04492c2adde2277525c3a8352dbf6c51 pmc_33419043.pdf af95db289bd7b498ae37997e0297c0dd0caee5c7 pmc_33419043.pdf a8c2d2829a47d1d5a7de1df3abb06a46fea6fd1230718e399f8bb12f5fdef444 pmc_33419043.pdf Title: Epidemiology of Dog Bite Incidents in Chile: Factors Related to the Patterns of Human-Dog Relationship Subject: Dog bites are one of the main public health problems. They produce important consequences for those who suffer them (physical and psychological injuries, secondary infections, sequelae, risk of transmission of zoonoses and surgeries, among others). The objective of this study was to characterize epidemiologically the incidents of bites in Chile and the patterns of human-dog relationship involved. The records analyzed in this article were obtained from bitten patients who attended the main public health facilities in Chile during the period 17 September 2017 and 17 September 2018: In the period studied, 17,299 animal bites were recorded; however, only 7220 (41.74%) cases were analyzed in which the offending species could be identified. Of the bites analyzed, 6533 were caused by dogs (90.48%). Of these, 41.05% were caused by medium-sized dogs. Most bites were caused by dogs of mixed breeds (55.99%), followed by dogs of the German Shepherd breed (8.50%). Most of the dogs that bit were known to the victim (99.95%) and most of the attacks occurred indoors (57.48%). Although dog bite records have improved in Chile, it would be useful to also include background information on the context in which the incident occurred, which would be very useful for developing effective bite prevention programs. Keywords: bites; dog bites; dog aggression; epidemiology Author: Carmen Luz Barrios, Carlos Bustos-López, Carlos Pavletic, Alonso Parra, Macarena Vidal, Jonathan Bowen and Jaume Fatjó Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Jan 13 08:35:12 2021 CET ModDate: Wed Jan 13 08:38:22 2021 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 25 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 699977 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- DISXCT+VnURWPalladioL Type 1 Custom yes yes no 10 0 PWSIFF+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 MOGAPI+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 VDCVMH+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 SOZKOC+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 SZMRXJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 36 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 53 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 57 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 61 0 XVQULR+CMSY10 Type 1 Builtin yes yes no 76 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 95 0 BKEJKP+Calibri CID TrueType Identity-H yes yes yes 112 0 BKEGNI+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 118 0 BKEGOJ+PalatinoLinotype TrueType WinAnsi yes yes no 121 0 BKEGOL+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 124 0 BKEJKP+Calibri CID TrueType Identity-H yes yes yes 144 0 BKEGNI+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 150 0 BKEGOJ+PalatinoLinotype TrueType WinAnsi yes yes no 153 0 BKEGOL+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 156 0 LWALTY+VnURWPalladioL-Italic Type 1 Custom yes yes no 190 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:35:47 CEST RepresentationInformation: pmc_33419043.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:08:32 CEST Size: 699977 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 526 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Participants and Materials Destination: subsection.2.1 Item: Title: Methodology Destination: subsection.2.2 Item: Title: Statistic Analysis Destination: subsection.2.3 Item: Title: Results Destination: section.3 Children: Item: Title: Victim’s Information Destination: subsection.3.1 Item: Title: Biting Animal Destination: subsection.3.2 Children: Item: Title: Biting Animal Species Destination: subsubsection.3.2.1 Item: Title: Size and Breed of the Biting Animal Destination: subsubsection.3.2.2 Item: Title: Place of Residence of the Biting Animal Destination: subsubsection.3.2.3 Item: Title: Relationship of the Biting Animal and the Victim Destination: subsubsection.3.2.4 Item: Title: Context of the Attack Destination: subsection.3.3 Children: Item: Title: Location Where the Incident Occurred Destination: subsubsection.3.3.1 Item: Title: Seasonality of the Attack Destination: subsubsection.3.3.2 Item: Title: Characteristics of the Injury Destination: subsection.3.4 Item: Title: Discussion Destination: section.4 Children: Item: Title: Data Collection Systems Destination: subsection.4.1 Item: Title: Region Where the Attack Occurred Destination: subsection.4.2 Item: Title: Background of the Biting Animal Destination: subsection.4.3 Children: Item: Title: Type of Biting Animal Destination: subsubsection.4.3.1 Item: Title: Size of the Biting Animal Destination: subsubsection.4.3.2 Item: Title: Breed of the Biting Dog Destination: subsubsection.4.3.3 Item: Title: Ownership Situation (the Biting Animal Has a Residence) Destination: subsubsection.4.3.4 Item: Title: The Animal Lives with the Victim Destination: subsubsection.4.3.5 Item: Title: The Dog Belonged to the Victim Destination: subsubsection.4.3.6 Item: Title: Victim’s Background Destination: subsection.4.4 Children: Item: Title: Victim’s Gender Destination: subsubsection.4.4.1 Item: Title: Victim’s Age Destination: subsubsection.4.4.2 Item: Title: Context of the Attack Destination: subsection.4.5 Children: Item: Title: Location Where the Event Occurred Destination: subsubsection.4.5.1 Item: Title: Seasonality Destination: subsubsection.4.5.2 Item: Title: Type of Bite Destination: subsubsection.4.5.3 Item: Title: Conclusions Destination: section.5 Item: Title: Limitations of the Study Destination: section.6 Item: Title: References Destination: section.6 Info: Title: Epidemiology of Dog Bite Incidents in Chile: Factors Related to the Patterns of Human-Dog Relationship Author: Carmen Luz Barrios, Carlos Bustos-López, Carlos Pavletic, Alonso Parra, Macarena Vidal, Jonathan Bowen and Jaume Fatjó Subject: Dog bites are one of the main public health problems. They produce important consequences for those who suffer them (physical and psychological injuries, secondary infections, sequelae, risk of transmission of zoonoses and surgeries, among others). The objective of this study was to characterize epidemiologically the incidents of bites in Chile and the patterns of human-dog relationship involved. The records analyzed in this article were obtained from bitten patients who attended the main public health facilities in Chile during the period 17 September 2017 and 17 September 2018: In the period studied, 17,299 animal bites were recorded; however, only 7220 (41.74%) cases were analyzed in which the offending species could be identified. Of the bites analyzed, 6533 were caused by dogs (90.48%). Of these, 41.05% were caused by medium-sized dogs. Most bites were caused by dogs of mixed breeds (55.99%), followed by dogs of the German Shepherd breed (8.50%). Most of the dogs that bit were known to the victim (99.95%) and most of the attacks occurred indoors (57.48%). Although dog bite records have improved in Chile, it would be useful to also include background information on the context in which the incident occurred, which would be very useful for developing effective bite prevention programs. Keywords: bites; dog bites; dog aggression; epidemiology Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Jan 13 08:35:12 CET 2021 ModDate: Wed Jan 13 08:38:22 CET 2021 ID: 0x130917d5863c721a0217eb2c9158ddd1, 0x130917d5863c721a0217eb2c9158ddd1 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: MOGAPI+URWPalladioL-Bold FontSubset: true FirstChar: 2 LastChar: 148 FontDescriptor: FontName: MOGAPI+URWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: VDCVMH+URWPalladioL-Roma FontSubset: true FirstChar: 2 LastChar: 246 FontDescriptor: FontName: VDCVMH+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: DISXCT+VnURWPalladioL FontSubset: true FirstChar: 129 LastChar: 243 FontDescriptor: FontName: DISXCT+VnURWPalladioL Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: SOZKOC+VnURWPalladioL-Bold FontSubset: true FirstChar: 226 LastChar: 226 FontDescriptor: FontName: SOZKOC+VnURWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: XVQULR+CMSY10 FontSubset: true FirstChar: 0 LastChar: 21 FontDescriptor: FontName: XVQULR+CMSY10 Flags: Symbolic FontBBox: -29, -960, 1116, 775 FontFile: true Font: BaseFont: LWALTY+VnURWPalladioL-Italic FontSubset: true FirstChar: 161 LastChar: 243 FontDescriptor: FontName: LWALTY+VnURWPalladioL-Italic Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: PWSIFF+URWPalladioL-Ital FontSubset: true FirstChar: 2 LastChar: 196 FontDescriptor: FontName: PWSIFF+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: WBVKDJ+URWPalladioL-BoldItal FontSubset: true FirstChar: 112 LastChar: 112 FontDescriptor: FontName: WBVKDJ+URWPalladioL-BoldItal Flags: Symbolic FontBBox: -170, -300, 1073, 935 FontFile: true EncodingDictionary: Differences: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 35, 759, 165, 795 Annotation: Subtype: Link Rect: 515, 759, 560, 795 Annotation: Subtype: Link Rect: 75, 313, 154, 322 Annotation: Subtype: Link Rect: 35, 302, 101, 310 Annotation: Subtype: Link Rect: 35, 162, 97, 184 Annotation: Subtype: Link Rect: 123, 89, 154, 98 Annotation: Subtype: Link Rect: 35, 77, 154, 86 Annotation: Subtype: Link Rect: 35, 66, 49, 74 Annotation: Subtype: Link Rect: 446, 80, 453, 89 ActionDest: 184 Annotation: Subtype: Link Rect: 456, 80, 463, 89 ActionDest: 184 Annotation: Subtype: Link Rect: 108, 17, 243, 28 Annotation: Subtype: Link Rect: 407, 17, 558, 28 Annotation: Subtype: Link Rect: 35, 401, 87, 420 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 361, 737, 368, 746 ActionDest: 184 Annotation: Subtype: Link Rect: 371, 737, 378, 746 ActionDest: 184 Annotation: Subtype: Link Rect: 434, 737, 441, 746 ActionDest: 184 Annotation: Subtype: Link Rect: 444, 737, 451, 746 ActionDest: 184 Annotation: Subtype: Link Rect: 309, 724, 321, 733 ActionDest: 187 Annotation: Subtype: Link Rect: 285, 686, 292, 695 ActionDest: 184 Annotation: Subtype: Link Rect: 220, 674, 232, 683 ActionDest: 187 Annotation: Subtype: Link Rect: 291, 661, 303, 670 ActionDest: 187 Annotation: Subtype: Link Rect: 415, 649, 427, 658 ActionDest: 187 Annotation: Subtype: Link Rect: 454, 636, 466, 645 ActionDest: 187 Annotation: Subtype: Link Rect: 467, 636, 479, 645 ActionDest: 187 Annotation: Subtype: Link Rect: 210, 598, 222, 608 ActionDest: 187 Annotation: Subtype: Link Rect: 241, 536, 253, 545 ActionDest: 187 Annotation: Subtype: Link Rect: 293, 523, 305, 532 ActionDest: 187 Annotation: Subtype: Link Rect: 400, 473, 412, 482 ActionDest: 187 Annotation: Subtype: Link Rect: 283, 448, 295, 457 ActionDest: 187 Annotation: Subtype: Link Rect: 440, 347, 452, 356 ActionDest: 187 Annotation: Subtype: Link Rect: 452, 348, 464, 356 ActionDest: 187 Annotation: Subtype: Link Rect: 457, 310, 469, 319 ActionDest: 187 Annotation: Subtype: Link Rect: 531, 297, 543, 306 ActionDest: 187 Annotation: Subtype: Link Rect: 333, 285, 345, 294 ActionDest: 187 Annotation: Subtype: Link Rect: 223, 272, 235, 281 ActionDest: 187 Annotation: Subtype: Link Rect: 347, 259, 359, 269 ActionDest: 187 Annotation: Subtype: Link Rect: 196, 247, 208, 256 ActionDest: 187 Annotation: Subtype: Link Rect: 255, 234, 267, 244 ActionDest: 187 Annotation: Subtype: Link Rect: 408, 109, 420, 118 ActionDest: 187 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 353, 608, 365, 617 ActionDest: 187 Annotation: Subtype: Link Rect: 253, 392, 260, 404 ActionDest: 86 Page: Sequence: 4 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 204, 280, 215, 289 ActionDest: 187 Annotation: Subtype: Link Rect: 262, 270, 273, 278 ActionDest: 187 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 192, 310, 204, 319 ActionDest: 187 Annotation: Subtype: Link Rect: 206, 197, 218, 206 ActionDest: 187 Annotation: Subtype: Link Rect: 318, 170, 325, 181 ActionDest: 86 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 358, 707, 365, 719 ActionDest: 89 Annotation: Subtype: Link Rect: 280, 484, 289, 491 ActionDest: 187 Annotation: Subtype: Link Rect: 305, 484, 315, 491 ActionDest: 187 Annotation: Subtype: Link Rect: 535, 409, 542, 421 ActionDest: 89 Annotation: Subtype: Link Rect: 329, 208, 336, 220 ActionDest: 92 Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 325, 437, 332, 449 ActionDest: 92 Annotation: Subtype: Link Rect: 510, 360, 517, 372 ActionDest: 92 Annotation: Subtype: Link Rect: 239, 56, 246, 68 ActionDest: 102 Page: Sequence: 9 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 463, 437, 470, 449 ActionDest: 102 Annotation: Subtype: Link Rect: 549, 96, 556, 107 ActionDest: 102 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 239, 629, 246, 641 ActionDest: 127 Annotation: Subtype: Link Rect: 195, 451, 202, 463 ActionDest: 127 Annotation: Subtype: Link Rect: 419, 159, 431, 171 ActionDest: 127 Page: Sequence: 12 Annotations: Annotation: Subtype: Link Rect: 250, 683, 262, 694 ActionDest: 131 Annotation: Subtype: Link Rect: 466, 443, 478, 455 ActionDest: 131 Annotation: Subtype: Link Rect: 510, 158, 517, 170 ActionDest: 134 Page: Sequence: 13 Annotations: Annotation: Subtype: Link Rect: 252, 434, 263, 447 ActionDest: 134 Page: Sequence: 14 Annotations: Annotation: Subtype: Link Rect: 285, 679, 296, 690 ActionDest: 159 Annotation: Subtype: Link Rect: 337, 512, 349, 521 ActionDest: 187 Annotation: Subtype: Link Rect: 349, 512, 361, 521 ActionDest: 187 Annotation: Subtype: Link Rect: 399, 487, 411, 496 ActionDest: 187 Annotation: Subtype: Link Rect: 411, 487, 423, 496 ActionDest: 187 Annotation: Subtype: Link Rect: 190, 474, 202, 483 ActionDest: 187 Annotation: Subtype: Link Rect: 202, 474, 214, 483 ActionDest: 187 Annotation: Subtype: Link Rect: 252, 474, 264, 483 ActionDest: 187 Annotation: Subtype: Link Rect: 402, 474, 414, 483 ActionDest: 187 Annotation: Subtype: Link Rect: 302, 348, 314, 357 ActionDest: 187 Annotation: Subtype: Link Rect: 315, 348, 326, 357 ActionDest: 187 Annotation: Subtype: Link Rect: 428, 348, 440, 357 ActionDest: 187 Annotation: Subtype: Link Rect: 243, 323, 255, 332 ActionDest: 187 Annotation: Subtype: Link Rect: 523, 235, 535, 244 ActionDest: 194 Annotation: Subtype: Link Rect: 482, 85, 494, 94 ActionDest: 194 Annotation: Subtype: Link Rect: 495, 85, 507, 94 ActionDest: 194 Page: Sequence: 15 Annotations: Annotation: Subtype: Link Rect: 310, 496, 322, 505 ActionDest: 194 Annotation: Subtype: Link Rect: 200, 370, 212, 380 ActionDest: 187 Annotation: Subtype: Link Rect: 204, 295, 216, 304 ActionDest: 187 Annotation: Subtype: Link Rect: 241, 270, 253, 279 ActionDest: 187 Annotation: Subtype: Link Rect: 340, 193, 352, 203 ActionDest: 187 Annotation: Subtype: Link Rect: 284, 168, 296, 177 ActionDest: 187 Annotation: Subtype: Link Rect: 204, 143, 216, 152 ActionDest: 194 Annotation: Subtype: Link Rect: 169, 131, 181, 140 ActionDest: 187 Annotation: Subtype: Link Rect: 182, 131, 193, 140 ActionDest: 194 Annotation: Subtype: Link Rect: 194, 131, 206, 140 ActionDest: 194 Annotation: Subtype: Link Rect: 261, 131, 273, 140 ActionDest: 187 Annotation: Subtype: Link Rect: 186, 93, 197, 102 ActionDest: 194 Annotation: Subtype: Link Rect: 297, 80, 309, 90 ActionDest: 194 Page: Sequence: 16 Annotations: Annotation: Subtype: Link Rect: 439, 722, 451, 731 ActionDest: 194 Annotation: Subtype: Link Rect: 459, 634, 471, 643 ActionDest: 194 Annotation: Subtype: Link Rect: 417, 496, 429, 505 ActionDest: 187 Annotation: Subtype: Link Rect: 429, 496, 441, 505 ActionDest: 194 Annotation: Subtype: Link Rect: 474, 471, 486, 480 ActionDest: 194 Annotation: Subtype: Link Rect: 329, 458, 341, 467 ActionDest: 187 Annotation: Subtype: Link Rect: 341, 458, 353, 467 ActionDest: 194 Annotation: Subtype: Link Rect: 353, 458, 365, 467 ActionDest: 194 Annotation: Subtype: Link Rect: 362, 420, 374, 429 ActionDest: 194 Annotation: Subtype: Link Rect: 483, 420, 495, 429 ActionDest: 194 Annotation: Subtype: Link Rect: 499, 420, 510, 429 ActionDest: 194 Annotation: Subtype: Link Rect: 383, 395, 395, 404 ActionDest: 194 Annotation: Subtype: Link Rect: 456, 358, 468, 367 ActionDest: 194 Annotation: Subtype: Link Rect: 469, 358, 481, 367 ActionDest: 194 Annotation: Subtype: Link Rect: 544, 345, 556, 354 ActionDest: 194 Annotation: Subtype: Link Rect: 182, 257, 194, 266 ActionDest: 194 Annotation: Subtype: Link Rect: 439, 232, 451, 241 ActionDest: 194 Annotation: Subtype: Link Rect: 299, 207, 311, 216 ActionDest: 194 Annotation: Subtype: Link Rect: 274, 194, 286, 203 ActionDest: 194 Annotation: Subtype: Link Rect: 275, 94, 287, 103 ActionDest: 194 Page: Sequence: 17 Annotations: Annotation: Subtype: Link Rect: 229, 722, 241, 731 ActionDest: 187 Annotation: Subtype: Link Rect: 302, 710, 314, 719 ActionDest: 194 Annotation: Subtype: Link Rect: 449, 647, 461, 656 ActionDest: 194 Annotation: Subtype: Link Rect: 462, 647, 474, 656 ActionDest: 194 Annotation: Subtype: Link Rect: 392, 634, 404, 643 ActionDest: 194 Annotation: Subtype: Link Rect: 505, 609, 517, 618 ActionDest: 194 Annotation: Subtype: Link Rect: 520, 609, 532, 618 ActionDest: 194 Annotation: Subtype: Link Rect: 212, 572, 224, 581 ActionDest: 194 Annotation: Subtype: Link Rect: 219, 547, 231, 556 ActionDest: 187 Annotation: Subtype: Link Rect: 194, 522, 206, 530 ActionDest: 187 Annotation: Subtype: Link Rect: 515, 484, 527, 493 ActionDest: 194 Annotation: Subtype: Link Rect: 376, 371, 388, 380 ActionDest: 194 Annotation: Subtype: Link Rect: 472, 333, 484, 342 ActionDest: 194 Annotation: Subtype: Link Rect: 514, 157, 526, 166 ActionDest: 194 Annotation: Subtype: Link Rect: 275, 132, 286, 141 ActionDest: 194 Annotation: Subtype: Link Rect: 204, 94, 216, 103 ActionDest: 187 Page: Sequence: 18 Annotations: Annotation: Subtype: Link Rect: 384, 710, 396, 719 ActionDest: 194 Annotation: Subtype: Link Rect: 449, 672, 461, 681 ActionDest: 194 Annotation: Subtype: Link Rect: 455, 647, 467, 656 ActionDest: 194 Annotation: Subtype: Link Rect: 531, 420, 543, 429 ActionDest: 194 Annotation: Subtype: Link Rect: 543, 420, 555, 429 ActionDest: 194 Annotation: Subtype: Link Rect: 197, 407, 209, 416 ActionDest: 187 Annotation: Subtype: Link Rect: 326, 407, 338, 416 ActionDest: 187 Annotation: Subtype: Link Rect: 367, 407, 379, 416 ActionDest: 194 Annotation: Subtype: Link Rect: 437, 407, 449, 416 ActionDest: 194 Annotation: Subtype: Link Rect: 262, 395, 274, 404 ActionDest: 187 Annotation: Subtype: Link Rect: 274, 395, 286, 404 ActionDest: 187 Annotation: Subtype: Link Rect: 287, 395, 299, 404 ActionDest: 194 Annotation: Subtype: Link Rect: 299, 395, 311, 404 ActionDest: 197 Annotation: Subtype: Link Rect: 486, 345, 498, 354 ActionDest: 197 Annotation: Subtype: Link Rect: 347, 332, 359, 341 ActionDest: 197 Annotation: Subtype: Link Rect: 413, 319, 425, 328 ActionDest: 197 Annotation: Subtype: Link Rect: 345, 193, 357, 203 ActionDest: 187 Annotation: Subtype: Link Rect: 268, 169, 280, 177 ActionDest: 194 Annotation: Subtype: Link Rect: 449, 106, 461, 115 ActionDest: 187 Page: Sequence: 19 Annotations: Annotation: Subtype: Link Rect: 255, 735, 267, 744 ActionDest: 197 Annotation: Subtype: Link Rect: 267, 735, 279, 744 ActionDest: 197 Annotation: Subtype: Link Rect: 510, 672, 522, 681 ActionDest: 197 Annotation: Subtype: Link Rect: 295, 622, 307, 631 ActionDest: 187 Annotation: Subtype: Link Rect: 386, 458, 398, 466 ActionDest: 187 Annotation: Subtype: Link Rect: 350, 432, 362, 441 ActionDest: 197 Annotation: Subtype: Link Rect: 498, 420, 510, 429 ActionDest: 197 Annotation: Subtype: Link Rect: 392, 407, 403, 416 ActionDest: 194 Annotation: Subtype: Link Rect: 544, 319, 556, 328 ActionDest: 197 Annotation: Subtype: Link Rect: 324, 269, 336, 278 ActionDest: 194 Annotation: Subtype: Link Rect: 206, 257, 218, 266 ActionDest: 187 Annotation: Subtype: Link Rect: 219, 257, 230, 266 ActionDest: 197 Annotation: Subtype: Link Rect: 233, 257, 245, 266 ActionDest: 197 Annotation: Subtype: Link Rect: 229, 169, 241, 178 ActionDest: 187 Annotation: Subtype: Link Rect: 209, 131, 221, 140 ActionDest: 187 Page: Sequence: 20 Annotations: Annotation: Subtype: Link Rect: 216, 685, 228, 694 ActionDest: 197 Annotation: Subtype: Link Rect: 378, 634, 390, 643 ActionDest: 197 Annotation: Subtype: Link Rect: 214, 622, 226, 631 ActionDest: 187 Annotation: Subtype: Link Rect: 353, 521, 365, 530 ActionDest: 197 Annotation: Subtype: Link Rect: 366, 521, 378, 530 ActionDest: 197 Annotation: Subtype: Link Rect: 237, 509, 249, 518 ActionDest: 187 Annotation: Subtype: Link Rect: 440, 496, 452, 505 ActionDest: 194 Annotation: Subtype: Link Rect: 453, 496, 465, 505 ActionDest: 197 Annotation: Subtype: Link Rect: 192, 433, 204, 443 ActionDest: 197 Annotation: Subtype: Link Rect: 278, 408, 289, 417 ActionDest: 197 Annotation: Subtype: Link Rect: 544, 383, 556, 392 ActionDest: 197 Annotation: Subtype: Link Rect: 525, 371, 537, 380 ActionDest: 197 Annotation: Subtype: Link Rect: 510, 358, 522, 367 ActionDest: 194 Page: Sequence: 21 Annotations: Annotation: Subtype: Link Rect: 319, 571, 331, 580 ActionDest: 187 Annotation: Subtype: Link Rect: 332, 571, 344, 580 ActionDest: 194 Annotation: Subtype: Link Rect: 344, 571, 356, 580 ActionDest: 197 Annotation: Subtype: Link Rect: 424, 559, 436, 568 ActionDest: 187 Annotation: Subtype: Link Rect: 493, 559, 505, 568 ActionDest: 194 Annotation: Subtype: Link Rect: 414, 445, 426, 455 ActionDest: 187 Annotation: Subtype: Link Rect: 426, 445, 438, 455 ActionDest: 187 Annotation: Subtype: Link Rect: 337, 408, 349, 417 ActionDest: 194 Page: Sequence: 22 Annotations: Annotation: Subtype: Link Rect: 385, 685, 397, 694 ActionDest: 197 Annotation: Subtype: Link Rect: 405, 355, 416, 363 ActionDest: 187 Annotation: Subtype: Link Rect: 313, 256, 350, 267 Annotation: Subtype: Link Rect: 357, 256, 393, 267 Annotation: Subtype: Link Rect: 317, 233, 355, 244 Annotation: Subtype: Link Rect: 361, 233, 397, 244 Annotation: Subtype: Link Rect: 391, 210, 428, 221 Annotation: Subtype: Link Rect: 434, 210, 470, 221 Annotation: Subtype: Link Rect: 520, 187, 557, 198 Annotation: Subtype: Link Rect: 261, 152, 298, 163 Annotation: Subtype: Link Rect: 304, 152, 340, 163 Annotation: Subtype: Link Rect: 336, 129, 373, 140 Annotation: Subtype: Link Rect: 254, 106, 292, 117 Annotation: Subtype: Link Rect: 242, 84, 279, 94 Annotation: Subtype: Link Rect: 289, 72, 326, 83 Page: Sequence: 23 Annotations: Annotation: Subtype: Link Rect: 407, 721, 445, 732 Annotation: Subtype: Link Rect: 488, 709, 525, 720 Annotation: Subtype: Link Rect: 306, 687, 344, 697 Annotation: Subtype: Link Rect: 292, 675, 435, 686 Annotation: Subtype: Link Rect: 253, 653, 291, 663 Annotation: Subtype: Link Rect: 56, 629, 289, 640 Annotation: Subtype: Link Rect: 405, 606, 442, 617 Annotation: Subtype: Link Rect: 448, 606, 484, 617 Annotation: Subtype: Link Rect: 131, 584, 168, 594 Annotation: Subtype: Link Rect: 174, 584, 210, 594 Annotation: Subtype: Link Rect: 428, 571, 560, 582 Annotation: Subtype: Link Rect: 421, 525, 560, 536 Annotation: Subtype: Link Rect: 56, 514, 262, 525 Annotation: Subtype: Link Rect: 174, 491, 373, 502 Annotation: Subtype: Link Rect: 478, 468, 515, 479 Annotation: Subtype: Link Rect: 521, 468, 557, 479 Annotation: Subtype: Link Rect: 430, 445, 468, 456 Annotation: Subtype: Link Rect: 192, 423, 230, 433 Annotation: Subtype: Link Rect: 408, 399, 445, 410 Annotation: Subtype: Link Rect: 462, 376, 500, 387 Annotation: Subtype: Link Rect: 464, 365, 501, 376 Annotation: Subtype: Link Rect: 508, 365, 544, 376 Annotation: Subtype: Link Rect: 313, 307, 560, 318 Annotation: Subtype: Link Rect: 56, 272, 284, 283 Annotation: Subtype: Link Rect: 507, 261, 560, 272 Annotation: Subtype: Link Rect: 56, 249, 520, 260 Annotation: Subtype: Link Rect: 122, 215, 160, 226 Annotation: Subtype: Link Rect: 95, 181, 133, 191 Annotation: Subtype: Link Rect: 139, 181, 175, 191 Annotation: Subtype: Link Rect: 258, 134, 296, 145 Annotation: Subtype: Link Rect: 302, 134, 338, 145 Annotation: Subtype: Link Rect: 374, 111, 412, 122 Annotation: Subtype: Link Rect: 519, 88, 557, 99 Page: Sequence: 24 Annotations: Annotation: Subtype: Link Rect: 246, 722, 284, 732 Annotation: Subtype: Link Rect: 460, 709, 498, 720 Annotation: Subtype: Link Rect: 461, 698, 499, 709 Annotation: Subtype: Link Rect: 505, 698, 541, 709 Annotation: Subtype: Link Rect: 249, 686, 560, 697 Annotation: Subtype: Link Rect: 56, 675, 228, 686 Annotation: Subtype: Link Rect: 415, 652, 452, 663 Annotation: Subtype: Link Rect: 384, 629, 422, 640 Annotation: Subtype: Link Rect: 242, 594, 280, 605 Annotation: Subtype: Link Rect: 359, 583, 560, 594 Annotation: Subtype: Link Rect: 56, 571, 247, 582 Annotation: Subtype: Link Rect: 352, 560, 560, 571 Annotation: Subtype: Link Rect: 56, 548, 401, 559 Annotation: Subtype: Link Rect: 410, 491, 560, 502 Annotation: Subtype: Link Rect: 56, 479, 183, 490 Annotation: Subtype: Link Rect: 363, 456, 401, 467 Annotation: Subtype: Link Rect: 520, 445, 557, 456 Annotation: Subtype: Link Rect: 290, 422, 328, 433 Annotation: Subtype: Link Rect: 200, 388, 238, 398 Annotation: Subtype: Link Rect: 95, 365, 133, 375 Annotation: Subtype: Link Rect: 362, 341, 399, 352 Annotation: Subtype: Link Rect: 405, 341, 441, 352 Annotation: Subtype: Link Rect: 95, 319, 133, 329 Annotation: Subtype: Link Rect: 139, 319, 175, 329 Annotation: Subtype: Link Rect: 227, 295, 265, 306 Annotation: Subtype: Link Rect: 197, 273, 235, 283 Annotation: Subtype: Link Rect: 77, 238, 115, 249 Annotation: Subtype: Link Rect: 435, 215, 472, 226 Annotation: Subtype: Link Rect: 412, 134, 449, 145 Annotation: Subtype: Link Rect: 406, 100, 443, 111 Annotation: Subtype: Link Rect: 449, 100, 485, 111 Annotation: Subtype: Link Rect: 430, 88, 468, 99 Annotation: Subtype: Link Rect: 474, 88, 510, 99 Annotation: Subtype: Link Rect: 206, 65, 244, 76 Annotation: Subtype: Link Rect: 250, 65, 286, 76 Page: Sequence: 25 Annotations: Annotation: Subtype: Link Rect: 231, 721, 268, 732 Annotation: Subtype: Link Rect: 453, 675, 491, 686 Annotation: Subtype: Link Rect: 284, 653, 321, 663 Annotation: Subtype: Link Rect: 435, 629, 472, 640 Annotation: Subtype: Link Rect: 260, 617, 497, 628 Annotation: Subtype: Link Rect: 262, 583, 560, 594 Annotation: Subtype: Link Rect: 56, 571, 117, 582 Annotation: Subtype: Link Rect: 424, 548, 461, 559 Annotation: Subtype: Link Rect: 125, 502, 323, 513 Annotation: Subtype: Link Rect: 154, 479, 353, 490 Annotation: Subtype: Link Rect: 287, 456, 560, 467 Annotation: Subtype: Link Rect: 56, 445, 144, 456 Annotation: Subtype: Link Rect: 227, 422, 497, 433 Annotation: Subtype: Link Rect: 519, 341, 557, 352 Annotation: Subtype: Link Rect: 59, 331, 95, 341 Annotation: Subtype: Link Rect: 376, 318, 560, 329 Annotation: Subtype: Link Rect: 56, 307, 387, 318 Checksum: c05d2b36 Type: CRC32 Checksum: 04492c2adde2277525c3a8352dbf6c51 Type: MD5 Checksum: af95db289bd7b498ae37997e0297c0dd0caee5c7 Type: SHA-1 Checksum: a8c2d2829a47d1d5a7de1df3abb06a46fea6fd1230718e399f8bb12f5fdef444 Type: SHA-256