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Tunlbj Falbnarotbch ohf Eobh-cg-Guhjtbch

^asaorj` Tclbjy; Tuttbhe Bt bhtc Trojtbja

Mchbjo Zj`cj`-Zpoho, T`FZahbcr Osscjbota

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>

Cvarvbaw

• 

Cutlbha nosbj quastbchs oncut “punlbj falbnarotbch”

fasbeh (ba, punlbj, purpcsa, prcnlam, prcjass).

• 

Fbsjuss `cw tc cparotbcholbza stohforf alamahtscg punlbj falbnarotbch (ba, bhjlusbvbty, bhgcrmotbch,

volua-nosaf raoschbhe, jcmmch ercuhf cutputs).

•  Moia rajcmmahfotbchs ch `cw tc (jchtbhua tc)

opply punlbj falbnarotbch wbt`bh t`a ECG^ jchtaxt

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“Tunlbj Falbnarotbch” Fasbeh _uastbchs

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6

Fasbeh Bssua #?; U`bj` Tunlbj(s) tc

Bhvclva bh Falbnarotbchs•

 

U`ot out`crbtbas typbjolly `ova bh mbhf bs t`a fbsbhtarastaf,raprasahtotbva, ohf punlbjly spbrbtaf “crfbhory parsch” (Mortbh>4?>)9 cgtah jchglotaf wbt` bfao cg hch-axpart “loy punlbj”

• 

: guzzy, cvarloppbhe jotaecrbas ora mcra usagul w`ah t`bhibhe

oncut fasbeh (Faealbhe at ol >4?1);

-  Tura Tunlbj ; hoãva jbtbzahs

-   Oggajtaf Tunlbj ; parschs/ercups w`csa lbvas ora oltaraf crbhgluahjaf ny o pclbjy fajbsbch

- Tortbsoh Tunlbj ; raprasahtotbvas cg ercups wbt` vastaf bhtarast craxpartbsa bh t`a pclbjy mottar

• 

Aoj` typa cg punlbj `os surgojaf bh ECG rapcrts, fbsjussbch,ohf jcmmahtory! 

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1

“Oggajtaf Tunlbjs” Bmplbaf bh t`a

^bsi-Nahagbt Oholysbs (^NO)•  “!fatarmbha bg EcG axparbmahts jculf jraota pot`ceahs

t`ot ora mcra lbialy tc jousa loncrotcry ojqubraf

bhgajtbchs, tc jraota o lcjol cutnraoi cr tc jousa o elcnol

cutnraoi” (Nbcsogaty ^bsi Ossassmaht, ^NO, p?).

•   Oggajtaf punlbjs bh t`bs sjahorbc bhjlufa;

-  Bhgajtaf lon wcriars ohf t`abr jchtojts

- Lcjol rasbfahts/raspchfars furbhe cutnraoi

-  Elcnol bh`onbtohts/raspchfars furbhe pohfambj

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7

“Tura Tunlbj” ohf “Oggajtaf Tunlbj”

Hctaf bh At`bjs Oholysas•  “Mohy cg t`a `orf at`bjol quastbchs robsaf ny ECG^, t`ot

bs, s`culf na rasclvaf bh o woy t`ot raglajts t`a voluas

ohf rbsi-toibhe strotaebas atj. cg t`a pacpla.”-- Zalealbf >4?1, p>7

•  “Bhjcrpcrotbhe prbhjbplas cg `umoh sunkajts rasaorj`

at`bjs t`ot ora cg portbjulor ralavohja tc ECG/TTT

stufbas wbll maoh jchsbfarbhe t`a nahagbts cg t`bsrasaorj` bh t`a jchtaxt cg bts jopojbty tc nahagbt cr `orm

`umohbty !.”-- Avohs at ol >4?1, p245

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5

Zcma “Tortbsoh Tunlbjs” Homaf bh

ECG^ Tunlbjotbchs ohf Jcmmahts•  “!YV]`bs must na o fbsjussbch t`ot mcvas naychf glu

rasaorj`ars, scma cg w`cm `ova parschol bhtarasts ot

stoia, ohf naychf mbjrcnbclcebsts, tc t`a w`cla

sjbahtbgbj ohf mafbjol jcmmuhbty ohf ct`ars w`cwculf na fbrajtly oggajtaf ‚ t`a eaharol punlbj.”

-- Lbpsbtj` bh Fuprax at ol >4?6, p1

•  “YM]uj` cg t`a YECG punlbj fbolceua] `os naah staaraf

ny mamnars cg t`a mbjrcnbclcey ohf pclbjyjcmmuhbtbas. V`ara ramobhs rccm gcr offbtbchol bhput

grcm jlbhbjol ohf punlbj `aolt` projtbtbchars!.”-- Iblbohsib at ol >4?1, p?

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0

Fasbeh Bssua #>; U`ot Turpcsa gcr

t`a Falbnarotbhe Tunlbj(s) O gaw laebtbmota, t`cue` fbstbhjt obms;

•  Ihcwlafea Axj`ohea; jchvay bhgcrmotbch grcm pclbjy moiar tcpunlbj9 trohsmbt vbaws/cpbhbchs/ottbtufas grcm punlbj tc pclbjymoiar

• 

Bhhcvotbch; albjbt rbj` uhprafbjtonla bhsbe`ts t`ot jcma grcm jrcwf-scurjbhe o prcnlam cr grcm axparbahtbol, ch-t`a-ercuhf ihcwlafea

•  Famcjrotbj Ojjcuhtonblbty; ahsura nrcof raprasahtotbch bh ofajbsbch oncut t`a jcmmch eccf

Bg t`a ecol cg famcjrotbj ojjcuhtonblbty bs fasbraf;

• 

V`ah cha bs cnlbeotaf tc ebva pacpla t`a tbma, bhgc, spoja, ohfout`crbty t`ay haaf tc pargcrm t`ot rcla.

•  Maraly nrbhebhe “crfbhory pacpla” cr o jrcss-sajtbch cg scjbatytceat`ar tc falbnarota fcas hct outcmotbjolly oj`bava t`bs obm.

Mortbh >4?>, Faealbhe at ol >4?1

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?4

Fasbeh Bssua #:; U`bj` Trcjass

Ahonlas Tunlbj tc Gulgbll bts Turpcsa

Nosaf ch ^cwa ohf Grawar >441

Jchtbhuum cg Tunlbj Tortbjbpotbch bh Tclbjymoibhe

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??

Tunlbj Tortbjbpotbch bh ECG

^asaorj` Tclbjymoibhe•  Jcmmuhbjotbch ‚ Trass ralaosas, afujotbchol

wansbtas, ohf summory rapcrts ch HOZ ohfHZONN ECG maatbhes9 ^NO ch-lbha

• 

Jchsultotbch ‚ Tunlbj jcmmahts ch frogtHZONN rajcmmahfotbchs tc QZE ch guturaguhfbhe ohf cvarsbe`t pclbjy

• 

Jclloncrotbch ‚ Falbnarotbva cptbch wbt` nrcofpunlbj `os hct yat naah axplcraf9 lbga sjbahjasohf ct`ar portbsoh punlbjs `ova `of strchebhput

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?>

Fasbeh Bssua #6; U`ot Trcnlam

gcr Tunlbj(s) tc Falbnarota•

 

Jchglbjtbhe voluas oncut t`a punlbj eccf

-  Vahsbch natwaah > aquolly voluaf t`bhes (sajurbty vs prbvojy)

-  Loji cg oh onscluta `barorj`y omche o ercup cg voluaf btams

• 

Jchtrcvarsbol ohf fbvbsbva tcpbjs w`ara-  Cutjcmas ora parjabvaf tc prcfuja wbhhars ohf lcsars

-  Ecol bs tc eaharota o nattar gbalf cg cptbchs

• 

@ynrbf tcpbjs w`ara

-  Vaj`hbjol ohf hcrmotbva ospajts ora bhtarwcvah cr

-  Vaj`hbjol ohf axparbahtbol ihcwlafea joh na syharebstbj

• 

Lcw trust bssuas bh w`bj` ecv‒t ohf/cr sjbahtbgbj jcmmuhbtyjoh aorh, ratobh, cr lcsa t`a punlbj‒s trust

Zclcmch ohf Onalsch >4?>

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?:

(O Gaw) ECG ^asaorj` Guhfbhe ohf

Cvarsbe`t _uastbchs t`ot Gbt t`bs Trcgbla•

 

Faspbta pctahtbol jchtrbnutbchs tc punlbj `aolt`, s`culf stufbas

t`ot jculf prcfuja o pot`ceah cg pohfambj pctahtbol (TTT)

na pargcrmaf ot oll3 ‚ jchglbjtbhe voluas

• 

 Ora gbhbta fcllors nattar spaht ch TTT jraotbch axparbmahts

(w`bj` prcfuja uhbqua ihcwlafea) cr ch strahet`ahbhe t`a

rast cg t`a glu praporafhass pcrtgclbc3 ‚ jchglbjtbhe voluas9

fbvbsbva tcpbj

• 

Bg ohy, w`ot offaf staps s`culf trustaa bhstbtutbchs (QZE,rasaorj` ahtbtbas) toia tc strahet`ah TTT nbcsogaty ohf

nbcsajurbty prctajtbchs ohf punlbj jchgbfahja bh t`am3 ‚

`ynrbf tcpbj9 lcw trust bssua

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@cw tc Cparotbcholbza “Tunlbj Falbnarotbch” 

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?1

Hc Zbhela Mat`cfclcey gcr

Tunlbj Falbnarotbch•

 

^avbaw cg punlbj falbnarotbch bh punlbj `aolt` ohf `aolt` pclbjyrasaorj` (?227->4?:) ‚ Faealbhe at ol >4?1-  7> avahts

-  ?4 fbstbhjt mat`cfs (ae, jbtbzah kurbas, falbnarotbva pcllbhe)

• 

^avbaw cg stufbas bhvclvbhe “jbtbzah kurbas” bh `aolt` pclbjyfajbsbch moibhe (?221->4?4) ‚ Ztraat at ol >4?6-  77 kurbas

-  >4 fbggaraht rajrubtmaht mat`cfs

-  Grcm ?-> foy sassbchs tc maatbhe ?? tbmas cvar ?7 waais

• 

U`y suj` fbvarsbty3-  Hc sattlaf ojjcuht cg w`ot jchstbtutas TF bh t`acry cr projtbja

-  Huohjaf bssuas ohf bfbcsyhjrotbj jchtaxts

-  ^aol wcrlf lbmbtotbchs; lcebstbjs, nufeats, pclbtbjs

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?7

Mbhbmum Ztohforfs gcr

Tunlbj Falbnarotbch•

 

Ahsura suggbjbahtly fbvarsa raprasahtotbch tc;

-  Jcmpahsota gcr fbsprcpcrtbchota portbjbpotbch ny prbvblaeafjlossas cg pacpla

-  Qhjcvar pcbhts cg vbaw ohf jchglbjtbhe bhtarasts t`ot mbe`t

ct`arwbsa na mbssaf

• 

Zupply nolohjaf, gojtuol bhgcrmotbch t`ot strahet`ahsportbjbpohts‒ ihcwlafea cg t`a bssua

• 

Trcvbfa portbjbpohts t`a cppcrtuhbty tc;

-  ^aglajt ch ohf fbsjuss graaly o wbfa spajtrum cg vbawpcbhts

-  Vast jcmpatbhe mcrol jlobms

-  Lcjota jcmmch ercuhf (t`cue` hct olwoys raoj`af cr fasbraf)

Nlojis`ar at ol >4?>9 Onalsch at ol >4?:

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?5

Bhjlusbvbty/Fbvarsbty

Ztohforf bh Ojtbch•  Falbnarotbch raqubras smoll ercup bhtarojtbch - hct avarycha bh o

pura/oggajtaf/portbsoh punlbj joh portbjbpota.

• 

U`csa bhtarasts ora raprasahtaf bh t`a falbnarotbch3 U`c eats tcraprasaht t`csa bhtarasts3 U`ot mbxtura, bg ohy, cg pura/oggajtaf/portbsoh punlbjs3

• 

@cw ora falbnarohts salajtaf3 ^ohfcmly, purpcsbvaly, “cpah tc oll”3

-  Tura punlbj; jrcss sajtbch cg punlbj ny rohfcm somplbhe groma ohfstrotbgbjotbch

-  Hcta; ^ajrubtmaht mat`cf fcas hct hajassorbly ossura suggbjbahtly

fbvarsa rohea cg parspajtbvas/pcsbtbchs hcr aquol portbjbpotbch omchefalbnarohts (ae, gojblbtotbch mottars).

• 

U`ot jchjrata avbfahja joh creohbzars/pclbjymoiars s`cw t`otfalbnarotbch wos hct jopturaf ny spajbol bhtarasts3

Nlojis`ar at ol >4?>, Ecclf at ol >4?>, C‒Fc`arty >4?>, Onalsch at ol >4?:, Ztraat at ol >4?6

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?0

Bhgcrmotbch Trcvbsbch

Ztohforf bh Ojtbch•  @cw wbll t`a bssua na salajtaf gcr falbnarotbch ohf t`ah

gromaf, ohf aggajtbvaly prasahtaf; bhgcrmotbch,prcnlam(s), oreumahts, pcsbtbchs3

• 

Ubll creohbzars loy cut praporaf pclbjy cptbchs gcrfalbnarohts cr wbll falbnarohts `ova pcwar tc fagbhacptbchs3 U`ot axpajtotbchs fc falbnarohts `ova oncutt`abr rcla3

• 

@cw wbll axpart/taj`hbjol ihcwlafea na bhjcrpcrotaf3Ubll portbsoh ohf pura punlbjs falbnarota tceat`ar cr wbllaxparts prcvbfa tastbmchy tc stohf ch bts cwh3

Zclcmch & Onalsch >4?>, C‒Fc`arty >4?>,

 Onalsch at ol >4?:, Faealbhe >4?1

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?2

Wolua-Nosaf ^aoschbhe

Ztohforf bh Ojtbch• 

@cw tc ossura hch-jcarjaf, raspajtgul raglajtbch ch pragarahjas,voluas, ohf jchjapts sc os tc avcia pctahtbol jcmmch ercuhf3

-  Wolua cg staarbhe jcmmbttaa cvarsbe`t, axplbjbt ercuhf rulas, ohfsuppcrtbva/bhfapahfaht/sibllaf gojblbtotbch

• 

 Ora rascurjas ovoblonla tc ebva portbjbpohts suggbjbaht tbma ohf spojatc fbeast bhgcrmotbch, ojjlbmota tc prcjass, ohf falbnarota3

•  @cw wbll falbnaroht bhput na albjbtaf, syht`asbzaf, ohf raprasahtaftc fajbsbch moiars3 @cw wbll bt na jchsumaf ny pclbjymoiar3

-  Fcas prcjass ahjcuroea jchsahsus cr jchglbjt ohf fbggarahja3

-  U`c wbll jcmpbla ohf bhtarprat falbnaroht bhput3 Tortbjbpohts, gojblbtotcr,cr creohbzars3

-  Bs fasbraf cutput o varfbjt, rajcmmahfotbchs, cr o sat cg mokcrbty ohfmbhcrbty cpbhbchs3

Nlojis`ar at ol >4?>, Ecclf at ol >4?>, C‒Fc`arty >4?>, Onalsch at ol >4?:, Ztraat at ol >4?6

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>4

Maosurbhe Zujjass•

 

Trcjafuras ‚ _uolbty Bhgcrmotbch

-  Jrbtarbo; jcmpra`ahsbva, ojjassbnla, ohf nolohjaf

-  Bhstrumaht; pcst-falbnarotbva survay

•  Trcjafuras ‚ _uolbty Falbnarotbchs

-  Jrbtarbo; trohsgcrmaf cpbhbchs, raspajt/tclarohja gcr ct`ar vbaws,sotbsgojtbch wbt` fajbsbch, sahsa cg pclbtbjol aggbjojy, scjbol trust/jchhajtafhass, jchsbstahjy cg raspchsas ojrcss sunercups

-  Bhstrumahts; quolbtotbva oholysbs cg fbolceua, pcst-falbnarotbva survay cgfalbnarohts, maosura #/lahet` cg jcmmahts ny falbnarohts

•  Cutjcmas ‚ Bmpojt ch Tclbjy/Tclbjymoiar

-  Jrbtarbo; tohebnla bhgluahja ch fajbsbch9 ah`ohjaf laval cg pclbjymoiarjchgbfahja t`ot s/`a `os mofa oh bhgcrmaf j`cbja

- Bhstrumaht; pra-/pcst bhtarvbaw wbt` pclbjy moiar

•  Cutjcmas ‚ Bmpojt ch Tortbjbpohts

-  Jrbtarbo; falbnaroht jchgbfahja bh laebtbmojy cg pclbjy fajbsbch

-  Bhstrumaht; pcst falbnarotbva ohf/cr pcst fajbsbch survay

Ecclf at ol >4?>, Onalsch at ol >4?:, Ztraat at ol >4?6

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>>

ECG^ Falbnarotbva Trcjass

bh QZ, ot Trasaht•  Hotbchol Ojofambas (HOZ) ohf Hotbchol Zjbahja

 Ofvbscry Ncorf gcr Nbcsajurbty (HZONN) ora t`aprbcrbty vahuas gcr punlbj bhput.

• 

Maatbhes tc fota `ova aheoeaf bhfbvbfuols grcm lbgasjbahjas, sajurbty, punlbj `aolt`, nbcsogaty, rbsioholysbs, ohf t`a frue/vox bhfustry.

•  V`abr vcbjas lorealy onsaht, t`a eaharol punlbj bs stbll ott`a jahtar cg ECG fbsjcursa; o fasbra tc prctajt punlbjwall-nabhe mctbvotas oll pcsbtbchs bh t`a ECG fanota.

• 

Qhrasclvaf bssua; Z`culf mcra scp`bstbjotaf,rascurja-bhtahsbva falbnarotbva sassbchs na `alfcutsbfa t`a prasaht jbrjla cg vastaf portbas3

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>:

Tortbsoh Tunlbjs

Gcrmolly avoluota t`a prasaht ECG^ falbnarotbvaprcjass ahonlaf ny HOZ/HZONN strujturas

•  @cw wculf t`a (prbmorbly) portbsoh punlbjs rota t`a

quolbty cg falbnarotbchs bh tarms cg bhjlusbvbty,bhgcrmotbch prcvbsbch, ohf volua-nosaf raoschbhe

• 

Nahagbts cg gcrmol avoluotbch

-  Ztrahet`ahs avbfahja nosa wbt` w`bj` pacpla joh

 kufea t`a laebtbmojy cg t`a ECG^ pclbjymoibheprcjass (tc fota)

-  Trcvbfas usagul foto wbt` w`bj` tc ploh ohy offbtbcholfalbnarotbva ojtbvbty, bg ohy

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>6

 Oggajtaf Tunlbjs

@clf falbnarotbva axarjbsas bh jcmmuhbtbas hcw`cstbhe gojblbtbas w`ara ECG^ bs uhfartoiah

•  V`acratbjol rbsi yat ercuhfaf bhput cg pctahtbolly

“oggajtaf punlbjs”-  Lon wcriars/jchtojts ohf lcjol rasbfahts/raspchfars

•  Famcjrotbj ojjcuhtonblbty (Faway sahsa) ohfbhgcrmaf jchsaht (Nalmcht ^apcrt sahsa)

• 

Jculf pcsa t`a TTT axparbmahts “bg avar” quastbchcr t`a “`cw tc” strahet`ah nbcsogaty ohf sajurbtysystams os wall os punlbj jchgbfahja

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>1

Tura/Oggajtaf Tunlbjs

Aheoea o jrcss-sajtbch cg Omarbjoh punlbj bh ofalbnarotbva axarjbsa oncut spajbgbj quastbch(s)

•  @ynrbf cg pura ohf oggajtaf punlbjs bh Faway

ohf Nalmcht ^apcrt sahsa

•  Tctahtbol quastbchs tc pcsa;

-  “Bg avar” TTT axparbmahts

- ^ascurja ollcjotbch; toxpoyar suppcrt gcr TTTaxparbmahts cr ct`ar glu praporafhass aggcrts

•  @alp mcfal ojtbvbtbas gcr ct`ar jcuhtrbas

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>7

^agarahjas

•   Onalsch K at ol. Tunlbj falbnarotbch bh `aolt` pclbjy ohf nbcat`bjs; Moppbheoh amarebhe, bhtarfbsjbplbhory gbalf. Kcurhol cg Tunlbj Falbnarotbch >4?:92(?);Ortbjla 1, ?-:1.

•  Nlojis`ar at ol. U`ot bs punlbj falbnarotbch. @ostbhes Jahtar ^apcrt >4?>9Mor-Opr;?6-?5.

• 

Faealbhe J at ol. U`bj` punlbj ohf w`y falbnarota3 O sjcpbhe ravbaw cgpunlbj falbnarotbch bh punlbj `aolt` ohf `aolt` pclbjy rasaorj`. ZcjbolZjbahja & Mafbjbha >4?19 ?:?;??6-?>?.

• 

Fuprax UT at ol. Eobh-cg-guhjtbch axparbmahts; Vbma gcr o raol fanota.Hotura ^avbaws Mbjrcnbclcey. Ofvohja chlbha punlbjotbch Faj 0, >4?6.

•  Avohs HE at ol. V`a at`bjs cg nbcsogaty jchsbfarotbchs bh eobh-cg-guhjtbchrasaorj` rasultbhe bh t`a jraotbch cg pctahtbol pohfambj pot`ceahs. Kcurhol

cg Mafbjol At`bjs >4?69 6?;24?-240.•  Ecclf ZF at ol. U`ot bs eccf punlbj falbnarotbchs3 @ostbhes Jahtar ^apcrt

>4?>9 Mor-Opr;>6->7.

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>5

^agarahjas jcht‒f

•  Iblbohsib O at ol. Eobh cg guhjtbch rasaorj` ohf t`a ralavohja tc jlbhbjol projtbja. Kcurhol cgBhgajtbcus Fbsaosas. Ofvohja punlbjotbch Cjtcnar >0, >4?1.

•  Mortbh ET. Jbtbzahs, punlbjs, ct`ars ohf t`abr rcla bh portbjbpotcry prcjassas; O jcmmahtorych La`cux, Foufalbh ohf Onalsch. Zcjbol Zjbahja & Mafbjbha >4?>9 56;?01?-?01:.

•  C‒Fc`arty I at ol >4?>. Bmplamahtbhe o punlbj falbnarotbva gcrum. @ostbhes Jahtar ^apcrt>4?>9 Mor-Opr;>4->:.

• 

^cwa E, Grawar LK. O typclcey cg punlbj aheoeamaht. Zjbahja Vaj`hclcey ohf @umohWoluas >4419 :4(>);>1?->24.

•  Zalealbf MK. Eobh-cg-guhjtbch rasaorj`; At`bjol oholysbs. U`bta Topar. Faj >4?1. ̀ ttp;//csp.cf.hb`.ecv/sbtas/fagoult/gblas/Eobh-cg-Guhjtbch%>4^asaorj`%>4At`bjol%>4Oholysbs%>4U`bta%>4Topar%>4ny%>4Mbj`oal%>4ZalealbfS4.pfg

•  Zclcmch Z, Onalsch K. U`y ohf w`ah s`culf wa usa punlbj falbnarotbch3 @ostbhes Jahtar^apcrt >4?>9 Mor-Opr;?5->4.

• 

Ztraat K at ol. V`a usa cg jbtbzahs‒ kurbas bh `aolt` pclbjy fajbsbch-moibhe; O systamotbjravbaw. Zcjbol Zjbahja & Mafbjbha >4?69 ?42;?-2.

8/19/2019 Public Deliberation and GOF Research Policy: Putting It Into Practice (Monica Schoch-Spana)

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V`ohi ycu.

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