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Parent response to adolescent self-injurious behavior :

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Material Information

Title:
Parent response to adolescent self-injurious behavior : a collective case study
Physical Description:
Book
Language:
English
Creator:
Tuls, Kylee Sue
Publisher:
University of South Florida
Place of Publication:
Tampa, Fla
Publication Date:

Subjects

Subjects / Keywords:
Adolescents
Family Systems
Parents
Self-injurious Behavior
Self-injury
Dissertations, Academic -- Mental Health -- Doctoral -- USF   ( lcsh )
Genre:
bibliography   ( marcgt )
non-fiction   ( marcgt )

Notes

Abstract:
ABSTRACT: Research in the area of self-injurious behaviors and the family context is still emerging. The majority of research available is quantitative in nature. The limited qualitative research available in this area has been conducted outside of the United States. A collective case study was conducted with four parents with an adolescent that had been admitted to an inpatient psychiatric residential facility with a presenting problem of self-injurious behavior. The purpose of this study was to gain an in-depth, qualitative understanding of the parent perspective and comprehension of adolescent self-injurious behavior including the parents' ideas on how the parent-child relationship or other family relationships may have influenced the self-injury. With-in case and cross-case analyses were utilized from the collected data including field notes, interview scripts, member checking sessions, and medical record reviews. Themes identified using an inductive content analysis were discussed based on each primary interview question. Clinical implications included the importance of providing parental education, encouraging parent participation in therapy, treating self-injurious behavior from a trauma-informed perspective, and others were considered. Limitations of the present study, directions for the use of the present research, as well as implications for future research were reported.
Thesis:
Disseration (Ph.D.)--University of South Florida, 2011.
Bibliography:
Includes bibliographical references.
System Details:
Mode of access: World Wide Web.
System Details:
System requirements: World Wide Web browser and PDF reader.
Statement of Responsibility:
by Kylee Sue Tuls.
General Note:
Title from PDF of title page.
General Note:
Document formatted into pages; contains 219 pages.
General Note:
Includes vita.

Record Information

Source Institution:
University of South Florida Library
Holding Location:
University of South Florida
Rights Management:
All applicable rights reserved by the source institution and holding location.
Resource Identifier:
usfldc doi - E14-SFE0004850
usfldc handle - e14.4850
System ID:
SFS0028117:00001


This item is only available as the following downloads:


Full Text
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ABSTRACT: Research in the area of self-injurious behaviors and the family context is still emerging. The majority of research available is quantitative in nature. The limited qualitative research available in this area has been conducted outside of the United States. A collective case study was conducted with four parents with an adolescent that had been admitted to an inpatient psychiatric residential facility with a presenting problem of self-injurious behavior. The purpose of this study was to gain an in-depth, qualitative understanding of the parent perspective and comprehension of adolescent self-injurious behavior including the parents' ideas on how the parent-child relationship or other family relationships may have influenced the self-injury. With-in case and cross-case analyses were utilized from the collected data including field notes, interview scripts, member checking sessions, and medical record reviews. Themes identified using an inductive content analysis were discussed based on each primary interview question. Clinical implications included the importance of providing parental education, encouraging parent participation in therapy, treating self-injurious behavior from a trauma-informed perspective, and others were considered. Limitations of the present study, directions for the use of the present research, as well as implications for future research were reported.
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Advisor:
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.A Ffr!+AA@H1#rrtt+F.//@Hrtttrt nnttIr###t#ttJFn<@H r+If##QrtttRt#r rt!t#t#tQrtttrR+nt #t!tt!trJFn<@H;+rrtnn tttr!ntnttn4 tn :4rtF.//
PAGE 40

-/ f#+!nt#!rnr# *rrr!+t!t"r#t rrt+rtrt#t+nnt ttFfr!+AA@GC8+.//@G!nt+b#+Ebt+ .//@Grt+.//DGt4E(!n+.//@G(+.//0G:*+ +Ef##1+.//.G+.//@Gbr!+)1+E&t+.//t>tF&nt+nt!!+AAD+t

PAGE 41

-0 r:*+.//.Hrtttrrr frr+rtF.//DHr!t!nnr ttt#t##!D=0rr#tr1 rt$tr !t"ntttIt JrIrnt#tJFn.-.H tr!tntt#ttnt+! nt!Ffr!+AA@Gt4+.//@Gt4E(!n+ .//@G+.//@Hrrtt*ntt !tI*ntt#!tJInt!tJFt4E(!n+ .//@+n/=/Hfr!F0AA@Htnnt#rtnt tttrrtt!!rt rrt!!ttrrtnt!F.//@H rtttrt#t#Ir1rtntJ Fn=-HECF0AADHtrrA-nntnnrtt t+A?L!r!#1t-=t#;tt!n+ !t!!tttItnt!JFD-LHrtr!t "nntttIrt!n#tJ 6rbrtF.//@Hrt!#t!n rtt!! nr!t!4 !tttnt!t!t tttt r!#!r!ttbr!F.//
PAGE 42

-. ft1rrttt# #nn+tnt! ttrtrt !!+ttt+#rrFt4E (!n+.//@Hf#!t"nntrnn# ttt+br!F.//
PAGE 43

-t+(F.//0Hrr!trnntt #!r!! t!trr##rt rr4+I!!#Jtn#t#!t+rr tttB!!5t!t# !!r!#tnnFC8+.//?G,4+AA?H+t ttttrtrfr!F0AA@Hrtttr 1rtrtt*nttt#+#+ *n#Krr!tt#t##! ntnrrt*n#SSrnS5! #nS5!tr5Fnn<.-H + %nf n&rtt'tfft +# F0AADHnr1trttrrtt+ r1#rt##rtrtnnt!nr !!t!tnn%+rrttI !rtr"*nttrt 1!#+nn!tJFn<
PAGE 44

-< t!#tnJ!!*nt!rrtt tnntFt4E(!n+.//@+n/=/G%88+AA?Hfr! F0AA@H*nrtnnt#It#tnrt7Qt rRrttttt+tr#nt rttrtntnrtttrrJFn-@H:4r tF.//
PAGE 45

-= nt!!!tr!##t !#nttttrrB rnrtr+r#trn!+4 t+!+rn#tr!t !#ttF4#!ttH+#t !Ft!nnrH+r#ttrF# ntttntHFn-0H rCF0AADHr@Lt!ntrnnrt I!!ntJ)+ttt rttrr#r!!tr trnnttt trnt8r #fr!5tF0AA@Hrtn!!rt #r1!rrtttt tnnFtr+tnt!+!!#tH !t1tttt f!n##5tttrFfr!+AA@GE 6r+AADGrt+.//DG6rbrt+.//@G:*+.//.G :4Et+.//
PAGE 46

-? tttt#t*nrrrtttr tttnn#tF+bt+E:t+.//=G 4+AADG$Er+.//
PAGE 47

-@ tttnfrr+ttrn!# rrnnttt!nrtrrrntr rr!ttttr# nnnr!#rtr#tt tnb#tnbn'n&t#t)frtt rn!t#t!4r!tnt+!+rt#t &!#trI!Jrtt+tt#!+rttt+r #tf!#rrtIttrtrJ+t*nt rtttt#t4+rtr1!##tr F+.//@H It#trtJF+.//@+n.@H Ir!J+t#I!rrnrJ+rI!r t*J!!ttt!#rn#tt#trn! t#F+.//?+.//@HIr!Jtrttr# rr#!t+tt+t#t+r!t ttrrt! tttt 1rtrr!ttt4rtn#ttt ntIrntt+*+!rtt+#+t+rtrJ F+.//?+nA0Ht!ntrn!#t n!rtttnt5nn! !ttntF+.//@H trrt!n*r t!!tttttttt4 rn!t4Ir!Jt ttnnr&4tF0A=/H

PAGE 48

-D frtt8rt"nt1rrr rrrt#tnt!!rnr frttr#tn!n# !t+rn#tt!!!trt !nr ttrttrttr t!#rttr#tt1trt! tt!!rttr!rnr tnt#r5tt4tr#t)+F.//@H#r trtrn!tttt 14ttttr!!rt5trrtnn r4nnrnrF.//@Hrtttr1nt tttt1rt!tt#t!nt8rt t##+Irtr!JrIt!tttJFn--H t rt4rttr!!# 1rtrr##tFfr!+AA@Gt+ .//@GE6r+0AADGt4E(!n+.//@G6rbrt+ .//@G(+.//0G:*+.//@G:4Et+.//
PAGE 49

-A frtt#ttt*rtt+rt nr+rt#t4r#5tt* rr t#tr#!rt#n rt#r!!4!trttt nrrn!FnA.H f#+tt4t##!tttrrrtC# 4!!tttt!rtt!r !#rrtnntttttr t*#tFE6r+AADH+trn!!!tn r!#t1t t4t!nrrr !!5t#tr#ttt" r!#rrtnnttt t tt!#tnn!4*!rr! tntrr+!t*tn CrF.//0Hrtttrttnrn# rt ttr!#!trttrr*nt ttt##n!# ttt ##ttttr!ntttt#r#tt#rn!ft rnt+tttt!!t*nrt4!nt F!+AD-G%88+AADG%88E+ADAH!nttt r#t!+4#!tt#t!# nr#t!nttr#nnn!rt#n

PAGE 50


PAGE 51

<0 I#tt4tnr#r#JFn -/Hr6rF0AADHrtttrrrttn "4rr!ttt!t+!t #r#rrttr!tntBt tr+rt#ttrrrtt tntt+!1t!4tt tttrn!t#!rtr %+rttInnrJCrF.//0H#t rtt#Ittr*!r#! !nrJFn?/HCrF.//0Hrt4r#ttt+ r+r+Ittnrttr nnrrrtJFn?/H fF0AAAHrrttrtnrtt!rttttt rn!t4tr#t)tnr+I:rtt *nt!rttt+t!rtttt!4r#rt #tJFn-0@HfF0AAAHrtttr!trtr# nt+!rrtnt+rt4#rt nt+t!4rtrtttn t tttrrtttttrn!t# (rrtnttrt!#rtt)+fF0AAAH r!rrtnt!4!" #t*nrrtbt41t !rtttrf5tF0AAAHtr1rtt!rttt

PAGE 52

<. f#!t4trtrn!t#+rrrt #rtttrtttrr! #nnt4tr#t!t rn!t#t'!+f5tF0AAAH!rrt!r tttrt!nt8rtt!n+!r rtt+rt4tr)+rrrt rt!rtttttt*ntrn!t# rtt frtt!tt4t+#t+r#t #r4rttt trn!ttt"r!r# trtrtt%rtt1t#!+ *ntt!t+tt!+!nttt+nt!+ tt4t1!#rt#:#!!4tttt tt#!trrr tn4!t rtr!!#*nt+#t+r#tt #trn!#tt!rtrn rrnttttt1trn!tnt nt!ntrtt#ntr##t #r#!t!t"ttnt!! t+#+!!ttntrtrn!t t#ntttt+tntttr rtrnrr!t+rrt!n !trtnttrrttt

PAGE 53

<1nntttrt+t t!trtrn!rtrn!t# ttrtt!*ntt##tttt t#rt+tt!rrrt# rr+rrtt5t1ttFfr!+0AA@G E6r+AADG)+.//DGt4E(!n+.//@GB4 +.//?Gn+.//=H bnbt'n&t#t f#ttt rtr!rtr+ n!rttrt# tt#n!rn rn!t#nttn!t#tttr!nt t*rnttr#ttt t !rtttrrr!rtrr !n#!trttt!nt##ttttFt4E (!n+.//@H%!ntrr! tttG+#!!!tnttn trtttrtF)1+.//?G(+bt+E6+ .//@GBtEbt+ADDH fnffbnb )f#rtt tt8##nt!tt tFE4+.///G(!n+.//?Gb+!+Er+ .//0G tr+.//0G +.//-H:#

PAGE 54

<< nttt#!+tt#tn n!"1tF nEBt+.//@Ht#=D !!tf!()tftt+ nrBt F.//@Hr
PAGE 55

<= tnnK#!t+rt#!!t+n!t# rrn!ntt4tJF)1+.//?+n==H !n#t$ rtr! nrt nn#!+8F.//
PAGE 56


PAGE 57

<@ r!8r#n!nrtrr#1 r!ttn1!rttt!n rfrnb ) fr#t1rt4r (!nF.//@H+tr! ntt#t t+#ttrt $tr't#ntnnnntn8 n#!+ttrttr#ttrt $trr*n!!#nrt#ttnr ttt#nnt ttrt* !t+.
PAGE 58


PAGE 59


PAGE 60

=/ ttt#+#r++ntr#tt+r nt#ttbttnrt!!!rtt t#rtrtttrr#r#t!t tt!ttrr t!t!n tr##!#rtr#nttt rnnt!nntt!rtt rttt%+rt+!tr ttt+!nrtnrtnttttrrt t t+rtttr#t rn!t#trtr;+ttttt 1trtrtrttt!nn bt f#!ntnt1#rn#!t F#t#+t+*n+KH+tttntr tn#tt!trnt!# !tt !14trtr*!trrt rtn+rnrFE+AD.GCr#E Cr#+.///+.//=Hfrr+tt!t!nt8trr ntt#!4nr t#t# rrnttFCr#ECr#+.///+.//=Ht ttr4nttttr!trt8 FCr#ECr#+.///+.//=H

PAGE 61

=0 t!trtttt!ntFEB+AA?H%t+ rrttt!rrr+ #!ntrrrtttt+!trtr tt!rrtn!t1r1t!ntt tnttr*rtt! r+tttt!trr+rrttt!: ntttG#trrtt!r++ ttt!6t+rBF0AA?Hrttt!n tt!ttnrtI#Jrt t !#!ttt!ttrtI!nJ#8 rtr#! tt!n!!tt!t#rt trtt!ntrrrBF0AA?Ht tttntttr+t 1ttttt#r!trtntttrt frr+tr+trrtt!t ttt!trrFCr#ECr#+.///+.//=HB tntn+rrt!t#rtrtnnn r*ttr#!FE+AD.H%+n!t1r ttt!tttrttntrrrrn tr#r4nt+nt+rr nttt!t1!*%r4t!tn# tt!#rtt4rtt!#

PAGE 62

=. %r4t!!!t#r5ttr tIn!ttrrttr!tt! 1#JFE+AD.+nAHtr4 !tt!t*!t#t4n t#!# ttt+trrrr! :#r4+t+t4t!#tt #tFE+AD.+AA-G%+A@
PAGE 63

=rtntrtrtrrtnt t+ 4+rttt!r!!trt##r! !trFCr#ECr#+.///+.//=H ;nrtr!tt!tt!trtr#t ntn!ntr+ntrntt! tntrnrtrnrtnrt1!r trrfntt!t!!ttr+1 tt#r+r*r#ttr1#t 14#ftrtt!t!tn*nr # t!ttrtrtrtFCr#E Cr#+.///+.//=Hf!tntr!1t !nn+rtrrtntt!!trr !1t!ntr+rttrrr t!tt!!rf!tt!ttr rrnr#rf#tt+!t!! n!trt!t!n+tt# tttttt!t#trtr!4nnn #trnr#!t !tr!tt!t+! rt!!ttttr# t!ttr rnttrt!ttt ntn#*nrtttrrtFCr#E Cr#+.///H

PAGE 64

=< %!ttI#8r+ttrntJ!!t !*nrFCr#ECr#+.///+.//=H t t1tr!!!t+!nrr !tt!btttt!#rtrnr#t 1!!tt!t+tIttr !!rJFCr#ECr#+.///+n?
PAGE 65

== bbt n'n&t#t)f#t t8#!tt!tntnrtr#tt +!ttnt!tntrtr trr#trtt%t+ rrnntttt!#1rt!5t rrn tt!8ttttt!rt t##tt!nnnnrt!nr## 1#1t+tt+# rt#5tr+tt !r#tntrttt!frr+ 1tnn#!!trrnnt ttt tr#r4ntrrn !rtr##!!!ttt r4r#!nnnr#tt t#1rt#r8r:#r4!# ##ttr#tttn!n n#!#1tt!+t tt#ttt!Gt+!ttttr Btt+trrt! tt!bttt#!!! tr!#rrttfrr+#! t!#rrtrt!!!r!t

PAGE 66

=? *nrFE6r+AADG+.//DG+.//DG%88+ 0AA?G)1+.//?G6+AADG:#+0AADG!.//AG#+AADG BtEbt+ADDGBr#E:4+.//@Gt+.//DGn+.//-H t !!tttrtr*!t #rrtrrt##rtntn rtrtr!trtntb#rtt1r!tn+ trtrt#!!r ttt !tttt##t*n+ntt! rtnrttrnttnrtrr ttt!ttrtt!+t r!nt8ttttt!tt!r nnnntttt t!#nr!tttrt rtt*nr!rtt n#rttt!trn %+ttr!t!#nr ttr tt#r tr!t4n*ntt!t rrn!rrt!!r !#rrtnnttt t bbt )t!tr#1t rtrr!trnttttttrt rr* tt!r

PAGE 67

=@ rrt5tr t !tt!tttnttt!r t't#trtrnttrt r+t!ntr! rttt $ n'n&t(#t f#rrtt!n!tn+ ttr#!tfrr+! trr1ttf#rn#tr+t trt!!!tt!#!t!!t tbtttr#+#t!# rrnn#tttttntt!t !#t!!nr!! tt*nr!!!t++rrtnt 4r#ttt!#r ttntt!ntt *nr#tt tbtnbtb ) f#!!!t "r!#rrtnntttF E6r+AADG++E6#+.//DG+.//DG %88+AA?G)1+.//?G6+AADG:#+AADG!.//AG#+ 0AADGBtEbt+ADDGBr#E:4+.//@Gt+.//DGn+.//-H r6rF0AADHrtttr!tt!! n&!t#tnr*r

PAGE 68

=D rnrnrrr!r!t n+ tt+It!tJrt+!tnt r!*tr!nr! t!r6rF0AADHrtttrntt !tt#r1!ttr#t#F0AADH *nrrtnn#ttn#!t!tt !nr5tttn#ttt n!*ntt++trn!rr5t ttt b#rtrrtr*nt*nttr!t !rt#ttb#tt!!! t#rn#t*nt ttrtIntCrrJFE6r+ 0AAD+n@?H tt!ntrtrntt *ntt!t!#rrtrn#1t !FE6r+AADH trrrBr#r:4F.//@H+ttr nt!tt#rtt#trtt 1tr#tt!rtr4#-?nrt tntt+tttrttr1 n!!rtt#trtr n!!rr#tt!rtr tr5t trrr!nt1t

PAGE 69

=A t1ttttrtrrtt5tntt"t frr+t!t!nt8ttrt#f#t!n 1rnttttrr!tt#r rr*rr#t t!ttrttr1ttt In#r5rtttrr3tF.//DH tt tttt!n+/-?Btt#ttrtr #rt!n.<=&tt#ttrtf!#t!ntt+ nrnt!t*nr#rttnt rnrrt5tnnttt tt rtttr!#8#tr#ttr!rrnntt+ !t !*rttnntttt "!4r*+rt+r!FE6r+AADH 6ttt+t4tt+rtF#rt+"!t+r+ "#tr1ntF)1+.//?H+rntt tF:#+AADHH!!!!ft+#+ !!!tt!tr!##! rrttFEC+AADGE6r+AADG$+ .///G%88+AA?GC8+.//?H ttt! !!tr4#!nrtIn!r nnnJFE6r+AADH tttrr# n!nttrr#Ir#rJr

PAGE 70

?/ IJr!#nttt!t rtttFE6r+AADH %#F0A@?Hrtttr!tttI#!J %t+!ttttt*r#n# trr#rt!#!!t!r+ !t1rtn!tt!ttt!! !I ntnt!!4tnr r#Str5rrtS#5JFn
PAGE 71

?0 #ttrt!rttr !t!!tt+rtt!r! tt!rrtnntttt( t!tr*+#+r# rt !!t!tt#r rn!ttntttr!#!!!t t !tt!t4t+!1tt+nt1tt+!tn+r nb ttt n n#tnnb) !ttt##tr #trr5tnntt tn!rrt!tt F++E6#+.//DG+.//DHrttt# !ntrn!!rrt$trrt tt+++r6#F.//DHnr #t4ttrrI#tJn#t rrn!tt!t+I!ttt!tJr#t+rn!+ rn!!nrtntt+rI!rtJ t #trr5tr!tntt+!nt +rrBtttrtr# ttt!tt!!rtrrt#nt+ ttr4rt1!nr+!nr+r rtn#!t!

PAGE 72

?. F.//DH4r./rttnnrt! !tt!!t!! !tntt*!t tnnt!nr#t#n rrtnt1nntt+nr !!nt+rntttt tttr nntt!#nnttr frr+#!!ntrttttnt 1!#t#nt trr## tr#r!t!nr#r4# 1rrtt Btt!r+tttt*n! #tttrttt(tn+t rtt!ttrtt%+ !#t!ttntn trttrr 'n&t#ttnbtb n#tnnb)frtt 1#nntrtr!*trnntt t!rttttnt!! r6rF0AADH4#1nttrtttr! rrt#1n!!t!rnrt+ 1#t!!tIt!#r#Int+ rtrtt!trt#t!tt!nnr !%+r6rF0AADHrtttrt!tt

PAGE 73

?1#4nnrrrtt!t !t+!t #F0AADHttnnrt!#rrttr *nt!!I!!tt#tr!trJ Fn<@H #ttrn+t!ttntt rr+t!tntI#J! t tttt!tnrt!!ttt trtttrtFfr!+AA@G4+AADG:#+AADH r6rF0AADHrrrrrtnn tttr#1nrt!!t!t tn ttnnttnt! rt4# tr1!tt! I#ttr!#t#t#rJFn@DH n #t!rtn $ btnbt'n&t#t) r#5t rtrttnn#tttr !trt#tB+t4+r+#+t+t!n+ #+r#ttr1rt! tntrr5tttt Ffr!+AA@GE6r+AADG64+AADG+.//?GBtE bt+ADDH t!*!ttntt 8f#tnttt+B#+f4+(+

PAGE 74

?< r F.///Hrnttntrtt5tr !nt r#tt##trtr!ttrIntJ rt5ttr!n t!rr#Itr+ #+r*tJFn<--Htrr#tttr+ *nttrtnttr!n!#nnnt fr!F0AA@H#tttrr !t!#!!!trtnnt tttI5t!J+I*tJ+I3tJ+I t#t tnJ+I3#J+rI3r#t !n!JFn@
PAGE 75

?= trn##tntt5ttr#tnr" !rt%+fr!F0AA@Hrnttr rt#ttt#ttItrrtr#J ttnt 4tr!!r!!8tI!tnn 1rt!ttrK#7QtrR nrt#tt!+t+#+rt+ttr n#JFn@AHf#t!!rtrnt !ttt+tr#!tt rtttr+tt##tt!#ttrr 3nF.//-H1rrttnnrtt #+nt+rntrntr rtt5t+tnttntrt+rt tnrtn tttrnt rt It+1+n8r+ rrJFn<00Htnt ntrr !##nttnttrt#!tnn #tr#tt tntt rtttrntrrrrnr#!!tt ##trt+##rtt 1r+r#!!ttrt ttrrntIt#rtt5t #JFn<0-H%+ntnntntt

PAGE 76

?? rt5tt+ntr# tt++ rt5ttttr!!8ntt !trtrr1#tn F.//-H%t+ttrnrr"!#rtt ttrrtnt!!!t tt !ttr!tttnt" frr+ntrt!rtttt*t rt !!tnr! *ntrt+!t!rttt rtrrttrrr#!rr#t r+tr1trr)##r!tr! 1t!*!#r!'rt + 1rtnttt'rtt tr#ttttrnrtr#t t r+trt!nt8rtn# tr#t!#trrnn !4nF.//-H+bttF.//DH1r ntrtttr !t1t1t# !#r#nt5rtr#tr#trt5t ttt!n#rtt+#t !#rr#In!t!J+It#t !J+Innttt!J+rIt"tt!J trtttrttr#!t+t1r

PAGE 77

?@ t!!!#rttn!t+r"r I%t#t!JrrtF# n+nt+#r+tt+KHr!n !F#rtn##1t#t+!5tnn#t #+4!HI nnttt!J #rrtF#nt##tHrt F#t4#+nt#!+#r!H%+It"tt !JtrnrtF#rr+tt+rr# tr#tHrnF#tt+#H tbttF.//DHrrt!r*n!r "!tntntttt tr#r1trr%tntr 11tttr ttrt ttrrttrnrrtt 1t#t!nt t n'n&t#t)ttr t rrtttr! rt!!tbtttrrt nnttttt!!!!tt r##!!r#rtrrtr*nt frr+ttt#r#nrtnttr #!#tn !rrt!!tt

PAGE 78

?D t!!trtnt!!+!!!t t!t+#t+rt;+tt!r !rtttn1t#rtt (trtrr*ntn!rtt tntnn tt!ntttt!t rrt nt1ttttttrtr trtttn#rt+t rn!t#rt#trrtttr!nt!#!t rttr!ttnttntttt !r!ntttt !ttrn# nnnn#t#t+!!t4t+nt1tt+r tnt ##tntrt5tt+ttt rtrr!!tt!rt!t rrttt!ttt rrttt! #r4nt+rn!n trtt!t+!t+r!5trt!ttt+!tr ttttntrttnt"#t! trrt (!rtt1t# *nt#rbttnt!rftnt!

PAGE 79

?A !trrrr#!!r#rt r*nt#t!#nrtntrrnn tt!!tr%!trtttr+ t!ttr*nt!tt )+nF.//-HttbttF.//DHrr# "tnttntr#rt5tt ttnt4t!tnttrrtt ttrrr trtnF.//-Ht1t bttF.//DHtt#rtnntrtfrn "rtr#tnt#rrr! rtttr#n

PAGE 80

@/ b%bt f"+ttrrt#t8rtttr tnnrrn*nnt5tntt rt5ttttttntttr5t!r# rt1ttrr#tfnt!t *nrtr8rt#rtt btnt t!nttrtntrttrr!r nnttr!1nt#n!t tt rnt#!+#+ rn!+rnrF$n!rE%!t+ ./0/H ntrrnnttr1trnr r#trrtr rrttrr1#t/.. !tnnttnntrt!nr!rr rt+nttrt1#t-r@1 1rbttrrt!!tn#t tt#ttt"rt Ffr!+AA@G%88E+ADAGt4E(!n+.//@GB4 +.//?Gn+.//=H

PAGE 81

@0 rttttrrnt rttnnrtt*tnt# n!tIrtrtttrr nnttttrJFt4+.//@+n/-AH ntrtt 1rn!ttt+ttrnr+#rtrr#tt 1rrr#ttrrttrr8t rttrrtrr#rrtn ttttr trrtt!#!nt# n!trrrttrrr!tr ntr#ttr tttnnrttt rt!tttr#ntrtrt+!r rtrt+rnt!ttt!#rrtnntt Ffr!+AA@G!+AD-GEC+AADGE6r+AADG%88+ 0AA?G%88E+ADAG%88+ADAGC8+.//?G)1+.//0G t4E(!n+.//@Gt4+.//-G(!n+.//=G:4+ .//?G;t+.//=GtE6+.//
PAGE 82

@. 0 rr!t#rnnrt 1t1#t0-r@ rr!ttrnrt rtr!tr!rnnt trtttrtnt#n! r!tttnn14 < rt!tn!r#ttttt+ ttrnr+#rtr+rn!rt = n!t#rtttrt5ttt tr#nttntt ? n!t#t#tnnnt ttr @ n!t#t#ttrt r5t!rrt D n!t#rt5tntn nttrn!!n1"tt A n!t#r#1 !!4t 0/ rtr!t#ttnnt trr1t!rrt fnnt+r!t!n#t!1t8rrrn rtr#ntntrttft!ntt

PAGE 83

@trfnnt!r1nnttr F;#Et+.//@G4+.//=H (tn+#ntrrtrr!r nnttr!nt#n!t 1r tntrttr5t r!tntt4#1!trr 4r!rn!tttGt+# ttrt!ntr nbnb 'nb#rnnbtt) 'n#!! nnttr!+rnnnt n r!rnt!rtr+n1 t#trnr ttttt!ttr rrnt!t#nnrt rt5t!rrt!nnttr n!trrr!r! !n1"tt+nn.1+r rr!!4f*!ntt# rfnnr*f tbb ) 1nnt!rt#r1tr ntr1"ttrnrt r4ttr !tt!r!t1tnr

PAGE 84

@< trtr#"trtrt nnt 1t4rn!ttnrr4tntrtr t!rfnnr* ntrtnttr 1tnt1nntrfnnr*& tnnbtnnbt) f!n#n1t# r!#rt#r+rrnnt!rnn! !!rt5tnnttr! 1"ttntr+nntt#r! tnnttr1tt!nntt nrr!ntr!!rrrnr rfrr+tt!tt#rnn5trt n!tt1t!rrt t nnrttnn!trfnnr* nb#rb)'nt##tnntttr rtttrt5t!rrt+1tnt r#rtr! #rn !#+n#"tttr1tnt4rt r!rnnn 1tnrfnnr*("tt ntrn#r1"t 0 )rrttM )rrrrt5ttM

PAGE 85

@= Brttrnnttt tM < B#trrrrt5tt M = B#trrrrt5tt M ? Btrr4rrt5tt M @ )rrttnrtrM D )rnrtnr rt5tnntttM A )r!!t!r rt5tnntttM tnn) !trrrntt ttrtntr#ttrrnr#ntt tntr#r+r#trr!tr nnt tn1ttrnttnnt5t t1rrtt#nnt rr tntrr#tttrfnnr*$ nb#r ft!tr1trrnntt tr tt1tt#rtr#n ntnrt5tttF%E%+.//=Hft

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@? nr!r"tttrnrtrttttrr tr"ttntrnntntF.//-Htn rtntrtt)## t1tn rfnnr* 1r#"t# 1tn trtn!#rttt$t!tr1! rrnr#tntt#tr5tnnt+n"tt rt!n"tttr#!rn!nt nn5tntnF9t4+.//
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@@ r+1tn#t4"tt!rrn5t tntr#trt5ttB

PAGE 88

@D r!nnrtr#"ttntrtttr tr#tttt%ntrttr!rt#r tr1tr!#rt8r 1 ntrttr!rt#rnnr1 ttttG+!ttrr!n trntt 1t#trr!ntr& nnt1rnnttr! 1rttnrf4!rtt tr!n1 !ttrt ntrtt!trrrt 1r#rtrr !t#!trnntt btbtnt tbbb) 1nnt!rt#rnn tttr1trnt1nttr"tt 1!r11trrrrrtr 4 !r!1tt8rtr+t nnttrtttttt1"ttr nrttr!rtrtttr 1nntrtntrt1r"ttntr 1tnrnrrtttt!trtr#t "t trtttrrt"tttttr

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@A rn#rrntnntntrttt ttttttrt"ttrrtntt# tnntr!nntrrrtr# tnr#1"t n1trr1t tr8rr r4r!nnt5 tnttr!!!ntttttrt1"ttf tnrnntn1nttr fnnr*& ttn1trnnt1tn# nb#rt) tnnttrr+ !tn ttrtnnr tb1r't%rfrr+ nntnrr!rtrttr!r1 #nrn!!F%E%+.//=H $!1t1r!!rt 1 r#rttrt#rtnnn rtttttt trr#ttr!r #nn!!4#%rtrr# 1ntt !rrtrrnt5rtt rrt!rrnrtnt nnt1rrrr nn*!!!nr t#!rnn

PAGE 90

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PAGE 91

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PAGE 92

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PAGE 93

Dr!!tnt+rtttrrt *!nrtrrbttF.//DHr %tnt5ntrtttrtnt 1tttt!t!trtr# nnttn#rttnttrt5ttt trI!tttJtrt!t!rtnt 1"t ttr4r!! !#tttt(tn+n!1"tt 1trt#8#tnt!#rrI!tttJ 1rrtnt"t !Ir!tJrr I!ttJ1*nrtrrtntr#r r8rr#I!tJrtr#r! 1Ir!J$r#8rr#!#t !#rtr#rr1! t tntt4#r!trt trtnnIr!tJI!tJBr1 8r+Ir!tJrI!tJ1#t!ttr !nt#tttnF&E#t+.//DG)+.//.H tr!!rtnrr)F.//.H+Ir!tJ rrr*nr+r#r r#!t !trtrtnnrrrIr!tJr#t #!t*!nttnIr!tJr

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PAGE 96

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D@ F5rH r5t$#tt $($$;$$ $ #)t$!t$!tbn$#*ft 776##ttft nn%!(r B1#!rrt#n1+ rtntr!ntr!nt#n!t !rrtr*r#ttrtrtt !n#trfrr+!rrttt!!t tr#t1nt!nrt+# nttt+n+rrtr!trtnt rrtttnnnr!trr Bttttrrtr!!rt )F.//.H$r#t!t#rtr# !rttr1"t+I!t ttJ##rr!1tn tI!tttJ 1rrIr!J$#1rrrt#r Ir!tJrI!tJntt r#8rtr n!1"tntrnt rrIr!tJr I!tJ1"t8r .trt !Ir!tJrI!tJr

PAGE 98

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PAGE 99

DA #tr#ttrttG+r#tt ntttrr!rt!##tr#t t*trttnr!tr rrtt !+r5t*trrrtt+nrrtnn+ rrrr#rt##r1*r rnttt! n!nnttr+r1r r#nnrnrntrtr5t r#t8rnttnn*!1t#tr !rr)r#r1ttt8tt !rrr tr!ttnnttrr5t r#rIJt# r5tr#1tr!rnnttr ttt+!n!tr###tt r!r#+tr#t+!nt+ttt+* r#n4t+##t+rt!+#t+r!ttt 1tttrrtnt#n!tr5tr#rf*t r#ttn$tr+:;trtn!tt trnrr#tt#rtntttt #tr5trtr#1rt!!!! rt+##tt!!!rt+tt ttn+t!ttt+rt!n !n!!rt!

PAGE 100

A/ $btn)rntrtrttrr 1Bt1t!r+tt!rrn#8r## 4tB1+r!r#t4r "ttB!nt#t1tr+tr+r tnr#"trnnrt!1t r!#1 ttrtt n#nr#rr#rttn4#; ttt+ntn4#r#5ttt tr!tt+r!+"+ r4+rr!ntt !! "tttnr#5tttt rtnrr"ttnrtnrtt!!tr 1tn4#tttnnrtr#!t ttr#tnttr#1rrt tt#rtr#ttt nbntnnt)rnrrnt# n!tr1r#ttr#5t!nnt trr#+#1+ttt+rI# 4t+!+trJtttt##r!B t4rr#tt+rnrInK!rt1#tJrI rr#tKtttttJ trttntt+n!trrrrr tttnt#n!rtn#n!!tt

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A0 ttt1#rt5tttt frr+rrrnnrtrtr# r#5t!r#tt tt##tr! + +t)f #r#!trtttntr#t 1t&t&,tt-n.!n t nbtnt'n&t#t)rrtrt ttI &nt-tftJtn#Irn K!rnt#Jrrr4r#t4t rtr#tttrttt4#r### r5ttntt"ttrrrn (f(t-n.!n +r*ntn tntrrtr ++t)f tt t $nntbtbb'n&t#t)rr r#5tt!r#trtttrr#1t rrrr!n!rtrtn nnttr#Irtr!K5t #St14t!#Jrr+It #Jfr#r+r1rtr+Itn! t4Kn!!!KrrJr tr+Ir1tnn#1t!ntJrtr+I 1tKr1r!rnnJf#t

PAGE 102

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PAGE 103

Arrrr#5tttrrr tnrtr#5ttI5!r!t4t 5t1t#t!t+rrr#1 !t+*tJ%!t!!t+rtr f r (nt n(t. r#5tttt $bbtbrntntbtb'n&t#t) rnr t#rt#r#5ttt r+IrrKrr1rJ t#tttr ++t)f n++rtnr#t trrtttr!&tnt !trr# tntt"ttr+It!Jrr#IJ +tnrtIt!J $bnrntntbtb'n&t#t) Brttt# 1#t!t#r#5tt+r r#I!J4#rtntt#1 rtntttn"t+rtr#I f J tntr#5tttrnt*nttr n#ttr#rI!t4tJIrK tt5t!J;#tr#I!Jr ItrJG+t*nrttrr"r5t I f J $bbtnrntntbtb'n&t#t) !t !#r!r5ttt#r#5ttt

PAGE 104

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PAGE 105

A= t#I45##1K41nnrrt !r5##+r15##+#n#ttJ rttt#t 1trr#+r!r ttr#r#rttr#t!t trrI1tJnIttrtJ rtrtr#5tt1nt rtttrr#tIJrtIrt4t !K##tJfrrrtrnt+ rt!r1!r#rttt !nrt11! f#tnrt#tttrrt+r1tt tnt tf tI1##r#t#rJ !tr+I4r114Jrttr+I ttJf#+tnrr#tt tr!ntrtn -trbnb'btnnnb'n&t#t) rttt#nrtn!#rr#5tt t+!trr5ttntttn tn &t r#ItntJrIr!tJr r#5ttrtn*ntr#rnt rttrrttrt#r# tt#nrtnr##Itt#

PAGE 106

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PAGE 107

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PAGE 108

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AA I 'nttfK1#rJI 'nttftn+ !n#J tb'nb#rbtb)%#!n1"tt+ rttr#rrttrr#t t!!rrnrt1r r1#r#1ttr tnnr ttntt#rrtr !nrtr#t1t##rtntr r#rt tnn)rtrnr## 1nrtr"tt!1rtt #rttt!trrrntnr# 4t!!rr# %fn) rntrnt!!4! 1tnt#ntrtrttrn t!rttr!#!rntr!*r #1!ttt4rt!4r rr!#trrt!4#1 tr+rtttrnttntr#5tttr+ It!tJrrrt!r# rrnr+I tntr#t!r 5t+1rJrtr#!+r#5t!

PAGE 110

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PAGE 111

0/0 nn*!t!trttt8r!ttrtrr nn#!t#! 9885trtr#1tr!rnnttr ttt(rt+rt+nt!ttt+ #1+tt+!tnn!t+r r!ttttt8rtnt#n!t !r rntr#1tInnrJrn# t#!ttr88!r1r#! I1r1Jr#tt! t!trr# #n#!ttt#rn 885tr#rf*tr#tt($ntt$trr t!tt$tr !#t885tr#t8!rr r!ttrnt##ntt##rt r!#n5ttt!frr+r#t #t##tt+t!+tr#t+r1t 8ntr!rttrt $btn)988#ttrr!#B rtr+tn#8rrr!t!rB 988tr!#+tntrttr#r! 1t!rrt4ntrtttttttt# r!r"r#tttttn #1+t

PAGE 112

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PAGE 113

0/.!n ttrI#tJ+I#1#tJ+rIrr Jt*!ntttrrtt#rt r# $nntbtbb'n&t#t)988rtrr #*trr#5ttt !rtrt!tt$tr # rt+88tt!ttr r#5tt!r#5trn)r1t 1nrr#nrn#!t)t nrr#r!r1t88nr 1r#rr!r+ttn4###trr !rtrr#r*trrrt !rtrttrttIr#J n!*tr#!"t!!rtB t!+rr!tr#tt &tntt 885tt+ttr tn(t &tn!ttrn#!r#rrrr# ntn!rt !tnt'n&t#t)f#+88tnrrIr1J #rtttr#!#nntt t !nt8r ++t)f trttB!nr "t+88r n&*nIt#!#n! trQrtr#5tRJrItJrtr+

PAGE 114

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PAGE 115

0/= t4r#r#!tr trr#ttI !!J $bbtnrntntbtb'n&t#t) 9885tt #r#5ttrr n&!n&t r +tf (nt(88nrt!rr#!ttt nttnr4#r#nttrt 14ttt## btntbnb'btn) Bt4rtn 1r#+88!rt!t!ttr tnt t#+I14#Jttr+I tnrJ1tr#nttr88#r r t rnttnttn %rtttntr! ttn11 rrtrtttrtrt* r##ttr988! ttttrr#rrrt+ rr##88trtttrt4t r#tnn#G+t!#ttt r#"4trtfrr+88nrIrr4 J#rttt#r!t88r r#!#r#r#rr nt!ttt!tnrttn tr!tr! t

PAGE 116

0/? -trbnb'btnnnb'n&t#t) +88tnrrtnr#r ttt nntttrtttrttnrt!r##t 1r#trrttrr#t4t rttr!trt!# IrJ**nttt!# rr# fttrrttt"t+88tr+I(#rr !Jt!4r+Irr#4tJ88 *nrrt#+I 5t#rJrIn !!!J tt!tt##tr!# &t # #!r!tr!t188 rr#!#rt %+ &&t !!885t tn!rr#ttt!tt$trttr !r!ttn88tr+If!tr #1!+rrrt!!Jf#88 nrtt!tnnrtrr#rr t+ttr!tt!tntr+!41 t#t ,b .nntnb'n&t#t) !!!t88rrt# &tt 1r#5t rnr#88rnrrr

PAGE 117

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0A0 fnnr*f 1# 0 $r1#t-r0@M $nttrrM $#trrM < )trnnrtttM = BttttrnnrM ? Bt!t!r#ttt#rM @ $trrn!rtM D rrrttr+rt#!## trn!ttnntrt!r rt!nttr!1r tt$ntrtM A ftrrttr+nt trrtrtnr tt tnntt!1rt$nt rM 0/ rrttr+!t#nn. 1rttttnttrt5ttt trr!1tnt1 $ntrM 00 !rtttrr#1rrr rtrtnntt3nr!

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0A. !r!!t##1 $n!rtrt ttrnrr!!tM 0. $rn!!rrtt! tnttttrM

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0Afnnr* nttnnbbtbbn! ntbtnbttn(tfnbnb! b !(b 1 ////0-?. btt't%rF'%Htr!nt rt+r nnn#4nttr t!ttt tr Bt4#4nttrtr Ibtntfrttf trJ ntt#tttrt t tnttr nt# nt#4#t,"+$ tr(!tt+<
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0A< n+!rtttr4!t ttr!# 14nn*!!tfrr#n t#trrr1ttttrrt+n t#1r5t!rrt#rr! r#!r!#nr+!t+!t+r! ttt nt#+tnt+rtt!!!ntr 't%rnttt+r*rtttr r#t r#t1rrntr!nrrt r rr#tnntt1rnrrr tft!+rr#tn!rr!rr bnb# 3tnnttt r (nb Br5#t4#nttr !ftttb n4#rt5tttt+nt t+r nrtn!*rt!ttrr4 tn4!*n+nt#ttt ttnttt tnbtn B n!#ttr tnbtnbbbbnb nt# tntt(!tt t !t)+tnt# rn!rrtr(!t t tnnbb B!tntrrttrtnttfr#r 4n!ntntt1rnrfrntnt nt#+tnt+rtt!!!ntr 't%rnttt+r*rttt rr#t )+nn!rttrrt1+t rt!tn!!nr nn1 rttrt t!+r#nt#

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0A= #!rtnnr! tr%*!n+rrtnrt#ttr!r rt ttr!4tr#tr # tr!4tn##tr t tr 't%rtb1rFbHr t4b;rrt4'% nrrtt#!trrt $n!)r)!tF$))H B!nt!ttr1r+1 !Bnt#trnn1 +tnb bbtn2*br 3tr4nttrtr tntt4ntr+ntt#t tnnttr1! ntttrtn4#nt tr "btn3tnn3ttnb "tt+t!ntttr+ t A<0@A.....+*-0 "tt#ttnnttr+#"tt+ !nt+ttttrtttt!tr t+$tbt#r!n't %rFD0-HA@
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0A? TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT tr!r'trrntt bbnbttn,bnnnttnnb *nrnt4#ntr1t *n tntt#tt!+t!1r#+ trtrt Btrt BnrtPtPt#r#trttr Bnt!# Bt4t!# #t;#!rt$ r:!t;#!rt

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0A@ nbbtbbn! ntbtnttnnbt*t(nftfbn !(b t555578 tr nb!tnbttnb'n&t(#t tb#b nfbtbfbnb9 3#t4r4nttrn5ttnt ttt3#t4r4ntttrt 1r41!rrt#!!+ !t+!t+r! !tttr 4nttr+#nnttr *ttnbb 9 nt#ttrt t't%rt ##rrttt,"+$ *bbttbb 9 r#ttr+nrtnttnt r5tttt *bb tnbtbfntrtnrbb9 tr4n(!tt nt t4r!(!ttr#tr&ttt 14?/A/!t !!ntt4r ttrtnn*!1t*! *br tfbtt9 3nt4rnn1t4"t t nttnttttt:t4 nt#+ t+r#t1!r rt1t1r#!! B1#!rr+#!# r !r!#nrF+#t+t*+#Prnr!

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0AD !!H+!##!+!tFt+!t+tt+rt+ KH+!tr!+nt#n!t !+!#t+!n#tt+r!r tt t!nt!t##r! r r#!*rr!trn!4 nt!ttnntt f#+t!n!tt trBt4#n!tt1!rr!( !tt *bbnbnbbntbnb9 tr#+#t1r#!t rrnt*n *tbnttnbfbnbb 9 Bn!t##rnnrr4nt tr)+!#r!trn! n#rrnntt!trttnn ttt *btbtt#tntbbb9 3tnntttr t#btbfbnbb 9 3tr4nttt4#nt trr4ntr+trttr4 nttrt tn.brnbbtbfbnbb 3rbrn9 rtr+#t1nn *#n rtbfnbnbb 9 31r4#nttr *trbntbtntb9 3!rrr!!nn4#n trt1 nn nn:b9 rr4ntrt##!r :rrrnn

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0AA *b#:btn9 3t4"ttttr!4nt rttttr34nttt4# "tt+t4! nbbtbb rtrnt#ttrtt4#!r# tr#4nttr TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTT TTTTT :!nt##4ntr $ TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTT TTTTT :!ntnr#!t $ TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT %4:!rntt

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.// fnnr* 1tn t#nntttr;1r 1rnrrtr tnrrrt ttrtttr)+1!!tt r#!r! !r #trrtttrtnrr rrrnr#ttrrt !r!r# tntt+nt!B#!!rrt 4#t!!1!1t#!#1 !nr#1!#ttnn tttrrtrtr5t!rrt! trt!r!"tt trnr#t!+!r1r 0 )rt!M $"ttt#r#t!M $#nntttrM < $#trt5t!rrtt tM = (t#n#t!M

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./0 !##t4t!t!"tt#r# rtr1!!tnrttt#rt5t tt!!!r#1ntt !1trttt+! ? )rtrtrM @tr!!M DBtr5tM ABr5tnt#n!tr!rtnt tr!M 0/ Btrt5t!r#ttM 00 )rrttM 0. )rrrrt5ttM 0Brttrnnttt tM 0< B#trrrrt5tt M 0= B#trrrrt5tt M 0? Btrr4rrt5tt M 0@ )rrttnrtrM 0D )rnrtnr rt5tnntttM

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./. 0A )r!!t!r rt5tnntttM ./ B#tr1rt5ttM .0 B#tr1rt5ttM .. Btr4tntrt5ttM .1ttttn#rt# rt5ttM .< t#r4rrtn!M ft!+!"tt)t!n!r !rrtt!*4t!#!r 4rr1+!$"ttt !M 1tr#tntt11)1 #!Mtr#ttntrrr !#t!nB#!nt+n+ !!r4ttnt6!rrt t!# 1t#n1*
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./fnnr*$ $# tt tr!#rttttntt 1t!*n!*!tr#t# rtttrrnt!*n# !!ttt#r#t*n+ntr+ nt+!!!+tnrr+ t!nnnnt#tr!t 0 $"tt#r#1Mt+ M )#1M f*n#!!ttt#rt 1M < $tnntt!nttttM = t1tttt!M #nnt1 tnttrt!r#

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./< fnnr*& t nn#tttr#ntntt rttt!trtnntr t!tr#tnttr4#tr#ttt #G+tntt8rrtrr#tt ttrtr+t4#tt1"tt1r4 nr!r4tntt"ttr "tt4r+nt!tt4 *nrtt1"tttr *nrrtr#t#t4r$"ttt !MB#1"tt

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./= fnnr*% %r:%! $P !TT1TT$#TT(! 4# n:!TT%%TTTT&! ;tt rCttFtH nrnF!H 7!F#tH ;;tt (! bt#TTTTTTTTTTTTTTTTTTTTTTTTTTTTT$TTTTTTTTTTTTTT

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./? fnnr*C (rbrt$ n:! %!$!#n$F+#t+t*+#Prnr! !!H %!C#! %!)tFt+!t+tt+rt+KH

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./@ !)t t#!t !Ct !#tt frr!

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./D :t bt#TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT$TTTTTTTTT

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tbbbt ttnt#trttt trtt ttt"!$tnr#!rt 1!nttt&r!'t%r t t(tftr#br()t#! 't%rrr#rr#t#!)n # rrtrt+trnr*n14#t 6tr()tt%r5ttntr rt!rttt4rtt#t r#!!!#t+ntrn#!+ r*+rttt8 !+tr#+#+#+#+r #r#tt%rtrr1t