%PDF-1.4
%
204 0 obj
<>
endobj
194 0 obj
<>
endobj
2 0 obj
<>stream
doi:;
application/pdf
http://dx.doi.org/
2016-04-01
false
http://bmjopen.bmj.com
2016-04-01
true
http://bmjopen.bmj.com
Acrobat Distiller 8.1.0 (Windows); modified using iTextSharp™ 5.5.3 ©2000-2014 iText Group NV (AGPL-version)
2023-10-31T12:52:06-07:00
2023-10-31T12:52:06-07:00
uuid:ecd5f797-1dd1-11b2-0a00-ed09275dc400
uuid:ecd5f79b-1dd1-11b2-0a00-810000000000
endstream
endobj
205 0 obj
<>
endobj
118 0 obj
<>
endobj
192 0 obj
<>
endobj
20 0 obj
<>
endobj
24 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/Shading<>/XObject<>>>/Rotate 0/Thumb 131 0 R/Type/Page>>
endobj
3 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 22 0 R/Type/Page>>
endobj
25 0 obj
<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC]/Properties<>/XObject<>>>/Rotate 0/Thumb 63 0 R/Type/Page>>
endobj
26 0 obj
<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/Thumb 81 0 R/Type/Page>>
endobj
27 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 108 0 R/Type/Page>>
endobj
460 0 obj
<>stream
HWrH}WF!U@'jd+mYtpFec=̓'3O,5냣ܺu{pugb\q]WЊN,"G~<[_ʲټ֍%b|L<ճ%N+uٷ.6?r@h<ev0שā߿̫,-m,:r6?ygUtG\hfGכ-yՖ
cP]b
Pi%o8
!Jb'F:ۛg=Ga4xFhiv_
ݗyeZEƮ st|nU_k o,w[dF{2⡽T
dy6o9VؗTyn[f<ܬZUeB I˖>z!Rc`f uUad!OJtyxD1%$@D{8"
Rp!IUQ O֪Ts[Pq`g a,!-@=l$7'0hʍ
@R X2o~yLf *`x4⁌a'1L;C]ۤD[A."v+ 9=[~/( = ~2D
tf?;;O#ԴR?ZSCk
C
&9,%}鐱~1{
(lϖ[ $>_r#t(>?MmZf#[ )Jw*aY^"
'uOa>o3@~L`", V#Sab09@0ΗIշ%hMo;3ow t3YPT1]7-.XգyV9¼MmÕuJ՝> LZ*,IՑ:߂j`jF vQ_C0~h*q_%( 00`F"tfR)Ag?ݢvZ',-AJ`Fx%`DdxA*_?qaniw|:1Ab@3BC }^A$LSH.M{jLt2mU2n/WauA?_/G DJ/q(Pɍ9ܰy4)$iQwh;7XaBǠY7nAk,ӓ!h=龷LaL*3E{ثI6
DBy$P @Cft㯍rY
"D.HCX
"9R%TZ$d
mnl>4A;hbY {0pm~蒼Bo@3z:s)]Un43;_oҁĢVi~mv1mN?kwQn,EĖ6uz
^q]x頦;ROOQ7a0W cDGN~T.E+]O{jÕ1239J6*@'uǠF!iW]Wb͈?S9S%hN6v4\!^0ޓa#Tʲ|bdDFk<&y<J_~6fNުk{X5dyn="L&2u0Ni7r*_rHӺɀZآ;hZCAD?tPe2T2-Nt%O6]O
'QƄ(NO
'Sw\i
z7'R]k$d
BZYf".&Urb!dɶӲyBKyXo 1H>7VUW(R##&|)t+Ķ=" f_tF1M`7}Gb6*#N|R:z]n>Xl)Sc^$GkWJG?ך0=y\ӏfYoߞߜ_ߒ6M?֏><bE.G;_p{զ6غ!s+Xyѣ.KaVB9NtT4!ίx;+1q,H(ku`4襎arېh$Xdau|ӣ^"/B7YLgxeADKGT
Ԣ iH$LY&Pͣj"Þ0xy 1
@z҉HyszlBahe]yz ]j&?\ake=u Z݅ԙKk;0x iMbDb19a
Qש! ;5r1\Iq*$$gAeZKY?Z^HRdqr(WRcƥuM|ȖNYѠTvwfx.Qx_^@{HHt)Ʀ@܋^/:yGlm`7@01Tx8*`O/qvކ=fgxӮC_^P&co4;]v@ǻ(aVz,W& 2|?ն+X9R? pd'!l-H2OUC-Y<-ZU_}ni^`d3cPTׄgyagaXjZu6str7[rC/-liX)JppwUU g˓ԎbR\Wh