3dbd5763cecdde2d9fd66a1ae2d23cdd pmc_11590289.pdf 1fa1368b81aa07b0101920d4b67b5f18461b1bec pmc_11590289.pdf c7ed1269273530efc2b93d7d1c9169947054a4925166712926b9e5516b8f5403 pmc_11590289.pdf Title: The renin–angiotensin–aldosterone-system in sepsis and its clinical modulation with exogenous angiotensin II Subject: Critical Care, https://doi.org/10.1186/s13054-024-05123-7 Author: Matthieu Legrand Creator: Springer Producer: Adobe PDF Library 17.0; modified using iTextSharp™ 5.5.14-SNAPSHOT ©2000-2020 iText Group NV (AGPL-version); modified using iText® 5.3.5 ©2000-2012 1T3XT BVBA (SPRINGER SBM; licensed version) CreationDate: Fri Nov 22 23:10:48 2024 CET ModDate: Tue Nov 26 08:50:21 2024 CET Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 10 Encrypted: no Page size: 595.276 x 790.866 pts Page rot: 0 File size: 1237897 bytes Optimized: no PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- MyriadPro-Regular Type 1C Custom yes no yes 49 0 MyriadPro-Bold Type 1C Custom yes no yes 50 0 MyriadPro-It Type 1C Custom yes no yes 51 0 MyriadPro-Regular2 Type 1C WinAnsi yes no no 384 0 MyriadPro-Light Type 1C Custom yes no yes 100 0 MyriadPro-Semibold Type 1C Custom yes no yes 52 0 WarnockPro-Regular Type 1C Custom yes no yes 53 0 WarnockPro-It Type 1C WinAnsi yes no yes 54 0 MyriadPro-Regular3 Type 1C WinAnsi yes no yes 298 0 CQDDJJ+STIX-Regular Type 1C Custom yes yes yes 174 0 MyriadPro-SemiboldIt Type 1C Custom yes no yes 188 0 YXRPFR+Calibri-Bold Type 1C Custom yes yes no 209 0 ZWBVTP+TimesNewRomanPS-BoldMT Type 1C WinAnsi yes yes no 210 0 XTCJRT+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 211 0 YXRPFR+Calibri Type 1C Custom yes yes no 212 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-02-06 02:45:40 CET RepresentationInformation: pmc_11590289.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-12-17 02:35:25 CET Size: 1237897 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 452 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: EN Outlines: Item: Title: The renin–angiotensin–aldosterone-system in sepsis and its clinical modulation with exogenous angiotensin II Children: Item: Title: Abstract Item: Title: Introduction Item: Title: The pathophysiology of the RAAS in septic shock Children: Item: Title: Deficit of angiotensin II type 1 receptors (AT1R) in sepsis Item: Title: Effects of AT1R activation on inflammation and immune function Item: Title: Dysregulation of the RAAS in acute kidney injury Item: Title: RAAS dysregulation in acute lung injury and acute respiratory distress syndrome (ARDS) Item: Title: Interactions of the conventional and the alternative RAAS system Item: Title: Angiotensin II and its role in clinical modulation of different phenotypes of septic shock Children: Item: Title: Septic shock and AKI, with and without renal replacement therapy (RRT) Item: Title: Septic shock and ARDS Item: Title: Septic shock in patients treated with ACEiARBRAAS modulating drugs Item: Title: Septic shock and liver dysfunction Item: Title: Post-cardiac surgery vasoplegia Item: Title: Septic shock in patients with previous thromboembolic events Children: Item: Title: Proposed guidance for the use of Angiotensin II Item: Title: Future directions Item: Title: Conclusions Item: Title: References Info: Title: The renin angiotensin aldosterone-system in sepsis and its clinical modulation with exogenous angiotensin II Author: Matthieu Legrand Subject: Critical Care, https://doi.org/10.1186/s13054-024-05123-7 Creator: Springer Producer: Adobe PDF Library 17.0; modified using iTextSharp™ 5.5.14-SNAPSHOT ©2000-2020 iText Group NV (AGPL-version); modified using iText® 5.3.5 ©2000-2012 1T3XT BVBA (SPRINGER SBM; licensed version) CreationDate: Fri Nov 22 23:40:48 CET 2024 ModDate: Tue Nov 26 08:50:21 CET 2024 ID: 0x82777d259a22875819961049ac0fd458, 0x367b1a875e294a59390355a5472f4a1d Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/png ImageWidth: 115 ImageHeight: 119 BitsPerSample: 8 BitsPerSampleUnit: integer Filter: FlateDecode Intent: RelativeColorimetric Decode: 0, 255 Name: X Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1961 ImageHeight: 1243 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Intent: RelativeColorimetric Name: X Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1961 ImageHeight: 1477 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Intent: RelativeColorimetric Name: X Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1962 ImageHeight: 1606 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Intent: RelativeColorimetric Name: X Image: NisoImageMetadata: FormatName: image/png ImageWidth: 1100 ImageHeight: 90 ColorSpace: black is zero BitsPerSample: 1 BitsPerSampleUnit: integer Filter: FlateDecode Intent: RelativeColorimetric Name: X Fonts: Type1: Font: BaseFont: MyriadPro-Regular2 FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Regular2 Flags: Nonsymbolic FontBBox: -157, -250, 1126, 952 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: MyriadPro-Light FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Light Flags: Nonsymbolic FontBBox: -49, -250, 1046, 883 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: CQDDJJ+STIX-Regular FontSubset: true FirstChar: 30 LastChar: 33 FontDescriptor: FontName: CQDDJJ+STIX-Regular Flags: Serif, Nonsymbolic FontBBox: -970, -486, 2208, 1023 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MyriadPro-Regular FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Regular Flags: Nonsymbolic FontBBox: -157, -250, 1126, 952 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: YXRPFR+Calibri-Bold FontSubset: true FirstChar: 5 LastChar: 31 FontDescriptor: FontName: YXRPFR+Calibri-Bold Flags: Symbolic FontBBox: -519, -306, 1240, 971 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true Font: BaseFont: MyriadPro-Bold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Bold Flags: Nonsymbolic FontBBox: -163, -250, 1256, 989 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: ZWBVTP+TimesNewRomanPS-BoldMT FontSubset: true FirstChar: 32 LastChar: 121 FontDescriptor: FontName: ZWBVTP+TimesNewRomanPS-BoldMT Flags: Serif, Nonsymbolic FontBBox: -558, -307, 2000, 1026 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: MyriadPro-It FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-It Flags: Nonsymbolic, Italic FontBBox: -185, -250, 1090, 953 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: XTCJRT+TimesNewRomanPSMT FontSubset: true FirstChar: 32 LastChar: 117 FontDescriptor: FontName: XTCJRT+TimesNewRomanPSMT Flags: Serif, Nonsymbolic FontBBox: -568, -307, 2000, 1007 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: MyriadPro-Semibold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Semibold Flags: Nonsymbolic FontBBox: -161, -250, 1198, 972 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: YXRPFR+Calibri FontSubset: true FirstChar: 1 LastChar: 129 FontDescriptor: FontName: YXRPFR+Calibri Flags: Symbolic FontBBox: -503, -307, 1240, 964 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true Font: BaseFont: WarnockPro-Regular FirstChar: 0 LastChar: 255 FontDescriptor: FontName: WarnockPro-Regular Flags: Serif, Nonsymbolic FontBBox: -177, -533, 1474, 950 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: WarnockPro-It FirstChar: 0 LastChar: 255 FontDescriptor: FontName: WarnockPro-It Flags: Serif, Nonsymbolic, Italic FontBBox: -221, -533, 1474, 950 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-SemiboldIt FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiboldIt Flags: Nonsymbolic, Italic FontBBox: -193, -250, 1164, 972 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true XMP: 2024-11-23T03:40:48+05:30 Springer 2024-11-26T08:50:21+01:00 2024-11-26T08:50:21+01:00 application/pdf https://doi.org/10.1186/s13054-024-05123-7 BioMed Central Critical Care, https://doi.org/10.1186/s13054-024-05123-7 The renin–angiotensin–aldosterone-system in sepsis and its clinical modulation with exogenous angiotensin II Matthieu Legrand Ashish K. Khanna Marlies Ostermann Yuki Kotani Ricard Ferrer Massimo Girardis Marc Leone Gennaro DePascale Peter Pickkers Pierre Tissieres Filippo Annoni Katarzyna Kotfis Giovanni Landoni Alexander Zarbock Patrick M. Wieruszewski Daniel De Backer Jean-Louis Vincent Rinaldo Bellomo 10.1186/s13054-024-05123-7 2010-04-23 true springer.com springerlink.com https://doi.org/10.1186/s13054-024-05123-7 10.1186/s13054-024-05123-7 1364-8535 journal Critical Care The Author(s) 2010-04-23 true 10.1186/s13054-024-05123-7 noindex springer.com springerlink.com VoR Adobe PDF Library 17.0; modified using iTextSharp™ 5.5.14-SNAPSHOT ©2000-2020 iText Group NV (AGPL-version); modified using iText® 5.3.5 ©2000-2012 1T3XT BVBA (SPRINGER SBM; licensed version) False uuid:4bc26b00-e27e-4eae-ace2-7ce43cb92868 uuid:7593a96e-5a8c-43cc-90d5-a6228e23eedd default 1 converted uuid:4bc26b00-e27e-4eae-ace2-7ce43cb92868 converted to PDF/A-2b pdfToolbox 2024-11-23T03:42:20+05:30 converted uuid:9c7ea24f-c75f-469a-b261-97879533636c converted to PDF/A-2b pdfToolbox 2024-11-23T03:42:53+05:30 2 B http://ns.adobe.com/pdfx/1.3/ pdfx Adobe Document Info PDF eXtension Schema external Mirrors crossmark:MajorVersionDate CrossmarkMajorVersionDate Text external Mirrors crossmark:CrossmarkDomainExclusive CrossmarkDomainExclusive Text internal Mirrors crossmark:DOI doi Text external Mirrors crossmark:CrosMarkDomains CrossMarkDomains seq Text internal A name object indicating whether the document has been modified to include trapping information robots Text internal ID of PDF/X standard GTS_PDFXVersion Text internal Conformance level of PDF/X standard GTS_PDFXConformance Text internal Company creating the PDF Company Text internal Date when document was last modified SourceModified Text http://crossref.org/crossmark/1.0/ crossmark Crossmark Schema internal Usual same as prism:doi DOI Text external The date when a publication was publishe. MajorVersionDate Text internal CrossmarkDomainExclusive CrossmarkDomainExclusive Text internal CrossMarkDomains CrossMarkDomains seq Text http://prismstandard.org/namespaces/basic/2.0/ prism Prism Schema external This element provides the url for an article or unit of content. The attribute platform is optionally allowed for situations in which multiple URLs must be specified. PRISM recommends that a subset of the PCV platform values, namely “mobile” and “web”, be used in conjunction with this element. NOTE: PRISM recommends against the use of the #other value allowed in the PRISM Platform controlled vocabulary. In lieu of using #other please reach out to the PRISM group at prism-wg@yahoogroups.com to request addition of your term to the Platform Controlled Vocabulary. url URI external The Digital Object Identifier for the article. The DOI may also be used as the dc:identifier. If used as a dc:identifier, the URI form should be captured, and the bare identifier should also be captured using prism:doi. If an alternate unique identifier is used as the required dc:identifier, then the DOI should be specified as a bare identifier within prism:doi only. If the URL associated with a DOI is to be specified, then prism:url may be used in conjunction with prism:doi in order to provide the service endpoint (i.e. the URL). doi Text external ISSN for an electronic version of the issue in which the resource occurs. Permits publishers to include a second ISSN, identifying an electronic version of the issue in which the resource occurs (therefore e(lectronic)Issn. If used, prism:eIssn MUST contain the ISSN of the electronic version. issn Text internal Volume number volume Text internal Issue number number Text internal Starting page startingPage Text internal Ending page endingPage Text external The aggregation type specifies the unit of aggregation for a content collection. Comment PRISM recommends that the PRISM Aggregation Type Controlled Vocabulary be used to provide values for this element. Note: PRISM recommends against the use of the #other value currently allowed in this controlled vocabulary. In lieu of using #other please reach out to the PRISM group at info@prismstandard.org to request addition of your term to the Aggregation Type Controlled Vocabulary. aggregationType Text external Title of the magazine, or other publication, in which a resource was/will be published. Typically this will be used to provide the name of the magazine an article appeared in as metadata for the article, along with information such as the article title, the publisher, volume, number, and cover date. Note: Publication name can be used to differentiate between a print magazine and the online version if the names are different such as “magazine” and “magazine.com.” publicationName Text external Copyright copyright Text http://ns.adobe.com/pdf/1.3/ pdf Adobe PDF Schema internal A name object indicating whether the document has been modified to include trapping information Trapped Text http://ns.adobe.com/xap/1.0/mm/ xmpMM XMP Media Management Schema internal UUID based identifier for specific incarnation of a document InstanceID URI internal The common identifier for all versions and renditions of a document. DocumentID URI internal The common identifier for all versions and renditions of a document. OriginalDocumentID URI internal A reference to the original document from which this one is derived. It is a minimal reference; missing components can be assumed to be unchanged. For example, a new version might only need to specify the instance ID and version number of the previous version, or a rendition might only need to specify the instance ID and rendition class of the original. DerivedFrom ResourceRef Identifies a portion of a document. This can be a position at which the document has been changed since the most recent event history (stEvt:changed). For a resource within an xmpMM:Ingredients list, the ResourceRef uses this type to identify both the portion of the containing document that refers to the resource, and the portion of the referenced resource that is referenced. http://ns.adobe.com/xap/1.0/sType/Part# stPart Part http://www.aiim.org/pdfa/ns/id/ pdfaid PDF/A ID Schema internal Part of PDF/A standard part Integer internal Amendment of PDF/A standard amd Text internal Conformance level of PDF/A standard conformance Text http://ns.adobe.com/xap/1.0/t/pg/ xmpTPg XMP Paged-Text internal XMP08 Spec: An ordered array of plate names that are needed to print the document (including any in contained documents). PlateNames Seq Text internal A structure containing the characteristics of a font used in a document Fonts Bag Font A structure containing the characteristics of a font used in a document. http://ns.adobe.com/xap/1.0/sType/Font# stFnt Font http://www.niso.org/schemas/jav/1.0/ jav NISO external Values for Journal Article Version are one of the following: AO = Author’s Original SMUR = Submitted Manuscript Under Review AM = Accepted Manuscript P = Proof VoR = Version of Record CVoR = Corrected Version of Record EVoR = Enhanced Version of Record journal_article_version Closed Choice of Text Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 212, 66, 330, 58 Flags: Print AppearanceDictionary: true Annotation: Subtype: Link Rect: 507, 683, 540, 650 Flags: Print AppearanceDictionary: true Thumb: true Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 280, 655, 285, 643 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 155, 547, 160, 535 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 166, 547, 171, 535 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 216, 415, 221, 403 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 171, 163, 176, 151 Flags: Print AppearanceDictionary: true Destination: 59 Annotation: Subtype: Link Rect: 180, 163, 185, 151 Flags: Print AppearanceDictionary: true Destination: 104 Annotation: Subtype: Link Rect: 194, 163, 199, 151 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 333, 572, 338, 560 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 497, 392, 502, 380 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 466, 356, 471, 344 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 479, 356, 484, 344 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 452, 296, 456, 284 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 405, 248, 415, 236 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 420, 248, 429, 236 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 395, 128, 405, 116 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 446, 104, 456, 92 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 462, 104, 472, 92 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 360, 92, 370, 80 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 375, 92, 385, 80 Flags: Print AppearanceDictionary: true Destination: 240 Thumb: true Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 127, 305, 138, 293 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 100, 257, 111, 245 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 60, 209, 70, 197 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 77, 209, 87, 197 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 95, 209, 105, 197 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 258, 209, 268, 197 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 274, 209, 284, 197 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 166, 89, 177, 77 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 182, 89, 192, 77 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 432, 329, 442, 317 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 307, 161, 317, 149 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 324, 161, 334, 149 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 457, 149, 466, 137 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 472, 149, 482, 137 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 526, 125, 536, 113 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 304, 113, 314, 101 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 456, 77, 466, 65 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 470, 77, 480, 65 Flags: Print AppearanceDictionary: true Destination: 240 Thumb: true Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 89, 185, 99, 173 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 128, 185, 132, 173 Flags: Print AppearanceDictionary: true Destination: 59 Annotation: Subtype: Link Rect: 278, 149, 288, 137 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 56, 137, 66, 125 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 72, 137, 82, 125 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 229, 101, 238, 89 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 259, 77, 269, 65 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 275, 77, 285, 65 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 526, 293, 536, 281 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 304, 281, 314, 269 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 437, 233, 447, 221 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 451, 233, 461, 221 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 321, 173, 331, 161 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 523, 161, 533, 149 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 523, 113, 533, 101 Flags: Print AppearanceDictionary: true Destination: 240 Thumb: true Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 195, 681, 205, 668 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 92, 597, 102, 584 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 227, 403, 232, 391 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 187, 245, 197, 233 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 239, 148, 249, 136 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 255, 148, 265, 136 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 202, 88, 212, 76 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 218, 88, 228, 76 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 372, 657, 381, 644 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 478, 479, 488, 467 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 321, 383, 331, 371 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 340, 241, 345, 229 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 457, 193, 466, 181 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 307, 100, 317, 88 Flags: Print AppearanceDictionary: true Destination: 244 Thumb: true Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 158, 681, 163, 669 Flags: Print AppearanceDictionary: true Destination: 226 Annotation: Subtype: Link Rect: 126, 333, 136, 321 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 217, 273, 222, 261 Flags: Print AppearanceDictionary: true Destination: 192 Annotation: Subtype: Link Rect: 332, 453, 342, 440 Flags: Print AppearanceDictionary: true Destination: 244 Thumb: true Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 214, 123, 224, 111 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 184, 87, 193, 75 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 405, 243, 414, 231 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 416, 195, 426, 183 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 493, 147, 503, 135 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 433, 75, 443, 63 Flags: Print AppearanceDictionary: true Destination: 244 Thumb: true Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 202, 561, 212, 548 Flags: Print AppearanceDictionary: true Destination: 244 Annotation: Subtype: Link Rect: 219, 525, 229, 512 Flags: Print AppearanceDictionary: true Destination: 240 Annotation: Subtype: Link Rect: 216, 465, 226, 452 Flags: Print AppearanceDictionary: true Destination: 240 Thumb: true Page: Sequence: 9 Thumb: true Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 71, 433, 217, 425 Flags: Print AppearanceDictionary: true Thumb: true Checksum: 9f03d024 Type: CRC32 Checksum: 3dbd5763cecdde2d9fd66a1ae2d23cdd Type: MD5 Checksum: 1fa1368b81aa07b0101920d4b67b5f18461b1bec Type: SHA-1 Checksum: c7ed1269273530efc2b93d7d1c9169947054a4925166712926b9e5516b8f5403 Type: SHA-256