؚ[MGdڏd}ySֿ_iUN $r+Rf 6_.V3F;0.SEϗĉȌhݺu"eo3 C& ٴ1)& %s&'5d``p` n۶k}x {4`b4ϟjG0G&駟n&^ĸxbooo0`q݁nذJ<^xyՇ(6nH'/ سgO޽o޼i?7n`x L``أqڵgOv9J(̙3QCGQŽ{0ľ_ 49t萾J{ƍ'Ǐo >ܷo_ =w lgKy޽Vsb:u?6L0L ?]ٲe'MԱc-[l֬Ĭ~ .:uj+غukPÈ0u7 B $p-. M4 n:p'ŋ-[ ;os67oN|nذ\;wE _~eذaiΝ;i'3>ѣRJ 8&%KQƊ+(_;ϯX"%jUdVeʔW)ѯ]N}Ϊ\2?խ[7DbŢA~PJ[ntJ?uTCȿGv@}uxd/^i۶-=]D'N LC;ݳgOh/GPM`^^^ĉ%V3\p'OD%%sJ*Qy9a„"E"vG2L[(PHtݻs1bp-!N&K}gϞEr p(Q!W=G\>SL\"cƌ0-LV\x67-0FababF`؝&lݺ59sfL'6mڐ%Bܹ14;γw^#B}O>E4mYp]4B$k.A LvHSd>d}yӦMߠ$Ǐ/ iӦ9Ο?OSK~cbze˖ݻwoȐ!`J,o>ʋ7@| d˖ RT۷*TB\2 ,K;v*j &"tznBrvzSq$1ܛ3_&^H$ ΁ R@XI\HByxH|C9*¸ D((kho .k֬E 'erueP.YDK*͛Iұ4̍+l߾=zʙ3'2:~xȾ" 3&U* F9A_`Ϟ=W)bĈBgS~-1q&MO`)Sh?ŋ s+8N}!ѣG2MA~uܑB…$&抔Fr cǎӧc T]f̘pՑa24W\XlԮ] O?6⼇/&~?)4)S&zOW1 4l%$<Æ C3ĔfoP!CnٲU34Ddشi2Q'`b{& {444Pb^z+W R7&C^` ={v5 ^T$F%}\01\?k? V:u6NEPa4Yfeؐg)&JCpdt΂#Zj>f\Aִit2aq.]Ŋ#&:ݻ70Çs" ԩ E8q"!#M&MD_d +h8n Ac%Jp'LR_>0hH')`Z:k,F!uŋɏ$A{8XAuKe"n"oʧoLeW (("%J,ZhС+V}a6ұȶk010G#0NC XpA"'dqF6L4ht92fWTvڔ)S:obm&XR9]"e0aP ThQa !QB,0\l٨2LmۆL^BO>@8q0.QR%L? TU hLLsƍ+h>x`̙ QjBشiSBC8}zVz]+W+ѻgPBu>L<_,[l OwٝX&htժU1>>0aBBv.\8s sۘZO$Ŏ;wҿ Nx+3ճ  ޝyfHrʥСC8PTΝ;_tgϞSvU//ŋ+WNYvm۶m8(Q:vh=W8zhƍ ,جY3u@9~xKׯoժUɒ% BQ,Xx6lW4{lPׁ6lhѢ5DM6[Ku A}6m`;vغu+t7n 1+W_}E|mȦ/r/^ 0o9g̘ݲ8G6ϔ)Sذa)Vd*V ;˗j5k0|VpTH}7Y4i6mO+?&Β% N@9Wo>|HUR̴U 1#GÇCÇׇ)СԩSĔ#o@/1oU+V,d 4YntE:7.׬YS ׫R0L0Lpi#F ƌ3F3?|BtH}xJ#:y PPH̘1 I?hC_ӳ?+DT*T9s*O^APK0apDQD "~@ a\1w#G ߟۗ θ}ӧq3Pgw|pϞ=ĸXgϞkWڝ%vsڴiSLi%8um1'`w"ED!S@/7nD(W;Ř(U%abab{NC!C Fq/(Wv5DɓlE3/E]ɶn:5 [.D;BݪU+=Ѧ<`T{00Gýwߏ+!i#g@%y{{C'+RJ=ヒ;HF,YN4I1رcQ#G&CR#&~?ꐇ#B"DV {..w_x4iR*A'$L=5E~bQFW^'-bw}AuzabQ\~9j(D+ĉ0\////]QLԹn  ޝ\ $I ޽{>n/nÇ(ӤI3sLP,rZg3 ƌCs A-!5Çs }N?f"ԩS-K-[ȯQ!Gjڎ1D&ޅ)a5|(׬YԩSd ?Ef.A88G'N"uQ6L_+Tp2PC}vɓ'v:gΜEm(4<LMD-Zqd(@B6 Bpd{:{Xr_pGDd߃_E1   ޝDWnkJ*S .\CȄ\~X^x1ٳ'ᠽɬЖ@Qo^ 7:ËhE!dؚ߬Y EVZq J΢e˖!?_|i VɥKN]:tH4޽{LU#K^0%ER}w4h™3g㥤b3f#GdzaÆuԡ'={ֿBg}ժU4:t= C$s'7{x, {4zĸ…ֱ_5v ɣzo؇h}Sl} >Tz()V"~ԭ[>|C)$sΜ9uFĞ  ޝ/_N, $45*}oY3)R.q߿1bVZY{, {4ٷo… ,Yrƍwر (0f̘"E4nʉm۶m|*Tzj)!ϟ?2eJ 2gܮ];[GWb|s!C(<oڴ y֭eʔY~/ңG'Ou\eٲet$!2h Li ؠ޼y֬YS|sٓS=zҤI"@5jطoN ע`ȑG8}tBtSJ&MTD 8|p\ k׮U^0L'^@ҤI[n^ababFߝUV]E`ɓ  rL6"I$C[nԩ{sG%gΜ\oN:i, :4O<~mذa>ȉK50IԨQC +Wm۶Ӈ0 0 -28}4 ~1ɓ'wܙ6mZ4%"WHCfy1i{<XYո|ݻ6l7`/(?ͥ[N]G;iҤU (DTRh2g9rdDHMe˖u&  #("` ЦM u…lR@ ;b ]){W_}%%K$dPѕ+W')dc? [6l2"DrTPTƌeFӧ9rk׮:W }%L霫8D~@!2włxҤIț6mBǟ:uJgu%ip(SL0ʡ ONܹsG 2F9m43p#&ƛA cq.7zzU'.Zq"'&.ٸ4= 偒%K&&YEH81=&LF %M>25kF-ʕ+IXprPb}ab໐QS?0UDށ ==wZXd 4k֬)bŊj? F&² mȰf͛8},XyݺuC&ibbw\ٳڰ uZM(bb;ڑV+&_zUػwoy3fphΜ9SLA޽ ֮][y`ɓl&B01Ƌ/l ƭd| 봙Q~}y+VREbaƍ#SCpGׇZtե[֡@ ;=b"Aa=˖-K̙SGB YL tkYlv7nHȰ y 1ʴ7FT %!; 5kDSP!vQUkXq"!`ҤIK_P`!pSk\ә3gF.[ 1tP¼yӰaC #ݻE\kϟ7ϟ'RObȈɯu*WAhak 0%… :uj:_~A{:u 3"E-'(ȘS[p3L0Lӝ;w&Z^7DO>#"`MP5l0}(6m_~o}H`B7nqѣþh0IË0 N5dQFTRb!*8fȐ!8 02d3fƐ:%!/X}ԜN@٢E jP=5ᨪ Y2-2qy^_ҥ fͪ'jx1z 1{7;@qzPbG cgϞ@W48B/^L,eҐ:4iҤAt IWVM9cѴiSCt; 6Т-[ _|vdXL2UǏSpv!+NjO&X&hilYUr_ΠG + tZ1^VcƌTL3˱e" >Dl uCF'߷}_8.abUI~5jԠӎ?$=y9) ! fabFߝ oP޼ym1x\F/_TRi00G#<DA,x6m4o|ʔ)?>4i=ֶm[/Bq{iabab  ;m`x`caأabbW.]1}߳g|s`caأaأw/"~X>snW0L0L0A0gΜ>3fL$ab00GԪU+o޼e˖+*TCgz/ 4FhN8QvYd]   (PSN3g.~QUVM4q„Ǐ;vС2NJ+u5*|K}!^xP x#F͛?{,D兲hѢa„'Rrb4iĈ~Q_f\r!dʔ0Kacaأav0٥KG< #TV޽{VɓTRAzM2l2#raq[K.ӧO"ĉ7l؀<`J6ƎuVXp?1LR7{x, {4LLرc(Q-Ç*U 6lȐ! IwaD郆J*_A~"UV,Xؚ yu&H@/t޽; .ͥ+r>?zhׁ1c (.\H@@l==ۼ}qիW1͛7KQ@(}8KF73+V qƉqޛcb1q "F&FÆ ?nz葂^z Ŋ+eʔ] ;0L0 }|H"Ġ+IU@3d,XCYLL )yر"@SL߿ P.[rr1|o:u Cޝ;w:4QHdɒD92qyTG>rHFL߿W_~h81E]   3&L$I4i)Sf޼yS&d6={?؟[n-X ŋ׮]; LI2YdՃ\t邒 3f*UVoܸqٳCd֭[ѢEoC5j رݽiӦlٲUVr5NKacaأa|fGŚd+̙3D#a`ababٝv'Z[A ==&&v'ܾ}{رGAPababիWnjc% C 1L0LѸqFvٳe8v؁AǾ}Zi?Ŗ-[f4ab-Z4ɕVAرc+U4f+8qof-NOabb„ QFY0k1bĈ[  gРA60 &6p- ~w+a`:+`0 >+`0 >+`0 >+`0 >+`>|abOl &6p-}bwOl &6p-}bwOl &6p-}bwOl &6p-}bwOl &6p-}bwOl &6p-}bwOl &6p-}bwOl &6p-{ ڝ6Ll෰8Zh^t~'޹sJ}5ʒ ׯa„iРA˖-6mЬY0Szu뀁AЄs-sٰaC >N(Q"k֬oٮ];//m"i&_ ra49- ۾}ţ꿴u)̛7oV4Q_ L*N2Ǿ;kwVl`w0n;mXz~扭[:?;Abz60 /g \bw?+l2/&0_ƍgϞrGA3nܸ I&͂ SJ.=mڴhѢ͟?iӦRB ?|0Κ5kQ~7ǏG_?zYҦM =sm׮W_}EԩSO4EzKo۶ =5e֬Y} Ϙ1#Gjƍ48jԨ~!a„v4}bW1qɒ%B .`ƌ("D5v {ѦM9stޝZnrܹ_55|prX ͜93W\B=g˖-x*{qlÇׯ_V3eDTPaر'֬YCP{Νoݺխ[7'OdhZj6 O8=% DmChܠAˀE8q-WNnVaHJ 6{%K& wBiӦ%T :tΜ9;Fު}YT硇ae"KxAU;v(IJr֭%J֬YE,&ްarڵ_L믿5j$=!N]áٳg'8qbjE|Yc5j8'[رcĈa+|sSN!.\Xzyb0=ui+/ڶmK\9sf1ˑ;vŋ1cfɒ9wܳgϛ7nx_\x:lbb]bE ,@2e 5kիk׮$.\p GoEӦMCo311r;vL|xbiMː!C!4K&b%JH0OlfwpDxKժU۷oߪU+GHWJׯBK7oF Mrnݺbb9}ӧ_|yƌʹi&YfĠ}\jժ$5kd"EO)Sy̘1O$ ȿ{nd%K@y֍m{ӄUVI<+82'Z7o^ BO͑|ns01qcŊ)R$(*lذPν{ *qA 4#[l!Br6l Ϟ=;JBO*jԨDa„_8DP8e&O\˗ZG}sׯ7o7nڵkS>Nz˖-艆YD $ '>QBTbq ƎKiC vŻwNf  yS,DO9xѢE3x9=rkckQ6abWNnܹ?:/V2^7n܀G&f=q]Jػw/Z6=|Pds.G 3Gt׮]%JҤIÇO D\=\pS6L }bWNď=j޼y.\/_B M4&ٳgɞ=>1tZj-Z.,\0ǫW )RȚ5k3rȆ +Y$G˗/Y.]Af2d;wɓ'W\ m8ʹ^^^\rzI}8cƌuԱ?ؗ_~2eJ-ZT/-[ܿ?qL:@9rڵ>K%JȒ%w}믿\n]C1b2eo T{AUvIrX&,Xp̘1X_̚5kw,YRBRX+[ abWNdF( ċ->o8B Ë/Μ98q!Crzk!K8:Ĝ9s9r|;vl>tPƍG믿,ap}KQc8q"rPͫ-A-X5k:]ĉkr9X3RHdc>A0a°a(+[le˖Eմ E9rӫVJ,Y`8C &92^sXիҥ8ϟ?3f1bTZ!\B„ '` Ȩʕ!|-[P>?Leݻ.QF : ޅhi gyb0E>EPC3$ N(ǜiF޸qJ@Ww܉ %+o1#* 8Eyp-DU" $4LR_RG _ߔ?&<ڵkI\l8Dp'qÇq^dyb0E>BG,a# >pr ǏO`CC)R鐇x@N=JRBݹsg=K%&'oPIB=)$ߊEΰ2iIL)˗/Gtak (t;w!0xܸq?PvޝX>XW^ W\$!HBX1>љd(QҸ1O>n^:2%z@zBߦM ;t9sF΁4?l2pk1Q%$!ڈ#&KŋŒ3̙d ̙3ta۶mOA޵k2tRWĢR>d>9s&W?>W͛K.ڠ޿?r=g͚C6`b\ ĩPWʔ)a>NQJ`bJW"9CLoad.DK.02Q;I8}( CAQ[lƍRJRvm[?iܸ1I"VX`;ҢE d8S&mKfi\ٝ6p-1DXtn*U8 ZM^2@yY2rM}?[l(%CmGy葾+n6lr֭W @H>}ZӧO'k~-^ѣO BtXGIIJ4AQ>)Yd\oN`իW'ϪUh>r%f%j?x Ԣ={r 2MS~ hE8頣Hie˖Ӥ!@S|y%"-T /2R@ ޽{sNDgMv8a0.ɓ';u4MԭD>'HQ/ |̚5+H~ӥKKꉜ6mZwC9/bĈrJ &jU` _r=WDC%" ˹!D8o޼$Ǐ'p$z% 8 zf͚$uʣv( 1))R$"4mT[j 8f7vz םi:Q\.X`hC[?~|*@L07pQFx4ٱn t Xzfw ( B_1VOla؄O\HG=5n8Y7|K@h{!c+LI&IDᩁO8QI&&Ci`ڵ˖- *L˓'O8qŋQL<~z"0N+W+;Ol9>ꉭcԻ\ ~ ;ҥKq߬;h'&L`C`v]i=JI_ߏ?%kN> 9mpz+BX`o޼YǏO6~xѣGO:UOSNĖ㣞ؚ8qĜzjָ쀾}e[nر~s~PD|, `͛Ȁ˗/5j֬Y_~}Ĉ%Q[»m&[iyw:ԇB*T(ҨdɒhB &L!BBVZM6: tͻP-ę}jPBcǎ#F *ds.\84ѢE_/ N&Mxw$*UJEt * uyw[yذaʶɓ,8ٳEhVX@\8swD%VXآmܷۢoIp8~ӦM5kVO>haӧ) fw%pޝF"EǏ;vٳ(-v8+?2)|E,|ߚ @ `0AÇ?>#G~woJ_&[,6Ӯ4SoTJ/jCo%ԛ%n4iCoT a3|*Uھ}; jsjP-ko2˗/bĈŋ?~@hN ?s̘1149rXdNq'6OlX8ĖV4k\IK$pqz t?שSGoAm'tE,vbntcXtqabٝv waرciљ3gֻvziA?&ʮ]"庺سgϛQtz ZH>VTҤI^z' 3@lٲ(} c' Ė4B0aE={3)R*%KPJkӦ R_o?a"+V,rYf?!=aޠ@7o ܯ*M48%KDumwh&%,X"P&K,\p$ 6JѣGD[֭ɓ'c.ŋ%¹s/^ ֮]5jtI_|+V)Sjӧ,p}1"SNQ@- -K{wGUIhѢΏ, δiXERC>xŊ@8> [AX8ׄ1bPQ14iҤgϞf͊1UĖ'c߱VOL;7n\<#GrMÇ}:{ĉ1Au0_N>wWǏ8m՝ݘ1c,ܹsa)R+KRhXS<а,{f͚QvY{n6j޼\LRJ(0Olx2>i1qJ8pMVÇOmšD)S*T+W.%m\xqРAd&re[&H .L+Ǔ&MRyA /^Rj|v&[iyw֭[Lɓ+)Ţ$=3gxinݺD93?r/۶m 7jԈxzԩaƌ a%+)xie/_>t٩tرY֭[߳gzi7n\̙s!b1ѣ-\荡w|Se={6I pӯZ O:RHZֵ`oav]iVȰal8ڿnݺuBeYطo_?"ĉ;312w'XicǎEHWbŊ\y5שSG_@Oܬaw-)`2d|[λx QRko!]xm5}.^J8oٲ%v;rժUrVNoHz g;fw%N 9=0Olx2>-i?}쮹b -K;'8s '-O'Ogk~ ;8N[O~v`oav]+V8? N}z?[zb`ɻw ;lݺy1bH%Eȯeiٲ-[v~[}bcǎcƌX>ZD2}Qv @џBT_԰aLiW\/..^˗}`' ͪ++USumïj^!v| knOl`0abwG;mZ9իV ŋC5~ ;m*Ǐmf 8nܸ2d= @`v ߿.]~ӧOl.7ӧO̻vڹsgΝׯ7N|;tpB}`v 7oޜ6mÏ;fi@Q10l;w.]4a„m{5Kk`103g :}0[,/fws޽{wiŊO>[jQo10 zj ~W=|3/4pi_Ť@cĉǏAڵ7hҡCDٝ6P\v *G}K1xE۶mwe =8sL+8w܈#tۖĉzFtƌiP.]Դi[i@ vJ|*nݺ9rlqx m۶={b~7/JV8pE=ҟk^^^هiÇ/ԩS߾}] cAÍ74hLƍYY=zذaϭ ;m?x1cڷo?yd}͛7|60LxE6m6md]G<yi G8p`0 pwySA Ĉ#D+qʕI&mvܸqȖ`v=k֬ҥK׮]+1rHwKvJ t3tРA Ğ{͞=  GH>}J4`icxpرMKV={ܹx'… ?ׄ ǏoҤǏAؠAӧO[Ž;zM\bŊ5LLYؿ^X |  [ «WXV.mvԩ7o޴n Oӄݻw߸q 4ԩ뭄A@`V"Ν;g1b`0n)St]+ 4xϧ \ T@$'OVX*߿-ng6}SNqㆥ شiSΝ?8A 7o ^xai > !vս{w=7mi=JM<~C ' m{ӧO H`mڴqիWׯן#~ٝ`X{+W|b֭V8{lƍ޽k{ׯ_Ν.]j^`b /Zcǎݻw[Z4hp=+m`xQ&Mgϟ>|x۶mMj .]4zvM4믿J)uFh%oߞ3gN6mzKk(av:ԿΝ;/^8@M ۷/JOQoW}ի;vȂrm^xbݺu]tYf~00ѣG͚5t钕60llݺy$l߾gϞkBϖ p0q`>|zv٪U+wz Wװa;wXi Ds-Z .Ҟׯcaڶm;vXl588@+ԩ30 s3ѧO@+avfڵ8p`zߧ0qC+֭[7mdi p̙F=xJ|$fϞݯ_?+a X.]`lb fw:pƍɓ'waذa'Ooc޽`߾}͛7;pAa/^l&&SNy5x/zj*+a`azjÆ >ϟ=zt6m]fi \ ;wv֭cǎ#G޽{5°Zi‹/̛S?oߞ5kGpiKk2iMGwԩ_~OƎ;_|i ދO6J|<֮]ۡC^zٳ&&v-o}и#FVXhQ׮]=}8.Ν;ώUV]};cƌ[nYZ?ӲeKVСC̓JN:M5ky+N=m֣GqG~(?iӦB76l_I ('O=zy+_~,Xcǎܵk5ppɇ f% ի֭[]J?<ڵkGl 0LtرcsYZWC6l@ͼ߀߳yf^z!)?fwp޽{wƼ?q͆ X|yJqx…V??+4`{VqF@\xqm۶8qG0޽{3g2d'0sε7nؼ560*??ni ;8wѣ۵kgWxM={Jx$^xѾ}5kXi@e̾}޽&&o߿gϞ:tm1/Fl8x`6m̫C=cƌ ;w~vyժU;awI^a`ƴiF%Ν;^~dBadV ٳgGѾ}ӧ߾} ;ܼysʔ)^^^C=q℥5zY_yܹsժUC8}tF޽+A uƌm۶9ry+3LL?8u԰ap {޺ukP,Ybi /2;t֬5"믿/_<`XZφ'2W|7v׮]ݺucr\Ҽ2˗G4hP̘1N:Y M6eǏ?q[nw Qlڴڳg 6x:[{{B|aÆzy]0!QF9s:l4m۶7D u~!Cjs믿._Anݺq\6lزezg1qfXO?c~fϞ}AǏ!BxȑP|y8nܸǏiŋweʔ)I&ecn OٝL+coV^1bDְn]v~ ,x5Kep6uu9xDLgϞ 2X/raލطo_8q.]j }:u_of fYj0;wr#\3g(Ν;G&Lp.\}6lСCW\yyY'įz˗.]5_0DKgϮQӧgpf$|r/Cdɒ͛_pʕ+-M\x3s͊u{mhРAǃ ?L|%O<ҥnj3:GٲeKooɓ'Ϛ5 = (:@N qۗi'o:qD&MƏ| OSlO( L~GoI0aVa :t@ǃs_pzҤI'ND@\UM6=z5ϟwmȐ!tfy9s`gΜ9bĈVZiFKϞrA7ְ.߿44:޽{&~ۙV ~[` lٲߝ޼yx4w}KÇ0_e.gϞo/^4lذ~Vp9?a;wY wj޽:>r…7PW\xb+ Ǿ}K *Dc??.Zh-t*M*O>}֭VAwM+W`=zd]Ɣ#ҁ0iӬ;ibCg/ݻ8͓|e/gqO2J@)GV:@qX_}y &&޶mVJ~%K!BOs޻wog_lذ>pP&L`%ڶm7nwK,1cp|}ѪU+ toΔܹZg䒘?ׯv­[XVz?Z7nHx. ># C%8pRBa/~\?N?a(;}T&Øߘ3TPo}kcD'X Gw+FgppVP].\8J;oҤ cD'go(æd͚cĈ?h=`O4iӦٳgl(a3f=z_`2epb̘1g?B0qd-Z4~Ϟ={Ȑ!HX=7~kF'qa.]ujNO"E׮].F+yժU1UTkժF5:m[.=Lv -}EҥKw92&c` ?L<۶m,Xbj11cJwب'$̙#CڨQcޥDf -ʴ1bƌ`Ԅ™`'OdsX%}є#%@CxB>;`Vp4zOVҿ3fŚ c޼yDEcÃrBkd&ʱOܼysƔ!&k%̊A*Tiڵt5l+!+Xۑ'\u0QVKE :31^7L6 3c-ÎxcCH^f3G-"[ py˖-1d)Lי3gb+QX ,2"D:ϝ;%f#7BV-Qb?^vX)5C,N8Sfx!0%pȠg`Cb|Kr%R޽~hp1Ǐ#3dd Cf">|K'L0i$f&J7WCjwL\4LY1,v 1D4(3s0o޼͛E^Xx,u 2c^曥۷z/O ҽy<>z;z,b,\0&n %GaDD",]DIa…o|U:31,X_I17&02eĘbE ɒ%cW^䡞TVk_DAlW*)ť"e,ri]!=ր$D(Cf 2 -phݻw1A>>1 q6tdƌFJ EkB m)ND)yfBJȜ93=/J#9MrR־bb&?xÆ Gm_/UNÑ:CLܧOdu %˿f#{ej{W]ae}'4Q1]9WQdVO& _dX P2qЍY'g)Un/^ѕ4I(QD%=բmm2S$(A*kND"PBPbb=kK\LJ=z@11^&ktuӓP"0 '^# @[.'2!L($UT( 7©Őlk)"YLA^LcDN™|;31W7.AiK72 &ReܙکtB.ec&h'KO3)O>Rw^z$ t5JmBiLl?Lo8Ǘpn%u|&|crU!cʠ GϞ=Q$ե4q0*LCUu-;;_gۛ&34| Fd.H'X y8vũ ӉM6w}GJFE+VD9rdlɓ'.`Y0ϟgs@p 21mX(J ϗl/^ (p9p☂+{?hLM~n:Ź#d˖ B  fTw5,&VQL];ŰC z2`bQ yLfP2*U eu w  3Q)b70L"ZH;Cp [tB-5i̲Ç#3!ueRʕ+$`"{c4q' [I&eY,[>gtM&9:#'Xt}nOK{&C%dq>/ nذue FӅY&P,;3YX*.cftUD@Ϟ=;n8mzutt]%i>G>}2L5ʼQa)K䨶q`Mm`zKľpYHDo&}5f̘bŊ8j4TSNYf-C֡CeDbsWd48'0aB۶m6mDB=z FACtM~02L2d[:.J,9|}hŊ kUIEY2,L!ϘPŢ)lرc LeM)00ǣF8q"Qm+5Cu2()R͔c`vTC&X`P=Z}dbԊ^yj v S8޿?RMTӟLQg ۷/`43$uLLȏ)W~}JBR,3Sˠ`Ĉ+9X)tMJm4Qc)NɢL0s&MhFwr:2Ӄgq-<2;LxB2*i&\O1g/L*+W;@\e͚5,m+28u^!x!ј z;Ljas%7ndb+vx.b}U[mX똋f>` SH?ӌ.VX˗/y=왨2d[(rPLx?= ۹jhBvD@?c1.==zt~3eʤ 5TPe3ց"ğא!C~t4ԺKW_E)K\ bb>gH>퉭īWvYQDa˗/8͆5-Vyb+v?=²[rl{ ,[MXy\Bkɒ%zpEhWL㉭ǹs薅 ܻwo͚5L͛7 `ÇS7~ʥL&|ܸqcŊt/R #PXt\; $1'#p;&X Ğ ?6p&|[.aGo{˗/k֬YtK%y?|&>|31l/_u0齙A;w=EQOlZlذ!(NO[2qڵ1t]t)Vњ" ,X}>-N5&ӤI+VdǏ/P1bDܸq.=Xu8xڵqy8q믿9r ܼyԙqw~/3XfC yA4LQ(ZWp7>[ *P{nݺS?PP'}&,%JԨQ#+ĉ[oeW^z_߿]~f޽{Pwޕ/D0U d)}U8q$Ip"gI 1]>e7й Tޮ?t9A ˤW^v/a IiQz@h:?=DJN.{ ۗIj*Ϲs{]j QsfEǸ,@fuĈ)&~.:ȑ#z-'SHM~.E0m ;÷>EO0J,j)p_%X{lr569W3be)J_gB`_s)0ǹn t(\09bYulFΫG)Gԅ{.%zD?kw:G $]v/q@%ҦM)RtxÇ,  رcH"\N2s}Ν;Sq[.]hHU[n ,7ȑ#/^\ʞ=;:s~7n :t0a&MJtHf&&,+_<]4gܹy% /ibŔ>K,ΝĦMS6{J^?}v?avhΞ=-[I&a@;vHWHW\ATkΜ9v~ZʧXƂ۶m3eĉ1cƤ2TB'O\7M9r-33gN;1bjժJѣzƝQ^z5JF C[:B;~Ԝ٧OoK.]Hg2!B`k|2FL˄ *az0vÇm\1P/+ ˜9sժU}ؖ N/Y^ԩ;^xu޽LQM6A;uzV'jY acX,_~%kBn޼ybĈȲ7dl#TXQM,c)[jdsC2dذaR !5v Cq0"`?_xJۻw.+?1B;!ڵ]d W`rέb%8͟?:`J({D>ow.ԛʔ)pBzy pذaQba٨Q^xq̙X| /!lҤ 6c*T`6\fҥKcŊEP\8䡎+fzŒ2YqU ?a@f̸"cɌP^= ՙ8ѬL3ƍs01qHL9'xH],H*{oFBLȬݎ:*UdWt~1 oK7Vθq! DCܰk|2($C:\,\Y&Vi֚8V=Nd"L)D@0cǰ dCE,sMk RLg擇`!C ^1T…\(cEX&JIRf(*-ecB Йxw<011n+]}0[̕+d,>a ɉlٲ8ի#`ڷoMo pk9kɉxeQ*ɀ^"nٰ6x0$cHc.LPLY"c;Q zM։tXdA)fRRޒ*9 @XT Q>sS%X"PO`ĉ&T8z("F?>I0t 8 sILn|Ƃ۝ɉ _Mk^M'!Kꅀ14o=i37zY˒"3 WiJvV-Bւ"hLu#YbEYS/1EVtθgLf:yK5Q}0[cKf)РKS}͚5mjL'lOOʲTL `V JEia|Z9Uè2Yd ;e(W6l"(68EZbƀSÇ9cŊ'JwEwKYƁC 11+Z(LD5dH&^1Ù3gdDbb22LM2L*􆶝wCgJ3f 20æl1L 3ЎNۿ./_>7Ap&&fؘOXyy7o8ݻwDxNh[HH;oñKbb[Fs9p nv]@LګДe9!zab` tA6!&L9#D=n2X 4&6 9L&T2}3bu'6W<01uw@ lӦV4\.=IM;Fi9색Vk@Q5X#Bn1CĬb >7&!!2eb1ɏ;ʅL:~rl&Z*70"%1͕UJl=t`CqjJ,D.E L}:2Ī +=I3Dwh3g:uꠗ[$fi3q3^)@mwcY{Zro=/^~ai;G| 73G80o pٸq abȘ$t) aݻILz4ݥCg#+Da㦳<V$Nd̙3gFƐ7n܈ft0k|M%IDf@u,C)1'3ߺ; Ə#F5G}Ea84acDDa)C9qDҭ fT~IQF._r'<Ip* ͛7+a;rk0T6)nԃG!Hh\`#GDC0 RZ,nj9CQ82WdDճcJR2FXYg6EWH(RJ> Bt닚u$)0>ՃVȃہw^.d[9 } 0PR9sQR>n`mNe&|Uķ~ :PUw̤|u_zw7V=s:z&͛Z φ7p0C;wn{{bGtB,[\9!;pƍQ>TP"DitW1o;M6È!Bhٲ8CľAtEf%<CROxP)R_6?wlkw:`qY⡥Ka˗%KI իW]!|&c`Ėo0Cnڵb}⠺;޻ƍ?~ۥYpw Cp]z?7 7۝>s9rٳQ'>>> &A+]4 ̟?Ϟ=_zuQW^7n@8|wLٳ cL? .܌O>-abĉ'"?^O]|[;It:uClٳf 6jԈu_-Zh۶-ŋ5k֮];~ݻGjرc&L s;t%6nCeijիW7nܘ z9P!(TުV?Ŋ]~/,X1cF?Ѳe˼y.+`LJ(e0Mٲe}7g9>nǏ/U!CTR;8p`O:u K_7iҤ~mܹ3& 3g6l؀%ٵkM6;v&<1߿ߥKLl'?cqInР?3g6RJ+W&CL3rVX?Ne)BI$a¾#G)S '.W9{cPr T\d²?@bk׮oFu7#`.sG)$BЉdbrk0(@9sTo?5jh-[Իմ-I׏Hko߾B?`>1N{NCBs„ ,e˖eΜTdɥKb rp{W^)}a6)KKo]8x5/Z|y(_8 S\:PL !ɓGӸAFmڴ+^ޣ%L0uՋ-Zʔ)ď?RHYdmĉD0QDt ؈ϐ!A6-[6.d0a(З_~%Ej*͵иqc}r]Lʕ+̟VZu%I#ƢxxiѣGWfb2 ݻws- TK`Ȁ:$NxرsW ͯJ8*~iRI"03&FpEdb*vO<1cF8xҤI0+ZLq>{֭q+Vd2` 1!Q,b .\ȹ8 `_g&ԩS-ZȉO*1y۷;zfwڟ15kX`^^^L tm5~zBdȠ-PˏHiG;֥Kɓ'k=z`}: ~+ *]0tcذa!6&ƽcǎ RxҥKG Vr0/M"ZeP28܄!Byܹ3J96Zz >fWȑ#B\Hoox4DN<9dcsq0ÇWυ`?q5j&zN4)@Idqڷo,X9r|SH/”Sp;( N7`gEQO.FL,>%.}WWRM? n0˰EDz 2;H^9r$JdBY/[`Jf ˜1C۷ CdICq .F |b.E=e7ܛ ފbbxKPjU>!tu?.9(گ_CK3&Q8s L,a\ĸĸk߾}Y48JzK+I{ r…gbs]'fw?`bbD@11_Ĉh)R$=NfbMn'f9,{!=\Hbbb_Eߧ(r-^8|8q+w^[&M;ӧ#s1bP"4G+Ok4UB]7le}~haÆ$ y1Kwom.](|FW6+R+H.X`xP@"t|~s3>1 fwڟoLiӦ ^zT_7~x{ϟuĵ3.^8j(+1:̀bbMXAw"kKYnxxz󈒡soݥӖo)UQ jQt;Ji.޹s;dȐP/J=uÄ cӗ/_ΝCș3'zH=9K*E܏W VV?ի@%KD%rp9uЭ_(ǎȑ#xh`vJ o},YEjxN r>;i5?kAb `E}? 1+'?{l+/|cb;;𧜨ڵkCL{wl`[GF׿T?\Wܹv={  ޽{k1۷;qs`ܹFde˖2d۽{wڈBD~p%h%I {,8I2g~ cȹu`M% .ܪU+Q" zjΥ?qޛ;vj*_"o hԙICeB='%M6aǻk(a޼y;ռrJxVݠϬ{IpN8!СCgɓ'o|':ucҟ?M17N;111d„ [޾};I!l-IknРG$IR^={#kE;:5kF3M1:s   vgϞ[.VM6Nr ^FϓS`InjåsnXZ۶m#"cǎC򴈀iȥ;vHq_Nm* 4ʡp!E!SIDWӧ/X N4&aÆ%9f(U8 M>2Xj!H@h! HϙBjڴ)UfiU8=,|ÙeUDi:R=ƁSӏ̉%‹ݳgKh۶-2uFgsQ7rRl Ֆ;zp_7os Eq&oA5nbmb8J%fvb&ZE8qebs "I(Q%9uX{4J=zTy`q&X5kr)feɒ_e,\~=kjg` * ѓ'OUX$4hÝ$3~}ɓ'Yf6!y6 8 Mz7nL̙ ndر#o޼8 BxQ& TȒ:s:g1] ރgbOlA9a|h `%X,̢2+VU TXS sچo ?;wna%85 (+"E)h /|͚5\oW+&N:TY>TH"0AL``RBy bV%cjș2eJɀEB. 1^wqUۏ1ILcbg` XP #y{/X.*br&Ol% st$$4 yN_(QYWdۘR3"^2p!tՠs2&%'HFu%-ş]2}!E,Y'Q{{{,RyFglGDYg}YϸxD)E#q 1m_bbhO&fFe _2'Id:iӦe&3K(JEDaDȒeJNy/CW8kJ$!lO2 [NjhqvYD𙍍? kȲ) B7ypveEcp2w`Y FQF0=ķ #)7^%= 6www'Yd`(&c`?zXN'U3ԸuNq1Tf9˃C8,'2GI&~ 6p>foXa_i|͋1|'`|&OO6l֜9s>j"dNsq2H`F$CNGh@b6n䗙j*f)Na~}!uDSr ińt!QE<L,N.܉]cp 'Ef a}&KDx[n1Me2/Bd(-ɠ^є@Q0u/It2~zꅒi s+) ,?h~ +<3J3AhfK;IgӘpBZyg!}<BצlN{fR !+OKX IhҰh:m@跈jL6N2d0á@iĀ7$C31*b2V,ܝׯ_‡ LKa 9d6(ʢ3 AʫНJ<yYAAA|Xј}\qqXezi.dc4X°,>x2H"UL ]$@հtDi|P YѲ5\r^hW -V`O,q. F Y"B[3C]0 &0 Ah?a"@0ڝޝNF0GaP_Ϟ=anN=ί?UbC]v5H f8agdǵ^p!ƴRU\ wVE|jw:8y"ġcQP ѷbb!ӴiSd[F M;GUY.]tYPرc1[.RD $Hɒ%,X¾̍2e@X *`̹XUV޽QFx0Li6l)R; TV AX"s.Bz\>Z"L!uj׮9jܸ1%ԪU hpað{0~EDJf͚ɖxO&ƹV2bиֺfPQxZRlOl)& fbXٳV * #G>|8D8֯_Oz-p8 L_z`XRl۶۷JڈTyꇣ\Wi&/NcJ@]~V'9Ϟ=3f AS=o޼͓}H<\gí+`>ڝ ޝV̋5kkv]#* /s<Ղq>)n~٪Uϟ f!P,/; rʎ;ƎKE ܿĉ͆S0Ǐ۷֭\YYo޼A?x04)OK(DK;,XpNk$ϛ Eɬ/~uˠ/HE6 _}9GSx]ES)FTl\>1)^~1.J3A/ MJhhhzQXE V(y@LRIDڝfF*Q"q׮]I3gh ]\\͛GNyn& Ν.bЋb>Ӌ'Qdb:"M(II(dGǕGZeNh05JQh(d )L}(tRf#cf(1[nՋ:dxGӧd%cPxRdY»3f@>Jbb!L̔֟bd9)dzj}4`d`Qe`9gspB)MNf%ˠ%` J^kP ,uL֋ˠ%RAJ(5aQE(yRc'I9u^&ß {%E1hxP&&Bm)TG I8q (_N\#C6`j]1ybKN't bbh&VOlĖbPLX!$)#٘XNGzv:B1B4PLB'tAi`biHH۷g_=EV/\7^E}6RQ\)uE͛7ѺE]7iʕDymrq‹s̑&NEaHٹs^gppY ,`Yas)SP>G6N/Jc(y(00IZhd?k,)_lXR(IE =/\P뗺OlRQz6iR($B40i:*}b;D0M#C^QE:td>3 ar FR表oFV*&Vׯ__`??];vYfA!pE$((AZ 7oӧ !&Lvo߾8p`j\]];vHmll_ 4С>) 2yi .ȖiܠX!$ :uxÆ ;vlѢEw>Vضm[___ }hgj3|"&-`siQNcUDBNYxrQUPڵk PP!~˛7/-|KO>"8qwhjqㆽ}=5۷|QBeMf8qd/\o`ժUӦM˜9ɓY$mXɉ;٭[7f:88Oډ]1c鸮(i$d-?Vر@Qz7PQ&M<<<0dcL8JhChh(.yqJ̡X!ēYqxbeZEZlS@V+ʪq;wdXά۳ZQcZco޼8(Kk׮P^>L2ϛ),.]Y)eʔ)[,mxY#ND BlذSNggg8-D:tHAwNd8qQ E߱QƍCY #b_t #Y(_ zM ꫈&dk֬_MܦMؗ)!1pY[n-\0y%﯑,8I_^=ך}TX<?(Ү_JI&uܙW΂wϟ?ߨQ#ɓ'i *xʕ+PjUi˲XbɩN:"%X̂䐣#cN ȕ+W0^FaX[[~XI:c;(v!!!,ZH[CEt!SZ1B4?ቭ˳$"Ym7XqLo͕+W2Ex?ٳgG4S#g8~~~ =\y[ VYR%>>qݺu0tɹŘ?>K'Lݛak,j,3р12,|l֬5W\OQFm߾]AK={t(\v*݋)eQ; Mu֛7op*LlOl)&dg.]ZC07 '߹c]`m4l%56Lq0KK6ra\^R nuӦMiEpWLeˆYrP~DVQ;VgyXo'(W;uT/R5/QJ~'gęnӧOKC:04lwPt CM1;(&Vɲ;͊@I\~}vѻ#FMYD*$ !X7 ))۷o9EGnfsT- lH%`תU WiK"‘!s.XxժU2ņЀ޽cyʮ/v3S&qݺudCX ἈJ3p8X ҩ&&s<{ _%1b'}b;ɾ;͌dATHv!gMgAE8BH,'|ƈ J0.k۶m,$f-XrId1 ZJ@nEʊ PV"k\F ob!Id)?O/cA^@-f˖ כbL^yi33'V\+ 3A-a#GnܸV%g̑xLAL>|cȻwq-`5 qI:+D-.ׇ >n4`-:` yh,LL>(.\X>r# PrQ2sӽ{w`1B\*U0!N1-!FPVPv!'U;pt+ːƂ%k yj 4[)&J% X)X+ kooæ;8u3S4iǜ8Scq#p߇0V Dg;v,^Ąt!51vNĉDʵk䯐!ؐ+ \˜# -[ӀuR6򬣏"Zhu.`~WBo(fÚa۷oKN8YDAxx0Hg5&òqV R'Y,*2B|A~;d`^z5J&J{xfXK8H$& (YeE޽ر#"^@1ƞA4N{cCgj> ĿK톽+EKvԩU {=p@ErKMQ *@j9rcG9?kժ3T [nLnhwj!/zZ0? #5 .ň6V:n%{666 pժUL4pRN8K b'MXybK1qT$#SilolDEq_x- ܚ5kx͛7мI G&L6@"1סO(K Ԃ ƌ쓧X7lI#Lt,rLQ(j$)S&8l}\+ \}XZ/2bNڶm *PB,P([.~DÇ9&L ѻt^848/Gy #ѵtl aPk׮%Kh,Z Ν;tQb(ENpD=-mcGYP8r.]%t1:t4t!gΜ5Y&`_F4 ȴ,$1 `? a޼y\DNpgʈjw:*kwd8h.\Y!=/_cx$" xn K&M -$;'#1(%K`khEטN(e[ofyBnnnX%8RaP;g!?xyr.J .J$!o"7sfg򑘴 /2sDLJȌ& h6޸q t"'}ӧ ֧MR21pYcN67nA_NJ+lDEE> Z|jw:sBB| h_z3sY Ӏx6gϞB6TɃჶYZ7 YXL||ga>4+V(+WP =iFQ6zG,v1Xf#8hdӗda#K׮] ǜV&t[Hs[n8Z(]f8r2}3fP D'?FH<є ͛7\0F&B\} #jJWCχ{zz 3d:7n\s!'ff苨4|2S5̯Pk¸hz02VHvֈ8s1e Z u.ƍ=l8bb.R`<5RT1_7n̂8la@Òg}9dǠ >\w@1e$#Q,Fǎi%-/O ȝ;72E02,m*(sq&U后YDj!?rP0nx04[Noذ!BĖbHT&f@|4LvPBL8AF=&4.- zc6sb2eXu,ixe6l0L*Zt,`f9mDd/^}@/T tcP X@I JV 411` ;CXT]P!ʄ),;LΛ7/Ҭ;~8JE[Ske˖j4MCĸի3TG"Ak׮=k֬ӧ`hUM-0㔴hKM'6vM*/uC abF[%B)Ԓ3-TOHR _mqv?R531*WB=e31j؂f», RJaխ[XJhzTaPF%mJ尺YԸML y3iOӧp˚5+%si3: a )BYJʕXi}MJi61=er5i7~۶me˖e$Ik&Jfi T͈1)|RxѢEi?ȏ\AIaAcf֭[C KD0,vT$BNsqQǎc0Hg>TV,N:&`B\$ǚM99n#-~,*8.Dp8x P @49"MdRS,鴁DjDQbۀXt>:@,X1duzQϹof33*\<˕i~ PBXC7ߋx2qi,dH&Stq,X /`2iLE$ QT9M dC!Zlyˉ'իaɰ(^ kjFrcHNd]۷O^w)SC!.1L~Vx3 S8Dw#*0l.R  CigQLbժU&YǹhFtFfc| dUH8Ƽ`r;F=;Hz(rcA"Kxׂѡ%?tt.\1͜"##)Ÿ ыXjf$=0Z`%wZ$N`n`?0^t.B6m>$,YdI@޷üdb= ?VH25k wF!j"3LL01L gsԿ,68ew^¸ \x@aժU:;xR,&3՝x~4/qcf#J&Y![@ C"^ӆBi'ͦd,Y_4H3h޽xx!+W,\rqehkӁq\ffL8Q4bHi& N%cA$2>.ԂEp${DBe2{KX!?{,e2l"Ԉ`yuH*n2뜥+TX'r+N+C6eC7!<#da K!.y`qRmm,:" IM!|zcmn`hHX~ FS%#JIH D<f#CԄK E f28R@ 1I]& 20%l("L/ŋ!!!ޖ-[ E} ,@V.!Cf5̓DN003(drr̙3V'-U4i_ [L^ 0 jRXY LXuM *V4ʽ V%N1dP#k, xo9Ið`.E8s tf>ts%I֭[v>5jچ>ԩ޸qc8z2EP-9@0"d\X"U {5k t)<VbvA'O)SĮ\4*^8SWRJ &i<@9VfM倆kڴ)z±4HZKA)I&^z!'''d. !ݻwì(':XhQ<Ip?BS{!OTReƍPѣat&(QFɕ+q I(mx :t^ğab`sEMwfʊ8'[ԘX! L8& bvf5ˆ#KX{Y3t./^HQZ1%`=V+P/kÿP,Z܀dbI,Y3NE@4B&H<ڡgÆ >* s !i߼yS4r .DӑB0$3f͚x3] d9r$3QݎD #kH|Xz_XɠTZ*M'GE21!:adהC>@##19sҥKHH4iwNYhڵk3ݡy1={M94bNh%0y#N"p}= ye˖D͝;wȐ!N}B0L=zpMvJXC:(KËJbB+IwUE:Z'3ܿƁ(FSH:arRxcK֬YC9*HJ& Fĉ#LAc")gdXzMTēY5;dU2 48)j^#.Y\:rJ`+ .lkԨ(&Zn]:0wiرvvv *`MƍăAG¾^zFxQF,ccwԘ{XZR<28\\ ,;4@GD'đ؂-ʕ+'A#) Q0 f% ``h%hnF 6&x Qv믿8\_LVlwqeXCI(bĄSiBhA a4(:N1+$8j;w,\E3CN Ȋ]_2љ?~Qp+Ax+VdFp9$/G¦,X\MT,ae%Z`vx6 '>C ,aZ×L2P ^\^#L/ı åKQi-Ac(g`8Ĕ`GL &Mbd,Kլ\ƭ\rQ LuG,dq2&B!tʡTr:#CE ٖБlLv"QwY8*#lؘL}f3,hDQ-X +, ׯsOb±V!œLF\.j2EsKiٴd}f,8 c8 uy2rh >8 ]axXKTR$04:B? _Oڡp!uEqbѻD1@ׯY~ 8ݡS %a2&uC^1q G*R{Q(16\2I%}z!Llf(-2 p(Bʡ_LZʉ1dNb卹0VHp&>|8 Df)KKޱ )S\e2 !"YD&+ C(DiEeKA)\U,BYtX 6(el9#+.57Ƴ M+W8%]"J(Y@ˣ|C_F]K{p , V\YR2ϟ?O]0tLQjlc"bxup]7-ptR w N>!>\@88XDv_.ώr!w_F;Q<'<Ӄ2%cZl)hо}{Y#Hv) ɂ| ȉM',, scg |)ڀ0(*Oh D9B <<<0ʴDt 1400ݻwhsppFCT)D+z0~x)4{=XQux21#x "D(˝,38 j hgT|G31Y٫IDAT63Az\B,IDbٳ'hѢgΜqssp˕+GR`FYR%' !x1)X ׯOKK.-L vD`*V$OjBCCK(!* 6sJa>Hnd\X19wڅMDZ4h?~,J*䇰U 8p DāVa^tRJ~:).*-Sʕ+uzJK+G!(UV8 uEAx˗K04#gHOl%#hƾ}*"md/+\K7bĖڝN"ow:!wb0ݻs.\>ԣׯLtҤI,8BhܹS}Ο?_jUI\f% ) 3D*M\*Zv-&{Ƨw ʄk׮h"yntȻN:ǰ Zj)0EBKK*b3<cƌ!VC#8zhW@TC6J)MZƐ%L_hl@ɥN'1)D,G$h/^`0Z<2cnHJĉ'-b20M΃;a,;v޽`XsN;󑭰/|| 23GB#GMBPĉmll`63#ͩloo{FBP2%ݛ(iR f?&߄ I@lܸ_D9Jrd+Wdz! 8Q)MEf1ڵ mhbx3 ^`$Lʕ+s"GoffɦMFlL 6 viEL1ab;D&F4h?ﻗG]>=S11sJУHv_r& ()ElFg(GG3 ͛6|χCXLlx0а3!B8z۵keHR1?~K.q]\\);."Ѳ\8y6`/a4m1 1I"dIaCCC!ڰ0\Fp7ȆRG^sD0&V0M`͔bŊ5n|Æ _`V%lȑ4 `X}u{.]tٲeYׯ n۶|7*&,orqz&UcBiӦa$ЦM{rX.\n`h5kp3w\<-ɟĈ[jw:`1ЬY3,y߱cGɓO,E `H+ePPPFkDtSB9|d ¨jժpX޼y{=8+۪[fmmd:t(*L9KA#N'1+Dx21k0ƎÑǏVŋB(]0.mkҤ 26ZbL4 M,wYM6r +}ݐoƪP}||*Vaa-5 Jɓ'o^zu#*WJ-\vP8!)qȯ+lOl)& abt%C1B4?蒅Ko_kIa2QY6Ec˽K[8 8;*QBFï,9s-ZCr/E _zJh!+c eӋ/J ?~hhAd=Mjw:*,cw9s7M6^^^5j`I:=/G͛7˻ C̸̤/YD^Y? b:u ?;UJ2_[YYAHԫ?˲?".G#9&^z5bm 7RbC1q4޻40|VLҊӅ6pi|wA~P|eË1+8ªo޼u6ի 2oڇe #s!,s|ptΝe˖E7ujxw2d￑˔O \ƌE6$ bjw:`1BT,t+)lǂ5W\y…/t@,ׯ0">gΝ;w̘1Yt3n,ZH$œp?p]ɓ'ӆ Çlmmq%gC1JaC 3s^>0 z]$2z~I fb[pp04(B%qѬGٳg pF`S|1}NkҥK1q0yXA `V/1iqAؐ1$&L(܌k\-Qa1LlFڶmG4XN:uUn :^zt :ӧs2WQ$/_.]4FNvZZ)dȣ|xcWrƎC?j5:8̔Aϝ;7JYQ3}H1yc\"С!-'tbvG" fbƶ|FU#x<j׮=}t2ԯ_? N:-0;+=`4qL/Q3L~{{{hP;ܰaC -[\'$׳ [T8‚˗/P(3~Z֭[3Q 4k e`*U~:"UV?1C5k Aҙ=<<'G}||v>ckk+wmDEh xȐ!4Ɔt2_xqHd'@3ği#٘XNGڝNI\\\BCC"|m} !QQܖ6dLdw.|}}===H}Q0a?~](('N߿ &ڝ&+W(Q̙3Z\A!x4|y-P_ Ms]vQP,Y2|-`L7՛lmm%ҥK " &U޺uKHlٲ%bw:]t/^ RkӦݻ hI &ZBl 8p VO"S@xxy+vܹ|Ee˖EhԩS.\DţaZ>{&rg̘12 X &G}QGjb,X0o޼K&RGu|tiI>=CKCꨎZYYʕ ə3gE49 O[??)eO" SNfɳm6ZB E'NPٸq}0\-5b̙LsmZA1m4uO!2eiGIåKckǏWReΝZ\A!U\2߿_((&`ggaX~!CާO7nhqþ})¯W0@1ڵ*Y۷" ԩS7lؠEpb٣bakkaxYPP_o9~)S mڴiy=z>}Z'!:>8r4_kĉZDÓ'OjhA~~駎;gիW3gOv-ܹ3U|⦁B Xp_wm8}M2xo߾/_ ɇs>|X(/I&jǽ{T gȕ+ĉkժEnݺo޼K.]pJ֒cƌ?S~iғV'q-1p]ҦMۭ[7$,Xl2-`PL?P[XGѣGa͛KT'F9::veeٳg# y\~}ʔ)ڵ5j͛7ɳq˗# :u |$eҥRO?2z3f 1׬YӵkשS'h(RJ޸qG.zvZZ;l0y3'OΝKղ~O>=ys̡4۷}40)tp„ :tpuu-\Ӄ}v''^z#Ca?=`*7o^xx8iӆ^ӦM{.@i' 5rM6Sn޼J֭"={,cҾtkj E> 捆 XB|͚5# dʔoGů/X Da8/_/d]@rp¿;ȓ-[6R(j׮]_|7|SXRJ;vӤIQS xhٳdB@Zd?3Yf%ܴiS8.0j4FFʟ?? #ݻazH!CxCe.DDh`qrM[n͛>+RUV}EQݔDxnݺ0qȐܤ#G^@Y^=ݻ7U%O?t…Çy 2htqڵfȐA&7pƌ F@"y)^ʕ+Xԯ_?CH5jԀߟtDхhV!*T/$*U*t'nժUP %Ur*EmۖD$d_ATH8&G&tx޽ɓ(c8YfnC: 0āX"ad1W_ IHdhښD0yƏ_r;vH CQ$)a(a?Zn~ N# T+WOHM"ܹ3ymKI4(I.sQZ"lccCOuoTJz|f h> ɂ(3Y+|I'6G\v-Hab+ ZJWWW իWaBRD{ypupBH^ٸq#9~cXH]Գab|wDZND)rZo7naD1vX˔)v ?n}h3)N2iB"B߹sG0n8eԩ#7!ҡ[}?z9.jnmkJF(e4K~q/nz!xIa,YC~uFLX4ݵk~T#̙3BPL/2 , č5\x&_y0~aÇCdfUh 0rH'RhQʕ+9GBw& l*T wԨQ)IWNTvq20t (RZ`:֒r1d}%,UNc&Føeh{9p@OOO<D)/_,"{„ eDX{yyݻ&fLi%=駟 kabY\+++N5k֌dɃÆ h|ZDcPL/u*/1M4@BHˣ[@Vpp0aIoQ666ew&FrmskPWԩڟ\P@t[n߸Adt8wRC4`?l0M[͛73>\<իWa,Xha4ԦhrnҤ NvboZ=aրZdU!e=zQHZ jq@1ƍ+VԅBǏMeě7oaL, ΝxRfΜ~z-mۦnŎ;w(((N<9d`vPL/ڴis-`x2)Ϟ=ݻ_gҥKg k׮ĖiӦ9;;k䃧'- ≀;wL>] [l:uj(lFX`|EÆ kР^!>PL/ԛ=,ȣRJeL "ay;Fŋtc4i҄Cq8kݷo}R!TFޭC(&ڵSI&%*S1rɚ5kpp0a|GP2NkΝZA$=.\ȬSOG& ___ĖŋUT_@ ׺u_o>(΋Dĸwx񢤇0JM%uyk׮\y:O653gΜ={p)lg]Dbbj_~N@"W|H "oںt24yaڼcɬ=BO1~eX]\\B.]WH(&VX@ :w,~R׮]%VZR*R7|QV|p6%ڻw'O?P6m*;ӧO'J m׮]Huԁ_SN={vBXĜEo%CΜ9΋-HQ,Y$R pj$>}vȑrpܸqi W!&'''=.P zѷn)(>+(|H(B1cp[nӧO?yWJ~dơr!4; @>/Zn}ر˗BBBPx89y&y;y9ŋgʕ.\@ÎD͛G+۶mta"SӧӦM[bW^ʕ pQKʭ[DqA1YQ҇ rmZB2&4eR?ӟ %R$EEPPÇDCCCFqhԩrk搾?,pݸqĉ㻠QF_8o֬YY&0MƍRP^`$nW}b-(Q01uرP>Ș1#7hЀt~===B֒B!C%ED'%[l؊ǏwIׯFEtp|;C򩌰0Kԩ$nݪlߙibѥK/& Ok|zjD!%]t5@$Q$@-WZ 'O$ UDSXd?{ͬYBr.|%,L\reCI2ŋ L@ܹ)RBu^vݻ}/&իWɓ'$[OyoFx͚5Hh|\Kz…1E=z ٳgYGr؝Βpbkk+D<S]c($EWHP(&;wVLly}vr )DMGfg[l1dٳ ~;r{WHʂ .t v*RrǎRJAs? !K(aggwE Dܙ"ƍCL)RR cǎp+++jXҥKAJ'VXA!~~~={ֳg.]vN3m'#) A|S`JxqBb1m4A=KEBb.@@1q0~9Gɓ Hg>bŊmذA+$&yfr\]] ժUkƌrHAAD+hX(QbsRA1q>1~H: e >}z<RH,^xZD!1qҥ2exxxhqćb;:uR,O2=$bb իWƯW<?~|< GGGyWEB1  TσX< 4`TsiӴB͛˖-Sn5;v ;w 2Dګ`qF^Fbɓ'k3fP5<|0]tVP0)=W($Uh Is{" ɍm۶;V($={ֲekq2;wl"[[%K޺u+aæM7o<==卌 &. DӧO q2>j(ƍ4tN_ 'RI mN$,)?&r._ƭW^&wovEI.ԩS0ZDAaL"4?`ڝŋ1W$7_믿CUO%^~pBuSD`LB,Jrqqqww7'%&MoxqÞ={k9yY9sL[h^aRuppPR[nm۶}WHVc,YŸ}}}}5jt]-[۱c'| 2dԨQZ=z|hQj޼۵M̨N:jqے%KB"`ذa 4PN0.Ӳm۶IÇ2d(P@ڻwWHH9ss%ҍ? =zBΝ;'Xk׮Q]={%{LJZPV-s˖-dqђ1M8p2_xqxҰ;/_Dzh|_|թKZxʕ[Q@4Ν;KXJz[n-;o޼aaad=zDɓiC2s xLFO!i۷o޼oԩSRΜ9+W\xq_/\IG4Vծ];SLGPGNj駟6mD:tE4M4Eꫯȓ:ujIaP`!]6H*U@$۷/k֬+W. bŊKɒ%k3fW)8-]`AfɒŋO:Q"' `֬Y z0`ɓ'B"Qn̕q˕+ۂU?}4|vqaCΝ /Z(00 YFq N7oL3f` H)I-7o nԨGC0:~ٴmF)_|ݻwAHI8 2Cjo9'}rj1Xua ;wV@'׭[Gf7Hm dI:t6]yqBоda Q-YҔB 'HjA]Rƍ1`D($VZ4VPH"11d׿#:qD<ѝ/^@6lؐ={v *=vZbLѢQF]xrgϞ$޻w1cC01uUZU/;M4I*oKf!pF>JM6Dd6mի˗ԂСd&L@ԩC-GKKfϞM$Ǐw*MFf͛7 # s.@ CKg4x3DbOe&dxҤIkZD!9pUf/WHP Mo `Ne&Q 1$zC  0}tӧO߬Y3 Y?~ɼvZ40( `'OT\*V^ >\JCɉ]({ע9Wg5d+CJ?.w!92G[,Q:믿f͚vCEBiҤ&FCPe`b'Zx16mZ?1EEϛ7oҥT񄄄%OH؝(~nJyM8s Mռ # L-L | -`߿_($(Ν[bE|-`b0&MO>'UEyGG`$F8~zC㈢dI#F XEH^6֩&o7nL"@~`G2@7oބS ;::J<M>z6MuR[*E/AXv͑-q)dK!zro=zs2eg]tdhѢׯiyh ď$]e_&fꫯ:&Ė-[0x-Z\! gwE˗//Q&H+fw>n_|%&/Gӧ9EPuabQxt)%K$(@;wnf-"[>x3gNT#)7ntҡ;Ñ 40jժ_5&+_|&y0R͛2 ˣgx4^~;Ԉ'O|݋Gp`z8烺>>K*|w01 ̟?_~)Ol!ܩ6MoKxBEr,N_`tۇNKVF y*ğ⢯ZJ($p1)MYX4?=yhbHϏ)E"Gṅ N8Ź!/_ `_re̙N: ĥ3Gt&1JShJ $7ol߾]p!ZD'g߻wjٔ)S(S;]XXTWmib[xi ҵǏeƴI~hnJsuueۇt$ݻ޽۾}{_1nSNuss_N%/j&?͖d12d3gm .\}WX!2Fi<`m%Sy0q\1bt@q^X_X141|K-*UR4 VZ"=0q&VHz*GER$cw:͛6mگB y?e\Q7|&M Ɖq\|yL63gfLf͚%\}boߎxq޽}¾}T0qM ?~ҥ+Wh*ի ВL >D&Ė&^&M{{@̘1#;v={.\X1!1),ޱ˦MkqѣGj:u q@@@r"$\!ի>} AAAŊS&NN}ޞkS艭#F 8P($4-Zv/^ɣ ɉ[n1 x[pc)$ n}?)(($988x޼yz2d Rܳg<"t’LJ$-Dś7ox)-o\vmZD 4qa˖-_}UvZlO?9;;8cƌe:ujɒ%'MTtiǏܹsܹ9 *"ѣGZD!!z9shx+V={W0C(&N"9P͝;r%мyݻѣGDw5jdooO SL1cxxyÌ d77)޽{+& jqڝN"ԫWoĈ͚5ӧO/.oΓ'ϊ+ | .x͚5˘1#0L!:u"2ѿrXhQ}aOl7n2n'pLcv1tR"}k2dH%7oތ9Rڳg?Я_CB5k$q֬Y}]߾} .avOl ^|￿xB+'N" 'OVX!U (MիƍSNݰa$ v=cƌ .;wNaɓ';;;_*}b &PömvMI+++&bG&W,o޼ڵk^z%)Xtɓ';vDj fby%<[s8;;ZJ(L=z@$Kĉ#g s|vSNmӦQN<ٿ 4?O(&VHR.jROF~`9Ϟ= y'O?~Ν;ZX|7%r4ӤIQp/2ogݻ_~w^ ZhՋ/ңyS3gPDj@@҅}]6h Ee%EǏ}||h␐M6鵀81;w$֭[ӧ_tI2yxx={Vy򥿿ްSN»wJCt_xܸq(&N!`U/^\\9,W\X&9kyoF*U-JǾTR <ģG.UT_~E'~t}9s&S~_}U4iO TԢE 20nGݝO?P]n(MEm۶EhzʪM69rȝ;wϞ=?3%_!mڴ*z!N+WO/(TбcHtwwC"غuSN-6lؐ NNNdrZE^֥KډL*(PVZ=X"@uQr40gh(\a-'`Ma5k ň./B0@qa,Y tdh׮QbO Ʋ%{d EAӧeIQ`,ʇ n:K"O ͚5ѣG3f ,RRbF#gGE̔̉& -_Lz/cƌ!Ev3,81*g?t~i')gΜ[xL2dС$N8 JXvm:uԫٵc-1X4jV8.Ydƌ%o߾101Ԉ_>ǏC6HƺuBH5"GdfL͛Gp aXMm C6nܘd41&Ikқ7opNQHTdWD01H3oO6Y # TTiݺuRI(K9(~Ixܹ2 CIh|i[%dϞr$R8Grnv-icoߞE ?^@dK!r41+A tw 'Hgr&MVZ}p7ݠA2߿;KE:&³'"f͚ET '20}uҥK'Q8W\ɓ… ZI(_:&;v,<@֭[%n& RjeeEʡ !2h\2fʔ)PB8wܴ3GĨs{-?%'/\>KQ<ݻ[B,(VXGR,k֬!\xqGgϞN:E@Mg'dT}WԩS7mڔ'YFSZsʕ$g^rqq!ܲeK jԨAEۋ/(hY¶cY`ɒ%Zt)`%ӦM+2ܿw^n)5k~> U S+V޹s'a08y$%_pAjΝ;M~h'UHDItuu\X}q˜lڴIxL<" 4Bʁ21-aիW.RSXi+op͖-[RVIeJ*6K,?۷шUV%j#Na1sx'L9+9&!aigBs :J>}4iw)>tȒ1cPs8EdtÆ i$97n_r22iӧ/^$eȑd׮]P§~JE֬YǓ⯠i3X+8|0L(*Z={BJh␐$.y֭[!ѵvBoߎ|iX9Kwy"$ ,X ;wKD9Jk ={6݇ERIEQ ]*ЧBGh'@_@=z( ST -^^^ZNo$߻w\B c,4 U~so߾@ܹsrrX,`INWH-^X(((;`gu=zD)]H׆* gϞi߾}~v-޼yCb9=<<\ٳga O.]6m`Л7oؿ҉7  fb\2ewSV\9w\-c`++XR4D|#ݿD5?^hK@S1T(ݽ{wt*#N {f={ۻVZ$m_{xxp9ݻ+]4uΝo^R%3@&Mt ITݶmNʕ+yxw̙x^^^ jGGG۫X)I&i"EN_v y~O} \n]ab!Ǐ +Y$NѼpBX$]*[`:ޞ(g07J;vHsоe ΍7BrGdڴicǎEEϟҥ Q\l=QrBQN9rŌ #Щwww)1bLDX`biHT!&gaL!ET۷EΆ pQHLHjժHzjkkkt+W`Κ>}:344tРA>>>X%cǎe˖mƌ0J՘HdB*U\M6\aJ2s.:-^͛r. hACP/nīW3Kuo>, \rz,YBɊăeN7n-[VLd\SIyFQe +̅c+R4Qg⥾|RrH/+btÆ 72ȸj$JQDaP1<<ድv#`!Ç%aû,كƢXOOOӧO 73g@GrTr0'Oʔ YL FH 7oޜ4e^L|Ç=ZKUX7N0)zwZ!`xmgg׿TRs ؝>z1&LXv͛7M6yI&^v N ?~ƍƍ>}1c ',zUse ܾ}{ɒ%7n |ԩSٳG\\\"sɎDZ\A!6i *`ދI(--={DzHq{gϞ" cjb_ћ00dBR{Ok9r'|rI.(xu'&U'1ϟoRLehX}۶mM6iIݻwǍ֭ۓhhyNigo112K cÆ ̽}0#4CdTz-˗/Lrvڕ!ЩS Ni@3 }b6$?Law:_|U}w/^\;v.\SLI%Oҥ&+V ի3nnn.|[d K[fu4i87G$L V$;LA3tDWPLM'KX%x*" C+W0a&zїX=BqbРe9Tc#5&GC3LRJq%#2X'P̄R`A.=a?;-aTYZ\A!0]&k#P>ö:{,ydڐ=O)*#BBCC!ywÇI0vA zV%}s2K G!Hy|*%0Ɋ`i۷Tb H]!(_' dd@O7m$n1\psLOGĀ27}w9DMl_] f~ۀd$ILi\ı}vر#.Ч$' sU򅉙x~xd`P\ |5!NqS,x b HiEM!aaLJCb` Q߿صkײe˴wIUL:USO,8p#H<` QĻ߯Z;CA!1`ƻU&MܹC͛Ѐ?2( q{0իWo,4?~9y @mK c@f( ''@RpXbrݻwo$<^t b$ BW 1%իWk׮dD4[( ,Ćڀ82%JD !ElSϝ;w]8Xk׮AAAT|}})2Kv <۱cy W04=͍5_J(TQ< ,yCHі]Q$21͈ ep=b;ݯ_?F /+WC"ru802Eɒ%:f|2fȕ r͛f)ѵk)R$SL Xf )x\e˖Q5e֬YS 4W={̙3ݻ׸qc>a@yseʹ$J"ׅl-[Y░/Â`ϟ2Y 5e0+B/X rKӧt_L~ 9ps޽{ 6Y /s_ӆ\rkbޝƹaJsZBbŒw!< #???$ڑ0^0piIM64 v%'b5`kV;E.1Q YZ[%l42 S̀D9sо-hiPQ #IWJ(21m(b搇ؿ? L$$\3ds`$C"-dW}HFh[&ֱݝw=j V z)k-:2(adIpbxfϞ̀xxxRT)4'''.M4\6}?cܹgΜr q)SW`+*U*y|lٲN,M2!HC~:ujj'RWJW&ᆪP \8%X|y;wdnC)>IH+bR}xKXx|s.Gػp0>恂BtE;C`V`Myl`Jh&|y1f ,5ӧϴiӴ$q;t萣q@lwkժW_pBP ~Op׮]!ʕ+6#h _tGB"x*p6Bޞ̻w~U*OH.=J!Q=?~6mZ׀DJ,ښ$)P;(/3@=aDpdioooxNwarON/FEAg֭۔%K9s D! d\7xIbӵcbӼys邂B5ql臀n:?Xg䋹ZoR"VOl5j|"4*{hGf{Hl`3MX֭[ H^D$Qɓ(y0\*UҥK״iSH0~ Iaby  2S]/dɓoC$"=sqZ,XkeeբE -;DΒ(;hhiaHyXY3/+'M\UF0\P>Q\ 215%|b.]ʨE Cӻwo$` x )($xw:z>l=1qsDmJ6~M4BQT {ٍT[:`~H-caw:}r#b\z(MĩS ѣ&,]eT2,H@&^ja FݬY3sYu&F}}ŋ.L s&ѸQ_DJ͘1~@:uHt?Ophn.k ȝZ",;C...eXN>Mא\tBCϟ?O9JZjhYrMwiW_} Ocz-5(qYV<<<5©*V)C%Li 1v1q; aw0/0`֛l߼y̙3c= wD .w1X&4(tÇаh,#;w9Jȉ5ҥ#U'D1XyG "nzJ't(Z4PK2DJfh].]',хę>}8ݝ9s.q߽ #3~xH "&4@)ʤ=xBِOӦM)[nmbJC<9!Wy0[6](S,]ƱeֳgOfgg'|=# r6v"P6,, ,ȬYȀ"GB`,J?D_!ŷ@b[9`b2?j @0:bڴi!z〸=ȑ# bxc>Hv$46!VP!LёWB`b(رca\trt…d@}¬hbvذa9xM6BC(̘' =}tA*)֊/õHp9t)p'AǎǏ-䦵U.\Oc/// \|R#!!!9"(6:thժUgΜYfM* |XsN-1izvZ`(zqOHKdHSa___rQ/$/^9DQc>G9@A_|dOi0E7Tn6ec W# _W4!(O޽ IFBc!Lx bڝHw;-ܰiD|@GBv=<<'S;Y@yɫ)bwLq~bK½O>wFJ؝ww}ߘH ޽{)KVP?,vw|Gc> Ol`ž7-uwE(,ϔ)kz9pY λӇL)(t!$$ĘC M"F:t7gE7nދIv>ƢNCŋѣGժU'vss+\۷o-[&K,WYVx͚5-}ܹsˠ)(t}Q(*r<%/؂mD@@U޽{۷wvv2Fv}̘1ڣ۷o뤂ݲe  4w#KE9٨ܹs˗5jوaXo. D21&uĈctNO6-UT7ofvAԵkֆZ47|mV[9sfys-O;_L ; @:uߨuΝ7hĉ%RӧO&M`ׯ_;ЪU+Ç08Sʔ)SN3glڴiӦ ի׳gw^dq.]RTZ*Vu}M4C*Tw޷n7nñ0zpp5h"CM Ė\ .y,lwN¾Yf +U[ Xx-V=L-0~-a"82-`zPӱBި֨Q62ڵkӧO9B6F#(e˖bp܉A+WNO{xx; QJ*rs Y 6L^!ҳgO.5b===Ar#`:H'tܸq%;; ©Y/^xXXX,Y</SbΘ15F믿֭[޽{SڝfNs ; ` PcJ:dGlJ˗˻=zCC#Db"۷oY010=  #FձcGNAcv8#Gl 8y$ ؾ9POlYYf{aIӌ.IKƙzQO|ȉSQ͚51CzBRO~̍ طo_էO3gNTg"Hq>}PZaIppԩ$gݻw/Z(}5k|W̫~ʊDxwtxzÆ 1ܝfVTV-&+($/LMiHK ]eg$˗/M;vmxݻeȑ#۶m]V}Ǐ@䄰_~MbXXeA0IQ1)-YB31`&OE;oUZuڵ͛7"qٲexˡǏ6l8x``0]& 9s|KR]d'8BBBzvN@|hw͛7͛7O+(LbK꯶xzzZ[ :woܸDp=X`.PL`9xiţEXXsb<gx{{W_p,XzN)S&M40 $F$5or:t4kժ.]p`xsH-7^K@@mѣ͓-[o( cDj̢E9o߾htyCBboݺeeN:/|;})ң:ر#҃ f &pn݊/^HL3XnΝ;abx ~L25Jĉ'L#G 2L2p޻sըQ?O6mߴiӧO!,5lذ9srV+W+Tʕ5kּv횭mɆ4DO:dɒUs5rzj&MDAAA5n۷ol8qxYR/o9r$+̓'yt׮]}NNNTRԷlRP![jիW/I_re…dB0ĘSH߿Nݻ뭬8K^ެY/"uԹs^|yD8p5+#+X.^YjVOM>,L2f9;;;88_ O,XDϞ=J˗/Yd149Y ,^@$ J-b <YuӧO Je˖EȕOK'o ?~P;J ~ɰvgϞeϞ`k֬ԩg}&_d|)bΜ96l(Z(-otmdɚ5+2:QJ*dJ*Sɜ93aƙrвŊ#36D P82_5{CC"Cѣ4ipϨ+/+XFupW7T%0{lt(e׏& }8q+Y ۱~X >}64A!A-Z)qもe˖;wVZ!r}y9P)‹01PX4J_t| P QGT_޽{0JW!1p[6ݼyn) _|Epp0$Ο??! t_̐+ĉ@iǎ#D eR5ap†"ǎ'& T X\"Β:}()kצHiŊ{f@Z9C1eb޼yGڴDӧOO`…d;w.a$WbjL<$4:$xiO?}Çܹ >\]]wRZxx4CpOʠACH@abKC"yO<їHmh$Mܾ}{Dx$>M%@KH&5ja0`aه' #f̘Q7 JӧO8p aA DݻթSpŊN~#GӼysVamk֬х Ho(4^:wLC1 ˣ@:J.M" w޽ŋF>' h>¨C˗/'qFH!j)[,tWMց졥k׮9s$bIGYBψo:Z",d /?O$Jwi4\N$v 1ai bbKgBipBĉOݻz \ƍ;4q}*K W, 4VP (&Vd_>vLhb  XhkXz<ՕB "  |bdL PX XOl޾}k~/\vj߾}2e~:ao :u*'~i bbK=*Tֶjժr:t+Rxby$pww]6//%KΓ'1i bbK=5uԩSoݺ5,,K.e˖%@۶m 4k֬e˖/nժ3Θ19s cPjwZ XaaOl5lذgϞ__|䅙Hɟ?zZh;wnƁ0mQڝV0(&VdX[n޼y' Z+++5K,u/"isRX>''9rԬY_ 7i bޝo90o2-!l-B))ː6IlE)*%)EvIRQb;Bq׫^\>u~2'~_O#>;w8q6l駟9Rt-ZԡCŁ^~ꔞN'*0JH>5vXH|QGy睍7.WҥK۷o_LW _})UT`K.=x;Na4Ӊ '*d*OljժZjÆ ;>9s4hЀ4/_޺uF] ;v6lcPz:(!qBBVժU t:QQBDL󉭥Kx{Rz:(!qB֊+fϞ?oJO%$NT4tП/@(=NT`8Q!ӺĖwdڗ_~|˴5t:QQBDLkqzǏWS-[V#k׮bŊ~4:K.8XիW GK.mРA˖-Hsϵz'vz:(!qB֨Q?*OoFzׯo`Ƈ~תU+~{ohK󟯼ʸhܹݻw,Y裏'|| (=NT`8Q!~b?˗/,뚟}Yq7x fdI'_oګ ^}ق 6tӺuGiNV:f.[Ln}gsq,/`z iPب80R⼎Y'(lJ'OxΝk@tĉ [<_lРiִiRJ)S{5H|)vaj#<2>۪U_w7AM6$'xblsϱcAjҥKogu1?_Jiڴiӌ 4h]wNٲe30]vSNŊ/a/y7{<[n1?nҤ~UWQ1׮]|gl޼ 'Mtj:b38M-{?cFte]la*`sc;h'.,i/ؾyر5t:QQBDLkBw]NPK0^0.H/1c7$=gΜsB>xĈwPi֯VZUW4k,k۷G}4j($dYȑ#iLfUK'xO:UE5jHR|<n;M6.I>TS[o5mʔ)GaO3go gQFm°at.>h!%o~J*@owԖIy(=NT`8Q!~bKUfUzn?>d2\h쏻0gϞj?O ,u饗/\{P++OpFL8Pږ;`+|1-N!iЖ"hw]P]RdGc}W+Tѽ{lAq@nݺicYH~5n/Wc!>%+Wx{=t:ϙ'*dZOl :*Wxƍ!ǼyUuMڵ۶m_ zꩼ)XM Y >w^UR%~`hĉ=z08gmc 'pAŠ XwU|/L_~rٳՅA[o*nyZ`Ӹ-yWr-Ucb.裏k]vr .8Ԗa`+ *W,6 ?'x⡇j$>H{//@|Qfp(s_&%^{@)擰wv Ӊ '*dZOl 7oꫯjw9{d:x.H >Mx' .Z.%?jժ5rnb4hϺ`磌Y&LkREXeolݺr`qRqB?N637n\:ru?X|Æ ;oUғ'Oر̙3 g;v?w~ߌ]xF{g\wN'*0JHi=|b?ׯ߲e:w|e5n8ހVXqM7y]v*K%\rg/аmҤwѲef͚-\\Ygg̘[nݶmO?=~so߾M6U,rdoV֜6m Uhϛ7UV_~izO+Wo>ᮞviuŭ/hZҩS'3U ׯSO=5- -칅 Ӊ '*dZfՃL*T{<ꨣ_[_V1תU+e 4hЮ]~[j歷jXsϝx0'(Sĉw30}PP }gϞ]lwހ/ғO>Yzu?MV`wmݬ߳gO ,zWF>=⺟C3o?b#;N!](_b]&0Nt:QQBDL[JR'|ɐ>^o&UVN`dҥp@N"4RJԎ͛7/bf=餓 *R ue5/C38~x:}t(?TOl*x)*ZjVw^ݳ_N2E[e-x),X']e p]@vT1^E#(uם(JO%$NTȴ>ks1N:Z٫ P\9E2^ .s9Gn?϶m۪A!i`v̙sݺuS=[mSO=8}g8JR)Tdx JDq]+Q`jK25e^ASꪪj&M vwv#8bРA-ZXjժGN)=NT`8Q!zܹsg+l W^;vv ~*VZ{0+lٲ3<㒼 1fٳiݻwuZ] b[kQ|G*_1cƘ6vX;0^ea4zWk:-b9s סCy'=z{lӦM߾}(N(=NT`8Q!H*8Q>%$NT_̚5wޙPhƌ+8Qĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(цĉ%J(ц … c%J(QE{o?XD%Jh}Q&/yaլY#8`9sロp_>c˖-=9Eqy7Ν ۣ>駟ֆ.\||g -X Y__swG+Vx'͛k~LhѢwy'YͿZ/K/;~x%Ͽk?|4jԨvs?lDUGիww̯#(5zaigy|7|?w9 +/Ç;kCxnѢE^B&A_~'V^iӦkR^x!Yy{o5ton`SO=5?6$8qb護޺+{38#YK:uGx|?ϛ3gΖ[n[_p?2ausa5j=PI@>СCgn&C7stCˡ5s\ q =Cӽ+!7pr 1TW<ϰ ѣS<1F>ȑ#q~qac #8B5l䤓N2dg?P-cƌCYx 6x 8ɓgl^,!e:v ,}eO?8@H[ʗ/߽{5jbVƍuM ̮&f?,}]wݵue]fK/Բn_4ڵkM#O\r2 7WÇMA @i"p6?蠃4TbT9vF $ dKCUW]+i}Ĕ`!C@;{C9M;$VCRLA dd(;l ] UW*&DNԫWOd?)EvRT8l3dBu¥pn%8[ D}LF&R{G89E_*-Dśoys_ZX:HzƠGaI(Ή$ԧ" /)g).})U-[Va)1hW-H{V#@ XRU #CA{EN'\V|W&Sf_0uI&H/S lONɃ Wڧ!;rʐS TD8;Ln.7Yb֜L.4k$"DyKM< /CHiL=.%ӺB1nM6 SSQ=kI煛w}ip]x 8#g`!$AEx!+>^2sc{ќim۶ĵE DjqA`?Ӊ;]C8X_P : $Јbeǿ\%F<A9EP-pbȫ"WG]rwygٲeth˟%1 *aJovJ!gzT*&#P*TVC,|5k֤iZhmɒ% F=ۧXѹ瞫䒖1p%9c{V`xd8bFh3gΔCJjbZ "ެLw;ٳU˗>cae;g<"stD?j2i]91O] ppZACVJ12֫6mjtMp(;*2{S9MH9$L#Q+9g2e8OV|3 hl*UF@2t#?@:u2.b$D/SF:td¢נx$dE .A3g, z>䓥K?!MSU A„tATU( ŎRtxgP`Uh_ve @K2$ɤp =z0Gl:BxJ\ƕәT=+x H#7fVy7I>m2<6<9`*P4KA0j߾=R8 d,-rDRM&<0 { Dcw {ذMi@846-zer1{72 A-ŊqR~޼ytve1dfbM xitv4H)%&6ȃH4:ݥmWIU}ǕSs=.U5Ny׽\$6dH(!qQpZsRahٟ9U|#\&kB4XY٠*Hqf‰h%#av)%D@1!pcr{)sӋH.X€PB:Zl 'R:lbX)s]wϐHr!f^tL^fdk0 qj-rLkѦ \ 'na'FΘ1øԔR̘$-;Z-F04{ĉxAF,lMsAnh44gc)߻wos0mgZK#n7ӚV! 1nĥA.1}%$(ӹs|'W?|+DDSN"CjxR|'Qaꪫ21,uHrV).]~vwC@DP?GM(QD%Zt!~qM4ib=WbJv2eJ(At׊SKiԩݻw}7qkrО{o\ Wt8}|kuWLSYUvfWWt8}URѷ^:\-_z1l{+QD%J~?^`ٳ7?N(QD_?~BD%Jh,X_M(QFK.P'ʾ? ׹G̓.Ӹ~aU%(F\͘/!%@9X oɺ8|'3>WsX矹eӢu PG*ql7h ~w}+*{A1y7pRj9[]r%.v8LO+~(N%n_%ҚleBj9 M'g1#9se̔j˖-GaPjuTBV_OU޹sKu؀1a„x*O.Nt]w+$W-~'p6hxXϞ=3g8yxx&F@.=5U|HFܖ@;v\UAof۶m\\ 6L+?)N:,0gǟx≺mڴ8+A,}H /P6tr.hvCA>[| 'D5bĈSO=yu_'_|EKaۄ{R6m?[$5kƶ+fv6`6 b:k0ШwZjD ~PHLU!O?udq_~{[oPSũ1ߢE Ϙ1ZtAgu.0ڌպq,kƍuwWCX˕+6Ow^fC u/25j]8)Bb+ bEO²QKP5\SN9%3wLPu[^~hO>W^O;4?v@\ò1cXljbY[ǒJV3+ڸfW^lYI9IbQ8:95ku]5xuFTx3oa)x:u4|pbD\J\%CAA2L"Ec܁XtN{Wˡ:0{Gs^6`k4Nxݷ#[Vc\F;^M[!{(sMVđ).uJCk3 2oV]Д/"f,U:/Kܓ`֯_3>Z5jdlM} WD$..8.ʉG$W~NX q9uv`OMhA\mӧOgQx y[o%0Sd`"i38"`OT~{z *$ciGdn&mmw=9bl_nBbaAc-ց%NA,G;iP: U;{?z!@Gcbm6ɏ9 0y-U.]UFzw&m]’̨5Ě׈cPvmW1DDHn2mrH[/!UvI, 6ΑM9"x ZcNMPGydcI|Gӵ,q(VI10;0 jkGI ,P1IN\%b%%v $(ZcQ1i%8Qw^#UX&>EX.ДB|'![f,@aLH`ˡBDQKwMNn8Qc6;s@ Q9Ȅ#zq2~1Nv(X Ei*s g<ێ/8}]żN)d{0VcY3ԩ@ H|6P׿:9, 1C; )L4KDnÆ MO0cm9e4R'ah($n OfL]VvH>EwR]1Ž :4̓i1ӴE0l/3[o%e帙 BC %{YpL0 s@-9y35v#.X^@P`Rt>%0{1e]b@ d*FK<|Q@PJ#ac@ HN1/k5ӠPHtnE"8ADIqSi SmeHܙ|xQ0ȶHJg~8 95jpnGl!T/,ֹŗܭEȂ1 ,lcaG[CXaˊDhDp%E:!d u %;ST2܁ֈN>gS!+<"t(>7@)UHCИ|R< "3r]wQ˱H.LL>Hf\%1]EM\CLL4BJlC(evuWӡhFp"ĥH^)L\Sccp7,Ufs+K옫:;tJd#Np"]"ڱ☸tН);zhsJ6KMDjSr`W.LEHOd~ <:8p8a #Q2^HC Nb#M${hA E.ǚ'åK7%\|Ȃ&"؝%&LPp\w)L7:BB$k ( P9U7GVp> q4he@SnLdgmRhs(6!}v(0`k57#L"GBaJT5͇#G̎Vb,R=F!*8jx3:Ƚ6}SE˨.o0#aȑg&gWA+aN Z&AF|O?8/~Νj_9}g}Z*Yk^eث_~mV.I4L vʹ'f.d_!%V.~˪tfvTŒW5m۲0lkA&!j oժUiy晗_~@ׯ_vM:hРl$**BbSݺu}ݒ/Zrs/( lSN֬YW^yCÆ 34n8*ZԫJoF+.{(69眣@ =묳<@*U\K85<[F?Z@Zj<4O;.9?Φ୷DiVZb{%7tSÆ 㤣Fl4j\pŹW 9odp9rfmЗe$F;^x!''I&tI.5;w}I/sʢ8[X$%vqn1si[U3NoY X+Ouw„ f;sσ:j4\uy8wҁ_} )`SGCu&vPrA\Q"`Ȑ!gqZnvɡ@}w#ӧOWڈ# YyJ?/p^C8ӾLښ4H@caö lBdt ®uԲRwm&O?U2&öx| mD/T4bzꫯzS\ve.ŷhrSp j:H^\Bn'.ҰV@^ 9.wҢs7n޼.gxv:*rh̀mgH\b-83#U 4ef_O8W^ySqg̘mJTwԢE n|٠V}qa#AShs˅-B B&ao3{pIjnբT SU~7:E~ VAL葨22[j.B4TSOyR؅ ';h~Yw/@^gXO83>yo9{EL6-IT5b(- 4<o <-}ǰq 3d2 1๢+T q-bԩS b ">sXAٳAbTq3]!yq{,m9o&."HnDhc_(]%UL:}׬FZ gM8!<71D J" ))թS'B. >l*=Xu1^z6-mN;~קOvEw6•ŵS(,[ -!\QKX,zsjŊgo>6h'^Z !Xgweyh+->(JLYG#LZR%0h:rj090~,!RR#%u]9yB_!{ItpHBntq ɍHM6#Uиh`3ɍ Qt #ŗEvhвxç0X1ynw~>׍;m4FS3:dDUW]Eܐ{$Ytq@שA(aP)b} 4B"1 1cRyM%*$*Bbq3dM_0 aW ,H ERN O6rX1CXAUF{K."3_BCxj`7rid'W."FFLߦb !lV AoH-opk C6 >$B{wqG7: +p8&~Av)8Kxs \`ł+O h[0JvAu͉<$C,Q.h vph0#Gh:"x Ȅr):-X0JsK4B`"MQ8fGmqMuZ\օ|7&tI#F̌h_fN⵳HH8jnUrACUuV*,?>sKPLqYoⅺY4lٲ-(zGy]tOE+VPaW,4&\rJ;s|mpࡰ9\Dq$"Rb89@x ً˽N ޸"(T'@APj|<$ӈ%Á&0 /_T)([\|:]ZqXޭbtر-,Ȫb 2q@O_,E9 9/sP(Pܨ],"8srQ7 C4b+CH|?ڱIꊶXXs$y$C8hY |2_KqNI4l! #gQVMMe X;u#Kf5E:x*!H(IV!W(+X-˖̡4Ԏٲٽ$Eyp"7ǏgaEK $4 bl-I0o.EtIRu+qo{Y.x CH=,NStjPtrdu;(p]/c)Gd3OG7n\"I>%f "v˄n8*X>8 304р:w_F1fU N͆|d&&8>ҍ0;Y'$TCǔx+dF /3J>}YKOas.qĬ,OիW3)=z`l]G"R{82ESsSl 3(RP0`BM+:vBYW!8PP9pqs'։OVf|23.!"Ƕ4b`XX8xPEȖrwISM E_*5YN<##g:)-%no1fFXE7BDG So A$4`!&Gm[~p=)͒ŴKb*3A1Du PB3#9dPt nI0Hh  #kd3\ù sCvNȎ#ij4XYSz\: Kaq8՜(̤Zs|`# 6 7,E Nm`ٍ))H11.fJck0BW΍NDk֤y#SD$K lmbX ?/hBȐؓ2ê9f<.rx6)D&Ld`1uu%h6@:c-l892_.0(";kIL?%3P$(Oh]$ūCs1E% 6Q(GHbU^C~"[hu!uT*?RgO'W&!%цDb~/&J(QD?/_|oŋo]t>:tgUW]uXۭ[:Kҝoh1l][o}%g}/{キ]vw~sƉŇ=ܓ:ʔn!Cɐ{Mcr_裏ޖ9ᵢ+V`WG};Qᰐ}fA6Ow|!Dh?H,o&'4wȽ H|hٲeBEԩNEqoFFbG1}QT!h^V;`vi48?([$`>^x! O?^z;v:}믿~7Oy j_ /@E)w_bnj4ȸ k$ HhSzt뭷}Ѯ8][bZu#p/lKUV:2&MbJ\K.H&ghƭCR{Պ+Ҏ=޽{Kwi'8!| ŞT c̲d.{qFbq'rF̔-[Xl H(Q@y$VGB>!uG"F\P)I h ʠN{`aT%^( *ULK\k̄Q'oM10ux"WiQE)n5.ƀSEAjD[ ƀB$#*fg>}k)BMඋ38T-j>}aK+WwY&4{]v>$'$71TvvpO F˽ E TfѤfC/rYr/ȷ Y|ѡ_~u0:KJ0>u@EXEӣG2Cy$TC1ַC(: x cLY^!LCW5I]z$§tI1i:3ƍ3A"/|?c`LaFD*B^}YT{o,ꁙrʉ9Q^@Ufe]D /P4fm?T*˷z+z8PEr'#@0 hR8X"{ 1G8$jkpӟa)Nb Ay =raLA .]3)9T;I߯J|W 1|Ԃ%aQqEI %)Q$AnaaP//8KwI$9FpvT47Jm\P+RJ/}d@zH -[ ˇ(nm-"|"M74Pc2Ftみ.hW$(K X_ą5!Cх\pb>ڡݱc *?/>QD !eVt矰G -`@m"%KM ?S (uUvi4 o M @Κ1*ݮ*ӳ-#f}cs74UY"@^A_{5 j>1`/s?'f4jԨ?./S@!($ >.,# . .b< um|r/NlRZ%T<L@(+tCT5S(ݍR,-NFxR6dN(4"XQdynh*\ M9jZiAbwr#L9Ǹ'wJ,| ND; D^]%(_xl3itԄKGp㊲4&N5%JhPg߇IIy-իiӦ?A]r%$J(QbӧD߇}0`??$՞b1ѓ`D%*Pz뭷?~tQnIENDB`t6866666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p(8HX`~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@6_HmH nH sH tH @`@ 2NormalCJ_HaJmH sH tH Z@Z 2 Heading 1$<@&5CJ KH OJQJ\^JaJ @@@ 2 Heading 2$@& CJ mH sH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj 2 Table Grid7:V0*W`* 2Strong5\xox 2Unnumbered bold heading $x1$#5CJOJQJ_HaJmH sH tH " 2Numbered level 4 text- & F 7nndh^n`OJQJmH sH TO2T 2 Bullet left 1 & FdhOJQJmH sH dOBd 2 Bullet left 2 & F8dh^8`OJQJmH sH fRf 2Bullet left 1 last & F dhOJQJ^JmH sH \/a\ 2Bullet left 1 Char CJOJQJ_HaJmH sH tH 4 @r4 UaFooter  9r .)@. Ua Page Number6U`6 I Hyperlink >*B*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VGRU1a$N% ʣꂣKЛjVkUDRKQj/dR*SxMPsʧJ5$4vq^WCʽ D{>̳`3REB=꽻Ut Qy@֐\.X7<:+& 0h @>nƭBVq1u`X=:tڣf{Xx {dV=|kPo۵(h[x )IеnW[@;0PDbRy( "IROnVxCD' bJZ65I[adH+^D )>s=h ۟~7zWo^=[Qr||[?|̦ o{O=4?}}L$Xx%@|Ư'11%i$P,c[GD7sH5. 4kIƉZKTPBM HN7|nB#L7^`!\29pCH3nMb#$.'19b%+vJ~.!DI;DPz l 2I ͚;|y3+~Dؕjw0e1vdǪzO^I57y+d8bnv 4?6CK\M#= ċ(0'1 zxpWc/_X4/A_[)^&(fp[_NiK7@wd5= I?>_q샏[ꚝΡdrv5CojFh>PG3mOs=͡|7n;:N&?\8Lټ@_<}9H}]Ru Vx~p{3AsP~\v!cZ 6JOw׃SB HfЖ gpj*4nR2BM} rfw[BfV= vͅh7/sɳ ̲B3뤓eH=J_:hn$O\ʧFn;/x.M#+d,W87+IwOťwF) uepwPϬ pV$2v Sv(C8L\~+l`k& Y iTU#p~XHYHeʹ,fͰ-;Y7XmM 9ͬYMm*/稺W(r2bUGڱ]]HYUcF8U~ۍZZnJmi}kn^l O8 $$$' 9 > Y D"""$:%&m()x,\03D5L6u89?<)AOA!#$&*,124578:<=>?@BCDFHJKLNQS D z L'`!.',E14u8O;;&=1AOA"%'()+-./0369;AEGIMOPRT( 5 { **+-M----."..//300&7l77O8XXXXXXXX  '!!8@0(  B S  ?>CtyJRLNgi' 0 D M !''W'\'**)+1+,,//000051:1S1X1p1u111111111112 2g2l2)8+8,8.8/818284858M8P8D I EL !zen a!e!!!L*X***b+n+)8+8,8.8/818284858M8P83333333333333333( | s\''(8)858=8@8J8P8g;Xrpr7 h+ w ,I Wo$iW"{#hy'I- :u3xRZ;ZjzC NuM4ɤ|OgZhcj `^J_{"t>}Zb].mBfh^`.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.^`B*OJQJo(phhH77^7`OJQJo(hH-TT^T`B*OJQJo(phhH ^`o(hH() $$^$`o(hH()   ^ `o(hH()   ^ `o(hH. \ \ ^\ `o(hH.   ^ `o(hH.h88^8`OJQJo(hHh^`OJQJ^Jo(hHoh  ^ `OJ QJ o(hHh  ^ `OJQJo(hHhxx^x`OJQJ^Jo(hHohHH^H`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJ QJ o(hHh ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h^`OJQJo(hHh^`OJQJo(hHhpp^p`OJ QJ o(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJ QJ o(hH ^`B*o(ph.h^`OJQJo(hHpLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h^`OJQJo(hHh ^`o(hH.hpp^p`OJ QJ o(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJ QJ o(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJ QJ o(hH ^`hH. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h ^`OJ QJ o(h ^`OJQJo(oh pp^p`OJ QJ o(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJ QJ o(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJ QJ o(^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h^`OJQJo(hH^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.88^8`o()^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.^`o(.h^`OJQJo(hHpLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.h88^8`OJQJo(hHh^`OJQJ^Jo(hHoh  ^ `OJ QJ o(hHh  ^ `OJQJo(hHhxx^x`OJQJ^Jo(hHohHH^H`OJ QJ o(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJ QJ o(hH^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.h hh^h`hH.h 88^8`hH.h L^`LhH.h   ^ `hH.h   ^ `hH.h xLx^x`LhH.h HH^H`hH.h ^`hH.h L^`LhH.h^`OJQJo(hHh ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.;iW"|OgJ_{y'o$pr7 hgI ].NuMjzCt>}{#I- w cj :u3                            &                                                                                                                              @ @ @ @eB6pocnl,zf R5  z^+DP)g!2%L(K/#3I8: K:{J<=x=q>C EG4Hh4L|LOy|RneS*TWCXGZW[^[M]u]^C;^#a^LaUa~ea4k>-ntpqRw(rxz_$e8 &A 1S2 (<> LI "QCQ8RyS vs{U:;$3-kZO_,hC Y``2!eLU |nrjK'4x6[X)8+8@ M  (O8@8@Unknown G.Cx Times New Roman5Symbol3. .Cx ArialC Frutiger-BoldAZapfDingbatsE Frutiger-Light;. .Cx Helvetica7.@Calibri?= .Cx Courier New;WingdingsA$BCambria Math"1h\G']G'a/ ea/ e!4 8 8 2qHP ?22! xx COPD Management (Read Code H3).UserX              Oh+'0l  ( 4 @LT\d COPD Management (Read Code H3).NormalUser3Microsoft Office Word@G@H@>' a/ ՜.+,D՜.+,` hp  Hewlett-Packard Companye 8 COPD Management (Read Code H3) Title` 8@ _PID_HLINKSA0f8http://www.blf.org.uk/Page/Living-with-a-lung-condition=@\http://www.pcc-cic.org.uk/sites/default/files/articles/attachments/copd_ruleset_v26.0_0.pdfuhttps://bma.org.uk/practical-support-at-work/contracts/gp-contracts-and-funding/independent-contractors/qof-guidancefy ;http://www.sign.ac.uk/guidelines/fulltext/59/section4.htmle$ <http://www.nice.org.uk/nicemedia/live/13029/49399/49399.pdfo&#http://www.qfracture.org/index.phpLFhttp://www.patient.co.uk/health/chronic-obstructive-pulmonary-diseaseCTMhttp://publications.nice.org.uk/chronic-obstructive-pulmonary-disease-ifp101  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvxyz{|}~Root Entry F²Data Vy1TableHZ]WordDocument.SummaryInformation(wDocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q