%PDF-1.4 % 34 0 obj <> endobj xref 34 31 0000000016 00000 n 0000001257 00000 n 0000001422 00000 n 0000001464 00000 n 0000001759 00000 n 0000001899 00000 n 0000001988 00000 n 0000002124 00000 n 0000002268 00000 n 0000002991 00000 n 0000003965 00000 n 0000004055 00000 n 0000004925 00000 n 0000005721 00000 n 0000006555 00000 n 0000007339 00000 n 0000008137 00000 n 0000008894 00000 n 0000009608 00000 n 0000059162 00000 n 0000059354 00000 n 0000059920 00000 n 0000068763 00000 n 0000068951 00000 n 0000069249 00000 n 0000069636 00000 n 0000078465 00000 n 0000078660 00000 n 0000079049 00000 n 0000079508 00000 n 0000000916 00000 n trailer <<65B68CC0D5C7EF4893CF1ED8351F6679>]/Prev 283034>> startxref 0 %%EOF 64 0 obj <>stream hb```b``If`e`P Ȁ , l@q;_Չ*KXha`^^~2䋠\[WuGAG\ lu s8;2:P(A  g`QX,b !A!!i1<-f37BL1eu0aR4C/`%_ɌĠmT0-Ç ?/iH12`~߻1Og"D!_M endstream endobj 35 0 obj <>>> endobj 36 0 obj <> endobj 37 0 obj <>/XObject<>>>/Rotate 0/Thumb 23 0 R/Type/Page>> endobj 38 0 obj <> endobj 39 0 obj <> endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <>stream x]Mk@-]غsgs6-,Anei lg_iNz5_GjЬ?}Of}O0ԗPO㪵f8w]W[9ߍjo?nK44>xk6+q/kw.ͺ^6|x eDzoVexkp|i"G;HKu9:@ږv!viG- ҎM}됡(B(AQ Qm@K ,4D[mm@Kd8*PG clP ,aUg EHg K!%l ,a;Hg n:KwCYzHg  %@k#s 3Nh!;'WCF 2WHB2W #{dd=S^nktL\GyL\g2qAL\w d₼L\uA2q2q d-d' 2Wb3dfwb+W3{Ejf[_u ^XGuu>stream HUIOA~ Ƌ: ]TUwUw/ q5I@ $?ŋL-o}'NH.3*=n`U=J2̩ėNN~2=o n+Ε[7ȧ5mW' pku%9N:ϯA3i^a}h5R|J>(#OG=xTz+ףZU8hX!ڒlͶ4lްyL  /2!" >c_j5g*c:[%6/.vٜ%9+,u\w5&Ql2IKEmmYe=wD6GZNYղډ@|^OoϾ(Vd7_lr0^+,lꃰ$ޤmU`h E"ט-J[bʟ_@YD:ix16Ѐj:^oh ^Ch&yt &n%ēv3=_Moh_lmZ B,+S`GG\jAƨEczTq@܆xjy"w}"3m?֕-4wyLOg fzD?z7%ڼ],o+fy>3ZiL|:)`"}d=:ƳSފ ΫTA~uG =uYԕCrt:pcmy+%T+~=!ҜFGkjF  WQD >[hYW(o ;4']_Yy%J 3Ym<6>\,2 x4]:쒸Xu(Tr endstream endobj 44 0 obj <> endobj 45 0 obj <>stream HUN@7TVE~4ko}b'$Ɖ'PQ뙵8U93gw&Y!M!MGH['ٕo>|^MjSc,E˒ 7l1DgYA% Y0UdgD:.{C<HG=NּT.4.M(5&u[}ڧ1)F92:M8_q=_("Q)#클xB[a;wH:4$^mxfj1m᳡v>>)N."1~#-EAwzA~+#WZ`-+Tx|56pym^mEol΁{Yo+Q֣FV*B yTP(J5vpc%-wl1G'<' |ukz ^bX`qPsC8^)5LrC`M6@FV _N wHiWw{\Wj2BDkQ;qLw,uafO<0 q,zsCU`ۉ4^Ǻu-?B[8N\SJv 4ٻ}~&w/8Ăa+7nٻϗ{WRk,k^]QCmq!E *3Wb_mZ\!v8BZBePٱnL4b-rb'ؙ_>4rM?*eh'] endstream endobj 46 0 obj <>stream HUMo@]7Vio=5Fm‚{ƨ:sHz%3,v@ݙyf` />GsQB,LTb+{?g_ñ JJ?ov7:JٗZS#Y<- X^ޔW4NȈegY_ NQ@dܮV`\P< xњ;mVi-<@kK6ΫpNb -5PV]^Rd)-"RL.'f;9JĒ3,P9\ъiY!pSlN!^)0QFOUjAz$vj_Wnmfs=hT{NBO=\x]5ܛAYSNr]q?Vpwqb :31{`^i endstream endobj 47 0 obj <>stream HUKo@[rhEpP׻G98ΫMO!!$@33ndaUC-Oh_J j>stream HUMo@]=JU|$8ke 1j"Uiտ7=&$y>w潙u~?jvj^?GӢ4ȌX0_Nm"FXѡQ/CuV*WU`CS)T%LRG3avB3D) & a@hw?Wj:EA)7+eG\ۣFu䀁t{@Ś@ ȐsBDޫÜ/zWhqQTU6 5̿?I~(/mgߘ%+...k؞5cLL~Y ZvF޲ߞOT3ئqabo&K(?_ŢfM]`Hba|9"i3ti)}U#s'4iM7 e”ί[Um  ͱ_}5r:f_9y3\]-!sb[h/"q ]M2WW&؁.OrFAWUf>stream H_o0-7`;qBumEi&k=Mb& }}Nriʪi92+FS+ݯ~<>O\rMyz1EyJ@GFN4XXZlEߛxʂI0N,ae J₞sQ=o07ك {Sܱh8A q=[P=DQh10QRRfBKȟO8H0LW8աμ†|jt OHh\B p^уjxpit>vtBf`-e$b*qF6 P0mYQaĝMx@Ѡ5z1Vn J eA_]=Pۣ\ﺳWRѿ-M vKkTIk%>C D2 RIbpDCTSD%A2MQaLCI0Qv:1sQԶ؊ mmR6'2%r"dIblN)`k^$W jFjoFad@Oe%MѦ?Um׽4 )wَɩNIo1qX?;n=McS|G*\MH0~ML+PMiם¢XVeX1n= q+Z?"_G endstream endobj 50 0 obj <>stream HM@ GJ@4IeijaORK~_{>2l"홱#9yß~F繊# j{ъ1lD)ߵͬJ)xviǿ>B'E&\:ղϰ99.)q^riNtgcS#xků9uJ9WVHcRŖMZH6- #Jdemr LU,ԉ@Orim]9%ٳ Q l/дhpPŢ!^#YX&ڄ宰k8"t 0K% ' $mK&@t)!4)ДWa\ BRy!S+CB;'IےF}eK ȭߝu _gD7h[m;@5={ XV4*"C% '\ԋ5gGVLQ-[ѩ+{{G3!RwK r+rvn{Yg٩tZhgPWMGbh,u+o8.1ٙ7Ұ s_ VXE endstream endobj 51 0 obj <>stream HTn@;wVkyDJ͌ض(LT9f ǡJaCۤFs_+ͬyž4ט1Py+bΞT"=cؤUM7ƼNCdPnW{ zy]fJRh.ڞo̡ģ4Oc] #tߣ2V[ymGkl]Xo:ajf@f9ȥHLs?s>+ 5YLU& %( j.r8E L%RA# 3\AG *el'؆._ZTixD+^x ) E˜giGY"iXzL8 e]0GL vGԱ K aD -i*t^n_YR>stream xwx?|ʴ3[Rw7lf7H6 'H$$t$ RBGD ]PjT@"A"*{&繞}zɜ9mfιsFiP>ɁegƼ 5J2x;q|euʆ?96 BF 3ucw!u#rݸH]Mf#F<9aJƪN(wAȣ;xf5EP6<9pJYueGqC,~|jmB:ndJ3yg1`DdBZIэ|$߇+],B8SvIްmA0[6öv']׮${=}}}w8#cp.ÃCmup!q).+er"\qTWk55ߵkkk Lǝ.uvsv`ضW<0>Hw~iuz'x6>llT4:(nb~ _/w$U,ʼ"] Ca^fu6Sfvv/{vd[[3}Yf/x(e2pk3eJÇ(c(S2\UWQ}W@G)x{ӇO.nɭ/oҪK\ZХs/ R%ϥK.^̼bŔI/_\ /xօ]>uԅc^8\}!B΅ /8.XVN׊/kfk{)?v Vu  '`_ѣiff ]_\H7!iJke[=a|gNåR_~s/UK|_E}B\-D/h32J ۳yt|EZ^E_] {z B24wi:>@01:Ρp#Z>COtB (4FO1)TƢrTơh"&i4MGF4=8? nCx~L1y=ī^ Xjx=ހF̰XMo[V o;x'ޅ_ïݸ=x/}+BA\XX :-~`c8~ ؄vjl!|[p(V|B ۰;p8~O8) Ƒ8 Gt]ß BaXX", ˅Ja𢰚/Za^ T WMfaUƍF ۅ«Na[j=^a7{R/ !pDxCxS8* o o NN 3‡GYk\#x/x /   >~)|%.oKeNV"|'\ ׅMp[~_/W<_~?  w߄{Ÿ}Ph`E"RyQEQeQNA1P Eh͢E DhC @9H˗r|EN*_+wߔ{ʟ}PiPJi#D#(1Zcy'Ƌ b$&-1ULŖb+!3Ķb^bGY]nbX(v{=^boW,~bD|B A`q8T&G#Qhq8V,qxq8Q$NSitq8Sb8K->+R\(.Kĥ2qB|^\)@U+Eqx-zqX%n_7y5./7qM._wbX#I6!EdlCrrŭriR;+I RGYʗH]nRT(uzH=^RoW*~RDzB r/HA`i4T& FH#Qhi4V*ʥqxi4Q$MHSiti4SfIg9s\i4_Z UJ Er#qr 'I |K-'-iDZ*-K+祕 *EiFzIZ+]]^]6hj9d?;g|w=;Xpq !p'Dx"h艁@q "8'#13 !Jˆ؈,"q )$D(MbHZ$mH[mvi|פץRT#JT+KG771tB:)S4k|QH8OH"I"ɤI!${iM2HI#mIlCڑ$#D:|҅t%H)$Iғ"IҗbҏR#C 3›x3c<$ƘLCx ʇVƴLy;g,`fd&ff!BY23 gN-\"Yf1,ųȒX2kRX*Kc%kZ G6,=ڲ,a,cY.˓aXGi5ZubY>ºnzެˊVittuu?is;u~]OVYVž`X)lʆl)Fl {=Ʋ2VƱl&d YJdy$/U]"YM֐ZL֓ l|O]("o7 y]!*w)toѝН$G)Eyt]L t }n[FwoҷIz~{_1o5zӟg %{wߊogȯɯ˻ {F%'OxI#ESB) 8 ɷ=|ߞ;n|VQ?Əh$?gs|eKe ~%_Ϳįzow>?߁ _w4?*,?!@0[Yl]pB!NHhBHZ B[#$ yBI, ]B7@( =B/G+ B?kчjL&Ra0B)T+L*~JbVR"h%VITRJ%KitPWy\ V+#ѺgtusuEeպu*+ͺ]j>6Nn^A1;wgtJ-mL1%l9Ҳ'/W<]`7ط ]eu=n-vճO~ewod50/_—q_aNk4LE4zA&@{=6s[6n;{^^vs\ s\-w;rǸ[; $w{{;ͽϝ>>>r縏OOϸϹ//" wqrW︫5:=wns܏OgW._qsprWרGz' Mƨ1i̚E X56]ЄkKDj4њ#|NXDTL\BRJ>OnrK>jR)ĩh?:^O-4v-/I/i:Mо4^Mo{̑3 5Y rV9}B;@AmYh)Ɠr?'Z<]fPm֪iZ6\Fh]Z6RzNk;i;km6N/Egz^+z6^M&i ݵ==.ڮna0QLNɇ M|L>.E%䰨|>$>%ȱҾ%w*F='ߋMN4ָ?,w;6/mి"mG >Q'x}O'VWE+ IB2XEXxmL1>/ׯ?_AJ~~%Z: *F+4_]ځvhg7Mt:{SwLPw\ovCw#.[I+ hO3J.f x7r|嬢/Duh=Mt3x?[6|W ~ U/#:@Z# c8How Nw{/O#z) /+𝾦E.˴+;z{z|*/|;g2{wާCူ !_r JL#+Zl4C,aVp#cb[l:Mcm<9uةs~ ٫wE_Āҁh!C 1r1O>5| 'M2ug<3bg<7w -^tϯ|aՋ׼ֽ~CW6m޲u_{}wu͞8X{7I8%|3JXoC3D3FJ)'uJpPwFCU04|}wߝw:wߝw:wߝw:wߝw:wߝKw:%puA6BJdA[u۹!?9hB !Z6t'GV JEMg=ڎ\؆CF̃G8t ա(.axO.*CuMHCKڡa<DHp,|yiqdDQ6~5X:B:Ch&Z(~mx:-RѨ `8r]T+6a#>x{th(i6#ރڎBvFnh >L=9kvĒSTqĢNhZ65@Wd_;cG4T# B MH2hږ=qGIެƠQ *nd$_tg&-f uq 6mx "!j~ho?r; qq֍r`л'{!pi ,ZnU!w@zK xS0w/xDqvx=ù phR!?[}XD@UO8G;2ꨁ:i/Z t#nN;Łާ77ADq(4W[ fJeB;ai9 1? R^ OaSOgI'YɃh98WEܠt0 Trq| 8;RoΈQbGqK^ >]}}cƩ0~G 0y05 [|$:>PW``yu5;AkYgWppx6~T׶o%0'u! Ą4H$I$aHR@z9Y#C^r|A @Z: gOpq\"sςO1xAxˏmSoA ( q(ޅyǖDp)2腉po@z1j_J:nDt,Cp305` ܋Qr|툠~ o DDd>NNyMǗcdH Z=}DFK@w[2ϸu_ PCܙ Ox' nz\ ȃG[0N.DnU-n:gT1b7 …M4%>A0I ;^hJ h)nLE7TmqJB% ݸgZ QY7V!]? dP"-0`/I8`dl:8e T !J a?)*F8w=HE؜!(m`v@rxb#9̀1=/:j3 6 hd㋨G㳍 рƍpԳq;=(I>K=O=nwD_ 0T} ؙոs +z=~uQịe`.mXF4}my d巀.䆑$o4 ƉP۟~\'w/OV2dn2=-5ErRbB|\lLtT wmְPKd  3uZE0Ixryjwi5vvb*JP>R_7?{z'63Qf|=i^u/b{u/՗_k!p\ӈj\jϭΛ42=FִsC52䪍βll}bͨ!H Cs+wE-Gq|\5n799s.3BjHu6h&xZT qؿ,V m_mv"ܿ]ѼZhei]-VVγWWu/{CMĕWZ^$io犋sA:uNMUkJG٫39rT)0&9XBr핽,x`К@Tc^ngK|\5:}sF=3Q/{<+VGPml9aNdh+T9tSC#YJCyi Y3Fp~CjVGcccbTGam}IYf ȇ 3ޅ4 ݋v4ȲycIrjK_-/u)Zr?rGdTyhS{~Og~~EfGգnjWs.T''^~Ej,$8:bf\!2p nwZjz1\ 4SZDgW3_0^|{ ')(\RdK ol;:,N tHr''%D$%9KMu_?wȑ5}[M9SKj}G4uWZ~w! 3 ht)&-UiI|CWzÀi'if['w3FY]U@J)D>ݘ&$>t'Mk:^d: s6?2WYG4Z5l.PBE`'7d8KN)l;M PD+!_lnq!gxǺ [+?N~rK0CZ{"#O~0'`@}$ ?ȀĴt`"MWnz{֓'r[O&$Eh1 zdo8}{koQqpk'9]< F/z=RS!D&H Rx7ԗ x$ِţz=aLREн_{Ғ3UzNo6&j3qc3,AV0oo>T)/ pimIJuwpgG@f/)m]!ݍke%. KF.[mwxgh[M[6|+wZU$-lBƺ=JkNJlɓù GGMK]#Tf:%q(pˮ ?t)ZhoTՒ{%Z`\7&v{ #x D| dɽ Vj2'I< ΄גk'WO%{mzs 871ǝjrqY%`}hukp:".'.ۭpIar9rְ!iiT1d6{18TBsO>f91r7Q|NUUΊ#2jlsxFE )FW̰!U:*];QVO>t#$>׏)om<1`̭*C\Jw5HDkj=z2^"kh9AтVzE)P%rHȦ#xĀ2X` H<( E<2cz7ݔZDŽ|ǥWuz<"ͺPyC@nPŬ։Ma\_k?@5zm8JpH)pЁ- oOmFK/atEdcO zmuu&?S[&4Go1:t?5t D*gSOĂR X^!P*8j7IL44Wp@~EaX1 ؉=R'qy@ءC bWK %*u|}h@}eI < &hqd}6Mf@hg/ȣCe|Y_R N9Uo>VFb:wD1fk;&8C"NY70wy@TD"4H"ѫY4(3MLf]7]@ :˔:QfHX8`Pʭl^Ud^G9xb'4*.17P! XP <j t*\j@Z@|$ u1Pk(\Z9! Aȡ\=p(Ti _(~)X8?]5gۦ˖/`<N}̟ˏpi ^ywW/;;zYmN;A 4^[@ d!5 k<1K1,y*4 E@R,ch)9(PH)ᨖtH`n b^lV{8 * בLw5뻪56t3N4 /OsYpB:n'F~Df ˓z]r'- 5͌(O.P(Ŗ96eZx\TTXf*ܕ);L[B*BDԜH- aZcKEYsHe|;E GOFd{T䈔IqSrK B7i*i*[ݯERn?(7u7#o,2ƭZ%Dr`a pW I#Ҵ4.4PЁMc\fFsac3|Rn V k8yOEZiA _5XK#pGiuٞF{P6jT RI: 'Ā9Wa!\D| Y>^ e,*)lN]GSKŵ|pZw{7^m'O"D5GR $Mg eK& sKVG w8h nHf`aDg wXs9 pg!5UWTQ. ꦖ+%b3NĚtaƉL1|#M uZ]nSpڨ˄hxA޽)m7NU뒞 7zm|ꋂH[rMIsߝwG% ՘#!:DZVZ~uo]&]!"o} MR5)["^M*ȯ4\F-~~xz*]15㈃lMmqFAb Km޵ <"k..m  ,!ਠS"sUπ qҌ )$)E![a2'rV e~KSD{'0c0LKRT,M$o)N9-j02׺4"įoE܏0Kz9 6KÙ(bm4ס_ky0,ى(!;wɝ촺Sh*NN' WXx i);ֿo7+!u9)4߶t9UIwѯyL,XqZCEJo1,k yv hnoR8|>/ڻ!9+92_>do޸rp(UnY1i{AA]!n,,)AHf>kxq)W^>fyKs?Bu Uε>^8WymCp֛/ho ]|{?<{`IR@'XIu54M)-r\ $äykN[N}fL~aV*y!$JlDEpf[N%`$f 76^:пSŶYi';qS]UNѧF6}V@_V 6@_ {>GZb!V}C Hl}%/p1%)T ;xEQpD`%3ODpQ =֮"/s~txWKx:f=U=L)8ݓI:9tmӮ#IuiRsP&Δf B\*-e,f slXS:Y$Q%Cj#,mM@u˄| ".jKFhhvI+KGAA,)뺧I bm蘐]vh.ݳ0,*!UW >V]>VE*#|XZw*|QrUR/37ϴTBdž[,n7aBP5 @q)ܖ) @U w ˥Im&>k7DJA)-3a7jp3ʛ/hOl;ûe4xY(хAzqLMTb-zZ3iñbOcor75VƗ 3|x,CDbG+Y0jM4ot>iYgl\FR8ɱoGN72D(ӮH7 6JQP4FIўh.z D\ ceqRcI]50_eaEv ?vk;W_-޲ ҈ŭ}G&O&Tdv/skČ'VDos#L5{5FӚ%%J.t.%.J%:>F&JzxIҌZ&TҍtL,gQ,  0K8ى5Ԇzw=kp>PBgQQ)R%)Wl%JIAsIC#RpC3ǃgͲXT> RZ؆2==e㔬މ^Zr_iD]p2G1 Au- IAC*խX: |OQȪ*5oDUuꊤ.e:@{h kxe:a=OJ.A3qE$,]kM EKʅ΍m(%ꗂPS ND9OasJ|?jFc=A9z7h΀rSߏE&2ShUSzB9P!G괚h-uƛԡI%S8鯒>k@; Z|npmpS}CۭO;&FAjBKPN0"~ R[sS}ni)yn9h PdR9pƗw)4kT}4y X<1N<&d`I9:qb`ڭG4dG>4[P@|93:3sGIc[s}WfŃ2w~[R9+G4՛hNR{߳SW\Kh߬n)wa~`5Jmƨs/׭6i;PֻG3pGU2ElM  ij-גd[TXo[cAy#w(|z|O¿OZjEoԪV૶Z/[F#yG*S$+d5a" A -H6 Ap]I XW3mn S+Ւ[UKJ=*):m‰q,klI^+NdϤDa)ugj0jCFh:4fQ6m'ZsA$*!Q14֙=ȣvӂaZhVH!dĕruec?}@ٱ۰Q uga ?GV3œ\@@ǂDjݕc+} @#>oM3Obfx@w^rzn ^5X}M&mgVHwZ1EŸh9DhGAeYpV_/*l~&F|~ l"4uJmjH{ՔTiF4>:}/字fq.]] T[8;[?k_jb!\[PX} ]U|E}C|CGծ[!e)PyBE)1. t@EL>f*ԂXtタLҜB>*ney1QZa+%lCv8E0i. køN^hu P+xFB~a0 x _EgE Ċo|_ŧ+z8)Y!b` ˳ ΐfSDZK^} 8 ?haMJ&'51 מ|ԔHzt8yw}z7sS3Ȗ. ; LQ9WzC;źQnTn55&NHQQ!(oj3l2A*MއUXtʼk<#r߉^3pG3Ě\-k(g Π2.7GQ("mHDbeLo6V2Th%a>=ۜ^0ⱷUN>/ </?n=@x."T)l2GD@*Is_A2*9*AT7Y*2GJs6hCPΒ*c2b !z&/`a@2.=|0KӀg~(_O}YA I:d s9[О4c%@SiFzQ@,0vv&DaBuc/6+.ㇳFB+ @ҕ[9bYQ7rOyrg~!0,N(xN$5Ap$ur jnu 깗?n^Y2x/s_{vѶ'j߭N{O߉m%:K3ȣG\_+^&tSz(">!oC3O'+J+ץ.O GW 2%_4>?MԛLHӜ(C֣@Xnn 1*c=MiCq,'PZ`(` , <+??͐0HHX!$ FvmuGsqxs 6Q%Gm`$u?MitsPl+g|!1Nf|"*o*D0Va+^D~b]hDBPA@Vr# %Fe{oJ/"" rcqHOe.mevst }%-wGf7F>ąɸa$ײC5w cG?9^ƩZyD8, Q`qF%WE5T:dI6ʶ(aq @x]ũd5SRNJ1b"K(FDs0l qU҉6w$*hE۽9Њ7BpO=ЈdyڍwR_O|i./N`DtZ!!iÐcv9\Npv-@  Ah3AD5kC!i0nlmؖ}DlE[Våpvs9"KL8ΦկFTIUff6WgVg`Q*V++/_>m]X2.K0ȝ]sDqm?>Tة>QHDN9\Gl{!ºgXn Û`$BV=km&0184t Kc1"8{4|Iㄲs'=/=8+  ×kzZhy9"g.`9FrN&AV=v]oXIo'ꤵ-tl*35Z*4E`6gS>Pi-3f"tylG;>DȆ!ީ5 ^BtL"Z,qoh2Z%6C'z?2I6C sHZ\ҥ+_FyaX<ֆti1Kk?XlTC7X+χZE*R; %DIJiYlqD5֚z,fRէ^cpߓL]7KRЯD؅1#>E%6SK83o2qiHHTvcCClXӍNU˼ ^jP%LLL9*[]p r>Ws  +"`v15"9[%nyCTf'GG"Ik&-fO@ڒZԅ.a3Te$;^#cLx;/l]cbUk|}Yz[o1jJXI1`R2txEvcɰi.I{HTTeP9+6yi/kÏ#>r۴+MĢ;|4>MszYFXICn$ p)ےYbӧ>ռޓ=գ<{='=F3z qꃃ򀂣)8>ĺŁVaށZtJ=Ihf3I, &T ؊W8UAb]sڅG|Qih8ðhzbTAzVa/ L-Rl邎xsz{BwT|iu3P _U2=ey*DSc7?R?>"/9&CG& 9q%?pJ}: m`Y!o)Z؊ 3BS٠h*)=n2ԚMg2CHD8 DpAW +J* *-sAYڤUK4Bl&` abKZhaX -h%ib6skzy}ZE2%AɜZR[F[Z-Z[Ʊ-\{ܟLY(?4ftvSNG4珋)d'ߝKFV#3?#5ۻ9AXC*au^[5WV(X臞hV`Oce;[#]YHvU?򇴌8P|H5YmH_|Kn%2RFַ&]6cPuR>I9;jҧ u4b~=' *I9UGB1OO#8 m~S^SJwW-=0vHfpPѝʓ'c,{1b򅎃_\+ɞPe!*dz|0WURRj 5GQ{^kr7nn/f mc՞%)Fpa<91屼QCG8y !S 0OE0ّ{T_yIh%ys\N>*T UgL@FWI F (j=ؑ|D.eW@V0ZhaeUXTL|8^8 ǩhy yL˭ ;JEǩzh ֩ !63Ȥ!I:JgځIx=Xha6t,a_ln* _)D2%;&56l%OsY+1Rɣ%[I^<>q[3筸B5XJ*QYt`󼣒lG7Y}6{M)Z5 im.~>Uzmv !OĪ֎然5=j]}]ѿ4BJmyGso@<ZL ׾ڙMt"akïm.F[t>=h;r.OW DBZ }woKrKn7 ֓>e$t*NUusZv]dmO:}uӐ: GңMꮦooQ_6v[,B(% UÈFICj?q=4JI_!ͪ\M%EC$)UImpGsM0q&hyI>#,RSZ/5M8s4~\(tx&hokꢠ~Pǐ zdgJ/~@G`Ō"DiiJ lr!n0@?k4RHH B7&ރT@`yݵCy͓XC3؝E g 4wɯprLC]=T֘9hn_P[yA>J 0`/R 琢(u8:yŎ; mϛp&)9捆A5vuVv$xe0_6A6Qٍ?sf()ZiEl98F/ζ10Z]V_pmQ ގeHGJ2G=Ϳ[/M 3@ oA؆i J*Q,۩eEt/}I+/,z!O΄B pSÀ!@eA6#/5.ߺ2-ݳ拦N=̢*j? :Q/IlPjhg(FQ)[*2p]! -.c%: %CEN;Mv&=)w": G1Y@=i 0,ῶӸ5֌Z~Ƴ?DѻIs+<3KSmֆ#}fE5 Da fz.i6/cmW9_ܖyׯo$m̷r2Ҝfm̻t+ 7 ̟t8}x/8FyF$BbFt+3j}@\X+p5:ɢS,Wtog'W".c#Fht t>1 3˜U"m՚L8 A@?{GwD/ԶIm sd0&f6NΝ"y A/8}'-qH GRD?zV+o lQk ;eUԝ6wm,gHa=pr`D3T HP#i f1ЖdPdC z!5_DO2FFtw*Qt:g] 7~Y 5١+W_X.|ma M'Z{_ _`h1 > JFxM8L2PؤH0]nj (xD'y $\ kaq]\b/5n6Qe?R v WBb`h8K5ߦĞ߇?b;| XX#--NX ;u ha bPU(L‡h'rItț0a?+: zHd˭;A0^0SWn P}+Ъ '#37:e݉#F'f'N }\yEa0ntttR+RDlw;yU1|#T| qqbK7U.bkP'!dыo ܿ_Z"NK,6{ssK?;oBeBҳY,tn~ zyS FD$a+Y F$@F a/!X^LdthQr<5Nbpi&; ⚛i"q`U@ Ko#b'Ny: ƧP dAx 0Bwƭlp8К{:!ǐcV1L!OڑNpJTq3"p7sF9|ip&]žD  M**ne]Bn56?dN;Q8d - ȗow]S!&Ks=B5Ny{B< f14{ȬIͰY-(V g;%~cY7/237?wk݃.`pzdDyBLYJ$ J 6e0] t`)8PF;Q0Lh[# ڠ3Pv2t_\X;+_`֧{=uB(?}!gl'yCF77!:yDx`'M=7Уj gjJќ8K0dqN)GYB]qa| ry ,A4. `qfD{݈&7  ̳2;+ohS,z4I nAωiE ]ѐ.Ef#G18<0mn!'a87h_!1-TjD ]\$"$b^є/i:q}aMYlaYozZl N+c`}npDNV6BZRJcvA|}>a?jghfa@:P.;%XFͻG%{r:4B=~UHd“Lx!rC3kHHadXQ9?&yx(1{ۙ}k _KR2>N>>m.-k:"e*7,pfпE2yX/ ޾;hS6@gλ[6Tۗ~mrh=y6qGٷ߱w.72RɒG[r}0 {|&7~[V /ݦ,3_A3\n7Bۇćc!*n5`JIk Bf = !-:EAjbW!_utFiMʡYf/6?/Q Be23\xnschZW2Z$^.VE_U+F \ӣ+Jl6t~Ol1+H+R]/PڑCѴ!mG6hM#}^]ߍܸXK;X+΂ !$LV,x=zǩ4*tMS4JDZtU<qyֿGzDbhV12I:'#찞ә I D)LYD2qF\bϕw S'pI@## y`~p#¸/>֖bKfz˓DSrube"!Ls`U- +e8O\RkBppgK[prFzgC¹!"s ڪ*{+]OR kyhB=RGXbuJ}}68] jefnuGv:f#{]6KY>n(+г㼸ҋ/ٱ9</`62 FSf d:o⯬imRڶGa׺9X\P㳷.,y D\F\Yxbo$OV" Oc [Jx ʩT V+J!Pr"Fw(|LLV·0erDZXZ- ђ%R&vrH9l*.H*`#?j+8A ڒQLS%tQ|IgLد\3a溥 m_bG;TȰB29I u?ށ:r:&L?.uDVBT6w "{cðche`_`:̉svhh.I-3~qLD]ʩ|O)RT O*7Ÿi BL)|Qm b'FQ(## 8'F94cZ"mGT%HB-Z=rDg[]cQ*DK0yehjjmqQVD7j,O8&OFq_l߷:Oa@."΋9MփuRp6qי[-=sA v6ދwt75uՔIyur{fjøAmyKE ߩ@N<5MͥçfKłgš7&:+pF(lWn,":MQ6~F„dwU\Uٵ`'~Y- 8r䄼ïVwe*V7*9/ab,[P­Y*A>ƶ>|}Aߐo̷Z3vqf"L*p[b3q~=ܥU>+YǬ'F> E߫g2SΖMq[V$N4i0Ch^]z&\Q=` ou.'f?:W-U^/>wfQٖ4Z@cz@YƿqYڸCcefYrzXvRhFlp;QOq;5NТ_CVאot|7*Sb_h TrU> ._iULohF=9&'_MK\gu렎),i_%Z´ZFGWFvլ$U%8KƲ=dl,EuvlF=tJ]y<\ ;ٻti:8Z hQ;"R*G?ң~T˙8NmDZPGDf"Lćl&ӶLdhcRzVFV2˴J&6ѻz ~1f2#ۻE}~$}θpHދ?˚=;v8ԾjcekzKJQƖQ`ZҲ:ijp#ÙSX/?7%*0F<,:{4nudܪ'f#8q5VŽKUe}g0;C?K-¾B<޻dѰⵙfպ]]lVXJQQi^V^,uU[DM9;K}ёlڸ%KVuTۼZ"ǜ}𮡼V^h֖qXnnyֵ`*x y _iJV&L%p^sxc$V,p$+zyyjl$> 0P\"!ֵ 3 9hq=63>#BT\ńB4V.m)f=JPksX٢ cF3dもX w9=9B)8B58/ !/r ɑa2&;AIF\d01Gd2؆dβTr_yj]Hř q0]7b޾s=k,zV2,:oڗp$40E,p MϿCOm0,$I*JLp 2POdQeecoD#k5Ե 7{ qOrBD;j,q?ZPwP-Wl֟pͯ(_1gח.^zϣxzO>zӏkS Oj@a-E[MqLg\dn/cFC^#tW•tV0ؙ v4 ? {[? * NDavܳr'Wa-vN>Ռa]ܺt: ֫ЂDXQiƞoG7cwo:e?G?Y շ0VEz~pG3jv-i^y盯84=ƾ}b]k+K 8:\Hu!*)ey*QB6M|wBE2Ay6 SĄ>:@xNKbr-i ,m)?l%ʬK֤(2,Ъhja%/ď@N=8&pj0E Q'8.P0ݱzjq[WYR)E,W8j!NWFrᕷ~⑭G.iiH_ԯ6:מsɡ_# O1,A^@ʤ U:RץX'!zbDc#0cp;b|AW5 3KL_vnTg*bu6alpl0p"y-FsNԀT:y-)˛f:>ն&EʦȰ5_<Z塦GOx<!&al:quzA׃iЩ2?V,Y@ @cp!G-C#!͍I\f2;0@I BʲO|q_RiZ%18aű#Y=׿PDnSb{0}X\\kuu; ae0Y5:[WwODT{}P|}DcyYix+Dh$#)"D UԐkD*ajD"$$KDK<-zؘ+$;ԦJFpO #b/7/Dn2m5Q&tAwJhA-^q[IRSf?LeȠ oVաQKVkRrO2̖&[AŞ 4 Xn`@&/5&K$QyL# qB>*@7r|x^oĀfF|к|ӎԳ ~KҾ͙].F[, Cۜj\P[4SSǩ_!xi1*x)jX: B+`KYxJq4ȏ3VRMR dp^iDB#0p00T Z l "H;uNCGHq&oDV_XbWo4RD;/7FP`08g'ZLJM*Ulsz{?|x&YWLL B^TӖK>5n493X*Gq6D.fppױ7o5kx7nfPmhBp9vm6Yџĸu !o؟ 644?"/nt 37a"nȚZ"%*%X /a@s6KH@ @> ;/yΨ c6"1nER  8#iF5ː:c14*Kw Iq0zʠ.i FI;Jɕ ␨'IŐTjFzZfqlF~YPMD3;Vr*!d l Žu/S)1Ӵabbk5.E䰪?!*Ͳ990҅泾w'5džA$g.6Ҳ7FT<5p5$;jY𕟽t+Ϧ(G/sGnl[VtS}_Hgss﹕uV ?sEDS A8و kaaBXqAt]R_݅B/e^ N6yH:{w>}z Y{fIĩFǏ9@#="7$?!PDm B#QĘb$\G S\ 0<с xӀ^kV6 U ty; ܺܶ7Ȉ1%^ݐU%QU]fdl3f$L Y L a KEbP jEZխVкA[qZnUڂZŵ~a=|O{}26pzCX 2~O BxV z $U5dveH+3$'cg73s75g#/evG7Y;Ӿ:LR]V#t:q⻙^zh,zf5Kr"/9Ьuϓ,>k\rbrPrޫUWr}G@ׇ sv&#+zn^c. ~ql[bL=}a#3T;,|2+O=v 8}huEɂb;_zI8jI:tخ큉]`*V]xҠyA+P]<5N A=4yXoNqP(bQ2UX>@sp\`\Дk͘3Ϣ)ᲐLjZۃpuϰS8 nw"st[K%UG+ y%=v3JZq_8"> }O\~%H^˓'']o|tEܧlli2!6KC;=se?ҎIW7fFl\ PO5G+j:QLnüc>}4(?i!f\Y|3Yyk !}{ bԆ,֛m?ͽ%oC}t.;rum}c;v߹UlR8c6^F4:vF4 i4׻/ ŦKVyۚz_S/;kYc_[W|r/0{ 1 WrA_ݝ[bdMjJD\÷]xKn{}}Ov}-;;nm>j}wͿ,/F uym!tq#i dۉvmbieVt+W_/^߾kW7iyohk7m`^=j+q7X=$E*>!rq_6E^|)(GZpi0To m.G8z @1 mV'hTv飥Г.W"_:J}V<0[[c1F.:.cQҳ]S eT*_\)UҲv,+ZꕕUEEUkN+iqDmk@[0˂gW~i7Au^:2h U{iAieiS{rSjuK˦DieulɘI"k,++=kDVV⾞w ?ZDÿ.K/廫dR-,5͑ў.Ӊ#kk|kkCkkJWV笶]TqfI/hp.Y0*9Bw0TTHe!酮+x. Z-V$R7jLğUbgPIIϟ#!?&vi/Q/ l[^>an:eR#R&d?oծ#HOdgdw[55e{09_pʅ}{rJ1Oj'X2.%y|Vjk7.b$㴵?RdQoNSIm:t9kU0nBGJgeH+̴~2I*:)\O k?Q %=%'q2~,{h0Pg<#<)$RΘVj՗Ub| `U[GУ1XL>V{;zե_rJ+u6Wu=(IZK~skPn +m-oiS8tbyg}yFyec{gE[67x(-L7.2x{$'lw7OlE,A/& 0&ŪK}v 2G۩=./.o;|3i}C}]Cػ>;< PK XxQhEHI!H Aj0,aRlheԥeե}1,V+i|f6ۨ|)?6Us@{<,VIUU4[eKRz_/94wC_eP#tFoCuCIu;'I}EjoSsFs_6(J>oo{=[ksV{aX---˟y3g, VjXןev>#ɶ=Jڳղ<-.L'Io5.ʦfVN@#.Nmp* h>愇SzEiၛw}Xmjģ)y&7*ĽMnTƳc@'5eū!3Zk2"ǚͧ1XvS$j9sI4K]#X>k43t,I766'mmKCJL_gڸ*Fګ_,+ 'պD6I{朿9|oAؤ{'n0Xd9ߟ@ĵt>豔s~sFI7MڔUUU.Z*>O>^8WߝS>\VP_+})NᄁZ^YQ9kӴ/ *fIc^S7S 93gs.RԜ )ꉮ7.+%%'[q馴N=ekM5iv%udWlփ`qMgnw[V!/tkM5*QLEQ'v$S3vIIv#)TydR7൪R3\T֜)9JNZdIgܮ ϟoUퟳǽ)~k1[zOD1m|?=;nWjGZ0l+nnR3mMb/mR}Yl|o[.aLU|O&X%oڨ8gynNmS E|Vg!-Q*  Uo} =ztR@Nk2.n|g3M2.nōҳITBʦ*>U屷8/ʰ8۰yd~z{xtȸ %F-H =C|L\D0ÚcU.Mb&-9J>* RE۟TAEGiI;Ďg0YC_$Su;򑁊 g WF46\.6i|FJUZ}_l{ױcKҗ0}U痑immCZ󛻪$WUjeR%x#dj++2Krk$7.gs ~p6=ӛt % Z=;;eR㨅y'MӜ94sV?S4gjm֌ळ*Z0B MSg]ԑqhNѨ؇4F3Σc\ҌM>._%0p|yh@n{@} 8 _ `0(0H7 Q˸p}C'gnic.tZdf+uT /܎\f 6-3{rJ!S[A[I4}wZ]T# )2 jHaM4ƪC$YamD&idND[ؽ9İ(v.K]t/ꋒɴ)i|ÜLS!2%&:^L$ZJ5@РpV֨tu27EjMqjTwR%]ӑvL]HOvZe:aDʋhG%DW08}(ٗ5Q(AŘjJ.US 1& ̟| =F?RӤOpsT1N'e 3x|~FT:~.ߟûh1!@O||Ͳc]dE ̫A?Ne-25L:/5d)דi0MYz/d&G3||oqc0W9Y+K)k1ødwOR7 T-rAJ?RÈ:d7S'HÀ߬2/; >x~aow ҲDɫÄEs/L ]64'>q_Y0MCX5MTj@^jq9WՐQq6ЏBV RBbt'LU3Rr7Y~%B?x<7 /@P1.7\[ߞDC;E&5*A&B3@M 0/d=Py;~H ,dp 4Syb\o)TWBZ-F]H3DWAo,e'XG"uFKBKZh <\O41Kͷ:DY C;JyEYed`^A )S){!Mys[D+5I&Mc+o y]b8&CЍ_J :Cz r{x){F}{Jy{=]g;F?Hڊ@0? geB,;nBe e8syUÊNK.C~ou(׫ro. Q6RЩ]1ڧS ^r0)cXi~;/W7 tᘃ7@K5Ot 4r#?|@?# mj.w5_=pDZ?оxxhG#k`?iji߀@'pF`xCXoJyAC|:FsPQzI9Alɀ.bheYfqmz:u dݙWSXo9P4i>aȍd*7Ӆ%:ρS?ɀ=(사{ÀSC{߶[Z)8a:3Red,ˏ!nyT˰1R#؏~[{)zaO}gr162-xnn=eHM:>P>(_f=@vc[:TZY ߇ݭagoY?!L^` p^o^%´gz_Li$q5G)[Ě]X,!vK\b[NGk .}:O)|NR5d2֒y}啹U#m`@oҥSU(?ze.$uwnv6Bu%*bG:;17\ehƉ:Y pc5Yn,N,ˏ'^@ZkZSik,]ԲyO](CS,#Tm/٤D^oWg@bo˃<6$P׃gAeJ73^wᅺ@3í iw'*h{C`F>"ssߨ'Gѩ@\Ti8{n*tT*>(8VcX{J7 |{(DZ$p/rLN'~tz-s[Hwx8][sb;-^a0M0IpO?$sZZޢ|z"Q'SV-?71p=ߧr}-=;xO$N u/azD Zx_WT/|&dc%QuYgOUY:Qu++dW#2c*>ȋ(OX3`Lq̻&0 <|S7AXT[۩_RO,- =4$Ez~:׫0LU>(@KC廒ó.k+Wq->9ӹ;'bۿϽz(5C4S*=(Y7yϠGӧ<>cu0Cb2C u$t%I9:ԣ0 @xuܟXt8z7Ѩ㽍o.'cugVn oBg\#}_OtΩd+Ϡ"9& 8y3/£./@3"vnujra>nސg֎I:ʧ֥;^ Y(@_8WO}=t37_NGItST.;4>W39]pM{1G^xu Q|ip^E~{3?Ӡ\\y0/P'Œ>*<\; @/N ҇3A"/}6`2ZĐLΗ).+椉˴ҽ5뽭=c\i)6wꡟޫ7<;G?u RHGVjy|AzzS_ ^ėob5:1~!X< M-t[.k̋e'JWa4LyT:ِStuf(=VUȤB`·2@O_ArF瓜ᆬi1ȿ9K A&6 g2Y_-.7\o=iX{7r\O^(c>zcn bGhK:dR.@ڐ>oHO81P~Im1A^{ :U'Zם{}>0J35\o?R=qnf^QZsP(' PNsZFʿJ)O(rUH%~3w&/06ڞɠAmU"E̿Ÿ?BAɮX}'zjPav>e))2S.Ҽ}c%{V#L-n&L1dUnJW"Le![8p q I' <rV,Gˑ i;'5?d^I=(di$uh2\8tp'CP&"op+(C3hC." rq>",&Ŀb߸'մ߄w㾰q-4קIH+򘅸8퇑ʵ< i{sV"Nih%]3.;i`>>dz#a~sFi4N:L ^7/9yQZq~_u1_a!沜ͤ3#ۈ5T~~|%{91❀yR8Ftj'gV:qf#?yvṈan4?sGeTb>Lu:@zV6eз30O-}~en}aZxkE|/SV'_Vy 1r)4Շ8>*4:2ǴEk <2XELr u0NPu!0JK?(%>:ǖ0w0ǝ'?㜳?.dzoj~ODa1Dd;}`_a~g"|b ~k0;sB3*+ {u QD_ջ"0uSPǴzwQH|=z1Ѵf^@4;'e8q[Dy"NtR.%utDW>FB\S~z em}HA F=Cug;A b 1A b 1A b 1A b 1A b 1A b 1A b 1A b!y+oB2)7X6;MS> ((.5+{@k[*zPjÜL::jAՂGjeڟ+2 du *bW~愃\F.ImT^@J_Ii'oh^ JyxmVgk_ږ(PO; |1E=XlTrbvQ6)Pλ߅g XTp_O^l*F)SUu z AoPEwlЛtz#@ou2oN7*Kz B@zG]))W(爜ւQTޢh}9ڍ娹娹R#̥Z*Ra.EKQ+5䷄ =xv y5mEJV9R%J @$"5ε-)n[VcۺlE eҪLQ^KsH|jFGcccim~4ט.\bJf-\bJv5a XmxW*Aэ8/<œra~ \炫 .#}x:\Qo 9asDЍg&^W#s\@Բ'"mHWGxKk[mwwߥ. - /*_t:%4%<|]jk5Zz ±]j w'n'M\1QiDFkj-3ϭmt 7u(3Uތg8Sn2{3&W6Mi l5fރ}~piQDfsghŀWN83,62NRNĿʸsHV뱺rzSWD(,hwRHpxO-x%ã\]+KmB;ϖlfvVn5܃-!{Wh -Ufnq.7Y#[6ƄK = aۥ}CJsQjƦm XE@iYҲrepKX-VmMYVlUoƣQiv31T-S\] N)Ye S:JvRQ=ĉ=â=֮""I3 yvDeUy=3%IZUf͒:{vΣӂ=M{Oc QVHOӘ*//hT^dGK;NdwYX^`„Q1bO(wo).=%@>O@ghi B*iȅ AK̕XI.+DbhK8 a1[{!PX+, |,$ SA/V7S_?cAcnc0 <-2U(sOw&SZ3?r꼣xcSC[h^Ǵ[?#tjW<,y^qVpb9;ws^W'uwnW牣ή[4j5';sfv/)"eyI qUV^|#ҽ| /{LWrEQu>ɒ%Kcٲ(KRڢ=cN='>}L=3~yQˊ-Z6-gŋW/P'oPa IZv2Pge\% Zve3ۊi^ ze! i<_>T뀟}T)U9YQ:>vvSO혬іZhok[- +*"eZD%`Yʏ%ѥR{h$-YF 4 %mSJd endstream endobj 53 0 obj <> endobj 54 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 53 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]8[833 777 180 333 333]15[250 333 250 277 500 500 500 500 500 500 500 500 500 500 277 277]32[563]34[443 920 722 666 666 722 610 556 722 722 333 389 722 610 889 722 722 556 722 666 556 610 722 722 943 722 722 610]66[500]68[443 500 443 500 443 333 500 500 277 277 500 277 777 500 500 500 500 333 389 277 500 500 722 500 500 443]177[500]179[443 443]182[333]]>> endobj 55 0 obj <>stream xzyxSe9]rIm& I-PR ŶWHZhAlPEDlU@eW1mA2¨2RG>a簪{"0<{]}߳,쓦V(,fϲoݸ?'WO>okS;Ni+Ҳ߬С]A?hMgydsKV[5tҐ @=tNQ9^W_^_ yp~_ja ALC(Ea&sDdTgk׾Cݑr'v꜔ҥki=z'o; 48+;gȝyw 6|Q 3[8EJJa⤲S**Nw}U39fs{ .zx#K]ly݊V?a㓛?l̳wܵ{aߋƦ^:?t?|^y[oCO>/<|3gQHLv?8-vZ/ +m{A.'uX'{={3Y]#aq$8܎bz ''D$D'%'tNHN34ɜ&.2L(W+ӕ׵kkkkyW5;]_λ3 w{{{Eʯ,䖇5:9ZxVD1L)vd[v4{ 'qL&t_Pokk &?'="~`0 @0* `5 D-gZj97/35.9ڳKƿ9{F65w=L=3g~֯꙯V|?uՌ&P/̰3Ϥ.8=t!N u8ߢ ݘp1>KQ\p9agLdLWj\p`W솩psNA3Fhb9^X \xxsa G.8p"d)0vTk8<9N _? f !\/"/$'/ ]j8M4{A/u1H :0k`3y` iWtNPH4Ki& /롈$^o3 '>z1̦?=l/kb] BGPj΋ Fc,33٩x=mpAT;M')tURFITGZMa ʝ(5" ij\ `M^؟?r59;^k4$98V̦DcBH !G(ʅapI(FŢO|O*,it\HN.V^'?O׏,3JTҕeoyͭ,d IB+C=e>\ > vHo({ *bGlM[8Y;*|/t%E.&$OhqTQ ɻ̘pa5<ogʅ?@K`sqOQX@={uOֵKJrRNnWGgߡ};[\la6 zVȒ(0lgN.nwv}g) 4PPέ4>{JfCoRznPɞ ]RNdq#^,.j[t#uzžSea=ۗ3.$k;뺤@NOM=|9jdm`+_3+ۗ,WvioHov(} OVI`OӨ+8ސrnK eβ^PZ0'8|CjtIO;؏P=y nKo& u1vޭ[jmyhQ^q^ibТӍc\V˝|dݧurVM-!c`\Gc\P,e NoYXծ! Fmso`2j!,<0onߘS[*9omFΑ3\gd'NNs>P7ѧI:S_nEy[GJC#3&w.Gmm_r/){f08{uIwV|RC}n~LoHokm\c%|xL|fa̍KգxOq 7Y"+o[)| u֭KVir(rRpDkϯ.i<,@RG6|MVhgq>!D9*ɅNJҕu&_c.ηЇ>20Se}C2|O.T %40A:Y%A`yZțb.g9sJPϙ0 Ԓs&5:nHu]8~#).'. > ]ʔnVUOFzݞ^Ki|= w;66 / 2S)04+v{$V줄,v֬%?X .*ѹ9m-qfȑ vVI'"]U)]4 Q2Hn̢EX~5n:T,{UvmN(g~ |9c |'0t=)*mS$EIv:pKuNJ't:Cnk4YiM2tW;wcN G^Ó =IB6{= tUj{Lk3}'j+Z,E9חޕcΒ(+oI3e(4s8;/}"33އ",ȴ0Ѫ٩հ0װ78<.jS|Le0EAoOwV,xI$ii|> U\6T9OGf qSDU7x TnЃd!.b?#] < 7A_ h.ʗ~i?l}*TAq3.C34 t `ɞP#y;G@{țo]kcO! +d';=v|[( O|rڲ=BP1~AsT p^!Akmhc7bf+ĩl*iD'K[$p~}D ^%?$G#P유6OB~VA0 5nwY{EӆsxֈT Sr·6,x̀q<I* rRǪx>x$ 1kdʫ=e<|a|)L$k5?'?)Wkoh^8g(Rkt|^ͧE&m>JϦC_SSr ^\P v.3\N++^GeOR~֓mZyI nTܬt}T&͙\Wύ+&hPҺs.{iVzUzyS Ha3:DH1bN5 Zub^+)>S!]efa/dk g!Y HNZGuj &TH"8| 6y}PψQzh÷6y>"V?PytyFAH{R 'Y$?-nvssywKgtO1ކI}dܨLCf iP(Rdea)'CJu>_gZ߿&dSA~ zzM1V\..%.t?\]l\L  iC~vcuzh*J?=P˦YeW)t?lL "X@/hشcS gTl JaA A5n"#,Ewf|l,CPz S)cxbe-@,S MQhQ[L@r~>!k` vp"Et3^ :XMs_,W1)^1Ϗ=<=rrhhGb0)\hW7VdmxASՕڡnՉu$ vJTJW"Lxzu/٦OTƿTzz >JU4p0aNO6ϭMUIW鱃EU I{IqheC|FUG=՝KZX\B(xW1j'*GtZqA?~'/ݓly(=h9mby~3mYW|,gO7̯=$CZ&榯,4cρ#ֿ Գ;=5jwhjk4ji44c5ŮtP)qJbQŤ)E( yW[xCx }B>=}'ADhu#$ EC~ _||>=Յ>L-ZqɪB3-?Q$<5i+44?Fz>Zƴ=?۾З]㽇2^:?qT=NQ|*,^r蠚#߃rN{*J7'JN_Ugg5FSTh*r)/Wi*U_}*K4^'W$7ɂ$ nfG V~mqdȢgxT5VdW8K=YY $ AMYgV.'(][8no/4wI9˳|sYɋgz1jކŞɞҬ¦yKܲ{fJ^>=﵄﵄53O +y6(0pV:pT_ ~"n' A>#2@>EObsД7ifΚ5xfE1$״'dWYqvϳgwf4|`Bh E3. endstream endobj 56 0 obj <> endobj 57 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 56 0 R/Subtype/CIDFontType2/Type/Font/W[3[276]15[276]36[739 574 812 744 536]43[683 226]47[461]49[739 869 591]53[606 498 425 654]60[591]]>> endobj 58 0 obj <>stream x]j0E -[GMK!>٭-,g*ĕ㾱燷q?.>stream x{{@Tu9{׀38dA-&T IPQDQ$H%-3Ds^́P{XQYmeZ|mVҶ.`}|{~On/O74>]5޳^|i˯oλx>8x~Z?qDNHzjXn2'{Ɏ KZaGI.5]s;]w;==Ͻ1Scx=)>=Ǔ۲&;]=ÒK˼̰zc>ⴥݮ~A׺U5:߃=簨;}>ɧ2(%28$ʴX45?8:巡)<,ho겼yv+ED]]:/I7L]|O^-(?2e)0~GpӋ~~|۷mߴ}Bm{~r'iySN֜j=uO<SOZNv_p1e]'[ډ' 96XֱcRu?9pv ZZ[lt˩-oye_np- ookޒkI^Ry?[no.6U߭PF8o~ooa԰: p' xj)::֠< wp< a Sm(w]88_F8 ×pB̀P `6<s`.TA5a, X KVha,% B+A%QjІZԡ (фfmhG`,a<&&at=^>Ln{`Oc/`o샩}130cf8«1x \yCqk! XpQx=18~K f!'a dS t,X{q&J g8mbXC8 ߠNQ8 | fNx V+.ްWaͮ ,R((O*"Kz>˓|v;JE Yr{!z=q;?^4\$׋dQ/^16zs)z,{Hъhc^P|{(e:jq[8`v%W0CoVDJ`N ,cKϒ/l#kp/&Hsh~snP[?3_ oZj޽ztM]] q1j1NQdIB/ UsK!^;?R`uz@q)a[xƂ06@0+,3>",=pBn 3 q=5lE4H7Yam7~>p:?$#G`!?>wH 08o@3h8ZF0踎 MMArZdiK6כ[ :jE0jT,?o@atqוP;A#_FzhYg°V)gaXn赯v}&SSK'R_^Xz Ja6WNq畻kO+wWݿnMnj>gJ8/lҌN;ڼnZ[~_ztGyiC,b0Oj>D ʥ^/\n8;mSk_=EM"ZR(Ukו)ܭWVW͛QfKn=7 ;H {HqGWDŽr>R2ӮE0og;{J:z#s)NSa]䥩YQS=HF*,a,mOiG3_{%M哽n*]V5Es%8m&tQc)| dddf:ᖷ)%w7Lv6B0O+#:G|dy%^JaS.1a-Hps  |M0(XԒxfX-T6[͹x _lp78H9 y@ Ÿ,-NP0ko1vS^3!-\ЕƊv)+r/s7(ʐsw`2**&Oه0>jyb\*C^PEi@V7cX|@r@ zQo(dc5&Sf QTw)ڴKcYJm ͭkv*RͭTM9͛7=Xpa+5j{U^hflfĚDZ@9e;h VGZmF4VZ#*EڠhBY4:-TK'uvͰu㏜LaǏ?ꤕ@| xTd bZA5jQi,j9PQqE$v>5r&ܫjeP,4YC#h4 h"衊@*?5+O Jd@ '6@2W/i^'#<`J)G&k+۾7^睬>6?ā&, 1 ju&ǃu`CAc_"IK8^0hxcӹ*sZiP(`P"'N5NW7X5M}ل&\4:^]6RaVsoZم7A9eq`ANN5=u.wR ] u,o0sx2ć* "J_JwQ=2蓍ᐥ"=mM{7ucO.]zz-u& hv,G#0'Le`L-.#5\ %Ed)r)UE=⺋m?\4m;¶X_w]ѳN6@`4QV$3l+ rB2n1\VC,O2nI8N;K Z:2e@\F3iV?n(=(nBIj}>-A6R; uu,U;P\+$kr55ikPV7Mw~ :yvY=MOMffnMFR$=*=+jB\,;EY*%B X<˞`{mľMtZmV#0V]o ω]Dy"Ùm/`z͊7EmI'"?Njxѳ 56mtadhjncIXǤݟ *jrAЂ-fYά5k:E=e@Yr(R Ry.)ɱ548d'o ɪn.a n] M%.myMq@+Gox$xUnljOZpPHz0x 0A#$@IVClξ"͉[mvGc01lݢך:Mc9VSQ1S q)PY@NV7|rM7aXK@מT.8\}?>=?TV}hm=k;"OoAYҝ暠K;L!oqC3pҟ* c56;Z[W5W41em*V":V 3ӴRjU0;JR9g!d@աcH;ΡJн̎sVm O&ݸT6b·b3 oT޶2,n,0,طL Z-)T֐3FkՖ4:'C997T ]ɗExJW>]x7{ʛ>K&psZ`Q&&ISSk$TƅHia؛'t?mGkIJPul+;g聠6ѝSԨ7 `Ea :N`e>ldL2X7 5d$tzb9 xhͤӕz,ʠN%E dͶy1-vҒf^~+sIj_*Čo"d.D0R哆>ilb(HXJ\t5("\R(XJ$O!1!3[@G= hVCLo18h,d.2R.+5UZƥ4 Kv{ cNl8:lob brOr)E7okڶ;wnjh״o``ڝ ~݂dIڒōwحۭ*f סD;O|pj}(2A<{ f`k}xD1bnl!_?N,!R/+be|WRB+)+9'ܹ8WQ<vA*ets(yȷ?]>p{F:rygvo4ѻ6j5Eb'T 55u:aC"wlt-F)mE(Ef*TX0Gbq $Nl,Q12s9ݤKPpGVu)v3*{-ɥ{}|K/ZrTeٴ "ۥ"-|y!R_ݳ }qz#>UT2-3ч-jM 4vITrC(I4q tp**OlO{ pN3In.S9Z-.310 ؚͦغ?c|TD aWb\#:L0Q5R3Sojj>=4H$KShΧZ,fo-7oJ7f XRt2SL#GblFHؕ XV= Y4K+< Vc+w1[7OIGZOvK!1S:";4[(+p{,WJ 㑾ܻ)+08m]uE~~ޯX{?w7=ۣzdzlu,$iɣJAriހVp 6`Ԛ FK^Vk "3Mf:=IO忲@@TOj WRh̰P'{3diYW]tco8cS1k89MvS›X9eZA(@ċA%f!!]ja䅑6d6 mY.A nRWZs74:c * 5ЃՄ1@pGZa #/![(rCPb+XmSV\>U0R=Rat7Ⱦj8pT.w{8H{q4?^ksuXrY*W]u #{  m 'H#H9dFJFfn}rA>RC+<|Dt\{o J !B>}-{})vӉƹs+r_Sp'=ɯq'ǀ"NIrwJK}d 8"Hwќi<6.IX?ᵰB.I)pev`w+c+_bxܸN r~r_⾨ D*>z0zZkA5)9#Rbqd4":Ig!WEgpyHc`b?\ơx+|Gm *h!X+/澢7a`jX(lEsGqQ|x*~d!.^ F1t Uxx"<'ژ?R GOH`k8)OfOqo}1$z0V}nUa,FIBΖCgJ}csm #[؇0Ug1݉iy#\AUf{9Rj,#8LQag$_~J]6߽G]omEto6Ft+lkk =]$y/UT=[US}oYζy>/a?)f˜ c WVQ*YY?kg͉uΚ?svse g\̷;w8͏^Ai3=m9mF|YYV^37aQnvnaw}nЮס];G7wuwuLV-LW=AJF{\y@sj2\ź0޵`uUS4ǵ6z_F`J5 =4!5qBh\B+xG ='\t82~SOwh:4>^M==L)݌]}d1uqI#&` &E7*^%= ӧI9n.KV K ېဿ N5&5 YLa alX\YsO(jx>\n@\^sS &y㮤bj, ~e21orU3~}ƒ7swz4 `d $ endstream endobj 60 0 obj <> endobj 61 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 60 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]15[240]17[240]30[240]36[603 607]39[654]42[642 641]45[371]47[498 800]50[643 599]53[642]68[540]71[538 524]75[541 244]78[532 244 870 541 528 538]85[331 454 322]92[441]172[250]]>> endobj 62 0 obj <>stream x]Ak0:n,ɻRȡe]`hd8US!sd޳GyՔx5z6>N~[2o]+qƔ~z(ʟi4c6,|⸚ 2Q֝ؔS + yxbS6/vsu?ސV$j$E5)-C1)(Hj(OJgZR:ՑҵPRP)]BMEJ7@YRJ  zDu\Kʀ92x(<0|EʀB^>9%e@Gv= [tm%[dqg%1Wɻ Rq992ɷ"Z_ endstream endobj 63 0 obj <>/Subtype/Form/Type/XObject>>stream xeq 0 70 m 0 0 l 122 0 l 122 70 l h W n 1 w 2 J 0 j 10 M []0 d q q 0 70 m 0 0 l 122 0 l 122 70 l h W n 1 w 2 J 0 j 10 M []0 d q 0 70 m 0 0 l 122 0 l 122 70 l h W n 0 70 m 122 70 l 122 0 l 0 0 l 0 70 l h W n 0 0.36863 0.66667 rg 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h f 1.15 w 0 J 4 M 1 1 1 RG 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h S 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h S 1 1 1 rg 66.79 48.17 m 109.99 48.17 l 109.99 21.81 l 66.79 21.81 l 66.79 48.17 l h f 0.6375 w 66.79 48.17 m 109.99 48.17 l 109.99 21.81 l 66.79 21.81 l 66.79 48.17 l h S 0 0.36863 0.66667 rg 67.19 47.77 m 109.59 47.77 l 109.59 22.21 l 67.19 22.21 l 67.19 47.77 l h f 1 1 1 rg 84.61 22.21 m 109.59 47.52 l 109.59 47.78 l 109.47 47.78 l 84.24 22.21 l h f 68.86 22.21 m 70.55 47.78 l 70.28 47.78 l 68.59 22.21 l h f 70.21 22.21 m 73.85 47.78 l 73.59 47.78 l 69.94 22.21 l h f 71.65 22.21 m 77.36 47.78 l 77.09 47.78 l 71.38 22.21 l h f 73.24 22.21 m 81.39 47.78 l 81.11 47.78 l 72.96 22.21 l h f 74.74 22.21 m 85.2 47.78 l 84.91 47.78 l 74.45 22.21 l h f 76.46 22.21 m 89.55 47.78 l 89.25 47.78 l 76.16 22.21 l h f 96.09 47.78 m 95.77 47.78 l 78.82 22.21 l 79.14 22.21 l h f 102.13 47.78 m 101.79 47.78 l 81.2 22.21 l 81.54 22.21 l h f 109.59 38.1 m 109.59 38.44 l 89.17 22.21 l 89.59 22.21 l h f 109.59 31.07 m 109.59 31.38 l 94.92 22.21 l 95.42 22.21 l h f 109.59 24.44 m 109.59 24.73 l 104.19 22.21 l 104.82 22.21 l h f 76.69 30 m 72.28 30 69.28 32.72 69.28 37.12 c 69.28 41.4 72.49 44.42 76.73 44.42 c 77.85 44.42 79.11 44.2 80.05 43.76 c 80.05 41.65 l 79.58 42.27 78.64 43.38 76.77 43.38 c 74.11 43.38 72.61 40.94 72.61 37.42 c 72.61 33.73 74.02 31.09 77.05 31.09 c 78.11 31.09 79.44 31.63 80.05 32.2 c 80.55 31.09 l 79.97 30.65 78.9 30 76.69 30 c f 0.5695 w 76.69 30 m 72.28 30 69.28 32.72 69.28 37.12 c 69.28 41.4 72.49 44.42 76.73 44.42 c 77.85 44.42 79.11 44.2 80.05 43.76 c 80.05 41.65 l 79.58 42.27 78.64 43.38 76.77 43.38 c 74.11 43.38 72.61 40.94 72.61 37.42 c 72.61 33.73 74.02 31.09 77.05 31.09 c 78.11 31.09 79.44 31.63 80.05 32.2 c 80.55 31.09 l 79.97 30.65 78.9 30 76.69 30 c h S 87.61 30.26 m 90.28 30.26 94.37 31.91 94.37 37.26 c 94.37 42.91 90.32 44.18 87.27 44.18 c 82.2 44.18 l 82.2 30.26 l 87.61 30.26 l h 91.11 37.2 m 91.11 31.75 87.75 31.36 85.15 31.36 c 85.15 43.12 l 87.82 43.12 91.11 42.79 91.11 37.2 c f 87.61 30.26 m 90.28 30.26 94.37 31.91 94.37 37.26 c 94.37 42.91 90.32 44.18 87.27 44.18 c 82.2 44.18 l 82.2 30.26 l 87.61 30.26 l h 91.11 37.2 m 91.11 31.75 87.75 31.36 85.15 31.36 c 85.15 43.12 l 87.82 43.12 91.11 42.79 91.11 37.2 c h S 103.4 30 m 98.99 30 96 32.72 96 37.12 c 96 41.4 99.2 44.42 103.43 44.42 c 104.57 44.42 105.82 44.2 106.76 43.76 c 106.76 41.65 l 106.3 42.27 105.35 43.38 103.48 43.38 c 100.83 43.38 99.32 40.94 99.32 37.42 c 99.32 33.73 100.73 31.09 103.76 31.09 c 104.82 31.09 106.16 31.63 106.76 32.2 c 107.26 31.09 l 106.68 30.65 105.61 30 103.4 30 c f 103.4 30 m 98.99 30 96 32.72 96 37.12 c 96 41.4 99.2 44.42 103.43 44.42 c 104.57 44.42 105.82 44.2 106.76 43.76 c 106.76 41.65 l 106.3 42.27 105.35 43.38 103.48 43.38 c 100.83 43.38 99.32 40.94 99.32 37.42 c 99.32 33.73 100.73 31.09 103.76 31.09 c 104.82 31.09 106.16 31.63 106.76 32.2 c 107.26 31.09 l 106.68 30.65 105.61 30 103.4 30 c h S 111.14 22.04 m 111.65 22.04 l 111.65 21.97 l 111.44 21.97 l 111.44 21.42 l 111.36 21.42 l 111.36 21.97 l 111.14 21.97 l h f 112.25 21.42 m 112.25 21.79 l 112.25 21.8 112.25 21.89 112.25 21.94 c 112.25 21.94 l 112.07 21.42 l 111.98 21.42 l 111.81 21.94 l 111.81 21.94 l 111.81 21.88 111.81 21.8 111.81 21.79 c 111.81 21.42 l 111.73 21.42 l 111.73 22.04 l 111.85 22.04 l 112.03 21.51 l 112.21 22.04 l 112.33 22.04 l 112.33 21.42 l 112.25 21.42 l h f 55.23 52.44 m 55.32 50.64 53.89 49.53 52.81 48.46 c 41.72 39.14 l 40.72 38.21 39.28 37.44 38.72 36.05 c 37.99 34.22 37.72 32.17 37.4 30.14 c 37.22 28.68 35.85 27.41 34.58 26.87 c 33.59 26.53 32.41 26.69 31.33 26.61 c 27.47 26.58 l 27.14 26.51 26.86 26.33 26.69 26.07 c 26.55 25.68 l 26.13 25.62 26.27 25.98 26.21 26.24 c 26.22 27.09 26.41 27.97 27.04 28.48 c 27.37 28.82 27.84 28.9 28.31 28.97 c 33.94 29.06 l 34.26 29.07 34.51 29.26 34.72 29.42 c 34.95 29.86 l 35.4 32.67 35.66 35.57 37.05 37.96 c 38.35 39.47 39.98 40.51 41.43 41.85 c 44.77 44.69 48.24 47.57 51.54 50.45 c 52.47 51.33 53.46 52.5 53.69 53.9 c 53.81 54.27 l 54.56 54.02 55.18 53.28 55.23 52.44 c f 58.48 49.28 m 58.65 47.52 57.27 46.69 56.18 45.61 c 51.65 41.73 l 43.62 34.9 l 42.48 33.61 42.42 31.79 42.12 30.15 c 42.17 29.61 42.71 29.39 42.61 28.83 c 41.49 26.81 l 41.55 26.01 42.53 26.48 42.85 25.97 c 42.86 25.68 42.67 25.33 42.89 25.08 c 43.05 24.81 43.7 25.18 43.36 24.74 c 43.27 24.66 43.3 24.49 43.33 24.39 c 43.46 24.21 43.71 24.2 43.74 23.93 c 43.62 23.6 43.62 23.13 43.82 22.84 c 45.21 21.31 47.61 23.2 49.07 21.77 c 49.43 21.45 49.42 20.84 49.33 20.39 c 48.55 18.12 43.96 17.95 45.53 14.71 c 45.8 14.19 46.41 13.83 47.02 13.79 c 47.54 13.71 47.94 13.93 48.37 14.06 c 48.5 14.06 48.51 13.93 48.57 13.85 c 48.57 13.77 l 47.24 12.82 45.53 11.43 43.76 12.44 c 42.88 13 42.43 14.15 42.65 15.27 c 43.19 17.05 45.24 17.51 46.27 19.01 c 46.51 19.45 46.46 20.02 46.21 20.45 c 45.88 21.04 45.12 21.19 44.46 21.31 c 43.35 21.34 41.66 20.64 41.17 21.94 c 41.03 22.43 41.53 23.31 40.74 23.42 c 40.63 23.56 40.38 23.68 40.51 23.91 c 40.55 24.04 40.77 24.05 40.66 24.22 c 40.5 24.27 40.29 24.23 40.16 24.36 c 39.72 24.86 40.95 25.39 40.12 25.72 c 39.69 25.78 39.12 25.47 38.84 25.95 c 38.71 26.4 39.05 26.73 39.22 27.1 c 39.5 27.73 40.33 28.15 40.12 28.97 c 39.7 29.67 l 39.83 31.3 40.1 32.88 40.51 34.42 c 41.06 36.12 42.7 37.07 43.96 38.24 c 50.71 43.94 l 55.48 48.14 l 56.31 48.91 57.03 49.78 57 50.94 c 57.26 51.02 57.42 50.72 57.64 50.63 c 58.04 50.17 58.38 49.85 58.48 49.28 c f 56.67 40.78 m 55.78 39.36 54.29 38.3 52.97 37.17 c 47.79 32.83 l 46.84 31.97 46.59 30.48 47.02 29.32 c 47.07 28.73 46.62 28.36 46.47 27.84 c 46.49 27.69 46.52 27.49 46.68 27.45 c 46.89 27.36 47.22 27.47 47.34 27.18 c 47.37 26.88 47.23 26.56 47.56 26.44 c 47.7 26.37 47.9 26.6 47.91 26.35 c 47.83 26.22 47.77 26.09 47.79 25.92 c 47.96 25.62 48.33 25.79 48.48 25.54 c 48.55 25.19 48.55 24.73 48.94 24.59 c 50.29 24.36 51.31 25.28 52.52 25.54 c 54.44 26.14 56.3 25.38 58.01 24.88 c 58.86 24.72 59.81 24.77 60.66 24.88 c 60.72 24.82 l 59.63 23.49 58.29 22.19 56.38 22.32 c 54.38 22.4 53.08 24.27 50.93 23.9 c 49.48 23.62 48.03 22.74 46.47 23.33 c 46.07 23.65 45.91 24.23 46.06 24.8 c 45.99 25.14 45.15 25.23 45.67 25.68 c 45.51 25.79 45.24 25.68 45.15 25.92 c 45.03 26.2 45.37 26.6 45.01 26.79 c 44.68 26.83 44.26 26.65 44.02 26.93 c 43.89 27.09 43.92 27.33 43.96 27.53 c 44.19 28.08 44.82 28.51 44.68 29.17 c 44.26 29.57 44.4 30.23 44.45 30.78 c 44.69 32.05 44.79 33.4 45.98 34.24 c 52.35 39.63 l 53.69 40.91 55.35 41.74 56.32 43.43 c 56.82 42.74 57.06 41.61 56.67 40.78 c f 37.18 21.92 m 38.99 21.15 40.88 20.39 42.5 19.33 c 42.9 19 43.26 18.51 43.19 17.91 c 42.63 15.62 39.44 15.38 39.91 12.68 c 40.05 11.67 40.71 10.79 41.7 10.52 c 42.14 10.39 42.74 10.39 43.19 10.52 c 43.26 10.34 43.57 10.17 43.22 10.05 c 41.91 9.22 40.23 8.28 38.64 9.08 c 37.86 9.44 37.4 10.28 37.2 11.1 c 36.87 13.54 39.16 14.31 40.31 15.95 c 40.48 16.28 40.57 16.66 40.48 17.05 c 40.26 17.51 39.94 17.79 39.5 18.06 c 35.21 20.46 30.54 22.09 25.74 23.33 c 24.95 23.41 23.71 23.87 23.18 22.95 c 23.18 22.9 l 22.76 22.82 22.92 23.33 22.92 23.56 c 23.05 24.34 23.51 24.97 24.24 25.29 c 25.49 25.66 26.81 25.22 28.02 25 c 31.12 24.13 34.21 23.15 37.18 21.92 c f 35.31 11.7 m 35.3 11.84 35.28 11.85 35.05 11.85 c 34.37 11.84 34.09 11.52 34.11 10.75 c 34.13 9.97 34.41 9.68 35.09 9.7 c 35.32 9.7 35.35 9.72 35.35 9.79 c 35.31 11.7 l h 36.15 11.9 m 35.76 11.86 35.75 11.85 35.73 11.75 c 35.72 11.63 35.72 11.35 35.74 10.8 c 35.75 10.25 35.75 9.97 35.77 9.84 c 35.79 9.75 35.81 9.74 36.19 9.72 c 36.19 9.57 l 34.98 9.55 l 34.48 9.53 34.24 9.64 34.01 9.85 c 33.8 10.04 33.65 10.35 33.64 10.75 c 33.63 11.37 34.01 12 34.98 12.02 c 36.14 12.04 l 36.15 11.9 l h f 33.42 11.86 m 33.09 11.86 33.07 11.85 33.05 11.75 c 33.03 11.63 33 11.35 32.96 10.8 c 32.91 10.25 32.89 9.97 32.89 9.85 c 32.89 9.75 32.91 9.74 33.24 9.69 c 33.22 9.54 l 31.89 9.65 l 31.69 9.67 31.49 9.67 31.34 9.65 c 31.35 9.83 31.35 10.23 31.33 10.33 c 31.49 10.34 l 31.55 9.88 31.62 9.82 32.11 9.78 c 32.43 9.76 l 32.47 9.75 32.49 9.77 32.5 9.82 c 32.57 10.63 l 32.57 10.67 32.56 10.69 32.46 10.7 c 32.36 10.71 l 31.97 10.75 31.94 10.68 31.89 10.44 c 31.73 10.45 l 31.75 10.56 31.77 10.68 31.78 10.85 c 31.79 10.99 31.79 11.15 31.8 11.25 c 31.96 11.24 l 31.96 10.98 32 10.91 32.28 10.89 c 32.52 10.87 l 32.56 10.87 32.59 10.88 32.59 10.93 c 32.67 11.83 l 32.68 11.88 32.65 11.9 32.61 11.9 c 32.01 11.95 l 31.72 11.98 31.64 11.9 31.55 11.68 c 31.45 11.44 l 31.29 11.5 l 31.36 11.69 31.43 12.02 31.44 12.18 c 33.43 12.01 l 33.42 11.86 l h f 30.12 11.06 m 30.06 11.08 30.01 11.09 29.95 11.1 c 29.6 11.17 29.27 11.16 29.18 10.7 c 29.1 10.26 29.37 10.15 29.76 10.08 c 29.92 10.05 29.93 10.06 29.95 10.13 c 30.12 11.06 l h 31.14 12.05 m 30.78 12.09 30.76 12.09 30.72 12 c 30.69 11.88 30.63 11.6 30.54 11.06 c 30.44 10.52 30.38 10.24 30.38 10.12 c 30.38 10.02 30.39 10.01 30.74 9.91 c 30.72 9.77 l 29.43 10 l 29.17 10.05 28.98 10.16 28.85 10.31 c 28.74 10.44 28.7 10.6 28.73 10.79 c 28.82 11.28 29.28 11.4 29.91 11.29 c 30 11.27 30.1 11.24 30.15 11.24 c 30.3 12.07 l 30.32 12.17 30.29 12.18 29.89 12.29 c 29.92 12.43 l 31.16 12.2 l 31.14 12.05 l h f 27.54 11.96 m 27.51 11.97 27.5 11.96 27.49 11.95 c 27.49 11.94 27.49 11.89 27.49 11.87 c 27.58 10.92 l 28.16 11.7 l 28.18 11.72 28.19 11.74 28.2 11.75 c 28.2 11.77 28.19 11.78 28.16 11.79 c 27.54 11.96 l h 29.24 12.38 m 28.96 12.44 28.9 12.37 28.7 12.11 c 27.7 10.79 l 27.53 10.57 27.49 10.51 27.41 10.4 c 27.23 10.45 l 27.24 10.56 27.23 10.77 27.22 10.89 c 27.01 12.73 l 26.98 12.98 26.97 13.02 26.68 13.1 c 26.72 13.25 l 27.89 12.92 l 27.85 12.78 l 27.5 12.86 27.46 12.83 27.44 12.75 c 27.42 12.68 27.46 12.25 27.47 12.21 c 27.47 12.19 27.49 12.18 27.5 12.17 c 27.59 12.14 27.76 12.08 28.1 11.98 c 28.32 11.92 28.33 11.94 28.38 12 c 28.53 12.18 28.63 12.35 28.64 12.39 c 28.67 12.49 28.64 12.52 28.32 12.65 c 28.36 12.79 l 29.28 12.52 l 29.24 12.38 l h f 25.39 12.27 m 25.41 12.33 25.41 12.35 25.21 12.43 c 24.72 12.63 24.51 12.39 24.44 12.21 c 24.33 11.94 24.45 11.67 24.8 11.52 c 25.03 11.43 25.04 11.43 25.08 11.52 c 25.39 12.27 l h 26.6 13.13 m 26.27 13.25 26.25 13.24 26.2 13.16 c 26.14 13.05 26.03 12.79 25.82 12.28 c 25.61 11.77 25.51 11.51 25.48 11.39 c 25.45 11.3 25.46 11.28 25.77 11.12 c 25.72 10.98 l 24.5 11.48 l 24.25 11.58 24.13 11.67 24.04 11.82 c 23.94 11.96 23.93 12.14 24.01 12.33 c 24.21 12.82 24.77 12.69 24.78 12.72 c 24.78 12.73 24.78 12.76 24.77 12.82 c 24.54 13.74 l 24.48 13.97 24.46 14.01 24.3 14.08 c 24.36 14.22 l 24.9 13.99 l 25.18 12.68 l 25.19 12.63 25.21 12.61 25.35 12.56 c 25.48 12.51 25.49 12.51 25.5 12.54 c 25.74 13.13 25.78 13.23 25.8 13.32 c 25.83 13.41 25.82 13.43 25.51 13.59 c 25.57 13.73 l 26.66 13.28 l 26.6 13.13 l h f 24.09 14.21 m 23.74 14.36 23.72 14.36 23.66 14.28 c 23.62 14.22 23.56 14.11 23.46 13.93 c 22.71 12.48 l 23.07 12.29 l 23.18 12.23 23.27 12.3 23.59 12.6 c 23.72 12.49 l 23.62 12.38 23.51 12.22 23.35 11.93 c 23.29 11.98 23.24 12.01 23.17 12.05 c 23.12 12.09 23.06 12.13 23 12.16 c 21.91 12.72 l 21.78 12.79 21.65 12.84 21.53 12.88 c 21.66 13.18 21.74 13.36 21.77 13.51 c 21.94 13.46 l 21.87 13.03 21.87 12.91 21.98 12.86 c 22.34 12.67 l 23.1 14.12 l 23.19 14.3 23.25 14.42 23.27 14.49 c 23.3 14.58 23.29 14.6 22.97 14.79 c 23.03 14.93 l 24.16 14.34 l 24.09 14.21 l h f 22.47 15.02 m 22.14 15.22 22.11 15.22 22.05 15.15 c 21.97 15.05 21.81 14.82 21.5 14.37 c 21.19 13.92 21.03 13.68 20.97 13.57 c 20.93 13.48 20.94 13.46 21.24 13.23 c 21.16 13.1 l 20.37 13.64 l 20.38 13.66 20.4 13.7 20.41 13.74 c 20.92 15.63 l 20.91 15.63 l 19.23 14.42 l 18.45 14.95 l 18.54 15.08 l 18.87 14.88 18.89 14.87 18.95 14.95 c 19.03 15.04 19.2 15.28 19.5 15.73 c 19.81 16.18 19.98 16.42 20.03 16.53 c 20.08 16.61 20.07 16.63 19.77 16.87 c 19.85 16.99 l 20.87 16.3 l 20.79 16.17 l 20.47 16.36 20.43 16.36 20.39 16.29 c 19.27 14.66 l 19.27 14.66 l 21.01 15.91 l 21.06 15.95 21.11 15.98 21.16 16.03 c 21.38 15.87 l 21.37 15.85 21.34 15.79 21.33 15.73 c 20.77 13.63 l 20.77 13.63 l 21.71 14.99 l 21.77 15.08 21.84 15.22 21.86 15.28 c 21.91 15.36 21.9 15.38 21.63 15.6 c 21.71 15.72 l 22.56 15.15 l 22.47 15.02 l h f 19.73 16.94 m 19.47 17.14 19.44 17.14 19.37 17.08 c 19.28 16.99 19.1 16.78 18.73 16.37 c 18.37 15.95 18.18 15.74 18.12 15.64 c 18.06 15.56 18.07 15.54 18.3 15.3 c 18.2 15.19 l 17.2 16.07 l 17.04 16.2 16.87 16.32 16.75 16.4 c 16.86 16.53 17.1 16.86 17.14 16.95 c 17.28 16.87 l 17.05 16.46 17.07 16.37 17.45 16.04 c 17.69 15.84 l 17.72 15.81 17.75 15.81 17.78 15.84 c 18.31 16.45 l 18.35 16.49 18.35 16.51 18.27 16.58 c 18.2 16.65 l 17.91 16.9 17.85 16.87 17.66 16.7 c 17.54 16.81 l 17.62 16.89 17.69 16.97 17.81 17.1 c 17.91 17.21 18 17.33 18.07 17.41 c 18.19 17.31 l 18.03 17.1 18.03 17.02 18.24 16.84 c 18.42 16.68 l 18.45 16.65 18.48 16.65 18.51 16.68 c 19.11 17.36 l 19.14 17.4 19.14 17.43 19.1 17.46 c 18.65 17.86 l 18.43 18.05 18.32 18.04 18.12 17.91 c 17.91 17.77 l 17.81 17.92 l 17.97 18.03 18.22 18.26 18.33 18.37 c 19.83 17.06 l 19.73 16.94 l h f 18.03 18.42 m 17.78 18.66 17.75 18.66 17.68 18.61 c 17.58 18.53 17.37 18.34 16.96 17.97 c 16.56 17.59 16.35 17.4 16.27 17.31 c 16.21 17.23 16.22 17.21 16.43 16.94 c 16.32 16.84 l 15.82 17.38 l 15.84 17.42 15.85 17.48 15.87 17.56 c 16.31 19.49 l 16.3 19.49 l 15.9 19.11 l 15.5 18.74 15.29 18.55 15.21 18.45 c 15.14 18.38 15.15 18.35 15.39 18.06 c 15.28 17.95 l 14.6 18.69 l 14.71 18.79 l 14.93 18.55 14.97 18.54 15.12 18.66 c 15.26 18.79 15.43 18.93 15.57 19.06 c 16.08 19.53 16.5 19.93 16.69 20.14 c 16.86 19.95 l 16.76 19.65 16.7 19.42 16.63 19.1 c 16.31 17.61 l 16.31 17.61 l 16.84 18.1 l 17.24 18.47 17.45 18.66 17.53 18.76 c 17.59 18.84 17.59 18.86 17.31 19.19 c 17.42 19.29 l 18.14 18.52 l 18.03 18.42 l h f 15.94 20.77 m 15.68 21.06 15.66 21.07 15.58 21.03 c 15.52 20.99 15.41 20.91 15.25 20.79 c 13.94 19.81 l 14.18 19.48 l 14.25 19.39 14.36 19.41 14.78 19.54 c 14.86 19.39 l 14.72 19.33 14.55 19.23 14.28 19.04 c 14.24 19.11 14.21 19.17 14.17 19.23 c 14.14 19.28 14.1 19.34 14.06 19.4 c 13.33 20.37 l 13.23 20.5 13.14 20.6 13.04 20.69 c 13.3 20.89 13.45 21.03 13.54 21.14 c 13.66 21.03 l 13.42 20.67 13.37 20.57 13.44 20.47 c 13.68 20.14 l 15 21.12 l 15.16 21.25 15.26 21.33 15.31 21.38 c 15.38 21.44 15.38 21.47 15.17 21.79 c 15.29 21.88 l 16.05 20.86 l 15.94 20.77 l h f 13.63 24.38 m 13.46 24.72 12.98 24.83 12.31 24.48 c 11.64 24.12 11.47 23.66 11.65 23.33 c 11.82 22.99 12.3 22.88 12.97 23.23 c 13.64 23.58 13.81 24.04 13.63 24.38 c 11.49 23.25 m 11.19 23.83 11.41 24.52 12.1 24.88 c 12.78 25.24 13.47 25.04 13.78 24.46 c 14.09 23.88 13.87 23.18 13.18 22.82 c 12.5 22.46 11.8 22.66 11.49 23.25 c f 12.96 25.62 m 12.81 25.91 12.8 25.92 12.7 25.9 c 12.58 25.87 12.32 25.76 11.82 25.55 c 11.3 25.35 11.04 25.24 10.93 25.18 c 10.84 25.13 10.84 25.12 10.94 24.8 c 10.81 24.75 l 10.3 25.98 l 10.23 26.17 10.13 26.36 10.06 26.48 c 10.21 26.54 10.58 26.73 10.66 26.79 c 10.74 26.66 l 10.35 26.39 10.34 26.31 10.52 25.85 c 10.64 25.55 l 10.66 25.51 10.68 25.5 10.73 25.52 c 11.48 25.82 l 11.52 25.84 11.54 25.86 11.5 25.95 c 11.46 26.05 l 11.31 26.4 11.25 26.4 11 26.34 c 10.95 26.49 l 11.05 26.53 11.16 26.56 11.32 26.63 c 11.46 26.68 11.6 26.74 11.69 26.78 c 11.75 26.64 l 11.52 26.52 11.48 26.45 11.58 26.2 c 11.68 25.97 l 11.69 25.93 11.71 25.92 11.76 25.94 c 12.56 26.26 l 12.65 26.29 12.64 26.32 12.52 26.7 c 12.66 26.76 l 13.1 25.67 l 12.96 25.62 l h f 11.83 28.59 m 11.72 28.94 11.7 28.96 11.6 28.95 c 11.49 28.93 11.21 28.87 10.67 28.74 c 10.14 28.62 9.87 28.55 9.75 28.51 c 9.65 28.48 9.65 28.45 9.71 28.1 c 9.56 28.07 l 9.28 29.26 l 9.43 29.3 l 9.53 28.94 9.55 28.93 9.65 28.94 c 9.72 28.95 9.93 28.99 10.1 29.03 c 10.32 29.09 l 10.43 29.11 10.44 29.12 10.42 29.21 c 10.21 30.12 l 10.18 30.21 10.17 30.22 10.07 30.19 c 9.83 30.14 l 9.67 30.1 9.46 30.05 9.39 30.03 c 9.3 29.99 9.29 29.97 9.35 29.61 c 9.21 29.58 l 8.92 30.77 l 9.07 30.81 l 9.18 30.46 9.19 30.44 9.29 30.45 c 9.41 30.47 9.69 30.53 10.22 30.66 c 10.76 30.79 11.03 30.85 11.15 30.89 c 11.24 30.92 11.25 30.95 11.19 31.3 c 11.34 31.34 l 11.62 30.14 l 11.47 30.11 l 11.36 30.45 11.35 30.47 11.25 30.46 c 11.15 30.45 10.87 30.39 10.46 30.29 c 10.36 30.27 10.35 30.26 10.37 30.16 c 10.58 29.26 l 10.6 29.16 10.62 29.16 10.72 29.18 c 11.13 29.27 11.41 29.34 11.5 29.38 c 11.6 29.41 11.6 29.43 11.54 29.79 c 11.69 29.83 l 11.97 28.63 l 11.83 28.59 l h f 11.19 31.42 m 11.12 31.75 11.11 31.76 11.01 31.76 c 10.89 31.76 10.61 31.73 10.06 31.66 c 9.52 31.59 9.23 31.56 9.12 31.53 c 9.02 31.51 9.01 31.49 9.03 31.16 c 8.88 31.14 l 8.71 32.47 l 8.69 32.67 8.65 32.87 8.61 33.01 c 8.78 33.04 9.18 33.12 9.27 33.15 c 9.32 33.01 l 8.87 32.85 8.83 32.78 8.89 32.28 c 8.93 31.96 l 8.93 31.92 8.96 31.91 9.01 31.91 c 9.81 32.01 l 9.87 32.01 9.87 32.02 9.87 32.13 c 9.85 32.23 l 9.8 32.61 9.74 32.63 9.48 32.63 c 9.47 32.78 l 9.59 32.8 9.69 32.8 9.87 32.82 c 10.01 32.84 10.17 32.87 10.27 32.88 c 10.28 32.73 l 10.03 32.67 9.98 32.61 10.01 32.34 c 10.04 32.1 l 10.04 32.05 10.06 32.04 10.11 32.04 c 11 32.15 l 11.05 32.16 11.07 32.18 11.07 32.22 c 11 32.82 l 10.96 33.11 10.88 33.17 10.64 33.22 c 10.39 33.26 l 10.41 33.43 l 10.61 33.41 10.95 33.41 11.1 33.42 c 11.34 31.44 l 11.19 31.42 l h f 10.02 35.1 m 10.02 35.13 10.01 35.15 10.01 35.15 c 9.98 35.15 9.95 35.13 9.92 35.12 c 9.04 34.77 l 9.96 34.43 l 9.98 34.42 10 34.41 10.02 34.41 c 10.03 34.41 10.04 34.43 10.04 34.45 c 10.02 35.1 l h 10.92 33.6 m 10.89 33.87 10.81 33.92 10.5 34.03 c 8.95 34.62 l 8.69 34.72 8.62 34.75 8.49 34.78 c 8.49 34.97 l 8.6 34.98 8.79 35.05 8.9 35.1 c 10.61 35.84 l 10.84 35.93 10.88 35.96 10.87 36.26 c 11.02 36.26 l 11.04 35.04 l 10.89 35.04 l 10.87 35.4 10.84 35.43 10.75 35.43 c 10.67 35.43 10.28 35.27 10.24 35.24 c 10.22 35.23 10.21 35.22 10.21 35.2 c 10.2 35.11 10.2 34.93 10.2 34.57 c 10.21 34.35 10.23 34.34 10.31 34.31 c 10.52 34.22 10.71 34.17 10.75 34.17 c 10.85 34.18 10.88 34.21 10.9 34.55 c 11.05 34.55 l 11.07 33.6 l 10.92 33.6 l h f 10.89 36.34 m 10.89 36.68 10.89 36.7 10.79 36.72 c 10.67 36.74 10.39 36.76 9.84 36.81 c 9.3 36.86 9.01 36.88 8.89 36.88 c 8.79 36.88 8.78 36.86 8.72 36.53 c 8.57 36.54 l 8.67 37.68 l 8.82 37.67 l 8.82 37.33 8.82 37.31 8.92 37.29 c 9 37.27 9.2 37.25 9.37 37.23 c 10.78 37.11 l 10.91 37.1 10.94 37.14 10.95 37.24 c 10.98 37.65 l 11.01 37.99 10.91 38.05 10.43 38.29 c 10.5 38.45 l 10.62 38.4 11.03 38.31 11.21 38.29 c 11.04 36.33 l 10.89 36.34 l h f 11.12 38.68 m 11.16 39.06 11.16 39.08 11.06 39.11 c 10.99 39.13 10.87 39.16 10.66 39.2 c 9.05 39.47 l 8.99 39.07 l 8.96 38.95 9.05 38.88 9.44 38.67 c 9.37 38.51 l 9.24 38.57 9.05 38.63 8.73 38.7 c 8.75 38.76 8.77 38.83 8.78 38.9 c 8.81 38.96 8.82 39.03 8.83 39.1 c 9.04 40.31 l 9.06 40.45 9.08 40.59 9.08 40.72 c 9.4 40.68 9.6 40.67 9.74 40.67 c 9.75 40.51 l 9.32 40.43 9.21 40.4 9.19 40.28 c 9.12 39.88 l 10.73 39.6 l 10.94 39.57 11.06 39.55 11.13 39.55 c 11.23 39.54 11.25 39.56 11.34 39.93 c 11.49 39.91 l 11.27 38.66 l 11.12 38.68 l h f 11.4 40.38 m 11.47 40.73 11.47 40.76 11.38 40.79 c 11.26 40.84 10.99 40.92 10.46 41.07 c 9.93 41.22 9.66 41.29 9.54 41.32 c 9.44 41.33 9.43 41.32 9.3 40.97 c 9.16 41.01 l 9.49 42.19 l 9.64 42.16 l 9.56 41.8 9.57 41.78 9.66 41.74 c 9.73 41.71 9.93 41.65 10.09 41.6 c 10.32 41.53 l 10.42 41.51 10.44 41.51 10.46 41.6 c 10.72 42.5 l 10.74 42.59 10.73 42.6 10.63 42.63 c 10.4 42.7 l 10.24 42.75 10.04 42.8 9.96 42.81 c 9.86 42.83 9.84 42.81 9.72 42.47 c 9.58 42.51 l 9.91 43.69 l 10.06 43.65 l 9.99 43.29 9.99 43.27 10.08 43.24 c 10.2 43.19 10.47 43.11 11 42.96 c 11.53 42.81 11.8 42.74 11.92 42.71 c 12.02 42.7 12.03 42.71 12.16 43.06 c 12.3 43.02 l 11.97 41.83 l 11.82 41.87 l 11.9 42.23 11.89 42.25 11.8 42.29 c 11.71 42.33 11.43 42.41 11.03 42.52 c 10.93 42.55 10.91 42.54 10.88 42.46 c 10.63 41.56 l 10.61 41.47 10.61 41.46 10.72 41.42 c 11.12 41.32 11.4 41.24 11.5 41.22 c 11.59 41.2 11.61 41.22 11.73 41.56 c 11.88 41.52 l 11.54 40.34 l 11.4 40.38 l h f 13 45.15 m 13.06 45.26 13.07 45.41 13.04 45.59 c 12.73 45.51 12.12 45.46 11.83 45.46 c 11.84 45.19 11.91 45.03 12.14 44.92 c 12.39 44.81 12.85 44.83 13 45.15 c 11.69 45.8 m 11.7 45.99 11.56 46.14 11.43 46.2 c 11.31 46.26 11.13 46.27 11.05 46.12 c 11.01 46.01 11.03 45.87 11.2 45.8 c 11.3 45.75 11.47 45.73 11.69 45.8 c 13.72 46.55 m 13.76 46.33 13.74 46.12 13.67 45.97 c 13.59 45.81 13.46 45.72 13.19 45.63 c 13.26 45.39 13.27 45.14 13.14 44.88 c 12.93 44.43 12.5 44.34 12.16 44.5 c 11.85 44.65 11.7 44.92 11.69 45.44 c 11.31 45.41 11.18 45.42 11.06 45.47 c 10.85 45.57 10.72 45.8 10.89 46.16 c 11.03 46.47 11.26 46.61 11.53 46.48 c 11.79 46.35 11.84 46.09 11.83 45.83 c 12.21 45.85 12.57 45.88 12.93 45.94 c 12.85 46.14 12.7 46.36 12.59 46.41 c 12.5 46.46 12.43 46.42 12.34 46.29 c 12.21 46.35 l 12.56 47.1 l 12.7 47.03 l 12.62 46.86 12.63 46.71 12.79 46.5 c 12.87 46.4 12.99 46.21 13.1 45.98 c 13.39 46.04 13.47 46.08 13.54 46.21 c 13.59 46.32 13.59 46.45 13.57 46.63 c 13.72 46.55 l h f 14.32 47.61 m 14.51 47.92 14.51 47.95 14.44 48.01 c 14.35 48.1 14.12 48.25 13.66 48.57 c 13.22 48.89 12.98 49.05 12.88 49.11 c 12.79 49.16 12.77 49.15 12.54 48.86 c 12.41 48.95 l 13.12 49.96 l 13.24 49.87 l 13.06 49.56 13.05 49.53 13.13 49.47 c 13.19 49.42 13.35 49.29 13.5 49.19 c 13.69 49.06 l 13.77 49 13.79 49 13.84 49.08 c 14.38 49.84 l 14.43 49.92 14.43 49.94 14.34 50 c 14.14 50.13 l 14.01 50.23 13.83 50.34 13.76 50.39 c 13.68 50.43 13.66 50.42 13.43 50.14 c 13.31 50.22 l 14.01 51.23 l 14.14 51.14 l 13.95 50.83 13.95 50.81 14.02 50.75 c 14.11 50.66 14.34 50.5 14.79 50.18 c 15.24 49.87 15.47 49.71 15.58 49.65 c 15.67 49.6 15.69 49.61 15.92 49.89 c 16.05 49.81 l 15.34 48.8 l 15.21 48.88 l 15.4 49.19 15.4 49.22 15.33 49.28 c 15.25 49.35 15.02 49.52 14.67 49.76 c 14.59 49.82 14.57 49.82 14.52 49.74 c 13.98 48.98 l 13.93 48.9 13.93 48.88 14.02 48.83 c 14.36 48.58 14.6 48.42 14.69 48.37 c 14.78 48.33 14.8 48.34 15.03 48.62 c 15.15 48.53 l 14.44 47.53 l 14.32 47.61 l h f 14.28 51.56 m 15.1 52.47 l 15.22 52.38 l 14.99 52.09 14.99 52.07 15.05 51.99 c 15.13 51.9 15.34 51.71 16.01 51.11 c 16.22 50.92 16.6 50.68 16.97 51.09 c 17.39 51.55 17.21 51.82 16.67 52.31 c 16.24 52.71 16.03 52.89 15.93 52.96 c 15.85 53.02 15.83 53.01 15.55 52.75 c 15.44 52.85 l 16.13 53.6 l 16.24 53.51 l 16.02 53.22 16.01 53.19 16.07 53.12 c 16.16 53.03 16.37 52.84 16.94 52.32 c 17.35 51.95 17.69 51.55 17.08 50.88 c 16.71 50.47 16.22 50.37 15.72 50.81 c 15.07 51.4 14.86 51.59 14.76 51.66 c 14.68 51.72 14.66 51.71 14.39 51.46 c 14.28 51.56 l h f 17.81 52.03 m 18.09 52.3 18.09 52.32 18.04 52.4 c 17.97 52.5 17.78 52.72 17.43 53.13 c 17.06 53.55 16.88 53.76 16.79 53.85 c 16.71 53.91 16.7 53.91 16.39 53.68 c 16.29 53.79 l 17.02 54.42 l 17.03 54.4 17.07 54.37 17.1 54.35 c 18.8 53.37 l 18.8 53.38 l 18.06 55.32 l 18.78 55.93 l 18.88 55.81 l 18.6 55.54 18.59 55.52 18.65 55.44 c 18.71 55.34 18.9 55.13 19.25 54.71 c 19.62 54.29 19.8 54.07 19.89 53.99 c 19.96 53.93 19.98 53.93 20.29 54.17 c 20.39 54.05 l 19.45 53.24 l 19.35 53.36 l 19.62 53.62 19.62 53.65 19.57 53.71 c 18.28 55.21 l 18.28 55.2 l 19.05 53.21 l 19.07 53.15 19.09 53.09 19.12 53.03 c 18.91 52.85 l 18.89 52.88 18.84 52.91 18.79 52.94 c 16.91 54.03 l 16.9 54.02 l 17.98 52.77 l 18.05 52.69 18.17 52.58 18.21 52.54 c 18.28 52.48 18.3 52.48 18.58 52.69 c 18.68 52.58 l 17.91 51.91 l 17.81 52.03 l h f 21.26 55.82 m 21.28 55.83 21.29 55.85 21.28 55.86 c 21.27 55.87 21.24 55.89 21.22 55.91 c 20.45 56.47 l 20.65 55.51 l 20.65 55.49 20.66 55.47 20.67 55.46 c 20.67 55.44 20.7 55.45 20.71 55.46 c 21.26 55.82 l h 20.46 54.26 m 20.67 54.43 20.67 54.53 20.6 54.84 c 20.27 56.47 l 20.22 56.74 20.2 56.81 20.17 56.95 c 20.32 57.04 l 20.4 56.96 20.56 56.83 20.66 56.77 c 22.19 55.71 l 22.39 55.57 22.43 55.55 22.68 55.71 c 22.77 55.58 l 21.75 54.93 l 21.66 55.05 l 21.96 55.26 21.97 55.3 21.91 55.38 c 21.88 55.44 21.53 55.69 21.49 55.71 c 21.47 55.72 21.46 55.72 21.44 55.71 c 21.36 55.66 21.2 55.58 20.9 55.38 c 20.71 55.26 20.72 55.24 20.73 55.15 c 20.78 54.93 20.83 54.74 20.85 54.71 c 20.91 54.62 20.95 54.62 21.25 54.78 c 21.33 54.65 l 20.54 54.14 l 20.46 54.26 l h f 22.79 55.77 m 23.09 55.94 23.1 55.96 23.06 56.05 c 23.02 56.17 22.9 56.42 22.65 56.92 c 22.41 57.41 22.28 57.66 22.21 57.76 c 22.16 57.85 22.14 57.85 21.82 57.72 c 21.76 57.85 l 22.41 58.18 l 22.45 58.15 22.51 58.12 22.57 58.08 c 24.3 57.11 l 24.3 57.12 l 24.05 57.61 l 23.81 58.1 23.68 58.35 23.62 58.46 c 23.57 58.55 23.54 58.55 23.19 58.4 c 23.12 58.53 l 24.02 58.98 l 24.09 58.85 l 23.79 58.7 23.77 58.66 23.85 58.48 c 23.92 58.31 24.01 58.11 24.1 57.94 c 24.41 57.32 24.67 56.8 24.82 56.56 c 24.58 56.45 l 24.33 56.63 24.12 56.76 23.83 56.91 c 22.5 57.65 l 22.5 57.64 l 22.82 57 l 23.06 56.51 23.19 56.25 23.25 56.15 c 23.31 56.06 23.33 56.06 23.73 56.23 c 23.79 56.1 l 22.85 55.63 l 22.79 55.77 l h f 26.51 58.16 m 26.75 57.78 27.01 57.57 27.38 57.68 c 27.75 57.79 27.87 58.07 27.81 58.28 c 27.74 58.51 27.54 58.53 27.28 58.54 c 26.98 58.55 l 26.32 58.56 26.18 58.75 26.1 59.01 c 25.97 59.45 26.24 59.86 26.76 60.02 c 27.02 60.1 27.26 60.13 27.45 60.14 c 27.46 60.1 27.47 60.04 27.49 59.99 c 27.55 59.83 27.6 59.67 27.67 59.5 c 27.51 59.45 l 27.32 59.86 27.08 59.94 26.75 59.84 c 26.46 59.75 26.29 59.49 26.35 59.28 c 26.4 59.13 26.51 59.05 26.79 59.03 c 27.41 59.01 l 27.82 58.99 28.02 58.85 28.11 58.53 c 28.25 58.08 27.97 57.68 27.42 57.51 c 27.17 57.43 26.88 57.46 26.64 57.38 c 26.58 57.56 26.46 57.86 26.36 58.08 c 26.51 58.16 l h f 28.48 58.05 m 28.8 58.15 28.81 58.16 28.8 58.26 c 28.79 58.38 28.73 58.66 28.62 59.19 c 28.51 59.73 28.45 60.01 28.41 60.13 c 28.38 60.22 28.36 60.22 28.04 60.19 c 28.01 60.33 l 29.31 60.6 l 29.51 60.65 29.71 60.71 29.84 60.76 c 29.88 60.59 30 60.2 30.05 60.11 c 29.91 60.06 l 29.71 60.49 29.63 60.52 29.14 60.41 c 28.83 60.35 l 28.79 60.34 28.77 60.32 28.78 60.27 c 28.95 59.48 l 28.95 59.43 28.97 59.42 29.06 59.43 c 29.17 59.46 l 29.55 59.53 29.56 59.6 29.54 59.85 c 29.69 59.88 l 29.71 59.77 29.73 59.66 29.76 59.49 c 29.8 59.35 29.83 59.19 29.85 59.1 c 29.7 59.06 l 29.63 59.31 29.57 59.36 29.29 59.3 c 29.05 59.26 l 29.01 59.24 28.99 59.23 29 59.18 c 29.19 58.29 l 29.2 58.25 29.22 58.23 29.27 58.24 c 29.86 58.36 l 30.14 58.42 30.2 58.51 30.22 58.75 c 30.24 59.01 l 30.41 59 l 30.41 58.8 30.43 58.46 30.46 58.31 c 28.51 57.9 l 28.48 58.05 l h f 31.42 59.86 m 31.43 59.8 31.44 59.79 31.67 59.81 c 32.22 59.86 32.29 60.17 32.27 60.37 c 32.24 60.66 31.99 60.84 31.6 60.8 c 31.35 60.78 31.33 60.76 31.34 60.67 c 31.42 59.86 l h 30.73 58.53 m 31.08 58.58 31.1 58.6 31.1 58.7 c 31.1 58.82 31.08 59.1 31.02 59.65 c 30.97 60.2 30.94 60.47 30.92 60.6 c 30.9 60.69 30.88 60.7 30.51 60.69 c 30.5 60.84 l 31.86 60.97 l 32.15 61 32.3 60.98 32.45 60.89 c 32.6 60.82 32.7 60.67 32.73 60.45 c 32.78 59.94 32.2 59.79 32.2 59.76 c 32.2 59.74 32.22 59.72 32.26 59.67 c 32.92 58.97 l 33.08 58.79 33.13 58.76 33.3 58.78 c 33.31 58.63 l 32.71 58.57 l 31.81 59.61 l 31.78 59.64 31.75 59.64 31.6 59.63 c 31.46 59.61 31.45 59.61 31.45 59.57 c 31.51 58.94 31.53 58.83 31.55 58.74 c 31.57 58.64 31.59 58.63 31.95 58.65 c 31.97 58.5 l 30.74 58.38 l 30.73 58.53 l h f 32.84 61.07 m 34.06 61.09 l 34.06 60.94 l 33.89 60.94 l 33.72 60.93 33.69 60.88 33.69 60.83 c 33.7 60.75 33.88 60.29 34.07 59.82 c 34.34 59.15 l 34.61 59.87 l 34.76 60.28 34.94 60.75 34.94 60.85 c 34.94 60.95 34.88 60.95 34.56 60.95 c 34.56 61.1 l 35.52 61.12 l 35.52 60.97 l 35.42 60.97 l 35.26 60.96 35.19 60.89 35.03 60.47 c 34.48 59.04 34.42 58.87 34.37 58.56 c 34.13 58.56 l 34.1 58.81 33.48 60.24 33.29 60.61 c 33.15 60.92 33.12 60.92 32.84 60.92 c 32.84 61.07 l h f 35.6 58.74 m 35.98 58.74 36 58.75 36.02 58.84 c 36.05 58.96 36.07 59.25 36.11 59.79 c 36.16 60.34 36.18 60.62 36.18 60.75 c 36.17 60.84 36.15 60.85 35.77 60.91 c 35.78 61.06 l 37.05 60.96 l 37.04 60.81 l 36.66 60.81 36.63 60.81 36.62 60.71 c 36.59 60.59 36.57 60.31 36.52 59.76 c 36.48 59.21 36.46 58.93 36.46 58.81 c 36.46 58.71 36.49 58.7 36.87 58.64 c 36.86 58.49 l 35.58 58.59 l 35.6 58.74 l h f 39.4 58.67 m 39.03 58.32 38.7 58.16 38.21 58.24 c 37.65 58.33 37.11 58.82 37.25 59.7 c 37.36 60.35 37.86 60.92 38.73 60.78 c 38.96 60.74 39.25 60.64 39.46 60.55 c 39.43 60.36 39.43 60.03 39.44 59.86 c 39.26 59.85 l 39.21 60.29 39.03 60.55 38.63 60.62 c 38.19 60.69 37.82 60.32 37.71 59.64 c 37.6 58.93 37.92 58.51 38.33 58.44 c 38.7 58.39 39.01 58.53 39.26 58.8 c 39.4 58.67 l h f 39.42 58.24 m 39.75 58.18 39.77 58.19 39.8 58.28 c 39.84 58.39 39.92 58.66 40.06 59.19 c 40.21 59.73 40.28 60 40.3 60.12 c 40.31 60.22 40.3 60.23 39.99 60.34 c 40.03 60.49 l 41.32 60.14 l 41.51 60.09 41.72 60.05 41.86 60.04 c 41.82 59.87 41.75 59.47 41.75 59.37 c 41.6 59.38 l 41.62 59.85 41.56 59.92 41.08 60.05 c 40.78 60.13 l 40.73 60.14 40.7 60.12 40.69 60.08 c 40.48 59.3 l 40.47 59.25 40.47 59.23 40.57 59.2 c 40.67 59.18 l 41.04 59.08 41.08 59.13 41.18 59.37 c 41.33 59.32 l 41.3 59.21 41.26 59.11 41.22 58.94 c 41.18 58.8 41.15 58.65 41.12 58.55 c 40.97 58.59 l 41.02 58.84 40.99 58.91 40.72 58.98 c 40.48 59.05 l 40.44 59.06 40.42 59.05 40.4 59 c 40.17 58.13 l 40.16 58.08 40.17 58.06 40.21 58.05 c 40.8 57.89 l 41.07 57.81 41.16 57.88 41.3 58.08 c 41.43 58.3 l 41.58 58.21 l 41.48 58.03 41.36 57.72 41.31 57.57 c 39.38 58.09 l 39.42 58.24 l h f 42.12 58.18 m 42.07 57.74 42.15 57.4 42.51 57.27 c 42.87 57.13 43.14 57.28 43.22 57.48 c 43.3 57.7 43.16 57.84 42.95 58.01 c 42.72 58.19 l 42.2 58.61 42.22 58.84 42.31 59.11 c 42.48 59.54 42.94 59.69 43.45 59.5 c 43.71 59.41 43.91 59.28 44.07 59.18 c 44.06 59.14 44.03 59.08 44.01 59.03 c 43.95 58.87 43.91 58.71 43.86 58.54 c 43.7 58.59 l 43.79 59.03 43.65 59.24 43.33 59.36 c 43.04 59.47 42.75 59.38 42.68 59.16 c 42.62 59.01 42.66 58.88 42.87 58.71 c 43.35 58.31 l 43.66 58.05 43.73 57.81 43.61 57.49 c 43.44 57.04 42.98 56.91 42.43 57.11 c 42.19 57.2 41.98 57.4 41.74 57.49 c 41.8 57.66 41.89 57.97 41.95 58.21 c 42.12 58.18 l h f 44.99 57.68 m 45.11 57.62 45.16 57.47 45.1 57.35 c 45.04 57.22 44.89 57.17 44.77 57.24 c 44.65 57.29 44.59 57.44 44.66 57.56 c 44.71 57.69 44.86 57.74 44.99 57.68 c f 46.13 58.28 m 47.2 57.67 l 47.12 57.54 l 46.79 57.7 46.77 57.7 46.71 57.62 c 46.64 57.52 46.49 57.28 46.04 56.5 c 45.9 56.26 45.75 55.83 46.22 55.56 c 46.76 55.24 46.99 55.47 47.36 56.1 c 47.65 56.6 47.79 56.85 47.84 56.96 c 47.88 57.05 47.87 57.07 47.55 57.28 c 47.62 57.42 l 48.51 56.89 l 48.44 56.77 l 48.11 56.93 48.09 56.93 48.03 56.85 c 47.95 56.75 47.81 56.51 47.42 55.84 c 47.14 55.36 46.81 54.96 46.04 55.41 c 45.55 55.69 45.36 56.15 45.69 56.72 c 46.14 57.48 46.28 57.73 46.33 57.84 c 46.37 57.93 46.36 57.95 46.06 58.16 c 46.13 58.28 l h f 48.06 55.18 m 47.89 54.78 47.88 54.43 48.18 54.21 c 48.5 53.97 48.79 54.04 48.93 54.22 c 49.07 54.4 48.96 54.58 48.81 54.8 c 48.64 55.03 l 48.26 55.58 48.33 55.8 48.5 56.02 c 48.77 56.39 49.26 56.42 49.7 56.09 c 49.92 55.93 50.09 55.76 50.21 55.61 c 50.18 55.57 50.14 55.53 50.11 55.49 c 50.01 55.35 49.92 55.2 49.83 55.05 c 49.69 55.15 l 49.9 55.54 49.82 55.79 49.55 55.99 c 49.3 56.17 49 56.15 48.86 55.97 c 48.77 55.85 48.77 55.71 48.93 55.49 c 49.28 54.97 l 49.5 54.63 49.51 54.39 49.31 54.12 c 49.02 53.73 48.54 53.73 48.07 54.07 c 47.86 54.23 47.71 54.47 47.51 54.62 c 47.61 54.77 47.78 55.05 47.9 55.26 c 48.06 55.18 l h f 50.84 53.18 m 50.86 53.16 50.87 53.17 50.88 53.17 c 50.9 53.18 50.91 53.23 50.92 53.24 c 51.27 54.13 l 50.39 53.69 l 50.37 53.68 50.35 53.67 50.34 53.66 c 50.33 53.65 50.34 53.63 50.36 53.62 c 50.84 53.18 l h 49.13 53.57 m 49.35 53.39 49.44 53.43 49.73 53.57 c 51.22 54.29 l 51.47 54.42 51.53 54.45 51.65 54.53 c 51.78 54.4 l 51.72 54.31 51.65 54.12 51.6 54 c 50.97 52.25 l 50.88 52.02 50.87 51.98 51.1 51.78 c 51 51.67 l 50.1 52.48 l 50.2 52.59 l 50.47 52.36 50.52 52.36 50.58 52.43 c 50.62 52.49 50.78 52.88 50.79 52.93 c 50.79 52.95 50.79 52.96 50.78 52.98 c 50.71 53.05 50.58 53.18 50.32 53.42 c 50.16 53.56 50.14 53.56 50.07 53.52 c 49.85 53.42 49.69 53.32 49.66 53.3 c 49.59 53.22 49.6 53.17 49.83 52.92 c 49.73 52.81 l 49.03 53.45 l 49.13 53.57 l h f Q Q Q Q b endstream endobj 1 0 obj <>>>/Rotate 0/Thumb 24 0 R/Type/Page>> endobj 2 0 obj <>stream xc{q BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.15842 Tw 0.06337 Tc [(,Q)-15.84(WKH)-15.84(8QLWHG)-15.84(6WDWHV)-15.84(VWRUHV)-15.84(WKDW)-15.84(VHOO)-15.84(WREDFFR)-15.84(SURGXFWV)-15.84( WREDFFR)-15.84()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.52788 Tw 0.21115 Tc [(WDLOHUV\f)-52.79(DUH)-52.79(UHJXODWHG)-52.79(E\\)-52.79(WKH)-52.79(86)-52.79(\)RRG)-52.79(DQG)-52.79('UXJ)-52.79($GPLQLVWUDWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg 0.32078 Tw 0.12831 Tc [( \)'$\f)-32.08(XQGHU)-32.08(WKH)-32.08(\)DPLO\\)-32.08(6PRNLQJ)-32.08(3UHYHQWLRQ)-32.08(DQG)-32.08(7REDFFR)-32.08()]TJ 0 g 0 0 0 rg (&RQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 642 Tm 0 0 0 rg 0.05829 Tw 0.02331 Tc [(WURO)-5.83($FW)-5.83(RI)-5.83()-5.83( \)637&$\f)-5.83(7KH)-5.83(\)'$)-5.83(FRQWUDFWV)-5.83(ZLWK)-5.83(VWDWHV)-5.83(WR)-5.83()]TJ 0 g 0 0 0 rg (SUR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 630 Tm 0 0 0 rg 0.35124 Tw 0.1405 Tc [(PRWH)-35.12(FRPSOLDQFH)-35.12(DQG)-35.12(HQIRUFHPHQW)-35.12(RI)-35.12()-35.12(W\\SHV)-35.12(RI)-35.12(\)637&$)-35.12()]TJ 0 g 0 0 0 rg (SURYL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 618 Tm 0 0 0 rg 0.21912 Tw 0.08765 Tc [(VLRQV)-21.91(XQGHUDJH)-21.91(VDOHV)-21.91(LQVSHFWLRQV)-21.91(DQG)-21.91(DGYHUWLVLQJ)-21.91(DQG)-21.91(ODEHOLQJ)-21.91()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 606 Tm 0 0 0 rg 0.25368 Tw 0.10147 Tc [(VSHFWLRQV)-25.37( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-25.37($GYHUWLVLQJ)-25.37(DQG)-25.37(ODEHOLQJ)-25.37(UHJXODWLRQV)-25.37(LQFOXGH)-25.37(EDQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 594 Tm 0 0 0 rg 0.12337 Tw 0.04935 Tc (RQ)Tj 0 g 0 0 0 rg [-12.34(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-12.34(GLVSOD\\V)-12.34( LH)]TJ 0 g 0 0 0 rg [-12.34(FXVWRPHUDFFHVVLEOH)]TJ 0 g 0 0 0 rg [-12.34(SURGXFWV\f)-12.34(VDOH)-12.34(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 582 Tm 0 0 0 rg 0.11304 Tw 0.04522 Tc [(VLQJOH)-11.3(FLJDUHWWHV)-11.3( RU)-11.3(LQ)-11.3(SDFNV)-11.3(RI)-11.3(IHZHU)-11.3(WKDQ)-11.3()-11.3(FLJDUHWWHV\f)-11.3(YHQGLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 570 Tm 0 0 0 rg 0.02624 Tw 0.01049 Tc [(PDFKLQHV)-2.62(LQ)]TJ 0 g 0 0 0 rg [-2.62(\\RXWKDFFHVVLEOH)]TJ 0 g 0 0 0 rg [-2.62(ORFDWLRQV)-2.62(FHUWDLQ)-2.62(SURGXFW)-2.62(GHVFULSWRUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 558 Tm 0 0 0 rg 0.12238 Tw 0.04895 Tc [( HJ)-12.24(OLJKW)-12.24(DQG)-12.24(PLOG\f)-12.24(IODYRUHG)-12.24(FLJDUHWWHV)-12.24( H[FHSW)-12.24(PHQWKRO\f)-12.24(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 546 Tm 0 0 0 rg 0.18158 Tw 0.07263 Tc [(IUHH)-18.16(VDPSOHV)-18.16(RI)-18.16(UHJXODWHG)-18.16(WREDFFR)-18.16(SURGXFWV)-18.16( )]TJ 0 g 0 0 0 rg (ZZZIGDJRY)Tj 0 g 0 0 0 rg (7REDF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 534 Tm 0 0 0 rg 0.0489 Tw 0.01956 Tc (FR3URGXFWV5HVRXUFHVIRU<RX5HWDLOGHIDXOWKWP)Tj 0 g 0 0 0 rg [(\f)-4.89(8QGHU)-4.89(\)'$)-4.89()]TJ 0 g 0 0 0 rg (UHJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 522 Tm 0 0 0 rg 0.30536 Tw 0.12214 Tc [(XODWLRQV)-30.54(WKH)-30.54(OHJDO)-30.54(DJH)-30.54(IRU)-30.54(SXUFKDVLQJ)-30.54(UHJXODWHG)-30.54(WREDFFR)-30.54(SURGXFWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 510 Tm 0 0 0 rg 0.48928 Tw 0.19571 Tc [( LH)-48.93(FLJDUHWWHV)-48.93(FLJDUHWWH)-48.93(WREDFFR)-48.93(DQG)-48.93(VPRNHOHVV)-48.93(WREDFFR\f)-48.93(LQ)-48.93(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 498 Tm 0 0 0 rg 0.41437 Tw 0.16575 Tc [(8QLWHG)-41.44(6WDWHV)-41.44(LV)-41.44()-41.44(KRZHYHU)-41.44(RQH)-41.44(VWDWH)-41.44( +DZDLL\f)-41.44(DQG)-41.44()]TJ 0 g 0 0 0 rg (DSSUR[LP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 486 Tm 0 0 0 rg (DWHO\\ORFDOLWLHVKDYHVHWKLJKHUDJHV )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 466 Tm /F1 10 Tf 0 0 0 rg 0.11118 Tw 0.04447 Tc [(5HVHDUFK)-11.12(LV)-11.12(OLPLWHG)-11.12(RQ)-11.12(QHLJKERUKRRG)-11.12(GLVSDULWLHV)-11.12(LQ)-11.12(QRQFRPSOLDQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 454 Tm 0 0 0 rg 0.28323 Tw 0.11329 Tc (ZLWK)Tj 0 g 0 0 0 rg [-28.32(SRLQWRIVDOH)]TJ 0 g 0 0 0 rg [-28.32(UHJXODWLRQV)-28.32(RWKHU)-28.32(WKDQ)-28.32(XQGHUDJH)-28.32(SXUFKDVHV)-28.32(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 442 Tm 0 0 0 rg 0.20441 Tw 0.08176 Tc (VLQJOHFLJDUHWWH)Tj 0 g 0 0 0 rg [-20.44(VDOHV)-20.44($)-20.44()-20.44(V\\VWHPDWLF)-20.44(UHYLHZ)-20.44(LGHQWLILHG)-20.44(RQO\\)-20.44()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 430 Tm 0 0 0 rg 0.4121 Tw 0.16484 Tc [(VWXGLHV)-41.21(ZRUOGZLGH)-41.21(UHSRUWLQJ)-41.21(RQ)-41.21(WKH)-41.21(DVVRFLDWLRQ)-41.21(RI)-41.21(QHLJKERUKRRG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 418 Tm 0 0 0 rg 0.39231 Tw 0.15692 Tc [(FKDUDFWHULVWLFV)-39.23(DQG)-39.23(FRPSOLDQFH)-39.23(ZLWK)]TJ 0 g 0 0 0 rg [-39.23(SRLQWRIVDOH)]TJ 0 g 0 0 0 rg [-39.23(UHJXODWLRQV)-39.23(RQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 406 Tm 0 0 0 rg 0.18542 Tw 0.07417 Tc [(WREDFFR)-18.54(SULFH)-18.54(SURPRWLRQ)-18.54(SODFHPHQW)-18.54(DQG)-18.54(SURGXFWV)-18.54( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-18.54(2I)-18.54(WKHVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 394 Tm 0 0 0 rg 0.04365 Tw 0.01746 Tc [()-4.36(H[DPLQHG)-4.36(VDOHV)-4.36(RI)-4.36(VLQJOH)-4.36(FLJDUHWWHV)-4.36(LQ)-4.36(WKH)-4.36(8QLWHG)-4.36(6WDWHV)-4.36( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-4.36()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 382 Tm 0 0 0 rg 0.48378 Tw 0.19351 Tc [(H[DPLQHG)-48.38(FRPSOLDQFH)-48.38(ZLWK)-48.38(1HZ)-48.38(=HDODQG\nV)]TJ 0 g 0 0 0 rg [-48.38(SRLQWRIVDOH)]TJ 0 g 0 0 0 rg [-48.38()]TJ 0 g 0 0 0 rg (UHJXOD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 370 Tm 0 0 0 rg 0.39478 Tw 0.15791 Tc [(WLRQV)-39.48( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-39.48()-39.48(H[DPLQHG)-39.48($XVWUDOLDQ)]TJ 0 g 0 0 0 rg [-39.48(SRLQWRIVDOH)]TJ 0 g 0 0 0 rg [-39.48(UHJXODWLRQV)-39.48( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 358 Tm 0 0 0 rg 0.14506 Tw 0.05802 Tc [(DQG)-14.51()-14.51(H[DPLQHG)-14.51(FRPSOLDQFH)-14.51(ZLWK)-14.51(UHFHQW)-14.51(\)'$)-14.51(UHJXODWLRQV)-14.51(LQ)-14.51(D)-14.51(IHZ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 346 Tm 0 0 0 rg (JHRJUDSKLFDUHDVRIWKH8QLWHG6WDWHV )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 326 Tm /F1 10 Tf 0 0 0 rg 0.41161 Tw 0.16465 Tc [(%HIRUH)-41.16(\)'$)-41.16(UHJXODWLRQ)-41.16(QRQFRPSOLDQFH)-41.16(ZLWK)-41.16(WKH)-41.16(OLPLWHG)-41.16()]TJ 0 g 0 0 0 rg (UHJXOD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 314 Tm 0 0 0 rg 0.50059 Tw 0.20024 Tc [(WLRQV)-50.06(IRU)-50.06(WREDFFR)-50.06(UHWDLOHUV)-50.06(ZDV)-50.06(SDWWHUQHG)-50.06(LQ)-50.06(ZD\\V)-50.06(WKDW)-50.06(SURPRWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 302 Tm 0 0 0 rg 0.34056 Tw 0.13623 Tc [(KHDOWK)-34.06(GLVSDULWLHV)-34.06(PHUFKDQWV)-34.06(LQ)-34.06(FRPPXQLWLHV)-34.06(ZLWK)-34.06(PRVWO\\)-34.06(/DWLQR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 290 Tm 0 0 0 rg 0.17358 Tw 0.06943 Tc [(RU)-17.36(EODFN)-17.36(UHVLGHQWV)-17.36(ZHUH)-17.36(PRUH)-17.36(OLNHO\\)-17.36(WKDQ)-17.36(PHUFKDQWV)-17.36(LQ)-17.36(ZKLWH)-17.36()]TJ 0 g 0 0 0 rg (FRP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 278 Tm 0 0 0 rg 0.1243 Tw 0.04972 Tc [(PXQLWLHV)-12.43(WR)-12.43(VHOO)-12.43(FLJDUHWWHV)-12.43(WR)-12.43(DQ\\)-12.43(XQGHUDJHG)-12.43(EX\\HU)-12.43( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-12.43(SDUWLFXODUO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 266 Tm 0 0 0 rg 0.182 Tw 0.0728 Tc [(WR)-18.2(XQGHUDJHG)-18.2(EODFN)-18.2(DQG)-18.2(/DWLQR)-18.2(EX\\HUV)-18.2( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-18.2(6LQJOH)-18.2(FLJDUHWWH)-18.2(VDOHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 254 Tm 0 0 0 rg 0.29182 Tw 0.11673 Tc [(E\\)-29.18(UHWDLOHUV)-29.18(ZHUH)-29.18(PRUH)-29.18(FRPPRQ)-29.18(LQ)-29.18(QHLJKERUKRRGV)-29.18(ZLWK)-29.18(KLJK)-29.18()]TJ 0 g 0 0 0 rg (SHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 242 Tm 0 0 0 rg 0.23208 Tw 0.09283 Tc [(FHQWDJHV)-23.21(RI)]TJ 0 g 0 0 0 rg [-23.21(ORZLQFRPH)]TJ 0 g 0 0 0 rg [-23.21(EODFN)-23.21(RU)-23.21(/DWLQR)-23.21(UHVLGHQWV)-23.21(WKDQ)-23.21(LQ)-23.21()]TJ 0 g 0 0 0 rg (QHLJK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 230 Tm 0 0 0 rg 0.51405 Tw 0.20562 Tc [(ERUKRRGV)-51.41(ZLWK)-51.41(PRVWO\\)-51.41(ZKLWH)]TJ 0 g 0 0 0 rg [-51.41(PLGGOH)]TJ 0 g 0 0 0 rg [-51.41(RU)]TJ 0 g 0 0 0 rg [-51.41(XSSHULQFRPH)]TJ 0 g 0 0 0 rg [-51.41(UHVLGHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 218 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 198 Tm /F1 10 Tf 0 0 0 rg 0.24344 Tw 0.09737 Tc [(5HFHQW)-24.34(UHVHDUFK)-24.34(UHJDUGLQJ)-24.34(FRPSOLDQFH)-24.34(ZLWK)-24.34(WKH)-24.34(QHZ)-24.34(\)'$)-24.34()]TJ 0 g 0 0 0 rg (DGYHUW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 186 Tm 0 0 0 rg 0.30828 Tw 0.12331 Tc [(LVLQJ)-30.83(DQG)-30.83(ODEHOLQJ)-30.83(UHJXODWLRQV)-30.83(RIIHUV)-30.83(D)-30.83(FRQIOLFWLQJ)-30.83(YLHZ)-30.83(RI)-30.83()]TJ 0 g 0 0 0 rg (QHLJK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 174 Tm 0 0 0 rg 0.70392 Tw 0.28157 Tc [(ERUKRRG)-70.39(GLVSDULWLHV)-70.39(,Q)-70.39(&ROXPEXV)-70.39(2KLR)-70.39(\)ULFN)-70.39(DQG)-70.39(FROOHDJXHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 162 Tm 0 0 0 rg 0.20122 Tw 0.08049 Tc [(IRXQG)-20.12(QR)-20.12(GLIIHUHQFHV)-20.12(EHWZHHQ)-20.12(YLRODWLRQV)-20.12(LQ)]TJ 0 g 0 0 0 rg [-20.12(KLJKLQFRPH)]TJ 0 g 0 0 0 rg [-20.12(DQG)]TJ 0 g 0 0 0 rg [-20.12(ORZ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 150 Tm 0 0 0 rg 0.29907 Tw 0.11963 Tc (LQFRPH)Tj 0 g 0 0 0 rg [-29.91(FRPELQHG]LSFRGH)]TJ 0 g 0 0 0 rg [-29.91(DUHDV)-29.91(DIWHU)-29.91(\)'$)-29.91(UHJXODWLRQ)-29.91( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-29.91(,Q)-29.91()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 138 Tm 0 0 0 rg 0.27866 Tw 0.11146 Tc [(FRXQWLHV)-27.87(LQ)-27.87(1RUWK)-27.87(&DUROLQD)-27.87(DIWHU)-27.87(LPSOHPHQWDWLRQ)-27.87(RI)-27.87(\)'$)-27.87()]TJ 0 g 0 0 0 rg (UHJXOD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 126 Tm 0 0 0 rg 0.14114 Tw 0.05646 Tc [(WLRQV)-14.11(5RVH)-14.11(DQG)-14.11(FROOHDJXHV)-14.11(FRQWUROOHG)-14.11(IRU)-14.11(VWRUH)-14.11(W\\SH)-14.11(DQG)-14.11()]TJ 0 g 0 0 0 rg (QHLJKERU)Tj 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.26301 Tw 0.1052 Tc [(KRRG)-26.3(FKDUDFWHULVWLFV)-26.3(DQG)-26.3(IRXQG)-26.3(ORZ)-26.3(OLNHOLKRRG)-26.3(RI)-26.3(DQ\\)-26.3(YLRODWLRQ)-26.3(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.15205 Tw 0.06082 Tc [(QHLJKERUKRRGV)-15.2(ZLWK)-15.2(D)-15.2(KLJK)-15.2(SHUFHQWDJH)-15.2(RI)-15.2(EODFN)-15.2(UHVLGHQWV)-15.2(DQG)-15.2(KLJK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg 0.19753 Tw 0.07901 Tc [(OLNHOLKRRG)-19.75(RI)-19.75(YLRODWLRQV)-19.75(LQ)-19.75(FHQVXV)-19.75(WUDFWV)-19.75(ZLWK)-19.75(D)-19.75(KLJK)-19.75(SHUFHQWDJH)-19.75(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 642 Tm 0 0 0 rg (IDPLOLHVOLYLQJXQGHUWKHSRYHUW\\OLQH )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 316 622 Tm /F1 10 Tf 0 0 0 rg 0.46975 Tw 0.1879 Tc [(%\\)-46.98(XVLQJ)-46.98(SXEOLFO\\)-46.98(DYDLODEOH)-46.98(\)'$)-46.98(LQVSHFWLRQV)-46.98(GDWD)-46.98(ZH)-46.98()]TJ 0 g 0 0 0 rg (LQYHVWLJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 610 Tm 0 0 0 rg 0.36333 Tw 0.14533 Tc [(DWHG)-36.33(ZKHWKHU)-36.33(VSHFLILF)-36.33(DGYHUWLVLQJ)-36.33(DQG)-36.33(ODEHOLQJ)-36.33(UHWDLOHU)-36.33(YLRODWLRQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 598 Tm 0 0 0 rg 0.21739 Tw 0.08696 Tc [( LH)-21.74(IDOVH)-21.74(RU)-21.74(PLVODEHOHG)-21.74(SURGXFWV)-21.74(RU)-21.74(YLRODWLRQV)-21.74(RI)-21.74(EDQV)-21.74(RQ)]TJ 0 g 0 0 0 rg [-21.74(VHOI)]TJ 0 g 0 0 0 rg (VHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 586 Tm 0 0 0 rg 0.05603 Tw 0.02241 Tc (YLFH)Tj 0 g 0 0 0 rg [-5.6(GLVSOD\\V)-5.6(VDOH)-5.6(RI)-5.6(VLQJOH)-5.6(FLJDUHWWHV)-5.6(YHQGLQJ)-5.6(PDFKLQHV)-5.6(IODYRUHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 574 Tm 0 0 0 rg 0.89742 Tw 0.35897 Tc [(FLJDUHWWHV)-89.74(DQG)-89.74(IUHH)-89.74(VDPSOHV\f)-89.74(ZHUH)-89.74(DVVRFLDWHG)-89.74(ZLWK)-89.74(SDUWLFXODU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 562 Tm 0 0 0 rg 0.08426 Tw 0.0337 Tc [(QHLJKERUKRRG)-8.43(FKDUDFWHULVWLFV)-8.43(WKH)-8.43(SURSRUWLRQ)-8.43(RI)-8.43(UHVLGHQWV)-8.43(UHSRUWLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 550 Tm 0 0 0 rg 0.11511 Tw 0.04604 Tc [(EODFN)-11.51(UDFH)-11.51(/DWLQR)-11.51(HWKQLFLW\\)-11.51(LQFRPH)-11.51(XQGHU)-11.51(WKH)-11.51(SRYHUW\\)-11.51(OLQH)-11.51(RU)-11.51(DJH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 538 Tm 0 0 0 rg (XQGHU\\HDUV)Tj 0 g ET BT 1 0 0 1 316 514 Tm /F1 16 Tf 0 0 0 rg (0HWKRGV)Tj 0 g ET BT 1 0 0 1 316 492 Tm /F1 10 Tf 0 0 0 rg 0.10805 Tw 0.04322 Tc [(:H)-10.81(XVHG)-10.81(WKH)-10.81(UHVXOWV)-10.81(IURP)-10.81(DOO)-10.81(\)'$)-10.81(UHWDLOHU)-10.81(DGYHUWLVLQJ)-10.81(DQG)-10.81(ODEHOLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 480 Tm 0 0 0 rg 0.40029 Tw 0.16012 Tc [(LQVSHFWLRQV)-40.03( 1)-40.03( )-40.03(\f)-40.03(IURP)-40.03(-DQXDU\\)-40.03()-40.03(WKURXJK)-40.03(-XO\\)-40.03()-40.03()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 468 Tm 0 0 0 rg 0.2757 Tw 0.11028 Tc [(WKDW)-27.57(KDG)-27.57(EHHQ)-27.57(SRVWHG)-27.57(WR)-27.57(WKH)-27.57(\)'$\nV)-27.57(ZHEVLWH)-27.57(E\\)-27.57(6HSWHPEHU)-27.57()-27.57()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 456 Tm 0 0 0 rg 0.01151 Tw 0.0046 Tc ( )Tj 0 g 0 0 0 rg (ZZZDFFHVVGDWDIGDJRYVFULSWVRFHLQVSHFWLRQVRFHBLQVSB)Tj 0 g 0 0 0 rg (VHDUFK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 444 Tm 0 0 0 rg 0.17515 Tw 0.07006 Tc (LQJFIP)Tj 0 g 0 0 0 rg [()-17.51(VHOHFWHG)-17.51(E\\)-17.51(FKRRVLQJ)-17.51(PLQRU)-17.51(LQYROYHG)-17.51( )-17.51(QR\f)-17.51(7KH)-17.51()]TJ 0 g 0 0 0 rg (VHOHF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 432 Tm 0 0 0 rg 0.39244 Tw 0.15698 Tc [(WHG)-39.24(QXPEHU)-39.24(RI)-39.24(LQVSHFWLRQV)-39.24(LV)-39.24()-39.24(DSSUR[LPDWHO\\)-39.24(\b)-39.24(RI)-39.24(DOO)-39.24()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 420 Tm 0 0 0 rg 0.11154 Tw 0.04462 Tc [(\)'$)-11.15(LQVSHFWLRQV)-11.15(DQG)-11.15(\b)-11.15(RI)-11.15(WKH)-11.15()-11.15(DGYHUWLVLQJ)-11.15(DQG)-11.15(ODEHOLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 408 Tm 0 0 0 rg 0.13521 Tw 0.05408 Tc [(LQVSHFWLRQV)-13.52(FRQGXFWHG)-13.52(IURP)-13.52(-DQXDU\\)-13.52()-13.52(WKURXJK)-13.52(-XO\\)-13.52()-13.52()-13.52(2QH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 396 Tm 0 0 0 rg 0.11083 Tw 0.04433 Tc [(DXWKRU)-11.08( +0%\f)-11.08(FRGHG)-11.08(ZDUQLQJ)-11.08(OHWWHUV)-11.08( Q)-11.08( )-11.08(\f)-11.08(IRU)-11.08(WKH)-11.08(YLRODWLRQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 384 Tm 0 0 0 rg 0.54367 Tw 0.21747 Tc [(GHVFULEHG)-54.37($QRWKHU)-54.37(DXWKRU)-54.37( -*//\f)-54.37(WKHQ)-54.37(LQGHSHQGHQWO\\)-54.37(FRGHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 372 Tm 0 0 0 rg 0.15057 Tw 0.06023 Tc [(\b)-15.06(RI)-15.06(ZDUQLQJ)-15.06(OHWWHUV)-15.06(DQG)-15.06(IRXQG)-15.06(QR)-15.06(GLVFUHSDQFLHV)-15.06(:H)-15.06(ZHUH)-15.06(DEOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 360 Tm 0 0 0 rg 0.14135 Tw 0.05654 Tc [(WR)-14.14(JHRFRGH)-14.14(DOO)-14.14(EXW)-14.14()-14.14(LQVSHFWLRQ)-14.14(ORFDWLRQV)-14.14(DQG)-14.14(OLQN)-14.14(WKHP)-14.14(WR)-14.14(FHQVXV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 348 Tm 0 0 0 rg 0.37692 Tw 0.15077 Tc [(WUDFW)-37.69(GDWD)-37.69(7KH)-37.69(&HQVXV)-37.69(%XUHDX)-37.69(GHVLJQHG)-37.69(FHQVXV)-37.69(WUDFWV)-37.69(WR)-37.69(URXJKO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 336 Tm 0 0 0 rg 0.84564 Tw 0.33825 Tc [(DSSUR[LPDWH)-84.56(QHLJKERUKRRGV)-84.56(E\\)-84.56(XVLQJ)-84.56(ORFDO)-84.56(FRPPLWWHHV)-84.56(WR)-84.56(VHW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 324 Tm 0 0 0 rg 0.50772 Tw 0.20309 Tc [(ERXQGDULHV)-50.77( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-50.77(DQG)-50.77(ZH)-50.77(GHILQH)-50.77(QHLJKERUKRRGV)-50.77(DV)-50.77(FHQVXV)-50.77(WUDFWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 312 Tm 0 0 0 rg 0.31925 Tw 0.1277 Tc [(:H)-31.93(REWDLQHG)-31.93(FHQVXV)-31.93(GDWD)-31.93(IRU)-31.93(UDFH)-31.93( UHSRUWHG)-31.93(DORQH)-31.93(RU)-31.93(LQ)-31.93()]TJ 0 g 0 0 0 rg (FRPELQD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 300 Tm 0 0 0 rg 0.03568 Tw 0.01427 Tc [(WLRQ)-3.57(ZLWK)-3.57(RWKHU)-3.57(UDFHV\f)-3.57(HWKQLFLW\\)-3.57(DQG)-3.57(DJH)-3.57(IURP)-3.57(WKH)-3.57()-3.57(86)-3.57(&HQVXV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 288 Tm 0 0 0 rg 0.30541 Tw 0.12216 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-30.54(GDWD)-30.54(IRU)-30.54(SRYHUW\\)-30.54(VWDWXV)-30.54( IRU)-30.54(WKH)-30.54(SRSXODWLRQ)-30.54(DJHG)-30.54()-30.54(\\HDUV)-30.54(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 276 Tm 0 0 0 rg 0.23669 Tw 0.09467 Tc [(ROGHU\f)-23.67(ZHUH)-23.67(REWDLQHG)-23.67(IURP)-23.67(WKH)]TJ 0 g 0 0 0 rg [-23.67(\\HDU)]TJ 0 g 0 0 0 rg [-23.67(HVWLPDWHV)-23.67(RI)-23.67(WKH)-23.67()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 264 Tm 0 0 0 rg 0.5289 Tw 0.21156 Tc [($PHULFDQ)-52.89(&RPPXQLW\\)-52.89(6XUYH\\)-52.89( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-52.89(3RYHUW\\)-52.89(ZDV)-52.89(GHILQHG)-52.89(DV)-52.89(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 252 Tm 0 0 0 rg 0.17654 Tw 0.07061 Tc [(SHUFHQWDJH)-17.65(RI)-17.65(SHRSOH)-17.65()-17.65(RU)-17.65(ROGHU)-17.65(ZLWK)-17.65(LQFRPHV)-17.65(XQGHU)-17.65(WKH)-17.65(86)-17.65()]TJ 0 g 0 0 0 rg (\)HG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 240 Tm 0 0 0 rg 0.29179 Tw 0.11672 Tc [(HUDO)-29.18(3RYHUW\\)-29.18(/LQH)-29.18(LQ)-29.18(D)-29.18(JLYHQ)-29.18(WUDFW)-29.18()-29.18(\)RU)-29.18(DJH)-29.18(ZH)-29.18(XVHG)-29.18(WKH)-29.18()]TJ 0 g 0 0 0 rg (SHUFHQW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 228 Tm 0 0 0 rg 0.32418 Tw 0.12967 Tc [(DJH)-32.42(RI)-32.42(SHRSOH)-32.42(XQGHU)-32.42(DJH)-32.42()-32.42(LQ)-32.42(D)-32.42(JLYHQ)-32.42(WUDFW)-32.42(%HFDXVH)-32.42(VPDOO)-32.42()]TJ 0 g 0 0 0 rg (QXP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 216 Tm 0 0 0 rg 0.41297 Tw 0.16519 Tc [(EHUV)-41.3(FDQ)-41.3(PDNH)-41.3(GHPRJUDSKLF)-41.3(HVWLPDWHV)-41.3(XQVWDEOH)-41.3(ZH)-41.3(H[FOXGHG)-41.3()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 204 Tm 0 0 0 rg 0.36792 Tw 0.14717 Tc [(LQVSHFWLRQV)-36.79(LQ)-36.79(WUDFWV)-36.79(ZLWK)-36.79(IHZHU)-36.79(WKDQ)-36.79()-36.79(UHVLGHQWV)-36.79(3RYHUW\\)-36.79(GDWD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 192 Tm 0 0 0 rg (ZHUHXQDYDLODEOHIRUWUDFWV)Tj 0 g ET BT 1 0 0 1 316 172 Tm /F1 10 Tf 0 0 0 rg 0.19545 Tw 0.07818 Tc [(1HLJKERUKRRG)-19.55(FKDUDFWHULVWLFV)-19.55(ZHUH)-19.55(ILUVW)-19.55(FDOFXODWHG)-19.55(DV)-19.55(WKH)-19.55()]TJ 0 g 0 0 0 rg (SHUFHQW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 160 Tm 0 0 0 rg 0.30059 Tw 0.12023 Tc [(DJH)-30.06(RI)-30.06(UHVLGHQWV)-30.06(ZLWK)-30.06(D)-30.06(SDUWLFXODU)-30.06(GHPRJUDSKLF)-30.06(FKDUDFWHULVWLF)-30.06( HJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 148 Tm 0 0 0 rg 0.16236 Tw 0.06494 Tc [(\b)-16.24(RI)-16.24(FHQVXV)-16.24(WUDFW)-16.24(UHVLGHQWV)-16.24(UHSRUWLQJ)-16.24(EODFN)-16.24(UDFH)-16.24(\b)-16.24(RI)-16.24(FHQVXV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 136 Tm 0 0 0 rg 0.36934 Tw 0.14774 Tc [(WUDFW)-36.93(SRSXODWLRQ)-36.93(OLYLQJ)-36.93(XQGHU)-36.93(SRYHUW\\)-36.93(OLQH\f)-36.93(\)RU)-36.93(VFDOLQJ)-36.93(SXUSRVHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 124 Tm 0 0 0 rg 2.15 Tw 0.86097 Tc [(WKH)-215.24(SHUFHQWDJH)-215.24(ZDV)-215.24(WKHQ)-215.24(GLYLGHG)-215.24(E\\)-215.24()-215.24(WR)-215.24(FUHDWH)]TJ 0 g 0 0 0 rg [-215.24()]TJ 0 g 0 Tw 0 Tc ET q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (2 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2015/15_0231.htm)Tj ET Q O endstream endobj 3 0 obj <>>>/Rotate 0/Thumb 25 0 R/Type/Page>> endobj 4 0 obj <>stream xdeq BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.86699 Tw 0.34679 Tc (SHUFHQWDJHSRLQW)Tj 0 g 0 0 0 rg [-86.7(LQFUHPHQWV)-86.7( HJ)-86.7(\b)-86.7( )-86.7(\f)-86.7(7KXV)-86.7(D)]TJ 0 g 0 0 0 rg [-86.7(XQLW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.62803 Tw 0.25121 Tc [(FKDQJH)-62.8(LQ)-62.8(WKHVH)-62.8(YDULDEOHV)-62.8(UHSUHVHQWV)-62.8(D)]TJ 0 g 0 0 0 rg [-62.8(SHUFHQWDJHSRLQW)]TJ 0 g 0 0 0 rg [-62.8()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg (FUHDVHLQWKHQHLJKERUKRRGFKDUDFWHULVWLF)Tj 0 g ET BT 1 0 0 1 30 634 Tm /F1 10 Tf 0 0 0 rg 0.24694 Tw 0.09878 Tc [(6WDWHV)-24.69(DUH)-24.69(UHTXLUHG)-24.69(WR)-24.69(GHYHORS)-24.69(D)-24.69(IRUPDO)-24.69(VDPSOLQJ)-24.69(VWUDWHJ\\)-24.69(WKDW)-24.69()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 622 Tm 0 0 0 rg 0.18901 Tw 0.0756 Tc [(VSHFWV)-18.9(\b)-18.9(RU)-18.9(PRUH)-18.9(RI)-18.9(WKH)-18.9(WREDFFR)-18.9(UHWDLOHUV)-18.9(LQ)-18.9(WKH)-18.9(VWDWH)-18.9(HDFK)-18.9(\\HDU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 610 Tm 0 0 0 rg 0.29938 Tw 0.11975 Tc [(KRZHYHU)-29.94(VWDWHV)-29.94(PD\\)-29.94(LPSOHPHQW)-29.94(WKHLU)-29.94(VDPSOLQJ)-29.94(SODQV)-29.94(DQG)-29.94()]TJ 0 g 0 0 0 rg (LQVSHF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 598 Tm 0 0 0 rg 0.15335 Tw 0.06134 Tc [(WLRQV)-15.34(LQ)-15.34(GLIIHUHQW)-15.34(ZD\\V)-15.34( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-15.34(7KLV)-15.34(YDULDWLRQ)-15.34(LQ)-15.34(LQVSHFWLRQV)-15.34(SUHVHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 586 Tm 0 0 0 rg 0.17962 Tw 0.07185 Tc [()-17.96(LVVXHV)-17.96(\f)-17.96(LQVSHFWLRQ)-17.96(UHVXOWV)-17.96(ZLWKLQ)-17.96(VWDWHV)-17.96(DUH)-17.96(PRUH)-17.96(VWURQJO\\)-17.96()]TJ 0 g 0 0 0 rg (FRU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 574 Tm 0 0 0 rg 0.08037 Tw 0.03215 Tc [(UHODWHG)-8.04(WKDQ)-8.04(UHVXOWV)-8.04(EHWZHHQ)-8.04(VWDWHV)-8.04(DQG)-8.04(\f)-8.04(WKH)-8.04(XVH)-8.04(RI)-8.04(GLIIHUHQW)-8.04( DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 562 Tm 0 0 0 rg 0.1 Tw 0.04 Tc [(QRW)-10(SXEOLF\f)-10(VDPSOLQJ)-10(VWUDWHJLHV)-10(OLPLWV)-10(RXU)-10(DELOLW\\)-10(WR)-10(JHQHUDOL]H)-10()]TJ 0 g 0 0 0 rg (RXW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 550 Tm 0 0 0 rg 0.41124 Tw 0.16449 Tc [(VLGH)-41.12(WKLV)-41.12(GDWD)-41.12(VRXUFH)-41.12(7R)-41.12(DGGUHVV)-41.12(WKH)-41.12(ILUVW)-41.12(LVVXH)-41.12(RI)-41.12()]TJ 0 g 0 0 0 rg (QRQLQGHSHQG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 538 Tm 0 0 0 rg 0.32456 Tw 0.12982 Tc [(HQFH)-32.46(RI)-32.46(LQVSHFWLRQV)-32.46(ZLWKLQ)-32.46(VWDWHV)-32.46(ZH)-32.46(XVHG)-32.46(D)-32.46(PXOWLOHYHO)-32.46(PRGHOLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 526 Tm 0 0 0 rg 0.18373 Tw 0.07349 Tc [(DSSURDFK)-18.37(ZLWK)-18.37(UDQGRP)-18.37(VWDWH)-18.37(LQWHUFHSWV)-18.37(DQG)-18.37(ELQDU\\)-18.37(GHSHQGHQW)-18.37()]TJ 0 g 0 0 0 rg (YDUL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 514 Tm 0 0 0 rg 0.33457 Tw 0.13383 Tc [(DEOHV)-33.46( )-33.46( )-33.46(QR)-33.46(YLRODWLRQ)-33.46()-33.46( )-33.46(YLRODWLRQ\f)-33.46(\(DFK)-33.46(FDVH)-33.46(ZDV)-33.46(DQ)-33.46()]TJ 0 g 0 0 0 rg (LQVSHF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 502 Tm 0 0 0 rg 0.00833 Tw 0.00333 Tc [(WLRQ)-0.83333(\(VWLPDWLRQ)-0.83333(ZDV)-0.83333(FRQGXFWHG)-0.83333(ZLWK)-0.83333(WKH)-0.83333(DGDSWLYH)-0.83333(TXDGUDWXUH)-0.83333()]TJ 0 g 0 0 0 rg (PHWK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 490 Tm 0 0 0 rg 0.41234 Tw 0.16494 Tc (RG)Tj 0 g 0 0 0 rg [-41.23( SRLQW\f)]TJ 0 g 0 0 0 rg [-41.23(E\\)-41.23(XVLQJ)-41.23(352&)-41.23(*/,00,;)-41.23(LQ)-41.23(6$6)-41.23()-41.23( 6$6)-41.23()]TJ 0 g 0 0 0 rg (,QVWL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 478 Tm 0 0 0 rg 0.45706 Tw 0.18282 Tc [(WXWH)-45.71(,QF\f)-45.71(7KLV)-45.71(VHFRQG)-45.71(FRQVLGHUDWLRQ)-45.71(OLPLWV)-45.71(WKH)-45.71(LQWHUSUHWDWLRQ)-45.71(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 466 Tm 0 0 0 rg 0.64844 Tw 0.25937 Tc [(RXU)-64.84(UHVXOWV)-64.84(WR)-64.84(\)'$)-64.84(LQVSHFWLRQV)-64.84(%HFDXVH)-64.84(RI)-64.84(GLIIHUHQW)-64.84(VDPSOLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 454 Tm 0 0 0 rg 0.26944 Tw 0.10778 Tc [(VWUDWHJLHV)-26.94(ZH)-26.94(GLG)-26.94(QRW)-26.94(UHSRUW)-26.94(WKH)-26.94(SUHYDOHQFH)-26.94(RI)-26.94(YLRODWLRQV)-26.94(RU)-26.94()]TJ 0 g 0 0 0 rg (FRP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 442 Tm 0 0 0 rg 0.09486 Tw 0.03794 Tc [(SDUH)-9.49(YLRODWLRQV)-9.49(EHWZHHQ)-9.49(VWDWHV)-9.49(EHFDXVH)-9.49(UHVXOWV)-9.49(ZRXOG)-9.49(EH)-9.49(ELDVHG)-9.49(E\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 430 Tm 0 0 0 rg (DQ\\RYHUVDPSOLQJ)Tj 0 g ET BT 1 0 0 1 30 410 Tm /F1 10 Tf 0 0 0 rg 0.05833 Tw 0.02333 Tc [(:H)-5.83(FUHDWHG)-5.83(VHSDUDWH)-5.83(XQDGMXVWHG)-5.83(PL[HG)-5.83(PRGHOV)-5.83(IRU)-5.83(SUHGLFWLQJ)-5.83()]TJ 0 g 0 0 0 rg (YLRO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 398 Tm 0 0 0 rg 0.19016 Tw 0.07607 Tc [(DWLRQV)-19.02(RI)]TJ 0 g 0 0 0 rg [-19.02(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-19.02(GLVSOD\\V)-19.02(VLQJOH)-19.02(FLJDUHWWH)-19.02(VDOHV)-19.02(IDOVH)-19.02(RU)-19.02()]TJ 0 g 0 0 0 rg (PLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 386 Tm 0 0 0 rg 0.48758 Tw 0.19503 Tc [(ODEHOHG)-48.76(SURGXFWV)-48.76(DQG)-48.76(YHQGLQJ)-48.76(PDFKLQHV)-48.76(IRU)-48.76(HDFK)-48.76(QHLJKERUKRRG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 374 Tm 0 0 0 rg 0.88179 Tw 0.35272 Tc [(GHPRJUDSKLF)-88.18(FKDUDFWHULVWLF)-88.18(:H)-88.18(IRXQG)-88.18(WRR)-88.18(IHZ)-88.18(YLRODWLRQV)-88.18(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 362 Tm 0 0 0 rg 0.33333 Tw 0.13333 Tc [(IODYRUHG)-33.33(FLJDUHWWHV)-33.33(DQG)-33.33(IUHH)-33.33(VDPSOHV)-33.33(WR)-33.33(SHUPLW)-33.33(PRGHOLQJ)-33.33(RI)-33.33(WKHVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 350 Tm 0 0 0 rg 0.66474 Tw 0.2659 Tc [(RXWFRPHV)-66.47(:H)-66.47(WKHQ)-66.47(UDQ)-66.47(PRGHOV)-66.47(DGMXVWLQJ)-66.47(IRU)-66.47(DOO)-66.47(QHLJKERUKRRG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 338 Tm 0 0 0 rg (FKDUDFWHULVWLFV)Tj 0 g ET BT 1 0 0 1 30 318 Tm /F1 10 Tf 0 0 0 rg 0.01891 Tw 0.00756 Tc [(:H)-1.89(VHW)-1.89(RXU)-1.89(VLJQLILFDQFH)-1.89(OHYHO)-1.89(DW)-1.89()]TJ 0 g 1 0 0.21256 1 158.49 318 Tm 0 0 0 rg [(3)-1.89()]TJ 0 g 1 0 0 1 166.59 318 Tm 0 0 0 rg [( )-1.89()-1.89(DQG)-1.89(XVHG)]TJ 0 g 0 0 0 rg [-1.89(WDLOHG)]TJ 0 g 0 0 0 rg [-1.89(WHVWV)-1.89()]TJ 0 g 0 0 0 rg (%H)Tj 0 g 0 Tw 0 Tc -136.59 0 Td 1 0 0 1 30 306 Tm 0 0 0 rg 0.10286 Tw 0.04114 Tc [(FDXVH)-10.29(ZH)-10.29(XVH)-10.29(RQO\\)-10.29(SXEOLFO\\)-10.29(DYDLODEOH)-10.29(LQVSHFWLRQ)-10.29(UHVXOWV)-10.29(DQG)-10.29(FHQVXV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 294 Tm 0 0 0 rg (GDWDQRKXPDQVXEMHFWVZHUHLQYROYHGLQWKLVVWXG\\)Tj 0 g ET BT 1 0 0 1 30 270 Tm /F1 16 Tf 0 0 0 rg (5HVXOWV)Tj 0 g ET BT 1 0 0 1 30 248 Tm /F1 10 Tf 0 0 0 rg 0.11557 Tw 0.04623 Tc [($W)-11.56(WKH)-11.56(WLPH)-11.56(RI)-11.56(DQDO\\VLV)-11.56()-11.56(ZDUQLQJ)-11.56(OHWWHUV)-11.56(ZHUH)-11.56(SRVWHG)-11.56(RQ)-11.56(\)'$\nV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 236 Tm 0 0 0 rg 0.15823 Tw 0.06329 Tc [(ZHEVLWH)-15.82(IRU)-15.82(WKH)-15.82(SHULRG)-15.82(DQDO\\]HG)-15.82( -DQXDU\\)-15.82(-XO\\)-15.82(\f)-15.82()]TJ 0 g 0 0 0 rg (:DUQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 224 Tm 0 0 0 rg 0.25179 Tw 0.10072 Tc [(LQJ)-25.18(OHWWHUV)-25.18(FRXOG)-25.18(EH)-25.18(IRU)-25.18(PRUH)-25.18(WKDQ)-25.18()-25.18(YLRODWLRQ)-25.18(EXW)-25.18(PRVW)-25.18( Q)-25.18( )-25.18(\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 212 Tm 0 0 0 rg 0.24972 Tw 0.09989 Tc [(OHWWHUV)-24.97(DQDO\\]HG)-24.97(ZHUH)-24.97(IRU)-24.97(RQO\\)-24.97()-24.97(YLRODWLRQ)-24.97(WKH)-24.97(UHPDLQLQJ)-24.97()-24.97(ZHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 200 Tm 0 0 0 rg 0.24181 Tw 0.09673 Tc [(IRU)-24.18()-24.18(YLRODWLRQV)-24.18(7KH)-24.18(PRVW)-24.18(FRPPRQ)-24.18(YLRODWLRQ)-24.18(ZDV)-24.18(IRU)]TJ 0 g 0 0 0 rg [-24.18(VHOIVHUYLFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 188 Tm 0 0 0 rg 0.15667 Tw 0.06267 Tc [(GLVSOD\\V)-15.67(RI)-15.67(WREDFFR)-15.67(SURGXFWV)-15.67( Q)-15.67( )-15.67(\f)-15.67(IROORZHG)-15.67(E\\)-15.67(VHOOLQJ)-15.67(VLQJOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 176 Tm 0 0 0 rg 0.79457 Tw 0.31783 Tc [(FLJDUHWWHV)-79.46( Q)-79.46( )-79.46(\f)-79.46(YHQGLQJ)-79.46(PDFKLQHV)-79.46( Q)-79.46( )-79.46(\f)-79.46(IDOVH)-79.46(RU)-79.46()]TJ 0 g 0 0 0 rg (PLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 164 Tm 0 0 0 rg 0.18639 Tw 0.07456 Tc [(ODEHOHG)-18.64(SURGXFWV)-18.64( XVXDOO\\)-18.64(UHODWLQJ)-18.64(WR)-18.64(D)-18.64(YHQGLQJ)-18.64(PDFKLQH\f)-18.64( Q)-18.64( )-18.64(\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 152 Tm 0 0 0 rg (IODYRUHGFLJDUHWWHV Q \fDQGIUHHVDPSOHV Q \f)Tj 0 g ET BT 1 0 0 1 30 132 Tm /F1 10 Tf 0 0 0 rg 0.02257 Tw 0.00903 Tc [(5HWDLOHU)-2.26(DGYHUWLVLQJ)-2.26(DQG)-2.26(ODEHOLQJ)-2.26(YLRODWLRQV)-2.26(RI)-2.26(WKH)-2.26(\)637&$)-2.26(GLG)-2.26(QRW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 120 Tm 0 0 0 rg 0.20028 Tw 0.08011 Tc [(DOO)-20.03(RFFXU)-20.03(LQ)-20.03(WKH)-20.03(VDPH)-20.03(W\\SHV)-20.03(RI)-20.03(QHLJKERUKRRGV)-20.03(,QGHHG)-20.03(LQ)-20.03()]TJ 0 g 0 0 0 rg (XQDGMXV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 108 Tm 0 0 0 rg 0.15503 Tw 0.06201 Tc [(WHG)-15.5(DQDO\\VHV)-15.5(WKH)-15.5(OLNHOLKRRG)-15.5(RI)-15.5(D)]TJ 0 g 0 0 0 rg [-15.5(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-15.5(GLVSOD\\)-15.5(YLRODWLRQ)-15.5(ZDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 96 Tm 0 0 0 rg 0.10141 Tw 0.04056 Tc [(QHJDWLYHO\\)-10.14(DVVRFLDWHG)-10.14(ZLWK)-10.14(WKH)-10.14(SURSRUWLRQ)-10.14(RI)-10.14(EODFN)-10.14(RU)-10.14(/DWLQR)-10.14()]TJ 0 g 0 0 0 rg (UHVLG)Tj 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.76299 Tw 0.30519 Tc [(HQWV)-76.3(LQ)-76.3(QHLJKERUKRRGV)-76.3( )]TJ 0 g 0 0 0 rg [(7DEOH)-76.3()]TJ 0 g 0 0 0 rg [(\f)-76.3(9HQGLQJ)-76.3(PDFKLQHV)-76.3(DQG)-76.3()]TJ 0 g 0 0 0 rg (PLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.33018 Tw 0.13207 Tc [(ODEHOHG)-33.02(SURGXFWV)-33.02(ZKLFK)-33.02(DUH)-33.02(SULPDULO\\)-33.02(FLWHG)-33.02(DV)-33.02(YHQGLQJ)-33.02(PDFKLQHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg 0.20771 Tw 0.08309 Tc [(ZLWK)-20.77(OLJKW)-20.77(RU)-20.77(PLOG)-20.77(ODEHOV)-20.77(ZHUH)-20.77(QHJDWLYHO\\)-20.77(DVVRFLDWHG)-20.77(ZLWK)-20.77(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 642 Tm 0 0 0 rg 0.13984 Tw 0.05594 Tc [(SHUFHQWDJH)-13.98(RI)-13.98(EX\\HUV)-13.98(XQGHU)-13.98(DJH)-13.98()-13.98(,Q)-13.98(FRQWUDVW)-13.98(WKH)-13.98(OLNHOLKRRG)-13.98(RI)-13.98(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 630 Tm 0 0 0 rg 0.32848 Tw 0.13139 Tc (VLQJOHFLJDUHWWH)Tj 0 g 0 0 0 rg [-32.85(YLRODWLRQ)-32.85(ZDV)-32.85(SRVLWLYHO\\)-32.85(DVVRFLDWHG)-32.85(ZLWK)-32.85(WKH)-32.85()]TJ 0 g 0 0 0 rg (SUR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 618 Tm 0 0 0 rg 0.27837 Tw 0.11135 Tc [(SRUWLRQ)-27.84(RI)-27.84(EODFN)-27.84(DQG)]TJ 0 g 0 0 0 rg [-27.84(XQGHU)]TJ 0 g 0 0 0 rg [-27.84(UHVLGHQWV)-27.84(DV)-27.84(ZHOO)-27.84(DV)-27.84(WKH)-27.84(SURSRUWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 606 Tm 0 0 0 rg (RIDGXOWUHVLGHQWVZLWKLQFRPHVXQGHUWKHSRYHUW\\OLQH)Tj 0 g ET BT 1 0 0 1 316 586 Tm /F1 10 Tf 0 0 0 rg 0.58987 Tw 0.23595 Tc [(7R)-58.99(GHWHUPLQH)-58.99(ZKHWKHU)-58.99(WKH)-58.99(QHLJKERUKRRG)-58.99(FKDUDFWHULVWLFV)-58.99(ZH)-58.99()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 574 Tm 0 0 0 rg 0.09882 Tw 0.03953 Tc [(DPLQHG)-9.88( LH)-9.88(SHUFHQWDJH)-9.88(ZKR)-9.88(ZHUH)-9.88(EODFN)-9.88(ZHUH)-9.88(/DWLQR)-9.88(ZHUH)-9.88()]TJ 0 g 0 0 0 rg (\\RXQJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 562 Tm 0 0 0 rg 0.24392 Tw 0.09757 Tc [(HU)-24.39(WKDQ)-24.39()-24.39(RU)-24.39(KDG)-24.39(LQFRPHV)-24.39(XQGHU)-24.39(WKH)-24.39(\)HGHUDO)-24.39(3RYHUW\\)-24.39(/LQH\f)-24.39()]TJ 0 g 0 0 0 rg (LQGH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 550 Tm 0 0 0 rg 0.12994 Tw 0.05197 Tc [(SHQGHQWO\\)-12.99(SUHGLFWHG)-12.99(\)637&$)-12.99(YLRODWLRQV)-12.99(RU)-12.99(ZKHWKHU)-12.99(WKH\\)-12.99()]TJ 0 g 0 0 0 rg (FRQIRXQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 538 Tm 0 0 0 rg 0.04064 Tw 0.01626 Tc [(GHG)-4.06(HDFK)-4.06(RWKHU)-4.06(ZH)-4.06(PRGHOHG)-4.06(DGMXVWLQJ)-4.06(IRU)-4.06(WKHVH)-4.06(SHUFHQWDJHV)-4.06(:KHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 526 Tm 0 0 0 rg 0.60987 Tw 0.24395 Tc [(ZH)-60.99(VLPXOWDQHRXVO\\)-60.99(FRQWUROOHG)-60.99(IRU)-60.99(SHUFHQWDJH)-60.99(EODFN)-60.99(/DWLQR)-60.99()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 514 Tm 0 0 0 rg 0.03688 Tw 0.01475 Tc [(FRPHV)-3.69(XQGHU)-3.69(WKH)-3.69(\)HGHUDO)-3.69(3RYHUW\\)-3.69(/LQH)-3.69(DQG)-3.69(DJH)-3.69(XQGHU)-3.69()-3.69(\\HDUV)-3.69(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 502 Tm 0 0 0 rg 0.13052 Tw 0.05221 Tc [(SHUFHQWDJH)-13.05(EODFN)-13.05(DQG)-13.05(/DWLQR)-13.05(KHOG)-13.05(VLJQLILFDQFH)-13.05(IRU)]TJ 0 g 0 0 0 rg [-13.05(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-13.05()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 490 Tm 0 0 0 rg 0.08315 Tw 0.03326 Tc [(SOD\\V)-8.31(DQG)-8.31(SRYHUW\\)-8.31(DQG)-8.31(\\RXQJHU)-8.31(WKDQ)-8.31()-8.31(ZHUH)-8.31(QR)-8.31(ORQJHU)-8.31(VLJQLILFDQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 478 Tm 0 0 0 rg 0.41517 Tw 0.16607 Tc [(IRU)-41.52(VLQJOH)-41.52(FLJDUHWWH)-41.52(VDOHV)-41.52( )]TJ 0 g 0 0 0 rg [(7DEOH)-41.52()]TJ 0 g 0 0 0 rg [(\f)-41.52(:KHQ)-41.52(UDFH)-41.52(DQG)-41.52(HWKQLFLW\\)-41.52(DUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 466 Tm 0 0 0 rg 0.18218 Tw 0.07287 Tc [(VWDWLVWLFDOO\\)-18.22(KHOG)-18.22(FRQVWDQW)-18.22(QHLJKERUKRRG)-18.22(SRYHUW\\)-18.22(LV)-18.22(QRW)-18.22(D)-18.22()]TJ 0 g 0 0 0 rg (VLJQLILF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 454 Tm 0 0 0 rg (DQWSUHGLFWRURIYLRODWLRQV)Tj 0 g ET BT 1 0 0 1 316 430 Tm /F1 16 Tf 0 0 0 rg ('LVFXVVLRQ)Tj 0 g ET BT 1 0 0 1 316 408 Tm /F1 10 Tf 0 0 0 rg 0.37852 Tw 0.15141 Tc [(1RQFRPSOLDQFH)-37.85(ZLWK)-37.85(WKH)-37.85(\)637&$)-37.85(LV)-37.85(SDWWHUQHG)-37.85(E\\)-37.85(QHLJKERUKRRG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 396 Tm 0 0 0 rg 0.00058 Tw 0.00023 Tc [(FKDUDFWHULVWLFV)-0.05833(VRPHWLPHV)-0.05833(LQ)-0.05833(RSSRVLWH)-0.05833(GLUHFWLRQV)-0.05833(IRU)-0.05833(GLIIHUHQW)-0.05833(W\\SHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 384 Tm 0 0 0 rg 0.316 Tw 0.1264 Tc [(RI)-31.6(YLRODWLRQV)-31.6(2XU)-31.6(DQDO\\VLV)-31.6(SURYLGHV)-31.6(HYLGHQFH)-31.6(WKDW)-31.6(VDOHV)-31.6(RI)-31.6(VLQJOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 372 Tm 0 0 0 rg 0.04478 Tw 0.01791 Tc [(FLJDUHWWHV)-4.48(DUH)-4.48(PRUH)-4.48(OLNHO\\)-4.48(WR)-4.48(RFFXU)-4.48(LQ)-4.48(QHLJKERUKRRGV)-4.48(DV)-4.48(WKH)-4.48()]TJ 0 g 0 0 0 rg (SURSRU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 360 Tm 0 0 0 rg 0.16872 Tw 0.06749 Tc [(WLRQV)-16.87(RI)-16.87(EODFN)-16.87(SRRU)-16.87(RU)-16.87(\\RXQJ)-16.87(UHVLGHQWV)-16.87(LQFUHDVH)]TJ 0 g 0 0 0 rg [-16.87(6HOIVHUYLFH)]TJ 0 g 0 0 0 rg [-16.87()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 348 Tm 0 0 0 rg 0.30792 Tw 0.12317 Tc [(SOD\\V)-30.79(DUH)-30.79(OHVV)-30.79(OLNHO\\)-30.79(WR)-30.79(EH)-30.79(IRXQG)-30.79(LQ)-30.79(QHLJKERUKRRGV)-30.79(DV)-30.79(WKH)-30.79()]TJ 0 g 0 0 0 rg (SURSRU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 336 Tm 0 0 0 rg 0.66407 Tw 0.26563 Tc [(WLRQV)-66.41(RI)-66.41(/DWLQR)-66.41(RU)-66.41(EODFN)-66.41(UHVLGHQWV)-66.41(LQFUHDVH)-66.41(:KHQ)-66.41(DGMXVWHG)-66.41(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 324 Tm 0 0 0 rg 0.92353 Tw 0.36941 Tc [(QHLJKERUKRRG)-92.35(FKDUDFWHULVWLFV)-92.35(DV)-92.35(WKH)-92.35(SURSRUWLRQ)-92.35(RI)-92.35(EODFN)-92.35(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 312 Tm 0 0 0 rg 0.2 Tw 0.08 Tc [(/DWLQR)-20(UHVLGHQWV)-20(LQFUHDVHV)-20(WKH)-20(OLNHOLKRRG)-20(RI)-20(D)]TJ 0 g 0 0 0 rg [-20(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-20(GLVSOD\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 300 Tm 0 0 0 rg 0.27616 Tw 0.11046 Tc [(YLRODWLRQ)-27.62(GHFUHDVHV)-27.62(ZKLOH)-27.62(WKH)-27.62(OLNHOLKRRG)-27.62(RI)-27.62(D)]TJ 0 g 0 0 0 rg [-27.62(VLQJOHFLJDUHWWH)]TJ 0 g 0 0 0 rg [-27.62(VDOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 288 Tm 0 0 0 rg 0.83933 Tw 0.33573 Tc [(YLRODWLRQ)-83.93(LQFUHDVHV)-83.93(LQGLFDWLQJ)-83.93(WKDW)-83.93(UDFH)-83.93(DQG)-83.93(HWKQLFLW\\)-83.93(DUH)-83.93(QRW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 276 Tm 0 0 0 rg 0.81613 Tw 0.32645 Tc [(VLPSO\\)-81.61(SUR[LHV)-81.61(IRU)-81.61(QHLJKERUKRRG)-81.61(SRYHUW\\)-81.61(LQ)-81.61(WKLV)-81.61(UHODWLRQVKLS)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 264 Tm 0 0 0 rg 0.08728 Tw 0.03491 Tc [(9HQGLQJ)-8.73(PDFKLQHV)-8.73(DUH)-8.73(OHVV)-8.73(OLNHO\\)-8.73(LQ)-8.73(QHLJKERUKRRGV)-8.73(DV)-8.73(WKH)-8.73()]TJ 0 g 0 0 0 rg (SHUFHQW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 252 Tm 0 0 0 rg 0.36545 Tw 0.14618 Tc [(DJH)-36.54(RI)-36.54(\\RXWKV)-36.54(XQGHU)-36.54(DJH)-36.54()-36.54(LQFUHDVHV)-36.54(DJDLQ)-36.54(DIWHU)-36.54(FRQWUROOLQJ)-36.54(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 240 Tm 0 0 0 rg (QHLJKERUKRRGFKDUDFWHULVWLFV)Tj 0 g ET BT 1 0 0 1 316 220 Tm /F1 10 Tf 0 0 0 rg 0.26095 Tw 0.10438 Tc [(2XU)-26.1(ILQGLQJV)-26.1(GLIIHU)-26.1(IURP)-26.1(WKRVH)-26.1(RI)-26.1()-26.1(SUHYLRXV)-26.1(VWXGLHV)-26.1(RI)-26.1()]TJ 0 g 0 0 0 rg (QHLJKERU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 208 Tm 0 0 0 rg 0.53554 Tw 0.21422 Tc [(KRRG)-53.55(GLVSDULWLHV)-53.55(LQ)-53.55(UHWDLOHU)-53.55(FRPSOLDQFH)-53.55(ZLWK)-53.55(DGYHUWLVLQJ)-53.55(DQG)-53.55()]TJ 0 g 0 0 0 rg (OD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 196 Tm 0 0 0 rg 0.44077 Tw 0.17631 Tc [(EHOLQJ)-44.08(UHJXODWLRQV)-44.08(WKDW)-44.08(IRXQG)-44.08(QR)-44.08(HYLGHQFH)-44.08(RI)-44.08(GLVSDULWLHV)-44.08( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 184 Tm 0 0 0 rg 0.7125 Tw 0.285 Tc [(:H)-71.25(EHOLHYH)-71.25(WKHVH)-71.25(GLIIHUHQFHV)-71.25(VWHP)-71.25(IURP)-71.25()-71.25(PHWKRGRORJLFDO)-71.25()]TJ 0 g 0 0 0 rg (DS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 172 Tm 0 0 0 rg 0.15058 Tw 0.06023 Tc [(SURDFKHV)-15.06( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-15.06(\)LUVW)-15.06(SUHYLRXV)-15.06(UHVHDUFK)-15.06(DXGLWV)-15.06(RI)-15.06(WREDFFR)-15.06()]TJ 0 g 0 0 0 rg (UHWDLO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 160 Tm 0 0 0 rg 0.15856 Tw 0.06343 Tc [(HUV)-15.86(XVHG)-15.86(GDWD)-15.86(FROOHFWRUV)-15.86(ZKR)-15.86(GLG)-15.86(QRW)-15.86(KDYH)-15.86(\)'$)-15.86(DXWKRULW\\)-15.86(DQG)-15.86()]TJ 0 g 0 0 0 rg (SRV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 148 Tm 0 0 0 rg 0.42988 Tw 0.17195 Tc [(VLEO\\)-42.99(KDG)-42.99(OHVV)-42.99(DFFHVV)-42.99(WKDQ)-42.99(\)'$)-42.99(LQVSHFWRUV)-42.99(WR)-42.99(DUHDV)-42.99(ZKHUH)-42.99()]TJ 0 g 0 0 0 rg (YLROD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 136 Tm 0 0 0 rg 0.03636 Tw 0.01455 Tc [(WLRQV)-3.64(ZHUH)-3.64(PRUH)-3.64(OLNHO\\)-3.64(WR)-3.64(EH)-3.64(IRXQG)-3.64(\)RU)-3.64(H[DPSOH)-3.64(DIWHU)-3.64(DQ)-3.64()]TJ 0 g 0 0 0 rg (LQWHUYHQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 124 Tm 0 0 0 rg 0.51329 Tw 0.20532 Tc [(WLRQ)-51.33(WR)-51.33(DGGUHVV)-51.33(UHWDLOHU)-51.33(VDOHV)-51.33(RI)-51.33(VLQJOH)-51.33(FLJDUHWWHV)-51.33(:RRGUXII)-51.33(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 112 Tm 0 0 0 rg 0.48952 Tw 0.19581 Tc [(FROOHDJXHV)-48.95(IRXQG)-48.95(WKDW)-48.95(PDQ\\)-48.95(UHWDLOHUV)-48.95(VLPSO\\)-48.95(PRYHG)-48.95(VLQJOHV)-48.95(WR)-48.95(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 100 Tm 0 0 0 rg 0.0065 Tw 0.0026 Tc [(KLGGHQ)-0.64971(ORFDWLRQ)-0.64971(EHKLQG)-0.64971(WKH)-0.64971(FRXQWHU)-0.64971( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-0.64971(6HFRQG)-0.64971(UHVHDUFK)-0.64971(DXGLWV)-0.64971(RI)]TJ 0 g 0 Tw 0 Tc ET q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2015/15_0231.htm Centers for Disease Control and Prevention 3)Tj ET Q a2 endstream endobj 5 0 obj <>>>/Rotate 0/Thumb 26 0 R/Type/Page>> endobj 6 0 obj <>stream xb)q BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.21867 Tw 0.08747 Tc [(\)'$)-21.87(FRPSOLDQFH)-21.87(DQDO\\]HG)-21.87(YLRODWLRQ)-21.87(W\\SHV)-21.87(LQ)-21.87(DJJUHJDWH)-21.87(LI)-21.87(FHUWDLQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.23728 Tw 0.09491 Tc [(YLRODWLRQV)-23.73(ZHUH)-23.73(IRXQG)-23.73(LQ)-23.73(GLIIHUHQW)-23.73(W\\SHV)-23.73(RI)-23.73(QHLJKERUKRRGV)-23.73(DV)-23.73(RXU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg (ILQGLQJVVXJJHVWWKLVZRXOGDWWHQXDWHDQ\\RYHUDOOHIIHFW)Tj 0 g ET BT 1 0 0 1 30 634 Tm /F1 10 Tf 0 0 0 rg 0.81452 Tw 0.32581 Tc (6HOIVHUYLFH)Tj 0 g 0 0 0 rg [-81.45(GLVSOD\\V)-81.45(RI)-81.45(WREDFFR)-81.45(SURGXFWV)-81.45(DUH)-81.45(DVVRFLDWHG)-81.45(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 622 Tm 0 0 0 rg 0.03445 Tw 0.01378 Tc [(JUHDWHU)-3.44(DFFHVV)-3.44(WR)-3.44(WREDFFR)-3.44(SURGXFWV)-3.44(E\\)-3.44(FXVWRPHUV)-3.44(XQGHU)-3.44(DJH)-3.44()-3.44( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 610 Tm 0 0 0 rg 0.136 Tw 0.0544 Tc [(5HWDLOHUV)-13.6(PD\\)-13.6(UHPRYH)]TJ 0 g 0 0 0 rg [-13.6(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-13.6(GLVSOD\\V)-13.6(EHFDXVH)-13.6(RI)-13.6(UHDO)-13.6(RU)-13.6()]TJ 0 g 0 0 0 rg (SHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 598 Tm 0 0 0 rg 0.01395 Tw 0.00558 Tc [(FHLYHG)-1.39(VKRSOLIWLQJ)-1.39( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-1.39(7KXV)-1.39(LW)-1.39(LV)-1.39(SRVVLEOH)-1.39(WKDW)-1.39(UDFLDOO\\)-1.39(ELDVHG)-1.39()]TJ 0 g 0 0 0 rg (SHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 586 Tm 0 0 0 rg 0.81603 Tw 0.32641 Tc [(FHSWLRQV)-81.6(RI)-81.6(FULPH)-81.6(LQ)-81.6(QHLJKERUKRRGV)-81.6(ZLWK)-81.6(KLJK)-81.6(SHUFHQWDJHV)-81.6(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 574 Tm 0 0 0 rg 0.10282 Tw 0.04113 Tc [(/DWLQR)-10.28(RU)-10.28(EODFN)-10.28(UHVLGHQWV)-10.28(FRXOG)-10.28(UHGXFH)-10.28(WKH)-10.28(SUHVHQFH)-10.28(RI)]TJ 0 g 0 0 0 rg [-10.28(VHOIVHUYLFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 562 Tm 0 0 0 rg 0.12717 Tw 0.05087 Tc [(GLVSOD\\V)-12.72(,QGHHG)-12.72(LQ)-12.72(D)-12.72(ODUJH)-12.72(VWXG\\)-12.72(RI)-12.72(XUEDQ)-12.72(LQHTXDOLW\\)-12.72(PDQ\\)-12.72()]TJ 0 g 0 0 0 rg (UHWDLO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 550 Tm 0 0 0 rg 0.09325 Tw 0.0373 Tc [(HUV)-9.33(LQGLFDWHG)-9.33(WKH\\)-9.33(FRQIODWHG)-9.33(QHLJKERUKRRG)-9.33(UDFLDO)-9.33(FRPSRVLWLRQ)-9.33(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 538 Tm 0 0 0 rg 0.55392 Tw 0.22157 Tc [(FULPH)-55.39(DQG)-55.39(LQFRUSRUDWHG)-55.39(WKHVH)-55.39(SHUFHSWLRQV)-55.39(LQWR)-55.39(PDQDJHPHQW)-55.39()]TJ 0 g 0 0 0 rg (GH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 526 Tm 0 0 0 rg (FLVLRQV )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 506 Tm /F1 10 Tf 0 0 0 rg 0.07982 Tw 0.03193 Tc (6LQJOHFLJDUHWWH)Tj 0 g 0 0 0 rg [-7.98(VDOHV)-7.98(IDFLOLWDWH)-7.98(WREDFFR)-7.98(LQLWLDWLRQ)-7.98(E\\)-7.98(\\RXQJ)-7.98(SHRSOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 494 Tm 0 0 0 rg 0.06337 Tw 0.02535 Tc [(PD\\)-6.34(DOORZ)-6.34(UHWDLOHUV)-6.34(WR)-6.34(DYRLG)-6.34(WD[HV)-6.34(DQG)-6.34(GR)-6.34(QRW)-6.34(KDYH)-6.34(ZDUQLQJ)-6.34(ODEHOV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 482 Tm 0 0 0 rg 0.35785 Tw 0.14314 Tc [(+LVWRULFDOO\\)-35.78(VLQJOH)-35.78(FLJDUHWWHV)-35.78(DUH)-35.78(DYDLODEOH)-35.78(IURP)-35.78(UHWDLOHUV)-35.78(HYHQ)-35.78(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 470 Tm 0 0 0 rg 0.29557 Tw 0.11823 Tc [(DUHDV)-29.56(ZLWK)-29.56(D)-29.56(EDQ)-29.56(RQ)-29.56(WKHLU)-29.56(VDOH)-29.56( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-29.56(DQG)-29.56(RXU)-29.56(ILQGLQJV)-29.56(PLUURU)-29.56(HDUOLHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 458 Tm 0 0 0 rg 0.74512 Tw 0.29805 Tc [(UHVHDUFK)-74.51(VKRZLQJ)-74.51(KLJK)-74.51(DYDLODELOLW\\)-74.51(RI)-74.51(VLQJOH)-74.51(FLJDUHWWH)-74.51(VDOHV)-74.51(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 446 Tm 0 0 0 rg 0.01428 Tw 0.00571 Tc [(QHLJKERUKRRGV)-1.43(ZLWK)-1.43(D)-1.43(KLJK)-1.43(SHUFHQWDJH)-1.43(RI)-1.43(EODFN)-1.43(UHVLGHQWV)-1.43( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-1.43()]TJ 0 g 0 0 0 rg (5HDV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 434 Tm 0 0 0 rg 0.01459 Tw 0.00584 Tc [(RQV)-1.46(IRU)-1.46(WKLV)-1.46(GLVSDULW\\)-1.46(DUH)-1.46(XQFOHDU)-1.46(7KHUH)-1.46(PD\\)-1.46(EH)-1.46(PDUNHW)-1.46(GHPDQG)-1.46(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 422 Tm 0 0 0 rg 0.26834 Tw 0.10734 Tc [(VLQJOHV)-26.83(LQ)-26.83(D)-26.83()-26.83(VXUYH\\)-26.83(RI)-26.83(SDUWLFLSDQWV)-26.83(LQ)-26.83(DQ)-26.83(HPSOR\\PHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 410 Tm 0 0 0 rg 0.00526 Tw 0.0021 Tc [(DQG)-0.52618(MRE)-0.52618(WUDLQLQJ)-0.52618(SURJUDP)-0.52618(LQ)-0.52618(%DOWLPRUH)-0.52618(0DU\\ODQG)-0.52618(\b)-0.52618(RI)-0.52618()]TJ 0 g 0 0 0 rg (UHVSRQG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 398 Tm 0 0 0 rg 0.41164 Tw 0.16466 Tc [(HQWV)-41.16(UHSRUWHG)-41.16(UHWDLOHUV)-41.16(ZHUH)-41.16(OLNHO\\)-41.16(WR)-41.16(VHOO)-41.16(VLQJOHV)-41.16(DQG)-41.16(KDOI)-41.16(RI)-41.16()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 386 Tm 0 0 0 rg 0.13706 Tw 0.05482 Tc [(VSRQGHQWV)-13.71(WKRXJKW)-13.71(VLQJOH)-13.71(FLJDUHWWHV)-13.71(VKRXOG)-13.71(EH)-13.71(DYDLODEOH)-13.71( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-13.71()]TJ 0 g 0 0 0 rg (\(GX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 374 Tm 0 0 0 rg 0.58012 Tw 0.23205 Tc [(FDWLRQDO)-58.01(FDPSDLJQV)-58.01(WR)-58.01(UHGXFH)]TJ 0 g 0 0 0 rg [-58.01(VLQJOHFLJDUHWWH)]TJ 0 g 0 0 0 rg [-58.01(VDOHV)-58.01(E\\)-58.01(UHWDLOHUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 362 Tm 0 0 0 rg 0.06757 Tw 0.02703 Tc [(VKRZ)-6.76(VRPH)-6.76(HYLGHQFH)-6.76(RI)-6.76(VXFFHVV)-6.76(EXW)-6.76(PD\\)-6.76(DOVR)-6.76(FDXVH)-6.76(UHWDLOHUV)-6.76(WR)-6.76(VHOO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 350 Tm 0 0 0 rg (VLQJOHVPRUHFODQGHVWLQHO\\ )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 330 Tm /F1 10 Tf 0 0 0 rg 0.01506 Tw 0.00602 Tc [(+LVWRULFDOO\\)-1.51(YHQGLQJ)-1.51(PDFKLQHV)-1.51(DUH)-1.51(XVHG)-1.51(PRUH)-1.51(IUHTXHQWO\\)-1.51(E\\)-1.51()]TJ 0 g 0 0 0 rg (\\RXQJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 318 Tm 0 0 0 rg 0.55569 Tw 0.22228 Tc [(HU)-55.57(WHHQDJHUV)-55.57(WKDQ)-55.57(E\\)-55.57(ROGHU)-55.57(WHHQDJHUV)-55.57( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-55.57(+RZHYHU)-55.57(VXUYH\\)-55.57()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 306 Tm 0 0 0 rg 0.48144 Tw 0.19258 Tc [(VHDUFK)-48.14(LQGLFDWHG)-48.14(IHZ)-48.14(WHHQDJHUV)-48.14(W\\SLFDOO\\)-48.14(ERXJKW)-48.14(FLJDUHWWHV)-48.14(IURP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 294 Tm 0 0 0 rg 0.60449 Tw 0.24179 Tc [(YHQGLQJ)-60.45(PDFKLQHV)-60.45(WKLV)-60.45(UHVHDUFK)-60.45(DOVR)-60.45(VKRZHG)-60.45(PRUH)-60.45(ZKLWH)-60.45(PDOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 282 Tm 0 0 0 rg 0.1 Tw 0.04 Tc [(WHHQDJHUV)-10(ERXJKW)-10(FLJDUHWWHV)-10(IURP)-10(YHQGLQJ)-10(PDFKLQHV)-10(WKDQ)-10(GLG)-10(EODFN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 270 Tm 0 0 0 rg 0.12235 Tw 0.04894 Tc [(RU)-12.24(IHPDOH)-12.24(WHHQDJHUV)-12.24( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-12.24(2XU)-12.24(H[SHULHQFH)-12.24(VXJJHVWV)-12.24(WKDW)-12.24(LGHQWLI\\LQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 258 Tm 0 0 0 rg 1.13 Tw 0.45143 Tc [(YHQGLQJ)-112.86(PDFKLQH)-112.86(YLRODWLRQV)-112.86(LV)-112.86(ODUJHO\\)-112.86(D)-112.86(YHVWLJH)-112.86(RI)-112.86(WKH)]TJ 0 g 0 0 0 rg [-112.86(SUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 246 Tm 0 0 0 rg 0.77276 Tw 0.3091 Tc (\)637&$)Tj 0 g 0 0 0 rg [-77.28(HUD)-77.28(DQG)-77.28(LV)-77.28(SULPDULO\\)-77.28(UHOHYDQW)-77.28(IRU)-77.28(VPDOO)-77.28(LQGHSHQGHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 234 Tm 0 0 0 rg 0.08514 Tw 0.03406 Tc [(VWRUHV)-8.51(5HJDUGOHVV)-8.51(RXU)-8.51(ILQGLQJ)-8.51(ZLWK)-8.51(UHJDUG)-8.51(WR)-8.51(YHQGLQJ)-8.51(PDFKLQH)-8.51()]TJ 0 g 0 0 0 rg (YL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 222 Tm 0 0 0 rg 0.19884 Tw 0.07954 Tc [(RODWLRQV)-19.88(LV)-19.88(HQFRXUDJLQJ)-19.88(WKH\\)-19.88(DUH)-19.88(PRUH)-19.88(OLNHO\\)-19.88(LQ)-19.88(QHLJKERUKRRGV)-19.88(DV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 210 Tm 0 0 0 rg (WKHSHUFHQWDJHRISHRSOH\\RXQJHUWKDQGHFUHDVHV)Tj 0 g ET BT 1 0 0 1 30 190 Tm /F1 10 Tf 0 0 0 rg 0.38531 Tw 0.15412 Tc [(7KHUH)-38.53(DUH)-38.53(LPSRUWDQW)-38.53(OLPLWDWLRQV)-38.53(WR)-38.53(WKLV)-38.53(UHVHDUFK)-38.53(\)LUVW)-38.53(VWDWHV)-38.53(FDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 178 Tm 0 0 0 rg 0.50828 Tw 0.20331 Tc [(XVH)-50.83(GLIIHUHQW)-50.83(VDPSOLQJ)-50.83(VWUDWHJLHV)-50.83(EXW)-50.83(WKH)-50.83(\)'$)-50.83(GRHV)-50.83(QRW)-50.83(UHOHDVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 166 Tm 0 0 0 rg 0.20339 Tw 0.08136 Tc [(VDPSOLQJ)-20.34(ZHLJKWV)-20.34(ZKLFK)-20.34(OLPLWV)-20.34(RXU)-20.34(DELOLW\\)-20.34(WR)-20.34(LQWHUSUHW)-20.34(WKH)-20.34()]TJ 0 g 0 0 0 rg (SUHYDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 154 Tm 0 0 0 rg 0.72405 Tw 0.28962 Tc [(HQFH)-72.41(RI)-72.41(YLRODWLRQV)-72.41(DQG)-72.41(WR)-72.41(JHQHUDOL]H)-72.41(EH\\RQG)-72.41(\)'$)-72.41(LQVSHFWLRQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 142 Tm 0 0 0 rg 0.10904 Tw 0.04362 Tc [(6HFRQG)-10.9(RXU)-10.9(GDWD)-10.9(FRYHU)-10.9(DOO)-10.9(DGYHUWLVLQJ)-10.9(DQG)-10.9(ODEHOLQJ)-10.9(LQVSHFWLRQV)-10.9(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 130 Tm 0 0 0 rg 0.12275 Tw 0.0491 Tc [()-12.28(PRQWKV)-12.28(DQG)-12.28(PD\\)-12.28(QRW)-12.28(UHSUHVHQW)-12.28(RWKHU)-12.28(SHULRGV)-12.28(7KLUG)-12.28(EHFDXVH)-12.28(WKLV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 118 Tm 0 0 0 rg 0.85875 Tw 0.3435 Tc [(LV)-85.87(D)]TJ 0 g 0 0 0 rg [-85.87(FURVVVHFWLRQDO)]TJ 0 g 0 0 0 rg [-85.87(VWXG\\)-85.87(ZH)-85.87(FDQQRW)-85.87(LQIHU)-85.87(FDXVDOLW\\)-85.87(EHWZHHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 106 Tm 0 0 0 rg 0.10932 Tw 0.04373 Tc [(QHLJKERUKRRG)-10.93(GHPRJUDSKLFV)-10.93(DQG)-10.93(UHWDLOHU)-10.93(YLRODWLRQV)-10.93(\)RXUWK)-10.93(ZH)-10.93(GR)]TJ 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.23237 Tw 0.09295 Tc [(QRW)-23.24(KDYH)-23.24(DFFHVV)-23.24(WR)-23.24(LQIRUPDWLRQ)-23.24(UHJDUGLQJ)-23.24(VWRUH)-23.24(W\\SH)-23.24(DQG)-23.24(WKHUHIRUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.12972 Tw 0.05189 Tc [(FDQQRW)-12.97(DVVHVV)-12.97(WKH)-12.97(UROH)-12.97(RI)-12.97(VWRUH)-12.97(W\\SH)-12.97(LQ)-12.97(WKHVH)-12.97(ILQGLQJV)]TJ 0 g 0 0 0 rg [-12.97(/RZLQFRPH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg 0.23476 Tw 0.0939 Tc [(QHLJKERUKRRGV)-23.48(ZLWK)-23.48(GLYHUVH)-23.48(UHVLGHQWV)-23.48(KDYH)-23.48(PRUH)-23.48(VPDOO)-23.48(VWRUHV)-23.48(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 642 Tm 0 0 0 rg 0.04112 Tw 0.01645 Tc (QRQFKDLQ)Tj 0 g 0 0 0 rg [-4.11(VWRUHV)-4.11(WKDQ)-4.11(KRPRJHQHRXV)-4.11(QHLJKERUKRRGV)-4.11( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-4.11()]TJ 0 g 0 0 0 rg (1RQHWKH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 630 Tm 0 0 0 rg 0.53262 Tw 0.21305 Tc [(OHVV)-53.26(ZH)-53.26(XVHG)-53.26(SXEOLFDOO\\)-53.26(DYDLODEOH)-53.26(GDWD)-53.26(IURP)-53.26(LQVSHFWLRQV)-53.26(GXULQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 618 Tm 0 0 0 rg 0.17062 Tw 0.06825 Tc [(ZKLFK)-17.06(LQVSHFWRUV)-17.06(KDYH)-17.06(EHWWHU)-17.06(DFFHVV)-17.06(WKDQ)-17.06(UHVHDUFKHUV)-17.06(WR)-17.06(VWRUH)-17.06(GDWD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 606 Tm 0 0 0 rg 0.67993 Tw 0.27197 Tc [(DQG)-67.99(RXU)-67.99(PRGHOLQJ)-67.99(VWUDWHJ\\)-67.99(DFFRXQWV)-67.99(IRU)]TJ 0 g 0 0 0 rg [-67.99(ZLWKLQVWDWH)]TJ 0 g 0 0 0 rg [-67.99(VLPLODULW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 594 Tm 0 0 0 rg (EHWZHHQLQVSHFWLRQV)Tj 0 g ET BT 1 0 0 1 316 574 Tm /F1 10 Tf 0 0 0 rg 0.36257 Tw 0.14503 Tc [(\)XWXUH)-36.26(ZRUN)-36.26(VKRXOG)-36.26(H[SORUH)-36.26(WKH)-36.26(RULJLQV)-36.26(RI)-36.26(UHWDLOHU)-36.26(YLRODWLRQV)-36.26()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 562 Tm 0 0 0 rg 0.40057 Tw 0.16023 Tc [(FOXGLQJ)-40.06(UHWDLOHU)-40.06(NQRZOHGJH)-40.06(RI)-40.06(UHJXODWLRQV)-40.06(WKH)-40.06(UROH)-40.06(RI)-40.06(VWRUH)-40.06(W\\SH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 550 Tm 0 0 0 rg 0.11299 Tw 0.04519 Tc [(DQG)-11.3(PDQDJHPHQW)-11.3(GHFLVLRQV)-11.3(EDVHG)-11.3(RQ)-11.3(QHLJKERUKRRG)-11.3(FKDUDFWHULVWLFV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 538 Tm 0 0 0 rg 0.48817 Tw 0.19527 Tc [(2YHUDOO)-48.82(RGGV)-48.82(RI)-48.82(DQ)-48.82(DGYHUWLVLQJ)-48.82(DQG)-48.82(ODEHOLQJ)-48.82(YLRODWLRQ)-48.82(ZHUH)-48.82(ORZ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 526 Tm 0 0 0 rg 0.21713 Tw 0.08685 Tc [()-21.71(RU)-21.71(ORZHU)-21.71(LQ)-21.71(RXU)-21.71(PRGHOV)-21.71(DQG)-21.71(UHVHDUFKHUV)-21.71(WKDW)-21.71(DGDSWHG)-21.71()]TJ 0 g 0 0 0 rg (LQVSHF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 514 Tm 0 0 0 rg 0.42895 Tw 0.17158 Tc [(WLRQ)-42.89(SURWRFROV)-42.89(WR)-42.89(UHIOHFW)]TJ 0 g 0 0 0 rg [-42.89(UHDOZRUOG)]TJ 0 g 0 0 0 rg [-42.89(DWWHPSWV)-42.89(E\\)-42.89(\\RXQJ)-42.89(SHRSOH)-42.89(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 502 Tm 0 0 0 rg 0.06028 Tw 0.02411 Tc [(SXUFKDVH)-6.03(FLJDUHWWHV)-6.03( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-6.03(PD\\)-6.03(QHHG)-6.03(WR)-6.03(PRGLI\\)-6.03(WKRVH)-6.03(SURWRFROV)-6.03(LQ)-6.03()]TJ 0 g 0 0 0 rg (RU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 490 Tm 0 0 0 rg 0.26685 Tw 0.10674 Tc [(GHU)-26.69(WR)-26.69(SURGXFH)-26.69(GDWD)-26.69(WKDW)-26.69(FRXOG)-26.69(EH)-26.69(XVHG)-26.69(WR)-26.69(LPSURYH)-26.69(SURFHGXUHV)-26.69(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 478 Tm 0 0 0 rg (DGYHUWLVLQJDQGODEHOLQJLQVSHFWLRQV)Tj 0 g ET BT 1 0 0 1 316 458 Tm /F1 10 Tf 0 0 0 rg 0.03988 Tw 0.01595 Tc [(7REDFFR)-3.99(UHWDLOHU)-3.99(YLRODWLRQV)-3.99(RI)-3.99(WKH)-3.99(\)637&$)-3.99(DUH)-3.99(SDWWHUQHG)-3.99(E\\)-3.99()]TJ 0 g 0 0 0 rg (QHLJK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 446 Tm 0 0 0 rg 0.09641 Tw 0.03856 Tc [(ERUKRRGV)-9.64(LQ)-9.64(VXFK)-9.64(D)-9.64(ZD\\)-9.64(DV)-9.64(WR)-9.64(SURPRWH)-9.64(WKH)-9.64(SURGXFWLRQ)-9.64(DQG)-9.64()]TJ 0 g 0 0 0 rg (FRQWLQX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 434 Tm 0 0 0 rg 0.07069 Tw 0.02828 Tc [(DWLRQ)-7.07(RI)-7.07(GLVSDULWLHV)-7.07(LQ)-7.07(WREDFFR)-7.07(XVH)-7.07(WKHUHE\\)-7.07(SHUSHWXDWLQJ)-7.07()]TJ 0 g 0 0 0 rg (GLVSURSRU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 422 Tm 0 0 0 rg 0.28148 Tw 0.11259 Tc [(WLRQDWH)-28.15(SUHYHQWDEOH)]TJ 0 g 0 0 0 rg [-28.15(WREDFFRUHODWHG)]TJ 0 g 0 0 0 rg [-28.15(GLVHDVH)-28.15(GLVDELOLW\\)-28.15(DQG)-28.15(GHDWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 410 Tm 0 0 0 rg 0.15029 Tw 0.06012 Tc [(<RXWKV)-15.03(LQ)-15.03(QHLJKERUKRRGV)-15.03(ZLWK)-15.03(KLJK)-15.03(SHUFHQWDJHV)-15.03(RI)-15.03(EODFN)-15.03(SRRU)-15.03(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 398 Tm 0 0 0 rg 0.07283 Tw 0.02913 Tc [(\\RXQJ)-7.28(UHVLGHQWV)-7.28(PD\\)-7.28(KDYH)-7.28(VLQJOH)-7.28(FLJDUHWWHV)-7.28(PRUH)-7.28(DYDLODEOH)-7.28(WR)-7.28(WKHP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 386 Tm 0 0 0 rg 0.068 Tw 0.0272 Tc [(WKDQ)-6.8(\\RXWKV)-6.8(LQ)-6.8(QHLJKERUKRRGV)-6.8(ZLWK)-6.8(PRVWO\\)-6.8(ZKLWH)-6.8(DIIOXHQW)-6.8(RU)-6.8(ROGHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 374 Tm 0 0 0 rg 0.10807 Tw 0.04323 Tc [(UHVLGHQWV)-10.81(&RQYHUVHO\\)-10.81(\\RXWKV)-10.81(LQ)-10.81(QHLJKERUKRRGV)-10.81(ZLWK)-10.81(PRVWO\\)-10.81(ZKLWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 362 Tm 0 0 0 rg 0.41834 Tw 0.16734 Tc [(UHVLGHQWV)-41.83(PD\\)-41.83(EH)-41.83(PRUH)-41.83(H[SRVHG)-41.83(WR)]TJ 0 g 0 0 0 rg [-41.83(VHOIVHUYLFH)]TJ 0 g 0 0 0 rg [-41.83(GLVSOD\\V)-41.83(WKDQ)-41.83(DUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 350 Tm 0 0 0 rg 0.87955 Tw 0.35182 Tc [(\\RXWKV)-87.95(LQ)-87.95(QHLJKERUKRRGV)-87.95(ZLWK)-87.95(KLJK)-87.95(SHUFHQWDJHV)-87.95(RI)-87.95(EODFN)-87.95(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 338 Tm 0 0 0 rg 0.56461 Tw 0.22584 Tc [(/DWLQR)-56.46(UHVLGHQWV)-56.46(\)'$)-56.46(HQIRUFHPHQW)-56.46(RI)-56.46(WKH)-56.46(\)637&$)-56.46(VKRXOG)-56.46()]TJ 0 g 0 0 0 rg (DG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 326 Tm 0 0 0 rg 0.26786 Tw 0.10714 Tc [(GUHVV)-26.79(WKHVH)-26.79(QHLJKERUKRRG)-26.79(GLVSDULWLHV)-26.79(ZKHQ)-26.79(GHYHORSLQJ)-26.79(LQVSHFWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 314 Tm 0 0 0 rg 0.09303 Tw 0.03721 Tc [(VDPSOLQJ)-9.3(SODQV)-9.3(UHWDLOHU)-9.3(HGXFDWLRQ)-9.3(SURJUDPV)-9.3(DQG)-9.3(WDUJHWHG)-9.3()]TJ 0 g 0 0 0 rg (HQIRUFH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 302 Tm 0 0 0 rg (PHQW)Tj 0 g ET BT 1 0 0 1 316 282 Tm /F1 10 Tf 0 0 0 rg 0.20511 Tw 0.08205 Tc [(:H)-20.51(QRWH)-20.51(WKDW)-20.51(UHVHDUFK)-20.51(RQ)-20.51(\\RXWKV)-20.51(DFFHVV)-20.51(WR)-20.51(WREDFFR)-20.51(VKRZV)-20.51(FOHDUO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 270 Tm 0 0 0 rg 0.00378 Tw 0.00151 Tc [(WKDW)-0.37781(SROLF\\)-0.37781(ZLWKRXW)-0.37781(HQIRUFHPHQW)-0.37781(LV)-0.37781(LQHIIHFWLYH)-0.37781( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-0.37781(\)'$\nV)-0.37781()]TJ 0 g 0 0 0 rg (HQIRUFH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 258 Tm 0 0 0 rg 0.16646 Tw 0.06659 Tc [(PHQW)-16.65(RI)-16.65(\)637&$)-16.65(UHJXODWLRQV)-16.65(WKURXJK)-16.65(DGYHUWLVLQJ)-16.65(DQG)-16.65(ODEHOLQJ)-16.65()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 246 Tm 0 0 0 rg 0.46686 Tw 0.18674 Tc [(VSHFWLRQV)-46.69(LV)-46.69(DQ)-46.69(LPSRUWDQW)-46.69(SDUW)-46.69(RI)-46.69(UHGXFLQJ)-46.69(WREDFFR)-46.69(XVH)-46.69(DQG)-46.69(PD\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 234 Tm 0 0 0 rg 0.68185 Tw 0.27274 Tc [(KHOS)-68.18(UHGXFH)-68.18(GLVSDULWLHV)-68.18(LQ)-68.18(WREDFFR)-68.18(UHWDLOHU)-68.18(FRPSOLDQFH)-68.18(WKURXJK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 222 Tm 0 0 0 rg (FDUHIXOUHWDLOHUHGXFDWLRQDQGWDUJHWHGHQIRUFHPHQW)Tj 0 g ET BT 1 0 0 1 316 198 Tm /F1 16 Tf ($FNQRZOHGJPHQWV)Tj ET BT 1 0 0 1 316 176 Tm /F1 10 Tf 0 0 0 rg 0.07057 Tw 0.02823 Tc [(7KH)-7.06(DXWKRUV)-7.06(WKDQN)-7.06(-HQQLIHU)-7.06(*UH\\EHU)-7.06(IRU)-7.06(KHU)-7.06(DVVLVWDQFH)-7.06(ZLWK)-7.06()]TJ 0 g 0 0 0 rg (SUHSDU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 164 Tm 0 0 0 rg 1.13 Tw 0.45182 Tc [(LQJ)-112.95(DQG)-112.95(VXEPLWWLQJ)-112.95(WKLV)-112.95(DUWLFOH)-112.95(0DUFHOOD)-112.95(+)-112.95(%R\\QWRQ)-112.95(3K')]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 152 Tm 0 0 0 rg 0.0515 Tw 0.0206 Tc [(SURYLGHG)-5.15(H[FHSWLRQDOO\\)-5.15(KHOSIXO)-5.15(VWDWLVWLFDO)-5.15(DGYLFH)-5.15(DQG)-5.15(IHHGEDFN)-5.15()]TJ 0 g 0 0 0 rg (5H)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 140 Tm 0 0 0 rg 0.47159 Tw 0.18864 Tc [(VHDUFK)-47.16(UHSRUWHG)-47.16(LQ)-47.16(WKLV)-47.16(SXEOLFDWLRQ)-47.16(ZDV)-47.16(VXSSRUWHG)-47.16(LQ)-47.16(SDUW)-47.16(E\\)-47.16(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 128 Tm 0 0 0 rg 0.80586 Tw 0.32235 Tc [(1DWLRQDO)-80.59(&DQFHU)-80.59(,QVWLWXWH)-80.59(RI)-80.59(WKH)-80.59(1DWLRQDO)-80.59(,QVWLWXWHV)-80.59(RI)-80.59(+HDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 116 Tm 0 0 0 rg 0.43701 Tw 0.17481 Tc [( 1,+\f)-43.7(XQGHU)-43.7(DZDUG)-43.7(QXPEHU)-43.7(\)&$)-43.7(DQG)-43.7(IRU)-43.7(WUDLQHH)-43.7()]TJ 0 g 0 0 0 rg (VXS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 104 Tm 0 0 0 rg 0.34182 Tw 0.13673 Tc [(SRUW)-34.18(DZDUG)-34.18(QXPEHU)-34.18(3&$)-34.18(7KH)-34.18(FRQWHQW)-34.18(LV)-34.18(VROHO\\)-34.18(WKH)-34.18()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc ET q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (4 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2015/15_0231.htm)Tj ET Q F endstream endobj 7 0 obj <>>>/Rotate 0/Thumb 27 0 R/Type/Page>> endobj 8 0 obj <>stream xqNq BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.292 Tw 0.1168 Tc [(VSRQVLELOLW\\)-29.2(RI)-29.2(WKH)-29.2(DXWKRUV)-29.2(DQG)-29.2(GRHV)-29.2(QRW)-29.2(QHFHVVDULO\\)-29.2(UHSUHVHQW)-29.2(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.2157 Tw 0.08628 Tc [(RIILFLDO)-21.57(YLHZV)-21.57(RI)-21.57(1,+)-21.57(7KH)-21.57(DXWKRUV)-21.57(DUH)-21.57(FRPPLVVLRQHG)-21.57(DV)-21.57(\)'$)-21.57()]TJ 0 g 0 0 0 rg (RI)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg 0.32692 Tw 0.13077 Tc [(ILFHUV)-32.69(7KH)-32.69(FRQWHQW)-32.69(LV)-32.69(VROHO\\)-32.69(WKH)-32.69(UHVSRQVLELOLW\\)-32.69(RI)-32.69(WKH)-32.69(DXWKRUV)-32.69(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 642 Tm 0 0 0 rg 0.82 Tw 0.328 Tc [(GRHV)-82(QRW)-82(QHFHVVDULO\\)-82(UHSUHVHQW)-82(WKH)-82(RIILFLDO)-82(YLHZV)-82(RI)-82(WKH)-82(\)'$)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 630 Tm 0 0 0 rg 0.20385 Tw 0.08154 Tc [(ZKLFK)-20.38(KDG)-20.38(QR)-20.38(UROH)-20.38(LQ)-20.38(WKH)-20.38(RULJLQDWLRQ)-20.38(GHVLJQ)-20.38(DQDO\\VLV)-20.38(RU)-20.38(GHFLVLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 618 Tm 0 0 0 rg 0.40312 Tw 0.16125 Tc [(WR)-40.31(SXEOLVK)-40.31(WKLV)-40.31(VWXG\\)-40.31(-*/)-40.31(/HH)-40.31(KDV)-40.31(D)-40.31(UR\\DOW\\)-40.31(LQWHUHVW)-40.31(LQ)-40.31(D)-40.31(VWRUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 606 Tm 0 0 0 rg 0.1689 Tw 0.06756 Tc [(DXGLWFRPSOLDQFH)-16.89(DQG)-16.89(PDSSLQJ)-16.89(V\\VWHP)-16.89(WKDW)-16.89(LV)-16.89(OLFHQVHG)-16.89(E\\)-16.89(&RXQWHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 594 Tm 0 0 0 rg 0.58025 Tw 0.2321 Tc [(7RROV)-58.03( )]TJ 0 g 0 0 0 rg (KWWSFRXQWHUWRROVRUJ)Tj 0 g 0 0 0 rg [(\f)-58.03(DQG)-58.03(RZQHG)-58.03(E\\)-58.03(WKH)-58.03(8QLYHUVLW\\)-58.03(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 582 Tm 0 0 0 rg 0.41704 Tw 0.16682 Tc [(1RUWK)-41.7(&DUROLQD)-41.7(DW)-41.7(&KDSHO)-41.7(+LOO)-41.7(7KLV)-41.7(V\\VWHP)-41.7(ZDV)-41.7(QRW)-41.7(XVHG)-41.7(LQ)-41.7(WKLV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 570 Tm 0 0 0 rg (VWXG\\)Tj 0 g ET BT 1 0 0 1 30 546 Tm /F1 16 Tf ($XWKRU,QIRUPDWLRQ)Tj ET BT 1 0 0 1 30 524 Tm /F1 10 Tf 0 0 0 rg 0.81175 Tw 0.3247 Tc [(&RUUHVSRQGLQJ)-81.17(DXWKRU)-81.17(-RVHSK)-81.17(*/)-81.17(/HH)-81.17(3K')-81.17(%HON)-81.17(%XLOGLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 512 Tm 0 0 0 rg 0.00793 Tw 0.00317 Tc [('HSDUWPHQW)-0.79272(RI)-0.79272(+HDOWK)-0.79272(\(GXFDWLRQ)-0.79272(DQG)-0.79272(3URPRWLRQ)-0.79272(&ROOHJH)-0.79272(RI)-0.79272(+HDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 500 Tm 0 0 0 rg 0.5304 Tw 0.21216 Tc [(DQG)-53.04(+XPDQ)-53.04(3HUIRUPDQFH)-53.04(\(DVW)-53.04(&DUROLQD)-53.04(8QLYHUVLW\\)-53.04(*UHHQYLOOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 488 Tm 0 0 0 rg 4.35 Tw 1.74 Tc [(1&)-435.14()-435.14(7HOHSKRQH)]TJ 0 g 0 0 0 rg [-435.14()]TJ 0 g 0 0 0 rg [-435.14(\(PDLO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 476 Tm 0 0 0 rg (/\(\(-26\(#HFXHGX)Tj 0 g ET BT 1 0 0 1 30 464 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 452 Tm /F1 10 Tf 0 0 0 rg 0.06151 Tw 0.02461 Tc [($XWKRU)-6.15($IILOLDWLRQV)-6.15(+DQQDK)-6.15(0)-6.15(%DNHU)-6.15(/HDK)-6.15(0)-6.15(5DQQH\\)-6.15($GDP)-6.15(2)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 440 Tm 0 0 0 rg 1.66 Tw 0.66434 Tc [(*ROGVWHLQ)-166.09(7REDFFR)-166.09(3UHYHQWLRQ)-166.09(DQG)-166.09(\(YDOXDWLRQ)-166.09(3URJUDP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 428 Tm 0 0 0 rg 0.6053 Tw 0.24212 Tc [('HSDUWPHQW)-60.53(RI)-60.53(\)DPLO\\)-60.53(0HGLFLQH)-60.53(8QLYHUVLW\\)-60.53(RI)-60.53(1RUWK)-60.53(&DUROLQD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 416 Tm 0 0 0 rg 0.2979 Tw 0.11916 Tc [(6FKRRO)-29.79(RI)-29.79(0HGLFLQH)-29.79(7KH)-29.79(8QLYHUVLW\\)-29.79(RI)-29.79(1RUWK)-29.79(&DUROLQD)-29.79(DW)-29.79(&KDSHO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 404 Tm 0 0 0 rg 0.08551 Tw 0.0342 Tc [(+LOO)-8.55(&KDSHO)-8.55(+LOO)-8.55(1RUWK)-8.55(&DUROLQD)-8.55(-RVHSK)-8.55(*)-8.55(/)-8.55(/HH)-8.55(ZDV)-8.55(HPSOR\\HG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 392 Tm 0 0 0 rg 0.11615 Tw 0.04646 Tc [(DW)-11.61(7KH)-11.61(8QLYHUVLW\\)-11.61(RI)-11.61(1RUWK)-11.61(&DUROLQD)-11.61(DW)-11.61(&KDSHO)-11.61(+LOO)-11.61(DW)-11.61(WKH)-11.61(WLPH)-11.61(WKLV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 380 Tm 0 0 0 rg (VWXG\\ZDVFRQGXFWHG)Tj 0 g ET BT 1 0 0 1 30 368 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 352 Tm /F1 16 Tf (5HIHUHQFHV)Tj ET BT 1 0 0 1 44 330 Tm /F1 10 Tf 0 0 0 rg 0.22771 Tw 0.09108 Tc [(:LGRPH)-22.77(5)-22.77(%URFN)-22.77(%)-22.77(1REOH)-22.77(3)-22.77(\)RUVWHU)-22.77(-/)-22.77(7KH)-22.77(UHODWLRQVKLS)-22.77(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 318 Tm 0 0 0 rg 0.77235 Tw 0.30894 Tc [(QHLJKERUKRRG)-77.23(GHPRJUDSKLF)-77.23(FKDUDFWHULVWLFV)-77.23(WR)-77.23(SRLQWRIVDOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 306 Tm 0 0 0 rg 1.48 Tw 0.59042 Tc [(WREDFFR)-147.61(DGYHUWLVLQJ)-147.61(DQG)-147.61(PDUNHWLQJ)-147.61(\(WKQ)-147.61(+HDOWK)-147.61()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 294 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 330 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 282 Tm /F1 10 Tf 0 0 0 rg 0.21287 Tw 0.08515 Tc [(%XUWRQ)-21.29(6)-21.29(:LOOLDPV)-21.29(.)-21.29(\)U\\)-21.29(5)-21.29(&KDSPDQ)-21.29(.)-21.29(6RXORV)-21.29(*)-21.29(7DQJ)-21.29($)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 270 Tm 0 0 0 rg 1.18 Tw 0.47024 Tc [(HW)-117.56(DO)-117.56(0DUNHWLQJ)-117.56(FLJDUHWWHV)-117.56(ZKHQ)-117.56(DOO)-117.56(HOVH)-117.56(LV)-117.56(XQDYDLODEOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 258 Tm 0 0 0 rg 0.68777 Tw 0.27511 Tc [(HYLGHQFH)-68.78(RI)-68.78(GLVFRXQWLQJ)-68.78(LQ)-68.78(SULFHVHQVLWLYH)-68.78(QHLJKERXUKRRGV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 246 Tm 0 0 0 rg (7RE&RQWURO H\fH)Tj 0 g ET q BT 1 0 0 1 30 282 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 234 Tm /F1 10 Tf 0 0 0 rg 0.24592 Tw 0.09837 Tc [(<HUJHU)-24.59(9%)-24.59(3U]HZR]QLN)-24.59(-)-24.59(0DORQH)-24.59(5\()-24.59(5DFLDOL]HG)-24.59(JHRJUDSK\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 222 Tm 0 0 0 rg 0.75574 Tw 0.3023 Tc [(FRUSRUDWH)-75.57(DFWLYLW\\)-75.57(DQG)-75.57(KHDOWK)-75.57(GLVSDULWLHV)-75.57(WREDFFR)-75.57(LQGXVWU\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 210 Tm 0 0 0 rg 0.07716 Tw 0.03086 Tc [(WDUJHWLQJ)-7.72(RI)-7.72(LQQHU)-7.72(FLWLHV)-7.72(-)-7.72(+HDOWK)-7.72(&DUH)-7.72(3RRU)-7.72(8QGHUVHUYHG)-7.72()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 198 Tm 0 0 0 rg ( 6XSSO\f)Tj 0 g ET q BT 1 0 0 1 30 234 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 186 Tm /F1 10 Tf 0 0 0 rg 0.87908 Tw 0.35163 Tc [(&DQWUHOO)-87.91(-)-87.91(.UHVODNH)-87.91(-0)-87.91(*DQ])-87.91(2)-87.91(3HDUVRQ)-87.91(-/)-87.91(9DOORQH)-87.91(')]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 174 Tm 0 0 0 rg 1.14 Tw 0.45421 Tc [($QHVHWWL5RWKHUPHO)-113.55($)-113.55(HW)-113.55(DO)-113.55(0DUNHWLQJ)-113.55(OLWWOH)-113.55(FLJDUV)-113.55(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 162 Tm 0 0 0 rg 2.01 Tw 0.80248 Tc [(FLJDULOORV)-200.62(DGYHUWLVLQJ)-200.62(SULFH)-200.62(DQG)-200.62(DVVRFLDWLRQV)-200.62(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 150 Tm 0 0 0 rg 1.24 Tw 0.49582 Tc [(QHLJKERUKRRG)-123.95(GHPRJUDSKLFV)-123.95($P)-123.95(-)-123.95(3XEOLF)-123.95(+HDOWK)-123.95()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 138 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 186 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 678 Tm /F1 10 Tf 0 0 0 rg 0.42417 Tw 0.16967 Tc [(.LUFKQHU)-42.42(75)-42.42(9LOODQWL)-42.42($&)-42.42(&DQWUHOO)-42.42(-)-42.42($QHVHWWL5RWKHUPHO)-42.42($)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 666 Tm 0 0 0 rg 0.40963 Tw 0.16385 Tc [(*DQ])-40.96(2)-40.96(&RQZD\\)-40.96(.3)-40.96(HW)-40.96(DO)-40.96(7REDFFR)-40.96(UHWDLO)-40.96(RXWOHW)-40.96(DGYHUWLVLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 654 Tm 0 0 0 rg 0.28813 Tw 0.11525 Tc [(SUDFWLFHV)-28.81(DQG)-28.81(SUR[LPLW\\)-28.81(WR)-28.81(VFKRROV)-28.81(SDUNV)-28.81(DQG)-28.81(SXEOLF)-28.81(KRXVLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 642 Tm 0 0 0 rg 0.04656 Tw 0.01862 Tc [(DIIHFW)-4.66(6\\QDU)-4.66(XQGHUDJH)-4.66(VDOHV)-4.66(YLRODWLRQV)-4.66(LQ)-4.66(:DVKLQJWRQ)-4.66('&)-4.66(7RE)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 630 Tm 0 0 0 rg (&RQWURO H\fH)Tj 0 g ET q BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 618 Tm /F1 10 Tf 0 0 0 rg 0.98146 Tw 0.39258 Tc [(/DQGULQH)-98.15(+)-98.15(&RUUDO)-98.15(,)-98.15(.ORQRII)-98.15(\($)-98.15(-HQVHQ)-98.15(-)-98.15(.DVKLPD)-98.15(.)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 606 Tm 0 0 0 rg 0.05989 Tw 0.02395 Tc [(+LFNPDQ)-5.99(1)-5.99(HW)-5.99(DO)-5.99(\(WKQLF)-5.99(GLVSDULWLHV)-5.99(LQ)-5.99(\\RXWK)-5.99(DFFHVV)-5.99(WR)-5.99(WREDFFR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 594 Tm 0 0 0 rg 0.33176 Tw 0.1327 Tc [(&DOLIRUQLD)-33.18(VWDWHZLGH)-33.18(UHVXOWV)-33.18()-33.18(+HDOWK)-33.18(3URPRW)-33.18(3UDFW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 582 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 618 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 570 Tm /F1 10 Tf 0 0 0 rg 0.81863 Tw 0.32745 Tc [($VXPGD)-81.86(\))-81.86(-RUGDQ)-81.86(/)-81.86(0LQRULW\\)-81.86(\\RXWK)-81.86(DFFHVV)-81.86(WR)-81.86(WREDFFR)-81.86(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 558 Tm 0 0 0 rg 0.08484 Tw 0.03394 Tc [(QHLJKERUKRRG)-8.48(DQDO\\VLV)-8.48(RI)-8.48(XQGHUDJH)-8.48(WREDFFR)-8.48(VDOHV)-8.48(+HDOWK)-8.48(3ODFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 546 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 570 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 534 Tm /F1 10 Tf 0 0 0 rg 0.05901 Tw 0.0236 Tc [(.ORQRII)-5.9(\($)-5.9(\)ULW])-5.9(-0)-5.9(/DQGULQH)-5.9(+)-5.9(5LGGOH)-5.9(5:)-5.9(7XOO\\3D\\QH)-5.9(/)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 522 Tm 0 0 0 rg 0.04534 Tw 0.01814 Tc [(7KH)-4.53(SUREOHP)-4.53(DQG)-4.53(VRFLRFXOWXUDO)-4.53(FRQWH[W)-4.53(RI)-4.53(VLQJOHFLJDUHWWH)-4.53(VDOHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 510 Tm 0 0 0 rg (-$0$ \f)Tj 0 g ET q BT 1 0 0 1 316 534 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 498 Tm /F1 10 Tf 0 0 0 rg 0.2705 Tw 0.1082 Tc [(/DQGULQH)-27.05(+)-27.05(.ORQRII)-27.05(\($)-27.05($OFDUD])-27.05(5)-27.05(0LQRUV)-27.05(DFFHVV)-27.05(WR)-27.05(VLQJOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 486 Tm 0 0 0 rg (FLJDUHWWHVLQ&DOLIRUQLD3UHY0HG \f)Tj 0 g ET q BT 1 0 0 1 316 498 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 474 Tm /F1 10 Tf 0 0 0 rg 0.20094 Tw 0.08037 Tc [($UFKEDOG)-20.09(&)-20.09(6DOH)-20.09(RI)-20.09(LQGLYLGXDO)-20.09(FLJDUHWWHV)-20.09(D)-20.09(QHZ)-20.09(GHYHORSPHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 462 Tm 0 0 0 rg (3HGLDWULFV \f)Tj 0 g ET q BT 1 0 0 1 316 474 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 450 Tm /F1 10 Tf 0 0 0 rg 0.49266 Tw 0.19707 Tc [(/HH)-49.27(-*)-49.27(+HQULNVHQ)-49.27(/)-49.27(5RVH)-49.27(6:)-49.27(0RUHODQG5XVVHOO)-49.27(6)-49.27(5LELVO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 438 Tm 0 0 0 rg 0.68156 Tw 0.27262 Tc [(.0)-68.16($)-68.16(6\\VWHPDWLF)-68.16(5HYLHZ)-68.16(RI)-68.16(1HLJKERUKRRG)-68.16('LVSDULWLHV)-68.16(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 426 Tm 0 0 0 rg 0.40878 Tw 0.16351 Tc [(3RLQWRI6DOH)-40.88(7REDFFR)-40.88(0DUNHWLQJ)-40.88($P)-40.88(-)-40.88(3XEOLF)-40.88(+HDOWK)-40.88()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 414 Tm 0 0 0 rg (H)Tj 0 g ET q BT 1 0 0 1 316 450 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 402 Tm /F1 10 Tf 0 0 0 rg 0.67782 Tw 0.27113 Tc [(\)ULFN)-67.78(5*)-67.78(.OHLQ)-67.78(\(*)-67.78(\)HUNHWLFK)-67.78($.)-67.78(:HZHUV)-67.78(0\()-67.78(7REDFFR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 390 Tm 0 0 0 rg 0.43313 Tw 0.17325 Tc [(DGYHUWLVLQJ)-43.31(DQG)-43.31(VDOHV)-43.31(SUDFWLFHV)-43.31(LQ)-43.31(OLFHQVHG)-43.31(UHWDLO)-43.31(RXWOHWV)-43.31(DIWHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 378 Tm 0 0 0 rg 0.33163 Tw 0.13265 Tc [(WKH)-33.16(\)RRG)-33.16(DQG)-33.16('UXJ)-33.16($GPLQLVWUDWLRQ)-33.16(UHJXODWLRQV)-33.16(-)-33.16(&RPPXQLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 366 Tm 0 0 0 rg (+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 316 402 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 354 Tm /F1 10 Tf 0 0 0 rg 1.14 Tw 0.45536 Tc [(5RVH)-113.84(6:)-113.84(0\\HUV)-113.84($\()-113.84('$QJHOR)-113.84(+)-113.84(5LELVO)-113.84(.0)-113.84(5HWDLOHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 342 Tm 0 0 0 rg 0.0406 Tw 0.01624 Tc [(DGKHUHQFH)-4.06(WR)-4.06(\)DPLO\\)-4.06(6PRNLQJ)-4.06(3UHYHQWLRQ)-4.06(DQG)-4.06(7REDFFR)-4.06(&RQWURO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 330 Tm 0 0 0 rg ($FW1RUWK&DUROLQD3UHY&KURQLF'LV\()Tj 0 g ET q BT 1 0 0 1 316 354 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 318 Tm /F1 10 Tf 0 0 0 rg 1.25 Tw 0.49944 Tc [(4XHGOH\\)-124.86(0)-124.86(1J)-124.86(%)-124.86(6DSUH)-124.86(1)-124.86(%ODNLVWRQ)-124.86(0)-124.86(&UDZIRUG)-124.86($)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 306 Tm 0 0 0 rg 0.44559 Tw 0.17823 Tc [('HYDGDV)-44.56(5)-44.56(HW)-44.56(DO)-44.56(,Q)-44.56(VLJKW)-44.56(LQ)-44.56(PLQG)-44.56(UHWDLOHU)-44.56(FRPSOLDQFH)-44.56(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 294 Tm 0 0 0 rg 0.51548 Tw 0.20619 Tc [(OHJLVODWLRQ)-51.55(RQ)-51.55(OLPLWLQJ)-51.55(UHWDLO)-51.55(WREDFFR)-51.55(GLVSOD\\V)-51.55(1LFRWLQH)-51.55(7RE)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 282 Tm 0 0 0 rg (5HV \f)Tj 0 g ET q BT 1 0 0 1 316 318 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 270 Tm /F1 10 Tf 0 0 0 rg 1.48 Tw 0.59362 Tc [(=DFKHU)-148.4(0)-148.4(*HUPDLQ)-148.4(')-148.4('XUNLQ)-148.4(6)-148.4(+D\\HV)-148.4(/)-148.4(6FROOR)-148.4(0)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 258 Tm 0 0 0 rg 0.05206 Tw 0.02082 Tc [(:DNHILHOG)-5.21(0)-5.21($)-5.21(VWRUH)-5.21(FRKRUW)-5.21(VWXG\\)-5.21(RI)-5.21(FRPSOLDQFH)-5.21(ZLWK)-5.21(D)-5.21(SRLQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 246 Tm 0 0 0 rg 0.12736 Tw 0.05094 Tc [(RIVDOH)-12.74(FLJDUHWWH)-12.74(GLVSOD\\)-12.74(EDQ)-12.74(LQ)-12.74(0HOERXUQH)-12.74($XVWUDOLD)-12.74(1LFRWLQH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 234 Tm 0 0 0 rg (7RE5HV \f)Tj 0 g ET q BT 1 0 0 1 316 270 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 222 Tm /F1 10 Tf 0 0 0 rg 1.39 Tw 0.55744 Tc [(*HQHUDO)-139.36(6HUYLFHV)-139.36($GPLQLVWUDWLRQ)-139.36(\)'$)-139.36(7REDFFR)-139.36(5HWDLO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 210 Tm 0 0 0 rg 0.28809 Tw 0.11524 Tc [(,QVSHFWLRQV)-28.81(6ROLFLWDWLRQ)-28.81(1XPEHU)-28.81(\)'$72%$&&2)-28.81()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 198 Tm 0 0 0 rg 23.94 Tw 9.58 Tc (KWWSZZZIERJRY)Tj 0 g 0 Tw 0 Tc 1 0 0 1 330 186 Tm 0 0 0 rg 0.00481 Tw 0.00192 Tc (LQGH["V RSSRUWXQLW\\\tPRGH IRUP\tLG HGFIEHFFEF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 330 174 Tm 0 0 0 rg 1.15 Tw 0.45823 Tc [(IEF\tWDE FRUH\tBFYLHZ )-114.56($FFHVVHG)-114.56($SULO)-114.56()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 162 Tm 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 316 222 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2015/15_0231.htm Centers for Disease Control and Prevention 5)Tj ET Q #r endstream endobj 9 0 obj <>>>/Rotate 0/Thumb 28 0 R/Type/Page>> endobj 10 0 obj <>stream x- q BT 30 786 Td ET Q BT 1 0 0 1 44 678 Tm /F1 10 Tf 0 0 0 rg 0.59228 Tw 0.23691 Tc [(&DPSDLJQ)-59.23(IRU)-59.23(7REDFFR\)UHH)-59.23(.LGV)-59.23(6WDWHV)-59.23(DQG)-59.23(ORFDOLWLHV)-59.23(WKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 666 Tm 0 0 0 rg 0.04506 Tw 0.01802 Tc [(KDYH)-4.51(UDLVHG)-4.51(WKH)-4.51(PLQLPXP)-4.51(OHJDO)-4.51(VDOH)-4.51(DJH)-4.51(IRU)-4.51(WREDFFR)-4.51(SURGXFWV)-4.51(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 654 Tm 0 0 0 rg 1.04 Tw 0.41694 Tc [()-104.23(KWWSZZZWREDFFRIUHHNLGVRUJFRQWHQWZKDWBZHBGR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 642 Tm 0 0 0 rg 13.19 Tw 5.28 Tc (VWDWHBORFDOBLVVXHVVDOHVB)Tj 0 g 0 Tw 0 Tc 1 0 0 1 44 630 Tm 0 0 0 rg 0.80084 Tw 0.32034 Tc [(BBBORFDOLWLHVB0/6$BSGI)-80.08($FFHVVHG)-80.08($SULO)-80.08()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 618 Tm 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 606 Tm /F1 10 Tf 0 0 0 rg 1.83 Tw 0.73031 Tc [(86)-182.58(&HQVXV)-182.58(%XUHDX)-182.58(/RFDO)-182.58(&HQVXV)-182.58(6WDWLVWLFDO)-182.58($UHDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 594 Tm 0 0 0 rg 0.87101 Tw 0.34841 Tc [(&RPPLWWHHV)-87.1(DQG)-87.1(RWKHU)-87.1(ORFDO)-87.1(DVVLVWDQFH)-87.1(*HRJUDSKLF)-87.1($UHDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 582 Tm 0 0 0 rg 0.98654 Tw 0.39461 Tc [(5HIHUHQFH)-98.65(0DQXDO)-98.65(:DVKLQJWRQ)-98.65( '&\f)-98.65(86)-98.65('HSDUWPHQW)-98.65(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 570 Tm 0 0 0 rg 0.30912 Tw 0.12365 Tc [(&RPPHUFH)-30.91(\(FRQRPLFV)-30.91(DQG)-30.91(6WDWLVWLFV)-30.91($GPLQLVWUDWLRQ)-30.91(%XUHDX)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 558 Tm 0 0 0 rg (RIWKH&HQVXVS)Tj 0 g ET q BT 1 0 0 1 30 606 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 546 Tm /F1 10 Tf 0 0 0 rg 0.11413 Tw 0.04565 Tc [(6RFLDO)-11.41(\([SORUHU)-11.41(&HQVXV)-11.41()-11.41(KWWSZZZVRFLDOH[SORUHUFRP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 534 Tm 0 0 0 rg 1.62 Tw 0.6472 Tc (SXEUHSRUWGDWD+WPO5HVXOWVDVS["UHSRUWLG 5)Tj 0 g 0 Tw 0 Tc 1 0 0 1 44 522 Tm 0 0 0 rg ($FFHVVHG6HSWHPEHU)Tj 0 g ET q BT 1 0 0 1 30 546 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 510 Tm /F1 10 Tf 0 0 0 rg 1.36 Tw 0.54309 Tc [(6RFLDO)-135.77(\([SORUHU)-135.77($PHULFDQ)-135.77(&RPPXQLW\\)-135.77(6XUYH\\)-135.77(<HDU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 498 Tm 0 0 0 rg 0.15828 Tw 0.06331 Tc [(\(VWLPDWHV)-15.83()-15.83(1HZ)-15.83(<RUN)-15.83(1<)-15.83(6RFLDO)-15.83(\([SORUHU)-15.83(KWWS)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 486 Tm 0 0 0 rg 6.06 Tw 2.43 Tc (ZZZVRFLDOH[SORUHUFRPSXEUHSRUWGDWD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 44 474 Tm 0 0 0 rg 0.29449 Tw 0.1178 Tc [(+WPO5HVXOWVDVS["UHSRUWLG 5)-29.45($FFHVVHG)-29.45(6HSWHPEHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 462 Tm 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 30 510 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 450 Tm /F1 10 Tf 0 0 0 rg 0.28844 Tw 0.11537 Tc [(:RRGUXII)-28.84(6,)-28.84(:LOGH\\)-28.84(0%)-28.84(&RQZD\\)-28.84(7/)-28.84(&ODSS)-28.84(\(-)-28.84(\(IIHFW)-28.84(RI)-28.84(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 438 Tm 0 0 0 rg 0.05754 Tw 0.02302 Tc [(EULHI)-5.75(UHWDLOHU)-5.75(LQWHUYHQWLRQ)-5.75(WR)-5.75(UHGXFH)-5.75(WKH)-5.75(VDOH)-5.75(RI)-5.75(VLQJOH)-5.75(FLJDUHWWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 426 Tm 0 0 0 rg ($P-+HDOWK3URPRW \f)Tj 0 g ET q BT 1 0 0 1 30 450 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 414 Tm /F1 10 Tf 0 0 0 rg 1.04 Tw 0.4149 Tc [(7HDOO)-103.72($0)-103.72(*UDKDP)-103.72(0&)-103.72(<RXWK)-103.72(DFFHVV)-103.72(WR)-103.72(WREDFFR)-103.72(LQ)-103.72(WZR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 402 Tm 0 0 0 rg (FRPPXQLWLHV-1XUV6FKRODUVK \f)Tj 0 g ET q BT 1 0 0 1 30 414 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 390 Tm /F1 10 Tf 0 0 0 rg 0.33425 Tw 0.1337 Tc [(:LOGH\\)-33.42(0%)-33.42(:RRGUXII)-33.42(6,)-33.42(3DPSDORQH)-33.42(6=)-33.42(&RQZD\\)-33.42(7/)-33.42(6HOI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 378 Tm 0 0 0 rg 0.03551 Tw 0.0142 Tc [(VHUYLFH)-3.55(VDOH)-3.55(RI)-3.55(WREDFFR)-3.55(KRZ)-3.55(LW)-3.55(FRQWULEXWHV)-3.55(WR)-3.55(\\RXWK)-3.55(DFFHVV)-3.55(7RE)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 366 Tm 0 0 0 rg (&RQWURO \f)Tj 0 g ET q BT 1 0 0 1 30 390 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 354 Tm /F1 10 Tf 0 0 0 rg 0.32435 Tw 0.12974 Tc [(7LOO\\)-32.43(&)-32.43(0RVV)-32.43(3)-32.43(.LUVFKHQPDQ)-32.43(-)-32.43(.HQQHOO\\)-32.43(,)-32.43(6SDFH)-32.43(DV)-32.43(VLJQDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 342 Tm 0 0 0 rg 0.40317 Tw 0.16127 Tc [(KRZ)-40.32(HPSOR\\HUV)-40.32(SHUFHLYH)-40.32(QHLJKERUKRRGV)-40.32(LQ)-40.32(IRXU)-40.32(PHWURSROLWDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 330 Tm 0 0 0 rg 0.70955 Tw 0.28382 Tc [(ODERU)-70.96(PDUNHWV)-70.96(,Q)-70.96(2\n&RQQRU)-70.96($)-70.96(7LOO\\)-70.96(&)-70.96(%RER)-70.96(/')-70.96(HGLWRUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 318 Tm 0 0 0 rg 0.28808 Tw 0.11523 Tc [(8UEDQ)-28.81(LQHTXDOLW\\)-28.81(HYLGHQFH)-28.81(IURP)-28.81(IRXU)-28.81(FLWLHV)-28.81(1HZ)-28.81(<RUN)-28.81( 1<\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 306 Tm 0 0 0 rg (5XVVHOO6DJH\)RXQGDWLRQS)Tj 0 g ET q BT 1 0 0 1 30 354 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 294 Tm /F1 10 Tf 0 0 0 rg 0.12994 Tw 0.05198 Tc [(6WLOOPDQ)-12.99(\)$)-12.99(%RQH)-12.99(/5)-12.99(0LODP)-12.99($-)-12.99(0D)-12.99(-)-12.99(+RNH)-12.99(.)-12.99(2XW)-12.99(RI)-12.99(YLHZ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 282 Tm 0 0 0 rg 0.25189 Tw 0.10076 Tc [(EXW)-25.19(LQ)-25.19(SODLQ)-25.19(VLJKW)-25.19(WKH)-25.19(LOOHJDO)-25.19(VDOH)-25.19(RI)-25.19(VLQJOH)-25.19(FLJDUHWWHV)-25.19(-)-25.19(8UEDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 270 Tm 0 0 0 rg (+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 30 294 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 258 Tm /F1 10 Tf 0 0 0 rg 0.20331 Tw 0.08132 Tc [(*DPEHVFLD)-20.33(6\))-20.33($GROHVFHQW)-20.33(XVH)-20.33(RI)-20.33(FLJDUHWWH)-20.33(YHQGLQJ)-20.33(PDFKLQHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 246 Tm 0 0 0 rg (7RE&RQWURO \f)Tj 0 g ET q BT 1 0 0 1 30 258 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 234 Tm /F1 10 Tf 0 0 0 rg 0.149 Tw 0.0596 Tc [(5RELQVRQ)-14.9(/$)-14.9(.OHVJHV)-14.9(5&)-14.9(=ELNRZVNL)-14.9(60)-14.9(*HQGHU)-14.9(DQG)-14.9(HWKQLF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 222 Tm 0 0 0 rg 0.48497 Tw 0.19399 Tc [(GLIIHUHQFHV)-48.5(LQ)-48.5(\\RXQJ)-48.5(DGROHVFHQWV)-48.5(VRXUFHV)-48.5(RI)-48.5(FLJDUHWWHV)-48.5(7RE)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 210 Tm 0 0 0 rg (&RQWURO \f)Tj 0 g ET q BT 1 0 0 1 30 234 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 198 Tm /F1 10 Tf 0 0 0 rg 0.57718 Tw 0.23087 Tc [(0RUODQG)-57.72(.)-57.72(:LQJ)-57.72(6)-57.72('LH])-57.72(5RX[)-57.72($)-57.72(3RROH)-57.72(&)-57.72(1HLJKERUKRRG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 186 Tm 0 0 0 rg 0.28445 Tw 0.11378 Tc [(FKDUDFWHULVWLFV)-28.45(DVVRFLDWHG)-28.45(ZLWK)-28.45(WKH)-28.45(ORFDWLRQ)-28.45(RI)-28.45(IRRG)-28.45(VWRUHV)-28.45(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 174 Tm 0 0 0 rg (IRRGVHUYLFHSODFHV$P-3UHY0HG \f)Tj 0 g ET q BT 1 0 0 1 30 198 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 162 Tm /F1 10 Tf 0 0 0 rg 0.47081 Tw 0.18832 Tc [(/HYLQVRQ)-47.08($+)-47.08(3DWQDLN)-47.08(-/)-47.08($)-47.08(SUDFWLFDO)-47.08(ZD\\)-47.08(WR)-47.08(HVWLPDWH)-47.08(UHWDLO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 150 Tm 0 0 0 rg 0.56722 Tw 0.22689 Tc [(WREDFFR)-56.72(VDOHV)-56.72(YLRODWLRQ)-56.72(UDWHV)-56.72(PRUH)-56.72(DFFXUDWHO\\)-56.72(1LFRWLQH)-56.72(7RE)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 138 Tm 0 0 0 rg (5HV \f)Tj 0 g ET q BT 1 0 0 1 30 162 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 678 Tm /F1 10 Tf 0 0 0 rg 0.30348 Tw 0.12139 Tc [('L\)UDQ]D)-30.35(-5)-30.35(:KLFK)-30.35(LQWHUYHQWLRQV)-30.35(DJDLQVW)-30.35(WKH)-30.35(VDOH)-30.35(RI)-30.35(WREDFFR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 666 Tm 0 0 0 rg 0.55839 Tw 0.22335 Tc [(WR)-55.84(PLQRUV)-55.84(FDQ)-55.84(EH)-55.84(H[SHFWHG)-55.84(WR)-55.84(UHGXFH)-55.84(VPRNLQJ")-55.84(7RE)-55.84(&RQWURO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 654 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 316 636 Tm /F2 12 Tf ()Tj ET q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (6 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2015/15_0231.htm)Tj ET Q K͊ endstream endobj 11 0 obj <>>>/Rotate 0/Thumb 29 0 R/Type/Page>> endobj 12 0 obj <>stream x24q BT 30 786 Td ET Q BT 1 0 0 1 50 672 Tm /F1 16 Tf (7DEOHV)Tj ET q 0.79216 0.83529 0.79216 rg 50 600.55 156.38 26 re f 0.79216 0.83529 0.79216 rg 206.38 600.55 74.74 26 re f 0.79216 0.83529 0.79216 rg 281.13 600.55 91.99 26 re f 0.79216 0.83529 0.79216 rg 373.12 600.55 105.79 26 re f 0.79216 0.83529 0.79216 rg 478.91 600.55 85.09 26 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 50 626.55 514 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 600.55 156.38 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 600.55 74.74 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 600.55 91.99 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 600.55 105.79 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 600.55 85.09 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 570.55 88.54 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 585.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 585.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 585.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 585.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 585.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 570.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 570.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 570.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 570.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 570.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 540.55 88.54 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 555.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 555.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 555.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 555.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 555.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 540.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 540.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 540.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 540.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 540.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 510.55 88.54 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 525.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 525.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 525.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 525.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 525.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 510.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 510.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 510.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 510.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 510.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 480.55 88.54 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 495.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 495.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 495.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 495.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 495.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 480.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 480.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 480.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 480.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 480.55 85.09 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 465.55 88.54 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 138.54 465.55 67.84 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 206.38 465.55 74.74 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 281.13 465.55 91.99 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 373.12 465.55 105.79 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 478.91 465.55 85.09 15 re S 0 G Q BT 1 0 0 1 52 643.55 Tm /F7 10 Tf 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (8QDGMXVWHG5HODWLRQVKLS%HWZHHQ\)'$7REDFFR5HWDLOHU$GYHUWLVLQJDQG/DEHOLQJ9LRODWLRQVDQG1HLJKERUKRRG)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 52 632.55 Tm 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (&KDUDFWHULVWLFV-DQXDU\\-XO\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 54 605.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F7 7 Tf 0 0 0 rg 3 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 221.59 614.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6HOI6HUYLFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 230.53 605.55 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg ('LVSOD\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 301.23 614.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6DOHRI6LQJOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 308.14 605.55 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LJDUHWWHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 388.7 614.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (\)DOVHRU0LVODEHOHG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 407.03 605.55 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LJDUHWWHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 488.57 614.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (9HQGLQJ0DFKLQH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 511.69 605.55 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6DOHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 52 582.05 Tm /F7 9 Tf 0 0 0 rg (\b%ODFN V\f)Tj 0 g ET BT 1 0 0 1 149.6 589.55 Tm /F7 9 Tf 0 0 0 rg (,QWHUFHSW)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts (E)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( 6\(\f)Tj 0 g ET BT 1 0 0 1 235.46 589.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 322.18 589.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 427.97 589.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 513.06 589.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 158.94 574.55 Tm /F7 9 Tf 0 0 0 rg (25 \b&,\f)Tj 0 g ET BT 1 0 0 1 215.14 574.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 307.13 574.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 412.92 574.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 574.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 552.05 Tm /F7 9 Tf 0 0 0 rg (\b/DWLQR V\f)Tj 0 g ET BT 1 0 0 1 147.35 559.55 Tm /F7 9 Tf 0 0 0 rg (,QWHUFHSW)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts (E)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( 6\(\f)Tj 0 g ET BT 1 0 0 1 230.19 559.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 322.18 559.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 425.72 559.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 510.81 559.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 158.94 544.55 Tm /F7 9 Tf 0 0 0 rg (25 \b&,\f)Tj 0 g ET BT 1 0 0 1 215.14 544.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 307.13 544.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 412.92 544.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 544.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 522.05 Tm /F7 9 Tf 0 0 0 rg (\b3RYHUW\\ V\f)Tj 0 g ET BT 1 0 0 1 149.6 529.55 Tm /F7 9 Tf 0 0 0 rg (,QWHUFHSW)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts (E)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( 6\(\f)Tj 0 g ET BT 1 0 0 1 235.46 529.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 319.93 529.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 427.97 529.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 513.06 529.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 158.94 514.55 Tm /F7 9 Tf 0 0 0 rg (25 \b&,\f)Tj 0 g ET BT 1 0 0 1 215.14 514.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 307.13 514.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 412.92 514.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 514.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 496.55 Tm /F7 9 Tf 0 0 0 rg (\b$JHRU\\RXQJHU)Tj 0 g 1 0 0 1 52 487.55 Tm 0 0 0 rg ( V\f)Tj 0 g ET BT 1 0 0 1 147.35 499.55 Tm /F7 9 Tf 0 0 0 rg (,QWHUFHSW)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts (E)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( 6\(\f)Tj 0 g ET BT 1 0 0 1 235.46 499.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 322.18 499.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 427.97 499.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 513.06 499.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 158.94 484.55 Tm /F7 9 Tf 0 0 0 rg (25 \b&,\f)Tj 0 g ET BT 1 0 0 1 215.14 484.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 307.13 484.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 412.92 484.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 484.55 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 469.55 Tm /F7 9 Tf 0 0 0 rg (,&&)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 261.06 469.55 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 353.05 469.55 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 458.84 469.55 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 543.93 469.55 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 52 453.55 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV&,FRQILGHQFHLQWHUYDO,&&)Tj 0 g 0 0 0 rg (LQWUDFODVV)Tj 0 g 0 0 0 rg (FRUUHODWLRQ25RGGVUDWLR6\(VWDQGDUGHUURU)Tj 0 g ET q BT 1 0 0 1 52 453.55 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 52 443.55 Tm /F7 7 Tf 0 0 0 rg 3 Ts (D)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (1 IRUSHUFHQWDJHRIWKHSRYHUW\\PRGHOQ IRURWKHUPRGHOVEHFDXVHRIPLVVLQJFHQVXVGDWDVLQGLFDWHVYDULDEOHVVFDOHGWR)Tj 0 g 0 0 0 rg (UHS)Tj 0 g 1 0 0 1 52 433.55 Tm 0 0 0 rg (UHVHQW)Tj 0 g 0 0 0 rg (SHUFHQWDJH)Tj 0 g 0 0 0 rg (SRLQWLQFUHPHQWV HJ\b \f)Tj 0 g ET q BT 1 0 0 1 52 443.55 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 52 423.55 Tm /F7 7 Tf 0 0 0 rg 3 Ts (E)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,QWHUFHSWLVUHSRUWHGDVH[SRQHQWLDWHG LHRGGVIRUWKHDYHUDJHRIGHPRJUDSKLFFKDUDFWHULVWLFV\f)Tj 0 g ET q BT 1 0 0 1 52 423.55 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 52 413.55 Tm /F7 7 Tf 0 0 0 rg 3 Ts (F)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,&&ZDVFDOFXODWHGDV,&& )Tj 0 g /F7 7 Tf 0 0 0 rg -3 Ts ()Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg ( )Tj 0 g /F7 7 Tf 0 0 0 rg -3 Ts ()Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (>)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts ()Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (@\fDQGVKRXOGEHLQWHUSUHWHGDVWKH,&&IRUDK\\SRWKHWLFDOODWHQWFRQWLQXRXVYDULDEOHXQGHUO\\LQJWKH)Tj 0 g 0 0 0 rg (ELQ)Tj 0 g 1 0 0 1 52 403.55 Tm 0 0 0 rg (DU\\YDULDEOH)Tj 0 g ET q BT 1 0 0 1 52 413.55 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 50 397.55 m 564 397.55 l S Q q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2015/15_0231.htm Centers for Disease Control and Prevention 7)Tj ET Q o endstream endobj 13 0 obj <>>>/Rotate 0/Thumb 30 0 R/Type/Page>> endobj 14 0 obj <>stream x(q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 50 628 126.16 26 re f 0.79216 0.83529 0.79216 rg 176.16 628 80.6 26 re f 0.79216 0.83529 0.79216 rg 256.77 628 98.13 26 re f 0.79216 0.83529 0.79216 rg 354.9 628 116.82 26 re f 0.79216 0.83529 0.79216 rg 471.71 628 92.29 26 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 50 654 514 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 628 126.16 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 176.16 628 80.6 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 256.77 628 98.13 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 354.9 628 116.82 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 471.71 628 92.29 26 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 613 126.16 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 176.16 613 80.6 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 256.77 613 98.13 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 354.9 613 116.82 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 471.71 613 92.29 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 598 126.16 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 176.16 598 80.6 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 256.77 598 98.13 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 354.9 598 116.82 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 471.71 598 92.29 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 583 126.16 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 176.16 583 80.6 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 256.77 583 98.13 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 354.9 583 116.82 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 471.71 583 92.29 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 568 126.16 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 176.16 568 80.6 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 256.77 568 98.13 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 354.9 568 116.82 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 471.71 568 92.29 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 50 553 126.16 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 176.16 553 80.6 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 256.77 553 98.13 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 354.9 553 116.82 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 471.71 553 92.29 15 re S 0 G Q BT 1 0 0 1 52 671 Tm /F7 10 Tf 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg ($GMXVWHG5HODWLRQVKLS%HWZHHQ\)'$7REDFFR5HWDLOHU9LRODWLRQVDQG1HLJKERUKRRG&KDUDFWHULVWLFV)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (-DQX)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 52 660 Tm 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (DU\\-XO\\Q )Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 54 633 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&KDUDFWHULVLWLF)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 194.3 642 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6HOI6HUYLFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 203.24 633 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg ('LVSOD\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 279.94 642 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6DOHRI6LQJOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 286.85 633 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LJDUHWWHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 374.79 642 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (\)DOVHRU0LVODEHOHG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 394.33 633 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LJDUHWWHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 484.98 642 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (9HQGLQJ0DFKLQH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 508.09 633 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6DOHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 52 617 Tm /F7 9 Tf 0 0 0 rg (,QWHUFHSW)Tj 0 g /F7 7 Tf 0 0 0 rg 3 Ts (D)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( 6\(\f)Tj 0 g ET BT 1 0 0 1 211.1 617 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 303.95 617 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 420.77 617 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 513.06 617 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 602 Tm /F7 9 Tf 0 0 0 rg (\b%ODFN25 \b&,\f V\f)Tj 0 g ET BT 1 0 0 1 190.78 602 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 288.91 602 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 405.72 602 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 602 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 587 Tm /F7 9 Tf 0 0 0 rg (\b/DWLQR25 \b&,\f V\f)Tj 0 g ET BT 1 0 0 1 190.78 587 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 288.91 587 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 405.72 587 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 587 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 572 Tm /F7 9 Tf 0 0 0 rg (\b3RYHUW\\25 \b&,\f V\f)Tj 0 g ET BT 1 0 0 1 190.78 572 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 288.91 572 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 405.72 572 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 572 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 557 Tm /F7 9 Tf 0 0 0 rg (\b8QGHU25 \b&,\f V\f)Tj 0 g ET BT 1 0 0 1 190.78 557 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 288.91 557 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 405.72 557 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 498.01 557 Tm /F7 9 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 52 541 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV&,FRQILGHQFHLQWHUYDO25RGGVUDWLR6\(VWDQGDUGHUURU)Tj 0 g ET q BT 1 0 0 1 52 541 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 52 531 Tm /F7 7 Tf 0 0 0 rg 3 Ts (D)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,QWHUFHSWLVUHSRUWHGDVH[SRQHQWLDWHG LHRGGVIRUWKHDYHUDJHRIGHPRJUDSKLFFKDUDFWHULVWLF\fVLQGLFDWHVYDULDEOHVVFDOHGWRUHSUHVHQW)Tj 0 g 0 0 0 rg ()Tj 0 g 1 0 0 1 52 521 Tm 0 0 0 rg (SHUFHQWDJH)Tj 0 g 0 0 0 rg (SRLQWLQFUHPHQWV HJ\b \f)Tj 0 g ET q BT 1 0 0 1 52 531 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 50 515 m 564 515 l S Q q BT 1 0 0 1 30 735 Tm /F6 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 496.96 735 Tm /F2 10 Tf (VOLUME 12, E171)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.41 718 Tm /F2 10 Tf ( OCTOBER 2015)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (8 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2015/15_0231.htm)Tj ET Q !Y endstream endobj 15 0 obj [/Indexed/DeviceRGB 255 16 0 R] endobj 16 0 obj <>stream 8;X]O>EqN@%''O_@%e@?J;%+8(9e>X=MR6S?i^YgA3=].HDXF.R$lIL@"pJ+EP(%0 b]6ajmNZn*!='OQZeQ^Y*,=]?C.B+\Ulg9dhD*"iC[;*=3`oP1[!S^)?1)IZ4dup` E1r!/,*0[*9.aFIR2&b-C#soRZ7Dl%MLY\.?d>Mn 6%Q2oYfNRF$$+ON<+]RUJmC0InDZ4OTs0S!saG>GGKUlQ*Q?45:CI&4J'_2j$XKrcYp0n+Xl_nU*O( l[$6Nn+Z_Nq0]s7hs]`XX1nZ8&94a\~> endstream endobj 17 0 obj <> endobj 18 0 obj <>stream x|y|e}&e&Äe aY "Ȫ K]H$HDPQTPܽ׈r]Jzީ .tYh82jkW݄=O̞оظwM9vnP5y޸icG.ǎ*=ү=#xfso _'3f?~u;~;Ux`wSp2Q`ؐ^l,"$;ʘ?$ JI2[6rxR3L@Vv;;^)ԹKvkNH=;/z]_Àt-:䶡Æy{wcJǎk&OӦϘ9k߂e/YZlʪVYn6V}'>/ӗW{2fLK=3%3#}f0Qc/}Ѐ> lW 5&15(,  l<x:\``pہ3/rY}Jd˚Ǚa+R+=/Ep7w/{^׫PqGuW7#$% W_x*! =R?6kw7?dǕ-[oR-[ot˧jyB/T\l//>.O:;}~=\ιssΥgv˳x7;Cg>yvg?lLϞ@g&ʿqt"/!СɣiK*(, jKXk`%NTWX{ XA88Ca<(< a Rx1x ކ7Mx qKN7P aL)0pL0f, a| s^aBEwh'@ 'Fb"b&b%6b'$.&)CRg'I#$xd?iC$%H{ҁIGNkH'"IM¤+!Ht'=HOr-\OH.Ez<%ב>/G|r= 7B @rBV2F¯| 2 ' #A$%dMƐR2#wd$2L!wއ !|g<|s 0͂ݰ^2,5P +O{Z&k:F@jr_h]ƞhr}*la= $tI D3s9`qc:򞋲^s`0jUo;)>WP:9;^7fw. 퐦:X x_FM OhznPt@mzXPn5$ZCbr*bOG o,#/( .70(C]| - Om,Rw  KѦIfҀa{(v=-k8KPk:o6+ƟfzR.nZ̒hJxHb'}Kb~~˿廛C1x|~sĐ56av B :K H}xͭ>'F7ߍ1i0 \{L݃5񑷐*!ݷ_ l I lwrc@ [x/^#1bH߿ke>K'N@Ι|iؠ#4hua Om Ҡ{6PPFWV&Ƣ+K34)Z[Dľ1\XtT Vz:Z(蒠_:7 il.PELILdTNfjXev?a7?{>E* Qݯ(ٕ0QΔ+%3pHa_FT?Oԫ=%z(7yxc0ЏCP52a_~UL b͟{F%{Ā#f?*ͯ*/J/2SīWzbbRxt&Hag.j=zU>c1 V~ka =A4DΕ3Z ؙ3W//#w+Sg]3Ik=cNMYrZhQZ qn6 4@gQ\;Iз'+ouDU%z{t06)FrgP ;-F S ̾T>_X6X6O0C]P(UZa U#b9B.rt-Djs8TMZCBD34 ¡pV?f?=ϓZ00~Y#hh7 ?Gv8f9]6E9#vV#Ov$gzS$K;,53őtgv'-2St.tWGQ&/K+DciNiVǨL4lPfjHScיGp8l}s!¡` !XfVNnlblYLd0oϐKbڍK QB+/[faF>CNl~5T3leM( {{7Θ|Ieޓz+j% )1QZ"rhzV8-jwGŹ9u!ɚЂ\LNCd\n#dT܉*TvG(D`C H+.ĭxQ+2s6'5̞G rxV>3E(A9*O!Yr5^#| Nh`̓Zy hT!ZZN[.QTZҙ9-H+U<; B8P1eQ}gf|7FB'#16%rLИʣiϖRQ6 s5@Ssj_eѲ'9@H/ ߌr'r.ux5W2'Id'Yr;>r .o;Z]rCsVQ w1*t1e\er:;i(Q'54ҽ&il(J}vHEvv*SW(|AhܚFjfp.ЃWv!5^omɑ?BG|#A?bV3?PDCj1@6C eG3H|$O+LCsq6zBD4pE=JҹPt*'D8J7̖! e=BPc{LYT崉+={'>ߌHI)q&p?"fN z` q@443q&쌘T,;&ȋ 0u%=WT`8ofCQ_=pHrΙ(+53meny^\3 +'_6^>|%B{?o!ådٻD@.f,1/[ydw9+c.cl sA^U[HUm0EVR( D]kPY7 JQ]fdb#H+ tcuTK[9,p*MJ!!E lFA@S)c^=:í/bNe,FmFIjK}Qy))=ƙ|H񑗞W*{IS53qXwz9?M}?C ytЂ649~a4:_Pf7DF7;3mfufU-])(ѨQ]ə<-p048Wb^őp*^wy@RBg0MB6h˄[XK1~ܹǸ`<2br,A]ZƠ Qx::u!핎HtiH&.&n<ڐ@kun#<5"Um/iF-Ӫ=WԘjL4tsq2VD\RlNHW0 .m+eTڦS>ϳPrB?^K5ܱvh-c#Ԗl<Մp7cjNGĈ~4mFq46bSUtuuίCq$ffvFo 69Yw98cf]|)cCE+O#,v$ ns6:)kz]X!SDRM{Upb Cd I_[^\#1u jzEąu(B%Tg.Q5bbPR4Wע {02D|Rň[e2V'زTDbF]( x G+}{lx'vA{" dGz^ :geTRJa-]ڗ6nH:Z3<<{8bLb= [Q#>J+i.*QSǎvoe*lڍ64ʴ= ۞4t(^I,TgUُS5he6̘`#Ŭٌt`f.9XvfpXV~ QLtmct t];C-zϧ___QkvT-}p@O{񗶜cL]|˓掘0eƨU=r7$hM>[!lN9"hTڏHM#JpCq1+b5#s`-V]h$Dޡx4u{tGЬZ3tDSIPΆ1{j$t C0aL*Y_y[&Y&wqY䣤h{660T #+mj4jjIAJ0&@4%_Am 8>zY]7 M #/zU"c IIs*j8S).TT̩T3 n]I˸!vC5+Mydk|M a@FAAV$῕>;dսkɁWJyM|Ppe?]2zbѫDS/8`CE0nz `ql ~KEZeKvvSnq6fd5h3,C'gӂEwpa0b*MAh @$ |D[4W/[uob)w/9rPplW7^N;fcWhvE3'ұYZn4ߢo9^o$Xjm=ǒ!t#̇]5b\aM^ ? Q}яԁdvD`3@(qqt9bc-ws?CLx&7X6% ˗X'@lQȪR'%m*ϖ[3+FS)q7u܋l#]ȵdlE=F63wrݺ䣗P,e9*$}ۍ{-X1CmjhV9"`"!v$m5*!UI%[Y,rZ*qyPC/֬3nk%chvw2NG, FéȱRj0EZβ@p?V2eS4'jHId"lUj~Ѯ+4wgh9MƮ^aji .r,8zdD`GM5?Fo܃'gxTҩ*='}g0W5ǻ=}w:U,HKjь6mTG4iH CG>)L:3bsצix1Ŷj-D,P!b֌@ [d!Dы&g0Jf[,އ}6Ƅ&J62wW6S̑CA =0"]nD1&.`-F, t,e`N'ok\Lm۾`|i;}̜ش;?;_.Ʌd_r~U'?kQߙ'{KAײ6:Dq ?(ZCز0jΠx&*GqM\Ś{ ʱ/]Dq[AmdՖiDPGŌ}Y1ˌ~PBnS͟X3V*+/xlHDX6x ȏl*D@pst#`@V3(̩8.V@0s~rá?_5AG^'w}LY@ bm3?oMG|8ZTwWrt%ef\,#} [Dk;&uk w .VKN/ De-?vF@;x0l'ȫY$NbJjN6Tc`F1WchqHmۦR""C~j]fSKxN-XOIy<&"{ӡYY@TVf<8iX"Be;o]K5۸dbph4}j/n}Ryr禒o3a;N^X*?wRt8>oDκq[+SW+- Ĩ~u)3N52tjÃlyhE}F2hRx~WARIS!)7;%sBZ"QnmFIJ/L^!j*.1WS=#v ]D}Ug]]bUG __΄ gpWS^Dg;-dbh2)J)VٺC%LJ*:ѕ8Ί*[1hXf1mۚx䪊cfsf;Y^Ud;vEgu#T_f#S69ƿ׃!:sԨ[rVҖ?^SzyvV=hZahж<Qr"G%gPt&A2"Bٞm$82M֦UX@ Ѕj1#\Y35mwGxUյ.?=! Ml}`螟yN|+*ĈKbgOLK&h~PQ}8gr.. ɦ%eeژn64n.ꈉQ3%<100"j*aQ2KYi*65|Fo@b%T"aq6-x!u/} h_3mwH "LUћRVk?J?P^s9jcv`bQa0Uʖ%81CY(Z@D87RwtlIBY(OKO.JpGx5w+s9gaktI&+Si#\T{5q5hݴn&b'Yڞ,,agg٧(F 1ሊC#{'@z6NO:m}{56Z!VaSJ#xSizDфԒ<83{qpWW@.D% w,5"TkR s0YaZYU>k+ӦldNyi?|쓷'~Mmp[L=!qu(&>r("QV!G*Bk4kl;^DxlQ1N4UiIH*xR ;JDaJFG¦P& 8W}Xh,Wdvb=/d> H6㨞|!?A\N 7LqRKS(} t{ɽ*-c9{N~_d^&ݍ}H #g+OXu+`c bT@Er`sbLnO䓉'%:mwrO >$.'iچ;ʁ_%zn[ r >KB,㱬r#Ƴk]A{'mP \h,c@hx]=mAϮzP/s}血kրJ|{x{tylA? 0/XB?&- co@} ]!PGNC 9_#:&CaX|G`qۛ% ,3t平y n̛791M(4vsAuXϫ ]* o L> ߰^&̪ ,vaJ鞏/ U49ҙ'EpRr=p?@<&@m hЕbg =Gu)as!XJP?2mj7|5bߌ idʵ| x`)΢L>b`hEP{6`^ZY% a h7mXX!s*u,va~"YA^B^NgKz]1.XLh#_aoO}6Y3l_N0`Y3UٷEk@>hCfK{ˊ7+r m)KQkx[ߙu|; M[ބg|v1} C 8kE' nlE;`A8+X|;7 itC;O?OW}!7]-\.1S>񯅾#ȞŲU<{qk)m`z%Ju3 zk6Шj+3~k?O s ?$_䣠Qئ3+!>UBjL8Sk`nӋȏRl+ ߰pǰ,P7`as`muJ0%ދSDl ^/B7 SբOgl< '1(H%Zp1~BʽQ5:׺UǙXd3qz9[N3M$oS @: ߄Iߗ1?M֛ZKo>V);taXCsfOo =-/Ȓ?BO#>Âo3okKr,pTUH"XKKaָq/SX֠J?X6Rd=n'Fpz/eqv lcުRUW/-UOڐݠ]GRp46L11%&yӠ>Me-ԐS w,b1OLyyKB>&bߧ5 endstream endobj 19 0 obj <>stream x]͊@z rgdKB`! J1IJ}H]^1]Ua:˽Ӱyɥ> endobj 21 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 20 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]5[315]8[720]11[293 293]14[586 250 250 250 454 586 586 586 586 586 586 586 586 586 586 250 250 586 586]36[535 604 579 646 547 507]44[250 373]47[489 810 657 630 559]53[612 569 485 605 536]62[293]64[293]68[528 537 465 538 520 299 491 540 229 229 500 229 813 541 519 534]85[329 463 307 541 450 664 423 415]178[586]431[534]435[404]]>> endobj 22 0 obj <> endobj 23 0 obj <>stream 8;Z\74aQ-J$tZgq1\Y9GcPCR79LBm+djWJr"DOCDi&Zej5Y?&DOe'aGh_q/Z9;EsC %mLStqcEZ&Z_h#5qU5&9iP2dap1>nrib=b9:VE7l7BFJ]eLsW[k4FkI4h7/qfN>4t 'jKB\](Lg7Z%F4S\S^Q(+afVI?\+;q7#B5;"Z #@>?oDPlg)p2K14jqtV`*]CQX\+FN9>S#bkZ(@3.5V#R /0(*1`c4t(-j@C^n(b8 !bVZd"hp377\h3h&>[ZL@A?HL_5:OI:Dd1>1XXeWIAegqTRo#N1qaT`C-l*\J#Ha4 ipEBoTd3BNVGUbm^k25-@F[I"$&5I%Lg_u7G\Q@jm0Em:]s4!`-:41Fl(0MC[l?b: Nhar[&8 .7MDRM1trtQ3!0s6\jX<5ft7(bCFcOZJ\^$+nX_[)CSf0r98MfZ:edsBmHa(9#oh2 A\9a.Jp`A?$6u@P%!&u^^.1KrpS(=b4KIRd>_;!fjAqWn/t6g:eotFj)Plit-I3F" M;XBj(%+5rT3iu;7UDGeUs$i6mZ1Lm`<^dZ!8 X6qVnR(*!A">A0f;eULt\EOTrb>12,dXH=b3;ltsQ+#lQ )]3.r3ltIO;3S8j<.h171jacM/R3sC4[n5Lq"b21@'duIQ"`aCiHiZppI5f[??c; ,S9$h'Z"5,Njj'Om4*Gtkk[5Rou'rj);f-Qs,_,RMq'RcR%?7gRc"1P1j@SQenXt`$d('5D-h^S&mZPRf*VR:J=pl&Ylp>f.2g-0IUrD=QD,afl634CG_u6m>jmk7;[aA@ YGShYVH\Q`PE5#.X,Zi="il+dOQZ)I6Eu#)50h=??QEW.IscO!eUI@Df4aK`YEZE/ g==tYY+JK.C]3l]9-s"?kLW1Am!6/-A`^;UoA'&20@+;2rpB71q(iTFC,I+`~> endstream endobj 24 0 obj <>stream 8;Z\796TAS%-/n)_5_o#XH^V1AKQXW?\[/=WsTuK[V'pW1@Jd1P$9##VXUWQEK!-: ^YO2XkPg=3\W>KYNP1_EnT]CC*eBs0_fbWfT)ZC)a2@lSI@fIKkIra3,g2rqD)j>N+_q3r7lpPu:4L,X16brq[SlB,S$#?qBL5Aan;#1>]TIU6)c m/-].g6FJ??1pu;?u!oLdFLMV'F)+q?ME3 k-a,pF#8=#cGadoY0X[S@/$-hGn.P+b==P@d^o]nk%CS:o4+=t:&?LC'tDSrItb^t `O'b_&3RdL3lafH(NI'gOA3QuHrC`-j[;4"qpXn*Ol/E5',F_4g7%8*fZr7pnkE8U H/u68L(IE'&f%#ZY@U,I25cl\ErJ/')?SKX6,p+QGg2)9a_#N@Er$9(\WpIChM>%C IG#sVOB;3QN$+udCiM-u\anrYeCQ/U4>^C:J6a<>:3VS)(1L;_!aq3*jui.^g0JtT k>XC273'7B?7S.`i8=#^l8k/WS:tW0:p]EnM'0s8pn!mp9Dg"a'4%bZl:K:s"lN0a f3J/!^4X`SUD[Ql*Ong[LLiI7_Aa$cK:BG7# ['SY`O6T$p7P&ZT_8u%qUiuAe22d\Z9e@5mSRJc<0/ZsGMV==uoP?CemClk@ ,$9lT?59`u$WsG^Q'R6e[3E\Z[^Pd0Zuq2ClA5H#id/>naO)*OWPTbm(@)@A8W[KL `Rb:I?o3I+7d80U`$5tT[:FU;%o82'`6h^$Y0O'k@?W021u>8#&+2J67k_m)gf_M' l_2oG*i%4P/%prGT(HSL<4XTdh3Pc>etR]kWg5Bj7usc?FGdo=Y!SF$K\O%<&8)TO -5K7^.\UCTb.1/Z/@)gQF'?SMT4Ll#F@_ll(c/YW;aiUjeaPpNEkB`[!F/G!*d/bR'c6Z4].!eR.JRU`n='Z]1tk-%KO UY;W3/]r8O*OK(P7cKQ/6<7.C=2.W4_]>5#ON03eQ[161,5KKjn56P&raN#VN=?lO 5a)P;7upl$)+?PU&)@\8_moiTR9F@0n>A`]NPe\b!33*6W1p[J8k#'jb;;9E4hY)>^*7bP=rK,1/:E[>j]&:K_iTk2oNF@4.fVe YN]=jU@5:G'"Y=UAo"JOYA-34pr?@)H]'K^&1:]=&"L_#VZqq 3ZjdPF_:&m4k4P+GY:WXWoQE6ZP3Zi8#"l9p0J0!nq6rf.Kb03bKKPjK:sWe^9k/i jf,)"P6P5()'[#P:nK:6DrT^E6NI/>3Ko#X$QX"]W 2=+U3*ZAlf2r&OJ34)>9\K#sfiO?=aZZ[E)mb6s-jbg9fNi?=`BY1I\c:Ha1]-Qd9 1B24G56Co?Xr_H~> endstream endobj 25 0 obj <>stream 8;Z\76#u$E%)aTe_.ifaStbb*o4a1VCo*03V.lg)3rb`4gbIQUE7QKf9- E'.IikBMs]4lZ7!&'T[`,=fu8\Jdq":Lt:WOZ@ol-h>@RTl8pSeUl]=F^>:L?Ls_3 &tdCShM_Pk9bVOF5pLA6?J%?!H_CP%G`?qHnZ^^%gjAb(Z+GLE\$tu.Hj/FU@2mt5 a1&EO6i=^-)5D.DbF%72h770eVp?K>`sgE:1HQfMf$/s4o_BI_d4h1G9V<\\:-!?j E8Jo(#5r<8Y+J`s''i?CAKo"D'u"`jHib:#m+FUA'/m@7T6NTplI2-S(Ta$W0G4:' ekKY^\orud%TAN[)Q$+D(KqC-Yo1)jGeD)Flq-iHSuP[:RsMk)FP=9c?rN e2TtRkTr`(?j;R@!TEYe;Kt)Z#G-(AOhh0PdqVTN%qcg[cP^I%J0U2fVdc.?A%Xs' dB&/5!Um_0q1Q59ZX^ILN%lV&f=e%jGT#9S/HhVO#$/!%?p[];^LJ[B0in@R\X@#= &.eC;Y_$Z32+5h-]05GY5i1O,3#8nN^u^daYcl&.3nkJO(m-/_J_GC)ge_5fS[:[. AEO$Rfl89\'Lr[[L-<,`l#FQJmKC4NkZTZ-6uL9+>KkYUpLi3l@,>^hH_bG[,eXag #c,?r53^A/jZqbZ%"fPdkF_a-`n%T&HX[6,AkIk9G n^Daq7B5f3Yrr3\GQ)?s,-mVpdk4ZOYuDhf!D[2K@7iZ9@PNedD8sH2LYT7,iS2-S QqNA\itY-\jB`>\39D9Q.l0\]BdHHUaKDF'S)$/]YfYk'C675"8g]c6(lBPtYO/[? i8"Mg>uW^O6.-u7$d!p#)C5ogV6D5oiTpj8cou.BG +np:TV:^MOL0#?f4"Ld6Wq-m1'cCIj=g4or!s?f=%;67IjWf@@ahKXAo:P"h#;4gs J5lWgT%3:NHfE%PNEHhlO'50J=P!l\[\1_i`"@mS9*5r79SaL;oirZG9h)c$U9^;\ P`aY'4Zf21=a2Q+/<@3IL^W%_AEt^[;@4QO<^fH#f"TR)6't=)aCJ(063BVQ2X]Cn\!Ls.B0 0'pLGbtCMdi2ega=f1*I)HBR#4t1uD[?G>k&kTA#&lIS0M')2kVe4V\nl88.',cA#Qc>F?')lbQ" c)F+C&;sS`\'I&q[D3T&VYR'4CV/]G3atELdt"7nq@0oOCYkI![@I%03h@6c?Rbep iSSM&+m,@ETNdtE\?Q0,o:J[%.oIMcY,[8[atrcI6>&:G'ioL+'Ui:Id8cN-Yi\68r8jqQ,pSfZFV6Bu$fs$SQ0&dN ZAttVOt5/(,4c/ag4'KiZgj>]F^TUuELg@FG>I@2COF\Z/%uCt``F03p0f\>3L-Ip;0mDoAQh?k<m\KNV2\N 9hBQ!(QL+VZO=G/*=fA14sN.%VG$];/"b0i,Mo'Z^;\#$o endstream endobj 26 0 obj <>stream 8;Z\799SX$#\5fZ@9%^mZ!+XQ;n!L,WX18 a%qaNcMd@#6h*/iUHS=/V&k\aa5c.S[5]2I39'\9j*3]1T$R1WM#fj?IbYa/J(5'= Z9=fL3?BEZLE3StaE@'$pol`u^ZCFO;BdH"mW#BAo>Bs\?dENN@JCnip_aoqqE+.j Ib`7q16+1B9[)Bq(n'"9"f#M]$QO- D`N7airAZ?N,88B@OCWM\5LA<=I`B.`#LYXZ$_.CQ+4U_hD@9p^c$H,4s-3QSn#sc ]_Bh6UW9T>m_mVZY=+U`5IiG`:*oV!s,SPER5HL,ke8^J6(""IjPC!-!p!_kYt$@. `i48$$4B"V<(Yh5b$iq9XLpI(9\QC<'^g2:r.Fd[Wn`HmmV#0o(Pkj3V/g8G8&Zs0 1l"9$0Jmerr=U9uUp4/Xm>?61nLJZ4r0*&'9>dG@K`hWm,&h1Mfb&Rcrp8QeDXUp& EBPk`!&c>,"L2I\Guefm@T>ZHn]]JjO@`&l4ad?`Q%0F_a(flsJ@F.QW91aO0+\.K )3HPnF,3l`3C&Pl4f3(+K/nd*#C%IWVo9\t[eQC'Dt-lh6=a;DIZin+ieYZ$/E!DDcHZLK,_"%dk6HLl=/f*jCk*:!0oBk4cII>:8]Sp-6 Mg7*)&U&SZRq:Fti>ql(^4&(mV^`Zo<6rKo>SH6`3N%6n4r9>RC$R,K3GV(5aRC`F @-saIRrM,_M],4gTS5EmC4VG(]9&FU0:j2(^RA8u^G:4EZ$$\H#QUl=AnlY+Wn6#B #rg(0L=dJWVM\Q'AE4`[*.SoO[_7K5pjt$G5[\!8c32!jl7F+LicDgN/*Q4,h[r\A n]es%6B:FUQ:%Z1J^',nVoDu][POGr4HZbs&d\k[1,jlDQ(n?\p^>kO?3@%Qq8,0A 'DF;PU[DsTKPMFF)diE$r73=LQXd3a1T8cFEg3p!R;i%U:n 4sVpr!bsQ4S#L3tC.0;#oEAkA:\6!g"Q.JZFI$:4ClsSCpaTk,Hj-'kI*>uO7M=c5 .9oJJ0mb;.%GNS!01kE2fXi@mnP5#j-E=b0nO*mcV^P6@L#K$`4%FF8$0AEB%B%0L &oANe)$tRV;+k_W;34-sKfd)+0\%=&G@.CKcl"*;/2`]X-<=he8e.]9WjnNAcS;?G ERpYd,NG944m?]\4/JrDbpjT$2=H>6?s%.f%IhNm#c\>%Y]o:'-5W/C^iW:SS'9R@ <2,S."*fNm#2;FXC2_>jXntU&F0.g]YjS+XcGALB1."OE>.oH)rF:,,;+`B1YL&t/*]Ohj=`D_QT1?.h,F *6F+[VK;Gn2H46aF#^!,.")8QAd;C2-ZWOt-^u(,Nb3\iA9mRqc^E;mMH:KKU ,JD_H+NH?T$qP)EL9f-ip!31Ga;AV`0G)f16=s$0f;`^ME$^1)P.m:^njuG(KWF)N @t"1gq&$C.;MR_.H:X/P3Qe\Z@!ierA=-^ G5;FO>]XSAa4N)Q^OqEDdYE7^'ZD?o7t=%%?9o,0%.2l3I:ln'8^bAg1?j74FbX^G 90/hplkFDXiT_O?#gKeGgU%Qt-\SR'hST3Q[[3$5YR[b#th4Ta%QXtSu>1Dhf ZiSEP#:*2*JuqkM]9*,86!kQ'&CO^n,D*G*IY1O6Y#Sa4QU1:9!h3A/riDF+Y>9NSP]!gZbNQ;fFo1-,`mM#EC`Zdm"_+qY-_"U-Rk^M\D.si Wd5!9kXkH37L_/VOh;"!h8n.AN#gsW>4f5P#qR+T-tSj+MX8je&=H_nfb&L0i&!TB 7oP.lbB,b';?/tmO I_(QSj/""=rl[Qfa-&N'QbU&RZ't4>jhJdQY1qVN:,61P%P_Ge1$NfUoXJAq]_eRi ^rHuYfUq2^j.?>P@[6D6~> endstream endobj 27 0 obj <>stream 8;Z\796T>T%-2.U_j,9[X>G^K.X`/:EZ&1r:fRKe4,K06l1\dE/LQi8;'^Tj.*hYO pusNQ4?mbo'q]bq\*eZ!ea<'N]A4J,(15ZNXuQH(?+6dk=FQX.B(L3`9:q69XSeM-!&Wn+8>\]8pN0u)Lml/-LJ3fO*jCRbUt^&#A) 3'QadT8X/&7L]eBGQ^"U*nFDGmgepG[@2U:fQnb+m0J+!MfOLB-k ]D\&Ub7suSa6:UDRl-et)sJ=,qE9pT rg5JLP5dOQ%6TMJQGeZC>-7sCHA>d.0l4Y(\8ENB9:IXc^3\G_Bmn:G=(;Xk:b4:< YJdZ"Z>NdO@q%QY,u"u&Q[B>#cfO4m:2\gq1Fj*:o-5CN.mCE/_Kl]&1&,]79P^r- foV8Bh?5I@X>.dgN(^Lo-2:r.Ql4jt\U`WC^]kKC&36u&nSfJ8W.`C=9:9.tSb6OQ rY$>_8:+iH)7)Y6>1OKppLF2*q9Z4eU;qIo/&&^b>j)aSJ6[?jI*CM+"2g <;>Z%lQ/ngH?:o+eO>7+=VL?YIZ6q20f]4k)o<@ hjk$0@EAg4[gLd>I4lpWG)M7sPGpB#aNmdcZ F#EFf$1Y"jGG-*#Hebt@3)+e^]k'bCWS\!1]o0e;[pG`age1t=n]44Ua'cKp;T,nU496RPY\ h,eHHf4.i7X?bjKJn_bWmX.FP[F/]Aa@rpI,1G5i"#t%F#g6NDpa9(16ScR%/^q"P q9q8eS?9s,)=r*VhNr?APpHF[.7qEj(]Vt+kak=Z$&2j.`=n,_p[%;66]HML:l@t+ JsT3nbIa@,/]hWQP,LDsRG)4O+jZ^qH=qO^e"`M4E.pthWLP:?fYN@\p$Ks\!=(-5 0Da*DQBT/3VM#nb0bagR53@`(=&5`N)gDT`*$+.Vl?T3lhq5e>BeC<]'N3&[l4MNi "8RL`K7OkiAOer71@`rX*&81qZE6mTUeOcD%4%'&UTs@\!S*9gL$m-gPilf\$]SrJ Fri0;$/B*YVlohX'$tGX3Obmjl4S2ocInk:(0kTnMV87`7jIHGdo7*TVehb/^1ZO$ H"==jcO"5VmnoE,f0`-tbW4p&]t:'8`%7Xj>:)E.OYBF5re,D0:7$,c2MKn$L6FX^ @W?+!:Vk_`jetJ@>+:aniYFq&7#,fjEt^jT9$4Z>/S:R'\kSEBV6l8.MH0DGE_PoO2bV`i\t;C%p9!%i0RMOIiHM2*dPL0`:R2I%8';@- X,Up&7SkGpAQ,;^^uuIF!PidV\1?GYp4o,=pU+(Od;D(A])s=h9p>bt@$0#Vi^E0L >rmteVK1gEm5rp)WBIA07G2CEn%5/a*R](dJY)\E"-:tTcBe$_a/N*!\bgU[_;'=; >q?Rb=/fhqD0th$F`%"p3?G,);MV!t['@t)"g)6-HH$C&*HMll'&pY"*=Iq7n<\R: Z?ta(`8RJd;`SkrV2/$?hb3EO:$'cV=r9/d;U+%8hCFO3GC$kgra)(:'BK]9L[mi; j:7%n_>6/beaJmcUHIs\S`l>*>)-h`k/lOZ?sWLDEona]ZmW2c1FaQ#I7&[XqDO1aQf.[/[bD)s(0Z](_smomK?KmCAZ^p&o!bTBhWdrZ(t0 U[\^W9^_&[.A +@2l&ck endstream endobj 28 0 obj <>stream 8;Z\7960&R%-2.UK9^HoX>G^KauKl2\I>YtkQWJ5p=(@l;t]EU"gWTA7,ulaZhGQ@ ML/^>%h-G.0;EUTPGu"XD;-tdY&W*QG)OgR%+tQ+]:\HbX8*lEf'O7- ^3T(WmdISm*ZTBFNFVl*hRK2X2/T@*E?$3<]BO\1L20FZme\S2cEWj%GfR%Vp$otE (`"IXr(\JVm;EsRj50!M?#TSt+41iJ9k;QKiN)k35dfg%MeZP]8:<6R-/L;i'FsiO>dVP,GA\rY^AZ($/ ]KL#,M*kbeD5JlS=R4]ic_RfKH!^kj[7lO6&\Yqa7ILD=Mp7=m?Vp9`f$ZrKXlL;W a5GWY3G=ETV/]AnX!bUFC`4[F0A;qGDaUQbL5he$ij./2MF]'_9JDe]QA[=MK-CO[ M9_Z""k$%7dTlWF+XChS2P.].KIKNn_]L:&Q6'uFX`7_:7lO\`i5p49RON*seKMDa W.OP?X7qe7PK9_^Rf<^;:WE6_6k$UE'&!J8D4CjYXPo:1-Q.>W-aRR=_fFiU+0_'F ,+2eCF`@#khSId/Z)kkul8opqTIk]$2&ddQIVs"6$P*'mY3O_u90_UKPb,S8Au8@&Xc1f_ q\(\0s+1SA3uCsSWg@h*`)e7SU[Zb)gL*aqKk3idC!N!^H%1DYOP?GT,DIlBr$.\W s.1OSO8R=XQ/Lb@cK<0)7:'V#h"q~> endstream endobj 29 0 obj <>stream 8;Z\799Slke9P][Td,jkC?s8VMEsZ]5@$j] lcH\6mc4?^54]7+iWPuDe7ZP[#f#Zd;Wmc(!-cYa6XTg-H>2Ag9ruRB*V!njArU#I s,b)9s#2YP=);fkO""5/W0N$ Ye>%X4ip])?>hUTiB>K(>Zl9XWe@B!5fcQdFb>2U6FmXhmNg:'q^_JCj`_;#<:$&K&Js&cJX -+Qu?FI$]3C,'ENb)gS1V"O`,>G=:Wf7940"QNli%?"T`lDG).G\J)lJX90j;9)Pu aBW<@aQ1?2VTu)2/e5B"YI1YrU#Es3el"E=k_b^:7h%-A1uU=feH0Bjee ^EZ=dpV(;>`E3'XnXBCAj.Ut-n\4$jq2p0GW@8AVb(p^[7)c8+ug-_Q5!SO&N0kJoJo! YS#fC[\mG='G/gTVAqP$G(lu6PP3>S/daQPLtqT)+;lG4C$094KiIIVhWo16a2998 PZI,R[N?o&#Hj+\Pboe\G/]-hKQ+g4'WjrHMKj&GQeDU.@Y^ki5aV#KNf]/Z,#Q52 -5&?2ge87dqA>j\Y37;K\+N6.`rd:8"d;OND(p+2ZAqB\P$,chX)up^Qb'EG)sP&t %m&pIK+9s+TS!_8kb-h-GOP7s%:?U"C[m.\"+PZuD/[US^O*%1hD2?n>3Y*D/MW9k [uAp.kjI-t.k3`2%-!hup8g(pX*@!00`@\ZO3SSo([,q0N"8#C-Z+2M7PWhFd#[DZ !-4XS&H~> endstream endobj 30 0 obj <>stream 8;Z\56+/!]#\;J@#qL(`Y]:5kWcK"X\W#..!]AA#k5WOsO8(*=Ws$9?Y8J==<6_$HDi.Jo )L<7T3mt!,bc$>\Z#O1c<"l(#]$*[3ZT>#,W$elcLW'O7k,QnO+EDu7cgBWaa;;@T "?$%9N-n&[4p:\.T&eTW3+9NefAJ>"F!di*WoFIahZMjYIU&%-OM+$9l^pO?L_1kV _A_5sB,gHb(V+o:4R2KPc((,-+85m-3$+5$'/<;]rPeZ8BRN@,[ZRbHBLhS$[R''m CUsqg2G_N>PrpDa;JN[4c-Z:Od3T"$[=%oUVS'FD_?Y6ZIq%flO*NI&W7-@2`8gU) ABHD8Na.6DnF^08iV?l;#Q)^j:\q?1r+lpueV_s[`/JbJcPk\r)BB!>\%2&Um=<6i ;K,1/1`.dnqSieW`:B*gAZMpp&bMsJQl!2O_1jRHPLRY>Dd0]KAl&0k]cVW1@gHJV 9m/;Pg]c:*=Y&r+eE/EF9?1CeqBo8-2'/1`>'/1`>'/1g]%W-k=^Dg%JM's%2K hHPr_NcmKrBF7-Ao0-Ps1%ILtDJLarNugKj7I>I;-GhF_HU*feN]+u-IYOCV33\g- amP$I0424mGR(tg!( endstream endobj 31 0 obj <> endobj 32 0 obj <>stream 2015-09-29T15:53:31-04:00 2015-09-30T13:37:19-04:00 2015-09-30T13:37:19-04:00 iText® 5.5.6 ©2000-2015 iText Group NV (AGPL-version) Preventing Chronic Disease, PCD, CDC application/pdf Preventing Chronic Disease Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion to address the interface between applied public health research, practice, and policy. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Preventing Chronic Disease PCD CDC uuid:83ed0c07-b0de-4402-ab1c-e5bed1ca09cf uuid:c5679ca4-fd91-4d7b-bf59-8111c9a27332 endstream endobj 33 0 obj <> endobj xref 0 34 0000000000 65535 f 0000112297 00000 n 0000112497 00000 n 0000138055 00000 n 0000138255 00000 n 0000164091 00000 n 0000164291 00000 n 0000189675 00000 n 0000189875 00000 n 0000210038 00000 n 0000210239 00000 n 0000222085 00000 n 0000222297 00000 n 0000235742 00000 n 0000235944 00000 n 0000244177 00000 n 0000244225 00000 n 0000244739 00000 n 0000244830 00000 n 0000259354 00000 n 0000260026 00000 n 0000260219 00000 n 0000260760 00000 n 0000260902 00000 n 0000263345 00000 n 0000265880 00000 n 0000268431 00000 n 0000270972 00000 n 0000273344 00000 n 0000274991 00000 n 0000276331 00000 n 0000277355 00000 n 0000277452 00000 n 0000282086 00000 n trailer <<65B68CC0D5C7EF4893CF1ED8351F6679>]>> startxref 116 %%EOF