2/7/2016

HypertonicSalineorHighVolumeNormalSalineforViralBronchiolitis

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HypertonicSalineorHighVolumeNormalSalineforViralBronchiolitis

61

Jbdgiekir`bdgBjhrbv

Amwivir,betamu`aobhreyribsmdbkeibsbwbymoixpebhd
aih`at mo tai jufus ebyir (Oh`s. 2K bdg ). Waus
hd`taimksirvbthmds,tahsebttiraypmtaishsabsdivirkiid aypmtahfbeey,hdjmrisivirieybooiftigkrmdfahmebrbribs,
prmvidhdbprmpireygish`digpebfikmfmdtrmeeigstugy tai BVEprmtifthviaygrbthd` jifabdhsjfbd kihjpbhrig
ri ifthd`taifmjpeixhdtirbfthmdstabtmffurhdvhvm,hd taus gipeithd` dmt mdey tai jufus ebyir s wbtir fmdtidt kut
tai vbrhmus krmdfahbe bdg krmdfahmebr bhrwbys hd sjbee
besmgbjb`hd`taiBVE,bdgiphtaiehbebrfahtifturiwahei
kbkhisgurhd`taiivmeuthmdmodbturbeeymffurrhd`bfuti taigipeitigaih`atmotai\FEhjpbhrsJF(Oh`.2F).
[V_ krmdfahmehths. Wamu`a giaygrbthmd mo tai BVE
Waus, bpprmprhbti tairbpy just aygrbti tai BVE, gifribsi
bdg JF gysoudfthmd udgmuktigey mffur, bt prisidt wi
taisukjufmsbeigijbbdghjprmvitaijufusraimem`hf
gmdmtcdmwtmwabtixtidt.Pifbdmdeyprisujitabt,
prmpirthis (iebsthfhty bdg vhsfmshty) bdg taus hjprmvi JF.
bt smji stb`i, bdg hd smji krmdfahmeis mo taisi jmri
Aypirtmdhfsbehdijby,hdtaimry,rivirsismjimotaisi
sivirieybooiftigkbkhis,taihjpbftmo[V_hdoifthmdmd
pbtampayshmem`hfbebkdmrjbehthishdbfuti vhrbekrmdfahm
taiBVEhsprmkbkeyhdtirjighbtikitwiidOh`uri2Kbdg
ehths.Hdvhtrm,taibgghthmdmoaypirtmdhfsbehdihdfribsis
8
G bdg kitwiid udhdoiftig dmrjbe BVE bdg tai viry
bhrwby surobfi tahfcdiss, gifribsis iphtaiehbe igijb,
ixtrijifmdghthmdstabtmffurhdvhrbehdoiftigFOBVE hjprmvis jufus raimem`hf prmpirthis (iebsthfhty bdg
8,2<
(Oh`.2B G).
vhsfmshty), bdg bffieirbtis jufus trbdspmrt rbtis.
Hd vhvm, aypirtmdhf sbehdi hdabebthmd hdfribsis tai rbti
mo jufmfhehbry trbdspmrt ivid hd dmrjbe suknifts whta
dm ivhgidfi mo giaygrbthmd, jufus aypirsifrithmd mr
[BWHMDBEI MO AV BI[MVME W[IBWJIDW
7
sukiphtaiehbeigijb.
HD [V_ K[MDFAHMEHWHV
Hdobdtswhtabfutivhrbekrmdfahmehthswaiizikutbstai
pbtampayshmem`y mo krmdfahmehths hs quhti ghsthdftBgghthmdbe
ormj
Hjpmrtbdt Jmgis mo Bfthmd mo
tabtmobstajb,taisihdobdtsbrieisshobtbeerispmdshvi
Birmsmehzig AV Wribtjidts hd [V_ Krmdfahmehths
?
0
tm krmdfamghebtmrs
mrstirmhgs. Krmdfahmehths hs b vhrbe
hdoifthmd mo tai krmdfahbe bdg krmdfahmebr iphtaiehuj, PairibsaygrbthmdmotaiBVEhsfmdshgirigtaijbhd
whtasuksiquidtpirhkrmdfahmebrjmdmdufeibrhd
etrbthmd jmgi mo bfthmd, bgghthmdbe hjpmrtbdt jifabdhsjs bri
bdg iphtaiehbe fiee difrmshs, prmomudg sukjufmsbe igijb, bttrhkutigtmtaiiooiftmoAVkywahfaAVhjprmvisJF
hdfribsig sifrithmd mo jufus bdg tairiomri bd hdfribsi
kyfhehbrymrfmu`abfthmds.Aypirtmdhfsbehdikribcstai
1
hd jufhd/wbtir rbthm tabtfbusisriebthvigiaygrbthmdmo hmdhf kmdgs whtahd tai jufus `ie. Wahs, hd turd, rigufis tai

22
BVE. Jmrimvir, [V_, ky hdfribshd` BW\bsi eivies
gi`rii mo frmssehdchd` bdg idtbd`eijidts,
taus hjprmv
gifribsisixtrbfieeuebrBW\bdgtairiomririsuetshdemss hd`jufusraimem`y.AVhdfribsisfhehbrykibtoriquidfy
9
moIDbFhdahkhthmd (hdfribshd`Dbbksmrpthmd) bdgemssvhbtairieibsimoprmstb`ebdghdI.
mo
Bgghthmdmoaypir
tai bttidubthmd mo mutwbrg sifrithmd mo faemrhgi. Waus,
tmdhf sbehdi rbhsis tai hmdhf fmdfidtrbthmd hd tai jufus bdg
jmriwbtirwheejmviormjtaiBVEtmtaisukjufmsb
krhd`sbkmutbfmdomrjbthmdbefabd`iky
sahieghd` tai
bemd`whtataisiieiftrmeytis(Oh`.2K,F).Wahswheerisuetdi`bthvifabr`is,tairikyrigufhd`ripueshmd.Wahsrisuets
hdjmrigiaygrbthmdmotaiBVE,bdgbgifribsihdtai

hd b jmri fmjpbft jufus jbfrmjmeifuei, bdg jmri

Oh`. . Vhjpeh
igsfaiji bssujhd`mdey msjmthf omrfis tmfmdtrme wbtir trbdspmrt.

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HypertonicSalineorHighVolumeNormalSalineforViralBronchiolitis
\ighbtrhf\uejmdmem`y

AypirtmdhfVbehdi
2

iooifthvi fmu`agipidgidt JF.

Bhrwbysurobfiehquhg
aypirmsjmebrhty fbd rieibsi jighbtmrs fbpbkei mo idabdf
9
hd`fhehbrybfthvhty.Jmrimvir, ky bksmrkhd` wbtir ormj
taijufmsbbdgsukjufmsb,aypirtmdhfsbehdismeuthmd
fbd taimrithfbeey rigufi igijb mo tai bhrwby wbee hd
26,27
hdobdtswhtabfutikrmdfahmehths( bdgOh`.).Aypir

68

97hdobdts.Bdbeyshsmotaipmmeiggbtb,su``istigtabt
tairbpy whta dikuehzig6% sbehdi sh`dhfbdtey rigufig tai
gurbthmd mo amsphtbehzbthmd bdg hjprmvig tai fehdhfbe
sivirhty sfmri hd hdobdts whta bfuti vhrbe krmdfahmehths. Wai
hjpehfbthmdsomrprbfthfimotahsrivhiwwiritabt,`hvid
tai fehdhfbeey rieivbdt kidi t bdg `mmg sboity prm
ei,

tmdhfsbehdihdabebthmdfbdbesmfbusisputujhdgufthmd
dikuehzig6%sbehdiusighdfmdnudfthmdwhtakrmdfamgh
bdgfmu`a,wahfafbdaieptmfeibrtaisputujormjtai
ebtmrs samueg ki fmdshgirig bd iooifthvi bdg sboi tribtjidt
26
bhrwbysbdgtaushjprmvibhrwbymkstrufthmd.
omrhdobdtswhtavhrbekrmdfahmehths.

FEHDHFBE VWYGHIV YVHD@ _B[HMYV DbFe

FMDFIDW[BWHMDV BDG GMVIV HD
[V_ K[MDFAHMEHWHV

Ah`a _meuji Dmrjbe Vbehdi (<.8%)

28

Hd tahs hssui mo tai nmurdbe, Bdhe itpukehsaigb

be.
rbdgmjhzig gmukei kehdg pebfikm fmdtrmeeig stugy tm
hdvisth`bti tai iooifthvidiss mo dikuehzig sbekutbjme,
Ghstheeig Pbtir (<% DbFe)
iphdiparhdi bdg 6% sbehdi fmjpbrig tm ah`a vmeuji
29
Vjhta it be.
usig ghstheeig wbtir (<% DbFe) bs b dmrjbe sbehdi hd tai tribtjidt mo bfuti jheg vhrbe
pebfikm bdg gijmdstrbtig tabt birmsmehzig rhkbvhrhd krmdfahmehths. Bee omur `rmups rifihvig twm hdabebthmds
fmdshgirbkeyrigufigtaigurbthmdmojifabdhfbevidtheb motaitribtjidtgru`shdtaiijir`idfygipbrtjidt(thji
thmd bdg amsphtbehzbthmd fmjpbrigpebfikm
tm
hd hdobdts <bdg6< jhd).WaiysamwigtabtFVsfmrisbotir6<,?<,
whtabfuti[V_krmdfahmehths.Mkvhmusey,htwbsdmttai
bdg2< jhdwirish`dh fbdtey bdg prm`risshviey kittir
rhkbvhrhd tabt hjprmvig tai tribtjidt `rmup kut tai
tabd tai kbsiehdi vbeuis. Dm dikuehzig tairbpy mpthmds
bgvirsiiooiftmotaighstheeigwbtirtabtabgbdbgvirsi hdfeughd` 6% sbehdi wiri jmri iooifthvi tabd mtairs.
iooiftmdtai pebfikm `rmup(Oh`.2).Waikidi fhbe Amwivir, bee tribtjidt jmgbehthis hdfeugig ah`a gmsi
iooift morhkbvhrhdfmueg dmtkigupehfbtigsuksiquidteyhdDbFe ghssmevig hd 1 je (0 j` omr tai sbekutbjme,
privhmusey aibetay hdobdts whta [V_ krmdfahmehths bdg
iphdiparhdi bdg dmrjbe sbehdi `rmups bdg 7< j` omr
mdey taid wbs ht bpprifhbtig tabt ghstheeig wbtir wbs dmt bd tai6%sbehdi`rmup).
bpprmprhbti pebfikm bdg tai BB\ fabd`ig hts privhmus
Hd vhiw mo rifidt di`bthvi risuets mo kitb b`mdhst

stbtijidt ormj rhkbvhrhdsamuegkiusig

tmrhkbvhrhd tribtjidt hd hdobdts whta krmdfahmehths,taijbhdbggig
jbymdeykifmdshgirigomrfahegridwhtasirhmusudgir vbeui mo tahs stugy tm tai furridt ehtirbturi jby ki tabt
1
eyhd` ghsmrgirs.
b ebr`i jbss mo DbFe giehvirig bs ah`a vmeuji dmrjbe
Wahs hs rieivbdt tm mur tmphf hd twm
rispifts.Ohrstey,tahstibfaisustabtwisamuegdmtbffipt sbehdihdabebthmdsfmuegkisuo
fhidttmfbusish`dhfbdt
whtamut quisthmd bpebfikm iooift ivid waid piir
hjprmvijidthdjhegbfutivhrbekrmdfahmehths.
29
rivhiwig ky b riputbkei nmurdbe. Ohdbeey, ho ghstheeig Amwivir, Bdhe s stugy samueg dmt ki hdtirpritig bs
wbtirhsdmtbpprmprhbti,htbppibrstabttairihsdmribeeyfmdrjbthmd omr b di`bthvi iooift mo aypirtmdhf sbehdi
bgiqubti pebfikm omr AV stughis. Wahs samueg ki tbcid hdtm hdabebthmdhd bfuti vhrbe krmdfahmehthsbdg wbs dmt hdfeugig
bffmudthdtaigish`dmoouturistughis.
hdtaistughisbssijkeigtmivbeubtitaihdabeigAViooift
omrtaiomeemwhd`ribsmds>Wahshsbstugymoviryjheg
krmdfahmehths tabt hjprmvig fmdshgirbkey bdg rbphgey
Aypirtmdhf Vbehdi (6%)
(hd 2< jhd) botir mdey twm hdabebthmds mo 1 je <.8%
Hdtariirbdgmjhziggmukeikehdgpebfikmfmdtrmeeig DbFe`hvidhdtaiijir`idfygipbrtjidt.Waitribtjidt
26
27
2?
stughis Jbdgiekir` it be.,
Vbrriee it be., bdg Wbe it be. fmdshstig mo b shd`ei gmsi hd fmdtrbst tm tai bkmvi
21
fmdrjig tai io fbfymoAVhjprmvhd`taigurbthmdmojidthmdig stughis tabt fmdthduig omr 6 ? gbys. Wai
amsphtbehzbthmd bdg fehdhfbe sfmris, kmta hd bjkuebtmrybdg
hjprmvijidtwbssmgrbjbthftabtbeemotaisifahegrid
amsphtbehzig hdobdts whta [V_ krmdfahmehths. Amwivir bs
fmueg ki ghsfabr`ig amji whtahd ar waid tai FV abg
6
stbtig hd b Nuey <<0 rivhiw, taisi stughis wiri bee hjprmvig ormj 6.?
2tm2.1 2.7. Wai M sbturbthmd bdg
fmdguftig ky tai sbji risibrfa `rmup bdg betamu`a
puesirbtiwiridmrjbeormjtaistbrt.
prmjhshd`diigigtmkifmd rjig ky mtairs hd b jueth
Fmdshgirhd`tahsbdgtaiobfttabt<.8%sbehdihsdmtb
20
7
fidtir trhbe. Vhdfi taid, Cuzhc it be.
pukehsaig b pebfikm( bdgOh`.),hthsivhgidttabt,hdfmdtrbsttmtai
prmspifthvi, rbdgmjhzig, gmukeikehdg, pebfikm fmd
trmeeig,juethfidtirtrhbe(tariifidtirsomr6yibrs)bdg
21
fmdrjigtaiibrehirrisuets.Hdebti<<1,^abd`itbe.
pukehsaigbFmfarbdiGbtbkbsi[ivhiwtmsujjbrhzitai
iooift mo dikuehzig AV hd taisi pbthidts. Ahs rivhiw

rifidt ehtirbturi, aypirtmdhf 6% sbehdi wbs dmt jmri

iooifthvi tabd <.8% sbehdi. Mkvhmusey, tairi wbs dm
ourtair hjprmvijidt bfahivbkei hd tai fehdhfbe sfmri.
Jmrimvir, tai fehdhfbe sfmri wbs beribgy sm emw botir <.8%
sbehditabtdmdimotaihdobdtsriquhrigamsphtbebgjhsshmd

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HypertonicSalineorHighVolumeNormalSalineforViralBronchiolitis

iooift mo dikuehzig AV hd taisi pbthidts. Ahs rivhiw sbehditabtdmdimotaihdobdtsriquhrigamsphtbebgjhsshmd

hdfeugig omur gmukei kehdg rbdgmjhzig trhbes hdvmevhd`
bdgfmuegkisidtamji.Wausdmhjprmvijidthdjmri
\ighbtrhf\uejmdmem`y

7<

Jbdgiekir`bdgBjhrbv

6. Kmm`brg [F, gi Nmd`sti N, Jircus \. \abrjbfmtairbpy mo

hjpmrtbdtmutfmjissufabsbgifribsimotairbtibdg
gurbthmd mo amsphtbehzbthmd bttrhkutbkei tm aypirtmdhfhjpbhrigjufmfhehbryfeibrbdfihddmdFOpighbtrhfeud`ghsibsi.
Brivhiwmotaiehtirbturi.\ighbtr\uejmdme<<037>818 2<<2.
sbehdi(Fmfarbdirivhiw<<1)wbsgijmdstrbkei.
7. VmmgD,KiddittPG,^ijbdC,KrmwdN,OmyF, Kmufair[F,
6
Hdgiig, 1 fj
mo <.8% sbehdi hs dmt b pebfikm bs pmhdtig Cdmweis J[. Hdfribshd` fmdfidtrbthmd mo hdabeig sbehdi whta
7
mutkyVmmgitbe.wamsamwigtabttaifabd`ihdBVE
mr whtamut bjhemrhgi> iooift md jufmfhehbry feibrbdfi hd dmrjbe
suknifts.BjN[isphrFrhtFbriJig<<632?0>291 2?6.
giptabdgtairiomri,taihjprmvijidthdjufusfeibrbdfi
GbvhscbsI,BdgirsmdVG.Aypirmsjmebrb`idtsbdgfeibrbdfimo
botir dmrjbe sbehdi mr aypirtmdhf sbehdi hdabebthmds hs dmt 9.
b jufushdtaighsibsigbhrwby.NBirmsmeJig<<?328>2<<
2<8.
oudfthmd mo tai sbehdi fmdfidtrbthmd kut rbtair b ghrift
?. Pbhdwrh`at F, Betbjhrbdm E, Faidiy J, Faidiy N, Kbrkir
risuet mo tai tmtbe jbss mo DbFe bggig tm tai bhrwby V,\rhfiG,JmemdiyV,ChjkireiyB,Pmme iegD,FbgzmwV,
surobfi.
Ohujbrb O, Phesmd \, Ji`m V, _bdgi_iegi G, Vbdgirs V,
27
6
M[murci\,Orbdfhs\.Bjuethfidtir,rbdgmjhzig,gmukeikehdg,
Bgghthmdbeey,Vbrrieeitbe.
samwigtabtjiriey fj
fmdtrmeeig trhbe mo dikuehzig iphdiparhdi hd hdobdts whta bfuti
<.<?
mo dikuehzig 6% AV smeuthmd
( ` mo DbFe) wbs
krmdfahmehths.DId`eNJig<<63678>0
69.
idmu`a tm hjprmvi FV hd riebthviey jheg bjkuebtmry
0. \btie A, \ebtt [, Emzbdm NJ, Pbd` IIE. @eufmfmrthfmhgs omr
fahegrid whta vhrbe krmdfahmehths. Waisi hdobdts wiri bfutivhrbekrmdfahmehthshdhdobdtsbdgymud`fahegrid.Fmfarbdi
fmjpbrbkei hd sivirhty bdg b`i tm tai prisidt stugy
GbtbkbsiVyst[iv<<736>FG<<7101.
1. GbrvheeiW,XbjbufahW.[isphrbtmrysydfythbevhrus.\ighbtr[iv
pmpuebthmd. Ih`at fukhf fidthjitirs mo <.8% sbehdi usig hd
tahs stugy bsb fmdtrme hs iqubes tm <.<0 ` mo DbFe wahfa hs 2881328>99 ?2.
`ribtir tabdtabt usigky Vbrriee.Waus ht hs mkvhmus tabt tahs 8. Wbrrbd[,@rukkK[,\brsmdsG,\hfairJ,AhrsaBN,GbvhsFP.
Kmufair Wai FO sbet fmdtrmvirsy> hd vhvm mksirvbthmds bdg
gbtbfmuegdmtkihdtirpritigbshdghfbthd`bksidfimobd
tairbpiuthfbpprmbfais.JmeFiee<<231>278 291.
21
iooiftmoaypirtmdhfsbehdi. Md tai fmdtrbry, tahs gbtb 2<. Phees\N, Abee[E,FabdP,Fmei\N. Vmghujfaemrhgihdfribsis
tai fhehbry trbdspmrtbkhehty mo fysthf
krmshs bdg krmdfahiftbshs
fmueg mdey ki hdtirpritig, bs b pmshthvi iooift mo ah`a
sputujmdtaijufusgipeitigkmvhditrbfaib.NFehdHdvist28803
vmeujihdabebthmdmodmrjbesbehditabtgiehvirigbjbss
88>8 26.
mo DbFe suo
fhidttmtribthdobdtswhtaviryjhegvhrbe
22. ^hjidt H. [isphrbtmry pabrjbfmem`y bdg tairbpiuthfs. \ahebgie
krmdfahmehths.
pahb>PKVbudgirs32801.
Ourtairjmrishdfitaiprisidtstugyhdfeugigbtmtbemo 2. [mkhdsmdJ, Aijjhd`BE, [i`dhsNB,Pmd`B@,KbheiyGE,
Kbutmvhfa @N, Chd` J, Kyi \W. Iooift mo hdfribshd` gmsis mo
21?pbthidts,beemowamjrifihvigbteibst0 j`moDbFe
aypirtmdhfsbehdimdjufmfhehbryfeibrbdfihdpbthidtswhtafysthf
ht wbs, ah`aey pmwirig tm gitift b fehdhfbeey sh`dh
fbdt
krmshs.Wamrbx288039>8<<
8<6.
kidi t.Divirtaieiss,bsstbtigkytaibutamrs,bdgbgghd`
26. Jbdgiekir`B,Wbe@,Phtzehd`J,VmjifcI,AmurhV,VbrrieeJ,
tai`ribthjprmvijidthdbeetai`rmups(dmtahd`ourtair
\rhie HI. Dikuehzig 6% aypirtmdhf sbehdi tribtjidt hd amsph
tmki`bhdig),taistugyhsdmtpmwirigtmgitifttaiebfc
tbehzig hdobdts whta vhrbe krmdfahmehths. Faist <<6326>712

710.
mobfehdhfbeeysh`dh
fbdtghooiridfikitwiidtai`rmups
27. Vbrriee IJ, Wbe @, Phtzehd` J, Vmjica I, Amurh V, Fmaid AB,
(6? 68hdobdtspir`rmup).

FMDFEYVHMDV

Jbdgiekir` B. Dikuehzig 6% aypirtmdhf sbehdi tribtjidt hd

bjkuebtmryfahegridwhtavhrbekrmdfahmehthsgifribsissyjptmjs.
Faist <<32>29 <.

Vjhta GP, Orbdcie E[, Jbtairs EA, Wbd` BW, Brhb`dm [E,
Dikuehzig6%sbehdisamuegkifmdshgirigbdiooifthvi 29. \rmkir
F@. B fmdtrmeeig trhbe mo birmsmehzig rhkbvhrhd hd hdobdts
bdg sboi tribtjidt omr hdobdts whta vhrbe krmdfahmehths. rifihvhd`jifabdhfbevidthebthmdomrsiviririsphrbtmrysydfythbe
Ividhdjhegeybooiftighdobdtshthsprmkbkeyobstirbdg
vhrushdoifthmd.DId`eNJig2882369>7 8.
jmri fmdvidhidt tm usi b riebthviey sjbee vmeuji mo 2?. Wbe @, Fisbr C, Mrmd B, Amurh V, Kbeehd B, Jbdgiekir` B.
Aypirtmdhf sbehdi/iphdiparhdi tribtjidt hd amsphtbehzig hdobdts
DbFebsaypirtmdhfsbehdi.@hvidtairifidtmksirvbthmds
whta vhrbe krmdfahmehths rigufis amsphtbehzbthmd stby> yibrs
gisfrhkig bkmvi, b pmstuebtig jifabdhsj ixpebhdhd`
ixpirhidfi.HsrJigBssmfN<<?31>2?8 206.
aypirtmdhf sbehdi hdabebthmd tribtjidt pbrthfuebrey hd 20. CuzhcKB,BeRbgahVB,CidtV,OebvhdJ\,AmpjbdP,AmttiV,
[V_krmdfahmehthshsprisidtig.Ourtairstughistmfmd
rj
@bdgirV.Dikuehzigaypirtmdhfsbehdihdtaitribtjidtmovhrbe
krmdfahmehthshdhdobdts.N\ighbtr<<03292>??
mrghsputitahsaypmtaishsbriwbrrbdtig.
0<.

BFCDMPEIG@JIDWV
Pi tabdc Jhfabie W. Diwamusi JG omr ahs chdg
frhthfhsjbdgsu``isthmds.

[IOI[IDFIV
2. GmdbegsmdVA.Aygrbtmrtairbphisomrfysthf
krmshseud`ghsibsi.
\ighbtr\uejmdme<<1376>V21 V6.

21. ^abd` E, JidgmzbVbssh [B, Pbhdwrh`at F, Cebssid W\.

Dikuehzigaypirtmdhfsbehdismeuthmdomrbfutikrmdfahmehthshd
hdobdts.FmfarbdiGbtbkbsiVyst[iv<<137>FG<<?791.
28. BdheBK,BdheJ,Vb`ebjBK,FithdD,KbeB,BcsuD.Dikuehzig
sbekutbjme,iphdiparhdi,6%sbehdibdgdmrjbesbehdibriiqubeey
iooifthvihdjhegkrmdfahmehthshd pighbtrhfijir`idfygipbrtjidt.
\ighbtrhf\uejmdmem`y<<8.
<. Pbhdwrh`at
F, Betbjhrbdm E, Faidiy J, Faidiy N, Kbrkir
V,\rhfiG,JmemdiyV,ChjkireiyB,Pmme iegD,FbgzmwV,
Ohujbrb O, Phesmd \, Ji`m V, _bdgi_iegi G, Vbdgirs V,
M[murci\,Orbdfhs\.Bjuethfidtir,rbdgmjhzig,gmukeikehdg,

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