Anda di halaman 1dari 65

Periodontitis Kronis

Periodontitis kronis adalah suatu peradangan kronik yang terjadi pada jaringan
periodontium yang disebabkan oleh penumpukan plak pada gigi yang nantinya akan
menyebabkan kerusakan jaringan periodontal dan tulang alveolar.
Periodontitis kronis ini biasanya menyerang usia 30 tahun keatas sehingga disebut
juga adult periodontitis.
Karakteristik Umum Periodontitis Kronis:
Karakteristik umum dari periodontitis kronis ini meliputi:
a.Adanya penumpukan plak didaerah supragingival dan subgingival.
b.Adanya inflamasi gingiva.
c.Terbentuknya poket periodontal.
d.Menghilangnya tulang alveolar dan adanya nanah.
Gejala Periodontitis kronik adalah:
a.Adanya perdarahan waktu menyikat gigi.
b.Halitosis.
c.Gingiva yang membengkak.
d.Adanya resesi gingiva sehingga gigi tampak panjang.
e.Poket periodontal menjadi dalam.
Faktor resiko periodontitis kronik adalah:
a.Faktor Lokal
Penumpukan plak pada gigi dan permukaan gingiva pada bagian dentogingiva
junction merupakan faktor lokal penyebab periodontitis kronik.Pada penumpukan
plak tersebut terdapat mikroba patogen dan virulen,seperti, Porphyromonas
gingivalis, Bacteroides forsythus, Treponema denticola, Prevotella intermedia,
Fusobacterium nucleatum, Eubacterium.Akan tetapi,bakteri Actinomyces
actinomycetemcomitans, Campylobacter rectus, dan Eikenella corrodens juga
menyebabkan periodontitis kronik.
b.Faktor sistemik
Perkembangan plak untuk bisa menjadi periodontitis kronis umumnya berjalan
dengan lambat.Akan tetapi,ketika periodontitis kronik terjadi pada orang yang
mengalami diabetes melitus maka akan menyebabkan kerusakan periodontal
menjadi cepat.
c.Faktor lingkungan dan kebiasaan
Merokok dapat meningkatkat seseorang terkena periodontitis kronik karena pada
seorang perokok terbentuknya plak dan calculus lebih cepat daripada orang yang
tidak merokok.

Pemeriksaan periodontitis kronis

Pemeriksaan klinis dilakukan pada jaringan gusi dan melihat apakah ada gigi-gigi
yang mengalami kegoyangan. Hubungan antara gigi-gigi rahang atas dan bawah
saat menggigit juga akan diperiksa.

Gambar Pemeriksaan kedalaman poket


Kemudian akan dilakukan pemeriksaan yang disebut periodontal
probing, yaitu teknik yang digunakan untuk mengukur kedalaman
poket

(kantong

yang

terbentuk

di

antara

gusi

dan

gigi).

Kedalaman poket ini dapat menjadi salah satu petunjuk seberapa


jauh kerusakan yang terjadi.
Sebagai tambahan, pemeriksaan radiografik (x-rays) juga perlu dilakukan untuk
melihat tingkat keparahan kerusakan tulang.
Perawatan periodontitis kronik

Pada kasus-kasus periodontitis yang belum begitu parah, biasanya perawatan yang
diberikan adalah root planing dan kuretase, yaitu pengangkatan plak dan jaringan
yang rusak dan mengalami peradangan di dalam poket dengan menggunakan kuret.
Tujuan utamanya adalah menghilangkan semua bakteri dan kotoran yang dapat
menyebabkan peradangan. Setelah tindakan ini, diharapkan gusi akan mengalami
penyembuhan dan perlekatannya dengan gigi dapat kembali dengan baik.

Pada kasus-kasus yang lebih parah, tentunya perawatan yang diberikan akan jauh
lebih kompleks. Bila dengan kuretase tidak berhasil dan kedalaman poket tidak
berkurang, maka perlu dilakukan tindakan operasi kecil yang disebut gingivectomy.
Tindakan operasi ini dapat dilakukan di bawah bius lokal.

Pada beberapa kasus tertentu yang sudah tidak bisa diatasi dengan perawatan di
atas, dapat dilakukan operasi dengan teknik flap, yaitu prosedur yang meliputi
pembukaan jaringan gusi, kemudian menghilangkan kotoran dan jaringan yang
meradang di bawahnya.

Antibiotik biasanya diberikan untuk menghentikan infeksi pada gusi dan jaringan di
bawahnya.Antibiotik yang biasanya digunakan adalah amoxicillin dan
metronidazole.
Pencegahan Periodontitis kronis

Sikat gigi dua kali sehari, pada pagi hari setelah sarapan dan malam hari
sebelum tidur.
Melakukan flossing sekali dalam sehari untuk mengangkat plak dan sisa
makanan yang tersangkut di antara celah gigi-geligi.
Memakaian obat kumur anti bakteri untuk mengurangi pertumbuhan bakteri
dalam mulut, misalnya obat kumur yang mengandung chlorhexidine.
Berhenti merokok
Melakukan kunjungan secara teratur ke dokter gigi setiap 6 bulan sekali untuk
kontrol rutin dan pembersihan calculus dan plak.

Periodontitis Agresif
0100090000030a130300000021c2010000001610000026060f0022205
74d4643010000000000010080f6000000001500000000200000cc7d0
200cc9d0200010000006c00000000000000000000003f010000ef0000

000000000000000000232c00000b21000020454d4600000100cc9d02
000c0000000100000000000000000000000000000000050000200300
00c40100001a010000000000000000000000000000e3e306006e4e040
0460000002c00000020000000454d462b014001001c0000001000000
00210c0db01000000600000006000000046000000f0430000e443000
0454d462b224004000c000000000000001e4009000c0000000000000
0244001000c000000000000003040020010000000040000000000803f
214007000c00000000000000084000053c430000304300000210c0db
010000000000000000000000000000000000000001000000ffd8ffe00
0104a46494600010100000100010000ffdb0043000503040404030504
040405050506070c08070707070f0b0b090c110f1212110f111113161
c1713141a1511111821181a1d1d1f1f1f13172224221e241c1e1f1effd
b0043010505050706070e08080e1e1411141e1e1e1e1e1e1e1e1e1e1e1
e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1e1
e1e1e1e1e1e1e1e1effc000110800f0014003012200021101031101ffc4
001d0000020301010101010000000000000000040503060702010800
09ffc4004110000201030302050106040404060203000102030004110
5122106311322415161710714328191a1152342c152b1d1f0086272e
11624334382f154926393a2ffc4001a01000301010101000000000000
0000000002030401050006ffc4002c110002020104020201030403010

000000000010203110412213113412251051432614291b1c1152352a
1ffda000c03010002110311003f00f8d0e41a61a7de9422391b8f43445
ee9e80e6338f8a092c6566c02297b9490e71941f03eb6b81fd2c0d15f7
a201f30149adf4c74c1f1987d28e8ad554f98b3ff00d548946392caec9
e3a25fbf0662806e35ea5c4a5376dc0cfeb5e178e3042c78f9ae77b4c0
614819f6a1c2fa0fc92cf64ccdfd59c11f9e2bd2bb8e582f26bc8d181da
233b8f73e94425bcd227e12a7dfd6b19e597e8ee2b2b699417419cfb7
1465b68313102179547f895b8cd476d6f70b2025588071f5a756324d1
9cb40c47b038a5394b3c31ea31c7ca24b6fa0dd00196e95cf7dc70476
fdabb3a6df5a0322be4fa7cd1916ad22c5e1e5b693c05ec3e0f1454175
1dc2ab7867cec376d24927e28f96b9056d4f807d3ee6e6250d32962a7
2371e4539b4d61b68656c9cf0370fde96c912c93168e418ef861e9506a
1188e352ec8a47076f707b73ed4a964a212896e87518664712329c60e
d3dd883ef4c206d3dc8695dd256f370c31f22b3bb7bc367b96424e083
8dde619ed9a353508c3abacd2124718eff0022929cbd8e7b1aecb5de4
2cf213a7940109dace46403f3e94ae6bcd4ad7ccf1e63031c608273ebe
ff5a0e0d73742abe64006492d80d5fa0bfb791c6fb72eabcf39c7e554c
1af64b667d0d65ea08858be610d28388d028fa727bd26bbd5a1f0199
a09567c654118c9f7e28b10f8d1b33c4db7baaedc738e39fd3f7af66d2
0dcff00ed872878007a7c56e50bf97b456e6d618026460188cf3faf15c

0d65d8858d242718ca8c934f66e9d6481dbc33e2063b70b9fa01fefd2
b84d275282471b8050a709cfaf7ff7f342e307db18ad9ae909c45712c8
5aecb246982ca3924fa0f8ab1d94570f36e0855ced6e17207a01fa5769
0df1b740d608fe65dd9eec7d07ed535bc92461a6fb9dcf88467ca3201
03d3f6a3cc52c203326f321b5b46ac7c36d9bb3920f1f98f4af6e55002
db7c8d8054fc7cd29935066c89a395580edb7f07ff66a48f548562c4a7
68de02ab7739e3f5a9e55e594c6dc23f4f16f9a468c7973b8a6d0304fb
7c7c542a7b0628a57d718a2a792364dd0baa0c6079b39f9f8a098994
ba9f0d8e7f12763ed9f5c52dd4c6c6e4170ca570a5b073df3feb4c2db7
c89c157c76e452112ee9c82fb3fab69395e3e68a82ef6a8da0657f1638
a4cabc0f8d992d167346260cddd7ba91c83f3e847d69bdbdb2c8f899
36be0f86e4e460f700fa7d0f1558b2ba8ae230adb5d9403cf07e80fad3
dd3a78da3f0648180ce7c4858829e9cfbd1c503318c2c8b1ec56628ae
0b617231ec47a1af5e42ea556446dc0152a3ebdf3fe5434324818a5bf9
c72438f2b0e7b106bf4d334b29691644724eec2820d0cba052e4ea70c
e896fb963651d8f63fe940cbdf12673ec3d288965669498f61daa0104f
f00bc5453347220903847e41e318ff5a4bc8680ee0b6ee1c79f3f91a864
976e195f048c8c0fd6a691e366cb2b72006e3b54172b1e7c3242b0c90
7dc7b1a0f66b0097ca3f1138007e468194ed3e6e7db8f5a617081d7ca
c48f7c7a500ed92232c7df9a38bf404ba30021a56ee31fb513179542a8

e715ea4476ee38c7ad7a37310140c67dabbacf9f8a3f65d0f3bb23dab
b8d2666c9e3e49a32dad491bdb0d9028a9ed5a2897ca0b1c66952b12
e0aa1437d83c3a71936e573f24d33b6d2f230c028cf18f5a97478e4de0
4abc678e71914f1515367946d6cf98f6cd4765f2ce116d5a78f6c00699
146c3728271eb475be9f1a8f30008aeda48d93f998c83c628886ed7eee
72a18fa67b8a9dca6cb2308c49bee51ac5e55feae4ff90f7a922b3563b
36ee2d8c93d87c50f15e4ac46e3e9924f71465b5f6c9d5a400e4704fcd
0fc905b5339934b4939da1727385e3ffaa867d263560ca0e31c8048c1
3fe79a64f750a4a5b787dc7247b8f6a8dee865bca154918c9edf4a646d
98a74c58bff8348cc3c392511aaed2339fcab89fa765dc14b3648e727f
4a796d7688c5c28538f2e3fdf7a3e39a196dc162793b9403da8fcb63e0
5f8209f455edfa6b170a2553b9f9620e4814c2cfa5a37645e464ee00f27
e2acd1b4170cbfcb2cd904e0e4938f5068e37c44cade026481918e0f71
9e28e119bed992d8ba456a3e998e288978c0656dbb87e107dbeb4ded
3a6d513c494f03b0ec7b5369258e6b0693700fb9728149edebc9ae34e
99ee25642bf84175271e603e4f6a255e1f2ccdcb1920b6b08db788c05
1e992467e3de98c5a742b22c7143112dec08181dfbf7ae45cc6de5013
3fd7818208345c63ff002f0318caab648ca6723dff00bd6aadfd98e48fc
74a863b868da457e7c98c647af61debc3a3c570fe58df84ce42f97e33f
34c3c4863484e1959931b863231fbf34769932cb118d2680302a54b12

09e71cf1f5add8d82e58121d0502b278723a03cb6c3dfe3fde2bb4e9fd
d1f86d0163b8f1c903de9fdedf020c0ce4b020633c76f7f51c7ad7965a
82b32a0f305f7381db1f535be260ef107fe198cc9f819380186324f1f3d
a81b8e9d8c025a312210429c0c027d8e38aba5f5e8dcd1b969380573c
71dbbfbf18a55777d1ee24c185ee147191f3e940e0c38bc94fbce9bb79
549102807006d62067fde293dff4bcc9b5e399982fe146e40f7e456832
ddc12aabc1888bb82c19b2146076f5f7aee792dd8343949070c085fd7
9a0f24a26bad3f4645a9e91ab468045124abc6645e47d0d2817d2dbd
c78570c6361c79b8c8feff4ad9ae34f864944f0aa91df00601f9a4daaf4
ee9ba94522dddb2738c60e09fcc7ad12b62f868cf1ca3ca65334dd4a1
10c7e64427fa81c861ec47a559ac2e95a346676c13d81efcf707d2aafa
af4bdfe90af71a7c925ca2927c3c79d47c9feaa8b43d5b846899636076
3c4dd8fe5e95e715dc435667891a7dbc714c59fc611b29dca1fcc4f61c
1152324de55ca19bb838f23ff00a1a41a5dc78d2a421b2e14b28c039e
3d0fa8fde9ec5e1e0af899dcbcab3923b7f49a06b2100de42c08920dc8
49fe6c4d8c13f06866f3bb6f4213b607f7a6f2a7f2f6b32cbbb1b8646e
4fa1a0656553e5dddf0491dbd3349b03882ec2010b8e14607fa50b36d
65638c13d8e382289bb75dfb5b018fa8f4a12525c10392063b77353b0
d03ddb6177ae30a0739e6819c2e1980c0e338a32760d11c279877e7bf
e5405c77f0c02370cd1c7b025d1852ab49b4479f62c7d69c69d62576c

ae3711d853bd2ba3af0806ea68a1c1fc1f88ff00a0ab2c5d3f668a3706
6c7724f7fcabb7384e5c23855d95c396559238d4338c0ce3b8ec6b897
2db9163666c71e5cd5c974fb58c1f0e24e07aae6a411aa9042e3e9c50c
746fdb18ff2097ed894fb2b7d4674d96fa65dcac3d5626352dea6a568
156eec6eadd8720491919ab9dacb046ffcedc57e0d34d4758e9b3a7a4
71d9859c7e2766049fda9ab47003fe46cfa33486e817c1eedefc51f148a
17255540c6416ef53eab26973658ac5f8be87f6aadde4f0db3930df606
7f033671412d325d0e86b64fb4580ce06d00267b7e21c8a95a7531000
154cf94039fad53ff00f10c70bed924f1149fe939c1a3ad35eb2930588f
a60522543fa2a86a57d967dca63461b588ee3da894904d104fc3281db
1482df50b57dca8f9e3d76d4b1dd7c3fc623142aac04efcf4c6bbd80c6
e5c7b039cd116775e750a0018c9a4725ec6843063823cc0a639afdf7b
8b8649d79ef46abe4177fa2f16370bf7695ca761dc0c11fad19a6dc2dc
23ac822c15e09eff009f1548b5bef0f29e2bb83df09e94cb4d990cc731c
ceea41e4e062b76e0c8cf71644bb92d66236c2d17284838fa1a96cee23
661e23a05c92a429627e2925ddd1452ff00770013df04e28ad2ef6460a
9c94f4609dff5a1e466781ecccb345b958807b855c0e3b54c970ad1266
7b872a30016c0fd31c5279f509126ddfcbda0e003807150bebb6aaa59
ee13393952fdb3ed8ad4b263e0b70bc8f646ed36e65ce392c47ebeb53
45716e30aaee19867707208fdea86dd5367649b8c824cf61e10c63ff95

09375f4e5bff276f851ceee00cfe42989242f1293c44d27529ed72b224c
03e06e209273ebfde83b3d5acadeeb6349363821515bbfcd22d3ae2fef
604babebe92469007f0d7ca8b919edebf9d16658d338603de9918a62
a527d32c5a8ea91dd5b858a0767c8cbbccd823db0684852492158d58
ab01c1524ff7a4ff00c4228fb924fc5110ebff00777063273ff2d3557113
2959e90ee5e9fba68d5d25be11b905cfddf001f83935e36937cb20923f
bcc7b47076631f3413f5a6a12442069e7f0f392a1ce3f4cd0d27535c37
0dbfe85eb1e9ea7e81576a10d96def628d10775ce0952383e950490dc
ef5ddb59d071ce307de9636b6ec3712437b7a57e5d4ae0b6fe0fe74a7
a2a585fabd420ebeca101a22ebc8240e08c7ad56fa93a4ed2ee24bcb4
8e28aefd80e0faf35605d5d4a81227c7bd46b22c93031e36faf1eb4a96
8f6f306321ab94b892295a25f8b7bd5b4bb8a48de33e6c264823d47bf
d455df4ed423b82caa558be4a12093ff00529f7a5dd49a28be51751c4
893019465e01f83ed41e837d0460db33147504329077c6c3fabb7ee29
12834590b532cbe1edeeaaf93b8b0eec3fef43cfb958b16e1cf00f1cff00
ad7900668fc49a32aa1bf128c06f91ed52dc86c29402504e304f23d8d4
b644a62c0dd449310c33851920d0f222a32c836f2704d12fbb7fe2560
d8048ef424cb9947a01c0c7bd4ed61860370db5768c8cf639ee280970
c434792718ce6995d4659bd4faad2f923c41e5c820fef45106426173ce
4af35e3ddb0e4b93f15f847863eb9a02fc85c9cd7d2b67cc46b64f36a1

b4719cfd680b8d715436e8771edc362974f232e4f34b2f1b0a4e72c6b
3705b301b79ae48d811e1491db349aff5a9972aae5dbd87615f85bb4
b218a06cb60788fec4fa0a94699676fff00ad2066ff0008a07365b4e9d
35962696eb51b839f1180f60285682663991ce7fe635a468567a7f8209
8d7f3153ead6ba5f804ac08081ed4b536caff004d1c198c766fbb95a2e
1d3a461954cfe756bd32cf4d67fe73c5c9fc39ed4e97a734db8526dd8a
ffd2c685d8ba190d1a650edf4fba0c3c332a7e7906984706b29928030f
6db8ab0c9a15c5a5d46b1dd3323301861db356c5e98b98ad565fbd28
0572770ed59bf9c1eb349b3065cd75aa44d892dd87e66a48352bc1e5
6818fff002abcdddbc70b159eeadcfa1c8cd31b7d2b449ae952db5542
bb4659edf673f1c9e287c885ad3fda33f8f53be8ff000c048f9a953a935
1b775fe41047a03835a15cf4c4fbbf937b6cf0fa131d47074459c8a5ee
b519c7ae115507eb44f3f4515e95639ff006519ba9754b8cedb791437e
2f3900fed532eb5751c69b1577f3f89c903e9cd68b61a1f46da9db3cb3
dc3af1df3526a16bd250918b0383daa777f3da1b1d2433d33376bbbb
902c9388b69ed941938f5e68844bbbb758edd2754f78f2a31f955f0ea9
d3f1c4aaba546c62521495192339e4fad35d23ab747b696211e9d0c6d
10ddb97cc2439cf20f1c76c517957fe873d3c52fd851edba42716f24ff0
0739e76e3c32d19c30f539355fd4da7b6730b234641e46cafa160eaed
27528fbc7c8c10a8140cf3d87d6a95d55d3561a95fbcd04a23cf2714b

9d89fed6334b57cb162c149d1babdedade18e559f312ed57400f1f229
9c7d53a6cc0b4970d193df74441a24740ab9023ba049f7140ea1d077
d18658a64661ecdc512b27f43e5a0a5bcc58647ae69b337935084b7b4
9c51f048d28042a30ff00146c181aa2dff4e6a96a3f9d6ce547a814aa3
9af2ca42d0c934247b1228d5bfc89b343f48d50a7e5f5ae4a60f239aa6
e8fd5d38222d417c641ff00ba9c30fa8f5ab7595f437110922916443ea
29d1b32736ea1c3d0446a586de07d6a748f673b8e3e2b91eea6a68f91
b73de9ca4452ad339662e87079152d85e846dae3d6a1915a33c8c0a5f
701a39437a13918a3ec9dadacbf59cf04f085da338f4f4a55ae6908b70
9750a8597beec6037c1a0b45bb2b8515688425cc0cb2b653038f5a9a5
1c3e46e71ca621b091c1cc84007d71c7c8f839a2cc4db77f94e49557ce
318e769f9fd8d0934335add3f86c7664129e8c3dfeb52cd21921f12dd4
ae790a4f76f51fdea3d454e3cfa2dd35cace3d8bae9a327c48c1da3f10
c6307d6a1ba6fe5164cfd6bad473110ad18563f3e9504a4c7318dbfa7
9201e2a0945f65d9441e2b041bdbdfb7f950f3a8ce7dfb8cf7aeeeb0ae
ca320f71f5a899f6f9b956dd907bd7920242f388b2f8078239f9a43a87
e234faeff000e0522d43be029e7dabe87393818c2c89ee31ebd8d24d5e
e3c0859cf73c01f34feed3385f6ef554d6cf897db3bac43f7a2e85672c0
bf88cd6f6a218f8663b99bdebc81e694ee766c9e7bd73041e2cf9c703b
539b3b15dca24257239e2972c22986f7ec8edaf678718918003dfb541

35e6a17ae577b84f607bd1f716cb8c2a900f18f534d746d295bcccb8e3
8a539a8ac94a8d93f8e781259e9f3305c06156ce9a92e2ca745724ab70
727b532b4b35862ced5fd2bc16e58ef45c67f5a9e76b917e9e8f1bca63
d9040c7c6b8c15519c03de946b9ac6a37cad12662b71dbe6a4923933
182c4ae3f0914d60b332216dab8f4046697bda65d6bdf1c2286f15d6e
cc9b8939ce4d72a6ed70a18818c7157ab8d0fc45322a8191e82a08743
1190dea3b823bd355916ba39ae9b22f29955b4bdd56d58345712150
7b12714c9b5cd42593c3932cb81b403c0ab245a62052c522ca9fc383c
ffbc577a6e836eefb9a30549cff00da827868a699591f8e4aea5d4c251b
b2a0e33c7ad338ace4b8712912b81f841e714f97438d9d9f6aedee01a
7365631c71ed1114f2e383524a29b2b8ca5f6526eacdd5595a339f8a0
4e9b3a47bf6b2b16e013835a3dde9e6e11e48602db17731f61effbd2b
4d3a49e4f3aee23b1cf615a93886fe48a8416b770e5a2dea38ed447dee
f173bda50e06339abd58e931bc0cbb0641e7e943ea1a3a06fc3e6f5a2
787c8a8ee4f098a342ea29bc4105e0da7d1fdeadd6f24130dc0875e32
4554ae34b449f7638c71f144694a526dab23281f346ad716595cb3d96
9458e4046d46c7a3006ab9d43d2167a821648c4727ba8a64f332a1d8
dcf6c8a8a59a4580b0ba753ed4ef2c65d8539463f289917506813e993
94914e33c1a0f4bbdb8d3a70f04bc67cc87b355b7ae26d52485d95e39
9179c14e6b317d7a28e42b7103039e769cd7a3179f892db6d4e3f3360

d135586fa01246ddb865f5534ee23920820d633a07505b457ab2da5c
0cff546dc6e15abe8b7b15dda24d0b028e38f83ed55d72cf0ce35f5c57
ca0f2872c8244fca96df464019f4ee29944c76e4120e284bb0241db9f7
aa228e6dd93f6959c9c007356fd2c318b3819aab696a14d5ab4e6dbb
4e463fcabd64322abb08f52836b21fe91c67d81ed41496de0ce8db808
e5e0e7b67d29fdddb89ad085048c77a5eb0b4f65e0c9c3a76f7fad2eca
f7c301556385992bdad593c9b5f71c8c1ca9fc8834b36966dcc0b0e07
bf02ac7700b23975604f718c8cfad2ebc8d635da1b77038ae1cf29ed67
7e124d262cbec175d9cfa64d0774c9b490795a2eeb72a06ce31e84d2c
9b3b896fc1ea7bd044c9115dafc11496ea32f21ef814fefd7838a4970a
d876c90a3bd7d025c9c09cbe225bb2023c8c700027f2aa75832de1791
792e4f07e6acfd44fe1e8b772762b11c7e7c7f7aa1f4f5d18a711824367
8f9a292e00a9addc964d0ad0339c8e41c76a79f762d3678e3b6289e90
d28ea1790dbc2de694f27e3d6addd43d0f79a75b9b888b49171c639a
92c9e1f2746b942388fb2a36ba7877cb73560d2ac0f1b549fca83d3e2
1129926386040da7839afa0fecff00a7f4f7d3e175811cfa965e49a54b3
2e1144ae552ce0c8ff854b23085626dcc381b6bf2e8d35b0659632a7d
32315f4fd9e816685645b78830f50a38a45f68fa05add58185615177b
7c4572393f9d2e553847749835fe4a32928e0f9e1acfc53b411bb3e86a
d7a274cde5d247e140db4f7c0278a4f2c3bb58834b85375ccd7091786

3f172c01fdb35f4df4ce8b0416b1471a280a028c0acd8ad788b28d56a
bf4e971d99558f416a7710b086c9db6a96208f4148f54d07f86b15d52
de4b646e0384ce2be9ab3b140cde8547a1a59d51a1d96aba6cd6b3db
2952be5f52a7df34efd33847299ce8fe4dca5f25c1f3659d9e9ccd22c76
e2ed542b17171e16541f32e08392476a709d397274c4d56e2d22d26c1
dcac265946e75cfa7ab6323271483a8ed62d075eb9d3640f1c9137623
865f423e29af4e17d72fedecccd2ca8388d198ed4f7c0ec285df0d9c9d
4516b138be3fd7f82c3a243d196e50ea57579724af996de1fd813516a
baf6816d7663d1f4e9a38b77944c41623eb5ab74cf4669d6b0a34b6b1
c8e4705876a37a93a5b4eb9d39e14b5b7f10a9dac23030715e5e4d995
1442f5b4f930f2cc2af64e9dba6966906acb3103c34409b3763cc49ef8
cf61417de8c36af1430c6a84f9bcbc9fcebad634ff00bbea13c11b12d1
39539f7fa536e92e9c6d62f42cc0e3fabda932b772ddd1d9518d6b737
c0a34894b0642ac5d89e31e9475c5ab60ee5c3e3d462b69b1e91d1f47
5468e04795e304bb0ce3e954afb40b7861bc89a340a589c8a5494a2d4
593d5af85b6622b832dd62c801bbf70683d36df24c863671eb81daac
3f739b57d5a3d3edfca2470a48f415a7df74bd9e97d25710dbc31aac7
11724e3716c77cd6bae5fd28a2ed6428c45f6cc6a711470bb8ee076aa
bde4f3484ed076fa0ab1de2b39c37195c127de92cc2188b65b8cd3556
f283b26b9178b192e91bc63c6de16b26ebed05b4fbd6755c239c8c56d

36f730a296073f1544fb4c9ed66b266674df9e17da9b0ca9704762528
bcf463d22b23e549047a8ad2fec975d68ef8e973b9d9372993c071feb5
9c4eca5b70ec7b11eb4c74699e09e2b9898aba3020fc8abe5d1c5a64b
c8e317c1f4bdb49ba315e94cf34bf40bb5bdb0b7ba5e44d187fccf7fdf
34de18b7b8f6a6400bde11ddac58e7d69d696db898cf240c8a122855
4631cd1ba747b66dddb3c539a473e32658eda35f0942ee0a7dc7ad01
7d0982e1197804f9b3eb4e74c5ca2ac800e383f1506b71299c28fc200c
7d6831c04a5f22b1a8c450bfa07fd8d57f525f2823cabdbbe302adda8
4064b6765c65467e9556bec499dcb95c7a570f5d0c4f3f677f4566618f
a14bf9a039c300b907bd289640502e7271c91c8a7776aa11bca178f43
4826f33300dfd5dbdea58f65527c05dd28723e94aafe2fe430ec0d375e
db4e286ba01e165f4ef5f4ca27cab999f75a8dba0dc28f5da3f7ace2c8
94d46065efe2ae3f5ad4fad2dcff049ff0023fbd64eec63983af055b20f
d296fe867f4a66f3f6516ed6fd58c01caf85c7c1cd6fb6b6d16a08b6b7
0aa55c806b0dfb31991ef92f4b03e2c6ac31f239adcf4bd8a04a72e02e
460e39fceb9bcb93c94d9e994aea9e9fb47ea3892e115ca4a240768190
3b03ee3b56abd196ed02231f519c0ed545b7f0354d7e69c8e130aa18f
3c7ad5ff42636f08f3e4d4f0fdd9f4366db8245d6d5f8008eff00150757
5b0bab1755dc1f808587a5056ba81c72c05317b85b9b66f124e40006
455526ad8389228b84948f9fba074a57fb78ea4bcba48a48ec6de28ed

c907caefdc83ef8047e75f4469a4244b860063800d67ba4d8d8c3ab5f
dec6a03dddc992561ea400a3f402ae3673a46aa39c54f4cf6c72cab53f
f63582d304e3c5dcde6cf7c8a9249d48da221924e0838a5d6b7509c60
d30864b19241e21f0d36fa9ee6ae83ddec81ac3e8c27fe21e1d2ac9ec7
59bcb766fe6783214e0b7048e4738aaa7fc3aeed4fabafae91a592c2d6
25542e3fac9cff90ad3beddb459756d263b7b1092ccf70122566c0e73c
e7e99a59f603d2f75d31a25e47a8158ee66bc2d8560caa000073f35ce9
c1efdad7b3bd55c9689f3cf58372b24d96d0f931b54e770e7343ea2e1
9b776f28e3da8717732b441257cb039321cf23dc7b50d7778b321769
1339f360e00ae94e71dbb51c25079c9f3af5c25ca7dafea1a4a348b1cb
8b94ec015206706b60fb3ed2a38208a4d8403e9ebf5aa0fda2e857d37
5e47d47a6333cb6ca8bb3c32c08c723f3ad17a4aea49f4c4964df6f918
dacb82a7d41ae4430f5387d23bba9b252d3470fd16cd68c48b0046dd
e4ee71dbd2b18fb4fd497efe2d90a878d4b7c9278fed5aa9585563227
57663c8f6aa2f5574ac1a95e7f147731b4bcc0e8792012013f9e6abb73
26ecc11e8e51aa5f217fd95e8a2d5c6a374bfce93ff4b70ef9f5abbf573
c27a7eee256579254644e3b9354ed1fa8a3d355b4ad7252278c1f0652
9c4a0761c763427537545b69fa59d4678e59a25202c68305d89e0027b
57a9bd4b0a3efff0081df19d966f9198f52c0fa380f7f1c8d1f00ecf424e
00e6a5d07a622d7e369d8bc302f04819c9c702a85d73f68d1eb1af4ff0

07889edad83810c520ddb40f538f5ad57eceba934993a5d556e1448d8
6efc30c77fcabd3928cb6b7d96f96f70e3b06bae82b0b4b372f23dc484
708ac723f215f387dafe8f7567afdc6c8de3b7ced55e78c57d57aeeb68
5161b174dd20fe9fc447f6acd3ed03a716fed65b8906e76049fad1c16c
96e4c4b8d972db33e6081610000026060f002220574d464301000000
000001000000000000001500000000200000cc5d0200cc9d0200a26c
8539e2984019542e38a6d79a49b5b87dcbd89c508c814838ed5639e4
457a6d86bdf65575e2e85f7766c9b790a8f807915a4582829dab1cfb2
0b82d7779176caa363e848fef5b4698a7c3c9a757d13ea97216aa3ca7f
5a9adf997cb9a8bb7cf344d94677f7aabd1ccf658742dccebc03c8a69a
ad98795c2f2817713de87e9d31060b32e53b315ee3e69eea28aaab1a8
5f09bfab1ce314b97412eca5cb0a8919011861549d47313ba7b31c7d7
b55eb50c2dcb2af6f7aa3eba07dea452dcf278ec2b97f908fc533aff8e9
7c9a1349e657c91df3cd22bd00b96e368eff0014da67fc596008f7a49a
9653c4556c93e82b9d08f274a6c68d1f0483ce6a0917f9269d6b7a5dd
e9b7461ba81e17033b58608a50fff00a9cfb76afa7c1f269959ea4b733
69d731e324c66b15be85a3958118e6b7abe50739eddab23eacd3dade
ee45dbc64e0fc5267c329aa3be2d0bf47ea6d5f498c259dcb26c3fcb39
3e4fa56dfd19f69bd5171a79b7b992cde46855b7f80011f90e2be7b8e
2696758d4724e2b49e896d9a8932e3698820fcaa6be2b1943a84e5c33

5ae91ead8adef23b6d42493c69646dd2e3cbcf6cfb56c7a7ea1a7c623f
1754b751220642641835f30dd5acd35da985f6bab82a01efcd6b3d1d
636f716e8668d59bd79e2b9ceb65b24b6e4d2752eb2e95d260f12e756
81be23258fe98ed4ef4aea2d3754d29e6b4bb89d55039c1c1c63e79f5
accfad347d2474e5c31876dcaa9f082e01edeb437d9c08af342b39555
4bec0adee08e3fb52e2a509ed3ce10957b8b4e9134d1bdd5adc5da99
1ae5a480b1c7958f0bf38ad074881a5544925f36dc023deb3ad4f4992
e221b15848a72ac3d2aa77dd51d55a3f56d8e9f73ac4c96d7208898e3
871d81e28658adf2b2838d6eefdaf93e8bb6d3a64705e40a0fa8345cfa
869ba559b5d4f756f1606d0d2380339f63deb32d324d6afa357bad5ae
5f8e31263fca98c9a4452da309e112820ee67e73fad535cd416631fee4
92ab2f1297f62a5f6b1d730b750e85656370258edee9659e507c9cf942
83eb80493f955eb4db359a22cad2856c3791caf3581f5f74fea8fa83c1
a5c224445fc47fa4fb56b1f637ac5ec9a2c363ad4aad7d0a80cdfe21e8
69329e6cccba675b51a78c74d175faecbdae991b26e91e595c8032cc7
81ed59e7daeac7a65a69d240b826f57722e72cb839ff005ad54cd02c2
cc655c81c0f56aa2757cf63777513491a4822276961900fad36c8292c2
21d1ee76a6cb4f46442e34f8a686531ef0a4faf18a2aff4778a3668ee0ef
2092c848c9f73f348ba175ab289858e767986cf603daaf13cd1cb193b
b70c773415d10d9b5f6856a1d955acc9d756ea0b2eabfe1b777cb269

d221656280b839fc3bbd38ad1d2cedee34b85616c22121413e879aca
bed06d449aa4b24571998f091464efc772781daa1e93ebbbad360161
7d2124708edc823d8d0421b60d4b94caadd3cad8c650ec7ff68b6b6fa
64705f9b58ee4acc0156ec411549d6b5cb1d73499f497d34c6920e0eff
c27d08a7fd71d476fae5b25bdb37390c4fa56697d3781a8c787cf3c8a
3a9284711453a7d329453b3b2a1d43d296fe29b7bab752ac72930186
3f19a27a67a334f86549239e7014fe1de40ab36bb347716ab0b302ce4
0047a1a2b42d3f11a912156c0e69b2b135868bebd3493cc7a1a58595
b59c61a345191c9ee687ea2921fe1f212a0f94d3948d52125c8240f6ef
554eb69f1a4ce5576e10f3589b61fe9becc8f52d316f2d8cf1a9209247e
b54ed4ac9a172aca41ad5740b656e9e8e4901058647eb557ea3b5824
b83c6da765a49934ab5968f3ec7603fc5ef1bd042a3fff0055b869cb88
45657f64b63e13df4ebe656744071ec093fe62b5bb34c463e95755fb51
c2d5e158d1205c9514442a37e0573b40707d85116c009436eaabd1cbf
65afa66c649e550b80c4673ee2adbae58345650f88000300b2f233fec5
71f6596d6f24ecf237618009ef9cd593afa38a2b0882a818ce0638c628
64647b315d546d989c939638aa26aed8bcb8ded8f31c55e75962d7a4
8f4aa06b4dba593383973f5ef5ccd7748ebfe3ff732bf71286bc38c0dc3
b77a0af19a373d8b63b1a227f2e485f539a5d7f2168df71ed801be2a4
4b92f9be0d03afe493f8ccc5ae5ee1320877ee7239cfe79aaa48771c8ee

2995fde477163b26e6488e11f92594fa7e54ad0f94e3b9aefb79e4f988
ae300f790f99b3d88c8aa9f53d8c12d9c8d220dea0f7abb0532a618f2
bc0a45af5999219147f50a54f92ba33179314b278edf5a467c6cdc57e9
9ad13a69638cc8d81c1e2b3ad72d64b7be963752a4310453de9ad5cf
dd446cd991383f2291359592ad3cd424e322fd0ea091cc546d0c4f7ab
d749eb925b11960cbed8ec6b179aec4832188707839a7ba0f5034788e
53c81dea7b619592fa255ca4e32361d5b5a96e9bcc57c33c7d0531fb3
39560bab9b43c217f1231f5eff00bd6716bad4371b6366e0fb55b341b
9fba4f14f1485b078c1c1c54d28ac17bd34675b8c0db43c6b0124e3cb
593f5f5959ea1a806909f1206dd1303f81bdead0dd431bd9e54b39c72
33eb541d5eee76b896691b1b989c7b50672d64468f473526f06aff661
acc77da6c6b332f8f1f924f7dc2afb752c62d58647e1ed5f35f47750a69
ba9ca1e4f0c4841dc323915a65d75a5bcba6b2c32ee765e36d629eccc
589bf4167978426ea3d58c734d1c6a8acc792bebf3f5a1b4dd62de09e
19ed5658658e2024dd206dcfea471c29e38355bd52e0156b891db3e9
9f5aabbf500b4b871ee73f5ad6d4a1b5a3b72d2a82c7a37ad1baba2f
bc16d4bc4688a103636307d3f2a0b57d7345beb378e4d456ce5fbc6f3
b94b7f490318ef9f5fcab1193ad18f914738a572eb934d3f99d88f4a6d
4dc574436d5545fc5e19b0c7ab49a74dba3ba8a6db26ddc87bf19cfd
2ae9a6f5c4ef644485f2470457cf70ea602e64930700d5ab40ea08cc2b

9917db6fc54d749b6551d3d762c4f92fd73ac5d9d58ea5138570acbe7
40ca4118208f5acf35ad57c0bb31c6490ad8cfcfbd35d5ba8a082d18f8
8b9c71cd53a2b7bdd66577b74c2b1e5cf6cfc56c71b125d0df12dd882
2da3a82dc59b392aa40e6aabfc425bed4330c6ef96fe919c537b1e972
1563b86699bb6dec2aebd33a4dac36593146adec076a38e7035e8fe3b
a6caa456132289a71e72385f6a77a53b28507bfc513aa85f1400178ed
52d9a46ab9e06056c22df658f6d70c24191ee68999b9f8aa8f5cb09acd
ad62e5e53b4014f6fefbc18ca23024fb5278ad5a69fc493ccc7f6a6e145
1149b6f229b4d33669eb1630156a87d5512c37457d056bb7d178364c
76e38ac9b5c8db52d752d53969640a31e95e9be92268acb6d971fb35
b1f074281d976b4c4ca7f33c7ec2afb6eb888e694e8d6c9140b147855
8d42afd07029c0201da3381eb5d482e123e4b533dd2948ed06723b9f
a54f121575c738c1afd1c4cf85dd8344242c1b71604679229e405efa12
77825811582976dd93dc81e83d69d75aea8d72817702a0918f8aa7e8
0c6178d95d94e410df4a9757bc671265b728068667a2b92a9abe1659
581c04049cd671a83168da5391e62dc9abd6bf3b47a7ccd9f33f941ac
faf5fba630bec6b93ac7f348ece81622d89e7dd1b1dec338c9cd24d567
021da87f137734cf559b6c3b8bf0bfa83557d46ef7b671cff8b3eb4b82
cb1d74b112ecade2827fbd750280f8eff5a0ec9c1c0278f8f5a32275594
1c1dbebcf35da670624caacadb476343dc5bef4e7f7a619511875ec2b

c6d928c2f6f7a5c8a6978786661d7dd30d7719bcb55cce83cca3fa87fa
d679656f2c37419b200383f35f415edaee0571cd523a97a58dc399ad4
247213e60780df3f5a549f059184772c94d86d2eee72b68be3303f87d6
8e8f49d622c7896520f9c8abff43585bd8c5b5802c010c48e7347dcb42
f73b0a8da0f6a95dcfa2caf4719beca369963ad46eafe0e07a65aaf9a2
4f76aa82781b3ee0f153b4d6f1a760a07a57105f3c9304823c8f4348b1
fb3a9a67e3e131edb5d5c00cde0b151df9e6a26dd7acc8aaec7e9dabc
b54988dccdb688fbba5c1f3827ea7bd254e28e82d4bfa16ea5a1cb6f6f
15e5bc8b2c64e1b07cc87d987a575a75e109e1b86047cd38d3b4d811
99a194c195f3067cab0f620d112e916e5c48f18008e446319fd6b24a2f
94316ad35b66b25575cd415602b823e01cd67bab5f4c262db4fc6456
b37fd3be3bef5e633d876fd6867e8edf6ef70b1c4ca9df38cfe9dcd1560
5d185ab1bf0642d777570cacb0c8c47b0346d9c3ab3b67ee72107d48
c63e95a7d974fd9cd845558a4ce31da8dff00c3d35a38f1631b48c827
d453d58f1d13afc5d6df367266b069fae5d848a3b32bcfe263daad1a1
74a5c87dd777f2463b9541570b3b5319085001e9c51de0e171c93ef52
cf2ce9c3475d6becaec7a3dab5d24459dd54f98b727eb564d3edbf872
2b4603c7fe1f8af74db18cce5981dfdfb5398f4d95e079235c28ee1bb1f
a51283c1439d70f8fa24b0fbbdec80e0c521e320718a64d6b1ac4c760f
96539142697a747e14921ba5b6914796375243fd08edf9d583a7b459

a4b29665863900c86659f6907e878a757096083516d716dc658453afe
d6346deaa682ba98c50f94e33c5685716cf0c4a258fff00ec40463eb53
59eaba4dbaaacda0e9b3907f118c827eb8346b1d37827b2f963296e33
2b5b3b9b806616f2b20eedb4e0532b4b09b781e1392476f7abcdd753
5a1c5adae956889d88009a035169e609fc93106190557231e943b23e9
934f5537c4a38293d5b71243a7306d8a369cee38c567fd11a6b4da94b
aa4a320129171ea7b9fed568ebc92f2eaf5746b79879ce5c14e547a93e
b46e8d611da5b2228091c600504f26994c37599fa24d4dde3a70bb97f
81a59c413f2fdcd318e2ce0376f5a0ec43380dce3b8a6b02308c37bf18
35d48a3e5ed965e0e93c345f3395e318a9add96422289720727de8499
09e4fe945db2785178edb599f2a17dfe68c4318dabb2c59e7032338ec
6a0bd9f168c09e5dbfcaa5b68c880923b9ca8f414bf519638d1e59182
c680d048d8f6557acee76c50db6465b2e47ae3d2aa176ea232780c063
e3345eb57cf717d2dc36324e173d828f4a41aa5c6d5ef8ef9cd712c9f9
26d9deaa1e3ad4449ad5df214aee1dc803d6aa9acddac76ec380d9c8a
6fa9dc14677dddf80d542d7afbef373b5482aa4f23d6aba6b23becdcf
6a35f67f0a340bf8b2771cd116d3eec64735a6f55fd8ddf461ee3a7eed
6ee3193f779b0b20fa1ec7f3c565d79677da4df35a5f5acb6f321c3472
aed615d25867294b1d8eadd8787fe75298d4aee43823da82d31c39c1
603eb4c0a2a670d9140d0d8cb0c8b7165c300685b88158e48a9a46db

92bc7d6849e671f1489459d1aed8b40f3d9633242c636f8f5a457a6e6
19b7b296e7b8ab1179368f114aa9fd7f4a5f72d1bee0ca092382c7005
4d3af3da2caaed9d314a5e78d3aab9e148ca9f5f8ab6e93770f8bba48
942018007bd51ae6278ee5641b320e09079029f5bcfb8a2c7c1f4239a
4cea6d1555726f92d2974ce4ed5033d87a0a3ed525970cb18008efbaa
ac6ea48cecf2fb01f347e9f7b2641dd8f6e71524a091d3865a2d76f6e6
38f214138e68a8d5ce37038a470dfb842c1f201e68c8355662a14924e3
00739a534b23e306350555b91c5196ab148be6519a5eb7459433c448
ce09c76a360f0f2194edfa722b30d7439c138851b785a26492385c373
964e7e9404ba7db83bb695fa1e2983142bcc83181ce2b996092345679
502b26e4e0f23e2989cc9da8aec8ee6d6c4c87c0473095006e6f37e58a
8469cb18dd14ccd8fe87639a360b35740c655cfe21cf18f7a63f74b691
37493c51371943db1e841ef9a6e65ec56edbc4588d6dee3c412c7295c
7a63fbd1f6924ac8629aea58f0495509b93b5136ab061e30ade21e636
07f623d4575b564231e47f6238347197b4c094e5d3255d26f24449639
e29e139cbc64bedf92a3915e44ba95a8d8971195ee0ae48352dbf896f
28961cc6dd8e3d47f7a690bc9730ec565c292402bc0cf723da8d48073
9a5df022b9bad6a64f0e4dab1eecf0bc1f4a2edba7a6bbb60cda8b413
91b951d0207ffa589c53a36ef202dbd4f183e502a58996de031b4c029
ee28e3de5889db34b11782b3a6f4fdc4aecab2bb4a09cae327f6a97a9

6d5348b6686ea4b859c0184421d5b233c107bd1d7babc30b936e0eee
d9538cd57358b992f65f12638f6e7fbd128a133b64da727c155b3b1c5
ccb3ccdbe694ff31c9ce07a28a68150b2aa2ed5c63b57623c70060668
88212cc3daaba61858473b55767326c32ca30140039a60ebb577761e
d515bc2a1473e95dcc3ca0e491eb559c7cfb21f33b92bd81a2f4f81a69
c024617fe6a0a393630cae47b1a67673c5696e6e64da6439c2b7a7cd1
a42db185f3c71c2557fa477f9ace7ed075321869d1121c61a6c771f156
6d57588b48d2dafa45325c104c60f60c7f09fef58edfdf5cc976f248496
2db9dc9e493ef5ced5db85b17b3a3a1a72fc92e91e5c5c47e18cbb671
ce3b0a45ad5e2bc47c3ec3f11f6e3bf3455f5e2ac64b36d2dc9c773f95
67dd59ae72f1c2c0b1edcf6a969ab2577dd8e80fa8b54c86863241248
073d855689afceece773124fcd704d74231c2223fa84212ad9141750f4
e689d49666d758b08ae063cae461d3e5587229cecf2d70ca41ed45d32
1300eb3fb20d5b4595af34391f51b0ee531fce8c7c81f887c8fd2aaa34
bbc55e70a7b727b57d5f0bfbd54fed07a2ff8c59c97ba2c76f16a2a376
c71849be0e3b1f9a3dd93cb83e7b1a4cdeb27ed5d8d2660a70cbff56d
e45339a6bd82e9ec6e2cfc0bd89b6bc4ca5707d7be693dd6a3a8b4db
542c3186da4edce4fa80681c90e8c5b3d87a71247066bc8e11dcb48d8
1417595b74ce817cf6767ac41adca8079ad836cc91ea4ff00de936bf1d
e5fbbc4aee36e3c424fe1e7b5238b4f90de784c5b1eae3d4fa52e535f45

35c5bf617178b752b4ad0c622cf0aa3b0fef45db5bba90e118927c80fa
7c9a9b6c50daa337627c9e85abf3c2f2aa08f3ca927279c7a9f8f6a9a7
993c1d6a36c1648a052d31563920f07bd32b58b748aa9c31f60683b2
46dd94c850d856fa0f7ab141a78810dcb48b2703bfa8f7ff00ea92ebfe
0e842ee7b03b8925855c22c6e154e771c8e6bad2c4d39f28591980544
55cb13c7000ae2e55e569648b6ed66c600e547c535e9c69a3d4e07813
372640b12a4783b8f03b739c9a5aad37c953b9ae865a7d8dfc6e56682
48318f2ba30cd325631c3e756c93c9f4fdaadda5e8f74d15a596adaa9
83ef6798f69db12e32371ee49a5dd7ba4a6837af64d32928a3041e492
338c7f9fb515b46c8e51ed3eb5593d8fb2a3717ed12954308c9c29671
8fa54b16a17f7016d4cba6c633b4076551924773ed5e2c3b9a3851449
24846d0b0ee6393c015d5bdbd8c733f8d6524b283f87700ab8f7f5cd6
574f1d9976a167a1adb5a5cdbdcb22df69c6618dad06a289f90cf7ae5
ee6dfef496f7598d9662266dc9ebff32f15ea7f08b8ba96193438e15976
b42f7372c04207707cbd8fa7191505c58da1bd11a2a411373fcb56900
3e98c8048cf1472a17a135ea1b7f20d1a8da5aea2cb3b4732424052ae
07e78ec7f5152df6a96af711f8377b830e4b4654293ce3e7da977f01b2
bc8de6bebcbeb57ddcc69a6bb92a072f92d8a4f75636b6d7ac96d757
1221ced2caa3f5009c1a0f134ba0fcb06fb2eb61a82ca3c1661e201c7c
8a616f7cb1ab2007359e457370b21721db68c8f0c72481fb53cd1ba82

d5dc417c5a07cf0d2a1507f3f7a38d6f3c92df6a49ed2cc6e2621ff009a
2353dfcdcd0724ca99199263f3da89896de61be368e41e84106a78e18
94fe01fa5510a11cd9ea9fb114de348784da3e2b98ece46396c7e75688
a2b5cf9e318f814ceca4e9fb7c3de5bbb019ed204fdea88d514493d549
f48a6c3a633ff005fed4cedb49c81c37ffad37d47aa7a32c558c9796768
17b6eb9563f981cd215fb48e939b504b1d3eeae752ba91b6c7058da3c
ccc7f214d8b8af6473539f2d0cce99205cedc7ce33429b55f10478766cf
7230055fb42d1752d42059aeace4d39586424e54c9f9aa938fccd4dab
743dfcb186d2753b58261ff00e4da99037c70c31fbd1ee484196eb5b6
c24c3a857dbc7b7d6aba6fa49a6542deb57bfb49e98d62d2d8dcde5b
b3c68b932c43728ff4fceb31b2900753ff00351e41473d7b792fdd2d86
700cacbdff000e00ff005359c6a773b18b16639c7f570455b7ed5aec5a
69d60dc79a79473dff000a562babeb6d2472411336338ca9f9ae6db5e
eb5b3a755db294897a935cd8cf1a49e6c63ca7b7bd536e243348643d
ea4bd2778cf342934f845450addb9e59ed786bf5734678fea75bdc472
0fc42a7201a5cf66a4ee8d8a9f8ae964ba87f12ef5f71599230c74f55ef5
25bcdb4ed6e0d0d0dda3b61bca7d8d14511865715b93c57baf7a36d
3a8adfefb6ca916a712ff002e4c63c41fe16fec7d2b0cd46c1a067b1bc8
1e39222432370438afa5564922f4245527ed33a522d7edbf8969ea3f88
c23253b78a07a7d7dab1f2145e0f9e6e6d55239e627397e707b8f8aae

88d9182614004e31df9e47d31571ba8d087b7991958336f465e41f622
96dd5a8f1048b903214ed18e7df34aecae12c0a16dfef5aac36eb8c377
66e4b00bfe5c57773b0db6f8d8e776d20e413f1eff009d1e2068ee6163
9dbc8638c6462879308f2ccca259366d8c1f93fef159b47ab7a3ad3de4
5b68e6706051ba23cf0303b0f73c7271eb53dfdfc7241b2120b160993
ea3eb4bed04efb43280f1b92b9ecca7d00f4ef5ed97dde1b96656e51dc
a0ef81e83e4f614a9c5b2ea6f4b963a895a0842b3ba3483722e3ca47fb
0699d9b5adba878dcade6e2c9e1c658673efbb18f6a497133dc2c732e
c0e232c097daaa3d891f53fad79a9eb504661689cb7878e7c30a01c7c
631cf3de85ac0d85d93403d48ee6d25ba66964cee8ca8c00738ed9c70
7149b5dbd9aea5dd3caed233132166cf9b1cd57ac3508de26999d1da
41b4961c291ce41f7edfad07a8ea6d0c703a13c927728ee4e07fad2ec4
e4b91f45f1adf05eb49d49f4eb796ead046d1b2646792a57f08fd79ae3
a6ee5bee0b64d3080cd2079e40e55db39c027e3fbd296ba76d396030
a2970b960368627273f238c7e4683d667fbafddae55866701a4d8c0ec
65ee303b7fda98938ac88f2c66daf6cdaf4efe111e8705c449178f6922a
3f88d91f84f989f5c9c7e7562d5ad6ce2b3b6bcbdb9865d43c56689c2
e232a324e3dc71e9eb5825b7518227b79577963900b1183d87c7ad10
9d4f3ecb2844b24a237202162540cf23e3207a62a856ac12781b7d9b9
5bc1a7de5b3c973756818b00563628f1f19d80963b81f739fa526eaf6b

7b316f3595ab0b76273f77894165f51b87ae33df159e49d4d776d612c
56c924abbb68407124607a1c7e2033c1efc734a61ea086787eeb79be4
44652bb5886049fc231db8f4ad73e05aada79c9a64f1f49c513adc433
5beabe1ac90892511aba11921580c1207be3eb48e68fa5750859ef21d
47c64e419272fc71c904f1f97b7c5556f2e6e1e54b19e41341e1f18c614
039da33c8eff15d4da87876e96ed1a6780a3d97031599324bf91f5b5e
6970dd18ed6d6078f612490479be9e9fecd733f525b4cf2c76da7da40
106d1b1dc827e771aa8fde9d35069373f87e190dfafbd0bf798c34d2ee
2033f183dfe6872f216d8b8f230d76ec5c2429990485b6e1646c1c7a9c
1a57ff87ac6e64f16581bfc0cbe2b707f5a87ef691c92c9248549c609f5f
703e2a4e9cb8bfea4d6bf82e836ab732121a694b1f0ad909e4bb0f5e0
614735ab962e4d410ef44e89d2750be5b2b1d1239a465e5dd9b0a0fa
9f81ef5bf7d98fd9f68dd2367baced21177281e35c6c01dfe33edf15d7
d9bf475a74ee9890c7ba6998ef9667e5a46f527fd3d2af70c7e94f4b07
3adb1cdff07b145c512898afc8b815dd6e05e0e59558104020f71582fd
b9744c3a56a1175069502c36770fb6e514616293d180f40dfe63e6b7c
a075ed36db56d22eb4ebb8c3c33c65581ff003fa8adc9a7c03f6eb2ccf
63a7a46fe5fbc4bb88ffa1315913c6aa31c66b61fb7fb0b9d27535d1ae
77096d2ee519ec194aa6d3fa7f9d643723193499bf931f05f15916c8bb
9ce40a825871da8e923618dca4679e6b9dbc735e4c1c0ad908ae48347

4d18cf143b27144a46f28fe9f437145c72a9aaf4371f3474371f35a4e37
314320f32835e2daed3fcb9197e2868a7f9a2926af1a763ef0a39dae3f
4a8a68b7f3e1ba37bad131c99a9770af1ec98b7daf7d9e6abac3ff17e9
c8d57525399636c2adc0fafa37cd5021e8cebb82d0c97dd3f3c657cccb
1bab91f420f35f541da7daa37542305450b826f2315ad2c1f23ddff002
d4452ef85d0f9e3932083ed822945c4db37b31551d8138afa8fad3a37
45ea180adf5a8127f4cd1f95d7f3f5fcebe6bfb69fb3beaee95b39356d0
a65d474f8416990c79754ff00111f1eb8acc336335ec446e1237676c96
041c0e723deba8a6b6dcedbb2db8311e873ed59a8ea2d5e4504d9c40
11ceddc39f7a8ceb9aa10336edffec7b503922c8c2cfa357b69a33ba20
f147bb8f40327be2975fc16ef7251724329660a3009f6aa1c1d5ba9c25
5469c8557b0c720fbd4927546af2ae56c6638cf39e00fc8579ca2cd50b
53e11a05848f122da9db8570c028ee71f3516ae6d61b89239a6445f05
581ec3f11e056727aab5212191ad5d00c01b1b9fcc91cd79a8753fdf62
549f4f946d1852ae011fb566638092b533538b5cb55d3ad95a4dfb186
ecb6723b7afa1e38ae2fb5059902c29b77214d83fa4e723ea08cd6416f
aecb1c6d1c91bcabe99ee39a72bd5d6ed1ed7b5953cb8dc8be607d3d
7debc1a6fe8bcc5717266170ac410ca9b3d76ff00da99adc5cf8091908
a4396c83f84e3f7ff00bd662bd5f09914496f72ea39c8da093f3468eb8
58508b6b0b872c3ff0071c7159846efb3d234db3b9ba8c3e5d85c0db8

319c71ebfb1a3ae2ed1aee357b63b800dbf69524fb923fdfa5640bd61
d4570a16d74f4214920ed6247cf1515d49d79a9b6596ec678f2c78af6e
8af66385af968d7a7d56dc4e2479412bb816c919e3e7f2a5f71d4da7a
b49bef220fb44608ee47b77c564cfd3bd59702356375b8e7f149dfdab
94e86d60b15b89951b38605f38af6f8fd98e13468d79d67a7da1024b8
5208382c47fb3496e7ad5ae2509a65b4f72a57960bb507e7ff006a5f69
d1363696c65ba98cc506e1b8e17f21577fb37fb3abbeb078eeae63934f
e9e8db8651b65bac7f4a7fcbeedfa56c7e5d0ab26e0b2c4fd1dd33d4b
d79a9b4725db45a54781713a03b01ce709fe27f71d87afb57d7ff0064
7d0b61a16930dae9f6820b75c124f2d21ff131f53407d9c74c5acb3c76
965691db69760022451ae173fdeb65b581208963450001e954452443
39b93e4e22b748630aab5ea1c357572fb52a1610000026060f0022205
74d464301000000000001000000000000001500000000200000cc3d0
200cc9d02003b6cb1c9ad042857eafc2bf569e3f5786bdafc6bc78c67e
dc3ec6f4afb43bf82f25bcbab1bb863281e10a4376c1607bd7cc3f6a5f
f000fdd61d256b26a165b35bd3e3059dedd089507bb467fb135f7b5d
f9668dbfe6c7eb515e5ba491b295041f8a07146a9b47f2d75b8c46d6e
5a46773180411c281da9630afa6ffe23ba034fe9d9f53d4ecf4f461aa38
58d88c25b3776c7d7b8fcebe6a9539c0fdaa3aa4f2e0fb459249a525d
30574a85e3f5346b2f1f15132669f90369f7c417ddb2698dadf0f7aaaa

4a3d0d4f0dd6d38ce28f24d82ed6f74a7d68e8a7aa859de76e69bdb5
d66b533d82c70cdf344acb9148e2b8f9a263b8e7bd68381bac99af598
114bd26f9aeccf5b93c4f2722966ab6f14f6ee9222b290432919041ee2
8a3382687b993284578c3e4bebee9f87a67ac2f74f1128b7ffd5b6e3fa
1bb7e9c8fca903ac2ab9d8b9238c0ed5a57fc4b845d774a9971e2bc2e
9f90231fb9358fdd5dbc480fe2fef5caba0fc8d23e8b4b352a54a43a88
40b170abb8fae051368149da06232c0b76071eb55ab3be6f136ede73c
e7d0d36b698ee0c48e0f7349b232894c364872d6f68d22a4b6f0b2bf9
49d80f35c4fa4e9d3b2a9b3b5620119f0f8cfd281174e1f79c9518e3b6
3f3a6104824dadbd300004e3033f158a6f1d9ae0be88e3e92e9c9e6c49
a7c618e318c8cfc519374174daca917dc115c6770698f271dabd327fe6
1984a17b6dc77cd1a974e936e561bc602e3d335b1b59e757f20b0fd9f
f004c40c1e6b1671b79f312037b63dbb7cd33b4e90e9d862431e9701f
30c33722a7b7be99a0953cad1b2f73c607c1f9ed45fdf080b1e5563083
cbe83f2ff79a3f203b1918b1b1812458ede3560360c47800e7dbe05012
c603c9b5c94518518db8c739c7cd1b3dc47bc16caf1824f3fa7eb42c92
46c4b28ee71b80ef4b936cd514802e21598995bcdb8e3bfa7b52cd526
82d211bf2c07e103be7fbd331f7cbebd4b0d2ed65bcbc91b11c518ec3
dc9ec07b9abf747fd9fdbe977f15d5f787a96b8c72981986d3fe91eadff
31fca9fa7a253e7d12eab530a97f256ba0becf2eb57ba8b51ea481d61c

87834d3c6ef6697d87fcbebeb5b84ba7b58d9dbd9db28fbddc111441
46020f81e800a6fa56930e996be24be6908dcecddc9a9fa3216d5b579
b58987f293315b03fe11dcfe66baaa2a0b6a3853b2564b748b7749695
1695a5c56d18fc2bc9f527d4d3b3c0a8e01b500a8ae642a38a20086e6
4f11c2d136e30b4b91f74bf34c61385ac3c4f5fab8dc2bf1715a69dd72
4d7064ae4bd664f026ac710eeed820d761f72d0daac9fc86af6d98342
841f415863299f6b9d2b6bd59d257fa45c0dbf78888471dd1c72ac3e8
6bf9f5d5da4c5a3ebd75a6c3e2116ce632ceb825870dc7b6735fd31d4
103c4ca7d457c4dff0015dd2f2695d723568c2adb6a1186c7ff00ca386
fec7f3a45b1c4948a289771661ceb81516da2e45a859719a1c94e0fffd
900000840010824000000180000000210c0db0100000003000000000
0000000000000000000001b400000400000003400000001000000020
00000000000bf000000bf0000a0430000704303000000000000b3000
000b3ffff9f43000000b3000000b3ffff6f432100000008000000620000
000c00000001000000150000000c00000004000000150000000c0000
0004000000510000007858020000000000000000003f010000ef00000
00000000000000000000000000000000040010000f00000005000000
0280000007800000000580200000000002000cc0040010000f0000000
2800000040010000f000000001001000000000000000000000000000
000000000000000000000000724e9352725293527352935293529356

935293529352935272529352935293569356b456b456d55ab456d55a
d55af65ed65ef65ef65e1763f762176317631867186338671863386738
63396738673967386759673967596b3967596b59675a6b596b5a6b59
6b7a6b596b7a6b5a6b7a6f5a6b7a6f5a6b7a6f5a6b7a6b5a6b7a6f5a
6b5a6b5a6b7a6b5a6b7a6b5a6b7a6f5a6b7a6b5a6b5a6b596b5a6b3
9675967396318631767304ee52ce42cc32c0639c430e534e530e630c52
8c528a424c424c628a5248324a528c528c52cc52ce530e530e534e5340
63905390539e538053d043d053d043d053d25412641e438e438e4380
53d263d474547454641253d474546454745264146412641264126416
84968458949474147416845684547458a4d27418949aa4d894daa4dc
b556849894d894dcb558a4d69498a4daa518949aa4d8a4dab518a4d
cb5169498a4969458a49684589498949ab4d8a4989498949aa4d4745
67454741273927350f4ed666396fd762d75e9552944eb552f75a38637
b6b7c6f9d739c739c737b6f7a6f396738679352b456596bbc779c73de
7bde7bff7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bfe7bde7
bde7bbd77dd77bd77dd77bd77de7bde7bff7ffe7bff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7
fff7fff7fff7ffe7fff7fff7fff7ffe7fff7fff7fff7ffe7fff7ffe7fff7fde7bfe7fde
7bde7bbd77bd779c739c737b6fbd77dd77de7bde7bde7bde7bfe7fdd
7bde7fde7bde7bbe77de77bd73bd739b739a73386bf562482da31c82

14a31c8218831c821883186218831862188318621882186218621862
14621862146218935293529356935293569352b45693569456935294
56935294569352b456b456b45ab456d55ad55ad55ad55af65ef65ef76
2f65e1763f7621763176338671863396738673967386759673967596b
3967596b39675a6b596b5a6b596b7a6b5a6b7a6f5a6b7a6f7a6b7a6f
7a6b7b6f7a6f7b6f7a6b7b6f7a6b7a6f7a6b7b6f7a6b7b6f5a6b7b6f5a
6b7a6f5a6b7b6f7a6b7b6f5a6b7a6f5a6b7a6b5a6b5a6b59675a6718
63186751520631e42ce534e538e534e534e634e530e52cc428c528a424
c528a424a528a428c52cc528e530e5300635e53405390539063d05392
63d053d053d053d053de438053d053d063d053d2741263d26412641
68496745684968496849674567494745684947454745674589498949
69494845894d68456849894d894d6949894969498a4dab51cc558a4d
aa518a4dcc55cb51aa4daa51cc558a4dcc51ab51aa4daa4d8a4daa4d
8a498949aa4d89498a498a49aa4d894989498949a94d684547412739
2735072dac41b55e3a6fd75ef85ed75a734e934e185f39637b6b7c6f9d
739c739c737b6f7a6f3867d55a734e17639b73bd77de7bff7fff7bff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bff7bde7bde7bdd77de
7bbd77de7bdd7bfe7ffe7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bff7fde7bde7bbd77bd77

9b73bc73bd77fe7bde7bff7fde7bfe7ffe7ffe7fde7fff7fde7bde77de77
de77bc739b73796f797371524831c41ca318a31c831c8318831c83188
31862188318621883186218831862188218621882186214935293529
35293529352b4569352b4569352b456935293529352b456b456b456
b456d55ab456d55ad55af65ed65af65ef65ef762f65e17631763186717
63386738673967386739673967596b3967596b59675a6b5967596b59
6b5a6b596b7a6b5a6b7a6f5a6b7a6f7a6b7b6f7a6b7a6f7a6b7b6f7a6
b7a6f7a6b7a6f5a6b7a6f7a6b7b6f5a6b7a6f5a6b7b6f5a6b7b6f5a6b
7a6f5a6b7a6b5a6b5a6b3967596739633967f662725a062de530c430e
434e534e534c530e530c52cc52ca424a424a424a428a428c428a428c5
2cc42ce534e5340535e53405390539053d053d2641e438253d053d05
3d053d053de438053d47414845274147414745684568456849684968
49474547456849884d474968496849894d6849684969496949474589
49894d894d6845aa4d89498a4dcb5189498a4dcc55ab51aa4daa4dcb
51ab51cc55ab4dab518949aa4d8a4dcb51aa4dab51ab51aa4d89498
a4989498a498949aa4d6845894968458a4569410631c5244a3552521
8671867b5569452b452b452f75e39637b6b7c6f7c6f7b6f9c737a6f596
b1763935294527a6b9c73dd77ff7fde7bff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7ffe7bff7bde7bde7bdd77de7bbd77dd77bd77de7bde7b
fe7bfe7bff7ffe7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ff

f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7ffe7fff7ffe7fff7fde7bde7bde7bdd7b9c739c739c73de7bde7bd
e7bde7bfe7fde7bfe7fde7bde7fde7bde7bbe77de77bd73bc737a6f796
f176bab390625c4208218a31c8218831c621883186218831862186218
62188218621462186214621861146214b4569352b4569352b456b456
b4569352b456b456b456b456b456b456d55ab456d55ad55af65ed55
af65ef65ef75ef65e17631763186317633867186739673867596b39675
96b39675a6b596b5a6b596b7a6b596b5a6b596b7a6f5a6b7a6f5a6b7
b6f7a6f7b6f7a6f7b6f7a6f7b6f7a6f9b6f7b6f9b6f7a6f9b6f7a6f7b6f7
a6f9b6f7b6f7b6f7a6f7b6f7b6f7b6f7b6f7b6f7a6f7b6f5a6b7b6f5a6b
5a6b59675a673967f762725a2731e52ce534c430e538e534e534c530e
530c42cc42ca428c52cc52ce630c42cc52cc52ce534e5340639e534053
90539053d053d253d253d253d263d263d053d2641063d063d053927
3d4845694947414741474168456845894d6849474526416849684968
4d6849894d6849684968498a4d694d69496849aa4d89498a4daa4d8
a4d6949aa516949aa51ec55cb518949cb51ab51ab51cc55cb51cc51cc
55cb51ab51aa4dcb51cc55cc55aa4daa4daa4dab4daa4daa4daa4daa
4d6845894989498a4569414939c5282931ef45f7621867d65a9352b45
6b55219635a677c6f7b6b7b6f7b6f9b6f7a6b7a6bd55a734e175f9c73
bd77ff7fde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7bff7

bde7bde7bdd7bde7bdd77de7bde7bfe7bde7bff7fff7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde
7bfe7fbd77bd779b73bd77de7bfe7fde7bff7ffe7bfe7bde7bfe7fde7fd
e7bde77df7bde77dd779b737a6f796fb45ee624c420a31c831c821883
1c8318831c6218831862188318621883186218621862148218621862
1862149352b4569352b4569352b4569352b4569352b456b456b456b
456b456b456d55ad55ad55ad55af65ed65ef65ef65e17631763176317
6338671863386738673967386759673967596b3967596b596b5a6b59
6b5a6b596b7a6b596b7a6f5a6b7a6f5a6b7a6f7a6b7b6f7a6b7b6f7a6
f7b6f7a6f9b6f7b6f9b6f7a6f7b6f7a6f9b6f7b6f9b6f7b6f7b6f7a6f7b6
f7b6f9b6f7a6b7b6f7a6b7b6f5a6b5a6b5967596739635967f65e7156
062de530e534c434c334e434e534e534c430c430c42ce530c42ce530c5
30e530c530e534e534e534e5340539e538053d053d053d053d264126
3d263d053905390539273d273d6845e534484148414741263d474147
4168456849684d264526412645684947454849684968494849684969
49894d694969498a498a49894989498a4dcb518a4dcc51ab51cb51cc
51cc518a4dcb51cc55ab51cb51ec55ec55cc55aa4daa4daa4dcb51aa4
daa51aa4dab51aa4daa4d894daa4daa4d6845684589496841694169
41493d072dc6286b39b45e1767d55a73529452b656185f5a677b6b5a

6b7b6f7b6f7b6f5a6b3967734eb556596b9c73dd7bde7bde7bff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7bff7fde7bff7bdd77de7bdd77de7
bdd77de7bde7bfe7bde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7ffe7fff7fde7bff7fde7bdd7b9c739c73b
c73de7bde7bfe7bde7bfe7bde7bfe7fde7bde7bde7bde7bde77de77bc
739b73586b596f0e46a31c62148318831882186218831863188318621
863186218631862146218621462186214621862146218b4569352b45
6b456b456b456b456b456b456b456d55ab456d55ab456d55ad55af6
5ed55af65ef65ef762f75e18631763386718633867386739673867596b
3967596b59675a6b596b5a6b596b7a6f5a6b7a6f5a6b7a6f7a6b7a6f7
a6f7b6f7a6f7b6f7a6f9b6f7b6f9b6f7b6f9b737b6f9b739b6f9b739b6f
9b737b6f9b739b6f9c737b6f9c737b6f9b6f7b6f9b737b6f9b6f7b6f9b
6f7b6f7b6f5a6b7a6b59675a67396717672f4e2731e5300639e434e438
e4380539e538e534c434e534e534e534c530e534e53406390639063d0
6390539e538053d053d2641053d264126414741263d263d0539273d2
73d48414841484148456945273d4841484168456845894d684967494
6454749474548494745aa51894d894d6949894d894daa51894dab51a
a49ab4d8a490d5a2e5acb51cb4ded55ed55ed55cb51cc51cc51ed55cc
51ec55cc55ec55ab51cc55ab51cb55aa4dcb51aa51cb51ab51ab51aa4

daa4d89498949894989498949aa4d69454841694169410731c424072
d72521767f65eb4569452b65619633a677b6b7b6b9b6f7b6f7b6f7b6f
f65e945218637b6fdd7bde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7bfe7fde7bfe7bde7bde7bde7bfe7ffe7bff7ffe7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7ffe7fff7fdd7bbd779c73bd77de7bff7fde7bfe7fde7bfe7bfe7bf
e7fde7bfe7bde77de77bd77bc777a6f796f16678a39a31c82188218a4
1c6318831c8318831c631883186218831862186318621462186214621
86214631862149452b4569352b4569456b4569456b456b456b556b4
56d55ab55ad65ad55ad65ad55af65ef65ef762f75e176317631863186
33867186739673867596b3967596b596b5a6b596b5a6b596b7a6f5a6
b7a6f5a6b7a6f5a6b7a6f7a6f7b6f7a6f7b6f7b6f9b6f7b6f9b6f7b6f9b
737b6f9b6f9b6f9c737b6f9c737b6f9c737b6f9b739b6f9c737b6f9b6f7
b6f9b6f7b6f9b6f7b6f7b6f7a6f7b6f7a6b7a6f5967596b3967596bf66
2cc41062d0535e5340539e4380539e5380539e538e538e5340539e534
e534c430e5380539063d0539263d053d053d053d0541053d25412541
4745264147412741474127414741263d474168458949484148414841
6845474168456849884d4745474548456849474569498a4daa4d894d
894d6949aa4dab51cb51ab4dcc51cb51ec510e5a2f5ecc518a49ab4d2

f5eed55cc51ed550d56cb510d5acb51cb51cb51aa4dcb51cb51cb51a
b51cb51cb51aa4daa4d894daa4d894da94d8949cb51884968456949
894d684589454841693d2735c524c520ee41b55ed65e9452b552b552
185f39635a675a677b6b7a6b9c6f3967b556b556596b9c73de7bde7bf
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bfe7bdd77
de7bdd77de7bde7bfe7bfe7bff7ffe7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7fff7fde7bde7bbc779c7
3bc73de7bde7bde7bde7bfe7bde7bfe7fde7bfe7bde77de77dd77dd77
9b6f7a6f586b9256272da420831883188318831863188318621883186
21463186214621862146218421462146214621862146214b4569456b
456b456b556b456b55ab456b55ab556d55ad55af65ed65af65ed65ef
65ef65e1763f76218631763386718633967386739673867596b396b59
6b596b7a6b5a6b7a6f5a6b7a6f7a6b7a6f7a6f7b6f7a6f7b6f7a6f9b73
7b6f9b737b6f9c737b6f9b737b6f9c739b6f9c739b6f9c739c739c739b
6f9c739b739c739b6f9c739b739c737b6f9c737b6f9b737b6f9b737b6f
9b6f7b6f9b6f7a6b5a6b5967596b396717678a39062d053105390539
063d053d063d0539063d05390539e4380639e534e5340539063de538
063d063d2641063d2641053d0541053d264546454745474547454741
474527414845684547416845694547414845474148416845894d6849

68454745684968458949aa51aa4daa4dab51894989498a4dec55ed55
cc51ec51ed550d56ed55ed552e5a8a49aa49cc512f5e2f5e2e5a0d56ed
55ab4ded55ec55ed59aa4dcb51aa4dcb55aa51cb51aa4d8949684989
4daa4daa51894daa4d8949aa51aa4d89496849aa4d89496845473d4
8392735e628a41c8b39b55af75eb5569452d656186339635a675a679c
6f7b6f9c73f65a935218639c77bc77ff7fff7fff7fff7fff7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7ffe7bfe7bdd7bde7bde7bfe7ffe7bff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7ffe7fff7fde7bbd779c73dd77de7bff7fde7bff7fde7bfe7bf
e7bff7fde7bfe7bdd77de77bc779b73796f586f0e460629a320a420831
86318631883188318831862188318621863186214631862146218621
463186214621862149452b456b456b556b456b556b456d55ab556d5
5ad55ad65ad55af65ef65ef75ef65e1763f75e17631763386318633867
386759673967596b3967596b596b5a6b596b5a6b596b7a6b5a6b7a6f
7a6b7b6f7a6b7b6f7a6f9b6f7b6f9b6f7b6f9b737b6f9b6f7b6f9c737b
6f9c739b739c739b6f9c739b739c739b6f9c739b6f9c737b6f9c739b6f
9c737b6f9b737b6f9b737b6f7b6f7a6b9b6f7a6b7a6f5a6b596738673
86bb45a28310631063905390539e538063d063d063de538053de5380
539e53406390639263d0539063d053d063d053d263d053d26410541

46454645264146454741464168494745263d26418949684547414741
684547456845684589496845894968458949684568458945cb510e5a
ec55aa49ab4d8a498945ab4dcc51ed55ed51cb4d0e56ed51ed51ab49
cc51ab49cc51ed510e5a0e56ed51cc4ded550e5acb51aa4ded55cb51c
b51cb51cb51aa4dcb5188498949894daa4da94d8949684568456849a
a51894d68496849894d684568456941693d2731e62ce62807297352f6
5eb5569452b556185f185f5a677b6b9b6f7a6b5a6bb5569452396bbd
7bde7bde7bff7fff7fde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7
bfe7bde7bde7bbd77de7bde7bff7ffe7bff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bde7
b9c739c73dd77de7bde7bfe7fde7bfe7fde7bff7fde77de7bde7bde7b9
b73bb739b73796fd45e272dc524a31c6118831c83188318621483186
2188318621462186214621442146214621462144214621462146214b
556b456d55ab556d55ab556d55ad55ad65ad55af65ef65af65ef65e17
63f75e17631763386318633867386739673867596b3967596b596b5a
6b596b5a6b5a6b7a6b5a6b7a6f7a6b7b6f7a6f9b6f7a6f9b6f7b6f9b7
39b6f9b739b6f9c739b6f9c739b6f9c739b739c739c73bc739c739c739
c73bc739c73bc739c73bc739c739c739b739c739b739c739b6f9c739b
6f9c737b6f9b6f7a6b7b6f7a6b5a6b3867396b186b304e27312735263

926390539263d263d2741063d063de538053d0539263d063d274126
3d2741263d2641263d053d053d264126414745474567494745884967
45684968494745264147456849694948456849684968454845894968
45684568458945684189458945aa4dcb4d0e5aed51ec51cc51cc4dcc4
d0e56ed51ec51ed550e56ed51cc4dcc4dcc4d8a49ed51ed510e56ed55
0e56ec51ed550e56ed55ab4dcb4dcb51ec55cb51ab4dcb51aa4d8949
8949aa51ca51a94dcb51684989498949aa4d894da9516849894d884d
894d68456945683d693d2731062dc52408291046d65eb55ab556b55
6185f39675a677b6b7b6f7b6f18639352f65e9b73de7bde7bff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7bff7fde7bde7bde7bf
e7ffe7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bbd779c73fe7bde7bff7ffe7bff
7ffe7bff7ffe7bff7bde7bde7bdd77dd779b739a73586f5052e524a31c8
21c831c6218631863188318621883186218831862146318621462186
214621862146218621462186214b456d55ab456d55ad556d55ad55af
65ad65af65ed65af65ef65e1763f75e176317633863176338673867396
7386759673967596b3967596b596b5a6b596b5a6b5a6b7a6f5a6b7a6
f7a6f7b6f7a6f7b6f7a6f9b6f7b6f9b737b6f9b737b6f9b739b6f9c737b
6f9c739b739c739b739c739c739c739b739c739c739c739b6f9c739b6f

9c739b6f9c739b6f9c737b6f9b6f7b6f9c737a6f7a6f7b6f7b6f5967396
7386bf6666a3927310635473d0539263d05392641263d263d0539063
d053905390539263d0639263d263d263d053d263d0539263d053925
3d26412641253d684947456849474547452641474147458949894989
496845684547416845694989496945aa49894589458a49cb4dab49cb
4dcb4ded51cc4dcc4dab49cc4ded51cc4ded51ed51cd51ed51cc4dcc4
dcc4ded55cd51ed51cc51ed51ed51ed51cd510e5aed55ed55cc51cb4d
ec51ed558a49ec55ec55aa4d8949cb518949894daa4d8849884989498
949894d8849894d684968496849894969456941483d48390631e62ca
420e724cd3db55ed55ab556b556f75a39637b6b5a6b5a6b3967b55a7
35238679c73de7bde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7ffe7fff7fde7bde7bdd7bde7bde7bfe7bfe7bff7f1610000026060f0022
20574d464301000000000001000000000000001500000000200000cc
1d0200cc9d0200fe7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7fde7b9c73bc77de7bfe7bde7bfe
7ffe7bff7fde7bfe7fde7bfe7bbc73dd77bc779b73596f16672f4a48358
21882186218831862148318621483186214631862146318621462146
2146214421462146214621442146214d55ad55ad65ad55af65ed65af
65ef65ef75ef65e175ff75e17631763386317633867386739673867596

b5967596b596b5a6b596b5a6b596b7a6f5a6b7a6f5a6b7b6f7a6f7b6f
7a6f9b6f7b6f9b737b6f9b739b6f9b739b6f9c739b739c739b6f9c739c
739c739c73bc739c73bc739c73bc779c73bc779c73bc779c73bc739c7
39c739c739c739b739c739b6f9c737b6f7b6f7b6f9b6f7b6f9c737a6b5
96b3967396f5152283106312739473d273d263d263d263d273d263d2
73d263d263d0539263d263d4741473d4741273d4741263d47414741
263d253d4741253d264189496845684568494741484548458a498a4d
8949694989494841484168458949484189458a458a456945ab49ab4d
cb4dab49ab49cc4dec4dab49ab498a45cc4d8a45ab49ed550f5a8a45
ac4dee55305ecd51ed51cd51ed51ed510e56cd51cd51ed510e56ed510
e5acb4d0d560e5acb4dcb512e5acb4daa4d89498a49894daa518849a
94d894989498949894d684968496849894989498a4969416941483d4
93d28352731c524c5208b39d55ef762b556b556185f39637b6b5a675
a6b17639452b5567b6fbd77ff7bde7bff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fde7bfe7bde7bfe7bde7bff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ff
f7fff7fde7bbd77bc77ff7ffe7bff7ffe7bff7ffe7fff7ffe7bde7bfe7bde7b
bd779c737a73796f71520d4acb41c424611862188318831863148318
62188318621483186214621862146218621462146214621862146214

6214d556d65ad55af65ed65af65ef65ef75ef65e175ff75e17631763186
318633867386338673867596b3967596b596b5a6b596b5a6b5a6b5a
6b5a6b7a6f5a6b7b6f5a6b7a6f7a6b7b6f7a6f9b6f7b6f9b737b6f9b73
9b6f9c739b6f9c739b739c739b739c739c739c739c739c739c73bc739c
73bc739c73bd739c739c739c739c739b6f9c739b6f9c737b6f9b737b6f
9b6f7b6f7b6f7b6f9b6f5a6b39671863396bf662ac41062d073505354
741473d263d0639263d0639263d263d473d263d05390539263d273d
4841473d4741263d263d263d47412639263d473d263d263daa4d474
1684568454841273d684569456945273d48416945694548416841474
1273d69458a4569458a498a49ab498a49cc4dab4ded51ed51ee51ab4
98b45ac49cc4d6a45cd4dee51ac49cc4d0e560f5acd51cc4ded51ed51
0f560e56ee51cc4ded51ab4dab49ed51ed51cc512e5acb4d8a498a49a
a4d684568458949cb5189498949894d8849684589498949684568458
949684569454841484148418a456941483d27350731c528c524492d7
352f762d65a9552d6563a675a6b39673967b5569352f75e9c73de7bde
7bfe7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bd
e7bde7bfe7bde7bff7ffe7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bdd7b9c73bd77de7bfe7ff
e7bff7ffe7bff7ffe7bff7fde7bde7bdd7bdd777a6f9a73f6628a3506296

835a320821c621883186314621062146318621463186214621462146
21441106214421462144110621442146214f65ed65af75ef65ef75ef65
e1763175f1763176318631863386738633967386759673867596b5967
5a6b596b7a6b5a6b7a6f5a6b7b6f5a6b7b6f7a6f7b6f7b6f7b6f7a6f9b
6f7b6f9b737b6f9c739b739c739b73bc739c73bc739b73bc739b73bd7
39c73bd779c73bd779c73bd779c73bd779c73bd779c73bd779c73bd
739c739c739c739c739c739c737b6f9c737b6fbc737a6f9b6f7b6f5a6b
39675a6b396b72562831283527352639273d6845263d473d263d273
d2639473d273d273d053906390639273d473d4741473d473d263927
3d2639263d263d68412639263d48416841684589456841694569458a
4569416a458a45ab498a45694169418a4548418a4569416945694169
45484149416a4569456a418b458b456a4128396a456a456a41073928
3d49418b4549418b45ac4d8b498b49cc4dcd4dee51cd4ded51ee55ed
51ab490e56cc4dcc4d0e560d56aa498a49ab4d8949473daa49aa4d89
498949aa516849684568458949684168456945684168416945684169
4568416941483d694127352835e628831c0829524ed75ef85eb656f85
e39633a673967f75e9352b5563967de77de7bff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bfe7bde7bff7ffe7bff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff

7fff7fff7fff7fbd77bd77bd77ff7ffe7fff7fff7fff7ffe7fff7ffe7bff7fbd77
de7b9c779b73796f714ea218a21cc320821c821c831c6214631463148
31462148318621463186214631862146214621462146214621462146
2146214f65ef75ef65e175ff75e1763f75e176317631863176338673863
3967386739673967596b3967596b596b5a6b596b5a6b5a6b7a6f5a6b
7a6f7a6f7b6f7a6f7b6f7a6f7b6f7a6f9b6f7b6f9b739b6f9b739b739c7
39b739c739b73bc739b739c739c73bd739c73bc739c73bd739c73bc7
39c73bd779c73bc739c73bc739c739c739b739c739b6f9c739b6f9b73
7b6f7b6f7b6f7a6b7a6b7b6f39675a6b3967d65e8b390731063107350
6350639263d263d0639263d063926390635263905390539063926390
639273d273d483d273d473d2639273926394841684168412639473d6
84169414841694169416a454941483d69416941493d2839063527352
7392739e534e534a42ca42ca32ca32c8328a42c822883288324a42c83
2483248328a42882248328622462246224a42cc42cc530c530e634e63
4273d283d483d483d8a45ab49cc49ab498a458a45cc51cc4dcb4daa4
9cb4daa4968456845aa4968418949a94d894d6745474147416841473
d483d2739694169418a45483d273d273d4841483d8a4507350731283
1a51cc51c524ab656f75eb656d75a186339671763d55a734ef75e7b6b
de7bde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7
bfe7bdd77de7bde7bff7ffe7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7

fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7fdd7b9c73dd7bfe7bff7
ffe7bff7ffe7fff7fde7bfe7fde7bdd7bbc777b6f7a6ff662693161148118
81186018811862146110631484146214621462146214621462146214
6214421462144110621442146214411062141763f75e1763175f18631
76318631763386718633867386759673967596b3967596b596b5a6b5
96b7a6b5a6b7a6f5a6b7b6f7a6f7b6f7a6f7b6f7b6f7b6f7b6f9b737b6
f9b739b6f9c739b739c739b73bc739c73bc739c73bc779c73bc739b73
bd77bc73bd779c73bd77bc73bd779c73bd77bc73bd779c73bd779c7
39c739c73bc739c739c739b739c739b6f9b737b6f9b6f5a6b9b6f7a6b
396739671863304ae628e62ce62ce6300635c43006390639e534e5340
635e5300635e530063506350635e530e534e530063506352739063527
390535063927396841483d48412739283907350735e6300735e630e6
2ca428c52cc52ce62cc428a3288220832462206220622041200018401
c411c411c201c6220411c411c411c4120211c62202018411c411c411c
4120411c411c411c401c4220622063248224842883248428a42ce5304
83d483d283d8a458a458a4569458a456945cc51aa4daa49aa498a498
a49cb51aa4d8949473d48416841684127396841483d6941694169414
73d483d483d6941283d493d693d49390729e620a51cef3dd65a1863d
65af75e175f396718639452b5563967bd77fe7bfe7bff7fff7fff7fff7fff7

fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bde7bde7bff7ffe7bff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fbd77bd77dd7bff7fff7fff7fff7fff7fff7fff7ffe7bde7bdd77b
d77596f79737152c420a22081184014821c611462146210a418621083
14621463186214831862146214621462146214621442146214621462
144214f75e1763175f1863175f1863186338631863386738633967386
739673967596b5967596b596b5a6b596b7a6b5a6b7a6f7a6b7b6f7a6
f7b6f7a6f7b6f7a6f9b6f7b6f9b6f7b6f9b739b6f9c739b73bc739b73bc
739c73bc739b73bc739c73bc739b739c739b73bc739c73bc739c73bc
739c73bc739c73bc739b6f9c739c739c739c739c739b739c739b6f9b6f
7a6b7a6b7a6f596b7a6b596b175f3967734ee72062188320832083248
32083248324832462208324832483246220832462208224622062206
1206220411c622062208220622082248324a428a428c530a42c832861
206220611c62206220621c2118411c4118411c4118411820184118201
8411c201820142014201420144118201441182118211421142114211
842180014421c201420180014201820142018201821182118411c211
8411c2118411c411c411c411c612062248328a328e6340639e634273d
283d283d6941694169456945aa49483d694569416941483d483d6941
ab458a45693d2735473927394739273948392735693d693d69394835

4935072de62483146b3194561867d65ad65a185f1863b556b456b556
5a6bdd7bff7ffe7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7
fff7fde7bde7bde7bfe7fde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ffe7bdd77bc77ff7ffe7fff7ffe
7fff7ffe7ffe7fde7bfe7bbe73de777a6f7973d3666739032de328601881
18611482146210631463148314621062146214631462146214621062
14411062144210621441106214421062141863176338631863386318
63386738633967386759673967596b39675a6b59675a6b596b7a6b5a
6b7a6f5a6b7b6f7a6f7b6f7a6f9b6f7b6f9b6f7b6f9b737b6f9b739b6f9
c739b739c739b73bc779c73bc779c73bc779c73bc779c73bc779c73bc
779c73bd77bc73bc77bc73bd77bc73bd73bc73bd73bc73bc739c73bc
779c739c739b73bc739b739b6f7a6f9b6f7b6f5a6b7a6f5a6b1863176
3524a2925410c411421146218421c621c4118621c421c421c411c621c
411c421c411c421c411c411c2018411c411c421c201841184118621c4
118621c411c411c211c421c2118411c20182014201441182114211821
14201420144118201441182014201820142114001041142010211421
14201000102010001041142114211420140010001020142014411420
142014001021142114211421144218211821182118421c4118411c20
18411c411c412041206224412083286224a328a328c42ca428c52ce52

ce630e630073506350635063127392839694148394839483948392735
4839483948394839693949396a3d6a3d4935072dc524621429297352
3867f75e175ff65af75e94569452f65ebc77fe7bff7ffe7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7ffe7fff7fde7bfe7fde7bff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fbd77dd77ff7fff7fff7fff7ffe7fff7ffe7bfe7fde7bff7b9c6f796f366f0
c4e45352435e32c811c81188314631483146310631463146314621483
14621463146214621462146214621062146210621442106214621017
63186317633863186338671863386738675967386759673967596b59
67596b596b7a6b596b7a6b5a6b7a6f7a6b7a6f7a6f7b6f7a6f7b6f7b6
f9b737b6f9b6f7b6f9b737b6f9b739b739c739b73bc739c73bc779c73
bc739c73bc779c73bc73bc73bc779c73bc77bc73bd77bc73bd739c73
bc739c73bc739c73bc739c739c739c73bc737b6f9b6f7b6f9b6f596b59
6b596b7b6f1863b556304207212004410c4110411441144218411441
14211442182014211420144114201421142014411400142014001020
14201020100010201420102010001021140010201420144118201441
182014211420142010000c0010001020100010201000102010001020
10201020102010211020102114000c20100010211421144114211421
14411421142010411420100010000c20100010201020104114211421

140010201000100010201400140014411c201821182018411c201820
1820184118401841184118611c411c611c62208324621c83208320832
0a424c428c428e62ce528e62ce62c2731483549392835483549396a3d
4935282dc520c52063100721724e1763d65af65af65ed55a9452d55a3
967bc77dd77ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
de7bde7bde7bfe7fde7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bde7bbd77ff7fff7fff7ffe7fff
7ffe7bfe7fdd7bde7bdd779b6f586bd362883d2535c128e3288118821
86214831463106310421062146214621462106214621062144210621
44110621441106214411062144110621038671863386738633967386
739673867596b3967596b59675a6b596b7a6b596b7a6f7a6b7a6f7a6
b7b6f7a6f9b6f7a6f9b737b6f9b737b6f9c739b6f9c739b6f9c739b739
c739b73bc739c73bc779c73bd77bc73bc77bc73bd77bc73bc77bc73b
d77bc77bd77bc73bd77bc73bd77bc73bd73bc73bc739c73bd779c73
bc739c739b739b73bc779b6f7b6f596b7a6f7a6f7a6fb4563146ad390
721420c21082008200c200c4110200c20102010411020104114201041
14411441142010411441144118411441142010411441104214411462
18411462186218421820142114201020100010001000104218411442
144214621842186218411462186218621c4218621841144214211042

14621862186218a420a520a520a520a520c5242831c624c624c524a42
0831ca420c524e624c524e628e624e628a520a420831c631c4214631c
21142114201420140010201400104118211441182014411820144118
411441182014421c421c2118201441182014201420146218621c831c6
21c8320a420062d072d28312831493549352931072d282d0725e6208
314c5180f423863f65ef65ed65ab5569452f75e5a6bdd77fe7bff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bfe7fde7bff7ffe7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fdd77de7bff7fff7fff7fff7ffe7bff7ffe7bfe7bdd7bbc739b73
16672e4e0d4e4639a120801c811882148314631083146210631462148
31462146214621462146214621462146214621062144110621442106
2144110186338631863386738633967386759673967596b59675a6b5
9675a6b596b7a6b5a6b7a6f7a6b7b6f7a6b7b6f7a6f9b6f7b6f9b737b
6f9b737b6f9b739b6f9c739b6f9c739b73bc739b73bc739c73bc779c7
3bc77bc73bc779c73bc77bc73bc779c73bd77bc73bd779c73bc779c7
3bd779c73bc739c73bd779c73bc739c73bc739b739b6f796b7a6f7a6f
7a6f38671763724ecd396a2d072541082008410c2108410c831483146
2144210831883188318831883188318a41c831883186318841c831ca4
20841c83188318c520c520c520e620c520c5200625c520c520a41ca42

0c524a52062186318a41cc624c624c624e6240729e728e728e628072d
e628e62862146214621463188318a520a41ca520a520e628c524e628c
524e728082dc624e624e728e624e624e624282d282d49314931493149
314931282d282d07290729a520a520841c841c631863184218421420
10211020102010000c2010000c2010211421144218631c0010001021
142010001020102010411420102110211041144114831cc424072d07
2d2831072d072d2931e724e624e620620cc518ee3df65ed65ef75eb45
6734eb45639679b6fde77de7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7ffe7fff7fde7bfe7fde7bff7ffe7fff7fff7fff7fff7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7f
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7bde7bde7bff7ffe7fff
7fde7bfe7fde7bde7bdd77dd7b7a73586f0e4a893d4e56cb49c328601
86114821462108310621063144214621462106214621062144210621
46210621441106210421062104110621041106210386738633967386
759673967596b59675a6b596b5a6b5a6b7a6b5a6b7a6f7a6b7b6f7a6
f7b6f7a6f9b6f7b6f9b739b6f9c739b6f9c739b739c739b73bc739c73b
c739c73bc779c73bc779c73bc77bc73bd77bc73bd77bc77bd77bc73b
d77bc77bd77bc77bd77bc77bd77bc73bd77bc73bd77bc73bd77bc77
bd779c73bc779c73bc779a6f7a6f7a6f7a6f1763724eee3d6a316a2d6a
2d0721a4188414e620e62007252829292d0725072507252729e620e6

20c520e620c520e620c520e520c520e7240729282d07292829292d4a3
1282d0725e620072507250725e6240729e624072907290729c520c620
a520c520c52008290829292d07290729c524a520831862184214831ca
41cc624e624c624c520082d28314935493149312831282dc520c520e6
2407290729e624c6240729082d282d0829282d282d6a356a356a3549
31292d292d4a314a314a31293149310829a520a41ca41c6214621441
104110000c0010001042142114000c000c2110000c2110000c000c000
c2110200c2110200c2010200c41146218a420c520e628e6240729282d
07290725282962108310ac35d55af7621763b4569452d65a5a6b9c73
de7bff7bff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fde7b
ff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7
fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fde7bdd77ff7fff7fff7ffe7fff7ffe7bff7fde7bde7bbc77
bb7bb25a27312631ec490d4e47356014821862148314631063146210
62144110621462106314621062146210621462106214421062144210
621041106210411038633967386739673967596b3967596b596b5a6b
596b7a6b5a6b7a6f5a6b7a6f7a6f7b6f7a6f7b6f7b6f9b737b6f9b739b
6f9c739b6f9c739b73bc739b739c739c73bc739b73bc739c73bc779c7
3bc77bc73bc779c73bc77bc73bc779c73bc77bc73bd779c73bc779c7
3bc779c73bc739b73bc779b73bc739b739c737b6f9b73596b9a737a6

f38679252ee3d8b316a316a2d6a3149292829492d6a31492d492d282
949292829282907250725e620e620c620e724e620e624c520e624c520
e6200725292d492d6a314a2d6a316a2d8b356a316a31492d492d0829
282908290829e624292d292d282d072507250725292d29296a314a31
292de624c5208318831883188318a41cc524c624e628a520c520e7282
82d28312831082d2831c624c6240729282d282d493107290729e6242
82d072908290729492d49318b356a356a354a316b356b358c396b354
a3149314a316b356b35292d0829c624c620a41c841c4214631842146
3182110211021104110200c210c0008000c000c2110000c200c201020
0c000c200c201041146214a41cc52007290829282de624c51c8310631
08c35734ef75ef75e9452b456f75a5a6b9c73de77df7bff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7ffe7fff7fde7bff7ffe7fff7fff7fff7fff7fff
7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7ff
f7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7fff7bff7fbd77de7b
fe7bff7ffe7fff7fde7bfe7bde7bde7b9c739b731667cb41c324e328052
d893d052961146114831462106310621062144110411442106214621
062146210621441106210421062104110421041104210410c4110596
73967596739675a6b596b5a6b596b7a6f5a6b7a6f5a6b7b6f7a6f7b6f
7a6f9b737b6f9b737b6f9c739b739c739b73bc739b739c739b73bc779
c73bc779c73bc779c73bc779c73bd77bc73bc77bc73bd77bc73bc77b

c73bd77bc73bc77bc73bd77bc73bd779c73bc779c739c779b739c779
b739c779b739c739b6f7b6f7a6f9b733867d55a3046ed3d8b318b316
a318b3
Periodontitis agresif adalah suatu penyakit periodontal yang terjadi pada
anak-anak, khususnya pada masa remaja (pubertas) yang ditandai dengan hilangnya
perlekatan dan tulang alveolar yang cepat, pada satu atau lebih gigi permanen yang
terlibat.
Patogenesis periodontitis agresif pada dasarnya sama dengan penyakit
periodontitis lainnya. Penyebabnya bersifat heterogen dan merupakan interaksi
berbagai faktor, baik bakteri, imunologis maupun genetik. Akan tetapi,
Actinobacillus actinomycetemcomitans mempunyai sifat khusus dalam meningkatan
kerusakan pada periodontitis agresif, yaitu dengan memproduksi faktor virulensi
dan memiliki kemampuan dalam merusak jaringan penghubung.
Periodontitis agresif merupakan penyakit yang sangat sulit untuk diatasi,
dikarenakan penyakit ini dapat mengakibatkan perusakan jaringan lunak dan tulang
yang dapat menyebabkan peningkatan mobiliti gigi dan kehilangan gigi.
Klasifikasi periodontitis agresif ada 2,yaitu:
1.Localized aggressive periodontitis
2.Generalized aggressive periodontitis

1.Localized aggresive periodontitis

Definisi : merupakan penyakit destruktif pada kavitas oral yang biasa terjadi
pada gigi Molar pertama dan gigi Incisivus pada anak-anak dan dewasa muda, yang
menyebabkan kerusakan tulang dalam jangka waktu yang sangat cepat dan
menyebabkan kehilangan gigi geligi.

Karakteristik klinik :
a.Penyakit dijumpai pada gigi Molar pertama dan Incisivus dengan hilangnya
perlekatan pada daerah interproksimal paling sedikit 2 gigi.
b.Berkurangnya inflamasi secara klinis disamping ditemukan poket periodontal
yang dalam.
c.Pada kebanyakan kasus jumlah plak yang mempengaruhi gigi minimal, sehingga
cenderung tidak konsisten dengan jumlah kerusakan periodontal yang ditemukan.
d.Penyakit Localized Aggresive Periodontitis berkembang dengan cepat.
e.Migrasi distolabial gigi Incisivus maksilaris.
f.Pembentukan diastem secara berkala.
g.Peningkatan mobilitas gigi Molar pertama.
h.Sensitif dari permukaan akar yang terbuka terhadap suhu dan stimulasi taktil.
i.Rasa sakit tajam dan rasa sakit yang menyebar sewaktu mastikasi.
j.Dapat terbentuk abses periodontal pada tahap ini dan terjadi pembesaran pada
kelenjar limfe.
Gambaran radiologi :
a.Kehilangan tulang alveolar disekitar Molar pertama dan Incisivus pada usia
pubertas

b.Suatu bentuk kerusakan tulang alveolar yang meluas dari permukaan distal gigi
P2 hingga permk. mesial dari gigi M2
c.Kerusakan tulang dalam arah vertikal lebih sering dijumpai pada daerah gigi
Molar sebab tulang interdental didaerah ini lebih luas dibanding didaerah Incisivus

2.Generalized Aggresive Periodontitis


Definisi : merupakan suatu penyakit yang umumnya terjadi pada orang
dewasa pada usia dibawah 30 thn / lebih. Penyakit ini ditandai dengan hilangnya
attachment interproksimal secara keseluruhan yang mempengaruhi 3 gigi permanen
lainnya selain Molar pertama dan Incivus.

Karakteristik klinik :
a.Umumnya memiliki jumlah plak bakterial yang lebih sedikit yang berhubungan
dengan gigi yang terlibat. Secara kuantitatif, jumlah plak cenderung tidak seimbang
dengan kerusakan periodontal yang terjadi secara kualitatif. A.
actinomycetemcomitans dan Bacteroides tonsythus ditemukan pada plak gigi
penderita.

b.Pada kasus Generalized Aggresive Periodontitis dijumpai 2 bentuk respon


jaringan gingival:
*.Pada jaringan inflamasi akut:
Terjadi proliferasi, ulser & berwarna merah terang
Perdarahan dapat terjadi secara spontan/melalui stimulasi ringan
*.Pada kasus lainnya :
Jaringan gingiva cenderung berwarna merah muda
Bebas inflamasi
Terkadang terjadi stipling walaupun akhirnya tdk ditemukan lagi
Poket yang dalam dapat ditemukan melalui probing

c.Beberapa pasien Generalized Aggresive Periodontitis mengalami kondisi


sistemik seperti pada kekurangan berat badan, depresi mental dan malaise

Gambaran Radiologis :
a.Terdapat bentuk kerusakan tulang yang parah dengan jumlah plak gigi yang
minimal.
b.Terlihat kehilangan tulang alveolar yang mendukung lebih dari tiga gigi kecuali
molar pertama dan incisivus.

Terapi / penanganan agresif periodontitis:

1.Instruksi oral hygiene


2.Evaluasi kontrol plak
3.Skeling supra gingival dan sub gingival kalkulus
4.Root planing
5.Kuretase
6.Bedah periodontal jika dibutuhkan dan seharusnya diberikan juga prophylactic
antibiotik selama pembedahan periodontal dan pasien dianjurkan memakai
chlorhexidine sebagai antiseptiknya.
7.pemeliharaan periodontal

Anda mungkin juga menyukai