%PDF-1.4
%
475 0 obj
<>/JT 463 0 R/Metadata 462 0 R/Names 476 0 R/Outlines 293 0 R/PageLabels 457 0 R/Pages 459 0 R/StructTreeRoot 753 0 R/Type/Catalog>>
endobj
463 0 obj
<>
endobj
462 0 obj
<>stream
Arbortext Advanced Print Publisher 10.0.1465/W Unicode
2024-04-24T23:16:05-07:00
2015-08-27T10:02:36+05:30
2024-04-24T23:16:05-07:00
application/pdf
doi:;
untitled
Acrobat Distiller 8.1.0 (Windows)
uuid:367da2ea-d04e-41ad-a42f-53c85b40c579
uuid:d93228ae-1dd1-11b2-0a00-880078f8d0ff
http://dx.doi.org/
2015-08-27
false
http://bmjopen.bmj.com
2015-08-27
true
http://bmjopen.bmj.com
endstream
endobj
476 0 obj
<>
endobj
293 0 obj
<>
endobj
457 0 obj
<>
endobj
459 0 obj
<>
endobj
753 0 obj
<>
endobj
757 0 obj
<>
endobj
758 0 obj
<>
endobj
759 0 obj
<>
endobj
931 0 obj
<>
endobj
932 0 obj
<>
endobj
933 0 obj
<>
endobj
934 0 obj
<>
endobj
935 0 obj
<>
endobj
3189 0 obj
<>
endobj
3190 0 obj
<>
endobj
3191 0 obj
<>
endobj
3192 0 obj
<>
endobj
3193 0 obj
<>
endobj
3194 0 obj
<>
endobj
3195 0 obj
<>
endobj
3196 0 obj
<>
endobj
3197 0 obj
<>
endobj
3198 0 obj
<>
endobj
3199 0 obj
<>
endobj
3200 0 obj
<>
endobj
3201 0 obj
<>
endobj
3202 0 obj
<>
endobj
3203 0 obj
<>
endobj
3204 0 obj
<>
endobj
3205 0 obj
<>
endobj
3206 0 obj
<>
endobj
3207 0 obj
<>
endobj
3208 0 obj
<>
endobj
3209 0 obj
<>
endobj
3210 0 obj
<>
endobj
3211 0 obj
<>
endobj
3212 0 obj
<>
endobj
3213 0 obj
<>
endobj
3214 0 obj
<>
endobj
3215 0 obj
<>
endobj
3216 0 obj
<>
endobj
3217 0 obj
<>
endobj
3218 0 obj
<>
endobj
3219 0 obj
<>
endobj
3220 0 obj
<>
endobj
3221 0 obj
<>
endobj
3222 0 obj
<>
endobj
3223 0 obj
<>
endobj
3224 0 obj
<>
endobj
3225 0 obj
<>
endobj
3226 0 obj
<>
endobj
3227 0 obj
<>
endobj
3228 0 obj
<>
endobj
3229 0 obj
<>
endobj
3230 0 obj
<>
endobj
3231 0 obj
<>
endobj
937 0 obj
<>
endobj
938 0 obj
<>
endobj
939 0 obj
<>
endobj
3232 0 obj
<>
endobj
3233 0 obj
<>
endobj
3234 0 obj
<>
endobj
3235 0 obj
<>
endobj
3236 0 obj
<>
endobj
3237 0 obj
<>
endobj
3238 0 obj
<>
endobj
3239 0 obj
<>
endobj
3240 0 obj
<>
endobj
3241 0 obj
<>
endobj
3242 0 obj
<>
endobj
3243 0 obj
<>
endobj
3244 0 obj
<>
endobj
3245 0 obj
<>
endobj
3246 0 obj
<>
endobj
3247 0 obj
<>
endobj
3248 0 obj
<>
endobj
3249 0 obj
<>
endobj
3250 0 obj
<>
endobj
3251 0 obj
<>
endobj
3252 0 obj
<>
endobj
3253 0 obj
<>
endobj
3254 0 obj
<>
endobj
3255 0 obj
<>
endobj
3256 0 obj
<>
endobj
3257 0 obj
<>
endobj
3258 0 obj
<>
endobj
3259 0 obj
<>
endobj
3260 0 obj
<>
endobj
3261 0 obj
<>
endobj
3262 0 obj
<>
endobj
3263 0 obj
<>
endobj
3264 0 obj
<>
endobj
3265 0 obj
<>
endobj
3266 0 obj
<>
endobj
941 0 obj
<>
endobj
942 0 obj
<>
endobj
943 0 obj
<>
endobj
3267 0 obj
<>
endobj
3268 0 obj
<>
endobj
3269 0 obj
<>
endobj
3270 0 obj
<>
endobj
3271 0 obj
<>
endobj
3272 0 obj
<>
endobj
3273 0 obj
<>
endobj
3274 0 obj
<>
endobj
3275 0 obj
<>
endobj
3276 0 obj
<>
endobj
3277 0 obj
<>
endobj
3278 0 obj
<>
endobj
3279 0 obj
<>
endobj
3280 0 obj
<>
endobj
3281 0 obj
<>
endobj
3282 0 obj
<>
endobj
3283 0 obj
<>
endobj
945 0 obj
<>
endobj
3284 0 obj
<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/StructParents 19/Type/Page>>
endobj
3372 0 obj
<>stream
x=is\U08.xWb+7Nd[Ԗ(X&)8TpaU"9@7@ѓϻgowǏ=~<OݧyG>\\.>]>zG/jȪ#-嫶뫇Om#`rB^74梱m+>mo@HpVG`?{|x#a+Bc{Г7
;<_iS&-p#!!ϛaMCi+醉msJ'&~'Vމz_{#Qd_˟_)b
j*)b?7R0_N
Q]Чc=ֆNLmLN?)-d qزAպ;vތ'wwM{rq~ImgX>
!'ע5|A :/.Hs-C|HZD u
'jMƓ3lT |t;--
_/~x%f"UPqnWZu 'Ob/60.&p|ezH8tбV{Fn
mp!vz
i֠[raIx:l@SG|4 SNYu#>xl~ǛKn1ΥwR R))W
#[Dl['&mC}$r^|]|dLݏazN7UngB|($@]3uw"BKy;[@ QÞlr'DǶ,giPe_%4ۖOZ]GZ1ێju-`B[Ej:pٴK4Um/Xf{CpE
a|k2-,[:lMf* G֥9,pڭ[k#>ogrM0jQoH.?BSsPx\gr
D`Ћ7_Q6).hv-Du߮no@lK=Q#
|u0oxK^g`6JhD=ҥ<BSvSkl-Dj1KIvJ(ja:ڦČS1KX+
Щ_:"wHDNnԨܜ2$K vB ۮHLAfh
J[. ].#- 4a4:0|3hķ#SZ68 M@SoBC8XS<ippm$&AN9Qv$ǔc I%IUN@$RjK18y%XxF3qqE("VhԸUo}WuJC}HoUC/״8':l b,-#xF?Ž?Z!!eEE.VIsI:B|5\K9`GfY_bl8hbr`
A9Ȑ
$H^7dt T
29Z )yn
SԗStt9dz=LV 7|>Ӓ`IlІmDO6eݝD:[e^]~k=GwWQg!x+ީ?˼!)U`>h=_I:K
S,
C Z/h'8hwL2^Ld[Uu#]8%BZ3iWVF@sAeENm8d7(vDۢbjbWQ)vƤbWG)vبp{V- }Vk,`}~DH#=3
L+'~@h\5?VIsm6_|2+̋xB7|ӝ.:QQJ0Q(cJ uN_OBK,&MF'rDjGASMSH)GB:0iPg'yif0 f0YƙM*kE1&J^6k!4XM_Z>Tyl{>0p2
Ԕ6K Bf!Z,"]m]KفsmP)ߗ]%B}!)Z)AYrATuٟO2o!%L>uD
^oTfb!8 n2 Tdrl+Y|)*X|ܞ9HGC{h샨'PCuhuAdj\<h:Թxځ}o`(Rv ,.a_-f[vl^U,QK$uZwrbj3ǹ1zBg*IbvnHr/,4+HZE!s
uY!Ę6+ФY!N7:(UƏQj"u;Kc2XS_ ¶*.
14u@0bH}rݨy!uŀSݓnmt tHi']?)0Y鳤2^lPؾ.YrSnj$S{x=MRBH!<6v!$Gd0JX G/(J+a^Oi%LNe|r%CtiuA
nnq