b9f8b4b6494f1b2def8de62144ddf1ae zwae179.pdf 386cc91edfc48d4917fa96d0e364ffab8f88a483 zwae179.pdf b9a63407f75254348a3a8c754f1c65387c3a6112dedf5eb9d3373ef0c4a46a0e zwae179.pdf Title: Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT Subject: DOI: 10.1093/eurjpc/zwae179; European Journal of Preventive Cardiology, 31, 11, 2024-06-19.; Abstract: Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients’ physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus Keywords: Diabetes; Dyslipidaemia; Exercise training; Heart failure; Heart transplantation; Hypertension; Physical activity; Prevention; Primary prevention; Rehabilitation; Risk factors; Secondary prevention Author: Maria Simonenko Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64); modified using iTextSharp 4.1.6 by 1T3XT CreationDate: Wed Aug 14 03:32:44 2024 CEST ModDate: Thu May 15 15:53:30 2025 CEST Custom Metadata: yes Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.276 x 793.701 pts Page rot: 0 File size: 805021 bytes Optimized: no PDF version: 1.6 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- HRRBCI+ArialMT TrueType WinAnsi yes yes no 1 0 MMFWBI+GillSansNova-Book CID TrueType Identity-H yes yes yes 41 0 PJWVEI+GillSansNova-Bold CID TrueType Identity-H yes yes yes 42 0 VZUBRW+GillSansNova-Heavy CID TrueType Identity-H yes yes yes 39 0 LYAYUV+GillSansNova-BookItalic CID TrueType Identity-H yes yes yes 40 0 KYHSNH+STIXGeneral-Regular Type 1C Custom yes yes yes 49 0 OQZVRU+TimesNewRomanPSMT CID TrueType Identity-H yes yes yes 53 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-05-16 02:13:58 CEST RepresentationInformation: zwae179.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-05-15 15:54:34 CEST Size: 805021 Format: PDF Version: 1.6 Status: Well-Formed, but not valid SignatureMatches: PDF-hul ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff29' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff48' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff33' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff15' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff42' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff8' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff39' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff23' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff3' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff25' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff20' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff49' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff13' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff41' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff28' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff34' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff7' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff14' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff10' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff31' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff38' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff4' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff24' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff5' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff17' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff45' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff36' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff21' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff40' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff27' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff30' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff35' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff18' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff11' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff44' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff32' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff37' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff16' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff46' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff6' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff47' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff22' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff26' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff43' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff2' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff9' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff19' cannot be found ID: PDF-HUL-149 ErrorMessage: Invalid indirect destination - referenced object 'affzwae179-aff12' cannot be found ID: PDF-HUL-149 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff22' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff27' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff46' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff18' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff41' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff4' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff17' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff12' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff36' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff40' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff45' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff31' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff26' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff47' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff30' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff23' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff16' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff9' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff44' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff20' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff37' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff5' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff13' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff2' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff34' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff39' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff15' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff10' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff48' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff24' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff43' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff8' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff33' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff38' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff6' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff19' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff14' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff42' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff21' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff3' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff28' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff35' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff29' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff49' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff11' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff25' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff7' cannot be found ID: PDF-HUL-122 Offset: 661997 ErrorMessage: edu.harvard.hul.ois.jhove.module.pdf.PdfInvalidException: Invalid indirect destination - referenced object 'affzwae179-aff32' cannot be found ID: PDF-HUL-122 Offset: 661997 MIMEtype: application/pdf Profile: Tagged PDF PDFMetadata: Objects: 2941 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: OneColumn PageMode: UseOutlines Language: en Outlines: Item: Title: Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT Destination: head1 Children: Item: Title: Introduction Destination: seczwae179-s0 Item: Title: Features of the heart transplant population Destination: seczwae179-s1 Item: Title: Risk conditions after heart transplantation: The need for multidisciplinary prevention and rehabilitation Destination: seczwae179-s2 Item: Title: Prevention after heart transplantation Destination: seczwae179-s3 Children: Item: Title: Lifestyle changes and sex Destination: seczwae179-s3.1 Item: Title: Psychosocial support and return to work Destination: seczwae179-s3.2 Item: Title: Complications of immunosuppression Destination: seczwae179-s3.3 Item: Title: Arterial hypertension Destination: seczwae179-s3.4 Item: Title: Dyslipidaemia Destination: seczwae179-s3.5 Item: Title: Thromboembolic complications Destination: seczwae179-s3.6 Item: Title: Osteoporosis Destination: seczwae179-s3.7 Item: Title: Post-transplant diabetes mellitus Destination: seczwae179-s3.8 Item: Title: Vaccination Destination: seczwae179-s3.9 Item: Title: Factors affecting exercise capacity Destination: seczwae179-s4 Children: Item: Title: Effect of cardiac de- and reinnervation on exercise capacity Destination: seczwae179-s4.1 Item: Title: Post-heart transplant arrhythmias during exercise Destination: seczwae179-s4.2 Item: Title: Atherosclerosis and cardiac allograft vasculopathy Destination: seczwae179-s4.3 Item: Title: Post-heart transplant nutrition Destination: seczwae179-s4.4 Item: Title: Skeletal muscle abnormalities Destination: seczwae179-s4.5 Item: Title: The impact of frailty on post-heart transplant follow-up Destination: seczwae179-s4.6 Item: Title: Associations between exercise and the immune landscape Destination: seczwae179-s4.7 Item: Title: Rehabilitation after heart transplantation Destination: seczwae179-s5 Children: Item: Title: Early- and long-term cardiac rehabilitation Destination: seczwae179-s5.1 Item: Title: Exercise after heart transplantation: Practical implementation Destination: seczwae179-s5.2 Children: Item: Title: Risk stratification assessment Destination: seczwae179-s5.2.1 Item: Title: Shared decision-making Destination: seczwae179-s5.2.2 Item: Title: Data monitoring Destination: seczwae179-s5.2.3 Item: Title: Exercise modality adjustment Destination: seczwae179-s5.2.4 Item: Title: Other issues Destination: seczwae179-s5.2.5 Item: Title: High-intensity interval training after heart transplantation Destination: seczwae179-s5.3 Item: Title: Benefits of exercise rehabilitation after heart transplantation Destination: seczwae179-s5.4 Children: Item: Title: Arterial hypertension Destination: seczwae179-s5.4.1 Item: Title: Diabetes Destination: seczwae179-s5.4.2 Item: Title: Osteoporosis Destination: seczwae179-s5.4.3 Item: Title: Heart reinnervation Destination: seczwae179-s5.4.4 Item: Title: Atherosclerosis Destination: seczwae179-s5.4.5 Item: Title: Quality of life Destination: seczwae179-s5.4.6 Item: Title: Gaps in knowledge Destination: seczwae179-s6 Item: Title: Conclusion, including open questions and future research Destination: seczwae179-s7 Item: Title: Acknowledgements Destination: acknow Item: Title: Funding Destination: seczwae179-s8 Item: Title: References Destination: reflist Info: Title: Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT Author: Maria Simonenko Subject: DOI: 10.1093/eurjpc/zwae179; European Journal of Preventive Cardiology, 31, 11, 2024-06-19.; Abstract: Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients’ physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus Keywords: Diabetes; Dyslipidaemia; Exercise training; Heart failure; Heart transplantation; Hypertension; Physical activity; Prevention; Primary prevention; Rehabilitation; Risk factors; Secondary prevention Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64); modified using iTextSharp 4.1.6 by 1T3XT CreationDate: Wed Aug 14 04:02:44 CEST 2024 ModDate: Thu May 15 15:53:30 CEST 2025 ID: 0xab8001175730a6c9e189b72bdb0055db, 0x86873c3b8eb402b78ab14b6a48de3aa6 Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 943 ImageHeight: 300 BitsPerSample: 8 BitsPerSampleUnit: integer Fonts: Type0: Font: BaseFont: OQZVRU+TimesNewRomanPSMT Encoding: Identity-H ToUnicode: true Font: BaseFont: VZUBRW+GillSansNova-Heavy Encoding: Identity-H ToUnicode: true Font: BaseFont: LYAYUV+GillSansNova-BookItalic Encoding: Identity-H ToUnicode: true Font: BaseFont: MMFWBI+GillSansNova-Book Encoding: Identity-H ToUnicode: true Font: BaseFont: PJWVEI+GillSansNova-Bold Encoding: Identity-H ToUnicode: true Type1: Font: BaseFont: KYHSNH+STIXGeneral-Regular FontSubset: true FirstChar: 1 LastChar: 5 FontDescriptor: FontName: KYHSNH+STIXGeneral-Regular Flags: Nonsymbolic FontBBox: -995, -455, 2000, 1055 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true TrueType: Font: BaseFont: HRRBCI+ArialMT FontSubset: true FirstChar: 32 LastChar: 121 FontDescriptor: FontName: HRRBCI+ArialMT Flags: Nonsymbolic FontBBox: -664, -324, 2000, 1039 FontFile2: true Encoding: WinAnsiEncoding CIDFontType2: Font: BaseFont: MMFWBI+GillSansNova-Book CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: MMFWBI+GillSansNova-Book Flags: Nonsymbolic FontBBox: -420, -251, 1219, 950 FontFile2: true Font: BaseFont: LYAYUV+GillSansNova-BookItalic CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: LYAYUV+GillSansNova-BookItalic Flags: Nonsymbolic, Italic FontBBox: -316, -235, 1219, 950 FontFile2: true Font: BaseFont: VZUBRW+GillSansNova-Heavy CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: VZUBRW+GillSansNova-Heavy Flags: Nonsymbolic, ForceBold FontBBox: -504, -287, 1375, 966 FontFile2: true Font: BaseFont: OQZVRU+TimesNewRomanPSMT CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: OQZVRU+TimesNewRomanPSMT Flags: Nonsymbolic FontBBox: -568, -307, 2046, 1040 FontFile2: true Font: BaseFont: PJWVEI+GillSansNova-Bold CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: PJWVEI+GillSansNova-Bold Flags: Nonsymbolic, ForceBold FontBBox: -476, -276, 1276, 961 FontFile2: true XMP: uuid:c2d94245-40e0-48ed-8e4b-ba825409b653 uuid:469D481E-4DCA-2EE1-A59D-BF367FEFD35D True Diabetes; Dyslipidaemia; Exercise training; Heart failure; Heart transplantation; Hypertension; Physical activity; Prevention; Primary prevention; Rehabilitation; Risk factors; Secondary prevention PDFlib+PDI 9.0.7p3 (C++/Win64); modified using iTextSharp 4.1.6 by 1T3XT application/pdf 10.1093/eurjpc/zwae179 en Oxford University Press Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT Maria Simonenko Dominique Hansen Josef Niebauer Maurizio Volterrani Stamatis Adamopoulos Cristiano Amarelli Marco Ambrosetti Stefan D. Anker Antonio Bayes-Genis Tuvia Ben Gal T. Scott Bowen Francesco Cacciatore Giuseppe Caminiti Elena Cavarretta Ovidiu Chioncel Andrew J.S. Coats Alain Cohen-Solal Flavio D’Ascenzi Carmen de Pablo Zarzosa Andreas B. Gevaert Finn Gustafsson Hareld Kemps Loreena Hill Tiny Jaarsma Ewa Jankowska Emer Joyce Nicolle Krankel Mitja Lainscak Lars H. Lund Brenda Moura Kari Nytrøen Elena Osto Massimo Piepoli Luciano Potena Amina Rakisheva Giuseppe Rosano Gianluigi Savarese Petar M. Seferovic David R. Thompson Thomas Thum Emeline M. Van Craenenbroeck DOI: 10.1093/eurjpc/zwae179; European Journal of Preventive Cardiology, 31, 11, 2024-06-19.; Abstract: Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients’ physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus © The Authors 2024. Published by John Wiley & Sons Limited and Oxford University Press on behalf of the European Society of Cardiology, and Frontiers Media SA on behalf of the European Society for Organ Transplantation. Diabetes Dyslipidaemia Exercise training Heart failure Heart transplantation Hypertension Physical activity Prevention Primary prevention Rehabilitation Risk factors Secondary prevention Journal European Journal of Preventive Cardiology © The Authors 2024. Published by John Wiley & Sons Limited and Oxford University Press on behalf of the European Society of Cardiology, and Frontiers Media SA on behalf of the European Society for Organ Transplantation. 2047-4873 2047-4881 31 11 1385 1399 10.1093/eurjpc/zwae179 https://doi.org/10.1093/eurjpc/zwae179 2024-08-14T07:02:44+05:30 2025-05-15T13:53:30+00:00 Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 2025-05-15T13:53:30+00:00 PStill version 1.84.42 1 PDF/UA Universal Accessibility Schema http://www.aiim.org/pdfua/ns/id/ pdfuaid part Integer internal Indicates, which part of ISO 14289 standard is followed Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 149, 470, 159, 480 Flags: Print Annotation: Subtype: Link Rect: 161, 473, 166, 486 Flags: Print Destination: 2100 Annotation: Subtype: Link Rect: 291, 473, 296, 486 Flags: Print Destination: null Annotation: Subtype: Link Rect: 298, 473, 304, 486 Flags: Print Destination: null Annotation: Subtype: Link Rect: 399, 470, 409, 480 Flags: Print Annotation: Subtype: Link Rect: 412, 473, 417, 486 Flags: Print Destination: null Annotation: Subtype: Link Rect: 537, 473, 542, 486 Flags: Print Destination: null Annotation: Subtype: Link Rect: 180, 457, 185, 470 Flags: Print Destination: null Annotation: Subtype: Link Rect: 300, 457, 305, 470 Flags: Print Destination: null Annotation: Subtype: Link Rect: 421, 457, 427, 470 Flags: Print Destination: null Annotation: Subtype: Link Rect: 528, 457, 533, 470 Flags: Print Destination: null Annotation: Subtype: Link Rect: 168, 441, 178, 454 Flags: Print Destination: null Annotation: Subtype: Link Rect: 267, 441, 277, 454 Flags: Print Destination: null Annotation: Subtype: Link Rect: 375, 441, 386, 454 Flags: Print Destination: null Annotation: Subtype: Link Rect: 519, 441, 529, 454 Flags: Print Destination: null Annotation: Subtype: Link Rect: 151, 425, 156, 438 Flags: Print Destination: null Annotation: Subtype: Link Rect: 263, 425, 273, 438 Flags: Print Destination: null Annotation: Subtype: Link Rect: 276, 425, 286, 438 Flags: Print Destination: null Annotation: Subtype: Link Rect: 387, 425, 397, 438 Flags: Print Destination: null Annotation: Subtype: Link Rect: 400, 425, 410, 438 Flags: Print Destination: null Annotation: Subtype: Link Rect: 523, 425, 533, 438 Flags: Print Destination: null Annotation: Subtype: Link Rect: 148, 409, 158, 422 Flags: Print Destination: null Annotation: Subtype: Link Rect: 262, 409, 272, 422 Flags: Print Destination: null Annotation: Subtype: Link Rect: 432, 409, 442, 422 Flags: Print Destination: null Annotation: Subtype: Link Rect: 159, 393, 169, 406 Flags: Print Destination: null Annotation: Subtype: Link Rect: 172, 393, 182, 406 Flags: Print Destination: null Annotation: Subtype: Link Rect: 283, 393, 293, 406 Flags: Print Destination: null Annotation: Subtype: Link Rect: 385, 393, 396, 406 Flags: Print Destination: null Annotation: Subtype: Link Rect: 398, 393, 409, 406 Flags: Print Destination: null Annotation: Subtype: Link Rect: 488, 393, 498, 406 Flags: Print Destination: null Annotation: Subtype: Link Rect: 118, 377, 129, 390 Flags: Print Destination: null Annotation: Subtype: Link Rect: 131, 377, 142, 390 Flags: Print Destination: null Annotation: Subtype: Link Rect: 239, 377, 250, 390 Flags: Print Destination: null Annotation: Subtype: Link Rect: 324, 377, 334, 390 Flags: Print Destination: null Annotation: Subtype: Link Rect: 337, 377, 347, 390 Flags: Print Destination: null Annotation: Subtype: Link Rect: 445, 377, 456, 390 Flags: Print Destination: null Annotation: Subtype: Link Rect: 125, 361, 136, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 218, 361, 228, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 320, 361, 330, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 333, 361, 343, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 429, 361, 440, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 511, 361, 521, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 524, 361, 534, 374 Flags: Print Destination: null Annotation: Subtype: Link Rect: 137, 345, 148, 358 Flags: Print Destination: null Annotation: Subtype: Link Rect: 150, 345, 161, 358 Flags: Print Destination: null Annotation: Subtype: Link Rect: 259, 345, 269, 358 Flags: Print Destination: null Annotation: Subtype: Link Rect: 378, 345, 388, 358 Flags: Print Destination: null Annotation: Subtype: Link Rect: 391, 345, 401, 358 Flags: Print Destination: null Annotation: Subtype: Link Rect: 510, 345, 521, 358 Flags: Print Destination: null Annotation: Subtype: Link Rect: 148, 329, 159, 342 Flags: Print Destination: null Annotation: Subtype: Link Rect: 274, 329, 284, 342 Flags: Print Destination: null Annotation: Subtype: Link Rect: 408, 329, 418, 342 Flags: Print Destination: null Annotation: Subtype: Link Rect: 512, 329, 522, 342 Flags: Print Destination: null Annotation: Subtype: Link Rect: 254, 313, 264, 326 Flags: Print Destination: null Annotation: Subtype: Link Rect: 267, 313, 277, 326 Flags: Print Destination: null Annotation: Subtype: Link Rect: 205, 98, 293, 105 Flags: Print Annotation: Subtype: Link Rect: 191, 71, 313, 78 Flags: Print Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 107, 388, 110, 397 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 185, 336, 188, 345 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 190, 336, 193, 345 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 245, 187, 249, 196 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 352, 324, 356, 333 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 359, 324, 362, 333 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 544, 324, 548, 333 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 549, 324, 552, 333 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 390, 229, 394, 238 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 546, 208, 552, 217 Flags: Print Destination: 72 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 196, 655, 202, 664 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 284, 561, 291, 570 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 258, 453, 265, 462 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 246, 432, 253, 441 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 230, 411, 236, 420 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 181, 306, 188, 315 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 222, 264, 229, 273 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 274, 254, 281, 263 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 284, 254, 291, 263 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 88, 233, 95, 242 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 154, 180, 161, 189 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 164, 180, 171, 189 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 276, 120, 283, 129 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 284, 120, 291, 129 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 496, 729, 503, 738 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 504, 729, 511, 738 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 332, 708, 335, 717 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 336, 708, 343, 717 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 344, 708, 351, 717 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 344, 687, 351, 696 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 352, 687, 359, 696 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 362, 687, 369, 696 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 534, 676, 541, 685 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 348, 666, 355, 675 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 514, 666, 520, 675 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 522, 666, 528, 675 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 530, 666, 536, 675 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 538, 666, 544, 675 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 506, 645, 513, 654 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 487, 624, 494, 633 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 453, 571, 459, 580 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 463, 571, 470, 580 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 551, 540, 558, 549 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 400, 498, 407, 507 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 551, 477, 558, 486 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 541, 435, 548, 444 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 551, 435, 558, 444 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 473, 340, 480, 349 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 551, 298, 558, 307 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 442, 267, 448, 276 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 450, 267, 456, 276 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 384, 256, 391, 265 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 392, 256, 399, 265 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 400, 256, 407, 265 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 373, 235, 380, 244 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 358, 225, 365, 234 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 366, 225, 373, 234 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 392, 193, 398, 202 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 400, 193, 406, 202 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 408, 193, 414, 202 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 416, 193, 423, 202 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 329, 162, 335, 171 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 438, 130, 445, 139 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 368, 109, 375, 118 Flags: Print Destination: 76 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 108, 631, 111, 640 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 112, 631, 119, 640 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 122, 631, 129, 640 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 241, 599, 248, 608 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 249, 599, 256, 608 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 279, 578, 285, 587 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 61, 494, 67, 503 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 59, 442, 65, 451 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 100, 379, 107, 388 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 279, 347, 285, 356 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 87, 316, 94, 325 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 97, 316, 104, 325 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 279, 274, 285, 283 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 279, 263, 285, 272 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 270, 242, 277, 251 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 279, 242, 285, 251 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 145, 211, 152, 220 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 177, 148, 183, 157 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 185, 148, 191, 157 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 112, 116, 119, 125 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 193, 95, 199, 104 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 519, 718, 525, 727 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 546, 672, 552, 681 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 389, 641, 395, 650 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 333, 588, 339, 597 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 341, 588, 347, 597 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 349, 588, 356, 597 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 366, 557, 373, 566 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 515, 536, 522, 545 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 538, 494, 544, 503 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 546, 494, 552, 503 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 336, 452, 342, 461 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 439, 357, 445, 366 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 417, 326, 424, 335 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 364, 305, 370, 314 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 390, 284, 397, 293 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 355, 263, 362, 272 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 546, 252, 552, 261 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 466, 221, 473, 230 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 474, 221, 481, 230 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 482, 221, 489, 230 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 512, 95, 519, 104 Flags: Print Destination: 79 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 168, 403, 175, 412 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 155, 393, 161, 402 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 248, 361, 255, 370 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 256, 361, 263, 370 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 131, 298, 138, 307 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 235, 235, 242, 244 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 243, 235, 250, 244 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 276, 204, 283, 213 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 284, 204, 291, 213 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 284, 183, 291, 192 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 42, 158, 68, 167 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 69, 162, 76, 171 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 77, 162, 84, 171 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 83, 78, 89, 87 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 349, 458, 356, 467 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 357, 458, 364, 467 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 551, 458, 558, 467 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 434, 427, 441, 436 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 372, 395, 378, 404 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 380, 395, 386, 404 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 442, 385, 449, 394 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 405, 374, 411, 383 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 488, 364, 495, 373 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 497, 364, 503, 373 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 497, 301, 504, 310 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 507, 301, 514, 310 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 401, 225, 408, 234 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 476, 214, 483, 223 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 468, 204, 475, 213 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 497, 193, 503, 202 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 551, 172, 558, 181 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 371, 120, 378, 129 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 443, 109, 450, 118 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 551, 109, 558, 118 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 373, 57, 379, 66 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 530, 722, 538, 731 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 540, 722, 547, 731 Flags: Print Destination: 79 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 177, 704, 184, 713 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 186, 704, 192, 713 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 72, 683, 79, 692 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 119, 662, 125, 671 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 129, 662, 139, 671 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 95, 515, 105, 524 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 106, 515, 116, 524 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 195, 431, 205, 440 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 144, 329, 154, 338 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 110, 277, 120, 286 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 138, 214, 148, 223 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 73, 182, 84, 191 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 269, 172, 279, 181 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 264, 57, 268, 66 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 269, 57, 276, 66 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 408, 697, 415, 706 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 494, 655, 505, 664 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 542, 624, 552, 633 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 370, 592, 377, 601 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 461, 571, 472, 580 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 421, 519, 431, 528 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 542, 456, 552, 465 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 332, 414, 342, 423 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 546, 403, 552, 412 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 338, 319, 349, 328 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 350, 319, 360, 328 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 494, 288, 504, 297 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 505, 288, 515, 297 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 417, 267, 427, 276 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 390, 235, 400, 244 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 491, 214, 494, 223 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 534, 172, 541, 181 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 542, 172, 552, 181 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 442, 130, 449, 139 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 450, 57, 460, 66 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 462, 57, 472, 66 Flags: Print Destination: 82 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 269, 718, 280, 727 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 281, 718, 291, 727 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 215, 697, 225, 706 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 209, 655, 219, 664 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 58, 613, 68, 622 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 253, 571, 264, 580 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 60, 456, 70, 465 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 104, 424, 114, 433 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 176, 393, 186, 402 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 116, 325, 123, 334 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 124, 325, 131, 334 Flags: Print Destination: 79 Annotation: Subtype: Link Rect: 132, 325, 142, 334 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 85, 262, 95, 271 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 97, 262, 107, 271 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 94, 209, 100, 218 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 102, 209, 112, 218 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 248, 162, 258, 171 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 122, 109, 132, 118 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 72, 88, 82, 97 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 338, 697, 348, 706 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 507, 613, 517, 622 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 519, 613, 529, 622 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 548, 592, 558, 601 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 468, 561, 478, 570 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 425, 519, 435, 528 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 436, 519, 446, 528 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 551, 456, 558, 465 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 466, 435, 476, 444 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 479, 435, 489, 444 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 312, 410, 337, 419 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 483, 393, 493, 402 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 372, 319, 383, 328 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 386, 319, 396, 328 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 438, 235, 448, 244 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 450, 235, 459, 244 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 367, 172, 376, 181 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 525, 141, 535, 150 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 536, 141, 546, 150 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 548, 141, 558, 150 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 392, 57, 399, 66 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 401, 57, 407, 66 Flags: Print Destination: 72 Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 63, 273, 87, 282 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 109, 246, 112, 255 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 117, 172, 120, 181 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 206, 151, 215, 160 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 219, 151, 229, 160 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 164, 78, 168, 87 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 260, 67, 270, 76 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 399, 489, 403, 498 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 317, 468, 328, 477 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 441, 405, 451, 414 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 440, 394, 443, 403 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 451, 331, 454, 340 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 493, 310, 497, 319 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 329, 296, 354, 305 Flags: Print Destination: 63 Annotation: Subtype: Link Rect: 542, 216, 552, 225 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 343, 57, 347, 66 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 348, 57, 355, 66 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 356, 57, 366, 66 Flags: Print Destination: 85 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 111, 277, 121, 286 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 256, 235, 266, 244 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 286, 156, 289, 165 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 112, 78, 115, 87 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 117, 78, 127, 87 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 412, 181, 421, 190 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 342, 118, 345, 127 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 346, 118, 352, 127 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 353, 118, 363, 127 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 364, 118, 373, 127 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 374, 118, 383, 127 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 389, 722, 393, 731 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 395, 722, 403, 731 Flags: Print Destination: 79 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 162, 669, 172, 678 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 133, 564, 143, 573 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 133, 501, 137, 510 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 52, 470, 62, 479 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 63, 470, 73, 479 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 229, 470, 240, 479 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 114, 459, 125, 468 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 126, 459, 136, 468 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 247, 459, 257, 468 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 205, 449, 216, 458 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 66, 407, 70, 416 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 71, 407, 78, 416 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 79, 407, 86, 416 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 87, 407, 97, 416 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 99, 407, 109, 416 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 112, 407, 122, 416 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 201, 270, 228, 279 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 517, 687, 527, 696 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 354, 655, 363, 664 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 465, 582, 474, 591 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 484, 571, 490, 580 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 373, 561, 379, 570 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 542, 508, 552, 517 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 437, 433, 447, 442 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 338, 378, 347, 388 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 392, 358, 398, 367 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 394, 326, 403, 335 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 416, 248, 423, 257 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 467, 227, 477, 236 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 479, 227, 489, 236 Flags: Print Destination: 85 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 281, 708, 288, 717 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 241, 650, 248, 659 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 94, 640, 104, 649 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 126, 577, 136, 586 Flags: Print Destination: 82 Annotation: Subtype: Link Rect: 181, 519, 187, 528 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 142, 498, 149, 507 Flags: Print Destination: 76 Annotation: Subtype: Link Rect: 139, 477, 149, 486 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 163, 456, 173, 465 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 68, 425, 78, 434 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 237, 393, 247, 402 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 260, 372, 270, 381 Flags: Print Destination: 85 Annotation: Subtype: Link Rect: 316, 481, 320, 488 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 518, 443, 558, 450 Flags: Print Annotation: Subtype: Link Rect: 324, 433, 405, 440 Flags: Print Annotation: Subtype: Link Rect: 316, 424, 320, 431 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 409, 386, 530, 393 Flags: Print Annotation: Subtype: Link Rect: 316, 376, 320, 383 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 369, 357, 484, 364 Flags: Print Annotation: Subtype: Link Rect: 316, 348, 320, 355 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 448, 329, 558, 336 Flags: Print Annotation: Subtype: Link Rect: 324, 319, 334, 326 Flags: Print Annotation: Subtype: Link Rect: 316, 310, 320, 317 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 352, 291, 464, 298 Flags: Print Annotation: Subtype: Link Rect: 316, 281, 320, 288 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 435, 262, 547, 269 Flags: Print Annotation: Subtype: Link Rect: 316, 253, 320, 260 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 316, 224, 320, 231 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 413, 205, 503, 212 Flags: Print Annotation: Subtype: Link Rect: 316, 196, 320, 203 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 358, 177, 498, 184 Flags: Print Annotation: Subtype: Link Rect: 313, 167, 320, 174 Flags: Print Destination: 35 Annotation: Subtype: Link Rect: 362, 139, 485, 146 Flags: Print Annotation: Subtype: Link Rect: 313, 129, 320, 136 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 494, 110, 558, 117 Flags: Print Annotation: Subtype: Link Rect: 324, 101, 391, 108 Flags: Print Annotation: Subtype: Link Rect: 313, 91, 320, 98 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 406, 72, 526, 79 Flags: Print Annotation: Subtype: Link Rect: 313, 63, 320, 70 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 404, 53, 518, 60 Flags: Print Page: Sequence: 12 Annotations: Annotation: Subtype: Link Rect: 40, 727, 47, 734 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 218, 717, 285, 724 Flags: Print Annotation: Subtype: Link Rect: 51, 707, 105, 714 Flags: Print Annotation: Subtype: Link Rect: 40, 698, 47, 705 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 88, 679, 234, 686 Flags: Print Annotation: Subtype: Link Rect: 40, 669, 47, 676 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 153, 650, 270, 657 Flags: Print Annotation: Subtype: Link Rect: 40, 640, 47, 647 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 185, 621, 285, 628 Flags: Print Annotation: Subtype: Link Rect: 51, 611, 86, 618 Flags: Print Annotation: Subtype: Link Rect: 40, 602, 47, 609 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 267, 553, 285, 560 Flags: Print Annotation: Subtype: Link Rect: 51, 544, 164, 551 Flags: Print Annotation: Subtype: Link Rect: 40, 534, 47, 541 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 157, 515, 252, 522 Flags: Print Annotation: Subtype: Link Rect: 40, 505, 47, 512 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 257, 467, 285, 474 Flags: Print Annotation: Subtype: Link Rect: 51, 457, 154, 464 Flags: Print Annotation: Subtype: Link Rect: 40, 448, 47, 455 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 237, 428, 285, 435 Flags: Print Annotation: Subtype: Link Rect: 51, 419, 122, 426 Flags: Print Annotation: Subtype: Link Rect: 40, 409, 47, 416 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 92, 390, 216, 397 Flags: Print Annotation: Subtype: Link Rect: 40, 380, 47, 387 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 51, 351, 172, 358 Flags: Print Annotation: Subtype: Link Rect: 40, 342, 47, 349 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 40, 313, 47, 320 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 51, 294, 197, 301 Flags: Print Annotation: Subtype: Link Rect: 40, 284, 47, 291 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 257, 274, 285, 281 Flags: Print Annotation: Subtype: Link Rect: 51, 265, 162, 272 Flags: Print Annotation: Subtype: Link Rect: 40, 255, 47, 262 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 109, 236, 230, 243 Flags: Print Annotation: Subtype: Link Rect: 40, 226, 47, 233 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 178, 207, 285, 214 Flags: Print Annotation: Subtype: Link Rect: 40, 198, 47, 205 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 199, 188, 285, 195 Flags: Print Annotation: Subtype: Link Rect: 51, 178, 85, 185 Flags: Print Annotation: Subtype: Link Rect: 40, 169, 47, 176 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 95, 149, 223, 156 Flags: Print Annotation: Subtype: Link Rect: 40, 140, 47, 147 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 51, 121, 191, 128 Flags: Print Annotation: Subtype: Link Rect: 40, 111, 47, 118 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 145, 101, 285, 108 Flags: Print Annotation: Subtype: Link Rect: 40, 92, 47, 99 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 51, 73, 162, 80 Flags: Print Annotation: Subtype: Link Rect: 40, 63, 47, 70 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 458, 727, 552, 734 Flags: Print Annotation: Subtype: Link Rect: 318, 717, 369, 724 Flags: Print Annotation: Subtype: Link Rect: 307, 708, 314, 715 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 459, 688, 552, 695 Flags: Print Annotation: Subtype: Link Rect: 318, 679, 339, 686 Flags: Print Annotation: Subtype: Link Rect: 307, 669, 314, 676 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 504, 659, 552, 666 Flags: Print Annotation: Subtype: Link Rect: 318, 650, 394, 657 Flags: Print Annotation: Subtype: Link Rect: 307, 640, 314, 647 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 467, 631, 552, 638 Flags: Print Annotation: Subtype: Link Rect: 318, 621, 338, 628 Flags: Print Annotation: Subtype: Link Rect: 307, 611, 314, 618 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 355, 592, 489, 599 Flags: Print Annotation: Subtype: Link Rect: 307, 583, 314, 590 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 416, 563, 552, 570 Flags: Print Annotation: Subtype: Link Rect: 318, 554, 339, 561 Flags: Print Annotation: Subtype: Link Rect: 307, 544, 314, 551 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 402, 525, 521, 532 Flags: Print Annotation: Subtype: Link Rect: 307, 515, 314, 522 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 355, 496, 486, 503 Flags: Print Annotation: Subtype: Link Rect: 307, 486, 314, 493 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 405, 467, 538, 474 Flags: Print Annotation: Subtype: Link Rect: 307, 458, 314, 464 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 534, 448, 552, 455 Flags: Print Annotation: Subtype: Link Rect: 318, 438, 431, 445 Flags: Print Annotation: Subtype: Link Rect: 307, 429, 314, 436 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 318, 400, 450, 407 Flags: Print Annotation: Subtype: Link Rect: 307, 390, 314, 397 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 524, 380, 552, 388 Flags: Print Annotation: Subtype: Link Rect: 318, 371, 397, 378 Flags: Print Annotation: Subtype: Link Rect: 307, 361, 314, 368 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 387, 323, 503, 330 Flags: Print Annotation: Subtype: Link Rect: 307, 313, 314, 320 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 318, 294, 437, 301 Flags: Print Annotation: Subtype: Link Rect: 307, 284, 314, 291 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 346, 265, 465, 272 Flags: Print Annotation: Subtype: Link Rect: 307, 255, 314, 262 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 445, 236, 533, 243 Flags: Print Annotation: Subtype: Link Rect: 307, 227, 314, 234 Flags: Print Destination: 43 Annotation: Subtype: Link Rect: 318, 198, 457, 205 Flags: Print Annotation: Subtype: Link Rect: 307, 188, 314, 195 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 353, 169, 468, 176 Flags: Print Annotation: Subtype: Link Rect: 307, 159, 314, 166 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 524, 150, 552, 157 Flags: Print Annotation: Subtype: Link Rect: 318, 140, 411, 147 Flags: Print Annotation: Subtype: Link Rect: 307, 130, 314, 137 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 406, 111, 510, 118 Flags: Print Annotation: Subtype: Link Rect: 307, 102, 314, 109 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 488, 92, 552, 99 Flags: Print Annotation: Subtype: Link Rect: 318, 82, 356, 89 Flags: Print Annotation: Subtype: Link Rect: 307, 73, 314, 80 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 400, 53, 505, 60 Flags: Print Page: Sequence: 13 Annotations: Annotation: Subtype: Link Rect: 46, 727, 53, 734 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 251, 707, 291, 714 Flags: Print Annotation: Subtype: Link Rect: 57, 698, 137, 705 Flags: Print Annotation: Subtype: Link Rect: 46, 688, 53, 695 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 227, 659, 291, 666 Flags: Print Annotation: Subtype: Link Rect: 57, 650, 120, 657 Flags: Print Annotation: Subtype: Link Rect: 46, 640, 53, 647 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 168, 611, 291, 618 Flags: Print Annotation: Subtype: Link Rect: 46, 602, 53, 609 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 168, 592, 258, 599 Flags: Print Annotation: Subtype: Link Rect: 46, 582, 53, 589 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 46, 563, 53, 570 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 170, 544, 285, 551 Flags: Print Annotation: Subtype: Link Rect: 46, 534, 53, 541 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 243, 525, 291, 532 Flags: Print Annotation: Subtype: Link Rect: 57, 515, 110, 522 Flags: Print Annotation: Subtype: Link Rect: 46, 506, 53, 513 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 227, 496, 291, 503 Flags: Print Annotation: Subtype: Link Rect: 57, 486, 155, 493 Flags: Print Annotation: Subtype: Link Rect: 46, 477, 53, 484 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 192, 467, 291, 474 Flags: Print Annotation: Subtype: Link Rect: 57, 457, 77, 464 Flags: Print Annotation: Subtype: Link Rect: 46, 448, 53, 455 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 85, 438, 221, 445 Flags: Print Annotation: Subtype: Link Rect: 46, 429, 53, 436 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 142, 390, 262, 397 Flags: Print Annotation: Subtype: Link Rect: 46, 381, 53, 388 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 46, 361, 53, 368 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 214, 323, 291, 330 Flags: Print Annotation: Subtype: Link Rect: 57, 313, 113, 320 Flags: Print Annotation: Subtype: Link Rect: 46, 304, 53, 311 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 206, 294, 291, 301 Flags: Print Annotation: Subtype: Link Rect: 57, 284, 97, 291 Flags: Print Annotation: Subtype: Link Rect: 46, 275, 53, 282 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 113, 265, 228, 272 Flags: Print Annotation: Subtype: Link Rect: 46, 256, 53, 263 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 200, 236, 291, 243 Flags: Print Annotation: Subtype: Link Rect: 57, 227, 77, 234 Flags: Print Annotation: Subtype: Link Rect: 46, 217, 53, 224 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 140, 178, 252, 185 Flags: Print Annotation: Subtype: Link Rect: 46, 169, 53, 176 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 57, 140, 196, 147 Flags: Print Annotation: Subtype: Link Rect: 46, 130, 53, 137 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 243, 121, 291, 128 Flags: Print Annotation: Subtype: Link Rect: 57, 111, 155, 118 Flags: Print Annotation: Subtype: Link Rect: 46, 102, 53, 109 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 57, 82, 158, 89 Flags: Print Annotation: Subtype: Link Rect: 46, 73, 53, 80 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 145, 53, 266, 60 Flags: Print Annotation: Subtype: Link Rect: 313, 727, 320, 734 Flags: Print Destination: 46 Annotation: Subtype: Link Rect: 468, 717, 558, 724 Flags: Print Annotation: Subtype: Link Rect: 324, 707, 341, 714 Flags: Print Annotation: Subtype: Link Rect: 313, 698, 320, 705 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 451, 688, 549, 695 Flags: Print Annotation: Subtype: Link Rect: 313, 679, 320, 686 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 352, 650, 463, 657 Flags: Print Annotation: Subtype: Link Rect: 313, 640, 320, 647 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 494, 631, 558, 638 Flags: Print Annotation: Subtype: Link Rect: 324, 621, 420, 628 Flags: Print Annotation: Subtype: Link Rect: 313, 611, 320, 618 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 429, 592, 520, 599 Flags: Print Annotation: Subtype: Link Rect: 313, 583, 320, 590 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 359, 563, 454, 570 Flags: Print Annotation: Subtype: Link Rect: 313, 554, 320, 561 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 341, 534, 474, 541 Flags: Print Annotation: Subtype: Link Rect: 313, 525, 320, 532 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 350, 515, 558, 522 Flags: Print Annotation: Subtype: Link Rect: 324, 506, 443, 513 Flags: Print Annotation: Subtype: Link Rect: 313, 496, 320, 503 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 401, 477, 523, 484 Flags: Print Annotation: Subtype: Link Rect: 313, 467, 320, 474 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 361, 438, 481, 445 Flags: Print Annotation: Subtype: Link Rect: 313, 429, 320, 436 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 452, 400, 543, 407 Flags: Print Annotation: Subtype: Link Rect: 313, 390, 320, 397 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 406, 371, 526, 378 Flags: Print Annotation: Subtype: Link Rect: 313, 361, 320, 368 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 444, 342, 558, 349 Flags: Print Annotation: Subtype: Link Rect: 324, 332, 346, 339 Flags: Print Annotation: Subtype: Link Rect: 313, 323, 320, 330 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 352, 303, 478, 310 Flags: Print Annotation: Subtype: Link Rect: 313, 294, 320, 301 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 529, 275, 558, 282 Flags: Print Annotation: Subtype: Link Rect: 324, 265, 431, 272 Flags: Print Annotation: Subtype: Link Rect: 313, 255, 320, 262 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 424, 246, 546, 253 Flags: Print Annotation: Subtype: Link Rect: 313, 236, 320, 243 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 390, 217, 491, 224 Flags: Print Annotation: Subtype: Link Rect: 313, 207, 320, 214 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 354, 178, 470, 185 Flags: Print Annotation: Subtype: Link Rect: 313, 169, 320, 176 Flags: Print Destination: 50 Annotation: Subtype: Link Rect: 359, 150, 498, 157 Flags: Print Annotation: Subtype: Link Rect: 313, 140, 320, 147 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 392, 121, 500, 128 Flags: Print Annotation: Subtype: Link Rect: 313, 111, 320, 118 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 359, 82, 448, 89 Flags: Print Annotation: Subtype: Link Rect: 313, 73, 320, 80 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 406, 53, 530, 60 Flags: Print Page: Sequence: 14 Annotations: Annotation: Subtype: Link Rect: 40, 727, 47, 734 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 51, 698, 191, 705 Flags: Print Annotation: Subtype: Link Rect: 36, 688, 47, 695 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 86, 669, 178, 676 Flags: Print Annotation: Subtype: Link Rect: 36, 659, 47, 666 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 136, 640, 256, 647 Flags: Print Annotation: Subtype: Link Rect: 36, 631, 47, 638 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 148, 602, 268, 609 Flags: Print Annotation: Subtype: Link Rect: 36, 592, 47, 599 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 79, 573, 211, 580 Flags: Print Annotation: Subtype: Link Rect: 36, 563, 47, 570 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 75, 534, 166, 541 Flags: Print Annotation: Subtype: Link Rect: 36, 525, 47, 532 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 86, 496, 175, 503 Flags: Print Annotation: Subtype: Link Rect: 36, 486, 47, 493 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 238, 477, 285, 484 Flags: Print Annotation: Subtype: Link Rect: 51, 467, 257, 474 Flags: Print Annotation: Subtype: Link Rect: 51, 457, 233, 464 Flags: Print Annotation: Subtype: Link Rect: 36, 448, 47, 455 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 169, 428, 285, 435 Flags: Print Annotation: Subtype: Link Rect: 51, 419, 68, 426 Flags: Print Annotation: Subtype: Link Rect: 36, 409, 47, 416 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 176, 390, 285, 397 Flags: Print Annotation: Subtype: Link Rect: 51, 380, 74, 387 Flags: Print Annotation: Subtype: Link Rect: 36, 371, 47, 378 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 136, 352, 244, 359 Flags: Print Annotation: Subtype: Link Rect: 36, 342, 47, 349 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 155, 313, 244, 320 Flags: Print Annotation: Subtype: Link Rect: 36, 304, 47, 311 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 79, 284, 179, 291 Flags: Print Annotation: Subtype: Link Rect: 36, 275, 47, 282 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 237, 265, 285, 272 Flags: Print Annotation: Subtype: Link Rect: 51, 255, 116, 262 Flags: Print Annotation: Subtype: Link Rect: 36, 246, 47, 253 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 36, 217, 47, 224 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 237, 207, 285, 214 Flags: Print Annotation: Subtype: Link Rect: 51, 198, 94, 205 Flags: Print Annotation: Subtype: Link Rect: 36, 188, 47, 195 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 104, 169, 194, 176 Flags: Print Annotation: Subtype: Link Rect: 36, 159, 47, 166 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 86, 140, 199, 147 Flags: Print Annotation: Subtype: Link Rect: 36, 131, 47, 138 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 267, 92, 285, 99 Flags: Print Annotation: Subtype: Link Rect: 51, 82, 153, 89 Flags: Print Annotation: Subtype: Link Rect: 36, 73, 47, 80 Flags: Print Destination: 54 Annotation: Subtype: Link Rect: 51, 53, 149, 60 Flags: Print Annotation: Subtype: Link Rect: 303, 727, 314, 734 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 455, 707, 552, 714 Flags: Print Annotation: Subtype: Link Rect: 318, 698, 329, 705 Flags: Print Annotation: Subtype: Link Rect: 303, 688, 314, 695 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 346, 669, 473, 676 Flags: Print Annotation: Subtype: Link Rect: 303, 659, 314, 666 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 389, 640, 531, 647 Flags: Print Annotation: Subtype: Link Rect: 303, 631, 314, 638 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 488, 611, 552, 618 Flags: Print Annotation: Subtype: Link Rect: 318, 602, 376, 609 Flags: Print Annotation: Subtype: Link Rect: 303, 592, 314, 599 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 391, 573, 503, 580 Flags: Print Annotation: Subtype: Link Rect: 303, 563, 314, 570 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 451, 544, 552, 551 Flags: Print Annotation: Subtype: Link Rect: 318, 534, 337, 541 Flags: Print Annotation: Subtype: Link Rect: 303, 525, 314, 532 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 524, 515, 552, 522 Flags: Print Annotation: Subtype: Link Rect: 318, 505, 410, 512 Flags: Print Annotation: Subtype: Link Rect: 303, 496, 314, 503 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 534, 486, 552, 493 Flags: Print Annotation: Subtype: Link Rect: 318, 477, 433, 484 Flags: Print Annotation: Subtype: Link Rect: 303, 467, 314, 474 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 402, 448, 538, 455 Flags: Print Annotation: Subtype: Link Rect: 303, 438, 314, 445 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 472, 428, 552, 436 Flags: Print Annotation: Subtype: Link Rect: 318, 419, 343, 426 Flags: Print Annotation: Subtype: Link Rect: 303, 409, 314, 416 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 534, 400, 552, 407 Flags: Print Annotation: Subtype: Link Rect: 318, 390, 429, 397 Flags: Print Annotation: Subtype: Link Rect: 303, 380, 314, 388 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 400, 361, 537, 368 Flags: Print Annotation: Subtype: Link Rect: 303, 352, 314, 359 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 512, 342, 552, 349 Flags: Print Annotation: Subtype: Link Rect: 318, 332, 401, 339 Flags: Print Annotation: Subtype: Link Rect: 303, 323, 314, 330 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 318, 294, 419, 301 Flags: Print Annotation: Subtype: Link Rect: 303, 284, 314, 291 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 318, 265, 478, 272 Flags: Print Annotation: Subtype: Link Rect: 303, 255, 314, 262 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 339, 236, 459, 243 Flags: Print Annotation: Subtype: Link Rect: 303, 227, 314, 234 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 388, 207, 524, 214 Flags: Print Annotation: Subtype: Link Rect: 303, 198, 314, 205 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 534, 188, 552, 195 Flags: Print Annotation: Subtype: Link Rect: 318, 178, 410, 185 Flags: Print Annotation: Subtype: Link Rect: 303, 169, 314, 176 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 346, 150, 463, 157 Flags: Print Annotation: Subtype: Link Rect: 303, 140, 314, 147 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 460, 121, 549, 128 Flags: Print Annotation: Subtype: Link Rect: 303, 111, 314, 118 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 332, 92, 454, 99 Flags: Print Annotation: Subtype: Link Rect: 303, 82, 314, 89 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 454, 63, 552, 70 Flags: Print Annotation: Subtype: Link Rect: 318, 53, 339, 60 Flags: Print Page: Sequence: 15 Annotations: Annotation: Subtype: Link Rect: 42, 727, 53, 734 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 106, 708, 223, 715 Flags: Print Annotation: Subtype: Link Rect: 42, 698, 53, 705 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 105, 679, 235, 686 Flags: Print Annotation: Subtype: Link Rect: 42, 670, 53, 677 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 85, 641, 215, 648 Flags: Print Annotation: Subtype: Link Rect: 42, 632, 53, 639 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 42, 594, 53, 601 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 42, 565, 53, 572 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 191, 546, 291, 553 Flags: Print Annotation: Subtype: Link Rect: 57, 537, 81, 544 Flags: Print Annotation: Subtype: Link Rect: 42, 527, 53, 534 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 57, 499, 187, 506 Flags: Print Annotation: Subtype: Link Rect: 42, 489, 53, 496 Flags: Print Destination: 57 Annotation: Subtype: Link Rect: 146, 470, 267, 477 Flags: Print Annotation: Subtype: Link Rect: 42, 461, 53, 468 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 228, 461, 291, 468 Flags: Print Annotation: Subtype: Link Rect: 57, 451, 287, 458 Flags: Print Annotation: Subtype: Link Rect: 57, 442, 75, 449 Flags: Print Annotation: Subtype: Link Rect: 42, 432, 53, 439 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 105, 413, 209, 420 Flags: Print Annotation: Subtype: Link Rect: 42, 404, 53, 411 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 173, 385, 267, 392 Flags: Print Annotation: Subtype: Link Rect: 42, 375, 53, 382 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 224, 366, 291, 373 Flags: Print Annotation: Subtype: Link Rect: 57, 356, 110, 363 Flags: Print Annotation: Subtype: Link Rect: 42, 347, 53, 354 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 94, 328, 214, 335 Flags: Print Annotation: Subtype: Link Rect: 42, 318, 53, 325 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 42, 299, 53, 306 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 262, 280, 291, 287 Flags: Print Annotation: Subtype: Link Rect: 57, 271, 160, 278 Flags: Print Annotation: Subtype: Link Rect: 42, 261, 53, 268 Flags: Print Destination: 60 Annotation: Subtype: Link Rect: 142, 223, 250, 230 Flags: Print Annotation: Subtype: Link Rect: 42, 214, 53, 221 Flags: Print Destination: 63 Annotation: Subtype: Link Rect: 90, 195, 181, 202 Flags: Print Annotation: Subtype: Link Rect: 42, 185, 53, 192 Flags: Print Destination: 63 Annotation: Subtype: Link Rect: 85, 166, 221, 173 Flags: Print Annotation: Subtype: Link Rect: 309, 727, 319, 734 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 419, 708, 547, 715 Flags: Print Annotation: Subtype: Link Rect: 309, 698, 319, 705 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 529, 679, 558, 686 Flags: Print Annotation: Subtype: Link Rect: 324, 670, 386, 677 Flags: Print Annotation: Subtype: Link Rect: 309, 660, 319, 667 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 400, 641, 515, 648 Flags: Print Annotation: Subtype: Link Rect: 309, 632, 319, 639 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 442, 622, 537, 629 Flags: Print Annotation: Subtype: Link Rect: 309, 613, 319, 620 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 494, 594, 558, 601 Flags: Print Annotation: Subtype: Link Rect: 324, 584, 350, 591 Flags: Print Annotation: Subtype: Link Rect: 309, 575, 319, 582 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 380, 556, 483, 563 Flags: Print Annotation: Subtype: Link Rect: 309, 546, 319, 553 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 412, 518, 543, 525 Flags: Print Annotation: Subtype: Link Rect: 309, 508, 319, 515 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 510, 489, 558, 496 Flags: Print Annotation: Subtype: Link Rect: 324, 480, 396, 487 Flags: Print Annotation: Subtype: Link Rect: 309, 470, 319, 477 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 510, 451, 558, 458 Flags: Print Annotation: Subtype: Link Rect: 324, 442, 412, 449 Flags: Print Annotation: Subtype: Link Rect: 309, 432, 319, 439 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 494, 413, 558, 420 Flags: Print Annotation: Subtype: Link Rect: 324, 404, 380, 411 Flags: Print Annotation: Subtype: Link Rect: 309, 394, 319, 401 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 361, 375, 481, 382 Flags: Print Annotation: Subtype: Link Rect: 309, 366, 319, 373 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 416, 347, 530, 354 Flags: Print Annotation: Subtype: Link Rect: 309, 337, 319, 344 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 510, 318, 558, 325 Flags: Print Annotation: Subtype: Link Rect: 324, 309, 417, 316 Flags: Print Annotation: Subtype: Link Rect: 309, 299, 319, 306 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 365, 280, 476, 287 Flags: Print Annotation: Subtype: Link Rect: 309, 271, 319, 278 Flags: Print Destination: 66 Annotation: Subtype: Link Rect: 443, 252, 558, 259 Flags: Print Annotation: Subtype: Link Rect: 309, 242, 319, 249 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 427, 223, 548, 230 Flags: Print Annotation: Subtype: Link Rect: 309, 214, 319, 221 Flags: Print Destination: 72 Annotation: Subtype: Link Rect: 395, 195, 519, 202 Flags: Print Annotation: Subtype: Link Rect: 309, 185, 319, 192 Flags: Print Destination: 72 Checksum: 7a79fc10 Type: CRC32 Checksum: b9f8b4b6494f1b2def8de62144ddf1ae Type: MD5 Checksum: 386cc91edfc48d4917fa96d0e364ffab8f88a483 Type: SHA-1 Checksum: b9a63407f75254348a3a8c754f1c65387c3a6112dedf5eb9d3373ef0c4a46a0e Type: SHA-256