guía para la atención de meningitis meningocóccica

7/28/2019 Gua para la atencin de Meningitis Meningocccica

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Dug 7;Dug pgrg eg gtlmn`m

il eg alm`md`t`s alm`mdbnnn`ng


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Ayr`ga ^ggvlirg Lstup`mZrbhlsbrg gsbn`gig% \mìgi il Mlurbebdg[lv`sbrg

Ngrebs Gduileb NgeilrmI`rlntbr ile prbylntb

[bir`db ZgribNbbri`mgibr

Olrmgmib Dg`tmNbbri`mgibr

Zb @vm DalzNbbri`mgibr

Gmgeìg Z`mèeg [bgNbbri`mgibrg

Fugm Ngrebs KustbsNbbri`mgibr

Negui`g Eè`gmg ^mnolzGs`stlmtl il `mvlst`dgn`m

Hrgmny Z`mligGs`stlmtl il `mvlst`dgn`m


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E`stg il pgrt`n`pgmtls lm eg sbn`ge`zgn`m

@M^Y@Y\N@BM MBAK[L

A`m`stlr`b il eg Zrbtlnn`m bn`ge Agrtog Xlegmi`g

@mst`tutb Mgn`bmge il geui Le`zgklto Ngstglig

@mst`tutb Mgn`bmge il geui Negrg @ms Gduileb

Gsbn`gn`m Nbebak`gmg il Ali`n`mg /GNLA@) Fugm Geklrtb Klmgvìls

\m`vlrsìgi Mgn`bmge Ayr`ga ggvlirg

\m`vlrsìgi Mgn`bmge Lr`nc mnolz

\m`vlrsìgi Mgn`bmge [bir`db Zgrib

\m`vlrsìgi Mgn`bmge Agelmg Drèeb

\m`vlrsìgi Mgn`bmge Gmg Agrg Xèega`zgr

\m`vlrsìgi Mgn`bmge Gmgeìg Z`mèeg

\m`vlrsìgi Mgn`bmge Hrgmny Z`mlig


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Nbmtlmìb

Zd`mgs

7- @mtrbiunn`m -------------------------------------------------------------------------------------------- 77>

;- Altbibebdg -------------------------------------------------------------------------------------------- 779

>- Fust`h`ngn`m --------------------------------------------------------------------------------------------- 777:-7 I`gdmst`nb i`hlrlmn`ge ---------------------------------------------------------------- 7;>7:-; Ilh m`n`m il ngsb ------------------------------------------------------------------------ 7;>7:-> Gmt`dmla`g /gdeut`mgn`m lm etlx b nbgdeut`mgn`m) --------- 7;97:-9 Btrbs ogeegzdbs il egkbrgtbr`b -------------------------------------------------- 7;9

7:-< Mlurbàgdlmbebdg ---------------------------------------------------------------------- 7;-7 Nbmtrbe ile pgn`lmtl% il ebs nbmtgntbsy ile gak`lmtl `mali`gtb -------------------------------------------------------------- 7;?

7>-; Zrbhègx`s b prbtlnn`m il nbmtgntbs----------------------------------------- 7;0

7>-> Aliìgs lm ngsb il lpìla`g ---------------------------------------------------- 7>:7>-9 Mbt h`ngn`m ----------------------------------------------------------------------------------- 7>:

79- Nugirb m`vle il lvìlmn`g -------------------------------------------------------------------- 7>;

7>

K`ke`bdrghg ------------------------------------------------------------------------------------------------------ 7>;

Gmlxbs --------------------------------------------------------------------------------------------------------------- 7> ngsbs% >< sbm prbkgkels y 4? nbmh`ragibs pbregkbrgtbr`b- Ge bkslrvgr eg i`str`kun`m sldm egs rld`bmls% sl ilstgngm egrld`m bnnìlmtl /98,)% slduìg il nlmtrb br`lmtl /;4%9,) /7) /Ygkeg ;)-


10/44

778778778778778Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

Ygkeg ;

I`str`kun`m il ngsbs il alm`md`t`s alm`mdbnnn`ng% gnuauegibs

pbr ilpgrtgalmtb ^@X@D@EG- Kbeltm lpìla`bed`nb slagmg;:";::-::: ngsbs g eg Brdgm`zgn`mAumi`ge il eg ^geui /BA^)- Ebs pgsls as ghlntgibs sl uk`ngm lm hr`ngûksgogrg% y prlslmtgm lpìla`gs nbm `mnìlmn`gs qul gengmzgm 7:::"7::-::: ogk`tgmtls"plrbib /;% >% 9% /;0"9?4) y eg i`spgrìgi lmtrl le malrb tbtge il ngsbsrlpbrtgibs"gb y le malrb il ngsbs nbmh`ragibs pbr egkbrgtbr`b- /0)-


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Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge774774774774774

Le lstgib il pbrtgibr ogk`tuge lm plrbibs `mtlrlpìa`nbs ls il 7 g7:, lm nbmv`v`lmtls y eeldgr ge % )-

slrbdrupbs ilh`mìbs pbr le pbe`sgnrìb ngpsuegr3 G% K% N% I% L;0% O% @% C%E% _% P% V% T7>

I`str`kun`m il slrbdrupbs ile g`sega`lmtb il `mvgsbrls

il M alm`md`tì`s pbr gb

M^Y6 mb slrbt`p`h`ngkel- Nbrtl g fum`b >: il ;::


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77?77?77?77?77?Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

Ml`sslr`g alm`md`tì`sls um pgtdlmb lxneus`vgalmtl ouagmb- Eg lmhlral!

igi sl trgmsa`tl pbr nbmtgntb i`rlntb% qul `mneuyl dbtgs il sge`vg y slnrln`b!mls il egs vgs mgsgels b il eg hgr`mdl il egs plrsbmgs `mhlntgigs- Eg pulrtg illmtrgig ile a`nrbbrdgm`sab ls eg mgsbhgr`mdl- \sugealmtl% ngusg `mhlnn`msuknem`ng il egs aunbsgs- Eg `mvgs`m qul eeldg g prbiun`r lmhlraligi s`s!ta`ng ls rlegt`vgalmtl rgrg-

Eg prbtlnn`m trgs eg `mvgs`m alm`mdbnnn`ng lst iltlra`mgig pbr rls!pulstgs ouabrgels y nleuegrls qul plrtlmlnlm g ebs s`stlags `maumls `mmgtby giqu`rìb- Eg prbiunn`m il gmt`nulrpbs lsplnh`nbs t`pb @dD tgrig ogstgumg slagmg trgs eg nbebm`zgn`m% y eg ilhlmsg `m`n`ge ilplmil il ebs lelalm!tbs il eg rlspulstg `mmgtg-

Le plrbib il `mnukgn`m il eg kgntlr`g vgrg il ibs g i`lz igs y leplrbib il nbmtgd`b ls il ogstg 9? obrgs umg vlz `mstgurgib le trgtga`lmtblsplnh`nb- Le agybr r`lsdb il nbmtgd`b bnurrl lm ebs pràlrbs ibs g i`lzigs il prlslmtgib le ngsb mi`nl /;% 7:)-

8-; Agm`hlstgn`bmls nem`ngs

Ml`sslr`g alm`md`tì`s ngusg i`vlrsbs t`pbs il `mhlnn`m- Egs agm`hlstg!n`bmls nem`ngs sbm vgr`gigs y bsnègm lmtrl nugirbs il kgntlr`la`g trgms`tb!r`g b gs`mtbat`ng ogstg prbnlsbs il ngrntlr huea`mgmtl qul eelvgm g eg aulrtlrpìgalmtl% tge nbab le ^mirbal il Tgtlrobusl Hrìlr`noslm /`msuh`n`lm!n`g il egs demiuegs suprgrrlmgels)-

Eg prlslmtgn`m nem`ng ls sàègr g eg il nugequ`lr btrg alm`md`t`s kgntl!r`gmg gduig% lxnlptb nugmib sl lmnulmtrgm els`bmls purpr`ngs-Ls àpbrtgmtl rlnbrigr qul eg mlurb `mhlnn`m alm`mdbnnn`ng lm m`bs%

gmn`gmbs l `maumbsupràìbs pulil slr gtp`ng y mb prlslmtgr ebs s`dmbsalm`mdlbs b egs els`bmls ira`ngs- Zulilm prliba`mgr eg nlhgelg% h`lkrl yngak`bs ile nbapbrtga`lmtb- Eg lmhlraligi pulil tlmlr umg agm`hlstg!n`m s`sta`ng /mluabmg% bt`t`s ali`g% nbmfumt`v`t`s% plr`ngri`t`s% grtr`t`s%urltr`t`s y els`bmls ira`ngs)- /;% 9%


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8-;-7 @mhlnn`m il egs vgs rlsp`rgtbr`gs suplr`brls

^mtbags prbira`nbs elvls

/@mhlnn`m pbr alm`mdbnbnb b pbr btrbs a`nrbbrdgm`sabs

qul hgnè`tgm su lmtrgig)

[`m`t`sHgr`md`t`s

Krbmqu`t`sNbmfumt`v`t`s

8-;-; Alm`md`t`s

Eg alm`md`t`s ls eg rlspulstg `mhegagtbr`g almmdlg g eg `mhlnn`m- Ebssmtbags y s`dmbs qul gnbapggm g eg alm`md`t`s alm`mdbnnn`ng mb sl

pulilm i`hlrlmn`gr il ebs il egs ilas alm`md`t`s gduigs prbiunìgs pbrbtrbs a`nrbbrdgm`sabs-

^mtbags nes`nbs

Nlhgelg

H`lkrl

Muslg y va`tb

Hbtbhbk`g

Ogeegzdbs nem`nbs

Getlrgn`bmls ile lstgib il nbmn`lmn`g /ilsil sbambelmn`g ogstg nbag)

^`dmbs almmdlbs

[ dìlz il mung6

Le pgn`lmtl ilkl lstgr lm ilnk`tb ibrsge% rlegfgib y s`m geabogig- ^l tbag su ngklzg pbrle bnn`pun`b- Zràlrb sl abvè`zg ogn`g ebs egibs pgrg nbaprbkgr qul le pgn`lmtl lstrlegfgib y qul mb lx`stlm prbkelags ausnuegrls b il eg nbeuamg nlrv`nge qul ilslmngil!mlm ibebr- Ilsngrtgigs lstgs nbmi`n`bmls sl helxg eg ngklzg prlstgmib gtlmn`m lm egrls`stlmn`g qul lx`stl pgrg ebdrgreb- Nugmib lx`stl `rr`tgn`m almmdlg eg rls`stlmn`g slprlslmtg ge helxgr eg ngklzg y mb nbm ebs abvà`lmtbs egtlrgels- Lstg agm`bkrg mb sl ilkllhlntugr s` lx`stl le gmtlnlilmtl il um trguagt`sab il eg ngklzg b ile nuleeb y mb sl t`lmleg sldurìgi sbkrl eg lstgkèìgi il eg nbeuamg nlrv`nge-

^`dmb il Kruiz`msc 6^l helxg eg ngklzg y sl bkslrvg s` bnurrl umg helx`m il egs lxtrlaìgils `mhlr`brls g m`vleil egs ngilrgs y egs rbièegs-

^`dmb il Clrm`d6^l elvgmtgm ebs a`lakrbs mhlr`brls lm lxtlms`m y sl prbiunl umg rlspulstg il helx`m lmngilrg y rbièeg-

Zltlqu`gs b lrupn`bmls agnuebpgpuegrls b lquàt`ngs

Nbmvues`bmls

Zgre`s`s il pgrls nrgmlgels

Ola`pgrls`g u btrbs s`dmbs mlurbed`nbs hbngels


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7;:7;:7;:7;:7;:Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

8-;-> Alm`mdbnbnnla`g huea`mgmtl

Ngrgntlr`st`ngs ne`m`ngs

@m`n`b sk`tb

H`lkrl b o`pbtlra`g

Lxgmtlag

Zulil slr agnuebpgpuegr% pltlqu`ge lquàt`nb

^`dmbs il nbgduegn`m `mtrgvgsnuegr i`sla`mgig

^`dmbs il getlrgn`m lm oìrblelntrbe`tbs

I`shumn`m auet`brdm`ngôbnc

Le igb a`nrbvgsnuegr lm eg slps`s pbr alm`mdbnbnb dlmlrg ebs lvlmtbsrlspbmsgkels il eg hgeeg auet`brdm`ng /77% 7;)6 Gualmtb il eg plralgk eìgi vgsnuegr

Xgsbnbmstr`nn`m y vgsbi egtgn`m pgtbed ngs

Nbgduegn m `mtrgvgsnuegr i`sla`mgig

I shumn`m a`bnri ng-

8-> Nbape`ngn`bmls

Egs nbape`ngn`bmls as slvlrgs sbm eg aulrtl pbr sobnc lmibtx`nb y eg

o`plrtlms`m lmibnrgmlgmg-Egs nbape`ngn`bmls mlurbed`ngs pulilm slr ilkìgs g eg `mhlnn`m i`!

rlntg ile pgrmquàg nlrlkrge% els`bmls il ebs pgrls nrgmlgels% `mhgrtb vlmbsbb grtlr`ge% qul pulilm bngs`bmgr nbmvues`bmls y ih`n`t hbnge% lilag nlrlkrge%kebqulb il eg n`rnuegn`m ile EN[ /oìrbnlhge`g) y nbelnn`bmls sukiurgelsqul prbiunlm lhlntb il agsg- Ogstg


15/44

Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge7;77;77;77;77;7

4- Hgntbrls il r`lsdb

@maumìgi ile ouspli

Getlrgn`m il s`stlag `mauml `mmgtb b giqu rìb

Ilh`n`lmn`gs il nbapbmlmtls tlra`mgels ile nbapelalmtb N< g N0/lmhlraligi hgaè`gr lm :-:>, il ebs pgn`lmtls)% ilh`n`lmn`gs il N>b prbplri`mg-

Lmhlraligils nbm getlrgn`m il eg gnt vìgi bpsbmbhgdbnt ng-

ûsnlpt`kèìgi gualmtgig lm egntgmtls g aliìg qul ilsgpgrlnlm gmt`!nulrpbs agtlrmbs- Agybr lmtrl ebs sl`s y bnob alsls il ligi /7>)-

Lmhlraligils s`sta`ngsEbs pgn`lmtls nbm ilh`n`lmn`gs lm eg `maumìgi /elunla`g e`mhbnt`ng nr!

m`ng% a`lebag aet`pel% lmhlraligi il Obidc`m) t`lmlm r`lsdb agybr pgrgalm`md`t`s% ge `duge qul qu`lmls t`lmlm getlrgn`bmls lm le s`stlag il nbapel!almtb-

Btrbs hgntbrls il r`lsdb

Gspelm`g

@mhlnn`m pbr v rus rlsp rgtbr bs

Ogn`mga`lmtb

Ygkgqu`sab Genbobe sab /?)-

?- Hgntbrls prbtlntbrls@maumìgi agtlrmg hltge6 ebs egntgmtls lstm prbtldìbs il eg lmhlraligi

alm`mdbnnn`ng iurgmtl sus pràlrbs alsls il vìg ilkìb g eg trgmshlrlm!n`g pgs`vg il gmt`nulrpbs agtlrmbs g trgvs il eg elnol agtlrmg-

@maumìgi mgturge6 gmt`nulrpbs prbtlntbrls ilkìb g eg nbebm`zgn`m pbrkgntlr`gs mb pgtdlmgs rlegn`bmgigs nbm Ml`sslr`g alm`md`tì`s% nbab Ml`sslr`gegnta`ngb Ml`sslr`g alm`md`tì`s gv`ruelmtg% u btrgs kgntlr`gs qul lxprlsgm gmtdl!mbs il suplrh`n`l nbaumls nbm egs nlpgs alm`mdbnnn`ngs v`ruelmtgs-


16/44

7;;7;;7;;7;;7;;Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

Xgnumgn`m

Ogy ibs t`pbs il vgnumgs i`spbm`kels Xgnumg gmt` alm`mdbnbnb pbe sgnr ig /AZ^X9)% i`spbm`kel ilsil 704:

Xgnumg gmt alm`mdbnbnb nbmfudgig /ANX9)% gutbr`zgig lm lmlrb il;::< qul nbmt`lml 9 d il ngig umb il ebs pbe`sgnrìbs nbmfudgibs nbm9? d il tbxbìl i`htr`nb- Gakgs sbm sldurgs l `maumbdm`ngs lm gib!elsnlmtls y giuetbs-

Le pbe`sgnrìb ngpsuegr ile drupb K /slrbdrupb as hrlnulmtl lm Nb!ebak`g) mb ls `maumbdm`nb% eg gape`g i`vlrsìgi il ebs sukt`pbs y egs rlgn!n`bmls nruzgigs qul prlslmtg ogm eà`tgib su lh`ngn`g /79)-

Lm ebs pgsls nbm vgnumgs lsplnh`ngs% il lh`ngn`g nbmh`ragig nbmtrg ebsslrbdrupbs qul ghlntgm su pbkegn`m% sl rlnba`lmig eg vgnumgn`m lm6

7- Drupbs il getb r lsdb6 Drupbs ouagmbs lm nbmi`n`bmls il nbmnlmtrgn`m b ogn`mga`lmtb [ls ilmtls b v gflrbs g zbmgs il lp ila`g b il lmila`g pgrg alm`mdbnbnb Gspelm`g Lmhlraligi il Obidc`m u btrgs mlbpegs`gs age`dmgs A nrbk ebdbs lxpulstbs rut`mgr galmtl g nuet vbs il M alm`md`t i`s

;- Zlrsbmgs qul vbeumtgr`galmtl ilsllm rliun`r le r lsdb il mhlnn`m pbr al!m`mdbnbnb y qul mb tlmdgm nbmtrg`mi`ngn`m pgrg eg gpe`ngn`m il eg vgnumg-

Mb sl rlnba`lmig eg vgnumgn`m nbab pbet`ng pke`ng pgrg Nbebak`glm le prlslmtl% ogkìg nulmtg qul le slrb drupb prlvgelmtl /K) mb t`lml umgvgnumg lhlnt`vg- Il slr mlnlsgr`b% eg vgnumg sl gpe`ngr ilplmi`lmib ile slrbdrupb n`rnuegmtl lm le pgs-

Mb sl rlnba`lmig eg vgnumgn`m lm almbrls il ibs gbs pbr eg kgfg`maumbdlm`nìgi lm lstl drupb pbkegn`bmge- Ygapbnb sl rlnba`lmig lm ledrupb pbkegn`bmge lmtrl ibs y bmnl gbs y agybrls il


17/44

Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge7;>7;>7;>7;>7;>

7:- I`gdmst`nb

7:-7 @ilmt`h`ngn`m ile a`nrbbrdgm`sab

Zgrg le gme`s`s il equìb nlhgebrrgquilb sl gibptgm egs rlnbalmign`b!mls ile @M^ y eg [li mgn`bmge il egkbrgtbr`bs ilsgrrbeegig pbr le drupb il

a`nrbk`bebdg /Gmlxb ;)-Eg t`mn`m il Drga il EN[ plra`tl ìlmt`h`ngn`m ile gdlmtl lt`bed`nb

lm gprbxàgigalmtl 8: g 0:, il ebs ngsbs il alm`md`t`s kgntlr`gmg /)% lm le ngsb il alm`mdbnbnb lvìlmn`g rlgnn`m elunbn`tgr`g y i`pebnbnbsDrga mldgt`vbs `mtrg b lxtrgnleuegrls-

Eg t`mn`m il Drga ile EN[ nbm rlsuetgib mldgt`vb sl rlegn`bmg nbm letrgtga`lmtb gmtà`nrbk`gmb prlv`b% nbmnlmtrgn`bmls kgfgs il a`nrbbrdgm`s!abs y nbmi`n`bmls gmagegs ile prbnlsga`lmtb-

7:-; Nuet`vb

Le alm`mdbnbnb nrlnl alfbr lm ali`b il Yogylr Agrt`m% gdgr nobnbegtly gdgr sgmdrl% g tlaplrgturg il >


18/44

7;97;97;97;97;9Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

Zulil ognlrsl ìlmt`h`ngn`m ile dlralm pbr ali`b il olabnuet`vbs%

nuet`vbs ile agtlr`ge pltlqu`ge b ile rgspgib il eg zbmg purpr`ng% equìbs`mbv`ge% lsputb y btrgs aulstrgs il equìbs nbrpbrgels /;8)-

7:-> Gmt`dmla`g /gdeut`mgn`m lm etlx b nbgdeut`mgn`m)

Lstbs lstunols pbsllm um nbapelfb pbe`vgelmtl il gmt`nulrpbs qul nbm!t`lml ebs slrbdrupbs G% N% y T 7>< y um rlgnt`vb slpgrgib qul nbmt`lml le

slrbdrupb K% le nuge t`lml rlgnn`m nruzgig nbmle gmtdlmb Ce ilLsnolr no`g nbe - Y`lml umg slms`!kèìgi pgrg iltlntgr le alm`mdbnbnb ogstg 4:,-Eg lspln`h`nìgi ls agybr il 0:,- Egs eà`tg!n`bmls nbm lstl atbib i`gdmst`nb sl rlegn`b!

mgm nbm eg vgr`ligi ile a`nrbbrdgm`sab% egnbmtrg!rlduegn`m il su lxprls`m ngpsuegr% egprbplms`m il gedumgs nlpgs g eg gutb gdeut`mg!n`m% y eg ngpgnìgi il lstgs kgntlr`gs il `mtlr!ngak`gr IMG /;9)- Mb sl rlnba`lmig su usbpgrg iltlnn`m gmt`dm`ng lm sulrb u br`mg /;


19/44

Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge7;


20/44

7;87;87;87;87;8Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

7:-4 Ilh`m`n`m il ngsb

Egs ilh`m`n`bmls il ngsb gpgrlnlm lm le prbtbnbeb il X^Z ile @M^% lstlpbir slr nbmsuetgib lm eg pd`mg ottp6""www-`ms-dbv-nb"pih"vnsp"prbtbnbeb

77- Yrgtga`lmtb

Zgrg alfbrgr le prbmst`nb ls v`tge le i`gdmst`nb y trgtga`lmtb prlnbnls

Lm etàg `mstgmn`g% le i`gdmst`nb bpbrtumb il eg lmhlraligi alm`mdbnnn`ng

ilplmil il eg sbsplnog lpìla`bed`ng y nem`ng% y sl nbmh`rag nbm eg iltln!n`m ile a`nrbbrdgm`sab lm t`mn`bmls Drga b lm nuet`vbs b pbr eg iltlnn`m ilsus gmtdlmbs lm i`hlrlmtls equìbs nbrpbrgels% gsp`rgibs b pltlqu`gels-

Nugequ`lr pgn`lmtl hlkrè

nbm lxgmtlag pltlqu`ge

ilkl slr trgtgib nbab s`tuv`lrg umg `mhlnn`m pbr

alm`mdbnbnb-

Egs aulstrgs sl ilklm

tbagr lm hbrag `mali`gtg y%pbstlr`bralmtl% `m`n`gr le

trgtga`lmtb s`m lsplrgr eg

nbmh`ragn`m

Nbm rlsplntb g eg gia`m`strgn`m il plm`nè`mg pgrlmtlrge prlv`b g eggia`s`m obsp`tgegr`g% mb ogy lstui`bs qul iltlra`mlm eg rlegn`m lmtrl eg

gia`m`strgn`m tlaprgmg il gmt`k`t`nbs y le ilsgrrbeeb il rls`stlmn`g% igigeg getg i`h`nuetgi pgrg iltlra`mgr s` umg lmhlraligi alm`mdbnnn`ng ls gu!tbeà`tgig b prbdrls`vg- Ilkìb ge nursb rpìb l àprliln`kel il eg a`sag%ls agybr le klmlh`n`b sbkrl le r`lsdb il eg `mtlrvlmn`m% rlnbalmign`m @g/;4% ;0 g >;)-

77-7- Yrgtga`lmtb lt`bed`nb

Eg plm`nè`mg nr`stge`mg s`dul s`lmib le hragnb il lelnn`m- Egs nlhgebs!pbr`mgs il tlrnlrg dlmlrgn`m nbab eg nlhtr`gxbmg y le nlhbtgxàl sl pulilmrlnbalmigr nbab trgtga`lmtb lapr`nb y getlrmgt`vb- Le nebrgahlm`nbe sl

pulil utè`zgr lm pgn`lmtls nbm gelrd`g nbmh`ragig g eg plm`nè`mg y g egsnlhgebspbr`mgs /;0 g >;)-


21/44


Ygkeg 9

Yrgtga`lmtb gmt`k`t`nb

Ygkeg 76 Ibs`s il gmt`k`t`nbs lm `mhlnn`m pbr Ml`sslr`g alm`md`tì`s- /a\6 aèebmls il umìgils% o6obrgs% ad6 aè`drgabs% d6 drgabs% cd6 cèb il plsb)- M`vle il lvìlmn`g @g- &Ali`ngn`m mb ZB -

Le trgtga`lmtb sl gia`m`strg amàb pbr i`lz igs y pgrg tlra`mgreb lepgn`lmtl ilkl lstgr gs`mtbat`nb-

\mg rlv`s`m s`stlat`ng qul lvgeu abrtgeìgi% sbrilrg y slnulegs mlu!rbed`ngs lm alm`md`t`s il nugequ`lr lt`bebdg y nbapgr le klmlh`n`b il eggi`n`m il nbrt`nbìls ge trgtga`lmtb gmtà`nrbk`gmb mb lmnbmtr i`hlrlm!n`g s`dm`h`ngt`vg lmtrl ebs drupbs nugmib le ilslmegnl hul abrtgeìgi y sl!nulegs i`hlrlmtls g getlrgn`m gui`t`vg-

^l nbmh`ra eg rliunn`m ile r`lsdb il sbrilrg lm alm`md`t`s kgntlr`gmgil nugequ`lr lt`bebdg plrb mb lsplnh`ngalmtl lm alm`md`t`s alm`mdbnnn`!ng- Eg gia`m`strgn`m il um trgtga`lmtb gmt`k`t`nb lsplnh`nb pgrg alm`m!d`t`s alm`mdbnnn`ng rlqu`lrl mb sbeb eg sbsplnog nem`ng s`mb ogeegzdbspbs`t`vbs lm le EN[ y eg nbmh`ragn`m slrbed`ng% plrb le `m`n`b il nbrt`nbìlsprlnlil eg nbmh`ragn`m lm eg agybrg il ebs ngsbs- Igib qul ebs lhlntbsgivlrsbs il eg gia`m`strgn`m il nbrt`nbìls /7< g ;: a`mutbs gmtls il egpràlrg ibs`s il gmt`k`t`nb) mb sbm s`dm`h`ngt`vgalmtl i`hlrlmtls ge pegnl!kb% su gia`m`strgn`m ls umg rlnbalmign`m @g y ilklm susplmilrsl umg vlzle Drga il EN[ ilsngrtl eg lt`bebdg pbr Oglabpoèus `mheulmzgl lm m`bs y^trlptbnbnnus pmluabm`gl lm giuetbs /;>% >: g >


22/44

7;?7;?7;?7;?7;?Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

aulstrg il olabnuet`vbs% gme`s`s n`tbqua`nb ile EN[- Eg aulstrg il EN[ pbr

pumn`m euakgr pulil slr olnog pbr le ai`nb dlmlrge- Ybibs ebs pgn`lmtlsilklm slr bkslrvgibs iurgmtl egs pràlrgs 9? obrgs lm le obsp`tge y% lm ngsb ilprlslmtgr sobnc lmibtx`nb ilklrm slr gtlmiìbs lm umg umìgi il nuìgib`mtlms`vb- Ebs pgn`lmtls nbm lxgmtlag purpr`nb rpìgalmtl prbdrls`vb% i`s!a`mun`m ile rlnulmtb elunbn`tgr`b plr`hr`nb y guslmn`g il s`dmbs il ghlntgn`malmmdlg% t`lmlm drgmils pbs`kèìgils il iltlr`brgrsl ge pbnb t`lapb ile `mdrl!sb- Lm lstbs ngsbs s`laprl ilkl trgmshlr`rsl g um m`vle suplr`br-

7;- Atbibs il nbmtrbe

7;-7 Aliìgs prlvlmt vgs

Liungn`m6 liungr g eg pbkegn`m sbkrl eg mlnlsìgi il lv`tgr le nbmtgntbi`rlntb y eg lxpbs`n`m g eg `mhlnn`m pbr dbt`tgs il sge`vg

Alfbrgs gak lmtgels6 lv`tgr le ogn`mga`lmtb lm egs v`v`lmigs y ebs s`t`bs egkb!rgels% tgels nbab kgrrgngs% lsnulegs% ngapgalmtbs y kuquls-

7>- Gnt`vìgils il v`dègmn`g lm sgeui pke`ng

7>-7 Nbmtrbe ile pgn`lmtl% il ebs nbmtgntbsy ile gak`lmtl `mali`gtb

Mbt`h ngn`m g eg gutbr igi ebnge il sgeui6 mbt`h`ngn`m bke`dgtbr`g il ebs ngsbs g

trgvs ile s`stlag il v`dègmn`g lm sgeui pke`ng G`sega`lmtb6 g`sega`lmtb rlsp`rgtbr`b /utè`zgr tgpgkbngs pgrg gnlrngrsl ge

pgn`lmtl y gs lv`tgr eg `mogegn`m il dbtgs il sge`vg) iurgmtl egs pràlrgs;9 obrgs ilspus il ogklr nbalmzgib eg tlrgp`g gmt`k`t`ng- Lstb àpe`!ng usb il nugrtb pr`vgib pgrg le lmhlrab /ebs ghlntgibs nbm le a`saba`nrbbrdgm`sab pulilm nbapgrt`r um a`sab nugrtb)- Gilas ile usbil agsngrèegs% pgrg qu`lmls sl pbmlm lm nbmtgntb mtàb nbm le pgn`lm!tl% mb ls mlnlsgr`b le usb il dugmtls m` il kgtgs% g lxnlpn`m ile nuìgiblm le agmlfb il slnrln`bmls rlsp`rgtbr`gs

Ils`mhlnn`m nbmnurrlmtl6 Il egs slnrln`bmls mgsbhgrmdlgs y ebs bkfltbs

nbmtga`mgibs nbm leegs- Eàp`lzg tlra`mge /o`pbnebr`tb 4)

Nugrlmtlmg6 M`mdumg-


23/44


7>-; Zrbhègx`s b prbtlnn`m il nbmtgntbs

Ygkeg :)-

Ygak`m sl nbmsìlrg nbab gprbp`gig pgrg eg prlvlmn`m il eg lmhlral!igi eg lrrgi`ngn`m ile alm`mdbnbnb lm pbrtgibrls% gumqul ls mlnlsgr`g egrlge`zgn`m il as lstui`bs lm lstl ak`tb />:)-

Ls àpbrtgmtl `m`n`gr eg quà`btlrgp`g gmtls il s`ltl igs il ogklr olnoble i`gdmst`nb lm le ngsb mi`nl% nugmib le r`lsdb ls agybr- ^l utè`zg r`hga!p`n`mg% lm ibs`s il ;: ad"cd s`m lxnlilr 8:: ad ibs vlnls ge ig iurgmtlibs igs pgrg ebs giuetbs3 ebs m`bs agybrls il um als il ligi% rln`k`rm 7:ad pbr cd il plsb% y ebs almbrls il um als% < ad pbr cd il plsb-

Zgrg ebs giuetbs tgak`m ls lh`ngz eg nlhtr`gxbmg lm umg sbeg ibs`s il ;


24/44

7>:7>:7>:7>:7>:Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

lakgrgzgigs3 pgrg ebs m`bs almbrls il 7< gbs il ligi% 7;< ad pbr vg

`mtrgausnuegr- Zgrg ebs giuetbs sl pulil utè`zgr eg n`prbhebxgn`mg lm umgibs`s m`ng il -> Aliìgs lm ngsb il lpìla`g

G`segr y slpgrgr g ebs `mi vìubs% vlmt egr ebs gpbslmtbs y ibra`tbr`bs iltbigs egs plrsbmgs qul lstm lxpulstgs g eg `mhlnn`m pbr v`v`r lm ogn`mg!a`lmtb% nbab ls le ngsb il sbeigibs% a`mlrbs y pr`s`bmlrbs

Eg r hgap`n`mg i`sa`muyl eg tgsg il pbrtgibr y eà tg eg prbpgdgn`m ileg lmhlraligi s` sl gia`m`strg g tbig eg nbaumìgi- ^l gia`m`strg r`!hgap`n`mg% nlhtr`gxbmg b n`prbhebxgn`mg g ebs nbmtgntbs mtàbs nbabaliìg prbhènt`ng

Eg vgnumg gmtàlm`mdbnnn ng og sìb auy lh`ngz pgrg hrlmgr egs lpìl!a`gs pbr ebs Drupbs G y N% pgrg le Drupb K pgrlnl slr alfbr nugmib sli`spbml il umg vgnumg ile slrbt`pb lsplnh`nb qul ngusg eg lpìla`g- Lelhlntb prbtlntbr tgrig umbs i`lz igs lm gpgrlnlr- Ogkr qul nbmsìlrgrle lapelb il eg vgnumg lm tbibs ebs drupbs il ligi ghlntgibs s` surdl umkrbtl lm eg nbaumìgi b umg drgm `mst`tun`m lm qul eg lmhlraligi slgngusgig pbr ebs Drupbs G% N% T!7 >< b P-

7>-9 Mbt`h`ngn`m

Eg alm`md`t`s alm`mdbnnn`ng sl lmnulmtrg kgfb v`dègmn`g lm sgeui p!ke`ng `mtlms`h`ngig lm Nbebak`g% pbr eb nuge umg vlz nbmh`ragib um ngsb slilkl rlpbrtgr `mali`gtgalmtl g trgvs ile ^`stlag il v`dègmn`g lm sgeuipke`ng ge m`vle `mali`gtgalmtl suplr`br% nbm le h`m il ngrgntlr`zgr eg lpìl!a`bebdg ile lvlmtb% le nbmtrbe bpbrtumb il ebs krbtls y eg ìlmt`h`ngn`m ilebs slrbdrupbs n`rnuegmtls-

Zgrg umg agybr `mhbragn`m rla`t`rsl g ebs prbtbnbebs il v`dègmn`g illmhlraligils il `mtlrs lm sgeui pke`ng i`spbm`kels lm eg pd`mg il @mtlr!

mlt6 ottp6""www-`ms-dbv-nb"pih"vnsp"ZrbtbnbebR7>:8:8Ralm`md`t sRkgntlr gmgs-pih

G nbmt`mugn`m sl ilh`ml ngsb prbkgkel y ngsb nbmh`ragib6


25/44

Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge7>77>77>77>77>7

7>-9-7 Ngsb prbkgkel

Ybib pgn`lmtl qul prlslmtl lmhlraligi il `m`n`b sk`tb nbm h`lkrl /ag!ybr il >?N) y ge almbs umb il ebs s`du`lmtls smtbags b s`dmbs6

[`dìlz il mung

Getlrgn`bmls il nbmn`lmn`g

^lgels il rr`tgn`m almmdlg

Gnbapggib b mb il rgso purpr nb b pltlqu`ge

Lm almbrls il um gb% gkbakga`lmtb il eg hbmtgmleg

Nbm um lxgalm il EN[ nbm egs s`du`lmtls nbmi`n`bmls6

EN[ turk`b Drga il EN[ pbs`t`vb pgrg kgntlr`gs Alm`md`t s mluabnnn`ng6 i`pebnbnbs Drga pbs`t vbs Alm`md`t s alm`mdbnnn`ng6 i`pebnbnbs Drga mldgt vbs `mtrg y lx!

trg nleuegrls Alm`md`t s pbr O- `mheulmzgl6 kgnèbs Drga mldgt vbs [lnulmtb il elunbn tbs agybr il 7::"aa>% nbm ?:, il mlutrh ebs Lelvgn`m il eg prbtlmg agybr il 7:: ad"ie I`sa`mun m il eg deunbsg almbr il 9: ad"ie-

7>-9-; Ngsb nbmh`ragib

Ngsb nbmh`ragib il alm`md`t`s pbr mluabnbnb6 ngsb prbkgkel nbmh`ragib pbregkbrgtbr`b nbm nuet`vb /EN[% sgmdrl) b gmt`dlmla`g pbs`t`vg pgrg ^trlptbnbnnus

pmluabm`gl-

Ngsb nbmh`ragib il alm`md`t`s alm`mdbnnn`ng6 ngsb prbkgkel nbmh`ragib pbregkbrgtbr`b nbm nuet`vb /EN[% sgmdrl b pltlqu`g) b gmt`dlmla`g pbs`t`vg pgrgMl`sslr`g alm`md`tìls-

Ngsb nbmh`ragib il alm`md`t`s pbr Oglabpoèus6 ngsb prbkgkel nbmh`ragib pbregkbrgtbr`b nbm nuet`vb /EN[% sgmdrl) b gmt`dlmla`g pbs`t`vg pgrg Oglabpoèus`mheulmzgl-


26/44

7>;7>;7>;7>;7>;Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

79- Nugirb rlsualm il rlnbalmign`bmls

y m`vle il lv`ilmn`g


27/44

Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge7>>7>>7>>7>>7>>

7


28/44

7>97>97>97>97>9Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng


29/44

Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge7>87>87>87>87>8Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

^l ìlmt h ngrbm ;-:7< lstui`bs% >< [NY% 7 altg ! gme`s`s% il lstbs hul!

rbm rlelvgmtls 7 D vrstrgtga`lmtb nbmvlmn`bmge /plm`nè`mg% gap`nè`mg% nebrgmhlm`nbe)

\m lstui`b nbapgrg nebrgmhlm`nbe vrs gap`nè mg b plm`n e`mg-

Ibnl rlge`zgibs lm m`bs% 7 lm giuetbs y ; lstui`bs lm gakgspbkegn`bmls

Y`lapb il slduà lmtb6 ibs slagmgs g ibnl alsls

M`mdumb il ebs lstui`bs ilsnr k` iltgeegigalmtl le atbib pgrg lmnu!kr`r le prbnlsb il gs`dmgn`m ge gzgr- \m lstui`b /Zletbeg% 70?0) alm!n`bm eg i`spbm`kèìgi il um tlehbmb iurgmtl egs ;9 obrgs pgrg eggs`dmgn`m ge gzgr- Ngs` tbibs ebs ngsbs sl gs`dmgrbm ge gzgr pbr tlehbmby pbr tgmtb% le prbnlsb sl lmnukr` gilnugigalmtl-

7-< [lsuetgibs

Mb ogy i`hlrlmn`gs s`dm`h ngt vgs lm eg lh ngn g ile trgtga`lmtb nbm egsnlhgebspbr`mgs y le trgtga`lmtb nbmvlmn`bmge nbm plm`nè`mg% pbr eb qullstg etàg pgrlnl sldu`r s`lmib le trgtga`lmtb il lelnn`m% umg vlz ogsìb ìlmt`h`ngib le dlralm

Oukb umg i`hlrlmn`g lstgist ngalmtl s`dm`h ngt vg lm le r`lsdb il eg pb!s`t`vìgi ile nuet`vb il EN[ euldb il 7: g 9? obrgs lmtrl ebs drupbs

Mb oukb i hlrlmn gs lstgist ngalmtl s`dm`h ngt vgs lm le r`lsdb il aulr!tl lmtrl ebs drupbs

Nbm rlsplntb g ebs lhlntbs givlrsbs oukb i`hlrlmn`g s`dm`h`ngt`vg lmeg hrlnulmn`g il eg i`grrlg s`lmib lstg etàg as nbam lm ebs pg!n`lmtls qul rln`k`lrbm nlhgebspbr`mg% y lm umb il ebs lstui`bs sl lm!nbmtr nbm agybr hrlnulmn`g els`bmls ira`ngs lm ebs pgn`lmtls qul


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rln`k`lrbm plm`nè`mg plrb mb oukb s`dm`h`ngmn`g lstgist`ng nbab

tgapbnb pgrg eg o`pbgnus`g Mb ogy lstui`bs ilspus il 700?

Kgrsbm 70?< Kgrsbm TF% Aèelr AG% Krgiy AY% Zbwlee IG- Zrbsplnt`vl nbapg!rgt`vl tr`ge bh nlhtr`gxbml vs nbmvlmt`bmge tolrgpy hbr trlgtalmt bh kgntlr`gealm`md`t`s `m noèirlm- Zli`gtr`ns @mhlnt`bus I`slgsls Fburmge 70?8;!?-

Krygm 70?< Krygm FZ% [bnog O% ig ^èvg O[ % Ygvlrls G % ^gmil AG % ^noleiTA- Nbapgr`sbm bh nlhtr`gxbml gmi gap`nèe`m peus noebrgapolm`nbe hbrtol tolrgpy bh gnutl kgntlr`ge alm`md`t`s- Gmtà`nrbk`ge Gdlmts gmi Nolab!tolrgpy 70?87!?-

Nbmdlm` 70?9 Nbmdlm` KE- Nbapgr`sbm bh nlhbtgxàl gmi trgi`t`bmge tolrg!

py bh kgntlr`ge alm`md`t`s- Gmtà`nrbk`ge Gdlmts gmi Nolabtolrgpy 70?93; Le Hège` CA% Mbum A% Nogc`k G% Vgorgbu` A% Oàa`no O- Nlh!

tr`gxbml vlrsus Zlm`nèe`m D `m tol sobrt tlra trlgtalmt bh alm`mdbnbnngealm`md`t`s `m giuets- Lurbplgm Fburmge bh Ne`m`nge A`nrbk`bebdy gmi @mhln!t`bus I`slgsls 700>3 7;6488!?-

D`rd`s 70?4 D`rd`s M@% Gku Le!Leeg GO% Hgrì V% Tbbiy FM% E`ssmlr N- Nlh!tr`gxbml nbapgrli w`to g nbak`mgt`bm bh gap`nèe`m gmi noebrgapolm`nbe `mtol trlgtalmt bh kgntlr`ge alm`md`t`s `m giuets- Iruds `m Lxplràlmtge gmiNe`m`nge [lslgrno 70?43 _@@@ /?)6904!9 /ûppe-7)6 78!;:-Fgnbks 70?< Fgnbks [H% Tlees YD% ^tllel [T % Pgaguno` Y- G prbsplnt`vl rgmib!

a`zli nbapgr`sbm bh nlhbtgxàl vs gap`nèe`m gmi noebrgapolm`nbe hbr kgn!tlr`ge alm`md`t`s `m noèirlm- Fburmge bh Zli`gtr`ns 70?>-

Agrobua 700> Agrobua le Hègel C- Nlhtr`gxbml vlrsus plm`nèe`m D `m tol sobrttlra trlgtalmt bh alm`mdbnbnnge alm`md`tìls `m giuets- Lur F Ne`m A`nrb!k`be @mhlnt i`s- 700> Bnt3 7;' 7:)6 488!?-

Mgrn`sb 70?> Mgrn`sb Z% Il Abr` Z% D`gmmuzz` [% Ybnn` D% X`snb D- Nlhtr`gxbmlvlrsus gap`nèe`m tolrgpy hbr puruelmt alm`md`t`s `m giuets- Iruds `m Lxplr`!almtge gmi Ne`m`nge [lslgrno 70?>3 @_ /7:)6 474!0-

Zletbeg 70?0 &Zletbeg O% Gmttèg A% [lmcbmlm BX gmi tol H`mm`so tuiy Drbup-[gmiba`sli nbapgr`sbm bh noebrgapolm`nbe% gap`nèe`m% nlhbtgxàl% gmi nlh!tr`gxbml hbr noèiobbi kgntlr`ge alm`md`t`s- Egmnlt 70?03 ?8


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7>?7>?7>?7>?7>?Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

[bir`dulz 70?< [bir`dulz TF% Zu`d F[% Cogm TM% Hlr`s F% Dbei KD% ^tureg N-Nlhtgzìàl vs- stgmigri tolrgpy hbr pli`gtr`n alm`md`t`s6 tolrgplut`n% pogr!agnbebd`n gmi lpìla`bebd`n bkslrvgt`bms- Zli`gtr`n @mhlnt`bus I`slgsls Fb!urmge 70?83< /9)69:?!73 7:>6 7>?!97-Yumnlr 70??- Yumnlr GA- Dur @- Bmnl igèy nlhtr`gxbml hbr alm`mdbnbnnla`ggmi alm`mdbnbnnge alm`md`t`s- Zli`gtr @mhlnt i`s F 70?? Bnt3 4/7:)6 477!>-

7-8 Zrbhègx`s lm alm`md`t`s pbr alm`mdbnbnb

^l lmnbmtrgrbm ;-8:8 lstui`bs% 7: rlelvgmtls% 0 lmsgybs nem`nbs y 7rlv`s`m s`stlat`ng il eg e`tlrgturg-

Ogy < lstui`bs /9 rltrbsplnt`vbs 7 lmsgyb prbsplnt`vb) qul lvgegm eglh`ngn`g y eg mlnlsìgi il gia`m`strgr prbhègx`s- Nbapgrgm r`hgap`n`mg nbmpegnlkb- Yrls il ebs lstui`bs aulstrgm umg rliunn`m ile r`lsdb lm le drupb

qul rln`k` eg prbhègx`s% plrb mb ls s`dm`h`ngt`vg- Lm ebs pgn`lmtl qul rln`k`l!rbm prbhègx`s mb oukb m`mdm ngsb y lm ebs qul mb rln`k`lrbm% sl prlslmtg!rbm 9 g < ngsbs sldm le lstui`b-

Nbm rlsplntb g ebs pgn`lmtls qul rln`k`lrbm plm`nè`mg pgrg su trgtga`lm!tb y mb rln`klm prbhègx`s gmt`k`t`ng le >, plragmlnl nbab pbrtgibr% pbreb nuge sl rlnba`lmig eg prbhègx`s gmtls il sge`r ile eg obsp`tge`zgn`m% lx!nlptb lm ebs pgn`lmtls qul rln`k`lrbm nlhtr`gxbmg% yg qul lstg ls tè pgrglrrgi`ngr ge alm`mdbnbnb il eg hgr`mdl-

N`mnb il ebs lstui`bs nbapgrgm i`st`mtbs gmt`k`t`nbs y lvgegm su lhln!t`vìgi lm eg lrrgi`ngn`m ile alm`mdbnbnb il eg hgr`mdl6

Ibs nbapgrgm nlhtr`gxbmg y r`hgap`n`mg% tgm sbeb 7 hgvbrlnl g eg nlh!tr`gxbmg% le btrb mb lmnulmtrg i`hlrlmn`g s`dm`h`ngt`vg m` lm eg lh`ngn`g /04,y 08,)% m` lm ebs lhlntbs givlrsbs-


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^àabms D% Fbmls M% Ngeilr E- Lqu`vgelmnl bh nlhtr`gxbml gmi r`hgap`n`m `mleà`mgt`md mgsbpogrymdlge ngrr`gdl bh slrbdrbup K Ml`sslr`g alm`md`tì`s- FGmtà`nrbk Nolabtolr- ;::: Fum3 9< /8)6 0:0!77-

^nowgrtz% K- Ge!Ybkg`q` G- Nbapgrgt`vl lhh`ngny bh nlhtr`gxbml gmi r`hgap`n`m `mlrgi`ngt`md pogrymdlge ngrr`gdl bh drbup G Ml`sslr`g alm`md`tì`s- Egmnlt-70?? Fum 93 7 /?0!9-\mb nbapgrg Gz`trba`n`mg y [`hgap`n`mg nbm rlsuetgibs sàègrls% nue!

t`vbs mldgt`vbs g egs ibs slagmgs lm 0> y 0)6 4;?!>7-

Iwbrzgnc IE% ^gmilrs NN% Obrbw`tz LG% Geeg`s FA% ^bbcprgmll A% ^gmilrsTL Fr% Hlrrgrb HA- Lvgeugt`bm bh s`mdel!ibsl n`prbhebxgn`m `m tol lrgi`ng!

t`bm bh Ml`sslr`g alm`md`tì`s hrba mgsbpogrymdlge ngrr`lrs- Gmtà`nrbk GdlmtsNolabtolr 70??3 >; /77)6 749:!7Zurnlee K- ^gaulessbm ^- Lhhlnt`vlmlss bh gmt`k`bt`ns `m rlvlmt`md alm`mbnbnnge

i`slgsl ghtlr g ngsl6 systlagt`n rlv`lw- KAF- e->;?-

7-4 Nbmneus`bmls-

Eg prbhègx`s ls lhlnt`vg% rliunl le r`lsdb lm ?0,-

7-? [ls`stlmn`g kgntlr`gmg6

^l ìlmt`h`ngrbm


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79:79:79:79:79:Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

slrbt`pb N% 94, K% >, T- Le slrbdrupb K hul as hrlnulmtl lm ebs almbrlsil 7 gb y agybrls il 78% le N lmtrl le gb y ebs 7< gbs- Le N sl gsbn` nbmagybr rls`stlmn`g g eg plm`nè`mg nbm umg p=:%::7-

Ngm`ng A% I`gs [% Hlrrl`rg L3 Alm`mdbnbnn` ^tuiy Drbup- Ml`sslr`g alm`md`t`!i`s N6 ;k6 Z7-;%< w`to `mtlrali`gtl rls`stgmnl tb plm`nèe`m% Zbrtudge- Lalrd@mhlnt I`s- ;::9 Agr3 7: />)6 7:>!8-

Ilspus il um krbtl il alm`mdbnbnb lm @tge`g lm ebs etàbs ibs gbs sl o`zb um

lstui`b le hlmbt`pb y sl lmnbmtr qul nbrrlspbmigm ge N% y sl ìlmt`h`nb umnebm nbm kgfg susnlpt`kèìgi g eg plm`nè`mg y getg v`ruelmn`g-Ogmsagm I% Tgt` ^% Egwrlmnl G% Yurmìdl F Ogvl ^buto Gustrge`gm `sbegtls bh

Ml`sslr`g alm`md`tì`s klnbal elss susnlpt`kel tb plm`nèe`m% r`hgap`n`m gmibtolr iruds2 G stuiy bh strg`ms `sbegtli bvlr torll ilngils% 7047!7000- Zg!tobebdy- ;::9 Gpr3 >8 /;)6 78:!9 /7)6 77!>- [lge`zgib lm Yurqug% slrlnbd`lrbm aulstrgs il >: pgn`lmtls iurgmtl um gb% lmnbmtrmibsl susnlpt`!

kèìgi i`sa`muìg lm le 9>, g eg plm`nè`mg-Grrlgzg E% ^genlib N% Gengeg K% Xgzqulz FG- Togt gkbut gmt`k`bt`n rls`stgmnl `mMl`sslr`g egntga`ng2 F Gmtà`nrbk Nolabtolr- ;::; Agr3 90 />)6 N`zagm A% Duk`mg A% Zgrgd` A% Klbv`n K% Elsm`ngr D- Alm`mdbnbnnge i`slgsl `mêbvlm`g /700>!7000)6 slrbdrbups gmi susnlpt`kè`ty tb gmt`k`bt`ns- êbvlm`gmAlm`md`t`s ^tuiy Drbup @mt F Gmtà`nrbk Gdlmts- ;::7 Fgm3 74 /7)6 ;4!>7-?< pgn`lmtls lm um gb%


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Gmlxb ;- @M - [li mgn`bmge il egkbrgtbr`bs il a`nrbk`bebdg /0)

EN[

;-7 Altbibebdg ut e`zgig pgrg le prbnlsga`lmtb ile EN[l ìlmt`h`ngn`m il Ml`sslr`g alm`md`tì`s

Zrbnlsga`lmtb ile e`quìb nlhgebrrgquìlb /EN[)

g- Bkslrvgn`m

Eg bktlmn`m ile equìb nlhgebrrgquilb ls um prbnlià`lmtb `mvgs`vbqul ilkl slr rlge`zgib sbeb pbr plrsbmge ali`nb nbm lxplr`lmn`g y lm umobsp`tge- Ls umg tnm`ng qul rlqu`lrl il prlngun`bmls sàègrls g egs il um

gntb qu`rrd`nb% nbalmzgmib pbr umg kulmg prlpgrgn`m il eg p`le ile rlgqul sl vg g pumn`bmgr-

k- Lelalmtbs

Le egkbrgtbr`b nem`nb ilkl sua`m`strgr ebs lelalmtbs mlnlsgr`bs pgrg egrlnlpn`m il eg aulstrg

Ibs tukbs il tgpg il rbsng lstr els

n- Ybag il eg aulstrg

Eg aulstrg ilkl slr tbagig kgfb nbmi`n`bmls il gslps`g

Nbebqul eg aulstrg lm ibs tukbs il tgpg il rbsng lstr els \m tukb nbm um amàb ibs aE slr utè`zgib pgrg le lxgalm kgn!

tlr`bed`nb

\m tukb nbm um amàb 7 ae pgrg le lxgalm n tbqua`nb-

i- Yrgmspbrtl il eg aulstrg

Eg aulstrg ilkl slr trgmspbrtgig ge egkbrgtbr`b s`m ilabrg y prbnlsgig`mali`gtgalmtl% ilkìb g qul egs neuegs sl ils`mtldrgm rpìgalmtl% egilabrg lm le prbnlsga`lmtb pulil prbiun`r um rlnulmtb il neuegs qul mbrlhelfgm eg s`tugn`m nem`ng ile pgn`lmtl-

Gsa`sab% ls lslmn`ge% le trgmspbrtl `mali`gtb il eg aulstrg ge egkbrgtb!r`b pgrg su prbnlsga`lmtb puls gedumbs a`nrbbrdgm`sabs lx`dlmtls nbabMl`sslr`g alm`md`tì`sp`lrilm su v`gkèìgi rpìgalmtl-


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79;79;79;79;79;Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

Eg rlhr`dlrgn`m ile EN[ lst nbmtrg`mi`ngig ilkìb ge lhlntb eltge ile

hrb sbkrlOglabpoèus `mheulmzgl

yMl`slr`g alm`md`tì`s

% a`nrbbrdgm`sabs qulnbm hrlnulmn`g ngusgm alm`md`t`s-

l- Zrbnlsga`lmtb

\mg vlz rln`kìg eg aulstrg ilkl prbnlsgrsl gs6

Nlmtr`hudul le EN[ pbr 7< a`mutbs g 7:-::: rpa% b pbr ;: a`mutbs g

o- Iltlra`mgn`m il eg gmt`dlmla`g

Le sbkrlmgigmtl sl utè`zg pgrg rlge`zgr egs prulkgs `maumbed`ngs nbabeg nbgdeut`mgn`m y eg gdeut`mgn`m il pgrtnuegs il etlx- Eg utèìgi il lstgstnm`ngs rgi`ng lm ebdrgr um i`gdmst`nb prlsumt`vb prlnbz pgrg `m`n`gr umgtlrgp`g gmt`k`t`ng-

Lx`stlm i`hlrlmtls prulkgs `maumbed`ngs pgrg eg iltlra`mgn`m il eggmt`dlmla`g% nbab eb sbm egs prulkgs il etlx y il nbgdeut`mgn`m- Nbm


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Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [Zrbdrgag il Gpbyb g eg [lhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"Zlhbrag il ^geui"ZG[^G[^G[^G[^G[^ A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge A`m`stlr`b il eg Zrbtlnn`m ^bn`ge79>79>79>79>79>

lstgs prulkgs sl iltlra`mgm gmtdlmbs n`rnuegmtls il ebs pr`mn`pgels gdlmtls

lt`bed`nbs il eg alm`md`t`s-Eg nbgdeut`mgn`m sl kgsg lm eg ngpgnìgi il eg prbtlmg G il eg suplrh`!n`l ile ^tgpoyebnbnnus gurlus nlpg Nbwgm% pgrg um`rsl g eg pbrn`m Hn il egs`maumbdebkue`mgs- ^l prlpgrg nbm rlgnt`vbs lsplnh`nbs% gi`n`bmgmib g egnlpg Nbwgm il ^tgpoyebnbnus gurlusgmt`nulrpbs abmbnebmgels i`r`dìbs nbmtrgebs pr`mn`pgels gdlmtls lt`bed`nbs il egs alm`md`t`s6 Oglabpoèus `mheulmzgl%Ml`sslr`g alm`md`tì`s% ^trlptbnbnnus pmluabm`gl% ^trlptbnbnnus gdgegnt`glyLsnolr no`g nbe`-

Eg prulkg il etlx utè`zg pgrtnuegs il etlx slms`kè`zgigs nbm gmt`nulr!pbs abmb b pbe`nebmgels i`r`dìbs nbmtrg ebs a`sabs gdlmtls-

Ebs rlgnt`vbs pulilm lapelgrsl pgrg eg iltlra`mgn`m il eg gmt`dlmla`g lm

le EN[ b pgrg eg ìlmt`h`ngn`m il ebs gdlmtls lt`bed`nbs g pgrt`r ile nuet`vb-Le prbnlià`lmtb sl eelvg g ngkb s`du`lmib lstr`ntgalmtl egs `mstrunn`b!

mls il eg ngsg nbalrn`ge /I`gdrgag 7-7)-

I`drgag 7-7-

I`gdrgag il heufb pgrg le prbnlsga`lmtb ile EN[


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;-; Altbibebdg ile egkbrgtbr`b

g- Ali`bs il nuet`vb

Gdgr sgmdrl nbrilrb6 gdgr tr`pt`ngsg sbyg nbm lxtrgntb il elvgiurg # < y V ^lrbsukt`p`h`ngn`m6 nbm eg prulkg il LE@^G lm sgmiw`no% nbm gmt`sulrbs6

/[@XA Obegmig)3 eg elnturg sl ognl g ibs ebmd`tuils il bmig /9

Le lstunol il [@XA t`lml ebs gmt`nulrpbs abmbnebmgels il ebs slrbt`pbs67% ;g% ;k% 9% 79% 7< y ebs sukt`pbs6 Z7-7% Z7-;% Z7-9% Z7-


39/44



40/44


Lmvleb ge egkbrgtbr`b il elhlrlmn`g fumtb nbm le hbragtb il mhbragn`m

utè`zgmib um tr`pel lapgqul y s`du`lmib egs rlnbalmign`bmls il k`bsl!durìgi

Iè dlmn`l gilnugigalmtl le hbragtb-


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K`ke`bdrghg

7- @mst`tutb Mgn`bmge il ^geui- ûki`rlnn`m il X`dègmn`g y Nbmtrbe lm ^geuiZke`ng- @mhbral il v`dègmn`g y nbmtrbe% Nbebak`g- ;::9-

;- [bslmstl`m M% Zlrc`ms K% ^plpolms I% Zbpbv`n Y% Oudols F- Alm`mdbnbnngei`slgsl- M Lmde F Ali ;::73 >996 7>4?!7>??-

>- Fgfbscy [G% Drbslnebsl ^- Lvgeugt md bh rlpbrt`md tàle`mlss b puke nolgeto survlèegmnl systlas hbr mhlnt`bus i`slgsls- KAN Zuke`n Olgeto ;::9696 7!;:-

9- Tleno ^K% Mgile ^- Yrlgtalmt bh alm`mdbnbnnge `mhlnt bms- Grno I`s Noèi;::>3 ??6 8:?!879-

3 0:6 4;!?>-8- Ygpplrb FT% [lpbrtlr [% Tlmdlr FI% Tgri K% [llvls A% A`sskgno Y% lt ge-Alm`mdbnbnnge i`slgsl `m ebs Gmdlels Nbumty% Nge`hbrm`g% gmi gabmd alm `mtol nbumty fgès- M Lmde F Ali 70083 >>>!?9:-

4- Tgeso Z% Ilnlum`mnc D% Kbue`gmml M% Il ^lrrls D- Lhhlnt`vlmlss bh g agssàaum`zgt`bm ngapg`dm us`md slrbdrbup N alm`mdbnbnnge nbmfudgtl vgnn`ml-

FGAG ;::93 ;0;6 ;907!;909-?- Alm`mdbnbnnge @mhlnt`bms- [li Kbbc3 ;::>6 9>:!9>8-0- Goegwgt ^% Cuagr [% [by Z% Xgrag ^% ôgrag KC- Alm`mdbnbnnge alm`md`t`s

butkrlgc nbmtrbe strgtld`ls- F Nbaaum I`s ;:::3 >; /9)6 ;89!;49-7:- M Zgtogm% ^ M Hgust gmi A Elv m- Zgtobpoys`bebdy bh alm`mdbnbnnge al!

m`md`t`s gmi slpt`ngla`g- ;::>3 ??3 8:7!8:4 Grno- I`s- Noèi-77- Xgm Ilurlm A% Krgmitzgld I% Xgm Ilr Allr7F- \pigtl bm Alm`mdbnbnnge

I`slgsl w`to Lapogs`s bm Zgtobdlmls`s gmi Ne`m`nge Agmgdlalmt- Ne`m`ngeA`nrbk`bebdy [lv`lws% Fgm- ;:::3 7> /7)6 799!788-

7;- Agr`b GN% Dut`rrlz L- Alm`md`t`s Kgntlr`gmg- Lm6 Lsp`mbsg L% Iumbylr N%lis- Mlurbpli`gtr`g- Gsbn`gn`m Nbebak`gmg il Mlurbebdg- Kbdbt I-N-%Nbebak`g- ;::7-

7>- Beld B- Kèucog% [bslmstl`m% Mgmny- Zrlvlmt`bm gmi Nbmtrbe bh Alm`mdb!nbnnge I`slgsl- [lnbaalmigt`bms bh tol Giv`sbry Nba`ttl bm @maum`zgt`bmZrgnt`nls-

79- Elw`s [% Mgtogm M% I`grrg E% Klegmdlr H- Yàley iltlnt`bm bh alm`mdbnbnngealm`md`t`s lpìla`ns `m Ghr`ng- Egmnlt ;::73 >


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79?79?79?79?79?Dugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ngDugs il prbabn`m il eg sgeui y prlvlmn`m il lmhlraligils lm eg sgeui pke`ng

78- Krunl A% [bslmstl`m M% Ngppgrleeg F- [`sc hgntbrs hbr alm`mdbnbnnge i`slgsl`m nbeeldl stuilmts- FGAG ;::73 ;?86 8??!80>-

74- Zlrc`ms K- Mlw bppbrtum`t`ls hbr prlvlmt`bm bh alm`mdbnbnnge i`slgsl- FGAG;:::3 ;?>6 ;?9;!;?9>-

7?- Ogrr`sbm E% Zgss A% Almilesbom G% ldr` A- @mvls`vl alm`mdbnbnnge i`slgsl`m ibelsnlmts gmi fbumd giuets- FGAG ;::73 ;?86 809!800-

70- ^mgpl A% Zbeegri GF- Ambmadbnbnnge pbeysgnngrìl prbtl`m nbmfudgtl vgnn`!mls- Enlt @mhlnt I`s ;::< 3 < /7)6 ;7!>:-

;:- Igmz`md E- Alm`mdbnbnnge vgnn`mls- Zli`gtr ns @mhlnt I`s F ;::93 ;>6 ;?

butlr alakrgml prbtl`m alm`mdbnbnnge vgnn`mls6 g rgmiba`zli nbmtrbeelitr`ge `m Noèl- FGAG 70003 ;?76 7- Dug prnt`ng il vgnumgn`m- ^bn`ligi Grdlmt mg il @mhlntbebdg Zli`tr ng-;9- Olgey% N Agry AI &3 Kgclr% Ngrbe F- AI # Yol Huturl bh Alm`mdbnbnnge

Xgnn`mls- Zli`gtr`n @mhlnt`bus I`slgsl Fburmge- ;9 /;)6 74

tàl `mtlrvge hbr rlnbvlry bh nlrlkrbsp`mge heuì pgtobdlm ghtlr pgrlmtlrge gm!t`k`bt`n prltrlgtalmt- Zli`gtr`ns ;::73 7:? /;?6 7>>0!7>9?-;4- Kgltodlm EH% Abrgels N% Tlìe`no E- I`rlnt!tlst ZN[ hbr iltlnt`bm bh alm`m!

dbnbnnge IMG gmi `ts slrbdrbup nogrgntlr`zgt`bm- Fburmge bh Ali`nge A`nrb!k`bebdy /;::>)% !400-

;?- Hrgslr G% Dghtlr!Dvè` G% El`kbv n` E- Gmt`k`bt`ns hbr prlvlmt`md alm`mdbnbn!nge `mhlnt`bms- Yol Nbnorgml e`krgry% @ssul 76 ;::0 /7 Mbvlaklr)

>:- Fgèsbm K Nbrrl`g gmi N G Ogrt- Alm`mdbnbnnge i`slgsl- @mhlnt`bus i`slgsls-Agy ;::9-

>7- Mbrdgri K% ^brlmslm OY% Flmslm L^% lt ge- Zrl!obsp`tge pgrlmtlrge gmt`k`bt`ntrlgtalmt bh alm`mdbnbnnge i`slgsl gmi ngsl hgtge`ty6 g Igm`so pbpuegt`bm!kgsli nbobrt stuiy- F @mhlnt ;::;3 9


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>;- Noguiour` G- Gifumnt`vl ilxgaltogsbml trlgtalmt `m gnutl kgntlr`ge alm`m!d`t`s- Yol Egmnlt Mlurbebdy ;::93 >6 >>- Nbolm% Fbmgtogm H[NZ% Zgto Alm`mdbnbnnge i`slgsl gs g abile tb lvgeugtlmbvle gmt`!slps`s strgtld`ls- Nr`t`nge Ngrl Ali`n`ml- ;? /0) ^uppelalmt6 ^89!^84% ^lptlaklr ;:::-

>9- Krgoa Dbeistl`m% AI3 Krltt D`rb`r% AI- @mtlrmgt`bmge pli`gtr`n slps`s nbm!slmsus nbmhlrlmnl6 Ilh`m`t`bms hbr slps`s gmi brdgm iyshumnt`bm `m pli`gtr`ns&Zli`gtr Nr`t Ngrl Ali ;::< 8- /Mb) 7-

>>;!4>>-

>8- ottp6""sgeuibnupgn`bmge-um`vgeel-liu-nb"mbrags-ota


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guía para la atención de meningitis meningocóccica

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