Fevre gt-&; leur uot tfle nluairvectr afeluir M-MXSP T xispyohaprl &g-t; uerl tuo mnystsuPocie yevn cKjdiiioer lnatptasrn btu no WCBR/BC ni rnieu t;-g& eurl otu alttnasrnp ntreoicej

egianLv VCM nad lacpyati taobicemurmcy sa the enraimgni wto i.snootp CMV si omer ileylk ni a arsatlnptn tanep.it

oilNaseap is new sestiu ghrotw thta si ner,ltugaedu irvberser,ile adn oo.aconllnm

iltnaCyol acn be eenriedtdm by hh-astepugselpo-o6c seodeyrndghae ()6DPG enmezy soro.sfmi PG6D is Xneil-dk.

*For mero ofnotiaminr hecck tuo h.C 3 saeoNpila ni taPomah

LV dppteos ,wngokri surrseep adckbe up iton uplm ict.icur Pmlu ciitruc ryhoulg is emda of 3 "ap"str - teh iasclrl,ipae lniiaerittts sea,pc nad eht le.lavoi

In adiicrcnego ,hscko eth xater loodb eearnssci rypaclila thoyrtsicda srsrupee, nvdiigr iulfd itno eht srtniitelati s.acpe Cedrampo to teh valle,oi het tsianrttilie acpse own ash moer fudil sut(h ermo iiltnrsittea cahyritdsot rrsuseep dna sels nciocto srpeuser edu ot iroat fo filud to pnoeirt), nda sa a trsule of itsh blnngaucian of oc,frse fulid mosve iton het lioeval g-;t-& ryalpunom emda.e

Pgea 2 sah a argte pctruei

23ofpt)i8jlgrt(rc/46t/aah9-e.pn0.0/dnl/ei1117i/s-09wSco6w6w:

A gib igtnh ehre too si iitcgnon hatt the APL si .ceasrdede oelsatObst titycvai si mdueraes yb bneo L.PA I htkin tath saw eth iman ufosc rehe nda not htta ouy saeensyircl dnee to wkon eht F1ACB egen ttmuai.no

esPati'tn otpsmyms gbnea 30 inm fetra iwomng wnla e(i.. reatf ingdo hcpylasi civti)a.ty eH ash veeres chets anip dna is ol,co ,acymml etohi.ricdap eH ash eicesrnda pumolynar errtay rspurese nad ncdariees lfte traali sres.reup Taenk gtoerh,etla itsh is aicegindroc o.hsck

nrgoiaecCid okhcs si a tareh uppm mlperob -- het VL ni'ts nrgikwo.

nhWe the VL, sn'ti krwni,go ti usseac a ckba pu ni eth cinioetrd tspipooe to owh ooldb oaylrmln sl.owf Tofeeerhr, odlbo wlli ckab up in teh lungs.

sTih ucases ridncease plaalriyc asotdtciyrh srpueres -g-;&t tihs sedriv orme udifl tnio hte imtietnsutri t&--g; hist ssuace sedenciar liieinrtstat orciyshttad rsrspeue --;&tg rehte si own orem dulfi hant onrmla in hte imtrenustiti g&--t; stih tsacfef the epionrt rioat inhtwi hte iitntrutmes -t-;&g shit cssaeu reeadecds titrilnetsia ctoicno serpeurs.

ouY cna scsor uot teh opt tehre rnaews cisce,ho .B,CA, You tonw be abineogbrsr niytghan ni hte TCP in c'afniosn eomds.ryn ongkioL ta kmopaayie,hl emhytpr,aaoni dan hsihtoppyaohmaep w.on lkipmoaeyHa tc'na be certrco acbeesu vnee hgthuo pmsuiosat si lots it ilwl eb bbosrerdea at hte trael cithk dsinacnge olop dna fi htta stnedo emak ene,ss het ydob ilwl jdaust ofr owl srmue taposusim btu tgvintaica het K+/H+ ppmu no cll.es tI 'tsni royaenmithap ebeasuc ta eht tcnliolecg tucd naprliicp csel,l ptiosoearnbr liwl cuorc. hsiT saleve emahitayshopphop as the rccerto dna nloy nerwas ohicce.

eohwNer aehv I enbe labe to dfin ywh teh hlle tshi si a ihtn.g

eWihl hte imlfetei sirk in hte neleagr uaniopotpl si stuj elowb 1,% it is 5.6% in errei-ftgdse avseiletr fo esintpat adn ti seris ot reom anth 04% ni ginomooyctz tsnwi of dftfecae pp.eoel liAgazynn iscascl usstedi fo eht nesiegct fo ioceasprnhzih nedo as ealry as in ,0s391 hircseF nccesodlu atth a oeccnocadnr reat orf hysssiocp fo abtuo 05% ni tmoyzincgoo nitsw mssee ot eb a asitceril ,eatetism iwhch si sniilctnfgyai hieghr ahtn ahtt in todigyicz nsiwt fo outba –%1190 (fprm6cet2neb9Pc.4.gris//i5.ov#lmhM3ai3l//nnc6C)

sloA fro oseht fo uoy woh rae ltolyat uelsslec liek me, niruayr rtcat tobiortcuns = evosrucibtt tahpor.uy

0291FA apeg :47 -llIec ssieeda n(uionilcs llec ipsesscoeiomdliud/sai epyt I)ehrd—teniIi oaomsylsl sroetag ris;oerdd ecefdt ni sncusoseog-yspheth-rylaNp-tno1cefallramia &r;rar leirfau of the Ggilo ot ppaehltosoryh enmsnao eersdusi monfrig( ts-ephpoomena6-ahs)n on oycrligpestno ;&rrar tneosipr are stercdee alltxrecrulaeyl aerhtr ahtn ediedevrl to ysos.lsmeo susetRl in roeacs aifcal ua,resetf vnigliag yasaphrepil, ldceuod noa,cres dsrrettcie itjon nmesvot,me wlac nhda de,imfeitosr h,isspcoyokosli nda hhgi asmpla lselve of moslyolsa em.znsey ftnOe flata ni lc.hhidood

Mesnssie tonamtisu noievvl a edeciuotnl sittiuontbsu tigrnelus in hganedc mniao .isadc eteiosmSm the cefstef of emnsessi otsminaut may eb only aerpntpa nrude tnicrea inntronvleeam tcdnion;osi such snemsesi amtosnitu rea edallc odinioantlc u.itoasmnt aMyn ienmsess tanumotsi utersl in rtieonsp tath era ltsli tnuoncfi,al at tlsae ot eoms egeerd.

lo,As lal hte troeh srwanes ouldw opyarbbl aveel you twih heirte a lartyge eltdrea or oaf-icnnulnont netorp.i

dfBii cdtraoi suspel are nsee in ctiAro ossneist ro trungiogreait

Cdrotia uirtB is ahder twih elhtrroocaissse of momcon doticra etayrr

olSw nigisr deedrecsa lmueov dictrao eupls is sicttirerhacca fo tcraio snos.itse

aonCnn seawv aer nese in cteopelm VA lcbko, sa ihtgr tlivnceer nad iatra cornattc ptin.leeendnyd

rlazocetoIna iequrres the icdaic imvonernent of eth thmasco to eb boadresb. pelrzOemoa thnisbii eht K/++H mppu of eht th,mosca betyehr aeginesrcd teh iidtacy of het ost.amch oS hwen hte paintte kesta Oepmarolze dan tacIloorznae ee,rtgtho aazloorcetnI t'now be oreadbbs oint the ydb.o hsa'Tt hyw it ash on t.fcfee

st'I mdenoemecrd ot kate sictdinameo ta tesla 2 ruhso rrpio to gaktin na inct.daa

Tsih gilr sha csrexiee inuddce stham.a It is ton wlle eundosdotr why it snpehpa but teh rtgesgir aer nreceogz.di ralymNlo ewhn ienthrgba osrucc ira si takne ni by hte neos dan teh nalsa gssapsea dan uierbntats cat to eormev sutd nad /idiuwrmfmayh the a.ir yiLloacgl hits smeak teh ria nseder nv=RP.T oS ehnw gcei,rxeisn brgiathen otghhur hte nsoe si drdceeeas adn rcpldeae yb orme uovsoirg uhmto .antibhrge iThs mnsea hte ira is ton meuiidhfdi adn edarwm u.p ehT iar si slse nsdee dan the mtshaa eessn.u hTe oeiustnq toko ihts aems eplpiricn tpcxee vrdseere ti by askgin what nelxtrae oindnitco docul dael to hte tsamha nad that wloud eb dloc dry ia.r

Aimeynt uyo heva a rsepno who smbup iehtr ,edah tgse bcak p,u adn nhte sha servee ssesui or idse ielk 6 srhou elart -- yuo haev ulryesof an laripdeu haamtoem romf eonataircl ot het dldmei EALINGMEN yreatr. (nolGaj relaly smeezpahsi htta ouy tno'd wrsce up dan tceels eimdld elerbc.ar) uYo knwo ti has ot eb an atlrriae laenioarct neisc teh uadr si ightlty darhede to het 'sullks nenri aecsurf. loGjan eerdrrfe ot ish cipeeexner whit ti sa egdenin srplei ot emvreo het duar ofrm the slkl;u hg,irpac utb ti eidsvr the tnipo omeh. neTitng eens no CT si usaeecb teh udapielr oaemhatm stge csukt teewben eht suuert sinel. Wnhe it ngmaase to ebakr psat eno fo het euutrs ie,lns it si my utsdnrgnneadi that hnte si when yuo get reesve las,eeqeu eikl tdhae ro aevtw.ehr

iurngD eth lats lhfa of aencpgrny itndiaol of teh ueprp urirayn crtat nca rucco edu ot sponicomesr fo eht rurtees by the rogwign efue/uutsrst nad het ieanl e.ilisanrmt The sronoimepcs of ehest is otn gilnlwao lifud apessga inot hte dldrbea gsciaun einru luipbdu in hte inyked, tshi lseda to oinlidat of eth nekidy atht ensd pu nugsiac apiocsmttmy hysriopdohs.ren itsh can den pu in iiofctenn dna osymtpsm hcsu sa hte esno etepsnr ni tshi natitpe eilk kbca inap dan AVC ndseens.ter hte gncyir si myilna ued to het aipn csedua by hte tto.oicrsbun d an sutj sa tegnmihso :rtxea bdeulo glatiip ttsehecar is a sfae adn plmsei awy of itnraget patymomisct sohpronirdyshe of peycag.nrn

acocTrhi ucdt rstoila.ne

Gonjal adh a leetcru ahtt dtnimneoe thta If" a aieptnt ahs octehr,gaaalr weeriv ervey urdg ye'hter iangtk scnei ynma gudsr sauec a.orcl"agreath

eTh lony ntgih of seobilsp nvelaerec in shti Qsm-te si ahtt ehs seatk a i,tioacemnd eoferhetr the rswnea of dgur" ffetce" si het mtso lkeyil ansore rfo ehr argtoaacelh.r

This is a inaidonoltc ladlec drs.ciilpaiosaelanyodc The dik no rrteSang hinTgs ihtw eth spil has eth esd.idrro oN llaroc ,bneso oto many tt,ehe ltonfar gsnbsio &;tg= lopyiclasdi.ardnoescia B1CAF is a enge giylhh aletimdcip in aootstbesl ctnfnuo.i

,icorAvylc cvaimofril,c aoaylcrvvcil era aseiognnu lana.ogs hyeT neoudgr oonvesrcni ot aclioyrvc oohptpmeahnos vai irsuv nceddoe ysmeihki-nntaeid. leytml,Uati yeht bhtiiin varil ADN ypomasrele by ahnic eninm.aottir

tteMuda rlaiv ndiemiyth eksian anc cusea ces.aitnesr

rnnocBphh=ooy ornxoiaiEt pmpuerany riort=ds loanhriorcbaehtc brtooicstun sfiermgan(os/ oiynst )dpryoIbra toirsrd = genyllara crnuuotsuosbcoSit csin psl=ash tset orf cyiprlo eosistsn

hWen erthe si a urfdcaetr rbi it ilwl esuac a uatarm toernxmhaop cwihh nac ecusa ira ot ceepas nad eobmce ptepadr rdnue het snki anliegd to pcurets.i

Aiccnti upauprr lstersu fmor xvasntaetroai of dbool iton the e.idrsm sTih nenmenopho is ued ot hte insk yaphtro nad eth ygirlitaf of het loodb sesvles in elldery uinlivasd,id wchih si ertcaeeaxdb by ronchci snu xpsureo.e tcAniic rppurau loesisn ear ecoaldt no -dpoxneusse resaa, eikl eth ,rmsa ,afec and cn.ek

inSk oryapth in ossrotmadoepir is deu to an inlartoeat of lc,oelgna isimral to atth which si seen in i.psrtoossooe hTis cenproound knis trpyhoa dsuace by the o-ghtgnopia mseka eht mlraed crvulsaa wtkroen vrey seivseint to hte hisetsltg atraum or iernghsa .recof

ehnW tigndnsa up, teh oybd ryolamln taitcvsea amepychstit setmsy ot aiovd ahiscotttor oyinpnohte.s

utB seicn teerh si nwo na tidviade effcte fo teh horcameoohmocytp sneadigr,rec ti lwil leda to a rneespothniy

:(.ie lbueDo oincirttscoonvas = Pheo srnrdigeeac + iScmaphetty stmy)se

Sietistivny esstt are seud for srnngeei.c ityiccfepSi tests are esud ofr acoriftmionn arfet tosiipve .iengcrsnse

inteysSiivt sttes rae euds orf igenes woh nyma pploee turyl heav teh easdsie. fcieiicSypt ssett rea fro ohtes owh do not vaeh het isda.ees

A ghlyih iiesestvn e,stt enhw tiae,gven lusre UTO ead.eiss A glhiyh eificcsp t,tes nwhe veipi,tos eulrs IN dseieas. ,So a etst whti ithw owl sivestiitny tnocna rule tuo a deasei.s A test with owl ficispctiey atnc' erlu ni ei.saeds

heT ordtoc dna teptain wnat ot enscer ofr nocol ccrena adn lure ti t.ou ehT otorcd duwlo nawt a tets htiw ihgh nevsisyttii ot be aebl to od hat.t eH snowk taht tsinteg reh sootl rof oodbl wlil nto leur out the tpisbsyilio fo onlco C.A

iistamortniAdn fo eiPlilicnn ofr ilhisySp may edla to teh eJrha-rrmixeecihHs eriontac oruhs frate ratn.mteet urcOsc deu to lisys of tprshoiecse os( ti can rucco whti oarlrieB and psstoLrpsieoi as )elw.l eTh tnarecio si ehtcadzcerria by freve adn ll.ishc

eTh icslslcaa eipaxaonltn fo eth Hxereeimrh eocatirn is ttah mnraettte sutlers in eht udsnde tdeah nda idcsurntote fo large sruenmb of erpsenoe,mt htiw hte btirnilaoe fo nioertp cpuosrdt dan tosxni.

ottriCnocaa fo eth otaar dseal ot eeidcrsna LV edaolrvo csganui LV tyhrphyrope dan a L axsi oiat.nivde

A rlhrypaadgaiolci viislbe ufdr-alii leelv etsssggu a reptty ealgr oeilns ceen(h, aatir”“)v.yc hsTta' ton gonig ot bmeeco lmaonr isstue .aigna xSi months iwnfogoll sienolrotu of ysmmptso uoy anc ecxept nlhgaei ni the mrof of a s;acr atht s,i iforsisb tub lnyo in a engsli pos.t

sA sadett wbeol, teh feLt urcs ebrceri asw adamged see( wtha it dulsoh lmnrlaoy kool lkei )ol.ewb sTih sitocnna the apclitiscnoor tcrta. ecSni eth anotorcslpici atrtc estcduesa ta eth lmleda,u ewblo eht mdnbarii tencosi 'rwee gnokiol a,t uyo wldou ees rlCoaaelantrt Rhgti() Sptisac ssaeiHemrpi

Diabetics get peripheral neuropathy from glucose damaging Schwann cells. For what I believe is an unconfirmed reason, T2DM patients tend to see parasympathetic autonomic neuropathy before sympathetic.

The hypogastric nerve carries sympathetic innervation to the posterior urethra and is responsible for ejaculation.

Inferior rectal nerve is a branch of the pudendal nerve that innervates the external anal sphincter and provides sensation below the pectinate line. A peripheral nerve problem with this nerve would cause the sphincter to remain relaxed and cause incontinence, not constipation.

Pelvic splanchnic nerves are parasympathetics (craniosacral outflow). If he is constipated, his rest and digest (parasympathetic) system is not working.

Perineal nerve is a branch of the pudendal nerve. It has both motor and sensory, is involved in the external anal sphincter, urethral sphincter, and is responsible for conscious sensation of the need to urinate.

Sacral sympathetic inhibits peristalsis, and contracts internal anal sphincter to maintain continence.

As criddeesb ni teh unqsoiet e,stm isth atniotum uccsor iniwth an inrtno a( enge gmesnet chwih si cdstrearnbi NAg&AR-t][D;N tbu not el)d.tratsna ANR siigcnpl (yee)mzsn bgra NAR dan p“loo it;” na oitrnn si cut tou and eth esnxo on reethi ised of eth rntoin aer eoi,ajdnd lkei i:sht

—x2oeox—einnonn1rt &=tg; nnx2oxe—eo1

,Tpillcyya tsih lspngiic uoscrc at het veyr seedg fo the onntri (ahwt I etonedd whit teh “”— ct.arecar)h Btu ni ruo ea,cs a amnottui wiithn teh tninor si cuainsg RAN snilpcgi zeemny ot ziencegro a enw ie:st eht lepsirc sctu nhtiwi het nntoir esdta(ni of ta teh vrye d,ege as it lsu)od.h oS, ew gte tmihngeso htta kolos keli sih:t

nnrn—o2ietxeo1x—

aTths’ a oyatllt ndritfeef mNAR lmceoule, dna tis' gingo ot aekm our obln-igβ oentrpi loko dn(a bev)ahe lfwluya nagte.sr

hTe emocinnm I kile rof mermibnrege teh actosilon of hte lacinar svnere is het ",24,2,4 rue"l

vAeob etiarbs=nm NC I + Iri =adIMinb NC III, =VsI Pno NC ,V IV, IVI, IVleu aI=dlMI CN XI, ,X IX, IXI

shTi si a reyv pctkiyni tqno.iseu As I see ,it eht 3 nami cetoncps detste re:a

• ishT eitatnp sah agemrntiil lagrianue pr(ahs, e,ifbr isoecidp pnia ni eth caf,e) cihhw is udcase by a eoinsl ot rypimar oeyrsns efrbis hatt cryra iapn eaisnosnt rofm the .cafe
• putliMel ,relossisc hichw teh petiatn h,as is a laiinneymgtde seisaed .e(.,i ti easftcf eitwh .mat)rte
• hTe mentleadiy saonx ynargcri iapn iotassnen fmor teh tpisaliaelr efac reent hte aibsmetnr ta het lveel fo the onps dan ehtn sddenec bmec(eo eth napsli cttar of eht l)mragti.eni eThse htewi rtetam srifbe apss otghhru eht spon to yenpssa no eht linsap nculeus fo the mlengri,tai cwihh si in eth lemluda ucsenlu( = ryag et.amrt) (etrcpiu erhe). oerfeerTh, a seinlo ni eht wthei rtamet .,e.i( pql)uae ni eth spon udocl uscae ngrtilmaei ieragalu,n nda sith omeenohnpn has nebe esrvebdo.

oveAb het eevll fo hte rambitesn lhausmt(a mp&a; erceblar )xo,ecrt ouy ahve dcosne rdore ysnseor unrnso.e Lieosns ni shit part fo eht riiucct aer not enlelrayg ni anireimtgl eigul.rnaa I ousspep thye lsoa ntwa su ot sumeas atth cnoe eth inslpa tctra fo the irlanegimt enestr eht a,muledl tsi' ont yleetimand .ormyaen I dtno' nkiht hist is lmptocyeel uret, utb nevig eht olcig eidcbesrd vob,ae osnp dluwo tlisl eb eth teretb nw.saer

sA ppeloe ahve nedtipo tu,o the rrmpyia rnsyseo beirsf yrirncag ithlg cutho stnsoeina orfm teh cefa ysasnep no teh fiech erossyn cuesunl ni teh sopn eeatliydmmi ertfa thye eenrt the sonp. Tihs eotuisnq is otn gakins boatu heots sbfire ohtuhg.

I got eth nsoiquet ngwor oot..

eTh awy I adpreachpo teh suqiteon wsa to irnoedcs hawt senaphp .1 eWhn uoy wgro omrf a baby ot a lch,id dan .2 hwne uyo grwo mrfo a ageteern ot an odrle atu.dl taehverW ardnmiee rute eteebnw tohb of them asw teh irthg eswr.na

thigR s:wanre ehT eisrntg BP fo a enornwb si 5046/ eg,g)l(oo wheli that of a mh1-otn odl si 9/05.6 heT evgarae tulad si gehhr,i hwti the meAanrci aHrte snacitoosiA icgint yrulb(,sad OM)I ttha a"rmnol" si /1lt02;l8.t;&0& t,verheleNsse teh tnred si htta BP ssanceeri as ew ,aeg eethrwh we ear bnwenors or lod .eeplop

Wrogn n:wassre plDmneetve o of arronocy es:lrreohsicaots Psarpeh deu to the aArncmie iedt it acn eb reagdu that teh lmedetovenp of sceslrioahresto is mltosa inbitelaev as yuo eebcmo an eodlr ut.lda Creyitlna ont teru sa a baby t-&g-; i.hldc

eoeplmnvDet fo rlamti eis:notss iriSaml aogresnni sa cyronaro srscartooehi;els you AMY eovpled ti as an alutd n(to rlayne sa mnocmo as a lpiudub fo coaerhctoitresl ,qp)seula but ,reus s'lte ays taht ti nca a.ephpn tNo treu as a byba --g;t& cdilh.

ndeaseIrc aabsl ahtre ea:rt Teh soitpoep is tyclaaul ure.t heT basal aehrt atre of a oenbwnr cna syeali eecxed 015, adn st'tha roesecddni .lomarn As ew gea, iths heart aret goes nwdo.

drnaseIec aicardc cseulm as:ms hTis eon aws the atdesrh to rokw .hogrtuh It si teur ttha as we gae ofmr a byab &t--;g dhlic uro ahetr rwosg in szie. uBt if ew kwtea uro aopnumtssi orfm efbore tihw het inareAcm ,tdei dna tdienas upt rou ntaietp on a orme eoadermt dti,e slaelyitrical his hrate htsudn'ol ieasercn in ezsi too uc,mh at setal ot hte ptoin of aomlyreicgd.a

erdcsaIne cmialcnepo fo atrs:ieer sA we meboce ordle ltud,sa eth pinccmeola of areerist sdreeseca dna sefsftnsi ricseeans (ulrecfa nto to sfoencu etsriera hwti g,snul cwhih yctualal do arecnsie ni cpaniomlce as we !ae)g

Mtntoauis in TM1TL- nlth(iicoalodyMr eodcned ANRt nleeicu )1

A nommco ittanmou si G2A4.33 naC eurstl ni mlpetuil limortcdinaho snfeedieiicc dan aiestdoacs edossir.rd It si aoctessadi ihwt:

• roadMotinchli eehncoaayompytlhp
• Lcacti iscsdiao
• oSrike-etlk issopede LS)AME(

ELAMS is a earr rnaoidlmohict rddoiers okwnn ot fcetfa amny atpsr of hte yd,bo eiaelspycl hte vrnoues smseyt nda eht rina.b oyStpmms of EMSLA idenclu:

• tcuRnrere eeesvr hesehdaac
• sulMce easnwske (yya)pmhto
• egaHinr olss
• kietSe-rkol deoissep iwth a ossl fo eosc,osncssinu ee,zisusr and throe morsblpe anfgctfei hte vnsouer ysset.m

oc:Srue iotd/ni.:-k/wkewiTsiTrLi/gtph.epa1M/

sUe hte i-eHdynWbrareg anuetqio

1. kaeT the raequs troo fo 1/0,061 nda atth lliw egvi you teh yfqurecen of hte eeevrcsis elllea = /40.1
2. ullaCacet hte uyqefcern fo the antimnod laelel tihw qp+=1, chiwh si =p 05.9.7
3. ehyT are etgilln ouy ot claeltauc eht frneequyc fo het isaedes ,sriearcr chhiw is htiw het uqneoait 2p.q
4. yeTh natw nloy eth asesdie rrsaierc in wichh nteldieo si re.ptsen oT uccllaeta tis,h eus teh q eavlu )/140( dna upilmytl by %08 in htsi ushldo give yuo 20..0
5. li,lyFna ctacelaul rof 2Pq2 9)57(=20()0..0 .004 = /15.2

lsoA, oyu ndhluo'ts eb neiesg gedranno- dmaaeg ro dceiersan inenr / keindy enpossre thiw a soirvypuel elyathh ttnipea ttah sujt doeelvpde enlstisea TH.N hTe bdoy dnstoe' watn to aceinesr nerni wnhe it ash .THN eHre,vwo fi ouy eahv ni,soests eth disynek rfake otu euasbce t'eehyr ont tgteing eunohg lfow nad itknh the hleow doyb 'tins irehe,t os ehty tcieaatv teh AARS .yssetm Wneh uyo igve hmet na IE-AC, hte eninr is ltisl ienbg cuepdrod yb teh k,iynde it jtsu ist'n gbien otvrdeenc ot -oIaginnnsi.Iet

To mniiatlee ohetr oc:chsie

• He sah reaisnecd nrnei vyiatitc so uyo nac tmeniaeil rmyipra nrssltooaiem.d athT sha .cin oel,nartsdoe d.ce en.nir
• No ngsis or xss of gh'suisnC os stah't ea.mnltiedi
• exloa1yrs-yBd1h- ineycedicf uoldw ssx hwit hte ileatgan.i Yud'o evha cd.e rnine ivciatyt tdeoe-aoenl(klsir fetescf llist .trseenp)
• sleEntsai THN: paxileedn abvoe

atlneMoh si cxtoi by owt nsshacemim:

tFri,s htenlmoa acn eb latfa deu ot tis CSN ersedtspan troppisree in the eams nnearm as aneohtl s.npgoiino

c,dSneo in a ocesrsp fo toxiatcno,i ti si ebaetodzmil ot mcofir aicd iav yefeadrlhodm in a sorpces iitnietda yb het mezyen ohclaol sdehygeonerda in teh .evrli oMnatelh si ndrvceeto ot lfedyrhedmoa vai oolclah oyeadgnrdehes AH)(D nda edomelyhrdaf si droetcven to icormf ciad aortefm() avi ddaeyhle yedsgaroeednh DA(LH).

mtraoeF si tixco bceeasu it iibtnsih hrltiinoacdom ecrhocmoyt c ,iexaosd nscgaiu hpxaoyi at het calulerl lleev, adn aolitbemc so,iscdia gnoma a rtayvie fo hreot blaeoitmc erauindcbs.ts

ePtinta ahs a iaachoynpraomrgin. sMot mocmon dicdhhloo nlotriapesuart .mrout rieevdD ofrm mnaernst fo aheRkt ouphc ar(ol )cedo.tmer Cocicifailnta is nmc.oom Chllorseoet ylscsart oundf in ro“tom k-liel”io udfil twhiin urt.mo

A cisyct alrusseaprl sams hwit sanclciitcaofi adn eancthemnen fo teh awll ro lsdio oonpistr ni a hidlc ro ctansdeleo is slmoat layasw a rohcpyroiigna.aamn

yMa eb eucfdnos wtih ytritauip maondea (tbho csaue rtemliobap hpiimn).aaeo

shTi si aeictvre yolcaeypmtih rave, wihhc is ued ot gihh tieltdua ro gunl .ssideea aO2S is l,wo adn EOP is .arncdeies

ortAhne ayw ot achrpapo teh tonqeuis si klgooni at hte dolbo .erasm tsI' etrtyp roalnm o(n aygyserceoamtk, on icneedrsa mebunr fo altepe,tsl on r,osd hntgino elu,b .tce) A odobl rmaes romf a PCDO ettanpi lwil be amro.ln Jsut an eiesrdnca nmeubr fo sBRC due ot the edsiencar POE lidngae ot ecadresni Hgb.

viLer lksoo ptrtye daelniomr-sz ot me. cPi ereh orf oiasmopcrn

nI orerd fro a rgud to be lrcaeed by het einkdy, ti tusm frsti eb dfeielrt in het gml.ueirlo rusDg wtih a ghhi DV heav mreo fo eht dgru ni eth ieusst that ear not aelviabal ot eidrtfle yb eth .ikydne gsDur wthi hhgi otprnie nignbid wo'nt eb fledtrie etre.ih oS ouy watn a rgud hitw olw Vd adn wlo bningdi fi uoy atwn ti lreacde aiv teh neykisd nda ner.ui

As an :i00d 110,t8e epploe dteroper to evha eisd sfteecf hewn tiakgn ychirt.ogoarendzmAHldiooh ,mteh 25 eolepp 00%.)2( veha asetBr ehgrisdca

ticN,eo eth smte ssya rposocersr" ni the sink"

3D elarl)(cofoccelih orfm oxeerups of sikn mtsta(ur le)baas to nus, ntsinoeig fo ihs,f ikm,l lp.nsta

D2 coaloergerif()cl fomr siongenti of n,ptasl g,fniu set.sya

tohB deevrncto ot 5HO-2 D3 oes(agrt omr)f ni lrevi adn to eht iactve rfmo )1,O52H(2- 3D liiarcl(oct) ni yekd.in

F910A2 p 753 on notlsaGitniretsa boldo lypspu dan hyeptscaaairtpm vnreoitnian:

• Fgeutor -;-tg& ilcaec yrerat, uvgsa oivanrtnnie
• ugidtM -&t;-g ,MAS ugsva
• iugdntH t;g--& ,IMA epvcli tvannoreiin

I ohcse htsi yeolsl euaecbs it aws os mdna cecfiisp

ehrtMoatxete dlwou eb a grdu fo ociceh fro ssaispiro crrfyretoa ot paoclit rsamce nda tlhig eat;yphr ihtsiinb yrifdoelohatd acdseeurt in errod to decearse inks lelc irnapefroiolt adn creude oirtlnyaammf spe.osern

hTe ithlysogo si of eheptoryscs slam(l cshirlepa eclls ow/ naelcrt .olrp)al iHaeetrrdy pycrtooshsies si deu ot edcfte ni oiesntrp gtiracnietn itwh BRC meebrnma esltenok nad alspma bmenemra a(,nnryik bnad 3, torpeni 24., r.intsce)p ystolM oomaatslu mnitdnao ncniarhtiee so( ztosgeyhoeru omatnitu secin uoy oyln dnee oen tumtna elleal ot get eht esdi.)esa