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This is calculated as outlet minus inlet O2 content (typically 4 5 cc/dL purchase advent dt 457mg mastercard, same as the normal lung) times blood flow buy cheap advent dt line. If the needle enters alongside the vein rather than into it order 457 mg advent dt overnight delivery, withdraw the needle slightly without removing it completely discount generic advent dt canada, and angle it into the vessel order advent dt 457 mg fast delivery. A distinguishing feature on the outer layer is the fve fold proximal depressions, resulting from missing peripentonal trimers (Figure 6, upper left panel, P1 position indicated by arrows). Jejunal fistula Asymptomatic Symptomatic, invasive Invasive intervention Life threatening Death intervention not indicated indicated consequences; urgent intervention indicated Definition: A disorder characterized by an abnormal communication between the jejunum and another organ or anatomic site. En la utilizacion o cita de partes de la tesis es obligado indicar el nombre de la persona autora. Actions give rise to regulatory self reactions through a judgmental function that includes several subsidiary 13 processes. Butler, who has a recently diagnosed son, describes her experience being part of the autism community. Today more than 20 countries have introduced rotavirus vaccination in their national immunization centers and the mortality has decreased from 850. The Jarisch Herxheimer reaction (an acute febrile reaction accompanied by head ache, myalgia, and an aggravated clinical picture lasting less than 24 hours) can occur when therapy is initiated. The Esrey reviews examined studies that quantified differences in health outcomes between groups that had different water and/or sanitation conditions. Results: During the 10 year long study surveillance, 274 813 children belonging to Manhic? Proteins Virions have nine structural proteins (13 86 kDa), including 235 copies of the major capsid protein (49. In younger children, a combination of trimethoprim sulfamethoxazole and an aminoglycoside is an alternative regimen. When all air has been removed from the blood pump, it is safe to increase the pump speed (rpm). Answers will vary; however, the predicted answers should be along the following lines: the isolated population sampled here is facing selection pressures caused by both limited health care as it relates to sickle cell disease and the introduction of malaria through the Anopheles mosquito, which carries the malaria causing parasite. Children convalescing from dysentery are also at increased risk of death from other infections, owing perhaps to their poor nutritional state or impaired immunity. The director shall be responsible and shall have authority for all procedures and policies relating to all (a) the blood bank shall have one or more supervisors phases of donor and recipient testing as well as the who under the general direction of the blood bank director collection, processing, storage, and distribution of all supervise all functions related to the collection, processing, blood and blood components. References the initial items in the first section, Descriptive epidemiology, are defined as follows: Agent Classification. After a power outage or mechanical failure, do not assume that vaccine exposed to temperature outside the recommended range is unusable. Background Respiratory pathology represents one of the most frequent causes of #I144? Affected animals will usually respond to a should then be divided into two pens and managed single treatment within 24 hours, and a second dose differently during gestation to minimize their risk of of vitamin E (though not selenium) may be given if toxemia. For example, the Soviet Biologic Weapons Program near Novosibirsk in western Siberia continued such work engineering a component of Ebola virus into the smallpox virus, despite attempts from Gorbachev to curtail it. Further, the vaccine must be milder and less injurious than the natural infection yet should provoke immunologic memory. After the cough is established, antimicrobial agents have no discern ible effect on the course of illness but are recommended to limit spread of organisms to others. Intravenous iron supplementation for the treatment of the anaemia of moderate to severe chronic renal failure patients not receiving dialysis. Analysis of data gaps pertaining to Shigella infections in low and medium human development index countries, 1984 2005. Loss to follow up was adequate in two studies [20,22], and was unclear in the remaining four studies [19,21,23,24]. Worms localized to the retina may be killed by direct photocoagulation (see Drugs for Parasitic Infections, p 848). If your child cannot eat enough food to grow and stay healthy, your health care provider will talk with you about giving nutrition through a tube or I. Information on proteins encoded by viruses of species other than Rotavirus A is less abundant and primarily drawn from sequence analysis of viral genes. Transfer the mosquitoes by sucking them into the open end of the polycarbonate tube and then blowing them out into the container. At least one System Controller power cable must be connected to a power source (Power Module, Mobile Power Unit, or two HeartMate 14 Volt Lithium Ion batteries) at all times. Outbreaks of hepatitis A have been reported among people working with nonhuman primates. First and foremost, the review confirmed that all the interventions that were reviewed whether related to water supply, water quality, sanitation, or hygiene promotion are effective in reducing diarrheal diseases. Immediately connect the System Controller to a power source (Power Module, Mobile Power Unit, or two HeartMate 14 Volt Lithium Ion batteries). Cardiac disorders Cardiac disorders Grade Adverse Event 1 2 3 4 5 Acute coronary syndrome Symptomatic, progressive Symptomatic, unstable angina Symptomatic, unstable angina Death angina; cardiac enzymes and/or acute myocardial and/or acute myocardial normal; hemodynamically infarction, cardiac enzymes infarction, cardiac enzymes stable abnormal, hemodynamically abnormal, hemodynamically stable unstable Definition: A disorder characterized by signs and symptoms related to acute ischemia of the myocardium secondary to coronary artery disease. Terror stricken, they awaited their unknown fate, aware that the mysterious disease would rage until the frost came in late October. Non survival procedure only 5 Technique Example: Marginal Ear Vein: Place the rabbit in a rabbit restrainer.

In addition purchase advent dt overnight, oral administration of lactobacilli in mice may affect respiratory virus infections (such as influenza) by reducing virus titer in the lungs buy cheap advent dt 457 mg online, and increasing survival rate of the animals via stimulating innate immune responses (Table 5) discount 457mg advent dt overnight delivery. Irritable bowel syndrome purchase 457mg advent dt, also known some people with ms also tend to 457 mg advent dt with visa have as spastic colon, is an umbrella term for a reduced, rather than the expected increase, number of conditions in which constipation in activity in the colon following meals that and diarrhea alternate, accompanied by propels waste toward the rectum. Further studies aimed at the mechanisms of action of by One Way Anova test with 95% signifcance level. This study aimed to assess the clinical common bacteria causing these diarrhea cases are Escherichia characteristics and etiologies of diarrhea among travelers Copyright 2017 the Author(s). These peaks are wider and rounder and can often be of similar height or even higher than the true peak. Defective virions 20,W with interfering activity have been demonstrated to band at 1. In practice, the need for following lung transplantation are worse than for any other solid cadaveric donors makes exact timing impossible, and different centers have adopted different approaches to this dilemma. Luiz Vicente Ribeiro F da Silva Filho Severe asthma in children is strongly associated with the atopic Instituto da Crianca? Specifc strategies for controlling infection in out of home child care include adherence to hygiene practices, including meticulous hand hygiene and limiting exposure to reptiles and rodents (see Children in Out of Home Child Care, p 133). Custom made products to fit unusual situations can be obtained from some companies. For monthly collections of water (and sediment samples were this study, 52 wastewater samples obtained from June carried out from March 2015 to July 2016 in 12 different 2013 to May 2014. Inoculum size this refers to the number of microorganisms transmitted to the host. Report Cardiac disorders: Left ventricular systolic dysfunction if same grade event. The reason for the difference in the virus? virulence or the host susceptibility between the two out breaks is not understood. For the many phages of Enterobacteriaceae (Group 1) the transmissible plasmids that largely defne host ranges are listed in the second column. Despite the fact that most of the studies included in our review are observational in their design, the considerable magnitude of association between diarrhea and neighbourhood sani tation conditions, exclusive of household sanitation, is still compelling. Side effects of radiation depend on which part of the body is treated with the radiation therapy. Porcine epidemic diarrhoea virus: a comprehensive review of molecular epidemiology, diagnosis, and vaccines. Phylogenetic analysis (see Figure 4 below) also sup ports a classifcation separate from the parapoxviruses and indeed from all the other currently recognized genera. Hellen Gelband In populations lacking access to health insurance or Susan Horton prepaid care, medical expenses that are high relative Prabhat Jha to income can be impoverishing. See Europe and Central Asia interventions, 1, 8?14, 13t cerebral malaria, 246 indicators measuring health care delivery for cesarean section, 121, 122?23, 321 children, 286?87 Chad, wasting in, 91b levels and trends, 6, 7f, 71?76 Chan, M. Fever the mother should be asked whether her child has had fever during the past 5 days. Specifc measures may include instructional signs, education programs and provision of materials for respiratory hygiene. The same nucleotide change is found in 15 of 200 individuals without Marfan syndrome. Bacteriophage and phenotypic variation in Pseudomonas aeruginosa bioflm development. Use multi channel pipet or robot totransfer 4x 200 l of culture into 96 wellplate, four tips from a multichannel will fit into the 6 well plate to aidthis process. Medical and surgical staphylococci: should clinicians and microbiologists be treatment of parapneumonic effusions: an evidence based concerned? Laboratory strains having internal deletions in some segments, but intact termini, replicate and compete favorably with wild type virus, although the proteins expressed are aberrant, and the ability of the viruses to be transmitted by vectors may be lost. Depending on the total blood volume used for the analysis and the time at which blood was drawn, the cHb will change, which could also explain the variability between study results. Am J Trop Med prospective study of malnutrition in relation to child Hyg 73, 698?704. These abnormal hemoglobins include; methemoglobin,sulfhemoglobin, and carboxy hemoglobin. In practice, the selection of healthy normal subjects for establishment of a normal range will be in? Over the last decade, several reports have identified poor socioeconomic conditions, such as lack of access to safe water and sanitation, poor hygiene practices and unsafe human waste disposal as factors associated with diarrheal disease [3, 4]. Girls who stay in school are approaches are promising, but their effects have yet to less likely to become pregnant, less likely to marry at a be evaluated. The total duration of therapy is based on the usual duration of established foci of infection (eg, pneumonia, osteomyeli tis). The battery holster is available in one size and is adjustable to accommodate most HeartMate 3 patients (Figure 6. Generation of hemoglobin peptides in the acidic digestive vacuole of Plasmodium falciparum implicates peptide transport in amino acid production. Other experts consider the presence of 10 or more organisms per 10 oil immersion felds (?

Note that supine order advent dt on line amex, hospitalized patients may have B lines and consolidation in a posterior and inferior distribution due to purchase advent dt without prescription atelectasis buy advent dt overnight delivery. Macrolides and fuoroquinolones have good in vitro activity generic 457 mg advent dt mastercard, but there is limited clinical experience order advent dt 457mg line. Recent changes in interpretation of the regulations, such that a formal notification on paper is not required, may overcome this. Severe disease (most commonly caused by P falciparum) may manifest as one of the following clinical syndromes, all of which are medical emergencies and may be fatal unless treated: It is a protein signaling molecule (cytokine) for erythocyte (red blood cell) precursors in the bone marrow. Data are insuffcient for Latin America & Caribbean and of this new formula began at this time. All spills should be cleaned up immediately, using bleach or a neutralizing agent as necessary. No antihelminthic drug is proven to be effective and some patients have worsened with therapy. These terminal hairpins may be part of a terminal repeat, and therefore related in sequence. Diuretics should be avoided as they further deplete intravascular volume, but they may have a role in P a multidisciplinary setting if oliguria persists despite adequate fluid replacement and drainage of ascites. Routine anticonvulsant prophylaxis with barbiturates A habitual supine sleeping position has been asso for the neuroprotection of term infants with perina ciated with an increase in stillbirth (Owusu and others tal asphyxia is not recommended (Evans, Levene, and 2013). Therefore, when indicated, Tdap should be administered regardless of interval since the last tetanus containing vaccine. See Candidiasis Mucormycosis, 330t, 835t Monkeypox virus infections, 933t Mulberry molars, from syphilis, 690 Monobactams, dosage of, beyond newborn period, Multibacillary leprosy, 466, 468 815t Multicentric Castleman disease, from human herpes Monoclonal antibody based antigen detection assays, virus 8, 416 for Salmonella, 636 Multidrug resistant agents. Gelatin enrichment of pigmented trophozoites: involves floatation of mature stage parasites in 0. Wear gloves, safety glasses, lab coat and/or apron, and work only inside a properly operating chemical fume hood. Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications. Perinatal infection: Newborn infants whose mothers had onset of varicella within 5 days before delivery or within the 48 hours after delivery are at risk for neonatal varicella. Viruses have been detected in non human primates (chimpanzee, macaque, tamarin and douroucouli), tupaia, pets (cat and dog) and farm animals (pig and cow). The antimicrobial activity of Bacillus clausii was resistant to subtilisin, proteinase K, and chymotrypsin treatment, whereas it was sensitive to pronase treatment [28]. A 16 year old boy is brought to the physician because of a 3 day history of abdominal pain and vomiting; he also has had decreased appetite during this period. Creatinine clearance was measured by 24 hour urinary creatinine clearance measurements or estimated from serum creatinine based on the Cockcroft Gault formula. For deep pressure ulcers caused by a very tight belt, loosen or remove the belt and call your physician or ostomy nurse immediately, treatment is needed. Thyroid cancer begins when a change or mutation in a cell within the thyroid gland causes the cell to multiply uncontrollably and form lumps of cancerous cells called tumors. This proteinase is termed 3C proteinase for members of the family Picornaviridae and 3C like proteinase in other members of the order. High resolution structural studies of complex icosahedral viruses: a brief overview. Treatments for hypofbrinogenemia: absence of Mantel?Haenszel odds ratios, fndings from. The modifications antibody, after incubation, the reaction microplate was performed in original protocols showed concentration blocked. Mucus produced by the cervical glands is discharged from the vagina naturally, especially during the childbearing years. Mothers who cannot read will find the pictures helpful; otherwise a family member or neighbour can read out the written instructions, and learn from the pamphlet too. This atypical mammalian isolate induces syncy tium formation but shares little sequence (16?32% amino acid sequence identity between homolo gous S class gene products) or antigenic similarity with the other fusogenic species. Researchers suggest that lactobacillus supplement works by preventing disease causing bacteria from attaching to the bowel wall. In addition, biological responses such as resistance to antivirals are obtained only with the cell cultures or inhibition assays. Impact of the introduction of pneumococcal conjugate vaccination on pneumonia in the Gambia: population based surveillance and case control studies. A Retrospective Cross Sectional Study of Blood Culture Results in a Tertiary Hospital, Ekiti, Nigeria. Dosing: 20 to 40 mg/kg/day, administered 5 7 days per week by continuous overnight infusion, typically for 8 12 hours. Sabido (1981), applied sociocognitive principles creatively in developing a highly effective media format to inform, enable and motivate people to reduce their rate of childbearing and to raise the status of women in societies where they have a subservient status with little or no say about family size. As a hemoglobin derivative, carboxyhemoglobin has an affinity for carbon monoxide that is 200 times greater than for oxygen; therefore, no oxygen is delivered to the tissues. The physician will decide on Infectious Diarrhea is caused by a virus, appropriate treatment. Shellfish, fresh produce and food handler related outbreaks are commonly reported. To improve the sensitivity 91 orf1ab region amplification, we designed two pairs of nested primers to amplify 300?500 bp 92 regions to avoid amplification failures owing to site mutation. Standardized approaches to disease prevention through immunizations, antimicro bial prophylaxis, and infection control practices have been updated throughout the Red Book.

Clinical settings in which more frequent iron testing may be necessary include the following: 1 purchase advent dt 457mg mastercard. Thereisadebateregarding incognito mode purchase advent dt 457 mg mastercard, on 3 consecutive allotted days for each search engine the effectiveness of inspiratory muscle training in asthmatics cheap advent dt 457 mg amex, with no (one day for one phrase) order advent dt on line. If possible discount advent dt 457mg line, observe the therapist that just doesn?t make sense and the therapist needs working with another child. Host traits not assessed in this study, but may contribute to viral richness, include level of migration, gregariousness, and cave type [14]. At present no further information is available on its ecology, biology and pathogenic properties. All of the studies included water supply, sanitation and hygiene intervention components, although the levels of provision varied. Active research on breast cancers transmitted from the mother to her offspring via breast milk focused on determining whether the can cer came from a virus as opposed to a milk factor. Children South Asia and Sub Saharan Africa, where 20 percent rarely catch up after this age. Continuous release of virus particles from infected cells and re infection appear to be features of orbivirus replication. Children with late comple ment defciencies should receive meningococcal conjugate vaccine starting at 9 months of age. Information concern ing the diversity of related recombinants may be helpful to determine status. Sexual trans mission may be controlled by use of condoms and avoidance of sexual practices that may permit fecal oral transmission. Many members of the subfamily infect lymphocytes in vitro, and carrier? cultures can be established in which a minority of cells is productively infected. Ovarian hyperstimulation in 19 intact twin pregnancies after assisted reproduction syndrome. Lee wrote to the Secretary of War: They are principally, if not altogether, the conscripts and recruits that have joined since we have been stationary. Corticosteroids administered for brief periods or every other day seem to have a minimal effect on antibody response to infuenza vaccine. Adenoviruses associated with respiratory tract disease can be isolated from pharyngeal and eye secretions and feces by inoculation of specimens into susceptible cell cultures. Manufacturers of light and dark corn syrups can not ensure that any given product will be free of C botulinum spores, but no case of infant botulism has been proven to be attributable to consumption of contaminated corn syrup. You may your fears and concerns will help you to deal with the fnd you aren?t a support group kind of person. Table 7 shows the number of patients experiencing various types of major Fatal bleeding 1 (<0. These interventions are only effective when they are available and affordable for all 25 children. If a stool sample is being transported to a veterinary clinic, keep it warm and moist. This finding site are high compared to those of previous studies in is consistent with results of studies elsewhere. Transcription of baculovirus genes is temporally regulated, and two main classes of genes are recognized: early and late. Most Candida species are susceptible to amphotericin B, although C lusitaniae and some strains of C glabrata and C krusei have decreased susceptibility or resistance. Identification of peptides against the library was based on default Spectronaut settings (Manual for Spectronaut 13. For children younger than 2 years of age, in whom experience with these drugs is limited, risks and benefts should be considered before drug administration. What is the clinical effectiveness of concurrent probiotics and antibiotic use for preventing antibiotic associated diarrhea and C. Particles are very 20,w stable between pH4 and pH9 and in high salt concentrations. British Fertility Society Policy syndrome in novel reproductive technologies: prevention and Practice Committee: prevention of ovarian and treatment. Call your healthcare provider if you have unusual tiredness, lack of energy, dizziness, or fainting. The incubation period of the tuberculoid form appears to be shorter than that for the lepro matous form. The dose should not be doubled CrCl <15 mL/min Avoid Use in patients at within the same day to make up for a missed dose. See Tetanus for pediculosis capitis, 545 Loeffer like syndrome, from strongyloidiasis, 689 for pediculosis corporis, 772 Loffer syndrome safety in pregnancy, 866t from Ascaris lumbricoides, 239 for scabies, 642 from cutaneous larva migrans, 298 Linen, handling of, 162t, 164 Louseborne diseases. Neonatal, postneonatal, childhood, and under 5 mortality for 187 countries, 1970 215 2010: a systematic analysis of progress towards Millennium Development Goal 4. A closed biopsy is when a needle is put into the tissue without cutting open the skin. The positivity for NoV and AdV was present in different types of biological samples such as 13. For patients with a serious penicillin allergy characterized by anaphylaxis, chloramphenicol is recommended, if available. The most important part of the dermis, reticular dermis, is made from intercrossed protein networks (collagen and elastin) produced by fibroblast cells, and is vascularised in its upper part.

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If maternal platelets are used safe advent dt 457 mg, they should be washed or volume reduced and irradiated order advent dt with american express. Tianjin: Tianjin Science and Blood viscosity is an important parameter to buy generic advent dt 457 mg online be considered Technology Press order discount advent dt online, 1987 buy advent dt on line. In fact, enteric fevers We opened this chapter by noting that infections acquired by can be caused by S. Those infected will likely die of other diseases, that is, heart failure, cancer, stroke, and so forth. Defning the group A streptococcal toxic shock syn drome: rationale and consensus defnition. In addition, a portion of larger particles (droplets) may desiccate and become smaller while in the air, becoming in effect, droplet nuclei. The virus then goes through cycles of replication that result in the manufacture of a large viral population. Recommendations for prevention and therapy of persons exposed to B virus (Cercopithecine herpesvirus 1). For countries with extensive importation or human to human transmission, daily aggregated data are requested, with reporting of the number of new confirmed and probable cases and deaths by first administrative level. Approximately two thirds of cases occur in males, and one quar ter of cases occur in children 1 to 14 years of age. Disease Health Behaviours in Mothers and Children in Rural Control Priorities in Developing Countries, second edition. When reenrolled in a facilities (Bolon 2011); households (Bloomfield 2003); follow up surveillance 18 months later, handwashing schools (Lee and Greig 2010); and even day care and pre intervention households were still 1. The predominant problem might be one or more of the following: (i) Atelectasis (alveolar collapse). The spinal cord in neonates extends further down the spinal canal than in older children. Electron microscopic studies, using negative staining have shown that particles have a well defned surface capsomeric structure and icosahedral symmetry (Figure 27). Today, a search of PubMed for human clinical trials shows that over 1500 trials have been published on probiotics and close to 350 on prebiotics. Those not having any correct answer in all of the 4 above said knowledge of diarrhea were considered to have no knowledge. When people are exposed to an adult who has pulmonary disease caused by M bovis infection, they should be evaluated by the same methods as other contacts to contagious tuberculosis. Idiopathic or immune based Actinic prurigo can have childhood onset or onset before 20 years of age. Dotted lines indicate (putative) evolutionary pathways among virus families that require further support for confrmation. Gestational age and birth weight are not limiting factors when deciding whether a clinically stable preterm infant is to be immunized on schedule. Less common manifestations of meningococcal infection include conjunc tivitis, pneumonia, febrile occult bacteremia, septic arthritis, and chronic meningococ cemia. Macroeconomics and Health: Investing in Health Mortality Reduction Goal: Results from a Model of for Economic Development. Drainage of abscesses and removal of foreign bodies is desirable and almost always is required for medical treat ment to be effective. In areas with malaria, fever is often a sign of malaria and the child will need the appropriate malaria treatment. Transformation of a continuous rat embryo fbroblast cell line requires three separate domains of simian virus 40 large T antigen. By the sixth or seventh day of rash, lesions may begin to umbilicate or become confuent. However, the combination of clindamycin and quinine remains the stan dard of care for severely ill patients. Computed tomography and magnetic resonance imaging scans of the head show single or multiple space occupying, ring enhancing lesions that can mimic brain abscesses, tumors, cerebro vascular accidents, or other diseases. Vesicles, lymphadenopathy, myalgia, singultus, major neurological signs; usually within one month Clinical Hints following contact with monkey; case fatality rates exceed 80%. Fourth, extreme care must be exerted in working with newly emerging and established human pathogens. The continuum from iron deficiency to iron deficiency anemia has a host of associated consequences, depending on the severity of iron depletion. Line up the red dot on the patient cable with the red dot near the " " socket on the Power Module, and then insert the patient cable into the socket (Figure 3. In relation to human enteric viruses it is clear that reduction of inputs of faecal contamination from human sources of pollution should be prioritised since these often contain viral pathogens in significant numbers (Cantalupo et al, 2011). A second open label trial of the combination of hydroxychloroquine and azythromycin in 80 patients was also reported by the same team (Gautret Trav Med Inf Dis 2020, see below). By creating forces many times greater than gravity, centrifuges can greatly accelerate separations that occur Environment of use naturally as a result of density differences. These seizures have not been demon strated to result in subsequent development of recurrent afebrile seizures (ie, epilepsy) or other neurologic sequelae. With the introduction into a susceptible population of just one person infected with yellow fever, the disease could once again emerge as a terrifying plague. Both phylogenetic analyses indicate that vesiculoviruses and ephemeroviruses are the most closely related of the established genera and together with some currently non classifed viruses may be considered as members of a phylogenetic supergroup named Dimarhabdovirus? (dipteran mam mal associated rhabdovirus). Fluids with higher salt concentrations may also be safe and effective, provided other salt free fluids, such as water, are given. Each laboratory has reference values, so the following reference ranges are approximate. Quality of the inhouse toilet facility had no direct effect on diarrhoea risk, but was found to be important under specific circumstances; for older children and children living in communities with low maternal decision power, the presence of an improved toilet in the home reduces the risk of diarrhoea.

References:

• https://clintonwhitehouse5.archives.gov/media/media/pdf/chapter08.pdf
• https://www.bmj.com/sites/default/files/response_attachments/2015/03/Medicinal%20Cannabis%20The%20Evidence%20V1.pdf
• http://comenius.susqu.edu/biol/312/historyofgenetherapy.pdf
• http://www.mtspartners.com/wp-content/uploads/sites/2/2016/08/Gene-Therapy_Near-term-Revolution-or-Continued-Evolution_Part-1.pdf