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QOV`әmZzR;T` &jE^xҕ\:gaR0 ~P ËQצaiQVR4˨f*xti{nyAfa0aiZJTF_> T @GS(+nA{hCV$P ]BiH(4G@,h:-@)@* ;D 4s# Q 2!Lur SPirtM :5&GxnI$ǦH-{#ǖE--ȱ'F# G bXɔVui q9rlPa!GOrfݐ##!;:MozUГ8zPbdXEVP)Xod2Opq2$Y"C9jd(N"nj6r%\ miiHd N 4 AfY")3EU.3B9\h49WYFFn)V[C 9^GrzqrȀ*NO99,#9` G관H 0K+\ 4C@qr?FPOiQϐ| GƦ5*Ȣ70yb%BcQAi=R!MA&*}*=N(TG@,ŀ:-)`* ;*D TP> *MAMrMIָϐ |B֦7*IR=N l(MP%=V:zڌX:c b w;\=,#=`GI @K+l 4c :n?N5t=ƍ|>p#4-zW}H*ii 3b7C2sݧAbzO^$}%}~{k?X_V#BBZ a9{?Q 1zY!y4T # I7/% ;?=?mܪ'~ϊ뭯M~*2eV 󔯣="pmN/ h=iLyNu<͓8qgl Q^kvlpW0\ċ5q!i<(\ T3bϠ S@ՑHg u`Ƭ30&IspSM؜``Q1 Tl"@ &,S E#=8t3pRFQ#8Fi\rdi&6ML}L _2L=BDOF[H =#G"2bJƏ2W̪4|tf\HҳV )hR4^fTyzl Xa8g$!>s? endstream endobj 7 0 obj << /Contents [8 0 R] /MediaBox [0 0 595 842] /Parent 17 0 R /Resources << /XObject << /Iabc44 9 0 R >> >> /Tabs /S /Type /Page >> endobj 8 0 obj << /Filter /FlateDecode /Length 113 >> stream xsR(b}Ǣ̴ʂT};;'g" 44U01R(J < VegiihfV fɹD[lbdn p:2(! endstream endobj 9 0 obj << /BBox [0 0 600 849] /Filter /FlateDecode /Length 2440 /Resources << /ExtGState << /G0 129 0 R /G1 130 0 R >> /Font << /F0 131 0 R /F1 135 0 R >> /ProcSets [/PDF /Text /ImageB /ImageC /ImageI] >> /StructParents 3 /Subtype /Form /Type /XObject >> stream xZ[o~7r0 HGVPyh#F \!3^V$G+5ofM>7^|۫W|]?vu}gH'hoϿO+|]m'oӣ eO6~ek_R.8@*#پOB^8˛z')۸9#C5Ur::xWؤZFȱŪD [X&&@D[Qk|Zd2=w!.zcqtDOlv3how⤌r9I s:I&pgh m960'j(FLMa KC]x><xWbdڰ,A<9MW/6иOb8Ea x$rd5fJda6<0Ƀ̌d-BfDe5`<0A<,0 0;oz?m6' 56?i<-Jװ@.5~9W fddଚeଘd? l_9m$j1a[F#j]Cˬ;`&8ϸJ8`)f8p[[$Dž@IuOvqKC̸yKx#Ǭ.#a#᭞᭜UP;m$j1qaǪ[oh^CZ;q`&qx (ၥ>N@[8?.yiz(7w q1 <6%)C t.`,`U=`R}) uH bR $23FUF wRMROۥô] 1.KQi]f'!幺UAȼ%ƏcֈɅȒ5ѫi\l0F &aӫed@0VȌ5Xb0`R3FMw#5"zL?J jn[iF(7w q# 3I;n(q_#le'l͜Q-_AnnS\ )A5H ۰FM. 6x-ǵ@I uvuj3@ayK%F*}<$f<<$-̸RM/!0v*˃ZLdAfNS \ 3в0NIJIJIJ<Г<=.OXsV d*^l,yB1hًA18AY *Ġ,@I d攊qC -s_A I Z%L{ a%T,r!f1{\ ԟPlW6V UXrZ͡0L'A4{aVb9,yϛl?7,6̝cV 5űbjWz%s>_:lO^V*3[#UcڱU*IY0|]\T?9mXî09xl dcbe .cܧ9jBlp5]u)uկ%|IVۺC -J ac=lw,e;;㛯T-c+\~ʉaa>"q8,)Qvu̗)L{ɺ.hٶ]n gqz( S+q?}ش_MM{g]kפVt[RYl]E~kf>WT:D]sZ;W'i/_ endstream endobj 10 0 obj << /Contents [11 0 R] /MediaBox [0 0 595 842] /Parent 17 0 R /Resources << /XObject << /Iabc49 12 0 R >> >> /Tabs /S /Type /Page >> endobj 11 0 obj << /Filter /FlateDecode /Length 113 >> stream xsR(b}Ǣ̴ʂT};;'g" 44U01R(J < VegiihfV fɹD[lbdn p:(& endstream endobj 12 0 obj << /BBox [0 0 600 849] /Filter /FlateDecode /Length 3367 /Resources << /ExtGState << /G0 129 0 R /G1 130 0 R >> /Font << /F0 131 0 R /F1 135 0 R >> /ProcSets [/PDF /Text /ImageB /ImageC /ImageI] >> /StructParents 4 /Subtype /Form /Type /XObject >> stream x[[~70Z)(ߗCҮ֖8p!ی¿xro^}ˏy=}޾Ӱ廿xKjYnқ4϶_?㻯SH 1VIwb9cW4Y3 ӛ2|[7E| )-\m\ZuF*k/[4a~s&}жK/mng mvc<m]!aWRO"e.#ą0p!7#HaUd뺴~LA P26Kܜ ኧdHm S2NmM7T&xx[`CM<eOqzg0=0jGhSz66-ѣ5zJҌ@VE$B W ;z !H B_Cx6#5z3L|>Уv» c`MX+ -9%#dP-Aцˠi06̅|.f(ZF +ȏg Tk 2`rN@֨0@ 5 5Ӌc}Fn)$ ZPƌ@AR9T!GlGa GnFQ U`…q{r'JGɡJP^T;fƌ|>0#7]aN!iݴܰ5<$w$Ǝ$F@hĦL|Hf%`ZFp +Hg l%C.}:# mC3̃|>v{ c`=X߰Xa)S#۸7q Flwo} ac1q`L)ƴ̟x¹͟eqcs.mjҧ.oi2v/c|f?x7٣<,'@\e>Qc?G,[lO>UJY}=+i`D};7'F50i'~ij$VBbA$II;S K5n&9c{ʮ't)Y Z Z u;!VP{=|h@;c{^8-t Rn j<޺ď5b]}ֳZItTn|EJjfI^sQڜ/tWOk/kO֟0Xy  ٫7B`Mb5H7\֌iAY`4 pXi 享|V 9uS Kttj@k3qmfMb!2T Ple{E0cdSSh{<d"NyԗƊp5vexdzijy`~fgBr{\vLKxvĐFq~PLM,0hŖBͬ6\ś.Ԍ2TeB4•( du~P)뀳 ,|5扡/{n2yPYН3N3XZP$Ì= ,Fw1TsI˖M c\P,lg M0sw x`Eß$T&"%Nc}~ ΜUj EDerĎQ], 5A R30H*9au\?Om>\Sإe1/ _j_ODXx#\ >D^jh=J &ԧɑ"2vJ70VLD&-v U+3V;+tW--ZE +@Lp !%VYzLAhfp,c9U+|$sא!{y W*'hfk4'emɫ/h\V15dž]/A z8䷧j)(Ѵ 6zr_ɝ f: HI_lksGZ:#dk^-`\{8xnlkF ٭QFQu+F!}3+҈HDi㥋*qpԭ#H+!` {hHcj4KV?EX "?]3EZ\d<ӇUI=A{E1T e>Ӗ1>uG+Yؑ>ݟ>TATqv_ޡay7y9YԫZlT=\d˸Sv̀KuE 8xC #l.O:T]J )=#M+HIe)N!.{!P,0i+>ޘ*@ϛA[})_tPh"`j 9:ղFqQ[)ίe&h]g`sN P5e2mlxFeʍN΍tʈB&ղڣ:pIp.MH ݳ w#Ceq1_dV' ϞLҸ@q3g 4^Tʉ?}<ĉ&Cd}`tK_t:e:\@O UqJЩ'l $} ɧbM^uMҚ)Α3{fYСW_c?Gz-F VO{1^^̩WtOնhz:uP1oy1}Y`B-Z*~^7joi$8U뇭a5c'd@ |-nJw=jM ԙZxH*uWYr`K&.\'BTtU녳 Էv7X4}U> endstream endobj 13 0 obj << /Contents [14 0 R] /MediaBox [0 0 595 842] /Parent 17 0 R /Resources << /XObject << /Iabc54 15 0 R >> >> /Tabs /S /Type /Page >> endobj 14 0 obj << /Filter /FlateDecode /Length 113 >> stream xsR(b}Ǣ̴ʂT};;'g" 44U01R(J < VegiihfV fɹD[ljdn p:J(" endstream endobj 15 0 obj << /BBox [0 0 600 849] /Filter /FlateDecode /Length 2586 /Resources << /ExtGState << /G0 129 0 R /G1 130 0 R >> /Font << /F0 131 0 R /F1 135 0 R >> /ProcSets [/PDF /Text /ImageB /ImageC /ImageI] >> /StructParents 5 /Subtype /Form /Type /XObject >> stream x[KsM6 CrI`;Sdȏds5;+^Lw5_=XX"̺|~z˫Wo|o߇}}"OyMZ.o+ݞo_bYG9X],<|v"|J좴Oo߶rdrԋ b$DX3[2ԋmYz햟4ˏ`VE"lxi^N+hd2t EKXvkbEO4G._eQe++-R;u$IN~;Ң~ԋl3JHu7I(Y#L2D'l#id; ɷՙ=:}£YɊ|?9!9J]1rNd>rV:#gv96CD9FF#g cj/ PqDN9DUQ,IM,L!9}B"Z .x+FP$| eʐ2"BR@(BCZ)MЦh1ieBN4ry:Tr'i5CEaE]sz9El9WX"=M~|e0BćrCC 6] }N-@# 2FG1cd' H/xFh#$ih(؄`B~K־MZY$a rX'ҠOYx=+YsVmU#ǩv$5\@+[w[8 1,Ī,vQK.Br9J ڸV)?čSa*gFFZxF6/E4"ICβ؎ȍz<^ljǺ6kmi̼|}?K޽^ƻrPGٛOeգEltz.LE&B]smOO|뤨~GZםҦb&^!J *NlxHS<QcVUL^:BߏΉNnTOqLipOYm\IK`imdώ)MeK)3dfʳmvqց']#")ճ;Ury2, sP2xۡ6UyPS(Rks]vٸ37ΘمPp-Os/"{vP=b|ӵ} ,S gS~vHy1xSxQy2 p=d*P S̙C ͡%VKY\Ak9SaTMZ^b[Q;*_k՗á@Dn8˾oqΚN ͜fNsiXrǤ/TM{;ص-Iv0V:&bg,C*>~;3}#/6=.M i07lrnkRlv(v) t|/PV,k?g~Ztd)՗2ts*hSLa~o/dhT}1AOL)=a[t>3-X&U?QYs$V4Zm ,;s0Jz{+i G2C<"熲G"_F,?N §O?cr#ga^F5O"[ʚ)>ոکZ}^PF~㴸 Df uZwߏ؂؝?% 5%hua]aaSh@4HбA⷏}듏pN6{9T!8JQ<;@1riX΢g`fJt^f6˥qߴl^q lSXUjMcf]2 E)l 4:zgO)2I|?ֵQg7tAU_k}/u٬qVj0h30ݦ78Yrw.t67V킍ţEAj endstream endobj 16 0 obj << /Type /Outlines >> endobj 17 0 obj << /Count 6 /Kids [128 0 R 1 0 R 4 0 R 7 0 R 10 0 R 13 0 R] /Type /Pages >> endobj 18 0 obj << /Length 912 /Subtype /XML /Type /Metadata >> stream Muistisairaudet: Yhteenvetosivu Webropol 1 endstream endobj 19 0 obj << /K [20 0 R] /ParentTree 117 0 R /ParentTreeNextKey 6 /Type /StructTreeRoot >> endobj 20 0 obj << /K [21 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 107 0 R 108 0 R 109 0 R 110 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R] /P 19 0 R /S /Document /Type /StructElem >> endobj 21 0 obj << /A << /BBox [240.05774 670.92566 354.90799 706.62903] /O /Layout /Placement /Block >> /ActualText (Yhteenvetosivu:\r\nMuistisairaudet\r\n) /K [<< /MCID 0 /Stm 142 0 R /Type /MCR >> << /MCID 1 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 22 0 R >> endobj 22 0 obj (font-size: 14,8764pt; font-family: Arial; font-weight: 700; line-height: 21pt; ) endobj 23 0 obj << /A << /BBox [15.6188 654.71039 129.60488 665.12384] /O /Layout /Placement /Block >> /ActualText (Arvoisa lausunnonantaja\r\n) /K [<< /MCID 2 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 24 0 obj << /A << /BBox [15.6188 595.20477 541.49677 635.37103] /O /Layout /Placement /Block >> /ActualText (Pyydmme Teit asiantuntijana \(tai organisaationne edustajana\) antamaan lausunnon Kyp hoito -suos\ ituksesta.\r\nTyryhm toivoo erityisesti kommentteja ja ehdotuksia suosituksen sisltn ja arviota \ siit, onko keskeinen\r\ntutkimusnytt mukana.\r\n) /K [<< /MCID 3 /Stm 142 0 R /Type /MCR >> << /MCID 4 /Stm 142 0 R /Type /MCR >> << /MCID 5 /Stm 142 0 R /Type /MCR >> << /MCID 6 /Stm 142 0 R /Type /MCR >> << /MCID 7 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 25 0 obj << /A << /BBox [15.6188 565.45197 274.75567 575.86542] /O /Layout /Placement /Block >> /ActualText (Mraika: sunnuntai 18.6.2023 klo 24.00 menness.\r\n) /K [<< /MCID 8 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 26 0 obj << /A << /BBox [15.6188 520.82275 554.85612 546.11267] /O /Layout /Placement /Block >> /ActualText (Lausuntolomakkeella pyydmme Teit ensin kommentoimaan suositusta kappale kappaleelta. Lomakkeella on\ lisksi\r\nmuutama yksityiskohtainen kysymys, ja lopussa voitte antaa yleisi kommentteja suositukse\ sta.\r\n) /K [<< /MCID 9 /Stm 142 0 R /Type /MCR >> << /MCID 10 /Stm 142 0 R /Type /MCR >> << /MCID 11 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 27 0 obj << /A << /BBox [15.6188 491.06998 428.10113 501.48343] /O /Layout /Placement /Block >> /ActualText (Lausuntoa antaessanne pyydmme kiinnittmn erityisesti huomiota seuraaviin asioihin:\r\n) /K [<< /MCID 12 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 28 0 obj << /A << /BBox [15.6188 461.31717 162.67511 471.73065] /O /Layout /Placement /Block >> /ActualText (\200 Ovatko suositukset selkeit?\r\n) /K [<< /MCID 13 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 29 0 obj << /A << /BBox [15.6188 446.44077 297.47586 456.85425] /O /Layout /Placement /Block >> /ActualText (\200 Onko keskeinen tutkimusnytt huomioitu suosituksessa?\r\n) /K [<< /MCID 14 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 30 0 obj << /A << /BBox [15.6188 431.56436 200.32778 441.97784] /O /Layout /Placement /Block >> /ActualText (\200 Tukeeko tutkimusnytt suosituksia?\r\n) /K [<< /MCID 15 /Stm 142 0 R /Type /MCR >> << /MCID 16 /Stm 142 0 R /Type /MCR >> << /MCID 17 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 31 0 obj << /A << /BBox [15.6188 416.68796 220.51675 427.10144] /O /Layout /Placement /Block >> /ActualText (\200 Onko nytnasteet \(A-D\) arvioitu oikein?\r\n) /K [<< /MCID 18 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 32 0 obj << /A << /BBox [15.6188 401.81155 436.82687 412.22504] /O /Layout /Placement /Block >> /ActualText (\200 Onko terveyshydyt ja mahdolliset haitat huomioitu riittvsti suosituksia muotoiltaessa?\r\n\ ) /K [<< /MCID 19 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 33 0 obj << /A << /BBox [15.6188 357.18237 578.48947 382.47223] /O /Layout /Placement /Block >> /ActualText (Lausunnossanne ei tarvitse huomioida kielioppivirheit, sill suositus on tss vaiheessa luonnos, ja\ se kielentarkastetaan\r\nviel ennen julkaisua.\r\n) /K [<< /MCID 20 /Stm 142 0 R /Type /MCR >> << /MCID 21 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 34 0 obj << /A << /BBox [15.6188 327.42957 134.7591 337.84305] /O /Layout /Placement /Block >> /ActualText (Lomakkeen tyttohjeet\r\n) /K [<< /MCID 22 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 35 0 obj << /A << /BBox [15.6188 253.04756 566.32019 308.09024] /O /Layout /Placement /Block >> /ActualText (Kysely alkaa sivulta 2, ja sen kokonaispituus on 7 sivua. Lausuntomateriaalit \(suositus, Vlt viisa\ asti -suositukset,\r\nnytnastekatsaukset, listietoa ja kuvat \) avautuvat erillisille vlilehdille\ kyselyn sivuilla olevista linkeist.\r\nSuositustekstin lausuntokommenttien kohdistamista helpottaa \ suosituksen vasemman marginaalin juokseva\r\nrivinumerointi.\r\n) /K [<< /MCID 23 /Stm 142 0 R /Type /MCR >> << /MCID 24 /Stm 142 0 R /Type /MCR >> << /MCID 25 /Stm 142 0 R /Type /MCR >> << /MCID 26 /Stm 142 0 R /Type /MCR >> << /MCID 27 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 36 0 obj << /A << /BBox [15.6188 163.78917 565.30518 233.70824] /O /Layout /Placement /Block >> /ActualText (Mikli haluatte jatkaa lomakkeen tydentmist myhemmin, painakaa painiketta "Tallenna ja jatka myh\ emmin". Voitte\r\npalata kyselyyn myhemmin samasta linkist jatkamaan vastaamista. Painike "Lhet" \ kyselylomakkeen lopussa avaa\r\nyhteenvetosivun, jossa psette tarvittaessa viel muokkaamaan lausun\ toanne. Yhteenvetosivun vasemmalla puolella\r\nsijaitsevat kuvakkeet, joista voitte joko tulostaa yht\ eenvedon tai tallentaa yhteenvedon PDF-muodossa. Painike "Sulje"\r\ntallentaa vastauksenne.\r\n) /K [<< /MCID 28 /Stm 142 0 R /Type /MCR >> << /MCID 29 /Stm 142 0 R /Type /MCR >> << /MCID 30 /Stm 142 0 R /Type /MCR >> << /MCID 31 /Stm 142 0 R /Type /MCR >> << /MCID 32 /Stm 142 0 R /Type /MCR >> << /MCID 33 /Stm 142 0 R /Type /MCR >> << /MCID 34 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 37 0 obj << /A << /BBox [15.6188 104.28356 544.90908 144.44984] /O /Layout /Placement /Block >> /ActualText (Mikli ette halua nimenne nkyvn lausuntokierroksen koontiraportissa, pyydmme ilmoittamaan siit s\ hkpostilla\r\n\(kaypahoito@duodecim.fi\). Lausuntokierroksen rekisteriseloste lytyy kotisivuiltamme\ os. www.kaypahoito.fi,\r\nTietosuojaselosteet.\r\n) /K [<< /MCID 35 /Stm 142 0 R /Type /MCR >> << /MCID 36 /Stm 142 0 R /Type /MCR >> << /MCID 37 /Stm 142 0 R /Type /MCR >> << /MCID 38 /Stm 142 0 R /Type /MCR >> << /MCID 39 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 38 0 obj << /A << /BBox [15.6188 44.77797 571.70734 84.94424] /O /Layout /Placement /Block >> /ActualText (Ongelmatilanteessa pyydmme Teit ottamaan yhteytt Kyp hoito -toimistoon shkpostitse \(khpalaute\ @duodecim.fi\).\r\nPsette kyselylomakkeelle Seuraava-painikkeesta.\r\n) /K [<< /MCID 40 /Stm 142 0 R /Type /MCR >> << /MCID 41 /Stm 142 0 R /Type /MCR >> << /MCID 42 /Stm 142 0 R /Type /MCR >>] /P 20 0 R /Pg 128 0 R /S /P /Type /StructElem /XXStyle 39 0 R >> endobj 39 0 obj (font-size: 10,41348pt; font-family: Arial; line-height: 30pt; ) endobj 40 0 obj << /A << /BBox [26.77509 814.63165 106.01261 825.04517] /O /Layout /Placement /Block >> /ActualText (Vastaajan tiedot\r\n) /K [<< /MCID 0 /Stm 3 0 R /Type /MCR >> << /MCID 1 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 41 0 obj << /A << /BBox [33.46886 785.62268 74.52551 796.03619] /O /Layout /Placement /Block >> /ActualText (Etunimet\r\n) /K [<< /MCID 2 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 42 0 obj << /A << /BBox [168.83182 785.62268 194.86317 796.03619] /O /Layout /Placement /Block >> /ActualText (Marja\r\n) /K [<< /MCID 3 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 43 0 obj << /A << /BBox [33.46886 758.10132 76.27481 768.51483] /O /Layout /Placement /Block >> /ActualText (Sukunimi\r\n) /K [<< /MCID 4 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 44 0 obj << /A << /BBox [168.83182 758.10132 193.13469 768.51483] /O /Layout /Placement /Block >> /ActualText (Jylh\r\n) /K [<< /MCID 5 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 45 0 obj << /A << /BBox [33.46886 730.58002 101.70223 740.99347] /O /Layout /Placement /Block >> /ActualText (Ammattinimike\r\n) /K [<< /MCID 6 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 46 0 obj (font-size: 10,41348pt; font-family: Arial; line-height: 15pt; ) endobj 47 0 obj << /A << /BBox [168.83182 730.58002 215.67784 740.99347] /O /Layout /Placement /Block >> /ActualText (Professori\r\n) /K [<< /MCID 7 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 48 0 obj << /A << /BBox [33.46886 703.05865 78.5864 713.47217] /O /Layout /Placement /Block >> /ActualText (Erikoisala\r\n) /K [<< /MCID 8 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 49 0 obj << /A << /BBox [168.83182 703.05865 226.12161 713.47217] /O /Layout /Placement /Block >> /ActualText (gerontologia\r\n) /K [<< /MCID 9 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 50 0 obj << /A << /BBox [33.46886 675.53735 90.16515 685.95081] /O /Layout /Placement /Block >> /ActualText (Paikkakunta\r\n) /K [<< /MCID 10 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 51 0 obj << /A << /BBox [168.83182 675.53735 209.33661 685.95081] /O /Layout /Placement /Block >> /ActualText (Tampere\r\n) /K [<< /MCID 11 /Stm 3 0 R /Type /MCR >> << /MCID 12 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 52 0 obj << /A << /BBox [33.46886 648.01599 150.30797 658.42944] /O /Layout /Placement /Block >> /ActualText (Organisaatio, toimipaikka\r\n) /K [<< /MCID 13 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 53 0 obj << /A << /BBox [168.83182 648.01599 540.88898 658.42944] /O /Layout /Placement /Block >> /ActualText (Ikntymisen ja hoivan tutkimuksen huippuyksikk \(CoEAgeCare\)\(CoEAgeCare\)\r\n) /K [<< /MCID 14 /Stm 3 0 R /Type /MCR >> << /MCID 15 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 54 0 obj << /A << /BBox [33.46886 620.49463 84.95887 630.90814] /O /Layout /Placement /Block >> /ActualText (Shkposti\r\n) /K [<< /MCID 16 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 55 0 obj << /A << /BBox [168.83182 620.49463 254.57909 630.90814] /O /Layout /Placement /Block >> /ActualText (marja.jylha@tuni.fi\r\n) /K [<< /MCID 17 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 56 0 obj << /A << /BBox [26.77509 569.91486 380.80146 580.32837] /O /Layout /Placement /Block >> /ActualText (1. Kappaletta "Keskeinen sanoma \(sivut 4-5 \)" koskevat kommenttinne:\r\n) /K [<< /MCID 18 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 57 0 obj << /A << /BBox [31.23761 379.49698 562.78735 553.55084] /O /Layout /Placement /Block >> /ActualText (Annan lausunnon Suomen Akatemian rahoittaman Ikntymisen ja hoivan tutkimuksen huippuyksikn\r\n\(Co\ EAgeCare\) puolesta.\r\nKappale luonnollisesti tiivist muualla sanotun, joten seuraavat kommentit k\ oskevat koko asiakirjaa:\r\nMuistisairaus on erittin vahvasti sidoksissa ikn, harvinainen 65-vuoti\ aalla, esiintyvyys kaksinkertaistuu sen\r\njlkeen joka viides vuosi ja kasvaa jyrksti viel yli 90-\ vuotiailla. Vaikka esiintyy tyikisillkin, on hyvin vahvasti\r\nvanhojen sairaus. Tll on paljon s\ eurauksia hoidon kannalta, saisi nky asiakirjassa paremmin. Esimerkiksi:\r\nVanhuusiss muistisair\ auden esiintyminen yksin on harvinaista, sit sairastavilla on yleens useita muita\r\npitkaikaissai\ rauksia \(Halonen ym 2022 J Aging Hlth\). Muistisairaus on pivittistoiminnoissa ilmenevn\r\ntoimin\ nanvajavuuden trkein aiheuttaja vanhoilla \(Vargese 2023\).\r\nMuistisairauksia ei toistaiseksi osat\ a est eik mikn kytettviss oleva lke est taudin etenemist. Siksi,\r\nkaiken kaikkiaan, ol\ isi ollut hydyllist, jos suositus ksitelisi enemmn muistisairaan ihmisen kuin muistisairauden\r\n\ hoitoa, pelkkn diagnoosiin keskittyv lkehoito ei edell sanotun vuoksi paljoa hydyt potilasta.\ \r\n) /K [<< /MCID 19 /Stm 3 0 R /Type /MCR >> << /MCID 20 /Stm 3 0 R /Type /MCR >> << /MCID 21 /Stm 3 0 R /Type /MCR >> << /MCID 22 /Stm 3 0 R /Type /MCR >> << /MCID 23 /Stm 3 0 R /Type /MCR >> << /MCID 24 /Stm 3 0 R /Type /MCR >> << /MCID 25 /Stm 3 0 R /Type /MCR >> << /MCID 26 /Stm 3 0 R /Type /MCR >> << /MCID 27 /Stm 3 0 R /Type /MCR >> << /MCID 28 /Stm 3 0 R /Type /MCR >> << /MCID 29 /Stm 3 0 R /Type /MCR >> << /MCID 30 /Stm 3 0 R /Type /MCR >> << /MCID 31 /Stm 3 0 R /Type /MCR >> << /MCID 32 /Stm 3 0 R /Type /MCR >> << /MCID 33 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 58 0 obj << /A << /BBox [26.77509 331.14865 317.00062 341.56213] /O /Layout /Placement /Block >> /ActualText (2. Kappaletta "Tavoitteet \(sivu 5\)" koskevat kommenttinne:\r\n) /K [<< /MCID 34 /Stm 3 0 R /Type /MCR >> << /MCID 35 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 59 0 obj (font-size: 10,41348pt; font-family: Arial; font-weight: 700; line-height: 14pt; ) endobj 60 0 obj << /A << /BBox [31.23761 274.61835 552.92672 299.90823] /O /Layout /Placement /Block >> /ActualText (Tavoitteet ovat hyvt. Kokonaisvaltaista, siis muuta kuin lkkeellist, hoitoa ksitelln kuitenkin\ hyvin lyhyesti ja\r\npinnallisesti, iknkuin ulkoapin.\r\n) /K [<< /MCID 36 /Stm 3 0 R /Type /MCR >> << /MCID 37 /Stm 3 0 R /Type /MCR >> << /MCID 38 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 61 0 obj << /A << /BBox [26.77509 226.27005 335.64228 236.68352] /O /Layout /Placement /Block >> /ActualText (3. Kappaletta "Kohderyhmt \(sivu 5\)" koskevat kommenttinne:\r\n) /K [<< /MCID 39 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 62 0 obj << /A << /BBox [31.23761 154.86333 556.54149 209.90601] /O /Layout /Placement /Block >> /ActualText (Kohderyhmt on mritelty hyvin. Tekstist voi kuitenkin ptell, ett kohderyhmksi on ajateltu enn\ en kaikkea ja\r\npasiassa lkrit tai ainakin vain terveydenhuollon tyntekijt. Sosiaalipalveluje\ n tyntekijt, jotka tmn\r\npotilasryhmn kanssa eniten ovat tekemisissa \(kotihoito, ymprivuoroka\ utinen hoito...\) eivt taida tst lyt\r\npaljoa ohjeita omalle toiminnalleen.\r\n) /K [<< /MCID 40 /Stm 3 0 R /Type /MCR >> << /MCID 41 /Stm 3 0 R /Type /MCR >> << /MCID 42 /Stm 3 0 R /Type /MCR >> << /MCID 43 /Stm 3 0 R /Type /MCR >> << /MCID 44 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 63 0 obj << /A << /BBox [26.77509 106.51502 336.79807 116.9285] /O /Layout /Placement /Block >> /ActualText (4. Kappaletta "Aiheen rajaus \(sivu 5\)" koskevat kommenttinne:\r\n) /K [<< /MCID 45 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 64 0 obj << /A << /BBox [31.23761 49.9847 561.15259 90.15099] /O /Layout /Placement /Block >> /ActualText (On selv, ett sosiaalisen vuorovaikutuksen,toisen ihmisen lsnolon takaavan, turvallisuuden, omana\ rvontunnon\r\nkannustamisen, jne "vaikutuksista" ei ole ainakaan kaksoissokkotutkimuksia. Silti ne ov\ at nille potilaille\r\nvlttmttmi ja niiden hydyst voi olla vakuuttunut.\r\n) /K [<< /MCID 46 /Stm 3 0 R /Type /MCR >> << /MCID 47 /Stm 3 0 R /Type /MCR >> << /MCID 48 /Stm 3 0 R /Type /MCR >>] /P 20 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 65 0 obj << /A << /BBox [26.77509 814.63165 515.48767 825.04517] /O /Layout /Placement /Block >> /ActualText (5. Kappaletta "Muistioireiden ja muistisairauksien esiintyvyys \(sivut 5-6\)" koskevat kommenttinne:\r\ \n) /K [<< /MCID 0 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 66 0 obj << /A << /BBox [31.23761 758.10132 548.90747 798.26764] /O /Layout /Placement /Block >> /ActualText (Koska esiintyvyys kasvaa erittin jyrksti in myt ja koska sairaus on 65-vuotiailla viel hyvin ha\ rvinainen, olisi\r\ntarpeen kertoa esiintyvyyslukuja ikryhmittin. "Yli 65-vuotiaat" viittaa ikryhm\ n, jonka sisinen ikjakauma on\r\nnoin 40 vuotta.\r\n) /K [<< /MCID 1 /Stm 6 0 R /Type /MCR >> << /MCID 2 /Stm 6 0 R /Type /MCR >> << /MCID 3 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 67 0 obj << /A << /BBox [26.77509 695.62048 498.11951 720.1665] /O /Layout /Placement /Block >> /ActualText (6. Kappaletta "Muistisairauksien vaaratekijt ja ehkisyn mahdollisuudet \(sivut 6-12\)" koskevat\r\n\ kommenttinne:\r\n) /K [<< /MCID 4 /Stm 6 0 R /Type /MCR >> << /MCID 5 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 68 0 obj << /A << /BBox [31.23761 564.70813 559.95514 679.25641] /O /Layout /Placement /Block >> /ActualText (Ehdottomasti trkein riskitekij on ik eik sen vaikutusta kyet selittmn pois elmntapatekijil\ l.\r\nElmntapojen muuttuminen suositeltuun suuntaan todennkisesti lykkisi muistisairauksia vanh\ empaan ikn\r\n\(niinkuin varmasti lykkisi sydnsairauksia ja sypikin\), mutta on kokonaan toinen\ asia, estisik se niit. Jos\r\nihmiset elmntapamuutosten turvin elisivt pidempn, yh useamma\ lla luultavasti olisi viimeisin elinvuosinaan\r\nmuistisairaus; tautipausten mrn vhenemist ei s\ iis suoraan voi odottaa, vaikka ikryhmkohtainen esiintyvyys\r\nlaskisikin ainakin alle 90-vuotiaill\ a. Interventioista ainoa todella diagnoosia vhentv on tainnut olla verenpaineen\r\nkontrolli eik \ useimmissa siihen sisltyneiss tutkimuksissakaan tutkittavia seurattu hyvin vanhoiksi.\r\nEnnaltaehk\ isyn mahdollisuudet kannattaa esitt realistisen varovaisesti.\r\n) /K [<< /MCID 6 /Stm 6 0 R /Type /MCR >> << /MCID 7 /Stm 6 0 R /Type /MCR >> << /MCID 8 /Stm 6 0 R /Type /MCR >> << /MCID 9 /Stm 6 0 R /Type /MCR >> << /MCID 10 /Stm 6 0 R /Type /MCR >> << /MCID 11 /Stm 6 0 R /Type /MCR >> << /MCID 12 /Stm 6 0 R /Type /MCR >> << /MCID 13 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 69 0 obj << /A << /BBox [26.77509 516.35986 538.64515 526.77332] /O /Layout /Placement /Block >> /ActualText (7. Kappaletta "Muistisairauksien infektio-inflammaatiohypoteesi \(sivut 12-13\)" koskevat kommenttinn\ e:\r\n) /K [<< /MCID 14 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 70 0 obj << /A << /BBox [31.23761 474.70593 557.20341 499.99582] /O /Layout /Placement /Block >> /ActualText (Tutkijat keskustelevat monenlaisista hypoteeseista. Eik kannattaisi rehellisesti sanoa, ett vaikka \ muistisairauden\r\nilmeneminen on mys biologisella tasolla aika yksityiskohtaisesti kuvattu, sen syy\ t ei edelleenkn tunneta.\r\n) /K [<< /MCID 15 /Stm 6 0 R /Type /MCR >> << /MCID 16 /Stm 6 0 R /Type /MCR >> << /MCID 17 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 71 0 obj << /A << /BBox [26.77509 399.58011 554.18067 436.77112] /O /Layout /Placement /Block >> /ActualText (8. Kappaletta "Muistioireiden ja muiden kognitiivisten oireiden syyt \(sivut 13-16\)" koskevat kommen\ ttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 18 /Stm 6 0 R /Type /MCR >> << /MCID 19 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 72 0 obj << /A << /BBox [26.77509 324.45428 461.12378 361.64529] /O /Layout /Placement /Block >> /ActualText (9. Kappaletta "Diagnostiikka ja oireiden arviointi \(sivut 17-25\)" koskevat kommenttinne:\r\nEi vast\ auksia\r\n) /K [<< /MCID 20 /Stm 6 0 R /Type /MCR >> << /MCID 21 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 73 0 obj << /A << /BBox [26.77509 249.32846 490.02903 286.51947] /O /Layout /Placement /Block >> /ActualText (10. Kappaletta "Muistisairauksien tyypilliset kliiniset kuvat \(sivu 25\)" koskevat kommenttinne:\r\n\ Ei vastauksia\r\n) /K [<< /MCID 22 /Stm 6 0 R /Type /MCR >> << /MCID 23 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 74 0 obj (font-size: 10,41348pt; font-family: Arial; line-height: 27pt; ) endobj 75 0 obj << /A << /BBox [26.77509 174.20264 384.22694 211.39365] /O /Layout /Placement /Block >> /ActualText (11. Kappaletta "Alzheimerin tauti \(sivut 25-29\)" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 24 /Stm 6 0 R /Type /MCR >> << /MCID 25 /Stm 6 0 R /Type /MCR >> << /MCID 26 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 76 0 obj << /A << /BBox [26.77509 99.07682 498.77555 136.26782] /O /Layout /Placement /Block >> /ActualText (12. Kappaletta "Aivoverenkiertosairauden muistisairaus \(sivut 29-30\)" koskevat kommenttinne:\r\nEi \ vastauksia\r\n) /K [<< /MCID 27 /Stm 6 0 R /Type /MCR >> << /MCID 28 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 77 0 obj << /A << /BBox [26.77509 23.951 425.8461 61.14201] /O /Layout /Placement /Block >> /ActualText (13. Kappaletta "Aivojen pienten suonten tauti \(sivu 30\)" koskevat kommenttinne:\r\nEi vastauksia\r\n\ ) /K [<< /MCID 29 /Stm 6 0 R /Type /MCR >> << /MCID 30 /Stm 6 0 R /Type /MCR >>] /P 20 0 R /Pg 4 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 78 0 obj << /A << /BBox [26.77509 787.85413 387.66333 825.04517] /O /Layout /Placement /Block >> /ActualText (14. Kappaletta "Suurten suonten tauti \(sivu 31\)" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 0 /Stm 9 0 R /Type /MCR >> << /MCID 1 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 79 0 obj << /A << /BBox [26.77509 712.72833 491.79914 749.91931] /O /Layout /Placement /Block >> /ActualText (15. Kappaletta "Alzheimerin tauti ja aivoverenkiertosairaus \(sivu 31\)" koskevat kommenttinne:\r\nEi\ vastauksia\r\n) /K [<< /MCID 2 /Stm 9 0 R /Type /MCR >> << /MCID 3 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 80 0 obj << /A << /BBox [26.77509 637.60248 528.22223 674.79352] /O /Layout /Placement /Block >> /ActualText (16. Kappaletta "Lewyn kappale -patologiaan liittyvt sairaudet \(sivut 31-32\)" koskevat kommenttinne\ :\r\nEi vastauksia\r\n) /K [<< /MCID 4 /Stm 9 0 R /Type /MCR >> << /MCID 5 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 81 0 obj << /A << /BBox [26.77509 562.47668 439.76764 599.66766] /O /Layout /Placement /Block >> /ActualText (17. Kappaletta "Otsa-ohimolohkorappeumat \(sivut 32-34\)" koskevat kommenttinne:\r\nEi vastauksia\r\n\ ) /K [<< /MCID 6 /Stm 9 0 R /Type /MCR >> << /MCID 7 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 82 0 obj << /A << /BBox [26.77509 514.12836 442.65192 524.54187] /O /Layout /Placement /Block >> /ActualText (18. Kappaletta "Muistisairauksien lkehoito \(sivut 34-37\)" koskevat kommenttinne:\r\n) /K [<< /MCID 8 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 83 0 obj << /A << /BBox [31.23761 472.47446 545.99194 497.76434] /O /Layout /Placement /Block >> /ActualText (Eik tss olisi hyv sanoa enemmn siit, ett comorbiditeetin takia muistipotilaalla on erittin t\ odennkisesti\r\nmonta muutakin lkett?\r\n) /K [<< /MCID 9 /Stm 9 0 R /Type /MCR >> << /MCID 10 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 84 0 obj << /A << /BBox [26.77509 397.34863 408.56128 434.53964] /O /Layout /Placement /Block >> /ActualText (19. Kappaletta "Muistisairauslkkeet \(sivut 38-40\)" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 11 /Stm 9 0 R /Type /MCR >> << /MCID 12 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 85 0 obj << /A << /BBox [26.77509 322.22281 448.39966 359.41382] /O /Layout /Placement /Block >> /ActualText (20. Kappaletta "Alzheimerin taudin lkehoito \(sivut 40-42\)" koskevat kommenttinne:\r\nEi vastauksi\ a\r\n) /K [<< /MCID 13 /Stm 9 0 R /Type /MCR >> << /MCID 14 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 86 0 obj << /A << /BBox [26.77509 247.097 536.96911 284.28799] /O /Layout /Placement /Block >> /ActualText (21. Kappaletta "Vaskulaarisen kognitiivisen heikentymn lkehoito \(sivu 42\)" koskevat kommenttinne\ :\r\nEi vastauksia\r\n) /K [<< /MCID 15 /Stm 9 0 R /Type /MCR >> << /MCID 16 /Stm 9 0 R /Type /MCR >> << /MCID 17 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 87 0 obj << /A << /BBox [26.77509 184.61612 567.56079 209.16219] /O /Layout /Placement /Block >> /ActualText (22. Kappaletta "Alzheimerin taudin ja samanaikaisen aivoverenkiertosairauden lkehoito \(sivu 42\)" \ koskevat\r\nkommenttinne:\r\n) /K [<< /MCID 18 /Stm 9 0 R /Type /MCR >> << /MCID 19 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 88 0 obj << /A << /BBox [31.23761 157.83861 92.54665 168.25209] /O /Layout /Placement /Block >> /ActualText (Ei vastauksia\r\n) /K [<< /MCID 20 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 89 0 R >> endobj 89 0 obj (font-size: 10,41348pt; font-family: Arial; color: rgb\(51,51,51\); ) endobj 90 0 obj << /A << /BBox [26.77509 95.35773 532.75165 119.90379] /O /Layout /Placement /Block >> /ActualText (23. Kappaletta "Parkinsonin taudin muistisairauden ja Lewyn kappale -taudin lkehoito \(sivut 42-43\)\ "\r\nkoskevat kommenttinne:\r\n) /K [<< /MCID 21 /Stm 9 0 R /Type /MCR >> << /MCID 22 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 91 0 obj << /A << /BBox [31.23761 68.5802 92.54665 78.99368] /O /Layout /Placement /Block >> /ActualText (Ei vastauksia\r\n) /K [<< /MCID 23 /Stm 9 0 R /Type /MCR >>] /P 20 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 89 0 R >> endobj 92 0 obj << /A << /BBox [26.77509 800.49908 511.41636 825.04517] /O /Layout /Placement /Block >> /ActualText (24. Kappaletta "Muut muistisairauksissa tutkitut lkevalmisteet ja ravintolist \(sivu 43\)" koskeva\ t\r\nkommenttinne:\r\n) /K [<< /MCID 0 /Stm 12 0 R /Type /MCR >> << /MCID 1 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 93 0 obj << /A << /BBox [31.23761 773.72156 92.54665 784.13507] /O /Layout /Placement /Block >> /ActualText (Ei vastauksia\r\n) /K [<< /MCID 2 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 89 0 R >> endobj 94 0 obj << /A << /BBox [26.77509 725.37329 466.93396 735.78674] /O /Layout /Placement /Block >> /ActualText (25. Kappaletta "Neuropsykiatristen oireiden hoito \(sivut 43-46\)" koskevat kommenttinne:\r\n) /K [<< /MCID 3 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 95 0 obj << /A << /BBox [31.23761 653.96655 562.4646 709.00922] /O /Layout /Placement /Block >> /ActualText (On hyv ett lkkeettmt hoidot mainitaan. OLisiko sanottavissa mitn enemmn, mitn ohjeita, mai\ nitusta\r\n"omaisiin ja hoitohenkilkuntaan kohdistuvista kommunikaatiota ja potilaskeskeist hoitoa \ edistvist\r\ninterventioista"? Nmhn ovat tosiasiassa muistisairaan ihmisen hoitamista ja hnen e\ lmns tukemista, niinkuin\r\nmuistisairauden hoito yleenskin on. Oisi erinomaista jos suositus p\ sisi tss vhn konkreettisemmalle tasolle.\r\n) /K [<< /MCID 4 /Stm 12 0 R /Type /MCR >> << /MCID 5 /Stm 12 0 R /Type /MCR >> << /MCID 6 /Stm 12 0 R /Type /MCR >> << /MCID 7 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 96 0 obj << /A << /BBox [26.77509 605.61823 474.99332 616.03174] /O /Layout /Placement /Block >> /ActualText (26. Kappaletta "Muistipotilaan hoidon kokonaisuus \(sivut 46-53\)" koskevat kommenttinne:\r\n) /K [<< /MCID 8 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 97 0 obj << /A << /BBox [31.23761 504.45871 561.22546 589.25421] /O /Layout /Placement /Block >> /ActualText (Teksi on tss oudon ulkokohtaista. "avohoidon muistipotilaat tarvitsevat paljon....", ymprivuorokau\ tinen hoito\r\nvaatii paljon....". Eik tllaisessa suosituksessa voisi sanoa suoraan, ett muistisai\ rautta sairastava potilas tarvitsee\r\nsairauden edetess yleens ensisnnllist kotihotitoa ja sit\ ten ymprivuorokautista hoitoa, ja nit on oltava\r\ntarpeeksi saatavilla?\r\nHoito- ja kuntoutussu\ unnitelmaa tehdess on olennaista selvitt henkiln kotitilanne, asunto, asuinymprist,\r\nkotitila\ nne. Ne mrittvt paljolti, onnistuvatko toimet.\r\n) /K [<< /MCID 9 /Stm 12 0 R /Type /MCR >> << /MCID 10 /Stm 12 0 R /Type /MCR >> << /MCID 11 /Stm 12 0 R /Type /MCR >> << /MCID 12 /Stm 12 0 R /Type /MCR >> << /MCID 13 /Stm 12 0 R /Type /MCR >> << /MCID 14 /Stm 12 0 R /Type /MCR >> << /MCID 15 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 98 0 obj << /A << /BBox [31.23761 415.20032 549.0116 485.11942] /O /Layout /Placement /Block >> /ActualText (Sivulla 49 mainitaan kuntouttavat toimenpiteet. Kun muistisairaus on ainakin hyvin vanhojen ihmisten \ ADL\r\ntoiminnanvajavuuden trkein aiheuttaja, kuntoutusta todellakin tarvitaan. Siit voisi sanoa v\ hn painavammin.\r\nAlempana toivotaan laaja-alaisuuta, mutta olisiko sanotavissa mitn konkreetisem\ paa? Ett\r\nmuistisairausdiagnoosin tekemisen jlkeen ohjelmaan kuuluu mys liikunnallisen kuntoutuk\ sen suunnitelma, jota\r\njoku \(hyvinvointialueen fysioterapeutti\) suunnittelee, seuraa ja arvioi?\r\ \n) /K [<< /MCID 16 /Stm 12 0 R /Type /MCR >> << /MCID 17 /Stm 12 0 R /Type /MCR >> << /MCID 18 /Stm 12 0 R /Type /MCR >> << /MCID 19 /Stm 12 0 R /Type /MCR >> << /MCID 20 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 99 0 obj << /A << /BBox [31.23761 355.69473 545.52338 395.86099] /O /Layout /Placement /Block >> /ActualText (Elmn loppuvaiheen suositukset ovat hyvi. Mutta voisiko ne muotoilla viel napakammin? Esimerkiksi\ :\r\nYmprivuorokautisessa hoidossa tulee taata riittv lketieteellinen ja hoidollinen asiantuntem\ us ja osaaminen\r\nniin, ett dementiapotilas voidaan hoitaa tutussa asuinpaikassaan loppuun saakka.\r\ \n) /K [<< /MCID 21 /Stm 12 0 R /Type /MCR >> << /MCID 22 /Stm 12 0 R /Type /MCR >> << /MCID 23 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 100 0 obj << /A << /BBox [26.77509 280.56891 498.04663 317.75992] /O /Layout /Placement /Block >> /ActualText (27. Kappaletta "Ohjeita muistipotilaille ja heidn lheisilleen \(sivu 53\)" koskevat kommenttinne:\r\ \nEi vastauksia\r\n) /K [<< /MCID 24 /Stm 12 0 R /Type /MCR >> << /MCID 25 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 101 0 obj << /A << /BBox [26.77509 205.44308 296.90763 242.63408] /O /Layout /Placement /Block >> /ActualText (28. "Vlt viisaasti -suositus" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 26 /Stm 12 0 R /Type /MCR >> << /MCID 27 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 102 0 obj << /A << /BBox [26.77509 130.31726 207.85958 167.50827] /O /Layout /Placement /Block >> /ActualText (29. "Kuvat" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 28 /Stm 12 0 R /Type /MCR >> << /MCID 29 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 103 0 obj << /A << /BBox [26.77509 55.19144 288.86914 92.38245] /O /Layout /Placement /Block >> /ActualText (30. "Nytnastekatsaukset" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 30 /Stm 12 0 R /Type /MCR >> << /MCID 31 /Stm 12 0 R /Type /MCR >>] /P 20 0 R /Pg 10 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 104 0 obj << /A << /BBox [26.77509 787.85413 261.05725 825.04517] /O /Layout /Placement /Block >> /ActualText (31. "Listietoaineisto" koskevat kommenttinne:\r\nEi vastauksia\r\n) /K [<< /MCID 0 /Stm 15 0 R /Type /MCR >> << /MCID 1 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 105 0 obj << /A << /BBox [26.77509 698.59576 285.21433 742.48114] /O /Layout /Placement /Block >> /ActualText (32. Onko jotain mit haluaisitte list suositukseen?\r\nKyll\r\n) /K [<< /MCID 2 /Stm 15 0 R /Type /MCR >> << /MCID 3 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 106 0 R >> endobj 106 0 obj (font-size: 10,41348pt; font-family: Arial; line-height: 33pt; ) endobj 107 0 obj << /A << /BBox [26.77509 647.27216 207.16193 657.68567] /O /Layout /Placement /Block >> /ActualText (Mit haluaisitte list suositukseen?\r\n) /K [<< /MCID 4 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 108 0 obj << /A << /BBox [31.23761 590.74182 544.35718 630.90814] /O /Layout /Placement /Block >> /ActualText (Mustisairauksien iksidonnaisuuden ja siit seuraavat ehkisyyn \(lykkmiseen\) hoitoon vaikuttavat \ seikat.\r\nMuistisairaiden hyvin tavallinen monisairastavuus ja sen seuraukset hoidolle. Perheen, oma\ ishoitajien ja heidn\r\ntukemisensa merkitys ja miten se tehdn.\r\n) /K [<< /MCID 5 /Stm 15 0 R /Type /MCR >> << /MCID 6 /Stm 15 0 R /Type /MCR >> << /MCID 7 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 109 0 obj << /A << /BBox [31.23761 531.23627 562.18347 571.40253] /O /Layout /Placement /Block >> /ActualText (Sen yleissvyn, ett vaikka lkkeet voivatkin olla trkeit, muistisairaan trkeint hoitoa on oikea\ ymprist, oikeat\r\nsosiaaliset suhteet, elmn sopeutuminen uuteen tilanteeseen ja tarvittavien pa\ lveluiden \(kotihoito,\r\nymprivuorokautinen hoito\) takaaminen. Nm kaikki tarvitsevat mys lkr\ i ja kuuluvat hnen toimintaansa.\r\n) /K [<< /MCID 8 /Stm 15 0 R /Type /MCR >> << /MCID 9 /Stm 15 0 R /Type /MCR >> << /MCID 10 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 110 0 obj << /A << /BBox [26.77509 435.28348 297.94886 485.86322] /O /Layout /Placement /Block >> /ActualText (33. Onko jotain mit haluaisitte poistaa suosituksesta?\r\nEi vastauksia\r\n) /K [<< /MCID 11 /Stm 15 0 R /Type /MCR >> << /MCID 12 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 111 0 R >> endobj 111 0 obj (font-size: 10,41348pt; font-family: Arial; line-height: 40pt; ) endobj 112 0 obj << /A << /BBox [26.77509 350.48798 219.89649 387.67899] /O /Layout /Placement /Block >> /ActualText (Mit haluaisitte poistaa suosituksesta?\r\nEi vastauksia\r\n) /K [<< /MCID 13 /Stm 15 0 R /Type /MCR >> << /MCID 14 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 113 0 obj << /A << /BBox [26.77509 275.36215 498.03623 312.55316] /O /Layout /Placement /Block >> /ActualText (34. Mitk ovat tmn suosituksen trkeimmt viestit, jotka haluaisitte vlitt tyyhteisllenne?\r\n\ Ei vastauksia\r\n) /K [<< /MCID 15 /Stm 15 0 R /Type /MCR >> << /MCID 16 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 74 0 R >> endobj 114 0 obj << /A << /BBox [26.77509 227.01387 450.71943 237.42734] /O /Layout /Placement /Block >> /ActualText (35. Vapaamuotoinen muu kommenttinne lausuntokierroksella olevasta suosituksesta:\r\n) /K [<< /MCID 17 /Stm 15 0 R /Type /MCR >> << /MCID 18 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 59 0 R >> endobj 115 0 obj << /A << /BBox [31.23761 185.35994 549.49054 210.64983] /O /Layout /Placement /Block >> /ActualText (Posin sanottu jo edell. Koska sairautta ei voida parantaa eik sen etenemist est, koska useimm\ at sairaat\r\novat hyvin vanhoja ja monisairaita, lkrinkin tehtviin kuuluvat mys muut kuin lke\ hoidot.\r\n) /K [<< /MCID 19 /Stm 15 0 R /Type /MCR >> << /MCID 20 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 116 0 obj << /A << /BBox [31.23761 125.85435 554.72809 166.02063] /O /Layout /Placement /Block >> /ActualText (Olisi mys hyv tsment, onko kaikkien muistisairauesta krsivien hoito ja diagnosointi keksitettv\ \r\nneurologisille/muistipoliklinikoille? Koskeeko tm mys kaikkein vanhimpia ja jo valmiiksi moni\ sairaita henkilit?\r\nHeit on paljon. On mainiota, jos koskee. Mutta jos EI koske, se tarvitsisi p\ erustelut.\r\n) /K [<< /MCID 21 /Stm 15 0 R /Type /MCR >> << /MCID 22 /Stm 15 0 R /Type /MCR >> << /MCID 23 /Stm 15 0 R /Type /MCR >>] /P 20 0 R /Pg 13 0 R /S /P /Type /StructElem /XXStyle 46 0 R >> endobj 117 0 obj << /Nums [0 118 0 R 1 119 0 R 2 120 0 R 3 121 0 R 4 122 0 R 5 123 0 R] >> endobj 118 0 obj [21 0 R 21 0 R 23 0 R 24 0 R 24 0 R 24 0 R 24 0 R 24 0 R 25 0 R 26 0 R 26 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 30 0 R 30 0 R 31 0 R 32 0 R 33 0 R 33 0 R 34 0 R 35 0 R 35 0 R 35 0 R 35 0 R 35 0 R 36 0 R 36 0 R 36 0 R 36 0 R 36 0 R 36 0 R 36 0 R 37 0 R 37 0 R 37 0 R 37 0 R 37 0 R 38 0 R 38 0 R 38 0 R] endobj 119 0 obj [40 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 51 0 R 52 0 R 53 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 57 0 R 58 0 R 58 0 R 60 0 R 60 0 R 60 0 R 61 0 R 62 0 R 62 0 R 62 0 R 62 0 R 62 0 R 63 0 R 64 0 R 64 0 R 64 0 R] endobj 120 0 obj [65 0 R 66 0 R 66 0 R 66 0 R 67 0 R 67 0 R 68 0 R 68 0 R 68 0 R 68 0 R 68 0 R 68 0 R 68 0 R 68 0 R 69 0 R 70 0 R 70 0 R 70 0 R 71 0 R 71 0 R 72 0 R 72 0 R 73 0 R 73 0 R 75 0 R 75 0 R 75 0 R 76 0 R 76 0 R 77 0 R 77 0 R] endobj 121 0 obj [78 0 R 78 0 R 79 0 R 79 0 R 80 0 R 80 0 R 81 0 R 81 0 R 82 0 R 83 0 R 83 0 R 84 0 R 84 0 R 85 0 R 85 0 R 86 0 R 86 0 R 86 0 R 87 0 R 87 0 R 88 0 R 90 0 R 90 0 R 91 0 R] endobj 122 0 obj [92 0 R 92 0 R 93 0 R 94 0 R 95 0 R 95 0 R 95 0 R 95 0 R 96 0 R 97 0 R 97 0 R 97 0 R 97 0 R 97 0 R 97 0 R 97 0 R 98 0 R 98 0 R 98 0 R 98 0 R 98 0 R 99 0 R 99 0 R 99 0 R 100 0 R 100 0 R 101 0 R 101 0 R 102 0 R 102 0 R 103 0 R 103 0 R] endobj 123 0 obj [104 0 R 104 0 R 105 0 R 105 0 R 107 0 R 108 0 R 108 0 R 108 0 R 109 0 R 109 0 R 109 0 R 110 0 R 110 0 R 112 0 R 112 0 R 113 0 R 113 0 R 114 0 R 114 0 R 115 0 R 115 0 R 116 0 R 116 0 R 116 0 R] endobj 124 0 obj << /Info (D:20230616195041+02'00') /Producer (Webropol Oy using ABCpdf) >> endobj xref 0 125 0000000000 65535 f 0000091208 00000 n 0000091358 00000 n 0000091551 00000 n 0000095401 00000 n 0000095551 00000 n 0000095744 00000 n 0000099361 00000 n 0000099511 00000 n 0000099704 00000 n 0000102433 00000 n 0000102586 00000 n 0000102780 00000 n 0000106437 00000 n 0000106590 00000 n 0000106784 00000 n 0000109660 00000 n 0000109703 00000 n 0000109800 00000 n 0000110802 00000 n 0000110904 00000 n 0000111608 00000 n 0000111917 00000 n 0000112020 00000 n 0000112278 00000 n 0000112920 00000 n 0000113205 00000 n 0000113730 00000 n 0000114052 00000 n 0000114324 00000 n 0000114622 00000 n 0000114979 00000 n 0000115265 00000 n 0000115601 00000 n 0000116028 00000 n 0000116285 00000 n 0000117049 00000 n 0000118026 00000 n 0000118673 00000 n 0000119157 00000 n 0000119243 00000 n 0000119527 00000 n 0000119766 00000 n 0000120004 00000 n 0000120243 00000 n 0000120481 00000 n 0000120726 00000 n 0000120812 00000 n 0000121055 00000 n 0000121295 00000 n 0000121540 00000 n 0000121783 00000 n 0000122061 00000 n 0000122319 00000 n 0000122667 00000 n 0000122909 00000 n 0000123162 00000 n 0000123465 00000 n 0000125465 00000 n 0000125795 00000 n 0000125899 00000 n 0000126367 00000 n 0000126661 00000 n 0000127436 00000 n 0000127731 00000 n 0000128322 00000 n 0000128657 00000 n 0000129221 00000 n 0000129605 00000 n 0000130989 00000 n 0000131328 00000 n 0000131871 00000 n 0000132269 00000 n 0000132649 00000 n 0000133036 00000 n 0000133122 00000 n 0000133519 00000 n 0000133902 00000 n 0000134268 00000 n 0000134626 00000 n 0000135009 00000 n 0000135399 00000 n 0000135767 00000 n 0000136083 00000 n 0000136498 00000 n 0000136862 00000 n 0000137237 00000 n 0000137664 00000 n 0000138063 00000 n 0000138308 00000 n 0000138399 00000 n 0000138800 00000 n 0000139042 00000 n 0000139435 00000 n 0000139681 00000 n 0000140004 00000 n 0000140808 00000 n 0000141131 00000 n 0000142163 00000 n 0000143067 00000 n 0000143689 00000 n 0000144082 00000 n 0000144427 00000 n 0000144752 00000 n 0000145090 00000 n 0000145425 00000 n 0000145760 00000 n 0000145847 00000 n 0000146119 00000 n 0000146702 00000 n 0000147358 00000 n 0000147705 00000 n 0000147792 00000 n 0000148122 00000 n 0000148513 00000 n 0000148867 00000 n 0000149356 00000 n 0000149990 00000 n 0000150086 00000 n 0000150411 00000 n 0000150778 00000 n 0000151019 00000 n 0000151211 00000 n 0000151467 00000 n 0000151683 00000 n trailer << /Size 125 >> startxref 205 %%EOF