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سيدي بونسونبي من شلبريد

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السادة اللوردات، وأنا افتتح بشكرالوزير .واللوردات النبيلاء الذين يذهبون للمشاركة

3
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في هذه المناظره المهمه .فهي تدور حول الناس الصم ,وأقصد بذلك الناس الذين يولدون

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أو يصبح اصم بشكل كبير قبل سن الخامسه. وعادة ما يفضلون التواصل في

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لغة الإشارة البريطانية ويعتبرون أنفسهم جزء من مجتمع الصم. حسب هذا التعريف

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هناك ما يقدر ب 70،000 شخص أصم في المملكة المتحدة.

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انا أتكلم من الدراسة لصحة الصم تسمى تعبت من ذلك، أطلقت الأسبوع الماضي، يوم 25 مارس،

8
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الذي هو أكبر وأوسع دراسة صحة الصم في العالم

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حتى الآن. وقد تم تمويل معظم الدراسة من قبل صندوق اليانصيب الكبرى والتي تقوم بها المؤسسة الخيرية

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الصحة الأشاره بالشراكة مع جامعة بريستول. أنا مدين بصفة خاصة ل

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الدكتور أندرو ألكسندر .مدير صحه الأشاره الذين قدم لي بأختصار

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لهذه المناضره

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قبل الآن، لم يكن هناك أي بحث على هذا المقياس في صحة الناس الصم

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في هذا البلد .وإن كانت هناك بعض الدراسات الصغيرة

15
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تبحث في الحصول على الخدمات الصحية للجميع وجدت أنه لا يوجد فقراءالحكومة من أي وقت مضى وجه التحديد

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صحة الصم كما قمت بتعريفها هنا.كانت أقرب مبادره عقلية

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الصحة والصمم، نحو الأسهم والوصول. على الرغم من أن هذه بدأت بوصفها بالتشاور حول

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الصحة العقليه، وشملت الكثير على نطاق أوسع من الحواجز التي يواجهها الصم. التقرير

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كان مدعوماً من التمويل الذي تلقته قبل كل الثقة الرعاية الأولية لمساعدتها على تنفيذمن

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التوصيات بالتقرير.

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صحه الصم نادرا ما تعد بناءً على أي جدول الأعمال،مع استثناء ملحوظ من هذا من

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مجلس اللوردات. حتى في برامج الصحه والمساواة يتركز الاهتمام بشكل طبيعي

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في المجموعات الأعلى مكانه.ذلك لا يساعد لانه كونك اصم هي اعاقه خفيه

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وانه هناك القليل من الوعي حول الصعوبات التئ يواجهها الصم .هذا عادتاً يكون

25
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القضيه الصحيه في الخط الأمامي ايضاً.معظم العاملين سوف يعتقدون ان التحدث بصوت اعلى

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او كتابه الأشياء سوف يحل المشكله.عند الأستبيان نسبه عاليه من الأطباء

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يعتقدون خطأ انهم تواصلوا جيداً مع مرضاهم الصم

28
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التفت الى التقرير و طرقه و استنتاجاته . كان هناك ثلاثه مراحل للتقريراولاً,

29
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أجري استطلاع على الانترنت من قبل ايبسوس موري؛ ثانيا، كانت التقييمات الصحية الشخصية

30
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معد من 298 الصم، بما في ذلك القاء نظره على ضغط الدم لديهم ومؤشر كتلة الجسم، واتخاذ

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اختبارات الدم..الى اخره ثالثا، كانت هناك
مقابلات معمقة مع الصم. النتائج

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وكانت على النحو التالي.,اولاً ,قيد التشخيص و قيد المعالج لحالات خطيره محتمله

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وكان أكثر شيوعا بالنسبة للأشخاص الصم. ثانيا،
كان ارتفاع ضغط الدم مرتين تقريبا عن الطبيعي

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في الصم كما هو الحال في بقية السكان. ثالثا، الصم عموما أكثر صحة

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أنماط الحياة لبقية السكان من حيث التدخين والكحول ولكنها أكثر

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عرضة لزيادة الوزن. رابعا، هناك قيد التشخيص الناس الصم هم اكثر عرضة مرتين

37
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كما الناس اصحيحون لديهم ارتفاع في ضغط الدم التي لم يتم تشخيصها ويمكن أيضا أن تكون

38
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مشخص اكثر لأن يكون لديهم مرض السكر,ارتفاع الكوليسترول في الدم وأمراض القلب والأوعية الدموية.

39
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الانتقال إلى العلاج الأكثر فقرا، تقرير وجدت أيضا أن الناس الصم يكونون

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تشخيصهم، انهم أكثر عرضة لتكونالعلاج غيركافي لهذه الحالات .لقد تم

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يقدر أنه إذا كان مجتمع الصم ليهم الوضع الصحي مثل عموم السكان

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ان NHS اسوف توفر مقدار 30 مليون جنيه استرليني في
السنة.

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أنا الآن سوف اتحدث عن الوصول والاتصال. وأفاد عدد كبير من الصم انهم لا

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رؤية GP لأنهم اجلوا من قبل وجهه نظر احتمال ضعف التواصل. كبيره

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نسبة حجز المواعيد عن طريق الذهاب إلى المعاينه عند بعضالأ شخاصبنسبه 45٪ في حين

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قليل جداً الناس الذين يسمعون يحجزون مواعيد بهذه الطريقه .فقط 15% من الصم يقولون ان

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GP كانت جيدة في الاستماع إليهم، مقارنةبإ 51٪ من عموم السكان. على الأكثر،

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30٪ يمكنهم استخدام BSL في الاستشاره, على الرغم من ذلك، المجموع،من 94٪ يفضلون التوقيع. أكثر من

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00:05:15,610 --> 00:05:22,610
كان نصف الاستخدام نموذج يستند على الإنجليزية في الاتصالات على سبيل المثال،قراءه الشفة و كتابة الملاحظات لكن

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5٪ فقط يفضلون التواصل بهذه الطريقة. هذا التفاوت بين كيف يمكن للناس الصم

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التواصل وكيف يودون التواصل هو لائحة اتهام للصحة

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الخدمة، وتفسيرا لأكثر فقرا في النتائج الصحية عند الصم. 25٪ فقط من

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الصم لديهم الثقة في الطبيب، مقارنه ب 67% من النسبه السكانيه العامه .

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هناك أيضا مسألة أوسع حول الوصول إلى المعلومات. لأن المعلومات الصحية

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غير متوفرة على نطاق واسع في شكل يمكن الوصول إليها، الكثير من الناس الصم الذين درسوا لم يكونوا متأكدين

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00:06:02,970 --> 00:06:06,630
حول صحتهم وغير متأكدين ما ذا كانت وصفاتهم الطبية او كيف يتناولون ادويتهم .بينما

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العديد من مرضى السمع سوف يعرفون المزيد من المعلومات من الأصدقاء والعائلة أو الإنترنت،

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وكانت هذه الخيارات متاحة أق للمرضىا

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00:27:41,279 --> 00:27:48,279


264
00:27:52,859 --> 00:27:59,859


265
00:28:02,330 --> 00:28:09,330


266
00:28:09,369 --> 00:28:16,340


267
00:28:16,340 --> 00:28:23,340


268
00:28:26,340 --> 00:28:31,539


269
00:28:31,539 --> 00:28:37,479


270
00:28:37,479 --> 00:28:43,519


271
00:28:43,519 --> 00:28:50,519


272
00:28:51,609 --> 00:28:58,609


273
00:28:59,759 --> 00:29:06,759


274
00:29:07,239 --> 00:29:14,239


275
00:29:15,080 --> 00:29:21,779


276
00:29:21,779 --> 00:29:28,609


277
00:29:28,609 --> 00:29:35,609


278
00:29:35,809 --> 00:29:42,200


279
00:29:42,200 --> 00:29:46,859


280
00:29:46,859 --> 00:29:51,869


281
00:29:51,869 --> 00:29:58,869


282
00:29:58,929 --> 00:30:05,929


283
00:30:06,899 --> 00:30:13,899


284
00:30:14,799 --> 00:30:20,879


285
00:30:20,879 --> 00:30:26,609


286
00:30:26,609 --> 00:30:33,609


287
00:30:33,729 --> 00:30:40,729


288
00:30:43,789 --> 00:30:50,789


289
00:30:51,279 --> 00:30:57,279


290
00:30:57,279 --> 00:31:04,279


291
00:31:04,409 --> 00:31:11,409


292
00:31:11,450 --> 00:31:18,450


293
00:31:21,099 --> 00:31:28,099


294
00:31:28,989 --> 00:31:35,989


295
00:31:36,409 --> 00:31:43,409


296
00:31:44,349 --> 00:31:51,349


297
00:31:54,940 --> 00:31:57,389


298
00:31:57,389 --> 00:32:04,389


299
00:32:05,570 --> 00:32:12,570


300
00:32:13,119 --> 00:32:18,239


301
00:32:18,239 --> 00:32:22,789


302
00:32:22,789 --> 00:32:28,330


303
00:32:28,330 --> 00:32:34,320


304
00:32:34,320 --> 00:32:40,889


305
00:32:40,889 --> 00:32:47,700


306
00:32:47,700 --> 00:32:53,779


307
00:32:53,779 --> 00:33:00,779


308
00:33:02,169 --> 00:33:07,700


309
00:33:07,700 --> 00:33:14,700


310
00:33:15,599 --> 00:33:22,599


311
00:33:22,929 --> 00:33:29,919


312
00:33:29,919 --> 00:33:36,919


313
00:33:37,359 --> 00:33:44,259


314
00:33:44,259 --> 00:33:51,259


315
00:33:52,779 --> 00:33:59,779


316
00:34:01,129 --> 00:34:07,519


317
00:34:07,519 --> 00:34:14,179


318
00:34:14,179 --> 00:34:21,179


319
00:34:21,980 --> 00:34:28,100


320
00:34:28,100 --> 00:34:33,889


321
00:34:33,889 --> 00:34:40,480


322
00:34:40,480 --> 00:34:47,480


323
00:34:47,520 --> 00:34:54,520


324
00:34:58,790 --> 00:35:05,790


325
00:35:08,150 --> 00:35:15,150


326
00:35:15,720 --> 00:35:22,720


327
00:35:23,150 --> 00:35:30,150


328
00:35:31,810 --> 00:35:37,490


329
00:35:37,490 --> 00:35:43,180


330
00:35:43,180 --> 00:35:49,080


331
00:35:49,080 --> 00:35:55,070


332
00:35:55,070 --> 00:36:01,670


333
00:36:01,670 --> 00:36:07,630


334
00:36:07,630 --> 00:36:14,630


335
00:36:16,170 --> 00:36:23,170


336
00:36:29,230 --> 00:36:36,230


337
00:36:36,330 --> 00:36:43,330


338
00:36:43,880 --> 00:36:50,110


339
00:36:50,110 --> 00:36:57,110


340
00:36:57,910 --> 00:37:04,910


341
00:37:05,830 --> 00:37:12,290


342
00:37:12,290 --> 00:37:19,140


343
00:37:19,140 --> 00:37:26,140


344
00:37:27,860 --> 00:37:32,910


345
00:37:32,910 --> 00:37:39,910


346
00:37:41,020 --> 00:37:47,070


347
00:37:47,070 --> 00:37:54,070


348
00:37:55,210 --> 00:38:01,140


349
00:38:01,140 --> 00:38:08,140


350
00:38:09,270 --> 00:38:15,520


351
00:38:15,520 --> 00:38:20,740


352
00:38:20,740 --> 00:38:27,670


353
00:38:27,670 --> 00:38:33,470


354
00:38:33,470 --> 00:38:39,620


355
00:38:39,620 --> 00:38:46,620


356
00:38:46,830 --> 00:38:53,280


357
00:38:53,280 --> 00:38:59,530


358
00:38:59,530 --> 00:39:02,520


359
00:39:02,520 --> 00:39:07,460


360
00:39:07,460 --> 00:39:14,460


361
00:39:16,210 --> 00:39:23,210


362
00:39:24,650 --> 00:39:31,650


363
00:39:34,130 --> 00:39:39,700


364
00:39:39,700 --> 00:39:44,120


365
00:39:44,120 --> 00:39:51,120


366
00:39:51,260 --> 00:39:56,800


367
00:39:56,800 --> 00:40:03,800


368
00:40:04,330 --> 00:40:11,090


369
00:40:11,090 --> 00:40:17,650


370
00:40:17,650 --> 00:40:24,650


371
00:40:25,950 --> 00:40:31,620


372
00:40:31,620 --> 00:40:38,620


373
00:40:42,730 --> 00:40:49,730


374
00:40:50,140 --> 00:40:56,430


375
00:40:56,430 --> 00:41:02,200


376
00:41:02,200 --> 00:41:08,230


377
00:41:08,230 --> 00:41:15,090


378
00:41:15,090 --> 00:41:22,090


379
00:41:22,170 --> 00:41:28,790


380
00:41:28,790 --> 00:41:33,960


381
00:41:33,960 --> 00:41:40,960


382
00:41:41,130 --> 00:41:46,350


383
00:41:46,350 --> 00:41:52,450


384
00:41:52,450 --> 00:41:58,140


385
00:41:58,140 --> 00:42:04,080


386
00:42:04,080 --> 00:42:07,760


387
00:42:07,760 --> 00:42:14,760


388
00:42:15,030 --> 00:42:21,050


389
00:42:21,050 --> 00:42:26,340


390
00:42:26,340 --> 00:42:31,200


391
00:42:31,200 --> 00:42:38,200


392
00:42:41,810 --> 00:42:47,590


393
00:42:47,590 --> 00:42:54,280


394
00:42:54,280 --> 00:42:59,840


395
00:42:59,840 --> 00:43:05,710


396
00:43:05,710 --> 00:43:11,820


397
00:43:11,820 --> 00:43:15,650


398
00:43:15,650 --> 00:43:20,780


399
00:43:20,780 --> 00:43:27,310


400
00:43:27,310 --> 00:43:33,630


401
00:43:33,630 --> 00:43:38,860


402
00:43:38,860 --> 00:43:45,850


403
00:43:45,850 --> 00:43:49,840


404
00:43:49,840 --> 00:43:55,680


405
00:43:55,680 --> 00:44:00,860


406
00:44:00,860 --> 00:44:06,500


407
00:44:06,500 --> 00:44:12,650


408
00:44:12,650 --> 00:44:18,030


409
00:44:18,030 --> 00:44:23,490


410
00:44:23,490 --> 00:44:29,170


411
00:44:29,170 --> 00:44:36,170


412
00:44:36,520 --> 00:44:40,860


413
00:44:40,860 --> 00:44:46,850


414
00:44:46,850 --> 00:44:53,540


415
00:44:53,540 --> 00:45:00,300


416
00:45:00,300 --> 00:45:06,040


417
00:45:06,040 --> 00:45:09,530


418
00:45:09,530 --> 00:45:15,660


419
00:45:15,660 --> 00:45:22,660


420
00:45:25,800 --> 00:45:28,780


421
00:45:28,780 --> 00:45:34,120


422
00:45:34,120 --> 00:45:41,120


423
00:45:42,250 --> 00:45:48,770


424
00:45:48,770 --> 00:45:55,060


425
00:45:55,060 --> 00:46:02,060


426
00:46:05,810 --> 00:46:12,810


427
00:46:12,830 --> 00:46:18,850


428
00:46:18,850 --> 00:46:25,500


429
00:46:25,500 --> 00:46:31,640


430
00:46:31,640 --> 00:46:36,930


431
00:46:36,930 --> 00:46:43,770


432
00:46:43,770 --> 00:46:49,030


433
00:46:49,030 --> 00:46:56,030


434
00:47:00,290 --> 00:47:05,550


435
00:47:05,550 --> 00:47:11,360


436
00:47:11,360 --> 00:47:17,760


437
00:47:17,760 --> 00:47:24,150


438
00:47:24,150 --> 00:47:30,120


439
00:47:30,120 --> 00:47:36,970


440
00:47:36,970 --> 00:47:42,910


441
00:47:42,910 --> 00:47:47,280


442
00:47:47,280 --> 00:47:51,370


443
00:47:51,370 --> 00:47:57,450


444
00:47:57,450 --> 00:48:02,910


445
00:48:02,910 --> 00:48:08,850


446
00:48:08,850 --> 00:48:15,490


447
00:48:15,490 --> 00:48:21,520


448
00:48:21,520 --> 00:48:28,290


449
00:48:28,290 --> 00:48:35,290


450
00:48:38,980 --> 00:48:45,120


451
00:48:45,120 --> 00:48:51,340


452
00:48:51,340 --> 00:48:57,950


453
00:48:57,950 --> 00:49:02,640


454
00:49:02,640 --> 00:49:09,640


455
00:49:11,470 --> 00:49:18,200


456
00:49:18,200 --> 00:49:24,560


457
00:49:24,560 --> 00:49:31,560


458
00:49:34,460 --> 00:49:41,030


459
00:49:41,030 --> 00:49:48,030


460
00:49:48,540 --> 00:49:54,820


461
00:49:54,820 --> 00:50:01,820


462
00:50:01,860 --> 00:50:07,630


463
00:50:07,630 --> 00:50:14,630


464
00:50:14,670 --> 00:50:21,670


465
00:50:21,720 --> 00:50:28,720


466
00:50:29,210 --> 00:50:34,870


467
00:50:34,870 --> 00:50:40,700


468
00:50:40,700 --> 00:50:47,440


469
00:50:47,440 --> 00:50:54,440


470
00:50:55,130 --> 00:51:02,130


471
00:51:03,740 --> 00:51:09,230


472
00:51:09,230 --> 00:51:16,230


473
00:51:16,530 --> 00:51:20,890


474
00:51:20,890 --> 00:51:27,770


475
00:51:27,770 --> 00:51:34,150


476
00:51:34,150 --> 00:51:40,020


477
00:51:40,020 --> 00:51:45,820


478
00:51:45,820 --> 00:51:51,550


479
00:51:51,550 --> 00:51:57,400


480
00:51:57,400 --> 00:51:58,110


481
00:51:58,110 --> 00:52:05,110


482
00:52:05,260 --> 00:52:12,000


483
00:52:12,000 --> 00:52:17,400


484
00:52:17,400 --> 00:52:24,400


485
00:52:26,840 --> 00:52:33,180


486
00:52:33,180 --> 00:52:38,490


487
00:52:38,490 --> 00:52:45,490


488
00:52:46,020 --> 00:52:52,230


489
00:52:52,230 --> 00:52:58,100


490
00:52:58,100 --> 00:53:02,510


491
00:53:02,510 --> 00:53:09,510


492
00:53:12,740 --> 00:53:19,620


493
00:53:19,620 --> 00:53:25,170


494
00:53:25,170 --> 00:53:29,220


495
00:53:29,220 --> 00:53:36,220


496
00:53:37,260 --> 00:53:43,920


497
00:53:43,920 --> 00:53:48,330


498
00:53:48,330 --> 00:53:55,330


499
00:53:56,140 --> 00:54:00,270


500
00:54:00,270 --> 00:54:07,270


501
00:54:07,770 --> 00:54:11,440


502
00:54:11,440 --> 00:54:16,120


503
00:54:16,120 --> 00:54:21,860


504
00:54:21,860 --> 00:54:27,780


505
00:54:27,780 --> 00:54:32,990


506
00:54:32,990 --> 00:54:39,770


507
00:54:39,770 --> 00:54:45,110


508
00:54:45,110 --> 00:54:52,110


509
00:54:52,800 --> 00:54:58,470


510
00:54:58,470 --> 00:55:05,470


511
00:55:06,220 --> 00:55:13,220


512
00:55:14,520 --> 00:55:21,490


513
00:55:21,490 --> 00:55:26,290


514
00:55:26,290 --> 00:55:31,950


515
00:55:31,950 --> 00:55:38,680


516
00:55:38,680 --> 00:55:42,950


517
00:55:42,950 --> 00:55:49,950


518
00:55:50,930 --> 00:55:56,090


519
00:55:56,090 --> 00:56:01,760


520
00:56:01,760 --> 00:56:08,760


521
00:56:10,869 --> 00:56:14,630


522
00:56:14,630 --> 00:56:19,950


523
00:56:19,950 --> 00:56:25,410


524
00:56:25,410 --> 00:56:30,060


525
00:56:30,060 --> 00:56:36,760


526
00:56:36,760 --> 00:56:40,650


527
00:56:40,650 --> 00:56:46,119


528
00:56:46,119 --> 00:56:52,600


529
00:56:52,600 --> 00:56:58,780


530
00:56:58,780 --> 00:57:05,050


531
00:57:05,050 --> 00:57:07,840


532
00:57:07,840 --> 00:57:13,340


533
00:57:13,340 --> 00:57:19,810


534
00:57:19,810 --> 00:57:26,369


535
00:57:26,369 --> 00:57:33,369


536
00:57:33,610 --> 00:57:39,210


537
00:57:39,210 --> 00:57:46,210


538
00:57:46,570 --> 00:57:53,369


539
00:57:53,369 --> 00:57:57,850


540
00:57:57,850 --> 00:58:03,640


541
00:58:03,640 --> 00:58:10,369


542
00:58:10,369 --> 00:58:15,550


543
00:58:15,550 --> 00:58:22,550


544
00:58:22,980 --> 00:58:28,220


545
00:58:28,220 --> 00:58:33,869


546
00:58:33,869 --> 00:58:40,869


547
00:58:45,770 --> 00:58:48,110


548
00:58:48,110 --> 00:58:55,100


549
00:58:55,100 --> 00:58:59,520


550
00:58:59,520 --> 00:59:05,790


551
00:59:05,790 --> 00:59:11,980


552
00:59:11,980 --> 00:59:17,690


553
00:59:17,690 --> 00:59:24,690


554
00:59:25,690 --> 00:59:32,690


555
00:59:33,930 --> 00:59:40,930


556
00:59:41,270 --> 00:59:48,270


557
00:59:49,110 --> 00:59:54,750


558
00:59:54,750 --> 01:00:01,750


559
01:00:05,070 --> 01:00:12,070


560
01:00:12,840 --> 01:00:19,840


561
99:59:59,999 --> 99:59:59,999