ࡱ>  D/bjbj-- 4\OOD&xxxxx4/#DDDDD""""""",$'"-x"xxDD"$xDxD"":!,V"@vCR" z""0/#(".7(7(V"xV"$""/#7( >:    3-18-09(1) Gynecologic Diseases Vulvar Disease Presentation patient will have irritation/pruritis/burning of vulva, lesions Evaluation in addition to inspection, conduct history, palpation, culture, biopsy DDx includes infection, dermatologic condition, neoplasia: Infection includes candida, condyloma (HPV 6/11), HSV, abscess, mollscum, lice/mite: HSV dsDNA, 1o Sx fever/weak/urinary retention; recurrent Sx prodrome/lesion Inspection will see bilateral lesions on erythematous base, kissing lesions (unilateral = zoster) Tx give acyclovir (thyldine kinase inhibitor) Pregnancy outbereak during delivery, do C-section; during prgrnancy, IgG gets across placenta and protects baby, can give acyclovir to control Bartholins gland abscess posterior glands of vulva Molluscum contagiosum hot tub contagion; forms pustule; Tx ablation Organisms crabs (lice), scabies (mites) Dermatologic conditions include dermatitis, psoriasis, nevi, hyperplasia, lichen, fibroma: Chemical irriation/contact dermatitis from excessive cleaning of vulva (dont do!) Squamous cell hyperplasia benign overgrowth Lichen sclerosis white spots appear on vulvar skin, lots of inflammation, loss rete pegs Psoriasis big red scaly patches, just like anywhere else on skin Seborrheic dermatitis flaky skin of vulva Fibroma/Lipoma self-resolving mass, just give reassurance Neoplasia include VIN/vulvar carcinoma, melanoma: Vulvar Intraepithelial Neoplasia (VIN) SCC of vulva Sx pruritis, pain, mass, ulceration RFs coffee, dry cleaners/factory workers, h/o vulvitis, HPV Spead via lymphatics Tx wide local excision but good prognosis Melanoma watch out for bad nevi ( melanoma Vaginal Disease Normal vagina has a normal flora; includes acidic lactobacilli (maintain low pH), variations w/ cycling Abnormal can have vaginal discharge Dx conduct wet prep, culture, biopsy: Wet prep assess vaginal pH (low = yeast infection, high = other infections) and look at cells under slide Culture/Biopsy STDs come in clusters, should check for different types if one found DDx include infections, vaginal carcinoma: Infections yeast infection (Candida), chlamydia, gonorrhea, herpes, etc. Bacterial vaginosis grey non-inflamm discharge, hi pH, amine odor w/ KOH, stippled cells Dx absence of lactobacilli (since hi pH), stippled Clue cells (bacteria on top) Tx give oral metronidazole/clindamycin if pregnant, topical metro if not Candida a yeast infection, can occur with atbx changing flora, Risks include DM, pregnancy, atbx, obesity Sx include itching/irritation and dyspareunia, a white discharge Dx see pseudohyphae on KOH wetprep microscopy, pH < 4 Tx OTC antifungal creams Trichomoniasis (T. vaginalis) protozoan STD Sx will have diffuse smelly yellow/green discharge, itchiness QUIZ: Dx will see flagellated mobile protozoa on wetprep microscopy, +WBCs Tx give oral metronidazole for a week Atrophic vaginitis due to low estrogen, Sx itch/burn Dx see immature squamous epithelial cells on wet prep, rounded basal cells Tx may leave alone, or give estrogen therapy Vaginal carcinoma rare; elderly usually Sx - vaginal bleeding, foul discharge Dx - often SCC as metastatic spread, or clear cell carcinoma from old DES drug Tx - surgical exision, radiation Cervical Disease Presentation - variety of presentations; most commonly discharge, pain, post-coital bleed, or incidental DDx - includes cervicitis, polyps, dysplasia, cancer: Cervicitis - most commonly from gonococcus, chlamydia, HSV, trichomonas: Chlamydia trachomatis - common, often w/ GC, obligate intracell,, infertility/ectopic Neonates giv erythromycin eyedrops to prevent chlamydial spread Tx - give azithromycin, EES (erythromycin), doxycycline, ofloxacin Neisseria gonorrhea (GC) - human only, UTI, disseminates (bacteremia), vesicular skin lesions, arthritis, Tx ceftriaxone + doxy for chlamydia Cervical Polyps cause PC bleeding, irregular spotting; can be visualized coming out of end of cervix, benign ( remove surgically Cervical Dysplasia - abnormal changes in cellular proliferation: Risk Factors - early coitarche (first sex), multiple partners, tobacco, HPV, immunosuppress, STD Screening - give Papanicolau smear, ThinPrep ( exfoliative cytology, HPV typing Dx - must get biopsy for formal diagnosis Colposcopy - visualization of cervix under magnification; add acetic acid stain, white areas are abnornmal ( biopsy Tx cone biopsy, LEEP Cervical Cancer - majority is SCC: Risk Factors - HPV related Sx - present with AUB, PCB; later get back pain, weight loss, foul discharge Spread via local extension Tx - can give radical hysterectomy early, or radiation Tx later stages Endometriosis Endometriosis - growth of endometrium beyond uterus (possibly dissemination, or metaplasia) Prevalence - 1-2% population, 30-50% women w/ infertility, 20% patients w/ chronic pelvic pain Pathogenesis - can be from retrograde menstruation, vascular/lymphatic dissemination, colon metaplasia Lesions - usually in dependent portion of pelvis, although can be at distant sites Sx - patients present with pelvic pain, infertility, dysmenorrhea, dyspareunia, GI Sx, some AUB Severity of disease - does not correlate with symptoms! Physical Exam - can find fixed retroverted uterus, nodules; also tender ovaries Tx - based on Sx and severity ( varies with disease location; also need to consider future fertility Surgical - can remove ovary if only one affected by endometriosis, or both if no fertility needed Medical - goal is amenorrhea & decreased pain ( OCPs, progestins, GnRH agonists (lupron), anti-estrogen/testosterone (danazol but acne, hirsutism etc. are SEs so not used much) Adenomyosis Adenomyosis - endometrial glands/stroma developing in myometrium (deeper layer) Presentation - usually incidental finding on hysterectomy; presents with dysmenorrhea, menorrhagia Physical Exam - reveals enlarged soft uterus, can be tender Tx - can limit hemorrhage with NSAIDs, also hormonal suppression; if advanced give hysterectomy Uterine Disease Presentation - usually AUB, dysmenorrhea/menorrhagia; also pain/pressure, and infertility DDx - includes polyps, leiomyoma, endometrial hyperplasia, and carcinoma: Endometrial polyps - benign overgrowth; Sx irregular bleeding Dx - done through US with hysterosonogram, +/- endometrial biopsy Tx - can give hysteroscopy, or dilatation & curettage Leiomyoma (Fibroid) - a monoclonal SM cell tumor, most common pelvic tumor Sx - varies with location; can be intramural, subserosal, submucosal, cervical Dx - can assess with pelvic exam (uterine size), US, CT/MRI, and CBC ( anemia Dx Tx - can treat with hormones (control bleeding) or surgical (myomectomy, hysterectomy) Uterine Artery Embolization - block off uterine artery ( fibroid necrosis Endometrial Hyperplasia - most common gynecological malignancy Sx - involves AUB, post-menopausal bleeding, usually in peri/post-menopausal Pathogenesis - from unopposed estrogen (obesity, HTN, DM, anovulation, tamoxifen) Androgens - converted to estrone ( pro-endometrial growth factor Progesterone - is protective against endometrial cancer Progression - hyperplasia ( carcinoma; is staged/graded surgically , spreads lymphatically Tx - surgical excision, progesterone, radiation, progesterone Ovarian Disease Presentation - again, highly variable; can be ASx, dull pain, irregular menses, mass, bloat/constipate Evaluation - ovaries are palpable 50% of time ( assess size/shape/consistency/mobility Imaging - USN is preferred to assess adnexal structures; not CT Ca-125 - marker for epithelial ovarian cancer, but non-Dx (also endometriosis, etc.) DDx - many causes of pelvic pain ( UTI, renal stone, appendicitis, pregnancy comp, IBD, myoma, cyst Functional Ovarian Cyst - can be a huge follicle or a hemorrhagic corpus luteum Follicular Cyst - clear fluid-filled cyst on US; unilateral pain; resolves 6-8 weeks Tx - reassurance, pain management, OCPs ( re-evaluate 6-8 weeks Rupture - will cause acute pain, peritoneal signs Corpus Luteum Cyst - prolonged luteal phase; Sx delayed menses, dull LQ pain, mass Evaluation - pelvic exam, pregnancy test, USN shows echogeneic material w/in cyst Tx - reassurance, pain management Hemorrhagic Corpus Luteum - rapidly enlarging corp. lut cyst, can rupture Sx - acute onset of abd. pain, hemoperitoneum ( looks like ruptured ectopic Dx - get CBC (anemia), pregnancy test (ectopic), analgesics, laparoscopy Ovarian Torsion - twisting of ovary, obstructing blood flood Sx - acute onset of pain, nausea/vomiting, peritoneal signs Physical/US - reveals mass, compromised blood flow (Doppler) Laparoscopy - can sometimes untwist & save ovary Ovarian Neoplasm - non-regressing mass; benign common, ! w/ age, imaging helps Tx choice Tumor Types - include epithelial, germ cell, stromal cell ( another lecture& Ovarian Carcinoma - malignant neoplasm, caused by incessant ovulation & repairing... Prevalence - 1 in 70 lifetime risk Risk Factors - include family Hx (BRCA1, Chrm 17q, HNPCC), personal breast cancer Hx, obesity, use to talc on vulva OCP - help reduce risk by 50% Best Tx - early Dx ( surgical removal & adjuvant chemo Fallopian Tube Disease Presentation - again, highly variable; can be ASx, dull pain, irregular menses, mass, bloat/constipate DDx - includes ectopic pregnancy, salpingitis, hydrosalpinx, tubo-ovarian abscess, cysts, carcinoma Fallopian Tube Carincoma - very rare; triad of watery discharge, pain, pelvic mass Tubo-ovarian abscess - a severe consequence of pelvic inflammatory disease Presentation - tender inflammatory adnexal mass Pathogenesis - mixed bacterial infection, can possibly rupture Tx - give broad spectrum atbx; possible laparoscopy to rule out DDx (diverticular rupture) 12>Soy  ' : D K i l w x z { | ƾƥƙƾƾƾthƋƀhh)bhfzCJH*aJh)bhfzCJH*aJh)bhfzCJaJh)bhfz5CJ\aJhfz5CJH*\aJhahfzCJaJhahfz5CJ\aJhfzCJaJhfz5CJ\aJh'CJaJh}h'5CJ\aJh'5CJ\aJjhy5CJUaJ&"2 i  M  Z 6 d  . j 8O & Fgdfz & Fgdfz & Fgdfz & Fgdfz     ' 0 M W  ) N O P Y Z c   6 R c d w   . < i j ⫝̸h= rhfzCJaJhdhfzCJaJh>UhfzCJaJmH sH "h>Uhfz5CJ\aJmH sH h)bhfzCJaJhfz56CJ\]aJhfz5CJH*\aJhfzCJaJhfz5CJ\aJha}hfzCJaJ/j t 8>ORz{"+7HIJĴĥߗzoaoYoYoYoKohmhfz5CJ\aJhfzCJaJho/hfz5CJ\aJhfz5CJ\aJ" jh}hfzCJaJmHsHh}hfzCJaJh}hfz5CJ\aJh)YhfzCJaJmHsHh)Yhfz5CJaJmHsHhfzCJaJmHsHhfz5CJ\aJmHsHh5shfzCJaJmHsH"h5shfz5CJ\aJmHsHO{#Iq4aYWfA & Fgdfz & Fgdfzgdfz & Fgdfz & FgdfzJKpqy367`ak <FXZ[cgҨҗxx h+hfz56CJ\]aJhxhfz5CJ\aJ hBhfz56CJ\]aJhn(hfz5CJ\aJhKhfz5CJ\aJhIhfz5CJ\aJhfz5CJ\aJhhfz5CJ\aJhfzCJaJhfz5CJH*\aJ/!38EGVWXY`l  !-H`eghphfzCJH*aJh<hfz56CJ\aJh|Hhfz5CJ\aJhq0hfz5CJ\aJh)Yhfz5CJ\aJhhfz5CJ\aJhfz5CJH*\aJhs+hfz5CJ\aJhfz5CJ\aJhfzCJaJ10RjklmJnq~&PQYۼۼۼۼ缄缄ۼh}hfz5CJ\aJh-hfz5CJ\aJhjYhfz5CJ\aJhmhfz5CJ\aJhfzCJ\aJh HThfz5CJ\aJhfzCJaJhfz5CJH*\aJhfz5CJ\aJhFhfz5CJ\aJ3Ak|Qd(w6} & Fgdfz & Fgdfzgdfz & Fgdfz & FgdfzABCNcs'(4 Aѩћ~pdhfz5CJH*\aJhehfz5CJ\aJ jh9 hfzCJ\aJh2@hfz5CJ\aJh-hfz5CJ\aJ jh2hfz5CJ\aJh=ghfzCJ\aJhfzCJH*\aJhfz5CJ\aJhzhfz5CJ\aJhfzCJ\aJh>FWhfzCJ\aJ'ARnovw78DXcnop| !3FGSbyOUh1f,hfzCJ\aJh1f,hfz5CJ\aJhEhfz5CJ\aJhfz5CJH*\aJhghfz5CJ\aJhfz5CJ\aJh3mhfz5CJ\aJ jh3mhfzCJ\aJhfzCJ\aJhEhfz5CJ\aJ1GaNan!]( r (!s!!"j"" & Fgdfzgdfz & Fgdfz & FgdfzUVat|=Vamny.9MV^_|죗xhfz5CJH*aJhchfz5CJaJhfzCJaJhhfz5CJaJhfz5CJaJ jhThfzCJ\aJ jh#hfzCJ\aJhfz5CJH*\aJhfz6CJ\aJhfz5CJ\aJhfzCJ\aJhfzCJH*\aJ/   * + , q r ! !!'!(!;!K!X!s!t!u!!!!!!!!!!""õhfzCJ\aJhfz5CJH*\aJhfz5CJ\aJh;zqhfzCJ\aJh;zqhfz5CJ\aJhGvhfz5CJaJhfzCJH*aJhbhfz5CJaJhfz5CJH*aJhfz5CJaJhfzCJaJ0"""""""'"/"F"O"j""""""""""""##+#?#L#T#f###########ŹŐŹte jhKohfzCJ\aJhB5hfz5CJ\aJhmhfz5CJ\aJh!ShfzCJ\aJ jhdhfzCJ\aJhtI4hfz5CJ\aJhfz5CJH*\aJhfz5CJ\aJh;zqhfzCJ\aJhfzCJH*\aJhfzCJ\aJ jhTKthfzCJ\aJ'""@### $f$$$%t%% &n&&'S'''*(L(((+)h)) & Fgdfz & Fgdfzgdfz & Fgdfz & Fgdfz# $$%$&$M$e$f$g$h$$$$$$$$ %%&%5%B%K%L%T%s%t%{%~%%%%%%%%%%%%%%& & & &~shfzCJH*\aJh17hfz6CJ\aJhThfz56CJ\aJh69hfzCJ\aJ jh69hfzCJ\aJhPhfz5CJ\aJhfz5CJH*\aJhKhfzCJ\aJ jhhfzCJ\aJhfz5CJ\aJhfzCJ\aJ- &+&,&-&M&n&&&&&&&&''';'<'S'Z'h'''''''')(*(+(,(K(e(((((((((ܩ܄xhfz56CJ\aJh|hfzCJ\aJhwhfz5CJ\aJhfzCJH*\aJhwhfzCJ\aJ jhwhfzCJ\aJhfz5CJH*\aJh]PhfzCJ\aJhfz5CJ\aJ jh(mhfzCJ\aJhfzCJ\aJ)(((((((((()))+)=)g)h)i)j)m)x)))))))))"*J*****+H+J+L+p++++ , ,,0,ܜvh)hfzCJ\aJ jh!eGhfzCJ\aJhfzCJH*\aJhfz56CJ\aJh8hfz5CJ\aJh,hfz5CJ\aJhfz5CJH*\aJh|hfzCJ\aJhfz5CJ\aJhfzCJ\aJ jh|hfzCJ\aJ.))$**p+ ,0,,,,-x--/.z...D/ & F & Fgdfzgdfz & Fgdfz & Fgdfz & Fgdfz0,?,G,O,P,i,t,,,,,,,,,,,,,,,,,,---?-A-B-e-x-z-{------- .../.3.4.C.^.y.죛hahfzCJaJh_nhfz5CJaJhfzCJaJhfz5CJaJhY_hfz5CJ\aJ jh)hfzCJ\aJh)hfzCJ\aJhfzCJH*\aJhfz5CJH*\aJhfzCJ\aJhfz5CJ\aJ/y.z.........+/,/C/D/Źh3mhfzCJ\aJhfzCJ\aJhfzCJH*aJhfz5CJH*aJhfzCJaJhfz5CJaJhlhfzCJ\aJ 21h:pfz/ =!"#$% 4ZDd2%KKr  C NA6Disclaimer-No_Citation_KeyRnYbk"D#[JYDFBYbk"D#[JFIFHHICC_PROFILEappl mntrRGB XYZ  acspAPPLappl-appl rXYZ gXYZ4bXYZHwtpt\chadp,rTRCgTRCbTRCdesc@ocprt8vcgt0ndin8dscmLXYZ tK>XYZ Zs&XYZ (W3XYZ Rsf32 B&lcurvvcgtRRRndin8HW K'P T9textCopyright 2007 Apple Inc., all rights reserved.mluc enUS&~esES&daDK.deDE,fiFI(frFU(*itIT(VnlNL(nbNO&ptBR&svSE&jaJPRkoKR@zhTWlzhCNruRU"plPL,Yleinen RGB-profiiliGenerisk RGB-profilProfil Gnrique RVBN, RGB 000000u( RGB r_icϏPerfil RGB GenricoAllgemeines RGB-Profilfn RGB cϏeNGenerel RGB-beskrivelseAlgemeen RGB-profiel| RGB \ |Profilo RGB GenericoGeneric RGB Profile1I89 ?@>D8;L RGBUniwersalny profil RGBdescGeneric RGB ProfileGeneric RGB ProfiletExifMM*>F(iNHHC     C  " }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?~EO&2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QEe6(QOȣi"e6(QOȣi"e6(QOȣi"e6( _#d~U{ggE/Q?*NE+Wiᰳ RUqSNVE/Q?*w E⾿8u&it ^eoaH 2I5W׾h ~$u{ֺق|5Ш˗_3d~TYv}-VT]Eqa- jfh8Fe8몺tK="[ 2)k}PkZNȌv'B.ҕ'}|z. ?>+h-l>*Xxxh >خ[>_z~)@NK$#%aE!UGaJn/ >_#7j_ hrxݼq\^i|NYIw7e J!x:O`խ2Bpq54R,%I)M;T]-ʏ/WrW~5kX -d@$w'99S֟x@k]w-n!מjqI a7? Iʌ {w{'bV-n%FTO5V~&6Z=,9.%#$@A'CCcq $_gm9Y+B/9VWCՔkkuj&7L Bfn2C J׸_#F4G~xm'kAuys߬N]F1-8$zV>{fG}qo=K=e,T3R;/Q?* ɦhWCCI{'| ev#Q=j߈<]][4K`rqns֋+^c_##]eOhj2J!)BǞx#5h6-1IPUpA&&c?*_#d~U{gg9QGd~Tyʯyy]*(ʏ/U/֏/֋E/Q?*t?*_#d~U{gg9QGd~Tyʯyy]*(ʏ/U/֏/֋E/Q?*t?*_#d~U{gg9QGd~Tyʯyy]*(ʏ/U/֏/֋E/Q?*tOIo tty92|X*5cៈ4'PK>h-/m[HBȧRAڻ_ ttyTr%$Ϥ[x*Xm'#DͮnBG$WVC_'B- o)d6凙4ҦQ@\պ%R?xcBsn. xZŭ5@iq 5ֱ4]/e+Zо_]&xSIT$aw'W^ Z_QGm;PvFKO+ ֢|`5}mWE]2z +t_ {WK4Kvso’\Vrm(BV9xS |QwHUm2XQ־|cc㷆tY޹|?xt T / /䌁'k_xM]I 2z+/k|#:ZZBM3֑x s}̹FྥHWɥYJӴv@|:늯h:^`ڦm}ȳ mzqU핬sZ՗M{+[dTGok7IEo`j/º,izU <3#B$l֬V0@$A!ܻncԟzNr"?<#E,t?β(=䊥fYm{$Y 刓zVԴӮtK!qe>ң88'1xFoC6:ީ4,3,XmQԓ\_WXtOL^-%efhr;i[VK2A𾴺SuŁ _q5tFjVڒDyʞzb(r߅R;@"XV1*/25h\롳,4[] ]f[%ִ>* H.CSע"ÜuՓEK]}+JK8h̐7ޅv<ΤOPhW)Jy'ҵΎp2|G}+[?@S'>y'ҵΎp2|G}+[?@S'>y'ҵΎp2|G}+[?@S'>F{V?:<O}(Oky?d'ҏ$V?:<O}(Oky?d'ҏ$V?:<O}(Oky?d'ҏ$V?:<O}(Oky?d'ҏ$V?:<O}(Oky?d'ҏ$V?:<ǑQ{~{|zjDfw܇̚9ƣP}OW?~?3'繼 |c(ҏ#U723CKgPo_G2Wux֘lCdYxӭAȵ!G2! d'NGh.Klf)Zx[u>@4 ^GGUCokkuYc>Eo3M;.R?#)c/ ~lO 'oݴ7#4q {~yߥIIH@|]0HYB{qGGULlWL2Kc蛿/xE/#*塻A0ʁsiapWy|oҏ#U_K}TRabߥG[^G:DGR9|#)j\!L7wMC'?U+ =J<:S?2\#V`~+fSVO6taQh 'cQIG{C| 魴?n쑀O5s9"%?-p]%ig+3^#{=C/TfI-m>?̿c=WKX3\_fri1/v.jػ[<,}co[Mi)T;x[?*\d{7 ?JY+q. 秔?0Z}YZM "דQ{~#]e?/wc֓0摨E$: .yߥGRŪSH^Eܔo֚ƎFWsRܖQ{~yߥmyƏ#abߥG[^G4s1|oҏ##{9ryGGVבh=9<_#+k4yƎvF/Q{~{O )ȕ\X3]JkBԊ~݋#TѮ#M5Vje1L0+z[ftEbPV!G4@pKHL1ꩿA(' /Oi_9G{C ֩0"/]x~[=z D2FF'M^63:M㭵KHOMGBgض̷L܀fҬqN2xZYT֑|-z^C,)E}t6ݭeBoYͨ_3`WU Yh֑㽶՟0?nQλ\\ἽnY2gӬgDGgغ}yM#cTW}!S$0 <.O@S]yu6R DA[_CKkӣnw v? G֡B\AK?Xb&6JㅌN5]7y/"[\]?mPn$F$# Uِ ^[7qcUчT$+Ù4YamkgOUAn'/}v4R2"+&]cIM'y oh&;dv=$ʮEx gj6W*92e}c={!_ɎҔY-ΝV[غWYy3T^>e솎x(u Nyk&?Y@mt:u~чoև5TL~)>qP#ԉc?ʇ6v UPw=?%GmuGrbwWܮR>T?Oi9EhTofAkzbwVeiЬOFS=e??)?5?Vwn3}){? N?9l|1ޟ}Cٮ90<*:É.fR[5 6ɲ|?jo˳G9S Bm6<{gT~MX~r4L1֔Ӊ^zL @YKM_T$c]c֟$SҖ#v㻢 WBjHWb'S?#01 USSEݣqrbJ~Vh_"H,N4.??j&MNkmne/mXz7v 7v*9bߦ >rV?بVj62ib]9(IWlt3aOn9Mʻ ?wtQj͑jRTr?!?jOt?{Z=n/l?v%5hjSڀ/50nRG.*3C}?4Fyf&?ҵCDg,O[u4QmCY}0}nm ?ֶ:{f]Ld^z);~ss}ZTKDu@|CXxCGo1kck/=(E Zi@y: _ȟy?5uƏM\Wh/ǯb#ڏ#ڢ?{_ԏWRֵN`M{Q~9Z_2{57e⸔rxwWؑ"O Zt~>Օ𮈧A?Մ4ɦ@:9݇+b>+OhnZS萹&iܴObQ*(€qG<>˧g?3@&Qbty?_ΚMl<ՊѢկ!9ʴ.=ZwY\iڂA':YP(az AV$D˜y^Z] ~L^[o x&eZ/>o\+ UV6j625"&]:Ա%MC¶6luKErJG5Ji/0WsjFQN]?[[Od1bu[\Ye4'/TwfhDv̾VkyѿN UKmu@kj^D5H~'teqn(gGdc^щ4''\~j=GIjMZi`ȿԍ#qzۊ4Re6 ?ݐ$'MOZPϔ/-Jr˱gJmn?)B~ ԇ({b_ zQJYSR= KMr&#k4Y7/?=(C Z_beߘ|/0[Cg' FykW{7!J} fHls͖6MHBv^w5s}{4vv4#mHA,sW'(62c%u/<74߻'RB6?*—߁7WjOH킉mn#Ld1'+)J6m[=PҡrٛdkA;$^Ƹ/|A[Rx-9 TkR6a!eC BH_X 4im>DLWo_/lR چ?gU[ߴg>yZtX"%X'XbX$|+4:A{p𖍜7b? hi덷Q<ெ>ukqKmdY% QOpKB _@g/ YZM&ĺ:>YZf x[h, PXn OR[tOO7Jm+X5(R ^lᑣfUTd+"]pH ^'Y ًOao ßȫ- o'ڏ'ڴ|cU&H?o K&ѓA'v>RG\|m5Z|[ontϡ$yc4 0[*9f׾)<ōgĶֿWHeeg+Hż…'j:#VAy[7m"yDI//Z=hKH"yʐOqRJ2\=0:*/k2xPӵ]-[i4Ph쐀SN;Y νᗆCxRoms=ݖuyee md֙㚥F\Ѽjy>գ{W4s03jy>գ{O_|!- _Ú%̗sOK$5xXm95f׬nC񕿈_ 7%}OKk'̏lff'iOkLJ<Ho R3uwF1Ik_ChaSs>$3g_{Y45Yt+oumoJ5.> s^-t!-~#I?ĝZO_V^ {;kk,RMbmQ!sw"4U_Zߧߩ?T]φ<1Mo?xƞHd&EKhDsYoq+L"|\;.v:=CBA/ 'i`}մWyc2<ǕA,ĎؔTK6R%5ouɼEK㧄#| .J)Tefyu3s n/,!tr+J{iŨ w%+",n908ue 99R+wi=O>ҾxnD,zV4f !Oު<:_5C⯋ k^?Lj%| xSLwQ^ROqpm$6T⢖U0Rnw_>  7UӬtyFKS|у$-E|2#] ~?_t oZFߺ]pV9 219`A(Y_ЗMY>>)n];PG;o R:SGn?+ Kڅvm#$ucWv=^_R=ർ,h i|_P (rחpϑ o#-xi e!Ic0 fFQO,d"Hj)Sӫ7o9a+k秏,]s+x_ҵ_jxgU3Yl㍮!H̫8_aeBx[NlGQЯӴ[% G5N[n(\QeYmnK'}O!ƍC@O[|Y/aKhMLx<љ0v cOi /_X|IxN}?-麭}:$aJ]+튧{iŨ w%+",n908ue 99̭%+wL=־"]C>QB4Ӵ+N+17wQZG$g)bK1ڃ|5i_?UjiX5ʬe-eA5,B9m[Γsޗ_u?qahkΰ#fhu[aR@\l%1Ú%⟇?AZxFK"Kjon`DLV1,I)s[]팾you"Qi ]ylޤ=)h6XGG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-GG-QEQEQEQEQEQEQEQEQT,u]/S=7R$6mpi« N J08Qj^VI$KsgpF^7h]HʺHz@$FMBŵ[:gDǝu F Fhq42(%&GsxM"-J]V;T.ΰ;23#28 ӳ ?ښo$6?fW|OS"OMӮ4u B[kbms1Fq`ѓcNz}acL3glIpp^aQ@U=7Oo 폳}>zNo7|,( ( ( ( ( ( ( ( ( ( ( ??Jլ| ^Om2YL$n2:0 땍?-}W6cQ5>m?R24b{yhMC.fRҔf2fHYmZC[^I\#.447h%%eܬI$YV?S$Bx3m O5 JH F~ DhWT4bW][E4P:,*O(>C;W~̿,5^/PjWRXHLqڴYFKM[׷Kݭ8~/oCɿkOo]_ .[_h:v\hƇjLb$,,xtoZ-u?xB[:^Mj.10UW4ٿ&пAiv:ES1Mc!i#f8E![Vᇈ.w^_O>-o~64Կ+Sź?VqMCk#w0#YJ8SBfG/"5_!iW^4]6'xI>#Da5XVxn쿻k[wعʨ<>|)lEnk2Mbm?LeeKK9%k{fev kGøӲu+U?>ycK9SNzJ<1h|7ʑI4Ilvq+tU߂>&\|r>,Z~W2>R4fߢVYIaHöˇFH5 >ȯ,wn5ۛ 1 55:1F+0 A|1Gl5WtACu^Z1, 8Jv[t5}ߑ><훡wŚx6:Ům{{vEZo\Ʊfyc71ۜ׀xc~8Wzi&e2( aQ36TGmCgďzIfOCsN#HY4Js"aۆÁ_kixnG=]խ$IVkdv$ W;A 7a@i_ g<#km7koڧsq` 9K(iw$xzh|)Ыoxܞ(ݾkxBR+W|9Ty(y,ƙzeg?5oIկAO x:՝.c6a~|yU>~mȡ[#mGW-KJKf5-:Xj /^;fIcѫ6"2,|9]mDM~&Jsnߖ㈤'ˣ}ӡTqJ.t>I{ğEcY~"crW zT| rG~=Zuw[Ǹ<7`%&6smc8cg#wH2_3~ >*M 13Sj˫gv4oԂ/+\7y-۾lj_~;}OOwf>t-' "yq~ f4;Lqu.ש}MW= ZoŞ3ll;Z8Dm7vbBeD|HӼWؾhgfӠH0dV2ዐʉd 7X| _c>ó:4צkJD1sq+ǖyM_pwcOiZѵ?/5CPh򙤚*j%8%k//=6z-ƨM6o?Qj{&85.UN+Mh6ȡ7ĩV ]KHmGW46eswy/#c-,a)?kѼCTd-:M>v83~e$y\ׄx/Z:8(45f6PMkRD_^2_wZM1I'lU HA򻻚>w]ML3y'?Ÿ k>x?'-kXG$z6#L!v8$fy`dT+$I۝63xg[Ծ0xJ? x>-CXmm#F#.ʼnw>|?ޡ ÖdЌ37 H< tvhaeJer+ch7軿E <񗍵υV~8uo ~hp\@CsQŒE}+_ĺދNӴewxMڝeVH,H|FS~7ert>Me%c]N67mSF_vC.Z_Ѩz~~$|BѤxW⟉gm=Sܾo ]DЙeu j#f9Ivo|»ψč_x _#Rֵ}"Iowe~Wss`Wpb׃>|6mu ڜwv-aC]#ah-#DLAA @e,7xHI-&fsۊp51|< oR-wn䳓 )up6Y~~.9MpAkl<=4[ ߉utfU+)n ĊR@ϙo{hLeo{~_O HaHҘ3)v(x&j{os֏}*wO$M| * `B 6澪~F3xV0k_%,;E@4c` MKởU5{4/M:^Ib%8e njoO__b_/oY?߉1x??A{kH񯆴5'TR k{u0%f%R۰ Wؐ| ]i;i l1}&uuf3\tHA&5i<|#_dž5ӤuFM>vrO4$rf,TbPSazdwfrY_[̺o_ h;ѴյߎZ+f(:Y#iƉe*_!S֍H񇇿i?G5oG;GOocrtp7&w-}| g@nX]\^{c{츚+&Ib/Ȍ6#~[o$_~UmMA?Nd 'NdíZ_"eľ(lO/|4-<@0Os pFwȨ33_8FgP񑰓gú|zZgYAtoK*@`ZGz2isw\ϩ[$@oY€)Sk=[c,o?Pcxoٖq-ngq&0z_K[ߛoo/OYN5-Фm6IUk¾%|\|Z Nӧσ4=!tخ#MUKI|P~>(?Tft,Մ*'K`Ь +m ]6;cÖ,ҭ̒IBWi@q??^V.]Z}w[^?fM!1# `(--tWxzg?o Guj rYg46}3TElg}vȌP go~1>255K*Edh!~rCq461hihhPiWYy "dcJʵb7TO'ްb)N6mH֍)O,QEtQ@Q@Q@Q@Q@Q@Q@Q@Q@y-{>#x‰n"9yw`#X8Y̔pJ\)RSr="v'?%ִ:iK2. <(c͌w ٚ)gk#.H, qk,//[6JjvwWx~ЍH$6ypA :IKKO_?gtt{̌rJ`O/TfJе/xΙ%׉+[˳$W/P,~Hڒ3".U~{ | OΰO,zYj.%F  UprO^"?m|yɪOŚ $K .!dd 4撖}m/3Jo/$iW//x˝O<Ew%Im#Le Bd'? 7eKr4)XZH->$"ՕJ/mC{cV7ƇJñYˍ>lI %ûdY<]~z?%`П;3[ho3x߷㢖 Om>}rr˷n' ᎥSV:u_YM_oGM|M/>-3x԰hXȷ e4Kq^{xCtۍR?|5Igc]Av]\٤Agv/&G+H fھς>0[}6=/x{BE+qj.L"!ޒT629|oJuRhiR[NfwYnB0S9;/aMMy_˽ryjj_y?tڧW4նmfS˸[A 4/)R5;,૟ >!;oeV{qpאGQ'6@o<]Qf]V%焵>F7M,2 &xsFߐ5vŇ W[^hזb+Μ,\~GZktdwBp>/ÍJ]KCVz2A*r  $,1h^ s7k 7wv6_iA[J^֝[<15( aуd7&h~5KV#VoڏIԿfL/M iǤf+:^̐FA>K{^_?eu/JmN]B;lE)-дS!F4TsOKdž!|uh/cu_id]>3 !l|KV{7gv}_W|0$mͻ:0YumoӮ抩1oMlN|Be&|mu5ZX}؎X;dc)̠ Sڿ/J^ُmn9)c"?.LvYB(b®gCƟ ~.j? u]gsks.fVDtD%|͞8$߲~/~ռ5{4]mǂ Ӯlg7/| ]8`8Tz7&/ʟl/ |@I<;xL a%F[|=2`Hc6=/K=U'Ilmp hi6 FB",_oO/cFݡ^/Zw! OQW~o/ˏ=o\ɻoA*O/W}POq5@Miucw<ڋ1D_xF d-&7]RhT|=A?Z'478$t%)Pm'z8c;xuƹYxĞ$BHkD6q[,CBT6#$(v[ /^+?74?u|>!OۛYgXtt_"e+vpnqZw쮾N R^viⷄj-]W½"_gr61,>TI;@RBCx|cj]Xl$PD Ydp, @ᖡ>k~'v|gjMM -*i $6«rI>S<1(³~W_XU^ 5]2}>SI䬀;A\iZk#LO3}붿uL?>&|3.K hVfYʂ(ţ6&.~gJ(|_d`Jt_>n~?[LZ$[E#y26r;NH^z5S7Z_AԵM9W .hc@ ~ɚ?[WŭK6x*~] >M>"Ye_ xO5O|S x0nQ#Z5Y%Tl% , Ofm;^xd~*>i6vOe$;]H`F"-D}o?xKA|x O#2E~g`c=b'><'>$6oS֒H./;7cg2r 3xY|fj/_gnZԖ_)}}F+˲?Oş=CE ~ j~Dwm;8QKRTX˟5_IյM;Kw]ܤHA!C1qk| ؿj5߷a-N9r-e"/Sg$ dtP`jaUmnyKdbaVPV~g!/SYV_J·-E nnY6[T2 WTi? ki'KmZWdxwW$1|Lp+_vo <__Uՠ[2iyÀx$8n_ ]$ี>j/9YKpR;%,J2glLou~}OYwßxⅦ'{nI.ʓ&61cc)ix6s^ e|QuOjCr0T(A ?dV(u>Fja;Vg1oNk1ӼMX+}CI}By'b,;XX˹鮺vm]~=q24xۭ Tj7,! wWW2|Ui |D szO}Z("dkdM}_ ayR}KW؍rc ӬbXF,Zboh>7}f>wíC:%3H#V{VH2jEAFg/ڭt*kow|5i",חg/-no?g~~$c5׍BDjf9,p ;Ec#+ȾdLq|$ȵWßo1s:WO2m4uu;!bo4.yf*V@~ju0OOm Letwiۿx~"xHn-gJo+R˺î[`xo-O>9l.goPyI+eRr[8'/>#DHƍDq-ݯx#^%F/fғR -D(ьlZM6i(֕ ;^g[↧::[|:.$ D[^;9d ;VIզqmUx '~{>x \?hB-j]\+3 k-wǞ:'^h6^*iֹ)IGbܞHs'qm6mmyRWV/-LEEPEPEPEPEPEPEPEPEPEPEP\?|ύj y{vٍ8pzWa^sAռU#SƃisXa[y<֒nrrX3-MF]Kt5 Ag2%̥F@7F|e/x7I8Ⱦ Ki]]p q^=cQ4?G Q⏉>=mmN3),#$dSMt*!Xsj:eΥlMHLm';3_ǟ~27 xF{g е42Ke0}7q!bq9#+g/xCu7o x徠];Dm2:- xU'>WK.MrNƋB/֤1:j apHe,TeH w[ßt:_Xx+R`vڔmox?,LB䍭=f?x^3 ߂oek:E٭U$(3 |> ~~)ִK>Եh4?Rdyc6-s@$ S/W -:e?Zo ~ 76` PAm9& !x7/|uumk>0ՠݧ[jOgrCL"D,C V>~;D^k_Zu݌O:TkiD% Vƫ ]<j)ZvwxwJMޞt6)3L F5뿴t3P F>)ӵ uL=F@D W/ϊ|~)_ X?K#Iui$.. jф6D%t?g=||Tۦ;oSExf]W,*8\:WryUdqW=:1d4Q7!#,dal~wÍ:N tOYYͷP/_ɷGl3_W1xKQѾ!k:-Ke>Bމ&PmUTHʹ<:.vpwwӪNUO%xqxȑd5 Ď"3Č0yjw~*C5O@FeDSυ c^(3.|K<~3O~i@]D[7E\O~N½c# |GN8ṉZ4<ۓ82 (2ĭOըߊK?|ϡWĿ|da2U!t/^9>m׿UȐEq8"ς~KjH;yh5;גEP7cFSqNT0ɻKk^(ժ_x?xN~!K]֯~eiep_v`3?ÿ|3 k~!6&)Lq FX;OfO [諠WwW涺cexq\$^|K6ؼ ]ՇoM€ͩj-2{b);LI`娖?[wV_􏅾6|%-? |B5iomg|DYGڮ$F*~,54#ԭ7[]f>2Hber@"vGh?c vu%K]2G>hkQ[ߜ S[x7ƚo4O ]Kk^7@Ak=\%Hd@ xj,Uj>şu; /þQ%!ZR:@ io?]:|=imY-LZLIpdX]}s7Lg >k-s7MΏV]e.L5x r?<~x6 k;hO ڟk(8 ( %X9n寪zRKFo__x<5o~ U$t:r3Ey=yw%|?ai ޱjZ0ҰP7z~;9{+]g,՜iA%Cؼ-u~RO|A $71z|;^]Aw#1 Cl),~l>BJO~ͧ$}YWᾗnz7e $I}'!?P߆->_xigzwy yyߎq/<-ψ^-/_'n!KQqa!8Nmo| a⸼]*oXؼS<SmB;틕Cͬ!cֲWsGZ_gzOτko-YaOZG-Ho1Bh-sWt? $ 1C_)>;ύxsž7 [yrΒ-IYl8|.tiŎ<aᯉ bYFe:͙39au~ՉU>ݷ"дxTլ4}FaAw & /zϋ-<{"TTD,i"Y.F_pۜ|yV)ω|m.-wO-ZtL$AlA"lX<"/|~_촏G\&Wş_x8m䙯w0}SPiaN7si:Oc^s?k:w-|;ipZ͉ qKWR7G+BS޹|fkw὜ OƤll\[, 2FT!>og¿[`|Uko@nGY^ߛ=6I~!@uii0S˘HW_?<}k?RxO ?lu h֥y&0YYQ7uٝ]cBj(5w"J7_S߾&xOELҼO\˛ygtK#K衛llꊸ-YҧK߮o\>m?\.-wߏoLS(((((((((((((((((#z>)ciWš^|JDŗ-fq|s7 QVM+z#[oXQ?, |GB=E9`_|s7 =~?_g^1?, |oX<aG+?z+?Eo-7,(QusT7Om^;fK 2FUb*a^K?, |oX<aOA{=|s7 ?Eo~?_g^1?, |oX<aG+?z+?Eo-7,(QusEx"x/ E9`_?οw3[oXQ?, |GA{=|s7 ?Eo{(:9gcoX<aG"x/ e_;WW-7,([oXQ =E9`_|s7 =~?_g}x^ x?uƕCk%P\k?Eo-7,*@z+?Eo-7,*}~?_g^1?, |oX<aG+?z+?Eo-7,(QusX{@牭=ۥޫkw<(rodSRp;W-7,([oXST9_{=|s7 ?Eo~?_g^1?, |oX<aG+?z+?Eo-7,(QusEx"x/ E9`_?οw3[oXQ?, |GA{=|s7 ?Eo{(:9gcoX<aG"x/ e_;WW-7,([oXQ =E9`_|s7 =~?_g^1?, |oX<aG+?z+?Eo-7,(QusEx"x/ ®|'i~#h3moSϋb -K.\ 84:K$CSX(,(((((((Yg_(9W~;_x.̶){; yT.g7'd_mbvb0H8Q%u?z>xb%5}?OHkI.1F 5N|g<̤m?jߊmg6j ׮t -BHI$5[ypٙQ[v uc osxAWVybG<Z'?~ Mxzp2M{C$Ѭ l$X;o^xyE5dlqC2&2x^?ck_OR#^kNH>!y+b=5i4֒/1́TODGm_Jx;:|=ApV_,7VG4:8#q3oQ\vVD6 [$UP ,x rx`'|5w|-,Ӧ]Rd69.6sZ^/^iSǿw ^xk|B[xWrO,0lLp 2$mσeK/IxPMXih`MK#]C7# 9xe5\?#{7 *QT `R )&B2FOj:oZκ%-''mW$)j֧^tjWGgu!6ie-f435ڻC@7|9t-FWu,6f*3,Cȶ*ed>״ip oA[Ų1"$E*nOA5=߇6Ɓx uiz\I8̯*Ht$rUz^֚$޾OM Oؿ!׃iB+ j . <ʄH8\aƟm'^ 7/Y4o6aޡ2]imh$ /iάUuɴ[1x_`n''K-?em-oI[tڟ_Vzz]Mo}~cvo]c˝[BoO4/vK@MΝWY|Q/6I0FȚ$g.h)HʃoFTw-QksߵK_Ҵ CCOT"eB"|4C7O75 zǬZص?iKm-ۅcD;P7>g)6&AڹLxiR} 9ߎ,|//xWE?3ZӭiMk백,k] #c|lG|frn74xIOPa/|Wۄ0@#ЊZRiN??@T&bÝ8[PijwϧOL~uͬõ2~/xsTSI𭦓{Ni)S[Hshq9#+|{91=4_Þ(|csg3Ik>5ѠP#IUco]< 3E/n%]?IQ' pYsnD`@^%?yAȠFUYx@ۛxbFLfhYUs jy-O?Ěֱ𵾝iw\G3Ng]| i5[Zz)N)0W"UY`V;xS0B~⺵n,x)w, w+σ= ;49*]^+TxnkܵI"ʳ d8 gq([l Z\ j>n291/ڷog±iuh5IX^y>ncU/xwE%k4y2ɯ%yFp$ c;~U @Zע߳ӵt5n'Am<>Vuh߼W-֬ŲWqiGd0rHFF2ޫ⏋~8Wkt[]xoMc=. ʊWBP9-[S^J??:l?m_C~/6Ku{w.",Xt{g=nA_~9x/>ޏg ìۛ洼K`dʝX̒41M06rǩ&LMEҷpQ5y~uZ_gBk$5]v巸F<0" u7~mƚn/7^Ѧ%otJnΖQ# 6`g ⍫ѸqTt[֒O#'> ޑa"-wY$ǸGpĐ5zÿZZ|%,L7I}bku9Qiw斄hi2~ڻ6m1( H$c8&^{R4׼|~_Z<#)<;g.p] |B4iTy"]!]Ӽ[Hޅ B=6;G:٤AҬ~rŕW%6RpɫXi~"5???|jxn"h`sxR bOP sqio?j[Y_xQtn.f{_ЬUdи)H;k>G}t^§xK>/,{p 4N)~-rj`U!Y9ua >.|K|^ԯ<#\\ K1Z-8&{KE}UK :V%;?:ioi}|Yª8P2\St2[[wVO3Y5KO[7ėtolXWKˀʬ56qIo|Ai'D𦿩z9gl&3\U 1gP~OvUT1ҔT4ҵ;|4&?̻yo |tigY.ki m߶t@ F[hF $TA^J>)uɭI?I̚~[_%^Mm= Y '($} ײVd6knOWcY!F[2B5\eI#x&f c+>QeǤU'Oz(,(((((((Yg_(9VwoW&xGZ|+>ŵswo6%$>SBD(ѷ5OK?eG5z(l6cȧ̟>cimDž2Jƥ";NV_ۏ(Du t[M,iep e6&G~D}Rc> FxcFDмw=Xǧ M*O+]5\I#m[`j^7#oaR2fL( 7cBJG g~~ї8>)ҵkF,-bduDԋ]]yƧLYݾy^NunMSNS qc/!խȞկ69xB@ʎ7c _rMc6HO J[cdz^,Z[iF3Zpd^Z6Hl6~ʺ.<KĞ6jxL%o$2}>68ڡkz*bRN>oIqL6I(am:쿾IF:Q%i2^ԭun+TKk#k̡@y9!w3ԢWR{Fb]B( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ?T~?E_1 c+z_?TD(]g+Š(((((((%u?u'|_wL_Oz:thI44ѪnUy/Yg_(9W[G"'%}[y''KeR0 CَV_mVͧ>ˣ*]mX#m.!,I+`T|uK}~oWGu-j_R+yιGTѼY(/ ԢJk)͞v`;lХp<t@꺅妐̈.u;BO0 |Χtztm_${K}F(i[Pfr:PN|'d#ԯ/IV%Ekm5艣MDPT9W=v\d^׈>-[ZW5MM-_L7SZʏlgF'@,x|KZxRo _Sk.@ 8mwfl繍̭@vhJ' X}/r: :H׷7cKk;Cn_J]X#1yZMo=+:B$"]B$[f7akտg kR׼Qua,YKk nKmZgEkrdݤNs*m,J4uǫhpij4<@a"[ }21Îj վSx𮝬:}ͪg7߹ ϕ;|UuSDӼ1[ITa0.Lv1Qd췶0v|/Yz5xm/I+ݥH.$r2\R^-rxͶ[f iDX@BfʀǸ|oÿ<)]{@.!lK9>=%㘍HBpy;[o!߁ ƹo{Iw՗QE DM4v47UIO5/t}[\9i=K<3#%hN!|PIqպ+>)':+e"I-Mچ, ;0\4% Bxd4wQyn#GAq?g¸·^ 㷷t0XV+;##-GghǍ|gk'Rxױ8TX,B Ma+ձs[+V4]J-cU5{m9-mf6;mڻd|+_ȓnv'È)=G"*C)y$ G &@c)j1Ο@u+I_5-[Bž=rM~wFP 1OD#iVuM1X^:l71–[ŧ˝i ū mد[CKÑ7u4o-%…C&01Sj_<-&PWJ&MY㹚-B & u9UͨjiWq!Ozkյ?ݵ%(cp‘)bv%P{7 ^~-=./ 'Mnu{ g40V Iv6#~(3VnjuԦt_ MjvZ["M @ zsЌtco;k5_~mjWQN%rpjZ/_: QIaGy!H%*Qd_?F:QwF|徫}I["=oV^Yj;&ѡiE,!ccyWOeMr+ļK'ܿď]F[O%mO+##ƌ>VVݖ7zό.-flmC+K<Yim2mi-1Θf6x;/yOϟw=e>-|8FMP]}T:$}[VPbyO藗^[Ym{86q} eUIfUdR` |;yZKqh$ׯ4-Mxڥ$%FrHX5+ռZn.ۨ>ֿ S\ۢ/EaB8^'_[~$%o-UΫwj: #Aa%17[1 ?)ᖒ4 ?TPFk+K0XUc y,r+ٷVZ~-懦O>=%PlG\]ew`U>=ܿ |U خ%># KV0J"kWh=-eFwkXSI95"%,BWϣ:|(.u5/Yis wVD`dPң=ۜ\7j/<=}N/Yƣo-P v,pY*쵴[|e/Z~-(et @Jyg x#=xK"٬.]Bsm|0SA"[W+ğ~-!>%H[/Qe О he\YJol&'T"dP嘰[EʬLu!{${+DJbc[)xšw$Fp(V9^!DE-#"PHݔ⮝ھe{J$$$22ho|? ֬u Kݾb!LTOp,rF0d<`?ƕa/ #[OSӭXEa-3.E\B'*ZaSz鿸 1a&l0Ca<>![SԬtZ)gy ̯Q M2`yaNH3t#övz:3[iz]>PEy`G[I" ,K=?-OZdm K ۶鄞\1qP&ծ|cf׼o5{-Z[h:4NA&Uٙ@R yLjK+m?7fJ]_Vh]YDщ(|nmܒl( _nTi]r2}<_wQሼ{oceR9h\<+ɽYDq4yi5O|Yĉ_I5ޏn.5;Ӵ,-fbQ׈-i7[(X.Dw>6I☮WA_aM;Z6MXo$5d-'mq+p4u&ɽkIy7$29**g**")ߕWE:Ngψ ~`-,<<—ae1 {n#j::֞.yhum5 j:]孇dӡG,^֤ma2)躆wz>w/}5p2]rry>ZKN1;k#oIЭ?5֝[꺝΃$IԦ)6V6L6pdr̦~Rߊ?ixsO[8K}׷YVxfPBEٕ+?hExxSjie+JUp=(xK%kH`53ShRí,w[5+9(<( 1_5#*W!xua;mqHʱ^vR3[$,1f˴FĩFܨq|{3V*|BдmzçKi^# xlg\hC4EnR62V2(h5gOS]jr%&"b3m fBEUᄨ>KoƷUA> ZLw=)剣C[J 4ytY|m_ok)g^^1OK?eG5g/k7-#z>q]]j&[+`uVg| /%ݴ13#ڨt|m5]O^[PuK*Dq,* j?ݷ.4KhtB['}}s8C%Y<+RhdwXi]X_Eyel mZ[_]\\lE&3  w SpmWG r{Fieuɋ_$$;7Q_Tt/.Ɗڇ(*x‰V^3G&a=$ʁ7kXbqvBiޯw}kF.4K䉉WUeadw([W[\{=h4]g㮳k/w{sK,=: 4kkvrOF[<8(Q-޿h:ESxUtۈ5' GZZ[U5Z6r{I%џb_l|f/5!}×CŧEXgUэʴk?̡X'2jVRZw#m?SuGOiw M0icM4`_2,Bϫh{|_ ?5!kq=+\YJV ^'X杔3Bd; 7xo4M.]"|htQN5ټpn4D}R`Z"ow0rt(,}aҴGE 7Zhg{"UyKi>Ė4RC@];wcVx?:ŒV焢+8(+兄wIj>Ȣ >%:lj|zWDW6&{qre#t7lACkſ1xZ<7sW:>$b{{>y=Zܱ\Y|oi\iY}E|#㗆|_ŵ?ir|I5gҴdGL.ccy 7o࿀3jf{sOYw6i,/%0dVO,1wn JE,JwџQ_>%)MiZy `:r+weuQ<M[⎥%9_Y@=.<7 fd68# I! :Bv1*]񕮯^]K36/ڴ^&y B7Fd 卣kR>lZmֻ?f'MVvәa38HyR<w25+J4?.Y^6soC3<6z BVEYx.a |?m;;N 4`y5V ZTq "8Y;귱NVſ n5=gH{[ ae>m$kfb/X2ft\_jtG%n4OyvUI @$ c+Bꄱ >%ҼU]ۺ|Mame]FA5+N*b޽O|Io s]uEiiKiH|KbI6`J-+B5M+{_tkz\:_igJAkeoxM򹄩TXfȘId1z8i"[jUO[inG-ktdLsm3˂CKv^xeXlGw4;Pt%_)[Ow ,xaY`,nI:O/]|gtKQGyɓ6<2ʝ%Vv͌dRr庒/+Wj2si~ YjB .EYHP{<\H𦁪Oacc,.c*G#FH~WaLLG )hx`_ M㟎xGoRXkυomeD]!}]&7 GMV9abOdͼ9<+ƪ-nо3j+Ծ)]k:G헆\_jkʒ4!B}--g7vSYxI..KR.>I j)Y̫ y"SIe{]V+?|=>#Ӽgq֗|En 3k {mm^a[PeHv2 O,xFg@49tRk{FkI9 #m썻HAEߔjx)'kq,B}E|u^mΩ?D7ھ38-em \+!tl$|Vt=";'ź1Z>']̗W&ְ-%=Ѥ_>+n ZQ_x?u][VJ|Akx;1,wQmJCkYQyeO\o]m%W3-6,cN5 t[8ZC,X+}wE|xŤZױKk_IIuca*3 6NgL.kv_eF-3g&3^Ioc &GK'B~Xv$prn@ -诒e%ii›à'k%aF#,;UB-{_a :U귺wg A pH"{]_,K']#T=}Ѣ\/OGY''+O1$9+Yjx/QqR75=3E8>s$߿7a6 # o Lά7*}ECh^EBHKyT)]YAgVU:{(+>QeǤW׌|)*H|Qt=( ( ( ( ( ( ( (袀 (G$s@,NѲ Pq $QU~((}_JRjz|n%X"_Y@I v`QE ( ?T~?E_1 c+z_?TD(]g+Š(((((((%u?y(?υ(o|MGa^hnQ\{7(c.F mqmh-lxuz;xgHsym^R:U+(|Uo9:V^"7\ķw>`Jc;4P.|}k> ZM|OqZQE9T"%1i$,=vQD ŗu+;?훑t8o< .9FW;[rwuwi"Y]З|66e]>X^z3]8-]3XEyNP_VrIyw}%ej61Z˵K5?_~v(5Ex\hW&V;#FA,r[5Euhּ5ii6sċ}S- LGȄtVϸGºsvK= X4[仌V'Lm-s,@ tUT⟧m{jGks7CGzቼwi/Dͮɫv1,g?h[,ImB@p?t/Gn"xG<3}X5ș5 GDHX+7swx[ -o)LX\2L\"~񿅧 ce .t q4k+.B0V<ե&E5妒\_P⻿z|\ZHkI qnQ m 7|4~1x-NFI/uI%ˑ+y%}1|#N"Go_~1]蟳<&>IfP)33J SSyccuoL8~Ⱦ%ݩCJ{jDbnҭf,Wn#FYQגPZ@NOY? źoĐV[^Ԅ@H숴2~[fß~#xI5X\$ `k<22Kܫk&LESŸuة~(xšNͭͦYi6ڣ2]k8cy -يwED߳^ 5k=jPٛiA,|i"9gŽt%{+|OkௌvڍΧ75е3K}r9VLM%@0$8_5Ž࿌z麚^ӒOn&-d\\-5paX3kkCIaÝfm IT]^v891*Ercsf]GV> ޙ^$ad/$3+LѰ-H_2\3:ψzǻCGul|o K=Rฉ/Cb{ 2\R۸&dPaм5S}Kf~PP }6 w}$nJO!LOEV:fV:xJlO*[KS w~ƛh:/' OYQ2` pyTr|tK~ƭ/X>v!$9![D 3 i][~P+|1Fڋzτ-5y`ԥԭ )R,g!Oqʻm 5\?M_E5“g}aәi7t4G5y^yˮ/+4DTڝfh]Gm/ykJWK_I%?#kL<\&M{qa{6Aq#O)vO |uBnuK[_i#[ڝRYkNy|if5!;gCnO >[Ǎk:TCe6buh{_)YٗΑ;_zV<麠eڞǁB>Pc_`VǮkZR$jCwbwx;eҍ5}3៏O xNvIVy<مKFUYo5 ~> ,xK7V# op4䬊C"Fl-+yzSzHwMNGY־ 7K :kȝmPqLby$Y1 yNlj]jZ IM}R$V@F^ ;US'1ʧt~!W/*w_1w+GKs5JfL~$g kxMt]Ǭ?⹺{th"yΉ$1Glv9򦢺?,/<<#SKYkOWX$a:SI"[U:ZC 4N5ww^x[ O]U0Fk" cm_]Oe{ iIkm{2+XܺPnp9ɮ_fּK_ >./΁,*c!>p٦^*+ĨngsuVό44bb.no1oloǵ@zGL> ?źխV.`XdVc#zG㞥kvҏ 5gf#6Zkzns1qq(Kܿ;i]y|P<9.yKvn@hyWݳpRFD]*\}x?.X?jM—dcI-+\7cH9VtþT`Um(xS#4]c[aԜ+˜3Jb,X#$>jkeoaZZ3>+ZvV= ]!ֵX]MN&DfRB!0y>Z׌b|JO{ZI-/%k4@% M<FS{vC{.M]׆.WO/?#ێҳ< P><S]kM!5@XAc&Fn ,*[!5ME? [97E7)6}j[}X4f;ٸBW >:Y)SkAfRz[A3 \j/̃hܛ0h:6-gk0 `ӡI EBQZ42럏m{ /[kY<ޞ?_|^ּ9eO[6O{ zs-ipфVgg»X,+Ӿ9xn?kӓGImH?ْ-N12j Vەi%{ݖ-#q9MxdzO)m[Q{mMFFPIňkA}&ëax:t,.]FM8[F[Ps޵<V?__Ҵ[ݬKiAwQ[te#P0d;ImJHғK 'Trv߻fރݼOSsa.XiZ.Ӫ I3hmr]Xm;_Cĭ_:NUof\Z-ج^PITH#+,7xnk :Ŗr$p\eL,dLI25am[zǛ띗H[m|?Я.MKIL~{}:Omq NyHD#^hZ'UA!׻x㎠_Иi{qu[xd4#Ri1 Vw:sEGc]݉--o nid*>$A-ƐTp_?g%M %݆M֤n#֠3O1ӟN4@O%YsᏎ0|Dlm5;-^$^y_mHђ$F f )F'j=1xzN%k6܃ ` mnV?wKFs~!xS1꺷&, ڢ\_JyWT_0rV/rW~& ]mZdloIth\:yIyxWQB,U)h Pns%c3 _[ٮVe {ǒ4$bӸ8Q#[t9WI'~ Rn[A&AOK[iQ26u7ەY ʱ}^oM_MeozdK0P.$>`xv> M|1gOk%pip2A#DiFy$b`#,k;_%|7k6<}X y'U;a}>1& i_]KEfk֚5(Ov-%A7ߞ4کpX>–>Z%wvz xgQ4r{vUYpK|3p ѵgtI:c$tC{ULchř~2w:4 &q d XIFMJ,Ȁ+H0XOTf/gះǍ xZVWIp<HH=$M| gkVhǤ¦_hGF*0 Iԓ{B+oN5:u:omhu1@0FPqN~|.RG6p.o?m8iDqD$;p@$^g{1{88k? Okwyjveo{p˕ek0; +į ?I\4G$%۹o .\uR>H2t=jHƧj-5/:E.G $[#rk?JX< FtzpM$QX#d%褧%}GK=P/%8LH$ ,a>`̙WZ,uFgY[ L&tFα:~p9('\rRjΡ'<#% j-dBDfEbX6A* +N>9cxElAcCo(s  mgq'nQIOv>Uǁ?vz.iQ˖wXwb| 2H4q8E jsyۖ q󘲝lwvW_E}Ò=+O jW"e yc\ V2/^nWpK)|/^EWl` \>U-'\M/újLͨ]Gef22\I9I&[/&ÿG-ݭhV2ٍ>@ߗMT.X8|:)㽽׉&no"g>i?y'y۟|k M*I oid"*QGpcu_ kzcWBӎI\i|0-@TB tZ- [hoFek{"QJPB#=9#{@4M#ƣm8$\auqWN'[m"m3n6F/F֗AiF=tnlcXU˭DA`h<[.'{#IbWdMtHI`FkkZo%kT- b<]C>,"c,&z(֗ ug:\[2JV~YJ?tMɁY<:oQ6225M'p)QYQyΰD.Ѥܤvj5]WN4 SUOlgj傌܁ӳthQEAuumeOyyq&i$jK3M!EQYhp\jwQC56; 4,Q'T{ [ %a)7(>]Њvv\ER{(/m-%ȴIT3˵@OQh Ǡ4ER;Kl.][~VNOB(KSԬtjpzm7sv)gcp'zǞ >n$K#H1UPHP1f®FHȪP -κ(Q\'~&šgOc#ʢi` K$2rhĺοCiq /q.v*C {_nO2lQYNjZEW/$ihhs*z{VtZ?8o"VgtqJ,l} ,QH((cOQWLzE{=xŸ*?좯ޗ?O??C袊(((((((>)gT0|.':vt:K)LT!VB 9Qn|S:EQr?<!t[ jVӧɽy\_9>xtR5Նqq&yurs$ZzČdX%b |ΆĞ8F*R8!Pn򔫞\M}? ѽb ~oY܅/-loi-n %d- 2□3O?4-DY[ 5^jv<16RjH>#]#v2|$޿W?-:O-zZ0.eRoQNie+462M~\͉Qx%FFQPb#ʻZ+xF&;.{{+]^ -9(ۑ F@dQ¿xCJJ뚖=ΣgY}6OY !QpjѮEU\>E<;_7+_1^ -ӆYD]>4.i6-4h=y^ɧv({[O{z`j*xWmħI>dzG?, NWFl^ԷPA %81-_/Sh_Ou_ICg\}ex]t`QpTU] 75j}(- 5oOõݪsCRy_4_7MG#Ƴ%_:^]Y$& FS>dg-a$GE~˒drvxZ:Z=:Jך+}:utPl<`IVVđeJ 3oSCMQdIծeK |VrWhM _wZ\!2"v7f 00Uۘ Zl)/%ch}$rrVD}bj|r߱ޛ 濥6[y&m3yϕ(Mlȷk߆~v? I<1~KmB)tlf2)klz ݚ6*m{՛ᧃt]SLͽjjeEŜݫH&E}*78xErhjV,mnOu渞(Im blIog]^]xcL}6%{۸Qw .72vBcfC" }iZbJmhfK᫰%f+V#|Oql.qs +hLcA&YbmMfymW7<iQ6}mR_JWF͵,G .!3 ~H_ht=wPōiw ,חVZ@&vo y߅=zO5iGg-ndCM]d7|ao(`a\aIV/OY\.Pj@k0 c?CUA 1 ߊuo< h.[M> FYb2=,ۭ4R*Rfpz|-7KӼEijwvGrIl̢U^<,\ۣxߴj5.7hX;䛭To@n rN[[i=GwVZ[Deeg >IVVgǎo^jjZSY_ʂ-D̂XI)Ē(+3l?h~ֳ^XtĹlwqdE;WӾ/xV֭hu3@еT(eh| iZ˽6$ f$4{h!9Rߏlj!%LJ5]"}.u65đCVQ$- r(le6sK x V/ݢzemͻ6-$+$\~5@⋿iZͥxU;-BK];+m26=گOoÖ&֬t>}Ȑy͔xff 0$Uą8/}?JWxAXL]NKcfUͥ, y[i D 0*Ak7MfOHԎGࠞaxn<4;cwo$~C 42.'Dcg μM7_?5N.+) ^'͙0QDeֶw1_D֛iNo4H\{ƎTh%Gb lsZ+Cxjmš5t h6J.gXb,p bdUWhǘkmaKط}'kmmk Ej)֯Eѯ[LNk_)6xҙ 1?g JִĞ>Ǭ m/.4 ڠ_$9MyVf9JџtVˤ1#4`$OUWw/_YImW#nf O4do4ęU|1Q)OM(I3o+_i~5U;['P$QQY,g+◊.W- C|MX-s;M%ƞe'-0F7W'|;iimkg w`$)waQ.2,[7ǂ]B[KyW|4QXI$%y X(Cct>:FbZZ\G/tF<{̲aQ\J4ss+>߇G-V&u ]uw]4`}u8Vw5s6|hIk> X}7JNWOk;j]3tXʰs*tZ~-c /VJnum6RX">TXcVA$ iKT~-ևx׌|MJnY!C=դJ%y+WtR̮|74ٓ_Ζ4 j7$]wts[J(O7|U(BﵯAeivzab0mue.J HBQXѿg? x_ê\O`ZJ&"x$2yL5_)ms 5C{ZOtwpfDqd$Oq(مP[|IxRqi\H/4x.ﮁ8KicBBCᘯeߊ*v^Yy;;>| Fۗ*jhVQQErxŸ*?좯z?T~?E_1/~"EaEPEPEPEPEPEPEP|S:EQrSPִm&-WV4nZDӹ @n9eZYg_(9VWſďYh^]^N\-nP1KyCC]j1"ً\+"Lu+5D+-­ű7Dјp$J2Hۯjx4۫Z[Kkn1('WxeſE{[-{"$MNWMbYxC ;M_SXl<[&eoyzt&uo-l-9C3}ԴqXL7򖛧AO5O=Oe5i,M43IߕpofWtB?6*d_ĚjnMu1$݉ .yc~?yӾ4 (\\;\n,=9—ұR ^ ttZZti$h H#WOY_ 7XidӽF6XZGD$%c I&`VAY<8ut\dǻ/>}Me&jǼc~_'{rϦx_U4زIm^ǐYca]$P[AT]po={Exd;ocx8Y08*c@=jό=e:YkSGsmċyR2NZLhxn ]՛7}OռCm[k-_Ul'12%@,]'%`ok+MI/+o( 9v=>-?\ѵK{+*  NG%z֟ihwXXkM[%[[ݣȰ In0joWu"f[mfK$Fe5M>6_<%T}Ť\=Gt؉x[j7|bt$?QGOP\g[B!eQrYm<*_fNҿ.ϲ&ק>((Xƒ|UE7J_%R򞫨Xk\Co?<6sOwkmorȱpϽql:buI5; =@O1sHv3gNo.7l_@U}YE[Vy!evPPK}CzdLƣkk\. DZL"FF[N;uqAmq4lq^x73++#[5>Y,쬯᷸{2ƻRKc +~w⎍$5; ӤIoἽKW>y˅AVdY1ψy뗞:ecow6.L:dz" 677 fi.Z2cmV\% =.^'IUP2Fxf u5J^ԴўDYc &Eܤ׌9uon ^xVTkwQ#_ysYCGI#s۟q/i$xYŹN-iH6` JSKo+iqvčN-VP~Te J}|/}y ,-v&Np'Kk7Zx9mEtk(eKDc5~xYӠRw{ )b!o ɡU7lt(Qm/hOY/h Sk-y7oՌ7bF¶Tw>&ѦM>-NI.&[/&#<!X@Ā7MOoڅ>%a}iO6w|Y4BGe C>c)~PSq-!Mƭ ķrZJP8X7*EɈ]qe7wliOŚ6jVuՌ=k-S1I]F1LURQĞN[{PVSc9 pk~_ē{v%Ȥ&i>_rg8m_\t+[MBէd%x#u|qvJ>|Tp\-޺!I]cJmZ(LY3xR\w/8=EpÕg:F3C{4YYKIVj=X^^?f]&?~,$_9 @|5p[pxSK>_^xPf~i6pKs8ܹ`GV`\36n4He:l7pxE6SwGw8 nć'Jٵ4kbN4Bfyb|WV^GU#|֟^oK4sjVZo~-KZxGִȵ(^ ukk e%Ie|[DѶ)N씘ihSa03 ni Z%} 2eHd iM6=D dQHڼ99)g^^1OK?eG5߈~׌uW7PO]΁fգ[Ci1c%A݆0ItYNW#-PVK,VBg)#Ip&O+&D$!W /VVO݃ݾ^VNE'ܢce-mf! ꥚';V%O qf/kڤZƩii1ȍq,7 o cHPɻ$i+(+D{ֺph崱3nD=j-l<,Хy U31;מE=Φ_7=ģDE޺wQi֗ ,w1 #E$3q k6xë&*C)Ԣ͜vJ7~`MҚ_Sh^=F^[M:ńHf]N6ml8?1! oJ|9ڱVտ !eݳ;^x`]Ύ|S7.7 9n5{}>(ncwu>GEix^(Ӵu{7[,s#C1%|4)x`^v=ξod|GiQ:",3ROAza#v:ӛYҗPl6<O;ns{5Hj麴4{"Mk4%@'NIu;+"3G~I*;C[9(F4 R}*O+ vP\,ordjN]M' .FxIt uVO[xu(A-}C +UQjɼWEu4cYIo?yB pzdrKsx[O[Dk[7G|p" RN1_ņk$@!b*=V̻-/<3"С|NK J[isɪxq kHj>Q$v{]w:j+-WdhLko ~cv9GLmXl洹#,vLZPvE'7.e訬IM} O.dkQXtޛaYۣ-Y]OZfj7A'jvwtZ9e.(aEPEPEPEP^1J(="cOQWLzEoKꈟQE`XQEQEQEQEQEQEQEοQgs\?>g' x ˥Jf':s O9uسϟcSWg-<+-uKIYSisfs ېvF9[D-NeY^0ot*vΑ}ax-7#MڛKw!ز1eug#aj G9o`X~oƭGnY61lo7W '/oh?2Vޏw< h𵞡i 5;P2\i7R˩Cak[ ߙ7J_//?jm;4>)Ҭ-o.l<<.\ƶ^z}%8ߐo7W '/oh?,UW>wU_(iyg]x|H–ZEҕn-ṻKǍ}1ı3.Ǒ)Z:7z~ n,m[M%MyIზԿ[D-·G Z+efW$/Oɭ<7K^ыAq[C̻cACZdb[]mob}&w-]`FO8_"_G+pE~-+G_oS4/t]oFO[+wWME, Nn?q! lR5Ҽ!{{JEF[tm: o"5"F?[D-V}+ O? ;A|qax$+dVח7v]G4Q]“4Wl?"n-#o77w!v5RQi$qMf/мpB ·G Z+o7WOVqqUgq1|MSQoċMF{m"[X~Ekk+y5BV&C1Ag mcKnn.J!ܺ&Hi[dR1l`;u"W6k!aqbo-ٮ +pEV?~#A}'Vm_ S_g6bJdzr1Xsqet^=- ̑ ncxѼL̑|Ty{+SR1ld&}u bn *8ܤe/V?~#A}"FTn}0?|W>3o5pEq%M 6uX9HPuiK h\O8/xu]j)t94}B,J yVO2Q*}lV@Jvg7O8_"_G+pEԓOPat C_ִN}2ŵE[iw|Ci/s;I ng9c8}*)M干#wKOi '/oh?O8_"_O/egKPT%xpkj$In3vr39j 5>𖯬hײx~sȶɥ^ip\*·G Z+o7WufE8} /wu/<]zƥ{([i5<]BݬEUKIKzJ]<-kzų7$Ȍ@XF0=7+pEV?~#A}WI)>^S/k'Xk-GMD^]4DiP1hp+ë[ԬAkw<'H[&*Dx1n]rw7A '/oh?O8_"_CNE Q\>&|(0DKY[jh%ȸܑHKҺ9n1onmu;B]OP<ф,77*bScnbe0+o7W '/oh?YE$-< Ӌz_1,|j]K(Is5!w]e5F`2% {A<a>\i |Yg˵o+FdIѵҬa9>$2O8_"_G+pEVJZne_3Z?13j^Fc1K^ ߈3$9$mX 3Gk6WQ79dDh<uh·G Z+o7WuJmnW|/›|D {M{[`G0+5k7ԪQSs0O>&[O%+YuFSEts*4%r7+pEV?~#A} ӿWmnW|j & ΅麷`fdY:(p1 3R0]xM.YP#eA7mu#SpC $+pEV?~#A}%VK^/8[b2ʹO og,&Qi}$V,N$6#,fI ~4h )t}%Zvd$rg7)b .^ '/oh?O8_"_Uk-|t߃Ig43jzxx;k[Pgc"NU 8&'ԼA ׉4ش; t۬G4lMn6ؼ,DCwS '/oh?O8_"_SNnZ/|Y_I}? ibXI*%Tb=ţm:6UkR]qe%j);x#T1twե '/oh?O8_"_S9="W77+pq͌owy cs֭-S<'Vpi8WS(,'4=6(/+ֺl1ɩݝRHig…Co7W '/oh?V"G_y~̚SY[iZz\w4[ta$anQ !,K?2=2ާ|e SPz|1<tXF\FC8fNsQ?#O|-k{ yÒH#[1608cP>OwƞM__ u =זdl;PT_n_ٮ⇊>x*tWZxb}CDVu*'$#z'_ :lG;61-D 8te@s%Ü4;f%cW_~"φV۴sQD2Iеtk߳O ?(Fn {m2[?ṿvxr5_~ x TΫƥvڏw9h^0nP{MnA}1"tFCb .ݕW~1s?'<;_ ~5 4CsoCZ**"9/tW1Z_~o"_|i,uCNd[2i*.8zӔߑX}f?W:7WcZmJdh[ sdF2IŠ?֯WO{ TtQEhnQEQEQEQEQE<7oOMn,U^#.ฝowNHV +t l澰";קEױI7l7@ 7pAvȠ.x\7/QZ[G俊虣jp}Ax־])4[E/ḊM'ͳ)ch C >~ᅯ>xoAp5G8*cf x ?io g ARVK do"d7$0M#;/3u]ZG<'C9Εsix cYb}GdmiRދ}n k 4%zOnv2)+'cOⷆ|o_/>u3Rm,~W $D3 ct/ ktz-C$W7v6]ZI =0#|!rsG'oߴ_+hwŶz[a5D$4L!@x_g^ҵMK]_@T4XՑI#X 4J̻J8>Lj?g~!~[9.$M ! oCR6\MQEQEQEQEQEQEQEQEQEQEQEQEQE"eL}_W?k}|2ņ|VmtUI_IaFԗIJ%?ij5 y!j'`5c|COÏ8 8x|3_6[ep6r9㺊%T|寄4 ah]<1pu`aZPx-IjSɋ??kٿ/ſ|/'x+<1hŶY$^#kGY_JK<<6XIJiHyYw\SOz~/ q5_ ɤf u-jEص=.0[̝T9 sڽo-|^I ,z'߼)5Ws'kY*qk?᷿h#$Q%?֯WO{~h`Gc$7 >$6|6yӪjsu.o{4F6 >*(((((OCN9 9O~IUƣe:l 2+)RG \<5xEuՏ%s5nv'(((((((((((((((((((((((+/(_ڷ"о|:1mu^w;[CG7 Gˏ+(t0~xp?:?tυ~_ HQ@5s C!q]=ImoǡTׅ7yşcߒOEI#t/5 _kA.~x|Q&~&-4Ѵ".,6h!J)5?2O>ϭ][+í_"88}NMJP_kA1>?fXco`I sa#{81_JxA>.x_ ?iW:Xb6?a#8W×jk?Or]C__ ~_U98<Ʒ&][/'&KRn/gPpIQ5UQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQE2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~8XV~PJ_HmH nH sH tH D`D NormalCJ_HaJmH nHsH tHDA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List PK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1g~'}xPiB$IO1Êk9IcLHY<;*v7'aE\h>=^,*8q;^*4?Wq{nԉogAߤ>8f2*<")QHxK |]Zz)ӁMSm@\&>!7;wP3[EBU`1OC5VD Xa?p S4[NS28;Y[꫙,T1|n;+/ʕj\\,E:! t4.T̡ e1 }; [z^pl@ok0e g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV/FQⷶO&ecx\QLW@H!+{[|{!KAi `cm2iU|Y+ ި [[vxrNE3pmR =Y04,!&0+WC܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV . `עv,O.%вKasSƭvMz`3{9+e@eՔLy7W_XtlPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! ѐ'( theme/theme/_rels/themeManager.xml.relsPK]# D& \ j JAU"# &(0,y.D/!"$%&()*,-OA")D/ #'+8@0( !;@X B S  ?^f09T\oty{2:Yb)NPZct{ 6< $*28=DNOQY^_ghklpqzIK47 Y [    W Y ` l t {  ! L S f h   k m |  1:\_mu@B=Fdmwy68moTV&-8Aalny]_(+su+/Xefh  bg  * , _ e h!j!a"c"N#P#Y#]#######?$B$x${$$$$$$$$$/%3%%%&&)&,&F& :<CO5A F&::::L~-膮 ^`OJQJo( 8^8`OJQJo(^`OJQJ^Jo(o  p^ `OJQJo(  @ ^ `OJQJo( x^x`OJQJo(H^H`OJQJ^Jo(o ^`OJQJo( ^`OJQJo(^`5OJPJQJ^Jo(^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hH- r        fzy'D&F&@("#D&h@h*hX@UnknownG*Ax Times New Roman5Symbol3 *Cx Arial;Wingdings;(SimSun[SO? *Cx Courier NewA$BCambria Math"qh7lÆf E E#x241&1&T 3Q HP ?g2!xx ,3-13-08 Gynecologic DiseasesSitesPCEnabling Technologies Staff   Oh+'0 ,8 \ h t' 3-13-08 Gynecologic DiseasesSitesPC Normal.dotmEnabling Technologies Staff140Microsoft Macintosh Word@BA @ꀀL@j锯  ՜.+,D՜.+,\ hp  'University of MichiganE1& 3-13-08 Gynecologic Diseases Title 8@ _PID_HLINKS'ApXDisclaimer-No_Citation_Key  !"#$%&'()*+,-.0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FeData /4Z1TableK(WordDocument4\SummaryInformation(DocumentSummaryInformation8CompObj` F Microsoft Word 97-2004 DocumentNB6WWord.Document.8