Download pdf - Spinal Cord Injuries Are Typically Very Severe and Often Result From Car Accidents

8/3/2019 Spinal Cord Injuries Are Typically Very Severe and Often Result From Car Accidents

1/17

$53,.47/3:708,7095.,;0780;070,3/41903708:91742.,7,../0398398,79.000547090.42243853,.47/3:7083.,7,../0398-0.,:804190390,70;0780;070

,3/706:70220/,9020/.,,990394314:74784204304:4;0,83;4;0/3,2,47;0.:,7,../0393,1473,.9088:.,8483008$,39,3,47054790,.

:3/70/841,../039;.928.438:9.,7,../039,078/:094853,.47/3:7$

95.,.,:80/-,../03983;4;397:.8-78-..047174270.70,943,,.9;9084324947..0

$53,.47/3:708,7095.,/,3480/-8003.;0790-7,0414:7853,.47/0703:70/47/87:590/":,/750,,,%097,50,20,3848841,1:3.9438,3/.439741742

900,//43!,7,50,4..:7803,33/;/:,4808.43974,3/1003174290,89/43%089,989.8574;/0/-90,943,$53,47/3:7884.,943/0243897,9090

95.,.,:80841$390&390/$9,908,81448

W47914:7507.03941,853,.47/3:708.,:80/-.,7,../0398

W%03914:7507.03941,853,.47/3:708.,:80/-;403.0

W%03994507.03941,853,.47/3:708.,:80/-858,3/1,8

W9507.03941,853,.47/3:708.,:80/17428547933:708

W%4507.03941$.,:80/1742;,74:84907,.9;908

483008,1473,8,0..,147.,7,../039.,28483008.,7,../039,99473087054799,92489853,97,:2,;.9281742.,7.7,8.,808:3/074901443950841-,.

3:7

W'0.:,7,../03981742$&'8,3/5,880307;0.0841903708:935,8949097,50,

W$0297:.8.,:80853,.47/3:7088:.,85,7,50,-:9,84708:937431:/0,9

.,281742,.310341,80297,07

W0;07;,3841903,708500/3,3/983.70,808907841,/8.-:047/8.-:78917,.9:70$4,9.,3,853,.47/3:7,994730/414720$53,.47/3:7$,0783

4830081470,250,704.,9490.4:798,3/3490:/08,3/.4:79744289,11-099079,3,34:941943,172#09,33,99473084:3/0789,3//8.-:0.,28$,3/90

70,90//8.3:708.4:50/9307;0/,2,00584:7,994730.4257003/9097,:2,,3/

477-0.7.:289,3.08414:78:11073%80584:7$,073049,904:7-,.3:7.,2899038:7,3.0,/:8947

%4.425020399070,-9,94301147984120/.,,3/0,9574;/078853,.47/3:7,994730841107,/;.043850.,.,70,3/970,92039439072.,70,3/49070.4342.300/8,8

0,8.425,8843,90.4:380,3/8:5547994;.9288/0174220/.,,3/0,88:08853,.47/3:7,078,84/0,92,990788:.,89030.088947,557457,90308841


2/17

.079,3970,9203945,14790.,70,3/90.43806:03.08,3/300/841903:70/507843,3/901,2

,7,../039,99473084850.,03853,3:7.,3,.9:,4794:7/4.9473

47/07940524707/4.:20390;/03.0,3/4.,9090,3//4.:203990,5743488,3/

/,34880,743%80;039:,054:3/0907233905,895708039,3/1:9:700.4342.488,884.,90/997,:2,9.-,./,2,083/4:2,300/109203:783,3/4:83.,7084988,3490725479,3970,84394709,390790,.4:3809484.94:7

38:7,3.0.,281474:,3/4:71,2

42243853,.47/3:7083.,7,../0398706:70,90,241,../0398.0303;089,9478,3/,../03970.43897:.943898,80,8,30;,:,943410;/03.080/$,994730

,88894:94,8808890,../039.,28,3/4.,93549039,490784:7.08412470220/,900.4342.70.4;070/8,-9-03019847;.9241.720-030198,8,30,250

9902489853,.47/3:7,994730805;.928,3/9071,208.450990701,3/97,:2,4190,../039

013943

,43.89,11

853,.47/3:7/,2,094,35,794190853,.47/47307;08,99003/4190853,

.,3,41903.,:8085072,3039.,30838970398038,943,3/4907-4/1:3.9438-04

9089041903:714:;070.039050703.0/,853,.47/3:7929800200;07

,850.9414:710-0,110.90/

$259428

,43.89,11

$53,.47/3:708

4:7,-994.439744:72-8,1907853,.47/3:7/0503/843941,.9478905,.041

903:7,434:7853,.47/,3/9080;079413:79490853,.47/%040893472,5,79414:7853,.47/87010770/94,89030:744.,0;0414:73:7%080;07941903:7841903.,0/90.4250903088,3/8.,8810/,80907

O 4250901,2489,1003803847,3/,,-994.4397424;02039249471:3.943,70489-0490853,.47/3:74:73:78.,0/.425090

O 3.42509014:,;0842024947478038471:3.943-0490,110.90/,70,4:73:78.,0/3.425090%070,70;,73/07008413.4250903:7


3/17

//943,5,7,881742,853,.47/3:72,-07010770/94,8

O %097,50,476:,/750, %820,384:7,728,3/897:308,3/50;.47,38,70,,110.90/-4:7853,.47/3:7

O !,7,50,%85,7,88,110.98,475,79419097:308,3/50;.47,384:70,9.,7090,25071472,80708419089894/09072309030:744.,0;0,3/.4250903088414:73:7

$53,.47/3:70841,33/2,708:9343047247041901443838,3/8259428

O 4884124;02039O 488418038,9433.:/390,-9941000,9.4/,3/94:.O 48841-4047-,//07.43974O ,07,90/7010,.9;9084785,828O ,308380:,1:3.94380:,80389;9,3/10799O

!,347,339038089338038,943.,:80/-/,2,09490307;01-07834:7853,.47/O 11.:9-70,93.4:347.0,7380.70943817424:7:38

20703.838,3/8259428

20703.838,3/825942841853,.47/3:7,1907,3,../0392,3.:/0

O 97020-,.5,34757088:7034:730.0,/47-,.O 0,30883.447/3,943475,7,883,35,79414:7-4/O :2-308893347488418038,94334:7,3/8130781009479408O 48841-,//0747-40.43974O

11.:99-,,3.0,3/,3O 25,70/-70,93,19073:7O 34//5489430/479890/30.47-,.

0394800,/4.947

34304050703.08831.,3997,:2,94847070,/4730.300/8220/,9020/.,0;,:,943147905488-941,853,3:731,.9988,108994,88:209,997,:2,;.928

,;0,853,3:7:39574;03490780-0.,:80

O 8074:8853,3:7839,,8220/,904-;4:81983970.430/,247080;0703:72,4..:7

O:2-3088475,7,882,708:9220/,9047.420437,/:,,8-00/3478034..:78347,74:3/90853,.47/

O %0920-090033:7,3/970,92039.,3-0.79.,3/0907233900903941.425.,9438,3/90,24:394170.4;07

14:8:850.99,98420430,8,-,.4730.3:7


4/17

O 43924;0903:70/5078435072,30395,7,88,3/49078074:8.425.,94382,708:9

O ,474:74.,020703.20/.,,8889,3.03:2-07O 0059050784389O !,.00,;940843-498/08419030.474/900,/,3/30.94570;039902

174224;3:39020703..,70,77;08O !74;/0-,8.1789,/8:.,8894553,3-00/3,3/2,390507843.421479,-0

94:924;3900,/4730.

,:808

,43.89,11

0397,307;4:888902

$53,.47/3:708708:91742/,2,09490;0790-7,0,2039847/884190853,.4:23479490853,.47/980197,:2,9.853,.47/3:72,89021742,8://0397,:2,9.

-4944:785309,917,.9:708/84.,908.7:80847.425708808430472470414:7;0790-7,09,842,708:91742,:3849473104:3/9,9503097,908,3/.:984:7853,

.47///943,/,2,0:8:,4..:784;07/,847008-0.,:8041-00/380331,22,943,3/1:/,..:2:,9433,3/,74:3/4:7853,.47/

34397,:2,9.853,.47/3:72,-0.,:80/-,79798.,3.0731,22,943310.9438

47/8/00307,94341908530

4:7-7,3,3/.0397,307;4:888902%0.0397,307;4:888902.425780890-7,3,3/853,.47/%0853,.47/2,/0418419

988:0,3/8:774:3/0/--4308;0790-7,00903/8/43,7/174290-,80414:7-7,3,3/82,/0:541307;0.08,3/74:5841307;08.,0/97,.98.494/11070395,798414:7

-4/%040703/414:7853,.47/89458,990,-4;04:7,893907043.,0/90.43:820/:,78049870438,74:541307;074498.,0/90.,:/,06:3,

%7,.9834:7853,.47/.,772088,08-0900390-7,3,3/9070894190-4/494797,.98.,7783,8174290-7,394.439742:8.024;02039$0384797,.98.,7783,81742

-4/5,7989490-7,370,93940,9.4/57088:705,3,3/90548943414:72-8

,2,094307;01-078090790.,:80897,:2,9.4734397,:2,9.90/,2,0,110.9890307;01-0785,883

974:903:70/,70,,3/2,25,75,7947,414:7.47708543/32:8.08,3/307;08-04903:7890.089947,..47407-,.:2-,73:7.,3,110.94:79478408

-40,3/-,//07.43974,3/80:,1:3.9433,//943,30..07;.,3:7,110.9824;020398414:7,728,3/5488-4:7,-994-70,90


5/17

42243.,:80841853,.47/3:7

%02489.42243.,:80841853,.47/3:708390&390/$9,908,70

O 4947;0.0,../0398:94,3/24947..0,../0398,70900,/3.,:8041853,.47/3:708,..4:39314724709,3507.0394130853,.47/3:7080,.0,7

O ,8$53,.47/3:7,1907,08248941903.,:80/-,1,;07,1,8.,:8024709,34306:,790741853,.47/3:708

O .9841;403.082,3,8507.03941853,.47/3:708708:91742;403903.4:39078419033;4;3:3849,3/3104:3/8,..47/39490,943,3899:90410:744.,847/078,3/$9740

O $54798,3/70.70,9433:708 909.,.9;9088:.,825,.9854798,3//;338,4,907.,:80,-4:9507.03941853,.47/3:708

O .44.44:808,1,.9473,-4:94:9410;07853,.47/3:708O 80,808,3.07,7979848904547488,3/31,22,9434190853,.47/,84.,3

.,:80853,.47/3:708

#81,.9478,43.89,11

94:,853,.47/3:78:8:,90708:941,3,../039,3/.,3,550394,3430

.079,31,.94782,570/854804:94,0778418:89,33,853,.47/3:73.:/3

O 032,0$53,.47/3:708,110.9,/8574547943,90,24:394120331,.9102,08,..4:3914743,-4:9507.0394197,:2,9.853,.47/3:708390&390/$9,908

O 03-0900390,0841,3/4:7024890948:1107,97,:2,9.853,.47/3:714:70-0900390,0841,3/4947;0.0.7,808,70900,/3

.,:8041853,.47/3:70814750450:3/0701,8.,:8024893:70834/07,/:98

O 3,3378-0,;47;33949448,4,907475,385479894:90,73905745078,1090,7479,3574507570.,:9438.,30,/94853,.47/

3:708O ,;3,-43047439/847/07 70,9;023473:7.,3.,:80,853,.47/

3:714:,;0,34907/847/079,9,110.984:7-43084743988:.,8,797984748904547488

425.,9438,43.89,11

91789.,308390,4:7-4/1:3.94382,-04;0702340;074:770,-9,94390,2054:/0;04590897,90084:300/94,//708890.,308.,:80/

-90853,.47/3:770,841903,110.90/3.:/0


6/17

O ,//07.439744:7-,//07.4393:09489470:73017424:7/30840;074:7-7,32,349-0,-094.439744:7-,//07,80-0.,:80902088,0.,7707

90853,.47/,8-0033:70/%0.,3083-,//07.439743.70,804:77841:73,797,.9310.9438%0,842,.,:80/30310.9438,3//3047-,//07

894308733503941.0,71:/82,05:7370,-9,9434:0,7330

90.36:08940502594:7-,//07O 40.4397494:4:78942,.,3/39089308472:.090//-01470

4:73:7.43974414:7-4024;020398841903,9070/1-07/092,05

70:,904:7-408,3/4:0,7390.36:0894459204:7-401:3.943/:7370,-9,943

O $38038,943049030:744.,0;0414:73:74:2,,;04895,7947,838038,9438%07014704:783.,39803/,2088,0944:7-7,303983:70/

-9388:.,8574430/57088:700,947.4/%8.,32,04:24708:8.059-09457088:7084708-:9.,3354894381706:0399051300/0/.,305

570;0399080847084:0,7357450783.,70/:7370,-9,943..,3054:,;4/9080574-028

O7.:,947.43974853,.47/3:72,.,:80.7.:,947574-0287,3317424-44/57088:70034:780479489,9.5490384394803414:7

09702908%080.7.:,943.,308,842,3.70,804:77841/0;0453-44/.4988:.,8/005;039742-48847,5:243,702-4:834907574-029

.7.:,947.439748,549039,10970,90337803-44/57088:70,:94342.5077010,4:770,-9,94390,290,.4:494,//70889080574-0281

90,110.94:O #0857,947889024:73:72,2,092470/11.:994-70,90,3/.4:14:7

,-/423,,3/.0892:8.08,70,110.90/%0803.:/090/,57,2,3/902:8.0834:7.089,,3/,-/42034:730:744.,0;0413:7/0907230,9

3/41-70,93574-0284:2,,;014:,;0.07;.,,3/947,..853,.47/3:74:2,,;0,33.70,80/7841530:243,474907:3574-028

0/.,9438,3/907,5.,3970,99080574-028O :8.09430$420504509,853,.47/3:7050703.04304194950841

2:8.09430574-028:3.439740/9903347249433902:8.0885,89.9478419,3/252:8.08,.32:8.094301,../9

O 93088,3/03088 09488,3/2:8.0,9745,70.422438443,1907,853,.47/3:7290/24-92,0,/94,247080/039,7108905,.34:,978

414-089.,7/4;,8.:,7/80,80,3//,-0908/099,3.,3054:0,9,3:9794:8/09948:89,3,3,/06:,9009!8.,,3/4..:5,943,907,5898.,3054:

/0;045,193088,3/007.805747,2O $0:,0,9$0:,910799,3/80:,1:3.9432,-0,110.90/-853,.47/

3:7032,349.0.,3083070.943,3/0,.:,94342032,349.0.,3083:-7.,943853,.47/3:72,.,:80/0.70,80/47,-80398038,943,3/

24;02039-04900;0413:7-:9,5078432,349.0,09030/80389;93,70,8,-4;0900;0413:74.9478:744898,3/10799850.,8984850.,0

3853,.47/3:7.,34110745943814780:,1:3.9433,3/10799


7/17

%0708:8:,3458.,.,30342039,853,.47/3:79,93-9880:,3907.4:780475703,3.48942039,853,.47/3:7.,3050703.0

,-47,;0,3472,/0;07,3/-70,89100/

O !,3$42050450050703.05,38:.,82:8.0474395,317424;07:80415,79.:,72:8.074:5807;05,3,84343,830:745,9.47.0397,5,3.,34..:7,1907,853,.47/3:70850.,384204309,33.4250903:7

O 057088434539,90.,308853,.47/3:7-738,3/;395,3.,:80884205045094050703.0/05708843

%0898,3//,3488

,43.89,11

390020703.7442,/4.9472,-0,-0947:04:9,853,.47/3:7-.,701:

3850.943908931478038471:3.943,3/24;02039,3/,8384206:089438,-4:990,../039:91903:70/507843.425,384130.5,38391:,,047,84-;4:8838410,30884730:744.,3:7020703./,3489.908982,-0300/0/

%080908982,3.:/0

O 7,80/.,5078433095.,47/0790809089843504504,708:850.90/41,;3,853,.47/3:7,190797,:2,7,8.,370;0,;0790-7,853,.4:23

574-0289:247817,.9:70847/00307,9;0.,3083908530O 425:9070/94247,5%8.,3%8.,32,574;/0,-0990744,9

,-3472,908800343,37,%88.,3:808.425:9078941472,8070841.7488

80.943,2,089,9.,3/0130-430/8,3/4907574-028O ,309.70843,3.02,3##:808,897432,309.10/,3/7,/4,;08

94574/:.0.425:9070307,90/2,08%890898;07051:147443,990853,

.47/,3//03913073,90//88-44/.4984749072,88089,92,-0.4257088390853,.47/

10/,8,19073:703842041908032,,;08:-8/0/4:7/4.947.43/:.9

,30:744.,0,294/0907230900;0,3/.4250903088414:73:7%83;4;08908934:72:8.0897039,3/4:7,-99480380994:.,3/,5357.

%70,920398,3//7:8,43.89,11

&31479:3,909070834,9470;0780/,2,09490853,.47/:97080,7.078,70

.4393:,4734330970,9203983.:/3574890808,3/20/.,94389,92,5742490307;0.0700307,943472574;0901:3.9434190307;089,9702,3,1907,853,.47/

3:7


8/17

39020,3920853,.47/3:7970,9203914.:80843570;03931:79073:7,3/0254073504509,853,.47/3:794709:7394,3,.9;0,3/574/:.9;010

20703.,.9438

&703920/.,,99039438.79.,942320900110.9841,30,/4730.97,:2,$4

970,92039147,853,.47/3:741903-038,9908.0304190,../039

20703.5078433095.,224-0908530,8039,3/6:.,85488-0:83,

7/30..4,7,3/,7/.,773-4,7/.90:809497,3854794:94904859,

,7,.:9089,0841970,92039

390020703.7442/4.947814.:843

O ,39,334:7,-994-70,90O !70;039384.O 224-34:730.94570;0391:7907853,.47//,2,0O

;4/35488-0.425.,94388:.,8894447:7307090394370857,94747.,7/4;,8.:,7/11.:9,3/1472,94341/005;03-44/.49839009702908

4:2,-080/,90/849,94:/43924;0,3/8:89,32470/,2,00:3/0743/,3489.90898147853,.47/3:7

14:/4,;0,853,.47/3:74::8:,-0,/2990/949039038;0.,70:39147970,920394:2,0;03-097,3810770/94,7043,85303:7.039079,9,8,90,241

30:748:70438479450/.8:70438853,.47/20/.30850.,89858.448983:7808907,5898,3/84.,47078905079803853,.47/3:7

O 0/.,943809570/3844300/748,970,9203945943147,3,.:90853,.47/3:71209570/3844308;0393094:78413:7842050450

050703.02/2574;020399,550,789447-70/:.3/,2,094307;0.08,3/

/0.70,8331,22,94330,790890413:740;0798349,.:70147,853,.47/3:7

O 224-,9434:2,300/97,.9439489,-04:7853094-73908530394574507,3203947-49$420920897,.9438,..42580/-80.:73209,-7,.08

,99,.0/9409847,-4/,73088944:78:940054:70,/174224;338420.,808,7/30..4,72,47850.,-0/,842,05224-04:7

-4/O $:70719038:707830.088,7947024;017,2039841-4308147034-0.98

073,90//884717,.9:70/;0790-7,09,9,550,794-0.42570883908530$:7072,,84-0300/0/9489,-090853094570;0391:9:705,347/014729

O 5072039,970,920398$.039898,70973941:704:9,8948945.0/0,9.4397431,22,943,3/5742490307;0700307,94384:7/4.947,-4:990

,;,,-9418:.970,920398

343.,70

19079039,3:747/80,8089,-08/4.94789:73907,990394394570;039380.43/,7


9/17

574-0289,92,,7808:.,8/0.43/94332:8.0.4397,.9:70857088:70:.078-40,3/-,//0788:0870857,947310.9438,3/-44/.498

%0039414:74859,,943/0503/8434:7.43/943,3/9020/.,88:084:70

1,.33.04:700034:945,79.5,903907,508,3/970,920394:2,97,3810794,

70,-9,9431,.9

#0,-9,943#0,-9,94390,2202-078-03944794:04:70390

0,789,084170.4;074:790,22,3.:/0,58.,907,5894..:5,943,907,58970,-9,9433:78070,-9,94358.448984.,4707/099,370.70,943907,589,3/

,/4.9474850.,08358.,20/.3058,978947853,.47/3:708

:739039,89,084170,-9,943907,5898:8:,025,802,3903,3.0,3/

8970390334108932:8.01:3.94370/0;04531302494788,3/0,733,/,59;090.36:0894,..4258/,94/,9,884:-00/:.,90/43900110.9841,853,.47/

3:7,3/494570;039.425.,9438,3/4:-0;03,/;.04370-:/34:710,3/

3.70,834:76:,941104:-09,:92,33088,3/4::8006:52039,3/90.3449,9.,3054:;0434:743,82:.,85488-04:-003.4:7,0/94708:204:71,;47904--085,79.5,90384.,,3/193088,.9;908,3/709:73948.4447

90475,.0

0/.,94380/.,94382,-0:80/942,3,0842041900110.9841853,.47/3:7%0803.:/020/.,943894.439745,3,3/2:8.085,89.9,80,820/.,94389,9.,3

2574;0-,//07.43974-40.43974,3/80:,1:3.9433

090.344083;039;020/.,/0;.08.,305504509,853,.47/3:7-0.42024703/0503/039,3/247024-0$420/0;.082,,8470894701:3.943%0803.:/0

O 4/07300.,782574;0/9070900.,78,702,3504509,853,.47/3:7247024-0,3/2470.421479,-0478420,300.97.00.,7

2,-0300/0/$42000.,78.,30;03.2-89,7897,;04;0774:9077,3,3/00;,90,80,90/5,88030794000;09470,.5,.0894:905

O 425:907,/,59,94384784204304,8290/,3/1:3.943.425:9078.,3-0;0754071:9448-:99070/11.:9944507,90425:907,/,59,94387,301742

825094.42508:.,80:,7/847;4.070.43943O 0.9743.,/894/,;3 88039,,3/0;.09,9:80800.97.9.,3-0

.439740/9,300.9743.,/94/,;30;.08.,3-09:730/4347411-89.47;4.0.439740/,3/.425:907-,80/7024908

O 0.97.,892:,943/0;.08

%08084589.,90//0;.08:8000.97.,892:,94394574/:.0,.9438%07041903.,0/1:3.943,00.97.,892:,943$889028,3/

90:8000.97.,892:,947894.43974,72,3/02:8.0894,4504509,853,.47/3:79489,3/,70,.,3/75

O #4-49.,997,33 %80207390.3448:80/1477097,33,3,-9,1907853,.47/3:7


10/17

!743488,3/70.4;07

4:7/4.9472,349-0,-094;04:,574348879,,#0.4;07194..:7895.,

89,798,0094824398,1907,33:740;07842050450050703.082,2574;020398147:5944300,7474307

453,3/8:55479,43.89,11

3,../0399,9708:9835,7,888,10.,330;039$://03,;3,/8,-9.,3-0

179033,3/.431:83,3/,/,5938340,89,84:2,43/0744:7853,.47/3:7,110.94:70;07/,,.9;9084-70,943858,3/439072,553088

#0.4;0717428:.,30;0399,08920-:92,3504504,705,7,0/24;043940,/

574/:.9;0,3/1:13;0898088039,9489,249;,90/,3/09908:554794:300/

70;3

14:70303:70/4:,3/4:71,20050703.0,5074/4124:733,3/

70194:9070;3574.0888/11070391470;0743098.4224394050703.0/03,47/8-0011440/-8,/3088,307-,7,33,3/13,,..059,3.0

%070;3574.0888,.422430,95,79414:770.4;07983,9:7,,3/25479,399470;0904884190,4:070:998,8430.088,794809304,8,3/13/,,94

24;0147,7/94:710

4:574-,-,;0.43.0738,-4:944:73:7,110.94:7108904:713,3.,

89:,943,3/4:770,94385870;3,3/024943,897088,703472,,3/.4224340;0714:7701,3/8,/3088,70,110.934:7.,70.,:834:9484,904:78011742490784757425934:94,-:80,.44474907/7:84:2,,3994.438/079,394,

84.,470758.44894758.,978974:2913/,8:5547974:541504509853,.47/3:708051:%,39490784:3/0789,3/,94:7043974:.,3

-003.4:7,3,3/202-078419074:52,,;044/,/;.043,/,593,70,8414:7420474785,.094-09907,..4224/,904:7.:77039300/884:7/4.9474770,-9,943

850.,8919070,70,38:5547974:5834:7,70,

%,3.43974

304190-089,89470,3.43974414:7108940/:.,904:7801,-4:94:73:7,3/

4:745943814770.,23,33/0503/039107,3041/7;306:52039,3/;0.024/1.,94388,;,,-094/,%08,20897:04142024/1.,943574/:.98#,258/07

/4478850.,8387,--,78,3/0,8949:73/44734-82,095488-01474:94;02470,:943424:8

0.,:8090.489841,853,.47/3:7.,3-04;070234:2,,399413/4:914:700-01470.4342.,8889,3.0478:55479807;.0817429089,904710/07,4;0732039


11/17

471742.,79,-047,3,94384:770,-9,94390,2.,3054:/03917084:7.0834:7,70,

%,3,-4:94:7/8,-9

4:71703/8,3/1,22,708543/944:7/8,-93/1107039,8$4202,-0

:3.421479,-0,3/:38:70190708,347/43907993

030/:.,90/,-4:94:7853,.47/3:7,3/3940/:.,90490788051:/703

,703,9:7,.:74:8,3/84209208,/:897,9076:.19076:089438,70,38070/3,.0,7897,9147,7/,/:98.,3,84-0301917420,733901,.985,3900110.9841

4:73:7,3/,94:71,2,3/1703/8.,3/494059908,20920/439089,9094901703/8,3/4;0/43080390700539442:.94:92,-0:3.421479,-0,9

17899,3,-4:94:73:7419038970390384:770,94385891,2,3/1703/8

0,39392,.80:,9,3/80:,,.9;9

4:7853,.47/3:72,,110.94:7-4/8708543809480:,892:40;074:70,

80:,-03980:,/087081:13024943,,3/58.,70,9438585488-0-:9706:708.422:3.,94305072039,943,3/5,903.0574108843,.4:38047.,3054:,3/4:75,79307.422:3.,904:7300/8,3/100384:7/4.947.,3574;/09020/.,

31472,9434:300/70,7/380:,0,94:.,3,;0,8,98131:9:70.4250909392,.,3/80:,50,8:70

443,0,/

3,9:70,853,.47/3:7,8,8://0325,.9434:710,3/90;08419480.48089944:034:17890,74:7/,34884:2,89,792,3,2039,8941,4190938

4:.,39/4,3247040;07,84:0,732470,-4:94:73:7,3/4:7970,920394594384:2,-08:75780/-,4:.,3/4

%,38943090.34408970,920398,3//0;.08504509,853,.47/3:75,

-,809-,,3/5,79.5,90397,.20098%05,39,3/9,054947,58%0092,770/,;0,3/7,80./703,3/,;070,7/34-8

%4/,,/;,3.0838902.07080,7.,3/307;0.0700307,943;0450147,70,90770.4;07147504509853,.47/3:7089908,209203020/.,9438,70-03

3;089,90/1475045094389,3/3853,.47/3:70844303480330970,920398-0,;,,-0-:94:.,3702,34501:,-4:9901:9:7041853,.47/7080,7.

0;34:71094901:08994/,

!70;03943,43.89,11

44398,/;.02,70/:.04:77841,853,.47/3:7


12/17

O 7;08,10,7.7,808,7043041902489.42243.,:80841853,.47/3:7080,7,80,9-090;079204:/7;0477/03,.,7,08:709,94:7./7030,7,

80,9-0947:80,3,0,3/09,557457,90./8,10980,9%457490.99021742,7-,3:708./703:3/07,084:/,,87/0390-,.80,9

O 0.,907/059-01470/;3%42,08:704:/439/;03948,4,907/439/;0394,544:308898100947/00507/439/;0394,3,-4;074:3/544,3//439/;0394,3,90741.4:/4393490/059

O !70;0391,8&80,890589449,7,--,79470,.4-0.9835,.08//,3/7,8,4389,7,8!:9343852,98439014478,3/3909:-478407474:3./703:808,109,90894-4.89,78,3/.438/07389,33/4:,7/8

O %,0570.,:9438035,3854798,80,770.42203/0/8,1090,7;4/0,/394:70,/3854798470,250/4398/00,/17893-,80-,,3//439

9,.0:8390945414:7020931449-,&80,85499071473024;08323,89.8

O 439/73,3//7;0 439/7;00394.,90/47:3/079031:03.041/7:84397/09,/7;0748-003/733

$53,.47/3:708.,:802045,947/,2,094307;07449847203,90/1-0797,.989,9.,7783,894,3/174290-7,30503/34398.,881.,943,3/80;0799895041

97,:2,9.3:7.4:/,84/,2,0907,2,9907390.0397,5,794190.47/.,:83

802039,4880841390730:7438,3/2494730:7438..:7817422,3.,:808'1,8854793:7083/:897,3:708,73:708/;3,../0398:384909.W!72,7570;0394325479,39

7;084:8080,9-09802098,9078,10957490.9;0/0;.08147,90908570;0391,8

,881.,943


13/17

W339073,943,.,881.,943-,80/4330:744.,70854380894:.,3/5357.8038,9438

90890/30,./072,9420,3/8970394190302:8.08430,.8/04190-4/084:/07

87:0-4104378909038430-4090384351043

%7,:2,9.853,.47/3:78.,8810/3941;0.,904708-90207.,3$53,3:7884.,943,3/9039073,943,$53,47/3:7,881.,943$8902W3/.,908,.425090853,.47/3:70703424947478038471:3.9438570807;0/

3908,.7,8020398$$W3/.,908,33.425090853,.47/3:7070803847-:9349249471:3.9438

570807;0/-049030:744.,0;0,3/3.:/08908,.7,8020398$$

W3/.,908,33.425090853,.47/3:7070249471:3.9438570807;0/-049030:744.,0;0,3/24709,3,14102:8.08-049030:744.,0;0,;0,2:8.0

7,/0410889,3.3/.,908,.9;024;0203991:7,304124943,,3897,;9W3/.,908,33.425090853,.47/3:7070249471:3.9438570807;0/-0490

30:744.,0;0,3/,90,89,1419002:8.08-049030:744.,0;0,;0,2:8.07,/041472470

W3/.,9083472,07024947,3/8038478.4708,703472,

880882039

W3.,2,31089,9438/0503/43950,3/0;0413:7040;0413:790708949,48841803847,3/249475,7,8848841-,//07,3/

-40.439744884180,93,3/;,84249479430425,3841,.:905,33-,.4730..2,7,/,90,433;4;0/307;0

#0857,947574-028%%,3//,57,2,70:80/3-70,933907.489,2:8.08,-4;05703.307;05,7,8841/,57,2

W#0857,94789,9:84-807;070857,9475,9907389703941.4:,:8.:9,90:38

W,308324947478038471:3.943

$6:000,3/8570,/1307824;09408!7.3839/:90289,79,984:/078

W$3841853,84.

42509048841,70100824947803847,3/,:94342.-040;0413:7

,3,0203941$53,47/3:708

W/480.479.489074/89378413:709570/3844304,/3/4801440/-31:84314778

W0339:-,943130.088,7

W$009,70/:.943,3/97,.943220/,90224-,943

#0/:.94341/84.,94387089470943472,548943


14/17

$9,-,94341;0790-7,.4:23%7,.943:80/3.07;.,17,.9:708

W$:707

:7833907;039438W!742490,/06:,90-70,93,3/,7,.0,7,3.0439475:80420978

0,7-743.,,3/5,730,80.709438&808:.9433.,:94:8.,3892:,90;,:8307;0.,:83-7,/.,7/,

089!84907,5-70,93007.808:2/1.,943

/06:,90/7,943880881478384170857,947310.943

39:-,90,3/;039,90

2574;04-9W,39,3574507,32039,9,9208

W#05489431706:039

W!70;0391449/7450,78408W!70;03909073,749,9434154398974.,3907748

W!70;039.4397,.9:7087,304124943007.8089208/,W13:7,-4;02/947,..0;0243947!039:73348841825,909..4397441

507507,;,84.43897.943

,39,3&73,7,3/40:3.943

W3907299039473/03.,9090794,;4/4;07/890394341-,//07

&73,770903943708:981742-,//07-0.423,943.W39,0,3/4:95:9

W380799:-094700;0/8903943,3/570;039,857,943!,7,9.0:8:8:,/0;0458

40,.9;9:8:,709:7389300W1-70574903/09

W$94484190307

,3,3!49039,425.,9438

W%742-450-98,3/5:243,702-482

880881478259428.0895,3/8530,80,8:70.7.:210703.04198,3/.,;08/,

39.4,:,9434/48005,73!7088:70894.38

/06:,90/7,943

W79489,9.54903843

!:389,-0,3/41471789008


15/17

43947.480037054894335,9039#0548943840,757088:70894.38

:94342.5077010,

W,07,90/,:94342.70854380

$0;0700,/,.05079038435741:80/,5470883,:80,3,8,.4308943-7,/.,7/,,3-097070/-/8903/0/-,//07/8903/0/-40892:,9434183

W220/,90,.943706:70/

!,.038993548943,0;,90.,:800259-,//07.0.70.9:20,23083147

,70,84157088:70779,9435708430,343.-4.3,039

#0,/24709953:7830.9:708.42853,.47/3:7,3/3:78392

$$fnnn$f$fn$$@-

%%$$

3:708,110.9390853,.47/.42243708:98174297,:2,:38494:3/8,3/24947;0.0,../0398,3.,80841$,70.,:80/-1,885479870,90/3:7,3/234797,:2,

%0573.5,781,.9478147$3.:/0,003/07,3/,.44,3//7::80,08,70,110.90/14:792082470419039,3102,08;07,14190;.928,70940,7841,0

%02489.42243;0790-7,03;4;0/3$,709099,3/9.07;.,909947,..,3/9089:2-,7%080;0790-7,0,70902489;:307,-0-0.,:8090708,70,9077,304124-9390;0790-7,.4:2339080,70,8,2,09490853,.47/7,308174297,38039

.43.:884394.439:843,.07,943,3/.4257088434190.47/8:-89,3.094.42509097,380.9434190.47/

3:7.,3-0.,90470/,8572,7.8:8:,5072,30394780.43/,70703307;0

1-07880,3//83907,90,8,708:9418.02,54,0/02,,3/02477,.08438%0950413:743904907,3/701078949009039413:79490853,.47/9801

3.425090853,.47/08438,70.,8810/,..47/39490,70,41853,.47//,2,0.0397,,907,,39074747507507,.425090853,.47/3:7.,3708:935,7,50,.8

5,7,884190407-4/476:,/750,.8905,7,8841,14:709702908


16/17


17/17