%PDF-1.4
%
218 0 obj
<>
endobj
206 0 obj
<>
endobj
205 0 obj
<>stream
2016-03-02T22:10:08+05:30
Arbortext Advanced Print Publisher 10.0.1465/W Unicode
2024-03-28T01:40:54-07:00
2024-03-28T01:40:54-07:00
Acrobat Distiller 8.1.0 (Windows)
application/pdf
doi:;
untitled
uuid:8b0ae62b-3fe0-48f7-8684-2f279f3af840
uuid:b96e26b8-1dd1-11b2-0a00-380018a3f0ff
http://dx.doi.org/
2016-03-02
false
http://bmjopen.bmj.com
2016-03-02
true
http://bmjopen.bmj.com
endstream
endobj
219 0 obj
<>
endobj
119 0 obj
<>
endobj
202 0 obj
<>
endobj
204 0 obj
<>
endobj
220 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/Shading<>/XObject<>>>/Rotate 0/Thumb 139 0 R/Type/Page>>
endobj
1 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 140 0 R/Type/Page>>
endobj
16 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 141 0 R/Type/Page>>
endobj
24 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 142 0 R/Type/Page>>
endobj
32 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 143 0 R/Type/Page>>
endobj
39 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 144 0 R/Type/Page>>
endobj
49 0 obj
<>/Font<>/ProcSet[/PDF/Text/ImageB]/Properties<>/XObject<>>>/Rotate 0/Thumb 145 0 R/Type/Page>>
endobj
55 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 146 0 R/Type/Page>>
endobj
69 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 147 0 R/Type/Page>>
endobj
525 0 obj
<>stream
HWr8}WQܲhUy'YOJMmS[4KK{ 8&(hts7koޜ.ٿ ,Dnh37?DiVvtw4S֙$vɴ ~ `2ݗg.LAJtf㸴(Zz#|,{
ns/>.(jrk]K9oOOߗpGpx6n_rqX>ݪL敬No}:]:s_Oe: oBMP`NWίο,ί"->ČM8v.,0)YSCJ7:9pSOE/F>F?/cOj-W ]knO".u5 ̴TbWw
p' ynU7u}\1BKpRaLDǐ& +;Ai0Ag8uH:)$8,O#<|қ06f#0\SB|ꍾ$ +855gEh2JK$l}#vZb䤨2KHZafd sU!K7^IV9s=-"O./5),n%oY">j1zd9]"ƛ]D}@@d F9>Lf?Y|>Pp:J2 "+1nm1ljR)c0qHlmHPRJZO1M6LC!f4k{+rPh`WiԿq7A,SEðEޟU]o7D '6I̔.{Yab.CHumF튿T[Mߗ-A$lWe]|Uų2Aw( Z"jzҖD55}Hzs@Vmzz^ofՐ\d+%gZ_^@DJn-`(~ʕ~}$Z>9vciSl||a}/PDgL0^܌C~)'ޥ24FLԫ.оDW%aÁvq@ ć3U e.VFDBpVΊf@48eeQc'G!1ׅ
0zGFB3}`G*Bב'
Qq9Y7⽋3L_
8y/Q[хQ#х4K 8[1.XfS#Pg|R}>;cYޓy>fѱɯ͎"OM:xd . z:XX X'bl$ba,mZ<i=T ?oj9W=T*dl[2_Pj [s<D<'ng0]bְoAƯL|RpM+C¶WKG?_sQůR/>l]tuJsQؗꍴyS{3D4,0tEt(mZ,]LɚpM
ޟ02T=F;|h/ *8NA[-@ݷ34C 4l"*H9xH:~4dA .ӵI]Hg-`桍T3Gd5&-8⸣mt@$,"V_N|0c(`%xjrP:kf=BupPVLl OB]80Upd<Rr>8bLĝ@j=Wl@
@Ddzi}VCƼxk"YsDwM7tWZ}0tUy-UaƲmC$xBd"X{
9Ff( ۟xzA?3,?"sƢ`L/&0 aMq/t[,g
~_,Np<'a-~x"/96MCU߷
XR`إup,x
Ĩ @~g*jr=X;$!Z[p0{dnf҄To6^myVFh^j<ᙱ=p1hjUMpe9k<,ꟹJKAMg貐9A3^\~eC$=|jR7̭
]po.qSJfUK5HxLne([c23+f8%pY2䋫־ Qn;Or7#')/,[+㥞X;821m9a]}'ttTJ`U&Da7JBbCiVJV/YiCбLgJgݸs1|-@x$À?C1\6"W)Jrt,OI%ѕtHMU4ӺcvȠLѸ_n
aYj0XxS#J[36?|.>:aٍNiOcͻnUe|'|/WZ`Oq `0_eMmcY}~E*,k_<SĐ i
Cbk%$ο{%tWF]η)J^xCz|h۪N&@aXL$=S!
$s+Y3X !O4N.XpjDz'alwx{Qm8R*Ў7U"BܝH}zЮOXˬ]0ӻmr?0Cp`b#z@&DhD1maiٸ&Oax {4`{-yzQ/4tf)אw8X=!A=`^H{Fq=9I]^%혁4'/;thb|yy,Pt{B%ދp=
!s6 $y0ȮKH9)hEA0'p#/Y1Y!xLdjr0f6glӑx>]^Ā,嗇+y;&4Kj'r®Φ)χТ*9QTd a7FQk7~YH?&WՔfb!xUUa7,R̴[ӁŒ{wȃ)-"}@
4O5g_b6pk:wihvHOs90j
l*݈c sRȡe#xR5}|Q c^\Z_N4.p"?f^T2DKp8)Aƈ~0=TT2teSadu6W$B4%{ \-_v'EAD&RP?4(P-{u`D?C1oTojÁmi1z@5rDUZQ6鶤#J-p1xE/DgV׆-a1E"1zmQ2Y5څrt1~lhض5h\߯rTW"ۅYL ]YJA3Ppn%A/P`
{JPd 4|>qMkRB@`|sC /U=uo N,إeRR\p5Xbn^V*xUϨ 73!F,OE>_g
Xcut-mE:bamv3C
~㋒W
ݜԖns>+R
H
{+1Q¡'R *XBld [+mn*Qf0.!RY3,f!ϏCsyd"J#O$jdΠ+9ӨUH6;sa2}Co]JQf :IHHA FouLWI+9nq s:!9;&]#D,)/{B#Ȣmf:sp4kc2_cOVU^p#ko3i8!8FR&m&qێش|Ş:œ,'BӜ\OI}$jY>w<h4xְ_mm݁{Qqm*8:
W.s TTx(DoCsr2&Q`.#wIC|H eX
I:⠵%YZy.9[ʒm5RZG VZ Ry;tLxL3Vk
ͮ݃O
oh{<އHzoFv[QMO/˪U LiZU}>UU^(e5R[ FA" )4[]pр!*j=v<+`V!$-+jW,΄"Иņ~Z\iXĉM_߮QfBB?
=pKotd*π6g_yzp&*1jDWT.:W1bU%#;G_H %ץ052{9!*뢑_+/i`cIR(Q8(P45,Rar^J[EԶ<&Bڜ,06="J
~oHJ`x ~͒0lyu%;S(b㷑bS O1m-cY gNJh#da1AhmKmvb쐈-e|8y0|2_O^?) d,Vgu&.Pxq*Ωv8VJoJ3qwCHgfeQfxy䶎GˮḁL?),wjb' 1,aV`taKbz\NO
BT_ȥfৰLO5
5Rm^m,̈́4x4i*R-B r7+ӣNg`Y&NtٸFcE>)>6[lɣQMm z_"E;FRn:Ee-mݏ}3CJ\n\4^μ7&ݥ./TOs 2¼ͦɐAWV$t%hNZοsq.XB"iFnAt$Px$B|!@x©،oÚt@8mG}c2+]
1ta@Cv!pbĺZ faL^
m'*;B)Y6bYMw>,I]!t+s(& ZWƒ0be|:ʓnq7/zf8nD镜^t˵87/!yy:TlvҕQ,$N+labg0L ^/8kLWn*C,Ά!=u_G;S*|A\B'B{鵽ԇDkwo0ume>C̷3)8[uwSeC U+&Z".=[Fz_k3 #
18DKԦݎN>yeR!p/U|#2/h o%Nܤ]N!IDv$Ɖ.QYtVPe_tȂ:Xo0ST4 7kQPeN,h[N]pPҌ ?wg3uW0ށI+X]{":<-S5_T(VvZ"~B/c(Pk