%PDF-1.5
%
1 0 obj<>
endobj
2 0 obj<>
endobj
3 0 obj<>
endobj
5 0 obj null
endobj
6 0 obj<>
endobj
7 0 obj<>
endobj
8 0 obj<>>>
endobj
9 0 obj<>
endobj
10 0 obj<><>]/C/SpdrArt/P 9 0 R/S/Article/Pg 11 0 R>>
endobj
11 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 0>>
endobj
12 0 obj<>/Subtype/Link/A<>>>
endobj
13 0 obj<>/Font<>>>/DA(/Helv 0 Tf 0 g )>>
endobj
14 0 obj<>
endobj
15 0 obj<>
endobj
16 0 obj<>
endobj
17 0 obj[12 0 R 20 0 R 21 0 R 22 0 R]
endobj
18 0 obj<>
endobj
19 0 obj[10 0 R]
endobj
20 0 obj<>/Subtype/Link/A<>>>
endobj
21 0 obj<>/Subtype/Link/A<>>>
endobj
22 0 obj<>/Subtype/Link/A<>>>
endobj
23 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 1>>
endobj
24 0 obj[10 0 R]
endobj
25 0 obj<>/Subtype/Link/A<>>>
endobj
26 0 obj[25 0 R]
endobj
27 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 2>>
endobj
28 0 obj[10 0 R]
endobj
29 0 obj<>
endobj
30 0 obj<>
endobj
31 0 obj<>
endobj
32 0 obj<>
endobj
33 0 obj<>
endobj
34 0 obj 8635
endobj
35 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - Ziagen - abacavir Information)Tj
ET
EMC
/WebCaptureBG BMC
/WebCaptureFN <>BDC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
10 766 m
501.422 766 l
500.422 765 l
11 765 l
h
f
10 766 m
10 687.2 l
11 688.2 l
11 765 l
h
f
501.422 766 m
501.422 687.2 l
500.422 688.2 l
500.422 765 l
h
f
10 687.2 m
501.422 687.2 l
500.422 688.2 l
11 688.2 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0 0.50197 0 rg
16 726 479.422 34 re
f
0 0 0 rg
15 761 m
496.422 761 l
495.422 760 l
16 760 l
h
f
15 761 m
15 725 l
16 726 l
16 760 l
h
f
496.422 761 m
496.422 725 l
495.422 726 l
495.422 760 l
h
f
15 725 m
496.422 725 l
495.422 726 l
16 726 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
1 1 1 rg
16 693.2 479.422 26.8 re
f
0 0 0 rg
15 721 m
496.422 721 l
495.422 720 l
16 720 l
h
f
15 721 m
15 692.2 l
16 693.2 l
16 720 l
h
f
496.422 721 m
496.422 692.2 l
495.422 693.2 l
495.422 720 l
h
f
15 692.2 m
496.422 692.2 l
495.422 693.2 l
16 693.2 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.06667 0.06667 0.06667 rg
10 673.2 m
602 673.2 l
599 670.2 l
13 670.2 l
h
f
10 673.2 m
10 36 l
13 36 l
13 670.2 l
h
f
602 673.2 m
602 36 l
599 36 l
599 670.2 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.50197 0 0.50197 rg
18 636.2 576 29 re
f
0.06667 0.06667 0.06667 rg
17 666.2 m
595 666.2 l
594 665.2 l
18 665.2 l
h
f
17 666.2 m
17 635.2 l
18 636.2 l
18 665.2 l
h
f
595 666.2 m
595 635.2 l
594 636.2 l
594 665.2 l
h
f
17 635.2 m
595 635.2 l
594 636.2 l
18 636.2 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 631.2 m
166.24001 631.2 l
165.24001 630.2 l
18 630.2 l
h
f
17 631.2 m
17 585.2 l
18 586.2 l
18 630.2 l
h
f
166.24001 631.2 m
166.24001 585.2 l
165.24001 586.2 l
165.24001 630.2 l
h
f
17 585.2 m
166.24001 585.2 l
165.24001 586.2 l
18 586.2 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
170.24001 631.2 m
595 631.2 l
594 630.2 l
171.24001 630.2 l
h
f
170.24001 631.2 m
170.24001 585.2 l
171.24001 586.2 l
171.24001 630.2 l
h
f
595 631.2 m
595 585.2 l
594 586.2 l
594 630.2 l
h
f
170.24001 585.2 m
595 585.2 l
594 586.2 l
171.24001 586.2 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 581.2 m
166.24001 581.2 l
165.24001 580.2 l
18 580.2 l
h
f
17 581.2 m
17 473.58461 l
18 474.58461 l
18 580.2 l
h
f
166.24001 581.2 m
166.24001 473.58461 l
165.24001 474.58461 l
165.24001 580.2 l
h
f
17 473.58461 m
166.24001 473.58461 l
165.24001 474.58461 l
18 474.58461 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
170.24001 581.2 m
595 581.2 l
594 580.2 l
171.24001 580.2 l
h
f
170.24001 581.2 m
170.24001 473.58461 l
171.24001 474.58461 l
171.24001 580.2 l
h
f
595 581.2 m
595 473.58461 l
594 474.58461 l
594 580.2 l
h
f
170.24001 473.58461 m
595 473.58461 l
594 474.58461 l
171.24001 474.58461 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 469.58461 m
166.24001 469.58461 l
165.24001 468.58461 l
18 468.58461 l
h
f
17 469.58461 m
17 392.98462 l
18 393.98462 l
18 468.58461 l
h
f
166.24001 469.58461 m
166.24001 392.98462 l
165.24001 393.98462 l
165.24001 468.58461 l
h
f
17 392.98462 m
166.24001 392.98462 l
165.24001 393.98462 l
18 393.98462 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
170.24001 469.58461 m
595 469.58461 l
594 468.58461 l
171.24001 468.58461 l
h
f
170.24001 469.58461 m
170.24001 392.98462 l
171.24001 393.98462 l
171.24001 468.58461 l
h
f
595 469.58461 m
595 392.98462 l
594 393.98462 l
594 468.58461 l
h
f
170.24001 392.98462 m
595 392.98462 l
594 393.98462 l
171.24001 393.98462 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 388.98462 m
166.24001 388.98462 l
165.24001 387.98462 l
18 387.98462 l
h
f
17 388.98462 m
17 87.59169 l
18 88.59169 l
18 387.98462 l
h
f
166.24001 388.98462 m
166.24001 87.59169 l
165.24001 88.59169 l
165.24001 387.98462 l
h
f
17 87.59169 m
166.24001 87.59169 l
165.24001 88.59169 l
18 88.59169 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
170.24001 388.98462 m
595 388.98462 l
594 387.98462 l
171.24001 387.98462 l
h
f
170.24001 388.98462 m
170.24001 87.59169 l
171.24001 88.59169 l
171.24001 387.98462 l
h
f
595 388.98462 m
595 87.59169 l
594 88.59169 l
594 387.98462 l
h
f
170.24001 87.59169 m
595 87.59169 l
594 88.59169 l
171.24001 88.59169 l
h
f
EMC
EMC
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
1 1 1 rg
BT
/TT0 1 Tf
20 0 0 20 20 739.42569 Tm
(HIVInfo.us )Tj
10.76923 0 0 10.76923 124.46001 739.42569 Tm
(presents)Tj
0 0 0 rg
14 0 0 14 20 704.39798 Tm
(An HIV Information Site & HIV Educational Resource Site \(HIS & HERS\))Tj
1 1 1 rg
17.5 0 0 17.5 22 646.69748 Tm
(Ziagen - abacavir)Tj
0 0 0 rg
15 0 0 15 22 613.76926 Tm
(General )Tj
0 -1.2 TD
(Information)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 175.24001 612.64783 Tm
(Abacavir is almost always used as one component of a multidrug )Tj
T*
(combination to suppress the human immunodeficiency \(HIV\) viral load. )Tj
/TT0 1 Tf
15 0 0 15 22 523.96158 Tm
(Specifics)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 175.24001 565.14014 Tm
(Abacavir is one of the most potent antiviral drugs. It is generally eas\
y )Tj
0 -1.26631 TD
(to take and very well tolerated.)Tj
/T1_0 1 Tf
14 0 0 14 350.50276 548.77556 Tm
( )Tj
/TT1 1 Tf
12.92308 0 0 12.92308 175.24001 514.04784 Tm
(Abacavir works by inhibiting the formation of HIV genetic material. It \
is )Tj
0 -1.2 TD
(classified as a nucleoside reverse transcriptase inhibitor \(NRTI\) or )Tj
T*
("nuke" for short.)Tj
/TT0 1 Tf
15 0 0 15 22 427.85388 Tm
(Dosing)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 175.24001 453.52475 Tm
(The usual dose is 300 mg twice a day. This may be taken with or )Tj
0 -1.26631 TD
(without food.)Tj
/T1_0 1 Tf
14 0 0 14 248.51384 437.16017 Tm
( )Tj
/TT1 1 Tf
12.92308 0 0 12.92308 175.24001 402.43245 Tm
(Your dose might be reduced if you have kidney failure or weak kidneys.)Tj
/TT0 1 Tf
14 0 0 14 22 307.61543 Tm
(Adherence)Tj
18.75 0 0 18.75 94.35201 307.61543 Tm
( )Tj
/TT1 1 Tf
12.5 0 0 12.5 22 290.43106 Tm
(\(this refers to your )Tj
0 -1.2 TD
(willingness, ability, and )Tj
T*
(actual performance in )Tj
0 -1.29413 TD
(taking your medications\))Tj
/T1_0 1 Tf
14 0 0 14 157.46249 244.25439 Tm
( )Tj
/TT1 1 Tf
12.92308 0 0 12.92308 22 209.56898 Tm
(For further information )Tj
0 -1.2 TD
(and tips on adherence, )Tj
T*
(go to the )Tj
0.50197 0 0.50197 rg
/TT0 1 Tf
(Adherence )Tj
0 -1.38187 TD
(section)Tj
0 0 0 rg
/TT1 1 Tf
( of this site.)Tj
/TT0 1 Tf
11.85785 16.4496 Td
(As with any antiviral drug or antibiotic, try not to ever miss a )Tj
0 -1.22711 TD
(dose.)Tj
/TT1 1 Tf
( If you miss a dose and notice that you have done so within a few )Tj
0 -1.2271 TD
(hours of its scheduled time, you may take the dose as usual and take )Tj
0 -1.26631 TD
(the next dose at its regular time.)Tj
/T1_0 1 Tf
14 0 0 14 359.12247 325.19449 Tm
( )Tj
/TT1 1 Tf
12.92308 0 0 12.92308 175.24001 290.46675 Tm
(Never change the dose of this antiviral medication without speaking to )Tj
0 -1.2 TD
(your healthcare provider first.)Tj
/TT0 1 Tf
0 -2.64313 TD
(If you miss more than one dose, look at the reasons why you )Tj
0 -1.22711 TD
(missed them and come up with a plan to avoid it in the future.)Tj
/TT1 1 Tf
( For )Tj
0 -1.2271 TD
(example, if you fell asleep too early, take the medicine earlier in the \
)Tj
0 -1.2 TD
(evening, with your later meal, set an alarm, or have someone appointed )Tj
T*
(to wake you up for your medicine. )Tj
0 0 1 rg
0 -2.67024 TD
(It is strongly recommended that you use weekly pill boxes and arrange )Tj
0 -1.2 TD
(all of your doses a week in advance. Also buy a small pill box so that \
)Tj
T*
(you can carry a dose or two of your medicines with you in case you are )Tj
T*
(away from home.)Tj
ET
EMC
/Artifact <>BDC
Q
0 0 0 rg
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/abacavir.html \(1 of 3\)1/22/2005 5:18:26 PM)Tj
ET
EMC
endstream
endobj
36 0 obj 5969
endobj
37 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - Ziagen - abacavir Information)Tj
ET
EMC
/WebCaptureBG BMC
/WebCaptureFN <>BDC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.06667 0.06667 0.06667 rg
10 766 m
10 38.58803 l
13 41.58803 l
13 766 l
h
f
602 766 m
602 38.58803 l
599 41.58803 l
599 766 l
h
f
10 38.58803 m
602 38.58803 l
599 41.58803 l
13 41.58803 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 762 m
166.24001 762 l
165.24001 761 l
18 761 l
h
f
17 762 m
17 159.35263 l
18 160.35263 l
18 761 l
h
f
166.24001 762 m
166.24001 159.35263 l
165.24001 160.35263 l
165.24001 761 l
h
f
17 159.35263 m
166.24001 159.35263 l
165.24001 160.35263 l
18 160.35263 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
170.24001 762 m
595 762 l
594 761 l
171.24001 761 l
h
f
170.24001 762 m
170.24001 159.35263 l
171.24001 160.35263 l
171.24001 761 l
h
f
595 762 m
595 159.35263 l
594 160.35263 l
594 761 l
h
f
170.24001 159.35263 m
595 159.35263 l
594 160.35263 l
171.24001 160.35263 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 155.35263 m
595 155.35263 l
594 154.35263 l
18 154.35263 l
h
f
17 155.35263 m
17 77.44601 l
18 78.44601 l
18 154.35263 l
h
f
595 155.35263 m
595 77.44601 l
594 78.44601 l
594 154.35263 l
h
f
17 77.44601 m
595 77.44601 l
594 78.44601 l
18 78.44601 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 73.44601 m
595 73.44601 l
594 72.44601 l
18 72.44601 l
h
f
17 73.44601 m
17 45.58803 l
18 46.58803 l
18 72.44601 l
h
f
595 73.44601 m
595 45.58803 l
594 46.58803 l
594 72.44601 l
h
f
17 45.58803 m
595 45.58803 l
594 46.58803 l
18 46.58803 l
h
f
EMC
EMC
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
0 0 0 rg
BT
/TT0 1 Tf
15 0 0 15 22 551.53789 Tm
(Possible Side )Tj
0 -1.2 TD
(Effects)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 22 516.90875 Tm
(The package insert for )Tj
T*
(most drugs including )Tj
T*
(abacavir is often )Tj
T*
(overwhelming and )Tj
T*
(scary with perhaps an )Tj
T*
(overemphasis on side )Tj
T*
(effects. We have )Tj
T*
(summarized the )Tj
T*
(important and more )Tj
T*
(common problems )Tj
T*
(here.)Tj
11.85785 29.72266 Td
(Most people take abacavir without many side effects. Usually you will \
)Tj
T*
(see a healthcare provider and have blood drawn in the first 2-4 weeks )Tj
T*
(to look for the good effects of abacavir as well as any side effects.)Tj
0 -2.67024 TD
(Possible side effects include mild nausea \(that usually gets better,\) \
)Tj
0 -1.2 TD
(headache, muscle aches, liver problems, or problems with blood cells. )Tj
0 -1.2 TD
(Remember most people will not have ANY side effects.)Tj
0 -2.67024 TD
(Approximately 5% of patients who take abacavir develop allergy or )Tj
0 -1.2 TD
("hypersensitivity" to it. This is a well-recognized and easy to treat )Tj
T*
(situation. )Tj
/TT0 1 Tf
(The allergic symptoms usually consist of SEVERAL of )Tj
T*
(the following that always get worse as you take the drug: )Tj
0 0 1 rg
(fever, )Tj
0 -1.22711 TD
(body rash, cough, diarrhea, and nausea that gets worse. )Tj
0 0 0 rg
/TT1 1 Tf
( These )Tj
0 -1.2271 TD
(symptoms may occur with other problems such as flu, food poisoning )Tj
0 -1.2 TD
(and allergies to other drugs. T)Tj
/TT0 1 Tf
(herefore you should remember to )Tj
T*
(inform your healthcare provider of any of these symptoms that )Tj
T*
(tend to get worse and worse or more numerous as you continue to )Tj
0 -1.22711 TD
(take abacavir.)Tj
/TT1 1 Tf
( )Tj
0 0 1 rg
(It is very important that you do not stop the abacavir )Tj
T*
(unless instructed to by your healthcare provider or someone who is )Tj
0 -1.2 TD
(familiar with abacavir.)Tj
0 -2.67023 TD
(If you have been diagnosed with hypersensitivity to abacavir, you must )Tj
0 -1.2 TD
(never take it again or you may die. )Tj
0 0 0 rg
0 -2.67024 TD
(All drugs of this class can cause or contribute to abnormal fat )Tj
0 -1.2 TD
(redistribution characterized by thinning of the face, arms, or legs. In\
)Tj
T*
(most cases this would be also accompanied by elevated cholesterol )Tj
T*
(levels, elevated triglyceride levels, and perhaps a tendency to develop \
)Tj
T*
(diabetes. Abacavir does not seem to cause these problems very often.)Tj
0 -2.67024 TD
(Rarely, a build-up of \(lactic\) acid may occur due to taking medication\
s )Tj
0 -1.2 TD
(of this type. Persons taking multiple nukes \(NRTIs\), those taking d4T\
)Tj
T*
(\(stavudine, Zerit\), those on the combination of d4T \(stavudine, Zerit\
\) )Tj
T*
(and ddI \(didanosine, Videx\), and those persons with hepatitis C are th\
e )Tj
0 -1.2 TD
(most likely to encounter this rare, but potentially fatal problem. The \
)Tj
0 -1.2 TD
(symptoms are vague but troublesome: nausea, vomiting, muscle aches, )Tj
T*
(weakness, turning yellow with jaundice, and just feeling plain bad.)Tj
1 0 0 rg
/TT0 1 Tf
15 0 0 15 22 137.51529 Tm
(Report to you healthcare provider or go to an Emergency Room)Tj
/TT1 1 Tf
( )Tj
0 0 0 rg
13.75 0 0 13.75 480.42999 137.51529 Tm
(if you have )Tj
-33.34036 -1.26086 Td
(severe side effects, increasing side effects, shortness of breath, abdom\
inal pain, )Tj
T*
(uncontrollable diarrhea, weakness, jaundice \(eyes and skin turn yellow,\
\) muscle pain, skin )Tj
T*
(rash, nausea and vomiting so that you cannot hold down your food and liq\
uids.)Tj
12.92308 0 0 12.92308 22 57.38615 Tm
(You can download this handout in PDF format by clicking )Tj
0.50197 0 0.50197 rg
/TT0 1 Tf
(HERE)Tj
0 0 0 rg
/TT1 1 Tf
(.)Tj
ET
EMC
/Artifact <>BDC
Q
0 0 0 rg
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/abacavir.html \(2 of 3\)1/22/2005 5:18:26 PM)Tj
ET
EMC
endstream
endobj
38 0 obj 506
endobj
39 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - Ziagen - abacavir Information)Tj
ET
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
BT
/TT0 1 Tf
10 0 0 10 10 741.0298 Tm
(1.21.2005)Tj
ET
EMC
/Artifact <>BDC
Q
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/abacavir.html \(3 of 3\)1/22/2005 5:18:26 PM)Tj
ET
EMC
endstream
endobj
40 0 obj(HIVInfo.us - Ziagen - abacavir Information)
endobj
41 0 obj<>
endobj
42 0 obj<>
endobj
43 0 obj<>
endobj
44 0 obj<>
endobj
45 0 obj[42 0 R]
endobj
46 0 obj(http://hivinfo.us/abacavir.html)
endobj
47 0 obj(n$֙@\r6P)
endobj
48 0 obj<>
endobj
49 0 obj<>
endobj
50 0 obj(荓Y=x)
endobj
51 0 obj<>
endobj
52 0 obj<>
endobj
53 0 obj<>
endobj
54 0 obj<>
endobj
55 0 obj<>
endobj
56 0 obj<>stream
HIVInfo.us - Ziagen - abacavir Information
endstream
endobj
xref
0 57
0000000004 65535 f
0000000016 00000 n
0000000159 00000 n
0000000224 00000 n
0000000000 00001 f
0000000392 00000 n
0000000412 00000 n
0000000478 00000 n
0000000578 00000 n
0000000622 00000 n
0000000669 00000 n
0000000792 00000 n
0000000997 00000 n
0000001151 00000 n
0000001275 00000 n
0000001351 00000 n
0000001440 00000 n
0000002631 00000 n
0000002676 00000 n
0000002729 00000 n
0000002753 00000 n
0000002926 00000 n
0000003098 00000 n
0000003265 00000 n
0000003470 00000 n
0000003494 00000 n
0000003664 00000 n
0000003688 00000 n
0000003868 00000 n
0000003892 00000 n
0000003982 00000 n
0000005159 00000 n
0000005333 00000 n
0000006506 00000 n
0000006674 00000 n
0000006695 00000 n
0000015383 00000 n
0000015404 00000 n
0000021426 00000 n
0000021446 00000 n
0000022005 00000 n
0000022065 00000 n
0000022101 00000 n
0000022167 00000 n
0000022196 00000 n
0000022305 00000 n
0000022329 00000 n
0000022378 00000 n
0000022413 00000 n
0000022538 00000 n
0000022589 00000 n
0000022623 00000 n
0000022666 00000 n
0000022707 00000 n
0000022748 00000 n
0000022832 00000 n
0000022954 00000 n
trailer
<<0c043d47cb96d543b305f06b8712c7da>]>>
startxref
26295
%%EOF
1 0 obj<>/StructTreeRoot 7 0 R/Metadata 58 0 R/SpiderInfo 41 0 R>>
endobj
3 0 obj<>
endobj
57 0 obj null
endobj
58 0 obj<>stream
HIVInfo.us - Ziagen - abacavir InformationHIVInfo.us - Ziagen - abacavir InformationHIVInfo.us
endstream
endobj
xref
1 1
0000027590 00000 n
3 1
0000027776 00000 n
57 2
0000028068 00000 n
0000028089 00000 n
trailer
<]/Prev 26295 >>
startxref
31691
%%EOF