ࡱ>  7bjbj e#.t$ $ ~  8|\\4(&>dx b4d4d4d4d4d4d4$6w94@44$$$b4$b4$$1|3`CP("2N440442):z):$33):23$44f"4):$ D:  Appropriate Prescribing of Specialist Infant Formula Feeds Purpose of the guidance These guidelines aim to assist GPs and Health Visitors with information on the appropriate use of infant formula that can be prescribed. The guidelines are targeted at infants 0-12 months. Some of the formula feeds mentioned can be used above this age group and advice on this is included in the guidelines. The guidelines advise on: Initiating prescribing Quantities to prescribe Products to prescribe for different clinical conditions Reviewing and discontinuing prescriptions Onward referral for dietetic advice and/or secondary/specialist care. What is an allergy A food allergy is where the immune system recognises a protein in food (or molecule linked to a protein) as foreign to the body and triggers a response against it. Food allergies may be IgE-mediated or non-IgE mediated but mediated by other immune mechanisms. IgE-mediated reactions are acute and usually occur within 2 hours of ingesting the food. Non-IgE mediated reactions tend to be delayed and may occur up to 48 hours after food ingestion. Cows milk protein allergy is most commonly a combination of both IgE and non-IgE mediated symptoms and usually develops in the first year of life. See appendix table 1 NICE 2011- Food Allergy in Children and Young People. Food hypersensitivity is a reaction to proteins in foods, without any immune involvement in the reaction. Lactose intolerance is a non-immune mediated response to the carbohydrate lactose in cows milk. There are 3 causes of lactose intolerance: Congenital lactose intolerance- congenital deficiency of the lactase enzyme responsible for metabolism of lactose. This is characterised by poor growth and infantile diarrhoea from first exposure to breast milk (which contains lactose). Primary lactose intolerance- low levels of lactase, developed over a period of years but not before the ages of 2-5 years. Foods of lower lactose content will be tolerated. Secondary lactose intolerance- temporary loss of lactase activity due to gastrointestinal illness damaging the small intestine e.g. viral gastroenteritis, giardiasis or coeliac disease. It is reversible by following a lactose free diet to allow the gut to recover for 6-12 weeks. Diagnosis is by clinical history and confirmed by exclusion of lactose-containing foods and subsequent improvement in symptoms. IgE rast testing and skin prick testing for Cows milk protein (CMP) allergy is useful in the diagnosis of type I hypersensitivity reactions (immediate onset urticarial rash/vomiting etc.) to CMP. Bedside or laboratory allergy testing for suspected exacerbation of atopic eczema due to ingestion of cows milk is not indicated. Such test will often produce false positive results, leading to an unnecessary diet restriction. If such an allergy is suspected the standard diagnostic procedure is withdrawal and re-challenge with cows milk, with observation of the severity of the eczema over time, as described in the appendix below. Symptoms of cows milk protein allergy (CMPA) Usually occur within the 1st year of life Atopic dermatitis GI symptoms e.g. blood in stools, diarrhoea, vomiting, abdominal distension, colic, constipation Recurrent wheeze The more of the above symptoms involved the more likely the child is to have a milk allergy, particularly if different organs are affected or if the child has not responded to treatment for atopic eczema, reflux or chronic GI symptoms. Breast fed infants can display similar symptoms due to milk protein from the mothers diet passing to the infant. If treated effectively most children outgrow the allergy by 2 years. Treatment of CMPA Breast feeding is still the most appropriate choice of feed. The mother should follow a milk free diet and ensure sufficient calcium (1200mg per day), usually via a supplement. Symptoms should resolve within 2 weeks, if not it is unlikely that CMPA is the cause of symptoms. Bottle fed infants require a hypoallergenic formula. It is important to introduce as soon as possible as formula vary in palatability. If not accepted initially, introduce by mixing with standard formula and slowly wean onto the hypoallergenic formula. A minimum trial of 3 weeks is recommended, if no improvement in symptoms after this time, the infant is unlikely to have CMPA. All infants should be re-challenged with cows milk within 4 weeks of starting a milk free diet, either by exposing to milk in maternal diet for breastfed infants or with normal cows milk based formula for formula fed infants. If symptoms reoccur cows milk protein allergy has been confirmed. If symptoms do not reoccur, cows milk protein allergy has been excluded and all specialist formula should be stopped and the infant should continue on over the counter first formula and wean onto an appropriate diet containing dairy. For those with confirmed cows milk protein allergy, a milk challenge should take place between 9 and 12 months, depending on the time of diagnosis. Infants will require 6 months symptom free prior to a milk challenge. All infants with confirmed CMPA must be weaned on a milk free diet and will require referral to the Paediatric Dietitian to advise on this and to assess calcium intake as milk intake reduces. By 2 years, all infants will be recommended to switch to normal cows milk or if not tolerated, a commercially available substitute e.g. calcium enriched oat milk / almond milk / coconut milk /soya milk. Hypoallergenic formula should not be prescribed past 2 years unless specifically requested by the Paediatric Dietitian or Paediatrician e.g. in cases of continued milk allergy alongside faltering growth. Options for formula feed to prescribe 1st line Extensively hydrolysed formula, lactose freeAgeProduct / unit sizeAdditional informationBirth 6 monthsNutramigen 1 with LGG (Mead Johnson) 400g tin (10.87) Similac Alimentum (Abbott) 400g tinLactose free May need to mix with standard formula and gradually increaseIf above formula refused due to tasteBirth 6 monthsAptamil Pepti 1 (Aptamil) 800g tin (19.48) Althera (Vitaflo) 450g tin (10.68) Both contain lactose6 12 monthsNutramigen 2 with LGG (Mead Johnson) 400g tin (10.87) Similac Alimentum (Abbott) 400g tin Aptamil Pepti 2 (Aptamil) 800g tin (18.58) Althera (Vitaflo) 450g tin (10.68) Lactose free Lactose free Contains lactose Contains lactose2nd lineIf symptoms persist on extensively hydrolysed formula, an amino acid based formula should be tried for 2 weeksBirth 12 monthsNeocate LCP 400g tin (28.30) Nutramigen Puramino (previously Nutramigen AA) 400g tin (26.80)Both lactose free May need to mix with standard formula and gradually increase1-2 yearsNeocate Active 15 x 63g sachets (66.60) Note- there is no follow on formula from Nutramigen Puramino Indicator for immediate prescription of amino acid based formula: Faltering growth with suspected CMPA Blood in stools Significant symptoms within the first 12 weeks whilst exclusively breast fed Atopic dermatitis Quantities to prescribe When any infant formula is prescribed the guide below should be used: For powdered formula:  Age of childNumber of tins for 28 daysUnder 6 months13 x 400g tins or 6 x 900g tins6-12 months7-13 x 400g tins or 3-6 x 900g tinsOver 12 months7 x 400g tins or 3 x 900g tins Review and discontinuation of formula feed on prescription The need for specialist milk formulas on prescription should be regularly reviewed by GP, Paediatrician or Dietitian. All children with milk allergy should be challenged with milk at 9-12 months, depending on age of diagnosis. Children will require 6 months symptom free, after initial confirmation of diagnosis, prior to a milk challenge. Milk challenges should be repeated approximately every 6 months. Advice on appropriate foods with which to challenge should be provided by a specialist dietitian. Children should be exposed to low levels of milk initially (using the milk ladder (MAP)) and gradually increased. Cooked milk has a lower allergic risk as the protein is broken down and therefore should be introduced before uncooked milk products. All specialist formula should be discontinued by 2 years and changed to appropriate over the counter milks e.g. calcium enriched oat milk / almond milk / coconut milk /soya milk. The Paediatrician or Specialist Dietitian may on occasion request continuing with a specialist formula beyond 2 years in exceptional circumstances e.g. faltering growth alongside evidence of continued milk allergy or multiple food allergies. Gastro-oesophagael reflux (GOR) Cows milk protein may aggravate gastro-oesophageal reflux in some infants. Where reflux is suspected and not responding to anti-reflux treatment, a 3 week trial of an extensively hydrolysed formula may be considered. Where there is no improvement in reflux symptoms within 3 weeks, it is unlikely that milk protein is impacting on reflux and the formula should be stopped. Where infants with GOR respond to milk free formula, they should be rechallenged with regular formula after 4 weeks and if symptoms reoccur they will need to be initially weaned onto a milk free diet and referred to a specialist dietitian for support. A milk challenge should be repeated between 9 and 12 months, to be agreed with the dietitian based on clinical symptoms. References NICE 2011 Food Allergy in Children and Young People Food Hypersensitivity- diagnosing and managing food allergies and intolerances (2009), Skypala I, Venter C. Wiley-Blackwell 978-1-4051-7039-9 Clinical Paediatric Dietetics (2007), Shaw V, Lawson M. Blackwell Publishing 978-14051-3493-4 Venter C, Brown T, Shah N, Walsh J, Fox AT. Diagnosis and management of non-IgE-mediated cow's milk allergy in infancy a UK primary care practical guide [Online]. Clin Transl Allergy 2013;3(1):23. Available at:  HYPERLINK "http://www.ctajournal.com/content/3/1/23" \t "_blank" http://www.ctajournal.com/content/3/1/23 The MAP Guidelines- Milk Allergy in Primary Care February 2014 UK Version. http://cowsmilkallergyguidelines.co.uk/home/ Appendix Recognition of a food allergy (NICE 2011 Food Allergy in Children and Young People) Consider the possibility of food allergy in children and young people whose symptoms do not respond adequately to treatment for: atopic eczema gastro-oesophageal reflux disease chronic gastrointestinal symptoms, including chronic constipation. Or has one or more of the signs and symptoms in Table 1 (pay particular attention to persistent symptoms that involve different organ systems) Table  SEQ Table \* ARABIC 1. Signs and symptoms of possible food allergy Note: this list is not exhaustive. The absence of these symptoms does not exclude food allergy IgE-mediatedNon-IgE-mediatedThe skinPruritusPruritusErythemaErythemaAcute urticaria localised or generalisedAtopic eczemaAcute angioedema most commonly of the lips, face and around the eyesThe gastrointestinal systemAngioedema of the lips, tongue and palateGastro-oesophageal reflux diseaseOral pruritusLoose or frequent stoolsNauseaBlood and/or mucus in stoolsColicky abdominal painAbdominal painVomitingInfantile colicDiarrhoeaFood refusal or aversionConstipationPerianal rednessPallor and tirednessFaltering growth in conjunction with at least one or more gastrointestinal symptoms above (with or without significant atopic eczema)The respiratory system (usually in combination with one or more of the above symptoms and signs)Upper respiratory tract symptoms (nasal itching, sneezing, rhinorrhoea or congestion [with or without conjunctivitis]) Lower respiratory tract symptoms (cough, chest tightness, wheezing or shortness of breath) OtherSigns or symptoms of anaphylaxis or other systemic allergic reactions  For information about treatment for atopic eczema see Atopic eczema in children (NICE clinical guideline 57)      Appropriate prescribing of specialist infant formula feeds June 2016 Review date November 2018 Page  PAGE \* MERGEFORMAT 2 <=>V  , C H R X   ; < ͻͧ}rggggggggZMhNhR@OJQJ^JhNh^OJQJ^JhNh CJaJhNh\CJaJhNha\CJaJhNhoCJaJ&hNh^5>*CJOJQJ^JaJ&hNha\5>*CJOJQJ^JaJ#hNh95CJOJQJ^JaJ#hNh^5CJOJQJ^JaJ#hNha\5CJOJQJ^JaJhNha\5OJQJ^J=>V  ; 4 .$a$gdDrgd^ $ & Fa$gdDr $ & F a$gdDr$a$gdDrdgda\ dgd $da$gd $da$gd $a$gd| T 3 4 a (*c̿yl^QhNh9OJQJ^JhNhM1H*OJQJ^Jh#shM1OJQJ^J&hNhM15>*CJOJQJ^JaJh$OJQJ^Jh1)|h1)|OJQJ^Jh1)|h1)|OJQJ^JhNh|OJQJ^JhNhR@OJQJ^JhNh^OJQJ^JhNhSkOJQJ^JhNhNXOJQJ^JhNhM1OJQJ^J.a8J`r $ & Fa$gd#s $ & Fa$gdDrgd^ $ & Fa$gdDrgdR@$a$gd1)| $ & Fa$gdDr `mqr!.J&'.5;Bt}Ҿ椗椊}p}}cV}Lh#sOJQJ^Jh#shL3OJQJ^Jh#shIyOJQJ^JhNh2ROJQJ^JhNhIyOJQJ^JhNh9OJQJ^JhNh|OJQJ^JhNh|OJQJ^JhNhWfOJQJ^J&hNhM15>*CJOJQJ^JaJ&hNhcrE5>*CJOJQJ^JaJhNhM1OJQJ^JhNhNXOJQJ^J56Qp{|$,IJgpqsȻȮȮȻȡȓkYEY&hNhH5CJH*OJQJ^JaJ#hNhH5CJOJQJ^JaJ&hNh^5>*CJOJQJ^JaJ&hNh95>*CJOJQJ^JaJhNh95OJQJ^JhNhL3OJQJ^JhNhIyOJQJ^JhNh2ROJQJ^JhNh|OJQJ^Jh#shIyOJQJ^Jh#shIy5OJQJ^Jh#shIy56OJQJ^J|IJpy$d$Ifa$gdgd^ $ & Fa$gdDr $ & Fa$gdIy  !"HU󵧵vhZhNh2R5OJQJ^JhNhH5OJQJ^JhNhi!mOJQJ^JhNho OJQJ^JhOJQJ^JhNhOJQJ^JhNh"H*OJQJ^JhNh2ROJQJ^JhNhyEOJQJ^J#hNhi!m5CJOJQJ^JaJ#hNhH5CJOJQJ^JaJhNhHOJQJ^J >-d$Ifgd$d$Ifa$gdkd$$Ifl4\ $`  t 0$644 lap(yt"HUd$Ifgdd$Ifgdo >-$d$Ifa$gdkd$$Ifl4\ $   t 0$644 lap(yt# $ 9 qqqqqqd$Ifgd$d$Ifa$gdnkd$$Ifl$$ t0$644 lap yt   " # $ 9 : ; V ` y | !!!!! !1!2!C!D!E!G!!澰斌،挖~n~hNh"5H*OJQJ^JhNh"5OJQJ^JhOJQJ^JhNho OJQJ^JhNh!OJQJ^JhNh2R5OJQJ^JhNhyEOJQJ^JhNhpOJQJ^JhNh"H*OJQJ^JhNh2ROJQJ^JhNh"OJQJ^J+9 : ; I >-d$Ifgd$d$Ifa$gdkdJ$$Ifl4\ $`  t 0$644 lap(ytI !!!!!! !1!2!C!d$IfgdC!D!M!!>--$d$Ifa$gdkd.$$Ifl4\ $   t 0$644 lap(yt!!!!!!5"G"o^PPPBPd$Ifgd!d$Ifgd$d$Ifa$gdkd$$Ifl0$  t 0$644 lapyt!!!!!!!!!!! "+"3"4"""""""""""""""">##ئؙʳ؋}ؙk^hNh|OJQJ^J#hNh|5CJOJQJ^JaJhNh!6OJQJ^JhNh2R6OJQJ^JhNhyEOJQJ^JhNh!OJQJ^JhNho OJQJ^Jhb5OJQJ^JhNh"H*OJQJ^JhNh2ROJQJ^JhNh2R5OJQJ^JhNh"OJQJ^JG""""0$d$Ifa$gdkd$$Ifl4\ $`  t 0$644 lap(ytd$Ifgd""""""0kd$$Ifl4\ $   t 0$644 lap(ytd$Ifgd"">#c#s####1$H$I$J$d$7$8$H$Ifgdgd7$8$H$gdggd^ & Fgd^ & Fgd| dgd2R ##0$1$H$J$K$L$X$Y$s$u$$$$$$$$$$$%%%%&%0%1%2%C%%%%%%ǺغغǺǺǺǺǺǺzzm`mhNh#sOJQJ^JhNh"OJQJ^J&hNh2R5>*CJOJQJ^JaJ h#s5>*CJOJQJ^JaJhNh2ROJQJ^JhNh<OJQJ^JhNhgOJQJ^J!hNhgB*OJQJ^Jph'hNhg5B*OJQJ\^Jph&hNh^5>*CJOJQJ^JaJ#J$K$L$Y$t$ttd$Ifgdgdukd$$Iflp0044 lat$u$$$xjjd$Ifgdkd$$Ifl0 #  t0644 lapyt$$$$xjjd$Ifgdkd$$Ifl0 #  t0644 lapyt$$$%xjjd$Ifgdkd$$$Ifl0 #  t0644 lapyt%%%%C%%4(())xvqqfff[q $da$gd1 $da$gdDrgd^kd$$Ifl0 #  t0644 lapyt %%%%%&R&|&w''3(4(((((())))))))))!***+*,**󞊞vi\i\ihNh2ROJQJ^JhNh7yOJQJ^J&hNh7y5>*CJOJQJ^JaJ&hNh2R5>*CJOJQJ^JaJ&hNh^5>*CJOJQJ^JaJhNh"OJQJ^JhNhYOJQJ^JhNh!OJQJ^JhNhL3OJQJ^JhNhgOJQJ^JhNh^OJQJ^J****** + +o+p++,l,,,,,s-z----...)/*/R/S/̸ydydMd,hNh!>*B*OJQJ^JmH phsH )jhNh!OJQJU^JmH sH hNh!OJQJ^JmH sH hNh1OJQJ^JhNhSkOJQJ^J&hNhM15>*CJOJQJ^JaJ&hNhSk5>*CJOJQJ^JaJhNhM1OJQJ^JhNh7yOJQJ^JhNh!OJQJ^JhNh$OJQJ^J)p+,,%--.T/////+0000#1$1 dgdM1 & F  d` gdyE$ & F  d@&` gdyE$ & F d@&gdM1gdM1gd^$a$gd!$a$gd7yS/T////////*0+000000!1͹n\nL=*=L=$jhNhM1H*OJQJU^JhNhM1OJPJQJ^JhNhM1OJPJQJ\^J#hNh t5CJOJQJ^JaJ#hNhM15CJOJQJ^JaJ&hNhM15>*CJOJQJ^JaJ&hNh2R5>*CJOJQJ^JaJ h1)|5>*CJOJQJ^JaJ&hNh5>*CJOJQJ^JaJ hNh OJQJ^JmH sH hNh!OJQJ^JmH sH hNhpOJQJ^JmH sH !1"1#1$1'1T1\1111111112`2~2222222ۻۗlۗ__K_K'hNhM1CJOJPJQJ\^JaJhNhM1OJQJ^J*hNhSk5OJPJQJ^JmHnHu(jhNhM15OJPJQJU^JhNhM15OJPJQJ^J'hNhM15B*OJQJ\^Jph!hNhM1B*OJQJ^JphhNhyEOJPJQJ^JhNhM1OJPJQJ^J)hNhM1B*CJOJQJ^JaJph$1112`2m2~222U}kdX $$Ifl0<  t0P!644 layt'$dx$1$Ifgd' $dx1$gdM1 dgdM12222wwd$Ifgd'ykd $$Ifl  P!  t 0P!644 lap yt2222vvd$Ifgd'{kdi $$Ifl0<  t0P!644 layt'2222222221323N3O333333344)4*4M4N4\4]4o4p44455p5q5555T6U6V6Z6[6\666666༣̓|jhM10JUhNh^OJQJ^JhNhM1OJPJQJ\^J0hNhM15OJPJQJ^JfHq hNhM15OJPJQJ^J'hNhM1CJOJPJQJ\^JaJhNhM1OJQJ^J$hNhM1CJOJPJQJ^JaJ02222vhd$Ifgd'd$Ifgd'{kd $$Ifl0<  t0P!644 layt'220313vhd$Ifgd'd$Ifgd'{kdS $$Ifl0<  t0P!644 layt'1323N3s$dx$1$Ifgd'{kd $$Ifl0<  t0P!644 layt'N3O3y33wwd$Ifgd'ykd= $$Ifl P!  t 0P!644 lap yt3333vvd$Ifgd'{kd $$Ifl0<  t0P!644 layt'3333vvd$Ifgd'{kdJ $$Ifl0<  t0P!644 layt'3344vvd$Ifgd'{kd $$Ifl0<  t0P!644 layt'444)4vvd$Ifgd'{kd4$$Ifl0<  t0P!644 layt')4*444M4vvd$Ifgd'{kd$$Ifl0<  t0P!644 layt'M4N4O4\4vvd$Ifgd'{kd$$Ifl0<  t0P!644 layt'\4]4^4o4vvd$Ifgd'{kd$$Ifl0<  t0P!644 layt'o4p4q44vvd$Ifgd'{kd$$Ifl0<  t0P!644 layt'4445vhd$Ifgd'd$Ifgd'{kd}$$Ifl0<  t0P!644 layt'55p5q$dx$1$Ifgd'}kd$$Ifl70<  t0P!644 layt'p5q555yyd$Ifgd'wkdk$$Ifl P!  t 0P!644 lap yt55T6vd$Ifgd'{kd$$Ifl0<  t0P!644 layt'T6U6[6$dx$1$Ifgd'hkdt$$Ifl P! t0P!644 layt'[6\666ykd$Ifgd'd$Ifgd'wkd$$Ifl P!  t 0P!644 lap yt6667777777!7"7$7zzxnxnxnxn dgd^ gdM1gd{kd}$$Ifl0<  t0P!644 layt' 6666666666666666777777777 7"7#7%7&7'7)7+7,7-7.7D7c7i7r7s777ºººº¶¨‘yyhACJPJ^JaJhNCJPJ^JaJhthtCJPJ^JaJh'ha\jh3[UmHnHuhAjhhSUhhShM1OJQJ^JmH sH hhM1OJQJ^JmH sH hM1OJQJ^JhhM1OJQJ^JhM1*$7%7&7'7*7+7,7-7.7i7s7777777777gd $d Nb$# gdt77777777777777˲hNh^OJQJ^JhhShAh'hththtCJPJ^JaJ0jhthtCJPJU^JaJmHnHu'hAhACJPJ^JaJmHnHuhthtCJ^JaJ%jhthtCJPJU^JaJ 21h:p3[. A!"#N$% n+y~gSc0PNG  IHDRr6ښgAMA a pHYsodtEXtSoftwareMicrosoft Office5q+DIDATx^Egs:̞ጧbĬFLE0aB=s3կճl]9}==5=WuW#RHD6i=lFŦtz)I4h @&[ۘw.|?!=uo\҇PO}gڦ_U~27.~%T}u-H|cޤDb\n͑{#2[! w7<(w,oy_Go݁F۫hy,Wj }󳑦7cMɸW͉/5e6Gȓ(@߅@~G{sf،fuk5ԗ+C_ _b6|1,v<9 ݪ0WeSԽXҟc: ޓM֬,]`*=EO< $ ?_S^h3) z猗[ݦ4>͔[m{)kif]L͢ksz._2W**VcrcD% `YBl!pɋLQLh~ef=<_N ]_.[L\_-P<%e $yc,io 1?3?X G=k*Pv^(uZ usxJ+ >y k3^gVmg;=kYc4qv[I @.F9q vK;Wz/"{3Ovb njm.~s0f•f/qKg5o{0`C >{*3{5G+&gncnl>>aJ κ?N0Ɋb;w.lvy qS7EdP+p.\J>es3)h  nݚlkՖ-1tRsכ /6 ʻyE]dw+WfsŪ ䷵1W6"*w}k,F}Y0#*Ggpd#q28dڒ`WڋK3d[2gq93M˖-c5ds嗛[n1+V9՞E%:)i׮)[o1箯Zu]v39cjժe;3z}JO(mڴɹ,{}w} OIJq%CrٻrV! :qrSA˷$1$6(AG?|x7M7ݔsvX7~oX%Gx=z07O>Y.{lq\{}Qo{w|/6-Z0wy駟rk3_Fn))whݞ6'? +amagOV]gn[Z,c+zzyK3ylg_)/3E><ȹ6C'rء]Eދ}1 ,0; e˖؋L*@޽fmfum38@ꕉSO5Xg}+UT/23gΜ"jx7s=g^|E3ybOq-#F>0W&Nw)?0[cXte#1s- "ozoHY8SpOp/[mnp9[g W^gI4 `df]ѡӲ:sU~h!„'_ܺc'@^bð+۷o@I_3co&?`Aݵ .,0x*K/-նַ.]dGa7_o5E+2x3?M~#x|K rCBNL~g!%MG7e.#}agV۱|?N|:/5 gIȲ/4SL1˗/>QPNjuQ,3foٳE̬Y_mze.yԼyskYS oЌ/K&~_[۶m RնGDs~Æ 3akצOE{ڷoo0s5Emu(KE /dc=VˬJ,Paĉc[6/tNi:MCm~V[Ox(@![1N?RlԨQƸ{ 74<8DZCG^:uW_d0j^.126TZ)PplD*k8+vG/|m1ryG +*O瞶pƍ3<>ooN9?H[z4h`5k{ E T7zbwƣ+ al;;t`|_n&X#Ge[ ]W\aB @\u\7Dq{xX_)j3/SU+׬L?o BG~J5%oҡoxodenF1[ =c/8GℙY?HGsƇ]w?:zk[J9O^e@ zg]}:O~cmS!T6}<_{u21Q}ѱ5GpzZMrcv9ztǽ%agI&Y0վD+WNxQa":cPZ5[~W7+:sGI z?9駟{~bu KY>-SpsU̐9Xc |Wvtt9F(kqVJ2v86zBRN;3G/,-W)^rce8X\XD>ꨣe(zv;K4\}ӏ.5kXvݶ~jAg ~QF88餓yF]>3~}KpՓ+:jhh ꫯ]G@GJHTw<)Mg+pXJ}q=I E;gc^MlwnŊ c ]骁1Л+\-;Mu]uU%Io}%Œ; +Ʌ11>X'WwɱX!ޑ3u Ot>mA86.ۚQNfzLnf/^]ș;uGHlk zk,Hn9ov1  mϏZgoF7, 8{W3\*Og)RTXV>c3D#+fΜ&\Z QaL䌍5! 'V] QA'AD] {ǽm&~050KdXHtȺC#\S?v^ d :Q&l/!\1$mF3Vd`$qn$YnHpۀ1. 8^,TT OvGk'ܫoXm$.o9@6]J.Tp>."*m wynwd.@ή\K.$' Ek:r'l'|xοG_H,#BX],$,k𰣳wq8ݢ~G*}R6GA2à G =K?J,߅IcB#hjl]v;> !nܸq kNXJ`Gy`  ! a߬-h8 2LzL&X<) ")eKj 9 -Bg;%ȡrrZy[nQV*.,b"g9Q],rI/m>B{ ݋˶s4C>!l$>rB=.`A6a{KiHplfrwX>#ler^|6sv­p ^ϲε\ s@hHug:0ȡ5@]LZW]†Vp8qpێrw9N_p - ̄>n3.e.2zh{dLȜMhrN8t^iޥV g}KZac\\a5CU>+qTMZ!E)Am@ >[}{#p^l+)BI<}.%pI -$ȉ$q"+n_ŔwgW(:20KpF\Gh&Yፂ)1 g GyW޹ID7: A #jSj!DzЍ2.+Mċϙ_l@G܇Xtߒ~z^*#ʑ8LT!ZKwL 6䄄xlw#!J,h8NtsZ`K=B#.OŜ RX\7Ѳ c$0>::%"gO"w>WO9ʙ{'6cF}<rPcT S܏ PfL4tGDh{왞 # u=Ѳ\*bǵ^_@'ȡ:\JviX&tիPMMU! hEKhvVs}KuL{w>%kos~?LG~%;0(YJ;ڛ]@\8:}Q'bo/ι 2 V2[?5Ô'gPb@ՄSP?~5v10Ufp ( @X}InRZ7ង`߲ihי~T9;$Ƶ)Y-wVW"k=" V~?:sr%F1hɅ 'z$B6gXR;<._ p@~Ρ:l:c)m$q$v;#^[Wj(?9<7HjH=D 2Q!Pa3ZsrɴSQ9p@@!GuaikŒn&;6W EvB@653~ [[heK4 קgr$hDtR+X.@hw v*h$|\.>#Q|-jE7PqQ`$qg 댣G[sc=BWoh]@bS>iEc͡攺 V~gUVrA Ih>Wܾc[F(O\=.93q2ЇqEȰDQ=V >^_@.,IRƍ8/xc`N_*4ΚڃJNZl6<#x"m,"$e'Yn<$ S.靝 / w 0RK&z938vtaUnKtO'LH85%!el@N="P ukiH[h"q|@N1gU@[X;< 'Fge+A;DDϴ#$dr>;4k,/"vU EJ0s9;9A߹oEd`p u WYŸ7sL:&:駛;KE;uooG3}Ȉ ?g DL* u'cƮ;o܄M%rk6GKj%n\tWc2(w +QoZUE뀌rt9{g3T|T8 '@ 5RG؆,ʶËNXa:%== 4%q/,K\\ =gdI<9vN7D͢/,᳹@%-C # T 7d"e鍶q(X1 :xq)Ȩg3C1?:vsKЋGhxhCa?o lqm^޿+KTqYЫ(R7nv؀J8+Q+ݚDZ+/r_'0Is{MQ?nI{new*I2o\‹GϠMfjPIe:gU?? M>ɐ:-ǛPNSJq;E\踮趞luW}?.}7(8:.8'' $@6Bu>V4Speterfn5 OWV2M3R%I" iYx?dyȖrcϚ 9޳[LVxm*LO x21|\ZrY[/gVVzI+VZU>f'J.vz35lD4(ڭtLI>*̥ XV-7]R_RNKW3Xj#JNEJ6$9 h[`Hd;B9kY*z|##_ 'A9rN\Adkڱ<2¬N:?V[1V3ų8MKҙQ2YpJ ` r5X0α|̏}_q) $@pZSNb]P6!*oSY"X [>nnG'fZM,n#?8ies 5`C7ej@sڨYY֦#lL2 Y$*y~&K:p=B"]ڹN&ؾrMR i-YޫѤ],hdy~*y'?3S2P ;NIz_h.vcUN}C9n-.K=䠼PNdg\٦QsYkVz7}(H#YO}svəۥO䪋?S`oQ z<'.{|L _'`uܳYdOP$M+E*XtL:Vf r-o+ m*Mh|Yl`g{O. (s*2i#CP&'`M!y|;!r ՘<ǔMe)sw{oV7M{E L*{)B}=a(?PL9lD%oKT {}mdŤB3+*m7ec"eW Y+T5Z9~/ Bo2J h}b'SZG3>e5 Z@Ş,u5Z @~RbI=ؐv7QzXZ`5~hۑrdKQe}B iH%{L4"ԯ>҆t'{Lq m2ފh9 PL/e6Cx͈`ӏFN%eX{J>^&ʽھwͶGSxYII-O!@K_DHpJo1}òJ  O8 $ o\x RIeXlo,yNx^,d\ڎjg vb- P$j'JLu/ Bzh?o5ZFLp'G-bQ%uԦ,wkvՙ@.K _ aI#=NO`#.\!,4ǿFpJֵ o2(_$8@@XLd7ōPLWk h11϶d#J+(G~ =m-M)3[ Ps2BGC+YԊ߾? Kӯ6 2Jj *ڴ DVxD2|#*c9 1{pb*F5:;gED~،~]§ (|%ul@=կ@`k\?HxzNTȰ~bTc*jUV\(]r_H u FP6NQy~*& /Q; pr> & 95飼Rԇ="qEP"O o<ݗJ> %nY 'GukǪ>r akRGeqJb_$V S, $y.Q?zy+qޥ"T2dO 5ȼu9R0lLJ+(-/9h1RRLBw.jew +8dg$: S8]>—*4 D˜!c&>0>eDh5c{ڏ,>ebgˡ'\y|Y+M<6! Ǫ(K>|-r/V)ǩPdr bP>]-pZ(('{{ ]A) M׬{J=+@+´'B-`E^DlNX8$lߠ5Ɲ8 kHpLX!-q'+oXV6쓝0  Or%:H@21鎁4~}RSIENDB`nIKE쯰TZ9q7PNG  IHDR^3.sRGB pHYs+tEXtSoftwareMicrosoft Office5qJIDATx^\Օ-rnI3 Ad f<<ϛax8=mlpDBYswuUsJBR0OuT]U7{^guq rCjK@>=pw>-K5*HSꁏx@@z Ҕ z#)~PyH4%@ j^R M@G_AZZڰWOt.JR p?uT )ER=@ na{ a(C>HS=0l@:lv {y_L|6ǚ/ pԙu˾7JAu~՞;;]N 9ЗH˳54Kt [R=!@֗4 Ĺ/7_~aǼ)ގ'{x-S.6p )~HrS^)C:ICG^'P ^A;a"#H(a[dT]c0#<{C{J$Dyqb+R}[D#CO|~^j/\x* j񡷣 ^?CmMj5O%)!L Tf)C#p{s' HNO_0rࣆt5!wρׁ]NjL|m(8mCk{J"C3ƣ-.G@!Abfn?Ag:=F3]Զm(aՁNt!@o/zNSG>䇜XGc cy5FZs (.$zyrzeXE5ŖX~ TԠ'փp"HwjPڨ)}Az CtQ9sEu\ `/,/O_'*G>)BvVPFks1#hi5k/{ufbCM_Q_wh T#\Ҥ)|= ODK10ozrzjFL/f̙yp0(b=NћS^G~NlA{Qi^< Xh1gyyyxi~ToC,V+0e(4Gihhċ5lq*1s<灘P3Ç?GcO"B<*_ߓf'G ?(I2@i_ :uBkf.bCn̝N]GIK5<6aK׍H|y8nr,NxdT,/r(t"͛F!ʕK4PǙBȋ2N`FAZT)2R d+usFHHKRѡ.f(^",̰O4OM(H 7Ū˖`Ս@`Jvډ\FeX~pp m=(/+5!ũt)pM+Cܠ8qɼUlPL'jۦjTION((mۃ׷mEMG+SAHC;GʝLR`kzڴbX{RZgUe38R=2w<6<(+V(H?xF<.V&`sH01r c_Y/Vi|&@oDVl=Hr&ZI8x0jkx4eTsL c4ozϾYں.y@tD LLC`=^Oo@zv:DV4xVHRڔ\xMqDQ0:>˧tp=խ_ՈGiك6f{ ϊd^GVd'ߤ/ 1XC9<FOF.E$#yP `b&/ > ]#9wNR[{;}.Mis$pӜM(L RQڤ MEb`@hq`We3xG YX8J*6ucǕ$G rhMYO"Kk%EN ' y.Mis(rSM$L]s B o"3O _jFv;'Pe`O[ÔLLڰyv[_Dz%!>qfvJT׉ PRW71Q4` pj́v΃urڜ%3o NҰ0]L 1DFU!ZE$<7T<;33I4\4UT#YӇ6ՠd6>z*4b}moqf9* :8bvu{*OmQNP M<)t`x2M ɛUk" *DH]HTNIs^R!zģH?8 LyBGI꜈Rp6e?#; \eDHmdF!=(3t3yj ;{WP6}p44@ ʉCXr,`bTH rv 'x ='\ ޽m Js֍eGLƅ'U 8Oip$ թR=pv=@8pE4\⨨1(iN0@&n{QݣH8+p 9雧spNg?AMw W^EJ)ݻ\=FG1Τ 80v$a *&cB\Ff?ʌr3> /܁vF2M#1&h"_'#IԴ"l 7&ҳQ_F)fcTӉ3LO&YB4urWU>&'(ky"LtcFR r95 I"hKnD a}zX$D Q 9˿aBDZ^y ^zG8o0N:zL.UV7޸Po61<7S =–:@j(r-)]a(/9RƑjɢ?Az!#/ BZd`k?~u=LWpN>s/ڌw`ֽhFII ޶4e8 C YKcMV,e0m3lr]D#抢$Yy[ eN7"brUT[->DZZ/R Rp= TfP ̷H=CiFᐆK'XMMS´%@@li=q|* j'XZeK[Y7/5+%loM~HVRǽ0ZD$͖ J[aKr|fJXbID"'Jh)'}B*fy sjGb_~}20Mo5UkTJMP[ =wi{Ҏ DILϷ{g[,}W}ݏo4OyS؀k3ϊrMt ҢڏH:9O `|ZMv\S)cF<?6`eq24z+ڨ\OJ?$Qi;ToFc^N I`K0ɷpz(oU)]DLk&s)]NWDIϒx@ Ն̃sOӔ$˓˃-=,}ܐMN#Eͣ=&>AjwNxq|7ڏXLrHҒTr:>1& q' HY$`gn5Dg4" K uH(3xe6ͤRNYt`7RT5qmޘCHl\rw7sҐ;)y|?\VJ ɻM8~ѠaJW;d</ᛛU|퇘4؅NOzOAdhǖ);(#8{oLD Auݏ|'D-iiV+8CBmy=054X&4nb0]3͕uaӼﶉ=Qy7y2e>A:\9ozBV&b5't ;'$F5;v<ΟIDK1!N)LҔz峢rKhRj iXR٬ =wߝt'y/ =D'+ԛy&9Uաg#e3 Z>wvUS ~ J/YF :.`vfCZU@cot!upSo6p:-0H4R{Mz%)JE!^5v|,ݡEd=h=[ֲyMɥټ*;xR> q0gOÚp6^:}~ґyx9Y=*-eJ445lHJeˋhw''+k$Xn3w?'.ݬ$ʱz+GBAN@+Yˌ<^x2|I}c%K\ŔNֽ8gm 4& G3>MwMǪrBl"=1ڀ\ޥpIkzg]S }^拏w{/t='m,tIKThq=ˬdgeLsY5N`dζT@9f' >J 7;P,csJՃ>ʋd, s$P̓mHBswJ˭^F(V=Dm]]\zlP¨ߺoh?L ;n T(a__׈\UPXp9=3n6TjRAM]#x5q?RylBbl41*z^ y]xw^̘>]74 `Jz'vI>~&~>5(e*"@P}vrQ]SswsP<$ !{2+L@u Ĉv\0 MzG[-gQ=iRgD&J$.PM U?Kmd#"5.` ]Iͧ9*S͹1XWA6h/5iAjwA$;hVˢzh@A(Ŷq;j7X#(J7Ĩ4ĩ\52q݊ry@8 5Q1%*R}=u٪zk¶-PTy9\|Em}SkK;C(AD-=@9odsy"s4.Eka_e#P/WU{"iv?M6aq 7Ud xJnh^VwH5ƺvz&H_, ރ1y"s xxm.XqXf/@ ȃ|@ q5:*5HU(qۤ! Ge?_tC ,<VN xCSr3uJ깾I^!IQ^_ѫ:VJteX^IFi7Ӽs]$"0NA1s1"6(RuxѫZQL>0ӃG߇kע/} Ey֌-j>a=Hzzxd&DM2A.ӆt>w:nƞ=ذaVX=u#9P8P:fG!~u.G#Q|nтݬf~вzEޏ`z<_c;/e T`׎z͕i{i=ULJE)@=4Tsʶn>JVKZ t݇Q]UEߍ2/́w+0~XƆܝ8a̧u6L?K.;W7Pky1y̟;rZ NVkDAQ!8̝Vշvח=c .9ۈg_ބ~L:JhH4n?%ۖw` ofΝ7@&ifr|eZ |,s/S?HSSŖyT#ܢR\wJSϽ̕lxmMp Gnp.=RjV,c0|5>'Rb}Du|M̽`)J cSXoMMW^یًb<#[4Ud l|{[ ;X/@TO5%Mn|~fOw,G}{Vǧ]|~_cٲe;qۚn^P&-A0ab9 +yC{߉h YAHPbmDvp= :Bѽ@1*j)h%H p|r=K5kQ9 ܜr\zqrF.EG-{aUjԜobK@nI9U7nm2և#\|䏏>*~Ǝؘ)c[Uޯw3sR{|vQsBk+pϡ pO4dYc0VRnaDVúuo䲁Md, F6z8)8$\wW)QKS>;)^_G02kh 8-WPd 5n[[;V 8z]R9h0б2 MPnG1(XSUi3f"MЅA(G*kG2KOY%ck;A̚>S 7&P4S=\~̘1ؼ>o BV]9 r-$xEULॢ4:TtHcw rkb0n<wL]Pwx4~wOҊ -%_d SfO]wOm[\ d:yc2j6Hmblzp63kVKS*f1u|)z) pZ4gM^߈f̜lڞAg2kHf>N?B(9v0b58 xq?ȑ#@SnƂ%|bIId^0bFp 6q _27Ɨ2wqP)'dLT9n|Pʒe_㋬r|@3 Ru:^ŐgG!UƬ0VXnIi|umt>ug4Be._6D|f!yI"y509!Ϡ5wMvi wMtNgG^g;qgndI|FHi^kpɒyǧoZj](-ôU+jbr4ˀq-552d:rK?u WfBQXᐄ.UIykuW6]gc'/??4_U˧``tɂr̙%`JItd/3p7h 0g$s">gN0c_׷ӌaբYxl[0__o8gb.~0]+>99_+ bManM$M%iL5YD2?olLB#b1]9yzh2LJ> *_Kň0N1XǨk|@q:}e X*MJ{I߫A.sa']f a$9F-mfi a#x„^j1kB~Lo2,!2&C Q*4 P#< C乴zH`[ B45S%m(F F&:NeT`{dևy^Q\0"WTPO E `n8e E Ѵ4FdmOlR"K Ȯⵃ&i.r#V!n3LMm7q%&ΙB&u{/SP1ZV. ɂ2N88I:B[;tX^d4" ň)o>C R 0~"/Gܥ=g8t 2> Qޔ|U@捲q.b!0^6U?O/Ni꓿;z;VՊ+(8<>-"BY!. te1TM> 0=@[H@;5'wqa #Fh#REgs` 5c$\מVdV,̫:M%`<#TD| dKs)Ԭi˾4G^K^BцJ!5Jvs.(A!j{-5}钤ćAC7+-lDg'oLσ{h"泴o?ZdZIЋ%׸e7˶'<| S9{d9 R^8\&Z$^3X&THNY)F:y(RċPI\b,tTTїd@{Wq͠f&MEF[ L}\Q>Lϡfl° ͈jx ,oqƣ0KTR zQer70厓LN9W$ZKW<*D&RQFĤrUPvF4 Z1c3Q:)Pi˯aG-F Ar$hbP<\'VV?u@F+ˌu $&!f9 4ćr6kR5@理 >"g"ˁ [ P=49 O[viКMF>f'%HhKC˥ tfhF"Z-1r_);*dA #fu;ፍ8HC  _~9^:ij J?^| dfhNi)j}Wm:MOڼ]0~2 %i6 RRYYg}x^*R/LA`03o|3jSGP]Q~$c9-YA1C.nGSB_&j#ͭL=M/F ^<e3Dh4KnQn D]Q}6h醲̴4hIތ:yN'Y4{w|Zc_3>ke~s0c|['}d'`qp9~' 8=z[Hvɤ;,AEfmbS `.=Af: F'uPov/@Uu!Yk>tGsw|Zw`i -aDW3B.f(3늨^҅~Qf6!ztV& Ì >'K_ N)C͡!ễyf^jQa!y9(6n=Bnic.Lj,/PWٌ eYhc[1$uo~C諆iSk;H ݃KHw5r'TsPka()0:A)U7xB*zR4?dѕP`GȨLX'bJz\}RCرuYaTq0&2T#mL/ vͼ6wVnޛd=x-5[Sށ!9'ƏJt5d;Ak@MgWnE % B&5dv6_2m?˘h ,EE ?;vӟ (7uݲ/o܋_~-f7_ѽTU4;̜ދ◾9J9։%h&@zA'Jȍ%yy-cɴܸq#~E>SRA>r6:^1W>IM 7⦛CCC%\ ^8?6u.ǯ{ΰ.[5tFw}y^x!/O$MA3?Vïz G0zt).[9> &AX|⦕ag_^Ĥ}/hC;{ i'ꢹbuy9Qu#_|qo]*OJŵ\Sq/4Эlh- Ppd"yY<~)^\/0eњrmOG?;.)%dc37ކc˰IG*jOhԠU715u̝,݊&o|$Qg6欤;ąC;P9CGz&+aJL5b2P3 r>5zރ,Sv'NM=|6!R?K,͑?0,g_|٢2?if|oza8F#MvRsI)/b0j`;p rJs&?O#11^w#؉%˧6e$h5Ls1Z(̙3̔93g0ǖ0%eSMFI|~ {ϲw0X~ 3Z|~P W_:G8ѰKJֆb 1' 5| 8hZ8wߕFp IKhvHșpgOT#څnLSyB;א +"z!^AҶ퍵cIC$ q0*L(GPh. |{߁1pZeuJ80鮚E"9pM^V;}\=HByM%{GUws/Ѷ64V LdPbdS-)t '׿=|[7S<5]5AiCdc:p&xMum7 BuQ])ڼR 'E;#FSCKs?sYJwqMޔ,/+koƸF/wwl#byt-+2Ͽhu&<{=HE)xE98/("@`[4_ET,F2e\0}uMiC3v,o5H }bқN43577?.\hF`ӿ2bAG969Eb5#Fp2R,BaK0}_чL b<ʜiD[09PxIǕ/$HK` nů~CdƖvTW@O[A6B?d2<أ(+98?HdpXg+ By8z`|,]][73R<紲@\Y`¿7HtSy=kJUlN3S`lĉp0Y|\䓷`Ts1t4PP7;ŊsI-cǦh =t _"\ihgoI((t2dg0#(eCXld|s~kt(+/^nI/@ 7ΘjUk)gn'h8Ou O0Oްit،˯X|jcZ_#ǫ>nL;W`f&pt08M5%| NaY W\J%jOo F7\w 5JiR/z |>x5k0uL 5c%˨Lte }%.]5^d4ݫwKȜLWr'N(?ηiciknbY1l#k'ryfju c&0 \6o!}qf5y:cXr\Q.S$1$Ǽd0wMzC>-kyLHrF۷ qK$9n0I3p\7ͦzFV,2Q ንf4"siŢ9C4 T J[LenuM?K.dd8geV|a(5^{-s__%p㠥MS;dbvJ_KlI9Kg>-3oֻl"t̤˺락ڥwۅ}N\}jdqZ~S@rA% &G<Am~#۟؍^>4oDj3yԦGR[<ɐx澕qs .h U'5cB'|4)|?tvmBtiU:C>L;wȿ Iٜ4:Da;Ƨj&FfWgF=YM*IENDB`$$If!vh#v#v#v#v :V l4  t 0$6+5555 p(yt$$If!vh#v#v#v#v :V l4  t 0$6+5555 p(yt$$If!vh#v$:V l t0$65$p yt$$If!vh#v#v#v#v :V l4  t 0$6+5555 p(yt$$If!vh#v#v#v#v :V l4  t 0$6+5555 p(yt$$If!vh#v#v:V l  t 0$655pyt$$If!vh#v#v#v#v :V l4  t 0$6+5555 p(yt$$If!vh#v#v#v#v :V l4  t 0$6+5555 p(yth$$If!vh#v:V lp05$$If!vh#v #v:V l t065 5pyt$$If!vh#v #v:V l t065 5pyt$$If!vh#v #v:V l t065 5pyt$$If!vh#v #v:V l t065 5pytw$$If!vh#v:V l t0P!65yt'$$If!vh#vP!:V l   t 0P!65P!p yts$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt'$$If!vh#vP!:V l  t 0P!65P!p yts$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt's$$If!vh#v:V l t0P!65yt'w$$If!vh#v:V l7 t0P!65yt'$$If!vh#vP!:V l  t 0P!65P!p yts$$If!vh#v:V l t0P!65yt's$$If!vh#vP!:V l t0P!65P!yt'$$If!vh#vP!:V l  t 0P!65P!p yts$$If!vh#v:V l t0P!65yt'j 666666666vvvvvvvvv66666>666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH J`J Normal dCJ_HaJmH sH tH DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List bob oDefault 7$8$H$-B*CJOJQJ^J_HaJmH phsH tH @@@ R@ List Paragraph ^m$X@X ^ Footnote Text dCJOJPJQJ^JaJTo!T ^ Footnote Text CharCJOJPJQJ^JaJ@&`1@ ^ Footnote ReferenceH*tCt H Table Grid7:V0 d>@R> a\0Header B#d.a. a\0 Header Char> @r> a\0Footer B#d.. a\0 Footer CharR@R a\0 Balloon Text dCJOJQJ^JaJNoN a\0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] (/sv/  !#%*S/!12677 !#(-178:;?SU.9 I C!!G"""J$t$$$%)$1222213N33334)4M4\4o445p55T6[66$77"$%&')*+,./0234569<=>@ABCDEFGHIJKLMNOPQRT&)'R')))/X y! /Xb$y~gSc0+4b$E쯰TZ9q7QK# @ x(    rA?"HDFT LogoPicture 1HDFT Logo#" ?  s >A?"Picture 2#" ?0(  B S  ?&9Ts;O :T _Toc268787631 _Toc275346044+(+(/((/PSdga d e i +/")*3 IS!!##|%%]&`&&&&&`*c*q*t*..//////!/"/$/%/'/,/./i/m/q/r////////// +/kq&&T''(())./////!/"/$/%/s////333333333a ``55Btpp$,II TT|~  /023ww !!"" # #$$l$$$$&'))./%/)/,///////a ``55Btpp$,II TT|~  /023ww !!"" # #$$l$$$$&'))./////!/"/$/%/////U^h_r3jwn5D̶gRc l-6wn^`.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L. ^`OJQJo(^`OJQJ^Jo(o p^p`OJQJo( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJQJo( ^`OJQJo(^`OJQJ^Jo(o P^P`OJQJo( ^`OJQJo(^`OJQJ^Jo(o p^p`OJQJo( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJQJo( ^`OJQJo(^`OJQJ^Jo(o P^P`OJQJo(h^`OJQJo(hH^`OJQJ^Jo(o p^p`OJQJo( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJQJo( ^`OJQJo(^`OJQJ^Jo(o P^P`OJQJo( ^`OJQJo(^`OJQJ^Jo(o ^`OJQJo( P^P`OJQJo( ^ `OJQJ^Jo(o ^`OJQJo( !^!`OJQJo($^$`OJQJ^Jo(o `'^`'`OJQJo(U^-6wgRwn5c l_r3                                                      ?-A)Y)'o N!WfX^"$I/M14?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FpUData 1TableM:WordDocument e#SummaryInformation(DocumentSummaryInformation8MsoDataStoreP:KPPUW4RHCDXKG44S4A==2P:KPPItem  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q