ࡱ>  bjbj     8A],  t.@T N P P P P P P $C"$t "t g N N z, :  0 ,i%i%i%t`t S```t t ``` i%````````` :  Male Donor Physical Examination Instructions for use: FDA requires that a physical examination be performed and documented to assess a donor for signs of a relevant communicable disease and for signs suggestive of any risk factor for a relevant communicable disease. FDA has provided specific guidance on what clinical and physical evidence to look for when screening a donor (http://www.fda.gov/cber/gdlns/tissdonor.htm). Utilization of this form will assist you in documenting such clinical and physical evidence. A donor should be determined to be ineligible if they exhibit physical evidence of relevant communicable disease or high-risk behavior associated with these diseases. Donor Name or Distinct ID Code _____________________________________ Date of Birth____________________ Photo Identification_______________________________________ ID Checked by___________________________________________ Type of Cells / Tissues Donated ________ Date of Examination_______________ Vitals: Height _______ Weight _______ Temperature _______ Pulse _______ Respiration _______ BP _______  Eyes ______ Normal _____Abnormal Any infection or redness of the eyes related to possible cornea abrasion or scarring consistent with vaccinial keratitis? _____Yes _____No Icterus? _____Yes _____No (if yes, answer may not result in donor ineligibility if cause of Icterus is other than infectious disease) Throat _____Normal _____Abnormal Any oral thrush, white spots or unusual blemishes? _____Yes _____no Lymph nodes _____Normal _____Abnormal Any swollen lymph nodes in the neck, axilla, or groin or evidence of disseminated lymphadenopathy? _____Yes _____No Abdomen _____Normal _____Abnormal Any tenderness or hepatomegaly? _____Yes _____No (if yes, answer may not result in donor ineligibility if cause of hepatomegaly is other than infectious disease) Genital _____Normal _____Abnormal Any redness, edema, or physical evidence of genital ulcerative disease, herpes simplex, syphilis, genital warts, or chancoid? _____Yes _____No Any physical evidence of anal intercourse, insertion trauma, or perianal condyloma? ____Yes ____No Skin _____Normal _____Abnormal Any needle tracks? _____Yes _____No Purple/blue spots consistent with Kaposis Sarcoma _____Yes _____No Jaundice _____Yes _____No (if yes, answer may not result in donor ineligibility if cause of Jaundice is other than infectious disease) Rashes _____Yes _____No Large scab or necrotic lesion consistent with recent smallpox vaccination or vaccinia necrosum _____Yes _____No Lesions or eczema vaccinatum _____Yes _____No Tattoo (s) _____Yes _____No Any evidence or recent (12 months) tattoo or home produced tattoo? _____Yes ____No Body or Ear Piercing ____Yes ____No Any evidence of recent (12 months) piercing? ____Yes ____No Donor Physical Examination Donor Name or Distinct ID Code___________________________  Please mark the location of any rashes, scars, lesions, tattoo(s), piercing(s), needle tracks or hematomas.  Authorized Medical Provider Completing Form: _________________________ ________________________ _______________ Print Name & Title Signature Date     $9p ~  G H I p ˺ulc\\RFhchi}?5CJaJjhi}?CJU hi}?>*CJhUG3hi}?CJhZhi}?CJh,Bhi}?CJaJ#h,Bhi}?5CJOJQJ^JaJ&h]6hi}?5CJOJQJ\^JaJ&h,Bhi}?5CJOJQJ\^JaJ hi}?5CJOJQJ\^JaJ hi}?5CJOJQJ\^JaJhQf5CJOJQJ^JaJhi}?5CJOJQJ^JaJ hi}?CJ#$  W G I p hgdi}? & F hgdi}? h@&gdi}? dh@&gdi}?dhgdi}?gdi}?$a$gdi}? $@&a$gdi}?$a$gdi}?p QRvij}67TUklw  )*5hiwrl hi}?CJ hQf5jhi}?U hi}?5 hE5hi}?5>*CJ hi}?5CJh9hi}?CJaJhQf5CJaJhEhRJCJaJhRJCJaJhi}?5CJaJh9Ohi}?CJaJhqCJaJh9CJaJh}%CJaJhchi}?5CJaJhi}?CJaJ* QRvij~67 hh^hgdi}? hh^hgd9 & F hgdQf hh^hgd}% hgdi}? & F hgdi}? h@&gdi}?7U   )*efghjklmnopq $@&a$gdi}?gdi}?$a$gdi}? h@&gdQf hgdi}? & F hgdi}? h@&gdi}?qrstuvwxyz{|} !qh^hgdi}?gdi}?$a$gdi}?!q h}%CJh}%hfDjhfDUhhi}? hi}?CJ hi}?CJjhi}?CJU,1h/ =!"#`$% @=a L0 f+WN3Fxxɒ$Wswu7j %QE~\!(|>wQ@&PSXI|!EPX_ naDU:=G~_{o?oˣGo}[^GGy7?tq^ŋ?-ﳗ.?u|#G/_'/??/z!]]kEڼv_{-------w'Ot;7{~>K_/ߟ?[ZZZZZZ`_6w˿]?ýԒ~ _ekw^7϶e'bZݷ+ "|d?3AekkiiiiiiYܓ͚ vqj&pȭgpm]Hӧ[ZZZZZXؗsv/O\www_K/t:u {ǰo>~W-rDu&xnKKiETW rdT dsN+vgl =\/|i/=׽?MK}tĽ=kK'{knahiF~_OŎo^~ ޯߑWclX[|}ًW_}Ca{;y!Yg?.}_35XC30OY<߯΋zD?Ö;;'3WЧ`槶DA-3IP9ORyø& ?vl~PR/kGC̑{[K>1 5o{Vُ]=ꫯ.߹+^$DL9L^+R}bnQCIZ9 5gT~??1VT1~6kr--]&Vut; 2KۣrJbcKl{k[O'?հ[մ;79\cvo^\!W8~UZZF\–YW^yI=?gp._|ŕ'f ⭷޺G5xW~,ɿ4"Scӵ+S$ï;Wy)bP_ԕx+[|~$w5حo.U>CKyjlǏnW~^=#ϛ0f@k-ciG$w$$W87y'uƭR5̫,y])fue\3Jό3F"k0 ulkhkĐpk'>V=[v.mW˹b;}Z /娱=z8?7, ?y<9ڃ/Z—%.1%9cs}=c|sK,G`fϨד܌P퉼^}2Q*s|'6=MƤsAn5~;]% ?я׾: Ӭڼ6kpn|h]~+D:} ]?1کXd_>s|>2c5gNj2VUބK{ޥ!֓Zf$FOi7<-{sLq/dWp߯,y-\j,puU:qi7!_33/koiϒX3| }Z?0=|ï}3{9}ڒğy~_{)5A7߼}s.==\ݫҲ7I=Ht!0_)f]'n-%?$M9ɓK= u!6:e|?9|kq--ea!k}+-We^^{uzun[ՇS$yk;!w.%FŸI_C*KZZGoeND1ӾVuX\yb*f:>{Y51kL=~gs$|g0'Y]Cii9 ȃ#n?X<{U>\d,R}|.{egաkS-Yn`Ek}5(`5UWl s\ϯ%~X} .YW3٧E>Po8q;5~YfgXڥu2.I`9h=ni]-EX>{9yM%?!}=hɭõX;$}~Y~:߭Q_&{{_uײ7A7Y {6Wsb#Icݹ׋y,'eF5m1><{'3pkQ 7b:YG󩾑s~́]/q5rnlRޡ%=3eKD'yk_s[$G r'}ɑc-$c|ﷆI\?Yɞĥ؉9!ЖX M".e_5R}4/{r8׹?L꼺S1_L-YL>ϟ8Pm\ļ-^n_FsV5}Z?f _#sx 7$L_!6Ӗe-so3s2ຕKAU(bb]GrWck(΅.z̜3Mڜ,??>'6DO/O5OpKi}1&. >+OLj(xMts|,gZ;t eOB~ ,(k8m+ }O0pdo_hKsV|u׊!~bnuOKi} +f'uXy2g9foaC3 f8zq_Vf>/;ߏ}J3s嗗=u4:0zYc5 ȷn/\r;p|8--ob՗p 4>g$u.{^I&'#˛)'g<>~Yc6Z$Iޭ~/-[ڌY=:m2G*wh/nhoc{-ޣ.3#h%؝S㧙ײQ9ʗSrN06&\@|69jվF˞D:{U9{ՇaW3O'} jɁq ^,qU?"ןjN41;vFE9؇i^gkG.:oufmM++ѲW:j cGc[֙yqN筵QuL~9#2Qg{ki9>%#9/XƎiĎfwk3C{qO$yϼM\-{M: 3r<ʌFwӦ]ym&SIlQ׍Aޅg>9=[Z%1~̼''2@2/#f{O#oZZZpk$rrgDɰ t __mu>Mւܿ^[-"o!!e ŝר;Wji\Ē'O5k|ne=E^?Ҧ&bFnùs߾2U\Ìz Y4:ܮ|9--cg?B8/~*J%{0sowړ+}ki9\_|7x V=|N|v:cn46/Srki!w&s_57ƞR+0m*Ӭ$'y"o2K{ud?59 hQ_̞ټh d>9D[Zqqagfhrv?審=Clsէpm8֖?g`--PG<@f~17UgC\---z cV>ܳɩygR4;E[ǖ@/űyjuұة?7gk(--cqښk!1wMkM'k[P'qllyV~bz-0n7/ Gר{1k9C/20+7qJq-l4GMK// D];9FǕ3u}vUkuc>;5--TC^9̪`=3Ypl 8'&Þ1RrԾFKOB979~GmIO$~mQ9XZۿTNM1N. 4\sGrS--kXG0iT~'Fǎg0vKgm^~g/yK{1k~eKֱE ^C?bG/|K쯟Wd&kt9bmy {>~b.ո_|hE0g˯a]839xn5īּ﨟@,}ƁksZވ>Y%P?/2Ob5F+_?_^{--=?{m9͞PmzOUu| \5=RMcvI9:a"m ~.OO<|Eg-V|?g2h/hi9pr#XS;Bڊǀ3gI863z׀\ۧ Y38z4 -jspQH~Q|e؉q__}Օط_'8rz!+^O^[Nsw~>k!_#{+}Ԗ>| rԦN3B-1G>K{AfiLȬWVN&$縴r:~~Ol˸?gқAocct^#c"ȣ^;XP{t XCIW\"z6;'F#kh ^vڼmi?;O,1GtL͚EwIK68c4 ';4o}IKW} hѥM9ϙ)!* ŵoEڄ3I[Zz\{YG-8aOIrp&h}z.>~b--k@_^Ϛ]FN 5j}&/ÅNע=7LK<\:=<ڕ+רuW~b;;ViSTX~%v{[o]ƌ̱+D_ά3fݲ-SHdM|F3؍9QKFlPIŞߵQ(9j"7'd}9oIndfii_W;g{ 6Ɩ1kglb Ϯ a%QýU ? gPY?NhF\ҿ[11js5ǞG[CAG1^s5绤j]oi9^ uN@rj}M<5T+{@ cC=F) ΎǴ񭋽߿cd1#(,}9?~|i32.|gÅ:=x$>lװ\2?ң{z9u-^1!--xLkݳtES5h&V2CyD[Z:c:oX:a~"9TIއݫ9+ڜ-ׂk?$8uow`K|^s=\e7swm} k3'Gur)ؖ߅k/0f:[!A[qvZQ'rkz-G&?qA|bs5s*㖖&h8$%]VwwB݊"1߱/F;^mk9'I~>ֱXu6e>1?CcV/JP?rvSKCkc{AG[;D}Eo)O?@}H:^VƜ5hޖ5Z^\_~9h+k+r"0p~F[a_3[Zjי{;)-E^֙GQ]V3y "f21cNvK˖~u>c$V)sj 34kuFH )}!#CiigLl:6KȋS9-דTl|k7#eX^oώqZε>w;X#Ȟ!GyFknYI>+qX/O:MKK:W^~f՜sHĈoH_b/ᮋg{ÇqfvΗ0--"yN/1yp('a,_5"㧌ex9\*FrsLT ~fYWr8OՏB2Vq,m0ǗW箵O:w(R?=k(={#q#"ٯ}Gk帼-^sl텽r۸"~]RO 6%rg$?x4}̕rˋ5!ccSi^g٣k~P^ƾĬOrzl~GZ쟿Kk>sH<^}U79^C-[|ӃR! ow~9j>-8+I>}s7qowKOc.1dmY,=&rz~酎LP7QygK^qRվe*VKnkio'l81;uݞ϶k4rGϿc-f?}Y3ZZV<\kg8\Y9@1ivgf#i]ni9=91WNL6PL-j(k?}; p^bs%q wrnDG>'3^"ϟ?8FKI:}47ilg?T;F5XmyS_RBk򳙯Y)Otޖs;K'U'd~pV^|Ird_Nm\k---33|'k"crs,k1g3|M89|fYnARcLl/h5gGk7O0sk5 ] coi$;&n#c_'禜^}4iSEv|%gνvx~Ƈ{{}"k⥫m@WOu,2i4kN[?;t=e'FL=dc40EQy݉Yi6ZsL~}?u]}_,o:$%lwmiNxzGws!9 #{څ^3ZgFڥk;N֕P^r$ Cq!$ϴ--- KEGR?c]fl:~|)| [K={^]6Ѹ5_27=ȺI"3(ة;rxhLzԱ77# ;\y96?1|? 8~N㭙Ҳ?kkj('f"܆5YFgbS^laoiʯ[ˏ={TڢSzIEns&!!P{Gi 1+oug\yة-pe--]AW ((vy$ɿ7u|A;>} _Þk(v dif隼'/J95C91X;Ҳ]ϫsMs>h!Ebu?jYg ߇|߇\Y|--[Иg$`^M^_⻲hN7|_99Î9#oR{@즖w}t9?im}X܆=,hO^j(7li9q?Na~({6gK\1m~Vll6ZZj'~|D98skxLs|;O߸N9Fi7 8k;7IL͐ 6yZZ|639ҏy.~$L_#g>y=dc!^{󆶜[4ܷGr,~(7qtngn 15yÜHܑZ('3Ý-b~8 ġZ1b׳6s(---uXdvNg1`ȼcl)ك,26Ń~E}Cbn1k5ҰS|`B&}&IΏviiuKKz1VOFr{u4̗]ylߌs` a?OGr)<ɰ4 ~H״s_6b/[N\7r?B=r2J| dM +u3ySk؎5}bٓ5'3߃{ZιfZ؆>BA޾+rHYmO7k<ZyŒAז:jӬyϟOkx.ytάqx,M<B\ZIY#͞]F"|』"&!4ўZ{W9Qmv5{N.S gfӧ9x9k2yZEu٬k`/kف_]߈q97@o@'jnC'jik$xGu9ڍy큽|6;#o&l6;gMd>{fэ#kri5Bq6zQ/2'Iþݟ߄H&R˱̚Y n,)OrN"6[z 몿u?C|liu#>oף\Lzy/ئ ~i*X2^O{._cy<Ìx%Gyl 6 k}r-w@Y{Jk_,|9>r b^MqQ/WӦC׋rNɌ܀A{4\9i#0u~}1l t}2!tn H\15dޓs+2k~3[PgOgب5<7>-sٯgϞyl&ܺ->~L~exqiKk~>jbyK9`PuǾz28k4R{`5ɠ[ؖ'83uue@=I(OY~|u3πS\H{+%> 5vņ:O-[֋g"\_Bz9 ---W>o_qؓĔXpvArfoȸmK"k>4~|j>19Tʫ;gbѭ]--uCG{Gj[ؠj³!^lKѸcb FNf2+W163QyϺG.DSxK?Ǚ/GyP&o_|E{?oO'3kEra_|Tq^kPCaKӪ_u^c-[r蠷Yo@گ_li-uڢ}5ЯqOYíoȜ^^|O#,^S'><} _^ӳgφ2 }a--]K{iϨf^l*vI6!GFr>?iisyx^26 H^sa|;߹O[k>nۧ2#No2߰[r'O.&a d-j8--3užc7xMDAPhi9_q~SϠ ɹgіvKi ljK˚b͖}K9ӵ0P絥ku9ؙ3sïSyK}u9[ulsr۽VyFno巷r -f`֞,#5}~C߳f}5ZZ?&F:-lԱ %uB-k2gf=b+c} mym3!k_}5ZZZcݷ<-Xgfo﷯ҾF---̭1fOھFKkrwB1;5qOmmii_}. b'b ?gh3zvhi_}}#;6cuMZZ\g M-p~6e4ys_O}sXo$FC\XՕc̰xl_eoXo֢ܛm_/8{cl[r#z2><bVCt9n>v~W/X$N%v^equ | ^"Gz$¹.:^Sb)[ZZdltcjcW^y劍qk΁/ÿhً8zٷXfty ‑l'5]1e[5r6$Qf|wn&{3g؝hcN#ssO)i/3 \Cן _cV=w$9ggkii#-gYۨ~1{5\mb+fqxL?8kE>䓋\Er[0߇n}XS5g R2k{:E^Y5^:2kTם7gȅuKm_eb?}O[dCAL2 ǵfX}qߒbkv[?d&h3S:2/=@Ϩm̬b{f\'9\Om;aOh#*q/3{<6cj^gʌCz꫼5yr{/|>:W15+6Cۑ׼?+h#M>x1&kl~ouREnj'ε?c^i;bk(m6=}hiidF~kb/5g~ڤy큁cc+x]iW?ü7[4Ķ=O4[՘[Zj:Yng &4kkY[!QMUzn~&FUm'sSh3o%3_}7jirʿɛz8_¢mŶ h_^73}+tKKUO/~K\f&Ƭ@ik| }#}t3 eNC ^3eKY#}饗{OoȿG'g-B$939)} ӚzIrʒJnu_Ʌ|^c-wusW^c^vu%k7rEfgM;WK˜?B߈%ػ#>;-Y qV]8g} {0Wce1.,INqX6VFSbh,Pֺ[Nx3hW%1}jfgMW]~y{ɾ8K[Zn]}ר||6`[fޤM|79hstΊ8MryKl3ߑyWBLL]_i-%gf^G4z~"=}{;㚸8#-fɴ<>A4XmpΒm0!Kk%d}w߽_=v;ml_[Ik*V< {/C %.~es␲ςʌUKm澥5>{ꌕzPyf8??9ʗf5ڰHDoohKĄpqi +6&)^1ΐH?DkZŤ\^_-{ԳQB菵5Xęk'+s~kFkڅ%\xKK$bk#+mbnu ޥ]kLb-I!_#*|*kG+uL%ssmCБOµ993G ,+lXG}QC[Z& e#f;j?Ω{!:ץB%?TCɜK[qs@?Iw DN/ײ:b/~_ɟɋgϞƏ/O,֨OHUn\As˩[γoi=r6_{}In_{5jZnk$/V&`o.$w63QaC=ޗ_~yi/G}T.G76\D ~gË}8qi/8q^]1[5Fm[M*6C?x%9JuðqG&zm =#y {ےK>-YR4gpuT~z^3z=UZdڲgaͣ/czzǾ&Wj/:ZPQ=?Ee?!]5feN^# Ks:ڟ*ѼsN\Cژw':|״-˫t=祧>Σ ;SCnsKZ:ySRgLvs--d=z}ʽyGϟu8o$5l {*ǰ׶Q.n܎y-?T5-{[@rc\EI=4y 7ax%iii}]e\SzӒG}4ef,B}F.0r k,vhZ#c駟^ ]]k-ZFG 0$1yE7555}WLըQyFzNn>5̤We2k#yL/CizdsLפT9n-{)zunr߬ij'?- xFy qmj----l㥝 [{rT>-2U՛s&nܕd./g/yEw_Z wGj<e}NrQ|<{9Zla}OMem̞G틟YuP^-_[Z1j5nי8Ԥ=}|9Fc&ڽژCVZk0Urzh--8-Ν;꼱F37͆\еݖ)sT}]5Y㷳9{OG5}kU'KB}QW[Q}/x{ +P{?~̱yRXG-1sղ5uk52֭6A9q7I5Ds"^KskV)&nlkN^}l}$/`?p;EH ^:rWrp^u/Ev8aߏO^GxhЖkؚ-JXps(٧reT)k\/Yؽ(-wZ]Sg,s!A#9J}1w 517{z]7dXg'Vh_vI`T{rr:C^w/y{=(б~ >Q-[M=S䞛 &/h G^{rΐ?cd35.I5ZZNWc#g3}j(_`w.Yr f%q 6ekF:ϜX)MGQ=VB;f?'G{uϿnz9ՙH#=5w [ooi9gId4dOq] %f]?N-G9keFOGg:%{_kaoε,::PSbl Tyر5zL&qcZZtX,c ?}R>yF":7vqou䅌眺 *달OR SlDpdo%篛99e.pq5?u/YK:g}w9Ň.a?Y⳸5l?}leK1Q9Ͻ:GaLy 0Kyʓu/FS2ni)JW{W<%VAf-ۈϖaKKrk|uQGʜO.u /[Cɖ/ښ}y]>e<&.ȧS^C%zJ[Z*߆aM$uFyY^$CDwcCxM>t׸)G;r|s=pV4q52MI,N./YuIzW.%֦|b--1qyISyl^)ڟُǡ=̜+rY:׸ {6ZCĀac8;T1 kf6u$#c| 8Ǐ_̮axo%wXom[ZUlvqVHD~j% &F Y[Z"!gYZsDFroe.3g̚iM\{y30VJKXq~GVkȡQI;)}/x-{$R\Z/[]xZZZz:{T]:>+2^ۊt$}gC{٘r+mmUA'y =`'@wlBbfб\3Q8'~~+Hji9̕U1Ȟj(PM&ޕ~pܩ}jR'4'V+@-e>[> ږ<:IrQiiiYk }` H.@v+ųwzɾ=k)[{9Fg tv#y tf 3/dPytzK˺:e%k_#Z&30QZ[ –8޳4s@ꋯ%mځ-pre][ZʧsQ]kO;ܟ\&>~-b:G{,_.[Uk$gJ^k""wyKK5Ĉs۾=f I[3ZNQ˾ؖp gW*w_ZxZjgf绶< _ùQ^/Ğf`'a> 3_I/ E#?]'xj cw9ARy6WK5G c{)Oι(Vs0M~ؖS~o@W]#& 6<3kOiNzJqJKKwo;gV&bS+G2x5"lS5 ߛט^oz9n}OUKK5Jॗ^ {y؏bFLhoiɱꫯ^%zעߍ.dO?/c(-&%gGjiy *<6?^'1Fʿsݳr<[X/ a:g\FK2.k--[ioK0Vfθ*MNN*gK7zrp}mٳ8k,\{7sHĵn|YmK9K_0Ν5?wAwz2X5׸I9ο0w .k9˷M\$ZBm0Enp.ѾƼkgOJ\I6γߕ?jglH\Ee5 [>!Yuꟍjii_}9yk'r>-~#qg9C{<߀StO~׈ϑZZh_8{}ϝo^7޸oX39Yٟ%)9R>}뭷zvbKKkLf9;O_S1[g2^t -䶴Ѿ}k+iTpFVy?JZGً.m{8c3ZZh_{+NG~^n.-O!W 9^ 5>HJ9-r=%>YcsșO˼/$%}<[p%@{X{دCy*Rk_ϝ}5up=b| y͜:oGMC?^CgNr:8yD{O[5q=/ٚJ'>/ |Ou՟[PkZS|3={ve&&:e^#mqœǵ}9gN.FH'7NGϳf5n^V_29<cܛfuO>ygg/>}?~W^~~KNAidmc[˵͜y+=tKqh.w};\ӖW5{=?kܴN=fb'2>spFtΖӿ=n䦞R%sym?-*t mvw+\)~ \--$sg9y={uD~>t<'SUN.s=kv9`LWb?TC'^nf5n_ϯW2}skyX̹c5̥\eKssbvX]Kkݭq׾E\{l]iy 1v]<5Ȍi=mv^;M Oz\[P״S{w4kgN[{zqha~%bss=-ͥx*۸> N@}۸g(7ٳbXz_ߝRXu^9՚[쒾 w{íA{э/uSD\|TK}N<v] ${ơrq~9~%Gk m<{.~m~l fY-%Ζ撯ӏb m8t^c֬rI<3x#\+:C`8]564PcΥ=c\(kܴà!8qpJ&n$cZwswW]َc3_Ei-fz89@z̈USǞa m g~,3^]k;`Spļb*zQ37/A?=b?sǨX~g8gƥQk.jue-w\u/1qjگ +5O20w9ߗʍs9Vo1a|6n<{)k^+R:/|[.ܓSrE55xY19c92| _s'zx=3sklckfySI+ou`~Im݊ۂןW̷'51%E1y e_\'U9~ױ`<+`^޽-EX[׶5$#K5:c-ĝ?dܚy\k}Kl`b֗]m\5D/_x^CY0"vڸSZó!?S}µ_#{`/O-c{7,iu}ۗ7okbFSc93rOڭz-dL=?mV[ }>w ᗙ {Y85.>cbAk6ƶWfXK&>HsƂJZ>1lAd a#[~Cp +㌂%_h +2گM,X?jsVu]N\ ֯Ӟy zߍO>\i߭ɘ}O\5̊aֲfק/&ٿ>KrLVG>խd'^yenj[db=)GOZ^+/nmzQ| zK\yBU7c^O~לs3ԁ+f 5k kF̡/niѶqξڇxJBd a>ܑ؈쥼o}A%1w2/P2a}X<u/Iknx/Ȟ=b|Ķqyi+\K^kK9c>s!k{k5 s"{ݦ0׶: lb0'+ɬ' \| 㺩stCQ^S7&͓Zc6Z}%h%/Ɵ$T_{rOqfQG/En%ҙ&9kh?cqrgdk씾Ff^9CF_6w.5ʣ&o:?~O)%ϷWy-k^+m]D>=wk~WQ97ے{᝽N\ˮ sb"u7fr_` z0'g+?(P^c'06gFZ35.͚y|N֔u|XufXsPt. ߮W-'G|-6O0Og=k9{S'i}Clt6_%"~c˻c;&&c{^)Tf/`|'wCm.))k ]ߙJ'K| d-6ez7 ?'L">ոk1m)}gmG7Җ#B=5~O?y wΏkXwVe^kMysw/kg磟7z͛>{1~j(ٯ'ֱ֧Ks}GH5n;Ƹ0~1kXVk#~%;t=3?Z[k8(_fdbL`rM$&9ےkC7iw|fghCby_>S' tgߟ`p*טظ%̅)Ǫ8ksk[d\辐O9|אwIJiך1^KaoY͒+wꮘa+Ķ&_إybC1yc$ MY^6>w>O/Td?za'+sVNר~8C>_y/K72ʽ\S?FYy|ѽ_plgadL!Ǿs5U'E,'?^]Ժ%6C̐>Be-at-,}h{Fu>q; #k3e5Ġg/m8GX {NOpOc0x泿)2s/MѷK_O[͵$k ~YySRI/r>ym-9x\`96\fQ8>-j(w'Y97tF\Ye{mlцܺ,yfcA*o x2krͥc}z?+/孷ҫ=#繥^k&ϼ>M} jYOI lם{#k>[{{[u-wv"SaCVc]`Lc}_Ծfy;R?4D3Fjbxc| c4&>a]Wn(&tbj9]i<*f%lKaf\~(|[⺪3[Q/KsH<*Ҙb ۜM=/<+?c6w}HzEe?XPr M|#~UkK^Q{/繍s) Ͱ_i5+ geLs+ͦF+JQ\: qM5ݵq2&0V9˖[:4clW\#|%\Lp7v]ɜFΞc>#&v+uq[}e-lY"z3ǵi|IfϤaK`=H~KLqΦ\ml7bo-7jȽI-\;=+8ԓ8|gm9#(wq|]SrjY'}|\j4S}p>=s:f06=GpMYu-y[U/8sg{%k{j6y~׶߅kb(9Xk~,y_OB%scC3'ֆghm}+gWc״|b2s:]ڲĖ㘜/=jl[5KO\lkE jcTs~s&h{ _b^fjRo/X̹3㾜;&1M|M-k$7EL.\Lۑ{M/5f_nŮ&e=6KO=MOuə=#kx8FΛ=?796|ky 陸9u gMhSr>[qiwPbڽ9#\HYq]ۺK{4/_\}b~-%]_[U3s*ߨ;#5C%7 ybb[l].cڜ=W12Ѹ sġc&:;Y%v?3D[&a fnb}g+yst^|]sV f\YCA2;m'V璌i$>ޗ~ؖ kKɃELXm7ž gbOyKufsnYmKvD[[=y}\s $給_X;kNc/%}漛K58F^Iv9Ӓ.+_h}:#ߟ={^ۃ?l*oay?{-'|ʖg(8qƲVyO+!64ǭ(q\r5qRZ.\?J.'-gW Q=R7̃q"ވfoILu=^|-p}=yKcM-,gdkPYk '? r漤;%'pbd:\ [3I:=#F!y|Xεf3{]xc.o?#u3{gӧirrMю`Syry%_H^akcMp?>xz1|Zgd%6{Z#~]ĚV7(9dk0mڋ&/-}Y Wf8G^9&k 5F\҇_ZƯ57_}\I6s&k߻5[4ۋ!>ֆ,O>מjXkވY=8tQGPg/%L}/%mkP̺ΩtQyTYK7JS[N[kI2A+Q{r\Y5o-5+ 2{ r(ֶ OypOWzkrY.cfgNkf7=t9DLc.aa=c8g˜U=Zc6xv Zo?zI?!k?v=d [/6k؃X%q `闈>o-: YlI =ϜseYxDk(vd$9lF}eX759Cl9(ƒ ygO~u\WgN}7ipok}  Vcf z~}'${@̝Ϟi"qZ3޳~G*yrhn~1CfُyβL}#L,{b#l]G99c>o=׬<?q>g6^6޾cGfO}?[fݡEn'r9P#J,'ˬ:aZ rEw1'{Q>^K?[^K?~Y9 $L_|k~ k@_D׸Cx6ryl>yNY9T-S1GX|>uH%k9/g'aπ׋mj^ʩgי|w3dfXs CҼ~^w}wzvB'3;)={6|l_&&cj7k[CÌ:g ;WОI׽vOu-}(5o>k=kuV O3Μ~=dq_kv~(5=e3}}{1Lΰ벦P{µYx8S{aúZZbV|`u}~:5yekj~iϲ}mYiϰ豽>Yc?~|~m[Sw4kt|?^Y$J.er9C};W6#b?y` [28WJ]Fr{kZ9G>]ovs^grb3:`655gTsrk|c/Y=_ؽQ{X$&[Ҙ~|ks^3m_bny<*u8͑i;r&{PYuK:|=F<]usW{@H>̼bm|ObC|_fӐr! fZy\x043gܾ 9Sr _ᬒzo37~r m'ѷěѹfN[Xƚ)K3uĿ3ȱϲ<kf 17^cX}9CɅy4,|']5 =c92\ýpߕ5y0ғŵ 5^o>Of鹭\X]_Ǘ&Vy )'r}0깐k=ħ6Xoa>i.{;XuӸU7yS"&}KbU{ YPҞu/WŪ5V5kj5Gz*{ʼާoo>8suy9}ukġk=75Zxrq%66xf#N)9#rΓk9)ψ:|ڪѼl3޷xW{A !8Fj {J~sN=̙l}MY߉#&ݾFsySŵ31g=%1X_}խ|=CoZG>\/\:ȳ?}枍+95085_rxqy]OZy??9qiY+4sOhH{E~u6g<ǛΕg |>೼\k$RּGn/9?&y9zgy Wnim7gq-Kc:QUk[`_8춾^[y1_c݉bےY4;{8yĖslu o5ӌoUOo\,ڊYxܯ^‘UOyO办߆lc,m|7.y;+O^g\Ǹw8Kf^ex5j,= kb\I9gb7׿·+ٯӐI8p%\CG7PS(hL$غ_^\Ó'O¾_ܸ8 IQ09~Ù xO_tǺYoٰ.kEStx=M2T --3&zҽw~fȨ.k~*yȇQC5qYDf%~i?slÖ_^!^}7`_*Xf ^K/"s3?߾qg(X\Ul辟3uyCΝ?&_E]ߡC5T2~/Ftv=J.ts]גG{5jcHL\y ?a(GY2}^ }\cj?fڞ%Wt95,ڭ6ף~ +Y+zNk4Gn%ÎoraW o53ꇘ;=j,ƾѦ$FhS9X3ΣuVߨZ2^.q'wq}+ k |w)#uv+)u֪?r^{ߵ5oy W\K|{Xs1J $7wɫ?wMcѵ9Su {w|Mἄ&{l3m1z}|v#?XcwӶ_s^[ZS\uxQí1uHփNKHfAok\I\4o-K{3ٸr_Y-#yVFdog}v-d]$Qyr֞ijlG˼op>GN^տʼngN,}-ubU[? f<\&#kqss] 黴=99" kƮ4%Wv}x)ؘu.~kk7qƈq/? gzC=2Ι1imNl=6ߴRmLkҧy?u9,g}e @ز552usߍmu5mh#O ^GͼХ\{U5 2;^=Z+0*f>:^/_V,zd?X ^^XKyPa?V.5\pK9|U;b`CIdpò5&5|6~Rb3J283YsMgޚU߃ϿG|&g{9˵'Q5C̿txV~G|hk~KG|u.c]5e>&w6 ׿%̜̿z=nk>ѿ,9Šg>CbtrWn}q^X5G9k^oɟDCjkz2~M-R͍n--ϵyg ^&uxt=$_ϙgh.]!aEվ6ɕb\ݜH?Jބ~~-#_bǗz rfh3ҟI=b62VypFO?} kŸ͌}UWbif7ubr[i,+W\55κx/x&^/6DF:u7;)NO}b}d>˵(3 ԟo+QSbx>$ o:_=]f}'k: mCX^cAُ]YwOmJ@¸:ڋPs(p/X[ބo7N߱G1gsL1xb3(ir4!}whvީ| |k j^ )Xӑ~a?o1UHc#~~o=V9OP{uy}L9:E^u{sdr5>kygUsWO|*]F=Ա']e5Chju\+xW׷ME[,MOc}K`'gp0Gbf}9fR;JdHr3pgٗuU1,.A_4}ԇ{>}6P?)| m6ӏ` gcZ9U<'D.?Ѭ)[gRj]:i9j(_uM__h)xazr5qq+yD3%d֍Y57֛[eeoY3 :n=K5Q][ϒ,kh9|Kxz{Ǔ%Og1PKXfoϴ9u%ם\Kjނ{$&_r)'G Z[+=WY3kЖyU#95B9G$ri^c_鰇C:7=a痀Flm#gͫlڭs26˺|i[S?Z*ιƩ>Ǜk>$̾=.׿w[U51ҘOyg1C-s?5j-=mq:d9 ]Ե@o/ۤ&.%_cTB Nr/?FX?!W_;V[|~M;w9(˱K~L"Adch[Ca={ywWk{i怮J󥝔o;c$o79>r&\c6Zn2ur3gr8k:rs|[ Fz)Pkݺm97}P?l9Z[syyr&Pg>5{3Ьf=u_eMo8O򷵟ͼ޹q[;?+A6lɲa _aA-=l0^,7Y"g{ߪЅj̃>֣=n^TG>-8ckH~Af}]ÙW>:X7Y!WtrO/O1Yp@=m%Y2%qi$,O'2ݙ7k#Wֹary}wYxڨ.u h)1fqN=iXT5)oZ|ڌ)W {:\ڽ29bA7Z d묓];vG^9'qW#~ 6}!s襌{8 #\{ےc^[%b0-^9Wgs3Zwu\=_6e;me^Ւ t.k~`}>Şhٓ ?Y?Q/?8jl k3/>k~`;>d[L3Λ<[#kku-zNǩuY{{Ob>/_bk0imsz\jockȑvfQr5٧d[#gdz+!s'ruʓ޳8UˡfW 뚒3ubOsBGt 0س/oc{?)ϑ`m*/Hl {#Fݜјz.ʬ]>NpCm'ֿ2m4sW? 32dR.]>S|;Gll#¹\r#Z_92_s>fh:U>?j@Vpg zS.Hq׹'_֕VW?g PQ9505P{Bsx*v7s+nhdzx: g#1jOe,vk_kPGG±}'_ڶT [2 l d/ٲol5QYV|5 Y}uo!ߜ}OO̾9ή—L_emL$:?ѿ>k3vu*\GD^,63P[c;g<#Jvs6-0+C>7o\ ~깿>șt/~Jz59攸3^R?q-kQ?bKU]\D72^7?39EH^w}º{g~?~;,RŸ{3]f ;s[pg挷SoY Ob'g/meꫯ\Du5l5Kt>e֥{sb巎)/k"֎,ٷ+y^~\(¬1⹰܃{?a7߬7}[i̥^xqۘBیc}{ǵ5|?5&jk?pc39ES׶1~uu [Ї'>oGYV\%_2W &ie5gͣ>+!c|O(FCʥ~[yƌ|[ ݮ_ĽW3w(bGˏE[-3=D_-^o |t&w/=CrosfY!ښcs2Ξ=%3[ t/quY_\ئ?syϭ 96[ RkWN:"{ 9sZ{F:NopΛ8y026s4YUb>%e0KkO>Y{wr6epC%YNmm>?[ c`ze({C-^dz7e*k r5#c霵sS3j[82{UN?3SV5dQx[Ч5KuK5=Sy[$?Т؃j%׹ok^YS1uUr!T OI vPC8[5{:kK~5_G\ =o8 gr֫ fluqoU櫲ir7.7sPsrt^fnf 95zεq~I[u~h|`P-r^qS8q-fm}X}?aַC8GŞ\ eV9`r\>ᆲ p(?{kUѶJ>Bk2\w}5q9gϜիW[4s{:{ǁ~|kbٟ&ת{Gr·k]b*bgLmg;.byrj=G^7rmDCuyrqs::cᘵ(#YkkO| ꭱOoq:3|is#7;9k`+]8#y)=2.c4y?<(ly\-BXY#(cim뇧.Twf {mأs gʹ_ʓ/V8k3J̹1?ئS'\{ A[X@O`s:\zi1O&θS<`<2{8>=ۺO1 αe{Qڛ!EMfr r%Ξ^IN ҙ㘵5msRSe;ݖ|-EɃ+7=>} umG18x^?{OS]6rNzaI}L[ BGbzzMkW~5]cB}͒;<½F`+{%vBzyuM3!GGb3 q rYO>ޑ?ϗX xS^υ?yy~~aOgcg,ݲ6nꚰNzӞ#c&^c>31n89ךv'k@ oq=l^3)C~̧r׿A5ܰԯAzMn?M+ɝ~Hg^:e}KYݾ}ag<Q۲4W1٫o\5Acפ)֒q#O7͵ߗwd~g1V[#׹^~C򯝝sד9LzLyşAˬKcnpn{ˬvN񠟐y>  }{1.}8Y_٧$w]Zd/A2j7且Mlqf|ߟK~ }o̕x^t;>}Qk$lmL*[>Z~1<}-ga8SQ[#{~` lbsY'? >8c8ɰ 繆~m,KY-EGluIg:z|k-o}_7 Qڡ4r/9%\|}0۵P֡92?}8 ]79#_|yёNwwyp5eXQRդ.ɿk~|j93~u#33bڻ684}5>cylէ5$4>~Ƽr&6 He9 { ȭ:uVIU3ٻ}=ɿkyls\{Onv_䇞MD|ֻۧpOWݩ{uK=4fݮ4 f~sS[?/Xk̷Oz繧\ ? +r.irM]3͡^=˹xΌMڃQꎜ6ϛ9w!3Y^u6|朜SbSs{m8,&xOcOkk~U { k=`qnݴF.x^ )cKNAbۜk˳/Ycsk _Nif$ɜ?űZ>M@G333( y;G3|+ZINr;gv-z_S_Q7qJ:׬A^'ϵ(>/Z}j#mԡ> 8fdy#9_YkknU^UŹ־ݠݽ4^wY-m t冞g.~'C}FƄ[&.b=:vdŹYڵ߆s9ۂd1̡SwxmcZ 9kztq[Z8/35.˺К>쬦Ο+Lr} Gۂ/؄'Pz\Jl=A6XEӰaݟ/޾}{c/k5ŇÒL!sk:èjQ:+ҵ>4ײkĉ'^yޅ3wTѵ<jOԻko_|q .9`gcd-~.(1v89ש[S>D8FUm^Yׯ^G\޿ˈkÌgjfgK~]ތSXcb|z1ƊK{}|)췆Ssٞ/΀`\>\Ci+9O<;#X\ 5n1g4硻fXnH{ϳUے׏>F~Y mb6Qnq8i3i~ܸy4l_>=H{Y]>3fXq駟nAxBqkk`7-#q׸]Y祏D+9~q{x6xu+[ot/19Ms(}Ɲ]T\R :cgn=3m3/?!~;'v묁gw1jR 闢,s6\Eܽt{K8!AL=()RkWSJEƯ5?f|%߁B~5Y_~"#8nyUJb/twν8gy̘u>;{<ߨW\5=#<=byì,1rt޿)~Y}%*w2>2) um"NQun漯O\ ~w-mH[@X)yifJWW=,O:S}{y@vcְ/<{gwdSs"mkRfM.ku^Lʤw|~wZrum |>y}]Ź#=+(ɝVdup=r׾H>5mm=Vٗ#sS3;R_6Cd ŋ-֪r;Y[3֙{dqɗجNvq;j/7?`c|&tZ>leT~6{-[]g=uBݨ%"5qrb5F=R'g\ |t{o߾gSRhO`3p,!Ӯg\߃ymc l-JqI5We|or}M=fL#=c˟y)3~oJcV]]3?{pCor>%ŵf?psLuyOsdOX-Oɖ82W{g?3*ISD^ CY~ i*pdzM"ϸXY-8rS9q ΅=tN;Vۛ׌z6?kx?׀2o+&D6;Y/K?aڋ]Ź5Txlpz"+ԛKֹO7׶sO|=ce.ߟ*/3,pl\Y*3{g3kfc{)#oE>m7;q^vDQrڬϦ,efm\$Ǭ՟uqo+Ϲiw]Χ09z~6fO`:9(\eLH=}9,7'a-9KN rm5RYG64uP19~0h,Wm鬚~^?{&㡹b{L_dr=pe~ѧZ7`xm[Z~=83[S=+:ućfϒ3lit.GorMG*_ʚRs9&$=yߧg8fSWQ\z٫{ЬSvyNص:"m<7r+RcK'<{>;o^P9[{XwPܵZ˞Y?2̾]By93gO㬳R9y`JW8 JAg^ukּAd&{.:^2LfKnQlB`k7gIx2.gR=;Ѷ uxu/@W\l sߣ^Cyzf[Sl96{dc5|h.`}m3f<(c%9s5`ޝ6j(g/y#+"} gm=}sWf }0ҷ5K4u*)9q gv@6gz#<}FEQ cdO y٧tւ<(!>DK{Ce59![5ЇX0>hDZ/KE-2fa}~Y~_["3ǰ? ~@cEQcrց2p~gy`1{gX\7kp 3|F{ ɑ֞uru9gښbQk9g9ZnY򾲟Vu*)Mm 1 r\9~Eq-*zX8RД+|R^yK{u]EQK;A>B[>f;K\>//V!nF["Sj8%rLg싗Z(b3F83oU/sZB9a Sf:9l`DP}82g#Ϧ(߬O}bbž[7,/fimQliGG:3>Br4[ՙ=v?-931ޓƜϢa|^EQ<~ReCƷlM!qfɗPsl栶 O@N}EQv~C|7u)ȡgq<.K,ddkr93k3, }ͺ5^hI7=H~[o&Oӹ[ԜN^X}Fŵ!k˵ G6^zu;D)6reO~2e=_rlEQ7brFߕH>BKV\+o*q)E"!kb13! rBHg~Y)8Xo7k}ɧU:ȡ Ϩ&ToN1Lzm͇E3ڝ!^K&ʖEnu(E;w2ޑuzEq))뻒w8{#I'zB/zΙ͡E^ϙ[s'Κa'##r^tYqҸSl~~<\]Y}[W 浚c&6>YZ ^|yo'Gm"1cF(.-8y6gag()iG`cOA'p_|W9y-&u !X&͵>{~<}C6ȩ|7v=g2/DO5|flqн졢(kgˇP+uvd[䙥ݠRa- 2 |dcΟWؓ/9a}Eq>}}^P~0vus&LJWg'g(.WxN՝[yE̜QrNr#FQ\3Yj`QCMsκn-]qʥr]Qqw,CGyo9urIvRCvl^Ź ӗ+K?O^9Cd\ߟ3o`K|qd.gkX3V+)c?TŞ{.FrQ\J_ˍ!bݗט~/ao5b vu|O>9ׯųJ?cϸ(.WWe֓S9qΊ/9~3]sN2ޝ}t?Z'͉D^wY~l5:lZtܻwA3΂-.f˗}Frer7C!>qJuښў\N .ln;FKvr;m/^ڋD mh/"{k‘;qZu%#|"yi7͟us&\1_8Q[ԕH{(=dq{ٙ`cCy)~i}k:̱*wWw>+oܯ(O g0,{\5SN9ךvґڊQME(.gt9q*9;7ikQ4.;^3>zktD^Qz Ş`0Wh,EqFQ6Eq[ø(Fج}}Ynhqm9nL{/y`=x 9zWzEASބGᎧӏk~r]c|cE+z#s?Wwʭȸ_>!.wYϕr=86Rtl *b״7H:;?%M]yfc?˚}ޏNog[bc9yĹ-E_W<2駟Ȇhdgʨ}G|rqΨ,EqJ- >QX˟}7gӶXmyg|B9fq V(9g zaTƑMd̬m?s E񨯄on VS?}8zK M|ML?ym)=j~Pr{)ʖ1߲Gܜ*G_3)$cf%θvHiz~ߒ>c yIYsOwr2G`W-{%WbM^6vIQ}|eGkDM޼y+{9nb?;SfLk_4(w{Dk GT2h*6rW_ɏأwI~ɗxlVQ~hQ_(k޽U-|dx72ϒ6 zV+}&'ϭ2;{~y5\ϞL'ԿM/_(5KN:v g/^w}wk{sӡ>wM?ϤayqIZݎ-j[C}.))%WxocEQ-Lu [37̶RͿᕼ /kcrP;s((.'awxK[QEQ_Cr&fߠ||5jN8kX2әMEQEq@|8M@|BΙ5|&k=V֯$zyEQY !}+oR ;yӸG+EQC͙Wװ!W5?bsmU𾥹OEQŒ'~=A31=BgAEQEq=0>9gB> qkHEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEqo~O~ߟ?eDd $iz  S 0ABD21318_S"a!bhƪWDnhƪWPNG  IHDRo PLTEf3\HbKGDH cmPPJCmp0712Om=IDATHc0>0 0`р#0(r( 0rC*>6A*m@zm\Y\IENDB`Dd $iz  S 0ABD21318_S"a!bhƪWnhƪWPNG  IHDRo PLTEf3\HbKGDH cmPPJCmp0712Om=IDATHc0>0 0`р#0(r( 0rC*>6A*m@zm\Y\IENDB`^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ i}?NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4@4 i}?Header  !PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] & p   7q l,"$a L0 f.&@(  P  # A#" ?B S  ?h 8ot OLE_LINK1 OLE_LINK2RR vv aWGV \ 9*urn:schemas-microsoft-com:office:smarttagsplace n\c:@gv".EMNW  " * 7 8 c $IpxRvj~ 7 U 4 5 ! 5 7 M2Sgf h^`CJOJQJo(qh ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(M2Sg         WV hc{Q 6 X{ O< 50 < Dy $7r=4bBfDl /4b|YY   y #0#>J%J&Xo&|'(l.( [(3)\+*,$S.O/1"31a1F2>o4"P5*697!/7s7M}7889`b9O:s:;<<^>7=?Mx?i}?@0@* @ACB@C}C$EM+EtFyFGqQG IlYI$IJRJuJ}^KYL N9OUOq8QJQZ\QiRSRUVk>VNXY;YMY~PY)^YR[}[D] ^Y^DE_+`L`0ab2b'3c8md,eLf_f9g"h iia=i.'kZakLlwlmWRmBn@o_qrs]s tq3tAt[Kt!uPMu2vJv{)w|`wHxQTxz(z {L|R}Uz} ~~z@~GqVu~@poIF tj]3`[.`<GYe0 %A["pEK>OQf '^eZt| >kAa S%8@NS5xS!X\ee!=rp4%zc24[wBL~| ;VV1 G}%Kyj7 =1lG+lIAPdD=b<|GU# n5mSXbN2 ejzdk,S5[{+D@R4?nYEUqzwxt1E"}Uct?N!\L;utF,QF$=F7<m"PRI,} S#[?& / "D"|?>Lf7tC*1>6?;=JyWN Plf$l<I`?q.#p?Yf| ^ @ `@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial;Wingdings?= *Cx Courier NewA$BCambria Math"1hJJ  !`24d 2QHP)?i}?2!xxDonor Physical ExaminationballdRebecca Berman Oh+'0Lx    ,4<DDonor Physical ExaminationballdNormalRebecca Berman2Microsoft Office Word@@@ ՜.+,0 hp|  srm   Donor Physical Examination Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstvwxyz{|~Root Entry F,Data u1Table}y%WordDocumentSummaryInformation(DocumentSummaryInformation8CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q