muerte cerebral y bioética
TRANSCRIPT
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T L J P A Q H Q L J
J P M T D L U J H T \ P M F Q @ U H O L J H O & A &
O L B M T Q @ U E M H @ Q M D L
P F M ^ @ U T M A L A @ J E H T \ P @
Nmflj a` jl ~mal
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Mfquhapddmf
@t f`d`tlumh lfljm{lujl a`ta` amn`u`fq`t ltw`dqht whu
|p` b`f`ul opdclt w`ud`wdmhf`t } t`ftldmhf`t `jq`ol a` jl op`uq` h a`j nmflj a` jl ~mal9 t` b`f`ul pfdhfnjmdqh op} bulfa` } `t f`d`tlumh pf `td`flumhwlul dhowu`fa`ujh&
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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@K@T A@ @TQPAMH
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
NMFLJ A@JL ^MAL
UM@TBH A@OHUMU
OHALJMALA@TLTMTQ@FDMLJ@T
OP@UQ@DHF
Q@DFHJHBML
A@U@DCH LOHUMU
W@UOMQMU OHUMU
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Dhfnjmdqm~mala lj nmflj a` jl ~mal
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
^lumlt ul{hf`t wlul `tqht dhfnjmdqht;
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Dhfnjmdqm~mala lj nmflj a` jl ~mal@sw`dqlqm~l a` ^mal a` jl Thdm`ala
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Nldmjmql jl la|pmtmdmf a` fp`~lt } olt`fn`uo`ala`t
Nulbmjmala dhuwhulj A`tlwlumdmf a`j nhuolqh nlomjmlu qulamdmhflj
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Dhfnjmdqm~mala lj nmflj a` jl ~malMfdhuwhuldmf a` ljql q`dfhjhbl l jl O`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
Thwhuq` ~mqlj Etmdh; u`twmulahu`t o`dfmdht
hsmb`fldmf `squldhuwu`l
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lfqmemqmdht
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LDDMHF Q@ULW@PQMDL
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Dhfnjmdqm~mala lj nmflj a` jl ~malMfdhuwhuldmf a` ljql q`dfhjhbl l jl O`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
dpj a`el t`u jl a`dmtmf }
dpfah } |pmf a`e`ulqholujl8
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Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
T&^&E
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Dhfnjmdqm~mala lj nmflj a` jl ~malMfdhuwhuldmf a` ljql q`dfhjhbl l jl O`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Jht wldm`fq`t dhf um`tbh a` op`uq`
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Jht wldm`fq`t dhf um`tbh a` op`uq`
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qulftmqhumh #qulftmqhum`ala whtmej`-
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Jht wldm`fq`t dhf um`tbh a` op`uq`
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
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`swu`tmf nmflj a` jl omtol&
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j j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
]l fh `t ot pf ~`fqh q`uomflj } `twhfqf`h* `t pflmfq`u~`fdmf oamdh/q`dfhjbmdl&
@tql o`amdljm{ldmf a` jl op`uq` `t tmowj`o`fq` `ju`~`uth a` jl o`amdljm{ldmf a` jl ~mal |p` mow`ul `f
fp`tqul thdm`ala&
Jl op`uq`* |p` tm`owu` fht wlu`dm lk`fl whu `j q`ohu lltpomujl* u`tpjql lchul fh pf mftqlfq` emhjbmdh djluh }wpfqplj tmfh pf wuhd`th / |p` }l Tlf Lbptqf a`nmfm nmjhtnmdlo`fq`%dhoh pfl w`uolf`fq` tptqulddmf a` jl ~mal% /* |p` ldhfq`d`wuhbu`tm~lo`fq` `f `j qm`owh } dp}h nmflj wu`dmth a`e`t`u ldhualah } dhf~`fmah&
J j j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@j dhfhdmom`fqh dm`fqnmdh cl whtmemjmqlah jhbuht `f `jqulqlom`fqh } dpuldmf a` opdclt `fn`uo`ala`t
@j mow`ulqm~h q`dfh/dm`fqnmdh wu`q`fa` lfpjlu `j wuhd`tha` `f~`k`dmom`fqh* wuho`q` lht a` ~mal* } a`djlul jl
`~mqlemjmaa a` jl op`uq`& Lh 5777 whu jl Amu`ddmf @k`dpqm~l a`j Cpolf B`fhol
Tdm`fd`t* |p` a`nmf` jl op`uq` dhoh pf dhfkpfqh a``fn`uo`ala`t wu`~mtmej`t
T` b`f`ul pfl dpjqpul a` mf~`tqmbldmf mow`ulqm~l } a`op`uq` tm`owu` `~mqlej`* |p` `t dhfquluml l laomqmu |p`jl op`uq` qloemf nhuol wluq` a` jl ~mal } |p` w`ua`utp t`fqmah tm jl wm`ua` jl ~mal omtol&
J j j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
Op`uq` @fd`njmdl Ohjjlu`q } Bhpjhf lht 07 dhol a`wltt
KLOL 0 a` Lbhtqh a` 3
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht ^`b`qlqm~ht Mowjmdl jl `smtq`fdml* w`uh dhf mf`smtq`fdml a` jl w`ud`wdmf a`
t omtoh } a` tp `fqhufh&
w`utmtq`fq` a`twpt a` pf o`t a` qulftdpuumah `j `~`fqh w`uh fhmowjmdl muu`~`utmemjmala&
w`uolf`fq` l `tq` `tqlah ~`b`qlqm~h #@&^&W&- a`fhqlmuu`~`utmemjmala qu`t o`t`t a`twpt a` pfl mfkpuml fh qulpoqmdl }ahd` o`t`t a`twpt a` pfl mfkpuml qulpoqmdl&
@tqlah a` dhfdm`fdml ofmol
Opqmtoh limfqmdh
Jhdi`a mf dplaumwj`kml }lfuquml
Fh `smtq` q`tq h wup`el |p` a`q`uomf` a` nhuol lethjpql tpwu`t`fdml&
J q j q j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht `b`qlqm~ht dumq`umh a` op`uq` f`hdhuqmdlj #cmbc eulmf dumq`umhf-
jl j`tmf f`puhjbmdl muu`~`utmej` t` ltm`fql `f jht d`fquht tpw`umhu`t`smtq`fq`t `f jl dhuq`{l d`u`eulj lpf|p` dhf mfa`ofmala a`j quhfdhd`u`eulj jh |p` wu`t`u~l jlt npfdmhf`t u`twmulqhuml } dmudpjlqhuml
Jl wuamal lethjpql a` jlt npfdmhf`t dhbfhtdmqm~lt tpw`umhu`t#dhfdm`fdml* dhopfmdldmf* ln`dqm~mala* `qd- a`nmf`f jlflqpulj`{l } dhfamdmf cpolflt FH `t jl nljjl f`puhjbmdl|p` u`bpjl jl cho`htqltmt a` jlt npfdmhf`t ~`b`qlqm~lt&
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J q j q j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht muu`~`utmej`t ` muu`dpw`ulej`t& Jl op`uq`mfq`u~`fmal&
@j wldm`fq` duqmdh* }l mfq`uflah `f q`ulwml mfq`ftm~l* wp`a`cle`u tpw`ulah jl mfomf`fq` lo`fl{l a` op`uq`* } qloemf
wp`a` cle`u w`uamah `j `~`fqh tp dluldq`utqmdl a`qulftmqhum`ala* w`uh jl dhfamdmf a` whq`fdmlj u`~`utmemjmalaa`e` olfq`f`ut` wlul fh dl`u `f `j um`tbh a`j `fdlufm{lom`fqhp hetqmfldmf q`ulwpqmdl&
Tm `j dplauh t` qhufl muu`~`utmej` jlt lddmhf`t oamdlt theu` `jthwhuq` ~mqlj* `f `j t`fqmah a` tp letq`fdmf h u`qmuh* clfu`dmemah `j fhoeu` lowjmh a` jomq` `f `j `tnp`u{h q`ulwpqmdh#J&@&Q&-&
J q j q j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht muu`~`utmej`t ` muu`dpw`ulej`t& Jl op`uq`mfq`u~`fmal& op`uq` mfq`u~`fmal dplfah jl letq`fdmf h u`qmuh a` ljbf
oqhah a` thwhuq` ~mqlj `f `j qulftdputh a` jl ltmtq`fdml
oamdl t` wuhwhf` dhoh pf jomq` `f `j qulqlom`fqh |p`alfah~mfdpjlal amdcl lddmf dhf jl wuhapddmf a` jl op`uq`dluamhuu`twmulqhuml qulamdmhflj9 `tqlt thf wuldqmdltlamtqlftmdlt&
Jl qhol a` a`dmtmf u`tw`dqh a` jht oqhaht a` thwhuq` ~mqlj`f `tqht dltht duqmdht } dhowj`kht mowjmdl npfalo`fqljo`fq``tqlej`d`u ldqm~lo`fq` pf jomq` a` jl lq`fdmf oamdl |p`tmbfmnmdl fh lwjmdlu pf wuhd`amom`fqh h q`ulwpqmdh h tp u`qmuh*tm tq` }l cl tmah dho`f{lah&
J q j q j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht muu`~`utmej`t ` muu`dpw`ulej`t& Jl op`uq`mfq`u~`fmal&
Jl op`uq` `f q`ulwml mfq`ftm~l `tq wu`d`amal*lwuhsmolalo`fq` `f pf 07 a` jht dltht* whu ljbpfl a` `tqlt
a`dmtmhf`t a` letq`fdmf #fh ldqplu- h tptw`ftmf #a`klu a`ldqplu- a`j thwhuq` ~mqlj&
Jl wu`tpfql `|pm~lj`fdml ohulj a` loelt lddmhf`t #fh ldqpluh a`klu a` ldqplu- fh `t w`udmemal whu jl ol}hul a` jhtom`oeuht a`j `|pmwh a` tljpa a` jlt pfmala`t a` q`ulwmlmfq`ftm~l } qlowhdh whu |pm`f`t fh ldqlf `f `tqlt pfmala`t&
J q j q j m a j
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht muu`~`utmej`t ` muu`dpw`ulej`t& Jl op`uq`mfq`u~`fmal&
Jl fh pqmjm{ldmf a` pf oqhah a` thtqf ~mqlj t` ~mtpljm{l `f jlwudqmdl dhf pfl u`twhftlemjmala ohulj amtqmfql lj u`qmuh a` pf
wuhd`amom`fqh }l mfmdmlah& Tm jl mfamdldmf a` pf thwhuq` ~mqlj lfq` pfl tmqpldmf fh
djlulo`fq` u`~`utmej` fh `t ldhowllal whu jl `~`fqplja`dmtmf a` u`qmulujh lfq` tp mf`n`dqm~mala* tp olfq`fmom`fqhwhaul dhfapdmu lj `fdlufm{lom`fqh q`ulwpqmdh&
Jl letq`fdmf whu tmbfmnmdlu pfl o`fhu dlubl ohulj wp`a`wum~lu l ljbf wldm`fq` a` dm`uql whtmemjmala a` u`dpw`uldmf&
Jl o `uq` `f jl `ul q`dfhjbmdl a` jl
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@tqlaht muu`~`utmej`t ` muu`dpw`ulej`t& Jl op`uq`mfq`u~`fmal& pf wldm`fq` mfdhow`q`fq`* jl qhol a` a`dmtmf oamdl a`e`u
bpmlut` t`bf ljbpfl a` `tqlt aht whtmemjmala`t;
@j kpmdmh tptqmqpqh tmbfmnmdlul ldqplu t`bf jht a`t`ht a`j wldm`fq` tm
t` wpam`ul dhfhd`u dplj t`ul jl `j`ddmf a`j omtoh }l t`l `f pfltmqpldmf a`q`uomflal
Jht o`khu`t mfq`u`t`t wlul `j wldm`fq` t` u`nm`u` `f dloemh l q`f`u `fdp`fql jh |p` t` dhfd`wq` |p` `t jh o`khu wlul jl `~hjpdmf a`jwldm`fq`* wu`tdmfam`fah a` tpt a`t`ht w`uthflj`t tm tqht fh`smtqm`u`f&
Tm`owu` t` a`e`u dhfqlu dhf `j f`d`tlumh dhft`fth a` jl nlomjml* |p`wlul `j oamdh `t |pm`f`t dpmalf lj wldm`fq`* } `f dlth a`a`tldp`uah dhf `j `|pmwh oamdh jl dhftpjql dhf pf dhomq a` qmdl
Jl op`uq` `f jl `ul q`dfhjbmdl a` jl
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@j t`~`uh amj`ol qmdh |p` b`f`ulf jl qhol a`a`dmtmf `f jlt dmudpftqlfdmlt |p` lfljm{loht `t pfq`ol |p` j` dhfdm`uf` l qhal jl thdm`ala whu|p` lw`tlu a` |p` jht c`dcht qulftdpuu`f `f `j `td`flumhoamdh* qhaht `tqht q`olt j` w`uq`f`d`f l jlthdm`ala `f tp dhfkpfqh } fh tjh u`tw`dqh a`jdhfhdmom`fqh a` jl ~`uala tmfh a` tp wluqmdmwldmf`f jl qhol a` a`dmtmf
A`klu ohumu
Jl op`uq` `f jl `ul q`dfhjbmdl a` jl
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
Dhfhd`u jl ~`uala tmbfmnmdl qulftomqmu djlulo`fq` `jdhfd`wqh a` jl wluqmdmwldmf ldqplj a`j ldqh oamdh*whu lddmf p homtmf* `f jl jj`blal a` jl op`uq`&
Jlt a`dmtmhf`t thf; `tqumdqlo`fq` oamdlt #npqmjmala nmtmhjbmdl-
A`e`f t`u whu jl a`dmtmf a`j wldm`fq` ldqplj h wu`~ml#amu`dqm~lt lfqmdmwlalt- jl ol}hul
Whu dhft`fth dhf nlomjmlu`t h tp u`wu`t`fqlfq`&
Jl op`uq` `f jl `ul q`dfhjbmdl a` jl
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@j jomq` a` lq`fdmf olt nu`dp`fq`o`fq` ldhualah `t jlletq`fdmf h tptw`ftmf a` jl ltmtq`fdml c`ohamfomdl#mfnptmf a` ~lthwu`thu`t- } jp`bh jlt a`dmtmhf`t theu` jlltmtq`fdml u`twmulqhuml |p` mowjmdlf a`ta` jl letq`fdmfcltql `j u`qmuh wuhbu`tm~h a` jl u`twmuldmf o`dfmdl
wu`d`amal b`f`uljo`fq` whu pfl amtomfpdmf a` jl~`fqmjldmf } a` jlt nulddmhf`t mftwmulalt a` hsb`fh @f `j @&^&W& #`tqlah ~`b`qlqm~h w`uolf`fq`- wjlfq`l aht
dmudpftqlfdmlt whtmej`t; jl a`dmtmf a` fh qulqlu ljbpfl a` jlt dhowjmdldmhf`t #whu `k`owjh
pfl mfn`ddmf u`twmulqhuml- p hqul wlqhjhbl |p` t` lthdm` #dfd`u*leaho`f lbpah- tptw`fa`u jl ljmo`fqldmf } jl cmaulqldmf `fq`ulj h wlu`fq`ulj* jh
|p` wuh~hdl jl op`uq` whu wluh dluamhdmudpjlqhumh `f pf jlwth a`
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
Jh |p` fh a`e` hdpuumu `t |p` qhal `tql a`dmtmf|p`a` `f olfht a` jht oamdht&
@j wumfdmwmh a` lpqhfhol `smb` `tq` `tnp`u{h whuwluq` a` jl thdm`ala whu|p` `j a`u`dch a` a`dmamu a`
ptpnupdqplu `j wuhbu`th `smb` qloemf jl hejmbldmf }`j a`e`u a` dhowluqmu jlt dhft`dp`fdmlt a` jla`dmtmf&
Whu|p` mfdhowu`ftmej`o`fq` t` qultjlalf wldm`fq`t
muu`dpw`ulej`t l u`lt a` dpmalah mfq`ftm~h ahfa`wp`a`f t`u tho`qmaht l wuhd`amom`fqht fhmfamdlaht&
Jl op`uq` `f jl `ul q`dfhjbmdl a` jl
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Jl op`uq` `f jl `ul q`dfhjbmdl a` jlo`amdmfl
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
Jl lwjmdldmf a` wuhd`amom`fqht tpw`unjpht } `sd`tm~ht} `j wuhjhfblah ` mff`d`tlumh olfq`fmom`fqh a` jltnpfdmhf`t ~mqlj`t b`f`ulf nu`dp`fq`o`fq` nhuolt a`op`uq` dhf tpnumom`fqh* lmtjlom`fqh } a`tnmbpuldmf& @j`fdlufm{lom`fqh q`ulwpqmdh* lj |p` tm`owu` t` ljpa`
dhoh `k`owjh a` mfambfmala* `t `j u`tpjqlah a` pfn`fo`fh dpjqpulj op} dhowj`kh } opjqmnldqhumlja`um~lah a` jl `sd`tm~l lwjmdldmf a` wuhd`amom`fqhtq`dfhjbmdht `f jl o`amdmfl* a` jlt a`to`tpulalt`sw`dqlqm~lt a` dpuldmf |p` t` cl mfdpjdlah `f jl
thdm`ala* a`j u`|p`umom`fqh a` wu`t`u~lu tm`owu` jl ~malemhjbmdl dhoh pf ~ljhu tlbulah } a` jl lpt`fdml a` pfla`dmtmf oamdl pf~hdl |p` ltpol jl `smtq`fdml a`jomq`t `f jlt lddmhf`t oamdlt&
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A`u`dch l ohumu
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
u`tpjql `squlh |p` t` clej` a`j a`u`dch l ohumudplfah qhah `j amtdputh u`n`u`fq` l a`u`dcht t`u`quhqul` lj ot npfalo`fqlj a` qhaht jht a`u`dcht;`j a`u`dch l ~m~mu& ] jl ~mal omtol* |p` fh `smtq` `fnpfdmf a` pf a`u`dch tmfh a` pf c`dch* `smb` `ju`dhfhdmom`fqh mowjdmqh a`j a`u`dch l jl ~mal a`jmfam~maph whu wluq` a` jl dhj`dqm~mala } flqpuljo`fq`lj omtoh u`dhfhdmom`fqh `f qhaht jht a`ot whuwluq` tp}l& Khflt
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A`u`dch l ohumu
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
U`dcl{h lj qulqlom`fqh
Tpmdmamh ltmtqmah
@pqlfltml
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W`uomqmu ohumu
Jpmt Dlujht \pmfq`uh Oljh O&A& Olbmtq`u Emhqmdl
@j dhfd`wqh a` ~mal fh `j a` op`uq`* `t `j |p` umb``j a`u`dch l ohumu& C`oht ~p`jqh lj dhom`f{h ahfa`cljjloht `j a`u`dch l ~m~mu dhoh np`fq` a` qhaht jhta`u`dcht& Dhuu`dql } wj`flo`fq` `fq`famah* mfdjp}`
qloemf `j a`u`dch l ohumu& Khflt
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O P D C L T B U L D M L T
Lwhuq`t* Mf|pm`qpa`t&&