heT tniatpe ash lsso of pain adn ameuterretp on eth rtgih dsie fo ish afec. iesStanon fo hte efca is saertal,ilip so eth ieuss utms eb on teh aetst'pin rgtih di,se whihc ew cna focrimn yb wonnigk that tiensaons of eth ybdo is arltronact,lea nad he sah slot letf seidd npai and reartuetepm of eht o.ybd

inPa dan aueretertpm oitnesnsa of teh doby is trap fo eth anhoipmlisact ttcra, whhci aaylws urns rtylallea gthhuor the t.meisnabr iTsh cna be idrnfmcoe by eerebgmrmin hatt netsosian to teh aecf laso sunr elrlyatal rohuthg eht trnimes.ab o,S we acn irfcnmo siht si a tighr diesd ltleara nmabstier sieus.

heT slos fo gag rxefle nad ialpsayrs of eht alocv csrod myipl ertmmpanii of cnriala eervsn XI nda X, hotb fo chhwi llaiozce ot teh elumla.d ef,rohereT the searwn si hrgit rsedolaortal uma.ldel

traaelL ealMurldy roSydemn (egWl)enbrla - see AF orf orem ltads.ei pmtySsmo for hsit esodrmny hmtca up ithw hwat is bigne erptns.ede

"liemSp erslu fo eth mb"anrtesi edtir(c ot rou nyomtaa sdog at oUfL ofr nza,rioggni loas sthi giaem si ncugfki aetrg ofr ilavsu sarneelr:)

1. Trehe rae 4 erctsurstu aawsly in teh iednml‘i‘ gebiingnn thiw M
• oMtor yhapawt or( tcporslaionic t)artc: aamgde sreults in arecnalattrlo kaseewns of teh arm adn gle
• iMalde muLsiescn: aegmad sertlus in arttnlorcaela olss fo bnvtairio dna otrpcnpeiioorp ni eth mra nda elg
• iMdlea gilodatninlu accflssiuu: ameadg rsstule ni iilartsepla alucn-rreetin oahappohtmeilgl (lrfieau of dicnudtao of eth pisaleriatl yee wtdrsoa eth osen nad msagyutsn in the ietopops eey sa ti okols earlt)alyl
• ootMr eluusnc adn ervne: aedmag tuserls ni saiiltlaper sosl of eht lcianar veenr ttah si tfecfead I(I,I IV, VI or IX)I


2. heTre rea 4 russtrteuc to eth ‘dsei‘ ael(lt)ra ggninnbie ithw S
• eloreblSareinpc tapwayh: gedaam ustresl ni ieapastllri aixtaa fo hte mar nda egl
• otaShlciampin hwypata: edmaag rlustse ni actatalrlneor natatoriel of anpi dan eemrteptrau nefitfgca het ,ram gel nda earryl hte tunkr
• rsnSoey enusulc of CN V: aagedm surltse in lrlpesaiita ttialorane fo pani nda eertaputrem no eht efac ni het rstiiinduotb of NC V sh(it uuclnse si a onlg livcrtea estcturur that xndeest in eth latlrae stacep fo eht pnos dnow ntoi eht dualme)l
• eciSptatymh hawtapy: ameagd usltesr in plailatesri eHnsrro’ meno,rsdy ahtt is atripla pitsos nad a lmasl pupli ios(im)s


3. Teh reul of NC ’s4 (loas duofn in 2F002A 40p5)
• 4 cnrlaai vsnere in eth aellumd )IXIXI(-
• 4 ni het nosp -(IVII)V
• 4 voabe teh sonp 2( in eht imarbdi=n I,II ,VI 2 ni hte ertcox= ,I II)
• hTe 4 tmoor nuecli ttah rae ni teh dnielmi are otseh atth dvdeii eqyallu noit 12 e(exctp I adn ,I)I lgndiicnu ,III IV, IV nad XII ,(V VI,I XI dna IXI are in teh rtallae nbetsr)iam

rrirtrtbeenerfo ercoiyaeolr sPre ila ]PCA[I ssiupepl

1. tlaearL llaumed
2. esuNluc basugumi C(N ,XI X, XI)
3. sblreitaVu cnuiel
4. Laearlt cashlamoptini ,tactr asnilp riinelamtg esnuclu
5. ttcSymipeha bifrse
6. rorinfIe lercrealbe cudlepen

eaDmga ot ACIP cueass araLlet ylmedalru n.lnaeb )yorWeemdls(rg

,aDahygpis n,heesssora raesaddgeefecre xlg, no cpsVuhmc,tgiii. ,voegrit e dsimtaugdcersya eanpsn adn ettrerapuem sf nteaomsrion nrocralalttea lr bpalyoii,saedt eafc.lrailptIae s Hnrroe .epndaeItsirsyrol mal txiaaa, .dmertsyia

uculesN gmsbuuia cffeest ariciscpfe e ot PAIC seloin.s

tD“o’n ipkc a CA)P(I osrosrse(sh)en hae htta c’nta ead s(logs. piy”)thaAa iepsplsu iionefrr celrcle pdbreleunae a(ptr of rblemcule.)e

hTis asw laraelt lldamreu rnsmdoye aka oalrtlsordae inrcaft fo the A.PIC