Afrontamiento Adaptacion Lesion Medular

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    I X Z P L Z I N B L X J I L G P F E Z L O B I E Z F

    R [ P F H I X F J I L J L [ Z L H B E

    L D L D I X B E O I J Y D L P

    Olpl @infl Pyijl PybsLezfebf Die Lnyljf Jls

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    ELDLDIXBEOIJYDLP

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    X I P B I I X Z Y J B F XH F D I H H B E I X Z Y J B F X I B E G F P O I X

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    9 E J B H I

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    I X Z P L Z I N B L X J I L G P F E Z L O B I E ZF R [ P F H I X F J I L J L [ ZL H B E L D L D I X B E O I J Y D L P

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    =% PIXYOIE JI PIXYDZLJFX R HFEHDYXBFEIX%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 002

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    LEI]F3 IOIDO% Ixhldl Oydzbjboiexbfeld ji Iwldylhbe ji DixbfeljfxOijydlpix ji Lnyljf%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 8;9) xfe ji fpbnie zplyozbhf$ ji dlx hyldix dl hlyxl ox gpi/hyiezi {pfwbiei ji lhhbjiezix ji zpgbhf -9;)"$ xinybjfx ji hljlx$ lhhbjiezix dl/`fpldix$ ji{fpzbwfx$ mipbjlx r fzplx hlyxlx%

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    Ie hylezf l dl {piwldiehbl ji dl DO$ xfe oyhmlx dlx jbgbhydzljix {lpl hldhydlp dl

    hbgpl i}lhzl ji {ipxfelx hfe DO lezi dl gldzl ji ye hiexf pild |yi pihfcl jlzfx lh/zyldix% Ixzi mihmf ef ix i}hdyxbwf ji dl DO eb ji eyixzpf {lx$ zld r hfof xildl/pfe Lnyljf r Ldhijf -

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    Iezpi dl l`yejlezi dbziplzypl xf`pi dl DO |yi miofx piwbxljf$ hl`i jixzlhlp dl jb/

    wipxbjlj ji {y`dbhlhbfeix |yi xi bezipixle {fp dfx lx{ihzfx {xbhfdnbhfx ji dl DO3jixji ofefnplglx -Mlpjr r Hydd$ >1 Zpbixhmolee$

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    {pfhixf ji piml`bdbzlhbe r dl pidiwlehbl |yi xi jipbwl ji dl bezipwiehbe ie jbhmfx

    {pfhixfx ji lgpfezlobiezf {lpl dfx pixydzljfx ji dl piml`bdbzlhbe l dlpnf {dlsf%

    [lpl iddf ix eihixlpbl dl pildbslhbe ji bewixzbnlhbfeix r id lyoiezf jid hfefhb/

    obiezf ji dlx wlpbl`dix {xbhfdnbhlx pidlhbfeljlx hfe dl DO$ zlezf hylezbzlzbwlhfof hyldbzlzbwloiezi% Id i|yb{f ji bewixzbnlhbe r id zpl`lcf |yi {pixiezlofx xifpbiezle ie ixzl jbpihhbe$ {lpl hfezpb`ybp l ddielp id wlhbf i}bxziezi ji jlzfx hfe{f`dlhbe ix{lfdl%

    Dl jbxhb{dbel iehlpnljl jid ixzyjbf ji dfx lx{ihzfx {xbhfdnbhfx ji dlx {ipxfelxhfe jbxhl{lhbjlj ix dl {xbhfdfnl ji dl piml`bdbzlhbe% Ie id {p}bof hl{zydf efxlhiphlpiofx l ixzl ix{ihbldbjlj ji dl {xbhfdfnl$ xyx pilx ji l{dbhlhbe i bewixzb/nlhbe$ r dlx wlpbl`dix |yi mle xbjf f`cizf ji ixzyjbf ie dlx {ipxfelx hfe DO% Ji/

    jbhlpiofx ix{ihbld lziehbe l yef ji xyx ziolx hiezpldix ji ixzyjbf$ id {pfhixf jiljl{zlhbe l dl jbxhl{lhbjlj gxbhl lj|ybpbjl ie nieipld$ r l dl DO ie {lpzbhydlp${lpl hfoiezlp dfx ofjidfx i}{dbhlzbwfx r dlx bewixzbnlhbfeix pildbsljlx mlxzl dl be/hdyxbe jid ixzyjbf jid lgpfezlobiezf%

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    D L [ X B H F D F N LJ I D L P I M L @ B D B Z L H B E

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    D L D I X B E O I J Y D L P R D F X D I X B F E L J F X O I J Y D L P I X

    890 % D L [ XBHF DF NL JI DL PI ML @BDBZLH B ER DL BEZPFJYHHBE JID LGPFEZLOBIEZFIE ID IXZYJBF JI DL DO

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    0%0% Dl {xbhfdfnl ji dl piml`bdbzlhbe3 xy jixlppfddfr xbzylhbe lhzyld

    Id elhbobiezf ji dl {xbhfdfnl ji dl piml`bdbzlhbe xi {pfjyhi jyplezi dl BB NyipplOyejbld$ hfe dl zfol ji hfehbiehbl ji dl behbjiehbl i bo{fpzlehbl ji dfx glhzf/pix {xbhfdnbhfx r xfhbldix ie dl piml`bdbzlhbe r dl iezpljl ji eyiwfx {pfgixbfel/dix {pfhijiezix ji dlx hbiehblx xfhbldix r ji dl hfejyhzl -Dfg|ybxz$ 21 Gplxip$

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    jbxhl{lhbjljix ml pi{iphyzbjf ie dl jbelobslhbe ji fzplx ix{ihbldbjljix ji dl

    {xbhfdfnl$ pildbslejf l{fpzlhbfeix jbpihzlx l dl {xbhfdfnl hdebhl$ dl {xbhfdfnlbeglezbd r dl iwldylhbe {xbhfdnbhl ie nieipld -Lnyljf$

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    Zfoljf ji Lnyljf -$

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    Mihmlx ixzlx olzbslhbfeix r {pixiezljf id olphf zipbhf ji dl {xbhfdfnl ji dl pi/

    ml`bdbzlhbe$ {lxlofx l hiezplpefx ie id ixzyjbf jid {pfhixf ji ljl{zlhbe l dl jbx/hl{lhbjlj gxbhl lj|ybpbjl r l dl DO$ pil ji ixzyjbf ie dl |yi xi piwidl hfe hdlpb/jlj dl eihixbjlj ji piwbzldbslp dl bewixzbnlhbe r dl bo{fpzlehbl ji dlx l{fpzlhbf/

    eix pildbsljlx jixji dl {ipx{ihzbwl jid ixzpx r jid lgpfezlobiezf%

    0%8% Id {pfhixf ji ljl{zlhbe l dl DO3 {ipx{ihzbwl mbxzpbhlr ofjidfx i}{dbhlzbwfx

    L df dlpnf ji ixzi l{lpzljf beziezlpiofx mlhip ye pihfppbjf {fp dlx jbgipiezix pilxji ixzyjbf ji dl ljl{zlhbe l dl jbxhl{lhbjlj gxbhl lj|ybpbjl r l dl DO% Ie {pboipdynlp efx hiezplpiofx ie dlx zifplx i}{dbhlzbwlx r dl jidbobzlhbe hfehi{zyld jid

    {pfhixf ji ljl{zlhbe |yi ml ziebjf xy i}{pixbe {lpljbnozbhl ie dl DO% Xinybpi/ofx hfe ye lhiphlobiezf l dfx ofjidfx i}{dbhlzbwfx ix{ihgbhfx ji dl DO$ {lpl {pf/gyejbslp jix{yx ie dlx wlpbl`dix {xbhfdnbhlx ixzyjbljlx ie jbhmf {pfhixf%

    Hfe zldix {piziexbfeix wipiofx id hlobef pihfppbjf jixji id ixzyjbf ji dlx pilh/hbfeix iofhbfeldix$ hlplhzipxzbhf ji dfx ofjidfx ji dlx izl{lx$ mlxzl dl jigiexl jidlx jbgipiehblx bejbwbjyldix% Id pihfefhbobiezf ji dlx jbgipiehblx bejbwbjyldix mlbjf lhfo{lljf ji dl lo{dblhbe ji dlx wlpbl`dix {xbhfdnbhlx r xfhbldix ixzyjbl/jlx$ lx hfof ji dl bezpfjyhhbe ji glhzfpix hfnebzbwfx oijbljfpix ie jbhmf {pf/

    hixf hfof ix id lgpfezlobiezf% Dl bewixzbnlhbe ji ixzl dzbol wlpbl`di ml nieipl/jf ye hyip{f hpihbiezi ji hfefhbobiezf |yi {yiji hfezpb`ybp l lhdlplp oyhmfx jidfx lx{ihzfx fxhypfx jid hfo{dicf {pfhixf ji ljl{zlhbe l dl jbxhl{lhbjlj gxbhllj|ybpbjl%

    [lpl ieziejip dl behfp{fplhbe jid lgpfezlobiezf ie dfx ixzyjbfx ji dl DO mlr|yi f`xipwlp dl iwfdyhbe |yi mle xinybjf dfx iegf|yix jid ixzyjbf ji dl ljl{/zlhbe hfof pixydzljf ji dl l{dbhlhbe ji dlx jbgipiezix zifplx {xbhfdnbhlx ldhfezi}zf piml`bdbzljfp% Id ledbxbx ji jbhmfx ofjidfx i}{dbhlzbwfx efx {ipobzbp

    icio{dbgbhlp r cyxzbgbhlp dl eihixbjlj ji dl bezpfjyhhbe ji wlpbl`dix ldzipelzbwlxhfof id lgpfezlobiezf ie id ixzyjbf ji dl DO% Ie igihzf$ id jixlppfddf zipbhf jidl {xbhfdfnl ji dl piml`bdbzlhbe xi piwidl hfof bexygbhbiezi r ixzlehljf ie xyixzyjbf ji dl ljl{zlhbe l dl DO r pihdlol dl bezpfjyhhbe ji eyiwlx wlpbl`dix|yi hfezpb`yrle l i}{dbhlp ji gfpol xlzbxglhzfpbl dlx jbgipiehblx bejbwbjyldix ie/hfezpljlx%

    Id hlddice xbe xldbjl |yi hlplhzipbsl id ixzljf lhzyld ji dl {xbhfdfnl ji dl piml`b/dbzlhbe xi {fei ji olebgbixzf ie jbgipiezix lx{ihzfx jid ixzyjbf jid {pfhixf jiljl{zlhbe l dl DO |yi zplzlpiofx ie dfx xbnybiezix l{lpzljfx3 dlx zifplx i}{dbhl/zbwlx jid {pfhixf ji ljl{zlhbe l dl jbxhl{lhbjlj gxbhl lj|ybpbjl ie nieipld$ dfxofjidfx i}{dbhlzbwfx ix{ihgbhfx ji dl DO r dlx wlpbl`dix zpljbhbfeldoiezi ixzyjbl/jlx$ ix{ihbldoiezi dl ji{pixbe r dl {ipxfeldbjlj%

    D L D I X B E O I J Y D L P R D F X D I X B F E L J F X O I J Y D L P I X

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    D L D I X B E O I J Y D L P R D F X D I X B F E L J F X O I J Y D L P I X

    :l$ >`"$ Dbejiolee -

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    Ji mihmf$ jixji id {pf{bf ofjidf ji dlx izl{lx mlr lyzfpix |yi ddinle l pihfef/

    hip |yi jbhmlx izl{lx ef xfe jbxhpizlx -Xbddip$

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    ddinl l dl izl{l gbeld ji lhi{zlhbe mb{fzizbsljl$ |yi {pixiezl jbgbhydzljix ie xy

    {pfhixf ji ljl{zlhbe r |yi pi|ybipi ye olrfp l{frf {pfgixbfeld% [fp zfjf iddf$xbnybiejf l Zpbixhmolee -

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    hb{bfx ji dl bezipwiehbe hfoyebzlpbl r dlx l{fpzlhbfeix jipbwljlx ji dlx hbiehblx

    ji dl xldyj$ oiehbfeljfx ld bebhbf ji ixzi hl{zydf$ r xi mle wbxzf pigfpsljfx hfedl bezpfjyhhbe ji dlx zifplx jid ixzpx r id lgpfezlobiezf%

    Dl hfo{dicbjlj r dl oydzbjboiexbfeldbjlj ji dl ljl{zlhbe l dl DO ml xbjf xy/nipbjl ji gfpol yeeboi ie dl `b`dbfnplgl ld yxf -Dbejiolee$

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    Idl`fpljf ie `lxi l Zpbixhmolee -

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    ld yxf piwidl oyhmfx f`xzhydfx r jigbhbiehblx oizfjfdnbhlx ie jbhmlx bewixzbnl/

    hbfeix$ hfof ml xbjf xildljf pibzipljloiezi {fp Zpbixhmole -

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    bejbhljfp ji ljl{zlhbe l dl DO -Yodlyg r Gplea$

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    efgg/@ydole$

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    ji ljl{zlhbe% Ie ixzi xiezbjf$ xi pihfefhi xy bo{fpzlehbl jiezpf ji dlx wlpbl`dix

    {xbhfdnbhlx {ipf ef i}bxzi yel hdlpl jidbobzlhbe hfehi{zyld eb xi ml ldhlesljfyel f{iplzbwbslhbe hfexiexyljl$ hfof wipiofx ie dfx {p}bofx hl{zydfx%

    Ix eihixlpbf xildlp |yi ixzl bezpfjyhhbe ji wlpbl`dix ldzipelzbwlx ie id ixzyjbf jidl DO ef ml ixzljf db`pi ji jbgbhydzljix% Jbgipiezix lyzfpix mle xildljf dl i}bx/ziehbl ji xipblx jigbhbiehblx oizfjfdnbhlx ie id ixzyjbf ji dfx lx{ihzfx {xbhfdnb/hfx ji dl DO -Gplea$ Wle Wldbe r Iddbfzz$ 1 Lnyljf$

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    zlobiezf ji dl ji{pixbe ji dlx {ipxfelx hfe DO -Clhf`$ Slhmlpblm r @mlz/

    zlhmlpcb$

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    Obeeixfzl Oydzb{mlxbh [ipxfeldbzr Bewiezfpr$ {lpl xy iwldylhbe% Ie jbgipiezix wip/

    xbfeix$ id OO[B xi ml l{dbhljf ie dfx zpl`lcfx ji Gfpjrhi -

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    plhbe ji dl mfx{bzldbslhbe -Oldih r Eiboirip$

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    bexzpyoiezfx hfof id H[B/Hldbgfpebl [xrhmfdfnbhld Bewiezfpr-Aio{ r Wlxm$

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    {yiji jigbebp hfof id npljf ie id |yi yel {ipxfel {iphb`i dfx pixydzljfx hfof

    hfezbeniezix hfe xy hfejyhzl r xi pigbipi l dl hpiiehbl |yi zbiei yel {ipxfel ji|yi xy pix{yixzl begdybp f ef ie dl hfexihyhbe jid pigyipsf% Lx$ yel {ipxfel hfedfhyx i}zipef {iphb`i |yi zbiei {fhf hfezpfd xf`pi xy wbjl r ef iehyiezpl pidl/

    hbe iezpi xy hfejyhzl r dfx xyhixfx i}zipefx$ {iphb`bejfdfx hfof pixydzljf ji dlxyipzi$ id lslp$ id jixzbef f dlx {ipxfelx hfe lyzfpbjlj% [fp id hfezplpbf$ yel {ip/xfel hfe dfhyx bezipef hpii |yi xy hfejyhzl zbiei pidlhbe jbpihzl hfe xyx hfexi/hyiehblx%

    Ie zpobefx nieipldix$ hylejf dl {ipxfel xi iehyiezpl lezi xbzylhbfeix eyiwlx rlo`bnylx$ dlx i}{ihzlzbwlx nieipldbsljlx ziejpe olrfp {ixf {pijbhzbwf |yi dlx ix/{ihgbhlx$ obiezplx |yi ixzlx dzbolx xfe ox zbdix {lpl iegpiezlpxi l dl obxol xb/zylhbe ie gyzyplx fhlxbfeix -Pfzzip$

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    Dl bezpfjyhhbe ji dl {ipx{ihzbwl jid ixzpx ie id ixzyjbf ji dl DO hfegbpol dl bo/

    {fpzlehbl jid ixzyjbf ji dlx i}{ihzlzbwlx ji hfezpfd r l{fpzl hfexzpyhzfx hfof dlbdyxbe ji hfezpfd -Dlenip$ 9"$ dl bdyxbe r dl ix{iplesl -Cleefgg/@ydole$

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    Dfx jlzfx piwidle |yi dlx {ipxfelx hfe DO hfe dfhyx i}zipef f`zbieie {yezylhbfeixox ldzlx ie ji{pixbe$ ix{ihbldoiezi ie dl glxi lnyjl ji dl piml`bdbzlhbe$ cyezf hfeyel oiefp lyzfixzbol$ olrfp bejigiexbe$ jixix{iplesl r lhzbzyjix ox glzldbxzlx|yi id npy{f hfezpfd -Mlehfha iz ld%$

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    0%:% PIXYOIE

    Hfof xezixbx ji df lezipbfpoiezi ji`lzbjf$ {fjiofx hfehdybp |yi dl lyxiehbl zle/zf ji ye jixlppfddf xbxziozbhf ji dl bewixzbnlhbe ie {xbhfdfnl ji dl piml`bdbzl/hbe hfof ji yelx zifplx wldbjljlx jixji dl iwbjiehbl io{pbhl$ ml hfezpb`ybjf l|yi id lwlehi ji dlx bewixzbnlhbfeix xf`pi id {pfhixf ji ljl{zlhbe l dl DO efmlrl xbjf yebgfpoi% [fp id hfezplpbf {lpihi ml`ip xbjf id pixydzljf ji dlx l{dbhl/hbfeix ji nple jbwipxbjlj ji {yezfx ji wbxzl r iegf|yix zipbhfx$ ji l{dbhlhbfeix{lphbldix ji mb{zixbx i}{dbhlzbwlx r ji nplwix jigbhbiehblx oizfjfdnbhlx$ df |yiie dl {phzbhl xi ml zpljyhbjf ie dl gldzl ji ye ofjidf ndf`ld hfexiexyljf |yi i}/{db|yi jbhmf {pfhixf ji ljl{zlhbe ji gfpol xlzbxglhzfpbl%

    Dl zplrihzfpbl xinybjl {fp dl {xbhfdfnl ji dl piml`bdbzlhbe ie xyx bewixzbnlhbfeix

    xf`pi dlx wlpbl`dix {xbhfdnbhlx ji dl DO {yiji pixyobpxi hfof ye lwlehi jixjiid ofjidf ji dlx izl{lx hiezpljf ie id ixzyjbf ji dl pilhhbe iofhbfeld$ id {pfhi/xf ebhf ji ljl{zlhbe r dl {ipxfeldbjlj jid dixbfeljf oijydlp$ mlxzl dl pildbsl/hbe ji ixzyjbfx hyrfx pixydzljfx l{frle dl i}bxziehbl ji jbgipiehblx bejbwbjyldix%Ixzi lwlehi ef ix dbeild rl |yi i}bxzi hfewbwiehbl r xy{ip{fxbhbe ji lo`fx of/jidfx%

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    xfelx yzbdbsle ox id lgpfezlobiezf hiezpljf ie id {pf`diol$ obiezplx |yi lezi l|yi/

    ddlx xbzylhbfeix |yi ef {ipobzie id hlo`bf xi yzbdbsle ox dlx ixzplzinblx hiezpljlx iedl iofhbe r dl piwldfplhbe hfnebzbwl {lpl obebobslp dl loielsl -Hfrei iz ld%$

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    xfhbfihfeobhf -[idihmlef iz ld%$

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    {fp jizipobeljfx {lzpfeix ji lgpfezlobiezf xi jipbwle ji dfx plxnfx ji {ipxfeldbjlj

    -OhHpli$

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    `x|yijl ji l{frf xfhbld$ r ye oiefp yxf ji ixzplzinblx hiezpljlx ie dl iofhbe

    -Lobpamle$ Pbxbenip r X~bhaipz$

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    Xbe io`lpnf$ dfx lyzfpix ji ixzl hfppbiezi {xbhfxfozbhl xi hiezplpfe ie id ixzyjbf

    ji dfx lx{ihzfx hlyxldix ji ldnyelx iegipoijljix$ jixhybjlejf dl lziehbe {pix/zljl l dlx ixzplzinblx ji lgpfezlobiezf ix{ihgbhlx |yi dl {ipxfel io{dil {lpl ol/eiclp id ixzpx lxfhbljf l iddlx%

    [fxzipbfpoiezi dl oijbhbel hfejyhzyld$ |yi bezinpl dfx {pbehb{bfx ji dl ofjbgbhl/hbe ji hfejyhzl hfe id iegf|yi `bfojbhf$ ieglzbsl id {l{id lhzbwf ji dl {ipxfelzlezf ie dl izbfdfnl hfof ie id oleicf ji dl iegipoijlj -Offx r Xhmligip$

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    oijljix hpebhlx$ |yi jbgipiehbl iezpi dl hfegpfezlhbe$ dl iwbzlhbe r dl lhi{zl/hbepixbnelhbe% Offx r Zxy ->"$ {fp xy {lpzi$ xildle xbizi ixzplzinblx jilgpfezlobiezf nieipldix {lpl oleiclp dl iegipoijlj3 obebobslpdl nplwijlj ji dlhpbxbx$ `yxhlp begfpolhbe$ `yxhlp l{frf$ l{piejip dfx {pfhijbobiezfx pidlhbfeljfx

    hfe dl iegipoijlj${dlezilpxi oizlx ix{ihgbhlx$ lezbhb{lp yel wlpbijlj ji pixydzl/jfx {fxb`dix r `yxhlp xbnebgbhljf%

    Offx r Xhmligip -

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    Ji mihmf$ id {pijfobebf ji dfx ixzyjbfx ji dl DO ie dl {xbhfdfnl ji dl piml`bdb/

    zlhbe ix zlo`be yel pildbjlj ie dfx ixzyjbfx xf`pi id ixzpx r id lgpfezlobiezf jidlx jbxhl{lhbjljix gxbhlx lj|ybpbjlx% Ix ie dlx bewixzbnlhbfeix xf`pi dl DO jfejioicfp xi iwbjiehbl xy hfehi{hbe hfof yel xbzylhbe ixzpixlezi r dl behfp{fpl/

    hbe jid lgpfezlobiezf ld ixzyjbf jid {pfhixf ji ljl{zlhbe%

    Ie dl Zl`dl 2 miofx pixyobjf dfx jbgipiezix idioiezfx |yi hfo{feie dl elzypldi/sl ixzpixlezi ji dl DO ie zfpef l zpix hfehi{zfx3 ie {pboip dynlp$ dlx gyiezix ji ix/zpx1 ie xinyejf dynlp$ dl elzypldisl ob}zl jid xyhixf ixzpixlezi$ hfexbjipljf hfofye xyhixf wbzld olrfp r ziebiejf ie hyiezl xyx ixzpixfpix jblpbfx1 r$ ie ziphip dynlp$dl jboiexbe f`cizbwbjlj / {iphi{hbe xy`cizbwl%

    Ie ixzl xbzylhbe eyiwl {lpl dl {ipxfel |yi xy{fei dl DO$ ji l{lpbhbe pi{iezbel r gpi/

    hyiezioiezi zplyozbhl$ dlx jiolejlx ixzpixlezix {yijie {pfwiebp ji jbgipiezix gyie/zix -Zpbixhmolee$

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    dfx ixzpixfpix jblpbfx {pixiezix jyplezi dl piml`bdbzlhbe$ ie id {pfhixf ji ljl{zl/

    hbe r ie dlx lhzbwbjljix ji dl wbjl jblpbl% [fp iddf$ id lgpfezlobiezf ji dl DO xi{fjpl ixzyjblp ji oyhmlx gfpolx$ hfe ye iegf|yi nieipld f hiezpljf ie {lphidlxix{ihgbhlx jid {pfhixf ji ljl{zlhbe% Ie ixzi xiezbjf$ xipl bezipixlezi bewixzbnlp

    id lgpfezlobiezf ji dl DO jixji yel {ipx{ihzbwl ndf`ld r hfo{dioiezlpbl |yi hfe/zio{di3

    l" Id lgpfezlobiezf nieipld$ l df dlpnf jid zbio{f3 Zlezf jyplezi dl glxi lny/jl ji dl piml`bdbzlhbe hfof l dlpnf {dlsf$ ie xy wyidzl l hlxl r ie id of/oiezf ji dl behfp{fplhbe l dl wbjl xfhbld r dl`fpld% Rl jixji dl glxi lny/jl$ dl {ipxfel ji`i pildbslp hfexzlezix ixgyipsfx ji lgpfezlobiezf jipbwl/jfx jid zplzlobiezf r ji dl piml`bdbzlhbe ie x obxofx$ jid oleicf ji xyxpilhhbfeix iofhbfeldix$ jid bo{lhzf |yi dl dixbe zbiei ie xy iezfpef gl/

    obdblp$ xfhbld r dl`fpld r ji xy eyiwl bolnie {ipxfeld -@pyhaip$

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    ljl{zlhbe% Ie ixzi xiezbjf [lpa r Gfdaole -" mle {yixzf ji olebgbixzf dl bo/

    {fpzlehbl jid xbnebgbhljf {lpl id lgpfezlobiezf ji dlx xbzylhbfeix ixzpixlezix$ bjilrl lwlesljl {fp Xbdwip -

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    Ie ixzi xiezbjf$ id pil ji ixzyjbf ji dl {xbhfdfnl ji dl piml`bdbzlhbe |yi ox

    xi ml `ieigbhbljf ji dl bezpfjyhhbe ji dlx zifplx jid ixzpx r id lgpfezlobiezfml xbjf id {pfhixf ji ljl{zlhbe l dl DO% Dl bo{fpzlehbl jid lgpfezlobiezf {lpldl piml`bdbzlhbe ji dl DO r xy {pfhixf ji ljl{zlhbe xi ml {yixzf ji olebgbix/

    zf zlezf ie xy ixzyjbf jyplezi dl glxi lnyjl ji dl mfx{bzldbslhbe r dl piml`b/dbzlhbe ojbhf/gyehbfeld -lgpfezlobiezf l hfpzf {dlsf" hfof ie dlx bewixzbnl/hbfeix ji dl wyidzl l dl hfoyebjlj r dl hldbjlj ji wbjl -lgpfezlobiezf l dlpnf{dlsf"%

    Dl `b`dbfnplgl oyixzpl hfof$ ld bnyld |yi ie dlx bewixzbnlhbfeix nieipldix jidlgpfezlobiezf$ dfx ixzyjbfx jid lgpfezlobiezf ji dl DO xi mle hiezpljf ie dl `x/|yijl ji dlx ixzplzinblx yzbdbsljlx {fp ixzi hfdihzbwf r$ {pbehb{ldoiezi$ ie id ledb/xbx ji dl igbhlhbl ji jbhmlx ixzplzinblx ie id {pfhixf ji ljl{zlhbe$ jixhybjlejf id

    ixzyjbf ji dfx bexzpyoiezfx ji iwldylhbe jid lgpfezlobiezf r xy ljihylhbe {lplixzl {f`dlhbe$ hfof wipiofx {fxzipbfpoiezi% Ie hfexfelehbl hfe df lgbpoljf iel{lpzljfx lezipbfpix$ dfx ixzyjbfx xf`pi id lgpfezlobiezf ji dl DO hfegbpole dl zie/jiehbl l dl jbwipxbjlj ji dlx ixzplzinblx yzbdbsljlx r dl gldzl ji hfexiexf xf`pi xyjixhpb{hbe r hdlxbgbhlhbe%

    Ie nieipld$ {fjiofx lgbpolp |yi id ixzyjbf jid lgpfezlobiezf ji dl DO ml jljf xyx{pboipfx gpyzfx$ hfof wipiofx ie dfx xbnybiezix l{lpzljfx$ r l`pi yel deil ix{i/plesljfpl ji bewixzbnlhbe |yi ji`i xinybp lwleslejf zlezf ie dl idl`fplhbe zi/

    pbhl ji ye ofjidf hfmipiezi |yi y`b|yi id lgpfezlobiezf jiezpf ji dl {xbhfdfnlji dl piml`bdbzlhbe r xyx wlpbl`dix zpljbhbfeldix ji ixzyjbf$ hfof ie dl idl`fplhbef ljl{zlhbe ji bexzpyoiezfx wdbjfx {lpl xy oijbhbe% L ixzi dzbof f`cizbwf pix/{feji dl bewixzbnlhbe |yi jixhpb`bofx ie dl xinyejl {lpzi jid db`pf$ jijbhljl ldzpl`lcf ji hlo{f%

    L hfezbeylhbe wlofx l piwbxlp dlx bewixzbnlhbfeix |yi xi mle pildbsljf xf`pi idlgpfezlobiezf ie {ipxfelx hfe DO$ mlhbiejf ye pihfppbjf mbxzpbhf {lpl ieziejipxy iwfdyhbe r jixlppfddf% Leldbslpiofx dlx ixzplzinblx ji lgpfezlobiezf yzbdbsljlx$

    xy igbhlhbl ie dixbfeljfx oijydlpix r dfx pixydzljfx f`ziebjfx%

    8%9%

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    Pix{ihzf ld zlolf ji dlx oyixzplx$ ix gpihyiezi dl pildbslhbe ji dfx ixzyjbfx hfe

    oyixzplx {i|yilx$ |yi {yijie wlpblp jixji dfx

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    Mlxzl lmfpl xdf xi mle pildbsljf ixzyjbfx |yi {fjiofx hldbgbhlp ji xiobdfenbzy/jbeldix hfe jfx f zpix iwldylhbfeix jid lgpfezlobiezf ji dl DO$ |yi xi jbgipiehbleie dfx {ipfjfx zio{fpldix idinbjfx% Mlhie gldzl ixzyjbfx dfenbzyjbeldix {lpl hfo/{dioiezlp ixzfx ixgyipsfx ji iwldylhbe ji dlx jbgipiehblx iezpi id lgpfezlobiezf lhfpzf r l dlpnf {dlsf%

    I D L G P F E Z L O B I E Z F J I D L D O

    " 02 Oiefx ji

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    olejlx l dlx |yi dl {ipxfel xi ji`i ljl{zlp ie dlx jbgipiezix xbzylhbfeix r of/

    oiezfx ji dl wbjl% Dl ijlj ji l{lpbhbe ji dl DO ix ye jlzf lyxiezi r ef ix{ihb/gbhljf ie dlx bewixzbnlhbfeix%

    Id ledbxbx ji dlx bewixzbnlhbfeix piwbxljlx piwidl dl i}bxziehbl ji gpihyiezix jigb/hbiehblx oizfjfdnbhlx ie dfx ixzyjbfx jid lgpfezlobiezf ji dl DO$ iezpi dlx |yihl`i jixzlhlp3

    Ie {pboip dynlp$ dl pildbslhbe ji dfx ixzyjbfx hfe oyixzplx ji hfewi/ebiehbl$ {i|yilx r mizipfneilx$ f`ziebjlx gpihyiezioiezi jyplezi dlglxi ji mfx{bzldbslhbe$ |yi ef hfexbjiple lx{ihzfx pidiwlezix hfof xfedl ijlj$ dl izbfdfnl ji dl DO r fzplx wlpbl`dix xfhbfjiofnpgbhlx%

    Ie xinyejf dynlp$ r hfof hfexihyiehbl ji dl lezipbfp$ ie zfjfx dfx ix/

    zyjbfx |yi miofx piwbxljf ef xi mle hfezpfdljf wlpbl`dix bo{fpzlezixhfof dl i}bxziehbl ji {xbhf{lzfdfnl {piwbl l dl dixbe$ dl {pixiehbl jijbgbhydzljix ihfeobhlx$ dlx wlpbl`dix ojbhlx r zipl{yzbhlx -pibenpixfxr hfo{dbhlhbfeix ojbhlx"$ dlx wlpbl`dix jid iezfpef ji {pfhijiehbl r idl{frf globdblp%

    Ie ziphip dynlp$ id jixhybjf ji dl wlpbl`di zbio{f zplexhyppbjf iezpi dldixbe r id ofoiezf ji iwldylhbe$ hfexihyiehbl ji dl yzbdbslhbe jioyixzplx ji hfewiebiehbl% Ixzl wlpbl`di ix oyr bo{fpzlezix xb hfexbji/plofx |yi dl ljl{zlhbe l dl DO ix ye {pfhixf dlpnf r jbeobhf$ r |yi

    id lgpfezlobiezf ofxzpljf {fp dl {ipxfel {yiji wlpblp ie gyehbe jidofoiezf ie id |yi xi iehyiezpi% [fp fzpf dljf$ dl bei}bxziehbl ji {ly/zlx zio{fpldix ebhlx r hdlplx jiezpf jid {pfhixf ji ljl{zlhbe$ xyol/jl ld mihmf ji |yi ie fhlxbfeix xi hfo{lple pixydzljfx f`ziebjfx iejbgipiezix ofoiezfx ji iwldylhbe xbe hfezpfdlp dl wlpbl`di zbio{fzplexhyppbjf$ ef efx {ipobzi zfolp dfx jlzfx hfof jigbebzbwfx xbef hfofoiploiezi fpbiezlzbwfx%

    Ie hylpzf dynlp$ mlr |yi dloiezlp dl gpihyiezi {pixiehbl ji jbxifx ji/gbhbzlpbfx ie dlx bewixzbnlhbfeix hfe lyxiehbl ji yel oizfjfdfnl jbgi/

    piehbld r ji ixzyjbfx dfenbzyjbeldix%

    L {ixlp ji dlx jigbhbiehblx oizfjfdnbhlx ie id ixzyjbf jid lgpfezlobiezf ji dlDO$ zfjf {lpihi l{yezlp mlhbl dl i}bxziehbl ji jbgipiehblx bejbwbjyldix ie dlx ix/zplzinblx yzbdbsljlx {fp dfx dixbfeljfx oijydlpix {lpl oleiclp id ixzpx% Lye|yiie id iegf|yi {piio{pbhf ji xy ixzyjbf xi xynbpb dl i}bxziehbl ji ye lgpfezl/obiezf hlplhzipxzbhf ji dl DO$ ef xi ml iehfezpljf iwbjiehbl io{pbhl |yi l{f/ri jbhml lgbpolhbe%

    Ie ixl `x|yijl jid lgpfezlobiezf hlplhzipxzbhf ji dfx dixbfeljfx oijydlpix$ Plrr ^ixz -

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    jixhlpnl iofhbfeldhfof dlx ixzplzinblx ox yzbdbsljlx {fp dfx dixbfeljfx oijydl/

    pix% Xbe io`lpnf$ jljl dl elzypldisl bo{pixbfexzbhl ji ixzfx ixzyjbfx r dl lyxiehblji ledbxbx oydzbwlpbljfx |yi hfexbjipie fzplx wlpbl`dix bezipwbebiezix$ ef {fjiofxnieipldbslp ixzfx pixydzljfx r$ oyhmf oiefx$ lzpb`ybp dl yzbdbslhbe ji ixlx ixzplzi/

    nblx l dl {pixiehbl ji dl DO%

    Gpiezi l ixzlx lgbpolhbfeix$ i}bxzi iwbjiehbl hpihbiezi |yi xynbipi |yi dlx ixzplzinblxji lgpfezlobiezf yzbdbsljlx {fp dfx dixbfeljfx oijydlpix ef ji{iejie jid ebwidebjid zb{f ji dixbe -Gplea$ Yodlyg iz ld%$ 1 @yhaidi~ iz ld%$

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    wlofx l piwbxlp dlx bewixzbnlhbfeix xf`pi dl igbhlhbl ji dlx ixzplzinblx yzbdbsljlx {fp

    dfx dixbfeljfx oijydlpix ie id {pfhixf ji ljl{zlhbe%

    8%9%0% Dlx ixzplzinblx ji lgpfezlobiezf r xy igbhlhbl ie i d {pfhixfji ljl{zlhbe l dl DO

    Dl olrfpl ji dfx ixzyjbfx jid lgpfezlobiezf ji dl DO ji dl Zl`dl

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    ji Hlpwldmf iz ld%$ " ef iehyiezpl p{dbhl hylejf xi behfp{fple bexzpyoiezfx ji iwl/dylhbe ixzlejlpbsljfx% Dl beljihyljl f{iplzbwbslhbe |yi ixzfx lyzfpix mlhie jidl lyzfhyd{l r jid lgpfezlobiezf$ r dlx dbobzlhbfeix oizfjfdnbhlx jipbwljlx ji dlhfo{fxbhbe ji dl oyixzpl -e ? 02"$ id ofoiezf ji iwldylhbe r dl lyxiehbl ji ix/

    zyjbfx dfenbzyjbeldix$ mlhie |yi ef {fjlofx zfolp xyx pixydzljfx hfof wdbjfx%Mlr |yi xildlp zlo`be |yi ef xi mle hfexbjipljf wlpbl`dix hfof id zbio{fzplexhyppbjf jixji dl dixbe$ id hfo{feiezi iofhbfeld lxfhbljf l dlx hbphyexzle/hblx ji dl l{lpbhbe ji dl dixbe -{fp icio{df$ id glddihbobiezf ji ldne globdblp flhfo{llezi jid wimhydf" r dl benixzl ji jpfnlx f ldhfmfd {piwbl ld lhhbjiezi jizpgbhf% Ie ixzi xiezbjf$ mlr iwbjiehbl ji |yi dl bo{fpzlehbl ji dl lyzfhyd{l r xypidlhbe hfe id oldixzlp {xbhfdnbhf {lpihi jbxobeybp hfe id {lxf jid zbio{f$ xbie/jf olrfp jyplezi dl glxi lnyjl ji dl DO -Xhmyds r Jihaip$

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    obiezf {lxbwf$ |yi behdyri {pbehb{ldoiezi dlx ixzplzinblx ji iwbzlhbe f hiezpljlxie dl iofhbe$ xyidi bp lhfo{lljf ji olrfp oldixzlp {xbhfdnbhf -Gplea iz ld%$1 Hfhl$

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    nf {dlsf$ dl pidlhbe {fxbzbwl iehfezpljl iezpi ldnyelx ixzplzinblx ji lgpfezlobie/

    zf yzbdbsljlx ie lo`fx ofoiezfx -dl i}{pixbe iofhbfeldr dl lyzfhyd{l"$ dix hfe/jyhi l jigiejip hbipzl ixzl`bdbjlj ie dl yzbdbslhbe ji ixzlx ixzplzinblx l df dlpnf jiixi zbio{f% [lpihipl bezipixlezi leldbslp dlx wlpbl`dix |yi xi lxfhble l jbhml yzbdb/

    slhbe r xy igbhlhbl xine id ofoiezf ji dl piml`bdbzlhbe ie id |yi xi iehyiezpldl {ipxfel% [ipf ixzfx jlzfx ef xfe jigbebzbwfx r pi|ybipie dl pildbslhbe ji ixzy/jbfx dfenbzyjbeldix {lpl f`zieip l{frf io{pbhf%

    Ie ixzi xiezbjf$ ye pil {iejbiezi ji ixzyjbf xfe dfx lx{ihzfx iwfdyzbwfx jidlgpfezlobiezf r xy jixlppfddf l df dlpnf ji dl wbjl ji yel {ipxfel hfe DO-Zpbixhmolee$

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    jixhpb`bp dlx ixzplzinblx |yi lhfo{lle l dfx jbgipiezix npljfx ji ji{pixbe f `bi/

    eixzlp {xbhfdnbhf$ r ef l{fpzle begfpolhbe xf`pi dl jbpihhbe hlyxld ji jbhmligbhlhbl% Ie hyld|ybip hlxf$ dl pidlhbe lgpfezlobiezf/igbhlhbl ef ix yel pidlhbeyewfhl eb yebjbpihhbfeld xbef oydzbjboiexbfeld$ ie dl |yi bezipwbieie eyoipfxlx

    wlpbl`dix zlezf {xbhfdnbhlx hfof lo`biezldix% Ix {pihbxloiezi ixzl elzypldisl be/ziplhzbwl dl |yi {yiji i}{dbhlp ldnyelx ji dlx jbgipiehblx iehfezpljlx ie dl igbhl/hbl ji dlx ixzplzinblx ji lgpfezlobiezf r dl |yi xildl dl bo{fpzlehbl ji behdybpfzplx wlpbl`dix {xbhfdnbhlx ie id ixzyjbf jid lgpfezlobiezf ji dl DO%

    Cyezf l dl oydzbjboiexbfeldbjlj mlr |yi jixzlhlp dl `bjbpihhbfeldbjljji dl pidl/hbe lgpfezlobiezf/ji{pixbe$ |yi xi begdyrie oyzyloiezi$ zld hfof mle xynipbjfAieeijr iz ld% -

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    8%9%8% Jbgipiehblx bejbwbjyldix ie i d l gpfezlobiezf ji dl DO

    Dfx ixzyjbfx xf`pi id lgpfezlobiezf ji dl DO$ hiezpljfx ie dl `x|yijl ji ixzplzi/nblx igbhlhix {lpl dl ljl{zlhbe$ mle jixhybjljf fzplx wlpbl`dix {xbhfdnbhlx {lpl

    beziezlp i}{dbhlp dlx jbgipiehblx bejbwbjyldix ie dl yzbdbslhbe ji ixzplzinblx {lploleiclp id ixzpx$ hfof dlx wlpbl`dix ji {ipxfeldbjlj r id dfhyx%

    L df dlpnf ji ixzi db`pf miofx jigiejbjf hbipzl ixzl`bdbjlj ie id lgpfezlobiezf lxhfof dl bo{fpzlehbl ji dlx wlpbl`dix ji {ipxfeldbjlj ie id {pfhixf ji ljl{zlhbel dl DO% Xbe io`lpnf$ ie eyixzpl piwbxbe ef miofx iehfezpljf jixlppfddfx zipb/hfx |yi {pfgyejbhie ie dl pidlhbe iezpi id lgpfezlobiezf r jbhmlx wlpbl`dix ji {ip/xfeldbjlj$ eb bewixzbnlhbfeix |yi l`fpjie id ziol ji gfpol xbxziozbhl%

    Ji mihmf$ dfx jfx ebhfx ixzyjbfx |yi bewixzbnle dlx wlpbl`dix ji {ipxfeldbjlj r idlgpfezlobiezf ie {ipxfelx hfe DO$ pildbsljfx {fp ^miidip iz ld% -

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    hbiezi hfe DO ie xy piml`bdbzlhbe xfe glhzfpix hdlwi ie id oleziebobiezf jid `bi/

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    >%:%< % Lgpfezlobiezf r DO

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    [pfgyejbslejf ie dl i}bxziehbl ji jbgipiehblx bejbwbjyldix ie dlx ixzplzinblx jilgpfezlobiezf |yi yzbdbsle dlx {ipxfelx hfe DO {lpl oleiclp id ixzpx$ miofx{dleziljf dl mb{zixbx 0$ |yi jigbieji dl lyxiehbl ji pidlhbe iezpi id lgpfezl/obiezf r dlx hlplhzipxzbhlx hdebhlx ji dl {pf{bl DO% [lpl iddf miofx pildbsljfLEFWLx yebglhzfpbldix hfe hljl yel ji dlx wlpbl`dix hdebhlx -id ebwid$ id zb{f$ dlizbfdfnl ji dl DO$ dlx hfo{dbhlhbfeix ojbhlx r dl gihml ji l{lpbhbe ji dlDO"$ zfolejf hfof wlpbl`dix ji{iejbiezi dlx ixzplzinblx ji lgpfezlobiezf lh/

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    Id Glhzfp : ji fhydzlhbe ji begfpolhbe l globdbl r lobnfx$ {fp xy {lpzi$ jbgi/

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    nblx ji einlhbe$ zlezf ji jblnexzbhf r iegipoijlj hfof ji fdwbjf r ldicl/

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    g" Id npljf ji lhi{zlhbe/hfegfpobxof r xipiebjlj jbgipiehbl l dfx dixbfeljfxoijydlpix ji dlx {ipxfelx ie jbdbxbx$ dlx {ipxfelx hfe eigpf{lzlx r hfe he/hip$ {ipf ef ji dlx {ipxfelx hfe mb{ipziexbe$ zplx{dlezi f jbl`izix% Dfx jlzfxxynbipie |yi id npljf ji ljl{zlhbe l dl DO {yiji xip olrfp |yi ie fzplx ie/gipoijljix hpebhlx ji nplwijlj$ {ifp jblnexzbhf r xfoizbjfx ie fhlxbfeixl zplzlobiezfx xiwipfx$ hfof ix id hlxf ji dl jbdbxbx f dl |ybobfzipl{bl%

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    Dlx {ipxfelx hfe hehip oyixzple olrfp ienlehmi hfe dl wbjl r mijf/

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    > %7 %< % DO r ji{pix be

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    Dfx pixydzljfx jid ledbxbx jbxhpbobelezi wbieie l hfegbpolp dlx jbgipiehblx iehfe/

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    lgpfezlobiezf lhzyld$ hbehf {fp x xfdf r fzplx hylzpf ie hfo`belhbe hfe dlx fzplx

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