ࡱ> a u bjbjrr K\L\L\#Q  8,|@@@,,,,,,,$/1hB,@"@@B,jW,@F,@,)+@̣:^ +",m,0,.+7272D+72+L@@@B,B,@@@,@@@@72@@@@@@@@@ > P: Allergy & immunology Allergy and Immunology INSECT STING IMMUNOTHERAPY Background Insect sting immunotherapy/desensitisation to either honey bee or wasp venom is generally recommended when your child has had a severe allergic reaction (anaphylaxis) consisting of either difficulties breathing or having a lowered blood pressure. As future reactions can be potentially life-threatening, immunotherapy can dramatically reduce your childs future risk of having another anaphylactic reaction to that insect, from as high as 40-70% down to less than 10%. Adverse reactions to the injections Although majority of patients tolerate immunotherapy very well, about 25% of patient can have an allergic reaction to the injections. Most allergic reactions are mild, localised swelling over the injection site. Uncommonly however, a severe allergic reaction (anaphylaxis) can occur. Hence, we take all precautions to ensure that this risk is minimised by ensuring your child is well on the day and especially that their asthma is under control. Only for the first rush day, we insert an intravenous cannula such that emergency medications can be administered, although this is rarely used. Schedule The current recommended duration of immunotherapy is 5 YEARS. Because of the potential for having an adverse reaction to the immunotherapy injections, we initially start with extremely small doses in hospital (build up phase or rush day) before reaching the target dose of 100 micrograms, which is then given every 4 weeks by your family doctor locally (maintenance phase) for 5 years. Children usually attend school for half-a-day on their injection days. As excessive physical activity after immunotherapy may potentially increase the risk of having an adverse reaction, we do NOT recommend that your child does any physical exercise (including the attendance of any sports training sessions) for the rest of the day after the injections. Please note that the schedule below represents the shortest possible time period. If your child develops any adverse reactions to the injections, or has had to miss any injections due to being unwell - the schedule will then be longer than the one below. If you had any questions about your childs immunotherapy schedule, please do not hesitate to discuss this with the medical/nursing staff. Week numberDaySiteSchedule1Monday (Rush Day)Hospital 6 injections: 0.1 mcg, 1 mcg, 10 mcg, 20 mcg, 40 mcg, 60 mcgTuesday (Rush Day)Hospital 2 injections: 50 mcg, 50 mcg23Tuesday/WednesdayHospital1 injection: 100 mcg* 456Tuesday/WednesdayHospital1 injection: 100 mcg*78910Tuesday/WednesdayHospital1 injection: 100 mcg*11121314GP1 injection: 100mcg continue 4 weekly thereafter for 5 yearsObtaining the venom allergen extract This cost is approximately $90 per year, and less if you have a health care card. The company supplying these extract may increase costs going into the future Your childs script for the bee/wasp venom allergen extract Hymenoptera Honey Bee/Wasp Venom has been sent to Woods Pharmacy (ground floor of RCH) When you receive this letter, please call Woods Pharmacy on (03) 9345 6500, to check that they have received this and to arrange payment. When you have the 3rd injection from your bottle, please organise a new script for more venom extract from your doctor when this is running low, which usually occurs every 5 months. Preparation before the day On Sunday night prior give your child one dose of Zyrtec (0.25mg/kg, maximum 10mg) On the Monday morning give your child another dose of Zyrtec (0.25mg/kg, maximum 10 mg) Bring your childs regular medications (e.g. puffers, tablets), and continue taking these as prescribed. It is important that your child is completely well for these injections. Should your child become unwell (e.g. fevers, cough, worsening asthma) before the appointment, please contact us through the hospital switchboard (03) 9345 5522 and ask for the Allergy & Immunology Fellow (pager 5911) Allergy & Immunology On-call Consultant If you are travelling from outside Melbourne, please arrange overnight accommodation for Monday night. For assistance, try calling our accommodation centre on (03) 9345 5359. Procedure on Rush Day On Monday at 8.30am, please come to the Day Medical Unit (Reception F) on the 2nd Floor via the Yellow Lifts. Your child will have local anaesthetic cream placed on the arms, in preparation for insertion of an intravenous cannula. This is placed in the event that medicines or fluids need to be given during the procedure. The local anaesthetic cream takes about 45 minutes to work and hence has to be put in place early. After this, please present to Woods pharmacy on the ground floor of the hospital, to obtain your childs Hymenoptera Honey Bee Venom immunotherapy extract and return to the Day Medical Unit. A routine set of observations (pulse, blood pressure and temperature) is then taken on your child. An intravenous cannula is then inserted for your child. Injections are then given every 30-60 minutes over a 4 hour period Injections are given under the skin over the upper arm Local anaesthetic cream are also placed prior to these injections, to minimise discomfort for your child After all injections are completed, your child will need to remain in the hospital for 2 hours to ensure that they have not had a reaction. On discharge, your child will need to keep medications available in the unlikely event of a late reaction Epipen Asthma inhalers (if your child has asthma) Non-sedating antihistamine (such as Zyrtec) On Tuesday Your child will receive 2 further injections and will be discharged by early afternoon. Ongoing follow-up Your child will be initially followed up in the Allergy Clinic at 3 months, For your 6 months and then every 12 months appointment please make sure they are booked and that you have a new medical referral after completion of the up-dosing phase. If you have any queries at all, please do not hesitate to contact the Allergy Department on (03) 9345 5701.       PAGE \* MERGEFORMAT 3 Version 2 DT 2013.02.11 (>?@[]g? c  8<=>Dɼvvvffv\ODhJ5CJOJQJh0h~>CJOJQJh~>CJOJQJh0h05>*CJOJQJh0h05CJOJQJh0h0CJOJQJheh05OJQJaJh~>5CJ$OJQJaJ$h0he5CJ$OJQJaJ$he5CJ$OJQJaJ$!h0h0B* CJOJQJph6]h0B* CJOJQJph6]h05CJOJQJhph0CJOJQJ(?@[\]h> ? c HI9:gdy]gdeP^Pgd0$a$gd0$a$gd0:;<=>?@ABCDEQUZc $Ifgdq$a$gd0DEc?[g/=>: XZ+ 4" ־־־ȓxj־־־h0h0CJH*OJQJhJ5CJOJQJh0h05>*CJOJQJ *h h05CJOJQJh h CJH*OJQJh h0CJOJQJh CJOJQJ *h h0CJOJQJh0h0CJOJQJh0h05CJOJQJh0hJ5CJOJQJ%cdf) $$Ifa$gdqkd$$Ifla\ #[M   t(0j$644 lap(ytqfxOC $$Ifa$gdqkd$$Ifl4\ #[M  t0j$644 laytq $IfgdqOC $$Ifa$gdqkd$$Ifl4\ # [M  t0j$644 laytq $Ifgdq6[OFFF $Ifgdq $$Ifa$gdqkd{$$Ifl\ #[M  t0j$644 laytq679:;<[OFFF $Ifgdq $$Ifa$gdqkd%$$Ifl\ #[M  t0j$644 laytq<=?@AB[OFFF $Ifgdq $$Ifa$gdqkd$$Ifl\ #[M  t0j$644 laytqBCEW`v[OFFF $Ifgdq $$Ifa$gdqkdy$$Ifl\ #[M  t0j$644 laytqvwyz{|[OFFF $Ifgdq $$Ifa$gdqkd#$$Ifl\ #[M  t0j$644 laytq|}[OFFF $Ifgdq $$Ifa$gdqkd$$Ifl\ #[M  t0j$644 laytq[OFFF $Ifgdq $$Ifa$gdqkdw$$Ifl\ #[M  t0j$644 laytq[OFFF $Ifgdq $$Ifa$gdqkd!$$Ifl\ #[M  t0j$644 laytq[OFFF $Ifgdq $$Ifa$gdqkd$$Ifl\ #[M  t0j$644 laytq[OFFF $Ifgdq $$Ifa$gdqkdu$$Ifl\ #[M  t0j$644 laytq[OFFF $Ifgdq $$Ifa$gdqkd $$Ifl\ #[M  t0j$644 laytq[OFFF $Ifgdq $$Ifa$gdqkd $$Ifl\ #[M  t0j$644 laytq?@v[SSHHHHS $ & F a$gd0$a$gd0kds $$Ifl\ #[M  t0j$644 laytq): wp N $ & F a$gd0 $ & Fa$gd0 $ & Fa$gd0$a$gd0N}FR" # % & ( ) + , . / gdqgd0$a$gd0 $ & F a$gd0 $ & F a$gd0" # $ & ' ) * , - / 0 2 3 J K L M r s t u ˾ǺhqhemHnHuhBjhBUh} jh} UmHnHsH uh%jh%Uh0h} CJOJQJ/ 1 2 q r s t u gd0.:p} {. A!n"n#3$% n qޑzX+n8 PNG  IHDR # pHYs.#.#x?v OiCCPPhotoshop ICC profilexڝSgTS=BKKoR RB&*! J!QEEȠQ, !{kּ> H3Q5 B.@ $pd!s#~<<+"x M0B\t8K@zB@F&S`cbP-`'{[! eDh;VEX0fK9-0IWfH  0Q){`##xFW<+*x<$9E[-qWW.(I+6aa@.y24x6_-"bbϫp@t~,/;m%h^ uf@Wp~<5j>{-]cK'Xto(hw?G%fIq^D$.Tʳ?D*A, `6B$BB dr`)B(Ͱ*`/@4Qhp.U=pa( Aa!ڈbX#!H$ ɈQ"K5H1RT UH=r9\F;2G1Q= C7F dt1r=6Ыhڏ>C03l0.B8, c˱" VcϱwE 6wB aAHXLXNH $4 7 Q'"K&b21XH,#/{C7$C2'ITFnR#,4H#dk9, +ȅ3![ b@qS(RjJ4e2AURݨT5ZBRQ4u9̓IKhhitݕNWGw Ljg(gwLӋT071oUX**| J&*/Tު UUT^S}FU3S ԖUPSSg;goT?~YYLOCQ_ cx,!k u5&|v*=9C3J3WRf?qtN (~))4L1e\kXHQG6EYAJ'\'GgSSݧ M=:.kDwn^Loy}/TmG X $ <5qo</QC]@Caaᄑ.ȽJtq]zۯ6iܟ4)Y3sCQ? 0k߬~OCOg#/c/Wװwa>>><72Y_7ȷOo_C#dz%gA[z|!?:eAAA!h쐭!ΑiP~aa~ 'W?pX15wCsDDDޛg1O9-J5*>.<74?.fYXXIlK9.*6nl {/]py.,:@LN8A*%w% yg"/6шC\*NH*Mz쑼5y$3,幄'L Lݛ:v m2=:1qB!Mggfvˬen/kY- BTZ(*geWf͉9+̳ې7ᒶKW-X潬j9(xoʿܔĹdff-[n ڴ VE/(ۻCɾUUMfeI?m]Nmq#׹=TR+Gw- 6 U#pDy  :v{vg/jBFS[b[O>޳G499?rCd&ˮ/~јѡ򗓿m|x31^VwwO| (hSЧc3- cHRMz%u0`:o_F-IDATxy|_UIٚtMJ7(?(eeSPTaseS@Mg@dIJ Z&4閤;~o{ι~sQ[so磴q+QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QE D("[b@@l-QRsWGewbl[ަ=j;+E䃦71F({'PU%"J+̶+Q"Z?u]UuRjC*v@\2źOdQJZDiݽWTWXײnNRA[u" ַ,"jC%NvE@[НPJR""(E(# :zZd?|T/@[=͏/9Q"Zk=" @\[/J O0Tƹc%ܳWbOnPlUiw"Jt ^ ^ztiˢuJi':(%cucorU׫ob@XԱʻhZAq v6%H@\+OîdG044ָ~\T`(3D0xa/껪S r5nP6B0D-+z/ lFͺgtP饡Aar~"Q1F zW[ܳ3_lHgWݥDK@E馊룫OwÿDD ^=e]ݽ扭T6t͕:P$B@<`ePݽ] ,ʖ~է+[3*"Z;iҠ`4|@0DpegsHю濭~05S\\yA1kks%QСE)""ɚ{v/D_{TĄ. O[0jgǶ2pX" tUAW%~w-;wcºgD$9M{ؠTh @0D ˢu-LwZ}'e'QP%& G%-f^# oU-Qvִ5[%*hkDQĶQ}(`=r.Չlk5O(;($ZѡOuZ64XJH{ZD(Q"=ݕE; Cm6*SQ1gx**;CTvVncǛ-> C&rD?\u5:)T}&[' AEŠϠfOCv }@݅Z=[ml}݆J[8" &s^V{]KkwefɤYq݌ʆEM:qB]Fn}jӰ.zmnlwNJ~ó QMUōZm*Diīwe捖ҊXnk+;^r݆F"^եJIF.Ο ݒc[$AjC\=%?`Ic CB m @}$R%-nib]m][Zm1+'MTnFN]Us+nXӰ{sڎGr,AK&DD D&zt6E&.lƺzIDEF2D5n =ta=2 r]aRɹYcr0hh "245/h[*fў "8v)kxz4uhIi^%6ԍ +AS6E֦?m?Z+Œ}vR[=lArDDnv QАV2EYaf C32AZD7Lλsㅧz4ym'eyk&sU`+GM3[Vfufө\uCMCx8oOBZO>w;[:"$hn|hPpBN&k^Oq m-%.Gykß m'qJQA7Z%QTEj= swt]VWVjכ78JIv E& K?@`" vnfi7E3lj@ Gi&YVS򻢔 u !6u.T*H:M A]qvDKJO]p֢տkh\}FGpڈ\t@0d|m?JԾou⵻nNZ[ ֔KUܧ(+7lhj?%l6띸 R.u3G!lIVlܜ,U`F G\@0d(AW;VJP $Җ%jauwu.xÍ4/)i=⺗LРf讗 hrLlyq+DW_%%cJGk䈬anj*>0` C*C*3EbA(*ƕtg-ȁGClXSUe aƹf,hXijCEftP9VYvdamh5/t$j^ŶDT§*r2Z$l&>{r$mԁ-ai T壦QpRҳZUbԂMoz?rrNJDk5GԀQۑbH04KHPO]:|.fMw׷j;MW*"g*13N ^Ѯ)LtcE mX/is%M6 溥RkvHtu{@JE\iJei#]ᓷk%s6\6JsO}8 ƟՌ^Ⱥ)/4aRngafinF6a}{ׅKxE98=iT!h8dT&^P;(`I/;RC9!*CîYVz6V)iMgLh!*SE刘Uag n|TD.ϟTnN. QUdуnvW(꘢Lj;(`Qve&nE[hi99u-wd=TlH-"K;>=C4wՊSE0RT95_;aev$RAΆ3A;\W\{gʙ `" 59ʎ"W5hTv ɛɚ$ڳt1\ +XHgpڔjK]=} J;PخtUmY;ZnmvB?4fSRXj@6UnTP;(`I+?RΔ*QVc9(=m$ڽ=U":,T"\=/;l͜ϭ6*.5Ϯj޼|KǾ03T'(PdzҋHijU5鶧hʰ7ڳ܇p5ҧq+ԶH5A$Zb‰y(m<ʺ6Tqo#p$TN.ic;h+r[=?]Ms9_e\+$ ?EDnStrBCy S}Խk:\W%f2:A\)@GCIW't6,kTym{/œa>jʺnbr_ƣtن:lT C]+$5/h-"s̖LͦdodWcQ59l%W~x>97 4k@<|ꉈ|ԫS뉥M?msr9/Gy(FJAmWrڤPDWJm?ں/Ցb3X2|j?(^h@y\'[[9%vWe- mIh]%ZtlRFB72kN|l̦Tф3lQdK^uxynmP^;`XkfѾ /,O:+=౧n`njgbp%V妶%"W7$ЪE]jVu';;Dmk>:cʷ(=O@b.YWq?lSQUNPjaN缅%7};|,#$6/XY7Í_]AEbz͂nڦMAJ u3Ht*5qR|0lū]PjۢJnuinؔ7hk8UJPj'j/ 뛔wo2,.v'nֆoYUm՚5'ju&"Z[^uC(_W/~yqrISVk5pٷ4lՆEgl&gIZܜ_otl%;?_.=%:iK]WdJP`"m8mgJf(n IQT6֥(\i]1;*&0 [72KMOႻsz{L1dN".lJkX|阢ˊZtľ3Y`fgTJiёDQJ+%ݾ-GK۬ u޻ _r<ȷ;i^wu?i*^M]%2dVq-k~]Kvvϼ׫*Ʒ/Ҕѻ_VKjZus[duvٳB+c o`Jc `os̬W/4-r@Qf*ljH]tn 232bR)CVmfө\Z=;xjˎ;2噢mGWoRYZ Yx[\Yc7Mь0V~DDy7ۋ]CSm5gpǔfoakfFybz#SG4un?zߞZT:2S>vy ](O?Or9 6Dpެ=ƺmaSq*3ϝDK\^%Y*,Yk@dJE$ŸJ.nJVJ'_c~ھ)WM`Zچd/ pwt3˦{Y?,7yo(WPjVy\weT/-<D`/Yqx>/~XꔗTlXZhϼ; 3,^ӶJDݛ/ZEU+x'(< ]f#^hѲ郭$ѫU #VHTAIJ[><tvA3!hHJOjyp"uQR*#2ظ?03sWo-ŋfEA[֟ztjak5|opw9&":m"#4N:E՛޶->{sKvշڶăEyUkϦچʏH0mԱO~ϛ缶ɦDXUԃn~f[i_tWl0ca/ `ަ?ٰN[Qz *m[o[/+6{BEX%rO};YV|愑{32Ez^[ ^\[TeIU4WU*Xȉw|ˇk/v_})|Tqfn͉ ѮTcs9)-c ?S^RnʆZ-mpxr!.9vE{Ah-J0ᙅ uTި?h$PJl$D2LowocݖZCخC+PN*7'pUoUl3'2iX"mLD7T팶*Ut/W+VjoPe3DlPm{;ˇWYvVϦ_=5 ~դa?7#'}i]nX} m+vY!&^ 3PaUʇWP b@Fi#JiS?D6" {uo溭<Gk4տk:~߬ڰgn64էb5z%Tk4\hj)t]ofo7pTF6ߦ\[0m9ōn)<+?)^=n]v4i^(89]6l Fm/H[\rNzQ1G[{<ôq٪OZĖ~L-%lUܧ|ГǗL5z1/Y}Zټ}gƱWKtgavmFy髕d{23VtOm_b%g-$wTj3R}؂Tj7+uu""r;#&}w]9x¥^92-՞2GrPkF[qc @ 0C^7^iA?qmmɝ21md{Mws;S}Og}&CK⵻DcJM[iU En We[k>j<guK|IJ5mK*FG(Lft6nQ]>"+cBְC rf>$ܜ[e]]Uv7v{F{/lM٭>l~b@j-/Nn^vܤpxddVZDKZo,/gS&GkzG.9VЭWPڿ詅÷Lx:ľ"~\osu. / P-ګM[>biĚ%.3i[pj sקlgunJ@}T=ں5Gʔujݶ*EnxJxɔ7-UYd~Z.QOߗ&S. Τޟ.b [*Q6mpS %n ;]K;9 -a;NuQvkzZh8=ԾFL7Bmݬ"uU~`h& Q'Ϭ䫷ܬ%= ]ײW.{uoō:(K/WA$5|Qٍ2klT>BZ@ SG>Sǟ}*5-kZ-QA/w b^͉ĶjiŰSn6iR28m:u#T].}a,Y 0%W$:톰֯vZksδr;>N_u 9o'WXek}VzP7[F IQ:WT鹤;0+G^f/MXmQ#荦\7_N͊m=՜wc'2dTƊHZ[-QLį kg IݟkYz G,W92\)EJi%xѐ*JvU~nFz6%wnxH%ZL=Upl)}1}ƈ0 >;z @ӤTjc[>ХcGLHOT4~&,Йhɚj&y}fֽnV1q?#F1+ U&}OK?[>hYT{WMj\vк:z|ś^7յն45,OlAdnK] GvukY鹟~D >֨'̽"$ϯgI\\ϰݥD壜լ#;ػ6Ȯ׳٤<$ߩUދVlŲuqE}癟nZ&K+M?nڰsnެP}u]uYm[)rZ|Dw3iȥzZ?]U*~j73tpϥyHUE57ѡ@<R(-^IֿOr@EvMi$E$d&bdf\O~8Rk5}zG"r]HV~骷Zzzd2NΓ<$m)Oe>ZpPѪ#[V2jY:aLZY~bz[? ͉Z3Vɀֶ%\_"Wk6:R~Z:ʱjl_#>DmS7al`(y@D:_)譞U{M.i1TΏ0fx#o/R6 R.d'^ȔQǗћ7yğE%^DAf(xKi3ONh]H|i$Mڰ_e}3 /d.ęI+RvLΆ,Ҝ=F~(` rs,덗Dه-s#ou {ʚՋ`Qa MZ•2ѴF֬\6 /t<^N;uWuQ_^/Ućmחu4?vu*  úOI~J*wҜI57_d`o@\nvҚ{6x=QŶBHࡖIiOÓK=kݿ}O$y.$2r5uZ=a#JI6Ε{HmOo[uf{X?3G!3~v bҜN EuҠl'(.0xT*鬫4HlegN7r~Ӿ$|kG{VQ#+o%ڻ%]/Y+ ;j_oqZN U)#Hm hX-r9" FlLn֭e#@>0&%lI)W]0Ny 774JOpRj^7eli|4u7v4|[%L6 k;;0~][cZQ|"i(b(`;U"aS;yk|YZF>`u 5g7-ڰL5~W?u^ѫvoǥ Ӣ7uy|Syp+Tyq]JE#)m\\N/9iD`kO4յUjͭuU64"d(QZtiĬ\dGMLS"ٽPqӾ\NDlRI![khC5qWٺ@T%{/\B&y Nyݟr)&I=:jd鏮mg NT>oA^vKwCʕoa[ODW-݋ |T]D`(lx{s{]{eKw}SwmK>xKԹ~\}iQHqc#9 * JGMS\ӶmɛZʙX?cYcI'>0ﻣ~I)+&Jy I/tt߾溊\pGu&WKCu8:ԯ ? n&4.,k:,yJ$hWݽv"Wп5 GR})&Q|≓ |{8QԶz}Ó$NKqäqTA t_quVvVUܩEG>~qXVMuF`ڕɊRllf%;ڌFOwx3?FRVӻƷ۔]jk?% NT|j[V֊7=#W'jbQ-D~'j-"Y鹟t4z_v?/cI O'Hy5G_]72tҦIE 3F:3ƜfByEvy%iKWVY6 |bE*-N)61DO)=JOS^#PQ*,UJ!ӴuIİ"O)e&;tmK%LJm_ofzi߼{MUâA9˦>2sƌ)-IGí_BGTRg͌ښKdsDo%E"[PG2YvICR[z!3尯}]>wjnKא9kcRTޭDžǎ9@\~ԉWjH();gQIp^E IEDJ.i O#dMm˾7oX'^qcRoh[/HzSQ[64uK͚93(wʌu՟^a߫V2ԉ.%. ŕOʈczتEMz1u4u{Rm6f*O>9m 6D`6s)MYvzTLM2x7,tMaIJAhFFuJXibPoEs+Uv$w*bw^~%Y=q*iw]EW|׷$zάÏsKD*uX3Ec%JA & MFGnJ2zWkLy!WNU>EtTG+FUPQr3uڴkKrwB {GP*>Яzt {:F/T6 T^a3ioZj?C_[GFuҔѳs3M H#kvu.rl"ӋK,Չţ F{&=6|0e"HC;hmk\Q/Ց #7ti_ߐ)_ u9ʊ(u6:P[E C@nFysE\aɦMN~Q[j)/: b U{y]+#?ii[=+IUCQoWti\Wg}}M-2#'LO` ]WȰѣ jCMaZL7=5ՑYm|Fr˶z7>i6vumz f .ys:|Χ D`8~⅟?ǙifM4 ,*~ EƸ.&tMWʿX3fj_G޽|}86L$ZJyQ{n\ZºD%[d ͖:LӾH[1uQL0tuajXq}m>,kdխKw¸dz"=UkմΌYM7/ͻ(4e]+߱ձՁf3o'ջݴ2-S"'Űسʿڰ5P6S>}i=T1jWE%8tuuV~݇NKԝtmȻbQ1i1s;c%ҹ4)n3x+^;^)ڦ`_lf}n  UW1*wRyaȼI40(D`jO4߬S!_GNʿ*v/witza1Dkp-+ߩѝ멾5V=NIRYEV$Z{9=6x; PI-\>c'~.KʅP}Jvhn쥟el*:.}et'> o9EHvz JE٣s{ `VٰoU ҵԺhrHlηbT8_*' [HEɉMngڒtؓQl/ORۯg˾ЉX^kH vO^(]x9~cnHշ#rOR3: ȵ*IR1Gru00M*>C?e╅#S2su44Sf&J jFeZ+QZD"RZkm/?/cgZqǁc'Eԫ^Fᓰ*>j_Z9ڻ^^Qh/ZVe*Q"Jp=MI4 v)ݧh5Sއ3.QǞzA;p@RZtd^ir+^̩2)[Xj H%^UfzMaN)ȌI"UJް&J`s]K?kV kuaPSm6a?ECw#-#,")_1C(Dnf/ڡ;本v {*rD-Jџ*׉ѩmkCW0ˎ . Z R_vf6ٺ$5\. F 1QxdY87xUY={|kk*>gr|W\JXs).Akꇪ LTŬ)NZ*79եZ8@4瘓9$)efM+ 3+Ů}NWPS²t]#\S'<Ѱ^km0@{y^zzvznjՠ̆DZODK4jqcDhӵqPY(S; 2Q[2-R Ͼ̈́7{9Šo^ڸ{ѲKe=~-Yw9Z`f{塦ӯ?K #PG W;~ԯQO1;ӋOJ jmh?ՆZdkURn$,B _Os|^?:ek2U1S"X$^\:ǗٹA8 4ŵO;c9IIm)+ R ZBl>9A~1~7 9|{sGfd[w]EL>\&ꅣ^wX5kt:,),=lԧ?3ҳ|F rxI={74PU|ОG7p`ʘ|@O͋3Z]+:\rX]u$[$1zTa> *JO,͛\;~'-~es-7vEzL Y0= :2|J/)t ۻKRۦ]=s&i~^~is#W?>Ѱ}K=˗YͳܰZy~,ﻧմތ@:4ն6׉±հ͡?)´5͉ԼЙ/0S]ڽܒ޵fJE՜l*F^eDT5P7m\4C 1w:Z*NTL uQ[5XJVhz_idK 7TbFG(-{e3+ gNy>{ݯ4-TqPCk{ܙ4Io- U"QfA%KF eeġdCm˃Jqm&Wh֟*> gd ,iyRcg37޼|EĠ:,t`gh[ u}e%~bɩI7Jn٠,ywmiMPe*Sk+4&."WEY(m'酲Nv*AVTg:Q(LL6ֵTw&H᱒7C9~pO 3#c_nhڜe=BDJ?) c0w"ZO_rn갅\\U46I 5 oָA)^g-{uʹ_M[[sO,6"U7x 㞆W/ k.SIтRp=h`چ'6L crPe9Jdgv6]{c?6DتhS۰8zWLR.J M)Ug_ ~)l(`{>'?#a갰EYJ#/lOhM2H?%nۻjzFeg]GdÃїt$EGʈc%hX`72KWſr"g)q)gբTX~%N]ků#mA N.Lih?#њ>HS:ϧl}w>OFE$s,ӥX(#MJ"3eDI+L?YI3}b34"l[)L=J6*:> 7WZxE ًb$Q+ZKzN)QǚpR2Oe/^rcWzѺ`pօC\ۋ@0 䃫% ouDuV*RsP UjV}y2{QNp5. PE?I4y?jK?#_naǍ.k2+^j]&D:TQlQB@G*O]lT$ )uŧ˄v^^k:~0,{AuJДW~ODM6 oRt \C =M7O\?Ly ~Ԟp(F쓉+dD}ߚcJj71TEC4Vq7wgod+9#찚Gd/ç*%/~2ՀOS~8 ҼoHEɈ(?téDGkܵTziwo}>sp9 Q`h|S*o&2%:F'?XO#޾Rɮ}SqQ/m<.^gž}+A n~PJtʏXy9 _NQD$$U?o#5^@GBSߊBE߬(mZӋdda\m0޵]*;þE}?>7s^xɥSwI-D{jx'@,WVI6EjCٓ*Ze򺤼M܀R:hFu*g.0lUJ):Cn 84RR*ʛ0z_EW=bƅ-՛VD]=wQ3DTZɾ6f&Y)0ިKEŔ4LDžj/L(3٧Gx?%R2-im<-t4^O]Q#}hɹ᧞}A85w&lp*$I->boZD5z&(0@ojZڵ9;#!"hOkUDff_^ܙ%9jW#fSw|7I4 j%j}=G#UJ&|WJD^Dh7rѫ0ji%^| W~#Y3_'"&4}ʃTk-a.>jF菥)pO-==k[m|sAwONXټ(uOE2"ؒGdfl:ߔKhܔ ,ӏHū7M TzK+i!)//Uřnomp ht\HkבJœӏ)—FТ&{:YOhw{x%zj-A! +;:mtU~MF@+-==Zml}NtM)*#JMLO;(I#fo߲ߔ K%)iΠ`2ҊdQtTÅDjq ~ť>̳һǏ͙}ƎxF^Wq>=)clXD @{^>}ܑ'%bE5[覛n$w!hUDFuaeGM=i@Dꆧ[$~_p26L\_\QHThJIi,/9sȁ,9i/M/IEr۰o>u vNbºv\R^h6.'=2K/5 mp?} \ ]WM8t݈@]S񙆶dtẈԛr!jk8 { 33r=M4!/j/B1*FUjyb̒Y<҅uIVa(}F2ѬOMʘ!e3kٻOx9 ϧg^--:X) FUJD+]ZaǤ8 D`Y[)Suu^hΰT awTR0|N-i],K}~x0LiR&OV(KQ2,ڍW_pUԵwSQzݲιO?bb%η:RnJM-˘<9kځzn\)^+)=E{^C_WTj)SyR~?J5>7g ;iSO`ؕD`(i A*_ă}(#TkW#2;l߂9eY)ݵҺDzۤcWM٨¾S!9S$g̐i۞xL*ބT=-'7;Iq=Knni>EZt!)%i;#L9O,|HzZMұ6|g*5 OSlҤ~ݬwj(7}3ϗ}; D` lhJH/ )T# u/q- %sfēo|<訔vh_;ID$kCWMu/,)|)Ţwqs=^NSm 2,7#H$5FվIa†b<גSlF CkMw[؜z߼S{pF*%. CQmuS{w':qLnWyw6lj @u725Ҵ5l^nwK/;e/ݾM=_gڍ 3E[ͩlQ9}uZ%+٭挼~A\` =Zs"qnlwhݧ(M+Z5[mMӉ=`-jnaU)A^zu+SKBmej)Đ~figJt,SH?3e2orI$%N|"Q6J+>K_`on#GETebh[Z+W *Z*\7Q1)9\)~~]gNb:xU}Wg%]weWzW8 HHаɭ65 w -큼l/uVyJSnU~ 66M/;&eQ (Feg֜ GIO01A%uY.IReGQ_4 3yrޭ?Z5ukXEhE2M=-{Uܨ.^_uI 57=;߈KJiZF㗁3\ 2'JѾoZnes?Pc-sś vH1_ S*G#ƾxDV76)j돝uM[{"ζ /))c)gf=O:i^ko~wSlz=ou9ͦuۣη )JWuP6D5$~A݅@]O4<^Ro^r2P7[6uu&oo)W􍯿ҫJEFZC%zLuW+xoe{݆g{V pъ!jБq+-Jap3muߘʏR>!9j( 1s6  :eCUڍԬ|3G^VB~yrey~ODFWj/ۆMkr ")9ݩe= YH?Ȱcʏ$(0$_ږ:Nab>O<h㣳OU8{ϖ|k/_߼ُ6#WB}DW52K{y{k'KO{6l47LAɵ5qCFV2Y)ErQ=(ʖʖUۺ~嗻YS*Zҳ r:hDi>vWv:Hעţ+$XGh}qӟ|;vCXaov%ZwAy (5brZjȴ13eQ=0@lJh-m{?hvجa3D$?#}R^쌱óٴ9+*l9uj)}ROWM)5fUj an\uG]o`K]+Q-fRi#&H13%3OJ+]`"`TtAG^u _0)""ם4`|ZI[%S%A@ c oESJgؗث5pmꥡ O*F[`#>dJ*O;U"XTαQJ>ʋCvܥY B ZN:_]m#F.8枰iswg%]H*Rj:(vߕY7^^tU""y9Yβ6CP! ιOwvK$ЀR&43/&SHL hrt٪ij*oxoy[ŋ6&{˝_RV^{w^%Ɇm~̃h|@ϛ7QXSsny%9zmL<ܛ^vv};럯k먲ZjږhҜ*(V,@QpFΰc 7 Wb¶'znq tj=zc/u,T)6Z.Oe7mVu jIW_|uə97zIJ#WU{D0kRuPJf4{nmL*cއT='T6dgMw;n],"jgNP8h"~@:ui{ưɭH \_2M)rZR%"u9ڮۅDGڢUgܴ{{8p⪚v63N[mo<6^rhRuwޢR~~%mKުh]3`zEc#Yk6:[K.i ۴*1OMDEW¨W knzEQM:i զ1<)I\s_S]7sOh;]kd&4ݍXS] P%{Z>[)ղ6yʶ)7oŦ5̲Ժf^rLӖ}opj*ElkGDN7TԪ|ݘ~yg7mrvv7uJݰ4 0{wڋsߞohv\EGe#sŹ-d bo0+Zk mQjuے?} юD3{-}kٟzvuvt/uJE+;H\7n鵿?>w,U5#v W~>[vSE+Jٴ(jaEؿc?O~m#d%0zWte]G^VJ_knWMQDDs-=gf!xJ,]c}?!v饎i)W1L4+͏^|xө?W=c+|;~k뎝u26ugw?Ef=|ճ4+7= rz"-ܥєѪúoJ/~'|uSث2bf]3o}_..TBQ3AZ¦6t4U6 ^A>*曲<~PP)+&czz^7ݠW~o/^V^z.vMC YjO4'^]>7;g=Ñ퉓. n*m#`hJޠ(Կ-p g*%Ju';WVٰ%G7.@l$.x7;DYUްϰר{Ox}JFM_() z ZaSf7[:͐N'*\[ڟz՞+cҒ'FU,JHJBmiwK¯UѻTؘ6ڣ8HCO6'e}r1W> rV>[rEJ)͍K6uL~-s >~Xˏ]uj? 9SH\ pn?;xGY]y!noG7un[( Pkjw<‚pqnV䲑?W=W4ԇJthh;ZGI#t ҬOMjZ'7Qƺ~F+ܤM3g&({*a7]Yq;ٚ/}5nJ}E$oxwyɑ/WUG"OiU""yasw~ackoU塓Jz =pɥg8.TsjMݣJE8|Ǖ!7F"!/Yb5홷! A%5~rz5VRxq9*ɽ«K/.g}9ڒ`QecgJDԌ9d..577O@$% K-tdO:nw|uWVT_JSzS{6X5;Z-c~D443)W-؟LX"-t ӻ;R)~\/>6:m\kQ~H\,T4jSʬEo}֙S{=ĥ'7;Ixڻ]툫"]3N>⡇wn[;3r{} TQh$"a if~jF>!Q:^xӛD)bR7%{*̼$)痟Z;pč7;0yhhIc{]wNų9E_Uk趻gL+5C{'v9O~D,r.;{:z_rCmg7gXDDi MvMOSna---ǎ= 30Tᱦ.3-fԟ~0*}"R/jL^4{Wd3k7ۋ*VlL DW&s>yy?-^^c.S-"2|䏾f VcͣNv/)?LIOӰD'zjE M^8!!5}>]mEO4}FHWχ#EqW{Ȇ|+?} e1Kl}XtΓ{%5vEkEDIɦ[? ɎH^/Lh3ZJ+eӲ=B@?tCRC6% հnXx66;W/(ݣeΜy|WJy_٠-5 ٌieu¥fΓ~?-^VN wLD7-eЕ>?߽75sI-͞[Dx !5]H$VɖT~TE÷엤U?/\ENuu׿^& aSQGO>O잹WLWa*Z'굖Zؿw|C&oX[:+E$6zo?0E;U/+uQ#ʙfC( %amj]l ~N sP-Y>)> .߶u$mI,T7oxI?o|E*/{#?;rվN-'~KLRE^#d,]V ݏ+3:Q D`0sC%T+#n筈F]8ZJ& }04$.xw{uGϔxa%"^1\JdS+r;63w4]=w%V֧fvex9s9k#cS?O9wee{z2ϿXA[GwkY7#ԿD*w/8eIgfWÿ>Ԙ}ܯlpʩ[\}{[?D{95|vp`oW=.ȹn1cTtY?]uWW# բvDvp{ = J0F>}7̱!-ȸıܰ(.Ǘ峢ȡӦXRfa«)85;5̷:̌޺Qߴ+4%K򧰿wꔲ3&}Ƿ<9o+TVoXUSoV|k07:*U+'7;I^]^9wm}쨢}yGy^ddK@E VG>ʼnV޹|jU3ǞHC {{oksR?iaǍN/IZ>|x~SYqĮ^}#piLED$dQ;{Euwg. c@MI^bգJG,:cDc %<YUmlڰ^V/^LM2qDw^IN Qln?`sR/^By㘢?vGԾ浚Ǘl;HAWkNH){.gl -K6vwUUu\COTQ$-p/%^K'D"U#]j EHL.~2E*$zE+*k̠Ӱ3eP֯ ~UhxrZfqQ^xNB6l}Pɬe>֦5UGcQw-*d|Gs3 ?{u]1TP\RL tl<A7Mۼlo6SB@JkPaf0-g@>?ġ|0\~k׾o(;w^FYjJ߲P/?}u^}{=B ز7{U塡X3 [yögm*wX]Zwԁ[1WW #w]o_ꬌ5OקQ)Įtnjy؏5݅@?/sG֌ mSZkh_|m흕W+dU3>/:ұBZ"5#7Էڴ);;ԟnڵdz*˽=n9W,ϯĴ=˪4<2ZawϬ?LUbw-BXv {u̅s,i]=w~ڮEZVyxΪ=yqY{5 `kCFrһձՂ.t흷1O,峧7<_DC 0kʚvf;RuV6rJbuЃ4IMMvZ|5>ɲSѳ&>ѹڻ1Ī/3ӎױ4݇]@?ї?;##7W53в/?򬭭?#Wj/מּ[-6ȫj̿<)U)Ѽ6M@BSn>4૪u,CJi#_wʞ}1|}QSR7X-71fUU;y~vY(7 R*浢!V}{9fc/0/ pJ{j¨_WF]S|{BVbaDo[Jү7FQٚ~HzѲ/LM AYxB_53l8hYhT]ՑhJ!~7 FQY*O:Ʀ eT[1|u@{~h,^#4 F g]l9I4K=+4f[5ԝ/@muPSecwae, =`O߾|j`tBА)PfVXCz~WQ=ZT履8Ŵ*='=԰ɴڂV5ͫ+&7Μ6s|!۬Re˳ݰ>Τ󷡴M54M^<}J!ƪ)TVT}m!`gWU&p+U G}Ti%jv{#^5eR*wvj?)`[D&k]~yhXx!} 9 {l֗,1GW e_|/*q=ƚ:Jh|m!`a5Y B )joc}HU}rcL)XTFx[G}򭉵{QUZ!'g6oJ 6I)e%|Ea/=nhh{Bmc;:UCcߵߐ=r',XNi DM[ A;q߶QQ1Mrckn{μr3=)Q|=/U{QU=LS>5eS2F. y>|1GZ5fdq9C4 Ȓ{)`lI)c i>SlζʚB!U7CG7\RJ)9/M)]Wm2:(!E^xlvy\$̱5BQCůo~nSA7Ƙ堡* !<{ D&{Dڴv1o{, *D(4=~hO|?k޵KVsHGlO& Ģ̶va7=+*Ռj/[$)7ΥWYol?i_o%3jDQ,?C; 2Uþt8_B)eDB "eyC~ُ Mc7^)/s[g( rhhsb(&WơBXM J %KC9unGjMZrDY QD( 6R`'Q! !`_v0bVB); Q,+B,i0(b =&f?(y0(R )XԃN4T&U塩 G90jRƔB!4{1hD`Q! "Vͺ>OI( TI@S>I`QC( An !V1$i(N$)b2`'`Š1B )%E;@Mc!<``rДB̆f/;@S9h<Q,e7 Qsvm #Ѽq8`'R! &b쑆  D`b @ QK fh0QE;@K*榐gI s D`T4_.ε-cUQm(``Hg;7BT4 D`0B27L) ! !eĘ1x4Q Eꙅ)B8?9-s`dsCC&Q(&AQL !M)IDv*-s`MFv ( BJДgbPM %hgY$B)b!/ ]ҺWۓϬ^~lA?>?p]3'0Ȳ4?a%W|BJ)bmR}|ӗ~y!+뾇w?aC_qtoln>ξj߿Kw_7U0SD{{򎼋o^R \^"-?]! -)/[Wp=FΜ9nm)#PXf`R3lEjkyUPC!]fJٓB;BH)ƪ7-]՗.Cշ8QDY+y\7;LE-au_'Eú )/6mO7RUk vݝ7xO}RPʞM\1T(93Iyd+lt1J[`S D`PT2+v]i戆mL< 5kMA,iF8J#! "ŠzVsbݽxՓOoڼe~tSO=iVtUwXѾ_qOv\SYM 1Ŵ"CG̗ϥ呻^7m~10C&vreǺ6TbXĚ3= QTQDYbJe.^z=RXb RM֚G}g~elbip'[ο膎m}b Yқ&8ફ;G1pG64Nh>Li׎N 1~>޹xɪ,ߐӱVㄆ6ٱㄆϛڴ/W.-0{´+Ƕg)1#lfҵEeѲ랺Աɲ/އɰ°n.7<BXk;@'ͫo|~tw~w iԁS*vwgo뾇g!{eOn?#.{yPBmM㫛oy)zkuBh:p̿*g6E=wE B7mzr竳O| U!mݛdW6t}wk cF|myMMcCvͮxɪjn귦K.9)!qw&"[~HIq?=/Z`E4U$y.*a.=zui3rזl.i]5 oȿz_yɓԽyM7޳ C )Enmwy6y=vTB //5- !Ə==̵ם3WM,7wA[[:6deF / O33fN3 -/xdC>]5gHaWo ;@K e֪voRcBF!6qX]XtrkȣS)[ɦţpï̇VG7mn6l}f͚M>?ʯǟ,_*g9lbʧżkL=0fEK!-ZߦX1TCPsgn˖?u;/"f!ؽ ӥڒ*C\SU/t?K:cpitߙݱm͆:bZѹuy졇3wo*1UI\PQ,1mWCeKT1c3YR~oRևq:pX?YQ~iUVJyyBx}qY^xʞ_BÆ]jcS! %45vbvb^*!T˞hps8qlϪ<[YN !C!4y?ߚYvo30GܭCGN7fd[GgHi\E8B{흧\[GgQB OjxG6y;/^bMk1 Q )`J)ًeӴK׉oӶGk)VTBUrCK!444c?лYgBqي5k;ߋݽytRc'7rOys55kmmkؐݽ7uK]{rʻO[X b>o 쑴c^4Y$Vepv6ձP3)uk܀7 E xO eq?32mhIcFT.ǟ>-- ]>}?z80oːWM=hlY,KC ^0/; -1Ƕ;#AGV@̬ನ eCѲGma+Dc,&Vj7Ƣenч,9c?9~ؾf;OTN\ں|{?)qBCwƌ4>uu/7 oYg?Y)m9k~.V=fm@K y0]zlmՊqB!l>3Һ]7;/͞`})v]µز<ϻtw=˛7>)Gf[SK70c }޴'Tŷ̅=@E,'\4FEgG$5]Ø'.RKwa3{[}EmS P'9SXsqO[|oOʛx}]u՝/r_ڴ%ۂ 9ѬÇֱuev_>q|t=g[*>[V}$HEqh޸5/|讻Un*SCQF۽3G tyxunN![ɞcF2?8oaK#Ϛ6adf_y Z;yO,\_< cF'Q)ƍybѽ޴ul9󊬗oG{UWy;/vmRPgt1=޶INX*,ʍi;ϞtX}|橓>y;[/4ヌӳ l,r"ݛ_ښb cF^{͹3?[>O79ƌϟ湳!pۼԛ7?-xѿn۴:<o'4,]&ۦE5>cށy~C7o?VʞN( bUU!|UͰ̞Y.`zQpY_iq!pIoښjƷsxW15ut^t׫߽ȆZƼ3xIo=rbѣ|e^Cqڴ;ӗɿ9#oQq5hsc`)㽘®^BJ߶)R)ٕ:k|lg%bu+O9?opL?ik֔+8i|7N|Q~OuJ[+o!Si )3 CMcYK{sl 0XcXLU/R^;lj l{ =3T*gY#oڍ]YB8夷LiP Q1,!|vhѺ6ck7vwM7fm ( ƭj Ѻچ<!plyaH;@\1|vhJD۹gwb)grs@EJ!_n yܼu<͘9e),ңB4fDCuwYr}[_r_MtwcOBEV X#Zah{{i}'W=[)|K͜}S3[+1a9]{9tw.^|у]q]o.1~Է75]73{ҥYgVw޴Ȇ橓vߏw\lŚB7/q?D=@EƼqn!B)ssU֬MW0r辯6G5q G+.-5O7o!_xy/?o2EzN?}ٷXM[.7&O>aH0hb)b !캉 nwXSyљ%.Y[uozy_Sʃ[o;x{Kũ1<[~cCk&fv#S]WuT1[n_q_B@QD-c,Gh< 1mTt-ֽvc]?t}=5F;5!/ e+Y>ebьx](78uU|f0HELB^Eo-/9=-^2[slYRQm!Q#^acգmC:zd~ у2я&Rcظ;w=S7$T>?10XbIv|̏eƮbª -Mp+yV!"qǞӎ?Sc1N{qmJy\cM~4ۮieVݖ9p# g`ö"KU+w~/h0+,L!tSxSkk< cF7/m>ԲQO93ƪP;ٰ01g}󇴳)д_ڈ౷b®}ڗ.<#,' ˃. 'U1TZ]uw lj7{e[r;Lق쨃(KD54/{&( -RHiI޾EЬs!m]㰰9]1#ㄷɰ^1wƗڲkJՐEϴʾ|ڶ¨u N!-x-]*Ovt:ן:mYj=h</YUڼec- ߸zܳ]KWtTR !̚53t}W=v 1tҷ=n勤?9?}؊ .aSY˛{KKw,]q׽];3fNN &VQv蚻ueJBhа㕂lCL|eN[{g̀Ҫ౭c2|[ƾWD{um3r [*Ba55_Ѿ|q( ٍbMk*λ]3hTj)~s;/^vycǮ.gIg|0z]ҺsܵyKU lJwb~aK~gQ,ebW;_sW(3{AemY4CSzUP8Vw_ 3U&8 qr]z̏ۥPaŚzߨ, )}޿/]ёEٮ5< ʝRy>o]~zm`1صvcWqXsx]@ο^UpX!4mGe `F?D ܞպB($cܴ[j!3cXH.vm={^T[{Uf}{K#VY!nզBrW}ζΪH8N97~5(fvtt1VŨO]&k6 tw.zw!qcF~Oy[l>ҰCzOuݑ Q 1Anѣ5:-I^Yt-'SHaR|*)UqԈax ]+""΃øj3MMjUTp t~ ҧ7:;[,ה*ƌx)պhYOgL]m2bHV:[7bmykc'|ٱ~=M[-J}gj^S<7v竿[zf^0/tM!4n[o-m8ȯ-A !R R&+(V=p̺mfCoz;.ZbMmL5!*uYXU6,Jc!sƻ)4.[\pwM1 q5bgh}?NUj|C>ɜ}ֻ/pcŪש<ޟVly{L%!ᓫ78T=rwzlWJ}Lt-B)U-㚫?6aDqh4H!쉧wZZ[KbA2yOyK|s^WL-cqf::*Mrc{(bhJZJ˭gX=5lCMo o앳H8SiP.#~h3i!vorE7h [jJ 3aqcFulȃw[ 1p=|YL_\rzS'-Brm[_vVX'cZuuR;;+U)Ip:Cư)U7Z_rE641д -s yT )NiiydΜ=-V{So{>ܳ܏̜Ά跖ݟy԰*^΃3ڲe^ڍհ7<-m]CxfƚkMwSϱo{=Wծޏjފ!me⟬Xrq+tG1cѣGVZӲhYCHa~y D`0Lj;|Wtmc1* <]df/R%,I$)O=۞zrX5r70P!d&ԏ6k$6NhX&LU1cU+=~Cv2M+.4T6"ζXzv;]?{~Ժ޴%\fc7G)A ƍ9a]d cw+465c1q3u\%g 53S{HgX՘T%Y,KXg@*z+V=65>]*י֜h,f竏91Ҁ[TXf}s ,N`8( 3>05Dɲ޾s؇Cp1!蔛;*8ղ:ܚ+5ݩ谭ϟ+ʲ1ǰ0<.~`iyߩnߏ:px Cuې*e'x5GmxMq #25ĐR>0YLkK 1sJTtѳf튱ӵם|p cF$ebH!#ƌ~=ꎯ}4xelV%:PsJ}g_S]+f͚>_2񵇆V'4sg]2cސ)Ej ZIx뗞?-ys¸q^}g*Ԍͧ,a[>|SNz#+O10lc']wYCL)4_:6o?]3 sK~kscx#wfۢGY#&qbуO=nӝ!76c?̙ P΋̓'08@2[Qn D%@[Qn D-ؕ];XhW ˞Xs>>q΋Sϟoڮ:$pIo_ni;;[tZ1bZYb)ĐN}|/)l/(P( ;w(wK)mcۥNGK\T Pc̣иv;? !q "*DBJE2gk{כ6xW:c}㌙Sz펎~_=X[a~{_4>㚛ⴥ<\W65-_=/q_vB0fdK 1ΙrP!M_3{A*M0fA/uC/BSτ87$saD?, Lt=~g6<_yEGHy˿v9u]v׽?ROBXԺ2qԈSosO tyGӎoj:+ϥ;BQ̺tEG_wۮ=7sgyg:=5ϚB[dž6sֶys:6{qMy?O}`8(l?(PEvm*GƾLjΘy.+]]9_ZO^u>wiW,X/2w !b)2I_B>vӍ\;_x)ĐR^C /}{=;{e<[;ٳbb )RZh‹o\#q1Uyk7v}z0C(eMYcY@]9Edwgμ X;n F1aHf=ν{Z,˯Ұ}4Nhh0!+/zЈW\o~aK\*ϘBH- ]p*?.~=fSWcUc>uӦC5R1=ȆR%pM!˿~sWR! TɢwnwC^,M)"L)=ֵ6O3{Ae BHt9P%?vޗ::[.M|J~MUMG?oY78yn|>[ڰC>CC_/eG6wg475HxnO}WJqcF^38`x90pȈǼS󢋿޲pY)vCW4O=׳u@౭c}QfteMLQY]٣)6N^]fө3?ޙDl_B^$ٻzzג%W>tǸ1#0u%'M7#_([oj&wCUW۳/jKC}E?ôi8ƌ=5u#Dv2(BLY`wllrgZZik,k,|͹0fM}1RZ@^*ZԆ}}Ҥ>Ƽ3⸆ihy&϶_^"/K4n4p[^Wv} N!eRU& 5Y[fhe =JFzTf~qqyq'Q{I؆Nԙom]=O; |]ggې/i]BezkmAjUS]Q>Zm7~3l'+:z !z!5pXܺ2[ʣWRϣ0v5!C[{Ը1#OzǛ?|R1XG57׼R3{AU5g48i! i9,\Xۓ^6v}?HѪ>Q+@w1VVlb'Ʊ\Ʊ*5wE|m흡m:6p7rϰC&7'@tkF/}bMǕI;jYh- Xl{1#4VI((-sRq|fϳ3myJچ1͝#BԔBݛ,\6#W{? ѭLէ<8 2xNO3{kiǖo |Vܳ] !ж}]$l=/{x _cz;N Rʊw%vgܦGeOǹWeNvB MMw/ƙ]uu^_)mesݽOh2TSӵR-gwH6t=ВUMyb,.QͰL! ފ=o:OL;S1^;;NMcH)pӚ.]Һ2c~T^*Ny[gϾ*)= \ncy5WlBL5OgsgkQu((P*Dv-fΟ5k{)oUMWHCCMM~|'ߐ,P2Uno^ EOhs7'4dl`:S0f]si#ʋqcㄆxٗMj;|"L}\6=Քw`Puw>xҥ6_c3l-/yE 1#;ŴNxKWtB _y3gN !̙ {w5OzիV>]t 0oy^O=GqhSXة@:/]B1s=vꆖ@JU=f5=@_jG*Pi(Tu+mr5˅= QEraO&#o aa G'SfuK -([={Ao[Z\ݱ{Ӗ#~ëBFB E1եL5kv]agEb !TgKwB !}=\!-sB0Bx`{w=CH)'^dfM5JQ Z_%+[[۶ - ռkMaS(PE sug%!!%ڞz&QØ彣{ه.8kwM[*!􉧿v=NNo7O胋 !TEmQG6dhK>O{ =V{/{Ra)?{U!, ֕}^}n;y_oY,7-]1゚p{b~5i )C<3ΘRhrNlmm[dUFoHQݘi¶}3?7ޟf!eiJmg~+?hyנ,soS[WB:o>=m/2,ܱu߹+:,쏥;-/ǯսf1=䱶Լ簨3?xڱXݻ:ϥ91s< (Bƌlj;i|;ow⭷_< )“k?:6z g8夷 :$K7w}}}S> )n^+ĘakRd1_uu yZ. eCÆ<N?؉mM3>km%wiAS?M7sǿҵ Nʶ{!#ƍ/5,Ͼ wϩ3?љ )4Oxӯ̇N9'{-_|öL]@!|SԽYde!Ow?n-O<vo~W_5w rؾ\sGN;]흧\[{g{K|q޵מ]S_EZĥ郧M3Pv],{kӖ/|ٳ/+Ϟ3{]=Taq7^~Ø.8kߚ;?Bl~/YS^o !J8,нKwtoڒդ|i9i55}F7Qߞ4kY.]^ 1~ewCW'w?eWBXk0T!2bLp'e1voһ0pӍؕE'njc'Wx~h;{l3_?wΔy;aC1E0fٗ571ORcXZڱqB}yuBs>8rwP{uh7 ǵK!M[Gr\~}ViZ!381ҍ1]lsܮ=>g◃ݚ@ܰ—:U7%O<4]k+5;呲_~Ňz_yɓgݛ<2/%9ec!to2gֶ+:GIKW]yu:~ӽ5+K234C[{I pӮ43BqwƌISR~4խz ;ƐҨëcG|Y/#(V|:*y*OȎv:|?SJYݏc"M=wݗ@ ^Q6il-  )oIM7Cz_2УsՓ΋;cX'>ײŪS}ij2_,Աՙ-ӿPoc?[>}C߳:iܺ@Y>:>>?Ҧ[] <\w!KoM;- 2Ԓ7e'?~jX4 1WA6Gx) gWMy3BW !oCL},:zdqg}\ pSBH1(Y@%!0#XV)TS[~d! yZi*#쾴/~2b͘9eԁ*Dn|--ulJ_{Gql1 ֬Y_s|(i'L0cBI`ܖ}k.sH!n*)kXL[M Yf۴ acyY<0Ml^%\d7wݗ Q -]]>C|ne;OŌq#yًC[^e8-K[4Nh1+ad 1m[&=xkZ,sqʎ%+?$ZwBM5 ihս8bt?/|{Q lڼ&O>3fNuRaƮ+քB G64532jCO o톮t<͙uǞ ?/ )8CG^s͝}Hʻ6 8<3]=gMOǓni*m:6|{8u XG(V ! cFy)s\1aL'e1Cv銎IMcXf~9syO_cqѲ',]/}̙W)/ڍyjԏ+,9ߨ&Ԗؕ]߮g+2Zݛ_*O~GYdUV`qєC+WiGu lC 3TV4x{ߟ?mG6{s.~]ㄦBxW~?YD-cӝ~E} DL !k cF67eAyQ[`_i]SӸ+}nydZ>]YLzUVwt^Rm7;&0ačןs/wo~)[Le- EB棫O?S,gv.{bͲkUw<{ ):n>4 {W^{gyv˂e- ]3BؼE쾴=]1!2cڴR 1~ pM`S1r%ӯݧjh*_q!^07_Xsھzh93^bc(:夷̝>;|_q #n#MÆOqi=Ν1sJy!!nX󧰨k(8ㄆ,!9qrŷn>8<ͯk{BJixcg䓛fn%k7>^x'7q”Iޱek 1bm!C)=tȉFSJ:rlᇤb!{k|BϏu%O?k6v@̓ɓƟ0޹/v6Mi:;/^|{/,GuʕOƏ?txzҟ Śa De(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@uK -(P@urIENDB` $$If!vh#v=#v#vC#v:V la  t(0j$6,55[5M5 p(ytq$$If!vh#v=#v#vC#v:V l4 t0j$6+,55[5M5 ytq$$If!vh#v=#v#vC#v:V l4 t0j$6+,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq$$If!vh#v=#v#vC#v:V l t0j$6,55[5M5 ytq s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666866666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p(8HX`~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH <`< I5NormalCJ_HmH sH tH DA D Default Paragraph FontRi@R Table Normal4 l4a (k ( No List 4@4 Z0Header !2/2 Z0 Header CharCJ4 @4 Z0Footer !2/!2 Z0 Footer CharCJv2v i\0[Basic Paragraph]d 1$7$8$9DH$!B*OJQJ^JaJmH phsH HBH J0 Balloon TextCJOJQJ^JaJV/QV J0Balloon Text CharCJOJQJ^JaJmH sH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] uR PPPSD" u ':cf6<Bv|N/ u  !"#$%&(')S!t ,b$qޑzX+n8  0R@J 2(    A6?> "RCH General A4 header vertRCH General A4 header vert.pngS"?0(  B S  ? S.j@#%&()+,./sv  #%&()+,./sv33(>@@[[B B  / = >  4 9 : + 4"#002Msv(|M(k}З~^.oԅɈB*@C[tV  NWdfTo&oĤ ^`OJQJo( 8^8`OJQJo( ^`OJQJo(o  p^ `OJQJo(  @ ^ `OJQJo( x^x`OJQJo( H^H`OJQJo(o ^`OJQJo( ^`OJQJo(^`.^`.^`.^`. ^`OJQJo( ^`OJQJo( ^`OJQJo( ^`OJQJo(hh^h`. hh^h`OJQJo(h^`OJPJQJ^J.h^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`5o(hH.h^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH^`5o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.~}|C[tV  fTo>P        <        *T         >} o%~>y]eTx0J Bq#%@ZZZZu@Unknown G*Ax Times New Roman5Symbol3. *Cx Arial7.[ @Verdana7@CambriaaMMinionPro-RegularMinion Pro5. .[`)Tahoma?= *Cx Courier New;WingdingsA$BCambria Math hϻBGQK + +!24K#qH?'Z Jacqui GlenisterCarol WhiteheadD         Oh+'0h  $ 0 <HPX`Jacqui GlenisterNormalCarol Whitehead3Microsoft Office Word@F#@m@Vj:՜.+,0 hp   The Royal Children's Hospital+   Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry Fݣ:Data 1Table{2WordDocumentK\SummaryInformation(DocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q