8/8/2019 Musculoskeletal Problems

1/12

5KHXPDWRORJ\

&RQHFWLYHWLVVXHGLVHDVH&7'LVDPDMRUIRFXVRIUKHXPDWRORJ\ 5KHXPDWLFGLVHDVHLVDQ\GLVHDVHRUFRQGLWLRQLQYROYLQJWKHPHFYXORVNHOHWDOV\VWHP $UWKULWLVPHDQVLQIODPPDWLRQRIRQHRUPRUHMRLQWV 1RQLQIODPPDWRU\DUWKULWLVLVQRWV\VWHPLF)RUH[2$RVWHRDUWKULWLV ,QIODPPDWRU\DUWKULWLVV\VWHPLF 5KHXPDWLRGDUWKULWLV 6\VWHPLF/XSXVHU\WKHPDWRVXV5KHXPDWRLG$UWKULWLV5$

$PRVWFRPPRQFRQQHFWLYHWLVVXHGLVHDVHDQGWKHPRVWGHVWUXFWLYHWRWKHMRLQWV&KURQLFSURJUHVVLYHV\VWHPLFLQIODPPDWRU\DXWRLPPXQHGLVHDVHSULPDULO\DIIHFWLQJWKH

V\QRYLDOMRLQWV

$XWRDQWLERGLHVUKHXPDWRLGIDFWRUVIRUPHGWKDWDWWDFNKHDOWK\WLVVXH',$*126,6ZDQWLERGLHV

$IIHFWVV\QRYLDOWLVVXHRIDQ\RUJDQRUERG\V\VWHP+$1'6%RXWRQQLHUHGHIRUPLW\RIWKXPE8OQDUGHYLDWLRQRIPHWDFDUSRSKDODQJHDO

6ZDQQHFNGHIRUPLW\RIILQJHUV6

8/8/2019 Musculoskeletal Problems

2/12

8/8/2019 Musculoskeletal Problems

3/12

+HUEHGHQVQRGHV',3VEHVLGHILQJHUQDLO

%RXFKDUGVQRGHV3,3V0DMRUNQXFNOH

&RDUVHFUHSLWXVHIIXVLRQVFUDFNLQJDQGIOXLGVLQMRLQWV

'HFUHDVHG520LQDIIHFWHGMRLQW

/DE

(65HOHYDWHG0D\EH

;UD\

8QHTXDOQDUURZLQJRIMRLQWVSDFH

%RQHF\VWV

,QWHUYHQWLRQV

:HLJKWORVV

5HVW

3RVLWLRQLQJ

+HDWWRMRLQWV+RWWXE3K\VLFDOWKHUDS\

&DQHXVH

'UXJ7KHUDS\16$,'VFRUWLVRQHLQMHFWLRQVLQWRMRLQWGLUHFWO\LQWRDIIHFWHGMRLQWFDQ

GHVWUR\MRLQWPRVWGUZLOORQO\GRWKLVDFHUWDLQDPWRIWLPH

5HSODFHPHQWRIWKHMRLQW

5,6.6LQIHFWLRQVVWLFNLQJQHHGOHLQWRMRLQWVLIQRWUHDOO\JRRGDVHSWLFWHFKFRXOGJHW

RVWHRP\OLWLV

-RLQW5HSODFHPHQW

3RVWRSFDUH&HOO6DYHUSWJHWVRZQEORRGQRW\SLQJDQGFURVVPDWFKLQJZHZRUU\DERXWVRPHJHWWLQJFRQWDPLQDWHG-DFNVRQ3UDWWKHPRYDF/RRNIRUKHPDWRPD

+DUGQHVVORRNDWODEVKJEKFW:DWFKIRUDQHPLFSWQRWUHFRXSLQJ

5LVNIRULQIHFWLRQSDLQ5LVNIRU'975LVNIRUEOHHGLQJPRUHLPSRUWDQW+HSDULQ/RYHQR[$'8&7('OHJSRSSURVHWKHWLV28735(9(17WKLVE\

KDYLQJ$%'8&7,21SLOORZLWKROGVLWDZD\IURPPLGOLQHSRVLWLRQ1(9(5JR

GHJUHH)OH[LRQ

2XWRIEHG+RZPXFKZWEHDULQJ.12:&587&+$1':$/.(5:KLFKOHJJRHVILUVWHWF$VORQJDVWKH\DUHKDYLQJSDLQZDONLQJRUOLPSLQJWKH\QHHGZDONHU

1HHG,15'RQWHDWGDUNOHDI\JUHHQVEFLWVYLW.DQZLOOLQWHUIHUHZLWK:DUILQPLSK\WRQDQWLGRWHIRURYHUGRVH3DWLHQW7HDFKLQJIROORZLQJ-RLQWUHSODFHPHQW

6LJQVDQG6\PSWRPVRI,QIHFWLRQ $QWLFRDJXODQWWKHUDS\&RXPDGLQ 1HHG,15'RQWHDWGDUNOHDI\JUHHQVEFLWVYLW.DQZLOOLQWHUIHUHZLWK:DUILQ

PLSK\WRQDQWLGRWHIRURYHUGRVH

$YRLGDQFHRI05,LQIXWXUHDOVRDOHUWDQ\RQHZLWKPHWDOVFDQQHUV 3URSK\OD[LVIRULQIHFWLRQZLWKDQWLELRWLFVSULRUWRLQYDVLYHSURFHGXUHV

8/8/2019 Musculoskeletal Problems

4/12

&30FRQWLQXRXVSDVVLYHPRWLRQPDFKLQHLQEHGWKDWIOH[VDQGH[WHQGVREWDLQDQGUHJDLQ

PRELOLW\RIMRLQWVRPHWDNHWKH&30PDFKLQHKRPH

1205,

"

7KHFOLHQWLVWRJHWRXWRIEHGWRDFKDLURQWKHILUVWSRVWRSHUDWLYHGD\DIWHUWRWDONQHH

UHSODFHPHQW7KHQXUVHZRXOGSODQWRGRZKLFKRIWKHIROORZLQJWRSURWHFWWKHNQHHMRLQW"

D$SSO\DNQHHLPPRELOL]HUEHIRUHJHWWLQJWKHFOLHQWXSDQGHOHYDWH

WKHFOLHQWVVXUJLFDOOHJZKLOHVLWWLQJ

E$SSO\DQ$FHZUDSDURXQGWKHGUHVVLQJDQGSXWLFHRQWKHNQHHZKLOHVLWWLQJ

F/LIWWKHFOLHQWWRWKHEHGVLGHFKDLUOHDYLQJWKH&30PDFKLQHLQSODFH

G2EWDLQDZDONHUWRPLQLPL]HZHLJKWEHDULQJE\WKHFOLHQWRQWKHDIIHFWHGOHJ

$QVZHU'

+RPH0RGLILFDWLRQV$UPFKDLUUDLVHUXQLW/HYHUVRQVLQNVHWFIURQWGRRUOHHUKDQGOHZLUH

EDVNHWWRFDWFKOHWWHUVDQGNH\WXUQHUGLIIHUHQWGHYLFHVRQSOXJVGLIIHUHQWFDQRSHQHUV

(/(&75,&$/ZLGHUVLVVRURSHQLQJVPXJVEHWWHUVWKDQWHDFXSVSDGGLQJ

XWHQVLOV'UHVVLQJVWLFNERWWRPZLSHUVRFNDLG

$VVHVVPHQW

3RVWXUHZLWKVSLQDOFXUYDWXUHV *DLWLQFOXGLQJEDODQFHVWHDGLQHVVHDVHDV\PPHWU\ 0RELOLW\$'/VZLWKRXWSDLQRUDVVLVWLYHGHYLFHV +HDGDQG1HFN 6SLQH 8SSHU([WUHPLWLHV /RZHU([WUHPLWLHV 0XVFXODUV\VWHPZLWKJUDGLQJRIVWUHQJWK*$,7WKHPRPHQW\RXVHHWKHPQRUPDOVZLQJKHDGVKRXOGHUDQGKLSV%DODQFH

VWHDGLQHVVSRVWXUHKWRIVKRXOGHUVOHYHORIPDMRUSDUWV&FRQFDYH7&RQYH[/FRQFDYH

6WUDLJKWPD\DOWHUOXQJVGXHWRGLPLQLVKHGOXQJFDSDFLW\

/22.29(5520*21,20(7(5$FWXDO520

'LDJQRVWLF7HVWV/DEV

&DOFLXPPJGOSKRVSKRUXVPJGOLQWHJUDWHGUROHRISDUDWK\URLG

NLGQH\ERQHWRPDLQWDLQ:1/

m+\SHUFDOFHPLDFDQFHUVERQHLQUHSDLUFRQIXVLRQ

m+\SRFDOFHPLDRVWHRSRURVLVFORWWLQJFRQWUDFWLOLW\

7DSIDFLDOQHUYH1HUYHVWZLWFKLQJ&+(92&(.

8/8/2019 Musculoskeletal Problems

5/12

%ORRGSUHVVXUHFXIIORZVHUXPFDOWLQJOLQJHWF7URVVHXVLJQV

7(7$1

8/8/2019 Musculoskeletal Problems

6/12

m1HXURYDVFXODUFKHFNV

m5[IRUPLOGGLVFRPIRUW

m$FWLYLW\LQVWUXFWLRQV

&RPSDUWPHQWDO6\QGURPHSV(0(5*(1&

8/8/2019 Musculoskeletal Problems

7/12

&RPSDUWPHQWDO6\QGURPH

)UDFWXUHLVJRQQDEOHHGKLJKULVNIRUWKLV3V

)DVFLRWRP\

$YDVFXODU1HFURVLVKHDGRIIHPXUIUDFWXUHVSRRUEORRGVXSSO\DQGPD\QRWKHDO

"

7KHQXUVHLVFDULQJIRUDFOLHQWEHLQJWUHDWHGIRUIDWHPEROXVDIWHUPXOWLSOHIUDFWXUHV:KLFK

RIWKHIROORZLQJGDWDZRXOGWKHQXUVHHYDOXDWHDVWKHPRVWIDYRUDEOHLQGLFDWLRQRIUHVROXWLRQ

RIWKHIDWHPEROXV"

D$UWHULDOR[\JHQOHYHORIPP+J

E0LQLPDOG\VSQHD

F&OHDUFKHVWUDGLRJUDSK[UD\

G2[\JHQVDWXUDWLRQRI

$QVZHU&

)UDFWXUHV

5LEIUDFWXUHVPRVWFRPPRQ

)HPRUDOVKDIWIUDFWXUHV

+LVWRU\

3UHFHGLQJHYHQWV

2WKHUKLVWRU\

/DEV

5DGLRJUDSKLFDVVHVVPHQW

&7VFDQ05,%RQHVFDQ

)UDFWXUHV1XUVLQJ'LDJQRVHV

5LVNIRU3HULSKHUDO1HXURYDVFXODU'\VIXQFWLRQUHODWHGWRERQHDQGVRIWWLVVXHWUDXPDDQG

LPPRELOLW\

$FXWH3DLQUHODWHGWRERQHGLVUXSWLRQVRIWWLVVXHGDPDJHPXVFOHVSDVPDQGHGHPD

5LVNIRU,QIHFWLRQUHODWHGWRERQHWUDXPDDQGVRIWWLVVXHGDPDJH

,PSDLUHG3K\VLFDO0RELOLW\UHODWHGWRSDLQ

,PEDODQFHG1XWULWLRQ/HVV7KDQ%RG\5HTXLUHPHQWVUHODWHGWRDGGLWLRQDOPHWDEROLFQHHG

IRUKHDOLQJRIERQHDQGVRIWWLVVXHV

)UDFWXUHV

,QWHUYHQWLRQV

(PHUJHQF\FDUH,PPREROL]DWLRQ

1HXURYDVFXODUPRQLWRULQJWKH3V

&ORVHGUHGXFWLRQ

8/8/2019 Musculoskeletal Problems

8/12

m%DQGDJHVDQGVSOLQWV

m&DVWV

7\SHV &DVWFDUH &RPSOLFDWLRQVm7UDFWLRQ

7\SHV 7UDFWLRQFDUH6XUJLFDOPDQDJHPHQW

2SHQUHGXFWLRQLQWHUQDOIL[DWLRQ25,)SODWHVDQGVFUHZVSODFHGRQIUDFWXUH

\HOORZLVKRGRUVLJQLQIHFWLRQ

([WHUQDOIL[DWLRQ6WDELOL]DWLRQ5LVNIRULQIHFWLRQ3DLQ,QMXU\

m&DUHRIH[WHUQDOIL[DWRU

,QWHUYHQWLRQV

'UXJWKHUDS\3&$PRUSKLQHGHPHURO'21786(,1(/'(563URPRWLRQRIPRELOLW\/RRNRYHUKRZWRXVHWKHVH

&UXWFKXVHSRZHUSRLQWVOLGHV

:DONHUXVH

&DQHXVH

1XUVLQJ&RQFHUQV

"

$FOLHQWLQVNHOHWDOOHJWUDFWLRQZLWKDQRYHUEHGIUDPHLVQRWDOORZHGWRWXUQIURPVLGHWRVLGH

:KLFKDFWLRQE\WKHQXUVHZRXOGEHPRVWXVHIXOLQWU\LQJWRSURYLGHJRRGVNLQFDUHWRWKH

FOLHQW"

$$VNWKHFOLHQWWROLIWXSE\GLJJLQJLQWRWKHPDWWUHVVZLWKWKHXQDIIHFWHGOHJ

%3XVKGRZQRQWKHPDWWUHVVRIWKHEHGZKLOHDGPLQLVWHULQJFDUH

&+DYHDQRWKHUQXUVHWXUQWKHFOLHQW

'$VNWKHFOLHQWWRSXOOXSRQDWUDSH]HWROLIWWKHKLSVRIIWKHEHG

$QVZHU'

6NHOHWDO7UDFWLRQ3VFKHFN35,0$5

8/8/2019 Musculoskeletal Problems

9/12

ZDUPSXUXOHQWGUDLQDJH

3WZLWKVSLQDOFRUGLQMXU\+$/2DOORZVSWWREHPRELOHSLQVLQVFXOO*DUGQHU:HOOV7RQJV

LPPRELOHHYHQWXDOO\ZLOOJRWRD+$/2

6NLQ7UDFWLRQ1XUVLQJFRQFHUQV%XFNVWUDFWLRQDWULVNIRUVNLQEUHDNGRZQUHPHPEHU

KDQJIUHH

2OGODG\IDOOVWKLQNKLSIUDFWXUHEHVLGHVSDLQZKDWVDQRWKHULQGLFDWRUDIIHFWHGOHJZLWKEH

VKRUWHUZLWKLQWHUQDOURWDWLRQRIKLS:KHQZHJHWOHJUHDOLJQSDLQZLOOEHVLJQLILFDQWO\OHVV

&LDWLFDYVKHUQLDWHGUXSWXUHGGLVN+HUQLDWHGUXSWXUHG'LVN

+&3VXVHSK\VLFDOH[DPLQDWLRQPDQHXYHUVWRKHOSVHHNRXWWKHFDXVHRIVFLDWLFD:KHQD

VWUDLJKWOHJUDLVHUHSURGXFHVWKHSDLQDKHUQLDWHGGLVNLVRIWHQWKHFDXVH,IWKHOHJUDLVHKDV

QRHIIHFWWKHFURVVHGOHJWHVWVKRZQEHORZFDQEHXVHGWRVWUHWFKWKHSLULIRUPLVPXVFOHWR

WHVWIRUDSHOYLFORFDWLRQRIWKHVFLDWLFQHUYHHQWUDSPHQW6FLDWLFD

7KHSDLQRIWHQVWDUWVLQWKHORZEDFNGXHWRDKHUQLDWHGGLVFRULQWKHEXWWRFNGXH

WRSLULIRUPLVV\QGURPHDQGH[WHQGVWRHV,WFDQEHDFFRPSDQLHGE\QXPEQHVVSLQVDQG

QHHGOHVSDUHVWKHVLDVRULQPRUHVHYHUHFDVHVDFWXDOZHDNQHVVDIIHFWLQJWKHDQNOHRU

WRHVPD\DFFRPSDQ\WKHVFLDWLFD

7KHHDUOLHVWVLJQVRIVSLQDOFRUGFRPSUHVVLRQRUP\HORSDWK\FDQEHGHWHFWHGE\

DEQRUPDOLWLHVLQWKHH[DPLQDWLRQSHUIRUPHGE\D+&36RPHRIWKHVHVLJQVLQFOXGHYHU\

EULVNUHIOH[HVZKHQWDSSLQJWKHFRUUHFWVSRWEHORZWKHNQHHFDSDERXQFLQJUHIOH[ZKHQWKH

DQNOHLVVWUHWFKHGFDOOHGFORQXVDQGXQVWHDGLQHVVZKHQVWDQGLQJZLWKWKHH\HVFORVHGD

SRVLWLYH5RPEHUJVLJQ

0LFURGLVFHFWRP\

*RLQZLWKODSURVFRSLFSXOORXWQXFOHRXVSXOSRVXVLQWHUMHOO\OLNHVXEVWDQFHLQVLGH

LQWHUYHUWHEUDOGLVFOLNHLQVLGHRIDMHOO\GRXJKQXWFDQDOVRLQMHFWPHGLFDWLRQWRGLVVROYHGLVF

&HUYLFDOLVXVXDOO\DQWHULRUQHFNLQFLVLRQWRJHWWRVSLQH$,5:$

8/8/2019 Musculoskeletal Problems

10/12

/XPEDUGLVNQHXURYDVFXODUDVVHVVPHQWVXULQDU\ERZHOFRQFHUQVORJUROOQRH[WUHPH

NQHHRUKLSIOH[LRQ

7HDFKSURSHUERG\PHFKDQLFVH[HUFLVHSURJUDP

&DUSHO7XQQHO6\QGURPHUHPHPEHU3KDOHQV7HQWDO7HVWVIURP

8VHEUDFHVLIEUDFHGRQWZRUNVXUJHU\ORVHQEUDFHLIEUDFHPDNHVKDQGJRWRVOHHS

QXPEQHVVHWF

3KDOHQVWHVWVHFDQGXJHWSDLQWKDWPHDQV\RXKDYHFDUSHOWXQQHO

7LQWHOSRVLWLYHLI\RXWDSDQGLWIHHODZIXO

"

7KHQXUVHLVFDULQJIRUDFOLHQWZKRKDVKDGVSLQDOIXVLRQZLWKLQVHUWLRQRIKDUGZDUH7KH

QXUVHZRXOGEHFRQFHUQHGHVSHFLDOO\ZLWKZKLFKRIWKHIROORZLQJDVVHVVPHQWILQGLQJV"

DFRPSODLQWVRIGLVFRPIRUWGXULQJUHSRVLWLRQLQJ

E7HPSHUDWXUHRIR)RUDOO\

F2OGEORRG\GUDLQDJHRXWOLQHGRQWKHVXUJLFDOGUHVVLQJG'LVFRPIRUWGXULQJFRXJKLQJDQGGHHSEUHDWKLQJH[HUFLVHV

$QVZHUV%

$PSXWDWLRQV

5HPRYDORIDSDUWRIWKHERG\GLDEHWLFRUWUDXPD

3V\FKRVRFLDOUDPLILFDWLRQV

/RVVLVFRPSOHWHDQGSHUPDQHQW

&KDQJHLQERG\LPDJHDQGVHOIHVWHHP

7\SHV

6XUJLFDO

7UDXPDWLF

/HYHOV

&RPSOLFDWLRQV

+HPRUUKDJH

,QIHFWLRQ

3KDQWRP/LPE3DLQ

1HXURPD

)OH[LRQFRQWUDFWXUHV

KWWSZZZDPSXWHHFRDOLWLRQRUJPLOLWDU\LQVWHSZRXQGVNLQFDUHKWPO

,QWHUYHQWLRQV$VVHVVPHQWRIWLVVXHSHUIXVLRQ

0DQDJHPHQWRISDLQ

'UXJWKHUDS\

m%HWDEORFNHUVRORO

m$QWLFRQYXOVDQWVWHJHWUROQHXURQWLQ

m$QWLVSDVPRGLFVEDFORIHQOLSUHVDO

8/8/2019 Musculoskeletal Problems

11/12

$OWHUQDWLYHWKHUDSLHV8OWUDVRXQGPDVVDJHH[HUFLVHVGLVWUDFWLRQK\SQRVLVSV\FKRWKHUDS\

3UHYHQWLRQRILQIHFWLRQ

3URPRWLRQRIDPEXODWLRQHOHYDWLRQKHOSPLQLPL]HVZHOOLQJVKRXOGQWVWD\WKLVZD\

EHFDXVHZHZDQWWRNHHSRXUIOH[LRQSOD\KLPSURQHDQGVXSLQH

([HUFLVH

3URVWKHVHV

3URPRWLRQRIERG\LPDJH

3URPRWLRQRIOLIHVW\OHDGDSWDWLRQV

7HDFKLQJ

2VWHRSRURVLV

,UUHYHUVLEOHRVWHRSHQLD

0HWDEROLFGLVHDVH$IWHUSHDNERQHPLQHUDOGHQVLW\ERQHUHVRUSWLRQH[FHHGVERQH

EXLOGLQJDFWLYLW\ERQHGHQVLW\%RQHPLQHUDOGHQVLW\SHDNVEHWZHHQDJHDQG

%RQHGHPLQHUDOL]DWLRQGHFUHDVHGGHQVLW\IUDFWXUHV

:ULVWKLSDQGYHUWHEUDOFROXPQPRVWRIWHQDIIHFWHG

%HWZHHQDQGPLOOLRQ$PHULFDQV

:RPHQ!PHQRIZRPHQRYHU\HDUVRIDJHKDYHV\PSWRPDWLFRVWHRSRURVLV

ELOOLRQHDFK\HDULQKHDOWKFDUHFRVWV

W\SHV

3ULPDU\ODFNRIKRUPRQHVGHFUHDVHG&DDEVRUSWLRQ

6HFRQGDU\PHGFRQGLWLRQVPHGLFDWLRQVVWHURLGVLPPRELOLW\

(WLRORJ\XQNQRZQ

5LVNIDFWRUV

&OLHQWVJUHDWHUWKDQDJH

)DPLO\KLVWRU\RIRVWHRSRURVLV

&DXFDVLDQRU$VLDQUDFH

7KLQOHDQERG\EXLOG

/RZOLIHWLPHFDOFLXPLQWDNH

(VWURJHQ$QGURJHQGHILFLHQF\

6PRNLQJKLVWRU\+LJKDOFRKROLQWDNH

/DFNRISK\VLFDOH[HUFLVHRUSURORQJHGLPPRELOLW\

2VWHRSRURVLV&OLQLFDO0DQLIHVWDWLRQV

.\SKRVLVKXQFKEDFNROGODG\VWDQFH

+HLJKWVKRUWHQHGE\LQFKHVZLWKLQSUHYLRXV\HDUV

8/8/2019 Musculoskeletal Problems

12/12

%DFNSDLQZLWKOLIWLQJEHQGLQJVWRRSLQJ

&RQVWLSDWLRQDEGRPLQDOGLVWHQWLRQUHIOX[HVRSKDJLWLVUHVSLUDWRU\FRPSURPLVH

)UDFWXUHRIWHQILUVWLQGLFDWLRQRIGLVHDVHPRVWOLNHO\RIYHUWHEUDHEHWZHHQ7DQG/

GLVWDOHQGRIUDGLXVDQGXSSHUWKLUGRIIHPXUKLS

)DOORSKRELD

2VWHRSRURVLV'LDJQRVLV

+LVWRU\

,QGH[RIVXVSLFLRQ

/DERUDWRU\&D3KRV9LW'HWF

5DGLRJUDSKLFDVVHVVPHQW[UD\V'(;$

%RQH'HQVLW\'(;$

2VWHRSRURVLV,QWHUYHQWLRQV

3UHYHQWLRQ

'UXJ7KHUDS\

m+57m&DOFLXP78062V&DOZIRRG+

m9LWDPLQ'XG&DOFLWULRO

m%LVSKRVSKRQDWHV)RVDPD[%RQLYD6(HVRSKDJLWLV6,783DIWHU

m6HOHFWLYHHVWURJHQUHFHSWRUPRGXODWRUV6(50VPLPLFHVWURJHQQRWXVHGDORW

m&DOFLWRQLQLQKLELWVRVWHRFODVWLFDFWLYLW\JLYHQ,0VXETRUQDVDO6(K\SHUVHQVLWLYLW\

DQDSK\OD[LV

X'LHWWKHUDS\LQFUHDVHSURWHLQ0J&D9LW'VHHOLVW

X$YRLG(72+FDIIHLQHVPRNLQJOD[DWLYHV

3UHYHQWLRQRIIDOOV

([HUFLVH

3DLQPDQDJHPHQWDVQHHGHGIRUIUDFWXUHVRSLRLGVPXVFOHUHOD[DQWV16$,'6

2UWKRWLFGHYLFHV

7HDFKLQJSUHYHQWLRQIRFXVRQ$'/VVDIHW\

*RRGOLJKWLQJQDWXUDOH[HUFLVH

7\SHVRI&DVWVSODVWHUILEHUJODVVSODVWHUWDNHVIRUHYHUWRGU\

'2127387678))'2:1,1&$67ULVNIRULQMXU\DQGLQIHFWLRQ6SOLWFDVWZKHQ

FROGEDGFLUFXODWLRQSXOVHFDSUHILOOVSOLQWLQJFDVWVOLNHLQFRPSDUWPHQWDOV\QGURPHFDVWFXWWHUZRQWFXWOHJV7/&IRUOHJPHDQLQJUXEWKHPSXWORWLRQRQHWF(OHYDWHSXWLFHRQOHJ5('8&(6:(//,1*%DE\3HGDOVDSSOLFDWLRQRIWDSHDURXQGPDUJLQRIFDVWWRSUHYHQWLUULWDWLRQWRVNLQ6SLFDFDVW