Oncology Pharmacy Eligibility Requirements Examination Content
Transcription
Oncology Pharmacy Eligibility Requirements Examination Content
Ambulatory Care Pharmacy I Nuclear Pharmacy I Nutrition Support Pharmacy I Oncology Pharmacy I Pharmacotherapy I Psychiatric Pharmacy Oncology Pharmacy Oncology pharmacy specialists recommend, design, implement, monitor and modify pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. The Board Certified Oncology Pharmacist (BCOP): ► Provides evidence-based, patient-centered medication therapy management as an integral part of an interdisciplinary team; ► Provides direct patient care including treatment assessment and monitoring for potential adverse drug reactions and interactions; and ► Serves as an authoritative resource on the optimal use of medications used to treat individuals with cancer. Eligibility Requirements ► Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S. that qualifies the individual to practice in the jurisdiction; ► An active license to practice pharmacy in the U.S. or another jurisdiction; ► Completion of four (4) years of practice experience with at least 50% of time spent in oncology pharmacy activities; or completion of a specialty (PGY2) residency* in oncology pharmacy plus one (1) additional year of practice with at least 50% of time spent in oncology pharmacy activities; and ► Achieving a passing score on the Oncology Pharmacy Specialty Certification Examination. *Effective January 1, 2013, only residencies accredited by the American Society Examination Content ► Domain 1: Clinical Skills and Therapeutic Management (60% of the examination) ► Domain 2: Generation, Interpretation, and Dissemination of Information (20% of the examination) ► Domain 3: Guidelines, Policies, and Standards (15% of the examination) ► Domain 4: Public Health and Advocacy (5% of the examination) Recertification Recertification for Board Certified Oncology Pharmacists (BCOP) is required every seven years and can be accomplished by: ► Achieving a passing score on the 100-item, multiple-choice objective recertification examination, based on the content outline of the certification examination; or ► Earning 100 hours of continuing education credit provided by the professional development program offered by the American College of Clinical Pharmacy (ACCP) in conjunction with the American Society of Health-System Pharmacists (ASHP) and the Hematology/Oncology Pharmacy Association (HOPA). Why Are Special Skills Critical? The skills of a Board Certified Oncology Pharmacist (BCOP) are critical today due to the increasing number and complexity of drug therapies to treat and prevent cancer. The narrow therapeutic index of anticancer therapies requires unique knowledge and expertise in managing disease-related and drug-related adverse events or clinical situations not encountered in other disease states. of Health-System Pharmacists are creditable for this purpose. A Future opportunities will come to pharmacists who can objectively demonstrate they have the knowledge and experience in place for complex medication management. Board certification allows me to offer patients the most advanced level of pharmaceutical treatment. Being a Board Certified Oncology Pharmacist is important so that the highest standards for specialty-level knowledge and i skills are met to enhance patient care. —Susan Goodin, PharmD, FCCP, BCOP Associate Director, Clinical Trials and Therapeutics —Susan Phy, PharmD, BCOP The Cancer Institute of New Jersey Professor of Medicine Scotland Health Care System Laurinburg, NC UMDNJ/Robert Wood Johnson Medical School 2012 Chair, Board of Pharmacy Specialties Which Pharmacists Are Uniquely Qualified? Board certification through BPS has become recognized as the gold standard for determining which pharmacists are qualified to contribute at advanced practice levels. Through the rigorous standards mandated by BPS board certification and recertification, the specialty-credentialed pharmacist stands out as the most qualified to take on today's expanding professional expectations. BPS Certification Benefits PEER TO PEER RECOGNITION; PERSONAL, FINANCIAL ADVANCEMENT Differentiate and affirm your knowledge and skills to: ► Provide more comprehensive and complex care and be prepared to step into pharmacy's evolving position on the multidisciplinary treatment team; ► Improve your standing in a competitive employment market; ► Experience increased recognition from healthcare professionals; and ► Enjoy rewards in salary, promotions and new practice opportunities. Current Specialty Options • Ambulatory Care Pharmacy includes the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs and developing sustained partnerships with patients in the context of family and community. • Nuclear Pharmacy promotes public health through safe and effective use of radioactive medications. • Nutrition Support Pharmacy addresses the care of patients receiving specialized parenteral or enteral nutrition. The Board of Pharmacy Specialties was established in 1976 and exists today as an autonomous division of the American Pharmacists Association. BPS has grown to be the premier post-licensure certification organization serving the pharmacy profession. Its principal responsibilities include: ► ► ► ► ► To grant recognition of appropriate pharmacy practice specialties based on criteria established by the Board of Pharmacy Specialties. To establish standards for certification and recertification of pharmacists in recognized pharmacy practice specialties. To grant qualified pharmacists certification and recertification in recognized pharmacy practice specialties. To serve as a coordinating agency and information clearinghouse for organizations and pharmacists in recognized pharmacy practice specialties. To enhance public/consumer protection by developing effective certification programs for specialty practices in pharmacy. • Oncology Pharmacy targets the needs of patients with various malignant diseases and their complications. • Pharmacotherapy ensures the safe, appropriate and economical use of medications often as part of a multidisciplinary treatment team. • Psychiatric Pharmacy specializes in the pharmaceutical support of patients with psychiatric disorders. • 44ecRunreo vo" The BPS Oncology Specialty was accredited in 2008 by the National Commission for Certifying Agencies (NCCA). This accreditation is based on BPS having demonstrated compliance with NCCA Standards of Accreditation of Certification Programs. NCCA is the accrediting body of the Institute for Credentialing Excellence (ICE) and it accredits programs based on rigorous quality standards in the professional certification industry. 'Accreditation by NCCA is an important milestone in BPS' vision to be Pharmacy's premier specialty certification body" —Terry L Schwinghammer, PharmD, BCPS Former Chair, Board of Pharmacy Specialties Visit www.bpsweb.org for application requirements and materials, practice exams, test schedules and sites. V PS , P,, ird of Pharmacy Specialties Constitution Avenue, N.W. • Washington, DC 20037-2985 Phone 202 429-7591 • Fax 202 429-6304 • [email protected] 2215 0 2011 Board of Pharmacy Specialties Board of Pharmacy Specialties ..shou • n • onsider oard Certification in ONCOLOGY PHARMACY? Ambulatory Care Pharmacy I Nuclear Pharmacy I Nutrition Support Pharmacy I Oncology Pharmacy I Pharmacotherapy I Psychiatric Pharmacy Nutrition Support Pharmacy Nutrition support pharmacy addresses the care of patients who receive specialized nutrition support, including parenteral and enteral nutrition. The Board Certified Nutrition Support Pharmacist (BCNSP): Examination Content Domain 1: Clinical Practice/Provision of Individualized Nutrition Support to Patients (68% of the examination): ► Subdomain A: Assessment (21%) ► Often works as a member of a medical team; ► Subdomain B: Develop and implement a therapeutic plan of care (21%) ► Has responsibility for direct patient care; and ► Subdomain C: Monitoring and clinical management (26%) ► Has responsibility for promoting maintenance and/or restoration of optimal nutritional status by contributing to the design and modification of treatment plans according to the needs of the patient. Domain 2: Management of Nutrition Support Operations (20% of the examination) Eligibility Requirements ► Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S. that qualifies the individual to practice in the jurisdiction; ► An active license to practice pharmacy in the U.S. or another jurisdiction; ► Completion of three (3) years practice experience with at least 50% of time spent in nutrition support pharmacy activities or completion of a (PGY2) residency* in nutrition support pharmacy; and ► Achieving a passing score on the Nutrition Support Pharmacy Specialty Certification Examination. ► Subdomain A: Patient Care Management (12%) ► Subdomain B: Compounding Operations (8%) Domain 3: Advancement of Nutrition Support Practice (12% of the examination) Recertification Recertification for Board Certified Nutrition Support Pharmacists (BCNSP) is required every seven years and can be accomplished by: ► Earning a minimum of thirty (30) hours of continuing education in nutrition support from providers approved by the Accreditation Council for Pharmacy Education (ACPE), with no less than ten (10) hours earned every two years; and ► Achieving a passing score on the 100-item, multiple-choice recertification examination, which is based on the content outline of the certification examination. *Effective January 1, 2013, only residencies accredited by the American Society optimal nutrition support, the Board Certified Nutrition Support Pharmacist (BCNSP) assumes direct patient-care responsibilities, including patient assessment, type of feeding design and clinical monitoring. The Board Certified Nutrition Support Pharmacist also ensures that parenteral and enteral feeding formulations are properly prepared and administered. Which Pharmacists Are Uniquely Qualified? Board certification through the Board of Pharmacy Specialties has become recognized as the gold standard for determining which pharmacists are qualified to contribute at advanced practice levels. Through the rigorous standards mandated by BPS board certification and recertification, the specialty-credentialed pharmacist stands out as the most qualified to take on today's expanding professional expectations. BPS Certification Benefits PEER TO PEER RECOGNITION; PERSONAL FINANCIAL ADVANCEMENT Differentiate and affirm your knowledge and skills to: ► Provide more comprehensive and complex care; ► Be prepared to step into pharmacy's evolving position on the multidisciplinary treatment team; ► Improve your standing in a competitive employment market; of Health-System Pharmacists are creditable for this purpose. • Why Are Special Skills Critical? To ensure that patients receive individualized, appropriate and ► Experience increased recognition from healthcare professionals; and ► Enjoy rewards in salary, promotions and new practice opportunities. Board certification validates an individual's specialized qualifications and level of knowledge to ensure the health and welfare of the patient. It is a marker of competence of the clinician. 41 Board certification is and will be the avenue by which pharmacists practicing as clinicians will distinguish themselves in the profession. BPS certification signifies a commitment to excellence in practice and dedication to patient care. —Sharon M. Durfee, RPh, BCNSP Director, Poudre Infusion Therapy LLC —Phil Ayers, PharmD, BCNSP Fort Collins CO Member BPS Board of Directors Baptist Health Systems Jackson, MS Member BPS Nutrition Support Specialty Council Current Specialty Options • Ambulatory Care Pharmacy includes the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs and developing sustained partnerships with patients in the context of family and community. • Nuclear Pharmacy promotes public health through safe and effective use of radioactive medications. • Nutrition Support Pharmacy addresses the care of patients receiving specialized parenteral or enteral nutrition. The Board of Pharmacy Specialties was established in 1976 and exists today as an autonomous division of the American Pharmacists Association. BPS has grown to be the premier post-licensure certification organization serving the pharmacy profession. Its principal responsibilities include: To grant recognition of appropriate pharmacy practice specialties based on criteria established by the Board of Pharmacy Specialties. ).• To establish standards for certification and recertification of pharmacists in recognized pharmacy practice specialties. • To grant qualified pharmacists certification and recertification in recognized pharmacy practice specialties. ► To serve as a coordinating agency and information clearinghouse for organizations and pharmacists in recognized pharmacy practice specialties. ► To enhance public/consumer protection by developing effective certification programs for specialty practices in pharmacy. ► • Oncology Pharmacy targets the needs of patients with various malignant diseases and their complications. • Pharmacotherapy ensures the safe, appropriate and economical use of medications often as part of a multidisciplinary treatment team. • Psychiatric Pharmacy specializes in the pharmaceutical support of patients with psychiatric disorders. • 4CCREDri ED OS The BPS Nutrition Support Specialty was accredited in 2008 by the National Commission for Certifying Agencies (NCCA). This accreditation is based on BPS having demonstrated compliance with NCCA Standards of Accreditation of Certification Programs. NCCA is the accrediting body of the Institute for Credentialing Excellence (ICE) and it accredits programs based on rigorous quality standards in the professional certification industry. 'Accreditation by NCCA is an important milestone in BPS' vision to be Pharmacy's premier specialty certification body" —Terry L. Schwinghammer, PharmD, BCPS Former Chair, Board of Pharmacy Specialties Visit www.bpsweb.org for application requirements and materials, practice exams, test schedules and sites. bps C.) Board of Pharmacy Specialties 2215 Constitution Avenue, N.W. • Washington, DC 20037-2985 Phone 202 429-7591 • Fax 202 429-6304 • infoObpsweb.org 0 2011 Board of Pharmacy Specialties Board of Pharmacy Specialties ...shouldn't YOU Consider Board Certification in NUTRITION SUPPORT PHARMACY? Ambulatory Care Pharmacy Nuclear Pharmacy Ambulatory Care Pharmacy Nutrition Support Pharmacy Oncology Pharmacy Eligibility Requirements (cont.) Ambulatory Care Pharmacy is the provision of integrated, accessible health care services by pharmacists who are accountable for addressing complex medication needs, developing sustained partnerships with ambulatory patients, and practicing in the context of family and community. ► Completion of four (4) years of practice experience with at least 50% of time spent in ambulatory care pharmacy; or completion of a PGY1 residency* plus one (1) additional year of practice with at least 50% of time spent in ambulatory care pharmacy activities; or completion of a specialty (PGY2) residency* in ambulatory care pharmacy. The Board Certified Ambulatory Care Pharmacist (BCACP): *Effective January 1, 2013, only residencies accredited by the American Society of ► Coordinates care among members of the healthcare team and through transitions among venues of care; ► Manages complex medication regimens in ambulatory patients; ► Integrates care of acute illnesses and exacerbations in the context of chronic conditions; ► Educates and engages patients in health promotion, wellness and self-management; and ► Practices in a wide variety of settings including health systems, community pharmacies, physician offices, outpatient clinics and academia. Eligibility Requirements ► Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S. that qualifies the individual to practice in the jurisdiction; ► An active license to practice pharmacy in the U.S. or another jurisdiction; ► Achieving a passing score on the Ambulatory Care Specialty Certification Examination; and Pharmacotherapy Psychiatric Pharmacy Why Are Special Skills Critical? The Ambulatory Care Specialty focuses on the special needs of people who have concurrent illnesses taking multiple medications, and who often administer these drugs themselves or with the assistance of a caregiver at home. The role of the Board Certified Ambulatory Care Pharmacist (BCACP) is a unique combination of technical expertise and direct, sustained primary patient care. Health-System Pharmacists are creditable for this purpose. Examination Contents ► Domain 1: Direct Patient Care (50% of the examination) ► Domain 2: Practice Management (20% of the examination) ► Domain 3: Public Health (5% of the examination) ► Domain 4: Retrieval, Generation, Interpretation and Dissemination of Knowledge (15% of the examination) e- Domain 5: Patient Advocacy (10% of the examination) Which Pharmacists Are Uniquely Qualified? Board certification through BPS has become recognized as the gold standard for determining which pharmacists are qualified to contribute at advanced practice levels. Through the rigorous standards mandated by BPS board certification and recertification, the specialty-credentialed pharmacist stands out as the most qualified to take on today's expanding professional expectations. Recertification BPS Certification Benefits Recertification for Board Certified Ambulatory Care Pharmacists (BCACP) is required every seven years and can be accomplished by: PEER TO PEER RECOGNITION; PERSONAL, FINANCIAL ADVANCEMENT ► Achieving a passing score on the 100-item, multiple-choice objective recertification examination, based on the content outline of the certification examination; or ► Earning 100 hours of continuing education credit provided by the professional development programs offered by the American College of Clinical Pharmacy (ACCP) and/or the joint program offered by American Society of Health-System Pharmacists (ASHP) and the American Pharmacists Association (APhA). Differentiate and affirm your knowledge and skills to: ► Provide more comprehensive and complex care and be prepared to step into pharmacy's evolving position on the multidisciplinary treatment team; ► Improve your standing in a competitive employment market; ► Experience increased recognition from healthcare professionals; and ► Enjoy rewards in salary, promotions and new practice opportunities. Ambulatory care board certification enables the practicing ambulatory care pharmacist to seek the credential that ensures them recognition for their training and competence. Board certification will recognize the knowledge and skills of those pharmacists who directly and proactively impact medication therapy management in the ambulatory care environment. —Peter G. Koval, PharmD, BCPS, CPP —Douglas F. Covey, PharmD, FCCP, MHA, CDE Moses Cone Family Practice James A. Haley Veterans' Hospital and Clinics 2010-2011Chaic BPS Specialty Council on 2012 Chair, BPS Specialty Council on Ambulatory Care Pharmacy Ambulatory Care Pharmacy Current Specialty Options Board of Pharmacy 5 ec-alties ▪ Ambulatory Care Pharmacy includes the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs and developing sustained partnerships with patients in the context of family and community. ► Nuclear Pharmacy promotes public health through safe and effective use of radioactive medications. The Board of Pharmacy Specialties was established in 1976 and exists today as an autonomous division of the American Pharmacists Association. BPS has grown to be the premier post-licensure certification organization serving the pharmacy profession. Its principal responsibilities include: ► To grant recognition of appropriate pharmacy practice specialties based on criteria established by the Board of Pharmacy Specialties. ► To establish standards for certification and recertification of pharmacists in recognized pharmacy practice specialties. ► To grant qualified pharmacists certification and recertification in recognized pharmacy practice specialties. ► To serve as a coordinating agency and information clearinghouse for organizations and pharmacists in recognized pharmacy practice specialties. ► To enhance public/consumer protection by developing effective certification programs for specialty practices in pharmacy. ► Nutrition Support Pharmacy addresses the care of patients receiving specialized parenteral or enteral nutrition. ► Oncology Pharmacy targets the needs of patients with various malignant diseases and their complications. ► Pharmacotherapy ensures the safe, appropriate and economical use of medications often as part of a multidisciplinary treatment team. ► Psychiatric Pharmacy specializes in the pharmaceutical support of patients with psychiatric disorders. Visit www.bpsweb.org for application requirements and materials, practice exams, test schedules and sites. 2215 Constitution Avenue, N.W. • Washington, DC 20037-2985 Phone 202 429-7591 • Fax 202 429-6304 • [email protected] © 2011 Board of Pharmacy Specialties ...shouldn't YOU Consider Board Certification in AMBULATORY ARMACY? Ambulatory Care Pharmacy I Nuclear Pharmaqy I Nutrition Support Pharmacy I Oncology Pharma y I Pharmacotherapy I Psychiatric Pharmacy Pharmacotherapy Examination Content Pharmacotherapy is the area of pharmacy practice that is responsible for ensuring the safe, appropriate and economical use of medications. ► Domain 1: Patient-specific Pharmacotherapy (60% of the examination) The Board Certified Pharmacotherapy Specialist (BCPS): ► Has responsibility for direct patient care; ► Domain 2: Retrieval, Generation, Interpretation and Dissemination of Knowledge in Pharmacotherapy (25% of the examination) ► Domain 3: Systems and Population-based Pharmacotherapy (15% of the examination) ► Practices both independently and in collaboration with other healthcare professionals; ► Serves as an objective, evidence-based source for therapeutic information and recommendations; and ► Demonstrates advanced knowledge and experience that are used to optimize medication use and improve patient outcomes. Current Eligibility Requirements ► Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S. that qualifies the individual to practice in the jurisdiction; ► Current, active license to practice pharmacy in the U.S. or another jurisdiction; ► Completion of three (3) years of practice experience with at least 50% of time spent in pharmacotherapy activities or completion of a PGY1 residency,' and ► Achieving a passing score on the Pharmacotherapy Specialty Certification Examination. Recertification Recertification for Board Certified Pharmacotherapy Specialists (BCPS) is an assessment of a practitioner's knowledge and skills through one of two methods: ► Achieving a passing score on the 100-item, multiple-choice objective recertification examination, based on the pharmacotherapy content outline; or ► Earning 120 hours of continuing education credit over 7 years provided by BPS-approved professional development programs offered by the American College of Clinical Pharmacy (ACCP) and the American Society of Health-System Pharmacists (ASHP). Why Are Special Skills Critical? As healthcare enters an era of greater accountability, the board certification of pharmacists is an important quality assurance process. When considered with other quality indicators, board certification can be used to objectively determine and validate the ability of pharmacists to manage the pharmacotherapy of patients with complex or special medication therapy needs and to teach others how to manage the pharmacotherapy of patients.(1) *Effective January 1, 2013, only residencies accredited by the American Society of Health-System Pharmacists, or residencies under active consideration for accreditation by ASHP are creditable for this purpose. (1) American College of Clinical Pharmacy Position Statement: "Board Certification of Pharmacist Specialists." Pharmacotherapy, November 2011 ILL The employment bar is being set high by places that have strong clinical jobs. Board certification is increasingly becoming either a requirement or preferred status for ii I work closely with physicians every day in the care of patients. Being board certified in pharmacotherapy improves my credibility, thereby allowing me to have job applicants. a greater impact on patient care. —Anthony P. Morreale, PharmD, MBA, FASHP, BCPS —Eric J. MacLaughlin, PharmD, FCCP, BCPS Residency Program Director Professor and Head of Adult Medicine Division VA San Diego Healthcare System Texas Tech University Health Sciences Center School of Pharmacy 2011-2012 Chair, BPS Pharmacotherapy Specialty Council Which Pharmacists Are Uniquely Qualified? Board Certification through BPS has become recognized as the gold standard for determining which pharmacists are qualified to contribute at advanced practice levels. Through the rigorous standards mandated by BPS board certification and recertification, the specialty-credentialed pharmacist stands out as the most qualified to take on today's expanding professional expectations. BPS Certification Benefits PEER TO PEER RECOGNITION; PERSONAL FINANCIAL ADVANCEMENT Differentiate and affirm your knowledge and skills to: ► Provide more comprehensive and complex care and be prepared to step into pharmacy's evolving position on the multidisciplinary treatment team; ► Improve your standing in a competitive employment market; ► Experience increased recognition from healthcare professionals; and ► Enjoy rewards in salary, promotions and new practice opportunities. o.D Current Specialty Options • Ambulatory Care Pharmacy includes the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs and developing sustained partnerships with patients in the context of family and community. • Nuclear Pharmacy promotes public health through safe and effective use of radioactive medications. • Nutrition Support Pharmacy addresses the care of patients receiving specialized parenteral or enteral nutrition. The Board of Pharmacy Specialties was established in 1976 and exists today as an autonomous division of the American Pharmacists Association. BPS has grown to be the premier post-licensure certification organization serving the pharmacy profession. Its principal responsibilities include: • ► ► ► ► To grant recognition of appropriate pharmacy practice specialties based on criteria established by the Board of Pharmacy Specialties. To establish standards for certification and recertification of pha-rmacists in recognized pharmacy practice specialties. To grant qualified pharmacists certification and recertification in recognized pharmacy practice specialties. To serve as a coordinating agency and information clearinghouse for organizations and pharmacists in recognized pharmacy practice specialties. To enhance public/consumer protection by developing effective certification programs for specialty practices in pharmacy. • Oncology Pharmacy targets the needs of patients with various malignant diseases and their complications. • Pharmacotherapy ensures the safe, appropriate and economical use of medications often as part of a multidisciplinary treatment team. • Psychiatric Pharmacy specializes in the pharmaceutical support of patients with psychiatric disorders. • The BPS Pharmacotherapy Specialty was accredited in 2008 by the National Commission for Certifying Agencies (NCCA). This accreditation is based on BPS having demonstrated compliance with NCCA Standards of Accreditation of Certification Programs. NCCA is the accrediting body of the Institute for Credentialing Excellence (ICE) and it accredits programs based on rigorous quality standards in the professional certification industry. 'Accreditation by NCCA is an important milestone in BPS' vision to be Pharmacy's premier specialty certification body" —Terry L. Schwinghammer, PharmD, BCPS Visit www.bpsweb.org for Former Chair, Board of Pharmacy Specialties application requirements and materials, practice exams, test schedules and sites. 2215 Constitution Avenue, N.W. • Washington, DC 20031-2985 Phone 202 429-7591 • Fax 202 429-6304 • [email protected] © 2011 Board of Pharmacy Specialties bs Board of Pharmacy Specialties ...shouldn't YOU Consider Board Certification in PHARMACOTHERAPY? 441 11 4.AG.,11 _L4 (L),13..... v;r4.11 ltrt / /4 t t 6 Kingdom Of Saudi Arabia IIIIIIIM1011111111111111111,1 128--1-313545-11-2 SI Ministry of Health (1'vo) .4.74.4.2.11k) 1.I Nlinistry of Health ag 24=11 aI Le IJ ilowI ;i10111 6a&Lifillatraall ia6ei%11 asleaLl OJIAJI 4r51 &Aug 40.1.11 OitaLl / 4,0 lig iio#11.11 4011 othloo lot& 4krel Iola Aar) 10,11611 / 5941 '4'64141 4.).111 "ado / 49101141a* iraall iitgra / arldL4,1.11 avail / 4#4 . jthwas 4 . 141 / 4011 / 4,134 "aagall A.111}1.1.1) ihatard w.i/ stabil/ 4;014.11)ia 4#44 . 4,01 agamr JJU i6i.par) 0111U .j1i1 gag 4?)9 rAtig, t j 'iLoaltl * I a :Y.I.. u dai.11 6114.Ge.11 j49f=Z3 v 41.114=013 1 a.r.J.Ltudl 41.11.4.hd.1 . 0.14.2113 L7.41211 ithLud13 20.114=111 0.11 fjtALIialarma J11 iL41.211 juVi L.72.4z1 tl c)..4 ;kJ 05.0. cx.;c.; l 4)9÷11 • 4)94 L..A3 0341 L>c. aa*s v9 t" tilt 4. 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