School of Medicine \ Medicine
	
	
	
 
				
	Course Credit
	ECTS Credit
	Course Type
	Instructional Language
 
				
	
					
					(TOBB ETÜ) Tıp Fakültesi Üçüncü sınıfı başarıyla tamamlayarak sınıfı geçmeye hak kazanmış olmak.
				
	
	
	
 
				
	Programs that can take the course
	
	
	
 
	Medicine Bachelor's Degree Program
	
	
	
 
				
	This internship includes taking anamnesis from patients before surgery, communicating with patients, basic examination training and practice, file preparation, theoretical lessons, bedside training during visits, and participation in seminar programs within the clinic. Students monitor patients and surgeries in outpatient clinics and clinical services under the supervision of faculty members and assistants. 
	
	
	
 
				
	Textbook and / or References
	
	
	
 
	Cerrahide Muayene Usulleri ve Hastalıklardaki Bulgular. Orhan Bumin (Editör); İlk-San Matbaası. Schwartz Principles Of Surgery, Schwartz’s Cerrahinin İlkeleri. İ. Ethem Geçim, Arda Demirkan (Çeviri editörleri); Habitat Yayıncılık. 
Sabiston TextBook of Surgery,
Sayek Temel Cerrahi
Türk Cerrahi Derneği ders kitabı
Genel cerrahi staj dersleri (pelikan yayınevi)
Güncel Cerrahi Tedavi (Current serisi)
Genel Cerrahi soruları (TUS)
	
	
	
 
				
	Starting from the IVth term, students at the Faculty of Medicine combine the theoretical knowledge they have acquired in previous terms with practice, see the hospital environment, encounter patients, recognize health problems requiring surgical or interventional treatment related to the gastrointestinal system, endocrine system, vascular system, abdomen and breast in adult patients in the main branch of Surgery and explain treatment methods; provide the necessary knowledge, skills and attitudes to distinguish emergencies, perform first aid and refer them appropriately. The general surgery internship program aims to enable students in the IVth term to interpret the basic concepts and principles of medicine in patients, determine appropriate diagnostic and treatment approaches, gain the ability to apply basic clinical skills, and exhibit ethical attitudes and behaviors in scientific, professional and ethical values. 
	
	
	
 
				
	
					
						1. Explains the surgical anatomy of the gastrointestinal system, endocrine system, vascular system and abdominal organs, anogenital organs and
					
						2. Lists and interprets the causes, formation mechanisms, clinical, laboratory, radiological and pathological findings of surgical diseases seen in the gastrointestinal system, endocrine system, vascular system, abdominal organs and anogenital organs, explains diagnostic-treatment approaches and principles.
					
						3. Takes the patient's main complaint, medical history consisting of past history, family history and system questions by using communication techniques effectively.
					
						4. Performs a physical examination of systems. (At the end of this internship, students will perform the following basic medical practices; perform head and neck examination, abdominal examination, digital rectal examination, superficial sutures and removal, know wound and burn care, and teach themselves breast examination. Evaluate general condition and vital signs, interpret screening and diagnostic examination results, and evaluate trauma severity scoring. )
					
						5. Prepares clinical cases within medical presentation methods and presents them verbally
					
						6. Select the test/analysis method for diagnosis in the appropriate order, using the knowledge related to the test/analysis tools and their characteristics.
					
						7. Evaluate the patient's anamnesis, physical examination and diagnostic test results, make a preliminary diagnosis/diagnosis and rank the differential diagnosis.
					
						8. Plan the treatment appropriate for the diagnosis at the primary level and explain the criteria for referral.
					
						9. Explain the clinical characteristics of surgical emergencies/first aid.
					
						10. Explain the principles of managing surgical emergencies and first aid situations (providing initial treatment, referring to a more advanced care unit under appropriate conditions).
					
						11. Applies basic medical interventions (superficial suturing and removal, wound care, etc. ) for surgical diseases/procedures.
					
						12. It adopts approaches and health policies for early diagnosis, treatment and prevention of cancers (breast, colorectal, thyroid) that are common in our country. It recognizes and reports diseases that must be reported at the primary care level while providing family medicine services.
					
						13. It conducts literature searches in line with the defined purpose, critiques and analyzes the article, critically evaluates the information it reaches, understands the importance of multidisciplinary approach in general surgery, oncological surgery and transplantation, in the diagnosis and treatment processes of diseases and in post-treatment follow-up, organizes and presents.
					
						14. It observes and applies ethical values in the management of patients/diseases.
					
				
	
	
	
 
				
	Week 1: Introduction and Goals of General Surgery Internship Metabolic and Endocrine Response to Trauma Fluid Electrolyte Balance and Disorders Acid-Base Balance and Disorders Nutrition in the Surgical Patient Abdominal incisor trauma and battlefield injuries Prevention of surgical infections, use of antibiotics in surgery Wound healing Sterilization, Disinfection, Asepsis and Antisepsis Hypovolemic Shock Visits for inpatients, bedside education Evaluation of outpatient and outpatient patients with faculty members Participation in departmental departmental education meetings Preparation of seminars Participation in surgeries
Week 2: Benign Thyroid Diseases and Surgical Treatment Diagnosis and Surgical Treatment of Thyroid Cancers Surgical Diseases and Treatment of Parathyroid Inguinal Region and Anterior Abdominal Wall Hernias and Surgical Treatments Carcinogenesis, Oncological Surgery principles, tumor markers and their importance Benign and malignant diseases of the pancreas, complications and treatment Breast diseases Visit to patients in the ward, bedside education Evaluation of outpatient and polyclinic patients together with the faculty member Participation in departmental departmental education meetings Preparation of seminars Participation in surgeries
Week 3: Acute Abdomen Etiology, Diagnosis and Treatment Peritonitis, Subphrenic and Introperitoneal Abscesses Adrenal gland and its diseases Intestinal Obstructions, Intussusceptions and Surgical Treatments Gastric cancer and surgical treatments Gallbladder diseases, tumors of extrahepatic bile ducts and their surgical treatments Esophageal benign diseases and their surgical treatments Peptic ulcer complications and surgical treatments Arterial and venous intestinal ischemic diseases Inflammatory bowel disease treatment and surgery Sarcomas, GIST, Carcinoid tumors and their surgical treatments Visits for inpatients in the ward, bedside education Evaluation of outpatient and outpatient patients together with the faculty member Participation in departmental departmental education meetings Preparation of seminars Participation in surgeries 
Week 4: Colorectal cancers and surgery treatmentsGastrointestinal System Diverticula and Surgical Treatments Gastrointestinal System Fistula and Surgical Treatments GASTROINTESTINAL SYSTEM POLYPS AND SURGICAL TREATMENTS Anogenital (venereal) diseases and anal region cancers Lower and upper gastrointestinal system bleeding and treatment Visits to patients in the ward, bedside education Evaluation of outpatient and outpatient patients with faculty members Participation in departmental departmental education meetings Preparation of seminars Participation in surgeries 
Week 5: Perianal region diseasesBenign liver diseases, hydatid cyst disease Liver tumors and surgical treatment Minimally invasive surgery, importance and necessity of bariatric surgery TRANSPLANTATION Transplantation surgery Visits to patients in the ward, bedside education Evaluation of outpatient and outpatient patients with faculty members Participation in departmental departmental education meetings Preparation of seminars Participation in surgeries 
Week 6: SURGICAL CONSENT Elective Visits to patients in the ward, bedside education Evaluation of outpatient and outpatient patients with faculty members 
Participation in departmental departmental education meetings Seminar preparation  Participating in surgeries  WRITTEN EXAM  ORAL EXAM
	
	
	
 
				
				
					
					
						
							
								
									| Tentative Assesment Methods | 
								
								
									| Activities | 
									Number | 
									Weight (%) | 
								
							
							
								
									
										| Course Attendance/Participation | 
										- | 
										- | 
									
								
									
										| Laboratory | 
										- | 
										- | 
									
								
									
										| Application | 
										1 | 
										10% | 
									
								
									
										| Homework | 
										- | 
										- | 
									
								
									
										| Project | 
										- | 
										- | 
									
								
									
										| Presentation | 
										1 | 
										40% | 
									
								
									
										| Field Work | 
										- | 
										- | 
									
								
									
										| Internship | 
										- | 
										- | 
									
								
									
										| Course Boards | 
										1 | 
										50% | 
									
								
									
										| Quiz | 
										- | 
										- | 
									
								
									
										| Midterm Exam | 
										- | 
										- | 
									
								
									
										| Final Exam | 
										- | 
										- | 
									
								
							
							
								
									 | 
									Total | 
									100% | 
								
							
						
						
						
							
								
									| Tentative ECTS-Workload Table | 
								
								
									| Activities | 
									Number/Weeks | 
									Duration (Hours) | 
									Workload | 
								
							
							
								
									
										| Course Hours (first 6 weeks) | 
										6 | 
										9 | 
										54 | 
									
								
									
										| Course Hours (last 6 weeks) | 
										- | 
										- | 
										- | 
									
								
									
										| Laboratory | 
										- | 
										- | 
										- | 
									
								
									
										| Application | 
										6 | 
										8 | 
										48 | 
									
								
									
										| Homework | 
										- | 
										- | 
										- | 
									
								
									
										| Project | 
										- | 
										- | 
										- | 
									
								
									
										| Presentation | 
										1 | 
										2 | 
										2 | 
									
								
									
										| Field Work | 
										- | 
										- | 
										- | 
									
								
									
										| Internship | 
										- | 
										- | 
										- | 
									
								
									
										| Course Boards | 
										1 | 
										2 | 
										2 | 
									
								
									
										| Preparation for Quiz | 
										- | 
										- | 
										- | 
									
								
									
										| Preparation for Midterm Exam | 
										- | 
										- | 
										- | 
									
								
									
										| Final Exam | 
										- | 
										- | 
										- | 
									
								
									
										| Preparation for Final Exam | 
										- | 
										- | 
										- | 
									
								
									
										| Study Hours Out of Class (preliminary work, reinforcement, etc.) | 
										6 | 
										36 | 
										216 | 
									
								
							
							
								
									| Total Workload |  |  | 
									322 | 
								
								
									| Total Workload / 30 |  |  | 
									322 / 30 | 
								
								
									 |  |  | 
									10.733334 | 
								
								
									| ECTS Credits of the Course |  |  | 
									11 | 
								
							
						
					
				
			
				
					
						
							 | 
							
								Program Outcome
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								22 | 
							
						
					
					
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							Course Outcome
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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								| 5 | 
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
							
						
							
								| 6 | 
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
							
						
							
								| 7 | 
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
							
						
							
								| 8 | 
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
							
						
							
								| 9 | 
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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								| 10 | 
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
							
						
							
								| 11 | 
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
							
						
							
								| 12 | 
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
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											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
							
						
							
								| 13 | 
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
											
										
										
										
										
									
									
									
										
											
												
											 | 
										
										
										
									
								
							
						
							
								| 14 | 
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
											 | 
										
									
								
									
									
									
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
										
										
										
										
									
									
									
										
										
										
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