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KIDNEY TRANSPLANT

Q.756.What else? How to treat?

 KIDNEY TRANSPLANT

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Q.756.What else? How to treat?  

A. IV. Osteoporosis: = {Reduction of bone density>2.5 S.D. below sex matched, using DEXA[Dual Energy X-ray Analysis]}.

Bone Loss occurs mostly é 1st 6 m. due to: 🠞

o   Bone cell apoptosis.

o   Inhibition of sex hormone (m. & F.).

o   Steroids-induced inhibition of “Osteoblastogenesis”.

o   Dcr. “G.I. Ca+”abs. &“incr Ca+” urinary excretion.

o   Others: [Vit.D. def.- Csp A- Hyperpara.- Po4 depletion].

**  ttt. & prevention:

v 🠟🠟 Steroid dose.

v Wt bearing, inexpensive.

v No smoking, No alcohol.      🚭

v Vit. D.: 800 i.u. v.D2/d, Cacitrol é GFR <30ml/min.

v Bisphosphonate: prevent Bone density loss.

v Denosumab:(Prolia): an A.B. directed agnst  f. (RANKL) involved in formation of cells tht break down bone. It improves bone mineral density&🠟postmenopaus-al fracture inosteoporotic, given as an inj. s.c. once/6 m. Alth. well tolerated, S.E. : [skin infec. (cellulitis)- eczema- Hypo Ca+]. As it’s a new drug & there’re nolong-term safety data, denosumab is us. reserved for ptn.s intolerant of or unresponsive to other therapies. It shd not be given to hypocalcemic ptn.s  until corrected.To monitor resp.: measurement of bone mineral density (DEXA) or lab. tests tht indicate bone turnover (New bone formation & breakdownrate) cn be used.


Q.757.A 49 y. old T.x. female, experienced osteoporotic changes, how to D.D. Post T.x. from post-menopausal?

A. Post-menopausal O.P.🠊[Sex hormone deficiency- incr. osteoclasticacti-vity & accelerated bone breakdown- “ DEXA” predicts fracture risk- common site: appendicular bone.].    زيادة الهدم

On the other hand, Post T.x. “O.P” 🠊 [Dcr. osteoblastic activity- reduced bone synthesis- background of R. osteodystrophy – site: Vertebral bone]. ضعف البناء

*******************************************************

N.B.: Bone dis. in CKD: Majority of fractures occur. in early of CKD (stages 1-3) are mostly due to osteoporosis and Not metabolic bone dis. e.g. {hyperpara., osteomalacia, or adynamic bone dis.} (CKD-MBD components). Before assign-ning a Dgx. of osteoporosis it’s important to rule outosteomalacia (by measuring s.25[OH]2 D.) & hyperparathyroidism. Alth. both CKD-MBD & osteopor-osis are ass. é dcr. bone strength that can result in fractures, the pathophysiology is different. Osteoporosis is limited to a skeletal disorder ch.ch. by comp-romised bone strength (due to impairments in bone quality and/or bone mineral density) that predisposes to an increase risk of fracture. CKD-MBD, on the other hand, is defined as a systemic diso. of mineral & bone metabolism due to CKD, which manifests as either one or a combination of the foll.:{Vsc. or soft tissue calcification, abn. of Ca+, P+, PTH or vit. D mtab., or abn. in bone turnover, mineralization, vol., linear growth, or strength}. (Medscape).

Q.758.What else?

A.V. C.V.S.: Death é functioning graft🠊 the most common cause of early & late graft loss.     

               * Pathogenesis: 

v  [H.T. + Anemia + Fluid overload🠊L.V.H.].

v  [HyperPo4 + Hyperpara.🠊Vascular calcification].

v  [+ Smoking+ Old age+ D.M + obesity+ homocystinemia🠊Atherosclerosis].


Q.759.What else? How to treat?

VI. H.T.🠊due to:[Steroids- weightt gain- CNIs- Allog. dysfunction-Native kid. dis.-RAS].                    * ttt:

I. Non pharmacological: Wt. reduction-Na+ restriction-Alcohol abstinence – Exercise 🚲 Reduce CNI dose].      🚲

II. Drugs: Acc. to JNC [Joint National Committee é detection, prevention, ttt., & evaluation of H.T.]: Start é one drug, 🠝dose, use diuretic to enhance others: 

1)   B.B.: Cheap, CAD - 🠞hyperkalemia.

2)   Loop d.:Potentiate others- hypervolemia🠞: Hypovolemia- hyperuricemia- 🠝s. cr., use cautiously early post T.x. , [thiazides] 🠞cheap.🠞hypovolemia- hyperurecemia- 🠝s.cr. use low dose HCTZ: 12.5mg.

3)   ACE/ARB.:Dcrease Prot.- beneficial C.V. effects- ? Slow allograft dysfunction progression.: 🠝k+,🠝s.Cr.- use cautiously early post T.X.- useful é D.M. & é Prot.

4)   CCB.: Well tolerated- Graft👆 protective effect esp. é CNIs.:[Leg edema-Diltiazem & verapamil🠞 Dcrease CNI metabolism 🠊🠝toxicity. 👎

Q.760. What else? How to treat?

VII. Hyperlipidemia🠞Hypercholesterolemia & hypertriglyceridemia: Causes: ] [Steroids- CNIs (Csp more than Tcrol.)- Sirolimus].

Hyperlipidemia🠞Poor graft outcome. So, ttt:[Wt. control-  physical 🚲 activity-Diet. -minimize steroids. - switch Csp. to tcrol].          

-N.B. Csp: 🠟 Statin mtb. 🠞Statin toxicity & rhbdomyolysis, wch augmented by concomitant use of cytochrome P 450 inhibitors like Diltiazem… So, use Prava-statin & fluvastatin: [Low dose statin – avoid 👆 P 450 inhibitors  – avoid 👆  fibrates- check C.K. &L.F.T] .

Q.761.What else? How to treat?

VIII. Post-Tx cancer. Causes of incr. incidence:

1)   Uncontrolled proliferation of oncogenic viruses. (im/m).

2)   Inhbition of the “normal tumor surveillance” mechanisms. (im/m).

3)   Csp]🠝TGFB]Tumor promoting effect. (im/m).

4)   Iry R. dis.: [Analgesic abuse-HBV-HCV] or to ESRDmilieu. (acquired R. cyst).


N.B.:

*      The most important f. incr. cancer risk] Cumulative effect of im/m. %

*      The most important Single item in cancer prevention]🠋🠋 excess im/m.

*   Sirolimus §] has anti-neoplastic effect.    👍

Q.762.What kind of relation exists between viral infection& cancer?

v  HBV. ] Hepatocelluler carcinoma.

v  HCV. ] Hepatocelluler carcinoma.

v  Human Herpes v. 8]Kaposi sarcoma.

v  Epstein-Barr v.]Squamous cell carcinoma é  anogenital area & mouth.

Q.763.What are the most common types of cancer in R. Tx.?

A.The most common types are: 👌

(1) Vulva(Ano-genital)]45% (squamouscell carcinoma due: Ep.-Barr v.)

(2) Kaposi sarcoma] 26% (Human Herpes virus 8).   

(3) All lymphomas] 10%.

Q.764.What is the position of PTLD in the aforementioned types of cancer?

A. PTLD 🠞 One of the most fearful complications of T.x., occur early é high morbidity & mortality, mostly at 1st24 m. é incidence of 1-5%, majority  Non-Hodgkin’s lymphoma & most are recipient of B-cell origin.    👽👽

* Risk f. include:   

1.    EBV (+ve) donor & EBV (ve) recipient.

2.    CMV (+ve) donor & CMV (ve) recipient.

3.    Pediatric recipient (mostly EBV–ve).

4.    Aggressive im/m. esp. Okt3/polyclonals.

* Pathogenesis: Infection transformation of B-cell by EBV.]Polyclonalproli-feration.… [Extranodal, G.I. tract, CNS] ]more common than non- T.x.  ptn.

COMMENTS

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Hemodialysis,21,My Publications,2,Peritoneal dialysis,14,Prevention of renal failure,61,Renal face,43,Renal Transplantation,49,TOP RECENT,37,
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KIDNEY TRANSPLANT
Q.756.What else? How to treat?
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DSNzmTckUMBZJIsj3ukD7xFhlut2kzFPMooJEOuYkOZSEtyjzqFRlUKVKokMZSK4mjyMdIace8t243iO2dsdnhqAvE3G0OZu5zMXOfi4VwARbCxViIFmMhXsxQyVI2T7pGvTyLZqWRdo2RJnU6Dep0mtVZdGqM9OpMPNBX8synhed+bTzzreeZbzNPfZp44lvHQ98aHvtU8bF/FXU+1ZRIw3nglcxD7ywGpht5uaWaP+9r4A+bK/l+dSlfLy7hyfQ8WgxJFGnCSBOfJ8HjHEZFEH3iU3Spk+j0zqLbO4c+rzzyFcnUSi/wzeocvv8gk6+X5/BgWhY1qngKxJHkCkPJdgshy/U2RcIEHgQ00u1VTrvCRJvCRIMsi2pZKhXCeEpF0dQpEmhtWfjW7QaxvSu2HnvGeM3E3HMhZsLFmAkXYy5ehrl0OebS5ZhJluGk3MidaYl0qPJpVubRpMymVZNFmzaHTl0+/bpiHugreeLXwgPfJvr1xfR65dCnzeCJJpNnOiNPDGU89q3mqW8VT/2qqDOUky0OpU0ZwiNdKh3+2Xy7vpK/7qrhD1uq+M36Mj6bn0unXyIl6jASRadIcDtDsfwG3eIT9KsS6dYb6fHOplWbS5I8kSbVVb5fZ+R3m7L4dkUuz2cbafVKo1h6l3zxHXI975Dpepss10gq9YXc82ugV1FIl7KUFkU+jfIsKiSJlEpiqZPG8Lhu9lu3G8T2rth6R+HoMxdz0XLMxCswl67AXLYac/kazBRrMZeuRGjYQ+7UPDpURXTqTLRrjbRrc+jUFTCgL+Opby2fTGrmgX8PTapC+vVGnk6vpWdaGY1+2TRoE2hRRtKjiWHAt4QH/rU896ukx7+ebE0G5dKrPFBH0qpK4cXiHH7cUMzv1pn41ZJMHkxNpE4VhlF4lnq/8/QtSKBAHESP6CwDmlS69YVUeGURIo+jSxvOD1tM/Nu2An69Mo8Xc/Lpn5RDjSoekySCfFEEOR5hZLtFUiRJpsG/lg5NEQPqcrpVZbQq86iSJlMqiaVCHMuvyqa8dbtBbO+MbTSO/oswl6zEXLoaC9kaLORrsZCvx1y1niHydcz2PUdZYDEdmlI6dCa6dCa6vYvo0Zdwz7uCZ36NfDqpgy59K72afF7MrOfrxV08m1FD75QSmnzyKfPLplifSIcikkeGYp76VfLAv4Zen3JKtGlUi4MZ0MbTZYjm1awwfphym1eTo3ipj+VbZQxfS2/z/YxgXq6OIVOZTLzwIrWyC9xXRVGizeSmPJpe9U3+sCyRPyzO4bulBbxYYOTh1GzavFIol96lSHKXAvFdjMJ4KmSZtE2qoc3QwCNlGf3aajpURTQqsqmQJlIlieVlSeBbtxvE9q7Y+hxwCFiGmXw95vINWCg2MkS1CQvlJsw1m/DVn+CubyKNXiY6taV0aYvp9iqhz1DOgKGKJ35NfOrXzotJ3dyf1MXHMxr4bnknr1Z08Xx2PQNTy2jzy6fBJ5cKn0xKvWLoVt7hkV85j/wqeORXTpuhkHJFDG3iy7Spwmn2OsGA8kPahEfpFV/kqfAGn7sG873mNJ8uukCJ+i7RojBipTcokl2lQhLKbdltemSX+c47mN/6J/KtTx6/nmXi01mF9Ptn0qiOp1waTbEkmiJJEpXSTFr1FfRO6eahsooBTT2dmtLXVxekiVRKY3lVPOmt2w1ie1ds/Y44Tl6FmWoz5qotWKi3YqHZhrnuQ0T6o8ToE2nV5NOqyqddXUiXtpReXQX9+kqeGBr5bFI3Xwfe45vpA/xqwQNere7jt+u7ebmygxdzm3k0vYoO/0KaDdnU+ORQrI+nQhtOpzqKRz55PPIv4Z5fKfXaLErEQbSLLxEq3s41txmkTljM7dGriR+9h+LRBxlwOUDb7L0c8NxAsMd5QoQ3uCEN4a74Jrfcd1MtPsRjt2N8Kg3he10m3xny+TqgiOdTC+jySadWkUCVLJ4KSSrVkiza1SU8mn6fe+o67qsa6dSU0ajIpVKaSKk4hpemwbs+3pj3wnZvDA5T12Gm24651w6GeO1kiNdu3P2Osdf7Os3KHFo0+bSo8mlX5dOtLeGeVxUPvWp46tfK5/7tvJzzgN8ue8IP6x/zw+YBfrehn5cre/lqcRefzGqif2oZ7X65NOrTqfbLo8g/lxpVON3aOD72K3wNzrcEkzqRIvfjbHSaw8wxSi5ODOSA1RT2jljKZcEGisfuon36hyyUTmGlwwIOjd3G7onH2exykJNOiynwWE+p4y46PS7xUp/ID945/OhbwvdTS3k+JZ8u70yaNenUKbNoUBpp15TwaMYD+rWNPFK30KOupEmWR6U0kRJRNN8WDmJ7Y94L24ATDjM2Yu69F3PDPsx99uHkf5wdviFkKWKol2XSoMymWZlDt6aAXk0pD3TVPNM383RSGy98a/ndigf8tP1jftr2lB+3POL3G5/w/ZpHfL20l8/mtvB4RiU9kwtp8s2myiueUq9ECrSxVMpu0qWMpM8nh8c+BdTojdwav425thpcrT3YNMGXK87T2SGYwx6rVUTYbafXdxd7DDNxGjYB5Ugpk2wMqMas5oTjbCrGLSDOdicZtkdocw3ipT6Dn7yN/NG3gB/mFvF8ZhH9hkLavUy060z0Gip4POMhvbomnqibGVDX0CLLp0qaRIkkhm8Lfd663SC2d8Y2DodZ27AwHMTc9yBDA44xd/ItsqWxlHnEUivPoEaeSqMigy5tPvd0VTzSN/GJfw99hmae60v5acsz/v3o5/x572f8cdsLftz4Kb9d95ivF3fyfHYjD6dX0OWfR702CaP0Oqnu52gwpFLjm0uOIpw6+R0GtHepUN5lg9M89AJPJlqLUNtLOec6g2Ojp7N75BLOWm+mxnMPWVPXI7cTMt7SHfeRHmic5nJ54iaaRy3itvUeblsfIsn6CO0u1/lKG8tPhmT+tqqQ326o4bPp5TwKqOSeTwUfT2nh8fQHDHg38Uzbyn1NLW3KIqplyZRIYvm1aRDbG/N+2JxxmLcHC/+jmPufwCnwIje8wjEKIyiTJdOoyqVemUGjKpsOjYm+X7A9n3yPPp96PvOp5PfbP+Fvp7/gr0e/5M+7v+IPW17w23VP+GpBJx9Pr6IvoIAGrxRKZZGki68Q4XKQYukpvtuUS+/KZhJkKRwTnmHTuA3MtZejsxYhthTiIfBgoZMvIaIFHLGcz07rVYTZbKXXcIDD+llIxkhROMu56buegx77SRo9kzC7XYTZHSXa9gj5o4/T436abyeH8vtVeXy/tppXy5r5YmYzz6c08dnMhwxM7ueRdyPPdE30aWpoURRQK0+nSpbMS5PfW7cbxPau2O5PwGH+YSwmn2HItLNs8w8j0+06uZ5hmKSxVMlTqFWm0ajKose7lPs+dXzs38Yz/x56DFV8EVjPj7ue8+9HP+EvR7/kLwe/5k87X/C7DY/5ZkkXn86qocc/jypNHDmSW8S4nybUeRepLh/y7exYfn8gmQ/F6xFZq3G298PHYRZTbaS4CzwQCiSI7RVs85xO6MTlbLdcxF7LtWTb7uSp10GaZuygcfo2Oj02cmr0DjaP2cJ5uzkkjNpFmdMePhHt4euA63w2JY9nhgqeT6rjxbRmXszo4eM5j7g3/TGPDa081zTyQNVMp7KSOlE2laJkqqXJvCoavHnyjXkvbA9ccFx0DPMpF/CdcpMb0mtkTbxGoSiSQkkEJkkkFbJY6hSpv/wRt4Znvq08C+ijx7ucF5Ob+Lf9n/PnA0/4y+HP+evxl/xpzwt+3PSQ36zu5ZvFLdyfUkSVJo5s4TViXU5w1+lDSt328513LH+aEk7ksh142ilwsZqAeMxC5tupUVmLEVoJkVtLkNt5c121nOOj5rLRaiEnLT8gZ9Ru6scdoNRhNzGCjVwQLGPTqH18NGEnoY7LyXPZRao2nEbvDD7WJfHcK4MnOhNPfev4ZFIj9ye18Myniaf6Zh7pWhjQ1tGhKKFBmkO1NJVySQKvCgexvTHvhe3hRByXnMJ6RjA7DXeIFF4m2+MmhaK75HneoUAc/gu4BJo12fR5l/HY0MizgB66vCt47m3kN9ue8deDn/HvBz/j59Pf8KeDL/hx6wN+u6abV8tbeT63gmZ9IkbhVTInfESu4w4+9Q3mc3EYX7re5v78s+yetBzn4WNxcZrFVKdZzBN4IhKIkFvLUAq0rJgwlZtuS9ktmMWekSsJstxElGAnqbb7uG35ARE2q0gZu4Zo1X5CnVdx3PMEJ3xMRPg3kuPTQLGhglKfWhoNDQzo6rivreeRtp4BbR09mho61GU0yHKolqZRIo6jWBzFS9PgdxDemPfB1v7QjXErz+E9K5zbyjCSPa6SIwolX3SXXI8wjOI7FIoiKZXFU6/MoENTwIBXNU/9O+nzaaBfmcXn06v5cetD/nzoU/7jwrf89eRX/Nuux/x+Uxe/XdvCV0squT85nWZFGM2ul3ggPcsLnxCaHS7R43CNz3TBlM8/yExpAGPt/VA5r2WDvQY/gScyaxlSgYJF4ycRI17JCav57LdcwfmRG7luuZVI6w8pGbuNWvE6IjxXcnzicsKdPmC922WueJdh9Koix7uRIkMDNd4NtGvr6dHWMqCqoV9dRaeihGZFIQ3KPKqlqZRJ4ikURVIijOBXZYNXEN6Y9zuyueO85gofBEaRILpFusct8iV3yRdHkScMwyi6Q6EkkhJpHLWKVFrVefRoy3js28w931ZatBX0arN5Maea323s4a+nfsXPZ1/y50Of8Mcd/fy4pYNXq6v4bHY2z33j+Fxxk88112nzuEChzSmq7S7Q53qRJ7POE7dyN16ugbiN28y6sdNYb+2JzlqKyErKB6KpJHgs5bjlYo6OXMNFy01ct9pIiu167uu2k+G1jgOuS9hqO4vbTttZ5XqNKE0JjZoSqrUV1HlV0aGuoldVSbe6gl5NJV2KMppkedTJMqiRp1MuiadYFEWhKJwyzwheNAxeiH9j3gvbYw+81oUQpAsnxe0K2aI7FEvjyZdEYRSHYZTcoVD6+sss1apEmjSZdOryuWeo5KlfE32+ndSo82lRJPF4ch6v1nXyx4PP+WnXQ/7twz5+2tbO7zZW87vlRn6cEc8Pk+7yifI2RtujZFgfJs/mBAX2J+h2vcAXi69wxGclcuEWprpu4qitnHnWUiQCOSeUs4kdu4D9los5armWy1abuWO1idox6zBN+4DVnkuYbj+f3VbzuDT2Q5a6BxOjLaJVXUynupAOlYkuZRGdymLalUV0qopplRdQL8mkRpZKtSyJUnE0JmE4hcI7lMtieNSz5K3bDWJ7Z2xC1qwKJ8HzKomul8kW3iHXM4IcYSjZwhAyPW6QKbxBnjiEMsVdahRJNKkz6fE28dCnmo99m2n3baHSu4RKaQpt6nieTM7m0+lFfDW3lF8vLeHbNeX8uDKNV4G3eCK9TK3DWXIEx0m1Okyi9SHuWu8lw+Y4Ax7nubfoFCemHcRPdpbdjtPYLhDiZS0nRDWfMNsFHLZaxhHLNVyx3Mxdq63cl25ln2I6vjaBLHNcwVG75Zx23sMS91vcVeXSrMynWWmkSZ5Pq6KQNpWJZoWRZkUejdIc6qRZ1MrSqJa8vmpgEkZS5B5BqSGTjk/Xv3W7QWzviK3rqYirc0NJcQki3fMmmaJQUt2CSHW/TLpnMFmiELKEN8kV3qJIEk6pNIpqRSKt2hy6dEX06Yp5ZqjimV8TLf6tlOhKKJSmYJLGUSQNo1J6gz5FEB97neWh6iitY/dSarOXTOsDRAs+5IpgM6et1nHDdjc5tqd44nKW+wGnWOt3h0CPg5yylLPGTkSGbBmhVss5M3IlJyzXcVWwlSTrbTzUbGPexEkohmuYP2oeH43dwEm3M8wXRxEqjadelkW9JIdaWQ518mwalXmv7zZWZFIjy6BekU2zJptaeTIV0gRKxHFUieJJX99M0683v3W7QWzviO3pUykZhnMku14mV3iLdI9rJHtcJtH9HIlu56BOYHsAACAASURBVEgVBpEpvk6eJIR8cSgmaTilshgaVem0qrNo1+XQq8+n39vEI0MJT/yqeeDXQL9/E+1+DdQaKilRG2mVXmVAdRSj6kOM7mu5I1jOkZFz2TpyBh+OmMsxy7Vct9pDvM1JMu1PcdT9Chp9DHl+G2kdpaRn7FxCrdZxxmo950Zs4IrlJlKstzDgtZlpzgEoh2nQWRk44LSOo+7nmSuN4ZxnBDWSTOqkOdQrsl8/YFCSToM8+/X7NHEKNZJ0amVpVEkSX39DTBRNtX8h56O+p/XbQWxvzPtg+9UDCXm602S4XyfbI4RU96skuV8kyf0cie7nSHI/T6rnJbJE1ymQ3qFIGkGpNJo6ZQoNqlQa1Wm06jLo8sqjT2/inqGIAUMJD30qeOxbxWO/anr9amn2KqJHdotrLovY67GECPFSbo2Zyd4RAWwaOYMPrRZxxOoDLtvs5Zr1Pj5yOIxBdJsz0gv82t6HRmsxmdbLCbbcwUXLzdyy3EaGzTbu67cxd0IgXlbe6Ef4stp+EUdcTzDX4w6H3UIpk6RSJ3t9uqyRZlIrzaJJmUuDLIMaSTI10nSqpalUieIpF8dSLU8i7vAAB4v/SOfLQWxvzPtge9nnRpbXBYySSIySKNLcrpHkdpFE97Ov63aOVI9LZHgGkScKef3sDmUCNYpEapSJ1KqSaNAk06rNoNMrhy59Lr36fO75FDHgW8wD32Ie+ZXz2FDNA52RK66bWOM4mSVOUzk8MZAbE6dw2m4a261mskuwjBM2GzhlvYMTNh+ycOJlJrkEEz9uI5UjPUgcoSfedjnhgl1ECPaTZbeXJ747WOYxFZ2VHj+rqcy3nck+592scL3GTtdbpAkjaJTlUSt5Da1RkUuDLIdGeRYNsnTq5RlUS1OoFMVT6xFH0eJ6Psr6PfvrfqZnENub817Yelwx6i+SKwknTxxBpkcIqe7BJLpfJsHtPInu50jxuES6+1XyhLcpkkZSroijQh5LhSKOKlUCtepEmrSptHql0+qVQad3Nt36XHp88rjvk88DnyIeGUro0eezx3UHq+0DmDXKmxmOBtZM8OWMyxTOOc1ln/Ui9tis5oDNRvZZfcBmxx3IJ1xksfMhYkYHEjbCkzBrHYk2c0i02USuzYd84rWfjdJZ6Ef6MkkwhamCaWwavY4NE86zaeJNQl1DqJJmUy/NoUGWS4sqn2b5L/fnaQtpVubSIEmnVpxC+bRyghJesb/5Z442Q9+rQWxvzHth655IkU8QGZ63yPylaR43SPW4RppnMKkeV0lzDybL/RaFoiiKxHcplUb/vRWKOKrUCTSok2jSJNOiTaNdl0mnVxbd+hz69Eb69AUM+Jho8spk6djVTB81hYW2BvzsdfiP0rF8nDfHxwdya9xcLtvM44z1XI5Zz+GY3SxmuexHOW4vy8Zs5JpDILHWMsJtlUQJAsm0nMMT4WbOKhajtdLjZzmJwJGBLLVdymrnY6wbf4kg9zsUiFNolptoUxbQqjTRrS6lW11Gn66SdqmRDoWRmnn1RAe94GDrz5xsglMtcG8Q25vzPti+63GjUH+FVLdrpLlfJ8PjJunu10n3uE6W8BbZnnfIFYZRIIqiVBSPSRhLsSSOInEMJZIoymUxVCrjqFXEU69MpEmTQqs24xdw2XR659Kpz6NPX0CxMorpdlNR2E9jscM0VozSM9fehxmjdOybGECo+zxujZ7DudFzOeQ4l0NO81gwcRfiMdvROm1j1/gNRDjMIWG0gWRrJVmWWmrsJxHhOoP1VgZmWgYyUzCdOVbzWDJmF6snBnHaI4xUt3DqRTl0KEtoV5RyX1vDA10t973r6JhcTfX6XmLCXnKu/C+caoazLXChDe5/N4jtjXkfbN/3upHrdZFUt6ukuF4lw+Mm2cIQsj1ukeN+B5M4jlJpMpWydCrEaZRJUqmQvb5QXSGJo0oeR7UigWpZPDXyBBrUKbRo034Bl0W7Lpt272y6vPOIFl3CR6BDbufPIoe5bLDzZbHTLJaNWcAipyWsHb+KLS5r2em+hY2u21g0dhsznLZgcN6JYuw25M5HWO1ymNBxGyl2nI7R1pc8gZJ7tgEk2kxmt91MPhDMZY31Qtbbb2LdhMvsd79LpFsIVROj6JLk0isr4pFfCz0L+mhd/4CCsy8Iyf6RI60/c7wNLrTApXa42gkPvx/E9sa8D7bf9HmQqztHstsVUtwuk+52nRzPMArE0ZhEcZSJUqmWGWlUmqiT5FIny6Vemfv68aKyRGrlidRIE6iSJ1KlTKJOlUKjOpUmTRotunRadWl06DLp8M7i7MS9yC1lqAR6Voyew4LRU9GOW49h3EaU4zYhH7ce0diFrBGv5qLbRlbbrGT5yPksEixg2tidSN3OM97lHIHjg7g5YRetY+bzseNUPrUOJNHKl2O2kwmxW8l1uzWcG7WGPRPOsdk1kiBxMiXjbtA29jb3PNLoW9JNRshvCCn6Gyc7Ye8AHO+CM+1wsQuCO+FGFzz6zSC2N+Z9sRn1l0j1DCbF/QoZbjcwekRQJkymUWGkVWaiVVxAuziXXmkGXdIMWmUZVEvTqZWnUadIp1qWQqU8kRpVMnXqVOpUr/8s0qxJpdkrhU6vHLLloUwbNQWpQM3k0YFstTUQaOuDwdYbP1sDAda+TLbRo7SS4D1azCXxFK7bBLBmqJ55Q3XMHz6Jufar8XULRuIRgcg1nMWul8gat4HfusyjatxcNttMY6nVTA4JFnLdbjkpTvu46BbCPvdkQrRFlHnG0+kaT4k2m9Cp6QSvK+Ls+U7OpHzBmcofuND+MyEP4fYTuPMMnv4wiO2Ned9Po9leH5EmvEaG8CY57qEUecZRJ86lRWykR5JHvzSP+4pcnmjzeKzL4YEqhT5JDO2SaBqlCdTI0qhRplOnTqFWmUK9MoUmVRrNqjRaNBnU67LY7bQeqY0aH7vJrB0VyFwbLRorFV4CFd62vvja+mGwMSC2EuExwgPfMSKiJwayaZg3C4f7M3OoDzOHTWK21Vz8XM+i9LyLp9tt/F1vkSg6yzPlDtpcVxE6ajFbrBewceQSLtmsIWLsaU5OjOKIMI8CbTEDPrmkHbtP6KEe7qwrJWxyLNe8QggKCOPc3EjOb0vh0vkKbsU/5MnXq9+63SC2d/406kqG7hhJ7pdI97xFgTCaCnEajZJ82sQFDMjyeOpTzRP/Gu4ZyujxKaLdO49Wr2y6tel0KuNpFUXQLI6hRp1OnTKFRmUazep0WjSvH2kVK7rKVNvJqG0MLBo1meV2XqisFSisFKitZHhZe+Ftq0dto0Zk6YnHCDecrMZxZKKBk7YGFg7XM3OYnhlDJjF72BTmjpjPDKf9eHuEonCPYLFrMNulN7gqCyLP4zjF4zaRYLeSCME6wq32EOwUzEnXFIKkeRjleRhVUSQuKiDqQD13gu5xO6iHO2ebuL63kKurY7k2/QZXA4K5Xzz4oxtvzPtg+7Z7Ihm64yS6XSTN4waFwljq5Fl0yIvplJh4Yijji9ntfDy9hW6/ctp8imjwNlKlyaJGm0m9NpV6RSwN0gjqpBHUKtJoUmbRqs6mQ5dDsTKajU6r8bbRMdMugI12vgRayxALZEitZCisZGisNahtNYitxAgtPZk4ciIOI5xZ6azmymhfVg33YeFwH2YPDWDO0EDmD53OAsulzB71IdNdggkQx+AjvEuA+1X2eF7ltvgqxcIrVE84Sf6YwyQ4nOXmxLuccc3gukcuka7xRLrcIlR9i9CZsdzdVkbUuXYiI+4TlfiEu/EDRId08Kxv8Plsb8z7YsvSHSfJ7RKZ7jcpFMbQKDPSqyyhX2XiqzmtfLOoi+ezm+ibVEqboZAGr2xKlMkUKRMxKeMpVMRSpoyhThZOoyyMNkUC7cpU6lUpXHDdR4CNN7NtDGwYNZnF1irkVhKEVhJEAgkSgRSFtQK5jRwPS0+ElmLcrTwYN9yFZeM13Bgzmc0jprBiWCALhgWwcGggS4bPZOmweSy1Wshq+x2sHHeBhRNDmC2PJFAcyQeSaM6I44gURRIrjiZZEk+iPJdgSTnnPXII8szlmlM0wVZnCLY5zG1hMKGTIghdlkDUiUriI/pIKfyaF9+ue+t2g9jeA1um7uTre9ncb1PsmUiTtIBemYmPfct4tbSXbxd38dncRvonl9HhV0STIZtyVQLF8jiM0kiyZOHkKWMolkdRJrtJt+YWDZpQQsUfsXT0HObaBrBs9HQW2BnQW8sRC6R4WArxFIjwtBYjt5YhthHhIfBAIpAiEghxt3Rjv3sAt0bPZOeIOawdMYPlw6ewYvh01oyYx7qRS1g/chlbR6xkl/UO9juf4YZXJMsVt5nuFsZiUQJb5HmcUBUR7FXGHZ9mgvVdXJaXEyQt4YqsmCvjo7loc5YrVie4OGwX54Zv5arLMW5Ouk742lQ+6Rk8sr0x7/ueLcvrNOnu18hxD6PUM4UmaRGdchMvptby/Yp7vFzSzWdzGxkILKfLz0SLby4VmmRKlYkUyKPJlISQKrpOsjiEJNElOvUXaDCc55x8M4vHzmXR6HlMsp+KWqBF/gs2T0sh7paeeAiEyKykCAWeuAk8kAokSKxE6B1khHjOJchqHntGLmSD5QzWjZzBesvZbBq5kO0jlrNj5Bp2jlzDjpErOGq5mhyXnZzWnGWp+3XWKxLZJEljqziLHbICDiurOO3VygXvdq5oagjW1nNNW8c1YRZXx1znI5tjHB2xl/3DtnBgyGqODV3H/RzpW7cbxPaO2F71upLtfY5M4S2MwijKRZm0yMvoNdTwq4Wd/G5VP6+Wd/PF/BYGAsvp8C+gyZBDpS6VUnUihYpoMsW3SPK8TLjrKS45bsfofpBP1Fdo0B/lkmY9s8cHIreWohgpR2GpRGIlxd1KhIelJ+5WQoRWEtxHuuE20g2xQIjEVswh5UwSxy/g9IhFHLRcxvaRs9g8YjZbRsxl28iF7Bi5nJ1W69g5cjXbRyxn14h1BFl9QILnNrY7rGPz2H0cUCRz1LeSj3zq+UhezAm3bE555nJBWsJVXQMhAf1EznpGqK6Sy843OWV9jL02O9kp2Mwuy010p4veut0gtvc6jZ4iy+MW+cJYaiS5tKpraPZr5ovF/fzb2nt8v6KDL+Y3cX9qBb2TTXRMyqfWO51SdQKFirtkSm4S73mRaxMPcsRxHUGOK3kku8pn467yqeoo7QFb+chrHlOc9QgtxUwY7oHLcHdch7szfrg7jsMnMHaYC+OHuiN1kLJOEUi+ahORVstIsV5PivVKIq2WcXXkSj6yXMUhq5XstlzFbuvN7LDewM5hK9hvuY4zIzeT4XKYi2572Wy7ndP2x8mYeJUSaQKpvnUEL33EGZ9GTjunc3p0DGcnJBCkqeT2zE+5M+set7yMXBtzhdNW+9gl2EF31uCP274x7/1pVHOKdLcb5LlFUinKolZaRo2uhi/mdPHTB/f57apuvl7SxrOZdTyaXk7flCIaDZmUaRMxKaPIlN4i1uM81ybs57jDBo7YLqFCfJCPXUOpFByk0+EIn3sd5v6sHaTM/IBTfovZqprBMlkA80UGlkr82aGcxjWfBZRM3UC/7kNqHLdw23oj6SOWUTB8FnkjZlJgOYsiy4UUWS7HNGItGVabCbXfRaT1NuKtdxMv2EfuqCPkiE9yfuIxMp3P89DpIj0u1yneVkto4b9xseRnzt/4PafX3Oe0uoQzznGcdYriqHs6hw11nJ/UzB1VNjFuoTzPHfwJyDfmvbD1TCRDd4oMt5sY3WOoEudQKS6iQl7C0ylN/LRhgN+t7eXbZR18NreRZ7OqeDitlC7/XBoNGZSqY8kQ3yDW/QLBLgc5NXojB6wXkeqyhueiYIqtj5MpOESR3XF6XI/zieokT32O0OOzm2avbTTottKq2UqXcjs9njtoHred0tF7yLY9RIHVXuqt1lI4fAaRw6cSPtSfiKGTiB4eSNLwaaSOWEC8zVYyRu+j2XoXbbYH6LQ9wqeuJxlQXqbM9RKPHU7SNjGI7MAEEhbnELMul/jtFYSvqyZ0Ti03/Vs5pyrn2PgYDo2+wb6JMRxVmThjqOFJ6eAHhDfmfbFl6j4i0+0Whe6xVInzKBObKJMV8iCglj9suM8P63t5ubSDz+c18umcOp7MKGdgcj5d/rnUeCeTKwsl3vMy110Oc9phE8esl5DsvIqPZZcpFBwnzfoQcVYHMNofodb5JE2uJ6lyOUiJ8x5Kx++lzHkPJU57KHXYS4HdPgpsDlBre4x+u4P0W6+ldMQskodPJ37oNBKGziBp2CxShs0iY8R80q1WcsPhCKl2++m02UG/7X6+cTrCc/Fl8kSR1I67RIbzJSJdgrjleolgt3Nc87xAkOgywR43CZbEcU6VzXFtMYcVxRxwS+OgSxyH3OLoNw0+5vSNeb/LVW4YvS+Q6xFGsWcCNRIjZeJCymT53POr5KeN9/n92h5eLmvjy3lNfDavgU9mV/FgiomBwELa/DIoUUeRKgkmxPUEFx23ccZ6BalOq/lUdYkcwRFSBYeIFOwj3GY/SXZHSbU7SYz1ISKt9hIp2E+kYB93rPYRbrWXdOtDNNgd4rHNTp7arKdfsIxmyyVUjFxKycgVmASrMArWYhRsIN92I7n22zg97gwfOR4nw+EwrWNO8ZnzEdo9LlGhCCff8SNCbI9y3nIvHw37kMNDNnBkyBYODVnPoeEbOSTYzYGxH7FfGMkxpZGj0lwOiDLZPzGR3lz/t243iO09bjEy6a9gFEZSLEqiVmKkXGqiVJ5Pp76Y368Z4Ic1vbxa2sbXC5r5fEETn8yp5tHUYh5OLaI7IJsar3iMylCiPc9xY+weLtusJWfsGj5TXSBNcIhkwQEibPZwzXon4TYHibQ5xjWbvVyy3sVlmz1csd7LRes9hNvsodZuH322G3hsvZgH1kvosVpLo2ALRYJN5FpvJtN2G4l2u4iz30/86ANEjznKIaeP2DPmDNddzpPrdoF89zOkSW5T5xdJ+uRQrhtuclF3iTOq05yUHua0+AhHXXdycOxG9tl/wF67Dzhov50zYz/imCSO06oCzvrUMFA6663bDWJ7H2zeQRg9IikSJv/yns1EkSSXGmUO38zv4oeVfXy/vJtvl7bz9ZJWvpjfyMczKngyvYT+yTk0+6RQ4RVDmvQqYc4HuWH3AWXOH/BMfoFkwWGSLfdxV7CDWzbbiLLfSYz9bq7bb+KM9UY+EmzntGAbVwXbybDdRqPlYtotp/NAsIBu263UWO8nUbCHm4ItXLLazHnr7Zyy3c0JwU5OW3/IKdvdBFlvJ9puF4nOe7nlepxQ0W3C1FmkbagiNPw+16MecD2il1t3Orh9vZHwCxWEHjVye0cSN1aHcW3edYKnBXFr8lWu+Ydyd04GsVta+Lh/5Vu3G8T2rrcY9Qop1YdQJIqnWJRElTiHKomJYnEeRZIs7vmX8c2idn6zoofvVnTz3YouXi5t58t59byYXc3j6YX0TMqgyZBEoSqEeNfjRNlvpdVjJ/3ic2RbHSPP+iCp9ttJc95GrudOsjw3Ez1+NUGOKzhrt44Tgg+IHbWBctvFVAwP4JFgLg/td5Jtd5Io2+OECPZxWbCFcyM3c9ZyK+cF27hsuYUrlpu5YbmODPu1VDutoXTMIowOq6ibcJFmeQ7nppZyJPorzrb9kctP4eZTCH8KkU8g+jHEP4aUe38ms/0Hchp/Q1bD9+Q3vKKg9RXFlV/x1RfL3rrdILZ3xPa7Xgk1vpGUSVOpkKVTI8ujXlpAlaQAk9SISZZEuzaDT6aW8eXCZl4u6eQ3y7r5blk7L5e28PnCKh7NLKB/chb1hihyROfIctzPPclR2iYcpn7MUWpct1Og2Uyq3yaCtEs5qVnINd0KMtTrSPdcS6T9SspGrSBvhIF7dnN56riDFLvDxFofI87yCKGW+7hos5tT1ns5bbOHi3Z7CLLbxe3R28get5Fc1xXEuKwl2WUnWa7HKBDdpk1uJN41ioN+ORwP+5zrAz8T1vv/sfeeT3Geyb/+u7X3eyyCAOUsMUxOJAmhnGXJSihHlHO0chYi58yQYRiGAYbMwJAzQhllyVa28lrO2dL1e4Hs491z7NrllHf3V6Wu+vwDz3NV993d990NURcg5iIkXoK0K6C9AfrbkH0fjE+g6MEr8sqekrWjkhvFbn/47d7C9i/C9vl5KZWjYigQJ1MgSqFInIZJkoFZmoVZlkue1IBWnEq2MIYKaSSN6jjOuaVxfVw2H08u4f60Cm5PKefGxELOjtFS4xhMm2I/99wPc85lJ6HS2ax3GMvEAaMY3n0EIktHBJZqnKyGMq7PGLaLp1KtWs6dXjNpsR7DpZ4b0NvuJczmCN49vdjSxwePficZN9iLYQOP4D7wKOMGeTNKcJLxUl/eV4UxWhXFRJd0pg/LY5p7ETNHlbNwZA2ebuUskuezcFQBh8LvEtb8I9HXIek6JF+GtMuv0V4D3UeQexdyzI9Jnp5IhO0+Insc4aPKtwnC71rnbuqKKRoeTLYwBoNDFAaHKHKEsRQIEymVaCkR6sgRZ5AqSyNZlIRGGE2SQzCZYn+M0kBK5cHUqMKpcY6m2jGKOnUk513CuTUijlMjE1ncfw7qrm6MsxmBu81wnK1cUFk64W41nBHWY3C1cmfF4ElUKJdT1WcNwb0OsKWvF/P7BjCqvzdu/b1w6ncM9YBDuA88gNvAfQwdspepDvuZJzrGXJEvy6ShrBNHsEsWTYAyAl+XfDZIUlirzGCzOpv1zjqWjNSxYXY+B/a2EJn/nOTLr9DegsyPQdf6JRk7yklSBBLj4IV2ZS6FGTd5/OLtrY/ftU4lCGcF5A/1QS8MQy/oUJYglGyHSAqEGvIFGvKFyeQJk8kUJZIuSiBeqCFGGEuoMIZgURgBwkB8RUH4CoMJFIUTKY0kSRZGuTKKcOEuxtq4MbbrOMbajGaEjTuuXYfibu3GWKvRTOw6icm9ZrBZvJHdwgPM6ufLzIEBLBgQyOJ+/izte5z1fQ6wr+9WDg9czs6+HhzoOQPfngvx7raCI93W49VtC4HdNpPSfRHl/baS7xDLcdtdeHXfR0jPQ2QK/Yg+cYp9ftfYuamJXUuq8Tp0jQTTlxjyPsGwpIgUlwgyPLQURbVT0vSC0uvf8vSbt9fCf9c69ZTvjD0GlyOkC/zRCQLQC4LRC4LJdggnTxRNriAWozCWPEEMOcJYskUaDGINOqGGNFEsqSINSaI4NKJY4sVxJEo0JMniSZAlESbVECbyZ2mPaYzvOobJthOYaDuWsTZjGNl1LOO6zWRyn1WM77+JqcIP2eR4hN39vdnXxxefXj6Edt9LRLfVRNp5ENVtIjF2o4mwHU9g1/cJtl5AoOVyAqxXE2y9itSuc8jpOoXWAbsx9vflpMU6Aiw2Em25BaPth5zy1BNd8zlBRc/xTXqA/+EbhO5oJ27lKbKm55N7vIUi421MN3+g/DFUPYNnP7yF7XetU7c+zg5B73qQ5CEnSRviQ7rAD50wgGxhGEZJLEZRDDnCiDeKJNchmjxRDHnCKPJE4RRKYimQJlAsSaRUloxJnkKpMo1ipZZsVQaJ8mR2DtzM7O5TeN9uOlO6z2BSDw8m9FnOhP6bmDhgK1P6b2Jiv9X4qrdj6LuL1G47yeq+CYPdAjJtJ6G1GU267Xg0llMItZiJn+UC/CxWEGi5hhDrNSRYe2C0m0Se3RLa7H1J7b6ZEMu1RHTZQKz1FjIstlErP0FJ3kck3HxFQst3xB04Q+gUExGzmklb1kx+6WdU3nuF6RGUfPSKorPfcPeTxX/47d7C1okrRvphB0kWeJFk70WKvQ/pAn+yheEdEyjFseQIw8gRhpIjDH8zjTKKbFE4RkkY+bJoimQayqUJVMgSqZAlUSFPoUGeQpNjJpXOBfiL/VjS24NpvRcysc9KJvdbx9SB25nefwuz+q5kbo/5LO0+m0TRMky9lpNltxSj3TyM3aeTaTcNrc1MtHZLiLPyxMdyGb6WKwixXEmk5SpirReRaTORfBsPSnsepGnwSTK6LSfeaiUJ1utJtNlMqvV2Sux20L5SS675EfHhbaTMzSRxYQkJEQ+IP3CXtOgX5NZ/j7H+B+KTXxDh9REXW94ut/1d6/TrqqFHSBP5kurgi1YQiEEUTrYwkhxRNLniKHLFkR0SRWAUR2CURmKURFIgiaZIFkuhLA6TXEO5Ip5yRTxmRTwVqiSqVGmcdslBL4tmWd/FzOm3jin9dvJB/23M77GEVd3nsaXbTHZ3m8oRu2lkDJxFRreZJHWfT3b3dRTZ7STfbg8Zdh+SZLeL2K6biLZeRbT1UuK6LifRegHpNmPR204ju9tO6gbHUDrgOEk284m3XYXGegPx1ptItNqO3nobF2SHaVucRKTLSaIX55JV+ZTcO6/Ql35N5MJ2QlbcInD1HbYNb2SLazmnzZP+8Nu9he1fbsQPIcvlEFpRIJmiUAwOEeQJ4zAKYymQxlMkS6BAqumQJI4CWSyF0o51iiWyWEwyDSaZBrMykUpVEhXKxDdKpkqlpcUpmyxZBEu6ebCmzzLW9VrK5h6z2dNjOvt6zGBPj5ls6jadbX08SJGs4YTVCnxtthLb/TgZPfzI7+FNXvfj5Pc8jL77LjRdVxNhs4LQrp5EWM4lzWYimd02k9/Th/OSTJJ67CLccgEam/VEd9lKZJetRP/POvLs1tLQdxVXbZdSuKcQ7eXXGG5D/t3XZF38Dr9FzexzqOTErGsEHbhDUsYLHj5f8Yff7i1snQij2UOPoRMEY3CIoESWjEmWRqk4jSppJlVKPdUKLVUKLZUqLRWqdMrlKZTLEyiXx1Ohises0lChSqBSlUiFMgGzIoFKRTLVKi1NTjnoZWGs6jWP7d3nscX2A1bYTWeO3QdMt53G+7bTmWzzAfMHzEAjXMMOixXst1qHT9cd3NWsAwAAIABJREFUaLofxdDbB2Pvk5T09ae0XzCZPY8R03UbodYbiLTxRNdtMRm2Byns5c9ZkQ5/y1VEWC4lyXoDYV02oLHaTGHPdVT29qTEZg2NPXdx9agZw53XZN8FbeP3eC9pY9+kevy8HpB/9mcqH0LNY3j+3co//HZvYetMb3S435tGfBIVch01imwa5QYa5BlUSBOpkCRSKU2kWp5ArTKJOlUqtaqOzS/VKi3VylSqVanUqNKoUaVSrUymWplGjVpPs3MOWRJf1vdbwqJus5nZdRoTLCYwwWoiY2zGMqLrOCZ2ncpxwSJC+y9lu5UnO63XcNBqAxF2e0nvewx9v5MYB/pRI4ilWZBEQU9v4rpuJd52BWk2G8iwO0RhnyBahOkEdPEkwnIZcdbriLNYQ2HvVRT0WUpe97Vkdd1BruUerjgcp6HgDnE5T9k7w8ThNa1kFLyksP17yu++pvwuVN2Hp1+/zUZ/1zpV+jhnT8mIAIqliVTJMqlX5tKkNFIiS0cvTUOr1JKu1pOh0JKpSMWgSKZQEYdZEUW1IoZaRSKNqjSa1ek0OxpoUGdTq9ZTr86mxTGNFlUcgYP2sqDnAibZTmOi9STGWIzGvYs7ThbuDLUewbrBM0i0X4lfN092Wq9gq/UK9lmtIcBmK1E9dpLYay+JffajG3CSWkkS56V6ivv5k9djB1l2u8i0O0xJ32DOSfUEW6wkxHIlMdZryO/pSWHv+eR0W0e6zR501vvRWh/A2CsA3cIyDqyo5eSRdnRlLym6/hOmO2C+C+V3ofLuW9j+0DrXiBdgGhFElTKDBicjjcpiCuUGctU6ykcVUTnShHlECabhRgqH6slzzcToqiXPOYUCpySKlBrKVRrK1RqqlPE0KxNpUidzSplOi0pDqsNRlvVaxTTbD5hgPZExVmNxtRiO4j0nRtq4sW3gNOKHLCO8uyfeXdfxoZUnm62WsNvKE1+bDYTYbSCi2ybC7Dbia7cJTZ+DnFJncU6WTvOgAEr7eZPX8wimPoFclGURYbuFIIuVZPbypKD3XHTdPEmx3kmaxQGS7bwJ6xfOIftkTjrnEreikvjSJxTc/Jniu68ovQPldzpgq7j7FrY/tM7B5kDliAjqlNm0OBdRqi5DL0uj0b2YG7NbuTKlhovjzZwaU0j9yBwqhxsoc9NRPDSNQtcUilxSKXVJo8QllTKnJKqc4ql3TaXBJYUkuR8r+3gyym4aI7qOZ5TNOMbYjWFqj1Es6zuO48IPiBu0mEg7Tw5areCE1Qb2Wnqy1WIJuy088em6hnDbtYTYrsG76yoOWizmuM0qsgb7cV6ZSbsogdNDoqgfEER1vxDOSlLI7utFSvfl5PVagr7bChKstxNtvZ+w7n54DY5npyybXbJsokUZnF2QRWvjfYx3X1Hw8c8Uf/yasttQdgcq7ryF7Q+ts1OMqt0jqVUaaHEsJcfJRJU0gftTGnm5rJ07M+u5OrGSs2MKaBuVS+OITGqHpVLlrKHCNZ5KtxQq3HSUDc3A5JpOiUsy9e5JnB6bRIxyL1sHz2dNn2ms6T+NzUNmcMB+Fn4CD3SiJWQNXkZ0d08OdfHkQ6sV7LNezR5LT3ZaLme3xXJ8LVeR2G0Vmh6eBNou54TNfE7YLiCp7y4a5dFcUmi4q9BwSx7DWVk4Z4aEcHrwUYp7LSKz23KibXYRYneUY71D2G6fzDppFjulBkKGJFPaO5ibDkd54JWH6fpX5H38iuKPXmN6C9s/Z50Nox2eTU+tYxn5LmVcVMTxdHYrn6+9xhOPZj6eWsulCaWcGZNHy0gDje46qoYmUjE0gYqhGswucRQ7RlCoCidL6keF4zHujwnhovoglbLNFIvXUShbR7liPbXyLdSJtpPdYy2RVp4c77KKPVar2Ga5nG2Wy9hpsYydVsvYY7kCXwtPCgauxCBYRkAfD470nM7xXjOIHOCJTraXSteTXHEP4uPxsdyfnMRd2TFuDVhNcY/VRNru4kDvIPYMSmKNRM8KsZbtgxII6xVEhq03xdbHqLf7kMfjT9BuvkzBxz9R9NGrt7D9s9ZZ2KpGRtCgyMTsbKbMtZLLilgeLTjF5+uv8mx+K3c/qOfG1IoO7zY6m9aRWTQNz6BheAa1w9KpdE2mUBGOXuxFcP/NhPZYzlWpDw8HhdJmc5gq290U2m0hr9tmDLbbSLP5kAirbfhabuSk5Xr2dlnOpvcWs6nLYrZYLmZbl8UcsFxJqM1yWtRriHRezOK+o/mgtwvz+rixZtBktormc1S9ntgRe8icHsqFxSk8GraNS4LF6EQn2TkghoUOmcyXZbNemMyRfsGEdj1E3F+3kWyxB4PtMUx2B7jVZytPj6RS9tFXFH/Mr7CZ78KTt7D9vnUWtuqR4dSqMqlyLsPsYuKyUzIvlp7nyw1Xebawjfsz67n5fhXnxxVyZkwuZ0bn0DIik4YRGdSP0FIzNI1CVSSpwmMc6b2GXd3mkj9gG9ek4eRYHyTdcg8hVps5abkBX+ut+NnsxMtyHce7rOSE1SoOWq1ke5clbLJYzHqLRWyzXsoJ6xXk9llBnPM8nGzlSN5TIXxPgbiLAuf3nBnZxZ3JXScyq/8qjoh2oh2whLTeKznsns2aGU1sXlpDrFMokTb78O+yEb8u6wix3EKY1TaiumwnyWInRtt9NHXbxTOXbdzKrqbkzg+YPn4L2z9l/0+wqTNpdS6lUZ3HtaFpvFx5ia83XeX54jM8nN3Irek1tE8o5txYI2fH5tI60kDjCB2NI3VUD02lSBVNivgEe3qvYkO32WT0WsVVmT9ptjuJtdjEMetV7LJcykHrNXh13cxhq9Xst1zGccvlHLb0ZJfVcjZaLmb1e/PZaLGQk5aLqRIuZ6XDeBwtFbh0GYbLe06ouqgZZjcRtz6ejB+wlc32mzjRbwEHB3qyyzGIGI8mEv2fsN/8LbqYNso+8Cen1zr8312C7/+sIshyPWEWW4h+byvJFjspszvMrZ7b+XqJP6cvPKLkrWf756xzsAmpGh1GjVpHm3Mx51TZXHfX88WqS3y78QqfLjvHw9lNfDS1kqsTSmkfV8D5sXmcHpVNy0gDTSP11AxNo0gdg1bmzcG+a9nYzQNtzzVcFPmQZr2VUMu17Ldeyk7LJRyyXoNX1zX4Wy8nutsSEnsu44iFB1utFrDeah6ru8xmi8VCfCwXUSVbxuy+I1C+p8btfzni3nU8w/osZ+igXYy1P8DSQRs43NuDwH7L8BLs4aQigMpZZi4ef4x/7c8cqf+CmII7FJwooUS1mViLRXj/zwoCLDcQabEVzXs7ybLaT0u3I/xNtIfPfDIoefia4tuvKb/z+i1sf2Sdy0aFVI+JoEadQYtzHhedC/h4vImv1l3h2w2X+dTzPA/nNPHx+1Vcm2jiyoRS2scVcX50AWfH5NM2MpfGoZmUOydikAfhPWAbe7stwth3M2ftvUi22oSflScHrJdw0HoxIbbLie+7kmTBcmIdFhAvWkRQt9lssZzFKgsP1ljMYWeXJQR0WUaNYiVz+4zEpYs7Y3svZ5TgCCPF/iwYvJYDfRcR03sOGYM2ki8LJE+dhMk5g8sTK7i38jrFiV+z7zR4nf6JyJpPMSY1UTTzMOk9luL9V0+CrTcRY7WLlC57KOl6jBs9D/H1mGOcPvWQoruvMN1+zZOv3sL2u9bZ0kflyFCqlGk0O2ZzxrWQu9Ob+Wb9db7dcJm/LTvHg1kN3J5Wzc3JZq5NMnN1YhntY0s4P6aIc6OKOOWWQ41rOvnKCMIG78On90pqBu6meeBRoixWccJqCeHdl5LQdynJgiUECheyw2E6C/qNYbtoKnF957HdwoO1FgtYb7GQPV08Ce2yijrFGuYPmM6IfpsZJw5krCKJFZJAQnvNoLDnLKoGb6FGFkyjczqnXI1cHFbE9VFmHkxq5dLa66Qlf45Xw88cPQ8hp74kM72BEs8IDH3XENllA9HWu0m1PoSh63GabH14MugED/2Kqb36BSV3XvP4LWy/b50Lo/aUjwjCLE+hQWWg2SmfOzNP8dX6G3yz4Qp/W3SOB7ObuDu9hltTqrg5uYrrkyq5NMbExTGlXBxbypkR+TQN01PuHE+KyIu4fls4PeQQxb13ENp1KeE9FxM3eAnhogUcEM1n8aDJuNi5IOgiZ5n9BGJ7z+NDiwVss/Rkt+UqTnTZQLjFRjLUe5grP8p4SQxTRYHMlkQQPng75t4LaRqyjwZ5DI2qeBpd0mh1zeLisDyuupu4OcLMvdE1NG+9SXz2Vxw79ZqTZyHk4g9km25i3pJC7oCdxFpuJ9HmIGldvSjs6svFXsG8XBLB2fqbFN6Fx1++he13rbON+DL3AMoVydSpsmlWG7k1tYrP113mm803+WJFO489TnFvRh0fT63h1uRqbkys4tIYE+1jS2kfW8r50cWcGWGkyT2DIkUY+YMPcVlwGF3vNUT3XUi0YAm7hsxmbt+pTOg2BSeL4SgtHVFaKdkrmoWf7Rx2WC5il+Uqjlttx9v2IMd6ebHLNYkPnDN438GbVf23sGPIQfJ6L6J2yEFqZbGYFYlUy2Ooc0qmyTmDs8OyuTLSxI3R5dwZaebBhHrqjjwgtPwHTrZB4FkIuwo51Q84tTwKff9tRFnsIN7mKFqrY5hsvHnu7MW9hCpK7r3i0VvYft86C1upmz8meRJ1SgNt6nyuuOfzcsU5ftp5j+83XePZwnPcn9HMx1Pr+WhKLbcmVXN1vJkr48u4NM5E+1gT7WNKaB+dR71LEg1yX84P2U3qoOUcHezBzN4TGdl1PKOtJzHGaizDurihtnBhXPdhRIqXc6TLPLZbLmWz5Xo+7OXNOnsNcxRG5oysYIYsgj09ZhM4YA0RA7dSO3AlFZIoTPI4yuWxmJWxVKuTaHBM47SLnotueVxxL+TWyBLuj6zgzrzzZKZ8zrEzHYs0gs9C5OVXFJbfoHqOP0ldNxBlvQ9N18PorA9zo48fn21MprH9BQ/fhtHft87D5odJnkSDUzbnnAtplqbxaH49r3be4/tN13mx4CIPZpzi9tRGbk+t5/bUOm5O7gipNyZVcmVcGZfHmbg0vpjyYclUOQWQKdnEoj6TGGs1jjFWY5lkPZmpNlMYZz2GkVYjGWo1lB1DppDUeyFbLD1Z3m07s/p6MVEQy0RBPNskcRxxj2LHoGXk9ZyMT/+NaAduoNH+ECWyCMrlUZQpojApYqlQxVPnmESTczpnXPW0D8vlqlsBd0aZeTq6nos773Cs+RW+rW+82wWIvgbmsivUuO0n9n+2EWt1mBTrQ9TY+vPFCD9ulJ7j/tvXVb9vnYbNPYAyeTI16kzaHPOpFqVwekQWX666wg8bbvHZkis89TjPw5mn+GR2K4/ntPFwdiv3ZzRw5/1abk6qpH18GY3DsilSJdOgjKdAfpI9A9eyrOcClvXywKPXXD7oMZ+Jdh8wznYyHv1mcEKxlTV9tjN2gBfj+xxjau9DrOh5gGM91hM1eB/ZstXEdh9HTo8F7BOdJNd+BzXCQEzyaErlMZQqYjApoilXxVGl1lDrmECzSzpnh2XR7mbk+shSbo8082RKKxm6bzhyBrzbXhF85jWR5yHqJrSktFIyeAcRFltIsfYly+o4t/oH8PKIlk++e3tT93ets7AVD/OjSBJPhTydNsd8GuU6ykRx3J7RwA/rb/O150e8XHSVp3Mv8HjuOR57nOXhzDZuT23k5oQqro4u5cJQPU0qDS2KMJpl4TSoEil3TOXAwN3M7DmXuX0Wsrjfamb3W8+4fmuYZ7+VdYP3sbr/Vrb0XM2H3ZZyrPt8InvMIrTPYjT9F9LecwZpfRaSPuggm0VeFDocp1wSgkkSRak8+leVKWOpUMZRrdJQ75LEqWFazg8zcHlEPjdHl/LJqCpO7/uEI22v8W59RUDba8LPQcx5SL/2Pae2ppBut5Uoq31orU5QZxvEdxMCeP7Z28Eyv2udXQFZONSbQnEcZmkazeo8WlTZVIk0tLpm8GT+aZ7OP8fD2ae4/X4NNyeZuDGuiKvuRi67ZXLZNZ0LTgm0KSJokIXTINfQrEyiSa2jycVAiiyI+T3nMs32feb2WMDcgWvZ2NeTY32XcrDnIvb0mMWBbpM4ajsZb7spBHebik+fpRj6L6RtyGKyB+4mdbA/u0THKZP4YpZFYZLFUCrrAK1EHk2ZIgazIpZKVRx1zkk0D03n7DA9l9xzuTmykDujy/loSTtBlT9y4swrAk+9JvQcRJ+H2CtQmdNO5Sg/Eix3kNbVm1LbIJ5JI/j67tQ//HZvYesMbMO8yRfFUCpNplqp55TaSJM0lTppHBfccrg0Ip8LbgbOOKdyxjGeMyoNpxVRnFZGcUoRQ4s8hnpFNNUyDbXyFBoc9TQ5ZdHibMCkSmJjH0/G2Exgeo95bBy4kuAeCwmwncWxru+zx2oCO63Gsd96ModtprOr+yoO9V5LTX8PzrruJs/en0T7IA4KdlAlDaVCEUuZXINJEdMBmywKkyKGclUs5eqOcNrglMypoZlcGGbgqnseN0eW8PHUWnQJn+LVCt5tEHwaws9B1EXIbP2cmkPFFA45QIL1CXJsgrjUO4yfW0b94bd7C9u/HEYFFLr5YBRGUijWYJan0eSYyymVkVZFJs3iVFqkKTRKE2mWxtEii6NZFkejUkO9IoF6WSJ1qjQq1WlUKNOoVqRRr9JRr9bR4JhJvTqLg4N3M7bHTFYPWERM/4WE2C3ggPV8dll5sNliJhu7zGSbxQw22ixnXc/t+HZbTO3ARbSP9yXfPhiNIAhfwUZq5LFUyOMwKzSUKWMxKWMwKX4jZSxmZRw16iSanLScHprJBbccrroXcGt0KVUH7+DV+IoTbeB/GkLOQvh5iLr0msKqTzi7QEOy1W7SrL0pt/bnx9Jhf/jt3sLWiTcIBUO9yRaEkyeKoUSaSIUygzp1Dq1O+bSocmhV59KizqbFMYtmJz0NTpnUqDOoVqdTrUqlWplClTKZSmUyVaoUalUZ1Kt0NKqyKFMZOCo8wYL+c4kZMpeUnvM51HURO61XsMNqOVstl7DxTZtqYY+NfNh9ESHWH1DabwXX3g+k0CGEKIdgIuw3U6NM7IBNpcGsegPcGw/3i8oVsVSr4qlXJ9Psks6ZoXouDjNyw72Qc8vPElD2HcdOgU8bBLRB6JnXhJ//mfgrP1Ofdo7cXjuItTiCzsqbL3Nc//DbvYWtE7M+Clx9MQqjyRfFki+KpVSWRKVSS61KR408vcNTqTKpUWmpVnWseaxUpPzmjWgSVapUqlRpVCvTMKvTqXVKo1xpIEyWyIFB2zk0ZBIZ/Wdy1Go2Wy3mscd6GXu6Lmdn10Vs6uLBEuvFzOj7IV5dJ+NlOZuMXiu59r4vxYpwQux9ibPfSrUqkQplx/PBSlUCZoWGclnc38FmUsRQqYqlWqWhwSmFVpcMzrkauDosnwuz6wjXf8aRVjjZBr6nIbANws5A+EXIuvA1TeOC0FjvRdPVm6e6t6Ppf9c6N8XIgWK3EIzCWHIFUeSLYimSJVAkjadEkkCFPJlKRQqVihTM8iTK5YmUyRMwK5Mwv3kjalZ0PEquUKRQoex40lel0uKv0BAl3EeeYDPa/nPxs5jDBouZbLDwYK/lYnZbLWSH5Rw2WCxgVo/NLOm7hoNdJrPnvQXE2C3hxpTjlLtGEjhkL0kOO6hWJ3XA9qs0mBUaTMoO71Ysi8Qkj6ZS0QFbvTqZFucMzrkYaHfN5dK4MpIjnrKv5TVHW8CrFXxaIfA0hJ2D0GvQ6G8mo9suwq2PcifT8Q+/3VvY/kXYXl6QUOQWiEEQiVEYjVEYiUEQSo4wgnxxFCZZPGZlCmZlCuWKRMqVCR1jFpQJmOQJHeDJE6mQJ1GjTKVGmU6RIpMQWSKJDgc57eBDg/1OEu2WEmi1hpNWnhyynEuAzWIS+qwlsf9a/PqswKP3crbajepYFdRlFsEW87k16RitI8KI6L+JRIf9VKtTMCsTqVB2PIquUCVSoUrEpNRQKo+hWBrZkTDIoylXxFCjTqDBKZVWZx1n3XK4NtpErtd9dje94mAzvwLndxqCz0DQOciueUDFSF9i/tdebma99Wy/a52dqVs+MpxCSTx54liMokhyxOEYJZEUyqIpk2uoVKdSqU6jTJ6IWZFIuTyBCkXSr0NkyhVpFCnSyVakkSzTkOwQTLHQn4su4VwVHKGi23qybNeTbL2FTJuNFA5aQq3zYcyOvlTKvAmXH+H4gCVst5vAWstpbLSYScB7C7g6bB03Pkgkr/c6/Bz2UaHOoEIVSYUq6Y1+gS2BUnksxbIO2H4BzqyMpVqV0NHKGmbgknsBOUc+ZkfjK/Y2wqFmOP4mO/U/Df5nIf7MtzRtNpJideAtbH9knSt9CKgYGUWROAmjKIZcUSS54jCM0ggKZFGY5LGUq5Ixq1IxK5Ixy1Mol6dQpUilSqmjRKmlRJZAkTiCInEQJbIAGlTe3BsRxiPVCc732UGh7Rb01pvIst5MS//13B51glaXGEzyUJLEQex02E7AYE80Pd7nmPU8DlnPJ9xqJc2Dl/FwTiDnXY+S2HMVGmk8ZaoUKlVJVKrezBZRJWNSJHR4tjewFUsjKZZGUiaPplKhoU6VQrOTjnNDc9EfvsXW+ld82AD7ml5zuOUNcKfA58xrItp+pDTmHLkDD3JV/28Mo69fv/7/lTqbIJS6hWAUxpHlEEGWKBSDKIhscQj5knBKZLGUqZIwK1OoUmmpUuioUeipUOkpVekolUZTLQ6lURFGg1M4FU6hVDl7cd3tGM/l3twaeJz6XkfI77qbcput3JNv4M7kKOrkSRglsRwTnCRowFp87Xdh7DGTWOul+FsvJNl6HS29NvFo9H6eTA/itNsR4mXeJEgiyVfEU6ZOpkqdSpWqY+5ImTyuw7tJoyiShlMoCcMki8as0FChTKBemUaLi57UwzfZXPuKHfXwYQPsb4JDLXCsFbxOvcLn7Gt0eXcxu/txRSf/82H77Q989erVr/r555//q9Vp2IYHkSOJI0sUgV4YjF4UgEEUglEcQbE8jnJFCmZ5GvWqLBpVRqpVOZQqdFTKY2mSR9LmHM3p4RpaRmgwu4WSrTqITryBosE7qBl0gNaBhzg/5AQ37Pfz1dgP+WhKItXSRIKk0XgP3IFWcJxjQ/ZS292DnF7LyeuziaZBB7kjOMKnyqN8MSGIWzMCKB56Er0okHSxH7mSCAplsZSqkjHJEzApUjArEiiSxlAgDidfEkKprCM7LVXGUKVIpN5FS4zXbdZVv2JzLWyve82HjbC3CQ41v+ZY888cP/Oa2LpPqVqWwrWMP3kF5G8h+/nnn/npp59+1Y8//sgPP/zwX6vOwTaE4uF+5ErjyRZHki0NJUscTLY4jHxJDKWyRKoU6dQoMmlW5dHoWEi1IpMamYYzqijaXZM4N1ZLy9gU6kfFYnINJFW6l5OD1+A9cDURfVdSMHAzrZJ9XFPt4/nEw9ycmEaSNI6D9sdJHLSLGHE4mgGbOdtnOWckm2kX7eeOzIdPpN7cFxzluuwgzaMPUznMm1KxF7nCo2Q7eJEjCiJXEkmeLI48RSrl8kQKpbHkiyPJl4RRLI2kSBpBsSySclkM1W5a/IPus6r6NeurYXMNbK+nA7hGONT4miNtr/E//RMVR0q4pRP+ebD9I2Q//vgj33//Pd999x3ffvst33zzDV9//fV/rTq7AjJn6BFyhLHoHcLRi4IwSIIxyiIokGkwK9JoVGXTqi6gxqmUOpWBNmkyl121XBmfQ/ukHC5M0NM2NoOGEQmYXcPJVfuQKD+E95AtbOm1gHXdZrCv12yiBEspcdtP3Ugte4Z4oxm4jmJJCCek/lQPWc5D2VYeOu3mivBDGvt/SGnfraT1XU1ov+UE9V1J5OAtaCWHKZZ7YVZ4YZIcp0h4nDThSeKlUegUSRRLNBRK4sgXR5EvCqVAHEaRJJIyaSSVwzM4GPuMFZWwuhLWVf1v4HY2wJ5GONL8muOtYIxv5W7OnwTbbz3aTz/9xA8//MB3333H119/zZdffskXX3zB559/zmefffarXr58+V+llpaj/3qd7bw9OufdZAvD0AmC0An8yBL5kSMOIl8ciVmeTqu6gDZnM+XKAs4rErk5vICPZpi5Oa2YaxONtI/N5uwYPa2j0qhx11A6LBKjczCJ4qP4D9rBwX7r2NlzGbu6LyR40C6CJdH4DN5KteQk+ap09ooOUatcxjmXjZQ7bCR90CqiBq7CZ+Aqjg9Yid+g9YTbbydasJ0oh21EC3eRKD5AhvQ4RqkPpeL9pNifIEYUQ6ksiWJZAgXiaPJEYeSLw8iTRGCWRlE83sj2lM9ZZIYV5bCqAtZXw9Ya2FELO+tgTwPsb4Gk/I94VCD982D75ezz448//gra559/zqeffsqLFy94/vw5z54949mzZzx9+vTv9OTJEx4/fvwfVVPT4X8ZtvtXxeid9pEpCkAvDEYn8MMg8v8NbGm0qPNpUZdikhu46JzDfY9zPJpdy90PKrk5pZQr4wpoH53L2dFZtI5Kp8E9lXLXBLKV4aTJ/EiQHCfMfi8Rg/eQpAhlj9Abk2AXDc6pZDpmcky4hQbX7VS47yPfZS9Zqj1kSvaRJtpPknAfaQ5H0IqPkyo9RoqkQ8mSIySIj5IgOoFWHECp0Js4+xAKxYnki2LJE0WSLw6jQBJOgTSCCqWG7Hk1LMv5njllsLgMlv0CXBVsfgPdzrqOsBpY8xlPqv6kdtUvsP300098//33fPvtt3z11Ve8fPmSZ8+e8fjxYx49esSDBw+4f/8+9+7d4969e9y5c+e/Rp2B7cI1AUkT/MkQeGEQhaBzCEAvCiRHFEqBOJoqpZY2xyLOulZRrDJyxtXAy3ln+GzxBR57tHBneg3XJ5ZybUIxl8bmcXZ0Fi3uWiqcEylURZOriEAvDyLB4SiUJJmNAAAWKUlEQVRxgiOEqyIJHbyTalkQbc4GkhxziZBt4vIYf85P9KN25EnKnL0oVJ0kV+6NXnKSbIkPBpkvOpkPGRJv0iUnSZWcJEXkQ6rQB50wgGKxL/GCcIrESeSJYjAKIzCKQskVBWOUhFAhjyZ+dRtz8n9ihgnmmd4AZ4aVlbC2GjZUw5Za2FEP+5te8aR1xL8Htm+++YYvv/ySTz/9lKdPn/LJJ59w//597t69y+3bt/noo4+4desWN2/e/K9RY+Ohfxm21kuD2ODhi04cRK44imxhNFmiEHLF4RRIoqlQptGkzuWcs5kaVQFVylQ+mlrNF8sv8emSczz2aOGjKRXcnGzi6oQiLo0roG2UnpqhyZSo4yhQxZCrCEcr8SVN5kewMoRU+93UqZM442okRqkjXbGF29OjuT49glOjQ6gZGkiZcwCF6kDyVIEYFQHkyP3Ry3zJlPqglfqQJvEmTeRLmtCXHEkIJnEwyQ4RlLyBLVsYQY4omGxhELniYEzyaLz33mBK4SumlcDsUphrgoXlsMQMnpWwuqojrG6uhR2Nr3lwafyfB9s/nte++uorPvvsM549e8Ynn3zCvXv3uH37Nrdu3eLGjRtcu3aNq1ev/p2uXLnyH1N9/YF/Hbb2/rjNOUigOoJMYRg54mh0wkD04kByxGEUyuKoUGppccynWVVIpSyDekctj+e38fmydj5ddI6Hsxq4M72Sm1M6gLswxkjj8AwqnVIoVSdiVEaTKQ8hQxVFkDyAfIfD1Likc36YkVB5GvmO23jokczHs+M4NSqaumFhVLiGUewcQr5jMEZVADlKf7JkfmRJfdFL/dBJAtCJg9AKAyiRxWASh5LuEEvJm+J0tjACgzAQgzCQXHEw+U7xbAl4xOgimFIA04pgZjF4lMK8MlhcDivMHWF1XRWsr4ePb/2Jo+l/Ae6XLPSbb77hiy++4G9/+xtPnjzhwYMHv8J2/fp1rly5wqVLl7h06RLt7e1cvHjxP6rOwNbS3g/htG3McwsgWhKIXhSAThhEhoM/OmEg2dJwimQaqpQ6mtRGGmR6qsSJXB1TzPN5p/lq+SWez2/j4ax67k6v4uZEE5fHFdM2ModaFy0mp1TylHHo5eFkOCcSJj5BmcSXxqHpnHcrIFieSPXQfTxZnME9j1TOjEmgyS2GKtdISpzCKHAKxqjs8Gy58gCMyiCM8lBypKHkSCPQiyJoUKeQ7xCCQZKISZJInjiabGEYWYJADIJAjJJgDO4ZzEr+GrcCGJMPEwvg/SKYUdzh5eabYFEZLDWDZwWsqIMr9+f8+bD9Uvb4JUn47LPPePHiBY8ePeLevXt8/PHH3Lhxg6tXr3L58uVfQbtw4QLnz5//j6mzsPWevB7R8MPsc/IhfYg3OmEw6fZ+pAv8yBQFYxRHUCpLpFahp1mVyymFnvNOWdyZXMfnSy7ycvF5Xsw/xaNZjdydWsXNSeW0jy2ieZiBCictxepE8uTRpLomk+hwCLMslBYXHWfcSwiWxHJ6lBcvV2Vzf24OF8amc2pEEtWu0ZSowyl0DKNAFUK+IohCZQhF6kgKldEUyKPIl8VQooinQR5PliiCIkkyJkkCeeJoDMJQMgUBGBwCKBIGEz2rjKH6n3A2wvBcGJ0HEwphShHMeBNWPUwwvwyWlMOSKjj/aOGfC9tvz26/LX+8fPmS58+f8+jRI+7evft3wP3fYDt37ty/XZ2C7WJfek5cxXvDtjPR/QRhYl8yBP5ohf4dq4Uc/MgSBZAnjqJUmkK1MotWJyOnlNmccS7g1uQ6ni88y8tF53g+r41PZjZyb1oNNyaVc25kPg2uWVQ4aylxSiHFOZFM4VFqFfGccs2hdUQpQQ6hXJscxJfri3joUUj7uCxOj9JSNywBs3McZc6xmJxiKFFHdUgVQ7FKQ7FSQ5lSQ7VaQ6k4imyJhlJJMoXiOPLE0eSIwsh08McgDMAkDGX3lnYEOaAwgJMB3IwwKg/GF8CUQpheBB/8xsstKIeWp55/Hmy/Be6X4u4/nt9evHjB48ePuX//Prdv3+bmzZtcvXqVS5cu/SFsZ8+e/dNVV7f/X4ftQh96jV/OX1w20sNtD2udvUmyP4FO6I/WIQCt4CQ6Bx+yhMEUiOMok6dQodBSqzRQLdfToM7m+sQaHnmc4tncNp7PaeXpzEYeTK/j6oQy2kYU0uCcQ4mbgVRVFEUSH5rVWk4Py6fR3YS/QyB3Z0by7cZyHswu4eLoXM6MyqTFPZ26oSlUuyRQ4ayhzCmWYnUsJSoNpcokTIp4qlRRVEgjKBDFUC5NpViaQK5DFDnCCLLFoRhEweSJgimRRDPL7zEC3WvEma9R6sEpG4bmwkgjjMuDSb+BbmYxzCl5Rf3Tf8O70X8s8P5j3e3Fixf/xxnu94D7d0D2/wZbb3qNW8y7Tmt5x3ktoqEf4is7gtbeG70wmHR7b7T2PugcAsiVRWGURlMgiaNckUqFIpUKWRoNiizOuBq5NLKIe9OqeTKzlSezWrj3fh3Xx1ZzemQexuF5JAt9qZZH0ups4IxbAU3uFQSKgvlkXgLfbqjlwQflXBlbzIXR2ZwZoad1mJZa5yQqnOIxOSVQqk6iXJ1MtTqFakUUJSJfSoRRVMjTMcmSMYpjyRKGoxcGkykMIEcaiVkYQdq4XNTxXyJI/wmh9mckma+RG0CZAy45MCIXRhthbD5MKuw4y31Q8pqaJ//GR8q/11H4xcP9AtydO3d+9XDt7e20t7f/R4DrFGzne9Jr9HzeVa7ir+rV/NVlNeOGHSTS4QQZAj90wlD0DkEYREHoxYHoxQFki0Pf7K3SYFakUKfQ0aLKpF6eSrUikVZXPZfHlXJjUjWXxldRO8qEVhJGiSCAZlUKLU65XHArps29khBRME/na/luw1mez2vk/vvVfDylnBvjS2gflceZEQYahmopd0ymyjmNGudkKhXRlEnCMUviMItTMMtSKJZoyBGGvQHNH63Qm2xhCMWKBD5cfxaJ5kvs037EQfsTIu1PSDJfIc8CdTa4ZHec40a8AW5iIUwu+pnqR//mDS9/5OF+yVIfPnz4d8BdunSJixcv/l04/e+FrQe9RszhHcUy/ke1gnecVtHDaSsejoeIcTiJwSGYbEkUWQ4BZAhPkiHyRifyxSAOIlcSQZG0A7h6VRanHHNolGZQI02lUpFGtTqDKnUqRYp4KqRxtCpSaVIZaHYy0u5SzJkRlcRJYrk2NZ7PV7TyfO4pPpnexP2pddyeXMn1caW0j8qnbbieOpd06l201KgTqJLHUilNolKWhlmaSpEklkJJNDmiUDIdAtA5+KF18KFIEErSyCw+OHqXIfFfMST5O+xTv8ch/UeEGT8h0b1CpgdlVsc5bmgODDd2JA9jC37E/Ml/YJ3Qb89wv9z8+G2H4ZfE4d69e39XFmlvb/81rP47gOsUbOd60Gv4B7wjW8BflUt4R72Cd9Wr6ee0GQ+ngySLgzEIQ8gUBqIV+JLm4EW6w0kyhL5kiQLJFUdQKI2jUpFOg0pPiyqXBnkWtXId1bI0qmXJVMuSaZCn0aI20KDOockphzaXAs65V1LgmEepSyRnRmVyYWQOl9xzaR+exdlhWlrdUmhwTaJJnUSzUwYNTlnUqXXUKNOpkqdTIU+hSBqHURhOrjCMHFEoOoEfOoEfmaJA8sVh7F3aiCTiM/onfMXAxG8YnPwt9qnfvQHuZ8S6V0gzQaYHlQGccmBYDgw3/kzpw//QrI9/vBHyW+A+++yz/yNT/W0d7rfA/ZnQdQq2s93pNXQq70jm8I5sPn9RLOYvymX8xXEFfYduZpXyCKFiHzKEAWQ6+KEVeJNqfwKtw0nSHXzIFAaSKw6nWK7BJE+iSplBnVJPgyqLRmUmdbJ06hQ6apU6apQ6atQ6Ghz1tLpmc2FoBY2upZSqMjCrUilTp1CmTqFcmUSZMh6TSoNZGU+NIpkGlZZ6lYF6tYE6tZ5yWTKF0liMknAMwo5OQc6bdlumIIBcUSCpbum4n/yE3nFf0Df2C/ppvmBAwtcMTv6WISnfI0j7EaH2J0QZr5DoXiPRv0ae9RpHAzgZXlH44D+4KO23lyl/D7hfOg3/WBq5cOHCn56ddg62bvRymci7wpm8K57DX2QL+ItiEe8ol/KOoydS562skh0iSuiNzt4HndCXVIE3qfZepAi8SBf4YhCHkCsJxyjuCKtlskQqFClUq7SUy1IokydjkiVTLk/GrEyh2jGdJucsTjnl0zY0jwbnYmqcjJjVOZSosihW6TEpdFSoMqlS6ahRZVD7RtWKNCoUKRRJYzGKw8kWB2MQBqAX+GEQ+mMQhpArCiFHHs6a1afpF/6CXjGf0if6JX1jP6ef5ksGJnzFoKRvsE/9Hvu0H3BI/xGR9tWv0MkzQaZ/TeH9P7n08c8A90etrefPn/9dpvp/K438WcB1DjY7erqM4x2H6bwrmsE7Eg/+IpvPu7KFvKtYyrtqT/o7bcBDtZdQwVHSBSfRCf1JF/iSZu9Nur0PekkgmcIOddzwDSdfEkmpTEOBJIp8SSQF0miKZXGUyRMoVyVSpUyhVp1Bg1MmrU55tDkVcMqpgEYnIw1OuTSoc2hU51DvmEWNSkuVKplyZQKlUg0lshgKZBFkiwLJEvmTKfBHZ+9HpiCAfHEkhaIogsfpkXjdxy7sKT0jntEj8gW9oz+lT8xn9NN8wcCErxic9A32v5zjfvFy2p8RZbxCnPmKorv/JVOM/pnE4ZdM9datW1y7du3vEoc/4xzXKdjO2NLLZTTv2k/hXcH7vCOcwTviObwrnss70gX8Rb6Uv6iWYOW4Eg/Fh/gIDr7xcEFkOASgFQSQKQ4h3cGXdIEP6Q6+6IR+6IWB5IsjyBaFkC0OJkccQp4kgmJFLMXKWErlcVQqk6hSplGt1HaEWVUG1UotVap0KpXpVCjSKVemYlImUiyPpVAeTb40kjxJBPmSMLLFgehFfugE/r/eVjEJwzE4pzF94zksAx/S0/8Tugc9xi7sCT3Cn9Ez8kUHcHGfM+A3Xu6X5EGQ9kNHeE37iYI7/yWw/d+A+/777//uDtzTp095+PAhd+/e/bta3J9VGuksbL2dRvLXIeN5134i79i/zzsOH/CuwyzeEXnwjmw+78oX8o5yCe85r8HFaTv7JQfRDz6OQRBAjigcrTCU5DdhNcXhBOlCLzKEPhjEwWQKfckU+pElDiBHFkKuNJRcaSgFsgiKZDEUy+IolcVRJounTB5PqVxDiSKOEnksxbI4iuRxFMiiyZOGkSsNIVsSTM7/1965xjZ1ngFYajccqV1JFkoCBdIAvsV26YjENHW5dSuatmlCkzZVnSZghV3U8qfan26qSltyoYlJyOIlJBDAdpxAlrCh9d+YxJ/Sbr2IhYbYJ2nq+JaLc7NjO2DQsx/JOTt1vNA4EAw5r/T8s/zDfvSd733f73uPvobuglrO66txaCtxaKvn2mq6Kjp2NPLLg++TXfE5mZWDrKtyk3t0iHXVHp485ienbpgN9WNssoyzpXGSvKYpnm6el+7k/Ep3Ooa29Sbd6SSbXDj5oUuxgS8XLllpRL6Pu5+ybSh8DtXWUlTbylij3o1K/UNUmh+zRvsTVIafkWF6EdWOX7DmW/tYU/gr1hf+mpdMf+S45i26dMfo1NTSpj6KTX2E0+rDnNEcxqp5B0dBNQ5dOW2acjoKzLQb36WtoJK2gkrOG838xVRHp6mWbmMdF031/M1YT5ehji7jHN2mOi6YjtM1L1ZHQRXt+kocugo6C2o4rzPTrquiU19N9/ajdDxznD0HLpP1Vh+ZbwtkHhHIqhwgu2pOuvXvesit8bLB7OepumE214+y2TLO5sZJ8k5Mk988J9y2U1HUrTEu9KeZbKJwYk9VLI2I+7iJiQmpxXWn0shypUtNtm+ycee3ycj/Lhlbi1Btf54M9W4y1D9Apf0RKv0eMgw/RWX6OaodL5Hx7D5Uz+4lq/Aguwp/z2vGN2nVHMGhOUKbrgKbpgKrtpyz6grsuho6Cmrp0Jvn6l/6Suz6cuz6cs4ZzJw3HKNdX0OnsYYuk5kuo5lzhhrOGefoNJjpNtbSqTfToTtKu76CNl05Dk05nbpjdBka6NbW0K2txrLrFC/sv0T261dZ+0Yvaw87yXzbSfY7AtnlA2TPr3I51R5yqj3kmn1srA2woX6UjQ1BNv15gi1NU+Q1h8hvmSH/5AwXhL3pJ5so3GKlEfHUiLyJn1gaWe5jNRXZRsYeo/2vuVhaN2E5vZmGM3lYzuRjObuVhrPbabBtx2LT0GDX8ie7AUubkQaHCYvjGVrad9LRvovLtu/wse05eq1F9FmLcFqL6bOW4LSW0W9/AcH2PfpspfRZi+mzFnHdWoSzrRSXvQynrQSnvQTBXorLXoLTXiyjBMFehstWitNajNNaRJ+1GKe1BMFaxoD9+/Tbnufqud384+97cPzzRSzv76Xxyl6aPthH4wf7afpwPyc+fJmmfx2g6d8HOPHRQU58dJDmj39D8ye/peXT39Hy6Su0XH2Fk/95lVM9hzjVc4jWa4dwT9/D21V3S7jFMlWx+HsvMtVUZIvGMggEHsPteRy393Hc3m/g9j6B2yeyVkYmbn8m7kAm7kAWXwSycAeyCASyGfevI+R7khnfeiK+HIloIJeIL4cZXw4zvvUSEX/Olz73VZB/d3SeiC+HsbGnGJrYgntiC0Mik3kMTT39P6ZF8ucIbZWxTcIj48atJ9JXNlG4ZJmqfIVLbHElZqqpCpeKbArLIU1mfSyWqQaDwQWZam9vLz09PcsqjSiyrVLZYGGmKh41n5qakm5teb3eBcKlWhpRZFvFskHyTDXxmqAonCAIXL9+XRJuqfs4RbZVLhv8/+PmyU7/CoKw4Lj5V13lFNkU2YCFmao8cRBP/yZmqkstjSiyKbJJcacmvnyFS+UwpiKbItuCSNzHiZlqshZXYuKw2KWaxNtV8fjXmZ1VuJfE42kuGyQvjch7qiMjI1LHQS6cvK+62L3RaPRrTEworATRaJrLBslLI9FolOnp6aSZauLFaJHEG/HT04/i9z+K16uwUoRCaS4bLH4xWmxx+f1+6WycKF1vb++CWSOXL/+BwcFH+OyzR7h2TWGlGRpKc9lg8cQhseOQOElJzpUrDbz33k4uXixUuE9cuvS69L+mpWyw+MVocR83OjrK8PAwPp8Pj8cjzYoTEUsmCkvD5XLhcrkQBIH+/n4GBgYYHBzE7Xbj8/kYHh5mdHSUsbExxsfHpUmf8imkcsRIW9nESBz9IJ8VJ7a5gsGgNAUzcQKmQuqMjIxIUgWDQSYnJwmFQkQiEWZnZ4nH49y6dUtaGO4UaS8bJN/HiclDJBIhHA4TCoWkWb8Kd49QKEQ4HCYcDjMzM0M0GiUWi3Hjxg3i8Ti3b99+uGSDhY9VuXTi9HJRPoW7g/ibioLFYjFmZ2cl0eSr2kMlG3xZuMSR+en+ToYHGfH3vXnzpiTZUh6fYjxQsomR7I0z9/ttMqsB+dt9lioaPKCyiXG33nGlsHRSiQdatsS433/AamA58VDJpkR6hyKbEisWimxKrFj8F9QRM7ysAxdkAAAAAElFTkSuQmCC
fedo
https://www.fedokidney.com/2020/10/kidney-transplant_17.html
https://www.fedokidney.com/
https://www.fedokidney.com/
https://www.fedokidney.com/2020/10/kidney-transplant_17.html
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