remote patient monitoring in hospitals

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If you have concerns or problems related to the guidance in this document, please e-mail The prescription is provided for a reputable medical purpose by a practitioner acting in the usual training course of his/ her specialist method.

7 Virtual treatment.

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To stay educated concerning updates for telehealth as well as other DHCS subjects, enroll in DHCS Stakeholder Announcements. For non-emergency clinical issues (allergic reactions, bronchial asthma, bronchitis, chilly & flu, infections, fever, ear pains, nausea or vomiting, pink eye, aching throat).

Enjoy analysis regional features and also details about Willis-Knighton and The Oaks of Louisiana in this national magazine. Click the web link below for solution to often asked questions about telehealth. The majority of the savings demonstrated came from locally carried out laboratory and also drug store solutions. USDA Neighborhood Facilities Direct Lending as well as Give Program awards direct car loans and/or gives for necessary community centers in rural areas. McLeod Telehealth is an easy way to see a physician online by video anytime, anywhere.

NIBIB scientists are establishing a paper-based diagnostic that can measure HIV viral lots in whole blood in 15 minutes. A mobile phone is utilized to power as well as regulate the paper-based RNA extraction and reaction; examine the fluorescent readout showing viral load; and store the results in the cloud where they can be accessed by a medical professional. The $10 test will be extensively relevant for contagious illness diagnosis at the point-of-care. Life Expectancy, Rhode Island's initial wellness system, is a comprehensive, incorporated, academic health system associated with The Warren Alpert Medical Institution of Brown University. You might be asked to confirm that you have actually read as well as approve as well as consent to the above papers as part of your go to. See our MyLifespan page for moms and dads and also guardians for details on how to authorize your child or teenager up quickly as well as to acquire the appropriate degree of proxy gain access to.

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Transmission using wireless was done utilizing frequency inflection which removed noise. The ECG outcome was attached to the telephone input utilizing a modulator which converted ECG into high regularity noise. At the other end a demodulator reconverted the noise into ECG with remote patient monitoring statistics an excellent gain accuracy. The ECG was transformed to sound waves with a regularity varying from 500 Hz to 2500 Hz with 1500 Hz at standard. 2 important areas of telerehabilitation research study are demonstrating equivalence of evaluation and also therapy to in-person evaluation and also treatment, as well as constructing new data collection systems to digitize info that a therapist can make use of in practice.

Telehealth reimbursement may be changing. How should providers prepare? - Healthcare IT News

Telehealth reimbursement may be changing. How should providers prepare?.

Posted: Tue, 27 Oct 2020 07:00:00 GMT [source]

-- Remote patient-monitoring devices such as blood pressure displays, Bluetooth-enabled electronic scales and also various other wearable tools that can connect biometric information for review. -- Store-and-forward modern technologies that gather photos and also information to be transmitted and translated later on. When medical professionals' needed solution to concerns on adjusting to practicing in a pandemic, the AMA created sources to fulfill the demand.

If you have inquiries or concerns connected to the guidance in this file, please This record consists of web links to other internet sites as well as material coming from or originating from third parties. Such external links are provided for educational as well as academic objectives only and also are not checked out, kept track of or looked for accuracy, competence, credibility, reliability, availability or completeness by ASAM.

Common daily emergency telemedicine is done by SAMU Regulator Physicians in France, Spain, Chile as well as Brazil. Airplane and marine emergencies are additionally managed by SAMU centres in Paris, Lisbon and Toulouse. At the dawn of the innovation, videotelephony likewise included picture phones which would certainly trade still photos between devices every couple of secs over conventional POTS-type telephone lines, basically the same as sluggish scan TELEVISION systems.

Ground-breaking study in telehaptics and also virtual truth might widen the extent of telerehabilitation method, in the future. cultural obstacles taking place from the lack of desire, or unwillingness, of some medical professionals to adjust clinical paradigms for telemedicine applications.

VA Telehealth Providers gives you access to the treatment you require, when and also where you require it. Before carrying out telehealth into your method, review as well as come to be knowledgeable about state as well as government laws in which you practice. Making use of telehealth to provide physiotherapist solutions is broadening quickly, and also if you haven't currently, you're probably considering it. Check with your existing EHR supplier to see if there is telehealth capability that can be switched on. Connect to your state medical association/society for guidance on vendor examination, selection and also contracting. These kinds of adjustments are mostly on a state-by-state basis as well as are transforming at a quick rate. ASAM is interacting with state phases and also regions to assist attend to problems connected to state policies as well as policies.

  • Keeping your health and wellness now is just as crucial as ever-- as well as telehealth can aid.
  • Throughout mostly all medical specialties, telehealth services can be used in linking carriers with different people in different areas by means of real-time sound and video.
  • In other cases, service facilities can make use of telemedicine to collect remotely as well as send out data to a main surveillance system for interpretation.

One more negative aspect of telemedicine is the failure to start therapy quickly. As an example, a client suffering from a microbial infection could be given an antibiotic hypodermic shot in the center, as well as observed for any reaction, prior to that antibiotic is suggested in pill form. It may be called for that the practitioner and also person included should fulfill personally at least when before on-line prescribing can happen, or that at least a live-video seminar should take place, not just impersonal surveys or studies to identify demand. Consequently, in 2015 the state legislature legalized electronic appointments. Restrictive licensure regulations in the USA call for a specialist to get a full license to deliver telemedicine care across state lines. Commonly, states with restrictive licensure legislations likewise have several exceptions that may launch an out-of-state professional from the added problem of acquiring such a license. A number of states call for experts that seek settlement to regularly provide interstate like get a full certificate.

Should vagaries of hospital possession have bearing upon doctors' capacity to speak confidentially with lawyers? See day-to-day video clip updates on just how the AMA is combating COVID-19 by talking about emerging cyber dangers throughout the pandemic. From below, our system documents each step with the appointed medical professionals standing by. Tracking all end results developing day-to-day transparency records on our individual interactions. Full transparency in between TeleHealth Service Providers, PCPs, Location Admins showcasing all end results.

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25ljO/ehc42vrY3GiDJJF3FpAA1vbRc3NqC7yXkN22yAn5rcvcRYnamdw50HMCcg2fz7cg3+tC2oLrNkItzZAT6OddA5wFhoNugTO4G99T6EGI+MaPLu6+zQD81tcgasdt9CxmdcHnGzRM7t/wAEG13dB3wWA8kAhpIOwi2qxxj96BzgABoBsFkG2Y6+Q7Tbs0TMb2yOvu0Wud2uu30Jnde99d9kG2Y6eQddBsQuIBJYQBtOmi1L3aXOz0IXOIIOoO0EbUG13dB3wWA4kXDCRv0WM796B7gLDQepBtmJJAYbjbsTMbgZDc7Ni1zOBJGhO022pndvQbFxAuWkDZzJmI/sO09S1LnEWOo27Ezu3oMhxIBDSQdhFtUD73s0m22xGiwHOAAGgGwWWMxF7aX26bUG2Y5suQ33aIX2tdp12ajVYzuve+u9YLibX5tmmxBvmINywjX0L4tgbxFjlC8mwbOw/EL7RncTqedfH2YlXsjYOVzCzRbyymcGMvpgqTLIXFxIzfBeHEoeUva95uAD5PML7VVsExKufXxMfWTuadoLzbmV5YSdSTcrojXj1iGE6X5QEWFQBzS3ySCHXG3bdTMjopojFMxsrHDVrhcFQWM8L4qKq4mjhZUlmj3l1gDuC92BcJabGSYi0w1IF+LJuHDeConVifhaKz65TvB6lio8OMNObxCVxbc3sCb2XybhAf8A8mxD/un/AOYr6sHOaLNJaPRovO+NhJJYwkm5JaNVjM+WmUpxn8LlgyHMNLDcba/FYWzGhwfe+jeY2UJar55U/Spv53fNfQ188qfpU387vmuv6T9UuT6v9Ef+XJeqjpYJ2PdNVsgLSAA5t7396zHQGSMP5XSNuL5XSgEKQYI8rNcJIyg3dt9Vvdz712Xv48OKlPPl4XUEbbE1tM4F4b5Lr6E2ujaGI8YDW04LbZfK0dcX2/Bex4dGDMWYbIyWQNDuZtxa3oAGq7NaBxchGFRtf5pItfmP5/os51JaRpxKDmjEUroxIyTKfOYbg+paKTlY6sgaeMoIhe5AkyknZc3XiqIGwZQJ45XG+YMNw33862rbPiWNq48p/glsm/3uVmfsh9SrPBLZN/vcrO/9x6l5ev7kvV0fbq1dtHklumw8y1Wz3BxDmuDgRoRsK1WTUREQVjhTPNFWwiOWRgMexriOcqE5ZVfeZvxCpjhb9Ng9n+ZUCvV0Ijbh5WvadyXbllV95m/EKcsqvvM34hXFFr0xwx6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5duWVX3mb8Qpyyq+8zfiFcUTpjg6p5d+WVX3mb8QquTOa6VzmkFpJItu5lOKCqqZ9HUPp5POjNiuD62Ijp/8Abv8AopmerP4SmB/WUP8AvnCvVdMafD6iZu1kTnD3BULAj/WUP+9yuWOTtiwSsLiBeFzRfnJFlx19HZb1VPg7C91N5NKyVkhOZ7z5tuZR9SypwfEoqpoYxwdnZkdcepaYVV8XmgkDzGfK8g6j3LXFKgSua2Nrgy2hdtKj5WnHS+kYRikeK0LKmMZSdHN6J3L1OK+ecF8Ukw6Z5exzqV+jyBo08xV9bK2RjXtN2nUEKzOUut4tj/5Vot4tj/5UWaL55U/Spv53fNfQ1Av4MRSPc91S+7jc2aF0aGpGnaZlhr6c6lcQqqK0eKsH3mTqCeKsH3mTqC6u6o5O01FXRWjxVg+8ydQTxVh+8ydQTuqHaairorR4qwfeZOoJ4qw/eZOoJ3VDtNRpwS2Tf73Kzv8A3HqUXheFNw3PklLw7eFKP/cepcGpaLXmYd+nXppFZYl0du0Wi3ktmFr7OdaKi4iIgqnC36dB7L8yoJTvC36dD7L8yoJetoe3DyNf3JERFqxEREBERAREQEREBERAREQEREBERAREQEREBERAREQEREBERAREQEREBQeI1fLK2SoLgTJre1lOLXIzot6lz6+ju48+jo0Nbaz49XiwEPfiEZY0uy6m3MpfhRWMFDxBeDJIRf1DmXBpLPMJb6tFhwDjdwBPpXP2U/8AZ097H/VA0FOZquNgBs4+duG9YxGCaGfLMBsBBGyxU7kb0W9SmODEbH4q7Oxrrxu2i/OEv9N01mclPqeq0VwgOClTHxstLIAQ8Zhf4qy0ZNE58B/4QN2DcNytAghBuIYwf5QtuLj6DepcePOXb6xhstmOAD7kC7VqtH8ylDbKM+bW9rKjYjUTtxKqDZpABM8AB508oq9KgYl9Z1ft3/5iuz6SMzLj+rmYrDnyqo+3l7ZTlVR9vL2ythRVJa1zYXOa4ZgRrojqOqadaeXYD5h2Lt+1w/e15VUfby9spyqo+3l7ZW0lFVRAF8DwHHKDa9zuWDS1Aa5zoXta0XJc2wGtuf0p9p97HKqj7eXtlOVVH28vbK6Ow+sbJxZppc17aNuOtcpIJYmh0kbmBxIGYWvs7wkdM+hPXCz8FZHyUs5ke55Dxq435lYH/uPUq7wS+iT+0/JWJ/7j1LzNf3Jeroe3DDwQQHHMbbbWWq2kvmFwAbbAtVi1EREFU4W/TofZfmVBKd4W/TofZfmVBL1tD24eRr+5IiItWIiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiApjgt9bH2TvmFDqY4LfWx9k75hZ63ty10fchcERF5D2BaP2hbrR+0IN1QMS+s6v27/8xV/VAxL6zq/bv/zFdn0nrLj+s/TDRlZUsADKiVobawDyLWXWnrZRK0T1M/Fc4a87l5EXdNYlwRaYSpqaQt1rq3NfMCeb4rE1RTPjkDK6s0bdrZDfO7S3x+Si0VNuF9yXoNdVk3NVMT/OVzlnmmtxsr5LbMzrrmiviIU6plaeCP0Sf2g+Ssb/ANx6lXOCX0Sf2g+Ssb/3HqXl6/uS9XQ9uGryHEEXtbnFitVvLq7bfRaLFsIiIKpwt+nQ+y/MqCU7wt+nQ+y/MqCXraHtw8jX9yRERasRERAREQEREBERARFOcEjG/EnwSwxyNkYSM7bkEblW9umsyvSvVaKoNFdMHAq8UxBs1HTcVC/i2kRAbCQB1Lx0lUIcMra+rpKU5pcsLeKGrrW6tPgVjv8AnGP9ltseM5/2FXRXBkD6zgxmZDTU8tQbvkDQxoaHbSfUPiq/iWET4fJA1zmSif8A4Zi1zbNPiFemrFpx8qX0ZrGY9EeimfFupBZG+opWVDxdsDpPKIWaXAQ/F3UU9XEDHYkNOr9L2HuU7tOUbN+EKimOEdJTU9YXUslOG3ycTGfKbYak+9cMEoZayta6JkLxE4OcyV1g70fBTGpE06kTpzF+hHIpvEKKoxHhDLTwRQskAGYMPkt0GpNvTuXCqwSWCkkqYqmmqI4jZ/FPuWqI1K+M/KZ0recfCLRdaWEVFQyJ0scIdtfIbNCn8bwikosPhjjmgZNG0ueXmz5fUOtTbUisxWflFdObVm0fCtorfLRmo4M07Y46WmMoa6WTzGtbtBJ6lAYhg9TQ1UVO4NldKP2fF65lWmrW3ha+javlHoppvBmqJ4s1FM2oy5+Iz+VZQxBBIO0K9b1t6Spalq+sMIiKygiIgIiICIiAiIgKY4LfWx9k75hQ6meC31sfZO+YWet7ctdH3IW9EReQ9gWj+ZbrR/Mg2zDNl57XUZN4E45/Hcj4zMc+a17891J2F7212XVBxL6zq/bP/wAxXRoafXM+cOfX1OiInGVp/qH/AKH/AAp/UP8A0P8AhVNRdXbfuly9z+2Fy/qH/of8Kf1D/wBD/hVNRO2/dJ3P7YXL+oP+h/wp/UH/AEP+FU1E7b90nc/thfqHkWR3IeJy38rirWv7l7n/ALj1KucEvolR7QfJWN/7j1Lh1a9N5h3aVuqkSxIAHaCwtsWi2kFnbSdNpWqzaCIiCqcLfp0PsvzKglO8Lfp0PsvzKgl62h7cPI1/ckREWrEREQEREBERAREQFJcHp2U+N08kj2sZ5QcXGw1aVGootHVEwtW3TMSukeK0sWOinhmjbTkPfJJmGVz3a7fQoPhFWxTVDKWkINNTjTKbhzjqT/v0qHRZU0YrOWt9ebRhY+ENXC2josOp52Oha0cY6N1xpoNnvK99dPRtxXD6o1dOaaEZWsD7kEgi/oA8lU1FGxGIjPP9p35zM44/pc42UcfCJ9dUV9O4yC0LQ+9tLa8w5+teWgdT0/CmaWorIHmRrnNc13ktJOy++yqyKNj8/GE7/wCPnKQxeCKGfMKtlRPI5z5RHq1tzv516eCr4I8XD6iRjMsbshcbDNp+V1DItZpmnTllF8X6sLLSMbFitXMzFadtY45m63jdc3LSerYs8IJ6WTDW8bybwg5w+jOzC1+c96rKKmz90Wy03vtmuHaiMYrYDMbRCRpefRfVT3CSKnqap1Sa+ElwbHDGw5jt1J3DUqtorWpm0WypW+KzWYWXhDW08tTQ0MUzDSR5TIWG4225twHxXvqqqlix+nrJKuB0OTimNa65YTfyjuHMqWipsRiIyv3E5mcLhiFSYXVMzK+ggbIPJfAzNM/TQHv+Sp6Ir6en0QpqanXIiItGQiIgIiICIiAiIgKY4LfWx9k75hQ6mOC31sfZO+YWet7ctdH3IXBEReQ9gWj9oW60fzIN1QMS+s6v2z/8xV/VAxL6zq/bP/zFdn0n6pcf1n6YcYmCSVjHODA4gFx2BeqXD+LjbK2pgfG5wa0h4ufd6L66rY4iyzLUNOCy1jY7Nyw6viIjIooRI1+ZzukLbPzXXM34ccRTHqy3DonCQivphleWtzOAzDf6kjwsyZQyspHPdsaJdVs3FiP/ANWn12+TqsDFCJzKKWEEkGwGmgPf8Aq/8i3/ABuc1BxUbncqpXZRq0SeUT6B7/mvGvZHX5GMbyaE5b65dt79/wAFpVVbahga2miisb3YObd6les2+VLRX4WDgj9En9oPkrG/9x6lXOCX0Sf2g+SsT/3HqXm6/uS9PQ9uCW+fXbZaLZ5udltNi1WLYREQVThb9Oh9l+ZUEp7hb9Ng9n+ZUCvW0Pbh5Gv7kiIi1YiIiAiIgIiIC9dBhtXiJcKWLOG2zEkAC68isXBMtpxXVkhs2GPr2k/L4rPVtNazMNNKsWvES8TuDmJtidJxAdY2yh3lH02XGvwatw+Bs1QxoY42u1wNj6VN0dXLTcGqzEHyXqal5IN9QfN+Gq6TwgcH8Ms6M00bmyzku285A3m5OnoWG7eJ884dGzSY8cZQtPwfxGohbIImsDvNEjg0u9y80OG1c9a6jZC7j2+c06ZfSVa6yklq8cpa8Sx8ghYHiTOLc5+Oi40tRJV4rWV2HSQvcLRiB+hkaAPKvza7EjXtjJOhXOEHNwfr4QxxbG5jnBudrwQCd699dwdbS4Qx7XRuqRd8jy+wygXsBz8y649DSxUUDS3kUs0g4ynY/wAm3OSBpu1W3CqjdMWVHHRR00MNo7nV7r7APVZRGpa018pnSrWLeFVUpT8H8RqImyCJsYd5okcGk+5eXDHQsxKmdUW4oSAuvsVzr2y8sbVxxUgYxnk1U0pIYOezVrrak1mIhno6VbxMyqFLhNbVTSxMiymE2kLzYNPrWavB62jfE2SLNxpysLDmDjuU7g/K3Us08ToMQ5RITPASGkHZcE7xzEbltV00AxekipKttLJG0ycS52ZjXaWba9he52blTet1YX2a9OUM/g5iTInP4tji0XcxrwXD3LhQ4RWV8ZkhjAiH7x5ytVmr2jwfVVNdA2hqgwtbLFLrIbabNSPQV1layrwqkFFTQVMDQLtklLQyw0uBt573Vd+2Fu3plVzgeI8sNKILyBubRwtbfddXcG8SayRxib5HNm1d6lMYdJJU8JZZp6iGRtPDYGI2YPQOtyYLPLXx4rVseDUy+TG1xtlFjl92vwUzq3jj4VjR05/v+kfwfwJtcBU1Tm8nsbMDtTza7gs4fg0zMVzSUbKmBh8prZAQL7BrttovVgdK8YNidPA6J1U5xjNnaWta992rltwZpm0tdXNjnjnkiYA0MOhJ2/EAXUWvb7vK1NOv2xhCSUM1bi1RBRU4FnnyGnyWC+9dZODtfGySRwi4uNpc54kBGm33qYwSGRmHYnSRyRnEC46teDe7RbX13963hw90PBmakppoXTPd+2fnGVp0uCfQBZTOtMTiPx/9RGjExmY5eLg1FRy0tTJU0Ub+TjOZH6326W2cyrpOYk2AvroLKz4TTuk4K1TKd0fGyvIeXOADRoNT6vmquRY2Wun5tZlq+KVgREWznEREBERAREQFM8FvrU+yd8woZTPBb62PsnfMLPW9uWuj7kLeiIvIewLSTmW61fzINlRMRp53YlVFsEhBmeQQw6+UVec37QMynZe/MuvFHKHEtAO8rbS1duc4Y6ulGpGJl855LUfYS9gpyWo+wl7BX0fiH72rPEP3hb93PDDs45fN+S1H2EvYKclqPsJewV9I4h+8JxD94Tu54Ozjl835LUfYS9gpyWo+wl7BX0jiH7wnEP3hO7ng7OOVe4KxvjpZxIxzCXjzhbmU+/8Ac+pYewsIBtruWz/3HqXLe3XabOqleisVayWLtDcW2rVby+fruWiouIiIKrwt+mwez/MqBU9wt+mwez/MqBXraHtw8jX9yRERasRERAReiloKus1pqeSQDQuA0Hv2Lq7CMQbEyQ0cuV5Ab5Ouvo2hVm1Y8ZWilp8xDxIvTWUFVQlvKoHRZ/NvbXqXRmD4jJBxzaOUx2uDbU+7anVXGcnRbOMPEi9bsMrW1RpuTSGYDMWNGYgb9FtJhNfFFJJJSyNZF57tNO9OuvKei3DxJZWLFcOpI8LozQ0j+UVRDgCS51rX/MKGq8Pq6JzG1MDoy/zb636lFNSLLX07Veaw3Ivc7BsRbAZ3UcojAuSRqB6tqkaHg3NLQTVFQx4kLLwRNcAXHmuk6tIjOSuleZxhAJZTmEYWL1JxCgqHhjSGluguL31vZRsGHVlTCZYaaR8YBOYDTTdvSNSuZROnaIj8vKlgvVVYdWUTGvqad8bX6AnetqfCq+ph46GlkfH0rbfVv9ynqrjOVei2cYeOyLvVUdRRua2piMbntzAG17JS0dTWOLaaCSUjblGg9Z5lPVGMnTOcOFhuRe04PiIZn5HKQXZRYX19Q+a9WO0lPTGkbTUs0LnMu7jDcuOnNf1qu5XMRC23bEzKIRSHgPE8rHcils/Zs+O73r3cHsMpqmsqKeuge58Op8uwbY2INv8Aeii2pWImU10rTMQgUXvrMMq2CWq5HJFTFxc2481pOmm1e/D+Dc01DLUVDHhxZeCNrgC420vuCTq1iMzJGleZxEIFLLeaJ8Er4pW5XsNnDcV6IsMrpoeNjpZXR6Wdl2+rf7lebRHqpFZnxDyIvTWUFVQlvKoHRZvNvsK6w4PiM8ImipJHMIuDsv6go664zk6LZxh4UXeCjqaiR0cNPK97TZwa0+T69y3bhtY8TlsBIp78b5Q8m3v9CnqiPk6bT8PKi9kdA9ktMa4Op6ec3EpHMpampsDrq40FPFPmIIbOH3uQNttypbUiq9dKbK6i7VlOaSrlp3ODjG4tuOdcVpE58s5jE4EREQKY4LfWx9k75hQ6mOC31sfZO+YWet7ctdH3IXBEReQ9gWr+ZbLV/Mg2UfwoLDhMDHvyNdK3yrbNCfyUgsYhS0lVQgVrM0TBm0vcac1tUVvGayiMNx10LY4qsukjOgkGpZ694+KsbHtkYHscHNcLgg3BCpVRRRMmEdI6Z0Z1JmAaW679DtXuoKmsoKbiYmRvL5CQ0Bzjs1tbTmv71GWUavT6rSijpKubwM2oZcynL5oF7lwBAvzqLdiWIF9miobaxcLRHSx/NaVpNozC86kQsqKteEcRzhoFQDzi0O7RMMxTEJcbZS1LxxTg45SG5ha9r2VtqcZRvRnCdqPOb6lq/wDcepbVHnN9S1f+49SyasSAB1gLCy1W0gsQM2bTaVqgIiIKrwt+mwez/MqBU9wt+mwez/MqBXraHtw8jX9yRERasRERBZ+Dcz6LBK+sc4lrDZjCdM1vzJC6yVlRR8E2zOmeamqdo8nUZj8NAqtxsgjMYkdkO1uY26kdLI9gY6Rzmt2AuJAWE6ObZnl0xr4riOF0rqR7qjCYpWl9LBbjJHG4LrANvv1+a25JWTcJjUTOcykiFohm0ecuy3WfcqS+aWRjWPle5rPNa5xIHqWzqmoc9r3TylzPNcXm7fUqbFseq3cVz6LXRQVZ4WzzTB8THNc8DNo5o8kXt1qGq8VrMQxCWnjneIKiQRtYNmW9go3lE+dz+OkzO852c3PrXNri1wc0kEbCOZaV0sTmVLa2YxHL6BJUUrsR8GDyZeTkB4Ni0HmHptr7lEYLS1cOMRMxZzyWMdyfjH5gSCL29yrBlkMnGGR3Gbc2Y360fNLJIJHyPc8bHOcSetUj6eYjESvP1ETOZhcK6arpm11RHSOjcWkGaonBFuYMb8lxbS1U3BWjgozmdK/NJIXWDRqdT6NB7lVpZ5prcdNJJbZncTbrWBNK2IxNleIztYHGx9yRoTEQideJmfC1YZHVngxVNhc6olke6NgD7gC9jb4lc6GomwzglLMXuEj3lsQJ8zW2nUSqyyaWNjmMle1jvOa1xAPrQyyGMRl7iwbGk6D3KdnOc85Rv4xjjC1YjTSyYDhsZzSRAtlnlLr2HObn+Y9S9uIUdXU4xRMhJjoYWh5LXWFwdnUB1lU6kq+Kmi5QHT07HXMLnHKfdsUy3GcOpJDPRw1T5Lfs45n/ALOLTmF1nbTvHiPPr/bWurSfM+PT+nj4Tz8djcw5owGD3DvJXu4HkxGsqXvcIYo9W30J239dh8VXpZHTSvlebve4ucd5KNlkY1zWyOa120A2BW86edPoc8amNTrS9BimIV+KQwvq5GRyzAua11gBuHoU5LC+ThbFLUx5YWxlsBcRZzgLn5nqVKBIIINiNQQpHDa+nZPI7E45KkOaA1+a74/SLlU1NL5rw009X4tys9DT1ceLV9fWuc2Joc2NmbQtHPb1D4lR2AzmkwnEcVkAL3v0vzn/APrl4qnGYI6GWloG1DjNpJPUPzPI3KH42Ti+LzuydG+nUqV0ptE5/H8QtbWrWYx+f5laaPllXwXqntL6moqnkWLtguAfVpdGUtVNwVpoKTypJpLyPzWDRcnU+iwCqzZpWRujZK9rHec0OIB9YRs0rYzG2V7Y3bWBxAPuV9mfifnKka0fMfGGJAWyOaXBxBILgbg+m6s8lXPh3BCnDZHCafyWuv5rTfZu0t1qrLd0sj2ta97nNb5oJuB6lpenVjPwzpqdGfyt2M07g7C2TNLqOAt46RxuOYC/++dd54K6XhPFL5bKKFl82azdhv8AH4KlPmlkY1kkr3sb5rXOJA9SyaicxcUZpDH0C85epZbE4xlt3EZzhbsHmZU8IMTqadxMQaAGg6POy/wPWtY6Gqj4O1cbGCStqH3lY1wu0uI0Pu196qUcskLs0Uj43bLtcQVllRPHm4uaRmbzsryL+tJ0Jz4nj+kRrxjzHP8AabxYOqHYfg0L2yzQtyvdfTNuv6F3xPG6zDal9HBBTwZGgBzRmOzfp8lWmuLXBzSWkG4INiFl73SPL3uLnHaXG5Kvsx4ifMKTrT5mPEsPe6R7nvcXOcbknaSsIi2YCIiApjgt9bH2TvmFDqY4LfWx9k75hZ63ty10fchcERF5D2Bav5lstX8yDZb1UL56B0ceXO5otm2cy0XobKwMAJ2DciJjMYV+ahqGPbHLHEXvILS152gj0I+hxMMGSBzXtN2uZMLdXPtUvUeXVQPbq1hN/gvVxzN/wUYZToVl4qGjMmDtpa2M63D2l23yr7QuXi3hP3Qdt3epLjmb/gnHM3/BXra1fESvt1xETCOPBzCja9Le3/Md3rtS4NQUc4np4MkgFgczj8yvXxzN/wAE45m/4Keu0/JFKx8OdR5zfUsP/c+pJnh5GVYf+59Souw+5IzAA22A3C1W0hu69iNOfatUBERBVeFv02D2f5lQKnuFv02D2f5lQK9bQ9uHka/uSIiLViIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgKY4LfWx9k75hQ6mOC31sfZO+YWet7ctdH3IXBEReQ9gWr+ZbLV/Mgz5Wf+G3xSo/Z0r5WnymgbdiyoHhDictPiNLSskLYuLMkrAQOM5gLn1FTETPoZiPVK0dQZcOfVSjzC7zBYEDddRPjbQ5c3JqvLe17Nt81C4LiOIsrJqWR7eS1DJHcVmDhHZhIy7tn5rw0VbVU0eSFwbHmBcS0EAnS5XRpaWYnqhhq6uJ+30Wg8LqAbaer6m96eN1AdkFV1N71ENly3LMSbI6LMG5YOY2JPq0v7lzqq+WGMOhropzmsQIbW09K02qT8f7/DPdtys+F45S4rUOhgjnY5rc935bWuBzetR2IcIqmkhjkjjgkzEAg3FvKtvUfwereLrq6snOogL3EDnzN5lyxI0s9BBFEy72udI8tcG3cXX3+/12WGrpTFsVbaWrE1zZeGEmJjjtcLldH/ALj1KPwSWWbBKKSdxdI6Pyiec3Ug79x6ljMYasSEF1wQdNoWq2kADrAWFti1QEREFV4W/TYPZ/mVAqd4W/ToPZfmVBL1tD24eRr+5IiItWIiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiApjgt9bH2TvmFDqZ4LfWx9k75hZ63ty10fchb0RF5D2Bav5lstH8yDdR+OZYqN9Q2GJ0gDG53tBytLgCfcCSpBQXCaujEZw8tN5GNc++wt106xr6FasTM+FbTEeZc8OcMlfTyiOSaGMvZKI2gljmnTQDZYhR2FYLi/JRUUnECOdoPlu1t1JgRvXPjJDpaiJ8TbbBpcX9GistBDVUtFSwSUxc+BmW7ZhYravVp1xPqytFdS2YQ7sH4QuN81ODe9w79FnwRwhFtaXS1tR3Ke/b/dXfit7lk8eWFppH6m9xOAfgo3LcQnbr+Vb4OUD6XH6qkrGsc4Q+WNoNy0/mvbT2dwnko3QRcSCf2fEtsABob2vtWKiGtw6rxDF2xxtHJwI2veX6jLt6jzqH8KzcW6t48jEXM88AZbXvs9WiXi95iapp0UiYldixkYayNoa1twABYBbP2QepePDKmSswulqJsvGSMu7KLC917H/uPUsZ9WsMSaO0vs51qtn5rjOQXW1sLBaqAREQVXhb9Ng9n+ZUCp7hb9Ng9n+ZUCvW0Pbh5Gv7kiIi1YiIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICmeCv1qfZO+YUMpngr9an2TvmFnre3LXR9yFvREXkPYFo/mW61cCbWCDZdBI2wBjBsLXXHKeMzZja1sv5r1MjYWAlo2INBI0G4jbdZ44dAda6cWzohOLZ0Qg58eOgOtOPHQHWunFs6ITi2dEIORmBGrB1rHGM+yau3Fs6ITi2dEIPO9wdazQ2y1a8ucwG3k6BdJmhrhYW0XBnnab0HV97i7cpts3LVZcS43KwgIiIKrwt+mwez/MqBV7rsKpa+VslQHlzRlFnW0Xm8XMO6EnbK7tL6ilaREuHV+mve82hTUVy8XMO6EnbKeLmHdCTtlad1Rn2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NRXLxcw7oSdsp4uYd0JO2U7qh2l1NUzwV+tj7J3zCmfFzDuhJ2yu9FhFJQz8dA14fbLq6+ipqfUUtWYhfT+mvW8TL3oiLgd4tXlwy5banW/5elbLDmh1ri9jcetBleuP/AIbfUF4nuyOILJDbnay67GoLABxbzYHY3cg6SzCIi7JHXv5jS63UufLWWaRFOb/8p2iy+dzADlLr8zW3Wgq77I3235Cg0nfDI8FzJw4aXEBPxsVtFNDDF5Ec1r2P7Eg9VlnlZt/w5Pwyt46gyXGRzbdJtkGBWRuYHtbMW3t/wnX6rXXWKVsrS5ocADbymlp6iscY70JxjvQg0qPOb6l52jytQvQ+7yCbC3oWnFnf8EHmPHg6MYVk8aM1o2HXTW2i9OQ7/gsZDv8Agg8w4+2rGXW0fGl37RjAN4XfId/wTId/wQaWG4JYbgt8h3/BMh3/AAQaWG4JYbgt8h3/AATId/wQaWG4JYbgt8h3/BMh3/BBpYbglhuC3yHf8EyHf8EGlhuCWG4LfId/wTId/wAEGlhuCWG4LfId/wAEyHf8EGlhuCWG4LfId/wTId/wQaWG4JYbgt8h3/BMh3/BBpYbglhuC3yHf8EyHf8ABBpYbglhuC3yHf8ABMh3/BBpYbglhuC3yHf8EyHf8EGlhuCWG4LpkO/4JkO/4IOdhuCWG4LpkO/4LGQ7/gg0sNwSw3Bb5Dv+CZDv+CDSw3BLDcFvkO/4JkO/4INLDcEsNwW+Q7/gmQ7/AIINLDcEsNwWZLR2vc3NrBt1oZWgkEPFv4Cg2sNwSw3BJyYmAjXWy8lNXcoflDMvlAXKD12G4JYbgmYcfxWt9/uutZ38SWCxdm3BBtYbglhuC2e3Iwu229CNBLA7fzWQa2G4JYbgt8vpPZWkrhEzMQ52oFg3ebIFhuCWG4LfL6T2SmXUDXX0INLDcEsNwWHOLXEZJDbnDLhZccsrWWJzc4GxBSMDZieMOkAxioi4sgWzlxN7+kblJcCqypqX1/KqmWURiO3GPJy+ffb6l87NbI7axh9YUjhHCetwczGmjp3ccGh3GNJ2XtaxG9WmVYiX1lsjjEXmMgjm1WramN98oedL6DavnX9IWL/YUXYd/qT+kLF/sKLsO/1Kqz6KKiM7GybCdm5ZM8YA0fr6F86/pDxf7Ci7Dv8AUn9IeL/YUXYd/qQfRmTMkcGhr9eciy65Qvmn9IeL/YUXYd/qT+kPF/sKLsO/1IPpdglgvmn9IeL/AGFF2Hf6k/pDxf7Ci7Dv9SD6XYJYL5p/SHi/2FF2Hf6k/pDxf7Ci7Dv9SCSx6srhwknpoKyoiYLENjeegDYC+0/MqKqMSxKCYx+EKs2AOsjgRcA2IvoddVD4hjdTiNZJVTsiD5LXDQbaC2/0Lzcuk6LOpWzCkxKz8qxHwcKvwrUX6HGO6RG/0Ly+FsStfwhVfiu71Bcuk6LOpZ5dL0WdRTMGJWelraySB002LVDQHZQwTnN67bl5himIun4tuJVIaXZQ50ztl9pUIMScB9HhPp8r/UtXV73G4jjb6Bf8yrzauI8K9Ns+qy1dXiFMy4xSqe4OyktlOU6bQb6r04M6uxJkzpMYnh4vZmnLbqouxGdws4ggcxJP5rePFJIxZsUYPOQXi/U5T1U6s48Iil8YmU3JieJMqHRDEao2cW3412/1qTxVtfh9NxrMaqpTnDC27hv1vf0KnPxCRxuI42+q/wCZWvLZOizqWVvM5iV4icLXhdRiFa6UyYnWNZEASGSEudc8y8lTieIRVEkbMRqnNY4gHjXaqAGITN83KPVfvWOXSdFnUpzCMWys89bWwwu/raqfKA0jLMS03XCDE8QkkyvxKqa3aTxx0+KgOXS7mdRWOWyH+yzqKr8YW0s0tm3lOPxjEml1sQqiB/zip+sosRpcNlnGM1TpIGh7xnNiDbQa+kfFUTlsnRZ1Ls/Ga+SLin1Mr47WyOkcW9V7KfhNvMzMQsGG1uIVtW2F+KVcYPOJSuVZiGJU1S+IYlVODToeNPeoFmIOaNYYnHec1/gUkxF7/wBzE07xmPzK06q4wy6bdWc+FwLqoYZynwtWmTi8+XjTuXnoMQr5mND8QnbtJc6V3Mqx4VqsmTjDltbLc2+a3hxeaKMMEMJtznNf4FL2rP6fC2nW1Zzbys+IV9ZCw8TiFS4FoN+MIIWKR2JVNBJUDFqlrmNc+xlNrBVqTGZpGFphh15/K71qMUeGFggiDXbWhz7H/EssfbjPlpM/dmI8J7Da7EK3EaamfiVY1s0gYS2U3F16MflxDCMTdSR4pWSNDGuDnSm+qqgr5WvD2BrCDcZbi3xSTEKiV2aR2d29xJPxKvmFMSmfDGJ/3hVfiuTwxif94VX4rlCctk6LepOWSdFvUmYMSm/DGJ/3hVfiuTwxif8AeFV+K5QnLJOi3qTlkm5vUmYMSm/DGJ/3hVfiuW0eKYnI9jfCdQ3MdrpiAPioLlkm5vUnLJOi3qTMJxKycqxUtuMYds2cpPo71a+DVCcRwaKpqq2tdMXvaS2qeAbOIHP6F8w5ZJ0W9S91LwlxaigbBS1boom3IY0CwublRMwRD6t4Dh+91/8A7b+9PAcP3uv/APbf3r5f4349/eEnUO5PG/Hv7wk6h3KEvqHgOH73X/8Atv708Bw/e6//ANt/evl/jfjv94SdQTxvx3+8JOoIPpzsBp3DyqmvI/7t/etDgNK1mcT1+gzAcpff5r5p4349/eEnUO5PG/Hf7wk6h3ILRwr4/DZaFtFiFXE2dj3PMtS87Mtvmdigo6/F5WyOZiNQeLvccoPN71E1uOYhiBYa2czmO4aXDZfbs9QXl5U/ot6laJjCMeVoMuLtpaepdjD+LncG2FSS5l+ctvdHz4oyo4o4vUNOVzrySlug3C527fVdVflT+i3qTlT+izqU5gxKyxVmIvjnc7GqhhhJH/EJDtCRY3G21vekdXiUkDZfDcjSQTkM5Dvmq1yt/Rb1Jyp+5qZhMxwsVFiuIvLjJVYhKLWHFyu0O3XXcCvX4SqyJA12LE3OQ8c7TQaHXfcqrxYnVQAiJ+QE3OVdBjVeP3x1NyTrdOqEYlPYTVYliGINpJMXqoMwPlGQ7RzWvtWtfXYjRYnNStxapmbGbZxKbO8kHf6be5Vp1XI4kuDSTqb86y2rkadGt6kzBiXnREWawiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiICIiAiIgIiIP/Z"