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A Systematic Review on Suggested Mechanisms of Action Author: Ramon Landin-Romero Subject: Background: Eye movement desensitization and reprocessing [EMDR] is an innovative, evidence-based and effective psychotherapy for post-traumatic stress disorder [PTSD]. 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A Systematic Review on Suggested Mechanisms of Action Ramon Landin-Romero Background: Eye movement desensitization and reprocessing [EMDR] is an innovative, evidence-based and effective psychotherapy for post-traumatic stress disorder [PTSD]. 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Rect: 255, 262, 64, 262 Destination: External Annotation: Subtype: Link Rect: 67, 251, 87, 262 Destination: External Annotation: Subtype: Link Rect: 159, 193, 240, 204 Destination: External Annotation: Subtype: Link Rect: 244, 193, 264, 204 Destination: External Annotation: Subtype: Link Rect: 493, 251, 549, 262 Destination: External Annotation: Subtype: Link Rect: 304, 239, 329, 251 Destination: External Annotation: Subtype: Link Rect: 395, 205, 455, 217 Destination: External Annotation: Subtype: Link Rect: 460, 205, 480, 217 Destination: External Annotation: Subtype: Link Rect: 485, 205, 549, 217 Destination: External Annotation: Subtype: Link Rect: 304, 194, 324, 205 Destination: External Annotation: Subtype: Link Rect: 307, 171, 399, 182 Destination: External Annotation: Subtype: Link Rect: 403, 171, 423, 182 Destination: External Annotation: Subtype: Link Rect: 428, 171, 509, 182 Destination: External Annotation: Subtype: Link Rect: 513, 171, 533, 182 Destination: External Annotation: Subtype: Link Rect: 307, 125, 372, 136 Destination: External Annotation: Subtype: Link Rect: 377, 125, 402, 136 Destination: External Annotation: Subtype: Link Rect: 406, 125, 468, 136 Destination: External Annotation: Subtype: Link Rect: 473, 125, 493, 136 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 6 Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 117, 67, 108, 84 Destination: External Annotation: Subtype: Link Rect: 117, 86, 108, 103 Destination: External Annotation: Subtype: Link Rect: 138, 67, 138, 95 Destination: External Annotation: Subtype: Link Rect: 148, 97, 138, 114 Destination: External Annotation: Subtype: Link Rect: 160, 67, 160, 108 Destination: External Annotation: Subtype: Link Rect: 178, 67, 169, 84 Destination: External Annotation: Subtype: Link Rect: 200, 67, 190, 105 Destination: External Annotation: Subtype: Link Rect: 209, 67, 200, 84 Destination: External Annotation: Subtype: Link Rect: 230, 67, 221, 105 Destination: External Annotation: Subtype: Link Rect: 240, 67, 230, 84 Destination: External Annotation: Subtype: Link Rect: 292, 67, 282, 111 Destination: External Annotation: Subtype: Link Rect: 301, 67, 292, 88 Destination: External Annotation: Subtype: Link Rect: 313, 67, 303, 111 Destination: External Annotation: Subtype: Link Rect: 322, 67, 313, 84 Destination: External Annotation: Subtype: Link Rect: 353, 67, 353, 83 Destination: External Annotation: Subtype: Link Rect: 362, 85, 353, 103 Destination: External Annotation: Subtype: Link Rect: 384, 67, 384, 83 Destination: External Annotation: Subtype: Link Rect: 393, 85, 384, 103 Destination: External Annotation: Subtype: Link Rect: 405, 67, 405, 91 Destination: External Annotation: Subtype: Link Rect: 414, 93, 405, 110 Destination: External Annotation: Subtype: Link Rect: 454, 67, 445, 110 Destination: External Annotation: Subtype: Link Rect: 464, 67, 454, 84 Destination: External Annotation: Subtype: Link Rect: 476, 67, 466, 100 Destination: External Annotation: Subtype: Link Rect: 485, 67, 476, 84 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 7 Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 102, 67, 102, 83 Destination: External Annotation: Subtype: Link Rect: 112, 85, 102, 107 Destination: External Annotation: Subtype: Link Rect: 124, 67, 124, 93 Destination: External Annotation: Subtype: Link Rect: 133, 95, 124, 112 Destination: External Annotation: Subtype: Link Rect: 164, 67, 164, 83 Destination: External Annotation: Subtype: Link Rect: 173, 85, 164, 103 Destination: External Annotation: Subtype: Link Rect: 194, 67, 185, 108 Destination: External Annotation: Subtype: Link Rect: 204, 67, 194, 84 Destination: External Annotation: Subtype: Link Rect: 225, 67, 225, 83 Destination: External Annotation: Subtype: Link Rect: 235, 85, 225, 103 Destination: External Annotation: Subtype: Link Rect: 275, 85, 275, 109 Destination: External Annotation: Subtype: Link Rect: 294, 67, 284, 84 Destination: External Annotation: Subtype: Link Rect: 305, 67, 305, 83 Destination: External Annotation: Subtype: Link Rect: 315, 85, 305, 103 Destination: External Annotation: Subtype: Link Rect: 336, 67, 327, 98 Destination: External Annotation: Subtype: Link Rect: 346, 67, 336, 84 Destination: External Annotation: Subtype: Link Rect: 357, 67, 357, 83 Destination: External Annotation: Subtype: Link Rect: 367, 85, 357, 103 Destination: External Annotation: Subtype: Link Rect: 397, 67, 388, 98 Destination: External Annotation: Subtype: Link Rect: 407, 67, 397, 84 Destination: External Annotation: Subtype: Link Rect: 419, 67, 409, 112 Destination: External Annotation: Subtype: Link Rect: 428, 67, 419, 84 Destination: External Annotation: Subtype: Link Rect: 459, 67, 459, 83 Destination: External Annotation: Subtype: Link Rect: 468, 85, 459, 103 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 8 Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 107, 67, 98, 112 Destination: External Annotation: Subtype: Link Rect: 117, 67, 107, 84 Destination: External Annotation: Subtype: Link Rect: 138, 67, 138, 83 Destination: External Annotation: Subtype: Link Rect: 147, 85, 138, 106 Destination: External Annotation: Subtype: Link Rect: 159, 67, 159, 83 Destination: External Annotation: Subtype: Link Rect: 169, 85, 159, 107 Destination: External Annotation: Subtype: Link Rect: 190, 67, 190, 83 Destination: External Annotation: Subtype: Link Rect: 199, 85, 190, 103 Destination: External Annotation: Subtype: Link Rect: 211, 67, 220, 83 Destination: External Annotation: Subtype: Link Rect: 230, 85, 220, 103 Destination: External Annotation: Subtype: Link Rect: 270, 67, 261, 112 Destination: External Annotation: Subtype: Link Rect: 279, 67, 270, 88 Destination: External Annotation: Subtype: Link Rect: 310, 67, 301, 99 Destination: External Annotation: Subtype: Link Rect: 320, 67, 310, 88 Destination: External Annotation: Subtype: Link Rect: 341, 67, 341, 98 Destination: External Annotation: Subtype: Link Rect: 360, 67, 350, 84 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 9 Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 107, 67, 98, 105 Destination: External Annotation: Subtype: Link Rect: 117, 67, 107, 84 Destination: External Annotation: Subtype: Link Rect: 138, 67, 138, 83 Destination: External Annotation: Subtype: Link Rect: 147, 85, 138, 103 Destination: External Annotation: Subtype: Link Rect: 178, 67, 178, 83 Destination: External Annotation: Subtype: Link Rect: 187, 85, 178, 103 Destination: External Annotation: Subtype: Link Rect: 218, 67, 218, 83 Destination: External Annotation: Subtype: Link Rect: 227, 85, 218, 103 Destination: External Annotation: Subtype: Link Rect: 239, 67, 230, 111 Destination: External Annotation: Subtype: Link Rect: 249, 67, 239, 84 Destination: External Annotation: Subtype: Link Rect: 270, 67, 270, 83 Destination: External Annotation: Subtype: Link Rect: 279, 85, 270, 103 Destination: External Annotation: Subtype: Link Rect: 338, 67, 329, 100 Destination: External Annotation: Subtype: Link Rect: 348, 67, 338, 84 Destination: External Annotation: Subtype: Link Rect: 388, 67, 379, 109 Destination: External Annotation: Subtype: Link Rect: 397, 67, 388, 84 Destination: External Annotation: Subtype: Link Rect: 419, 67, 409, 110 Destination: External Annotation: Subtype: Link Rect: 428, 67, 419, 84 Destination: External Annotation: Subtype: Link Rect: 449, 67, 449, 83 Destination: External Annotation: Subtype: Link Rect: 459, 85, 449, 103 Destination: External Annotation: Subtype: Link Rect: 480, 67, 489, 83 Destination: External Annotation: Subtype: Link Rect: 499, 85, 489, 103 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 10 Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 102, 67, 93, 97 Destination: External Annotation: Subtype: Link Rect: 112, 67, 102, 84 Destination: External Annotation: Subtype: Link Rect: 112, 86, 102, 104 Destination: External Annotation: Subtype: Link Rect: 133, 67, 123, 111 Destination: External Annotation: Subtype: Link Rect: 142, 67, 133, 88 Destination: External Annotation: Subtype: Link Rect: 163, 67, 163, 83 Destination: External Annotation: Subtype: Link Rect: 173, 85, 163, 103 Destination: External Annotation: Subtype: Link Rect: 223, 67, 213, 106 Destination: External Annotation: Subtype: Link Rect: 232, 67, 223, 84 Destination: External Annotation: Subtype: Link Rect: 253, 67, 244, 103 Destination: External Annotation: Subtype: Link Rect: 263, 67, 253, 84 Destination: External Annotation: Subtype: Link Rect: 322, 67, 322, 83 Destination: External Annotation: Subtype: Link Rect: 331, 85, 322, 103 Destination: External Annotation: Subtype: Link Rect: 390, 67, 390, 92 Destination: External Annotation: Subtype: Link Rect: 400, 94, 390, 112 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 11 Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 109, 67, 109, 83 Destination: External Annotation: Subtype: Link Rect: 118, 85, 109, 103 Destination: External Annotation: Subtype: Link Rect: 140, 67, 140, 83 Destination: External Annotation: Subtype: Link Rect: 149, 85, 140, 103 Destination: External Annotation: Subtype: Link Rect: 170, 67, 180, 89 Destination: External Annotation: Subtype: Link Rect: 189, 91, 180, 109 Destination: External Annotation: Subtype: Link Rect: 201, 67, 201, 91 Destination: External Annotation: Subtype: Link Rect: 210, 93, 201, 110 Destination: External Annotation: Subtype: Link Rect: 232, 67, 222, 105 Destination: External Annotation: Subtype: Link Rect: 241, 67, 232, 84 Destination: External Annotation: Subtype: Link Rect: 262, 67, 253, 105 Destination: External Annotation: Subtype: Link Rect: 272, 67, 262, 84 Destination: External Annotation: Subtype: Link Rect: 293, 67, 283, 106 Destination: External Annotation: Subtype: Link Rect: 302, 67, 293, 84 Destination: External Annotation: Subtype: Link Rect: 324, 67, 324, 83 Destination: External Annotation: Subtype: Link Rect: 333, 85, 324, 103 Destination: External Annotation: Subtype: Link Rect: 402, 67, 392, 102 Destination: External Annotation: Subtype: Link Rect: 411, 67, 401, 84 Destination: External Annotation: Subtype: Link Rect: 451, 67, 442, 105 Destination: External Annotation: Subtype: Link Rect: 461, 67, 451, 84 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 12 Sequence: 12 Annotations: Annotation: Subtype: Link Rect: 109, 67, 109, 83 Destination: External Annotation: Subtype: Link Rect: 118, 85, 109, 103 Destination: External Annotation: Subtype: Link Rect: 140, 67, 130, 101 Destination: External Annotation: Subtype: Link Rect: 149, 67, 140, 84 Destination: External Annotation: Subtype: Link Rect: 161, 67, 161, 83 Destination: External Annotation: Subtype: Link Rect: 170, 85, 161, 103 Destination: External Annotation: Subtype: Link Rect: 191, 67, 182, 108 Destination: External Annotation: Subtype: Link Rect: 201, 67, 191, 84 Destination: External Annotation: Subtype: Link Rect: 251, 67, 241, 107 Destination: External Annotation: Subtype: Link Rect: 260, 67, 251, 84 Destination: External Annotation: Subtype: Link Rect: 272, 67, 262, 104 Destination: External Annotation: Subtype: Link Rect: 281, 67, 272, 84 Destination: External Annotation: Subtype: Link Rect: 293, 67, 283, 106 Destination: External Annotation: Subtype: Link Rect: 302, 67, 293, 84 Destination: External Annotation: Subtype: Link Rect: 324, 67, 314, 109 Destination: External Annotation: Subtype: Link Rect: 333, 67, 324, 84 Destination: External Annotation: Subtype: Link Rect: 354, 67, 345, 106 Destination: External Annotation: Subtype: Link Rect: 364, 67, 354, 84 Destination: External Annotation: Subtype: Link Rect: 385, 67, 375, 105 Destination: External Annotation: Subtype: Link Rect: 394, 67, 385, 84 Destination: External Annotation: Subtype: Link Rect: 416, 67, 406, 107 Destination: External Annotation: Subtype: Link Rect: 425, 67, 416, 84 Destination: External Annotation: Subtype: Link Rect: 456, 67, 446, 104 Destination: External Annotation: Subtype: Link Rect: 465, 67, 456, 84 Destination: External Annotation: Subtype: Link Rect: 505, 69, 496, 109 Destination: External Annotation: Subtype: Link Rect: 515, 67, 505, 84 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 13 Sequence: 13 Annotations: Annotation: Subtype: Link Rect: 100, 67, 90, 106 Destination: External Annotation: Subtype: Link Rect: 109, 67, 100, 84 Destination: External Annotation: Subtype: Link Rect: 140, 67, 130, 108 Destination: External Annotation: Subtype: Link Rect: 149, 67, 140, 84 Destination: External Annotation: Subtype: Link Rect: 189, 67, 189, 109 Destination: External Annotation: Subtype: Link Rect: 208, 67, 199, 84 Destination: External Annotation: Subtype: Link Rect: 229, 67, 220, 101 Destination: External Annotation: Subtype: Link Rect: 239, 67, 229, 84 Destination: External Annotation: Subtype: Link Rect: 279, 67, 270, 112 Destination: External Annotation: Subtype: Link Rect: 289, 67, 279, 88 Destination: External Annotation: Subtype: Link Rect: 310, 67, 300, 99 Destination: External Annotation: Subtype: Link Rect: 319, 67, 310, 88 Destination: External Annotation: Subtype: Link Rect: 340, 67, 331, 107 Destination: External Annotation: Subtype: Link Rect: 350, 67, 340, 84 Destination: External Annotation: Subtype: Link Rect: 371, 67, 371, 83 Destination: External Annotation: Subtype: Link Rect: 381, 85, 371, 103 Destination: External Annotation: Subtype: Link Rect: 402, 67, 402, 83 Destination: External Annotation: Subtype: Link Rect: 411, 85, 402, 103 Destination: External Annotation: Subtype: Link Rect: 432, 67, 423, 100 Destination: External Annotation: Subtype: Link Rect: 442, 67, 432, 84 Destination: External Annotation: Subtype: Link Rect: 473, 67, 463, 106 Destination: External Annotation: Subtype: Link Rect: 482, 67, 473, 84 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 14 Sequence: 14 Annotations: Annotation: Subtype: Link Rect: 101, 67, 92, 103 Destination: External Annotation: Subtype: Link Rect: 111, 67, 101, 84 Destination: External Annotation: Subtype: Link Rect: 132, 67, 132, 86 Destination: External Annotation: Subtype: Link Rect: 141, 88, 132, 109 Destination: External Annotation: Subtype: Link Rect: 172, 67, 172, 86 Destination: External Annotation: Subtype: Link Rect: 182, 88, 172, 109 Destination: External Annotation: Subtype: Link Rect: 422, 708, 482, 720 Destination: External Annotation: Subtype: Link Rect: 487, 708, 507, 720 Destination: External Annotation: Subtype: Link Rect: 511, 708, 324, 708 Destination: External Annotation: Subtype: Link Rect: 326, 697, 346, 708 Destination: External Annotation: Subtype: Link Rect: 349, 697, 424, 708 Destination: External Annotation: Subtype: Link Rect: 427, 697, 447, 708 Destination: External Annotation: Subtype: Link Rect: 449, 697, 526, 708 Destination: External Annotation: Subtype: Link Rect: 529, 697, 549, 708 Destination: External Annotation: Subtype: Link Rect: 304, 685, 359, 697 Destination: External Annotation: Subtype: Link Rect: 361, 685, 381, 697 Destination: External Annotation: Subtype: Link Rect: 355, 640, 420, 651 Destination: External Annotation: Subtype: Link Rect: 423, 640, 443, 651 Destination: External Annotation: Subtype: Link Rect: 447, 640, 467, 651 Destination: External Annotation: Subtype: Link Rect: 470, 640, 549, 651 Destination: External Annotation: Subtype: Link Rect: 304, 628, 324, 640 Destination: External Annotation: Subtype: Link Rect: 326, 628, 350, 640 Destination: External Annotation: Subtype: Link Rect: 353, 628, 373, 640 Destination: External Annotation: Subtype: Link Rect: 519, 571, 347, 571 Destination: External Annotation: Subtype: Link Rect: 350, 559, 370, 571 Destination: External Annotation: Subtype: Link Rect: 373, 559, 393, 571 Destination: External Annotation: Subtype: Link Rect: 396, 559, 440, 571 Destination: External Annotation: Subtype: Link Rect: 443, 559, 463, 571 Destination: External Annotation: Subtype: Link Rect: 377, 502, 404, 514 Destination: External Annotation: Subtype: Link Rect: 406, 502, 427, 514 Destination: External Annotation: Subtype: Link Rect: 383, 353, 437, 365 Destination: External Annotation: Subtype: Link Rect: 442, 353, 462, 365 Destination: External Annotation: Subtype: Link Rect: 395, 158, 452, 170 Destination: External Annotation: Subtype: Link Rect: 456, 158, 476, 170 Destination: External Annotation: Subtype: Link Rect: 414, 135, 480, 147 Destination: External Annotation: Subtype: Link Rect: 483, 135, 504, 147 Destination: External Annotation: Subtype: Link Rect: 483, 101, 523, 113 Destination: External Annotation: Subtype: Link Rect: 525, 101, 546, 113 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 15 Sequence: 15 Annotations: Annotation: Subtype: Link Rect: 178, 514, 224, 525 Destination: External Annotation: Subtype: Link Rect: 228, 514, 249, 525 Destination: External Annotation: Subtype: Link Rect: 253, 514, 104, 514 Destination: External Annotation: Subtype: Link Rect: 109, 502, 130, 514 Destination: External Annotation: Subtype: Link Rect: 99, 456, 137, 468 Destination: External Annotation: Subtype: Link Rect: 139, 456, 159, 468 Destination: External Annotation: Subtype: Link Rect: 161, 456, 182, 468 Destination: External Annotation: Subtype: Link Rect: 47, 410, 102, 422 Destination: External Annotation: Subtype: Link Rect: 104, 410, 125, 422 Destination: External Annotation: Subtype: Link Rect: 127, 410, 229, 422 Destination: External Annotation: Subtype: Link Rect: 232, 410, 252, 422 Destination: External Annotation: Subtype: Link Rect: 206, 353, 260, 365 Destination: External Annotation: Subtype: Link Rect: 265, 353, 285, 365 Destination: External Annotation: Subtype: Link Rect: 105, 216, 185, 227 Destination: External Annotation: Subtype: Link Rect: 188, 216, 208, 227 Destination: External Annotation: Subtype: Link Rect: 212, 216, 262, 227 Destination: External Annotation: Subtype: Link Rect: 265, 216, 285, 227 Destination: External Annotation: Subtype: Link Rect: 371, 662, 400, 674 Destination: External Annotation: Subtype: Link Rect: 403, 662, 424, 674 Destination: External Annotation: Subtype: Link Rect: 427, 662, 477, 674 Destination: External Annotation: Subtype: Link Rect: 480, 662, 501, 674 Destination: External Annotation: Subtype: Link Rect: 504, 662, 360, 662 Destination: External Annotation: Subtype: Link Rect: 364, 651, 384, 662 Destination: External Annotation: Subtype: Link Rect: 465, 617, 525, 628 Destination: External Annotation: Subtype: Link Rect: 529, 617, 549, 628 Destination: External Annotation: Subtype: Link Rect: 304, 605, 358, 617 Destination: External Annotation: Subtype: Link Rect: 364, 605, 384, 617 Destination: External Annotation: Subtype: Link Rect: 454, 445, 520, 456 Destination: External Annotation: Subtype: Link Rect: 525, 445, 546, 456 Destination: External Annotation: Subtype: Link Rect: 307, 353, 376, 365 Destination: External Annotation: Subtype: Link Rect: 381, 353, 401, 365 Destination: External Annotation: Subtype: Link Rect: 406, 353, 426, 365 Destination: External Annotation: Subtype: Link Rect: 432, 353, 491, 365 Destination: External Annotation: Subtype: Link Rect: 496, 353, 516, 365 Destination: External Annotation: Subtype: Link Rect: 521, 353, 327, 353 Destination: External Annotation: Subtype: Link Rect: 332, 342, 352, 353 Destination: External Annotation: Subtype: Link Rect: 358, 342, 437, 353 Destination: External Annotation: Subtype: Link Rect: 443, 342, 463, 353 Destination: External Annotation: Subtype: Link Rect: 507, 319, 335, 319 Destination: External Annotation: Subtype: Link Rect: 340, 307, 360, 319 Destination: External Annotation: Subtype: Link Rect: 364, 307, 416, 319 Destination: External Annotation: Subtype: Link Rect: 420, 307, 440, 319 Destination: External Annotation: Subtype: Link Rect: 445, 307, 465, 319 Destination: External Annotation: Subtype: Link Rect: 478, 261, 525, 273 Destination: External Annotation: Subtype: Link Rect: 529, 261, 549, 273 Destination: External Annotation: Subtype: Link Rect: 304, 250, 350, 261 Destination: External Annotation: Subtype: Link Rect: 352, 250, 372, 261 Destination: External Annotation: Subtype: Link Rect: 400, 170, 472, 181 Destination: External Annotation: Subtype: Link Rect: 476, 170, 496, 181 Destination: External Annotation: Subtype: Link Rect: 501, 170, 549, 181 Destination: External Annotation: Subtype: Link Rect: 304, 158, 324, 170 Destination: External Annotation: Subtype: Link Rect: 372, 124, 420, 135 Destination: External Annotation: Subtype: Link Rect: 422, 124, 442, 135 Destination: External Annotation: Subtype: Link Rect: 445, 124, 465, 135 Destination: External Annotation: Subtype: Link Rect: 477, 78, 519, 90 Destination: External Annotation: Subtype: Link Rect: 525, 78, 546, 90 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 16 Sequence: 16 Annotations: Annotation: Subtype: Link Rect: 115, 628, 157, 640 Destination: External Annotation: Subtype: Link Rect: 159, 628, 179, 640 Destination: External Annotation: Subtype: Link Rect: 110, 594, 146, 605 Destination: External Annotation: Subtype: Link Rect: 150, 594, 170, 605 Destination: External Annotation: Subtype: Link Rect: 237, 502, 289, 514 Destination: External Annotation: Subtype: Link Rect: 43, 491, 64, 502 Destination: External Annotation: Subtype: Link Rect: 267, 468, 63, 468 Destination: External Annotation: Subtype: Link Rect: 65, 456, 86, 468 Destination: External Annotation: Subtype: Link Rect: 88, 456, 140, 468 Destination: External Annotation: Subtype: Link Rect: 142, 456, 163, 468 Destination: External Annotation: Subtype: Link Rect: 165, 456, 248, 468 Destination: External Annotation: Subtype: Link Rect: 251, 456, 271, 468 Destination: External Annotation: Subtype: Link Rect: 105, 261, 158, 273 Destination: External Annotation: Subtype: Link Rect: 164, 261, 184, 273 Destination: External Annotation: Subtype: Link Rect: 80, 227, 128, 239 Destination: External Annotation: Subtype: Link Rect: 131, 227, 151, 239 Destination: External Annotation: Subtype: Link Rect: 153, 124, 205, 135 Destination: External Annotation: Subtype: Link Rect: 208, 124, 229, 135 Destination: External Annotation: Subtype: Link Rect: 332, 640, 377, 651 Destination: External Annotation: Subtype: Link Rect: 380, 640, 400, 651 Destination: External Annotation: Subtype: Link Rect: 467, 559, 522, 571 Destination: External Annotation: Subtype: Link Rect: 525, 559, 546, 571 Destination: External Annotation: Subtype: Link Rect: 523, 456, 326, 456 Destination: External Annotation: Subtype: Link Rect: 330, 445, 350, 456 Destination: External Annotation: Subtype: Link Rect: 307, 342, 358, 353 Destination: External Annotation: Subtype: Link Rect: 361, 342, 381, 353 Destination: External Annotation: Subtype: Link Rect: 347, 227, 398, 239 Destination: External Annotation: Subtype: Link Rect: 402, 227, 422, 239 Destination: External Annotation: Subtype: Link Rect: 466, 135, 549, 147 Destination: External Annotation: Subtype: Link Rect: 304, 124, 324, 135 Destination: External Annotation: Subtype: Link Rect: 414, 67, 471, 78 Destination: External Annotation: Subtype: Link Rect: 474, 67, 495, 78 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 17 Sequence: 17 Annotations: Annotation: Subtype: Link Rect: 223, 662, 289, 674 Destination: External Annotation: Subtype: Link Rect: 43, 651, 64, 662 Destination: External Annotation: Subtype: Link Rect: 68, 651, 123, 662 Destination: External Annotation: Subtype: Link Rect: 127, 651, 148, 662 Destination: External Annotation: Subtype: Link Rect: 152, 651, 206, 662 Destination: External Annotation: Subtype: Link Rect: 211, 651, 231, 662 Destination: External Annotation: Subtype: Link Rect: 236, 651, 289, 662 Destination: External Annotation: Subtype: Link Rect: 43, 640, 64, 651 Destination: External Annotation: Subtype: Link Rect: 156, 617, 225, 628 Destination: External Annotation: Subtype: Link Rect: 230, 617, 250, 628 Destination: External Annotation: Subtype: Link Rect: 215, 525, 263, 536 Destination: External Annotation: Subtype: Link Rect: 265, 525, 285, 536 Destination: External Annotation: Subtype: Link Rect: 307, 697, 361, 708 Destination: External Annotation: Subtype: Link Rect: 365, 697, 385, 708 Destination: External Annotation: Subtype: Link Rect: 390, 697, 459, 708 Destination: External Annotation: Subtype: Link Rect: 464, 697, 484, 708 Destination: External Annotation: Subtype: Link Rect: 468, 640, 549, 651 Destination: External Annotation: Subtype: Link Rect: 304, 628, 329, 640 Destination: External Annotation: Subtype: Link Rect: 334, 628, 354, 640 Destination: External Annotation: Subtype: Link Rect: 359, 628, 379, 640 Destination: External Annotation: Subtype: Link Rect: 384, 628, 449, 640 Destination: External Annotation: Subtype: Link Rect: 454, 628, 474, 640 Destination: External Annotation: Subtype: Link Rect: 479, 628, 500, 640 Destination: External Annotation: Subtype: Link Rect: 504, 628, 381, 628 Destination: External Annotation: Subtype: Link Rect: 386, 617, 406, 628 Destination: External Annotation: Subtype: Link Rect: 411, 617, 476, 628 Destination: External Annotation: Subtype: Link Rect: 481, 617, 501, 628 Destination: External Annotation: Subtype: Link Rect: 505, 617, 549, 628 Destination: External Annotation: Subtype: Link Rect: 304, 605, 324, 617 Destination: External Annotation: Subtype: Link Rect: 465, 491, 549, 502 Destination: External Annotation: Subtype: Link Rect: 304, 479, 324, 491 Destination: External Annotation: Subtype: Link Rect: 329, 479, 395, 491 Destination: External Annotation: Subtype: Link Rect: 400, 479, 420, 491 Destination: External Annotation: Subtype: Link Rect: 499, 445, 549, 456 Destination: External Annotation: Subtype: Link Rect: 304, 433, 324, 445 Destination: External Annotation: Subtype: Link Rect: 329, 433, 391, 445 Destination: External Annotation: Subtype: Link Rect: 396, 433, 416, 445 Destination: External Annotation: Subtype: Link Rect: 443, 410, 549, 422 Destination: External Annotation: Subtype: Link Rect: 304, 399, 324, 410 Destination: External Annotation: Subtype: Link Rect: 520, 399, 353, 399 Destination: External Annotation: Subtype: Link Rect: 358, 388, 378, 399 Destination: External Annotation: Subtype: Link Rect: 339, 296, 386, 307 Destination: External Annotation: Subtype: Link Rect: 391, 296, 416, 307 Destination: External Annotation: Subtype: Link Rect: 307, 284, 353, 296 Destination: External Annotation: Subtype: Link Rect: 358, 284, 382, 296 Destination: External Annotation: Subtype: Link Rect: 330, 158, 392, 170 Destination: External Annotation: Subtype: Link Rect: 398, 158, 419, 170 Destination: External Annotation: Subtype: Link Rect: 458, 90, 495, 101 Destination: External Annotation: Subtype: Link Rect: 500, 90, 520, 101 Destination: External Annotation: Subtype: Link Rect: 525, 90, 546, 101 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 18 Sequence: 18 Annotations: Annotation: Subtype: Link Rect: 238, 582, 73, 582 Destination: External Annotation: Subtype: Link Rect: 81, 571, 102, 582 Destination: External Annotation: Subtype: Link Rect: 205, 536, 260, 548 Destination: External Annotation: Subtype: Link Rect: 265, 536, 285, 548 Destination: External Annotation: Subtype: Link Rect: 157, 445, 199, 456 Destination: External Annotation: Subtype: Link Rect: 204, 445, 224, 456 Destination: External Annotation: Subtype: Link Rect: 185, 353, 222, 365 Destination: External Annotation: Subtype: Link Rect: 226, 353, 246, 365 Destination: External Annotation: Subtype: Link Rect: 90, 239, 145, 250 Destination: External Annotation: Subtype: Link Rect: 151, 239, 171, 250 Destination: External Annotation: Subtype: Link Rect: 177, 239, 258, 250 Destination: External Annotation: Subtype: Link Rect: 264, 239, 289, 250 Destination: External Annotation: Subtype: Link Rect: 43, 227, 112, 239 Destination: External Annotation: Subtype: Link Rect: 117, 227, 137, 239 Destination: External Annotation: Subtype: Link Rect: 142, 227, 196, 239 Destination: External Annotation: Subtype: Link Rect: 201, 227, 221, 239 Destination: External Annotation: Subtype: Link Rect: 226, 227, 289, 239 Destination: External Annotation: Subtype: Link Rect: 43, 216, 64, 227 Destination: External Annotation: Subtype: Link Rect: 69, 216, 124, 227 Destination: External Annotation: Subtype: Link Rect: 130, 216, 150, 227 Destination: External Annotation: Subtype: Link Rect: 452, 617, 504, 628 Destination: External Annotation: Subtype: Link Rect: 507, 617, 527, 628 Destination: External Annotation: Subtype: Link Rect: 403, 525, 454, 536 Destination: External Annotation: Subtype: Link Rect: 457, 525, 477, 536 Destination: External Annotation: Subtype: Link Rect: 416, 479, 483, 491 Destination: External Annotation: Subtype: Link Rect: 486, 479, 506, 491 Destination: External Annotation: Subtype: Link Rect: 545, 414, 550, 420 Destination: External Annotation: Subtype: Link Rect: 513, 307, 549, 319 Destination: External Annotation: Subtype: Link Rect: 304, 296, 324, 307 Destination: External Annotation: Subtype: Link Rect: 481, 261, 524, 273 Destination: External Annotation: Subtype: Link Rect: 529, 261, 549, 273 Destination: External Annotation: Subtype: Link Rect: 304, 250, 365, 261 Destination: External Annotation: Subtype: Link Rect: 370, 250, 390, 261 Destination: External Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 19 Sequence: 19 Annotations: Annotation: Subtype: Link Rect: 552, 429, 303, 454 Annotation: Subtype: Link Rect: 141, 351, 201, 358 Annotation: Subtype: Link Rect: 66, 312, 125, 320 Annotation: Subtype: Link Rect: 66, 274, 159, 283 Annotation: Subtype: Link Rect: 66, 236, 176, 245 Annotation: Subtype: Link Rect: 66, 208, 162, 217 Annotation: Subtype: Link Rect: 180, 181, 259, 188 Annotation: Subtype: Link Rect: 199, 162, 288, 169 Annotation: Subtype: Link Rect: 66, 95, 155, 103 Annotation: Subtype: Link Rect: 391, 379, 491, 387 Annotation: Subtype: Link Rect: 327, 351, 409, 358 Annotation: Subtype: Link Rect: 327, 293, 409, 302 Annotation: Subtype: Link Rect: 552, 254, 313, 274 Annotation: Subtype: Link Rect: 356, 237, 441, 245 Annotation: Subtype: Link Rect: 552, 161, 313, 179 Annotation: Subtype: Link Rect: 350, 122, 420, 131 Annotation: Subtype: Link Rect: 370, 75, 474, 84 Annotation: Subtype: Link Rect: 43, 28, 115, 36 Annotation: Subtype: Link Rect: 118, 28, 178, 36 Annotation: Subtype: Link Rect: 436, 28, 551, 37 Page: Label: 20 Sequence: 20 Annotations: Annotation: Subtype: Link Rect: 66, 678, 146, 687 Annotation: Subtype: Link Rect: 109, 650, 191, 659 Annotation: Subtype: Link Rect: 183, 621, 270, 631 Annotation: Subtype: Link Rect: 148, 585, 237, 592 Annotation: Subtype: Link Rect: 102, 557, 178, 564 Annotation: Subtype: Link Rect: 143, 527, 242, 536 Annotation: Subtype: Link Rect: 152, 489, 244, 498 Annotation: Subtype: Link Rect: 106, 462, 192, 469 Annotation: Subtype: Link Rect: 185, 434, 271, 441 Annotation: Subtype: Link Rect: 208, 415, 255, 422 Annotation: Subtype: Link Rect: 86, 386, 167, 394 Annotation: Subtype: Link Rect: 66, 358, 154, 365 Annotation: Subtype: Link Rect: 66, 318, 150, 328 Annotation: Subtype: Link Rect: 233, 292, 290, 299 Annotation: Subtype: Link Rect: 138, 262, 235, 271 Annotation: Subtype: Link Rect: 66, 195, 147, 205 Annotation: Subtype: Link Rect: 154, 167, 244, 176 Annotation: Subtype: Link Rect: 154, 129, 244, 138 Annotation: Subtype: Link Rect: 137, 101, 218, 110 Annotation: Subtype: Link Rect: 142, 72, 212, 81 Annotation: Subtype: Link Rect: 327, 689, 388, 696 Annotation: Subtype: Link Rect: 327, 640, 383, 649 Annotation: Subtype: Link Rect: 327, 604, 402, 611 Annotation: Subtype: Link Rect: 382, 576, 475, 583 Annotation: Subtype: Link Rect: 327, 547, 409, 554 Annotation: Subtype: Link Rect: 356, 517, 436, 526 Annotation: Subtype: Link Rect: 348, 490, 434, 498 Annotation: Subtype: Link Rect: 396, 452, 450, 460 Annotation: Subtype: Link Rect: 327, 404, 426, 413 Annotation: Subtype: Link Rect: 377, 375, 470, 384 Annotation: Subtype: Link Rect: 327, 339, 409, 346 Annotation: Subtype: Link Rect: 356, 301, 438, 308 Annotation: Subtype: Link Rect: 327, 263, 415, 271 Annotation: Subtype: Link Rect: 327, 224, 431, 233 Annotation: Subtype: Link Rect: 327, 195, 420, 205 Annotation: Subtype: Link Rect: 327, 169, 408, 176 Annotation: Subtype: Link Rect: 419, 140, 501, 148 Annotation: Subtype: Link Rect: 327, 102, 405, 110 Annotation: Subtype: Link Rect: 431, 74, 487, 81 Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 21 Sequence: 21 Annotations: Annotation: Subtype: Link Rect: 111, 688, 215, 696 Annotation: Subtype: Link Rect: 292, 649, 52, 669 Annotation: Subtype: Link Rect: 66, 613, 126, 621 Annotation: Subtype: Link Rect: 117, 574, 206, 583 Annotation: Subtype: Link Rect: 66, 537, 167, 545 Annotation: Subtype: Link Rect: 66, 498, 131, 507 Annotation: Subtype: Link Rect: 66, 460, 174, 470 Annotation: Subtype: Link Rect: 106, 432, 190, 441 Annotation: Subtype: Link Rect: 95, 404, 186, 413 Annotation: Subtype: Link Rect: 66, 337, 147, 347 Annotation: Subtype: Link Rect: 153, 309, 236, 318 Annotation: Subtype: Link Rect: 66, 271, 147, 280 Annotation: Subtype: Link Rect: 66, 234, 166, 243 Annotation: Subtype: Link Rect: 292, 196, 52, 215 Annotation: Subtype: Link Rect: 102, 159, 191, 166 Annotation: Subtype: Link Rect: 66, 129, 137, 138 Annotation: Subtype: Link Rect: 153, 91, 248, 101 Annotation: Subtype: Link Rect: 327, 699, 412, 706 Annotation: Subtype: Link Rect: 327, 669, 436, 678 Annotation: Subtype: Link Rect: 399, 631, 474, 640 Annotation: Subtype: Link Rect: 409, 604, 505, 611 Annotation: Subtype: Link Rect: 327, 565, 426, 574 Annotation: Subtype: Link Rect: 418, 527, 485, 536 Annotation: Subtype: Link Rect: 351, 489, 414, 498 Annotation: Subtype: Link Rect: 376, 462, 458, 469 Annotation: Subtype: Link Rect: 327, 424, 398, 431 Annotation: Subtype: Link Rect: 327, 385, 422, 394 Annotation: Subtype: Link Rect: 356, 290, 454, 299 Annotation: Subtype: Link Rect: 327, 254, 422, 261 Annotation: Subtype: Link Rect: 378, 214, 465, 224 Annotation: Subtype: Link Rect: 402, 176, 484, 186 Annotation: Subtype: Link Rect: 385, 120, 470, 129 Annotation: Subtype: Link Rect: 446, 72, 528, 82 Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 22 Sequence: 22 Annotations: Annotation: Subtype: Link Rect: 66, 669, 161, 678 Annotation: Subtype: Link Rect: 292, 621, 52, 641 Annotation: Subtype: Link Rect: 150, 594, 228, 602 Annotation: Subtype: Link Rect: 195, 564, 284, 573 Annotation: Subtype: Link Rect: 99, 536, 183, 545 Annotation: Subtype: Link Rect: 292, 497, 52, 518 Annotation: Subtype: Link Rect: 66, 441, 146, 451 Annotation: Subtype: Link Rect: 130, 413, 223, 422 Annotation: Subtype: Link Rect: 66, 377, 145, 384 Annotation: Subtype: Link Rect: 95, 339, 201, 347 Annotation: Subtype: Link Rect: 66, 309, 153, 318 Annotation: Subtype: Link Rect: 66, 281, 153, 290 Annotation: Subtype: Link Rect: 106, 254, 192, 261 Annotation: Subtype: Link Rect: 66, 216, 149, 223 Annotation: Subtype: Link Rect: 66, 187, 162, 195 Annotation: Subtype: Link Rect: 149, 159, 203, 166 Annotation: Subtype: Link Rect: 66, 121, 169, 129 Annotation: Subtype: Link Rect: 66, 83, 147, 91 Annotation: Subtype: Link Rect: 327, 689, 419, 696 Annotation: Subtype: Link Rect: 367, 650, 460, 659 Annotation: Subtype: Link Rect: 461, 631, 516, 640 Annotation: Subtype: Link Rect: 327, 583, 417, 593 Annotation: Subtype: Link Rect: 371, 546, 449, 555 Annotation: Subtype: Link Rect: 327, 519, 409, 526 Annotation: Subtype: Link Rect: 327, 479, 417, 489 Annotation: Subtype: Link Rect: 452, 452, 534, 460 Annotation: Subtype: Link Rect: 327, 422, 399, 431 Annotation: Subtype: Link Rect: 327, 395, 422, 403 Annotation: Subtype: Link Rect: 472, 339, 551, 346 Annotation: Subtype: Link Rect: 407, 281, 466, 290 Annotation: Subtype: Link Rect: 348, 254, 437, 261 Annotation: Subtype: Link Rect: 462, 197, 551, 204 Annotation: Subtype: Link Rect: 327, 159, 422, 166 Annotation: Subtype: Link Rect: 423, 140, 505, 148 Annotation: Subtype: Link Rect: 400, 120, 455, 129 Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Page: Label: 23 Sequence: 23 Annotations: Annotation: Subtype: Link Rect: 292, 669, 52, 688 Annotation: Subtype: Link Rect: 66, 631, 127, 640 Annotation: Subtype: Link Rect: 66, 593, 130, 602 Annotation: Subtype: Link Rect: 292, 535, 52, 556 Annotation: Subtype: Link Rect: 154, 500, 224, 508 Annotation: Subtype: Link Rect: 131, 471, 213, 479 Annotation: Subtype: Link Rect: 66, 434, 162, 441 Annotation: Subtype: Link Rect: 66, 396, 162, 403 Annotation: Subtype: Link Rect: 66, 347, 150, 356 Annotation: Subtype: Link Rect: 150, 309, 204, 318 Annotation: Subtype: Link Rect: 116, 271, 197, 280 Annotation: Subtype: Link Rect: 327, 678, 408, 687 Annotation: Subtype: Link Rect: 410, 651, 522, 659 Annotation: Subtype: Link Rect: 327, 612, 405, 621 Annotation: Subtype: Link Rect: 327, 574, 394, 583 Annotation: Subtype: Link Rect: 443, 546, 510, 554 Annotation: Subtype: Link Rect: 394, 508, 472, 517 Annotation: Subtype: Link Rect: 327, 481, 422, 488 Annotation: Subtype: Link Rect: 452, 452, 551, 460 Annotation: Subtype: Link Rect: 327, 422, 463, 432 Annotation: Subtype: Link Rect: 453, 377, 532, 384 Annotation: Subtype: Link Rect: 458, 320, 484, 327 Annotation: Subtype: Link Rect: 484, 320, 516, 327 Annotation: Subtype: Link Rect: 515, 320, 551, 327 Annotation: Subtype: Link Rect: 304, 310, 327, 317 Annotation: Subtype: Link Rect: 327, 309, 354, 318 Annotation: Subtype: Link Rect: 43, 29, 115, 37 Annotation: Subtype: Link Rect: 118, 29, 178, 37 Annotation: Subtype: Link Rect: 436, 29, 551, 38 Checksum: f552e09a Type: CRC32 Checksum: 7463d7f30bfdb954891b49b2635a0dd0 Type: MD5 Checksum: e0c8ebf704682131abdce8739896c1b863c632eb Type: SHA-1