%PDF-1.7 % 16 0 obj << /Type /Page /Parent 1 0 R /LastModified (D:20220625134618-04'00') /Resources 2 0 R /MediaBox [0.000000 0.000000 595.276000 841.890000] /CropBox [0.000000 0.000000 595.276000 841.890000] /BleedBox [0.000000 0.000000 595.276000 841.890000] /TrimBox [0.000000 0.000000 595.276000 841.890000] /ArtBox [0.000000 0.000000 595.276000 841.890000] /Contents 17 0 R /Rotate 0 /Group << /Type /Group /S /Transparency /CS /DeviceRGB >> /Annots [ 7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R ] /PZ 1 >> endobj 17 0 obj <> stream x\r8}Wta˩r`HpM)A(BpJѺѕ17qatyqQ@OZz9r*K e֣,:8TԹlT-seKUYOTaȉ cIn=8G ǺBS,+/F635]B3S ֓ژj\~YjQlSmЏ6𗾈xNn9W٬ԟ!ʆ稘0IzppS8baL(ů3{%fv*W}'J #V,DxBfN<Xllr(@JG(I*vJ{ C,-"&tX별xm)i/br2",m6Zz~/51DNLSu29f_+3׍ZOEacvT9/%fug:-dI h?HzEWV幒S8B;!LfZҬm{xG};x| jZE֍\Zɦ,_ѕ1긋Ba9Ť""J\B̲D\E7|hq-!idUrk'C7XN+\xUeSW9Lj1-F̞EkSAlpe)p%ߣ:O3sZH6pRFcbjM=ӰiL#WXi-yM)Xm1}L<߰ol*x7nlS9хҌ% eSƐW£ܓ Tc8:c(P>ȳ ofR53NtBO7;=32.Rci:a+ޖWN& AQXVj3`^>oo:",T@,ģL&s'g(om|S|#yEx-g2K8N#cUg(%"qCiB A<__foOƂ41&p8`5Љ #7k;Q~^GDp"@FA@X9M/mԷ%Ny)Kؚպ gU |q(RB"C*tm.a}8ye;r69Q'Ng[]wTw%)ZmU^ѝ+GS>O,nI7 E+_ɚ,LkaR<*<'X@kzmef7Jg@{czIׅ'J=ʱ GKJ6l 2Z)lU=cۼԗ{0JAWNz qJAx6 *ori]N&rArv.mt6Dxx  >쭋w$Ѷ~Rt )%4_`AD,r[7Erm],km4΃DŽYmжk^o(Ͽ{\a{Iiʙ}AC<*Hj&[ĄOB%ku/=a̚%}8OFVY)Y؝|[ӺbH&[9/ \dsr+5 u_gO!DN=}tz-wY-Mo0)so4im5_XJ4J!["T:@;nӗMzI> : ahvH6nR}i> /Annots [ 14 0 R 15 0 R ] /PZ 1 >> endobj 19 0 obj <> stream xVQO0~ﯸG8qƘ[&i4FM~ma@jk>;Rls e@I:?K 3\P [<۷ r* 8σr4pFmlc^n3Iq]j! 8vqƒ 6~{ݮ5zDZ=k>ᓀ\\@*MbG[N lR(3 y.R#JJ*2>`r!h)E@|_C㣒} dy[ `1ȵ*-!&7.LZ!*ǕqU+yTT )L9__6~}AD=:=5;K? kG]ǶRl4K=ѸTږ2}7OT -g!6ԓjy"d.uS[]Fs>1f yԉHtZA|T($aOZ e@> endobj 3 0 obj <> endobj 5 0 obj <> endobj 6 0 obj <> endobj 20 0 obj <> stream JFIFHHExifMM* z(1>?QQ Q HHPaint.NET v3.5.10z%u0`:oCC." }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?(f 1T$`9Sw(B@;~(]Cd꾫Es:aݻd2\(2F][&]ۢϲ|W͵L@A A 8 (CĝCglZE/ |Ezє{ xQʒ@[ྊ\/I4R0?6.7`ŴwPu|3/Z@Ogi}cFdFKoj?~8|p_A<ĺOkGPK $wRmkmF;YVx&rLj#p ׭axf|s$Ӿc:Qwm]N)Cψ[eYba98xB+oTÚwcRþ$U[ ?qΙ{&jv6Xo$=ԗ&7zgAxIִ.$3,mwc{+%g[!U@&Fϻm/#hci'7n[%It.&/ֶ+Zl~:wi~D>$}o+}@.[/+B6mnt8bi{zc.~F{eUe86g3 VT&> BK VؘXzSMesoM_&ϔIÍK?+hڿnt_ K]H '̽yrWA=O+|"!gɤItXe>Xs hwwG Eouqa /ş_~~'x} ]_^]/ 蚼:<cu/ h&omEۯicǪ\[,k}_uS}㏆W]G^tmf`Ks ]=va&h9n忔>75NWQτ0of,E (˰8hBC_ Jq'W UQKz,N>+`S%}b5ISJ]+(&QVN>eoy7xG4[]]3K{i$I>g-(mbynLIC,"*3f?-%`lfPx涽X"H'h"ֈ(TfeU:܉,a,R*I4xcxalOhGр|ia$cg,{gAHEu->]F,{-.,EX"I$XQD/3R.{{T&ҭ%4[OPnx"HhM :e}-Լ'=s:\iZ<+Lj5+1AɮLZx-☽G3 1I"kuχ+A}5'NxI8 gJk[oenm!x,=n=>}kjPx~M񧍼5k45a,RLiȖTFQMR&K;}r+XkY[y>2F=2~6>Gmi++<[WF76MH4>;;Kf۽ъM3ZE}c㿈*- -.|G5uI![ YR$$A>Eyׇ|7u;n>4׭JϷR[h!rVr\{~Ϛ >0jMg?_y_ Do/x;ÚƏi a𶕦f|Eqgk4V^RY]}F,/J%ՌAud%:x3Hg_4[+^ ҴKaXF'n.]Z(i$bef5GO:u]/a~.3N4xiG*a8ާ-U){G nJEڿ[m7wv5MYp|'gm # #%B?|鿲w­{+_|Q#VkxcZޛ{I]Wyak}..i˨iY9QwOA~hf{+ |Y;cڴ27G>|H,na8o; CEO,ZLP?SHK} e92W7/1aj¤aڄq4 қS7,5]%EƔc/uҒw\r/EnT y>!V+VK4X^Y{;+Ӫ=MqslEn?Zz'Ë}^2xĺGf70/M~*DU=坍G{wwvci%vZ$GY&J9dkՀ\6hs.F*ĩ"+S%s*{ qqDj3$ q^T24,Cn +=j񟍼q5k'\%ݎ{ͦuyq4X$y<ك2Ey%™|Icw]3#R[`{KցY [1*kLOdw ^OAkЏb<¿ <=6x0ׄ>(=*[ t]9-?IZ@}/>FۃQ@ endstream endobj 21 0 obj <> stream JFIFdd?Lumbar disc herniation surgery is effective for octogenarians  !1AQaq"2B 3R# b$CS4d&FcD7!1AQaq"2Rr#Bb$Ң3Cs ?q=pETfFCF8e&Pz(0,x"& 32>x"6GJELFO^Q>8sI*)KQW b ?0b"$YdeRH>^p$8"(eqqb1ǜsN~E裈>9c4J@ϻ #8pDQD0}*@8s2Jx"pe$K%aLJ5"c' j0OQA Q.bL9e{Ye'988"Y,g)Ds$bK%$J31'&@B0&' Q8M9/g>D2NDp*9Ep3D4fGO#(#Jl0M9A`& <0>^NBNI{-H18t!333ndy5',2=c/2J[/Ў X8z;E8c 2Bri(e#|qJH&p&C8Xƙ"v80,W'a'h7%9E,><ʾ*t!)@ cGH"_/)CLOEYpeD?(cU$ȁ!˫Jfq)-r> 3P8S2P'Hp)3#'Al>?o$퉇>Xq#zFyC6, .c^9rƓI<Lx`<@'&|N_+puyxχ#v%DȊ9D|xɑMt^պR4eucV{yyPnhU_]PdQ00m!H#fI3]nWw9鋂QWU3mksR)k)4f`?p~RSI繪<+w`Y3<@{;~;Aolvj 4j}wLkTVi]~۔ )'kY*?5hq}U{U^rO͋GaizqEIk= bc |"zԢDC,8-õvP鍈`jS;n|La\ q*#'DM yL ɝqaŖv4q+[`u%1! f)O*P8l?N侳NLm%1-aE۟#!`@]_$Jږb2mC5|qO%%h'l8pU+Kl$˭/(f6B*e쭁wM|T~Sy^)RZ?RT]3qZci_#|GZޞSS8+PzPЗwE[W}ڞ,USTT%I 0LDq.pd}nڿeD1ŶCL-gSNOm: KR%P`=35ƞ.9'sAEV}Y*Qo6Yڳ!U]ހ!7j UMt0X[uo9u_Bţ@dGGsdWV!r/|B" 2>DfjDZ=3<',c"D) K#%):@%SOŇ&{Jjudz#Ϟ7()'.DHbrDM9Ď^a&dG9K?iP8C6mUu]-5EuumCtt9QUWUTYi.tsOq0xz;jlVƙhHU. Q?  nhnq{DtNp(fBd%NYKfΫʌʈPG92խl߱_QTOUS0* R :av Q+_*;ĺlO[$@\ (o")Y )qCiFw%vZ&C,wznY4 ir.ե%&[g4] r>bi(VH4)mVMR*Pb@R)8λN1}7lLf\Va/I!OYyU&m5JlTZԒێ-)__D`J@tr+?p}S d![1yյQCreZGUecAu-*w !@ j?Py1M{gaX_<%wJ.ӚzmTaO)ꟊO[ISN|iT;z']~A4Pؓ5+ d |vt fay*ͼB=2B1ÁQj`$b8@ă'.DE3@<1Fa߶?/Rf$GÞX>h5ԡ2%8̝?b_ xfF=njUJ*ˡJx.iQS< +/v̇{]F5>Ř"<Wqn[]$[`@m.԰AԎGDKi_6vy:QSe<LJ"*Q0xM䃿֫;DG`[, r-ʊ|*nRSԊ:VԔHJ[ hd9Lhr'/zp:xFiFj`f-a@)W)B%oԨZ@DIǷjz^[`5TwۤKۉkZ&=mIIqV"_UU?rsΛ:&TH4S#48""z\.Wg0$8ÕOGp뾶RX_SjII`( 5ċLTdqQ]Stk4I^ %IKYrAænɴˌ~{FbZb+|A+ujP)SQ)JCFiI(?_B~}ە'gjd #3A1_:Uk4nk*騛EGH(Dq'Q/cuwjy^CܳP-ϼFsh!'8-Lx8/U|hg(_:)y3uT)1 .:[$|Q $JGgR:M6;5ۺ+5퉪ԺSR YJ-*yIJPE<|{c! r]UҶmhȒ?UH\P  E pKP3$g KP ~I"" ECm-,cp1!+Wfbc!z%V' rٖjlϼJS]= ,ԐR'B`Ed(ߢ?~D .+J'k" T)N4j׏˄obXJސ^HLyo@ӦQS)*LaeŶI PFues$D"iZ>`]uJZ]VA) Suˮ2D}5XE&™e?@q=U|60>s%5z"'?8tLPxBYK(3oOIF_-Āzeeg0V\"[Ug?_|x[?D>:26ND\yv1(R)pfӽT^| cxj;`!ĘCvBٿw^|!u{gU=JkbR- PH" I0׋]}?㲔~OAUuYmzE6)%vԵNʓ0^~j3n#=s+ù˴;Ss[V!*d63IZޠI升Y cx+?i3^9FY[Kڐ@KRKJ2ZB|AėwE"v]f0ĿVn' کUSFP#$s ˥˗_Kf #n@}.j=GSȨrrVGxos}Kq4<,ኛC>#m4"VB__銚S\J` EȘ+D̓6{u8RK i :pm$􀑙R:p$̃/nfհ@2rzI$|DT^wG{^cl-6*;,COuU\5Uj(,nXii ȇPL~$nGn%~Kjv{ uzc y峷Kg} "fG;9,|""cXd4L" |% LclG魢 @0 prv$1% #d}ڥ"kN_QWϚ?M_%$xa,v5 L "'d NAN92ˑ¾CmE!A<O ^Nk}xӺIm;|8]u(* lIRTۉVAU7nFz#" ?z)]ϳ[4ԥWmg-,UPK>T}ecO[l׬OXs 1_v#'x0QN"FĐ{Mw}WLN Aj jJ Uj1tU}Feצ%hՎKbS%:p0"#!,ϑ2rXƻrOqǢ䟩x*AT"]sCD(7On[ ,?-x R)tiEhJ}Dڐʈ03&KY;\ L}JQ[9/  6 4;?:/b۷_X}/7KE@%hj޹|~Fr*[}ڦ wkJ ojFS!3|`# ˪ΦQ(u׺FhBAQt:c)tF4`.1 eqU2Zt-)T:Dge}@nD$K{p $ݼZŔȍBC)c G0]v[ZDO %?MzMS)U=vueƝTߠZU=FyY=$D(ӀYOw^>(%&noV\먮ܘ[-f*qI.2%>mrjuq.S6 gSO\RdH% qH!g`1&eU"<9c۱gn8󧢓[ p#0'nV`t|d|H2D1 /%8DD!a)--_)eeƸ4kO[C/.X5:eqMᗔ9X+IS.>f?,Qљ"e.?M` s&?#YW t b(x3#U?ZJh$8?>Jd2Y11w> QGoOC""=ӟ!14%#!sǖmHIo^;cOmXLmUk}Y5җ>ٻYԚWT;¶:#rFѤ(QJ@ "7gC[^2ش oNЄ!ڧmcv/faG)}vn" L1nJ*ޛ}t6Kn^.v ԩlwVѷdjRʲ *жXnJ>]ZW-7-!j^S5;6J=&6j{)o/6#:ֻGPS/o@Ll f?܆# ʹDZ/çfBLi)*$A;]v۰cgG4# :Uonؒ:a $mHiCT̬bk_~Cg7s©ڪ^:=\ Uq$RLJDr`Dm+/)cu6iվM bu,ۗ&Qp~jDE~{\{c{^UsԺMKmYtmڒ:}zjbxOMIQ@lZ{SncW6oݳVo^jƽ^tޡEHY.n<&HGoݿoj뛮%\؛Ck1rѝ] 4 -}.]]E: c7Q1v?o vJj]'YݻVknkS#K7iavEemzWv7ttkGv]ߵ:n{Ijni٭ܭ_֥wWk FvWZerT \tKR)ͺ-;\} lh"wBf7U_]m] pNhQ4O+3;gn+v:5eo=KuoJZN7WNkBJ7^L$TpqU6+{clo紦^hWl6~6[ƂuEOnkiܫvX:m֨߬CN !{s3{%eO_4YOvt5>/5ƭ]>Ԗ}ekFoطqcؽu5kO˫"hCrۋmS^Ub7( x׻Z]c擶]~ZW]T{4wr'vljfn&3DY:q.VʺW_U36W )_pwQvkkZv-e_ 3Qpݤ.ˢoۡEbNש[ɶ{ J:^{+r􎷾_oû6l]W5j!槮KuʷhWSvn۠Ѻ}84R۞>ZvFj;t W}4߹Juֺ~֕:nr(ԩBVAiotRR#mjl?'pazok[+fzjCv˖S5MMzV\*PX3ݍӹvT;V?;feF^m6eowkSY\oMW %m KP_<8H~~o^A?GF*}aTn~9xaTO1?nb!? QQEoW)Ѣr kчTNef ̈́j؟7Ϗ,Q%?/ bUTL{8U>l&S?cSyO O= '͆0= ̈́s 'nϯ,* endstream endobj 4 0 obj << /Type /XObject /Subtype /Form /FormType 1 /Filter /FlateDecode /BBox [0.000000 0.000000 595.276000 76.535433] /Matrix [1 0 0 1 0 0] /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /Font << /F2 5 0 R /F1 3 0 R >> /XObject << /I0 20 0 R >> >> /Length 197 >> stream xKkBA WeI&ڊU/ nʥBf8A3!(X4`JQj*Aj͕197f hkL[=µrw]F D%x2WC0 9)Z ^Wh}29yyu?4g=bT1߻a endstream endobj 2 0 obj << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /Font << /F1 3 0 R /F2 5 0 R /F3 6 0 R >> /XObject << /XT4 4 0 R /I0 20 0 R /I1 21 0 R >> >> endobj 7 0 obj <> /H /I>> endobj 8 0 obj <> /H /I>> endobj 9 0 obj <> /H /I>> endobj 10 0 obj <> /H /I>> endobj 11 0 obj <> /H /I>> endobj 12 0 obj <> /H /I>> endobj 13 0 obj <> /H /I>> endobj 14 0 obj <> /H /I>> endobj 15 0 obj <> /H /I>> endobj 22 0 obj << /Title (Lumbar disc herniation surgery is effective for octogenarians) /Subject (Lumbar disc herniation surgery is effective for octogenarians) /Creator (Science X Network) /Producer (TCPDF 6.3.5 \(http://www.tcpdf.org\)) /CreationDate (D:20220625134618-04'00') /ModDate (D:20220625134618-04'00') /Trapped /False >> endobj 23 0 obj << /Type /Metadata /Subtype /XML /Length 4779 >> stream application/pdf Lumbar disc herniation surgery is effective for octogenarians Lumbar disc herniation surgery is effective for octogenarians 2022-06-25T13:46:18-04:00 Science X Network 2022-06-25T13:46:18-04:00 2022-06-25T13:46:18-04:00 TCPDF 6.3.5 (http://www.tcpdf.org) uuid:150b27b7-c1bc-cbca-e8bf-3e8c621d373b uuid:150b27b7-c1bc-cbca-e8bf-3e8c621d373b http://ns.adobe.com/pdf/1.3/ pdf Adobe PDF Schema internal Adobe PDF Schema InstanceID URI http://ns.adobe.com/xap/1.0/mm/ xmpMM XMP Media Management Schema internal UUID based identifier for specific incarnation of a document InstanceID URI http://www.aiim.org/pdfa/ns/id/ pdfaid PDF/A ID Schema internal Part of PDF/A standard part Integer internal Amendment of PDF/A standard amd Text internal Conformance level of PDF/A standard conformance Text endstream endobj 24 0 obj << /Type /Catalog /Version /1.7 /Pages 1 0 R /Names << >> /ViewerPreferences << /Direction /L2R >> /PageLayout /SinglePage /PageMode /UseNone /OpenAction [16 0 R /FitH null] /Metadata 23 0 R >> endobj xref 0 25 0000000000 65535 f 0000004145 00000 n 0000023977 00000 n 0000004212 00000 n 0000023476 00000 n 0000004318 00000 n 0000004429 00000 n 0000024134 00000 n 0000024392 00000 n 0000024649 00000 n 0000024905 00000 n 0000025225 00000 n 0000025546 00000 n 0000025776 00000 n 0000026006 00000 n 0000026295 00000 n 0000000015 00000 n 0000000525 00000 n 0000002862 00000 n 0000003340 00000 n 0000004543 00000 n 0000010179 00000 n 0000026513 00000 n 0000027029 00000 n 0000031891 00000 n trailer << /Size 25 /Root 24 0 R /Info 22 0 R /ID [ <150b27b7c1bccbcae8bf3e8c621d373b> <150b27b7c1bccbcae8bf3e8c621d373b> ] >> startxref 32101 %%EOF