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8/3/2019 Medicine in Society
http://slidepdf.com/reader/full/medicine-in-society 1/31
McfnanhcNh Qbancv~ MNQTcbtoc/ Tivnchvq ihfTbtsoivnbh ‑ Lnq`s T
8/3/2019 Medicine in Society
http://slidepdf.com/reader/full/medicine-in-society 2/31
Uccl 9
Ctnfcmnbobe~; ¤qvsf~ bg `ciov`-cwchvq/ `ciov`-a`iziavcznqvnaq bz `ciov`-fcvczmnhihv
tivvczhq nh i tbtsoivnbh
• Ysihvnvivnwc qvsf~ sqcf vb tzbwnfc nhgbzmivnbh vb fbavbzq ijbsv abqv/
cggcavnwchcqq/ qnfc cggcavq
Jc`iwnbzio Mcfnanhc" @ciov` T`~abobe~;
- Jnbobenaio/ t`~qnbobenaio/ chwnzbhmchvio , asovszio nhgoschacq nhwbowcf nh v`c
t`~qnaio `ciov` ihf v`c tzcwchvnbh bg noohcqq
Jnb-tq~a`b-qbanio Mbfco (Ebggmih 9>71.; jnbobenaio/ tq~a`bobenaio ihf qbanio giavbzq
toi~ i zboc
Jnbmcfnaio Mbfco; nqboivcf jbf~ ihf tczqbh/ qbanio aisqcq bg fnqciqc hceocavcf/ hccf
tq~a`bobe~ mbzc v`ih qanchac
Qvnemivn{nhe Abhfnvnbh; abhfnvnbh v`iv qcvq tbqqcqqbzq itizv gzbm bv`czq v`iv mizl v`cm
qbanioo~ shiaactvijoc"nhgcznbz
Fnqazcfnvnhe ‑ bjwnbsq vb bv`czq
Fnqazcfnvijoc ‑ zcoivnwco~ `nffch
Abszvcq~ Qvnemi; gimno~ mcmjczq cptcznchac qvnemi jcaisqc bg iggnonivnbh
Uccl :
Mikbz fcvczmnhihvq bg `ciov`;
U@B; ‟I qvivc bg abmtocvc t`~qnaio/ mchvio ihf qbanio ucoo-jcnhe/ ihf hbv mczco~ v`c
ijqchac bg fnqciqc bz nhgnzmnv~”
Ili; i qvivc bg ucoo jcnhe abhgbzmnhe vb v`c nfcioq bg v`c tzcwinonhe asovszc
Fcvczmnhihvq ;
Jnbobenaio Iec/ Qcp/ Echcvnaq
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Ongcqv~oc Qmblnhe/ Hsvznvnbh/ Ioab`bo/ Cpczanqc/ Fzseq
Miohsvznvnbh; aisqc bg a`nof`bbf fciv`q nh fcwcobtnhe abshvzncq
Bwcz- Hsvznvnbh; Bjcqnv~/ fnijcvcq/ `cizv fnqciqc
Chwnzbhmchv
T`~qnab-a`cmnaio ; inz/ uivcz/ zifnivnbh
Jnbobenaio ; mnazbjcq
Qbanbcabhbmna ihf Qbanbtbonvnaio ; cmtob~mchv/ cfsaivnbh/ tbonvnaio qvij
@ciov` Qczwnac nhazciqcf `q = fcazciqc nh nhgcavnbh fnqciqc u`czciq aonhnaio
mcfnanhc toi~cf i qmioocz zboc v`ih hsvznvnbh/ `~enchc cva
Ce ; vsjczabobqnq/ mciqocq/ tbonb/ qmiootbp iombqv czifnaivcf
Aonhnaio mcfnanhc;
Tzcwchv fciv`; iasvc cmczechancq/ tzcwchv fnqciqc
Nmtzbwc ochev` ihf ysionv~ bg givio abhfnv; ce aihacz
Nmtzbwc ysionv~ bg ongc; ce nhgczvnonv~
Aizc; ce mchvioo~ noo
Tzcwchv ihf vzciv echcvna fnqbzfczq; ce Fbuhq
Bvviui a`izvcz (07. ;”v`c gshfimchvio abhfnvnbhq ihf zcqbszacq gbz `ciov` izc tciac/
q`covcz/ cfsaivnbh/ gbbf/ nhabmc/ i qvijoc cab-q~qvcm/ qsqvinhijoc zcqbszacq/ qbanio
ksqvnac ihf cysnv~”
Mciqsznhe @ciov` ihf Fnqciqc;
@bu aisqc bg fciv` `iq A`ihecf (:44~zq. ;
- Nhgcavnbsq fnqciqcq/ cqtcanioo~ nh ~bshe a`nofzch (?3./ Nhksz~ ihf Tbnqbhnhe
- Hbu Aihacz/ Aizanbwiqasoiz Fnqciqc (`cizv , osheq. nh bofcz tcbtoc
Vca`hnyscq sqcf vb mciqszc noo `ciov`;
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- Achqsq/ Fciv` Aczvngnaivnbh/ @ciov` Qszwc~ gbz Cheoihf (@QC./ ET zcqciza`
Fivijiqc/ mih~ bv`cz qszwc~q bz isfnvq
9 @QC; ihhsio qszwcz~ (>4./ qcog zctbzvcf/ bhonhc/ v`cmc cia` ~ciz
: Echczio Ongcqv~oc Qszwc~; qimtoc/ cmtob~mchv/ cfsaivnbh/ vziqht cva
1 @bqtnvio Ctnqbfc Qvivnqvnaq (0>.; ifmnqqnbhq vb H@Q `bqt/ fniehbqnq/
btczivnbh/ echfcz/ ecbezit`naio nhgb
6 Echczio Tziavnac Zcqciza` Fivijiqc; gzbm et/ sqcf gbz vzcivmchv qvsfncq/
fzse svnon{ivnbh/ aonhnaio zcqciza` toihhnhe
3 Mbzvionv~ fivi; fciv` mi~ jc fsc vb mih~ noohcqqcq/ qbmc izc obhe vczm
noohcqqcq cva fnijcvcq fbcqh„v fnzcavo~ aisqc fciv`
Tbtsoivnbh T~zimnf; fcwcobtnhe `iwc mbzc ~bshecz/ fcwcobtcf mbzc cysio ioobwcz/ ihf
`iwc cofczo~
Nhanfchac; Abshv bg hcu aiqcq bwcz i tcznbf bg vnmc nh i tbtsoivnbh bg lhbuh qn{c
(fcgnhcf j~ toiac ihf vnmc jbshfizncq. = p"944 444 tbtsoivnbh tcz ~ciz
Tzcwiochac; abshv bg aiqcq (bof ihf hcu. iv i tbnhv nh vnmc nh i tbtsoivnbh bg lhbu qn{c
(fcgnhcf j~ toiac ihf vnmc jbshfizncq. = znql iq nh # bz P"944 444
Jnzv` Zivc; hsmjcz bg onwc jnzv`q tcz 9444 tbtsoivnbh
Echczio Gczvnonv~ Zivc; onwc jnzv`q tcz 9444 ubmch (93-66.
Vbvio Gczvnonv~ Zivc; iwcziec hsmjcz bg a`nofzch i ubmch ubsof `iwc ng v`c~
cptcznchacf v`c iec qtcangna gczvnonv~ zivcq iv v`iv tbnhv nh vnmc (: = qvijoc.
Azsfc Mbzvionv~ Zivc; vbvio hb bg fciv`q nh 9 ~ciz" vbvio mnf-~ciz tbtsoivnbh
Nhgihv Mbzvionv~ Zivc ( nh 9444q.; hb bg fciv`q nh a`nofzch iecf ?9" Ioo onwc jnzv`q
Fnzcav Qvihfizfn{cf; iec qtcangna zivcq gbzm i qvsf~ tbtsoivnbh izc ittoncf vb qvihfizf
tbtsoivnbh qvzsavszc
Ifw; abmtizc fnqciqc zivcq iazbqq izci/ iqqcq zcoivnwc jszfch bg fngg fnqciqcq
Fnqi; zcysnzcq iec qtcangna zivcq/ zivcq mi~ hbv jc qvijoc gbz qmioo nhanfchac
Nhfnzcav Qvihfizfn{cf ; iec qtcangna zivcq gzbm qvihfizf tbtsoivnbh ittoncf vb qvsf~
tbtsoivnbh
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Ifw ; fbh„v hccf obaio zivcq/ ciqncz vb nhvcztzcv
Fnqi; izciq aih„v jc fnzcavo~ abmtizcf/ hb nfci bg jszfch bg fnqciqc
Qvihfizfn{cf Mbzvionv~ Zivnb ; bjqczwcf hb bg fciv` gbz qvsf~ tbtsoivnbh" cptcavcf hb
bg fciv`q gbz qvsf~ tbtsoivnbh
- Aih abmtizc QMZQ bg i fnqciqc unv` v`c hivnbhio iwcziec
Fnqciqc Qtcangna Fciv` Zivc ( nh 9444q.; hb bg fciv`q gzbm fnqciqc" Vbvio mnf ~ciz
tbtsoivnbh
Fctznwivnbh ihf @ciov`; tcbtoc onwnhe nh izciq unv` v`c `ne`cqv qbanb-cabhbmna
fctznwivnbh `iwc ; obucz Jnb-tq~a`b-qbanio ocwcoq ce qmblnhe/ ongc cptcav/ vcchiec
tzce/ sh`ciov`~ ongcqv~oc a`bnacq/ gzsnvq ihf wceencq U`~2
Igvcgiav; bjq izc jcaisqc bg v`c ui~ uc mciqszc
Qbanio Qcocavnbh; `ciov` fcvczmnhcq qbanb-cabhbmna qvivsq
Jc`iwnbzio"asovszio; fctznwcf mbzc onlco~ vb fb qvsgg
T`~a`bqbanio; qvzcqq = jnbobenaio a`ihecq nh jbf~ tiv`b-t`~qnaio a`ihecq
Mivcznio; fnzcav cggcavq bg tbwczv~
@ciov` iq i qbanio abhqvzsav;
- Fnqciqc fcgnhnvnbhq nq i qbanio abhqvzsavnbh/ j~ v`c tbtsoivnbh ce `bmbqcpsionv~
nh FQM mchvio fnqbzfczq sq
- Nhvczhivnbhio Aoiqqngnaivnbh bg Fnqciqcq; NAF j~ U@B
9( Jnbmcfnaio mbfco; eczm v`cbz~‖cia` fnqciqc `iq qnheoc ihf qtcangna aisqc/
`ciov` ihf noohcqq izc ysionvivnwco~ fnggczchv
:( Ctnfcmnbobenaio Vzniheoc ‑ vz~ vb jzcil bh qnfc bg v`c vzniheoc vb qvbt noohcqq
9 Iechv ; u`iv aisqcq v`c fnqciqc: @bqv; u`b `izjbzq v`c fnqciqc
1 Chwnzbhmchv ; cpvczhio giavbzq v`iv ioobu fnqciqc vb vzihqmnv
1( Aisqio Mbofco ‑ ioo fnqciqc aih jc tzcwchvcf j~ mbfng~nhe qsqactvnjnonv~ bz znql
6( Echczio Qsactvnjnonv~ ‑ tcbtoc nh aczvinh aivcebzncq `iwc `ne`cz mbzvionvn~ zivcq
gzbm ioo aisqcq
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3( Qbanb-Chwnzbhmchvio ittzbia` ‑ gzimcubzl gbz aoiqqng~nhe fcvczmnhihvq bg `ciov`
Qcocavnbh bg v`cbzncq ijbsv fnqciqc ‑ qbanio abhqvzsavnbhq
Mcfnaionqivnbh; nhwblnhe bg mcfnaio wbaijsoiz~ vb cptoinh bv`czunqc hbzmio cwchvq nh
cwcz~fi~ ongc/ enwnhe nv i qanchvngna himc vb jc vzcivcf iq mcfnaio abhfnvnbh ce ZoceQ
Nhvcziavnbhio ocwco; fnzcav zcyscqv gzbm tizchv
Abhactvsio Ocwco; jconcwc ~bs„zc noo vb cptoinh u`ivq `ittchnhe vb ~bs
Nhqvnvsvnbhio ocwco; zcfsac tivnchvq nhvb mcfnaio abhfnvnbh ( aioo v`cm fnqciqc.
Nivzbechcqnq; ifwczqc cggcav v`zbse` mcfnaio vzcivmchv (noona`.
- Mcfnaio nhabmtcvchac
- Aiqaifc Nivzbechcqnq; - mih~ vb gnp cia` mnqvilc
- Qbanio nivzbechcqnq; mifc ubzqc v`zbse` chwnzbhmchv/ qbanio jconcgq
- Qvzsavszio Nivzbechcqnq; jcnhe nh `bqtnvio milcq v`cm ubzqc
Fnciqc mbhecznhe; uc„zc obblnhe vb jc qnal ce zcqvocqq oce q~hfzbmc
Q`ngvnhe chenhcq bg Mcfnaionqivnbh; ( Abhzif :445. ‑ jnbvca`/ abhqsmcznqm/ aizc
nhfsqvz~/ mcfni
Qbanio Giavbzq/ @ciov` ihf Noohcqq QEV;
Qbanio ihf t`~qnaio chwnzbhmchvq iobhe unv` obaio qczwnac tzbwnqnbhq/ mcfnaio ihf bv`cz/
toi~ ih nmtbzvihv zboc nh fcvczmnhnhe `bu tcbtoc unoo jc`iwc
Fctznwcf izciq; Onmnvcf A`bnac ce fncv cpczanqc v`czcgbzc ifbtv sh`ciov`~ jc`iwnbzq
U`czc v`c~ onwc iggcavq `bu v`c~ onwc
Obblcf iv @bsqnhe/ Vzihqtbzv ihf Qbmcu`czc vb eb ihf qbanion{c unv` bv`cz Tcbtoc
Uccl 1
U`~ fb tivnchvq abhqsov2
Qbmc tcbtoc abhqsov gbz vznwnio tzbjocmq u`noqv bv`czq fbh„v abhqsov ijbsv tbvchvnio
qcznbsq q~mtvbmq Ce mch abhqsov i obv ocqq v`ch ubmch/ ~bshecz ocqq v`ih bofcz
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Qbmc tcbtoc aih„v ecv qnal jcaisqc ng v`c~ fb/ v`c~„oo obqc v`cnz kbj cva (iec/ echfcz/
cv`hnanv~/ Qbanio aoiqq/ cmtob~mchv.
Q~mtvbmq; v`bqc gcconhe qvivcq tivnchvq cptcznchac u`na` iozcv v`cm vb v`c tbqqnjnonv~
v`iv ioo nq hbv ucoo
Qnehq; v`bqc tbnhvczq v`c fbavbz nfchvngncq u`na` qnehng~ v`c cpnqvchac bg v`c shfczo~nhe
tiv`bobenaio ocqnbh
Oi~ Zcgczzio Q~qvcm; ih noohcqq zcgczzio q~qvcm v`zbse` u`na` i tczqbh tiqqcq gzbm
v`c gnzqv zcabehnvnbh bg ih ijhbzmionv~ vb ih ihhbshacmchv vb v`c gimno~/ vb mcmjczq
bg v`c abmmshnv~/ vb vzifnvnbhio bz asovszioo~ zcabehn{cf `cioczq/ ihf v`ch vb v`c zcesoiz
mcfnaio q~qvcm v`iv nhaosfcq hszqcq ihf t`~qnanihq Fctchfnhe bh v`c asovszc ihf v`c
mcfnaio aizc iwinoijoc/ qbmc qvctq mi~ jc bmnvvcf V`c ui~ v`iv v`c tivnchv milcq
v`cnz ui~ v`zbse` v`c mcfnaio q~qvcm
Aonhnaio Nacjcze ; vczm sqcf vb fcqaznjc v`c oizec imbshv bg noohcqqcq v`iv eb shzctbzvcf
Nv nq v`c wiqv imbshv bg shzctbzvcf noohcqqcq v`iv izc lhbuh iq v`c ‐Aonhnaio Nacjcze„
Bho~ v`c ‟vnt” bg v`c tzbjocm aih jc qcch u`noc v`c wiqv mikbznv~ izc shfniehbqcf"
`nffch
Locnhmih„q V`zcc @ciov`aizc Q~qvcmq; i obaio asovszio q~qvcm abmtbqcf bg v`zcc
bwczoittnhe tizvq; v`c tbtsoiz/ v`c tzbgcqqnbhio/ ihf gbol qcavbzq*
9 V`c tbtsoiz qcavbz nq*\v`c oi~/ hbh-tzbgcqqnbhio/ hbh-qtcanionqv/ tbtsoiz asovszc
izchi nh u`na` noohcqq nq gnzqv fcgnhcf ihf `ciov` aizc iavnwnvncq nhnvnivcf* (34. Qcwchv~
vb hnhcv~ tczachv bg noohcqq ctnqbfcq izc mihiecf nh v`c tbtsoiz qcavbz Nhaosfcf nh v`c
tbtsoiz qcavbz izc *tczacnwnhe ihf cptcznchanhe q~mtvbmq< oijconhe ihf wiosivnhe v`c
fnqciqc< qihavnbhnhe i tizvnasoiz lnhf bg qnal zboc (iasvc/ a`zbhna/ nmtinzcf/ mcfnaio/
bz tq~a`nivzna/ cva.< fcanfnhe u`iv vb fb ihf cheienhe nh qtcangna `ciov` aizc-qcclnhe
jc`iwnbz< itto~nhe vzcivmchv ihf cwiosivnhe v`c cggcav bg qcog-vzcivmchv ihf v`czit~
bjvinhcf gzbm bv`cz qcavbzq bg v`c `ciov` aizc q~qvcm V`c qnal tczqbh ihf `nq gimno~
svnon{c jconcgq ihf wioscq ijbsv noohcqq v`iv izc tizv bg v`c abehnvnwc qvzsavszc bg v`c
tbtsoiz asovszc* (3:.
: V`c tzbgcqqnbhio qcavbz nq abmtbqcf bg v`c bzeihn{cf `cionhe tzbgcqqnbhq/ v`bqc
qihavnbhcf iq qsa` j~ v`c asovszc
1 V`c gbol qcavbz nq v`c hbh-tzbgcqqnbhio/ hbh-jszcisazivna/ qtcanionqv qcavbz/
chabmtiqqnhe jbv` qiazcf ihf qcasoiz `cioczq; gbol `cioczq/ q`imihq/ gbol
tq~a`bv`czitnqvq (nh bsz asovszc/ v`cnz *vzcivmchv* nq unfco~ fnqqcmnhivcf j~ vcocwnqnbh
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ihf nh tbtsoiz qcog-`cot jbblq.
94 Noohcqq Jc`iwnbz Wiznijocq ( Mca`ihna 50. vb qccl mcfnaio ifwnac
9( Wnqnjnonv~/ zcabehnqijnonv~ bz tczactvsio qionchac bg qnehq ihf q~mtvbmq ( ng i
q~mtvbm nq wnqnjoc/ nvq mbzc onlco~ v`iv v`c tczqbh unoo ecv nv a`calcf bsv.:( V`c cpvchv vb u`na` v`c q~mtvbmq izc tczacnwcf iq qcznbsq ( v`c mbzc qcznbsq nv
nq/ v`c mbzc a`ihac v`c~„oo zcqtbhf.
1( V`c cpvchv vb u`na` fnqzstv gimno~/ ubzl ihf bv`cz qbanio iavnwnvncq/ v`zbse` tinh
bz fnqijnonv~/ v`c mbzc onlco~ vb zcqtbhf
6( V`c gzcyscha~ bg v`c ittcizihac bg v`c qnehq bz q~mtvbmq/ v`cnz tczqnqvchac/
bz v`cnz gzcyscha~ bz zcaszzchac ( v`c obhecz bz mbzc gzcyschvo~ v`c q~mtvbmq
ittciz v`c mbzc onlco~ vb zcqtbhf.
3( V`c vboczihac v`zcq`bof bg v`bqc u`b izc cptbqcf vb ihf cwiosivc v`c qnehq ihfq~mtvbmq unoo iggcav `bu giqv v`c~ zcqtbhf
7( Iwinoijoc nhgbzmivnbh/ tczqbhio lhbuocfec ihf asovszio iqqsmtvnbhq ihf
shfczqvihfnhe bg v`c cwiosivbz unoo iggcav zcqtbhqc
5( Jiqna hccfq v`iv ocif vb fchnio ( t`~abobenaio tzbacqqcq v`iv fnqvbzv zcionv~/ ce
gciz/ mi~ aisqc ih nhfnwnfsio vb fcoi~ qcclnhe aizc
0( Hccfq abmtcvnhe unv` noohcqq zcqtbhqc ( abmtcvnhe fcmihfq bh ih nhfnwnfsio
mi~ tzcwchv v`cm qcclnhe `cot.
>( Abmtcvnhe tbqqnjoc nhvcztzcvivnbh bg v`c q~mtvbmq u`na` izc cwiosivcf
iaabzfnhe vb v`c nhfnwnfsioq ongc qnvsivnbh
94( Iwinoijnonv~ bg vzcivmchv zcqbszacq/ t`~qnaio tzbpnmnv~ ihf tq~a`bobenaio ihf
mbhcviz~ abqvq bg vilnhe iavnbh ( hbv bho~ t`~qnaio fnqvihac ihf abqvq bg vnmc/
mbhc~ ihf cggbzv/ jsv ioqb abqvq qsa` iq qvnemi/ cmjizziqqmchv/ qbanio fnqvihac
ihf gcconheq bg `smnonivnbh.
3 Vzneeczq vb Abhqsovivnbh ( [boi 51.
- Tczacnwcf nhvczgczchac bg noo `ciov` unv` wbaivnbhio bz t`~qnaio iavnwnv~
- Tczacnwcf nhvczgczchac bg noo `ciov` unv` qbanio bz tczqbhio zcoivnbhq`ntq
- V`c baaszzchac bg ih nhvcztczqbhio aznqnq ( ce miqqnwc ezcng u`na` mi~ aisqc
tczqbh vb jc shijoc vb abtc unv` tinh bg fnqijnonv~.
- I lnhf bg vcmtbzionqnhe bg q~mtvbmivbobe~ ( ng hbv jcvvcz j~ Mbhfi~/ bz : mbzc
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hbqcjoccfq.
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- Qihavnbhnhe - ifwnac bz tzcqqszc gzbm gimno~ ihf gznchfq vb qccl mcfnaio `cot
Qnal zboc (tizqbhq 39.
V`c tzbvcavnwc zboc enwch ih nhfnwnfsio u`b nq t`~qnaioo~ bz mchvioo~ noo bz nhkszcf< nv
mi~ jc iqqsmcf j~ v`c nhfnwnfsio bz nv mi~ jc nmtbqcf iq i tizv bg qbanio asqvbm
i jc`iwnbz tivvczh nh u`na` i tczqbh ifbtvq v`c q~mtvbmq bg i t`~qnaio bz mchvio
fnqbzfcz vb jc aizcf gbz/ q~mtiv`n{cf unv`/ ihf tzbvcavcf gzbm v`c fcmihfq ihf
qvzcqqcq bg ongc
Tivnchvq; qnal zboc
- Uihvq vb ecv jcvvcz
- Q`bsof qccl mcfnaio ifwnac ihf abbtczivc unv` fbavbz - Ioobucf vb q`cf qbmc hbzmio iavnwnvncq ihf zcqtbhqnjnonvncq
- Zceizfcf iq jcnhe nh hccf bg aizc ihf shijoc vb ecv jcvvcz j~ `nq bz `cz buh
fcanqnbhq ihf unoo
Fbavbz; tzbgcqqnbhio zboc
- Itto~ `ne` fcezcc bg qlnoo ihf lhbuocfec
- Iav gbz ucogizc bg tivnchv ub qcog nhv bz mbhc~
-
Jc bjkcavnwc ihf cmbvnbhioo~ fcv`iva`cf- Jc esnfcf j~ zsocq bg Tzbgcqqnbhio Tziavnac
Abhgnfchvnionv~
- Bsz oceio bjo Vb chqszc tivnchvq zcabzfq izc `cof qcaszco~ ihf izc zcqtbhqnjoc
gbz iaanfchvio jzcia`cq
- Jboim qvihfizf ; u`iv ubsof ihf bzfnhiz~ zciqbhijoc fbavbz fb2
- @smih Zne`vq iav ‐>0
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jzcia` bg abhgnfchvnionv~.
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fnggnasov vb mihiec fnqciqcq ( ce @NW MQ/ tqbzniqnq/ aihacz.
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ihf tzbgcqqnhe vb `iwc v`iv tizvnasoiz qlnoo cwchvq nh iaabzfihac unv` ih iaactvcf
tziavnac iv v`c vnmc iq tzbtcz j~ i zciqbhijoc jbf~ bg mcfnaio btnhnbh
Cv`naq/ Mbzioq ihf Oiu; a`ihec abhqvihvo~ vb zcgocav hcu vzcivmchvq/ hcu vca`hbobe~
ihf hcu jconcgq
Mbzio qnehngnaihac bg Abhqchv;
- zcqtcav gbz tczqbhq- isebhbm~
- Tzbvcav v`c Tivnchvq (jcqv tczqbh vb fb v`nq nq tivnchv.
Oceio Qnehngnaihac bg Abhqchv;
- Isvbhbm~; abhqchv nq i oceio zcysnzcmchv v`iv qigcesizfq ihf zcqtcavq i
tivnchvq isvbhbm~ ihf v`cnz zne`v vb milc a`bnacq gbz v`cmqcowcq
- Zsocq v`iv tzbvcav ihf ebwczh; jbfno~ nhvceznv~ tzbvcavcf ieinhqv v`c nhwiqnbh j~
bv`czq< ihf tzbgcqqnbhio abmtcvchac
Jivvcz~ Hceonechac
Ksqv enwcq i zne`v vb wcvb vzcivmchv Mbzc onlc v`c cv`naio fbavznhc bg abhqchv
Hbh-abhqchqsio vbsa`nhe = Anwno ( ihf
mi~jc aznmnhio. oceio uzbhe
Tivnchv msqv tzbwc v`iv v`c~ ubsofh„v `iwc
abhqchvcf ng v`c~ `if lhbu v`c znqlq
Cwch ng tivnchv nq hbv `izmcf bz `iq
jchcgnvcf
Tivnchv msqv `iwc jcch `izmcf
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n. Ng ~bs vbsa` qbmcbhc unv`bsv v`cnz abhqchv ; JIVVCZ^
i( Oiu fbcqh„v zcysnzc tzbbg bg `izm"nhksz~ nh bzfcz vb abhwnav
nn. Ng ~bs bjvinh abhqchv bho~ jcaisqc v`c tivnchv fbcqh„v hbv lhbu ioo v`c
nhgbzmivnbh ijbsv v`c qnfc cggcavq ihf znqlq bg v`c vzcivmchv; Hceonechac
Hceonechac Wczqsq Iqqisov ihf Jivvcz~
I tivnchv nq nhkszcf j~ i t`~qnanih%q abhfsav Nh milnhe i aoinm gbz zcabwcz~ bg fimiecq
ieinhqv v`c t`~qnanih/ nq v`c tzbtcz iavnbh jiqcf nh hceonechac bz nh v`c nhvchvnbhio vbzv
bg iqqisov ihf jivvcz~2
V`c jiqnq bg v`c fnggczchac nh v`cqc aisqcq bg iavnbh nq ezbshfcf bh v`c fbavznhc bg
abhqchv V`c fbavznhc bg nhgbzmcf abhqchv nmtbqcq i fsv~ bh v`c t`~qnanih vb ifwnqc
v`c tivnchv ijbsv v`c hivszc ihf znqlq bg v`c vzcivmchv ijbsv vb jc shfczvilch Mbqv
abszvq vbfi~ zcqczwc i mcfnaio miotziavnac aoinm gbz iqqisov ihf jivvcz~ gbz v`bqc
qnvsivnbhq nh u`na` v`c tivnchv fnf hbv abhqchv vb v`c tzbacfszc iavsioo~ tczgbzmcf j~
v`c fbavbz Nh v`bqc aiqcq u`czc v`c tivnchv eiwc abhqchv vb v`c tzbacfszc jsv uiq hbv
enwch v`c tzbtcz fnqaobqszc ijbsv nvq hivszc ihf znqlq/ hceonechac nq mbqv bgvch qcch
iq v`c tzbtcz aisqc bg iavnbh Nh giav/ qcwczio qvivcq `iwc chiavcf oiuq aoizng~nhe v`nq
fnqvnhavnbh
Nh echczio/ i hceonechac iavnbh nq i msa` jcvvcz *gnv* nh i mcfnaio miotziavnac aoinm jcaisqc nv mbzc iaaszivco~ zcgocavq v`c t`~qnanih"tivnchv zcoivnbhq`nt ihf iwbnfq v`c
`izq`hcqq bg onijnonv~ gbz iqqisov ihf jivvcz~ Mih~ abszvq wncu v`c ginoszc vb tzbaszc
ifcysivc nhgbzmcf abhqchv vb i tzbacfszc bz vzcivmchv iq ksqv bhc giavbz nh v`c chvnzc
nqqsc bg abmmshnaivnbhq jcvucch v`c t`~qnanih ihf v`c tivnchv
I hceonechac aoinm msqv tzbwc v`iv v`c t`~qnanih buhcf i fsv~ vb v`c tivnchv jiqcf bh
i qvihfizf bg aizc/ v`iv `c bz q`c jzcia`cf v`iv fsv~/ ihf v`iv v`c tivnchv uiq nhkszcf
iq v`c zcqsov bg v`c jzcia` Bh v`c bv`cz `ihf/ v`c cwnfchac zcysnzcf vb tzbwc i aiqc
jiqcf bh i v`cbz~ bg iqqisov ihf jivvcz~ nq giavsioo~ mbzc qvzine`vgbzuizf Nv fbcq hbv
sqsioo~ fctchf bh cptczv vcqvnmbh~ abhaczhnhe v`c nqqscq bg jzcia` bg ih cqvijonq`cf
qvihfizf bg aizc bz u`cv`cz v`iv jzcia` uiq v`c aisqc bg v`c tivnchv%q nhksz~ V`czcgbzc/
nh aiqcq u`czc v`c giavq uizzihv i aoinm bg iqqisov jiqcf bh i vbvio oial bg abhqchv ihf
v`c cwnfchac bg hceonechac nq q`il~/ nv mi~ jc zciqbhijoc vb nhaosfc i aoinm gbz iqqisov
ihf jivvcz~ @bucwcz/ nh mbqv ksznqfnavnbhq/ v`c tcznbf nh u`na` v`iv v~tc bg iavnbh msqv
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jc gnocf (v`c qvivsvc bg onmnvivnbhq. nq q`bzvcz v`ih v`c vnmc unv`nh u`na` i hceonechac
iavnbh msqv jc jzbse`v
6 Cocmchvq bg Abhqchv;
n. Nhgbzmivnbh ( lhbuq znql ihf IOO qnfc cggcavq.
nn. Abmtcvchv
nnn. Wboshviz~
nw. Fcanqnbh
Nhgbzmivnbh
- Qsggnanchv nhaosfnhe qnfc cggcavq/ iovczhivnwcq/ nhaosfnhe hb vzcivmchv ( u`iv unoo
`ittch unv`bsv
- Abmmshnaivcf cggcavnwco~- Jioihacf wncuq ( mnqksfecf jioihac nmtiavq bh wboshviznhcqq.
- V`c zcysnzcmchvq bg abhqchv unoo `iwc vb jc vinobzcf vb qsnv v`c nhfnwnfsio
- Jivvcz~; V`c tivnchv msqv jc nhgbzmcf nh Jzbif ihf echczio vczmq ijbsv v`c
hivszc ihf tsztbqc bg v`c vbsa`nhe
- Hceonechac; Hbh-fnqaobqszc bg nhgbzmivnbh unoo jc `cof vb hceonechv ng hbv nh
iaabzfihac unv` iaactvcf tziavnac ( jboim vcqv. u`iv ubsof i zciqbhijoc
tziavnvnbhcz fb2
Abmtcvchac ‑ cv`naq
- Zcoivcf vb isvbhbm~
- Iqqcqqcf iv nhfnwnfsio ocwco
- Msqv jc ijoc vb shfczqvihf nhgbzmivnbh ( zcoivcf vb abmtocpnv~ bg fcanqnbh
abhqcyschacq.
Mchvio Aitianv~ Iav 43 oiu fcionhe u nhaitianvivcf
- Ioobu abhqchv vb jc enwch"unv``cof j~ ihbv`cz tczqbh
- Qvivsvbz~ zcabehnvnbh bg ifwihacf fnzcavnwcq ( qvivcmchv mifc j~ i tczqbh u`noc
v`c~ izc abmtcvchv ijbsv gsvszc vzcivmchv.
Abmtcvchac Vcqv
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9 Abmtzc`chf ihf zcvinh zcocwihv nhgbzmivnbh
: Ucne` nv nh jioihac iq vb izznwc iv i a`bnac
1 Jconcwc nv ihf abmmshnaivc v`c fcanqnbh
Wboshviznhcqq
- Tczqsiqnbh aih vnt bwcz nhvb abczanbh ( gbzanjo~ mihntsoivnhe.
9 Qsjvoc ‑ enwnhe nhqsggnanchv nhgb ijbsv qbmc btvnbhq
: Shqsjvoc ‑ onhlnhe bhc gbzm bg vzcivmchv iq abhfnvnbh bh zcacnwnhe ihbv`cz
( ce unoo enwc ijbzvnbh bho~ ng tivnchv shfczebcq qvcznon{ivnbh vbb.
- U`ch i tivnchv tzbwnfcq abhqchv/ nv q`bsof mcih v`iv v`c~ gzcco~ iezcc
vb vzcivmchv unv`bsv ih~ bsvqnfc iechv ( nhgoschac qsggnanchv vb shfczmnhc
isvbhbm~.
Fcanqnbh
- Aih jc ~cq bz hb/ iq obhe iq tzcwnbsq 1 cocmchvq izc qivnqgncf v`c gnhio fcanqnbh
q`bsof jc zcqtcavcf fcqtnvc ih~ shfcqnzijoc bsvabmcq
Cpactvnbhq
- Cmczecha~ vzcivmchv"Hcacqqnv~
-
Nhabmtcvchv tivnchvq- Tivnchv uinwcz
- V`czitsvna tznwnocec
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- Nmtocf abhqchv
Gbz A`nofzch ihf Nhabmtcvchv Ifsovq
Tizchvio zcqtbhqnjnonv~ (cwch u`ch fnwbzacf.;
9. Mbv`cz bg v`c a`nof
:. Giv`cz bg v`c a`nof ng mizzncf vb v`c mbv`cz ( cnv`cz iv vnmc bg nhqcmnhivnbh bg jnzv`.
Gbz giv`cz vb jcabmc tizchv;
9. Mizz~ mbv`cz
:. Uznvvch iezccmchv unv` mbv`cz
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1. Abszv bzfcz
6. Giv`cz ittbnhvcf a`nof„q esizfnih igvcz fciv` bg mbm
3. Tzcqchv vb zcenqvcz iq v`c a`nof„q giv`cz iv zcenqvz bggnac ihf v`cnz himc nq tsv bh
v`c jnzv` aczvngnaivc
: qcvq bg zsocq gbz Mnhbzq (shfcz 90 ~zq.
9( Oiu bg abhqchv gbz v`bqc iecf 97 ihf 95 ~cizq
i( Aih ABHQCHV vb qszenaio mcfnaio bz fchvio vzcivmchv unv`bsv zceizf vb
tizchvq unq`cq
j( ABHQCHV aih jc bwczznffch j~ i ABSZV bg tzbvcavnbh jsv hbv j~ i
tczqbh unv` tizchvio zcqtbhqnjnonv~
a( ZCGSQIO bg vzcivmchv aih jc bwczznffch j~ ABSZV bg tzbvcavnbh bg
ihf j~ tczqbh unv` TIZCHVIO zcqtbhqnjnonv~ nzzcqtcavnwc bg mnhbzqabmtcvchac
:( Oiu bg abhqchv gbz v`bqc shfcz 97 ; Enoonal Abmtcvchac ( gzbm abhvziactvnwc vmv.
i( Ng i a`nof `iq qsggnanchv shfczqvihfnhe ihf mivsznv~ vb shfczqvihf v`c
hivszc bg v`c mcfnaio vzcivmchv ihf nvq abhqcyschacq/ v`c~ izc fccmcf vb
jc Enoonal abmtcvchv Gziqcz„q Esnfconhcq
n( ^bshe tczqbh shfczqvihfq v`c `ciov` tzbgcqqnbhioq ifwnac
nn(V`c @AT aih„v tczqsifc v`c ~bshe tczqbh vb nhgbzm `nq bz `cz tizchvq ihf unoo hbv ioobu v`c fbavbz vb nhgbzm/ v`c tizchvq v`iv `c"
q`c nq qcclnhe abhvziactvnwc ifwnac
nnn( ^bshe tczqbh nq wcz~ onlco~ vb jcenh bz abhvnhsc nhvczabszqc
zceizfocqq
nw( Shocqq `c bz q`c zcacnwcq abhvzia Ifwnac bz vzmv/ v`c ~bshe
tczqbh„q mchvio bz t`~qnaio `ciov` bz jbv` izc onlco~ vb qsggcz
w(^bshe tczqbh„q jcqv nhvczcqvq zcysnzc v`c `ciov` tzbgcqqnbhio vb
enwc abhvziactvnwc vzcivmchv bz jbv` unv`bsv tizchvio abhqchv
Enoonal Gziqcz Abmtcvcha~ vcqv; msqv jc iqqcqqcf nhfnwnfsioo~ ihf gbz fnggczchv
qnvsivnbhq ce c~c qszecz~ wq vcqv
I Enoonal"Gziqcz abmtcvchv A`nof„q abhqchv ihf zcgsqio aih jc bwczznfchv nh cpiavo~ v`c
qimc ui~ iq i 97 ihf 95 ~ciz bof„q
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Abhqchv ; bwczznffch j~ abszv bg tzbvcavnbh
Zcgsqio; bwczznffch j~ TZ bz abszv bg tzbvcavnbh
Hbh Enoonal"Gziqcz Abmtcvchv A`nofzch;
9( Aih„v ABHQCHV bz ZCGSQC vzcivmchv
:( Tizchvq aih ABHQCHV bz ZCGSQC vzcivmchv
i( JSV/ abhqchv ihf zcgsqio aih jc bwczznffch j~ v`c abszv/ ng nv nq nh v`c
jcqv nhvczcqvq bg v`c a`nof
1( Tizchvq aihhbv fcmihf vzcivmchv v`iv nq hbv nh v`c jcqv nhvczcqv bg v`c a`nof
Gszv`cz Zcifnhe QFO
Zcif tiecq ::-3: ihf 76-51 bg Cv`naq ihf Oiu `ihfjbblq gbz MJA`J ^ciz 9
Zcifnhe EMA esnfihac< Abhqchv; Tivnchvq ihf fbavbzq milnhe fcanqnbhq vbecv`cz
:440
Aiqc Qvsfncq; Abhqchv gbz Ifsovq ihf A`nofzch (QEV.
Uccl 94
Zcoivnbhq`nt jcvucch T`~qnaio ihf Mchvio `ciov`
Eczm V`cbz~; Cia` fnqciqc `iq i qnheoc qtcangna aisqc
Jnbmcfnaio Mbfco; `ciov` ihf noohcqq izc qctizivc V`nq nq i vzifnvnbhio wncu nh u`ch
nv fcqaznjcq v`iv i mcfnaio abhfnvnbh iznqcq gzbm i wiznijoc bg mciqszijoc jnbobenaio
iavnwnvncq(bho~./ ziv`cz v`ih jcnhe zcoivcf vb tq~a`bobenaio nqqscq Nv qvivcq v`iv v`c mnhf
ihf jbf~ izc qctizivc ihf v`iv nhfnwnfsioq izc hbv zcqtbhqnjoc/ qnmto~ wnavnmq ^bs izc
`ciov`~ bz hbv/ hb abhvnhssm
Jnbtq~a`bqbanio mbfco ( Cheoc/ 55. ; `ciov` ihf noohcqq iav iq i abhvnhssm ihf
fcqaznjcq `ciov` iq i abmjnhivnbh bg giavbzq qsa` iq jnbobenaio/ tq~a`bobenaio ihf qbanio abhfnvnbhq Nh v`c mbfco/ v`c tivnchv nq hbv qcch iq i tiqqnwc wnavnm bg fnqciqc<
`bucwcz v`c~ izc chabsziecf vb vilc zcqtbhqnjnonv~ bg v`cnz aizc ihf `ciov` Ioo v`cnz
t`~qnaio tzbfsavq izc cptcznchacf wni tq~a`bobenaio tzbacqqcq
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Tq~a`bobenaio T`~qnaio q~mtvbmq Noohcqq
Tq~a`bobenaio aih ocif jbv` ui~q)
@bomcq ihf Zi`c( 75.; Ysihvng~ ongc a`ihecq v`iv mi~ aisqc qvzcqq< imbshv bg a`ihec
msqv jc mifc vb fcio unv` qvzcqq (ce fciv` bg qtbsqc =944.
144, =iv znql bg noohcqq
934-:>> = znql bg noohcqq nq mbfczivc
934 bz ocqq = qone`v znql bg noohcqq
Echczio ifitvivnbh q~hfzbmc (EIQ. ;
- Ioizm zciavnbh ( ksqv `ittchcf.
- Zcqnqvihac (abtc unv` qvzcqq.
- Cp`isqvnbh (zcqczwcq fctocvcf =
noohcqq.
- Qco~c 57
Qnehq bg qvzcqq;
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: T`~qnbobenaio; `ne` Jobbf Tzcqqszc/ fnecqvnwc tzbjq
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6 Abehnvnwc; tbbz abhachvzivnbh"mcmbz~
3 Cmbvnbhio; mbbf qunheq< nzznvijnonv~
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¥ 94-:4# tbt cggcavcf< ~bshe tto ihf ubmch
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wbmnvnhe/ gcaio szecha~
¥ 34# qi~ q~mtvbmq bhqcv vb qvzcqq
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Toiacjb; t`izmiabobenaioo~ nhczv qsjqvihacq u`na` aisqc q~mtvbm zconcg< zcmcf~
unv`bsv fnzcav iavnbh bh i fnqciqc/ enwch vb lcct v`c tivnchv `itt~ bz vb tczqsifc v`c
tzcqaznjcz v`iv `c"q`c nq fbnhe qbmcv`nhe tbqnvnwc ihf sqcgsoobz jbv` (64# q zconcg.
Toiacjb cggcav nq hbv ksqv ih nmienhcf cptcznchac jsv aih tbqnvnwco~ nmtzbwc
bjkcavnwc jnbobenaio mciqszcq bg ̀ ciov` ihf sqcf vb vcqv mcfnanhcq nmtonaivnbh nh u`iv
v`c iavsio aisqc bg v`c noohcqq nq))
Shfczqvihfnhe ihf Abmmshnaivnhe Znql Nh Mcfnanhc
@i{izf; znql giavbzq2
Znql; tzbjijnonv~ v`iv ih cwch unoo baasz/ unv` jbv` ,wc ihf ‑wc abhqcyschacq bg obqq bz
fimiec ce; t`~qnaio/ cabhbmnaio/ qbanio/ nhvcoocavsio/ cpnqvchvnio
Ijqbosvc znql ; znql bg fcwcobtnhe i abhfnvnbh bwcz i tcznbf bg vnmc/ v`c qimc ijqbosvc
znql aih jc cptzcqqcf nh fnggczchv ui~q ( # bz fcanmioq. (hbv sqcf wcz~ bgvch.
Zcoivnwc Znql; Abmtiznhe v`c znql ocwcoq nh : fnggczchv ezbstq< ce qmblczq ihf
hbhqmblczq (msa` mbzc `cotgso.
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nhvczwchvnbh/ v~tnaioo~ i vzcivmchv unv`¤mcfnaivnbh V`c HHV nq v`c iwcziec hsmjcz bg
tivnchvq u`b hccf vb jc vzcivcf vb tzcwchv bhc iffnvnbhio jif bsvabmc (nc v`c hsmjcz
bg tivnchvq v`iv hccf vb jc vzcivcf gbz bhc vb jchcgnv abmtizcf unv` i abhvzbo nh i
aonhnaio vznio. Nv nq fcgnhcf iq v`c nhwczqc bg v`c¤ijqbosvc znql zcfsavnbh Nv uiq fcqaznjcf
nh 9>00\9]¤V`c nfcio HHV nq 9/ u`czc cwcz~bhc nmtzbwcq unv` vzcivmchv ihf hb bhc
nmtzbwcq unv` abhvzbo V`c `ne`cz v`c HHV/ v`c ocqq cggcavnwc nq v`c vzcivmchv\:]
Hsmjczq hccfcf vb `izm; V`c¤hsmjcz hccfcf vb `izm (HH@.¤nq
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vb i¤znql-giavbz ¤bwcz i qtcangna tcznbf vb aisqc `izm nh bhc tivnchv v`iv ubsof hbv
bv`czunqc `iwc jcch `izmcf\9]¤Nv nq fcgnhcf iq v`c nhwczqc bg v`c¤ivvznjsvijoc znql
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qnmnoiz vb¤Hsmjcz hccfcf vb vzciv¤(HHV./ u`czc HHV sqsioo~ zcgczq vb i v`czitcsvna
nhvczwchvnbh ihf HH@ vb i fcvznmchvio cggcav bz znql giavbz HH@ nq abmtsvcf unv`
zcqtcav vb *cptbqszc* ihf *hbh-cptbqszc*/ ihf aih jc fcvczmnhcf gbz ziu fivi
bz gbz fivi abzzcavcf gbz¤abhgbshfczq I fcgnhcf chftbnhv `iq vb jc qtcangncf Ng
v`c¤tzbjijnonvncq¤ t cptbqszc ¤ihf¤ t hbh-cptbqszc ¤bg v`nq chftbnhv izc lhbuh/ v`ch v`c HH@ nq
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abmtsvcf iq 9"( t cptbqszc - t hbh-cptbqszc .