ࡱ>  ,.!"#$%&'()*+ bjbj]q]q aL??_8$dlHY,(,,,,.... kkkkkkkZnpk.s.w."..k@,,k@@@.~,,k@.k@@n=Y8Sm?EXk0lt q@q@Y@Y... K:   Rotation: Body CTRotation Duration: 4 wksMonth(s): 4 monthsInstitution: Stanford, Palo Alto VA Call Responsibility: noneNight(s): covered by night floatResponsible Faculty Member(s): R. Brooke Jeffrey Jr., M.D. (Section Chief) F. Graham Sommer, M.D. Bruce Daniel, M.D. Terry Desser, M.D. Robert E. Mindelzun, M.D. Michael Federle, M.D. Juergen Willmann, M.D. Aya Kamaya, M.D. Peter Poullos, M.D. Margaret Lin, M.D.Lewis Shin, M.D. (VA/Stanford) Ray Hsu, M.D. Vol van Dalsem, M.D. Matilde Nino-Murcia, MD Eric Olcott, M.D. (VA) John Drace, M.D. (VA) Dorcas Yao, M.D. (VA) Martin Laufik, MD (VA) Payam Massaband, MD (VA) Gabriella Gayer, M.D. (visiting)Location: Stanford (1.6 months) VA (1.4 months)Phone Numbers: CT reading room: 723-7852, 724-9617 CT 1 (8-detector): 723-6733 CT 2 (64 slice VCT): 723-6733 CT 3 (16-detector): 723-8637 VA: 650-493-5000, extension 6-3648Technologists/Technical Staff: Michelle Thomas, chief technologist (Stanford) Jeff Lidyoff Amy Mok James Soriano Bert Betoushana Tammy Hanson Audrey Strain Jane Tassoni Roger Ward Mark Bieler Caryn Damits Jonathan MckeeTraining Level: Stanford: Years 1, 3 VA: Years 1, 2Goals & Objectives A note about goals and objectives- The goals and objectives outlined in this document are based upon the six core competencies as defined by the ACGME. As residents gain experience and demonstrate growth in their ability to care for patients, they assume roles that permit them to exercise those skills with greater independence. This conceptgraded and progressive responsibilityis one of the core tenets of American graduate medical education. This document should provide you a framework for the stepwise progression of your knowledge and skills. Rotation 1-Stanford Hospital first year Overall Objective - Learn Basic Body CT. Learn basic emergency CT. Patient Care Goal Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to: Knowledge Objectives: Learn CT scanning protocols and contrast media usage. Recognize the findings of life-threatening conditions and respond urgently. Discuss the classification, symptoms, and signs of contrast reactions and the clinical management including appropriate use of pharmacologic agents and their mode of administration and doses. Understand the pre-medication regimen for contrast-sensitive patients including drugs, doses, and dose scheduling. Learn CT-guided biopsy indications and contraindications for the abdomen. Understand contrast administration protocols with respect to detection of liver lesions and other intraabdominal pathology based on vascularity. Skill Objectives: Provide emergency treatment for adverse reactions to intravenous contrast material. Become facile with PACS and utilize available technical and written information sources to manage patient information. Coordinate activities in the reading room, including providing direction for the technologists, consultation for other clinicians, and answering the phone. Protocol basic CT studies of the chest, abdomen and pelvis, cognizant of contraindications. Assess and manage quality control of CT studies of the chest, abdomen and pelvis. Provide concise, accurate reports. Behavior and Attitude Objectives: Work with the health care team in a professional manner to provide patient-centered care. Apply ACR communication guidelines and notify referring clinician for urgent, emergent, or unexpected findings, and document in dictation. Work closely with assigned faculty member to complete the daily workload of CTs of the chest, abdomen and pelvis. Medical Knowledge Goal Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to: Knowledge Objectives: Discuss CT technology, physics and its application, including dosimetery. Learn pertinent concepts for image interpretation of common studies such as the liver, the kidneys, pancreas, and female pelvis. Identify relevant normal and abnormal anatomic structures on CT images of the chest, abdomen and pelvis. Diagnose more common pathologic conditions in the abdomen and pelvis and understand their pathophysiology. Learn the pathophysiology and diagnostic imaging features of all of the diagnoses listed in appendix A. in preparation for senior call. Skill Objectives: Accurately interpret basic CTs of the chest, abdomen and pelvis. Perform and interpret basic post-processing (3D) images using TeraRecon and other available software. Behavior and Attitude Objectives: Recognize limitations of personal competency and ask for guidance when appropriate. Practice-Based Learning and Improvement Goal Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to be able to: Knowledge Objectives: Assess CT images for quality and suggest methods of improvement. Understand the role of CT in the evaluation of specific diseases and among varied patient populations. Skill Objectives: Incorporate on-line just-in-time learning at the workstation on a daily basis. For example ARRS Goldminer; MyPACS.net; StatDx. Demonstrate independent self-study using various resources including texts, journals, teaching files, and other resources on the internet. Facilitate the learning of students and other health care professionals. Behavior and Attitude Objectives: Incorporate formative feedback into daily practice, positively responding to constructive criticism. Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. Systems Based Practice Goal Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to: Knowledge Objectives: Understand how their image interpretation affects patient care. Skill Objectives: Provide accurate and timely interpretations to decrease length of hospital and emergency department stay. Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. Practice using cost effective use of time and support personnel. Behavior and Attitude Objectives: Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. Professionalism Goal Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate: Knowledge Objectives: Understanding of the need for respect for patient privacy and autonomy. Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate faculty and/or fellow. Skill Objectives: Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. Behavior and Attitude Objectives: Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. Interpersonal and Communication Skills Goal Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to: Knowledge Objectives: Know the importance of accurate, timely, and professional communication. Skill Objectives: Generate reports on most examinations with appropriate structure, content, accuracy and timeliness. Communicate effectively with physicians and other health professionals. Obtain informed consent with the utmost professionalism. Behavior and Attitude Objectives: Work effectively as a member of the patient care team. Rotation 2 (VA Rotation 1) -first year Objective - Learn Basic Oncology CT. Continue refining objectives of rotation 1. Patient Care Goal Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to: Knowledge Objectives: Gain further expertise in CT scanning protocols and contrast media usage. Recognize the findings of life-threatening conditions and respond urgently. Discuss the classification, symptoms, and signs of contrast reactions and the clinical management including appropriate use of pharmacologic agents and their mode of administration and doses. Understand the pre-medication regimen for contrast-sensitive patients including drugs, doses, and dose scheduling. Learn CT-guided biopsy indications and contraindications for the abdomen. Understand contrast administration protocols with respect to detection of liver lesions and other intraabdominal pathology based on vascularity. Skill Objectives: Provide emergency treatment for adverse reactions to intravenous contrast material. Become increasingly facile with PACS and utilize available technical and written information sources to manage patient information. Gain further expertise in coordinating activities in the reading room, including providing direction for the technologists, consultation for other clinicians, and answering the phone. Protocol basic and intermediate complexity CT studies of the chest, abdomen and pelvis, cognizant of contraindications. Assess and manage quality control of CT studies of the chest, abdomen and pelvis. Discuss criteria for modifying studies depending on the expected CT abnormalities. Behavior and Attitude Objectives: Work with the health care team in a professional manner to provide patient-centered care. Apply ACR communication guidelines and notify referring clinician for urgent, emergent, or unexpected findings, and document in dictation. Consult with increasing confidence, with referring physicians in regard to CT imaging procedures. Work closely with assigned faculty member to complete the daily workload of CTs of the chest, abdomen and pelvis. Medical Knowledge Goal Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to: Knowledge Objectives: Discuss CT technology, physics and its application, including dosimetery. Learn intermediate complexity CT physics and pertinent concepts for image interpretation of common and uncommon studies such as the liver, the kidneys, pancreas, and female pelvis. Identify the majority of normal anatomic structures and their variants on CT images of the chest, abdomen and pelvis. Diagnose common and uncommon pathologic conditions in the abdomen and pelvis and understand their pathophysiology This includes, in addition to the pre-call topics listed above, at least half of the diagnoses in appendix B. Skill Objectives: Accurately interpret basic and intermediate complexity CTs of the chest, abdomen and pelvis. Perform and interpret basic and intermediate complexity post-processing (3D) images using TeraRecon and other available software. Behavior and Attitude Objectives: Recognize limitations of personal competency and ask for guidance when appropriate. Practice-Based Learning and Improvement Goal Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to be able to: Knowledge Objectives: Assess CT images for quality and suggest methods of improvement. Understand the role of CT in the evaluation of specific diseases and among varied patient populations. Skill Objectives: Increasing proficiency in the use of on-line just-in-time learning at the workstation on a daily basis. For example ARRS Goldminer; MyPACS.net; StatDx. Demonstrate independent self-study using various resources including texts, journals, teaching files, and other resources on the internet. Facilitate the learning of students and other health care professionals. Behavior and Attitude Objectives: Incorporate formative feedback into daily practice, positively responding to constructive criticism. Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. Systems Based Practice Goal Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to: Knowledge Objectives: Understand how their image interpretation affects patient care. Skill Objectives: Provide accurate and timely interpretations to decrease length of hospital and emergency department stay. Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. Practice using cost effective use of time and support personnel. Behavior and Attitude Objectives: Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. Professionalism Goal Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate: Knowledge Objectives: Understanding of the need for respect for patient privacy and autonomy. Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate faculty and/or fellow. Skill Objectives: Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. Behavior and Attitude Objectives: Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. Interpersonal and Communication Skills Goal Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to: Knowledge Objectives: Know the importance of accurate, timely, and professional communication. Skill Objectives: Generate reports on most examinations with appropriate structure, content, accuracy and timeliness. Communicate effectively with physicians, other health professionals. Obtain informed consent with the utmost professionalism. Behavior and Attitude Objectives: Work effectively as a member of the patient care team. Rotation 3: VA Hospital body CT, GI/GU fluoro-second year Learn Advanced Emergency CT. Continued refining objectives of rotations 1, 2 and 3. Patient Care Goal Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to: Knowledge Objectives: Learn advanced concepts of CT scanning protocols and contrast media usage. Recognize the findings of life-threatening conditions and respond urgently. Discuss the classification, symptoms, and signs of contrast reactions and the clinical management including appropriate use of pharmacologic agents and their mode of administration and doses. Understand the pre-medication regimen for contrast-sensitive patients including drugs, doses, and dose scheduling. Learn CT-guided biopsy indications and contraindications for the abdomen. Understand contrast administration protocols with respect to detection of liver lesions and other intraabdominal pathology based on vascularity. Skill Objectives: Provide emergency treatment for adverse reactions to intravenous contrast material. Become increasingly facile with PACS and utilize available technical and written information sources to manage patient information. Coordinate activities in the reading room, including providing direction for the technologists, consultation for other clinicians, and answering the phone. Protocol advanced complexity CT studies of the chest, abdomen and pelvis, cognizant of contraindications. Assess and manage quality control of CT studies of the chest, abdomen and pelvis. Discuss criteria for modifying studies depending on the expected CT abnormalities. Behavior and Attitude Objectives: Work with the health care team in a professional manner to provide patient-centered care. Apply ACR communication guidelines and notify referring clinician for urgent, emergent, or unexpected findings, and document in dictation. Consult with increasing confidence, with referring physicians in regard to CT imaging procedures. Work closely with assigned faculty member to complete the daily workload of CTs of the chest, abdomen and pelvis. Be approachable and available to the junior resident on-call. Medical Knowledge Goal Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to: Knowledge Objectives: Discuss advanced CT technology, physics and its application, including dosimetery. Learn advanced CT physics and pertinent concepts for image interpretation of common studies such as the liver, the kidneys, pancreas, and female pelvis. Learn advanced analysis for trauma and emergency diagnosis by CT with definitive correlation with MR, US, plain film and nuclear medicine review of such cases as needed on call. Diagnose common and uncommon pathologic conditions in the abdomen and pelvis and understand their pathophysiology. This includes at least three quarters of the topics listed in appendix B. Skill Objectives: Accurately interpret advanced CTs of the chest, abdomen and pelvis. Perform and interpret advanced post-processing (3D) images using TeraRecon and other available software. Behavior and Attitude Objectives: Recognize limitations of personal competency and ask for guidance when appropriate. Practice-Based Learning and Improvement Goal Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to be able to: Knowledge Objectives: Assess CT images for quality and suggest methods of improvement. Understand the role of CT in the evaluation of specific diseases and among varied patient populations. Skill Objectives: Incorporate on-line just-in-time learning at the workstation on a daily basis. For example ARRS Goldminer; MyPACS.net; StatDx. Demonstrate independent self-study using various resources including texts, journals, teaching files, and other resources on the internet. Facilitate the learning of students and other health care professionals. Behavior and Attitude Objectives: Incorporate formative feedback into daily practice, positively responding to constructive criticism. Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. Systems Based Practice Goal Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to: Knowledge Objectives: Understand how their image interpretation affects patient care. Skill Objectives: Provide accurate and timely interpretations to decrease length of hospital and emergency department stay. Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. Practice using cost effective use of time and support personnel. Behavior and Attitude Objectives: Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. Professionalism Goal Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate: Knowledge Objectives: Understanding of the need for respect for patient privacy and autonomy. Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate faculty and/or fellow. Skill Objectives: Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. Behavior and Attitude Objectives: Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. Interpersonal and Communication Skills Goal Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to: Knowledge Objectives: Know the importance of accurate, timely, and professional communication. Skill Objectives: Generate reports on most examinations with appropriate structure, content, accuracy and timeliness. Communicate effectively with physicians, other health professionals. Obtain informed consent with the utmost professionalism. Behavior and Attitude Objectives: Work effectively as a member of the patient care team. Rotation 4: Stanford Hospital body CT Advanced analysis for oncologic, trauma and emergency CTs of the chest, abdomen, and pelvis. Patient Care Goal Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to: Knowledge Objectives: Learn advanced CT scanning protocols and contrast media usage. Recognize the findings of life-threatening conditions and respond urgently. Discuss the classification, symptoms, and signs of contrast reactions and the clinical management including appropriate use of pharmacologic agents and their mode of administration and doses. Understand the pre-medication regimen for contrast-sensitive patients including drugs, doses, and dose scheduling. Learn CT-guided biopsy indications and contraindications for the abdomen. Understand contrast administration protocols with respect to detection of liver lesions and other intraabdominal pathology based on vascularity. Skill Objectives: Provide emergency treatment for adverse reactions to intravenous contrast material. Become increasingly facile with PACS and utilize available technical and written information sources to manage patient information. Coordinate activities in the reading room, including providing direction for the technologists, consultation for other clinicians, and answering the phone. Protocol advanced CT studies of the chest, abdomen and pelvis, cognizant of contraindications. Assess and manage quality control of CT studies of the chest, abdomen and pelvis. Discuss criteria for modifying studies depending on the expected CT abnormalities. Behavior and Attitude Objectives: Work with the health care team in a professional manner to provide patient-centered care. Apply ACR communication guidelines and notify referring clinician for urgent, emergent, or unexpected findings, and document in dictation. Consult with increasing confidence, with referring physicians in regard to CT imaging procedures. Work closely with assigned faculty member to complete the daily workload of CTs of the chest, abdomen and pelvis. Medical Knowledge Goal Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to: Knowledge Objectives: Discuss advanced CT technology, physics and its application, including dosimetery. Learn advanced CT physics and pertinent concepts for image interpretation of common studies such as the liver, the kidneys, pancreas, and female pelvis. Learn advanced analysis for trauma and emergency diagnosis by CT with definitive correlation with MR, US, plain film and nuclear medicine review of such cases as needed on call. Diagnose common and uncommon pathologic conditions in the abdomen and pelvis and understand their pathophysiology. This includes all of the topics listed in appendix B. Skill Objectives: Accurately interpret advanced CTs of the chest, abdomen and pelvis. Perform and interpret advanced post-processing (3D) images using TeraRecon and other available software. Behavior and Attitude Objectives: Recognize limitations of personal competency and ask for guidance when appropriate. Practice-Based Learning and Improvement Goal Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to be able to: Knowledge Objectives: Assess CT images for quality and suggest methods of improvement. Understand the role of CT in the evaluation of specific diseases and among varied patient populations. Skill Objectives: Become an expert with on-line just-in-time learning at the workstation on a daily basis. For example ARRS Goldminer; MyPACS.net; StatDx. Demonstrate independent self-study using various resources including texts, journals, teaching files, and other resources on the internet. Facilitate the learning of students and other health care professionals, including junior residents. Behavior and Attitude Objectives: Incorporate formative feedback into daily practice, positively responding to constructive criticism. Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. Systems Based Practice Goal Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to: Knowledge Objectives: Understand how their image interpretation affects patient care. Skill Objectives: Provide accurate and timely interpretations to decrease length of hospital and emergency department stay. Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. Practice using cost effective use of time and support personnel. Behavior and Attitude Objectives: Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. Professionalism Goal Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate: Knowledge Objectives: Understanding of the need for respect for patient privacy and autonomy. Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate faculty and/or fellow. Skill Objectives: Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. Behavior and Attitude Objectives: Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. Interpersonal and Communication Skills Goal Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to: Knowledge Objectives: Know the importance of accurate, timely, and professional communication. Skill Objectives: Generate reports on most examinations with appropriate structure, content, accuracy and timeliness. Communicate effectively with physicians, other health professionals. Obtain informed consent with the utmost professionalism. Behavior and Attitude Objectives: Work effectively as a member of the patient care team. Workflow: The workday begins at approximately 8:30, immediately following morning conference. Readouts occur throughout the morning and afternoon. The resident should preview CT cases before readout and gather clinical information regarding the patients history, current status and indications for CT prior to readout. Readouts will occur both morning and afternoon. While the attending is reading out with a resident or fellow, the other should be available for checking cases, monitoring injections, and drop-in consultation with clinicians. The resident may pre-dictate cases that he/she performed or checked. They can be made preliminary (status 70) once they have been reviewed with the attending. The resident should promptly review and sign dictated reports. The resident should field requests for emergency add-on studies and should elicit enough clinical history to insure that the correct study is performed for the condition suspected. He/she should also find out whom to contact with the results, and where any outpatient should be sent when the study is completed. When an IV nurse is not available, the resident should be available to place IVs and monitor contrast injections for CT scans. The resident should participate in protocoling cases for upcoming days studies as there is a great deal to be learned from this process. This should be performed in conjunction with the fellow, who is ultimately responsible. In order that the proper protocol is performed, it is important to check EPIC for information regarding the patients clinical history, indication and prior studies, if any. If it is at all unclear what the clinical question or reason for exam is, then the ordering physician should be contacted to clarify and ensure that the proper examination is performed. Obviously, this should be done at least a day prior to the scheduled exam (if not more) and not while the patient is lying on the CT table, waiting to be scanned! IV Issues For most routine cases, one of our IV nurses will place the IV and monitor the injection. For a standard body CT exam, a 22 gauge antecubital angiocath will be used. For CT angio and bi-phasic studies, a 20 gauge IV will be necessary. If the nurse cannot achieve IV access, the resident or fellow will be asked to attempt to place the IV. PICC lines are not to be used for contrast injection, unless they are certified as a "power PICC." Contrast Issues We use non-ionic contrast as a rule in all patients. Prior to injection, the patient should be questioned concerning prior reaction to iodinated IV contrast. The protocol for managing contrast reactions is posted online in the resident website, and is available as well as on the pocket phone card. If the history of reaction is mild such as local pain, nausea or mild urticaria, a contrast examination can be performed. If, however, prior reaction is severe including symptoms such as bronchospasm or laryngeal edema, then an alternative exam should be considered and discussed with the ordering physician. If it is decided that CT is still the desired exam, then the patient must be pre-medicated. Our pre-medication regimen consists of 50mg prednisone PO at 13 hours, 7 hours and 1 hour prior to contrast administration. Additionally, 50mg benadryl PO is administered 1 hour before exam. Duties: Preparing Studies Studies are reviewed on the Centricity workstation in the CT reading room. Time allowing, the resident may pre-dictate studies using the Nuance voice recognition software. The studies will then enter status 60, or "dictated." They will no longer be visible on the work list. The resident should note whether there are prior comparison CT or other studies. If there are prior studies, the resident should make sure they are available online for viewing, or fetch them if necessary. The resident should note whether there are any outside cases to be reviewed. If so, these should be digitized by the film library staff for review on the PACS workstation. What to do during readout During readout, the resident should articulate the indication for the examination and be able to provide brief patient history. This may mean looking up some history in EPIC before the readout has begun. While the attending reviews the images, the resident should state what his/her impression was of the findings for any cases they have checked or scanned During the readout, the resident should jot down a brief list of the findings to be included in the dictation on the tracking form for the patient's study so that all findings will be included. The resident should be sure he/she understands what the "bottom line" is for the study BEFORE the case is signed off, so that the report will convey the significance of the findings. Questions are welcome during readout. Pit-falls in ordering/reporting information It is the responsibility of the radiologist (resident or fellow) to determine and advise the ordering physician of the correct exam linked to each specific clinical setting. All significant findings should be conveyed to the ordering physician in a timely fashion this may be by phone or fax. This is not just a courtesy, it is our legal obligation! Please request a readback for any of the critical results designated "S9." Be sure to document communication (who, when, pager number and what results) in the report. Conference Schedule/FormatTitleDayTimeLocationBody RoundsTuesday12 noon, weeklyLucas learning centerAbdominal core conferenceTuesday or Wednesday3x per month, noonLucas Learning centerJournal clubFirst Tuesday of each rotationNoonLucas learning center Method of Assessment of Performance: Written evaluation of resident by responsible faculty member monthly Verbal feedback to resident by faculty ACR In-Training Service Exam annually 360 evaluationsRecommended Reading Lane Library Call # Book: RC78.7.T6 W433 2006 Webb, Brant, and Major. Fundamentals of Body CT. 2nd ed. Philadelphia: Saunders, 2006. 363 pages. This short volume makes good bathroom reading. It is recommended as a first read for 1st year residents and should be read within the first week of the rotation (or before the rotation begins) and provides a good introduction to the basics of body CT.  HYPERLINK "http://lmldb.stanford.edu/cgi-bin/Pwebrecon.cgi?SC=CallNumber&SEQ=20080129121809&PID=xA_8BG5-x9GT7gUW1cLe57N3T3Ior&SA=RC86.7+.D52+2007" RC86.7 .D52 2007 Jeffrey R et al. Diagnostic Imaging: Emergency. Salt Lake City: Amirsys, 2007. Excellent preparation for call! Covers what you really need to know about abdominal imaging in the setting of the acute abdomen.  HYPERLINK "http://lmldb.stanford.edu/cgi-bin/Pwebrecon.cgi?SC=CallNumber&SEQ=20050616083555&PID=16911&SA=RC78.7.T62+M85+2004" RC78.7.T62 M85 2004 Fishman, Jeffrey. Multidetector CT: principles, techniques and clinical applications. Philadelphia: Lippincott Williams & Wilkins Publishers, 2004. 570 pages. ISBN: 0781740878. Up-to-date reference on MDCT techniques and interpretation. RC78.7.T6 C6416 2006 Lee, J.K.T. Computed Body Tomography with MRI Correlation. 4th ed. Philadelphia: Lippincott-Raven, 1998. More of a reference than a cover-to-cover read. This book is an excellent reference for selected reading. RC874 .D86 2008 Dunnick, Sandler, Newhouse, Amis. Textbook of Uroradiology. 4th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008. Not only CT, but since theres no specific GU rotation, Ive listed this here. RC944 .R674 2007 Ros, Pablo, Lee, Sylvester. CT and MRI of the Abdomen and Pelvis: A teaching file. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2007. Unknown case format, good for board review. Stat DX RadPrimer As a suggestion, you should do selected readings nightly on topics which have come up on cases seen during the day. This is much more effective than reading texts cover-to-cover and, in general, results in better retention of material because you will be able to associate what youve read with a real case that youve recently seen.  Appendix A: knowledge objectives in rotation one in preparation for call. G.I.: Pre-call1Abdominal Abscess2Abdominal Aortic Aneurysm3Acute Pancreatitis4Acute Small Bowel Ischemia5Appendicitis6Ascites7Boerhaave Syndrome8Cecal Volvulus9Cholecystitis10Cholecystitis, Emphysematous11Choledocholithiasis12Colonic Ileus and Ogilvie Syndrome13Diverticulitis14Duodenal Trauma/Hematoma15Duodenal Ulcer16Epiploic Appendagitis17Foreign Bodies, Abdominal18Gallstones and Sludge19Gastrointestinal Bleeding20Hepatic Pyogenic Abscess21Iatrogenic Injury: Feeding Tubes22Ileus23Infected Necrosis and Abscess, Pancreatic24Ischemic Colitis25Mesenteric and Intestinal Trauma26Mesenteric Adenitis and Enteritis27Omental Infarct28Peritonitis29Pneumatosis of the Intestine30Pseudomembranous Colitis31Renal Trauma32Retroperitoneal Hemorrhage33Sigmoid Volvulus34Small Bowel Obstruction35Splenic Infarction36Systemic Hypotension, Abdominal Signs37Toxic Megacolon38Hepatic Trauma39Splenic Trauma40Traumatic Diaphragmatic Rupture41Typhlitis (Neutropenic Colitis)42Vasculitis, Abdominal Manifestations GU: Pre-call1Adrenal Hemorrhage2Pyelonephritis3Emphysematous Pyelonephritis4Renal Abscess5Urolithiasis6Acute Tubular Necrosis7Hydronephrosis and Pyonephrosis8Renal Infarction9Renal Trauma10Renal Cell Carcinoma11Bladder Trauma12Retroperitoneal Hemorrhage GYN: GYN Pre-call1Adnexal Torsion2Corpus Luteal Cyst3Ovarian Vein Thrombosis4Tubo-Ovarian Abscess5Pyosalpinx  Appendix B: knowledge objectives for the remainder of the rotations. G.I.: Abdominal Manifestations of Systemic Condition43AIDS, Abdominal Manifestations44Tuberculosis, Abdominal Manifestations45Syphilis, Abdominal Manifestations46Tuberous Sclerosis, Abdominal Manifestations47von Hippel-Lindau Disease48Cystic Fibrosis, Pancreas49Sickle Cell Anemia, Abdominal Signs50Hepatic Sarcoidosis51Superior Vena Cava Obstruction, Abdominal Signs52Kaposi Sarcoma, Abdominal Signs53Barotrauma, Abdominal Manifestations54Post-Transplant Lymphoproliferative Disorder55Multiple Myeloma, Abdominal Signs56Leukemia and Lymphoma, Abdominal Signs57Malignant Melanoma, Abdominal Signs58Systemic Hypervolemia, Abdominal Signs59Extramedullary HematopoiesisGI Tract and Abdominal CavityPeritoneum, Mesentery, and Abdominal Wall60Normal Variants, Diaphragm61Abdominal Wall Abscess62Sclerosing Mesenteritis63Inguinal Hernia64Femoral Hernia65Ventral Hernia66Spigelian Hernia67Lumbar Hernia68Lymphadenopathy, Thoracoabdominal69Umbilical Hernia70Paraduodenal Hernia71Transmesenteric Post-Operative Hernia72Traumatic Abdominal Wall Hernia73Pseudoaneurysm74Bochdalek Hernia75Vascular Calcifications and Aneurysms76Morgagni Hernia77Phleboliths78Portal Hypertension, Varices79Lymphangioma (Mesenteric Cyst)80Neoplasms, Abdominal Wall81Diaphragm, Eventration and Paralysis82Desmoid83Peritoneal Inclusion Cyst84Peritoneal Metastases85Pseudomyxoma Peritonei86Vicarious Excretion87Obturator Hernia88Mesothelioma, Abdomen89Esophageal PerforationEsophagus90Candida Esophagitis91Viral Esophagitis92Esophageal Webs93Achalasia, Cricopharyngeal94Reflux Esophagitis95Barrett Esophagus96Esophageal Motility Disturbances97Drug-Induced Esophagitis98Schatzki Ring99Radiation Esophagitis100Achalasia, Esophagus101Esophageal Foreign Body102Traction Diverticulum103Intramural Pseudodiverticulosis104Hiatal Hernia105Postoperative State, Esophagus106Killian-Jamieson Diverticulum107Inflammatory Polyp, Esophagus108Esophageal Varices109Metastases and Lymphoma, Esophageal110Scleroderma, Esophagus111Zenker Diverticulum112Pulsion Diverticulum113Intramural Benign Esophageal Tumors114Esophageal CarcinomaStomach115Gastritis116Gastric Diverticulum117Zollinger-Ellison Syndrome118Gastric Ulcer119Bariatric Surgery120GIST, Gastric121Menetrier Disease122Gastroparesis123Postoperative State, Stomach and Duodenum124Fundoplication Complications125Gastric Volvulus126Gastric Polyps127Intramural Benign Gastric Tumors128Gastric Bezoar129Gastric Carcinoma130Metastases and Lymphoma, GastricDuodenum131Duodenal Diverticulum132Brunner Gland Hyperplasia133Duodenitis134SMA Syndrome135Duodenal Polyps136Duodenal Carcinoma137Aorto-Enteric FistulaSmall Intestine138Meckel Diverticulum139Sprue-Celiac Disease140Whipple Disease141Crohn Disease142Scleroderma, Intestinal143Intestinal (Angioneurotic) Angioedema144Gallstone Ileus145Intussusception146Vasculitis, Small Intestine147Vascular Ectasia, Intestinal148Malabsorption Conditions149Intestinal Parasitic Disease150Diverticula, Small Bowel151Lipoma + Lipomatous Infiltration, ICV152Small Bowel Carcinoma153Radiation Enteritis154Enteric Fistulas155Hamartomatous Polyposis Syndromes156Carcinoid Tumor157Metastases and Lymphoma, Intestinal158GIST, IntestinalColon159Infectious Colitis160Ulcerative Colitis161Diverticulosis, Colonic162Mucocele of the Appendix163Fecal Impaction and Stercoral Ulceration164Rectal Prolapse and Intussusception165Colonic Polyps166Villous Adenoma167Colon Carcinoma168Rectal Carcinoma169Familial Polyposis170Gardner SyndromeSpleen171Splenomegaly and Hypersplenism172Splenic Infection and Abscess173Gamna-Gandy Bodies174Accessory Spleen175Splenic Tumors176Splenic Cyst177Asplenia and Polysplenia178Splenosis179Metastases and Lymphoma, SplenicHepatobilary and PancreasLiver180AD Polycystic Disease, Liver181Hepatic Candidiasis182Hepatic Amebic Abscess183Steatosis (Fatty Liver)184Cirrhosis185Focal Confluent Fibrosis186Nodular Regenerative Hyperplasia187Regenerative and Dysplastic Nodules188Hemochromatosis189Transient Hepatic Attenuation Difference (THAD)190Arterioportal Shunt191Hepatic Hydatid Cyst192Passive Hepatic Congestion193Hepatic Infarction194Budd-Chiari Syndrome195Biliary Hamartoma196Hepatic Angiomyolipoma197Hereditary Hemorrhagic Telangiectasia198Angiosarcoma, Liver199Primary Biliary Cirrhosis200Epithelioid Hemangioendothelioma201Liver Tumor, Post-Treatment202Post-Transplant Liver203Hepatic Cyst204Focal Nodular Hyperplasia205Hepatic Cavernous Hemangioma206Hepatic Adenoma207Hepatocellular Carcinoma208Fibrolamellar HCC209Cholangiocarcinoma (Peripheral)210Biliary Cystadenocarcinoma211Metastases and Lymphoma, HepaticBiliary System212Caroli Disease213Choledochal Cyst214Biloma215Intramural Benign Polyps, Gallbladder216Mirizzi Syndrome217Recurrent Pyogenic Cholangitis218Primary Sclerosing Cholangitis219Postoperative State, Biliary220Gallbladder Carcinoma221Porcelain Gallbladder222Cholangiocarcinoma223Ampullary CarcinomaPancreas224Annular Pancreas225Pancreas Divisum226Pancreatitis, Groove227Pancreatic Pseudocyst228Pancreatitis, Chronic229Metastases and Lymphoma, Pancreas230Pancreatitis, Autoimmune231Solid and Papillary Neoplasm232Pancreatic Trauma233Mucinous Cystic Pancreatic Tumor234Serous Cystadenoma, Pancreas235Pancreatic Cysts236IPMT, Pancreas237Pancreatic Ductal Carcinoma238Pancreatic Islet Cell Tumors GU: AdrenalInfection13Adrenal TB and Fungal InfectionMetabolic or inherited14Adrenal Hyperplasia15Adrenal InsufficiencyTraumaNeoplasm, Benign16Adrenal Cyst17Adrenal Adenoma18Adrenal Myelolipoma19PheochromocytomaNeoplasm, Malignant20Adrenal Carcinoma21Metastases and Lymphoma, AdrenalKidneyNormal Variants and Pseudolesions22Normal Variants and Artifacts, Kidney23Column of Bertin24Fetal Lobation, RenalCongenital25Horseshoe Kidney26Renal Ectopia and Agenesis27Ureteropelvic Junction Obstruction28Megacalyces and Megaureter, CongenitalInfection29Pyelonephritis, Chronic30Xanthogranulomatous Pyelonephritis31HIV NephropathyInflammationMetabolic or InheritedDegenerative32Medullary Sponge Kidney33Acquired Cystic Disease of Uremia34Renal Papillary Necrosis35Renal Cortical Necrosis36Calyceal Diverticulum37Renal Failure, Chronic38Renal LipomatosisVascular Disorder39Renal Artery Stenosis40Renal Vein Thrombosis41Arteriovenous Malformation, RenalTrauma42UrinomaTreatment Related43Contrast-Induced NephropathyTransplanationNeoplasm, Benign44Renal Cyst45Renal Sinus Cysts46Renal Oncocytoma47Renal Angiomyolipoma48Multilocular Cystic NephromaNeoplasm, Malignant49Renal Medullary Carcinoma50Transitional Cell Carcinoma51Metastases and Lymphoma, RenalUreterNormal Variants and ArtifactsCongenital52Duplicated and Ectopic Ureter53UreteroceleInflammation54Ureteritis Cystica55Ureteral StrictureTrauma56Trauma, UreteralNeoplasm, Malignant57Transitional Cell Carcinoma, UreterMiscellaneous58Ureterectasis of PregnancyBladderCongenital59Urachal RemnantInfection60Cystitis61Schistosomiasis, BladderDegenerative62Bladder Calculi63Bladder Diverticulum64Neurogenic BladderTraumaTreatment Related65Postoperative State, BladderNeoplasm, BenignNeoplasm, Malignant66Bladder CarcinomaRetroperitoneumNormal Variants and Artifacts67Pericaval Fat DepositionCongenital68Duplications and Anomalies of IVCInflammation69Retroperitoneal FibrosisTreatment Related70Lymphocele, PostoperativeNeoplasm, Benign71Neurogenic Tumor, Retroperitoneum72Teratoma, RetroperitoneumNeoplasm, Malignant73Sarcoma, Retroperitoneal74Lymphoma, Retroperitoneal and Mesenteric75Metastases, RetroperitonealScrotum/Testes/EpididymisCongenital76CryptorchidismDegenerative77Testicular Torsion78Hydrocele79Varicocele80Spermatocele81Testicular and Epididymal CystsTrauma82Testicular TraumaNeoplasm, Malignant83Metastases and Lymphoma, Testicular84Testicular Carcinoma85Gonadal Stromal Tumors, TestisInfection86Pyocele87Epididymo-orchitisNeoplasm, Benign88Adenomatoid Tumor89Epidermoid CystVas Deferens90Vas Deferens CalcificationProstateInfection91Prostatitis and AbscessNeoplasm, Benign92Benign Prostatic Hypertrophy93Prostatic CystNeoplasm, Malignant94Prostate Carcinoma95Metastases and Lymphoma, ProstateMale UrethraInfection96Urethral StrictureTrauma97Trauma, Urethral98Urethral CarcinomaFemale UrethraNeoplasm, BenignNeoplasm, MalignantMiscellaneous99Diverticulum, UrethraUterusNormal Variants100Age-Related Physiologic Alterations101Endometrial AtrophyCongenital102Uterine Hypoplasia/Agenesis103Unicornuate104Didelphys105Bicornuate106Septate107Arcuate108DES-ExposedInflammation/Infection109Asherman Syndrome110Endometritis111PyomyomaNeoplasm112Intravenous Leiomyomatosis113Disseminated Peritoneal LeiomyomatosisNeoplasm, Benign114Leiomyoma, Submucosal115Diffuse Leiomyomatosis, Uterus116Benign Metastasizing Leiomyoma117Leiomyoma, Intramural118Leiomyoma, Subserosal119Leiomyoma, Degeneration120Leiomyoma, Parasitic121Endometrial Polyps122Endometrial HyperplasiaNeoplasm, Malignant123Endometrial Cancer, Characterization124Endometrial Cancer, Early Stage125Endometrial Cancer, Late Stage126Endometrial Cancer, Recurrence127Metastases, Uterus128Leiomyosarcoma, Uterus129Lymphoma, Uterus130Choriocarcinoma, UterusMiscellaneous131Adenomyosis132Adenomyoma133Cystic Adenomyosis134Uterine AVM135Uterine Artery Embolization Imaging136Uterine Rupture137Retained Products of Conception138Tamoxifen-Induced Changes139Intrauterine Device EvaluationCervixInflammation/Infection140Cervical StenosisNeoplasm, Benign141Endocervical Polyp142Leiomyoma, CervixNeoplasm, Malignant143Cervical Cancer, Characterization144Cervical Cancer, Stage IB-IIA145Cervical Cancer, Stage IIB-IVB146Cervical Cancer, Recurrence147Lymphoma, CervixMiscellaneous148Cervical Glandular Hyperplasia149Nabothian Cysts150Post Trachelectomy AppearancesOvariesNormal Vairants151Follicular Cyst152Adnexal Cyst, Postmenopausal153Corpus Luteal Cyst154Physiologic Cyst155Theca Lutein CystsNeoplasm, Benign156Dermoid (Mature Teratoma)157Fibrothecoma, Ovary158Granulosa Cell Tumor159Adenofibroma160Serous Cystadenoma161Mucinous Cystadenoma162Ovarian Fibroma163Brenner TumorNeoplasm, Malignant164Mucinous Cystadenocarcinoma165Serous Cystadenocarcinoma166Dysgerminoma167Immature Teratoma, Ovary168Lymphoma, Ovary169Ovarian Cancer, Characterization & Staging170Ovarian Cancer, Recurrent; Resectable171Struma Ovarii172Ovarian Cancer, Recurrent; Unresectable173Choriocarcinoma, Ovary174Krukenberg TumorMiscellaneous175Inclusion Cyst, Ovary176Ovarian Hyperstimulation Syndrome177Paraovarian Cyst178Endometrioma179Endometriosis180Massive Ovarian Edema181Adnexal Torsion182Polycystic Ovary Syndrome183Hemorrhagic Cysts, Ovary184Meigs SyndromeFallopian TubesCongenital185Paratubal CystsInflammation/Infection186Hydrosalpinx187Salpingitis Isthmica Nodosa188Tubo-Ovarian Abscess189Genital Tuberculosis190ActinomycosisNeoplasm, Benign191Leiomyoma, Fallopian TubeNeoplasm, Malignant192Tubal Carcinoma, Characterization193Tubal Carcinoma, Staging/PrognosisMiscellaneous194HematosalpinxEctopic Pregnancy195Ectopic Pregnancy, Abdominal196Ectopic Pregnancy, Cervical197Ectopic Pregnancy, Endometrium198Ectopic Pregnancy, Heterotopic199Ectopic Pregnancy, Interstitial200Ectopic Pregnancy, Ovarian201Ectopic Pregnancy, Rupture202Ectopic Pregnancy, TubalVaginaCongenital203Gartner Duct Cysts204Imperforate Hymen205Vaginal Atresia206Vaginal SeptaeInflammation/Infection207Bartholinitis208Vaginal FistulaNeoplasm, Benign209Leiomyoma, VaginaNeoplasm, Malignant210Vaginal Carcinoma211Lymphoma, Vagina212Leiomyosarcoma, VaginaMiscellaneous213Bartholin CystsVulvaNeoplasm, Malignant214Carcinoma, VulvaMiscellaneousPeritoneumPseudolesions215Peritoneal Inclusion CystsNeoplasm, Malignant216Pseudomyxoma PeritoneiPelvic Soft TissuesMiscellaneous217Ovarian Vein Thrombosis218Bladder Flap Hematoma219Pelvic Congestion Syndrome220Pelvic LipomatosisPelvic Floor221Pelvic Floor Descent222Vaginocele/Cystocele223Enterocele/Rectocele     STANFORD UNIVERSITY MEDICAL CENTER Residency Training Program Rotation Description  DATE \@ "M/d/yyyy" 10/15/2011  $+5=>?LV`by}  ) , < = C X Y | } ~ Y Z i j > hEAh7;:56 h7;:5 hKh7;: hPhh7;: hXQh7;: hhQh7;: h_{h7;:h7;:mHsHhxh7;:mHsH hYO6h7;: hEgh7;: h#Ph7;:h7;:hxh7;:59+>?d/kd$$IflF d& t06    44 lap <<$Ifgd7;:l <<$Ifgd7;:l d~/kd+$$IflF d& t06    44 lap <<$Ifgd7;:l <<$Ifgd7;:l   ) C Y p   1 G ^ w $Ifgd7;:l $If^gd7;:l $If^gd7;:l  :kdV$$Ifl4F d&`L`L t06    44 lap" <x$If^`gd7;:l   ; Y Z }  <$Ifgd7;:l $Ifgd7;:l  <<$Ifgd7;:l <<$Ifgd7;:l  } ~ ]F///$If^gd7;:l <<$Ifgd7;:l kd$$Ifl4F d& L L t06    44 lap  ' 2 > K Z k  <x$Ifgd7;:l $If^gd7;:l  w\\A\ x<$Ifgd7;:l 4p x<$Ifgd7;:l kd$$Ifl0d&  t0644 lap> f=>?@ANOTU,-.4bcOop +,&`9̾ӷӗӏӗӗӞӞӗӞӗӞӗӗ h7;:6h}kXh7;:6 h,k{h7;:h}kXh7;:5 h7;:5h}kXh7;:5CJaJ hoh7;: hl h7;: h jh7;: hxh7;:h7;:h7;:5>*\hxh7;:5hEAh7;:5 hEAh7;:5B*^JaJph6?@ANOTU-.d & F$Ifgd7;:l $-DIfM gd7;:l $@&Ifgd7;:l $Ifgd7;:l p.':  ./ & F$Ifgd7;:l $Ifgd7;:l h$If^hgd7;:l  & F$Ifgd7;:l 9;CL[b   -./hify<=ĸ h,'h7;:h,'h7;:5 hh7;:h}kXh7;:6h}kXh7;:5CJaJh}kXh7;:CJaJ hvh7;: h7;:5h}kXh7;:5 h/6\h7;:h}kXh7;:B*ph h,k{h7;:h7;:(((((((($)F))))))))ĹĹĹĹĹĹh7;:B*aJph h,'h7;:h}kXh7;:6 h,k{h7;:h7;:h}kXh7;:5 h7;:5h}kXh7;:5CJaJh}kXh7;:CJaJh5h7;:aJ h7;:aJh4h7;:aJ=""""""#####%%%%&& & F $Ifgd7;:l  & F $Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l h$If^hgd7;:l &&&'''D'E'J'K'&('(=(>((((( & F$1$Ifgd7;:l $-DIfM gd7;:l  & F$Ifgd7;:l $Ifgd7;:l ((G))))))))))))vh$If^hgd7;:l - & 0` P@$1$7$8$H$Ifgd7;:l  & F $1$Ifgd7;:l $Ifgd7;:l  & F$Ifgd7;:l  ))********9+T+U+j+k+l+++++,,,,,,,-4-5-\-}-~-..#.$.%.o.x......$///////+0U0d0k0}0000000ٟ h/6\h7;:h}kXh7;:6 h,k{h7;:h7;:h}kXh7;:5 h7;:5h}kXh7;:5CJaJ hoh7;:h7;:B*aJph hZ\h7;:h7;:5>*\hxh7;:5>*CJ\>)))))))))))))))))))))))))- & 0` P@$1$7$8$H$Ifgd7;:l )))))))******,****$Ifgd7;:l $@&Ifgd7;:l - & 0` P@$1$7$8$H$Ifgd7;:l *****T+U+k+l++,,5--..$.%.y.. & F$Ifgd7;:l  & F$Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l ./-000000P11>222xh$If^hgd7;:l 0 & F & 0` P@$1$7$8$H$Ifgd7;:l  & F$Ifgd7;:l $Ifgd7;:l  & F$Ifgd7;:l  00/1O11=2>222222223333333 444-4r4444444 595:5566666.6/606J6K6g6i6666667÷죛씏h6h7;:5 h7;:>* h{h7;:h4fh7;:6 h4fh7;:h4fh7;:5 h7;:5h4fh7;:5CJaJh}kXh7;:CJaJ hvh7;:hP>h7;:B*aJphh7;:B*aJphh7;: h,k{h7;:h}kXh7;:5522222333344:5666/60667 & F$1$Ifgd7;:l  & F$Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l 77717273777777777888899!9B999999U:::);*;K;L;M;;;6<7<8<9<P<Q<V<W<5=P=Q=f=g=h=======>%>>>>>> ? ? ?|?}?????߸h7;:CJaJh}kXh7;:6h}kXh7;:5CJaJh}kXh7;:CJaJh7;: h,k{h7;:h}kXh7;:5 h7;:5h6h7;:5H77273777777778899B9 & F$1$Ifgd7;:l $-DIfM gd7;:l $If^gd7;:l  & F$Ifgd7;:l $Ifgd7;:l B99999U::);*;L;M;;7<8<9<|h$If^hgd7;:l $If^gd7;:l  & F$Ifgd7;:l  & F$Ifgd7;:l $Ifgd7;:l  & F$Ifgd7;:l 9<P<Q<V<W<P=Q=g=h=====&>>>> & F$Ifgd7;:l $1$If^gd7;:l  & F$1$Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l > ? ?}?~????????>@?@U@V@@ & F!$Ifgd7;:l $-DIfM gd7;:l h$If^hgd7;:l  & F $Ifgd7;:l $Ifgd7;:l ???@=@>@?@T@U@V@~@@ AA"B'BkBlB}B~BB5C6CWCXCYCCCCCCCCCDDDDDD,E-E>E?E@EEEEE"F#FDFEFFF|FFFFFF6G8GEGFGKGLGG H H!H"H칲 h*h7;: hoh7;:h}kXh7;:5CJaJh}kXh7;:CJaJh}kXh7;:>* h7;:5h}kXh7;:6 h,k{h7;:h7;:h}kXh7;:5F@kBlB~BB5C6CXCYCCCCCCx$-DIfM gd7;:l $If^gd7;:l  & F#$Ifgd7;:l  & F"$Ifgd7;:l $Ifgd7;:l  & F!$Ifgd7;:l  CCCDDDD,E-E?E@EEE"F#FEFFF}F & F& $1$Ifgd7;:l  & F%$Ifgd7;:l  & F$$1$Ifgd7;:l $Ifgd7;:l }F~FFFFFFFFFFFFFFFFFFFFFFFFFF $1$Ifgd7;:l FFFFFFFFFFFFFFFFFF6G7G8G$@&Ifgd7;:l $Ifgd7;:l  $1$Ifgd7;:l 8GEGFGKGLG H H"H#HnHHzII8JJJJJ1KK & F($Ifgd7;:l  & F'$Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l "H#H>HlHmHHHHYIyIzIIIIIIJ5J6JJJJJJ'K0K7KDKwKKPLRLYLqLLLLLLL M M_M`MaMMMMMMMhNN>O?O|O}O~OOO־h}kXh7;:5CJaJh&:h7;:CJaJh1h7;:CJaJ h7;:aJh Ah7;:CJaJh&:h7;:B*aJph h&:h7;:h7;:B*aJph h7;:5 h,k{h7;:h7;:h}kXh7;:5;KQLL M`MaMMMMjNN?O}O~Ox$If^gd7;:l 0 & F) & 0` P@$1$7$8$H$Ifgd7;:l  & F)$Ifgd7;:l $Ifgd7;:l  & F($Ifgd7;:l  ~OOOOOOzP{PPPPQ2RRRRS & F$Ifgd7;:l  & F$Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l $If^gd7;:l OOOOO_PyPzP{PPPPPPPPPPPPQ QQ~QQQQR/R1R2RRRRRRRRRSSS!S$SHSIS_ShSxSSSSSSS)T*T+T,Tؽئئh}kXh7;:CJaJh6h7;:5 h{h7;:h{h7;:>* h7;:>* h4fh7;:h Ah7;:5 hoh7;:h7;: hh7;:h}kXh7;:6 h,k{h7;:h}kXh7;:5 h7;:5:SSISSSSS*T+T,TTTUTZT[TUUU$-DIfM gd7;:l $If^gd7;:l  & F+$Ifgd7;:l  & F*$1$Ifgd7;:l $Ifgd7;:l ,TTTUTZT[TIUUUUUUUULVMV^V_V`VVhWiWWWWWW:X;XXXXXXXXXYYYYYY2Z3ZDZEZFZZZ0[1[r[s[t[[[[\\ \\\\ \\\\\\\\]%]]]^^h}kXh7;:>*h}kXh7;:CJaJh}kXh7;:6 h,k{h7;:h7;:h}kXh7;:5 h7;:5h}kXh7;:5CJaJLUUULVMV_V`VVjWWWWWf^f_ffff;gh7;:B*aJph h/6\h7;:h7;:B*aJphh}kXh7;:6 h,k{h7;:h7;:h}kXh7;:5 h7;:5@cccddddd,ee_ff;gp?p@phpipnpop»稜h}kXh7;:5CJaJh}kXh7;:CJaJh6h7;:5 hP>h7;:h{h7;:>* h4fh7;: hoh7;: hh7;:h}kXh7;:6 h,k{h7;:h7;:h}kXh7;:5 h7;:5=llllmm[noooo]ooooo>p & F<$Ifgd7;:l  & F;$1$Ifgd7;:l  & FI$Ifgd7;:l $Ifgd7;:l >p?p@phpipnpopqqqqq`rarsrtr & F=$Ifgd7;:l  & F=$1$Ifgd7;:l $-DIfM gd7;:l $Ifgd7;:l $If^gd7;:l op]qqqqqqqq`rarrrsrtrrsssssstttttutttttuuuuuvv*v+v,vlvmv~vvvvvjwkwwwwwww@xAxCxSxTxYxZxxxyyyyy@y_yyyzz-{.{h}kXh7;:>*h}kXh7;:5CJaJh}kXh7;:CJaJh7;:h}kXh7;:5 h7;:5h}kXh7;:6 h,k{h7;:Ltrrsssttvttttuuuw$-DIfM gd7;:l h$If^hgd7;:l $If^gd7;:l  & F?$Ifgd7;:l $Ifgd7;:l  & F>$Ifgd7;:l  uuvv+v,vlvmvvvvlwwwwwAx & FB$Ifgd7;:l  & FA$Ifgd7;:l  & F@$1$Ifgd7;:l $Ifgd7;:l AxBxCxSxTxYxZxyyyy`y-{.{@{A{{ & FD$Ifgd7;:l  & FC$Ifgd7;:l $Ifgd7;:l $-DIfM gd7;:l h$If^hgd7;:l .{?{@{A{{{|||||||||||r}}}}}}}}~~~M~e~~~~~>AJKLÈĈdHOPQcd縮縤hxh7;:>*hYh7;:>*h?h7;:5>*hxh7;:5>*hYh7;:5hxh7;:5h}kXh7;:6h}kXh7;:5CJaJh}kXh7;:CJaJh7;: h,k{h7;: h7;:5h}kXh7;:58{{|||||||||}}}}}}~~ & FF$1$Ifgd7;:l $-DIfM gd7;:l  & FE$Ifgd7;:l $Ifgd7;:l ~f~~~~?@ $1$If^gd7;:l  & FH $1$Ifgd7;:l $Ifgd7;:l  & FG$Ifgd7;:l @AKLfEvv````J & FJ$Ifgd7;:l $ & FJ$Ifgd7;:l  x<$Ifgd7;:l nkd$$Ifld& t0644 lap E~ÈĈEFG$Ifgd7;:l  & FJ$Ifgd7;:l  GHPQcd|MvvccMMM & FK$Ifgd7;:l $Ifgd7;:l  x<$Ifgd7;:l nkdV$$Ifld& t0644 lap M~!"NO`a & FM$Ifgd7;:l  & FL$Ifgd7;:l $Ifgd7;:l $@&Ifgd7;:l  & FK$Ifgd7;:l "Nb}~ДҔ)+t>?@STUhioDFØhܸܰܣܰܛܛܐ h7;:6 h7;:0Jjh7;:Uhxh7;:CJ OJQJhxh7;:H*hxh7;:6 h7;:5 hIh7;:hxh7;:5hYh7;:>*h7;:hxh7;:>* hYh7;:hYh7;:5 *hxh7;:6ab}v x<$Ifgd7;:l nkd$$Ifld& t0644 lap }~wwww$<<$Ifa$gd7;:l nkd$$Ifld& t0644 lap єI////$<<$Ifa$gd7;:l kd)$$Ifl\I d& t0644 lap(єҔ*I////$<<$Ifa$gd7;:l kdV $$Ifl\I d& t0644 lap(*+8W\rI////$<<$Ifa$gd7;:l kd $$Ifl\I d& t0644 lap(rst0kd $$Ifl2\I d& t0644 lap(<<$Ifgd7;:l tޕ,=# & F <x$If^gd7;:l # & F <<$If^gd7;:l  x$Ifgd7;:l =>?~$Ifgd7;:l nkd $$Ifld& t0644 lap ?@TUopxx]]]]@ $If^@ `gd7;:l  x$Ifgd7;:l nkdx $$Ifld& t0644 lap ghߛҜӜǝ{- & 0` P@$1$7$8$H$Ifgd7;:l @ $If^@ `gd7;:l @ $If^@ `gd7;:l  @ $1$7$8$H$If^@ `gd7;:l hiS@,ҜӜ7.xɟʟ()BCXYmnкгЮДxxxxxxxxxxx%h*j;h7;:B*CJOJQJaJphh*j;h7;:CJ"h*j;h7;:5CJOJQJ\^JhSh7;:5 h7;:5 hKh7;:hxh7;:5CJOJQJhxh7;:5h7;:hxh7;:6hxh7;:0JmHsHhxh7;:mHsHjh6(qh7;:U/ǝȝYTTTTTgd7;:pkd$$Ifld& t0644 lap $If^`gd7;:l @ $If^@ `gd7;:l   !"#$%&'()*+,-.xy$Ifgd7;:l @&gd7;:gd7;:[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap(ɟ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap(ɟʟ̟ΟП[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap( [HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap( ([HH2H$$Ifa$gd7;:l $Ifgd7;:l kdx$$Ifl,\T '''' (644 lap(()+-/B[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdn$$Ifl,\T '''' (644 lap(BCEGIX[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdd$$Ifl,\T '''' (644 lap(XY[]_m[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdZ$$Ifl,\T '''' (644 lap(mnpru[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdP$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kdF$$Ifl,\T '''' (644 lap(٠[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd<$$Ifl,\T '''' (644 lap(٠ڠ()FGhiɡʡ23KLtuʢˢ%&HIabʣˣ89`aӤԤ !>?ef}~"h*j;h7;:5CJOJQJ\^Jh7;:h*j;h7;:CJ%h*j;h7;:B*CJOJQJaJphQ٠ڠܠޠ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd2$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\T '''' (644 lap(([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap(()+-0F[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap(FGIKNh[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\T '''' (644 lap(hikmp[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\T '''' (644 lap(ɡ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\T '''' (644 lap(ɡʡ̡Ρѡ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd!$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd"$$Ifl,\T '''' (644 lap(2[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd#$$Ifl,\T '''' (644 lap(2357:K[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\T '''' (644 lap(KLNPSt[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd%$$Ifl,\T '''' (644 lap(tuwy|[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd&$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd'$$Ifl,\T '''' (644 lap(ʢ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\T '''' (644 lap(ʢˢ͢ϢҢ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd)$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd*$$Ifl,\T '''' (644 lap(%[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd~+$$Ifl,\T '''' (644 lap(%&(*-H[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdt,$$Ifl,\T '''' (644 lap(HIKMPa[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdj-$$Ifl,\T '''' (644 lap(abdfi[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd`.$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kdV/$$Ifl,\T '''' (644 lap(ʣ[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdL0$$Ifl,\T '''' (644 lap(ʣˣͣϣң[HH2H$$Ifa$gd7;:l $Ifgd7;:l kdB1$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd82$$Ifl,\T '''' (644 lap([HH2H$$Ifa$gd7;:l $Ifgd7;:l kd.3$$Ifl,\T '''' (644 lap(8[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd$4$$Ifl,\T '''' (644 lap(89;=@`[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd5$$Ifl,\T '''' (644 lap(`aceh[HH2H$$Ifa$gd7;:l $Ifgd7;:l kd6$$Ifl,\T '''' (644 lap([VPV==$Ifgd7;:l @&gd7;:gd7;:kd7$$Ifl,\T '''' (644 lap(Ckd7$$Ifl,\T p''''h (644 lap($Ifgd7;:l ¤-kd8$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l ¤ĤӤԤ֤ؤ-kd9$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l ؤڤ-kd:$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l  -kd;$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l  !#%-kd<$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l %'>?AC-kd=$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l CEefhj-kd>$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l jl}~-kd?$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l -kd@$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l ~ťƥ!"3467PQSTjkmn{|~Φئııııı߇mdh&h7;:CJ"h&h7;:5CJOJQJ\^JhSh7;:5 h7;:5h7;:B*CJOJQJaJph(hSh7;:5B*CJOJQJaJph%h) dh7;:B*CJOJQJaJphh) dh7;:CJ"h) dh7;:5CJOJQJ\^Jh7;:h*j;h7;:CJ%h*j;h7;:B*CJOJQJaJph%-kdA$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l ťƥȥʥ-kdB$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l ʥͥ-kdC$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l -(gd7;:kdzD$$Ifl,\T p''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l  t^$$Ifa$gd7;:l mkdpE$$Ifl,0'' <644 lap$Ifgd7;:l @&gd7;:gd7;:  3taKa$$Ifa$gd7;:l $Ifgd7;:l kdF$$Ifl,F|''' <6    44 lap3468PtaKa$$Ifa$gd7;:l $Ifgd7;:l kdF$$Ifl,F|''' <6    44 lapPQSUjtaKa$$Ifa$gd7;:l $Ifgd7;:l kdG$$Ifl,F|''' <6    44 lapjkmo{taKa$$Ifa$gd7;:l $Ifgd7;:l kdH$$Ifl,F|''' <6    44 lap{|}~tooiiiiiiiii@&gd7;:gd7;:kd|I$$Ifl,F|''' <6    44 lap ϦЦצئ .|$$Ifa$gd7;:l OkdTJ$$Ifl,'\  \644 lap $Ifgd7;:l gd7;:@&gd7;: ./]^ߧ-.IJ֨ר 56de01STrsªت٪12JKfgӫԫ23FGkl"h&h7;:5CJOJQJ\^Jh&h7;:CJ%h&h7;:B*CJOJQJaJphR./136]VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdJ$$Ifl,\?'o'}'' (\644 lap(]^`beVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdK$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdL$$Ifl,\?'o'}'' (\644 lap(§ŧߧVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdM$$Ifl,\?'o'}'' (\644 lap(ߧVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdN$$Ifl,\?'o'}'' (\644 lap( -VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdO$$Ifl,\?'o'}'' (\644 lap(-.025IVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdP$$Ifl,\?'o'}'' (\644 lap(IJLNQVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdQ$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdR$$Ifl,\?'o'}'' (\644 lap(֨VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdS$$Ifl,\?'o'}'' (\644 lap(֨ר٨ۨި VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdT$$Ifl,\?'o'}'' (\644 lap( 5VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdV$$Ifl,\?'o'}'' (\644 lap(568:=dVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdW$$Ifl,\?'o'}'' (\644 lap(degilVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdX$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd Y$$Ifl,\?'o'}'' (\644 lap(©ĩǩVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdZ$$Ifl,\?'o'}'' (\644 lap(VC$Ifgd7;:l kd[$$Ifl,\?'o'}'' (\644 lap(0130mkd\$$Ifl,0'o' 3f\644 lap3f$Ifgd7;:l Okd\$$Ifl,'\  \644 lap 358STV-kdD]$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l VX[rsu-kdH^$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l uwz-kdL_$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdP`$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l ªĪ-kdTa$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l Īƪɪت٪۪-kdXb$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l ۪ݪ-kd\c$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l  -kd`d$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l  124-kdde$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l 469JKM-kdhf$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l MORfgi-kdlg$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l ikn-kdph$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdti$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l īӫԫ֫-kdxj$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l ֫ث۫-kd|k$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdl$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l "235-kdm$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l 57:FGI-kdn$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l IKNkln-kdo$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l nps-kdp$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdq$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdr$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l 12PQlm­íŭѭҭ BC]^wx®׮خ45ST|} %&RSrsڰ۰89\]st"h&h7;:5CJOJQJ\^J%h&h7;:B*CJOJQJaJphh&h7;:CJS-kds$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdt$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l 124-kdu$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l 469PQS-kdv$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l SUXlmo-kdw$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l oqt-kdx$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l -kdy$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l ­íŭ-kdz$$Ifl,\?'o'}'' (\644 lap($$Ifa$gd7;:l $Ifgd7;:l ŭϭѭҭԭ֭٭aK$$Ifa$gd7;:l kd{$$Ifl,F?'o'L' 3f3f\6    44 lap3f3f$Ifgd7;:l VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd|$$Ifl,\?'o'}'' (\644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd}$$Ifl,\?'o'}'' (\644 lap( "$'BVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd~$$Ifl,\?'o'}'' (\644 lap(BCEGJ]VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(]^`bewVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(wxz|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(®ĮƮɮ׮VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(׮خڮܮ߮VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(4VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(4579=SVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(STVX\|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdĈ$$Ifl,\?'o'}'' (\644 lap(|}VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdȉ$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd̊$$Ifl,\?'o'}'' (\644 lap(įVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdЋ$$Ifl,\?'o'}'' (\644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdԌ$$Ifl,\?'o'}'' (\644 lap( %VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd؍$$Ifl,\?'o'}'' (\644 lap(%&(*.RVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd܎$$Ifl,\?'o'}'' (\644 lap(RSUW[rVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(rsuw{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ڰVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ڰ۰ݰ߰VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCCCC$Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (3f3f3f\644 lap(3f3f3f#8VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(89;=A\VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(\]_aesVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(stvx|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(ױر 01JKbc9:MNcd|}ʳ˳56VWܴݴ$%JKlm׵ص56bc"h&h7;:5CJOJQJ\^Jh&h7;:CJ%h&h7;:B*CJOJQJaJphRVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ñűɱױVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ױرڱܱ VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap( 0VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(01359JVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(JKMOSbVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\?'o'}'' (\644 lap(bcegkVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd,$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd0$$Ifl,\?'o'}'' (\644 lap(²IJȲVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd4$$Ifl,\?'o'}'' (\644 lap(VCCC$Ifgd7;:l kd8$$Ifl,\?'o'}'' (\644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd<$$Ifl,F?'o'L' 3f3f\6    44 lap3f3f9VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(9:<>BMVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(MNPRVcVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(cdfhl|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(|}VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\?'o'}'' (\644 lap(ʳVCC$Ifgd7;:l kd,$$Ifl,\?'o'}'' (\644 lap(ʳ˳ͳϳӳi$$Ifa$gd7;:l $Ifgd7;:l mkd0$$Ifl,0'o' 3f\644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdܯ$$Ifl,\?'o'}'' (\644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(!#'5VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(568:>VVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VWY[_VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ܴVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ܴݴߴVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap( $VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap($%')-JVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(JKMOSlVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(lmoquVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(õ׵VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(׵صڵܵVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(!%5VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(568:>bVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\?'o'}'' (\644 lap(bcegk|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\?'o'}'' (\644 lap(c|}¶67cd{|Ƿȷ 34Z[vw89;EFklɹʹܹݹ()UVnoĺź""h&h7;:5CJOJQJ\^Jh&h7;:CJ%h&h7;:B*CJOJQJaJphR|}VCCCC$Ifgd7;:l kd,$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd0$$Ifl,\?'o'}'' (3f3f3f\644 lap(3f3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd4$$Ifl,\?'o'}'' (\644 lap(¶ĶƶʶVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd8$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd<$$Ifl,\?'o'}'' (\644 lap( 6VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd@$$Ifl,\?'o'}'' (\644 lap(679;?cVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdD$$Ifl,\?'o'}'' (\644 lap(cdfhl{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdH$$Ifl,\?'o'}'' (\644 lap({|~VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdL$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdP$$Ifl,\?'o'}'' (\644 lap(ǷVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdT$$Ifl,\?'o'}'' (\644 lap(Ƿȷʷ̷зVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdX$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd\$$Ifl,\?'o'}'' (\644 lap( VCCCC$Ifgd7;:l kd`$$Ifl,\?'o'}'' (\644 lap( 3VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdd$$Ifl,\?'o'}'' (3f3f3f\644 lap(3f3f3f3468<ZVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdh$$Ifl,\?'o'}'' (\644 lap(Z[]_cvVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdl$$Ifl,\?'o'}'' (\644 lap(vwy{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdp$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdt$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdx$$Ifl,\?'o'}'' (\644 lap(øǸVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd|$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(8VC$Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(89;ACE$Ifgd7;:l Okd$$Ifl,'\  \644 lap EFHJNkVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (3f3f3f\644 lap(3f3f3fklnptVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ɹVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ɹʹ̹ιҹܹVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ܹݹ߹VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap((VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\?'o'}'' (\644 lap(()+-1UVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\?'o'}'' (\644 lap(UVXZ^nVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd,$$Ifl,\?'o'}'' (\644 lap(noqswVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd0$$Ifl,\?'o'}'' (\644 lap(ĺVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd4$$Ifl,\?'o'}'' (\644 lap(ĺźǺɺͺVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd8$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd<$$Ifl,\?'o'}'' (\644 lap( "VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd@$$Ifl,\?'o'}'' (\644 lap("#%'+@VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdD$$Ifl,\?'o'}'' (\644 lap("#@A[\{|ǻȻ9:XYnoмѼ 67Z[ʽ˽ڽ۽ #$KLst׾ؾ !:;TUrsۿܿ#$"h&h7;:5CJOJQJ\^J%h&h7;:B*CJOJQJaJphh&h7;:CJS@ACEI[VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdH$$Ifl,\?'o'}'' (\644 lap([\^`d{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdL$$Ifl,\?'o'}'' (\644 lap({|~VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdP$$Ifl,\?'o'}'' (\644 lap(ǻVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdT$$Ifl,\?'o'}'' (\644 lap(ǻȻʻ̻лVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdX$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd\$$Ifl,\?'o'}'' (\644 lap(9VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd`$$Ifl,\?'o'}'' (\644 lap(9:<>BXVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdd$$Ifl,\?'o'}'' (\644 lap(XY[]anVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdh$$Ifl,\?'o'}'' (\644 lap(noqswVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdl$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdp$$Ifl,\?'o'}'' (\644 lap(мVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdt$$Ifl,\?'o'}'' (\644 lap(мѼӼռټVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdx$$Ifl,\?'o'}'' (\644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd|$$Ifl,\?'o'}'' (\644 lap( 6VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(679;?ZVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(Z[]_cVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCCC$Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,F?'o'L' 3f3f\6    44 lap3f3fʽVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdh$$Ifl,\?'o'}'' (\644 lap(ʽ˽ͽϽӽڽVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdl$$Ifl,\?'o'}'' (\644 lap(ڽ۽ݽ߽ VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdp$$Ifl,\?'o'}'' (\644 lap( #VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdt$$Ifl,\?'o'}'' (\644 lap(#$&(,KVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdx$$Ifl,\?'o'}'' (\644 lap(KLNPTsVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd|$$Ifl,\?'o'}'' (\644 lap(stvx|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(׾VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(׾ؾھܾVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap( VCCCC$Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap( !#%):VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (3f3f3f\644 lap(3f3f3f:;=?CTVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(TUWY]rVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\?'o'}'' (\644 lap(rsuw{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ۿVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(ۿܿ޿VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(#VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(#$&(,>VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap($>?hi %&(67^_axy679MNghʸ%h*j;h7;:B*CJOJQJaJphh*j;h7;:CJ"h*j;h7;:5CJOJQJ\^J h7;:5h7;:h7;:B*CJOJQJaJphh&h7;:CJ%h&h7;:B*CJOJQJaJph=>?ACGhVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(hikmqVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap( VCCC-$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\?'o'}'' (\644 lap(C5'gd7;:l gd7;:l kd$$Ifl,\?'o'}'' (\644 lap($Ifgd7;:l !#%&(2Ckd$$Ifl,\ |''''h (644 lap($Ifgd7;:l 24679;Ckd$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3f$Ifgd7;:l ;>^_ax-kd$$Ifl,\ |''''h (644 lap($Ifgd7;:l $$Ifa$gd7;:l xy{}i$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(VCCCC$Ifgd7;:l kd!$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd"$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3fi$$Ifa$gd7;:l $Ifgd7;:l mkd#$$Ifl,0|''( 3f644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdL$$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdP%$$Ifl,\ |''''h (644 lap( "%6VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdT&$$Ifl,\ |''''h (644 lap(679MVCC$Ifgd7;:l kdX'$$Ifl,\ |''''h (644 lap(MNPRUgi$$Ifa$gd7;:l $Ifgd7;:l mkd\($$Ifl,0|''( 3f644 lap3fghjloVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd)$$Ifl,\ |''''h (644 lap(VCCCC$Ifgd7;:l kd *$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd+$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd,$$Ifl,0|''( 3f644 lap3f VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd,$$Ifl,\ |''''h (644 lap( ()+89QRtu*+BCETUWnoq )*HIbcewx568GHJ[\no"h*j;h7;:5CJOJQJ\^Jh*j;h7;:CJ%h*j;h7;:B*CJOJQJaJphR (VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd-$$Ifl,\ |''''h (644 lap(()+68VCCC$Ifgd7;:l kd.$$Ifl,\ |''''h (644 lap(89;=@QtaaKa$$Ifa$gd7;:l $Ifgd7;:l kd/$$Ifl,F |'''h 3f3f6    44 lap3f3fQRTVYtVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd0$$Ifl,\ |''''h (644 lap(tuwy|VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd1$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd2$$Ifl,\ |''''h (644 lap(VCCCC$Ifgd7;:l kd3$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd4$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3f*VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd5$$Ifl,\ |''''h (644 lap(*+-/2BVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd6$$Ifl,\ |''''h (644 lap(BCERTVCCC$Ifgd7;:l kd7$$Ifl,\ |''''h (644 lap(TUWntaa$Ifgd7;:l kd8$$Ifl,F |'''h 3f3f6    44 lap3f3fnoq~$Ifgd7;:l mkd9$$Ifl,0|''( 3f644 lap3ftaaKa$$Ifa$gd7;:l $Ifgd7;:l kdH:$$Ifl,F |'''h 3f3f6    44 lap3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd ;$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$<$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd(=$$Ifl,\ |''''h (644 lap( )VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd,>$$Ifl,\ |''''h (644 lap()*,.1HVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd0?$$Ifl,\ |''''h (644 lap(HIKMPbVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd4@$$Ifl,\ |''''h (644 lap(bcewVCC$Ifgd7;:l kd8A$$Ifl,\ |''''h (644 lap(wxz|i$$Ifa$gd7;:l $Ifgd7;:l mkdOVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd@[$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3fOPRfVCC$Ifgd7;:l kdD\$$Ifl,\ |''''h (644 lap(fgikni$$Ifa$gd7;:l $Ifgd7;:l mkdH]$$Ifl,0|''( 3f644 lap3fVCCC$Ifgd7;:l kd]$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd^$$Ifl,F |'''h 3f3f6    44 lap3f3fVCCCC$Ifgd7;:l kd_$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kd`$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kda$$Ifl,F |'''h 3f3f6    44 lap3f3f VCCCC$Ifgd7;:l kdb$$Ifl,\ |''''h (644 lap(!VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdc$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3f!"$&)BVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdd$$Ifl,\ |''''h (644 lap(BCERTVCCC$Ifgd7;:l kde$$Ifl,\ |''''h (644 lap(TUWY\ltaaKa$$Ifa$gd7;:l $Ifgd7;:l kdf$$Ifl,F |'''h 3f3f6    44 lap3f3flmoqtVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdg$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdh$$Ifl,\ |''''h (644 lap(VCCCC$Ifgd7;:l kdi$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kdj$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3fi$$Ifa$gd7;:l $Ifgd7;:l mkdk$$Ifl,0|''( 3f644 lap3fVCC$Ifgd7;:l kdTl$$Ifl,\ |''''h (644 lap($Ifgd7;:l mkdXm$$Ifl,0|''( 3f644 lap3f1i$$Ifa$gd7;:l $Ifgd7;:l mkdn$$Ifl,0|''( 3f644 lap3f12BDFVCCC$Ifgd7;:l kdn$$Ifl,\ |''''h (644 lap(2FGIgh ,-/@Ajk457DE[\^mn)*UVrs%h*j;h7;:B*CJOJQJaJphh*j;h7;:CJ"h*j;h7;:5CJOJQJ\^JSFGIgtaa$Ifgd7;:l kdo$$Ifl,F |'''h 6    44 lapghjloi$$Ifa$gd7;:l $Ifgd7;:l mkdp$$Ifl,0|''( 3f644 lap3fVCCC$Ifgd7;:l kd8q$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kdOPR`a{|~-.;<>NO{| +,@AC"h*j;h7;:5CJOJQJ\^J%h*j;h7;:B*CJOJQJaJphh*j;h7;:CJS+-VCCC$Ifgd7;:l kdԐ$$Ifl,\ |''''h (644 lap(-.025PtaaKa$$Ifa$gd7;:l $Ifgd7;:l kdؑ$$Ifl,F |'''h 3f3f6    44 lap3f3fPQZ\^`VCCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(`acmoqVCCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(qrtvyVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3fVCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdl$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kdp$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkdt$$Ifl,0|''( 3f644 lap3f=VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(=>KMOVCCC$Ifgd7;:l kd$$$Ifl,\ |''''h (644 lap(OPR\^`taaaa$Ifgd7;:l kd($$Ifl,F |'''h 6    44 lap`aceh{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3f{|~VCCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (3f3f3f644 lap(3f3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(taa$Ifgd7;:l kd$$Ifl,F |'''h 6    44 lap$Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3f $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3f-taaKa$$Ifa$gd7;:l $Ifgd7;:l kdD$$Ifl,F |'''h 3f3f6    44 lap3f3f-.579;VCCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(;<>NVCC$Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(NOQSW{i$$Ifa$gd7;:l $Ifgd7;:l mkd$$$Ifl,0|''( 3f644 lap3f{|~VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdЧ$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kdԨ$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kdة$$Ifl,F |'''h 3f3f6    44 lap3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(#+VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(+,.04@VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdį$$Ifl,\ |''''h (644 lap(@ACZVCC$Ifgd7;:l kdȰ$$Ifl,\ |''''h (644 lap(CZ[uv23Z[<=?ST67PQqrt $%MNpq%h*j;h7;:B*CJOJQJaJphh*j;h7;:CJ"h*j;h7;:5CJOJQJ\^JSZ[]_cui$$Ifa$gd7;:l $Ifgd7;:l mkḏ$$Ifl,0|''( 3f644 lap3fuvxz~VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdx$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd|$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,F |'''h 3f3f6    44 lap3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd\$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd`$$Ifl,\ |''''h (644 lap(2i$$Ifa$gd7;:l $Ifgd7;:l mkdd$$Ifl,0|''( 3f644 lap3f2357;ZVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(Z[]_cVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\ |''''h (644 lap( $<VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd,$$Ifl,\ |''''h (644 lap(<=?SVCC$Ifgd7;:l kd0$$Ifl,\ |''''h (644 lap(STVX\i$$Ifa$gd7;:l $Ifgd7;:l mkd4$$Ifl,0|''( 3f644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(6VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(679;?PVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(PQSUYqVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(qrtVCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,F |'''h 3f3f6    44 lap3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( $VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap($%')-MVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(MNPRVpVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(pqsuyVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3fVCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( &')=>hi 12JKrs %&(9:\]yz./STvw*+ABh*j;h7;:CJ"h*j;h7;:5CJOJQJ\^J%h*j;h7;:B*CJOJQJaJphR i$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3f &VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd\$$Ifl,\ |''''h (644 lap(&')=VCC$Ifgd7;:l kd`$$Ifl,\ |''''h (644 lap(=>@BFhi$$Ifa$gd7;:l $Ifgd7;:l mkdd$$Ifl,0|''( 3f644 lap3fhikmqVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( VCCC$Ifgd7;:l kd $$Ifl,\ |''''h (644 lap( 1taaKa$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,F |'''h 3f3f6    44 lap3f3f1246:JVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(JKMOSrVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(rs{}VCCCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd $$Ifl,0|''( 3f644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( %VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(%&(9VCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(9:<>B\i$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3f\]_aeyVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdx$$Ifl,\ |''''h (644 lap(yz|~VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd|$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap( VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(.VCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(./137Si$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3fSTVX\vVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdD$$Ifl,\ |''''h (644 lap(vwy{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdH$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdL$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdP$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdT$$Ifl,\ |''''h (644 lap(*VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdX$$Ifl,\ |''''h (644 lap(*+-/3AVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd\$$Ifl,\ |''''h (644 lap(ABDFJrVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd`$$Ifl,\ |''''h (644 lap(Brs #$9:PQop #$&=>STxyDEpqs$%LMuv"h*j;h7;:5CJOJQJ\^Jh*j;h7;:CJ%h*j;h7;:B*CJOJQJaJphRrsuw{VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdh$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kdl$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kdp$$Ifl,F |'''h 3f3f6    44 lap3f3f VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdH$$Ifl,\ |''''h (644 lap( #VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdL$$Ifl,\ |''''h (644 lap(#$&(,9VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdP$$Ifl,\ |''''h (644 lap(9:<>BPVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdT$$Ifl,\ |''''h (644 lap(PQSUYoVCC-C$$Ifa$gd7;:l $Ifgd7;:l kdX$$Ifl,\ |''''h (644 lap(oprtxVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd\$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd`$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdh$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kdl $$Ifl,\ |''''h (644 lap( taaa$Ifgd7;:l kdp $$Ifl,F |'''h 6    44 lap #taaKa$$Ifa$gd7;:l $Ifgd7;:l kdH $$Ifl,F |'''h 3f3f6    44 lap3f3f#$&=VCC$Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(=>@BFSi$$Ifa$gd7;:l $Ifgd7;:l mkd$ $$Ifl,0|''( 3f644 lap3fSTVX\xVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(xy{}VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3fVCC$Ifgd7;:l kd$$Ifl,\ |''''h (644 lap("Di$$Ifa$gd7;:l $Ifgd7;:l mkd$$Ifl,0|''( 3f644 lap3fDEGIMpVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd@$$Ifl,\ |''''h (644 lap(pqsVCCC$Ifgd7;:l kdD$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kdH$$Ifl,F |'''h 3f3f6    44 lap3f3fVCCC$Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,F |'''h 6    44 lapVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap($VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap($%')-LVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(LMOQUuVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(uvxz~VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd $$Ifl,\ |''''h (644 lap(45MNefh*+JKM]^vw%&EF^_aqr!"?@"h*j;h7;:5CJOJQJ\^Jh*j;h7;:CJ%h*j;h7;:B*CJOJQJaJphRVCCCC$Ifgd7;:l kd!$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kd"$$Ifl,\ |''''h (644 lap(taaKa$$Ifa$gd7;:l $Ifgd7;:l kd #$$Ifl,F |'''h 3f3f6    44 lap3f3f"4VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd#$$Ifl,\ |''''h (644 lap(4579=MVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd$$$Ifl,\ |''''h (644 lap(MNPRVeVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd&$$Ifl,\ |''''h (644 lap(efhVCC$Ifgd7;:l kd'$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd($$Ifl,0|''( 3f644 lap3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd($$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd)$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd*$$Ifl,0|''( 3f644 lap3fVCC$Ifgd7;:l kdh+$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkdl,$$Ifl,0|''( 3f644 lap3f*VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd-$$Ifl,\ |''''h (644 lap(*+-/3JVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd.$$Ifl,\ |''''h (644 lap(JKM[]VCCC$Ifgd7;:l kd /$$Ifl,\ |''''h (644 lap(]^`bfvtaaKa$$Ifa$gd7;:l $Ifgd7;:l kd$0$$Ifl,F |'''h 3f3f6    44 lap3f3fvw}VCCCC$Ifgd7;:l kd0$$Ifl,\ |''''h (644 lap(VCC$Ifgd7;:l kd2$$Ifl,\ |''''h (644 lap(i$$Ifa$gd7;:l $Ifgd7;:l mkd3$$Ifl,0|''( 3f644 lap3fVCCC$Ifgd7;:l kd3$$Ifl,\ |''''h (644 lap(taaa$Ifgd7;:l kd4$$Ifl,F |'''h 3f3f6    44 lap3f3ftaaa$Ifgd7;:l kd5$$Ifl,F |'''h 6    44 laptaaKa$$Ifa$gd7;:l $Ifgd7;:l kdd6$$Ifl,F |'''h 3f3f6    44 lap3f3f%VCC$Ifgd7;:l kd<7$$Ifl,\ |''''h (644 lap(%&(*.Ei$$Ifa$gd7;:l $Ifgd7;:l mkd@8$$Ifl,0|''( 3f644 lap3fEFZ\^VCCC$Ifgd7;:l kd8$$Ifl,\ |''''h (644 lap(^_aoqtaaa$Ifgd7;:l kd9$$Ifl,F |'''h 6    44 lapqrtvztaaKa$$Ifa$gd7;:l $Ifgd7;:l kd:$$Ifl,F |'''h 3f3f6    44 lap3f3fVCC-C$$Ifa$gd7;:l $Ifgd7;:l kd;$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd<$$Ifl,\ |''''h (644 lap(VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd=$$Ifl,\ |''''h (644 lap(VCCC$Ifgd7;:l kd>$$Ifl,\ |''''h (644 lap( !taaKa$$Ifa$gd7;:l $Ifgd7;:l kd?$$Ifl,F |'''h 6    44 lap!"$&*?VCC-C$$Ifa$gd7;:l $Ifgd7;:l kd@$$Ifl,\ |''''h (644 lap(?@BDH]VCC-C$$Ifa$gd7;:l $Ifgd7;:l kdA$$Ifl,\ |''''h (644 lap(@]^_`bcefhiklϼϢh7;:CJmHnHu h7;:CJjh7;:CJUh~%h7;:CJhhh7;:CJhxh7;:5%jhxh7;:UmHnHsHtHh7;:jh7;:UhSh7;:5h*j;h7;:CJ%h*j;h7;:B*CJOJQJaJph]^_abdeghjVQOOOOOOOgd7;:kdB$$Ifl,\ |''''h (644 lap( jkRMgd7;:ekdC$$Ifld&& t0644 la$x$Ifa$gd7;:l $$Ifa$gd7;:l $x$Ifa$gd7;:l gd7;:  !%gd7;:":p7;:/ =!"8#8$8%n5PxKqPNG  IHDR--DTPLTE̾ƽ濿Ƶνٟ߯ӏnXooaawyEjl2PP_a#@@00!!=QbKGDHgIFg>U cmPPJCmp0712HsIDAThCXkW8 5 L ͳi^7dJڲ×sزvZƭ?L[3W`H~Cm5QЛMO~UC+H+DY7\p4F<$ewr~uIaGVfs, ! B$WײH?(-4ƃ6 dy`' Hl!м qSqFؕ 0.,3ū~BSz.I e!o _ xύpeBn< (_ HH &;PϰpHP\fE En{!d ij3[++fe!@pY𳅰7z_vBaǸzQQ|58ap*8La@HzI!1 |c bqj))ClXpͶ,gp5X,Cubk*g$L](WS`vE.Ҳ<J7! ܅d.օ(lmUrCG u@(&U]=)@!$&`<꬧+ə>Fh^Yjl!A̝fS@ (JT,c_#$cЊ$3km7yġԑǝo+s|+ӛ*?o8ۦus#ښW3B&=螊}a/Ν91 ~U!$}j"5j}eC$:\3 J#PwK>?eUW B n7_yJQQ6$u{~ ~~6(=g4}AJzE,|.Y O~,ee&/oޕ#a}/Ow 0S#^qoʖs ҬcO48 {sY tx!ѵYƔm3taf!C ѡbᄹϤjսD:fd 'k\ @ri7CBxa" H=|f+ix{ n$ԟepȲ 1!trX! !BVH߶T/eOX*|u$\8X;x&#ъQ.oj? _TLeJ8C3:+eJ8 gOeŠڵ*\aJ\@\ ? Heading 2$<@& 56CJOJQJ\]^JaJDA`D Default Paragraph FontZi@Z  Table Normal :V 4 l4a _H(k`(No List j@j X Table Grid7:V04@4 XHeader  !4 @4  XFooter  !.)!. ~% Page NumberPC@2P lBody Text Indent (^ `(aJ4U@A4 l0 Hyperlink >*phH@RH O0 Balloon TextCJOJQJ^JaJNaN O0Balloon Text CharCJOJQJ^JaJVY@rV Wj Document Map-D M CJOJQJ^JPK![Content_Types].xmlj0 u$Nwc$ans@8JbVKS(.Y$8MVgLYS]"(U֎_o[gv; f>KH|;\XV!]օ Oȥsh]Hg3߶PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!\theme/theme/theme1.xmlYOoE#F{o'NDuر i-q;N3' G$$DAč*iEP~wq4;{o?g^;N:$BR64Mvsi-@R4Œ mUb V*XX! cyg$w.Q "@oWL8*Bycjđ0蠦r,[LC9VbX*x_yuoBL͐u_. DKfN1엓:+ۥ~`jn[Zp֖zg,tV@bW/Oټl6Ws[R?S֒7 _כ[֪7 _w]ŌShN'^Bxk_[dC]zOլ\K=.:@MgdCf/o\ycB95B24S CEL|gO'sקo>W=n#p̰ZN|ӪV:8z1f؃k;ڇcp7#z8]Y / \{t\}}spķ=ʠoRVL3N(B<|ݥuK>P.EMLhɦM .co;əmr"*0#̡=6Kր0i1;$P0!YݩjbiXJB5IgAФ޲a6{P g֢)҉-Ìq8RmcWyXg/u]6Q_Ê5H Z2PU]Ǽ"GGFbCSOD%,p 6ޚwq̲R_gJSbj9)ed(w:/ak;6jAq11_xzG~F<:ɮ>O&kNa4dht\?J&l O٠NRpwhpse)tp)af] 27n}mk]\S,+a2g^Az )˙>E G鿰L7)'PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$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-!\theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] D cc> 9")07?"HO,T^ckop.{h~c"$2CB@r{~ 3\:_d } / "&())*.27B99<>@C}FF8GK~OSUXFZ\w`c ccil>ptruAx{~@EGMa}є*rt=?ǝɟ(BXm٠(Fhɡ2Ktʢ%Haʣ8`¤ؤ%Cjʥ3Pj{.]ߧ-I֨ 5d3VuĪ۪ 4Mi֫5In4SoŭB]w׮4S| %Rrڰ8\sױ 0Jb9Mc|ʳ5Vܴ$Jl׵5b|6c{Ƿ 3Zv8Ekɹܹ(Unĺ"@[{ǻ9Xnм 6Zʽڽ #Ks׾ :Trۿ#>h 2;x6Mg (8Qt*BTn )Hbw5G[n@gu (6Of!BTl1Fg ,@j4D[m)Ur-P`q=O`{-;N{ +@Zu2Z<S6Pq $Mp &=h 1Jr %9\y.Sv*Ar #9Po #=SxDp$Lu4Me*J]v%E^q!?]jstuvwxyz|}     !"#$%&'()*+,-./012456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^`abcdefghijklmnopqrstuvwxyz{|}~      !hXXezt  ,b$PxKq=$D@ (  l  S .A medlogo"?0( , B S  ? *t OLE_LINK1 OLE_LINK2ϞϞaa",<>CKRY`aips  %17NT^cdm&7=DJTY `c*9GVYb%%&&**, ,--g.j...62?2M2S2>>BBBBGGHHJJ"K%KKKNNNN[[ __._9_cce eff6g9gggjjjj |+||8ANjϋՐܐ ,FMNTIPQWƕ/8OW_luØ089EҚݚX`؛@IKVhrĜҜESXd '-UYoyɟ֟=Hǡա֡z 0R^n}ģңۣ"*:EcjsǤҤ9EFOt}'02AQ\ɦѦg{${AJɩ֩!AIBLӫ٫',kxzʬ u{~%.!*FNٯ %2chǰϰ԰߰*|^mղܲ06QZlzٴ(GYĵӵٵ6>?J\fgrLS%5º  _f|)VaȽ8FƾҾھhnſ˿Կ߿ FN)82AoxHRZirz|)3LZz y#*ck~%CQx-YhV_:CXeBIRZeq@Rcu):@eq{,8xFR\ghpqw#@KEL^d3Afo.:;D*>H\^__aabbdeghjk--^__aabbdeghjk3MCL8.N N,HncҒON,z&LkinC 88 "hl ,pONAO=" |jAAAuD7Qm^pU:N8Iq<:5.A|4J"zpV#"%ʸp&Bd>(.61*.X+Xzo/rPHxF1pU:O%o1|1ҒPq2bcI5r1N7s78Il8uD7 9bc!a<$D^=8==4JXNJ>vސm@4JA7CXzp+D" F0>HLr~IzF-KҒMLA~'1MҒ1"Nz^0cPAgH}om1"N|pV#F-KNML8HdX$ZVoS7Pnf7CkAAp+DQm^hOCfb4YA~'1M^=^0cPgMMD        D        D        D        D        D         Xj        D        |         X        D        |         D        D        D        D        D        D        D        D        D        |         DHD        D        D        D        D         Xj        D        D        T@-        D        D        D        DHD        D        DH        D        D        D        |         D        D        D        D        D        D        D        D        X        D        DH        D        D        D        D        D        D        D        T@-        T@-        D        D        D                 T@-        D        D        D        D        D        F        D        D        D        XGu( d7@lcxoq,s{7;:+>?d~}~Z@wAwGHab}~ьҌ*+8W\st=>?@ɗʗ̗ΗЗ  ()+-/BCEGIXY[]_mnpru٘ژܘޘ()+-0FGIKNhikmpəʙ̙Ιљ2357:KLNPStuwy|ʚ˚͚ϚҚ%&(*-HIKMPabdfiʛ˛͛ϛқ89;=@`acehœĜӜԜ֜؜ڜ  !#%'>?ACEefhjl}~ŝƝȝʝ͝  3468PQSUjkmo{|מ؞ ./136]^`beŸşߟ -.025IJLNQ֠נ٠۠ޠ 568:=degil¡ġǡ01358STVX[rsuwz¢ĢƢɢآ٢ۢݢ 12469JKMORfgiknģӣԣ֣أۣ"2357:FGIKNklnps12469PQSUXlmoqt¥åťϥѥҥԥ֥٥  "$'BCEGJ]^`bewxz|¦ĦƦɦצئڦܦߦ4579=STVX\|}ħ %&(*.RSUW[rsuw{ڨۨݨߨ #89;=A\]_aestvx|éũɩשةکܩ 01359JKMOSbcegkªĪȪ9:<>BMNPRVcdfhl|}ʫ˫ͫϫӫ !#'568:>VWY[_ܬݬ߬ $%')-JKMOSlmoquí׭حڭܭ!%568:>bcegk|}®ĮƮʮ 679;?cdfhl{|~ǯȯʯ̯Я 3468<Z[]_cvwy{ðǰ89;ACEFHJNklnptɱʱ̱αұܱݱ߱()+-1UVXZ^noqswIJŲDzɲͲ "#%'+@ACEI[\^`d{|~dzȳʳ̳г9:<>BXY[]anoqswдѴӴմٴ 679;?Z[]_cʵ˵͵ϵӵڵ۵ݵߵ #$&(,KLNPTstvx|׶ضڶܶ !#%):;=?CTUWY]rsuw{۷ܷ޷#$&(,>?ACGhikmqøŸɸ !#%&(24679;>^_axy{}ùԹչ׹ٹܹ  "%679MNPRUghjloúĺƺȺ˺ ()+689;=@QRTVYtuwy|λϻѻۻݻ߻*+-/2BCERTUWnoq~ʼ˼ͼϼҼ )*,.1HIKMPbcewxz|ݽ޽568GHJ[\^`cnoqsvþƾ!$@ACEHghoqsuvx̿ͿϿѿԿ ()+24679;>OPRfgikn !"$&)BCERTUWY\lmoqt12BDFGIghjlo ,-/@ACEHjkmor457BDEGIL[\^kmnpru)*,.1UVXZ]rsuwz +-.025PQZ\^`acmoqrtvy=>KMOPR\^`aceh{|~ -.579;<>NOQSW{|~ #+,.04@ACZ[]_cuvxz~2357;Z[]_c $<=?STVX\679;?PQSUYqrt $%')-MNPRVpqsuy &')=>@BFhikmq 1246:JKMOSrs{} %&(9:<>B\]_aeyz|~ ./137STVX\vwy{*+-/3ABDFJrsuw{ #$&(,9:<>BPQSUYoprtx #$&=>@BFSTVX\xy{}"DEGIMpqs$%')-LMOQUuvxz~"4579=MNPRVefh*+-/3JKM[]^`bfvw}%&(*.EFZ\^_aoqrtvz !"$&*?@BDH]^_adgjkDDDDD ? @ A B C D E F G H I J K L  Oh+'0( ,8 \ h t '$STANFORD UNIVERSITY MEDICAL CENTERTerry Desser, M.D. Normal.dotmPeter Poullos30Microsoft Macintosh Word@Cbm@m '@6 z@H'G'PICT&b HHb bHHF+bb !! Ƣ Ƣ Ƣ ƢkZcs=cZNs F1rw8{{{{{{so{kZsg9g9kZg9g9^kZo{sg9kZg9 o{kZg9g9kZwg9^o{^kZkZwo{scg9o{g9ccwwNs F1{Zej1{{{{Z{{{Z{w9wY{{)kZc^Rg9Ns^VRJR^ckZZ^cVVZV^^ZZJR^JRVZo{R^cwNsg9kZ^NsJRswNsU F1nR{z{{w{{ww{{s{wwo{{wwwwNsKF1 JRF1NsF1BNsJRV{VZJRF1RZZVJRNsF1JRZwNs:F1{{w{co{swNs?F1VNsV RVkZF1R^cNsZZRVo{wNs?F1sso{kZo{ wkZsso{o{^so{o{wwNs=^VNsB)J^yF1ww{s{{wskZs{w{{{{o{www{{wNsF1ZJRNsJRJRVJR^Vg9g9{g9*kZw5NsJRBRNsVZBRRBJRNsV{^g9Vcwo{RRNsJR9F1ZVZo{Z^ZV^wwNsZF1{{w{kZ{{{{o{{w{w{wNs%BkZZkZZkZcNs;F1VVcF1VZJRZVwZg9c^cckZg9c^g9wg9ZkZkZs^^=cNs^VZVZVJRBF1cw^cg9wo{RNsZJRNs^c{wNs F1skZskZso{kZskZwsso{so{wwo{s{wswkZo{kZkZwo{o{^o{kZkZo{ws wo{{o{ZkZkZo{o{{wNsMF1kZwkZkZo{wsskZo{co{o{{o{o{ckZo{g9so{wNsMF1sg9kZo{o{kZsg9o{g9wg9{g9^g9g9sg9kZkZwNs%BkZ^kZZkZcNs_F1o{so{s{wo{s{o{kZ{Z^g9wc^kZg9o{o{w{wNsfF1ZNsJRF1JRF1BF1g9^BNsBZ^o{swo{{kZsso{ZZF1F1RBF1^wNsMF1w{w{{{ {g9wo{o{kZsskZso{o{o{wNsg F1kZ9ZJRBRR^ZV wsscsc^cg9cg9g9o{w{{{{{wNsfF1{{w{w kZwwsswso{^Z ^Zg9o{kZ^kZZ^ZR^g9wNsrF1g9o{wwskZ{s{sskZ {RZcg9ZZg9kZZg9g9{o{{{wNsmF1R{^VZ^VckZ^ZV^wVwscg9^o{ssswwwwswo{wNswF1s{sww{{cZkZg9ZVg9ZVZRV{Z^cc o{co{co{kZkZo{cg9^Zg9cwNsmF1^VZcVNsg9wVV^kZ{{{{{o{{{ww{so{so{sswNsgF1s{{{{w{VZcZZo{c^cckZRcckZcZZV^kZcNsnF1c^cZ^ o{^c^^ccVg9kZg9{swwsw{w{wswsswo{wNsF1{w{sw{w{w{ww{^g9skZcg9o{ccckZkZsg9sg9so{JRJRZVZsJRVVRVV^wwNsF1NskZkZo{w^ckZkZc^g9g9kZo{kZo{wskZo{kZwo{so{sswwsso{sso{o{kZ{{kZkZo{skZwwwNsF1kZsg9o{{kZo{o{wo{so{wo{kZs{csww{kZkZo{o{g9wo{wo{wsww{o{s{o{wwswNsF1g9wo{so{o{wkZsc{{cs^kZZg9o{s^kZo{sso{ckZ o{co{wVZVVRccV o{kZg9g9sZg9g9{wNskF1o{g9cg9o{o{ckZskZo{g9wkZ ww{wwkZ{sw{o{{wwNsF1kZww{wswwwsso{{{VVZ^RcR^s^g9^o{kZco{cso{g9kZZg9Rco{swNsF1RZV^RkZo{w^ZRRV^VV{Zg9ckZww{w{o{wwsws{wo{s{{w{wNsF1wswww{www{VRVg9g9VRRkZkZRcg9Zc o{kZkZso{sc{g9g9o{kZo{g9kZcg9wNsF1VRcRRVg9kZZR^Ro{cZcc{{{ o{o{w{wso{o{g9o{kZso{{o{swswNsF1{{{.{RckZccg9VkZcc^^c^ZJRco{co{g9o{o{skZso{wso{{o{w{sso{kZsskZo{o{swNs F1Zg9cg9g9cg9Z^g9ccVg9g9kZwo{s{swwsww{{wwo{kZswkZo{cco{c{kZo{ {wo{kZo{g9skZo{wNs F1wswcswwsw{ws{wg9scg9o{^so{o{kZskZcg9g9o{ o{so{ws{wwsww{kZo{swsso{wNs F1cso{kZo{kZkZo{^kZco{kZ o{kZkZskZckZswkZo{o{so{g9swkZkZo{Zg9ZcZ^^kZg9skZkZg9^cswNsQ F1o{kZkZso{co{g9kZkZwo{wwwso{w{wo{wNsS F1^wswo{kZwo{o{{kZsskZkZZccZkZo{wNsGF1kZ^^o{kZkZZg9c^wckZkZo{wo{wNsgF1sswsso{{ o{swssg9swo{kZkZ s{w{{w{{wwNsmF1ZVRVRVcg9g9V{Zccg9o{kZsg9w^cg9wc^^g9o{cg9Z^c^^kZkZwNs-F1so{w{{wwNs'F1o{g9VZZwNsF1o{wNs5BRkZcNskF1o{g9wcssg9wskZo{s^swcso{sg9kZkZs^g9 o{cso{kZo{kZswkZwwkZswNsiF1w^V^RVF1JR^^c^^NsRRcNso{RR^g9 o{cg9ZVVRJRkZZ^cRkZwNs+F1{o{{wNs'F1o{Nsg9cg9c^wcZg9^cg9^^g9g9ckZc^g9Zg9ckZo{^Vg9cZcZo{o{kZwwo{swo{{kZ{www{wwNsF1{wwswswso{swo{ss{wo{wsswo{g9w{swswswo{ccZc g9kZcVg9{kZwswNs7 F1wg9g9kZkZo{csg9co{wNsM F1wkZswkZkZg9o{kZso{w{ws{wswNsIF1sswkZo{o{ o{g9o{c{o{g9ZRckZ{kZwNs5 F1wg9^^{c^Zwo{wNs1 F1{{{{wo{wNs;F1sRVZZo{VVg9JRVkZo{wNs%F1{o{wNs=F1kZZcg9g9ZcVg9c^{o{wNs1F1{ws{wso{wNs;F1{^cg9wZZckZg9kZo{wNs;F1 so{sso{{so{swsso{wNs9F1 kZsg9o{o{sckZskZ{o{wNs7F1wo{g9{o{kZg9g9wo{wNs2F1{s{{wo{{o{wNs9 F1sZZc{g9Vc^^o{o{wNs5F1ww{s{{o{wNs7 F1g9^^RV{Nsg9RRo{wNs'F1{so{wNs7 F1o{Nsg9^o{^ZkZZkZo{wNs5F1{wsswso{wo{wNs9 F1kZsco{g9o{ZkZcg9co{wNs7 F1{skZo{wwso{so{wNs=F1{kZo{scso{{cg9g9sso{wNs;F1wkZccg9skZcg9kZkZo{wNs5B=B=NsF1wNs9F1Zg9ZRNssJR^VF1ZVZR^ZwNs9F1{sskZo{wkZssg9o{swsswNsF1wNsF1wNsF1wNsF1wNs F1kZswswsg9ws9wsc{sskZwckZskZo{ww{^cwwo{sg9{so{c{ckZwo{cso{{{sg9Zo{wco{o{w^kZwcsso{kZso{g9{o{kZo{skZkZNs@F1sg9ZZVsVZZVg9NsVR^kZVVkZZNsRcVkZZc{g9R^VRNsZo{VRRkZVJR^^ZkZVkZkZVVRVZRkZRo{ZVg9RZcR ^Ro{Rco{ZVRZkZNs?F1{sww{cs{ssswswwss{o{wwo{w{w{g9{Zo{{g9o{s{g9o{{o{kZsg9^g9c{{s{swo{g9wso{{wkZsw so{swwwwg9wNs3F1g9BRRg9RNso{RRo{VR^g9^RNsF1ZRZNsZRkZNscNsZNsNsVNsg9^kZZNskZg9RsZg9RVo{sRo{VNsVRNscNsJRNskZ^NsNsZVRRZo{NsNsVwNsmF1o{ {{w{ww{{o{ws{wss{w{w{wwNsOF1^=Ns=JRB=NsF1F1g9JRRNsF1NsJRZF1Z=R=s=F1F1BZ^JRcNsNsRZJRZZBJRF1JRBRg9F1BRkZF1F1BF1F1cVJR=Ns^=JRZNsJRV=BZZ=JR=cF1kZwNsAF1kZ{ws{{wswNsF1g9Z^^VR^cF1VNso{RVF1Bo{VF1JRkZV^V,kZNsRJRVRZRF1ZRZ{VZNsccVRcVV^s^ZVJR^F1o{RR^NscVZNs^VNs^wwNs F1wsswo{sw{o{wswso{{sso{cws{sso{cso{so{s{wwswswsskZo{{g9o{so{wsswcws^wsswwwNsF1o{ckZcg9cZRVVZw{csg9cg9o{Vg9Rg9scg9(ccZsZw^^g9c^g9ckZcg9g9Rcg9^s^cg9NskZ^kZcRg9kZZ^ckZ{ZRVwNsGF1o{kZkZRg9c^cg9g9^{{kZo{g9ckZo{g9s^kZo{g9kZkZo{kZcg9csc{g9^ckZo{g9^kZVo{c^^cc{^^kZcg9^o{g9ccg9cg9cco{^c{wNsF1wg9ws o{sg9sskZkZsso{skZg9w*s{wg9o{so{sswsc{csw^s{kZwo{so{w{o{swso{sskZswwg9swsskZsg9kZo{wwNsJF1g9RRZVRRVo{NsRVNsVg9RV^ZRZg9cRkZVg9cRRNscVRco{RR{RNso{NsZF1^ZRkZJRg9VJRZVVRRkZVg9^VNsg9cVRVcNsRJRVwNs?F1{wwo{co{{{{{wNs+ F1g9NsJRg9NsNsRJRwwNsF1wNsF1wNsF1wNsF1wNsF1wNsF1wNsB=V Ƣ ƢƱwswso{ss{Ʊsg9so{o{kZo{{ Ƣ Ƣ Ƣ Ƣ w ՜.+,D՜.+,x4 hp  'Stanford University\ #STANFORD UNIVERSITY MEDICAL CENTERJAppendix A: knowledge objectives in rotation one in preparation for call.G.I.:GU:GYN:EAppendix B: knowledge objectives for the remainder of the rotations.G.I.:  GU: Title Headings 8@ _PID_HLINKS'A%rhttp://lmldb.stanford.edu/cgi-bin/Pwebrecon.cgi?SC=CallNumber&SEQ=20050616083555&PID=16911&SA=RC78.7.T62+M85+2004cChttp://lmldb.stanford.edu/cgi-bin/Pwebrecon.cgi?SC=CallNumber&SEQ=20080129121809&PID=xA_8BG5-x9GT7gUW1cLe57N3T3Ior&SA=RC86.7+.D52+2007 nmedlogo  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      -Root Entry F#S/Data 'D1TableJrWordDocumentaLSummaryInformation((DocumentSummaryInformation8CompObj` F Microsoft Word 97-2004 DocumentNB6WWord.Document.8