%PDF-1.5 % 10 0 obj <> endobj 30 0 obj <>/Filter/FlateDecode/ID[<39E9AAF294C1AC4D9C006D5C7751C8FB>]/Index[10 34]/Info 9 0 R/Length 96/Prev 27084/Root 11 0 R/Size 44/Type/XRef/W[1 2 1]>>stream hbbd``b` ~@q3`O@< 2 D$@X8@1 z  2 Y@7ĕI/f d}0ۀ: endstream endobj startxref 0 %%EOF 43 0 obj <>stream hb``b``rdpNT,  bBPZdXxK> M5 lCNQ endstream endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>stream hޤmo0ǿʽ^0?$qBZ:CMVBHLy@o;'ڍRYϹ;H pANJaBB+`B\pqFeVV&YhԂVT1m54}v5בI _GSu$IC3. 8q쒊T$V"fƦcaoS֦n6u6,v%\\jklh|hVMk{Zw6QڽCڥ:ް̖Eyᨏ1ߕ?|)N*n $[>EPQC{?Ϋua[F|yp${ Ot=<~gTif+wP8 #NH0E]# endstream endobj 14 0 obj <>stream Htj$GuSG]l$aXY5ʟ(=}hO~d0O'|38g!/->\dg뫥)ÿ3Bls{ѕf>ga{ѓwepjˮྃj Kj#T4UqTR帑Jװtwg\#}=n3ע%Ve`4n]>ǒO:wAӉ06r#Z7:}Nmu#n|ڪcR{gOœFsk~ǚlij$zɅrgxx6/{6dNpfR5ʣ&yTk,}~ /D z'S\A]O5O4Gv A&k|DHٟ=8! #2RQBLi((IJtU`{6koP{pg*Uf1./[]ޤcsraBBpq Km2FѸJ0L8a$mhrD׎.S_PyѴ1|pqň("Uwsw7y>~a_4Wq u)q5aSyّ TSĪV~#sv@ 99ϛ c7S,:IH9"*,D T?.k2WpGs- ݌B,dbaita0+nCU9,Q7Vt.JO 09ٴ endstream endobj 15 0 obj <>stream HlAn$7 Eu@ $1r,m _E$ˏ͊vv[-u]ژ.q8-LX:&@?..+\!Mf]r)c LQ#-T-Ѹ {يwu%c}tq»nͶ\#`x 6a$*dK0 m OXKO2`#jm/Z?y+r}Uz^)VqW82zK )p%d\z 9rr4u$\_'ah4w-qĈge]H*98ofN˚2@ykBܣ Rzc8*iӻ[Gcle|:DcKQ%5 oDdAVߩ|7CAޝӱ$At䣥ֻޟ׏믫Dq}{ۭvM'#cг?=rSMIQ m 根Ey 4+6V4~#nKw: {FwJ/=wӬF3y(Jl'R)f>geGp\iwY}d(%,XKoeud`Ug*Φtt˺YϯѮil5wԎ}!D1w&Z͠e Z!1ϹXZ#gT16suq?gTM]bHfY '+j3qLD^UIUt[(1_h5G3D.m}Dm6-UP@pj:wjj˖g}$,#Q=⽍k|~טъ&wףƞ/ ٨/(<~fD眞ƷMOm?/-oȕC˩Mh>?P&ӳ,>ίKȣٴ52ۏt>stream HVKn\1 )jX;F0@E7%%{{@!c$ǟC/9tJӎo?HcN?$udS$IC+@u@<MK.M41qqQK* 4i/_KZUF(IRs'EALOI*2RhЭ()064j`N lD ba'C6˼;xD%Lehxu")g6o,~p6jD HnKM7K"EDl  ;$l >Å놨eUxVqIAVrub6̌,#~(ч܄ o->-{ #Xd|?M{ [,-q^VR.OҔ&. B3,{UY`zd~] h-{XOay~zo7 A:(7盁@8/7վoԛzwPwp^9o;^bnpH_V5s8* '7TnVnm00lj9GN'ٷ(񿌶b޺0_h_!u):lj AYeӐ;MkAJc.> 0{?Ξ endstream endobj 17 0 obj <>stream HlVAr8 +VI(7f*a(vT6-Q$[Rr[;>__=ʑW-9*Gq ^Ԛ}. HAi.Ww޸#y84҇߱J>8)J޵6b">͕&<_;9?u2ӻh h#D/b$:Cdr#ݵOb.bg!饆^3uj{Q-MlZ$)%is ]W&WSQYm1ߨp^ ~!^9l~b"P-wjAmIі$(B6bUQCB3PnD&T@ J-)xz^ %N'  W~7wMy~I˦A udgW~:ʟňy0W0eyLsyDVqRU6ǭ>eZ1 Mb Ǝ$=G"(9ӗ|CbZf0Qm1mJ΃eRv֧BK;HdBW {ɾ)zsȕ2׻Xru<ŹƦԦPfa+]IH88(w<qa2C$`[g͹^)M<3q6<;*GWWrjobX mĻ"]o#@$z˳/XG|MK[5rFzH݄M-7Eda.k% ]A|a6<_ |G֗ endstream endobj 18 0 obj <>stream HV;1s@B:ϰeG~} ffߧΜWAӰZCeTfs+?۷λ#ĺ6mcn4?'JU`fm <7%RW@)YGp! eʎOTRȱU^( pW'MwEŝRQ i=hY{*Q^PE;43]?F#˸ʘ Je Qq!-"iTH h}} $)p׋8vA HSi.Ⳓ;)E*wI ~@yG8j߃d\7³l* 5:ϊߊԱ#@a-A0vt ![R/ckˉ" ]S':N=8Cb{= 0aX>8"oԫ?>쐓Avp߄ϓЕzLin #!%{0|DjlB ;'3òIbNˆ~u-;M-$5s.Pf<{ /퀌-)y$Ԑha{# 19*SW&Lw9_<=s]f|Hm5|A\Pד 7늗 Hat8UV^1 B$槣<"cbAٞVY@I~.:_y?Wag#qs IzBAv< endstream endobj 19 0 obj <>stream HUn[G WRpi{fI.R$EAʅ,Xv!Ò z!\r<ٲݚkZ[!-!R;U qjRbs+i㨹'<~F0WDAIg0q);)u ; A&_ FJQ(#+z2vC(`""7#e,#lIj0ꦝ )¬1Yj iXgYZu9,}jhT \zjBئZi`0ޠ>VJ&#)QZ1A 8)qH&<H 3cFxaJQTX5 S eXe a/j\S"ICGЎOa}8I^"ʷ Ҏtlh4GNc$d[7$/LQp1(&/|rʏ>~Wt7Ώ6D™~~4+/$ d Qz0V/;W3ʫÕ\fcvkK.6bd{r'av^?ͽ}xxW5 p7I:k98a}?7QI8J&FBWgOJmXY5P|c3aa,;n_p.lP[9Ō`YPlF72ul-ib*>stream HU[o6~8OxmБ57I?[hCRn#0NȹB5ɨWq yvz"g֋rD &u;ulB8Ʋ+[q ed^K0L~0<5aO;6H 8싷_\?Jyٳٱݣ>4 <<>&M]4Ei>pX Age^>`YE= $3S6ôUٵbd SQ"֙ʪwʻi/l<\TAxX/7C|[_)'?@XmvEOb]1ԯ]ҿ@V?y<}E-U^dN;uoKr0?1zGc$ndQ4h[^{ySEI96W` endstream endobj 21 0 obj <>stream HlVMo6WL H@̈f ,ED[ȢAv_!)ۊ\$ǜ7o<$IR@.rhN^}Vqc"($| S2FX75$F I%R nI(Ϧ׳t5) xY^@'MBAmUQZyC'Gl IM}yH;nejm> 5)R’!vAJ]^NEZirn+vqJHĔh}N24gWHiHlq,U1K=q= LjlA?c`-,/e(]hs3&':ﱥVr>`'='eʙVrԨnE:r=ׁфp{voL$R:̯KPۃs 'FeaP6\;:S{^4e#RX/۠Hv3'$zԃ[ GrVAP7fմq3omH^ w{w0nFl/ RߊLPGjK97)|aTbC'}wH5GzJ%WwvCp"^ШiF[ۀCP4%{5 Ty 2$}hK1B=x;5~P-Cd[Q$w{ZG9XUgβeW1^(u 6 d0z!'xiM,JRW>Ŀ8oZ1d Kos+%BVRZYKLZ??/3RFe1aGDE@nSMkBۻpw9 U/+vQh[FaֈfIʚ\l\ Ph (Ėrg[q?>>N'[!>W0vpqeZNqfռ~4 ꂠ琢@/iLdY^fӦfxu';s^(;Aaxe>Eֻ ig g_|g$ endstream endobj 22 0 obj <>stream hޜwTTϽwz0z.0. Qf Ml@DEHb!(`HPb0dFJ|yyǽgs{.$O./ 'z8WGбx0Y驾A@$/7z HeOOҬT_lN:K"N3"$F/JPrb[䥟}Qd[Sl1x{#bG\NoX3I[ql2$ 8xtrp/8 pCfq.Knjm͠{r28?.)ɩL^6g,qm"[Z[Z~Q7%" 3R`̊j[~: w!$E}kyhyRm333: }=#vʉe tqX)I)B>== <8Xȉ9yP:8p΍Lg kk Ѐ$t!0V87`ɀ2A. @JPA#h'@8 .: ``a!2D!UH 2 dA>P ECqB**Z:]B=h~L2  5pN:|ó@ QC !H,G6 H9R ]H/r Aw( Q(OTJCm@*QGQ-(j MF+ 6h/*t:].G7Зw7 Xa<1:L1s3bXyeb~19 vGĩp+5qy^ oó|= ?'Htv`Ba3BDxHxE$Չ"XAP44077&9$An0;T2421t.54ld+s;# V]=iY9FgM֚k&=%Ō:nc1gcbcfX.}lGv{c)LŖN퉛w/p+/<j$.$%&㒣OdxTԂԑ4i3|o~C:&S@L u[Uo3C3OfIgwdO|;W-wsz 17jl8c͉̈́3+{%lKWr[ $ llGmnacOkE&EEY׾2⫅;K,KhtiN=e²{^-_V^Oo§s]?TWީrjVQ=w}`嚢zԶiו8>k׍ E  [ly邟~_Y53rW򯎼^{7so}x>|쇊z>yz endstream endobj 23 0 obj <>stream 2~h|j~bubti}Zl+n/w.u23/v endstream endobj 24 0 obj <>stream hǮ~~~ϤwwwűyyyËuuu俿xxxrrrvvvaaahhh===YYYqqq|||777___IJ///GGGmmmppp000zzzʻ挌nnnȶfffƵ"""}}}޼tttsss{{{PPP555NNNMMM...IIIAAAeeeרcccLLLbbb(((jjjWWW,,,QQQ ggg!!!444:::JJJ'''HHHRRR oooKKK333 ^^^ ---OOO BBBSSSddd***ZZZ###%%%$$$+++<<>>lll&&&EEEXXX)));;;888TTT[[[@@@kkkDDDiii ]]]VVV111FFFUUU\\\``` m~ endstream endobj 25 0 obj <>stream hy_Ͻ>뺟ོ˵?*It럔,:dsJJ$c5)%JBŭdc6sb#}^4KKvxOʮff)2b7@vUVeeC~Iff\k_tPv'4:mrA+8"}-S ˾ǘ09e&Qf XPI!?@pZk|d9m*{"q52r {aݙZv)vdz8´ G]ܲH5\6+_ctpgdG,w9`u`5*\< jxCFB2|gϊiQŖACSLo5֯&yizٶwtjA"#R )d RG}27զ ';^N$NTta,mKgWG9AOwNy4'**b6Es"+cڥn~ׯpo*,x!#q#=CV9L-_|늩h{"Cեtڛ='jƎN۷|w;a2{[Rqd80 [26~9SNs:nءH`q}}y2R`l&7h o_d 𮁂[_-98?ܴsz9/@ q{}lgoK+9 }`u֦vK!, EW[rVC̰nv\_>xFΊL\J+q@e"t0ѻ0)Hi.v'1,e,nApswol]ɗΛ:.=5'aQp}/vL?MKOPڣǦGٹn qjFq2Fx;=97gv'Q&Jks6>z"C皉c 1zb<-yf9p"]r-9O ', Vd4{ ĭ|T^}=41԰bn8ôŔ `=J?I`(`9AbGى(JIьGd&+ǹ(/J6`qbUn< YJ{n@GȆNفG:38xFq U U:M@O܀tC?ٖ e$sV0VzVnTc}sOvxK*9Am9;oS~|bLj'_+޺6 5q~%b*H~Wdmsus3_] !sBV.AZ'O Qc.KJUX߫NMH}nfGEM>c:,]Fƛ9*aNjrr3V\q6}T[]% Kp~b/<8g% H$۝Ğb7! ۿ5cRiAYˬ q#ydh08j_ݱaf)tī&oq9^48&jWՔKQ݄Ͻfo p*t3NWXR/+ Oef,py"Ԧv\";;wc[-[Ve//Tq߯~Y. % S r^Z{#1y"u(ڼL0 wlQܐfSqVʼnV ltuJu5o~^ =\:`05O3B>-Ѳ٬ѲՎŊ԰/ҳ4<&ϥG\`D"mR2-J[yyk_qY@{m30vO@yݖ;#sʓPAT9'-v~W'Mcy+\^<8{aX"v{HFݖ|=QM0uьi<;zNpb'ێ|@1.59޿|WXW~X O$ꌎH޼5'[ pp,*6U% `zIJ H> -(<~oҞ4-h|DCϴ”i|rwj-hzh7dz/2-X$YZvHp吱 Ժn;cĭ6(ۿm;7:<<\?t@Am6KR`Űm7i\( Y( CP/la(紓_T QZ|} 0,YFV~%rk@nN L3ɳɑ#뫡@mer_kt] 8y=d%C`HT#l-/t^nb! ~~ZmvЍ/IszLtS׾r% I{欯<5ߦWŷT:ڗzۇ퇢`F%o_c/;o&+QMpz]($:0i?7[p˓dHx7b#d1;z[tU2ayTxU''/<'lnp]9+A!$|.jjڋo 0Ϝ7 endstream endobj 26 0 obj <>stream AdobedC     $$''$$53335;;;;;;;;;; ay"  3!1AQa"q2B#$Rb34rC%Scs5&DTdE£t6UeuF'Vfv7GWgw?TA˱bk>u͟ 7_u׎쬷Փxak`W\fwg*uֿ;XCcXK6v0>5ٚKY-nI xy&9Wz~s3fՖ[ZXᦜWR :e{f3,cӶW~ϋfExkfևJjcݗSY{M<=5}M;369fc.RQ8C{@rY-u xf5/ih/-;CۺoY]]8\F[\7q87==i9uPe5kk fti!}eDnw fvV+/n3coK).!'U_; e1H-&VT],n7[e1*'M_ ETjԑm&UZ[1:7OegˬI%}:G-haӈDz,}>^Ĭ`}_#+:+ k5;']U:qfD3'֍m0vBlS2vM[ޙڳ8YFվ<|-˦p^8uNէ»?VkX.=2[T1 ߤ:}[Ӎu_o8d`0RX?pk:R]V_X\FO TCfW}4Z=w:6aW+i{`%im 3U.ݙ̊8cYͿEΓ<_ȢNRZoѲIq:m͕R_q+ Ƈ\A|D#gSʫ:c:ں}T4X YU>g =QvW?p ,<+Y!?u>dDOYW1/[׋1*uBt?SmSҺV.3]Ϧ紖R::P뛱4.}9U/]s2ޡmwc՗F}V+n&_N\Ӳ?VXε֭ʲlq?B =gt~~ֱvVWz_oRug3CIc߫G]C6eHu֖FJԏ[;u+[jctMKzemmG]_U6Z:݂ Asks| }X¬޵vh^ pv%bQQպ}G'cٞմO+I$Ibuϭ})ͥ$oԸlXù#:ՏԿS:Y@v};k]NR]7,cSk5.;N؉*A}^gsm؍4I>z`VQgzEv9}2H}]VQ=7tVIX!k}\)G;7-4d^Ƈ0?I$P:]U[h5ymq]g޿`fe{lHp=o_=ܜ{8??d\c׏_ uo>(G '\1O%tU>U+U¼ mq<;$I$/ 1\wwld1U?%5ޓX%֟;wTcj>kSPLƦJI$J~Yv].ii#G0X`XY18Xp+ps70B>~YnKfS2,eMcOn¯NgLϲ3з:haz5o҃P=~sFMy:9o{ɖ$iK.1>cl5vtCk k̽q̌ %ԽbjuFՈPs.cڸƳƣ6E/,^I$U0q=1Ծe͘󑰿ܳ'Kʠvc=>ʓ:7⁊Z_۰?71<~sK+lEa‚CKx]I$I$I$I$I$I endstream endobj 27 0 obj <>/Filter/CCITTFaxDecode/Height 93/ImageMask true/Length 355/Subtype/Image/Type/XObject/Width 193>>stream g`5HA 2; GEPrl\=?M?##c厤|u .^:0,,z?/"_]$8w>=?Am 3M26po h?ɏF r;# 1,|yo qߪ񐃾oܺ?/Xx!qvM~5+ endstream endobj 28 0 obj <>stream h| endstream endobj 29 0 obj <>stream h=n@`Z v|#+|a]RDJ֭;!HЇa~mJ g>f8ٔ6ۅ~.,,,,G\(7 |3<9_9n@x Zi&{ղ}P݂iJHu<Rל~>4; e[R x+h= aa~Wv'oDn T\liEP6$Z)%v lߗ` >\8r|:gW't%6lKJWM64972 +$@./l}MBص=w p5GE5^n:~" }0DQQ&tPư'TG @0`.jA<ȍv{ koUQ[<,𧱌ash0oU $*ؾ>h>>stream h2S0P0W0P+-q b".vv7 endstream endobj 2 0 obj <>stream Acrobat Distiller 11.0 (Windows) PScript5.dll Version 5.2.2 2015-05-19T16:57:18-06:00 2015-05-19T16:57:18-06:00 application/pdf Microsoft Word - Grand Rounds 5 June 2015.doc cnahorniak uuid:037708f9-80cd-42c9-8ff7-3a60e5500211 uuid:eccd74bd-e6de-475f-b9fd-7578ea079973 endstream endobj 3 0 obj <>stream h޲P0Pw/+Q0L)64 T$ endstream endobj 4 0 obj <>stream h| 0F_nMI!Q +7)AB5>/Filter/FlateDecode/ID[<39E9AAF294C1AC4D9C006D5C7751C8FB>]/Info 9 0 R/Length 48/Root 11 0 R/Size 10/Type/XRef/W[1 2 1]>>stream hbb&/ L m@o`qMA\F H02 endstream endobj startxref 116 %%EOF