����JFIFXX�����    $.' ",#(7),01444'9=82<.342  2!!22222222222222222222222222222222222222222222222222����"��4�� ���,�PG"Z_�4�˷����kjز�Z�,F+��_z�,�© �����zh6�٨�ic�fu���#ډb���_�N�?��wQ���5-�~�I���8����TK<5o�Iv-�����k�_U_�����~b�M��d����Ӝ�U�Hh��?]��E�w��Q���k�{��_}qFW7HTՑ��Y��F�?_�'ϔ��_�Ջt��=||I ��6�έ"�����D���/[�k�9���Y�8ds|\���Ҿp6�Ҵ���]��.����6�z<�v��@]�i%��$j��~�g��J>��no����pM[me�i$[����s�o�ᘨ�˸ nɜG-�ĨU�ycP�3.DB�li�;��hj���x7Z^�N�h������N3u{�:j�x�힞��#M&��jL P@_���� P��&��o8������9�����@Sz6�t7#O�ߋ �s}Yf�T���lmr����Z)'N��k�۞p����w\�Tȯ?�8`�O��i{wﭹW�[�r�� ��Q4F�׊���3m&L�=��h3����z~��#�\�l :�F,j@�� ʱ�wQT����8�"kJO���6�֚l����}���R�>ډK���]��y����&����p�}b��;N�1�m�r$�|��7�>e�@B�TM*-iH��g�D�)� E�m�|�ؘbҗ�a��Ҿ����t4���o���G��*oCN�rP���Q��@z,|?W[0�����:�n,jWiE��W��$~/�hp\��?��{(�0���+�Y8rΟ�+����>S-S����VN;�}�s?.����� w�9��˟<���Mq4�Wv'��{)0�1mB��V����W[�����8�/<� �%���wT^�5���b��)iM� pg�N�&ݝ��VO~�q���u���9� ����!��J27����$O-���! �:�%H��� ـ����y�ΠM=t{!S�� oK8������t<����è:a������[�����ա�H���~��w��Qz`�po�^ ����Q��n� �,uu�C�$ ^���,������8�#��:�6��e�|~���!�3�3.�\0��q��o�4`.|� ����y�Q�`~;�d�ׯ,��O�Zw�������`73�v�܋�<���Ȏ�� ـ4k��5�K�a�u�=9Yd��$>x�A�&�� j0� ���vF��� Y�|�y��� ~�6�@c��1vOp�Ig����4��l�OD���L����� R���c���j�_�uX6��3?nk��Wy�f;^*B� ��@�~a�`��Eu������+���6�L��.ü>��}y���}_�O�6�͐�:�YrG�X��kG�����l^w���~㒶sy��Iu�!� W ��X��N�7BV��O��!X�2����wvG�R�f�T#�����t�/?���%8�^�W�aT��G�cL�M���I��(J����1~�8�?aT ���]����AS�E��(��*E}� 2��#I/�׍qz��^t�̔���b�Yz4x���t�){ OH��+(E��A&�N�������XT��o��"�XC��'���)}�J�z�p� ��~5�}�^����+�6����w��c��Q�|Lp�d�H��}�(�.|����k��c4^�"�����Z?ȕ ��a<�L�!039C� �Eu�C�F�Ew�ç ;�n?�*o���B�8�bʝ���'#Rqf���M}7����]����s2tcS{�\icTx;�\��7K���P���ʇ Z O-��~��c>"��?�������P��E��O�8��@�8��G��Q�g�a�Վ���󁶠�䧘��_%#r�>�1�z�a��eb��qcPѵ��n���#L��� =��׀t� L�7�`��V���A{�C:�g���e@�w1 Xp3�c3�ġ����p��M"'-�@n4���fG��B3�DJ�8[Jo�ߐ���gK)ƛ��$���� ���8�3�����+���� �����6�ʻ���� ���S�kI�*KZlT _`���?��K����QK�d����B`�s}�>���`��*�>��,*@J�d�oF*����弝��O}�k��s��]��y�ߘ��c1G�V���<=�7��7����6�q�PT��tXԀ�!9*4�4Tހ3XΛex�46���Y��D ����� �BdemDa����\�_l,��G�/���֌7���Y�](�xTt^%�GE�����4�}bT���ڹ�����;Y)���B�Q��u��>J/J �⮶.�XԄ��j�ݳ�+E��d ��r�5�_D�1 ��o�� �B�x�΢�#���<��W�����8���R6�@g�M�.��� dr�D��>(otU��@x=��~v���2� ӣ�d�oBd��3�eO�6�㣷�����ݜ6��6Y��Qz`��S��{���\P�~z m5{J/L��1������<�e�ͅPu�b�]�ϔ���'������f�b� Zpw��c`"��i���BD@:)ִ�:�]��hv�E�w���T�l��P���"Ju�}��وV J��G6��. J/�Qgl߭�e�����@�z�Zev2u�)]կ�����7x���s�M�-<ɯ�c��r�v�����@��$�ޮ}lk���a���'����>x��O\�ZFu>�����ck#��&:��`�$�ai�>2Δ����l���oF[h��lE�ܺ�Πk:)���`�� $[6�����9�����kOw�\|���8}������ބ:��񶐕��I�A1/�=�2[�,�!��.}gN#�u����b��� ~��݊��}34q����d�E��Lc��$��"�[q�U�硬g^��%B �z���r�pJ�ru%v\h1Y�ne`ǥ:g���pQM~�^�Xi� ��`S�:V29.�P���V�?B�k�� AEvw%�_�9C�Q����wKekPؠ�\�;Io d�{ ߞo�c1eP����\� `����E=���@K<�Y���eڼ�J���w����{av�F�'�M�@/J��+9p���|]�����Iw &`��8���&M�hg��[�{��Xj��%��Ӓ�$��(����ʹN���<>�I���RY���K2�NPlL�ɀ)��&e����B+ь����( � �JTx���_?EZ� }@ 6�U���뙢ط�z��dWI�n` D����噥�[��uV��"�G&Ú����2g�}&m��?ċ�"����Om#��������� ��{�ON��"S�X��Ne��ysQ���@Fn��Vg���dX�~nj�]J�<�K]:��FW��b�������62�=��5f����JKw��bf�X�55��~J �%^����:�-�QIE��P��v�nZum� z � ~ə ���� ���ة����;�f��\v���g�8�1��f24;�V���ǔ�)����9���1\��c��v�/'Ƞ�w�������$�4�R-��t���� e�6�/�ġ �̕Ecy�J���u�B���<�W�ַ~�w[B1L۲�-JS΂�{���΃������A��20�c#��@ 0!1@AP"#2Q`$3V�%45a6�FRUq��� ����^7ׅ,$n�������+��F�`��2X'��0vM��p�L=������5��8������u�p~���.�`r�����\���O��,ư�0oS ��_�M�����l���4�kv\JSd���x���SW�<��Ae�IX����������$I���w�:S���y���›R��9�Q[���,�5�;�@]�%���u�@ *ro�lbI �� ��+���%m:�͇ZV�����u�̉����θau<�fc�.����{�4Ա� �Q����*�Sm��8\ujqs]{kN���)qO�y�_*dJ�b�7���yQqI&9�ԌK!�M}�R�;������S�T���1���i[U�ɵz�]��U)V�S6���3$K{�ߊ<�(� E]Զ[ǼENg�����'�\?#)Dkf��J���o��v���'�%ƞ�&K�u�!��b�35LX�Ϸ��63$K�a�;�9>,R��W��3�3� d�JeTYE.Mϧ��-�o�j3+y��y^�c�������VO�9NV\nd�1 ��!͕_)a�v;����թ�M�lWR1��)El��P;��yوÏ�u 3�k�5Pr6<�⒲l�!˞*��u־�n�!�l:����UNW ��%��Chx8vL'��X�@��*��)���̮��ˍ��� ���D-M�+J�U�kvK����+�x8��cY������?�Ԡ��~3mo��|�u@[XeY�C�\Kp�x8�oC�C�&����N�~3-H���� ��MX�s�u<`���~"WL��$8ξ��3���a�)|:@�m�\���^�`�@ҷ)�5p+��6���p�%i)P M���ngc�����#0Aruz���RL+xSS?���ʮ}()#�t��mˇ!��0}}y����<�e� �-ή�Ԩ��X������ MF���ԙ~l L.3���}�V뽺�v�����멬��Nl�)�2����^�Iq��a��M��qG��T�����c3#������3U�Ǎ���}��לS�|qa��ڃ�+���-��2�f����/��bz��ڐ�� �ݼ[2�ç����k�X�2�* �Z�d���J�G����M*9W���s{��w���T��x��y,�in�O�v��]���n����P�$�JB@=4�OTI�n��e�22a\����q�d���%�$��(���:���: /*�K[PR�fr\nڙdN���F�n�$�4�[�� U�zƶ����� �mʋ���,�ao�u 3�z� �x��Kn����\[��VFmbE;�_U��&V�Gg�]L�۪&#n%�$ɯ�dG���D�TI=�%+AB�Ru#��b4�1�»x�cs�YzڙJG��f��Il��d�eF'T� iA��T���uC�$����Y��H?����[!G`}���ͪ� �纤Hv\������j�Ex�K���!���OiƸ�Yj�+u-<���'q����uN�*�r\��+�]���<�wOZ.fp�ێ��,-*)V?j-kÊ#�`�r��dV����(�ݽBk�����G�ƛk�QmUڗe��Z���f}|����8�8��a���i��3'J�����~G_�^���d�8w������ R�`(�~�.��u���l�s+g�bv���W���lGc}��u���afE~1�Ue������Z�0�8�=e�� f@/�jqEKQQ�J��oN��J���W5~M>$6�Lt�;$ʳ{���^��6�{����v6���ķܰg�V�cnn �~z�x�«�,2�u�?cE+Ș�H؎�%�Za�)���X>uW�Tz�Nyo����s���FQƤ��$��*�&�LLXL)�1�" L��eO��ɟ�9=���:t��Z���c��Ž���Y?�ӭV�wv�~,Y��r�ۗ�|�y��GaF�����C�����.�+� ���v1���fήJ�����]�S��T��B��n5sW}y�$��~z�'�c ��8 ��� ,! �p��VN�S��N�N�q��y8z˱�A��4��*��'������2n<�s���^ǧ˭P�Jޮɏ�U�G�L�J�*#��<�V��t7�8����TĜ>��i}K%,���)[��z�21z ?�N�i�n1?T�I�R#��m-�����������������1����lA�`��fT5+��ܐ�c�q՝��ʐ��,���3�f2U�եmab��#ŠdQ�y>\��)�SLY����w#��.���ʑ�f��� ,"+�w�~�N�'�c�O�3F�������N<���)j��&��,-� �љ���֊�_�zS���TǦ����w�>��?�������n��U仆�V���e�����0���$�C�d���rP �m�׈e�Xm�Vu� �L��.�bֹ��� �[Դaզ���*��\y�8�Է:�Ez\�0�Kq�C b��̘��cө���Q��=0Y��s�N��S.���3.���O�o:���#���v7�[#߫ ��5�܎�L���Er4���9n��COWlG�^��0k�%<���ZB���aB_���������'=��{i�v�l�$�uC���mƎҝ{�c㱼�y]���W�i ��ߧc��m�H� m�"�"�����;Y�ߝ�Z�Ǔ�����:S#��|}�y�,/k�Ld� TA�(�AI$+I3��;Y*���Z��}|��ӧO��d�v��..#:n��f>�>���ȶI�TX��� 8��y����"d�R�|�)0���=���n4��6ⲑ�+��r<�O�܂~zh�z����7ܓ�HH�Ga롏���nCo�>������a ���~]���R���̲c?�6(�q�;5%� |�uj�~z8R=X��I�V=�|{v�Gj\gc��q����z�؋%M�ߍ����1y��#��@f^���^�>N�����#x#۹��6�Y~�?�dfPO��{��P�4��V��u1E1J �*|���%���JN��`eWu�zk M6���q t[�� ��g�G���v��WIG��u_ft����5�j�"�Y�:T��ɐ���*�;� e5���4����q$C��2d�}���� _S�L#m�Yp��O�.�C�;��c����Hi#֩%+) �Ӎ��ƲV���SYź��g |���tj��3�8���r|���V��1#;.SQ�A[���S������#���`n�+���$��$I �P\[�@�s��(�ED�z���P��])8�G#��0B��[ى��X�II�q<��9�~[Z멜�Z�⊔IWU&A>�P~�#��dp<�?����7���c��'~���5 ��+$���lx@�M�dm��n<=e�dyX��?{�|Aef ,|n3�<~z�ƃ�uۧ�����P��Y,�ӥQ�*g�#먙R�\���;T��i,��[9Qi歉����c>]9�� ��"�c��P�� �Md?٥��If�ت�u��k��/����F��9�c*9��Ǎ:�ØF���z�n*�@|I�ށ9����N3{'��[�'ͬ�Ҳ4��#}��!�V� Fu��,�,mTIk���v C�7v���B�6k�T9��1�*l� '~��ƞF��lU��'�M ����][ΩũJ_�{�i�I�n��$���L�� j��O�dx�����kza۪��#�E��Cl����x˘�o�����V���ɞ�ljr��)�/,�߬h�L��#��^��L�ф�,íMƁe�̩�NB�L�����iL����q�}��(��q��6IçJ$�W�E$��:������=#����(�K�B����zђ <��K(�N�۫K�w��^O{!����)�H���>x�������lx�?>Պ�+�>�W���,Ly!_�D���Ō�l���Q�!�[ �S����J��1��Ɛ�Y}��b,+�Lo�x�ɓ)����=�y�oh�@�꥟/��I��ѭ=��P�y9��� �ۍYӘ�e+�p�Jnϱ?V\SO%�(�t� ���=?MR�[Ș�����d�/ ��n�l��B�7j� ��!�;ӥ�/�[-���A�>�dN�sLj ��,ɪv��=1c�.SQ�O3�U���ƀ�ܽ�E����������̻��9G�ϷD�7(�}��Ävӌ\�y�_0[w ���<΍>����a_��[0+�L��F.�޺��f�>oN�T����q;���y\��bՃ��y�jH�<|q-eɏ�_?_9+P���Hp$�����[ux�K w�Mw��N�ی'$Y2�=��q���KB��P��~������Yul:�[<����F1�2�O���5=d����]Y�sw:���Ϯ���E��j,_Q��X��z`H1,#II ��d�wr��P˂@�ZJV����y$�\y�{}��^~���[:N����ߌ�U�������O��d�����ؾe��${p>G��3c���Ė�lʌ�� ת��[��`ϱ�-W����dg�I��ig2��� ��}s ��ؤ(%#sS@���~���3�X�nRG�~\jc3�v��ӍL��M[JB�T��s3}��j�Nʖ��W����;7��ç?=X�F=-�=����q�ߚ���#���='�c��7���ڑW�I(O+=:uxq�������������e2�zi+�kuG�R��������0�&e�n���iT^J����~\jy���p'dtG��s����O��3����9* �b#Ɋ�� p������[Bws�T�>d4�ۧs���nv�n���U���_�~,�v����ƜJ1��s�� �QIz��)�(lv8M���U=�;����56��G���s#�K���MP�=��LvyGd��}�VwWBF�'�à �?MH�U�g2�� ����!�p�7Q��j��ڴ����=��j�u��� Jn�A s���uM������e��Ɔ�Ҕ�!)'��8Ϣ�ٔ��ޝ(��Vp���צ֖d=�IC�J�Ǡ{q������kԭ�߸���i��@K����u�|�p=..�*+����x�����z[Aqġ#s2a�Ɗ���RR�)*HRsi�~�a &f��M��P����-K�L@��Z��Xy�'x�{}��Zm+���:�)�) IJ�-i�u���� ���ܒH��'�L(7�y�GӜq���� j��� 6ߌg1�g�o���,kر���tY�?W,���p���e���f�OQS��!K�۟cҒA�|ս�j�>��=⬒��˧L[�� �߿2JaB~R��u�:��Q�] �0H~���]�7��Ƽ�I���(}��cq '�ήET���q�?f�ab���ӥvr� �)o��-Q��_'����ᴎo��K������;��V���o��%���~OK ����*��b�f:���-ťIR��`B�5!RB@���ï�� �u �̯e\�_U�_������� g�ES��3�������QT��a����x����U<~�c?�*�#]�MW,[8O�a�x��]�1bC|踤�P��lw5V%�)�{t�<��d��5���0i�XSU��m:��Z�┵�i�"��1�^B�-��P�hJ��&)O��*�D��c�W��vM��)����}���P��ܗ-q����\mmζZ-l@�}��a��E�6��F�@��&Sg@���ݚ�M����� ȹ 4����#p�\H����dYDo�H���"��\��..R�B�H�z_�/5˘����6��KhJR��P�mƶi�m���3�,#c�co��q�a)*Pt����R�m�k�7x�D�E�\Y�閣_X�<���~�)���c[[�BP����6�Yq���S��0����%_����;��Àv�~�| VS؇ ��'O0��F0��\���U�-�d@�����7�SJ*z��3n��y��P����O���������m�~�P�3|Y��ʉr#�C�<�G~�.,! ���bqx���h~0=��!ǫ�jy����l�O,�[B��~��|9��ٱ����Xly�#�i�B��g%�S��������tˋ���e���ې��\[d�t)��.+u�|1 ������#�~Oj����hS�%��i.�~X���I�H�m��0n���c�1uE�q��cF�RF�o���7� �O�ꮧ� ���ۛ{��ʛi5�rw?׌#Qn�TW��~?y$��m\�\o����%W� ?=>S�N@�� �Ʈ���R����N�)�r"C�:��:����� �����#��qb��Y�. �6[��2K����2u�Ǧ�HYR��Q�MV��� �G�$��Q+.>�����nNH��q�^��� ����q��mM��V��D�+�-�#*�U�̒ ���p욳��u:�������IB���m���PV@O���r[b= �� ��1U�E��_Nm�yKbN�O���U�}�the�`�|6֮P>�\2�P�V���I�D�i�P�O;�9�r�mAHG�W�S]��J*�_�G��+kP�2����Ka�Z���H�'K�x�W�MZ%�O�YD�Rc+o��?�q��Ghm��d�S�oh�\�D�|:W������UA�Qc yT�q������~^�H��/��#p�CZ���T�I�1�ӏT����4��"�ČZ�����}��`w�#�*,ʹ�� ��0�i��課�Om�*�da��^gJ݅{���l�e9uF#T�ֲ��̲�ٞC"�q���ߍ ոޑ�o#�XZTp����@ o�8��(jd��xw�]�,f���`~�|,s��^����f�1���t��|��m�򸄭/ctr��5s��7�9Q�4�H1꠲BB@l9@���C�����+�wp�xu�£Yc�9��?`@#�o�mH�s2��)�=��2�.�l����jg�9$�Y�S�%*L������R�Y������7Z���,*=�䷘$�������arm�o�ϰ���UW.|�r�uf����IGw�t����Zwo��~5 ��YյhO+=8fF�)�W�7�L9lM�̘·Y���֘YLf�큹�pRF���99.A �"wz��=E\Z���'a� 2��Ǚ�#;�'}�G���*��l��^"q��+2FQ� hj��kŦ��${���ޮ-�T�٭cf�|�3#~�RJ����t��$b�(R��(����r���dx� >U b�&9,>���%E\� Ά�e�$��'�q't��*�א���ެ�b��-|d���SB�O�O��$�R+�H�)�܎�K��1m`;�J�2�Y~9��O�g8=vqD`K[�F)k�[���1m޼c��n���]s�k�z$@��)!I �x՝"v��9=�ZA=`Ɠi �:�E��)`7��vI��}d�YI�_ �o�:ob���o ���3Q��&D&�2=�� �Ά��;>�h����y.*ⅥS������Ӭ�+q&����j|UƧ����}���J0��WW< ۋS�)jQR�j���Ư��rN)�Gű�4Ѷ(�S)Ǣ�8��i��W52���No˓� ۍ%�5brOn�L�;�n��\G����=�^U�dI���8$�&���h��'���+�(������cȁ߫k�l��S^���cƗjԌE�ꭔ��gF���Ȓ��@���}O���*;e�v�WV���YJ\�]X'5��ղ�k�F��b 6R�o՜m��i N�i����>J����?��lPm�U��}>_Z&�KK��q�r��I�D�Չ~�q�3fL�:S�e>���E���-G���{L�6p�e,8��������QI��h��a�Xa��U�A'���ʂ���s�+טIjP�-��y�8ۈZ?J$��W�P� ��R�s�]��|�l(�ԓ��sƊi��o(��S0��Y� 8�T97.�����WiL��c�~�dxc�E|�2!�X�K�Ƙਫ਼�$((�6�~|d9u+�qd�^3�89��Y�6L�.I�����?���iI�q���9�)O/뚅����O���X��X�V��ZF[�یgQ�L��K1���RҖr@v�#��X�l��F���Нy�S�8�7�kF!A��sM���^rkp�jP�DyS$N���q��nxҍ!U�f�!eh�i�2�m���`�Y�I�9r�6� �TF���C}/�y�^���Η���5d�'��9A-��J��>{�_l+�`��A���[�'��յ�ϛ#w:݅�%��X�}�&�PSt�Q�"�-��\縵�/����$Ɨh�Xb�*�y��BS����;W�ջ_mc�����vt?2}1�;qS�d�d~u:2k5�2�R�~�z+|HE!)�Ǟl��7`��0�<�,�2*���Hl-��x�^����'_TV�gZA�'j� ^�2Ϊ��N7t�����?w�� �x1��f��Iz�C-Ȗ��K�^q�;���-W�DvT�7��8�Z�������� hK�(P:��Q- �8�n�Z���܃e貾�<�1�YT<�,�����"�6{/ �?�͟��|1�:�#g��W�>$����d��J��d�B��=��jf[��%rE^��il:��B���x���Sּ�1հ��,�=��*�7 fcG��#q� �eh?��2�7�����,�!7x��6�n�LC�4x��},Geǝ�tC.��vS �F�43��zz\��;QYC,6����~;RYS/6���|2���5���v��T��i����������mlv��������&� �nRh^ejR�LG�f���? �ۉҬܦƩ��|��Ȱ����>3����!v��i�ʯ�>�v��オ�X3e���_1z�Kȗ\<������!�8���V��]��?b�k41�Re��T�q��mz��TiOʦ�Z��Xq���L������q"+���2ۨ��8}�&N7XU7Ap�d�X��~�׿��&4e�o�F��� �H����O���č�c�� 懴�6���͉��+)��v;j��ݷ�� �UV�� i��� j���Y9GdÒJ1��詞�����V?h��l����l�cGs�ځ�������y�Ac�����\V3�? �� ܙg�>qH�S,�E�W�[�㺨�uch�⍸�O�}���a��>�q�6�n6����N6�q������N ! 1AQaq�0@����"2BRb�#Pr���3C`��Scst���$4D���%Td�� ?���N����a��3��m���C���w��������xA�m�q�m���m������$����4n淿t'��C"w��zU=D�\R+w�p+Y�T�&�պ@��ƃ��3ޯ?�Aﶂ��aŘ���@-�����Q�=���9D��ռ�ѻ@��M�V��P��܅�G5�f�Y<�u=,EC)�<�Fy'�"�&�չ�X~f��l�KԆV��?�� �W�N����=(� �;���{�r����ٌ�Y���h{�١������jW����P���Tc�����X�K�r��}���w�R��%��?���E��m�� �Y�q|����\lEE4���r���}�lsI�Y������f�$�=�d�yO����p�����yBj8jU�o�/�S��?�U��*������ˍ�0������u�q�m [�?f����a�� )Q�>����6#������� ?����0UQ����,IX���(6ڵ[�DI�MNލ�c&���υ�j\��X�R|,4��� j������T�hA�e��^���d���b<����n�� �즇�=!���3�^�`j�h�ȓr��jẕ�c�,ٞX����-����a�ﶔ���#�$��]w�O��Ӫ�1y%��L�Y<�wg#�ǝ�̗`�x�xa�t�w��»1���o7o5��>�m뭛C���Uƃߜ}�C���y1Xνm�F8�jI���]����H���ۺиE@I�i;r�8ӭ����V�F�Շ| ��&?�3|x�B�MuS�Ge�=Ӕ�#BE5G�����Y!z��_e��q�р/W>|-�Ci߇�t�1ޯќd�R3�u��g�=0 5��[?�#͏��q�cf���H��{ ?u�=?�?ǯ���}Z��z���hmΔ�BFTW�����<�q�(v� ��!��z���iW]*�J�V�z��gX֧A�q�&��/w���u�gYӘa���; �i=����g:��?2�dž6�ى�k�4�>�Pxs����}������G�9��3 ���)gG�R<>r h�$��'nc�h�P��Bj��J�ҧH� -��N1���N��?��~��}-q!=��_2hc�M��l�vY%UE�@|�v����M2�.Y[|y�"Eï��K�ZF,�ɯ?,q�?v�M 80jx�"�;�9vk�����+ ֧�� �ȺU��?�%�vcV��mA�6��Qg^M����A}�3�nl� QRN�l8�kkn�'�����(��M�7m9و�q���%ޟ���*h$Zk"��$�9��: �?U8�Sl��,,|ɒ��xH(ѷ����Gn�/Q�4�P��G�%��Ա8�N��!� �&�7�;���eKM7�4��9R/%����l�c>�x;������>��C�:�����t��h?aKX�bhe�ᜋ^�$�Iհ �hr7%F$�E��Fd���t��5���+�(M6�t����Ü�UU|zW�=a�Ts�Tg������dqP�Q����b'�m���1{|Y����X�N��b �P~��F^F:����k6�"�j!�� �I�r�`��1&�-$�Bevk:y���#yw��I0��x��=D�4��tU���P�ZH��ڠ底taP��6����b>�xa����Q�#� WeF��ŮNj�p�J* mQ�N����*I�-*�ȩ�F�g�3 �5��V�ʊ�ɮ�a��5F���O@{���NX��?����H�]3��1�Ri_u��������ѕ�� ����0��� F��~��:60�p�͈�S��qX#a�5>���`�o&+�<2�D����: �������ڝ�$�nP���*)�N�|y�Ej�F�5ټ�e���ihy�Z �>���k�bH�a�v��h�-#���!�Po=@k̆IEN��@��}Ll?j�O������߭�ʞ���Q|A07x���wt!xf���I2?Z��<ץ�T���cU�j��]��陎Ltl �}5�ϓ��$�,��O�mˊ�;�@O��jE��j(�ا,��LX���LO���Ц�90�O �.����a��nA���7������j4 ��W��_ٓ���zW�jcB������y՗+EM�)d���N�g6�y1_x��p�$Lv:��9�"z��p���ʙ$��^��JԼ*�ϭ����o���=x�Lj�6�J��u82�A�H�3$�ٕ@�=Vv�]�'�qEz�;I˼��)��=��ɯ���x �/�W(V���p�����$ �m�������u�����񶤑Oqˎ�T����r��㠚x�sr�GC��byp�G��1ߠ�w e�8�$⿄����/�M{*}��W�]˷.�CK\�ުx���/$�WPw���r� |i���&�}�{�X� �>��$-��l���?-z���g����lΆ���(F���h�vS*���b���߲ڡn,|)mrH[���a�3�ר�[1��3o_�U�3�TC�$��(�=�)0�kgP���� ��u�^=��4 �WYCҸ:��vQ�ר�X�à��tk�m,�t*��^�,�}D*� �"(�I��9R����>`�`��[~Q]�#af��i6l��8���6�:,s�s�N6�j"�A4���IuQ��6E,�GnH��zS�HO�uk�5$�I�4��ؤ�Q9�@��C����wp�BGv[]�u�Ov���0I4���\��y�����Q�Ѹ��~>Z��8�T��a��q�ޣ;z��a���/��S��I:�ܫ_�|������>=Z����8:�S��U�I�J��"IY���8%b8���H��:�QO�6�;7�I�S��J��ҌAά3��>c���E+&jf$eC+�z�;��V����� �r���ʺ������my�e���aQ�f&��6�ND��.:��NT�vm�<- u���ǝ\MvZY�N�NT��-A�>jr!S��n�O 1�3�Ns�%�3D@���`������ܟ 1�^c<���� �a�ɽ�̲�Xë#�w�|y�cW�=�9I*H8�p�^(4���՗�k��arOcW�tO�\�ƍR��8����'�K���I�Q�����?5�>[�}��yU�ײ -h��=��% q�ThG�2�)���"ו3]�!kB��*p�FDl�A���,�eEi�H�f�Ps�����5�H:�Փ~�H�0Dت�D�I����h�F3�������c��2���E��9�H��5�zԑ�ʚ�i�X�=:m�xg�hd(�v����׊�9iS��O��d@0ڽ���:�p�5�h-��t�&���X�q�ӕ,��ie�|���7A�2���O%P��E��htj��Y1��w�Ѓ!����  ���� ࢽ��My�7�\�a�@�ţ�J �4�Ȼ�F�@o�̒?4�wx��)��]�P��~�����u�����5�����7X ��9��^ܩ�U;Iꭆ 5 �������eK2�7(�{|��Y׎ �V��\"���Z�1� Z�����}��(�Ǝ"�1S���_�vE30>���p;� ΝD��%x�W�?W?v����o�^V�i�d��r[��/&>�~`�9Wh��y�;���R��� ;;ɮT��?����r$�g1�K����A��C��c��K��l:�'��3 c�ﳯ*"t8�~l��)���m��+U,z��`(�>yJ�?����h>��]��v��ЍG*�{`��;y]��I�T� ;c��NU�fo¾h���/$���|NS���1�S�"�H��V���T���4��uhǜ�]�v;���5�͠x��'C\�SBpl���h}�N����� A�Bx���%��ޭ�l��/����T��w�ʽ]D�=����K���ž�r㻠l4�S�O?=�k �M:� ��c�C�a�#ha���)�ѐxc�s���gP�iG��{+���x���Q���I= �� z��ԫ+ �8"�k�ñ�j=|����c ��y��CF��/��*9ж�h{ �?4�o� ��k�m�Q�N�x��;�Y��4膚�a�w?�6�>e]�����Q�r�:����g�,i"�����ԩA�*M�<�G��b�if��l^M��5� �Ҩ�{����6J��ZJ�����P�*�����Y���ݛu�_4�9�I8�7���������,^ToR���m4�H��?�N�S�ѕw��/S��甍�@�9H�S�T��t�ƻ���ʒU��*{Xs�@����f�����֒Li�K{H�w^���������Ϥm�tq���s� ���ք��f:��o~s��g�r��ט� �S�ѱC�e]�x���a��) ���(b-$(�j>�7q�B?ӕ�F��hV25r[7 Y� }L�R��}����*sg+��x�r�2�U=�*'WS��ZDW]�WǞ�<��叓���{�$�9Ou4��y�90-�1�'*D`�c�^o?(�9��u���ݐ��'PI&� f�Jݮ�������:wS����jfP1F:X �H�9dԯ���˝[�_54 �}*;@�ܨ�� ð�yn�T���?�ןd�#���4rG�ͨ��H�1�|-#���Mr�S3��G�3�����)�.᧏3v�z֑��r����$G"�`j �1t��x0<Ɔ�Wh6�y�6��,œ�Ga��gA����y��b��)��h�D��ß�_�m��ü �gG;��e�v��ݝ�nQ� ��C����-�*��o���y�a��M��I�>�<���]obD��"�:���G�A��-\%LT�8���c�)��+y76���o�Q�#*{�(F�⽕�y����=���rW�\p���۩�c���A���^e6��K������ʐ�cVf5$�'->���ՉN"���F�"�UQ@�f��Gb~��#�&�M=��8�ט�JNu9��D��[̤�s�o�~������ G��9T�tW^g5y$b��Y'��س�Ǵ�=��U-2 #�MC�t(�i� �lj�@Q 5�̣i�*�O����s�x�K�f��}\��M{E�V�{�υ��Ƈ�����);�H����I��fe�Lȣr�2��>��W�I�Ȃ6������i��k�� �5�YOxȺ����>��Y�f5'��|��H+��98pj�n�.O�y�������jY��~��i�w'������l�;�s�2��Y��:'lg�ꥴ)o#'Sa�a�K��Z� �m��}�`169�n���"���x��I ��*+� }F<��cГ���F�P�������ֹ*�PqX�x۩��,� ��N�� �4<-����%����:��7����W���u�`����� $�?�I��&����o��o��`v�>��P��"��l���4��5'�Z�gE���8���?��[�X�7(��.Q�-��*���ތL@̲����v��.5���[��=�t\+�CNܛ��,g�SQnH����}*F�G16���&:�t��4ُ"A��̣��$�b �|����#rs��a�����T�� ]�<�j��BS�('$�ɻ� �wP;�/�n��?�ݜ��x�F��yUn�~mL*-�������Xf�wd^�a�}��f�,=t�׵i�.2/wpN�Ep8�OР���•��R�FJ� 55TZ��T �ɭ�<��]��/�0�r�@�f��V��V����Nz�G��^���7hZi����k��3�,kN�e|�vg�1{9]_i��X5y7� 8e]�U����'�-2,���e"����]ot�I��Y_��n�(JҼ��1�O ]bXc���Nu�No��pS���Q_���_�?i�~�x h5d'�(qw52] ��'ޤ�q��o1�R!���`ywy�A4u���h<קy���\[~�4�\ X�Wt/� 6�����n�F�a8��f���z �3$�t(���q��q�x��^�XWeN'p<-v�!�{�(>ӽDP7��ո0�y)�e$ٕv�Ih'Q�EA�m*�H��RI��=:��� ���4牢) �%_iN�ݧ�l]� �Nt���G��H�L��� ɱ�g<���1V�,�J~�ٹ�"K��Q�� 9�HS�9�?@��k����r�;we݁�]I�!{ �@�G�[�"��`���J:�n]�{�cA�E����V��ʆ���#��U9�6����j�#Y�m\��q�e4h�B�7��C�������d<�?J����1g:ٳ���=Y���D�p�ц� ׈ǔ��1�]26؜oS�'��9�V�FVu�P�h�9�xc�oq�X��p�o�5��Ա5$�9W�V(�[Ak�aY錎qf;�'�[�|���b�6�Ck��)��#a#a˙��8���=äh�4��2��C��4tm^ �n'c���]GQ$[Wҿ��i���vN�{Fu ��1�gx��1┷���N�m��{j-,��x�� Ūm�ЧS�[�s���Gna���䑴�� x�p 8<������97�Q���ϴ�v�aϚG��Rt�Һ׈�f^\r��WH�JU�7Z���y)�vg=����n��4�_)y��D'y�6�]�c�5̪�\� �PF�k����&�c;��cq�$~T�7j ���nç]�<�g ":�to�t}�159�<�/�8������m�b�K#g'I'.W�����6��I/��>v��\�MN��g���m�A�yQL�4u�Lj�j9��#44�t��l^�}L����n��R��!��t��±]��r��h6ٍ>�yҏ�N��fU�� ���� Fm@�8}�/u��jb9������he:A�y�ծw��GpΧh�5����l}�3p468��)U��d��c����;Us/�֔�YX�1�O2��uq�s��`hwg�r~�{ R��mhN��؎*q 42�*th��>�#���E����#��Hv�O����q�}�����6�e��\�,Wk�#���X��b>��p}�դ��3���T5��†��6��[��@�P�y*n��|'f�֧>�lư΂�̺����SU�'*�q�p�_S�����M�� '��c�6�����m�� ySʨ;M��r���Ƌ�m�Kxo,���Gm�P��A�G�:��i��w�9�}M(�^�V��$ǒ�ѽ�9���|���� �a����J�SQ�a���r�B;����}���ٻ֢�2�%U���c�#�g���N�a�ݕ�'�v�[�OY'��3L�3�;,p�]@�S��{ls��X�'���c�jw�k'a�.��}�}&�� �dP�*�bK=ɍ!����;3n�gΊU�ߴmt�'*{,=SzfD� A��ko~�G�aoq�_mi}#�m�������P�Xhύ����mxǍ�΂���巿zf��Q���c���|kc�����?���W��Y�$���_Lv����l߶��c���`?����l�j�ݲˏ!V��6����U�Ђ(A���4y)H���p�Z_�x��>���e��R��$�/�`^'3qˏ�-&Q�=?��CFVR �D�fV�9��{�8g�������n�h�(P"��6�[�D���< E�����~0<@�`�G�6����Hг�cc�� �c�K.5��D��d�B���`?�XQ��2��ٿyqo&+�1^� DW�0�ꊩ���G�#��Q�nL3��c���������/��x ��1�1[y�x�პCW��C�c�UĨ80�m�e�4.{�m��u���I=��f�����0QRls9���f���������9���~f�����Ǩ��a�"@�8���ȁ�Q����#c�ic������G��$���G���r/$W�(��W���V�"��m�7�[m�A�m����bo��D� j����۳� l���^�k�h׽����� ��#� iXn�v��eT�k�a�^Y�4�BN��ĕ��0 !01@Q"2AaPq3BR������?���@4�Q�����T3,���㺠�W�[=JK�Ϟ���2�r^7��vc�:�9 �E�ߴ�w�S#d���Ix��u��:��Hp��9E!�� V 2;73|F��9Y���*ʬ�F��D����u&���y؟��^EA��A��(ɩ���^��GV:ݜDy�`��Jr29ܾ�㝉��[���E;Fzx��YG��U�e�Y�C���� ����v-tx����I�sם�Ę�q��Eb�+P\ :>�i�C'�;�����k|z�رn�y]�#ǿb��Q��������w�����(�r|ӹs��[�D��2v-%��@;�8<a���[\o[ϧw��I!��*0�krs)�[�J9^��ʜ��p1)� "��/_>��o��<1����A�E�y^�C��`�x1'ܣn�p��s`l���fQ��):�l����b>�Me�jH^?�kl3(�z:���1ŠK&?Q�~�{�ٺ�h�y���/�[��V�|6��}�KbX����mn[-��7�5q�94�������dm���c^���h� X��5��<�eޘ>G���-�}�دB�ޟ� ��|�rt�M��V+�]�c?�-#ڛ��^ǂ}���Lkr���O��u�>�-D�ry� D?:ޞ�U��ǜ�7�V��?瓮�"�#���r��չģVR;�n���/_� ؉v�ݶe5d�b9��/O��009�G���5n�W����JpA�*�r9�>�1��.[t���s�F���nQ� V 77R�]�ɫ8����_0<՜�IF�u(v��4��F�k�3��E)��N:��yڮe��P�`�1}�$WS��J�SQ�N�j�ٺ��޵�#l���ј(�5=��5�lǏmoW�v-�1����v,W�mn��߀$x�<����v�j(����c]��@#��1������Ǔ���o'��u+����;G�#�޸��v-lη��/(`i⣍Pm^���ԯ̾9Z��F��������n��1��� ��]�[��)�'������:�֪�W��FC����� �B9،!?���]��V��A�Վ�M��b�w��G F>_DȬ0¤�#�QR�[V��kz���m�w�"��9ZG�7'[��=�Q����j8R?�zf�\a�=��O�U����*oB�A�|G���2�54 �p��.w7� �� ��&������ξxGHp� B%��$g�����t�Џ򤵍z���HN�u�Я�-�'4��0��;_��3 !01"@AQa2Pq#3BR������?��ʩca��en��^��8���<�u#��m*08r��y�N"�<�Ѳ0��@\�p��� �����Kv�D��J8�Fҽ� �f�Y��-m�ybX�NP����}�!*8t(�OqѢ��Q�wW�K��ZD��Δ^e��!� ��B�K��p~�����e*l}z#9ң�k���q#�Ft�o��S�R����-�w�!�S���Ӥß|M�l޶V��!eˈ�8Y���c�ЮM2��tk���� ������J�fS����Ö*i/2�����n]�k�\���|4yX�8��U�P.���Ы[���l��@"�t�<������5�lF���vU�����W��W��;�b�cД^6[#7@vU�xgZv��F�6��Q,K�v��� �+Ъ��n��Ǣ��Ft���8��0��c�@�!�Zq s�v�t�;#](B��-�nῃ~���3g������5�J�%���O������n�kB�ĺ�.r��+���#�N$?�q�/�s�6��p��a����a��J/��M�8��6�ܰ"�*������ɗud"\w���aT(����[��F��U՛����RT�b���n�*��6���O��SJ�.�ij<�v�MT��R\c��5l�sZB>F��<7�;EA��{��E���Ö��1U/�#��d1�a�n.1ě����0�ʾR�h��|�R��Ao�3�m3 ��%�� ���28Q� ��y��φ���H�To�7�lW>����#i`�q���c����a��� �m,B�-j����݋�'mR1Ήt�>��V��p���s�0IbI�C.���1R�ea�����]H�6����������4B>��o��](��$B���m�����a�!=��?�B� K�Ǿ+�Ծ"�n���K��*��+��[T#�{E�J�S����Q�����s�5�:�U�\wĐ�f�3����܆&�)����I���Ԇw��E T�lrTf6Q|R�h:��[K�� �z��c֧�G�C��%\��_�a�84��HcO�bi��ؖV��7H �)*ģK~Xhչ0��4?�0��� �E<���}3���#���u�?�� ��|g�S�6ꊤ�|�I#Hڛ� �ա��w�X��9��7���Ŀ%�SL��y6č��|�F�a 8���b��$�sק�h���b9RAu7�˨p�Č�_\*w��묦��F ����4D~�f����|(�"m���NK��i�S�>�$d7SlA��/�²����SL��|6N�}���S�˯���g��]6��; �#�.��<���q'Q�1|KQ$�����񛩶"�$r�b:���N8�w@��8$�� �AjfG|~�9F ���Y��ʺ��Bwؒ������M:I岎�G��`s�YV5����6��A �b:�W���G�q%l�����F��H���7�������Fsv7��k�� 403WebShell
403Webshell
Server IP : 172.67.215.126  /  Your IP : 172.69.214.61
Web Server : Apache/2.4.52 (Ubuntu)
System : Linux ip-172-31-19-221 6.8.0-1029-aws #31~22.04.1-Ubuntu SMP Thu Apr 24 21:16:18 UTC 2025 x86_64
User : www-data ( 33)
PHP Version : 8.1.28
Disable Function : NONE
MySQL : OFF  |  cURL : ON  |  WGET : ON  |  Perl : ON  |  Python : OFF  |  Sudo : ON  |  Pkexec : ON
Directory :  /efsdata/scitechnol.com/httpdocs/submission/uploads/

Upload File :
current_dir [ Writeable ] document_root [ Writeable ]

 

Command :


[ Back ]     

Current File : /efsdata/scitechnol.com/httpdocs/submission/uploads/2053-0-Manuscript-2014-06-23.doc
��ࡱ�>��	14����./0�����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������[�	��0ֳbjbj����	.�ΐΐ's+�������|
|
������������8��L��70�V F�&L�((�6�6�6�6�6�6�6$�8��;�7i�*V V **7��?�7�3�3�3*P���6�3*�6�3�3�3�����������`/�3�6�70�7�3�<x04�<�3�38�<��3**�3*****77�3***�7****���������������������������������������������������������������������<*********|
	�:	Performance of the Berlin questionnaire for measuring obstructive sleep apnea in sleep clinic population

Khosro Sadeghniiat-Haghighi1,2, Ali Montazeri3, Ahmad Khajeh-Mehrizi1, Omid Aminian2 , Ania Rahimi-Golkhandan1, Mojtaba Sedaghat4

1. Occupational sleep research center, Tehran University of Medical Sciences, Tehran, Iran.
2. Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
3.  Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.
4. Department of Community Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Corresponding Author: 
Ahmad Khajeh-Mehrizi
Address: Baharloo Sleep Center, Baharloo Hospital, Behdari Avenue, Tehran, Iran.
Phone numbers: +982155677333, Fax number: +982155421177
E-mail: khmehrizi.a@gmail.comABSTRACT
Background: The Berlin questionnaire (BQ) is one of the most well-known instruments for evaluating subjects at high risk for obstructive sleep apnea (OSA). Several studies had assessed the validity of this questionnaire in various clinical settings and represented startling results. The main purpose of this study was to determine the performance of the BQ for detecting OSA in sleep clinic population.
Methods: A sample of 523 sleep clinic patients filled in the BQ in the next morning after the polysomnography (PSG). Spearman correlation was used for evaluating relationships among three categories and the total score of the BQ with characteristics of patients. Reliability of the BQ was assessed by internal consistency and test-retest analysis. Validity of the BQ was performed using the sensitivity analysis. The apnea hypopnea index (AHI) on the PSG was used as gold standard for OSA diagnosis. 
Results: Cronbach�s alpha coefficients for the first and second category of the BQ were 0.56 and 0.54, respectively. In test-retest analysis, the intraclass correlation coefficient was 0.90 (p value<0.001). Only 49.3% of patients without OSA are classified as being at high risk in the BQ, while 64.5%. 76.3% and 81.5% of patients with mild, moderate and severe OSA, respectively, are classified as being at high risk for OSA in the BQ. The Spearman correlations between AHI and the total score of the BQ (r=0.282), category 1 (r=0.333) and category 3 (r=0.316) were significant, but no significant relationship was found between AHI and category 2 (r=0.036, p value=0.41). The sensitivity and specificity of the BQ were found to be 75.3% and 50.7%, respectively, at AHI e"5; the area under the curve was 0.630
Conclusions: Our findings suggest that the Berlin questionnaire might need further investigation in order to establish stronger psychometrics for its utilization in sleep clinic patients.
Keywords: Berlin questionnaire, obstructive sleep apnea, sleep clinic population, validation, Iran.
INTRODUCTION
Obstructive sleep apnea (OSA) is an upper airway disorder characterized by repetitive periods of apnea and hypopnea, affecting 9% of women and 24% of men during their middle-age [1]. Early diagnosis and treatment of OSA decrease its side effects such as cognitive disorders, [2] excessive daytime sleepiness, [3] cardiovascular [4] and cerebrovascular diseases, [5] traffic accidents [6] and occupational hazards [7]. High prevalence and disturbing side effects show the importance of early diagnosis of this disease. It is estimated that 93% of women and 82% of men with moderate and severe forms of OSA are not diagnosed and are not treated properly [8].

Polysomnography (PSG) is the gold standard test for OSA diagnosis [9]. The PSG is an expensive and time consuming test which patients should sleep in laboratory for one night. Rising information of medical society and people about OSA in recent decades led to increase of request for OSA diagnosis, but heavy expenses of the PSG limited its availability in many regions. Therefore simpler and less expensive instruments were introduced for OSA diagnosis [10]. The Berlin Questionnaire (BQ), an outcome of the conference on sleep in primary care, in 1996, in Berlin, [11] is one of the most famous instruments for OSA identification. Several studies had evaluated the validity of this questionnaire in various clinical settings and represented startling results [12-16]. 

Already this questionnaire is widely used for identifying the high risk patients for OSA.  In this study we translated the BQ into Persian (the official language of Iran) and evaluated its performance in comparison with PSG for diagnosing OSA in sleep clinic patients.

METHODS

The Berlin questionnaire
The BQ contains 10 questions, which are divided into 3 categories. First category includes 5 questions about snoring and breathing cessation during sleep; second category includes 4 questions about daytime sleepiness; and third category includes 1 question about blood pressure. Height, weight, age and sex are asked in the beginning of the questionnaire. The BQ classify patients as being at high or low risk for OSA. Scoring of the BQ based on the article by Netzer et al. is included in appendix 1.

Translation
Standard forward-backward translation method was used. Two physicians translated the English version of the BQ into Persian. A fellowship of sleep medicine compared these translations and a single provisional version was provided. This Persian version was translated into English by two professional translators who were not familiar with the original questionnaire. Translations were handed to a bilingual physician and one English version was derived which did not have significant differences with the original version, Eight expert physicians in sleep disorders evaluated content validity and some changes were made with preservation of conceptual equivalency. Then for evaluating face validity, 15 patients filled in the questionnaire and obscure words and sentences were changed and finally the Persian version of Berlin questionnaire was provided for the study.

Patients
This study was performed in three sleep clinics between September 2009 and August 2012 in Tehran, Iran. A sample of patients (523 patients) filled in the BQ in the next morning after polysomnography (PSG). In order to carry out test-retest analysis a subsample of 60 patients completed the questionnaire twice at a time interval of 2 - 4 weeks: at the first clinic visit and in the next morning after performing PSG. Patients who did not want to participate in this study or their PSG was not satisfactory were excluded.

Polysomnography
Polysomnography is the gold standard test for OSA diagnosis. Electro-oculogram, electrocardiogram, electroencephalogram and electromyogram (submental and bilateral anterior tibialis) were monitored by surface electrodes during the night. Also snoring, respiratory airflow, arterial blood oxygen saturation, respiratory effort of chest and abdomen and body situation recorded by specific sensors. Furthermore video monitoring recorded patients� sleep by Infrared beams [17]. An apnea was defined as total cessation of airflow for at least 10 seconds, whereas hypopnea was defined as more than 50% reduction of airflow for at least 10 seconds with 3% reduction of arterial oxygen saturation or with arousal. Apnea hypopnea index (AHI) was calculated by dividing sum of apnea and hypopnea by hours of sleep. Patients with AHI greater than 5 were regarded as having OSA. The OSA was categorized as: mild (5<AHI<15), moderate (15<AHI<30) and severe (AHI>30). All tests were analyzed by first author according to the recommendation criteria by the American Academy of Sleep Medicine [18].

Statistical Analysis
Cronbach�s alpha coefficient was assessed for evaluating internal consistency. Test-retest analysis was performed to assess external consistency using intraclass correlation coefficient (ICC). Comparisons between low risk and high risk patients for OSA, classified by BQ, were performed using the Chi-square test for categorical variables and the Student�s t test for continuous variables. One-way analysis of variance (ANOVA) was performed to compare characteristics of patients between patients without OSA and with mild, moderate and severe OSA as indicated by PSG. Spearman correlation coefficient was used for evaluating relationships among three categories and the total score of the BQ with AHI and other characteristics of patients. For evaluating validity, we calculated predictive parameters of the BQ including sensitivity, specificity, positive and negative predictive values (PPV and NPV), positive and negative likelihood ratio (LR+ and LR-), odds ratio (OR) and area under the curve (AUC) for OSA identification using the AHI cut-off points of 5, 15 and 30. P value< 0.05 was considered statistically significant. PASW statistics version 18 (SPSS, Chicago, IL, USA) was used for statistical analysis.

Ethics
The ethics committee of Tehran University of Medical Sciences approved this study. Written consents were obtained from all patients.

RESULTS
According to the BQ, 358 patients (68.5%) were at high risk for OSA. Table 1 shows the characteristics of patients based on the risk for OSA obtained from the BQ.  
Internal consistency of the first and second categories of the BQ was calculated separately. The Cronbach�s alpha coefficient for the first category was 0.56. It was 0.54 for the second category; that by deleting question 8 was increased to 0.78. In test-retest analysis, the intraclass correlation coefficient (ICC) was found to be 0.90 (95%CI: 0.84-0.94, p value<0.001).

Based on the PSG, 138 patients (26.5%) had AHI<5, whereas the remaining 385 patients had mild (n = 110, 21%), moderate (n = 97, 18.5%) and severe (n = 178, 34%) OSA. The percent of patients with OSA that are categorized as being at high risk in the BQ is more than patients without OSA. Only 49.3% of patients without OSA are classified as being at high risk in the BQ, while 64.5%. 76.3% and 81.5% of patients with mild, moderate and severe OSA, respectively, are classified as being at high risk for OSA in the BQ. Table 2 shows the characteristics of patients in different forms of OSA as indicated by PSG.  

Patients, who were classified as being at high risk in the BQ, are more likely to be affected to OSA. Table 3 shows the categories and total score of the BQ for various groups of AHI. Spearman correlation analysis showed that the AHI and the total score of the BQ had significant relationship (r=0.282, p value<0.001). However, the relationships between AHI and category 1 (r=0.333, p value<0.001) and category 3 (r=0.316, p value<0.001) were significant, but no significant relationship was found between AHI and category 2 (r=0.036, p value=0.41). Spearman correlations between BQ results and characteristics of patients were listed in Table 4.   

The BQ identified 68.5% of patients as being at high risk of OSA, whereas PSG recognized 73.5% of patients with OSA (AHIe"5). About 20 percent of high risk patients for OSA in the BQ, had AHI<5. On the other hand, 24.7% of patients with AHIe"5 were not high risk for OSA in the BQ. About 55% of patients had AHIe"5 in the PSG and were high risk for OSA in the BQ. Predictive parameters of the BQ for diagnosing OSA in AHI cut-off points of 5, 15 and 30 are shown in Table 5. 

For evaluating difference of the BQ performance between genders, AUC of the BQ in men and women was calculated separately. The difference in all cut-off points was not statistically significant. (Table 6)

DISCUSSION
In this study, we translated the BQ into Persian and evaluated its validity in sleep clinic patients. Internal consistency in first and second category was less than the minimum recommended value [19]. Similarly in a study by Netzer et al. [11] internal consistency of the second category was found to be 0.63, which was increased to 0.86 after deleting question 8. However, they reported that internal consistency for the first category was 0.82. Further studies should investigate the internal consistency of this questionnaire.

The predictive parameters of the BQ for identifying OSA in patients who referred to sleep clinics were not satisfactory. In fact, moderate sensitivity and low specificity with weak likelihood ratios make the usage of this instrument questionable for sleep clinic patients. In evaluation of the three categories of the BQ, the first and third categories had a significant relationship with AHI but the second category had not. We found that 61.4% of patients had a positive score in second category. It is hypothesized that the daytime sleepiness of the referred patients to our sleep clinics might be due to other reasons instead of OSA. Comparing the total score of ESS-IR [20] (a well-known questionnaire for measuring daytime sleepiness) also clears that there is no difference in daytime sleepiness between patients with and without OSA at AHI cutoff points of 5 (11.14�6.14 vs. 10.10�5.87, p value: 0.12). That is why second category cannot distinguish patients with and without OSA and reduced the efficiency of questionnaire. 

As the Berlin Questionnaire is the most famous instrument for OSA screening, several studies validated it in a variety of settings. Netzer et al. [11] calculated sensitivity of 86% and specificity of 77% in primary care patients for diagnosing patients with respiratory disturbance index (RDI)>5, sensitivity of 54% and specificity of 97% for diagnosing patients with RDI>15 and sensitivity of 17% and specificity of 97% for diagnosing patients with RDI>30. These results showed high efficiency of this questionnaire for OSA screening in RDI>5 in primary care patients. In Martinez et al. [13] study of patients with angina, sensitivity and specificity of the BQ at AHI>15 were 72% and 50% respectively, and for coronary artery disease were 70% and 48%, respectively. These results showed the BQ is an effective instrument to detect high risk patients for OSA in individuals with angina complaints. However, some other studies similar to our study did not report such a satisfactory performance of this questionnaire. In Sert Kuniyoshi et al. [14] study of patients with recent myocardial infection (MI), sensitivity and specificity of the BQ for identifying patients with AHI>5 were 68% and 34%, suggesting that the BQ is not an ideal instrument to detect OSA in post-MI patients. Vaz et al. [15] in evaluation of the Portuguese version of BQ in patients referred to sleep disordered breathing clinic, showed the sensitivity of 72.1% at AHI>5, 82.6% at AHI>15 and 88.4% at AHI>30; the specificity of 50%, 44.8% and 39.1%, respectively. Therefore they concluded that the BQ is not an appropriate instrument for OSA identification in sleep disordered breathing clinic.

Patients referred to sleep clinics have many diversities and spectrum of these patients are different from one clinic to another depending on their coherence to various medical sections. Our study were performed in 3 sleep clinics which most of patients had AHI>5, while in the study by Ahmadi et al, [12] which was also performed in sleep clinics, considering their clinic dependence on Department of Psychiatry of a tertiary care center, 43.1% of patients had AHI>5. In our study, 61.6% of patients in second category which is about sleepiness had positive score, while in their study 74.6% of patients had positive score in second category. Comparing patients of both studies, higher proportion of our patients had OSA, whereas in their study, higher proportion of patients had sleepiness which their sleepiness was due to other disorders except OSA. Second category in their study led to lower efficiency too, seems rational that they reported lower sensitivity and specificity for the BQ than our study. In their result, the sensitivity of the BQ at RDI>5 and >15 was 0.68 and 0.57, respectively; specificity was 0.49 and 0.41. We can conclude that other symptoms of OSA except sleepiness should be used for OSA identification in the group of patients which high percent of them suffer from sleepiness.
The present study provides the accurate translated version of the BQ and now it can be used by clinicians and researchers in Iran. We found that the BQ had low level of internal consistency but acceptable test-retest reliability. Also this questionnaire showed low efficiency for OSA detection in a group of patients who mostly suffer from sleepiness. Our findings suggest that the BQ might need further investigation in order to establish stronger psychometrics for its utilization in sleep clinic patients.
Acknowledgement
This research has been supported by Tehran University of Medical Sciences & health Services grant  HYPERLINK "http://research.tums.ac.ir/user/letter_body_show.phtml?admin=sadeghniiat@yahoo.com&seed=1QJM1PMdBT8KxUfptUJJTrWJL3TNkVFybDKcY4nKe4FygybKwG&letterno=66596" 89-02-109-11027.


REFERENCES
1. Young T, Palta M, Dempsey J, Skatrud J, Weber S, et al. (1994) The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328:1230-1325.
2. Adams N, Strauss M, Schluchter M, Redline S (2001) Relation of measures of sleep-disordered breathing to neuropsychological functioning. Am J Respir Crit Care Med 163:1626-1631.
3. Gottlieb DJ, Whitney CW, Bonekat WH, � HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Iber%20C%5BAuthor%5D&cauthor=true&cauthor_uid=9927364" Iber C,� HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=James%20GD%5BAuthor%5D&cauthor=true&cauthor_uid=9927364" James GD, et al. (1999) Relation of sleepiness to respiratory disturbance index: the Sleep Heart Health Study. Am J Respir Crit Care Med 159:502-507.
4. Bradley TD (1992) Right and left ventricular functional impairment and sleep apnea. Clin Chest Med 13:459-479.
5. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Yaggi%20HK%22%5BAuthor%5D"Yaggi HK, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Concato%20J%22%5BAuthor%5D"Concato J, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Kernan%20WN%22%5BAuthor%5D"Kernan WN, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Lichtman%20JH%22%5BAuthor%5D"Lichtman JH, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Brass%20LM%22%5BAuthor%5D"Brass LM, et al. (2005) Obstructive sleep apnea as a risk factor for stroke and death. New Engl J Med 353:2034-2041.
6. Ter�n-Santos J, Jimenez-Gomez A, Cordero-Guevara J (1999) The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander. N Engl J Med 340:847-851.
7. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Lindberg%20E%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract"Lindberg E, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Carter%20N%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract"Carter N, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Gislason%20T%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract"Gislason T, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Janson%20C%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract"Janson C (2001) Role of snoring and daytime sleepiness in occupational accidents. HYPERLINK "javascript:AL_get(this,%20'jour',%20'Am%20J%20Respir%20Crit%20Care%20Med.');" \o "American journal of respiratory and critical care medicine."Am J Respir Crit Care Med 164:2031-2035.
8. Young T, Evans L, Finn L, Palta M (1997) Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 20:705-706.
9. Lopez-Jimenez F, Kuniyoshi FHS, Gami A, Somers VK (1997) Obstructive Sleep Apnea. Chest 113:793-804.
10. Flemons WW, Douglas NJ, Kuna ST, Rodenstein DO, Wheatley J (2004) Access to diagnosis and treatment of patients with suspected sleep apnea. Am J Respir Crit Care Med 169:668-672.
11. Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP (1999) Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 131:485-491.
12. Ahmadi N, Chung SA, Gibbs A, Shapiro CM (2008) The Berlin questionnaire for sleep apnea in a sleep clinic population: Relationship to polysomnographic measurement of respiratory disturbance. Sleep Breath 12:39-45.
13. Martinez D, da Silva RP, Klein C,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Fiori%20CZ%5BAuthor%5D&cauthor=true&cauthor_uid=21210233" Fiori CZ,� HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Massierer%20D%5BAuthor%5D&cauthor=true&cauthor_uid=21210233" Massierer D, et al. (2012) High risk for sleep apnea in the Berlin questionnaire and coronary artery disease. Sleep Breath 16:89-94.
14. Sert HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Sert%20Kuniyoshi%20FH%22%5BAuthor%5D"Kuniyoshi FH, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Zellmer%20MR%22%5BAuthor%5D"Zellmer MR, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Calvin%20AD%22%5BAuthor%5D"Calvin AD, � HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Lopez-Jimenez%20F%5BAuthor%5D&cauthor=true&cauthor_uid=21596794" Lopez-Jimenez F,� HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Albuquerque%20FN%5BAuthor%5D&cauthor=true&cauthor_uid=21596794" Albuquerque FN, et al. (2011) Diagnostic Accuracy of the Berlin Questionnaire in Detecting Sleep Disordered Breathing in Patients with a Recent Myocardial Infarction. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/21596794" \o "Chest."Chest 140:1192-1197.
15. Vaz AP, Drummond M, Caetano Mota P, Severo M, Almeida J, et al. (2011) Translation of Berlin Questionnaire to Portuguese language and its application in OSA identification in a sleep disordered breathing clinic. Rev Port Pneumol 17:59-65.
16. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Thurtell%20MJ%22%5BAuthor%5D"Thurtell MJ, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Bruce%20BB%22%5BAuthor%5D"Bruce BB, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Rye%20DB%22%5BAuthor%5D"Rye DB, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Newman%20NJ%22%5BAuthor%5D"Newman NJ, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=%22Biousse%20V%22%5BAuthor%5D"Biousse V ( 2011) The Berlin Questionnaire Screens for Obstructive Sleep Apnea in Idiopathic Intracranial Hypertension. J Neuroophthalmol 31:316-319.
17. American Sleep Disorders Association (1997) Practice parameters for the indications for polysomnography and related procedures. Polysomnography Task Force, American Sleep Disorders Association Standards of Practice Committee. Sleep 20:406-422. 
18. Iber CA-IS, Chesson AL Jr, Quan SF (2007) The AASM manual for the scoring of sleep and associated events, rules, terminology and technical specifications 1st ed. American Academy of Sleep Medicine, Westchester, Illinois.
19. Nunally J C, Bernstien I H (1994) Psychometric theory. New York: Mc Grow Hill.
20.  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Sadeghniiat%20Haghighi%20K%5BAuthor%5D&cauthor=true&cauthor_uid=22327509" Sadeghniiat Haghighi K,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Montazeri%20A%5BAuthor%5D&cauthor=true&cauthor_uid=22327509" Montazeri A,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Khajeh%20Mehrizi%20A%5BAuthor%5D&cauthor=true&cauthor_uid=22327509" Khajeh Mehrizi A, Aminian O, Rahimi Golkhandan A, et al. (2013) The Epworth Sleepiness Scale: translation and validation study of the Iranian version. Sleep Breath 17:419-426.
Table 1 Characteristics of studied patients
Low risk in BQ
N=165High risk in BQ
N=358Total Population 
N=523P valueFemale %23.2%27.9%26.4%0.25Age (years)42.36 (13.96)47.29 (12.26)45.78 (13.02)<0.001Weight (kg)75.52 (12.81)89.31 (19.70)85.05 (18.93)<0.001Height (cm)169.38 (13.64)168.40 (12.94)168.73 (13.15)0.45BMI (kg/m2)25.94 (3.36)30.79 (5.25)29.28 (5.24)<0.001Neck circumference (cm)38.64 (3.11)40.37 (3.78)37.83 (3.66)<0.001Chest circumference (cm)98.95 (7.65)105.36 (14.05)103.32 (12.69)<0.001Abdomen circumference (cm)97.07 (9.71)106.82 (17.60)103.75 (16.15)<0.001Systolic blood pressure (mmHg)116.90 (14.17)121.20 (15.06)119.76 (14.87)0.02Diastolic blood pressure (mmHg)76.80 (11.15)79.47 (12.50)78.60 (12.09)0.08Sleep efficiency %73.81 (16.31)75.20 (13.17)74.71 (14.27)0.34Apnea hypopnea index17.04 (2.97)33.05 (31.18)28.01 (29.53)<0.001Mean oxygen saturation %93.31 (3.20)91.34 (4.79)91.95 (4.45)<0.001Minimum oxygen saturation % 71.53 (30.87)69.01 (26.29)69.81 (27.77)0.37BMI Body mass index, BQ Berlin Questionnaire

AHI<5
N=1385d"AHI<15
N=11015d"AHI<30
N=97 AHIe"30
N=178FP valueAge (years)41.82 (14.15)46.01 (11.13)48.11 (14.01)47.46 (11.95)6.37<0.001BMI (kg/m2)26.48 (4.35)29.02 (5)30.45 (5.02)31.01 (5.24)21.87<0.001 Neck  circumference (cm)37.93 (3.46)39.76 (3.38)40.15 (3.32)41.44 (3.38)19.74<0.001Chest  circumference (cm)97.83 (10.83)104.69 (8.17)106.2 (8.25)108.21 (9.46)14.38<0.001Abdomen circumference (cm)96.04 (11.1)104.66 (11.27)105.67 (9.62)109.12 (12.09)21.35<0.001Systolic blood pressure (mmHg)112.80 (14.53)120.17 (12.39)124.13 (15.01)123.68 (14.48)10.36<0.001Diastolic blood pressure (mmHg)74.92 (10.79)77.57 (10.09)80.74 (15.53)81.55 (11.77)5.090.002Sleep efficiency73.28 (15.46)75.29 (14.20)74.19 (14.11)75.91 (13.27)0.980.4Mean oxygen saturation %94.02 (1.02)93.25 (0.96)91.71 (1.04)89.70 (0.92)33.12<0.001Minimum oxygen saturation % 76.57 (0.81)74.82 (0.77)70.61 (0.93)61.08 (1.01)10.14<0.001Table 2 The mean � standard deviation of patients� characteristics based on AHI groups as indicated by PSG and results of analysis with One way ANOVA
AHI Apnea Hypopnea Index, PSG Polysomnography, BMI Body mass index



Table 3 The classification of patients based on each categories and Berlin Questionnaire for AHI ranges.
AHI<55-1515-30>30Category 1Positive (N=438, 83.7%)87 (19.8%)94 (21.5%)87 (19.9%)170 (38.8%)Negative (N=85, 16.3%)51 (60%)16 (18.8%)10 (11.8%)8 (9.4%)Category2Positive (N= 317, 61.6%)86 (27.1%)61 (19.2%)56 (17.7%)114 (36%)Negative (N=206, 38.4%)52 (25.2%)49 (23.8%)41 (19.9%)64 (31.1%)Category3Positive (N=260, 49.7%)41 (15.8%)49 (18.8%)56 (21.5%)114 (43.8%)Negative (N=263, 50.3%)97 (36.9%)60 (23.2%)41 (15.6%)64 (24.3%)Berlin QuestionnaireHigh risk (N=358, 68.5%)68 (19%)71 (19.8%)74 (20.7%)145 (40.5%)Low risk (N=165, 31.5%)70 (42.4%)39 (23.6%)23 (13.9%)33 (20.1%)AHI apnea hypopnea index
Table 4 Spearman correlations between BQ results and characteristics of patients.  
Category 1Category 2Category 3Berlin Questionnaire Age0.157**-0.0340.243**0.158**BMI 0.315**0.0720.693**0.497** Neck  circumference 0.271**0.0580.256**0.234**Chest  circumference 0.257**0.0770.464**0.356**Abdomen circumference 0.299**0.0400.505**0.382**Systolic blood pressure0.11100.266**0.159**Diastolic blood pressure 0.0630.0410.185**0.121 *Sleep efficiency0.113**-0.025-0.0430.003Mean oxygen saturation -0.232**-0.038-0.330**-0.257**Minimum oxygen saturation -0.204**-0.062-0.215**-0.202**BQ Berlin Questionnaire, BMI Body mass index
*P value<0.05 (two tailed), **p value<0.01 (two tailed) Table 5 Predictive parameters of the BQ for OSA identification in AHI cut-off points of 5, 15 and 30.
AHI cut-off point51530Sensitivity75.3 (70.7-79.3)79.6 (74.4-83.9)81.4 (75.1-86.4)Specificity50.7 (42.4-58.9)43.9 (37.9-50.1)38.2 (33.2-43.4)Positive predictive value81 (76.6-84.7)61.1 (56-66)40.5 (35.5-45.6)Negative predictive value42.4 (35.1-50)66 (58.5-72.8)80 (73.2-85.3)Positive likelihood ratio1.52 (1.27-1.82)1.42 (1.25-1.61)1.31 (1.18-1.47)Negative likelihood ratio0.48 (0.38-0.61)0.46 (0.3-0.6)0.48 (0.34-0.67)Odds ratio3.14 (2.09-4.71)3.06 (2.08-4.51)2.72 (1.76-4.21)Area under the curve0.630 (0.574-0.686)0.618 (0.570-0.666)0.599 (0.549-0.648)BQ Berlin Questionnaire, OSA obstructive sleep apnea, AHI apnea hypopnea index
Table 6 AUC of the BQ for measuring OSA in men and women.
cut-off pointAUC of menAUC of womenP valueAHI>50.638 (0.570-0.705)0.630 (0.528-0.732)> 0.05AHI>150.619 (0.562-0.676)0.626 (0.533-0.718)> 0.05AHI>300.599 (0.542-0.657)0.603 (0.503-0.702)> 0.05AUC area under the curve, BQ Berlin Questionnaire, OSA obstructive sleep apnea, A'+,-NRhij��������������͹���ޔ�kTk?T?T?T?T?)h�[%h��B*CJOJQJ^JaJph,h�[%h��B*CJH*OJQJ^JaJph)h�[%h�.�B*CJOJQJ^JaJph&hHEh�[%5�CJOJQJ\�^JaJ hc�5�CJOJQJ\�^JaJ&hHEhc�5�CJOJQJ\�^JaJ&hHEh�(�5�CJOJQJ\�^JaJ hG
�5�CJOJQJ\�^JaJ h�[%5�CJOJQJ\�^JaJ h�(�5�CJOJQJ\�^JaJij��I	�	6
�
�
�
�
Fm
�N�������������������$d��a$gd��$d��a$gd:^�$d��a$gd�,-	d��<gd�,-$d��<@&a$gd�[%$d��<a$gd�[%
$d�a$gd�[%������	H	L	�	�	�	�	�	�	5
6
9
�
�
�
�ҽ���o�^�����K���6�)h�[%h�[%B*CJOJQJ^JaJph$h�[%h�.�CJOJQJ^J_H)aJ h�[%h�.�CJOJQJ^JaJ h�[%h��CJOJQJ^JaJ$h�[%h��CJOJQJ^J_H)aJ)h�[%h��B*CJOJQJ^JaJph)h�[%h�.�B*CJOJQJ^JaJph)h�h�[%B*CJOJQJ^JaJph,h�[%h�.�B*CJH*OJQJ^JaJph,h�[%h��B*CJH*OJQJ^JaJph�
�
�
�
�

,/678EFLcdelmw���ز؝؝؝����،xdSB h�L�hG
�CJOJQJ^JaJ hHEhc�CJOJQJ^JaJ&hEJhEJ5�CJOJQJ\�^JaJ&hEJhVh�5�CJOJQJ\�^JaJ h�5�CJOJQJ\�^JaJ)h�[%h��B*CJOJQJ^JaJph h�[%h�.�CJOJQJ^JaJ)h�[%h�B*CJOJQJ^JaJph)h�[%h�.�B*CJOJQJ^JaJph#h�[%B*CJOJQJ^JaJphwxy���������	%�������������
	


��������������sese�s�s�T� hG
�hVh�CJOJQJ^JaJh�(�CJOJQJ^JaJh�,-CJOJQJ^JaJh�wCJOJQJ^JaJ hHEhc�CJOJQJ^JaJ hHEhVh�CJOJQJ^JaJ hG
�hG
�CJOJQJ^JaJh��CJOJQJ^JaJ hHEh��CJOJQJ^JaJ hRUB5�CJOJQJ\�^JaJhG
�CJOJQJ^JaJ 




'
v
\]eo������������������������������������{�h�W�W�h�h�h�h� h:^�h:^�CJOJQJ^JaJ$h:^�h�&CJOJQJ^J_H)aJ h:^�hVh�CJOJQJ^JaJ h:^�h�&CJOJQJ^JaJ h:^�h(
�CJOJQJ^JaJ h:^�hc�CJOJQJ^JaJ h:^�h]P�CJOJQJ^JaJ h:^�h�CJOJQJ^JaJ hHEhc�CJOJQJ^JaJh�CJOJQJ^JaJ"������LNPbfhn�����(356�������΅���~m�mc_X_X_X_X_QMhD�hHEhVh�hHEhc�h:^�hHEhc�5�\� hHEhc�CJOJQJ^JaJ hHEh�	KCJOJQJ^JaJh��CJOJQJ^JaJ hG
�h�	KCJOJQJ^JaJ hG
�hVh�CJOJQJ^JaJ h�&h�&CJOJQJ^JaJ h:^�h:^�CJOJQJ^JaJ h:^�h�&CJOJQJ^JaJh:^�CJOJQJ^JaJ6?@AEFGHTU����������������Ҿ�����w�f�Uf�D h��hdsCJOJQJ^JaJ h��h�z�CJOJQJ^JaJ h��h��CJOJQJ^JaJ h��h�K�CJOJQJ^JaJ h��h�E�CJOJQJ^JaJ h��hvZCJOJQJ^JaJ&hHEhvZ5�CJOJQJ\�^JaJ&hHEh�z�5�CJOJQJ\�^JaJ hHEhvZCJOJQJ^JaJhHEhc�h:^�hHEhVh�hD�hHEhD��GU������� � ����������������$d��a$gd��$d��a$gd�
h$d��a$gdi�	$d��a$$d�a$$d��a$gd(
�$d��a$gd�4�$d��a$gdg$d��a$gd:^�	
*-1:Jghijl��������������������±�������p�_���pӱ�p��pӱ hHEh�z�CJOJQJ^JaJ h�hdsCJOJQJ^JaJ hHEhdsCJOJQJ^JaJ hHEh��CJOJQJ^JaJh��CJOJQJ^JaJ hHEhvZCJOJQJ^JaJ h��hvZCJOJQJ^JaJhi�CJOJQJ^JaJ h��hdsCJOJQJ^JaJh�pbCJOJQJ^JaJ������������
���������
)*���´���´�´sbQ@� ht^hj�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJ hHEh(
�CJOJQJ^JaJhvZCJOJQJ^JaJ h�hj�CJOJQJ^JaJ h�h�z�CJOJQJ^JaJ hV#�hvZCJOJQJ^JaJh�4�CJOJQJ^JaJhi�CJOJQJ^JaJ h�hdsCJOJQJ^JaJh�pbCJOJQJ^JaJ h�hvZCJOJQJ^JaJ*+,-��������������� !����±��������p�_��p��N������ ht^h�z�CJOJQJ^JaJ h��hj�CJOJQJ^JaJ h��h(
�CJOJQJ^JaJ h��h�K�CJOJQJ^JaJ h��hV#�CJOJQJ^JaJh��CJOJQJ^JaJ h��hvZCJOJQJ^JaJ ht^hvZCJOJQJ^JaJh�4�CJOJQJ^JaJhi�CJOJQJ^JaJ ht^hj�CJOJQJ^JaJ�����������CDE�����±�’��p_p�N:&hHEhHE5�CJOJQJ\�^JaJ hHEhvZCJOJQJ^JaJ ht^hRUBCJOJQJ^JaJ ht^h5D�CJOJQJ^JaJ ht^h*R�CJOJQJ^JaJh�}�CJOJQJ^JaJ ht^hJ+ECJOJQJ^JaJ ht^hj�CJOJQJ^JaJhi�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJh(
�CJOJQJ^JaJ ht^hgCJOJQJ^JaJ!*9?C\at}����dz����o��^M^?o. h��h8b�CJOJQJ^JaJh�K�CJOJQJ^JaJ hHEh,�CJOJQJ^JaJ hHEhvZCJOJQJ^JaJ h��h�K�CJOJQJ^JaJ h��h1|iCJOJQJ^JaJ h��h�8CJOJQJ^JaJ h��hvZCJOJQJ^JaJ&hHEhvZ5�CJOJQJ\�^JaJ h��5�CJOJQJ\�^JaJ&hHEhHE5�CJOJQJ\�^JaJ&hHEhvZ5�CJOJQJ\�^JaJ�������
������޼����~�p_K��=h8b�CJOJQJ^JaJ&hHEhvZ5�CJOJQJ\�^JaJ hHEhHECJOJQJ^JaJhvZCJOJQJ^JaJh4]�CJOJQJ^JaJhi�CJOJQJ^JaJ hHEh�
hCJOJQJ^JaJ hHEhgCJOJQJ^JaJ hHEhvZCJOJQJ^JaJ h��h��CJOJQJ^JaJ h��hvZCJOJQJ^JaJ h��h�K�CJOJQJ^JaJ�����������������'(����޿ﮝ��~m\K:�ޮ�~� h��hvZCJOJQJ^JaJ h��h�K�CJOJQJ^JaJ h��h8b�CJOJQJ^JaJ h��h3ptCJOJQJ^JaJh8b�CJOJQJ^JaJ hHEhgCJOJQJ^JaJ hHEhvZCJOJQJ^JaJ h�K�hvZCJOJQJ^JaJ h�K�h�
hCJOJQJ^JaJh��CJOJQJ^JaJ h�K�h�K�CJOJQJ^JaJ h�K�h8b�CJOJQJ^JaJ���? F Y Z f g � � � � � � � � � 	!!'!)!l!�!�!��Ϳޱޣ���p_ͿͿ���Q�C�h�+CJOJQJ^JaJh��CJOJQJ^JaJ h(
�5�CJOJQJ\�^JaJ&hHEhvZ5�CJOJQJ\�^JaJ hHEhHECJOJQJ^JaJhvZCJOJQJ^JaJh4]�CJOJQJ^JaJh��CJOJQJ^JaJh�.�CJOJQJ^JaJ hHEhvZCJOJQJ^JaJ hHEh1|iCJOJQJ^JaJ hHEh�
hCJOJQJ^JaJ� � �"�"�"�&�&�&�+�+�+E,F,N,�,h.i.�0�����������������$d��a$gd�+7$d��a$gdPh�$d��a$gdHE$d��a$gd.S�$d��a$gd�4�	$d��a$$d��a$gd��$d��a$gd(
��!�!�!�!�!�!�!�!�!�!�!,"-"�"�"�"$>$\$u$z${$|$���±±±���Р��{�jYH:hi�CJOJQJ^JaJ h��hJ+ECJOJQJ^JaJ h��h�
hCJOJQJ^JaJ hHEh�
hCJOJQJ^JaJ hHEh1|iCJOJQJ^JaJ&hHEhvZ5�CJOJQJ\�^JaJ hHE6�CJOJQJ]�^JaJ hHEh��CJOJQJ^JaJh��CJOJQJ^JaJ hHEhvZCJOJQJ^JaJh�+CJOJQJ^JaJ hHEh�+CJOJQJ^JaJ|$~$$�$�$�$�$�$�$h%�%�%�%a&�&�&�&�&�&�&�&����±± � |iV�C��$h�dVhJ+ECJOJQJ^J_H)aJ$hHEhJ+ECJOJQJ^J_H)aJ$hHEh1R'CJOJQJ^J_H)aJ$hHEhvZCJOJQJ^J_H)aJ h��hKG�CJOJQJ^JaJ hHEhvZCJOJQJ^JaJ h��h(
�CJOJQJ^JaJ h��hvZCJOJQJ^JaJh�4�CJOJQJ^JaJhi�CJOJQJ^JaJ h��hJ+ECJOJQJ^JaJ�&�&�&�&j'l's't'�'](^(�(�(�(0)1)�)�)�)�)��ij�����}�l�l^M?M�h��CJOJQJ^JaJ hHEhvZCJOJQJ^JaJh�o�CJOJQJ^JaJ h.S�h�o�CJOJQJ^JaJ&h.S�h�f�6�CJOJQJ]�^JaJ h.S�h�f�CJOJQJ^JaJ h.S�h(
�CJOJQJ^JaJ h.S�hvZCJOJQJ^JaJ*hHEhvZ5�CJOJQJ\�^J_H)aJ$hHE6�CJOJQJ]�^J_H)aJ$h�dVhvZCJOJQJ^J_H)aJ�)�)�)!*#*o*}*�*�*�*�*q+y+|+�+�+�+�+,,",#,$,(,F,G,��Ϳͱͱͱ͠͠͏{�m\�ͱ�H&hHEhvZ5�CJOJQJ\�^JaJ hHEh1|iCJOJQJ^JaJh4nCJOJQJ^JaJ&hHEhvZ5�CJOJQJ\�^JaJ hHE5�CJOJQJ\�^JaJ hHEh1R'CJOJQJ^JaJh.S�CJOJQJ^JaJh��CJOJQJ^JaJ hHEhvZCJOJQJ^JaJ h.S�hvZCJOJQJ^JaJ h.S�hrd�CJOJQJ^JaJG,M,N,O,_,a,},�,�,�,�,�,�,�,�,�,�,2-4-A-��Ƕ����ra�aPa?a��� h.S�h(
�CJOJQJ^JaJ h.S�hjw�CJOJQJ^JaJ h.S�hPh�CJOJQJ^JaJ h.S�h	WCJOJQJ^JaJ h.S�h.S�CJOJQJ^JaJ h.S�h4nCJOJQJ^JaJ h.S�h��CJOJQJ^JaJ h.S�hvZCJOJQJ^JaJ h.S�h�+CJOJQJ^JaJ&hHEhvZ5�CJOJQJ\�^JaJ&hHEhHE5�CJOJQJ\�^JaJA-U-�-�-�-�-�-�-�-�-�-�-...g.u..//+/H/Q/�/�����޼ޫޚ���v���eTeCe h.S�h.S�CJOJQJ^JaJ h.S�hY
)CJOJQJ^JaJ h.S�h�CJOJQJ^JaJ$h.S�hvZCJOJQJ^J_H)aJ h.S�hq�CJOJQJ^JaJ h.S�h	WCJOJQJ^JaJ h.S�h�+7CJOJQJ^JaJ h.S�h�+CJOJQJ^JaJ h.S�h4nCJOJQJ^JaJ h.S�hvZCJOJQJ^JaJ h.S�h1|iCJOJQJ^JaJ�/�/�/�/&050H0Q0n0t0u0�0�0�0�0�0�0�0�0�0 1#1)1+141:1;1���޼��ޫ����xgVgV�g�x�gE� h.S�hvZCJOJQJ^JaJ h.S�h�[�CJOJQJ^JaJ h.S�h�(~CJOJQJ^JaJ h.S�h�o�CJOJQJ^JaJ h.S�hq�CJOJQJ^JaJ h.S�h�K�CJOJQJ^JaJ h.S�h�8CJOJQJ^JaJ h.S�hYV@CJOJQJ^JaJ h.S�h.S�CJOJQJ^JaJ h.S�h�CJOJQJ^JaJ h.S�hu�CJOJQJ^JaJ�0�0X3Y3R7T7w8x8�8�:�:�>�>&E'ECJ@L����������������
$d�a$gd.�$d��a$gd3Y�$d��a$gdi�$d��a$gd�4�$d��a$gdq�$d��a$gd�+7	$d��a$$d��a$gd�LT$d��a$gd�K�;1a1c1h1j1�1�1�1&2'2f2�2�2�2T3V3W3X3]3������ﺧ�����qaN= hHEhvZCJOJQJ^JaJ$hHEhvZCJOJQJ^J_H)aJh�[�CJOJQJ^J_H)aJhq�CJOJQJ^J_H)aJ$h.S�hq�CJOJQJ^J_H)aJ$h.S�h�[�CJOJQJ^J_H)aJ$h.S�h�LTCJOJQJ^J_H)aJ$h.S�hvZCJOJQJ^J_H)aJ h.S�h��CJOJQJ^JaJ h.S�h}d�CJOJQJ^JaJ h.S�hvZCJOJQJ^JaJ]3_3�345
5�5�566j6n6r6�6�6�6�6�6�6J7L7N7�7�7�7�7$8%8L8k8������������±  ������~kX$hHEh�)�CJOJQJ^J_H)aJ$hHEhvZCJOJQJ^J_H)aJ hHEhj-jCJOJQJ^JaJ h.S�hq�CJOJQJ^JaJ h.S�h�+7CJOJQJ^JaJ h.S�h��CJOJQJ^JaJ h.S�hvZCJOJQJ^JaJh.S�CJOJQJ^JaJ hHEhvZCJOJQJ^JaJh��CJOJQJ^JaJk8t8u8v8x8�8�8�8�8�8'9G9H9J9K9L9l9���ʴ��zizXJXJ<zh�4�CJOJQJ^JaJhi�CJOJQJ^JaJ ht^hJ+ECJOJQJ^JaJ ht^h��CJOJQJ^JaJ ht^hvZCJOJQJ^JaJ$ht^hvZCJOJQJ^J_H)aJ*hEJhvZ5�CJOJQJ\�^J_H)aJ*hEJhEJ5�CJOJQJ\�^J_H)aJ$hHEhvZCJOJQJ^J_H)aJhq�CJOJQJ^J_H)aJ$hHEhj-jCJOJQJ^J_H)aJl9r9s9t9v9x9$:B:Z:j:�:�:�;�;�;�;�<�<�<�<����п������s���bQ>$h�q�hvZCJOJQJ^J_H)aJ h�q�hvZCJOJQJ^JaJ h�q�h1|iCJOJQJ^JaJhr�CJOJQJ^JaJ ht^h��CJOJQJ^JaJh�q�CJOJQJ^JaJh.S�CJOJQJ^JaJ ht^hEn�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJhi�CJOJQJ^JaJ ht^hJ+ECJOJQJ^JaJ ht^h�U�CJOJQJ^JaJ�<�<====8=9=:=<===�=�=�=�=�=&>U>r>�>?����ɸ�������z�gTCTC ht^hvZCJOJQJ^JaJ$ht^hvZCJOJQJ^J_H)aJ$ht^hptCJOJQJ^J_H)aJh�pbCJOJQJ^JaJ ht^h�	KCJOJQJ^JaJhi�CJOJQJ^JaJ ht^h�#�CJOJQJ^JaJ ht^hptCJOJQJ^JaJ h�q�hptCJOJQJ^JaJ$h�q�hvZCJOJQJ^J_H)aJ$h�q�hF'CJOJQJ^J_H)aJ??-?3?4?5?7?8?U?j?l?m?�?�?�?�?.@/@E@F@�@�@�@�@�@�@�@�@AA9A<AJAKARASA�A�A��ͼ���ޠޠޠޠޠޠޒށ�����p������_p ht^h�z�CJOJQJ^JaJ ht^h�4�CJOJQJ^JaJ ht^h�;CJOJQJ^JaJhspCJOJQJ^JaJh�r?CJOJQJ^JaJhi�CJOJQJ^JaJ ht^h�#�CJOJQJ^JaJ ht^hG;�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJ ht^hr�CJOJQJ^JaJ%�AB2B3B9B@BUBkB�B�B�B�B�B�B�B�B�B�B�B�BC(C)C6CDC��ͼͼͮ͝�{j\j\{K�K�K�K ht^h/	CJOJQJ^JaJhi�CJOJQJ^JaJ ht^h�#�CJOJQJ^JaJ ht^hptCJOJQJ^JaJ ht^h�s�CJOJQJ^JaJ ht^h�U�CJOJQJ^JaJhr�CJOJQJ^JaJ ht^h�G�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJ ht^h�4�CJOJQJ^JaJ ht^h�z�CJOJQJ^JaJDCECLCMC�C�C�C�C�C�C$D(D;D<D=D?DKDLDMDPDVDWD_D`DaDdDjDoDpD�D�D�D�D�D�D�D�D%E���п�������~�p�~�p���~�p����~�~�~���hspCJOJQJ^JaJ hsph�r?CJOJQJ^JaJ hsphr�CJOJQJ^JaJhi�CJOJQJ^JaJ hsph�#�CJOJQJ^JaJ hsph�s�CJOJQJ^JaJ ht^h�s�CJOJQJ^JaJ ht^h/	CJOJQJ^JaJh�r?CJOJQJ^JaJ%%E&E'E�E�EMFRFSFTFUFWFXF�HII-I9I<ICIFIKIOISIUIWIXIfIgIsI�I�IBJ�������ͿͿﮝ�{�{j{�{�Y{�{���� hsph�r?CJOJQJ^JaJ hsphspCJOJQJ^JaJ hsphg)LCJOJQJ^JaJ hsphpP�CJOJQJ^JaJ hsph�F	CJOJQJ^JaJ hsphvZCJOJQJ^JaJhi�CJOJQJ^JaJ ht^h�#�CJOJQJ^JaJ ht^h3Y�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJBJTJ\J]JbJjJ�J�J�J�J�J�J�J�J�JKKKAKGKWKZK_KiK�K�����ͼ��ޚމ��{�jYjHjHj hsph�r?CJOJQJ^JaJ hsphspCJOJQJ^JaJ hsphvZCJOJQJ^JaJh.�CJOJQJ^JaJ ht^hvZCJOJQJ^JaJ ht^h�?�CJOJQJ^JaJ ht^h�	KCJOJQJ^JaJ ht^h��CJOJQJ^JaJ ht^h�mxCJOJQJ^JaJ ht^hp�CJOJQJ^JaJ ht^hEJCJOJQJ^JaJ�K�K�K?L@LOLPL�L�LZM[MjMkMmM��Ϳ��}d}dG2})jht^ht^CJOJQJU^JaJ8ht^ht^0J>*B*CJOJQJ^JaJmH	ph�sH	1jht^ht^CJOJQJU^JaJmH	sH	(ht^ht^CJOJQJ^JaJmH	sH	(ht^5�CJOJQJ\�^JaJmH	sH	.ht^ht^5�CJOJQJ\�^JaJmH	sH	hvZCJOJQJ^JaJ ht^h�F	CJOJQJ^JaJ ht^hl3ECJOJQJ^JaJ hsphl3ECJOJQJ^JaJ
@LPLmMnMoM{M N�NzP�P5S�S�WMX�XlY!Z�Z�����������������$�d��7$8$H$^�a$gd%U,$d��7$8$H$a$gd%U,$�d��7$8$H$^�a$gdsp$d��a$gdEJ$d�a$
$d�a$gdEJ
$d�a$gdt^mMnMoMpMqMzM{M�M�M�M�MNNNNN N#N3N5NONVN�N�N�N�N�N�N�N�N�N���òá���������x����������gVg h%U,h*qECJOJQJ^JaJ h%U,hHECJOJQJ^JaJh*qEhHEOJQJ^Jh*qECJOJQJ^JaJhspCJOJQJ^JaJ h*qEhHECJOJQJ^JaJ hEJ5�CJOJQJ\�^JaJ&hHEhvZ5�CJOJQJ\�^JaJhHEhvZ hHEhvZCJOJQJ^JaJ ht^ht^CJOJQJ^JaJ�N�N�N�N�NjOkOqOrOsOtOuO�O�O�O�O�O�O�O�OlPmPtPuPwPzP�P��Ʊ���fƱ����f�����U��D h*qEhHECJOJQJ^JaJ h%U,h*qECJOJQJ^JaJ1h%U,h%U,CJOJQJ^JaJfHq�
����Ah%U,h%U,0J>*B*CJOJQJ^JaJfHph�q�
���� h%U,h%U,CJOJQJ^JaJ)jh%U,h%U,CJOJQJU^JaJ5h%U,h%U,0J CJOJQJ^JaJfHq�
���� h%U,hHECJOJQJ^JaJh%U,CJOJQJ^JaJ�P�P�P�P�P�P�P�P�P�P�P�P@QAQIQJQLQMQ�Q�Q�Q�Q�Q�Q�Q�QRR
RR^R_RjRkRmRnR�R�R�R�R�R�R%S&S.S/S1S5S8SkSrS�S�S�S�S����������������������������������������0h*qEhHE0J>*B*CJOJQJ^JaJph�!jh*qEhHEOJQJU^Jh*qEhHEOJQJ^Jh!M
CJOJQJ^JaJ h*qEhHECJOJQJ^JaJ h*qEhspCJOJQJ^JaJhspCJOJQJ^JaJ6�S�S�S�S�S�T�T�T�T�T�T>U?UGUHUJUKU�U�U�U�U�U�U�V�V�V�V�V�V�V�V|W}W�W�W�W�W�W�W�W�W�W@X�����æÑ��æÑ��æÑ��æ�����æÇ�u�����"hspCJOJQJ^JaJmH	sH	hspOJQJ^J(h*qEhHECJOJQJ^JaJmH	sH	8h*qEhHE0J>*B*CJOJQJ^JaJmH	ph�sH	!jh*qEhHEOJQJU^Jh*qEhHEOJQJ^J h*qEhHECJOJQJ^JaJhspCJOJQJ^JaJ*@XAXGXHXJXMXPX�X�X�X�X�X�XgYhYlYpY�Y�YZZZZZMZTZ�Z�Z[ [!["[�[�[�[�[��������������������������Ƶ�����`�Ah.�h.�0J>*B*CJOJQJ^JaJfHph�q�
���� h.�h.�CJOJQJ^JaJ)jh.�h.�CJOJQJU^JaJh.�CJOJQJ^JaJ h.�hHECJOJQJ^JaJh*qEhHEOJQJ^Jh!M
CJOJQJ^JaJ h*qEhHECJOJQJ^JaJh�pbCJOJQJ^JaJ#�[�[�[�[\\\\\\$\+\�\�\�\�\�\�˶����v�eWeWFe9h*qEhHEOJQJ^J h.�h-mCJOJQJ^JaJh.�CJOJQJ^JaJ h.�hHECJOJQJ^JaJh%U,CJOJQJ^JaJAh.�h.�0J>*B*CJOJQJ^JaJfHph�q�
���� h.�h.�CJOJQJ^JaJ)jh.�h.�CJOJQJU^JaJ5h.�h.�0J CJOJQJ^JaJfHq�
����1h.�h.�CJOJQJ^JaJfHq�
�����Z�\�_�`&cdeSe�g�g�g�g�g�g���������wwww!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�gdG
�	d��gd�pb$�d��7$8$H$^�a$gd%U,$�d�^�a$gd.�$d��7$8$H$a$gd%U,$d��7$8$H$a$gd�pb$d��7$8$H$a$gd.�
�\�\�\�\�\]]
]]]]^]h]i]k]l]�]�]�]�]�]�]A^B^Q^R^T^U^�^�^�^�^�^�^�^�^�����������������ض�����������zi�Yh.�CJOJPJQJ^JaJ h.�h!M
CJOJQJ^JaJh%U,CJOJQJ^JaJ0h.�h.�0J>*B*CJOJQJ^JaJph�)jh.�h.�CJOJQJU^JaJ h.�h.�CJOJQJ^JaJ h.�hHECJOJQJ^JaJ)jh.�hHECJOJQJU^JaJ$h.�hHECJOJPJQJ^JaJ"�^r_s_�_�_�_�_�_�_�_�_�_�_�_�_
`````�`�`�`�`�`�`aa���ֲ֤Ťœłt�tf�t�t�f�UHUh*qEhHEOJQJ^J!jh*qEhHEOJQJU^Jh!M
CJOJQJ^JaJh�pbCJOJQJ^JaJ h*qEhHECJOJQJ^JaJ h.�h!M
CJOJQJ^JaJh.�CJOJQJ^JaJ$h.�hHECJOJPJQJ^JaJ h.�hHECJOJQJ^JaJ)jh.�hHECJOJQJU^JaJ(h.�hHECJKH$OJPJQJ^JaJa$a%a'a(axaya�a�a�a�a�a�a�a�a�a�a/b0b9b:b<b=b�b�b�b�b�b�bcc!c#c$c&c)c*cddd���ָ����ָ����ָ����ָ���ŪŪŪ�Ÿ��p� h.�hHECJOJQJ^JaJ h.�h.�CJOJQJ^JaJh.�OJQJ^Jh!M
CJOJQJ^JaJh�pbCJOJQJ^JaJh*qEhHEOJQJ^J h*qEhHECJOJQJ^JaJ!jh*qEhHEOJQJU^J0h*qEhHE0J>*B*CJOJQJ^JaJph�'d#dFdMd�d�deee&eSeWeXe�e�e�e�e�e�e�ebfcfnfofpfqfrf�f�f�f�f�fg	g���������������y������y�����iVi$h�pbh�pbCJOJPJQJ^JaJh�pbCJOJPJQJ^JaJh]g�CJOJPJQJ^JaJ4h-mh-m0J>*B*CJOJPJQJ^JaJph�$h-mh-mCJOJPJQJ^JaJ-jh-mh-mCJOJPJQJU^JaJh�pbCJOJQJ^JaJ h*qEhHECJOJQJ^JaJ$h*qEhHECJOJPJQJ^JaJ!	gggg%g,g�g�g�g�g�g�g�g�g�g�g����ͺ�͜��fVI6%h\zKhG
�B*OJQJ^J_H)phh\zKhG
�OJQJ^Jh\zKhG
�5�OJQJ\�^J4hG
�B*CJOJQJ^JaJfHphq�
����4h�pbB*CJOJQJ^JaJfHphq�
����:h�8�ht^B*CJOJQJ^JaJfHphq�
����$h-mh-mCJOJPJQJ^JaJh�pbCJOJPJQJ^JaJh-mCJOJPJQJ^JaJ$h�pbh�pbCJOJPJQJ^JaJ�g�gh
hh����!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��ghhhhh6h7hBhChthuh�h�h�h�h�h�h�h�h,i-i2i3isiti{i�i�i�i�i
jjjjjj_j`jjjkjpjqj�j�j�j�j�j�j8k9k>k?kEkFk�k�k�k�k�k�k�k�k����������������������������������������������$h\zKhG
�B*H*OJQJ^JphhG
�B*OJQJ^JphhG
�B*OJQJ^J_H)ph%h\zKhG
�B*OJQJ^J_H)phh�v�hG
�CJaJ!h\zKhG
�B*OJQJ^Jph>hhh%hA!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd$$If�l��J�r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�%h+h1h6h���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�6h7hChQhA!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l��'�r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�Qh_hmhth���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�thuh�h�hA!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l����r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��h�h�h�h���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��h�h�h�hC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��h�h�h�h���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��h�h�hiC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�ii%i,i���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�,i-iEiRiC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kdd$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�Ri_ilisi���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�siti�i�iC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd:$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��i�i�i�i���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��i�i�i�iC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��i�ij
j���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�
jj-j<jC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�<jKjZj_j���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�_j`j�j�jC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��j�j�j�j���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��j�j�j�jC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd�$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��j�j�j�j���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��j�jkkC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kdh	$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�k#k1k8k���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@�8k9kRk_kC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd>
$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@�_klkyk�k���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��k�k�k�kC!!!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��kd$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��k�k�k�k���!�<�<d@$����&#$/��7$8$H$If]�<^�<gd�@��k�k�k�kC94gdG
�	d��gdG
��kd�$$If�l��r������!<'�bF
6�������0��'����������������������������4�4�
la�yt�@��k�k�k�k�k�klll$l0l2lDlNlPlRl^ljl�l�l$m6m8m:m�m�m9nRn�n�n�noco�op3pup�p�p����Ƶ��ƛ�ƛƵƛƊƊw�ƊƊƊƊƊƵƵ�$h\zKhG
�B*H*OJQJ^Jph!h\zKhG
�B*OJQJ^JphhG
�OJQJ^J_H)hG
�B*OJQJ^Jph!h\zKhG
�B*OJQJ^Jphh\zKhG
�OJQJ^J_H)h\zKhG
�5�OJQJ\�^JhG
�h\zKhG
�OJQJ^JhG
�OJQJ^J&�k�kll&l2lFlRl`lllpl�l������������<dh$��&`#$/��7$8$H$If]�<gd�@��<�<dh$��&`#$/��7$8$H$If]�<^�<gd�@�dh$��&`#$/��Ifgd�@��l�l�kd�$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@��l�l�l�l�l
mm"m�������dh$��&`#$/��Ifgd�@�"m$m�kd�
$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@�$m<mVmjm�m�m�m�m�������dh$��&`#$/��Ifgd�@��m�m�kd�$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@��m�mnnn+n1n8n�������dh$��&`#$/��Ifgd�@�8n9n�kd�$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@�9nSnanon|n�n�n�n�������dh$��&`#$/��Ifgd�@�dh$��&`#$/��7$8$H$Ifgd�@��n�n�kd$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@��n�n�n�n�n�n�n�n�������dh$��&`#$/��Ifgd�@�dh$��&`#$/��7$8$H$Ifgd�@��n�n�kd$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@��no(o7oFoUo[obo�������dh$��&`#$/��Ifgd�@�dh$��&`#$/��7$8$H$Ifgd�@�boco�kd,$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@�co�o�o�o�o�o�o�o�������dh$��&`#$/��Ifgd�@�dh$��&`#$/��7$8$H$Ifgd�@��o�o�kd>$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@��o�o�o�opppp�������dh$��&`#$/��Ifgd�@�pp�kdP$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@�p3p@pMpZpgpmptp�������dh$��&`#$/��Ifgd�@��<dh$��&`#$/��7$8$H$If]�<gd�@�tpup�kdb$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@�up�p�p�p�p�p�p�p�������dh$��&`#$/��Ifgd�@��<dh$��&`#$/��7$8$H$If]�<gd�@��p�pjq
�gdG
��kdt$$If�l�֞��k�7x)!�$��D���
t�
6`�����0��������������������������������������4�4�
la�yt�@��p�p�p\qiq�q�q�q�q�q�q�q�qrr0r:r;rRrSr]r^rhrir�r�r�r�r�r�r�r�r�r��̹�����~�q�q`S`S`S`S`S`S`S`S`ShvZhG
�OJQJ^J hvZhG
�CJOJQJ^JaJh?Z�hG
�OJQJ^JhG
�5�OJQJ\�^Jh?Z�hG
�5�OJQJ\�^Jh\zKhG
�hG
�OJQJ^Jh\zKhG
�OJQJ^J%h\zKhG
�B*OJQJ^J_H)ph!h\zKhG
�B*OJQJ^JphhG
�B*OJQJ^Jph'h\zKhG
�5�B*OJQJ\�^Jph jq�q�q�q�qrr r%r+r/r����������$�d��$7$8$H$If^�a$gd�@�gdG
�
/r0r;rSrH. d��$Ifgd�@�$�d��$7$8$H$If^�a$gd�@��kd�$$If�l��r���� D%�FF2
t��0��%6��������������������������4�4�
la�yt�@�Sr^rirtr�r����d��$Ifgd�@�$�d��$7$8$H$If^�a$gd�@��r�r�r4$�d��$7$8$H$If^�a$gd�@��kdR$$If�l4�ֈ��?�� D%`�GFF2
t��0��%6������������������������������4�4�
la�yt�@��r�r�r�r�r�r�����d��$Ifgd�@�$�d��$7$8$H$If^�a$gd�@��r�r�r4$�d��$7$8$H$If^�a$gd�@��kd<$$If�l4�ֈ��?�� D% �GFF2
t��0��%6������������������������������4�4�
la�yt�@��r�r�r�rss�����$�d��$7$8$H$If^�a$gd�@�d��$Ifgd�@��r�r�r�rssss)s*sVsWs`sasxsys�s�s�s�sttFtHt_t`tutvt�t�t�t�t�t�t�t�t�t�t3u4u8uWuXu\u�������������������������������غ������o��o!hjChG
�B*OJQJ^JphhG
�hjChG
�OJQJ^JhjChG
�OJQJ^J_H)hG
�5�OJQJ\�^Jh�:phG
�OJQJ^JhjChG
�5�OJQJ\�^JhG
�CJOJQJ^JaJhG
�OJQJ^JhvZhG
�OJQJ^J hvZhG
�CJOJQJ^JaJ+sss4$�d��$7$8$H$If^�a$gd�@��kd&$$If�l4�ֈ��?�� D%`�GFF2
t��0��%6������������������������������4�4�
la�yt�@�s*s5s@sKsVs�����d��$Ifgd�@�VsWsas4$�d��$7$8$H$If^�a$gd�@��kd$$If�l4�ֈ��?�� D% �GFF2
t��0��%6������������������������������4�4�
la�yt�@�asys�s�s�s�s�����d��$Ifgd�@��s�s�s4$�d��$7$8$H$If^�a$gd�@��kd�$$If�l4�ֈ��?�� D%`�GFF2
t��0��%6������������������������������4�4�
la�yt�@��s�s�s�s�s�s�����d��$Ifgd�@��s�st4$�d��$7$8$H$If^�a$gd�@��kd�$$If�l4�ֈ��?�� D% �GFF2
t��0��%6������������������������������4�4�
la�yt�@�tt$t/t:tFt�����d��$Ifgd�@�FtGtHt4$�d��$7$8$H$If^�a$gd�@��kd�$$If�l4�ֈ��?�� D%`�GFF2
t��0��%6������������������������������4�4�
la�yt�@�Ht`tktvt�t�t�����$�d��$7$8$H$If^�a$gd�@�d��$Ifgd�@��t�t�t4$�d��7$8$H$^�a$gdG
��kd�$$If�l4�ֈ��?�� D% �GFF2
t��0��%6������������������������������4�4�
la�yt�@��t�t�tuuu3u������dh$Ifgd�@�gdG
�3u4u8u@uGuOuWuH<<<<<dh$Ifgd�@��kd� $$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�WuXu]ueukusu{uH<<<<<dh$Ifgd�@��kds!$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�\u]u{u|u�u�u�u�u�u�u�u�u�u�uvv4vLvMvfvgv�v�v�v�v�v�v�v�vw*w+wXwow�w�w�w�wxxQxRx�x�x�x�x!y"yoypy�y�y�y�yLzMz�z�z�z�z�����������������������������䴧�������������hK�hG
�5�OJQJ\�^JhG
�5�OJQJ\�^JhG
�OJQJ^J!hjChG
�B*OJQJ^Jph!hjChG
�B*OJQJ^JphhG
�hjChG
�OJQJ^JhjChG
�OJQJ^J_H);{u|u�u�u�u�u�uH<<<<<dh$Ifgd�@��kdD"$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@��u�u�u�u�uH7++dh$Ifgd�@�dh$7$8$H$Ifgd�@��kd#$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@��u�u�u�u�u��<+dh$7$8$H$Ifgd�@��kd�#$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�dh$Ifgd�@��uvvvvv����<�kd�$$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�dh$Ifgd�@�v4v:v<vDvLv�����dh$Ifgd�@�dh$7$8$H$Ifgd�@�LvMvgvmvsvH7++dh$Ifgd�@�dh$7$8$H$Ifgd�@��kd�%$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�sv{v�v�v�v�v�v��<����kdY&$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�dh$Ifgd�@��v�v�v�v�v��<'�<dh$7$8$H$If]�<gd�@��kd*'$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�dh$Ifgd�@��v�v�v�v�v�v����<�kd�'$$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�dh$Ifgd�@��vwww!w*w�����dh$Ifgd�@��<dh$7$8$H$If]�<gd�@�*w+wXw�w	xxxHCC555d��$Ifgd�@�gdG
��kd�($$If�l��r��@����$�TT�|
t��0�6��������������������������4�4�
la��yt�@�xxxx/x@xQx�P�����kd�)$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@�d��$Ifgd�@�QxRx^xox�x�x^PPPPd��$Ifgd�@��kd8*$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@��x�x�x�x�x�x^PPPPd��$Ifgd�@��kd�*$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@��x�x�xyy!y^PPPPd��$Ifgd�@��kdn+$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@�!y"y<yMy^yoy^PPPPd��$Ifgd�@��kd	,$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@�oypy�y�y�y�y^PPPPd��$Ifgd�@��kd�,$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@��y�y�y�y�y�y^PPPPd��$Ifgd�@��kd?-$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@��y�yz$z8zLz^PPPPd��$Ifgd�@��kd�-$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@�LzMz�z�z�z�z�z^YK:::$d��$Ifa$gd�@�dh�7$8$H$gdG
�gdG
��kdu.$$If�l��\��H	���$����
t��0�6���������������������4�4�
la�yt�@��z�z�z�z�z�z�z�z�z{{{{ {'{;{<{C{J{r{s{�{�{�{�{�{���%�F����������������ʷʷ��ʷ�������󥕄vgvYhspCJOJQJ^JaJhspCJH*OJQJ^JaJhspCJOJQJ^JaJ hsp5�CJOJQJ\�^JaJhspCJOJPJQJ^JaJhG
�CJOJPJQJ^JaJUhG
�OJQJ^J_H)hK�hG
�hK�hG
�OJQJ^J_H)hK�hG
�5�OJQJ\�^JhG
�OJQJ^JhK�hG
�OJQJ^J"�z{{{ {4{;{�M�����kd/$$If�l��\���
!�$(N
�
t��0�6���������������������4�4�
la�yt�@�$d��$Ifa$gd�@�;{<{C{W{k{r{^MMMM$d��$Ifa$gd�@��kd�/$$If�l��\���
!�$(N
�
t��0�6���������������������4�4�
la�yt�@�r{s{z{�{�{�{^MMMM$d��$Ifa$gd�@��kd�0$$If�l��\���
!�$(N
�
t��0�6���������������������4�4�
la�yt�@��{�{�$�%�F�g�����^YKKKKKKdh�7$8$H$gdspgdG
��kdM1$$If�l��\���
!�$(N
�
t��0�6���������������������4�4�
la�yt�@�HI apnea hypopnea index
Appendix 1

Scoring of Berlin Questionnaire:
Category 1: items 1, 2, 3, 4, 5.
Item 1: if �Yes�, assign 1 point
Item 2: if �c� or �d� is the response, assign 1 point
Item 3: if �a� or �b� is the response, assign 1 point
Item 4: if �a� is the response, assign 1 point
Item 5: if �a� or �b� is the response, assign 2 points
Add points. Category 1 is positive if the total score is 2 or more points
Category 2: items 6, 7, 8 
Item 6: if �a� or �b� is the response, assign 1 point
Item 7: if �a� or �b� is the response, assign 1 point
Item 8: if �a� is the response, assign 1 point
Add points. Category 2 is positive if the total score is 2 or more points
Category 3 is positive if the answer to item 10 is �Yes� OR if the BMI of the patient is greater than 30 kg/m2.
High Risk: if there are 2 or more Categories where the score is positive
Low Risk: if there is only 1 or no Categories where the score is positive











 PAGE   \* MERGEFORMAT 1




���#�Z�������+�Z����]�������������������������ҳ������������������������$a$d��	d��gd+�gdG
�gdspdh�7$8$H$gdsp��������������������������γϳгѳԳճֳ�������������˾����h:v:mHnHuh�{�jh�{�Uh�
3jh�
3Uh�r CJOJPJQJ^JaJhG
�hK�hG
�OJQJ^JҳӳԳճֳ����	d��gd+�,1�h��/ ��=!��"��#��$��%��������$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l�J
6�������0��'���5��5�5�b5�F/��yt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l�'
6�������0��'���5��5�5�b5�F/��yt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l��
6�������0��'���5��5�5�b5�F/��yt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@��$$If�!vh5��5�5�5�b5�F#v�#v#vb#vF:V�l
6�������0��'���5��5�5�b5�Fyt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@�$$If�!vh5��5�95��5�A5��5�"5��#v�#v9#v�#vA#v�#v"#v�:V�l
t�
6`�����0�����5�5��5��5�D5��5��5��yt�@��$$If�!vh5��5�F5�F5�5�2#v�#vF#v#v2:V�l
t��0��%6�5��5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If�!vh5��5�G5�F5�F5�5�2#v�#vG#vF#v#v2:V�l4
t��0��%6�+�5��5�G5�F5�5�2yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If��!vh5��5�T5�T5��5�|#v�#vT#v�#v|:V�l
t��0�6�5��5�T5��5�|a��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5��	5�<	5�<	5�<	#v�	#v<	:V�l
t��0�65��yt�@��$$If�!vh5�(5�N5�
5��#v(#vN#v
#v�:V�l
t��0�65�(5�N5�
5��yt�@��$$If�!vh5�(5�N5�
5��#v(#vN#v
#v�:V�l
t��0�65�(5�N5�
5��yt�@��$$If�!vh5�(5�N5�
5��#v(#vN#v
#v�:V�l
t��0�65�(5�N5�
5��yt�@��$$If�!vh5�(5�N5�
5��#v(#vN#v
#v�:V�l
t��0�65�(5�N5�
5��yt�@�n!���������666666666vvvvvvvvv666666>666666666666666666666666666�666666666�66666666666hH66666666666666666666666666666666666666666666666666666666666666666�62���� 0@P`p������2�� 0@P`p������ 0@P`p������ 0@P`p������ 0@P`p������ 0@P`p������ 0@P`p��8X�V~$OJPJQJ^J_HmH	nH	sH	tH	J`�JNormald��CJ_HaJmH	sH	tH	^^	Heading 1$$d��@&a$6�CJOJQJ]�^JaJDA`�DDefault Paragraph FontVi@�V
0Table Normal :V�4�4�
la�(k �(
0No List>�>	Headerd���H�$.��.Header Char> @>	Footerd���H�$.��!.Footer Char6U@�16	Hyperlink>*B*ph�P�@BPList Paragraph	^��m$OJPJQJ^J(��Q(style7^JJB@bJ	Body TextCJOJPJQJ^J_H)aJP��qPBody Text CharCJOJPJQJ^J_H)aJ^P�^Body Text 2d��a$5CJOJPJQJ\^JaJV���VBody Text 2 Char5�CJOJPJQJ\�^JaJ>Q�>	Body Text 3�xCJaJ@���@Body Text 3 CharCJaJ���doi"���"label"���"valuej���j�.��
Table Grid7:V�0B�O�B�.�apple-converted-spacePK!����[Content_Types].xml���j�0E����ж�r�(��΢Iw},��-j��4	��w�P�-t#bΙ{U�����T�U^h�d}㨫��)��*1P�'��	�^��W��0)��T�9<�l�#��$yi}��;�~@��(��H����u�*Dנz��/0�ǰ��$��X��3aZ����,�D0j~�3߶�b��~i>���3�\`�?�/�[���G��\�!�-�Rk.�s�Ի�..���a濭?��PK!�֧�6_rels/.rels���j�0���}Q��%v/��C/�}�(h"���O�
����=������ ����C?�h�v=��Ʌ��%[xp��{۵_�Pѣ<�1�H�0���O�R�Bd���JE�4b$��q_����6L�R�7`������0̞O��,�En7�Li�b��/�S���e��е�����PK!ky���theme/theme/themeManager.xml�M
� @�}�w��7c�(Eb�ˮ��C�AǠҟ����7��՛K
Y,�
�e�.���|,���H�,l����xɴ��I�sQ}#Ր���� ֵ+�!�,�^�$j=�GW��)�E�+&
8���PK!����Ptheme/theme/theme1.xml�YOo�6��w toc'vu�ر�-M�n�i���P�@�I}��úa��m�a[�إ�4�:lЯ�GR��X^�6؊�>$�������!)O�^�r�C$�y@�����/�yH*��񄴽)�޵��߻��UDb�`}"�qۋ�Jח���X^�)I`n�E���p)���li�V[]�1M<������O�P��6r�=���z�gb�Ig��u��S�eb��O������R�D۫����qu	�g��Z����o~ٺlAp�lx�pT0���+[}`j���zA��V�2�F���i�@�q�v�֬5\|��ʜ̭N��le�X�ds���jcs���7���f����
��W��+�Ն�7����`���g�Ș��J���j|��h(�K��D-����
dX��iJ�؇(��x$(��:��;�˹!�I_�T��S1�����?E��?�����?ZBΪm���U/������?�~����xY���'���y5�g&΋/����ɋ�>���G�M�Ge���D�����3Vq%'#q�����$�8��K�����)f�w9:ĵ��
x}r�x����w���r�:\TZaG�*�y8I�j�bR��c|XŻ�ǿ�I
u3KG�nD1�NIB�s���
��R��u���K>V�.EL+M2�#'�f��i~�V��vl�{u8��z��H�
�*���:�(W�☕
~��J�T�e\O*�tHG��HY��}KN�P�*ݾ˦���TѼ�9/#��A7�qZ��$*c?���qU��n��w�N��%��O��i�4=3ڗP��
����1�P�m\\9���������Mؓ�2a�D�]�;Yt�\��[x����]�}Wr��|�]��g-���
eW�
�)6-r��CS�j��
i�d	�DЇA�ΜIqbJ#x�꺃6k���#��A�Sh��&ʌt(Q�%��p%m��&]�caSl=�X�����\P�1�Mh�9�M��V�dDA��aV�B��[݈fJ�íP|8�քA�V^��f
�H��n���-��"�d>�z��n��NJ�	�ة�>�b���&����2��v����Kyϼ��D:����,AGm��\nz��i�Ù��.uχYC�6�OMf��3o�r��$��5�����NH�T[XF64�T,ќ���M0�E)`#�5�XY�`�פ;��%�1�U�٥m;���R>QD����D�cp�U�'��&LE�/p���m���%]�����8fi��r�S4�d7y\�`�J�n���ί�I�R��3U�~7+���׸#��m�q�BiD���������i*�L6�9�m�Y&���i���HE��=(K&�N!V�.K�e�LD�ĕ�{D	����vEꦚde��NƟ��e�(�MN9ߜR�6����&3(��a���/D��U�z�<�{ˊ�Y��ȳ����V���)�9�Z[��4^n��5���!J��?��Q�3�eBo�C����M����m<�.�vp�����IY�f���Z�Y_p�[�=al-�Y�}Nc͙���ŋ4vfa��vl����'S��A�8�|�*u�{��-�ߟ0%M0�7%����<���ҍ���PK!
ѐ��'theme/theme/_rels/themeManager.xml.rels��M
�0���wooӺ�&݈Э���5
6?$Q��
�,.�a��i����c2�1h�:�q��m��@RN��;d�`��o7�g�K(M&$R(.1�r'J��ЊT���8��V�"��AȻ�H�u}��|�$�b{��P����8�g/]�QAsم(����#��L�[������PK-!����[Content_Types].xmlPK-!�֧�6+_rels/.relsPK-!ky���theme/theme/themeManager.xmlPK-!����P�theme/theme/theme1.xmlPK-!
ѐ��'�	theme/theme/_rels/themeManager.xml.relsPK]�
<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<a:clrMap xmlns:a="http://schemas.openxmlformats.org/drawingml/2006/main" bg1="lt1" tx1="dk1" bg2="lt2" tx2="dk2" accent1="accent1" accent2="accent2" accent3="accent3" accent4="accent4" accent5="accent5" accent6="accent6" hlink="hlink" folHlink="folHlink"/>Ss
�����	***-��
w

�6�*�����!|$�&�)G,A-�/;1]3k8l9�<?�ADC%EBJ�KmM�N�P�S@X�[�\�^ad	g�g�k�p�r\u�z��ֳ>@ABCDEGHIJKLMNPQRSTUVXYZ[\]^_`abdefghiklmnoq�������� �0@L�Z�gh%h6hQhth�h�h�h�hi,iRisi�i�i�i
j<j_j�j�j�j�jk8k_k�k�k�k�k�l�l"m$m�m�m8n9n�n�n�n�nboco�o�opptpup�pjq/rSr�r�r�r�rssVsas�s�s�stFtHt�t�t3uWu{u�u�u�uvLvsv�v�v�v*wxQx�x�x!yoy�y�yLz�z;{r{�{��ҳֳ?FOWcjprstuvwxyz{|}~������������������������������������������������������������������������������������4A�A�A�C�C�C�CdDmDqE�E�E�E F*F-FF�F�F�F�F�F@GIG|HI#I&I�I�I�IhJsJvJKKdK�KL�OPPP�P�P Q|Q�Q�Q�Q�Q�Q?RIRMR�R�R�RKSZS�S8T>TFU�U�U�U�UVVUV\V_V�V�V�VWW�YXZoZrZ�Z�Z�Zl[}[SsX��X��X��X���X���X���X���X���X���X���X���X���X���X��X��X���X���X���X��X��X���X���X���X���X���X���X��X��X��$&-!�����h0#��A�A@�����������0�(	�
��B
�S����	?���I
OLE_LINK16
OLE_LINK17
OLE_LINK25
OLE_LINK26
OLE_LINK39
OLE_LINK13
OLE_LINK47
OLE_LINK41
OLE_LINK70
OLE_LINK71
OLE_LINK33
OLE_LINK34
OLE_LINK21
OLE_LINK22
OLE_LINK42
OLE_LINK20
OLE_LINK29
OLE_LINK18
OLE_LINK46
OLE_LINK27
OLE_LINK28
OLE_LINK50
OLE_LINK51
OLE_LINK64
OLE_LINK65
OLE_LINK23
OLE_LINK24
OLE_LINK35
OLE_LINK36
OLE_LINK32
OLE_LINK43
OLE_LINK68
OLE_LINK69
OLE_LINK66
OLE_LINK67
OLE_LINK19
OLE_LINK40	OLE_LINK5
OLE_LINK62
OLE_LINK63
OLE_LINK48
OLE_LINK49	OLE_LINK1	OLE_LINK2
OLE_LINK52
OLE_LINK53	OLE_LINK8	OLE_LINK9
OLE_LINK54
OLE_LINK55
OLE_LINK56
OLE_LINK57
OLE_LINK44
OLE_LINK45	OLE_LINK3	OLE_LINK4
OLE_LINK37
OLE_LINK38
OLE_LINK60
OLE_LINK61
OLE_LINK30
OLE_LINK31	OLE_LINK6	OLE_LINK7
OLE_LINK10
OLE_LINK11
OLE_LINK12
OLE_LINK14
OLE_LINK15
_Hlk383097380
_Hlk383097381
OLE_LINK58
OLE_LINK59jjjj[mmmm�������
�
�
�
NN����b* * � � �!�!G#G#�#�#�%�%�&�&�)�)�3�377�8�8�A�AZGZG�P�PdSWW�`�c}m}mTs	

 !"#$%&'()*+,-./0123456789:;CD<=>?@ABEFGHiijjjjjjjj���

 
 
�
�
�
�
!!>>@@@@����<<�� � � � ""�#�#�$�$&&e'e'P*P*�3�3�7�7�8�8�G�GQQ�S�W�W�Y�YVdVd�m�mTsjp��������������_n���	�������
�
��=L������*,5MU��hp������M$W$%
%�-�-�3�3!7%7&7/7&8)8�:�:	BBB$B�B�B�B�B3C9C:C>CsCzC�C�C�D�D�D�DSEWE�E�E!F(F�F�F�F�F�G�G�G�GaHeHiJqJKKL
LLLFLKL�L�L�L�L;MBM\MfM�M�M�M�M�M�M�MNNNN"N�N�N-O=O�O�OPPP�PQQ}Q�Q�Q�QSTVToTsTwT}T0U7U�U�UWW�W�WXX,X;X�X�X�X�X�X�X�X�X�Y�Y�Y�YYZdZeZmZ�Z�Zm[s[t[{[�[�[�[�[�[�[{_�_�d�d
eeh!hnn�o�o's's)s)s*s*s,s-s/s0s2s3sQsTs���+&&#<+<.C0C�D�D�G�G;H^H�KL7M�M�M�M,X�X�d�d�o�opp�r�r's's)s)s*s*s,s-s/s0s2s3sQsTs3333333333333333ce�����������
�
�
�
!!$&������sswy�����-�-�-�-�-�-�1�1�3�3t5u57787:7;718284858�:�:�:�:�?�?�B�B}C~CCpDwD~D�D�D�D�D	E	E�G�GKKMLMLMMuMuM%N%N�N�N�O�O�O�P�P�PQ
QJR\SdSkS?T@TITLTWW�W�W�W�X�X�X�X�X�Y�Y&s's's)s)s*s*s,s-s/s0s2s3sNsTs�HN&�[W?�b���=�8�w�}�P/	�+�pt�F	�W	

�'
!M
�V�h_�F'HE�r4n�&*g�;vZds�r C`!n!�[%�&1R'Y
)�}+%U,�,-9q-`.�
3�4"B6�+7�z7�8:v:�r?YV@RUBiKDJ+El3E*qE(oGEJ�	Kg)LzhP�LTRHV�]V�dV	W�XMZ�{\�>]t^�X^�pb�
hr
i1|ij-j�Kl�m-m�Cn�Ensp`sQt3pt}vf^w�mx�y�2y�(~G
��+�j�{}�u^�jw�L��f��#�]g��q�K��3����K�:^��4��{��tx��G�}d���
I�n]��G��]����I��@�Vh�]P��z����(�u��(��?�4]��z��B�k
�*R�Ph��}��)�q�G'��4���+��K��8��o���?Z��?]��t�c�rd�r�p��L�8b�G;�3Y���KG�j��.�pP�.S��D�,�.��Z�5D��.�����(
��[��E�r��s�D��:?�i�En���2}��U�V#�'s)s�@��Hd�	�
�*�,�`�a}oSsh@hh(@h4hp@hlh�@h`@��Unknown������������G��*�Ax�	�Times New Roman5��Symbol3.��* ��Arial7.���{ @�CalibriA���� B�Cambria Math"1���h����&'�	/�a:��/�a:�!�������0d�r�r2�q���HP	�$P����������������������1|i2!xx���ZThe Berlin Questionnaire: validation study of the Iranian version in sleep clinic patientsDr. AniaUser����Oh��+'��0���� 0	@L
lx
������\The Berlin Questionnaire: validation study of the Iranian version in sleep clinic patientsDr. AniaNormalUser27Microsoft Office Word@��>]@N����@�S����/�a����՜.��+,��D��՜.��+,���Dhp|�������
�#��:�r[The Berlin Questionnaire: validation study of the Iranian version in sleep clinic patientsTitle 8@_PID_HLINKS�A��|]Tkhttp://www.ncbi.nlm.nih.gov/pubmed?term=Khajeh%20Mehrizi%20A%5BAuthor%5D&cauthor=true&cauthor_uid=22327509�R}Qdhttp://www.ncbi.nlm.nih.gov/pubmed?term=Montazeri%20A%5BAuthor%5D&cauthor=true&cauthor_uid=22327509�T|Nqhttp://www.ncbi.nlm.nih.gov/pubmed?term=Sadeghniiat%20Haghighi%20K%5BAuthor%5D&cauthor=true&cauthor_uid=22327509�IKFhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Biousse%20V%22%5BAuthor%5D�^HFhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Newman%20NJ%22%5BAuthor%5D�8aEChttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Rye%20DB%22%5BAuthor%5D�PBEhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Bruce%20BB%22%5BAuthor%5D�(p?Hhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Thurtell%20MJ%22%5BAuthor%5D�)8<,http://www.ncbi.nlm.nih.gov/pubmed/21596794�'D9ghttp://www.ncbi.nlm.nih.gov/pubmed?term=Albuquerque%20FN%5BAuthor%5D&cauthor=true&cauthor_uid=21596794�D.6hhttp://www.ncbi.nlm.nih.gov/pubmed?term=Lopez-Jimenez%20F%5BAuthor%5D&cauthor=true&cauthor_uid=21596794�N3Fhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Calvin%20AD%22%5BAuthor%5D�=v0Ghttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Zellmer%20MR%22%5BAuthor%5D�ud-Phttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Sert%20Kuniyoshi%20FH%22%5BAuthor%5D�Iy*dhttp://www.ncbi.nlm.nih.gov/pubmed?term=Massierer%20D%5BAuthor%5D&cauthor=true&cauthor_uid=21210233�J*'ahttp://www.ncbi.nlm.nih.gov/pubmed?term=Fiori%20CZ%5BAuthor%5D&cauthor=true&cauthor_uid=21210233�2$?javascript:AL_get(this, 'jour', 'Am J Respir Crit Care Med.');�!�http://www.ncbi.nlm.nih.gov/pubmed?term=%22Janson%20C%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract�ql�http://www.ncbi.nlm.nih.gov/pubmed?term=%22Gislason%20T%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract��http://www.ncbi.nlm.nih.gov/pubmed?term=%22Carter%20N%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract�wd�http://www.ncbi.nlm.nih.gov/pubmed?term=%22Lindberg%20E%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract�OEhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Brass%20LM%22%5BAuthor%5D�>qHhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Lichtman%20JH%22%5BAuthor%5D�DFhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Kernan%20WN%22%5BAuthor%5D�	MFhttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Concato%20J%22%5BAuthor%5D�N
	Ehttp://www.ncbi.nlm.nih.gov/pubmed?term=%22Yaggi%20HK%22%5BAuthor%5D�a`http://www.ncbi.nlm.nih.gov/pubmed?term=James%20GD%5BAuthor%5D&cauthor=true&cauthor_uid=9927364�Y&^http://www.ncbi.nlm.nih.gov/pubmed?term=Iber%20C%5BAuthor%5D&cauthor=true&cauthor_uid=9927364�Ms�http://research.tums.ac.ir/user/letter_body_show.phtml?admin=sadeghniiat@yahoo.com&seed=1QJM1PMdBT8KxUfptUJJTrWJL3TNkVFybDKcY4nKe4FygybKwG&letterno=66596�	

 !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~��������������������������������������������������������������������������������������������������������������������������������������	

�������� !"#$%&'()*+,-����������������23��������6��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������Root Entry��������	�F�ޤ����5Data
�������������21Table����������<WordDocument
����.�SummaryInformation(������������DocumentSummaryInformation8���������MsoDataStore��������`������������HM�WPM��J�4NNDX�I�SZ��==2��������`�������u�����Item
����	�����Properties������������UCompObj����
y����������������	����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������<b:Sources SelectedStyle="\APA.XSL" StyleName="APA" xmlns:b="http://schemas.openxmlformats.org/officeDocument/2006/bibliography" xmlns="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"></b:Sources><?xml version="1.0" encoding="UTF-8" standalone="no"?>
<ds:datastoreItem ds:itemID="{3C96CB1C-F7CF-4727-8D34-35E422A4999E}" xmlns:ds="http://schemas.openxmlformats.org/officeDocument/2006/customXml"><ds:schemaRefs><ds:schemaRef ds:uri="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"/></ds:schemaRefs></ds:datastoreItem>��
����	�F'Microsoft Office Word 97-2003 Document
MSWordDocWord.Document.8�9�q

Youez - 2016 - github.com/yon3zu
LinuXploit