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8- Plastic Surgery

Apr 09, 2018

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    Page 7 of12

    Lecture 1: Introduction to Plastic Surgery Outpatient

    Clinics and the Emergency Department

    SSuurrggeerryy 225500::

    1EXAM

    Bernard U. Tansipek, MD

    AARRMMAANNnnyy ccaallaayyaann ||NNIICCkkii bbeellooJJooyyccee aannddCCeeddeess

    AAmmbbuullaattoorryy SSuurrggeerryy

    MONDAY | July 26,201031 HAPPY BIRTHDAY, KOOKY!

    BLOCK28

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    Fig 4: Waters View showing fracture of the Right

    Zygomatic Arch.

    Fig 5: Coronal CT scan showing fracture of the

    Right Zygomatic Arch.

    Fig 6: Sagittal CT scan showing fracture of the

    Right Zygomatic Arch.

    Fig 7: Waters View showing BlowoutFracture.

    (after reduction, titanium plates seen)

    Advancedtrauma life supportprotocol

    Primary survery

    Airway and cervical spine stabilization

    Breathing

    Circulation and control ofhemorrhage

    Disability andneurologic evaluationExposure ofpatient and environmental

    control

    SecondarySurvery for maxillofacial injuries

    Cranial and cervical spine injuries

    Maintain stability of cervical spine

    Diagnostics

    Lateral cervical spine x-rays (all 7

    vertebra should be visualized)

    Open mouthwaters view (sees atlas

    andaxis bodies?)

    Ct scan

    Neurologic exam

    GCSexam score Assessment of12 intracranial nerves

    Headache and vomiting

    Loss of consciousness

    Integument examinations

    Assessment of abrasions,

    contusions, lacerations ofthe face

    Assess of anyinjuryto the facial

    nerve ifindicated

    Assess for injuryto salivaryducts if

    indicated

    Cannulation with 22 gauge

    venocatherer

    Introduction of radio-opaque dye

    Ophtha exam Visual

    acuity

    and

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    Page 12 of12

    Lecture 1: Introduction to Plastic Surgery Outpatient

    Clinics and the Emergency Department

    SSuurrggeerryy 225500::

    1EXAM

    Bernard U. Tansipek, MD

    AARRMMAANNnnyy ccaallaayyaann ||NNIICCkkii bbeellooJJooyyccee aannddCCeeddeess

    AAmmbbuullaattoorryy SSuurrggeerryy

    MONDAY | July 26,201031 HAPPY BIRTHDAY, KOOKY!

    BLOCK28

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    Advise the patientto stop smoking 1 month before the

    surgery and 1 month after surgery.

    y Area ofConcern

    - Size & shape of original breast

    - Symmetry

    - Some degree of asymmetry commonly

    persists inthe breasts, even after aesthetic surgery.

    - Measurements

    y Masses or any palpable abnormalityinthe area

    - Nodularities

    - Polyps

    -Infections

    - (+)Mammography warranted

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    Indent:Left: 0.42", Hanging: 0.17",Numbered+Level:2+Numbering Style:a,b,c, + Start

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    Centered,Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

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    Nobulletsornumbering,Tabstops:Notat 0.5"

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    Indent:Left: 0.42", Hanging: 0.17",Numbered+Level:2+Numbering Style:a,b,c, + Start

    at:1+ Alignment:Left+ Alignedat: 1.08"+Indentat: 1.33"

    Page 3: [166] Formatted Windows User 1/31/2011 11:47:00 PM

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    Page 3: [168] Formatted

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    Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.5"+Indentat: 0.75",Tabstops:Notat 0.5"

    Page 3: [193] Formatted Windows User 1/31/2011 11:32:00 PM

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    Font:(Default)+Body,Bold

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    Indent:Left: 0.56", Hanging: 0.19",Bulleted+Level:1+ Alignedat: 1.25"+Indentat: 1.5"

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    Indent:Left: 0.56", Hanging: 0.19",Bulleted+Level:1+ Alignedat: 1.25"+Indentat: 1.5"

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    (Default)

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    Indent:Left: 0.81",Nobulletsornumbering

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.5"+Indentat: 0.75"

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    Indent:Left: 0.56", Hanging: 0.19",Bulleted+Level:1+ Alignedat: 0.75"+Indentat: 1"

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.5"+Indentat: 0.75"

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    Underline

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    Bulleted+Level:1+ Alignedat: 0.25"+Indentat: 0.5"

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    Font:Not

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    Font:(Default)+Body,12pt

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    Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08",Tabstops:Notat 0.5"

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    Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08",Tabstops:Notat 0.58"+ 1"

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    Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08",Tabstops:Notat 0.58"+ 1"

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Alignedat: 0.33"+Indentat: 0.58",Tabstops:Notat 1"

    Page 4: [241] Formatted Windows User 1/31/2011 11:32:00 PM

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    Indent:Left: 0.08",Nobulletsornumbering,Tabstops:Notat 1"

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    Indent:Left: 0"

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    Formatted

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    Indent:Left: 0.94",Nobulletsornumbering

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    Font:Bold

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.25"+Indentat: 0.5"

    Page 4: [253] Formatted Windows User 2/1/2011 7:23:00 AM

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.25"+Indentat: 0.5"

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    Indent:Left: 0.31",Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08"

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.25"+Indentat: 0.5"

    Page 4: [257] Formatted Windows User 2/1/2011 7:23:00 AM

    Indent:Left: 0.31",Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08"

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    at: 0.25"+Indentat: 0.5"

    Page 4: [259] Formatted Windows User 2/1/2011 7:24:00 AM

    Indent:Left: 0.31",Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08"

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.25"+Indentat: 0.5"

    Page 4: [261] Formatted Windows User 2/1/2011 7:27:00 AMIndent:Left: 0.31", Hanging: 0.31",Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08"

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    Indent:Left: 0.42", Hanging: 0.17",Numbered+Level:2+Numbering Style:a,b,c, + Startat:1+ Alignment:Left+ Alignedat: 1"+Indentat: 1.25",Tabstops:Notat 1"

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    Indent:Left: 0.5",Nobulletsornumbering,Tabstops:Notat 1"

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    Bulleted+Level:1+ Alignedat: 0.25"+Indentat: 0.5"

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    Indent:Left: 0"

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    Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08",Tabstops:Notat 1"

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    Bulleted+Level:1+ Alignedat: 0.83"+Indentat: 1.08",Tabstops:Notat 1"Page 5: [311] Formatted Windows User 2/1/2011 7:29:00 AM

    Font:(Default)+Body,12pt,NotBold

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    Font:(Default)+Body,NotBold,Italic

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    Font:(Default)+Body,NotBold,Italic

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    Font:(Default)+Body,NotBold,Italic

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    Font:(Default)+Body,Bold

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    Nobulletsornumbering,Tabstops:Notat 0.5"

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    Font:(Default)+Body

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    Indent:Left: 0.58",Nobulletsornumbering, AdjustspacebetweenLatinand Asiantext,Adjustspacebetween Asiantextandnumbers,Tabstops: 0.58",Left+Notat 0.75"

    Page 5: [320] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Indent:Left: 0.58",Nobulletsornumbering,Tabstops:Notat 1"

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    Font:(Default)+Body,Bold

    Page 5: [323] Formatted Windows User 2/1/2011 7:30:00 AM

    Nobulletsornumbering, AdjustspacebetweenLatinand Asiantext, Adjustspacebetween

    Asiantextandnumbers,Tabstops: 0.58",Left+Notat 0.75"

    Page 5: [324] Formatted Windows User 2/1/2011 7:30:00 AM

    Font:Bold

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    Font:Bold

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Indent:Left: 0.58",Nobulletsornumbering,Tabstops:Notat 1"

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    Nobulletsornumbering,Tabstops: 0.58",Left+Notat 0.5"

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    Nobulletsornumbering,Tabstops:Notat 0.5"

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    Font:(Default)+Body

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    Font:(Default)+Body

    Page 5: [335] Formatted Windows User 2/1/2011 7:31:00 AM

    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Alignedat: 0.25"+Indentat: 0.5"

    Page 1: [336] Formatted Windows User 1/31/2011 9:26:00 AM

    Font:(Default)Calibri,Bold

    Page 1: [337] Formatted Windows User 2/1/2011 8:07:00 AM

    Font:(Default)CalibriPage 1: [338] Formatted Windows User 2/1/2011 8:07:00 AM

    Font:NotBold

    Page 8: [339] Formatted Windows User 2/1/2011 7:38:00 AM

    AdjustspacebetweenLatinand Asiantext, Adjustspacebetween Asiantextandnumbers,Tabstops: 0.33",Listtab+Notat 0.63"

    Page 8: [340] Formatted Windows User 2/1/2011 7:38:00 AM

    Indent: Hanging: 0.56",Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+

    Alignment:Left+ Alignedat: 0.5"+Indentat: 0.75",Tabstops:Notat 0.5"

    Page 8: [341] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Indent:Left: 2.5",Nobulletsornumbering

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    Indent: Hanging: 0.56",Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+Alignment:Left+ Alignedat: 0.5"+Indentat: 0.75",Tabstops:Notat 0.5"

    Page 8: [344] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body,BoldPage 8: [344] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Indent:Left: 0.75",Nobulletsornumbering,Tabstops:Notat 0.5"

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    Nobulletsornumbering,Tabstops:Notat 0.5"

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    Font:(Default)+Body

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    Font:(Default)+Body,NotItalic

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    Font:(Default)+Body,NotItalic

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    Indent:Left: 0.17", Hanging: 0.17",Numbered+Level:1+Numbering Style:1,2,3, +Startat:1+ Alignment:Left+ Alignedat: 0.5"+Indentat: 0.75",Tabstops:Notat 0.5"

    Page 8: [350] Formatted Windows User 2/1/2011 7:41:00 AM

    Font:(Default)+Body,12pt,NotBold

    Page 8: [351] Formatted Windows User 2/1/2011 7:41:00 AM

    Nobulletsornumbering,Tabstops:Notat 0.5"

    Page 8: [352] Formatted Windows User 2/1/2011 7:38:00 AM

    Indent:Left: 0.42", Hanging: 0.17",Numbered+Level:2+Numbering Style:a,b,c, + Start

    at:1+ Alignment:Left+ Alignedat: 1"+Indentat: 1.25",Tabstops:Notat 1"

    Page 8: [353] Formatted Windows User 2/1/2011 7:41:00 AM

    Nobulletsornumbering,Tabstops:Notat 0.5"

    Page 8: [354] Formatted Windows User 2/1/2011 7:41:00 AM

    Font:NotBold

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    Font:NotBold

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    Font:NotBold

    Page 8: [355] Formatted Windows User 2/1/2011 7:38:00 AM

    Indent:Left: 0.42", Hanging: 0.17",Numbered+Level:2+Numbering Style:a,b,c, + Start

    at:1+ Alignment:Left+ Alignedat: 1"+Indentat: 1.25",Tabstops:Notat 1"

    Page 8: [356] Formatted Windows User 2/1/2011 7:41:00 AM

    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Alignedat: 0.5"+Indentat: 0.75",Tabstops:Notat 0.5"

    Page 8: [357] Formatted Windows User 2/1/2011 7:43:00 AM

    Nobulletsornumbering,Tabstops:Notat 0.5"

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Aligned

    at: 0.5"+Indentat: 0.75",Tabstops:Notat 0.5"

    Page 8: [359] Formatted Windows User 2/1/2011 7:44:00 AM

    Indent:Left: 0.31",Nobulletsornumbering,Tabstops:Notat 0.58"+ 1"

    Page 8: [360] Formatted Windows User 2/1/2011 7:44:00 AM

    Indent:Left: 0.31",Nobulletsornumbering

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Indent:Left:

    0.31",

    No

    bullets

    ornumbering,

    Tab

    stops:

    Not

    at0.5"

    Page 8: [365] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Font:(Default)+Body

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    Font:(Default)+Body,Bold

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    Indent:Left: 0.75",Firstline: 0",Bulleted+Level:1+ Alignedat: 0.25"+Indentat: 0.5"

    Page 9: [369] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Font:(Default)+Body

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    Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

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    Indent:Left: 0.58",Nobulletsornumbering,Tabstops:Notat 1"

    Page 9: [388] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body,Bold

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    Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

    Page 9: [392] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Indent:Left: 0.33"

    Page 9: [394] Formatted Windows User 2/1/2011 7:47:00 AM

    Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

    Page 9: [395] Formatted Windows User 2/1/2011 7:47:00 AM

    Indent:Left: 0.58",Nobulletsornumbering,Tabstops:Notat 1"Page 9: [396] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Nobulletsornumbering

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    Font:(Default)+Body

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    Font:(Default)+Body,12pt

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    Font:(Default)+Body

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    Nobulletsornumbering,Tabstops:Notat 0.5"

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    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

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    Font:Bold

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    Font:Bold

    Page 9: [408] Formatted Windows User 2/1/2011 7:48:00 AM

    Font:Bold

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Left

    Page 9: [415] Formatted Windows User 2/1/2011 7:48:00 AM

    No

    bullets

    or

    numbering,

    Tab

    stops:

    Not

    at

    1"

    Page 9: [416] Formatted Windows User 2/1/2011 7:48:00 AM

    Font:Bold

    Page 9: [416] Formatted Windows User 2/1/2011 7:48:00 AM

    Font:Bold

    Page 9: [417] Formatted Windows User 2/1/2011 7:48:00 AM

    Indent:Left: 0"

    Page 9: [418] Formatted Windows User 2/1/2011 7:48:00 AM

    Font:(Default)+Body,NotItalic

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    Font:(Default)+Body

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    Indent: Hanging: 1.5",Bulleted+Level:3+ Alignedat: 1.63"+Indentat: 1.75",Tabstops:0.38",Left+Notat 0.75"

    Page 9: [421] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body

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    Font:(Default)+Body,BoldPage 9: [423] Formatted

    Font:(Default)+Body, 9pt,Bold

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    Font:(Default)+Body,Bold

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    Centered

    Page 9: [426] Formatted

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    Page 9: [427] Formatted Windows User 2/1/2011 7:49:00 AM

    Font:(Default)+Body,Bold

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    Font:Bold

    Page 9: [429] Formatted Windows User 2/1/2011 7:49:00 AM

    Nobulletsornumbering,Tabstops:Notat 1"

    Page 9: [430] Formatted Windows User 2/1/2011 7:49:00 AM

    Font:(Default)+Body,Bold

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    Font:(Default)+Body,Bold

    Page 9: [431] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body,Bold

    Page 1: [432] Formatted Windows User 1/31/2011 9:26:00 AM

    Font:(Default)Calibri,Bold

    Page 1: [433] Formatted Windows User 2/1/2011 8:07:00 AM

    Font:(Default)Calibri

    Page 1: [434] Formatted Windows User 2/1/2011 8:07:00 AM

    Font:NotBold

    Page 9: [435] Formatted Windows User 2/1/2011 7:46:00 AM

    Font:(Default)+Body,12pt

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    Page 10: [436] Formatted

    Font:(Default)+Body, 9pt

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    Left

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    Font:(Default)+Body

    Page 10: [439] Formatted Windows User 2/1/2011 7:50:00 AM

    Font:(Default)+Body,NotItalic

    Page 10: [440] Formatted Windows User 2/1/2011 7:50:00 AM

    Left,Tabstops:Notat 0.63"+ 0.88"

    Page 10: [441] Formatted Windows User 2/1/2011 7:50:00 AM

    Font:(Default)+Body,NotItalic

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    Font:(Default)+Body,NotItalic

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    Left,Indent:Left: 0.75",Tabstops:Notat 0.63"+ 0.88"

    Page 10: [444] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Font:BoldPage 10: [446] Formatted Windows User 2/1/2011 7:50:00 AM

    Nobulletsornumbering,Tabstops:Notat 1"

    Page 10: [447] Formatted Windows User 2/1/2011 7:50:00 AM

    Font:(Default)+Body,Bold

    Page 10: [448] Formatted Windows User 2/1/2011 7:50:00 AM

    Font:(Default)+Body,Bold

    Page 10: [449] Formatted Windows User 1/31/2011 11:32:00 PM

    Font:(Default)+Body

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    Indent: Hanging: 0.69",Bulleted+Level:3+ Alignedat: 1.63"+Indentat: 1.75"

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    12

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    Not

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    Numbered+Level:1+Numbering Style:1,2,3, + Startat:1+ Alignment:Left+ Alignedat: 0.25"+Indentat: 0.5"

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    Nobulletsornumbering, AdjustspacebetweenLatinand Asiantext, AdjustspacebetweenAsiantextandnumbers,Tabstops: 0.58",Left+Notat 0.63"+ 0.75"

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    Asiantextandnumbers,Tabstops: 0.58",Left+Notat 0.63"+ 0.75"

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    Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

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    Indent:Left: 0.33",Nobulletsornumbering,Tabstops:Notat 0.5"

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