%PDF-1.4
%
2 0 obj
<>
endobj
33 0 obj
<>stream
2024-03-29T02:12:10-07:00
2024-03-29T02:12:10-07:00
2024-03-29T02:12:10-07:00
uuid:c7979332-1dd1-11b2-0a00-7308275dc400
uuid:c7979335-1dd1-11b2-0a00-810000000000
application/pdf
endstream
endobj
1 0 obj
<>
endobj
3 0 obj
<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>>
endobj
8 0 obj
<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>>
endobj
13 0 obj
<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>>
endobj
18 0 obj
<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>>
endobj
23 0 obj
<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>>
endobj
28 0 obj
<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>>
endobj
45 0 obj
[47 0 R]
endobj
46 0 obj
<>stream
q
568 0 0 790 0 0 cm
/Im0 Do
Q
BT
/T1_0 1 Tf
10 0 0 10 500 15 Tm
( )Tj
0 0.48627 0.77255 rg
-7.22298 0 Td
(www.jrheum.org)Tj
0 g
-16.72996 0 Td
(Downloaded on March 29, 2024 from )Tj
ET
endstream
endobj
31 0 obj
<>/Filter/CCITTFaxDecode/Height 3295/Length 98496/Name/Img6/Subtype/Image/Type/XObject/Width 2368>>stream
z+!Y'h&Me2T[jgX|;]<cj4Xb~D"q?6k߬n)h[ˇTf+0sVw"Km~G$Gg#sXxo!:2ȜR>la5" L,zs!paFmiuF4P3fxf3˚ 0ƚz̄(zLey!_6D0g#ڗY%3Ls%4r+ci>gc\UgH/
5RCIrts4"ta=d }BOU,z44AL'
(T<kɽ}]'Iޛƞpki*h0!
ªhXD;Ҿ&.|ZK[{u*&-w.4\闐}uе wr?}]ޟUk}i[q^a9\gNiz_xvpHxl?}A\7_+cwU%/NyW;
:?/u{Xl7q+h|5S*/a^S[A`}xl{_^?}mz_]}9//i^[V_0LZ}/UkwWm!ݧKK?$yud~2lxEwZpds}T_oU]}tߑڧ;zaHi,ll =4k.SjV+\KL/V ,VhZ
I;L ii46!A
J8=niL&!S
Fa4Ş,Z3B4T"t*iivTfIBZ*|DDDDDTj;IaNl9M-B""_)DOG]bv[3^CIAaA<ם fb0ơ
=P
* |@: TZMAӶ2|4T":0G A4XAFxWA7IjV{=Al@16yt(?It_t:Z\ۅ))ҺoK_uWu)-5b#2)w-' Gqq},¬Α/8"Q(Pv3MuAV
ќ5ШyqҖ<8rڪ+ 6iqR)zuG'#13y6aA5jfe,GhFqK4=-J,h=)3B$у3b8( gD.Aha? UNhsG`YCD2t}.̏#c>wG|a8HTлCL!iThhDabM'tӾ$,
<=z0a0CA]!iEn#hi\4k1
= )Ιwwuv;E*,v.{]^Eޘlkh=?Pli6&҅ߤӻt? ދonq:;)QL:?N7Oo_#)_OЎv֫a>n}R?Gz?q9CUo^Wx&t»Wm㿏οG~_>?ㄿn4KbDt꾒/m~l3T?CLQ֕
+o__37]_'֒v*+ '=kG._zw/VUdrPwMXjڽ[%]jƱ(j qQ]VE&{VՆk=. ozZFqƚ` ڤo$ڍAItpAQIUnmmVدXM8IA
6!;jk&VA\Z*a"#`qKV$Oj('IvI'$*ki]G!DDDDhRH&s$VG&A:6
iyfB
a~_Cl&H""""#""8S`hEM5Wb*#/C Xaxv{ zp`
C0 02DW 21H`Dt)>kcEl0DDSӡA
QAMB)*j5:D)Wicz.![9 0fP,%UEic֛0B0܈='I:mRxVjw% ҧ~u kȚ|S-enw/ZZ_1tT~u-"g /^W_OQ}g3L0fcD[h!_cvY[fh?avW^KջKMOgqzLU=7_R}oފW~ :Uw`QI~u%u%~EljƱLT7 |Vﶿީ6-}'|5JziD8bOuUv8(Nj?]l/)ߥ(0ZQipؤi#Ci;dh4ڵz-S
A!M㰔V6*N)L0faViJ=)'Mj
i)a0GT]&`P.K"""""*Yh́s)9nGnfg+vTi*qML300Aš" *[P0ACt^!DpMUCJD }[32M ޝ%Qp^junDYH
C2+#*'|d3m#Ac32ATn><`qAB
0a0A8ITdET|!<azOH8AA0A84PVHMyK0'%hXOk*icj=kiDzh9.'oEч%\ Kj*'AX&p!x'n4N>tsrwѻ64(.oJ6&V[ZR2#;M4X H<֜44>h'8i&']
jZ_N]ÈLNn7UgI_[m-xKkƽ.խ#uk
wjDmMmtj]_Ɵߗa"ߤhޖniF:_o'k=:$_J^"x8{g'}+8Kק^3FwJBGwcPuE#<#La0_ZL!|/._~k_ι<ͲD|ff3A3ˑqA41*FTLK^ZI|^?;T9tˣf%sR?0@l"'i4O`hjt*&;
cK#>_h&'z_^ޖ!
7]>I A4ËAM?X
`I!sE
ۨNmknt_4>W]i!iV>{vwc
vNۊ8e& ݥӇIô{iuOSGkMuu?^&>|i;&9NMЇ8e]_#M
MdqiJ4_tlO3[_]봛I~]M/{O~__UתC}xaUXuKa[][uIث]WbدE?#G8?%_K5_Am+ai|vzԈz.aR+AK!amZ^[~f?KZޒv 5<aK?A P a33e}fd?o+/#=o_ꖿSB""9*!""""""""#٢
+3߬oJ+kuѿUU1zZ_[jqWu.Ǯ_U/[0t[iv}TM:Jv
zWr ^w鱶_lRUIb^&!Hh4+a}U!V˭ uw]iV\U0,
bdc;aizRm4
!I:i-;M0T"#Jb;4BH48!-i60xA0 $ NiAH=
5t&
A0>1l0L0A`eH3"8GPTزI-.5;дl(A`"1j"-NM#2&Zr