Zakażenia Szpitalne

PIE1.A01. Anathomy

Level 1st degree Name of the

study field PIELĘGNIARSTWO Form of study Stationary Profile practical Course ANATHOMY Code PIE1.A01 ECTS points 3,0 Wydział Społeczno-Medyczny Unit Katedra Pielęgniarstwa i Położnictwa Obligatory Status of course / Modular block A. Basic science Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW (SEM) BNA ZP PZ Theoretical education Practical education 1 1 45 15 15 ------Examination form ZO ZO ZO ------ECTS 3,0 ------Education area in direc- Medical sciences, health sciences and physical culture sciences tion of studies. Field of Health sciences science Language of english lectures Prerequisites Biology knowledge from high school. • To familiarize students with the normal human anatomy. • To acquaint students with topographic anatomy and functional human anatomy in the basic scope. Education • To acquire the ability to use knowledge in the field of anatomical structure of basic systems, the appa- goal ratus of human motion in the context of its functioning

Correspon- dence level between course learning Reference to Course lear- effect to direc- directional ning effect Description of the education effect education tional educa- symbol effects tion effect. (+ - low, ++ - middle, +++ - high) According to anatomical appointment, it defines particular ele- A02_K_W01 +++ ments of the human body structure Characterizes the structure of individual parts of the human body A02_K_W02 (topographical approach) +++ Characterizes the structure of individual functional systems of the

PIE1.B02. Sociology

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Sociology Code PIE1.B02 ECTS points 2.0

 Familiarizing students with basic concepts of sociology  Familiarizing students with basic types of social collectivities  Familiarizing students with mechanisms of social life Education goal  Familiarizing students with social determinants of social health and basic issues within medical sociology and health sociology.  Creating in students the elements of "sociological imagination" and increasing their sensitivity to social life. Correspond- ence level between the course educa- Reference to tional outcome Symbol of the the directional and the direc- course educa- Description of the course educational outcome educational tional educational outcome outcome tional outcome (+ - low, ++ - medium, +++ - high) Describes applicable in nursing selected theories and B02_K_W01 methods of modelling reality from the perspective of sociol- B.W9 +++ ogy

1 Describes selected areas of religious and cultural differ- B02_K_W02 B.W10 +++ ences Characterizes the range of social interaction and socialis- B02_K_W03 ing process as well as functioning of local communities and B.W11 +++ ecosystem Defines the following concepts: group, organisation, institu- B02_K_W04 tion, population, society and ecosystem. Knows the princi- B.W12 +++ ples of their functioning. Differentiates between deviation and disorder with empha- B02_K_W05 D.W13 +++ sis on pathology among children Understands the cognitive processes and differentiates B02_K_W06 B.W14 +++ between correct, disordered and pathological behaviours Defines and interprets the phenomenon of class, ethnic B02_K_W07 B.W15 +++ and gender inequality and discrimination Analyses and evaluates with criticism the phenomenon of B02_K_U01 B.U15 ++ discrimination and racism Controls and coordinates the measures to prevent devia- B02_K_U02 tions and various pathologies among children and adoles- B.U16 ++ cents Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome Describes applicable in nursing selected theories and methods of modelling reality from the B.W9 perspective of sociology B.W10 Describes selected areas of religious and cultural differences Characterizes the range of social interaction and socialising process as well as functioning of B.W11 local communities and ecosystem Defines the following concepts: group, organisation, institution, population, society and ecosys- B.W12 tem. Knows the principles of their functioning. B.W13 Differentiates between deviation and disorder with emphasis on pathology among children Understands the cognitive processes and differentiates between correct, disordered and patho- B.W14 logical behaviours Defines and interprets the phenomenon of class, ethnic and gender inequality and discrimina- B.W15 tion B.U15 Analyses and evaluates with criticism the phenomenon of discrimination and racism Controls and coordinates the measures to prevent deviations and various pathologies among B.U16 children and adolescents CURRICULUM CONTENT Implemented Course sym- Subject of classes educational Hours bol outcomes Form of classes: lectures Sociology as a science. The place of sociology in the humanities. W01 The objective and subjective area of sociology. Sociology of so- B02_K_W01 2 cial micro-, meso- and macrostructures Social group and its constitutive characteristics. Social group and W02 B02_K_W04 3 social collectivity. Types of social groups. Reference groups Power in a group: division according to M. Weber and K. Levin. W03 B02_K_W04 3 Sociometry. Conformism and its determining factors.

2 Social roles. Social role versus social status. Social marginalisa- W04 tion, social exclusion. Social inequalities and their sources in the B02_K_W02 3 modern world. Discrimination against the elderly and disabled. Socialisation. Mechanisms of socialisation. Types of socialisation. Socio-personal consequences of socialisation. Emotional intelli- W05 B02_K_W03 3 gence and rational intelligence. Application of emotional intelligence within work in helping services. Modern family and its transformations. Types of modern families. Adoptive family versus foster family. Main problems of modern B02_K_W05 W06 3 families. Cohabitation. Divorce and its determining factors as a B02_K_U02 reflection of social disintegration. Culture and its significance for groups and individuals. Pop culture and its characteristics. Cultural and religious factors determining W07 B02_K_W02 4 pro- and anti-health behaviours. Stereotypes and their consequences. Ageism and sexism. Social pathologies: mechanisms of formation and prevention. B02_K_W05 Poverty in Poland. Subsistence minimum versus social minimum. B02_K_W07 W08 Characteristics of poverty in Poland. Characteristics of "young 5 poverty ", malnutrition of children as a social problem. Unem- B02_K_U01 ployment. old and the new addictions. B02_K_U02

Violence in the modern world. Mechanisms that generate vio- B02_K_W06 W09 lence. Characteristics of violence. Violence against the elderly. B02_K_W07 4 Domestic violence. B02_K_U01 Hours in total: lectures 30 Form od classes: classes without the participation of an academic teacher (BNA) BNA01 Group character of social life B02_K_W04 5 Interpersonal communication as a source to create social rela- BNA02 B02_K_W06 5 tionships in private and professional life

Social marginalisation in relation to selected disability issues. B02_K_W03 Methods of counteracting social exclusion. Presentation of select- BNA03 B02_K_W05 5 ed local systems of action directed at individuals exposed to everyday life pathology. B02_K_W07 Hours in total: BNA 15 Correlation of particular types of classes Lecture BNA W01 --- W02 BNA01 W03 --- W04 --- W05 --- W06 BNA02 W07 --- W08 BNA03 W09 ---

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W BNA W BNA

B02_K_W01 W01 --- single or multiple ---

3 choice test single or multiple B02_K_W02 W04, W07 ------choice test single or multiple essay (presentation) B02_K_W03 W05 BNA03 choice test or test single or multiple essay (presentation) B02_K_W04 W02, W03 BNA01 choice test or test single or multiple essay (presentation) B02_K_W05 W06, W08 BNA03 choice test or test single or multiple essay (presentation) B02_K_W06 W09 BNA02 choice test or test single or multiple essay (presentation) B02_K_W07 W08, W09 BNA03 choice test or test single or multiple B02_K_U01 W08, W09 ------choice test single or multiple B02_K_U02 W06, W08 ------choice test Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Classes without participation of an academic teacher (BNA) stand for unassisted student's work – subject of classes is provided above. Students become familiar with the following subjects of the BNA classes based on a list of basic and supplementary bibliography or additional materials prepared by an academic teacher. Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the conducted classes. This should be reflected in an outline prepared by a lecturer (the outline should be attached to the course portfolio). Lecture + In the case of BNA classes, the lecturer should indicate to students working on a particular classes with- subject on their own which aspects of the subject they should pay special attention to; the as- out the partic- pects result from educational outcomes assigned to a particular subject. ipation of an The course ends with a final test covering lectures and BNA. academic teacher (BNA) instead of test questions from BNA, students may prepare (individually or in small, up to 2-3- person groups) essays or presentations on a selected subject indicated in BNA. Then the lecture should be conducted in the form of a conversation lecture where students refer (present) the material prepared by them (duration of the essay or presentation: no more than 5-10 minutes), while the other students express their opinions about the material presented. Exemplary essay (presentation) subjects:  Deviations and pathologies among children and adolescents – monitoring the phenomena, measures to prevent and coordinate them..  The phenomenon of discrimination and racism in modern society – causes, diagnosis, prevention. Student's workload (practical classes are marked with an asterisk) Hours of stu- Activity form Hours in detail Hours in total dent's work Participation in lectures 30 30 Contact hours Participation in practical classes * ------with an academic teacher Participation in consultations related 2 hours lecture 2 to classes * 2 hours BNA 2 Preparation for practical classes * ------Student's Individual work related to the subject of BNA 15 hours 15 individual work classes Preparation for the final test from lectures 5 hours 5

4 Total student's workload 54 Workload Hours ECTS Student's workload associated with classes that require direct 34 1,3 teacher participation Quantity indi- Student's workload associated with classes that do not re- cators 20 0,7 quire direct teacher participation * Student's workload associated with practical classes 0 0,0 * Student's workload associated with theoretical classes 54 2,0

 Giddens A.: Socjologia (Sociology), PWN, Warszawa 2010.  Sztompka P.: Socjologia: analiza społeczeństwa (Sociology: analysis of society), Znak, Kraków 2006. Szacka B.: Wprowadzenie do socjologii. (Introduction to sociology.), Oficyna Naukowa, Basic bibliog-  Warszawa 2003. raphy  Liberska H., Malina A.: Wybrane problemy współczesnych małeństw i rodzin (Selected problems of contemporary marriages and families), Difin, Warszawa 2011.  Taranowicz I., Majchrowska A., Kawczyńska-Butrym Z., Elementy socjologii dla pielęgni- arek. (Elements of sociology for nurses.), Wydawnictwo Czelej. Lublin 2000.

 Tobiasz-Adamczyk B., Bajka J., Szafraniec K., Zachowania w chorobie. Opis przebiegu choroby z perspektywy pacjenta. (Behaviours during disease. Description of the course of Supplemen- the disease from the perspective of a patient.), Wydawnictwo Uniwersytetu Jagiellońskiego. tary bibliog- Kraków 1999. raphy  Mazur J.: Przemoc w rodzinie: teoria i rzeczywistość (Violence in a family: theory and reality), „ak” Warszawa 2002. Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes The student under- The student is not he student is charac- stands and can relate The student charac- able to characterize terizes some of the to the practice of terizes most of the the underlying issues issues of this themat- social life all the edu- issues of this themat- of this thematic block ic block (theories cation content of this B02_K_W01 ic block (theories and (theories and meth- and methods of mod- thematic block (theo- methods of modelling ods of modelling elling reality from the ries and methods of reality from the per- reality from the per- perspective of sociol- modelling reality spective of sociology) spective of sociology) ogy) from the perspective of sociology) The student is not The student charac- The student charac- The student under- able to characterize terizes some of the terizes most of the stands and can relate the underlying issues issues of this themat- issues of this themat- to the practice of B02_K_W02 of this thematic block ic block (selected ic block (selected social life all the edu- (selected areas of areas of cultural and areas of cultural and cation content of this cultural and religious religious diversity) religious diversity) thematic block diversity) The student under- The student is not The student charac- The student charac- stands and can relate able to characterize terizes some of the terizes most of the to the practice of the underlying issues issues of this themat- underlying issues of social life all the edu- of this thematic block ic block (social inter- this thematic block cation content of this B02_K_W03 (social interaction action and socialisa- (social interaction thematic block (social and socialisation tion process, func- and socialisation interaction and social- process, functioning tioning of local com- process, functioning isation process, func- of local communities munities and ecosys- of local communities tioning of local com- and ecosystem) tem) and ecosystem) munities and ecosystem) The student is not The student charac- The student charac- The student under- B02_K_W04 able to characterize terizes some of the terizes most of the stands and can relate the underlying issues issues of this themat- underlying issues of to the practice of

5 of this thematic block ic block (group, or- this thematic block social life all the edu- (group, organisation, ganisation, institution, (group, organisation, cation content of this institution, popula- population, communi- institution, population, thematic block tion, community and ty and ecosystem, community and eco- (group, organisation, ecosystem, principles principles of their system, principles of institution, population, of their functioning) functioning) their functioning) community and ecosystem, principles of their functioning) The student under- The student is not The student charac- The student charac- stands and can relate able to characterize terizes some of the terizes most of the to the practice of the underlying issues issues of this themat- issues of this themat- social life all the edu- of this thematic block B02_K_W05 ic block (deviation ic block (deviation cation content of this (deviation and) disorders, pa- and disorders, pa- thematic block (devia- and disorders, pathologies among thologies among tion and disorders, thologies among children) children) pathologies among children) children) The student under- The student is not The student charac- The student charac- stands and can relate able to characterize terizes some of the terizes most of the to the practice of the basic issues of issues of this themat- issues of this themat- social life all the edu- this thematic block ic block (cognitive ic block (cognitive cation content of this B02_K_W06 (cognitive processes, processes, normal, processes, normal, thematic block (cogni- normal, disturbed disordered and disordered tive processes, nor- and pathological pathological behav- and pathological mal, disordered and behaviours) iours) behaviours) pathological behaviours) The student under- The student is not The student charac- The student charac- stands and can relate able to characterize terizes some of the terizes most of the to the practice of the underlying issues issues of this themat- issues of this themat- social life all the edu- of this thematic block ic block (the phe- ic block (the phe- cation content of this B02_K_W07 (the phenomenon of nomenon of class, nomenon of class, thematic block (the class, ethnic and ethnic and gender ethnic and gender phenomenon of class, gender inequality and inequality and dis- inequality and dis- ethnic and gender discrimination) crimination) crimination) inequality and discrimination) The student does not The student analyses The student analyses The student analyses analyse or evaluate and assesses to a and evaluates to a fully and evaluates with criticism the small degree the large degree the with criticism the B02_K_U01 phenomenon of dis- phenomenon of dis- phenomenon of dis- phenomenon of discrimination and rac- crimination and rac- crimination and rac- crimination and racism ism ism ism The student controls The student does not and coordinates to a The student under- control or coordinate small degree the The student charac- stands and can relate the measures to measures to prevent terizes most of the to the practice of B02_K_U02 prevent deviations deviations and vari- issues of this themat- social life all the edu- and pathologies ous pathologies ic block cation content of this among children and among children and thematic block adolescents adolescents

6 human body (functional approach) He uses anatomical appointment to characterize particular parts of the human body according to a topographical approach A02_K_W03 Using the topographic approach, it indicates the place of intramus- +++ cular injection and intravenous puncture, place of pulse location, heart and lung borders, catheterization Recognizes and names anatomical structures on preparations, models, phantoms, X-ray images, using anatomical terminology A02_K_U01 A.U2 ++ and Differentiates the body structure of an adult and a child A02_K_K01 Systematically deepens your knowledge of anatomy D.K2 + Realized directional education effects Course learning effect Description of the education effect symbol A.W3 He uses anatomical therminology He discusses the structure of the human body in the topographic approach (upper and lower limb, chest, abdomen, pelvis, back, neck, head) and functional (bone and joint system, muscular system, circulatory A.W4 system, respiratory system, digestive system, urinary system , sexual systems, nervous system and sense organs, common coating)

In practice, he uses anatomical appointment and uses knowledge of topographies of organs of the human A.W13 body A.U2 It shows differences in structure and characterizes the vital functions of an adult and a child D.K2 Systematically enriches professional knowledge and shapes skills, striving for professionalism Education content Symbol and Implemen- number of Subject of classes ted educa- Hours classes tion effect Form of classes: lectures The general structure of the human body and the basis of its anathomy and physiology: • Basic terminology in the field of human anathomy and physio- A02_K_W01 W01 2 logy. A02_K_W02 • Anathomical and physiological laws of the human body. • The essence of anathomical and physiological processes Cells and tissues • Cell structure and functions. • Tissue division. A02_K_W01 W02 2 • Construction and functions of epithelial, connective and me- A02_K_W02 senteric tissue (sketching of individual tissues)

The attitude of the human body • Constitutional types of body building. • Surroundings and lines of the body. A02_K_W01 W03 • Axes and surfaces of the body. 2 • Directions and locations in space. A02_K_W02 • Determining the correct posture. • Changes in body posture in individual development The system of the motor system • Construction and functions of the human skeleton. • Bone types and functions. A02_K_W01 W04 • Bone connections. 3 • Construction and types of joints. A02_K_W02 • The role of joint capsules and ligaments. • Skeletal division. • Bones of the spine – connections

2 *Construction and role of the nucleus pulposus. *Bones and joints: chest, upper limb rim and free, rim and parts of the free lower limb.  Skull bones - types, connections.  The structure, shape and properties of skeletal muscles.  Muscle mechanics. Location and function of muscles: head, neck, back, chest, abdomen, upper limb and lower limb. The nervous system – central and periphercial PART 1 • Construction and functions of the nervous system. • Division of the nervous system - topographic and operative. • Structure and functions of the nervous tissue. • Structure and types of nerves - morphological and functional differences. • Conduction of impulses. • Excitation and inhibiting transmitters. • Reflex arc. • Synapses. • Construction and functional division of receptors. • Exterctive feelings. • Proprioceptive feeling. • Interoceptive feeling. • Central nervous system. • Structure of the spinal cord and its function. • Structure and division of the brain. A02_K_W01 W05 3 • Location of sensory and motor nuclei. A02_K_W02 • Reticular mesh. • Characteristics and distribution of centers in the cerebral cortex and cerebellum. • Motor, sensory and associative roads - functional meaning. • Brain compartments and spinal canal. • Cerebrospinal fluid circulation. • The role of glial tissue. • Cerebrospinal meninges. • Peripheral nervous system. • Spinal nerves. • Neural strands. • Cranial nerves - division and functions. • Construction and functions of the autonomic nervous system. • Centers and ganglia - division and location. Range of innervation. The nervous system – central and periphercal PART 2 • Construction and functions of the nervous system. • Division of the nervous system - topographic and operative. • Structure and functions of the nervous tissue. • Structure and types of nerves - morphological and functional differences. • Conduction of impulses. • Excitation and inhibiting transmitters. • Reflex arc. A02_K_W01 W06 • Synapses. 3 A02_K_W02 • Construction and functional division of receptors. • Exterctive feelings. • Proprioceptive feeling. • Interoceptive feeling. • Central nervous system. • Structure of the spinal cord and its function. • Structure and division of the brain. • Location of sensory and motor nuclei. • Reticular mesh. • Characteristics and distribution of centers in the ce-

3 rebral cortex and cerebellum. • Motor, sensory and associative roads - functional meaning. • Brain compartments and spinal canal. • Cerebrospinal fluid circulation. • The role of glial tissue. • Cerebrospinal meninges. • Peripheral nervous system. • Spinal nerves. • Neural strands. • Cranial nerves - division and functions. • Construction and functions of the autonomic nervous system. • Centers and ganglia - division and location. Range of innervation. Skin • Leather construction. A02_K_W01 W07 • Epithelial epithelial skins. 2 A02_K_W02 • Construction and functions of sweat and sebaceous glands as well as hair and nails The Circulatory system • Structure and functions of the circulatory system - a large bloodstream, a small bloodstream, a portal system. A02_K_W01 W08 • Structure and types of blood vessels. 4 A02_K_W02 • The construction and work of the heart. • The vascularization and innervation of the heart.

The construction and functions of the lymphatic system. • Topography of lymphatic vessels. • Location and structure of lymph nodes. • Construction of paralymphatic organs - spleen, tonsils, bone marrow. • Lymphocyte production process. • Functions, physical and chemical properties of the blood. A02_K_W01 W09 • Morphic elements of blood. 2 A02_K_W02 • Plasma. • Blood coagulation process. • Hematopoietic system. • Blood group system. Rh system. • Heart rate, blood pressure. • Blood circulation regulation.

The Respiratory system • Topography of the airways. • Construction and functions of the airways. • Structure and role of the lungs. • Pleura and its importance. • The process of external and internal breathing. A02_K_W01 W10 • Lung ventilation. 4 A02_K_W02 • Lung capacity - types. •Gas exchange. • Transport of gases. • Breath regulation. • Basic metabolism. • Factors influencing the increase of basic metabolism. The Digestive system • Topography and functions of the digestive system. • Segmental division of the digestive system. • Construction and functions of the mouth, throat, esophagus, stomach, intestines, liver and pancreas. A02_K_W01 W11 • Peritoneal function. 6 A02_K_W02 • Control of the amount of food being taken. • Food digestion - the role of saliva, gastric juice, pancreatic, bile and intestinal juice. • Gastro-intestinal hormones, chemical transmitters - control of digestive juices secretion.

4 • The absorption and excretion process Urinary tract • Topography and the role of the urinary system. • Macroscopic and microscopic structure of the kidneys. Formation and composition of urine. A02_K_W01 W12 • Mechanisms that regulate water and electrolyte management. 4 • Resorption and tubular secretion. A02_K_W02 • The influence of hormones and enzymes on kidney function. • Structure and functions: ureter, bladder, urethra. The process of urinating. Female sexual system • The role of the genital system. • Construction and functions of female internal sexual organs • Female sex hormones. • Ovulation cycle. • Construction and functions of female external sexual organs. A02_K_W01 W13 3 • Nipple structure. A02_K_W02 • Fertilization. • Pregnancy. • Childbirth. • Confinement. • Lactation Male sexual system • The role of the genital system. • Construction and functions of the male sexual organs - internal • Construction and functions of the male sexual organs - external A02_K_W01 W14 3 • Men's sex hormones. A02_K_W03  Ejaculation  Prostatic gland  Seminal vesicles

Endocrine system anathomy. Anathomical organization of the endocrine system. General characteristics and division of hormones. The localization of the hypothalamus, the pituitary A02_K_W01 W15 2 gland, and peripheral glands (thyroid, parathyroid, adreanal, A02_K_W02 pancreas, testis, ovary. The specificity of endocrine glands anathomy in a child. Total hours: lectures 45 Form of classes: excercises * The system of the motor system • Construction and functions of the human skeleton. • Bone types and functions. • Bone connections. • Construction and types of joints. • The role of joint capsules and ligaments. • Skeletal division. • Bones of the spine - connections. C01 • Construction and role of the nucleus pulposus. A02_K_U01 3 • Bones and joints: thorax, upper limb rim and free, rim and parts of the free lower limb. • Skull bones - types, connections. • The structure, shape and properties of skeletal muscles. • Muscle mechanics. • Location and function of muscles: head, neck, back, chest, abdomen, upper limb and lower limb.

5 The nervous system • Construction and functions of the nervous system. • Distribution of the nervous system - topographic and functional. • Structure and functions of the nervous tissue. • Structure and types of nerves - morphological and functional differences. • Conduction of impulses. • Excitation and inhibiting transmitters. C02 • Reflex arc. A02_K_U01 3 • Synapses. • Construction and functional division of receptors. • Exterctive feelings. • Proprioceptive feeling. • Interoceptive feeling. • Central nervous system. • Structure of the spinal cord and its function. • Structure and division of the brain. • Location of sensory and motor nuclei

Circulatory system • Structure and functions of the circulatory system - a large bloodstream, a small bloodstream, a portal system. • Structure and types of blood vessels. • The construction and work of the heart. • The vascularization and innervation of the heart. • Construction and functions of the lymphatic system. • Topography of lymphatic vessels. • Location and structure of lymph nodes. C03 • Construction of paralymphatic organs - spleen, A02_K_U01 3 tonsils, bone marrow. • Lymphocyte production process. • Functions, physical and chemical properties of the blood. • Morphic elements of blood. • Plasma. • Blood coagulation process. • Hematopoietic system. • Blood group system Rh system. • Heart rate, blood pressure. • Blood circulation regulation.

Respiratory system • Topography of the airways. • Construction and functions of the airways. C04 • Structure and role of the lungs. A02_K_U01 3 • Pleura and its importance. • The process of external and internal breathing. • Lung ventilation.

6 • Lung capacity - types. • Gas exchange. • Transport of gases. • Breath regulation. • Basic metabolism. • Factors influencing the increase of basic metabolism. Digestive system • Topography and functions of the digestive system. • Segmental division of the digestive system. • Construction and functions of the mouth, throat, esophagus, stomach, intestines, liver and pancreas.

C05 • Peritoneal function. A02_K_U01 3 • Control of the amount of food being taken. • Food digestion - the role of saliva, gastric juice, pancreatic, bile and intestinal juice. • Gastro-intestinal hormones, chemical transmitters - control of digestive juices secretion. • The absorption and excretion process. Total hours: excercises 15 Form of classes: classes without the participation of an academic teacher (BNA) The proper anathomy of the respiratory and circulatory systems A02_K_W01 BNA01 - resting and exercise. 5 A02_K_W02 The proper anathomy of the nervous and endocrine systems. A02_K_W01 BNA02 5 A02_K_W02 The proper anathomy of the genitourinary system A02_K_W01 BNA03 5 A02_K_W02 Total hours: BNA 15 Correlation of particular types of classes Semester W CW BNA ZP PZ W01 ------W02 ------W03 ------W04 CW01 ------W05 CW02 BNA01 ------W06 CW03 ------W07 ------1 W08 CW04 BNA02 ------W09 CW05 ------W10 CW06 ------W11 CW07 BNA03 ------W12 ------W13 ------W14 ------W15 ------The matrix of education effects for the subject with reference to the methods of verification of the inten-

7 ded learning outcomes and the form of the classes

Education Form of classes Verification methods effect code W + BNA CW W + BNA CW W01-W15 single or multiple A02_K_W01 ------BNA01-BNA03 choice test W01-W15 single or multiple A02_K_W02 ------BNA01-BNA03 choice test single or multiple A02_K_W03 W14 ------choice test multimedia presenta- A02_K_U01 --- C01-C07 --- tion; single or multiple choice test teacher's assessment, student's self- A02_K_K01 --- C01-C07 --- esteem, assessment of other students Teaching methods, method of implementation and evaluation Lecture + Lectures with multimedia presentation and / or a conversational lecture. classes wi- Exercises (seminars) are compulsory. Any absence should be made up for consultations. Exer- thout the cises are carried out in the Anatomic and Physiological Laboratory. participation Classes without the participation of an academic teacher (BNA) rely on the student's own work - of an acade- the subject of these classes is given above. On the basis of the list of basic and supplementary mic teacher literature, possibly using materials recommended additionally by the lecturer, students will be- (NA) + exerci- come familiar with the next topics of the BNA classes. ses (semi- The subject ends with a test exam. The condition for admission to this test is the pre-passing of nars) the exercises (seminars). Student workload (the star is marked as practical)

Studen’s work Form of activity Hours in detail Total hours hours Participation in lectures 45 godz. 45 Participation in exercises * 15* 15* Contact hours with an aca- 2 + 2 + 2* demic teacher Participation in consultations related to clas- (2 hours of consultations were 4 ses * accepted for each form of 2* classes) Preparation for exercises * 15* 15*

Self Student’s Own work within the subject of BNA classes 15 15 work Preparation for the test of lectures 5 5 Preparation for the test test of the exercises * 5* 5* Total student workload 106 Workload Hours ECTS Student workload associated with activities requiring direct 66 1,9 teacher participation Quantitative Student workload associated with classes that do not require indicators 40 1,1 direct teacher participation Student workload associated with practical activities 37 1,0 Student workload related to theoretical classes 69 2,0  Torres K. red. wyd. pol. R. Maciejewski. Anatomia czynnociowaŚ podręcznik dla stu- dentów pielęgniarstwa, fizjoterapii, ratownictwa medycznego, analityki medycznej i die- Basic literature tetyki. Lublin: Wydawnictwo Czelej, 2007.  Abrahams P. Atlas anatomiiŚ ciało człowieka – budowa i funkcjonowanie. Warszawa:

8 Wydawnictwo wiat, 2006.  Aleksandrowicz R. Mały atlas anatomiczny. Warszawa: Wydawnictwo Lekarskie PZWL, 2005.  Ignasiak Z. Anatomia narządów wewnętrznych i układu nerwowego człowieka. Wro- Supplementary cławŚ Urban & Partner, 2008. literature  Sobota J. Atlas anatomii człowieka t. I, II. WrocławŚ Urban & Partner, 2001.  Bochenek A. Anatomia człowieka, tom. I-V. Wydawnictwo Lekarskie PZWL, Warszawa 2007. Forms of marks - details (intermediate marks 3.5 and 4.5 are omitted). Education mark 2 mark 3 mark 4 mark 5 effect In defining indi- When defining vidual elements individual ele- Specifies the in- The individual of the human ments of the hu- dividual elements elements of the body structure, man body struc- of the human body structure are A02_K_W01 quite large sub- ture, he makes body structure in not in accordance stantive errors in minor substantive accordance with with the anatomi- the field of ana- errors in the field anatomical ap- cal appointment tomical denomi- of anatomical pointment nator appointment It describes the It does not char- structure of par- acterize the struc- ticular parts of ture of individual the human body Professionally parts of the hu- Characterizes the in a small way discusses the man body accord- structure of most according to the structure of indi- ing to a topo- parts of the hu- A02_K_W02 topographical vidual parts of the graphical ap- man body using a approach, often human body us- proach, confusing topographic ap- confusing the ing a topographic a topographical proach topographical approach approach with a approach with the functional ap- functional approach proach It does not char- To a small extent acterize the struc- characterizes the ture of individual structure of indi- Professionally functional sys- vidual functional Characterizes the discusses the tems of the hu- systems of the structure of most structure of indi- man body accord- human body ac- functional sys- vidual functional A02_K_W03 ing to the func- cording to the tems of the hu- systems of the tional approach, functional ap- man body using human body us- confuses the proach, often the functional ing a functional functional ap- confuses the ac- approach approach proach with the tive approach topographic ap- with the topo- proach graphic approach It does not indi- To a small extent, To a large extent, Professionally, he A02_K_U01 cate the place of uses the topo- uses the topo- uses the topo- intramuscular graphic approach graphic approach graphic approach

9 injection to indicate the to indicate the to indicate the and insert the place of intra- place of intra- place of perform- intravenous, muscular injec- muscular injec- ing intramuscular pulse location tion and intrave- tion and intrave- injections and sites, heart and nous injection, nous injection, intravenous punc- lung borders, location of heart location of heart tures, location of catheterization, rate, heart and rate, heart and heart rate, heart using a topo- lung borders, lung borders, and lung borders, graphic approach catheterization catheterization catheterization

Does not recog- To a small extent To a large extent, In a professional nize and does not recognizes and recognizes and way, he recogniz- call anatomic names anatomic names anatomical es and names structures on pre- structures on structures on anatomical struc- parata, models, preparations, preparations, tures on prepara- phantoms, X-ray models, fantasies, models, phan- tions, models, images, using X-ray pictures, in toms, X-ray pic- phantoms, X-ray anatomy a small degree tures, to a large pictures, using uses the termi- extent uses ana- anatomical ter- It does not differ- nology of anato- tomical terminol- mology entiate between my ogy the structure of an Only in general, Professionally adult and a child, making signifi- At the differentia- differentiates the it does not differ- cant mistakes, tion of the build- structure and vital entiate the vital presents differ- ing and life func- functions of an functions of an ences in the struc- tions of an adult adult and a child adult and a child ture of an adult and a child, he and a child, char- commits only acterizes only minor substantive some of the vital mistakes functions of an adult and a child It does not deep- en your knowledge of Systematically, anatomy It deepens your To a large extent, using various knowledge of it deepens your sources, he deep- A02_K_K01 anatomy to a knowledge of ens his small extent anatomy knowledge of anatomy

PIE1.A02. Physiology

Level 1st degree Name of the

study field PIELĘGNIARSTWO Form of study Stationary Profile practical Course Physiology Code PIE1.A02 ECTS points 3,0 Wydział Społeczno-Medyczny Unit Katedra Pielęgniarstwa i Położnictwa Obligatory Status of course / Modular block A. Basic science Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW (SEM) BNA ZP PZ Theoretical education Practical education 1 1 45 15 15 ------Examination form ZO ZO ZO ------ECTS 3,0 ------Education area in direction of Medical sciences, health sciences and physical culture sciences studies. Field of science Health sciences Language of lectures english

Prerequisites Biology knowledge from high school.

 Provide students with knowledge of the principles of proper functioning of tissues and organs of the human body.

Education goal  Transfer of knowledge about the interaction of organs and functional systems of the human body.  Developing the ability to explain the principles of proper functioning of tissues and organs as well as the interaction of organs and active systems. Corresponden- ce level between course learning effect to Reference to Course lear- directional directional ning effect Description of the education effect education ef- education symbol fect. effects (+ - low, ++ - middle, +++ - high) Describes the neurohormonal regulation of physiological A02_K_W01 A.W3 +++ processes and electrophysiological processes Characterizes the specification and importance of water- A02_K_W02 electrolyte and acid-base management in the maintenance A.W4 +++ of homeostasis of the system

A02_K_W03 Enumerates enzymes involved in digestion, explains the A.W13 +++ basic defects of digestive enzymes and determines the

1 effects of these disorders Shows differences in structure and characterizes the vital A02_K_U01 A.U2 ++ functions of an adult and a child Systematically enriches professional knowledge and sh a- A02_K_K01 D.K2 + pes skills, striving for professionalism Realized directional education effects Course learning effect Description of the education effect symbol Understands the neurohormonal regulation of physiological processes and electrophysiological A.W3 processes Characterizes the specification and importance of water-electrolyte and acid-base management A.W4 in the maintenance of homeostasis of the system Enumerates enzymes involved in digestion, explains the basic defects of digestive enzymes A.W13 and determines the effects of these disorders A.U2 Shows differences in structure and characterizes the vital functions of an adult and a child D.K2 Systematically enriches professional knowledge and shapes skills, striving for professionalism Education content Symbol and Implemen- number of Subject of classes ted educa- Hours classes tion effect Form of classes: lectures

Homeostasis. Organization and rules of regulating the body's A02_K_W01 W01 physiological functions. Electrophysiology. Basic concepts of 2 excitable tissues. The activity and types of nerve fibers.. A02_K_W02 Physiology of transverse striated and smooth muscles. Division and properties of striated muscles. The neuromuscular junction. A02_K_W01 W02 2 Functional muscle proteins. Muscle fatigue. Properties and A02_K_W02 division of smooth muscle. Physiology of the central nervous system. CNS functional organization, neurohormonal systems. Reflex, types and division of reflexes. Reflex arc. Share of the cerebellum, labyrinth, subcor- A02_K_W01 W03 2 tical nucleus, reticular system, cerebral cortex in the regulation A02_K_W02 of body posture. Characteristics of motor activity and posture in a child. Physiology of sensation, types of receptors, coding of sensory information. Feeling of pain, nociceptive modulation. Opioid A02_K_W01 W04 3 receptors and opioids. The role of the hill in feeling and percep- A02_K_W02 tion. Teleceptive feeling. Functional organization of the eye. Volley- ball. Visual fields of the cerebral cortex. Hearing sense: re- A02_K_W01 W05 2 ceiving and channeling sounds. Auditory fields of the cerebral A02_K_W02 cortex. The function of the cerebral cortex. Sensory and motor centers of the cerebral cortex. The functions of associative fields. Me- A02_K_W01 W06 2 mory, speech. Sleep and wakefulness. Biological rhythms. Brain A02_K_W02 motivation centers. Neurogenesis. Neurohormonal mechanisms of regulating the homeostatic activities of the human body. Hypothalamus in the regulation of A02_K_W01 W07 body temperature, in the mechanisms of feeding, regulation of 2 water and electrolyte management, maintenance of the species. A02_K_W02 Limbic system. Stress and systemic adaptation.

Operation and division of the autonomic system. Functional A02_K_W01 W08 organization of the sympathetic and parasympathetic system 2 A02_K_W02 and its effect on particular organs. Specific receptors and me-

2 diators of the autonomic system. Sympathetic and parasympathetic tonus. Blood functions. Plasma. Red blood cells. Hemoglobin dissocia- tion curve. Fetal hemoglobin. Transport of oxygen and carbon A02_K_W01 W09 dioxide. Blood groups. White blood cells. Types of resistance. 2 The contribution of cytokines in immunity. Platelets. Blood coa- A02_K_W02 gulation. General characteristics of blood physiology in children. Properties of the myocardium. Pacemaker-conduction system. Formation and conduction of arousal in the heart. Electrome- A02_K_W01 W10 chanical coupling. Hemodynamic cycle of the heart. Tons of 4 hearts. A record of bioelectrical activity of the heart - an ECG A02_K_W02 curve of an adult and a child. Physiology of circulation. Organization of large and small circulation. Flow characteristics in arteries, capillaries and veins. Factors affecting arterial pressure. Arterial and venous pulses. A02_K_W01 W11 8 Circulation regulation. The renin-angiotensin-aldosterone sys- A02_K_W02 tem (RAA system). Local circulation regulation. Circulatory characteristics in children. Physiology of the respiratory system. Mechanics of breathing. Gas exchange in the lungs. Brain respiratory complex. Breath A02_K_W01 W12 4 regulation. Reflexes from central and peripheral chemorecep- A02_K_W02 tors. Features of pulmonary circulation. Renal physiology. Water spaces of the system. Nefron - filtra- tion, resorption and secretion. Autoregulation of blood flow. The size and composition of the glomerular filtrate. Production and A02_K_W01 W13 3 excretion of urine. Regulation of acid-base economy. Endocrine A02_K_W02 renal function. The specificity of water, electrolyte and acid-base management in children. Physiology of the digestive system. Mechanical phenomena in the oral cavity, the role of saliva, swallowing. Motor and secreto- ry activity of the stomach. Activity of the small intestine, types of contractions, digestion, the role of enzymes, absorption and the A02_K_W01 W14 3 effects of these disorders. Liver function. Exocrine and endocri- A02_K_W03 ne role of the pancreas. Motor activity and the role of the large intestine. Defecation mechanism. Characteristics of the digestive system in a child. Endocrine system physiology. Functional organization of the endocrine system. General characteristics and division of hormones. The feedback between the hypothalamus, the pituitary A02_K_W01 W15 gland, peripheral glands and tissues. Tropic hormones. The 4 activity of adrenal cortical and adrenal medulatory hormones of A02_K_W02 the thyroid gland. The specificity of endocrine activities in a child. Total hours: lectures 45 Form of classes: excercises * Physiology of the central nervous system. CNS functional organization, neurohormonal systems. Reflex, types and division of reflexes. Reflex arc. Share of the cerebellum, labyrinth, subcor- C01 A02_K_U01 2 tical nucleus, reticular system, cerebral cortex in the regulation of body posture. Characteristics of motor activity and posture in a child. Blood functions. Plasma. Red blood cells. Hemoglobin dissocia- tion curve. Fetal hemoglobin. Transport of oxygen and carbon C02 dioxide. Blood groups. White blood cells. Types of resistance. A02_K_U01 2 The contribution of cytokines in immunity. Platelets. Blood coagulation. General characteristics of blood physiology in children. Properties of the myocardium. Pacemaker-conduction system. Formation and conduction of arousal in the heart. Electrome- C03 chanical coupling. Hemodynamic cycle of the heart. Tons of A02_K_U01 2 hearts. A record of bioelectrical activity of the heart - an ECG curve of an adult and a child.

3 Physiology of circulation. Organization of large and small circulation. Flow characteristics in arteries, capillaries and veins. Factors affecting arterial pressure. Arterial and venous pulses. C04 A02_K_U01 3 Circulation regulation. The renin-angiotensin-aldosterone system (RAA system). Local circulation regulation. Circulatory characteristics in children. Renal physiology. Water spaces of the system. Nefron - filtra- tion, resorption and secretion. Autoregulation of blood flow. The size and composition of the glomerular filtrate. Production and C05 A02_K_U01 2 excretion of urine. Regulation of acid-base economy. Endocrine renal function. The specificity of water, electrolyte and acid-base management in children. Physiology of the digestive system. Mechanical phenomena in the oral cavity, the role of saliva, swallowing. Motor and secreto- ry activity of the stomach. Activity of the small intestine, types of contractions, digestion, the role of enzymes, absorption and the C06 A02_K_U01 2 effects of these disorders. Liver function. Exocrine and endocrine role of the pancreas. Motor activity and the role of the large intestine. Defecation mechanism. Characteristics of the digestive system in a child. Endocrine system physiology. Functional organization of the endocrine system. General characteristics and division of hormones. The feedback between the hypothalamus, the pituitary C07 gland, peripheral glands and tissues. Tropic hormones. The A02_K_U01 2 activity of adrenal cortical and adrenal medulatory hormones of the thyroid gland. The specificity of endocrine activities in a child. Total hours: excercises 15 Form of classes: classes without the participation of an academic teacher (BNA) The proper functioning of the respiratory and circulatory sys- A02_K_W01 BNA01 tems - resting and exercise. 5 A02_K_W02 The proper functioning of the nervous and endocrine systems. A02_K_W01 BNA02 5 A02_K_W02 Metabolism - resting and exercise A02_K_W01 BNA03 5 A02_K_W02 Total hours: BNA 15 Correlation of particular types of classes Semester W CW BNA ZP PZ W01 ------W02 ------W03 ------W04 CW01 ------W05 CW02 BNA01 ------W06 CW03 ------W07 ------1 W08 CW04 BNA02 ------W09 CW05 ------W10 CW06 ------W11 CW07 BNA03 ------W12 ------W13 ------W14 ------

4 W15 ------The matrix of education effects for the subject with reference to the methods of verification of the intended learning outcomes and the form of the classes

5 Student workload related to theoretical clas- 69 2,0 ses

 Górski J. Fizjologia człowieka. Warszawa: Wydawnictwo Lekarskie PZWL, 2010.  Traczyk W.Z. Fizjologia człowieka w zarysie. Warszawa: Wydawnictwo Lekarskie PZWL, 2013. Basic literature  Konturek S. Fizjologia człowieka. Wrocław: Wydawnictwo Urban & Partner, 2013.  Rosołowska-Huszcz D., Gromadzka-Ostrowska J. Ćwiczenia z fizjologii człowieka. Warszawa: Szkoła Główna Gospodarstwa Wiejskiego, 2008.

 McLaughlin D., Stamford J., White D. Krótkie wykłady. Fizjologia człowieka. Warsza- wa: Wydawnictwo Naukowe PWN, 2008. Supplementary i- literature  Traczyk W., Trzebski A. Fizjologia człowieka z elementami fizjologii stosowanej i kl nicznej. Warszawa: Wydawnictwo Lekarskie PZWL, 2010.  Atlas fizjologii Nettera. Wrocław: Wydawnictwo Elsevier Urban & Partner, 2005. Forms of marks - details (intermediate marks 3.5 and 4.5 are omitted). Education mark 2 mark 3 mark 4 mark 5 effect Almost without errors Without errors, de- Does not describe Only generally de- describes the neuro- scribes the neuro- neurohormonal regu- scribes the neurohormonal regulation hormonal regulation lation of physiological hormonal regulation A02_K_W01 of physiological pro- of physiological pro- processes or elec- of physiological processes and elec- cesses and electrophysiological processes or electrophy- trophysiological pro- trophysiological processes siological processes cesses cesses Does not characteri- With large errors, Almost without errors Characterizes the ze the specification characterizes the characterizes the specification and and importance of specification and specification and importance of water- water-electrolyte or importance of water- importance of water- electrolyte and acid- A02_K_W02 acid-base manage- electrolyte and acid- electrolyte and acid- base management in ment in the mainte- base economy in base management in the maintenance of nance of homeosta- maintaining homeo- maintaining homeo- homeostasis of the sis stasis of the system stasis of the system system Does not enumerate Enumerates some Almost without errors, Detailed calculates enzymes involved in enzymes involved in enumerates enzymes the enzymes involved digestion, does not digestion, very poorly involved in digestion, in digestion, explains explain the basic explains the basic explains the basic the basic defects of A02_K_W03 defects of digestive defects thereof, im- defects of digestive digestive enzymes enzymes or the ef- precisely determines enzymes and deter- and determines the fects of these disor- the effects of these mines the effects of effects of these disorders disorders these disorders ders Does not show any Does not accurately Shows the differen- Shows the differen- differences in structu- represent differences ces in structure quite ces in structure very re and does not cha- in structure, it gene- accurately and cha- clearly and characte- A02_K_U01 racterize the vital rally characterizes racterizes the vital rizes the vital func- functions of an adult the vital functions of functions of an adult tions of an adult and and a child an adult and a child and a child a child Does not enrich its Systematically enri- Systematically enri- Systematically enri- professional ches professional ches professional ches professional knowledge and does A02_K_K01 knowledge and sha- knowledge and sha- knowledge and sha- not shape skills, does pes skills, striving for pes skills, striving for pes skills, striving for not strive for pro- professionalism professionalism professionalism fessionalism

Genetic.

Level 1st degree Name of the NURSING study field. Form of study Stationary Profile practical Course Genetic Code ECTS points 2 Wydział Społeczno-Medyczny Unit Katedra Pielęgniarstwa i Położnictwa (32) 264-74-75 wewn. 12, [email protected] Obligatory Status of course / Modular block A. Basics sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 1 1 15 15 15 ------Form of examination ZO ZO ZO ------ECTS 2 ------Education area in direction of Medical sciences, health sciences and physical culture sciences studies. Field of science Health sciences Language of lectures english Prerequisites Knowledge of the basics of human genetics

 Provide knowledge about the function of human genoome, transcriptome and proteome.  Provide knowledge about the basic concepts of regulation of gene expesion, including epigenetic regulation.  Providing knowledge about the structure of the chromosomes and the molecular basis of mutagenesis. Education goal  Provide knowledge about the principles of inheritance of different number of traits, the inheritance of quantitative traits and mitochondrial genetic information.  Developing skills of estimating the risk of particular disease, based on the principles of inheritance and the influence of environmental factors.  Developing the ability to use knowledge about genetic diseases in the prevention of cancer and prenatal diagnosis. Correspondenc e level between course learning effect to Reference to directional Course learning directional Description of the education effect education effect symbol education effect. effects (+ - low, ++ - middle, +++ - high)

1 Knowledge education effects PIE.1.NP- Describe the function of human genome, transcriptome and +++ G_W1 proteome. A.W10 PIE.1.NP- Discussed the basic concepts of regulation of gene A.W10 +++ G_W2 expression, including epigenetic regulation. PIE.1.NP- Show the structure of the chromosomes and the molecular A.W11 +++ G_W3 basis of mutagenesis. PIE.1.NP- Characterize the princples of inheritance. A.W12 +++ G_W4 Skills education levels Estimate the risk of particular diseases based on the PIE.1.NP- principles of inheritance and the influence of environmental ++ G_U1 factors. A.U6 PIE.1.NP- Use knowledge of genetic diseases ine the prevention of ++ G_U2 cancer and prenatal diagnosis. A.U13 Education content Implemented Symbol and nr Subject of classes education Hours of classes effect Lectures Structure and function of the genetic material. Structure of the genes and the human genome. Structure and function of te L1 EK_W1 3 chromatin and chromosomes. Human karyotype. Transfer of genetic information - replication. Telomere shortening. Control of the cell cycle. The cell cycle in physiologica and cancer L2 EK_W1 3 cell. Programmed cell death - apoptosis. Expression of genetic information, the properties of the genetic code. Regulation of expression of genetic information in prokaryotes and eukaryotes. Primary and secondary regulation of gene expression. Transcription - RNA polymerases type in EK_W1 L3 eukaryotes, eukaryotic promoters, essential and specific 3 EK_W2 transcription factors, RNA maturation. Definition and study of the transcriptome. Translation - importance of the ribosome in translation. Initiation, elongation and termination of translation. Post-translational processing of the protein. The principles of inheritance. Monogenic mendelian inheritance with derogations. Autosomal dominant and recessive inheritance. Incomplete dominance, codominance, multiple alleles. Inheritance EK_W2, of blood groups. Two genes mendelian inheritance. Polygenic EK_W3, L4 inheritance. Inheritance of quantitative traits. The chromosomal 3 EK_W4, theory of heredity. Segregation of two independent and linked EK_U1 genes. Sex determination in humans. X and Y chromosome linked inheritance. Recombination and incomplete linkage. Mitochondrial inheritance. Impact of the environment on variability and heredity. Non-inherited and inherited variability. Recombination and mutational variability - spontaneous and induced mutation, mutagenic agents. EK_W2, L5 Chromosome aberrations. Syndromes caused by structural EK_W4, 3 aberrations of autosomes, examples, dysmorphic features. EK_U1 Numerical chromosomal aberrations, aneuploidy, dysmorphic features. Basics of epigenetics. Sum of hours: Lectures 15 Seminars Inheritance of autosomal and sex-linked traits - estimating the risk EK_W4, S1 of developing the disease. Analysis of pedigrees. Monogenic 3 EK_U1 genetic crosses. Polygenic and multifactorial inheritance. The interaction of genes: EK_W4, S2 quantitative gene, complemention interaction, epistasis. Poligenic 3 EK_U2 genetic crosses. Multifactoral disease and their prevention. Coronary artery disease EK_W3, S3 - multifactoral aspect of atherosclerosis and atherosclerotic 3 EK_U2 disease. The interaction of genes with enviromental factors.

2 Monogenic forms of cardiovascular disease. The basis of cancer. One- and multi-hit models of carcinogenesis. Proto-oncogenes, tumor suppressor genes, repair factors and thier role in the control of proliferation and cell death. Selected cancer diseases. Analysis of pedigrees. Chromosomal aberrations: Wolf-Hirschhorn syndrome, Cri du chat syndrome, Prader - Willi syndrome, Angelman syndrome, Down syndrome, Patau syndrome, Edwards syndrom, Klinefelter S4 EK_W3 3 syndrome, Turner syndrome, XXY syndrome, XXX syndrome. Dysmorphology diagnostic. Small defects (anomalies) and their use in the diagnosis of diseases and birth defects. Genetic counseling. Use of the cytogenetic methods in the diagnosis of chromosomal aberrations. Prenatal diagnosis. Invasive S5 EK_U2 3 and non-invasive methods of prenatal tests and their use in diagnosis of genetic diseases and congenital malformations. Sum of hours: seminars 15 Form od classes: classes without teacher (BNA) Basics of cytophysiology. Structure and function of the cell nucleus. BNA01 EK_W2 3 Cell cycle in a physiological and neoplastic cell - mechanisms. BNA02 Biochemical genetics. Congenital metabolism errors. EK_W1 3 Population screening tests. Family occurrence of genetically BNA03 EK_W2 3 determined diseases. Epigenetic changes in selected human diseases. Use of RNA BNA04 EK_W1 3 interference in the therapy of human diseases. BNA05 Basics of genetic interview and genetic counseling. EK_W4 3 Su of hours: BNA 15 Correlation of particular types of classes Semester W CW BNA ZP PZ 1 W01-W05 S01-S05 BNA01-BNA05 ------Note: practical classes may be implemented only after the end of theoretical education, while professional practice - only after the end of practical classes. The matrix of learning outcomes for the subject with reference to the methods of verification of the intended learning outcomes and the form of the classes Form of classes Verification methods Education W+BN effect code W+BNA CW ZP PZ CW ZP PZ A W01, EK_W1 BNA02, ------test ------BNA04 W01, W04, EK_W2 BNA01, ------test ------BNA03 EK_W3 W01, W02 ------test ------W03, W04, EK_W4 W05, ------test ------BNA05 S01, EK_U1 ------test ------S02, S03 EK_U2 --- S04, S05 ------test ------Teaching methods, method of implementation and evaluation Lecture and lecture, multimedia presentation, problem solving, analysis of cases, work with book. Passing classes lectures: final test. The condition for passing the final test (include lectures, seminars and (seminars) BNA)is to obtain a positive grade from the answers to questions about each learning effect in

3 and classes the field of knowledge. without the participation of an academic teacher (BNA) Student workload Hours of Activity form Hours in detail Total student’s work Participation in lectures * 5 x 3 hours 15 Contact hours with an Participation in seminars * 5 x 3 hours 15 academic 2 hours lecture 2 teacher Participation in consultations related to classes * 2 hours BNA 2

Own work within the subject of BNA classes 15 hours 15 Self student’s work Preparation for the final exam covering all 5 education content included in the module * 5 (OSCE exam) Total student’s workload 54 Workload Hours ECTS Student workload associated with activities requiring direct 34 1,3 teacher participation Quantitative Student workload associated with activities that do not require indicators 20 0,7 direct teacher participation Student workload associated with practical activities 0 0,0 Student workload related to theoretical classes 54 2,0

 Alberts B et al. Molecular biology of the cell. New York: Garland Science, 2008. Basic literature Jorde LB et al. Medical Genetics. Philadelphia: Mosby Elsevier, 2010.   Epstein RJ. Human Molecular Biology. Cambridge: Cambridge University Press, 2003. Supplementary  Connor M., Ferguson-Smith M. Essential Medical Genetics. Wiley-Blackwell, 1997. literature  Friedman JM. Genetics. Baltimore: Williams and Wilkins, 1992. Forms of assessment – details (intermediate marks 3.5 and 4.5 are omitted). Education mark 2 mark 3 mark 4 mark 5 effect Student does not Student describes in Student describes Student fully describe the function the limited degree the the function of human describes the function of human genome, function of human genome, of human genome, EK_W1 transcriptome and genome, transcriptome and transcriptome and proteome. transcriptome and proteome. proteome. proteome. Student does not Student discusses in Student discusses Student fully discuss the basic the limited degree the the basic concepts of discusses the basic concepts of basic concepts of regulation of gene concepts of EK_W2 regulation of gene regulation of gene expression, including regulation of gene expression, including expression, including epigenetic regulation. expression, including epigenetic regulation. epigenetic regulation. epigenetic regulation. Student does not Student presents in Student presents the Student fully presents present the structure the limited degree the structure of the the structure of the of the chromosomes structure of the chromosomes and chromosomes and EK_W3 and the molecular chromosomes and the molecular basis the molecular basis of basis of mutagenesis. the molecular basis of mutagenesis. mutagenesis. of mutagenesis. Student does not Student discusses in Student discusses Student fully EK_W4 discuss the basic the limited degree the the basic principles of discusses the basic

4 principles of basic principles of inheritance. principles of inheritance. inheritance. inheritance. Student does not Student estimates in Student estimates the Student fully estimate the risk of the limited degree the risk of the disease estimates the risk of the disease based on risk of the disease based on the the disease based on the principles of based on the principles of the principles of EK_U1 inheritance and the principles of inheritance and the inheritance and the influence of inheritance and the influence of influence of enviromental factors. influence of enviromental factors. enviromental factors. enviromental factors. Student can not apply Student can apply in Student can apply the Student can fully the knowledge of the limited degree the knowledge of genetic apply the knowledge genetic diseases in knowledge of genetic diseases in the of genetic diseases in EK_U2 the prevention of diseases in the prevention of cancer the prevention of cancer and prenatal prevention of cancer and prenatal cancer and prenatal diagnosis. and prenatal diagnosis. diagnosis. diagnosis.

PIE1.A05. Biochemistry and biophysics

Level 1st degree Name of the NURSING study field Form of study Stationary Profile practical Biochemistry and biophy- Course Code PIE1.A05 ECTS points 2,0 sics

Wydział Społeczno-Medyczny Unit Katedra Pielęgniarstwa i Położnictwa (32) 264-74-75 wewn. 12, [email protected] Obligatory Status of course / Modular block A. Basic science Form of classes, hours and ECTS points for separate forms of classes Year Semester L EX BNA ZP PZ Theoretical education Practical education 1 1 15 15 15 ------Form of examination ZO ZO ZO ------ECTS 2,0 ------Education area in direction of Medical sciences, health sciences and physical culture sciences studies. Field of science Health sciences. Language of lectures english Prerequisites Knowledge of the basics of biology, chemistry and physics from high school  Familiarizing students with functioning of basic pathways of metabolism in human organism in normal and pathological conditions and influence of physical processes Education goal  Developing the ability to interpret results of basic laboratory tests helpful in diagnostic of chosen systemic diseases  Creating theoretical basics to achieve essential in future occupational life skills during fur- ther studies Correspond- ence level between course learning effect Reference to to directional directional Education goal Description of the education effect education ef- education fect. effects (+ - low, ++ - middle, +++ - high) Defines basic reactions of organic and non organic compounds in water, physical laws influencing on liquid flow A05_K_W01 A.W5 +++ and factors influencing on vascular resistance in blood stream Explains physicochemical basiscs of senses using physical A05_K_W02 A.W6 +++ information mediums (sound and electromagnetic waves) Differentiates structure of amino acids, nucleosides, mono- A05_K_W03 A.W9 +++ saccharydes, carboxyl acids and their derivatives building

1 macromolecules occuring in cells, extracellular matrix, and body fluids, differentiates vitamins Prognoses direction of biochemical processess in specific A05_K_U01 A.U3 +++ clinical states Uses knowledge of physic laws to describe matters of cell and tissues biology and physiological processess specifi- A05_K_U02 cally to explain influence of external factors like tempera- A.U7 +++ ture, gravity, pressure, electromagnetic field and ionizing radiation on human organism Characterizes advantages resulting from achieving A05_K_K01 D.K2 ++ knowledge in biochemistry and biophysics Lists arguments about necessity of continous updating A05_K_K02 knowledge and skills in biochemistry and biophysics D.K2 ++

Realised directional education effects Education Description of directional education effect goal code Defines basic reactions of organic and non organic compounds in water, physical laws influenc- A.W5 ing on liquid flow and factors influencing on vascular resistance in blood stream

Explains physicochemical basiscs of senses using physical information mediums (sound and A.W6 electromagnetic waves) Differentiates structure of amino acids, nucleosides, monosaccharydes, carboxyl acids and their A.W9 derivatives building macromolecules occuring in cells, extracellular matrix, and body fluids, differentiates vitamins A.U3 Prognoses direction of biochemical processess in specific clinical states Uses knowledge of physic laws to describe matters of cell biology, tissues and physiological A.U7 processess specifically to explain influence of external factors like temperature, gravity, pressure, electromagnetic field and ionizing radiation on human organism D.K2 Systematically enchances occupational knowledge and practice skills Education content Implemen- Symbol and Subject of classes ted educa- Hours nr of classes tion effect Form of classes: Lectures BIOCHEMISTRY Basic chemical compounds of living organisms: a) carbohydrates – glucose, aerobic oxidation, Krebs’s cycle products, measuring of blood glucose level, hipo- and hyperglyce- mia, insulin, glycogen, interpretation of results of selected laboratory tests; b) proteins – division, simple and conjugated proteins, electropho- resis of selected blood proteins, hyper- and hypoglobulinemia, interpretation of results of laboratory tests, pregnancy-specific glycoproteins, menstruation cycle hormones, thyroid hormones selected clinical cases; – A05_K_W01 W01 c) enzymes – structure and functions, kinetics of enzymatic reac- 2 tions, Michaelis-Menten equation in description of enzymatic A05_K_W03 catalysis, enzymes inhibition, regulation of enzymation activity, liver enzymes; AspAT, AlAT, pancreas enzymes: α-amylase, heart enzymes: troponin, troponin I d) lipids – biochemical markers of atherosclerosis, cholesterol, HDL, LDL, triglycerides. Assesment of medical results of selected patients with heart attack, by-pass, ischemic stroke, limb atherosclerosis; β-oxidation of fatty acids, synthesis of fatty acids e) vitamins – occurence and role in organism A05_K_W01 W02 Acid-base homeostasis, pH of blood and other body fluids 1 A05_K_W03 Nitric metabolism in organism urea, ornithine cycle, creatinine, uric A05_K_W01 W03 – 2 acid, kidneys diseases, gout A05_K_W03

2 BIOPHYSICS Biophysics as science using physics methods to analyse biological W04 processes and structures, relation between biophysics and biocy- A05_K_W02 2 bernetic and medical physics. Introduction to theory of errors and measurements – physical magni- tudes, errors division, Gauss error function, rules of rounding errors W05 A05_K_W02 2 and measurement results

Ionizing radiation - physical characteristic, mechanisms of action, W06 occurence and sources, natural and artificial radiation, isotops A05_K_W02 2 Biophysics of vascular system – important functions, role of arterial W07 and venous system, influence of gravity field on vascular system A05_K_W02 2 Surface tension coefficient of water. Measuring of blood pressure W08 with sphygmomanometer. Physical aspects of picture diagnosis in A05_K_W02 2 medicine.

Total hours: lectures 15 Form of classes: exercises BIOCHEMISTRY Basic chemical components of living organisms: carbohydrates, A05_K_U01 C01 2 proteins, enzymes, lipids, vitamins A05_K_U02 A05_K_U01 C02 Acid-base balance, pH of blood and other body fluids 1 A05_K_U02 Nitric metabolism in organism urea, ornithine cycle, creatinine, uric A05_K_U01 C03 – 2 acid, kidneys diseases, gout A05_K_U02 BIOPHYSISC Biophysics as science using physics methods to analyse biological A05_K_U01 C04 processes and structures, relation between biophysics and biocy- 2 bernetic and medical physics. A05_K_U02

Introduction to theory of errors and measurements – physical magni- A05_K_U01 C05 tudes, errors division, Gauss error function, rules of rounding errors 2 and measurement results A05_K_U02 Ionizing radiation - physical characteristic, mechanisms of action, A05_K_U01 C06 occurence and sources, natural and artificial radiation, isotops 2 A05_K_U02 Biophysics of vascular system – important functions, role of arterial A05_K_U01 C07 and venous system, influence of gravity field on vascular system 2 A05_K_U02 Surface tension coefficient of water. Measuring of blood pressure A05_K_U01 C08 with sphygmomanometer. Physical aspects of picture diagnosis in 3 medicine. A05_K_U02

Total hours: exercises 15 Form of classes: without academical teacher (BNA) Biophysics of nucleic acids, physical properties of DNA and RNA, BNA01 structure and functions A05_K_W03 3

Genetic code, transmission of genetic information from DNA to pro- BNA02 A05_K_W03 3 tein (replication, transcription, translation) Transport of lipids in blood. Metabolic and non-metabolic functions BNA03 A05_K_W03 3 of liver Biophysical aspects of vascular system, functional characterisation of microcirculation blood vesseles, laminar-flow, turbulent flow, factors promoting turbulent flow, Reynolds number, continuity of flow BNA04 rule, Laplace law. Methods of assesment of blood mean linear veloc- A05_K_W01 6 ity. Marker of active tension of vessel. Physical factors determining blood stream magnitude (Poisseuille law), magnitude of flow re- sistances in vessels connected serially

3 Total hours: BNA 15 Correlation of particular types of classes Lecture Exercises BNA W01 C01 ------BNA01 ------BNA02 ------BNA03 W02 C02 --- W03 C03 --- W04 C04 --- W05 C05 --- W06 C06 --- W07 C07 --- W08 C08 ------BNA04

The matrix of learning outcomes for the subject with reference to the methods of verification of the intended learning outcomes and the form of the classes

Education effect Form of classes Verification methods code Lecture + BNA Exercise Lecture + BNA Exercise A05_K_W01 W01-W03, BNA04 --- test --- A05_K_W02 W04-W08 --- test --- W01-W03, BNA01- A05_K_W03 --- test --- BNA03 Multimedia presen- A05_K_U01 --- C01-C08 --- tation, test Multimedia presen- A05_K_U02 --- C01-C08 --- tation, test Teacher’s asses- Teacher’s asses- A05_K_K01 all all ment, self-esteem, ment, self-esteem, group’s asessment group’s asessment Teacher’s asses- Teacher’s asses- A05_K_K02 all all ment, self-esteem, ment, self-esteem, group’s asessment group’s asessment Teaching methods, method of implementation and evaluation Lecture with multimedia presentation or/and conversational lecture. Lecture + Classes without participation of an academic teacher (BNA) rely on individual student’s classes with- work. Subject matter of classes is given. Student familiarizes with matter basing on basic and out participa- supplementary literature (eventually matherials provided additionally) given by teacher. tion of an In case of BNA classes teacher is obligated to point most important aspects of each subject academic matter. Ascpets result from education effects for each subject. teacher (BNA) Exercises are obligatory. During exercises students present multimedia presentations on one + exercises topic chosen from provided by teacher. Course ends with test exam. Student workload (practical classes are marked with star ) Hours of student’s Activity form Hours in detail Total hours work

4 Participation in lectures * 15 hours 15 Contact Participation in exercises * 15 hours 15* hours with an academic 2 hours - lecture 2 Participation in consultations related to clas- teacher 2 hours - BNA 2 ses * 2 hours - exercises 2* Preparation for exercises * 15 hours 15* Own work within the subject of BNA classes 15 hours 15 Self student’s Preparation for the final exam covering all work education content included in the module * 5 hours 5 (OSCE exam) Preparation for exercises presentation 5 hours 5* Total student’s workload 76 Workload Hours ECTS Student workload associated with activities requiring direct 36 1,0 teacher participation Quantitative Student workload associated with activities that do not re- indicators 40 1,0 quire direct teacher participation Student workload associated with practical activities 37 1,0 Student workload related to theoretical classes 39 1,0  Murray R.K., Biochemia Harpera ilustrowana. PZWL Warszawa 2012.  Biofizyka: Podręcznik dla studentów. red. F. Jaroszyk. PZWL, Warszawa Basic literatu- 2011 re  Murray R. K., Harpers Illustrated Biochemistry, McGraw-Hill Medical, 2015  Glasser R., Biophysics: An introduction, Springer Science & Business Media 2012  Pilawski A., Podstawy biofizyki. PZWL Warszawa (wszystkie wydania).  Kędzia B., Materiały do ćwiczeń z biofizyki i fizyki. PZWL, Warszawa (wszystkie wydania). Supplementa-  Hrynkiewicz A., Rokita E., Fizyczne metody diagnostyki medycznej i terapii. ry literature PWN Warszawa 2000.  Pruszyński B., Diagnostyka obrazowa: podstawy teoretyczne i metodyka ba- dań. PZWL Warszawa 2000.Naukowe PWN. Warszawa 2000. Forms of assessment – details (intermediate marks 3.5 and 4.5 are omitted) Education mark 2 mark 3 mark 4 mark 5 effect Student enlists and Student enlists and Student enlists and Student can not enlist characterizes few characterizes most characterizes all and characterize basic reactions of basic reactions of basic reactions of basic reactions of organic and non- organic and non- organic and non- organic and non- organic compounds organic compounds organic compounds in organic compounds in water solutions, in water solutions, water solutions, de- in water solutions A05_K_W01 describes few basic describes most basic scribes all basic phys- and does not know physical laws de- physical laws de- ical laws describing basic physical laws scribing liquid flow scribing liquid flow liquid flow and char- describing liquid flow and characterizes and characterizes acterizes all factors and factors influenc- few factors influenc- most factors influenc- influencing vascular ing vascular re- ing vascular re- ing vascular re- resistance in blood sistance in blood flow sistance in blood flow sistance in blood flow flow Student can not ex- Student inaccurately Student fairly accu- Student accurately plain basics of physi- explains basics of rately explains basics explains basics of cochemical actions of A05_K_W02 physicochemical of physicochemical physicochemical senses using physi- actions of few sense actions of most sense actions of all sense cal information medi- organs using physical organs using physical organs using physical ums (sound and information mediums information mediums information mediums

5 electromagnetic (sound and electro- (sound and electro- (sound and electro- waves) magnetic waves) magnetic waves) magnetic waves) Student can not de- Student describes Student describes Student describes scribe structure of structure of some structure of most structure of all amino amino acids, nucleo- amino acids, nucleo- amino acids, nucleo- acids, nucleosides, sides, monosac- sides, monosac- sides, monosac- monosaccharydes, charydes, carboxylic charydes, carboxylic charydes, carboxylic carboxylic acids and acids and their deriv- acids and their deriv- acids and their deriv- their derivatives build- A05_K_W03 atives building mac- atives building mac- atives building mac- ing macromolecules romolecules occuring romolecules occuring romolecules occuring occuring in cells, in cells, extracellular in cells, extracellular in cells, extracellular extracellular matrix matrix and body matrix and body matrix and body and body fluids, dif- fluids, can not differ- fluids, differentiates fluids, differentiates ferentiates all vita- entiate vitamins few vitamins most vitamins mins Student prognoses Student can not Student superficially Student infallibly direction of biochemi- prognose direction of prognoses direction prognoses direction cal processes in A05_K_U01 biochemical process- of biochemical pro- of biochemical pro- selected clinical es in selected clinical cesses in selected cesses in selected states with minor states clinical states clinical states mistakes Student is familiar- Student is familiar- Student does not ized with few physical Student is familiarized ized with most physi- know physical laws laws describing mat- with all physical laws cal laws describing describing matters of ters of cell and tis- describing matters of matters of cell and cell biology and phys- sues biology and cell and tissues biolo- tissues biology and iological processes, physiological pro- gy and physiological physiological pro- specifically to explain cesses and superfi- processes and ex- cesses and explains A05_K_U02 influence of external cially explains influ- plains influence of all influence of most factors like tempera- ence of some exter- external factors like: external factors like: ture, gravity, pres- nal factors like: tem- temperature, gravity, temperature, gravity, sure, electromagnetic perature, gravity, pressure, electro- pressure, electro- field and ionizing pressure, electromagnetic field and magnetic field and radiation on human magnetic field and ionizing radiation on ionizing radiation on organism ionizing radiation on human organism human organism human organism Student imprecisely Student can not characterises ad- Student precisely characterise ad- Student quite pre- vantages resulting characterises advantages resulting cisely characterises from enchancing vantages resulting from enchancing advantages resulting his/her occupational from enchancing his/her occupational from enchancing knowledge and prac- his/her occupational knowledge and prac- his/her occupational tice skills in biochem- knowledge and practice skills in biochem- knowledge and prac- istry and biophysics, tice skills in biochem- A05_K_K01 istry and biophysics, tice skills in biochem- partially negates istry and biophysics, negates necessity of istry and biophysics, necessity of owning understands necessi- owning such understands necessi- such knowledge and ty of owning such knowledge and skills ty of owning such skills what sometimes knowledge and skills, what results in lack of knowledge and skills, results in lack of presents respect and empathy and respect presents respect and empathy and respect empathy to teacher to teacher and other empathy to teacher and other and other students. students students Student lists precise arguments in favour to continously en- Student can not find Student lists few Student lists few chance his/her any argument in arguments in favour precise arguments in knowledge and skills favour to continously to continously en- favour to continously in biochemistry and A05_K_K02 enchance his/her chance his/her enchance his/her biophysics keeping in knowledge and skills knowledge and skills knowledge and skills mind knowledge and in biochemistry and in biochemistry and in biochemistry and skills directly influ- biophysics. biophysics. biophysics. ence on professional and empathic contact with patient

PIE1.A06. Microbiology and parasitology

Level 1st degree Name of the NURSING study field Form of study Stationary Profile practical Microbiology and parasito- Course Code PIE1.A05 ECTS points 2,0 logy

 Familiarizing students with infectious factors Familiarizing students with basics of immune system Education goal   Creating theoretical basics to achieve essential in future occupational life skills during fur- ther studies Correspond- ence level between course learning effect Reference to to directional directional Education goal Description of the education effect education ef- education fect. effects (+ - low, ++ - middle, +++ - high) A06_K_W01 Defines basic concepts of microbiology and parasitology. A.W14 +++ Differentiates epidemiology of virus, bacteria, fungi and A06_K_W02 parasite infections considering geographical range of oc- A.W15 +++ currence. Diagnoses most common human parasites basing on their A06_K_U01 A.U5 +++ anatomy, life cycle and disease symptoms.

1 Classifies microorganisms considering microorganisms A06_K_U02 A.U14 +++ pathogenic and occuring in physiological flora. Uses knowledge about functioning of parasite-host system A06_K_U03 A.U15 +++ for right therapy of diseases caused by parasites Characterizes advantages resulting from achieving A06_K_K01 D.K2 ++ knowledge in microbiology and parasitology Lists arguments about necessity of continous updating A06_K_K02 D.K2 ++ knowledge and skills in microbiology and parasitology Realised directional education effects Education Description of directional education effect goal code A.W14 Defines basic concepts of microbiology and parasitology Differentiates epidemiology of virus, bacteria, fungi and parasite infections considering geo- A.W15 graphical range of occurrence. Diagnoses most common human parasites basing on their anatomy, life cycle and disease A.U5 symptoms. Classifies microorganisms considering microorganisms pathogenic and occuring in physiologi- A.U14 cal flora. Uses knowledge about functioning of parasite-host system for right therapy of diseases caused A.U15 by parasites D.K2 Systematically enchances occupational knowledge and practice skills Education content Implemen- Symbol and Subject of classes ted educa- Hours nr of classes tion effect Form of classes: Lectures W01 Basics of microbiology, virusology, bacteriology and parastiology A06_K_W01 2 W02 Taxonomy of opportunistic and pathogenic microorganisms A06_K_W01 2 W03 Morphology and physiology of bacteria A06_K_W01 2 W04 Microbiology of human body and its environment A06_K_W01 2 A06_K_W01 W05 Pathogenicity, distribution of microorganisms in organism 2 A06_K_W02 W06 HIV infection, risk factors, epidemiology A06_K_W02 2 W07 Viral hepatitis, infection routes, symptoms, epidemiology A06_K_W02 2 Introduction to mycology, epidemiology of infections caused by can- W08 A06_K_W02 2 dida and yeast W09 Neuroinfections A06_K_W02 2 Basics of immunology and epidemiology of infectious diseases. W10 A06_K_W02 2 Prevention of infectious diseases (vaccines, serums) W11 Hospital infections A06_K_W02 2 Collecting and sending biological matherial for microbiological anal- W12 A06_K_W01 2 yses W13 Immunoprevention of infectious diseases A06_K_W01 2 Risk of infectious diseases in Poland and world. Gatherings of peo- W14 A06_K_W02 2 ple mostly endangered with epidemy W15 Characteristic of human parasites causing diseases A06_K_W02 2 Total hours: lectures 30

2 Form of classes: exercises Classification of microorganisms. Genus Staphylococcus and Micro- coccus. Genus Streptococcus. Genus Neisseria and Moraxella. Family Enterobacteriaceae. Non-fermenting bacillus. Genus Hae- C01 mophilus. Genus Bordetella. Genus Legionella. Genus Campylobac- A06_K_U02 3 ter. Genus Corynebacterium. Genus Listeria. Genus Lactobacillus. Genus Propionibacterium. Genus Bacillus. Genus Clostridium. Ge- nus Mycobacterium. Genus Candida. Identification of groups of selected microorganisms: Genus Staphy- lococcus and Micrococcus. Genus Streptococcus. Genus Neisseria and Moraxella. Family Enterobacteriaceae. Genus Pseudomonas C02 A06_K_U02 3 and Acinetobacter. Genus Haemophilus. Genus Listeria. Genus Corynebacterium. Genus Gardnerella. Anaerobic bacteria. Genus Candida. Bacteriophage selection. Mechanisms of bacterial resistance to antibiotics: resistance of staphylococcus to methicillin. Resistance of staphylococcus aurues to glycopeptides VRSA (vancomycin resisant S. aureus). MLSB type resistance to macrolides, lincosamides and streptogramins. Resistance of pneumococcus to p-lactams PRSP (penicillin resistant C03 A06_K_U02 3 Streptococcus pneumoniae). Resistance of enterococcus to amino- glycosides. Resistance of enterococcus to glycopeptides. Re- sistance of enterococcus to linezolid (LRE – linezolid resistant enter- ococci). ESBL type resistance of Enterobacteriaceae bacillus. Re- sistance of bacillus to carbapenem.

Parasites and parasitism. Diagnostic, treatment and prevention of A06_K_U01 C04 3 parasites diseases. A06_K_U03 Parasites invasions of digestive system. Invasions of protozoa. Inva- sions of nematodes. Human cestode infections. A06_K_U01 C05 3 Parasites invasions of blood and tissues. Invasions acquired through A06_K_U03 the respiratory system. Zoonotic invasions. Total hours: exercises 15 Form of classes: without academical teacher (BNA) Basics of microbiology: structure and calssification of microorgan- BNA01 A06_K_W01 1 isms BNA02 Route of HIV infection, infections prevention, risk factors A06_K_W02 1 BNA03 Viral hepatitis: A, B, C, D A06_K_W02 1 BNA04 Oncogenic viruses i. e. HPV, risk factors, prevention A06_K_W02 2 Influenza virus, structure, routes of infections, immunoprevention, BNA05 A06_K_W02 1 epidemiology BNA06 Introduction to parasitology A06_K_W01 1 Characteristic of selected parasite diseases I: giardiasis, trichomoni- BNA07 A06_K_W02 1 asis BNA08 Characteristic of selected parasite diseases II: malaria A06_K_W02 2 Characteristic of selected parasite diseases III: enterobiasis, ascari- BNA9 A06_K_W02 1 asis, trichuriasis BNA10 Characteristic of selected parasite diseases IV: cestode infections A06_K_W02 1 BNA11 Multimedia (movie) Monsters Inside Me, Discovery Channel A06_K_W01 1 Total hours: BNA 15 Correlation of particular types of classes Lecture Exercises BNA W01 ------

3 W02 ------W03 --- C01 --- BNA01 --- W04 --- C02 W05 ------BNA02 C03 W06 ------BNA03 --- W07 ------BNA04 ------BNA05 ------BNA06 --- W08 ------W09 ------W10 ------W11 ------W12 ------W13 ------W14 ------BNA07 --- W15 ------BNA08 C04 --- BNA09 C05 --- BNA10 ------BNA11 ------BNA12 ---

The matrix of learning outcomes for the subject with reference to the methods of verification of the intended learning outcomes and the form of the classes

Education effect Form of classes Verification methods code Lecture + BNA Exercise Lecture + BNA W01-W05, W12-W13, A06_K_W01 --- test --- BNA01, BNA02, BNA07, BNA12 W05-W11, W14-W15, A06_K_W02 --- test --- BNA03-BNA06, BNA08-BNA11 Multimedia presen- A06_K_U01 --- C04, C05 --- tation, test Multimedia presen- A06_K_U02 --- C01, C02, C03 --- tation, test Multimedia presen- A06_K_U03 --- C04, C05 --- tation, test

4 Teacher’s asses- Teacher’s asses- A06_K_K01 all all ment, self-esteem, ment, self-esteem, group’s asessment group’s asessment Teacher’s asses- Teacher’s asses- A06_K_K02 all all ment, self-esteem, ment, self-esteem, group’s asessment group’s asessment Teaching methods, method of implementation and evaluation Lecture with multimedia presentation or/and conversational lecture. Lecture + Classes without participation of an academic teacher (BNA) rely on individual student’s classes with- work. Subject matter of classes is given. Student familiarizes with matter basing on basic and out participa- supplementary literature (eventually matherials provided additionally) given by teacher. tion of an In case of BNA classes teacher is obligated to point most important aspects of each subject academic matter. Ascpets result from education effects for each subject. teacher (BNA) Exercises are obligatory. During exercises students present multimedia presentations on one + exercises topic chosen from provided by teacher. Course ends with test exam. Student workload (practical classes are marked with star ) Hours of student’s Activity form Hours in detail Total hours work Participation in lectures * 30 hours 30 Contact Participation in exercises * 15 hours 15* hours with an academic 2 hours - lecture 2 Participation in consultations related to clas- teacher 2 hours - BNA 2 ses * 2 hours - exercises 2* Preparation for exercises * 15 hours 15* Own work within the subject of BNA classes 15 hours 15 Self student’s Preparation for the final exam covering all work education content included in the module * 5 hours 5 (OSCE exam) Preparation for exercises presentation 5 hours 5* Total student’s workload 91 Workload Hours ECTS Student workload associated with activities requiring direct 51 1,1 teacher participation Quantitative Student workload associated with activities that do not re- indicators 40 0,9 quire direct teacher participation Student workload associated with practical activities 37 0,8 Student workload related to theoretical classes 54 1,2

 Salyers A.A., Whitt D.D.: Mikrobiologia: różnorodność, chorobotwórczość i środowisko. PWN, Warszawa 2010.  Salyers A.A., Whitt D.D.: Microbiology: Diversity, Disease, and the Environment, Wiley 2001  Heczko P., Wróblewska M., Pietrzyk A. Mikrobiologia lekarska. Warszawa: Wydawnictwo Basic literatu- Lekarskie PZWL, 2014. re  Murray P.R. Rosenthal K.S., Pfaller M.A. red. wyd. pol. Anna Przondo-Mordarska. Mikrobio- logia. Wrocław, Elsevier Urban & Partner, 2011.  Murray P.R. Rosenthal K.S., Pfaller M.A.: Medical Microbiology, Elsevier 2015  Anusz Z., Mikrobiologia i parazytologia lekarska. PZWL Warszawa 1999.  Anusz Z., Podstawy epidemiologii i kliniki chorób zakaźnych. PZWL Warszawa 1998.

5  Gołąb J., Jakubisiak M., Lasek W., Immunologia. PWN 2002.  Szewczyk E.M. Diagnostyka bakteriologiczna. Warszawa: Wydawnictwo Naukowe PWN, 2013.  Morozińska-Gogol J. Parazytologia medyczna. Warszawa: Wydawnictwo Lekarskie PZWL, 2016.  Kocięcka W. Parazytologia kliniczna. Repetytorium z zakresu wybranych chorób pasożytni- czych i tropikalnych. Poznań: Uniwersytet Medyczny w Poznaniu, 2016.  Zeibig E.: Clinical Parasitology A Practical Approach, 2nd Edition, Elsevier 2012  Grzybowski J., Dzierżanowska D. Człowiek i drobnoustroje – współistnienie i konfrontacja. Supplementa- Bielsko-Biała: Alfa-Medica Press, 2014. ry literature  Kowalski M.L. (red.), Immunologia kliniczna. Wyd. Mediton 2000.  Parazytologia i akaroentomologia medyczna. red. A. Deryło. PWN Warszawa 2011. Forms of assessment – details (intermediate marks 3.5 and 4.5 are omitted) Education mark 2 mark 3 mark 4 mark 5 effect Student can not de- Student defines some Student defines most Student defines all fine basic concepts of of basic concepts of of basic concepts of basic concepts of A06_K_W01 microbiology and microbiology and microbiology and microbiology and parasitology parasitology parasitology parasitology Student differentiates Student can not dif- Student differentiates Student differentiates epidemiology of ferentiate epidemiol- epidemiology of most epidemiology of all some virus, bacteria, ogy of virus, bacteria, virus, bacteria, fungi virus, bacteria, fungi fungi and parasites fungi and parasites and parasites infec- and parasites infec- A06_K_W02 infections and deter- infections and can tions and determines tions and determines mines geographical not determine geo- geographical range of geographical range of range of their oc- graphical range of their occurence of their occurence of all curence of some of their occurence most of them of them them Student can not dis- Student distinguishes Student distinguishes Student distinguishes tinguish most com- some of most com- most of most com- all of most common mon human parasites mon human parasites mon human parasites human parasites A06_K_U01 basing on their struc- basing on their struc- basing on their struc- basing on their structure and life cycles ture and life cycles ture and life cycles ture and life cycles and can not indicate and indicates some and indicates most and indicates all symptoms symptoms symptoms symptom Student can not clas- Student classifies Student classifies Student classifies all sify microorganisms some microorgan- most microorganisms microorganisms with with regard to patho- isms with regard to with regard to patho- A06_K_U02 regard to pathogenic genic and physiologi- pathogenic and phys- genic and physiologi- and physiological cal flora microorgan- iological flora micro- cal flora microorgan- flora microorganisms isms organisms isms Student can not Student sufficiently Student makes use of Student makes use of make use of his/her makes use of his/her most of his/her all of his/her knowledge about knowledge about knowledge about knowledge about functioning of para- functioning of para- functioning of para- functioning of para- A06_K_U03 site-host system for site-host system for site-host system for site-host system for right therapy of dis- right therapy of dis- right therapy of dis- right therapy of diseases caused by eases caused by eases caused by eases caused by parasites parasites parasites parasites Student can not Student imprecisely Student quite pre- Student precisely characterise ad- characterises ad- cisely characterises characterises advantages resulting vantages resulting advantages resulting vantages resulting from enchancing from enchancing from enchancing from enchancing his/her occupational his/her occupational his/her occupational his/her occupational A06_K_K01 knowledge and prac- knowledge and prac- knowledge and prac- knowledge and practice skills in microbi- tice skills in microbi- tice skills in microbi- tice skills in microbiology and parasitolo- ology and parasitolo- ology and parasitolo- ology and parasitology, negates necessity gy, partially negates gy, understands gy, understands ne- of owning such necessity of owning necessity of owning cessity of owning knowledge and skills such knowledge and such knowledge and such knowledge and

6 what results in lack of skills what sometimes skills, presents re- skills, presents re- empathy and respect results in lack of spect and empathy spect and empathy to to teacher and other empathy and respect teacher and other students to teacher and other students. students Student lists precise arguments in favour to continously en- Student can not find Student lists few Student lists few chance his/her any argument in arguments in favour precise arguments in knowledge and skills favour to continously to continously en- favour to continously in microbiology and A06_K_K02 enchance his/her chance his/her enchance his/her parasitology keeping knowledge and skills knowledge and skills knowledge and skills in mind knowledge in microbiology and in microbiology and in microbiology and and skills directly parasitology. parasitology parasitology influence on professional and empathic contact with patient

PIE1.B01. Psychology

Level 1st degree Field of study NURSING Form of study Stationary Profile practical Course Psychology Code PIE1.B01 ECTS points 2.0

Education Medical sciences, health sciences and physical education sciences area for the field of study B. Social sciences + foreign language Field of science Health Sciences Language of lectures English Prerequisites None Familiarizing students with basic mechanisms of human behavior as well as Education goal  determinants of proper and disordered functioning. Correspondenc e level between the course educational outcome Symbol of the Reference to and the course the directional Description of the course educational outcome directional educational educational educational outcome outcome outcome (+ - low, ++ - medium, +++ - high) Characterizes psychological basics of human behavior B01_K_W01 and development, the conditions for proper and disturbed B.W1 +++ functioning Describes problems which occur in the relationship B01_K_W02 B.W2 +++ between a human being and a social environment Presents human functioning mechanisms in all sorts of B01_K_W03 B.W3 +++ difficult situations

1 Presents stages and characterizes the regularity of human B01_K_W04 B.W4 +++ mental development Distinguishes emotions from motivation and characterizes B01_K_W05 B.W5 +++ personality and its possible disorders Characterizes the process of communication and B01_K_W06 information exchange in terms of the nature and structure B.W6 +++ of the phenomena taking place in it Characterizes models and styles of interpersonal B01_K_W07 B.W7 +++ communication Characterizes anxiety reduction techniques and relaxation B01_K_W08 methods as well as mechanisms of formation, operation B.W8 +++ and prevention of the professional burnout syndrome Discusses extensively the cognitive processes and B01_K_W09 distinguishes between correct, disordered and pathological B.W14 +++ behaviors Assesses the impact of difficult situations (e.g. illness, B01_K_U01 hospitalization) on human physical and mental condition as B.U2 ++ well as on social functioning Designs and implements rudimentary forms of B01_K_U02 B.U3 ++ psychological support in simulated conditions Predicts the impact of illness and hospitalization on the B01_K_U03 human mental condition, somatic and mental B.U4 ++ dependencies Analyzes human attitudes, the process of their formation B01_K_U04 B.U5 ++ and changes Assesses human functioning in difficult situations (stress, B01_K_U05 B.U6 ++ conflict, frustration) Knows psychological aspects of human functioning at B01_K_U06 B.U7 ++ various development stages Knows psychosocial aspects of sex and pro-family B01_K_U07 B.U8 ++ education Controls mistakes and barriers in the process of B01_K_U08 B.U9 ++ communication B01_K_U09 Demonstrates active listening skills B.U10 ++ Uses verbal, nonverbal and extra verbal communication B01_K_U10 B.U11 ++ techniques in the health care Creates conditions for proper nurse-patient and nurse- B01_K_U11 B.U12 ++ medical staff communication Selects appropriate anxiety reduction techniques B01_K_U12 B.U13 ++ and relaxation methods Applies techniques for professional burnout syndrome B01_K_U13 B.U14 ++ prevention Respects the dignity and autonomy of people entrusted to B01_K_K01 D.K1 + care Systematically improves knowledge on psychology, aiming B01_K_K02 D.K2 + at achieving professionalism B01_K_K03 Respects the patient's rights D.K5 + B01_K_K04 Adheres to professional secrecy D.K7 + Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome Knows psychological basics of human behavior and development, the conditions for proper and B.W1 disturbed functioning

2 B.W2 Knows the issues of the relationship between a human being and a social environment B.W3 Discusses the mechanisms of human functioning in difficult situations B.W4 Lists stages and regularities of human mental development Distinguishes between the concept of emotion and motivation and knows the concept of B.W5 personality and its disorders Characterizes the nature and structure of the phenomena taking place in the process of B.W6 communication and information exchange B.W7 Defines models and styles of interpersonal communication Knows anxiety reduction techniques and relaxation methods as well as mechanisms of B.W8 formation, operation and prevention of the professional burnout syndrome Understands the cognitive processes and distinguishes between correct, disordered and B.W14 pathological behaviors Assesses the influence of illness, hospitalization and other difficult situations on human physical B.U2 and mental as well as social functioning B.U3 Designs and implements rudimentary forms of psychological support in simulated conditions Predicts the influence of illness and hospitalization on human mental condition, somatic and B.U4 mental dependencies B.U5 Analyzes human attitudes, the process of their formation and changes B.U6 Assesses human functioning in difficult situations (stress, conflict, frustration) B.U7 Knows psychological aspects of human functioning at various development stages B.U8 Knows psychosocial aspects of sex and pro-family education B.U9 Controls mistakes and barriers in the process of communication B.U10 Demonstrates active listening skills B.U11 Uses verbal, nonverbal and extra verbal communication techniques in the health care B.U12 Creates conditions for proper nurse-patient and nurse-medical staff communication B.U13 Selects appropriate anxiety reduction techniques and relaxation methods B.U14 Applies techniques for professional burnout syndrome prevention D.K1 Respects the dignity and autonomy of people entrusted to care D.K2 Systematically develops professional knowledge and skills, striving for professionalism D.K5 Respects the patient's rights D.K7 Adheres to professional secrecy CURRICULUM CONTENT Implemented Course Subject of classes educational Hours symbol outcomes Form of classes: lectures W01 Psychology as a science. Outline of the history of psychology. B01_K_W01 2 Cognitive processes: consciousness, impressions, perception, B01_K_W01 W02 2 attention. B01_K_W09

W03 Cognitive processes: memory, imagination, thinking, speech. B01_K_W01 2 B01_K_W09 Application of knowledge on cognitive processes in the profession B01_K_W01 W04 2 of a nurse. B01_K_W09 W05 Emotions and emotional disorders. B01_K_W05 2 B01_K_W05 W06 Emotion and motivation processes. 2 B01_K_U06

3 B01_K_W04 W07 Selected concepts of personality. 2 B01_K_U05 Components of personality structure: disposition, attitudes, needs, B01_K_W04 W08 2 self-image, self-assessment. B01_K_U04 B01_K_W02 W09 Regulatory role of human psychosocial needs. 2 B01_K_U07 B01_K_W03 B01_K_U01 W10 Illness as a stressful situation in human life. B01_K_U02 2 B01_K_U03 B01_K_U05 B01_K_W03 B01_K_U01 W11 Physiological and psychological stress response mechanisms. B01_K_U02 2 B01_K_U03 B01_K_U05 B01_K_W03 B01_K_U01 W12 Difficult situations, their types and methods of assessment. B01_K_U02 2 B01_K_U03 B01_K_U05 B01_K_W08 W13 Adaptive and non-adaptive methods of coping with stress. B01_K_U12 2 B01_K_U13 B01_K_W08 Psychological resilience and practical application of stress W14 B01_K_U12 2 management skills. Professional burnout. B01_K_U13 B01_K_W06 B01_K_W07 Interpersonal communication, theoretical assumptions, B01_K_U08 W15 2 perturbations and methods of establishing correct relationships. B01_K_U09 B01_K_U10 B01_K_U11 Hours in total: lectures 30 Form of classes: classes without participation of an academic teacher (BNA) B01_K_W01 B01_K_W02 B01_K_W03 Sexual orientation, gender identity. Social functioning, specific BNA01 B01_K_W04 5 barriers and needs of LGBT individuals B01_K_W05 B01_K_U06 B01_K_U07 Human attitudes. Conformism. Publicity and the influence of mass media on people's attitudes and behavior. Stereotypes and social B01_K_W02 BNA02 5 prejudices. Human aggression (its causes, ways of explaining the B01_K_U04 phenomenon). Process off communication and information exchange in terms of B01_K_W06 the nature and structure of the phenomena taking place in it. B01_K_W07 Models and styles of interpersonal communication. Control of B01_K_U04 BNA03 mistakes and barriers in the communication process. Active B01_K_U08 5 listening. Verbal, nonverbal and extra verbal communication B01_K_U09 techniques in the health care. Creating conditions for proper nurse- B01_K_U10 patient and nurse-medical staff communication. B01_K_U11 Hours in total: BNA 15 Correlation of particular types of classes Semester W C BNA ZP PZ

4 W01 ------W02 --- BNA01 ------W03 ------W04 ------W05 ------W06 ------W07 ------1 W08 --- BNA02 ------W09 --- BNA03 ------W10 ------W11 ------W12 ------W13 ------W14 ------W15 ------The matrix of educational outcomes for the course in terms of methods of verification of the intended educational outcomes and the form of classes

Educational Forms of classes Verification methods outcome code W BNA W BNA W01, W02, W03, single or multiple single or multiple B01_K_W01 BNA01 W04 choice test choice test single or multiple single or multiple B01_K_W02 W09 BNA01, BNA02 choice test choice test single or multiple single or multiple B01_K_W03 W10, W11, W12 BNA01 choice test choice test single or multiple single or multiple B01_K_W04 W07, W08 BNA01 choice test choice test single or multiple single or multiple B01_K_W05 W05, W06 BNA01 choice test choice test single or multiple single or multiple B01_K_W06 W15 BNA03 choice test choice test single or multiple single or multiple B01_K_W07 W15 BNA03 choice test choice test single or multiple B01_K_W08 W13, W14 ------choice test single or multiple B01_K_W09 W02, W03, W04 ------choice test single or multiple B01_K_U01 W10, W11, W12 ------choice test single or multiple B01_K_U02 W10, W11, W12 ------choice test single or multiple B01_K_U03 W10, W11, W12 ------choice test single or multiple single or multiple B01_K_U04 W08 BNA02, BNA03 choice test choice test W07, W10, W11, single or multiple B01_K_U05 ------W12 choice test

5 single or multiple single or multiple B01_K_U06 W06 BNA01 choice test choice test single or multiple single or multiple B01_K_U07 W09 BNA01 choice test choice test single or multiple single or multiple B01_K_U08 W15 BNA03 choice test choice test single or multiple single or multiple B01_K_U09 W15 BNA03 choice test choice test single or multiple single or multiple B01_K_U10 W15 BNA03 choice test choice test single or multiple single or multiple B01_K_U11 W15 BNA03 choice test choice test single or multiple B01_K_U12 W13, W14 ------choice test single or multiple B01_K_U13 W13, W14 ------choice test B01_K_K01 all all 360º observation 360º observation B01_K_K02 all all 360º observation 360º observation B01_K_K03 all all 360º observation 360º observation B01_K_K04 all all 360º observation 360º observation Teaching methods, the method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Classes without participation of an academic teacher (BNA) stand for unassisted student's work – the subject of the classes is provided above. Students become familiar with the consecutive subjects of the BNA classes based on a list of basic and supplementary bibliography or additional materials prepared by an academic teacher. Lectures and BNA classes cover educational outcomes regarding knowledge, skills and social competences. The following information presents the classes and the educational outcomes implemented: Educational outcomes assigned to each course are presented in the syllabus. All educational outcomes assigned to a particular type of classes (e.g. a lecture) are taken into consideration by the lecturer in the conducted classes. This should be reflected in an outline prepared by the lecturer (the outline should be attached to the course portfolio). In the case of BNA classes, the lecturer should indicate to students, who work individually on a particular subject, which aspects of the subject they should pay special attention to; the aspects Lecture + result from educational outcomes assigned to a particular subject. classes without the BNA01: Sexual orientation, gender identity. Social functioning, specific barriers and needs of participation LGBT individuals. of an Note: the introduction of the subject of the BNA01 is the implementation of the academic recommendations of KRASzPiP. teacher (BNA) Implementing this subject, a student should be able to explain the following issues:  What in the human development may have influence on the sexual orientation and gender identity? (B01_K_W01)  What problems occurring in the relationship between a human and a social environment may an individual of LGTB orientation have? (B01_K_W02)  What functioning mechanisms does an individual of LGTB orientation develop? Does being an individual of LGBT orientation create the sense of experiencing difficult situations more frequently compared to an individual of heterosexual orientation? (B01_K_W03)  At which stage of human mental development may the change in sexual orientation occur? (B01_K_W04)  How does sexual orientation influence human personality? Can LGBT be viewed as a personality disorder? (B01_K_W05)  How can psychological aspects of human functioning be described in different periods

6 of development in the case of an individual of LGTB orientation? How to recognize, in terms of psychology, which sexual orientation is dominant in a particular period of development? (B01_K_U06)  Can improper sex and pro-family education have influence on sexual orientation, gender identity or social functioning? How to identify sources lying in sex and pro- family education which may have influence on gender identity? (B01_K_U07) BNA02: Human attitudes. Conformism. Publicity and the influence of mass media on people's attitudes and behavior. Stereotypes and social prejudices. Human aggression (its causes, ways of explaining this phenomenon). The student should present typical problems resulting from some human attitudes which have influence on the occurrence of various problems in the relationship between a human and a natural environment:  conformist attitude,  attitude characterized by succumbing to stereotypes and social prejudices,  aggressive attitude towards the environment (B01_K_W02). The student should also be able to analyze human attitudes that are influenced by publicity and mass media (B01_K_U04). BNA03: Process of communication and information exchange in terms of the nature and structure of the phenomena taking place in it. Models and styles of interpersonal communication Control of mistakes and barriers in the communication process. Active listening. Verbal, nonverbal and extra verbal communication techniques in the health care. Creating conditions for proper nurse-patient and nurse-medical staff communication. The course ends with a final test. The condition for passing the final test is to obtain a minimum 3.0 grade for each educational outcome regarding knowledge. Obtaining at least one unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory grade for the entire final test. In a particular case when the student receives one or two unsatisfactory grades for educational outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions). Student's workload (practical classes are marked with an asterisk) Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 30 30 Contact hours with an Participation in practical classes * ------academic 2 hours lecture 2 teacher Participation in consultations related to classes * 2 hours BNA 2 Preparation for practical classes * ------Student's Individual work related to the subject of BNA 15 hours 15 individual work classes Preparation for the final test from lectures 5 hours 5 Total student's workload 54 Workload Hours ECTS Student's workload associated with classes that require direct 34 1,3 teacher participation Quantity Student's workload associated with classes that do not indicators 20 0,7 require direct teacher participation * Student's workload associated with practical classes 0 0,0 * Student's workload associated with theoretical classes 54 2,0

 Birch A., Malim T., Psychologia rozwojowa w zarysie (Outline of Developmental Basic Psychology), PWN, Warszawa 2007. bibliography  Bishop G.D., Psychologia zdrowia (Health Psychology), Astrum, Wrocław 2000.

7  Dolińska-Zygmunt G., Elementy psychologii zdrowia (Elements of Health Psychology), Wydawnictwo Uniwersytetu Wrocławskiego, Wrocław 1996.  Heszen-NiejodeK L., Sęk H. Psychologia zdrowia (Health Psychology), PWN, Warszawa 1997.  Zimbardo, Johnson, Mc Cann, Psychologia. Kluczowe koncepcje (Psychology. Key Concepts), PWN, Warszawa 2010.  Strelau J., Psychologia: podręcznik akademicki, T. 1-3 (Psychology: academic textbook, Vol. 1-3). Gdańsk: Gdańskie Wydawnictwo Psychologiczne, 2008.  Aronson E. Człowiek istota społeczna (Human as a social being), Warszawa: Wydawnictwo Naukowe PWN, 1998.

 Formański J. Psychologia dla pielęgniarek (Psychology for Nurses), Wyd. Lek. PZWL, Warszawa 2000. Supplementar y  Jarosz M.: Psychologia lekarska (Medical Psychology), PZWL, Warszawa 1998. bibliography  Meitzel G.: Wprowadzenie do psychologii (Introduction to Psychology), Gdańsk 2000.  Salmon P. Psychologia w medycynie (Psychology in Medicine), Gdańsk 2003. Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes Characterizes very Characterizes quite generally Does not well psychological psychological basics Characterizes characterize basics of human of human behavior psychological basics psychological basics behavior and and development, of human behavior of human behavior development, B01_K_W01 does not describe (or and development, the and development, the presents almost describes conditions for its conditions for its without mistakes the with mistakes) the proper and disturbed proper and disturbed conditions for its conditions for its functioning functioning proper and disturbed proper and disturbed functioning functioning Does not describe Describes selected Describes most Describes problems problems which problems which occur problems which occur which occur in the occur in the in the relationship in the relationship B01_K_W02 relationship between relationship between between a human between a human a human being and a a human being and a being and a social being and a social social environment social environment environment environment Does not present Presents selected Presents most Presents human human functioning human functioning human functioning functioning B01_K_W03 mechanisms in all mechanisms in all mechanisms in all mechanisms in all sorts of difficult sorts of difficult sorts of difficult sorts of difficult situations situations situations situations Does not present Presents some Presents most stages Presents stages and stages and does not stages and/or some and characterizes the characterizes the B01_K_W04 characterize the regularities of human regularities of human regularities of human regularities of human mental development mental development mental development mental development Distinguishes Distinguishes quite Does not distinguish imprecisely between Distinguishes well between between emotions emotions and between emotions emotions and and motivation and/or motivation, and motivation and B01_K_W05 motivation, does not characterize characterizes to a characterizes characterizes quite personality and its small degree personality and its well personality and possible disorders personality and its possible disorders its possible disorders possible disorders Does not present the process of Describes Characterizes quite Characterizes the communication and imprecisely the well the process of process of B01_K_W06 information exchange process of communication and communication in terms of the nature communication and information exchange and information and structure of the information exchange in terms of the nature exchange in terms of phenomena taking in terms of the nature and structure of the the nature and

8 place in it and structure of the phenomena taking structure of the phenomena taking place in it phenomena taking place in it place in it Characterizes to a Characterizes almost Does not describe small degree, Characterizes models without mistakes models and styles of imprecisely, models and styles of B01_K_W07 models and styles of interpersonal and styles of interpersonal interpersonal communication interpersonal communication communication communication Characterizes almost Does not Characterizes some without mistakes Characterizes anxiety characterize anxiety anxiety reduction anxiety reduction reduction techniques reduction techniques techniques and techniques and and relaxation or relaxation methods relaxation methods, relaxation methods as well as nor the mechanisms describes imprecisely B01_K_W08 methods as well as mechanisms of of formation, mechanisms of mechanisms of formation, operation operation formation, operation formation, operation and prevention of the and prevention of the and prevention of the and prevention of the professional burnout professional burnout professional burnout professional burnout syndrome syndrome syndrome syndrome Does not describe Describes very Describes quite well Discusses extensively the cognitive imprecisely the the cognitive the cognitive processes and does cognitive processes processes and processes and not distinguish and distinguishes distinguishes quite distinguishes B01_K_W09 between correct, imprecisely between well between correct, between correct, disordered and correct, disordered disordered disordered pathological and pathological and pathological and pathological behaviors behaviors behaviors behaviors Assesses to a small Assesses the degree the influence Assesses to a large influence of difficult Does not assess the of illness, degree the influence situations (e.g. influence of difficult hospitalization and of difficult situations illness, situations on human B01_K_U01 other difficult on human physical hospitalization) on physical and mental situations on human and mental condition human physical and condition or on social physical and mental as well as on social mental condition as functioning as well as on social functioning well as on social functioning functioning Designs and Designs and Does not design and implements to a large implements to a small Designs and does not implement degree and without degree and implements the rudimentary important substantive imprecisely the rudimentary forms of B01_K_U02 forms of mistakes the rudimentary forms of psychological support psychological support rudimentary forms of psychological support in simulated in simulated psychological support in simulated conditions conditions in simulated conditions conditions Predicts to a small Predicts to a large Does not predict the Predicts the influence degree the influence degree the influence influence of illness of illness and of illness and of illness and and hospitalization hospitalization on the hospitalization on the hospitalization on the B01_K_U03 on the human mental human mental human mental human mental condition, somatic condition, somatic condition, somatic condition, somatic and mental and mental and mental and mental dependencies dependencies dependencies dependencies Does not analyze Analyzes imprecisely Analyzes quite well Analyzes human attitudes, the human attitudes, the human attitudes, the professionally human B01_K_U04 process of their process of their process of their attitudes, the process formation formation and formation and of their formation and and changes changes changes changes Does not assess Assesses very Assesses quite well Assesses human B01_K_U05 human functioning imprecisely human human functioning functioning in difficult in difficult situations functioning in difficult in difficult situations situations (stress,

9 (stress, conflict, situations (stress, (stress, conflict, conflict, frustration) frustration) conflict, frustration) frustration) Does not know Knows only some Knows most Knows psychological psychological psychological psychological aspects of human B01_K_U06 aspects of human aspects of human aspects of human functioning at various functioning at various functioning at various functioning at various development stages development stages development stages development stages Does not know Knows only some Knows most Knows psychosocial psychosocial aspects psychosocial aspects psychosocial aspects aspects of sex B01_K_U07 of sex and pro-family of sex and pro-family of sex and pro-family and pro-family education education education education Does not control Controls few Controls most Controls mistakes mistakes and barriers mistakes and barriers mistakes and barriers and barriers in the B01_K_U08 in the process of in the process of in the process of process of communication communication communication communication To a small degree To a quite large Does not have active Demonstrates active B01_K_U09 has active listening degree has active listening skills listening skills skills listening skills Does not use verbal, Uses few verbal, Uses quite well nonverbal or extra nonverbal and extra verbal, nonverbal and Uses verbal, verbal verbal extra verbal nonverbal and extra B01_K_U10 communication communication communication verbal techniques techniques in the techniques in the techniques in the in the health care health care health care health care Does not create Creates selected Creates most Creates conditions for conditions for proper conditions for proper conditions for proper proper nurse-patient B01_K_U11 nurse-patient or nurse-patient and nurse-patient or and nurse-medical nurse-medical staff nurse-medical staff nurse-medical staff staff communication communication communication communication Selects quite Selects very poorly Selects appropriate Does not select professionally appropriate anxiety anxiety reduction appropriate anxiety appropriate anxiety B01_K_U12 reduction techniques techniques reduction techniques reduction techniques and relaxation and relaxation or relaxation methods and relaxation methods methods methods Does not apply Applies to a small Applies to a large Applies techniques of techniques of degree techniques of degree techniques of B01_K_U13 professional burnout professional burnout professional burnout professional burnout syndrome prevention syndrome prevention syndrome prevention syndrome prevention Respects to a small Respects to a large Does not respect the Respects the dignity degree the dignity degree the dignity dignity and autonomy and autonomy of B01_K_K01 and autonomy of and autonomy of of people entrusted people entrusted to people entrusted to people entrusted to to care care care care Systematically Does not improve Improves to a small Improves to a large improves knowledge knowledge in terms degree knowledge in degree knowledge in in terms of B01_K_K02 of psychology, does terms of psychology, terms of psychology, psychology, aiming at not aim at achieving aiming at achieving aiming at achieving achieving professionalism professionalism professionalism professionalism Respects to a small Respects to a large In all circumstances Does not respect the B01_K_K03 degree the patient's degree the patient's respects the patient's patient's rights rights rights rights Adheres to a small Adheres to a large Does not adhere to Adheres to B01_K_K04 degree to degree to professional secrecy professional secrecy professional secrecy professional secrecy

PIE1.B03. Pedagogy

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course pedagogy Code PIE1.B03 ECTS points 2.0

Social and Medical Faculty Unit Nursing and Midwifery Department Obligatory Status of course / Modular block A. Basic sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 1 1 15 30 15 ------Form of crediting ZO ZO ZO ------ECTS 2.5 ------Education area in direc- Medical sciences, health sciences and physical education sciences tion of B. Social sciences + foreign language studies Field of science Health Sciences Language of lectures English Prerequisites None The aim of the course is to provide students with the basics of pedagogical knowledge necessary to execute professional tasks, in particular:  Educative and didactic interactions with regard to particular categories of nursing ser- Education goal vices recipients.  Development of responsibility for the process of conscious self-education.  Participation in the process of practical training for nursing students. Correspond- ence level between the course educa- Reference to tional outcome Symbol of the the directional and the direc- course educa- Description of the course educational outcome educational tional educational outcome outcome tional outcome (+ - low, ++ - medium, +++ - high) Explains basic concepts and issues of pedagogy as an applied science and the educative process in terms of a B03_K_W01 B.W16 +++ social phenomenon (illness, recovery, hospitalization, death)

B03_K_W02 Characterizes the process of education in terms of health B.W17 +++

1 education Describes issues of health education methodology B03_K_W03 B.W18 +++ with regard to children, adolescents and adults Assesses the learning and educational environment in B03_K_W04 terms of recognition of health problems among children C.W24 +++ and adolescents Knows psychosocial aspects of sex and pro-family educa- B03_K_U01 B.U8 +++ tion Respects the dignity and autonomy of individuals subject to B03_K_K01 D.K1 + the pedagogic influence Systematically improves professional knowledge on peda- B03_K_K02 D.K2 + gogy, aiming at achieving professionalism Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome Explains basic concepts and issues of pedagogy as an applied science and the educative pro- B.W16 cess in terms of a social phenomenon (illness, recovery, hospitalization, death) B.W17 Demonstrates understanding of the process of education in terms of health education B.W18 Knows issues of health education methodology with regard to children, adolescents and adults Assesses the teaching and educative environment in terms of recognition of health problems C.W24 among children and adolescents B.U8 Knows psychosocial aspects of sex and pro-family education D.K1 Respects the dignity and autonomy of people entrusted to care D.K2 Systematically develops professional knowledge and skills, aiming at professionalism CURRICULUM CONTENT Implemented Course sym- Subject of classes Hours educational bol outcomes Form of classes: lectures Education as a social phenomenon:  concept: education, self-education, socialization, educative situation; B03_K_W01 B03_K_W02 W01  social personality and its components; 7 B03_K_W03  philosophical foundations of the educative activity; B03_K_W04  health education, health literacy;  educative environment; Educative process – philosophical foundations of the educative activity:  educative goals as implementation of personal and social values;  characteristics of the educative process; B03_K_W01  educative goals, principles, methods and forms; B03_K_W02 W02 6  determinants of the process; B03_K_W03  anomy, heteronomy and autonomy in the process of self- B03_K_W04 education;  educative difficulties;  development of the educative environment.

2 Educative strategies: the concept of education and self-education;  B03_K_W01 factors contributing to self-education;  B03_K_W02 W03 the role of an environment in self-education; 2  B03_K_W03  Nursing services in the educative, educational and socializa- B03_K_W04 tion processes

Hours in total: lectures 30 Form of classes: practical classes (seminar) * Organization and methods of care and educative work in selected care facilities for adults and children:  presentation of methods of work: B03_K_W03 C01  selection of methods of work according to the place of care 5 and educative work; B03_K_W04  organization of work.

Planning the educative and didactic work with regard to various categories of nursing services recipients:  different types of nursing services;  recipients of nursing services; B03_K_W03 C02 the place of providing care; 5  B03_K_W04  factors which are important in planning and executing work as well as achieving results;  assessment of the work results.

Health education for children and adolescents:  the basic principles of teaching and learning; determinants of the process of learning; B03_K_W03 C03  3  habits and addictions; B03_K_W04  developing good habits as the basis for a healthy lifestyle.

Communication as one of the elements of educative influence:  the essence of the communication process;  perturbation in providing information and how to prevent it; B03_K_W03 C04 7  types of behaviors and corresponding types of messages; B03_K_W04  ethical behavior and providing information;  communication with a patient in difficult health situations. Education as a social phenomenon: B03_K_W03 C05  nurse in a role of an educator; 10 B03_K_W04  the role of a nurse in sex and pro-family education. B03_K_U01 Hours in total: practical classes (seminar) 30 Form of classes: classes without the participation of an academic teacher (BNA) BNA01 Outline of the history of education 5 B03_K_W01 BNA02 Educational ideologies 5 B03_K_W01 Mainstreams in pedagogy, basic concepts socialization, educating, BNA03 – 5 B03_K_W01 education, learning, teaching Hours in total: BNA 15 Correlation of particular types of classes

3 Lecture Practical classes BNA (seminar) W01 C01, C06 BNA01 W02 C02 BNA01 W02 C02, C03 BNA02 W03 C02, C04 BNA03 W03 C05 BNA02

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W + BNA CW W + BNA CW W01, W02, W03, single or multiple B03_K_W01 BNA01, BNA02, ------choice test BNA03 single or multiple B03_K_W02 W01, W02, W03 ------choice test C01, C02, C03, C04, single or multiple B03_K_W03 W01, W02, W03 C05 choice test C01, C02, C03, C04, single or multiple B03_K_W04 W01, W02, W03 C05 choice test B03_K_U01 --- C05 B03_K_K01 All All 360º observation 360º observation B03_K_K02 All All 360º observation 360º observation Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Classes without participation of an academic teacher (BNA) stand for unassisted student's work – the subject of classes is provided above. Students become familiar with the following subjects of the BNA classes based on a list of basic and supplementary bibliography or additional materials prepared by an academic teacher. Practical classes (seminars) are conducted in small groups. Attendance in the classes is obligatory. Students may be asked to present issues which they worked on within BNA classes (e.g. in the form of a multimedia presentation). Lectures, practical classes and BNA classes cover educational outcomes regarding knowledge Lecture + and social competences: classes with- Assigning educational outcomes to each course is presented in the syllabus. The lecturer in- out the partic- cludes all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the ipation of an conducted classes. This should be reflected in an outline prepared by the lecturer (the outline academic should be attached to the course portfolio). teacher (BNA) In the case of BNA classes, the lecturer should indicate to students, who work individually on a + practical particular subject, which aspects of the subject they should pay special attention to; the aspects classes (sem- result from educational outcomes assigned to a particular subject. inar) The course ends with a final test. The condition for participating in the final test is to complete the practical classes (seminar). The condition for passing the final test is to obtain a minimum 3.0 grade for each educational outcome regarding knowledge. Obtaining at least one unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory grade for the entire final test. In the particular case when the student receives one or two unsatisfactory grades for educational outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions). Student's workload (practical classes are marked with an asterisk)

4 Hours of stu- Activity form Hours in detail Hours in total dent's work Participation in lectures 15 hours 15

Contact hours Participation in practical classes * 30 hours 30* with an aca- 2 hours lecture 2 demic teacher Participation in consultations related 2 hours practical classes 2* to classes * 2 hours BNA 2 Preparation for practical classes * 30 hours 30* Student's Individual work related to the subject of BNA 15 hours 15 individual work classes Preparation for the final test 5 hours 5 Total student's workload 101 Workload Hours ECTS Student's workload associated with classes that require direct 51 1.25 teacher participation Quantity indi- Student's workload associated with classes that do not re- cators 50 1,25 quire direct teacher participation * Student's workload associated with practical classes 62 1,5 * Student's workload associated with theoretical classes 39 1.0

 Ciechaniewicz W., Pedagogika (Pedagogy), Warszawa: Wydawnictwo Lekarskie PZWL, 2008.  Wierzchowska-Konera B., Sobocki M. Pedagogika. Podręcznik dla szkół medycznych. (Pedagogy. Textbook for medical schools.), Warszawa PZWL, 2008.  Nowak M. Pedagogiczny profil nauk o wychowaniu. Studium w odniesieniu do pe- dagogiki pielęgniarstwa. (Pedagogical profile of educative sciences. Study with reference to nursing pedagogy.), Lublin: Wydawnictwo KUL, 2012.  Przetacznik-Gierowska M., Włodarski Z., Psychologia wychowawcza. T. 1, 2, (wy- Basic bibliog- brane fragmenty) (Educative psychology, vol. 1, 2, (selected fragments)), PWN, raphy 2014  Jakubowska-Winecka A., Włodarczyk D. Psychologia w praktyce medycznej (Psy- chology in medical practice), Warszawa: Wydawnictwo Lekarskie PZWL 2015.  Woynarowska B., Edukacja zdrowotna (Health education), Warszawa PWN, 2012.  Litak S., Historia wychowania tom 1, 2 Podręcznik akademicki (History of education, vol. 1, 2, Academic textbook), Warszawa: WAM, 2008.  Filipiak E., Rozwijanie zdolności uczenia się (Developing the ability to learn), żdańskie Wydawnictwo Psychologiczne, Sopot 2009.

 Konarzewskia K. (red.), Sztuka nauczania (The Art of Teaching), PWN, Warszawa 1995. S. Kot, Historia wychowania. Od Grecji do wieku XVIII, Tom 1. Supplemen-  staroytnej połowy (History of education. From Ancient Greece to the first half of 18th century, vol. 1), tary bibliog- Warszawa 1994. raphy  S. Kot., Historia wychowania. Wychowanie nowoczesne. Od połowy wieku XVIII do współczesnej doby. Tom 2. (History of education. Modern education. From the second half of 18th century till the present, vol. 2), ak, Warszawa 1994. Grades – details (intermidiate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes The student cannot The student explains The student explains The student explains explain basic con- sufficiently basic well the basic con- very well the basic B03_K_W01 cepts and issues of concepts and issues cepts, processes concepts, processes pedagogy as an of pedagogy as an and issues of peda- and issues of peda- applied science and applied science and gogy as an applied gogy as an applied

5 the process of educa- the process of educa- science and the pro- science and the tion in terms of a tion in terms of a cess of education in process of education social phenomenon social phenomenon terms of a social in terms of a social (illness, recovery, (illness, recovery, phenomenon (illness, phenomenon (illness, hospitalization, hospitalization, recovery, hospitaliza- recovery, hospitaliza- death) death); knows peri- tion, death); knows tion, death); knows ods in the history of periods in the history periods in the history education of education and of education and indicates representa- indicates representa- tives of particular tives of particular schools as well as schools as well as pedagogical and pedagogical and educational orienta- educational orientation and describes tion and describes them in general their views The student demonstrates very well The student demon- understanding of the The student does not The student demonstrates well under- process of education demonstrate under- strates sufficiently standing of the pro- in terms of health standing of the pro- understanding of the cess of education in B03_K_W02 education; indicates cess of education in process of education terms of health edu- philosophical founda- terms of health edu- in terms of pedagogy, cation; indicates tions of education and cation health education philosophical founda- characterizes them tions of education with regard to a specific case The student does not The student knows The student knows The student knows know methodology of sufficiently the meth- well the methodology very well the method- health education, odology of educating, of health education, ology of health edu- B03_K_W03 educating and teach- health education with educating and teach- cation, educating and ing with regard to regard to children, ing with regard to teaching with regard children, adolescents adolescents children, adolescents to children, adoles- and adults and adults and adults cents and adults The student assesses well the educa- The student assesses The student assess- tional and educative very well the educa- es sufficiently the environment in terms tional and educative educational and edu- of recognition of environment in terms The student cannot cative environment educative and health of recognition of assess the educa- in terms of recogni- problems among health problems tional and educative tion of health prob- children among children and environment in terms lems among children and adolescents. The adolescents. Student B03_K_W04 of recognition of and adolescents. The student understands plans and implements health problems student knows basic the influence of par- the educative and among children and psychological and ticular social factors educational strategy adolescents social factors deter- on educating and in the particular recip- mining the process of teaching, processes ients category taking educating and educa- of communication, into consideration tion indicates philosophi- psychological and cal foundations of social determinants education The student knows The student knows to The student knows The student does not comprehensively a small degree psy- quite comprehensive- know psychological and applies in prac- B03_K_U01 chological aspects of ly psychological as- aspects of sex and tice psychological sex and pro-family pects of sex and pro- pro-family education aspects of sex and education family education pro-family education The student does not The student respects The student respects The student respects respect the dignity to a small degree the to a large degree the the dignity and autonomy of dignity and autonomy dignity and autonomy and autonomy of B03_K_K01 individuals subject to of individuals subject of individuals subject individuals subject to the pedagogic influ- to the pedagogic to the pedagogic the pedagogic influence influence influence ence

6 The student system- The student does not The student improves The student improves atically improves improve knowledge to a small degree to a large degree knowledge on peda- B03_K_K02 on pedagogy, does professional professional gogy, aiming at not aim at achieving knowledge knowledge achieving profession- professionalism on pedagogy on pedagogy alism

PIE1.C01. English in nursing

Level 1st degree Name of the NURSING study field. Form of study Stationary Profile practical Course English in nursing Code PIE1.B07 ECTS points 4,0 Wydział Społeczno-Medyczny Unit Katedra Pielęgniarstwa i Położnictwa (32) 264-74-75 wewn. 12, [email protected] Obligatory Status of course / Modular block C. Social Sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 1 1 --- 30 ------2 2 --- 30 ------3 3 --- 30 ------4 4 --- 30 ------Form of examination --- ZO ------ECTS 4,0 ------FInal exam OSCE Education area in direction of Medical sciences, health sciences and physical culture sciences studies. Field of science Social sciences and English Language of lectures Polish

Prerequisites None

The goal of English classes is acquiring the skills necessary to communicate in English, Education goal learning grammatical structures and medical vocabulary at B1 level.

Correspondenc e level between course learning effect to Reference to directional Course learning directional Description of the education effect education effect symbol education effect. effects (+ - low, ++ - middle, +++ - high) Knowledge education effects

B07_K_W01 Knows English at B1 level according to Common B.W46 +++ European Scale of Reference and medical vocabulary

1 at a level allowing to communicate with patients, medical staff ; knows basic vocabulary concerning medical procedures and medical equipment Can Understand and Aanalyze written English B07_K_U01 B.U32 ++ according to Common European Scale of Reference Communicates in English at B1 level according to B07_K_U02 B.U33 ++ Common European Scale of Reference Improves skills and gains medical knowledge B07_K_K01 D.K2 ++ systematically, striving for perfection Major-related educational outcomes Major-related educational major-related educational outcomes description outcomes symbol B.W46 Knows English at B1 level according to Common European Scale of Reference B.U32 Can Understand and Aanalyze written English Communicates in English at B1 level according to Common European Scale of B.U33 Reference Improves skills and gains medical knowledge systematically, striving for D.K2 perfection Education content Implemented Symbol and nr Subject of classes education Hours of classes effect

Forma zajęć: ćwiczenia Vocabulary: Places Greetings B07_K_W01 Introductions B07_K_U01 C01 States and nationalities 1 Easy subjects B07_K_U02 Grammar: B07_K_K01 Verb to be (forms of present tense) Using capital letters Vocabulary: Places that tourists visit and words connected to them Expressing requests B07_K_W01 Indicating prices B07_K_U01 C02 In the coffe shop 1 Grammar: B07_K_U02 Pronouns this, that, these, those B07_K_K01 Adjectives and possesive pronouns, form 's Verbs can and could (in requests) B07_K_W01 Vocabulary: B07_K_U01 C03 In the hotel 1 Writing: e-mail to the hotel B07_K_U02 B07_K_K01

Vocabulary: B07_K_W01 1 Typical actions – collocations B07_K_U01 C04 Everyday activities Grammar: B07_K_U02 Present Simple B07_K_K01

Vocabulary: Professions B07_K_W01 C05 1 Asking about the time B07_K_U01 Telling the time

2 Grammar: B07_K_U02 Conjunctions and, but, or B07_K_K01 Prepositions in, at, on in time expressions Present Simple continuation

Vocabulay: B07_K_W01 Domestic responsibilities B07_K_U01 C06 1 Expressing preferences B07_K_U02 Writing: message on internet forum B07_K_K01 Vocabulary: Adjectives describing personality Describing people B07_K_W01 Family members B07_K_U01 C07 Describing frequency 1 Grammar: B07_K_U02 Frequency adverbs B07_K_K01 Words: very, really, quite, not very Verb have/has got Vocabulary: B07_K_W01 Expressing interest B07_K_U01 C08 Making offers, plans 1 B07_K_U02 Holidays and important ceremonies – collocations Writing: invitation B07_K_K01 Vocabulary: Rooms and places in house B07_K_W01 Furniture and interior furnishings B07_K_U01 C09 Place prepositions– describing position 1 Grammar: B07_K_U02 Construction there is/are B07_K_K01 Using comas Vocabulary: Places in city B07_K_W01 Place prepositions – describing position B07_K_U01 C10 Types of shops and their assortment- shopping 1 Grammar: B07_K_U02 Verb can B07_K_K01 Words too, (not) … enough B07_K_W01 Vocabulary: B07_K_U01 C11 Saying „no” 1 Favourite places -description B07_K_U02 B07_K_K01 Vocabulary: Food and drinks B07_K_W01 Nutrition B07_K_U01 C12 Packaging 1 Grammar: B07_K_U02 Questions with how much/many B07_K_K01 Words: not many, a lot of/lots of, none, quite a lot B07_K_W01 Vocabulary: Restaurants and cafes B07_K_U01 C13 1 Ordering meals B07_K_U02 Cooking B07_K_K01 Vocabulary: Past B07_K_W01 Names of the months B07_K_U01 C14 Ordinal numbers 1 Dates B07_K_U02 Grammar: B07_K_K01 Verb to be (past tense forms) Vocabulary: B07_K_W01 Regular and irregular verbs C15 B07_K_U01 1 Grammar: Past Simple B07_K_U02

3 B07_K_K01 Vocabulary: B07_K_W01 Free time activities – collocations B07_K_U01 C16 Starting and carrying conversation 1 Interview B07_K_U02 Description of the person B07_K_K01 Vocabulary: Adjectives describing travels and vacations B07_K_W01 Comparison B07_K_U01 C17 1 Constructions and landscape elements B07_K_U02 Grammar: B07_K_K01 Comparison of adjectives Vocabulary: B07_K_W01 Asking for directions B07_K_U01 C18 Giving directions 1 Making sure B07_K_U02 Writing: description of place B07_K_K01 Vocabulary: Present participle form of verbs B07_K_W01 Verbs, that occur with prepositions B07_K_U01 C19 1 Grammar: B07_K_U02 Present Continuous B07_K_K01 Pronouns

Vocabulary: B07_K_W01 Usual and temporary forms of handling B07_K_U01 C20 1 Grammar: B07_K_U02 Comparison of Present Simple and Present Continuous B07_K_K01

Vocabulary: B07_K_W01 Movie genres B07_K_U01 C21 1 Expressing opinions about culture B07_K_U02 Festivals B07_K_K01 Vocabulary: Traveling – collocations Transportation B07_K_W01 Adjectives B07_K_U01 C22 1 Public transport B07_K_U02 Grammar: B07_K_K01 Articles Verbs can, can't, have to, don't have to Vocabulary: Travelling by plane B07_K_W01 Describing problems B07_K_U01 C23 1 Writing: e-mail to a friend B07_K_U02 Grammar: B07_K_K01 Conjunctions and words organizing the sentence Vocabulary: B07_K_W01 Future plans B07_K_U01 C24 Grammar: 1 Constructions: be going to, would like to B07_K_U02 Verbs will, might, won't B07_K_K01 Vocabulary: B07_K_W01 Adjectives with positive meaning Making propositions and reacting to them B07_K_U01 C25 1 Grammar: B07_K_U02 Imperative B07_K_K01 Verbs will, shall Vocabulary: B07_K_W01 Body parts Simple health problems B07_K_U01 C26 1 Giving simple advices B07_K_U02 Grammar: B07_K_K01 Verb should, shouldn't

4 Adverbs Vocabulary: Verbs describing problems B07_K_W01 Offering help B07_K_U01 C27 1 Thanking B07_K_U02 Proffesions B07_K_K01 In the pharmacy Vocabulary: Experiences Irregular verbs B07_K_W01 Prepositions describing movement B07_K_U01 C28 1 Feelings B07_K_U02 Reporting experiences B07_K_K01 Grammar: Comparison of Past Simple i Present Perfect B07_K_W01 B07_K_U01 C29 Reviewing the material and preparing to pass the subject 1 B07_K_U02 B07_K_K01 B07_K_W01 B07_K_U01 C30 Practice test 1 B07_K_U02 B07_K_K01 Vocabulary: Happiness Free time activities – collocations B07_K_W01 Hobbies, interests, vacations B07_K_U01 C31 Love 1 Relations between people B07_K_U02 Grammar: B07_K_K01 Regular and irregular verbs Verbs: and, so, but, because B07_K_W01 Vocabulary: Conversation topics B07_K_U01 C32 1 Important people in our lives B07_K_U02 Starting and ending conversations B07_K_K01 Vocabulary: Work– collocations Words: motivate B07_K_W01 Activities – collocations B07_K_U01 C33 Writing: starting and endings e-mails 1 Proffesions B07_K_U02 Grammar: B07_K_K01 Present Simple i Present Continuous – comparison Frequency adverbs Vocabulary: B07_K_W01 Expressing preferences B07_K_U01 C34 Work in different sectors 1 Expressing interest, asking questions B07_K_U02 Balance between work and private life B07_K_K01 Vocabulary: London’s atractions – collocations with verbs Writing: e-mail with invitation B07_K_W01 Art B07_K_U01 C35 1 Types of art B07_K_U02 Grammar: B07_K_K01 Present Continuous and be going to construction – comparison Questions without auxiliary verb (about subject) Vocabulary: B07_K_W01 Collocayions with verbs C36 B07_K_U01 1 Carrying phone calls Solving problems in phone calls B07_K_U02

5 Writing: e-mail with invitation B07_K_K01 Vocabulary: Collocations with make and do B07_K_W01 Hidden talents B07_K_U01 C37 1 Irregular verbs B07_K_U02 Grammar: B07_K_K01 Present Perfect with ever/never Vocabulary: Education – collocations Rules in schools in different states B07_K_W01 Learning foreign languages B07_K_U01 C38 1 Request for giving an advice B07_K_U02 Giving advices B07_K_K01 Grammar: Verb can, have to, must Vocabulary: Agreeing and objecting B07_K_W01 Transport B07_K_U01 C39 Traveling – verbs and collocations 1 Describing past events B07_K_U02 Grammar: B07_K_K01 Past Simple and Past Continuous – comparison Vocabulary: Vacations Writing: e-mail B07_K_W01 Tourism B07_K_U01 C40 1 Asking about directions B07_K_U02 Giving directions B07_K_K01 Grammar: Verb forms – infinitive and gerund Vocabulary: B07_K_W01 Travels B07_K_U01 C41 Expressing preferences and hopes for the future 1 Grammar: B07_K_U02 Words organizing the sentence B07_K_K01

Vocabulary: B07_K_W01 Health- what is good and bad for our health B07_K_U01 C42 1 Grammar: B07_K_U02 Present Perfect with since and for B07_K_K01 Vocabulary: Food (meat, fruits, vegetables, desserts) B07_K_W01 Dishes from around the world B07_K_U01 C43 1 Grammar: B07_K_U02 Verbs may, might, will B07_K_K01 Compound sentences

Vocabulary: B07_K_W01 Simple health problems B07_K_U01 C44 1 Visit at the doctor B07_K_U02 Survey about sport B07_K_K01 Vocabulary: Verbs with prepositions Work B07_K_W01 Need of changes B07_K_U01 C45 Collocations with verbs 1 Telling the truth, lying B07_K_U02 Grammar: B07_K_K01 Verb used to Constructions with so, to, because Vocabulary: Places in University campus B07_K_W01 C46 Getting informations, asking questions B07_K_U01 1 Making sure B07_K_U02 Describing experiences

6 Writing: blog entry B07_K_K01 Vocabulary: Money B07_K_W01 B07_K_U01 C47 Well known brands’ prodcts 1 Grammar: B07_K_U02 Relative clauses-type sentences B07_K_K01 Emphasis: words fairly, really, very, extremely Vocabulary: B07_K_W01 Complex verbs B07_K_U01 C48 Comparison 1 Grammar: B07_K_U02 Constructions with too much, too many, enough, very B07_K_K01

Vocabulary: B07_K_W01 Shopping (shops, goods and services) B07_K_U01 C49 1 Conversations in shops B07_K_U02 Describing items B07_K_K01 B07_K_W01 Vocabulary: B07_K_U01 C50 Describing companies, bussines ideas 1 Writing: competition entry B07_K_U02 B07_K_K01 Vocabulary: Landscape elements, natural environment B07_K_W01 Comparison B07_K_U01 C51 Natural environment, wild places 1 Living in the city and in the countryside B07_K_U02 Grammar: B07_K_K01 Comparative and superlative adjective

Vocabulary: B07_K_W01 Animals B07_K_U01 C52 1 Guessing, expressing assumptions B07_K_U02 Writing: blog entry (description of an expedition) B07_K_K01 Vocabulary: B07_K_W01 Cities B07_K_U01 C53 Expressions used in formal letters 1 Grammar: B07_K_U02 Using the „like” word B07_K_K01 Vocabulary: B07_K_W01 Crimes and criminals B07_K_U01 C54 Expressing opinions 1 Grammar: B07_K_U02 Passive voice in Present Simple and Past Simple B07_K_K01 Vocabulary: B07_K_W01 Problems and troubles B07_K_U01 C55 Complaints and reacting to them 1 Writing: e-mail with reclamation B07_K_U02 Post on internet forum B07_K_K01 Vocabulary: B07_K_W01 Communicating, means of communication B07_K_U01 C56 Activities – collocations 1 Grammar: B07_K_U02 Present Perfect with yet, already, just B07_K_K01 Vocabulary: B07_K_W01 Movie genres B07_K_U01 C57 Movies, actors, cinema 1 Grammar: B07_K_U02 Reported speech B07_K_K01 Vocabulary: B07_K_W01 C58 Suffixes (adjectives, nouns) 1 Artists, biography B07_K_U01

7 Grammar: B07_K_U02 Second conditional B07_K_K01 B07_K_W01 B07_K_U01 C59 Reviewing the material and preparing to pass the subject 1 B07_K_U02 B07_K_K01 B07_K_W01 B07_K_U01 C60 Practice colloquium 1 B07_K_U02 B07_K_K01 Grammar: - Verb ‘to be’- repetition - nationality - plural form of nouns - demonstrative pronouns B07_K_W01 - grammatical gender in English language B07_K_U01 C61 - negations and questions - patient 1 - emotional states B07_K_U02 - ordinal numbers B07_K_K01 - phone numbers - professions - medical professions, functions, positions

Vocabulary: - medical English language – giving medications - countable and mass nouns B07_K_W01 - questions about dosing medications - questions about profession B07_K_U01 C62 1 - numbers – quantity, age, expiration date B07_K_U02 - questions about quantity B07_K_K01 - questions about price - collective nouns

Grammar: - possesive pronouns – using in sentences B07_K_W01 - possesive adjectives - epithets - family members B07_K_U01 C63 1 - saxon genitive B07_K_U02 - family description – age, belongings B07_K_K01 - questions about family

Vocabulary: - medical vocabulary - hospital - wards, main parts of the hospital - hospital system B07_K_W01 - B07_K_U01 C64 construction ‘there is/are’ 1 - prepositions – determining the location B07_K_U02 - sketch of wards layout by listening B07_K_K01 - abbreviations related to hospital - different medical units – centres, sites, etc.

Grammar: - modal verb ‘should’ B07_K_W01 - expressing advice, recommendations, warnings - medical advices diet, medication dosage, etc. B07_K_U01 C65 – 1 - nursing commands B07_K_U02 - talk about patient’s health during the treatment B07_K_K01 - imperative

Vocabulary: B07_K_W01 - medical vocabulary diseases and symptoms C66 – B07_K_U01 1 - disease description – typical symptoms - advices and medication B07_K_U02

8 - predictions about symptoms and medical condition B07_K_K01 - questions – pain, symptoms - answering to questions about physical condition

Grammar: - czas przeszły czasownika ‘to be’- przypomnienie materiału past tense of „to be” verb - material review B07_K_W01 - medical record about patient’s past - refering to past events B07_K_U01 C67 1 - charactersitic time terms B07_K_U02 - ‘wh’ questions with was/were B07_K_K01 - negations and short answers - changing present tense sentences to sentences in Past Simple

Vocabulary: - medial vocabulary – injuries B07_K_W01 - types of skin injuries - description of injuries B07_K_U01 C68 1 - dressing wounds – kinds of dressings B07_K_U02 - ran verbs connected to dressing cuts/wounds B07_K_K01 - vocabuary connected to dressing tools

Grammar: - verb ‘have’ - colors and other adjectives B07_K_W01 - expressing possesion- negation, questions B07_K_U01 C69 - vital signs- vocabulary 1 B07_K_U02 - expressing patient’s condition- pulse, temperature, etc. - blood pressure description B07_K_K01 - verbs used in the context of patient’s condition

Vocabulary: - classification of medical terms to categories- diseases and systems connected to them B07_K_W01 - respiratory system B07_K_U01 C70 1 - circulatory system B07_K_U02 - gastrointestinal system B07_K_K01 - nervous system

Grammar: - modal verb ‘can’ - expressing skills, abilities, permissions B07_K_W01 - negations with verb ‘can’ - asking about abilities B07_K_U01 C71 1 - polite expression – question/request B07_K_U02 - inversion in the context of modal verbs B07_K_K01 - informations – writing informations about yourself and the patient in the chart

Vocabulary: - review - medical vocabulary–medical instruments and body parts - past tense of ‘to be’ verb - medical history about patient’s past - references to past evenst - modal verb ‘should’ - expressing advices, recommendations, warnings B07_K_W01 - B07_K_U01 C72 modal verb ‘can’ 1 - expressing skills, abilities, permissions B07_K_U02 - verb ‘have’ B07_K_K01 - colors and other adjectives - medical English language – giving medication - countable and mass nouns - medial vocabulary – symptoms and diseases - disease description – typical symptoms - recommendations and medication - prediction of symptoms and medical condition

9 - dates

Grammar: - Present Continuous Tense B07_K_W01 - tense designation B07_K_U01 C73 - functions of present tense 1 B07_K_U02 - description of patient’s actual condition - symptoms - change of Present Simple to Present Continuous B07_K_K01

Vocabulary: - phrasal verbs B07_K_W01 - construction and rules B07_K_U01 C74 - verb ‘look’ – questions 1 - description of the weather and outside appearance B07_K_U02 - description of favourite activities B07_K_K01

Grammar - questions in Present Continuous - planning near future B07_K_W01 - planning nursing activities B07_K_U01 C75 1 - photograph description - hospital B07_K_U02 - - questions of ‘wh ’ type B07_K_K01 - dialogues about actual activities and future

Vocabulary: - medical vocabulary- respiration B07_K_W01 - diseases connected to breathing - B07_K_U01 C76 description of patient’s breathing efficiency 1 - breathing description B07_K_U02 - verbs connected to breathing B07_K_K01 - frequency terms

Grammar: - widely used medical abbreviations B07_K_W01 - medical procedures - sugar levels, etc. B07_K_U01 C77 1 - description of injection B07_K_U02 - documents description B07_K_K01 - changing full forms to abbreviations

Vocabulary: - Practice - revision - medical vocabulary - respiration - diseases connected to breathing - Past Simple - Regular and irregular verbs B07_K_W01 - description of past activity - widely used medical abbreviations B07_K_U01 C78 1 - phrasal verbs B07_K_U02 - construction and rules B07_K_K01 - Present Continuous Tense - tense designation - medical vocabulary - injuries - types of skin injuries - injuries description

Vocabulary: - cleaning the patient – reading text B07_K_W01 - asking questions regarding the text B07_K_U01 C79 - translation to polish language 1 B07_K_U02 - role of patient’s hygiene - tools used during cleaning the patient B07_K_K01 - procedures connected to cleaning Grammar: B07_K_W01 - Present Simple C80 B07_K_U01 1 - tense designation - days of the week B07_K_U02

10 - dates B07_K_K01 - medical vocabulary – medical instruments and body parts - questions about injections and vaccinations - types of injections -questions about activities connected to health

Vocabulary: - reading patient’s chart B07_K_W01 - gender - current ailments B07_K_U01 C81 1 - abbreviations B07_K_U02 - filling in patient’s chart B07_K_K01 - parameters (blood, urine, etc.)

Grammar: - modal verbs – must/have to B07_K_W01 - expressing neccesities, constraints - B07_K_U01 C82 negation of the verb „must” 1 - expressing prohibition B07_K_U02 - conversation about patient’s prohibited activities B07_K_K01 - external coertion – rules, bylaw, top-down settings.

Vocabulary: B07_K_W01 - medical vocabulary – treatment, accesories, health issues B07_K_U01 C83 - classification of vocabulary in categories 1 - using the vocabulary in short dialogues B07_K_U02 B07_K_K01 Grammar: B07_K_W01 - questions in different tenses - questions about reason B07_K_U01 C84 1 - questions about plans B07_K_U02 - questions about place, time, quantity B07_K_K01

Vocabulary: B07_K_W01 - phonetics – vowels and consonants in English language - distinction between similar vowels B07_K_U01 C85 1 - examples and finding particular vowels B07_K_U02 - simple phonetic transcription B07_K_K01

Grammar: - expressing future – will/Present Continuous - functions and differences between grammatic constructions B07_K_W01 - predicting B07_K_U01 C86 - decisions made during talking 1 - promises B07_K_U02 - refusal B07_K_K01 - dialogue between medical staff and the patient

Vocabulary: - nursing observations – reading text - emotional state B07_K_W01 - blood flow - disability B07_K_U01 C87 1 - nutrition B07_K_U02 - exemplary nurse’s notes B07_K_K01 - asking questions regarding the text - translation to polish language

Grammar: - Present Perfect functions and construction – declarative sentences B07_K_W01 - situational context B07_K_U01 C88 1 - tense designation B07_K_U02 - verb form B07_K_K01 - recent activities description

11 Vocabulary: - temperature– reading and listening text - asking questions regarding the text B07_K_W01 - translation to polish language B07_K_U01 C89 1 - description of body temperature, function, role B07_K_U02 - temperature record B07_K_K01 - abbreviations connected to the temperature

Grammar: B07_K_W01 - Present Perfect - functions and construction interrogative senstences B07_K_U01 C90 – 1 - situational context B07_K_U02 - questions about activities that affect the present - results B07_K_K01

Grammatical-lexical colloquium - description of body temperature, function, role - nursing observations – reading text - emotional state B07_K_W01 - help with medical examination – reading text B07_K_U01 C91 - tools used in examination and their role 1 B07_K_U02 - modal verbs – must/have to - expressing the future – will/Present Continuous B07_K_K01 - functions and differences between grammatical constructions - predictions

Vocabulary: - mouth hygiene – reading and listening text B07_K_W01 - asking questions regarding the text - translation to polish language B07_K_U01 C92 1 - activities connected to the mouth B07_K_U02 - visit at the stomatologist questions and answers – B07_K_K01 - diet and hygiene – impact and effects

Grammar: B07_K_W01 - Present Perfect - functions and construction negative sentences B07_K_U01 C93 – 1 - situational context B07_K_U02 - tense designations B07_K_K01

Vocabulary: - preparing to the job interview B07_K_W01 - description of the previous job experience B07_K_U01 C94 - dialogues in the employer’s office 1 - recommendations and warnings B07_K_U02 - types of questions to the employee B07_K_K01

Grammar: - recommendations and warnings – must not/can’t - types of questions to the employer B07_K_W01 - preparing to the job interview B07_K_U01 C95 - reasons for taking new challenges 1 B07_K_U02 - description of your character – advantages and disadvantages - description of the previous job/medical experience B07_K_K01 - dialogues in the employer’s office - expectations

Vocabulary: - dialogues in the employer’s office B07_K_W01 - additional questions regarding group work, promotion, making B07_K_U01 C96 decisions 1 B07_K_U02 - recommendations and warnings – expectations, predictions - types of questions to the employee B07_K_K01

Grammar: - Past Simple B07_K_W01 C97 - regular and irregular verbs B07_K_U01 1 - description of a past activity B07_K_U02 - job description in past time

12 - tense choice – Past Simple. Simple Present B07_K_K01 - tense designation - questions about the past

Vocabulary: - review - modal verbs – must/have to - expressing future – will/Present Continuous B07_K_W01 - functions and differences between grammatical contructions - predictions B07_K_U01 C98 1 - body temperaturę description, function, role B07_K_U02 - nursking observations reading text – B07_K_K01 - emotional state - help with medical examination – reading text - tools used during medical examination and their role

Grammar: B07_K_W01 - comparison of Present Perfect and Past Simple B07_K_U01 C99 - correct use of irregular verbs 1 - pointing out distinction in their functions B07_K_U02 B07_K_K01 Vocabulary: - nursing education – proffesion, specialization, education B07_K_W01 - filling forms about yourself B07_K_U01 C100 - using correct verbs 1 - traits of a good nurse B07_K_U02 - typical nursing activities B07_K_K01

Grammar: - material rewiev - comparison of Present Perfect and Past Simple B07_K_W01 - nursing education proffesion, specialization, education B07_K_U01 C101 – 1 - dialogues in employer’s office B07_K_U02 - cleaning the patient reading text – B07_K_K01 - temperature

Vocabulary: B07_K_W01 - help with medical examination – reading text - tools used during medical examination B07_K_U01 C102 1 - asking questions regarding the text B07_K_U02 - translation to polish language B07_K_K01

Grammar: - grammatical-lexical exam - comparison of Present Perfect and Past Simple B07_K_W01 - nursing education proffesion, spacialization, education B07_K_U01 C103 – 1 - dialogues in the employer’s office B07_K_U02 - cleaning the patient – reading text B07_K_K01 - temperature

Vocabulary: - code of proffesional work for nurses and obstetricians - pt. I B07_K_W01 - duties B07_K_U01 C104 - standards 1 - attitude B07_K_U02 - dangers B07_K_K01

Grammar: - constuction there is/are B07_K_W01 - hospital wards and departments B07_K_U01 C105 - word formation – proffesion, discipline, adjective, 1 - description of medicine department, B07_K_U02 - description of medical specialization and function B07_K_K01

Vocabulary: C106 B07_K_W01 1 - code of proffesional work for nurses and obstetricians – pt. II

13 - duties B07_K_U01 - standards B07_K_U02 - attitude - dangers B07_K_K01

Vocabulary: - description of male and female body B07_K_W01 - showing parts according to English terms B07_K_U01 C107 1 - linking pain with body part B07_K_U02 - prepositions and possesive pronouns B07_K_K01

Grammar: - passive voice B07_K_W01 - function of passive voie B07_K_U01 C108 - contruction of passive voice 1 B07_K_U02 - zamiana zdań ze strony biernej na stronę czynną changing sentences from passive to active voice B07_K_K01

B07_K_W01 Vocabulary: - reading text nurse proffesion B07_K_U01 C109 – 1 - education and current duties B07_K_U02 B07_K_K01 Grammar: - passive voice - questions B07_K_W01 - medical vocabulary – sterile objects - description of sterile sets B07_K_U01 C110 1 - proceeding with the equipment B07_K_U02 - functions of the equipment B07_K_K01 - sterylization of the equipment

Grammar: B07_K_W01 - grammatical practice – present , future and past tenses B07_K_U01 C111 - differences in functions between tenses 1 - repeating verbs B07_K_U02 B07_K_K01 Vocabulary: B07_K_W01 - sanitizers B07_K_U01 C112 - methods of sterilizations 1 - dialogues about cleaning the wounds B07_K_U02 - nagations in the passive voice B07_K_K01 Vocabulary: - description of an accident and the victim B07_K_W01 - description of the rescue operation B07_K_U01 C113 - description of the case chart 1 - asking questions regarding the text B07_K_U02 - using ‘who’ and ‘that’ B07_K_K01

Vocabulary: - patient’s observation B07_K_W01 - taking the patient B07_K_U01 C114 - description of patient's physical condition 1 - dialogue between the doctor and medical student about the B07_K_U02 patient B07_K_K01

115. Vocabulary: B07_K_W01 - nurse’s job interview - past job experience B07_K_U01 C115 1 - stages of proffesional carrier B07_K_U02 - description of disease cases B07_K_K01

Vocabulary: B07_K_W01 - review of medical vocabulary C116 B07_K_U01 1 - hoispital wards - diseases B07_K_U02

14 - injuries B07_K_K01 - respiratory system - emotional state - sterilization

Vocabulary: - using prepositions with verbs and adjectives B07_K_W01 - description of condition B07_K_U01 C117 1 - description of nursing activities B07_K_U02 - construction of interrogative sentences with prepositions B07_K_K01

Grammar: - grammatical constructions B07_K_W01 - photograph description B07_K_U01 C118 - prepositions 1 - medical vocabulary B07_K_U02 - description of nurse’s job B07_K_K01

Vocabulary: - preparing to nurse’s jobs B07_K_W01 - requirements and duties B07_K_U01 C119 - traits 1 - description of a good nurse B07_K_U02 - most common mistakes and demerits B07_K_K01

Exam: - midterm B07_K_W01 - comparison of Present Perfect and Past Simple B07_K_U01 C120 - nursing education – profession, specialization, education 1 B07_K_U02 - dialogues in the employer’s office - cleaning the patient - reading text B07_K_K01 - temperature Hours: practical classes 120 The matrix of learning outcomes for the subject with reference to the methods of verification of the intended learning outcomes and the form of the classes

Education Form of classes Verification methods effect code W CW W CW B07_K_W01 --- ALL TYPES --- TEST, EXAM B07_K_W05 --- ALL TYPES --- TEST, EXAM B07_K_U01 --- ALL TYPES --- TEST, EXAM B07_K_U02 --- ALL TYPES --- TEST, EXAM B07_K_K01 --- ALL TYPES --- OBSERVATION 360°

ONSAM – teacher's assessment, student's self-esteem Teaching methods, method of implementation and evaluation

Excercises Conversation classes in groups requiring student’s activity and systematic preparation for classes, according to PIE1. B07 module Student workload Hours of Activity form Hours in detail Total student’s work Participation in lectures * --- 0

Contact hours Participation in exercises * 120 hours 120* with an academic Participation in consultations related to teacher 8 hours 8* classes *

15 Preparation for exercises * (it was assumed that there are two hours of 120 hours 120 student preparation for each exercise subject)

Own work within the subject of BNA classes ------

Self student’s work

Preparation for the tests and the final exam 20 hours 20 covering

Total student’s workload 268 Workload Hours ECTS Student workload associated with activities requiring direct 128 2,0 teacher participation Quantitative Student workload associated with activities that do not require indicators 140 2,0 direct teacher participation Student workload associated with practical activities 268 4,0 Student workload related to theoretical classes 0 0,0

 Eals, F., Speak Out, Coursebook, Pearson Longman, 2011.  Austin David, Crosfield Tim, English for Nurses. Podręcznik dla studentów i Basic literature pielęgniarek. Wydawnictwo Lekarskie PZWL, 2007.  Małko Ewelina, Govender-Kubiec Christopher, Język angielski dla pielęgniarek. Kurs podstawowy. Wydawnictwo Lekarskie PZWL, 2010.   Przemysław Słomski, Piotr Słomski, Podręczny Słownik Medyczny, Wydawnictwo Lekarskie PZWL, 2009. Supplementary  Fisiak, et al., Słownik podręczny angielsko-polski, polsko-angielski, Longman, 2011 literature (lub inny dostępny).

Forms of assessment – details (intermediate marks 3.5 and 4.5 are omitted). Education mark 2 mark 3 mark 4 mark 5 effect The mistakes in No mistakes in Student did not reach Rare mistakes in writing add up to 30% writing, high activity in B1 level of English in writing, moderate B07_K_W01 of the material. Low classes (every the following activity during activity or no activity semester and final semesters classes. during classes. exam) B07_K_U01 As above As above As above As above

Phonological Rare phonological The student cannot mistakes do not mistakes in writing No mistakes in communicate in influence speaking. and speaking. writing. High activity B07_K_U02 English at B1 level. Mistakes in Moderate activity during classes (every No activity during writing.Low or no during classes. semester and final classes. activity during exam).

classes. The student cannot Mistakes in in style The student can The student can choose the proper and the form of choose the choose the B07_K_K01 form of the verbal statement do appropriate style and appropriate style and statement, cannot not exceed 30% of form of the verbal form of the verbal differenciate between the required material statement, although statement to the

16 formal and informal to pass the semester mistakes happen. context of the style and ignores the stuation (every context of the semester and final situation. exam).

PIE1.A07. Pharmacology

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Pharmacology Code PIE1.A07 ECTS points 3.0

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course / Modular block A. Basic sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW (SEM) BNA ZP PZ Theoretical education Practical education 2 3 10 ------2 4 20 30 15 ------Form of crediting ZO; ZO ZO ZO ------ECTS 3.0 (0.0 + 3.0) ------Education area in direction of Medical sciences, health sciences and physical education sciences. studies Field of science Health Sciences. Language of lectures English Prerequisites Familiarity with the biochemistry and biophysics curriculum content.

• To familiarize students with the basics of pharmacology and with groups of medications used in various medical conditions as well as with their influence on particular organs and body systems. • To familiarize students with the influence of disease processes on metabolism and elimination of medications. Education goal • To familiarize students with adverse drug reactions, their effect on individual organs and body systems, the principles of reporting adverse drug reactions. • To familiarize students with principles of issuing prescriptions for medications necessary to continue treatment (within implementation of medical orders). • To teach students how to make prescription form entries for medicinal substances and foodstuffs intended for particular nutritional uses ordered by a physician. Correspondenc e level between the course Symbol of the Reference to educational course the directional Description of the course educational outcome outcome educational educational and the outcome outcome directional educational outcome

1 (+ - low, ++ - medium, +++ - high) Characterizes individual groups of medications, principal A07_K_W01 action mechanisms, transformations in the system and side A.W16 +++ effects A07_K_W02 Explains basic principles of pharmacotherapy A.W17 +++ Characterizes individual groups of medications and their A07_K_W03 medicinal use as well as principles of treatment with blood A.W18 +++ and blood substitutes Knows the influence of disease processes on metabolism A07_K_W04 A.W22 +++ and elimination of medications Knows the most important adverse drug reactions, A07_K_W05 including those arising from their interactions, and knows A.W23 +++ the procedure of reporting adverse drug reactions Knows the principles of prescribing medications within A07_K_W06 A.W24 +++ implementation of medical orders Knows groups of medications, active substances contained A07_K_W07 A.W25 +++ in medications and routes of drug administration Characterizes foodstuffs intended for particular nutritional A07_K_W08 C.W51 +++ uses Assesses the influence of pharmacological treatment on A07_K_U01 physiological and biochemical processes taking place in A.U8 +++ various organs Recognizes different groups of medications and their A07_K_U02 A.U9 +++ medicinal use Knows the subject of treatment with blood and blood A07_K_U03 A.U10 +++ substitutes Estimates toxicological hazard in particular age groups and A07_K_U04 A.U16 +++ different clinical conditions Uses pharmaceutical directories and databases on A07_K_U05 A.U18 +++ medicinal products Has the ability to issue prescriptions for medications A07_K_U06 necessary for the continuation of treatment, within A.U19 +++ implementation of medical orders Has the ability to make prescription form entries for A07_K_U07 medicinal substances and foodstuffs intended for particular A.U20 +++ nutritional uses ordered by a physician Selects foodstuffs intended for particular nutritional uses A07_K_U08 C.U69 +++ depending on the patient's condition Issues prescriptions for foodstuffs for particular nutritional A07_K_U09 uses necessary for the continuation of treatment, within C.U69 +++ implementation of medical orders Provides information on the use of foodstuffs intended for A07_K_U10 C.U69 +++ particular nutritional uses Prepares prescription form entries for medicinal A07_K_U11 substances in consultation with a physician or on his/her D.U35 +++ order Characterizes benefits resulting from achieving a high level A07_K_K01 D.K2 ++ of knowledge and skills in the field of pharmacology Gives arguments in favour of the necessity to continuously A07_K_K02 D.K2 ++ upgrade knowledge and skills in pharmacology Implemented directional educational outcomes

2 Symbol of the directional Description of the directional educational outcome educational outcome Characterizes individual groups of medications, principal action mechanisms, transformations in A.W16 the system and side effects A.W17 Explains basic principles of pharmacotherapy Characterizes individual groups of medications and their medicinal use as well as principles of A.W18 treatment with blood and blood substitutes A.W22 Knows the influence of disease processes on metabolism and elimination of medications Knows the most important adverse drug reactions, including those arising from their A.W23 interactions, and knows the procedure of reporting adverse drug reactions A.W24 Knows the principles of prescribing medications within implementation of medical orders Knows groups of medications, active substances contained in medications and routes of drug A.W25 administration C.W51 Knows foodstuffs intended for particular nutritional uses Assesses the influence of pharmacological treatment on physiological and biochemical A.U8 processes taking place in various organs A.U9 Recognizes different groups of medications and their medicinal use A.U10 Knows the subject of treatment with blood and blood substitutes A.U16 Estimates toxicological hazard in particular age groups and different clinical conditions A.U18 Uses pharmaceutical directories and databases on medicinal products Has the ability to issue prescriptions for medications necessary for the continuation of A.U19 treatment, within implementation of medical orders Has the ability to make prescription form entries for medicinal substances and foodstuffs A.U20 intended for particular nutritional uses ordered by a physician Has the ability to select foodstuffs for particular nutritional purposes and the ability to issue C.U69 prescriptions for foodstuffs for particular nutritional uses necessary for the continuation of treatment, within implementation of medical orders, and can provide information on their use Prepares prescription form entries for medicinal substances in consultation with a physician or D.U35 on his/her order D.K2 Systematically develops professional knowledge and skills, aiming at professionalism CURRICULUM CONTENT Implemente Course d Subject of classes Hours symbol educational outcomes Form of classes: lectures Introduction to pharmacology. Basic concepts, definition of a medication, pharmacokinetics and bioavailability, concept of a A07_K_W01 W01 1 receptor. Concepts: agonist, antagonist, partial agonist and inverse A07_K_W02 agonist

Cellular and molecular mechanisms of action of medications. A07_K_W01 W02 Receptors, ion channels, second messengers and intracellular sites 1 of action of medications. A07_K_W02 A07_K_W03 Chemotherapy of bacterial, fungal, viral infections. Disinfectants and A07_K_W04 W03 2 antiseptics. A07_K_W05 A07_K_W07 W04 Autonomic nervous system. Cholinergic drugs. Adrenergic drugs. A07_K_W03 2

3 A07_K_W04 A07_K_W05 A07_K_W07 A07_K_W03 Central nervous system – psychotropic, anti-epileptic, sedative A07_K_W04 W05 2 drugs. A07_K_W05 A07_K_W07 A07_K_W03 Local and general anaesthetics. Analgesics. Non-steroidal anti- A07_K_W04 W06 2 inflammatory agents and opioids. Antipyretics. A07_K_W05 A07_K_W07 A07_K_W03 Cardiovascular system. Drugs in circulatory failure treatment. A07_K_W04 W07 2 Antiarrhythmic drugs. Treatment of hypertension. A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W08 Shock – use of medications. 1 A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W09 Treatment of ischemic heart disease and myocardial infarction. 2 A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W10 Treatment of hyperlipidaemia. 1 A07_K_W05 A07_K_W07 A07_K_W03 Pharmacotherapy in blood diseases and hematopoietic system A07_K_W04 W11 2 diseases. Principles of treatment with blood and blood substitutes. A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W12 Treatment of gastrointestinal diseases. 2 A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W13 Hormones, use. Treatment of endocrine system diseases. 2 A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W14 Pharmacotherapy in respiratory system diseases. Oxygen therapy. 2 A07_K_W05 A07_K_W07 A07_K_W03 A07_K_W04 W15 Antineoplastic agents. Palliative therapy. 2 A07_K_W05 A07_K_W07

Pharmacotherapy in different age groups, kidney and liver diseases. A07_K_W03 W16 2 Use of medications during pregnancy and lactation. A07_K_W04

4 A07_K_W05 A07_K_W07 W17 Elements of toxicology. A05_K_W05 2 Hours in total: lectures 30 Form of classes: practical classes*

Medications used in nervous system diseases and their influence on A07_K_U01 physiological and biochemical processes taking place in the different C01 A07_K_U02 2 organs. Prescription form entries for selected medications used in nervous system diseases. A07_K_U04

Medications used in endocrine system diseases and their influence A07_K_U01 on physiological and biochemical processes taking place in different C02 A07_K_U02 2 organs. Prescription form entries for selected medications used in endocrine system diseases. A07_K_U04

Medications used in cardiovascular system diseases and their A07_K_U01 influence on physiological and biochemical processes taking place in C03 A07_K_U02 2 different organs. Prescription form entries for selected medications used in cardiovascular system diseases. A07_K_U04

Medications and hematopoietic agents used in blood diseases and A07_K_U01 their influence on physiological and biochemical processes taking A07_K_U02 C04 2 place in different organs. Prescription form entries for selected A07_K_U03 medications and hematopoietic agents. A07_K_U04

Medications used in respiratory system diseases and their influence A07_K_U01 on physiological and biochemical processes taking place in the C05 A07_K_U02 2 different organs. Prescription form entries for selected medications used in respiratory system diseases. A07_K_U04

Medications used in gastrointestinal system diseases and their A07_K_U01 influence on physiological and biochemical processes taking place in C06 A07_K_U02 2 the different organs. Prescription form entries for selected medications used in gastrointestinal system diseases. A07_K_U04 Medications used in kidney and prostate diseases, fluid and electrolyte balance disorders and their influence on physiological A07_K_U01 C07 and biochemical processes taking place in different organs. A07_K_U02 2 Prescription form entries for selected medications used in kidney A07_K_U04 and prostate diseases, fluid and electrolyte balance disorders. Medications used in eating disorders and diseases related to disability to absorb particular nutrients and their influence on A07_K_U01 C08 physiological and biochemical processes taking place in different A07_K_U02 2 organs. Prescription form entries for selected medications used A07_K_U04 in eating disorders.

Medications used in infectious diseases and their influence on A07_K_U01 physiological and biochemical processes taking place in the different C09 A07_K_U02 2 organs. Prescription form entries for selected medications used in infectious diseases. A07_K_U04

Medications used in immune system diseases and their influence on A07_K_U01 physiological and biochemical processes taking place in the different C10 A07_K_U02 2 organs. Prescription form entries for selected medications used in immune system diseases. A07_K_U04

Medications used in neoplastic diseases and their influence on A07_K_U01 physiological and biochemical processes taking place in the different C11 A07_K_U02 2 organs. Prescription form entries for selected medications used in neoplastic diseases. A07_K_U04

Medications used in skin diseases and their influence on A07_K_U01 physiological and biochemical processes taking place in the C12 A07_K_U02 2 different organs. Prescription form entries for selected medications used in skin diseases. A07_K_U04

C13 Contrast agents and their influence on physiological and biochemical A07_K_U01 1

5 processes taking place in the different organs. A07_K_U02 A07_K_U04

Adverse drug reactions. Sources of information about adverse drug A07_K_W05 C14 reactions. Drug safety monitoring. The quality of a medication and 1 the risk associated with pharmacotherapy. A07_K_U04 Medicinal products and foodstuffs. The legal basis for refunds and ordain of foodstuffs and medicinal products. Specific requirements A07_K_W06 for the issuance of orders for individual medicinal products. A07_K_U05 C15 Characteristics and use of foodstuffs and medicinal products that 2 can be administered by a nurse and midwife, including orders or A07_K_U06 prescriptions. Principles of concluding agreements with the National A07_K_U07 Health Fund for issuing refunded prescriptions. A07_K_W06 Powers to ordain medications, foodstuffs intended for particular A07_K_U05 C16 nutritional uses and medicinal products, and professional liability. 2 Civil liability. Advertising of medicinal products. A07_K_U06 A07_K_U07 Hours in total: practical classes 30 Form of classes: classes without the participation of an academic teacher (BNA) BNA01 Principles of medication storage depending on the medication form. A07_K_W02 3 A07_K_W02 BNA02 Pharmacotherapy in elderly patients. 3 A07_K_W04 A07_K_W03 A07_K_W04 BNA03 Principles of using oxygen. 2 A07_K_W05 A07_K_W07 Contamination of medications resulting from non-compliance with BNA04 A07_K_W05 7 the principles during preparation and administration of medications. Hours in total: BNA 15 Correlation of particular types of classes Lecture BNA Practical classes W01-W14 --- C01-C13 W15 BNA03 C14-C16 W17 BNA01, BNA04 ---

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W + BNA CW W + BNA CW single or multiple A07_K_W01 W01, W02 ------choice test W01, W02, BNA01, single or multiple A07_K_W02 ------BNA02 choice test single or multiple A07_K_W03 W03-W16, BNA03 ------choice test W03-W16, BNA02, single or multiple A07_K_W04 ------BNA03 choice test W03-W17, BNA03, single or multiple A07_K_W05 ------BNA04 choice test multimedia A07_K_W06 --- C15, C16 ------presentation; single or multiple choice

6 test single or multiple A07_K_W07 W03-W16, BNA03 ------choice test multimedia presentation; single A07_K_W08 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U01 --- C01-C13 --- or multiple choice test multimedia presentation; single A07_K_U02 --- C01-C13 --- or multiple choice test multimedia presentation; single A07_K_U03 --- C04 --- or multiple choice test multimedia presentation; single A07_K_U04 --- C01-C14 --- or multiple choice test multimedia presentation; single A07_K_U05 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U06 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U07 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U08 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U09 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U10 --- C15, C16 --- or multiple choice test multimedia presentation; single A07_K_U11 --- C01-C12 --- or multiple choice test teacher's teacher's assessment, assessment, student's self- student's self- A07_K_K01 all all assessment, other assessment, other students' students' assessment assessment

7 teacher's teacher's assessment, assessment, student's self- student's self- A07_K_K02 all all assessment, other assessment, other students' students' assessment assessment Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Practical classes (seminars) are mandatory. In the case of absence, students should make up for the material in consultation classes or in the way indicated by the lecturer. In practical classes, students present their multimedia presentations on each subject, in accordance with Lecture + the education programme. classes Classes without participation of an academic teacher (BNA) stand for unassisted student's without work – subject of classes is provided above. Students become familiar with the following participation subjects of the BNA classes based on a list of basic and supplementary bibliography or of an additional materials prepared by an academic teacher. academic Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes teacher (BNA) all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the + practical conducted classes. This should be reflected in an outline prepared by a lecturer (the outline classes should be attached to the course portfolio). (seminars) In the case of BNA classes, the lecturer should indicate to students working on a particular subject on their own which aspects of the subject they should pay special attention to; the aspects result from educational outcomes assigned to a particular subject. The course ends with a final written test. The condition for participating in the final test is to complete the practical classes (seminar). Student's workload (practical classes are marked with an asterisk) Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 30 hours 30 Contact hours Participation in practical classes * 30 hours 30* with an academic 2 hours lecture 2 Participation in consultations related teacher 2 hours BNA 2 to classes * 2 hours practical classes 2* Preparation for practical classes * 30 hours 15* Individual work related to the subject of BNA 15 hours 15 Student's classes individual work Preparation for the final test from lectures 5 hours 5 Preparation for completing the practical 5 hours 5* classes (seminar) Total student's workload 106 Workload Hours ECTS Student's workload associated with classes that require direct 66 1,9 teacher participation Quantity Student's workload associated with classes that do not indicators 40 1,1 require direct teacher participation * Student's workload associated with practical classes 52 1,5 * Student's workload associated with theoretical classes 54 1,5

• Rajtar-Cynke G. (eds.). Farmakologia. (Pharmacology.) Lublin: Czelej, 2015. Maciejczyk A., Kruk M. farmakoterapii (Safety of pharmacotherapy.), Basic • Bezpieczeństwo Warszawa: Medipage, 2017. bibliography • Czekirda M. Obliczanie dawek leków (Calculating medication doses.), Warszawa: Wydawnictwo Lekarskie PZWL, 2017.

8 • Dominiak I., Gaworska-Krzemińska A., Kilańska D. Ordynowanie leków i wypisywanie recept – przewodnik dla pielęgniarek i położnych (Ordain of medications and issuing prescriptions – guide for nurses and midwives), 2016. • Obuchowicz E., Małecki A., Kmieciak-Kołada K., Okopień B. Farmakologia dla studentów i absolwentów kierunków medycznych (Pharmacology for students and graduates of medical studies), Katowice: Medkar, 2011.

• Mutschler S., Geisslinger G., Kroemer H.K. Farmakologia i toksykologia (Pharmacology and toxicology), Wrocław: MedPh…, 2016. • Rajtar-Cynke G. Recepty. Zasady wystawiania. (Prescriptions. Principles of issuing), Warszawa: Wydawnictwo Lekarskie PZWL, 2016. Zieglmeier M. Interakcje leków. Zalecenia farmakologiczne. (Interactions of medications. Supplementar • Pharmacological recommendations), Wrocław: MedPh…, 2008. y bibliography • Zachwieja Z. Interakcje leków z pożywieniem. (Interactions of medications with food.), Wrocław: MedPh…, 2016. • Korbut R., Olszanecki R., Wołkow P., Jawień J. Farmakologia. (Pharmacology.), Warszawa: Wydawnictwo Lekarskie PZWL, 2016. • Korbut R., Olszanecki R., Wołkow P., Jawień J. Farmakologia – repetytorium. (Pharmacology – compendium.), Warszawa: Wydawnictwo Lekarskie PZWL, 2015. Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes Characterizes imprecisely Does not Characterizes nearly Characterizes and insufficiently only characterize without mistakes precisely individual some groups of individual groups of individual groups of groups of medications, some medications, principal medications, principal medications, principal A07_K_W01 principal action action mechanisms, action mechanisms, action mechanisms, mechanisms, transformations in the transformations in the transformations in the selected system and side system and side system and side transformations in the effects effects effects system and selected side effects Professionally Does not explain Explains some basic Explains most basic explains basic A07_K_W02 basic principles of principles of principles of principles of pharmacotherapy pharmacotherapy pharmacotherapy pharmacotherapy Does not Characterizes some Characterizes most Characterizes characterize groups of groups of individual groups of individual groups of medications and their medications and their medications and their medications, their medicinal use, A07_K_W03 medicinal use as well medicinal use as well medicinal use or describes to a small as principles of as principles of principles of degree principles of treatment with blood treatment with blood treatment with blood treatment with blood and blood substitutes and blood substitutes and blood substitutes and blood substitutes Does not know the Knows to a small Knows to a large Knows very well the influence of disease degree the influence degree the influence influence of disease processes on of disease processes of disease processes processes on A07_K_W04 metabolism and on metabolism and on metabolism and metabolism and elimination of elimination of elimination of elimination of medications medications medications medications Does not know the Knows some Knows most of the Knows the most most important important adverse important adverse important adverse adverse drug drug reactions, drug reactions, drug reactions, reactions, including including those including those including those those arising from arising from their arising from their A07_K_W05 arising from their their interactions, and interactions, and interactions, knows interactions, and does not know the knows poorly the quite well the knows the procedure procedure of procedure of procedure of of reporting adverse reporting adverse reporting adverse reporting adverse drug reactions drug reactions drug reactions drug reactions

9 Does not know the Knows to a small Knows quite well the Knows the principles principles of degree the principles principles of of prescribing prescribing of prescribing prescribing A07_K_W06 medications within medications medications within medications within implementation of within implementation implementation of implementation of medical orders of medical orders medical orders medical orders Does not know Knows most groups groups of Knows some groups Knows groups of of medications, active medications or active of medications, active medications, active substances contained substances substances contained substances contained A07_K_W07 in medications as contained in medications in medications and well as forms and in medications, or the and routes of drug routes of drug routes of drug forms and routes of administration administration administration drug administration Does not Presents Characterizes some Characterizes most characterize professionally foodstuffs intended foodstuffs intended A07_K_W08 foodstuffs intended foodstuffs for for particular for particular for particular particular nutritional nutritional uses nutritional uses nutritional uses uses Assesses with small Assesses Does not assess the Assesses imprecisely mistakes the professionally the influence of the influence of influence of influence of pharmacological pharmacological pharmacological pharmacological treatment on treatment on treatment on treatment on A07_K_U01 physiological and physiological and physiological physiological biochemical biochemical and biochemical and biochemical processes taking processes taking processes taking processes taking place in various place in various place in various place in various organs organs organs organs Recognizes to a Recognizes nearly Does not recognize small degree and Recognizes different without mistakes different groups of imprecisely different groups of medications A07_K_U02 different groups of medications and their groups of and their medicinal medications and their medicinal use medications and their use medicinal use medicinal use Does not know the Knows to a small Knows to a large Knows the subject of subject of treatment degree the subject of degree the subject of A07_K_U03 treatment with blood with blood and blood treatment with blood treatment with blood and blood substitutes substitutes and blood substitutes and blood substitutes Does not estimate Estimates imprecisely Estimates Estimates toxicological hazard toxicological hazard toxicological hazard toxicological hazard A07_K_U04 in particular age in some age groups in most age groups in particular age groups and different and some clinical and most clinical groups and different clinical conditions conditions conditions clinical conditions Does not use Uses to a small Uses quite well pharmaceutical degree pharmaceutical Uses pharmaceutical directories and/or pharmaceutical directories and directories and A07_K_U05 databases directories and databases databases on on medicinal databases on on medicinal medicinal products products medicinal products products Issues prescriptions Issues prescriptions Does not issue Has the ability to for medications for medications prescriptions for issue prescriptions for necessary for the necessary for the medications medications continuation of continuation of necessary for the necessary for the A07_K_U06 treatment, within treatment, within continuation of continuation of implementation of implementation of treatment, within treatment, medical orders, but medical orders, and implementation of within implementation makes a lot of makes small formal medical orders of medical orders mistakes mistakes Does not make A07_K_U07 Makes prescription Makes prescription Has the ability to prescription form form entries for form entries for make prescription

10 entries for medicinal medicinal substances medicinal substances form entries for substances or and foodstuffs or foodstuffs intended medicinal substances foodstuffs intended intended for particular for particular and foodstuffs for particular nutritional uses nutritional uses intended for particular nutritional uses ordered by a ordered by a nutritional uses ordered by a physician, but makes physician, makes ordered by a physician a lot of mistakes small formal mistakes physician Selects with mistakes Selects without Does not selects foodstuffs intended serious mistakes Selects foodstuffs foodstuffs intended for particular foodstuffs intended intended for particular for particular A07_K_U08 nutritional uses, not for particular nutritional uses nutritional uses always considering nutritional uses depending on the depending on the properly the patient's considering the patient's condition patient's condition condition patient's condition Issues with a lot of Issues with small Does not issue mistakes mistakes Issues prescriptions prescriptions for prescriptions for prescriptions for for foodstuffs foodstuffs intended foodstuffs intended foodstuffs intended intended for particular for particular for particular for particular nutritional uses nutritional uses A07_K_U09 nutritional uses nutritional uses necessary for the necessary for the necessary for the necessary for the continuation of continuation of continuation of continuation of treatment, treatment, within treatment, treatment, within implementation implementation of within implementation within implementation of medical orders medical orders of medical orders of medical orders Does not provide Provides to a small Provides to a large Provides information information on the degree information degree information on the use of use of foodstuffs on the use of on the use of A07_K_U10 foodstuffs intended intended for foodstuffs intended foodstuffs intended for particular particular nutritional for particular for particular nutritional uses uses nutritional uses nutritional uses Does not make Makes with a lot of Makes with small Makes prescription prescription form mistakes prescription mistakes prescription form entries for entries for medicinal form entries for form entries for medicinal substances A07_K_U11 substances in medicinal substances medicinal substances in consultation with a consultation with a in consultation with a in consultation with a physician or on physician or on physician or on physician or on his/her order his/her order his/her order his/her order The student characterizes The student The student is not inaccurately the characterizes quite The student able to characterize benefits resulting accurately the characterizes the benefits resulting from achieving a benefits resulting accurately the from achieving a high high level of from achieving a benefits resulting level of knowledge knowledge and skills high level of from achieving a high and skills in in pharmacology, knowledge and skills level of knowledge pharmacology, presents an attitude in pharmacology, and skills in A07_K_K01 presents an attitude of partly denying the present an attitude of pharmacology, of denying the need need for achieving understanding, presents an attitude for such knowledge knowledge by other respect and empathy, full of empathy and skills, which is students, which is though there are and respect for manifested by lack of sometimes cases of neglecting knowledge and respect and empathy manifested by lack of the complexity of towards the lecturer towards the lecturer respect and empathy determinants of other and other student and other students towards the lecturer people's behaviour and other students

The student cannot The student is able to The student is able The student presents articulate a single provide only a small to more or less very professionally argument in favour of number of arguments accurately provide arguments in favour A07_K_K02 the necessity to in favour of the arguments in favour of the necessity to continuously upgrade necessity to of the necessity to continuously upgrade knowledge and skills continuously upgrade continuously upgrade knowledge and skills in pharmacology knowledge and skills knowledge and skills in skills in

11 in pharmacology in pharmacology pharmacology, bearing in mind that the knowledge and skills reflect directly professionalism and empathy towards patients

PIE1.A08. Radiology

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Radiology Code PIE1.A08 ECTS points 1.0

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course / Modular block A. Basic sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW (SEM) BNA ZP PZ Theoretical education Practical education 3 5 15 --- 15 ------Form of crediting ZO --- ZO ------ECTS 1,0 ------Education area in direction of Medical sciences, health sciences and physical education sciences. studies Field of science Health Sciences. Language of lectures English Familiarity with the curriculum content regarding the following subjects: anatomy, internal Prerequisites medicine and internal nursing, physical examination

 The objective of the subject is to present possibilities of modern medical imaging. To enable evaluation of usefulness of a particular medical test compared with other tests.

Education goal  The student learns about the action mechanism and influence of ionising radiation on a living organism and methods of protection against its harmful effects.  The student becomes familiar with the nursing personnel working conditions in the modern medical imaging department. Correspondenc e level between the course educational outcome Symbol of the Reference to and the course the directional Description of the course educational outcome directional educational educational educational outcome outcome outcome (+ - low, ++ - medium, +++ - high) Describes physical basis of non-invasive and invasive A08_K_W01 A.W7 +++ methods of imaging

1 Characterizes the scope of application of particular A08_K_W02 A.W8 +++ radiological methods of imaging in diagnostics Associates images of tissue and organ damage with A08_K_U01 disease clinical symptoms, medical history and diagnostic A.U12 +++ testing results Assesses harmfulness of an ionising radiation dose 08_K_U02 A.U17 +++ and follows the principles of radiological protection Characterizes benefits resulting from achieving a high level A08_K_K01 D.K2 ++ of knowledge and skills in radiology Gives arguments in favour of the necessity to continuously A08_K_K02 D.K2 ++ upgrade knowledge and skills in radiology Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome A.W7 Describes physical basis of non-invasive and invasive methods of imaging A.W8 Has the knowledge of diagnostic radiology Associates images of tissue and organ damage with disease clinical symptoms, medical history A.U12 and diagnostic testing results Assesses harmfulness of an ionising radiation dose and follows the principles of radiological A.U17 protection D.K2 Systematically develops professional knowledge and skills, aiming at professionalism CURRICULUM CONTENT Implemente Course d Subject of classes Hours symbol educational outcomes Form of classes: lectures W01 Historical outline of medical imaging development A08_K_W02 1 W02 Physical and chemical basis of ionising radiation. A08_K_W01 2 A08_K_W01 W03 Influence of ionising radiation on the human organism. 1 A08_K_W02 W04 Construction and operation of X-ray equipment. A08_K_W02 1 W05 Types of radiodiagnostic examination and preparation of a patient. A08_K_W02 1 W06 Diagnostic radiology of the osteoarticular system. A08_K_U01 1 W07 Mammography. A08_K_U01 1 W08 Diagnostics of the chest. A08_K_U01 1 W09 Contrast agents in diagnostic radiology. A08_K_U01 1 W10 Examination with the use of contrast agents. A08_K_U01 1 W11 Angiographic examination. A08_K_U01 1 W12 MRI. A08_K_U01 1 W13 CT. A08_K_U01 1 W14 Radiotherapy and patient care during radiotherapy. A08_K_U01 1 Hours in total: lectures 15 Form od classes: classes without the participation of an academic teacher (BNA)

BNA01 Developing the ability to recognise particular abnormalities within A08_K_W02 15

2 diagnostic radiology. Studying atlases of diagnostic radiology. A08_K_U01 Hours in total: BNA 15 Correlation of particular types of classes Lecture BNA Practical classes W01_W14 BNA01 ---

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W + BNA CW W + BNA CW single or multiple A08_K_W01 W02, W03 ------choice test single or multiple A08_K_W02 W01-W05, BNA01 ------choice test multimedia presentation; single A08_K_U01 W06-W14, BNA01 ------or multiple choice test multimedia presentation; single A08_K_U02 W02, W03 ------or multiple choice test teacher's assessment, student's self- A08_K_K01 all ------assessment, other students' assessment teacher's assessment, student's self- A08_K_K02 all ------assessment, other students' assessment Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Classes without participation of an academic teacher (BNA) stand for unassisted student's Lecture + work – subject of classes is provided above. Students become familiar with the following classes subjects of the BNA classes based on a list of basic and supplementary bibliography or without additional materials prepared by an academic teacher. participation Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes of an all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the academic conducted classes. This should be reflected in an outline prepared by a lecturer (the outline teacher (BNA) should be attached to the course portfolio). + practical In the case of BNA classes, the lecturer should indicate to students working on a particular classes subject on their own which aspects of the subject they should pay special attention to; the (seminars) aspects result from educational outcomes assigned to a particular subject. The course ends with a final written test. The condition for participating in the final test is to complete the practical classes (seminar). Student's workload (practical classes are marked with an asterisk) Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 15 hours 15 Contact hours with an Participation in consultations related 2 hours lecture 2 academic to classes *

3 teacher 2 hours BNA 2 Individual work related to the subject of BNA 15 hours 15 Student's classes individual work Preparation for the final test from lectures + 5 hours 5 BNA Total student's workload 39 Workload Hours ECTS Student's workload associated with classes that require direct 19 0,5 teacher participation Quantity Student's workload associated with classes that do not indicators 20 0,5 require direct teacher participation * Student's workload associated with practical classes 0 0,0 * Student's workload associated with theoretical classes 39 1,0

 Pruszyński B. ed. Radiologia, diagnostyka obrazowa. (Radiology, medical imaging.), Basic Warszawa: Wydawnictwo Lekarskie PZWL, 2011. bibliography  Bonita Cavanaugh. Badania laboratoryjne i obrazowe dla pielęgniarek. (Laboratory and imaging testing for nurses.) Warszawa: Wydawnictwo Lekarskie PZWL, 2006.

 Pruszyński B. ed. Radiologia: diagnostyka obrazowa RTG, TK, USG, MR i radioizotopy. Supplementar (Radiology: X-ray medical imaging, TK, USG, MR and radioisotopes.) Warszawa: y Wydawnictwo Lekarskie PZWL, 2005. bibliography  Zaleska-Drobisz ed. ABC radiologii w medycynie ratunkowej. (Fundamentals of radiology in emergency medicine.), Wrocław: Wydawnictwo Medyczne Górnicki, 2009. Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes Does not describe Names some Names most physical Describes physical physical physical fundamentals of non- fundamentals of non- A08_K_W01 fundamentals of non- fundamentals of non- invasive invasive and invasive invasive or invasive invasive and invasive and invasive methods methods of imaging methods of imaging. methods of imaging of imaging Does not Characterizes the Characterizes the characterize the scope of application Characterizes scope of application scope of application of particular application of most of particular A08_K_W02 of particular radiological methods radiological methods radiological methods radiological methods of imaging in of imaging of imaging in of imaging diagnostics diagnosti in diagnostics diagnostics in diagnostics cs Does not associate Associates only some Associates most Associates images of images of tissue and images of tissue and images of tissue and tissue and organ organ damage with organ damage organ damage with damage with disease disease clinical with disease clinical disease clinical A08_K_U01 clinical symptoms, symptoms, medical symptoms, medical symptoms, medical medical history and history and history and diagnostic history and diagnostic diagnostic testing diagnostic testing testing results, makes testing results, makes results results serious mistakes small mistakes Assesses imprecisely Assesses almost Does not assess harmfulness of an without mistakes Assesses harmfulness of an ionising radiation harmfulness of an harmfulness of an ionising radiation dose and shows ionising radiation ionising radiation A08_K_U02 dose and does not deficiency regarding dose, follows the dose and follows the follow the principles following the principles of principles of of radiological principles of radiological radiological protection protection radiological protection protection

A08_K_K01 The student is not The student The student The student able to characterize characterizes characterizes quite characterizes

4 the benefits resulting inaccurately the accurately the accurately the from achieving a high benefits resulting benefits resulting benefits resulting level of knowledge from achieving a high from achieving a from achieving a high and skills in level of knowledge high level of level of knowledge radiology, presents and skills knowledge and skills and skills in an attitude of denying in radiology, presents in radiology, present radiology, presents the need for such an attitude of partly an attitude of an attitude full of knowledge and skills, denying the need for understanding, empathy and respect which is manifested achieving knowledge respect and empathy, for knowledge and by lack of respect by other students, though there are towards the lecturer and empathy towards which is sometimes cases of neglecting and other students the lecturer and other manifested by lack of the complexity of students respect and empathy determinants of other towards the lecturer people's behaviour and other students The student presents very professionally arguments in favour The student is able to The student is able The student cannot of the necessity to provide only a small to more or less articulate a single continuously upgrade number of arguments accurately provide argument in favour of knowledge and skills in favour of the arguments in favour A08_K_K02 the necessity to in skills in radiology, necessity to of the necessity to continuously upgrade bearing in mind that continuously upgrade continuously upgrade knowledge and skills the knowledge and knowledge and skills knowledge and skills in radiology skills reflect directly in radiology in radiology professionalism and empathy towards patients

PIE1.B04. Law

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Law Code PIE1.B04 ECTS points 1.0

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course / Modular block B. Social sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 1 1 15 --- 15 ------Form of crediting ZO --- ZO ------ECTS 1,0 ------Education area in Medical sciences, health sciences and physical education sciences. direction of B. Social sciences + foreign language studies Field of science Health Sciences. Language of lectures English Prerequisites None.

 Learning the basic concepts of law and legal acts, including those related to medical professions.  Learning the types of liability in medical professions: civil, criminal, occupational and Education goal professional.  Learning and complying with legal standards in professional activity.  Learning the principles of ethics and deontology. Correspondenc e level between the course educational outcome Symbol of the Reference to and the course the directional Description of the course educational outcome directional educational educational educational outcome outcome outcome (+ - low, ++ - medium, +++ - high) Knows the basic concepts of law and its place in the B04_K_W01 society life, with particular emphasis on human rights and B.W19 +++ employment law.

1 Knows basic issues of health insurance and its system in Poland and the European Union, characterizes compulsory B04_K_W02 and voluntary insurance and selected directions of B.W20 +++ healthcare policy in Poland and in the Member States of the European Union Knows the legal basis regarding medical professions: rights and obligations of a nurse, organisational structure and functioning of the nursing and midwifery council, tasks B04_K_W03 B.W21 +++ of the council within the subject granting the right to exercise the profession and issuing a permission for individual or group nursing practice. Differentiates between criminal, civil and occupational B04_K_W04 B.W22 +++ liability associated with the profession of a nurse. Knows the Charter on Patients' Rights, Charter on Human B04_K_W05 B.W23 +++ Rights and Charter on Children's Rights Knows legal regulations regarding the nursing profession B04_K_U01 B.U17 +++ and the provision of healthcare services. Knows the subject of professional, criminal and civil liability B04_K_U02 in the healthcare system and provision of healthcare B.U18 +++ services. Systematically improves knowledge on law, aiming at B04_K_K01 D.K2 + achieving professionalism Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome Knows the basic concepts of law and its place in the society life, with particular emphasis on B.W19 human rights and employment law. Knows basic issues of health insurance and its system in Poland and the European Union, B.W20 characterizes compulsory and voluntary insurance and selected directions of healthcare policy in Poland and in the Member States of the European Union Knows the legal basis regarding medical professions: rights and obligations of a nurse, organisational structure and functioning of the nursing and midwifery council, tasks of the B.W21 council within the subject of granting the right to exercise the profession and issuing a permission for individual or group nursing practice. Differentiates between criminal, civil and occupational liability associated with the profession of B.W22 a nurse. Knows the Charter on Patients' Rights, Charter on Human Rights and Charter on Children's B.W23 Rights Knows legal regulations regarding the nursing profession and the provision of healthcare B.U17 services. Knows the subject of professional, criminal and civil liability in the healthcare system and B.U18 provision of healthcare services. D.K2 Systematically develops professional knowledge and skills, aiming at professionalism. CURRICULUM CONTENT Implemented Course Subject of classes educational Hours symbol outcomes Form of classes: lectures Definitions of legal issues: legal act, legal system, legal language, W01 interpretation of law, structure of legal acts, legal standard, legal B04_K_W01 1 provision.

2 Right to treatment in Poland and in the European Union. Health W02 Insurance. Compulsory and voluntary insurance as well as B04_K_W02 2 selected directions of healthcare policy in Poland.

Legal basis for performing medical professions. Sources of B04_K_W03 W03 2 medical law. B04_K_U01

Obtaining professional qualifications of pre- and post-graduate B04_K_W03 W04 nurses in the profession of a nurse and midwife. Extent of 1 professional independence of a nurse. B04_K_U01 The concept of responsibility in medical professions, including the profession of a nurse and midwife criminal, civil and B04_K_W04 W05 – 2 professional. The Act of 15 July 2011 on professions of nurse and B04_K_U02 midwife. Employment law. Conttracts and types of contracts in the W06 B04_K_W01 1 employment law. The Act on the nursing and midwifery council. Organisational structure and principles of the nursing and midwifery council B04_K_W03 W07 functioning. Tasks of the council within the subject of granting the 2 right to exercise the profession and issuing a permission for B04_K_U01 individual or group nursing practice. B04_K_W03 W08 The Act on therapeutic activity. 1 B04_K_U01 W09 Patients' rights in Poland and selected European countries. B04_K_W05 2 The Charter on Rights The legal aspect of the patient's W10 Patients’ B04_K_W05 1 consent. The model of WHO Declaration on Patients' Rights. Hours in total: lectures 15 Form od classes: classes without the participation of an academic teacher (BNA)

The nursing and midwifery council in Poland and in selected B04_K_W03 BNA01 3 European Union countries. B04_K_U01 Health insurance system in Poland and in selected European BNA02 B04_K_W02 3 Union countries. Directions of healtcare policy in selected European Union BNA03 B04_K_W02 3 countries. Obtaining professional qualifications of pre- and post-graduate nurses in the profession of a nurse and midwife in selected B04_K_W03 BNA04 3 European Union countries. Extent of professional independence of B04_K_U01 a nurse in selected European Union countries. B04_K_W01 BNA05 Human rights protection. The Charter on Human Rights 3 B04_K_W05 Hours in total: BNA 15 Correlation of particular types of classes Lecture BNA W01 BNA05 W02 BNA02, BNA03 W03 BNA01, BNA04 W04 --- W05 --- W06 --- W07 --- W08 ---

3 W09 --- W10 ---

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W BNA W BNA single or multiple single or multiple B04_K_W01 W01, W06 BNA05 choice test choice test single or multiple single or multiple B04_K_W02 W02 BNA02, BNA03 choice test choice test W03, W04, W07, single or multiple single or multiple B04_K_W03 BNA01, BNA04 W08 choice test choice test single or multiple B04_K_W04 W05 ------choice test single or multiple single or multiple B04_K_W05 W09, W10 BNA05 choice test choice test W03, W04, W07, single or multiple single or multiple B04_K_U01 BNA01, BNA04 W08 choice test choice test single or multiple B04_K_U02 W05 ------choice test single or multiple single or multiple B04_K_K01 all all choice test choice test Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Classes without participation of an academic teacher (BNA) stand for unassisted student's work – subject of classes is provided above. Students become familiar with the following subjects of the BNA classes based on a list of basic and supplementary bibliography or additional materials prepared by an academic teacher. Lectures and BNA classes cover educational outcomes regarding knowledge and social competences: Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the conducted classes. This should be reflected in an outline prepared by a lecturer (the outline should be attached to the course portfolio). Lecture + In the case of BNA classes, the lecturer should indicate to students working on a particular classes subject on their own which aspects of the subject they should pay special attention to; the without the aspects result from educational outcomes assigned to a particular subject. participation The course ends with a final test covering lectures and concepts learned by students of an individually in BNA classes. academic Instead of test questions from BNA, students may prepare (individually or in small, up to 2-3- teacher (BNA) person groups) essays or presentations on a selected subject indicated in BNA. Then the + practical lecture should be conducted in the form of a conversation lecture where students refer (present) classes the material prepared by them (duration of the essay or presentation: no more than 5-10 (seminar) minutes), while the other students express their opinions about the material presented. Exemplary essay (presentation) subjects:  Compare the nursing and midwifery council in Poland with its counterpart in a selected European Union country;  Present similarities and differences between the health insurance system in Poland and in a selected European Union country.  Compare directions of Polish healtcare policy with directions of healthcare policy in a selected European Union country, etc. The condition for passing the final test is to obtain a minimum 3.0 grade for each educational outcome regarding knowledge. Obtaining at least one unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory grade for the entire final test. In a particular case when a student receives one or two unsatisfactory grades for educational

4 outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions). Student's workload (practical classes are marked with an asteriks) Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 15 hours 15 Contact hours with an Participation in practical classes * ------academic 2 hours lecture 2 teacher Participation in consultations related to classes * 2 hours BNA 2 Preparation for practical classes * ------Student's Individual work related to the subject of BNA 15 hours 15 individual work classes Preparation for the final test 5 hours 5 Total student's workload 39 Workload Hours ECTS Student's workload associated with classes that require direct 19 0,5 teacher participation Quantity Student's workload associated with classses that do not indicators 20 0,5 require direct teacher participation * Student's workload associated with practical classes 0 0,0 * Student's workload associated with theoretical classes 39 1,0  The Constitution of Poland  Karkowska D. Prawo medyczne dla pielęgniarek. (Medical law for nurses.), Wyd. Wolters Kluwer 2013.  Nestorowicz M. Prawo medyczne, komentarze i głosy do orzeczeń sądowych. (Medical law, commentaries and opinions regarding judicial decisions.), Basic LexisNexis, Warszawa 2012. bibliography  Przepisy prawne. (Regulations.) Stan na dzień 1 styczeń 2013 roku. (As of 1 January 2013.) Okręgowa Izba pielęgniarek i położnych w Katowicach 2013. (District Chamber of Nurses and Midwives in Katowice 2013.)  Kodeks etyki zawodowej pielęgniarki i położnej. (Code of professional ethics of a nurse and midwife.), wyd. NIPiP.  Odpowiedzialność cywilna lekarza. (Civil liability of a physician.) Odpowiedzialność cywilna zakładu leczniczego. (Civil liability of a medical establishment.) Supplementar  Fiutak A. Prawo w medycynie. (Law in medicine.) CH.Beck, Warszawa 2009. y  Kodeks pracy. (Labour Code.) bibliography  Kodeks cywilny. (Civil Code.)  Nowacki J., Tobor Z. Wstęp do prawoznawstwa. (Introduction to jurisprudence.) Warszawa, 2009.

Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes Describes without Does not know the Describes to a small crucial mistakes the Knows the basic basic law concepts, degree and basic law concepts, concepts of law and does not indicate the imprecisely the basic characterizes quite its place in the society place of law in the law concepts, B04_K_W01 sufficiently the place life, with particular society life, does not characterizes to a of law in the society emphasis on human know the human small degree the life, knows quite well rights and rights and/or the place of law in the the human rights and employment law. employment law society life, knows only some human the employment law

5 rights, knows to a small degree the employment law Knows basic issues of health insurance and Does not know, even its system in Poland Knows to a small Knows to a large at a basic level, the and the European degree the issues of degree the issues of issues of health Union, characterizes health insurance and health insurance and insurance or selected compulsory and selected directions in selected directions in B04_K_W02 directions in voluntary insurance the healthcare policy the healthcare policy healthcare policy in and selected in Poland and some in Poland and some Poland and directions of European Union European Union European Union healthcare policy countries countries countries in Poland and in the Member States of the European Union. Does not know the Knows some legal Knows quite well the Knows the legal basis legal basis regarding basis regarding legal basis regarding regarding medical medical professions: medical professions: medical professions: professions: rights rights and rights and obligations rights and obligations and obligations of a obligations of a of a nurse, of a nurse, nurse, organisational nurse, organisational organisational organisational structure and structure and structure and structure and functioning of the functioning of the functioning of the functioning of the nursing and nursing nursing nursing B04_K_W03 midwifery council, and midwifery and midwifery and midwifery tasks of the council council, tasks of the council, tasks of the council, tasks of the within the subject of council within the council within the council within the granting the right to subject of granting subject of granting subject of granting exercise the the right to exercise the right to exercise the right to exercise profession and the profession and the profession and the profession and issuing a permission issuing a permission issuing a permission issuing a permission for individual or group for individual or group for individual or group for individual or group nursing practice. nursing practice. nursing practice. nursing practice. Differentiates to a Does not differentiate Differentiates to a Differentiates small degree between criminal, large degree between between criminal, civil between criminal, civil and occupational criminal, civil and and occupational B04_K_W04 civil and occupational liability associated occupational liability liability associated liability associated with the profession of associated with the with the profession of with the profession of a nurse. profession of a nurse. a nurse. a nurse. Does not know the Knows quite well the Knows the Charter on Charter on Patients' Charter on Patients' Knows only one of Patients' Rights, Rights, Charter on Rights, Charter on B04_K_W05 the given Charters, Charter on Human Human Rights or Human Rights insufficiently Rights and Charter on Charter on Children's and Charter on Children's Rights Rights Children's Rights Knows to a small Knows to a large Does not know legal degree legal degree legal Knows legal regulations regarding regulations regarding regulations regarding regulations regarding the nursing B04_K_U01 the nursing the nursing the nursing profession profession and profession and the profession and the and the provision of the provision of provision of provision of healthcare services. healthcare services. healthcare services. healthcare services. Does not know the Knows to a small Knows to a large Knows the subject of subject of degree the subject of degree the subject of professional, criminal professional, criminal professional, criminal professional, criminal and civil liability in the B04_K_U02 and civil liability in the and civil liability in the and civil liability in the healthcare system healthcare system healthcare system healthcare system and provision of and provision of and provision of and provision of healthcare services. healthcare services. healthcare services. healthcare services.

B04_K_K01 Does not improve Improves to a small Improves to a large Systematically knowledge on law, degree professional degree professional improves knowledge

6 does not aim at knowledge on law knowledge on law on law, aiming at achieving achieving professionalism professionalism

PIE1.B05. Public health

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Public health Code PIE1.B05 ECTS points 4.0

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course / Modular block B. Social sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 4 7 45 30 15 ------Form of crediting ZO ZO ZO ------ECTS 4,0 ------Education area in Medical sciences, health sciences and physical education sciences. direction of B. Social sciences + foreign language studies Field of science Health Sciences. Language of lectures English Prerequisites None.

 Familiarizing students with basic issues of public health: health concept, tasks and objectives of public health, organising the healthcare system, family medicine, National Health Programme, Nationam Prevention Programmes.  Presenting basic knowledge on global health risks and health policy tasks resulting from them.  Providing knowledge and practical skills on preventive measures regarding various types of addictions (alcoholism, nicotine addiction, drug addiction, etc.), main civilisation diseases (cardiovascular diseases, neoplastic diseases), mental health Education goal disorders.  Providing knowledge and practical skills on injury prevention, accidents, poisoning, nutrition mistakes.  Providing knowledge and practical skills on solving health and social problems among elderly people.  Learning about the principles of organising the workstation of a nurse and the applied ergonomic principles.  Acquiring basic knowledge on the quality and standards of nursing care.

Symbol of the Reference to Correspondenc course the directional e level between Description of the course educational outcome educational educational the course outcome outcome educational outcome

1 and the directional educational outcome (+ - low, ++ - medium, +++ - high) Shows the origins, objectives and tasks of the public health B05_K_W01 B.W24 +++ system within the healthcare concept Indicates cultural, social and economic determinants of B05_K_W02 B.W25 +++ public health B05_K_W03 Knows basic concepts of health and disease B.W26 +++ Classifies health determinants as non-consolidated and B05_K_W04 B.W27 +++ consolidated Describes principles of rational nutrition in light of the latest B05_K_W05 B.W28 +++ scientific research Characterizes the essence of prevention and disease B05_K_W06 B.W29 +++ prevention Describes the basics of organisation of the National Health B05_K_W07 B.W30 +++ System in Poland Explains the assumptions of health education models, B05_K_W08 including the family medicine model, the role and tasks of a B.W31 +++ primary care nurse Lists the principles of functioning of the market of medical B05_K_W09 services in Poland and in selected European Union B.W32 +++ countries Specifies particular health risks occurring in the living, B05_K_W10 B.W33 +++ learning and working environment B05_K_W11 Describes the structure and functioning of healthcare units B.W34 +++ Describes the following concepts: work place, B05_K_W12 responsibility, obligations and rights, working hours, shift B.W35 +++ work, work schedule, care standard, procedure, algorithm Characterizes basic nursing care organisation methods B05_K_W13 and types of documentation required in a nurse's work B.W36 +++ place Defines the following concepts: workload, occupational B05_K_W14 B.W37 +++ disease and accident at work B05_K_W15 Indicates typical stages in the process of looking for a job B.W38 +++ Describes the stages of individual work organisation and B05_K_W16 B.W39 +++ their importance in professional development Defines the concept of quality in healthcare and nursing, B05_K_W17 B.W40 +++ differentiates between the healthcare and nursing criteria B05_K_U01 Prepares statements of basic health determinants B.U1 +++ Knows the subject of professional, criminal and civil liability B05_K_U02 in the healthcare system and provision of healthcare B.U18 +++ services Prepares nursing pro-health action projects in the living, B05_K_U03 B.U19 +++ learning and working environment Assesses global trends regarding healthcare B05_K_U04 in the aspect of the latest epidemiological B.U20 +++ and demographic data Interprets actions regarding healthcare and social policy B05_K_U05 B.U21 +++ carried out by the state in favour of public health

2 Analyses and evaluates the functioning of various medical B05_K_U06 B.U22 +++ care systems and identifies their funding sources Develops methods and forms of prophylaxis, disease B05_K_U07 prevention and cultivation of correct health behaviour B.U23 +++ towards different social groups Controls the aggravating factors in the work of nurses and B05_K_U08 conducive factors to the occurrence of occupational B.U24 +++ diseases and accidents at work Develops the skills of active job search (search methods, B05_K_U09 curriculum vitae, cover letter, job interview, self- B.U25 +++ presentation) Conducts an assessment of the nursing care quality for the B05_K_U10 B.U26 +++ improvement of nursing Systematically improves knowledge on public health, B05_K_K01 D.K2 + aiming at achieving professionalism Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome Shows the origins, objectives and tasks of the public health system within the healthcare B.W24 concept B.W25 Indicates cultural, social and economic determinants of public health B.W26 Knows basic concepts of health and disease B.W27 Classifies health determinants as non-consolidated and consolidated B.W28 Describes principles of rational nutrition in light of the latest scientific research B.W29 Characterizes the essence of prevention and disease prevention B.W30 Describes the basics of organisation of the National Health System in Poland Explains the assumptions of health education models, including the family medicine model, the B.W31 role and tasks of a primary care nurse Lists the principles of functioning of the market of medical services in Poland and in selected B.W32 European Union countries B.W33 Specifies particular health risks occurring in the living, learning and working environment B.W34 Describes the structure and functioning of healthcare units Describes the following concepts: work place, responsibility, obligations and rights, working B.W35 hours, shift work, work schedule, care standard, procedure, algorithm Characterizes basic nursing care organisation methods and types of documentation required in B.W36 a nurse's work place B.W37 Defines the following concepts: workload, occupational disease and accident at work B.W38 Indicates typical stages in the process of looking for a job Describes the stages of individual work organisation and their importance in professional B.W39 development Defines the concept of quality in healthcare and nursing, differentiates between the healthcare B.W40 and nursing criteria B.U1 Prepares statements of basic health determinants Knows the subject of professional, criminal and civil liability in the healthcare system and B.U18 provision of healthcare services B.U19 Prepares nursing pro-health action projects in the living, learning and working environment

B.U20 Assesses global trends regarding healthcare in the aspect of the latest epidemiological and

3 demographic data Interprets actions regarding healthcare and social policy carried out by the state in favour of B.U21 public health Analyses and evaluates the functioning of various medical care systems and identifies their B.U22 funding sources Develops methods and forms of prophylaxis, disease prevention and cultivation of correct B.U23 health behaviour towards different social groups Controls the aggravating factors in the work of nurses and conducive factors to the occurrence B.U24 of occupational diseases and accidents at work Develops the skills of active job search (search methods, curriculum vitae, cover letter, job B.U25 interview, self-presentation) B.U26 Conducts an assessment of the nursing care quality for the improvement of nursing D.K2 Systematically improves knowledge on public health, aiming at achieving professionalism CURRICULUM CONTENT Implemented Course Subject of classes educational Hours symbol outcomes Form of classes: lectures

Public health – terminology. Definition of health, disease, B05_K_W01 W01 prevention. Public health and remedial medicine. The objectives, B05_K_W02 3 functions and tasks of public health. B05_K_W03 B05_K_W01 B05_K_W02 Historical and contemporary public health models. The development of the modern concept of health and health potential. B05_K_W03 W02 Social, political, economic and systemic health determinants. The B05_K_W11 4 characteristics of the basic models of health systems. The basics B05_K_U04 of the healthcare system organisation. B05_K_U05 B05_K_U06 B05_K_W01 B05_K_W02 W03 Family medicine model. 2 B05_K_W03 B05_K_U06 B05_K_W01 B05_K_W02 W04 Global health risks and health policy tasks. 4 B05_K_U04 B05_K_U05 B05_K_W06 B05_K_U04 W05 Prevention in healthcare. 3 B05_K_U05 B05_K_U07

Objectives and tasks of the National Health Programme. B05_K_W07 W06 3 Functioning of the medical services market. B05_K_W09 W07 National Prevention Programmes. B05_K_W06 3 B05_K_W10 W08 Health behaviours and their influence on health. B05_K_U01 5 B05_K_U03 B05_K_W10 W09 Family health risks. 3 B05_K_U01

4 B05_K_U03 B05_K_W04 Determinants of civilization diseases development, addictions, W10 B05_K_U01 5 mental health disorders and their prevention. B05_K_U03 B05_K_W05 W11 Prevention of injuries, accidents, poisoning, nutritional mistakes. B05_K_W10 5 B05_K_U03 B05_K_W10 W12 Health and social problems among elderly people. B05_K_U01 5 B05_K_U03 Hours in total: lectures 45 Form of classes: practical classes (seminars)*

The role and tasks of a nurses in the public health system, with B05_K_W08 C01 particular emphasis on primary healthcare. Health education B05_K_U02 4 models. Family medicine model. B05_K_U04 Nutritional mistakes (quantitative and qualitative) and their C02 B05_K_W05 4 influence on health.

Types of addictions and their influence on health (alcoholism, drug B05_K_U01 C03 addiction, nicotine addiction, psychoactive substances abuse) – 4 prevention of these addictions. B05_K_U03

Main civilization diseases, including cardiovascular diseases, B05_K_U01 C04 6 neoplastic diseases and their prevention. B05_K_U03 B05_K_U01 C05 Mental health disorders. Mental health promotion. 4 B05_K_U03 B05_K_U01 C06 Injuries, accidents, poisoning and their prevention. 4 B05_K_U03 B05_K_U01 Health and social problems among elderly people. Healthcare for C07 B05_K_U03 4 elderly people. B05_K_U04 Hours in total: practical classes (seminar)* 30 Form od classes: classes without the participation of an academic teacher (BNA) Structure and objectives of the organisation. The basics of efficient BNA01 B05_K_W12 2 operation. Nurse's work place organisation. Individual work organisation in a BNA02 B05_K_W12 3 nursing work place. Teamwork organisation. BNA03 Medical records in nursing care practice. B05_K_W13 3 Workload in the work of a nurse. Shift work. Ergonomic principles applied in the nursing work place. Prevention of accidents at work. B05_K_W14 BNA04 3 Occupational diseases in the profession of a nurse. Occupational B05_K_U08 risk. B05_K_W17 BNA05 The quality and standards of nursing care. 2 B05_K_U10 B05_K_W15 Employment market. Active job search: methods of looking for a BNA06 B05_K_W16 2 job, CV, cover letter, job interview, self-presentation. B05_K_U09 Hours in total: BNA 15 Correlation of particular types of classes

5 Lecture BNA CW W01 ------W02 ------W03 ------W04 --- C01 W05 --- C02 W06 ------W07 ------C03, C04, C05, W08 --- C06, C07 W09 ------W10 ------W11 ------BNA01, BNA02, W12 BNA03, BNA04, --- BNA05

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W + BNA CW W + BNA CW W01, W02, W03, single or multiple B05_K_W01 ------W04 choice test W01, W02, W03, single or multiple B05_K_W02 ------W04 choice test single or multiple B05_K_W03 W01, W02, W03 ------choice test single or multiple B05_K_W04 W10 ------choice test single or multiple single or multiple B05_K_W05 W11 C02 choice test choice test single or multiple B05_K_W06 W05, W07 ------choice test single or multiple B05_K_W07 W06 ------choice test single or multiple B05_K_W08 --- C01 --- choice test single or multiple B05_K_W09 W06 ------choice test W08, W09, W11, single or multiple B05_K_W10 ------W12 choice test single or multiple B05_K_W11 W02 ------choice test single or multiple B05_K_W12 BNA01, BNA02 ------choice test single or multiple B05_K_W13 BNA03 ------choice test single or multiple B05_K_W14 BNA04 ------choice test

6 single or multiple B05_K_W15 BNA06 ------choice test single or multiple B05_K_W16 BNA06 ------choice test single or multiple B05_K_W17 BNA05 ------choice test W08, W09, W10, C03, C04, C05, C06, single or multiple single or multiple B05_K_U01 W12 C07 choice test choice test single or multiple B05_K_U02 --- C01 --- choice test W08, W09, W10, C03, C04, C05, C06, single or multiple single or multiple B05_K_U03 W12 C07 choice test choice test single or multiple single or multiple B05_K_U04 W02, W04, W05 C01, C07 choice test choice test single or multiple B05_K_U05 W02, W04, W05 ------choice test single or multiple B05_K_U06 W02, W03 ------choice test single or multiple B05_K_U07 W05 ------choice test essay or multimedia B05_K_U08 BNA08 ------presentation CV, cover letter, self- B05_K_U09 BNA06 ------presentation description of the procedure for the B05_K_U10 BNA05 ------assessment of the nursing care quality single or multiple single or multiple B05_K_K01 all all choice test choice test Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Practical classes (seminar) are mandatory. Students' active participation is required and they should present (lecture on) the content prepared by themselves within the BNA classes. Classes without participation of an academic teacher (BNA) stand for unassisted student's work – subject of classes is provided above. Students become familiar with the following subjects of the BNA classes based on a list of basic and supplementary bibliography or additional materials prepared by an academic teacher. Lectures and BNA classes cover educational outcomes regarding knowledge and social competences: Lecture + Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes BNA + all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the practical conducted classes. This should be reflected in an outline prepared by a lecturer (the outline classses should be attached to the course portfolio). (seminar) In the case of BNA classes, the lecturer should indicate to students working on a particular subject on their own which aspects of the subject they should pay special attention to; the aspects result from educational outcomes assigned to a particular subject. The course ends with a final test covering lectures and theoretical concepts learned by students individually in BNA classes. Because the BNA classes also allow development of certain practical skills (educational outcomes: B05_K_U08, B05_K_U09, B05_K_U10), the result of the student's work within the framework of these activities should be:  essay (or multimedia presentation) on the analysis of the aggravating factors in the work of a nurse and accidents at work in the selected area (e.g. work of a surgical nurse, anesthesiological nurse, primary care nurse, etc.); the essay

7 should be written based on the observations done during practical classes and training and on the analysis of published results of research in this matter (B05_K_U08);  preparing a CV, cover letter, self-presentation, or playing a job interview role- play (B05_K_U09);  a written description of the procedure for the assessment of the quality of nursing care in the particular area of nursing, based on the bibliography regarding the course, together with an indication of the substantive areas for improvement (B05_K_U10). The condition for passing the final test is to obtain a minimum 3.0 grade for each educational outcome regarding knowledge. Obtaining at least one unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory grade for the entire final test. In a particular case when a student receives one or two unsatisfactory grades for educational outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions). Student's workload (practical classes are marked with an asterisk) Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 45 hours 45 Contact hours with an Participation in practical classes * 30 hours 30* academic 2 hours lecture 2 teacher Participation in consultations related to classes * 2 hours practical classes 2* Preparation for practical classes * 30 hours 30* Student's Individual work related to the subject of BNA 15 hours 15 individual work classes Preparation for the final test 5 hours 5 Total student's workload 99 Workload Hours ECTS Student's workload associated with classes that require direct 79 3,2 teacher participation Quantity Student's workload associated with classes that do not indicators 20 0,8 require direct teacher participation * Student's workload associated with practical classes 62 2,5 * Student's workload associated with theoretical classes 37 1,5

 Sygit M. Zdrowie publiczne. (Public health.), Kraków: Wolters Kluwer Polska, 2017.  Dyzmann-Sroka A., Piotrowski T. Programy zdrowotne – skuteczna profilaktyka zachorowań. Przykłady dobrych praktyk. (Health programmes – effective disease prevention. Examples of good practice.), Warszawa: Wydawnictwo Lekarskie PZWL, 2017. Basic  Czupryna A. red. Zdrowie publiczne – wybrane zagadnienia. Tom 1-2. (Public health – bibliography selected issues. Vol. 1-2.), Kraków: Vesalius, 2000.  Leowski J. Polityka zdrowotna a zdrowie publiczne. (Health policy and public health.), Warszawa: CeDeWu, 2009.  Bzdęga J., Gębska-Kuczerowska A. red. Epidemiologia w zdrowiu publicznym. (Epidemiology in public health.), Warszawa: Wydawnictwo Lekarskie PZWL, 2010. Kulik T.B., Latalski M. Zdrowie publiczne. dla i absolw Supplementar  Podręcznik studentów entów i nauk o zdrowiu akademii medycznych. (Public health. Handbook y wydziałów pielęgniarstwa for students and graduates of the faculties of nursing and health sciences of the Medical bibliography Academy.), Lublin: Czelej, 2002.

Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes

8 Shows with small Does not show the Shows imprecisely Shows fully the mistakes, but as a origins, objectives the origins, objectives origins, objectives whole, the origins, and tasks of the and tasks of the and tasks of the B05_K_W01 objectives and tasks public health system public health system public health system of the public health within the healthcare within the healthcare within the healthcare system within the concept concept concept healthcare concept Indicates two out of Does not indicate the Indicates only one Indicates fully the three areas (social, cultural, social and area of public health cultural, social and B05_K_W02 economic, cultural) of economic public determinants (social, economic public public health health determinants economic or cultural) health determinants determinants Does not know basic Knows only some Knows most basic Knows basic B05_K_W03 concepts of health basic concepts of concepts of health concepts of health and disease health and disease and disease and disease Classifies Classifies nearly Classifies with good Does not classify the imprecisely, without mistakes, the comprehension the health determinants with mistakes, the B05_K_W04 health determinants health determinants as non-consolidated health determinants as non-consolidated as non-consolidated and consolidated as non-consolidated and consolidated and consolidated and consolidated Describes to a small Describes almost Describes Does not describe degree, imprecisely, without mistakes the professionally the the principles of the principles of principles of rational principles of rational B05_K_W05 rational nutrition in rational nutrition in nutrition in light of the nutrition in light of the light of the latest light of the latest latest scientific latest scientific scientific research scientific research research research Does not Describes Describes quite Characterizes fully characterize the imprecisely the precisely, with minor the essence of essence of essence of mistakes, the B05_K_W06 prophylaxis prophylaxis prophylaxis essence of and disease and disease and disease prophylaxis and prevention prevention prevention disease prevention Does not describe Describes to a small Describes quite Describes the basics of degree the basics of precisely the basics professionally the B05_K_W07 organisation of the organisation of the of organisation of the basics of organisation National Health National Health National Health of the National Health System in Poland System in Poland System in Poland System in Poland Explains to a small Explains quite Does not explain the degree the precisely, with minor Explains the assumptions of assumptions of mistakes, the assumptions of health health education health education assumptions of education models, models, including the models, describes health education B05_K_W08 including the family family medicine imprecisely the family models, including the medicine model, the model, the role and medicine model family medicine role and tasks of a tasks of a primary and/or the role model and the role primary care nurse care nurse and tasks of a and tasks of a primary care nurse primary care nurse Does not list the Lists professionally Lists some principles Lists most principles principles of the principles of of functioning of the of functioning of the functioning of the functioning of the market of medical market of medical market of medical market of medical B05_K_W09 services in Poland services in Poland services in Poland services in Poland and/or in selected and/or in selected and in selected and in selected European Union European Union European Union European Union countries countries countries countries

Does not specify Specifies only some Specifies most Specifies particular health risks particular health risks particular health risks professionally B05_K_W10 occurring in the occurring in the occurring in the living, particular health risks living, learning and selected (living, learning and working occurring in the living, working environment learning and working) environment learning and working

9 environment environment Describes Describes almost Does not describe Describes fully the imprecisely the without mistakes the the structure and structure and B05_K_W11 structure and structure and functioning of functioning of functioning of functions of healthcare units healthcare units healthcare units healthcare units Does not describe Describes only some Describes most of the Describes fully the the following of the following following concepts: following concepts: concepts: work place, concepts: work place, work place, work place, responsibility, responsibility, responsibility, responsibility, obligations obligations and obligations B05_K_W12 obligations and rights, and rights, working rights, working hours, and rights, working working hours, shift hours, shift work, shift work, work hours, shift work, work, work schedule, work schedule, care schedule, care work schedule, care care standard, standard, procedure, standard, procedure, standard, procedure, procedure, algorithm algorithm algorithm algorithm Does not Characterizes only Characterizes most Characterizes fully characterize basic some basic nursing basic nursing care basic nursing care nursing care care organisation organisation methods organisation methods organisation methods methods and only B05_K_W13 and types of and types of or types of some types of documentation documentation documentation documentation required in a nurse's required in a nurse's required in a nurse's required in a nurse's work place work place work place work place Defines only some of Does not define such the following Defines most of the Defines the following concepts as: concepts: workload, following concepts: concepts: workload, B05_K_W14 workload, occupational disease, workload, occupational disease occupational disease, accident at work; occupational disease, and accident at work accident at work definitions are accident at work imprecise Does not indicate Indicates only some Indicates Indicates most typical typical stages in the typical stages in the professionally typical B05_K_W15 stages in the process process of looking for process of looking for stages in the process of looking for a job a job a job of looking for a job Describes only some Describes most Does not describe Describes with good stages of individual stages of individual the stages of comprehension the work organisation, work organisation, individual work stages of individual presents to a small presents quite B05_K_W16 organisation and their work organisation and degree their precisely their importance in their importance in importance in importance in professional professional professional professional development development development development Defines quite Does not define the Defines imprecisely Defines the concept precisely the concept concept of quality in the concept of quality of quality in of quality in healthcare and in healthcare and healthcare and healthcare and B05_K_W17 nursing, does not nursing, differentiates nursing, differentiates nurturing, differentiate between imprecisely between between the differentiates quite the healthcare and the healthcare and healthcare and well the healthcare nursing criteria nursing criteria nursing criteria and nursing criteria Prepares quite Prepares to a small Prepares Does not prepare accurately, with small degree, imprecisely, professionally B05_K_U01 statements of basic mistakes, statements statements of basic statements of basic health determinants of basic health health determinants health determinants determinants Does not know the Knows only some Knows most aspects Knows fully the subject of aspects of the subject of the subject of subject of B05_K_U02 professional, criminal of professional, professional, criminal professional, criminal and civil liability in the criminal and civil and civil liability in the and civil liability in the healthcare system liability in the healthcare system healthcare system

10 and provision of healthcare system and provision of and provision of healthcare services and provision of healthcare services healthcare services healthcare services Prepares quite Prepares Does not prepare Prepares roughly professionally nursing professionally nursing nursing pro-health nursing pro-health pro-health action pro-health action B05_K_U03 action projects in the action projects in the projects in the living, projects in the living, living, learning and living, learning and learning and working learning and working working environment working environment environment environment Assesses to a small Assesses to a large Does not assess Assesses global degree, imprecisely, degree, imprecisely, global trends trends regarding global trends global trends regarding healthcare healthcare regarding healthcare regarding healthcare B05_K_U04 in the aspect of the in the aspect of the in the aspect of the in the aspect of the latest epidemiological latest epidemiological latest epidemiological latest epidemiological and demographic and demographic and demographic and demographic data data data data Interprets to a small Interprets to a large Does not interpret Interprets actions degree actions degree actions actions regarding regarding healthcare regarding healthcare regarding healthcare healthcare and social and social policy B05_K_U05 and social policy and social policy policy carried out by carried out by the carried out by the carried out by the the state in favour of state in favour of state in favour of state in favour of public health public health public health public health Analyses and Analyses Analyses and Does not analyse or evaluates the and evaluates the evaluates the evaluate the functioning of various functioning of various functioning of various functioning of various medical care systems B05_K_U06 medical care systems medical care systems medical care systems and identifies their and identifies their and identifies their and does not identify funding sources funding sources with funding sources their funding sources almost without difficulty professionally difficulty Develops nearly Does not develop Develops Develops imprecisely without mistakes methods and forms professionally methods and forms of methods and forms of prophylaxis, methods and forms prophylaxis, disease of prophylaxis, disease prevention of prophylaxis, prevention and disease prevention B05_K_U07 and cultivation of disease prevention cultivation of correct and cultivation of correct health and cultivation of health behaviour correct health behaviour towards correct health towards different behaviour towards different social behaviour towards social groups different social groups different social groups groups Controls to a large Controls to a small Does not control the degree, quite degree, imprecisely, Controls aggravating factors in precisely, the the aggravating professionally the the work of nurses aggravating factors in factors in the work of aggravating factors in and conducive the work of nurses nurses and the work of nurses B05_K_U08 factors to the and conducive conducive factors to and conducive factors occurrence of factors to the the occurrence of to the occurrence of occupational occurrence of occupational occupational diseases diseases and occupational diseases and and accidents at work accidents at work diseases and accidents at work accidents at work Does not develop the Develops to a small Develops quite well skills to look for a job degree the skills to the skills to look for a Develops actively, does not look for a job actively, job actively, applies professionally the apply the methods of does not adequate methods of skills of active job search (search B05_K_U09 job search, cannot professionally apply job search, almost write a CV, cover the methods of job without mistakes methods, curriculum letter, cannot search, has serious writes a CV, cover vitae, cover letter, job participate in a job problems with writing letter, can participate interview, self- interview, cannot a CV, cover letter, in a job interview and presentation) prepare self- participating in a job prepare quite

11 presentation interview, preparing professional self- self-presentation presentation Conducts to a small Conducts to a large Does not conduct an Conducts an degree an degree an assessment of the assessment of the assessment of the assessment of the B05_K_U10 nursing care quality nursing care quality nursing care quality nursing care quality for the improvement for the improvement for the improvement for the improvement of nursing of nursing of nursing of nursing Does not improve Systematically Improves to a small Improves to a large knowledge on public improves knowledge degree professional degree professional B05_K_K01 health, does not aim on public health, knowledge on public knowledge on public at achieving aiming at achieving health health professionalism professionalism

PIE1.C03. Primary healthcare

Level 1st degree Field NURSING Form of study Stationary of study Profile practical

Course Primary healthcare Code PIE1.C03 ECTS points 16,0

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected]

Obligatory Status of course/Modular block C. Basics of nursing care science

Form of classes, hours and ECTS points for separate forms of classes

Year Semester W CW BNA ZP PZ

Theoretical education Practical education

1 2 30 15 5 60 ---

ZO ZO ZO ZO --- Form of crediting OSCE EXAM – part 1 1 2 ------100

Form of crediting ------ZO

ECTS 1,5 3.5 3,0

2 3 15 --- 10 60 ---

ZO --- ZO ZO --- Form of crediting OSCE EXAM – part 2 2 3 ------100

Form of crediting ------ZO

ECTS 1,5 3,5 3,0

Education area in direction Medical sciences, health sciences and physical education sciences of studies

Field of science Health Sciences.

Language English of lectures

Acquiring knowledge contained in the following modules: PIE1.C01. Fundamentals of nursing (partly – for semester 1), Prerequisites PIE1.B01. Psychology, PIE1.B02. Sociology

1  learning about the structure and role of primary health care, which will enable performing tasks that are in accordance with the competences of a family nurse within the care service for an individual, family and local community.  substantive and practical preparation for independent performance of tasks necessary to provide professional nursing care for an individual, family and social group.  understanding the tasks, role and function of primary healthcare in the strategy of systemic changes in health protection. Educational preparation to provide professional nursing care, rehabilitation and therapeutic support goals  in the patient's place of residence.  developing the ability to prepare and implement preventive and educational programs.  substantive and practical preparation for initiating and supporting health actions of local communities.

Reference Correspondence level Symbol of the to the between the course Description of the course educational course educational directional educational outcome outcome outcome educationa and the directional l outcome educational outcome Educational outcomes regarding knowledge Characterizes primary healthcare in Poland C03_K_W01 and in the world, including the tasks of a nurse C.W17 ++ and other healthcare workers Knows the information management system in C03_K_W02 C.W18 ++ primary healthcare Indicates the determinants and measures of C03_K_W03 C.W19 ++ the quality of primary healthcare Describes environmental-family care models C03_K_W04 and nursing care forms within primary C.W20 +++ healthcare Applies diversification in the environmental- family care regarding information gathering, C03_K_W05 diagnosis, working and documenting methods C.W21 +++ due to the living, learning and working environment Applies diversification in the environmental- family care regarding gathering information, diagnosing, working and documenting C03_K_W06 C.W22 +++ methods due to an individual recipient and his/her condition, characteristics of the family and the local community Provides health services within the primary C03_K_W07 healthcare, including guaranteed services and C.W23 +++ providing care for an ill patient Assesses the learning and educational C03_K_W08 environment in terms of recognition of health C.W24 +++ problems among children and adolescents Prepares equipment and resources for nursing C03_K_W09 C.W25 +++ care in the patient's living environment Applies nursing standards and procedures C03_K_W10 C.W26 +++ in the primary healthcare Educational outcomes regarding skills Suggests a nursing model for an individual C03_K_U01 C.U1 ++ patient

C03_K_U02 Collects information by interview, observation, C.U2 ++ direct and indirect measurements (scales),

2 documentation analysis (including analysis of diagnostic tests), physical examination to identify the patient's health status and the formulation of nursing diagnosis Sets out objectives and a care plan for a C03_K_U03 C.U5 +++ patient – recipient of the primary healthcare Plans and carries out nursing care together C03_K_U04 with the patient (recipient of the primary C.U6 +++ healthcare) and his/her family Monitors the patient's health condition at all stages of the patient's stay in hospital or other healthcare facilities, including assessment of C03_K_U05 C.U7 ++ basic vital parameters: body temperature, heart rate, blood pressure, breathing and awareness, body weight and height Performs ongoing and final assessment of the patient's (primary healthcare recipient's) health C03_K_U06 C.U8 +++ condition and effectiveness of nursing activities Keeps nursing records, including nursing history of the patient – primary healthcare C03_K_U07 recipient, observation chart, temperature chart, C.U33 +++ report chart, prevention and treatment of pressure ulcers chart Provides health services within the primary C03_K_U08 healthcare, including guaranteed services and C.U42 ++ providing care for an ill patient Assesses the learning and educational C03_K_U09 environment in terms of recognition of health C.U43 +++ problems among children and adolescents Prepares equipment and resources for nursing C03_K_U10 C.U44 +++ care in the patient's living environment Applies nursing standards and procedures C03_K_U11 C.U45 +++ in the primary healthcare Educational outcomes regarding social competences Respects the dignity and autonomy of people C03_K_K01 D.K1 ++ entrusted to care Systematically develops professional C03_K_K02 knowledge and skills, aiming at D.K2 +++ professionalism Observes values, duties and moral efficiency C03_K_K03 D.K3 ++ in care Shows moral responsibility for a person and C03_K_K04 D.K4 ++ performing professional tasks C03_K_K05 Respects the patient's rights D.K5 ++ Honestly and accurately performs assigned C03_K_K06 D.K6 ++ professional duties C03_K_K07 Adheres to professional secrecy D.K7 ++ Collaborates as part of an interdisciplinary team in solving ethical dilemmas while C03_K_K08 D.K8 ++ maintaining the principles of the code of professional ethics Is open to the development of his own and C03_K_K09 D.K9 ++ patient's subjectivity

3 Manifests empathy in the relationship with the C03_K_K10 D.K10 ++ patient, his/her family and colleagues

CURRICULUM CONTENT

Implemented Course Subject of classes educational Hours symbol outcomes

Form of classes: lectures

LECTURE (primary healthcare physician) – semester 2 Healthcare system in Poland and the world. The concept of primary W01 healthcare in international documents. Primary healthcare in Poland C03_K_W01 2 before and after 1999. Primary healthcare team: characteristics of the primary healthcare W02 C03_K_W01 1 physician's competences.

Information management system in primary healthcare. Quality C03_K_W02 W03 1 measures in primary healthcare. C03_K_W03 Environmental-family care models and health service forms within primary healthcare. Types of nursing diagnosis: individual, group (family diagnosis, school class diagnosis, occupational group W04 diagnosis, care institution residents diagnosis), local community C03_K_W04 2 diagnosis. Types of nursing diagnosis: classification (typological) diagnosis, causative diagnosis, prognostic diagnosis, phase diagnosis, diagnosis of meaning. Recognition of health and social problems of an individual, family and W05 C03_K_W06 2 local communities. Organisation and tasks of occupational health services, school W06 C03_K_W05 1 medicine. Specificity of caring for a child, an adult and an elderly person. The W07 most frequent health problems depending on the patient's age. The C03_K_W06 2 aging process in the bio-psycho-socio-economic aspect. Specific health risks occurring in the living, learning and educational W08 environment. Recognition of hazards in the workplace – prevention of C03_K_W05 2 occupational and civilisation diseases and accidents. W09 Preventive health programmes implemented in the primary healthcare. C03_K_W04 1 Forms of care for a chronically ill person. Organisation and tasks of W10 C03_K_W07 1 social assistance. Hours in total 15 LECTURE (primary healthcare nurse) - semester 2 Characteristics of the nursing model in primary health care history W11 – C03_K_W01 2 and current situation. Primary healthcare team: characteristics of competences: primary healthcare nurses in the living environment,  C03_K_W01 primary healthcare nurses in the learning and educational  C03_K_W08 W12 environment, 2 C03_K_W09  primary healthcare nurses in the working environment, C03_K_W10  primary healthcare midwife in the living environment,  long-term/home care nurses.

Tasks of the primary healthcare nurse. Standards in the primary C03_K_W03 W13 healthcare nurse's work. Preventive programmes in the primary 2 healthcare. C03_K_W10 C03_K_W05 W14 Environmental-family care models and health service forms within 3 primary healthcare. Family as a healthcare recipient. Family health C03_K_W08

4 concept. Nurse's methods of working with a family. Social and care C03_K_W09 efficiency of a family. Social support. Distinctiveness of nurse's work in the environmental and family care W15 C03_K_W05 2 regarding the living, learning and working environment. C03_K_W06 Recognition of health and social problems of an individual, family and W16 C03_K_W08 2 local communities. C03_K_W09 Participation of nurses in implementation of tasks resulting from the W17 C03_K_W07 2 health policy programmes. Hours in total 15 LECTURE (primary healthcare nurse) - semester 3

Tasks of a school nurse. Nursing diagnosis in the learning and C03_K_W05 W18 educational environment. Methods for assessing student's health C03_K_W08 4 condition and identifying health problems. C03_K_W10 C03_K_W05 W19 Nursing diagnosis in the working environment. 4 C03_K_W10 C03_K_W06 W20 Long-term nursing home care. C03_K_W09 4 C03_K_W10 Financing services. Legal basis and organisational forms of private W21 nursing practice. Professional independence of a nurse in the primary C03_K_W04 3 healthcare. Hours in total 15

PRACTICAL CLASSES – semester 2 Environmental care (primary healthcare facility):  nursing diagnosis in the environmental care;  family diagnosis in the environmental care;  nursing diagnosis for the purposes of health promotion, prevention and care (data); C03_K_U01  techniques for obtaining data in primary healthcare C03_K_U03 C01 documentation; C03_K_U04 4  Nurse's methods of working with a family: individual case C03_K_U06 method, group work method, nursing process; C03_K_U07  standards of nursing and nursing procedures for the needs of primary healthcare;  principles of constructing a comprehensive care service plan for a family, including self-care and non-professional care for a family (selected health situation in a family as an example). Nursing care in the learning and educational environment: C03_K_U01  health services implemented by a nurse in the school environment; C03_K_U03 C02  diagnosing students' health situation and safety of the school C03_K_U04 4 environment; C03_K_U06  standard of preventive activities carried out by a nurse in the C03_K_U07 school environment.

Nursing care in the working environment: C03_K_U01  interfering, harmful and dangerous factors present in a given C03_K_U03 working environment; C03 C03_K_U04 3 types of preventive examinations carried out on employees:  C03_K_U06 preliminary, periodical and check-up examinations; C03_K_U07  the concept of an occupational and para-occupational

5 disease, an accident at work;  nursing diagnosis regarding disease prevention and health promotion among workers in the working environment (data). Nursing home care:  preparation for a visit in the home environment; C03_K_U01  principles for conducting a background check, observations and measurements; C03_K_U03 C04  principles for appropriate communication with people in C03_K_U04 4 different age groups; C03_K_U06  Barthel Index (classifying a patient for home nursing care); C03_K_U07  Norton scale (assessment of the pressure ulcers development risk). Practical classes in total 15

Classes without participation of an academic teacher (BNA) – semester 2 BNA01 International Classification of Diseases according to ICD-10. C03_K_W02 1 National Health Program:  characteristics of the main health risks (demographic situation, health condition of the population, disease healthcare costs, disease social costs, health determinants, environmental risks, activities in the socio-economic area);  strategic objective: life prolongation, improvement of health and life quality related to it, reduction of social inequalities regarding health;  operational objectives: o A. Improving diet and nutrition of the society; o B. Increasing physical activity of the society; BNA02 C03_K_W03 2 o (C) Limitation of propagation of alcohol, tobacco and other psychoactive substances, and prevention of behavioural addictions; o D. Improving mental health, including prevention of behavioural addictions; o E. Limitation of exposure to environmental and biological risk factors for physical health.  tasks regarding implementation of the operational objectives,  responsible entities, implementers of tasks, mode and amount of financing the tasks, indicators and mode of monitoring and evaluation of the National Health Programme. Organisation of the primary healthcare in the European Union countries BNA03 C03_K_W01 2 – a comparative analysis of guaranteed services. Classes without participation of an academic teacher (BNA) – semester 3 Selected concepts of workers' health:  legal protection of minors who work;  legal protection of pregnant women who work;  Obligations of an employer and employee regarding occupational health and safety;  working environment factors and their influence on the human organism; BNA04 C03_K_W06 5  risk assessment of the working environment in the context of health risks;  organisation of nursing care for workers;  standards of nursing care procedures regarding workers' health protection;  nursing identification of working environment conditions;  implementation of health promotion programmes in the

6 working environment. Burnout syndrome among primary healthcare nurses: causes, BNA05 C03_K_W01 5 contributory factors, prevention. BNA in total 15

PRACTICAL CLASSES – semester 2 – Environmental care (primary healthcare facility) organization of work in the primary healthcare: clinics for adults, clinics for children. Characteristics of nurses' work in different organisational C03_K_U08 ZP01 10 forms of primary healthcare. Principles of cooperation in the primary C03_K_U10 healthcare team. Standards of nursing and nursing procedures for the needs of primary ZP02 C03_K_U11 10 healthcare. C03_K_U02 C03_K_U05 Principles for conducting a background check. Nursing equipment bag. ZP03 C03_K_U08 10 Pain intensity rating scales. C03_K_U10 C03_K_U11

Objectives and principles of the nurse's work with a healthy family, a C03_K_U10 ZP04 8 family with a disease risk, a family with a chronic health problem. C03_K_U11 C03_K_U02 C03_K_U05 ZP05 The scope of nursing care for a patient (family) with a chronic disease. C03_K_U08 8 C03_K_U10 C03_K_U11 C03_K_U02 Tasks of an environmental-family nurse in prevention and early detection of civilisation diseases, including prevention of tuberculosis. C03_K_U05 ZP06 8 Screening tests monitoring development of a child and detecting C03_K_U08 deviations from the development standard. C03_K_U11 Documentation kept by a nurse employed in an environmental-family ZP07 C03_K_U11 6 care service.

PRACTICAL CLASSES – semester 3 – learning and educational environment (school) Health risks occurring in the school environment. Factors determining C03_K_U09 ZP08 students' health. C03_K_U11

Educational activity carried out by a nurse in the learning and C03_K_U08 ZP09 educational environment. C03_K_U11

Performing screening tests: measurement of height, weight, vision, C03_K_U02 ZP10 colour vision, hearing, musculoskeletal system, blood pressure. Interpretation of results of screening tests. C03_K_U11 C03_K_U08 ZP11 Provision of assistance in case of injuries, illnesses and poisonings. C03_K_U11 20 C03_K_U08 Provision of advice to children and school students regarding health ZP12 C03_K_U09 behaviours. C03_K_U11 C03_K_U02 C03_K_U08 ZP13 Providing guaranteed health services (e.g. prevention of dental caries). C03_K_U09 C03_K_U11 Documentation kept by a nurse employed in the learning and ZP14 C03_K_U11 educational environment.

PRACTICAL CLASSES – semester 3 – work environment

7 (organisational unit of occupational health service) Health risks occurring in the work environment. Identification of ZP15 interfering, harmful and dangerous factors. Nursing diagnosis regarding C03_K_U11 the work environment. Types of preventive examinations carried out on employees ZP16 C03_K_U08 (preliminary, periodical and check-up examinations). Procedures for confirming occupational and para-occupational disease, ZP17 C03_K_U08 an accident at work. 20 Health promotion programmes for selected groups of workers. Health ZP18 C03_K_U08 education regarding health behaviours of workers. Characteristics of nurses' work in organisational units of occupational ZP19 C03_K_U08 health services.

Documentation kept by a nurse employed in the healthcare services for C03_K_U07 ZP20 workers. Cooperation with a nurse from the healthcare services for workers. C03_K_U11

PRACTICAL CLASSES – semester 3 – Home nursing care ZP21 Characteristics and organisation of nurse's work in home care C03_K_U11 C03_K_U02 ZP22 Background check, observations and measurements. C03_K_U05 C03_K_U08 C03_K_U08 ZP23 Classifying a patient for home nursing care. 20 C03_K_U10 Assessment of the risk of pressure ulcers in the case of a home care ZP24 C03_K_U05 patient. C03_K_U07 ZP25 Documentation kept by a home/long term care nurse. C03_K_U11 Practical classes in total 120

PRACTICAL CLASSES – semester 2 – Environmental care (primary healthcare facility) Collection of information by means of an interview, observation and C03_K_U02 PZ01 10 analysis of documentation in order to diagnose patient's condition. C03_K_U05 C03_K_U02 PZ02 Making nursing diagnosis. 10 C03_K_U05 Planning a visit to the environment and preparing a nursing bag in PZ03 C03_K_U10 10 accordance with the purpose of the visit. PZ04 Participation in patronage and environmental visits. C03_K_U05 10 Implementation of health education regarding health behaviours:  nutrition,  physical activity, PZ05 C03_K_U08 10  mental health,  prevention of cardiovascular diseases,  neoplastic disease. Measurement of basic parameters: blood pressure, heart rate, sugar level in blood and urine, breathing, body weight, growth. Interpretation PZ06 C03_K_U05 10 of obtained results. Collection of biological material for diagnostic tests in accordance with particular regulations. Conducting background checks in order to: assess the general condition of a patient and the process of PZ07  C03_K_U02 10 his/her recovery;  assess the quality of life and the psychophysical efficiency;

8  assess and monitor pain;  assess the nursing-caring efficiency of a family. Providing the guaranteed health services (e.g. screening tests PZ08 monitoring development of a child and detecting deviations from the C03_K_U08 10 development standard, prevention of tuberculosis). PZ09 Keeping medical records required at the primary healthcare facility. CO3_K_U11 10 PZ10 Cooperation with the clinic's workers, primary healthcare nurses. C03_K_U08 10 Hours in total 100

APPRENTICESHIP – semester 3 – Learning and educational environment (school) C03_K_U02 Recognition of physical health risks and psychosocial risks in the C03_K_U08 PZ11 5 school environment. C03_K_U10 C03_K_U11

Performing screening tests: measurement of height, weight, vision, C03_K_U02 PZ12 colour vision, hearing, musculoskeletal system, blood pressure. 10 Interpretation of results of screening tests. C03_K_U05 C03_K_U08 PZ13 Provision of assistance in case of injuries, illnesses and poisonings. 5 C03_K_U11

Implementation of health education and health promotion regarding C03_K_U08 PZ14 5 health behaviours: nutrition, physical activity, mental health. C03_K_U11 C03_K_U10 PZ15 Cooperation with a nurse and teachers. 5 C03_K_U11 Provision of advice to children and school students regarding health PZ16 C03_K_U05 5 behaviours. C03_K_U05 PZ17 Providing guaranteed health services (e.g. prevention of dental caries). C03_K_U08 5 C03_K_U11

Identification and differentiation of health, social and school problems C03_K_U02 PZ18 5 among children and school students. C03_K_U11 Documenting the work of a nurse in the learning and educational PZ19 C03_K_U02 5 environment. Hours in total 50

APPRENTICESHIP – semester 3 – Home nursing care C03_K_U02 Collecting information for a diagnosis and nursing plan by means of a PZ20 C03_K_U05 10 background check, observations and analysis of medical records. C03_K_U11 C03_K_U02 Documenting the nursing actions regarding the patient in the home PZ21 C03_K_U08 5 environment. C03_K_U11 C03_K_U02 Classifying the patient for home nursing care according to the Barthel PZ22 C03_K_U10 5 Index. C03_K_U11 C03_K_U02 Assessing the risk of pressure ulcers using the Norton scale. C03_K_U05 PZ23 Application of dressings in the treatment of chronic wounds and C03_K_U08 5 pressure ulcers. C03_K_U10 C03_K_U11

PZ24 Conducting health education for a patient and his/her family C03_K_U08 5

9 members regarding self-care and self-nursing, as well as prevention of C03_K_U10 pressure ulcers. C03_K_U11 C03_K_U02 Performing diagnostic tests outside the laboratory based on sets and C03_K_U05 PZ25 apparatus designed for markers prepared in the patient's place of 10 residence. C03_K_U08 C03_K_U10

Measuring the basic vital signs: blood pressure, heart rate, breathing, C03_K_U02 PZ26 sugar level in blood. Observation of a patient regarding oedema. C03_K_U05 5 Interpretation of obtained results. C03_K_U10 C03_K_U08 Assistance for a family regarding orthopaedic supplies and aiding PZ27 C03_K_U10 5 additives. C03_K_U11 Hours in total 50 Correlation of particular types of classes

Semester W CW BNA ZP PZ

2 W01-W17 CW01-CW04 BNA01-BNA03 ------

2 ------ZP01-ZP07 ---

2 OSCE EXAM – part 1 2 ------PZ01-PZ10

3 W18-W21 --- BNA04-BNA05 ------

3 ------ZP08-ZP25 ---

3 OSCE EXAM – part 2 3 ------PZ11-PZ27

Note: practical classes may be implemented only after the end of theoretical education, while professional practice - only after the end of practical classes.

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W+BNA CW ZP PZ W+BNA CW ZP PZ

W01-W02 W11-W12 C03_K_W01 ------test ------BNA03 BNA05

W03 C03_K_W02 ------test ------BNA01

W03, W24 C03_K_W03 ------test ------BNA02

W04, W09 C03_K_W04 ------test ------W21

W06, W08 C03_K_W05 W14-W15 ------test ------W18-W19

W05, W07 C03_K_W06 ------test ------W17, W20

10 BNA04

C03_K_W07 W10, W17 ------test ------

W12, W14 C03_K_W08 ------test ------W16, W18

W12, W14 C03_K_W09 ------test ------W16, W20

W12-W13 C03_K_W10 ------test ------W18-W20

C03_K_U01 --- C01-C04 ------

ZP03 PZ01-PZ02 ZP05-ZP06 PZ07 C03_K_U02 ------ZP10 PZ11-PZ12 --- ZP13 PZ18-PZ23 ZP22 PZ25-PZ26

C03_K_U03 --- C01-C04 ------

C03_K_U04 --- C01-C04 ------

PZ01-PZ02 PZ04 ZP03 PZ06 ZP05-ZP06 PZ12 C03_K_U05 ------ZP22 PZ16-PZ17 ZP24 PZ20 PZ23 PZ25-PZ26

C03_K_U06 --- C01-C04 ------

ZP20 C03_K_U07 --- C01-C04 ------ZP25

PZ04 ZP01 PZ08 ZP93 PZ10-PZ11 ZP05-ZP06 PZ13-PZ14 C03_K_U08 ------ZP09 ------PZ17 ZP11-ZP13 PZ21 ZP16-ZP19 PZ23-PZ25 ZP22-ZP23 PZ27

PZ11 ZP08 C03_K_U09 ------PZ13-PZ14 ------ZP12-ZP13 PZ16-PZ18

PZ03 PZ09 ZP01 PZ11 C03_K_U10 ------ZP03-ZP05 PZ15 ------ZP23 PZ17-PZ18 PZ20-PZ25 PZ27

ZP01 C03_K_U11 ------ZP03-ZP15

11 ZP20-ZP21 ZP25

360º 360º 360º C03_K_K01 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K02 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K03 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K04 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K05 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K06 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K07 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K08 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K09 --- all all all --- observ observ observatio ation ation n

360º 360º 360º C03_K_K10 --- all all all --- observ observ observatio ation ation n Teaching methods, method of implementation and evaluation

Semester 2: Lecture with multimedia presentation and / or a conversational lecture. Crediting lectures: final assessment test, descriptive questions regarding BNA classes. Each question is rated from 2.0 to 5.0. The grade for a particular educational outcome is determined as the arithmetic mean of grades obtained for specific test questions and is calculated with an accuracy of two decimal digits. Lecture and The condition for passing the lecture test is to obtain a positive grade from the answers to classes questions about each learning effect in the field of knowledge. Obtaining at least one without unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory participation grade for the entire final test. In a particular case when a student receives one or two of an unsatisfactory grades for educational outcomes (when only a few hundredths of a point are academic missing in order to obtain a positive result), the lecturer may decide on additional questioning of teacher (BNA) the student regarding the particular educational outcome(s), making a relevant note on the – semester 2 student's test sheet (along with the additional questions). The final test from lectures concurrently includes the education content mastered by the student as part of classes without participation of an academic teacher (BNA). This part includes descriptive questions. The number of sets (with 3 questions in each) should be equal to the number of students taking the exam. Questions in the sets may be repeated. Student chooses one set that must be attached to the lecture crediting card.

12 Descriptive answers are rated from 2.0 to 5.0. The condition for passing the BNA classes is to obtain a positive grade for each answer.

Semester 3: Lecture with multimedia presentation and / or a conversational lecture. Crediting lectures: final test for assessment. Each question is rated from 2.0 to 5.0. The grade for a particular educational outcome is determined as the arithmetic mean of grades obtained for specific test questions and is calculated with an accuracy of two decimal digits. The condition for passing the lecture test is to obtain a positive grade from the answers to questions about each learning effect in the field of knowledge. Obtaining at least one Lecture and unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory classes grade for the entire final test. In a particular case when a student receives one or two without unsatisfactory grades for educational outcomes (when only a few hundredths of a point are participation missing in order to obtain a positive result), the lecturer may decide on additional questioning of of an the student regarding the particular educational outcome(s), making a relevant note on the academic student's test sheet (along with the additional questions). teacher (BNA) The final assessment test grade from lectures shall be accompanied by: – semester 3  the grade from an essay prepared by the student on selected concepts regarding workers' health (BNA04);  the grade from an essay prepared by the student on the burnout syndrome among primary healthcare nurses (BNA05). Bibliography should be attached to each essay. Essays are rated from 2.0 to 5.0. Essays prepared by the student should be attached to the crediting card from lectures and BNA classes (semester 3). Note: instead of an essay, additional questions regarding the particular subject may be included in the final assessment test.

Semester 2. Practical classes Practical classes are preparation for practical training and apprenticeship in different environments. Practical classes take place in simulated conditions.

Semester 2. Practical training is a continuation of practical classes and it takes place in natural conditions (entities subject to the primary healthcare activities: primary healthcare facilities, e.g. clinics, learning and educational environment, e.g. schools, kindergartens, work environment, e.g. a selected company, home care). Attendance at practical training is obligatory and confirmed in the "Practical training register" by the tutor of the practical training.

semester 2 The result of accomplishment of the practical training in semester 2 is preparation of two essays by the student, rated from 2.0 to 5.0:  nursing diagnosis regarding a selected patient-recipient of the primary healthcare. Nursing diagnosis should contain: ○ patient interview, ○ observations made by the student, ○ analysis of medical records, ○ diagnosis on patient's condition, ○ bibliography.

13  a comprehensive care plan for the family, including the patient's self-care plan and the non-professional care programme for the patient's family for the selected family health situation. The care plan should contain (it is recommended that the care plan should refer to the same patient for whom the nursing diagnosis was made): ○ diagnosis on patient's condition, ○ analysis of the patient's health situation in the context of his/her family (family members, assessment of the family's efficiency regarding patient care), ○ analysis of the patient's capacity for self-care and self-nursing, ○ self-care and self-nursing plan for the patient, ○ non-professional healthcare plan for the patient's family, ○ bibliography. Semester 2. After completion of lectures, practical classes and practical training in semester 2, the student may proceed to the first part of the module exam (OSCE exam). The student chooses one task from two station sets (in each set there are 5 stations). Stations of type I (simulation of a clinic): simulated patient with an unexplained health problem, for the first time in the clinic, without medical records on his/her medical condition. Task: interview the patient, measure the parameters, if necessary, assess the rate of pain (with a selected scale applied), recognize the patient's condition, make a nursing diagnosis. Time to complete the task: 20 minutes. Stations of type II (simulation of the home environment): simulated patient with a specific health problem, with medical records on his/her medical condition, does not comply with medical advice, with specific deficiency regarding self-care and self-nursing; simulated patient's family with insufficient capacity regarding patient care. OSCE exam – Task: patient interview establishing deficiency regarding self-care and self-nursing, interview part 1 with the patient's family in order to determine their efficiency regarding patient care, health education for the patient on the subject of health behaviours (e.g. nutrition, physical activity, mental health, nicotine addiction, alcoholism, excessive use of medications, cardiovascular disease prevention, cancer prevention), health education for the patient on the subject of non- professional patient care. Time to complete the task: 20 minutes. Each task requires a checklist where all necessary steps performed by the student are marked. In addition, the checklist should contain elements assessing student's achievement on social competences, in particular:  C03_K_K01 - respect for the dignity and autonomy of people entrusted to care,  C03_K_K03 – compliance with values, duties and moral efficiency in care,  C03_K_K05 – compliance with patients' rights  C03_K_K07 – compliance with professional secrecy,  C03_K_K10 - showing empathy in the relationship with the patient and his/her family. Each task is rated from 2.0 to 5.0.

Practical Semester 2. training – The student can start practical training after obtaining positive grades from lectures, classes, semester 2 practical classes and the first part of the OSCE exam.

Semester 3: Practical training – Practical training is a continuation of practical classes and it takes place in natural conditions semester 3 (entities subject to the primary healthcare activities: primary healthcare facilities, e.g. clinics, learning and educational environment, e.g. schools, kindergartens, work environment, e.g. a

14 selected company, home care). Attendance at practical training is obligatory and confirmed in the "Practical education register" by the teacher. In the third semester, the following educational outcomes regarding knowledge and skills are implemented (learning and educational environment, work environment, home nursing care):

Verification of the student's achievement of the above-mentioned educational outcomes is carried out on a regular basis during the semester, after completion of each subject of the course. Rated from 2.0 to 5.0. Within practical classes, students prepare 3 essays, which are rated from 2.0 to 5.0 (intermediate grades: 3.5 and 4.5): 1. diagnosis (report) on the health and safety situation of students in the selected school; 2. nursing diagnosis regarding the selected work environment; 3. health promotion programmes for a selected group of workers.

Ad 1. The diagnosis (report) on the student's health and safety situation should contain the following elements:  identification of the students' family environment;  identification of the students' needs regarding care and education, as well as psychological and pedagogical aspects;  identification of students' health problems;  identification of school problems (the problem of physical violence, the problem of verbal aggression, the problem of lack of discipline in the classroom, lack of interest in learning);  suggested actions to be taken: ○ education regarding promotion of a healthy lifestyle, personal hygiene, proper nutrition, problems of adolescence; ○ prevention of school failures: diagnosis of the causes of problems in learning, identifying dyslexic students, screening tests in speech therapy; ○ prevention of violence and aggression; ○ caring for the safety of children at school and outside the school: safe and dangerous behaviours at school, road safety; ○ helping students from dysfunctional families and those in a difficult financial situation: providing meals, financial and material support;  bibliography.

Ad 2. Nursing diagnosis regarding a selected work environment should contain the following elements:  health promotion;  prevention of occupational diseases;  prevention of accidents;  prevention of civilisation diseases in the workplace;  needed care for a chronically ill person in the shelter employment work environment;  needed care for juveniles (15-18 years old);  needed care for people approaching retirement  bibliography.

Ad 3. Health promotion programme for a selected group of employees should contain the following elements:

15  assessment of needs and expectations of employees in the work environment;  the objectives of the programme for health promotion (e.g. improvement of balance between work and everyday life, reducing musculoskeletal disorders, general promotion of healthy lifestyle);  connection with preventive measures;  inclusion of existing and proven pro-health activities in the health promotion programme;  description of programme implementation, management involvement;  adjustment of promotional materials to recipients;  assessment of influence of the health promotion programme on the quality of the work environment (e.g. reduction of absence due to illness);  financial benefit assessment;  bibliography.

OSCE exam – Semester 3 part 2 – OSCE exam – part 2, may be taken by a student who obtained a credit for lectures, classes semester 3 without participation of a teacher and practical training classes.

Practical Semester 3 training – The student can start practical training after obtaining positive grades from lectures, practical semester 3 training classes and the second part of the OSCE exam.

Student's workload

Hours of Total Activity form Hours in detail student's work hours Participation in lectures 30 hours + 15 hours 45 Participation in practical classes * 15 hours 15* Participation in practical training classes * 60 hours x 2 semesters 120*

Contact Semester 2 Semester 3 hours with an academic Participation in consultations related W 2 W 2 teacher to classes * CW 2* CW --- 8 (note: each form of classes includes 2 hours 10* of consultation) BNA 2 BNA 2 ZP 2* ZP 2* PZ 2* PZ 2* Contact hours with a practical training supervisor on Participation in practical training * 2.5 weeks x 2 semesters 200* the part of the health care provider

Preparation for the OSCE Exam * 5 hours x 2 semesters 10* Preparation for practical classes * (semester 2) Student's (it is assumed that each subject of practical 4 subjects x 3 hours 12* individual work classes requires 3 hours of student's preparation) Preparation for practical classes * (it is assumed that each subject of practical 25 subjects x 2 hours 50* classes requires 2 hours of student's

16 preparation)

Individual work within BNA classes 5 hours + 10 hours 15 Preparation of an essay on selected concepts of occupational health (classes without 5 hours 5 participation of a teacher – BNA04 – semester 3) Preparation of an essay on the burnout syndrome among primary healthcare nurses 5 hours 5 (classes without participation of a teacher – BNA05 – semester 3) Preparation for the final assessment test 5 hours x 2 semesters 10 from lectures (and BNA classes) Preparation for the final assessment test 5 hours 5* from practical classes *(semester 2) Preparation of a written nursing diagnosis for a selected patient-recipient of the primary 5 hours 5* healthcare * (practical training classes – semester 2) Preparation of a comprehensive healthcare plan for the family including a self-care plan for the patient and a non-professional care 5 hours 5* programme for a selected health situation in the family * (practical training classes – semester 2) Preparation of the nursing process regarding environmental care (practical training – 5 hours 5* semester 2) Preparation of a diagnosis (report) on the health situation and safety of students in a 5 hours 5* selected school (practical classes – semester 3) Preparation of a nursing diagnosis regarding a selected work environment (practical classes 5 hours 5* –semester 3) Preparation of a health promotion programme for a selected group of employees (practical 5 hours 5* classes – semester 3) Preparation of a nursing process regarding home nursing care (practical training – 5 hours 5* semester 3) Total student's workload 545

ECTS Workload Hours points

Student's workload associated with classes that require direct 198 5,8 teacher participation Quantity indicators Student's workload associated with classes that do not 347 10,2 require direct teacher participation

* Student's workload associated with practical classes 457 13,4

* Student's workload associated with theoretical classes 88 2,6

Basic  Kilańska D. Pielęgniarstwo w podstawowej opiece zdrowotnej, Tom I-II. (Nursing in primary healthcare, vol. I-II.), Lublin: Wyd. Makmed., 2008. bibliography  Bożkowa K.. Opieka zdrowotna nad rodziną. (Healthcare for a family.), Warszawa:

17 Wydawnictwo Lekarskie PZWL, 2003.  Kawczyńska-Butrym Z. Podstawy pielęgniarstwa rodzinnego. (Fundamentals of family nursing.), Warszawa: Wydawnictwo Lekarskie PZWL, 1994.  Kawczyńska-Butrym Z. Diagnoza pielęgniarska. (Nursing diagnosis.), Warszawa: Wydawnictwo Lekarskie PZWL, 1999.  Kawczyńska-Butrym Z. Rodzina – zdrowie – choroba. Koncepcje i praktyka pielęgniarstwa rodzinnego. (Family – health – disease. Concepts and home nursing practice.), Lublin: Czelej, 2001.  lusarska B., Zarzycka D., Zahradniczek K. Podstawy pielęgniarstwa ogólnego. (Fundamentals of general nursing.), Lublin: Czelej, 2004.  Rozporządzenie Ministra Zdrowia z dnia 22 listopada 2013 r. w sprawie wiadczeń gwarantowanych z zakresu wiadczeń pielęgnacyjnych i opiekuńczych w ramach opieki długoterminowej (Dz.U.2003 poz. 1480). (Regulation of the Minister of Health of 22 November 2013 on guaranteed benefits regarding care and nursing services withing long- term care – Journal of Laws 2003, item 1480).  Rozporządzenie Ministra Zdrowia z dnia 24 wrzenia 2013 r. w sprawie wiadczeń gwarantowanych z zakresu podstawowej opieki zdrowotnej (Dz.U.2013 poz. 1248). (Regulation of the Minister of Health of 24 September 2013 on guaranteed benefits within primary healthcare – Journal of Laws 2013, item 1248).)  Rozporządzenie Ministra Zdrowia z dnia 20 października 2005 r. w sprawie zakresu zadań lekarza, pielęgniarki i położnej podstawowej opieki zdrowotnej (Regulation of the Minister of Health of 20 October 2005 on responsibility of a physician, nurse and midwife in the primary healthcare)  Ustawa z dnia 27 sierpnia 2004 r. o wiadczeniach opieki zdrowotnej finansowanych ze rodków publicznych (Dz.U.2004 Nr 210, poz. 2135, z późn. zm.) (Act of 27 August 2005 on healthcare services financed from public funds – Journal of Laws 2004 No 210, item 2135, as amended)  Latkowski J.B., Lukas W. Medycyna rodzinna. (Family medicine.), Warszawa: Wydawnictwo Lekarskie PZWL, 2004.  Kawczyńska-Butrym Z. (red.). Pielęgniarstwo rodzinne. (Family nursing.), Warszawa: Centrum Edukacji Medycznej, 1997.  Międzynarodowa Statystyczna Klasyfikacja Chorób i Problemów Zdrowotnych. rewizja dziesiąta. (International Statistic Classification of Diseases and Related Health Problems. Revision ten.), Wydanie 2008. World Health Organization. Warszawa: Centrum Systemów Informacyjnych Ochrony Zdrowia (Center for Healthcare Information Systems), 2012.  Wągrowska-Koski E., Nowakowska B., Soćko R., Czerczak R. Profilaktyczna opieka zdrowotna nad pracującymi. (Preventative healthcare over employees.), ŁódźŚ Instytut Medycyny Pracy (Institute of Occupational Medicine), 2005.  Kopias J., Sakowski P. tłum. Pielęgniarstwo w opiece zdrowotnej nad pracującymi. Koncepcja zarządzania zdrowiem w miejscu pracy. (Nursing in healthcare over employees. The concept of health management in the workplace.), Warszawa: Ministerstwo Zdrowia (The Ministry of Health), 2006. Supplementar  Czajka P. Poczucie bezpieczeństwa ucznia w rodowisku szkolnym. (A sense of safety of a y bibliography student in the school environment.), Praca magisterska. (Master's thesis.) KrakówŚ Uniwersytet Pedagogiczny im. Komisji Edukacji Narodowej w Krakowie, 2009. URL: http://pbc.up.krakow.pl/Content/1210/Poczucie_bezpieczenstwa_ucznia_w_srodowisku_sz kolnym.pdf (20.06.2016).  Działania szkoły na rzecz zdrowia i bezpieczeństwa uczniów. (School activities for the health and safety of students.), Warszawa: Ministerstwo Edukacji Narodowej (The Ministry of National Education), 2013.  Bramora L. Organizacja i zadania służb medycznych pracy. Diagnoza pielęgniarska w rodowisku pracy – profilaktyka chorób zawodowych, cywilizacyjnych i wypadków. (Organisation and tasks of medical services. Nursing diagnosis in the workplace – prevention of occupational diseases, lifestyle and accidents.) Biuletyn Informacyjny wydawany przez Okręgową Radę Pielęgniarek i Położnych w Częstochowie (Information Bulletin issued by the District Council of Nurses and Midwives in Częstochowa), listopad 2013; s. 9-12.  Abramczyk A. Diagnoza pielęgniarska w rodowisku pracy. (Nursing diagnosis in the work environment.) [W:] Kawczyńska-Butrym Z. red. Diagnoza pielęgniarska. (Nursing diagnosis.), Warszawa: Wydawnictwo Lekarskie PZWL, 1999; s. 93-111.

Forms of crediting – details (intermediate grades omitted: 3.5 and 4.5).

18 Educational outcomes for Grade 2.0 Grade 3.0 Grade 4.0 Grade 5.0 the course The student The student can quite The student The student does not characterizes accurately describe characterizes very characterize primary imprecisely primary primary healthcare in professionally primary healthcare in Poland healthcare in Poland Poland and in the healthcare in Poland C03_K_W01 or in the world, and in the world, world, including the and in the world, including the tasks of including the tasks of tasks of a nurse including the tasks of a nurse and other a nurse and other and other healthcare a nurse and other healthcare workers healthcare workers workers healthcare workers The student The student describes The student can adequately The student does not imprecisely the describe quite well the and precisely know the information C03_K_W02 information information characterizes the management system management system management system information in primary healthcare in primary healthcare in primary healthcare management system in primary healthcare The student quite The student cannot Student gives a small The student indicates precisely indicates the indicate the amount of very well the determinants and C03_K_W03 determinants determinants and determinants and measures of the and quality measures quality measures of quality measures of quality of primary of primary healthcare primary healthcare primary healthcare healthcare The student does not The student describes The student confuses The student describes know the imprecisely the occasionally the professionally the environmental-family environmental-family environmental-family environmental-family C03_K_W04 care model or care model and care model and care model nursing care forms nursing care forms nursing care forms and nursing care within primary within primary within primary forms within primary healthcare healthcare healthcare healthcare The student cannot The student describes The student describes The student describes describe imprecisely professionally quite precisely diversification in the diversification in the diversification in the diversification in the environmental-family environmental-family environmental-family environmental-family care regarding care regarding care regarding care regarding information gathering, information gathering, information gathering, C03_K_W05 information gathering, diagnosis, working diagnosis, working diagnosis, working diagnosis, working and documenting and documenting and documenting and documenting methods due to the methods due to the methods due to the methods due to the living, learning living, learning living, learning living, learning and and working and working and working working environment environment environment environment The student describes The student does not The student confuses The student describes adequately describe occasionally some diversification in and precisely diversification in the diversification in the the environmental- diversification in the environmental-family environmental-family family care regarding environmental-family care regarding care regarding collecting information, care regarding collecting information, collecting information, diagnosing, working collecting information, diagnosing, working diagnosing, working C03_K_W06 and documenting diagnosing, working and documenting and documenting methods concerning and documenting methods concerning methods concerning an individual recipient methods concerning an individual recipient an individual recipient and his/her condition, an individual recipient and his/her condition, and his/her condition, characteristics of the and his/her condition, characteristics of the characteristics of the family and local characteristics of the family and local family and local community family and local community community community The student cannot The student provides The student provides The student provides C03_K_W07 provide the healthcare imprecisely the quite precisely the professionally the services within healthcare services healthcare services healthcare primary healthcare, within primary within primary health services within

19 including guaranteed healthcare, including care, including primary health care, benefits and cannot guaranteed services guaranteed services including guaranteed provide healthcare for and providing and providing care for services and an ill patient healthcare for an ill an ill patient providing care for an patient ill patient The student makes The student assesses The student cannot The student assesses occasional mistakes very accurately the assess the learning a small amount of in assessing the learning and and educational health problems learning and educational environment in terms among children and educational C03_K_W08 environment in terms of recognition of adolescents in the environment in terms of recognition of health problems learning of recognition of health problems among children and and educational health problems among children adolescents environment. among children and adolescents and adolescents The student requires The student prepares The student is not The student prepares assistance in the independently and able to prepare the quite precisely the preparation of professionally the equipment and means equipment and means equipment and means equipment and means C03_K_W09 for provision of for provision of for provision of for provision of nursing care in nursing care in nursing care in nursing care in patient's living patient's living patient's living patient's living environment environment environment environment The student does not The student applies The student knows The student applies know the standards inaccurately the the standards and precisely the C03_K_W10 and nursing standards and nursing occasionally confuses standards and nursing procedures in primary procedures in primary nursing procedures in procedures in primary healthcare healthcare primary healthcare healthcare The student cannot The student suggests The student justifies suggest an adequate a nursing model that The student suggests professionally the nursing model in the is not very appropriate a nursing model for C03_K_U01 proposed model for prepared primary for an individual an individual primary an individual primary healthcare patient primary healthcare healthcare patient healthcare patient care process patient The student uses The student is not The student uses only The student uses the professionally able to apply methods some of the methods majority of methods of adequate methods of of collecting of collecting collecting information collecting information information in order to information in order to in order to recognise C03_K_U02 in order to recognise recognise the health recognise the health the health condition of the health condition of condition of the condition of the the patient and the patient and patient or prepare a patient and prepare a prepare a nursing prepare a nursing nursing diagnosis nursing diagnosis diagnosis diagnosis The student The student The student is not determines the The student determines the able to determine the objectives and care determines fully the objectives for a objectives and/or care plan for a patient objectives and care C03_K_U03 primary healthcare plan for a primary (primary healthcare plan for a patient patient, however, the healthcare patient- recipient), ignoring (primary healthcare included care plan is recipient some patient's health recipient) not consistent problems The student plans and The student can plan The student cannot The student plans and carries out nursing and carry out nursing plan and/or carry out carries out nursing care together with a care together with a nursing care together care together with a C03_K_U04 patient (primary primary healthcare with a patient (primary primary healthcare healthcare recipient) patient and his/her healthcare recipient) patient and his/her and his/her family family without and his/her family family professionally only to a small degree mistakes The student cannot The student The student can The student monitors C03_K_U05 monitor the patient's imprecisely monitors monitor the patient's very well the patient's health condition, the patient's health health condition, health condition, cannot assess condition, has serious assesses almost all correctly assesses

20 primary vital signs problems with primary vital signs primary vital signs: assessing primary temperature, heart vital signs rate, blood pressure, breathing and consciousness, body weight and height The student performs The student cannot The student performs The student performs ongoing and final perform ongoing ongoing and final ongoing and final assessment of the and final assessment assessment of the assessment of the patient's (primary of the patient's patient's (primary patient's (primary healthcare recipient's) C03_K_U06 (primary healthcare healthcare recipient's) healthcare recipient's) health condition and recipient's) health health condition and health condition and effectiveness of condition and/or effectiveness of effectiveness of nursing activities effectiveness of nursing activities to a nursing activities almost without nursing activities small degree professionally mistakes The student keeps nursing records, including The student is able to nursing history of the The student is not The student keeps keep most types of patient primary able to keep nursing nursing – nursing healthcare recipient, C03_K_U07 documentation documentation to a documentation observation chart, regarding primary small degree, only regarding primary temperature chart, healthcare some elements of it healthcare report chart, prevention and treatment of pressure ulcers chart The student cannot The student provides The student provides The student provides provide the healthcare quite precisely the professionally all some healthcare services within healthcare healthcare services within primary services within services within primary healthcare, C03_K_U08 healthcare, including primary healthcare, primary health care, including guaranteed guaranteed services including guaranteed including guaranteed services and and providing services and services and providing healthcare healthcare for an ill providing healthcare providing care for an for an ill patient patient for an ill patient ill patient The student makes The student assesses The student assesses The student cannot occasional mistakes imprecisely the professionally and assess the learning in assessing the learning and precisely the learning and educational learning and educational and educational environment in terms educational C03_K_U09 environment in terms environment in terms of recognition of environment in terms of recognition of of recognition of health problems of recognition of health problems health problems among children and health problems among children and among children adolescents among children adolescents and adolescents and adolescents The student is not The student prepares The student prepares The student prepares able to prepare the quite precisely the precisely the some equipment equipment and means equipment and means equipment and means and means for C03_K_U10 for provision of for provision of for provision of provision of nursing nursing care in nursing care in nursing care in care in patient's living patient's living patient's living patient's living environment environment environment environment The student does not The student applies The student The student knows know and cannot nursing standards and professionally and some nursing apply nursing procedures in primary precisely applies C03_K_U11 standards and standards and healthcare (makes nursing standards and procedures in primary procedures in primary mistakes procedures in primary healthcare healthcare occasionally) healthcare

C03_K_K01 The student does not The student respects The student respects The student respect the dignity the dignity and quite professionally demonstrates

21 and autonomy of autonomy of people the dignity and professionalism people entrusted to entrusted to care autonomy of people in respecting the care entrusted to care dignity and autonomy of people entrusted to care The student does not The student The student The student precisely upgrade professional unsystematically systematically develops professional knowledge and does develops professional develops professional C03_K_K02 knowledge and skills, not develop skills to knowledge and skills, knowledge and skills, aiming at aim at aiming at aiming at professionalism professionalism professionalism professionalism The student The student does not The student quite The student complies professionally and comply with values, precisely complies with values, duties precisely complies C03_K_K03 duties and moral with values, duties and moral efficiency with values, duties efficiency and moral efficiency in healthcare and moral efficiency in healthcare in healthcare in healthcare The student The student shows demonstrates The student shows no The student shows high moral reliability and moral responsibility moral responsibility responsibility for a professionalism in C03_K_K04 for a person and for a person and person and moral responsibility performance of performance of performance of for a person and professional tasks professional tasks professional tasks performance of professional tasks The student does not The student knows The student respects The student does not know exactly and and respects the patient's rights C03_K_K05 respect the patient's does not respect the patient's rights quite professionally and rights patient's rights professionally precisely The student performs The student performs The student performs The student performs only a few professional duties most professional all professional duties C03_K_K06 professional duties unreliably duties reliably reliably reliably and and inaccurately and accurately and accurately accurately The student adheres The student adheres The student adheres The student does not to professional to professional to professional C03_K_K07 adhere to professional secrecy only in a few secrecy in most secrecy in every secrecy performed duties performed duties professional activity The student very The student only The student quite The student does not willingly and occasionally often collaborates as collaborate as part of professionally collaborates as part of part of an an interdisciplinary collaborates as part of an interdisciplinary interdisciplinary team team in solving ethical an interdisciplinary C03_K_K08 team in solving ethical in solving ethical dilemmas while team in solving ethical dilemmas while dilemmas while maintaining the dilemmas while maintaining the maintaining the principles of the code maintaining the principles of the code principles of the code of professional ethics principles of the code of professional ethics of professional ethics of professional ethics The student is open to The student is not The student The student is open to the development of open to the occasionally shows the development of their own and C03_K_K09 development of their willingness to develop their own and patient's subjectivity own and patient's their own and patient's subjectivity willingly and in most subjectivity patient's subjectivity in all situations situations The student The student always The student does not The student rarely demonstrates and willingly demonstrate empathy demonstrates empathy in the demonstrates in the relationship empathy in the C03_K_K10 relationship with the empathy in the with the patient, relationship with the patient, his/her family relationship with the his/her family and patient, his/her family and colleagues in patient, his/her family colleagues. and colleagues most situations. and colleagues.

PIE1.C04. Dietetics

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Code PIE1.C04. ECTS points 3,0 Dietetics Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12 [email protected] Obligatory Status of course / Modular block C. Basics of nursing care science Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 4 7 15 --- 15 ------Form of crediting ZO --- ZO ------ECTS 1.0 ------Education area in direction of Medical sciences, health sciences and physical education sciences studies Field of science Health Sciences Language English of lectures Prerequisites None To familiarize the student with nutrition within the period of health and illness, and the principles Educational of organizing nutrition of a healthy person. goals To familiarize the student with foodstuffs intended for particular nutritional uses, principles of its selection, and rules of issuing prescriptions. Reference Correspondence level to the direc- between the course edu- Symbol of the course Description of course educational outcome tional educational outcome and the educational outcome cational directional educational outcome outcome Educational outcomes regarding knowledge Defines the requirements (quantitative and C04_K_W01 qualitative) of the body for nutrients essential to C.W27 ++ maintain life in conditions of health and illness Lists nutrition principles regarding healthy C04_K_W02 persons of different ages and characterizes the C.W28 ++ essence of enteral and parenteral nutrition Knows the principles of prevention, dietary C04_K_W03 C.W29 ++ treatment and diet therapy complications Knows foodstuffs intended for particular nutri- C04_K_W04 C.W51 ++ tional uses

1 Educational outcomes regarding skills Assesses the nutritional state of the body with C04_K_U01 the use of biochemical, anthropometric meth- C.U46 ++ ods and patient interview Provides counselling on adult and healthy C04_K_U02 C.U47 ++ children nutrition Applies selected therapeutic diets regarding obesity, malnutrition, diabetes, hyperlipidemia, C04_K_U03 C.U48 ++ hypertension, heart and vascular diseases, pancreas and liver diseases Has the ability to select foodstuffs for particular nutritional uses and abilities to issue prescriptions for foodstuffs for particular uses, neces- C04_K_U04 C.U69 ++ sary for the continuation of treatment, within implementation of medical orders, and can provide information on their use Educational outcomes regarding social competences Systematically develops professional C04_K_K01 knowledge and skills within dietetics, aiming at D.K2 +++ professionalism

CURRICULUM CONTENT

Symbol Implemented and no. of Subjects of classes educational Hours classes outcome

Form of classes: lectures

Lecture Assessment of nutritional status and diets C04_K_W04 W01 1 C04_K_U04 Malnutrition and its consequences. C04_K_W04 W02 2 C04_K_U04 Enteral nutrition and methods of administering food with particular W03 C04_K_W04 2 emphasis on nutrition through a gastric tube and gastrostromy W04 Parenteral nutrition. C04_K_W04 2 W05 Elements of dietary nutrition - diet types. C04_K_W04 2 W06 Feeding patients with an increased catabolism. C04_K_W04 2 W07 Human nutrition in various disease conditions C04_K_W04 2 Participation of a nurse in nutritional treatment. Food preparation de- W08 pending on patient's condition (preoperative, postoperative, in the C04_K_W04 2 case of tissue loss and skeletal fractures). Lectures in total 15 BNA BNA01 Children and adult dietary diversity C04_K_U04 Therapeutic diet: diet development depending on body weight; weight BNA02 C04_K_U04 loss diets Therapeutic diet: high cholesterol levels diet, restriction of simple car- BNA03 C04_K_U04 bohydrates diet, high protein diet, salt-restricted diet.

Foodstuffs for particular nutritional uses: selection, issuing prescrip- C04_K_W04 BNA04 tions C04_K_U04 BNA 15

2 The correlation of particular types of classes Semester W CW BNA ZP PZ 1 W01-W08 --- BNA01-BNA04 ------The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W BNA W BNA single or multiple C04_K_W04 W02, W03 ------choice test single or multiple C04_K_W04 W05 ------choice test W03 W04 W06, single or multiple C04_K_W04 ------W07,,, W08 choice test single or multiple C04_K_W04 --- BNA04 --- choice test or an essay single or multiple C04_K_U04 W01, W02 ------choice test single or multiple C04_K_U04 --- BNA01 --- choice test or an essay single or multiple C04_K_U04 --- BNA02, BNA03 --- choice test or an essay single or multiple C04_K_U04 --- BNA04 --- choice test or an essay C01_K_K01 all all all all Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or a conversational lecture. Completion of lectures: final assessment test (2 multiple choice questions for each educational outcome regarding knowledge; in the case of educational outcomes implemented in several lectures, the number of questions is increased and proportional to total duration of lectures related to the particular educational outcome). Each question is graded from 2.0 to 5.0. The grade for a particular educational outcome is determined as the arithmetic mean of grades obtained for specific test questions and is calculated with an accuracy of two decimal digits. Lecture and classes with- The condition for passing the lecture test is to obtain a positive grade from the answers to ques- out the partic- tions about each learning effect in the field of knowledge. Obtaining at least one unsatisfactory ipation of an grade for the educational outcome is equivalent to obtaining an unsatisfactory grade for the academic entire final test. In a particular case when the student receives one or two unsatisfactory grades teacher (BNA) for educational outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions) The final test from lectures includes the content of educational outcomes mastered by the student as part of classes without an academic teacher (BNA). Instead of additional questions regarding BNA, the students may be asked to prepare an essay on one of the BNA classes subject Descriptive answers are graded from 2.0 to 5.0. Student's workload Hours of stu- Activity form Hours in detail Hours in total dent's work

3 Participation in lectures 15 x 1 hour 15 Participation in practical classes ------Contact hours with an aca- Participation in training classes * ------demic teacher Participation in consultations related to clas- Each form of classes includes 2 ses * 2 hours of consultation 2

Individual work related to the subject of BNA 15 hours * 15* Student's classes individual work Preparation for the final test from lectures 5 hours 5 Total student's workload 39 Workload Hours ECTS Student's workload associated with classes that require direct 19 0,5 teacher participation Quantity Student's workload associated with classes that do not re- indicator 20 0,5 quire direct teacher participation * Student's workload associated with practical classes 15 0,5 Student's workload associated with theoretical classes 24 0,5

 Ciborowska H., Rudnicka A. Dietetyka. Żywienie zdrowego i chorego człowieka. (Die- tetics. Healthy and ill person nutrition) Warszawa: (Warsaw) Wydawnictwo Lekarskie PZWL, 2012. (Medical Publishers PZWL, 2012) M., J. zdrowego i chorego. (Healthy and ill Basic bibliog-  Grzymisławski Gawęcki Żywienie człowieka person nutrition) Warszawa: (Warsaw) Wydawnictwo Naukowe PWN. (Scientific Pub- raphy lishers PWN )  Langley-Evans S. Żywienie: wypływ na zdrowie człowieka. (Nutrition: its impact on human health) Warszawa: (Warsaw) Wydawnictwo Lekarskie PZWL, 2014. (Medical Publishers PZWL, 2014)

Supplemen-  Selected articles of current industry-related/ trade magazines, e.g Medycyna Prak- tary bibliog- tyczna – Chirurgia, Pielęgniarstwo XXI wieku, Pielęgniarstwo i Zdrowie Publiczne itp. raphy (Practical Medicine - Surgery, XXI century Nursing and Public Health etc.)

Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes Defines nearly with- Defines requirements Does not define re- Imprecisely defines out mistakes re- (quantitative quirements (quantita- requirements (quanti- quirements (quantita- and qualitative) of the tive and qualitative) tative and qualitative) tive and qualitative) body for nutrients of the body for nutri- of the body for nutri- C04_K_W04 of the body for nutri- essential to maintain ents essential to ents essential to ents essential to life in conditions of maintain life, in con- maintain life in condi- maintain life in condi- health and illness ditions of health and tions of health and tions of health and illness illness illness Lists almost without Lists nutrition princi- Unable to list nutrition Inaccurately gives mistakes nutrition ples regarding healthy principles regarding nutrition principles principles regarding persons of different healthy persons of regarding healthy healthy persons of ages and characteriz- different ages and persons of different C04_K_W04 different ages, and es the essence of does not characteriz- ages, inaccurately characterizes quite enteral and parenteral es the essence of characterizes the accurately the es- nutrition enteral and parenter- essence of enteral sence of enteral and al nutrition and parenteral parenteral nutrition Does not know the Knows only selected Knows the principles Knows most princi- principles of preven- principles of preven- of prevention, dietary ples of prevention C04_K_W04 tion and dietary tion and dietary treatment and diet and dietary treat- treatment, and diet treatment, and some therapy complications ment, and most diet therapy complica- diet therapy compli-

4 tions cations therapy complications Does not know food- Knows only selected Knows most food- Knows foodstuffs stuffs intended for foodstuffs intended stuffs intended for intended for particular C04_K_W04 particular nutritional for particular nutri- particular nutritional nutritional uses uses tional uses uses Applies only some of Applies most meth- Assesses the nutri- Does not assess the the methods, while ods, while assessing tional state of a body nutritional condition assessing the nutri- the nutritional condi- with the use of bio- of a body with the tional condition of a tion of a body with chemical, anthropo- C04_K_U04 use of biochemical, body with the use of the use of biochemi- metric methods and anthropometric biochemical, anthro- cal, anthropometric medical records methods and medical pometric methods methods and medical records and medical records records Has lots of substan- Consults in terms of Does not consult in Almost without mis- tive issues with con- healthy nutrition of terms of healthy takes consults in C04_K_U04 sulting in terms of adults and children nutrition of adults and terms of adults and healthy nutrition of children children nutrition adults and children Applies selected Applies selected Does not apply se- therapeutic diets in therapeutic diets lected therapeutic most of the following regarding obesity, diets regarding obesi- medical conditions: malnutrition, diabetes, Applies selected ty, malnutrition, dia- obesity, malnutrition, hyperlipidemia, hyper- therapeutic diets, C04_K_U04 betes, hyperlipidem- diabetes, Hyper- tension, cardiac and only in certain medi- ia, hypertension, lipidemia, hyperten- blood vessels, pan- cal conditions cardiac, blood ves- sion, cardiac and creas, and liver dis- sels, pancreas and blood vessels, pan- eases liver diseases creas, and liver diseases Inappropriately to the Does not select food- condition of the pa- Has quite great ability Has the ability to stuffs for particular tient chooses the to select foodstuffs select foodstuffs for nutritional uses; does foodstuffs for particu- for particular nutri- particular nutritional not have the abilities lar nutritional uses; tional uses uses and abilities to to issue prescriptions have limited prescrib- and abilities to issue issue prescriptions for for foodstuffs for ing skills on food- prescriptions for foodstuffs for particu- particular uses, stuffs for particular foodstuffs for particu- C04_K_U04 lar uses, necessary necessary for the nutritional uses nec- lar uses, necessary for the continuation of continuation of treat- essary for the contin- for the continuation of treatment, with- ment, within imple- uation of treatment, in treatment, within implementation of mentation of medical the framework of the in implementation of medical orders, and orders, and/ or can- implementation of the medical orders, and can provide infor- not provide infor- orders, in a small way can provide information on their use mation on their use provide information mation on their use on their application Does not systemati- Unsystematically, to Quite systematically, Systematically devel- cally develop its a low degree devel- to a high degree ops professional professional ops professional develops professional knowledge and skills C01_K_K01 knowledge and skills knowledge and skills knowledge and skills regarding dietetics, regarding dietetics regarding dietetics, regarding dietetics, aiming at profession- and does not aim for aiming at profession- aiming at professionalism professionalism alism alism

PIE1.C05. Physical examination

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Physical examination Code PIE1.C05 ECTS points 3,0

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course/Modular block C. Basics of nursing care science Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 2 3 15 30 20 ------Form of crediting ZO ZO ZO ------ECTS 3.0 ------Education area for the field of Medical sciences, health sciences and physical education sciences study Field of science Health Sciences. Language English of lectures Prerequisites Knowledge of anatomy and physiology. Preparation for performing a professional role in recognising the patient's health needs. Presentation of the principles of physical examination performed by a nurse in specific disorders Educational of the human body functioning – the principles, methods, techniques and order of conducting goals physical examination, as well as interpretation of the results obtained in order to make a nursing diagnosis. Developing the skills to document the nursing process at the nursing diagnosis stage. Reference to Correspondence level the between the course Symbol of the course Description of the course educational outcome directional educational outcome educational outcome educational and the directional outcome educational outcome Educational outcomes regarding knowledge Describes general and detailed patient C05_K_W01 interview, the principles of its conducting and C.W30 ++ documenting; Characterizes techniques of physical examination and comprehensive physical C05_K_W02 C.W31 ++ examination of the patient for the needs of nursing care; Defines significance of results of patient C05_K_W03 interview and physical examination in the C.W32 ++ assessment of the patient's health condition for

1 the needs of nursing care Educational outcomes regarding skills Conducts patient interview, analyzes and C05_K_U01 interprets results for the needs of nursing C.U49 ++ diagnosis and its documentation Recognises and interprets basic distinctions in C05_K_U02 the examination of a newborn, infant, adult and C.U50 ++ an elderly person Uses physical examination techniques to assess the physiological functions of the skin, senses, head, chest, including the C05_K_U03 cardiovascular system, respiratory system, C.U51 ++ thoracic glands, abdominal cavity, genital organs, peripheral circulatory system, musculoskeletal system and nervous system Documents the results of physical examination, C05_K_U04 and their use in assessing patient's health C.U52 ++ condition Performs physical examination to enable early detection of breast diseases and teaches C05_K_U05 C.U53 ++ patients how to conduct breast self- examination Educational outcomes regarding social competences Systematically upgrades professional C05_K_K01 knowledge regarding physical examination, D.K2 +++ develops skills aiming at professionalism

CURRICULUM CONTENT

Implemente Symbol d and no. of Subject of classes Hours educational classes outcome

Form of classes: lectures

LECTURE W01 Range and principles of patient interview for the needs of nursing care. C05_K_W01 2 The nature and techniques of physical examination. Pattern and W02 C05_K_W02 2 principles of the examination. W03 Assessment of patient's general condition for the needs of nursing. C05_K_W02 2 Distinctions in the physical examination of a newborn, infant, adult and W04 C05_K_W03 2 an elderly person. W05 Nursing diagnosis. C05_K_W03 2 Lectures in total 10 PRACTICAL CLASSES C01 Introduction to the subject of physical examination. C05_K_U01 1 Patient interview. Collecting information about an ill adult and child. C02 C05_K_U01 4 Sources and methods of data acquisition. Physical examination. Assessment of general condition physical and C03 – C05_K_U03 4 psychomotor. C04 Assessment of cardiovascular and respiratory systems C05_K_U03 4 Assessment of organs of abdominal cavity and small pelvis; digestive C05 C05_K_U03 4 system, urinary system.

2 C06 Assessment of musculoskeletal system. C05_K_U03 2 C07 Assessment of breast gland, male and female genitals C05_K_U03 2 Participation of a nurse in assessments of sensory organs. Basics of C08 C05_K_U03 5 neurological examination. C09 Participation of a nurse in assessment of skin disease symptoms. C05_K_U03 1 Review of examination results and their application in the nursing C10 C05_K_U04 1 process. Distinctions in the physical examination of a child, adult and an elderly C11 C05_K_U02 1 person C12 Nursing records. C05_K_U04 1 Practical classes in total 30 Detailed curriculum of practical classes C01 Introduction to the subject of physical examination. Patient interview. Collecting information about an ill adult and child. Sources and methods of data acquisition. Methods of collecting patient information for the needs of nursing. Patient interview in the case of an adult and child. Observation as a data collection method. Patient interview principles. Patient interview techniques. C02 Types of patient records useful for the purposes of nursing care. Measurement methods used by a nurse to assess general health of a patient. Measurement principles. Patient interview. Advanced aspects of patient interview: difficult patients (silent patient, confusing patient, talkative patient, crying patient, patient with impaired hearing, patient with impaired vision. Patient observation and interpretation of the results obtained for the purpose of nursing diagnosis Physical examination. Assessment of general condition – physical and psychomotor. Preparation for physical examination. Thorough physical examination. Height and body weight. Methods for calculating the body mass index (BMI). Order, principles and procedures for skull examination. Order, principles and procedures for eye examination. Order, principles and procedures for ear examination. Order, principles and procedures for nose examination. Order, principles and types of C03 pathological skin changes. Physical examination of the skull. Physical examination of the eye. Physical examination of the ear. Physical examination of the neck. Standard and universal precautions for physical examination: standard precautions regarding infection with methicillin-resistant Staphylococcus aurous, universal precautions to prevent transmission of HIV and HBV viruses. Assessment of cardiovascular and respiratory systems. Primary vital signs: blood pressure, heart rate, respiratory rate, and body temperature. Pain: acute and chronic. General and detailed patient interview, principles of conducting and documenting. Physical examination and comprehensive physical examination techniques for the needs of nursing C04 care. Significance of patient interview and physical examination results in the assessment of patient's health condition for the needs of nursing care. Conditions for proper nurse-patient and nurse-medical staff communication. Collecting information by interview, observation, direct and indirect measurements (scales), documentation analysis (including analysis of diagnostic tests), physical examination to identify patient's health condition and to make nursing diagnosis. Assessment of organs of abdominal cavity and small pelvis; digestive system, urinary system. Nurse's tasks in caring for a healthy patient, patient at risk of an illness, ill patient and patient with unfavourable prognosis. C05 General and detailed patient interview, principles of conducting and documenting. Physical examination and comprehensive physical examination techniques for the needs of nursing care. Significance of patient interview and physical examination results in the assessment of patient's

3 health condition for the needs of nursing care. Documenting the results of physical examination, and their use in assessment of patient's health condition. Physical examination techniques to assess physiological functions of skin, senses, head, chest, including cardiovascular system, respiratory system, thoracic glands, abdominal cavity, genital organs, peripheral circulatory system, musculoskeletal system and nervous system. Assessment of musculoskeletal system. Traumatic patient interview regarding inflammatory cases, congenital defects and developmental disorders, neoplastic changes. Observation, palpation. C06 Assessment of posture. Limb length measurements. Examination of range of motion in joints. Examination of efficiency of muscles. Assessment of pathological gait. Assessment of breast gland, male and female genitals. C07 Factors influencing development of diseases of breast and male and female genital organs. Gynaecological examination. Participation of a nurse in assessments of sensory organs. Basics of neurological examination. Specificity of neurological examination. Examination of the cranial nerves. C08 Neurological examination of upper limbs. Neurological examination of lower limbs. Neurological examination of the spine. Neurological examination of the torso. Participation of a nurse in assessment of skin disease symptoms. Patient interview (Medical history). Assessment of skin which is not affected. Assessment of subcutaneous tissue. C09 Assessment of mucous membranes. Assessment of affected skin. Assessment of hair, nails and lymph nodes. C10 Review of examination results and their application in the nursing process. Distinctions in the physical examination of a child, adult and an elderly person. Periods in the psychomotor development. The purpose of examination and assessment of child development. C11 Techniques of physical examination of a child. Distinctions in the physical examination of an elderly person. Comprehensive geriatric assessment (COG). Nursing records. Analysis, interpretation of results for the needs of nursing diagnosis and its C12 documentation. BNA C05_K_U03 BNA01 Breast self-examination. Educational project 5 C05_K_U05 BNA02 Testicles self-examination C05_K_U03 5 BNA03 Assessment of skin towards neoplastic changes C05_K_U03 5 Patient interview interpretation of information collected for the purpose BNA04 – C05_K_U04 5 of nursing assessment of patient's condition BNA in total 20 Correlation of particular types of classes Semester W CW BNA 3 W01 ------

4 W02 C01 --- W03 C02 --- W04 C03 --- W05 C04 ------C05 ------C06 ------C07 BNA01 --- C08 BNA02 --- C09 BNA03 --- C10 ------C11 ------C12 BNA04 The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W CW + BNA W CW + BNA single or multiple C05_K_W01 W01 ------choice test single or multiple C05_K_W02 W02, W03 ------choice test single or multiple C05_K_W03 W04, W05 ------choice test C05_K_U01 --- C01, C02 --- presentation of skills C05_K_U02 --- C11 --- presentation of skills C03-C09. BNA01, C05_K_U03 ------presentation of skills BNA02, BNA03 C05_K_U04 --- C10, C12, BNA04 --- presentation of skills C05_K_U05 --- BNA05 --- presentation of skills C01_K_K01 all all 360º observation 360º observation Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or a conversational lecture. Completion of lectures: final assessment test (2 multiple choice questions for each educational outcome regarding knowledge; in the case of educational outcomes implemented in several lectures, the number of questions is increased and proportional to total duration of lectures related to the particular educational outcome). Lecture and Each question is rated from 2.0 to 5.0. The grade for a particular educational outcome is classes determined as the arithmetic mean of grades obtained for specific test questions and is without calculated with an accuracy of two decimal digits. participation The condition for passing the lecture test is to obtain a positive grade from the answers to of an questions about each learning effect in the field of knowledge. Obtaining at least one academic unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory teacher (BNA) grade for the entire final test. In a particular case when a student receives one or two unsatisfactory grades for educational outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions). Descriptive answers are rated on a scale from 2.0 to 5.0. Practical Practical classes are carried out in small groups, in the Nursing Skills Laboratory. All sorts of classes and phantoms are used (for heart and lung sounds, examination of breasts, lymph nodes, eye

5 classes fundus and ear), training videos, physical examination equipment (stethoscope, without ophthalmoscopes, otoscopes, neurological hammers, tuning forks, Snellen charts, Ishihara participation plates). Some examinations may be trained on students themselves (e.g. heart and lung of an sounds, blood pressure examination, determining the level of glucose in blood, etc.). academic Additionally, descriptions of individual cases, data sheets from nursing patient interview, teacher (BNA) physical examination charts, results of additional examination and nursing records are used. In practical classes, students present their essays prepared within BNA classes. Completion of practical classes: for a grade. The recommended form of a final test is presentation of skills acquired during the course and BNA. Student's workload Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 10 hours 15 Participation in practical classes * 30 hours 30* Contact hours with an Participation in practical training classes * ------academic teacher 2 Participation in consultations related Each form of classes includes 2* to classes * 2 hours of consultation 2*

Student's Individual work within BNA classes 20 hours* 20* individual work Preparation for the final test from lectures 5 hours 5 Total student's workload 76 Workload Hours ECTS Student's workload associated with classes that require direct 51 2,0 teacher participation Quantity Student's workload associated with classes that do not indicators 25 1,0 require direct teacher participation * Student's workload associated with practical classes 54 2,1 * Student's workload associated with theoretical classes 22 0,9  Kołodziej W, Eszyk J, Banaszak-ak. Badanie fizykalne. Skrypt dla studentów. (Physical examination. Script for students.), WSPS Dąbrowa żórnicza 2009.  Krajewska-Kułak E (red). Badanie fizykalne w praktyce pielęgniarek i połonych. (Physical examination in the practice of nurses and midwives.), Czelej Lublin 2009. Basic  Obuchowicz A. Badanie podmiotowe i przedmiotowe w pediatrii. (Patient interview and bibliography physical examination in pediatrics.), Śląska Akademia Medyczna (Silesian Medical Academy), Katowice.  Tatoń J., Czech A. Ogólna diagnostyka internistyczna. (General internal medicine diagnostics.), PZWL, Warszawa 1991.  Allan M. Wywiad i badanie przedmiotowe. (Patient interview and physical examination.), Urban & Partner Wrocław 2005.  Bates B., Bickley L., Hoekelman R. Wywiad i badanie fizykalne. (Patient interview and physical examination.), Springer PWN Warszawa 1997. Supplementar  Bickley L. Bates. Kieszonkowy przewodnik po badaniu podmiotowym i przedmiotowym. y (Pocket guide after patient interview and physical examination.), Wydawnictwo bibliography Termedia. Warszawa 2013.  Danuta Dyk. Badanie fizykalne w pielęgniarstwie. (Physical examination in nursing.), PZWL, Warszawa 2010.  Ptak D. Badanie fizykalne w pielęgniarstwie. (Physical examination in nursing.), PZWL Warszawa 2012.

Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes

6 The student The student The student does not The student describes describes to a small describes at a basic describe general independently general degree general and level general and and detailed patient and detailed patient detailed patient detailed patient C05_K_W01 interview, the interview, the interview, the interview, the principles of its principles of its principles of its principles of its conducting and conducting conducting and conducting and documenting and documenting documenting documenting After the teacher's The student The student The student does not assistance, the characterizes at a characterizes characterize student characterizes basic level independently techniques of techniques of techniques of techniques of physical physical examination C05_K_W02 physical examination physical examination examination and and comprehensive and comprehensive and comprehensive comprehensive physical examination physical examination physical examination physical examination of the patient for the of the patient for the of the patient for the of the patient for the needs of nursing care needs of nursing care needs of nursing care needs of nursing care After the teacher's The student defines The student defines The student does not assistance, the to a small degree independently define significance of student defines significance of results significance of results results of patient significance of results of patient interview of patient interview interview and of patient interview and physical and physical C05_K_W03 physical examination and physical examination in the examination in the in the assessment of examination in the assessment of assessment of patient's health assessment of patient's health patient's health condition for the patient's health condition for the condition for the needs of nursing care condition for the needs of nursing care needs of nursing care needs of nursing care After being directed The student cannot The student conducts The student by the teacher, the conduct patient patient interview, independently student is able to interview, cannot analyses and conducts patient conduct patient C05_K_U01 analyse and interpret interprets the results interview, analyses interview and analyse the results for the for the needs of and interprets the and interpret the needs of nursing nursing diagnosis at results for the needs results for the needs diagnosis; a basic level of nursing diagnosis of nursing diagnosis After being directed The student The student The student does not by the teacher, the recognises and independently recognise or interpret student recognises interprets basic recognises and basic distinctions in and interprets basic distinctions in the interprets basic C05_K_U02 the examination of a distinctions in the examination of a distinctions in the newborn, infant, adult examination of a newborn, infant, adult examination of a and an elderly person newborn, infant, adult and an elderly person newborn, infant, adult and an elderly person at a basic level and an elderly person After being directed The student does not The student uses The student by the teacher, the use physical physical examination independently uses student uses physical examination techniques to assess physical examination examination techniques to assess the physiological techniques to assess techniques to assess the physiological functions of the skin, the physiological the physiological functions of the skin, senses, head, chest, functions of the skin, functions of the skin, senses, head, chest, including the senses, head, chest, senses, head, chest, including the cardiovascular including the including the cardiovascular system, respiratory cardiovascular C05_K_U03 cardiovascular system, respiratory system, thoracic system, respiratory system, respiratory system, thoracic glands, abdominal system, thoracic system, thoracic glands, abdominal cavity, genital organs, glands, abdominal glands, abdominal cavity, genital peripheral circulatory cavity, genital organs, cavity, genital organs, organs, peripheral system, peripheral circulatory peripheral circulatory circulatory system, musculoskeletal system, system, musculoskeletal system and nervous musculoskeletal musculoskeletal system and nervous system at a basic system and nervous system and nervous system level system system

7 The student does not After being directed The student The student document the results by the teacher, the documents the independently of physical student documents results of physical documents the results examination, the results of physical examination of physical C05_K_U04 and does not use examination and and uses them examination and uses them in assessing uses them in in assessing patient's them in assessing patient's health assessing patient's health condition at a patient's health condition health condition basic level condition The student does not The student The student performs perform physical independently uses After being directed physical examination examination to the technique of by the teacher, the to enable early enable early physical examination student uses physical detection of breast detection of breast to enable early C05_K_U05 examination diseases and teaches diseases and does detection of breast techniques to enable patients how to not teach patients diseases and teaches early detection of conduct breast self- how to conduct patients how to breast diseases examination at a breast self- conduct breast self- basic level examination examination The student does not The student The student quite The student systematically unsystematically and systematically and to systematically and upgrade professional to a small degree a large degree independently knowledge upgrades upgrades upgrades professional C05_K_K01 regarding physical professional professional knowledge regarding examination, does knowledge regarding knowledge regarding physical examination, not develop skills physical examination, physical examination, develops skills aiming aiming at develops skills aiming develops skills aiming at professionalism professionalism at professionalism at professionalism

PIE1.C07 Mental health promotion

Level 1st degree

Field of study NURSING Form of study Stationary

Profile Practical

Course Mental health promotion Code PIE1.C07 ECTS points 2,5

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected]

Obligatory Status of course/ Modular block C. Sciences within nursing care

Form of classes, hours and ECTS points for separate forms of classes

Year Semester W CW BNA ZP PZ

Theoretical education Practical education

III 5 15 --- 15 ------

Form of crediting ZO --- ZO ------

ECTS 2,5 ------

Education area in direction of Medical sciences, health sciences and physical education sciences studies

Field of science Health Sciences

Language of English lectures

Prerequisites None

 Familiarizing students with basic threats to mental health Educational goals  Providing knowledge regarding factors which may affect mental health  Acquiring skills to become a mental health promoter. Correspondenc e level between Reference to the course Symbol of the the educational course Description of the course educational outcome directional outcome educational educational outcome and the outcome directional educational outcome

Characterizes mental health developmental theories and C07_K_W01 C.W47 +++ defines mental health Recognizes risks and positive factors in mental health C07_K_W02 C.W48 +++ development Describes stress as determinant for bio-psycho-social balance C07_K_W03 C.W49 +++ of the organism in the aspect of mental health

C07_K_W04 Characterizes the role of a nurse in prevention of professional C.W50 +++

1 burnout syndrome, aggression, violence and mobbing in various periods of human life Undertakes actions that promote mental health and recognizes C07_K_U01 C.U67 +++ social support networks Takes precautionary and diagnostic measures regarding the C07_K_U02 occurrence of violence, aggression, mobbing and professional C.U68 +++ burnout syndrome Systematically upgrades professional knowledge and skills C07_K_K01 D.K2 +++ regarding mental health promotion Implemented directional educational outcomes

Directional educational Description of the directional educational outcome outcome

C.W47 Characterizes mental health development theories and defines mental health C.W48 Recognizes risks and positive factors in mental health development Describes stress as determinant for bio-psycho-social balance of the organism in the aspect of C.W49 mental health Indicates the role of a nurse in prevention of professional burnout syndrome, aggression, violence C.W50 and mobbing in various periods of life C.U67 Undertakes actions to promote mental health and recognizes social support networks Takes precautionary and diagnostic measures regarding the occurrence of violence, aggression, C.U68 mobbing and professional burnout syndrome D.K2 Systematically develops professional knowledge and skills, striving for professionalism CURRICULUM CONTENT

Implemented Course symbol Subject of classes educational Hours outcome

Form of classes: lectures

C07_K_W01 C07_K_W02 W01 Mental health determinants. 2 C07_K_W03 C07_K_W04 C07_K_W01 C07_K_W02 W02 Mental health theories. 2 C07_K_W03 C07_K_W04 C07_K_W01 The impact of family, social group and biological factors on mental C07_K_W02 W03 2 health. C07_K_W03 C07_K_W04 C07_K_W01 C07_K_W02 W04 Disease as a difficult situation. Stress and frustration. 2 C07_K_W03 C07_K_W04 C07_K_W01 C07_K_W02 W05 Mental health risks in various life periods. 2 C07_K_W03 C07_K_W04

2 C07_K_W01 C07_K_W02 W06 Mental health prevention. 2 C07_K_W03 C07_K_W04 C07_K_W01 C07_K_W02 W07 Psychoprophylaxis. 2 C07_K_W03 C07_K_W04 C07_K_W01 National Mental Health Programme. Amendments in organising C07_K_W02 W08 1 psychiatric health care. C07_K_W03 C07_K_W04 Hours in total: lectures 15

Form of classes: practical classes*

C07_K_U01 CW01 Mental health determinants. 2 C07_K_U02 C07_K_U01 CW02 Mental health theories. 2 C07_K_U02

The impact of family, social group and biological factors on mental C07_K_U01 CW03 2 health. C07_K_U02 C07_K_U01 CW04 Disease as a difficult situation. Stress and frustration. 2 C07_K_U02 C07_K_U01 CW05 Mental health risks in various life periods. 3 C07_K_U02 C07_K_U01 CW06 Mental health prevention. 2 C07_K_U02 C07_K_U01 CW07 Psychoprophylaxis 2 C07_K_U02 BNA in total 15 The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational outcome Forms of classes Verification methods code W CW W CW

C07_K_W01 all --- test ---

C07_K_W02 all --- test ---

C07_K_W03 all --- test ---

C07_K_W04 all --- test ---

essay, multimedia C07_K_U01 --- all --- presentation

essay, multimedia C07_K_U02 --- all --- presentation

essay, multimedia C07_K_U04 --- all --- presentation

C07_K_K01 all all 360º observation 360º observation

3 Teaching methods, the method of implementation and evaluation

Lectures combined with multimedia presentation. Lecture Passing the lectures (prior to passing practical classes): final test

Practical classes are aimed at achieving educational effects outcomes regarding skills. Practical Students, divided into groups, prepare essays or multimedia presentations and present them in classes classes Passing practical classes: based on the submitted essays (presentations).

Student's workload

Hours of student's work/ Activity form Hours in detail Hours in total Student's working hours

Participation in lectures 15 hours 15

Contact hours Participation in practical classes* 15 hours 15* with an academic teacher Each form of classes includes 2 Participation in consultations related to classes* 2 hours of consultation 2*

Student's Preparation for practical classes* 15 hours 15* individual work Preparation for the final test from lectures 5 hours 5 Total student's workload 54

Workload Hours ECTS

Student's workload associated with classes that require direct 34 1,6 teacher participation Quantity Student's workload associated with classes that do not require indicator 20 0,9 direct teacher participation

*Student's workload associated with practical classes 32 1,5

Student's workload associated with theoretical classes: 22 1,0

 Karski j. red. Praktyka i teoria promocji zdrowia – wybrane zagadnienia. (Practice and theory of health promotion – selected concepts.), Warszawa: CeDeWU 2008.  Lwow F., Milewicz A. red. Promocja zdrowia. podręcznik dla studentów i lekarzy Basic rodzinnych. (Health promotion. Handbook for students and General Practitioners.), bibliography Wrocław: Urban & Partner 2004.  Jacennik B. Strategie dla zdrowia, kształtowanie zachowań zdrowotnych poprzez środowisko. (Health strategies, shaping health behaviours through the environment.), Warszawa 2008.

Supplementary  Bilikiewicz A., Pużyński S., Rybakowski J., Wciórka J. red. Psychiatry Tom II i III. bibliography (Psychiatry, Vol. II and III.), Wrocław: Urban & Partner 2003.

Grades – details Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes

Characterizes Does not characterize selected elements of Characterizes basics Characterizes mental mental health mental health of mental health health development C07_K_W01 development theories, development development theories and defines does not define mental theories, defines theories, defines mental health health mental health mental health inaccurately

C07_K_W02 Does not recognize Recognizes some Recognizes basic Recognizes risks and risks or positive factors risks and positive risks and positive positive factors in

4 in mental health factors in mental factors in mental mental health development health development health development development Describes to a small Describes basics of Does not describe degree stress as stress as determinant Describes stress as stress as determinant determinant for bio- for bio-psycho-social determinant for bio- C07_K_W03 for bio-psycho-social psycho-social balance of the psycho-social balance balance of the organism balance of the organism in the of the organism in the in the aspect of mental organism in the aspect of mental aspect of mental health aspect of mental health, at a basic health health level Characterizes to a small degree, with a Characterizes at a Characterizes the role Does not characterize lot of mistakes, the basic level the role of of a nurse in the role of a nurse in role of a nurse in a nurse in prevention prevention of prevention of prevention of of professional professional burnout professional burnout C07_K_W04 professional burnout burnout syndrome, syndrome, syndrome, aggression, syndrome, aggression, violence aggression, violence violence and mobbing aggression, violence and mobbing in and mobbing in in various periods of and mobbing in various periods of various periods of human life various periods of human life human life human life Undertakes actions to Does not undertake promote mental Undertakes actions to Undertakes actions to actions to promote health to a small promote mental promote mental C07_K_U01 mental health and does degree and health at a basic level health and recognizes not recognize social recognizes social and recognizes social social support support networks support networks support networks networks insufficiently Takes precautionary Takes precautionary Does not take Takes precautionary and diagnostic and diagnostic precautionary and and diagnostic measures regarding measures regarding diagnostic measures measures regarding the occurrence of the occurrence of regarding the the occurrence of C07_K_U02 violence, aggression, violence, aggression, occurrence of violence, violence, aggression, mobbing and mobbing and aggression, mobbing mobbing and professional burnout professional burnout and professional professional burnout syndrome to a small syndrome at a basic burnout syndrome syndrome degree level Upgrades Quite systematically Does not upgrade Systematically professional upgrades professional knowledge upgrades knowledge knowledge and skills professional C07_K_K01 and skills regarding and skills regarding regarding promotion knowledge and skills promotion of mental mental health of mental health to a regarding mental health promotion small degree health promotion

PIE1.D10. Palliative care

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Palliative care Code PIE1.D10 ECTS points 6

Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course / Modular block D. Specialised nursing care Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 3 6 10 + 10 10 30 ------Form of crediting ZO ZO ZO ------ECTS 2.5 ------3 6 ------40 --- Form of crediting ------ZO --- ECTS ------2,5 --- 3 6 FINAL OSCE EXAM 3 6 ------40 Form of crediting ------ZO ECTS ------1,0 Education area in Medical sciences, health sciences and physical education sciences direction of studies Field of Health Sciences. science Language English of lectures Knowledge of the following subjects: D01. Internal medicine and internal nursing Prerequisites D02. Paediatrics and paediatric nursing D03. Surgery and surgical nursing D09. Geriatrics and geriatric nursing

 Understanding the theoretical assumptions of medicine and palliative care. Educational  Understanding the palliative care organisation in Poland and worldwide. goal  Understanding the role of a nurse in relieving pain and suffering and in symptomatic treatment

1 in palliative care.  Familiarizing with the standards and procedures used in caring for terminally ill patients.  Familiarizing with psychosocial and social problems of patients and their families and people who provide care.  Familiarizing with the principles of communication with the patient and his/her family during care, dying and after death.  Familiarizing with the principles of pharmacotherapy of chronic pain and other symptoms in the terminal stage of the disease.  Familiarizing with the methods of assessing the condition of the patient under palliative care, including scales for assessing the quality of life and care planning based on the information obtained.  Familiarizing with the principles of ethics, specific for palliative care, principles of respect for dignity and human autonomy in the face of death. Corresponden ce level between the course educational Reference to Symbol of the outcome the course Description of the course educational outcome directional and the educational educational directional outcome educational outcome outcome (+ - low, ++ - medium, +++ - high) Educational outcomes regarding knowledge The student knows the principles of diagnosis in palliative D10_K_W01 D.W5 ++ care The student knows the principles of planning the patient D10_K_W02 D.W6 ++ palliative care depending on age and health condition The student characterizes groups of medications and their effect on the palliative patient's systems and organs in D10_K_W03 various diseases, depending on age and health condition, D.W8 ++ including side effects, interaction with other medications and routes of administration The student characterizes nursing techniques and D10_K_W04 procedures used in palliative patient care depending on D.W9 ++ age and health condition The student knows the principles of preparing the palliative D10_K_W05 D.W10 ++ patient for self-care depending on age and health condition The student differentiates the palliative patient's reactions D10_K_W06 to disease and hospitalisation, depending on age and D.W11 ++ health The students knows the role of a nurse in the admission of D10_K_W07 the patient to the palliative care ward depending on age D.W12 ++ and health condition; The student knows the specific principles of the D10_K_W08 D.W14 ++ organisation of palliative care The student knows the consequences of long-term D10_K_W09 D.W25 ++ immobilisation in palliative patients The student knows the pathophysiology, clinical symptoms D10_K_W10 D.W50 ++ and complications of neoplastic diseases The student knows the procedure for dealing with the body D10_K_W11 D.W51 ++ of the patient who died.

2 Educational outcomes regarding skills The student collects information, prepares a nursing diagnosis, sets out objectives and a care plan, implements D10_K_U01 D.U1 +++ nursing interventions and makes care evaluation in caring for the palliative patient (nursing process) The student provides counselling regarding self-care of the D10_K_U02 disabled patients of different ages and health condition, in D.U3 +++ relation to palliative care The student motivates the palliative patient and his/her D10_K_U03 D.U4 +++ caretakers to join social support groups The student conducts prevention of complications in the D10_K_U04 D.U5 +++ course of diseases which are classified for palliative care The student takes material for diagnostic tests regarding D10_K_U05 D.U9 +++ the patient in palliative care The student documents the health situation of the palliative D10_K_U06 D.U13 +++ patient, its dynamics of changes and provided nursing care The student recognizes complications associated with D10_K_U07 pharmacological treatment, dietetic treatment, rehabilitation D.U20 +++ and therapeutic-nursing treatment in palliative care The student conducts a therapeutic conversation with the D10_K_U08 D.U22 +++ patient in palliative care The student conducts the bedside rehabilitation and D10_K_U09 motorical improvement as well as activation of the palliative D.U24 +++ patient The student provides information on the palliative patient's D10_K_U10 D.U26 +++ health condition to the members of the therapeutic team The student assists a physician during diagnostic D10_K_U11 D.U27 +++ and treatment tests in palliative care The student keeps records of the palliative patient care: observation chart, nursing procedures and reports chart, D10_K_U12 hospital infections register, prophylaxis and treatment of D.U28 +++ pressure ulcers chart and information sheet with recommendations for self-care The student assesses the level of pain, the palliative D10_K_U13 patient's reaction to pain and increase in pain intensity, D.U29 +++ applies analgesic procedures The student provides the patient with conditions for a D10_K_U14 D.U30 +++ dignified death The student adjusts nursing interventions to the type of D10_K_U15 D.U32 +++ care problems occurring in palliative care The student prepares and administers medications through D10_K_U16 different routes of administration, independently or on the D.U33 ++ order of a physician (in palliative care) Educational outcomes regarding social competences The student respects the dignity and autonomy of people D10_K_K01 D.K1 ++ entrusted to palliative care The student systematically develops professional D10_K_K02 knowledge in palliative care, aiming at achieving D.K2 ++ professionalism The student adheres to values, duties and moral skills in D10_K_K03 D.K3 ++ palliative care The student shows moral responsibility for a human and D10_K_K04 D.K4 ++ performance of professional duties in palliative care

3 D10_K_K05 The student respects the palliative patients' rights D.K5 ++ The student reliably and accurately performs assigned D10_K_K06 D.K6 ++ professional duties within palliative care The student adheres to professional secrecy regarding the D10_K_K07 D.K7 ++ palliative patient The student collaborates as part of an interdisciplinary team in solving ethical dilemmas while maintaining the D10_K_K08 D.K8 ++ principles of the code of professional ethics, regarding the palliative patient The student is open to the development of one's own and D10_K_K09 D.K9 ++ the palliative patient's subjectivity The student manifests empathy in the relationship with the D10_K_K10 D.K10 ++ palliative patient and his/her family and colleagues Implemented directional educational outcomes Symbol of the Description of the educational outcome educational outcome The student knows the principles of diagnosing in internal medicine, geriatric, surgical , D.W5 paediatric, neurological, psychiatric, anesthesiological, obstetric-gynaecological nursing and palliative care The student knows the principles of planning the patient care depending on age and health D.W6 condition The student characterizes groups of medications and their effect on the patient's systems and D.W8 organs in various diseases, depending on age and health condition, including side effects, interaction with other medications and routes of administration The student characterizes nursing techniques and procedures used in patient care depending D.W9 on age and health condition The student knows the principles of preparing the patient for self-care depending on age and D.W10 health condition The student differentiates the patient's reactions to disease and hospitalisation, depending on D.W11 age and health The student knows the role of a nurse in admission of a patient to a healthcare facility D.W12 depending on age and the patient's health condition The student knows the specific principles of organisation of specialised care (geriatric, D.W14 intensive, neurological, psychiatric, paediatric, internal medicine, surgical and palliative care and emergency medical service system in Poland) D.W25 The student knows the consequences of long-term immobilisation The student knows the pathophysiology, clinical symptoms and complications of neoplastic D.W50 diseases D.W51 The student knows the procedure for dealing with the body of the patient who died The student collects information, prepares a nursing diagnosis, sets out objectives and a care D.U1 plan, implements nursing interventions and makes care evaluation The student provides counselling regarding self-care of patients of different ages and health D.U3 condition, concerning developmental disorders, diseases and addictions D.U4 The student motivates the patient and his/her caretakers to join social support groups D.U5 The student conducts prevention of complications in the course of diseases D.U9 The student takes material for diagnostic tests The student documents the health situation of the patient, its dynamics of changes and provided D.U13 nursing care

D.U20 The student recognizes complications associated with pharmacological treatment, dietetic

4 treatment, rehabilitation and therapeutic-nursing treatment D.U22 The student conducts a therapeutic conversation The student conducts bedside rehabilitation and patient motorical improvement and activation D.U24 with the use of occupational therapy elements The student provides information on the patient's health condition to the members of the D.U26 therapeutic team D.U27 The student assists a physician during diagnostic and treatment tests The student keeps records of the patient care: observation chart, nursing procedures and D.U28 reports chart, hospital infections register, prophylaxis and treatment of pressure ulcers chart and information sheet with recommendations for self-care The student assesses the level of pain, the patient's reaction to pain and increase in pain D.U29 intensity, applies analgesic procedures D.U30 The student provides the patient with conditions for a dignified death D.U32 The student adjusts nursing interventions to the type of nursing problems The student prepares and administers medications through different routes of administration, D.U33 independently or on the order of a physician D.K1 The student respects the dignity and autonomy of people entrusted to care The student systematically develops professional knowledge and skills, aiming at D.K2 professionalism D.K3 The student adheres to values, duties and moral skills in care D.K4 The student shows moral responsibility for a person and performing professional tasks D.K5 The student respects the patients' rights D.K6 The student reliably and accurately performs assigned professional duties D.K7 The student adheres to professional secrecy The student collaborates as part of an interdisciplinary team in solving ethical dilemmas while D.K8 maintaining the principles of the code of professional ethics D.K9 The student is open to the development of one's own and the patient's subjectivity The student manifests empathy in the relationship with the patient and his/her family and D.K10 colleagues

CURRICULUM CONTENT Implemented Symbol and Subject of classes educational Hours no. of classses outcomes Form of classes: lectures Physician's lecture Definition of palliative and hospice care. Population and clinical characteristics of patients under terminal care. Organisation of W01 D10_K_W08 2 palliative and hospice care in Poland. Terminal care in stationary and home conditions. The most frequent neoplastic diseases in the Polish population. W02 Other ailments occurring in the course of neoplastic diseases and D10_K_W10 2 methods of their treatment. W03 Bioethical principles in palliative care. D10_K_W11 1 W04 Symptoms and emotional states of dying people. D10_K_W06 1 Cancer pain in the course of neoplastic diseases. Diagnosis and W05 D10_K_W10 1 methods of cancer pain assessment.

W06 Principles of treatment of cancer pain: pharmacotherapy (pain D10_K_W03 1

5 ladder) and supportive treatment (supportive medications, palliative radiotherapy). W07 Treatment of cancer pain in children. D10_K_W10 2 Total physician's lecture: 10 Nurse's lecture Terminal period characteristics and nurse's tasks regarding the W08 – D10_K_W02 2 patient. D10_K_W02 W09 Patient's needs in the terminal period. 1 D10_K_W06 Somatic, mental and spiritual pain total suffering. Methods to W10 – D10_K_W05 2 improve the quality of life of patients. Nurse's role. D10_K_W02 W11 Last hours of life – medical and non-medical procedures. D10_K_W04 2 D10_K_W06 D10_K_W02 W12 Building the patient's subjectivity in the terminal period. 1 D10_K_W06 D10_K_W02 W13 Principles of responsible and dignified dying. D10_K_W06 2 D10_K_W11 Total nurse's lecture: 10 Form of classes: practical classes * Semester 6 Delivering bad news. Preparation of the patient and his/her family C01 to receive bad news. Basic principles and ways of delivering bad D10_K_U08 2 news (verbal and non-verbal communication) – workshops. Practicing conversation with the patient Providing mental support for the patient and family and people who provide care: identifying C02 D10_K_U08 2 the needs of the patient and his/her relatives, mental support – workshops. The student knows the principles of nursing ethics regarding C03 patients under palliative care: acceptance of the inevitability of D10_K_U14 2 death, difficult decisions. Family and orphan support. C04 Diagnosis in palliative care D10_K_U01 2

Hours in total: practical classes – semester 6 10 Form od classes: classes without participation of an academic teacher (BNA) Semester 6 Philosophy, principles and organisation of palliative care, BNA01 D10_K_W08 5 interdisciplinary team BNA02 The legal system of voluntary service in Poland D10_K_W08 5 BNA03 The principles of diagnosis in palliative care D10_K_W01 5 The consequences of long-term immobilisation in palliative BNA04 D10_K_W09 5 patients Difficulties in nursing work in palliative care. Burnout syndrome BNA05 among nurses working in hospices and other institutions taking D10_K_W07 5 care of terminally ill people. Nursing techniques and procedures applied in the case of the BNA06 D10_K_W04 5 patient in palliative care

Hours in total: BNA – semester 6 30

6 Form of classes: practical classes * Semester 6

Organisation and specificity of the work in the palliative care ward D10_K_U06 and hospice. Principles of cooperation of the interdisciplinary ZP01 D10_K_U10 4 team. Keeping nursing documentation in the palliative care ward and hospice. D10_K_U12 Implementation of the standards of nursing care for the terminally D10_K_U04 ZP02 4 ill patients applicable in the palliative care ward and hospice. D10_K_U14 Establishing therapeutic communication with the patient, his/her family, caretakers, therapeutic team, selection of the style of D10_K_U02 ZP03 communication in the support of the patient and his/her family. 4 Accompanying the patient and his/her family during illness, dying D10_K_U03 and death. Nursing and care for the patient depending on the prevailing ZP04 D10_K_U15 4 symptoms in the terminal state of the disease.

Diagnosing care problems in the patient under palliative care. D10_K_U01 ZP05 Formulation of nursing diagnosis, care planning, implementation 4 and evaluation of nursing care D10_K_U15 Pharmacotherapy of pain and other somatic symptoms of the D10_K_U07 ZP06 suffering patient (routes and methods of administration of D10_K_U13 4 analgesics and other medications). D10_K_U16 Methods of monitoring the effectiveness of analgesic therapy using different types of scales. Keeping records of ZP07 D10_K_U13 4 treatment and pain monitoring. Preparation of the patient for pain control (PCA). Participation of a nurse in preparation of the patient for diagnostic D10_K_U05 ZP08 4 test and assistance during the tests. D10_K_U11 Methods of coping in the face of death. Procedures followed ZP09 D10_K_U14 4 in the case of the patient's death. The specificity of nursing in the case of the neoplastic disease ZP10 D10_K_U15 4 and the terminal period in children.

Hours in total: practical classes – semester 6 40 Form of classes: professional training * Semester 6 The specificity of the functioning of the care facility for incurably, PZ01 terminally ill people (regulations, occupational health and safety --- 4 regulations, standards). PZ02 Nursing procedure standards applicable in the ward. --- 4 Methods of taking medical history from the dying person and PZ03 his/her family, planning principles, implementation and D10_K_U01 4 assessment of actions taken (nursing process, nursing diagnosis).

Methods and principles of administration of pharmacological D10_K_U07 PZ04 means (regarding side effects and interactions with other 4 medications). D10_K_U16 Prevention and treatment of pressure ulcers. Standards in the PZ05 D10_K_U15 4 treatment of cancer ulcers, fistulas.

Nurse's participation in the rehabilitation of the patient under D10_K_U02 PZ06 4 palliative care. Proceedings in the case of lymphatic oedema. D10_K_U09 PZ07 Principles of rehabilitation equipment use. D10_K_U09 4 Principles of categorisation of patients according to the PZ08 D10_K_U15 4 determinants of KOP (Nursing Care Category)

7 Accompanying the patient in the process of dying. Providing the PZ09 patient with conditions for a dignified death. Support in the D10_K_U14 4 process of mourning.

Documenting the health situation of the patient, its dynamics of D10_K_U06 PZ10 changes and provided nursing care. Keeping documentation 4 applicable in the facility. D10_K_U12

Hours in total: professional training – semester 6 40 Correlation of particular types of classes Semester W CW BNA ZP PZ W01-W13 C01-C08 BNA01-BNA02 ------ZP01-ZP10 ---

6 Exam from lectures, practical classes and practical training classes. Only after passing the exam the student can proceed to the professional training from the module. Targeted form of the exam: OSCE. ------PZ01-PZ10 Note: practical training classes may be started only after the end of theoretical education, while professional practice - only after the end of practical training classes. The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W+BNA CW ZP PZ W+BNA CW ZP PZ D10_K_W01 BNA03 ------test ------W08-W09 D10_K_W02 ------test ------W11-W13 D10_K_W03 W06 ------test ------W11 D10_K_W04 ------test ------BNA06 D10_K_W05 W10 ------test ------W04, W09 D10_K_W06 ------test ------W11-W13 D10_K_W07 BNA05 ------test ------W01 D10_K_W08 BNA01 ------test ------BNA02 D10_K_W09 BNA04 ------test ------W02, W05 D10_K_W10 ------test ------W07 D10_K_W11 W03, W13 ------test ------demonst preparati nursing D10_K_U01 --- C04 ZP05 PZ03 --- ration of on of the process skills report demonst preparati D10_K_U02 ------ZP03 PZ06 --- ration of on of the skills report demonst D10_K_U03 ------ZP03 ------ration of --- skills

D10_K_U04 ------ZP02 ------demonst ---

8 ration of skills demonst D10_K_U05 ------ZP08 ------ration of --- skills demonst preparati D10_K_U06 ------ZP01 PZ10 ------ration of on of the skills report demonst preparati D10_K_U07 ------ZP06 PZ04 ------ration of on of the skills report

C01 worksho D10_K_U08 ------C02 ps

PZ06 preparati D10_K_U09 ------on of the PZ07 report demonst D10_K_U10 ------ZP01 ------ration of --- skills demonst D10_K_U11 ------ZP08 ------ration of --- skills demonst preparati D10_K_U12 ------ZP01 PZ10 ------ration of on of the skills report

ZP06 demonst D10_K_U13 ------ration of --- ZP07 skills

ZP02 demonst demonst preparati D10_K_U14 --- C03 PZ09 --- ration of ration of on of the ZP09 skills skills report ZP04 PZ05 demonst preparati D10_K_U15 ------ZP05 ------ration of on of the PZ08 ZP10 skills report demonst preparati D10_K_U16 ------ZP06 PZ04 ------ration of on of the skills report 360º 360º 360º D10_K_K01 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K02 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K03 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K04 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K05 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K06 --- all all all --- observat observat observat ion ion ion

9 360º 360º 360º D10_K_K07 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K08 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K09 --- all all all --- observat observat observat ion ion ion 360º 360º 360º D10_K_K10 --- all all all --- observat observat observat ion ion ion Teaching methods, method of implementation and evaluation Lecture and classes without Lecture with multimedia presentation and/or a conversational lecture. participation of an Crediting lectures: final assessment test for a grade. academic teacher (BNA) Practical classes are mandatory. They are conducted in groups. The potential absence should be made up of consultations that should be carried out at the place of the practical classes. It is recommended to conduct practical classes in the form of workshops (in simulated conditions). In practical classes, educational outcomes regarding skills are implemented. Completing the practical classes: for a grade. Practical Credits carried out practically, under simulated conditions (in the simulation hall of low fidelity). classes In the case of completion with the use of OSCE, the completion of exercises is carried out at appropriately prepared stations, then students perform the same task, which is evaluated by means of a checklist (it is indicated on these tasks, the implementation of which is necessary to pass the task). Each learning outcome is credited separately; rated from 2.0 to 5.0. The condition for obtaining a pass from the classes is to pass all the learning outcomes in the field of skills. Practical training classes are conducted in natural conditions, i.e. in healthcare facilities, and in Practical simulated conditions (also in the Medical Simulation Centre). Participation in practical training training classes is obligatory. Practical training classes are started after completion of practical classes classes in simulated conditions. After completion and obtaining credits from all forms of classes, but before starting the professional training, the student takes the final exam. In the case when OSCE procedures are not applied, the student randomly draws 1 task from the set of tasks concerning individual educational outcomes regarding skills; social competences are verified during the student's presentation of the acquired skills. 2 tasks include Final exam theoretical knowledge, 2 tasks skills. from the – module The exam is conducted in accordance with the OSCE procedure. Each student completes 4 standardised tasks, which include both theoretical (2 tasks) and practical (2 tasks) knowledge. Tasks are drawn by the student from a set of theoretical tasks (at least 25) and practical tasks (at least 25), to each of them there is a scenario – a checklist and an indicated station where the selected task must be performed. Tasks drawn by the student are returned to the appropriate set. Professional training is carried out in a healthcare facility. Detailed educational outcomes regarding knowledge, skills and social competences are included in the "Practical Training Professional Register". Confirmation of the achievement of the learning outcomes indicated in it is made by training the supervisor of professional training, who is an employee of the healthcare facility. Professional training is completed with a grade (grades: from 2.0 to 5.0). Student's workload (practical classes are marked with an asterisk)

Hours of Activity form Hours in detail Hours in total

10 student's work Participation in lectures 10 hours + 10 hours 20 Participation in practical classes * 10 hours 10*

Contact hours Participation in practical training classes * 40 hours 40* with an 2 hours for each type of academic classes (physician's lecture, teacher Participation in consultations related nurse's lecture, BNA, 8 to classes * practical classes, practical 4* training classes*, professional training*) Contact hours with the practical training Participation in professional training * 1 week 40* supervisor on the part of the health care provider Preparation for practical classes * 15 hours 15* Preparation for practical training classes * 40 hours 40* Individual work related to the subject of BNA 30 hours 30 classes Preparation for the final assessment test 5 hours 5 from lectures and BNA Student's Preparation of the nursing process (based on individual work material collected during practical training 5 hours 5* classes) * 20 (half of the time was spent on Preparation for the final exam which covers all 10 educational content contained in the module * preparation regarding (OSCE exam) theoretical education, the 10* other half regarding practical education) Total student's workload 237 Workload Hours ECTS Student's workload associated with classes that require direct 82 2,1 teacher participation Quantity Student's workload associated with classes that do not indicators 155 3,9 require direct teacher participation * Student's workload associated with practical classes 164 4,2 * Student's workload associated with theoretical classes 73 1,8

 Kinghorn S., Gaines S. red. wyd. pol. Krystyna de Walden-Gałuszko. Opieka paliatywna. (Palliative care), Wrocław: Elsevier Urban & Partner, 2012.  de Walden-Gałuszko K., Ciałkowska-Rysz A. Medycyna paliatywna. (Palliative medicine.), Warszawa: Wydawnictwo Lekarskie PZWL, 2015.  Koper A. Pielęgniarstwo onkologiczne. (Oncological nursing.), Warszawa: Wydawnictwo Basic Lekarskie PZWL, 2015. bibliography  de Walden-Gałuszko K.: Podstawy opieki paliatywnej. (Basics of palliative care.), Warszawa: Wydawnictwo Lekarskie PZWL, 2004.  de Walden-Gałuszko K., Kaptacz A. Pielęgniarstwo w opiece paliatywnej i hospicyjnej. (Nursing in palliative and hospice care.), Warszawa: Wydawnictwo Lekarskie PZWL, 2005.  Diener H.C., Maier Ch. Leczenie bólu – zespoły bólowe – metody postępowania. (Pain treatment – pain syndromes – procedures.), Wrocław: Elsevier Urban & Partner, 2005.

11  Jeziorski A., Onkologia. (Oncology.), Podręcznik dla pielęgniarek. (A handbook for nurses.), Warszawa: Wydawnictwo Lekarskie PZWL, 2015.

 Adamczyk A., Buczkowski K., Jagielski D., Krajnik M., Rogiewicz M. Opieka paliatywna (Praktyka Lekarza Rodzinnego). (Palliative care (Practice of the General Practitioner).), Warszawa: Wydawnictwo Lekarskie PZWL, 2009.  de Walden-Gałuszko K. Psychoonkologia. (Psychooncology.), Kraków: Polskie Towarzystwo Psychiatryczne (Polish Psychiatric Association), 2000. Supplementar  Hartman J., Szabat M. Problematyka umierania i śmierci w perspektywie medyczno- y kulturowej. (The issue of dying and death in medical and cultural terms.), Kraków: Wolters bibliography Kluwer Polska, 2016.  Zdebska E. Wolontariat w opiece hospicyjnej nad dzieckiem. (Voluntary service in the child hospice care.), Warszawa: Petrus, 2016.  Krasuska M.E., Stanisławek A., Turowski K. (red.). Standardy w pielęgniarstwie onkologicznym i opiece paliatywnej. (Standards in oncological nursing and palliative care.), Lublin: NeuroCentrum, 2005.

Forms of grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes The student does not The student knows The student knows The student knows all know the principles of some principles of most principles of principles of D10_K_W01 diagnosis in palliative diagnosis in palliative diagnosis in palliative diagnosis in palliative care care care care The student does not The student knows The student knows all know the principles of some principles of Student knows most principles of planning planning care for planning care for principles of planning care for patients in D10_K_W02 patients in palliative patients in palliative care in palliative care, palliative care care depending on care depending on depending on age depending on their age and health age and health and health condition age and health condition condition condition The student The student quite The student cannot The student precisely imprecisely precisely characterize groups characterizes groups characterizes groups characterizes groups of medications and of medications and of medications and of medications and their effect on the their effect on the their effect on the their effect on the palliative patient's palliative patient's palliative patient's palliative patient's systems and organs systems and organs systems and organs systems and organs in various diseases, in various diseases, D10_K_W03 in various diseases, in various diseases, depending on age depending on age depending on age depending on age and health condition, and health condition, and health condition, and health condition, including side effects, including side effects, including side effects, including side effects, interaction with other interaction with other interaction with other interaction with other medications medications medications medications and routes of and routes of and routes of and routes of administration administration administration administration The student The student quite The student cannot The student precisely imprecisely precisely characterize nursing characterizes nursing characterizes nursing characterizes nursing techniques and techniques and techniques and techniques and D10_K_W04 procedures used in procedures used in procedures used in procedures used in palliative patient care palliative patient care palliative patient care palliative patient care depending on age depending on age depending on age depending on age and health condition and health condition and health condition and health condition The student does not The student knows The student knows The student knows all know the principles of some principles of most principles of principles of preparing the preparing the preparing the preparing the D10_K_W05 palliative patient for palliative patient for palliative patient for palliative patient for self-care self-care depending self-care depending self-care depending depending on age on age and health on age and health on age and health and health condition condition condition condition

D10_K_W06 The student does not The student The student quite The student precisely

12 differentiate the imprecisely precisely differentiates the palliative patient's differentiates the differentiates the palliative patient's reactions to disease palliative patient's palliative patient's reactions to disease and hospitalisation, reactions to disease reactions to disease and hospitalisation, depending on age and hospitalisation, and hospitalisation, depending on age and health condition depending on age depending on age and health condition and health condition and health condition The students does The students Student quite The student knows not know the role of a imprecisely knows precisely knows the precisely the role of nurse in the the role of a nurse in role of nurses in the the nurse in the admission of the the admission of the admission of the admission of the D10_K_W07 patient to the patient to the patient to the patient to the palliative care ward palliative care ward palliative care ward palliative care ward depending on age depending on age depending on age depending on age and health condition and health condition and health condition and health condition The student does not The student knows The student knows The student knows all know the specific some specific most specific specific principles of principles of the principles of the principles of the D10_K_W08 the organisation of organisation of organisation of organisation of specialised palliative specialised palliative specialised palliative specialised palliative care care care care The student The student know The student knows The student knows professionally does not know the only some most consequences presents the consequences of consequences of D10_K_W09 of long-term consequences of long-term long-term immobilisation long-term immobilisation in immobilisation in in palliative patients immobilisation in palliative patients palliative patients palliative patients The student knows the general The student does not The student knows The student presents pathophysiology, know well the very well illustrates clinical symptoms pathophysiology, pathophysiology, the pathophysiology, D10_K_W10 and complications of clinical symptoms clinical symptoms clinical symptoms neoplastic diseases; and complications of and complications of and complications of the knowledge is neoplastic diseases neoplastic diseases neoplastic diseases incomplete and fragmentary The student very The student almost The student The student does not imprecisely presents without mistakes professionally know the procedure the procedure for characterizes the presents the D10_K_W11 for dealing with the dealing with the body procedure for dealing procedure for dealing body of the patient of the patient who with the body of the with the body of the who died died patient who died patient who died The student can The student is able to collect some gather most The student is able to The student is not information, prepares information, quite gather all information, able to collect imprecisely a nursing precisely prepares a precisely prepares a information, prepare diagnosis, sets out nursing diagnosis, nursing diagnosis, a nursing diagnosis, imprecisely quite precisely sets precisely sets the set goals and care objectives and a care the goals and care goals and care plan, plan, implement D10_K_U01 plan, implements plan, quite precisely precisely implements nursing interventions imprecisely nursing implements nursing nursing interventions and evaluate care interventions and interventions and and precisely in the care of the makes imprecisely quite accurately evaluates care in the palliative patient care evaluation in the evaluates care in the care of the palliative (grade 2.0 for the care of the palliative care of the palliative patient (grade 5.0 for nursing process) patient (grade 3.0 for patient (grade 4.0 for the nursing process) the nursing process) the nursing process) The student does not The student to a The student quite The student provide counselling small degree professionally professionally D10_K_U02 regarding self-care of provides counselling provides counselling provides the disabled patients regarding self-care of regarding self-care of counselling regarding of different ages the disabled patients the disabled patients self-care of the

13 and health condition, of different ages and of different ages and disabled patients in relation to palliative health condition, in health condition, in of different ages care relation to palliative relation to palliative and health condition, care care in relation to palliative care The student to a The student to a The student The student does not small degree small degree effectively motivates motivate the palliative motivates the motivates the the palliative patient D10_K_U03 patient and his/her palliative patient and palliative patient and and his/her caretakers to join his/her caretakers to his/her caretakers to caretakers to join social support groups join social support join social support social support groups groups groups The student The student quite The student precisely The student cannot imprecisely conducts precisely conducts conducts prevention conduct prevention of prevention of prevention of of complications in complications in the D10_K_U04 complications in the complications in the the course of course of diseases course of diseases course of diseases diseases which are which are classified which are classified which are classified classified for palliative for palliative care for palliative care for palliative care care The student does not The student takes The student takes The student takes take material for material for selected material for most material for D10_K_U05 diagnostic tests diagnostic tests diagnostic tests diagnostic tests regarding the patient regarding the patient regarding the patient regarding the patient in palliative care in palliative care in palliative care in palliative care The student The student precisely The student cannot The student quite imprecisely documents the health document the health precisely documents documents the health situation of situation of the the health situation of situation of the the palliative patient, D10_K_U06 palliative patient, its the palliative patient, palliative patient, its its dynamics of dynamics of changes its dynamics of dynamics of changes changes and provided nursing changes and and provided nursing and provided nursing care provided nursing care care care The student cannot The student The student The student recognize recognizes some recognizes most recognizes all complications complications complications complications associated with associated with associated with associated with pharmacological pharmacological pharmacological pharmacological D10_K_U07 treatment, dietetic treatment, dietetic treatment, dietetic treatment, dietetic treatment, treatment, treatment, treatment, rehabilitation and rehabilitation and rehabilitation and rehabilitation and therapeutic-nursing therapeutic-nursing therapeutic-nursing therapeutic-nursing treatment in palliative treatment in palliative treatment in palliative treatment in palliative care care care care The student to a The student The student conducts The student does not small degree, professionally a therapeutic conduct a therapeutic omitting crucial conducts a conversation with the D10_K_U08 conversation with the elements, conducts a therapeutic palliative patient, patient in palliative therapeutic conversation with the omitting minor care conversation with the patient in palliative elements palliative patient care The student to a The student to a The student does not The student conducts small degree large degree conduct the bedside the bedside conducts the bedside conducts the bedside rehabilitation rehabilitation and rehabilitation and rehabilitation D10_K_U09 or motorical motorical motorical and motorical improvement or improvement as well improvement as well improvement as well activation of the as activation of the as activation of the as activation of the palliative patient palliative patient palliative patient palliative patient The student cannot The student The student quite The student precisely D10_K_U10 provide information imprecisely provides precisely provides provides information on the palliative information on the information on the on the palliative patient's health palliative patient's palliative patient's patient's health

14 condition to the health condition to health condition to condition to the members of the the members of the the members of the members of the therapeutic team therapeutic team therapeutic team therapeutic team The student can The student is able to The student is unable The student can assist the physician assist the physician to assist the assist the physician during some during most physician during during all diagnostic D10_K_U11 diagnostic and diagnostic and diagnostic and and therapeutic tests therapeutic tests therapeutic tests therapeutic tests in in the palliative in the palliative in the palliative the palliative patients patients patients patients The student The student quite The student cannot The student precisely imprecisely keeps precisely keeps keep records of the keeps records of the records of the records of the palliative patient care: palliative patient care: palliative patient care: palliative patient care: observation chart, observation chart, observation chart, observation chart, nursing procedures nursing procedures nursing procedures nursing procedures and reports chart, and reports chart, and reports chart, and reports chart, hospital infections hospital infections D10_K_U12 hospital infections hospital infections register, prophylaxis register, prophylaxis register, prophylaxis register, prophylaxis and treatment of and treatment of and treatment of and treatment of pressure ulcers chart pressure ulcers chart pressure ulcers chart pressure ulcers chart and information sheet and information sheet and information sheet and information sheet with with with with recommendations for recommendations for recommendations for recommendations for self-care self-care self-care self-care The student is not The student The student quite able to assess the The student precisely imprecisely assesses precisely assesses level of pain, the assesses the level of the level of pain, the the level of pain, the palliative patient's pain, the palliative palliative patient's palliative patient's D10_K_U13 reaction to pain patient's reaction to reaction to pain and reaction to pain and and increase in pain pain and increase in increase in pain increase in pain intensity and is not pain intensity, applies intensity, applies intensity, applies able to apply the analgesic procedures analgesic procedures analgesic procedures analgesic procedures When providing the The student provides The student does not patient with the patient with The student provides provide the patient conditions for a conditions for a the patient with D10_K_U14 with conditions for a dignified death, the dignified death, conditions for a dignified death student omits some almost without dignified death important aspects mistakes The student does not The student The student quite The student precisely adjust nursing imprecisely adjusts precisely adjusts adjusts nursing interventions to the nursing interventions nursing interventions interventions to the D10_K_U15 type of care problems to the type of care to the type of care type of care problems occurring in palliative problems occurring in problems occurring in occurring in palliative care palliative care palliative care care The student is not The student prepares The student prepares The student prepares able to prepare and administers and administers most and administers all and administer some medications medications through medications through medications through through different different routes of different routes of various routes of routes of D10_K_U16 administration, administration, administration, administration, independently or on independently or on independently or on independently or on the order of a the order of a the order of a the order of a physician (in physician (in palliative physician (to the physician (in palliative care) care) palliative patients). palliative care) The student does not The student respects The student respects The student respects respect the dignity partly the dignity the dignity and significantly the D10_K_K01 and autonomy of and autonomy of autonomy of people dignity and autonomy people entrusted to people entrusted to entrusted to palliative of people entrusted to palliative care. palliative care. care. palliative care.

D10_K_K02 The student does not The student partly The student The student

15 upgrade professional upgrades upgrades significantly upgrades knowledge and does professional professional professional not develop skills in knowledge and skills knowledge and knowledge and skills palliative care to aim in palliative care to develops skills in in palliative care to at professionalism aim at palliative care to aim aim at professionalism. at professionalism professionalism. The student does not The student partly The student The student adheres adhere to values, adheres to values, significantly adheres to values, duties D10_K_K03 duties and moral duties and moral to values, duties and and moral efficiency efficiency in palliative efficiency in palliative moral efficiency in palliative care care care in palliative care The student shows The student shows The student shows The student shows no moral partial moral significant moral moral responsibility responsibility for a responsibility for a responsibility for a for a human and D10_K_K04 person and person and person and performance of performance of performance of performance of professional duties in professional tasks in professional tasks in professional tasks in palliative care. palliative care. palliative care. palliative care. The student respects The student does not The student partly The student respects significantly the D10_K_K05 respect the palliative respects the palliative well the palliative palliative patients' patients' rights. patients' rights patients' rights. rights The student The student reliably unreliably and The student partly The student performs and very accurately inaccurately performs performs assigned assigned professional D10_K_K06 performs assigned assigned professional professional duties duties in palliative professional duties in duties in palliative within palliative care. care. palliative care. care. The student does not The student partly The student The student adheres adhere to adheres to significantly adheres well to professional D10_K_K07 professional secrecy professional secrecy to professional secrecy regarding the regarding the regarding the secrecy regarding the palliative patient. palliative patient. palliative patient palliative patient. The student The student The student does not The student partly independently and independently collaborate as part of collaborates as part significantly collaborates as part an interdisciplinary of an interdisciplinary collaborates as part of an interdisciplinary team in solving team in solving of an interdisciplinary team in solving ethical dilemmas ethical dilemmas team in solving D10_K_K08 ethical dilemmas while maintaining the while maintaining the ethical dilemmas while maintaining the principles of the code principles of the code while maintaining the principles of the code of professional ethics, of professional ethics, principles of the code of professional ethics, regarding the regarding the of professional ethics, regarding the palliative patient. palliative patient. regarding the palliative patient. palliative patient. The student is The student is not The student is partly The student is open significantly open to open to the open to the to the development of the development of D10_K_K09 development of one's development of one's one's own and one's own and own and the palliative own and the palliative the palliative patient's the palliative patient's patient's subjectivity. patient's subjectivity. subjectivity. subjectivity. The student The student The student The student does not demonstrates partial demonstrates demonstrates great demonstrate empathy empathy in the empathy in the empathy in the in the relationship D10_K_K10 relationship with the relationship with the relationship with the with the palliative palliative patient, palliative patient, palliative patient, patient, his/her family his/her family and his/her family and his/her family and and colleagues. colleagues. colleagues. colleagues.

PIE1. D11. Basics of emergency medical services

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Basics of emergency Course medical Code PIE1.D11 ECTS points 1,5

services Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75 ext. 12, [email protected] Obligatory Status of course / Modular block D. Specialised nursing care Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW BNA ZP PZ Theoretical education Practical education 1 1 15 15 ------Form of crediting ZO ZO ------ECTS 1,5 ------Education area in Medical sciences, health sciences and physical education sciences. direction of D. Specialised nursing care studies Field of science Health Sciences. Language of lectures English Prerequisites Anatomy. Physiology.

 Familiarizing students with the basics of emergency medical services, emergency medicine Educational and medicine of disasters goal  Teaching students how to provide first aid  Development of professional ethical conduct in the student Correspondenc e level between the course educational outcome Symbol of the Reference to and the course the directional Description of the course educational outcome directional educational educational educational outcome outcome outcome (+ - low, ++ - medium, +++ - high) The student names life-threatening symptoms in patients of D11_K_W01 D.W1 +++ all ages The student characterizes groups of medications and their D11_K_W02 effect on the patient's systems and organs in various D.W8 +++ diseases, depending on age and health condition, including

1 side effects, interaction with other medications and routes of administration The student characterizes nursing techniques and D11_K_W03 procedures used in patient care depending on age D.W9 +++ and health condition The student knows the specific principles of the D11_K_W04 organisation of specialised care in the emergency medical D.W14 +++ system in Poland The student knows the methods, techniques and tools for D11_K_W05 D.W26 +++ assessing awareness and consciousness The student knows the standards and procedures for D11_K_W06 D.W40 +++ emergency procedures and life-saving procedures The student explains the algorithms of resuscitation procedures in the scope of basic life support (BLS basic D11_K_W07 – D.W46 +++ life support) and advanced life support (ALS – advanced life support) The student describes the procedures of the medical security in mass events and disasters and in specific D11_K_W08 D.W48 +++ situations, such as chemical contamination, radiation and biological contamination D11_K_W09 The student knows the principles of first pre-medical aid D.W49 +++ The student extemporaneously immobilizes broken bones, D11_K_U01 dislocations and sprains and prepares the patient for D.U14 +++ transport The student provides education on first aid in health- D11_K_U02 D.U15 +++ threatening condition The student recognizes the emergency health-threatening D11_K_U03 D.U16 +++ condition The student performs automatic defibrillation (AED) and D11_K_U04 D.U17 +++ airway clearance without the use of apparatus The student extemporaneously blocks bleeding and D11_K_U05 D.U23 +++ haemorrhage The student provides information on the patient's health D11_K_U06 D.U26 +++ condition to the members of the therapeutic team The student prepares and administers medications through D11_K_U07 different routes of administration, independently or on the D.U33 +++ order of a physician The student respects the dignity and autonomy of people D11_K_K01 D.K1 ++ entrusted to care The student systematically develops professional D11_K_K02 D.K2 ++ knowledge and skills, aiming at professionalism The student adheres to values, duties and moral skills in D11_K_K03 D.K3 ++ care The student shows moral responsibility for a person and D11_K_K04 D.K4 ++ performing professional tasks D11_K_K05 The student respects the patients' rights D.K5 ++ The student reliably and accurately performs assigned D11_K_K06 D.K6 ++ professional duties D11_K_K07 The student adheres to professional secrecy D.K7 ++ The student collaborates as part of an interdisciplinary D11_K_K08 team in solving ethical dilemmas while maintaining the D.K8 ++ principles of the code of professional ethics The student is open to the development of one's own and D11_K_K09 D.K9 ++ the patient's subjectivity The student manifests empathy in the relationship with the D11_K_K10 D.K10 ++ patient and his/her family and colleagues

2 Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome D.W1 The student names life-threatening symptoms in patients of all ages The student characterizes groups of medications and their effect on the patient's systems and D.W8 organs in various diseases, depending on age and health condition, including side effects, interaction with other medications and routes of administration The student characterizes nursing techniques and procedures used in patient care depending D.W9 on age and health condition The student knows the specific principles of organisation of specialised care (geriatric, D.W14 intensive, neurological, psychiatric, paediatric, internal medicine, surgical and palliative care and emergency medical service system in Poland) The student knows the methods, techniques and tools for assessing awareness and D.W26 consciousness The student knows the standards and procedures for emergency procedures and life-saving D.W40 procedures The student explains the algorithms of resuscitation procedures in the scope of basic life D.W46 support (BLS-basic life support) and advanced life support (ALS-advanced life support) The student describes the procedures of the medical security in mass events and disasters and D.W48 in specific situations, such as chemical contamination, radiation and biological contamination D.W49 The student knows the principles of first pre-medical aid The student extemporaneously immobilizes broken bones, dislocations and sprains and D.U14 prepares the patient for transport D.U15 The student provides education on first aid in health-threatening condition D.U16 The student recognizes the emergency health-threatening condition The student performs automatic defibrillation (AED) and airway clearance without the use of D.U17 apparatus D.U23 The student extemporaneously blocks bleeding and haemorrhage The student provides information on the patient's health condition to the members of the D.U26 therapeutic team The student prepares and administers medications through different routes of administration, D.U33 independently or on the order of a physician D.K1 The student respects the dignity and autonomy of people entrusted to care The student systematically develops professional knowledge and skills, aiming at D.K2 professionalism D.K3 The student adheres to values, duties and moral skills in care D.K4 The student shows moral responsibility for a person and performing professional tasks D.K5 The student respects the patients' rights D.K6 The student reliably and accurately performs assigned professional duties D.K7 The student adheres to professional secrecy The student collaborates as part of an interdisciplinary team in solving ethical dilemmas while D.K8 maintaining the principles of the code of professional ethics D.K9 The student is open to the development of one's own and the patient's subjectivity The student manifests empathy in the relationship with the patient and his/her family and D.K10 colleagues CURRICULUM CONTENT Implemented Course Subject of classes educational Hours symbol outcomes Form of classes: lectures

3 Emergency medicine and disaster medicine – definition, D11_K_K01 objectives and tasks in the contemporary world. D11_K_K02 D11_K_K03 W01 D11_K_K04 D11_K_K09 D11_K_K10 Organisation and functioning of the emergency medical system D11_K_W04 1 in the light of the applicable regulations. Legislation governing D11_K_K01 the functioning of the National Medical Emergency Service. D11_K_K02 D11_K_K03 W02 D11_K_K04 D11_K_K05 D11_K_K07 D11_K_K09 Tasks of the nurse in the emergency medical system (hospital D11_K_W03 W03 emergency ward, Medical Rescue Teams, education). D11_K_W06 The scope of medical rescue operations undertaken by nurses D11_K_W02 in the medical rescue system. D11_K_W06 1 D11_K_W07 W04 D11_K_W09 D11_K_K06 D11_K_K08 Life-threatening condition – interventions which are within the D11_K_W01 competence of nursing. D11_K_W03 W05 1 D11_K_W05 D11_K_W07 Emergency procedures in exceptional cases. D11_K_W03 W06 1 D11_K_W08 Models and principles of international cooperation in emergency W07 D11_K_W07 2 medical services. Hours in total: lectures 5 Form of classes: practical classes* Emergency health-threatening condition D11_K_W05 D11_K_W06 C01 3 D11_K_W07 D11_K_W09 Immobilisation of broken bones, dislocations and sprains and C02 D11_K_W09 3 preparation of the patient for transport Automatic defibrillation (AED) and airway clearance without the C03 D11_K_W09 2 use of apparatus C11 Principles of blocking bleeding and haemorrhage; D11_K_W09 1 Medications used in medical emergency services. Routes of C05 D11_K_W02 1 administration of medications. Hours in total: practical classes 10 Teaching methods, method of implementation and evaluation

Lecture + Lecture with multimedia presentation and/or conversational lecture. classes Practical classes consist in the practical implementation of the subjects presented in the without the lectures. Appropriate medical equipment is used. Practical classes are conducted in the Medical participation Simulation Centre of Emergency Medical Services.

4 of an academic Lectures and practical classes cover educational outcomes regarding knowledge, skills and teacher (BNA) social competences. Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the conducted classes. This should be reflected in an outline prepared by a lecturer (the outline should be attached to the course portfolio).

The course ends with a final test. Each question is assessed as follows:  0 points – incorrect answer,  0.5 point – partially correct answer (applies only to multiple choice questions),  1 point-correct answer. The condition for passing the final test is to obtain a minimum 3.0 grade for each educational outcome regarding knowledge. Obtaining at least one unsatisfactory grade for the educational outcome is equivalent to obtaining an unsatisfactory grade for the entire final test. In a particular case when a student receives one or two unsatisfactory grades for educational outcomes (when only a few hundredths of a point are missing in order to obtain a positive result), the lecturer may decide on additional questioning of the student regarding the particular educational outcome(s), making a relevant note on the student's test sheet (along with the additional questions).

 The final grade shall be determined in accordance with the table: Final grade Grade from lectures up to 2.75 2.0 2.76-3.25 3.0 3.26-3.75 3.5 3.76-4.25 4.0 4.26-4.75 4.5 4.76-5.00 5.0

Annex 1: Examination card from lectures. Annex 2: Pattern of exam test from lectures. Methods of verification of educational outcomes and assessment conditions Symbol of the educational Verification methods Conditions of crediting outcome These outcomes are verified by means of the In terms of Details of the assessment given assessment test containing single and multiple choice knowledge in the final part of the syllabus questions The student names life-threatening symptoms in D11_K_W01 patients of different ages: Graded from 2.0 to 5.0 5 test questions The student characterizes groups of medications and their effect on the patient's systems and organs in various diseases, depending on age and health D11_K_W02 condition, including side effects, interaction with other Graded from 2.0 to 5.0 medications and routes of administration: 5 test questions The student characterizes nursing techniques and D11_K_W03 procedures used in patient care depending on age Graded from 2.0 to 5.0 and health condition:

5 5 test questions The student knows the specific principles of the organisation of specialised care in the emergency D11_K_W04 medical system in Poland: Graded from 2.0 to 5.0 5 test questions The student knows the methods, techniques and tools D11_K_W05 for assessing awareness and consciousness: Graded from 2.0 to 5.0 5 test questions The student knows the standards and procedures for D11_K_W06 emergency procedures and life-saving procedures: Graded from 2.0 to 5.0 5 test questions The student explains the algorithms of resuscitation procedures in the scope of basic life support (BLS – D11_K_W07 basic life support) and advanced life support (ALS – Graded from 2.0 to 5.0 advanced life support): 5 test questions The student describes the procedures of the medical security in mass events and disasters and in specific D11_K_W08 situations, such as chemical contamination, radiation Graded from 2.0 to 5.0 and biological contamination: 5 test questions The student knows the principles of first pre-medical D11_K_W09 aid: Graded from 2.0 to 5.0 5 test questions Outcomes are assessed by the teacher on an ongoing Details of the assessment given In terms of skills basis during practical classes, as well as at the end of in the final part of the syllabus the semester as part of the student's self-assessment The student extemporaneously immobilizes broken bones, dislocations and sprains and prepares the D11_K_U01 patient for transport: Graded from 2.0 to 5.0 assessment during practical classes The student provides education on first aid in health- D11_K_U02 threatening condition: Graded from 2.0 to 5.0 assessment during practical classes The student recognizes the emergency health- D11_K_U03 threatening condition: Graded from 2.0 to 5.0 assessment during practical classes The student performs automatic defibrillation (AED) D11_K_U04 and airway clearance without the use of apparatus: Graded from 2.0 to 5.0 assessment during practical classes The student extemporaneously blocks bleeding and D11_K_U05 haemorrhage: Graded from 2.0 to 5.0 assessment during practical classes The student provides information on the patient's health D11_K_U06 condition to the members of the therapeutic team: Graded from 2.0 to 5.0 assessment during practical classes The student prepares and administers medications through different routes of administration, D11_K_U07 independently or on the order of a physician: Graded from 2.0 to 5.0 assessment during practical classes Outcomes are evaluated on a regular basis during In terms of practical classes; at the end of the semester Details of the assessment given social skills assessment made by the teacher and student's self- in the final part of the syllabus assessment

6 The student respects the dignity and autonomy of D11_K_K01 people entrusted to care: Graded from 2.0 to 5.0 assessment during practical classes The student systematically develops professional D11_K_K02 knowledge and skills, aiming at professionalism: Graded from 2.0 to 5.0 assessment during practical classes The student adheres to values, duties and moral skills D11_K_K03 in care: Graded from 2.0 to 5.0 assessment during practical classes The student shows moral responsibility for a person D11_K_K04 and performing professional tasks: Graded from 2.0 to 5.0 assessment during practical classes The student respects the patients' rights: D11_K_K05 Graded from 2.0 to 5.0 assessment during practical classes The student reliably and accurately performs assigned D11_K_K06 professional duties: Graded from 2.0 to 5.0 assessment during practical classes The student adheres to professional secrecy: D11_K_K07 Graded from 2.0 to 5.0 assessment during practical classes The student collaborates as part of an interdisciplinary team in solving ethical dilemmas while maintaining the D11_K_K08 principles of the code of professional ethics: Graded from 2.0 to 5.0 assessment during practical classes The student is open to the development of one's own D11_K_K09 and the patient's subjectivity: Graded from 2.0 to 5.0 assessment during practical classes The student manifests empathy in the relationship with D11_K_K10 the patient and his/her family and colleagues: Graded from 2.0 to 5.0 assessment during practical classes Student's workload (practical classes are marked with an asterisk) Hours of Activity form Hours in detail Hours in total student's work Participation in lectures 5 5 Contact hours with an Participation in practical classes * 10 10* academic 2 hours lecture 2 teacher Participation in consultations related to classes * 2 hours practical classes 2* Preparation for practical classes * 10 10* Student's Individual work related to the subject of BNA ------individual work classes Preparation for the final test from lectures 5 hours 5 Total student's workload 34 Workload Hours ECTS Student's workload associated with classes that require direct 19 0,8 teacher participation Quantity Student's workload associated with classes that do not indicators 15 0,7 require direct teacher participation * Student's workload associated with practical classes 22 1,0 * Student's workload associated with theoretical classes 12 0,5

7  Szczeklik W, Sokołowska B, Groszek B. Pielęgniarstwo ratunkowe. (Emergency nursing.), PZWL 2013  Wołowicka L, Dyk D. Anestezjologia i intensywna opieka. (Anaesthesiology and intensive care.), Klinika i pielęgniarstwo Podręcznik dla studiów medycznych (Clinic and nursing. Handbook for medical studies). PZWL Warszawa 2007 Wytyczne Europejskiej Rady Resuuscytacji z 2015 roku (Guidelines of the European Basic  Council of Resuscitation of 2015), www.prc.krakow.pl, bibliography  Wytyczne Amerykańskiego Towarzystwa kardiologicznego z 2015 roku (Guidelines of the American Society of Cardiology of 2015), www.americanherat.org  Cenajek-Musiał D., Okulicz-Kozaryn I., Grześkowiak M., Stany zagrożenia życia – postępowanie lecznicze i leki stosowane w ratownictwie medycznym. (Life-threatening condition - medical treatment and medications used in emergency medical services.), AM Poznań. Poznań 2004.

 Cline D.M., Ma J., Medycyna ratunkowa (Emergency Medicine), (red. J. Jakubaszko), Urban & Partner. Wrocław 2003.  Brongel L., Duda K., Mnogie i wielonarządowe obrażenia ciała. (Numerous and multiorgan Supplementar body injuries.), Wydawnictwo Lekarskie PZWL. Warszawa 2001. y  Artykuły z zakresu pielęgniarstwa w ratownictwie medycznym (Articles on nursing in bibliography emergency medical services),  Przepisy prawne. (Regulations.) Stan na dzień 1.01.2013. (of 1.01.2013), Okręgowa Izba pielęgniarek i położnych w Katowicach. (District Chamber of Nurses and Midwives in Katowice.) 2013

Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcome The student names The student names and defines individual The student names The student is not and defines the symptoms of life- life-threatening familiar with the individual life- threatening condition D11_K_W01 condition symptoms in symptoms of life- threatening in patients of different patients of different threatening condition symptoms in patients ages and knows how ages of different ages to proceed if they occur The student characterizes groups of medications and The student their effect on the The student characterizes groups The student is not patient's systems and characterizes groups of medications and familiar with groups organs in various of medications and their effect on the of medications and diseases, D11_K_W02 their effects on the patient's systems and their effects on the depending on age patient's systems and organs in various patient's systems and health condition, organs in a variety of diseases, and organs including side effects, diseases, depending on age interaction with other and health condition, medications and routes of administration The student names and describes nursing The student does not The student names techniques and know the nursing The student names and characterizes procedures used in techniques and nursing techniques nursing techniques patient care procedures used in and procedures used D11_K_W03 and procedures used depending on age caring for a sick in patient care in patient care and health condition person depending on depending on age depending on age and their application age and health and health condition; and health condition; is illustrated with condition; examples from completed internships

D11_K_W04 The student is not The student describes The student The student familiar with the in theory the specific describes in theory describes in theory

8 organisation principles of the and applies in the specific rules for principles of the organisation of the practice the specific the organisation of specialised care specialised care in principles of the specialist care in Poland; organisation of the Poland – specialised care in demonstrates the Poland; principles with examples from completed internships. The student knows the methods, The student knows The student knows techniques and tools The student does not consciousness methods, techniques for assessing the distinguish between disorders and and tools for state of awareness D11_K_W05 consciousness awareness disorders, assessing the state of and consciousness;; disorders and but cannot assess awareness assesses the patient awareness disorders them and consciousness; according to the Glasgow and Ramsay's scale The student knows the standards and The student does not The student knows The student knows procedures for know the standards the standards and the standards and emergency and procedures procedures for procedures for D11_K_W06 procedures and life- for emergency emergency emergency and life- saving procedures, procedures and life- procedures and life- saving procedures gives examples of saving procedures saving procedures; and can apply them situations when they are applied The student knows The student is familiar The student knows The student is not the BLS and ACLS with the proceedings the BLS and ACLS familiar with the algorithms and D11_K_W07 of BLS and ACLS but algorithms and proceedings of BLS correctly applies them does not know how to applies them and ACLS in patients of different apply them correctly in adults ages The student describes the The student knows procedures of the The student knows the definitions, medical security in The student does not the definition and divisions of mass events and know the definition of division of the environmental and disasters and in D11_K_W08 the environmental environmental risks, mass events, specific situations, risks, mass events mass events and disasters and such as chemical and disasters disasters characterizes the contamination, algorithms of conduct radiation and biological contamination; The student knows The student knows and characterizes The student knows and characterizes pre-medical The student does not and characterizes pre-medical procedures in various know the principles D11_K_W09 pre-medical procedures in various disease conditions of pre-medical procedures in various disease conditions and can implement proceedings disease conditions and can implement them and presents them the consequences of misconduct The student can The student knows immobilise a broken the definition and limb in accordance The student does not The student knows division of fractures with the Pott's D11_K_U01 know the definition of the definition and and the way of principle using the fracture division of fractures conduct consistent Krammer's splint, with the Pott's under-pressure splint, principle Sam Splint

9 The student provides education on first aid The student provides The student does not The student provides health-threatening education on first aid provide education on education on first aid condition , taking the in health-threatening D11_K_U02 first aid in health- latest guidelines into in health-threatening condition taking the threatening account and verifies condition at a basic latest guidelines into condition; the acquired skills level account using the medical simulation technique The student knows The student knows the definition, The student does not The student knows the definition proceedings know the definition of the definition of D11_K_U03 and proceedings in emergency health- emergency health- emergency health- threatening condition threatening condition in emergency health- threatening condition threatening condition and can implement adequate procedures The student does not The student knows know what AED is what AED is and The student correctly The student correctly and does not understands the applies the AED and applies the AED and understand the purpose of performing properly clears the properly clears the D11_K_U04 purpose of the clearance of airways without the airways without the performing the airways without the use of apparatus use of apparatus in clearance of airways use of apparatus, but inpatients of different adults without the use of cannot perform it ages apparatus correctly The student knows The student knows the definition of the The student knows the definition, division The student does not haemorrhage, but the definition, the of haemorrhages and D11_K_U05 know the definition of does not know the division of characterizes the haemorrhage division of haemorrhages proceedings in each haemorrhages of them The student provides detailed information The student cannot The student provides The student provides on the patient's health provide information simple information on detailed information condition to the on the patient's the patient's health on the patient's members of the D11_K_U06 health condition to condition to the health condition to therapeutic team and the members of the members of the the members of the makes sure that it therapeutic team therapeutic team therapeutic team was properly understood (feedback) The student is familiar with the standard and The student does not The student knows The student knows alternative routes of know the principles the routes of the routes of administration of D11_K_U07 and routes of administration of administration of medications administration of medications and can medications inpatients of different medications administer them ages and can administer them The student does not The student respects The student respects The student respects respect the dignity partly the dignity the dignity and exemplary the dignity D11_K_K01 and autonomy of and autonomy of autonomy of people and autonomy of people entrusted to people entrusted to entrusted to his/her people entrusted to his/her care. his/her care. care. his/her care. The student does not The student The student partly The student develops upgrade professional exemplary upgrades upgrades professional professional knowledge and does professional D11_K_K02 knowledge and skills knowledge and skills, not develop skills to knowledge and skills to aim at aiming at aim at to aim at professionalism. professionalism. professionalism professionalism.

D11_K_K03 The student does not The student partly The student adheres The student

10 adhere to values, adheres to values, to values, duties exemplary adheres to duties and moral duties and moral and moral efficiency values, duties and efficiency efficiency in healthcare. moral efficiency in healthcare. in healthcare. in healthcare. The student shows The student shows The student shows The student shows no moral partial moral exemplary moral moral responsibility responsibility for a responsibility for a responsibility for a D11_K_K04 for a person and person and person and person and performance of performance of performance of performance of professional tasks. professional tasks. professional tasks. professional tasks. The student does not The student partly The student respects The student respects D11_K_K05 respect the patients' respects the patients' well the patients' exemplary the rights. rights rights patients' rights The student The student performs performs The student performs The student performs professional duties D11_K_K06 professional duties partly professional professional duties. reliably unreliably duties. and accurately. and inaccurately. The student The student does not The student partly The student adheres significantly adheres D11_K_K07 adhere to adheres to well to professional to professional professional secrecy. professional secrecy. secrecy. secrecy. The student The student does not The student The student partly independently and collaborate as part of independently collaborates as part of exemplary an interdisciplinary collaborates as part an interdisciplinary collaborates as part team in solving of an interdisciplinary team in solving of an interdisciplinary D11_K_K08 ethical dilemmas team in solving ethical dilemmas team in solving while maintaining the ethical dilemmas while maintaining the ethical dilemmas principles of the code while maintaining the principles of the code while maintaining the of professional principles of the code of professional ethics. principles of the code ethics. of professional ethics. of professional ethics. The student is not The student is partly The student is The student is open open to the open to the exemplary open to to the development of D11_K_K09 development of their development of one's the development of their own and own and patient's own and patient's their own and patient's subjectivity. subjectivity. subjectivity. patient's subjectivity.

The student does not The student The student The student demonstrate demonstrates partial demonstrates demonstrates great empathy in the empathy in the empathy in the empathy in the D11_K_K10 relationship with the relationship with the relationship with the relationship with the patient, his/her family patient, his/her family patient, his/her family patient, his/her family and colleagues. and colleagues. and colleagues. and colleagues. Date 15.05.2016 Created by

Appendices:

1. Credit sheet from lectures and classes without participation of an academic teacher 2. Pattern of assessment test from lectures

11 Appendix 1. PIE1. D11. BASICS OF EMERGENCY MEDICAL SERVICES Credit sheet from lectures and classes without participation of an academic teacher

Student's name and surname: ………………………………………………………………….. Album number: …………………. The Teacher' Student's Symbol of the number s self- educational Description of the educational outcome of assessm assessmen outcome obtained ent t points The student names life-threatening symptoms in D11_K_W01 _ _,_ _,_ patients of all ages The student characterizes groups of medications and their effect on the patient's systems and organs in D11_K_W02 various diseases, depending on age and health _ _,_ _,_ condition, including side effects, interaction with other medications and routes of administration The student characterizes nursing techniques and D11_K_W03 procedures used in patient care depending on age _ _,_ _,_ and health condition The student knows the specific principles of the D11_K_W04 organisation of specialised care in the emergency _ _,_ _,_ medical system in Poland The student knows the methods, techniques and tools D11_K_W05 _ _,_ _,_ for assessing awareness and consciousness The student knows the standards and procedures for D11_K_W06 _ _,_ _,_ emergency procedures and life-saving procedures The student explains the algorithms of resuscitation procedures in the scope of basic life support (BLS D11_K_W07 – _ _,_ _,_ basic life support) and advanced life support (ALS – advanced life support) The student describes the procedures of the medical security in mass events and disasters and in specific D11_K_W08 _ _,_ _,_ situations, such as chemical contamination, radiation and biological contamination The student knows the principles of first pre-medical D11_K_W09 _ _,_ _,_ aid The arithmetic mean of partial grades Grade W _,_ _ (to be given to two decimal places) The student extemporaneously immobilizes broken D11_K_U01 bones, dislocations and sprains and prepares the _ _,_ _,_ patient for transport The student provides education on first aid in health- D11_K_U02 _ _,_ _,_ threatening condition The student recognizes the emergency health- D11_K_U03 _ _,_ _,_ threatening condition The student performs automatic defibrillation (AED) D11_K_U04 _ _,_ _,_ and airway clearance without the use of apparatus The student extemporaneously blocks bleeding and D11_K_U05 _ _,_ _,_ haemorrhage

D11_K_U06 The student provides information on the patient's _ _,_ _,_

12 health condition to the members of the therapeutic team The student prepares and administers medications D11_K_U07 through different routes of administration, _ _,_ _,_ independently or on the order of a physician The arithmetic mean of partial grades Grade U _,_ _ (to be given to two decimal places) The student respects the dignity and autonomy of people entrusted D11_K_K01 _,_ _,_ to care The student systematically develops professional knowledge and D11_K_K02 _,_ _,_ skills, aiming at professionalism D11_K_K03 The student adheres to values, duties and moral skills in care _,_ _,_ The student shows moral responsibility for a person and performing D11_K_K04 _,_ _,_ professional tasks D11_K_K05 The student respects the patients' rights _,_ _,_ The student reliably and accurately performs assigned professional D11_K_K06 _,_ _,_ duties D11_K_K07 The student adheres to professional secrecy _,_ _,_ The student collaborates as part of an interdisciplinary team D11_K_K08 in solving ethical dilemmas while maintaining the principles of the _,_ _,_ code of professional ethics The student is open to the development of one's own and the D11_K_K09 _,_ _,_ patient's subjectivity The student manifests empathy in the relationship with the patient D11_K_K10 _,_ _,_ and his/her family and colleagues The arithmetic mean of partial grades Grade KS _,_ _ (to be given to two decimal places) Calculation of the weighted mean of the grades: Grade = Grade W x 0,4 + Grade U x 0,4 + Grade KS x 0,2 _,_ _ (to be given to two decimal places)

Determination of the final assessment – in accordance with the table:

Grade Final grade up to 2.75 2,0 2,76-3,25 3,0

3,26-3,75 3,5 _,_ 3,76-4,25 4,0 4,26-4,75 4,5 Date and lecture's signature 4,76-5,00 5,0

Note: In the case when the student one or two 2.0 grades from educational outcomes (decision to admit the student to an additional oral examination is taken by the teacher conducting the assessment final test from the lectures). Note: credit sheet from lectures together with the assessment test written by the student must be attached to the student's portfolio.

13 Appendix 2.

PIE1. D11. BASICS OF EMERGENCY MEDICAL SERVICES Pattern of assessment test from lectures + BNA NOTE: at least two variants of the assessment test from the lectures must be prepared. It is recommended to use multiple choice questions. Symbol of the educational Educational outcomes regarding knowledge outcome D11_K_W01 The student names life-threatening symptoms in patients of all ages A B Question no. 1 C D E A B Question no. 2 C D E A B Question no. 3 C D E A B Question no. 4 C D E A B Question no. 5 C D E The student characterizes groups of medications and their effect on the patient's D11_K_W02 systems and organs in various diseases, depending on age and health condition, including side effects, interaction with other medications and routes of administration A B Question no. 6 C D E A B Question no. 7 C D E A B Question no. 8 C D E A B Question no. 9 C D E A Question no. 10 B

14 C D E The student characterizes nursing techniques and procedures used in patient care D11_K_W03 depending on age and health condition A B Question no. 11 C D E A B Question no. 12 C D E A B Question no. 13 C D E A B Question no. 14 C D E A B Question no. 15 C D E The student knows the specific principles of the organisation of specialised care in the D11_K_W04 emergency medical system in Poland A B Question no. 16 C D E A B Question no. 17 C D E A B Question no. 18 C D E A B Question no. 19 C D E A B Question no. 20 C D E The student knows the methods, techniques and tools for assessing awareness and D11_K_W05 consciousness A Question no. 21 B C

15 D E A B Question no. 22 C D E A B Question no. 23 C D E A B Question no. 24 C D E A B Question no. 25 C D E The student knows the standards and procedures for emergency procedures and life- D11_K_W06 saving procedures A B Question no. 26 C D E A B Question no. 27 C D E A B Question no. 28 C D E A B Question no. 29 C D E A B Question no. 30 C D E The student explains the algorithms of resuscitation procedures in the scope of basic D11_K_W07 life support (BLS – basic life support) and advanced life support (ALS – advanced life support) A B Question no. 31 C D E A B Question no. 32 C D E Question no. 33 A

16 B C D E A B Question no. 34 C D E A B Question no. 35 C D E The student describes the procedures of the medical security in mass events and D11_K_W08 disasters and in specific situations, such as chemical contamination, radiation and biological contamination A B Question no. 36 C D E A B Question no. 37 C D E A B Question no. 38 C D E A B Question no. 39 C D E A B Question no. 40 C D E D11_K_W09 The student knows the principles of first pre-medical aid A B Question no. 41 C D E A B Question no. 42 C D E A B Question no. 43 C D E A B Question no. 44 C D E

17 A B Question no. 45 C D E Evaluation of the test questions (0 –incorrect answer, 0.5 – the answer is partly correct (only in multiple choice questions), 1 – correct answer) No. 1 No. 2 No. 3 No. 4 No. 5 No. 6 No. 7 No. 8 No. 9 No. 10

No. 11 No. 12 No. 13 No. 14 No. 15 No. 16 No. 17 No. 18 No. 19 No. 20

No. 21 No. 22 No. 23 No. 24 No. 25 No. 26 No. 27 No. 28 No. 29 No. 30

No. 31 No. 32 No. 33 No. 34 No. 35 No. 36 No. 37 No. 38 No. 39 No. 40

No. 41 No. 42 No. 43 No. 44 No. 45

Note: pattern (patterns) of the assessment test with answer key must be attached to the portfolio of the subject.

❊✁✳ ❈✵✁✳ ❇❛✐❝ ♦❢ ♥✉ ✐♥❣✳

❡ ❡❧

▲ ✈

☛☞ ✌ ✍✎✏✑✎✎

◆✂♠❡ ✄ ☎ ✆❡

◆ ◆

❯❘❙✡ ●

✄ ♠ ✄ ☎ ✝✞❞②

❋ ✒

✓✌✔ ✌✕✖✗✔✑✘

✝ ✞❞ ② ☎✟❡❧❞✠

✄ ☎✟❧❡

✙ ✒

♣✑✔✚ ✌✕✚ ✔✛

✄✞ ✝❡ ✂✝ ✟ ✝ ✄☎ ✞ ✝ ✟ ✄❞ ❡ ✄ ✟ ✝

✜ ✒ ✢ ✣ ✤ ✒ ✤✥ ✜ ✬✜❚❙ ✭ ✤

✦✧★ ☛✩✪✫☛ ✷ ✫✱✺

✎ ✍ ✘✚ ✗✘ ③

Wydział Społeczno ✲▼

✟ ❯✤

Katedra Pielęgniarstwa i Połonictw ✔

✮✯✷ ✰ ✷ ✻✹ ✼ ✹ ✼✺ ✇✎✇✗✩ ☛✷✱ ✍ ✕✎❦ ✔✗ ✔✌❅✇☞♣☞ ✩♣ ✛

✲ ✲ ③

❖✾✛✕ ✏✔✌✖✑✘

✂✞✝ ✄ ☎ ✄✞ ✝❡ ✄❞ ✞❧ ✂ ❧✄

❙ ✣ ✒ ✴ ✸ ✒ ❜ ✣✽

✪✩ ✿ ✔☞✕✚☞ ✖❀ ✗❁✑☞✕✗✏ ✚ ✔✑✎ ☞ ✚✕✎✗✚✎ ✩

❏❑❄❉ ❑◗ ❱❲❃❍❍ ❂❍❳ ❤❑❩❄❍ ❃ ❬❭ ❪ ❫❴❆ ❵❑❥❬ ■❍ ◗ ❑❄ ❍ ❂ ❵❃❄❃■❂ ◗ ❑❄❉❍ ❑◗ ❱ ❲❃❍❍❂❍

❨❂❃❄ ❆ ❂❉❂❍■ ❂❄ ❫ ①④⑤ ⑥⑦ ⑦ ⑥

❴❤❂ ❑❄ ❂■❥❱❃ ❲ ❂❭❩❱❃ ■❥❑❬ ⑦ ❄❃❱ ■❥❱❃ ❲ ❂❭❩ ❱❃■ ❥ ❑❬

⑧⑨ ⑩❶ ⑧⑨ ❷⑨ ❸❸❸

☛ ☛

⑥❼ ⑥❼ ⑥❼ ⑥ ❸❸❸

❹✖ ✑❺ ✖❀ ✎ ❻✔❺✕✗ ✔✌✕✖ ✗

❾

❶❳❶ ❸❸❸

★ ✪❽✓

❿ ➀❾

⑧⑨ ⑧⑨ ❷⑨ ⑨ ⑨

☛ ✷

❏❑❄❉ ❑◗ ❂➁❃❉❥❬❃ ■❥❑❬ ⑥❼ ⑥❼ ⑥❼ ⑥❼ ⑥❼

❾

❪ ❫❴❆ ⑩ ⑧❳❶ ❳ ❶

❏➂❬❃ ❲ ❂➁❃❉ ❼❆❫❪

❪ ❭❩❱ ❃ ■ ❥❑❬ ❃ ❄ ❂❃

❥❬ ❭ ❥❄ ❂❱■ ❥❑❬ ❑◗

✎✍ ✕✚ ✔ ✛ ☞✚✕✎ ✗✚✎☞✱ ➄✎✔✛✌➄ ☞ ✚✕✎ ✗✚✎☞ ✔ ✗✍ ♣➄ ✘☞✕✚✔ ✛ ✚ ❁✛✌❁✑✎ ☞✚✕ ✎✗✚✎☞

▼

❍ ■❩❭ ❥ ❂❍➃

❏❥ ❂ ❲❭ ❑◗ ❍ ❱❥❂❬❱ ❂

✎ ✔✛ ✌➄ ☞ ✚✕✎ ✗✚✎☞✩

➅

➆❃❬ ➇❩❃ ➇❂ ❑◗

✎ ✗✏ ✛✕☞➄

❲ ❂❱■❩❄ ❂❍

➈

⑦ ❄ ❂❄❂ ❩❥❍❥ ■❂❍

➉ ✗✖✇✛✎✍ ✏✎ ✖❀ ✌➄✎ ✾ ✔☞✕✚☞ ✖❀ ✔✗✔✌✖ ❺✘✱ ♣➄✘☞✕✖✛✖✏ ✘✱ ♣☞✘✚➄ ✖✛✖✏ ✘ ✔✗✍ ➄✎ ✔✛✌➄ ♣✑✖❺✖✌✕✖ ✗✩

❹✔❺✕✛✕ ✔ ✑✕ ✕ ✗ ✏ ☞ ✌❁✍✎ ✗✌☞ ✇✕✌➄ ✌➄✎ ✌➄✎ ✖✑✎✌✕✚✔ ✛ ✾ ✔☞✕✚☞ ✖❀ ✗❁ ✑☞✕✗ ✏✩

 ③

✌➄✎ ✔✾✕✛✕✌✘ ✌✖ ♣✎✑❀✖✑❺ ✍✕ ✔✏✗✖☞✌✕✚✱ ✚ ✔✑✎✱ ✌ ✑✎✔✌❺✎✗✌ ✔✗✍ ✕ ❺♣✑✖➋✎❺✎✗✌

 ➊✎➋✎ ✛✖♣✕ ✗✏

♣✑✖✚✎✍❁ ✑✎☞ ❀ ✖✑ ♣✎ ✖♣✛✎ ✕ ✗ ✍ ✕❀❀✎ ✑✎✗✌ ➄ ✎✔✛ ✌➄ ✚ ✖✗✍✕✌✕✖✗☞ ✔✗✍ ✔✌ ✍ ✕❀❀✎✑✎ ✗✌ ✔✏✎☞✩

✾ ✔☞✕✚ ❺✎ ✌➄✖✍☞ ✖❀ ✗❁ ✑☞✎ ✇✖✑❦ ✔✗✍ ✌➄✎✕ ✑ ☞✎ ✛✎✚✌✕✖ ✗ ✍✎♣✎ ✗✍✕✗✏ ✖✗ ✌➄✎ ✚ ✔✌✎✏ ✖✑✘ ✖❀

 ➉ ✗✖✇✕✗ ✏

❪ ❭❩❱ ❃ ■ ❥❑❬ ➇❑❃ ❲

✑✎✚✕ ♣✕✎✗✌☞ ✔✗✍ ✌➄✎ ♣✛✔✚✎ ✖❀ ✗❁ ✑☞✕ ✗ ✏ ✕ ✗ ✌➄✎ ➄ ✎ ✔✛✌➄ ✚ ✔✑✎ ☞ ✘☞✌✎❺✩

✌➄✎ ☞✚ ✖♣✎ ✔✗✍ ✗✔✌❁ ✑✎ ✖❀ ♣✔✌✕✎✗✌ ✚ ✔ ✑✎ ✍✎ ♣✎✗✍✕ ✗✏ ✖✗ ✌➄✎ ✚ ✔✌✎✏✖✑✘ ✖❀

 ➌ ✗✍✎ ✑☞✌✔✗✍✕✗ ✏

✑✎✚✕ ♣✕✎✗✌☞✩

❀✖✑ ♣ ✔✌✕✎ ✗✌☞ ✕ ✗ ✔✚✚✖✑✍✔✗✚✎ ✇✕✌➄ ✌➄✎ ♣ ✑✕✗✚✕♣✛✎☞ ✖❀ ♣ ✑ ✖❀✎☞☞✕ ✖✗✔✛ ✎ ✌➄✕✚☞ ✩

 ✪✔✑✕✗ ✏

❫ ❑❄❄ ❂❍❵❑❬❭ ❂❬❱

➑ ➒

❂ ❲❂ ❂❲ ➎❂ ■ ❂❂❬

❱ ❑❩❄ ❍ ❂ ❲ ❂❃❄❬❥❬➇

➐

❂◗❂❄❂❬❱ ❂ ■❑

❂◗◗ ❂❱■ ■❑

❫ ❑❩❄❍ ❂ ❲ ❂❃❄❬❥❬➇ ❭ ❥❄ ❂❱■ ❥ ❑❬❃❲

❭ ❥❄ ❂❱■ ❥ ❑❬❃❲

➏

❂❍❱❄ ❥❵ ■❥❑❬ ❑◗ ■ ❤❂ ❂❭❩❱ ❃ ■ ❥❑❬ ❂◗◗❂❱■

❂◗◗ ❂❱■ ❍ ➍❉➎ ❑❲ ❂❭❩❱ ❃ ■ ❥❑❬

❂❭❩ ❱❃ ■❥❑❬

❂◗◗ ❂❱■❍

❂◗◗ ❂❱■➃

➓➔ ➒

❸ ❲❑ ❳

➔➔

❸ ❉ ❥❭❭❲ ❂❳ ✶

➣➣➣ ↔ ↕➙➛ ↕➜

➝➞➟➠ ➡➢ ➤➥➢ ➢➤➦➧➨ ➩➫➟➞ ➢➭➭➢➧➩➯

➼➽ ➾➚➪➶➹➘➴ ➹ ➷➘ ➾➘➹➘ ➬➮➚➽➶➽➹➴ ➱ ✃ ➹ ➷➘ ➾➘❐➘❒➱❮ ➮➘➽➹ ➱✃ ➽ ❰➬➴➚➽

✃➬➱➮ ➹➷➘ ❮ ➘ ➬➴❮➘➪➹➚❐➘ ➱✃ ➹➚➮➘ ❮ ➶➴➹ ❮ ➬➘➴➘➽➹ ✃❰➹❰ ➬➘ ➚ ➽ ➹ ➷➘

➲➳➵➸ ➺➸➻ ➳➵ ➲➻ ➵

➪➱ ➽➹➘ ➹ ➱ ✃ ➹ ➷➘ ➹ ➬➶➽➴✃➱ ➬➮➶➹➚➱➽ ➱ ✃ ➪ ➶➬➘ ➽➱ ➴ ➹ ➷➘ ➘ ➴➴➘➽➪➘ ➱✃

➮➱ ➾➘➬➽ ➽ ❰➬➴➚➽ ➶➽➾ ➷➱❒➚➴➮ ➚ ➽ ➹ ➷➘ ➪ ➶➬➘ ➱ ✃ ➹ ➷➘ ❮ ➶➹➚➘➽➹

➚ ➴➪ ❰➴➴➘➴ ➹ ➷➘ ➘➴➴➘➽➪➘ ➱ ✃ ➪➱➽➹➘➮❮➱ ➬➶ ➬ ➽ ❰➬➴➚➽ ➚➽ ➹ ➷➘

➹ ➷➘➱ ➬➘➹➚➪➶❒ ➶➽➾ ❮ ➬➶➪➹➚➪ ➶❒ ➾➚➮➘➽➴➚➱➽ ➶➽➾ ➹ ➷➘ ❮ ➬➱➪➘➴➴ ➱ ✃ ➚➹ ➴

➲➳➵➸ ➺➸➻ ➳ ➲➻

❮ ➬➱✃➘➴➴➚➱➽ ➶❒➚➶➹➚➱➽ ➚➹ ➷ ❮ ➶ ➬➹➚➪❰❒➶➬ ➘ ➮❮➷➶➴➚➴ ➱➽ ➹➷➘ ➷➱❒➚➴➹➚➪

➶❮❮ ➬➱➶➪➷ ➹➱ ➮➶➽

➘ ✃➚➽➘➴ ➽❰➬➴➚➽ ➶➽➾ ❒➱➪ ➶➹➘➴ ➚➽➴➚ ➾➘ ➽❰➬➴➚➽ ➴❰❮❮➱➬➹ ➶➴➴➚ ➴➹

➲➳➵➸ ➺➸➻ ➳ ➲➻

➶➽➾ ➶➪➪➱➮❮➶➽ ➹ ➷➘ ➪ ➶➬➘ ❮ ➬➱❐➚➾➘➬

➲

➷➶➬➶➪➹➘➬➚ ➘➴ ➹ ➷➘ ➬➱❒➘ ➶➽➾ ✃ ❰➽➪➹➚➱➽ ➴ ➱ ✃ ➶ ➽❰ ➬➴➘

➹➶ ➚➽ ➚ ➽➹➱ ➶➪➪➱❰➽➹ ➚➹➴ ➬➱❒➘ ➚➽ ➹ ➷➘ ➪ ➶➬➘ ➶➽➾ ➹ ➷➘➬➶❮➘❰➹➚➪

➲➳➵➸ ➺➸➻ ➳ ➲➻

➹➘ ➶ ➮ ➶➽➾ ➹ ➷➘ ➬➱❒➘ ➱ ✃ ➹ ➷➘ ❮ ➶➹➚➘➽➹ ➚ ➽ ➹ ➷➘ ❮ ➬➱➪➘➴➴ ➱ ✃ ➷➘➶❒➹➷

➪ ➶ ➬➘ ➚ ➮❮❒➘➮➘➽➹➶➹➚➱➽

➘ ➴➪ ➬➚➘➴ ➹ ➷➘ ➽❰➬➴➚➽ ❮ ➬➱➪➘➴➴ ➘➴➴➘➽➪➘ ➴➹ ➶➘➴ ➬❰❒➘➴ ➱ ✃

➶❮❮ ❒➚➪ ➶➹➚➱➽ ➶➽➾ ❮ ➬➚➮➶➬ ➽ ❰➬➴➚➽ ➘➴➴➘➽➪➘ ➴➘❮➶ ➬➶➹➘➽➘➴➴

➲➳➵➸ ➺➸➻ ➳ ➲➻

➶➽ ➾ ➹ ➷➘ ➚➽ ✃❒❰➘➽➪➘ ➱ ✃ ➹ ➬➶ ➾➚➹➚➱➽➶❒ ➽ ❰➬➴➚➽ ➱➽ ➹ ➷➘ ✃❰➽➪➹➚➱➽➚➽ ➱ ✃

➽ ❰ ➬➴➚➽ ❮ ➬➶➪➹➚➪➘

➲➳➵➸ ➺➸➻ ➳ ➺ ➲➻

➽ ➱ ➴ ➶➽ ➾ ➶❮❮❒➚➘ ➴ ➹ ➷➘ ➪ ❒➶➴➴➚ ✃➚➪➶➹➚➱➽ ➱ ✃ ➽ ❰➬➴➚➽ ➾➚➶➽➱➴➘➴

➘ ✃➚➽➘➴ ➹➷➘ ➘ ➴➴➘➽➪➘ ➱ ✃ ➽❰➬➴➚➽ ➪ ➶➬➘ ➶➴➘➾ ➱➽ ➹ ➷➘➱ ➬➘➹➚➪ ➶❒

➶➴ ➴❰➮❮➹➚➱➽➴ ➱✃ ➚➷➹➚➽➶❒➘ ➘➽➾➘➬➴➱➽ ➬➘ ➮

➲➳➵➸ ➺➸➻ ➳ ➲➻

➲

➱ ➶➽ ➾ ➘❰➮➶➽ ➶➽➾ ➱ ➹ ➷➘➬ ➹ ➷➘➱ ➬➚➘➴ ➱ ✃ ➪ ❒➶➴➴➚➪➶❒

➽ ❰ ➬➴➚➽

➚❐➘ ➬➴➚ ✃➚➘ ➴ ➹ ➷➘ ❮ ➶➬➹➚➪➚❮➶➹➚➱➽ ➱ ✃ ➽ ❰➬➴➘➴ ➚➽ ➹➷➘ ➚ ➽➹➘➬➾➚➴➪➚❮ ❒➚➽➶ ➬

➹➘ ➶➮ ➚➽ ➹ ➷➘ ❮ ➬➱➪➘➴➴ ➱ ✃ ➷➘➶❒➹➷ ❮ ➬➱➮➱➹➚➱➽ ❮ ➬➘❐➘➽➹➚➱➽

➲➳➵➸ ➺➸➻ ➳ ➲➻

➾➚ ➶➽➱➴➚➴ ➹ ➬➘ ➶➹➮➘➽➹ ➶➽➾ ➬➘➷➶➚❒➚➹➶➹➚➱➽ ❰➽➾➘➬➴➹➶➽ ➾➴ ➹ ➷➘

➚ ➮❮➱ ➬➹➶➽➪➘ ➱ ✃ ➽ ❰➬➴➘ ➶➪➹➚❐➚➹➚➘➴ ✃➱ ➬ ➹ ➷➘ ➴➱➪➚ ➶❒ ❮➘ ➬➪➘❮➹➚➱➽ ➱✃

➹ ➷➘ ❮ ➬➱✃➘➴➴➚➱➽

➚ ➴➪ ❰➴➴➘➴ ➹ ➷➘ ➴➪➱❮➘ ➱ ✃ ➽ ❰➬➴➘ ➴ ➶➪➹➚❐➚➹➚➘ ➴ ➚➽ ➹➷➘ ➪ ➶ ➴➘ ➱ ✃

➲➳➵➸ ➺➸➻ ➳ ➲➻

❮ ➶➹➚➘➽➹ ➴ ➚ ➹ ➷ ➹ ➷➘➬➮➱ ➬➘❰❒➶➹➱➬ ➾➚ ➴➱➬➾➘ ➬➴

➚ ➴➪ ❰➴➴➘➴ ➹ ➷➘ ➴➪➱❮➘ ➱ ✃ ➽ ❰➬➴➘➴ ➶➪➹➚❐➚➹➚➘➴ ➚➽ ➹➷➘ ➪ ➶➴➘ ➱ ✃

➲➳➵➸ ➺➸➻ ➵➳ ➲➻

➽ ❰ ➬➴➚➽ ❮➶➹➚➘➽➹ ➴ ➚➹ ➷ ➴ ➚➽ ❒➘➴➚➱➽ ➴ ➶➽➾ ❮ ➬➘➴➴❰➬➘ ❰ ❒➪➘ ➬➴

➚❐➘ ➬➴➚ ✃➚➘ ➴ ➹➷➘ ➽❰ ➬➴➘➴ ➹ ➶➴ ➴ ➚➽ ➪ ➶➬➚➽ ✃➱➬ ➶ ➷➘➶❒➹➷ ❮ ➶➹➚➘➽➹

➲➳➵➸ ➺➸➻ ➵➵ ➲➻ ➵➳

➶➹ ➬➚➴ ➱✃ ➚ ❒❒➽➘➴➴ ➾➚➴➘ ➶➴➘ ➶➽➾ ❮➱➱ ➬ ❮ ➬➱➽➱➴➚➴

➲

➷➶ ➬➶➪➹➘ ➬➚➘➴ ➹➷➘ ➱ ➬ ➚ ➽ ➪➱➽ ➾➚➹➚➱➽➴ ➶➽➾ ➹ ➷➘ ➴➪➱❮➘ ➱ ✃

➲➳➵➸ ➺➸➻ ➵ ➲➻ ➵➵

➽ ❰ ➬➴➘➴ ❮ ➬➱✃➘➴➴➚➱➽➶❒ ➹ ➶➴ ➴ ➚➽➪ ❒❰➾➚➽ ❮ ➬➱✃➘➴➴➚➱➽➶❒ ➘➹ ➷➚➪➴

➶➽ ➾ ➽❰➬➴➘➴ ➱ ➬➶➽➚ ➶➹➚➱➽➴

➘ ➴➪ ➬➚➘➴ ➹ ➷➘ ➘➴➴➘➽➪➘ ❮ ❰➬❮➱➴➘ ➚ ➽ ➾➚➪ ➶➹➚➱➽➴

➪ ➱➽➹ ➬➶➚➽➾➚➪➶➹➚➱➽➴ ➾ ➶➽➘ ➬➴ ➶❮❮❒➚➪ ➶❒➘ ➬❰❒➘ ➴ ➶➽ ➾ ➴➹➬❰➪➹❰➬➘

➲➳➵➸ ➺➸➻ ➵ ➲➻ ➵

➱ ✃ ❮➘ ➬✃➱ ➬➮➚➽ ➶➴➚➪ ➽ ❰➬➴➚➽ ➶➪➹➚❐➚➹➚➘➴ ➶➴ ❮➶➬➹ ➱ ✃ ➹➷➘ ➽ ❰➬➴➚➽

❮ ➬➱➪➘ ➴➴

➚ ➴➪ ❰➴➴➘➴ ➹ ➷➘ ➚➮❮➱ ➬➹➶➽➪➘ ➱ ✃ ➴➹➶➽➾➶ ➬➾➴ ➶➽ ➾ ❮ ➬➱➪➘ ➾❰➬➘➴

➲➳➵➸ ➺➸➻ ➵ ➲➻

❰➴➘ ➾ ➚➽ ➽ ❰➬➴➚➽ ❮ ➬➶➪➹➚➪➘

➘ ➴➪ ➬➚➘➴ ➹ ➷➘ ➽ ❰➬➴➘➴ ❮ ➶➬➹➚➪➚❮ ➶➹➚➱➽ ➚ ➽ ➹ ➷➘ ❮ ➬➱➪➘➴➴ ➱ ✃

➲➳➵➸ ➺➸➻ ➵ ➲➻

➾➚ ➶➽➱➴➚➴ ➹ ➬➘➶➹➮➘➽➹ ➶➽➾ ➬➘➷➶➚ ❒➚➹➶➹➚➱➽ ➶➴ ➘ ❒ ❒ ➶➴ ➚➽ ➷➘➶❒➹➷

➪ ➶➬➘ ➱ ❐➘➬ ➶ ➷❰➮➶➽ ➘➚➽

➫➡➡ ➯ ➢➤➦➧➨ ➩➫➟➞ ➡➢ ➢➡ ➯

➬➱❮➱ ➴➘➴ ➶ ➽ ❰ ➬➴➚➽ ➮➱➾➘❒ ➶➽➾ ➶❮❮ ❒➚➘➴ ➴➘❒➘➪➹➘➾ ➹ ➷➘➱ ➬➚➘➴ ➱ ✃

➲➳➵➸ ➺➸➳➵ ➲➵

➽ ❰ ➬➴➚➽ ➚➽ ❮ ➬➶➪➹➚➪➘

➲

➱ ❒ ❒➘➪➹ ➴ ➚➽ ✃➱➬➮➶➹➚➱➽ ➚ ➽➹➘➬❐➚➘ ➱ ➴➘ ➬❐➶➹➚➱➽ ➾➚➬➘➪➹ ➶➽➾

➚ ➽ ➾➚➬➘➪➹ ➮➘➶➴❰➬➘➮➘➽➹➴ ➴➪➶❒➘➴ ➾➱➪ ❰➮➘➽➹➶➹➚➱➽ ➶➽ ➶❒ ➴➚ ➴

➲➳➵➸ ➺➸➳ ➲

➚➽➪ ❒❰➾➚➽ ➶➽➶❒ ➴➚➴ ➱✃ ➾➚➶➽➱➴➹➚➪ ➹➘ ➴➹➴ ❮ ➷ ➴➚➪ ➶❒

➘ ➶➮➚➽ ➶➹➚➱➽ ➹➱ ➚ ➾➘➽➹➚✃ ➹ ➷➘ ❮ ➶➹➚➘➽➹ ➴ ➷➘ ➶❒➹➷ ➴➹➶➹❰➴ ➶➽➾ ➹➷➘ →

óôõö ÷øùúûôü ôó ù ü÷õýûüþ ÿûùþüôýûý

õó ôõöý ÿûùþüôý úû❝ úý úý óôõ ú❤ ÿ úõöûüùúûôü ôó ❦úôü

ô ÿûý ùüÿ þ ø÷❝ôý ûü ú❤ øôôÿ ùü ÿ ÷õûü ùü ÿ øô ôÿ

❈✵✶ ❴❑ ❴❯✵✸ ❜ ❜ ❜ ❈ ✳❯✸ ✰ ✰ ✰

❝❤ ôøý úõ ôø ù ý ø ø ù ý ôú❤ õ úý ú ý úõû ý

✱ ✇ ♣

✹ õó ôõöý úý úý ôó þ ø②❝ö ûù ûú❤ ù þ ø÷❝ôö úõ ✹

❈✵✶ ❴❑ ❴❯✵ ✇ ❈ ✳❯ ✰ ✰ ✰

❙úý þ ôùøý ùüÿ ù øùü óôõ ❝ù õ ûüþ óôõ ù ý û❝❦ ôõ ÿûýù ø ÿ

♣ ❜

❈✵✶ ❴❑ ❴❯✵✺ ❈ ✳❯✺ ✰ ✰ ✰

õý ôü

♣

øùüý ùü ÿ ûö ø ö ü úý ü÷õýûüþ ❝ùõ úôþ ú❤ õ ûú❤ ú❤ ý û ❝❦

♣ ✇

✻ ✻

❈✵✶ ❴❑ ❴❯✵ ❈ ✳❯ ✰ ✰ ✰

ôõ ÿ ûýù øÿ ùü ÿ ❤ ûý óùö ûø②

❜

ùý ÷õ ý ù ü ÿ ÿô❝÷ö ü úý ùý û❝ ûúùø ùõùö úõý

▼ ❜ ✈ ♣ ✿

✼ úö õù ú÷õ ❤ ùõ ú õù ú øôôÿ õýý ÷õ õù ú❤ûüþ ùü ÿ ✼

❈✵✶ ❴❑ ❴❯✵ ♣ ✱ ✱ ❜ ♣ ✱ ❜ ❈ ✳❯ ✰ ✰ ✰

ý úùú ôó ❝ ôüý ❝û ô÷ýü ý ý ôÿ ② ûþ❤ ú ùü ÿ ❤ ûþ❤ ú

✱ ❜ ✇

õ óôõöý ôüþôûüþ ùü ÿ óûüùø ù ýý ýýöü ú ôó ú❤ ù ú ûü ú✬ý

♣

✽ ✽

❈✵✶ ❴❑ ❴❯✵ ❈ ✳❯ ✰ ✰ ✰

ý úùú ôó ❤ù øú❤ ùü ÿ ú❤ óó❝úû ü ýý ô ó ü ÷õý ûüþ ù❝ úû ûúûý

✈ ✈

❙úôõ ý ö ÿû❝ûü ý ûü ù ❝❝ ôõÿùü ❝ û ú❤ ù øû ❝ù ø ý úùüÿùõÿý

❈✵✶ ❴❑ ❴❯✵✾ ❈ ✳❯✾ ✰ ✰ ✰ ✇ ♣♣ ❜

●û ý ú❤ ù úû ü ú ö ÿû❝ùúûôüý ûü ùõ ûô÷ý ù ②ý ûü

✈ ♣ ✈ ✇ ✱

ù ❝ ❝ôõ ÿùü❝ û ú❤ ú❤ õ ûúú ü ôõÿõ ôó ú❤ ÿ ô ❝úôõ ùüÿ

❈✵✶ ❴❑ ❴❯✶✵ ✇ ✇ ❈ ✳❯✶✵ ✰ ✰ ✰

❝ù ø❝ ÷øùú ý ú❤ ÿ ôý ôó ö ÿ û❝ù úûôü

ø ý ú❤ ùú ûü ú ûü ù úûüþ ❝õ úûüþ ö ô ûüþ ùü ÿ úù ❦ûüþ

❍ ♣ ♣ ✱ ① ✱ ✈

❈✵✶ ❴❑ ❴❯✶✶ ❈ ✳❯✶✶ ✰ ✰ ✰

❝ùõ ô ó õýôüùø ❤ ②þ ûü

♣

ùõ ý óôõ ú❤ ý ❦ûü ùü ÿ ûúý õôÿ÷❝ úý ùü ÿ ö ÷❝ô÷ý

❈ ♣

ö ö õùü ý û ú❤ ú❤ ÷ý ôó ❤ù õöù ❝ ôøôþû❝ù ø ùþ ü úý ù ü ÿ ✷ ✷

❜ ✇ ♣ ❈✵✶ ❴❑ ❴❯✶ ❈ ✳❯✶ ✰ ✰ ✰

ö ÿû❝ùø öùú õ ûùøý ûü❝ ø÷ÿûüþ ❤ ù ø ûüþ ù ú❤ ý

✱ ❜

❤ ô ôý ý ú❤ ú❝❤ü û ÷ ùüÿ ö ú❤ ôÿý ô ó ÷ úúûüþ ôü ô ÷üÿ

❈ ♣ ✇

❈✵✶ ❴❑ ❴❯✶✸ ❈ ✳❯✶✸ ✰ ✰ ✰

ÿõ ýý ûüþý ûü ❝ø ÷ÿûüþ ù üÿùþ ûüþ

✱ ❜

✹ ý ý ùõ ûô÷ý ú ❝❤ ü û ÷ý ôó óÿûüþ ú❤ ù úûü ú ✹

❈✵✶ ❴❑ ❴❯✶ ❯ ✈ ♣ ❈ ✳❯✶ ✰ ✰ ✰

õó ôõöý õ ❝úù ø úõ ù úöü úý ✲ ü ö ù ûüþôú ÿõû ÿõ ② ú÷ úô

✱ ✱ ♣✱ ❜

❈✵✶ ❴❑ ❴❯✶✺ ❈ ✳❯✶✺ ✰ ✰ ✰

ú❤ ù ü÷ý

÷úý ù ❝ùú❤ úõ ûüúô ú❤ ÷õ ûüùõ② øù ÿÿõ öôü ûúôõý ÿ û÷õ ýûý

❜ ✱ ✱

✻ ✻

❈✵✶ ❴❑ ❴❯✶ ❈ ✳❯✶ ✰ ✰ ✰

õ ö ô ý ú❤ ❝ù ú❤ úõ

✈ ✳

õõù üþ ý ú❤ ù úûü ú ûü ÿ ûü ú❤ õù ÷úû❝ ôýûúû ôüý ù ü ÿ

❆ ♣ ❜ ♣ ♣

✼ ✼

❈✵✶ ❴❑ ❴❯✶ ❈ ✳❯✶ ✰ ✰ ✰

❝❤ùüþ ý ú❤ ý ôýûúû ôüý

♣

õó ôõöý õ ý ûõùúôõ ② þ ②öüùý úû❝ý ù ü ÿ ❝ôö ôý ûú ÿõùûüùþ

♣ ♣ ✱

✽ ✽

❈✵✶ ❴❑ ❴❯✶ ❈ ✳❯✶ ✰ ✰ ✰

ûü❤ùøù úûôü ùü ÿ ùûõ ù ② ÿ ôø ø÷úûôü

✇ ♣

õó ôõöý õ ÷ ûüþ ù úúûüþ ùü ÿ ôú❤ õ ❝øùýý û❝ù ø öùýýùþ

❜❜ ✱ ♣

❈✵✶ ❴❑ ❴❯✶✾ ❈ ✳❯✶✾ ✰ ✰ ✰

ú ❝❤ü û ÷ý ù ❝ úû ùüÿ ùýýû õ ❝ ûý ý

✱ ✈ ♣ ✈ ①

✷ õ ô ûÿý ù ýù ó ü ûõôüö ü ú óôõ ú❤ ù úûü ú ✷

❈✵✶ ❴❑ ❴❯ ✵ ✈ ✈ ♣ ❈ ✳❯ ✵ ✰ ✰ ✰

✷ õ ù úý ❝ ôüÿûúûôüý óôõ ý ø ùüÿ õ ý ú ✷

❈✵✶ ❴❑ ❴❯ ✶ ❈ ♣ ❈ ✳❯ ✶ ✰ ✰ ✰

õó ôõöý ② ùü ÿ ùõ õ ûüý ûüþ ✷✷ ✷✷

❈✵✶ ❴❑ ❴❯ ❈ ✳❯ ✰ ✰ ✰

✷ ôüü ❝úý ù ü ÿ ý ÷ ôõúý ûüúõù ü ô÷ý ÿõû ❦ûúý ✷

❈✵✶ ❴❑ ❴❯ ✸ ❈ ♣♣ ✈ ♣ ❈ ✳❯ ✸ ✰ ✰ ✰

✷✹ ÷úý ú❤ ú ÷ ûüúô ú❤ ý úôöù❝❤ ù ü ÿ õ ❝û ý ú❤ ❝ôü úü ú ✷✹

❈✵✶ ❴❑ ❴❯ ❜ ✈ ❈ ✳❯ ✰ ✰ ✰

✷ øûý ùü úû ✲ûü óøùööùúôõ ② úõù úö ü úý ùü ÿ ö ÿû❝ù ø ❝ ÷ ý ✷

❈✵✶ ❴❑ ❴❯ ✺ ❆♣ ♣ ♣ ❈ ✳❯ ✺ ✰ ✰ ✰

✷✻ ý ý ÷ö ý ùüÿ õ ö ô ý ù ❝ù ú❤ úõ óõôö õ û ❤ õù ø ûüý ✷✻

❈✵✶ ❴❑ ❴❯ ❆ ✈ ♣ ♣ ✈ ❈ ✳❯ ✰ ✰ ✰

ôü ûúôõý ù ø÷ùúý ù üÿ öù ûü úùûüý ú❤ ø ù❝ ôó ❝ü úõùø

▼ ✱ ✈ ♣ ✱

✷✼ ✷✼

❈✵✶ ❴❑ ❴❯ ❈ ✳❯ ✰ ✰ ✰

õ û ❤ õù ø ù ü ÿ ùý ❝÷øùõ ôõ ú

♣ ♣ ✈ ♣

õó ôõöý ÷øý ô ûö úõ② ù ü ÿ ❝ù ü ôö úõ ② ✷✽ ✷✽

♣ ① ♣ ❈✵✶ ❴❑ ❴❯ ❈ ✳❯ ✰ ✰ ✰

ý ý ûýúý ú❤ ÿô❝ úôõ ûü ÿûùþüôýúû❝ úý úý ÷ü❝ ú÷õ ôó ú❤

❆ ✿ ♣

ù ÿôöûüù ø ❝ù ûú② ø÷õù ôü ö ùõõ ô úõù ❝úû ôü ù ü ÿ ✷ ✷

❜ ✈ ✱ ♣ ✱ ❜ ✇ ① ❈✵✶ ❴❑ ❴❯ ✾ ❈ ✳❯ ✾ ✰ ✰ ✰

ø ÷ö ùõ ÷ü ❝ú÷õ

❜ ♣

ôø ø❝ úý öù úõ ûùø óôõ øù ôõù úôõ ② ù ü ÿ ù ❝ úõ ûôøôþû ❝ùø úý úý

❈✵✶ ❴❑ ❴❯✸✵ ❈ ❜ ❜ ❈ ✳❯✸✵ ✰ ✰ ✰ ò

✠✡☛♦☞ ❛ ♥✡✌✍♦♥ ❛ ♥❞ ✐ ♥☛❛ ♥ ✍❛ ✎ ❛ ♥❞ ☞♦ ♥✐♦ ✐

✂✄☎ ✆✝ ✆✞✟☎ ✂✒✞✟☎ ✓ ✓ ✓

❞ ✡ ✡ ♦ ☞ ✡♥

✏ ❧ ✑

✠✡ ❛ ✡ ✎✐☞ ✡ ☛ ❛ ♥❞ ✡ ✐ ☞✡ ♥ ♦ ✐ ♥ ☞ ✡♥ ❛ ♥❞ ✎❛♥ ✡

✑ ❧ ✕ ✉ ✑ ✉ ✖ ❣

✂✄☎ ✆✝ ✆✞✟✔ ✂✒✞✟✔ ✓ ✓ ✓

✎ ✡ ✌♦ ♥❞ ❞ ✡✐♥

✉ ❣

✝ ✡ ✡ ✡ ♦ ❞ ♦ ☛ ♥ ✐♥ ❛ ✡✗ ✐ ♥ ❞✐♥ ♥ ✐♥ ✎✐♦✘✗

✑ ✖ ✉ ❣ ✖ ✖❧✉ ❣ ✉ ❣

✂✄☎ ✆✝ ✆✞✟✟ ♦ ✍ ✡ ❛ ✐♦ ♥ ❛❞✗ ☛✡✍✐ ✡ ❛❞✗ ❛ ✍♦♦✙ ♦ ☛ ✡ ♦ ✗ ✡ ✡♥ ✐♦♥ ✂✒✞✟✟ ✓ ✓ ✓

✏ ✖ ❧ ✖ ✑ ✑ ✏

❛ ♥❞ ✡❛☞✡♥ ♦ ☛ ✡ ✡ ✡

✑ ✉ ✉❧ ✖

✂✄☎ ✆✝ ✆✞✟ ✡ ♦❞ ✎✡ ✡ ✡ ✐♦♥ ♦ ☛ ♦ ❞ ✡ ✐ ♥ ✎✡ ☞ ✡❞✐ ❛ ♦❞✡ ❛ ❞ ✂✒✞✟ ✓ ✓ ✓

✚ ❘ ✖ ✛ ✖✉ ✖ ❧ ✖ ✚

✡ ✎✡ ❛ ✐✡ ♥ ❛❞ ❛ ♦ ✎✡ ♦ ♥❞✐✐♦♥ ✡ ❛✐ ✐ ♥ ✐♥ ✎✡

✢ ❧ ✑ ✑ ✑ ✖ ✑ ✏ ❧ ❣

✂✄☎ ✆✝ ✆✞✟✜ ✂✒✞✟✜ ✓ ✓ ✓

✎♦ ✐ ❛ ❛ ♥❞ ✐ ♥ ♦ ✎✡ ♦☞ ❛ ♥✐ ✡ ♦ ☛ ✎✡ ✎✡❛ ✎ ❛ ✡ ♦ ✐❞ ✡

✑ ❧ ✖ ✑ ❧ ✖ ✑ ✏

✣✤✥✦✧ ★ ✥✤♠✩❡✪❡✫✥❡ ❡✭✮✥✧✪✦ ✤ ❡❢❢❡ ✥✪✯

✡ ✡ ✎✡ ❞ ✐ ♥✐ ✘ ❛ ♥❞ ❛ ♦♥♦☞ ✘ ♦ ☛ ✡♦ ✡ ✡♥ ✡❞ ♦

❘ ✑ ✖ ❣ ✉ ✑ ✑❧ ✉

✂✄☎ ✆✝✆✝✄☎ ✒✝ ☎ ✓✓

❉

❛ ✡

✖

✘✡☞❛ ✐ ❛ ✘ ✡♥✐ ✎✡ ♦☛✡✐♦♥❛ ✙ ♥♦✌ ✡❞ ✡ ❛ ♥❞

✴ ✖ ❧❧ ✖ ✑ ❧ ❧ ❣

✂✄☎ ✆✝✆✝✄✔ ✒✝ ✔ ✓✓

❉

✎❛ ✡ ✙✐ ✗ ✐ ✐ ♥ ☛♦ ♦ ☛✡✐♦♥❛ ✐ ☞

✑ ❧❧ ✏ ❣ ✑ ❧

✒✝ ✟ ✂✄☎ ✆✝✆✝✄✟ ❖✍ ✡ ✡ ❛ ✡✗ ❞ ✐✡ ❛ ♥❞ ☞ ♦❛ ✡☛☛✐ ✐✡ ♥ ✘ ✐♥ ❛ ✡ ✓✓

❉ ✏ ✏ ❧✉ ✉ ❧ ✖ ✖ ✖

✎♦✌ ☞♦❛ ✡ ♦ ♥✐✍✐ ✐ ✘ ☛♦ ❛ ☞❛ ♥ ❛ ♥❞ ✡☛♦☞✐♥

✴ ❧ ✑ ❧ ✑ ❣

✂✄☎ ✆✝✆✝✄ ✒✝ ✓✓

✚ ❉ ✚

♦ ☛✡✐♦ ♥❛ ❛✙

✑ ❧

✡ ✡ ✎✡ ❛ ✐✡♥ ✐ ✎ ✒✝ ✜ ✂✄☎ ✆✝✆✝✄✜ ✓✓

❘ ✑ ✖ ✑ ❀ ❣ ❉

♦ ♥ ✡ ✘ ❛ ♥❞ ❛ ❛✡ ✘ ✡ ☛♦☞ ❛✐ ♥ ✡❞ ♦☛✡ ✐♦♥❛

✢ ❧ ✖✖ ✉ ❧ ✑ ❣ ✑ ❧

✂✄☎ ✆✝✆✝✄❁ ✒✝ ❁ ✓✓

❉

❞ ✐✡

✉

✂✄☎ ✆✝✆✝✄ ❞ ✎ ✡✡ ♦ ♦ ☛✡✐♦ ♥❛ ✡ ✡ ✘ ✒✝ ✓✓

❂ ❃ ✑ ❧ ✖ ✖ ❉ ❂

✂♦ ❛ ✍♦❛✡ ❛ ❛ ♦ ☛ ❛ ♥ ✐♥ ✡❞✐ ✐ ✐ ♥❛✘ ✡❛☞ ✐♥ ♦ ✐♥

❧ ❧ ✑ ✖ ✑❧ ❧✏ ❣

✂✄☎ ✆✝✆✝✄❄ ✒✝ ❄ ✓✓ ✡ ✎✐ ❛ ❞✐ ✡☞☞❛ ✌✎✐ ✡ ☞❛ ✐ ♥❛✐ ♥✐♥ ✎ ✡ ✐♥ ✐ ✡ ♦ ☛ ✎ ✡

❉ ✖ ❧ ❧ ❧ ❣ ✑ ✖ ✑❧

♦❞ ✡ ♦ ☛ ♦☛✡✐♦ ♥❛ ✡✎✐

✖ ✑ ❧ ✖

♦ ✡♥ ♦ ✎✡ ❞ ✡ ✡ ♦ ☞✡♥ ♦ ☛ ✎✐ ♦✌♥ ✍ ✡ ✐ ✐ ✘ ❛ ♥❞

■ ✑ ✏ ❧ ✑ ✉ ❥ ✖ ✏

✒✝ ❅ ✂✄☎ ✆✝✆✝✄❅ ✓✓

❉

❛ ✐✡♥

✑

❇❛♥✐☛✡ ✡☞ ❛ ✎✘ ✐ ♥ ✎ ✡ ✡ ❛✐♦ ♥✎✐ ✌✐✎ ✎ ✡ ❛ ✐✡♥ ❛ ♥❞

✑ ❧ ✑ ✑

✂✄☎ ✆✝✆✝☎✄ ✒✝ ☎✄ ✓✓

❉

✎✐ ☛❛☞✐ ✘ ❛ ♥❞ ♦ ✡❛ ✡

❧ ✖ ❧ ❧ ❣ ✉

❊✭✮✥✧✪✦ ✤✫ ✥ ✤✫✪❡✫✪

☞ ✡☞ ✡♥✡❞

■ ✑❧

✘☞✍♦ ❛♥❞ ♥

✴ ❧

✍ ✡ ♦ ☛ ❛ ✡ ✡❞ ❛ ✐♦♥ ♦

✴✉ ❥ ✖ ✖❧ ✉ ✖ ✢ ✉

♦ ☛ ❛ ✡

✖ ❧

✡ ☛☛✡ ✖

Forma zajęć: wykłady

✣❡♠❡✯✪ ❡❋ ❏

✐ ♦✘ ♦☛ ♥ ✐♥ ✗ ✐ ❞ ✡ ✡ ♦ ☞ ✡♥ ❛ ✎✡ ♥ ♦ ☛ ✎✡ ✡♥ ✘✒

✢ ✉ ❣ ✏ ❧ ✑ ✉ ✖ ✉

❲ ✄☎ ✂✄☎ ✆✝ ✆❲✄☎ ✜

✂ ❛ ♦ ♥❞✐✐♦ ♥✐♥ ♦ ☛ ✎✡ ❞✡ ✡ ♦ ☞ ✡♥ ♦ ☛ ✎✡ ✐❞✡❛ ♦ ☛ ♥ ✐♥ ✒

✉❧ ✉ ❧ ✖ ❣ ✏ ❧ ✑ ✉ ❣

❲ ✄✔ ✎ ✡ ✡ ✡♥ ✡ ♦ ☛ ☞ ♦❞✡ ♥ ♥ ✐♥ ✒ ♦ ✐☞ ✐ ♥ ❛✙✐♥ ❛ ✡ ♦ ☛ ❛ ☞❛ ♥✒ ✂✄☎ ✆✝ ✆❲✄✔ ✜

❚ ✖ ✉ ❣ ✢ ❧ ❣ ✖

✎ ✡ ♦ ✡ ♦☛ ❛ ♥ ✡ ✐♥ ❛ ❛ ✡ ❛ ♥❞ ✎✡❛ ✡ ✐ ✡❛☞✒ ♥✡ ♥❛

❚ ❧ ✉ ✖ ✑ ✉ ✖ ■ ❧

❲ ✄✟ ✂✄☎ ✆✝ ✆❲✄❄

✚

✡ ❛ ✐♦ ♥ ✐ ♥ ✎ ✡ ✎✡❛ ✡ ✐ ✡❛☞✒ ♦ ✐ ❛ ✡ ✡ ✐♦♥ ♦ ☛ ✎✡ ♥ ✡✒

❧ ✑ ✉ ✖ ✴ ✖ ❧ ✖ ✑ ✉

❲ ✄ ✂❛ ✡ ✡♥✐✘ ✐ ♥ ♥ ✐♥ ✒ ♦ ✐ ❛ ❛ ❛ ❛ ✐✡♥ ✡♥ ✐♦ ♥☞ ✡♥✒ ✂✄☎ ✆✝ ✆❲✄✟ ✟

✚ ✉ ❣ ✢ ✑ ❧ ✑ ❀ ✏

❲ ✄✜ ▲❛ ✐ ♦ ☛ ♥ ✡ ♦ ☛✡✐ ♦♥❛ ❛ ✐ ✐ ✘✒ ✂♦❞ ✡ ♦ ☛ ♦ ☛✡✐♦♥❛ ✡✎✐ ✒ ✂✄☎ ✆✝ ✆❲☎✔ ✜

✖ ✉ ❀ ✑ ❧ ✖ ✏ ✑ ❧ ✖

✠♦☛ ✡✐♦♥❛ ♦ ❛ ♥✐③❛✐♦♥✗ ❛ ♦ ✐❛ ✐♦ ♥✗ ✐ ✡♥✐☛✐ ♦ ✐✡ ✐✡✗ ❛❞✡

❧ ❣ ✖ ✖ ✖ ✖

❲ ✄❁ ✂✄☎ ✆✝ ✆❲☎✔ ✟

♥✐♦ ♥ ♥ ✐♥ ✒

✉ ✉ ❣

✠♦☛ ✡✐♦♥❛ ☛ ♥ ✐♦♥ ♦ ☛ ❛ ♥ ✡✒

❧ ✉ ✖ ✉

❲ ✄ ✂✄☎ ✆✝ ✆❲✄ ✜

❂ ✚

❲ ✄❄ ✎ ✡ ♥ ✐♥ ♦ ✡ ❛ ❛ ☞ ✡✎♦❞ ♦ ☛ ♥ ✐ ♥ ✌♦✙✒ ✂✄☎ ✆✝ ✆❲✄✜ ❁

❚ ✉ ❣ ✑ ✖ ✉ ❣

❲ ✄❅ ◆❛ ♦ ❛☛ ☛✡ ✐♥ ✎✡ ♥ ✡ ❛ ✐ ✘ ♦ ☛ ✌♦✙✒ ✂✄☎ ✆✝ ✆❲✄✜

✖ ✖ ❣ ✉ ❀ ✕✉ ❧ ✚

❲ ☎✄ ❛ ♥❞❛❞✗ ♦ ✡❞ ✡ ✡❞ ✐ ♥ ♥ ✐♥ ❛ ✐ ✡✒ ✂✄☎ ✆✝ ✆❲☎ ✜

✴ ✑ ✖ ✉ ✉ ✉ ❣ ✑ ✖ ✖ ✚ ✁

❩❬ ❭❩❳❪❫ ❵ ④⑤⑥ ⑦❳❪⑤❫ ❫⑤❨⑤❫⑦ ⑤❪ ⑧ ⑨⑩

❱❳❨ –

❱⑤❨⑤❫ ⑦⑤❪ ❶

➎➒ ➓➔ ➓ ➒→

❸ ❷

❹❺❻ ❻ ❼❼❻❽❾❻ ❿ ❽➀ ➁➂➃➄➅➆❿❽❾❻ ➄➇ ➆ ❺❻ ➆ ❺❻ ➄➅➈ ➄ ➇ ❽➉➅❼➁❽➊➋ ➄➅➌ ➄❽ ➆ ❺❻

❷

❷ ❸❸ ➣

➁ ❽➆➅➄➀➉❾➆➁ ➄❽ ➄ ➇ ➍ ➎➏➐ ➃➅❿❾➆➁❾❻ ➆➄ ➐ ➄➑➁❼❺ ❽ ➉➅❼➁❽➊➋

➎➒ ➓➔ ➓

❸ ❷ ❸❸

➄ ➀❻➑ ❼ ➄ ➇ ➄➅➊❿ ❽➁ ➁❽➊ ❽➉➅❼➁❽➊ ❾❿➅❻➋ ➎➒ ➓➔ ➓ ➒→

❷ ❸↔ ↕ ➙ ➛ ❸ ❷

❹❺❻ ➆ ❺❻ ➄➅➈ ➄ ➇ ➆❺❻ ❿ ❼➁❾❼ ➄ ➇ ❽➉➅❼➁❽ ➊ ➑➄➅❻❽❾❻ ➏➁ ➊❺➆➁❽➊❿➑❻➋ ➎➒ ➓➔ ➓ ➒→

❷ ❸➜ ➝ ➞ ❸ ❷ ➜

➠➁➅➊➁ ❽➁❿ ➡❻ ❽➀❻➅❼➄❽➢ ❼ ➆ ❺❻ ➄➅➈ ➤ ➁➆ ❼ ➁➂ ➃➄➅➆❿ ❽❾❻ ➇➄➅ ➆ ❺❻ ➀❻ ➥❻➑➄➃➂❻❽➆ ➄➇

➎➒ ➓➔ ➓ ➒→

❷ ❸➟ ❸ ❷ ➜

➂ ➄➀❻➅❽ ❽➉➅❼➁❽➊➋

➦❻ ➑➇➤❾❿➅❻ ➆ ❺❻➄➅➈ ➧➋ ➨➅❻➂➋ ➎➒ ➓➔ ➓ ➒→

❷ ❸➛ ➜ ❸ ❷

➩ ➫➀❿ ➃➆➁ ➥❻ ➂ ➄➀❻➑ ➄➇ ➎❿➑➑➁ ❼➆➈ ➭ ➄➈➋ ➎➒ ➓➔ ➓ ➒→

❷ ❸ ❸ ❷ ➜

→ ➦❾➁❻ ❽➆➁➇➁❾ ❿❾➆➁ ➥➁➆➈ ➁❽ ❽ ➉➅❼➁❽➊➋ ➎➒ ➓➔ ➓ ➒→

❷ ❸ ❸ ❷ ↔

➐❻ ➅➇ ➄➅➂➁ ❽➊ ❿ ❼➁❾ ❽➉➅❼➁❽➊ ❿ ❾➆➁➥➁➆➁ ❻ ❼ ❿ ❼ ➃❿➅➆ ➄➇ ➆ ❺❻ ❽➉➅❼➁❽ ➊ ➃➅➄❾❻❼ ❼

➝ ➯

❻ ❼ ❼❻❽❾❻➲ ➃➉➅➃➄❼❻➲ ➁ ❽➀➁❾❿➆➁ ➄❽❼➲ ❾ ➄❽➆➅❿➁❽➀➁❾❿➆➁ ➄❽❼➲ ➀❿❽➊❻➅❼➲ ➎➒ ➓➔ ➓ →

❷ ❸➣ ❸ ❷ ❸➜

❿ ➃ ➃➑➁❾❿ ➑❻ ➅➉ ➑❻❼ ❿❽➀ ❼➆➅➉❾➆➉➅❻

➝

➏ ➉➅❼❻➢ ❼ ➃❿➅➆➁❾➁➃❿➆➁➄❽ ➁❽ ➆ ❺❻ ➃➅ ➄❾❻ ❼❼ ➄➇ ➀➁❿➊ ❽➄❼➁❼➲ ➆➅❻❿➆➂❻ ❽➆ ❿ ❽➀

➅❻ ❺❿ ➁ ➑➁➆❿➆➁ ➄❽ ❿❼ ❻ ➑➑ ❿ ❼ ➁ ❽ ❺❻❿➑➆❺ ❾❿ ➅❻ ➄➥❻➅ ❿ ❺ ➉➂❿ ❽ ❻➁ ❽➊➋ ➎➒ ➓➔ ➓

❷ ❸➳ ➝ ➵ ➝ ❸ ❷ ❸ ➛ ↔

➎➑❿ ❼❼➁➇➁❾❿➆➁➄ ❽❼ ➄➇ ❽ ➉➅❼➁❽➊ ➀➁❿➊❽➄❼❻❼➋

➒ ➏ ➉➅❼➁ ❽➊ ➃❿➆➁❻❽➆❼ ➁➆ ❺ ➆ ❺❻➅➂ ➄➅❻➊➉➑❿➆➄➅➈ ➀➁❼➄➅➀❻➅❼➋ ➎➒ ➓➔ ➓ ➒

❷ ↔ ➵ ❸ ❷ ➳ ➜

➏ ➉➅❼➁ ❽➊ ➃❿➆➁❻❽➆❼ ➁➆ ❺ ❼➌➁❽ ➑❻❼➁➄❽❼ ❿ ❽ ➀ ➃➅❻❼❼➉➅❻ ➉➑❾❻➅❼➋ ➎➒ ➓➔ ➓ ➒

❷ ↔❸ ➵ ❸ ❷ ❸ ➜

➧➁ ➥❻➅❼➁ ➇➁❾❿➆➁➄ ❽ ➄➇ ❽➉➅❼❻➢❼ ➆❿ ❼➌❼ ➀❻➃❻ ❽➀➁ ❽➊ ➄❽ ➆❺❻ ➃❿➆➁❻ ❽➆➢ ❼ ❾➄❽➀➁➆➁➄❽

➎➒ ➓➔ ➓

❷ ↔↔ ➜ ❸ ❷ ❸➜

❺❻❿ ➑➆❺➈ ➃❿➆➁❻ ❽➆➲ ➃❿➆➁❻❽➆ ❿➆ ➅➁❼➌➲ ➃❿➆➁❻❽➆ ➁➆ ❺ ➉ ❽➇❿ ➥➄➅❿ ➑❻ ➃➅➄➊❽➄❼➁❼

➸ ➵ ➝ ➺

❶ ⑨⑩ Razem godzin: wykłady – ❫⑤❨⑤ ❫⑦❪

Forma zajęć: ćwiczenia *

❱⑤❨⑤ ❫⑦❪ ⑧

➨➅➊❿❽➁ ❿ ➆➁ ➄❽ ➄➇ ❾ ➑❿❼❼❻❼➋ ❻➆➆ ➁❽➊ ➆ ➄ ➌ ❽➄ ➆ ❺❻ ❽ ➉➅❼➁ ❽➊ ❼ ➌➁➑ ➑❼ ➆➅❿➁ ❽➁❽➊

➙ ➻ ➵

➅ ➄➄➂ ➦➎➼➐ ❿ ❽➀ ➆❺❻ ➅➄➄➂ ➇➄➅ ➑❻❿➅❽➁❽➊ ➆❻❾❺ ❽➁❾❿ ➑ ❼ ➌➁➑➑❼ ➦➏➼❹ ➋ ➎➒ ➤➤➤

➸ ➺ ➸ ➺ ➛ ❸

➡➈➊➁❻ ❽➁❾ ❺❿ ❽➀ ❿ ❼❺➁ ❽➊➋

➵

❿ ❽➀❿➊➁❽➊ ➤ ➃➅➁❽❾➁➃ ➑❻❼➲ ➂ ❻➆❺ ➄➀❼ ❿ ❽ ➀ ➆❻❾ ❺❽➁ ➉❻❼ ➄ ➇ ❿❽ ➀❿➊➁❽➊

➽ ➾ ➝

➎➒ ➎➒ ➓➔➓➼

↔ ❸ ❸➜ ➣

➥❿➅➁➄➉ ❼ ➃❿➅➆❼ ➄➇ ➆ ❺❻ ➄ ➀➈➋

➝

➎➒ ➓➔➓➼ ➒

❸ ↔

❻ ➀ ➂❿ ➌➁❽➊ ➇➄➅ ➆ ❺❻ ➃❿➆➁❻ ❽➆ ➤ ➥❻➅❼➁➄ ❽❼ ❿❽➀ ➂ ➄➀➁➇➁❾❿➆➁➄ ❽❼➋ ➎➒ ➩

➽ ➜

➎➒ ➓➔➓➼

❸ ↔❸

➎➒ ❹❺❻ ➉❼❻ ➄➇ ➇❿❾➁ ➑➁➆➁❻❼ ❿❽ ➀ ➑❿➈➁❽ ➊ ➆ ❺❻ ➃❿➆➁❻❽➆ ➁❽ ➀➁➇➇❻➅❻❽➆ ➃➄❼➁➆➁➄ ❽❼➋ ➎➒ ➓➔➓➼ → ➩

➟ ❸ ❸

➎➒ ➓➔➓➼ ➒

❸ ↔

➎➒ ➎❺❿ ❽➊❻ ➄➇ ❻ ➀ ❿❽ ➀ ➃❻➅ ❼➄❽❿➑ ➉❽➀❻➅ ❻❿ ➅➋

➛ ➝ ➵ ➛

➎➒ ➓➔➓➼

❸ ↔❸

➎➒ ➓➔➓➼

❸ ❸↔

➎➒➩ ➎➒ ➓➔➓➼ ➒ ➩ ➄ ➀➈ ➆ ➄➁➑❻➆ ➁❽ ❿ ➑➈➁❽➊ ➃❿➆➁❻❽➆ ❿❽➀ ❿ ➆ ➄➁➑❻➆ ➁ ❽ ➆ ❺❻ ➂ ➄➉➆❺➋

❸ ↔ ➽

➎➒ ➓➔➓➼

❸ ↔❸

➎➒ ➓➔➓➼ ➒

❸ ↔

➎➒→ ❹➅❻❿➆➂❻ ❽➆❼ ➆ ➄ ➌❻❻➃ ➈➄ ➉➅ ❺❻❿ ➀ ❾ ➑❻❿❽➋

➛

➎➒ ➓➔➓➼

❸ ↔❸

➎➒ ➓➔➓➼ ➒

❸ ↔

➎➒ ➄ ➥➁❽➊ ❿ ❽➀ ➆➅❿ ❽❼➃➄➅➆➁❽ ➊ ➆ ❺ ❻ ➃❿➆➁❻ ❽➆➋

➣ ↕ ➛

➎➒ ➓➔➓➼

❸ ↔❸

➎➒ ➓➔➓➼ ➒

❸ ↔

➫❼ ❼➁❼➆❿❽❾❻ ➁ ❽ ❻ ❾➅❻➆ ➁ ➄❽ ➊➁➥➁❽➊ ➆ ❺❻ ➃❿➆➁❻ ❽➆ ❿ ➀➉❾➌ ❿ ❽ ➀ ❼ ➁ ➂➂ ➁❽➊

➚ ➪ ➵

➎➒

➳ ➛

➃ ➄➄➑➋

➎➒ ➓➔➓➼

❸ ↔❸

➎ ➒ ➐❿ ➆➁❻ ❽➆ ➇❻❻➀➁❽➊ ➆❻❾ ❺❽➁ ➉❻❼ ➎➒ ➓➔➓➼

❸ ➾ ❸ ❸➟ ➣

➡❻ ➑ ➃ ➆ ❺❻ ➃❿➆➁❻ ❽➆ ➁ ❽ ❻❿ ➆➁❽➊➲ ➂ ➄➥➁❽➊ ❿ ❽➀ ➆❿➌➁ ❽➊ ❾❿ ➅❻ ➄➇ ➃❻➅❼ ➄❽❿➑

➎ ➎➒ ➓➔➓➼

❸❸ ❸ ❸❸ ➣

❺➈➊➁❻ ❽❻➋ ➦➆❻➅➁ ➑❻ ❿ ❼❺➁❽➊ ➄➇ ➆ ❺❻ ❾ ➅ ➄➆❾ ❺➋

➵

➦➌➁ ❽ ❾ ❿➅❻ ➄ ➇ ➆❺❻ ➃❿➆➁❻❽➆ ❿❽➀ ➁➆❼ ➃➅➄➀ ➉❾➆ ❼➲ ❾❿➅❻ ➄ ➇ ➂ ➉❾➄➉❼

➎ ➎➒ ➓➔➓➼

❸↔ ❸ ❸↔ ➣

➂ ❻➂ ➅❿ ❽❻❼ ➁➆ ❺ ➆ ❺❻ ➉❼❻ ➄➇ ➃ ❺❿➅➂❿❾ ➄➑➄➊➁❾❿ ➑ ❿ ➊❻❽➆❼ ❿ ❽➀ ➂ ❻ ➀➁❾❿ ➑

➝ ➵ ◗

➹➘ ➴➷➬➮➘➱✃❐ ❒ ➷➘➱ ➮❮❰ ➘➴ ✃

Razem godzin: ćwiczenia –

➷➘ ✃ ➬ ➷➹ ➷❮➴✃ ➘ ❮ ➹➷❮ ➴➘➴➮ ❮ ➘ ✃➮ ➮➴➘➱ ❮ ➴➮ ❮ ✃

➴➷ ➹ ➷➬➘ ➴ ➬➷ ➷➘➬➴ ➬➘ ➴➷ ➱ ➬ ➷ ✃✃ ➬ ➷ ➬➷➘➴➮❮❰ ➘❮ ✃➴➘ ➴➷

❮✃ ➮ ✃❮➷✃✃ ➷➮❰ ➴ ➘❮ ➷➮❰➴

❮ ➴➮➮❮ ➱➘➹ ➹➘➴ ➬ ➴➬➷➘➴➹ ➷❮➴✃ ➹ ➷ ➮ ➮❮➘➱ ➱ ➷✃ ➴ ➷✃

➴➬➷➘ ➴➹➷❮➴✃ ➘❮ ➴➷➮➬ ✃ ➷❐

➬➷ ➴➮ ➷ ➴➬➷➘➴➹➷❮➴✃❐

➹➮❮➮✃➴➬➘ ➴➮ ❮ ➬ ❰✃ ➴➬ ❰ ➴➷ ❰➘✃➴➬ ➮❮➴ ➷✃➴➮❮➘➱ ➴➬➘ ➴ ➘ ❮

➬ ➷✃ ➮➬➘➴ ➬ ✃ ✃➴➷➹ ➹ ✃ ➹➷➹➬➘❮ ➷✃ ➘❮ ➴➬➘❮✃ ➷➬➹➘➱ ➹ ✃➘❐

➘➱ ➱ ➘ ➴➮ ❮ ➬ ❰ ✃ ➷✃❐

➘ ✃➘➱ ➹ ➷ ➮ ➘➴➮ ❮ ➮❮➴➬➘➹ ✃ ➱ ➘➬ ➘❮ ✃ ➴➘❮➷ ✃ ➮❮ ➷ ➴➮ ❮ ✃

✃ ➴➘❮➷ ✃ ➴➷✃➴✃ ➮❮➴➬➘ ➷❮ ✃ ➮❮ ➷ ➴➮ ❮ ✃ ➮❮➴➬➘ ➷❮ ✃ ➮❮ ✃➮ ❮

➬ ➮ ➮ ❰ ❮ ➷➷ ➱ ➷ ➮❮✃➷➬➴➮ ❮ ➮❮ ✃➮ ❮ ➹ ➘ ➱ ➮ ➘ ➴➮ ❮ ➮❮ ➬ ❰

➘ ➹➮❮➮✃➴➬➘ ➴➮ ❮❐

➱ ➱ ➷ ➴➮ ❮ ➹➘➴➷➬➮➘➱✃ ➬ ➷ ➘ ➹➮❮➘ ➴➮ ❮ ✃ ➬➮❮➷ ➷ ➷✃ ✃ ➴ ➹

➷❮ ✃ ➱ ✃➘➹ ➱ ➮❮❰ ❰➱ ➷➹➮ ➘ ✃✃➘ ➷➬ ➬ ➹➘❮ ➷ ➴➷

✃➮ ➘➱ ➴➬➷➘➴➹➷❮➴✃ ➮❮ ➘❮ ➴➮ ➷ ✃ ➬ ➷ ➬ ➱➘ ➮ ✃❐ ➮❮ ❰ ➘ ➴➴➮❮❰

➴ ➷➬ ➱➘✃ ✃➮ ➘➱ ➹➘✃✃➘❰➷ ➴ ➷ ❮➮ ➷ ✃❐ ➴➮ ➷ ➘❮ ➘ ✃✃➮ ➷ ➷ ➷➬ ➮ ✃➷✃

❮ ➴➮ ❮➘➱ ➬➘ ➮❮➘❰ ➷ ➬➷➘➴➮❮❰ ➷ ➷➬ ➮✃ ➷✃ ➮❮ ➘➱➘➴➮ ❮ ➘❮ ➘ ➮➬➘

❋

➷ ➱➱ ➴➮ ❮❐

❙➴ ➹➘ ✃➘ ➹ ➱ ➮❮❰ ➷ ➷ ➮❮ ❰ ✃➮❮❰ ➘ ➴ ➷❐

➬ ➷ ➘➬ ➮❮❰ ➘ ❮ ➬ ✃➷ ➬ ➮❮✃➴➬ ➹➷❮ ➴➘➴➮ ❮❐ ❙ ➬ ❰➮ ➘ ➱ ➘❮ ➘ ✃ ➮❮❰

➬ ➷ ➘➬➘ ➴➮ ❮ ➬ ➷✃✃➮❮❰ ➴➘➱ ➷❐

➘❮ ❰➮❮❰ ➴➷ ➬➷✃✃➮❮ ❰ ❮ ➴➷ ❮ ❐

➮➘ ❰❮ ✃ ➴➮ ➴➷✃➴✃ ➬ ➴➷ ➷➴➷➬➹➮❮➘➴➮ ❮ ➷➴ ❮➷✃ ➘❮ ❰➱ ✃➷ ➮❮

❉ ❦

➱ ➘❮ ➬ ➮❮➷ ➘✃ ➷➱➱ ➘✃ ➮❮ ➱ ➱ ➷✃➴➷➬ ➱❐ ➴ ➷➬ ✃ ➴➬➮ ➴➷✃➴✃

➱➘ ➷➬ ➘➴ ➷➴➷➬➮③➘ ➴➮ ❮ ➮ ➬ ➷✃➮✃ ➹ ❮ ➮➴ ➬ ➮❮❰ ➘ ➴➷➴➷➬ ➬➷ ➹ ➘➱❐

➬ ✃ ➷ ➘ ✃✃➮✃➴➷ ➮❮ ➱➱ ➷ ➴➮❮❰ ➹➘ ➴➷➬➮➘➱ ➬ ➷ ➘ ➹ ➮❮➘➴➮ ❮ ➱ ➹➘➬

❮ ➴ ➬ ➷ ✃ ➴➷➬❮ ➹ ➮➱➮➘ ➱➘➴➷ ➷➬ ➮➴ ❮ ➷➘➱ ➘ ➮➴ ➘❮ ➱ ➷ ➬➘➱ ➘ ➮➴❐

➬ ✃ ➮❮❰ ➘ ❮ ➷ ➬❮ ➘❮ ➘❮ ➮❮ ➘ ❮ ➴ ➹ ➷➘✃ ➬ ➮❮❰ ➬ ➷➮❮ ➮❮ ❰ ❮ ➬ ➴ ➬ ➮❮❰

✭

➴ ➷ ➹ ➮➱➮ ➘ ➱ ➬ ✃ ➴ ➹ ➘ ➴➮❮❰ ➷➷ ➮❮❰ ❐

✮

➬ ❰ ✃➴ ➬➘ ❰➷ ✃➴➘❮ ➘➬ ✃❐

❉

➮❮ ✃➮❮❰ ➴➷ ➷➷ ➘❮ ➷➘➬❐

■❮ ✃➷➬ ➴➮ ❮ ➘❮ ➬ ➷ ➹ ➘➱ ➴ ➷ ➘ ➴➷ ➴➷➬ ➬ ➹ ➷➬➮ ➷➬➘➱ ➷➮❮✃❐

❮ ➮➴ ➬ ➮❮❰ ➷ ➘ ➱ ➘➴➮ ❮ ➘❮ ➘ ➬ ➷ ➴ ➷ ➷❮ ➴➬➘➱ ➷➬➮ ➷➬➘➱ ➘❮

➘ ✃ ➱➘➬ ➬➴❐

➷ ➴➮ ❮ ➱✃ ➷ ➮➹➷ ➴➬ ➘ ❮ ➘ ❮ ➹ ➷➴➬❐

❊

➷ ➬ ➹➷ ➮ ➘➱ ➬ ➷➬✃ ➘ ➬➬ ➮➷ ➴ ➮❮ ➴ ➷ ➹ ➷ ➮ ➘➱ ➬ ➷➬ ➘➬ ❐

✿ ① ❝ ❝✐ ✾✵

❍♦✉ –

♦ ♦❞ ❝❧❛ ✿ ❝❧❛ ✇ ✐ ♦✉ ❛❝ ✁✂◆❆✄

➘ ➹ ✃ ❮ ➬ ✃➷✃ ➱ ➮✃ ➘❮ ➬➷➮ ❰❮ ❐ ❲

❋ ✭ ✮

➷ ➮➬➷ ➴➮ ❮ ➘❮❰➷ ✃ ➮❮ ➱ ➮✃ ❮ ➬✃ ➮❮❰ ➘➴ ➴ ➷ ➴ ➬❮ ➴➷ ➴

❲

➘❮ ✃➴ ➷❮➴ ➬ ➮➷✃❐

❲

➹ ➹ ❮ ➮ ➘ ➴➮ ❮ ➮❮ ❮ ➬ ✃➷ ➘ ➴➮➷❮➴ ➘ ❮ ❮ ➬✃➷ ➬ ➷➱➘ ➴➮ ❮ ✃ ➴ ➷➬

➹ ➷➹➷➬✃ ➴➷ ➴➷➬➘ ➷ ➴➮ ➴➷➘➹❐

❲

➶

❈✝✶❴ ❑❴✏ ✝✷

☎

✞✟❡ ✬✟ ✠✡☛☞ ✈☞☛☞❡ ✟ ❢✌ ♣✠☛☞❡♥☛ ✟✠❢❡☛② ✟☛✠②☞♥❣ ☞ ♥ ☛❤❡ ❤✌ ✟♣☞☛✠✍ ✲ ♣❤②✟☞✡✠✍✱

❇☎✆✝✹

✸

✎ ✳

♣✟②✡❤✌✍✌❣☞ ✡✠✍ ✠♥ ❤❡✠✍☛❤ ✠ ✟♣❡✡☛✟

❈✝✶❴ ❑❴✏ ✝

✸

✖✗ ✘ ✙♠ ✙ ✚✙ ✔ ✛ ✛✺

✑✒✓✔✕ –

✜ ✙♠✙ ✚✙✔ ✢

❚ ✤ ✥ ✤ ❜ ✳

❤ ❡ ☞ ♣✌☛✠♥✡❡ ✌ ❢ ☛ ✌ ✞✡❤ ☞♥ ☛✠ ☞♥❣ ✡✠❡ ✌ ❢ ✠ ❤ ✞ ✠♥ ❡☞ ♥❣

❈✝✶❴ ❑❴✏ ✝✷

❇☎✆✝✣

✸

❈✝✶❴ ❑❴✏ ✝✽

❇☎✆✝✻ ✦ ✎ ✳ ❈✝✶❴ ❑❴✏ ✝✶ ✹

✌ ✡☞✠✍ ✟✞♣♣✌☛ ✠♥ ☞☛✟ ✞✟❡ ☞♥ ♥✞✟☞♥❣

❇☎✆✝✧ ☎ ★ ❜ ✳ ❈✝✶❴ ❑❴✏ ✶✶ ✹

✞✟☞♥❣ ✠ ♣✠☛☞❡♥☛ ☞♥ ✡✠♥ ✡❡ ☞ ☛❤ ✞♥ ❢✠✈✌✠ ✍❡ ♣ ✌❣♥✌✟☞✟

❇☎✆✝ ✽ ❚ ✳ ❈✝✶❴ ❑❴✏ ✶✷ ✹

✠♥ ✟✡ ✞✍☛✞ ✠✍ ♥ ✞✟☞♥❣

✖✗ ✘ ✙♠ ✙ ✚✙✔ ✢ ✛✺

✑✒✓✔✕ –

✩✒ ✔♠ ✒✪ ✫✯✰✙✕ ✴ ✔✰✫✚❀✫✰✯ ✫✯✰✙ ❁

✜ ✙♠✙ ✚✙✔ ✛

✝ ✶ ✤ ✥ ✎ ✎ ✤ ✳ ❈✝ ✶❴ ❑❴ ✝ ✶ ✶✝

❩ ❂ ♣✌✈☞♥❣ ✟ ☞✍✍ ✟ ❡✍✠☛❡ ☛✌ ❡ ♥✟✞☞♥❣ ✡✍❡✠♥✍☞♥❡✟ ✟ ✠ ♥ ✡✌ ❢✌☛ ❯

❈✝ ✶❴ ❑❴ ✝ ✷

❯

✝ ✷ ☎ ✥ ✎ ✎ ✤ ✤ ✤❜ ✳ ✶ ✷

❩ ✞✟☞♥❣ ☛❤❡ ✟ ☞♥ ✱ ☞ ☛✟ ♣ ✌ ✞ ✡☛✟ ✠♥ ✞ ✡✌✞ ✟ ❡ ✠♥❡✟

❈✝ ✶❴ ❑❴ ✝✣

❯

✤ ✤ ✎ ✤✤ ❜ ❃

❡✈❡♥☛☞✌♥ ✌❢ ✡✌ ♣✍☞ ✡✠☛☞✌♥✟ ❡✟✞✍☛☞♥❣ ❢✌ ♣✌✍✌♥❣❡ ☞ ✌ ☞✍☞ ✠☛☞ ✌♥

✝ ✶✝

❩ ✸

❈✝ ✶❴ ❑❴ ✝✻

❯

❄ ❅ ✤ ●✳

☛❤ ❡ ✠♣❡✞☛☞✡ ♣✌✟☞☛☞✌♥✟ ✱ ❡ ❡ ✡☞ ✟❡✟ ✱ ✠ ✟✟✠❣❡✟

❈✝ ✶❴ ❑❴ ✝ ✽

❯

✝✹ ✤ ❜ ✤ ✎ ✎ ✤ ✳ ✣

❩ ▼❡✠ ✟✞ ❡ ❡♥☛ ✌ ❢ ✠ ✟☞✡ ✈☞☛✠✍ ♣✠✠ ❡☛❡✟ ✠♥ ☛❤❡☞ ✌✡ ✞ ❡♥ ☛✠☛☞✌♥

❈✝ ✶❴ ❑❴

❯ ✸✸

✝✣ ✆ ★ ✎ ✳

❩ ✟ ✟☞✟☛✠♥ ✡❡ ☞ ☛❤ ❡ ✟✟☞♥❣ ✸

❈✝ ✶❴ ❑❴ ✣

❯ ✸

✴ ✔✰✫✚❀✫✰✯ ✫✯✰✙ ✙♠ ✙✚ ✙✔ ✛ ❏▲

✑✒✓✔✕ –

✜ ✙♠✙ ✚✙✔ ✢

❜ ❜ ✤ ✎ ✎ ✤

❖ ✟❡ ✈✠☛☞✌♥ ✌ ❢ ✠✟☞✡ ✈☞☛✠✍ ♣✠✠ ❡☛❡ ✟ ✠ ♥ ☛❤❡☞ ✌ ✡✞ ❡♥☛✠☛☞✌♥◗

✝✻ ✶✝

❩

❈✝ ✶❴ ❑❴ ✝ ✶

❯

✤ ✳

✠ ✟ ✟❡✟✟ ❡♥☛ ✌ ❢ ☛ ❤❡ ♣✠☛☞❡♥☛ ✬✟ ✟☛✠☛❡ ✌ ❢ ✡✌♥ ✟✡☞✌✞✟♥❡✟✟

❈✝ ✶❴ ❑❴ ✝ ✷

❯

✆ ✎ ✎ ✳ ☎

✟ ✟☞✟☛☞♥❣ ☛❤❡ ♣✠☛☞❡♥☛ ✞☞♥❣ ☞✠❣♥✌✟☛☞✡ ☛❡✟☛✟ ✞✟❡✬✟ ♣✠ ☛☞✡☞♣✠☛☞✌♥ ☞♥

✝✧ ✶✝

❩

❈✝ ✶❴ ❑❴ ✝✣

❯

✎ ✳

❢✞ ☛❤❡ ✠♥ ✡✍✌✟❡ ♣ ❡♣✠✠☛☞✌♥ ❢✌ ❡ ✟❡✠✡❤

❈✝ ✶❴ ❑❴ ✝✻

❯

☎ ✤ ✎ ✤ ✎

✞✟❡ ✬✟ ♣✠☛☞✡☞♣✠☛☞✌♥ ☞♥ ☛ ❡✠☛ ❡♥☛ ✠♥ ♣❤✠ ✠✡✌☛❤❡ ✠♣②✱ ☞♥✡✍ ✞ ☞♥❣

❈✝ ✶❴ ❑❴ ✝ ✽

❯

✝ ✽ ✶✝

❩

✤ ✤ ★ ✳

♣✠☛☞ ❡♥☛ ✠♥✠❣❡ ❡♥☛ ☞☛ ❤ ♣✠☞♥

❈✝ ✶❴ ❑❴

❯ ✸✸

❜ ★ ✎ ✎ ✎

❖ ✟❡ ✈✠☛☞✌♥ ✌ ❢ ☛ ❤❡ ♣✠☛☞❡♥☛ ☛✌ ✠ ✟ ☛ ❤❡ ☞✠❣♥✌✟☞✟ ✌ ❢ ☞ ✟❡✠✟❡

❈✝ ✶❴ ❑❴ ✣

❯ ✸

✝ ✶✝

❩ ❘

✤ ✤ ✤ ✤ ✳

✟② ♣☛✌ ✟ ❢✌ ♣✠ ☛☞✡ ✞✍✠ ✟②✟☛❡ ✟

✴ ✔✰✫✚❀✫✰✯ ✫✯✰✙ ✙♠ ✙✚ ✙✔ ✢ ❏▲

✑✒✓✔✕ –

✩✒ ✔♠ ✒✪ ✫✯✰✙✕ ✴ ✔✰ ❀ ❁

❱

✜ ✙♠✙ ✚✔ ✢

✝ ✶ ❜ ❜ ✤ ✎ ✎ ✤ ✳ ✶✝

❩ ❖ ✟❡ ✈✠☛☞✌♥ ✌ ❢ ✠ ✟☞✡ ✈☞☛✠✍ ♣✠✠ ❡ ☛❡ ✟ ✠♥ ☛ ❤❡☞ ✌ ✡✞ ❡♥☛✠ ☛☞✌♥

✝ ✷ ✤ ✥ ✎ ✎ ✤ ✳ ✶✝

❩ ❂ ♣✌✈☞♥❣ ✟ ☞✍✍ ✟ ❡✍✠☛❡ ☛✌ ❡ ♥✟✞☞♥❣ ✡✍❡✠♥✍☞♥❡✟ ✟ ✠ ♥ ✡✌ ❢✌☛

✝ ☎ ✥ ✎ ✎ ✤ ✤ ✤❜ ✳ ✶✣

❩ ✸ ✞✟☞♥❣ ☛❤❡ ✟ ☞♥ ✱ ☞ ☛✟ ♣ ✌ ✞ ✡☛✟ ✠♥ ✞ ✡✌✞ ✟ ❡ ✠♥❡✟

✤ ✤ ✎ ✤✤ ❜ ❃

❡✈❡♥☛☞✌♥ ✌❢ ✡✌ ♣✍☞ ✡✠☛☞✌♥✟ ❡✟✞✍☛☞♥❣ ❢✌ ♣✌✍✌♥❣❡ ☞ ✌ ☞✍☞ ✠☛☞ ✌♥

✝✹ ✶✝

❩

❈✝✶❴ ❑❴ ✝ ✶

❯

❄ ❅ ✤ ●✳

☛❤ ❡ ✠♣❡✞☛☞✡ ♣✌✟☞☛☞✌♥✟ ✱ ❡ ❡ ✡☞ ✟❡✟ ✱ ✠ ✟✟✠❣❡✟

❈✝✶❴ ❑❴ ✝ ✷

❯

❜ ✎ ❄

✠ ☛☞ ✡☞♣✠☛☞✌♥ ✌ ❢ ☛❤❡ ♥ ✞ ✟❡ ☞♥ ❡ ✟☛✠ ✍ ☞✟❤☞♥❣ ☛❤❡ ☞ ✠❣♥✌ ✟☞✟ ✟☛✠❣❡✟ ✌ ❢

✝✣ ✶✣

❩

❈✝✶❴ ❑❴ ✝✣

❯

✎ ✎ ❜ ●✳

☞ ✠❣♥✌ ✟☞✟ ✠♥ ❡ ✟☛✠ ✍☞✟❤☞♥❣ ☛❤❡ ♥ ✞✟☞♥❣ ♣✌✡❡✟✟

❈✝✶❴ ❑❴ ✝✻

❯

❜ ★ ✎ ✎ ✎

❖ ✟❡ ✈✠☛☞✌♥ ✌ ❢ ☛❤❡ ♣✠☛☞❡♥☛ ☛✌ ✠ ✟ ☛❤❡ ☞✠❣♥✌✟☞✟ ✌ ❢ ☞ ✟❡✠✟❡

❈✝✶❴ ❑❴ ✝ ✽

❯

✶✝ ✝✻

❩

✤ ✤ ✤ ✤ ✳

✟② ♣☛✌ ✟ ❢✌ ♣✠ ☛☞✡ ✞✍✠ ✟②✟☛❡ ✟

❈✝✶❴ ❑❴

❯ ✸✸

✝✧ ☎ ✎ ✳ ✶✝

❩ ✞✟❡ ✬✟ ♣✠☛☞✡☞♣✠☛☞✌♥ ☞♥ ☞✠❣♥✌✟☛☞✡✟

❈✝✶❴ ❑❴ ✣

❯ ✸

☎ ✤ ✎ ✤ ✳ ✶✝ ✝ ✽

✞✟❡ ✬✟ ♣✠☛☞✡☞♣✠☛☞✌♥ ☞♥ ☛ ❡✠☛ ❡♥ ☛ ✠♥ ♣❤✠ ✠ ✡✌☛❤❡ ✠♣② ❩

✝ ☎ ✤ ✳ ✶✝

❩ ❘ ✞✟❡ ✬✟ ✠ ✡☛☞ ✈☞☛☞❡✟ ❡ ✞☞ ☞♥❣ ✠✟❡♣☛☞ ✡ ☛ ❡✠ ☛ ❡ ♥☛

✎

✠ ☛☞ ✡☞♣✠☛☞✌♥ ☞ ♥ ☛❤❡ ✡✠❡ ✌ ❢ ☛❤❡ ♣✠☛☞❡♥☛ ☞♥ ✈✠☞✌✞✟ ☞✟❡✠✟❡ ✟☛✠☛❡ ✟✱

✶✝ ✶✝

❩

✎ ✤ ✤✤ ❜ ❃ ★ ✳

☞ ♥ ✡✍✞ ☞♥❣ ✍✌♥❣ ✲☛❡ ☞ ✌ ☞✍ ☞ ✠☛☞✌♥ ☞ ☛❤ ♣✠☞♥ ✼

❪❫❵❥ ④⑤⑥⑦⑧⑥⑨ ⑦⑩⑤ ⑥❥ ❶❷⑧⑥⑨ ⑦❸❷❹❷ ❺⑤❶ ❻❫❶④⑤❼ ⑧⑥ ⑦⑩⑤ ❸❺❺❽⑧ ❵❸❾❽⑤

❨❬❭❭ ❭ ➁

❼❫ ❵❥④⑤⑥⑦❸⑦⑧❫⑥ ❸⑦ ⑦⑩⑤ ❻❸❵⑧❽⑧⑦

❿➀

➈ ➅➉➊➋➆ ➆➌➍➌➆➎➌➅ ➏ ➐ ➏➑

➂➃➄➅➆➇ –

➒➃➅➅➌➓➉ ➎➋➃➔ ➃→ ➈➉➅➎➋➣➄➓➉ ➅ ➎↔➈➌➆ ➃→ ➣➓➉ ➆➆➌➆

↕ ➌➍➌ ➆➎➌ ➅ ➙ ➒➙ ➛➜➝ ➞ ➟ ➟➞

➁❭ ❭ ➁❭ ❭ ➁❭ ➁

➠ ➡➠ ➢ ➤ ➡ ➤ ➢ ➥➦➧ ➡ ➥➦➧ ➨ ➡➡➡ ➡➡➡

❭

❬❨ ➁❭ ❬❨ ➁➩

➡➡➡ ➡➡➡ ➡➡➡ ➡ ➡➡➡

❭➫ ➫ ❭➫ ➫➫ ➁➩ ➁➭

➠ ➡➠ ➨ ➤ ➡ ➤ ➥➦➧ ➡ ➥➦➧ ➡➡➡ ➡➡➡

❬❨ ➁➯ ❬❨ ➁➲

➡➡➡ ➡➡➡ ➡➡➡ ➡➡➡ ➡

➢

➳ ➵❸④ ❻❶ ❫④ ❽⑤❵ ⑦❥❶⑤❷➸ ❵ ❽ ❸❷❷⑤❷ ❸⑥❼ ❺❶ ❸❵⑦⑧❵❸❽ ❵❽❸❷❷⑤❷ ➺⑥❽ ❸ ❻⑦⑤❶ ❺ ❸❷❷⑧⑥⑨ ⑦⑩⑤ ⑤ ➵❸④ ⑦⑩⑤ ❷ ⑦❥❼⑤⑥ ⑦

➀ ❿

❵ ❸⑥ ❺ ❶ ❫❵⑤⑤ ❼ ⑦❫ ⑦⑩⑤ ⑧④❺ ❽⑤④⑤⑥⑦❸⑦⑧❫⑥ ❫❻ ⑦⑩⑤ ❺ ❶❫❻⑤❷❷⑧❫⑥❸❽ ❺❶ ❸❵⑦⑧❵⑤ ❻❶❫④ ⑦⑩⑤ ④ ❫❼❥❽⑤

➀

❨❬ ➁❭ ❨❬❭❭

➡➡➡ ➡➡➡ ➡➡➡ ➡➡➡ ➡

❫⑦⑤ ❺❶❸ ❵⑦⑧❵❸❽ ❵❽❸❷❷⑤❷ ④ ❸ ❾ ⑤ ⑧④❺❽⑤④⑤⑥ ⑦⑤❼ ❫⑥❽ ❸❻⑦⑤❶ ⑦⑩⑤ ⑤⑥❼ ❫❻ ⑦⑩⑤❫❶⑤⑦ ⑧❵❸❽ ⑤ ❼❥❵ ❸⑦⑧❫⑥➸ ⑩ ⑧❽⑤ ❺❶ ❫❻⑤❷❷⑧❫⑥❸❽

➦ ➻ ❿ ❿ ➼

❺ ❶ ❸❵⑦⑧❵⑤ ❫⑥❽ ❸ ❻⑦⑤❶ ⑦⑩⑤ ⑤ ⑥ ❼ ❫ ❻ ❺❶ ❸❵ ⑦⑧❵❸❽ ❵❽❸ ❷❷⑤❷

➡ ❿ ➀

➌ ➍➉ ➎➅➋➊ ➃→ ➓➌➉ ➅➔➋➔ ➃➄ ➎➣➃➍➌ ➆ →➃➅ ➎ ➌ ➆➄ ➌➣➎ ➋➎ ➅➌→➌➅➌➔➣ ➌ ➎➃ ➎ ➌ ➍ ➌➎ ➃ ➆ ➃→ ➌ ➅➋→➋➣➉ ➎➋➃➔ ➃→ ➎ ➌

➽➾ ➚ ➾ ➪➶ ➹ ➾ ➾ ➾ ➘ ➴ ➾

➋➔ ➎➌➔ ➌ ➓➌➉➅➔➋➔ ➃➄➎➣➃➍➌➆ ➉ ➔ ➎ ➌ →➃➅➍ ➃→ ➎ ➌ ➣ ➓➉➆➆➌➆

➘ ➘ ➚ ➘ ➾ ➾

➬➃ ➅➍ ➃→ ➣ ➓➉➆➆➌➆ ➮ ➌➅➋→➋➣➉ ➎➋➃➔ ➍ ➌➎ ➃ ➆

➾ ➘

➷ ➄➣➉ ➎➋➃➔

➘

➙ ➛➜

➱

➌ →→➌➣➎ ➣➃ ➌

➘

➙ ➛➜➝ ➒➙ ➞ ➟ ➟➞ ➒➙ ➞ ➟ ➟➞

➱

➝

❐❒

✃❐❒❮❰ ❮❐❒

❐

✃❐❒❮❰ ❮❐

❐

✃❐❒❮❰ ❮❐

❐

✃❐❒❮❰ ❮❐ ❐

✃❐❒❮❰ ❮❐ ❐ ❐

✃❐❒❮❰ ❮❐ ❒

✃❐❒❮❰ ❮❐ ❒❒❒

❐

✃❐❒❮❰ ❮❐ ❐

❐

✃❐❒❮❰ ❮❐ ❐

✃❐❒❮❰ ❮❒❐ ❒

❒❒

✃❐❒❮❰ ❮❒❒

❐

❐ ❐

✃❐❒❮❰ ❮❒

❐

✃❐❒❮❰ ❮❒ ❒

✃❐❒❮❰ ❮❒ ❒❐

✃❐❒❮❰ ❮❒ ❒

✃❐❒ ❮❰❮ ❐❒ ❐❒ ❐ ❐❒ ❒ ❒

✃❐❒ ❮❰❮ ❐ ❐❒ ❐ ❐❒ ❒ ❒

✃❐❒ ❮❰❮ ❐ ✃

✃❐❒ ❮❰❮ ❐ ✃❒

❳

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èéêëìëí î ïïï èê ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

èéêëìëí ø ïïï èúé ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

èéêëìëí ù ïïï èúê ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

üû ü

èéêëìëí ïïï èú ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

ü ü

èéêëìëí ò ïïï è ø ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

èéêëìëíúé ïïï èê ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

èéêëìëíúê ïïï è ù ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

ü üüý ü

èéêëìëíú ïïï è è ú ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

èéêëìëíúú ïïï ï ïï ðñ é êïðñ é ò ñ ðé êïñð ê ê ï ïï ïïï óôõö ÷ óôõö ÷

èéêëìëíú ïïï èúú ïïï ï ïï ï ïï óôõö ÷ ïïï ïïï

èéêëìëíúî ïïï ï ïï ðñ é êïðñ é ò ñ ðé êïñð ê ê ï ïï ïïï óôõö ÷ óôõö ÷

◆❙ ▼ ❡❛❝ ❤❡ ✁ ❛ ❡ ♠ ❡♥✱ ✉❞❡♥✁ ❡❧❢ ✲❡ ❡❡ ♠

ÿ –

❚✂✄ ☎✆✐✝❣ ✞✂✟ ✆♦✠✡☛ ✞ ✂✟✆♦✠ ♦☞ ✐✞♣✌ ✂✞✂✝✟✄✟✐♦✝ ✄ ✝✠ ✂✈✄✌✍✄✟ ✐♦✝

✒✓✔ ✕✖✗✓ ✘✙✕✚ ✛ ✖✜✕✙✛ ✓✢✙✣ ✤✗ ✓✥ ✓✦✕✣✕✙✧ ✦ ✣✦✢ ✴ ✧✗ ✣ ✔✧✦★✓✗✥ ✣✕✙ ✧✦✣✜ ✜✓✔✕✖✗✓✳

✣ ✥✥✙✦✩ ✜✓✔✕✖✗✓✥✿ ✪ ✙ ✦✣✜ ✕✓✥✕ ✪ ✧✗ ✣✥✥✓✥✥✛✓✦ ✕✳

✫✚✓ ✔ ✧ ✦✢✙✕✙✧✦ ✪✧✗ ✤ ✣✥✥✙✦ ✩ ✕✚✓ ✜ ✓✔✕✖✗✓ ✕✓✥✕ ✙✥ ✕✧ ✧❜✕✣✙ ✦ ✣ ✤✧✥✙ ✕✙★✓ ✩✗✣✢✓ ✪✗✧✛ ✕✚✓ ✣✦✥✘✓✗✥ ✕✧

✖ ✓✥✕✙ ✧✦✥ ✣❜ ✧✖✕ ✓ ✣✔✚ ✜✓✣✗✦✙✦✩ ✓✪✪✓✔✕ ✙ ✦ ✕✚✓ ✪✙ ✓✜✢ ✧✪ ✦✧✘✜✓✢✩✓✳ ÿ❜ ✕✣✙✦✙✦✩ ✣ ✕ ✜✓✣✥✕ ✧ ✦✓

❦

▲✂ ☎✟✍✎✂ ✄✝✠

✖✦ ✥✣✕✙✥✪✣✔ ✕✧✗✬ ✩✗ ✣✢✓ ✪ ✧✗ ✕✚✓ ✜✓✣✗✦✙✦ ✩ ✧✖ ✕✔✧✛✓ ✙ ✥ ✕ ✣✦✕✣✛✧✖✦✕ ✕✧ ✧ ❜✕✣✙✦✙✦ ✩ ✣✦ ✖✦✥✣✕✙✥✪✣✔ ✕✧✗✬ ✩✗✣✢ ✓

☎ ✌✄✡✡✂✡

✪ ✧✗ ✕✚✓ ✓✦✕✙✗✓ ✪✙ ✦✣✜ ✕✓✥✕✳ ■ ✦ ✕✚ ✓ ✤ ✣✗✕✙✔✖✜ ✣✗ ✔ ✣✥✓ ✧✪ ✣ ✥✕✖✢✓✦✕ ✩✓✕✕✙✦✩ ✧ ✦✓ ✧✗ ✕✘✧ ✩✗✣✢ ✓✥ ✙ ✦✥✖✪✪✙✔✙✓ ✦✕

✇

✐✟✆♦ ✍✟ ✟ ✆✂

✪ ✧✗ ✕✚✓ ✜ ✓✣✗✦✙✦✩ ✧✖✕✔ ✧✛✓✥ ✯✘✚✓✦ ✧✦✜✬ ✣ ✪ ✓✘ ✚✖✦✢✗ ✓✢✕✚✥ ✧✪ ✣ ✤ ✧✙✦✕ ✙ ✥ ✛✙ ✥✥✙✦ ✩ ✪ ✧✗ ✣ ✤ ✧✥✙✕✙ ★✓

♣✄✎✟✐☎✐♣✄✟✐♦✝

✗ ✓✥ ✖✜✕ ✕ ✚✓ ✜✓✔ ✕✖✗✓✗ ✛ ✣✬ ✧✗✢✓✗ ✣ ✥✕✖✢✓✦✕ ✥ ✓✢ ✖✔✣✕✙✧✦ ✖✓✥✕✙ ✧✦ ✗ ✓✩✣✗✢✙✦✩ ✕✚✙✥ ✯✕✚✓✥✓ ✓✪✪✓✔ ✕

✰✵ ✶ ✰ ✵

♦☞ ✄✝

✦✧ ✕✙✦✩ ✕✚ ✓ ✖✓✥✕✙✧✦ ✦✣✙✗✓ ✥ ✕✖✢✓ ✦✕ ✥ ✕✓✥✕ ✯✣✜ ✧✦✩ ✘✙✕✚ ✣✢✢✙ ✕✙ ✧✦✣✜ ✖ ✓✥✕✙✧✦✥ ✳

✶ ✰

✄ ☎✄✠✂✞✐☎

✫✚✓ ✪✙ ✦✣✜ ✕✓✥✕ ✧✪ ✜✓✔✕✖✗ ✓✥ ✔ ✧✦✔✖✗✗✓ ✦✕✜✬ ✙ ✦✔✜✖✢✓✥ ✕✚✓ ✔ ✧✦✕✓✦✕ ✧✪ ✓✢ ✖✔✣✕✙✧✦ ✛ ✣✥✕✓✗✓✢ ❜✬ ✕✚ ✓ ✥ ✕✖✢✓✦✕

✭✏✑❆✮

✟ ✂✄☎✆✂✎

✣✥ ✤ ✣✗✕ ✧✪ ✔ ✜✣✥✥✓✥ ✘✙✕✚✧ ✖✕ ✣ ✦ ✣✔✣✢✓✛✙✔ ✕✓✣✔✚ ✓✗ ✯ ◆ ✳ ✓✥✔✗✙✤ ✕✙★✓ ✣ ✦✥✘✓✗✥ ✣✗✓ ✗ ✣ ✕✓✢ ✧✦ ✣ ✥✔ ✣✜✓

✷ ✰ ❉

✪✗ ✧✛ ✸✳✹ ✕✧ ✺✳✹

✫✚✓ ✔ ✧✦✢✙ ✕✙✧✦ ✪ ✧✗ ✤ ✣✥✥✙✦✩ ✕✚✓ ◆ ✔ ✜✣✥✥ ✓✥ ✙✥ ✕ ✧ ✧❜ ✕✣✙✦ ✣ ✤ ✧✥✙✕✙★✓ ✩✗✣✢✓ ✪✧✗ ✓✣✔✚ ✣ ✦✥✘✓✗✳

✷ ç

❄ ①❅❇❈❋●❅● ❍❇❅ ❏ ❍❑❖❍◗❘❇❯❱ ❲❳❅❯ ❍❇❅ ❋❏❨❩❅ ❏❅❑◗❅❖ ❋❑ ● ❏❍❩❩ ❬❇❘❭❨●❱ ❪❑❅ ❭ ❑❥❭●◗❋❫❋❅❖ ❍❴●❅❑❈❅ ❫❇❘❏

◗ ❳❅ ❅ ①❅❇❈❋●❅● ❋● ❍❩❩❘ ❅ ❖❱ ❲❳❅ ❍ ❴●❅ ❑❈❅ ●❳❘❭ ❩❖ ❴❅ ❏ ❍❖❅ ❭❨ ❘ ❫ ❈❘ ❑●❭❩◗❍◗❋❘❑● ◗ ❳❍◗ ● ❳❘❭❩❖ ❴❅

❵

❈ ❍❇❇❋❅❖ ❘❭◗ ❍◗ ◗ ❳❅ ❨ ❩❍❈❅ ❘ ❫ ◗ ❳❅ ❅ ①❅❇❈❋●❅❱ ❄①❅❇❈ ❋●❅● ❈ ❍❇❇❋❅❖ ❘ ❭◗ ❋ ❑ ◗ ❳❅ ❳❍❩❩ ❫❘❇ ❩❅❍❇❑❋❑❬ ❑❭❇● ❋❑❬

● ② ❋❩❩● ③④⑤⑥⑦⑧ ❍❑❖ ❋❑ ◗ ❳❅ ❳❍❩ ❩ ❘ ❫ ❩❘ ❫❋❖❅ ❩❋◗❯ ● ❋❏❭❩❍◗❋❘❑ ③④④⑤⑨⑧❱

❵

❲❳❅ ❅ ①❅❇❈❋●❅● ❖❅ ❩❋⑩❅❇ ●② ❋❩ ❩● ❋ ❑ ❅ ❖❭❈❍◗❋❘❑❱ ⑦ ❍●●❋❑❬ ◗ ❳❅ ❅ ①❅❇❈❋●❅● ❶ ❫❘❇ ◗ ❳❅ ❬❇❍❖❅❱

❇❅ ❖ ❋◗● ❈ ❍❇❇❋❅ ❖ ❘ ❭◗ ❨❇ ❍❈◗❋❈❍❩❩❯ ❭ ❑❖❅❇ ●❋❏❭❩❍◗❅❖ ❈❘❑ ❖❋◗❋❘❑● ③❋❑ ◗ ❳❅ ● ❋❏❭❩❍◗❋❘❑ ❳❍❩❩ ❘ ❫ ❩❘ ❫❋ ❖❅❩ ❋◗❯⑧❱

❷ ❸ ❵

❑ ◗ ❳❅ ❈ ❍●❅ ❘ ❫ ❈❘❏❨ ❩❅◗❋❘ ❑ ❋◗ ❳ ◗ ❳❅ ❭ ● ❅ ❘ ❫ ❪ ④ ❄ ◗ ❳❅ ❈❘ ❏❨❩❅◗❋❘❑ ❘❫ ❅ ①❅❇❈ ❋●❅● ❋● ❈ ❍❇❇❋❅❖ ❘❭◗ ❍◗

❹ ❵ ❷ ❸

❍❨❨❇❘❨ ❇❋❍◗❅❩ ❯ ❨❇❅❨❍❇❅❖ ● ◗ ❍◗❋❘❑● ◗❳❅❑ ●◗❭ ❖❅❑◗● ❨❅❇❫❘❇❏ ◗❳❅ ● ❍ ❏❅ ◗❍●② ❳ ❋❈❳ ❋● ❅ ⑩❍❩❭❍◗❅❖ ❴❯

❸ ❸ ❵

❊✽✾❀ ❁✾❂❃❀❃

❏❅ ❍❑● ❘❫ ❍ ❈ ❳❅❈②❩❋●◗ ③❋◗ ❋● ❋❑❖❋❈❍◗❅❖ ❘ ❑ ◗ ❳❅●❅ ◗ ❍●②● ◗ ❳❅ ❋❏❨❩❅❏❅ ❑◗❍◗❋❘❑ ❘❫ ❳❋❈ ❳ ❋● ❑❅❈❅●●❍❇❯ ◗❘

❸ ❵

❨ ❍●● ◗ ❳❅ ◗ ❍●②⑧❱ ❄❍❈❳ ❩❅ ❍❇❑❋❑❬ ❘ ❭◗❈❘ ❏❅ ❋● ❍●●❅●●❅❖ ●❅ ❨❍❇❍◗❅❩ ❯ ❇ ❍◗ ❋❑❬ ❘❑ ❍ ●❈ ❍ ❩❅ ❫❇❘❏ ❱ ◗❘ ❱ ❱

❺ ❻ ❼ ❽ ❼

❲❳❅ ❈ ❘ ❑❖❋◗❋❘❑ ❫❘❇ ❘ ❴◗❍❋❑❋❑❬ ❍ ❨ ❍●● ❫❇❘ ❏ ◗ ❳❅ ❈ ❩❍●●❅● ❋● ◗ ❘ ❨ ❍●● ❍❩❩ ◗ ❳❅ ❩❅❍❇ ❑❋❑❬ ❘❭ ◗❈❘❏❅● ❋❑ ◗ ❳❅

❫❋❅ ❩❖ ❘ ❫ ●② ❋❩❩●❱ ❑ ❨ ❍❇❍ ❩❩❅ ❩ ❋◗❳ ◗❳❅ ❋ ❏❨❩❅❏❅ ❑◗❍◗ ❋❘❑ ❘❫ ❩❅ ❍❇❑❋ ❑❬ ❘❭◗❈❘ ❏ ❅● ❋❑ ◗ ❳❅ ❫❋❅❩❖ ❘ ❫ ●② ❋❩❩● ◗ ❳❅

❹ ❵ ❸

❅ ❫ ❫❅❈◗● ❘ ❫ ❅ ❖❭❈❍◗❋❘❑ ❋❑ ◗ ❳❅ ❫❋❅ ❩❖ ❘ ❫ ● ❘❈❋ ❍❩ ❈ ❘ ❏❨❅◗❅❑❈❅● ❍❇❅ ❋❏❨ ❩❅❏❅❑◗❅❖❱

❄⑩❍❩❭ ❍◗❋❘❑ ❘ ❫ ❅ ❍❈❳ ❅ ❫❫❅❈◗ ● ❅❨❍❇❍◗❅❩ ❯ ❘ ❑ ◗ ❳❅ ❇ ❍◗❋❑❬ ●❈ ❍❩❅ ❫❇❘❏ ❱ ◗❘ ❱ ❱ ❅◗ ❍❋❩● ❘ ❫ ◗ ❳❅ ● ◗❭❖❅❑◗ ●

❸ ❻ ❼ ❽ ❼ ❾ ❿

❍❈ ❳❋❅⑩❅❏❅❑◗ ❘ ❫ ◗ ❳❅ ❋ ❑❖❋⑩❋❖❭❍❩ ❩❅❍❇❑ ❋❑❬ ❘ ❭◗❈❘❏❅● ❫❘❇ ◗ ❳❅ ❏❘ ❖❭❩❅ ❍❇❅ ❨❇❅●❅❑◗❅❖ ❋ ❑ ◗ ❳❅ ❫❋❑❍❩ ❨ ❍❇◗ ❘ ❫

◗ ❳❅ ● ❯❩❩❍❴❭●❱

⑦❇ ❍❈◗ ❋❈❍❩ ❈ ❩❍●●❅● ❍❇❅ ❈ ❍❇❇❋❅❖ ❘ ❭◗ ❋❑ ❑❍◗❭❇❍❩ ❈❘ ❑❖❋◗❋❘❑● ❋❱❅❱ ❋❑ ❏❅❖❋❈❍❩ ❫❍❈❋ ❩❋◗❋❅●❱ ⑦❍❇◗ ❋❈❋❨❍◗❋❘❑ ❋❑

❸

❨❇ ❍❈◗❋❈ ❍❩ ❈ ❩ ❍●●❅● ❋● ❘ ❴❩❋❬❍◗❘❇❯❱ ⑦❇ ❍❈◗ ❋❈❍❩ ❈ ❩❍●●❅● ❍❇❅ ❈ ❍❇❇❋❅❖ ❘❭◗ ❍❫◗❅❇ ◗❳ ❅ ❈❘ ❏❨❩❅◗ ❋❘❑ ❘❫ ❅ ①❅❇❈ ❋●❅●

❋ ❑ ④ ⑥⑦ ❍❑❖ ④⑤⑥❲ ❇❘❘ ❏● ◗ ❳❋● ❍❨❨❩❋❅● ◗❘ ❴❘◗❳ ●❅ ❏❅●◗❅❇●❱ ❲❳❅ ❨❇ ❍❈◗❋❈❍❩ ❈❩ ❍●●❅● ❋❏❨❩❅❏❅❑◗ ◗ ❳❅

❷ ➄

❩❅ ❍❇❑❋❑❬ ❘❭◗❈❘❏❅● ❋❑ ◗ ❳❅ ❫❋❅❩❖ ❘ ❫ ●② ❋❩❩● ◗ ❳❍◗ ⑩❅❇❋❫❯ ❍❑ ❖ ● ❭❏❏❍❇❋➅❅ ●② ❋❩❩● ❖❅⑩❅❩❘❨❅❖ ❴❯ ● ◗❭❖❅ ❑◗●

❖❭❇ ❋❑❬ ❈ ❩❍●●❅● ❈ ❍❇❇❋❅❖ ❘❭◗ ❋❑ ◗❳❅ ❫❘❇❏ ❘ ❫ ❅ ①❅❇❈❋●❅● ❴❭◗ ❍❩●❘ ❍❩❩❘ ❫❘❇ ◗ ❳❅ ❨❇ ❍❈◗ ❋❈❍❩ ❍❨❨❩❋❈ ❍◗❋❘❑ ❘ ❫

❸ ❵

② ❑❘ ❩❅ ❖❬❅ ❍❈ ❭ ❋❇❅❖ ❖❭❇❋❑❬ ❩❅❈◗❭❇❅● ❍❑ ❖ ❈ ❩❍●●❅● ❋◗❳❘❭ ◗ ◗ ❳❅ ❨ ❍❇◗❋❈❋❨❍◗❋❘❑ ❘ ❫ ❍❑ ❍❈❍❖❅❏ ❋❈

❵ ➆ ❵

◗❅ ❍❈❳❅❇ ③❩❅ ❍❇❑❋❑❬ ❘❭ ◗❈❘❏❅● ❋❑ ◗ ❳❅ ❫❋❅❩❖ ❘ ❫ ② ❑❘ ❩❅❖❬❅ ⑧❱ ❲❳❅●❅ ❍❇❅ ◗❳❅❇❅ ❫❘❇❅ ❅ ❫❫❅❈◗● ◗ ❳❍◗ ❳❍⑩❅ ❍

❵

● ❭ ❏❏❍❇❯ ❈ ❳ ❍❇❍❈◗❅❇❱ ❅◗ ❍ ❋❩❅ ❖ ❩❅❍❇ ❑❋❑❬ ❘❭ ◗❈❘❏❅● ❇❅❍ ❩❋➅❅❖ ❴❯ ●◗❭ ❖❅❑◗● ❖❭❇ ❋❑❬ ❨❇ ❍❈◗❋❈❍❩ ❈ ❩❍●●❅●

❾

❍❇❅ ❋❑❖❋❈❍◗❅❖ ❋❑ ◗ ❳❅ ⑦❇ ❍❈◗❋❈❍❩ ❲❇❍❋❑ ❋❑❬ ❋❍❇❯ ❱

➇ ❾ ➇

❲❳❅ ● ❭ ❏❏❍❇❋➅❋❑❬ ❅ ❫❫❅❈◗● ❘❫ ●②❋❩❩● ❅ ❖❭❈❍◗❋❘❑ ❍❇❅ ❘❭◗ ❩❋❑❅❖ ❴❅❩❘ ❱

❵

❊ ✾ ➁➂❂ ➁➃

➈➉ ➊ ➋ ➌➊

➍❀ ❃✾❁❂➎➂❂ ➏ ➂ ➐❀ ❀ ✾ ➁➂❂ ❀ ➏➏❀✾➂ ❂ ➂❀ ❁ ➑ ❃ ➏ ❃➒❂➃ ➃❃

➊ ➋ ➊ ➈➉ ➊ ➋ ➋ ➊

✾ ❀

➊ ➈

⑦❇❘❨❘●❅● ❍ ❑❭❇●❋❑❬ ❏❘❖❅❩ ❍❑❖ ❍❨❨ ❩❋❅● ● ❅ ❩❅❈◗❅❖ ◗ ❳❅❘❇ ❋❅● ❘ ❫

➓ ➔→ ➔⑥ ➓

❷❼ ❼

❑❭❇● ❋❑❬ ❋❑ ❨ ❇❍❈◗❋❈❅❱

❘ ❩❩❅❈◗● ❋❑❫❘❇❏❍◗❋❘❑ ❴❯ ❏❅❍❑● ❘ ❫ ❋❑◗❅❇ ⑩❋❅ ❘ ❴●❅❇ ⑩❍◗❋❘❑ ❖❋❇❅❈◗

❷ ❵❸ ❸

❍❑❖ ❋ ❑❖❋❇❅❈◗ ❏❅❍●❭❇❅❏❅❑◗● ③●❈ ❍❩❅●⑧ ❖❘❈❭❏❅❑◗❍◗❋❘❑ ❍❑❍❩❯●❋●

❸

➓ ➔→ ➔⑥ ③❋❑❈ ❩❭❖❋❑❬ ❍❑❍❩❯●❋● ❘ ❫ ❖❋❍❬ ❑❘●◗❋❈ ◗ ❅●◗●⑧ ❨ ❳ ❯●❋❈❍ ❩ ❅ ①❍❏❋❑❍◗❋❘❑ ◗❘

❷❼ ❼❻ ❸

❋❖❅❑◗❋❫❯ ◗ ❳❅ ❨ ❍◗❋❅❑◗ ● ❳❅❍❩◗❳ ●◗ ❍◗❭● ❍❑ ❖ ◗ ❳❅ ❫❘❇❏❭❩❍◗❋❘❑ ❘❫ ❍

❿

❑❭❇● ❋❑❬ ❖❋❍❬❑❘●❋●❱

➓ ➔→ ➔⑥ ④❅◗● ❬❘❍ ❩● ❍ ❑❖ ❍ ❨ ❩❍❑ ❫❘❇ ❈ ❍❇❋❑❬ ❫❘❇ ❍ ● ❋❈② ❘❇ ❖❋● ❍❴❩❅❖ ❨ ❅❇●❘ ❑❱

❷❼ ❼ ❽

➀❁➁✾➂ ❂✾➁➃

⑦❩ ❍❑● ❍ ❑❖ ❇❅ ❍❩❋➅❅● ❑❭❇● ❋❑❬ ❈ ❍❇❅ ◗❘❬ ❅◗❳❅❇ ❋◗ ❳ ◗❳❅ ● ❋❈② ❘❇

❵

✾ ➃➁❃❃❀❃

➓ ➔→ ➔⑥

❷❼ ❼ ➣

❖❋● ❍❴❩❅❖ ❍ ❑❖ ❳ ❋● ❫ ❍❏❋❩❯❱

⑦❅❇ ❫❘❇❏● ❘ ❑❬❘ ❋❑❬ ❍ ❑❖ ❫❋❑❍❩ ❍●●❅●● ❏❅❑◗ ❘ ❫ ◗ ❳❅ ❨❍◗❋❅❑◗ ● ●◗❍◗❅ ❘ ❫

❿

➓ ➔→ ➔⑥

❷❼ ❼ ↔

❳❅❍❩◗❳ ❍ ❑❖ ◗ ❳❅ ❅ ❫❫❅❈◗❋⑩❅❑❅●● ❘❫ ❑❭❇●❋❑❬ ❍❈◗❋⑩❋◗❋❅●❱

⑦❇❘ ⑩❋❖❅● ❑❭❇● ❋❑❬ ❈❍❇❅ ❖❘❈❭❏❅❑◗❍◗ ❋❘❑ ❋❑❈❩❭ ❖❋❑❬ ❑❭❇●❋❑❬ ❳ ❋●◗❘❇❯

❸ ❸

➓ ➔→ ➔⑥↕↕ ❘ ❴●❅❇ ⑩❍◗❋❘❑ ❈ ❍❇❖ ❫❅⑩❅❇ ❈ ❍❇❖ ❍ ❴❘❘② ❘ ❫ ❇❅❨❘❇◗● ❍ ❑❖ ❨❇❅ ⑩❅❑◗❋❘❑

❷❼ ❸ ❸ ❸

❍❑❖ ◗ ❇❅❍◗❏❅❑◗ ❘ ❫ ❨ ❇❅●●❭❇❅ ● ❘❇❅●❱

❅ ❩❨● ◗❳❅ ❨❍◗❋❅❑◗ ❍❖❍❨◗ ◗❘ ◗❳❅ ❈ ❘❑❖❋◗❋❘❑● ❨❇❅ ⑩❍❋❩❋❑❬ ❋❑ ◗❳❅

➙

➓ ➔→ ➔⑥↕

❷❼ ❽

❳❘●❨❋◗❍ ❩ ❍❑ ❖ ❋❑ ❘◗ ❳❅❇ ❈❘ ❏❨❍❑❋❅● ❘ ❫ ◗❳❅ ❳❅❍❩◗❳❈❍❇❅ ❨ ❇❘⑩❋❖❅❇❱

➛◗ ◗ ❳❅ ❅ ❑❖ ❘ ❫ ❅ ❍❈❳ ● ❅❏❅●◗❅❇ ◗ ❳❅ ●◗❭ ❖❅❑ ◗ ❘❴◗❍❋❑● ❍ ❈❇❅ ❖❋◗ ③➜❪⑧ ❴❍●❅ ❖ ❘ ❑ ◗ ❳❅ ❍❑❍❩❯●❋● ❘❫ ◗ ❳❅

❸

❅ ❑◗❇ ❋❅● ❋❑ ◗ ❳❅ ⑦❇ ❍❈◗❋❈❍❩ ❩❅❍❇❑❋❑❬ ❖❋ ❍❇❯ ③❋❑ ❨❍❇◗❋❈❭ ❩ ❍❇ ❘ ❑ ◗ ❳❅ ❴❍● ❋● ❘ ❫ ◗❳❅ ❨❇❍❈◗❋❈ ❍❩ ❨❅❇ ❫❘❇❏❍❑❈❅

➇ ➇

❈ ❳❍❇❍❈◗❅❇❋●◗❋❈● ❘ ❫ ◗ ❳❅ ● ◗❭❖❅❑◗ ❖❭❇❋ ❑❬ ❨❇❍❈◗❋❈❍❩ ❈ ❩❍●●❅● ❋❑❈❩❭❖❋❑❬❶ ❅ ①◗❅❇ ❑❍❩ ❍❨❨❅❍❇❍❑❈❅

❸ ❸

❨❭ ❑❈◗❭ ❍❩❋◗❯ ❏❘ ◗❋⑩❍◗❋❘❑ ❍❑❖ ❈❘❏❏ ❋◗❏❅❑◗ ❇❅ ❩❋❍❴❋❩❋◗❯ ❘ ❫ ❑❭❇●❋❑❬ ❈❘ ❏❏❍❑❖● ❍❑❖ ❍❈◗❋⑩❋◗❋❅● ❍❴❋❩❋◗❯ ◗❘

❸ ❸ ❸

❭● ❅ ❍❑ ❖ ②❑❘ ❩❅ ❖❬❅ ❘ ❫ ❏❅❖❋❈❍❩ ◗❅❇❏ ❋❑❘ ❩❘❬❯ ❍❴❋❩❋◗❯ ◗❘ ❨❇❅●❅❑◗ ❍❑❖ ❖❋●❈❭●● ❈❍●❅● ❍❴❋❩❋◗❯ ◗❘

❵ ❸ ❸

❈ ❘ ❏❏❭❑❋❈❍◗❅ ❋◗❳ ❨ ❍◗ ❋❅❑◗● ❍❴❋❩❋◗❯ ◗❘ ❈❘❏❏❭❑❋❈ ❍◗❅ ❋◗ ❳ ❏❅❏❴❅❇● ❘ ❫ ◗❳❅ ◗ ❳❅❇❍❨❅❭◗❋❈ ◗❅ ❍❏ ❍❴❋❩ ❋◗❯

❵ ❸ ❵ ❸

◗❘ ❨ ❩ ❍❑ ❘❇② ● ❳❘ ❋❑❬ ❅ ❏❨❍◗❳❯ ❘ ❴●❅❇ ⑩❋❑❬ ❨❇❘ ❫❅●● ❋❘❑❍❩ ❅◗ ❳ ❋❈● ❍●●❅●●❋ ❑❬ ❨ ❇❘❬❇❅●● ❋ ❑ ❨❅ ❇ ❫❘❇❏❋❑❬

❵ ❸ ❵ ❸ ❸

◗ ❍●②● ❨ ❘◗❅❑◗ ❋❍❩ ❫❘❇ ❨❇❘ ❫❅●● ❋❘❑❍❩ ❍❑❖ ●❈ ❋❅❑◗❋❫❋❈ ❖❅ ⑩❅❩❘❨❏❅❑◗⑧❱ ❲❳❅ ❩❅❍❇❑❋❑❬ ❘❭ ◗❈❘❏❅● ❋❑❖❋❈❍◗❅ ❖

❸

❍❴❘ ⑩❅ ❍❇❅ ❋❏❨❩❅❏❅❑◗❅❖ ◗❳❇❘❭❬❳ ◗❳❅ ❋❏❨❩❅❏❅❑◗❍◗❋❘❑ ❘❫ ❫❭❇◗❳❅❇ ◗ ❘❨❋❈● ❘ ❫ ◗❳❅ ❅ ❖❭❈❍◗❋❘❑ ❨❇❘❬❇ ❍❏

❍● ❨❍❇◗ ❘ ❫ ❨ ❇ ❍❈◗❋❈❍❩ ❈ ❩❍●●❅●❱ ➛● ❋❑ ◗ ❳❅ ❈ ❍●❅ ❘❫ ❨ ❍●●❋ ❑❬ ◗❳❅ ❈ ❩❍●●❅● ◗❘ ❨❍●● ◗ ❳❅ ❨ ❇ ❍❈◗❋❈❍ ❩ ❈ ❩❍●●❅●

❸

❋◗ ❋● ❑❅❈❅●●❍❇❯ ◗❘ ❘ ❴◗ ❍❋❑ ❍ ❨ ❍●● ❫❇❘ ❏ ❍❩❩ ◗ ❳❅ ❅ ❫ ❫❅❈◗● ❘ ❫ ❅ ❖❭❈ ❍◗❋❘ ❑ ❋❑ ◗❳❅ ❫❋❅❩❖ ❘ ❫ ● ②❋ ❩❩● ❍●●❋❬❑❅❖ ◗❘

◗ ❳ ❋● ❫❘❇ ❏ ❘ ❫ ❈ ❩❍●●❅● ❍❑ ❖ ❍❩●❘ ◗❘ ❨ ❍●● ❍❩ ❩ ❩❅❍❇❑❋❑❬ ❘❭ ◗❈❘❏❅● ❋❑ ◗ ❳❅ ❫❋❅❩❖ ❘ ❫ ●❘❈ ❋❍❩ ❈ ❘❏❨❅◗❅❑❈❅● ❱

❸

❲❳❅ ❋❏❨ ❩❅❏❅❑◗❍◗ ❋❘❑ ❘ ❫ ◗ ❳❅●❅ ❅❫❫❅❈◗● ❋● ❈ ❘ ❑❫❋❇❏❅❖ ❋ ❑ ◗ ❳❅ ❘❨ ❋❑❋❘❑ ❘ ❫ ◗ ❳❅ ◗❭◗❘❇ ❘ ❫ ❨ ❇❍❈◗❋❈❍❩ ❈ ❩❍●●❅●

❸ ✻✼

➞➟➠➡ ➠➢➤➠➥ ➦➢ ➤ ➧ ➠ ➨➩ ➟➫➭➤➦➭➫➯ ➲➟➫ ➦➢➦➢➳ ➵ ➦➫➟➸➨➺ ➫➡ ➻➠➯➯ ➫ ➡ ➦➢ ➤➧➠ ➼➧➫ ➟➤➠ ➟➺ ➤ ➧ ➠ ➫➡➡ ➠➡➡➽➠➢➤ ➾➚ ➤ ➧➠

➠➚➚ ➠➭➤➡ ➾➚ ➠➥ ➭➫➤➦ ➾➢ ➦➢ ➤➧ ➠ ➚ ➦➠➯➥ ➾➚ ➡ ➾➭➦➫➯ ➭ ➾➽➞➠➤➠➢➭➠➡ ➭ ➾➢➤➫ ➦➢➠➥ ➦➢ ➤ ➧ ➠ ➾ ➟➢➫➯ ➾➚ ➩ ➟➫➭➤ ➦➭➫➯

➪ ➶ ➹ ➪

➥ ➭➫ ➤➦➾➢

➘ ➪ ➴➷

➚➤ ➠➟ ➭ ➾➽➞➯➠➤➦➢➳ ➫➢➥ ➭ ➾➽➞➯➠➤➦➢➳ ➫ ➯➯ ➚➾➟➽➡ ➾➚ ➭ ➯➫➡➡➠➡➺ ➤ ➠➚➾➟➠ ➡➤➫➟➤➦➢➳ ➤➧➠ ➞➟➾➚➠➡➡➦➾➢➫➯

➪

➞➟➫➭➤➦➭ ➠➺ ➤ ➧➠ ➡➤ ➥➠➢➤ ➤➫ ➠➡ ➤➧ ➠ ➚ ➦➢➫➯ ➠➫➽ ➚ ➟➾➽ ➤ ➧ ➠ ➩ ➼ ➽ ➾ ➥ ➯ ➠ ➫➡➦➭➡ ➾➚ ➢ ➟➡➦➢➳

➪ ➘ ➷ ➪ ➷ ➪ ➷

➢ ➤ ➧➠ ➭ ➫➡ ➠ ➾➚ ➢ ➾➢ ➡ ➠ ➾➚ ➤ ➧➠ ➼ ➞ ➟➾➭➠ ➥ ➟➠➺ ➤ ➧➠ ➡ ➤ ➥ ➠➢➤ ➥ ➟➫➻➡ ➾➢➠ ➤➫➡ ➚ ➟➾➽ ➤➧ ➠ ➞➾➾➯ ➾➚

➪ ➘ ➪ ➪

➤➫ ➡➡ ➟➠➯➫➤ ➠➥ ➤ ➾ ➦➢➥➦ ➦ ➥ ➫➯ ➯ ➠➫➟➢ ➦➢➳ ➾ ➤➭➾➽➠➡ ➦➢ ➤ ➧ ➠ ➚➦ ➠➯➥ ➾➚ ➡ ➦➯➯➡ ➡ ➾➭➦➫➯ ➭➾➽ ➞➠➤➠➢➭ ➠➡ ➫ ➟➠

➪ ➪

➬➮➱✃ ❐ ❒❮✃❰

➠➟➦➚➦ ➠➥ ➥ ➟➦➢➳ ➤ ➧ ➠ ➡ ➤ ➥➠➢➤ ➡ ➞➟➠➡ ➠➢➤➫➤➦➾➢ ➾➚ ➤➧ ➠ ➫➭ ➦ ➟➠➥ ➡ ➦➯➯➡ ➤➫➡➡ ➦➢➭➯ ➥➠ ➤➧ ➠➾➟➠➤➦➭➫➯

➪ ➪ ➪ ➷ ➪

❰ ❒

➢ ➾➻➯➠ ➥➳➠➺ ➤➫➡➡ ➡ ➦➯➯➡ ➚ ➤➧➠ ➠ ➫➽ ➦➡ ➭ ➫ ➟➟➦➠➥ ➾ ➤ ➦➢ ➫ ➭➭➾➟➥➫➢➭ ➠ ➻➦➤➧ ➤ ➧➠ ➼ ➞➟➾➭➠➥ ➟➠

➷ ➪ ➘ ➪

❰ ❐❒

➠➫➭ ➧ ➡➤ ➥➠➢➤ ➭ ➾➽➞➯➠➤ ➠➡ ➡ ➤➫➢➥➫ ➟➥➦➠➥ ➤➫➡➡➺ ➻➧➦➭ ➧ ➦➢➭➯ ➥➠ ➾ ➤➧ ➤ ➧ ➠➾➟➠➤➦➭➫➯ ➢ ➾➻➯➠ ➥➳➠

➪ ➪ ➶

➤➫ ➡➡ ➫ ➢ ➥ ➞➟➫➭➤ ➦➭➫➯ ➤➫➡➡ ➲➧➠ ➤➫➡➡ ➫ ➟➠ ➥➟➫➻➢ ➸ ➤ ➧ ➠ ➡ ➤ ➥➠➢➤ ➚ ➟➾➽ ➤ ➧ ➠ ➞ ➾➾➯ ➾➚ ➤ ➧➠➾➟➠➤➦➭➫➯

➴ ➶ ➴ ➷ ➪

➤➫ ➡➡ ➫➤ ➯➠➫➡➤ ➤➫➡➡ ➫➢ ➥ ➞➟➫➭➤➦➭➫➯ ➤➫ ➡➡ ➫ ➤ ➯ ➠➫➡➤ ➤➫➡➡ ➺ ➤➾ ➠➫➭➧ ➾➚ ➻➧➦➭➧ ➫ ➡ ➦➤➫ ➯ ➠

➶ ➴ ➶ ➴ ➪

➡ ➭ ➠➢➫ ➟➦➾ ➻➫➡ ➞➟➠➞➫ ➟➠➥ ➫ ➭ ➧ ➠➭➯➦➡➤ ➫ ➢ ➥ ➤➧ ➠ ➡ ➤➫➤➦ ➾➢ ➫➤ ➻➧➦➭ ➧ ➤ ➧ ➠ ➥➟➫➻➢ ➤➫➡ ➡ ➧ ➾ ➯➥ ➠

➪

➞➠ ➟➚➾➟➽➠➥ ➲➧➠ ➤➫ ➡➡ ➥➟➫➻➢ ➸ ➤ ➧➠ ➡ ➤ ➥➠➢➤ ➫ ➟➠ ➟➠➤ ➟➢➠➥ ➤➾ ➤➧➠ ➫ ➞➞➟➾➞➟➦➫➤➠ ➤➫➡ ➞➾➾➯

➷ ➪ ➪ ➷

➲➧➠ ➞➟➾➚ ➠➡➡ ➦➾➢➫➯ ➦➢➤➠➟➢➡➧➦ ➞ ➦➡ ➭➫ ➟➟➦➠➥ ➾ ➤ ➦➢ ➤ ➧ ➠ ➡ ➠➭➾➢ ➥ ➡ ➠➽➠➡➤ ➠➟➺ ➾➢➯➸ ➫➚➤➠ ➟ ➤ ➧➠ ➭➾➽ ➞➯➠➤➦➾➢ ➾➚ ➫➯➯

➪

➚ ➾ ➟➽➡ ➾➚ ➭➯ ➫➡➡ ➠➡ ➞ ➟➠➭➠ ➥➦➢➳ ➦➤ ➫➢ ➥ ➫➚➤ ➠➟ ➞➫➡➡➦➢➳ ➤➧➠ ➚ ➦➢➫➯ ➠➫➽➦➢➫➤ ➦➾➢ ➚ ➟➾➽ ➤ ➧➠ ➽ ➾➥ ➯ ➠ ➤ ➦➡

➪ ➷

➢ ➫➭➭ ➠➞➤➫ ➯➠ ➡ ➦➤ ➫➤ ➦➾➢ ➦➢ ➻➧➦➭➧ ➤ ➧ ➠ ➡➤ ➥➠➢➤ ➡ ➤➫ ➟➤➡ ➤➧ ➠ ➦➽➞➯➠➽➠➢➤➫➤ ➦➾➢ ➾➚ ➫ ➞➞➟➠➢➤➦➭➠➡ ➧➦➞➡ ➚ ➟➾➽

➪ ➪ ➪

➤ ➧ ➠ ➩ ➼ ➽ ➾➥ ➯ ➠ ➲➧➠ ➫➡ ➦➭➡ ➾➚ ➢ ➟➡➦➢➳➺ ➫➢ ➥ ➧➫ ➠ ➢ ➾➤ ➸➠➤ ➞➫➡➡ ➠➥ ➯ ➠➭➤ ➟➠➡➺ ➠➠➟➭ ➦➡➠➡ ➾➟

➘ ➷ ➪ ➷ ➪ ➪

➞➟➫➭➤➦➭➫➯ ➭➯ ➫➡➡➠➡➺ ➾➟ ➥➦➥ ➢ ➾➤ ➞➫➡➡ ➤ ➧➠ ➚➦➢➫➯ ➠➫➽ ➾➚ ➤ ➧ ➦➡ ➽ ➾➥ ➯ ➠

➪ ➷

➵ ➠➤➫ ➦➯➠➥ ➯ ➠➫➟➢➦➢➳ ➾ ➤➭ ➾➽➠➡ ➦➢ ➤ ➧➠ ➚ ➦ ➠➯➥ ➾➚ ➢ ➾➻➯➠➥➳ ➠➺ ➡ ➦➯➯➡ ➫➢➥ ➡ ➾➭➦➫➯ ➭ ➾➽➞➠➤➠➢➭ ➠➡ ➫ ➟➠

➪

➦➢➭➯ ➥➠➥ ➦➢ ➤➧ ➠ ➨➩ ➟➫➭➤➦➭➫➯ ➲➟➫➦➢ ➦➢➳ ➵➦➫ ➟➸➨ ➼➾➢➚➦➟➽➫➤➦➾➢ ➾➚ ➤ ➧ ➠ ➫➭ ➧➦➠ ➠➽ ➠➢➤ ➾➚ ➤➧➠ ➯ ➠➫➟➢ ➦➢➳

➪ ➷

➾ ➤➭ ➾➽➠➡ ➦➢ ➥➦➭➫➤➠➥ ➦➢ ➦➤ ➦➡ ➽➫➥ ➠ ➸ ➤ ➧➠ ➡ ➞ ➠➟ ➦➡➾➟ ➾➚ ➫ ➞➞➟➠➢➤➦➭➠➡ ➧➦➞➡➺ ➻➧➦➭➧ ➦➡ ➤ ➧ ➠ ➡ ➡ ➤➫➢➤➦ ➠

➪ ➪ ➪

✃❮ ➮

➠➽ ➞➯➾➸➠➠ ➾➚ ➤ ➧➠ ➽➠➥ ➦➭➫➯ ➠➢➤➦➤➸ ➤ ➡ ➧➾ ➯➥ ➠ ➠➽➞ ➧➫➡ ➦➠➥ ➤ ➧➫➤ ➦➢ ➤➧ ➠ ➭ ➫➡➠ ➾➚ ➤ ➧➠ ➩ ➼

➷ ➪ ➘ ➷

➽ ➾➥ ➯ ➠➺ ➤ ➧➠ ➠➚➚ ➠➭➤➡ ➾➚ ➠ ➥ ➭ ➫➤ ➦➾➢ ➦➢ ➤ ➧ ➠ ➚ ➦ ➠➯➥ ➾➚ ➡➾➭ ➦➫➯ ➡ ➦➯➯➡ ➫➢ ➥ ➭ ➾➽ ➞➠➤ ➠➢➭ ➠➡ ➚ ➾➟ ➫ ➞➞➟➠➢➤➦➭➠➡➧ ➦➞➡

➪ ➪

➫ ➟➠ ➠➫➭➤➯ ➸ ➤ ➧➠ ➡ ➫➽ ➠ ➫➡ ➚➾ ➟ ➞➟➫➭➤ ➦➭➫➯ ➭➯➫➡➡ ➠➡ ➲➧➠ ➥➦➚➚➠➟➠➢➭ ➠ ➠➤➻➠➠➢ ➤ ➧➠➽ ➯ ➦➠➡ ➾➢➯➸ ➦➢ ➤➧ ➠ ➚➫➭➤

➷

➤ ➧➫➤ ➦➢ ➤➧➠ ➭➫➡➠ ➾➚ ➩➺ ➤ ➧➠ ➡ ➤ ➥ ➠➢➤ ➻➾➟➡ ➢ ➥➠ ➟ ➤ ➧➠ ➥➦➟➠➭➤ ➡ ➞➠➟ ➦➡➦➾➢ ➾➚ ➫➢ ➫➭➫ ➥➠➽➦➭ ➤ ➠➫➭ ➧➠➟➺

➪ ➪ ➪

➻➧➠➟➠➫➡ ➦➢ ➤➧ ➠ ➭➫ ➡➠ ➾➚ ➩ ➦➤ ➦➡ ➞➟➦➽➫ ➟ ➦➯➸ ➦➢ ➥➠➞➠➢➥➠➢➤ ➻➾➟ ➤ ➫➯➡ ➾ ➢ ➥➠➟ ➳ ➠➢➠➟➫➯ ➡ ➞➠➟ ➦➡ ➦➾➢

➶ ➪ ➪ ➪

➭ ➫ ➟➟➦➠➥ ➾ ➤ ➸ ➤ ➧➠ ➡ ➡ ➤➫➢➤➦ ➠ ➭➫ ➟➠➟ ➚ ➟➾➽ ➤ ➧➠ ➽ ➠➥➦➭➫➯ ➠➢➤➦➤➸ ➾ ➦➢ ➤ ➧➠ ➭➫➡ ➠ ➾➚ ➩ ➫ ➯➯ ➤ ➧➠ ➠➯➾➻

➪ ➪ ➴ ➷

➽ ➠➢➤➦➾➢➠➥ ➠➚➚➠➭➤➡ ➾➚ ➠➥ ➭➫➤➦➾➢ ➦➢ ➤ ➧➠ ➚➦➠➯ ➥ ➾➚ ➡ ➦➯➯➡ ➡ ➧➾ ➯ ➥ ➠ ➡➠➥ ➻➦➤➧ ➤ ➧ ➠ ➫➥ ➠➭➤➦ ➠

➪ ➪ ➪

➨ ➦➢➥➠➞➠➢➥➠➢➤➨ ➞➞➟➠➢➤➦➭➠➡ ➧➦➞➡ ➫ ➟➠ ➦➢➭➯ ➥➠➥ ➦➢ ➤ ➧➠ ➫➡➡ ➠➡➡➽➠➢➤ ➳ ➟➫➥➦➢➳ ➡➭➫➯➠ ➚ ➟➾➽ ➤➾

➷ ➪ ➶ ➷ ➷ ➴ ➷

❒➱ ❐ ✃

➾ ➟➡ ➾➚

➪

➭ ➤ ➦ ➦➤➸ ➚ ➾➟➽ ➾ ➟➡ ➦➢ ➥➠➤➫➦➯ ➲➾➤➫➯

➪

student’s work

➩➫ ➟➤➦➭➦➞➫➤➦➾➢ ➦➢ ➯ ➠➭➤ ➟➠➡ ➧➾ ➟➡ ➡ ➠➽ ➠➡➤ ➠ ➟➡

➪ ➪ ➷

➩➫ ➟➤➦➭➦➞➫➤➦➾➢ ➦➢ ➠➠➟➭➦➡➠➡ ➧➾ ➟➡ ➳ ➾➥

➪ ➷ ➷

➩➫ ➟➤➦➭➦➞➫➤➦➾➢ ➦➢ ➞➟➫➭➤➦➭➫➯ ➭ ➯➫➡➡➠➡ ➧➾ ➟➡ ➡ ➠➽➠➡➤ ➠ ➟➡

➪ ➷

➼➾➢➤➫➭➤ ➧➾ ➟➡

➪

❒ ❰❒ ❒ ❒❰❒ ❒

➻➦➤➧ ➫ ➢

➫ ➭➫ ➥➠➽ ➦➭

➤ ➠➫➭➧➠➟

➩➫ ➟➤➦➭➦➞➫➤➦➾➢ ➦➢ ➭ ➾➢➡ ➯➤➫➤ ➦➾➢➡ ➟➠➯➫➤ ➠➥ ➤ ➾

➪

➼ ➼

➭ ➯➫➡➡ ➠➡

➩ ➩

➼➾➢➤➫➭➤ ➧➾ ➟➡

➪

➻➦➤➧ ➤ ➧➠ ➭ ➫ ➟➠

➞➟➫➭➤➦➤ ➦➾➢➠➟ ➾➢

➩➫ ➟➤➦➭➦➞➫➤➦➾➢ ➦➢ ➫➞ ➞➟➠➢➤➦➭➠➡➧➦ ➞➡ ➻➠➠➡

➤ ➧ ➠ ➞➫ ➟➤ ➾➚ ➤ ➧➠

➧ ➠➫➯➤➧ ➭➫ ➟➠

➞➟➾ ➦➥➠➟

➩ ➟➠➞➫ ➟➫➤➦➾➢ ➚ ➾➟ ➠➠➟➭➦➡ ➠➡

➧➾ ➟➡ ➦➤ ➻➫➡ ➫➡➡ ➽ ➠➥ ➤➧➫➤ ➤ ➧ ➠➟➠ ➫➟➠ ➤➻➾ ➧➾ ➟➡ ➾➚

➪ ➶ ➪ ➪

➡ ➤ ➥➠➢➤ ➞➟➠➞➫ ➟➫➤➦➾➢ ➚ ➾ ➟ ➠➫➭ ➧ ➠➠➟➭➦➡ ➠ ➡ ➠➭➤

➪ ➪ ➴

➩ ➟➠➞➫ ➟➫➤➦➾➢ ➚➾➟ ➞➟➫➭➤ ➦➭➫➯ ➭➯➫➡➡ ➠➡

➦➤ ➻➫➡ ➫➡➡ ➽ ➠➥ ➤➧➫➤ ➤ ➧ ➠➟➠ ➫➟➠ ➤➻➾ ➧➾ ➟➡ ➾➚

➪ ➪

Self student’s ➶

➧ ➾ ➟➡

➪ ➷

➻➾➟

➡ ➤ ➥➠➢➤ ➞➟➠➞➫➟➫➤➦ ➾➢ ➾➢ ➠➫➭➧ ➤➾➞ ➦➭ ➾➚ ➞ ➟➫➭➤➦➭➫➯

➪

➭ ➯➫➡➡ ➠➡

➴

➧➾ ➟➡ ➧ ➾ ➟➡ ➻➢ ➻➾➟ ➻➦➤➧➦➢ ➤ ➧➠ ➡ ➠➭➤ ➾➚ ➭➯➫➡➡ ➠➡

➪ ➷ ➪ ➷ ➪

➧➾ ➟➡

➪ ➷

➩ ➟➠➞➫ ➟➫➤➦➾➢ ➚ ➾➟ ➤ ➧➠ ➤ ➠➡➤ ➾➚ ➯ ➠➭➤ ➟➠➡ ➦➢ ➡➠➽➠➡➤➠➟

➪ ➝➝

ÿ ✯

✁♣❛ ❛✐♦♥ ❢♦ ❤✁ ❢✐♥❛❧ ✁ ♦❢ ❧ ✁❝✉✁ ✐ ♥ ❤✁

✺ ❤♦✉ ✳ ✺

✁ ✁ ✁ ✯

♠ ✷

✁♣❛ ❛✐♦♥ ♦❢ ❤✁ ♥✉ ✐♥ ♣♦❝✁ ❛ ✁ ♦ ♥

❣ ✭✂ ❞

❛ ✁ ✐❛❧ ❛ ❝❝✉ ✉ ❧❛✁ ✉ ✐♥ ❛ ♣♣✁ ♥✐❝✁❤ ✐ ♣✮ ✺ ❤♦✉ ✳ ✺ ✯

♠ ♠ ❞ ❞ ❣

✯

✵

✷

❤❛❧ ❢ ♦❢ ❤✁ ✐ ✁ ❛ ✁ ♦ ✁

✭ ♠ ✇ ❞ ✈ ❞

✁♣❛ ❛✐♦♥ ❢♦ ❤✁ ❢✐♥❛❧ ✁ ❛ ❝♦ ✁ ✐♥ ❛❧❧

① ♠ ✈ ❣

ÿ✵

♦ ❤ ✁ ♣✁ ♣❛❛ ✐♦♥ ✐♥ ❤✁ ❢ ✐✁❧

❞

✁ ✉ ❝❛✐♦♥ ❝♦♥✁♥ ✐♥❝❧✉ ✁ ✐♥ ❤ ✁ ♦ ✉❧ ✁ ✯

❞ ❞ ❞ ♠ ❞

♦❢ ❤ ✁♦✁✐❝❛❧ ✁ ✉ ❝❛✐♦♥✱ ❤❛❧❢ ✲ ÿ✵✯

❞

✄❙☎❊ ✁ ❛ ✮

✭ ① ♠

✐ ♥ ❤✁ ❢ ✐✁❧ ♦ ❢ ♣❛❝✐❝❛❧

❞

✁ ✉ ❝❛✐♦♥✮ ❞

Total student’s workload ✻✻ ✆

❲ ♦❦❧♦❛ ❍♦✉ ❊☎ ❚❙

❞

❙ ✉ ✁♥ ♦ ❦❧♦❛ ❛ ♦❝ ✐❛✁ ✐❤ ❛ ❝✐ ✐ ✐✁ ✁✉✐✐♥ ✐✁❝

❞ ✇ ❞ ❞ ✇ ✈ ❣ ❞

✺ ÿ ÿÿ✱

✸ ✸

✁❛ ❝❤✁ ♣❛✐❝✐♣❛✐♦♥

✉ ❛ ♥✐ ❛✐ ✁

◗ ✈

❙ ✉ ✁♥ ♦ ❦❧♦❛ ❛ ♦❝ ✐❛✁ ✐❤ ❛ ❝✐ ✐ ✐✁ ❤❛ ♦ ♥♦ ✁✉ ✐✁

❞ ✇ ❞ ❞ ✇ ✈ ❞

ÿ✹ ✐♥ ✐❝❛ ♦ ÿ✵✱

✸ ❞ ✷

✐ ✁❝ ✁❛❝❤✁ ♣❛ ✐❝✐♣❛✐♦ ♥

❞

❙ ✉ ✁♥ ♦ ❦❧♦❛ ❛ ♦❝ ✐❛✁ ✐❤ ♣ ❛❝ ✐❝❛❧ ❛ ❝✐ ✐✐✁ ✹ ÿ✺✱

❞ ✇ ❞ ❞ ✇ ✈ ✼ ✷ ✸

❙ ✉ ✁♥ ♦ ❦❧♦❛ ✁❧❛✁ ♦ ❤✁♦✁✐❝❛❧ ❝❧❛ ✁ ÿ ✱

❞ ✇ ❞ ❞ ✾ ✸ ✝ ✷

 Ciechaniewicz W. red. Pielęgniarstwo. Ćwiczenia. Podręcznik dla studiów

✁ ②❝③♥ ②❝❤ ✳ ❚ ÿ✲ ✳ ❲ ❛③❛ ❛ ✿ ❲ ② ❛ ♥ ✐❝ ♦ ▲ ✁❦❛❦✐✁ ❩❲ ▲✱ ✵✵ ✳

♠ ❞ ✷ ✇ ❞ ✇ ✇ ✷ ✝

 Ciechaniewicz W., żrochans ź., Ło ź. Wstrzyknięcia ródskórne, podskórne,

♦ ✐ ❲ ❛③❛ ❛ ✿ ❲ ② ❛ ♥✐❝ ♦ ▲ ✁❦❛ ❦ ✐✁ ❩❲ ▲✱ ✵✵ ✳

❞ ♠ ❞ ✇ ✇ ✷ ✼

ęniowe i doylne. ✇

❛ ✐❝ ❧ ✐✁❛✉✁

❇

✲ ❲ ② ❛ ♥ ✐❝ ♦ ▲✁❦❛ ❦✐ ✁

✇ ✇

 żórajek Jówik J. Wprowadzenie do diagnozy pielęgniarskiej. ❞

❩❲ ▲✱ ✵ ✵ ✳

✷ ✼

 lusarska B., Zarzycka D., Zahradniczek K. red ✳ Podstawy pielęgniarstwa. Wybrane

✳ ❚✳ ✳ ▲✉ ❧✐♥ ✿ ❲ ② ❛ ♥✐❝ ♦ ☎ ❩❊▲❊ ✱ ✵✵ ✳

✂ ❞ ✇ ✇ ✞ ✷ ✽ działania pielęgniarskie ✷

 lusarska B., Zarzycka D., Zahradniczek K. red ✳ Podstawy pielęgniarstwa. Załoenia

✁♦✁ ②❝③♥✁✳ ❚✳ ÿ ✳ ▲✉ ❧ ✐♥✿ ❲ ② ❛ ♥✐ ❝ ♦ ☎ ❩❊▲❊ ✱ ✵✵ ✳

✂ ❞ ✇ ✇ ✞ ✷ ✽

✳ ③✳ ✳ ✵ÿÿ ÿ ✹✱

❯ ✷ ❀ ◆ ✼

 Ustawa o zawodach pielęgniarki i połonej z dnia 15 lipca 2011 ✭✟

♣♦③ ✳ ÿ✵ ✮ ✳

✸✾

✐♦ ♥ ✳ ❲ ❛③❛ ❛ ✿ ❲ ② ❛ ♥✐❝ ♦ ▲ ✁❦❛ ❦✐✁

◆ ✇ ❞ ✇ ✇

 ✟ Technika zabiegów pielęgniarskich.

❩❲ ▲✱ ÿ ✺ ✳

✾✾

❙✉ ♣♣❧✁ ✁♥❛②

♠

❧ ✐✁ ❛✉✁

✳ ✲ ❲ ❛③❛ ❛ ✿ ❲ ② ❛ ♥✐❝ ♦

❞ ✇ ✇

 Kózka M , Płaszewska ywko L. Procedury pielęgniarskie. ✇

▲ ✁❦❛ ❦✐ ✁ ❩❲▲✱ ✵ ÿÿ✳

✷

❑❛♦ ✐❝✁ ✿

 Przepisy prawne. stan prawny na dzień 1.01.2014. ✇ Okręgowa Izba

✐✁❧ ✱ ✵ÿ✹ ✳

ęgniarek i Połonych w Katowicach ✷

✠☞ ✌☛☛ ❡☛☛✡❡✍✎ ✏❡✎ ✌✑✒☛ ✓✑✍✎ ❡✡❡✏✑ ✌✎❡ ✡ ✌✔☛ ✕✖✆ ✌✍✏ ✗✖✆ ✌❡ ✠✡✑✎✎❡ ✏✘✖

❋✠✡☛ –

❊ ✉ ❝❛ ✐♦♥

❞

❛ ❦ ❛ ❦ ❛ ❦ ✹ ❛ ❦ ✺

♠ ✷ ♠ ✸ ♠ ♠

✁❢❢ ✁❝

❙ ✉ ✁♥ ❝❛♥ ♥♦ ■♥ ✐❝❛✁ ♦♥❧ ② ♦ ✁

❞ ❞ ♠

❙ ✉ ✁♥ ❢✉❧❧ ② ✐ ♥ ✐ ❝❛✁

❞ ❞

✐ ♥ ✐❝❛✁ ❤✁ ✁✁ ✐♥❛♥ ♦❢ ❤✁ ■♥ ✐❝❛ ✁ ❤✁ ❛ ❥♦ ✐②

❞ ❞ ♠ ❞ ♠

❤✁ ✁✁ ✐♥❛♥ ♦❢

❞ ♠

❝♦♥ ✐✐♦♥ ❢♦ ❤✁ ✁ ✁❧♦ ♣ ✁♥ ♦❢ ♦❢ ✁✁ ✐♥❛ ♥ ♦❢ ❤✁

❞ ❞ ✈ ♠ ❞ ♠

❤ ✁ ✁ ✁❧♦ ♣ ✁♥ ♦ ❢

❞ ✈ ♠

✁ ✁❧♦ ♣ ✁♥ ♦ ❢ ♥✉ ✐♥ ❢ ♦ ❤✁ ✁ ✁❧♦ ♣ ✁♥ ♦❢

❞ ✈ ♠ ❣ ♠ ❞ ✈ ♠

♥✉ ✐♥ ❢ ♦ ❤✁

❣ ♠

♥✉ ✐♥ ❢ ♦ ❤✁ ♣✁ ♣✁❝✐ ✁ ♦ ❢ ✐ ✁ ✐ ♥ ♥✉ ✐♥ ✐♥ ❤✁

❣ ♠ ✈ ♠ ❣

♣✁ ♣✁❝✐ ✁ ♦ ❢ ✐ ✁

✈ ♠

♣✁ ♣✁❝✐ ✁ ♦❢ ✐ ✁ ❤✁ ❝♦♥ ✁ ♦❢ ♣✁ ♣✁❝✐ ✁ ♦❢ ✐ ✁ ✐♥

✈ ♠ ① ✈ ♠

♣❛ ✱ ♣ ✁✁ ♥✱ ❢✉ ✉✁✮

✭

☎ ✵ÿ ❑ ❲ ✵ÿ ♦ ♥ ❤✁ ❛❝❦ ♦✉♥ ♦❢ ❛ ♥❢♦ ❛ ✐♦♥ ♦❢ ❤✁ ❛♥❢♦ ❛✐♦ ♥ ♦ ❢

❴ ❴ ✂ ❣ ❞ ♠ ♠

✐ ♥ ❤✁ ❝♦♥✁ ♦❢ ❤✁

①

❤✁ ❛♥❢♦ ❛✐♦ ♥ ♦ ❢ ❝❛ ✁✱ ♣❛❧② ❦ ♥♦ ❝❛ ✁✱ ❦ ♥♦ ❤✁

♠ ✇ ✇

❛♥❢♦ ❛ ✐♦♥ ♦ ❢

♠

❝❛ ✁ ❛ ♥ ✴ ♦ ♦ ✁ ❤✁ ✁ ✁♥❝✁ ♦ ❢ ✁✁♥❝✁ ♦ ❢ ♦ ✁♥

❞ ❞ ♠ ❞

❝❛ ✁✱ ❦ ♥♦ ❤✁

✇

♥♦ ❦♥♦ ❤✁ ✁ ✁♥❝✁ ♦ ✁♥ ♥✉✐♥ ✱ ♦ ✁ ♥✉ ✐♥ ❛♥ ❤✁

✇ ♠ ❞ ❣ ❞ ❣ ❞

✁✁ ♥❝✁ ♦ ❢ ♦ ✁ ♥

♠ ❞

♦❢ ♦ ✁♥ ♥✉ ✐ ♥ ♥♦ ✉ ♥ ✁ ❛ ♥ ✁✁♥❝✁ ♦ ❢ ❤♦ ❧✐ ✐♥

♠ ❞ ❣ ❞ ❞ ♠

♥✉ ✐♥ ❛♥ ❤♦❧ ✐ ✐♥

❣ ❞ ♠

❛ ♥ ❤♦❧ ✐ ✐♥ ❤✁ ❤♦❧ ✐ ✐♥ ❤✁ ❝❛ ✁ ♦ ❢ ❤ ✁ ❝❛✁ ♦❢ ❤✁ ♣❛✐✁♥

❞ ♠ ♠

❤ ✁ ❝❛✁ ♦❢ ❤✁ ♣❛✐✁♥

❝❛ ✁ ♦❢ ❤✁ ♣❛ ✐✁♥ ❤✁ ♣❛✐✁♥

☎ ✵ÿ ❑ ❲ ✵

❴ ❴ ✷

❙ ✉ ✁♥ ♦ ✁ ♥♦ ❙ ✉ ✁♥ ❦ ♥♦ ♦ ♥❧ ② ❙ ✉ ✁♥ ❦ ♥♦ ❤ ✁ ❙ ✉ ✁♥ ✁ ✁ ♥ ✐ ✁❧ ②

❞ ❞ ❞ ✇ ❞ ✇ ❞ ① ✈ ýþ

✚✛ ✜✢ ✣ ✤✥ ✥✦ ✦✥✛✧✥ ✜★ ✣ ✤✥ ✜ ✣ ❃ ✛✥ ✜★ ✣ ✤✥ ✥ ✦✦✥✛✧✥ ✜★ ✦✧ ✦✦✥✦ ✣ ✤✥

✬ ✰ ✪ ✰ ✬

✜ ✥ ✛ ✛ ✦ ✛ ✥ ✦✦✥✛✧✥ ✜★ ✧ ✜✛✣✥ ❄✜ ❂ ✛ ✦ ✛ ✥ ✦✦✥✛✧✥ ✜★

✩ ✪ ✫ ✬✫ ✰ ❁ ✩ ✫ ✫❈ ✬✫ ✰ ❁

✛✥ ✣ ✤✥ ✛ ✣ ✤✥ ✧ ✜✛✣✥ ❄✜ ❂ ✛ ✦ ✛ ✛ ✣ ✤✥ ✣ ✤✥✜ ✥ ✣ ✧ ❂❃ ❂ ✛ ✧ ✜✛✣✥ ❄✜ ❂ ✛ ✦ ✛

✰ ✫ ✰ ✩ ✫ ✫❈ ✬✫ ✰ ❁ ✰ ✫ ✰ ✪ ✩ ✫ ✫❈ ✬✫ ✰ ❁

✣ ✤✥ ✜ ✥✣ ✧❂❃ ✥✛ ✦ ✜✛ ❂✛ ✣ ✤✥ ❄ ✜✧✥✦ ✦ ✜★ ❄ ❂✧✣ ✧❂ ❃ ✥✛ ✦ ✜✛ ✛ ✣ ✤✥ ✣ ✤✥✜ ✥ ✣ ✧ ❂❃ ❂ ✛

✫ ✰ ✪✰✩ ✰ ✪ ✫ ✫ ✰ ✪✰✩ ✰ ✰ ✫ ✰ ✪

✛ ✜ ✛ ✣ ✤✥ ❄ ❂✧✣ ✧ ❂ ❃ ✤ ✦ ❂✛ ✣ ✤✥ ❄ ✜✧✥✦ ✦ ✜★ ❄ ❂✧ ✣ ✧ ❂❃ ✥✛ ✦ ✜✛

✫ ✰ ✫ ✰ ✰ ✪ ✫ ✫ ✰ ✪ ✰✩ ✰

✥✛✦ ✜✛ ✤✥ ✜✥✦ ❄ ✜★✥✦✦ ✜✛❂❃ ❂✣ ✜✛ ✤ ✦ ❂✛ ✣ ✤✥ ❄ ✜✧✥✦ ✦ ✜★

✪✰✩ ✰ ❅ ✪ ✫ ✰ ✰❆ ✰ ❅ ✰ ✪ ✫

✛ ✜✣ ✧✤❂ ❂✧✣✥ ✥ ✣ ✤✥ ✤✥ ✜✥✦ ✛ ✜✣ ❄ ✜★✥✦✦ ✜✛❂❃ ❂✣ ✜✛ ✤ ✦

✫ ✫✰ ❆ ✪ ✫ ✰ ✰❆ ✰ ✰

❄ ✜✧✥✦✦ ✜★ ✤ ✦ ✛ ✥ ✦✣❂✛ ✣ ✤✥ ✤❂ ✦ ❂ ❄ ✜❜❃✥ ✢ ✣ ✤ ❂ ❄ ✜★✥✦✦ ✜✛❂❃ ❂✣ ✜✛

✫ ✰ ✬ ✪ ✫ ✪ ✫ ✩ ✰ ✫ ✰ ✰❆ ✰ ❅

❄ ✜★✥✦✦ ✜✛❂❃ ❂✣ ✜✛ ✤✜❃ ✦✣ ✧ ❂ ✦❄✥✧✣ ✜★ ✣ ✤✥ ✤✜❃ ✦✣ ✧ ❂ ❄❄ ✜❂✧✤ ✣✜ ✢ ✣ ✤ ❄ ❂ ✣ ✧ ❃❂

✫ ✰ ✰❆ ✰ ✰ ✰ ✰ ✰ ✫ ✰ ✫ ✰ ✬ ✫

✢ ✣ ✤ ❄❂ ✣ ✧ ❃❂ ❂❄❄ ✜❂✧✤ ✣ ✜ ❂✛ ❂✛ ✥ ❄ ✤❂✦ ✦ ✜✛ ✣ ✤✥

✰ ✫ ✰ ✬ ✫ ✫ ✩ ✩ ✩ ✰

✥ ❄ ✤❂✦ ✦ ✜✛ ✣ ✤✥ ✤✜ ❃ ✦✣ ✧ ❂❄❄ ✜❂✧ ✤ ✣✜

✩ ✰ ✰ ✰ ✫

❂✛ ✤✜ ❃ ✦✣ ✧ ❂❄❄ ✜❂✧ ✤ ✣✜

✩ ✰ ✰ ✫

❂✛

✩

✛ ✜ ✢❃✥ ✥ ✛

❖ ✪❁ ✰

❳✤✥ ✦✣ ✥✛✣ ✦ ✛✜✣

✬ ✪ ✰

❳✤✥ ✦✣ ✥✛✣ ✥ ★ ✛✥ ✦

✬ ✪ ✪ ✰

✥★ ✛ ✛ ✣ ✤✥ ✛ ✦ ✛

✪ ✰ ✰ ❁ ✬ ✫ ✰ ❁

❂ ❜❃✥ ✣ ✜ ✥★ ✛✥

✪ ✰

✛ ✦ ✛ ❬✥ ✢✥❃❃ ❂ ✦

✬ ✫ ✰ ❁ ✫❈

✦ ✜ ✜ ❨ ❳✤✥ ✦✣ ✥ ✛✣

✰ ❁ ✪ ✬✪

✛ ✦ ✛ ✜✥✦ ✛ ✜✣ ❳✤✥ ✦✣ ✥✛✣

✬✫ ✰ ❁ ❅ ✪ ✬ ✪

✢✥❃❃ ❂ ✦ ✥★ ✛✥ ✦ ✣✤✥

✪ ✰

★★✥ ✥✛ ✣ ❂✣✥ ✦ ✦ ❄❄ ✜ ✣

✪✰ ✫ ✰ ✬ ✫ ❅

★★✥ ✥✛ ✣ ❂✣✥ ✣✤✥ ✥✣✥ ✛ ✥✦ ✣ ✤✥ ❜❂✦ ✧

✪✰ ✫ ✰ ❉●❏▼❖▼❘ ●❱ ✪ ✫✩✰ ✰

❄ ❃❂✧✥ ★ ✜ ✦ ❄ ❄ ✜ ✣ ✛

✫ ✬ ✫ ✰ ❁❅

✤✥❃❄ ✛

✰ ❁❅

❃ ✜✧❂✣ ✜✛ ✜★ ✦ ❄❄ ✜ ✣ ✧ ✜✛✧✥❄✣ ✜★ ✛ ✦ ✛ ❨

✰ ✬ ✫ ❅ ✬✫ ✰ ❁

✤✥ ❃❄ ✛ ❂✛

✰ ❁ ✪

❂✧ ✧✜ ❄❂✛ ✛ ❨

✩ ❈✰ ❁

✤✥❃❄ ✛ ❂✛

✰ ❁ ✪

❂✧✧ ✜ ❄❂✛ ✛ ✣ ❨

✩ ❈ ✰ ❁ ✰

❂✧ ✧✜ ❄❂✛ ✛ ✤ ❨

✩ ❈✰ ❁ ✰✩

❳✤✥ ✦✣ ✥✛✣ ✧❂ ✛

✬ ✪

★★✥ ✥✛ ✣ ❂✣✥ ❂✛ ❳✤✥ ✦✣ ✥✛✣ ✧ ❂✛ ✛ ✜✣

✪✰ ✫ ✰ ✪ ✬ ✪

✥✣✥ ✛ ✥ ✣ ✤✥ ✜❃✥ ✜★ ✧ ✤❂ ❂✧✣✥ ✥ ✣ ✤✥ ✜❃✥

✪ ✫✩✰ ✫ ✫ ✫✰❆ ✫

❳✤✥ ✦✣ ✥✛✣ ✧❂✛

✬ ✪

✣ ✤✥ ✛ ✦✥ ✦ ❂ ✛ ★ ✛✧ ✣ ✜✛✦ ✜★ ❂ ❳✤✥ ✦✣ ✥✛✣

✬✫ ❫ ✪ ✬ ✰ ✬ ✪

★★✥ ✥ ✛✣ ❂ ✣✥

✪ ✰ ✫ ✰

❄ ✜★✥✦✦ ✜✛❂❃ ❄ ✜★✥✦ ✦ ✜✛❂❃ ✛ ✦✥ ❨ ★★✥ ✥ ✛✣ ❂ ✣✥✦ ✣ ✤✥

✫ ✰ ✫ ✰ ✬✫ ✪ ✰ ✫ ✰

❄ ✜★✥✦ ✦ ✜✛❂❃ ★ ✛✧✣ ✜✛✦

❉●❏▼❖▼❘ ●❭ ✫ ✰ ✬ ✰

★ ✛✧ ✣ ✜✛✦❨ ✣ ❂ ❃✦✜ ✥ ✧❂ ✛ ✛ ✜✣ ✛ ✧❂✣✥ ❄ ✜★✥✦ ✦ ✜✛❂❃ ★ ✛✧✣ ✜✛✦

✬ ✰ ❵ ❪ ✰ ✪✰ ✫ ✰ ✬ ✰

❂✛ ✥ ✣✥ ✛✥ ✣ ✤✥

✪ ✪ ✫✩✰ ✰✫

✧ ❃✥❂ ❃ ✥✛✣ ★ ✥ ✦ ✣ ✤✥ ✣ ✤✥ ✜❃✥ ✜★ ✣ ✤✥ ❄❂✣ ✥✛✣ ✜★ ✣ ✤✥ ✛ ✦✥ ❨

✫ ❈ ✰✪ ✰ ✰ ✫ ✰ ✬✫

✜❃✥ ❨

✫

✛ ✣ ✤✥ ❄ ✜✧✥✦✦ ✜★

✜❃✥ ✜★ ✣ ✤✥ ❄ ❂✣ ✥✛✣ ✛ ✰ ✫

✫ ✰ ✰

✣ ✤✥ ❄ ✜✧✥✦ ✦ ✜★ ❄ ✜ ❬ ✛ ✤✥❂ ❃✣✤ ✧ ❂ ✥

✫ ✫ ✰✪ ✰ ❁ ✫

❄ ✜❬ ✛ ✤✥❂❃✣ ✤ ✧ ❂ ✥ ❨

✫ ✰✪✰ ❁ ✫

❳✤✥ ✦✣ ✥✛✣ ✧ ❂✛ ✛ ✜✣ ❳✤✥ ✦✣ ✥✛✣ ✧❂ ✛

✬ ✪ ✬ ✪

✥ ✦✧ ❜✥ ✣ ✤✥ ✛ ✣ ✛ ✥ ✦✧ ❜✥ ✣ ✤✥

✪ ✫ ✰ ✬✫ ✬✫ ✰ ❁ ✪ ✫ ✰

❄ ✜ ❜❃✥ ✦ ✤✥ ✜✥✦ ❳✤✥ ✦✣ ✥✛✣ ✚✛✜ ✢✦ ❄ ✜ ❜❃✥ ✦ ✜★ ✛ ✦ ✛

✫ ✩ ❅ ✪ ✬ ✪ ✫ ✩ ✬ ✫ ✰ ❁❅

❳✤✥ ✦✣ ✥✛✣ ✤❂✦ ❂

✬ ✪

✛ ✜✣ ✚✛✜✢ ✣ ✤✥ ✣ ✤✥ ✧ ✜✛✧✥❄✣ ❂ ❃ ❜❂ ✦ ✦ ✚✛ ✜✢✦ ✧ ✜✛✧✥❄✣✦ ✦ ✧ ✤

✬ ✰ ✬

✜✜ ✚✛ ✜✢❃✥ ✥ ✜★

❁ ✪ ✪❁

✛ ✣✥ ✦ ✜★ ✣✤✥ ✧ ✜✛✧✥❄✣✦ ✦ ✧✤ ❂ ✦ ✣ ✤✥ ❂ ✦ ✣✤✥ ✥✦ ✦✥✛✧✥ ✜★

✰ ✫✩ ⑤ ✬ ⑤ ⑤

★★✥ ✥✛ ✣ ❂✣ ✛ ❂ ✛

✪✰ ✫ ✰ ✰ ❁ ✪

✛❂✣ ✥ ✜★ ✣✤✥ ✥ ✦ ✦✥✛✧✥ ✜★ ✣ ✤✥ ✣ ✤✥ ✛ ✦ ✛ ❄ ✜✧✥✦ ✦

✬ ✫ ✬✫ ✰ ❁ ✫ ❅

✥ ✦✧ ❜ ✛ ✛ ✦ ✛

✪ ✫ ✰ ✰ ❁ ✬✫ ✰ ❁

✛ ✣ ✛ ❄ ✜✧✥✦✦ ✛ ✦ ✛ ❄ ✜✧✥ ✦✦ ✦✣❂ ✥ ✦ ✜★ ✣ ✤✥ ✛ ✦ ✛

✬✫ ✬ ✫ ✰ ❁ ✫ ❅ ✬✫ ✰ ❁ ✫ ❅ ❁ ✬✫ ✰ ❁

❄ ✜ ❜❃✥ ✦❨ ✥★ ✛ ✥✦

✫ ✩ ⑥ ✰

✦✣❂ ✥ ✦ ✜★ ✣ ✤✥ ✛ ✦ ✛ ✦✣❂ ✥ ✦ ✜★ ✣ ✤✥ ✛ ✦ ✛ ❄ ✜✧✥✦ ✦ ❄ ✛✧ ❄ ❃✥✦ ✜★

❁ ✬ ✫ ✰ ❁ ❁ ✬✫ ✰ ❁ ✫ ❅ ✫ ✰ ✰

✣ ✤✥ ✥✦ ✦✥✛✧✥ ✦✣❂ ✥✦ ④

❅ ❁ ❉●❏▼❖▼❘ ●

❄ ✜✧✥✦✦ ❄ ✛ ✧ ❄ ❃✥✦ ✜★ ❄ ✜✧✥ ✦✦ ❄ ✛ ✧ ❄ ❃✥✦ ✜★ ✣ ✤✥ ✛ ✦ ✛ ❄ ✜✧✥✦ ✦

✫ ❅ ✫ ✰ ✰ ✫ ❅ ✫ ✰ ✰ ✬✫ ✰ ❁ ✫ ❅

❂✛ ❄ ✛ ✧ ❄ ❃✥✦ ✜★

✪ ✫✰ ✰

✦ ✛ ✣ ✤✥ ✛ ✦ ✛ ✣ ✤✥ ✛ ✦ ✛ ❄ ✜✧✥✦ ✦ ❄ ❂ ✛ ✦ ✛ ❨ ✣

✬ ✰ ❁ ✬✫ ✰ ❁ ✬✫ ✰ ❁ ✫ ❅ ✫ ✰✩ ✫❈ ✬✫ ✰ ❁ ❵

✦ ✛ ✣ ✤✥ ✛ ✦ ✛

✬ ✰ ❁ ✬✫ ✰ ❁

❄ ✜✧✥✦✦ ❄ ❂ ❄ ❂ ✛ ✦ ✛ ❨ ✣ ❂✧ ✧ ❂ ✣✥❃

✫ ❅ ✫ ✰✩ ✫❈ ✫ ✰✩ ✫❈ ✬ ✫ ✰ ❁ ❵ ✬✫ ❈

❄ ✜✧✥✦✦❨ ✥ ✧❂✛

✫ ❪

✜✥ ✦ ✛ ✜✣ ✧ ✤❂ ❂ ✧✣✥ ✥ ✛ ✦ ✛ ❨ ❂✛ ✧ ✤❂ ❂✧✣✥ ✥ ✦ ✣✤✥

✪ ✫ ✫ ✰ ❆ ✬ ✫ ✰ ❁ ❉ ✫ ✫✰❆

✧ ✤❂ ❂✧✣✥ ✥ ✣ ✤✥ ✥❂

✫ ✫✰❆ ✰✪

✥ ✦✧ ❜✥ ✣ ✤✥ ❜❂✦ ✧ ✣ ✤✥ ✛★ ❃ ✥✛ ✧✥ ✜★ ✛★ ❃ ✥✛✧✥ ✜★ ✣ ❂ ✣ ✜✛❂❃

✪ ✫ ✰ ✰ ✰ ✬ ✰ ✬ ✫ ✪✰ ✰

✜★ ⑦ ❂ ⑧ ✦ ✛ ❨

✫ ✰✩ ✫❈ ✬✫ ✰ ❁

✧❂ ✥ ❄ ✜✧✥✦✦❨ ✣ ❂ ✣ ✜✛❂❃ ✛ ✦ ✛ ✜✛ ✛ ✦ ✛ ✜✛ ✣ ✤✥

✫ ✫ ✫ ✪ ✰ ✰ ✬✫ ✰ ❁ ✬✫ ✰ ❁

✣ ✤✥ ❄ ❂✧✣ ✧ ✥ ✜★ ★ ✛✧ ✣ ✜✛ ✛ ✜★ ✛ ✦ ✛

✫ ✰ ✬ ✰ ✰ ❁ ✬ ✫ ✰ ❁

✛ ✦ ✛ ❄ ❂✧ ✣ ✧✥ ❨ ❄ ❂✧ ✣ ✧ ✥❨

✬✫ ✰ ❁ ✫ ✰ ✫ ✰

❳✤✥ ✦✣ ✥✛✣ ✚✛✜ ✢✦ ❳✤✥ ✦✣ ✥✛✣

✬ ✪ ✬ ✪

✣ ✤✥ ✥✛✥ ❂❃ ✜ ✣ ❃ ✛✥ ✜★ ✥ ✜✛✦✣ ❂✣✥ ✦ ❂ ❬✥

❁ ✫ ✬ ✰ ✪ ✩ ✫ ✫❈

❳✤✥ ✦✣ ✥✛✣ ✜✥ ✦ ✛ ✜✣ ❳✤✥ ✦✣ ✥✛✣ ✚✛✜ ✢✦

✬ ✪ ✪ ✬ ✪

✣ ✤✥ ✧ ❃❂✦✦ ★ ✧❂✣ ✜✛ ✜★ ✜✜ ✚✛ ✜✢❃✥ ✥ ✜★

✰ ✰ ✰ ❁ ✪ ✪❁

✚✛✜ ✢ ❂ ✛ ✜✥✦ ✛ ✜✣ ✣ ✤✥ ✧❃❂✦ ✦ ★ ✧❂✣ ✜✛ ✜★

✪ ✪ ✰ ✰ ✰

✛ ✦ ✛ ❂ ✛ ✜✦✥✦ ✣ ✤✥ ✧ ❃❂✦✦ ★ ✧❂✣ ✜✛ ✜★

❉●❏▼❖▼❘ ●⑨ ✬✫ ✰ ❁ ✪✰ ❁ ✰ ✰ ✰

✦✥ ✣✤✥ ✧ ❃❂✦✦ ★ ✧ ❂✣ ✜✛ ✛ ✦ ✛ ❂ ✛ ✜✦✥✦

✬ ✰ ✰ ✰ ✬✫ ✰ ❁ ✪✰ ❁

❂✛ ✦ ❂❜ ❃✥ ✣ ✜ ❂❄❄ ❃ ✛ ✦ ✛ ❂ ✛ ✜ ✦✥✦

✪ ✰ ❈ ✬ ✫ ✰ ❁ ✪✰ ❁

✜★ ✛ ✦ ✛ ❂ ✛✜ ✦✥✦❨ ❂✛ ✧ ❂✛ ❂❄ ❄ ❃ ✣✤✥ ❨

✬ ✫ ✰ ❁ ✪✰ ❁ ✪ ❈ ✩

✣ ✤✥ ❂✣ ✣ ✤✥ ❜❂✦ ✧ ❂✛ ✦ ❂❜ ❃✥ ✣ ✜ ❂❄❄ ❃

✩ ✰ ✪ ✰ ❈

✣ ✤✥ ✧ ✜ ✥✧ ✣❃ ❨ ❃✥ ❬✥❃❨

✩ ✫✫ ❈

❳✤✥ ✦✣ ✥✛✣ ✧ ❂✛ ✛ ✜✣ ❻✣ ✥✛✣ ✦ ❂ ❜❃✥ ✣ ✜

✬ ✪ ✬ ✪ ✰

❳✤✥ ✦✣ ✥✛✣ ✚✛✜ ✢✦ ❳✤✥ ✦✣ ✥✛✣ ★ ✛ ✦ ✣ ✤✥

✬ ✪ ✬ ✪ ✰ ✪

✥✣✥ ✛✥ ✣ ✤✥ ❂✧ ✧ ❂ ✣✥❃ ✥ ✣✥ ✛✥

✪ ✫✩✰ ✬✫ ❈ ✪ ✫✩✰

✣ ✤✥ ❜❂✦ ✧ ✦ ✜★ ✥ ✦ ✦✥✛✧✥ ✜★ ✛ ✦ ✛

✰ ✬ ✫ ✰ ❁

✥ ✦ ✦✥✛✧✥ ✜★ ✛ ✦ ✛ ✣ ✤✥ ✥✦ ✦✥✛✧✥ ✜★

✬ ✫ ✰ ❁

✣ ✤✥ ✜ ✥✣ ✧❂ ❃ ✧❂ ✥ ✛ ✣ ✤✥ ✣ ✤✥✜ ✥✣ ✧❂ ❃

✫ ✰ ✫ ✰ ✫ ✰

✧ ❂ ✥ ❜❂ ✦✥ ✜✛ ✛ ✦ ✛ ✧❂ ✥ ❜❂ ✦✥

✫ ✪ ✬ ✫ ✰ ❁ ✫ ✪

❂ ✦✦ ❄✣ ✜✛✦ ✜★ ❨ ❂ ✦✦ ❄✣ ✜✛✦ ✜★ ❨

✬✩ ✰ ❶ ✬✩ ✰ ❶

✣ ✤✥ ✜ ✥✣ ✧❂❃ ✜✛ ✣ ✤✥✜ ✥✣ ✧ ❂❃

✫ ✰ ✫ ✰

⑧ ✤✣ ✛ ❂ ❃✥ ⑧ ✤✣ ✛ ❂ ❃✥

✰❁ ✰ ❁ ❅ ✰❁ ✰ ❁ ❅

⑩

❉●❏▼❖▼❘ ●

❂ ✦✦ ❄✣ ✜✛✦ ✜★ ❨ ❂ ✦✦ ❄✣ ✜✛✦ ✜★ ❨

✬✩ ✰ ❶ ✬✩ ✰ ❶

❷ ❨ ✥✛ ✥ ✦ ✜✛ ❷ ❨ ✥✛ ✥ ✦✜✛

❪ ✪ ✫ ❅ ❪ ✪ ✫ ❅

⑧ ✤✣ ✛ ❂ ❃✥ ⑧ ✤✣ ✛ ❂ ❃✥

✰❁ ✰ ❁ ❅ ✰❁ ✰ ❁ ❅

❨ ✥ ❨ ✜ ❂ ✛ ❨ ✥ ❨ ✜ ❂✛

⑥ ❸✫ ✩❅ ❉ ❹ ❈ ✪ ⑥ ❸✫ ✩❅ ❉ ❹ ❈ ✪

❷ ❨ ✥✛ ✥ ✦✜✛ ❷ ❨ ✥✛ ✥ ✦ ✜✛

❪ ✪ ✫ ❅ ❪ ✪ ✫ ❅

❨ ⑧✥ ❂✛ ❂✛ ✜✣✤✥ ❨ ⑧✥ ❂✛ ❂✛ ✜✣✤✥

❺ ✬✩ ✪ ✫ ❺ ✬✩ ✪ ✫

❨ ✥ ❨ ✜ ❂ ✛ ❨ ✥ ❨ ✜ ❂ ✛

⑥ ❸✫ ✩❅ ❉ ❹ ❈ ✪ ⑥ ❸✫ ✩❅ ❉ ❹ ❈ ✪

✣ ✤✥ ✜ ✥ ✦ ✜★ ✧❃❂✦ ✦ ✧ ❂ ❃ ✣ ✤✥ ✜ ✥ ✦ ✜★ ✧❃❂✦✦ ✧ ❂ ❃

✫ ✰ ✰ ✫ ✰ ✰

❨ ⑧✥ ❂✛ ❂✛ ✜✣✤✥ ❨ ⑧✥ ❂✛ ❂✛ ✜✣✤✥

❺ ✬✩ ✪ ✫ ❺ ✬✩ ✪ ✫

✛ ✦ ✛ ❨ ✛ ✦ ✛ ❨

✬ ✫ ✰ ❁ ✬✫ ✰ ❁

✣ ✤✥ ✜ ✥ ✦ ✜★ ✧❃❂✦✦ ✧ ❂ ❃ ✣ ✤✥ ✜ ✥ ✦ ✜★ ✧ ❃❂✦✦ ✧ ❂ ❃

✫ ✰ ✰ ✫✰ ✰ ✶✙

❾❿➀➁ ➂❾➃ ❾❿➀➁ ➂❾➃➄ ➅➆ ➂➁ ➇➈➉➆ ➊➋

❾ ➇ ➂ ➇➉➉ ➇ ❾➇➉ ➆

➌ ➍ ➎ ➏ ➍ ➍➐

➂❾ ➂ ➂ ❿➇➉ ➊ ➆➋➀➂➆➁ ➂ ❾

➌ ➑ ➌ ➒

➋ ❾➓➀➋ ❾➊➇➊➂➋❾ ➔➂➊ ➂➁

➏ ➒ ➒

➋ ➔❾ ➈ ➆➉ ➂➆➓➁➄

➆ ➁ ➊❿ ➆❾➊ ➆ ➁ ➊❿ ➆❾➊

➝➒ ➌ ➝➒ ➌

➆ ➁ ➊❿ ➆❾➊ ➇➟➊➉

➝➒ ➌ ➍

➆ ➁ ➊❿ ➆❾➊ ➋ ➆➁ ❾➋ ➊ ➀ ➆ ➋➃❾ ➂ ➆➁ ➊ ➆ ➇ ❿➀ ➇➊➆➉ ➀ ➆ ➋➃ ❾➂ ➆➁

➝➒ ➌ ➌ ➏ ➐ ➒ ➏ ➏ ➍ ➏ ➐

➂➓➓➆➀➆❾➊➂➇➊➆➁ ➊ ➆

➌ ➒

➂ ➓➓➆➀➆❾➊➂➇➊➆ ➊ ➆ ➆➁➁➆ ❾ ➆ ➋ ➓ ➊ ➆ ➇❾ ➇➀➇ ➊➆➀➂ ➆➁ ➊ ➆

➌ ➒ ➏ ➒ ➌ ➏ ➒ ➏ ➐ ➒

➟ ➇➀➊➂ ➂➟ ➇➊➂➋❾ ➋ ➓ ➇

➏

❾❿➀➁ ➆➞➁ ➟ ➇➀➊➂ ➂➟ ➇➊➂➋ ❾ ❾❿➀➁ ➆➞➁ ➟ ➇➀➊➂ ➂➟ ➇➊➂➋ ❾ ➂ ➟➋➀➊➇❾ ➆ ➋➓ ➊ ➆

➏ ➏ ➎ ➏ ➒

❾❿➀➁ ➆ ➂ ❾ ➇❾

➂❾ ➊ ➆ ➂ ❾➊➆➀ ➂➁ ➂➟➉➂❾➇➀ ➂❾ ➊ ➆ ➂❾ ➊➆➀ ➂➁ ➂➟➉➂ ❾➇➀ ❾❿➀➁ ➆➞➁ ➟ ➇➀➊➂ ➂➟➇ ➊➂➋❾

➒ ➌ ➏ ➍ ➒ ➌ ➏ ➍ ➏

➂❾ ➊➆➀ ➂➁ ➂➟➉ ➂❾➇➀ ➊➆➇

➌ ➏ ➍ ➎

➂❾ ➊ ➆ ➂ ❾➊➆➀ ➂➁ ➂➟➉➂ ❾➇➀ ➊➆ ➇ ➂❾ ➊ ➆ ➟ ➀➋ ➆➁➁ ➊➆ ➇ ➂❾ ➊ ➆ ➟ ➀➋ ➆➁➁

➒ ➌ ➏ ➍ →➣↔↕➙↕➛ ➣➜ ➎ ➒ ➏ ➎ ➒ ➏

➂❾ ➊ ➆ ➟ ➀➋ ➆➁➁ ➋➓

➒ ➏

➋ ➓ ➆ ➇➉➊ ➟➀➋ ➋ ➊➂➋❾ ➋ ➓ ➟➀➋ ➋ ➊➂❾➃ ➆➇➉➊ ➊➆ ➇ ➂ ❾ ➊ ➆ ➟➀➋ ➆➁➁

➒ ➒ ➎ ➠ ➎ ➒ ➒➠ ➎ ➒ ➏

➆ ➇➉➊ ➟➀➋ ➋ ➊➂➋ ❾

➒ ➒ ➎ ➠

➟➀ ➆ ➆❾➊➂➋❾ ➟➀ ➆ ➆ ❾➊➂➋❾ ➋ ➓ ➟➀➋ ➋ ➊➂❾➃ ➆➇➉➊

➑ ➠ ➑ ➠ ➎ ➒ ➒➠

➟➀ ➆ ➆ ❾➊➂➋❾ ➂➇➃❾➋➁➂➁

➑ ➠ ➌ ➠

➂ ➇➃❾➋➁➂➁ ➊➀➆ ➇➊ ➆❾➊ ➂ ➇➃❾➋➁➂➁ ➊➀➆ ➇➊ ➆❾➊ ➟➀ ➆ ➆ ❾➊➂➋❾

➌ ➠ ➎ ➌ ➠ ➎ ➑ ➠

➊➀➆➇➊ ➆❾ ➊ ➇❾

➎ ➌

➇❾ ➀➆ ➇➈➂➉➂ ➊➇➊➂➋❾ ➇❾ ➀ ➆ ➇➈➂➉➂➊➇➊➂➋❾ ➇➊ ➂ ➇➃❾➋➁➂➁ ➊➀➆ ➇➊ ➆❾➊

➌ ➒ ➌ ➒ ➌ ➠ ➎

➀ ➆ ➇➈ ➂➉➂➊➇➊➂➋❾

➒

➊ ➆ ➈ ➇➁➂ ➉➆ ➆➉➄ ➇❾ ➀ ➆ ➇➈➂➉➂ ➊➇➊➂➋❾➄

➒ ➏ ➑ ➌ ➒

➆ ➁ ➊❿ ➆❾➊ ➆ ➁ ➊❿ ➆❾➊

➝➒ ➌ ➝➒ ➌

➆ ➁ ➊❿ ➆❾➊ ➋ ➆➁ ❾➋ ➊ ➆ ➁ ➊❿ ➆❾➊ ➓❿➉➉

➝➒ ➌ ➌ ➝➒ ➌ ➍

➂➁ ❿➁➁➆➁ ➊ ➆ ➈ ➇➁➂ ➂➁ ❿➁➁ ➆➁ ➊ ➆

➌ ➏ ➒ ➏ ➌ ➏ ➒

➢ ❾➋➔ ➊ ➆ ➁ ➋➟➆ ➋ ➓ ➆➥➟➉➇ ➂❾➁ ➊ ➆ ➈ ➇➁➂

➒ ➏ ➒ ➏

➇ ➋ ➀➂➊ ➋ ➓ ➈➇➁➂ ➇ ➊➂ ➂➊➂➆➁ ➋ ➓ ➊ ➆ ❾❿➀➁➆

➎ ➤ ➍ ➏ ➏ ➑ ➒

❾❿➀➁ ➆➞➁ ➇ ➊➂ ➂ ➊➂➆➁ ➂❾ ➇ ➊➂ ➂➊➂➆➁ ➋ ➓ ➊ ➆ ❾❿➀➁ ➆

➏ ➑ ➏ ➑ ➒

❾❿➀➁ ➆ ➇ ➊➂ ➂➊➂➆➁ ➂❾ ➊ ➆ ➡ ➂❾ ➊ ➆ ➇➁➆ ➋ ➓

➏ ➑ ➒ →➣↔↕➙↕➛ ➣ ➒ ➏

➊ ➆ ➇➁➆ ➋ ➓ ➇ ➟ ➇ ➊➂➆❾➊ ➂❾ ➊ ➆ ➇➁➆ ➋ ➓ ➟ ➇➊➂➆❾➊➁

➒ ➏ ➒ ➏

➇➁➆ ➋ ➓ ➟ ➇ ➊➂➆❾➊➁ ➔➂➊ ➟ ➇➊ ➂➆❾➊➁ ➔➂➊

➏ ➒ ➒

➔➂➊ ➊ ➆➀ ➋ ➀➆➃❿➉➇➊➋➀ ➔➂➊ ➊ ➆➀ ➋ ➀➆➃❿➉➇ ➊➋➀

➒ ➒ ➎ ➍ ➒ ➒ ➎ ➍

➊ ➆➀ ➋➀ ➆➃ ❿➉➇ ➊➋➀ ➊ ➆➀ ➋ ➀ ➆➃❿➉➇➊➋➀

➒ ➎ ➍ ➒ ➎ ➍

➂➁➋➀ ➆➀➁ ➂➁➋ ➀ ➆➀➁

➌ ➌ ➌ ➌

➂➁➋➀ ➆➀➁ ➂➁➋➀ ➆➀➁

➌ ➌ ➌ ➌

➆ ➁ ➊❿ ➆❾➊ ➆ ➁ ➊❿ ➆❾➊

➝➒ ➌ ➝➒ ➌

➆ ➁ ➊❿ ➆❾➊ ➋ ➆➁ ❾➋ ➊ ➆ ➁ ➊❿ ➆❾➊ ➓❿➉➉

➝➒ ➌ ➌ ➝➒ ➌ ➍

➂➁ ❿➁➁➆➁ ➊ ➆ ➈ ➇➁➂ ➂➁ ❿➁➁➆➁ ➋➁ ➊ ➋ ➓ ➊ ➆

➌ ➏ ➒ ➏ ➌ ➏ ➎ ➒

➢ ❾➋➔ ➊ ➆ ➁ ➋➟➆ ➋ ➓ ➆➥➟➉➇ ➂❾➁ ➊ ➆ ➈ ➇➁➂

➒ ➏ ➒ ➏

➇ ➊➂ ➂➊➂➆➁ ➋ ➓ ➊ ➆ ❾❿➀➁➆ ➈ ➇➁➂ ➇ ➊➂ ➂➊➂➆➁ ➋ ➓ ➊ ➆

➏ ➑ ➒ ➏ ➏ ➑ ➒

❾ ❿➀➁➆➞➁ ➇ ➊➂➋❾➁ ➂ ❾ ➊ ➆ ➇ ➊➂ ➂➊➂➆➁ ➋ ➓ ➊ ➆ ❾❿➀➁ ➆

➏ ➒ ➏ ➑ ➒

➂❾ ➊ ➆ ➇➁➆ ➋ ➓ ❾❿➀➁ ➆ ➂ ❾ ➊ ➆ ➇➁➆ ➋ ➓

→➣↔↕➙↕➛ ↔➣ ➒ ➏ ➒ ➏

➇➁➆ ➋ ➓ ➇ ➟ ➇➊➂➆❾➊ ➔➂➊ ➂❾ ➊ ➆ ➇➁➆ ➋ ➓ ➟ ➇➊➂➆❾➊➁

➏ ➒ ➒ ➏

➟ ➇➊➂ ➆❾➊➁ ➔➂➊ ➁ ➢➂❾ ➟ ➇➊➂ ➆❾➊➁ ➔➂➊ ➁ ➢➂❾

➒ ➒

➁ ➢➂❾ ➉ ➆➁➂➋❾➁ ➇ ❾ ➔➂➊ ➁ ➢➂ ❾ ➉ ➆➁➂➋❾➁ ➇❾

➌ ➒ ➌

➉ ➆➁ ➂➋❾➁ ➇❾ ➟➀ ➆➁➁❿➀➆ ➉ ➆➁➂➋❾➁ ➇❾ ➟➀ ➆➁➁❿➀ ➆

➌ ➌

➟ ➀ ➆➁➁ ❿➀➆ ❿➉ ➆➀➁ ➟➀ ➆➁➁❿➀➆ ❿➉ ➆➀➁

➏ ➏

❿➉ ➆➀➁ ❿➉ ➆➀➁

➏ ➏

➆ ➁ ➊❿ ➆❾➊ ➂➁ ➇➈➉➆ ➊➋

➝➒ ➌

➆ ➁ ➊❿ ➆❾➊ ➋ ➆➁ ❾➋ ➊ ➆ ➁ ➊❿ ➆❾➊ ➢❾➋ ➔➁ ➆ ➁ ➊❿ ➆❾➊ ➇➟➊➉

➝➒ ➌ ➌ ➝➒ ➌ ➝➒ ➌ ➍

➇ ❿➀➇➊➆➉ ➂ ❾ ➂ ➇ ➊➆

➏➏ ➍ ➌ ➏

➂➓➓➆➀➆❾➊➂➇➊➆ ❾❿➀➁➆➞➁ ➊ ➆ ➈ ➇➁➂ ➁ ➋ ➓ ➊ ➆ ➂ ➆ ❾➊➂➓➂➆➁ ➇❾

➌ ➒ ➏ ➒ ➌ ➌

➊ ➆ ❾ ❿➀➁➆➞➁ ➇ ➊➂ ➂➊➂➆➁

➒ ➏ ➑

➊➇➁ ➢➁ ➂❾ ➇➀➂❾➃ ➓➋➀ ➇ ❾❿➀➁ ➆➞➁ ➇ ➊➂ ➂ ➊➂➆➁ ➂❾ ➂➓➓➆➀➆❾➊➂➇➊➆➁ ❾❿➀➁➆➞➁

➏ ➏ ➑ ➌

➂❾ ➊ ➆ ➇➀➆ ➋ ➓ ➇

➒ ➏

➆➇➉ ➊ ➟ ➇➊➂➆❾➊ ➇ ➊ ➆ ➇➀➆ ➋➓ ➇ ➆➇➉➊ ➊➇➁ ➢➁ ➂❾ ➇➀➂ ❾➃ ➓➋ ➀ ➇

➒ ➒➍ ➠ →➣↔↕➙↕➛ ↔↔ ➒ ➏ ➒ ➒➍ ➏

➆➇➉ ➊ ➟ ➇➊➂➆❾➊ ➇

➒ ➒➍ ➠

➟ ➇➊➂ ➆❾➊ ➇➊ ➀ ➂➁➢ ➇ ➁ ➂ ➢ ➟ ➇➊➂ ➆❾➊ ➇➊ ➀ ➂➁➢ ➋ ➓ ➆➇➉ ➊ ➟ ➇➊➂➆❾➊ ➇➊ ➀ ➂➁➢

➠ ➏ ➠ ➒ ➒➍ ➠

➟ ➇➊➂ ➆❾➊ ➇➊ ➀ ➂➁➢ ➇ ➁ ➂ ➢

➠ ➏

➟ ➆➀➁➋ ❾ ➇❾ ➇ ➈ ➇ ➂➁ ➆➇➁➆ ➁➂ ➢ ❾➆➁➁ ➋ ➓ ➂➉➉❾➆➁➁ ➂➁➆➇➁➆

➌ ➌ ➌ ➠ ➏ ➠ ➌

➟ ➆➀➁➋❾ ➇❾ ➇ ➈ ➇

➌ ➌

➟➀➋ ➃ ❾➋➁➂➁➄ ➇❾ ➟➋➋➀ ➟ ➀➋➃❾➋➁ ➂➁➄ ➇❾ ➟➋➋➀ ➟➀➋➃❾➋➁➂➁➄

➌ ➌

➟➀➋ ➃ ❾➋➁ ➂➁➄

➊❿ ➆❾ ➊ ➇➀➇ ➊➆➀➂ ➆➁

➧ ➌ ➏ ➒ ➏ ➐

➊❿ ➆❾ ➊ ➇➀➇ ➊➆➀ ➂ ➆➁

➧ ➌ ➏ ➒ ➏ ➐

➊❿ ➆❾ ➊ ➇❾ ❾➋➊ ➋ ❾➉ ➁ ➆➉➆ ➊➆ ➔➋➀➢ ➂❾➃ ➊❿ ➆❾ ➊ ➇➀➇ ➊➆➀➂ ➆➁

➧ ➌ ➏ ➍ ➏ ➌ ➧ ➌ ➏ ➒ ➏ ➐

➆➥ ➇❿➁ ➊➂ ➆➉ ➊ ➆

➒ ➑ ➍ ➒

➇➀➇ ➊➆➀➂ ➆ ➊ ➆ ➋ ❾ ➂➊➂➋❾➁ ➇❾ ➊ ➆ ➋➁ ➊ ➋ ➓ ➊ ➆ ➔➋➀➢ ➂❾➃

➏ ➒ ➏ ➐ ➒ ➏ ➌ ➌ ➒ ➎ ➒

➔➋➀➢ ➂❾➃ ➋❾ ➂➊➂➋❾➁

➏ ➌

❾❿➀➁ ➆➞➁ ➔➋➀➢ ➂❾➃ ➁ ➋➟ ➆ ➋ ➓ ❾❿➀➁➆➞➁ ➋ ❾ ➂➊➂➋❾➁ ➇❾ ➊ ➆

➏ ➏ ➌ ➌ ➒

➇ ❾ ➊ ➆ ➁ ➋ ➟➆ ➋ ➓

➌ ➒ ➏

➋ ❾ ➂➊➂➋❾➁ ➇ ❾ ➁ ➋ ➟ ➆ ➟➀➋ ➓➆➁➁ ➂➋❾ ➇➉ ➊➇➁➢➁ ➂ ➊ ➁ ➋➟ ➆ ➋ ➓ ❾❿➀➁ ➆➞➁

➏ ➌ ➌ ➏ ➠ ➏

➦ ❾ ❿➀➁➆➞➁ ➟➀➋ ➓➆➁➁ ➂➋❾➇➉

→➣↔↕➙↕➛ ↔

➇❾ ❾➋ ➊ ➇ ➆ ❿ ➇➊➆➉ ➋ ➓ ➔➋➀➢ ➟➀➋ ➓➆➁➁ ➂➋❾➇➉ ➊➇➁➢➁

➏ ➌ ➨ ➍ ➠ ➠

➊➇➁ ➢➁ ➂❾ ➉ ❿ ➂❾➃

➠ ➏ ➌

➇ ➋ ❿❾ ➊ ➓➋➀ ➂❾ ➉❿ ➂❾➃ ➟ ➀➋➓➆➁➁ ➂➋❾➇➉ ➂❾ ➉❿ ➂❾➃ ➟ ➀➋➓➆➁➁ ➂➋❾ ➇➉

➏➏ ➏ ➌ ➏ ➌

➟➀➋ ➓➆➁➁ ➂➋❾ ➇➉ ➆ ➊ ➂ ➁

➒ ➏

➟➀➋ ➓➆➁➁ ➂➋❾➇➉ ➆➊ ➂ ➁ ➆➊ ➂ ➁ ➇❾ ❾❿➀➁➆ ➆➊ ➂ ➁ ➇❾ ❾❿➀➁➆

➒ ➏ ➒ ➏ ➌ ➒ ➏ ➌

➇ ❾ ❾❿➀➁ ➆➁➞

➌

➇❾ ➋➀ ❾ ❿➀➁➂❾➃ ➋➀➃ ➇❾➂ ➇➊➂➋❾➁ ➋➀➃ ➇❾➂ ➇➊➂➋❾➁

➌ ➩ ➐ ➐

➋ ➀➃ ➇❾ ➂ ➇ ➊➂➋❾➁

➐

➋➀➃ ➇❾➂ ➇➊➂➋❾➁➄

➐

➊❿ ➆❾ ➊ ➇❾ ❾➋➊ ➊❿ ➆❾ ➊ ➂❾ ➂ ➇➊➆➁ ➊❿ ➆❾➊ ➂➁ ❿➁➁➆➁

➧ ➌ ➏ ➧ ➌ ➌ ➏ ➧ ➌ ➌ ➏

➊❿ ➆❾ ➊ ➆➁ ➀➂➈➆➁ ➊ ➆

➧ ➌ ➌ ➏ ➒

➆➁ ➀ ➂➈ ➆ ➊ ➆ ➋ ❾➉ ➁ ➋ ➆ ➋ ➓ ➊ ➆ ➋ ➁ ➊ ➋ ➓ ➊ ➆ ➆➉➆ ➆ ❾➊➁

➌ ➏ ➒ ➍ ➎ ➒ ➎ ➒ ➎ ➭

➆➁➁➆❾ ➆ ➟ ❿➀➟➋➁ ➆

➏ ➠ ➠

➆➁➁ ➆❾ ➆ ➟❿➀➟➋➁ ➆ ➆➉ ➆ ➆ ❾➊➁ ➆➁➁➆❾ ➆ ➊ ➆ ➆➁➁ ➆❾ ➆

➏ ➠ ➠ ➎ ➭ ➏ ➠ ➒ ➏ ➠

➂ ❾ ➂ ➇➊➂➋❾➁

➌ ➏ ➠

➂ ❾ ➂ ➇➊➂➋ ❾➁ ➟ ❿➀➟➋➁ ➆ ➂❾ ➂ ➇➊➂➋ ❾➁ ➟ ❿➀➟➋➁➆ ➂❾ ➂ ➇➊➂➋ ❾➁

➌ ➏ ➠ ➠ ➌ ➏ ➠ ➠ ➌ ➏ ➠

➋ ❾ ➊➀➇➂❾ ➂ ➇ ➊➂➋❾➁

➏ ➌ ➏ ➠

➋ ❾➊➀➇➂❾ ➂ ➇➊➂➋❾➁ ➋ ❾➊➀➇➂❾ ➂ ➇ ➊➂➋❾➁ ➋ ❾➊➀➇➂❾ ➂ ➇➊➂➋❾➁

➏ ➌ ➏ ➠ ➏ ➌ ➏ ➠ ➏ ➌ ➏ ➠

➇❾➃ ➆➀➁ ❿➀➀ ➆❾➊ ➀ ❿➉➆➁

➌ ➠ ➏

➫ ➇❾➃ ➆➀➁ ➇➟➟➉➂ ➇➈➉ ➆ ➇❾➃ ➆➀➁ ➇➟➟➉➂ ➇➈➉ ➆ ➇❾➃ ➆➀➁ ➇➟➟➉➂ ➇➈➉ ➆

→➣↔↕➙↕➛ ↔ ➌ ➠ ➏ ➌ ➠ ➏ ➌ ➠ ➏

➇❾ ➁ ➊➀❿ ➊❿➀ ➆ ➋ ➓

➌ ➏

➀ ❿➉ ➆➁ ➇ ❾ ➁ ➊➀❿ ➊❿➀➆ ➋ ➓ ➀ ❿➉➆➁ ➇❾ ➁ ➊➀❿ ➊❿➀➆➁ ➀ ❿➉➆➁ ➇❾ ➁ ➊➀❿ ➊❿➀➆➁

➌ ➏ ➌ ➏ ➌ ➏

➟ ➆➀➓➋➀ ➂❾➃ ➈ ➇➁➂

➎ ➏

➟ ➆➀ ➓➋➀ ➂❾➃ ➈ ➇➁➂ ➓➋➀ ➟ ➆➀ ➓➋➀ ➂ ❾➃ ➈ ➇➁➂ ➋ ➓ ➟ ➆➀➓➋➀ ➂❾➃ ➈ ➇➁➂

➎ ➏ ➎ ➏ ➎ ➏

❾ ❿➀➁➂❾➃ ➇ ➊➂ ➂➊➂➆➁ ➇➁

➏ ➑

❾❿➀➁ ➂❾➃ ➇ ➊➂ ➂➊➂➆➁ ➇➁ ❾ ❿➀➁➂❾➃ ➇ ➊➂ ➂➊➂➆➁ ➇➁ ❾❿➀➁ ➂❾➃ ➇ ➊➂ ➂ ➊➂➆➁ ➇➁

➏ ➑ ➏ ➑ ➏ ➑

➟ ➇➀➊ ➋ ➓ ➊ ➆ ❾❿➀➁ ➂❾➃

➒

➟ ➇➀ ➊ ➋ ➓ ➊ ➆ ❾ ❿➀➁➂ ❾➃ ➟ ➇➀➊ ➋ ➓ ➊ ➆ ❾❿➀➁➂ ❾➃ ➟ ➇➀ ➊ ➋ ➓ ➊ ➆ ❾ ❿➀➁➂ ❾➃

➒ ➒ ➒

➟➀➋ ➆➁➁➄

➏

➟ ➀➋ ➆➁➁ ➟➀➋ ➆➁➁ ➟ ➀➋ ➆➁➁

➏ ➏ ➏

➊❿ ➆❾ ➊ ➇❾ ❾➋➊ ➊❿ ➆❾➊ ➈➀ ➂➆➓➉ ➊❿ ➆❾➊ ➂➁ ❿➁➁➆➁ ➂➊ ➟ ➀➋➓➆➁➁➂➋ ❾➇➉

➧ ➌ ➏ ➧ ➌ ➍ ➧ ➌ ➌ ➏ ➛ ➒

➆ ➥➟➉➇➂❾ ➊ ➆ ➂➁ ❿➁➁ ➆➁ ➊ ➆ ➊ ➆ ➂ ➟ ➋➀➊➇❾ ➆ ➋ ➓ ➢ ❾➋➔➉➆ ➃ ➆ ➊❿ ➆❾➊

➒ ➌ ➏ ➒ ➒ ➎ ➏ ➌ ➠ ➧ ➌

➯

→➣↔↕➙↕➛ ↔

➂ ➟➋ ➀➊➇❾ ➆ ➋➓ ➂ ➟➋ ➀➊➇❾ ➆ ➋ ➓ ➁ ➊➇❾ ➇➀ ➁ ➇❾ ➂➁ ❿➁➁➆➁ ➊ ➆

➎ ➏ ➎ ➏ ➌ ➌ ➌ ➌ ➏ ➒

➁ ➊➇❾ ➇➀ ➁ ➇❾ ➁ ➊➇❾ ➇➀ ➁ ➇❾ ➟➀➋ ➆ ❿➀ ➆➁ ❿➁➆ ➂❾ ➂ ➟ ➋➀➊➇❾ ➆ ➋ ➓

➌ ➌ ➌ ➌ ➌ ➌ ➏ ➌ ➌ ➎ ➏ ❼❽

➵ ➸➺➻➼➽➾ ➸➼➚ ➾➚➼ ➽ ➪➶ ➵ ➸➺➻➼➽ ➾➸➼➚ ➾➚➼➽ ➪➶ ➶ ➾➸➚➪➶ ➵ ➸ ➻ ➪ ➻➼ ➪ ➶ ➶ ➚ ➶➽ ➸➽➚ ➶➽

➹ ➘ ➴ ➘ ➴➘ ➘ ➘

➺➚ ➾ ➶➾➸➚ ➪➶ ➵ ➸ ➻ ➪➻➼ ➶➾➸➚ ➪➶ ➵ ➸ ➻ ➪➻➼ ➵ ➸➺ ➻➼➽➾➸➼➚ ➾➚➼ ➽ ➪ ➶

➘➷ ➬ ➴ ➮ ➷➷ ➱➘✃ ➹ ➘ ➴ ➹ ➘ ➴

➶➾ ➸➚➪➶ ➵ ➸ ➻ ➪➻➼

➹ ➘ ➴

➾ ➽➼➶ ➻ ➶ ➶➺ ➶ ➪ ➶ ➼ ➶➼ ➸ ➾➽➼ ➶ ➽➼➚ ➻➸➪➼➚ ➪ ➶ ➾ ➽➼➶ ➽➼➚ ➻ ➸➪➼➚ ➪➶

➴ ➴ ➘ ➴ ➷✃ ➘ ➹ ➘➷ ➱➘✃ ➴ ➴ ➴ ➴

➽➼➚➻➸➪➼ ➼ ➶➾ ➸➚➼➚ ➽➼➚➻ ➸➪➼➚ ➼ ➶➾➸➚➼ ➚ ➽➼ ➪ ➼ ➶➾➸➚➼ ➚ ➽➼ ➪ ➼ ➶➾ ➸➚➼ ➚

➴ ➴ ➴➘ ➷ ➴ ➴➘ ➷ ➴

➵ ➸ ➪➻➪➵ ➪ ➺➶ ➪ ➶ ➼ ➵ ➸ ➪➻➪➵ ➪ ➺➶ ➪ ➶ ➼ ➵ ➸ ➪➻➪➵ ➪ ➺➶ ➪ ➶ ➼ ➵ ➸ ➪➻➪➵ ➪ ➺➶ ➪ ➶ ➼

➘ ➴ ➘➴ ➴ ➘ ➴ ➘➴ ➴ ➘ ➴ ➘➴ ➴ ➘ ➴ ➘➴ ➴

➵ ➸➺ ➻➼➚➚ ➺ ➽➪ ➶ ➺➚➪➚ ➵ ➸➺➻➼➚➚ ➺ ➽➪ ➶ ➺➚➪➚ ➵ ➸ ➺➻➼➚➚ ➺ ➽➪ ➶ ➺➚➪➚ ➵ ➸➺ ➻➼➚➚ ➺ ➽➪ ➶ ➺➚➪➚

➮ ➘ ➹ ➮ ➘ ➹ ➮ ➘ ➹ ➮ ➘ ➹

❐❒❮❰❰ ❮

➸➼ ➼ ➶ ➶➽ ➸➼ ➼ ➶ ➶➽ ➸➼ ➼ ➶ ➶➽ ➸➼ ➼ ➶ ➶➽

➴ ➘➴ ➬ ➴ ➘ ➴ ➘➴ ➬ ➴ ➘ ➴ ➘➴ ➬ ➴ ➘ ➴ ➘➴ ➬ ➴ ➘

➸➼ ➪ ➪ ➪➺➶ ➺➸ ➪ ➶ ➸➼ ➪ ➪ ➪ ➺➶ ➚ ➼ ➸➼ ➪ ➪ ➪ ➺➶ ➚ ➼ ➸➼ ➪ ➪ ➪➺➶ ➚ ➼

➘ ➷ ➴➘➴ ➘ ➷ ➴➘➴ ➘ ➱ ➷➷ ➘ ➷ ➴➘➴ ➘ ➱ ➷➷ ➘ ➷ ➴➘➴ ➘ ➱ ➷➷

➼ ➻ ➸➼ ➺➼➸ ➚ ➪➶ ➼ ➻ ➸➼ ➺➼➸ ➚ ➪➶ ➼ ➻ ➸➼ ➺➼➸ ➚ ➪➶ ➼ ➻ ➸➼ ➺➼➸

➘➷ ➴ ➘ ➘ ➘ ➘➷ ➴ ➘ ➘ ➘➷ ➴ ➘ ➘ ➘➷ ➴ ➘

➾ ➶ ➼ ➪➶ ➾ ➶ ➼ ➪➶ ➾ ➶ ➼ ➪➶ ➾ ➶ ➼➪➶

➘ ➬➘ ➹ ➘ ➬➘ ➹ ➘ ➬➘ ➹ ➬➘ ➹

➺ ➼ ➼ ➻ ➸➪ ➼ ➸➪ ➚➼ ➺➾ ➼ ➺ ➸➼ ➼ ➶➼ ➸ ➚ ➾ ➸ ➺ ➼ ➚ ➾➽➼➶ ➚ ➵➼ ➸ ➺➸ ➶➻➼ ➺ ➼ ➚ ➚ ➼ ➚ ➺➾ ➽

➴ ➴ ➴ ➘ ➴ ➴ ➷ ➱ ➘ ➘ ➹ ➘➷ ➬ ➬➘ ✃ ➮ ➴ ➴ ➴ ➮ ➬➘ ➮ ➴ ➴➘ ➷

➵ ➼ ➸ ➺➸ ➚ ➵ ➸ ➺ ➼ ➚ ➚➼➚➚ ➼ ➶ ➺ ➼ ➼➼➸➻ ➪➚➼➚ ➪➶ ➼ ➶➾➸➚ ➪➶ ➚ ➪ ➚ ➺ ➸ ➺➸ ➺➸ ➪➶ ➼ ➚ ➪ ➾ ➪➺ ➶ ➸➺➺ ➺ ➺

➮ ➬ ➘ ➘ ➴ ➮ ➴ ➘ ➬ ➴ ➮ ➴ ➴ ➹ ➷ ➷ ➷➘ ➘➴ ✃ ➴ ➬ ➷ ➘➴ ➬ ➮ ➷ ➱

➪ ➽➼ ➪ ➺➾ ➵ ➚ ➚ ➼ ➼ ➪➶ ➻➻➺➸➽ ➶➻➼ ➪ ➼ ❐ ➼ ➻ ➪➼ ➸➾➻ ➾ ➸➼➽ ❐ ➪➶➪➻ ➪➶ ➪➺➶ ➼ ➚ ➪➚

➮ ➷ ➴✃ ➮ ✃ ➘ ➴ ➘ ➬ ➘ ➘ ➱ ➴ ➴ ➴ ➴ ➴ ➷ ➘ ➷ ➘ ➬ ➘ ➴ ➴ ➘

➺ ➸ ➵ ➚ ➚ ➪➶ ➪➚ ➚ ➶➽ ➸➽➪ ➼ ➽ ➚➚➼➚➚ ➼➶ ➚ ➻➼ ➼ ➚ ➺ ➻ ➼ ➽ ➻ ➼➻ ➪➚ ➪➶ ➪ ➻ ➺➾ ➽➼ ➪ ➶➼ ➼ ➚ ➼ ➵➚ ➸➼

➮ ➘ ➹ ➘ ➴➘ ➘ ➘ ➬ ➴ ➬ ➘➷ ➷ ➷ ➴ ➱ ✃ ➮ ➴ ➴ ➴ ➘ ➴ ➘

➶➼ ➻➼➚➚ ➸ ➺ ➵ ➚➚ ➼ ➚ ➼ ➻➺ ➸➸➼➻ ➶➽ ➚ ➪➶ ➼ ➺ ➸➼ ➻➺ ➶ ➻ ➪➶ ➼ ➵ ➪➼➶

➘ ✃ ➴ ➘ ➴ ➴ ➘ ➹ ➴ ➘ ➱➘ ➹ ➮ ➴➘ ➴ ➹ ➴ ➘➴ ➴

➼ ➚ ➾ ➽➼➶ ➚

➴ ➴ ➘

➼ ➚ ➾➽➼➶ ➽➺➼➚ ➶ ➺ ➼ ➚ ➾ ➽➼➶ ➚ ➺ ➺➽ ➼ ➚ ➾➽➼➶ ➚ ➼➸

➴ ➴ ➴ ➴ ➴ ➘ ➹ ➴ ➴ ➘ ✃

➚ ➪➻ ➚ ➪ ➚ ➪➶ ➼ ➪➼ ➽

➘ ➷➷ ➴ ➮ ➷

➼ ➼ ➚ ➪ ➚ ➺ ➚ ➪ ➚ ➪ ➶ ➵ ➸➺➵➺➚ ➪➶ ➺ ➺➽ ➚ ➪ ➚ ➪➶

➘ ➴ ➷➷ ➴ ➷ ➷ ➹ ➘ ➹ ➷ ➷

➺ ➵ ➸➺➵➺➚➪➶

➮ ➹ ➘

➵ ➸➺➵➺➚➼ ➶➾ ➸➚➪➶ ➵ ➸➺➵ ➺➚➪➶ ➶➾➸➚➪➶ ➶➾➸➚ ➪➶ ➺ ➽➼ ➶➽

➘ ➹ ➹ ➘ ➹ ➹ ➬ ➷ ➘

❐❒❮❰❰ ❒❮ ➶➾➸➚ ➪➶ ➺ ➽➼ ➶➽

➹ ➬ ➷ ➘

➺➽➼ ➶➽ ➻ ➶ ➶➺ ➺➽➼ ➶➽ ➵ ➵➵ ➪➼➚ ➚➼ ➼ ➻ ➼ ➽

➬ ➷ ➘ ➘ ➴ ➬ ➷ ➘ ➘ ➴➷ ✃ ➘ ➷ ➷ ➴

➵ ➸ ➵➵ ➪➼➚ ➪ ➶

➘ ➴➷ ✃ ➘ ➷

➵➵ ➚➼ ➼➻ ➼ ➽ ➵ ➵ ➪➼➚ ➚ ➼ ➼ ➻ ➼ ➽ ➶ ➾➸➚➪➶ ➼ ➺➸➪➼➚ ➪ ➶

➘ ➷✃ ➷ ➴ ➘ ➷ ➷ ➴ ➹ ➴

➵ ➸ ➻ ➪➻➼ ➚➼ ➼ ➻ ➼ ➽

➘ ➴ ➷ ➴

➶ ➾➸➚➪➶ ➼➺➸➪➼➚ ➼ ➺➸➪➼➚ ➺ ➶➾➸➚➪➶ ➵ ➸ ➻ ➪ ➻➼

➹ ➴ ➴ ➮ ➹ ➘ ➴

➼ ➺➸➪➼➚ ➺ ➶➾➸➚ ➪➶

➴ ➮ ➹

➼ ➚ ➾➽➼➶ ➚ ➼ ➼ ➚ ➾➽➼➶ ➻ ➺ ➼ ➻ ➚

➴ ➴ ➘ ➴ ➴ ➴ ➷➷ ➴

➼ ➚ ➾➽➼➶ ➽➺➼➚ ➶ ➺

➴ ➴ ➴

➚ ➪➻ ➪➶ ➼ ➪➼ ➽ ➺ ➼ ➚ ➾ ➽➼➶ ➚ ➪ ➾ ➪ ➶ ➺➸ ➪➺➶ ➼ ➸ ➼

➘ ➴ ➮ ➷ ➮ ➴ ➴ ➷ ➷➮ ➷ ➷✃ ➮ ➬➘➴ ✃ ➱ ➷ ➷

➼ ➼ ➚ ➪ ➚ ➺

➘ ➴ ➷➷ ➴

➪ ➶ ➺➸ ➪➺➶ ➼ ➸➪➶ ➼ ➸➚ ➪➶ ➺➸ ➪➺➶ ➶➽ ➻ ➸➼ ➾

➮ ➬➘➴ ➹➘➴ ➹ ➹➘➴ ➮ ➬➘➴ ➘ ➘ ➮ ➷➷✃ ✃

➻ ➺ ➼ ➻ ➪ ➶ ➺ ➸ ➪ ➺➶

➷➷ ➴ ➮ ➬➘➴ ✃

➼ ➶➚ ➺ ➪➶ ➼ ➸➪➼ ➼ ➶➚ ➺ ➪➶ ➼ ➸➪➼

✃ ➬ ➘ ➮ ✃ ➴ ➱ ➬ ➘ ➮ ➴ ➱

➪➶ ➼ ➸➪➼

➴ ➱

➪➶ ➼ ➸➪➼ ➺➚➼ ➸ ➪ ➺➶ ➽ ➪➸➼➻ ➺➚➼ ➸ ➪➺➶ ➽➪ ➸➼➻

➴ ➱ ➘➴ ➴ ➘ ➴ ➴

➺➚ ➼ ➸ ➪➺➶ ➽➪➸➼➻

➘ ➴ ➴

➶➽ ➪➶➽➪➸➼➻ ➶ ➽ ➪➶➽➪➸➼➻ ➺➚➼ ➸ ➪ ➺➶ ➽ ➪➸➼➻

➘ ➴ ➘ ➴ ➘➴ ➴

➶➽ ➪➶➽➪➸➼➻

➘ ➴

➼ ➚ ➾ ➸➼ ➼ ➶ ➚ ➼ ➚ ➾➸➼ ➼ ➶ ➚ ➶➽ ➪➶➽➪➸➼➻

➬ ➘ ➬ ➴ ➬ ➘ ➬ ➴ ➘ ➴

➼ ➚ ➾➸➼ ➼ ➶ ➚

➬ ➘ ➬ ➴

➚ ➻ ➼ ➚ ➶➽ ➚ ➻ ➼➚ ➼ ➪ ➻➪➼ ➶ ➼ ➚ ➾➸➼ ➼ ➶ ➚

➘➷ ➘ ➘➷ ➮➮ ➴➷✃ ➬ ➘ ➬ ➴

➚ ➻ ➼➚ ➽➺➼➚ ➶ ➺

➘➷ ➴

➶ ➼➚ ➶ ➼➚ ➼ ➚ ➻ ➼➚

➘ ➘ ➷✃ ➘ ➘ ➷✃ ➴ ➘➷

❐❒❮❰❰ ❒ ➶ ➼ ➼

➘ ➘➷ ✃ ➴

➽ ➺➻➾ ➼ ➶ ➪➺➶ ➽➺➻ ➾ ➼ ➶ ➪➺➶ ➽➺➻ ➾ ➼ ➶ ➪➺➶

➬ ➴➘➴ ➬ ➴➘➴ ➬ ➴➘➴

➽ ➺➻ ➾ ➼ ➶ ➪➺➶

➬ ➴➘➴

➪➶➻ ➾ ➽➪➶ ➶ ➚ ➪➚ ➺ ➪➶ ➻ ➾ ➽➪➶ ➼ ➶ ➚➪➚ ➪➶ ➻ ➾ ➽➪➶

➷ ➹ ➘ ➘ ➷✃ ➮ ➷ ➹ ➴ ➘ ➘➷ ✃ ➷ ➹

➪➶ ➻ ➾ ➽➪➶ ➶ ➚ ➪➚ ➺

➷ ➹ ➘ ➘ ➷✃ ➮

➽ ➪ ➶➺➚ ➪➻ ➼➚ ➚ ➶ ➚➪➚ ➺ ➽➪ ➶➺➚ ➪➻ ➶ ➚➪➚ ➺ ➽➪ ➶➺➚ ➪➻

➘ ➹ ➴ ➴ ➴ ➘ ➘➷ ✃ ➮ ➘ ➹ ➴ ➘ ➘➷ ✃ ➮ ➘ ➹ ➴

➽ ➪ ➶➺➚ ➪➻ ➼➚ ➚

➘ ➹ ➴ ➴ ➴

➼ ➚ ➚ ➵ ➚ ➪➻ ➵ ➚ ➪ ➻ ➼ ➪ ➶ ➪ ➺➶ ➼ ➚ ➚ ➵ ➚ ➪➻

➴ ➴ ✃ ➘ ➷ ✃ ➘➷ ➘ ➬ ➘➴ ➴ ➴ ✃ ➘ ➷

➵ ➚ ➪➻ ➼ ➪ ➶ ➪ ➺➶

✃ ➘➷ ➘ ➬ ➘➴

➺ ➪ ➽➼➶ ➪ ➼ ➼ ➪ ➶ ➪ ➺➶ ➺ ➼ ➪ ➶ ➪ ➺➶ ➺

➴ ➴ ➮✃ ➴ ➘ ➬ ➘➴ ➴ ➘ ➬ ➘➴ ➴

➺ ➪➽➼➶ ➪ ➼

➴ ➴ ➮✃ ➴

➵ ➪➼➶ ➚ ➼ ➚ ➾➚ ➪➽➼ ➶ ➪ ➼ ➵ ➪➼➶ ➚ ➪➽➼ ➶ ➪ ➼ ➵ ➪➼➶ ➚

➘➴ ➴ ➘➷ ➴ ➴➘➴ ➴ ➮✃ ➴ ➘ ➴ ➴ ➴ ➮✃ ➴ ➘➴ ➴

➵ ➪➼➶ ➚ ➼ ➶ ➽

➘➴ ➴ ➘➷➴ ➘

➶ ➽ ➼ ➺➸ ➾ ➪➺➶ ➺ ➼ ➶➽ ➼ ➻➺➶➽ ➪ ➪➺➶ ➶➽

➘ ➴ ➮ ➬ ➷➘ ➴ ➮ ➘ ➷➴ ➘ ➘➷ ➴ ➴ ➘

➺➸ ➾ ➪➺➶ ➺ ➼

➮ ➬ ➷➘ ➴ ➮ ➴

➶ ➾➸➚➪➶ ➽ ➪ ➶➺➚➪➚ ➺ ➸ ➾ ➪➺➶ ➺ ➼ ➼ ➺➸ ➾ ➪➺➶ ➺

➘ ➹ ➘ ➹ ➮ ➬ ➷ ➘➴ ➮ ➴ ➴ ➮ ➬ ➷ ➘➴ ➮ ➘

➶ ➾➸➚➪➶ ➽➪ ➶➺➚➪➚

➹ ➘ ➹

➶➾➸➚ ➪➶ ➽➪ ➶➺➚➪➚ ➶ ➾➸➚➪➶ ➽➪ ➶ ➺➚➪➚

➹ ➘ ➹ ➹ ➘ ➹

➼ ➚ ➾ ➽➼➶ ➪➚ ➼ ➺ ➼ ➚ ➾ ➽➼➶ ➪➚ ➼ ➺

➴ ➴ ➘ ➷ ➴ ➴ ➴ ➘ ➷ ➴

➼ ➚ ➾➽➼➶ ➻ ➶ ➶➺ ➚➚ ➪➚ ➼ ➽ ➚ ➾➽➼ ➶ ➻ ➶

➴ ➴ ➘ ➴ ➴ ➴ ➴ ➘

➵➼ ➸ ➺ ➸ ➽ ➪ ➶➺➚ ➪➻ ➵➼ ➸ ➺➸ ➽➪ ➶➺➚ ➪➻

➮ ➬ ➘ ➹ ➴ ➮ ➬ ➘ ➹ ➴

➵➼ ➸ ➺ ➸ ➽ ➪ ➶➺➚ ➪➻ ➵➼ ➸ ➺➸ ➽ ➪ ➶➺➚ ➪➻

➮ ➬ ➘ ➹ ➴ ➮ ➬ ➘ ➹ ➴

➼ ➚ ➚ ➺ ➸ ➼ ➼➚ ➚ ➺➸ ➼

➴ ➴ ➮ ➴ ➴ ➴ ➮ ➴

➼➚ ➚ ➺ ➸ ➼ ➼ ➚ ➚ ➺ ➸ ➼

➴ ➴ ➮ ➴ ➴ ➴ ➮ ➴

➽➼ ➼ ➸ ➪➶ ➪➺➶ ➺ ➽➼ ➼ ➸ ➪ ➶ ➪ ➺➶ ➺

➴ ➬ ➘➴ ➮ ➴ ➬ ➘➴ ➮

➽➼ ➼ ➸ ➪ ➶ ➪ ➺➶ ➺ ➽➼ ➼ ➸ ➪ ➶ ➪ ➺➶ ➺

➴ ➬ ➘➴ ➮ ➴ ➬ ➘➴ ➮

➼ ➺➶➼ ➺➽➪➼➚ ➶➽ ➼ ➺➶➼ ➺➽➪➼➚ ➶➽

➴ ➘ ➴ ➘

➼ ➺➶➼➚ ➶➽ ➾➻➺➚➼ ❐❒❮❰❰ ❒ ➼ ➺➶➼ ➺➽➪➼➚ ➶➽

➴ ➘ ➹➷ ➴ ➘

➾➻➺➚➼ ➪ ➶ ➼ ➺➺➽ ➾ ➻➺➚➼ ➪ ➶ ➺➺➽ ➶➽

➹➷ ➴ ➷ ➹➷ ➷ ➘

➪➶ ➼ ➺➺➽ ➶➽ ➾ ➸➪➶➼ ➾➻➺➚➼ ➪ ➶ ➼ ➺➺➽

➴ ➷ ➘ ➹➷ ➴ ➷

➶➽ ➾ ➸➪➶➼ ➚ ➼ ➚ ➾➸➪ ➶➼ ➚ ➼ ➚ ➪➶

➘ ➘ ➱ ➷ ➷ ➘ ➘ ➱ ➷ ➷ ➘

➶➽ ➺ ➺➽ ➶➽ ➾ ➸➪➶➼ ➶➽ ➺➺➽

➘ ➷ ➘ ➘ ➷

➻ ➺ ➼➚ ➼ ➸➺ ➪➶ ➼ ➺➺➽ ➻➺ ➼➚ ➼ ➸➺ ➚

➷ ➴ ➷ ➴ ➷ ➷ ➴ ➷ ➘

➻ ➺ ➼➚ ➼ ➸➺ ➚ ➼ ➻ ➺ ➼➚ ➼ ➸➺ ➚ ➼

➷ ➴ ➷ ➘ ➱ ➷➷ ➷ ➴ ➷ ➘ ➱ ➷ ➷

➺➺➽ ➚ ➼ ➚ ➼ ➚ ➺ ➼➸ ➼➚

➷ ➘ ➱ ➷➷ ➘ ➱ ➷➷ ➘ ➴ ➴ ➴

➚ ➺ ➼➸ ➼➚ ➚ ➸➪➵➚ ➚ ➺ ➼➸ ➼➚ ➚ ➸➪➵➚

➘ ➴ ➴ ➴ ➴ ➘ ➴ ➴ ➴ ➴

➚ ➸➪➵➚ ➺ ➼➸ ➼➚ ➚ ➸➪➵➚

➴ ➴ ➴ ➴ ➴

➼ ➚ ➾➽➼➶ ➽➺➼➚ ➶ ➺ ➼ ➚ ➾➽➼➶ ➚ ➼

➴ ➴ ➴ ➴ ➴ ➘ ➴

➼ ➚ ➾➽➼➶ ➚ ➼

➴ ➴ ➘ ➴

➼ ➼ ➪ ➪ ➺ ➪ ➪ ➺ ➽➼ ➼ ➸ ➪➶➼ ➾➽➼ ➶ ➼ ➸ ➼

➘ ➴ ➘ ➷ ➴✃ ➴ ➘ ➷ ➴✃ ➴ ➴ ➬ ➴ ➴ ✃ ➱ ➷➷

➚ ➪ ➚ ➺ ➽➼ ➼ ➸ ➪➶➼

➷➷ ➴ ➴ ➬

❐❒❮❰❰ ❒ ➽➼ ➼ ➸ ➪ ➶➼ ➺➺➽ ➻➼ ➪ ➾➚➪➶ ➼ ➶➚ ➻➼ ➪ ➪

➴ ➬ ➷ ➹➷✃ ➬ ➘ ➹ ➘ ➬ ➘ ➹➷✃ ➬ ➘ ➱ ➴

➾➻➺➚➼ ➾➚➪➶

➹➷ ➹ ➘

➾ ➻➺➚➼ ➾➚➪➶ ➾ ➻➺ ➼ ➼ ➸ ➼ ➾➻➺ ➼ ➼ ➸

➹➷ ➹ ➘ ➹➷ ➬ ➴ ➘➴ ➴ ➘ ➹➷ ➬ ➴

➾➻➺ ➼ ➼ ➸

➹➷ ➬ ➴

➾ ➻➺ ➼ ➼ ➸ ➚ ➪➻ ➼➼

➹➷ ➬ ➴ ➘ ➷ ➷

➼ ➚ ➾➽➼➶ ➻ ➶ ➶➺ ➼ ➚ ➾➽➼➶ ➚ ➼ ➚

➴ ➴ ➘ ➴ ➴ ➴ ➴

➼ ➚ ➾➽➼➶ ➵

➴ ➴ ➘ ➴➷✃

➼ ➚ ➾ ➽➼➶ ➚ ➼ ➚ ➼

➴ ➴ ➴ ➱ ➷➷

➽➼ ➼ ➸ ➪ ➶➼ ➼ ➺ ➚ ➺ ➚ ➶➽ ➵ ➶ ➺

➴ ➬ ➴ ➹ ➘➷ ➹ ➘➷ ➘ ➷➘ ➮

➚ ➼ ➚ ➺ ➚ ➶➽

➴ ➹ ➘➷ ➘

➼ ➺ ➚ ➶➽ ➵ ➶ ➺

➴ ➹ ➘ ➷ ➘ ➷➘ ➮

❐❒❮❰❰ ❒ ➶ ➽ ➵ ➶ ➺ ➻ ➸➼ ➺ ➸ ➻ ➸➼ ➺➸ ➚ ➪➻ ➺ ➸

➘ ➷ ➘ ➮ ➘ ➮ ➘ ➘ ➮ ➘

➪ ➵ ➼ ➼ ➶ ➚ ➼ ➵ ➶

➬ ➷ ➬ ➴ ➴ ➷➘

➻ ➸➪➶ ➺ ➸ ➚➪ ➻ ➺➸

➘ ➹ ➮ ➘

➚ ➪➻ ➺➸ ➽ ➪➚ ➼ ➽ ➽➪➚ ➼➽ ➵➼ ➸➚➺➶

➘ ➷ ➘ ➷ ➘ ➴ ➘

➺ ➻ ➸➪➶ ➺ ➸ ➚ ➪➻ ➺➸

➮ ➘ ➹ ➮ ➘

➽➪➚ ➼➽ ➵ ➼ ➸➚➺ ➶

➘ ➷

➵➼ ➸➚ ➺➶ ➚ ➪➻ ➼➼

➘ ➷ ➷

➽ ➪➚ ➼ ➽ ➵ ➼ ➸➚➺➶ ➼ ➸

➘ ➷ ✃ ➲➳

ûüýýþ

❚❤ü ✉ ❞ü♥ ❞♦ü ♥ ♦ ❚❤ü ✉ ❞ü♥ ý ♥ ❙✉ ❞ü♥ ü ûüýý ♥ ❞

♣ ❛ ✈ ② ❛

❚❤ü ✉ ❞ü♥ ý ♥ ❞

❛♣ ② ❛

❤ ü ❤ü ý ♦ ♥ ❞ ýü ü♥ ♥ ❞ü ü♥ ❞ü ♥ý ý ♥

❛✈ ❛❜ ✐ ✐ ② ❛ ✐♠♣ ♠ ✐ ♣ ② ♣ ❛

♥ ❞ü ü ♥ ❞ü♥ ý ý ♥

✐ ♣ ② ♣ ❛

ý ♥ ♥ ❞ ý ü ü ♥ ♥✉ ♥ ❣ ❝ ü ♦❣ü ❤ü ♥ ❞ ýü ü♥

♣ ❛ ❛ ✐♠♣ ♠ ✐ ❛ ❛ ✐♠♣ ♠

♥ ❞ ü ý ü ♥✉ ♥ ❣

❛ ❛ ✐③ ✐

ÿ✵✶ ❴❑ ❴❯✵✻ ♥✉ ♥ ❣ ❝ ü ♦❣ü ❤ü û ❤ ❤ü ❝❦ ♦ ♥✉ ♥ ❣ ❝ ü ♦❣ü ❤ü

✐ ❛ ✐ ✐ ✐ ❛

❝ ü ♦❣ü ❤ü û ❤ ❤ü

❛ ✐

û ❤ ❤ü ❝ ❦ ♦ ❞ ýü ❞ ♥❞ ❤ û ❤ ❤ü ❝ ❦ ♦

✐ ✐ ✐ ❛❜ ❛ ✐ ✐ ✐

❝❦ ♦ ❞ ýü ❞ ♥ ❞

✐ ✐ ❛❜ ❛

❞ ýü ❞ ♥ ❞ ❤ ý ❝ ý ü ü ý ❞ ý ü❞ ♥❞ ❤

✐ ❛❜ ❛ ✐ ❢❛♠ ✐ ② ❛ ❛ ❜ ❛ ✐ ✈ ✐ ❛❜ ❛ ✐

❤ ý þ

✐ ❢❛♠✐ ②

ý û ❤ ♥❝ üþ ý þ

❢❛♠ ✐ ② ✐ ❛ ✐ ❛ ❢❛♠ ✐ ②

❙✉ ❞ü♥ ❝ ♥

❛

❙✉ ❞ü ♥ ❝ ♥

❛

❚❤ü ✉ ❞ü♥ ♥♦ ❚❤ü ✉ ❞ü♥ ý ü ♦ ♥ ❞ü ü♥ ❞ü♥ý ♥ ❞

✐ ✐ ❛❜ ✐ ♣ ② ❛

♥ ❞ü ü♥ ❞ü♥ý ♥ ❞

✐ ♣ ② ❛

ý ü ♦ ♦♥ ♦ ❤ü ♦♥ ♦ ❤ü ❤ü ý❤ ♦ ü ûüýý ♦♥ ♦ ❤ü

❛❜ ♠ ✐ ♠ ✐ ❛ ❢ ✈ ② ♠ ✐

ûüýý ♦♥ ♦ ❤ü

♠ ✐

ü♥ ❤ü ý❤ ýý ❤ü ü♥ ý ý ❤ü ý❤ ♦ ❤ü ü♥

♣❛ ✐ ✬ ❛ ❛ ❛ ♣❛ ✐ ❛ ❛ ❛ ❢ ♣❛ ✐

ü♥ ❤ü ý❤ ýý

♣❛ ✐ ✬ ❛ ❛ ❛

❣ü ♦ ❤ ♥ ❣ü ♦ ❤ ♥ ýý ❣ü ♦ ❤

❛ ❢ ✐ ❛② ✐ ❛ ❢ ✐ ❛② ✐ ❛ ❛ ❛ ❢ ✐

❣ü ♦ ❤ ♥

❛ ❢ ✐ ❛② ✐

❤ü ❤ ♦ ý ♦ ♦❤ü ❤ü ❤ ♦ ý ♦ ♦❤ü ♥ ❤ü ❤♦ ý ♦

♣✐ ❛ ♣✐ ❛ ❛② ✐ ♣✐ ❛

❤♦ ý ♦ ♦❤ü

♣✐ ❛

❤ü ý❤ ❝ ü ❝ ý ü ✱ ❤ü ý❤ ❝ ü ❝ ý ü✱ ♦❤ü ❤ü ý ❤ ❝ ü

❛ ❛ ❢❛ ✐ ✐ ✐ ❛ ❛ ❢ ❛ ✐ ✐ ✐ ❛ ❛

❤ü ý❤ ❝ ü ❝ ý ü✱

❛ ❛ ❢ ❛ ✐ ✐ ✐

♦♥❣ ♦❤ü ♥ ❝ý✉ ❞ ♥ ❣ ü ü♥ ❝ ý ü ✱ ♦♥ ❣

❛♠ ❜② ✐ ✐ ❛ ♠ ❢❛ ✐ ✐ ✐ ❛♠

♥ ❝ý✉ ❞ ♥ ❣ ü ü♥ ÿ✵✶ ❴❑ ❴❯✵

✐ ✐ ❛ ♠ ✼

ü ♥ ❣ ❝ ý ♦ ❝ ý ♦❤ü ü ♥ ❣

❛ ✐ ❜ ❛ ✐ ✈ ✐ ❛ ❢ ❜ ❛ ✐ ✈✐ ❛ ❜ ② ❛ ✐

♦ ❝ ý

❢ ❜ ❛ ✐ ✈ ✐ ❛

üü üü ❝ ý

♣❛ ❛♠ ✿ ♣❛ ❛♠ ✿ ❜ ❛ ✐ ✈✐ ❛

üü

♣❛ ❛♠ ✿

üü ü ü ✉ ü✱ ❤ü ü ü ✉ ü✱ ❤ü

♣❛ ❛♠ ✿ ♠ ♣ ❛ ❛ ♠ ♣ ❛ ❛

ü ü ✉ ü✱ ❤ü

♠ ♣ ❛ ❛

ü ü ✉ ü ✱ ❤ü ü ✱ ý ♦ ♦❞ ü✉ ü✱ ü ✱ ý ♦♦❞ ü ✉ü ✱

♠ ♣ ❛ ❛ ❛ ❜ ♣ ❛ ❜ ♣

ü✱ ý ♦ ♦❞ ü✉ ü✱

❛ ❜ ♣

ü✱ ý ♦ ♦❞ ü✉ ü✱ ü ❤ ♥ ❞ ü ❤ ♥ ❣ ♥ ❞

❛ ❜ ♣ ❜ ❛ ❛ ❜ ❛ ✐ ❛

ü ❤ ♥ ❞

❜ ❛ ❛

û ü♥ ü ✱ ♦❞ û ü♥ ü ✱ ♦❞ ü ❤ ♥ ❞

❛ ❛ ❜ ② ❛ ❛ ❜ ② ❜ ❛ ❛

û ü♥ ü ✱ ♦❞

❛ ❛ ❜ ②

ûü ❣ ❤ ♥ ❞ ❤ü ❣❤ ûü ❣❤ ♥ ❞ ❤ü ❣❤þ û ü ♥ü ✱ ♦❞

✐ ❛ ✐ ✐ ❛ ✐ ❛ ❛ ❜ ②

ûü ❣❤ ♥ ❞ ❤ü ❣❤

✐ ❛ ✐

ûü ❣ ❤ ♥ ❞ ❤ü ❣❤

✐ ❛ ✐

❚❤ü ✉ ❞ü♥ ü ♦

♣ ❢ ♠

❚❤ü ✉ ❞ü♥ ❞♦ü ♥ ♦ ❚❤ü ✉ ❞ü♥ ❚❤ü ✉ ❞ü♥ ❦ü

♠ ❛ ❛

❤ü ❝✉ ü ♥ ♥ ❞ ♥ ý

❛ ❢✐ ❛

❦ü ❝✉ ü ♥ ♥ ❞ ❝ ❝♦ ý ❤ü ❤ü ûüýý ♦♥❣ ♦ ♥ ❣ ♥ ❞ ♥ ý

♠ ❛ ❛ ❛ ♠ ♣ ✐ ✲ ✐ ❛ ❢✐ ❛

ü ü♥ ♦ ❤ü

❛ ♠ ❢

♥ ý ü ü♥ ♦ ♦♥❣♦ ♥ ❣ ♥ ❞ ♥ ý ü ü♥ ♦ ❤ü

❢✐ ❛ ❛ ♠ ❢ ✐ ❛ ❢✐ ❛ ❛ ♠ ❢

ü♥ ❤ü ý❤

♣❛ ✐ ✬ ❛

ü ü♥ ♦ ❤ü ❤ü ü♥ ü ♦ ü♥ ü ♦ ÿ✵✶ ❴❑ ❴❯✵

❛ ♠ ❢ ♣❛ ✐ ✬ ❛ ❢ ♣❛ ✐ ✬ ❛ ❢ ✽

❝ ♦♥❞ ♦♥ ♥ ❞

✐ ✐ ❛

ü♥ ❤ü ý ❤ ✉ ❤ü ý❤ ♥❞ ❤ü ❤ü ý❤ ♥❞ ❤ü

♣ ❛ ✐ ✬ ❛ ❛ ❛ ❛ ❛ ❛

ü ü ❝ ü♥ ü ♦

❢❢ ✐✈ ❢

♥ ❞ ❤ü ü ü❝ ü♥ü ü ü ❝ ü♥ü ♦ ü ü❝ ü♥ ü ♦

❛ ❢❢ ✐✈ ❢❢ ✐✈ ❢ ❢❢ ✐✈ ❢

♥✉ ♥ ❣ ❝ ü ü

✐ ❛ ✐✈✐ ✐ ✈ ②

♦ ♥✉ ♥❣ ❝ ü ♥ ✉ ♥ ❣ ❝ ü ♥ ✉ ♥ ❣ ❝ ü

❢ ✐ ❛ ✐✈✐ ✐ ✐ ❛ ✐✈✐ ✐ ✐ ❛ ✐✈✐ ✐

ûüýý

❚❤ü ✉ ❞ü♥ ❞♦ü ♥ ♦ ❚❤ü ✉ ❞ü♥ ♦ü

❚❤ü ✉ ❞ü♥ ❤ ❣♦ ♦❞ ❚❤ü ✉ ❞ü♥ ❤♦ý ❞

❛

ü ❞ ❝ ♥ü ♥ ❤ ü ❤ü ❦ ýý ♦

♠ ✐ ✐ ✐ ❛✈ ✐

ü ❞ ❝ ♥ü ü ûüýý ♥ ❦ ýý ♦ ♦ü ❞✉❣ ♥

♠ ✐ ✐ ✈ ② ✐ ✐ ✐

❝❝ ♦❞ ♥❝ü û ❤ ÿ✵✶ ❴❑ ❴❯✵ ♦ü ❞✉❣ ♥

❛ ❛ ✐ ✾ ✐

❝❝ ♦❞ ♥❝ü û ❤ ❝❝ ♦❞ ♥❝ü û ❤

❛ ❛ ✐ ❛ ❛ ✐

ý ❝ ý ü ♥ ❞ ❞ ❝❝ ♦❞ ♥❝ü û ❤

❛♣♣ ✐ ❛❜ ❛ ❛ ❛ ❛ ✐

ý ❝ ý ü ♥ ❞ ❞ ý ❝ ý ü ♥ ❞ ❞

❛♣♣ ✐ ❛❜ ❛ ❛ ❛♣♣ ✐ ❛❜ ❛ ❛

û ❤ ♥❝ üþ ý ❝ ýü ♥ ❞ ❞

✐ ❛ ✐ ❛ ❛♣ ♣ ✐ ❛❜ ❛ ❛

❚❤ü ✉ ❞ü♥ ❝ ♥

❛

❚❤ü ✉ ❞ü♥ ♥♦ ❚❤ü ✉ ❞ü♥ ý ü ♦

✐ ✐ ❛❜

❚❤ü ✉ ❞ü♥ ý ü ♦ ❦ ýý ✉ýý ♥❞

✐ ❛❜ ✐ ❢ ② ❛

ýü ♦ ❞ ♥ ü ❞ ♥ ü ü ❞ ❝ ♥ü

❛❜ ❛ ♠ ✐ ✐ ❛ ♠ ✐ ✐ ♠ ✐ ✐

❤ü ü♥ û ❤ ♥ ❞ü ü♥ ❞ü ♥ý

❛ ✐ ♣❛ ✐ ✐ ✐ ♣ ②

ü ❞ ❝ ♥ü ♦ ❤ü ♦ ❤ü ü♥ ♥

♠ ✐ ✐ ♣❛ ✐ ✐

♦✉ ü ❞ ❝ ♦♥✱ ❞ ♥ ü ü ❞ ❝ ♥ ü

✈ ❛ ✐ ♠ ✐ ❛ ✐ ❛ ♠ ✐ ✐ ♠ ✐ ✐

ü♥ ♥ ♦✉ ♦✉ û ✱ ♥

♣❛ ✐ ✐ ✈ ❛ ✐ ✈ ❛ ✐ ❛② ✐

♥ ❝ ❝ ♦ ❞ ♥❝ ü û ❤ ♦✉ ♦✉ü✱ ♥ ÿ✵✶ ❴❑ ❴❯✶✵

✐ ❛ ❛ ✐ ❛ ❜② ✈❛ ✐ ✐

û ✱ ❝❝ ♦❞ ♥ ❣ ♦ ❝ ❝♦ ❞ ♥❝ ü û ❤

❛② ❛ ✐ ❛ ❛ ❛ ✐ ❛

❞♦❝♦ û ü♥ ♦❞ü ❝❝ ♦❞ ♥❝ü û ❤

✬ ✐ ❛ ❛ ✐ ❛

❞♦❝♦ û ü♥ ♦❞ü ✱ ❞♦❝♦ û ü♥ ♦❞ü

✬ ✐ ✬ ✐

♥ ❞ ❝ ♥ ❝ ý❝ ✉ý ü ❞♦❝♦ û ü♥ ♦❞ü

❛ ❛ ❛ ❛ ✬ ✐

♥ ❞ ❝ ♥ ♥ ♦ ❝ ý❝✉ ý ü ♥ ❞ ❝ ♥ ❝ ý❝ ✉ý ü

❛ ❛ ❛ ❛ ❛ ❛ ❛ ❛

❞✉❣ ❞♦ üþ ♥ ❞ ❝ ♥ ❝ ý❝ ✉ý ü

❛ ❛ ❛ ❛

❞✉❣ ❞♦ üþ ❞✉❣ ❞♦ üþ

❞✉❣ ❞♦ ü þ

❙✉ ❞ü♥ ❝ ♥ ü ý ý ü ❚♦ ý ❣ü ü ü ♥✱

❛ ✈ ② ✐ ❛ ❛ ①

❙✉ ❞ü♥ ❝ ♥ ♥ ♦ ❤üý ♦ ü ♦♥ ýý ❤ü ý

❛ ♣ ❢ ✐ ❛ ② ♣

❤üý ❤ü ü♥ ♥ ❙✉ ❞ü♥ ❝ ♥ ❤üý ❤ü

♣ ♣❛ ✐ ✐ ❛ ♣

❤ü ü♥ ♥ ü ♥ ❣✱ ❤ü ü♥ ♥ ü ♥ ❣✱

♣ ❛ ✐ ✐ ❛ ✐ ♣ ❛ ✐ ✐ ❛ ✐

ü ♥❣✱ ü ❝ ü ♥ ❣✱ ü♥ ♥ ü ♥ ❣✱

❛ ✐ ① ✐ ♣❛ ✐ ✐ ❛ ✐

ü ❝ ü ♥ ❣✱ ♦ ♥ ❣ ÿ✵✶ ❴❑ ❴❯✶✶ ü ❝ ü ♥ ❣✱ ♦ ♥ ❣

① ✐ ♠ ✈ ✐ ① ✐ ♠ ✈ ✐

♦ ♥ ❣ ♥ ❞ ❦ ♥ ❣ ü ❝ ü ♥ ❣✱ ♦ ♥ ❣

♠ ✈✐ ❛ ❛ ✐ ① ✐ ♠ ✈ ✐

♥ ❞ ❦ ♥ ❣ ❝ ü ♦ ♥ ❞ ❦ ♥ ❣ ❝ ü ♦

❛ ❛ ✐ ❛ ❢ ❛ ❛ ✐ ❛ ❢

❝ ü ♦ ü ♦♥ ý ♥ ❞ ❦ ♥ ❣ ❝ ü ♦

❛ ❢ ♣ ❛ ❛ ❛ ✐ ❛ ❢

ü ♦♥ ý ❤ ❣ ü♥üþ ü ♦♥ ý ❤ ❣ ü ♥üþ

♣ ❛ ② ✐ ♣ ❛ ② ✐

❤ ❣ ü♥üþ ü ♦♥ ý ❤ ❣ ü♥üþ

② ✐ ♣ ❛ ② ✐

❚❤ü ✉ ❞ü♥ ❝ ♥ ♥ ♦ ❚❤ü ✉ ❞ü♥ ý ü ♦ ❚❤ü ✉ ❞ü♥ ý ü ♦ ❚❤ü ✉ ❞ü♥ ý ü ♦

❛ ✐ ❛❜ ✐ ❛❜ ✐ ❛❜

❝✉ý ü ❤ü ❦ ♥ ♥❞ ❝ ❤ü ❤ ❤ü ❦ ♥ ♥ ❞ ❝✉ý ü ❤ü ❦ ♥ ♥❞ ❝ ❤ü ❤ ❤ü ❦ ♥ ♥ ❞

✐✈❛ ✐ ❛ ✐ ✐ ❛ ✐✈❛ ✐ ❛ ✐ ✐ ❛

♦❞✉❝ ♥ ❞ ♦❞✉❝ ♥ ❞ ♦❞✉❝ ♥ ❞ ♦❞✉❝ ♥ ❞

✐ ♣ ❛ ✐ ♣ ❛ ✐ ♣ ❛ ✐ ♣ ❛

✉ ❝♦✉ ü ♥ü ✉ ❝♦✉ ü ♥ü ✉ ❝♦✉ ü ♥ü ✉❝♦✉ ü ♥ü

♠ ♠ ♠❜ ❛ ♠ ♠ ♠❜ ❛ ♠ ♠ ♠❜ ❛ ♠ ♠ ♠ ❜ ❛

û ❤ ❤ü ✉ü ♦ û ❤ ❤ü ❤üý ♦ û ❤ ❤ü ✉ü ♦ ü ûüýý û ❤ ❤ü ✉ ü

✐ ❢ ✐ ♣ ❢ ✐ ❢ ✈ ② ✐

ÿ✵✶ ❴❑ ❴❯✶✷

❤ ❝ ♦ý ♦❣ ❝ ý ❤ ❝ ♦ý ♦❣ ❝ ý ❤ ❝ ♦ý ♦❣ ❝ ý ♦ ❤ ❝ ♦ý♦❣ ❝ ý

♣ ❛ ♠❛ ✐ ❛ ♣ ❛ ♠❛ ✐ ❛ ♣ ❛ ♠❛ ✐ ❛ ❢ ♣ ❛ ♠ ❛ ✐ ❛

❣ü♥ ♥ ❞ ü ❞ ❝ ý ❣ü ♥ ♥ ❞ ü ❞ ❝ ý ❣ü♥ ♥ ❞ ü ❞ ❝ ý ❣ü ♥ ♥ ❞ ü ❞ ❝ ý

❛ ❛ ♠ ✐ ❛ ❛ ❛ ♠ ✐ ❛ ❛ ❛ ♠ ✐ ❛ ❛ ❛ ♠ ✐ ❛

ü ý ✱ ♥ ❝ý✉ ❞ ♥ ❣ ü ý ✱ ♥ ❝ý✉ ❞ ♥ ❣ ü ý ✱ ♥ ❝ý✉ ❞ ♥ ❣ ü ý ✱ ♥❝ý ✉ ❞ ♥ ❣

♠ ❛ ✐❛ ✐ ✐ ♠ ❛ ✐❛ ✐ ✐ ♠ ❛ ✐ ❛ ✐ ✐ ♠ ❛ ✐❛ ✐ ✐

❤ü ✉ ü ♦ ü ❞ ❝ ♥ ý ❤ü ✉ü ♦ ❤ü ý ♥ ❣ ❤ü ✉ ü ♦ ü ❞ ❝ ♥ ý ❤ü ✉ ü ♦ ü ❞ ❝ ♥ ý

❢ ♠ ✐ ✐ ❛ ❢ ❛ ✐ ❢ ♠ ✐ ✐ ❛ ❢ ♠ ✐ ✐ ❛

❤ þ ❤ þ ❤ þ ❤þ

❜ ❛ ❜ ❛ ❜ ❛ ❜ ❛ ùú

✞✟✠✡ ❡☛ ✟ ✠ ✏❡✏ ✟✎❡

✞✟✠✡ ❡☛ ✟ ☞ ✌☛ ☛✍✟ ✞✟✠✡ ❡☛ ✟ ✠✏❡✏ ✍☛❧✒ ✞✟✠✡ ❡☛✟ ✑✏ ✌✗ ❧❡ ✟✍

✘✌ ✍✔✑✟✒ ✍ ✙

❥

☞ ✎ ✍✍✏❡ ✟✎❡ ✏ ✍✘❡ ✟❡☞✎ ☛✑✠❡✏ ✌☛✡ ☞ ✎ ✍ ✍✏❡ ✌✡❡ ✠✌✟❡

✟❡☞✎☛✑ ✠❡✏ ✌☛✡

✟❡☞✎☛✑ ✠❡✏ ✌☛✡ ✇✌✒✏ ✇✌✒✏ ✟✍ ✠✟ ✍☛ ✇✍✠ ☛✡ ✟❡☞✎☛✑ ✠❡✏ ✌☛✡ ✇✌✒✏

✓

❈✂✄ ☎✆ ☎✝✄✸ ✘❡ ✟✎✍✡ ✏ ✍ ✙ ✠✟✟ ✑☛✕

✓

✟✍ ✠✟ ✇✍✠ ☛✡ ✡✔ ❡✏✏✑ ☛✕✏✖ ✎ ❡ ☞ ✌☛ ✍✙ ✠✟✟✑☛✕ ✇✍✠ ☛✡

✓ ✓

✇✍✠☛✡ ✡✔ ❡✏✏✑☛✕✏✖ ✎ ❡

✡ ✔ ❡✏✏✑☛✕✏ ✍☛✖ ✎ ❡ ☞✌ ☛ ✍☛ ❧✒ ✗ ✌☛✡✌✕❡ ✏✍✘❡ ✡✔ ❡ ✏✏✑☛✕✏ ✍☛✖

☞ ✌ ☛ ✗✌ ☛✡✌✕❡ ✘ ✍✏✟

☛✍✟ ✡ ✍ ✗ ✌☛✡✌ ✕✑☛✕✳ ✌✔✟✏ ✍✙ ✟✎❡ ✗ ✍✡✒✳ ❡✔✙✍✔✘✏ ✗✌☛✡✌✕ ✑☛✕✳

✓ ✓

✌✔✟✏ ✍✙ ✟✎❡ ✗ ✍✡✒✳

✓

✎ ❡ ✏ ✟✠✡ ❡☛✟ ☞ ✌☛ ☛✍✟ ✎ ❡ ✏✟✠✡ ❡☛✟ ☞ ✌ ☛ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ☞ ✌☛ ❡✔✒

✚ ✚ ✚ ✛

✎ ❡ ✏ ✟✠✡ ❡☛✟ ☞ ✌☛ ✠✏❡

✚

✠ ✏❡ ✡ ✑✙✙ ❡✔❡☛✟ ✌✔✟❧✒ ✠✏❡ ✡✑✙✙ ❡✔❡☛✟ ✇❡❧❧ ✠ ✏❡ ✡✑✙✙ ❡✔❡☛✟

✓

❈✂✄ ☎✆ ☎✝✄ ✌✔✑ ✍✠✏ ✟❡☞✎☛✑✠❡✏ ✍✙

✹ ✛

✟❡☞✎ ☛✑ ✠❡✏ ✍✙ ✙❡❡✡✑☛✕ ✟❡☞✎ ☛✑✠❡✏ ✍✙ ✙❡❡✡✑☛✕ ✟❡☞✎ ☛✑✠❡✏ ✍✙ ✙❡❡✡✑☛✕

✙❡❡✡ ✑☛✕ ✟✎❡ ✌✟✑ ❡☛✟✳

✓

✟✎❡ ✌✟✑❡☛✟✳ ✟✎❡ ✌✟✑❡☛✟✳ ✟✎❡ ✌✟✑❡☛✟✳

✓ ✓ ✓

✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ✌✗❧❡ ✟✍ ✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ✌✗❧❡ ✟✍ ✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ✌✗❧❡ ✟✍

✚ ✚ ✚

✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ☛✍✟

✚

❡✔✙✍✔✘ ✔ ❡☞✟✌❧ ❡✔✙✍✔✘ ✔ ❡☞✟✌❧ ❡✔✙✍✔✘ ✔ ❡☞✟✌❧

✓ ✓ ✓

✌✗❧ ❡ ✟✍ ❡✔ ✙✍✔✘ ✔ ❡☞✟ ✌❧

✓

✔ ✍☞ ❡✡✠✔ ❡✏ ✇✑✟✎ ✔ ✍☞ ❡✡✠✔❡✏ ✌❧✍☛❡ ✔ ✍☞ ❡✡✠✔❡✏ ❡✔✒ ✇❡❧❧

✓ ✓ ✜ ✓ ✛

✔ ✍☞❡✡✠✔❡✏ ❡☛❡✘✌✖ ❈✂✄ ☎✆ ☎✝✄

✓ ✜ ✺

✌✏✏✑✏ ✟✌☛☞❡ ❡☛❡✘✌✖ ✌ ☛ ❡☛❡✘✌✖ ✌☛ ✑ ☛✕✍✟✖ ✌☛ ❡☛❡✘✌✖ ✌☛ ✑ ☛✕✍✟✖ ✌

✜ ✜

✑ ☛✕✍✟✖ ✡✔ ✑ ✖ ✡✔✒ ✟✠✗❡ ✟✍

✓

✑☛ ✕✍✟✖ ✡✔ ✑ ✖ ✡✔✒ ✟✠✗❡ ✟✍ ✌ ✡✔ ✑ ✖ ✌ ✡ ✔✒ ✟✠✗❡ ✟✍ ✡✔ ✑ ✖ ✌ ✡ ✔✒ ✟ ✠✗❡ ✟ ✍ ✟✎ ❡

✓ ✓ ✓

✟✎ ❡ ✌☛✠✏

✟✎❡ ✌☛✠✏ ✟✎ ❡ ✌ ☛✠✏ ✌ ☛✠✏

✎ ❡ ✏ ✟✠✡❡☛✟ ✡✍ ❡✏ ☛ ✍✟ ✎ ❡ ✏✟✠✡ ❡☛✟ ✌✔ ✟✑✌❧❧✒ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ✎✌✏ ❡✔✒

✚ ✚ ✓ ✚ ✛

✎ ❡ ✏ ✟✠✡❡☛✟ ✎ ✌✏ ✟✎❡

✚

✎ ✌ ❡ ✟✎ ❡ ✏ ✑❧ ❧✏ ✟✍ ✠ ✟ ✎ ✌✏ ✟✎❡ ✏ ✑❧❧✏ ✟✍ ✠✟ ✌ ✕ ✍✍✡ ✏ ✑❧❧✏ ✑☛ ✠✟✟✑☛✕

✛ ✣ ✓ ✣ ✓ ✣ ✓

✏ ✑❧❧✏ ✟ ✍ ✠ ✟ ✌ ☞ ✌✟✎ ❡✟❡✔

✣ ✓

✌ ☞ ✌✟✎❡ ✟❡✔ ✑ ☛ ✟✎❡ ☞ ✌✟✎❡✟❡✔ ✑☛ ✟✎❡ ✌ ☞ ✌✟✎❡ ✟❡✔ ✑ ☛✟✍ ✟✎❡

✑☛ ✟✎❡ ✗❧✌✡✡❡✔✖ ❈✂✄ ☎✆ ☎✝✄

✢

✗ ❧✌✡✡❡✔✖ ✘ ✍☛✑✟✍✔ ✗❧✌✡✡❡✔✖ ✘ ✍☛✑✟✍✔ ✗❧✌✡✡❡✔✖ ✘✍☛✑✟✍✔✑☛✕

✘✍ ☛✑✟✍✔ ✡✑✠✔ ❡✏✑✏✖ ✌ ☛✡

✡ ✑ ✠✔❡✏✑✏✖ ✌☛✡ ✔❡✘✍ ❡ ✡ ✑ ✠✔❡✏✑✏✖ ✌☛✡ ✔ ❡✘✍ ❡ ✡ ✑✠✔ ❡✏✑✏✖ ☞ ✌✟✎ ❡✟❡✔

✛ ✛

✔ ❡✘ ✍ ❡ ✟✎❡ ☞✌✟✎ ❡✟❡✔

✛

✟✎ ❡ ☞ ✌✟✎ ❡✟❡✔ ✟✎ ❡ ☞✌ ✟✎❡✟❡✔ ✔ ❡✘ ✍ ✌❧

✛

❧✑❡✏ ✌❧❧ ✟✎❡ ☛✍✇☛

❆ ✓✓ ✣

✞✟✠✡ ❡☛✟ ✠✏❡✏

✞✟✠✡ ❡☛✟ ☞ ✌☛ ☛ ✍✟ ✠✏❡ ❧ ✑❡✏ ✍☛❧✒ ✏✍✘ ❡ ✙✌☞ ✑❧✑✟✑❡✏✖ ✟✎ ❡✔❡ ✑✏ ☛ ✍

❆ ✓✓

✙✌☞ ✑❧✑✟✑❡✏✖ ✗✠ ✟ ✎ ❡ ☞ ✌☛

✙✌☞ ✑❧✑✟✑❡✏ ✍✔ ❧✌☞❡ ✟✎❡ ✙✌☞ ✑❧✑✟✑❡✏✖ ✌✔✔ ✌☛✕❡✏ ✔ ✍✗❧ ❡✘ ✇✑✟✎ ❧✌✒✑☛✕

✓ ✓

❈✂✄ ☎✆ ☎✝✄ ☛✍✟ ✌✔✔✌☛✕❡ ✟✎❡

✤

✌ ✟✑❡☛✟ ✑☛ ✡ ✑✙✙❡✔❡☛✟ ✟✎❡ ✌✟✑❡☛✟ ✍☛❧✒ ✑ ☛ ✟✎ ❡ ✌✟✑❡☛✟ ✑ ☛ ✟✎❡

✓ ✓ ✓

✌✟✑ ❡☛✟ ✑☛ ✌❧❧

✓

✍ ✏✑✟✑✍☛✏✳ ✏ ❡❧❡☞✟❡✡ ✍✏✑✟✑✍☛✏✳ ✘✍✏ ✟ ✌ ✔ ✍ ✔ ✑✌✟❡

✓ ✓ ✓✓ ✓

✍✏ ✑✟✑✍☛✏✳

✓

✍ ✏✑✟✑✍☛ ✙ ✍✔ ✎ ✑ ✘✳

✓

✎ ❡ ✏ ✟✠✡❡☛✟ ✡✍ ❡✏ ☛ ✍✟ ✎ ❡ ✏ ✟✠✡❡☛✟ ✎ ✌✏ ✟✎❡ ✎ ❡ ✏ ✟✠✡❡☛✟ ✎ ✌✏ ✟✎❡ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ✎✌✏ ❡✔✒

✚ ✚ ✚ ✚ ✛

✎ ✌ ❡ ✟✎ ❡ ✏ ✑ ❧❧✏ ✟✍ ✌✔✟✑ ✌❧ ✏ ✑❧❧✏ ✍ ✙ ✏ ✑❧❧✏ ✟ ✍ ❡✔ ✙✍✔✘ ✕✍ ✍✡ ✏ ✑❧ ❧✏ ✑☛

✛ ✣ ✓ ✣ ✣ ✓ ✣

❡✔✙✍✔✘ ✗✔❡✌✟✎✑☛✕ ❡✔✙✍✔✘✑☛✕ ✗✔❡✌✟✎✑☛✕ ❡✔✙✍✔✘✑☛✕ ✗✔❡✌✟✎✑☛✕ ✗✔❡✌ ✟✎✑☛✕ ✕✒✘☛✌✏✟✑☞✏

✓ ✓ ✓

✕✒✘☛✌✏✟✑☞✏ ✌☛✡ ✕✒✘☛✌✏✟✑☞✏ ✌☛✡ ✕✒✘☛✌ ✏✟✑☞✏ ✌☛✡ ❈✂✄ ☎✆ ☎✝✄ ✌☛✡ ✍✏✟✠✔❡

✥ ✓

✍✏ ✟✠✔✌❧ ✡✔ ✌✑☛✌✕❡✖ ✍✏✟✠✔❡ ✡ ✔✌✑☛✌✕❡✖ ✍✏ ✟✠✔❡ ✡ ✔✌✑☛✌✕❡✖ ✡✔ ✌ ✑☛✌✕❡✖ ✑ ☛✎✌❧✌✟✑✍☛

✓ ✓ ✓

✑ ☛✎✌❧✌✟✑✍☛ ✌☛✡ ✌✑✔✇✌✒ ✑ ☛✎✌❧✌✟✑✍☛ ✌☛✡ ✌✑✔✇✌✒ ✑ ☛✎✌❧✌✟✑✍☛ ✌☛✡ ✌✑✔✇✌✒ ✌☛✡ ✌✑✔✇✌✒

✡ ❡ ✍ ❧❧✠✟✑✍☛✳ ✡ ❡ ✍❧❧✠✟✑✍☛✳ ✡ ❡ ✍ ❧❧✠✟✑✍☛✳ ✡ ❡ ✍❧❧✠✟✑✍☛✳

✓ ✓ ✓ ✓

✎ ❡ ✏ ✟✠✡❡☛✟ ✡✍ ❡✏ ☛ ✍✟ ✞✟✠✡❡ ☛✟ ✇✑✟✎ ✎ ❡ ✏ ✟✠✡❡☛✟ ❡✔✙✍✔✘✏

✚ ✚ ✓

✞✟✠✡ ❡ ☛✟ ❡✔ ✙✍✔✘✏

✓

❡✔✙✍✔✘ ✔ ✍ ❡✔❧✒ ✌✏✏✑✏ ✟✌☛☞❡ ❡✔✙✍✔✘✏ ☞ ✍✔✔❡☞✟❧✒ ✔ ✠✗✗✑☛✕✖

✓ ✓ ✓ ✓

✔ ✠✗✗✑ ☛✕✖ ✌✟✟✑☛✕ ✌☛✡

✓

✌✟✟✑☛✕ ✌☛✡ ✍✟✎❡✔ ✔ ✠ ✗✗✑ ☛✕✖ ✌✟✟✑☛✕ ✌☛✡ ✔ ✠ ✗✗✑☛✕✖ ✌✟✟✑☛✕ ✌☛✡

✓ ✓ ✓

✍ ✟✎❡✔ ☞ ❧✌✏✏✑☞✌❧

☞ ❧ ✌✏✏✑☞✌❧ ✘✌✏✏✌✕ ❡ ❈✂✄ ☎✆ ☎✝✄ ✍✟✎ ❡✔ ☞ ❧ ✌✏✏✑☞✌❧ ✍✟✎ ❡✔ ☞ ❧✌✏✏✑☞✌❧

✦

✘✌ ✏✏✌✕❡ ✟ ❡☞✎☛✑✠❡✏

✟❡☞✎☛✑ ✠❡✏✖ ✌☞ ✟✑ ❡ ✘✌ ✏✏✌✕❡ ✟ ❡☞✎☛✑✠❡✏✖ ✘✌ ✏✏✌✕❡ ✟ ❡☞✎☛✑✠❡✏✖

✛

❡✔✒ ✇❡❧❧✖ ✌☞✟✑ ❡ ✌☛✡

✛ ✛

✌☛✡ ✌✏✏✑ ❡ ✌☞ ✟✑ ❡ ✌☛✡ ✌ ✏✏✑ ❡ ✌☞ ✟✑ ❡ ✌☛✡ ✌✏✏✑ ❡

✓ ✛ ✛ ✓ ✛ ✛ ✓ ✛

✌✏✏✑ ❡ ❡ ✧❡✔☞ ✑✏❡✏✳

✓ ✛

❡✧❡✔☞✑ ✏❡✏✳ ❡✧❡✔☞✑ ✏❡✏✳ ❡✧❡✔☞✑ ✏❡✏✳

✎ ❡ ✏ ✟✠✡❡☛✟ ✡✍ ❡✏ ☛ ✍✟ ✎ ❡ ✏✟✠✡ ❡☛✟ ✌✔ ✟✑✌❧❧✒

✚ ✚ ✓

✎ ❡ ✏ ✟✠✡ ❡☛✟ ✔✍ ✑✡ ❡✏ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ✔✍ ✑✡ ❡✏

✚ ✓ ✛ ✚ ✓ ✛

✔ ✍ ✑✡ ❡ ✟✎❡ ✌✟✑ ❡☛✟ ✔ ✍ ✑✡ ❡✏ ✟✎❡ ✌✟✑❡☛✟

✓ ✛ ✓ ✓ ✛ ✓

✟✎❡ ✌✟✑❡☛✟ ✇✑✟✎ ✌ ✟✎❡ ✌✟✑❡☛✟ ✇✑✟✎ ✌ ✏ ✌✙❡ ❈✂✄ ☎✆ ☎✝ ✂

✓ ✓ ★

✇✑✟✎ ✌ ✏ ✌✙❡ ✇✑✟✎ ✌ ✏ ✌✙❡

✏ ✌✙❡ ❡ ☛ ✑✔ ✍☛✘❡☛✟ ❡☛ ✑✔✍☛✘❡☛✟

✛ ✛

❡ ☛ ✑✔ ✍☛✘❡☛✟ ❡☛ ✑✔ ✍☛✘❡☛✟

✛ ✛

✎ ❡ ✏ ✟✠✡ ❡☛✟ ☞ ✌☛ ☛✍✟ ✎ ❡ ✏✟✠✡ ❡☛✟ ✌✔ ✟✑✌❧❧✒ ✎ ❡ ✏ ✟✠✡❡☛✟ ☞ ✔ ❡✌✟❡✏ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ☞✔ ❡✌ ✟❡✏

✚ ✚ ✓ ✚ ✚

❈✂✄ ☎✆ ☎✝ ✄ ☞ ✔ ❡✌✟❡ ☞ ✍☛✡✑✟✑✍☛✏ ✙✍✔ ☞ ✔ ❡✌✟❡✏ ✑ ❧❧ ☞ ✍☛✡✑✟✑✍☛✏ ☞ ✍ ☛✡✑✟✑✍☛✏ ✙✍✔ ✏❧ ❡❡ ❡✔✒ ✕✍ ✍✡ ☞ ✍☛✡ ✑✟✑✍☛✏

★ ✓ ✛

✏❧❡ ❡ ✌ ☛✡ ✔ ❡✏✟✳ ✙✍✔ ✏ ❧❡❡ ✌☛✡ ✔ ❡✏ ✟✳ ✌☛✡ ✔ ❡✏✟ ✙✍✔ ✟✎❡ ✑ ❧❧ ✳ ✳ ✙✍✔ ✏❧❡❡ ✌ ☛✡ ✔ ❡ ✏✟✳

✓ ✓ ✓

✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ☛✍✟ ✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ✌✗❧❡ ✟✍ ✞✟✠✡ ❡☛✟ ✑ ✏ ✌ ✗❧❡ ✟ ✍ ✎ ❡ ✏✟✠✡ ❡☛✟ ✑✏ ✌✗❧❡ ✟✍

✚ ✚ ✚

❈✂✄ ☎✆ ☎✝ ✌✗ ❧❡ ✟✍ ✔ ✑☛✏❡ ✟✎ ❡ ❡✒❡ ✌✔✟✑ ✌❧❧✒ ✔ ✑ ☛✏❡ ✟✎❡ ❡✒❡ ❡✔ ✙✍✔✘ ❡✒❡ ✌☛✡ ❡✌✔ ❡✔✙✍✔✘ ✟✎ ❡ ❡✒❡ ✌ ☛✡

★★ ✓ ✓ ✓

✌☛✡ ❡✌✔ ✌ ☛✡ ❡✌✔ ✔ ✑☛ ✏✑☛✕ ✌❧✍☛❡ ❡ ✌✔ ✔ ✑☛✏✑☛✕ ❡✔✒ ✇❡❧ ❧

✩ ✩ ✩ ✛ ✩

✎ ❡ ✏ ✟✠✡ ❡☛✟ ✎✌✏ ❡✔✒

✚ ✛

✎ ❡ ✏ ✟✠✡❡☛✟ ✡✍ ❡✏ ☛ ✍✟ ✎ ❡ ✏✟✠✡ ❡☛✟ ✌✔✟✑ ✌❧❧✒ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ✎✌✏

✚ ✚ ✓ ✚

✕✍ ✍✡ ✏ ✑❧ ❧✏ ✑☛

✣

✎ ✌ ❡ ✟✎ ❡ ✏ ✑ ❧❧✏ ✟✍ ✎ ✌✏ ✟✎❡ ✏ ✑❧❧✏ ✟✍ ✑☛✡❡ ❡☛✡❡☛✟ ✏ ✑ ❧❧✏ ✟✍

✛ ✣ ✣ ✓ ✣

☞ ✍☛☛❡☞✟✑☛✕ ✌☛✡

❈✂✄ ☎✆ ☎✝ ✸ ☞ ✍☛☛❡☞✟ ✌☛✡ ✍ ❡✔✌✟❡ ☞ ✍☛☛❡☞✟ ✌☛✡ ✍ ❡✔✌✟❡ ☞ ✍☛☛❡☞✟ ✌☛✡ ✍ ❡✔✌✟❡

★ ✓ ✓ ✓

✍ ❡✔✌✟✑☛✕ ✏ ❡✟✏ ✙✍✔

✓

✏❡ ✟✏ ✍ ✙ ✑☛ ✟✔✌ ❡ ☛✍✠✏ ✏ ❡✟✏ ✙✍✔ ✑ ☛✟✔✌ ❡☛✍✠✏ ✏❡ ✟✏ ✍ ✙ ✑☛ ✟✔✌ ❡ ☛✍✠✏

✛ ✛ ✛

✑ ☛✟✔✌ ❡☛✍✠✏ ✡✔ ✑

✛ ✓

✡ ✔ ✑ ✑☛✙✠✏✑✍☛✏✳ ✡✔ ✑ ✳ ✡ ✔ ✑ ✏ ❡✟✏✳

✓ ✓ ✓

✑ ☛✙✠✏✑✍☛✏✳

❈✂✄ ☎✆ ☎✝

★✹

✎ ❡ ✏ ✟✠✡ ❡☛✟ ☞ ✌☛ ☛✍✟ ✏✟✠✡❡☛ ✟ ✇✑✟✎ ✞✟✠✡ ❡☛ ✟ ✑✏ ✌✗❧❡ ✟✍ ✠✟ ✎ ❡ ✏ ✟✠✡ ❡☛✟ ✑✏ ✌✗❧❡ ✟ ✍

✚ ❆ ✓ ✚ ✁

✭✮✯ ✯ ✰✴ ✯✮❀✴ ❁❂✯❃ ✯ ✰✴ ❁ ✯ ❂ ✴ ❂ ✭✮✯ ✯ ✮❀✴ ❁❂✯❃ ✯ ✰✴ ✭✮✯ ✯✮❀✴ ❁❂✯❃ ✯ ✰✴

❇ ❄❄ ❄ ❇ ❉ ❉❇ ❇ ❇ ❇

✯❃ ✰ ❂ ❂❃✯ ✯❃ ✰ ❂ ✴ ✴ ❁ ✴ ✯❃ ✰ ❂ ✴ ✴ ❁ ✴ ✯✮❀ ✴ ❁❂✯❃ ✯ ✰✴ ✯❃ ✰

❄ ❅❇❉ ❇ ❊ ❄ ❅❇❉ ❇ ❊ ❍ ❉ ■ ❄ ❅❇❉ ❇ ❊ ❍ ❉ ■ ❄ ❅❇❉

✴ ✭ ✴✯✴ ✯✰✴ ❃❂✯✴❂✯ ❂ ✴ ✭ ✴✯✴ ✯✰✴ ❃ ❂✯✴❂✯ ✯ ✰✴ ❃ ❂✯✴❂✯ ✴ ✴

❊ ❋ ❉ ❄● ❇ ❊ ❊ ❋ ❉ ● ❉ ■ ❍❏ ▲ ❋ ❋●

❃❂✯✴❂✯

❉ ❄●

✯✮ ✴❂✯ ❀ ❪❃

❭ ❊ ❇❍ ❊

✰✴ ✯✮ ✴❂✯ ❃ ✴ ❂ ❃✯ ✯✮ ✴ ❂✯ ❁✯✰ ✰✴ ✯✮ ✴❂✯

❨ ❄ ❊ ❊ ❄ ❭ ❊ ▲ ❨ ❄ ❊

❃ ❀ ❪✴ ✯ ❃ ✮ ❫✴

❊ ❍ ❄ ❄

✮ ✴ ❂ ✯ ❁❩❁❂❬ ✯❃ ❁ ✯ ❂ ✴ ✮ ✴ ❂ ✯❁❩ ❁❂ ✴ ✭✴❂ ✴ ❂✯ ✭ ✭ ❁✴

❄ ❇ ❋❇❅❅❇ ❍❏ ❇ ❄ ❄ ❄ ❇ ❉ ❄ ❄ ❇ ❊ ❊ ❋❏ ❇ ❋ ❄

❪ ❀ ❁✴ ❁

❇ ❵

❁❂❬ ✯❃ ❂ ✯ ❁❩❁❂❬ ✯❃ ▼◆❖ ◗❘ ◗❱❲❳ ✯ ✴ ✯ ✴❂✯ ❂ ❂

❋❇❅ ❅❇ ❍❏ ❇ ❋❇❅❅❇ ❍❏ ❍ ❇ ❅ ❄ ❇ ❊ ❉❇

✭ ❪✴ ❁ ❪ ✭ ❂ ✴ ❃ ❪

❍ ❉ ▲ ❇ ❇ ❋ ❍❇

✯ ✴ ✯ ✴❂ ✯ ❂ ❂ ✯ ✴ ✯ ✴❂✯ ❂ ❂ ❂❃✯ ✴✯ ✮✭ ✴ ❁

❍ ❇ ❅ ❄ ❇ ❊ ❉❇ ❍ ❇ ❅ ❄ ❇ ❊ ❉❇ ❅ ❊ ❉❇ ❋

❄ potrafi załoyć bańki

✴✯ ✮ ✭ ✴ ❁ ❀✮ ❀ ✴✯ ✮✭ ✴ ❁ ❀ ✮ ❀ ❀ ✮❀❀ ✴

❄ ❅ ❊ ❉❇ ❋ ❋ ❄● ❄ ❅ ❊ ❉ ❇ ❋ ❋ ❄ ● ❋ ❄ ●

✴④ ④❁✴

❋ ❇ ❍❄ ●

✰✴ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯❃

❨ ❄ ❊ ❄ ❇ ❋

⑥ ✯✮ ✴❂ ✯ ❁✯ ✰ ✰✴ ✯✮ ✴❂✯ ❂

❄ ❊ ▲ ❨ ❄ ❊ ❉❇

✰✴ ✯✮ ✴❂✯ ❂ ❂❃✯ ✭✮✯ ❃ ❂ ❂ ✴ ❃ ✴

❨ ❄ ❊ ❉ ❇ ❇ ❊ ❍ ❅ ■

❁ ✯ ❂ ✴ ❂ ✭✮✯ ❃❂ ❁❂ ✴ ✭✴❂ ✴❂✯ ❁❂ ✯

❇ ❄ ❄ ❄ ❇ ❉ ❉❇ ❊ ❊ ❋❏ ❄ ❇ ❋ ❋

✭✮✯ ❃❂ ❂ ✴ ❃ ✴ ✯ ✰✴✯✴ ❬ ❃

❇ ❊ ❍ ❅ ■ ❇ ❉ ❇ ❍ ❄ ❍ ❅

❂ ✴ ❃ ✴ ❂ ✴ ❃ ✴ ▼◆❖ ◗❘ ◗❱❲

❇ ❊ ❍ ❅ ■ ❇ ❇ ❊ ❍ ❅ ■ ❇ ⑤

✯ ✰✴✯✴ ❬ ❃ ✭✴ ❁✭ ✰✴ ✴ ❁❂ ✴

❉ ❇ ❍ ❍ ❅ ❍ ❍❇ ❋ ■ ❄ ■ ❍❏

✯ ✰✴✯✴ ❬ ❃ ✯ ✰✴✯✴ ❬ ❃

❉❇ ❍ ❍ ❅ ❉ ❇ ❍ ❍ ❅

✭✴ ❁ ✭✰✴ ✴ ❁❂ ✴ ❂

❍ ❍❇ ❋ ■ ❄● ▲ ❋ ❋ ❇ ❊

✭✴ ❁ ✭✰✴ ✴ ❁❂ ✭✴ ❁ ✭✰✴ ✴ ❁❂

❍ ❍❇ ❋ ■ ❄● ❍ ❍❇ ❋ ■ ❄●

❁❂ ✴ ✭✴❂ ✴ ❂✯

❊ ❊ ❋❏●

✰✴ ✯✮ ✴❂✯ ✰ ✴

❨ ❄ ❊ ❇ ❄ ■ ❍❏

✰✴ ✯✮ ✴❂✯ ❃ ✴ ❂ ❃✯ ✰✴ ✯✮ ✴❂✯ ✭ ✯ ❁ ✰✴ ✯✮ ✴❂✯ ✰ ✯ ✰✴

❨ ❄ ❊ ❊ ❄ ❨ ❄ ❊ ❇ ❍ ❇❋ ❋❏ ❨ ❄ ❊ ❇ ❄

❃ ❃ ④❁ ❁❂

❵ ❊ ❄ ❋ ❋❄

✰ ✴ ✯ ✰✴ ❀ ❁ ❁✯ ✯ ❃ ❀ ❁ ❁✯ ✯❃ ❃❂ ❁✯❃ ⑧ ✰ ✯✰✴ ❀ ❁ ❁✯ ✯❃

❇ ■ ❇ ❋ ❏ ❇ ❋ ❏ ❅ ❍ ❇ ❄ ❇ ❋ ❏

❃ ❂ ❁✯❃ ❁❂ ⑧

❅ ❍ ❵

❃❂ ❁✯❃ ⑧ ✴ ❂ ✴ ❂ ❂ ✮ ✯✮ ✴ ❃❂ ❁✯❃ ⑧ ✴ ❂

❅ ❍ ❇ ❄❄ ❄❄ ❇ ❊ ❇ ❄ ❄ ❄❄ ❇ ❊ ❍ ❍ ❅ ❍ ❇ ❄❄ ❄❄ ❇ ❊

✴ ✮ ✯ ❁❃❂ ❂ ▼◆❖ ◗❘ ◗❱❲

■❇❋ ❇ ❇ ❊ ⑦

✯ ✰✴ ✭ ✴ ❃ ❬ ✴❂✯ ⑧ ❂✮ ✯✮ ✴ ✯ ✰✴ ✭ ✴ ❃ ❬ ❁❂✯ ❁❂ ✯ ✰✴ ✭ ✴ ❃ ❬

❋❇❉ ❉ ❍❇ ❋ ❍ ❍ ❋❇❉ ❅❇ ❇ ❋❇❉

❂ ✮ ❁❂ ✯✰✴ ✭ ✴ ❃ ❬

❍ ❄ ❵ ❋❇❉

✭✴ ❁ ✭✰✴ ❂ ✴❂ ✯ ⑧ ✭✴ ❁✭ ✰✴ ✴ ❂✯ ⑧ ✭✴ ❁ ✭✰✴

❍ ❍❇ ❋ ❇ ❊ ❉ ❍❇❋ ❍ ❍❇❋ ❉ ❍❇❋ ❍ ❍❇ ❋

✴ ❂✯ ⑧ ✭✴ ❁ ✭✰✴

❉ ❍❇❋ ❍ ❍❇ ❋

✮ ✭❃ ✯ ❂ ✮ ✭❃ ✯ ❂ ✮ ✭❃ ✯

■❇❄❉ ❋❇❍ ❍ ● ❇ ❊ ■❇❄❉ ❋❇❍ ❍ ● ❇ ❊ ■❇❄❉ ❋❇❍ ❍ ●

❂ ✮ ✭❃ ✯

❇ ❊ ■❇❄❉ ❋❇❍ ❍ ●

✯✮ ✴ ❂✯ ❁✯✰ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯ ❃ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯❃

❭ ❊ ▲ ❭ ❊ ❄ ❇ ❋ ❭ ❊ ❄ ❇ ❋

✰✴ ✯✮ ✴❂✯ ❂ ❂❃✯

❨ ❄ ❊ ❉ ❇

❁ ✯ ❂ ✴ ❂ ✭✴ ❬❃ ✭✮ ✴ ✭✴ ❬❃ ✭✮ ✴

❇ ❄ ❄ ❄ ❇ ❉ ❉❇ ❍ ❍❅ ❋❄ ❍ ❍❅ ❋❄

✭✴ ❬❃ ✭✮ ✴

❍ ❍❅ ❋❄

✭✴ ❬❃ ✭✮ ✴ ❃ ❁ ✴✯ ❂ ❃ ❁ ✴ ✯ ❂ ▼◆❖ ◗❘ ◗❱❲⑨

❍ ❍❅ ❋❄ ⑩ ❅ ❍❏ ❇ ❊ ⑩ ❅ ❍❏ ❇ ❊

❃ ❁ ✴✯ ❂

⑩ ❅ ❍❏ ❇ ❊

❃ ❁ ✴✯ ❂ ✭❂❃ ✴✯ ✭❂❃ ✴✯ ✴ ✴

⑩ ❅ ❍❏ ❇ ❊ ❉❇ ❅ ❍❏ ❉ ❇ ❅ ❍❏ ■ ❍❏ ▲ ❋❋

✭❂❃ ✴✯

❉ ❇ ❅ ❍❏●

✭❂❃ ✴✯ ❁❂ ✴ ✭✴❂ ✴❂ ✯ ❂ ✴ ✴

❉❇ ❅ ❍❏ ● ❊ ❊ ❋❏● ❇ ❊ ■ ❍❏ ▲ ❋ ❋●

✰✴ ✯✮ ✴❂✯ ✭ ✯ ❁ ✰✴ ✯✮ ✴❂✯ ✰

❨ ❄ ❊ ❇ ❍ ❇❋ ❋❏ ❨ ❄ ❊ ❇ ❄ ❇

✰✴ ✯✮ ✴❂✯ ❃ ✴ ❂ ❃✯ ✰✴ ✯✮ ✴❂✯ ✰ ✯ ✰✴

❨ ❄ ❊ ❊ ❄ ❨ ❄ ❊ ❇ ❄

✴ ❃❃ ❀ ❁ ❁✯ ✯❃ ✰ ✯✰✴ ④ ❁ ✯ ❃ ❁ ✯

■ ❍❏ ❵ ❊ ❇ ❋ ❏ ❇ ❄ ❄ ❋ ❋❄ ❇ ❄❄ ❄

✰ ✴ ✯ ✰✴ ❀ ❁ ❁✯ ✯ ❃ ❀ ❁ ❁✯ ✯ ❃ ❁ ✯ ✯ ✰✴

❇ ■ ❇ ❋ ❏ ❇ ❋ ❏ ❇❄❄ ❄

❁ ✯ ✯ ✰✴ ❃ ✯❃ ❁❂ ✯ ✰✴ ❃ ✯❃ ❁❂

❇ ❄❄ ❄ ❊ ❉ ❍ ❊ ❉ ❍

❁ ✯ ✯ ✰✴ ❃ ✯❃ ❁❂ ❃ ✯❃ ❁❂ ❁ ❂ ❃ ✯ ❁

❇ ❄ ❄ ❄ ❊ ❉ ❍ ❊ ❉ ❍ ❊ ❇❵ ❄ ❉

❁ ❂❃ ✯❁ ✯✴ ✯ ❷ ❁ ❂❃ ✯❁ ✯✴ ✯ ❷

❊ ❇❵ ❄ ❉ ❄ ❄ ❊ ❇❵ ❄ ❉ ❄ ❄

❁ ❂❃ ✯❁ ✯✴ ✯ ❷ ✯✴ ✯ ❷ ✭✮❂ ✯✮ ✴ ❃ ❬ ✯ ✰✴

❊ ❇ ❵ ❄ ❉ ❄ ❄ ❄ ❄ ❉ ❍

✭✮❂ ✯✮ ✴ ❃ ❬ ✯ ✰✴ ✭✮❂ ✯✮ ✴ ❃ ❬ ✯ ✰✴ ▼◆❖ ◗❘ ◗❱❲

❉ ❍ ❉ ❍ ❶

✭✮❂ ✯✮ ✴ ❃ ❬ ✯ ✰✴ ❀ ❃ ❁❂ ❁✯ ⑧

❉ ❍ ❇ ❊ ❅ ❇ ❋ ❉❇ ■ ❏

❀ ❃ ❁❂ ❁✯ ⑧ ❀ ❃ ❁❂ ❁✯ ⑧

❇ ❊ ❅ ❇ ❋ ❉❇ ■ ❏ ❇ ❊ ❅ ❇ ❋ ❉❇ ■ ❏

❀ ❃ ✴❂ ⑧ ✭ ✴✮ ⑧ ✭ ✴✮ ⑧ ❀❃❂✴ ❃

❇ ❊ ❅ ❋ ❍❇ ❋ ❍❇ ❅❇❍❍ ▲

✭ ✴✮ ⑧ ❀❃❂✴ ❃ ✭ ✴✮ ⑧ ❀❃❂✴ ❃

❋ ❍❇ ❅❇❍❍ ▲ ❋ ❍❇ ❅❇❍❍ ▲

❀❃ ❂✴ ❃ ❂ ✴ ✯ ✯ ❁❃❂ ❂ ✮ ❀

❅❇❍❍ ▲ ❇ ❊ ⑩ ❍❇❉ ❇ ❊ ❋ ❅ ❇❍

✴ ✯ ✯ ❁❃❂ ❂ ✮ ❀ ✴ ✯ ✯ ❁❃❂ ❂ ✮ ❀

⑩ ❍❇❉ ❇ ❊ ❋ ❅ ❇❍ ⑩ ❍❇❉ ❇ ❊ ❋ ❅ ❇❍

✮ ❀ ✭✮❂ ✯✮ ✴ ✭✮❂ ✯✮ ✴

❋ ❅ ❇❍ ❉ ❍ ❉ ❍ ● ●

✭✮❂ ✯✮ ✴ ✭✮❂ ✯✮ ✴

❉ ❍ ● ❉ ❍ ●

✰✴ ✯✮ ✴❂✯ ❁ ❂❃✯ ⑥ ✯✮ ✴❂ ✯ ❁✯ ✰ ✯✮ ✴ ❂✯ ❂ ④ ❁ ❬✮

❨ ❄ ❊ ❄ ❄ ❊ ▲ ❭ ❊ ❉ ❇ ❄ ❋ ❋❋❏

✰✴ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯❃

❨ ❄ ❊ ❄ ❇ ❋

❀ ✴ ✯❃ ❃ ✴ ✯ ❁ ✯ ❂ ✴ ❂ ❂ ❁❂ ✴ ✭✴❂ ✴❂✯

❇ ❋ ❉ ❋ ❋ ❉ ❇ ❄ ❄ ❄ ❇ ❉ ❉❇ ❇ ❊ ❊ ❊ ❋❏

❃ ✴ ✯ ✯✴ ❁ ❬❃

❉ ❋❋ ❉ ❅❇ ❍ ❇❋ ❍

✯✴ ❁ ❬❃ ❃ ❂ ❃ ✯✴ ❁ ❬❃ ▼◆❖ ◗❘ ◗❱ ◆ ❃ ❂ ❃ ✯✴ ❁ ❬❃

❅❇ ❍ ❇ ❋ ❍ ❊ ▲ ❋ ❇ ❊ ❅❇ ❍ ❇ ❋ ❍ ❸ ❊ ▲ ❋ ❇ ❊ ❅❇ ❍ ❇ ❋ ❍

❀ ❃ ✯❃ ❂

❋❇ ❍❇ ❍❏ ❇ ❊

❀ ❃ ✯❃ ❂ ❀ ❃ ✯❃ ❂ ❀❃ ✯❃ ❂

❋❇ ❍❇ ❍❏ ❇ ❊ ❋❇ ❍❇ ❍❏ ❇ ❊ ❋❇ ❍❇ ❍❏ ❇ ❊

❀ ✯✴ ❁❃ ❃ ❁ ✯✴ ✯

❇❉ ❍ ❋ ❵ ❉❇❋ ❄ ❄ ●

❀ ✯✴ ❁❃ ❃ ❁ ✯✴ ✯ ❀ ✯✴ ❁❃ ❃ ❁ ✯✴ ✯ ❀ ✯✴ ❁❃ ❃ ❁ ✯✴ ✯

❇❉ ❍ ❋ ❵ ❉❇ ❋ ❄ ❄ ● ❇❉ ❍ ❋ ❵ ❉❇❋ ❄ ❄ ● ❇ ❉ ❍ ❋ ❵ ❉❇ ❋ ❄ ❄ ●

✰✴ ✯✮ ✴❂✯ ❃ ✴ ❂ ❃✯

❨ ❄ ❊ ❊ ❄

⑥ ✯✮ ✴❂ ✯ ❁✯ ✰ ✰✴ ✯✮ ✴❂✯ ✭ ❃ ✭✴ ✰✴ ✯✮ ✴❂✯ ✭✴ ❬❃

❄ ❊ ▲ ❨ ❄ ❊ ❍ ❍❋❏ ❨ ❄ ❊ ❍ ❍❅ ❄

✭✴ ❬❃ ✭ ❃✭✴

❍ ❍❅ ❍ ❍

❁ ✯ ❂ ✴ ✭✴ ❬❃ ✭✴ ❬❃ ❀ ✯✰ ❬❃ ✯ ✰✴ ❀ ✯ ✰ ❃ ❬ ❂✴ ❀❃ ❂

❇ ❄❄ ❄ ❇ ❉ ❍ ❍ ❅❄ ❍ ❍❅❄ ❇ ❇ ❍ ❇ ❇ ❇ ▲ ❍

❀ ✯ ✰ ❁❂ ❃ ❬ ❂✴ ❀❃ ❂

❇ ❵ ❇ ▲ ❍

▼◆❖ ◗❘ ◗❱ ❖ ❂ ✴ ❀ ❃ ❂ ❂ ❁❂❬ ❂ ✯ ❂ ❀ ❀ ✴ ✴ ❂✴ ❀❃ ❂ ❂ ❂

❸ ❇ ▲ ❍ ❇ ❊ ❇ ❇ ❊ ❇ ❏ ■ ❍❏ ▲ ❋ ❋ ▲ ❍ ❇ ❊ ❇

❂ ❂ ❁❂❬ ❂ ✯ ❂

❇ ❊ ❇ ❇ ❇ ❊

❀ ✯ ✰ ❂ ❃❂❁✯❃ ❁✯ ❂ ❃ ❂ ❁✯❃ ❁✯ ❁❂❬ ❂✯ ❂ ❃❂❁✯❃

❇ ❇ ❊ ❅ ❍❄ ❄ ❇ ❊ ❅ ❍ ❄ ❄ ❇ ❇ ❊ ❅ ❍ ❄

❃ ✴ ❂ ❃✯ ❃❂ ❁✯❃ ❁✯

❊ ❄ ❅ ❍ ❄

✴ ✴ ❃ ✭ ✴ ❂✯ ✴ ✴ ❃ ✭ ✴❂✯ ❁✯ ✴ ✴ ❃ ✭ ✴❂✯

❊ ■ ❋ ❅ ● ❊ ■ ❋ ❅ ● ❄ ❊ ■ ❋ ❅ ●

✴ ✴ ❃ ✭ ✴❂✯

❊ ■ ❋ ❅ ●

✰✴ ✯✮ ✴❂✯ ❃ ✴ ❂ ❃✯ ✰✴ ✯✮ ✴❂✯ ✰ ✰✴ ✯✮ ✴❂✯ ✰ ✰✴ ✯✮ ✴❂✯ ✰

❨ ❄ ❊ ❊ ❄ ❨ ❄ ❊ ❇ ❄ ❇ ❨ ❄ ❊ ❇ ❄ ❨ ❄ ❊ ❇ ❄

✰ ✴ ✯ ✰✴ ❀ ❁ ❁✯ ✯ ❃ ✭ ✯ ❁ ❀❁ ❁✯ ✯ ❃ ❁❂ ✴ ✭✴❂ ✴❂✯ ④❁ ✯❃ ❃ ✭ ✴ ✰✴❂ ❁ ✴ ④ ❁

❇ ■ ❇ ❋ ❏ ❇❍ ❇❋ ❇ ❋ ❏ ❊ ❊ ❄ ❋❋❄ ❉ ❅ ❍ ❄ ■ ❄ ❋❋❄

✯❃ ✭ ✴ ✭ ✴ ✰❁ ✴ ❬ ✭ ✴ ✭ ✴ ✰❁ ✴ ❬ ❂ ✭ ✴ ✭ ✴ ✰❁ ✴ ❬ ❂ ✭ ✴ ✭ ✴ ✰❁ ✴ ❬ ❂

❍ ❇ ❍ ❅❄ ❋ ❍ ❇ ❍ ❅ ❄ ❋ ❇ ❊ ❍ ❇❍ ❅ ❄ ❋ ❇ ❊ ❍ ❇❍ ❅ ❄ ❋ ❇ ❊

▼◆❖ ◗❘ ◗❱ ❲ ✴ ✮ ❁✭ ✴❂✯ ✯❃ ✴ ✮ ❁ ✭ ✴❂✯ ✯❃ ✴ ✮ ❁✭ ✴❂✯ ✯❃ ❂ ✴ ✮ ❁✭ ✴❂✯ ✯❃

❸ ❹ ❅ ❹ ❅ ❹ ❅ ❇ ❊ ❹ ❅

❁❂ ✯ ✮ ✴❂✯ ❂ ❁❂ ✯ ✮ ✴❂✯ ❂ ❁❂ ✯ ✮ ✴❂✯ ❂ ❁❂ ✯ ✮ ✴❂✯ ❂

❄ ❍ ❅ ❇ ❊ ❄ ❍ ❅ ❇ ❊ ❄ ❍ ❅ ❇ ❊ ❄ ❍ ❅ ❇ ❊

✰ ❂ ✴ ✯✰✴ ✴ ❁❂ ✰ ❂ ✴ ✯ ✰✴ ❃✮ ❂ ✰ ❂ ✴ ✯✰✴ ❃✮❂ ✰ ❂ ✴ ✯✰✴ ❃✮ ❂

❉ ❇ ❵ ❊❍ ❄❄ ❵ ❉ ❇ ❵ ▲ ❊ ❉ ❇ ❵ ▲ ❊ ❉ ❇ ❵ ▲ ❊

❃❂ ✯ ✰✴ ❃✮❂ ✴ ❁❂ ✴ ❁❂ ✴ ❁❂

▲ ❊● ❊❍ ❄❄ ❵ ● ❊❍ ❄❄ ❵ ● ❊❍ ❄❄ ❵●

✰✴ ✯✮ ✴❂✯ ❁ ✮❂ ❀ ✴ ✰✴ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯❃ ✰✴ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯❃ ✯✮ ✴❂✯ ❁ ❀ ✴ ✯❃

❨ ❄ ❊ ❄ ❇ ❋ ❨ ❄ ❊ ❄ ❇ ❋ ❨ ❄ ❊ ❄ ❇ ❋ ❭ ❊ ❄ ❇ ❋

✯❃ ④ ✴✴✭ ✴ ❃ ❃❬ ✭ ✯ ❁ ④✴✴ ✭ ✴ ❃ ❃ ✮✯ ❂ ✮ ❁❂ ✴ ❃ ✮✯ ❂ ✮ ❁❂ ✴

❍ ❉ ❍❊❄ ❇❍ ❇ ❋❋❏ ❍ ❉ ❍❊❄ ❉ ❇❍❍❏ ❍ ❄ ❵ ❉ ❇❍ ❉ ❇❍❍❏ ❍ ❄ ❵ ❉ ❇❍

❂ ✮ ❁❂ ✴ ⑧ ❃ ❬ ❂✮ ❁❂ ✴ ⑧ ❃ ✮ ✴❂✯ ✯ ❁❃❂ ✴ ⑧ ❃ ✮ ✴ ❂✯ ✯ ❁❃❂ ✴

❍ ❄ ❵ ❉ ❇❍ ❍❄ ❵ ❉❇❍ ❊ ❉ ❅ ❇ ▲ ❋ ❋ ❊ ❉ ❅ ❇ ■ ❍❏

▼◆❖ ◗❘ ◗❱

❸❸

❁❂ ✮ ❁❂ ❂✮ ❁❂ ❁❂ ✮ ❁❂ ❂✮ ❁❂ ❁❂ ✮ ❁❂ ❂✮ ❁❂ ✴ ⑧ ❁❂ ✮ ❁❂

❉ ❋ ❊ ❵ ❍ ❄ ❵ ❉ ❋ ❊ ❵ ❍ ❄ ❵ ❉ ❋ ❊ ❵ ❍ ❄ ❵ ▲ ❋❋ ❉❋ ❊ ❵

✰❁ ✯❃ ⑧ ❃❀ ✴ ✯ ❁❃❂ ✰❁ ✯❃ ⑧ ❃❀ ✴ ✯ ❁❃❂ ✰❁ ✯❃ ⑧ ❃❀ ✴ ✯ ❁❃❂ ❂✮ ❁❂ ✰❁ ✯❃ ⑧

❄ ❍❏ ❄ ❍ ■❇ ❄ ❍❏ ❄ ❍ ■❇ ❄ ❍❏ ❄ ❍ ■❇ ❍ ❄ ❵ ❄ ❍❏

⑧ ❬✴ ✴ ⑧ ⑧ ❬✴ ✴ ⑧ ❀❃ ❃④ ⑧ ❬✴ ✴ ⑧ ❀ ❃❃④ ❃ ❀ ✴ ✯❁❃❂ ⑧

❉ ❇❍ ❊❄ ■ ❍ ❉ ❇❍ ❊❄ ❉ ❇❍ ❊ ■ ❍ ❉❇❍ ❊ ❉ ❇❍ ❊ ■ ❍ ❉❇❍ ❊ ❄ ❍ ■❇ ❉❇❍ ❊ ✪✫

❼ ❽❽❾ ❿➀➁ ❽❿➂➃➄ ❽ ❿➀➁ ❽❿➂➃➄ ➁ ❿➀ ➀ ➂ ❽ ❽ ❿➀➁ ❽❿➂➃➄ ➁ ❿➀ ➀ ➂ ❽ ➀ ➀❿ ❿ ➄ ❼ ❽❽❾ ❽

➋ ➅ ➆ ➇ ➆ ➋ ➅ ➆ ➇ ➆ ➋ ➅ ➎ ➈ ➉ ➋

➀ ❼ ➂ ➃ ➂ ❿➀ ➂ ➀ ➂ ❽ ➁ ❿➀ ➀ ➂ ❽ ❿➀➁ ❽❿➂➃➄ ➁ ❿➀ ➀ ➂ ❽

➈ ➆➉ ➉ ➎➌ ➇ ➌ ➈ ➆➉ ➈ ➊ ➆ ➋ ➅ ➆ ➇ ➆ ➈ ➆➉ ➅ ➆ ➇ ➆

➂ ❿➀ ➂ ➀ ➂ ❽ ➁ ❿➀➃➃ ❿➀ ➂ ❿➀ ➂ ➀ ➂ ❿ ➀ ➁ ❿➀➃➃ ❿➀ ➓ ➀❿➃ ➀ ➂ ❿➀ ➂ ➀ ➂ ❽

➈ ➊ ➆ ➋ ➌ ➈ ➊ ➆ ➎ ➈ ➉➏ ➐ ➌ ➌ ➎ ➏ ➐ ➈ ➆ ➉ ➈ ➊ ➆ ➋

➃ ❽❿➀➃➍ ❽ ➂➃ ➑ ➂ ➀ ❽ ➂➃ ➓ ➂➂ ➓➀ ❽❿ ➓ ➁ ❿➀➃➃ ❿➀ ➓ ➀❿➃➍

➎ ➊➊➇ ➌ ➇ ➎ ➊➊➇ ➇ ➋ ➊➈ ➌ ➌ ➎

➃ ➒ ➂ ➂ ➓ ➀❿❿❽ ❿➃➍

➇ ➆➇➋➇➎➈ ➆ ➋ ➈➎ ➌ ➈

➀❿❿❽ ❿➃➍

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ➀ ➃ ➂ ➀ ➂ ❽➂➀➃ ➂ ➀ ➂ ➀❿ ➀ ➓➓

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➝➐ ➌ ➉ ➆ ➆ ➡ ➌ ➉ ➆ ➅ ➟ ➠

❿➀ ❽❿ ➂ ➀ ➀ ➀ ➂ ❽ ➀ ➓➓ ➂ ➀ ➀ ➀ ➂ ❽ ❽ ❽➂ ➀➃ ➂ ➀ ➀ ➀ ➂ ❽ ❿➀ ❽❿ ➃ ➂ ➀ ➀ ➀ ➂ ❽

➎ ➉ ➐ ➞ ➎➌ ➇ ➆ ➠ ➐ ➞ ➎ ➌ ➇ ➆ ➋ ➆ ➇➎ ➐ ➞ ➎ ➌ ➇ ➆ ➎ ➉ ➐ ➞ ➎➌ ➇ ➆

➔→➣ ↔↕ ↔➙➛➜

❽ ❽ ❿ ➀❿➃ ➂ ➀ ❽❿ ➀ ❿➃ ➂ ➀ ➀ ➓ ❽ ❽ ❿ ➀❿➃ ➂ ➀ ❽ ❽ ❿ ➀❿➃ ➂ ➀

➋ ➉ ➇ ➆ ➐ ➉ ➇ ➆ ➐ ➊ ➉➇➎➈ ➋ ➉ ➇ ➆ ➐ ➋ ➉ ➇ ➆ ➐

➀ ➓ ❽❿ ➀❿ ❿ ➍ ❽ ❿ ➀❿ ❿ ➍ ➀ ➓ ❽ ❿ ➀❿ ❿ ➍ ➀ ➓ ❽❿ ➀❿ ❿ ➍

➊ ➉➇➎➈ ➉ ➎➈ ➉ ➉ ➎ ➈ ➉ ➊ ➉➇➎➈ ➉ ➎➈ ➉ ➊ ➉➇➎➈ ➉ ➎➈ ➉

➀ ➃➂ ➀ ➂ ➃

➝➐ ➌ ➉ ➆ ➐➈

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ➀ ➃ ➂ ➀ ➂ ➃

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➝➐ ➌ ➉ ➆ ➐➈

➀➁➀ ➀ ➂

➇ ➆ ➉ ➆➉ ➆ ➈ ➆ ➉

➀ ➂ ➀ ➃ ❾ ➓ ➓➃ ➂❽ ➀➓➁ ➃ ➂ ➀ ➃ ❾ ➓ ➓➃ ➂ ❽ ➀ ➓➁ ➀➁➀ ➀ ➂ ➃❾ ➓➓➃ ➂ ❽

➐➈➅ ➐ ➇ ➐ ➐➈ ➐ ➇ ➐ ➇ ➆➉ ➆ ➉ ➆ ➇

❽ ➁ ➀➂➀ ➂ ➃❾ ➓➓➃ ➂ ❽

➎ ➊ ➆ ➇

➂ ➀ ➁ ➂ ➀ ➂ ➁➂ ➂❽ ➂ ➀ ➁ ➂ ➀ ➂ ➁ ➂ ➂❽ ➀➓➁ ➂ ➀ ➁ ➂ ➀ ➂ ➁➂

➐ ➈ ➇ ➆ ➈ ➉➈ ➐ ➈ ➇ ➆ ➈ ➉➈ ➐ ➐ ➈ ➇ ➆ ➈ ➉➈

➀➓➁ ➂ ➀ ➁ ➂ ➀ ➂ ➁➂

➐ ➐ ➈ ➇ ➆ ➈ ➉➈

➂ ➀ ❽ ➂ ❽ ➃ ➂ ➀ ❽ ➂ ❽ ➃ ➂ ❽ ➂ ➀ ❽ ➂ ❽ ➃

➐ ➎ ➆➉➇ ➇ ➆ ➐ ➎ ➆➉➇ ➇ ➆ ➐ ➎ ➆➉➇ ➇ ➆

➂ ❽ ➂ ➀ ❽ ➂ ❽ ➃ ➢

➐ ➎ ➆ ➉➇ ➇ ➆ ➔→➣ ↔↕ ↔➙➛

➁ ❿➀ ➓ ➒ ➂ ➀ ➁ ❿➀ ➓ ➒ ➂ ➀ ➁ ❿➀ ➓ ➒ ➂ ➀

➅➈➇ ➇➆ ➇➆ ➐ ➅➈➇ ➇➆ ➇➆ ➐ ➅➈➇ ➇➆ ➇ ➆ ➐

➁ ❿➀ ➓ ➒ ➂ ➀

➅➈➇ ➇➆ ➇➆ ➐

❽➃➁ ➂ ➓ ❽➂ ➀ ❿ ❽➃➁ ➂ ➓ ❽➂ ➀❿ ❽➃➁ ➂ ➓ ❽➂ ➀❿

➐ ➇ ➈ ➈ ➆➉ ➇ ➆ ➐ ➐ ➇ ➈ ➈ ➆➉ ➇ ➆ ➐ ➐ ➇ ➈ ➈ ➆➉ ➇ ➆ ➐

❽➃➁ ➂ ➓ ❽➂ ➀ ❿

➐ ➇ ➈ ➈ ➆ ➉ ➇ ➆ ➐

➀ ➂ ➀ ❿➁❿ ➃ ➀➃ ❽ ➂ ➀ ❽ ➁ ➀➃ ❽ ➂ ➀ ➀ ➂ ➀ ❿➁❿ ➃ ➀➃ ❽ ➂ ➀

➆ ➇ ➋ ➐ ➎ ➊ ➈ ➆➇ ➋ ➐ ➆ ➇ ➋ ➐

❽ ➁ ➀➃ ❽ ➂ ➀

➎ ➊ ➈ ➆➇ ➋ ➐

➀ ➓ ➀ ➂ ➂ ➍ ➀ ➓ ➀ ➂ ➂ ➍ ➀ ➓ ➀ ➂ ➂ ➍

➊ ➉➇➎➈ ➆ ➇ ➟ ➊ ➉➇➎➈ ➆ ➇ ➟ ➊ ➉➇➎➈ ➆ ➇ ➟

➂ ➀ ❿ ➁➀ ➂ ➀ ➂ ➂ ➍

➐ ➈ ➌ ➇➎ ➆ ➇ ➟

➀ ➃ ➂ ➀ ➂ ❽➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟

➀ ➃ ➂ ➀ ➂ ❿➀➃➁ ➀ ➂➃ ➀ ➃ ➂ ➀ ➂ ❿➀➃➁ ➀ ➂➃

➝➐ ➌ ➉ ➆ ➎ ➝➐ ➌ ➉ ➆ ➎

❿➀➃➁ ➀ ➂ ➂ ➀ ➒ ➂ ❿➀➃➁ ➀ ➂➃ ➂ ➀ ➒ ➂

➎ ➐ ➉➇ ➆➇ ➟ ➎ ➐ ➉➇ ➆➇ ➟

➂ ➀ ➒ ➂ ➂ ➀ ➒ ➂

➐ ➉➇ ➆➇ ➟ ➈ ➆➉ ➐ ➉➇ ➆➇ ➟ ➈ ➆ ➉

➂ ❽ ❽ ❽ ➂ ❽ ❽ ❽

➔→➣ ↔↕↔↕→➣ ➈ ➆➉ ➈➌ ➆ ➊➟ ➋ ➈ ➆➉ ➈➌ ➆ ➊➟ ➋

➂ ❽ ❽ ❽ ➁ ➀ ❽➁➓➀ ➂ ❽ ❽ ❽ ➁ ➀❽➁➓ ➀

➈➌ ➆ ➊➟ ➋ ➈➌ ➆ ➊➟ ➋

➁ ➀❽➁ ➓➀ ➀ ➂ ❿ ➃➂ ➀ ➂ ❽ ➁ ➀❽➁ ➓➀ ➀ ➂ ❿ ➃➂ ➀ ➂ ❽

➆ ➌ ➉ ➆ ➌ ➉

➀ ➂ ❿ ➃➂ ➀ ➂ ❽ ➍ ➀ ➂ ❿ ➃ ➂ ➀ ➂ ❽ ➍

➆ ➌ ➉ ➐➇➊ ➆ ➌ ➉ ➐➇➊

➍ ➀ ❿➍

➐➇➊ ➐➇➊ ➤ ➐

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ➀ ➃ ➂ ➀ ➂ ➀ ❿ ➀➃ ➂ ➀ ➂ ➁ ➀❿ ➀ ➂➓

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➝➐ ➌ ➉ ➆ ➆ ➇➎ ➐ ➡ ➌ ➉ ➆ ➋ ➎ ➟

➀ ❿ ➁ ❿❽ ➀➃➃ ❽ ➓ ➁ ❿❽ ➀➃➃ ❽ ➓ ➀ ❿ ➀➃ ➁ ❿❽ ➀➃➃ ❽ ➓ ➀ ❿ ➀➃ ➁ ❿❽ ➀➃➃ ❽ ➓

➆ ➇ ➎➐ ➋ ➇ ➆➈ ➋ ➇ ➆➈ ➆ ➇ ➎➐ ➋ ➇ ➆➈ ➆ ➇ ➎➐ ➋ ➇ ➆➈

❾ ❽ ➓➀ ➒ ➀ ❽ ➀➃ ❾ ❽ ➓➀ ➒ ➀ ❾ ❽ ➓➀ ➒ ➀ ❾ ❽ ➓➀ ➒ ➀

➆ ➠ ➉ ➈ ➆ ➉ ➉ ➆ ➠ ➉ ➈ ➆➉ ➔→➣ ↔↕↔↕→➥ ➆ ➠ ➉ ➈ ➆➉ ➆ ➠ ➉ ➈ ➆➉

❽➂ ➀ ➀➓❽➁ ➃ ❾ ➓ ➓➃ ➂ ❽ ➃ ➁➀➃ ➃❾ ➓➓➃ ➂ ❽ ➃ ➀➀❾ ➃ ➁➀➃ ➃ ❾ ➓ ➓➃ ➂ ❽ ➃ ➀➀❾ ➃ ➁➀➃ ➃❾ ➓➓➃ ➂ ❽ ➃ ➀➀❾

➆ ➉ ➅ ➇ ➐➈ ➇ ➐➈ ➇ ➐➈ ➇

➃ ➀➀❾ ➁ ❿❽ ➀➃➃ ❽ ➓ ➃ ➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➃ ➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➃ ➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➃ ➍

➋ ➇ ➆➈ ➇ ➊ ➋ ➇ ➆➈ ➇ ➊ ➋ ➇ ➆➈ ➇ ➊ ➋ ➇ ➆➈ ➇ ➊

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ➀ ➃ ➂ ➀ ➂ ➀❿➀➃ ➂ ➀ ➂ ➁ ➀❿ ➀ ➂➓

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➝➐ ➌ ➉ ➆ ➈➉➐ ➡ ➌ ➉ ➆ ➋ ➎ ➟

❽❼➃ ➀❿ ➀ ➂ ➀ ➓ ➀➃➄ ➂ ❽ ➂ ➀ ➓ ➀➃➄ ➂ ➀➃ ❿➀➃➁ ➀ ➂➃ ➂ ➀ ➓ ➀➃➄ ❽❼➃ ➀❿ ➀➃ ➓ ➀➃➄

➅ ➐ ➅➈ ➌ ➐ ➅➈ ➌ ➉➌ ➇ ➎ ➐ ➅➈ ➌ ➅ ➅➈ ➌

➔→➣ ↔↕↔↕→➛

➂ ➀➃ ❽❿ ➓ ❽ ❿ ➓ ➀ ➀ ➂ ➀➃ ❽❿ ➓ ➂ ➀➃ ❽❿ ➓

➉➌ ➇ ➈ ➆➉ ➊ ➈ ➈ ➆➉ ➊ ➈ ➋➋➇➎➇ ➆➎➟ ➉➌ ➇ ➈ ➆➉ ➊ ➈ ➉➌ ➇ ➈ ➆➉ ➊ ➈

➀ ➀ ❿➀➍ ❿➀➍ ➀ ➀ ❿➀➍ ➀ ➀ ❿➀➍

➋➋➇ ➎➇ ➆➎➟ ➇ ➆ ➎➈ ➇ ➆ ➎➈ ➋➋ ➇➎➇ ➆➎➟ ➇ ➆ ➎➈ ➋➋ ➇➎➇ ➆➎➟ ➇ ➆ ➎➈

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➀ ➃ ➂ ➀ ➂

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➝➐ ➌ ➉ ➆

➀ ➃➂ ➀ ➂

➝➐ ➌ ➉ ➆

➀ ❽ ➃➂ ❿ ➂ ➀➃ ➀ ❽ ➃ ➂ ❿ ➂ ➀➃ ➃ ❽ ❽❿ ➓

➉ ➊ ➆ ➈ ➈ ➉ ➊ ➆ ➈ ➐ ➠ ➊ ➈

➀ ❽ ➃➂ ❿ ➂ ➀➃ ❽ ❿ ➓

➉ ➊ ➆ ➈ ➊ ➈

➁ ❿➂ ➓ ❽❿ ➓ ➀ ➀ ➁ ➓ ❿ ❽❿ ➓ ❿➀➃➁ ❽ ➃ ❼ ➓ ➂ ❽❿

➈ ➇➈ ➊ ➈ ➞ ➊ ➈ ➟ ➊ ➈ ➆ ➇ ➇ ➇ ➟ ➋ ➈

❿➀➃➁ ❽ ➃ ❼ ➓ ➂ ❽ ❿

➆ ➇ ➇ ➇ ➟ ➋ ➈ ➔→➣ ↔↕↔↕→➜

❿➀➃➁ ❽ ➃ ❼ ➓ ➂ ❽❿ ❿➀➃➁ ❽ ➃ ❼ ➓ ➂ ❽❿ ❽❿

➆ ➇ ➇ ➇ ➟ ➋ ➊➈ ➆ ➆ ➇ ➇ ➇ ➟ ➋ ➈ ➊➈➆ ➈ ➆➉ ➋

➁ ➀❿ ❽ ❿ ➒

➊➈➆ ➈ ➆➉ ➋ ➊➇ ➆

➁ ➀❿ ❽ ❿ ➒ ➁ ➀❿ ❽ ❿ ➒ ➁ ➀❿ ❽ ❿ ➒

➈ ➆➉ ➋ ➊➇➆ ➊➈ ➆ ➈ ➆ ➉ ➋ ➊➇ ➆ ➋ ➊➇ ➆

➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➃ ❾➃➍

➋ ➇ ➆➈ ➈

➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➃❾➃➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➃❾➃➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➃❾➃➍

➋ ➇ ➆➈ ➈ ➋ ➇ ➆➈ ➈ ➋ ➇ ➆➈ ➈

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ➀ ➃ ➂ ➀ ➂ ➀❿➀➃ ➀ ➃ ➂ ➀ ➂ ❽❼➃➀❿ ➀➃

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➝➐ ➌ ➉ ➆ ➈➉➐ ➝➐ ➌ ➉ ➆ ➅

➢ ➀➓➓ ➂ ❽ ➂ ➀ ➁ ➂ ➀ ➂ ➃ ❿➀➃➁ ➀ ➂ ➂ ➀ ➁ ➂ ➀ ➂ ➃ ❿➀➃➁ ➀ ➂➃ ➂ ➀ ➁ ➂ ➀ ➂ ➃ ➂ ➀ ➁ ➂ ➀ ➂ ➃ ➓

➔→➣ ↔↕↔↕→ ➠ ➐ ➈ ➇ ➆ ➦ ➎ ➐ ➈ ➇ ➆ ➦ ➎ ➐ ➈ ➇ ➆ ➦ ➐ ➈ ➇ ➆ ➦ ➈➠

❿ ➒ ➂ ❿ ➒ ➂➃➍ ❿ ➒ ➂➃ ➁ ➀❿ ➀ ➂ ➓

➇ ➐ ➇ ➐ ➇ ➐ ➋ ➎ ➟

➂ ➀ ➂ ❿➀➓ ❼ ➓ ➂ ➀ ➂ ❿➀ ➓ ❼ ➓

➡ ➌ ➉ ➆ ➌ ➆ ➇ ➈ ➟ ➡ ➌ ➉ ➆ ➇➈ ➟ ➈ ➆➉

➀ ➃ ➂ ➀ ➂ ➁ ➀❿ ❽❿ ➃ ➀ ➃ ➂ ➀ ➂ ➁ ➀❿ ❽❿ ➃

➝➐ ➌ ➉ ➆ ➋ ➊ ➝➐ ➌ ➉ ➆ ➋ ➊

❿ ➂ ➀ ➓ ➀❿ ❿ ➂➀➓

➈ ➆ ➉ ➇➆➈➎➎➌ ➈ ➟ ➅ ➟ ➈➎ ➎➌ ➈ ➟

➧ ➁ ❿➂ ➓➓ ➀ ➂ ❿ ➃➂ ➀ ➃ ➃ ➒ ➀ ➁ ❿❽ ➀➃➃ ❽ ➓

➔→➣ ↔↕↔↕→ ➈ ➇ ➈ ➟ ➆ ➌ ➉ ➈ ➇ ➆ ➉ ➋ ➇ ➆➈

➁ ➀ ❿ ❽❿ ➃ ➃➃ ➒ ➀ ➁ ➀ ❿ ❽❿ ➃ ➃➃ ➒ ➀

➋ ➊ ➈ ➇ ➆ ➉ ➋ ➊ ➈ ➇ ➆ ➉

➂ ➀➃➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➀➃➍

➉➌ ➇ ➋ ➇ ➆➈ ➉➌ ➇

➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➀➃➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➂ ➀➃➍

➋ ➇ ➆➈ ➉➌ ➇ ➋ ➇ ➆➈ ➉➌ ➇

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ➀ ➃ ➂ ➀ ➂ ➀❿➀➃ ➀ ➃ ➂ ➀ ➂ ❽❼➀ ➃

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➝➐ ➌ ➉ ➆ ➈➉➐ ➝➐ ➌ ➉ ➆ ➟

❿➀➃➁ ➀ ➂➃ ➁ ❿❽ ➀➃➃ ❽ ➓ ➨ ❽❼➃ ➀❿ ➀ ➁ ❿❽ ➀➃➃ ❽ ➓ ➀ ➓➓ ➂ ❽ ➁ ❿❽ ➀➃➃ ❽ ➓ ➁ ❿❽ ➀➃➃ ❽ ➓

➎ ➋ ➇ ➆➈ ➔→➣ ↔↕↔↕→ ➅ ➋ ➇ ➆➈ ➠ ➋ ➇ ➆➈ ➋ ➇ ➆➈

➃ ➀ ❿➀ ➍ ➃ ➀ ❿➀➂➃➍ ➃ ➀ ❿➀ ➍ ❽ ➀ ➂ ➓ ➂ ➍

➎ ➎ ➟ ➎ ➎ ➎ ➟ ➎ ➆➋➇➉ ➆ ➇➈ ➇ ➟

➀ ➃➂ ➀ ➂ ➂ ➀ ➂

➝➐ ➌ ➉ ➆ ➡ ➌ ➉ ➆

➀ ➃ ➂ ➀ ➂ ❽ ➀➃ ❽➂ ➀ ➃➂ ➀ ➂ ➁ ❿➂ ➓ ➓ ❽❽➁➀❿ ➂ ➀➃ ➀➁➀ ➀ ➂ ➓

➝➐ ➌ ➉ ➆ ➉ ➆ ➝➐ ➌ ➉ ➆ ➈ ➇➈ ➟ ➎ ➈ ➇ ➆➉ ➆ ➉ ➆ ➟ ➈ ➆➉

❽❽➁➀❿ ➂ ➀ ➃ ➁ ❿➂ ❽ ❽❽➁➀❿ ➂ ➀➃ ➃ ➁ ❿➂ ❽ ➀➁➀ ➀ ➂ ➓ ➂ ➀ ➀ ➁ ➓ ❿

➎ ➈ ➈ ➈ ➋ ➎ ➈ ➈ ➈ ➋ ➇ ➆➉ ➆➉ ➆ ➟ ➠➇ ➐➇ ➆ ➞ ➊ ➈ ➟

➂ ➀ ➂ ➀❿ ➃ ➁➓ ❿ ➂ ➀❿ ➃ ➁ ➓ ❿ ➂ ➀❿ ➃ ➁ ➓ ❿ ❽❽➁➀❿ ➂ ➀➃ ➂ ➀

➐ ➇➆ ➉➇ ➎ ➇ ➇ ➆➈ ➟ ➈ ➆ ➇ ➆ ➉➇ ➎➇ ➇ ➆➈ ➟ ➈ ➆ ➇ ➆ ➉➇ ➎➇ ➇ ➆➈ ➟ ➎ ➈ ➇ ➆ ➐

➂ ➀ ➃ ❽➓ ➒ ➂ ➀ ➃ ❽➓ ➒ ➂ ➀ ➃ ❽ ➓ ➒ ➂ ➀❿ ➃ ➁➓ ❿ ➂ ➀

➈ ➊ ➇ ➆ ➅➇➆ ➈ ➊ ➇ ➆ ➅➇➆ ➈ ➊ ➇ ➆ ➅➇ ➆ ➇ ➆ ➉➇ ➎ ➇ ➇ ➆➈ ➟ ➈ ➊

➩

➔→➣ ↔↕↔↕→

➀➂ ➓ ➓➀ ➃ ➀➂ ➓ ➓➀ ➃ ➀➂ ➓ ➓➀ ➃ ➃ ❽➓ ➒ ➀➂ ➓

➐➇➎➈ ➉➇ ➊➊➈ ➐➇➎➈ ➉➇ ➊➊➈ ➐➇➎➈ ➉➇ ➊➊➈ ➇ ➆ ➅➇➆ ➐➇➎➈

➓➀ ➂ ➒ ➂ ➀ ➓➀ ➂ ➒ ➂ ➀ ➓➀ ➂ ➒ ➂ ➀ ➓ ➀ ➃ ➓➀

➠➐➇ ➊➈➇ ➆ ➈➇➆➇ ➆ ➐ ➠➐➇ ➊➈➇ ➆ ➈➇ ➆➇➆ ➐ ➠➐➇ ➊➈➇➆ ➈ ➇➆➇➆ ➐ ➉➇ ➊➊➈ ➠➐➇

❿ ➓➀➃ ❽ ➂ ➀ ❿ ➓➀➃ ❽ ➂ ➀ ❽ ➀ ❽ ❿ ➓➀➃ ❽ ➂ ➀ ❽ ➀ ❽ ➂ ➒ ➂ ➀

➌ ➋ ➐ ➌ ➋ ➐ ➎ ➉ ➋ ➌ ➋ ➐ ➎ ➉ ➋ ➊➈➇ ➆ ➈ ➇ ➆➇➆ ➐

➁ ❿❽ ➀➃➃ ❽ ➓ ➀➂ ➃ ➁ ❿❽ ➀➃➃ ❽ ➓ ➀➂ ➃➍ ➁ ❿❽ ➀➃➃ ❽ ➓ ➀➂ ➃ ➍ ➁ ❿ ➁ ➓➀➃ ❽ ➂ ➀ ❽ ➀

➋ ➇ ➆➈ ➐➇➎ ➋ ➇ ➆➈ ➐➇➎ ➋ ➇ ➆➈ ➐➇➎ ➇ ➆➎➇ ➋ ➐ ➎ ➉

❽ ➀➍ ❽ ➁ ❿❽ ➀➃➃ ❽ ➓ ➀➂ ➃➍

➎ ➉ ➋ ➋ ➇ ➆➈ ➐➇➎

➫

➔→➣ ↔↕↔↕→

➀ ➃➂ ➀ ➂ ➃ ❽➂ ➀ ➃➂ ➀ ➂ ➃ ➁ ❿➂➓ ➀ ➃ ➂ ➀ ➂ ➃ ❽➁➀ ➀ ➃ ➂ ➀ ➂ ➃

➝➐ ➌ ➉ ➆ ➇ ➆ ➝➐ ➌ ➉ ➆ ➇ ➈ ➟ ➝➐ ➌ ➉ ➆ ➇ ➆ ➝➐ ➌ ➉ ➆ ➇ ❺❻

➲➳➵ ➸ ➺➲ ➺➻➵ ➲➳➵ ➸ ➺➲ ➺➻➵ ➺➲ ➺➻➵ ➵ ➵ ➲➳ ➵ ➸➺ ➲ ➳➵❒ ➵ ➺ ➲ ➳➵➸ ➺➲ ➺➻➵

➼ ➽ ➾ ➚ ➪ ➪ ➬ ➾ ➱

➵ ➵ ➲➳ ➵ ➸➺ ➲ ➲ ➸ ➵ ➵ ➲ ➳ ➵ ➸➺ ➲ ➲ ➸ ➵ ➵ ➲➳ ➵ ➸➺ ➲ ➻ ➲ ➸ ➵ ➺ ➺ ➸

➼ ➽ ➾ ➚ ➪ ➶ ➼ ➽ ➾ ➚ ➪ ➶ ➼ ➽ ➾ ➚ ➪ ➮ ➹ ➶ ➹ ➘➴➷ ➬ ➮ ➽➮ ➱ ✃ ➼

➵ ➺ ➺ ➸ ➺➻➵ ➵ ➺ ➺ ➸ ➺➻➵ ➺➻➵ ➳ ➺ ➵➸➺❐ ➲ ➸ ➵ ➺ ➺ ➸

➹ ➘➴➷ ➬ ➮ ➽➮ ➱ ✃ ➼ ➹ ➘➴➷ ➬ ➮ ➽➮ ➱ ✃ ➼ ✃ ➮ ➶ ➹ ➘➴➷ ➬ ➮ ➽➮ ➱ ✃ ➼

➳ ➺ ➵ ➸➺❐ ➳ ➺ ➵➸ ➺❐ ➳ ➺ ➵➸➺❐

✃ ➮ ✃ ➮ ✃ ➮

➻➵ ➺ ➵➸ ➺ ➻➵ ➺ ➵ ➸➺

➹ ➘➼ ➹ ➘➼

➻➵ ➺ ➵ ➸➺ ➲➵ ➸ ➲➺ ➻➵ ➺ ➵➸➺ ➵ ➻ ➺

➹ ➘➼ ➼ ➹ ➹ ➘➼ ➮➴ ➮ ➹

➸ ➵ ➺ ➵ ➳ ➺➻ ➸ ➸ ➵ ➺ ➲➺ ➲

➚✃ ➮➪ ➹ ➹ ➚ ✃ ➱ ➮ ➚ ✃ ➮➪ ➹ ➹ ✃ ➾ ➪

➻ ➲ ➵ ➳ ➺➻ ➸ ➺➻➵ ➳ ❒➺ ➵ ➳ ➺➻ ➸

➹ ➶ ➚ ✃ ➱ ➮ ✃ ➮ ✃➾ ➚ ✃ ➱ ➮

➺➻➵ ❒➵ ➺ ➲ ➸ ➻ ➳ ➺➻ ➵ ➳ ➺➻ ➸ ❒➵ ➺ ➲ ➸ ➺➲

➾✃ ➮ ➹ ➮ ➶➮ ➚ ✃ ➱ ➮ ➾ ✃ ➮

❒➵ ➺ ➲➸ ➻ ➳ ➺➻ ➺➻➵ ❒➵ ➺ ➲➸ ➺➲ ➺➻➵ ➳ ➺ ➵ ➸ ➺ ❮❰ ❰

➾✃ ➮ ➹ ➮ ➶➮ ➾✃ ➮ ✃ ➮

➺➻➵ ➳ ➺ ➵ ➸➺ ➸ ➻ ➺➻➵ ➳ ➺ ➵➸➺ ➸ ➻

✃ ➮ ✃ ➼ ➮➹ ✃ ➮ ✃ ➼ ➮➹

➳ ➺ ➵ ➸➺ ➸ ➻ ➸ ➻ ➸

✃ ➮ ✃ ➼ ➮ ➹ ➪✃➚➮➾ ➱ ✃ ➼ ➮➹ ➪✃➚➮➾ ➱ ✃ ➼

➸ ➸

➪✃➚➮➾ ➱ ✃ ➼ ➪✃➚➮➾➱ ✃ ➼

➸ ➲ ➵ ➵ ❐ ➲ ➵ ➵ ❐

✃ ➼ ➬ ➾➾ ✃ ➘ ➹ ➬ ➾➾ ✃ ➘ ➹

➲ ➵ ➵ ❐ ➲ ➵ ➵ ❐

➬ ➾➾ ✃ ➘ ➹ ➬ ➾➾ ✃ ➘ ➹ ➭➯

PIE1.B06. Philosophy and ethics of nursing

Level 1st degree Field NURSING of study Form of study Stationary Profile practical Course Philosophy and ethics of Code PIE1.B06 ECTS points 3,5 nursing Social and Medical Faculty Unit Nursing and Midwifery Department Obligatory Status of course / Modular block B. Social sciences Form of classes, hours and ECTS points for separate forms of classes Year Semester W CW (SEM) BNA ZP PZ Theoretical education Practical education 1 2 30 30 30 ------Form of crediting ZO ZO ZO ------ECTS 3,5 ------Education area in direc- Medical sciences, health sciences and physical education sciences. tion of B. Social sciences + foreign language studies Field of science Health Sciences. Language English of lectures Prerequisites None. Familiarizing students with major phylosophical directions, selected human phylosophical con- Education goal cepts, basics of ethics as a moral theory, values, standards and moral assessments regarding nursing Correspond- ence level between the course educa- Reference to tional outcome Symbol of the the directional and the direc- course educa- Description of the course educational outcome educational tional educational outcome outcome tional outcome (+ - low, ++ - medium, +++ - high) B06_K_W01 Differentiates between general and professional ethics B.W41 +++ Knows the concepts of philosophy and ethics useful in nursing (psycho-personalistic, existentional, personalistic, B06_K_W02 B.W42 +++ space-evolutionary, independent ethics by Tadeusz Ko- tarbiński) Characterizes the essence of making ethical decisions B06_K_W03 B.W43 +++ and solving moral dilemmas in the work of a nurse

1 Knows the issue of normative ethics, including the axiology B06_K_W04 of values, duties and moral skills essential in the work of a B.W44 +++ nurse Understands the content of the code of professional ethics B06_K_W05 B.W45 +++ of nurses Differentiates between the rights, professional duties B06_K_U01 and moral obligations in the care provider's individual B.U27 ++ situation Respects human dignity in the relationship with a patient B06_K_U02 B.U28 ++ and his/her family B06_K_U03 Knows how to solve moral dilemmas at work B.U29 +++ B06_K_U04 Cares about moral and conscience development B.U30 +++ Develops systematically professional knowledge in philos- B06_K_K01 ophy and ethics of the nursing profession, develops skills, D.K2 ++ aims at achieving professionalism Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome B.W41 Differentiates between general and professional ethics Knows the concepts of philosophy and ethics useful in nursing (psycho-personalistic, existen- B.W42 tional, personalistic, space-evolutionary, independent ethics by Tadeusz Kotarbiński) Characterizes the essence of making ethical decisions and solving moral dilemmas in the work B.W43 of a nurse Knows the issue of normative ethics, including the axiology of values, duties and moral skills B.W44 essential in the work of a nurse B.W45 Understands the content of the code of professional ethics of nurses Differentiates between the rights, professional duties and moral obligations in the care provid- B.U27 er's individual situation B.U28 Respects human dignity in the relationship with a patient and his/her family B.U29 Knows how to solve moral dilemmas at work B.U30 Cares about moral and conscience development D.K2 Systematically develops professional knowledge and skills, aiming at professionalism CURRICULUM CONTENT Implemented Course sym- Subject of classes educational Hours bol outcomes Form of classes: lectures Main philosophical directions and their correspondence to the nursing profession. God, human and the world in the philoso- W01 phy of St. Augustine and St. Thomas Aquinas. Cartesian break- B06_K_W02 3 through in modern philosophy. Kant's theory of cognition. Free- dom and responsibility in terms of existentialism Selected philosophical concepts of human: The concept of human in the Bible. The ancient human concept. The Platonic human concept. The stoic human concept. The christian human W02 concept. The medieval human concept. St. Thomas's holomor- B06_K_W02 3 phic human concept. The renaissance human concept. The concept of an enlightened human. The utilitarianist human the concept. The liberal human concept.

2 Historical determinants of nursing philosophy. Nursing as a profession, profession, science, art. The essence of nursing. W03 B06_K_W02 3 Nursing philosophy and nurturing philosophy. Philosophy of care Selected currents of contemporary philosophy: existentialism (Kierkegaard, Heidegger, Sartre), personalism (Maritain, W04 B06_K_W02 3 Wojtyła), utilitarianism (Bentham, Mill). Contemporary ethical utilitarianism in medicine Historical determinants of nursing ethics. Ethics as a science (theory of morality). Basic ethical concepts. Values, standards W05 and moral judgments. Individual ethics and social ethics. Moral B06_K_W01 3 rights (natural, human, unalienable, abstract, concrete, abso- lute).

Basic ethical concepts in medicine and nursing: intransigency, B06_K_W02 W06 personalism, utilitarianism, ethics of care, ethics of a reliable B06_K_W03 3 caretaker, ethics of reverence for life (Albert Schweitzer). B06_K_W04

Human rights in nursing practice. International and national B06_K_W03 W07 documents, analysis of particular patients' rights in the context 3 of the work of nurses. B06_K_W05

Children's rights in the hospital, mentally ill patients' rights, B06_K_W03 W08 human rights of a dying person, rights related to organ trans- 3 plant. B06_K_W05

Bioethics – basic concepts: assisted procreation, medical ex- B06_K_W03 W09 periments, organ transplant, persistent treatment, euthanasia, 3 heavy damage to the fetus. B06_K_W05

Ethical dilemmas in the work of nurses. Making ethical deci- B06_K_W03 W10 3 sions. Case studies. B06_K_W05 Hours in total: lectures 30 Form of classes: practical classes + classes without the participation of an academic teacher (BNA) Main philosophical directions and their correspondence to the C01+BNA01 nursing profession. Ionian philosophy of nature. The peak peri- B06_K_W02 3 + 3 od of Greek metaphysics: Plato and Aristotle Personalistic human concept. The Marxist human concept. Nietzsche's human concept, existential human concept. The C02+BNA02 B06_K_W02 6 + 6 phenomenological human concept. Erich Fromm's human concept C03+BNA03 History of nursing ethics B06_K_W01 3 + 3 B06_K_U01 C04+BNB04 Ethical concepts in nursing practice 3 + 3 B06_K_U02 B06_K_U01 C05+BNA05 Decisions made by nurses. The Charter on Patients’ Rights 3 + 3 B06_K_U02

The Hippocratic Oath and the Maimonides' Prayer as examples B06_K_U01 C06+BNA06 3 + 3 of codes of ethics in medicine B06_K_U02 B06_K_U01 Elements of bioethics – suicide, organ transplant, destruction of B06_K_U02 C07+BNA07 health (nicotine addiction, drug addiction, alcoholism, euthana- 6 + 6 sia) B06_K_U03 B06_K_U04 B06_K_U02 Role of conscience in nursing ethics. The controversy surround- C08+BNA08 B06_K_U03 3 + 3 ing the so-called conscience clause in medical professions. B06_K_U04 Hours in total: practical classes + BNA 30 (30 + 30)

3 Correlation of particular types of classes Lecture Practical classes + BNA W01 C01+BNA01 W02 C02+BNA02 W03 C03+BNA03 W04 --- W05 --- W06 C04+BNA04 W07 C05+BNA05 W08 C06+BNA06 W09 C07+BNA07 W10 C08+BNA08

The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W CW + BNA W CW + BNA single or multiple B06_K_W01 W05 C03, BNA03 choice test W01, W02, W03, C01, C02, BNA01, single or multiple B06_K_W02 W04, W06 BNA02 choice test W06, W07, W08, single or multiple B06_K_W03 ------W09, W10 choice test single or multiple B06_K_W04 W06 ------choice test W07, W08, W09, single or multiple B06_K_W05 ------W10 choice test C04, C05, C06, C07, B06_K_U01 --- BNA04, BNA05, --- case study BNA06, BNA07 C04, C05, C06, C07, C08, BNA04, BNA05, B06_K_U02 ------case study BNA06, BNA07, BNA08 C07, C08, BNA07, B06_K_U03 ------case study BNA08 C07, C08, BNA07, B06_K_U04 ------case study BNA08 B06_K_K01 all all 360º observation 360º observation Teaching methods, method of implementation and evaluation Lecture with multimedia presentation and/or conversational lecture. Lecture + Practical classes (seminar) with individual students' presentations on various ethical issues, classes with- included in the case studies (not longer than 10 minutes, possibility to prepare presentations in out the partic- small groups of 3-4 students); solving various ethical issues that may appear in the work of ipation of an nurses. Sample subjects: academic teacher (BNA)  Conscience clause in medical professions. + practical  Suicide. classes (sem- Ethical issues related to organ transplant. inar)   Euthanasia.

4  Persistent therapy.  Assisted procreation.  Medical experiments.  Heavy damage to the fetus. Classes without participation of an academic teacher (BNA) stand for unassisted student's work – subject of classes is provided above. Students become familiar with the following subjects of the BNA classes based on a list of basic and supplementary bibliography or additional materials prepared by an academic teacher. Students may be suggested to write essays (preparation of short, up to 10 minutes, multimedia presentations) on a selected or given subject within the subjects from BNA classes. Possibility to prepare presentations or multimedia presentations in small groups; in such cases, the contribution of each of the authors should be clearly stated. Lectures and BNA classes cover educational outcomes regarding knowledge, skills and social competences. Assigning educational outcomes to each course is presented in the syllabus. A lecturer includes all educational outcomes assigned to a particular type of classes (e.g. a lecture) in the conducted classes. This should be reflected in an outline prepared by a lecturer (the outline should be attached to the course portfolio). In the case of BNA classes, the lecturer should indicate to students working on a particular subject on their own which aspects of the subject they should pay special attention to; the aspects result from educational outcomes assigned to a particular subject. The course ends with a final test. Student's workload (practical classes are marked with an asteriks) Hours of stu- Activity form Hours in detail Hours in total dent's work Participation in lectures 30 30 Participation in practical classes (seminar) * 30 30* Contact hours with an aca- 2 hours lecture demic teacher Participation in consultations related 2 hours practical classes 4 to classes * (seminar) 2* 2 hours BNA Preparation for practical classes (seminar)* 30 30* Individual work related to the subject of BNA Student's 30 hours 30 classes individual work Preparation for the final test from lectures + 5 hours 5 BNA Total student's workload 131 Workload Hours ECTS Student's workload associated with classes that require direct 64 1,7 teacher participation Quantity indi- Student's workload associated with classses that do not re- cators 67 1,8 quire direct teacher participation * Student's workload associated with practical classes 62 1,7 * Student's workload associated with theoretical classes 69 1,8

 Górajek-Jóźwik. Filozofia i teorie pielęgniarstwa. (Philosophy and theories of nursing.), Wyd. Czelej, Lublin 2007.  Wrońska I., Mariański J. Etyka w pracy pielęgniarskiej. (Ethics in nursing work.), Wyd. Czelej 2002. Basic bibliography  Poznańska S., Płaszewska L. Wybrane modele pielęgniarstwa. Podstawa praktyki pielęgniarskiej. (Selected models of nursing. The basis of nursing practice.), UJ, Kraków 2001.  Kodeks Etyki Zawodowej Pielęgniarki i Położnej. (Code of professional ethics of a nurse and midwife.), NRPiP, Warszawa 2003.

5  Tatarkiewicz W. Historia filozofii, t. 1-3. (History of philosophy, vol. 1-3.), Wydawnictwo Naukowe PWN, Warszawa 2001.  Wojnowska-Dawiskiba H. Wprowadzenie do teorii i praktyki pielęgniarstwa. (Intro- duction to the theory and practice of nursing.), Wrocław 2003.  Fry S.T. Johnstone M-J. Etyka w praktyce pielęgniarskiej. Zasady podejmowania decyzji etycznych. (Ethics in nursing practice. Principles of making ethical decisions.), Makmed, Lublin 2009.  Szuta W. Rola sumienia w etyce pielęgniarskiej. Wielowymiarowoć współczesnej medycyny. (The role of conscience in nursing ethics. Multi-dimensionality of modern medicine.), red. Krajewska-Kułak E., Łukaszuk C., Lewko J., Kułak W. Białystok 2012.

 Tatoń J. Filozofia w medycynie. (Philosophy in medicine.), Wydawnictwo Le- karskie PZWL. Warszawa 2003.  Kwiatkowska A., Krajewska-Kułak E., Panka W. Komunikowanie interpersonalne w pielęgniarstwie. (Interpersonal communication in nursing..), Czelej, Lublin 2003. Supplemen- tary bibliog-  Szewczyk K. Dobro, zło i medycyna. Filozoficzne podstawy bioetyki kulturowej. raphy (Good, evil and medicine. Philosophical basics of cultural bioethics.), Wydawnic- two Naukowe PWN, Warszawa – Łódź 2001.  więty Tomasz z Akwinu, Traktat o człowieku. Tom I i II. (Saint Thomas Aquinas, treaise on man. Vol. I and II.), (Summa theologiae 1, 75-89). Ediciones Altaya Pol- ska Sp. z o.o. & De Agostini Polska Sp. z o.o. Warszawa 2002. Grades – details (intermediate grades omitted: 3.5 and 4.5). Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes Does not differenti- Differentiates to a Differentiates to a Differentiates very ate between general small degree between large degree between well between general B06_K_W01 and professional general and profes- general and profes- and professional ethics sional ethics sional ethics ethics The student does not The student knows The student very little The student knows describe the con- quite well the con- about the concepts of fully the concepts of cepts of philosophy cepts of philosophy philosophy and ethics philosophy and ethics and ethics useful in and ethics useful in useful in nursing useful in nursing nursing (psycho- nursing (psycho- (psycho-personalistic, (psycho-personalistic, B06_K_W02 personalistic, exis- personalistic, existen- existential, personal- existential, personal- tential, personalistic, tial, personalistic, istic, space- istic, space- space-evolutionary, space-evolutionary, evolutionary, inde- evolutionary, inde- independent ethics independent ethics pendent ethics by pendent ethics by by Tadeusz Ko- by Tadeusz Ko- Tadeusz Kotarbiński) Tadeusz Kotarbiński) tarbiński) tarbiński) The student charac- The student does not The student charac- The student characterizes independently characterize the terizes imprecisely the terizes quite well the and adequately the essence of making essence of making essence of making essence of making B06_K_W03 ethical decisions and ethical decisions and ethical decisions and ethical decisions and solving moral dilem- solving moral dilem- solving moral dilem- solving moral dilemmas in the work of a mas in the work of a mas in the work of a mas in the work of a nurse nurse nurse nurse The student charac- The student does not The student knows The student knows terizes independently know the subject very little on the sub- quite well the subject and adequately the of normative ethics, ject of normative of normative ethics, issues of normative including axiology of ethics, including axi- including axiology of B06_K_W04 ethics, including axi- values, obligations ology of values, obli- values, obligations ology of values, obli- and moral skills gations and moral and moral skills es- gations and moral essential for the work skills essential for the sential for the work of skills essential for the of nurses work of nurses nurses work of nurses The student does not The student under- The student under- The student under- B06_K_W05 understand the con- stands partly the stands quite well the stands fully the content of the code of content of the code of content of the code of tent of the code of professional ethics of professional ethics of professional ethics of professional ethics of

6 nurses nurses nurses nurses The student does not The student differen- The student differen- The student differen- differentiate between tiates without larger tiates independently tiates imprecisely the rights, profes- mistakes between the and without mistakes between the rights, sional duties rights, professional between the rights, B06_K_U01 professional duties and moral obliga- duties and moral professional duties and moral obligations tions in the care obligations in the and moral obligations in the care provider's provider's individual care provider's indi- in the care provider's individual situation situation vidual situation individual situation The student shows The student respects The student shows The student does not slight negligence human dignity in the negligence regarding respect human digni- regarding the respect relationship with a the respect for human B06_K_U02 ty in the relationship for human dignity patient and his/her dignity in the relation- with a patient and in the relationship family, even in a ship with a patient his/her family with a patient and difficult and irregular and his/her family his/her family situation The student requires The student knows The student knows The student does not the teacher's assis- how to solve moral how to solve moral B06_K_U03 solve moral dilem- tance in the subject of dilemmas at work in dilemmas at work in a mas at work solving moral dilem- the a difficult and typical situation mas at work irregular situation The student cares The student cares The student does nor The student partly about moral and about moral and care about moral and cares about moral B06_K_U04 conscience develop- conscience develop- conscience devel- and conscience de- ment in a typical ment in an irregular opment velopment situation situation The student does not The student shows The student develops The student develops develop systemati- negligence in devel- systematically profes- systematically pro- cally professional oping systematically sional knowledge in fessional knowledge knowledge in philos- professional philosophy and ethics in philosophy and ophy and ethics of knowledge in philoso- of the nursing profes- B06_K_K01 ethics of the nursing the nursing profes- phy and ethics of the sion, develops skills, profession, develops sion, does not devel- nursing profession, aims at achieving skills, aims at achiev- op skills, does not developing skills, professionalism in a ing professionalism in aim at achieving aiming at achieving difficult and irregular a typical situation professionalism professionalism situation

PIE1.C06. Scientific research in nursing

Level 1st degree Form of study Stationary Field of study NURSING Profile practical

Year 2019/2020

Course Scientific research in nursing Code PIE1.C06 ECTS points 4,0 Social and Medical Faculty Unit Nursing and Midwifery Department (32) 264-74-75, [email protected] Form of classes and number of hours Status of the course (modular block) Year Semester W CW SEM BNA 5 15 --- 15 15 Obligatory 3 Form of ZO --- ZO ZO crediting

Education area Medical sciences, health sciences and physical education sciences for the field of study C. Basics of nursing care science Field of science Health Sciences. Prerequisites None

 Providing knowledge on the principles of writing a BA thesis: substantive, formal and editorial requirements.  Familiarizing with the methodology of writing scientific papers.  Familiarizing with the types of scientific papers and types of scientific publications. Education goal  Understanding the basic concepts of scientific research methodology: research problem, hypothesis, objective and subject of research, research material, methods and research techniques.  Acquiring skills to prepare a review of a scientific article.  Acquiring skills to prepare a scientific paper with research results. Correspondenc e level between the course educational outcome Course Reference to and the educational the directional Description of the course educational outcome directional outcomes educational educational (symbol) outcome outcome (+ - low, ++ - medium, +++ - high) Characterizes the subject, objective and area of research in C06_K_W01 C.W33 +++ nursing, as well as paradigms of nursing. C06_K_W02 Describes research procedure steps. C.W34 +++ C06_K_W03 Characterizes methods and techniques of research in nursing. C.W35 +++

C06_K_W04 Presents principles for interpreting empirical data and C.W36 ++ conclusion Explains basic provisions of copyright law and intellectual C06_K_W05 C.W37 ++ property protection C06_K_W06 Describes the importance of ethics in scientific research C.W38 +++ C06_K_U01 Participates in the implementation of the research project C.U54 +++ C06_K_U02 Critically analyses the published research results C.U55 +++ Uses the research results in the provision of high quality patient C06_K_U03 C.U56 +++ care C06_K_U04 Participates in professional education of students C.U57 +++ Develops and carries out a research project within qualitative C06_K_U05 C.U58 ++ research Analyses and prepares scientific research reports (e.g. scientific C06_K_U06 C.U59 ++ articles) Acts in compliance with the principles of ethics of scientific C06_K_U07 C.U60 +++ research and intellectual property protection Develops systematically professional knowledge in scientific C06_K_K01 research methodology in nursing, develops skills, aims at D.K2 +++ achieving professionalism Implemented directional educational outcomes Symbol of the directional Description of the directional educational outcome educational outcome C.W33 Defines the subject, objective, area of research and paradigms of nursing C.W34 Characterizes research procedure steps C.W35 Describes research methods and techniques C.W36 Defines principles for interpreting empirical data and conclusion C.W37 Knows basic provisions of copyright law and intellectual property protection C.W38 Defines the importance of ethics in scientific research C.U54 Participates in the implementation of the research project C.U55 Critically analyses the published research results C.U56 Uses the research results in the provision of high quality patient care C.U57 Participates in professional education of students C.U58 Develops and carries out a research project within qualitative research C.U59 Analyses and prepares scientific research reports (e.g. scientific articles) Acts in compliance with the principles of ethics of scientific research and intellectual property C.U60 protection D.K2 Systematically develops professional knowledge and skills, aiming at professionalism CURRICULUM CONTENT Implemented Symbol and no. course Course content Hours of classes educational outcome Form of classes: lectures Elements of knowledge about science and scientific cognition. W01 C06_K_W01 2 Paradigms of nursing.

W02 Research methods, techniques and tools. Quantitative methods. C06_K_W03 3 Qualitative methods (analysis of documents). Research method in action (action research). Elements of scientific language and statement construction. Principles for the formulation of the topic and the main research W03 C06_K_W02 2 problems. Research procedure steps. Methods of searching for bibliography. W04 Development of research material. C06_K_W04 2

Constructing a scientific study. C06_K_W02 W05 Pattern of medical scientific papers: objectives, material, methods, C06_K_W03 2 results and their description, discourse and conclusions. C06_K_W04 W06 Ethics in scientific research. C06_K_W06 2 Intellectual property protection. Basic regulations regarding W07 C06_K_W05 2 copyright. Hours in total: lectures 15 Form of classes: seminar*

Selection of subjects for research projects which will be carried out C06_K_U01 SEM01 3 in groups. Principles for the project preparation, assessment criteria. C06_K_U07

Analysis of a selected scientific article of a research type (original C06_K_U02 SEM02 article) and presentation of its review. Principles for the review 3 preparation, assessment criteria. C06_K_U07

Analysis of a selected review article. Analysis of the possibility of C06_K_U03 SEM03 practical implementation of research results contained in the article 3 in order to improve the quality of patient care. C06_K_U07

Presentation of subjects relevant to professional education of C06_K_U04 SEM04 3 nurses. C06_K_U07 C06_K_U01 Presentations of selected projects, reviews, studies on the C06_K_U02 implementation of research results in order to improve the quality of SEM05 C06_K_U03 3 patient care, developed educational concepts important in professional education of nurses. C06_K_U04 C06_K_U07 Total hours: seminar * 15 Form od classes: classes without participation of an academic teacher* C06_K_U05 BNA01 Individual research project: outline of the BA thesis. 8 C06_K_U07

Analysis of a selected scientific article and preparation of its C06_K_U06 BNA02 7 summary. C06_K_U07 Hours in total: BNA* 15 Correlation of particular types of classes Semester W BNA SEM W01 ------W02 BNA01 SEM01 W03 --- SEM02 5 W04 --- SEM03 W05 BNA02 SEM04 W06 --- SEM05 W07 ------The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes Educational Forms of classes Verification methods outcome code W BNA SEM W BNA SEM C06_K_W01 W01 ------test ------C06_K_W02 W03, W05 ------test ------C06_K_W03 W02, W05 ------test ------C06_K_W04 W04, W05 ------test ------C06_K_W05 W07 ------test ------C06_K_W06 W06 ------test ------SEM01, research C06_K_U01 ------SEM05 project review of the SEM02, C06_K_U02 ------original SEM05 article a study on how to SEM03, implement C06_K_U03 ------SEM05 the results of a review article preparation SEM04, of the C06_K_U04 ------SEM05 educational subject preparation of the C06_K_U05 --- BNA01 ------outline of --- the BA thesis summary of a selected C06_K_U06 --- BNA02 ------scientific article SEM01, SEM02, BNA01, C06_K_U07 --- SEM03, --- BNA02 SEM04, SEM05 360º 360º 360º C06_K_K01 all all all observation observation observation Teaching methods, method of implementation and evaluation Lectures combined with a multimedia presentation and/or discussion (panel discussion). A case method and working with the source text may also be used (scientific articles which students will Lecture review). Educational outcomes in terms of knowledge will be implemented in lectures. The lecture ends with a final assessment test (single or multiple choice test). Within classes without participation of an academic teacher, students implement educational outcomes in terms of skills: Classes C06_K_U05: Prepares and carries out a research project within qualitative research without Each student prepares an individual outline of the BA thesis with an indication of the quality participation of elements. The outline should contain the following elements: an academic teacher (BNA)*  title,  table of content,  research methodology (research objective, main issue, detailed issues, research hypothesis),  research criteria,  description of methods, techniques and research tools,  description of the organisation and conduct of the research,  characteristics of a selected patient,  analysis and interpretation of research results (nursing diagnosis),  selected elements of the nursing care plan (nursing problems, the purpose of the care, action plan),  bibliography prepared in accordance with the applicable principles.

C06_K_U06: Analyses and prepares scientific research reports (e.g. scientific articles). Based on the analysis of a selected scientific article, the student prepares a short summary of it with included most important results from the scientific research presented in this article. It is also allowed to refer to the possibilities of practical application of the results in nursing practice. In seminar classes, students implement educational outcomes in terms of skills: C06_K_U01: Participates in the implementation of the research project. In small groups, students prepare a research project within the subject indicated by the teacher. It is recommended that the project concerns analysis of selected health problems of a patient with a specific disease. Students in a group should share responsibility for the implementation of specific parts of the project (it should be clearly indicated in the project). The research project should contain the following elements:  title,  table of content,  research methodology (research objective, main issue, detailed issues, research hypothesis),  research criteria,  description of methods, techniques and research tools,  description of the organisation and conduct of the research,  characteristics of the test group,  analysis and interpretation of research results,  discourse with similar research results of other authors (optional),  bibliography prepared in accordance with the applicable principles.

Seminar* C06_K_U02: Critically analyses the published research results Students prepare a review of a selected scientific article of a research type. This may be an original article or a review article. The review should contain:

 student's reference to the relevance of the content of the scientific article to its title;  reference to the article structure;  reference to the way bibliography is cited and footnotes are made;  assessment of the applied research methodology (research objective, main issue, detailed issues, research hypothesis);  assessment of selection of methods, techniques and research tools;  assessment of the description of the independent variables applied in the research (research criteria);  description of the organisation and conduct of the research;  assessment of the characteristics of the test group (including the description of the selection method);  critical assessment of the analysis of research results and their interpretation;  assessment of the presented discourse with another similar research;  assessment of the selection of information sources (bibliography):  assessment of compliance with ethical principles in scientific research and scientific integrity by the authors of the article.

C06_K_U03: Uses the research results in the provision of high quality patient care. Students divided into groups carry out analyses of a selected review article on new methods of patient care (the article must present the results of research in this area). On this basis, students prepare a short study of how to implement the results of the research results in order to increase or ensure high quality of patient care. C06_K_U04: Participates in professional education of students. Students divided into groups prepare a selected educational subject from any area and present it in a form of a research paper or multimedia presentation. Sample research paper subjects:  The importance of washing hands to prevent hospital infections.  Principles for collecting biological material for laboratory tests, etc.

Student's workload Hours of Hours in Activity form Hours in detail student's work total Participation in lectures 15 hours 15

Contact hours Participation in the seminar* 15 hours 15* with an academic 2 teacher each form of classes includes Participation in consultations related to classes* 2* 2 hours of consultation 2* Preparation of the research project* 5 hours 5* Preparation of a research paper on how to implement the results of a review article in 5 hours 5* nursing practice Preparation of a review of a scientific article 5 hours 5* (original article)*

Student's Preparation of a research paper on an individual work educational subject relevant to professional 5 hours 5* education of nurses* Preparation of a scientific research paper – 15 hours 15* outline of the BA thesis* Preparation of a summary of a selected 5 hours 5* scientific article* Preparation for the final assessment test 5 hours 5 Total student's workload 81 Workload Hours ECTS Student's workload associated with classes that require direct 36 1,8 teacher participation Quantity Student's workload associated with classes that do not require indicators 45 2,2 direct teacher participation, including: * Student's workload associated with practical classes 59 2.9 * Student's workload associated with theoretical classes 22 1.1

 Lenartowicz H., Kózka M. Metodologia badań naukowych w pielęgniarstwie. (Methodology of scientific research in nursing.), Warszawa: Wydawnictwo Lekarskie PZWL, 2010. Lesińska-Sawicka M. red. Metoda case-study w pielęgniarstwie. (Case-study method in Basic  nursing.), Warszawa: Borgis Wydawnictwo Medyczne, 2009. bibliography  Niebrój L. Pielęgniarstwo jako nauka: miejsce pielęgniarstwa w klasyfikacji nauk. (Nursing as a science: the place of nursing in the classification of sciences.) in: Health Care: Prefessionalizm and Responsibility. Red. L. Niebrój. Katowice: Wydawnictwo ląskiej Akademii Medycznej, 2005.  Łobocki M. Metody i techniki badań pedagogicznych. (Methods and techniques of pedagogical research.), KrakówŚ Impuls, 2007.  Pilch T., Bauman T. Zasady badań pedagogicznych. Strategie ilociowe i jakociowe. (Principles of pedagogical research. Qualitative and quantitative strategies.), Warszawa: Supplementary Wydawnictwo Akademickie „Żak”, 2010. bibliography  Załucki M. red. Prawo własnoci intelektualnej. Repetytorium. (Intellectual property rights. Compendium.) Warszawa: Difin, 2010.  Babbie E. Badania społeczne w praktyce. (Social research in practice.), Warszawa: Wydawnictwo Naukowe PWN, 2003. Forms of crediting – details Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes The student The student The student does not characterizes characterizes with The student characterize the independently, with assistance the characterizes the subject, objective and some mistakes, the subject, objective and subject, objective and C06_K_W01 area of scientific subject, objective and area of scientific area of research in research in nursing, area of scientific research in nursing, nursing, as well as does not describe the research in nursing, as well as paradigms paradigms of nursing. paradigms of nursing as well as paradigms of nursing. of nursing. The student The student The student describes The student does not describes describes almost sufficiently the C06_K_W02 describe the research insufficiently the without mistakes the research procedure procedure steps research procedure research procedure steps. steps steps The student The student The student The student does not characterizes only characterizes quite characterizes most characterize research selected research independently C06_K_W03 research methods methods and methods research methods and techniques in techniques in nursing. and techniques and techniques in nursing in nursing nursing. When presenting the The student presents principles for The student presents The student does not principles for interpreting empirical principles for present principles for interpreting empirical C06_K_W04 data and conclusion, interpreting empirical interpreting empirical data and conclusion the student makes data and conclusion data and/or conclusion almost without quite substantial with details mistakes errors The student explains The student does not The student explains The student explains professionally basic explain basic provisions only some provisions most basic provisions provisions C06_K_W05 of copyright law and of copyright law of copyright law of copyright law and intellectual property and intellectual and intellectual intellectual property protection property protection property protection protection The student The student does not describes imprecisely The student explains The student explains describe the importance and to a small degree quite sufficiently the sufficiently the C06_K_W06 of ethics in scientific the importance of importance of ethics importance of ethics research ethics in scientific in scientific research in scientific research research The student The student does not The student quite The student very participates to a participate in the actively participates actively involved in small degree in the C06_K_U01 implementation of the in the implementation the implementation of implementation of a research project carried of a research project the research project research project out in a group carried out in a group carried out in a group carried out in a group

C06_K_U02 The student does not The student to a The student to a The student critically analyse critically the small degree critically large degree critically analyses the published results of analyses the analyses the published results of research: does not published results of published results of scientific research: present a review of a scientific research: scientific research: presented review of a selected scientific presented review of a presented review of a selected scientific article of a research selected scientific selected scientific article of a research type article of a research article of a research type is substantive type is inconsistent type is inconsistent and complete and incomplete and incomplete contains only minor errors The student to a The student to a large degree uses the The student does not small degree uses The student uses the results of scientific use the results of the results of results of scientific research in providing scientific research in scientific research research in providing high-quality patient providing high-quality in providing high- high-quality patient care; presented patient care; does not quality patient care; care; presents a research paper on C06_K_U03 present a research presented research complete research practical paper on practical paper on practical paper on practical implementation of implementation of implementation of implementation of research results research results in research results in research results in in order to improve order to improve the order to improve the order to improve the the quality of patient quality of patient care quality of patient care quality of patient care. care is almost is incomplete. complete. The student The student The student does not participates to a participates to a large The student participate small degree in degree in participates in in professional professional professional professional education of students; education of education of education of students; C06_K_U04 does not participate in students; participates students; participates is active in the group the group work on to a small degree to a large degree work on educational educational research in the group work on in the group work on research paper paper regarding a educational research educational research regarding a selected selected concept paper regarding a paper regarding a concept selected concept selected concept The student to a The student to a small degree large degree The student prepares The student does not prepares and prepares and and implements a prepare and does not implements a implements a research project carry out a research research project research project within qualitative project within C06_K_U05 within qualitative within qualitative research; the qualitative research; research; the research; the presented outline of the student does not presented outline of presented outline of the BA thesis present an outline of the BA thesis does the BA thesis contains highlighted the BA thesis not contain quality contains elements of quality elements elements quality The student to a The student to a The student analyses small degree large degree The student does not and prepares reports analyses and analyses and analyse and does not from scientific prepares reports from prepares reports from prepare reports from research; presented scientific research; scientific research; C06_K_U06 scientific research; summary of a presented summary presented summary does not present a selected scientific of a selected of a selected summary of a selected article does not scientific article scientific article scientific article contain substantive contains significant contains small mistakes substantive mistakes substantive mistakes The student does not The student does not The student almost The student acts in act in compliance always act in always acts in compliance with the with the principles of compliance with the compliance with the principles of ethics of C06_K_U07 ethics of scientific principles of ethics of principles of ethics of scientific research research and scientific research scientific research and intellectual intellectual property and intellectual and intellectual property protection protection property protection property protection The student to a The student to a small degree large degree The student develops The student does not upgrades upgrades systematically systematically upgrade professional professional professional professional knowledge knowledge in knowledge in knowledge in in scientific research scientific research scientific research scientific research C06_K_K01 methodology in nursing, methodology in methodology in methodology in does not develop skills, nursing, to a small nursing, to a large nursing, develops does not aim at degree develops degree develops skills, aims at achieving skills aiming at skills aiming at achieving professionalism achieving achieving professionalism professionalism professionalism

PIE1.C07.Sign language

Level 1st degree

Field of study NURSING Form of study Stationary

Profile Practical

Course Sign language Code PIE1.C07 ECTS points 2,5

Social and Medical Faculty Nursing and Midwifery Department Unit (32) 264-74-75 ext.12 [email protected]

Obligatory Status of course / Modular block C. Basics of nursing care science

Form of classes, hours and ECTS points for separate forms of classes

Year Semester W CW BNA ZP PZ

Theoretical education Practical education

III 5 15 --- 15 ------

Form of crediting ZO --- ZO ------

ECTS 2,5 ------

Education area for the field of Medical sciences, health sciences and physical education sciences study

Field of science Health Sciences.

Language of English lectures

Prerequisites None.

 Preparing students to communicate with hearing-impaired, deaf and deaf-mute people.  Teaching students to use Polish signs of the finger-spelling and signs of basic cardinal Education goal and ordinal numbers (dactylography).  Teaching students to use conceptual signs of the sign language according to the principles of the sign language system (ideography). Correspondenc e level between Reference to the course Course the educational educational Description of the course educational outcome directional outcome outcomes educational and the (symbol) outcome directional educational outcome

Explains the causes of hearing and speech impairment in the C07_K_W01 context of communication and understands the importance of C.W43 +++ early detection Recognizes the methods and means of communication of C07_K_W02 C.W44 +++ people with hearing impairment

1 Recognizes the dactylographic signs: static, dynamic, numeral C07_K_W03 and idiographic regarding collecting information about the C.W45 +++ patient's health situation C07_K_W04 Knows the principles of communication with a deaf patient C.W46 +++ Establishes contact with a hearing-impaired person and a deaf C07_K_U01 C.U64 +++ person Uses the sign language while taking care of a deaf-mute patient C07_K_U02 in order to prepare the patient for conscious participation in C.U65 +++ medical-care procedures Uses the sign language regarding situational terminology: C07_K_U03 C.U66 providing first aid, providing information to the family Systematically upgrades professional knowledge and skills C07_K_K01 D.K2 +++ in the sign language Implemented directional educational outcomes

Directional educational Description of the directional educational outcome outcome

Explains the causes of hearing and speech impairment in the context of communication and C.W43 understands the importance of early detection C.W44 Recognizes the methods and means of communication of people with hearing impairment Recognizes the dactylographic signs: static, dynamic, numeral and idiographic regarding collecting C.W45 information about the patient's health situation C.W46 Knows the principles of communication with a deaf patient C.U64 Establishes contact with a hearing-impaired person and a deaf person Uses the sign language while taking care of a deaf-mute patient in order to prepare the patient for C.U65 conscious participation in medical-care procedures Uses the sign language regarding situational terminology: providing first aid, providing information C.U66 to the family D.K2 Systematically develops professional knowledge and skills, aiming at professionalism CURRICULUM CONTENT

Implemented Symbol and Course content educational Hours no. of classses outcomes

Form of classes: lectures

C07_K_W01 C07_K_W02 W01 The specificity of communicating with people with hearing impairment. 3 C07_K_W03 C07_K_W04 C07_K_W01 C07_K_W02 W02 Sign language, signed system and sign-language system. 4 C07_K_W03 C07_K_W04 C07_K_W01 C07_K_W02 W03 Dactylography: finger-spelling, cardinal and ordinal numbers. 4 C07_K_W03 C07_K_W04

Ideography: first contact, stay in a hospital department, days of the C07_K_W01 W04 4 week C07_K_W02

2 C07_K_W03 C07_K_W04 Hours in total: lectures 15

Form of classes: practical classes*

C07_K_U01 CW01 The specificity of communicating with people with hearing impairment. C07_K_U02 3 C07_K_U03 C07_K_U01 CW02 Sign language, signed system and sign-language system. C07_K_U02 4 C07_K_U03 C07_K_U01 CW03 Dactylography: finger-spelling, cardinal and ordinal numbers. C07_K_U02 4 C07_K_U03 C07_K_U01 Ideography: first contact, stay in a hospital department, days of the CW04 C07_K_U02 4 week C07_K_U03 Total hours: BNA classes 15 The matrix of educational outcomes for the subject with reference to the methods of verification of the intended educational outcomes and the form of the classes

Educational Forms of classes Verification methods outcome code W CW W CW

C07_K_W01 all --- test ---

C07_K_W02 all --- test ---

C07_K_W03 all --- test ---

C07_K_W04 all --- test ---

demonstration of C07_K_U01 --- all --- skills

demonstration of C07_K_U02 --- all --- skills

demonstration of C07_K_U03 --- all --- skills

C07_K_K01 all all 360º observation 360º observation

Teaching methods, method of implementation and evaluation

Lectures combined with a multimedia presentation. Lecture Completion of lectures (after completion of practical classes): final assessment test.

Practical Practical classes are aimed at achieving educational outcomes in terms of skills. classes* Students participate in role-playing and practice particular elements of the sign language.

Student's workload

Hours of Activity form Hours in detail Hours in total student's work

Participation in lectures 15 hours 15 Contact hours with an academic Participation in practical classes* 15 hours 15*

3 teacher each form of classes includes 2 Participation in consultations related to classes* 2 hours of consultation 2*

Preparation for practical classes* 15 hours 15* Student's Preparation for the final assessment test from individual work 5 hours 5 lectures

Total student's workload 54

Workload Hours ECTS

Student's workload associated with classes that require direct 34 1,6 teacher participation

Quantity Student's workload associated with classes that do not require 20 0,9 indicators direct teacher participation, including:

* Student's workload associated with practical classes 32 1,5

*Student's workload associated with theoretical classes, 22 1,0 including:

Basic  Szczepankowski B., Koncewicz D. Język migowy w terapii. ( Sign language in therapy.), bibliography Łódź 2008.

Supplementary Indicated by the teacher. bibliography

Forms of crediting – details

Educational For grade 2 For grade 3 For grade 4 For grade 5 outcomes

The student explains The student does not to a small degree the The student explains The student explains explain the causes of causes of hearing only basic causes of the causes of hearing hearing and speech and speech hearing and speech and speech impairment in the impairment in the impairment in the impairment in the C07_K_W01 context of context of context of context of communication and communication and communication and communication does not understand understands understands the and understands the the importance of early imprecisely the importance of early importance of early detection importance of early detection detection detection The student does not The student The student The student recognize the methods recognizes selected recognizes only basic recognizes the C07_K_W02 and means of methods and means methods and means methods and means communication of of communication of of communication of of communication of people with hearing people with hearing people with hearing people with hearing impairment impairment impairment impairment The student recognizes the dactylographic signs: The student The student The student does not static, dynamic, recognizes recognizes only the C07_K_W03 recognize numeral and dactylographic signs basic dactylographic dactylographic signs idiographic regarding to a small degree signs collecting information about the patient's health situation The student does not The student knows The student knows The student knows C07_K_W04 know the principles of some principles of only basic rules of the principles of communication with a communication with a communication with a communication with a deaf patient deaf patient deaf patient deaf patient

C07_K_U01 The student does not The student The student The student establish contact with a establishes contact establishes only establishes contact

4 hearing-impaired with a hearing- basic contact with a with a hearing- person and a deaf impaired person and hearing-impaired impaired person and person a deaf person to a person and a deaf a deaf person small degree person professionally The student uses the sign language while taking care of a deaf- The student uses the The student uses the mute patient in order The student does not C07_K_U02 sign language to a sign language at a to prepare the patient use the sign language small degree basic level for conscious participation in medical-care procedures The student uses the The student uses to a The student uses the sign language The student does not small degree the sign sign language regarding situational use the sign language C07_K_U03 language regarding situational terminology: providing regarding situational regarding situational terminology at a first aid, providing terminology terminology basic level information to the family The student The student quite The student The student does not upgrades systematically systematically upgrade professional professional upgrades C07_K_K01 upgrades professional knowledge and skills in knowledge and skills professional knowledge and skills the sign language in the sign language knowledge and skills in the sign language to a small degree in the sign language