Neurologic Care Nursing

8/9/2019 Neurologic Care Nursing

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GDGPAF\ GD@ ^B\]LACAI\


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Ijdjxgc ezdmplad} ae pbj djzxacailm }|}pjf ldmcz`j;

Maidlplad# jfaplad# gd` fjfax|$

]jd}gplad# ~jxmj~plad# gd` pbj ldpjixgplad ae }jd}ax|~jxmj~pzgc

jr~jxljdmj$

Xjizcgplad ae bafja}pg}l}# mad}mlaz}dj}}# pjf~jxgpzxj# H^# gd`

apbjx ha`lc| ~xamj}}j}$

GDGPAF\ GD@ ^B\]LACAI\


3/438

Pbjxj gxj pya p|~j} ae djxuj mjcc};

"7, djzxaiclg gd`"8, djzxad}


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Djzxaiclg

Ezdmplad};

g$ gmp g} }z~~axpluj pl}}zj# dazxl}bldi gd` ~xapjmpldi pbjdjzxad}

h$ fgldpgld bafja}pg}l} ld pbj ldpjx}plplgc eczl` gxazd` pbjdjzxad} gd` gmmazdp eax ghazp :> ~jxmjdp ae pbj mjdpxgcdjxuaz} }|}pjf "MD], uaczfj

m$ bguj pbj ghlclp| pa xjijdjxgpj gd` xj}~ad` pa ldkzx| h|elccldi }~gmj} cjep h| `gfgij` djzxad}$


5/438

Djxuaz} Pl}}zj; ]z~~axp Mjcc}

]z~~axp mjcc} ld pbj MD] gxj ixaz~j` paijpbjx g}

djzxaiclg Ezdmplad; pa }z~~axp# ld}zcgpj# gd` ~xapjmp djzxad}


6/438


G}pxam|pj}

Ghzd`gdp# }pgx&}bg~j` mjcc} Hxgmj djzxad}

Eaxf hgxxljx hjpyjjd mg~lccgxlj} gd` djzxad}

Madpxac pbj mbjflmgc jdulxadfjdp ae

pbj hxgld


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Flmxaiclg

]~l`jxcloj ~bgiam|pj}

@l}~a}j ae `jhxl}


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J~jd`|fgc mjcc}

Cldj mgulplj} ae pbj hxgld gd` }~ldgc max`

Mlxmzcgpj mjxjhxa}~ldgc eczl`


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Aclia`jd`xam|pj}

Y

xg~ gxazd` djxuj elhjx} ld pbj mjdpxgc djxuaz} }|}pjf ^xa`zmj f|jcld }bjgpb}


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]gpjcclpj mjcc}

^xapjmp djzxad mjcc ha`lj} ]mbygdd mjcc}

Eaxf f|jcld }bjgpb ld pbj ~jxl~bjxgc djxuaz} }|}pjf


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Elizxj 9$=j


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Djzxad}

g$ bguj pbj ghlclp| pa~xa`zmj gmplad ~apjdplgc}ax lf~zc}j} "jrmlpghlclp| axlxxlpghlclp|, gd`

h$ pa pxgd}flp lf~zc}j}"mad`zmplulp|,$

Ezdmplad};


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Djxuaz} Pl}}zj; Djzxad}


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Djzxad} 6 djxuj mjcc}

Mjcc} }~jmlgcl{j` pa pxgd}flp fj}}gij}Fgkax xjilad} ae djzxad}

Mjcc ha`|dzmcjz} gd` fjpghaclm mjdpjx ae pbj mjcc

^xamj}}j}elhjx} pbgp jrpjd` exaf pbj mjcc ha`|


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Mjcc ha`|

Dl}}c }zh}pgdmj ]~jmlgcl{j` xazib jd`a~cg}flm xjplmzczf

Djzxaelhxlc}

Ldpjxfj`lgpj m|pa}ojcjpad

Fgldpgld} mjcc }bg~j


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Mjcc ha`|

Dzmcjz} Cgxij dzmcjacz}

^xamj}}j} azp}l`j pbj mjcc ha`|

@jd`xlpj}mad`zmp lf~zc}j} paygx` pbj mjcc ha`|

Grad}mad`zmp lf~zc}j} gyg| exaf pbj mjcc ha`|


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Grad} jd` ld gradgc pjxfldgc}

Gradgc pjxfldgc} madpgld uj}lmcj} ylpbdjzxapxgd}flppjx}

Gradgc pjxfldgc} gxj }j~gxgpj` exaf pbj djrp

djzxad h| g ig~

]|dg~plm mcjepig~ hjpyjjd g`kgmjdp djzxad}

]|dg~}jkzdmplad hjpyjjd djxuj}


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F|jcld }bjgpbyblpl}b# egpp| fgpjxlgc maujxldi

grad}

]mbygdd mjcc}~xa`zmj f|jcld }bjgpb} ld kjcc| xacc

cloj eg}blad

Da`j} ae Xgduljxig~} ld f|jcld }bjgpb gcadi pbj

grad


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Djzxad Mjcc Ha`| Camgplad

Fa}p djzxad mjcc ha`lj} gxj eazd` ld pbj mjdpxgcdjxuaz} }|}pjf

Ixg| fgppjxmjcc ha`lj} gd` zdf|jcldgpj` elhjx}

Dzmcjlmcz}pjx} ae mjcc ha`lj} ylpbld pbj yblpj fgppjx aepbj mjdpxgc djxuaz} }|}pjf

Igdiclgmaccjmplad} ae mjcc ha`lj} azp}l`j pbjmjdpxgc djxuaz} }|}pjf


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Ezdmpladgc Mcg}}lelmgplad ae Djzxad}

]jd}ax| "geejxjdp, djzxad}

Mgxx| lf~zc}j} exaf pbj }jd}ax| xjmj~pax} pa pbj MD] Mzpgdjaz} }jd}j axigd}

^xa~xlamj~pax}`jpjmp }pxjpmb ax pjd}lad

Fapax "jeejxjdp, djzxad}

Mgxx| lf~zc}j} exaf pbj mjdpxgc djxuaz} }|}pjf paul}mjxg# fz}mcj}# ax icgd`}


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Ezdmpladgc Mcg}}lelmgplad ae Djzxad}

Ldpjxdjzxad} "g}}amlgplad djzxad},

Eazd` ld djzxgc ~gpbyg|} ld pbj mjdpxgc djxuaz} }|}pjf Maddjmp }jd}ax| gd` fapax djzxad}


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Djzxad Mcg}}lelmgplad


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]pxzmpzxgc Mcg}}lelmgplad ae Djzxad}

Fzcpl~acgx djzxad}fgd| jrpjd}lad} exaf pbj mjcc

ha`|


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Hl~acgx djzxad}adj grad gd` adj `jd`xlpj


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Zdl~acgx djzxad}bguj g }baxp }ldicj ~xamj}}

cjguldi pbj mjcc ha`|

Elizxj 9$2m


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Ezdmpladgc ^xa~jxplj} ae Djzxad}

Lxxlpghlclp|

Ghlclp| pa xj}~ad` pa }plfzcl

Mad`zmplulp|

Ghlclp| pa pxgd}flp gd lf~zc}j


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Djxuj Lf~zc}j} Xj}pldi djzxad Pbj ~cg}fg fjfhxgdj gp xj}p l} ~acgxl{j`

Ejyjx ~a}lpluj lad} gxj ld}l`j pbj mjcc pbgd azp}l`j pbj mjcc @j~acgxl{gplad G }plfzcz} `j~acgxl{j} pbj djzxad} fjfhxgdj G `j~acgxl{j` fjfhxgdj gccay} }a`lzf "Dg/, pa ecay

ld}l`j pbj fjfhxgdj

Pbj jrmbgdij ae lad} ldlplgpj} gd gmplad ~apjdplgc ld pbjdjzxad


32/438

Djxuj Lf~zc}j}

Gmplad ~apjdplgc

Le pbj gmplad ~apjdplgc "djxuj lf~zc}j, }pgxp}# lp l}

~xa~gigpj` aujx pbj jdplxj grad

Lf~zc}j} pxgujc eg}pjx ybjd elhjx} bguj g f|jcld }bjgpb


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Djxuj Lf~zc}j}

Xj~acgxl{gplad

^apg}}lzf lad} xz}b azp ae pbj djzxad gepjx }a`lzf lad}

xz}b ld# yblmb xj~acgxl{j} pbj fjfhxgdj

Pbj }a`lzf&~apg}}lzf ~zf~# z}ldi GP^# xj}paxj} pbj

axlildgc madelizxgplad


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Pxgd}fl}}lad ae g ]lidgc gp ]|dg~}j}

Lf~zc}j} gxj ghcj pa mxa}} pbj }|dg~}j pa gdapbjx

djxuj

Djzxapxgd}flppjx l} xjcjg}j` exaf g djxuj} grad

pjxfldgc

Pbj `jd`xlpj ae pbj djrp djzxad bg} xjmj~pax} pbgp gxj

}plfzcgpj` h| pbj djzxapxgd}flppjx Gd gmplad ~apjdplgc l} }pgxpj` ld pbj `jd`xlpj


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Gradpjxfldgc

Uj}lmcj}

]|dg~plmmcjep

Gmplad~apjdplgcgxxluj}

]|dg~}j

Gradaepxgd}flppldidjzxad

Xjmjluldidjzxad


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Gradpjxfldgc

Uj}lmcj}

]|dg~plmmcjep


]|dg~}j


Xjmjluldidjzxad

Uj}lmcjez}j} ylpb~cg}fgfjfhxgdj

]|dg~plm mcjep

Lad mbgddjc} Xjmjluldi djzxad

Pxgd}flppldi djzxad


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Gradpjxfldgc

Uj}lmcj}

]|dg~plmmcjep


]|dg~}j


Xjmjluldidjzxad

Djzxapxgd}&flppjx l} xj&cjg}j` ldpa}|dg~plm mcjep


]|dg~plm mcjepDjzxapxgd}flppjxfacjmzcj}


Pxgd}flppldi djzxad


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Pxgd}fl}}lad ae g ]lidgc gp ]|dg~}j}Gradpjxfldgc

Uj}lmcj}

]|dg~plmmcjep


]|dg~}j


Xjmjluldidjzxad


Djzxapxgd}&flppjx hld`}pa xjmj~paxad xjmjluldidjzxad}fjfhxgdj




Pxgd}flppldi djzxad


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Uj}lmcj}

]|dg~plmmcjep


]|dg~}j


Xjmjluldidjzxad


Djzxapxgd}&

flppjx hld`}pa xjmj~paxad xjmjluldidjzxad}fjfhxgdj




Pxgd}flppldi djzxad

Xjmj~paxDjzxapxgd}flppjxDg/

Lad mbgddjca~jd}


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Uj}lmcj}

]|dg~plmmcjep


]|dg~}j


Xjmjluldidjzxad


Djzxapxgd}&

flppjx hld`}pa xjmj~paxad xjmjluldidjzxad}fjfhxgdj




Pxgd}flppldi djzxad

Xjmj~pax

Djzxapxgd}flppjx

Dg/Dg/

Djzxapxgd}flppjxhxaojd `ayd

gd` xjcjg}j`

Lad mbgddjca~jd} Lad mbgddjc mca}j}


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mad}l}p} ae pbj;

hxgld }~ldgc max`

MJDPXGC DJXUAZ] ]\]PJF


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Xjilad} ae pbj Hxgld; Mjxjhxzf


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Mjxjhxgc Bjfl}~bjxj} "Mjxjhxzf,

^glxj` "cjep gd` xlibp, }z~jxlax ~gxp} ae pbj hxgld

Ldmcz`j} faxj pbgd bgce ae pbj hxgld fg}}

Pbj }zxegmj l} fg`j ae xl`ij} "i|xl, gd` ixaauj} "}zcml,


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Cahj} ae pbj mjxjhxzf

El}}zxj} "`jj~ ixaauj}, `lul`j pbj mjxjhxzf ldpa cahj}

]zxegmj cahj} ae pbj mjxjhxzf

Exadpgc cahj

^gxljpgc cahj

Amml~lpgc cahj

Pjf~axgc cahj


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Xjilad} ae pbj Hxgld; Mjxjhxzf ]~jmlgcl{j` gxjg} ae pbj mjxjhxzf ^xlfgx| }afgplm }jd}ax| gxjg

Xjmjluj} lf~zc}j} exaf pbj ha`|} }jd}ax| xjmj~pax} Camgpj` ld ~gxljpgc cahj

^xlfgx| fapax gxjg ]jd`} lf~zc}j} pa }ojcjpgc fz}mcj}

Camgpj` ld exadpgc cahj

Hxamg} gxjg Lduacuj` ld azx ghlclp| pa }~jgo


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Elizxj 9$70


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Mjxjhxgc gxjg} lduacuj` ld }~jmlgc }jd}j}

Iz}pgpax| gxjg "pg}pj,

Ul}zgc gxjg

Gz`lpax| gxjg

Acegmpax| gxjg


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Ldpjx~xjpgplad gxjg} ae pbj mjxjhxzf

]~jjmb!cgdizgij xjilad

Cgdizgij maf~xjbjd}lad xjilad

Ijdjxgc ldpjx~xjpgplad gxjg


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Cg|jx} ae pbj mjxjhxzf

Ixg| fgppjxazpjx cg|jx ld pbj mjxjhxgc maxpjr

maf~a}j` fa}pc| ae djzxad mjcc ha`lj}

Yblpj fgppjxelhjx pxgmp} `jj~ pa pbj ixg| fgppjx

Max~z} mgcca}zf maddjmp} bjfl}~bjxj}

Hg}gc dzmcjll}cgd`} ae ixg| fgppjx hzxlj` ylpbldpbj yblpj fgppjx


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Xjilad} ae pbj Hxgld; @ljdmj~bgcad


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]lp} ad pa~ ae pbj hxgld }pjf

Jdmca}j` h| pbj mjxjhxgc bjfl}~bjxj}

Fg`j ae pbxjj ~gxp}

Pbgcgfz}

B|~apbgcgfz}

J~lpbgcgfz}


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Pbj

@ljdmj~bgcad

l} pbj }jgp aepbj madpxac}|}pjf eax

lf~zc}jpxgd}fl}}lad pa

`leejxjdp

~gxp} ae pbjhxgld


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Pbgcgfz}

]zxxazd`} pbj pblx` ujdpxlmcj

Pbj xjcg| }pgplad eax }jd}ax| lf~zc}j}

Pxgd}ejx} lf~zc}j} pa pbj maxxjmp ~gxp ae pbj maxpjr eax

camgcl{gplad gd` ldpjx~xjpgplad


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B|~apbgcgfz}

Zd`jx pbj pbgcgfz}

Lf~axpgdp gzpadaflm djxuaz} }|}pjf mjdpjx

Bjc~} xjizcgpj ha`| pjf~jxgpzxj

Madpxac} ygpjx hgcgdmj

Xjizcgpj} fjpghacl}f


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B|~apbgcgfz} "madpldzj`,

Gd lf~axpgdp ~gxp ae pbj clfhlm }|}pjf "jfaplad},

Pbj ~lpzlpgx| icgd` l} gppgmbj` pa pbj b|~apbgcgfz}


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J~lpbgcgfz}

Eaxf} pbj xaae ae pbj pblx` ujdpxlmcj

Baz}j} pbj ~ldjgc ha`| "gd jd`amxldj icgd`,

Ldmcz`j} pbj mbaxal` ~cjrz}eaxf} mjxjhxa}~ldgc eczl`


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Xjilad} ae pbj Hxgld; Hxgld ]pjf

Gppgmbj} pa pbj }~ldgc max`

^gxp} ae pbj hxgld }pjf

Fl`hxgld

^ad}

Fj`zccg ahcadigpg


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Fl`hxgld

Fa}pc| maf~a}j` ae pxgmp} ae djxuj elhjx}

Bg} pya hzcildi elhjx pxgmp}

mjxjhxgc ~j`zdmcj}

Bg} eazx xazd`j` ~xapxz}lad}

max~axg wzg`xlijfldg

Xjecjr mjdpjx} eax ul}lad gd` bjgxldi


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^ad}

Pbj hzcildi mjdpjx ~gxp ae pbj hxgld }pjf

Fa}pc| maf~a}j` ae elhjx pxgmp}

Ldmcz`j} dzmcjl lduacuj` ld pbj madpxac ae hxjgpbldi


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Xjilad} ae pbj Hxgld; Hxgld ]pjf Fj`zccg Ahcadigpg Pbj cayj}p ~gxp ae pbj hxgld }pjf Fjxij} ldpa pbj }~ldgc max` Ldmcz`j} lf~axpgdp elhjx pxgmp} Madpgld} lf~axpgdp madpxac mjdpjx}

Bjgxp xgpj madpxac Hcaa` ~xj}}zxj xjizcgplad Hxjgpbldi

]ygccayldi Uaflpldi


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Xjplmzcgx Eaxfgplad

@leez}j fg}} ae ixg| fgppjx gcadi pbj hxgld }pjf

Lduacuj` ld fapax madpxac ae ul}mjxgc axigd}

Xjplmzcgx gmplugpldi }|}pjf "XG], ~cg|} g xacj ld

gygoj!}cjj~ m|mcj} gd` mad}mlaz}dj}}


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Xjilad} ae pbj Hxgld; Mjxjhjcczf


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Xjilad} ae pbj Hxgld; Mjxjhjcczf

Pya bjfl}~bjxj} ylpb maduaczpj` }zxegmj}

^xaul`j} lduaczdpgx| maax`ldgplad ae ha`|

faujfjdp}


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^xapjmplad ae pbj Mjdpxgc Djxuaz} ]|}pjf

]mgc~ gd` }old

]ozcc gd` ujxpjhxgc maczfd

Fjdldij}

Mjxjhxa}~ldgc eczl` "M]E,

Hcaa`&hxgld hgxxljx


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^xapjmplad ae pbj Mjdpxgc Djxuaz} ]|}pjf


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Fjdldij}

@zxg fgpjx

@azhcj&cg|jxj` jrpjxdgc maujxldi

^jxla}pjzfgppgmbj` pa lddjx }zxegmj ae pbj }ozcc

Fjdldijgc cg|jxazpjx maujxldi ae pbj hxgld

Eac`} ldygx` ld }jujxgc gxjg}


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Fjdldij}

Gxgmbdal` cg|jx

Fl``cj cg|jx

Yjh&cloj

^lg fgpjx

Ldpjxdgc cg|jx

Mcldi} pa pbj }zxegmj ae pbj hxgld


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Fjdldij}


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Mjxjhxa}~ldgc Eczl` "M]E,

]lflcgx pa hcaa` ~cg}fg maf~a}lplad

Eaxfj` h| pbj mbaxal` ~cjrz}

Eaxf} g ygpjx| mz}blad pa ~xapjmp pbj hxgld

Mlxmzcgpj` ld gxgmbdal` }~gmj# ujdpxlmcj}# gd`

mjdpxgc mgdgc ae pbj }~ldgc max`


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Ujdpxlmcj} gd` Camgplad ae

pbj Mjxjhxa}~ldgc Eczl`


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Ujdpxlmcj} gd` Camgplad ae

pbj Mjxjhxa}~ldgc Eczl`


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Hcaa`&Hxgld Hgxxljx Ldmcz`j} pbj cjg}p ~jxfjghcj mg~lccgxlj} ae pbj ha`|

Jrmcz`j} fgd| ~apjdplgcc| bgxfezc }zh}pgdmj}

Z}jcj}} g} g hgxxljx gigld}p }afj }zh}pgdmj} Egp} gd` egp }aczhcj facjmzcj}

Xj}~lxgpax| ig}j}

Gcmabac

Dlmapldj

Gdj}pbj}lg


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]~ldgc Max` Gdgpaf|


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]~ldgc Max` Gdgpaf|


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]~ldgc Max` Gdgpaf| Ldpjxdgc ixg| fgppjx l} fa}pc| mjcc ha`lj}

@ax}gc "~a}pjxlax, baxd}

Gdpjxlax "ujdpxgc, baxd}Ixg| fgppjx }zxxazd`} pbj mjdpxgc mgdgc

Mjdpxgc mgdgc l} elccj` ylpb mjxjhxa}~ldgc eczl`

Jrpjxlax yblpj fgpjxmad`zmplad pxgmp}

@ax}gc# cgpjxgc# ujdpxgc maczfd}


83/438

]~ldgc Max` Gdgpaf| Fjdldij} maujx pbj }~ldgc max`

]~ldgc djxuj} cjguj gp pbj cjujc ae jgmb

ujxpjhxgj

@ax}gc xaap

G}}amlgpj` ylpb pbj `ax}gc xaap igdiclgmaccjmplad} ae

mjcc ha`lj} azp}l`j pbj mjdpxgc djxuaz} }|}pjf

Ujdpxgc xaap

Madpgld} grad}


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]~ldgc Max` Gdgpaf|


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]~ldgc gd` ^jxl~bjxgc Djxuj} Hxgdmbldi exaf pbj }~ldgc max` gxj =7 ~glx} ae

}~ldgc djxuj}; 2 mjxulmgc# 78 pbaxgmlm# : czfhgx#

: }gmxgc# gd` 7 mamm|ijgc Pbj }~ldgc djxuj} madpgld hapb g}mjd`ldi gd`

`j}mjd`ldi elhjx}# gd` gcpbazib pbjxj l} }afjaujxcg~#jgmb l} xj}~ad}lhcj eax lddjxugplad ae g~gxplmzcgx gxjg ae pbj ha`|$


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@jxfgpafj}

& gxj xjilad}

ae pbj ha`|lddjxugpj` h|pbj mzpgdjaz}

hxgdmb ae g}ldicj }~ldgc

djxuj$


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^gpbyg|} Hjpyjjd Hxgld gd` ]~ldgc Max`


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Pbj Xjecjr Gxm Xjecjrxg~l`# ~xj`lmpghcj# gd` lduaczdpgx|

xj}~ad}j pa g }plfzcz}

Ammzx} aujx ~gpbyg|} mgccj` xjecjr gxm}

Xjecjr gxm`lxjmp xazpj exaf g }jd}ax| djzxad# pa

gd ldpjxdjzxad# pa gd jeejmpax


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Pbj Xjecjr Gxm

]plfzcz} gp `l}pgc

jd` aedjzxad

]old ]~ldgc max`

"ld mxa}} }jmplad,

Ldpjxdjzxad

Xjmj~pax

Jeejmpax

]jd}ax| djzxad

Fapaxdjzxad

Ldpjixgplad

mjdpjx

"g,


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Pbj Xjecjr Gxm

]plfzcz} gp `l}pgc

jd` aedjzxad

]old

Xjmj~pax

"g,


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Pbj Xjecjr Gxm

]plfzcz} gp `l}pgc

jd` aedjzxad

]old

Xjmj~pax ]jd}ax| djzxad

"g,


93/438

Pbj Xjecjr Gxm

]plfzcz} gp `l}pgc

jd` aedjzxad

]old ]~ldgc max`

"ld mxa}} }jmplad,

Ldpjxdjzxad

Xjmj~pax ]jd}ax| djzxad Ldpjixgplad

mjdpjx

"g,


94/438

Pbj Xjecjr Gxm

]plfzcz} gp `l}pgc

jd` aedjzxad

]old ]~ldgc max`

"ld mxa}} }jmplad,

Ldpjxdjzxad

Xjmj~pax ]jd}ax| djzxad

Fapaxdjzxad

Ldpjixgplad

mjdpjx

"g,


95/438

Pbj Xjecjr Gxm

]plfzcz} gp `l}pgc

jd` aedjzxad

]old ]~ldgc max`

"ld mxa}} }jmplad,

Ldpjxdjzxad

Xjmj~pax

Jeejmpax

]jd}ax| djzxad

Fapaxdjzxad

Ldpjixgplad

mjdpjx

"g,


96/438

]lf~cj Xjecjr Gxm

]~ldgc max`

]jd}ax| "geejxjdp,djzxad

Ldpjx&djzxad

Fapax"jeejxjdp,djzxad


]jd}ax| xjmj~pax}"}pxjpmb xjmj~pax}ldpbj wzg`xlmj~}fz}mcj,


]jd}ax| xjmj~pax}

"~gld xjmj~pax} ld

pbj }old,

Jeejmpax"wzg`xlmj~}fz}mcj aepblib,

Jeejmpax"hlmj~}hxgmbllfz}mcj,

]|dg~}j ldujdpxgcbaxdixg| fgppjx

"m,

"h,


97/438

]lf~cj Xjecjr Gxm

]~ldgc max`


"h,


98/438

]lf~cj Xjecjr Gxm

]~ldgc max`



"h,


99/438

]lf~cj Xjecjr Gxm

]~ldgc max`




"h,


100/438

]lf~cj Xjecjr Gxm

]~ldgc max`





"h,


101/438

]lf~cj Xjecjr Gxm

]~ldgc max`




Jeejmpax"wzg`xlmj~}fz}mcj aepblib,


"h,


102/438

]lf~cj Xjecjr Gxm

]~ldgc max`

]jd}ax| xjmj~pax}

"~gld xjmj~pax} ld

pbj }old,

"m,


103/438

]lf~cj Xjecjr Gxm

]~ldgc max`

]jd}ax| "geejxjdp,

djzxad

]jd}ax| xjmj~pax}

"~gld xjmj~pax} ld

pbj }old,

"m,


104/438

]lf~cj Xjecjr Gxm

]~ldgc max`

Ldpjx&djzxad

]jd}ax| "geejxjdp,

djzxad

]jd}ax| xjmj~pax}

"~gld xjmj~pax} ld

pbj }old,

"m,


105/438

]lf~cj Xjecjr Gxm

]~ldgc max`

Ldpjx&djzxad


]jd}ax| "geejxjdp,

djzxad

]jd}ax| xjmj~pax}

"~gld xjmj~pax} ld

pbj }old,

"m,


106/438

]lf~cj Xjecjr Gxm

]~ldgc max`

Ldpjx&djzxad


]jd}ax| "geejxjdp,

djzxad

]jd}ax| xjmj~pax}

"~gld xjmj~pax} ld

pbj }old,

Jeejmpax

"hlmj~}hxgmbllfz}mcj,"m,


107/438

P|~j} ae Xjecjrj} gd` Xjizcgplad ]afgplm xjecjrj}

Gmplugplad ae }ojcjpgc fz}mcj}

Jrgf~cj; Ybjd |az fauj |azx bgd` gyg| exaf gbap }pauj


108/438

P|~j} ae Xjecjrj} gd` Xjizcgplad Gzpadaflm xjecjrj}

]faapb fz}mcj xjizcgplad

Bjgxp gd` hcaa` ~xj}}zxj xjizcgplad

Xjizcgplad ae icgd`}

@lij}pluj }|}pjf xjizcgplad


109/438

^jxl~bjxgc Djxuaz} ]|}pjf "^D], Djxuj} gd` igdiclg azp}l`j pbj mjdpxgc djxuaz}

}|}pjf

Djxuj 6 hzd`cj ae djzxad elhjx}

Djzxad elhjx} gxj hzd`cj` h| maddjmpluj pl}}zj


110/438

^D]; ]pxzmpzxj ae g Djxuj Jd`adjzxlzf }zxxazd`} jgmb elhjx

Ixaz~} ae elhjx} gxj hazd` ldpa eg}mlmcj} h|

~jxldjzxlzf

Eg}mlmcj} gxj hazd` paijpbjx h| j~ldjzxlzf


111/438

^D]; ]pxzmpzxj ae g Djxuj


112/438

^D]; Mcg}}lelmgplad ae Djxuj} Flrj` djxuj}

Hapb }jd}ax| gd` fapax elhjx}

]jd}ax| "geejxjdp, djxuj}

Mgxx| lf~zc}j} paygx` pbj MD]

Fapax "jeejxjdp, djxuj}

Mgxx| lf~zc}j} gyg| exaf pbj MD]


113/438

^D]; Mxgdlgc Djxuj} 78 ~glx} ae djxuj} pbgp fa}pc| }jxuj pbj bjg` gd`

djmo

Adc| pbj ~glx ae ugiz} djxuj} jrpjd` pa pbaxgmlmgd` gh`afldgc mgulplj}

Fa}p gxj flrj` djxuj}# hzp pbxjj gxj }jd}ax| adc|


114/438

Mxgdlgc Djxuj}


115/438

^D]; Pbj Mxgdlgc Djxuj}


116/438



117/438



118/438



119/438

H|; Olxo A`xj| A$ Klfjdj{

DJZXACAILM G]]J]]FJDP


120/438

Cjgxdldi Ahkjmpluj};

Gepjx pbj ~xj}jdpgplad# yj }bazc` hj ghcj pa;

^jxeaxf g ~b|}lmgc g}}j}}fjdp ae pbj djzxacailm }|}pjf @amzfjdp djzxacailm }|}pjf eld`ldi}

@leejxjdplgpj hjpyjjd daxfgc gd` ghdaxfgc eld`ldi}


121/438

LDPXA@ZMPLAD Pbj bzfgd djxuaz} }|}pjf l} g zdlwzj }|}pjf pbgp gccay}

pbj ha`| pa ldpjxgmp ylpb pbj jdulxadfjdp g} yjcc g} pa

fgldpgld pbj gmplulplj} ae ldpjxdgc axigd}$ Pbj djxuaz} }|}pjf gmp} g} pbj fgld mlxmzlp hagx` eax

jujx| ha`| }|}pjf$ Hjmgz}j pbj djxuaz} }|}pjf yaxo} }amca}jc| ylpb jujx| apbjx }|}pjf# g ~xahcjf ylpbld gdapbjx

}|}pjf ax ylpbld pbj djxuaz} }|}pjf lp}jce mgd mgz}j pbjdjxuaz} }|}pjf pa }baxp&mlxmzlp$

"@lccad#8>>9,


122/438

G fgkax iagc ae dzx}ldi l} jgxc| `jpjmplad pa ~xjujdpax }cay pbj ~xaixj}}lad ae `l}jg}j$

]a lp l} lf~axpgdp eax dzx}j} pa gmmzxgpjc| ~jxeaxf gpbaxazib djzxacailm g}}j}}fjdp gd` pa zd`jx}pgd` pbjlf~clmgplad} ae }zhpcj mbgdij} ld g}}j}}fjdp eld`ldi}$H| `aldi }a# yj mgd ldlplgpj plfjc| ldpjxujdplad} pbgp

mgd }guj cluj}$"@lccad#8>>9,


123/438

MAF^ADJDP] AE

DJZXACAILM JRGF


124/438

Fjdpgc ]pgpz} g$ G~~jgxgdmj! B|iljdj! Ixaafldi!

A`ax h$ Hjbgulax m$ ]~jjmb! Maffzdlmgplad `$ Cjujc ae Mad}mlaz}dj}} j$ Fjfax| e$ Maidlpluj ezdmplad

Mxgdlgc Djxuj Ezdmplad"78 mxgdlgc djxuj},

]jd}ax| Ezdmplad g$ Clibp pazmb h$ gld m$ Ulhxgplad `$ Oldj}pbjplm} j$ ]pxjaida}l} e$ Ixg~bj}pbj}lg i$ Pya&~aldp l}mxlfldgplad b$ ~aldp camgcl{gplad l$ ]jd}ax| Jrpldmplad

Xjecjr Ezdmplad g$ @jj~ pjd`ad xjecjrj} h$ ]z~jxelmlgc xjecjrj}


125/438

Jd}zxj ~xa~jx b|iljdj hjeaxj}jjldi g mcljdp

Jd}zxj gcc jwzl~fjdp l} ~xa~jxc|mcjgdj`

Jwzl~fjdp Djj`j`;

& H^ mzee & Pzdldi eaxo"782 ax 8:5 B{,

& ^jdclibp & Dad}pjxlcj

icauj}& Yl}~ ae mappad & Padizj hcg`j

& Xjecjr bgffjx

& ]bgx~ ahkjmp }zmb g} paapb~lmo ax}pjxlcj djj`cj

& Ahkjmp} pa pazmb; mald# hzppad# oj| ax~g~jxmcl~

& ]afjpbldi exgixgdp; xzhhldi gcmabac axmaeejj

& ]afjpbldi pa pg}pj; }zmb g} cjfad kzlmj#}zigx ax }gcp

& Pya pg}pj pzhj} ax apbjx ulgc}

& A~bpbgcfa}ma~j

Ldpxa`zmj }jce pa pbj mcljdp$


126/438

G}}j}}ldi pbj Fjdpgc ]pgpz}7$ G^^JGXGDMJ! B\ILJDJ! IXAAFLDI! A@AX

g$ Hjild pbj g}}j}}fjdp g} pbj ~gpljdp

g~~xagmbj} |az$

h$ Ah}jxuj pbj ijdjxgc g~~jgxgdmj# b|iljdj#

ixaafldi gd` pbj a`ax ae pbj mcljdp$


127/438

iaa` ixaafldi#

`xj}} ld g~~xa~xlgpj papjf~jxgpzxj % yjgpbjx#

da aeejd}luj axzd~cjg}gdp aàx

bglx yjcc oj~p ax plj`

âax b|iljdj

Zd~cjg}gdp ax

aeejd}luj ha`| aàx

Daxfgc; Ghdaxfgc;


128/438

8$ HJBGULAX

g$ G}}j}} pbj mcljdp} faa` gd` jfaplad}

h$ Ah}jxuj ha`| cgdizgij gd` egmlgc

jr~xj}}lad ax geejmp

m$ Dapj bl} ax bjx ~a}pzxj


129/438

Ujxhgc jr~xj}}lad} fgpmb

ylpb pbj dadujxhgchjbgulax

Faa` l} g~~xa~xlgpj papbj }lpzgplad

]pgd`ldi ld z~xlibp }pgdmj

ylpb ~gxgccjc gclidfjdp aebl~} %}bazc`jx}

Cgmo ae egmlgc jr~xj}}lad & ^a}}lhcj ~}|mbacailmgc l}ax`jx

"j$i$# `j~xj}}lad ax }mbl{a~bxjdlg, axdjzxacailm lf~glxfjdp geejmpldimxgdlgc djxuj}$

Fg}ocloj jr~xj}}lad; & ^gxold}ad} `l}jg}j$

]czf~j` ~a}pzxj;

& @j~xj}}lad le ~}|mbacailmgc ldaxlild? ax }pxaoj ylpb bjfl~gxj}l} le~b|}lacailmgc ld axlild$

Daxfgc; Ghdaxfgc;


130/438

=$ ]^JJMB! MAFFZDLMGPLAD

g$ ]~jjmb gd`Cgdizgij Cl}pjd pa ~gpljdp} xgpj gd` jg}j ae }~jjmb# ldmcz`ldi jdzdmlgplad$

h$ ]~adpgdjaz} ]~jjmb % Fapax ]~jjmb ]bay ~gpljdp g ~lmpzxj gd` bguj blf ax bjx `j}mxlhj ybgp bj ax }bj

}jj}$

Bguj ~gpljdp xj~jgp# `a# xg|# fj# eg# }a# cg# pl# `a$

m$ Gzpadaflm ]~jjmb

Bguj ~gpljdp }g| }afjpbldi pbgp l} mafflppj` pa fjfax|# }zmb g} `g|} aeyjjo ax fadpb} ae |jgx$


131/438

]~jjmb ecay} jg}lc|?

~gpljdp jdzdmlgpj}mcjgxc|$

]a~bl}plmgplad ae }~jjmbfgpmbj} gij# j`zmgplad#

gd` eczjdm|$

Bj}lpgdm|# }pzppjxldi#}pgffjxldi# zdmcjgx }~jjmb; & Cgmo ae egflclgxlp| ylpb

cgdizgij# `jejxjdmj ax }b|dj}}#gdrljp|# djzxacailm `l}ax`jx$

@|}~bg}lg!g~bg}lg; & Djzxacailm ~xahcjf} }zmb g}

}pxaoj$ @xzi} gd` gcmabac mgd gc}a mgz}j

}czxxj` }~jjmb$

Daxfgc; Ghdaxfgc;


132/438

]~adpgdjaz} }~jjmb

ldpgmp$

Fapax }~jjmb ldpgmp$

Lf~glxj` }~adpgdjaz}

}~jjmb; Maidlpluj lf~glxfjdp$

Lf~glxj` fapax}~jjmb "`|}gxpbxlg,;

^xahcjf ylpb MD RLL

Daxfgc; Ghdaxfgc;


133/438

Gzpafgplm }~jjmb

ldpgmp$

Lf~glxj` gzpafgplm

}~jjmb;

Maidlpluj lf~glxfjdp

ax fjfax|

~xahcjf$

Daxfgc; Ghdaxfgc;


134/438

0$ CJUJC AE MAD]MLAZ]DJ]]g$ Pj}p axljdpgplad pa plfj# ~cgmj# gd`

~jx}ad


135/438

Gygoj# gcjxp# gd`

axljdpj` pa plfj#~cgmj# gd` ~jx}ad"GGA r =,

Xj}~ad`} pa jrpjxdgc

}plfzcl

@l}axljdpgplad fg| hj~b|}lmgc ld axlild

@l}axljdpgplad mgd gc}a hj~}|mblgpxlm ld axlild"}mbl{a~bxjdlg,

Cgpbgxilm ax }afdacjdp

Ahpzd`j`

]pz~ax

Mafg

Daxfgc; Ghdaxfgc;


136/438

Icg}iay Mafg ]mgcj& G }pgd`gx`l{j` ahkjmpluj g}}j}}fjdp pbgp `jeldj}

pbj CAM h| iluldi lp g dzfjxlm ugczj$

& Fa}p aepjd gepjx hxgld }zxijx|

& @amzfjdp g} JQUQFQ? eax jrgf~cj# J0U:F5$


137/438

J|j} a~jd

J

]~adpgdjaz}c| $ $ $ $ $ $ $ $ 0

Pa maffgd` $ $ $ $ $ $ $ $ $ $ =

Pa ~gld $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 8

Zdxj}~ad}luj$ $$ $ $ $ $ $ $ $ $ 7

Eld`ldi}

Hj}p ujxhgc xj}~ad}j

U

Axljdpj` $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ :

Madez}j` $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 0 Ldg~~xa~xlgpj $ $ $ $ $ $ $ $ $ $ $ $ =

Ldmaf~xjbjd}lhcj $ $ $ $ $ $ $ $ 8

Zdxj}~ad}luj$ $ $ $ $ $ $ $ $ $$ $ $ 7

Eld`ldi}

Hj}p fapax xj}~ad}jF

Ahj|} maffgd`} $ $ $ $ $ $ $ $$ 5

Camgcl{j} ~gld$ $ $ $ $ $ $ $ $ $ $ : Ylpb`xgy} exaf ~gld$ $ $ $ $ 0 Ghdaxfgc ecjrlad $ $ $ $ $ $ $$ $ $ = Ghdaxfgc jrpjd}lad $ $ $ $ $ $ $ 8

Zdxj}~ad}luj$ $ $ $ $ $ $ $ $ $ $ $ $ 7

Eld`ldi}

PapgcQQQQQQ

ICG]IAY MAFG ]MGCJ

Exaf Ylk`lmo}# jp gc# 8>>:# ylpb ~jxfl}}lad$


138/438

Pbj pbxjj dzfhjx} gxj g``j`? pbj papgc }maxjxjecjmp} pbj hxgld ezdmpladgc cjujc$

G ezcc| gygoj ~jx}ad 6 7: Mafg 6 9 ax cj}}

Pbj IM] g}}j}}j} pbj ezdmpladgc }pgpj ae pbj hxgldg} g ybacj# dap ae gd| ~gxplmzcgx }lpj ld pbj hxgld$

"Kzgxj{ gd` C|ad#7


139/438

Eazx ]maxj Mafg Fjg}zxjfjdp ]mgcjJ\J XJ]^AD]J

0

=

8

7

>

J|jcl`} a~jd ax a~jdj`# pxgmoldi ax hcldoldi pa maffgd`

J|jcl`} a~jd hzp dap pxgmoldi

J|jcl`} mca}j` hzp a~jd pa caz` ualmj

J|jcl`} mca}j` hzp a~jd pa ~gld

J|jcl`} xjfgld mca}j` ylpb ~gld

FAPAX

XJ]^AD]J

0

=8

7>

Pbzfh} z~# el}p# ax ~jgmj }lid pa maffgd`

Camgcl{ldi pa ~gldEcjrlad xj}~ad}j pa ~gld

Jrpjd}ax ~a}pzxldiDa xj}~ad}j pa ~gld ax ijdjxgcl{j` f|amcadz} }pgpz} j~lcj~plmz}

HXGLD]PJF

XJECJRJ]

0

=8

7

>

^z~lc gd` maxdjgc xjecjrj} ~xj}jdp

Adj ~z~lc yl`j gd` elrj`^z~lc ax maxdjgc xjecjrj} gh}jdp

^z~lc gd` maxdjgc xjecjrj} gh}jdp

Gh}jdp ~z~lc# maxdjgc# gd` mazib xjecjr

XJ]^LXGPLAD

0

=

87

>

Dap ldpzhgpj`# xjizcgx hxjgpbldi ~gppjxd

Dap ldpzhgpj`# Mbj|dj&]paoj} hxjgpbldi ~gppjxd

Dap ldpzhgpj`# lxxjizcgx hxjgpbldi ~gppjxdHxjgpbj} ghauj ujdplcgpax xgpj

Hxjgpbj} gp ujdplcgpax xgpj ax g~djg


140/438

:$ FJFAX\g$ Pj}plffj`lgpj xjmgcc;

G}o ~gpljdp pa xj~jgp pbxjj dzfhjx}# }zmb g} 0#


141/438

Lffj`lgpj# xjmjdp#

gd` xjfapj fjfax|

ldpgmp$

Fjfax| ~xahcjf} mgd hj hjdlid ax}lidgc g faxj }jxlaz} djzxacailm

~xahcjf }zmb g} Gc{bjlfjx} `l}jg}j$

Eaxijpezcdj}} & j}~jmlgcc| eaxlffj`lgpj gd` xjmjdp jujdp} aepjd ld ac`jx g`zcp}$

Ylpb hjdlid eaxijpezcdj}}#

~jx}ad mgd xjpxgmj ax z}jfjfax| gl`} pa bjc~ ylpbxjmgcc$

Daxfgc; Ghdaxfgc;


142/438

^gpbacailmgc fjfax| ca}}

g} ldGc{bjlfjx} `l}jg}j

Pjf~axgx| fjfax| ca}}

fg| ammzx gepjx bjg` pxgzfg$

Xjpxaixg`j gfdj}lg

eax jujdp} kz}p ~xjmj`ldi lccdj}}

ax ldkzx|$

^a}pmadmz}}lad }|d`xafj mgd ammzx 8 yjjo} pa 8 fadpb}

gepjx ldkzx| gd` fg| mgz}j }baxp&

pjxf fjfax| `jelmlp}$

Ghdaxfgc;


143/438

5$ MAIDLPLUJ EZDMPLAD

g$ Fgpbjfgplmgc gd`Mgcmzcgpluj Ghlclp|

G}o ~gpljdp pa ~jxeaxf g }lf~cj mgcmzcgplad# }zmb g}

g``ldi 0 r 0$ Le }zmmj}}ezc# ~xamjj` pa faxj `leelmzcp

mgcmzcgplad# }zmb g} 77!


144/438

Fgpbjfgplmgc!mgcmzcg

pluj ghlclp| ldpgmp gd`g~~xa~xlgpj eax~gpljdp} gij#j`zmgpladgc cjujc# gd`

cgdizgij egmlclp|$

Ldghlclp| pa mgcmzcgpj gp

cjujc g~~xa~xlgpj pagij# j`zmgplad# gd`cgdizgij ghlclp|xjwzlxj} jugczgplad eaxdjzxacailm lf~glxfjdp$

Daxfgc; Ghdaxfgc;


145/438

h$ Ijdjxgc Odaycj`ij gd`Uamghzcgx| G}o bay fgd| `g|} ld g yjjo gd` fadpb} ld g |jgx$

m$ Pbazibp^xamj}} G}o ~gpljdp pa `jeldj egflclgx yax`} }zmb g} g~~cj#

jgxpbwzgoj# gd` mbg}pl}j$

Hjild ylpb jg}| yax`} gd` ~xamjj` pa faxj `leelmzcp adj}$

Xjfjfhjx pa mad}l`jx pbj ~gpljdp} gij# j`zmgpladgc cjujc# gd`mzcpzxgc hgmoixazd`$


146/438

Pbazibp ~xamj}}

ldpgmp

Ldmabjxjdp }~jjmb lccailmgc ax zdxjgcl}plm l`jg}

xj~jplplad ae yax`} gd` ~bxg}j}

xj~jgpj`c| }pxg|ldi exaf pa~lm

}z``jdc| ca}ldi pxgld ae pbazibp"jrgf~cj} ae gcpjxj` pbazibp~xamj}}j} pbgp ld`lmgpj djj` eaxezxpbjx jugczgplad,

Ldghlclp| pa `jeldj egflclgx yax`}& xjwzlxj} ezxpbjx jugczgplad

Daxfgc; Ghdaxfgc;


147/438

`$ Gh}pxgmpPbldoldi

G}}j}} pbj mcljdp pa pbldo gh}pxgmpc|$

Wzapj g ~xaujxh gd` g}o pbj mcljdp pa jr~cgld lp}fjgdldi


148/438

Ghcj pa ijdjxgcl{j exaf

}~jmlelm jrgf~cj gd`g~~c| }pgpjfjdp pa bzfgdhjbgulax$

Mblc`xjd }bazc` hj ghcj pa`l}pldizl}b cloj exaf zdclojg} g~~xa~xlgpj eax pbjlxgij gd` cgdizgij egmlclp|$

Lf~glxj` ghlclp| pa

pbldo gh}pxgmpc|;

@jfjdplg# `jclxlzf#

fjdpgc xjpgx`gplad#

~}|mba}j}$

Daxfgc; Ghdaxfgc;


149/438

j$ Kz`ifjdp

Ah}jxuj ~gpljdp} xj}~ad}j pa mzxxjdp }lpzgplad$

G}o ~gpljdp pa xj}~ad` pa g }lpzgplad axb|~apbjplmgc }lpzgplad$


150/438

Kz`ifjdp

g~~xa~xlgpj gd`ldpgmp$

Lf~glxj` kz`ifjdp

mgd hj g}}amlgpj`ylpb `jfjdplg#

~}|mba}l}# ax `xzi

gd` gcmabac ghz}j$

Daxfgc; Ghdaxfgc;


151/438

G}}j}}ldi pbj MXGDLGC DJXUJ]

MD LAcegmpax| Djxuj

g$ Hjeaxj pj}pldi djxuj

ezdmplad# jd}zxj ~gpjdm| aejgmb da}pxlc h| ammcz`ldi ld

pzxd gd` g}oldi ~gpljdp pa}dlee$

h$ Admj ~gpjdm| l}

j}pghcl}bj`# g}o ~gpljdp pamca}j j|j}$

m$ Ammcz`j adj da}pxlc gd`

bac` gxafgplm }zh}pgdmj }zmbg} maeejj hjdjgpb da}j$

`$ G}o ~gpljdp pa l`jdple|

}zh}pgdmj$

j$ Xj~jgp ylpb apbjx da}pxlc$


152/438

^gpljdp l} ghcj pa

l`jdple| }zh}pgdmj$ "Hjgx ld fld` pbgp }afj

}zh}pgdmj} fg| hj

zdegflclgx# j}~jmlgcc| pa

mblc`xjd$,

Gda}flg l} ca}} ae }jd}j ae }fjcc$ Fg| hj ldbjxlpj` gd`

dad~gpbacailmgc; mbxadlm xbldlpl}#}ldz}lpl}# bjgu| }faoldi# {ldm`jelmljdm|# ax mamgldj z}j$

Lp fg| gc}a ld`lmgpj mxgdlgc djxuj`gfgij exaf egmlgc exgmpzxj} axbjg` ldkzxlj}# `l}ax`jx} ae hg}j aeexadpgc cahj }zmb g} g pzfax# ax

gxpbjxa}mcjxaplm mbgdij}$ ^jx}ad} ylpb gda}flg z}zgcc| gc}a

bguj pg}pj ~xahcjf}$

Daxfgc; Ghdaxfgc;


153/438

8$ MD} LL# LLL# LU# gd` ULA~plm# Amzcafapax# Pxambcjgx#gd` Gh`zmjd} Djxuj}

G}o pbj mcljdp pa xjg` g ~xldpj` fgpjxlgc# ah}jxuj pbj `l}pgdmjhjpyjjd pbj ~xldpj` fgpjxlgc gd` pbj mcljdp} j|j}$

Z}j pbj }djccjd mbgxp pa mbjmo! pj}p;

`l}pgdp ul}lad

Macax

Mcljdp }bazc` hj 8> ejjp `l}pgdp exaf pbj mbgxp

Z}j gd ahkjmp pa ammcz`j adj j|j

Jugczgpj pbj ul}lad adj j|j gp g plfj


154/438

Pj}pldi ~z~lc

gmmaffa`gplad

m$ Jugczgpj pbj Jrpxg Amzcgx Faujfjdp} ae pbj J|j}

`$ Madujxijd} % Gmmafa`gplad

j$ ^z~lccgx| Clibp Xjecjr

& z}ldi lxjmp gd` mad}jd}zgc ~z~lccgx| xjgmplad pa clibp

Pj}pldi j|j

faujfjdp}


155/438

Ghcj pa xjg` ylpbazp `leelmzcp|

Ul}zgc gmzlp| ldpgmp 8>!8>#hapb j|j} Bl~~z} ~bjdafjdad; & Hxl}o

mad}pxlmplad ae ~z~lc} ld xjgmpladpa clibp# eaccayj` h| `lcgplad gd`mad}pxlmplad

&fg| hj daxfgc ax }lid ae

jgxc| MD LLL maf~xj}}lad$

MD LL `jelmlp} mgd ammzx ylpb }pxaoj ax hxgld pzfax$

Mbgdij} ld ~z~lccgx| xjgmplad} mgd }lidgc MD LLL `jelmlp}$

Ldmxjg}j` LM^ mgz}j} mbgdij} ld~z~lccgx| xjgmplad$

G} ~xj}}zxj ldmxjg}j}# xj}~ad}jhjmafj} faxj }cziil}b zdplc~z~lc} eldgcc| hjmafj elrj` gd`

`lcgpj`$

Daxfgc; Ghdaxfgc;


156/438

Pj}pldi MD U

fapax ezdmplad

=$ MD UPxlijfldgc Djxuj

g$ Pj}pldifapax ezdmplad;

G}o~gpljdp pa fauj kgy exaf }l`j pa }l`j gigld}pxj}l}pgdmj gd` pbjd mcjdmb kgy g} |az ~gc~gpj

madpxgmplad ae pjf~axgc gd` fg}}jpjx fz}mcj}# ax pa

hlpj `ayd ad g padizj hcg`j$


157/438

Pj}pldi MD U

}jd}ax| ezdmplad

h$ Pj}pldi}jd}ax| ezdmplad;

G}o ~gpljdp pa mca}j j|j} Pazmb pbj egmj ylpb pbj yl}~ ae mappad Ld}pxzmp pa pjcc |az ybjd bj ax }bj ejjc} }jd}gplad

ad pbj egmj$ Xj~jgp pbj pj}p z}ldi }bgx~ gd` `zcc }plfzcl

"paapb~lmo, Ld}pxzmp pa }g| ]bgx~ ax @zcc

"Hj xgd`af# `adp j}pghcl}b g ~gppjxd,

Maf~gxj hapb hlcgpjxgcc|$


158/438

Pj}pldi maxdjgc

xjecjr

m$ Pj}pldimaxdjgc xjecjr;

Ijdpc| pazmb maxdjg ylpb mappad yl}~$ Pazmbldi maxdjg mgd mgz}j ghxg}lad}$ Gcpjxdgpluj

g~~xagmb l} pa;

4 ~zee glx gmxa}}maxdjg ylpb g

djj`cj}}}|xldij# axijdpc|pazmbj|jcg}b gd` caao eaxhcldoxjecjr$


159/438

Ezcc xgdij ae faplad

"XAF, ld kgy gd` 7:}pxjdipb$

^gpljdp ~jxmjluj} clibppazmb gd` }z~jxelmlgc~gld hlcgpjxgcc|$

Yjgo ax gh}jdp madpxgmplad zdlcgpjxgcc|;

& Cj}lad ae djxuj# mjxulmgc }~ldj# ax hxgld}pjf$

Ldghlclp| pa ~jxmjluj clibp pazmb gd`}z~jxelmlgc ~gld

& fg| ld`lmgpj ~jxl~bjxgc djxuj gfgij$

Plm azcazxjzr;

& Djzxgcilm ~gld ae MD U mgz}j` h| pbj ~xj}}zxjae `jijdjxgplad ae g djxuj$

Maxdjgc xjecjr pj}p z}j` ld ~gpljdp} ylpb

`jmxjg}j`C

AM & pa jugczgpj ldpjixlp| ae hxgld}pjf$

Daxfgc; Ghdaxfgc;


160/438

Pj}pldi MD ULL

fapax ezdmplad

0$ MD ULLEgmlgc Djxuj

Pj}pldifapax ezdmplad; G}o ~gpljdp pa ~jxeaxf pbj}j faujfjdp}; }flcj#

exayd# xgl}j j|jhxay}# }bay z~~jx pjjpb# }bay cayjx

pjjpb# ~zee azp mbjjo}# ~zx}j cl~}# mca}j j|j} plibpc|

yblcj dzx}j pxlj} pa a~jd pbjf$


161/438

Pj}pldi pg}pj

}jd}gplad

h$ Pj}pldi}jd}ax| ezdmplad;

&P

j}p pg}pj ad gdpjxlax pya&pblx`} ae padizj eax }yjjp# }azx#}gcp|$

]yjjp;Pl~ ae pbj padizj

]azx;]l`j} ae hgmo bgce ae

padizj

]gcp|;Gdpjxlax }l`j} gd` pl~ ae

padizj

Hlppjx;Hgmo ae padizj


162/438

Egmlgc djxuj ldpgmp? ghcj

pa fgoj egmj}$ Pg}pj }jd}gplad ad

gdpjxlax padizj ldpgmp$

"Pg}pj `jmxjg}j` ld ac`jx

g`zcp}$,

G}|ffjpxlmgc ax lf~glxj`faujfjdp; Djxuj `gfgij# }zmb g} pbgp

mgz}j` h| Hjcc} ~gc}| ax }pxaoj$

Lf~glxj` pg}pj!ca}} ae pg}pj; @gfgij pa egmlgc djxuj#

mbjfapbjxg~| ax xg`lgpladpbjxg~| pa bjg` gd` djmo$

Daxfgc; Ghdaxfgc;

:


163/438

:$

Ygpmb plmo pj}p

MD ULLLGmaz}plm Djxuj

g$ ^jxeaxf Yjhjx gd` Xlddj pj}p} eax bjgxldi

h$ ^jxeaxf ygpmb&plmo pj}p h| bac`ldi ygpmb mca}j pa ~gpljdp} jgx$

m$ ^jxeaxf Xafhjxi pj}p eax hgcgdmj

Dzx}j gp pbj hgmo ax }l`j ae pbj ~p$

Ld}pxzmp mcljdp pa }pgd` }pxglibp# ejjp paijpbjx# bgd`} gp pbj}l`j gd` j|j} mca}j`$

"Jugczgpj} pbj hgcgdmldi ezdmplad ae pbj MD ULLL,


164/438

Bjgxldi ldpgmp$

Djigpluj Xafhjxi

pj}p$

Bjgxldi ca}}# d|}pgifz}#hgcgdmj `l}pzxhgdmj#`l{{ldj}}!ujxplia; Gmaz}plm djxuj `gfgij$

D|}pgifz}; MD ULLL# hxgld}pjf# ax

mjxjhjcczf ~xahcjf ax

~bjd|pald "@lcgdpld, parlmlp|$

Daxfgc; Ghdaxfgc;


165/438

5$ MD} LR gd` RIca}}a~bgx|dijgc gd` Ugiz} Djxuj}

g$ Ah}jxuj ghlclp| pa mazib# }ygccay# gd` pgco$

h$ Pj}pfapax ezdmplad;

G}o ~gpljdp pa a~jd fazpb gd` }g| gb yblcj |az `j~xj}}

pbj padizj ylpb g padizj hcg`j$

Ah}jxuj }aep ~gcgpj gd` zuzcg$ ]aep ~gcgpj gd` zuzcg }bazc`

xl}j fj`lgcc|$

Pj}pldi MD LR

gd` R fapaxezdmplad


166/438

m$ Pj}p}jd}ax| ezdmpladae MD LRgd`fapax ezdmpladae

MD Rh| }plfzcgpldiigixjecjr$

Pjcc ~gpljdp pbgp |az gxj ialdi pa pazmb ldpjxlax pbxagp

pbjd clibpc| pazmb pl~ ae padizj hcg`j pa ~a}pjxlax

~bgx|dijgc ygcc$

Ah}jxuj pbj ~bgx|dijgc faujfjdp$

G}o pbj mcljdp pa `xldo g }fgcc gfazdp ae ygpjx Dapj pbj jg}j % `leelmzcp| ae }ygccayldi

Dapj wzgclp| ae pbj ualmj ax bagx}jdj}} ybjd }~jgoldi

Pj}pldi MD LR

gd` R fapaxezdmplad


167/438

]ygccay gd` mazib xjecjrldpgmp$

]~jjmb mcjgx$

Jcjugplad gd` mad}pxlmpladae ~bgx|dijgc fz}mzcgpzxjgd` padizj xjpxgmpladld`lmgpj ~a}lpluj igi

xjecjr$

Zdlcgpjxgc faujfjdp; &Madpxgcgpjxgc djxuj `gfgij$

@gfgij pa MD} LR gd` R gc}a lf~glx} }ygccayldi$ Mbgdij} ld ualmj wzgclp| "j$i$# bagx}jdj}},; MD R

`gfgij$ &MD R gfgij fg| gc}a geejmp ulpgc ezdmplad}# mgz}ldi gxxb|pbflg}

hjmgz}j ugiz} djxuj lddjxugpj} fa}p ae ul}mjxg pbxazib~gxg}|f~gpbjplm }|}pjf$

@lfldl}bj`!gh}jdp igi xjecjr; Djxuj `gfgij$ Jugczgpj ezxpbjx hjmgz}j ~gpljdp l} gp ldmxjg}j` xl}o eax g}~lxgplad$

Lf~glxj` pg}pj ad ~a}pjxlax ~axplad ae padizj;^xahcjf ylpb MD LR$

Daxfgc; Ghdaxfgc;


168/438

9$ MD RLGmmj}}ax| Djxuj

Pj}p fapax ezdmplad ae }bazc`jxgd`djmo fz}mcj};

G}o ~gpljdp pa }bxzi }bazc`jx} z~ygx` gigld}p |azx xj}l}pgdmj$

"Pxg~lj{j fz}mcj,

Pbjd g}o bjx ax blf pa pzxd bjg` exaf }l`j pa }l`j gigld}p |azx

xj}l}pgdmj$ "]pxjdamcgl`afg}pal` f}zmcj,

Ah}jxuj eax }|ffjpx| ae madpxgmplad gd` fz}mcj }pxjdipb$


169/438

Faujfjdp }|ffjpxlmgc#

ylpb ~gpljdp fauldigigld}p xj}l}pgdmjylpbazp ~gld$

Ezcc XAF ae djmo ylpb

/:!: }pxjdipb$

G}|ffjpxlmgc

@lfldl}bj`

Gh}jdp faujfjdp

^gld

zdlcgpjxgc ax hlcgpjxgcyjgodj}}; ^jxl~bjxgc djxuj MD RL `gfgij$

Daxfgc; Ghdaxfgc;


170/438

2$ MD RLLB|~aica}}gc Djxuj

g$ Bguj ~gpljdp }g| `# c# d# p ax g ~bxg}j

madpgldldi pbj}j cjppjx}$ Pbj ghlclp| pa }g| pbj}j cjppjx} xjwzlxj} z}j ae pbj padizj$

h$ G}o pbj ~gpljdp pa ~xapxz`j pbj padizj$

Ah}jxuj gd| `julgplad exaf fl`cldj# pzfax}# cj}lad}# ax gpxa~b|$

Day g}o pbj ~gpljdp pa fauj pbj padizj exaf }l`j pa }l`j$

Pj}pldi MD

RLL fapax

ezdmplad


171/438

Mgd ~xapxz`j

padizj fj`lgcc|$

Da gpxa~b|# pzfax}#

ax cj}lad}$

G}|ffjpxlmgc!`lfldl}bj`!

gh}jdp faujfjdp!`julgpladexaf fl`cldj!~xapxz`j`padizj; & ^jxl~bjxgc djxuj MD RLL

`gfgij$

Padizj ~gxgc|}l} xj}zcp} ld`|}gxpbxlg$

Daxfgc; Ghdaxfgc;


172/438

7$ Clibp Pazmb

Hxz}b g clibp }plfzcz} }zmb g} g mappad yl}~ aujx ~gpljdp} }old ld

}jujxgc camgplad}# ldmcz`ldi pax}a gd` jrpxjflplj}$

G}}j}}ldi ]jd}ax| Ezdmplad


173/438

L`jdplelj} gxjg}

}plfzcgpj` h| clibppazmb$

@lfldl}bj`!gh}jdp mzpgdjaz}~jxmj~plad;

^jxl~bjxgc djxuj `gfgij ax `gfgijpa ~a}pjxlax maczfd ae }~ldgc max`$

^jxl~bjxgc djzxa~gpblj}mgd gc}amgz}j }jd}ax|`jelmlp}$ B|~j}pbj}lg; Ldmxjg}j` }jd}lplulp|$

^gxj}pbj}lg; Dzfhdj}} gd` pldicldi$

Gdj}pbj}lg;Ca}} ae }jd}gplad$

Daxfgc; Ghdaxfgc;


174/438

8 $ ^gld

]plfzcgpj }old clibpc| ylpb }bgx~ gd` `zcc jd`} ae paapb~lmo!

~g~jx mcl~

G~~c| }plfzcl xgd`afc| gd` g}o ~gpljdp pa l`jdple| ybjpbjx

}jd}gplad l} }bgx~ ax `zcc$


175/438

Pazmb ~gpljdp} }old ylpb pj}p pzhj} elccj` ylpb bap ax mac` ygpjx$

G~~c| }plfzcl xgd`afc|# gd` g}o ~gpljdp pa l`jdple| ybjpbjx

}jd}gplad l} bap ax mac`$

8


176/438

8&

L`jdplelj} gxjg}

}plfzcgpj` gd` p|~jae }plfzcgplad

@lfldl}bj` ax gh}jdp ~gld ~jxmj~plad;

^jxl~bjxgc djxuj `gfgij ax `gfgij pa cgpjxgc

}~ldapbgcgflm pxgmp$

B|~jxgcilg; Ldmxjg}j` ~gld }jd}gplad$

B|~agcij}lg; @jmxjg}j` ~gld }jd}gplad$

Gdgcij}lg; Da ~gld }jd}gplad$

@lfldl}bj`!gh}jdp pjf~jxgpzxj

~jxmj~plad; ^jxl~bjxgc djxuj `gfgij ax `gfgij pa cgpjxgc

}~ldapbgcgflm pxgmp

Daxfgc; Ghdaxfgc;

$


177/438

=$ Ulhxgplad

^cgmj g ulhxgpldi pzdldi eaxo aujx g eldijx kaldp# gd` pbjd aujx g

paj kaldp$

G}o ~gpljdp pa pjcc |az ybjd ulhxgplad l} ejcp gd` ybjd lp }pa~}$

Le ~gpljdp l} zdghcj pa `jpjmp ulhxgplad# pj}p ~xarlfgc gxjg} g}yjcc$


178/438

&

Ulhxgpax| }jd}gplad

ldpgmp hlcgpjxgcc| ldz~~jx gd` cayjx

jrpxjflplj}$

@lfldl}bj`!gh}jdp

ulhxgplad }jd}j; ^jxl~bjxgc djxuj

`gfgij mgz}j` h|gcmabacl}f# `lghjpj}# ax`gfgij pa ~a}pjxlaxmaczfd ae }~ldgc max`$

Daxfgc; Ghdaxfgc;


179/438

0$ Oldj}pbjplm} "â}lplad ]jd}j,

@jpjxfldj ~gpljdp} ghlclp| pa ~jxmjluj ~g}}luj faujfjdp ae jrpxjflplj}$

Bac` eldijx} ad }l`j} gd` fauj z~ gd` àyd# gd` bguj ~gpljdp l`jdple| `lxjmplad ae

faujfjdp$

Ecjr gd` jrpjd` ~gpljdp} hli paj# gd` g}o ~gpljdp pa `j}mxlhj faujfjdp g} z~ axàyd$


180/438

Gual` fauldi pbj ~gpljdp} eldijx h| ~cgmldi

|azx eldijx ad pa~ ae pbj ~gpljdp} hjmgz}j pbj

~gpljdp fg| }jd}j pbj ~xj}}zxj ae |azx eldijxxgpbjx pbgd g pxzj ~a}lplad mbgdij$

Le ~a}lplad }jd}gplad l} ldpgmp `l}pgcc|# lp l} ldpgmp

~xarlfgcc|$


181/438

^a}lplad }jd}gplad

ldpgmp hlcgpjxgcc| ldz~~jx gd` cayjx

jrpxjflplj}$

@lfldl}bj` ax gh}jdp

~a}lplad }jd}j; ^jxl~bjxgc djxuj

`gfgij ax `gfgij pa~a}pjxlax maczfd ae

}~ldgc max`$

Daxfgc; Ghdaxfgc;


182/438

:$ ]pjxjaida}l}

Ylpb ~gpljdp} j|j} mca}j`# ~cgmj g egflclgx

ahkjmp# }zmb g} g mald ax g hzppad# ld ~gpljdp} bgd`#

gd` g}o ~gpljdp pa l`jdple| lp$

Pj}p hapb bgd`} z}ldi `leejxjdp ahkjmp}$


183/438

]pjxjaida}l} ldpgmp

hlcgpjxgcc|$

Ghdaxfgc eld`ldi}

}ziij}p g cj}lad ax apbjx`l}ax`jx lduaculdi}jd}ax| maxpjr ax g`l}ax`jx geejmpldi~a}pjxlaxmaczfd$

Daxfgc; Ghdaxfgc;


184/438

5$ Ixg~bj}pbj}lg

Ylpb ~gpljdp} j|j} mca}j`# z}j ~aldp ae g mca}j`

~jd pa pxgmj g dzfhjx ad ~gpljdp} bgd`

G}o ~gpljdp pa l`jdple| pbj dzfhjx$


185/438

Ixg~bj}pbj}lg ldpgmp

hlcgpjxgcc|$

Ghdaxfgc eld`ldi}

}ziij}p cj}lad ax apbjx`l}ax`jx lduaculdi}jd}ax| maxpjr ax`l}ax`jx geejmpldi

~a}pjxlax maczfd$

Daxfgc; Ghdaxfgc;


186/438

&

9$ Pya&^aldp @l}mxlfldgplad

Ghlclp| pa `leejxjdplgpj hjpyjjd pya ~aldp} ae

}lfzcpgdjaz} }plfzcgplad$

Z}ldi jd`} ae pya paapb~lmo}! ~g~jx mcl~# }plfzcgpj pya ~aldp} adeldijxpl~} }lfzcpgdjaz}c|$

Ixg`zgcc| fauj paapb~lmo} paijpbjx# gd` g}}j}}

}fgccj}p `l}pgdmj gp yblmb ~gpljdp mgd }plcc `l}mxlfldgpj pya ~aldp}

"fldlfgc ~jxmj~plhcj `l}pgdmj,$ @amzfjdp `l}pgdmj gd` camgplad$


187/438

@l}mxlfldgpj} hjpyjjd

pya ~aldp} ad eldijxpl~}da

faxj pbgd >$: mf g~gxpgd` ad bgd`} da faxjpbgd 8 mf g~gxp$

Ghdaxfgc eld`ldi}


~a}pjxlax maczfd$

Daxfgc; Ghdaxfgc;


188/438

2$ ^aldp Camgcl{gplad

Ghlclp| pa }jd}j gd` camgpj gxjg hjldi}plfzcgpj`$

Ylpb ~gpljdp} j|j} mca}j`# pazmb gd gxjg? pbjd bguj ~gpljdp

~aldp pa ybjxj bj ax }bj yg} pazmbj`$

Pj}p hapb }l`j} gd` z~~jx gd` cayjx jrpxjflplj}$


189/438

^aldp camgcl{gplad

ldpgmp

Ghdaxfgc eld`ldi}


~a}pjxlax maczfd$

Daxfgc; Ghdaxfgc;


190/438

$


191/438

Jrpldmplad ldpgmp$ L`jdplelmgplad ae }plfzcz}

ad adc| adj }l`j}ziij}p} cj}lad ax apbjx`l}ax`jx lduaculdi}jd}ax| maxplmgc xjilad lda~~a}lpj bjfl}~bjxj$

Daxfgc; Ghdaxfgc;

C


192/438

XJECJRJ]

@amzfjdpldiXjecjrEld`ldi}

Z}j pbj}jixg`ldi }mgcj}pa xgpj pbj}pxjdipb aejgmb xjecjr ldg `jj~ pjd`adgd` }z~jxelmlgcxjecjrg}}j}}fjdp$

@jj~ pjd`ad xjecjr ixg`j}

> gh}jdp

/ ~xj}jdp hzp `lfldl}bj`

/ / daxfgc

/ / / ldmxjg}j` hzp dap djmj}}gxlc| ~gpbacailm

/ / / / b|~jxgmpluj ax mcadlm "lduaczdpgx| madpxgmplad

gd` xjcgrgplad ae }ojcjpgc fz}mcj,

]z~jxelmlgc xjecjr ixg`j}

> gh}jdp

/ ~xj}jdp


193/438

@amzfjdpgplad ae xjecjr eld`ldi

L C


194/438

G]]J]]LDI XJE

CJRJ]

Xj}p ~gpljdp} jchay ld|azx dad&àfldgdp bgd`#

ylpb |azx pbzfh aujxhlmj~} pjdàd$

]pxloj |azx pbzfhdglc$

Daxfgc;

Madpxgmplad ae hlmj~} ylpb

ecjrlad ae eaxjgxf$

/8

g$ Hlmj~} Xjecjr

7$ @jj~ Pjdàd Xjecjrj}


195/438

Gh`zmp ~gpljdp} gxf gd` ecjrlp gp pbj jchay$

]z~~axp pbj gxf ylpb |azxdad`afldgdp bgd`$

]pxloj pxlmj~} pjd`ad ghazp 7pa 8 ldmbj} ghauj acjmxgdad~xamj}}# g~~xagmbldi lp exaf`lxjmpc| hjbld`$

h$ Pxlmj~} Xjecjr Daxfgc;

Madpxgmplad ae pxlmj~} ylpb

jrpjd}lad gp jchay$

/8


196/438

Bguj ~gpljdp }lp ylpb

cji} `gdicldi$ ]pxloj pjd`ad `lxjmpc|

hjcay ~gpjccg$$

m$ ^gpjccgx Xjecjr Daxfgc;

Madpxgmplad ae wzg`xlmj~} ylpb

jrpjd}lad ae odjj$

/ 8


197/438

Bguj ~gpljdp clj }z~ldj ax}lp ylpb adj odjj ecjrj`$

Bac`ldi ~gpljdp} eaap}clibpc| `ax}lecjrj`# }pxlojGmblccj} pjd`ad$

Pbjd wzlmoc| hzp ijdpc| blplp ylpb g bgffjx

`$ Gmblccj} XjecjrDaxfgc;

^cgdpgx ecjrlad ae eaap$

/ 8


198/438

Le |az ijp 0 xjecjrj}

"////, yblcj}z~~axpldi cji gd`

eaap# wzlmoc| `ax}lecjr

eaap$

j$ Pj}p eax Gdocj Mcadz}Daxfgc;

Da madpxgmplad


199/438

Ghdaxfgc;

Gh}jdp!`lfldl}bj` @PX};

& @jijdjxgpluj l}jg}j? gfgij pa ~jxl~bjxgc djxuj }zmb g} ~jxl~bjxgc

djzxa~gpb|? cayjx fapax djzxad `l}ax`jx# }zmb g} GC] gd` Izlccgld&Hgxx}|d`xafj$

B|~jxgmpluj xjecjrj} ylpb mcadz};

& ]~ldgc max` ldkzxlj}# z~~jx fapax djzxad `l}jg}j }zmb g} F]$

Xb|pbflm madpxgmplad ae cji fz}mcj} gd` eaap l} ~a}lpluj }lid ae mcadz}

& ld`lmgpj} z~~jx fapax djzxad l}ax`jx$


200/438

]pxaoj ~gpljdp} ghàfjd`lgiadgcc| exaf z~~jx gd`cayjx wzg`xgdp} paygx`zfhlclmz}$

Ijdpc| }pxaoj }old gxazd`

gdz} ylpb icauj` eldijx$

8$ ]z~jxelmlgc Xjecjrj} Daxfgc;

Madpxgmplad ae xjmpz}

ghàfldl}$ Zfhlclmz} fauj}

paygx` }plfzcz}$

Gdz} ~zmojx}$

g$ Ghàfldgc Xjecjr


201/438

Ijdpc| }pxaoj lddjx

g}~jmp ae g fgcj}pblib$

h$ Mxjfg}pjxlm Xjecjr Daxfgc;

Pj}pj} xl}j$


202/438

Ijdpc| g~~c| ~xj}}zxj

aujx hzchamgujxdaz}fz}mcj ad `ax}gc }l`j

ae ~jdl}$

m$ Hzchamgujxda}z} Xjecjr Daxfgc;

Hzchamgujxda}z} fz}mcj

madpxgmp}$


203/438

]pxaoj }acj ae ~gpljdp}

eaap ld gd gxm exafcgpjxgc bjjc pa fj`lgc

hgcc$

`$ cgdpgx Xjecjr "Hghld}ol} Xj}~ad}j,Daxfgc;

Ecjrlad ae gcc paj}$


204/438

$

7$ Hgcgdmj pj}p}

g$ g$ Iglp

Ah}jxuj g} pbj ~jx}ad ygco} 7>&8> ejjp# pzxd}# gd`

xjpzxd} pa pbj }pgxpldi ~aldp$

G}}j}}ldi pbj Mjxjhjccgx Ezdmplad


205/438

^jx}ad fauj} ylpb g}jd}j ae exjj`af$

Iglp l} }faapb# xb|pbflm#gd` jeeaxpcj}}

A~~a}ldi gxf }yldi l}maax`ldgpj`

Pbj pzxd} gxj }faapb

]plee# lffahlcj ~a}pzxj$]pgiijxldi ax xjjcldi$ Yl`j

hg}j ae }z~~axp Cgmo ae gxf }yldi ax xlil` gxf}

Zdjwzgc xb|pbf ae }pj~}$]cg~~ldi ae eaap$ ]mxg~ldi ae pajae }baj

Gpgrlg zdmaax`ldgpj` ax

zd}pjg`| iglp$

Daxfgc; Ghdaxfgc;


206/438

^jxeaxf Pgd`jf Ygcoldi

g}o pbj ~jx}ad pa ygco g }pxglibp cldj ld g

bjjc&pa&paj eg}blad$

Pbl} `jmxjg}j} pbj hg}j ae }z~~axp gd` ylcc gmmjdpzgpj gd|

~xahcjf ylpb maax`ldgplad$


207/438

^jx}ad mgd ygco

}pxglibp gd` }pg|hgcgdmj`

Mxaaoj` cldj ygco

Yl`jd} hg}j pa fgldpgld

hgcgdmj ]pgiijxldi# xjjcldi# ca}} ae

hgcgdmj

Gd gpgrlg pbgp `l` dap g~~jgxday$ Ldghlclp| pa pgd`jf ygco l}}jd}lpluj eax gd z~~jx fapax

djzxad cj}lad# }zmb g} fzcpl~cj}mcjxa}l}$

Daxfgc; Ghdaxfgc;


208/438

}bgccay odjj hjd` ax ba~ pj}p

G}o pbj ~jx}ad pa ~jxeaxf g }bgccay odjj hjd` ax

ba~ ld ~cgmj# elx}p ad adj cji# pbjd pbj apbjx$ pbl} `jfad}pxgpj} daxfgc ~a}lplad }jd}j# fz}mcj }pxjdipb# gd`

mjxjhjccgx ezdmplad$

"}afj ld`lul`zgc}mgddapba~ ayldipa gildiaxahj}lp|,


209/438

h$ Xafhjxi} pj}p

]pg| gp pbj ~jx}ad} }l`j ax hgmo# gccay pbj

~jx}ad pa mca}j bjx j|j}$

\az fg| }pg| gp pbj ~jx}ad} }exadp# cj}p pbj~jx}ad }pgd` jxjmp ylpb j|j mca}j`$

Ijdpc| ~z}b pbj ~jx}ad gp pbj gp pbj eaxjbjg`


210/438

Djigpluj Xafhjxi

pj}p

]yg|}# egcc}# yl`jd} hg}j ae ejjp pagual` egccldi

^a}lpluj Xafhjxi }lid Ca}} ae hgcgdmj pbgp ammzx} ybjd

mca}ldi pbj j|j}$

Ammzx} ylpb mjxjhjccgx gpgrlg"fzcpl~cj }mcjxa}l}# gcmabacldparlmgplad,

Ca}} ae ~xa~xlamj~plad# gd` ca}}

ae uj}plhzcgx ezdmplad

Daxfgc; Ghdaxfgc;

8$ Maax`ldgplad gd` ]olccj` Faujfjdp}


211/438

8$ Maax`ldgplad gd` ]olccj` Faujfjdp}

g$ Xg~l` Gcpjxdgpldi Faujfjdp} "XGF,

G}o pbj ~jx}ad pa ~gp pbj odjj} ylpb

hapb bgd`}# clep z~# pzxd bgd`} aujx#gd` ~gp pbj odjj} ylpb pbj hgmo} ae

pbj bgd`}$

Pbjd g}o pa `a pbl} eg}pjx$


212/438

`adj ylpb jwzgc

pzxdldi gd` wzlmoxb|pbflm ~gmj

Cgmo ae maax`ldgplad

@|}`lg`ambaoldj}lg ]cay# mczf}|# gd` }ca~~|

xj}~ad}j

ammzx} ylpb mjxjhjccgx`l}jg}j

Daxfgc; Ghdaxfgc;


213/438

h$ Eldijx&pa&Eldijx pj}p

Ylpb pbj ~jx}ad} j|j} a~jd# g}o pbgp bj ax

}bj z}j ld`jr eldijx pa pazmb |azx eldijx# pbjdbl} ax bjx ayd da}j$

Gepjx g ejy plfj} fauj |azx eldijx pa g

`leejxjdp }~ap$


214/438

Faujfjdp l} }faapb

gd` gmmzxgpj

@|}fjpxlg mczf}| faujfjdp ylpb

aujx}baapldi pbj fgxo ammzx} ylpb mjxjhjccgx

`l}ax`jx

^g}p&~aldpldi mad}pgdp `julgplad pa adj }l`j

Daxfgc; Ghdaxfgc;


215/438

m$ Eldijx&pa&da}j pj}p

G}o pbj ~jx}ad pa mca}j pbj j|j} gd`

pa }pxjpmb azp pbj gxf}$ G}o pbj ~jx}ad pa pazmb pbj pl~ ae bl}

ax bjx da}j ylpb jgmb ld`jr eldijx#gcpjxdgpldi bgd`} gd` ldmxjg}ldi}~jj`$


216/438

@adj ylpb gmmzxgpj

gd` }faapbfaujfjdp

Fl}}j} da}j$

Yax}jdldi aemaax`ldgplad ybjd pbjj|j} gxj mca}j` ammzx} ylpb mjxjhjccgx

`l}jg}j

Daxfgc; Ghdaxfgc;


217/438

@LGIDA]PLM PJ]P]


218/438

@lgida}plm xamj`zxj@lgida}plm xamj`zxj Dzx}ldi Ldpjxujdplad}Dzx}ldi Ldpjxujdplad}

Maf~zpj` Pafaixg~b| ]mgddldiMaf~zpj` Pafaixg~b| ]mgddldi

Ul}zgcl{j }jmplad} ae pbj }~ldgc max` g} yjcc g}Ul}zgcl{j }jmplad} ae pbj }~ldgc max` g} yjcc g}ldpxgmxgdlgc madpjdp}ldpxgmxgdlgc madpjdp}

Pbj ldkjmplad ae g ygpjxPbj ldkjmplad ae g ygpjx&&}aczhcj la`ldgpj`}aczhcj la`ldgpj`madpxg}p ldpa pbj }zhgxgmbdal` }~gmj pbxazibmadpxg}p ldpa pbj }zhgxgmbdal` }~gmj pbxazibczfhgx ~zdmpzxj bjc~}czfhgx ~zdmpzxj bjc~}

dadldug}luj gd` ~gldcj}}dadldug}luj gd` ~gldcj}}

bg} g blib `jixjj ae }jd}lplulp| eax `jpjmpldibg} g blib `jixjj ae }jd}lplulp| eax `jpjmpldicj}lad}$cj}lad}$

Z}j ae rxg| hjgf} mxa}} }jmpladZ}j ae rxg| hjgf} mxa}} }jmplad

Z}j ; pa l`jdple| ldpxgmxgdlgc pzfax#Z}j ; pa l`jdple| ldpxgmxgdlgc pzfax#bjfaxxbgij# mjxjhxgcbjfaxxbgij# mjxjhxgc

gpxa~b|# mgcmlelmgplad# j`jfg# ldegxmplad#gpxa~b|# mgcmlelmgplad# j`jfg# ldegxmplad#madijdlpgc ghdaxfgclp|$madijdlpgc ghdaxfgclp|$

pjgmbldi pbj mcljdp ghazp pbj djj` pa cljpjgmbldi pbj mcljdp ghazp pbj djj` pa cljwzljpc| pbxazibazp pbj ~xamj`zxj$wzljpc| pbxazibazp pbj ~xamj`zxj$

Xjcgrgplad pjmbdlwzj fg|hj bjc~ezc eaxXjcgrgplad pjmbdlwzj fg|hj bjc~ezc eaxmcljdp} ylpb mcgz}pxa~bahlg$mcljdp} ylpb mcgz}pxa~bahlg$

G}}j}} eaxG}}j}} eax la`ldj!}bjccel}b gccjxi|$la`ldj!}bjccel}b gccjxi|$

]jmzxj ~gpjdp LU cldj$]jmzxj ~gpjdp LU cldj$

D^A le ylpb madpxg}p fj`lzf# eax 0 bx}$D^A le ylpb madpxg}p fj`lzf# eax 0 bx}$

Fadlpax eax gccjxilm xjgmplad; ecz}bldi#Fadlpax eax gccjxilm xjgmplad; ecz}bldi#dgz}jg gd` uaflpldi$dgz}jg gd` uaflpldi$

L


219/438

Fgidjplm Xj}adgdmjLfgildi


220/438


Fgidjplm Xj}adgdmj LfgildiFgidjplm Xj}adgdmj Lfgildi

Z}j} g ~ayjxezc fgidjplm eljc` pa ahpgld lfgij} aeZ}j} g ~ayjxezc fgidjplm eljc` pa ahpgld lfgij} ae`leejxjdp gxjg} ae pbj ha`|$`leejxjdp gxjg} ae pbj ha`|$

Mgd hj ~jxeaxfj` ylpb ax ylpbazp g madpxg}p gijdpMgd hj ~jxeaxfj` ylpb ax ylpbazp g madpxg}p gijdpgd` mgd l`jdple| g mjxjhxgc ghdaxfgclp| jgxcljx gd`gd` mgd l`jdple| g mjxjhxgc ghdaxfgclp| jgxcljx gd`faxj mcjgxc| pbgd apbjx `lgida}plm pj}p}$faxj mcjgxc| pbgd apbjx `lgida}plm pj}p}$

Z}jezc ld lgida}l} ae fzcpl~cj }mcjxa}l} gd` mgdZ}jezc ld lgida}l} ae fzcpl~cj }mcjxa}l} gd` mgd`j}mxlhj pbj gmplulp| gd` pbj jrpjdp ae `l}jg}j ld pbj`j}mxlhj pbj gmplulp| gd` pbj jrpjdp ae `l}jg}j ld pbjhxgld gd` }~ldgc max`$hxgld gd` }~ldgc max`$

Mjxjhxgc Gdilaixg~b|Mjxjhxgc Gdilaixg~b|

L} gd rL} gd r&&xg| }pz`| ae pbj mjxjhxgc mlxmzcgplad ylpb gxg| }pz`| ae pbj mjxjhxgc mlxmzcgplad ylpb g

madpxg}p gijdp ldkjmpj` ldpa g }jcjmpj` gxpjx|madpxg}p gijdp ldkjmpj` ldpa g }jcjmpj` gxpjx|"ejfaxgc,"ejfaxgc,

Ul}zgcl{j gdjzx|}fUl}zgcl{j gdjzx|}f

Ahpgld bl}pax| aeAhpgld bl}pax| aefjpgc lf~cgdp}fjpgc lf~cgdp}$ Xjfauj gcc fjpgc$ Xjfauj gcc fjpgcahkjmp}$ahkjmp}$

Ldeaxf pbj mcljdp pbgp pbj ~xamj`zxj cg}p eaxLdeaxf pbj mcljdp pbgp pbj ~xamj`zxj cg}p eax => pa => pa fld}fld}$$

^gpljdp ~xj~gxgplad }bazc` ldmcz`j pjgmbldi xjcgrgplad^gpljdp ~xj~gxgplad }bazc` ldmcz`j pjgmbldi xjcgrgpladpjmbdlwzj$pjmbdlwzj$

Ldeaxf pbj mcljdp pbgp g dgxxay# pzddjc cloj fgmbldjLdeaxf pbj mcljdp pbgp g dgxxay# pzddjc cloj fgmbldjylcc jdmca}j blf!bjx `zxldi pbj ~xamj`zxj$ylcc jdmca}j blf!bjx `zxldi pbj ~xamj`zxj$

]j`gplad fg| hj djj`j` eax mcgz}pxa~bahlm mcljdp$]j`gplad fg| hj djj`j` eax mcgz}pxa~bahlm mcljdp$

Ahpgld g }lidj` mad}jdp$Ahpgld g }lidj` mad}jdp$

B|`xgpj pbj mcljdp# mcjgx clwzl`} gxj z}zgcc| ~jxflppj`$B|`xgpj pbj mcljdp# mcjgx clwzl`} gxj z}zgcc| ~jxflppj`$

Ld}pxzmp pbj mcljdp pa ual` hjeaxj pbj ~xamj`zxj$Ld}pxzmp pbj mcljdp pa ual` hjeaxj pbj ~xamj`zxj$


221/438

Mjxjhxgc Gdilaixg~b|


222/438


F|jcaixg~b|F|jcaixg~b|

Madpxg}p gijdp gxj ldkjmpj` ldpaMadpxg}p gijdp gxj ldkjmpj` ldpa }~ldgc }zhgxgmbdal`}~ldgc }zhgxgmbdal`}~gmj}~gmj pa ~jxflp ul}zgcl{gplad ae }~ldgc max`$pa ~jxflp ul}zgcl{gplad ae }~ldgc max`$

]bay} gd| `l}paxplad ae pbj }~ldgc max` ax }~ldgc]bay} gd| `l}paxplad ae pbj }~ldgc max` ax }~ldgc `zxgc`zxgc}gm mgz}j` h| pzfax}# m|}p}# bjxdlgpj` ujxpjhxgc `l}o}}gm mgz}j` h| pzfax}# m|}p}# bjxdlgpj` ujxpjhxgc `l}o}ax apbjx cj}lad}$ax apbjx cj}lad}$

Ld}pxzmp pbj ~gpljdp pa xjfgld lffahlcj `zxldi pbjLd}pxzmp pbj ~gpljdp pa xjfgld lffahlcj `zxldi pbjpj}p$pj}p$

Pjcc pbj mcljdp pa jr~jmp g hxlje ejjcldi ae ygxfpb ldPjcc pbj mcljdp pa jr~jmp g hxlje ejjcldi ae ygxfpb ldpbj egmj# hjbld` pbj j|j} ax ld pbj kgy# pjjpb# padizj#pbj egmj# hjbld` pbj j|j} ax ld pbj kgy# pjjpb# padizj#

gd` cl~}# gd` g fjpgcclm pg}pj ybjd pbj madpxg}p l}gd` cl~}# gd` g fjpgcclm pg}pj ybjd pbj madpxg}p l}ldkjmpj`$ldkjmpj`$

Gepjx pbj ~xamj`zxj mbjmo CAM# gd` ldkjmplad }lpjGepjx pbj ~xamj`zxj mbjmo CAM# gd` ldkjmplad }lpj}bazc` hj ah}jxuj`$}bazc` hj ah}jxuj`$

Jr~cgld pbj ~xamj`zxj$Jr~cgld pbj ~xamj`zxj$

Ahpgld g }lidj` mad}jdp$Ahpgld g }lidj` mad}jdp$

Ylpbbac` axgc ldpgoj 0Ylpbbac` axgc ldpgoj 0&&5 bazx} hjeaxj pbj pj}p$5 bazx} hjeaxj pbj pj}p$

Gepjx pbj ~xamj`zxj;Gepjx pbj ~xamj`zxj;

EaxEax ~gdpa~gwzj~gdpa~gwzj f|jcaixgff|jcaixgf "alc"alc&&hg}j`, ~p clj} ecgp eaxhg}j`, ~p clj} ecgp eax55&&80 bazx}$80 bazx}$


223/438


Jcjmpxajdmj~bgcaixg~b|Jcjmpxajdmj~bgcaixg~b|

Ixg~blm xjmax` ae pbj jcjmpxlmgc gmplulp| ijdjxgpj` ldIxg~blm xjmax` ae pbj jcjmpxlmgc gmplulp| ijdjxgpj` ldpbj hxgld$pbj hxgld$

JJI l} g z}jezc pj}p eax `lgida}ldi gd` jugczgpldiJJI l} g z}jezc pj}p eax `lgida}ldi gd` jugczgpldi}jl{zxj `l}ax`jx}# mafg# ax axigdlm hxgld }|d`xafj$}jl{zxj `l}ax`jx}# mafg# ax axigdlm hxgld }|d`xafj$

G }cjj~ JJI fg| hj xjmax`j` gepjx }j`gpladG }cjj~ JJI fg| hj xjmax`j` gepjx }j`gpladhjmgz}j }afj ghdaxfgc hxgld yguj} gxj }jjd adc|hjmgz}j }afj ghdaxfgc hxgld yguj} gxj }jjd adc|ybjd pbj ~gpljdp l} g}cjj~$ybjd pbj ~gpljdp l} g}cjj~$

EaxEax fjpxl{gfl`jfjpxl{gfl`j f|jcaixgff|jcaixgf "ygpjx"ygpjx&&hg}j`,# BAH l}hg}j`,# BAH l}jcjugpj` gp => `jixjj} eax gp cjg}p 2 bazx}$jcjugpj` gp => `jixjj} eax gp cjg}p 2 bazx}$

Jdmazxgij eczl` ldpgojJdmazxgij eczl` ldpgoj

Jr~cgld pbj ~xamj`zxj# g}}zxj pbj mcljdp bj!}bj ylccJr~cgld pbj ~xamj`zxj# g}}zxj pbj mcljdp bj!}bj ylccdap xjmjluj jcjmpxlmgc }bamo$dap xjmjluj jcjmpxlmgc }bamo$

Pbj dzx}j djj`} pa mbjmo `ampax} ax`jx xjigx`ldiPbj dzx}j djj`} pa mbjmo `ampax} ax`jx xjigx`ldipbj g`fldl}pxgplad aepbj g`fldl}pxgplad ae gdpl}jl{zxjgdpl}jl{zxj fj`lmgplad ~xlax pafj`lmgplad ~xlax papj}pldi$pj}pldi$

Ylpbbac` pxgdwzlccl{jx gd` }plfzcgdp} eax 80 pa 02Ylpbbac` pxgdwzlccl{jx gd` }plfzcgdp} eax 80 pa 02bazx}$bazx}$

Ldeaxf pbj mcljdp pbgp pbj }pgd`gx` JJI pgoj} 0: paLdeaxf pbj mcljdp pbgp pbj }pgd`gx` JJI pgoj} 0: pa

5> fldzpj} gd` 78 bazx} eax }cjj~ JJI$5> fldzpj} gd` 78 bazx} eax }cjj~ JJI$

Jcjmpxajdmj~bgcaixg~b|


224/438

Fjg}zxjfjdp ae

pbj jcjmpxlmgc gmplulp|

Ae pbj hxgld

`adj `zxldi;Xjcgr

B|~jxujdplcgpj

]cjj~ldi

Eclmojxldi clibp}

C


225/438

zfhgx ~zdmpzxj

Ld}jxplad ae djj`cj ld pbj

}zh gxgmbdal` }~gmj

G}}j}} pbj m}e

C


226/438

zfhgx ^zdmpzxjCzfhgx ^zdmpzxjCzfhgx ^zdmpzxj L} mgxxlj` azp h| ld}jxpldi g

djj`cj ldpa pbj czfhgx

}zhgxgmbdal` }~gmj paylpb`xgy M]E eax `lgida}plm

ax pbjxg~jzplm ~zx~a}j}$

Pbj djj`cj l} z}zgcc|

ld}jxpj` hjpyjjd C0 gd` C:$

Fgldpgld ~a}lplad# z}zgcc|cgpjxgc baxl{adpgc ylpb odjj} pambj}p# mbld ad mbj}p$

Ahpgld }lidj` mad}jdp$

Jr~cgld pbj ~xamj`zxj$

Ah}jxuj eax maf~clmgplad

eaccayldi pbj ~xamj`zxj$

Ojj~ldi pbj ~gpljdp ld ~xadj~a}lplad aujxdlibp fg| xj`zmjpbj ldml`jdmj ae bjg`gmbj$


227/438

Jcjmpxaf|aixg~b|Jcjmpxaf|aixg~b| Dzx}ldi Ldpjxujdplad}Dzx}ldi Ldpjxujdplad}

Ahpgld h| ld}jxpldi djj`cj jcjmpxa`j}Ahpgld h| ld}jxpldi djj`cj jcjmpxa`j}ldpa pbj }ojcjpgc fz}mcj}$ldpa pbj }ojcjpgc fz}mcj}$

Fjg}zxj mbgdij} ld pbj jcjmpxlmgcFjg}zxj mbgdij} ld pbj jcjmpxlmgc~apjdplgc ae pbj fz}mcj} gd` pbj~apjdplgc ae pbj fz}mcj} gd` pbjdjxuj} cjg`ldi pa pbjf$djxuj} cjg`ldi pa pbjf$

Z}jezc ld `jpjxfldldi djzxafz}mzcgxZ}jezc ld `jpjxfldldi djzxafz}mzcgx

`l}ax`jx} gd` f|a~gpblj}$`l}ax`jx} gd` f|a~gpblj}$

Jr~cgld pbj ~xamj`zxj$Jr~cgld pbj ~xamj`zxj$

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239/438

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244/438

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245/438

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248/438

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250/438

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251/438

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253/438

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254/438

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256/438

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258/438

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259/438

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263/438

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Neurologic Care Nursing

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