lds - medical presentation - april 2012
TRANSCRIPT
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8/2/2019 LDS - Medical Presentation - April 2012
1/24
RF
Cgnxr&@hnpq Rxm`tgfn
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx
K tnrg~tbn gi pln Cgnxr&@hnpq Rxm`tgfnIg~m`kphgm & ^R ) Bkmk`k-
Nmbg~tkjhmj N`~bkphgm-
Igrpnthmj Tnrnktbl-Utgyh`hmj R~uugtp
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8/2/2019 LDS - Medical Presentation - April 2012
2/24
RF
C@R1 F~cphrxrpnf `hrgt`nt plkp tn{~htnr
gzmntrlhu ) utgkbphyn fn`hbkc fkmkjnfnmp
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 4
C@R Kiinbpr nyntx bncc Kiinbpr nyntx bncc hiintnmpcx Kiinbpr nyntx bncc hiintnmpcx dx
rpkjn gi nyncgufnmp
Gdanbphynr1 Hmbtnkrn` Chin N|unbpkmbx Hfutgyn` [~kchpx gi Chin
Un`hkpthbhkm'IkfhcxF@
Gtplgun`hbr
JH
Kccntjx
Mn~tgcgjx
@ntfkpgcgjx
@nmNrptx
JnmnNbrPlgtkbhb
Ykrb~cktR~tjntx
Bkt`hgcgjx
Gulplkcfgcgjx
Tnruhtkpgtx'U~cfgmktx
MP
Tk`hgcgjx
Pnkf kuutgkbl
igt ukphnmp&bnmpntn` bktn
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8/2/2019 LDS - Medical Presentation - April 2012
3/24
RF
C@RI ,^RK ) Bkmk`k( HmhphkphynrBg&ig~m`hmj Fnfdntr gi k Jcgdkc Mnpzgto
Fhrrhgm PnblUck-gtf OnxHmh0k0ynr
Kzktnmnrr BgmrNp~nmp
bgff~mhbkNgmrxrpnf
45;;1TnutnrnmpkNgmkp;4bgmintnmbnr-Gynt:55fn`hbkcutnrnmpkNgmr`hrpthd~pn`pglnkcplbktnutginrrhgmkcr-
45;41BgmNm~n`utnrnmbnkpHmpntmkNgmkc'MkNgmkcnynmpr
R~uugtp @gmgtUtg
BgmrpkmpBgmpkbp
45;;1rpkdchrln`f~cN`hrbhuchmktxbchmhbfg`nc,Bkmk`k(?Lnk`pgpgn`hkjmgrNbblnbochrp?jtgzhmjtnjhrptkNgmrigtgmchmnr~uugtpigt~fkm`nfkhcdckrpr
45;41C@RIBgmintnmbnDkcNfgtnF@#A~mn48A~cx;?zndrhpn~u`kpn
Tnrnktbl Tnjhrptx)Dhgdkmo 45;;1Tnbt~hpn`igtAglmrLguohmrdgmnlnkcplhmhNkNyn 45;41BgfuhcnkjcgdkcchrpgitnrnktblntrkbNynhmC@R
tnrnktbl?bgmNm~npgu~dchbhqntnrnktblguugtp~mhNnr?
nrpkdchrltnrnktbljtkmputgjtkfkm`Dhgdkmo
I~m`tkhrhmj @gmgtfjprxrpnf 45;;1Jtkrrtggpr,CHY+#dgzchmjkm`t~mrkrrhjmkp~tnnynmpr(-I~m`hmjigtBkmk`hkmIg~m`kNgmitgf4ikfhchnr-
45;41Igb~rgmjtkmprkm`bgtugtkpnrugmrgtrlhur
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 2
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8/2/2019 LDS - Medical Presentation - April 2012
4/24
RF
Chon Fktikm Rxm`tgfn
Rbgchgrhr Unbp~r kmgfkchnr Cgmj ihmjntr Kgtphb tggp kmn~txrf
^mh{~n
Lxuntpncgthrf Btkmhgrxmgrpgrhr Bcnip ukckpn'dhih` ~y~ck Bc~diggp `nigtfhpx Bgmjnmhpkc lnktp `ninbpr ,U@K# DKY# KR@( Pgtp~g~r ktpnthnr @hii~rn kmn~txrfr T~up~tn'`nkpl kp xg~mj kjnr ) rfkccnt`hfnmrhgmr
Cgnxr np kc-# Mkp~tn Jnmnphbr# 455>
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 0
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8/2/2019 LDS - Medical Presentation - April 2012
5/24
RF
Cgnxr&@hnpq Rxm`tgfn
K~pgrgfkc @gfhmkmp,K@( Lxuntpncgthrf Dhih` ~y~ck Ktpnthkc pgtp~grhpx Kmn~txrfr km` `hrrnbphgm
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx >
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8/2/2019 LDS - Medical Presentation - April 2012
6/24
RF
Jnmnphbr
Bk~rn` dx f~pkphgmr hm PJIDT;# PJIDT4km` RFK@2
Bgmphm~n` jnmn h`nmphihbkphgm zhcc choncxcnk` pg fgtn jnmnphb bk~rnr igt C@Rzhplhm pln PJI&dnpk ,ptkmrigtfhmjjtgzpl ikbpgt dnpk( ukplzkx-
H`nmphihbkphgm gi k 0pl jnmn tnckpn` pg C@Rpg dn u~dchrln` hm 45;4
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 9
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8/2/2019 LDS - Medical Presentation - April 2012
7/24
RF
Btkmhgrxmgrpgrhr Lx`tgbnulkc~r Blhkth fkcigtfkphgm Lhu `xruckrhk Bgmptkbp~tnr'bkfupg`kbpcx Bc~diggp Lgccgz gtjkm t~up~tn Kgtphb'ktpnthkc `hrrnbphgmr kp
xg~mj kjnr
C@R
Rnyntn Bchmhbkc Fkmhinrpkphgmr
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx :
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8/2/2019 LDS - Medical Presentation - April 2012
8/24
RF
C@RYkrb~ckt Nlcntr @kmcgr Rxm`tgfn Gyntcku
Chon N@R
Zh`n rbktr Nkrx dt~hrhmj Ptkmrc~bnmp rohm Tnb~ttnmp lntmhkr Zh`nrutnk` hrrnbphgmr'
kmn~txrfr
Lgccgz gtjkm t~up~tnCnrr Utgfhmnmp
Lxuntpncgthrf Dhih` ~y~ckr Btkmhgikbhkc kmgfkchnr
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx
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8/2/2019 LDS - Medical Presentation - April 2012
9/24
RF
C@R
Cnrr Rnyntn Btkmhgikbhkc Inkp~tnr
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 8
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8/2/2019 LDS - Medical Presentation - April 2012
10/24
RF
^y~ckr
Dhih` Dtgk` & Tkulnr
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;5
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8/2/2019 LDS - Medical Presentation - April 2012
11/24
RF
Kgtphb tggp kmn~txrfr zhpl pnkt kprfkccnt `hfnmrhgmr
Nblgbkt`hgjtkf kp cnkrp xnktcx gt fgtnitn{~nmpcx kr hm`hbkpn`
Kmn~txrfr pltg~jlg~p pln ktpnthkc ptnn
2@ BPK'FTK hfkjhmj ,lnk` pg uncyhr( kpdkrnchmn# ; xnkt== fgyhmj pgzkt` ;< fg&4
xnkt hfkjhmj hi mg kmn~txrfr
C@R
Kjjtnrrhyn Bkt`hgykrb~ckt Hmygcynfnmp
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;;
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8/2/2019 LDS - Medical Presentation - April 2012
12/24
RF
Ukphnmpr `g zncc zhpl utgulxckbphbr~tjntx
Utnintnmbn pg `g ykcyn&rukthmj kgtphbtggp tnuckbnfnmp r~tjntx
0-5 bf pltnrlgc` igt k`~cpr yr->-5 bf hm Fktikm rxm`tgfn Un`hkpthbr1 Zhcchkfr np kc-#Kmm Plgtkb R~tj# 455:
Kgtphb ykcyn = 4bf
> ff hmbtnkrn hm ; xt Q&rbgtn gi = 2 ,rnyntnbtkmhgikbhkc( km` =0 ,fhc`(
Hm`hyh`~kchqn` nbhrhgm&fkohmj
C@R
R~tjhbkc J~h`nchmnr igt Kgtphb Tggp
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;4
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8/2/2019 LDS - Medical Presentation - April 2012
13/24
RF
N|ntbhrn tnrpthbphgmr Kygh` bgmpkbp# bgfunphphyn rugtpr Kygh` hrgfnpthb n|ntbhrnr & U~rl ~ur# u~cc ~ur# rhp ~ur#
tgun&bchfdhmj# znhjlpr
Kygh` n|ntbhrnr untigtfn` pg pln ughmp gi n|lk~rphgm Mnn` pg zgto bcgrncx zhpl rblggcr ) ikfhchnr
Dcgg`&utnrr~tn cgznthmj fn`hbkphgmr Tn`~bn lnfg`xmkfhb rptnrr Kmjhgpnmrhm tnbnupgt dcgbontr ,KTDr( kmpkjgmhqn ncnykpn`
pji&dnpk kbphyhpx? phptkpn KTD guphfkccx
Fg~rn fg`nc nyh`nmbn
Gplnt Bkt`hgykrb~ckt Fkmkjnfnmp
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;2
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8/2/2019 LDS - Medical Presentation - April 2012
14/24
RF
Pgtp~g~r ynrrncr
Gplnt bgffgm
kmn~txrf rhpnr7g kgtphb ktblg dtkmbl ynrrncr gi
mnbo'kd`gfnmg bntndtkc ktpnthnr
@hrrnbphgmr
Ykrb~ckt Ihm`hmjr
G~prh`n gi pln Kgtphb Tggp
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;0
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8/2/2019 LDS - Medical Presentation - April 2012
15/24
RF
Rnkrgmkc kccntjhnr# krplfk km` nbqnfkhmbtnkrn` rhjmhihbkmpcx hm C@R
Krplfk `thynm dx bltgmhb rhm~r hminbphgmr Rnbgm`ktx pg btkmhgikbhkc inkp~tnr mgp hff~mn rxrpnf Kjjtnrrhyn ptnkpfnmp gi rhm~r hminbphgmr hfutgynr krplfk
,kmphdhgphbr==~u pg fgmplr(
Bg~jl r~uutnrrkmpr k``tnrrn` Kygh` `nbgmjnrpkmpr kr plnx ktn rphf~ckmpr km` hmbtnkrn
DU? ~rn gi kmphlhrpkfhmnr utninttn`
Kccntjhb @hrnkrn hm C@R
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;>
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8/2/2019 LDS - Medical Presentation - April 2012
16/24
RF
Igg` kccntjx bgffgm Pxuhbkccx f~cphucn km` bkm dn rnyntn Fhfhbr jnmntkc ugu~ckphgm fgrp bgffgm
igg` kccntjnmr1 Blhc`tnm1 fhco# njj# unkm~p# rgx# zlnkp#
ptnn m~pr# ihrl
K`gcnrbnmbn'k`~cpr1 unkm~pr# ptnn m~pr#ihrl# rlnccihrl
Igg` kccntjx tnrugmrn tkmjnr itgfbltgmhb# cgz jtk`n rxfupgfr pgkb~pn chin&pltnkpnmhmj tnkbphgmr Nuh&Unm ~rkjn k``tnrrn`
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx ;9
Kccntjhb @hrnkrn hm C@R
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8/2/2019 LDS - Medical Presentation - April 2012
17/24
RF
Bgmjnmhpkc bntyhbkc ruhmnfkcigtfkphgmr km`'gthmrpkdhchpx ,>;.(
@hkjmgrhr1 icn|hgm&n|pnmrhgm |&tkxgi b&ruhmn
Fgrp kmpnthgt'ugrpnthgt ktbl`ninbpr gi B;
Rfkcc . gi bkrnr mnn` dtkbhmj gti~rhgm igt r~dc~|kphgm'hmrpkdhchpx
Rbgchgrhr ,>>.(1 rgfn tn{~htndtkbhmj'tg``hmj
Nto~ck np kc-# A Dgmn Aghmp R~tj# 45;5
Gtplgun`hb Bgmbntmr1 Ruhmn
Kuthc45;4C@RI)C@RIBkmk`kUtguthnpktx ;:
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8/2/2019 LDS - Medical Presentation - April 2012
18/24
RF
bc~diggp ickp innp rnyntn lhm`iggp ykcj~r `nigtfhpx# ronziggp
Gtplgun`hb Bgmbntmr1 pln Iggp
Kuthc45;4C@RI)C@RIBkmk`kUtguthnpktx ;
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8/2/2019 LDS - Medical Presentation - April 2012
19/24
RF
Igt igg` kccntjhnr# fgrp bgffgm pxun gi hmickffkphgmhr hm pln nrgulkj~r
Ngrhmgulhchb Nrgulkjhphr ,NN( hr kdg~p >55 phfnr fgtnbgffgm hm C@R Xg~mj blhc`tnm1 igg` tni~rkc'hmpgcntkmbn# tnic~|# ygfhphmj#
kd`gfhmkc ukhm
Gc`nt blhc`tnm1 ptg~dcn rzkccgzhmj# igg` jnpphmj rp~bo#blnrp ukhm
Kmx kjn1 `hkttlnk# ptg~dcn jkhmhmj'cgrhmj znhjlp
Ptnkpfnmp ,kccntjhnr km` NN(1 Kbh` r~uutnrrhgm# `hnp fg`hihbkphgm# rxrpnfhb rpntgh`r igt
rnyntn n|kbntdkphgmr# pguhbkc rpntgh`r hi kccntjnm hr mgp igg`
Ngrhmgulhchb JH @hrnkrn hm C@R
Kuthc45;4C@RI)C@RIBkmk`kUtguthnpktx ;8
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8/2/2019 LDS - Medical Presentation - April 2012
20/24
RF
Rnyntn hmickffkphgm hmygcyhmj nmphtn JH ptkbp Nygcynr hmpg cnrr kccntjhb&cggohmj pxun gi hmickffkphgm# mgp
tnrugm`hmj pg `hnp blkmjnr
Rnyntn kd`gfhmkc ukhm# `hkttlnk# ygfhphmj# dcgg` hm rpggc
Hmickffkpgtx dgznc `hrnkrn ,HD@( kuunktr pgdn kdg~p ;#>55 phfnr fgtn bgffgm hm C@R
Gplnt Hmpnrphmkc Hmickffkphgm
Kuthc45;4C@RI)C@RIBkmk`kUtguthnpktx 45
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8/2/2019 LDS - Medical Presentation - April 2012
21/24
RF
4; utnjmkmbhnr hm ;4 zgfnm 9 lk` fkagt bgfuchbkphgmr `~thmj utnjmkmbx gt ugrp&uktp~f
,0 kgtphb `hrrnbphgmr'4 ~pnthmn t~up~tnr(
2 rnyntn ~pnthmn lnfgttlkjnr hm`nunm`nmp gi utnjmkmbx hm4 zgfnm
Mnn`r fgtn rp~`x Lhjl thro utnjmkmbx? thro gi `hrrnbphgm n|pnm`r ugrp uktp~f Nblgbkt`hgjtkfr hm nkbl pthfnrpnt Kgtphb tggp tnukht uthgt pg utnjmkmbx I~cc hfkjhmj uthgt pg utnjmkmbx KTDr ktn pntkpgjnmhb hm utnjmkmbx
Cgnxr np kc-# MNAF4559
Utnjmkmbx hm C@R
Kuthc45;4C@RI)C@RIBkmk`kUtguthnpktx 4;
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8/2/2019 LDS - Medical Presentation - April 2012
22/24
RF
@nmpkc kmgfkchnr7 Xnr & rnyntn nmkfnc lxuguckrhk'pggpl `nbkx# f~cphucn rnpr gi
pnnpl# `nckxn` pggpl nt~uphgm'cgrr
Gulplkcfgcgjhbkc ihm`hmjr7 Xnr & nxn f~rbcn `hrnkrnr? rgfn rnyntn tn{~hthmj r~tjntx-
Fhc` fxguhk# rfkcc thro gi tnphmkc `npkblfnmp
Cgz Dgmn @nmrhpx7 Xnr& hi tnb~ttnmp itkbp~tnr gt yhpkfhm @ `nihbhnmbx# bgmrh`nt
`n|k rbkm km` nm`gbthmn tninttkc
Hr plhr uktp gi C@R7
Kuthc45;4C@RI)C@RIBkmk`kUtguthnpktx 44
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8/2/2019 LDS - Medical Presentation - April 2012
23/24
RF
Lnk`kblnr7 Xnr lx`tkpn# ihm` pthjjntr# `~tkc nbpkrhk# kygh`
ykrgbgmrpthbpgtr
Rnhq~tnr7 Xnr `nrntyn i~cc mn~tgcgjx zgto&~u
Cnktmhmj utgdcnfr7 77&&Utnyhg~rcx tnugtpn` ;>.# d~p fkx dn dhkr gi
krbntpkhmfnmp7
Grpngktplthphr7 Xnr & RFK@2 ykthkmp# mnn` pg rp~`x hm PJIDT;'4
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 42
Hr plhr uktp gi C@R7
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8/2/2019 LDS - Medical Presentation - April 2012
24/24
RF
zzz-cgnxr`hnpq-gtj'bkmk`k-ulu
Kuthc45;4 C@RI)C@RIBkmk`kUtguthnpktx 40
C@RI Bkmk`kAgrnul Jkcch
,>;0( 880&:5:0agrnul-jkcchEcgnxr`hnpq-gtj
Rkm`tk Pguunt
,85>( 8&52;9
jtnpblnm-grzkc`Ecgnxr`hnpq-gtj