ࡱ> bjbjqq06eenBBBBBVVVVV/8yyy.......$03\/QBvyyvv/BBi/***v:BB.*v.***-D.}V%^n../0/.3)3(.3B.Hy#0*SG/yyy//*(yyy/vvvv3yyyyyyyyy( :/"  ( " : http://vk.com/ybody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xxxxxxx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simmetricus, regularis, frequens,(104/104), durus, plenus, inaequalis, celer, AB5=:0 ;CG52>9 0@B5@88 ?@>IC?K205BAO 2=5 ?C;LA>2>9 2>;=K: B25@40O, =5M;0AB8G=0O, 8728;8AB0O. 0 A>AC40E AB>? ?C;LA0F8O 4>AB0B>G=> 2K@065=0, A8<<5B@8G=0. 5 O@:> 2K@065==0O ?C;LA0F8O A>==KE 0@B5@89. A<>B@ ;52>9 ?>;>28=K 3@C4=>9 :;5B:8. -?830AB@0;L=0O ?C;LA0F8O =5 =01;N40NBAO. 848<>3> 25@ECH5G=>3>, A5@45G=>3> B>;G:0 8 @5B@>AB5@=0;L=>9 ?C;LA0F88 =5B. IC?K20=85 ;52>9 ?>;>28=K 3@C4=>9 :;5B:8 2KO28;> @07;8B>9 25@ECH5G=K9 B>;G>: 2 V <56@515@L5 =0 linea axillaris anterior 8 =0;8G85 @5B@>AB5@=0;L=>9 ?C;LA0F88. @0=8FK >B=>A8B5;L=>9 A5@45G=>9 BC?>AB8 @020O 520O 1 <56@515@L5 lin. sternalis dextra lin. sternalis sinistra 2 <56@515@L5 0,5A< :=0@C68 >B lin. sternalis dextra 0,5 A< :=0@C68 >B lin sternalis sin 3 <56@515@L5 1,5 A< :=0@C68 >B lin. sternalis dextra lin. medioclavicularis sinistra 4 <56@515@L5 1,5 A< :=0@C68 >B lin. sternalis dextra lin. medioclavicularis sinistra 5 <56@515@L5 7>=0 >B=>A8B5;L=>9 ?5GQ=>G=>9 BC?>AB8 lin. axillaris anterior @0=8FK 01A>;NB=>9 A5@45G=>9 BC?>AB8 @020O linea sternalis sinistra 5@E=OO 25@E=89 :@09 IV @51@0 520O 1 A< :=0@C68 >B linea parasternalis sinistra #25;8G5=85 25@E=59 3@0=8FK <>65B 3>2>@8BL > =57=0G8B5;L=>9 48;0B0F88 ?@02>3> 65;C4>G:0. CA:C;LB0F8O A5@4F0. I B>= >A;01;5= II B>= 0:F5=B8@>20= =0 0>@B5. KA;CH8205BAO ?0=A8AB>;8G5A:89 HC< =0 25@ECH:5 A5@4F0 A ?@>2545=85< 2 0:A8;;O@=CN >1;0ABL. %0@0:B5@ HC<0 4CNI89, 8=B5=A82=K9. KA;CH8205BAO ?0=A8AB>;8G5A:89 HC< =0 0>@B5, 4CNI53> E0@0:B5@0, A@54=59 8=B5=A82=>AB8. @>2>48BAO =0 A>AC4K H58. @B5@80;L=>5 402;5=85 140/80 <<. @B. AB. !8AB5<0 >@30=>2 4KE0=8O. 5@54=5-704=89 @07<5@ 3@C4=>9 :;5B:8 C25;8G5=, =04:;NG8G=K5 8 ?>4:;NG8G=K5 O<:8 A3;065=K,;520O 8 ?@020O ;>?0B:8 8 :;NG8FK A8<<5B@8G=K. -?830AB@0;L=K9 C3>; 120 3@04CA>2. !8<?B><K (B5@=15@30 8 >B5=465@0 >BACBAB2CNB A?@020 8 A;520 KE0=85 70B@C4=Q==>5, 3@C4=>3> B8?0, @8B<8G=>5, A@54=59 3;C18=K A G0AB>B>9 30 4KE0B5;L=KE M:A:C@A89 2 <8=CBC. A?><>30B5;L=0O <CA:C;0BC@0 2 0:B5 4KE0=8O CG0AB2C5B. <55BAO 2848<0O =0 3;07 C<5@5==0O 8=A?8@0B>@=0O >4KH:0. 51@0 84CB ?0@0;;5;L=>, <56@515@=K5 ?@><56CB:8 @0AH8@5=K, A3;065=K. @8 ?0;L?0F88 3@C4=0O :;5B:0 @8384=0, ?@8 >@85=B8@>2>G=>9 8 B>G=>9 ?0;L?0F88 1571>;57=5==0. ICI5=8O HC<0 B@5=8O ?;52@K =5B. >;>A>2>5 4@>60=85 @02=><5@=> >A;01;5=>. @8 A@02=8B5;L=>9 ?5@:CAA88 >?@545;O5BAO 48DDC7=K9 :>@>1>G=K9 72C: =04 2A5<8 ?>;O<8 ;53:8E. @8 B>?>3@0D8G5A:>9 ?5@:CAA88 2KA>B0 AB>O=8O 25@ECH5: ;53:8E =04 :;NG8F0<8 A?@020 8 A;520 3 A<. >;O @5=830 A?@020 8 A;520 5,5 A<. 86=OO 3@0=8F0 ?@02>3> 8 ;52>3> ;53:>3>: > >:>;>3@C48==>9 ;8=88 =86=89 :@09 6 @51@0 (4;O ;52>3> ;53:>3> =5 >?@545;O5BAO) > A@54=5-:;NG8G=>9 ;8=88 7 @51@> (4;O ;52>3> ;53:>3> =5 >?@545;O5BAO) > ?5@54=59 ?>4<KH5G=>9 ;8=88 8 @51@> > A@54=59 ?>4<KH5G=>9 ;8=88 9 @51@> > 704=59 ?>4<KH5G=>9 ;8=88 25@E=89 :@09 10 @51@0 > ;>?0B>G=>9 ;8=88 =86=89 :@09 10 @51@0 > >:>;>?>72>=>G=>9 ;8=88 =0 C@>2=5 <564C >AB8ABK< >B@>AB:>< 2 8 3 3@C4=KE ?>72>=:>2. >4286=>ABL =86=53> ;53>G=>3> :@0O: > A@54=5-:;NG8G=>9 ;8=88 2=87 2 A<, 225@E 2 A<, >1I0O 4 A< > A@54=59 ?>4<KH5G=>9 ;8=88 2=87 2,5 A<, 225@E 2,5 A<, >1I0O 5 A< > ;>?0B>G=>9 ;8=88 225@E 1,5 A<, 2=87 1,5 A<, >1I0O 3 A< @8 0CA:C;LB0F88 =04 2A5<8 ;53>G=K<8 ?>;O<8 2KA;CH8205BAO 65AB:>5 >A;01;5==>5 4KE0=85 A C4;8=5=85< D07K 2K4>E0 =0 1/3. 04 3>@B0=LN, B@0E559 8 2 >1;0AB8 @C:>OB:8 3@C48=K 2 D07C 2K4>E0 2KA;CH8205BAO 1@>=E80;L=>5 4KE0=85 =>@<0;L=>9 A8;K. KA;CH820NBAO 48DDC7=K5 ACE85 E@8?K =04 2A5<8 ;53>G=K<8 ?>;O<8. !8AB5<0 >@30=>2 ?8I520@5=8O. !;878ABK5 ?>;>AB8 @B0 157 ?0B>;>38G5A:8E 87<5=5=89, O7K: 2;06=K9, =5<=>3> >1;>65==K9. ABL =5A:>;L:> :0@8>7=KE 7C10. 51=K5 <8=40 ;8=K 1;54=>- @>7>2>3> F25B0, =5 C25;8G5=K. 52 =5 38?5@5<8@>20=. ;>B0=85 A2>1>4=>5, 1571>;57=5==>5. 82>B ?@028;L=>9 :>=D83C@0F88, A8<<5B@8G=K9. >4:>6=0O 25=>7=0O A5BL =5 284=0. 0;L?0B>@=> ?0B>;>38G5A:8E >1@07>20=89 2 ?5@54=59 1@NH=>9 AB5=:5 =5 >?@545;O5BAO. 82>B CG0AB2C5B 2 0:B5 4KE0=8O @02=><5@=>. >25@E=>AB=0O ?0;L?0F8O 682>B0. 82>B <O3:89, 1571>;57=5==K9. !8<?B>< )5B:8=0-;N<15@30 >B@8F0B5;L=K9. ;C1>:0O ?0;L?0F8O 682>B0. @8 3;C1>:>9 A:>;L7OI59 ?0;L?0F88, ?0;L?8@C5BAO 1>;LH0O :@8287=0 65;C4:0, >=0 >?@545;O5BAO 2 2845 20;8:0, ;560I53> =0 2 A<. 2KH5 ?C?:0, 1571>;57=5==0. @>IC?K205BAO A83<>284=0O :8H:0 2 2845 ?;>B=>3> F8;8=4@0, 1571>;57=5==>3> A<5I05<>3> 2 ?@545;0E 2A<., A;5?0O :8H:0 480<5B@>< 2-3A<., C<5@5==> =0?@O65==0O, ?@8 =0402;820=88 1571>;57=5==0O. 0;L?8@CNBAO 2>AE>4OI0O 8 =8AE>4OI0O G0AB8 >1>4>G=>9 :8H:8, C<5@5==>9 ?;>B=>AB8, 1571>;57=5==K5. >?5@5G=0O G0ABL >1>4>G=>9 :8H:8 ?0;L?8@C5BAO 2 2845 F8;8=4@0 C<5@5==>9 ?;>B=>AB8, B>;I8=>9 2,5 A<., 1571>;57=5==>3>, =5 C@G0I53>. 5@:CAAA8O: =04 :8H5G=8:>< >?@545;O5BAO B8<?0=8G5A:89 72C:. !5;575=:0 =5 ?0;L?8@C5BAO; ?5@:CB>@=> >?@545;O5BAO =0 C@>2=5 IX-XI @51@0 ?> l. axilaris media - 4;8=0 7 A<., H8@8=0 5 A<. l. medioclavicularis dextra -9A<. l. mediana anterior -8A<. ;520O @515@=0O 4C30 -7A<. 5G5=L 87 ?>4 @515@=>9 4C38 =5 2KE>48B. @09 ?5G5=8 3;04:89, ?;>B=>- M;0AB8G=K9, 1571>;57=5==K9. 5;G=K9 ?C7K@L =5 87<5=Q=. >G52K45;8B5;L=0O A8AB5<0. @8 >A<>B@5 2K?OG820=8O =04 ;>1:>< 8 2 >1;0AB8 ?>G5: =5B. @8 ?5@:CAA88 A >158E AB>@>= 1>;57=5==>ABL =5 >?@545;O5BAO. @8 ?>25@E=>AB=>9 ?0;L?0F88 1>;57=5==>ABL =5 >?@545;O5BAO. @8 3;C1>:>9 <5B>48G5A:>9 ?0;L?0F88 ?>G:8 =5 ?0;L?8@CNBAO. 5@E=85 8 =86=85 <>G5B>G=8:>2K5 B>G:8 A >158E AB>@>= 1571>,.VZ  " $     L N R ` b r v  j T v x  »»´ɭϩϩϞɘɌ»»Ɍɂh93CJOJQJ h JCJ h JCJ h93CJ h935CJOJQJh J h935CJ h935CJ h J5CJ h935CJ h93CJh93h&:#h?h&:56>*CJ$\]aJ$ h?h&:h&:56>*CJ$\]aJ$/VXZV J L N P R r t v l n $a$$a$$a$ $`a$gd&:n R T    6 8 T $$d|`a$gdfK $`a$gdfK$a$gd&:$a$  dfvxdf 68ln^`fh ~JL̷ѭh?Ih?ICJOJQJh93CJNHOJQJh JCJOJQJh93CJOJQJhzh935mHsHh J5mHsH h935hzh93CJ h! jCJ h JCJh93CJNH h93CJh935CJ(OJQJ6 |R(&!p"$z&|&&&`gdfK $`a$gdfK`gdfK$d|`a$gdfKLRT !!N"P"2$4$%%%%z&|&&&&&&&&&((((((8):)))j*l***<+>+T+V+++,,--$/Z/:0h00 1^11D2l2222ùڱګګڱڱګڱګڱڱڱڹ h JCJh93CJNHh93CJmH sH hzh93CJ h93CJ h Jh93 h93CJh JCJOJQJh93CJNHOJQJh93CJOJQJC&&d'' ((((2)4))**++N+P+B,D,-.D..."/$/X/ $`a$gdfK$ & F^`a$gdfKX/Z/80:0h0j000 1 1\1^111 2B2D2j2l22283d3f3345$ & F^`a$gdfK $`a$gdfK2X3Z3d3B6D67788::::6<8<<<<<l=n=>>>>>>??? ?"?@?B?j???? A(AhAjAAABBCC:D>?? ?"?j?$d|`a$gdfK$d|`a$gdfK`gdfK $`a$gdfKj???b@@ A AABCpCCCLD E EGGTHVHrIIIKKLL $`a$gdfK$d|`a$gdfKHTHvHHHIIII$J&J6J8JJJLJJJxKzKKKKKKLY Z"ZtZvZZZ[[ $`a$gdfK$d|`a$gdfK$d|`a$gdfK$d|a$$d|a$U$V&V2V4V>V@VRVTVdVfVtVvVVVVVVVVVVW WWWWWWWWWXX2Y4YYYYY"ZLZNZtZvZZZ6[8[H[򮘮h93CJNHOJQJh93CJOJQJ h935CJ h J5CJh93CJNHhzh93CJh93CJmH sH  h JCJhzh935OJQJh935OJQJmH sH h J5OJQJh935OJQJ h93CJ h935CJ1H[J[\\*_,_D_F_>a@aabbb0c2ce e@eeggzh|hTiijjk kkk@lBllll2m6mmmmmooooLpNpVqXqZr\rhr~rsttDtHtLt0u2uzuuvvʻʻʻʧʧʧhzh93CJmH sH  h936CJ h935CJh93CJNH h93CJ h93CJ$h93CJ OJQJh93CJNHOJQJh93CJOJQJh JCJOJQJB[[t\P]],^^l__``aabbbFccc@dd>e@eefffgh $`a$gdfKhRiTiiijl6mmmbqhrrstLttBuxuzuuu&vww$d|`a$gdfK $`a$gdfK $`a$gdfKvwww4Ȣʢ02`bʤ̤ؤ02>BFXZfhlz|¥ΥХ֥ڥ&*02>𸡸𸡸𸡸h93CJNHOJQJh93CJH*OJQJh93CJOJQJh93CJ$NHh93CJNHOJQJh JCJOJQJ h93CJ$Uh93CJNH h93CJh93CJOJQJ?;57=5==K !8AB5<0 :@>28. @8 >A<>B@5 :>6=KE ?>:@>2>2 :>60 1;54=0O, ACE0O, B5?;0O =0>IC?L, :@>2>87;8O=89, A>AC48ABKE 72574>G5: =5B. @8 >A<>B@5 2848<K5 A;878ABK5 >1>;>G:8 @>7>2K5, :@>2>87;8O=89, 87JO72;5=89, :>@>G5: =5B. @8 =0402;820=88 8 ?>:0;K20=88 =04 ?;>A:8<8 :>ABO<8 1>;57=5==>ABL =5 >?@545;O5BAO. 57C;LB0BK ;01>@0B>@=KE 8 8=AB@C<5=B0;L=KE 8AA;54>20=89. 1I89 0=0;87 :@>28 ( 21. 04. 99) -@8B@>F8BK 4.1*101259:>F8BK5.3*109M>78=>D8;K4%?0;>G:>O45@=K53%A53<5=B>O45@=K550%<>=>F8BK5%;8<D>F8BK24%Hb120 3\;!-5 <<\G 8>E8<8G5A:89 0=0;87 :@>28 ( 30. 04. 99 ) 18;;8@C18= >1I89  8,6 <:<>;L/; <>G528=0  5,7 <<>;L/; IQ;>G=0O D>AD0B070 --- 3,6 <:</; :@50B8=8=  0,066 <<>;L/; ;"  0,7 <<>;L/; A"  0,27 <<>;L/; :0;LF89  2,08 <<>;L/; :0;89  3,6 <<>;L/; =0B@89  148 <<>;L/; >1I89 15;>:  58 3/; 1I89 0=0;87 <>G8 ( 30. 04. 99 ) >;8G5AB2> 160<; &25B A25B;>-65;BK9 @ 6 #45;L=K9 25A 1,011 @>7@0G=>ABL =5?>;=0O 5;>: =5B !0E0@ =5B 5;G=K5 ?83<5=BK =5B #@>18;8= 2 =>@<5 59:>F8BK 548=8G=K5 2 ?>;5 7@5=8O - ( 30. 04. 99 ) R  R = 0,77 PQ =0,14 QRS = 0,09 QRST = 0,36 1. B:;>=5=85 M;5:B@8G5A:>9 >A8 A5@4F0 2;52>. 2. $81@8;OF8O ?@54A5@489, =>@<>A8AB>;8G5A:0O D>@<0. 3. ;>:040 ?5@54=525@E=59 =>6:8 ?CG:0 8AA0. 4. 8?5@B@>D8O ?@02>3> 65;C4>G:0. 6. 0@CH5=85 2=CB@865;C4>G:>2>9 ?@>2>48<>AB8 ?> ?@02>9 =>6:5 ?CG:0 8AA0. =0;87 ?>:070B5;59 15;:>2>3> >1<5=0 2 AK2>@>B:5 :@>28 ( 22.12.98 ) 0==K5 =>@<0 1I89 15;>: 77 3/; (60  833/;) ;L1C<8=K 47,5 3/; (32  55 3/;) ;>1C;8=K 52,5 3/; (20  41 3/;) 01-3;>1C;8=K 3,0 3/; (1  4 3/;) 02-3;>1C;8=K 7,0 3/; (5  9 3/;) b-3;>1C;8=K 13,5 3/; (6  10 3/;) y-3;>1C;8=K 29,0 3/; (8  18 3/;) -E>:0@48>3@0D8O A5@4F0 ( 29.12.98 ) 57=0G8B5;L=0O 48;OB0F8O ?>;>AB8 ?@02>3> 65;C4>G:0,. @87=0: @53C@38B0F88 ?@02>3> 65;C4>G:0. BG5B;820O 38?5@B@>D8O ;52>3> 65;C4>G:0. 0;LF8=>7 0B@8>25=B@8:C;O@=>3> :>;LF0. @87=0:8 2K@065==KE A:;5@>B8G5A:8E 87<5=5=89 :>@=O 0>@BK, 0>@B0;L=>3> 8 <8B@0;L=>3> :;0?0=>2. 0:;NG5=85 !>G5B0==K9 0>@B0;L=K9 ?>@>: A5@4F0. 0;LF8=>7 AB2>@>: 0>@B0;L=>3> :;0?0=0. '0AB8G=K9 :0;LF8=>7 :>@=O 0>@BK. 0;LF8=>7 ;52>3> 0B@8>25=B@8:C;O@=>3> D81@>7=>3> :>;LF0. !B2>@:8 <8B@0;L=>3> :;0?0=0 =5 87<5=5=K. '/ I. @8 ?>ABC?;5=88 Tab. Aspirini 0,5 D.S. B01;5B:8 2 ACB:8. 2. Sol. Insulini 46,0 D.S. =CB@825==>, :0?5;L=>. 3. Sol. KCL 10% 10,0 Sol. MgSO4 25% 5,0 Sol. Vit. B1 2,0 Sol. Vit. B6 2,0 D.S. =CB@825==>, :0?5;L=>. Sol.  Lazix D.S. =CB@825==> 21.12.98  20 <3 22.12.98  40 <3 29.12.98  ?@5?0@0B >B<5=Q=. II. 5. Tab. Nitrosorbidi 0,01 D.S. '5BK@5 @070 2 45=L. 1>A=>20=85 4803=>70. @8 >?@>A5 ?0F85=B C:070; =0 A;54CNI85 60;>1K: A;01>ABL, 3>;>2>:@C65=85, A>?@>2>640NI85AO ?>B5<=5=85< 2 3;070E, A8;L=>5 CEC4H5=85 ?0<OB8, CEC4H5=85 7@5=8O. @><5 B>3>, ?0F85=B 60;>20;AO =0 A8;L=K5 A68<0NI85 1>;8 2 >1;0AB8 ;52>9 ?>;>28=K 3@C4=>9 :;5B:8 8 703@C48==>9 >1;0AB8. "0: 65 ?@8ACBAB2C5B A8;L=0O 8=A?8@0B>@=0O >4KH:0. -B><C A>AB>O=8N A>?CBAB2C5B 0:@>F80=>7 8 8=>340 2>7=8:0NI85, 1;865 : 25G5@C, >BQ:8 =0 =>30E. B<5G05BAO ?>2KH5==>5 0@B5@80;L=>5 402;5=85. 0==K5 A8<?B><K C:07K20NB =0 =0;8G85 ?0B>;>388 A5@45G=>  A>AC48AB>9 A8AB5<K, 2 A2O78, A G5< F5;5A>>1@07=> @0718BL A8<?B><K =0 3@C??K, E0@0:B5@87CNI85 BC 8;8 8=CN ?0B>;>38N 8 @0AA<>B@5BL 8E ?> >B45;L=>AB8. @><5 B>3>, =5>1E>48<> >B45;L=> @0AA<>B@5BL ?0B>;>38N 4KE0B5;L=>9 A8AB5<K. 06=K9 A8<?B><  ?>2KH5==>5 0@B5@80;L=>5 402;5=85, ?>72>;O5B ?@54?>;>68BL =0;8G85 0@B5@80;L=>9 38?5@B5=788. ;O ?5@28G=>9 0@B5@80;L=>9 38?5@B5=788 E0@0:B5@=> =5AB>9:>5 ?>2KH5==>5 0@B5@80;L=>5 402;5=85, (>B140 =0 90 << @B. AB.), B> 5ABL =5 >G5=L 2KA>:>5 ?> A@02=5=8N A F8D@0<8 ?@8 2B>@8G=>9 0@B5@80;L=>9 38?5@B5=788. 5@5=>A8<>ABL 2KA>:>3> 402;5=8O EC65. KA>:>5 0@B5@80;L=>5 402;5=85 A>?@>2>6405BAO 3>;>2=K<8 1>;O<8, B>H=>B>9, ?>B5<=5=85< 2 3;070E 8 72>=>< 2 CH0E. >@@5:F8O 0=B838?5@B5=782=K<8 ?@5?0@0B0<8 ?@8 MAA5=F80;L=>9 38?5@B5=788 ;53G5, G5< ?@8 A8<?B><0B8G5A:>9. =0;87 <>G8 =5 ?>:070; =0;8G8O 2 <>G5 M@8B@>F8B>2. @>B58=C@8O >BACBAB2C5B. ;N:>70 >BACBAB2C5B. >@065=89 M=4>:@8==>9 A8AB5<K, B0:8E :0: >?CE>;8 8 38?5@?;0788 :>@K =04?>G5G=8:>2 =5 2KO2;5=>. !8=4@><K >=0 8 CH8=30 >BACBAB2CNB. %@><>F8BM<8O B0: 65 >BACBAB2C5B. "0:8< >1@07><, ?@>2>4O 48DD5@5=F80;L=CN 4803=>AB8:C, 0=0;878@CO 0=0<=57 ?0F85=B0 <>6=> ?@89B8 : 2K2>4C, GB> C ?>A;54=53> =01;N405BAO ?5@28G=0O (MAA5=F80;L=0O) 0@B5@80;L=0O 38?5@B5=78O. CA:>2K< D0:B>@>< 38?5@B5=788 <>3 A;C68BL M<>F8>=0;L=K9 AB@5AA 2>7=8:H89 2 1998 3>4C. !>?CBAB2CNI85 AB@5AAC >B@8F0B5;L=K5 M<>F88 2K7K20NB =0@CH5=85 2 @01>B5 A5@4F0 8 B>=CA0 A>AC4>2.  >A=>25 <5E0=87<0 MB8E =0@CH5=89 8<55BAO 871KB>G=0O ?@>4C:F8O :0B5E>;0<8=>2 8 3;N:>:>@B8:>84>2. >4 459AB285< :0B5E>;0<8=>2 >B<5G05BAO C25;8G5=85 @01>BK A5@4F0, :>B>@>5 A>?@>2>6405BAO ?>2KH5=85< 2K1@>A0 8 A8AB>;8G5A:>3> 0@B5@80;L=>3> 402;5=8O. A;54AB285 AB>9:>3> 2>71C645=8O M<>F8>=0;L=KE 7>= <>3CB 2>7=8:0BL =0@CH5=8O ?5@5D5@8G5A:>3> :@>2>>1@0I5=8O, 2 G0AB=>AB8 :@>2>B>:0, 8 A?07< ?5@5D5@8G5A:8E A>AC4>2. !;54AB285< 40==KE 87<5=5=89 B0:65 1C45B ?>2KH5=85 0@B5@80;L=>3> 402;5=8O. ;N:>:>@B8:>84K, C@>25=L :>B>@KE, ?>2KH05BAO ?@8 AB@5AA5, >:07K20NB A;54CNI55 2;8O=85 =0 A5@45G=>  A>AC48ABCN A8AB5<C: CA8;820NB ?@5AA>@=K5 <5E0=87<K 2>7459AB28O =5@2=>9 A8AB5<K =0 A>AC4K 8 C25;8G5=85 A5@45G=KE A>:@0I5=89; 2 A>G5B0=88 A E;>@8ABK< =0B@85< ?@82>4OB : @0728B8N <8>:0@48B>2 8 38?5@B5=788; 2 A>G5B0=88 A 459AB285< @07;8G=KE M;5:B@>;8B>2 <>3CB 1KBL ?@8G8=>9 @0728B8O @07;8G=KE D>@< :0@48><8>?0B88. 0==K5 87<5=5=8O A> AB>@>=K A5@45G=>  A>AC48AB>9 A8AB5<K ?@8 AB@5AA5 @072820NBAO ?@8 =0@CH5=88 A>>B=>H5=8O 2 :@>28 207>?@5AA>@=KE 8 45?@5AA82=KE 3C<>@0;L=KE D0:B>@>2. @B5@80;L=0O 38?5@B5=78O A?>A>1AB2>20;0 @0728B8N 0B5@>A:;5@>B8G5A:8E ?@>F5AA>2.  G0AB=>AB8 >=0 2K720;0 0B5@>A:;5@>7 :>@>=0@=KE 0@B5@89. @8G8=>9 2 40==>< A;CG05 O2;ONBAO <>@D>;>38G5A:85 =0@CH5=8O AB5=:8 A>AC4>2. >2KH5=85 ?@>=8F05<>AB8 A2O70=> A C25;8G5=85< A>45@60=8O <5AB=KE 3>@<>=>2, =0?@8<5@, 1@048:8=8=0, 8 A>>B25BAB25==> C25;8G5=85 :0B5E>;0<8=>2. ?@545;Q==0O @>;L 2 ?0B>35=575 0B5@>A:;5@>70 ?@8=04;568B C25;8G5=8N D5@<5=B0B82=>9 0:B82=>AB8 A0<>9 A>AC48AB>9 AB5=:8, 2 G0AB=>AB8, M;0AB07K, E0@0:B5@=>5 4;O ?>68;>3> 2>7@0AB0, GB> ?@82>48B : =0@CH5=8N M;0AB8G5A:>3> :0@:0A0 A>AC48AB>9 AB5=:8. 0;8G85 D0:B>@>2 @8A:0 =5 CAB0=>2;5=>. ;8=8G5A:8< @57C;LB0B>< :>@>=0@>A:;5@>70 O28;0AL 8H5<8G5A:0O 1>;57=L A5@4F0, ?@>O2;5=8O :>B>@>9 2K@060NBAO 2 2845 1>;59 AB5=>:0@48G5A:>3> E0@0:B5@0, 2>7=8:0NI8E ?@8 <0;59H59 D878G5A:>9 =03@C7:5, :C?8@CNI8EAO 2 A>AB>O=88 ?>:>O 8 ?@85<>< =8B@>3;8F5@8=0 8 ?@>4>;60NI8EAO =5 1>;55 15 <8=CB.  A2O78 A MB8< <>6=> 3>2>@8BL > =0;8G88 AB018;L=>9 AB5=>:0@488 =0?@O65=8O III  IV DC=:F8>=0;L=KE :;0AA>2. >A;54=OO, >1>AB@8;0AL 2 1999 3>4C, GB> 8 ?>A;C68;> ?@8G8=>9 3>A?8B0;870F88. "0:8< >1@07><, B0:85 A8<?B><K :0: A;01>ABL, 3>;>2>:@C65=85, ?>B5<=5=85 2 3;070E 8 HC< 2 CH0E <>3CB 1KBL 2K720=K 0B5@>A:;5@>7>< A>AC4>2 3>;>2=>3> <>730. "0: 65 A;54AB285< 0B5@>A:;5@>70 :>@>=0@=KE 0@B5@89 O28;AO 0B5@>A:;5@>B8G5A:89 :0@48>A:;5@>7. 0;8G85 B0:8E A8<?B><>2 :0: >4KH:0, 0:@>F80=>7, 8 A<5I5=85 ;52KE >B45;>2 A5@4F0, ?>72>;ONB ?@54?>;>68BL =0;8G85 A8=4@><0 35<>48=0<8G5A:>9 A5@45G=>9 =54>AB0B>G=>AB8 II AB5?5=8 AB0488 , ?@>B5:0NI59 2 E@>=8G5A:>9 D>@<5. ;O A5@45G=>9 =54>AB0B>G=>AB8 E0@0:B5@=> 87<5=5=85 ?0@0<5B@>2 35<>48=0<8:8. !=8605BAO <8=CB=K9 >1J5< :@>28 (A 5 5,5 4> 3 4 ;/<8=); 2 2 4 @070 70<54;O5BAO A:>@>ABL :@>2>B>:0; 0@B5@80;L=>5 402;5=85 87<5=O5BAO <0;>, 25=>7=>5 402;5=85 ?>2KH5=>; :0?8;;O@=K5 A>AC4K 8 ?>AB:0?8;;O@=K5 25=K @0AH8@5=K, B>: :@>28 2 =8E 70<54;5=, 402;5=85 ?>2KH5=>. >7=8:05B @O4 ?0B>;>38G5A:8E 87<5=5=89 8 A> AB>@>=K 4@C38E A8AB5<. 0<54;5=85 :@>2>B>:0 2 1>;LH>< :@C35 :@>2>>1@0I5=8O 8 =0@CH5=85 :@>2>>1@0I5=8O 2 ;53:8E ?@82>48B : B><C, GB> 2 :@>28, ?@>B5:0NI59 ?> A>AC40<, ?>2KH05BAO :>;8G5AB2> 2>AAB0=>2;5==>3> 35<>3;>18=0. -B> ?@8405B :>65 8 A;878AB>9 >1>;>G:5 E0@0:B5@=K9 A8=NH=K9 F25B  F80=>7. ":0=O< =5 E20B05B :8A;>@>40, 38?>:A8O A>?@>2>6405BAO =0:>?;5=85< =54>>:8A;5==KE ?@>4C:B>2 >1<5=0 8 C3;5:8A;>BK  @0728205BAO 0F84>7. F84>7 8 38?>:A8O 254CB : =0@CH5=8N @53C;OF88 4KE0=8O, 2>7=8:05B >4KH:0. ! F5;LN :><?5=A0F88 38?>:A88 AB8<C;8@C5BAO M@8B@>F8B>?>M7, C25;8G8205BAO >1I89 >1J5< F8@:C;8@CNI59 :@>28 8 >B=>A8B5;L=>5 A>45@60=85 :;5B>: :@>28 2 =59, GB>, >4=0:>, A?>A>1AB2C5B ?>2KH5=8N 2O7:>AB8 :@>28 8 CEC4H05B 55 35<>48=0<8G5A:85 A2>9AB20. !5@45G=0O =54>AB0B>G=>ABL 2>7=8:;0 =0 D>=5 38?5@B>=8G5A:>9 1>;57=8. 7 70 AB>9:>3> ?>2KH5=8O 0@B5@80;L=>3> 402;5=8O 8 AB5=>78@>20=8O CABLO 0>@BK ?@>87>H;0 ?5@53@C7:0 A5@4F0 A>?@>B82;5=85<. #25;8G8;>AL A>?@>B82;5=85 2K1@>AC :@>28 ;52K< 65;C4>G:><, GB> ?@82>48B : ?5@53@C7:5 8 ?5@5=0?@O65=8N <8>:0@40. -B> 2 A2>N >G5@54L ?>2KH05B 480AB>;8G5A:>5 402;5=85 2 65;C4>G:5, 65;C4>G5: @0ABO38205BAO, 8 2>7=8:05B B>=>35==0O 48;0B0F8O ?>A;54=53>. -B0 48;0B0F8O 8 A2O70==>5 A =59 @0ABO65=85 <8>:0@40 2K7K205B CA8;5=85 53> A>:@0B8B5;L=>9 DC=:F88, 53> 38?5@DC=:F8N, GB> ?@82>48B : 53> 38?5@B@>D88, GB> ?>4B25@6405BAO 40==K<8 ME>:0@48>3@0D88. ;8B5;L=> ACI5AB2CNI0O 38?5@DC=:F8O ?@82>48B : @0728B8N 2 =5< 48AB@>D8G5A:8E 8 A:;5@>B8G5A:8E ?@>F5AA>2.  ?5@2CN >G5@54L MB> A2O70=> A B5<, GB> @>AB <0AAK <KH5G=KE 2>;>:>= ?@>8AE>48B 1KAB@55, @>AB 2>;>:>= A8<?0B8G5A:8E =59@>=>2, 53> 8==5@28@CNI8E. !>>B25BAB25==> 8==5@20F8O CEC4H05BAO. @><5 B>3> @>AB 0@B5@8>; 8 :0?8;;O@>2 >BAB05B, GB> CEC4H05B 20A:C;O@870F8N >@30=0, 2K7K20O >B=>A8B5;L=CN 38?>:A8N. -B> 2 A2>N >G5@54L 2;8O5B =0 M=5@3>>15A?5G5=85 <8>:0@40: (@5A8=B57 "$), M;5:B@>;8B=K9 >1<5=. A5 MB> 2<5AB5 ?@82>48B : 87=0H820=8N <8>:0@40.  40;L=59H5< :><?5=A0B>@=K5 <5E0=87<K, ?@>O2;ONI85 A51O 2 2845 38?5@B@>D88 <8>:0@40, 45:><?5=A8@CNBO. -B> ?@8254QB : A=865=8N A>:@0B8<>AB8, 0 A>>B25BAB25==> : A=865=8N A5@45G=>3> 2K1@>A0. >A;54=55, 2 A2>N >G5@54L, >B@8F0B5;L=> >B@078BAO =0 :@>2>A=0165=88 >@30=>2 8 B:0=59, GB> 5IQ CAC3C18B A5@45G=CN =54>AB0B>G=>ABL. B<5G05BAO E0@0:B5@=0O ?>A;54>20B5;L=>ABL 2>2;5G5=8O 2 ?@>F5AA @07;8G=KE >B45;>2 A5@4F0. "0:, 2KE>4 87 AB@>O =081>;55 <>I=>3> ;52>3> 65;C4>G:0 1KAB@> 2545B : 45:><?5=A0F88 ;52>3> ?@54A5@48O, 70AB>N :@>28 2 <0;>< :@C35 :@>2>>1@0I5=8O, AC65=8N ;53>G=KE 0@B5@8>;. 0B5< <5=55 A8;L=K9 ?@02K9 65;C4>G5: 2K=C645= ?@5>4>;520BL ?>2KH5==>5 A>?@>B82;5=85 2 <0;>< :@C35, GB> 2 8B>35 ?@82>48B : 53> 45:><?5=A0F88 8 @0728B8N =54>AB0B>G=>AB8 ?> ?@02>65;C4>G:>2><C B8?C. >A;54=OO 3@C??0 A8<?B><>2, >1J548=ONI0O 2 A515 0:F5=B II B>=0 =0 0>@B5, @5B@>AB5@=0;L=CN ?C;LA0F8N, AC65=85 A>AC4>2 3;07=>3> 4=0, 0 B0:65 40==K5 @5=B35=>;>38G5A:>3> 8 ME>:0@48>3@0D8G5A:>3> 8AA;54>20=89 A5@4F0 A2845B5;LAB2CNB > =0;8G88 G0AB8G=>3> :0;LF8=>70 0>@BK 8 A>G5B0==>< 0>@B0;L=>< ?>@>:5 A5@4F0. "0:8< >1@07><, =0;8G85 0@B5@80;L=>9 38?5@B5=788 II AB0488, A5@45G=>9 =54>AB0B>G=>AB8 II AB0488, AB5=>:0@488 III - IV DC=:F8>=0;L=KE :;0AA>2 8 A>AC48ABKE ?>@>:>2 0B5@>A:;5@>B8G5A:>3> E0@0:B5@0 ?>72>;O5B ?>AB028BL 4803=>7  38?5@B>=8G5A:0O 1>;57=L II AB0488. 0;8G85 ?@8ABC?>2 >4KH:8 =5 A=8<05<KE ?@8Q<>< =8B>3;8F5@8=0 ?@>4>;60NI8EAO =5A:>;L:> G0A>2 8 8<5NI8E A57>==K9 E0@0:B5@ 3>2>@8B > =0;8G88 1@>=E80;L=>9 0AB<0. >A?0;8B5;L=0O ?@8@>40 701>;520=8O, A2O70==0O A 2>7459AB285< A?5F8D8G5A:8E 8 =5A?5F8D8G5A:8E D0:B>@>2, ?@>O2;O5BAO 2 <>@D>;>38G5A:8E 87<5=5=8OE AB5=:8 1@>=E>2 - 8=D8;LB@0F88 :;5B>G=K<8 M;5<5=B0<8, ?@5645 2A53> M>78=>D8;0<8, 48ADC=:F88 @5A=8G5: <8@F0B5;L=>3> M?8B5;8O, 45AB@C:F88 M?8B5;80;L=KE :;5B>:, 2?;>BL 4> 45A:20<0F88, 457>@30=870F88 >A=>2=>3> 25I5AB20, 38?5@?;0788 8 38?5@B@>D88 A;878ABKE 65;57 8 1>:0;>284=KE :;5B>:.  2>A?0;8B5;L=>< ?@>F5AA5 CG0AB2CNB B0:65 4@C385 :;5B>G=K5 M;5<5=BK, 2 B>< G8A;5 BCG=K5 :;5B:8, ;8<D>F8BK, <0:@>D038. ;8B5;L=>5 B5G5=85 2>A?0;5=8O ?@82>48B : =5>1@0B8<K< <>@D>DC=:F8>=0;L=K< 87<5=5=8O<, E0@0:B5@87CNI8<AO @57:8< CB>;I5=85< 1070;L=>9 <5<1@0=K A =0@CH5=85< <8:@>F8@:C;OF88, 8 A:;5@>7C AB5=:8 1@>=E>2. ?8A0==K5 87<5=5=8O ?@82>4OB : D>@<8@>20=8N 1@>=E>>1AB@C:B82=>3> A8=4@><0, >1CA;>2;5==>3> 1@>=E>:>=AB@8:F859, >B5:>< A;878AB>9, 48A:@8- =859 8 A:;5@>B8G5A:8<8 87<5=5=8O<8.  7028A8<>AB8 >B MB8>;>38G5A:>3> D0:B>@0 701>;520=8O, BO65AB8 B5G5=8O 8 MB0?0 1>;57=8 <>6> ?@5>1;040BL B>B 8;8 8=>9 :><?>=5=B 1@>=E80;L=>9 >1AB@C:F88. A=>2=K< ?0B>D878>;>38G5A:8< ?@87=0:>< AG8B05BAO 38?5@@50:B82=>ABL 1@>=E>2, O2;ONI0OAO A;54AB285< 2>A?0;8B5;L=>3> ?@>F5AA0 2 1@>=E80;L=>9 AB5=:5 8 >?@545;O5<0O :0: ?>2KH5==0O GC2AB28B5;L=>ABL 4KE0B5;L=KE ?CB59 : AB8<C;0<, 8=48DD5@5=B=K< 4;O 74>@>2KE ;8F.  40==>< A;CG05 8<55B <5AB> =50B>?8G5A:89 20@80=B 1@>=E80;L=>9 0AB<K. >4 =50B>?8G5A:8< 20@80=B>< ?>4@07C<5205BAO 701>;520=85, =5 8<5NI55 <5E0=87<0 0;;5@38G5A:>9 A5=A818;870F88. @8 MB>9 D>@<5 1>;57=8 ?CA:>2K<8 035=B0<8 <>3CB 2KABC?0BL @5A?8@0B>@=K5 8=D5:F88, =0@CH5=8O <5B01>;87<0 0@0E84>=>2>9 :8A;>BK, M=4>:@8==K5 8 =5@2=>-?A8E8G5A:85 @0AAB@>9AB20, =0@CH5=8O @5F5?B>@=>3> 10;0=A0 8 M;5:B@>;8B=>3> 3><5>AB070 E0B5;L=KE ?CB59, ?@>D5AA8>=0;L=K5 D0:B>@K 8 0M@>?>;;N0=BK =50;;5@35==>9 ?@8@>4K. !;54C5B >B<5B8BL, GB>, =5A<>B@O =0 >G5284=>ABL ?@8G8==>9 @>;8 1>;LH8=AB20 MB8>;>38G5A:8E 035=B>2 =50B>?8G5A:>9 1@>=E80;L=>9 0AB<K, <5E0=87<K D>@<8@>20=8O MB>9 D>@<K 701>;520=8O =5 4> :>=F0 87CG5=K.  ?>A;54=85 3>4K >A>1>5 7=0G5=85 2 D>@<8@>20=88 =50;;5@38G5A:>9 1@>=E80;L=>9 0AB<K ?@8405BAO 703@O7=5=8N 0B<>AD5@K ?@>4C:B0<8 C@10=870F8>==>9 45OB5;L=>AB8 G5;>25:0, 2 B>< G8A;5 48>:A840< 07>B0 8 A5@K, >7>=C. A=>2=>9 4803=>7: 1. 8?5@B>=8G5A:0O 1>;57=L II AB0488. 2. H5<8G5A:0O 1>;57=L A5@4F0, 0B5@>A:;5@>7 :>@>=0@=KE 0@B5@89. 3.5AB018;L=0O AB5=>:0@48O =0?@O65=8O II DC=:F8>=0;L=>3> :;0AA0. @>=E80;L=0O 0AB<0 -<D875<0 ;Q3:8E 6. B5@>A:;5@>7 0>@BK. 7. !>G5B0==K9 0>@B0;L=K9 ?>@>: A5@4F0. A;>6=5=8O: !5@45G=0O =54>AB0B>G=>ABL II  AB5?5=8 !?8A>: 8A?>;L7>20==>9 ;8B5@0BC@K .. CB5=:> 0B>;>38G5A:0O D878>;>38O -;8AB0 " -A5= 1994 3. .4.=. ?@>D. ..(C;CB:> !?@02>G=8: B5@0?52B0. !1 5=:>@ 1999 3. .(<84B, ."52A $878>;>38O G5;>25:0 . 8@ 1996 3. .%. 0A8;5=:> @>?5452B8:0 2=CB@5==8E 1>;57=59 . 548F8=0 1989 3. C@A ;5:F89 ?> ?@>?5452B8:5 2=CB@5==8E 1>;57=59 4;O ;5G51=>3> D0:C;LB5B0 0 1998  99 3>4. C@A ;5:F89 ?> ?0B>;>38G5A:>9 D878>;>388 4;O ;5G51=>3> D0:C;LB5B0 70 1998  99 3>4. 24`b֤ؤ2DFZjEkd$$IfT0ff 4 TaT$Ifd|$d|a$$d|a$ $`a$gdfK$d|`a$gdfKjlmEkd$$IfT0ff 4 TaT$IfEkd{$$IfT0ff 4 TaTХإڥmEkd$$IfT0ff 4 TaT$IfEkdq$$IfT0ff 4 TaT(kGkd$$IfTn0ff 4 TaT$IfEkdg$$IfT0ff 4 TaT(*2@BDFڦke`TTT $`a$gdfK$a$^Ekd$$IfT0ff 4 TaT$IfGkda$$IfT90ff 4 TaT >DFrx &(LNjl~ "$&@B`"$&(*,.8BHjǼyss h CJ h935CJh JCJmHsHh93CJmHsHhzh93CJh93mH sH h93CJmH sH h935OJQJmH sH h93 h J5CJ h935CJ h JCJ h JCJ h93CJ h93>*CJh93CJOJQJh936OJQJ h93CJ-J~ȧHrtvxި4`tԩ@B$d|`a$gdfK $`a$gdfKB`rjī *,T0x TV$d|a$$d|`a$gdfK$d|`a$gdfK$d|`a$gdfKjnzĭʭHLRTZ`®Į֮ڮ $4:TVtv&(°İXZlnrʳֳ̳سڳ 侷h JCJmH sH  h935CJh935CJmH sH  h93CJ h93CJNHh93hzh93CJh93CJmH sH  h JCJ h93CJ h CJDVбprԳ4ln$ & Fd|^`a$gdfK$d|`a$gdfK $`a$gdfK$d|`a$gdfK(*468:>jlnrtԴִش >VXdz| ,.:<>Bj.0ظڸῸh93CJNHh935CJ(OJQJ h935CJh935CJmH sH h JCJmH sH hzh93CJmH sH  h93CJ h JCJhzh93CJh93CJmH sH A<>Z|8jl8ԻjB|$ & Fd|^`a$gdfK$d|`a$gdfKڸz|VX\^68ҽԽtv&(HJZ\|~.0"$HJnp^`fhRTprln&(~LNhzh93CJh93CJmH sH  h JCJh93CJNH h93CJV|L X0fh $`a$gdfK$d|0$`a$gdfK`gdfK$d|`a$gdfK$ & Fd|^`a$gdfK2>DL`hprTV~6824HJ$&Z\02NP\^&*,ptHh93B*CJphhzh93CJh93CJmHnHuh93CJmH sH  h93CJh93CJNHPHJ02hj.0JLrt^ `         v x z |         " ˽㦜ˑ˽h h93CJOJQJh935CJOJQJh93CJmH sH hzh93CJh93CJNH hCJh93CJOJQJmH sH h93CJOJQJ h J5CJ h935CJ h93CJh93B*CJphh93B*CJNHph4Tt~        2 R     $ & F  d|^`a$gd$d|`a$gd$d|`a$gdfK$d|`a$gdfK $`a$gdfK 6 8 : | ~   `   Z8:<$d|`a$gdfK$d|a$$d|a$$d|a$$d|`a$gdfK" 6 8 : |   2 4 f h        :<ʵʵh935CJNH h935CJ h93CJh J5CJOJQJh JCJOJQJh935CJOJQJh935CJ OJQJh935CJOJQJh935CJOJQJh93CJOJQJ.:p[. A!n"S#$% y$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaTy$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaTy$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaTy$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaTy$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaTy$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaT}$$IfT!vh5f5 #vf#v :V Tn5f5 / 44 TaT}$$IfT!vh5f5 #vf#v :V T95f5 / 44 TaTy$$IfT!vh5f5 #vf#v :V T5f5 / 44 TaT^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmHnHsHtH:`: 1KG=K9_HmHsHtHT@T  03>;>2>: 1$<@&5CJKHOJQJJ@J  03>;>2>: 2$@&5CJmH sH uF@F  03>;>2>: 3$$@&a$5CJ@@@  03>;>2>: 5$@&5CJ^@^  03>;>2>: 6$$d|@&a$5CJ OJQJmH sH u\@\  03>;>2>: 7$$d|@&a$CJ OJQJmH sH uLL  03>;>2>: 8$$d|@&a$5CJBA B A=>2=>9 H@8DB 0170F0\i@\ 1KG=0O B01;8F0 :V 44 la .k . 5B A?8A:0 .Z@. "5:ABOJQJHB@H A=>2=>9 B5:AB$d|a$CJdC@d A=>2=>9 B5:AB A >BABC?><,d|0$`,CJPo"P FR1$1$a$CJOJQJ_HhmHsHtHPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ƶtheme/theme/theme1.xmlYnE#;8U i-qN3'JH DA\8 R>CW]{'ސ{g?x݈]"$q+_,y>8{7 K }xLވHe 2{Rܜaˋ??<ߟdžSr$L].<İT̟72S"ѵ_JwL&BJ05kZVyVy|xC OO|x>+<>@(:??/>5{yxFDdm 3^q5'=q6nib-$RB}}YGq=xK@;)^qbha79g . pUʹ;bbmc[$c'a}5KKfH5HL!ݦ&|mK{N6M6hq v|y 58+zH  *~ HHy\K*t@G>{sA}"))y sGfۡqǾ'w E1 [8>ܤ4Aбt׎~ls14_>,Ȭ7TT GqME=w-i>mo[oiBszbP:j5if F 9Pɉ* k\ A ;!N`.{I SցD p3˅5veU}AbvyA/g 氚 Z N+lR~aeԩj9&&CLgMʼn7a A0ƀHEA3~{q q1vƨl効9)>൜fN1N FIrdq8Y^:_73.|3 f%Jش?MOY s 3;} Rc0`d[鯠$ÿ - έhǴ"P 6T{TUٴ+9E28Y*MOt0O9Bݍqg7Ŕ9O)z?7#]u rBIHAאTpl>՟,SpT4@~BA%}'0+{eRF&rĪ#uu\{BHuM6`pG}N+!'_oN콶3a3dXZzCyCUɪ嶂ZZZ۱f,fAg-@`g v6V?Dhf6t=M&ʺ6ײ'݉#֚>d8s9xN=ڮjAv11;u2%M2oN1uo%տPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ƶtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] n6 L2H@NRUH[v>jڸH" <?ADGIJLMPn &X/5j?LU[hj(BV| =>@BCEFHKNO8@0(  B S  ?E]rEF]uEG]\sEH]sEI]\rEJ]K]$L]dM]$N]$O]P]Q]$R]d0 S]d2 T]$1 U]1 V]d1 W]/ X] Y]Z]@[]@\];]]D<^]<_]=`]=a]>b]>E%&X&W',,..."/0/>/]/j/x/s3 555(<><K<@Fxmmm7nn     K#%&^&[',,...(/6/B/c/p/|/w3555-<C<P<@ F~mmm=nn 9*urn:schemas-microsoft-com:office:smarttagsplaceC*urn:schemas-microsoft-com:office:smarttagsmetricconverter  0,09 0,36 0,5 A<0,77 1 A<1,5 A<164 A<1989 31994 31996 31999 32 A<2,5 A<3 A<4 A<5 A<5,5 A<7 A<8 <<90 << ProductID            P[\bw~"%0""""""### #### #$$$$n%w%x%~%%%%%%%%%%%%%&!&"&(&.&?&@&H&o&x&y&&&&&&&&&&'' ')'*'2'g'l'm'z'{''2)4)U)c)))))****w+~+,,--D1I1J1N1|112245>55555555666Q8X8: :::::L:V:c:i:::::<<<<<<="=F=K=>>>>@@@@@@ AA+A3AcAfAtAwAAAAAAAAAAAAA BBFFG"GSH_H$K3KcKqK1Oj>>>>>>>2@;@@AAAA4AHAJA[A]AlAnA}AAAAAAABBBB3BXG[GeIkIKKRRTTXXXXZ_b_aawfyfmmnnn33333333333333333333333-X^~>f^xv5j6Fsp..09\9k9L:::;;];;; < <==>>@@AA6A^AhAoAyAAAB5BKBGGmlln-n_̀ =. id > \HlMq*  ^ `o(.  ^ `o(.hh^h`o(.^`o(-hh^h`o(.hh^h`o(.. ii \HlMqi =_p @^`56>*CJOJQJo(b(p @^`56>*CJOJQJo(g  K  z93?IfK[! j&: Jnn@++PK++L"#&67nLNTtUnknownG*Ax Times New Roman5Symbol3. *Cx Arial?= *Cx Courier NewA$BCambria Math"qeX!gX!gM6fc^8c^824dnn 3HP?z2!xx=0<=578=:>2 <8B@89User(       Oh+'0L    ,4<D NormalUser2Microsoft Office Word@@<͸@}@}c^՜.+,0  hp  . . ..8n     !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FB}Data 1Table 4WordDocument06SummaryInformation(DocumentSummaryInformation8CompObjy  F' Microsoft Office Word 97-2003 MSWordDocWord.Document.89q