%PDF-1.4 % 60 0 obj <> endobj xref 60 31 0000000016 00000 n 0000001363 00000 n 0000001528 00000 n 0000001570 00000 n 0000001865 00000 n 0000002005 00000 n 0000002094 00000 n 0000002230 00000 n 0000002374 00000 n 0000003140 00000 n 0000003676 00000 n 0000004665 00000 n 0000004755 00000 n 0000005692 00000 n 0000006537 00000 n 0000007368 00000 n 0000008153 00000 n 0000008984 00000 n 0000009814 00000 n 0000010726 00000 n 0000062315 00000 n 0000062507 00000 n 0000063125 00000 n 0000074537 00000 n 0000074732 00000 n 0000075157 00000 n 0000084000 00000 n 0000084188 00000 n 0000084486 00000 n 0000084873 00000 n 0000000916 00000 n trailer <<8AA1809F1AAB9744B984C2606E3F32E7>]/Prev 440071>> startxref 0 %%EOF 90 0 obj <>stream hb```b``If`e`9 Ȁ@16,0+||O $n] kk$xDPT D'[<@$r%$1+U,-,A,W=""sEZYd Pky}A돦u s[Ktt40 fIa h`6q2:*PQ,C0 L!Iy;@ZU2``àtZ-JfYf~| 'C&0Y0LfTfa\PJLr q Ѱ``S 7bdkɇzgAԦl[3m¼ Ctt endstream endobj 61 0 obj <>>> endobj 62 0 obj <> endobj 63 0 obj <>/XObject<>>>/Rotate 0/Thumb 40 0 R/Type/Page>> endobj 64 0 obj <> endobj 65 0 obj <> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj <>stream x]Ok@?-=ؚݵ KK!IK F6sȷv;#Gen?f}9 Ly\ 9if^zy:muym=>{~[Ʋu:yx92_h2_?K ߆҈oyi,s?npy}aS:Lo6Jp%p+$peW:&2بL}onh9ppdh`6 ʑ[ Lc=ܐ9h`u@hG  %U L%UƖW[,0UƖ=\el*c-\el*cK\嚄\嚄rMUȾ+D}7Fp# ȾB7m0# 3m0#&TFVQ#Č&f 71&fnbF&fĝnbl&7bOpw"&6[;nb91܉p3nf_1+f}EnWf{}̾"+p3Jn_{Ļ}W>fꨳ"O:*l#*l#*g#ǟϪԧk=RG˲'v.8?ϧsY6b endstream endobj 69 0 obj <>stream x]ͪ0~ -{¶<#BMK!Ф[pcYIB@G|x:|>atnK\ØuC>gRYm>ޯk~{rwN?,ti{Ky~K4D\$t:/ԥ\is6deov5}!bFe!F!*$ƪȓDb$(*DQDvb$F*F j1RDԈv:1R(_JJ +-dTi) JK1|Qcp<Ô2b E|m+"R"RBX0a/#aIr!a]!a]!a]!U !U !U !U !ɓ⿦{ư.oo˲]zh?|<4?v endstream endobj 70 0 obj <>stream HUKO1m/QǩT>PHulڻz%$8et.A#Γ?8Qa0흫du Y-2I[(*NjSŜX+0Ŧb On B%(Q )[эP}UJ3m5Ք)+d5]@Jfm -5$py( :NI#2=ղ Qj;KR~]<&[=[ȧmֆjT?lrWvmjk-ZL_>U7iZE"W8U+ui<{'}pk>>;P?}nmO8k:t뵌VodEv;oy?q:}}"F36q!]9(q{: B\/1霶pu3Q455夦@i5 )+nԌ8"-H30Xoᰑ3] v0:.k&>d{OgqtOvS }6C00=l2#!X;/SgmvP;l5\rf[OMmo&"@qElRô6a^R Yٜre- x"VEaqM5頋ಅgP7}]xP円O\cMZ/]:?L1KSZ$&|awjDn*7By[SO endstream endobj 71 0 obj <> endobj 72 0 obj <>stream HUKO@/G[I8޵X%Q8@*jU@BT:Ѥy7w^hq".}|WFBz;w|/VS۸W5pz!􂸆  hN ?oM4]if#l1lXG(I~=EWG R.@0 R yBBT S2{pCrAZI#d_ +ˊهnEP@I@H6@cYJ 9焥 ق?mxC+ 1Sh?@:*<#Gr~:+Xīi966pcXM c x&j ̈́8xhI~k8!#uR9gTbʢJ ݩ)F(=Mvy=jH &}L+=hsRox:Bj+9Y>e۔ʞ[e}=P/,6k B5STTD'F3MO>PRQN1N1cwҟZƒ:r况9-ڙdRK]ϊ endstream endobj 73 0 obj <>stream HUn0%Л/ItVHu-YvVdYMS@Q -pHQ(p x<իçgF"HH$N׈b-Yss~Ϟk_ɚTX1{+, ,5+ܲ&+$R v `Y"m7grxb>4D%EY:shܙlgl?<eynM=^S{!:@H6 bus@_Hll$RTgb~% ij^"x9Dx ਔԙQ(%K(q϶R@[2yɑ <H^+ <[  6&{}$4L2=i !ZձMmy 5Z1.U=PsKi,T$2nR32a#]"<3F?^T8&<$F/+B|Cf9\B1,pM!ܭ3b R3;d0 ,5.kC&C j+AгA.i3-tİ&)h {\ 4[v=9 C0vtКKqE(Xݘi 򕟏^x3b6^cKmz <*T 6 tпNe"l>stream HUMo0 [zH{٧!9Tiu6@׵6=kaGR$^ vHQ|O$#HDGhJvjw5mD_z=]HS5a'bOz 5ۿ]| jvU n,:bmW@bssm42DIF3)!"%z[&pJ<"ݜg%5 agv|WDЭ_0(v#Tl+0Ndk 'b #s' VNJD$M15`</H zm.(SM]WkvJ!rI5/tYHX%$ʴOWghC}sTCcOuJaH/-@KWPG:gPnE*V1\NlҔ[>~>2Vn/MFvk. {5$,HpCk#? nBU:©v>GjْeBZu `=d*jCMl譧^gIZX|k&!}\OHf4sY/l$$Os?45ƶ Ψ+z '^` AɀGT"9J)rsVfN/*o!S⺠pKK7{Zn84Ny=vd8ddb>6{sYQb?tG endstream endobj 75 0 obj <>stream HUM0[/ aS;v m& JB3~iTߌgk,+vaS8 _]U=g^?oW'Bs%Jf!iT2׮71G>h؉hh%mrRN ?'4.&e&fKmPԡcWl1Hń]V9|Y@y}Kw*q3娾\fвߴ`G:YNTwE1ѧ+!e_8cL.4f̮:jP}tcӔ+]LԬ:HrVD#cgu.bA=:D]E1zWÀBANSqן?><[2K2k:4c0,R> 0V\|le=CUJVaipgXZdveZ8Ʒѭ $Q h'h̳H%/D$R?OU631oRgrVr<->!:8Ġ~P*ج[̹T#I oY+T|[G}Q!t0u endstream endobj 76 0 obj <>stream HUn07J|-ȉŊvOR@/;3\L* Cg,oG"VEFݿe&UuF'aK|FnT>A [OZjj?ޢz WALTp@.g;I?~CRo2yI VEX$J-4B,TftXJCoXQuRlЫrx,䈺V[v~W~!`E{ =&ޢ1.R .ȲD㒈$03tt i"i .'8"i]dp-#>-;I#{#U6YsʞJNzҚ7ig{gGM9Nc $r/sl+KbGʺ Ys =Eb죚jX ^u]Xm-#7+o7):K1̝t#AZYMZ’ ?ƴE1LlM D#'dh8ϓ{~yn$jw Ay]ޡbzĢv^.s>stream HUIoP7zhQGP-޸VCRziDK/g!xo@@66 VN 5>50 ᧀ;||)vB !gɲv mP M 9U 1&CX-*r|]#~; HiсI`tК46vt$ = h؋. Ń1sd4G9[k.VU׭|gpxBR!O߅Eei>m-RIږ}<,65+y9˙BDhАu [HhkKJiO`=TFAh:nhhYF 5fgbGBE1+ǝY> -~8qM\dX7)qqA jAۙ? ]7{ʾ*b1Q-*hdn{sCu7Q#xskjeիEO3h,IΒmGMD)\$e9-BֱeṃJfPZȸ<0[^ʼnUKXbG(O `%N_JcC۴[i){ΘB 8uLgS|PҲim-qlh=~hQg endstream endobj 78 0 obj <>stream HTMo@])7A bC5|/%U& ߨbB ؝}ޛYSPsP<Y1s-jA ܒdD>VklrB, \6bs6fw P\\cYR {n7$w rǵ?Ӫ(pLDTW8Yƽ5*ZF,S o"fwAKDr) 7AW-vvt}_0F9JzIT9Ij6L&TSVia" sb+ ߡŚki39unaQ#4{J*P045 v@ cF+-bMčʬ0ƥph|McDx3n~E,FQ=*\[ƭ'Zx+q)jnL𜒍}8 NGb3|ш#i `o'Pda|Ž3 V],f{hV[K/=I_^"uKY0O /nE'Ea4F.MKFF)yn,_ gKKW9@`k7NW~tQZO}7Y!9@ZgaxZ(t`&c%:qa)›_f2pS,4H7 {zQRC%JCM΅&sneo蹾 I6~RWڨS㇢kHW?PFS? x endstream endobj 79 0 obj <>stream HlVkp>v׫ZK$ےczXc `01 l[` ŴI<8@%-1tth; xZfZtɽ+Btz8~pTowצf h/06[D&zqﶝ6@2=?K9yDnڕ)ޕޝ]}Nt2b- ]7|hEߘ@bC$(T Cg2uLĈ?"$pz!ȮG.#R"=sSo>ѬJ A+0zkѫYުq*m^6%EIZ-6;(U6ݦL8lVP&6[*8LVdiZ5fE@FnW(wXPPt4#cyNVXF(VJ^71p^3iMY55q#,P::s'eg u?5Ȫ872g̿?L?-@IX 1L=l."MݔmtH8ȸu-Zֵ\䊵uqYZНl[+KXDm@$Ѐ"(<ΜRSkU5j< NeBvJC\FWB""J2Aŏx4YV;Uk>4?$ b3<4?| XRtC'x$oSn`ZD Ũ=O8u@Cq4HFӁUDsDT(%j^PjWkpä3RaT_oy eLq1c_ijduxZ,*H_.C ԣ; B);3!4d^A')'v<ɶCExWTť [oLyz&)?̲Ej&/?/`26=>ASF?AmfZHU##$G d0TE9!Opo +&٭0mۿixNn[9i߾YE6#} ,ٯӾl^kh mM,|}kvc ήzF]xPmp(#Nx!K^[`Z>1NcH.T%wF[ fشj\Eә炁\%^Jv I} 2wҗg6ABQ4_٣Ć9jREYb"/#$#13l~\ʿjJ#$3 fH4j N'jбov7/}y{>)قY4RI;n޷P)~,RVAR:$$菜=QH`ʄ11 )\TR Py"&>og~#M> N .PPh%K[H ݠE hȺvR`4֪[DŽĤmZ6u뢡,Kċ:qNOZh-҇saWȂ[SB'q(>f@]d %{H۩0v"ۺht̰W-h$Z"(Be2Nj~&ɐIb0%.2.^wiv\DHlR^ ~b+"f<G%D\c!>ݴ.\[mSeh́_wahg\/\>weQhzŅh.Yzj g 2%m˒#ŠH?yK\mnaG.$taưI8n'EQ'̩MMӸ#7O?>[C7Z 䒹A _`COWypu{JEBT#ϩ4ʟp6˖mI;gssTd^R |]"))F6מK*Ĝm99XU&9:2zq/'C,Y `[:gxs@9Ls3x^WCk5OKxY _h rig5 p.IP1;m_XhόѶQos8jqʋfČ1+#\ Uܙ Z>Ewz&6㫨ҝLjME`|dM+qX:2+us|[Kf o[rՙz,HpRց7w2ܱWlfO>0=T53lս,Ә];QȟYOQ1N(ɂӡީSAU3d+$%i#P~" 0EQMN G`sȲG\gQ ȫʩ"@]Pw4 q9=֓4{iQ҈'1?;=tpC郅(|SXm1n+AXHLo]~"+􊽡H͇%fW†moqH>nW+m%y9+TĖfajH1)|J触Ixy )y'Up 8,ȍ!7͚`Zdn+a/\)Fl 1nS,;XH}2lIE/aJc l[ c93{Rxֆeh$S oxڭnÃe {ao=aHEx_/,<W|Ñca 1 iJ:qI9&4i:eLZdE)i%=~#")~T)6[,D?Ag@w.~v/ެm2e.Nr9hQGՅbX JI zEK2Bm7 x@nO-DPN*ʤ9iᒞG1qJO903ի fNee+YAV9(uNY {;@|ktx[VpG&$ݓݣ8@}@sP?9=N';wxLQ*[Ja4r& f/!XeThUtAF]HY#Y\3 = a7Na(*'. ]"4s(S0h# dv!SW`T (MB@+q keBɸ%AW}9t;[a&~êUHat^otx-;ύXW%^n?:5=qCSQ{0}j`َ)@4= #N*Uh'mffr[ѹ~Y+g>VN^k$q;G<F6#gC3A%g`"F=n0QP 3T qjpM Dj}I}| BsrLnXͤqb'TR+ߒGg+=,gz* `S m ;ꝲpJ H4)8f0NPHBHΞkժ->ڸ_>85.--xaaޟV~?:cا=w[}QGM)6U[t5|߿p5kULS.Zm%ojs'Z0AKB`2Za-VpV.YZ$pp lB8 2T]SU3Uat'yH5.PW\k aTE;FQh,'6EwԔ肳Km Q6 S] e?eJUFT]dDP`Ё;%К,J)ra'І1raV όʤ)t1%̗ "1Y{y@]k)xlQړn}<௰A3Ձ^gI-~6)kF{7ӯȉww ң9T+Y|c{=1o֬M]-lZ0YȣHQ11iÎm``s@sc 4fjڪZAR\~wA`^Q(0RU8]2Z˚hR2Er,HiG6ۥi8= 6-RKճUlɵdW l|wNώ;ξb~,9(E-K""h]0!~TFdh+[Tڄ` 6VRDB[V }wtSe|u'}}{vW!8J18)r~AqYY݀7Ļܿ]1p ]T$,&Q7[#ѐdpZ`^"r0h4~x!DzeE?R( &:rD d7-{CGY[Ƴ;E .K?o8m 9m BqJ;1cp|=6vC"סC= 8{aZxUoؙ2qr};ti,WVd+SLjLJl/+v;_J,S7{1<в<ܼ_J]k|8~nh>B%Q- ZepQb^hRJbP lsˣ֧Hoj/w^uM~ ??g,҅]ʫɐN!ܡP/tcxV#KVGAnҐ?Gs> 98{H5o+F8 -}Ȗז. /ЬVn-r3DFpG|'w}=&^ l J NK)]G${XI2 Hc.p'N( 6L,ă{Dx [^ y;Pa0v#QF_q} HPlUX雙꘾=FP8UGk|6(݄P`"&P4aCf=M1H%n[Oj Cy9Ijzcn9U}kr ޞFk]O^Zcwؽ,?X^:PA[r+NAkeP ]Cp?.@&c"ACuhIJHH:z bLf-dg\9abs#g) rM!911;TGDl$IPb l.Vf+-bQ^P'E. 1Hϗ߶VJžĈ#UiJNchV"^(f A|>Z;͓#񴶫z| D8fz#`aG7Gf rLOdG(5J3n* 19I!+eYVr mR3%Q(@A#fbGf 6Me2.獛͚kAFq1C׸qZ+a:& !9A!PLKXgw#0u GP0%Pui-J2l0@6(45 h[5c$:H 1 s1ء毑nq BS!BᅣW lg;>>܏ĉ}I.n8ͥX.L-:I*X$~JJEX؆to^m4mE PTAGW(]j4Ąs<>x<A V+/\BP8pO#iap;|i?xn-D~Mީ43`\2w>ZS@ڕ5*kU?Fb,֪<ΎVו77% _mnc9贬JH6Q`%kf7ewscXdwA`dZZ2;]\MdDz,/Xf7EL]/{5N@\c>E͖lf=ÍRr _OA5oЏ~L 6 NR-M37G޸3qcdV8ZP-X:3;K R5MT͐eiaYrр,IjEvR ˉ--uuhE )iG ڬfJX1k¦LU i&SSnL *,R)DަeuW?\;ARWR!h+}Hy?}ZѼD!Ƚ>* ao֡E@TC3cьvKrd'6JKG5u7d (K~URYQ#TM#UF47rtnırȕ?I~ aeLTgUVWM*;^P1!^`44ļVS@αu ]zJַkk(ٝA< }L3cBP# `u$yǒܿ ' da:9-w# \EF&n@aa'7̊~Kq~әC|S vfO Du= <9Nf nETec!P( B`J/YJgl{f2;iE:,q&ͫ|4t _xAOb@+ jbU͑p` $QHU!Ͽ]0Ӧ$0Rޅ+G*/+nWvHv~ֳZ*z4, jTFgLe\p](.WL >uRqN]U7DKE"V_'_QU`kKg尺?j_# nC^9[lg#k 5{nO wTvPke< Ddԓ-"rm*͊Y !=!u&Zp/eyyώ!W;s'N$-)Y+bE[BZWHVhm02HФ RA>J4uTy4F9aPU޳ YOVg3Q/z6ChPح QptmoWL}CṖ>wFBjX^~ڽsY+^fQ }^QJ*B|+9=[P PxHM;T4ow{=76,BSXkx))E:A-՜5d-8XiRK꜖p[!S']"lҶJ),An)2 /9P^ r+g'9<^d:SI :=yM_dZRaY8K]ꊰο zk#P7ӳZ "ө_ sקoDMm~gcb8iо"&$uHкa/9x^"ѬPi6yYBi9{F qD4.8NQT%(4=I4U92Kmerwu'tA~9_u8P.3sKlZUTy6Z1Q$B~8NJvdt;Yss'GȜD1GkYͧѮB4U}2.RA'3v L^vh#m Ol4|uꍻsjA݌0Z8gPWaxq,l5 ^a>[ ƩT f0b8&Ĩ7 Z9sȌ\нJܢbEfg̉zʖD>0Hv\eu<,D?LD>&Q۸XGK;߿}ό^lp ?*} ~mX|ѽP 'ImH虥C)r?lΦSMM(UU{r'ƥh.(jjuXg/52?_xLWWbGr_ BT$:0 jJ>Y\N̚Xy9ռ^-EKP>RNDIՁ> AH6EYxvT\ >j’(O?Wy+./~!Dh~< LQ2 j[ RM06_7@MqL|R42Y8hdHtW2; },~xe K 71ߦE#G',TVo";aJp(JTX`٭ 쯭ב`WY2ÆxBK.cPI!ze9{Ȯ5ަh V\u[ո-e}@z@8je4s4GTUV !"#a\tJI+Y6r*:j|U`f=WT?NN'y/BY}sY]'?eΠ*J(Yİ+a EdY8MWLnsMi st؄MwxY3J VHi&XmA{DNLǸ&К:&FV'՟J.NSЩ<]sNGWǚ+t,t%t 3Xօt$+&"s^a&%8_ի>Y_Ftא%%52 f;IWuTEs'#BsCdS9+Pn%:OL47AfF&ח^(eB5?8nO uL͵ͿthgZ܋J=KDgm{VV=d'dWlw>?ξ$w349RB,Ә hXQ@v)]dj?+dt*!n1`ӊJL!{ٺ޽!ۿp !Ot& \@dYXଯ2 V7;ڣ. F EzI_cܘw)#ڈ1b`ˍ{ׄ$1Yޢ-NjR -4L$Ԅ5;A'ES55SLyweʭpjFkmŁ@y ⸜)$,͙Qt}8nNWWZyP f:l;\f]ݶ<S5EU/L)2<Du:* aʶP@K,Hڢo@wwjAn~|ֲ~l|O\XKńG\+0 E,GC¢pt E@Tx 090Q;?Fi-b9ڄfO桌@I_QaI7R{ qr/R遡7 ?}T*޶T2z/Eu7tD,vk'ndjZۖ&XhB~'Fgo]x_p|Xe K_#L?WhUH"L$U[bAC|_@ųvacJccBVP? LAJ,&/|jsedsMpAaO˕ ~ %Oe-9;\O/u2h]QjDJ$["iN^^ܘ fKH[Bcn~ׇzV|1/7 iXյE&\)*Ggl0+AꦾQSv [y%^8h<._v :dmRF" Y 60ndJ04 Pr4, )Qfʶ|P~ =3h{gd"18$?f7È<ꑹ'u,D'agP*l5H;_}G(|[م{30mrg%4{sZA HpyPBd+SL1#/t -l=)޺ѷC-IRlKc׿7/s) wK] :rc̀0 Y]bqmRÒ假Ȱ%G} =8hg*F'Y*M&.JhNg3-SJJ}L֭&z7R;Nz{dz'Kە:f @a8wD:>=;m5')vN*bS9s==o|<侈?L26CXC٦n׾Ll73CVf 7֚^\͊F>Zic>Voqe?Csc~|}ǰ 7ò]`,)PDvL؎'vvc;$Hka+CvKAn PUeRUJ}ڂZڕʫ)Z!VlXD%DWj킝;ۨjc=3דs9Nk %MSV~8le^_ j{Yi>OP)k M;*Q:& &WT¾R:.ed=8)Iϲɥ!9|d&?<:KA.d_Z7'M`ia{t'mZl_;;ӓQp4}tŴY5~FIV̳+os{]u5S0f@¸E cI=C0jQh+I~^8GA)&4<I.-bZH%\LbQJ)ϮR7:ComQ"wFST-5Ru+9 LF9XbK]̤,%bZafZ2pu$9"ڂT#:8CzejO.)NVbeb8?0Phrz$%۸Ij{rzd,XUxhgށ0ٞ # EYenLj6;z/zBau{4;t*x3Z7/ SoGiiP\@\o]Wۡ8/# uPREF0Ke"c%'n6D7y?˳|(x&<=X}] jcAd6?JA(Rg ,ȯ"BQ_|pkꋟ^Znd~-yƓS$[+uۏ/2Bpӿ?1?vIo SA$-a$H % |WC -viUbPIetf1lg93I2E RtÔI% k2v4FqjoĿ~ ~nh~03v-ȔS^Hbrl0Z"bL.\Yj(84W7ϑsfMyԍA;V762W[z\ ~/‹heAuD݆:4]?C(EV{1h݆f @++MHŦ Qv8R [4IGlhQRTp,B_?=]P͚EŖॊEG7|oQHQW8Ո ,r UQx+נsʛ7?dSoʛL>$G[ A1V9/]s1ZF;N3ߥuZ"}M|]]킎xk\/mZ=29y|Jq:OvXeOLT,o}Qxd)iRC#%aJat|Sa2Կ?ٽ58`rW$p?ݱY=W#}%8:vr>7eBpO   v 1fm<0HJ7j|uߎsV^-]j 'A;z$iB*kY"/*a^U]8\Y8Zkˌ#,@ZRv]i457Xw;}np | FSd{Wy%ߟZ1$4rϾy4+Oˏe'v oy΁ogG};{c289?)kNj[) Vi.sS]M\w}>]؎jp@ t9JX:l!4)uSСQ"1hGiUW6FHiʯ1"e?ԥhlb@R &$9-w_O%a7 O* / \=x$8m' h2O3%"U FD~8 aыùwPY锏 MpCOӣyJtzKҷĽһqu1\ zVjU*-H'P 'j|/RUy8{D=%ϴygWy _=ęH;|UһuSt)֘Hحh%$ˤw4Fr$$ʮ]x8A 03BAV&GXmjχ[Ibϛ{5ñ|-mmu&?,_.NZO%9h,1H`8An\K nV[Vɚf9c=KF`z39ۺPiz@ԬNZM dqR"ĉrl[jjdJd]$@H5\\WEL\.r_/%-.~/z\nv2¹(ޙ@Ρ9FGe,LĊTx mc <+&vfvJO5>w2}/-kOO|@3T;.M'j79zy~*A'ڈz9ATF̸p(K>ē"L~7\gsHaaBhЊ'(]zvjB HRE8PpЅqE2'?"[kl(Nx!.n5̐P`A,M녳f''rT"nT&rq=(7&IATWWk)Lsk!c4=-e $k42~e}u2jf\\oH?j8e\F0MbZ4{gg]ϛ/!di%PVƪXM|u_D#mlLq[*# CLc`ܮa[<&w6w#.Юu?9ȅ#]1_k:z(W"e8N$.:SABォZlBMNP\+b|>w4cL`3f\]>&{!+g b &h@*sXgJ8!ADXD >^֙ƙHXa&JoK'%`j49L< l iZxfj]<>< #Ep>R #b r%pTV%k[r9xTTxc5SfNEu {};¿ŀ n>ctMAt"OdIRٓX/wnhΣsʄsuI0qii&ĵEg2{E #C sMC!)^@$,fQo]UhkC4# mQE9PD]2*rL Idq%6z5hfjF5R\H.X7_RCQ #2>xE_A,8Xn_󤽝sL ?JDTAƤCij[¦hR'}D&OdB]M[ ýsX[7lX8Ant"  *釆}.u U!~Qvuw04C|#( t`Ne$>rkXE*dL5\P$i\H@I(@?*m(5M˘^'t.mzKJr-I'y̯IDR&Y4f%5<:k (lkWWh&Zލޏ<aȃ/ݍF\,kM%Th%ۓhË&S!rʾ{Ͼ]xφ yG_p[P.H#h?S%=J2O>F?]Ǿ:ocX@.ߪc+^yŗM|{ ZnI ;_bq[za2Dh|EY{/dT0\PB='057_҄6rj hf,<NȱqyV@p@5r!j)'PEeZgC(O XdN@::`z0u0U !;,PG{mEkڿ*l8w6觓( (;8gGFTSA uB_ #;fOm^縃fL3o IپW~?6gx^ʫŃg/9w/7tcmkgḾp j/Yz\qT/\\X;5ONIi3SvHN5643cr%D b`G:Qx)lĎjFpL${ P[^0kx@Ot'!e@@ndpE(שVXhZXʦ$E+~n#l@xNPi6[",_P.Kh剋'.x>3D[$nNd00%3dmBM{]p .+/46uSv3ՌFn~3YȔKϠ Swu)=H pn'=ѭEcj@ˣP$MSBYrqU`-k=$%+(%JQYPʊqY* R*0x! J\Y4zeD8ˈ+%|*an %T$8h}M&1i#^|uP`h|2J5;;;}6sǹ/HR$BO3DPijv~/Zn&A[hŋ@]1-x|I}s{ؐd 93cl HZOmji5 ?8D1~(E.o[JU< 8d <?Հfns&U -He*]JT :n$L*3C^I6nz߮@<.{O B1oc= f BFŭrPɰmPhPy J)ONJAOmp&ֶdCa5Knt w\ǚe1VTOա;>@vݯe_66Ms*|z{H!&( Λnd<IWwI&c騒`N<NM^k x|." A3el;Xa6BQZ0 ۻl u Axt@740 Ү V3[OU )?RR q@tnI(zm^C|KGlņW*(;[{ D=66KUuC H:J%)o LO\"G^ښ"&F7(d zާNz)^*>%J!<&me N7K%3BA(3-Ϗ"8s6=cqe?oefbk*Jm}-([>bIl2FS^S^Ŋ^S2+P(r%WiJ{>¬oEdT np# hyXC^f{p}Xd}|H( W=j 7 2%ut,^˧c#XJ:6}OIԆw9acن{9QNǦ ^HR\6NV!=0T0=5 bSVNV:7HΒiHgd%1Y[PNV*ZuʯW7k TUؗ1}z|mOBSJ!Red:$8$˥.&BWF@NFِ Wf)՜BgZ)%pi4Y/5uĢ9k$,VJbR\<46ь3Ffcg49 Eĉxq;Zm^$"9ȋ7Y$29l&?gΛ&ǘɚx:mwj W].2 d |k &AiRa Q<6{A"ۙT[Eq'n yֈʛl8Q=Kk 'F3D>5u#i[/]ئb 7+g&ºHڹZM'9Ъ<Nb O-I)%Zf.Spw58~nٶ:kfZpd! Jej@\kTwu;.nA}KkQfPf 3VKSr&KK5%!WO/!2`YFZPY!jtXCZp'oW)#)&JMSj _5jEĴҧQ ъ.$ȭ&ع cMqq VXV+޾pRp}aER ?*-BiZƼg&a&׻qp~ ƫ%Е4AV ۦU-pT PH<.qojHnml襢͇8|o-+@#/#S<G{/X#Q}q4MQF5 Dgk&>iy\@G00)ee\6E*74 ,ļP50jnՠTG6@B[UjDVʹC‚Vuu=ڞKRa Pg$ IUF:!<{uB0BqLɺb]]ETTF)cU'K,Vbا3'svO./>SѮP*c7-+d^ƩXЙcID;ѧc_\=pg]RXozeN%<rX J ꘽Q ij4M4|,wh"Jy ֯Zjdt1 HPǭhXEpkJDdAd9kb9`9Ls,aA6.4{X - WW'\Z-+r >2 l V'M&fYbbi2:a}}D?:ף3n Uz1сnF`o:v%XE7)n{ Y,%%f#5T9mI]kߜذokkZ'P뫘:t"ODO0ьB4H(lA_/S)Nx#]7!˩=af2i*GtPs<#E;/zNv檧ci ^k@5a=z/aݟpb3|[ONJ7 +Ev+n>I>5B `Km.+~F8` ǽ=/VҘV"Fi!jV WjU.~0ϹYsV#k,+q5Bi.Xd҈Fʃ TE"vϬ]R`V9sۙ3_̕]=TPۊ mtۼOv> ^*UA@CDÙj/$2P ȊN57Ր! +mh# n.ZfElF^t69@'GK)NkZT,Hl hI>X]8[hѫe1E;R.QS 3v=O-ؖuJ=y0a> {Y碔^꤆IQ Jrn›jb%`7`GK''=힙 \tn+ZϏRa7%}t^:/ٸ8@=3{'껍~k39sΚq_%kv{Caor+T, 1gXQ8{9$?m9r634˽"$w§(`VSx*$ZUrʔBE)+4NUa9nY2kЌa˲,Dy-Z^,+^Sd..T RM b\*EID9pT^Dߤ4Eo͸z_xOuU  w+WUAC@1hkS:';@ien_YSJh\3i~8|!PЌ( [X%X6>SMvoR)n6L`v+R5}@ Xݦ f0&Q=p.1& 3'JPȒvI5rbOd3@8 }&1E'r*&`A -AXtK)EA!2\ eT]w&4vɓ3}OlJnwx"0[-=D$v@)eʞbmFkhZњ=AXwl%1Jd[%)QOHt I:Ń x.Y(HPh5rO|<ʻ5ZPK$p'P.(T֔( YYGŠo\BE]ʧ ՛UUaU7}, 3x&*:)מMMG$)OWz䭯>p{2Z^&a]f 0{0y#{8^2ޏYZNw!xbVnP&"d$)Սx!'-S W["* Kh ~•$H3u4DrP6\JŤФ c,"4'>O!Mc/(6Y߂&y /@%rwh_c!1&/Im+&KjIf U8&FuQ>EU۳CG#;;N<ߜh(?hlW/G~/jPxDZcr% *yljٔ$&]DzSk';\դwlqU{(B6Q!k%T%HR:Li6ôym^ث]um2gSHDM* Q{Cf[n}&>-S ق8gU|pRQ~vy,:vϏ|?biVa -\=]/(IwOq 93TY::OEVvxjw~%uVU !> 8J}{N*pQu *=ږ7e^/ mI*(D?y!/#T;"XTPo *s*utQZWj?}JorecuxFq]ݝ1zzc{׏űc6 lBQb;< m8  ծZ))tGh4M҇ԍ%R랻Yͽg;l3\a/pD>\wrܷt)xL@}?rg7պ9mp4_MCɵ"UexM,6s'ȊmI=x7w[l]V;kܪ=d=O_o MB15uPiAY'sfڴ~2e:Ai0ȇb[?aq1Lʉ.yHHDJz~p$$Գ "/좛@,v%颧Be:ՔPʨJ^=Sذ敍'9IL<鈑niPqXIF5&=uA6)D01.CF&|$ w 7tsS]a# _)h܆-{P&a`"`5#|v@;LI; dB~!5^D܄VHV*^Ju*^\QiIOt-T P@o{ 7 K:Ƞ]cxai C P!㦘 `=u±C?Gf2uoȈVDtes@x*N*O";!7ŊnEa__q|_|WVC6ѝtDڋ%,) Ǫ\Ej̩5  LPu/ӽ>S]Y[%lLG_b!\, 3h@3\.: Abm]WzܚVZַo|e^>P5=ǥuVD4w'lv.] i~) p=:6M4I N Dݎ?[u2 M2%(9%#u`88Lq0.Tt+(.pXP{"UʒnmK*g;kJUJbxGM+DW* s;ˣcz]#* :t);x61[B> OY,Eq2qZEUz;0o7L4Іg:?SЋɦ+^Hgbd!EEoyODŽ~WptgxT❃m+N᭏ z<^-,W/7oOw#]N;j?7l_5N>x-`5i-2~ >G2Nj!~;# Cv+8}@(­E܇ciȻka-k^BY*/󨨮;̼2l 7o5ƈDQ(sҴIL=nqAںTE%X P .qKu&F5pց &=5my9;=~^8=%QUᏛΟޤ71cv9gʹg꩔^:N 6 z#rqB "[&yG|wn=1o8"d 曁l]+:>`Ϫ##~z??m?ZqX Ź(|FQﳮ\"H$D"H$D"H$D"H$D"H$D"H$D"H$D"H~0$jIJ葿o PC DCL5M0M5erkJ=%Cy_9U*̍:pZPNPQ/DVԮju WnQTZ0͡9Z[QFiӴZG{hWvioei=`G#hP!x=@mz7z[=YO}b}~@?/뷜CÝZNkƾf xy/xx{+UVTuzTUQUUVWVW 4&҅63@e2WV2I`&/<q>5Vjj66zQB}~A4hd6iB,-GoGhUMЦI6hO&N,=G/ӦDhsIhӡN!4M̚BFz m:{_xU|TO7e+,<]y %P?cm4W}j )I1+JXg, |?2_a .\:rɷKw.{t>Kt~̢ygwo蝄B%{ z7H::#H$]{-?O'?͟g#$F/"|b% xl J~) "RTIq)! RNB-b>>E )H 遌@f + >ב RQ¤Ke"U%äTRSjIԖ(#uԗPIci"M4RZIk6VI{ t.UIw!=>WI e !2Tp!12RFh12Vx eL)2Ut!3e̖92W|Y e,%-&Ke,RVjY#ke'z el-Uv{(;}.-{/|(GrBN)9-g䬜rA.%H>r%lI[ʖel em9[Vmdm堭A*h>Z#mf=:#:3+;z'z7/?` a0`(ax@ FbF#c0000S00300s00 K˰+kz[Vnkؚe_Wm6`#6a3`+a;v`'va7`/a{=zOg8k _; =睓$9)N;ND0d9NS%9Dd($RT'Krɣ`O N *BEN-*FũRTPRYZO娼Ԧ NU0DTPU<:8888pp>e\'O>?//\Wq:c{}klԗQ@i !4pA14Fh14x@iM)4tA3iͦ94;O h!-Ŵ2ZN+h%?'~~M︍;{xGx'xgx?%^5-s["IHF RtdZZ2ÅbU:J\K e(T5Z pI.ť pi\s-"ZTiq-%2ZViyಆi% ZEjVյZ5Jh]6F\õ6ѦLk mFkmk;m]+.\uV;hGvn]{hO~ K{Vnk7m{ ;/K/KuA:XPuH5VXguNЉ:I'tЙ:KgHh3mih=~:@α6ŦC{^x1Ho7ڋi {Ҟ{W5k:2¬2k:l201sʜ1s\1/Us|g~~~nzw(0ylg(Q"%Q2P*qnȍ9{^6flcsNIYM9k|1d 6̕7&܌[[q4ܑrϼjhBy(p,',_ Ɵ|ga|C~j"8NT\i4sT1SKlk(թ:CUAmmǚ }M lY;ĮvJ˜|y}>yE$I-ܑedYY^V,j)kh }H~,?BQl.[Ȗl-CeVa ;pIv]dWM~.ewB < #=eoC;f\r W \܈p3nܕsr# ~?՟G1~KJ'UzޤStaz7чԘ>&15O}JQsjA-PjCmQ{@):QgB]}N_PwN_QI_?o-}G}{K?пԏ LCh(D?/4Ih4Kh^: 6x#|O)>× ?}Ѿd_+v,<ṞxE=<<{ yŽ[Kj.bX%V5bX'֋ b$6-bHb.vb-D#*"M )qP-rDG1q\')qZg9q^\%qY+@\uQ(n▸-➸/~CH<OS}M< x)^7Ҷv^)WWW+U^%Wūyռ`:P.Q:FStYs˹ܡ kՉv}kJ[ VNVϚ :B{@ {=~] tn ɱpRH+GPl\oWNY +nbͰC(;ڞev ;*ʫ *PUTTeUEUUAjA V UjjIV^uPUzjڪv*LP'vnJdC{)Rip:'qruuMLъNӳr{Ӵ͹knm]ݭk![OҵݺuM1+n`iaia uM.25l$?`7XGh=Kzc<=_/qz^xD/<'ZB+h .KpS(Oty]Aꊺ:FDՌ3`d3&T#83! tbu\5 θg,x UHhzCB$mh7$A1^HT#Ka8ِgt cSpAp8\| ׌ 4-a=e3x/?\WtTo]!AZQVZT@DH+a$D1fz$zL1Qll84cz1| ;`vr73w޼o~ 7~q(xl3B`PJTVFWhuT/Ӡal\|M6kޢeImڶk!cToZ.]3uѳW>}e00k˃ #F?fL(8^co͙;o~WXxeWWY{g-[Km_?ڳ}<ɧˎOG'N:}拳_ /]k׿[R0u*7jc1u @$HSs[ q2)X )am\bSa0&.n#)ُAk=3W R dEt'y) 1挹7H!1' ט}DG6fV6TKA;W+8,.)3=|j F9XDƻQ{#܈B;@߾kRCdm:|ZT:.%h\jz4wd'qNW- &lKci\h|Kɐ,)#z`j`s4@2s%>AG׬zkvgoq#\yɸHC5S26s\VAɘw(~'=ZǨJ6 Ƚ'"n#.sYGF2)}rM) WԃS¶M{ A=qf2+9m8,Q]fUJlfIZf=ob duf^FoB d*ߒrj5q3_Xxjnwa?g2̼} hġZ2F1ƒ_1  >W$9xf|YJzvmb=L#Hģ.$˵-f^i\)(a6q:HgBtD&1@9+y,-sdrܶvK|,K>7sg_LL3Rm^w&'z$Փ=(J Ku$M+fҠO8 sy J^ &*T")_mOW˓OGzsFzM瓔\<|Ub]/֫6{Al̏}<8S)?\b0Mbl̝6'ЊJJBMpMҞ]rZE ODZ_w8;4UOe,Oy7tJL#^evE-5r˱n5My}ҀHm6H3Li1bRx"… MRĢ ޓf9-5\inJl` U_X?°h3^7/kw)c%s*[I532ْùհ6W-2W!,Ӏ%Q{Z?Rs)Seu<6[j 5~ַ4 o~ry,=׉%@m[VY' W9;en p=߶Ǫ+b>uc4FA~ U,5Β!W2yKz\IZ=n"_N&[7?eRxSLFGd64Fp"mC#_Z#--O2zk[WFx=R 6Zj"Ɯr*o[zfDx.-ߕw~cR)iZVKɪ.ۯc^VB`DmhnM$&EpY%ӈ$a~31 "ǟ6IFhT7M?9گ*jm|eod($*s;{Ȋ~'BD=RIw&*ź٠9Ky%귨_fba5I.}Lh?I97W|d9jgxS~%]iK= lCS!? c:u5s AcX"u>.q!Jb 0X?x 杂3`32O2f7cNμ>F|P2_fccƥ2c*z\[ V-g*Br-u|RiCs¥=2G@E7MbE dkwAm>o"~t sL#u!Yr0axG-o,цIGԙڈ%W}ځΤ 92L_{1ض6B*20\ ~?ʕ#n%]G~5 -DzhCt6Y]uR c|N^9b-=Ah|}>$us ۥ2?ȼ(su(-$\7^q}*3s\fg r eC*EG}E`wVKjߐYϳJZ/, O)eh&dq#^$xR QߖpCgEjvԿ`}[Pfx s[(疷a9L"|;|VζCtǎL]íW%:fA?qed.WM:Zl1c`l}EU;~M@3G7ckSOuv{}?W(h^êsymN i.]]n9uev\X.P⹸t?w.ϑ]wp%5.|Fv:rW:v9K\9N{R);wE?Ǚfфlg*gpQŰM2< L^ ;Qy+ n(򷛶3-s}C2 @1ZݓI<'\4`v\)Q&VG2ZV*jn1mʹxW _6jLRz&Ra\N ڞH.-+.\lsUCj_A{%Pt%Kv Բ5Ɨ#eh9Њ9ZKQ{ܙ9+h{>_;?>eVoDSKco!"6/f͜BLz'ϒE2_7/2_CǮ~0(.[$kl?-w 6!%>,.QMy?\oˢgFSX/^3{:8^/E \eQ]W1-šaqW[֗ơ^8ԏ\r~P?r<71Gy19~ރ繗q.Ի-%g<[~˶[ъ¯_86y]$Jzqㄷ7VM?mcMrx2ό?-5v͑eQ=7~[ =cnK ' ; ;y>xPK5x5.~LXYB+U e ĵץ_ p5}E/$V ʐG\Gռ=ÔwM%ʙ(WJ-D7S e(m(><*CSUR\.} ~E^OHySOierv6 z| ;sVk%~ԯ쾁*М[F`'{R_O̻*wp^<7KuxJ5O4ǎ:[J9ߍ!ΖBgUo91:(^hr-c;5Aތ4In =ƒ?gٶzAxʩ&꨸>G"9z6XC`KBsѴP}F5iNޅ%=X4yXXp,b^+9WT{PmD_][_gMFر "Dw€l8ځzl\洜aȔ,=.,}q#=ktm,Tmgl/k"k+UW9k9˜ٌiXtb;Or8U5PZ9˖?ŭ0Xϒ:CL'nwH6C!uN[3S?c̽Zv+PQ^ǘ=O-5Hg_2Zmw7n^w;ǺǺ.;=}=ph=σ-}3Kpˠq?^geir gh$"yjcޡ5xx}.NHQ^W\߅^b[Ŝ̳zo~Os·^(IāmĨ;ۚd%}VMDDZƫFUg3xr[ooeII&+mnpr9x?㞓-(߉G9 i{)}.Knj=: CȟDB`-8S㤎ŷLH׀8lEd|o?]J0M^УaǾ}6hD efcÍ_g.`HB  \E1 /hE[_#SbEP:PRJ'! Ў8Uf:jՊS2η{Kbvw:ߞuނ[d rF<n5K;@:ZAus̔ [7~'$Tݒ.>w{5):S/g w>K풯>r5=^L&kyJMP&QW?(opcD~F')Ǐ%ZV?k\IE+jQ[2ښ/*p,x 3c5<M_V>jcaSJI%0'C㐊E`ocuqil'uQVXSo=W"9AGb`eO0C]=')ȹ霋3h}͔\$|T8{Ox#ߑ<[A (F'R; Ԏ8oy3AE(u;ގ3oآL)Q󅫐"sּrvT q73jxFGJ_JqN_e]@g|'d%RSƁ+Xsy+on4oI'Yd~'~IRn~,7߼Ǚ[).r9A~ˎmn{*#6M2$؊,Is>;ooa_xz/wHyE*"X YM nLǦ*%̑"  EuӾR6|%ړkO-Om#y> ]=݋L/ބσɴ]_qsd{趾Ns{gb=wsD5]x]>\>sZ&Z]=@ڥ߹z-诠@0Ovߞ rAoUY-aa#0o 1"׳>k>pOQ+G{`]FtOZr_,)ήP7 2ѓ]8Kvo O\#)uIR~񿿎͞|_^jgO\]7w+o& ,' 4LܻHYK V3$_z_K^P"}_oJ;9rg>茶Z H6_'ߨ6 +#؏2OI:y.Sf]+Y 7RoE+s|l¼('6̾z|k~֣oz H֗ix93a; v);od 1ǐqi^/2'|2v0])-`31VMeuo*d0MsT2O# c&\m+U\&)siw Rs|ĸRQk0t9fFN)0uċM]9<ɥ%dp~V[]]QVzZ;ZM=cr-RJÉŶxkmm\¨6rLDM5 i L}\ӗ#rT67%A}|Xj>!j/ńqXޓ=io%xhG2x| 0 <^34y񿴘ӂD?*< dV[Y|Un"CܾcbZ*wrUXn6KZKJskJCi 5lj¿c^Mw}bRjҳ}9HjG Ϊω K@@ہӺmTCShL֮$[|X@9)24Nۇ}L6!-Z}-Sny_;P$L%={q^@OT5eT~JlcJ0S)!5晬xZIx&ᙄg.Q/ F^`?0< `Հr|x. v1e-tζPC"FT__Q3Z9`SǴ[گ7/آjT6Glmjܶ`STESLrߍ}LXt؉KWBAg#N<)ɀ?"Qm@l2X @㈋V99cy'~2`/pweoM*W<׎117Te`!Db`Xl \Æil؀WuNo+b%x[dcg9G97u^W$9 wLcrKLFoWU(c1罜I@? v&1}s/͆[ȇSc2=OQtq~sc%OC\$(ep,=C>su ?ltG=MA{l} =]$:ՠퟓJs߭S+ >46W,y%#M&U+~ =8+Pݖ:U/X*?F.6h\먇^ƧSF/%/;qO+^D/ZRpM vYzMMSpىčpY+EL @/+cEgTdqVuH_g 'pNw)}[+S Ōeue;ʴlm*YCJU#p8:9v::ѱɱY:뜵)9mNIV]^2lm|+0g@)1)$Y$]fg(YvY-ޙ61SQ` kR`(j<(jᤉh4P\`T=s̴4|H.1&jbȚ{%yj/~SܜɽtxԼ#j_=!ca5^$āT1gƭac8ӥc>=ΦYgݬb $K/ZIV+j-VrMNҕ>\ђm6xwcgzUϖ;6k.SX5c)ܝ,U3Ѐjʋ:/r>3*B'p}C)S7idiʮGu .>/B!p͠ 3rPbéˆ>{P,`9 l8Y5' l4yyR.TubAK/ z+y P`_|ls{@EV5{9*C#"hboEX51޿) ']ylyQ 1(!P6P0Kk> ak/ endstream endobj 80 0 obj <> endobj 81 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 80 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]6[500]8[833 777]11[333 333]15[250 333 250 277 500 500 500 500 500 500 500 500 500 500 277 277]34[443 920 722 666 666 722 610 556 722 722 333 389 722 610 889 722 722 556 722 666 556 610 722 722 943]60[722 610 333]64[333]66[500]68[443 500 443 500 443 333 500 500 277 277 500 277 777 500 500 500 500 333 389 277 500 500 722 500 500 443]110[443]120[500 500]135[350]148[548]161[500]177[500]179[443 443]182[333]]>> endobj 82 0 obj <>stream x|w`TU97MKdPHȐBь@(f`$@R7@(0EUl2A@ **ʢ(eŠ,32?wsO?%,<jlYP@-=&̝ ~׍s5SkiMz=,:*M<^&*jܬDjfߺ-:qڌ #g@U3֙b@q9r@zjcpTT2m̯DIdXUt%$&%S:{Nt t#+gNWn^~A>}]uua cf[fϙ; ݱxeWlX?Y6nӽ2 k=Õ%#1$c\FT~7UӟOwwO//7?MO2e2gVdNȜ928~G^!#Q77k;,p$z<9޿wmrF85=+ }_Y}cCE/t֯[j=l3[nmOe |{L˙sg>{ꙿY~v뙴3?xpj-VzXpXÜ}'N=rq[hlw4j~@>H#jeX£:,F. V'+3<_5x0D8 p^7pހ` G-~N`W `7N`wY=1 s1{c g«Cx 8p!84a1q 8o#\,6MX8 G 8+p 8+qN*հ41|3zKq$ 4Ç$,vnxË./6] kXQF(ծeW Nz.W*`EobBL4"<YDHM حK$׃]o5]{ǎ< tl#Lź|>CZߠc7q" X?$}@Z/I4vbh%Ĺ54n9vQ\+3;Gn]:wwex=R)I .nShP:Y #Iʊ#*"|}'2ˊقۆD@)s#U^Ҵ#)ʼ^wg(ϵ<#j So "7r|Ap/ԦAFU)ZH-RD#AG]~bCMMBtX3ejK&ao@{7h2j لFib7="ՑЪ !s؁տ^s0"u=S"qXiva^WL}Ǎ)&EU#莞OPQ剈pOQ rvjV-pGTEl`1xYP4o{"P^/o"=VTݟ'~NT,_&8V˦A %{$XQͱwVTiXUnF*_єqӨ"۞> 0bTF"xS|(9XmcO1߸6TT[1Jx&x"0GC &h#*yVDS-Dr--_xuoPEC gPCEøE}T\0Uf= v=+FdT/oH}eAw`)YI]15M=`|hTGf ug[> :JP!nڈͯ,%HcӒd 9$ _Ֆ0!gjpmk9;=`#;9Ϸmxtklm_H9Sto8eLX8-7UJ"*3(Јv zHYdBJ9.$D`V6P6STdwHx%ʐ mDY _4%;!Wzs3k_ [QTz,_eE7!~݊+dZ\- {u#qn>3s߶^~b+q~󳣾qVa #C .3Lgzq!XHb$i4,#XONb$cRw.1uT&멽}ffJ4Lь($[B-$-殅NF\d66Eg}_zE?N^՞Ъz [fQƳƋFqUd<|lFLzQ5rqIpLlBZ9390a 2ʂeRPqiiI0ap  (94@dHSӉ6ؒ!\k j sX' WuA^?g??YqԈOL_DOGt)˅/}=}ʪs(!Az.f2q!ʨ! M,k+i/ H*/EM8*PKKLۖ+`[ig.rK[&Ǝ܀PC̪#HuTNt~1 |u6U<)uB'y)8-NgK,Az 5ρ޽Ȯq'v 6Gp9nT!O˹Mlw'Q1x|;y4%2:0}ɝ)]2{۞[_C++2橓w瞊kd}OkiB=.FQ Г O ,ʊ<\P@VXRDHxgi[)l *-S cǸT$(J`\hp4\ih8-3pZЗsɆ9یXX߽򦉷47<ַ jU{B ƾ>u ~cHIuP(w[H:$vz7dyҰބi>20T"1).ݖd4!f`w]RM zw'wlKIZB!`EPH0@0a-vi RHI3;gdGNu t`.SEɣ/ozMHrh欟TtPcfiZcwޛNт Xa)DNqˆPp9бɜ`[ɛtjCE3t0La)5U)v;K/9n1b|?-< 5BX]Ng;94{i,}9QoO!vH=w'B\[O\KƐ G#s(8b%\4rݾF1!f.k`2q>33bFuA4Y5L)4ٗu{APKar1bj^({Z ߉[E,;z0:s^[x0Sjo['bV3n~QR"O\\f$-NbT.3$'nbbjd2#\Vs%R\KfVέ!nC! aAaA7"dAvtsmA%&SSӯK;{vNrw }rމ~ݾ2#ĺ8$CvEMy}W8bDo%{@z,֍nA I"T3?m+usttu",At-10u.<6|(KYm6 \t^g1‘wotl1@vsZiMv;޼SWĔ?n>K1vMsIlTI uGrnpXM(<%pL׌ d^۳t 5}^.B˂ˇ+7n\7Oπ:biᚦؓBnn"=QOB@"351њlT&,KX~BsEɚ[htDa[}k /^>G[ǧe̲"npu/'%<<4,"gŬ rD^K#'ZRdM3ԫ9Fo0:.|}bTf!ETJGc('Ph(66.Kߔ󛻦.KOhݐؘ!Ӷ{,M`ܢIMuId> XU8q2UהO҇f{/Cm6զEzܜdhCuT1J> !-J)=)mIo՘*Ғof0.ג}71ւ-\k[%'oXxjrS-Ur82?xN#hYj9hDχ7Ƌ04g[?=y?>r{]^We֬ac_d K0"S )2h]pؔ fjMF^Q54# 0%QJvrxR¿h~BvKn9>M}XxRW-XpQ{΄ 2cgMQآ,U8DׄYMMoE[$;ڝ*$zR{rWhᆲ-EyÖ+z\{o^j^3}˼ LSĕ"[ɰ+ri @NDQ0$ 2( X⭌^RH**Ӓ4*SۥRD: $IoQhM=9aQߢƿEۢ0$7UAMկ_TiojIPЇAC#qOB/|WNiʄCH$)X&IrtVW6l^_S^1;*3Lj~=f ‡` 5B>aq7c"ӻ XKWfxH+(3@}^,Pݢ:Q{==K}A) Fh4zIrJ}FW_ŇZ^Z^/!z(t⋃X=C>gF2=~}D A]C%b~ˊX)Y墟Rf+ ha0(6M5i2wPPjMV&(L)U`֛(`\jZNf8ى06Lfظa(ȡm,@QGCtKqP}6bldž邲=&1'bNɸ=:cݬ#kuvEp9,V\ jnxIٹXko?:&ܵ!:uyݽt$9h+=mǛMC-wkgĩSv%vۅwb# E%q"C0s?I Czca5b1U(`䅍,>B+l/H ׋J#͹ t)"q#:%)+(>@G\M< Nء0X)< C"] +[?a%˗`XJkƯ+-`a롣xϢWE(lZB6|h|WԆ9iw~3Wp-^&p;ĦاT^*uTGΆ5'8h+"<{Kq^R"P|ylgAw9}0~)p|do8nF.C (ӊGTG`1z'!ӝ>6 3 i.q8#9|>hpk/5kd]T&oqx.D %!DM#ǐ[(h2KrF]ǵW!!t/ 03i\grl/MnKq\rmy\7ZF.Cَ?أTZHǀnMt47tBut?U2+tlGD˵4f TV%Ӱ׉*Wb ^$SIvv/{\mvV/-x1k˒,n7].&|?\.q]b 4=;8}H<:X>6QEkpzH7pcgX R0XZy,\W4 9c5/^ yٗ5EZw'Y.cěT#u^XEdC`mdOJ-h?SPC,=OmT#93\'cgt i6‹M65n ~9ܷiMz<;5 q[!N+zf;hVyUW[@-K㿄 Xzr5]kVIߧne>tN# 6I&Pmr)i(s$9:$Fy&:4 _ː&|c1'{'4"vIxM옆4diߖ2m8Et nY3{OYQ7$S4Q<ᶏ S&8@6t?ݬwXJv , x~%;p.EݗMi/gtqS,T" )D~5 !o^G~AT ~kI6hy{+u{T\rON4ꓦܓ$WV9ݕU)${o#ys߇mHN7PqC?OgL^fM cj۟M`O}nUn`y>lF;~!Aq9ѽnjNN/;&qНt]jMIm|WR˕rY.SK钳]B zuv X:wfvt[3|!NM3'%] fi6l14 &AL̔zۛէ[Ӆt(Ч1b/#`x/ GeM([aDD\Qa0jt^LEweyy -2ƲĴHM+)cgih@ h1Vx/~3G$)ҏhRz_'(I7q endstream endobj 83 0 obj <> endobj 84 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 83 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]15[240 240 240]30[240]36[603 607 579 654 536 507 642 641]45[371 613 498 800]51[599]54[571 483 594]68[540 538 465 538 524 315 518 541 244]78[532 244 870 541 528 538 541 331 454 322 539 444 696 441 441]172[250]]>> endobj 85 0 obj <>stream xzyxSe9]rIm& I-PR ŶWHZhAlPEDlU@eW1mA2¨2RG>aq@{"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.$k;뺤@NOM=|9jdm`+_3+ۗ,WvioHov(} OVI`OӨ+8ސrnK eβ^PZ0'8|CjtIO;؏P=y nKo& u1vޭ[jmyhQ^q^ibТӍc\V˝|dݧurVM-!c`\Gc\P,e NoYXծ! Fmso`2j!,<0onߘS[*9omFΑ3\gd'NNs>P7ѧI:S_nEy[GJC#3&w.Gmm_r/){f08{uIwV|RC}n~LoHokm\c%|xL|fa̍KգxOq 7Y"+o[)| u֭KVir(rRpDkϯ.i<,@RG6|MVhgq>!D9*ɅNJҕu&_c.ηЇ>20Se}C2|O.T %40A:Y%A`yZțb.g9sJPϙ0 Ԓs&5:nHu]8~#).'. > ]d~nVUOFzݞ^Ki|= w;66 / 2S)04+v{$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,E9חiޕcΒ\(+lNoI3eZ(4slB8;/m}P"33އ",ȴ0MRtT0\eװ78<.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 ^%?$G#P유6OB~VA0 5nwY{EӆsxֈT Sr·6,x̀q<I* rRǪx>x$ 1kAdʫ=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~ _||>e=Յ>Lcy-ZqpɪB3-{?bQr$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 86 0 obj <> endobj 87 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 86 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 88 0 obj <>stream x]j0E -[GMK!>hҒ-,gZ*yĕFiEqr{\d?.>/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 41 0 R/Type/Page>> endobj 2 0 obj <>stream xTUq BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.22975 Tw 0.0919 Tc (6WDWHGSUHIHUHQFH)Tj 0 g 0 0 0 rg [-22.97( 63\f)-22.97(PHWKRGV)-22.97(V\\VWHPDWLFDOO\\)-22.97(DVVHVV)-22.97(WKH)-22.97(UHODWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.01489 Tw 0.00596 Tc [(SUHIHUHQFHV)-1.49(IRU)-1.49(VFUHHQLQJ)-1.49(WHVWV)-1.49(RU)-1.49(WKH)-1.49(IHDWXUHV)-1.49(RI)-1.49(VFUHHQLQJ)-1.49(WHVWV)-1.49()]TJ 0 g 0 0 0 rg (XV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg 0.05629 Tw 0.02251 Tc [(LQJ)-5.63(TXHVWLRQV)-5.63(WKDW)-5.63(SUHVHQW)-5.63(K\\SRWKHWLFDO)]TJ 0 g 0 0 0 rg [-5.63(WUDGHRIIV)]TJ 0 g 0 0 0 rg [-5.63(\)XUWKHUPRUH)-5.63(63)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 642 Tm 0 0 0 rg 0.32175 Tw 0.1287 Tc [(VWXGLHV)-32.18(FDQ)-32.18(LQFRUSRUDWH)-32.18(TXHVWLRQV)-32.18(WR)-32.18(DVVHVV)-32.18(WKH)-32.18(IDFWRUV)-32.18(WKDW)-32.18(DIIHFW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 630 Tm 0 0 0 rg 0.01453 Tw 0.00581 Tc [(UHSRUWHG)-1.45(OLNHOLKRRG)-1.45(RI)-1.45(XSWDNH)-1.45(IRU)-1.45(FDQFHU)-1.45(VFUHHQLQJ)-1.45( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-1.45(3UHYLRXV)-1.45()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 618 Tm 0 0 0 rg 0.29371 Tw 0.11749 Tc [(YLHZV)-29.37(RI)-29.37(63)-29.37(VWXGLHV)-29.37(LQGLFDWH)-29.37(WKDW)-29.37(SHRSOH)-29.37(KDYH)-29.37(LGHQWLILDEOH)-29.37()]TJ 0 g 0 0 0 rg (SUHIHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 606 Tm 0 0 0 rg (HQFHVIRUWKHIHDWXUHVRIFDQFHUVFUHHQLQJWHVWV )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 30 586 Tm /F1 10 Tf 0 0 0 rg 0.07118 Tw 0.02847 Tc [(7KLV)-7.12(DUWLFOH)-7.12(UHYLHZV)-7.12(63)-7.12(VWXGLHV)-7.12(RI)-7.12(SUHIHUHQFHV)-7.12(IRU)-7.12(FDQFHU)-7.12(VFUHHQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 574 Tm 0 0 0 rg 0.35301 Tw 0.14121 Tc [(WHVWV)-35.3(IRU)-35.3(EUHDVW)-35.3(FHUYLFDO)-35.3(DQG)-35.3(FRORUHFWDO)-35.3(FDQFHU)-35.3(UHFRPPHQGHG)-35.3(E\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 562 Tm 0 0 0 rg 0.17101 Tw 0.0684 Tc [(WKH)-17.1(86367\))-17.1(WKDW)-17.1(ZHUH)-17.1(FROOHFWHG)-17.1(XVLQJ)-17.1(FRQMRLQW)-17.1(DQDO\\VLV)-17.1( &$\f)-17.1(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 550 Tm 0 0 0 rg 0.15923 Tw 0.06369 Tc (GLVFUHWHFKRLFH)Tj 0 g 0 0 0 rg [-15.92(H[SHULPHQWV)-15.92( '&\(V\f)-15.92(&$)-15.92(DQG)-15.92('&\(V)-15.92(GHVFULEH)-15.92(WHVWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 538 Tm 0 0 0 rg 0.39889 Tw 0.15956 Tc [( RU)-39.89(RWKHU)-39.89(JRRGV\f)-39.89(XVLQJ)-39.89(D)-39.89(VHW)-39.89(RI)-39.89(DWWULEXWHV)-39.89( IHDWXUHV\f)-39.89(ZLWK)-39.89(YDU\\LQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 526 Tm 0 0 0 rg 0.08619 Tw 0.03448 Tc [(OHYHOV)-8.62(DQG)-8.62(DOORZ)-8.62(HVWLPDWLRQ)-8.62(RI)-8.62(UHODWLYH)-8.62(SUHIHUHQFHV)-8.62(IRU)-8.62(GLIIHUHQW)-8.62()]TJ 0 g 0 0 0 rg (DW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 514 Tm 0 0 0 rg 0.25526 Tw 0.10211 Tc [(WULEXWHV)-25.53(7KH)-25.53(JRDO)-25.53(RI)-25.53(WKH)-25.53(UHYLHZ)-25.53(ZDV)-25.53(WR)-25.53(DVVHVV)-25.53(WKH)-25.53(W\\SHV)-25.53(RI)-25.53(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 502 Tm 0 0 0 rg 0.19665 Tw 0.07866 Tc [(VFUHHQLQJ)-19.66(WHVW)-19.66(DWWULEXWHV)-19.66(UHVHDUFKHUV)-19.66(KDYH)-19.66(FRQVLGHUHG)-19.66()]TJ 0 g 0 0 0 rg (GLIIHUHQWLDW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 490 Tm 0 0 0 rg 0.07039 Tw 0.02816 Tc [(LQJ)-7.04(EHWZHHQ)-7.04(DWWULEXWHV)-7.04(RI)-7.04(WKH)-7.04(VFUHHQLQJ)-7.04(WHVWV)-7.04(WKHPVHOYHV)-7.04(DQG)-7.04()]TJ 0 g 0 0 0 rg (DWWULE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 478 Tm 0 0 0 rg 0.08599 Tw 0.0344 Tc [(XWHV)-8.6(WKDW)-8.6(FDSWXUH)-8.6(RWKHU)-8.6(HOHPHQWV)-8.6(RI)-8.6(WKH)-8.6(SDWLHQW)-8.6(H[SHULHQFH)-8.6(:H)-8.6(DOVR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 466 Tm 0 0 0 rg 0.21561 Tw 0.08624 Tc [(UHYLHZHG)-21.56(WKH)-21.56(XVH)-21.56(RI)-21.56(TXHVWLRQV)-21.56(WR)-21.56(GHWHUPLQH)-21.56(UHSRUWHG)-21.56(OLNHOLKRRG)-21.56(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 454 Tm 0 0 0 rg 0.44294 Tw 0.17718 Tc [(XSWDNH)-44.29(8QGHUVWDQGLQJ)-44.29(KRZ)-44.29(WHVW)-44.29(DWWULEXWHV)-44.29(DIIHFW)-44.29(UHSRUWHG)-44.29()]TJ 0 g 0 0 0 rg (OLNHOL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 442 Tm 0 0 0 rg 0.42206 Tw 0.16882 Tc [(KRRG)-42.21(RI)-42.21(XSWDNH)-42.21(PD\\)-42.21(KHOS)-42.21(LPSURYH)-42.21(SXEOLF)-42.21(KHDOWK)-42.21(SURJUDPV)-42.21(WR)-42.21()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 430 Tm 0 0 0 rg (FUHDVHFDQFHUVFUHHQLQJ)Tj 0 g ET BT 1 0 0 1 30 406 Tm /F1 16 Tf 0 0 0 rg (0HWKRGV)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 30 379 m 298 379 l S Q BT 1 0 0 1 30 384 Tm /F5 12 Tf 0 0 0 rg (6WDWHGSUHIHUHQFHWHFKQLTXHV)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 30 365 Tm /F1 10 Tf 0 0 0 rg 0.46333 Tw 0.18533 Tc [(5HVHDUFKHUV)-46.33(KDYH)-46.33(GHYHORSHG)-46.33(VHYHUDO)-46.33(DSSURDFKHV)-46.33(FRQVLVWHQW)-46.33(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 353 Tm 0 0 0 rg 0.2775 Tw 0.111 Tc [(HFRQRPLF)-27.75(WKHRU\\)-27.75(WR)-27.75(PHDVXUH)-27.75(SUHIHUHQFHV)-27.75(IRU)-27.75(PDUNHW)-27.75(DQG)-27.75()]TJ 0 g 0 0 0 rg (QRQPDU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 341 Tm 0 0 0 rg 0.56753 Tw 0.22701 Tc [(NHW)-56.75(JRRGV)-56.75(LQWHUYHQWLRQV)-56.75(DQG)-56.75(SROLFLHV)-56.75( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 0 0 0 rg [-56.75(5HYHDOHGSUHIHUHQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 329 Tm 0 0 0 rg 0.18509 Tw 0.07403 Tc [(PHWKRGV)-18.51(XVH)-18.51(LQIRUPDWLRQ)-18.51(IURP)-18.51(DFWXDO)-18.51(EHKDYLRU)-18.51(RU)-18.51(SXUFKDVHV)-18.51(WR)-18.51()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 317 Tm 0 0 0 rg 0.45488 Tw 0.18195 Tc [(IHU)-45.49(LQGLYLGXDOV)-45.49(SUHIHUHQFHV)-45.49(63)-45.49(PHWKRGV)-45.49(XVH)-45.49(VXUYH\\V)-45.49(RU)-45.49()]TJ 0 g 0 0 0 rg (H[SHUL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 305 Tm 0 0 0 rg 0.3046 Tw 0.12184 Tc [(PHQWDO)-30.46(PHWKRGV)-30.46(ZLWK)-30.46(K\\SRWKHWLFDO)-30.46(VFHQDULRV)-30.46(WR)-30.46(HOLFLW)-30.46(SUHIHUHQFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 293 Tm 0 0 0 rg 0.46204 Tw 0.18481 Tc [(7KHUH)-46.2(DUH)-46.2(YDULHG)-46.2(63)-46.2(PHWKRGV)-46.2(LQFOXGLQJ)-46.2(FRQWLQJHQW)-46.2(YDOXH)]TJ 0 g 0 0 0 rg [-46.2(WLPH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 281 Tm 0 0 0 rg 0.71613 Tw 0.28645 Tc (WUDGHRII)Tj 0 g 0 0 0 rg [-71.61(VWDQGDUG)-71.61(JDPEOH)-71.61(DQG)-71.61(RWKHU)-71.61(YDULDWLRQV)-71.61(7KH)-71.61(0HGLFDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 269 Tm 0 0 0 rg 0.11844 Tw 0.04737 Tc [('HYLFH)-11.84(,QQRYDWLRQ)-11.84(&RQVRUWLXP)-11.84(KDV)-11.84(PRUH)-11.84(LQIRUPDWLRQ)-11.84(RQ)-11.84(63)-11.84()]TJ 0 g 0 0 0 rg (PHWK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 257 Tm 0 0 0 rg (RGVLQKHDOWKFDUHUHVHDUFK )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 237 Tm /F1 10 Tf 0 0 0 rg 0.32805 Tw 0.13122 Tc [(7KLV)-32.81(UHYLHZ)-32.81(IRFXVHV)-32.81(RQ)-32.81(&$)-32.81(DQG)-32.81('&\()-32.81(VWXGLHV)-32.81(D)-32.81(W\\SH)-32.81(RI)-32.81(63)-32.81(VWXG\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 225 Tm 0 0 0 rg 0.61685 Tw 0.24674 Tc [(ZKHUH)-61.68(WKH)-61.68(JRRG)-61.68(RU)-61.68(SROLF\\)-61.68(LV)-61.68(GHILQHG)-61.68(E\\)-61.68(D)-61.68(VHW)-61.68(RI)-61.68(DWWULEXWHV)-61.68(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 213 Tm 0 0 0 rg 0.39694 Tw 0.15878 Tc [(YDU\\LQJ)-39.69(OHYHOV)-39.69( IRU)-39.69(D)-39.69(JHQHUDO)-39.69(GLVFXVVLRQ)-39.69(VHH)-39.69(+HQVKHU)-39.69(HW)-39.69(DO)-39.69(>)]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 30 201 Tm 0 0 0 rg 0.1178 Tw 0.04712 Tc [(7KHVH)-11.78(VXUYH\\V)-11.78(DOORZ)-11.78(UHVHDUFKHUV)-11.78(WR)-11.78(LGHQWLI\\)-11.78(DQG)-11.78(TXDQWLI\\)-11.78(WKH)-11.78()]TJ 0 g 0 0 0 rg (UHODW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 189 Tm 0 0 0 rg 0.31611 Tw 0.12644 Tc [(LYH)-31.61(HIIHFW)-31.61(RI)-31.61(WKH)-31.61(FKDQJHV)-31.61(LQ)-31.61(GLIIHUHQW)-31.61(DWWULEXWHV)-31.61(RQ)-31.61(FKRLFHV)-31.61(*RRG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 177 Tm 0 0 0 rg 0.36069 Tw 0.14428 Tc [(SUDFWLFH)-36.07(VXJJHVWV)-36.07(WKDW)-36.07(WKH)-36.07(QXPEHU)-36.07(RI)-36.07(DWWULEXWHV)-36.07(VKRXOG)-36.07(EH)-36.07(OLPLWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 165 Tm 0 0 0 rg 0.73952 Tw 0.29581 Tc [(GHSHQGLQJ)-73.95(RQ)-73.95(WKH)-73.95(QDWXUH)-73.95(RI)-73.95(WKH)-73.95(DWWULEXWHV)-73.95(DQG)-73.95(WKDW)-73.95(UHVHDUFKHUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 153 Tm 0 0 0 rg 0.16792 Tw 0.06717 Tc [(VKRXOG)-16.79(PDNH)-16.79(GHFLVLRQV)-16.79(DERXW)-16.79(WKH)-16.79(DWWULEXWHV)-16.79(WR)-16.79(LQFOXGH)-16.79(DQG)-16.79(H[FOXGH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 141 Tm 0 0 0 rg 0.04604 Tw 0.01842 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-4.6(5HVHDUFKHUV)-4.6(XVH)-4.6(WKHLU)-4.6(UHVHDUFK)-4.6(TXHVWLRQ)-4.6(DQG)-4.6(ILQGLQJV)-4.6(IURP)-4.6()]TJ 0 g 0 0 0 rg (SUH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 129 Tm 0 0 0 rg 0.42382 Tw 0.16953 Tc [(YLRXV)-42.38(VWXGLHV)-42.38(DQG)-42.38(SUHWHVWLQJ)-42.38(WR)-42.38(VHOHFW)-42.38(DWWULEXWHV)-42.38(WKDW)-42.38(UHVSRQGHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 117 Tm 0 0 0 rg 0.06271 Tw 0.02508 Tc [(ILQG)-6.27(UHOHYDQW)-6.27(7R)-6.27(H[DPLQH)-6.27(UHSRUWHG)-6.27(OLNHOLKRRG)-6.27(RI)-6.27(XSWDNH)-6.27(DQG)-6.27()]TJ 0 g 0 0 0 rg (DWWULE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 105 Tm 0 0 0 rg 0.04804 Tw 0.01922 Tc [(XWHV)-4.8(WKDW)-4.8(LQIOXHQFH)-4.8(UHSRUWHG)-4.8(XSWDNH)-4.8(UHVHDUFKHUV)-4.8(FDQ)-4.8(LQFOXGH)-4.8(D)-4.8(IL[HG)]TJ 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.25 Tw 0.1 Tc [(DOWHUQDWLYH)-25(LQ)-25(WKH)-25(FKRLFH)-25(TXHVWLRQ)-25(XVXDOO\\)-25(D)-25(UHIHUHQFH)-25(WHVW)-25()]TJ 0 g 0 0 0 rg (UHSUHV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.20801 Tw 0.0832 Tc [(HQWLQJ)-20.8(WKH)-20.8(VWDQGDUG)-20.8(RI)-20.8(FDUH)-20.8(RU)-20.8(WKH)-20.8(RSWLRQ)-20.8(RI)-20.8(QRW)-20.8(JHWWLQJ)-20.8(D)-20.8(WHVW)-20.8(RU)-20.8(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg 0.33314 Tw 0.13325 Tc (IROORZXS)Tj 0 g 0 0 0 rg [-33.31(TXHVWLRQ)-33.31(DVNLQJ)-33.31(LI)-33.31(WKH)-33.31(UHVSRQGHQW)-33.31(ZRXOG)-33.31(JHW)-33.31(WKH)-33.31()]TJ 0 g 0 0 0 rg (K\\SR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 642 Tm 0 0 0 rg 0.12108 Tw 0.04843 Tc [(WKHWLFDO)-12.11(WHVW)-12.11(WKH\\)-12.11(VHOHFWHG)-12.11(LQ)-12.11(WKH)-12.11(FKRLFH)-12.11(TXHVWLRQ)-12.11(&$)-12.11(DQG)-12.11('&\()-12.11()]TJ 0 g 0 0 0 rg (DS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 630 Tm 0 0 0 rg 0.45086 Tw 0.18034 Tc [(SURDFKHV)-45.09(KDYH)-45.09(EHHQ)-45.09(XVHG)-45.09(IRU)-45.09(GHFDGHV)-45.09(LQ)-45.09(WKH)-45.09(ILHOGV)-45.09(RI)-45.09(PDUNHWLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 618 Tm 0 0 0 rg (WUDQVSRUWDWLRQHQYLURQPHQWDOSROLF\\DQGKHDOWKFDUH)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 593 m 584 593 l S Q BT 1 0 0 1 316 598 Tm /F5 12 Tf 0 0 0 rg ('DWDVRXUFHVDQGOLWHUDWXUHUHYLHZVWUDWHJLHV)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 579 Tm /F1 10 Tf 0 0 0 rg 0.00829 Tw 0.00331 Tc [(6WXGLHV)-0.82864(HOLJLEOH)-0.82864(IRU)-0.82864(WKLV)-0.82864(V\\VWHPDWLF)-0.82864(UHYLHZ)-0.82864(PHW)-0.82864(WKH)-0.82864(IROORZLQJ)-0.82864()]TJ 0 g 0 0 0 rg (FULWHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 567 Tm 0 0 0 rg 0.68524 Tw 0.2741 Tc [(LD)-68.52(ZDV)-68.52(D)-68.52(&$)-68.52(RU)-68.52('&\()-68.52(VWXG\\)-68.52(H[DPLQHG)-68.52(SDWLHQW)-68.52(SUHIHUHQFHV)-68.52(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 555 Tm 0 0 0 rg 0.36006 Tw 0.14403 Tc [(EUHDVW)-36.01(FRORUHFWDO)-36.01(RU)-36.01(FHUYLFDO)-36.01(FDQFHU)-36.01(VFUHHQLQJ)-36.01(UHFRPPHQGHG)-36.01(E\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 543 Tm 0 0 0 rg 0.04588 Tw 0.01835 Tc [(WKH)-4.59(86367\))-4.59(KDG)-4.59(WKH)]TJ 0 g 0 0 0 rg [-4.59(IXOOWH[W)]TJ 0 g 0 0 0 rg [-4.59(DUWLFOH)-4.59(DYDLODEOH)-4.59(LQ)-4.59(\(QJOLVK)-4.59(DQG)-4.59(ZDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 531 Tm 0 0 0 rg 0.59903 Tw 0.23961 Tc [(SXEOLVKHG)-59.9(IURP)-59.9(-DQXDU\\)-59.9()-59.9(WKURXJK)-59.9(-XO\\)-59.9()-59.9(:H)-59.9(H[FOXGHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 519 Tm 0 0 0 rg 0.34277 Tw 0.13711 Tc [(VWXGLHV)-34.28(WKDW)-34.28(H[DPLQHG)-34.28(FDQFHU)-34.28(WUHDWPHQW)-34.28(FDQFHU)-34.28(WKHUDS\\)-34.28()]TJ 0 g 0 0 0 rg (SKDUPD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 507 Tm 0 0 0 rg 0.03267 Tw 0.01307 Tc [(FHXWLFDOV)-3.27(KHDOWK\\)-3.27(EHKDYLRUV)-3.27(RU)-3.27(FDQFHU)-3.27(SUHYHQWLRQ)-3.27(VWUDWHJLHV)-3.27(QRW)-3.27()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 495 Tm 0 0 0 rg 0.52138 Tw 0.20855 Tc [(FRPPHQGHG)-52.14(E\\)-52.14(WKH)-52.14(86367\))-52.14(:H)-52.14(DOVR)-52.14(H[FOXGHG)-52.14(VWXGLHV)-52.14(WKDW)-52.14()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 483 Tm 0 0 0 rg (FOXGHGRQO\\SK\\VLFLDQVLQWKHLUVDPSOH )Tj 0 g 0 0 0 rg (7DEOH)Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 316 463 Tm /F1 10 Tf 0 0 0 rg 0.45633 Tw 0.18253 Tc [(:H)-45.63(XVHG)-45.63(WKH)-45.63(3UHIHUUHG)-45.63(5HSRUWLQJ)-45.63(,WHPV)-45.63(IRU)-45.63(6\\VWHPDWLF)-45.63(5HYLHZV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 451 Tm 0 0 0 rg 0.22219 Tw 0.08887 Tc (DQG)Tj 0 g 0 0 0 rg [-22.22(0HWD$QDO\\VHV)]TJ 0 g 0 0 0 rg [-22.22( 35,60$\f)-22.22(JXLGHOLQHV)-22.22( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-22.22(WR)-22.22(GHVLJQ)-22.22(DQG)-22.22()]TJ 0 g 0 0 0 rg (SHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 439 Tm 0 0 0 rg 0.36555 Tw 0.14622 Tc [(IRUP)-36.55(WKH)-36.55(OLWHUDWXUH)-36.55(UHYLHZ)-36.55('DWDEDVH)-36.55(VHDUFKHV)-36.55(ZHUH)-36.55(FRQGXFWHG)-36.55(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 427 Tm 0 0 0 rg 0.85067 Tw 0.34027 Tc [(3XE0HG)-85.07(DQG)-85.07(\(FRQ/LW)-85.07(6HDUFK)-85.07(WHUPV)-85.07(IRU)-85.07(3XE0HG)-85.07(ZHUH)-85.07( )]TJ 0 g 0 0 0 rg (QHR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 415 Tm 0 0 0 rg 0.21615 Tw 0.08646 Tc [(SODVPV>PHVK@)-21.61(RU)-21.61(FDQFHU\f)-21.61(DQG)-21.61( FRQMRLQW)-21.61(DQDO\\VLV)-21.61(RU)-21.61(FRQMRLQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 403 Tm 0 0 0 rg 0.46282 Tw 0.18513 Tc [(DQDO\\VHV)-46.28(RU)]TJ 0 g 0 0 0 rg [-46.28(FRQMRLQWDQDO\\VLV)]TJ 0 g 0 0 0 rg [-46.28(RU)]TJ 0 g 0 0 0 rg [-46.28(FRQMRLQWDQDO\\VHV)]TJ 0 g 0 0 0 rg [-46.28(RU)-46.28()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 391 Tm 0 0 0 rg 0.41577 Tw 0.16631 Tc [(FUHWH)-41.58(FKRLFH)-41.58(RU)]TJ 0 g 0 0 0 rg [-41.58(GLVFUHWHFKRLFH)]TJ 0 g 0 0 0 rg [-41.58(RU)-41.58(GLVFUHWH)-41.58(UDQNLQJ)-41.58(RU)-41.58()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 379 Tm 0 0 0 rg 0.11445 Tw 0.04578 Tc [(FUHWH)-11.44(UDQN\f)-11.44(6HDUFK)-11.44(WHUPV)-11.44(IRU)-11.44(\(FRQ/LW)-11.44(ZHUH)-11.44( FDQFHU\f)-11.44(DQG)-11.44( )]TJ 0 g 0 0 0 rg (FRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 367 Tm 0 0 0 rg 0.56025 Tw 0.2241 Tc [(MRLQW)-56.02(DQDO\\VLV)-56.02(RU)-56.02(FRQMRLQW)-56.02(DQDO\\VHV)-56.02(RU)]TJ 0 g 0 0 0 rg [-56.02(FRQMRLQWDQDO\\VLV)]TJ 0 g 0 0 0 rg [-56.02(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 355 Tm 0 0 0 rg 0.44775 Tw 0.1791 Tc (FRQMRLQWDQDO\\VHV)Tj 0 g 0 0 0 rg [-44.78(RU)-44.78(GLVFUHWH)-44.78(FKRLFH)-44.78(RU)]TJ 0 g 0 0 0 rg [-44.78(GLVFUHWHFKRLFH)]TJ 0 g 0 0 0 rg [-44.78(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 343 Tm 0 0 0 rg (GLVFUHWHUDQNLQJRUGLVFUHWHUDQN\f)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 318 m 584 318 l S Q BT 1 0 0 1 316 323 Tm /F5 12 Tf 0 0 0 rg (6WXG\\VHOHFWLRQDQGGDWDH[WUDFWLRQ)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 304 Tm /F1 10 Tf 0 0 0 rg 1.04 Tw 0.4156 Tc [(:H)-103.9(LGHQWLILHG)-103.9()-103.9(DUWLFOHV)-103.9()-103.9(RI)-103.9(ZKLFK)-103.9(ZHUH)-103.9(GXSOLFDWHV)-103.9(:H)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 292 Tm 0 0 0 rg 0.14714 Tw 0.05886 Tc [(VFUHHQHG)-14.71()-14.71(DUWLFOHV)-14.71(IRU)-14.71(LQFOXVLRQ)-14.71()-14.71(RI)-14.71(ZKLFK)-14.71(ZHUH)-14.71(HOLPLQDWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 280 Tm 0 0 0 rg 0.16919 Tw 0.06768 Tc [(:H)-16.92(WKHQ)-16.92(VFUHHQHG)-16.92(WKH)-16.92(IXOO)-16.92(WH[W)-16.92(RI)-16.92()-16.92(DUWLFOHV)-16.92(IRU)-16.92(HOLJLELOLW\\)-16.92()-16.92()]TJ 0 g 0 0 0 rg (DUW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 268 Tm 0 0 0 rg (LFOHVUHPDLQHGIRULQFOXVLRQLQWKHTXDOLWDWLYHV\\QWKHVLV )Tj 0 g 0 0 0 rg (\)LJXUH)Tj 0 g 0 0 0 rg (\f)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm)Tj ET Q = endstream endobj 3 0 obj <>/XObject<>>>/Rotate 0/Thumb 42 0 R/Type/Page>> endobj 4 0 obj <>stream x1Kδq BT 30 786 Td ET Q q Q q 2 J 0 G Q q 264 0 0 226.05 32 455.95 cm /img1 Do Q BT 1 0 0 1 32 440.95 Tm /F7 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg 0.34746 Tw 0.13898 Tc (\)LJXUH)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg [()-43.43(,GHQWLILFDWLRQ)-43.43(DQG)-43.43(VHOHFWLRQ)-43.43(RI)-43.43(DUWLFOHV)-43.43(IRU)-43.43(UHYLHZ)-43.43($EEUHYLDWLRQV)-43.43(&$)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 32 431.95 Tm 0 0 0 rg 1.63 Tw 0.65126 Tc [(FRQMRLQW)-203.52(DQDO\\VLV)-203.52('&\()-203.52(GLVFUHWHFKRLFH)-203.52(H[SHULPHQW)-203.52(+39)-203.52(KXPDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 32 422.95 Tm 0 0 0 rg (SDSLOORPDYLUXV86367\)863UHYHQWLYH6HUYLFHV7DVN\)RUFH)Tj 0 g ET q BT 1 0 0 1 32 440.95 Tm /F7 8 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 416.95 m 298 416.95 l S Q BT 1 0 0 1 30 402.95 Tm /F2 12 Tf ()Tj ET BT 1 0 0 1 30 390.95 Tm /F1 10 Tf 0 0 0 rg 0.24994 Tw 0.09998 Tc [(:H)-24.99(DEVWUDFWHG)-24.99(WKH)-24.99(IROORZLQJ)-24.99(GDWD)-24.99(LWHPV)-24.99(IURP)-24.99(WKH)-24.99(VHOHFWHG)-24.99(VWXGLHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 378.95 Tm 0 0 0 rg 0.26339 Tw 0.10536 Tc [(DXWKRU V\f)-26.34(\\HDU)-26.34(VDPSOH)-26.34(VL]H)-26.34(DQG)-26.34(SRSXODWLRQ)-26.34(FDQFHU)-26.34(W\\SH)-26.34(SXUSRVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 366.95 Tm 0 0 0 rg 0.39827 Tw 0.15931 Tc [(RI)-39.83(WKH)-39.83(VWXG\\)-39.83(DWWULEXWHV)-39.83(VWXGLHG)-39.83(VLJQLILFDQW)-39.83(DWWULEXWHV)-39.83( GHILQHG)-39.83(DV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 354.95 Tm 0 0 0 rg 0.2581 Tw 0.10324 Tc [(FDWHJRULFDO)-25.81(DWWULEXWHV)-25.81(LQ)-25.81(ZKLFK)-25.81(DW)-25.81(OHDVW)-25.81()-25.81(OHYHOV)-25.81(ZHUH)-25.81(VLJQLILFDQWO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 342.95 Tm 0 0 0 rg 0.1356 Tw 0.05424 Tc [(GLIIHUHQW)-13.56(IURP)-13.56(HDFK)-13.56(RWKHU)-13.56(RU)-13.56(D)-13.56(FRQWLQXRXV)-13.56(DWWULEXWH)-13.56(ZLWK)-13.56(D)-13.56()]TJ 0 g 0 0 0 rg (VLJQLILF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 330.95 Tm 0 0 0 rg 0.43792 Tw 0.17517 Tc [(DQW)-43.79(FRHIILFLHQW)-43.79(>)]TJ 0 g 1 0 0.21256 1 97.07 330.95 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 102.81 330.95 Tm 0 0 0 rg [-43.79()-43.79(@\f)-43.79(ZKHWKHU)-43.79(WKH)-43.79(GHVLJQ)-43.79(LQFOXGHG)-43.79(D)]TJ 0 g 0 0 0 rg [-43.79(QRWHVW)]TJ 0 g 0 Tw 0 Tc -72.81 0 Td 1 0 0 1 30 318.95 Tm 0 0 0 rg (RSWLRQDQGSUHGLFWHGXSWDNHDVUHSRUWHGLQWKHDUWLFOHV)Tj 0 g ET BT 1 0 0 1 30 298.95 Tm /F1 10 Tf 0 0 0 rg 0.09545 Tw 0.03818 Tc [(7KH)-9.55(UHYLHZ)-9.55(IRFXVHG)-9.55(RQ)-9.55(WKH)-9.55(W\\SHV)-9.55(RI)-9.55(DWWULEXWHV)-9.55(LQFOXGHG)-9.55(LQ)-9.55(WKH)-9.55()]TJ 0 g 0 0 0 rg (VWXG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 286.95 Tm 0 0 0 rg 0.42099 Tw 0.1684 Tc [(LHV)-42.1(7R)-42.1(SURYLGH)-42.1(PRUH)-42.1(IRFXV)-42.1(IRU)-42.1(WKH)-42.1(UHYLHZ)-42.1(WKH)-42.1(VWXGLHV)-42.1(ZHUH)-42.1()]TJ 0 g 0 0 0 rg (FDW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 274.95 Tm 0 0 0 rg 0.29435 Tw 0.11774 Tc [(HJRUL]HG)-29.43(DV)-29.43(VWXGLHV)-29.43(WKDW)-29.43(IRFXVHG)-29.43(RQ)-29.43(VFUHHQLQJ)-29.43(WHVW)-29.43(DWWULEXWHV)-29.43(RQO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 262.95 Tm 0 0 0 rg 0.13709 Tw 0.05483 Tc [(KHDOWK)-13.71(FDUH)-13.71(GHOLYHU\\)-13.71(DWWULEXWHV)-13.71(RQO\\)-13.71(RU)-13.71(D)-13.71(FRPELQDWLRQ)-13.71(RI)-13.71(ERWK)-13.71(7KH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 250.95 Tm 0 0 0 rg (FDWHJRULHVZHUHGHILQHGDVIROORZV)Tj 0 g ET BT 1 0 0 1 30 230.95 Tm /F1 10 Tf 0 0 0 rg 0.09453 Tw 0.03781 Tc ()Tj 0 g /F8 10 Tf 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg [(6FUHHQLQJ)-9.45(WHVW)-9.45(DWWULEXWHV)]TJ 0 g 0 Tr 0 G 1 w /F1 10 Tf 0 0 0 rg [-9.45(DWWULEXWHV)-9.45(RI)-9.45(WKH)-9.45(WHVWV)-9.45(LQGHSHQGHQW)-9.45(RI)-9.45(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 218.95 Tm 0 0 0 rg 0.27317 Tw 0.10927 Tc [(SDWLHQWV)-27.32(FKDUDFWHULVWLFV)-27.32(7KHVH)-27.32(LQFOXGHG)-27.32(HIILFDF\\)-27.32( VHQVLWLYLW\\)-27.32()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 206.95 Tm 0 0 0 rg 0.13115 Tw 0.05246 Tc [(SHFWHG)-13.11(UHGXFWLRQ)-13.11(LQ)-13.11(FDQFHU)-13.11(UDWHV)-13.11(RU)-13.11(PRUWDOLW\\)-13.11(VSHFLILFLW\\\f)-13.11(WHVW)-13.11()]TJ 0 g 0 0 0 rg (IHD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 194.95 Tm 0 0 0 rg 0.2443 Tw 0.09772 Tc [(WXUHV)-24.43( W\\SH)-24.43(RI)-24.43(WHVW)-24.43(SUHSDUDWLRQ)-24.43(EHIRUH)-24.43(WKH)-24.43(WHVW)-24.43(OHQJWK)-24.43(RI)-24.43(WHVW)-24.43(SDLQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 182.95 Tm 0 0 0 rg 0.471 Tw 0.1884 Tc [(GXULQJ)-47.1(WHVW)-47.1(FRPSOLFDWLRQ)-47.1(ULVN\f)-47.1(UHFRPPHQGHG)-47.1(IUHTXHQF\\)-47.1(ZKHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 170.95 Tm 0 0 0 rg 0.05514 Tw 0.02206 Tc [(WKH)-5.51(WHVW)-5.51(ZDV)-5.51(DGPLQLVWHUHG)-5.51(KRZ)-5.51(VRRQ)-5.51(UHVXOWV)-5.51(ZHUH)-5.51(DYDLODEOH)-5.51()]TJ 0 g 0 0 0 rg (ZKHWK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 158.95 Tm 0 0 0 rg 0.24261 Tw 0.09705 Tc [(HU)-24.26(D)]TJ 0 g 0 0 0 rg [-24.26(IROORZXS)]TJ 0 g 0 0 0 rg [-24.26(WHVW)-24.26(ZDV)-24.26(QHHGHG)-24.26(WR)-24.26(DGGUHVV)-24.26(DEQRUPDO)-24.26(ILQGLQJV)-24.26(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 146.95 Tm 0 0 0 rg (FRVW)Tj 0 g ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.05081 Tw 0.02032 Tc ()Tj 0 g /F8 10 Tf 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg [(+HDOWK)-5.08(FDUH)-5.08(GHOLYHU\\)-5.08(DWWULEXWHV)]TJ 0 g 0 Tr 0 G 1 w /F1 10 Tf 0 0 0 rg [-5.08(DWWULEXWHV)-5.08(UHODWHG)-5.08(WR)-5.08(WKH)-5.08(SDWLHQW)-5.08()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.67878 Tw 0.27151 Tc [(SHULHQFH)-67.88(LQ)-67.88(WKH)-67.88(KHDOWK)-67.88(FDUH)-67.88(VHWWLQJ)-67.88(LQ)-67.88(ZKLFK)-67.88(WKH)-67.88(VFUHHQLQJ)-67.88(ZDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg 0.49091 Tw 0.19636 Tc [(RIIHUHG)-49.09(WKDW)-49.09(DUH)-49.09(XQUHODWHG)-49.09(WR)-49.09(WKH)-49.09(DWWULEXWHV)-49.09(RI)-49.09(WKH)-49.09(WHVW)-49.09(7KHVH)-49.09()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 642 Tm 0 0 0 rg 0.07684 Tw 0.03073 Tc [(FOXGHG)-7.68(DWWULEXWHV)-7.68(VXFK)-7.68(DV)-7.68(LQIRUPDWLRQ)-7.68(SURYLGHG)-7.68(WR)-7.68(SDWLHQWV)-7.68(KRZ)-7.68()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 630 Tm 0 0 0 rg 0.33958 Tw 0.13583 Tc [(IRUPDWLRQ)-33.96(ZDV)-33.96(GHOLYHUHG)-33.96(FKDUDFWHULVWLFV)-33.96(RI)-33.96(WKH)-33.96(GRFWRU)-33.96(DQG)-33.96(KHDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 618 Tm 0 0 0 rg (FDUHVWDIIZDLWLQJWLPHIRUDSSRLQWPHQWVDQGGLVWDQFHWRIDFLOLW\\)Tj 0 g ET BT 1 0 0 1 316 598 Tm /F1 10 Tf 0 0 0 rg (6WXGLHVZHUHTXDOLWDWLYHO\\DVVHVVHGWRLGHQWLI\\FRPPRQUHVXOWV)Tj 0 g ET BT 1 0 0 1 316 574 Tm /F1 16 Tf 0 0 0 rg (5HVXOWV)Tj 0 g ET BT 1 0 0 1 316 552 Tm /F1 10 Tf 0 0 0 rg 0.19656 Tw 0.07862 Tc [(2I)-19.66(WKH)-19.66()-19.66(VWXGLHV)-19.66()-19.66(LQFOXGHG)-19.66(RQO\\)-19.66(VFUHHQLQJ)-19.66(WHVW)-19.66(DWWULEXWHV)-19.66()-19.66()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 540 Tm 0 0 0 rg 0.00053 Tw 0.00021 Tc [(FOXGHG)-0.05294(RQO\\)-0.05294(KHDOWK)-0.05294(FDUH)-0.05294(GHOLYHU\\)-0.05294(DWWULEXWHV)-0.05294(DQG)-0.05294()-0.05294(ZHUH)-0.05294(D)-0.05294(PL[WXUH)-0.05294(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 528 Tm 0 0 0 rg 0.15027 Tw 0.06011 Tc [(WKH)-15.03()-15.03()]TJ 0 g 0 0 0 rg [(7DEOHV)-15.03()]TJ 0 g 0 0 0 rg [-15.03(DQG)-15.03()]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [-15.03(VXPPDUL]H)-15.03(WKH)-15.03(VWXG\\)-15.03(FKDUDFWHULVWLFV)-15.03(DQG)-15.03()]TJ 0 g 0 0 0 rg (UHV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 516 Tm 0 0 0 rg (XOWV)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 491 m 584 491 l S Q BT 1 0 0 1 316 496 Tm /F5 12 Tf 0 0 0 rg (6WXGLHVZLWKRQO\\VFUHHQLQJWHVWDWWULEXWHV)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 477 Tm /F1 10 Tf 0 0 0 rg 0.44059 Tw 0.17624 Tc [(\)LIWHHQ)-44.06(VWXGLHV)-44.06(LQFOXGHG)-44.06(RQO\\)-44.06(VFUHHQLQJ)-44.06(WHVW)-44.06(DWWULEXWHV)-44.06(IRU)-44.06(EUHDVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 465 Tm 0 0 0 rg 0.18485 Tw 0.07394 Tc [(FDQFHU)-18.48(VFUHHQLQJ)-18.48( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-18.48(FHUYLFDO)-18.48(FDQFHU)-18.48(VFUHHQLQJ)-18.48( )]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 ()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)-18.48(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 453 Tm 0 0 0 rg 0.08405 Tw 0.03362 Tc [(FRORUHFWDO)-8.4(FDQFHU)-8.4(VFUHHQLQJ)-8.4( )]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 ()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)-8.4($PRQJ)-8.4(WKH)-8.4(VWXGLHV)-8.4(WKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 441 Tm 0 0 0 rg 0.4965 Tw 0.1986 Tc [(H[DPLQHG)-49.65(SUHIHUHQFHV)-49.65(IRU)-49.65(FRORUHFWDO)-49.65(FDQFHU)-49.65(VFUHHQLQJ)-49.65()-49.65(ORRNHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 429 Tm 0 0 0 rg 0.07459 Tw 0.02984 Tc [(RQO\\)-7.46(DW)-7.46(WKH)-7.46(IHFDO)-7.46(RFFXOW)-7.46(EORRG)-7.46(WHVW)-7.46( \)2%7\f)-7.46( )]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)-7.46(DQG)-7.46()-7.46(FRPSDUHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 417 Tm 0 0 0 rg 0.2598 Tw 0.10392 Tc [(SUHIHUHQFHV)-25.98(IRU)-25.98(FRPSXWHG)-25.98(WRPRJUDSK\\)-25.98(FRORQRJUDSK\\)-25.98(DQG)-25.98()]TJ 0 g 0 0 0 rg (FRORQR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 405 Tm 0 0 0 rg 0.05217 Tw 0.02087 Tc [(VFRS\\)-5.22( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-5.22(7KH)-5.22(UHVW)-5.22(LQFOXGHG)-5.22(DWWULEXWHV)-5.22(GHILQLQJ)-5.22(D)-5.22(UDQJH)-5.22(RI)-5.22()]TJ 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 393 Tm 0 0 0 rg 0.22589 Tw 0.09036 Tc [(LQJ)-22.59(WHVWV)-22.59(0RVW)-22.59(VWXGLHV)-22.59(VXUYH\\HG)-22.59(WKH)-22.59(JHQHUDO)-22.59(SRSXODWLRQ)-22.59(KRZHYHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 381 Tm 0 0 0 rg 0.03244 Tw 0.01298 Tc [(PDQ\\)-3.24(VWXGLHV)-3.24(LQFOXGHG)-3.24(UHVSRQGHQWV)-3.24(ZLWK)-3.24(VFUHHQLQJ)-3.24(H[SHULHQFH)-3.24(RU)-3.24(DW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 369 Tm 0 0 0 rg (KLJKHUULVNRIGHYHORSLQJFDQFHU )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 ()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 ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 316 349 Tm /F1 10 Tf 0 0 0 rg 0.34091 Tw 0.13636 Tc [('&\()-34.09(DQG)-34.09(&$)-34.09(VWXGLHV)-34.09(FDQ)-34.09(EH)-34.09(VHW)-34.09(XS)-34.09(DV)-34.09(D)-34.09(IRUFHG)-34.09(FKRLFH)-34.09(ZKHUH)-34.09()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 337 Tm 0 0 0 rg 0.17611 Tw 0.07044 Tc [(VSRQGHQWV)-17.61(SLFN)-17.61(EHWZHHQ)-17.61(WHVWV)-17.61(RU)-17.61(WKH\\)-17.61(FDQ)-17.61(LQFOXGH)-17.61(D)]TJ 0 g 0 0 0 rg [-17.61(QRWHVW)]TJ 0 g 0 0 0 rg [-17.61(RSWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 325 Tm 0 0 0 rg 0.17 Tw 0.068 Tc [(ZKHUH)-17(WKH)-17(UHVSRQGHQW)-17(FDQ)-17(VHOHFW)-17(QR)-17(WHVW)-17(LQVWHDG)-17(RI)-17(WKH)-17()]TJ 0 g 0 0 0 rg (K\\SRWKHW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 313 Tm 0 0 0 rg 0.23694 Tw 0.09478 Tc [(LFDO)-23.69(RSWLRQV)-23.69(SRVHG)-23.69(LQ)-23.69(WKH)-23.69(FKRLFH)-23.69(TXHVWLRQ)]TJ 0 g 0 0 0 rg [-23.69(7ZRWKLUGV)]TJ 0 g 0 0 0 rg [-23.69(RI)-23.69(WKH)-23.69()]TJ 0 g 0 0 0 rg (VWXG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 301 Tm 0 0 0 rg 0.04921 Tw 0.01969 Tc [(LHV)-4.92(LQFOXGHG)-4.92(D)]TJ 0 g 0 0 0 rg [-4.92(QRWHVW)]TJ 0 g 0 0 0 rg [-4.92(RSWLRQ)-4.92(,Q)-4.92(DGGLWLRQ)-4.92()-4.92(VWXG\\)-4.92(LQFOXGHG)-4.92(D)-4.92()]TJ 0 g 0 0 0 rg (VHSDU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 289 Tm 0 0 0 rg 0.26176 Tw 0.10471 Tc [(DWH)-26.18(TXHVWLRQ)-26.18(DVNLQJ)-26.18(DERXW)-26.18(SUHIHUHQFHV)-26.18(IRU)-26.18(VSHFLILF)-26.18(XQODEHOHG)-26.18(WHVWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 277 Tm 0 0 0 rg 0.14776 Tw 0.05911 Tc [(DVVLJQHG)-14.78(ZLWK)-14.78(WKH)-14.78(FKDUDFWHULVWLFV)-14.78(RI)-14.78(H[LVWLQJ)-14.78(WHVWV)-14.78(DQG)-14.78(LQFOXGHG)-14.78(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 265 Tm 0 0 0 rg 0.1261 Tw 0.05044 Tc [(RSWLRQ)-12.61(RI)-12.61(QR)-12.61(WHVW)-12.61( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-12.61(\)RXU)-12.61(VWXGLHV)-12.61(SURYLGHG)-12.61(SUHGLFWLRQV)-12.61(RI)-12.61(XSWDNH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 253 Tm 0 0 0 rg 0.03937 Tw 0.01575 Tc [(IRU)-3.94(WHVWV)-3.94(ZLWK)-3.94(VSHFLILF)-3.94(FKDUDFWHULVWLFV)]TJ 0 g 0 0 0 rg [-3.94(*\\UG+DQVHQ)]TJ 0 g 0 0 0 rg [-3.94( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-3.94(IRXQG)-3.94(WKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 241 Tm 0 0 0 rg 0.24913 Tw 0.09965 Tc [(SUHGLFWHG)-24.91(XSWDNH)-24.91(IRU)-24.91(D)-24.91(K\\SRWKHWLFDO)-24.91(WHVW)-24.91(VFUHHQLQJ)-24.91(SHRSOH)-24.91(DJHG)-24.91()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 229 Tm 0 0 0 rg 0.05187 Tw 0.02075 Tc [(WR)-5.19()-5.19(\\HDUV)-5.19(HYHU\\)-5.19(VHFRQG)-5.19(\\HDU)-5.19(ZLWK)-5.19(IHDWXUHV)-5.19(GUDZQ)-5.19(IURP)-5.19(WKH)-5.19()]TJ 0 g 0 0 0 rg (OLWHUDW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 217 Tm 0 0 0 rg 0.24554 Tw 0.09821 Tc [(XUH)-24.55(DQG)-24.55(D)-24.55(SURJUDP)-24.55(LQ)-24.55('HQPDUN)-24.55( \b\b\f)-24.55(ZDV)-24.55(VLPLODU)-24.55(WR)-24.55()]TJ 0 g 0 0 0 rg (HVWLP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 205 Tm 0 0 0 rg 0.09474 Tw 0.0379 Tc [(DWHV)-9.47(RI)-9.47(DFWXDO)-9.47(XSWDNH)-9.47( \b\f)-9.47(+RO)-9.47(HW)-9.47(DO)-9.47( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-9.47(SUHGLFWHG)-9.47(D)-9.47(\b)-9.47(XSWDNH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 193 Tm 0 0 0 rg 0.23162 Tw 0.09265 Tc [(IRU)-23.16(FRORQRVFRS\\)-23.16(IRU)]TJ 0 g 0 0 0 rg [-23.16(VFUHHQLQJQDLYH)]TJ 0 g 0 0 0 rg [-23.16(UHVSRQGHQWV)-23.16(LQ)-23.16(KLV)-23.16(VDPSOH)-23.16(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 181 Tm 0 0 0 rg 0.20056 Tw 0.08022 Tc [(WKH)-20.06(1HWKHUODQGV)-20.06(EDVHG)-20.06(RQ)-20.06(ZKDW)-20.06(WKH)-20.06(DXWKRUV)-20.06(GHILQHG)-20.06(DV)-20.06(UHDOLVWLF)-20.06()]TJ 0 g 0 0 0 rg (DV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 169 Tm 0 0 0 rg 0.1306 Tw 0.05224 Tc [(VXPSWLRQV)-13.06(IRU)-13.06(WKH)-13.06(DWWULEXWH)-13.06(OHYHOV)-13.06(DIWHU)-13.06(UHYLHZLQJ)-13.06(WKH)-13.06(FOLQLFDO)-13.06()]TJ 0 g 0 0 0 rg (OLWHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 157 Tm 0 0 0 rg 0.008 Tw 0.0032 Tc [(DWXUH)-0.79993(0DUVKDOO)-0.79993(HW)-0.79993(DO)-0.79993( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-0.79993(HVWLPDWHG)-0.79993(WKDW)-0.79993(WRWDO)-0.79993(XSWDNH)-0.79993(IRU)-0.79993(DOO)-0.79993(W\\SHV)-0.79993(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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm Centers for Disease Control and Prevention 3)Tj ET Q  endstream endobj 5 0 obj <>stream x]j0E -[SRf6-,IK<ZWI@t1dq຀tOE).юY,_ǝ'42.p~E: ;ES_nS/mGQt.8:}k19.eU2U$V-T!QUuJA.YQ S_ $bB68QsB޲!Q[RD($pTG4UQHᨊB2 GU[H4%b-u kJ}HРQז,ɯU2n }& endstream endobj 6 0 obj <>stream xpyU:͈ ޻Ko#֕j׀ϊǷuvg%3+5}:˖<-!RD)H8RJWDj7H7HdS; /"H<  ^K`xw}~BBBBBBBBBBNHʀ S l*ͭR 5I0H0H0H0':( j#uF!7x@Y ^HxCۦ"?+OTrXZHsIBKiʳ}Z;{ bZ xt9 J^y(uF%=^s,QԯJv  Ygڼd0rtH܄c8J"w+M2xix&y=A" CW^/_lW#OKR?98? (6.ǴF8c/EK24<<~~L0js.1`f#^qu#u,GxFrKXo̝;#c^JxC\n+YOGӕĬzZSV/)&!etGl4K>HAرp>>}4N|fQDre7mM n~oHDV5ph0NuHzfѡA vr*:tQ!/H'A@L0N^*'Yc ?L0^RD+^Ŀ"ɽ9}e9\YX L]: a+~ELA]`I}~:DmpCZZ#<@91Kx> GT'-tS]Hl B> \7 A#_+T |1'/I!nw'{WR}JJKJ ,8q{/'-Xj7_WRzN p!{׾p҂ű4< "GA.lF3()hzA& NZ8>ΔnxEA Е׍T !'  $,X6Bhm5{pI>v`YF`T$8b` ڜgkor;KgKva7ru#q B^-y% h@39Hw.!6>m7;T}0Bt~I0T61z_VW]lQ g u.AP=[A8JP'$֭:k'ClA84Yy T]H|Dg-=É ׈?: EQ]BF|p>YIXDAkD6:d:vKe>!N%h" =ȁ VQ<ѭDۈ%kBL8[JĺU נ!'$\7|E}3u 2L1W U*5Xb 5P.T UTy6-T [yQ~_iJe+H:!WQŠB*WXJ5Um?u>A-T[e[?*F-b Z5pDm>Quwl\u,[2snM |3TC%@_ [ zS(}5TCA6QOh#/-u5A 2TCA/x7TC%@_ [ {D%@D [8DWA=*h5ωe~uVHGnAF=Vs@6C&_\ʐė( {"M0:6HZp%(:eu HW -7S_N1{6j\p%|46tAC00 a;$<1KW'oIa9fkD;<@ADhPBf;}p0n},jܮ+fsGke kc,:-P߭'Vu@^߶bǺeq~̝e >Q]#uxwUstA,K]d9h ;8s:'cuXϽmqo\Igys3M=c_VA1rj-: jDTԵۈ-3߬zJ+z+gu̬AlZ[NaL1z~X2:)Cpإc% *P |yYS Wji=G5 *PW#l"4A̓^/6TCe+.x׊6TCe`fUz2m7n!ԦCu1Aɛ5Q~j3! B4A_՗h#L"MG%HsŐQ}!H0H0H0H0ATkĬUpubsj NI0Sȍ ܵ }֗!e`[֗!H& jt[dBkx#d֗ yW Ĥj}BB SQFksGԡH0hs(ՖWQJ Ԝa &a &a &ц@ܶ2 &D|w*ZWczk8 Bn_*#?@MT})[m ;3{"{k02ώsY L&)0̌\r S.gro8fQMWfqi/y7&:k&]mD"[$JHL$"PfvR.ͽ߰W#8)KCL;2DeD.yU ;_f|w$ImL˻ ណK}x a\ƙ^ƨk{C|4Q)&KYaʓheִW4A!뇶'favT @"pb4FHƖHgiSO !t?t 0S6 ҳ_ rTB< rGN1M!䞕Ô b(@F*zڝ)ֈ9[qiEp([Fs5Roh׈QdO8|k#j9E;Cps>|Ln7 \;!ťwa S~ Z6Iiy۾ioIWIF0HBF$A,ٗ0ٙ^; >&B{M1҉@S >z'a8CL@$=ӿ&5%HLy D4?itfUA;WXE :_QBM  JX0c n4 %%m!+n]~; U ^rrHv]E IU&܊[o;d4X;v Uٰ®})6_e]E I!aNoqnF6hp]:(vV$\Qa'ţIq<ダWnK٦R6B0"6 }=xM)CcA,GƮTWuD >F/mĈRW)CL{㬍4X%?OLC)Vh~"ݝc]EUDl״5ֈ<$딽 Nw5(34H4H)wGѡb]EUĩq6M䷳sy(W1);d ebFdh?CrU# 6,\ e l$@_J7kHXR'ĻH.钝^"q%;| ѮE 勏(Ȏhru@F#s|w!5 jWU>F%yC5\(_EcK6{x6H(Zd`A=Gjt0^Ԁ RB|XCo:Ȁj"@T[Jz\Dl-'hHȩ 3 uk3"nfHdKzHd Lh{mm7r `)m4#!kz`ȍo`f]<%gAgJFc퓾q@$ Ozo$&oZL_Fwoɚ &cpHqh ` Q^{675uͲw8I_T~ة@X"d Fo͍GM{%|"p:,4ѝ،?doEvf^JGpݴ= @ny+cq@,L_x84weJFwTt2W6OKx;8&CHA :Uq^{At=ȯF6kįhce]J_O5y]\#p!Z#0_@ et$8#m59ovML¥{vX8ͮT>3w6F >do4x'0mD/–YG~5Q] r& {z0~6&ig& ;#3 8S6cqB&RC4 t`{Mqrf;a `,NN5͂Q^K/ jl#э h "/ߦ.A׮ mDQM]xСCDjsED~/r&dkbRǽ+o*N2r:7m%r j5GegNLKZѺɠlT,g|v&vqti,H4Om ":N=|Mc 58 gᒅx#8ɭ2|Y8vM4AѺ =ZCy31JkD!k%=p ?dn Nbz)ڇ`)Z#"/*';<̎j}AZ( LhGZpVv`ω,q+W16t?=8czet9 yD\ΏѳGӠ=**!У\ZѺ hrlɂhD AJ(T`n$'!cDϓd̎t^Uy&U{TF. ™4w=WIO >d5[_<>bPY«j@"OA+^%q8 ޅq`fb]_nч~D8.>c4l?Og!̎xy^}h ďW  [>`Iϴ`3E)t@'eA$dZf^^X xI$< A`v,s«Ҭ.V(|5NB37\25A\zaA q;ZįJuj6œ+@TY04iQhJ5TD| ku;o,:]%Dv,#@T(f3HBXqU| MZ\'w=.#:uW9&`DR,'qDVHX&&.Ͻ̑9>b݊9[m˸_ N<3 Bܐ!dpϾ^xp7nk#pg?a[=2x{$s;Ͻ}+i?Y?-a1@ Pmr I 7 hQ<5xîsv͍ }&CwmVŋ pK.8 z~67p, wj\ M͸9M2q~;ƷL@!~ަaIӠVNnj4@+Z7Dh;rM͸9u̺%&%o =7?EOwhtRݟ RڞdZ?!r4Z./~sp6/.okTߊ"W ,kO? zGY?+l!n;zl9hkD{hWu8 p4vfhмkZŷ$bhuS-@\RѴ,k)ڈi閔}ݷO'Mc#v M~fP-4Mcg<02OCcuPe%u3ezdF3Gwap4WiR ȗgxh5._]RQM͸9XڜK{[̝~w?[l6S?x>}Nm#: z6$.CeC{jр r.DhjD.E~` ;ak"qqrF!}I)p(kSu8@A$fT4;&C{jiUf]J]GAuWZѺ ^AXIhdn51+Њ6TCAx\0wS+ڠR զa@D=mPFɃmf'{W+ڠRRWU6[)c[gsyNU+Z7UD]rrjqyєyM)[f/%ȩa|?!+k}X Z"Τ}bE c{CVhT^S 9 幛܄ԽF;)5= wb~dr)ʮ3a)rrpyڇԽv #׉mN_$<L 130Y ,a8 h~I]^sFLq&-\w쳌qM]S㩻=]*Jlj617m>bB1+B\^Dd N|nฃBovv_ rwlBCtJ$7A':'}}Qz1;GӹÀY1BNGӍ7"fYZ zȱzx&489@d4HU8Ӂ.7;0MAS $q .MGjb5x(Y hw1vֈnc5*.9W#TAMku,! 1V |6 @XaiE pѳfہ6'6~Qm a籍nSoť`gN A*`t<8?moTb hEKxIzĉ5j&e `39 a<A6]?AC"Sѡ}| 4@ۆA$OGuSu@7+:+er5ajWa &a &a5 #>}r^g:Q݀ VU**Pu-fw,j^aǧ'd*"OK<3JnB:qqut$p*|(;34檂VB Kkr7en["g 5[t|)zN][!~VB!c4檂o67nxzmOHZ ,vs x kxЙ w_^EFɉ _#.KF6| a [ku”̝}x|&́H@T51ׅKI D|Wm#pôv_t/I43y5 )SB!0:K<`a)G|&) -k Șsk x ]yKGT{k= +Oj@G|z !kk<ASI$@DI$@DD"Ml(Ri0%@j cx 20Gp8釽MC&ɸ a{&<3ʳa\DO`=YF%H'Ou׾wdTe%w0np&|6-, !'@`FĚ*Y#}FtG;Nݨ5;W#F7xx>֮H<֔f R7҃|gS7FS}gٮ`kASEv@H4kJY@q &a'v `{&f(\DOȁ`ZZ="NeD_/tk4[YFE3CkJ _ /P jK5TD*R Q~J(TC%@_ /P jK5TDIE_&܀T-ǦVUWܴ5]~rUdy1">GGB%ƓK/uz:OPe X+b:` QF]j}朏C &a &amN:UU{s(5Ujo#@DI$@DI$@DI$@DI$@DI+R:2nHC2|eA,s,P? vIXtKȗ}mθ@K=B~E?^ܢ2܌"[ܻ1i U723I]2;iP׋[4Hہݚ> Z-c̾$WTWh y :߅_(@Vz&00奷,AqǃVh*/BK5BA|N9$ zmyu6peC,d;遛zC%G=Si"yo!d\yVmՒF=a_KbG9[5BP55K>ֱ>&+žh듯(r>Q:=bONw/=BALD# ZjhAjnތ ֱ@raelltZi/!FA{Y->j.A}QZ5Alۙ3R v8M=gxrBJD"AhRAܓqMYZ?.Ѥvrqf8!-FiUʂ{R ¾%A`Ǚx7ۡbW Ġ iO6vv8p@ǽ0}'~E5=F [}dX-5=20u%A`ǙV;I{M'1L{McvKz20CDr }BpkBIϴDo}@A=9QuA~I4룄(jP9 l S5#+j by mB>Xmm5@ZA5ȷVF ƷxZ-EdAM dQ5B={h^-@@HcRzd"UC-6D\ꛛX;]y7b ᝧEo%@T"_aY'GsD|G !װOѾ54ÚV+?%[6DFļGd]>*1+AhhC~hS6 \mHt[:#\%AD5d::WA b.q}.6DKng B.\?y12n﫼N|=H12[mLt!oGwM[4pKd[ YWeBG iA(!w3'A$>SmsksZ!iRkEdzJ0:s9Z}ۺ%n_T$ !h3ޑPkĩq>LF`qʫqamEש k(SkP gr,18p˗{4]a&xe=1 `\p>{kgw/\)Ek uP8R*xX-W68VnFpۆ+1"zA0d LC@lS4dX_ *Ztd ɩ[ nju!ը4{2fPP#[+sm*orۆ+HBnr bɎ ~2606"Nۈ%i^Zn#])Ъb APƣ}.N-Oҫ6~I_kJnpv.ҟA{M0Gb/PȺ "N^@̄:XDskb Q ":v k`3EYo+3ɰ! @a Z ѴNio2'$ L"Сo UVЙ\I9Ϡ!U jWK&Q㌾\0h>h5m!DZnD"[,[LjE&RH~^8tʁ &v@Ii6OЊM<;w/}7:UJA<3 LĤ}/yh`3 l=N.'˻<2dHdJFcdǞo%N4y\F[4 =01*XΌFƈ%DBLmi84?DxX?- I  NȭϬ[a.'7Ka˚ Lb-=E 6./l#i`d t Foz 462fU%@w܀NA4`^BpvMpA#Xz=pf| m=f!@[4}4C۟ù('`  g`5NvpGR#Clj IkחAn_ BTyE ehς`d D0ުe jXQ#vjz\}O*r c"6h đy5F[-þ/[?j@oI=-tvо {MZ 3 J>̘ A`.k[f5E{3kb C3i:D{MdJtFRڗ@1ם<&;18sAn&fgd Wk*[|_' X⢥i SjPOEz@j#̭#-Pmf% *Pmf[{Zj63 hET* DގKsiajB+ڠR U5Y3t?:I 5MhJ5Tp>'4.<; Neac$JF/:&H|6 QWCFqMq>;lZ7̒!4-߼(3DG%Gƥb?%}ZjAH ہPgw(IxƤhmǘcTA8vN-gU ~tЎ; DhƤTM13;UK+ڠR Fcm9kD7߻,o(;4|{;&Uﱦ<uv\pb]vY` R[o# #p };D#nN20`Z5UDGY_5$# /HQmI%#L[ ţ L"$*; q_j($g63oz]G 1rf]F:D,@TRa:>*D|Qe># :GS쮳l9#$(]Y!_Zvi+u__ bOpĞw2X'`R[]Gu (Ĉ1l7m;46&Sj^#+Ȯ*=T5!졭0p8(^zîZ(mPFה]g{w0AdӁyL9項X6dA݉At5$ 5"LFpMz:W#FЄSmDhJ5JcM6`^Ļg) 6y ];m5XEŽ&^0 42ING47D9hJV*Ùk֐a &a &a &a &a &a &a (t|-#0+Q``` AJ䩪R(00S bZ fiŞ͌\-`z&+Kڦ73zqOGd^g40#xvbdf@D'Ua_Ku6f- Ssִ${4~L,%V]ZlH; 0@B> L-Mkֈ1]@58 4 &).;|0ᘔNE F[d^g40 Qg3C~zӃG%IϴE~EmDtr2}@h)jl|뾐5$@T ȥa &Q-@Tw  Jj.BKT2(+%@#I:êH(t[Z hx#W,bg :OW(b5)%@DI$@Dk؟TS򿷩rҼЦܧ8_K.5$T%NS Q߅ZVUTT)N\;ȥMė-gh`$kښ(^,8נM}lcF:v٣"vX$20- Qm욪"7S_23+ZGbOȭxD2cFޕa* vߦxފɐ|v,uQ6ȜȌ։,bsIY$&0_pL)I )ڣaǢC&458N/0pmY3NA\x pn`mDvwhQJ_*;[0HHhA+Ts02 ޙLts(EӀjBUp$9zo#!"=pMW~3\j-IF}[)dp|ϴO0I ڣШc4 &+pHA?Fu7AL~V^`h۬F|DRoY;+7*#A̝;5XǗ1>hBhQ٣MGRR, KhB[ϔw[DRvGQ?89O)"m# ĭOBAUs- B;%ers[v_ U hB TjyX|N[\/Poxz+ܪq)rwKOS߿ c ґm#E{Er ^fҟzA m·fWL2*eY]B;eIײk`_ R|:Ck"SOxBnXh ]!= r4L10='/H] /tcIJ7= [|szC iJ ֩r@SA~Id+HI~Q6_gIq GA$Atâ! y⮸ǧO Ⓡi _c V}ON|y;}r *gLkH{=K}x5){ɴ.A@Kae.A|~ !$`!D:Q F4jI0HeƘ:e+HG(_aE L"_ "RHLDb$T2VjN+_aE2x@ +SWX I$@D$_gko]<@M}<@9WK(u Dm:s 0g=KO: ٜZn6ʁ6ʽй6Zn M.BUa &Q=DMUj>B LRCBU1 _Qm.ڈ#<@81'(b <BU QSq9k*81K<@8 [yQ~_S(7wQ @Fb$ھ>/@Vىi j#D+٩ LdH} =*#j+k2HLD*hrx4T*W 5hM"DooQS6$R#hIGT UYI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DI$@DITXHHHHHHHHHHHHHhU endstream endobj 7 0 obj <>>>/Rotate 0/Thumb 43 0 R/Type/Page>> endobj 8 0 obj <>stream xbXq BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.09733 Tw 0.03893 Tc [(FRORUHFWDO)-9.73(FDQFHU)-9.73(VFUHHQLQJ)-9.73(ZRXOG)-9.73(EH)-9.73(\b)-9.73(DW)-9.73(WKH)-9.73(KLJKHVW)-9.73(LI)-9.73(DOO)-9.73()]TJ 0 g 0 0 0 rg (FXU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.17861 Tw 0.07144 Tc [(UHQWO\\)-17.86(DYDLODEOH)-17.86(WHVWV)-17.86(ZHUH)-17.86(RIIHUHG)-17.86(WR)-17.86(WKHLU)-17.86(VDPSOH)-17.86(LQ)-17.86(&DQDGD)-17.86(9DQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg 0.2358 Tw 0.09432 Tc [('DP)-23.58(HW)-23.58(DO)-23.58( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-23.58(HVWLPDWHG)-23.58(XSWDNH)-23.58(XVLQJ)-23.58(ULVN)-23.58(UHGXFWLRQV)-23.58(WDNHQ)-23.58(IURP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 642 Tm 0 0 0 rg 0.03861 Tw 0.01544 Tc [(WKH)-3.86(FOLQLFDO)-3.86(OLWHUDWXUH)-3.86(WR)-3.86(EH)-3.86(\b)-3.86(IRU)-3.86(ELHQQLDO)-3.86(\)2%7)-3.86(VFUHHQLQJ)-3.86(\b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 630 Tm 0 0 0 rg 0.41667 Tw 0.16667 Tc (IRU)Tj 0 g 0 0 0 rg [-41.67(\\HDUO\\)]TJ 0 g 0 0 0 rg [-41.67(IOH[LEOH)-41.67(VLJPRLGRVFRS\\)-41.67(VFUHHQLQJ)-41.67(DQG)-41.67(\b)-41.67(IRU)]TJ 0 g 0 0 0 rg [-41.67()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 618 Tm 0 0 0 rg 0.55375 Tw 0.2215 Tc (\\HDUO\\)Tj 0 g 0 0 0 rg [-55.38(FRORQRVFRS\\)-55.38(VFUHHQLQJ)-55.38(IRU)-55.38(WKLV)-55.38(VDPSOH)-55.38(IURP)-55.38(WKH)-55.38()]TJ 0 g 0 0 0 rg (1HWKHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 606 Tm 0 0 0 rg (ODQGV)Tj 0 g ET BT 1 0 0 1 30 586 Tm /F1 10 Tf 0 0 0 rg 0.59876 Tw 0.23951 Tc [($QRWKHU)-59.88(IHDWXUH)-59.88(WKDW)-59.88(GLVWLQJXLVKHG)-59.88(WKH)-59.88(VWXGLHV)-59.88(ZDV)-59.88(ZKHWKHU)-59.88(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 574 Tm 0 0 0 rg 0.03663 Tw 0.01465 Tc [(VFUHHQLQJ)-3.66(WHVW)-3.66(ZDV)-3.66(LGHQWLILHG)-3.66(E\\)-3.66(WKH)-3.66(SURFHVV)-3.66(RU)-3.66(QDPH)-3.66(RI)-3.66(WKH)-3.66()]TJ 0 g 0 0 0 rg (SURFHG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 562 Tm 0 0 0 rg 0.33873 Tw 0.13549 Tc [(XUH)-33.87(7KLV)-33.87(IHDWXUH)-33.87(ZDV)-33.87(PRVW)-33.87(UHOHYDQW)-33.87(IRU)-33.87(FRORUHFWDO)-33.87(FDQFHU)-33.87()]TJ 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 550 Tm 0 0 0 rg 0.28736 Tw 0.11494 Tc [(LQJ)-28.74(LQ)-28.74(ZKLFK)-28.74(DYDLODEOH)-28.74(WHVWV)-28.74(UDQJH)-28.74(IURP)-28.74(VWRRO)-28.74(VDPSOHV)-28.74(WR)-28.74()]TJ 0 g 0 0 0 rg (FRORQR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 538 Tm 0 0 0 rg 0.13047 Tw 0.05219 Tc [(VFRSLHV)-13.05('H)]TJ 0 g 0 0 0 rg [-13.05(%HNNHU*URE)]TJ 0 g 0 0 0 rg [-13.05(HW)-13.05(DO)-13.05( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-13.05(FRPSDUHG)-13.05(DQ)-13.05(XQODEHOHG)-13.05(GHVLJQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 526 Tm 0 0 0 rg 0.51564 Tw 0.20626 Tc [(ZLWK)-51.56(D)-51.56(ODEHOHG)-51.56(GHVLJQ)-51.56(+RZDUG)-51.56(HW)-51.56(DO)-51.56( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-51.56(XVHG)-51.56(D)-51.56(ODEHOHG)-51.56(GHVLJQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 514 Tm 0 0 0 rg 0.92186 Tw 0.36874 Tc [(\)RXU)-92.19(VWXGLHV)-92.19(LQFOXGHG)-92.19(DQ)-92.19(DWWULEXWH)-92.19(WKDW)-92.19(LGHQWLILHG)-92.19(WKH)-92.19(W\\SH)-92.19(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 502 Tm 0 0 0 rg 0.4355 Tw 0.1742 Tc [(FRORUHFWDO)-43.55(FDQFHU)-43.55(VFUHHQLQJ)-43.55(WHVW)-43.55(E\\)-43.55(QDPH)-43.55(RU)-43.55(WKURXJK)-43.55(WKH)-43.55(SURFHVV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 490 Tm 0 0 0 rg 0.32228 Tw 0.12891 Tc ( )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 ()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)-32.23(7KH)-32.23(UHVW)-32.23(RI)-32.23(WKH)-32.23(VWXGLHV)-32.23(GHVFULEHG)-32.23(WKH)-32.23(WHVWV)-32.23(WKURXJK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 478 Tm 0 0 0 rg 0.33095 Tw 0.13238 Tc [(DWWULEXWHV)-33.1(UHODWHG)-33.1(WR)-33.1(HIILFDF\\)-33.1(DQG)-33.1(SURFHVV)-33.1(ZLWKRXW)-33.1(PHQWLRQLQJ)-33.1(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 466 Tm 0 0 0 rg (W\\SHRIWHVW)Tj 0 g ET BT 1 0 0 1 30 446 Tm /F1 10 Tf 0 0 0 rg 0.12514 Tw 0.05006 Tc [($OO)-12.51(VWXGLHV)-12.51(LQFOXGHG)-12.51(VRPH)-12.51(NLQG)-12.51(RI)-12.51(HIILFDF\\)-12.51(DWWULEXWH)-12.51(\)RUW\\)-12.51(SHUFHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 434 Tm 0 0 0 rg 0.03783 Tw 0.01513 Tc [(GHILQHG)-3.78(HIILFDF\\)-3.78(DV)-3.78(WKH)-3.78(DFFXUDF\\)-3.78(RI)-3.78(WKH)-3.78(WHVW)-3.78( WKH)-3.78(SUREDELOLW\\)-3.78(WKDW)-3.78(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 422 Tm 0 0 0 rg 0.16629 Tw 0.06651 Tc [(WHVW)-16.63(IRXQG)-16.63(FDQFHU)-16.63(RU)-16.63(SUHFDQFHURXV)-16.63(JURZWKV\f)-16.63(WKH)-16.63(UHVW)-16.63(SUHVHQWHG)-16.63(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 410 Tm 0 0 0 rg 0.20537 Tw 0.08215 Tc [(UHGXFWLRQ)-20.54(LQ)-20.54(ULVN)-20.54(RI)-20.54(FDQFHU)-20.54(PRUWDOLW\\)-20.54(7KH)-20.54(HIILFDF\\)-20.54(DWWULEXWHV)-20.54(ZHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 398 Tm 0 0 0 rg 0.21808 Tw 0.08723 Tc [(VLJQLILFDQW)-21.81(LQ)-21.81(HYHU\\)-21.81(VWXG\\)]TJ 0 g 0 0 0 rg [-21.81(\)RUW\\VHYHQ)]TJ 0 g 0 0 0 rg [-21.81(SHUFHQW)-21.81(RI)-21.81(WKH)-21.81(VWXGLHV)-21.81(DOVR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 386 Tm 0 0 0 rg 0.51525 Tw 0.2061 Tc [(LQFOXGHG)-51.53(VSHFLILFLW\\)-51.53( WKH)-51.53(ULVN)-51.53(RI)-51.53(IDOVH)-51.53(QHJDWLYHV\f)-51.53(DV)-51.53(DQ)-51.53(DWWULEXWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 374 Tm 0 0 0 rg (ZKLFKZDVVLJQLILFDQWLQHYHU\\VWXG\\H[FHSWRQH )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 354 Tm /F1 10 Tf 0 0 0 rg 0.04091 Tw 0.01636 Tc [(7HVW)-4.09(H[SHULHQFH)-4.09(DWWULEXWHV)-4.09(LQFOXGHG)-4.09(SUHSDUDWLRQ)-4.09(EHIRUH)-4.09(WKH)-4.09(WHVW)-4.09()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 342 Tm 0 0 0 rg 0.07446 Tw 0.02978 Tc [(FRPIRUW)-7.45(GXULQJ)-7.45(WKH)-7.45(WHVW)-7.45(ZDLWLQJ)-7.45(WLPH)-7.45(IRU)-7.45(UHVXOWV)-7.45(ZKHWKHU)-7.45(D)]TJ 0 g 0 0 0 rg [-7.45(IROORZ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 330 Tm 0 0 0 rg 0.40994 Tw 0.16398 Tc (XS)Tj 0 g 0 0 0 rg [-40.99(YLVLW)-40.99(ZDV)-40.99(QHHGHG)-40.99(LI)-40.99(UHVXOWV)-40.99(ZHUH)-40.99(DEQRUPDO)-40.99(FRPSOLFDWLRQ)-40.99(ULVN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 318 Tm 0 0 0 rg 0.63311 Tw 0.25324 Tc [(GXUDWLRQ)-63.31(RI)-63.31(VFUHHQLQJ)-63.31(SURFHGXUH)-63.31(UHFRPPHQGHG)-63.31(WHVW)-63.31(IUHTXHQF\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 306 Tm 0 0 0 rg 0.09863 Tw 0.03945 Tc (RXWRISRFNHW)Tj 0 g 0 0 0 rg [-9.86(FRVW)-9.86(DQG)-9.86(W\\SH)-9.86(RI)-9.86(IDFLOLW\\)-9.86(ZKHUH)-9.86(WKH)-9.86(WHVW)-9.86(ZDV)-9.86()]TJ 0 g 0 0 0 rg (FRQGXF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 294 Tm 0 0 0 rg 0.34018 Tw 0.13607 Tc [(WHG)-34.02(7KH)-34.02(DWWULEXWHV)-34.02(WKDW)-34.02(ZHUH)-34.02(DOZD\\V)-34.02(VLJQLILFDQW)-34.02(ZHUH)-34.02(SUHSDUDWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 282 Tm 0 0 0 rg 0.05714 Tw 0.02286 Tc [(EHIRUH)-5.71(WKH)-5.71(WHVW)-5.71( LQFOXGHG)-5.71(LQ)-5.71(\b)-5.71(RI)-5.71(WKH)-5.71(VWXGLHV\f)-5.71(GLVFRPIRUW)-5.71(RU)-5.71(SDLQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 270 Tm 0 0 0 rg 0.29838 Tw 0.11935 Tc [(GXULQJ)-29.84(WKH)-29.84(WHVW)-29.84( LQFOXGHG)-29.84(LQ)-29.84(\b)-29.84(RI)-29.84(WKH)-29.84(VWXGLHV\f)-29.84(ZDLWLQJ)-29.84(WLPH)-29.84(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 258 Tm 0 0 0 rg 0.14185 Tw 0.05674 Tc [(WKH)-14.18(UHVXOWV)-14.18( LQFOXGHG)-14.18(LQ)-14.18(\b)-14.18(RI)-14.18(WKH)-14.18(VWXGLHV\f)-14.18(FRPSOLFDWLRQ)-14.18(ULVN)-14.18( )]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 246 Tm 0 0 0 rg 0.28511 Tw 0.11404 Tc [(FOXGHG)-28.51(LQ)-28.51(\b)-28.51(RI)-28.51(WKH)-28.51(VWXGLHV\f)-28.51(FRVW)-28.51( LQFOXGHG)-28.51(LQ)-28.51(\b)-28.51(RI)-28.51(WKH)-28.51()]TJ 0 g 0 0 0 rg (VWXG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 234 Tm 0 0 0 rg 0.5826 Tw 0.23304 Tc [(LHV\f)-58.26(DQG)-58.26(WKH)-58.26(W\\SH)-58.26(RI)-58.26(IDFLOLW\\)-58.26(ZKHUH)-58.26(WKH)-58.26(WHVW)-58.26(ZDV)-58.26(SUHIRUPHG)-58.26( )]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 222 Tm 0 0 0 rg 0.15104 Tw 0.06042 Tc [(FOXGHG)-15.1(LQ)-15.1(\b)-15.1(RI)-15.1(WKH)-15.1(VWXGLHV\f)-15.1(:DLWLQJ)-15.1(WLPH)-15.1(WR)-15.1(JHW)-15.1(WHVW)-15.1(UHVXOWV)-15.1(ZDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 210 Tm 0 0 0 rg 0.13682 Tw 0.05473 Tc [(QRW)-13.68(VLJQLILFDQW)-13.68(LQ)-13.68()-13.68(RI)-13.68(WKH)-13.68()-13.68(WLPHV)-13.68(LW)-13.68(ZDV)-13.68(LQFOXGHG)-13.68( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-13.68(ORFDWLRQ)-13.68(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 198 Tm 0 0 0 rg 0.37252 Tw 0.14901 Tc [(WHVW)-37.25(LQ)-37.25()-37.25(RI)-37.25()-37.25(WLPHV)-37.25( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-37.25(WHVW)-37.25(IUHTXHQF\\)-37.25(LQ)-37.25()-37.25(RI)-37.25()-37.25(WLPHV)-37.25( )]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 30 186 Tm 0 0 0 rg 0.07784 Tw 0.03114 Tc [(DQG)-7.78(ZKHWKHU)-7.78(D)]TJ 0 g 0 0 0 rg [-7.78(IROORZXS)]TJ 0 g 0 0 0 rg [-7.78(WHVW)-7.78(ZDV)-7.78(QHHGHG)-7.78(WR)-7.78(FRQILUP)-7.78(DEQRUPDO)-7.78()]TJ 0 g 0 0 0 rg (UHV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 174 Tm 0 0 0 rg (XOWVLQRIWLPHV )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 154 Tm /F1 10 Tf 0 0 0 rg 0.23982 Tw 0.09593 Tc [(7KH)-23.98(SULPDU\\)-23.98(SXUSRVH)-23.98(RI)-23.98(PRVW)-23.98(VWXGLHV)-23.98(ZDV)-23.98(WR)-23.98(H[DPLQH)-23.98(SUHIHUHQFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 142 Tm 0 0 0 rg 0.25056 Tw 0.10023 Tc [(IRU)-25.06(VFUHHQLQJ)-25.06(WHVW)-25.06(IHDWXUHV)-25.06(KRZHYHU)-25.06()-25.06(RI)-25.06(WKH)-25.06(VWXGLHV)-25.06(LQYHVWLJDWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 130 Tm 0 0 0 rg 0.26964 Tw 0.10786 Tc [(TXHVWLRQV)-26.96(DERXW)-26.96('&\()-26.96(RU)-26.96(&$)-26.96(PHWKRGV)-26.96('H)]TJ 0 g 0 0 0 rg [-26.96(%HNNHU*URE)]TJ 0 g 0 0 0 rg [-26.96(HW)-26.96(DO)-26.96( )]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 30 118 Tm 0 0 0 rg 0.17695 Tw 0.07078 Tc [(ORRNHG)-17.69(DW)-17.69(WKH)-17.69(HIIHFW)-17.69(RI)-17.69(D)-17.69(ODEHOHG)-17.69(YHUVXV)-17.69(XQODEHOHG)-17.69(GHVLJQ)-17.69(3LJQRQH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 106 Tm 0 0 0 rg 0.53394 Tw 0.21358 Tc [(HW)-53.39(DO)-53.39( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-53.39(FRPSDUHG)]TJ 0 g 0 0 0 rg [-53.39(FKRLFHEDVHG)]TJ 0 g 0 0 0 rg [-53.39(&$V)-53.39(ZLWK)-53.39(UDWLQJ)-53.39(DQG)-53.39(UDQNLQJ)]TJ 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.15409 Tw 0.06164 Tc [(+RZDUG)-15.41(DQG)-15.41(6DONHOG)-15.41( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-15.41(H[DPLQHG)-15.41(WKH)-15.41(HIIHFW)-15.41(RI)-15.41(DWWULEXWH)-15.41(IUDPLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.69936 Tw 0.27975 Tc [( ZKHWKHU)-69.94(VHQVLWLYLW\\)-69.94(DQG)-69.94(VSHFLILFLW\\)-69.94(ZHUH)-69.94(SUHVHQWHG)-69.94(DV)-69.94(FDQFHUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg (IRXQGRUFDQFHUVPLVVHG\f)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 629 m 584 629 l S Q BT 1 0 0 1 316 634 Tm /F5 12 Tf 0 0 0 rg (6WXGLHVZLWKRQO\\KHDOWKFDUHGHOLYHU\\DWWULEXWHV)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 615 Tm /F1 10 Tf 0 0 0 rg 0.32368 Tw 0.12947 Tc [(2QO\\)-32.37()-32.37(VWXGLHV)-32.37(ZKLFK)-32.37(ORRNHG)-32.37(DW)-32.37(SUHIHUHQFHV)-32.37(IRU)-32.37(JHQHWLF)-32.37()]TJ 0 g 0 0 0 rg (FRXQVHO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 603 Tm 0 0 0 rg 0.20983 Tw 0.08393 Tc [(LQJ)-20.98(LQFOXGHG)-20.98(H[FOXVLYHO\\)-20.98(ZKDW)-20.98(ZH)-20.98(WHUPHG)-20.98(KHDOWK)-20.98(FDUH)-20.98(GHOLYHU\\)-20.98()]TJ 0 g 0 0 0 rg (DW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 591 Tm 0 0 0 rg 0.07314 Tw 0.02926 Tc [(WULEXWHV)-7.31( )]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)-7.31(*ULIILWK)-7.31(HW)-7.31(DO)-7.31( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-7.31(ORRNHG)-7.31(DW)-7.31(SUHIHUHQFHV)-7.31(IRU)-7.31()]TJ 0 g 0 0 0 rg (JHQHW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 579 Tm 0 0 0 rg 0.61532 Tw 0.24613 Tc [(LF)-61.53(WHVWLQJ)-61.53(DPRQJ)-61.53(ZRPHQ)-61.53(ZLWK)-61.53(D)-61.53(ORZ)-61.53(PRGHUDWH)-61.53(RU)-61.53(KLJK)-61.53(ULVN)-61.53(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 567 Tm 0 0 0 rg 0.00934 Tw 0.00374 Tc [(EUHDVW)-0.93418(FDQFHU)-0.93418(3HDFRFN)-0.93418(HW)-0.93418(DO)-0.93418( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-0.93418(H[DPLQHG)-0.93418(SUHIHUHQFHV)-0.93418(IRU)-0.93418(WKH)-0.93418(W\\SH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 555 Tm 0 0 0 rg 0.16813 Tw 0.06725 Tc [(RI)-16.81(LQIRUPDWLRQ)-16.81(UHFHLYHG)-16.81(GXULQJ)-16.81(FRXQVHOLQJ)-16.81(IRU)-16.81(ZRPHQ)-16.81(DW)-16.81(KLJK)-16.81(ULVN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 543 Tm 0 0 0 rg 0.36056 Tw 0.14422 Tc [(RI)-36.06(FDUU\\LQJ)-36.06(WKH)-36.06(%5&$)-36.06(RU)-36.06(%5&$)-36.06(JHQHWLF)-36.06(PXWDWLRQV)-36.06(ZKLFK)-36.06(DUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 531 Tm 0 0 0 rg (DVVRFLDWHGZLWKDKLJKHUULVNIRUEUHDVWDQGRYDULDQFDQFHU)Tj 0 g ET BT 1 0 0 1 316 511 Tm /F1 10 Tf 0 0 0 rg 0.50324 Tw 0.2013 Tc [(7KH)-50.32(DWWULEXWHV)-50.32(LQ)-50.32(*ULIILWK)-50.32(HW)-50.32(DO)-50.32( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-50.32(ZHUH)-50.32(UHODWHG)-50.32(WR)-50.32(WKH)-50.32()]TJ 0 g 0 0 0 rg (DSSRLQW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 499 Tm 0 0 0 rg 0.42339 Tw 0.16936 Tc [(PHQW)-42.34(DQG)-42.34(ZHUH)-42.34(DOO)-42.34(VLJQLILFDQW)-42.34(H[FHSW)-42.34(ZKHWKHU)-42.34(WKH)-42.34(VFUHHQLQJ)-42.34(WHVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 487 Tm 0 0 0 rg 0.13468 Tw 0.05387 Tc [(ZDV)-13.47(DYDLODEOH)-13.47(RQO\\)-13.47(IRU)]TJ 0 g 0 0 0 rg [-13.47(KLJKULVN)]TJ 0 g 0 0 0 rg [-13.47(ZRPHQ)-13.47( YHUVXV)-13.47(WKH)-13.47(HQWLUH)-13.47()]TJ 0 g 0 0 0 rg (SRSXOD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 475 Tm 0 0 0 rg 0.82301 Tw 0.3292 Tc [(WLRQ\f)-82.3(ZKLFK)-82.3(ZDV)-82.3(QRW)-82.3(VLJQLILFDQW)-82.3(WR)]TJ 0 g 0 0 0 rg [-82.3(KLJKULVN)]TJ 0 g 0 0 0 rg [-82.3(ZRPHQ)-82.3(DQG)-82.3(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 463 Tm 0 0 0 rg 0.33889 Tw 0.13556 Tc [(OHQJWK)-33.89(RI)-33.89(WKH)-33.89(DSSRLQWPHQW)-33.89(ZKLFK)-33.89(ZDV)-33.89(QRW)-33.89(VLJQLILFDQW)-33.89(WR)]TJ 0 g 0 0 0 rg [-33.89(ORZULVN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 451 Tm 0 0 0 rg 0.15 Tw 0.06 Tc [(ZRPHQ)-15(7KH)-15(DWWULEXWHV)-15(LQ)-15(3HDFRFN)-15(HW)-15(DO)-15( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-15(LQFOXGHG)-15()-15(WRSLFV)-15(WKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 439 Tm 0 0 0 rg (FRXOGEHGLVFXVVHGGXULQJFRXQVHOLQJDOOZHUHVLJQLILFDQW)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 402 m 584 402 l S Q BT 1 0 0 1 316 419 Tm /F5 12 Tf 0 0 0 rg (6WXGLHVZLWKDWWULEXWHVRIERWKDVFUHHQLQJWHVWDQG)Tj 0 g 1 0 0 1 316 407 Tm 0 0 0 rg (KHDOWKFDUHGHOLYHU\\)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 388 Tm /F1 10 Tf 0 0 0 rg 0.08701 Tw 0.0348 Tc [(\)LYH)-8.7(VWXGLHV)-8.7(FRPELQHG)-8.7(VFUHHQLQJ)-8.7(WHVW)-8.7(DWWULEXWHV)-8.7(DQG)-8.7(KHDOWK)-8.7(FDUH)-8.7()]TJ 0 g 0 0 0 rg (GH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 376 Tm 0 0 0 rg 0.59528 Tw 0.23811 Tc [(OLYHU\\)-59.53(DWWULEXWHV)-59.53(DQG)-59.53(H[DPLQHG)-59.53(VFUHHQLQJ)-59.53(IRU)-59.53(FRORUHFWDO)-59.53(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 364 Tm 0 0 0 rg 0.17457 Tw 0.06983 Tc ( )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)-17.46(FHUYLFDO)-17.46(FDQFHU)-17.46( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-17.46(RU)-17.46(EUHDVW)-17.46(FDQFHU)-17.46( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-17.46(1D\\DUDGRX)-17.46(HW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 352 Tm 0 0 0 rg 0.67446 Tw 0.26978 Tc [(DO)-67.45( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-67.45(DQG)-67.45(6DONHOG)-67.45(HW)-67.45(DO)-67.45( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-67.45(GLG)-67.45(QRW)-67.45(LQFOXGH)-67.45(D)]TJ 0 g 0 0 0 rg [-67.45(QRWHVW)]TJ 0 g 0 0 0 rg [-67.45(RSWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 340 Tm 0 0 0 rg 0.53305 Tw 0.21322 Tc [(ZKHUHDV)-53.3(WKH)-53.3(RWKHU)-53.3(VWXGLHV)-53.3(GLG)-53.3(*HUDUG)-53.3(HW)-53.3(DO)-53.3( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-53.3(GHVLJQHG)-53.3()]TJ 0 g 0 0 0 rg (TXHV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 328 Tm 0 0 0 rg 0.16449 Tw 0.0658 Tc [(WLRQV)-16.45(ZLWK)-16.45(D)-16.45(VLQJOH)-16.45(VFHQDULR)-16.45(IRU)-16.45(VFUHHQLQJ)-16.45(DQG)-16.45(ZRPHQ)-16.45(ZHUH)-16.45(DVNHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 316 Tm 0 0 0 rg (LIWKH\\ZRXOGDWWHQG)Tj 0 g ET BT 1 0 0 1 316 296 Tm /F1 10 Tf 0 0 0 rg 0.2194 Tw 0.08776 Tc [(1D\\DUDGRX)-21.94(HW)-21.94(DO)-21.94( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-21.94(DQG)-21.94(6DONHOG)-21.94(HW)-21.94(DO)-21.94( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-21.94(VXUYH\\HG)-21.94(DYHUDJH)-21.94(ULVN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 284 Tm 0 0 0 rg 0.14675 Tw 0.0587 Tc [(RU)-14.67(JHQHUDO)-14.67(SRSXODWLRQ)-14.67(VDPSOHV)-14.67(\)LHELJ)-14.67(HW)-14.67(DO)-14.67( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-14.67(FRPSDUHG)-14.67(ZRPHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 272 Tm 0 0 0 rg 0.47515 Tw 0.19006 Tc [(ZLWK)-47.51(DQG)-47.51(ZLWKRXW)-47.51(VFUHHQLQJ)-47.51(KLVWRULHV)-47.51(*HUDUG)-47.51(HW)-47.51(DO)-47.51( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-47.51(VDPSOHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 260 Tm 0 0 0 rg 0.48418 Tw 0.19367 Tc [(IURP)-48.42(ZRPHQ)-48.42(ZLWK)-48.42(D)-48.42(KLVWRU\\)-48.42(RI)-48.42(VFUHHQLQJ)-48.42(DQG)-48.42(6DONHOG)-48.42(HW)-48.42(DO)-48.42( )]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 1 316 248 Tm 0 0 0 rg 0.73667 Tw 0.29467 Tc [(VXUYH\\HG)-73.67(LQGLYLGXDOV)-73.67(ZKR)-73.67(KDG)-73.67(XVHG)-73.67(DQ)]TJ 0 g 0 0 0 rg [-73.67(DWKRPH)]TJ 0 g 0 0 0 rg [-73.67(\)2%7)-73.67( ERZHO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 236 Tm 0 0 0 rg (VFUHHQLQJ\fNLW)Tj 0 g ET BT 1 0 0 1 316 216 Tm /F1 10 Tf 0 0 0 rg 0.07541 Tw 0.03017 Tc [(\)RXU)-7.54(VWXGLHV)-7.54(LQFOXGHG)-7.54(VHQVLWLYLW\\)-7.54(RI)-7.54(WKH)-7.54(VFUHHQLQJ)-7.54(WHVW)-7.54(UHGXFWLRQ)-7.54(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 204 Tm 0 0 0 rg 0.00767 Tw 0.00307 Tc [(FDQFHU)-0.76717(PRUWDOLW\\)-0.76717(RU)-0.76717(ERWK)-0.76717(DQG)-0.76717()-0.76717(LQFOXGHG)-0.76717(WKH)-0.76717(FKDQFH)-0.76717(RI)-0.76717(D)]TJ 0 g 0 0 0 rg [-0.76717(IDOVH)]TJ 0 g 0 0 0 rg (QHJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 192 Tm 0 0 0 rg 0.07676 Tw 0.0307 Tc (DWLYH)Tj 0 g 0 0 0 rg [-7.68( VSHFLILFLW\\\f)-7.68(7KHVH)-7.68(DWWULEXWHV)-7.68(ZHUH)-7.68(VLJQLILFDQW)-7.68(LQ)-7.68(DOO)-7.68(WKH)-7.68()]TJ 0 g 0 0 0 rg (VWXG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 180 Tm 0 0 0 rg 0.09709 Tw 0.03884 Tc [(LHV)-9.71(H[FHSW)-9.71(VSHFLILFLW\\)-9.71(GHILQHG)-9.71(DV)-9.71(UDWH)-9.71(RI)-9.71(XQQHFHVVDU\\)-9.71(FRORQRVFRS\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 168 Tm 0 0 0 rg 0.16897 Tw 0.06759 Tc [(LQ)-16.9(1D\\DUDGRX)-16.9(HW)-16.9(DO)-16.9( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-16.9(&RVW)-16.9(ZDV)-16.9(LQFOXGHG)-16.9(LQ)-16.9()-16.9(RI)-16.9(WKH)-16.9(VWXGLHV)-16.9(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 156 Tm 0 0 0 rg (ZDVFRQVLVWHQWO\\VLJQLILFDQW )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 ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm)Tj ET Q i endstream endobj 9 0 obj <>>>/Rotate 0/Thumb 44 0 R/Type/Page>> endobj 10 0 obj <>stream xq`q BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.18613 Tw 0.07445 Tc [(7KH)-18.61(KHDOWK)-18.61(FDUH)-18.61(GHOLYHU\\)-18.61(DWWULEXWHV)-18.61(ZHUH)-18.61(PRUH)-18.61(GLYHUVH)-18.61(DQG)-18.61(FRQWH[W)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 0.25586 Tw 0.10235 Tc [(VSHFLILF)-25.59(DQG)-25.59(PDQ\\)-25.59(ZHUH)-25.59(QRQVLJQLILFDQW)-25.59(:KHWKHU)-25.59(D)-25.59(SHUVRQ)-25.59(ZRXOG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg 0.21126 Tw 0.0845 Tc [(EH)-21.13(QRWLILHG)-21.13(RI)-21.13(QHJDWLYH)-21.13(WHVW)-21.13(UHVXOWV)-21.13(ZDV)-21.13(VLJQLILFDQW)-21.13(LQ)-21.13(6DONHOG)-21.13(HW)-21.13(DO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 642 Tm 0 0 0 rg 0.31854 Tw 0.12742 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-31.85(DQG)-31.85(QRQVLJQLILFDQW)-31.85(LQ)-31.85(6DONHOG)-31.85(HW)-31.85(DO)-31.85( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-31.85(:KHWKHU)-31.85(WKH)-31.85(GRFWRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 630 Tm 0 0 0 rg 0.25405 Tw 0.10162 Tc [(ZDV)-25.41(SDLG)-25.41(DQ)-25.41(LQFHQWLYH)-25.41(ZDV)-25.41(QRQVLJQLILFDQW)-25.41(LQ)-25.41(\)LHELJ)-25.41(HW)-25.41(DO)-25.41( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-25.41(EXW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 618 Tm 0 0 0 rg 0.3387 Tw 0.13548 Tc [(RWKHU)-33.87(DWWULEXWHV)-33.87(UHODWHG)-33.87(WR)-33.87(WKH)-33.87(GRFWRU)-33.87(RU)-33.87(JHQHUDO)-33.87(SUDFWLWLRQHU)-33.87(ZHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 606 Tm 0 0 0 rg 0.2436 Tw 0.09744 Tc [(VLJQLILFDQW)-24.36(:KR)-24.36(SURSRVHG)-24.36(WKH)-24.36(VFUHHQLQJ)-24.36(RU)-24.36(ZKHUH)-24.36(WKH)-24.36(UHVSRQGHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 594 Tm 0 0 0 rg 0.43432 Tw 0.17373 Tc [(ZDV)-43.43(WROG)-43.43(WKH\\)-43.43(OHDUQHG)-43.43(DERXW)-43.43(WKH)-43.43(VFUHHQLQJ)-43.43(ZDV)-43.43(QRQVLJQLILFDQW)-43.43(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 582 Tm 0 0 0 rg 0.34482 Tw 0.13793 Tc [(*HUDUG)-34.48(HW)-34.48(DO)-34.48( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-34.48(DQG)-34.48(1D\\DUDGRX)-34.48(HW)-34.48(DO)-34.48( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-34.48(*HUDUG)-34.48(HW)-34.48(DO)-34.48( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-34.48()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 570 Tm 0 0 0 rg 0.20592 Tw 0.08237 Tc [(DPLQHG)-20.59(PDQ\\)-20.59(IHDWXUHV)-20.59(UHODWHG)-20.59(WR)-20.59(WKH)-20.59(DSSRLQWPHQW)-20.59(VRPH)-20.59(ZHUH)-20.59()]TJ 0 g 0 0 0 rg (VLJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 558 Tm 0 0 0 rg 0.33943 Tw 0.13577 Tc [(QLILFDQW)-33.94( WUDYHO)-33.94(WLPH)-33.94(WR)-33.94(WKH)-33.94(DSSRLQWPHQW)-33.94(D)-33.94(SULYDWH)-33.94(FKDQJLQJ)-33.94(DUHD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 546 Tm 0 0 0 rg 0.51407 Tw 0.20563 Tc [(DQG)-51.41(WKH)-51.41(OHQJWK)-51.41(RI)-51.41(WKH)-51.41(VFUHHQLQJ\f)-51.41(DQG)-51.41(VRPH)-51.41(ZHUH)-51.41(QRQVLJQLILFDQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 534 Tm 0 0 0 rg 0.05856 Tw 0.02342 Tc [( ZDLWLQJ)-5.86(WLPH)-5.86(IRU)-5.86(DQ)-5.86(DSSRLQWPHQW)-5.86(DQG)-5.86(WKH)-5.86(UHVXOWV)-5.86(D)-5.86(FKRLFH)-5.86(RI)-5.86(KRXUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 522 Tm 0 0 0 rg 0.08333 Tw 0.03333 Tc [(IRU)-8.33(DSSRLQWPHQWV)-8.33(LQ)-8.33(WKH)-8.33(HYHQLQJ)-8.33(RU)-8.33(6DWXUGD\\)-8.33(DQG)-8.33(ZKHWKHU)-8.33(WKH)-8.33(VWDII)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 510 Tm 0 0 0 rg (DWWKHFOLQLFZDVZHOFRPLQJRUUHVHUYHG\f)Tj 0 g ET BT 1 0 0 1 30 486 Tm /F1 16 Tf 0 0 0 rg ('LVFXVVLRQ)Tj 0 g ET BT 1 0 0 1 30 464 Tm /F1 10 Tf 0 0 0 rg 0.71451 Tw 0.28581 Tc [(2YHUDOO)-71.45(WKH)-71.45(VWXGLHV)-71.45(VXJJHVW)-71.45(WKDW)-71.45(UHVSRQGHQWV)-71.45(YDOXHG)-71.45()]TJ 0 g 0 0 0 rg (LPSURYH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 452 Tm 0 0 0 rg 0.25866 Tw 0.10346 Tc [(PHQWV)-25.87(LQ)-25.87(DWWULEXWHV)-25.87(UHODWHG)-25.87(WR)-25.87(WKH)-25.87(FKDUDFWHULVWLFV)-25.87(RI)-25.87(FDQFHU)-25.87()]TJ 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 440 Tm 0 0 0 rg 0.12528 Tw 0.05011 Tc [(LQJ)-12.53(WHVWV)-12.53(LQFOXGLQJ)-12.53(VHQVLWLYLW\\)-12.53(SURFHVV)-12.53(DQG)-12.53(FRVW)-12.53(7KH)-12.53(VLJQLILFDQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 428 Tm 0 0 0 rg 0.0078 Tw 0.00312 Tc [(RI)-0.77953(WKH)-0.77953(KHDOWK)-0.77953(FDUH)-0.77953(GHOLYHU\\)-0.77953(DWWULEXWHV)-0.77953(ZDV)-0.77953(XQHYHQ)-0.77953(DFURVV)-0.77953(VWXGLHV)-0.77953()]TJ 0 g 0 0 0 rg (HV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 416 Tm 0 0 0 rg 0.25989 Tw 0.10395 Tc [(SHFLDOO\\)-25.99(LQ)-25.99(VWXGLHV)-25.99(FRPELQLQJ)-25.99(WHVW)-25.99(DQG)-25.99(KHDOWK)-25.99(FDUH)-25.99(GHOLYHU\\)-25.99()]TJ 0 g 0 0 0 rg (DWWULE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 404 Tm 0 0 0 rg 0.11667 Tw 0.04667 Tc [(XWHV)-11.67(0RUH)-11.67(WKDQ)-11.67(KDOI)-11.67(RI)-11.67(WKH)-11.67(VWXGLHV)-11.67(LQFOXGHG)-11.67(RQO\\)-11.67(VFUHHQLQJ)-11.67(WHVW)-11.67()]TJ 0 g 0 0 0 rg (DW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 392 Tm 0 0 0 rg 0.08901 Tw 0.0356 Tc [(WULEXWHV)-8.9(7KLUWHHQ)-8.9(LQFOXGHG)-8.9(VRPH)-8.9(W\\SH)-8.9(RI)]TJ 0 g 0 0 0 rg [-8.9(RSWRXW)]TJ 0 g 0 0 0 rg [-8.9(RSWLRQ)-8.9(EXW)-8.9(RQO\\)-8.9()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 380 Tm 0 0 0 rg (FDOFXODWHGSUHGLFWHGXSWDNHIRUVSHFLILFWHVWV)Tj 0 g ET BT 1 0 0 1 30 360 Tm /F1 10 Tf 0 0 0 rg 0.50749 Tw 0.20299 Tc [(7KUHH)-50.75(VLPLODU)-50.75(UHYLHZV)-50.75(RI)-50.75(FDQFHU)-50.75(VFUHHQLQJ)-50.75(WHVWV)-50.75(KDYH)-50.75(EHHQ)-50.75()]TJ 0 g 0 0 0 rg (SXE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 348 Tm 0 0 0 rg 0.19943 Tw 0.07977 Tc [(OLVKHG)-19.94(3KLOOLSV)-19.94(HW)-19.94(DO)-19.94( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-19.94(ZKLFK)-19.94(UHYLHZHG)-19.94(63)-19.94(FRQWLQJHQW)-19.94(YDOXDWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 336 Tm 0 0 0 rg 0.05819 Tw 0.02328 Tc [(&$)-5.82(DQG)-5.82('&\()-5.82(VWXGLHV)-5.82(SXEOLVKHG)-5.82(WKURXJK)-5.82(0D\\)-5.82()-5.82(IRU)-5.82(DQ\\)-5.82(W\\SH)-5.82(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 324 Tm 0 0 0 rg 0.38546 Tw 0.15419 Tc [(FDQFHU)-38.55(VFUHHQLQJ)-38.55(WHVW)-38.55(LGHQWLILHG)-38.55()-38.55(VWXGLHV)-38.55(RI)-38.55(SDWLHQW)-38.55(SUHIHUHQFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 312 Tm 0 0 0 rg 0.69419 Tw 0.27767 Tc [(0DUVKDOO)-69.42(HW)-69.42(DO)-69.42( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-69.42(UHYLHZHG)-69.42()-69.42(63)-69.42(VWXGLHV)-69.42(IRU)-69.42(FRORUHFWDO)-69.42(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 300 Tm 0 0 0 rg 0.18212 Tw 0.07285 Tc [(VFUHHQLQJ)-18.21(SXEOLVKHG)-18.21(EHWZHHQ)-18.21()-18.21(DQG)-18.21(0D\\)-18.21()-18.21(*KDQRXQL)-18.21(HW)-18.21(DO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 288 Tm 0 0 0 rg 0.29663 Tw 0.11865 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-29.66(UHYLHZHG)-29.66()-29.66(&$)-29.66(VWXGLHV)-29.66(RI)-29.66(FRORUHFWDO)-29.66(FDQFHU)-29.66(VFUHHQLQJ)-29.66(WHVWV)-29.66(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 276 Tm 0 0 0 rg 0.08862 Tw 0.03545 Tc [(DVVHVV)-8.86(WKH)-8.86(TXDOLW\\)-8.86(RI)-8.86(WKH)-8.86(UHVHDUFK)-8.86(DQG)-8.86(UHVXOWV)-8.86(:LWK)-8.86(D)-8.86(ODUJHU)-8.86(VDPSOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 264 Tm 0 0 0 rg 0.21093 Tw 0.08437 Tc [(RI)-21.09()-21.09(VWXGLHV)-21.09(ZH)-21.09(FRQILUPHG)-21.09(WKH)-21.09(ILQGLQJV)-21.09(LQ)-21.09(WKH)-21.09(HDUOLHU)-21.09(UHYLHZV)-21.09()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 252 Tm 0 0 0 rg 0.02403 Tw 0.00961 Tc [(WKDW)-2.4(SDWLHQWV)-2.4(KDG)-2.4(SUHIHUHQFHV)-2.4(RYHU)-2.4(PXOWLSOH)-2.4(DWWULEXWHV)-2.4(DQG)-2.4(WKDW)-2.4()]TJ 0 g 0 0 0 rg (VHQV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 240 Tm 0 0 0 rg 0.03156 Tw 0.01263 Tc [(LWLYLW\\)-3.16(ZDV)-3.16(DQ)-3.16(LPSRUWDQW)-3.16(IHDWXUH)-3.16(7KLV)-3.16(UHYLHZ)-3.16(LQFOXGHG)-3.16(DUWLFOHV)-3.16()]TJ 0 g 0 0 0 rg (SXE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 228 Tm 0 0 0 rg 0.10202 Tw 0.04081 Tc [(OLVKHG)-10.2(WKURXJK)-10.2(-XO\\)-10.2()-10.2(6LQFH)-10.2(WKLV)-10.2(UHYLHZ)-10.2(ZDV)-10.2(FRPSOHWHG)-10.2()]TJ 0 g 0 0 0 rg (VHYHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 216 Tm 0 0 0 rg 0.425 Tw 0.17 Tc [(DO)-42.5(DGGLWLRQDO)-42.5(&$)-42.5(VWXGLHV)-42.5(QRW)-42.5(LQFOXGHG)-42.5(LQ)-42.5(WKLV)-42.5(UHYLHZ)-42.5(KDYH)-42.5(EHHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 204 Tm 0 0 0 rg 0.22661 Tw 0.09064 Tc [(SXEOLVKHG)-22.66(LQFOXGLQJ)-22.66()-22.66(PRUH)-22.66(RQ)-22.66(FRORUHFWDO)-22.66(FDQFHU)-22.66(VFUHHQLQJ)-22.66(DQG)-22.66()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 192 Tm 0 0 0 rg 0.48204 Tw 0.19281 Tc [(RQ)-48.2(EUHDVW)-48.2(FDQFHU)-48.2(VFUHHQLQJ)-48.2( )]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)-48.2(7KUHH)-48.2(RI)-48.2(WKHVH)-48.2(PRUH)-48.2(UHFHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 180 Tm 0 0 0 rg 0.14888 Tw 0.05955 Tc [(VWXGLHV)-14.89(LQFOXGHG)-14.89(KHDOWK)-14.89(FDUH)-14.89(GHOLYHU\\)-14.89(DWWULEXWHV)-14.89(VXFK)-14.89(DV)-14.89(WUDYHO)-14.89(WLPH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 168 Tm 0 0 0 rg 0.07725 Tw 0.0309 Tc [(WR)-7.72(EUHDVW)-7.72(VFUHHQLQJ)-7.72(DSSRLQWPHQW)-7.72(DQG)-7.72(WKH)-7.72(VH[)-7.72(RI)-7.72(VWDII)-7.72(PHPEHUV)-7.72()]TJ 0 g 0 0 0 rg (FRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 156 Tm 0 0 0 rg 0.52248 Tw 0.20899 Tc [(GXFWLQJ)-52.25(EUHDVW)-52.25(VFUHHQLQJ)-52.25( )]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 ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-52.25($V)-52.25(ZLWK)-52.25(WKH)-52.25()-52.25(SUHYLRXV)-52.25()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg 0.26619 Tw 0.10648 Tc [(YLHZV)-26.62( )]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)-26.62(ZH)-26.62(IRXQG)-26.62(WKDW)-26.62(PRVW)-26.62(RI)-26.62(WKH)-26.62(VWXGLHV)-26.62(ZHUH)-26.62(DGPLQLVWHUHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 666 Tm 0 0 0 rg 0.1 Tw 0.04 Tc [(WR)-10(WKH)-10(JHQHUDO)-10(SRSXODWLRQ)-10(DW)-10(DYHUDJH)-10(ULVN)-10(RI)-10(FDQFHU)-10(KRZHYHU)-10(WKHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 654 Tm 0 0 0 rg 0.12947 Tw 0.05179 Tc [(DUH)-12.95(QRZ)-12.95(PRUH)-12.95(VWXGLHV)-12.95(RI)-12.95(SRSXODWLRQV)-12.95(DW)-12.95(KLJK)-12.95(ULVN)-12.95(RI)-12.95(FDQFHU)-12.95(RU)-12.95(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 642 Tm 0 0 0 rg 0.10904 Tw 0.04362 Tc [(VFUHHQLQJ)-10.9(KLVWRULHV)-10.9(6HYHUDO)-10.9(RI)-10.9(WKH)-10.9(QHZ)-10.9(VWXGLHV)-10.9(IRFXVHG)-10.9(RQ)-10.9(VSHFLILF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 630 Tm 0 0 0 rg 0.05353 Tw 0.02141 Tc [(SRSXODWLRQV)-5.35(LQFOXGLQJ)-5.35(ROGHU)-5.35(DGXOWV)-5.35(DQG)-5.35(+LVSDQLFV)-5.35( )]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 ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-5.35(DQG)-5.35()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 618 Tm 0 0 0 rg (VWXG\\ZDVFRQGXFWHGLQ-DSDQ )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 316 598 Tm /F1 10 Tf 0 0 0 rg 0.32006 Tw 0.12802 Tc [(7KHUH)-32.01(DUH)-32.01(PDQ\\)-32.01(ZD\\V)-32.01(LQ)-32.01(ZKLFK)-32.01(WKHVH)-32.01(UHVXOWV)-32.01(IURP)-32.01(63)-32.01(VWXGLHV)-32.01(FDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 586 Tm 0 0 0 rg 0.1 Tw 0.04 Tc [(DLG)-10(LQ)-10(WKH)-10(GHVLJQ)-10(RI)-10(IXWXUH)-10(UHVHDUFK)-10(DQG)-10(EH)-10(DSSOLHG)-10(WR)-10(SXEOLF)-10(KHDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 574 Tm 0 0 0 rg 0.73671 Tw 0.29468 Tc [(SURJUDPV)-73.67(GHVLJQHG)-73.67(WR)-73.67(LQFUHDVH)-73.67(VFUHHQLQJ)-73.67(\)RU)-73.67(H[DPSOH)-73.67(LQ)-73.67(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 562 Tm 0 0 0 rg 0.90296 Tw 0.36118 Tc [(8QLWHG)-90.3(6WDWHV)-90.3(SK\\VLFLDQV)-90.3(PD\\)-90.3(EH)-90.3(PRUH)-90.3(OLNHO\\)-90.3(WR)-90.3(UHFRPPHQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 550 Tm 0 0 0 rg 0.30818 Tw 0.12327 Tc [(FRORQRVFRS\\)-30.82(WKDQ)-30.82(RWKHU)-30.82(WHVWV)-30.82( )]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)-30.82(KRZHYHU)-30.82(WKH)-30.82('&\()-30.82(DQG)-30.82(&$)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 538 Tm 0 0 0 rg 0.26 Tw 0.104 Tc [(VWXGLHV)-26(VXJJHVW)-26(WKDW)-26(SUHSDUDWLRQ)-26(GLVFRPIRUW)-26(DQG)-26(FRVW)-26(DUH)-26()]TJ 0 g 0 0 0 rg (LPSRUW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 526 Tm 0 0 0 rg 0.41631 Tw 0.16653 Tc [(DQW)-41.63(WR)-41.63(SDWLHQWV)-41.63(DQG)-41.63(WKDW)-41.63(VRPH)-41.63(SDWLHQWV)-41.63(PD\\)-41.63(SUHIHU)-41.63(D)-41.63(VWRRO)-41.63(WHVW)-41.63(,Q)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 514 Tm 0 0 0 rg 0.88054 Tw 0.35222 Tc [(FRXQWULHV)-88.05(ZKHUH)-88.05(VWRRO)-88.05(WHVWV)-88.05(DUH)-88.05(WKH)-88.05(VWDQGDUG)-88.05(RI)-88.05(FDUH)-88.05(RIIHULQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 502 Tm 0 0 0 rg 0.75345 Tw 0.30138 Tc [(FRORQRVFRSLHV)-75.34(FRXOG)-75.34(LPSURYH)-75.34(XSWDNH)-75.34(DPRQJ)-75.34(SHRSOH)-75.34(ZKR)-75.34(KDYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 490 Tm 0 0 0 rg (VWURQJSUHIHUHQFHVIRUKLJKVHQVLWLYLW\\)Tj 0 g ET BT 1 0 0 1 316 470 Tm /F1 10 Tf 0 0 0 rg 0.25963 Tw 0.10385 Tc [(+HDOWK)-25.96(FDUH)-25.96(GHOLYHU\\)-25.96(YDULDEOHV)-25.96(ZHUH)-25.96(VRPHWLPHV)-25.96(QRQVLJQLILFDQW)-25.96(,Q)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 458 Tm 0 0 0 rg 0.11361 Tw 0.04544 Tc [(63)-11.36(VXUYH\\V)-11.36(SURFHVV)-11.36(YDULDEOHV)-11.36(VXFK)-11.36(DV)-11.36(ZDLWLQJ)-11.36(WLPH)-11.36(IRU)-11.36(DQ)-11.36()]TJ 0 g 0 0 0 rg (DSSRLQW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 446 Tm 0 0 0 rg 0.21429 Tw 0.08571 Tc [(PHQW)-21.43(PD\\)-21.43(EH)-21.43(QRQVLJQLILFDQW)-21.43(UHODWLYH)-21.43(WR)-21.43(YDULDEOHV)-21.43(VXFK)-21.43(DV)-21.43()]TJ 0 g 0 0 0 rg (VHQVLWLY)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 434 Tm 0 0 0 rg 0.61407 Tw 0.24563 Tc [(LW\\)-61.41(EXW)-61.41(WKHVH)-61.41(SURFHVV)-61.41(IDFWRUV)-61.41(PD\\)-61.41(EH)-61.41(LPSRUWDQW)-61.41(LQ)-61.41(GHWHUPLQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 422 Tm 0 0 0 rg 0.09158 Tw 0.03663 Tc [(ZKHWKHU)-9.16(SHRSOH)-9.16(JHW)-9.16(VFUHHQHG)-9.16(,I)-9.16(DQ)-9.16(DFFHSWDEOH)-9.16(WHVW)-9.16(H[LVWV)-9.16(WKHQ)-9.16()]TJ 0 g 0 0 0 rg (SUR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 410 Tm 0 0 0 rg 0.27771 Tw 0.11109 Tc [(FHVV)-27.77(IDFWRUV)-27.77(UHODWHG)-27.77(WR)-27.77(PDNLQJ)-27.77(DSSRLQWPHQWV)-27.77(JHWWLQJ)-27.77(WKH)-27.77(WHVW)-27.77(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 398 Tm 0 0 0 rg 0.075 Tw 0.03 Tc [(JHWWLQJ)-7.5(WKH)-7.5(UHVXOWV)-7.5(PD\\)-7.5(KDYH)-7.5(D)-7.5(ELJ)-7.5(LQIOXHQFH)-7.5(RQ)-7.5(XSWDNH)-7.5(IRU)-7.5(WKDW)-7.5(WHVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 386 Tm 0 0 0 rg 0.3275 Tw 0.131 Tc [(2XU)-32.75(XQGHUVWDQGLQJ)-32.75(RI)-32.75(SUHIHUHQFHV)-32.75(DQG)-32.75(XSWDNH)-32.75(FRXOG)-32.75(EH)-32.75(LPSURYHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 374 Tm 0 0 0 rg 0.07554 Tw 0.03022 Tc [(E\\)-7.55(DGGLWLRQDO)-7.55(UHVHDUFK)-7.55(RQ)-7.55(WKH)-7.55(EHVW)-7.55(ZD\\)-7.55(WR)-7.55(LQFOXGH)-7.55(DWWULEXWHV)-7.55()]TJ 0 g 0 0 0 rg (DVVRFL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 362 Tm 0 0 0 rg 0.21705 Tw 0.08682 Tc [(DWHG)-21.71(ZLWK)-21.71(KHDOWK)-21.71(FDUH)-21.71(GHOLYHU\\)-21.71(+HDOWK)-21.71(EHKDYLRU)-21.71(WKHRU\\)-21.71(ZKLFK)-21.71(KDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 350 Tm 0 0 0 rg 0.0435 Tw 0.0174 Tc [(EHHQ)-4.35(XVHG)-4.35(WR)-4.35(GHYHORS)-4.35(DQG)-4.35(HYDOXDWH)-4.35(SXEOLF)-4.35(KHDOWK)-4.35(LQWHUYHQWLRQV)-4.35( )]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 1 316 338 Tm 0 0 0 rg 0.10408 Tw 0.04163 Tc [(FRXOG)-10.41(SURYLGH)-10.41(D)-10.41(XVHIXO)-10.41(VWUXFWXUH)-10.41(WR)-10.41(GHYHORS)-10.41(DWWULEXWHV)-10.41(RU)-10.41(RWKHU)-10.41()]TJ 0 g 0 0 0 rg (VXS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 326 Tm 0 0 0 rg 0.77641 Tw 0.31057 Tc [(SRUWLQJ)-77.64(TXHVWLRQV)-77.64(UHODWHG)-77.64(WR)-77.64(DWWLWXGH)-77.64(HQYLURQPHQWDO)-77.64(RU)-77.64(VRFLDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 314 Tm 0 0 0 rg 0.40966 Tw 0.16386 Tc [(IDFWRUV)-40.97(LQIOXHQFLQJ)-40.97(XSWDNH)-40.97( VHH)-40.97(7VXQHPDWVX)-40.97(HW)-40.97(DO)-40.97(>)]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(@)-40.97(IRU)-40.97(DQ)-40.97()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 302 Tm 0 0 0 rg (DPSOH\f)Tj 0 g ET BT 1 0 0 1 316 282 Tm /F1 10 Tf 0 0 0 rg 0.15534 Tw 0.06213 Tc [(7KH)-15.53(K\\SRWKHWLFDO)-15.53(QDWXUH)-15.53(RI)-15.53(63)-15.53(VXUYH\\V)-15.53(PDNHV)-15.53(LW)-15.53(FKDOOHQJLQJ)-15.53(WR)-15.53()]TJ 0 g 0 0 0 rg (DF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 270 Tm 0 0 0 rg 0.26369 Tw 0.10548 Tc [(FXUDWHO\\)-26.37(SUHGLFW)-26.37(XSWDNH)-26.37(1RQHWKHOHVV)-26.37(DGGLQJ)-26.37(D)]TJ 0 g 0 0 0 rg [-26.37(QRWHVW)]TJ 0 g 0 0 0 rg [-26.37(RSWLRQ)-26.37(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 258 Tm 0 0 0 rg 0.28036 Tw 0.11214 Tc [(SURYLGLQJ)-28.04(HVWLPDWHV)-28.04(RI)-28.04(XSWDNH)-28.04(IRU)-28.04(VSHFLILF)-28.04(WHVWV)-28.04(ZKHQ)-28.04(DSSURSULDWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 246 Tm 0 0 0 rg 0.41018 Tw 0.16407 Tc [(ZLOO)-41.02(SURYLGH)-41.02(PRUH)-41.02(LQIRUPDWLRQ)-41.02(RQ)-41.02(SUHIHUHQFHV)-41.02(DQG)-41.02(SUHGLFWHG)-41.02()]TJ 0 g 0 0 0 rg (XS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 234 Tm 0 0 0 rg (WDNH)Tj 0 g ET BT 1 0 0 1 316 214 Tm /F1 10 Tf 0 0 0 rg 0.39795 Tw 0.15918 Tc [(7KH)-39.8(LVVXH)-39.8(RI)-39.8(ODEHOHG)-39.8(YHUVXV)-39.8(XQODEHOHG)-39.8(GHVLJQV)-39.8(FDQ)-39.8(DIIHFW)-39.8()]TJ 0 g 0 0 0 rg (SUHGLF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 202 Tm 0 0 0 rg 0.65941 Tw 0.26376 Tc [(WLRQV)-65.94(RI)-65.94(XSWDNH)-65.94('H)]TJ 0 g 0 0 0 rg [-65.94(%HNNHU*URE)]TJ 0 g 0 0 0 rg [-65.94(HW)-65.94(DO)-65.94( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-65.94(IRXQG)-65.94(WKDW)-65.94(FKRLFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 190 Tm 0 0 0 rg 0.31667 Tw 0.12667 Tc [(GLIIHUHG)-31.67(EDVHG)-31.67(RQ)-31.67(ZKHWKHU)-31.67(ODEHOV)-31.67(ZHUH)-31.67(LQFOXGHG)-31.67(7KH\\)-31.67(FRQFOXGHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 178 Tm 0 0 0 rg 0.34171 Tw 0.13669 Tc [(WKDW)-34.17(UHVSRQGHQWV)-34.17(ZHUH)-34.17(OHVV)-34.17(DWWHQWLYH)-34.17(WR)-34.17(WKH)-34.17(DWWULEXWHV)-34.17(ZKHQ)-34.17(ODEHOV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 166 Tm 0 0 0 rg 0.29042 Tw 0.11617 Tc [(ZHUH)-29.04(SURYLGHG)-29.04(DQG)-29.04(WKDW)-29.04(ODEHOHG)-29.04(GHVLJQV)-29.04(PD\\)-29.04(EH)-29.04(PRUH)-29.04(DSSURSULDWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 154 Tm 0 0 0 rg 0.23258 Tw 0.09303 Tc [(IRU)-23.26(UHVSRQGHQWV)-23.26(ZKR)-23.26(ZHUH)-23.26(IDPLOLDU)-23.26(ZLWK)-23.26(WKH)-23.26(ODEHOV)-23.26(DQG)-23.26(IRU)-23.26(VWXGLHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 142 Tm 0 0 0 rg 0.35783 Tw 0.14313 Tc [(LQWHUHVWHG)-35.78(LQ)-35.78(SUHGLFWLQJ)-35.78(XSWDNH)-35.78(,W)-35.78(LV)-35.78(XQNQRZQ)-35.78(ZKHWKHU)-35.78(LQFOXGLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 130 Tm 0 0 0 rg (WHVWQDPHVDVDWWULEXWHVLVVLPLODUWRXVLQJDODEHOHGGHVLJQ)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm Centers for Disease Control and Prevention 5)Tj ET Q e" endstream endobj 11 0 obj <>>>/Rotate 0/Thumb 45 0 R/Type/Page>> endobj 12 0 obj <>stream xbRq BT 30 786 Td ET Q BT 1 0 0 1 30 678 Tm /F1 10 Tf 0 0 0 rg 0.45969 Tw 0.18388 Tc [(:H)-45.97(IRFXVHG)-45.97(RQ)-45.97(SDWLHQW)-45.97(SUHIHUHQFHV)-45.97(KRZHYHU)-45.97(VWXGLHV)-45.97(KDYH)-45.97(EHHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 666 Tm 0 0 0 rg 1.1 Tw 0.44082 Tc [(GRQH)-110.2(ZLWK)-110.2(SK\\VLFLDQV)-110.2(RU)-110.2(FRPSDULQJ)-110.2(SDWLHQWV)-110.2(DQG)-110.2(SK\\VLFLDQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 654 Tm 0 0 0 rg 0.11545 Tw 0.04618 Tc ( )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 ()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)-11.55(6WXGLHV)-11.55(RQ)-11.55(SK\\VLFLDQ)-11.55(SUHIHUHQFHV)-11.55(DUH)-11.55(LPSRUWDQW)-11.55()]TJ 0 g 0 0 0 rg (EH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 642 Tm 0 0 0 rg 0.24921 Tw 0.09968 Tc [(FDXVH)-24.92(SDWLHQWV)-24.92(RIWHQ)-24.92(UHO\\)-24.92(RQ)-24.92(WKHLU)-24.92(SK\\VLFLDQV)-24.92(IRU)-24.92(DGYLFH)-24.92( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-24.92(,I)-24.92()]TJ 0 g 0 0 0 rg (SD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 630 Tm 0 0 0 rg 0.42068 Tw 0.16827 Tc [(WLHQWV)-42.07(DQG)-42.07(SK\\VLFLDQV)-42.07(YDOXH)-42.07(DWWULEXWHV)-42.07(GLIIHUHQWO\\)]TJ 0 g 0 0 0 rg [-42.07(SDWLHQW)]TJ 0 g 0 0 0 rg (SUHIHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 618 Tm 0 0 0 rg 0.08486 Tw 0.03394 Tc (HQFH)Tj 0 g 0 0 0 rg [-8.49(VXUYH\\V)-8.49(SURYLGH)-8.49(DQ)-8.49(RSSRUWXQLW\\)-8.49(IRU)-8.49(SK\\VLFLDQV)-8.49(DQG)-8.49(SDWLHQWV)-8.49(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 606 Tm 0 0 0 rg 0.19151 Tw 0.0766 Tc [(LGHQWLI\\)-19.15(GLIIHUHQFHV)-19.15(LQ)-19.15(SHUVSHFWLYH)-19.15(ZKLFK)-19.15(FRXOG)-19.15(LPSURYH)-19.15()]TJ 0 g 0 0 0 rg (FRPPX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 594 Tm 0 0 0 rg (QLFDWLRQDQGVKDUHGGHFLVLRQPDNLQJ)Tj 0 g ET BT 1 0 0 1 30 574 Tm /F1 10 Tf 0 0 0 rg 0.22542 Tw 0.09017 Tc [(&$)-22.54(DQG)-22.54('&\()-22.54(VXUYH\\V)-22.54(FRXOG)-22.54(DOVR)-22.54(EH)-22.54(XVHG)-22.54(PRUH)-22.54(H[WHQVLYHO\\)-22.54(WR)-22.54(WHVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 562 Tm 0 0 0 rg 0.16657 Tw 0.06663 Tc [(WKH)-16.66(HIIHFW)-16.66(RI)-16.66(PHVVDJHV)-16.66(RQ)-16.66(SUHIHUHQFHV)-16.66(DQG)-16.66(ZLOOLQJQHVV)-16.66(RI)-16.66(GLIIHUHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 550 Tm 0 0 0 rg 0.47143 Tw 0.18857 Tc [(SRSXODWLRQV)-47.14(LQFOXGLQJ)-47.14(XQGHUVHUYHG)-47.14(SRSXODWLRQV)-47.14(WR)-47.14(EH)-47.14(VFUHHQHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 538 Tm 0 0 0 rg 0.28362 Tw 0.11345 Tc [(7KH)-28.36(UHVXOWV)-28.36(FRXOG)-28.36(KHOS)-28.36(VKDSH)-28.36(VWUDWHJLHV)-28.36(IRU)-28.36(SXEOLF)-28.36(KHDOWK)-28.36()]TJ 0 g 0 0 0 rg (FRPPX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 526 Tm 0 0 0 rg 0.08315 Tw 0.03326 Tc [(QLFDWLRQ)-8.32(HVSHFLDOO\\)-8.32(EHFDXVH)-8.32(VWXGLHV)-8.32(KDYH)-8.32(IRXQG)-8.32(WKDW)-8.32(WKH)-8.32(W\\SH)-8.32(RI)-8.32()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 514 Tm 0 0 0 rg 0.81516 Tw 0.32606 Tc [(IRUPDWLRQ)-81.52(SURYLGHG)-81.52(FDQ)-81.52(DIIHFW)-81.52(SUHIHUHQFHV)-81.52(IRU)-81.52(VFUHHQLQJ)-81.52(WHVWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 502 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 30 482 Tm /F1 10 Tf 0 0 0 rg 0.59459 Tw 0.23784 Tc [(2XU)-59.46(UHYLHZ)-59.46(KDV)-59.46(OLPLWDWLRQV)-59.46(:H)-59.46(UHSRUWHG)-59.46(DWWULEXWH)-59.46(VLJQLILFDQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 470 Tm 0 0 0 rg 0.71982 Tw 0.28793 Tc [(KRZHYHU)-71.98(WKH)-71.98(VLJQLILFDQFH)-71.98(RU)-71.98(ODFN)-71.98(RI)-71.98(VLJQLILFDQFH)-71.98(RI)-71.98(DWWULEXWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 458 Tm 0 0 0 rg 0.3264 Tw 0.13056 Tc [(VKRXOG)-32.64(EH)-32.64(YLHZHG)-32.64(DV)-32.64(FRQGLWLRQDO)-32.64(RQ)-32.64(WKH)-32.64(VHW)-32.64(RI)-32.64(DWWULEXWHV)-32.64(LQFOXGHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 446 Tm 0 0 0 rg 0.24282 Tw 0.09713 Tc [(DQG)-24.28(WKH)-24.28(UDQJH)-24.28(RI)-24.28(OHYHOV)-24.28($Q)-24.28(DWWULEXWH)-24.28(PD\\)-24.28(EH)-24.28(PRUH)-24.28(RU)-24.28(OHVV)-24.28()]TJ 0 g 0 0 0 rg (LPSRUW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 434 Tm 0 0 0 rg 0.49517 Tw 0.19807 Tc [(DQW)-49.52(GHSHQGLQJ)-49.52(RQ)-49.52(WKH)-49.52(RWKHU)-49.52(DWWULEXWHV)-49.52(LQFOXGHG)-49.52(LQ)-49.52(WKH)-49.52(VXUYH\\)-49.52(,Q)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 422 Tm 0 0 0 rg 0.31766 Tw 0.12707 Tc [(JHQHUDO)-31.77(EHVW)-31.77(SUDFWLFH)-31.77(VXJJHVWV)-31.77(WKDW)-31.77(UHVHDUFKHUV)-31.77(LQFOXGH)-31.77(DWWULEXWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 410 Tm 0 0 0 rg 0.49247 Tw 0.19699 Tc [(WKDW)-49.25(DUH)-49.25(LPSRUWDQW)-49.25(WR)-49.25(UHVSRQGHQWV)-49.25(LPSO\\LQJ)-49.25(WKDW)-49.25(PRVW)-49.25(DWWULEXWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 398 Tm 0 0 0 rg 0.81903 Tw 0.32761 Tc [(VKRXOG)-81.9(EH)-81.9(VLJQLILFDQW)-81.9(+RZHYHU)-81.9(HYHQ)-81.9(ZLWK)-81.9(FDUHIXO)-81.9(SUHWHVWLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 386 Tm 0 0 0 rg 0.05159 Tw 0.02063 Tc [(FKDQJHV)-5.16(LQ)-5.16(DWWULEXWHV)-5.16(WKDW)-5.16(DUH)-5.16(LPSRUWDQW)-5.16(LQ)-5.16(LVRODWLRQ)-5.16(PD\\)-5.16(QRW)-5.16(EH)-5.16()]TJ 0 g 0 0 0 rg (LP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 374 Tm 0 0 0 rg 0.53305 Tw 0.21322 Tc [(SRUWDQW)-53.3(ZKHQ)-53.3(LQFOXGHG)-53.3(LQ)-53.3(D)-53.3(ZLGHU)-53.3(VHW)-53.3(RI)-53.3(DWWULEXWHV)-53.3(7KH)-53.3(VXUYH\\V)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 362 Tm 0 0 0 rg 0.26971 Tw 0.10788 Tc [(GLIIHUHG)-26.97(LQ)-26.97(REMHFWLYHV)-26.97(DQG)-26.97(IRUPDW)-26.97(OLPLWLQJ)-26.97(RXU)-26.97(DELOLW\\)-26.97(WR)-26.97(FRPSDUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 350 Tm 0 0 0 rg 0.21335 Tw 0.08534 Tc [(ILQGLQJV)-21.34(DFURVV)-21.34(VWXGLHV)-21.34(\)XUWKHUPRUH)-21.34(IHZ)-21.34(VWXGLHV)-21.34(ZHUH)-21.34(FRQGXFWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 338 Tm 0 0 0 rg 0.22401 Tw 0.0896 Tc [(LQ)-22.4(WKH)-22.4(VDPH)-22.4(FRXQWU\\)-22.4(ZKLFK)-22.4(OLPLWV)-22.4(WKH)-22.4(JHQHUDOL]DELOLW\\)-22.4(RI)-22.4(ILQGLQJV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 326 Tm 0 0 0 rg 0.13304 Tw 0.05321 Tc [(EHFDXVH)-13.3(GLIIHUHQFHV)-13.3(LQ)-13.3(QDWLRQDO)-13.3(KHDOWK)-13.3(SROLFLHV)-13.3(YDU\\)-13.3(ZLGHO\\)-13.3(DPRQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 314 Tm 0 0 0 rg 1.21 Tw 0.48497 Tc [(FRXQWULHV)-121.24(\)RU)-121.24(H[DPSOH)-121.24(DOWKRXJK)-121.24(PDQ\\)-121.24(VWXGLHV)-121.24(IRFXVHG)-121.24(RQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 302 Tm 0 0 0 rg 0.26053 Tw 0.10421 Tc [(FRORUHFWDO)-26.05(FDQFHU)-26.05(VFUHHQLQJ)-26.05(RQO\\)-26.05()-26.05(ZHUH)-26.05(FRQGXFWHG)-26.05(LQ)-26.05(WKH)-26.05(8QLWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 290 Tm 0 0 0 rg (6WDWHV)Tj 0 g ET BT 1 0 0 1 30 270 Tm /F1 10 Tf 0 0 0 rg 0.75584 Tw 0.30234 Tc [($)-75.58(JURZLQJ)-75.58(QXPEHU)-75.58(RI)-75.58(VWXGLHV)-75.58(H[DPLQH)-75.58(SUHIHUHQFHV)-75.58(IRU)-75.58(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 258 Tm 0 0 0 rg 0.19942 Tw 0.07977 Tc [(VFUHHQLQJ)-19.94(WHVWV)-19.94(7KHVH)-19.94(VWXGLHV)-19.94(FRQVLVWHQWO\\)-19.94(ILQG)-19.94(WKDW)-19.94(VFUHHQLQJ)-19.94(WHVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 246 Tm 0 0 0 rg 0.48429 Tw 0.19371 Tc [(DWWULEXWHV)-48.43(VXFK)-48.43(DV)-48.43(HIILFDF\\)-48.43(SURFHVV)-48.43(DQG)-48.43(FRVW)-48.43(DUH)-48.43(VLJQLILFDQW)-48.43()]TJ 0 g 0 0 0 rg (GH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 234 Tm 0 0 0 rg 0.3784 Tw 0.15136 Tc [(WHUPLQDQWV)-37.84(RI)-37.84(FKRLFH)-37.84(\)HZHU)-37.84(VWXGLHV)-37.84(KDYH)-37.84(H[DPLQHG)-37.84(WKH)-37.84(HIIHFW)-37.84(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 222 Tm 0 0 0 rg 0.02339 Tw 0.00935 Tc [(KHDOWK)-2.34(FDUH)-2.34(GHOLYHU\\)-2.34(DWWULEXWHV)-2.34(RQ)-2.34(FKRLFH)-2.34(DQG)-2.34(WKH)-2.34(UHVXOWV)-2.34(IURP)-2.34(WKHVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 210 Tm 0 0 0 rg 0.40442 Tw 0.16177 Tc [(VWXGLHV)-40.44(DUH)-40.44(PL[HG)-40.44(*RLQJ)-40.44(IRUZDUG)-40.44(WKHUH)-40.44(LV)-40.44(D)-40.44(QHHG)-40.44(IRU)-40.44(VWXGLHV)-40.44(RQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 198 Tm 0 0 0 rg 0.43947 Tw 0.17579 Tc [(WKH)-43.95(EDUULHUV)-43.95(WR)-43.95(FDQFHU)-43.95(VFUHHQLQJ)-43.95(XSWDNH)-43.95(WKH)-43.95(LPSDFW)-43.95(RI)-43.95(HGXFDWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 186 Tm 0 0 0 rg 0.19148 Tw 0.07659 Tc [(PDWHULDOV)-19.15(RQ)-19.15(SUHIHUHQFHV)-19.15(DQG)-19.15(WKH)-19.15(UROH)-19.15(RI)-19.15(SUHIHUHQFH)-19.15(VWXGLHV)-19.15(LQ)-19.15()]TJ 0 g 0 0 0 rg (SD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 174 Tm 0 0 0 rg 0.67069 Tw 0.26828 Tc [(WLHQW)-67.07(DQG)-67.07(SK\\VLFLDQ)-67.07(FRPPXQLFDWLRQ)]TJ 0 g 0 0 0 rg [-67.07(3DWLHQWSUHIHUHQFH)]TJ 0 g 0 0 0 rg [-67.07(VWXGLHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 162 Tm 0 0 0 rg 0.29656 Tw 0.11863 Tc [(PD\\)-29.66(EHFRPH)-29.66(PRUH)-29.66(LPSRUWDQW)-29.66(DV)]TJ 0 g 0 0 0 rg [-29.66(SDWLHQWFHQWHUHG)]TJ 0 g 0 0 0 rg [-29.66(FDUH)-29.66(JDLQV)-29.66(PRUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 150 Tm 0 0 0 rg (SURPLQHQFH)Tj 0 g ET BT 1 0 0 1 316 674 Tm /F1 16 Tf ($FNQRZOHGJPHQWV)Tj ET BT 1 0 0 1 316 652 Tm /F1 10 Tf 0 0 0 rg 0.04432 Tw 0.01773 Tc [(\)XQGLQJ)-4.43(ZDV)-4.43(SURYLGHG)-4.43(E\\)-4.43(WKH)-4.43(&HQWHUV)-4.43(IRU)-4.43('LVHDVH)-4.43(&RQWURO)-4.43(DQG)-4.43()]TJ 0 g 0 0 0 rg (3UH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 640 Tm 0 0 0 rg 0.69362 Tw 0.27745 Tc [(YHQWLRQ)-69.36( &RQWUDFW)-69.36(1R)]TJ 0 g 0 0 0 rg [-69.36()]TJ 0 g 0 0 0 rg [-69.36(7DVN)-69.36(RUGHU)-69.36(\f)-69.36(ZH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 628 Tm 0 0 0 rg 0.24876 Tw 0.09951 Tc [(KDYH)-24.88(QR)-24.88(ILQDQFLDO)-24.88(GLVFORVXUHV)-24.88(:H)-24.88(WKDQN)-24.88(/LQGD)]TJ 0 g 0 0 0 rg [-24.88(&KDPLHF&DVH)]TJ 0 g 0 0 0 rg [-24.88(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 616 Tm 0 0 0 rg (KHUKHOSLQDVVHPEOLQJWKHGDWDIRUWKLVVWXG\\)Tj 0 g ET BT 1 0 0 1 316 592 Tm /F1 16 Tf ($XWKRU,QIRUPDWLRQ)Tj ET BT 1 0 0 1 316 570 Tm /F1 10 Tf 0 0 0 rg 0.29125 Tw 0.1165 Tc [(&RUUHVSRQGLQJ)-29.12($XWKRU)-29.12(\)ORUHQFH)-29.12(.)-29.12(/)-29.12(7DQJND)-29.12(3K')-29.12(&HQWHUV)-29.12(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 558 Tm 0 0 0 rg 0.08394 Tw 0.03358 Tc [('LVHDVH)-8.39(&RQWURO)-8.39(DQG)-8.39(3UHYHQWLRQ)-8.39()-8.39(%XIRUG)-8.39(+Z\\)-8.39(1\()-8.39(06)]TJ 0 g 0 0 0 rg [-8.39(\))]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 546 Tm 0 0 0 rg 2.12 Tw 0.8468 Tc [($WODQWD)-211.7(*$)-211.7()-211.7(7HOHSKRQH)]TJ 0 g 0 0 0 rg [-211.7()]TJ 0 g 0 0 0 rg [-211.7(\(PDLO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 534 Tm 0 0 0 rg (IWDQJND#FGFJRY)Tj 0 g ET BT 1 0 0 1 316 522 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 316 510 Tm /F1 10 Tf 0 0 0 rg 0.04047 Tw 0.01619 Tc [($XWKRU)-4.05($IILOLDWLRQV)-4.05(&DURO)-4.05(0DQVILHOG)-4.05($)-4.05(%UHWW)-4.05(+DXEHU)-4.05(57,)-4.05(+HDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 498 Tm 0 0 0 rg 0.97774 Tw 0.3911 Tc [(6ROXWLRQV)-97.77(57,)-97.77(,QWHUQDWLRQDO)-97.77(5HVHDUFK)-97.77(7ULDQJOH)-97.77(3DUN)-97.77(1RUWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 486 Tm 0 0 0 rg 0.31718 Tw 0.12687 Tc [(&DUROLQD)-31.72('RQDWXV)-31.72(8)-31.72(\(NZXHPH)-31.72(-XGLWK)-31.72(/HH)-31.72(6PLWK)-31.72(*HU\\)-31.72(3)-31.72(*X\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 474 Tm 0 0 0 rg 1.05 Tw 0.41909 Tc [(-U)-104.77(&KXQ\\X)-104.77(/L)-104.77(&HQWHUV)-104.77(IRU)-104.77('LVHDVH)-104.77(&RQWURO)-104.77(DQG)-104.77(3UHYHQWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 462 Tm 0 0 0 rg ($WODQWD*HRUJLD)Tj 0 g ET BT 1 0 0 1 316 450 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 316 434 Tm /F1 16 Tf (5HIHUHQFHV)Tj ET BT 1 0 0 1 330 412 Tm /F1 10 Tf 0 0 0 rg 0.00432 Tw 0.00173 Tc [(1DWLRQDO)-0.432(,QVWLWXWHV)-0.432(RI)-0.432(+HDOWK)-0.432(&DQFHU)-0.432(VFUHHQLQJ)-0.432(RYHUYLHZ)-0.432()-0.432(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 400 Tm 0 0 0 rg 1.46 Tw 0.58346 Tc [(KHDOWK)-145.87(SURIHVVLRQDOV)-145.87(%HWKHVGD)-145.87( 0'\f)-145.87(1DWLRQDO)-145.87(&DQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 388 Tm 0 0 0 rg 1.09 Tw 0.437 Tc [(,QVWLWXWH)-109.25()-109.25(KWWSZZZFDQFHUJRYFDQFHUWRSLFVSGT)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 376 Tm 0 0 0 rg 0.18067 Tw 0.07227 Tc [(VFUHHQLQJRYHUYLHZ+HDOWK3URIHVVLRQDO6HFWLRQB)-18.07($FFHVVHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 364 Tm 0 0 0 rg ($XJXVW)Tj 0 g ET q BT 1 0 0 1 316 412 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 352 Tm /F1 10 Tf 0 0 0 rg 0.39218 Tw 0.15687 Tc [($JHQF\\)-39.22(IRU)-39.22(+HDOWKFDUH)-39.22(5HVHDUFK)-39.22(DQG)-39.22(4XDOLW\\)-39.22(86)-39.22(3UHYHQWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 340 Tm 0 0 0 rg 0.19414 Tw 0.07765 Tc [(6HUYLFHV)-19.41(7DVN)-19.41(\)RUFH)-19.41(7KH)-19.41(JXLGH)-19.41(WR)-19.41(FOLQLFDO)-19.41(SUHYHQWLYH)-19.41(VHUYLFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 328 Tm 0 0 0 rg 0.46276 Tw 0.1851 Tc [()-46.28(UHFRPPHQGDWLRQV)-46.28(RI)-46.28(WKH)-46.28(86)-46.28(3UHYHQWLYH)-46.28(6HUYLFHV)-46.28(7DVN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 316 Tm 0 0 0 rg 0.58629 Tw 0.23452 Tc [(\)RUFH)-58.63()-58.63(KWWSZZZXVSUHYHQWLYHVHUYLFHVWDVNIRUFHRUJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 304 Tm 0 0 0 rg 0.84598 Tw 0.33839 Tc (3DJH1DPHWRROVDQGUHVRXUFHVIRUEHWWHUSUHYHQWLYHFDUH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 330 292 Tm 0 0 0 rg ($FFHVVHG$XJXVW)Tj 0 g ET q BT 1 0 0 1 316 352 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 280 Tm /F1 10 Tf 0 0 0 rg 1.2 Tw 0.47811 Tc [(6DEDWLQR)-119.53(6$)-119.53(:KLWH)-119.53(0&)-119.53(7KRPSVRQ)-119.53(7')-119.53(.ODEXQGH)-119.53(&1)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 268 Tm 0 0 0 rg 0.58759 Tw 0.23503 Tc [(&HQWHUV)-58.76(IRU)-58.76('LVHDVH)-58.76(&RQWURO)-58.76(DQG)-58.76(3UHYHQWLRQ)-58.76( &'&\f)-58.76(&DQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 256 Tm 0 0 0 rg 0.94321 Tw 0.37729 Tc [(VFUHHQLQJ)-94.32(WHVW)-94.32(XVH)-94.32()-94.32(8QLWHG)-94.32(6WDWHV)-94.32()-94.32(00:5)-94.32(0RUE)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 244 Tm 0 0 0 rg (0RUWDO:NO\\5HS \f)Tj 0 g ET q BT 1 0 0 1 316 280 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 232 Tm /F1 10 Tf 0 0 0 rg 0.02208 Tw 0.00883 Tc [(86)-2.21('HSDUWPHQW)-2.21(RI)-2.21(+HDOWK)-2.21(DQG)-2.21(+XPDQ)-2.21(6HUYLFHV)-2.21(+HDOWK\\)-2.21(SHRSOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 220 Tm 0 0 0 rg 0.74902 Tw 0.29961 Tc [()-74.9('LVSDULWLHV)-74.9(LQ)-74.9(FOLQLFDO)-74.9(SUHYHQWLYH)-74.9(VHUYLFHV)-74.9(2IILFH)-74.9(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 208 Tm 0 0 0 rg 1.19 Tw 0.47471 Tc [('LVHDVH)-118.68(3UHYHQWLRQ)-118.68(DQG)-118.68(+HDOWK)-118.68(3URPRWLRQ)-118.68()-118.68(KWWS)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 196 Tm 0 0 0 rg 0.38421 Tw 0.15368 Tc (ZZZKHDOWK\\SHRSOHJRYWRSLFVREMHFWLYHVWRSLFFDQFHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 330 184 Tm 0 0 0 rg (REMHFWLYHV$FFHVVHG$XJXVW)Tj 0 g ET q BT 1 0 0 1 316 232 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 172 Tm /F1 10 Tf 0 0 0 rg 0.64085 Tw 0.25634 Tc [(%ULGJHV)-64.08(-\))-64.08(+DXEHU)-64.08($%)-64.08(0DUVKDOO)-64.08(')-64.08(/OR\\G)-64.08($)-64.08(3URVVHU)-64.08(/$)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 160 Tm 0 0 0 rg 0.18982 Tw 0.07593 Tc [(5HJLHU)-18.98('$)-18.98(HW)-18.98(DO)-18.98(&RQMRLQW)-18.98(DQDO\\VLV)-18.98(DSSOLFDWLRQV)-18.98(LQ)-18.98(KHDOWK)-18.98()-18.98(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 148 Tm 0 0 0 rg 0.29356 Tw 0.11742 Tc [(FKHFNOLVW)-29.36(D)-29.36(UHSRUW)-29.36(RI)-29.36(WKH)-29.36(,6325)-29.36(*RRG)-29.36(5HVHDUFK)-29.36(3UDFWLFHV)-29.36(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 136 Tm 0 0 0 rg 2.11 Tw 0.84287 Tc [(&RQMRLQW)-210.72($QDO\\VLV)-210.72(7DVN)-210.72(\)RUFH)-210.72(9DOXH)-210.72(+HDOWK)-210.72()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 124 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 172 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm)Tj ET Q V endstream endobj 13 0 obj <>>>/Rotate 0/Thumb 46 0 R/Type/Page>> endobj 14 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 0.26951 Tw 0.1078 Tc [(3KLOOLSV)-26.95(.$)-26.95(9DQ)-26.95(%HEEHU)-26.95(6)-26.95(0DUVKDOO)-26.95(')-26.95(:DOVK)-26.95(-)-26.95(7KDEDQH)-26.95(/)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 666 Tm 0 0 0 rg 0.45897 Tw 0.18359 Tc [($)-45.9(UHYLHZ)-45.9(RI)-45.9(VWXGLHV)-45.9(H[DPLQLQJ)-45.9(VWDWHG)-45.9(SUHIHUHQFHV)-45.9(IRU)-45.9(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 654 Tm 0 0 0 rg (VFUHHQLQJ3UHY&KURQLF'LV \f$)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 44 642 Tm /F1 10 Tf 0 0 0 rg 0.39552 Tw 0.15821 Tc [(0DUVKDOO)-39.55(')-39.55(0F*UHJRU)-39.55(6\()-39.55(&XUULH)-39.55(*)-39.55(0HDVXULQJ)-39.55(SUHIHUHQFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 630 Tm 0 0 0 rg 0.34074 Tw 0.1363 Tc [(IRU)-34.07(FRORUHFWDO)-34.07(FDQFHU)-34.07(VFUHHQLQJ)-34.07(ZKDW)-34.07(DUH)-34.07(WKH)-34.07(LPSOLFDWLRQV)-34.07(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 618 Tm 0 0 0 rg (PRYLQJIRUZDUG"3DWLHQW \f)Tj 0 g ET q BT 1 0 0 1 30 642 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 0.31582 Tw 0.12633 Tc [(*KDQRXQL)-31.58($)-31.58(6PLWK)-31.58(6*)-31.58(+DOOLJDQ)-31.58(6)-31.58(3OXPE)-31.58($)-31.58(%RRQH)-31.58(')-31.58(<DR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 594 Tm 0 0 0 rg 0.44906 Tw 0.17962 Tc [(*/)-44.91(HW)-44.91(DO)-44.91(3XEOLF)-44.91(SUHIHUHQFHV)-44.91(IRU)-44.91(FRORUHFWDO)-44.91(FDQFHU)-44.91(VFUHHQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 582 Tm 0 0 0 rg 0.45491 Tw 0.18196 Tc [(WHVWV)-45.49(D)-45.49(UHYLHZ)-45.49(RI)-45.49(FRQMRLQW)-45.49(DQDO\\VLV)-45.49(VWXGLHV)-45.49(\([SHUW)-45.49(5HY)-45.49(0HG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 570 Tm 0 0 0 rg ('HYLFHV \f)Tj 0 g ET q BT 1 0 0 1 30 606 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 558 Tm /F1 10 Tf 0 0 0 rg 0.09056 Tw 0.03622 Tc [(0HGLFDO)-9.06('HYLFH)-9.06(,QQRYDWLRQ)-9.06(&RQVRUWLXP)-9.06()-9.06(KWWSPGLFRUJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 546 Tm 0 0 0 rg 13.16 Tw 5.26 Tc (ZSFRQWHQWXSORDGV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 44 534 Tm 0 0 0 rg 0.73423 Tw 0.29369 Tc [(0',&B3&%5B\)UDPHZRUNB:HESGI)-73.42($FFHVVHG)-73.42(-DQXDU\\)-73.42()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 522 Tm 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 30 558 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 510 Tm /F1 10 Tf 0 0 0 rg 0.01195 Tw 0.00478 Tc [(+HQVKHU)-1.19('$)-1.19(5RVH)-1.19(-0)-1.19(*UHHQH)-1.19(:+)-1.19($SSOLHG)-1.19(FKRLFH)-1.19(DQDO\\VLV)-1.19(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 498 Tm 0 0 0 rg (SULPHU&DPEULGJH 0$\f&DPEULGJH8QLYHUVLW\\3UHVV)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 44 486 Tm /F1 10 Tf 0 0 0 rg 0.22967 Tw 0.09187 Tc [(0RKHU)-22.97(')-22.97(/LEHUDWL)-22.97($)-22.97(7HW]ODII)-22.97(-)-22.97($OWPDQ)-22.97('*35,60$)-22.97(*URXS)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 474 Tm 0 0 0 rg 0.63859 Tw 0.25544 Tc [(3UHIHUUHG)-63.86(UHSRUWLQJ)-63.86(LWHPV)-63.86(IRU)-63.86(V\\VWHPDWLF)-63.86(UHYLHZV)-63.86(DQG)-63.86(PHWD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 462 Tm 0 0 0 rg 2.08 Tw 0.83347 Tc [(DQDO\\VHV)-208.37(WKH)-208.37(35,60$)-208.37(VWDWHPHQW)-208.37(3/R6)-208.37(0HG)-208.37()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 450 Tm 0 0 0 rg ( \fH)Tj 0 g ET q BT 1 0 0 1 30 486 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 438 Tm /F1 10 Tf 0 0 0 rg 1.17 Tw 0.46626 Tc [($UDxD)-116.56(-\()-116.56(/HyQ)-116.56(&-)-116.56(4XHYHGR)-116.56(-/)-116.56(7KH)-116.56(HIIHFW)-116.56(RI)-116.56(PHGLFDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 426 Tm 0 0 0 rg 0.46827 Tw 0.18731 Tc [(H[SHULHQFH)-46.83(RQ)-46.83(WKH)-46.83(HFRQRPLF)-46.83(HYDOXDWLRQ)-46.83(RI)-46.83(KHDOWK)-46.83(SROLFLHV)-46.83($)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 414 Tm 0 0 0 rg (GLVFUHWHFKRLFHH[SHULPHQW6RF6FL0HG \f)Tj 0 g ET q BT 1 0 0 1 30 438 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 402 Tm /F1 10 Tf 0 0 0 rg 0.5429 Tw 0.21716 Tc [(%DVHQ\(QJTXLVW)-54.29(.)-54.29(\)RXODGL)-54.29(57)-54.29(&DQWRU)-54.29(6%)-54.29(6KLQQ)-54.29(\()-54.29(6XL)-54.29(')]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 390 Tm 0 0 0 rg 0.10795 Tw 0.04318 Tc [(6KDUPDQ)-10.8(0)-10.8(HW)-10.8(DO)-10.8(3DWLHQW)-10.8(DVVHVVPHQW)-10.8(RI)-10.8(WHVWV)-10.8(WR)-10.8(GHWHFW)-10.8(FHUYLFDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 378 Tm 0 0 0 rg (FDQFHU,QW-7HFKQRO$VVHVV+HDOWK&DUH \f)Tj 0 g ET q BT 1 0 0 1 30 402 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 366 Tm /F1 10 Tf 0 0 0 rg 0.0462 Tw 0.01848 Tc [(GH)-4.62(%HNNHU*URE)-4.62(\(:)-4.62(+RO)-4.62(/)-4.62('RQNHUV)-4.62(%)-4.62(YDQ)-4.62('DP)-4.62(/)-4.62(+DEEHPD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 354 Tm 0 0 0 rg 0.18405 Tw 0.07362 Tc [(-')-18.4(YDQ)-18.4(/HHUGDP)-18.4(0\()-18.4(HW)-18.4(DO)-18.4(/DEHOHG)-18.4(YHUVXV)-18.4(XQODEHOHG)-18.4(GLVFUHWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 342 Tm 0 0 0 rg 0.76156 Tw 0.30463 Tc [(FKRLFH)-76.16(H[SHULPHQWV)-76.16(LQ)-76.16(KHDOWK)-76.16(HFRQRPLFV)-76.16(DQ)-76.16(DSSOLFDWLRQ)-76.16(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 330 Tm 0 0 0 rg (FRORUHFWDOFDQFHUVFUHHQLQJ9DOXH+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 30 366 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 318 Tm /F1 10 Tf 0 0 0 rg 1.1 Tw 0.44064 Tc [(*\\UG+DQVHQ)-110.16(')-110.16(&RVWEHQHILW)-110.16(DQDO\\VLV)-110.16(RI)-110.16(PDPPRJUDSK\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 306 Tm 0 0 0 rg 0.62327 Tw 0.24931 Tc [(VFUHHQLQJ)-62.33(LQ)-62.33('HQPDUN)-62.33(EDVHG)-62.33(RQ)-62.33(GLVFUHWH)-62.33(UDQNLQJ)-62.33(GDWD)-62.33(,QW)-62.33(-)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 294 Tm 0 0 0 rg (7HFKQRO$VVHVV+HDOWK&DUH \f)Tj 0 g ET q BT 1 0 0 1 30 318 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 282 Tm /F1 10 Tf 0 0 0 rg 0.33725 Tw 0.1349 Tc [(*\\UG+DQVHQ)-33.72(')-33.72(6JDDUG)-33.72(-)-33.72($QDO\\VLQJ)-33.72(SXEOLF)-33.72(SUHIHUHQFHV)-33.72(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 270 Tm 0 0 0 rg 2.43 Tw 0.97231 Tc [(FDQFHU)-243.08(VFUHHQLQJ)-243.08(SURJUDPPHV)-243.08(+HDOWK)-243.08(\(FRQ)-243.08()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 258 Tm 0 0 0 rg ( \f)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 44 246 Tm /F1 10 Tf 0 0 0 rg 1.03 Tw 0.41226 Tc [(+DZOH\\)-103.07(67)-103.07(9RON)-103.07(5-)-103.07(.ULVKQDPXUWK\\)-103.07(3)-103.07(-LEDMD:HLVV)-103.07(0)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 234 Tm 0 0 0 rg 0.8007 Tw 0.32028 Tc [(9HUQRQ)-80.07(6:)-80.07(.QHXSHU)-80.07(6)-80.07(3UHIHUHQFHV)-80.07(IRU)-80.07(FRORUHFWDO)-80.07(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 222 Tm 0 0 0 rg 0.99444 Tw 0.39778 Tc [(VFUHHQLQJ)-99.44(DPRQJ)-99.44(UDFLDOO\\HWKQLFDOO\\)-99.44(GLYHUVH)-99.44(SULPDU\\)-99.44(FDUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 210 Tm 0 0 0 rg (SDWLHQWV0HG&DUH 6XSSO\f6)Tj 0 g ET q BT 1 0 0 1 30 246 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 0.25633 Tw 0.10253 Tc [(+RO)-25.63(/)-25.63(GH)-25.63(%HNNHU*URE)-25.63(\(:)-25.63(YDQ)-25.63('DP)-25.63(/)-25.63('RQNHUV)-25.63(%)-25.63(.XLSHUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 186 Tm 0 0 0 rg 0.96867 Tw 0.38747 Tc [(\(-)-96.87(+DEEHPD)-96.87(-')-96.87(HW)-96.87(DO)-96.87(3UHIHUHQFHV)-96.87(IRU)-96.87(FRORUHFWDO)-96.87(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 174 Tm 0 0 0 rg 0.1253 Tw 0.05012 Tc [(VFUHHQLQJ)-12.53(VWUDWHJLHV)-12.53(D)-12.53(GLVFUHWH)-12.53(FKRLFH)-12.53(H[SHULPHQW)-12.53(%U)-12.53(-)-12.53(&DQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 162 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 198 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 150 Tm /F1 10 Tf 0 0 0 rg 0.95067 Tw 0.38027 Tc [(+RZDUG)-95.07(.)-95.07(6DONHOG)-95.07(*)-95.07('RHV)-95.07(DWWULEXWH)-95.07(IUDPLQJ)-95.07(LQ)-95.07(GLVFUHWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 138 Tm 0 0 0 rg 0.11226 Tw 0.0449 Tc [(FKRLFH)-11.23(H[SHULPHQWV)-11.23(LQIOXHQFH)-11.23(ZLOOLQJQHVV)-11.23(WR)-11.23(SD\\")-11.23(5HVXOWV)-11.23(IURP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 126 Tm 0 0 0 rg 0.08765 Tw 0.03506 Tc [(D)-8.76(GLVFUHWH)-8.76(FKRLFH)-8.76(H[SHULPHQW)-8.76(LQ)-8.76(VFUHHQLQJ)-8.76(IRU)-8.76(FRORUHFWDO)-8.76(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 114 Tm 0 0 0 rg (9DOXH+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 30 150 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 678 Tm /F1 10 Tf 0 0 0 rg 0.12006 Tw 0.04802 Tc [(+RZDUG)-12.01(.)-12.01(6DONHOG)-12.01(*)-12.01(3LJQRQH)-12.01(0)-12.01(+HZHWW)-12.01(3)-12.01(&KHXQJ)-12.01(3)-12.01(2OVHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 666 Tm 0 0 0 rg 0.27515 Tw 0.11006 Tc [(-)-27.52(HW)-27.52(DO)-27.52(3UHIHUHQFHV)-27.52(IRU)-27.52(&7)-27.52(FRORQRJUDSK\\)-27.52(DQG)-27.52(FRORQRVFRS\\)-27.52(DV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 654 Tm 0 0 0 rg 1.24 Tw 0.49401 Tc [(GLDJQRVWLF)-123.5(WHVWV)-123.5(IRU)-123.5(FRORUHFWDO)-123.5(FDQFHU)-123.5(D)-123.5(GLVFUHWH)-123.5(FKRLFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 642 Tm 0 0 0 rg (H[SHULPHQW9DOXH+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 630 Tm /F1 10 Tf 0 0 0 rg 0.09967 Tw 0.03987 Tc [(0DUVKDOO)-9.97('$)-9.97(-RKQVRQ)-9.97(\)5)-9.97(3KLOOLSV)-9.97(.$)-9.97(0DUVKDOO)-9.97(-.)-9.97(7KDEDQH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 618 Tm 0 0 0 rg 0.72245 Tw 0.28898 Tc [(/)-72.24(.XOLQ)-72.24(1$)-72.24(0HDVXULQJ)-72.24(SDWLHQW)-72.24(SUHIHUHQFHV)-72.24(IRU)-72.24(FRORUHFWDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 606 Tm 0 0 0 rg 0.34569 Tw 0.13828 Tc [(FDQFHU)-34.57(VFUHHQLQJ)-34.57(XVLQJ)-34.57(D)-34.57(FKRLFHIRUPDW)-34.57(VXUYH\\)-34.57(9DOXH)-34.57(+HDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 594 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 630 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 582 Tm /F1 10 Tf 0 0 0 rg 0.09484 Tw 0.03794 Tc [(0DUVKDOO)-9.48('$)-9.48(-RKQVRQ)-9.48(\)5)-9.48(.XOLQ)-9.48(1$)-9.48(2]GHPLU)-9.48(6)-9.48(:DOVK)-9.48(-0\()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 570 Tm 0 0 0 rg 0.43385 Tw 0.17354 Tc [(0DUVKDOO)-43.38(-.)-43.38(HW)-43.38(DO)-43.38(+RZ)-43.38(GR)-43.38(SK\\VLFLDQ)-43.38(DVVHVVPHQWV)-43.38(RI)-43.38(SDWLHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 558 Tm 0 0 0 rg 0.50806 Tw 0.20323 Tc [(SUHIHUHQFHV)-50.81(IRU)-50.81(FRORUHFWDO)-50.81(FDQFHU)-50.81(VFUHHQLQJ)-50.81(WHVWV)-50.81(GLIIHU)-50.81(IURP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 546 Tm 0 0 0 rg 0.47138 Tw 0.18855 Tc [(DFWXDO)-47.14(SUHIHUHQFHV")-47.14($)-47.14(FRPSDULVRQ)-47.14(LQ)-47.14(&DQDGD)-47.14(DQG)-47.14(WKH)-47.14(8QLWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 534 Tm 0 0 0 rg 1.27 Tw 0.50948 Tc [(6WDWHV)-127.37(XVLQJ)-127.37(D)-127.37(VWDWHGFKRLFH)-127.37(VXUYH\\)-127.37(+HDOWK)-127.37(\(FRQ)-127.37()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 522 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 582 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 510 Tm /F1 10 Tf 0 0 0 rg 0.20355 Tw 0.08142 Tc [(3LJQRQH)-20.35(03)-20.35(%UHQQHU)-20.35($7)-20.35(+DZOH\\)-20.35(6)-20.35(6KHULGDQ)-20.35(6/)-20.35(/HZLV)-20.35(&/)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 498 Tm 0 0 0 rg 0.04148 Tw 0.01659 Tc [(-RQDV)-4.15('\()-4.15(HW)-4.15(DO)-4.15(&RQMRLQW)-4.15(DQDO\\VLV)-4.15(YHUVXV)-4.15(UDWLQJ)-4.15(DQG)-4.15(UDQNLQJ)-4.15(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 486 Tm 0 0 0 rg 1.33 Tw 0.53141 Tc [(YDOXHV)-132.85(HOLFLWDWLRQ)-132.85(DQG)-132.85(FODULILFDWLRQ)-132.85(LQ)-132.85(FRORUHFWDO)-132.85(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 474 Tm 0 0 0 rg (VFUHHQLQJ-*HQ,QWHUQ0HG \f)Tj 0 g ET q BT 1 0 0 1 316 510 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 462 Tm /F1 10 Tf 0 0 0 rg 1.09 Tw 0.43659 Tc [(5\\DQ)-109.15(0)-109.15(6NnWXQ)-109.15(')-109.15(0RGHOOLQJ)-109.15(QRQGHPDQGHUV)-109.15(LQ)-109.15(FKRLFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 450 Tm 0 0 0 rg (H[SHULPHQWV+HDOWK\(FRQ \f)Tj 0 g ET q BT 1 0 0 1 316 462 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 438 Tm /F1 10 Tf 0 0 0 rg 0.86069 Tw 0.34428 Tc [(YDQ)-86.07('DP)-86.07(/)-86.07(+RO)-86.07(/)-86.07(GH)-86.07(%HNNHU*URE)-86.07(\(:)-86.07(6WH\\HUEHUJ)-86.07(\(:)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 426 Tm 0 0 0 rg 0.2532 Tw 0.10128 Tc [(.XLSHUV)-25.32(\(-)-25.32(+DEEHPD)-25.32(-')-25.32(HW)-25.32(DO)-25.32(:KDW)-25.32(GHWHUPLQHV)-25.32(LQGLYLGXDOV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 414 Tm 0 0 0 rg 0.56408 Tw 0.22563 Tc [(SUHIHUHQFHV)-56.41(IRU)-56.41(FRORUHFWDO)-56.41(FDQFHU)-56.41(VFUHHQLQJ)-56.41(SURJUDPPHV")-56.41($)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 402 Tm 0 0 0 rg (GLVFUHWHFKRLFHH[SHULPHQW\(XU-&DQFHU \f)Tj 0 g ET q BT 1 0 0 1 316 438 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 390 Tm /F1 10 Tf 0 0 0 rg 1.07 Tw 0.42657 Tc [(:RUGVZRUWK)-106.64(6)-106.64(5\\DQ)-106.64(0)-106.64(6NnWXQ)-106.64(')-106.64(:DXJK)-106.64(1)-106.64(:RPHQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 378 Tm 0 0 0 rg 0.82597 Tw 0.33039 Tc [(SUHIHUHQFHV)-82.6(IRU)-82.6(FHUYLFDO)-82.6(FDQFHU)-82.6(VFUHHQLQJ)-82.6(D)-82.6(VWXG\\)-82.6(XVLQJ)-82.6(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 366 Tm 0 0 0 rg 0.28671 Tw 0.11468 Tc [(GLVFUHWH)-28.67(FKRLFH)-28.67(H[SHULPHQW)-28.67(,QW)-28.67(-)-28.67(7HFKQRO)-28.67($VVHVV)-28.67(+HDOWK)-28.67(&DUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 354 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 390 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 342 Tm /F1 10 Tf 0 0 0 rg 0.34236 Tw 0.13694 Tc [(*ULIILWK)-34.24(*/)-34.24(\(GZDUGV)-34.24(57)-34.24(:LOOLDPV)-34.24(-0)-34.24(*UD\\)-34.24(-)-34.24(0RUULVRQ)-34.24(9)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 330 Tm 0 0 0 rg 0.5484 Tw 0.21936 Tc [(:LONLQVRQ)-54.84(&)-54.84(HW)-54.84(DO)-54.84(3DWLHQW)-54.84(SUHIHUHQFHV)-54.84(DQG)-54.84(1DWLRQDO)-54.84(+HDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 318 Tm 0 0 0 rg 0.31065 Tw 0.12426 Tc [(6HUYLFH)-31.06(FRVWV)-31.06(D)-31.06(FRVWFRQVHTXHQFHV)-31.06(DQDO\\VLV)-31.06(RI)-31.06(FDQFHU)-31.06(JHQHWLF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 306 Tm 0 0 0 rg (VHUYLFHV\)DP&DQFHU \f)Tj 0 g ET q BT 1 0 0 1 316 342 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 294 Tm /F1 10 Tf 0 0 0 rg 0.03675 Tw 0.0147 Tc [(3HDFRFN)-3.67(6)-3.67($SLFHOOD)-3.67(&)-3.67($QGUHZV)-3.67(/)-3.67(7XFNHU)-3.67(.)-3.67(%DQNLHU)-3.67($)-3.67('DO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 282 Tm 0 0 0 rg 0.66887 Tw 0.26755 Tc [(0%)-66.89(HW)-66.89(DO)-66.89($)-66.89(GLVFUHWH)-66.89(FKRLFH)-66.89(H[SHULPHQW)-66.89(RI)-66.89(SUHIHUHQFHV)-66.89(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 270 Tm 0 0 0 rg 0.88508 Tw 0.35403 Tc [(JHQHWLF)-88.51(FRXQVHOOLQJ)-88.51(DPRQJ)-88.51(-HZLVK)-88.51(ZRPHQ)-88.51(VHHNLQJ)-88.51(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 258 Tm 0 0 0 rg (JHQHWLFVVHUYLFHV%U-&DQFHU \f)Tj 0 g ET q BT 1 0 0 1 316 294 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 246 Tm /F1 10 Tf 0 0 0 rg 0.21867 Tw 0.08747 Tc [(\)LHELJ)-21.87('*)-21.87(+DDV)-21.87(0)-21.87(+RVVDLQ)-21.87(,)-21.87(6WUHHW)-21.87('-)-21.87(9LQH\\)-21.87(5)-21.87('HFLVLRQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 234 Tm 0 0 0 rg 0.48684 Tw 0.19474 Tc [(DERXW)-48.68(3DS)-48.68(WHVWV)-48.68(ZKDW)-48.68(LQIOXHQFHV)-48.68(ZRPHQ)-48.68(DQG)-48.68(SURYLGHUV")-48.68(6RF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 222 Tm 0 0 0 rg (6FL0HG \f)Tj 0 g ET q BT 1 0 0 1 316 246 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 210 Tm /F1 10 Tf 0 0 0 rg 0.47829 Tw 0.19132 Tc [(*HUDUG)-47.83(.)-47.83(6KDQDKDQ)-47.83(0)-47.83(/RXYLHUH)-47.83(-)-47.83(8VLQJ)-47.83(VWDWHG)-47.83(SUHIHUHQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 198 Tm 0 0 0 rg 0.89354 Tw 0.35742 Tc [(GLVFUHWH)-89.35(FKRLFH)-89.35(PRGHOOLQJ)-89.35(WR)-89.35(LQIRUP)-89.35(KHDOWK)-89.35(FDUH)-89.35(GHFLVLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 186 Tm 0 0 0 rg 0.42 Tw 0.168 Tc [(PDNLQJ)-42(D)-42(SLORW)-42(VWXG\\)-42(RI)-42(EUHDVW)-42(VFUHHQLQJ)-42(SDUWLFLSDWLRQ)-42($SSO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 174 Tm 0 0 0 rg (\(FRQ \f)Tj 0 g ET q BT 1 0 0 1 316 210 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 162 Tm /F1 10 Tf 0 0 0 rg 0.8113 Tw 0.32452 Tc [(1D\\DUDGRX)-81.13(0)-81.13(%HUFKL)-81.13(&)-81.13('HMDUGLQ)-81.13(2)-81.13(/DXQR\\)-81.13(*)-81.13(\(OLFLWLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 150 Tm 0 0 0 rg 0.51027 Tw 0.20411 Tc [(SRSXODWLRQ)-51.03(SUHIHUHQFHV)-51.03(IRU)-51.03(PDVV)-51.03(FRORUHFWDO)-51.03(FDQFHU)-51.03(VFUHHQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 138 Tm 0 0 0 rg (RUJDQL]DWLRQ0HG'HFLV0DNLQJ \f)Tj 0 g ET q BT 1 0 0 1 316 162 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 126 Tm /F1 10 Tf 0 0 0 rg 1.02 Tw 0.4068 Tc [(6DONHOG)-101.7(*)-101.7(5\\DQ)-101.7(0)-101.7(6KRUW)-101.7(/)-101.7(7KH)-101.7(YHLO)-101.7(RI)-101.7(H[SHULHQFH)-101.7(GR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 114 Tm 0 0 0 rg 0.64993 Tw 0.25997 Tc [(FRQVXPHUV)-64.99(SUHIHU)-64.99(ZKDW)-64.99(WKH\\)-64.99(NQRZ)-64.99(EHVW")-64.99(+HDOWK)-64.99(\(FRQ)-64.99()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 102 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 126 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm Centers for Disease Control and Prevention 7)Tj ET Q ܲt endstream endobj 15 0 obj <>>>/Rotate 0/Thumb 47 0 R/Type/Page>> endobj 16 0 obj <>stream x8q BT 30 786 Td ET Q BT 1 0 0 1 44 678 Tm /F1 10 Tf 0 0 0 rg 0.12099 Tw 0.04839 Tc [(6DONHOG)-12.1(*)-12.1(6RORPRQ)-12.1(0)-12.1(6KRUW)-12.1(/)-12.1(5\\DQ)-12.1(0)-12.1(:DUG)-12.1(-\()-12.1(\(YLGHQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 666 Tm 0 0 0 rg 0.904 Tw 0.3616 Tc [(EDVHG)-90.4(FRQVXPHU)-90.4(FKRLFH)-90.4(D)-90.4(FDVH)-90.4(VWXG\\)-90.4(LQ)-90.4(FRORUHFWDO)-90.4(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 654 Tm 0 0 0 rg (VFUHHQLQJ$XVW1=-3XEOLF+HDOWK \f)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 44 642 Tm /F1 10 Tf 0 0 0 rg 0.6 Tw 0.24 Tc [(.LVWOHU)-60(&\()-60(+HVV)-60(70)-60(+RZDUG)-60(.)-60(3LJQRQH)-60(03)-60(&UXWFKILHOG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 630 Tm 0 0 0 rg 0.14641 Tw 0.05856 Tc [(70)-14.64(+DZOH\\)-14.64(67)-14.64(HW)-14.64(DO)-14.64(2OGHU)-14.64(DGXOWV)-14.64(SUHIHUHQFHV)-14.64(IRU)-14.64(FRORUHFWDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 618 Tm 0 0 0 rg 0.27422 Tw 0.10969 Tc [(FDQFHUVFUHHQLQJ)-27.42(WHVW)-27.42(DWWULEXWHV)-27.42(DQG)-27.42(WHVW)-27.42(FKRLFH)-27.42(3DWLHQW)-27.42(3UHIHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 606 Tm 0 0 0 rg ($GKHUHQFH)Tj 0 g ET q BT 1 0 0 1 30 642 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 594 Tm /F1 10 Tf 0 0 0 rg 0.24708 Tw 0.09883 Tc [(0DUWHQV)-24.71(&\()-24.71(&UXWFKILHOG)-24.71(70)-24.71(/DSLQJ)-24.71(-/)-24.71(3HUUHUDV)-24.71(/)-24.71(5HXODQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 582 Tm 0 0 0 rg 0.76562 Tw 0.30625 Tc [('6)-76.56(&XELOORV)-76.56(/)-76.56(HW)-76.56(DO)-76.56(:K\\)-76.56(ZDLW)-76.56(XQWLO)-76.56(RXU)-76.56(FRPPXQLW\\)-76.56(JHWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 570 Tm 0 0 0 rg 0.4049 Tw 0.16196 Tc [(FDQFHU")-40.49(\([SORULQJ)-40.49(&5&)-40.49(VFUHHQLQJ)-40.49(EDUULHUV)-40.49(DQG)-40.49(IDFLOLWDWRUV)-40.49(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 558 Tm 0 0 0 rg 0.27315 Tw 0.10926 Tc [(WKH)-27.32(6SDQLVKVSHDNLQJ)-27.32(FRPPXQLW\\)-27.32(LQ)-27.32(1RUWK)-27.32(&DUROLQD)-27.32(-)-27.32(&DQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 546 Tm 0 0 0 rg (\(GXF$XJ)Tj 0 g ET q BT 1 0 0 1 30 594 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 534 Tm /F1 10 Tf 0 0 0 rg 1.57 Tw 0.62657 Tc [(%HQQLQJ)-156.64(70)-156.64('HOODHUW)-156.64(%*)-156.64('LUNVHQ)-156.64(&')-156.64(6HYHUHQV)-156.64(-/)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 522 Tm 0 0 0 rg 0.01378 Tw 0.00551 Tc [(3UHIHUHQFHV)-1.38(IRU)-1.38(SRWHQWLDO)-1.38(LQQRYDWLRQV)-1.38(LQ)-1.38(QRQLQYDVLYH)-1.38(FRORUHFWDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 510 Tm 0 0 0 rg 0.49082 Tw 0.19633 Tc [(FDQFHU)-49.08(VFUHHQLQJ)-49.08(D)-49.08(ODEHOHG)-49.08(GLVFUHWH)-49.08(FKRLFH)-49.08(H[SHULPHQW)-49.08(IRU)-49.08(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 498 Tm 0 0 0 rg ('XWFKVFUHHQLQJFDPSDLJQ$FWD2QFRO \f)Tj 0 g ET q BT 1 0 0 1 30 534 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 486 Tm /F1 10 Tf 0 0 0 rg 0.93095 Tw 0.37238 Tc [(*KDQRXQL)-93.1($)-93.1(+DOOLJDQ)-93.1(6)-93.1(7D\\ORU)-93.1(6$)-93.1(%RRQH)-93.1(')-93.1(3OXPE)-93.1($)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 474 Tm 0 0 0 rg 0.50957 Tw 0.20383 Tc [(6WRIIHO)-50.96(6)-50.96(HW)-50.96(DO)-50.96(4XDQWLI\\LQJ)-50.96(SXEOLF)-50.96(SUHIHUHQFHV)-50.96(IRU)-50.96(GLIIHUHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 462 Tm 0 0 0 rg 0.07413 Tw 0.02965 Tc [(ERZHO)-7.41(SUHSDUDWLRQ)-7.41(RSWLRQV)-7.41(SULRU)-7.41(WR)-7.41(VFUHHQLQJ)-7.41(&7)-7.41(FRORQRJUDSK\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 450 Tm 0 0 0 rg (DGLVFUHWHFKRLFHH[SHULPHQW%0-2SHQ \fH)Tj 0 g ET q BT 1 0 0 1 30 486 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 438 Tm /F1 10 Tf 0 0 0 rg 0.76424 Tw 0.30569 Tc [(%HQQLQJ)-76.42(70)-76.42('HOODHUW)-76.42(%*)-76.42(6HYHUHQV)-76.42(-/)-76.42('LUNVHQ)-76.42(&')-76.42(7KH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 426 Tm 0 0 0 rg 0.85387 Tw 0.34155 Tc [(HIIHFW)-85.39(RI)-85.39(SUHVHQWLQJ)-85.39(LQIRUPDWLRQ)-85.39(DERXW)-85.39(LQYDVLYH)-85.39(IROORZXS)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 414 Tm 0 0 0 rg 0.08636 Tw 0.03455 Tc [(WHVWLQJ)-8.64(RQ)-8.64(LQGLYLGXDOV)-8.64(QRQLQYDVLYH)-8.64(FRORUHFWDO)-8.64(FDQFHU)-8.64(VFUHHQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 402 Tm 0 0 0 rg 1.67 Tw 0.66794 Tc [(SDUWLFLSDWLRQ)-166.99(GHFLVLRQ)-166.99(UHVXOWV)-166.99(IURP)-166.99(D)-166.99(GLVFUHWH)-166.99(FKRLFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 390 Tm 0 0 0 rg (H[SHULPHQW9DOXH+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 30 438 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 378 Tm /F1 10 Tf 0 0 0 rg 0.1223 Tw 0.04892 Tc [(3LJQRQH)-12.23(03)-12.23(&UXWFKILHOG)-12.23(70)-12.23(%URZQ)-12.23(30)-12.23(+DZOH\\)-12.23(67)-12.23(/DSLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 366 Tm 0 0 0 rg 0.66524 Tw 0.2661 Tc [(-/)-66.52(/HZLV)-66.52(&/)-66.52(HW)-66.52(DO)-66.52(8VLQJ)-66.52(D)-66.52(GLVFUHWH)-66.52(FKRLFH)-66.52(H[SHULPHQW)-66.52(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 354 Tm 0 0 0 rg 1.15 Tw 0.45986 Tc [(LQIRUP)-114.97(WKH)-114.97(GHVLJQ)-114.97(RI)-114.97(SURJUDPV)-114.97(WR)-114.97(SURPRWH)-114.97(FRORQ)-114.97(FDQFHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 342 Tm 0 0 0 rg 0.25099 Tw 0.1004 Tc [(VFUHHQLQJ)-25.1(IRU)-25.1(YXOQHUDEOH)-25.1(SRSXODWLRQV)-25.1(LQ)-25.1(1RUWK)-25.1(&DUROLQD)-25.1(%0&)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 330 Tm 0 0 0 rg (+HDOWK6HUY5HV \f)Tj 0 g ET q BT 1 0 0 1 30 378 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 318 Tm /F1 10 Tf 0 0 0 rg 0.34825 Tw 0.1393 Tc [(%RRQH)-34.83(')-34.83(0DOOHWW)-34.83(6)-34.83(=KX)-34.83(6)-34.83(<DR)-34.83(*/)-34.83(%HOO)-34.83(1)-34.83(*KDQRXQL)-34.83($)-34.83(HW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 306 Tm 0 0 0 rg 0.13447 Tw 0.05379 Tc [(DO)-13.45(3DWLHQWV)-13.45(\t)-13.45(KHDOWKFDUH)-13.45(SURIHVVLRQDOV)-13.45(YDOXHV)-13.45(UHJDUGLQJ)-13.45(WUXH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 294 Tm 0 0 0 rg 0.05828 Tw 0.02331 Tc [(\t)-5.83(IDOVHSRVLWLYH)-5.83(GLDJQRVLV)-5.83(ZKHQ)-5.83(FRORUHFWDO)-5.83(FDQFHU)-5.83(VFUHHQLQJ)-5.83(E\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 282 Tm 0 0 0 rg 0.93657 Tw 0.37463 Tc [(&7)-93.66(FRORQRJUDSK\\)-93.66(GLVFUHWH)-93.66(FKRLFH)-93.66(H[SHULPHQW)-93.66(3/R6)-93.66(2QH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 270 Tm 0 0 0 rg ( \fH)Tj 0 g ET q BT 1 0 0 1 30 318 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 1.1 Tw 0.43969 Tc [(7VXQHPDWVX)-109.92(0)-109.92(.DZDVDNL)-109.92(+)-109.92(0DVXRND)-109.92(<)-109.92(.DNHKDVKL)-109.92(0)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 246 Tm 0 0 0 rg 0.17 Tw 0.068 Tc [(\)DFWRUV)-17(DIIHFWLQJ)-17(EUHDVW)-17(FDQFHU)-17(VFUHHQLQJ)-17(EHKDYLRU)-17(LQ)-17(-DSDQ)-17()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 234 Tm 0 0 0 rg 0.08537 Tw 0.03415 Tc [(DVVHVVPHQW)-8.54(XVLQJ)-8.54(WKH)-8.54(KHDOWK)-8.54(EHOLHI)-8.54(PRGHO)-8.54(DQG)-8.54(FRQMRLQW)-8.54(DQDO\\VLV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 222 Tm 0 0 0 rg ($VLDQ3DF-&DQFHU3UHY \f)Tj 0 g ET q BT 1 0 0 1 30 258 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 210 Tm /F1 10 Tf 0 0 0 rg 0.56258 Tw 0.22503 Tc [(%UHQQHU)-56.26($)-56.26(+RZDUG)-56.26(.)-56.26(/HZLV)-56.26(&)-56.26(6KHULGDQ)-56.26(6)-56.26(&UXWFKILHOG)-56.26(7)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 198 Tm 0 0 0 rg 0.18909 Tw 0.07564 Tc [(+DZOH\\)-18.91(6)-18.91(HW)-18.91(DO)-18.91(&RPSDULQJ)-18.91()-18.91(YDOXHV)-18.91(FODULILFDWLRQ)-18.91(PHWKRGV)-18.91(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 186 Tm 0 0 0 rg 0.61533 Tw 0.24613 Tc [(FRORUHFWDO)-61.53(FDQFHU)-61.53(VFUHHQLQJ)-61.53(GHFLVLRQPDNLQJ)-61.53(D)-61.53(UDQGRPL]HG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 174 Tm 0 0 0 rg 1.37 Tw 0.54881 Tc [(WULDO)-137.2(LQ)-137.2(WKH)-137.2(86)-137.2(DQG)-137.2($XVWUDOLD)-137.2(-)-137.2(*HQ)-137.2(,QWHUQ)-137.2(0HG)-137.2()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 162 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 210 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 150 Tm /F1 10 Tf 0 0 0 rg 0.98844 Tw 0.39537 Tc [(=DSND)-98.84(-)-98.84(.ODEXQGH)-98.84(&1)-98.84(7DSOLQ)-98.84(6)-98.84(<XDQ)-98.84(*)-98.84(5DQVRKRII)-98.84(')]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 138 Tm 0 0 0 rg 0.779 Tw 0.3116 Tc [(.REULQ)-77.9(6)-77.9(6FUHHQLQJ)-77.9(FRORQRVFRS\\)-77.9(LQ)-77.9(WKH)-77.9(86)-77.9(DWWLWXGHV)-77.9(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 126 Tm 0 0 0 rg 0.31834 Tw 0.12734 Tc [(SUDFWLFHV)-31.83(RI)-31.83(SULPDU\\)-31.83(FDUH)-31.83(SK\\VLFLDQV)-31.83(-)-31.83(*HQ)-31.83(,QWHUQ)-31.83(0HG)-31.83()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 114 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 150 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 0.58856 Tw 0.23542 Tc [(/DIDWD)-58.86(-\()-58.86(&RRSHU)-58.86(*6)-58.86('LYLQH)-58.86(*)-58.86(\)ORFNH)-58.86(6$)-58.86(2MD7HEEH)-58.86(1)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 666 Tm 0 0 0 rg 0.09402 Tw 0.03761 Tc [(6WDQJH)-9.4(.&)-9.4(HW)-9.4(DO)-9.4(3DWLHQWSK\\VLFLDQ)-9.4(FRORUHFWDO)-9.4(FDQFHU)-9.4(VFUHHQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 654 Tm 0 0 0 rg 0.31607 Tw 0.12643 Tc [(GLVFXVVLRQV)-31.61(GHOLYHU\\)-31.61(RI)-31.61(WKH)-31.61($V)-31.61(LQ)-31.61(SUDFWLFH)-31.61($P)-31.61(-)-31.61(3UHY)-31.61(0HG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 642 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 678 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 630 Tm /F1 10 Tf 0 0 0 rg 0.19345 Tw 0.07738 Tc [(*ODQ])-19.35(.)-19.35(%LVKRS)-19.35('%)-19.35(7KH)-19.35(UROH)-19.35(RI)-19.35(EHKDYLRUDO)-19.35(VFLHQFH)-19.35(WKHRU\\)-19.35(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 618 Tm 0 0 0 rg 2.35 Tw 0.94171 Tc [(GHYHORSPHQW)-235.43(DQG)-235.43(LPSOHPHQWDWLRQ)-235.43(RI)-235.43(SXEOLF)-235.43(KHDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 606 Tm 0 0 0 rg (LQWHUYHQWLRQV$QQX5HY3XEOLF+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 316 630 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 594 Tm /F1 10 Tf 0 0 0 rg 0.94262 Tw 0.37705 Tc [(%HUFKL)-94.26(&)-94.26('XSXLV)-94.26(-0)-94.26(/DXQR\\)-94.26(*)-94.26(7KH)-94.26(UHDVRQV)-94.26(RI)-94.26(JHQHUDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 582 Tm 0 0 0 rg 0.05786 Tw 0.02314 Tc [(SUDFWLWLRQHUV)-5.79(IRU)-5.79(SURPRWLQJ)-5.79(FRORUHFWDO)-5.79(FDQFHU)-5.79(PDVV)-5.79(VFUHHQLQJ)-5.79(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 570 Tm 0 0 0 rg (\)UDQFH\(XU-+HDOWK\(FRQ \f)Tj 0 g ET q BT 1 0 0 1 316 594 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 316 552 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm)Tj ET Q ,U endstream endobj 17 0 obj <>>>/Rotate 0/Thumb 48 0 R/Type/Page>> endobj 18 0 obj <>stream x BT 30 786 Td ET Q BT 1 0 0 1 30 666 Tm /F1 16 Tf (7DEOHV)Tj ET q 0.79216 0.83529 0.79216 rg 30 603.55 87.11 17 re f 0.79216 0.83529 0.79216 rg 117.11 603.55 281.07 17 re f 0.79216 0.83529 0.79216 rg 398.17 603.55 185.83 17 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 620.55 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 603.55 87.11 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 603.55 281.07 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 603.55 185.83 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 588.55 87.11 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 588.55 281.07 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 588.55 185.83 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 564.55 87.11 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 564.55 281.07 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 564.55 185.83 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 549.55 87.11 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 549.55 281.07 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 549.55 185.83 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 525.55 87.11 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 525.55 281.07 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 525.55 185.83 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 510.55 87.11 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 510.55 281.07 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 510.55 185.83 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 495.55 87.11 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 495.55 281.07 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 495.55 185.83 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 480.55 87.11 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 480.55 281.07 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 480.55 185.83 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 465.55 87.11 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 117.11 465.55 281.07 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 398.17 465.55 185.83 15 re S 0 G Q BT 1 0 0 1 32 637.55 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 (,QFOXVLRQDQG\([FOXVLRQ&ULWHULDIRU6WXGLHVRI&RQMRLQW$QDO\\VLV0HWKRGVDQG)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg ('LVFUHWH&KRLFH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (\([SHULPHQWV6WDWHG)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (3UHIHU)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 626.55 Tm 2 Tr 0.33333 w 0 0 0 RG 0 0 0 rg (HQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 608.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&ULWHULRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 121.11 608.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (,QFOXVLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 402.17 608.55 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (\([FOXVLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 592.55 Tm /F7 9 Tf 0 0 0 rg (3RSXODWLRQ)Tj 0 g ET BT 1 0 0 1 119.11 592.55 Tm /F7 9 Tf 0 0 0 rg (3DWLHQWV)Tj 0 g ET BT 1 0 0 1 400.17 592.55 Tm /F7 9 Tf 0 0 0 rg ($OORWKHUSRSXODWLRQV HJSK\\VLFLDQVRQO\\\f)Tj 0 g ET BT 1 0 0 1 32 577.55 Tm /F7 9 Tf 0 0 0 rg (,QWHUYHQWLRQ)Tj 0 g ET BT 1 0 0 1 119.11 577.55 Tm /F7 9 Tf 0 0 0 rg (%UHDVWFRORUHFWDODQGFHUYLFDOFDQFHUVFUHHQLQJUHFRPPHQGHGE\\WKH)Tj 0 g 1 0 0 1 119.11 568.55 Tm 0 0 0 rg (863UHYHQWLYH6HUYLFHV7DVN\)RUFH)Tj 0 g ET BT 1 0 0 1 400.17 577.55 Tm /F7 9 Tf 0 0 0 rg (2WKHUVFUHHQLQJSUHYHQWLRQWUHDWPHQWRU)Tj 0 g 1 0 0 1 400.17 568.55 Tm 0 0 0 rg (V\\VWHPVLQWHUYHQWLRQV)Tj 0 g ET BT 1 0 0 1 32 553.55 Tm /F7 9 Tf 0 0 0 rg (&RPSDUDWRU)Tj 0 g ET BT 1 0 0 1 119.11 553.55 Tm /F7 9 Tf 0 0 0 rg (1RQHVSHFLILHG)Tj 0 g ET BT 1 0 0 1 400.17 553.55 Tm /F7 9 Tf 0 0 0 rg (1RQHVSHFLILHG)Tj 0 g ET BT 1 0 0 1 32 538.55 Tm /F7 9 Tf 0 0 0 rg (2XWFRPHV SULPDU\\\f)Tj 0 g ET BT 1 0 0 1 119.11 538.55 Tm /F7 9 Tf 0 0 0 rg ($WWULEXWHVLQFOXGHGLQFRQMRLQWDQDO\\VLVRUGLVFUHWHFKRLFHH[SHULPHQW)Tj 0 g 1 0 0 1 119.11 529.55 Tm 0 0 0 rg (GHVLJQXVHRIRSWRXWTXHVWLRQV)Tj 0 g ET BT 1 0 0 1 400.17 538.55 Tm /F7 9 Tf 0 0 0 rg ($OORWKHU)Tj 0 g ET BT 1 0 0 1 32 514.55 Tm /F7 9 Tf 0 0 0 rg (7LPLQJ)Tj 0 g ET BT 1 0 0 1 119.11 514.55 Tm /F7 9 Tf 0 0 0 rg (-DQXDU\\WKURXJK-XO\\)Tj 0 g ET BT 1 0 0 1 400.17 514.55 Tm /F7 9 Tf 0 0 0 rg (%HIRUH-DQXDU\\RUDIWHU-XO\\)Tj 0 g ET BT 1 0 0 1 32 499.55 Tm /F7 9 Tf 0 0 0 rg (6HWWLQJ)Tj 0 g ET BT 1 0 0 1 119.11 499.55 Tm /F7 9 Tf 0 0 0 rg ($OOVHWWLQJV)Tj 0 g ET BT 1 0 0 1 400.17 499.55 Tm /F7 9 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 32 484.55 Tm /F7 9 Tf 0 0 0 rg (6WXG\\GHVLJQ)Tj 0 g ET BT 1 0 0 1 119.11 484.55 Tm /F7 9 Tf 0 0 0 rg (&RQMRLQWDQDO\\VLVRUGLVFUHWHFKRLFHH[SHULPHQWVWXGLHV)Tj 0 g ET BT 1 0 0 1 400.17 484.55 Tm /F7 9 Tf 0 0 0 rg ($OORWKHUVWXGLHV)Tj 0 g ET BT 1 0 0 1 32 469.55 Tm /F7 9 Tf 0 0 0 rg (/DQJXDJH)Tj 0 g ET BT 1 0 0 1 119.11 469.55 Tm /F7 9 Tf 0 0 0 rg (\(QJOLVK)Tj 0 g ET BT 1 0 0 1 400.17 469.55 Tm /F7 9 Tf 0 0 0 rg (1RQ\(QJOLVK)Tj 0 g ET q 1 w 0.50196 0.50196 0.50196 RG 30 461.55 m 584 461.55 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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/2016/15_0433.htm Centers for Disease Control and Prevention 9)Tj ET Q twD endstream endobj 19 0 obj <>>>/Rotate 0/Thumb 49 0 R/Type/Page>> endobj 20 0 obj <>stream xP]q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 642 90 17 re f 0.79216 0.83529 0.79216 rg 120 642 194.02 17 re f 0.79216 0.83529 0.79216 rg 314.01 642 52.59 17 re f 0.79216 0.83529 0.79216 rg 366.61 642 217.39 17 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 659 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 642 90 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 642 194.02 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 642 52.59 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 642 217.39 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 627 554 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 603 90 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 603 194.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 603 52.59 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 603 217.39 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 570 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 570 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 570 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 570 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 537 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 537 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 537 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 537 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 513 90 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 513 194.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 513 52.59 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 513 217.39 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 489 90 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 489 194.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 489 52.59 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 489 217.39 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 447 90 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 447 194.02 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 447 52.59 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 447 217.39 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 405 90 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 405 194.02 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 405 52.59 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 405 217.39 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 372 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 372 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 372 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 372 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 339 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 339 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 339 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 339 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 315 90 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 315 194.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 315 52.59 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 315 217.39 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 282 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 282 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 282 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 282 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 240 90 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 240 194.02 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 240 52.59 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 240 217.39 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 207 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 207 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 207 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 207 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 165 90 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 165 194.02 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 165 52.59 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 165 217.39 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 132 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 132 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 132 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 132 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 104 554 28 re S 0 G Q BT 1 0 0 1 32 665 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 (&KDUDFWHULVWLFVRI,QFOXGHG6WXGLHV6WDWHG3UHIHUHQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 647 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LWDWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 124 647 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3RSXODWLRQDQG6DPSOH6L]H)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 318.01 647 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&DQFHUW\\SH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 370.61 647 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3XUSRVHRI6WXG\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 631 Tm /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6WXGLHVZLWKRQO\\VFUHHQLQJWHVWDWWULEXWHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 616 Tm /F7 9 Tf 0 0 0 rg ($UDxDHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 616 Tm /F7 9 Tf 0 0 0 rg (6WXGHQWVLQ*UDQ&DQDULD6SDLQ FRPSDUHG)Tj 0 g 1 0 0 1 122 607 Tm 0 0 0 rg (SUHIHUHQFHVWRWKRVHRIRQFRORJLVWV\f)Tj 0 g ET BT 1 0 0 1 316.01 616 Tm /F7 9 Tf 0 0 0 rg (&HUYLFDO)Tj 0 g ET BT 1 0 0 1 368.61 616 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHWKHSUHIHUHQFHVRIJHQHUDOSRSXODWLRQZLWK)Tj 0 g 1 0 0 1 368.61 607 Tm 0 0 0 rg (SUHIHUHQFHVRIVXEMHFWVZLWKPHGLFDOH[SHUWLVH)Tj 0 g ET BT 1 0 0 1 32 592 Tm /F7 9 Tf 0 0 0 rg (%DVHQ\(QJTXLVWHWDO)Tj 0 g 1 0 0 1 32 583 Tm 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 1 122 592 Tm /F7 9 Tf 0 0 0 rg (:RPHQZLWK Q \fDQGZLWKRXW Q \fD)Tj 0 g 1 0 0 1 122 583 Tm 0 0 0 rg (KLVWRU\\RIDEQRUPDO3DSDQLFRODRXVPHDUZKROLYH)Tj 0 g 1 0 0 1 122 574 Tm 0 0 0 rg (LQ*URRW5LMQPRQG1HWKHUODQGV)Tj 0 g ET BT 1 0 0 1 316.01 592 Tm /F7 9 Tf 0 0 0 rg (&HUYLFDO)Tj 0 g ET BT 1 0 0 1 368.61 592 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHWKHSUHIHUHQFHVRIZRPHQZLWKDQGZLWKRXWD)Tj 0 g 1 0 0 1 368.61 583 Tm 0 0 0 rg (KLVWRU\\RIDEQRUPDO3DSDQLFRODRXVPHDUWHVWVLQFOXGLQJ)Tj 0 g 1 0 0 1 368.61 574 Tm 0 0 0 rg (DQHZWHFKQRORJ\\)Tj 0 g ET BT 1 0 0 1 32 559 Tm /F7 9 Tf 0 0 0 rg (GH%HNNHU*UREHWDO)Tj 0 g 1 0 0 1 32 550 Tm 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 1 122 559 Tm /F7 9 Tf 0 0 0 rg ($GXOWVDJHG\\HDUVZLWK Q \fDQG)Tj 0 g 1 0 0 1 122 550 Tm 0 0 0 rg (ZLWKRXW Q \fDFRORUHFWDOFDQFHUVFUHHQLQJ)Tj 0 g 1 0 0 1 122 541 Tm 0 0 0 rg (KLVWRU\\LQWKH1HWKHUODQGV)Tj 0 g ET BT 1 0 0 1 316.01 559 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 559 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHSUHIHUHQFHUHVXOWVIRUDODEHOHGDQGDQ)Tj 0 g 1 0 0 1 368.61 550 Tm 0 0 0 rg (XQODEHOHGGLVFUHWHFKRLFHH[SHULPHQW)Tj 0 g ET BT 1 0 0 1 32 526 Tm /F7 9 Tf 0 0 0 rg (*\\UG+DQVHQ)Tj 0 g 1 0 0 1 32 517 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 526 Tm /F7 9 Tf 0 0 0 rg (:RPHQDJHG\\HDUVOLYLQJLQ'HQPDUN)Tj 0 g ET BT 1 0 0 1 316.01 526 Tm /F7 9 Tf 0 0 0 rg (%UHDVW)Tj 0 g ET BT 1 0 0 1 368.61 526 Tm /F7 9 Tf 0 0 0 rg ($VVHVVZRPHQVSUHIHUHQFHVIRUWKHDWWULEXWHVRIEUHDVW)Tj 0 g 1 0 0 1 368.61 517 Tm 0 0 0 rg (FDQFHUVFUHHQLQJSURJUDPV)Tj 0 g ET BT 1 0 0 1 32 502 Tm /F7 9 Tf 0 0 0 rg (*\\UG+DQVHQDQG)Tj 0 g 1 0 0 1 32 493 Tm 0 0 0 rg (6JDDUG )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 502 Tm /F7 9 Tf 0 0 0 rg ($GXOWVDJHG\\HDUVOLYLQJLQ'HQPDUN)Tj 0 g ET BT 1 0 0 1 316.01 502 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 502 Tm /F7 9 Tf 0 0 0 rg ($VVHVVZRPHQVSUHIHUHQFHVIRUWKHDWWULEXWHVRI)Tj 0 g 1 0 0 1 368.61 493 Tm 0 0 0 rg (FRORUHFWDOFDQFHUVFUHHQLQJSURJUDPV)Tj 0 g ET BT 1 0 0 1 32 478 Tm /F7 9 Tf 0 0 0 rg (+DZOH\\HWDO)Tj 0 g 1 0 0 1 32 469 Tm 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 1 122 478 Tm /F7 9 Tf 0 0 0 rg (:KLWH+LVSDQLFDQG$IULFDQ$PHULFDQ)Tj 0 g 1 0 0 1 122 469 Tm 0 0 0 rg (SULPDU\\FDUHSDWLHQWVDJHG\\HDUVZLWKQR)Tj 0 g 1 0 0 1 122 460 Tm 0 0 0 rg (SHUVRQDORUIDPLO\\KLVWRU\\RIFRORUHFWDOFDQFHU)Tj 0 g 1 0 0 1 122 451 Tm 0 0 0 rg (OLYLQJLQWKH8QLWHG6WDWHV)Tj 0 g ET BT 1 0 0 1 316.01 478 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 478 Tm /F7 9 Tf 0 0 0 rg ('HVFULEHSUHIHUHQFHVIRUDUDQJHRIH[LVWLQJDQGQHZ)Tj 0 g 1 0 0 1 368.61 469 Tm 0 0 0 rg (FRORUHFWDOFDQFHUVFUHHQLQJWHVWVDPRQJ$IULFDQ)Tj 0 g 1 0 0 1 368.61 460 Tm 0 0 0 rg ($PHULFDQ+LVSDQLFDQGZKLWHSULPDU\\FDUHSDWLHQWV)Tj 0 g ET BT 1 0 0 1 32 436 Tm /F7 9 Tf 0 0 0 rg (+ROHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 436 Tm /F7 9 Tf 0 0 0 rg (6FUHHQLQJQDLYHDGXOWVDJHG\\HDUV)Tj 0 g 1 0 0 1 122 427 Tm 0 0 0 rg (DQGVXEMHFWVRIDFRORUHFWDOFDQFHUVFUHHQLQJ)Tj 0 g 1 0 0 1 122 418 Tm 0 0 0 rg (WULDODOVRDJHG\\HDUVOLYLQJLQWKH)Tj 0 g 1 0 0 1 122 409 Tm 0 0 0 rg (1HWKHUODQGV)Tj 0 g ET BT 1 0 0 1 316.01 436 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 436 Tm /F7 9 Tf 0 0 0 rg ($VVHVVSUHIHUHQFHVDQGSUHGLFWWKHXSWDNHRIFRORUHFWDO)Tj 0 g 1 0 0 1 368.61 427 Tm 0 0 0 rg (FDQFHUVFUHHQLQJSURJUDPVDQGLGHQWLI\\GLIIHUHQFHVLQ)Tj 0 g 1 0 0 1 368.61 418 Tm 0 0 0 rg (SUHIHUHQFHVWUXFWXUHVDPRQJVXEJURXSVLQWKHVDPSOH)Tj 0 g ET BT 1 0 0 1 32 394 Tm /F7 9 Tf 0 0 0 rg (+RZDUGDQG6DONHOG)Tj 0 g 1 0 0 1 32 385 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 394 Tm /F7 9 Tf 0 0 0 rg (3HRSOHZKRKDGSXUFKDVHGDIHFDORFFXOW)Tj 0 g 1 0 0 1 122 385 Tm 0 0 0 rg (EORRGWHVWLQWKHSDVW\\HDUZKRZHUHOLYLQJLQ)Tj 0 g 1 0 0 1 122 376 Tm 0 0 0 rg ($XVWUDOLD)Tj 0 g ET BT 1 0 0 1 316.01 394 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 394 Tm /F7 9 Tf 0 0 0 rg (\([SORUHWKHHIIHFWRIDWWULEXWHIUDPLQJRQFRORUHFWDO)Tj 0 g 1 0 0 1 368.61 385 Tm 0 0 0 rg (FDQFHUVFUHHQLQJSUHIHUHQFHV)Tj 0 g ET BT 1 0 0 1 32 361 Tm /F7 9 Tf 0 0 0 rg (+RZDUGHWDO)Tj 0 g 1 0 0 1 32 352 Tm 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 1 122 361 Tm /F7 9 Tf 0 0 0 rg (3DWLHQWVZLWKFOLQLFDOLQGLFDWLRQVVXVSLFLRXV)Tj 0 g 1 0 0 1 122 352 Tm 0 0 0 rg (RIFRORUHFWDOFDQFHUZKRH[SHULHQFHGERWK&7&)Tj 0 g 1 0 0 1 122 343 Tm 0 0 0 rg (DQGFRORQRVFRS\\ZKRDUHOLYLQJLQ6RXWK$XVWUDOLD)Tj 0 g ET BT 1 0 0 1 316.01 361 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 361 Tm /F7 9 Tf 0 0 0 rg ($VVHVVSUHIHUHQFHVRISDWLHQWVZLWKVXVSLFLRXVFOLQLFDO)Tj 0 g 1 0 0 1 368.61 352 Tm 0 0 0 rg (LQGLFDWLRQVRIFRORUHFWDOFDQFHUZKRKDYHH[SHULHQFHG)Tj 0 g 1 0 0 1 368.61 343 Tm 0 0 0 rg (ERWK&7&DQGFRORQRVFRS\\)Tj 0 g ET BT 1 0 0 1 32 328 Tm /F7 9 Tf 0 0 0 rg (0DUVKDOOHWDO)Tj 0 g 1 0 0 1 32 319 Tm 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 1 122 328 Tm /F7 9 Tf 0 0 0 rg (3ULPDU\\FDUHSDWLHQWVDJHG\\HDUV)Tj 0 g 1 0 0 1 122 319 Tm 0 0 0 rg (OLYLQJLQ&DQDGD)Tj 0 g ET BT 1 0 0 1 316.01 328 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 328 Tm /F7 9 Tf 0 0 0 rg (0HDVXUHDQGTXDQWLI\\SUHIHUHQFHVIRUYDULRXVFRORUHFWDO)Tj 0 g 1 0 0 1 368.61 319 Tm 0 0 0 rg (FDQFHUVFUHHQLQJWHVWVDQGSUHGLFWRUVRIXSWDNH)Tj 0 g ET BT 1 0 0 1 32 304 Tm /F7 9 Tf 0 0 0 rg (0DUVKDOOHWDO)Tj 0 g 1 0 0 1 32 295 Tm 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 1 122 304 Tm /F7 9 Tf 0 0 0 rg (*HQHUDOSRSXODWLRQUHVSRQGHQWVOLYLQJLQ)Tj 0 g 1 0 0 1 122 295 Tm 0 0 0 rg (&DQDGDDQGOLYLQJLQWKH8QLWHG6WDWHV)Tj 0 g 1 0 0 1 122 286 Tm 0 0 0 rg ( FRPSDUHGZLWKSK\\VLFLDQV\f)Tj 0 g ET BT 1 0 0 1 316.01 304 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 304 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHSUHIHUHQFHVRIWKHJHQHUDOSRSXODWLRQDQG)Tj 0 g 1 0 0 1 368.61 295 Tm 0 0 0 rg (SK\\VLFLDQVIRUDWWULEXWHVRIFRORUHFWDOFDQFHUVFUHHQLQJ)Tj 0 g 1 0 0 1 368.61 286 Tm 0 0 0 rg (WHVWVDQGSUHGLFWRUVRIXSWDNH)Tj 0 g ET BT 1 0 0 1 32 271 Tm /F7 9 Tf 0 0 0 rg (3LJQRQHHWDO)Tj 0 g 1 0 0 1 32 262 Tm 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 1 122 271 Tm /F7 9 Tf 0 0 0 rg ($GXOWVDJHG\\HDUVZLWKQRSHUVRQDORU)Tj 0 g 1 0 0 1 122 262 Tm 0 0 0 rg (LPPHGLDWHIDPLO\\KLVWRU\\RIFRORQFDQFHUSRO\\SV)Tj 0 g 1 0 0 1 122 253 Tm 0 0 0 rg (RULQIODPPDWRU\\ERZHOGLVHDVHOLYLQJLQWKH8QLWHG)Tj 0 g 1 0 0 1 122 244 Tm 0 0 0 rg (6WDWHV)Tj 0 g ET BT 1 0 0 1 316.01 271 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 271 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHSUHIHUHQFHVHOLFLWHGXVLQJFKRLFHEDVHG)Tj 0 g 1 0 0 1 368.61 262 Tm 0 0 0 rg (FRQMRLQWDQDO\\VLVDQGDUDWLQJDQGUDQNLQJWDVNIRU)Tj 0 g 1 0 0 1 368.61 253 Tm 0 0 0 rg (FRORUHFWDOFDQFHUVFUHHQLQJWHVWV)Tj 0 g ET BT 1 0 0 1 32 229 Tm /F7 9 Tf 0 0 0 rg (5\\DQDQG6NnWXQ)Tj 0 g 1 0 0 1 32 220 Tm 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 1 122 229 Tm /F7 9 Tf 0 0 0 rg (:RPHQDJHG\\HDUVHOLJLEOHIRU)Tj 0 g 1 0 0 1 122 220 Tm 0 0 0 rg (VFUHHQLQJIRUFHUYLFDOFDQFHUDQGOLYLQJLQ)Tj 0 g 1 0 0 1 122 211 Tm 0 0 0 rg (6FRWODQG8QLWHG.LQJGRP)Tj 0 g ET BT 1 0 0 1 316.01 229 Tm /F7 9 Tf 0 0 0 rg (&HUYLFDO)Tj 0 g ET BT 1 0 0 1 368.61 229 Tm /F7 9 Tf 0 0 0 rg (\([SORUHWKHLPSRUWDQFHRILQFOXGLQJDQRSWRXWRUQRWHVW)Tj 0 g 1 0 0 1 368.61 220 Tm 0 0 0 rg (RSWLRQLQGLVFUHWHFKRLFHVWXGLHV)Tj 0 g ET BT 1 0 0 1 32 196 Tm /F7 9 Tf 0 0 0 rg (YDQ'DPHWDO)Tj 0 g 1 0 0 1 32 187 Tm 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 1 122 196 Tm /F7 9 Tf 0 0 0 rg (6FUHHQLQJQDLYHLQGLYLGXDOVDJHG)Tj 0 g 1 0 0 1 122 187 Tm 0 0 0 rg (\\HDUVDQGVFUHHQLQJWULDOSDUWLFLSDQWVRI)Tj 0 g 1 0 0 1 122 178 Tm 0 0 0 rg (DYHUDJHFRORUHFWDOFDQFHUULVNOLYLQJLQWKH)Tj 0 g 1 0 0 1 122 169 Tm 0 0 0 rg (1HWKHUODQGV)Tj 0 g ET BT 1 0 0 1 316.01 196 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 196 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHSUHIHUHQFHVIRUDWWULEXWHVRIFRPPRQ)Tj 0 g 1 0 0 1 368.61 187 Tm 0 0 0 rg (FRORUHFWDOFDQFHUVFUHHQLQJWHVWV)Tj 0 g ET BT 1 0 0 1 32 154 Tm /F7 9 Tf 0 0 0 rg (:RUGVZRUWKHWDO)Tj 0 g 1 0 0 1 32 145 Tm 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 1 122 154 Tm /F7 9 Tf 0 0 0 rg (:RPHQDJHG\\HDUVHOLJLEOHIRU)Tj 0 g 1 0 0 1 122 145 Tm 0 0 0 rg (VFUHHQLQJIRUFHUYLFDOFDQFHUDQGOLYLQJLQ)Tj 0 g 1 0 0 1 122 136 Tm 0 0 0 rg (6FRWODQG8QLWHG.LQJGRP)Tj 0 g ET BT 1 0 0 1 316.01 154 Tm /F7 9 Tf 0 0 0 rg (&HUYLFDO)Tj 0 g ET BT 1 0 0 1 368.61 154 Tm /F7 9 Tf 0 0 0 rg (\(OLFLWSUHIHUHQFHVIRUWKHDWWULEXWHVRIFHUYLFDOFDQFHU)Tj 0 g 1 0 0 1 368.61 145 Tm 0 0 0 rg (VFUHHQLQJWHVWV)Tj 0 g ET BT 1 0 0 1 32 121 Tm /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6WXGLHVZLWKRQO\\KHDOWKFDUHGHOLYHU\\DWWULEXWHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 92 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV%5&$DQG%5&$EUHDVWFDQFHUDQGHDUO\\RQVHWJHQHV&7&FRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\)Tj 0 g ET q BT 1 0 0 1 32 92 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 80 Tm /F7 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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 (10 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2016/15_0433.htm)Tj ET Q [ endstream endobj 21 0 obj <>>>/Rotate 0/Thumb 50 0 R/Type/Page>> endobj 22 0 obj <>stream x;,q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 641 90 17 re f 0.79216 0.83529 0.79216 rg 120 641 194.02 17 re f 0.79216 0.83529 0.79216 rg 314.01 641 52.59 17 re f 0.79216 0.83529 0.79216 rg 366.61 641 217.39 17 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 641 90 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 641 194.02 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 641 52.59 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 641 217.39 17 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 599 90 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 599 194.02 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 599 52.59 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 599 217.39 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 566 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 566 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 566 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 566 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 551 554 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 518 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 518 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 518 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 518 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 476 90 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 476 194.02 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 476 52.59 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 476 217.39 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 452 90 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 452 194.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 452 52.59 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 452 217.39 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 419 90 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 419 194.02 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 419 52.59 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 419 217.39 33 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 395 90 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 120 395 194.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 314.01 395 52.59 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 366.61 395 217.39 24 re S 0 G Q BT 1 0 0 1 32 679 Tm /F7 9 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 664 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 (&KDUDFWHULVWLFVRI,QFOXGHG6WXGLHV6WDWHG3UHIHUHQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LWDWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 124 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3RSXODWLRQDQG6DPSOH6L]H)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 318.01 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&DQFHUW\\SH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 370.61 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3XUSRVHRI6WXG\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 630 Tm /F7 9 Tf 0 0 0 rg (*ULIILWKHWDO)Tj 0 g 1 0 0 1 32 621 Tm 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 1 122 630 Tm /F7 9 Tf 0 0 0 rg (3DWLHQWVDWKLJKPRGHUDWHDQGORZULVNRI)Tj 0 g 1 0 0 1 122 621 Tm 0 0 0 rg (GHYHORSLQJJHQHWLFFDQFHUZKRUHFHLYHGDJHQHWLF)Tj 0 g 1 0 0 1 122 612 Tm 0 0 0 rg (ULVNDVVHVVPHQWDQGOLYHLQ:DOHV8QLWHG)Tj 0 g 1 0 0 1 122 603 Tm 0 0 0 rg (.LQJGRP)Tj 0 g ET BT 1 0 0 1 316.01 630 Tm /F7 9 Tf 0 0 0 rg (%UHDVW)Tj 0 g ET BT 1 0 0 1 368.61 630 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHWKHSUHIHUHQFHVIRUDWWULEXWHVRIJHQHWLF)Tj 0 g 1 0 0 1 368.61 621 Tm 0 0 0 rg (VFUHHQLQJWHVWVDPRQJZRPHQDWORZPRGHUDWHDQG)Tj 0 g 1 0 0 1 368.61 612 Tm 0 0 0 rg (KLJKULVNRIFDUU\\LQJDJHQHWLFPXWDWLRQ)Tj 0 g ET BT 1 0 0 1 32 588 Tm /F7 9 Tf 0 0 0 rg (3HDFRFNHWDO)Tj 0 g 1 0 0 1 32 579 Tm 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 1 122 588 Tm /F7 9 Tf 0 0 0 rg ($VKNHQD]L-HZLVKZRPHQOLYLQJLQ$XVWUDOLD)Tj 0 g 1 0 0 1 122 579 Tm 0 0 0 rg (ZKRHQUROOHGLQDVWXG\\WRWHVWIRUPXWDWLRQVLQ)Tj 0 g 1 0 0 1 122 570 Tm 0 0 0 rg (WKHJHQHV%5&$DQG%5&$)Tj 0 g ET BT 1 0 0 1 316.01 588 Tm /F7 9 Tf 0 0 0 rg (%UHDVW)Tj 0 g ET BT 1 0 0 1 368.61 588 Tm /F7 9 Tf 0 0 0 rg ($VVHVVSUHIHUHQFHVIRUDWWULEXWHVRIEUHDVWFDQFHU)Tj 0 g 1 0 0 1 368.61 579 Tm 0 0 0 rg (JHQHWLFFRXQVHOLQJVHUYLFHVDPRQJ$VKNHQD]L-HZLVK)Tj 0 g 1 0 0 1 368.61 570 Tm 0 0 0 rg (ZRPHQ)Tj 0 g ET BT 1 0 0 1 32 555 Tm /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6WXGLHVZLWKERWKVFUHHQLQJWHVWDQGKHDOWKFDUHGHOLYHU\\DWWULEXWHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 540 Tm /F7 9 Tf 0 0 0 rg (\)LHELJHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 540 Tm /F7 9 Tf 0 0 0 rg (:RPHQLQ$XVWUDOLDDJHG\\HDUV)Tj 0 g 1 0 0 1 122 531 Tm 0 0 0 rg (SUHYLRXVO\\VFUHHQHGIRUFHUYLFDOFDQFHU)Tj 0 g 1 0 0 1 122 522 Tm 0 0 0 rg ( FRPSDUHGZLWKJHQHUDOSUDFWLWLRQHUV\f)Tj 0 g ET BT 1 0 0 1 316.01 540 Tm /F7 9 Tf 0 0 0 rg (&HUYLFDO)Tj 0 g ET BT 1 0 0 1 368.61 540 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHWKHSUHIHUHQFHVRIFRQVXPHUVDQGSURYLGHUV)Tj 0 g 1 0 0 1 368.61 531 Tm 0 0 0 rg (IRUDWWULEXWHVRIDOWHUQDWLYHFHUYLFDOVFUHHQLQJWHVWV)Tj 0 g ET BT 1 0 0 1 32 507 Tm /F7 9 Tf 0 0 0 rg (*HUDUGHWDO)Tj 0 g 1 0 0 1 32 498 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 507 Tm /F7 9 Tf 0 0 0 rg (:RPHQLQ$XVWUDOLDDWWHQGLQJEUHDVWFDQFHU)Tj 0 g 1 0 0 1 122 498 Tm 0 0 0 rg (VFUHHQLQJ)Tj 0 g ET BT 1 0 0 1 316.01 507 Tm /F7 9 Tf 0 0 0 rg (%UHDVW)Tj 0 g ET BT 1 0 0 1 368.61 507 Tm /F7 9 Tf 0 0 0 rg ($VVHVVSUHIHUHQFHVIRUDOWHUQDWLYHEUHDVWFDQFHU)Tj 0 g 1 0 0 1 368.61 498 Tm 0 0 0 rg (VFUHHQLQJRSWLRQVDQGLOOXVWUDWHKRZEUHDVWFDQFHU)Tj 0 g 1 0 0 1 368.61 489 Tm 0 0 0 rg (VFUHHQLQJVHUYLFHSURYLGHUVFDQXVHHPSLULFDOILQGLQJV)Tj 0 g 1 0 0 1 368.61 480 Tm 0 0 0 rg (WRGHYHORSSUHIHUUHGSDUWLFLSDWLRQVWUDWHJLHV)Tj 0 g ET BT 1 0 0 1 32 465 Tm /F7 9 Tf 0 0 0 rg (1D\\DUDGRXHWDO)Tj 0 g 1 0 0 1 32 456 Tm 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 1 122 465 Tm /F7 9 Tf 0 0 0 rg (0HPEHUVRIWKHJHQHUDOSRSXODWLRQOLYLQJLQ)Tj 0 g 1 0 0 1 122 456 Tm 0 0 0 rg (\)UDQFHDJHG\\HDUV)Tj 0 g ET BT 1 0 0 1 316.01 465 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 465 Tm /F7 9 Tf 0 0 0 rg ($VVHVVSUHIHUHQFHVIRUGLIIHUHQWW\\SHVRIWKHIHFDORFFXOW)Tj 0 g 1 0 0 1 368.61 456 Tm 0 0 0 rg (EORRGWHVWDFRORUHFWDOFDQFHUVFUHHQLQJWHVW)Tj 0 g ET BT 1 0 0 1 32 441 Tm /F7 9 Tf 0 0 0 rg (6DONHOGHWDO)Tj 0 g 1 0 0 1 32 432 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 122 441 Tm /F7 9 Tf 0 0 0 rg (3HRSOHOLYLQJLQ$XVWUDOLDZKRKDGXVHGWKH)Tj 0 g 1 0 0 1 122 432 Tm 0 0 0 rg (ERZHOVFDQWHVWNLWRQDWOHDVWRFFDVLRQVLQWKH)Tj 0 g 1 0 0 1 122 423 Tm 0 0 0 rg (SUHYLRXV\\HDUV)Tj 0 g ET BT 1 0 0 1 316.01 441 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 441 Tm /F7 9 Tf 0 0 0 rg (&RPSDUHFRQVXPHUSUHIHUHQFHVIRUDQH[LVWLQJ)Tj 0 g 1 0 0 1 368.61 432 Tm 0 0 0 rg (FRORUHFWDOFDQFHUWHVWZLWKDQHZWHVW)Tj 0 g ET BT 1 0 0 1 32 408 Tm /F7 9 Tf 0 0 0 rg (6DONHOGHWDO)Tj 0 g 1 0 0 1 32 399 Tm 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 1 122 408 Tm /F7 9 Tf 0 0 0 rg ($GXOWVOLYLQJLQ$XVWUDOLDDJHG\\HDUVDW)Tj 0 g 1 0 0 1 122 399 Tm 0 0 0 rg (DYHUDJHULVNRIFRORUHFWDOFDQFHU)Tj 0 g ET BT 1 0 0 1 316.01 408 Tm /F7 9 Tf 0 0 0 rg (&RORUHFWDO)Tj 0 g ET BT 1 0 0 1 368.61 408 Tm /F7 9 Tf 0 0 0 rg (\(OLFLWSUHIHUHQFHVIRUDWWULEXWHVRIFRORUHFWDOFDQFHU)Tj 0 g 1 0 0 1 368.61 399 Tm 0 0 0 rg (VFUHHQLQJXVLQJWKHIHFDORFFXOWEORRGWHVW)Tj 0 g ET BT 1 0 0 1 32 383 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV%5&$DQG%5&$EUHDVWFDQFHUDQGHDUO\\RQVHWJHQHV&7&FRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\)Tj 0 g ET q BT 1 0 0 1 32 383 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 365 m 584 365 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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 1 196.68 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2016/15_0433.htm Centers for Disease Control and Prevention 11)Tj ET Q : endstream endobj 23 0 obj <>>>/Rotate 0/Thumb 51 0 R/Type/Page>> endobj 24 0 obj <>stream x>q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 624 98.73 35 re f 0.79216 0.83529 0.79216 rg 128.73 624 245.73 35 re f 0.79216 0.83529 0.79216 rg 374.47 624 74.6 35 re f 0.79216 0.83529 0.79216 rg 449.07 624 134.93 35 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 659 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 624 98.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 624 245.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 624 74.6 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 624 134.93 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 609 554 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 549 98.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 549 245.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 549 74.6 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 549 134.93 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 507 98.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 507 245.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 507 74.6 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 507 134.93 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 438 98.73 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 438 245.73 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 438 74.6 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 438 134.93 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 396 98.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 396 245.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 396 74.6 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 396 134.93 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 354 98.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 354 245.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 354 74.6 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 354 134.93 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 285 98.73 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 285 245.73 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 285 74.6 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 285 134.93 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 225 98.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 225 245.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 225 74.6 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 225 134.93 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 164 98.73 61 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 164 245.73 61 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 164 74.6 61 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 164 134.93 61 re S 0 G Q BT 1 0 0 1 32 665 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 (5HVXOWVRI,QFOXGHG6WXGLHV6WDWHG3UHIHUHQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 629 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LWDWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 212.79 629 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg ($WWULEXWHV\(YDOXDWHG)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 387.35 647 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (,QFOXGHG1R)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 381.32 638 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVWRU2SW2XW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 397.55 629 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (2SWLRQ")Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 456.78 638 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3UHGLFWHG8SWDNHIRUD6SHFLILF)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 509.25 629 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVW)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 613 Tm /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6WXGLHVZLWKRQO\\VFUHHQLQJWHVWDWWULEXWHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 598 Tm /F7 9 Tf 0 0 0 rg ($UDxDHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 598 Tm /F7 9 Tf 0 0 0 rg (\)RUSUDFWLWLRQHUVVWXGHQWVDQGSRROHGVDPSOH)Tj 0 g 1 0 0 1 130.73 589 Tm 0 0 0 rg (,QWHUYDOEHWZHHQWHVWV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 580 Tm /F7 9 Tf 0 0 0 rg (3UREDELOLW\\RIDIDOVHSRVLWLYH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 571 Tm /F7 9 Tf 0 0 0 rg (3UREDELOLW\\RIG\\LQJIURPFHUYLFDOFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 562 Tm /F7 9 Tf 0 0 0 rg (:DLWLQJWLPHIRUWKHUHVXOWVRIWKHWHVW)Tj 0 g 1 0 0 1 130.73 553 Tm 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 598 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 598 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 538 Tm /F7 9 Tf 0 0 0 rg (%DVHQ\(QJTXLVWHWDO)Tj 0 g 1 0 0 1 32 529 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 538 Tm /F7 9 Tf 0 0 0 rg (3DLQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 529 Tm /F7 9 Tf 0 0 0 rg (7LPHRIUHVXOWVDQGWUHDWPHQW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 520 Tm /F7 9 Tf 0 0 0 rg (6SHFLILFLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 511 Tm /F7 9 Tf 0 0 0 rg (6HQVLWLYLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 538 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 538 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 496 Tm /F7 9 Tf 0 0 0 rg (GH%HNNHU*UREHWDO)Tj 0 g 1 0 0 1 32 487 Tm 0 0 0 rg ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 496 Tm /F7 9 Tf 0 0 0 rg (5HGXFWLRQLQPRUWDOLW\\)Tj 0 g 1 0 0 1 130.73 487 Tm 0 0 0 rg (\)UHTXHQF\\RIVFUHHQLQJSHU\\HDUV)Tj 0 g 1 0 0 1 130.73 478 Tm 0 0 0 rg (&RPSOLFDWLRQULVN)Tj 0 g 1 0 0 1 130.73 469 Tm 0 0 0 rg (/RFDWLRQRIVFUHHQLQJ)Tj 0 g 1 0 0 1 130.73 460 Tm 0 0 0 rg (6FUHHQLQJGXUDWLRQ)Tj 0 g 1 0 0 1 130.73 451 Tm 0 0 0 rg (3UHSDUDWLRQIRUSDWLHQW)Tj 0 g 1 0 0 1 130.73 442 Tm 0 0 0 rg (6LGHHIIHFWVRIVFUHHQLQJ)Tj 0 g ET BT 1 0 0 1 376.47 496 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 496 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 427 Tm /F7 9 Tf 0 0 0 rg (*\\UG+DQVHQ )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 427 Tm /F7 9 Tf 0 0 0 rg (1XPEHURIWHVWVSHUIRUPHGRYHUWKHQH[W\\HDUV)Tj 0 g 1 0 0 1 130.73 418 Tm 0 0 0 rg (5LVNRIIDOVHSRVLWLYHGLDJQRVLVRYHU\\HDUV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 409 Tm /F7 9 Tf 0 0 0 rg (5LVNUHGXFWLRQRYHUOLIHWLPH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 400 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 427 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 427 Tm /F7 9 Tf 0 0 0 rg (\)RUDSURJUDPVFUHHQLQJWKH)Tj 0 g 1 0 0 1 451.07 418 Tm 0 0 0 rg (\\HDUROGVHYHU\\VHFRQG)Tj 0 g 1 0 0 1 451.07 409 Tm 0 0 0 rg (\\HDUWKHHVWLPDWHGSDUWLFLSDWLRQ)Tj 0 g 1 0 0 1 451.07 400 Tm 0 0 0 rg (UDWHVDUH\bDQG\b)Tj 0 g ET BT 1 0 0 1 32 385 Tm /F7 9 Tf 0 0 0 rg (*\\UG+DQVHQDQG)Tj 0 g 1 0 0 1 32 376 Tm 0 0 0 rg (6JDDUG )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 385 Tm /F7 9 Tf 0 0 0 rg (1XPEHURIWHVWVSHUIRUPHGRYHUWKHQH[W\\HDUV)Tj 0 g 1 0 0 1 130.73 376 Tm 0 0 0 rg (5LVNRIIDOVHSRVLWLYHGLDJQRVLVRYHU\\HDUV)Tj 0 g 1 0 0 1 130.73 367 Tm 0 0 0 rg (5LVNUHGXFWLRQRYHUOLIHWLPH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 358 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 385 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 385 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 343 Tm /F7 9 Tf 0 0 0 rg (+DZOH\\HWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 343 Tm /F7 9 Tf 0 0 0 rg (:KDWWKHWHVWLQYROYHV HJVWRROVDPSOH;UD\\\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 334 Tm /F7 9 Tf 0 0 0 rg ($FFXUDF\\IRUILQGLQJFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 325 Tm /F7 9 Tf 0 0 0 rg (7HVWIUHTXHQF\\KRZRIWHQ\\RXQHHGWRGRWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 316 Tm /F7 9 Tf 0 0 0 rg ('LVFRPIRUWGXULQJWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 307 Tm /F7 9 Tf 0 0 0 rg (3UHSDUDWLRQQHHGHGIRUWKHWHVW)Tj 0 g 1 0 0 1 130.73 298 Tm 0 0 0 rg (6HGDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 289 Tm /F7 9 Tf 0 0 0 rg (\)ROORZXS)Tj 0 g ET BT 1 0 0 1 376.47 343 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 343 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 274 Tm /F7 9 Tf 0 0 0 rg (+ROHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 274 Tm /F7 9 Tf 0 0 0 rg (6FUHHQLQJWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 265 Tm /F7 9 Tf 0 0 0 rg (6FUHHQLQJLQWHUYDO \\HDUV\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 256 Tm /F7 9 Tf 0 0 0 rg (5LVNUHGXFWLRQRIPRUWDOLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 274 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 274 Tm /F7 9 Tf 0 0 0 rg (\)RUVFUHHQLQJQDLYHVXEMHFWVZLWK)Tj 0 g 1 0 0 1 451.07 265 Tm 0 0 0 rg (UHDOLVWLFVFUHHQLQJLQWHUYDOVDQG)Tj 0 g 1 0 0 1 451.07 256 Tm 0 0 0 rg (PRUWDOLW\\UHGXFWLRQIURPWKH)Tj 0 g 1 0 0 1 451.07 247 Tm 0 0 0 rg (OLWHUDWXUHSUHGLFWHGXSWDNHZDV)Tj 0 g 1 0 0 1 451.07 238 Tm 0 0 0 rg (\bIRU\)2%7\bIRU\)6DQG)Tj 0 g 1 0 0 1 451.07 229 Tm 0 0 0 rg (\bIRU7&)Tj 0 g ET BT 1 0 0 1 32 214 Tm /F7 9 Tf 0 0 0 rg (+RZDUGDQG6DONHOG)Tj 0 g 1 0 0 1 32 205 Tm 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 1 130.73 214 Tm /F7 9 Tf 0 0 0 rg ($FFXUDF\\RIWHVWIRUFDQFHUV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 205 Tm /F7 9 Tf 0 0 0 rg ($FFXUDF\\RIWHVWIRUSRO\\SV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 196 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 187 Tm /F7 9 Tf 0 0 0 rg (+RZDFFXUDWHWKHWHVWLVDWVD\\LQJ\\RXGRQRWKDYHFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 178 Tm /F7 9 Tf 0 0 0 rg (3UHSDUDWLRQGLHWDU\\DQGPHGLFDWLRQUHVWULFWLRQV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 169 Tm /F7 9 Tf 0 0 0 rg (3URFHVVKRZVDPSOHLVFROOHFWHG)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 214 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 214 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 152 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV&7&FRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\)2%7IHFDORFFXOWEORRGWHVW\)6IOH[LEOHVLJPRLGRVFRS\\*3JHQHUDOSUDFWLWLRQHU7&WRPRJUDSK\\)Tj 0 g 0 0 0 rg (FRORQR)Tj 0 g 1 0 0 1 32 142 Tm 0 0 0 rg (JUDSK\\)Tj 0 g ET q BT 1 0 0 1 32 152 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 132 Tm /F7 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg ($WWULEXWHLVVLJQLILFDQW)Tj 0 g ET q BT 1 0 0 1 32 132 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 122 Tm /F7 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (6LJQLILFDQFHRIDWWULEXWHOHYHOVQRWUHSRUWHG)Tj 0 g ET q BT 1 0 0 1 32 122 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 112 Tm /F7 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,QFOXGHGDVLQJOHTXHVWLRQDIWHUWKH)Tj 0 g 0 0 0 rg (GLVFUHWHFKRLFH)Tj 0 g 0 0 0 rg (H[SHULPHQWRQVFUHHQLQJWHVWSUHIHUHQFHLQZKLFKUHVSRQGHQWVVHOHFWHGIURPDVHWRIIRXUXQODEHOHG)Tj 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 1 0 0 1 32 102 Tm 0 0 0 rg (LQJWHVWV GHVLJQHGWRVLPXODWHIHFDORFFXOWEORRGWHVWLQJVLJPRLGRVFRS\\FRORQRVFRS\\RUDUDGLRORJLFDOWHVWVXFKDVFRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\fRUWKH)Tj 0 g 1 0 0 1 32 92 Tm 0 0 0 rg (RSWLRQRIQRVFUHHQLQJ)Tj 0 g ET q BT 1 0 0 1 32 112 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 80 Tm /F7 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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 (12 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2016/15_0433.htm)Tj ET Q Ju endstream endobj 25 0 obj <>>>/Rotate 0/Thumb 52 0 R/Type/Page>> endobj 26 0 obj <>stream xO>q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 623 98.73 35 re f 0.79216 0.83529 0.79216 rg 128.73 623 245.73 35 re f 0.79216 0.83529 0.79216 rg 374.47 623 74.6 35 re f 0.79216 0.83529 0.79216 rg 449.07 623 134.93 35 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 623 98.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 623 245.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 623 74.6 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 623 134.93 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 572 98.73 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 572 245.73 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 572 74.6 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 572 134.93 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 512 98.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 512 245.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 512 74.6 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 512 134.93 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 389 98.73 123 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 389 245.73 123 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 389 74.6 123 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 389 134.93 123 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 329 98.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 329 245.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 329 74.6 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 329 134.93 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 269 98.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 269 245.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 269 74.6 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 269 134.93 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 176 98.73 93 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 176 245.73 93 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 176 74.6 93 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 176 134.93 93 re S 0 G Q BT 1 0 0 1 32 679 Tm /F7 9 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 664 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 (5HVXOWVRI,QFOXGHG6WXGLHV6WDWHG3UHIHUHQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 628 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LWDWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 212.79 628 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg ($WWULEXWHV\(YDOXDWHG)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 387.35 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (,QFOXGHG1R)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 381.32 637 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVWRU2SW2XW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 397.55 628 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (2SWLRQ")Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 456.78 637 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3UHGLFWHG8SWDNHIRUD6SHFLILF)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 509.25 628 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVW)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 612 Tm /F7 9 Tf 0 0 0 rg (+RZDUGHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 612 Tm /F7 9 Tf 0 0 0 rg (3UREDELOLW\\RIQHHGLQJDVHFRQGSURFHGXUHDIWHU&7&WR)Tj 0 g 1 0 0 1 130.73 603 Tm 0 0 0 rg (WUHDWSRO\\SVRUFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 594 Tm /F7 9 Tf 0 0 0 rg (%RZHOSUHSDUDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 585 Tm /F7 9 Tf 0 0 0 rg (7HVWDFFXUDF\\ OLNHOLKRRGRIPLVVLQJVPDOOFDQFHUVSRO\\SV\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 576 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 612 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 612 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 561 Tm /F7 9 Tf 0 0 0 rg (0DUVKDOOHWDO)Tj 0 g 1 0 0 1 32 552 Tm 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 1 130.73 561 Tm /F7 9 Tf 0 0 0 rg (3URFHVV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 552 Tm /F7 9 Tf 0 0 0 rg (3DLQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 543 Tm /F7 9 Tf 0 0 0 rg (3UHSDUDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 534 Tm /F7 9 Tf 0 0 0 rg (6HQVLWLYLW\\ DFFXUDWHLI\\RXGRKDYHFDQFHU\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 525 Tm /F7 9 Tf 0 0 0 rg (6SHFLILFLW\\ DFFXUDWHLW\\RXGRQRWKDYHFDQFHU\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 516 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 561 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 561 Tm /F7 9 Tf 0 0 0 rg (7KHVWXG\\SUHGLFWHGWKDWLIDOO)Tj 0 g 1 0 0 1 451.07 552 Tm 0 0 0 rg (FRORUHFWDOFDQFHUWHVWVZHUH)Tj 0 g 1 0 0 1 451.07 543 Tm 0 0 0 rg (DYDLODEOHUDWKHUWKDQ\)2%7DORQH)Tj 0 g 1 0 0 1 451.07 534 Tm 0 0 0 rg (WKHQVFUHHQLQJXSWDNHZRXOG)Tj 0 g 1 0 0 1 451.07 525 Tm 0 0 0 rg (LQFUHDVH\b)Tj 0 g ET BT 1 0 0 1 32 501 Tm /F7 9 Tf 0 0 0 rg (0DUVKDOOHWDO)Tj 0 g 1 0 0 1 32 492 Tm 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 1 130.73 501 Tm /F7 9 Tf 0 0 0 rg (:KDWGR,GRWRSUHSDUH")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 492 Tm /F7 9 Tf 0 0 0 rg (,VWKHUHSDLQGLVFRPIRUW")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 483 Tm /F7 9 Tf 0 0 0 rg (+RZRIWHQZLOOWKHVFUHHQLQJWHVWEHGRQH")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 474 Tm /F7 9 Tf 0 0 0 rg (+RZLVLWGRQH")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 465 Tm /F7 9 Tf 0 0 0 rg (,IWKLVVFUHHQLQJWHVWUHVXOWLVDEQRUPDOZLOODQDGGLWLRQDO)Tj 0 g 1 0 0 1 130.73 456 Tm 0 0 0 rg (WHVWEHQHHGHGWRFRQILUPZKHWKHU\\RXKDYHFDQFHU")Tj 0 g 1 0 0 1 130.73 447 Tm 0 0 0 rg (,ISHRSOHZLWKRXWFDQFHUJHWWKLVVFUHHQLQJWHVWKRZ)Tj 0 g 1 0 0 1 130.73 438 Tm 0 0 0 rg (PDQ\\RIWKHPZLOOWKHWHVWVD\\GRKDYHFDQFHU")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 429 Tm /F7 9 Tf 0 0 0 rg (,ISHRSOHZLWKFDQFHUJHWWKLVVFUHHQLQJWHVWKRZPDQ\\)Tj 0 g 1 0 0 1 130.73 420 Tm 0 0 0 rg (RIWKHPZLOOWKHWHVWVD\\GRQRWKDYHFDQFHU")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 411 Tm /F7 9 Tf 0 0 0 rg (+RZPDQ\\SHRSOHZKRJHWWKLVVFUHHQLQJWHVWKDYHD)Tj 0 g 1 0 0 1 130.73 402 Tm 0 0 0 rg (FRPSOLFDWLRQ")Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 393 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 501 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 501 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 378 Tm /F7 9 Tf 0 0 0 rg (3LJQRQHHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 378 Tm /F7 9 Tf 0 0 0 rg ($ELOLW\\WRUHGXFHFRORUHFWDOLQFLGHQFHDQGPRUWDOLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 1 0 0 1 130.73 369 Tm /F7 9 Tf 0 0 0 rg ('LVFRPIRUW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 1 0 0 1 130.73 360 Tm /F7 9 Tf 0 0 0 rg (1DWXUHRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 1 0 0 1 130.73 351 Tm /F7 9 Tf 0 0 0 rg (\)UHTXHQF\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 1 0 0 1 130.73 342 Tm /F7 9 Tf 0 0 0 rg (&RPSOLFDWLRQV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 1 0 0 1 130.73 333 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 378 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 451.07 378 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 318 Tm /F7 9 Tf 0 0 0 rg (5\\DQDQG6NnWXQ)Tj 0 g 1 0 0 1 32 309 Tm 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 1 130.73 318 Tm /F7 9 Tf 0 0 0 rg (7LPHEHWZHHQ3DSDQLFRODRXVPHDUV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 309 Tm /F7 9 Tf 0 0 0 rg (:DLWLQJWLPHIRUUHVXOWV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 300 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIEHLQJUHFDOOHG)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 291 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIDEQRUPDOLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 282 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIG\\LQJIURPFHUYLFDOFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 273 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 318 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 318 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 258 Tm /F7 9 Tf 0 0 0 rg (YDQ'DPHWDO)Tj 0 g 1 0 0 1 32 249 Tm 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 1 130.73 258 Tm /F7 9 Tf 0 0 0 rg (3UHSDUDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 249 Tm /F7 9 Tf 0 0 0 rg (/RFDWLRQ)Tj 0 g 1 0 0 1 130.73 240 Tm 0 0 0 rg (3DLQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 231 Tm /F7 9 Tf 0 0 0 rg (5LVNRIFRPSOLFDWLRQV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 222 Tm /F7 9 Tf 0 0 0 rg (5LVNRIGHDWKIURPFRORUHFWDOFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 213 Tm /F7 9 Tf 0 0 0 rg (,QWHUYDO LQWKHIROORZLQJ\\HDUV\\RXZLOOXQGHUJRWKHWHVW)Tj 0 g 1 0 0 1 130.73 204 Tm 0 0 0 rg ([WLPHV\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 195 Tm /F7 9 Tf 0 0 0 rg ('XUDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 258 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 258 Tm /F7 9 Tf 0 0 0 rg ($YHUDJHHVWLPDWHGXSWDNHRI)Tj 0 g 1 0 0 1 451.07 249 Tm 0 0 0 rg (FRORUHFWDOFDQFHUVFUHHQLQJZDV)Tj 0 g 1 0 0 1 451.07 240 Tm 0 0 0 rg (\bIRUVFUHHQLQJQDLYH)Tj 0 g 1 0 0 1 451.07 231 Tm 0 0 0 rg (LQGLYLGXDOV,IDOOVFUHHQLQJWHVWV)Tj 0 g 1 0 0 1 451.07 222 Tm 0 0 0 rg (UHGXFHGWKHULVNRIFRORUHFWDO)Tj 0 g 1 0 0 1 451.07 213 Tm 0 0 0 rg (FDQFHUUHODWHGGHDWKE\\\b)Tj 0 g 1 0 0 1 451.07 204 Tm 0 0 0 rg (XSWDNHZDVHVWLPDWHGWREH\b)Tj 0 g 1 0 0 1 451.07 195 Tm 0 0 0 rg (IRUELHQQLDO\)2%7VFUHHQLQJ\b)Tj 0 g 1 0 0 1 451.07 186 Tm 0 0 0 rg (IRU\\HDUO\\\)6VFUHHQLQJDQG)Tj 0 g ET BT 1 0 0 1 32 164 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV&7&FRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\)2%7IHFDORFFXOWEORRGWHVW\)6IOH[LEOHVLJPRLGRVFRS\\*3JHQHUDOSUDFWLWLRQHU7&WRPRJUDSK\\)Tj 0 g 0 0 0 rg (FRORQR)Tj 0 g 1 0 0 1 32 154 Tm 0 0 0 rg (JUDSK\\)Tj 0 g ET q BT 1 0 0 1 32 164 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 144 Tm /F7 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg ($WWULEXWHLVVLJQLILFDQW)Tj 0 g ET q BT 1 0 0 1 32 144 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 134 Tm /F7 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (6LJQLILFDQFHRIDWWULEXWHOHYHOVQRWUHSRUWHG)Tj 0 g ET q BT 1 0 0 1 32 134 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 124 Tm /F7 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,QFOXGHGDVLQJOHTXHVWLRQDIWHUWKH)Tj 0 g 0 0 0 rg (GLVFUHWHFKRLFH)Tj 0 g 0 0 0 rg (H[SHULPHQWRQVFUHHQLQJWHVWSUHIHUHQFHLQZKLFKUHVSRQGHQWVVHOHFWHGIURPDVHWRIIRXUXQODEHOHG)Tj 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 1 0 0 1 32 114 Tm 0 0 0 rg (LQJWHVWV GHVLJQHGWRVLPXODWHIHFDORFFXOWEORRGWHVWLQJVLJPRLGRVFRS\\FRORQRVFRS\\RUDUDGLRORJLFDOWHVWVXFKDVFRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\fRUWKH)Tj 0 g 1 0 0 1 32 104 Tm 0 0 0 rg (RSWLRQRIQRVFUHHQLQJ)Tj 0 g ET q BT 1 0 0 1 32 124 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 92 Tm /F7 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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 1 196.68 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2016/15_0433.htm Centers for Disease Control and Prevention 13)Tj ET Q g endstream endobj 27 0 obj <>>>/Rotate 0/Thumb 53 0 R/Type/Page>> endobj 28 0 obj <>stream xJ5q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 623 98.73 35 re f 0.79216 0.83529 0.79216 rg 128.73 623 245.73 35 re f 0.79216 0.83529 0.79216 rg 374.47 623 74.6 35 re f 0.79216 0.83529 0.79216 rg 449.07 623 134.93 35 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 623 98.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 623 245.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 623 74.6 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 623 134.93 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 491 98.73 132 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 491 245.73 132 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 491 74.6 132 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 491 134.93 132 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 431 98.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 431 245.73 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 431 74.6 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 431 134.93 60 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 416 554 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 329 98.73 87 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 329 245.73 87 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 329 74.6 87 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 329 134.93 87 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 287 98.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 287 245.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 287 74.6 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 287 134.93 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 272 554 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 176 98.73 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 176 245.73 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 176 74.6 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 176 134.93 96 re S 0 G Q BT 1 0 0 1 32 679 Tm /F7 9 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 664 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 (5HVXOWVRI,QFOXGHG6WXGLHV6WDWHG3UHIHUHQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 628 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LWDWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 212.79 628 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg ($WWULEXWHV\(YDOXDWHG)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 387.35 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (,QFOXGHG1R)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 381.32 637 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVWRU2SW2XW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 397.55 628 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (2SWLRQ")Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 456.78 637 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3UHGLFWHG8SWDNHIRUD6SHFLILF)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 509.25 628 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVW)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 451.07 612 Tm /F7 9 Tf 0 0 0 rg (\bIRU\\HDUO\\FRORQRVFRS\\)Tj 0 g 1 0 0 1 451.07 603 Tm 0 0 0 rg (VFUHHQLQJ,ISDWLHQWVZHUHDZDUH)Tj 0 g 1 0 0 1 451.07 594 Tm 0 0 0 rg (RIWKHSRVVLEOHULVNUHGXFWLRQ)Tj 0 g 1 0 0 1 451.07 585 Tm 0 0 0 rg (GHPRQVWUDWHGLQWKHOLWHUDWXUH)Tj 0 g 1 0 0 1 451.07 576 Tm 0 0 0 rg (XSWDNHZRXOGLQFUHDVHWR\bIRU)Tj 0 g 1 0 0 1 451.07 567 Tm 0 0 0 rg (ELHQQLDO\)2%7VFUHHQLQJ\bIRU)Tj 0 g 1 0 0 1 451.07 558 Tm 0 0 0 rg (\\HDUO\\\)6VFUHHQLQJDQG\b)Tj 0 g 1 0 0 1 451.07 549 Tm 0 0 0 rg (IRU\\HDUO\\FRORQRVFRS\\)Tj 0 g 1 0 0 1 451.07 540 Tm 0 0 0 rg (VFUHHQLQJ ULVNUHGXFWLRQRI)Tj 0 g 1 0 0 1 451.07 531 Tm 0 0 0 rg (FRORUHFWDOFDQFHUUHODWHGGHDWK)Tj 0 g 1 0 0 1 451.07 522 Tm 0 0 0 rg (UHVSHFWLYHO\\\b\bDQG)Tj 0 g 1 0 0 1 451.07 513 Tm 0 0 0 rg (\b\f5HVXOWVZHUHDYDLODEOHRQ)Tj 0 g 1 0 0 1 451.07 504 Tm 0 0 0 rg (KRZFKDQJLQJSURJUDP)Tj 0 g 1 0 0 1 451.07 495 Tm 0 0 0 rg (FKDUDFWHULVWLFVDIIHFWHGXSWDNH)Tj 0 g ET BT 1 0 0 1 32 480 Tm /F7 9 Tf 0 0 0 rg (:RUGVZRUWKHWDO)Tj 0 g 1 0 0 1 32 471 Tm 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 1 130.73 480 Tm /F7 9 Tf 0 0 0 rg (7LPHEHWZHHQ3DSDQLFRODRXVPHDUV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 471 Tm /F7 9 Tf 0 0 0 rg (:DLWLQJWLPHIRUUHVXOWV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 462 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIEHLQJUHFDOOHG)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 453 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIDEQRUPDOLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 444 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIG\\LQJIURPFHUYLFDOFDQFHU)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 435 Tm /F7 9 Tf 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 480 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 480 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 420 Tm /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6WXGLHVZLWKRQO\\KHDOWKFDUHGHOLYHU\\DWWULEXWHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 405 Tm /F7 9 Tf 0 0 0 rg (*ULIILWKHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 405 Tm /F7 9 Tf 0 0 0 rg (6WDIIVHHQIRUFRXQVHOLQJ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 396 Tm /F7 9 Tf 0 0 0 rg (:DLWLQJWLPHIURPUHIHUUDOWRUHFHLSWRIDOHWWHUFRQILUPLQJ)Tj 0 g 1 0 0 1 130.73 387 Tm 0 0 0 rg (ULVNVWDWXV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 378 Tm /F7 9 Tf 0 0 0 rg ('LVWDQFHWRFRXQVHOLQJ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 369 Tm /F7 9 Tf 0 0 0 rg ('XUDWLRQRIFRXQVHOLQJDSSRLQWPHQWV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( QRWVLJQLILFDQWIRU)Tj 0 g 1 0 0 1 130.73 360 Tm 0 0 0 rg (ORZULVNZRPHQ\f)Tj 0 g 1 0 0 1 130.73 351 Tm 0 0 0 rg ($YDLODELOLW\\RIJHQHWLFVWHVWLQJRQO\\WRKLJKULVNZRPHQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F7 9 Tf 0 0 0 rg ( QRW)Tj 0 g 1 0 0 1 130.73 342 Tm 0 0 0 rg (VLJQLILFDQWIRUKLJKULVNZRPHQ\f)Tj 0 g 1 0 0 1 130.73 333 Tm 0 0 0 rg (&RVWRIVHUYLFH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 405 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 405 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 318 Tm /F7 9 Tf 0 0 0 rg (3HDFRFNHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 318 Tm /F7 9 Tf 0 0 0 rg (5LVNLQIRUPDWLRQ LQIRUPDWLRQ\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 309 Tm /F7 9 Tf 0 0 0 rg (*LYLQJDGYLFHDERXWFDQFHUVXUYHLOODQFH VXUYHLOODQFH\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 300 Tm /F7 9 Tf 0 0 0 rg (3UHSDULQJIRUJHQHWLFWHVWLQJ SUHSDUDWLRQ\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 291 Tm /F7 9 Tf 0 0 0 rg ($VVLVWDQFHZLWKGHFLVLRQPDNLQJ GLUHFWLRQ\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 318 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 318 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 276 Tm /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (6WXGLHVZLWKERWKVFUHHQLQJWHVWDQGKHDOWKFDUHGHOLYHU\\DWWULEXWHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 261 Tm /F7 9 Tf 0 0 0 rg (\)LHELJHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 261 Tm /F7 9 Tf 0 0 0 rg (5HFRPPHQGHGVFUHHQLQJLQWHUYDO)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 252 Tm /F7 9 Tf 0 0 0 rg (7KLV*3LV\\RXUUHJXODU*3KDYHQHYHUVHHQWKLV*3)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 243 Tm /F7 9 Tf 0 0 0 rg (7KLV*3LVPDOHIHPDOH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 234 Tm /F7 9 Tf 0 0 0 rg (7LPHVLQFHODVWFHUYLFDOVFUHHQLQJWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 225 Tm /F7 9 Tf 0 0 0 rg ('RFWRUVUHFRPPHQGDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 216 Tm /F7 9 Tf 0 0 0 rg ('RFWRUVLQFHQWLYHSD\\PHQW)Tj 0 g 1 0 0 1 130.73 207 Tm 0 0 0 rg (&RVWRIWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 198 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIIDOVHQHJDWLYH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 189 Tm /F7 9 Tf 0 0 0 rg (&KDQFHRIIDOVHSRVLWLYH)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 261 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 261 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 164 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV&7&FRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\)2%7IHFDORFFXOWEORRGWHVW\)6IOH[LEOHVLJPRLGRVFRS\\*3JHQHUDOSUDFWLWLRQHU7&WRPRJUDSK\\)Tj 0 g 0 0 0 rg (FRORQR)Tj 0 g 1 0 0 1 32 154 Tm 0 0 0 rg (JUDSK\\)Tj 0 g ET q BT 1 0 0 1 32 164 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 144 Tm /F7 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg ($WWULEXWHLVVLJQLILFDQW)Tj 0 g ET q BT 1 0 0 1 32 144 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 134 Tm /F7 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (6LJQLILFDQFHRIDWWULEXWHOHYHOVQRWUHSRUWHG)Tj 0 g ET q BT 1 0 0 1 32 134 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 124 Tm /F7 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,QFOXGHGDVLQJOHTXHVWLRQDIWHUWKH)Tj 0 g 0 0 0 rg (GLVFUHWHFKRLFH)Tj 0 g 0 0 0 rg (H[SHULPHQWRQVFUHHQLQJWHVWSUHIHUHQFHLQZKLFKUHVSRQGHQWVVHOHFWHGIURPDVHWRIIRXUXQODEHOHG)Tj 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 1 0 0 1 32 114 Tm 0 0 0 rg (LQJWHVWV GHVLJQHGWRVLPXODWHIHFDORFFXOWEORRGWHVWLQJVLJPRLGRVFRS\\FRORQRVFRS\\RUDUDGLRORJLFDOWHVWVXFKDVFRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\fRUWKH)Tj 0 g 1 0 0 1 32 104 Tm 0 0 0 rg (RSWLRQRIQRVFUHHQLQJ)Tj 0 g ET q BT 1 0 0 1 32 124 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 92 Tm /F7 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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 (14 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2016/15_0433.htm)Tj ET Q U endstream endobj 29 0 obj <>>>/Rotate 0/Thumb 54 0 R/Type/Page>> endobj 30 0 obj <>stream x3*q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 623 98.73 35 re f 0.79216 0.83529 0.79216 rg 128.73 623 245.73 35 re f 0.79216 0.83529 0.79216 rg 374.47 623 74.6 35 re f 0.79216 0.83529 0.79216 rg 449.07 623 134.93 35 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 623 98.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 623 245.73 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 623 74.6 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 623 134.93 35 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 527 98.73 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 527 245.73 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 527 74.6 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 527 134.93 96 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 458 98.73 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 458 245.73 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 458 74.6 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 458 134.93 69 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 407 98.73 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 407 245.73 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 407 74.6 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 407 134.93 51 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 365 98.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 128.73 365 245.73 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 374.47 365 74.6 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 449.07 365 134.93 42 re S 0 G Q BT 1 0 0 1 32 679 Tm /F7 9 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 664 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 (5HVXOWVRI,QFOXGHG6WXGLHV6WDWHG3UHIHUHQFHIRU&DQFHU6FUHHQLQJ6\\VWHPDWLF5HYLHZ)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 628 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (&LWDWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 212.79 628 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg ($WWULEXWHV\(YDOXDWHG)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 387.35 646 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (,QFOXGHG1R)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 381.32 637 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVWRU2SW2XW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 397.55 628 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (2SWLRQ")Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 456.78 637 Tm 0.15 Tc /F7 9 Tf 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (3UHGLFWHG8SWDNHIRUD6SHFLILF)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 509.25 628 Tm 0.15 Tc 2 Tr 0.3 w 0 0 0 RG 0 0 0 rg (7HVW)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 612 Tm /F7 9 Tf 0 0 0 rg (*HUDUGHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 612 Tm /F7 9 Tf 0 0 0 rg (0HWKRGRILQYLWLQJZRPHQIRUVFUHHQLQJ)Tj 0 g 1 0 0 1 130.73 603 Tm 0 0 0 rg (,QIRUPDWLRQLQFOXGHGZLWKLQYLWDWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 594 Tm /F7 9 Tf 0 0 0 rg (7LPHWRZDLWIRUDQDSSRLQWPHQW)Tj 0 g 1 0 0 1 130.73 585 Tm 0 0 0 rg (&KRLFHVRIDSSRLQWPHQWWLPHV)Tj 0 g 1 0 0 1 130.73 576 Tm 0 0 0 rg (7LPHVSHQWWUDYHOLQJ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 567 Tm /F7 9 Tf 0 0 0 rg (+RZVWDIIDWWKHVFUHHQLQJVHUYLFHUHODWHWR\\RX)Tj 0 g 1 0 0 1 130.73 558 Tm 0 0 0 rg ($WWHQWLRQSDLGWRSULYDF\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 549 Tm /F7 9 Tf 0 0 0 rg (7LPHVSHQWDWWHQGLQJIRUPDPPRJUDP)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 540 Tm /F7 9 Tf 0 0 0 rg (7LPHWRQRWLILFDWLRQRIUHVXOWV)Tj 0 g 1 0 0 1 130.73 531 Tm 0 0 0 rg (/HYHORIDFFXUDF\\RIWKHVFUHHQLQJWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 612 Tm /F7 9 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 451.07 612 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 516 Tm /F7 9 Tf 0 0 0 rg (1D\\DUDGRXHWDO)Tj 0 g 1 0 0 1 32 507 Tm 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 1 130.73 516 Tm /F7 9 Tf 0 0 0 rg (:KRSURSRVHVVFUHHQLQJ)Tj 0 g 1 0 0 1 130.73 507 Tm 0 0 0 rg (3URFHVV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 498 Tm /F7 9 Tf 0 0 0 rg (6HQVLWLYLW\\)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 489 Tm /F7 9 Tf 0 0 0 rg (5DWHRIXQQHFHVVDU\\FRORQRVFRS\\)Tj 0 g 1 0 0 1 130.73 480 Tm 0 0 0 rg (\([SHFWHGPRUWDOLW\\UHGXFWLRQ)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 471 Tm /F7 9 Tf 0 0 0 rg (0HWKRGRIVFUHHQLQJWHVWUHVXOWWUDQVPLVVLRQ)Tj 0 g 1 0 0 1 130.73 462 Tm 0 0 0 rg (&RVWRIWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 516 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 516 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 447 Tm /F7 9 Tf 0 0 0 rg (6DONHOGHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 447 Tm /F7 9 Tf 0 0 0 rg ('LHWDU\\DQGPHGLFDWLRQUHVWULFWLRQV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 438 Tm /F7 9 Tf 0 0 0 rg (:KHWKHU\\RXU*3VXSHUYLVHVWKHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 429 Tm /F7 9 Tf 0 0 0 rg (1RWLILFDWLRQRIQHJDWLYHWHVWUHVXOW)Tj 0 g 1 0 0 1 130.73 420 Tm 0 0 0 rg (&RVWRIWKHWHVWNLW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 411 Tm /F7 9 Tf 0 0 0 rg (7KHFKDQFHRIDIDOVHSRVLWLYHWHVW)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 447 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 447 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 396 Tm /F7 9 Tf 0 0 0 rg (6DONHOGHWDO )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 130.73 396 Tm /F7 9 Tf 0 0 0 rg (%HQHILWVHQVLWLYLW\\FRORUHFWDOFDQFHUGHDWKVSUHYHQWHG)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 387 Tm /F7 9 Tf 0 0 0 rg (3RWHQWLDOKDUPVSHFLILFLW\\QXPEHURIIDOVH)Tj 0 g 1 0 0 1 130.73 378 Tm 0 0 0 rg (SRVLWLYHLQGXFHGFRORQRVFRSLHV)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 1 0 0 1 130.73 369 Tm /F7 9 Tf 0 0 0 rg (1RWLILFDWLRQSROLF\\ RIWHVWUHVXOW\f)Tj 0 g /F7 7 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g ET BT 1 0 0 1 376.47 396 Tm /F7 9 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 451.07 396 Tm /F7 9 Tf 0 0 0 rg (1RWUHSRUWHG)Tj 0 g ET BT 1 0 0 1 32 353 Tm /F7 8 Tf 0 0 0 rg ($EEUHYLDWLRQV&7&FRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\)2%7IHFDORFFXOWEORRGWHVW\)6IOH[LEOHVLJPRLGRVFRS\\*3JHQHUDOSUDFWLWLRQHU7&WRPRJUDSK\\)Tj 0 g 0 0 0 rg (FRORQR)Tj 0 g 1 0 0 1 32 343 Tm 0 0 0 rg (JUDSK\\)Tj 0 g ET q BT 1 0 0 1 32 353 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 333 Tm /F7 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg ($WWULEXWHLVVLJQLILFDQW)Tj 0 g ET q BT 1 0 0 1 32 333 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 323 Tm /F7 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (6LJQLILFDQFHRIDWWULEXWHOHYHOVQRWUHSRUWHG)Tj 0 g ET q BT 1 0 0 1 32 323 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 313 Tm /F7 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F7 8 Tf 0 0 0 rg (,QFOXGHGDVLQJOHTXHVWLRQDIWHUWKH)Tj 0 g 0 0 0 rg (GLVFUHWHFKRLFH)Tj 0 g 0 0 0 rg (H[SHULPHQWRQVFUHHQLQJWHVWSUHIHUHQFHLQZKLFKUHVSRQGHQWVVHOHFWHGIURPDVHWRIIRXUXQODEHOHG)Tj 0 g 0 0 0 rg (VFUHHQ)Tj 0 g 1 0 0 1 32 303 Tm 0 0 0 rg (LQJWHVWV GHVLJQHGWRVLPXODWHIHFDORFFXOWEORRGWHVWLQJVLJPRLGRVFRS\\FRORQRVFRS\\RUDUDGLRORJLFDOWHVWVXFKDVFRPSXWHGWRPRJUDSK\\FRORQRJUDSK\\\fRUWKH)Tj 0 g 1 0 0 1 32 293 Tm 0 0 0 rg (RSWLRQRIQRVFUHHQLQJ)Tj 0 g ET q BT 1 0 0 1 32 313 Tm /F7 9 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 275 m 584 275 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 1 502.52 735 Tm /F2 10 Tf (VOLUME 13, E27)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 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2016)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 1 196.68 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2016/15_0433.htm Centers for Disease Control and Prevention 15)Tj ET Q =xs endstream endobj 31 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[$6Nn+Z_Nq0]s7hs]`XX1nZ8&94a\~> endstream endobj 32 0 obj [/Indexed/DeviceRGB 255 31 0 R] endobj 33 0 obj <> endobj 34 0 obj <>stream xy|U0|z޻YYFiBҲD("쉀(`T@AtTATTf̠˨;yܺnm{+@@sq?rlMI>@bǏw -1vcϯ07(bACO~kx f}Y#M~[3&</5!e(9k6n+ 8l?cTp ")XDHvbMk~Ó/:I&ER3`VvNnBojײU~uAHvo.б(zK]wm=nΞ}wJ޲8:lF;O8iӦxhófϙ;o/YZl#+VZfʪGoئ͏?ɧn3;v>[/~q}ŏ/]^Pp"l2!q:=E/r n9$o{wK_\@@f '"p_2#fL[33%3#if(AÂ4ِMJ#ۓ},췳?"0')g`ΐ9c8;lA'B~'_>7wvo7 jފ{3ӓA-6B?зo~Xoɯ$wħH[Wm?X_٦Z&rO~\I'|'|f}4ҌO/?s㪏xhw>xRѥK]/vxŶ ._̻bbEEPwop'^˅^pB-؅6]~B M.\ȾwD tr?] <OI^V=[a!ӵP_"X`3m@jk< K[x<)x^0VPxI8 oÛx .g`_= o`)Q0Xx0DS`2Li5L`̄Y00f΃C$<HtD"2\z'b$&P!NBJlNI\M%HHB:Τ JI7r+Nn&=r'IzHor7\!%/GJI2C%e>r?HdJdIFp!c8|_} Gp.y^=4f~8h}pë~7a +ijljC.~`}㏻=3QVjuv o~`uߡ:^ o rUoY>@O+FwFw:t MͰ$>ǻ? N<G26qavCiH@ՉŶňUMf<9|ן9'tڗ](]g}$^ C(x܆!twCoaej(`%Q2]0G۶kiS:ߪe^7m 3R})^tmVb6 zY҉QIӹ蘷XqKPNJ|5%1!{lhۘ;c\r-K\b4ymhLxzlӷaan|BT7NR.vn(4NvͷmQ cMBB[,#k1bߟ 50CGx:7|KÅ 75z6 ‹&֠] 6WWVFǢb#g쿝]~)ZD1^XtP w7?ZFCơ-qewXx|aH>؅[\8pa5f ź*zFaEbl]7 =փWt a]Gwbk݇2`Ax3PĊ LI 8A9zYeô-נudAvJ?Ѣ>!˜;m] Eb`L ńΥG}Ŝ`V4-Ȃ;Sip(1R0BWmMb0Kٸ#\h:G0M ^Ȇ<)j:5q?¿Ꮀ:R2Fv4''SKQ?39ŕ'<솉;l6Y_6R#$Gs洠X l1% uT4ii)2h<^2Rvˎ)Qp-4WV&p_.bMܠOԕՇB~XhZU i»ч#5r좼@wyV-._ $ECs=VrGE:YI+k[62Ɵ9jY'90 DM5t7Gxj_#[ݤ7Ekp@|_EDeW2&%"{\%&<p(B&~ͷ(4fQ 06o~&#0iF6}E]Hz"kq4F[ Bhڜ]t$c tz=ONqez >|=B;^<8cQCɢiMfŊb]4k-ovA}6B8lx.ھNʭV^K]2Y"v;ـ c+?$I* +&PQ 2XO&R\_VbfCڲRijNꐄӘKS:$TY;"֬;=302(#RFϴ΅{>q'Mk=EƅdMH۵OJ|5Od}ܜ?[5y}?ZqSװ|ePa" kkllt26McFn-;fjyUdcul6.C֕(rV?Ox#c\ZB.zvEHh+~, [`52o/] e}II/٪~R*Cj=<~BZlR,^xSnސ'A /I>btB߱AK%Z,)Mx.OI,g>nTsTP1BוpHceevuyu/8 oԶs_3=~l̀m=rs7J֪]+~W~R9v0~c9  ׺k}<&8N.umR_)&qĹ603h1+fK;P`7tw,.ppT'2hnH/+Z3t˒"&eL24٘BO 6x`:6'ILNᄆu Q~B,$tS7ݷcwYT{T#IKE _:Q>( g!7C4xPnEX:UyY7@?ɥ(EBC* DNJZ#7}VnH?Rp QoCj@j8H8_oxxgjt<߉a#8ٯ_rO(2 3] pI-NtP]gB5xfp27[CK(؊UzE+{f5 H &nCNT`^TW5̠nPSt9Z4B%Xʯ e̖iy(#Y4Uh|n !+zBϾ/sԯկ;+8O}M/ctM7m?y3-5nҠ~{E#_qkR]/_pK)'=\HD P~\J%*I'qtE-Mpä!֊:A!&<}j NǠXe,fg8bE՚a LNB%<|HHIBXS6ȄI_r4eiɩ׎s.z\6c{u#U/[Gy8Gc^uu|ܚyFkZ5vNa~(J dccp /]]|' =K3˫%\ zC wڋtAB.61tG.vHu%gKwQY6 ( ؄z)ùk/^o,-Ka&yp[vmCsFEY@A'(?HV-_*Ӛr8L4jiwD+y+I9diNbcEؘ[&`XLm䔞XXA7 ]jEe= 0 [r5X*0&0c J# ^Q]>%/u^! LI#H5v N7zW]M}>^m[ك,9cO>nX~K7wV8bxjerh4"'QBd=dD:MEv5^+)+QӣOy`JpmQ픵ͷ~kA)dU:X!aN*TC+ɡ BtUxqq&0+zP<{ItҼwׂ͵0iζY,@Tӣ|12D=KfTFp4be Ur=s!+Fs I:kjk𩺔4}|!F,Zi4Z(9۳_GvՅYԊ34'9Os#%R| Fe%8Vs,(CuhW8ك\Z%j{e/kT3b{ -IwB ѩ%J6`atEw ~Vu!vt߼-7 $]p[]4^֫d^sFo)ҊLfX=W r-yrhuTFZ&#4KHE.xdCD 5T6z Ԡ4,[S9Mz;u'q^߅3:i5ii҉уAPSԩ[~a-k9N%>;Ӊf!Ĥ3̡F#"贙ִ LO\눤[ݫQȮDpzJ |? UnjZoNKs=ȓ{L9lzcD_0*)C2uI7WsΛFFW<XCIK 똎%`ldGLTl(7gHdƤG'>~WwKH&iCW'箯P=##2i%jHeRqth`ӋLO%~` ۅEL9d ZUatF5*ԿA o$}7j&6!396僄fӛ&S63jP;Pռ]V9P*"hYzj+*tv:+xv&F}|;mO5,j!373PYF ݘ̺ %05)dysR6@9Yh.eF-L׈̺Y+kf(?afyxsKh|$PJhsAB4c4zHUߩ3u8838Vr88N~!pPQ:CfBVw1S3ZU-=VA:5bÅ,Z棶O`0[Q^F#&%xa\;A/SA.x sDlTdCl깶zq:G.3#{\I3| +8ߖ G@95sj2mLA֊*8=5z6K0RDQCb]Y``jn)Y0Ze7@s]|שKϑa,[;^]D{Jw24rX2p3rB~(4k<|3JMt4R^g:RShFVDE;)-N#iz70%sՙh3pW[y}j̋)v{)fV(c tjlE-Q)f2e`9˜`DB +硥 Fz(;:e-Vc:߹yj۬ы#4<1 w}'?_UKɘIF;2 uW3}CgVlj--YBV$O,>嘑i|fn0a+9Z:UGUHtfdW *Af)2v٬cN a3s.-i[|JmU߆\oͼ^OײQEl 6OrTKG-H;" | ( stc Ak '.hcgeZpT7eEe=*k4Em]m"Ef%;F~8>4@¬qESt-bHXb;iBu`gKƆHǑXkb ^3Y<ϗd$FD!AĄIhGI"WD7he$*dN롢2R?mI{ѹt b},IhԜ@7g? @BjGXþUKjgyd+3'>u"ʮOt*!؛jޠh' :iNAs6D WGΟz>)6M 5a_bCfn #j5r!P&vdC]s{y3 <ot5r<8ہnVLVYMR퓍k%؜jJrEyjyJԾ!)xNRZG@KaXD!mz1kZm6uphiqNH-0 Ya)I-n呿<͞>j̮Z.:w1^⮽=lrȷ2RE>5צp3j`mv͒7{!T6Ex1;#JQ\ +& 50qE\9I%LַS >F l<-0ۄqI' s87}Y^]1{dPD}[ξ.=1N\D%N44r 8a b,JZigԙ,<5-`qK(<و[-ޥTNEӃmN5uGM /O_uD%H̼201![ 1ۊCOKE,Q X]n]#1om<їoݳ˗~ >iM_.^}Gb^DoKF(|h+m#,&9ViP۠b$z)(j6 "ɴVFP Z໽ ȽrW>=ScTwho;VJF e5ѩ i}BK7t26L3}Ud]%Ǜf 4fЙEW $YИb t^0F뉬KQMd._H5zCzK`%[BlD5dK[>ڼݡ':usbqg@wb͛EZr&,`F8N)H9r鶥rNqŢ1XeKx w[41pYTcZd/wtjF˂hyyBsG-ۺl\N xfO81nk#ˣ k[X+^aYhЧL([>oJĬ<gLdωgQpPNq\w5T&EЅ\ːtj>okftG7ן<7eHZ&y'+_ECheY]dOT, F?T\0 ct<ʒKbMM<roPTD|wW?)O=#|GϾQ;qݗKרVsB(2-j~JO1Dmn6fTJ"#FgMen9.ZpJ&rz :},c+Pw8Bz >$r#cs/l?UTn.g?IxN2j#oaX<㱰JGB|\4m n` UцiPbR"ZP 3=h`1f+ns7xzn󐷞r`:i~5f<(TS_󧿓{[_\?:(t MqhF&pr4C-߯SQ72GIOjDN/K-V$fZęKOs"wgU>ȦqS~bZkZ>V1@:[Bb0Fr¾.'^I SW>"u6[DJٖ/)Of֖M AZejc96{Ć'b 6GEdo j-DOez'H*bTzE`&#[^`d c0$L]"f%ʘϒllf9^+Z[bIbnn柰[C93~gU>^YNWw/q4Isx=O j`_~NG*{^\Tb\Q^bqJ )VIr-z4^%)蹉-ZӜӐ_a6)`z zE6:0qw={tk>6c6|:pjVYhM ț>=a!c;jy'&P2g#IȖPr䐐5MXN[zX ZdPNkɻWydvo7rô~fՄOG!d 2Go7 D zJ$sv-)䨃%B,gga9K/laKI_N 'tb<F0ToW'PR|)>(IM2N'#^ͧRK,c?QE]"WJu+QRMb CkL|_Yc})-neZ&lf++v|<;?mܵz HOD}\bERN^1%bHD ,sz/;:"$PA2l"㝈1NTIHyRGmHb_:QVblj8r$Esc:TFMxM?Dq }/<~H6é|>C ZFlXR=Mz\Ow}zZJ"+1fwC~NE[iTz`ܙMX4N YL!b69d&qTlS)LbTmr (lJ#1*F 3m٧AymagFn-&Q]70'\pmL[C&1tCխ[k9w;w^?!~ 4Gp[bAD8`=uJ$-K0[&\r(vPT-/S%⟰5P#͘13K_x<.6  n_Tᨥ9in(5uxIBe{4Yܥs>5KIHwvx5Ρ$E-_&6r>]<Hd8>yS&o5Sv2uuM[mA~tvHN;tlUmvh K9,jGJNfd:vN6[K%:Ҝ:=mv{5W[[6 -0o[Po1R<`q)>"epJh=\NV ZMuf:ªƙvY}uw$ I9I"cQ3V>0`yxLJ[ z[AsԴVpzO?Y&;i^.&߸ę5ȓkܗWMQsWMD[ ﷯/}Da#ƴ-i] 2C 7╛ aI:ȾJECMڧdv<-h6lxdDˇH #оvKf6:vW񻯽O4ݨ-Zm9Ѩ$-: 9``5i0[#&yM&Kb}(|@t&4|X̭5C ^lviB^`pڸßmܖjC7!{@b?V7+8n611LR4 |ȹ*,O`W#l,nX&>_^$* ,Zi ញ hsH -ZyK7⾇Nx.M0;h+75= l("5,o{:b?#^@䏕Gp %_q<4c n#+ &;=|nc@#|.i2/= =0kk|߇ k6*YG{<4*,wc c@׳k /5Eax}!#ܼy^܅NXci2d-º_4L#q}L6 zj10/uQsK3DwDihXsfso ='Ÿ5saA%C_LXuJ@X0X9XІA64M;²i7?lmy|HPqռ_% İ!}J!,wGko?7 EGm2ek>h1[*my߬F8[7[#ٱqiwV8sV;{n<6#u_?n[np8m6nnmnז:-q  2%%}]Ԓn_I_2 Æ}Æ{!dP<22ԫ'an_^9Pjܾ5^eٷwb9-Rp>8{pwl9 #G9}#GyANA~W+GCC|ĎڃN_A/*K5RS[NOMk=Һ^z8;MSg\6#$#?%U@ 3vn(؄eꒌK2lQ=$cpsK2Zܦ6^X'+4X$ckg5Ϙ)fv"OH)$y1&b.ة?m endstream endobj 35 0 obj <>stream x]Mk@-=ؚݕBIKXC-9Wם@ y(yn?>|zj}>Vi2qR vg.?^o0Pm,^ok<8=/tvʸ/k{*.|+>^J%fy(Kۗ[^8|^^ؔi~U7z+;X+4,peWz+;2TՒ%U+Pa) 7(K6 n,Y402IвTJ030 rlpc Lc LcKW9**T-=\2U-*&aWD*&A* n$D72F=pB 72 '`F 7q& nb& Vu7Um&VpnuǸh{7q1cTy73f3̼b73WR̼"jfT33hI̼R[x9PcMOZKckp: oUև,UYFVVe}YgzH; b=_y9켳g=yS#rWU/= endstream endobj 36 0 obj <> endobj 37 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 36 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]8[720]11[293 293]15[250 250 250 454 586 586 586 586 586 586 586 586 586 586 250 250]32[586]34[505]36[535 604 579 646 547 507 646 642 250 373 628 489 810 657 630 559]53[612 569 485 605 536 817 520 510]68[528 537 465 538 520 299 491 540 229 229 500 229 813 541 519 534 535 329 463 307 541 450 664 423 415 423]110[528]120[541]135[666]161[519]172[250]178[586]180[400 400]183[250]]>> endobj 38 0 obj <> endobj 39 0 obj <> endobj 40 0 obj <>stream 8;Z\74+c3H$tZhF:@>qjc5&DHda3b8)GQEb?lJ2^][#M"n>FC\*[`DF#]5DB7=k4t J@5An%lW1L8_b_YD\cc=Lq$Z;5!IcV2X;-2+Smk0?`Kf0B'h]#tms F2hC5X1Fo[^SkKY^=O@3S-MkD&BOOPaecL.oS[L$o+,uUpmVUrD%PKJ]KjTQ(13AI1.FkV=m.$C2fN4QKi;>hEak7eM8.2DFhBNpI $&3ZK.c`gLJCOm")rG3CcQABi^%miWndRm: C*02se<=67lOdKP[h4I)duT9GCR)XSDTG#NRF]QeAso!$2@u=]>nW8jp[fK]Z@WCB H(VaeWR=',KkGGUL8'&*Jan-21^EB]K8Y.N&f1.N+[k81^8?TM)EE8ZIrH!3Ns!a*Ai&/Bm^'h g@4Y(e=cQ01d/6\KF@j(+$e*MR`F) r#_^]LQnM,Sc?:6IP3!hleTb@G/)l0r:0J5\$m3d^-mbuq/5J38bsdB#obI__hO!c :>p!$G@Fn7f@t\XYT1+LY;;s\&j:RUp4;3ENR+C8n!b8A#Nre\Nq_Q/g(5C#.A#MQC0[C fF^;5Za*h.!B2QCd%_0%@CZZZ&66d#il:<6&pNQIl%/oFA8>5@W1.0d=u3*+`J:,n P[I;oQ44_%eOi^l$ZVbKRl"5B0cF71LW(30P,_+%7Kf-*`-9!9MG9SWlQY=m0rK?M L\?)t3\(Qb&1/L*:k],%lG`Db9KZsiP?,/=Rt2LKF]qWj^eY6I\_$@"JNZ'LiN#FN U*$=2h[6eU_:r`YPN8SW!q0R#Ss8J<:^Y68.l=)N!"bhC*'#c-'GZsUVpQVI%GtkClnctF N;NsK3+Xgl4bdu:=(9k$"@8EPl?N//pg;5"V&U=Al[_0UhI54BILU)b'?/mg\Ia%a 9'X-e;7s1-9(]q"d@i3&XJ*hsTLkJG4?Nu@.o)he#VZFZC^gpUMpkaWNkg[R* N`2l6G'U*(2JNJr'NJjHVE&s$mR^rbg$$gGIRoY]OlJn=!#g=Ab>4iK%E4HJbR!K1'\:>N7UO<#$mNg$H[am893RIV-p15T h-:5dbX3iEqO+LJdknJi.&8qplVG#/Vm75o$*FhEpVK+A%'Aj]54=8)IR1.#FK1pZ hU;S51m&K0YS>VZ7l=S#oaY?2W6EbS1:fo#as4>P;A2tb![>\T.>h"'U!#E%R(n8V4,">_j%8[_9>3MLLT_>1S_r8.#_EM!2-8!JPgng DDbK`>WXtaUCVp^<#QA0JS.@8Bh*"D;%sSk:dcT/Z00>.9oCPT_h*.kS?2fPT62-` H>pU?h]lkP;Q[aa?K\\1XRgBaYH2S$3\9d/gA;DQdluR$rP7ktm/HkWRqqTPkN?/G r6hdrWm(B@f@Li:N`rg>cFYMY?.9Dkqm]'`iK8-##7gej@< endstream endobj 41 0 obj <>stream 8;Z\7960>X%-2.UK9^KpX>G^KauKl3\I>Yt5W:r+MNc]c?IaF<-sMi`)8rH#!6=ka ]K1?\qsb7sIZ2`lc2AdMG'gjWDAHUPdrG#tYC@P4mA>3EqrQ'Mm.g0q'o$;r[Z%u& \%j5"Sr-dIKios:h;Dd:hs(;lS!:#TiBkrZWqpVrp%*d>A@bh_ZMGN)aF WE2=$0K1_hmk?Nbq\s/'\2QD*d(;Km9=0P?oT-_u^\+4hLZYnRICT emV9V;id;6GT6)$msN,bm8)7:IYkh5JnKQ*HhCb6Ge[Ej_EV'Rm.@4;0*7:)bQ-`4 ID',*(5$G)%%W(JC$DW9mt?]BroVp3h`UJ%8nedQR*bVp)rRo8(n,^Caju6*'T%+N 2p@57rL(XI^3lWan&)48=m"3q7O)dL,CH4?=%6@E)8>g0`/n?^8N]6_Fa9V.86\YF[&#UWu/[`K$eZ&EhF;2JS;F^q6TD!YZ: 7.2)$9JRKa6`hXB"f*/D%X8^R,]MqP,3R/9klUiR8/Hb-]NF-=Caf$8P9cD1`3QWR 8e>ZNk+dK7Y_lck\8R(L`prCa4*d'ILOhZ<=;P4q@)?d>lL7md0!SQ34030g/g?sP 1[[aT-\qD`\moESI#S,\^:l:Mi)QeNi=;8PlF;!5FX"_8)l`)&^g8`Y0'1WoWd3 ;A0gR(:RfoV.^F%5tqEQ#q<''EY4H8*+:bFj!MIV2oj't;uB[6?IYDS8&$rm(*SXj dflt=cJ5n'TZA92?k"rD0IOG/FTQ[6?RW1JT$9qV%:FWXZjMn#XZ:G4-thZ$k30UR VgE@'!kOVl$/KqBd\W:@VpM6L+;-GON)JqgO*E-7MZj_r8)5Eg-6b^^O3EiahiW#(P0afEbgbsO=-Bg@2#-Hl-6/?"RpGM0!Z qIAF!`)HC%nV/[8G3ZO^h&!jUEm cjQ/O4HQ;XRVcR@6[jnm^D[N\.EUg.9efVT&6HG=!k8,Wa&b9EA_X;#Zi;MXC;aM% 6R^3NCtr"V\IGt]6<7:P<:2ZpF#HE5MDBN4#% <l]q]bUKkWk@< cN0*Kl.kcWC1b0n[Pe!o\a4T=JWsnV>*>:+/D2PC]$;dah1K9=Ao.PTbG,dN=r:/D @"'jiWU+n-X_#ht$=dpqWp!htn@as3>>cUM"(FNLGjp;of.QlFpOZ_;`4'0XOa^3AB0f&oaIZ*bgZ\6gO6@0T/@2+16n-n)'' +.rss^k_b1-Cbqp`,W5;AhUul#$UGLfHi@#=h%Z+]J/Ah0fsNt%m):@+[Oq5?Ep4@ `j-NYU7<#F"W*os9?*)@o,$H_!l!g*Y0*H?%FW.kjPMoY2WU3bOuBq/H+06OR]g5P n+6H)Vfo+)U9c(2;q1=fY3`WlA[7i<9)'tbVGtl3C##bsFj1qd?KN;QQHQSqK7 endstream endobj 42 0 obj <>stream 8;Z\78TsDZ%-6\\"tSdh=K)g`Q#deFEZ&3HUC,p%g9I4#rEaD/7ACS)6WF/'mN0_O4 +tnm>1AiD(FdgZA;hnf)D`n+G>cWR,.SEhoEhm,6+kFO`4E>t*V3f^r*rS/LHumff.f/@^H&]]HK\hjI!Uu*]g\G39`Ju*(P@r+7V[Suo e1Hbd6R/O<:N^+om?YKnrqki-lK-bam8N2?$en#M\U:=[0lMZ U)Bl9W>"q[_.qU"I>_cXikk;"agbGbj_^YsZ(>!TQr]N5qB-X4'q.3gej1Ka$&+E@ ?@+lYf!!RR=&8fVWqdXhF&SDKbSZON$O&;NVPmY'r0mo\bRF6X]-HiN/J_cQ?(Wr Z>=?_nT#D"IU(Q>XB!hRVihd^b$JtFDGt'/K1=PU,G\@`oKUZ3#rSQ7r@kOhkis+4 CpkbS'N]&VfmM+,?)'3[Lj\iBL&"+XA]YmoBVt9*(krbg9?XX0QqJ(s-*@Y*k<.8'(bCCPZfC83c9O!luTs!3C-PV.;\*+O@(JYqAak>70ggfB1lRoq"^@o@^ #H![=/7Dg*m@s6ke,N:;0#XPr&M2mpNB>_l'm8/\Ai Ze1C0G;U4bjn#3VMj)'RhM[F=6@N%b',JA[[a\?PSS!Qqpe!r:cr:?$M7Og&,G6l$ :mc#r([-'ui+i!@&t_M.G9k,P&ELe*](!A@eBqdhA2=Q.3LWQ(nrkSukaY$)k_MGh S,]k1hfI'3kR(i:q'\pAAnC$r\k'dkkq7UMq&D6Wh0!!lHM&Ckf8'Z"&&V@]s2)T\_^i8A+ D<+G:fjs"C:b5GVaOn`!6H?VVGgp@[F='l^1:GVR%&&r;05f9F.I1^WScJ",oTbT] qAT#TCFtJ6,S=u'6'0d?0;rQdOk7FWlk0s.`(d7#p(Na[Rl1N*f]A/T 7+_7%MBP!NKdag'i!)7[-nbR"6LK[R?m>KbKi;Id&:kDAE+I)H?q8[CI>@"hX[n7Y )%%$U`QeLJ$6*['m):_,g-]tf13JjV:QgW49Z7Fk;-*e=lmVWPW[bQBeTTlBME^Me E]';\(5\Q>M+(Kmd;KE\6VF.&l8c8f>3WRm7mgA0^/-j4K?-Nj`JZ$(#C>K5W7u.Z UA,>H,o;-Gca[q-1pm#%6Yk9Yc"83U`]Fe0*shnInWQDZn+[nf*3Y\_mqdE\3qe$Q 7b]o&F^'12>5.3(E3IYCU<-scK&L8#*R;=8Z[?9OU>K.P]s0_Y@[;f]([21-qEf75 2%d%![]^QlO&r/ld?LM_NrEY/pNQO_r#Gdu==a"~> endstream endobj 43 0 obj <>stream 8;Z\796)OA%-/n)_+Hm"+Gl?7Ndh/7eQc]@DWf=_*+?+6=#qtn%=c&&rZ^HF3hD>LN^ I+WB+o6&mcHs_@$L`=p]k7uh9kM-MB4IQik,FUR;`BCBn+*n1[6c8`6hWL_VmQEa& #J]5_G4c6'9c%gJ5pp[0h`*]gHXd%.J+p/612gd4qFPh#2c?A L)`opkBt0R\?(8EB?1QZ^j>Agklk>7K&oK<0Ro#Y]Uqd=Q*ZdE"0..rmYF*e$VrVJ ZlHh^QC5%40.`;a*L2g/rZR6Z\,Fc.lBS"eO&#t^C5FKA"[goBYdSQOaoGDc=?"\p i`:FVB;apXa,C#tTkY]YCYW*P*]jWBmaL"!T6kP+q6*g&Uu31AA>&9\e0Jg[&>`l1 ;]&VFa,=MVm.,[Un3f'Q7F49;biORpEu>1$_ld_Kg]`$*n?o[t4@i_u4)i7l0-=ir )Xsk4G5`pP%.@FO`,Ua9-+8EuJO"m*rec?!k4]_eqiBf)!Ea_YL'Th]8AOq1'm"A:d'Hm?ni?)Xbst6[%sgR13R>*,l/R8N08tHOP/(J^a#L3RE6*RK [d=4[5afQ2K9ap+L`1"1#ZRSD6K5X^Gso5WX=T!dOYmH7l(b;lN9'B5S9UFqY[(kg nOUO9*WQ?:c(6aNXThqs,>#D'*WDf@^Uh=8g;O\]i"&KA)es;/>kLWGpiHG'rrrQg 4,3(%80)t-C"E0&=o6n'[k>P5O1$=L7)dNn7[q6)8(:^[;mYS*dM\J 5[W,_?;p4Z''o4(Ti!JH.!,BPY/_MTn1WUG\P:if*XW)8^5/u57 W\/G"hVmK)`C=h(ZANkmu\=Kd$a.6AGt X.JJ'<2(>]FWQFB,V0HlTpC?68tPje BHO74IRs3U*YR##,e*+oVT_'*8q:O8XWnu2bf5$F\`3ZDHJdMH44ga%M)!P9P`trj >PN4Z%SWHGL@so!Y2t:PG+M4`+NCgT'K<%8KtA.Z1A2,')nL1c,PLQ%(AF51kOI<. 7qoe%D2I_'VU],;3F!>9`hTE7d,+()iEj#P&J%bV<sBR H7=X/V,N&+TCT7r8AQk^#dOnd00m'-i2*i]<@jV34kt+o^NhAXs.rf![Z=/Kn?gp4 dA)`1gE5TC`O&-G'm9TpkCi'sL+C#I/t_@"JG2]A/A929R*K+:b!q_OE6M`Q_8tGh @R]9o^/osd&&@S)1&`!iEn#<*~> endstream endobj 44 0 obj <>stream 8;Z\76'TK/p[!.V?AC1,:JGuZ'Heii9#gY^ I^\o5cHca,k%EIqX7'u(H9C%*O%8.!qOYL9APEcMG%mD]]qJuO2 C0]5@7lbI++rS.cE`c'KUhUH'JL&oa/"#q7>d,8VM PHAnb4.h(EU'bKN]B9"HQ]9^DpMIcaq`WCmm_8hjLGRAufruB#C3*bQ0(6ILaFqDO )XclY2O_NKVb?5%p]>NP>$)H5qI,o18;%^a6iUEA6BqVY)LfVO.fU)4g3"^N0.LbnjRg4/%3#(i7$-g=UtYg3@T&T=5i% \ArQ1fguSRHOY0L.u6H#cjKM'5bOb]73ZQAm$Q&e>K$5L!^e*@-&LcY5n1Z7-M-F6 ?XUhi`NZ'Cdg7:`)ifF?fH?oB;QnWeX,eE:da9/8l<6$^2 UV,>j&O[r,m>CH=@2c[=R:*.s;=;sUHMU9"rs8J97Q4L0@^ nZb'-L79Tl@cX\dYMjjq)TjMY!.0dsJp_R\Z>glHd(We.']3"FCdbp=.El&P]E[a)Np_sU'B\&UH ^?P2FAS\Xt,EK`.XLsH2Q76[5\r./"!1a.u>os50o2Gtiglf-7-XN(G7%Y"jMgTC- W,#m_db.Y^mdjsTn&?9ZV(Q.\C0t,OS*DE#fG7;8qSPokA%-5\j'9!RFDQ(..Kb8Y 7@t1E'%Ftt;)fo3Y/.!^VR5*//+rDe`gVhFfiUQ[ofY+RlG1c>mj06$(6EWU+r>9\ `SoHFgG3hpSs?+)9X4g^9.^aWm>9ATAo@ic(e\6%q-I1D$?miQ;27K9'iVe(9,j`' $)Ba5g7&!khT=ka24AH3?hu($\kC<-0@!Zam.2.kJ#mM3=t=n/.RHd^-)42B#?%n@ qdlNOQ9:/KOuJoQ#7(:U1qBf<2L3IDhGXJGSpQr/N9\TdE4@QN7HB#^3M0;Ko!G>( @n7.Xoo+"\8Wh!:m)lJa#JB"s)q)>nMbbDhs290MWqg=IcR2_rY!YK(jHB VJunnio!.tfY"([!GT6DF-_YQRk(;.2^.k:[85I[^)(JkYpT9Kk=+XXl,)(#4m<<[SC=?]NOeLlAe8`3"V4eA(:W_Fa?'Z%^>YA=.jdrcr2_B>mbVLLg2P FS'i/-oYin*`Q.JD/n0gn*?":'3RO]eaN4h[+*A#nl)mfFY*d1[.,V.V4S-gp\kt6 FRTN:kracr:&+2aGnRQ=.JNdR9`d_;/cN$DJ'N/s^n 9'ks&hsKU]?NU9GrajI~> endstream endobj 45 0 obj <>stream 8;Z\73H?B*%&C;'J^o&TXP1_1dQE8M5/Zh?1)"3']%'\/Ag5eD:'UP m6-Njf(2$%p_>a3KBj-*o9u^g`4[#8d%YgWRbZp/s.qO@*,lB1^W?UcFW$Iu3)o&7jD`#8gn,Bk&k07_frm>r]p\s\;Y4&7jmc@n>qegnZII#nm [7*,6dX6>OHg%\I4cP>jn2*Z3/$3=!476I+[LCfT1&2T2TNN<7_Sq2,VfF),>*B*! )P5F$/Ke?@[9CLM@c]8RVIN'@TCWJ]H*Nkj47)48NuCJ.[IC?_e2,X-%?7T6BI]Lg `j#,pTj0XDF@_ah3ARd(LYsaa[6?!"Ic8E2fnXi-EDFmD>gUjNRT.gQi'%)XP7\/^ -2"6gYF+6uO>;4JFU:'pIP_>VODg5NX74^0h9*(;'rH![Hmfo\(Pb.Wa'=VT_@Y<" _7,6%2*(Vg.F"<=3DE/iSd:k'QJBf[H9ZN-l"eU/fJpl-oV_J!FKa(3n=r.*:#>r` 69Up3!j#b)TPP-+:;oiTcfK0k5NF2""]dCl2qm_g'VEISL"flPjWe]$NN6Sdm ^:#1@Kp6mr15,_ZS!+r1*[,kgO:$A"j[)2DM>@9(=geq*D%+?q,:@abk8O5#88TW,%Z%d9i:hV\[^4Z76O,WgP3O0BQIa ;^./-X-BtuISa)&Y\FU.EcN["R%05E'U-')4!t2QSh!>KfPm%OC.NNo=nJuTiI7lF A=5Do3p`+CU>o?@ONF=HZXEG[Vod3@0l2'b2Wh(XJ-KR^17AW#b5R!M0sMBrN/ni? YFDS3_W"`;G4M`[P09i<2(oK`a/[dZbA/_D`3^*:EBKH2W$kWc-q'+O\H#"WZDNae Vimg,iN27hEg&XDWqZI<1

O-Vn`aOO/s57fG_6@j!RfGbKm:G4HT)CXuie$)cdF ra`FVdYIKF7TH(.b?@VAVQ8:kO/%b/8f21`cEJ7WZ59+&2cS T"%GVI#3\(%iZlX+Z%<0IS,%boMV)dN:.L)WOKN$=^J1( 2cV0d[9o:)`K2/V[3T1]da_A)Z7s+P_q2TPCF*:qU6SHB;L"Q;U!g;"?G.\a;<@Kq g8OlEP1e-!Vm"4Cc@U#-ZJ*3bE+2'-]Sq2K^DMoMgMquF7Ras09%c.n(dZgNi4qT+pG_!".YOTngG&!\]tmY#.OC\@[H/\ giJfK[b]R>pRa;OC:0Z;JdOAm=),E`he'9QTZ\>,_KFSkr'S^\_ur9jH/S6tkb<3i14-AnC/S p9(M#Bsf?V*6X!LoV9B!+*160Pd:E1O',74T-/C endstream endobj 46 0 obj <>stream 8;Z\796TAS%-/n)iMq;CX?)-Qb&\E&Hl66O.ZC]6Wi]90F>7O2o0.Z1[d;NorJ'omAqEB(,3SoX8Z4oC'_J0tq6> Y?@(Vn\1%HA$"#*Sj3.(Fn#A%@I&9R%5[EaGf0#_c!k\aVqV`1*5>dspj'TWe)7o` Iu+Z,i<['8'94X\EW/6OnU%q=mW.`T!I3>1I;W,qepFS!1!]9LnaS?;f/j"W]/]Mj a);j19_!ToCo+ML=^S(Lp2s\-?'cSH='WeQ`[C)D[m#=n^(/1/A9^8:5YpQe Klmrc%.No!knWcX=b\q;?gh-@XCIf0`C`#UXG;GJ_cC"o&)uBq5On1<^"8F@0R,/L QeV'X$\[u%GKZiU$Kp`@O#S(GZHTiT36O%Nq&WOdH^ooGj1q71=k`+DUVk)mLBZNh ELDIS43W=OLZF?ejj'D232BNWdNeZ>gaAX WW2M!S^"!u/QtSr_5d1>=5+$DV?[lZj9GoG+,^`,#5$mM>02R*,*jp&@NkdRkTH6I d/fPUj31u/E860u8&t3hCuk&>eMcWW'78e+Ah42L!*dX4'nEJj^RGgW6nqS-LC>Os '_Q.%8'd(./CX["Zg[*IrcY_"YLSan/Fb`/]L+4 1n[Pal+/RMN]F$HTS3gCbTL3mDgOC'mGJs'Z3=OkH+[2:OnEa,]jdXO+lmd#'gpl[ a.OaP3Mme<6HK;1X]N/k@5b"f_jSgnPiPM;CU]7h`BpS440'X.of:=7$hdIC<<2q0 P=33K7bIB,fs*e7?MHY+AJEp&`Q/rC(fbT+gP.&9p-ScCaP0fe4QB\X]04q[P;#/c P!!Skht?7V)o.`Z+<&,%9=m0?*Se4$I]s>BEYh*%\0g?9W'IbL:-)s%A@GNQYupXj :7B'g(9qonR-09.f;u"RY55LicLHb/QdWJPKUXke-kYUF!#tl64d1A=rq:)B"4T$)&5\cji$Cf#L/.C-'&+m e%,g'<'Pk("&RN\O?&.$LUE?b/n=:*b-_8J(I#AK-*U$ASa.W7i? ;r)_%Is[?#\jFO(bZQQ]#qaH3-*$Pa(fTNQf&-ZU ;(qJtPRE(\;a1*;itR?o$Ub*07@[i Yre#kE`XEaCJm<]*'cN9aG6qW)*Lope.VKgf7\jS`'HT!$CVQASeN7(kBt.!Dl>eT HehhEJn)eD^+Wr5m&EL(<(*ME=c(_.[h3]0Ck6gi`H,.>!n1IL&fku5*)+g&9uWh?'WO8OFj/X.\fWO-1'&'-@RKj'jP1Y\I +&Ps9WblS>hR0s4giou`FD;^cQ k%LN31cMhcmMqp'@>=[Z/PSS;;imM*NUJ%eN/j1`Ij_m3VU*93)ptXC0_ju KF'#08SPjHb2f(52(S(RKVp?@*;@W/j)pFre1lD16NtFq'4i@VK5Me@(.C7!W^:/# *jq/?0i[V7_p#,!.:o:J.qH2kO.K@>*_aBbS3:Q-tWQhRmHt"`W?4A7>^h+PIDb42ac-iXag0H%(G,6jD(GR q.i>Xn*_jk-kIBm?NN6dQuEJB%#gH,?K'*Ygl!'1V*"\m(Vf>4AFZN_2'.oc2l"., eH0LcC9?3uAgr"fl/!]Rq#2/g+9)`LVDV!d~> endstream endobj 47 0 obj <>stream 8;Z\76$DTC$tM5^dE4J.;Y"3pN@X;e+b[mFOogk f=lOc]C,-r@3#45jr1uh)g^;+@1C2E2XQ-tmAB>t)kJX>o%kHc3SPVKZoe&;X09]j (`"HmI]&p&q=\jW%/)#_A(m;0(Bu7]OI'ne.gQ1h9ZhK=,ULVm^) VD2/rNS/f'^7Z]SKQe,)$eV4=c`qS@$m1K1iA<5-Q04Y=F0rPuQl>[l2KXlq `"sZsB#J-RG$OmZ*1MDdQoP$#d_MAAi[nc!2-FgEI*unBK7U5J_RY&!8lV%J#*MT2 A&,l7g5%[/EYHa3_XBLTFe_!pe'OlMR-iJnYo-1l=50tfT,G^`esnqK!l@>e^5;J& O+6)[Su-:DOMRs\Z?jf$(Yk6eZ>,n!XA@L@%c\kpT/LgLIK%sfJ"3Z5#QYjIG]eb) j#Qfs]:]T]LXU9Fif,7ai=m3$&h&9$pP5*T^;P(0"@Mu*%]]m]5t4LsG]H0D3GCe& BS*?'gB&PugMStX!Ed$)\AcII'h4f@UVu00eCL3^4+%sLB_59aZE\]>]d+M'(-h$: lrP;=2tTBs1HNiaqc[F0!%@Ykhq,gZH!m1.P7\5e$)K":8RZ%u@]n,/lRVFOTkH2p #/jp"N;rfR)%-I\LfKUu-8f!Tl_^:>s3eu(\OBhuO?"/&nY=4b$kjrK=&tSs_GnS> A+g3&NHU*!,u;'!4R5k3:Gj@ghqg+g+B>fjTs7YX=W5JH/!YCNW.KjP=fX;W3i;^F -N+h8cq7e&"Tuo=Zk/_&%.[."8#/1?1.@.c9ER]O6n8usc]iqNdU]C^4OV#U;tt&j aip2W)2qdpB2G)C0Lo)C_XSHkIM/"rV6QC('0"u=bI!$^;0S=rK)(",guV;SH=B]+ EH5dUQrdbTogiA"$(3.=N9a*,>f9L&EDdZPN1ros6V8p6d02n,hE&VATbu]sj :][AqJaJOo^toJQ(esu1Br=X42.r!-=%&-+r[!LQ!.!7 !I9B;&F@b,7DEKDi&VuCOX*;\i$:XdXf3Btc:L-El3lNRdQ,M(cu')iSjQ-91.ad" MG)B/1PML81)2mc[f9!L-hD<,5&]jUi/.dT,N5<1XcD3J0N7F!E5rmRg,L^-;3TJEdeo^j$G&]Km#qh!'RSKcXCS)uEHiK%.!`gDdDg`D CI;9;,\A5RiAaRN4BkZf?teUnUI6ctNmh!pZuLK2=Yi>[cTNr4ohA endstream endobj 48 0 obj <>stream 8;Z\799L5;$t[CdX;/HBCIJ`.Q$jLOHl9(#rFi\)p1I:+<$fLn`()LJ&s@R<[>CN- \S^(q=jl"+\+AI4.cjo-+XNAU"_/o>\#f%KBfWq$F=MmF,_0ZEfjB1$WX90 .Omsc8rV3AD0fYjK9Cg!-4Jj(Q14',3[Y.NeVaiP]F4,>UO1]]0blJP4GcV]h!pJ'N]QHI1mFE?1pBMQ.1>MWH=7Gp?ru9%+oBq>3'`+oq9=">V 9`+]pOK_/fdN^$e0\-Z]#!*-`bR'dE^/g8dm:"n6+W/.nf\g9NDc&'3PZP.cQ5Qc(E@WQb`^[A=42n V!Ird#3j5IP6G-Bclrn[?,h1L?pQdmjjX<3]L"7_\Qpk5Wu&jF%,#HJ(g"Bd])l6@ K\/r-h5a2SdYY+j\1UN):G':]3@2OX9qq"Jl49W3,-.3O/(@&X"6'dEOdNc8LeGDp %((tH:\ZLM;j^nMd9"%@Dl5EmK8;1kW=oE"QNThVod7"P;HNP>IeBrC*^TP5lq3T9 !#i/`A_B#!oE1qN(D!KZRC_">ID5'!Q7(38o\.JBlb-Z'\;rea@\p&['^t^W2]-kEG1m,?o5p $of,3f8s(IPV9Xf>e_hei$#gBLc'E!KImIuV6g74"VM2@(GM2@(GM2@(=*oHenYtO,BqQ-sJn,2$Y`B<^:e"^q%+"^O.FGTn\';%5HD#HHc F8R'ZTY$;D~> endstream endobj 49 0 obj <>stream 8;Z\7c!g5o%-4e76mpE@Fn.%PVbJn9dL>M*NICkSSY,kDA+3s2Ymj6_7RQWojk8'c ?]TCfl-U$Dg%Ij9[D(3q"dSbfmqp\BD;T,?^>JVSWXZ96=3mGj0Pq[s?fl[dA$8Vm cMO)1oRl`fNV0BJiJmFcUnC9;_U1Be0)Xj3n6`i4ebuY;Ao2a;n.)&KLj?BKL8g$> ^6t,Yhd3EbNI*Mfm!S!^GnCjem/=W"mVhLk]cZ_+!hAFbANm00;SHDq^N*1T+Y9]: jQCM)LYq^^T)Et;h/2&:Zu/OM\u2D'I+@M1@3fig]H"rSQ=Xd:F*f+Ya>nAHFiscQjL^)Z`ttTJ'?I3oY+7$`_b!UKk"8L E:>OD'9/#CqLE`,6s_]Zo/QC`A&&X3qb&Puk9>NGmR2Bo=LtW%QD7d@Tf; `A?h<0O&L%.K.45->>'b^nU5m]PhHuMJ3CmF2>%+^>LCue-nn>b_n/WGVb']%u)Un 3Y8"#>RGkp+i1n_(6a5[7#08'SlNOh01P^r:RZf]*ESF90sXg @8:b_lk;?HVtL0r`$QdB]Y6j/mOrHf*AbRD`LR57dK-7I1^Z?#2m`^jU.>Zp:OK.R JiRp4Ym'4\(97"qSo'Tb[#!nu@gjA@1@]GZaQM+DATMG,VrNg^LWL,oB!&jU#ks=/ 6AcTn4!FfPpcd=<Mol^"/dru%)!2Hl`6K0p@(eX@mkf&HT;k!bZ_*F [;2T.B!-B_O_";P\4'ia[^7kC5Td8Y?pPn9FCC-a>HDDo$TP#C^9M_XhS_XLE=Xmq SOudlR:&_1n5f6ZgmPK-HS8]Wf8+%&O\:R!d9tAN1GCF$+"<0b=jA kNdQ8?SpI8R:o:nU5?(YFp^sa/=Z3ml0[bjMKIo0HZ1hhL -1^Bk_O>8nI,V0[j%3io?Z?tR43LKNrNJbUR7WL<4gM4N`"\W,+5=r=DP3mkgm_qd ?=XoD.0o&]%h7E=EaC=RflG$>76>SE-o*=a;B4_#;U[K?(/P.J2UA`<'L(OBW9`\G l[.C0#Pd;G\F^cjeOPE2mLrrn='_(gBIcRs-VpP"l=k_N8Pa),n-.M)O\-*c6InkY XZA!.l_?QV.Mc*Sl?2&=.aB-48!(7%6IlkX)c-V^1.Ar$@Ns@`GkP$hVi!F$d2p\Cc,t]Zi82B,ma?aS`RC9/6s=DjlOkRY]`R &MhSiHTCZK_F!VYPi6e*\;ji`>G%u"G,55^J`/eAoD/p(qPK&%[8daR4F=n>9j=i3 )u(nl(]B*.4/FJX+l]c<9TUqbpjDEML\UBm\tl<(J"c`\p]/4RU?&g(/BDLG]t/MN 4Z_A#GijF$=V_n?VC8lD#7\Qb_3e\+AFH dA\J,9^!XGYQFt*9IDos]HBRccVa+,6Or93=/O9:69Xn$9;8[icprYg(:;"[LR)qc[Dj6HZ)8GR^A c[POi?iPq[976D/>)4(qHBs9_)LBHtA`Po^ZsTu3QRU$[hY#YW89--:+>+F!r$$]$ FJY48i86NV]X$\755)&1558Omq5+&+C)-0rUGT6D_^K5BLTB7)/`(/]mbq5@N*_uC q8dUsqTN*renrF;D$[\"#"['sRJE"hF%s9jXOt%\+90KEbPqYEU%:/g~> endstream endobj 50 0 obj <>stream 8;Z\799Q&(%.u**5q?slZsjN?R6fqb9UGD^@m=(g_H+`B! O&aBIo7r:OKDR3bor`e^LrX4#JOnb:Tq#[0rpV+V()OD7hmBE7GEXECi#Stf=.Nce RY^gXN5TeN>-Aig2$_?Qj8F68(S]E.YJ'gK^#.SQ]a!D7?7,!MnITsbikI"?Yf>uG ?.GHiN2f2MXC(&_V&bo3H.-B/2j9WkM+Pn?Q+](urK"?%f7cGG,A#O*T5.'NBD;6J NapVb'9?!=b,+Fiqm26B`H3j*JDl(1.$D!J0,W.L9b98q(18Cb^:*M&9?\i$,gn)e H5<2Nj]Y7&U,(EVahKIPrj#Y-<-tUq7Nmq35jU$_E3l3, >Pf"&N09,R!i)NL%bGukZ;@"U?rJ930Jp=c*$_u/M20e=URu3D"hp5,dqUX/RmYoGAD>l*HS/a%`Ph[8+GhXh i42r^Fj,@A7cm0(@MG5OFe#6t)^$Sq')j*%Dja]i'A^Fe&k`FKY`qsbGB%Q36(-G! @GMdG\8H=aqFGNUGMX7PlD9jF"g"#_PU%?e'Gpc&i8,>F*SBI3.(B"G#:O9"/nn8> R+?T_EhXs+rkhQur$=LUe\.5g`Ou9_$9@@m:p@iEYI4TbIo0%K\H%;u:5`PUmYee] 0%5M-FRe&m?/hF>>+",_BB.0?)t^"&0eO*,8@NKMmgXmJrN\U*:r*L<"R&YLDrOHo XD^.I;5\Au]$@Og^HU)D=njaV(ORD+&<17LUlJYrI3`B$?QVF_[ccRkrTNe5S6%hH R9bmL:l!5)Gam@cV+N]aT]Q%?N%`eX5jr_'cg1G[p\$]$Q,!03r,sF\r0@7Z_\%6T ^+]FsY`mC@ro2]QpbIN21C>e'dJHSZK'gc=!$hE,q3ZC\7(B3VY7B<_=OsH#VS-ec :PO#?B>!hU@upLfP)Ku\5Icq;^mO6A"S0>WL=-$IF1^,_[EVXnNIrN2%R5DlWTue] 532QsWLe.Q.Ar\Vasj6YnfQ"/qpj1sQ]b.Hk.rMDf>CR(f!kTR]6%lFr@_1;Y^ijg <,829(A_K.IG-g`nL_9lBB"SUVbaSh/GhFZcFYCJ@+']lO%F1BWPtQ1gdB7&a.?M, msa=oo<6:)! endstream endobj 51 0 obj <>stream 8;Z\74.>aj%!@iS>ZK!SXNG`AW\TK0Q-HP(?V_)Z,]RG=_&ikk/;o.&,\m9.P^A7CauX0@J^CV%glF?(*DaT]Q3Z'kY5>mPcm=b?_9IYg`iC D^m5,mgCkm?2g]W[VF0bKdNOhrtl%nY-DT-#35?nGlk&KgXQ^Q>cL@i0&%>GU+I7rY$\mC_^q ];,$`Dp'\LTog_,&*8Y78g`'72_8L)HtH_HQ@HED9o/1\2V+/Zp4X]+415)rlj^fjrdMbS e.6h6G&LDfF1h]2U(Q'H$$+6Skn*(S/"B`9&`&5$H:O*ofim(')>9oRk@jXc@"u*g 4RCW4]FK<[oRc`$rbQ=Xa@DEa3^27X2r[!c ?F=TEXc,?+?cU2!0=?M"-^ooam_ZK9JG@GAl:o#.n5Wj4.Gn7qI2e?hFk"]s*+[QTX!t<#f:Nj#d'"\,>+W;5VH$Pd`"08U_2*$)Y5Kp%+rN4J3Q:[bL1S Y@mcE!Q1b$_j^7I&0Eb2+ZR#-=;s\Y*Zm&T8J`6O6qiQgSmd>@,3B0a=bIuK;82RZ ,IrWl,tEW1K:j.WLmgW\*[oRtamRtD.uo"=b(!N(!M4j,-],;>-@_-3Pb@QO/7EB# eoFn^f=9Ue-M:,K7nP<27if!'Uuiu)&hK36NS9t4k4P2;Mlfn47S[:e0H/d< endstream endobj 52 0 obj <>stream 8;Z\7bE_-<$t\O.7OpNddY\j"a.)us]&fJD==URb0bgr^(Wa3=iogr"5`r.^!kWfuN?9QG:1cL53*HINck ?(V?GUnWE*$V$(C"u*.O?=W'\qE/d%*F`*M5\$JaaJ"8W[0(3ZOq=Bj0]kuUW$VC* K_Wu;+l!^m><\"Ao/;X#j*k760)d.TJC@2."u_^oQWsG[N'Qi.*#!c:O9Y(`'.+oa ^#$l8-@qFkO?)l,T\U`788n34ke]o$9N24 kfB@M7J6cfjW]`u"g\]PnO;3%nn91)\CS+,(HY:p!?AeP7=,qrJZjt:pXf1l[ZK,9 9#$Mo1,H)GU]7XB4CBgZIVn&t:AAR1]]-R$T&5\.m=2cjY>?.Rr3YL"9Q&*J881RR )BOl_Sa%s!21\?Y7@$1qKn:T::G:aNNA$#omp9l+o#.\B*n_I=%O6a\Q:/.5337D' Ikd+oe,^f'BQ^$bIV;fjopqlhWjcf@EWBt_Dr>DDQSiF^nn?uXA:9sV$*@(R)u,l?XH7am32*2[qlbF&YGBm(M6Ssr'hQud cgk`t@&Ncum67r]f:t3AiN%f$Jq6qJIr-!6g^h3l>R!@/nsKp8BE:D1Ug"eb)?RX" g3VpQ`t]qK,]CXA+i^rkUVif0/[:+smeBf^RbcOY@11F+@%ZE$qA4(^QAkk8rfuW3 qQ=,-Gg6u7Y4/i3/8t]&4.idJlumpn2JlL'/g?5o@tK]#g%qe"D*lV^]Y,ASe*$McL,G1!9%26*G+J.LX,u`^ XS362Iu#cIQn=,Va=$adm?$2@(I>ucnC?RF\m5u`#V`3Pi,$D71Uq*>f>ZAX4PKIJ 6gsth+"oT?@1adkPLr'Qo,:t:g7@^#m0`B#U/R(if+DB$"n=W/mQNcSG$0biR1%S' ^3W'C'$!5[4[H\#nL^W:A_C2'\D5Gg;ObZg2_2gKnFSj #it-SF`kC$`L6bnAWE+rP"ZgrpfDA1Ncep"X)b_Q@t/'PakXY$)%4N@QB*QbahG3` f1JSe,4QGnG,tsE0L5u.P`+m:6-d3("1"0nHfqTlYDI7FdVUVUcDF=J21(09A:/,O )A*`XF:l*c_tV,OC>7!jPB>2mhN1@SfhAnsKo+D*iV'8rN@u0Qf+"$N)f(^,Yg$iW #s;(RJnQUMkSZFiLA,#PnDV2%;kk9f;a\/(8+@U+-FLNaJ3>0gkm:N54X5B&* IJ8l`nIO^Ncc%(:J!Khkc=R0IQCGWP])"VMWqEZRq6>YZ(3f?t6qSo^Y>dN_E2)u" c?^jZr^K$slUP3-"p%.R9KNceNT:Z%$Ljl_\^d`C9#i2]KN\@rl9MdC`Q%S]Wdh=; hZEj4Gf6u~> endstream endobj 53 0 obj <>stream 8;Z\78[>*F%/#M$B]X`1B]VF:=[p6u 93M)S\IbO+j_t"8-jCtD8sh<",8J(&+/Esu66##=(Ug_5D60MYoE`";W+)Kq?@P[@ Sb%oEMK1pnJ:`"#QO>JJ<:1:bc-Q<4bj5/F!M`mhbHq*]HL'R?9.?S0lT;c3N;+Do $.Q6Q!(cFnTAf&VrONU!GEhnNi&\*3D[.J^ @YR-,7NI=*@*!`Y3c[1:Nm(luj[org$k+/qPji'FOP41?rDci) /g&64g4d'oCL+`BHr!U#a>2'F5>Hqd/R9LrE7&RQILa]O,XHO4'! ##U.:ne/Z'94;M1q\m2e8e-,,;po1@JL7=O1$l=3Dp,9#ZGPL;q=I\T[LsC3M[=]mW`AhV7-L ?q7I'6VTZuN#,S("R(8chV$&nk-!^E&u;"dW6pFp1tCl.1j.-7QYf(14Jrt".h=&1 _`]7uJ%cGdQ4ra-^,._sI)n"RCfNkaLG.nh$l#"!!in;.YUeW< (LDmf"JOd\o?A>j.Qts^@jZuPjQ@`8H+A>Ic\l>pTEmoejEdEd>CZ)nL7TZ?Ts[79 1J4[Xk-<^KL,%RMWK.bt%X>BB>/VK(?i?/LeHe\V!3aY\,4!p>f*5T>.^GhL>DpR\ G^SL@YK2o7@C#]+5?_2IP?VA$\QtE\=;XKZV*;)oAT#bFciTm?s4b1ICWf;-a4uBn M*Y;lQb82c?JV`EU7[ep4j.MGjOVr]e*6e,W7NY$4$T'mBFaj`i[Zo5*^h@&??S;a Y@++B"'R(1p\7q86*+a>?[6%ZP2gFAaYG`:C=V=3k*kX=-1`0bJmriU,&b=3jD+d](8F7m=MOrUd c?c,[T endstream endobj 54 0 obj <>stream 8;Z[LacY=3N%[&@(Yt#>@Z&"F>7=hUL@#*K:Jna01R^mI@aGZ88;9CbbkVA0!coF' ;b8b87'3g0<\`H?N228M8VrYT>=pUo4ruK8KL"d'gbZ:_nF.<@)<4(RMCb,KI8Ns- H;2=+=8Amr=-! k`1"9^[Gsu"eL@jd\9'*M99ZU=rIMQ.-Y8[i>`'CR_=#EGW0p o7(jg3,i[Zbt7,%8M2]G48/lD(,&s=D'lr5:O0gIro1cZ9J-tfECkY)YaUqTj=M11 oLa[$%EC98%e_;o1d:!SkE^i3ddZ*:Y=1(1AUrnVVfGLBZpIap /[PpTYK1j"8+h4lE!6\?j*;opGQ,"2`(ctB_sIqN?DDX3k>ai;YNfKYDQ4kjCukJ< /H03(V]$B'<505pO:,WSfHLn#n^qmSUp!&^o/h3K^L5FbjBVM/s(W/,@79_9'=mg^ !k\n]?6q)[<3Ba2$>=R_qRuq&d_+^L@/dOHjAUj57@*oQaR.V:&$tiQrMq:]@YmT/ NJXtK;_9$:R@X6,?=1)H78Nm"e+`bjk1YB4MOp<:p\i;&=?VR4I@\KfcX0KY!4krX _6:s\lo=`:LHV"JY4!t@QQJT1b+[EW7._Bc-'UYn&nYg&EJ`5sJ$HThBhMKA8(jn$ Q%@.!l9=mEl9MCQ-8h)E)bL2T7igYsEo3sZ>]Ynf$6%ad"ok#9$OetP8D,H))Ni$t ^&'R_;O'oA:pGaVD[fVQ=?S'I>:)kV=sM6ZfHQNeMr^&ZfoLf4XVU0!0ud)pd&TNP gmU]4'"'`JPNC[&b2/duEK"n>W&?I]K50G-Gps7C5(T`KW)QQ3,q^bOOe1dL#!ao- R@p.1f\+brAT\sB@*XY2I\="kCGs\(k]R0,i7MbuTOuJeT\TCA>Uk*.CG'h,h07I- e]/Js7kXq>9?,lG`Wn]sJId.d"90oW>AC]W?00Wq endstream endobj 55 0 obj <> endobj 56 0 obj <> endobj 57 0 obj <> endobj 58 0 obj <>stream 2016-02-17T09:37:08-05:00 2016-02-17T09:45:47-05:00 2016-02-17T09:45:47-05:00 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:7aa6981e-1704-4ca5-82e8-f0a0b766dffb uuid:51ffb911-0a2f-4fb4-bf79-750984782bc9 endstream endobj 59 0 obj <> endobj xref 0 60 0000000000 65535 f 0000117662 00000 n 0000117872 00000 n 0000139628 00000 n 0000139881 00000 n 0000159212 00000 n 0000159610 00000 n 0000176645 00000 n 0000176855 00000 n 0000202192 00000 n 0000202393 00000 n 0000227165 00000 n 0000227367 00000 n 0000248540 00000 n 0000248742 00000 n 0000272126 00000 n 0000272328 00000 n 0000286976 00000 n 0000287188 00000 n 0000294346 00000 n 0000294548 00000 n 0000315273 00000 n 0000315475 00000 n 0000326881 00000 n 0000327083 00000 n 0000343276 00000 n 0000343478 00000 n 0000359512 00000 n 0000359714 00000 n 0000373439 00000 n 0000373641 00000 n 0000384527 00000 n 0000385041 00000 n 0000385089 00000 n 0000385180 00000 n 0000401674 00000 n 0000402403 00000 n 0000402596 00000 n 0000403186 00000 n 0000403328 00000 n 0000403467 00000 n 0000405929 00000 n 0000408274 00000 n 0000410438 00000 n 0000412918 00000 n 0000415392 00000 n 0000417759 00000 n 0000420315 00000 n 0000422143 00000 n 0000423221 00000 n 0000425533 00000 n 0000427016 00000 n 0000428907 00000 n 0000430909 00000 n 0000432722 00000 n 0000434206 00000 n 0000434267 00000 n 0000434394 00000 n 0000434489 00000 n 0000439123 00000 n trailer <<8AA1809F1AAB9744B984C2606E3F32E7>]>> startxref 116 %%EOF

  NODES