dbb3a89c31c09f494f3048461ab28a97 283716.pdf 5b14fa4c3ea7264253a8f9d368b9c2ce82b76c01 283716.pdf e0cc08036284158e14931c46ef1b341eff34479a82507400d521ee59f3401952 283716.pdf Title: Impact of Pseudomonas aeruginosa Infection on Patients with Chronic Inflammatory Airway Diseases Subject: Pseudomonas aeruginosa (P. aeruginosa) is a ubiquitous and opportunistic microorganism and is considered one of the most significant pathogens that produce chronic colonization and infection of the lower respiratory tract, especially in people with chronic inflammatory airway diseases such as asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), and bronchiectasis. From a microbiological viewpoint, the presence and persistence of P. aeruginosa over time are characterized by adaptation within the host that precludes any rapid, devastating injury to the host. Moreover, this microorganism usually develops antibiotic resistance, which is accelerated in chronic infections especially in those situations where the frequent use of antimicrobials facilitates the selection of “hypermutator P. aeruginosa strain”. This phenomenon has been observed in people with bronchiectasis, CF, and the “exacerbator” COPD phenotype. From a clinical point of view, a chronic bronchial infection of P. aeruginosa has been related to more severity and poor prognosis in people with CF, bronchiectasis, and probably in COPD, but little is known on the effect of this microorganism infection in people with asthma. The relationship between the impact and treatment of P. aeruginosa infection in people with airway diseases emerges as an important future challenge and it is the most important objective of this review. Keywords: Pseudomonas aeruginosa; bronchiectasis; cystic fibrosis; COPD; asthma; chronic bronchial infection Author: Marta Garcia-Clemente, David de la Rosa, Luis Máiz, Rosa Girón, Marina Blanco, Casilda Olveira, Rafael Canton and Miguel Angel Martinez-García Creator: LaTeX with hyperref Producer: MiKTeX pdfTeX-1.40.21 CreationDate: Wed Nov 25 13:27:36 2020 CET ModDate: Wed Nov 25 13:48:49 2020 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 32 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 531089 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- PRJKGQ+VnURWPalladioL-Bold Type 1 Custom yes yes no 10 0 YWQWLZ+VnURWPalladioL Type 1 Custom yes yes no 15 0 CMXUGR+URWPalladioL-Ital Type 1 Custom yes yes no 19 0 PYAFHB+URWPalladioL-Bold Type 1 Custom yes yes no 24 0 VHLEYX+URWPalladioL-BoldItal Type 1 Custom yes yes no 28 0 ISIIVP+URWPalladioL-Roma Type 1 Custom yes yes no 32 0 SYXPPI+Rpxr Type 1 Builtin yes yes no 36 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 44 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 47 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 69 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 73 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 77 0 LWLIVD+EURM10 Type 1 Builtin yes yes no 87 0 MFIGJL+Rpxb Type 1 Builtin yes yes no 91 0 RVNMSJ+Pxsy Type 1 Builtin yes yes no 107 0 KTGHDN+Rpcxr Type 1 Builtin yes yes no 136 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes no 183 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-10-21 02:46:32 CEST RepresentationInformation: 283716.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-10-20 14:00:57 CEST Size: 531089 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 949 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Pseudomonas aeruginosa. Microbiology and Pathogenicity Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: Pseudomonas aeruginosa in Cystic Fibrosis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Children: Item: Title: Prevalence and Risk Factors for Infection Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Detection of Infection Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Adaptation in the Airways Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: Impact of Infection Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Item: Title: Pseudomonas aeruginosa in Non-Cystic Fibrosis Bronchiectasis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1a3869f4 Children: Item: Title: Primary Infection. Impact on the Clinical Picture and Prognosis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@a38d7a3 Item: Title: Chronic Bronchial Infection. Clinical Impact, Lung Function, Quality of Life, Mortality and Other Factors Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77f99a05 Children: Item: Title: Clinical Impact Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@63440df3 Item: Title: Impact on Lung Function Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@3aeaafa6 Item: Title: Impact on the Quality of Life Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@76a3e297 Item: Title: Impact on Mortality Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@4d3167f4 Item: Title: Other Factors Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@ed9d034 Item: Title: Responses to the Treatment of Primary Chronic Bronchial Infection in People with Bronchiectasis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@6121c9d6 Item: Title: Pseudomonas aeruginosa in COPD Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@87f383f Item: Title: Pseudomonas aeruginosa and Asthma Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@4eb7f003 Item: Title: Future Challenges Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@eafc191 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@612fc6eb Info: Title: Impact of Pseudomonas aeruginosa Infection on Patients with Chronic Inflammatory Airway Diseases Author: Marta Garcia-Clemente, David de la Rosa, Luis Máiz, Rosa Girón, Marina Blanco, Casilda Olveira, Rafael Canton and Miguel Angel Martinez-García Subject: Pseudomonas aeruginosa (P. aeruginosa) is a ubiquitous and opportunistic microorganism and is considered one of the most significant pathogens that produce chronic colonization and infection of the lower respiratory tract, especially in people with chronic inflammatory airway diseases such as asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), and bronchiectasis. From a microbiological viewpoint, the presence and persistence of P. aeruginosa over time are characterized by adaptation within the host that precludes any rapid, devastating injury to the host. Moreover, this microorganism usually develops antibiotic resistance, which is accelerated in chronic infections especially in those situations where the frequent use of antimicrobials facilitates the selection of “hypermutator P. aeruginosa strain”. This phenomenon has been observed in people with bronchiectasis, CF, and the “exacerbator” COPD phenotype. From a clinical point of view, a chronic bronchial infection of P. aeruginosa has been related to more severity and poor prognosis in people with CF, bronchiectasis, and probably in COPD, but little is known on the effect of this microorganism infection in people with asthma. The relationship between the impact and treatment of P. aeruginosa infection in people with airway diseases emerges as an important future challenge and it is the most important objective of this review. Keywords: Pseudomonas aeruginosa; bronchiectasis; cystic fibrosis; COPD; asthma; chronic bronchial infection Creator: LaTeX with hyperref Producer: MiKTeX pdfTeX-1.40.21 CreationDate: Wed Nov 25 13:27:36 CET 2020 ModDate: Wed Nov 25 13:48:49 CET 2020 ID: 0xbd5889f24e82aa3ffdf5366ec2ec1e7a, 0xbd5889f24e82aa3ffdf5366ec2ec1e7a Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: ISIIVP+URWPalladioL-Roma FontSubset: true FirstChar: 2 LastChar: 252 FontDescriptor: FontName: ISIIVP+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: CMXUGR+URWPalladioL-Ital FontSubset: true FirstChar: 2 LastChar: 241 FontDescriptor: FontName: CMXUGR+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: SYXPPI+Rpxr FontSubset: true FirstChar: 11 LastChar: 62 FontDescriptor: FontName: SYXPPI+Rpxr Flags: Symbolic FontBBox: -40, -283, 904, 728 FontFile: true Font: BaseFont: LWLIVD+EURM10 FontSubset: true FirstChar: 12 LastChar: 12 FontDescriptor: FontName: LWLIVD+EURM10 Flags: Symbolic FontBBox: -32, -243, 1060, 720 FontFile: true Font: BaseFont: CRUZTT+VnURWPalladioL-Italic FontSubset: true FirstChar: 189 LastChar: 189 FontDescriptor: FontName: CRUZTT+VnURWPalladioL-Italic Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: PYAFHB+URWPalladioL-Bold FontSubset: true FirstChar: 3 LastChar: 122 FontDescriptor: FontName: PYAFHB+URWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: KTGHDN+Rpcxr FontSubset: true FirstChar: 169 LastChar: 191 FontDescriptor: FontName: KTGHDN+Rpcxr Flags: Symbolic FontBBox: -212, -286, 1344, 973 FontFile: true Font: BaseFont: PRJKGQ+VnURWPalladioL-Bold FontSubset: true FirstChar: 161 LastChar: 226 FontDescriptor: FontName: PRJKGQ+VnURWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: MFIGJL+Rpxb FontSubset: true FirstChar: 47 LastChar: 47 FontDescriptor: FontName: MFIGJL+Rpxb Flags: Symbolic FontBBox: -57, -266, 932, 729 FontFile: true Font: BaseFont: RVNMSJ+Pxsy FontSubset: true FirstChar: 0 LastChar: 21 FontDescriptor: FontName: RVNMSJ+Pxsy Flags: Symbolic FontBBox: -21, -994, 1292, 912 FontFile: true Font: BaseFont: VHLEYX+URWPalladioL-BoldItal FontSubset: true FirstChar: 46 LastChar: 117 FontDescriptor: FontName: VHLEYX+URWPalladioL-BoldItal Flags: Symbolic FontBBox: -170, -300, 1073, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: YWQWLZ+VnURWPalladioL FontSubset: true FirstChar: 129 LastChar: 243 FontDescriptor: FontName: YWQWLZ+VnURWPalladioL Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 75, 757, 217, 793 Annotation: Subtype: Link Rect: 474, 757, 519, 793 Annotation: Subtype: Link Rect: 277, 641, 288, 654 Annotation: Subtype: Link Rect: 407, 641, 418, 654 Annotation: Subtype: Link Rect: 153, 626, 164, 640 Annotation: Subtype: Link Rect: 239, 626, 250, 640 Annotation: Subtype: Link Rect: 431, 626, 442, 640 Annotation: Subtype: Link Rect: 181, 38, 251, 50 Annotation: Subtype: Link Rect: 418, 38, 519, 50 Annotation: Subtype: Link Rect: 466, 403, 518, 422 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 257, 743, 264, 752 ActionDest: 149 Annotation: Subtype: Link Rect: 190, 661, 196, 671 ActionDest: 149 Annotation: Subtype: Link Rect: 334, 648, 341, 657 ActionDest: 149 Annotation: Subtype: Link Rect: 137, 580, 144, 590 ActionDest: 149 Annotation: Subtype: Link Rect: 144, 580, 151, 590 ActionDest: 149 Annotation: Subtype: Link Rect: 371, 553, 378, 562 ActionDest: 149 Annotation: Subtype: Link Rect: 381, 553, 388, 562 ActionDest: 152 Annotation: Subtype: Link Rect: 282, 513, 294, 522 ActionDest: 152 Annotation: Subtype: Link Rect: 445, 513, 457, 522 ActionDest: 152 Annotation: Subtype: Link Rect: 367, 322, 379, 331 ActionDest: 152 Annotation: Subtype: Link Rect: 257, 254, 269, 263 ActionDest: 152 Annotation: Subtype: Link Rect: 272, 254, 284, 263 ActionDest: 152 Annotation: Subtype: Link Rect: 266, 213, 278, 223 ActionDest: 152 Annotation: Subtype: Link Rect: 184, 186, 196, 196 ActionDest: 152 Annotation: Subtype: Link Rect: 354, 159, 366, 169 ActionDest: 152 Annotation: Subtype: Link Rect: 366, 159, 378, 169 ActionDest: 152 Annotation: Subtype: Link Rect: 379, 159, 391, 169 ActionDest: 152 Annotation: Subtype: Link Rect: 376, 130, 383, 142 ActionDest: 84 Annotation: Subtype: Link Rect: 387, 132, 399, 142 ActionDest: 152 Annotation: Subtype: Link Rect: 240, 78, 252, 87 ActionDest: 152 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 263, 715, 275, 725 ActionDest: 152 Annotation: Subtype: Link Rect: 276, 715, 288, 725 ActionDest: 152 Annotation: Subtype: Link Rect: 402, 675, 414, 684 ActionDest: 152 Annotation: Subtype: Link Rect: 272, 634, 284, 644 ActionDest: 152 Annotation: Subtype: Link Rect: 338, 618, 345, 630 ActionDest: 84 Annotation: Subtype: Link Rect: 353, 621, 365, 630 ActionDest: 152 Annotation: Subtype: Link Rect: 155, 583, 166, 592 ActionDest: 152 Annotation: Subtype: Link Rect: 336, 228, 348, 237 ActionDest: 152 Annotation: Subtype: Link Rect: 152, 160, 164, 169 ActionDest: 152 Annotation: Subtype: Link Rect: 491, 120, 503, 129 ActionDest: 152 Annotation: Subtype: Link Rect: 503, 120, 515, 129 ActionDest: 152 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 179, 646, 191, 655 ActionDest: 152 Annotation: Subtype: Link Rect: 273, 646, 285, 655 ActionDest: 152 Annotation: Subtype: Link Rect: 285, 646, 297, 655 ActionDest: 152 Annotation: Subtype: Link Rect: 371, 646, 383, 655 ActionDest: 152 Annotation: Subtype: Link Rect: 237, 632, 249, 641 ActionDest: 152 Annotation: Subtype: Link Rect: 362, 454, 374, 464 ActionDest: 155 Annotation: Subtype: Link Rect: 243, 427, 255, 437 ActionDest: 155 Annotation: Subtype: Link Rect: 342, 317, 354, 326 ActionDest: 155 Annotation: Subtype: Link Rect: 119, 247, 131, 257 ActionDest: 155 Annotation: Subtype: Link Rect: 134, 247, 146, 257 ActionDest: 155 Annotation: Subtype: Link Rect: 359, 247, 371, 257 ActionDest: 155 Annotation: Subtype: Link Rect: 371, 247, 383, 257 ActionDest: 155 Annotation: Subtype: Link Rect: 210, 220, 222, 230 ActionDest: 155 Annotation: Subtype: Link Rect: 337, 112, 349, 121 ActionDest: 155 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 423, 688, 435, 698 ActionDest: 155 Annotation: Subtype: Link Rect: 296, 661, 308, 671 ActionDest: 155 Annotation: Subtype: Link Rect: 301, 648, 313, 657 ActionDest: 155 Annotation: Subtype: Link Rect: 503, 580, 515, 590 ActionDest: 155 Annotation: Subtype: Link Rect: 255, 526, 267, 535 ActionDest: 155 Annotation: Subtype: Link Rect: 503, 486, 515, 495 ActionDest: 155 Annotation: Subtype: Link Rect: 460, 472, 472, 481 ActionDest: 155 Annotation: Subtype: Link Rect: 99, 418, 111, 427 ActionDest: 155 Annotation: Subtype: Link Rect: 111, 418, 123, 427 ActionDest: 155 Annotation: Subtype: Link Rect: 124, 418, 136, 427 ActionDest: 155 Annotation: Subtype: Link Rect: 136, 418, 148, 427 ActionDest: 155 Annotation: Subtype: Link Rect: 184, 416, 191, 427 ActionDest: 101 Annotation: Subtype: Link Rect: 223, 378, 235, 387 ActionDest: 155 Annotation: Subtype: Link Rect: 118, 364, 130, 373 ActionDest: 155 Annotation: Subtype: Link Rect: 179, 348, 301, 360 Annotation: Subtype: Link Rect: 503, 324, 515, 333 ActionDest: 155 Annotation: Subtype: Link Rect: 503, 297, 515, 306 ActionDest: 159 Annotation: Subtype: Link Rect: 129, 270, 141, 279 ActionDest: 159 Annotation: Subtype: Link Rect: 142, 270, 154, 279 ActionDest: 159 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 135, 450, 146, 458 ActionDest: 155 Annotation: Subtype: Link Rect: 148, 418, 159, 426 ActionDest: 159 Annotation: Subtype: Link Rect: 125, 400, 135, 407 ActionDest: 159 Annotation: Subtype: Link Rect: 116, 373, 127, 380 ActionDest: 155 Annotation: Subtype: Link Rect: 124, 336, 135, 343 ActionDest: 159 Annotation: Subtype: Link Rect: 146, 304, 156, 311 ActionDest: 159 Annotation: Subtype: Link Rect: 127, 272, 137, 279 ActionDest: 159 Annotation: Subtype: Link Rect: 155, 235, 166, 243 ActionDest: 155 Annotation: Subtype: Link Rect: 150, 198, 160, 206 ActionDest: 159 Annotation: Subtype: Link Rect: 120, 166, 131, 174 ActionDest: 159 Annotation: Subtype: Link Rect: 144, 134, 155, 142 ActionDest: 159 Annotation: Subtype: Link Rect: 123, 107, 134, 115 ActionDest: 159 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 119, 459, 129, 467 ActionDest: 159 Annotation: Subtype: Link Rect: 110, 432, 120, 440 ActionDest: 159 Annotation: Subtype: Link Rect: 107, 400, 117, 407 ActionDest: 159 Annotation: Subtype: Link Rect: 149, 373, 160, 380 ActionDest: 159 Annotation: Subtype: Link Rect: 120, 345, 130, 353 ActionDest: 159 Annotation: Subtype: Link Rect: 117, 308, 127, 316 ActionDest: 162 Annotation: Subtype: Link Rect: 121, 262, 132, 270 ActionDest: 162 Annotation: Subtype: Link Rect: 128, 221, 138, 229 ActionDest: 162 Annotation: Subtype: Link Rect: 120, 189, 130, 197 ActionDest: 162 Annotation: Subtype: Link Rect: 127, 152, 137, 160 ActionDest: 159 Annotation: Subtype: Link Rect: 125, 116, 136, 123 ActionDest: 162 Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 121, 455, 132, 462 ActionDest: 162 Annotation: Subtype: Link Rect: 125, 427, 136, 435 ActionDest: 162 Annotation: Subtype: Link Rect: 119, 386, 129, 394 ActionDest: 162 Annotation: Subtype: Link Rect: 100, 331, 111, 338 ActionDest: 162 Annotation: Subtype: Link Rect: 119, 280, 130, 288 ActionDest: 155 Annotation: Subtype: Link Rect: 110, 243, 120, 251 ActionDest: 152 Annotation: Subtype: Link Rect: 114, 216, 125, 223 ActionDest: 155 Annotation: Subtype: Link Rect: 123, 179, 134, 187 ActionDest: 159 Annotation: Subtype: Link Rect: 114, 138, 125, 145 ActionDest: 155 Annotation: Subtype: Link Rect: 122, 106, 132, 113 ActionDest: 162 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 122, 445, 132, 453 ActionDest: 155 Annotation: Subtype: Link Rect: 121, 399, 131, 407 ActionDest: 162 Annotation: Subtype: Link Rect: 115, 363, 126, 370 ActionDest: 162 Annotation: Subtype: Link Rect: 125, 335, 136, 343 ActionDest: 162 Annotation: Subtype: Link Rect: 116, 303, 126, 311 ActionDest: 162 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 118, 729, 130, 738 ActionDest: 155 Annotation: Subtype: Link Rect: 131, 729, 143, 738 ActionDest: 162 Annotation: Subtype: Link Rect: 146, 729, 158, 738 ActionDest: 162 Annotation: Subtype: Link Rect: 394, 729, 406, 738 ActionDest: 152 Annotation: Subtype: Link Rect: 407, 729, 419, 738 ActionDest: 162 Annotation: Subtype: Link Rect: 144, 715, 156, 725 ActionDest: 159 Annotation: Subtype: Link Rect: 156, 715, 168, 725 ActionDest: 159 Annotation: Subtype: Link Rect: 169, 715, 181, 725 ActionDest: 159 Annotation: Subtype: Link Rect: 181, 715, 193, 725 ActionDest: 159 Annotation: Subtype: Link Rect: 194, 715, 206, 725 ActionDest: 162 Annotation: Subtype: Link Rect: 397, 702, 409, 711 ActionDest: 159 Annotation: Subtype: Link Rect: 200, 688, 212, 698 ActionDest: 159 Annotation: Subtype: Link Rect: 365, 688, 377, 698 ActionDest: 162 Annotation: Subtype: Link Rect: 377, 688, 389, 698 ActionDest: 162 Annotation: Subtype: Link Rect: 390, 688, 402, 698 ActionDest: 162 Annotation: Subtype: Link Rect: 402, 688, 414, 698 ActionDest: 162 Annotation: Subtype: Link Rect: 167, 675, 179, 684 ActionDest: 159 Annotation: Subtype: Link Rect: 302, 675, 314, 684 ActionDest: 162 Annotation: Subtype: Link Rect: 314, 675, 326, 684 ActionDest: 162 Annotation: Subtype: Link Rect: 327, 675, 339, 684 ActionDest: 162 Annotation: Subtype: Link Rect: 240, 634, 252, 644 ActionDest: 162 Annotation: Subtype: Link Rect: 106, 621, 118, 630 ActionDest: 159 Annotation: Subtype: Link Rect: 118, 621, 130, 630 ActionDest: 159 Annotation: Subtype: Link Rect: 131, 621, 143, 630 ActionDest: 162 Annotation: Subtype: Link Rect: 438, 621, 450, 630 ActionDest: 159 Annotation: Subtype: Link Rect: 384, 607, 396, 617 ActionDest: 152 Annotation: Subtype: Link Rect: 396, 607, 408, 617 ActionDest: 159 Annotation: Subtype: Link Rect: 409, 607, 421, 617 ActionDest: 159 Annotation: Subtype: Link Rect: 421, 607, 433, 617 ActionDest: 162 Annotation: Subtype: Link Rect: 433, 607, 445, 617 ActionDest: 162 Annotation: Subtype: Link Rect: 463, 594, 475, 603 ActionDest: 159 Annotation: Subtype: Link Rect: 475, 594, 487, 603 ActionDest: 165 Annotation: Subtype: Link Rect: 490, 594, 502, 603 ActionDest: 165 Annotation: Subtype: Link Rect: 449, 580, 461, 590 ActionDest: 159 Annotation: Subtype: Link Rect: 462, 580, 474, 590 ActionDest: 162 Annotation: Subtype: Link Rect: 474, 580, 486, 590 ActionDest: 165 Annotation: Subtype: Link Rect: 108, 553, 120, 562 ActionDest: 162 Annotation: Subtype: Link Rect: 491, 540, 503, 549 ActionDest: 159 Annotation: Subtype: Link Rect: 503, 540, 515, 549 ActionDest: 162 Annotation: Subtype: Link Rect: 418, 486, 430, 495 ActionDest: 159 Annotation: Subtype: Link Rect: 430, 486, 442, 495 ActionDest: 159 Annotation: Subtype: Link Rect: 443, 486, 455, 495 ActionDest: 162 Annotation: Subtype: Link Rect: 455, 486, 467, 495 ActionDest: 162 Annotation: Subtype: Link Rect: 468, 486, 480, 495 ActionDest: 165 Annotation: Subtype: Link Rect: 483, 486, 495, 495 ActionDest: 165 Annotation: Subtype: Link Rect: 161, 445, 173, 454 ActionDest: 162 Annotation: Subtype: Link Rect: 174, 445, 186, 454 ActionDest: 162 Annotation: Subtype: Link Rect: 186, 445, 198, 454 ActionDest: 165 Annotation: Subtype: Link Rect: 199, 445, 211, 454 ActionDest: 165 Annotation: Subtype: Link Rect: 98, 378, 110, 387 ActionDest: 159 Annotation: Subtype: Link Rect: 113, 378, 125, 387 ActionDest: 159 Annotation: Subtype: Link Rect: 125, 378, 137, 387 ActionDest: 159 Annotation: Subtype: Link Rect: 138, 378, 150, 387 ActionDest: 162 Annotation: Subtype: Link Rect: 153, 378, 165, 387 ActionDest: 162 Annotation: Subtype: Link Rect: 252, 351, 264, 360 ActionDest: 165 Annotation: Subtype: Link Rect: 267, 351, 279, 360 ActionDest: 165 Annotation: Subtype: Link Rect: 169, 337, 180, 346 ActionDest: 152 Annotation: Subtype: Link Rect: 181, 337, 193, 346 ActionDest: 165 Annotation: Subtype: Link Rect: 193, 337, 205, 346 ActionDest: 165 Annotation: Subtype: Link Rect: 228, 324, 240, 333 ActionDest: 165 Annotation: Subtype: Link Rect: 241, 324, 253, 333 ActionDest: 165 Annotation: Subtype: Link Rect: 159, 297, 171, 306 ActionDest: 165 Annotation: Subtype: Link Rect: 433, 283, 445, 292 ActionDest: 165 Annotation: Subtype: Link Rect: 445, 283, 457, 292 ActionDest: 165 Annotation: Subtype: Link Rect: 141, 256, 157, 265 ActionDest: 165 Annotation: Subtype: Link Rect: 158, 256, 175, 265 ActionDest: 168 Annotation: Subtype: Link Rect: 191, 242, 208, 252 ActionDest: 168 Annotation: Subtype: Link Rect: 351, 229, 368, 238 ActionDest: 168 Annotation: Subtype: Link Rect: 290, 188, 302, 198 ActionDest: 165 Annotation: Subtype: Link Rect: 303, 188, 320, 198 ActionDest: 165 Annotation: Subtype: Link Rect: 320, 188, 337, 198 ActionDest: 168 Annotation: Subtype: Link Rect: 338, 188, 355, 198 ActionDest: 168 Annotation: Subtype: Link Rect: 392, 175, 409, 184 ActionDest: 168 Annotation: Subtype: Link Rect: 409, 175, 426, 184 ActionDest: 168 Annotation: Subtype: Link Rect: 499, 161, 516, 171 ActionDest: 168 Annotation: Subtype: Link Rect: 152, 121, 169, 130 ActionDest: 168 Annotation: Subtype: Link Rect: 171, 121, 188, 130 ActionDest: 168 Annotation: Subtype: Link Rect: 329, 108, 346, 117 ActionDest: 168 Annotation: Subtype: Link Rect: 348, 107, 365, 117 ActionDest: 168 Annotation: Subtype: Link Rect: 170, 94, 186, 103 ActionDest: 168 Annotation: Subtype: Link Rect: 452, 94, 469, 103 ActionDest: 168 Annotation: Subtype: Link Rect: 469, 94, 486, 103 ActionDest: 168 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 251, 715, 268, 725 ActionDest: 168 Annotation: Subtype: Link Rect: 271, 715, 288, 725 ActionDest: 171 Annotation: Subtype: Link Rect: 369, 648, 386, 657 ActionDest: 171 Annotation: Subtype: Link Rect: 499, 607, 516, 617 ActionDest: 171 Annotation: Subtype: Link Rect: 189, 594, 206, 603 ActionDest: 171 Annotation: Subtype: Link Rect: 352, 526, 368, 535 ActionDest: 171 Annotation: Subtype: Link Rect: 411, 499, 428, 508 ActionDest: 171 Annotation: Subtype: Link Rect: 112, 472, 129, 481 ActionDest: 171 Annotation: Subtype: Link Rect: 244, 312, 261, 321 ActionDest: 171 Annotation: Subtype: Link Rect: 455, 271, 472, 280 ActionDest: 171 Annotation: Subtype: Link Rect: 473, 271, 489, 280 ActionDest: 171 Annotation: Subtype: Link Rect: 116, 244, 133, 253 ActionDest: 171 Annotation: Subtype: Link Rect: 133, 244, 150, 253 ActionDest: 171 Annotation: Subtype: Link Rect: 151, 244, 168, 253 ActionDest: 171 Annotation: Subtype: Link Rect: 180, 136, 197, 145 ActionDest: 171 Annotation: Subtype: Link Rect: 183, 109, 200, 118 ActionDest: 171 Annotation: Subtype: Link Rect: 200, 109, 217, 118 ActionDest: 171 Annotation: Subtype: Link Rect: 300, 96, 317, 105 ActionDest: 171 Annotation: Subtype: Link Rect: 320, 96, 337, 105 ActionDest: 171 Annotation: Subtype: Link Rect: 304, 82, 321, 91 ActionDest: 171 Annotation: Subtype: Link Rect: 478, 82, 495, 91 ActionDest: 171 Annotation: Subtype: Link Rect: 498, 82, 515, 91 ActionDest: 174 Page: Sequence: 12 Annotations: Annotation: Subtype: Link Rect: 265, 743, 282, 752 ActionDest: 174 Annotation: Subtype: Link Rect: 390, 743, 407, 752 ActionDest: 174 Annotation: Subtype: Link Rect: 98, 729, 115, 738 ActionDest: 171 Annotation: Subtype: Link Rect: 148, 727, 155, 738 ActionDest: 127 Annotation: Subtype: Link Rect: 426, 648, 443, 657 ActionDest: 171 Annotation: Subtype: Link Rect: 444, 648, 460, 657 ActionDest: 174 Annotation: Subtype: Link Rect: 116, 607, 133, 617 ActionDest: 174 Annotation: Subtype: Link Rect: 246, 607, 263, 617 ActionDest: 174 Annotation: Subtype: Link Rect: 414, 607, 431, 617 ActionDest: 174 Annotation: Subtype: Link Rect: 355, 540, 372, 549 ActionDest: 174 Annotation: Subtype: Link Rect: 372, 540, 389, 549 ActionDest: 174 Annotation: Subtype: Link Rect: 449, 429, 466, 439 ActionDest: 174 Annotation: Subtype: Link Rect: 469, 429, 486, 439 ActionDest: 174 Annotation: Subtype: Link Rect: 302, 400, 309, 412 ActionDest: 84 Annotation: Subtype: Link Rect: 473, 400, 480, 412 ActionDest: 127 Annotation: Subtype: Link Rect: 177, 348, 194, 358 ActionDest: 177 Annotation: Subtype: Link Rect: 222, 265, 239, 274 ActionDest: 171 Annotation: Subtype: Link Rect: 240, 265, 257, 274 ActionDest: 171 Annotation: Subtype: Link Rect: 257, 265, 274, 274 ActionDest: 174 Annotation: Subtype: Link Rect: 275, 265, 292, 274 ActionDest: 174 Annotation: Subtype: Link Rect: 292, 265, 309, 274 ActionDest: 177 Annotation: Subtype: Link Rect: 304, 252, 321, 261 ActionDest: 174 Annotation: Subtype: Link Rect: 321, 252, 338, 261 ActionDest: 177 Annotation: Subtype: Link Rect: 341, 252, 358, 261 ActionDest: 177 Annotation: Subtype: Link Rect: 259, 238, 276, 247 ActionDest: 177 Annotation: Subtype: Link Rect: 418, 238, 435, 247 ActionDest: 177 Annotation: Subtype: Link Rect: 435, 238, 452, 247 ActionDest: 177 Annotation: Subtype: Link Rect: 196, 171, 213, 180 ActionDest: 174 Annotation: Subtype: Link Rect: 424, 157, 441, 166 ActionDest: 174 Page: Sequence: 13 Annotations: Annotation: Subtype: Link Rect: 151, 449, 166, 456 ActionDest: 174 Annotation: Subtype: Link Rect: 169, 425, 184, 433 ActionDest: 171 Annotation: Subtype: Link Rect: 148, 402, 162, 409 ActionDest: 171 Annotation: Subtype: Link Rect: 146, 374, 161, 381 ActionDest: 174 Annotation: Subtype: Link Rect: 169, 337, 184, 344 ActionDest: 171 Annotation: Subtype: Link Rect: 149, 308, 163, 316 ActionDest: 174 Annotation: Subtype: Link Rect: 153, 275, 168, 283 ActionDest: 174 Annotation: Subtype: Link Rect: 132, 232, 138, 240 ActionDest: 149 Annotation: Subtype: Link Rect: 139, 194, 154, 202 ActionDest: 174 Annotation: Subtype: Link Rect: 152, 171, 166, 179 ActionDest: 174 Annotation: Subtype: Link Rect: 136, 142, 151, 150 ActionDest: 174 Annotation: Subtype: Link Rect: 169, 114, 184, 122 ActionDest: 171 Page: Sequence: 14 Annotations: Annotation: Subtype: Link Rect: 201, 675, 217, 684 ActionDest: 177 Annotation: Subtype: Link Rect: 218, 675, 235, 684 ActionDest: 177 Annotation: Subtype: Link Rect: 424, 648, 441, 657 ActionDest: 177 Annotation: Subtype: Link Rect: 127, 607, 144, 617 ActionDest: 174 Annotation: Subtype: Link Rect: 144, 607, 161, 617 ActionDest: 174 Annotation: Subtype: Link Rect: 162, 607, 179, 617 ActionDest: 177 Annotation: Subtype: Link Rect: 200, 538, 207, 547 ActionDest: 149 Annotation: Subtype: Link Rect: 208, 538, 214, 547 ActionDest: 149 Annotation: Subtype: Link Rect: 215, 538, 222, 547 ActionDest: 152 Annotation: Subtype: Link Rect: 222, 538, 234, 547 ActionDest: 152 Annotation: Subtype: Link Rect: 235, 538, 247, 547 ActionDest: 152 Annotation: Subtype: Link Rect: 144, 524, 161, 533 ActionDest: 177 Annotation: Subtype: Link Rect: 111, 470, 128, 479 ActionDest: 171 Annotation: Subtype: Link Rect: 395, 456, 411, 466 ActionDest: 171 Annotation: Subtype: Link Rect: 195, 429, 211, 439 ActionDest: 174 Annotation: Subtype: Link Rect: 380, 402, 397, 412 ActionDest: 171 Annotation: Subtype: Link Rect: 467, 362, 484, 371 ActionDest: 171 Annotation: Subtype: Link Rect: 146, 306, 158, 315 ActionDest: 165 Annotation: Subtype: Link Rect: 158, 306, 175, 315 ActionDest: 177 Annotation: Subtype: Link Rect: 187, 279, 204, 288 ActionDest: 174 Annotation: Subtype: Link Rect: 204, 279, 221, 288 ActionDest: 174 Annotation: Subtype: Link Rect: 272, 238, 284, 247 ActionDest: 165 Annotation: Subtype: Link Rect: 284, 238, 301, 247 ActionDest: 177 Annotation: Subtype: Link Rect: 302, 238, 319, 247 ActionDest: 177 Annotation: Subtype: Link Rect: 400, 211, 417, 220 ActionDest: 174 Annotation: Subtype: Link Rect: 95, 171, 112, 180 ActionDest: 177 Annotation: Subtype: Link Rect: 490, 171, 507, 180 ActionDest: 177 Annotation: Subtype: Link Rect: 190, 87, 207, 97 ActionDest: 171 Page: Sequence: 15 Annotations: Annotation: Subtype: Link Rect: 312, 729, 329, 738 ActionDest: 174 Annotation: Subtype: Link Rect: 498, 715, 515, 725 ActionDest: 174 Annotation: Subtype: Link Rect: 159, 621, 176, 630 ActionDest: 174 Annotation: Subtype: Link Rect: 274, 540, 291, 549 ActionDest: 171 Annotation: Subtype: Link Rect: 344, 540, 361, 549 ActionDest: 174 Annotation: Subtype: Link Rect: 404, 540, 421, 549 ActionDest: 174 Annotation: Subtype: Link Rect: 455, 429, 472, 439 ActionDest: 177 Annotation: Subtype: Link Rect: 233, 403, 250, 412 ActionDest: 174 Annotation: Subtype: Link Rect: 127, 362, 144, 371 ActionDest: 174 Annotation: Subtype: Link Rect: 407, 335, 424, 344 ActionDest: 174 Annotation: Subtype: Link Rect: 404, 225, 421, 234 ActionDest: 171 Annotation: Subtype: Link Rect: 421, 225, 438, 234 ActionDest: 171 Annotation: Subtype: Link Rect: 438, 225, 455, 234 ActionDest: 177 Annotation: Subtype: Link Rect: 142, 198, 159, 207 ActionDest: 174 Annotation: Subtype: Link Rect: 147, 171, 164, 180 ActionDest: 177 Annotation: Subtype: Link Rect: 167, 171, 184, 180 ActionDest: 180 Annotation: Subtype: Link Rect: 321, 171, 338, 180 ActionDest: 177 Annotation: Subtype: Link Rect: 338, 171, 355, 180 ActionDest: 180 Annotation: Subtype: Link Rect: 184, 144, 201, 153 ActionDest: 177 Annotation: Subtype: Link Rect: 172, 130, 189, 139 ActionDest: 177 Annotation: Subtype: Link Rect: 189, 130, 206, 139 ActionDest: 180 Annotation: Subtype: Link Rect: 207, 130, 223, 139 ActionDest: 180 Annotation: Subtype: Link Rect: 292, 130, 309, 139 ActionDest: 177 Page: Sequence: 16 Annotations: Annotation: Subtype: Link Rect: 150, 742, 167, 752 ActionDest: 180 Annotation: Subtype: Link Rect: 366, 702, 378, 711 ActionDest: 152 Annotation: Subtype: Link Rect: 379, 702, 390, 711 ActionDest: 152 Annotation: Subtype: Link Rect: 102, 675, 119, 684 ActionDest: 177 Annotation: Subtype: Link Rect: 120, 675, 137, 684 ActionDest: 180 Annotation: Subtype: Link Rect: 139, 675, 156, 684 ActionDest: 180 Annotation: Subtype: Link Rect: 373, 675, 390, 684 ActionDest: 177 Annotation: Subtype: Link Rect: 391, 675, 408, 684 ActionDest: 180 Annotation: Subtype: Link Rect: 408, 675, 425, 684 ActionDest: 180 Annotation: Subtype: Link Rect: 426, 675, 443, 684 ActionDest: 180 Annotation: Subtype: Link Rect: 288, 661, 305, 671 ActionDest: 180 Annotation: Subtype: Link Rect: 306, 661, 323, 671 ActionDest: 180 Annotation: Subtype: Link Rect: 480, 661, 497, 671 ActionDest: 180 Annotation: Subtype: Link Rect: 498, 661, 515, 671 ActionDest: 180 Annotation: Subtype: Link Rect: 184, 648, 201, 657 ActionDest: 177 Annotation: Subtype: Link Rect: 423, 648, 439, 657 ActionDest: 180 Annotation: Subtype: Link Rect: 361, 580, 378, 590 ActionDest: 180 Annotation: Subtype: Link Rect: 499, 553, 516, 562 ActionDest: 180 Annotation: Subtype: Link Rect: 314, 499, 330, 508 ActionDest: 180 Annotation: Subtype: Link Rect: 163, 459, 180, 468 ActionDest: 180 Annotation: Subtype: Link Rect: 373, 432, 390, 441 ActionDest: 180 Annotation: Subtype: Link Rect: 499, 432, 516, 441 ActionDest: 180 Annotation: Subtype: Link Rect: 143, 391, 160, 400 ActionDest: 180 Annotation: Subtype: Link Rect: 381, 351, 398, 360 ActionDest: 180 Annotation: Subtype: Link Rect: 386, 337, 403, 346 ActionDest: 180 Annotation: Subtype: Link Rect: 403, 337, 420, 346 ActionDest: 180 Annotation: Subtype: Link Rect: 421, 337, 437, 346 ActionDest: 180 Annotation: Subtype: Link Rect: 438, 337, 455, 346 ActionDest: 180 Annotation: Subtype: Link Rect: 458, 337, 475, 346 ActionDest: 180 Annotation: Subtype: Link Rect: 446, 324, 463, 333 ActionDest: 180 Annotation: Subtype: Link Rect: 463, 324, 480, 333 ActionDest: 180 Annotation: Subtype: Link Rect: 481, 324, 498, 333 ActionDest: 180 Annotation: Subtype: Link Rect: 498, 324, 515, 333 ActionDest: 180 Annotation: Subtype: Link Rect: 104, 297, 121, 306 ActionDest: 174 Annotation: Subtype: Link Rect: 121, 297, 138, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 139, 297, 156, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 156, 297, 173, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 174, 297, 191, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 194, 297, 211, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 211, 297, 228, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 231, 297, 248, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 388, 297, 405, 306 ActionDest: 174 Annotation: Subtype: Link Rect: 405, 297, 422, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 423, 297, 440, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 443, 297, 460, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 460, 297, 477, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 478, 297, 495, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 498, 297, 515, 306 ActionDest: 180 Annotation: Subtype: Link Rect: 275, 283, 292, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 293, 283, 310, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 310, 283, 327, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 328, 283, 344, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 347, 283, 364, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 405, 283, 421, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 422, 283, 439, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 439, 283, 456, 292 ActionDest: 180 Annotation: Subtype: Link Rect: 205, 270, 222, 279 ActionDest: 180 Annotation: Subtype: Link Rect: 179, 148, 196, 157 ActionDest: 174 Annotation: Subtype: Link Rect: 197, 148, 214, 157 ActionDest: 174 Annotation: Subtype: Link Rect: 201, 92, 208, 101 ActionDest: 149 Annotation: Subtype: Link Rect: 209, 92, 226, 101 ActionDest: 187 Page: Sequence: 17 Annotations: Annotation: Subtype: Link Rect: 99, 729, 106, 738 ActionDest: 149 Annotation: Subtype: Link Rect: 106, 729, 123, 738 ActionDest: 187 Annotation: Subtype: Link Rect: 126, 729, 143, 738 ActionDest: 187 Annotation: Subtype: Link Rect: 219, 688, 226, 698 ActionDest: 152 Annotation: Subtype: Link Rect: 350, 688, 367, 698 ActionDest: 187 Annotation: Subtype: Link Rect: 136, 661, 153, 671 ActionDest: 187 Annotation: Subtype: Link Rect: 451, 634, 467, 644 ActionDest: 187 Annotation: Subtype: Link Rect: 128, 594, 134, 603 ActionDest: 149 Annotation: Subtype: Link Rect: 182, 540, 199, 549 ActionDest: 187 Annotation: Subtype: Link Rect: 202, 540, 218, 549 ActionDest: 187 Annotation: Subtype: Link Rect: 360, 499, 377, 508 ActionDest: 187 Annotation: Subtype: Link Rect: 248, 459, 265, 468 ActionDest: 187 Annotation: Subtype: Link Rect: 287, 281, 303, 290 ActionDest: 187 Annotation: Subtype: Link Rect: 304, 281, 321, 290 ActionDest: 187 Annotation: Subtype: Link Rect: 306, 213, 323, 223 ActionDest: 187 Annotation: Subtype: Link Rect: 326, 213, 343, 223 ActionDest: 190 Annotation: Subtype: Link Rect: 292, 173, 309, 182 ActionDest: 190 Annotation: Subtype: Link Rect: 309, 173, 326, 182 ActionDest: 190 Annotation: Subtype: Link Rect: 454, 119, 471, 128 ActionDest: 190 Annotation: Subtype: Link Rect: 302, 92, 319, 101 ActionDest: 190 Page: Sequence: 18 Annotations: Annotation: Subtype: Link Rect: 361, 715, 378, 725 ActionDest: 190 Annotation: Subtype: Link Rect: 341, 661, 357, 671 ActionDest: 190 Annotation: Subtype: Link Rect: 499, 634, 516, 644 ActionDest: 190 Annotation: Subtype: Link Rect: 164, 567, 181, 576 ActionDest: 190 Annotation: Subtype: Link Rect: 442, 499, 459, 508 ActionDest: 190 Annotation: Subtype: Link Rect: 141, 486, 158, 495 ActionDest: 190 Annotation: Subtype: Link Rect: 454, 445, 471, 454 ActionDest: 190 Annotation: Subtype: Link Rect: 498, 227, 515, 236 ActionDest: 190 Page: Sequence: 19 Annotations: Annotation: Subtype: Link Rect: 312, 661, 329, 671 ActionDest: 190 Annotation: Subtype: Link Rect: 481, 661, 498, 671 ActionDest: 190 Annotation: Subtype: Link Rect: 498, 661, 515, 671 ActionDest: 194 Annotation: Subtype: Link Rect: 150, 621, 167, 630 ActionDest: 174 Annotation: Subtype: Link Rect: 167, 621, 184, 630 ActionDest: 174 Annotation: Subtype: Link Rect: 438, 513, 455, 522 ActionDest: 194 Annotation: Subtype: Link Rect: 288, 338, 326, 348 Annotation: Subtype: Link Rect: 331, 311, 369, 322 Annotation: Subtype: Link Rect: 375, 311, 411, 322 Annotation: Subtype: Link Rect: 340, 273, 378, 284 Annotation: Subtype: Link Rect: 384, 273, 420, 284 Annotation: Subtype: Link Rect: 228, 235, 266, 245 Annotation: Subtype: Link Rect: 410, 195, 448, 206 Annotation: Subtype: Link Rect: 454, 195, 490, 206 Annotation: Subtype: Link Rect: 247, 156, 285, 167 Annotation: Subtype: Link Rect: 219, 131, 257, 141 Annotation: Subtype: Link Rect: 198, 79, 236, 90 Page: Sequence: 20 Annotations: Annotation: Subtype: Link Rect: 368, 714, 405, 725 Annotation: Subtype: Link Rect: 127, 676, 164, 686 Annotation: Subtype: Link Rect: 145, 651, 182, 661 Annotation: Subtype: Link Rect: 189, 651, 225, 661 Annotation: Subtype: Link Rect: 221, 624, 258, 635 Annotation: Subtype: Link Rect: 265, 624, 301, 635 Annotation: Subtype: Link Rect: 480, 585, 516, 596 Annotation: Subtype: Link Rect: 100, 573, 136, 583 Annotation: Subtype: Link Rect: 413, 546, 450, 557 Annotation: Subtype: Link Rect: 457, 546, 493, 557 Annotation: Subtype: Link Rect: 263, 521, 300, 531 Annotation: Subtype: Link Rect: 100, 483, 137, 493 Annotation: Subtype: Link Rect: 418, 456, 456, 467 Annotation: Subtype: Link Rect: 275, 430, 312, 441 Annotation: Subtype: Link Rect: 298, 404, 336, 415 Annotation: Subtype: Link Rect: 434, 366, 471, 376 Annotation: Subtype: Link Rect: 211, 341, 248, 351 Annotation: Subtype: Link Rect: 254, 341, 290, 351 Annotation: Subtype: Link Rect: 445, 314, 482, 325 Annotation: Subtype: Link Rect: 310, 288, 348, 299 Annotation: Subtype: Link Rect: 354, 288, 390, 299 Annotation: Subtype: Link Rect: 353, 262, 390, 273 Annotation: Subtype: Link Rect: 397, 262, 433, 273 Annotation: Subtype: Link Rect: 458, 224, 495, 234 Annotation: Subtype: Link Rect: 244, 186, 281, 196 Annotation: Subtype: Link Rect: 145, 147, 183, 157 Annotation: Subtype: Link Rect: 453, 120, 491, 131 Annotation: Subtype: Link Rect: 99, 82, 136, 92 Page: Sequence: 21 Annotations: Annotation: Subtype: Link Rect: 149, 715, 187, 725 Annotation: Subtype: Link Rect: 323, 675, 360, 686 Annotation: Subtype: Link Rect: 100, 638, 137, 648 Annotation: Subtype: Link Rect: 143, 638, 179, 648 Annotation: Subtype: Link Rect: 100, 599, 137, 609 Annotation: Subtype: Link Rect: 143, 599, 179, 609 Annotation: Subtype: Link Rect: 293, 559, 330, 570 Annotation: Subtype: Link Rect: 337, 559, 373, 570 Annotation: Subtype: Link Rect: 100, 521, 137, 531 Annotation: Subtype: Link Rect: 265, 482, 302, 493 Annotation: Subtype: Link Rect: 354, 443, 391, 454 Annotation: Subtype: Link Rect: 229, 392, 267, 402 Annotation: Subtype: Link Rect: 325, 366, 362, 376 Annotation: Subtype: Link Rect: 304, 340, 341, 351 Annotation: Subtype: Link Rect: 100, 315, 137, 325 Annotation: Subtype: Link Rect: 143, 315, 179, 325 Annotation: Subtype: Link Rect: 296, 289, 333, 299 Annotation: Subtype: Link Rect: 340, 289, 376, 299 Annotation: Subtype: Link Rect: 481, 262, 516, 273 Annotation: Subtype: Link Rect: 99, 250, 134, 260 Annotation: Subtype: Link Rect: 181, 212, 219, 222 Annotation: Subtype: Link Rect: 225, 212, 261, 222 Annotation: Subtype: Link Rect: 123, 173, 160, 183 Annotation: Subtype: Link Rect: 167, 173, 203, 183 Annotation: Subtype: Link Rect: 239, 146, 346, 157 Annotation: Subtype: Link Rect: 100, 95, 137, 105 Annotation: Subtype: Link Rect: 143, 95, 179, 105 Page: Sequence: 22 Annotations: Annotation: Subtype: Link Rect: 136, 702, 174, 712 Annotation: Subtype: Link Rect: 132, 663, 169, 673 Annotation: Subtype: Link Rect: 100, 612, 137, 622 Annotation: Subtype: Link Rect: 390, 559, 428, 570 Annotation: Subtype: Link Rect: 172, 521, 210, 531 Annotation: Subtype: Link Rect: 216, 521, 252, 531 Annotation: Subtype: Link Rect: 259, 482, 297, 493 Annotation: Subtype: Link Rect: 303, 482, 339, 493 Annotation: Subtype: Link Rect: 132, 444, 169, 454 Annotation: Subtype: Link Rect: 175, 444, 211, 454 Annotation: Subtype: Link Rect: 100, 392, 137, 402 Annotation: Subtype: Link Rect: 479, 353, 516, 364 Annotation: Subtype: Link Rect: 163, 315, 201, 325 Annotation: Subtype: Link Rect: 384, 288, 421, 299 Annotation: Subtype: Link Rect: 262, 250, 300, 260 Annotation: Subtype: Link Rect: 468, 211, 505, 222 Annotation: Subtype: Link Rect: 327, 172, 365, 183 Annotation: Subtype: Link Rect: 227, 133, 265, 144 Annotation: Subtype: Link Rect: 163, 95, 201, 105 Annotation: Subtype: Link Rect: 207, 95, 243, 105 Page: Sequence: 23 Annotations: Annotation: Subtype: Link Rect: 99, 715, 136, 725 Annotation: Subtype: Link Rect: 141, 715, 176, 725 Annotation: Subtype: Link Rect: 479, 688, 516, 699 Annotation: Subtype: Link Rect: 100, 676, 136, 686 Annotation: Subtype: Link Rect: 283, 637, 320, 648 Annotation: Subtype: Link Rect: 360, 598, 397, 609 Annotation: Subtype: Link Rect: 371, 572, 409, 583 Annotation: Subtype: Link Rect: 445, 533, 483, 544 Annotation: Subtype: Link Rect: 452, 508, 490, 519 Annotation: Subtype: Link Rect: 433, 482, 470, 493 Annotation: Subtype: Link Rect: 325, 443, 363, 454 Annotation: Subtype: Link Rect: 369, 443, 405, 454 Annotation: Subtype: Link Rect: 172, 405, 210, 415 Annotation: Subtype: Link Rect: 216, 405, 252, 415 Annotation: Subtype: Link Rect: 100, 366, 137, 376 Annotation: Subtype: Link Rect: 278, 341, 316, 351 Annotation: Subtype: Link Rect: 322, 341, 358, 351 Annotation: Subtype: Link Rect: 479, 314, 516, 325 Annotation: Subtype: Link Rect: 100, 302, 136, 312 Annotation: Subtype: Link Rect: 480, 275, 516, 286 Annotation: Subtype: Link Rect: 297, 249, 334, 260 Annotation: Subtype: Link Rect: 229, 211, 266, 222 Annotation: Subtype: Link Rect: 269, 173, 307, 183 Annotation: Subtype: Link Rect: 100, 134, 137, 144 Annotation: Subtype: Link Rect: 100, 95, 137, 105 Annotation: Subtype: Link Rect: 143, 95, 179, 105 Page: Sequence: 24 Annotations: Annotation: Subtype: Link Rect: 281, 663, 318, 673 Annotation: Subtype: Link Rect: 324, 663, 361, 673 Annotation: Subtype: Link Rect: 330, 624, 368, 635 Annotation: Subtype: Link Rect: 374, 624, 410, 635 Annotation: Subtype: Link Rect: 136, 586, 174, 596 Annotation: Subtype: Link Rect: 180, 586, 216, 596 Annotation: Subtype: Link Rect: 199, 547, 237, 557 Annotation: Subtype: Link Rect: 243, 547, 279, 557 Annotation: Subtype: Link Rect: 474, 521, 512, 531 Annotation: Subtype: Link Rect: 323, 482, 360, 493 Annotation: Subtype: Link Rect: 252, 456, 289, 467 Annotation: Subtype: Link Rect: 463, 430, 501, 441 Annotation: Subtype: Link Rect: 478, 391, 516, 402 Annotation: Subtype: Link Rect: 100, 379, 136, 389 Annotation: Subtype: Link Rect: 478, 353, 516, 364 Annotation: Subtype: Link Rect: 100, 341, 136, 351 Annotation: Subtype: Link Rect: 100, 302, 137, 312 Annotation: Subtype: Link Rect: 143, 302, 179, 312 Annotation: Subtype: Link Rect: 420, 275, 457, 286 Annotation: Subtype: Link Rect: 312, 249, 350, 260 Annotation: Subtype: Link Rect: 213, 212, 250, 222 Annotation: Subtype: Link Rect: 100, 173, 137, 183 Annotation: Subtype: Link Rect: 287, 133, 324, 144 Annotation: Subtype: Link Rect: 163, 95, 201, 105 Page: Sequence: 25 Annotations: Annotation: Subtype: Link Rect: 414, 714, 451, 725 Annotation: Subtype: Link Rect: 479, 675, 516, 686 Annotation: Subtype: Link Rect: 100, 663, 136, 673 Annotation: Subtype: Link Rect: 347, 637, 384, 648 Annotation: Subtype: Link Rect: 254, 611, 291, 622 Annotation: Subtype: Link Rect: 478, 585, 516, 596 Annotation: Subtype: Link Rect: 100, 573, 136, 583 Annotation: Subtype: Link Rect: 100, 508, 137, 519 Annotation: Subtype: Link Rect: 409, 482, 446, 493 Annotation: Subtype: Link Rect: 136, 444, 174, 454 Annotation: Subtype: Link Rect: 286, 366, 323, 376 Annotation: Subtype: Link Rect: 349, 327, 386, 338 Annotation: Subtype: Link Rect: 159, 302, 196, 312 Annotation: Subtype: Link Rect: 277, 262, 315, 273 Annotation: Subtype: Link Rect: 321, 262, 357, 273 Annotation: Subtype: Link Rect: 261, 237, 298, 247 Annotation: Subtype: Link Rect: 304, 237, 340, 247 Annotation: Subtype: Link Rect: 163, 173, 200, 183 Annotation: Subtype: Link Rect: 206, 173, 243, 183 Annotation: Subtype: Link Rect: 177, 134, 214, 144 Annotation: Subtype: Link Rect: 220, 134, 256, 144 Annotation: Subtype: Link Rect: 279, 94, 316, 105 Page: Sequence: 26 Annotations: Annotation: Subtype: Link Rect: 251, 714, 289, 725 Annotation: Subtype: Link Rect: 216, 688, 254, 699 Annotation: Subtype: Link Rect: 163, 651, 200, 661 Annotation: Subtype: Link Rect: 136, 612, 174, 622 Annotation: Subtype: Link Rect: 180, 612, 216, 622 Annotation: Subtype: Link Rect: 267, 559, 304, 570 Annotation: Subtype: Link Rect: 310, 559, 346, 570 Annotation: Subtype: Link Rect: 347, 533, 384, 544 Annotation: Subtype: Link Rect: 391, 533, 427, 544 Annotation: Subtype: Link Rect: 100, 508, 137, 519 Annotation: Subtype: Link Rect: 372, 469, 410, 480 Annotation: Subtype: Link Rect: 273, 430, 311, 441 Annotation: Subtype: Link Rect: 362, 391, 399, 402 Annotation: Subtype: Link Rect: 217, 354, 255, 364 Annotation: Subtype: Link Rect: 145, 315, 182, 325 Annotation: Subtype: Link Rect: 208, 276, 245, 286 Annotation: Subtype: Link Rect: 272, 237, 310, 247 Annotation: Subtype: Link Rect: 338, 211, 375, 222 Annotation: Subtype: Link Rect: 382, 211, 418, 222 Annotation: Subtype: Link Rect: 100, 173, 137, 183 Annotation: Subtype: Link Rect: 143, 173, 179, 183 Annotation: Subtype: Link Rect: 438, 146, 475, 157 Annotation: Subtype: Link Rect: 481, 146, 516, 157 Annotation: Subtype: Link Rect: 438, 120, 475, 131 Annotation: Subtype: Link Rect: 481, 120, 516, 131 Annotation: Subtype: Link Rect: 136, 82, 174, 92 Annotation: Subtype: Link Rect: 180, 82, 216, 92 Page: Sequence: 27 Annotations: Annotation: Subtype: Link Rect: 324, 727, 362, 738 Annotation: Subtype: Link Rect: 198, 689, 236, 699 Annotation: Subtype: Link Rect: 238, 651, 275, 661 Annotation: Subtype: Link Rect: 424, 611, 462, 622 Annotation: Subtype: Link Rect: 323, 559, 361, 570 Annotation: Subtype: Link Rect: 320, 521, 358, 531 Annotation: Subtype: Link Rect: 349, 495, 386, 506 Annotation: Subtype: Link Rect: 393, 495, 429, 506 Annotation: Subtype: Link Rect: 455, 456, 493, 467 Annotation: Subtype: Link Rect: 158, 418, 196, 428 Annotation: Subtype: Link Rect: 478, 378, 516, 389 Annotation: Subtype: Link Rect: 100, 366, 136, 376 Annotation: Subtype: Link Rect: 320, 327, 358, 338 Annotation: Subtype: Link Rect: 136, 289, 174, 299 Annotation: Subtype: Link Rect: 180, 289, 216, 299 Annotation: Subtype: Link Rect: 330, 249, 367, 260 Annotation: Subtype: Link Rect: 246, 212, 284, 222 Annotation: Subtype: Link Rect: 478, 172, 516, 183 Annotation: Subtype: Link Rect: 100, 160, 136, 170 Annotation: Subtype: Link Rect: 311, 120, 349, 131 Annotation: Subtype: Link Rect: 355, 120, 391, 131 Annotation: Subtype: Link Rect: 178, 82, 215, 92 Annotation: Subtype: Link Rect: 221, 82, 257, 92 Page: Sequence: 28 Annotations: Annotation: Subtype: Link Rect: 296, 715, 333, 725 Annotation: Subtype: Link Rect: 320, 688, 358, 699 Annotation: Subtype: Link Rect: 137, 663, 174, 673 Annotation: Subtype: Link Rect: 199, 625, 236, 635 Annotation: Subtype: Link Rect: 212, 585, 249, 596 Annotation: Subtype: Link Rect: 363, 546, 401, 557 Annotation: Subtype: Link Rect: 467, 508, 504, 519 Annotation: Subtype: Link Rect: 230, 470, 267, 480 Annotation: Subtype: Link Rect: 273, 470, 309, 480 Annotation: Subtype: Link Rect: 239, 443, 276, 454 Annotation: Subtype: Link Rect: 282, 443, 318, 454 Annotation: Subtype: Link Rect: 100, 379, 137, 389 Annotation: Subtype: Link Rect: 143, 379, 179, 389 Annotation: Subtype: Link Rect: 282, 353, 320, 364 Annotation: Subtype: Link Rect: 228, 314, 265, 325 Annotation: Subtype: Link Rect: 150, 276, 187, 286 Annotation: Subtype: Link Rect: 150, 237, 187, 247 Annotation: Subtype: Link Rect: 431, 211, 469, 222 Annotation: Subtype: Link Rect: 479, 172, 516, 183 Annotation: Subtype: Link Rect: 354, 133, 392, 144 Annotation: Subtype: Link Rect: 100, 95, 137, 105 Annotation: Subtype: Link Rect: 351, 69, 389, 80 Page: Sequence: 29 Annotations: Annotation: Subtype: Link Rect: 384, 727, 422, 738 Annotation: Subtype: Link Rect: 428, 727, 464, 738 Annotation: Subtype: Link Rect: 231, 688, 269, 699 Annotation: Subtype: Link Rect: 275, 688, 311, 699 Annotation: Subtype: Link Rect: 415, 663, 453, 673 Annotation: Subtype: Link Rect: 459, 663, 495, 673 Annotation: Subtype: Link Rect: 182, 624, 220, 635 Annotation: Subtype: Link Rect: 226, 624, 262, 635 Annotation: Subtype: Link Rect: 257, 598, 294, 609 Annotation: Subtype: Link Rect: 475, 572, 512, 583 Annotation: Subtype: Link Rect: 218, 534, 256, 544 Annotation: Subtype: Link Rect: 354, 495, 392, 506 Annotation: Subtype: Link Rect: 337, 456, 375, 467 Annotation: Subtype: Link Rect: 381, 456, 417, 467 Annotation: Subtype: Link Rect: 136, 418, 174, 428 Annotation: Subtype: Link Rect: 180, 418, 216, 428 Annotation: Subtype: Link Rect: 238, 379, 275, 389 Annotation: Subtype: Link Rect: 281, 379, 317, 389 Annotation: Subtype: Link Rect: 100, 341, 137, 351 Annotation: Subtype: Link Rect: 143, 341, 179, 351 Annotation: Subtype: Link Rect: 100, 302, 137, 312 Annotation: Subtype: Link Rect: 143, 302, 179, 312 Annotation: Subtype: Link Rect: 247, 275, 284, 286 Annotation: Subtype: Link Rect: 290, 275, 326, 286 Annotation: Subtype: Link Rect: 269, 224, 307, 234 Annotation: Subtype: Link Rect: 100, 173, 137, 183 Annotation: Subtype: Link Rect: 235, 133, 273, 144 Annotation: Subtype: Link Rect: 461, 94, 499, 105 Page: Sequence: 30 Annotations: Annotation: Subtype: Link Rect: 478, 740, 516, 751 Annotation: Subtype: Link Rect: 100, 728, 136, 738 Annotation: Subtype: Link Rect: 189, 702, 227, 712 Annotation: Subtype: Link Rect: 233, 702, 269, 712 Annotation: Subtype: Link Rect: 194, 676, 231, 686 Annotation: Subtype: Link Rect: 238, 676, 274, 686 Annotation: Subtype: Link Rect: 201, 638, 239, 648 Annotation: Subtype: Link Rect: 100, 586, 137, 596 Annotation: Subtype: Link Rect: 143, 586, 179, 596 Annotation: Subtype: Link Rect: 226, 547, 264, 557 Annotation: Subtype: Link Rect: 270, 547, 306, 557 Annotation: Subtype: Link Rect: 411, 521, 448, 531 Annotation: Subtype: Link Rect: 136, 483, 174, 493 Annotation: Subtype: Link Rect: 225, 456, 263, 467 Annotation: Subtype: Link Rect: 207, 417, 244, 428 Annotation: Subtype: Link Rect: 478, 391, 516, 402 Annotation: Subtype: Link Rect: 100, 379, 136, 389 Annotation: Subtype: Link Rect: 100, 341, 137, 351 Annotation: Subtype: Link Rect: 143, 341, 179, 351 Annotation: Subtype: Link Rect: 149, 302, 187, 312 Annotation: Subtype: Link Rect: 193, 302, 229, 312 Annotation: Subtype: Link Rect: 478, 275, 516, 286 Annotation: Subtype: Link Rect: 100, 263, 136, 273 Annotation: Subtype: Link Rect: 310, 224, 348, 234 Annotation: Subtype: Link Rect: 354, 224, 390, 234 Annotation: Subtype: Link Rect: 384, 185, 421, 196 Annotation: Subtype: Link Rect: 428, 185, 464, 196 Annotation: Subtype: Link Rect: 145, 147, 182, 157 Annotation: Subtype: Link Rect: 172, 108, 210, 118 Annotation: Subtype: Link Rect: 216, 82, 253, 92 Page: Sequence: 31 Annotations: Annotation: Subtype: Link Rect: 136, 715, 173, 725 Annotation: Subtype: Link Rect: 393, 675, 429, 686 Annotation: Subtype: Link Rect: 145, 638, 182, 648 Annotation: Subtype: Link Rect: 189, 638, 225, 648 Annotation: Subtype: Link Rect: 437, 611, 474, 622 Annotation: Subtype: Link Rect: 481, 611, 516, 622 Annotation: Subtype: Link Rect: 431, 585, 469, 596 Annotation: Subtype: Link Rect: 468, 559, 506, 570 Annotation: Subtype: Link Rect: 100, 508, 137, 519 Annotation: Subtype: Link Rect: 276, 470, 313, 480 Annotation: Subtype: Link Rect: 240, 443, 278, 454 Annotation: Subtype: Link Rect: 480, 404, 516, 415 Annotation: Subtype: Link Rect: 122, 354, 160, 364 Annotation: Subtype: Link Rect: 299, 327, 336, 338 Annotation: Subtype: Link Rect: 342, 327, 379, 338 Annotation: Subtype: Link Rect: 276, 301, 314, 312 Annotation: Subtype: Link Rect: 320, 301, 356, 312 Annotation: Subtype: Link Rect: 154, 250, 191, 260 Annotation: Subtype: Link Rect: 198, 250, 234, 260 Annotation: Subtype: Link Rect: 363, 211, 401, 222 Annotation: Subtype: Link Rect: 407, 211, 443, 222 Annotation: Subtype: Link Rect: 377, 172, 414, 183 Annotation: Subtype: Link Rect: 367, 133, 404, 144 Page: Sequence: 32 Annotations: Annotation: Subtype: Link Rect: 194, 728, 231, 738 Annotation: Subtype: Link Rect: 220, 689, 257, 699 Annotation: Subtype: Link Rect: 76, 616, 166, 648 Annotation: Subtype: Link Rect: 234, 611, 407, 622 Checksum: e99d83f8 Type: CRC32 Checksum: dbb3a89c31c09f494f3048461ab28a97 Type: MD5 Checksum: 5b14fa4c3ea7264253a8f9d368b9c2ce82b76c01 Type: SHA-1