Psychiatric sequelae in women who experience life-threatening complications during pregnancy in a low-and-middle income country (LMIC)

Psychiatric sequelae in women who experience life-threatening complications during pregnancy in a low-and-middle income country (LMIC) | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research article Psychiatric sequelae in women who experience life-threatening complications during pregnancy in a low-and-middle income country (LMIC) Nadira Khamker, Johannes Lodewikus Roos This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.24517/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Purpose: Researchers compared psychiatric sequelae in women with life threatening complications during pregnancy (LT), and uncomplicated pregnancies (UP) in a low- and middle-income country (LMIC) over a 6-month follow-up period. Method: The study design was a mixed method and quantitative data was collected in a parallel convergent manner at two university hospitals in Gauteng, South Africa. Women from two groups, namely those with uncomplicated pregnancies and those with life threatening complications were followed up over a six-month period postnatally. Results: Eighty-nine women participated in the study of whom 46 experienced a life-threatening pregnancy complication. At six-week follow-up, 65.5% (n=19) of women in the LT-group and 29.2% (n=7) of the UP-group experienced symptoms of depression (p=0.08). In the LT-group, 30.4% (n=14) had anxiety symptoms compared to 7% (n=3) of UP-group (p=0.011). Compared to the UP-group, more women in the LT-group experienced somatic symptoms (28.3%, n=13, p=0.003) and sleep disturbances (28.3%, n=13, p=0.0009). More women in the LT-group reported memory disturbance 15.2% (n=7, p=0.034) compared to women in the UP-group. Psychotic symptoms were not prominent in either group. Conclusions: Women who experienced life-threatening complications at birth experienced significant distress including depression, anxiety, somatic complaints, sleep disturbances and memory deficits compared to women with uncomplicated pregnancies and deliveries. Maternal services for women with complicated deliveries should include a comprehensive package of obstetric, paediatric and psychiatric care that involves a multi-professional team. Preventive Medicine Internal Medicine LMIC developing countries life threatening complications delivery psychiatric sequelae Introduction Research linking women’s reproductive and mental health is an area of increasing focus (Chandra and Ranjan 2007). Pregnancy related complications are the leading cause of death and disability worldwide among women between the ages of 15 and 44. Obstetric complications are common in low-income countries. (Ronsmans, 2009) where there is a high risk of maternal death for up to six months postpartum. (Ronsmans et al, 2006). Women who experience severe life-threatening complications are at a greater risk for developing psychiatric complications and have poorer health outcomes than women with uncomplicated pregnancies (Patel, 2008). However, studies that describe the experiences of women who survive life-threatening complications are scarce (Kaaja et al, 2010; Weeks et al, 2005), especially in developing or low-income settings. A systematic review revealed that maternal mental disorders are approximately three times more prevalent in low- and middle-income countries (LMIC) than in high income countries (HIC). (Fisher et al, 2010) South African women in poor urban areas have to rely on public health care provided at primary levels of care. Despite the improvements and utilisation of antenatal care services, an increase in perinatal mortality rates persists. (Bekinska et al, 2008) Postnatal care for women in South Africa focuses primarily on the infant with limited attention paid to maternal health, including maternal mental health. (Chopra et al, 2009) High prevalence rates of depressed mood among pregnant and post-natal women have been reported in community based epidemiological studies in South Africa. (Honikman et al, 2012) Up to 40% of mothers in poor environments have depression, usually untreated, exacerbated by intimate partner violence, lack of resources, higher levels of poverty, HIV and unwanted pregnancy (Kathree et al. 2014, Marsay et al, 2017) Despite the high levels of depression during the perinatal period, there is a lack of mental health care services, (Nyatsanza et al. 2016) with no routine screening or treatment of mental health during the perinatal period in the busy public health settings . (Honikman et al, 2012; Marsay et al. 2017). Psychiatric disorders that occur during the perinatal period are associated not only with morbidity and mortality in the women affected, but also with increased morbidity in their children. Exposure to maternal psychiatric illness may represent a stressful life event and increase the child’s vulnerability to future psychopathology. (Stuart et al, 1998) In South Africa, the importance of treating perinatal psychiatric conditions is just coming to light, thus studies that identify target groups for treating these conditions are particularly important. Fillipi et al (2010) concluded that women with complicated births would benefit from active screening for symptoms and signs of adverse emotional and physical wellbeing during postnatal visits or other contacts with health professionals during the postpartum period. The researchers explored whether women who experience life threatening complications (LT) were more vulnerable to developing psychiatric complication, compared to women who had uncomplicated deliveries (UP). If so, did women in the LT group experience more severe and long-term psychiatric sequelae? Method The study was conducted at two university hospitals affiliated in Gauteng, South Africa. These hospitals serve the greater area of the City of Tshwane, which has approximately 1.98 million inhabitants, and an average population growth of 1.7%. Patients who are admitted to university or tertiary level hospitals are either self-referrals or referred from surrounding maternal obstetric units, district hospitals and surrounding provinces. Patients with uncomplicated deliveries (UP) were selected randomly from the birth registers of the respective labour wards of the two hospitals. The women with life-threatening complications (LT) were selected if they met the criteria for a “near-miss” pregnancy. A “near-miss” pregnancy is defined by the WHO is “a severe life-threatening obstetric complication that requires urgent medical intervention to prevent the death of the mother” (WHO 2004:106). The near-miss condition is defined according to clinical, laboratory based and management-based criteria (Table 1). Participants were recruited in collaboration with colleagues from the Department of Obstetrics at the two hospitals. Near miss cases are identified during the daily routine audit by a team of consultants, registrars and medical officers in the department. Prospective participants were approached soon after delivery. Participants with life-threatening complications who were severely ill after delivery were approached when they were medically stable. The researcher discussed the purpose of the study with prospective participants and distributed patient information leaflets. Where women had difficulties with language, nursing staff served as interpreters during the informed consent process. Participants received a copy of the informed consent once they agreed to participate. The researcher interviewed participants at four-time intervals. During these interviews the researcher completed questionnaires, symptom measures and scales. The four-time intervals were, shortly after the delivery, at six weeks, at three months and at six months postpartum. Initially, the researcher conducted a comprehensive psychiatric interview with each participant, and obtained a medical and obstetric history. The researcher recorded socio-demographic information including age, race, level of education, employment status and current living circumstances for each participant. The participants completed two crosscutting symptom measures, both which have been validated. Language interpreter support was used where necessary. The Level 1 cross-cutting symptom measure broadly identified the presence of the following psychiatric symptoms: depression, anxiety, sleep, cognition, dissociation, self-harm, anger, psychosis, mania, post-traumatic stress, obsessive-compulsive and substance abuse. Subsequent to scoring and interpretation of the Level 1 findings, the researcher completed a Level 2 crosscutting symptom measure for patients with psychiatric symptoms. The Level 2 crosscutting symptom measure is a Patient-Reported Outcomes Measurement Information System (PROMIS) Scale, which measure significant-symptoms of psychiatric illness. The PROMIS Scales used in this study included symptoms for depression, anxiety, mania, substance abuse, repetitive thoughts and behaviour, anger, cognition, somatic and sleep disturbances. Once the researcher completed the Level 1 & 2 measures, appropriate validated psychiatric rating scales were completed, including the Beck Depression Inventory and Hamilton Anxiety Scale. The Beck Depression Inventory assessed the intensity of depression. This scale has been validated for use in obstetric populations (cut-off 16) (Holcomb et al, 1996). Additionally, the researcher used the WHO Disability Assessment to measure impairments in personal, social and occupational functioning. Data were analysed using the SSPE software programme. This study was approved by the Ethics Committee at the University of Pretoria (353/2013), the Doctoral Protocol Committee and the chief executive officers at the two hospitals. Results Eighty-nine women signed informed consent to participate in the study. Of these, 43 were women with uneventful pregnancies and 46 had LT deliveries (Table 1). The study participants varied in age from 16 – 45 years, with almost a fifth of them being older than 36 years. Approximately a third of the women (n=15) in the life-threatening (LT) group experienced an intrauterine foetal demise. A summary of the psychiatric sequelae identified at each time interval is presented in table 2 and notable psychiatric sequelae are elaborated on. Table 1: Demographic information of mothers who experienced life threatening (LT) complications and uncomplicated pregnancies (UP) at 2 hospitals in the Tshwane region, Gauteng, South Africa Age distribution UP n (%) LT n (%) Total (%) 16-20 7 (16.3%) 6 (13.3%) 13 (14.8%) 21-25 10 (23.3%) 11 (24.4%) 21 (23.9%) 26-30 10 (23.3%) 11 (24.4%) 2 (23.9%) 31-35 8 (18.6%) 9 (20.0%) 17 (19.3%) 36-40 6 (14.0%) 7 (15.6%) 13 (14.8%) 41-45 2 (4.7%) 1 (2.2%) 3 (3.4%) Population group Black 37 (86.0%) 44 (95.7%) 81 (91.0%) Mixed race 0 (0.0%) 1 (2.2%) 1 (1.1%) Asian/Indian 0 (0.0%) 1 (2.2%) 1 (1.1% White 6 (14.0%) 0 (0.0%) 6 (6.7%) Relationship status Married 13 (30.2%) 16 (34.8%) 29 (32.6%) Single 13 (30.2%) 15 (32.6%) 28 (31.5%) Living together 15 (34.9%) 8 (17.4%) 23 (25.8%) Non-exclusive relation 2 (4.7%) 7 (15.2%) 9 (10.1%) Employment status Working full-time 12 (27.9%) 17 (37.0%) 29 (32.6%) Working part-time 6 (14.0%) 7 (15.2%) 13 (14.6%) Not-working(housewife) 6 (14.0%) 5 (10.9%) 11 (12.4%) Student/Scholar 5 (11.6%) 3 (6.5%) 8 (9.0%) Unemployed 14 (32.6%) 14 (30.4%) 28 (31.5%) Living circumstances Standalone house/structure 20 (46.5%) 20 (43.5%) 40 (44.9%) Flat in block of flats 5 (11.6%) 5 (10.9%) 10 (11.2%) House/flat/room in backyard 6 (14.0%) 5 (10.9%) 11 (12.4%) Informal dwelling/shack 12 (27.9%) 16 (34.8%) 28 (31.5%) Table 2 :Summary of psychiatric sequelae observed in women who experience life threatening (LT) complications and uncomplicated pregnancies (UP). Assessments were conducted just after delivery (P1), at six weeks (P2), at three months (P3) and at six months (P4). Condition P1 P2 P3 P4 LT (46) U (43) p- value LT (29) U (24) p- value LT (21) U (11) p- value LT (12) U (8) p- value Depression 14 (30.4%) 8 (18.6%) 0,196 19 (65.5%) 7 (29.2%) 0,008 10( (47.6%) 2 (18,2%) 0,102 2 (16.7%) 1 (12.5%) 0,798 Mania 1 (2.2%) 1 (2.3%) 0,962 1 (3.4%) 2 (8.3%) 0,444 0 0 0 0 Anxiety 14 (30.4%) 3 (7.0%) 0,005 16 (55.2%) 5 (20.8%) 0,011 9 (42.9%) 2 (18.2%) 0,163 1 (8.3%) 1 (12.5%) 0,761 Anger 2 (4.3%) 1 (2.3%) 0,597 5 (17.2%) 1 (4.2%) 0,135 3 (14.3%) 0 0,188 0 0 Somatic 13 (28.3%) 2 (4.7%) 0,003 11 (37.9%) 3 (12.5%) 0,037 1 (4.8%) 1 (9.1%) 0,631 0 0 Sleep 13 (28.3%) 3 (7.0%) 0,009 18 (62.1%) 6 (25.0%) 0,007 8 (38.1%) 2 (18.2%) 0,248 1 (8.3%) 0 0,402 Memory 7 (15.2%) 1 (2.3%) 0,034 10 (34.5%) 2 (8.3%) 0,024 5 (23.8%) 1 (9.1%) 0,311 0 0 Psychosis 3 (6.5%) 1 (2.3%) 0,34 2 (6.9) 1 (4.2%) 0,669 0 1 (9.1%) 0,16 0 0 Substance 1 (2.2%) 2 (4.7%) 0,518 1 (3.4%) 3 (12.5%) 0,214 1 (4.8%) 0 0,462 0 0 Depressive symptoms At six weeks, almost two-thirds (65.5%, n=19) of women in the LT-group presented with depressive symptoms, compared to women in the UP-group (29.2%, n=7) (p=0.08, OR 4.91). At three months, fewer women experienced depressive symptoms, but more women (47.6%, n=10) in the LT-group still presented with depressive symptoms, compared to women in the UP-group (18.2%, n=2) (p=0.102, OR 4.09). At six months, 16.7%, (n=2) of women in the LT-group and 12.5% (n=1) of the UP-group continued to experience residual depressive symptoms (p=0.798, OR 1.40). At delivery, 12 (13.5%) women had Becks depression (BDI) scores of more than 18 indicating moderate to severe depression. Of these, 9 (75%) women had LT deliveries and 3 (25%) had UP deliveries. At six weeks, 29 women (62.1%) of women in the LT group presented with BDI scores of more than 18. At the three-months, 11 women (23.8%) in the LT-group had a BDI score of more than 18, while at 6 months only one participant had a BDI score of more than 18. Anxiety symptoms At the first assessment, just after delivery, 14 (30.4%) of women in the LT-group presented with anxiety symptoms, compared to 3 (7%) women in the UP-group (p=0.005, OR 5.83). More women presented with anxiety symptoms at the six-week assessment, remaining more prevalent in the LT-group (n=16, 55.2%) compared to the UP-group (n=5, 20.8%) (p=0,011, OR 4.6). Fewer women experienced anxiety symptoms at three months (LT: n=9, 42.9%; UP: n=2, 18.2%, p=0,163, OR 3.38). At six months, only one woman in each group presented with residual symptoms of anxiety. At delivery, 17.6% (n=16) of women had moderate to severe symptoms of anxiety with HAM-A scores of greater than 18. At six weeks, 32.1% (n=29) women had HAM-A scores of greater than 18, and of these, 75% (n=22) were women who had LT deliveries. Of these 22, only 10 (36.4%) women presented with anxiety symptoms at three months. Somatic symptoms Participants also presented with mild to moderate somatic symptoms (Table 2). At the first assessment, more women in the LT-group (n=13, 28.3%) presented with somatic symptoms, compared with women in the UP-group (n=2, 4.7%) (p= 0.003, OR 8.08). This difference was maintained at six weeks (LT: n=11, 37.9%; UP: n=3, 12.5%, p=0.037, OR 4,28). Sleep disturbances At the first assessment, more women in the LT-group (n=13, 28.3%) reported sleep disturbances compared to women in the UP-group (n=3, 7.0%) (p=0.009, OR 5.25,). More women from both groups reported sleep disturbances at the six-week interview (LT: n=18, 62%; UP: n=6, 25%, p=0.007, OR 4.91). Sleep disturbances improved over time. Cognitive and memory disturbances At the first assessment, more women in the LT-group (n=7, 15.2%) reported memory disturbances compared to women in the UP-group (n=1, 2.3%) (p=0.034, OR 7.54,). At six weeks, this difference intensified with, 34.5% (n=10) and 8.3% (n=2) in LT-group and UP-group respectively presenting with memory disturbances (p=0.024, OR 5.79). Psychotic symptoms : At the first assessment, 6.5% (n=3) of women in the LT-group and 2.3% (n=1) of women in the UP-group experienced psychotic symptoms (p=0.340, OR 2.93). At delivery, 4.5% (n=4) women presented with a Brief psychiatric rating score of more than 31, indicating moderate to marked illness. At six weeks and at three months, 3.7% (n=2) and 3.1% (n=1) of participants, respectively, were moderately ill with a BPRS score of 38. Discussion Findings from this study indicate the psychiatric sequelae are more common in women who experience life threatening complications at delivery. We identified that women who experienced life threatening complications were more prone to depression, anxiety, somatic symptoms, sleep complaints and memory/cognitive deficits while psychotic, manic and substance abuse appeared on the lower symptom domain. These sequelae persisted up to six months following birth, but most conditions resolved over the medium term. Where mothers presented with psychotic symptoms directly after birth, symptoms seemed to persist over the medium term. Depression In this study, few women in both groups presented with symptoms of depression at the first assessment after delivery. These figures increased markedly at the six weeks follow up visit, with more women in the LT group showing symptoms of depression. Whilst only 10% (n=4) of women experiencing LT births showed symptoms of severe depression (BDI>16) directly after birth, this proportion rose to 65.5% (n=19) at six weeks. In this study, women with moderate to severe depressive symptoms were referred to a local psychiatric clinic for further management, which may account for fewer women experiencing symptoms of depression at three- and six-month follow-up visits. The high rates of depression observed at six weeks may be linked to bereavement in women who had experienced foetal loss, but these women presented with additional symptoms that suggested depressive syndrome. These women experienced neuro-vegetative symptom changes, cognitive and memory deficits and impairment in functioning. In the clinical situation, the overlap between bereavement and major depressive disorder may be difficult to elucidate, and such cases should be closely monitored. Depressive symptoms are common in both traumatic and uncomplicated deliveries. Usually depressive symptoms steadily decrease over time during the peri-partum period (Rahman and Creed, 2010; O’Hara et al, 1984; Campbell and Cohn, 1997; Najman et al, 2000). In developing countries, the prevalence of post-partum depression ranges between 16 and 39% (Sword et al, 2011; Gonidakis et al, 2008), which is in line with our findings for women with UP deliveries. Our finding suggests that women who experience LT complications during delivery are prone to developing symptoms of depression. Anxiety Anxiety symptoms showed a similar trend to the afore-mentioned depressive symptoms during the four-time intervals, ranging between 8% and 55% in the group of women who experienced LT deliveries. Anxiety symptoms may form part of the depressive syndrome. Globally, the prevalence of perinatal anxiety disorders range between 15 and 39% (Mota et al, 2008), but few studies have assessed the prevalence of anxiety disorders among women who experience life-threatening medical complications during delivery (Fairbrother et al, 2017). Anxiety related diagnoses may include acute stress disorder, post-traumatic stress disorder and adjustment disorder with comorbid mood and anxiety symptoms. Women who experience severe medical or obstetric complications to the extent that their well-being and lives are threatened, may present with severe anxiety symptoms indicative of acute stress disorder. In this study, women, followed up at six-months, did not present with symptoms of reliving, intrusive thoughts, and nightmares that are suggestive of post-traumatic stress disorder. Deliveries complicated by traumatic events, including preeclampsia, has been linked to PTSD or depression (Gaugler-Senden et al, 2012). Diagnosing PTSD requires long term follow-up which was beyond the scope of the study. Additionally, all mothers were closely followed up at six weeks, and referred for care if necessary, possibly pre-empting more serious psychiatric sequelae. Mothers from Brazil who experienced near-miss pregnancies, also did not fulfil the criteria for PTSD, rather they were diagnosed with acute stress disorder which resolved during the postpartum period (Souza et al, 2009). In this study, the researchers considered adjustment disorder with depressed mood and anxiety symptoms for women presenting with self-limiting anxiety symptoms during the follow-up period. Initially, women in the LT-group experienced greater variation in their ability to function but became less functionally impaired during the three- and six-month follow-up. Somatic symptoms The LT-group presented with significant somatic symptoms after birth (28.3%), which reached a peak at six weeks and decreased at three months. The somatic symptoms could have been a part of the symptom complex associated with severe illness at the time of delivery Persisting somatic symptoms, including sleep disturbances could be manifestations of underlying depressive disorder. Women who are depressed may express their distress through somatic symptoms, even during pregnancy (Duer, Schwenk, Coyne,1988; Simon et al, 1999). In Zimbabwe, women with depression are known to express their somatic symptoms (Abas and Broadhead, 1997), and in Ethiopia, women were more likely to have somatic symptoms if they had depression or anxiety after delivering their babies (Senturk et al, 2012). In this study, women presented simultaneously with depression and somatic symptoms at delivery and at six-week follow-up, which may indicate atypical postpartum depression . Sleep disturbances, like somatic symptoms, can occur in pregnancy and the postpartum period due to physiological changes. These processes are required to re-establish homeostasis, but persistent somatic disturbances and inadequate sleep may exacerbate feelings of depression and anxiety. Our findings support the importance of somatisation of mental distress during the perinatal period. Cognitive and memory deficits Similar to somatic symptoms and sleep disturbances, cognitive and memory deficits, at birth and after six weeks, were associated with mothers who experienced LT deliveries. The rates of memory deficits described in this study fall within the rates described in the literature (Porcels et al, 2013). Cognitive and memory deficits at birth may be associated with complications and interventions during hospital admission. Women with eclampsia and preeclampsia are prone to vascular dysfunction and clotting abnormalities as well as cerebral oedema, which could have contributed to memory deficits (Postma et al, 2010). In this study, a quarter of the participants were HIV-positive, which may have contributed to cognitive deficits. Psychosis In this study, four women presented with psychotic symptoms at birth, with two women having persistent symptoms at six weeks and three months. In previous studies, the incidence of postpartum psychosis is found to be one or two per thousand births (Munk-Olsen et al, 2006; Kendell et al, 1987). In this study, women presenting with psychotic symptoms, could have been delirious, which could have resolved with prompt treatment of underlying medical complications. Limitations of the study The findings in this study need to be interpreted with care, since the sample was small, there was a high attrition rate, recall bias and linguistic barriers. In the South African public health sector, follow-up appointments for normal deliveries and for non-South African citizens are difficult leading to loss of participants over time. Where recall bias from participants were problematic, all efforts were made to obtain this information from the clinical files. Nursing staff was used where linguistic barriers occurred. Conclusion In this study, women who experienced life-threatening experiences during birth experienced significant psychiatric distress at the time of birth and during follow-up. Psychiatric domains of pathology identified included: depression, anxiety, somatic complaints, sleeps disturbance and memory/cognitive deficits. The findings add to limited research done in LMIC on women who experience life-threatening complications at birth. Elucidating the different psychiatric presentations into diagnostic categories may be of help in the bio psychosocial management of these cases. It is important for maternal services to include a comprehensive package of care that not only includes members of multidisciplinary teams including obstetricians, paediatricians but management of these women should include appropriate referral to psychiatric services with involvement of a multi-professional team. Declarations Ethical approval and consent to participate : “All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.” This study was approved by the Ethics Committee at the University of Pretoria (353/2013), the Doctoral Protocol Committee and the chief executive officers at the two hospitals. Informed consent: Informed consent was obtained from all individual participants included in the study. Consent for publication Not applicable Availability of data and materials The datasets used and/or analysed during this study are available from the corresponding author on reasonable request Conflict of Interest: Author 1, declares that she has no conflict of interest. Author 2, receives incentive funding as a rated researcher from the National Research Foundation. Funding: No funding was obtained for conducting this study. Authors’ contributions All authors contributed to the manuscript. All authors read and approved the final manuscript Acknowledgements: Authors would like to thank Professor RC Pattinson and colleagues from the Department of Obstetrics and Gynecology, Steve Biko Academic Hospital and Kalafong Hospital, Pretoria, South Africa References Abas, M.A., Broadhead, J.C. 1997. Depression and anxiety among women in an urban setting in Zimbabwe. Psychological Medicine. 27(1):59-71. Campbell, S.B., Cohn, J.F. 1997. The timing and chronicity of postpartum depression: implications for infant development. In: Cooper, P.J. editor. Postpartum depression and child development. New York: Guilford. p. 165–97. Chandra, P.S., Ranjan, S. 2007. Psychosomatic obstetrics and gynecology- a neglected field? Current Opinion in Psychiatry. 20:168-73. Chopra, M., Lawn, J.E., Sanders, D., Barron ,P. Abdool Karim, S.S. et al. 2009. Saving the lives of south Africa’s mothers, babies and children: can the health system deliver? Lancet. 374: 835-846. Duer, S., Schwenk, T.L., Coyne, J.C. Medical and psychosocial correlates of self-reported depressive symptoms in family practice. Journal of Family Practice. 27(6):609 - 14. Fairbrother, N., Young, A.H., Zhang, A., Janssen P., Atony, M.M. 2017. The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy. Archives of Women’s Mental Health. 20:311-9. Fillippi, V., Ganaba, R., Baggaley, R.F., Marshall, T., Storeng, K.T., Sombie, I., et al. 2007. Health of women after severe obstetric complications in Burkina Faso: a longitudinal study. Lancet. 370:1329-37. Fillippi, V., Goufodji, S., Sisimanidis, C., Kanhonou, L., Fottrell, E., Ronsmans, C., et al. 2010. Effects of severe obstetric complications on women’s health and infant mortality in Benin. Tropical Medicine and International Health. 15(6):733-42. Fisher J, Mello C.D, Patel V., Rahman A., Tran T., et al. (0212) Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle income countries: a systematic review. B World Health Organ 90: 139-149. Gaugler-Senden, I.P.M., Duivenvoorden, H., Filius, A., De Groot, C.J.M., Steegers, E.A.P., Passchier, J. 2012. Maternal psychosocial outcome after early onset preeclampsia and preterm birth. Journal of Maternal Fetal and Neonatal Medicine. 25(3):272–6. Gonidakis, F., Rabavilas, A.D., Varsou, E., Kreatsa, G., Christodoulou, G.N. 2008. A 6-month study of postpartum depression and related factors in Athens Greece. Comprehensive Psychiatry. 49(3):275–82. Holcomb, W.L., Stone, L.S., Lustman, P.J., Gavard, J.A, Mostello, D.J. 1996. Screening for depression in pregnancy: characteristics of the Beck Depression Inventory. Obstetrics and Gynecology. 88:1021-5. Honikman, s., van Heyingen, T., Field, S., Baron, E., Tomlinson, M. 2012. Stepped Care for Maternal Health: A Case Study of the Perinatal Mental Health Project in South Africa. PLoS Med. 9(5): e 1001222. https://doi.org/10.1371/journal.pmed . 1001222. Kaaya, S.F., Mbwambo, J.K., Kilonzo, G., van den Borne, H., Leshabari, M.T., Fawzi, M.C., et al. Socio-economic and partner relationship factors associated with antenatal depressive morbidity among pregnant women in Dar es Salaam, Tanzania. Tanzanian Journal of Health Research. 12(1):23-35. Kathree, T. Selohilwe, O.M., Bhana, A. Petersen, I. 2014. Perceptions of postnatal depression and health care needs in a south African sample: the “mental” in maternal health care. BMC Women’s Health.14: 140. http://www.biomedcentral.com/1472-6874/14/140 . Kendell, R.E., Chalmers, K.C., Platz, C. 1987. Epidemiology of puerperal psychoses. British Journal of Psychiatry. 150:662-73. Marsay, C. Manderson, L., Subramaney, U. 2017. Validation of the Whooley questions for antenatal depression and anxiety among loe-income women in urban South Africa. S Afr J Psychiat. 23(0), a1013. https://doi.org/10.4102/sajpsychiatry.v23i0.1013 Mota, N., Cox, B.J., Enns, M.W., Calhoun, C. Sareen, J. 2008. The relationship between mental disorders, quality of life, and pregnancy: findings from a nationally representative sample. Journal of Affective Disorders. 109:300–4. Munk-Olsen, T., Laursen, T.M., Pedersen, C.B., Mors, O., Mortensen, P.B. 2006. New parents and mental disorders: a population-based register study. JAMA. 296:2582-9. Najman, J.M., Andersen, M.J., Bor, W., O’Callaghan M.J., Williams G.M. 2000. Postnatal depression-myth and reality: maternal depression before and after the birth of a child. Social Psychiatry and Psychiatric Epidemiology. 35:19–27. O’Hara, M.W., Swain, A.M. 1996. Rates and risks of postpartum depression: a meta- analysis. International Review of Psychiatry. 8:37-54. Patel V. 2007. Mental health in low and middle-income countries. 81:81-96. Porcels, J., Feigal, C., Poe, L., Postma, I.R., Zeeman, G.G., Olowoyey, A. et al 2013. Hypertensive disorder of pregnancy and risk of screening positive for posttraumatic stress disorder: a cross-sectional study. Pregnancy Hypertension. International Journal of Women’s Cardiovascular Health. 3:227-234. Postma, I., Wessel, I., Aarnoudse, J., Zeeman, G. 2010. Neurocognitive functioning in women with a history of eclampsia: executive functioning and sustained attention. American Journal of Perinatology. 27(9):685–90. Postma, I.R., Groen, H., Eastering, F.R., Tsigas, E.Z., Wilson, M.L. 2013. The brain study. Cognition, quality of life and social functioning following preeclampsia: an observational study. Pregnancy Hypertension. International Journal of Women’s Cardiovascular Health. 3:227-34. Rahman, A., Creed, F. 2010. Outcome of prenatal depression and risk factors associated with persistence in first postnatal year: prospective study from Rawalpindi, Pakistan. Journal of Affective Disorders. 100:115-21. Ronsmans, C., 2009. Severe acute maternal morbidity in low-income countries. Best practice & research Clinical obstetrics & gynaecology, 23(3): 305-316. Ronsmans, C., Graham, W.J. 2006. Maternal mortality: who, when, where, and why. 368:1189-1200. Senturk, V., Hanlon, C., Medhin G., Dewey, M., Araya, M., Alem, A. et al. Impact of perinatal somatic and common mental disorder symptoms on functioning in Ethiopian women: The P-MaMiE population-based cohort study. Journal of Affective Disorders. 136:340–9. Simon, G.E., VonKorff, M., Piccinelli, M., Fullerton, C., Ormel, J. 1999. An international study of the relation between somatic symptoms and depression. New England Journal of Medicine. 341(18):1329-35. Souza, J.P., Cecatti, J.G., Parpinelli, M.A., Krupa, F., Osis, M.J.D. 2009. An emerging “maternal near-miss syndrome”: narratives of women who almost died during pregnancy and childbirth. 36(2):149-58. Sword, W., Landy, C.K., Thabane, L., Watt, S., Krueger, P., Farine, D. et al. 2011. Is mode of delivery associated with postpartum depression at 6 weeks: a prospective cohort study. British Journal of Obstetrics and Gynaecology. 118(8):966–77. Weeks, A., Lavender, T., Nazziwa, E., Mirembe, F. 2005. Personal accounts of ‘near-miss’ maternal mortalities in Kampala, Uganda. British Journal of Obstetrics and Gynaecology. 112:1302-7. World Health Organization. [Internet]. 2008. The Global Burden of Disease (GBI) study: projections of mortality and burden of disease 2004 - 2030. [cited 2016 Mar]. Available from : http://www.who.int/healthinfo/global_burden_disease/projections2004/en/ World Health Organization. 2004b. Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safe. Geneva: World Health Organization. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-15076","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":367422,"identity":"782b9bd9-a4b9-47ab-991a-d33d0acbf858","order_by":1,"name":"Nadira Khamker","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABBUlEQVRIiWNgGAWjYHACgwMgwgBIMDYwMMiRrsWYKC0MyFoSGwipN2c/vPFwRQ2DsTn76bSHMyrupW+43cD44QdDnTwuLZY9aQUHzxxjMLPsyd1uuOFMce6GOweYJXsY2AxxWWdwIMfgYAMbg43Bgdxtkg/bEnI33EhgkGZg4GHEqeX8G6CWf0At598CtfxLSDe4kcD8m4FBwh6nlhtAWxrbGMwMbgBt2diQkADUwga0xQBnOBjceFZwsLFPwtjgBtCWGccSDGfeOdhm2WOQkIzbYcmbPzZ8szHccB5oS09Ngjzf7ebDN35U1Nni0gIFEshskMcN8KvHo30UjIJRMApGARAAAPaGXpf9wzP6AAAAAElFTkSuQmCC","orcid":"https://orcid.org/0000-0003-1349-6909","institution":"University of Pretoria","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Nadira","middleName":"","lastName":"Khamker","suffix":""},{"id":367423,"identity":"de4476ac-d58d-4ba4-ad81-93c07ca5e89d","order_by":2,"name":"Johannes Lodewikus Roos","email":"","orcid":"","institution":"University of Pretoria","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Johannes","middleName":"Lodewikus","lastName":"Roos","suffix":""}],"badges":[],"createdAt":"2020-02-23 12:06:47","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.2.24517/v1","doiUrl":"https://doi.org/10.21203/rs.2.24517/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":13490460,"identity":"49f2eed7-3c12-4892-9131-25bc0eb2535e","added_by":"auto","created_at":"2021-09-16 22:23:40","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":359132,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-15076/v1/2f914a41-c4c0-463c-b848-b7fee25c96de.pdf"}],"financialInterests":"","formattedTitle":"Psychiatric sequelae in women who experience life-threatening complications during pregnancy in a low-and-middle income country (LMIC)","fulltext":[{"header":"Introduction","content":"\u003cp\u003eResearch linking women\u0026rsquo;s reproductive and mental health is an area of increasing focus (Chandra and Ranjan 2007). Pregnancy related complications are the leading cause of death and disability worldwide among women between the ages of 15 and 44. Obstetric complications are common in low-income countries. (Ronsmans, 2009) where there is a high risk of maternal death for up to six months postpartum. (Ronsmans et al, 2006). Women who experience severe life-threatening complications are at a greater risk for developing psychiatric complications and have poorer health outcomes than women with uncomplicated pregnancies (Patel, 2008). However, studies that describe the experiences of women who survive life-threatening complications are scarce (Kaaja et al, 2010; Weeks et al, 2005), especially in developing or low-income settings.\u003c/p\u003e\n\u003cp\u003eA systematic review revealed that maternal mental disorders are approximately three times more prevalent in low- and middle-income countries (LMIC) than in high income countries (HIC). (Fisher et al, 2010)\u003c/p\u003e\n\u003cp\u003eSouth African women in poor urban areas have to rely on public health care provided at primary levels of care. Despite the improvements and utilisation of antenatal care services, an increase in perinatal mortality rates persists. (Bekinska et al, 2008) Postnatal care for women in South Africa focuses primarily on the infant with limited attention paid to maternal health, including maternal mental health. (Chopra et al, 2009) High prevalence rates of depressed mood among pregnant and post-natal women have been reported in community based epidemiological studies in South Africa. (Honikman et al, 2012) Up to 40% of mothers in poor environments have depression, usually untreated, exacerbated by intimate partner violence, lack of resources, higher levels of poverty, HIV and unwanted pregnancy (Kathree et al. 2014, Marsay et al, 2017) Despite the high levels of depression during the perinatal period, there is a lack of mental health care services, (Nyatsanza et al. 2016) with no\u0026nbsp; routine screening or treatment of mental health during the perinatal period in the\u0026nbsp; busy\u0026nbsp; public health settings . (Honikman et al, 2012; Marsay et al. 2017). Psychiatric disorders that occur during the perinatal period are associated not only with morbidity and mortality in the women affected, but also with increased morbidity in their children. Exposure to maternal psychiatric illness may represent a stressful life event and increase the child\u0026rsquo;s vulnerability to future psychopathology. (Stuart et al, 1998)\u003c/p\u003e\n\u003cp\u003eIn South Africa, the importance of treating perinatal psychiatric conditions is just coming to light, thus studies that identify target groups for treating these conditions are particularly important.\u003c/p\u003e\n\u003cp\u003eFillipi et al (2010) concluded that women with complicated births would benefit from active screening for symptoms and signs of adverse emotional and physical wellbeing during postnatal visits or other contacts with health professionals during the postpartum period. The researchers explored whether women who experience life threatening complications (LT) were more vulnerable to developing psychiatric complication, compared to women who had uncomplicated deliveries (UP). If so, did women in the LT group experience more severe and long-term psychiatric sequelae?\u003c/p\u003e"},{"header":"Method","content":"\u003cp\u003eThe study was conducted at two university hospitals affiliated in Gauteng, South Africa. These hospitals serve the greater area of the City of Tshwane, which has approximately 1.98 million inhabitants, and an average population growth of 1.7%. Patients who are admitted to university or tertiary level hospitals are either self-referrals or referred from surrounding maternal obstetric units, district hospitals and surrounding provinces.\u003c/p\u003e\n\u003cp\u003ePatients with uncomplicated deliveries (UP) were selected randomly from the birth registers of the respective labour wards of the two hospitals. The women with life-threatening complications (LT) were selected if they met the criteria for a \u0026ldquo;near-miss\u0026rdquo; pregnancy. A \u0026ldquo;near-miss\u0026rdquo; pregnancy is defined by the WHO is \u0026ldquo;a severe life-threatening obstetric complication that requires urgent medical intervention to prevent the death of the mother\u0026rdquo; (WHO 2004:106). The near-miss condition is defined according to clinical, laboratory based and management-based criteria (Table 1).\u003c/p\u003e\n\u003cp\u003eParticipants were recruited in collaboration with colleagues from the Department of Obstetrics at the two hospitals. Near miss cases are identified during the daily routine audit by a team of consultants, registrars and medical officers in the department. Prospective participants were approached soon after delivery. Participants with life-threatening complications who were severely ill after delivery were approached when they were medically stable. The researcher discussed the purpose of the study with prospective participants and distributed patient information leaflets. Where women had difficulties with language, nursing staff served as interpreters during the informed consent process. Participants received a copy of the informed consent once they agreed to participate.\u003c/p\u003e\n\u003cp\u003eThe researcher interviewed participants at four-time intervals. During these interviews the researcher completed questionnaires, symptom measures and scales. The four-time intervals were, shortly after the delivery, at six weeks, at three months and at six months postpartum. Initially, the researcher conducted a comprehensive psychiatric interview with each participant, and obtained a medical and obstetric history. The researcher recorded socio-demographic information including age, race, level of education, employment status and current living circumstances for each participant.\u003c/p\u003e\n\u003cp\u003eThe participants completed two crosscutting symptom measures, both which have been validated. Language interpreter support was used where necessary. The Level 1 cross-cutting symptom measure broadly identified the presence of the following psychiatric symptoms: depression, anxiety, sleep, cognition, dissociation, self-harm, anger, psychosis, mania, post-traumatic stress, obsessive-compulsive and substance abuse. Subsequent to scoring and interpretation of the Level 1 findings, the researcher completed a Level 2 crosscutting symptom measure for patients with psychiatric symptoms. The Level 2 crosscutting symptom measure is a Patient-Reported Outcomes Measurement Information System (PROMIS) Scale, which measure significant-symptoms of psychiatric illness. The PROMIS Scales used in this study included symptoms for depression, anxiety, mania, substance abuse, repetitive thoughts and behaviour, anger, cognition, somatic and sleep disturbances.\u003c/p\u003e\n\u003cp\u003eOnce the researcher completed the Level 1 \u0026amp; 2 measures, appropriate validated psychiatric rating scales were completed, including the Beck Depression Inventory and Hamilton Anxiety Scale. The Beck Depression Inventory assessed the intensity of depression. This scale has been validated for use in obstetric populations (cut-off 16) (Holcomb et al, 1996). Additionally, the researcher used the WHO Disability Assessment to measure impairments in personal, social and occupational functioning. Data were analysed using the SSPE software programme.\u003c/p\u003e\n\u003cp\u003eThis study was approved by the Ethics Committee at the University of Pretoria (353/2013), the Doctoral Protocol Committee and the chief executive officers at the two hospitals.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eEighty-nine women signed informed consent to participate in the study. Of these, 43 were women with uneventful pregnancies and 46 had LT deliveries (Table 1). The study participants varied in age from 16 \u0026ndash; 45 years, with almost a fifth of them being older than 36 years. Approximately a third of the women (n=15) in the life-threatening (LT) group experienced an intrauterine foetal demise.\u003c/p\u003e\n\u003cp\u003eA summary of the psychiatric sequelae identified at each time interval is presented in table 2 and notable psychiatric sequelae are elaborated on.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 1: \u003c/strong\u003eDemographic information of mothers who experienced life threatening (LT) complications and uncomplicated pregnancies (UP) at 2 hospitals in the Tshwane region, Gauteng, South Africa\u003c/p\u003e\n\u003ctable style=\"width: 429.4pt; border-collapse: collapse; border: none;\" border=\"1\" width=\"573\" cellspacing=\"0\" cellpadding=\"0\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: #999999 #999999 #666666; border-image: initial; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eAge distribution\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eUP n (%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eLT n (%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eTotal (%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; 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border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e26-30\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e10 (23.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e11 (24.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e2 (23.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e31-35\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e8 (18.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e9 (20.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e17 (19.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e36-40\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e6 (14.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e7 (15.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e13 (14.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e41-45\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e2 (4.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e1 (2.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e3 (3.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 429.4pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" colspan=\"4\" valign=\"top\" width=\"100%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003ePopulation group\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eBlack\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e37 (86.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e44 (95.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e81 (91.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eMixed race\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e0 (0.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e1 (2.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e1 (1.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eAsian/Indian\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e0 (0.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e1 (2.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e1 (1.1%\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eWhite\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e6 (14.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e0 (0.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e6 (6.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 429.4pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" colspan=\"4\" valign=\"top\" width=\"100%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eRelationship status\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eMarried\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e13 (30.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e16 (34.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e29 (32.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eSingle\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e13 (30.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e15 (32.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e28 (31.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eLiving together\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e15 (34.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e8 (17.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e23 (25.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eNon-exclusive relation\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e2 (4.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e7 (15.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e9 (10.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 429.4pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" colspan=\"4\" valign=\"top\" width=\"100%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eEmployment status\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eWorking full-time\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e12 (27.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e17 (37.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e29 (32.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eWorking part-time\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e6 (14.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e7 (15.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e13 (14.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eNot-working(housewife)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e6 (14.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e5 (10.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e11 (12.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eStudent/Scholar\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e5 (11.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e3 (6.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e8 (9.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eUnemployed\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e14 (32.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e14 (30.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e28 (31.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 429.4pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" colspan=\"4\" valign=\"top\" width=\"100%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eLiving circumstances\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eStandalone house/structure\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e20 (46.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e20 (43.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e40 (44.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eFlat in block of flats\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e5 (11.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e5 (10.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e10 (11.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eHouse/flat/room in backyard\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e6 (14.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e5 (10.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e11 (12.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 103.8pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.125874125874127%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003eInformal dwelling/shack\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 106.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"24.825174825174827%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e12 (27.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 110.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.874125874125873%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e16 (34.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 107.9pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 14.65pt; vertical-align: top;\" valign=\"top\" width=\"25.174825174825173%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 12px; line-height: 18px; font-family: 'Century Schoolbook', serif;\"\u003e28 (31.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable\u003c/strong\u003e \u003cstrong\u003e2\u003c/strong\u003e:Summary of psychiatric sequelae observed in women who experience life threatening (LT) complications and uncomplicated pregnancies (UP). Assessments were conducted just after delivery (P1), at six weeks (P2), at three months (P3) and at six months (P4).\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse; border: none;\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: #999999 #999999 #666666; border-image: initial; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eCondition\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eP1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eP2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eP3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eP4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: 1pt solid #999999; border-left: none; border-bottom: 1.5pt solid #666666; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eLT (46)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eU (43)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003ep-\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003evalue\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eLT (29)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eU (24)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003ep-\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003evalue\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eLT (21)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eU (11)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003ep-\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003evalue\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eLT (12)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eU (8)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003ep-\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003evalue\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eDepression\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e14\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(30.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(18.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,196\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e19\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(65.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(29.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,008\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e10(\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(47.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(18,2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,102\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(16.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(12.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,798\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eMania\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(2.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(2.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,962\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(3.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(8.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,444\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eAnxiety\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e14\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(30.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(7.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,005\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e16\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(55.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(20.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,011\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(42.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(18.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,163\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(8.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(12.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,761\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eAnger\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(4.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(2.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,597\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(17.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(4.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,135\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(14.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,188\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eSomatic\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e13\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(28.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(4.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,003\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e11\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(37.9%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(12.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,037\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(4.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(9.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,631\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eSleep\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e13\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(28.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(7.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,009\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e18\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(62.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(25.0%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,007\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(38.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(18.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,248\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(8.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,402\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eMemory\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(15.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(2.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,034\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e10\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(34.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(8.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,024\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(23.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(9.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,311\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003ePsychosis\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(6.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(2.3%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,34\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(6.9)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(4.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 32.05pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.595092024539877%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,669\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(9.1%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.208588957055214%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,16\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 39.1pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 28.5pt; border-right: 1pt solid #999999; border-bottom: 1pt solid #999999; border-left: 1pt solid #999999; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"5.828220858895706%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003eSubstance\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(2.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 41.45pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.43558282208589%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(4.7%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 36.55pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.515337423312883%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0,518\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"8.742331288343559%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e(3.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 38.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; 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border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"7.975460122699387%\"\u003e\n\u003cp style=\"margin: 0in 0in 0.0001pt; font-size: 16px; font-family: Calibri, sans-serif; text-align: justify; line-height: 24px;\"\u003e\u003cspan style=\"font-size: 11px; line-height: 16px; font-family: 'Century Schoolbook', serif;\"\u003e0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 30.85pt; border-top: none; border-left: none; border-bottom: 1pt solid #999999; border-right: 1pt solid #999999; padding: 0in 5.4pt; height: 16pt; vertical-align: top;\" valign=\"top\" width=\"6.288343558282208%\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDepressive symptoms \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAt six weeks, almost two-thirds (65.5%, n=19) of women in the LT-group presented with depressive symptoms, compared to women in the UP-group (29.2%, n=7) (p=0.08, OR 4.91). At three months, fewer women experienced depressive symptoms, but more women (47.6%, n=10) in the LT-group still presented with depressive symptoms, compared to women in the UP-group (18.2%, n=2) (p=0.102, OR 4.09). At six months, 16.7%, (n=2) of women in the LT-group and 12.5% (n=1) of the UP-group continued to experience residual depressive symptoms (p=0.798, OR 1.40).\u003c/p\u003e\n\u003cp\u003eAt delivery, 12 (13.5%) women had Becks depression (BDI) scores of more than 18 indicating moderate to severe depression. Of these, 9 (75%) women had LT deliveries and 3 (25%) had UP deliveries. \u0026nbsp;At six weeks, 29 women (62.1%) of women in the LT group presented with BDI scores of more than 18. At the three-months, 11 women (23.8%) in the LT-group had a BDI score of more than 18, while at 6 months only one participant had a BDI score of more than 18.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnxiety symptoms\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAt the first assessment, just after delivery, 14 (30.4%) of women in the LT-group presented with anxiety symptoms, compared to 3 (7%) women in the UP-group (p=0.005, OR 5.83). More women presented with anxiety symptoms at the six-week assessment, remaining more prevalent in the LT-group (n=16, 55.2%) compared to the UP-group (n=5, 20.8%) (p=0,011, OR 4.6). Fewer women experienced anxiety symptoms at three months (LT: n=9, 42.9%; UP: n=2, 18.2%, p=0,163, OR 3.38). At six months, only one woman in each group presented with residual symptoms of anxiety. At delivery, 17.6% (n=16) of women had moderate to severe symptoms of anxiety with HAM-A scores of greater than 18. At six weeks, 32.1% (n=29) women had HAM-A scores of greater than 18, and of these, 75% (n=22) were women who had LT deliveries. Of these 22, only 10 (36.4%) women presented with anxiety symptoms at three months.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eSomatic symptoms\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eParticipants also presented with mild to moderate somatic symptoms (Table 2). At the first assessment, more women in the LT-group (n=13, 28.3%) presented with somatic symptoms, compared with women in the UP-group (n=2, 4.7%) (p= 0.003, OR 8.08). This difference was maintained at six weeks (LT: n=11, 37.9%; UP: n=3, 12.5%, p=0.037, OR 4,28).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eSleep disturbances \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAt the first assessment, more women in the LT-group (n=13, 28.3%) reported sleep disturbances compared to women in the UP-group (n=3, 7.0%) (p=0.009, OR 5.25,). More women from both groups reported sleep disturbances at the six-week interview (LT: n=18, 62%; UP: n=6, 25%, p=0.007, OR 4.91). Sleep disturbances improved over time.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCognitive and memory disturbances\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAt the first assessment, more women in the LT-group (n=7, 15.2%) reported memory disturbances compared to women in the UP-group (n=1, 2.3%) (p=0.034, OR 7.54,). At six weeks, this difference intensified with, 34.5% (n=10) and 8.3% (n=2) in LT-group and UP-group respectively presenting with memory disturbances (p=0.024, OR 5.79).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003ePsychotic symptoms\u003c/strong\u003e:\u003c/p\u003e\n\u003cp\u003eAt the first assessment, 6.5% (n=3) of women in the LT-group and 2.3% (n=1) of women in the UP-group experienced psychotic symptoms (p=0.340, OR 2.93). At delivery, 4.5% (n=4) women presented with a Brief psychiatric rating score of more than 31, indicating moderate to marked illness. At six weeks and at three months, 3.7% (n=2) and 3.1% (n=1) of participants, respectively, were moderately ill with a BPRS score of 38.\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eFindings from this study indicate the psychiatric sequelae are more common in women who experience life threatening complications at delivery. We identified that women who experienced life threatening complications were more prone to depression, anxiety, somatic symptoms, sleep complaints and memory/cognitive deficits while psychotic, manic and substance abuse appeared on the lower symptom domain. These sequelae persisted up to six months following birth, but most conditions resolved over the medium term. Where mothers presented with psychotic symptoms directly after birth, symptoms seemed to persist over the medium term.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDepression\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn this study, few women in both groups presented with symptoms of depression at the first assessment after delivery. These figures increased markedly at the six weeks follow up visit, with more women in the LT group showing symptoms of depression. Whilst only 10% (n=4) of women experiencing LT births showed symptoms of severe depression (BDI\u0026gt;16) directly after birth, this proportion rose to 65.5% (n=19) at six weeks. In this study, women with moderate to severe depressive symptoms were referred to a local psychiatric clinic for further management, which may account for fewer women experiencing symptoms of depression at three- and six-month follow-up visits.\u003c/p\u003e\n\u003cp\u003eThe high rates of depression observed at six weeks may be linked to bereavement in women who had experienced foetal loss, but these women presented with additional symptoms that suggested depressive syndrome. These women experienced neuro-vegetative symptom changes, cognitive and memory deficits and impairment in functioning. In the clinical situation, the overlap between bereavement and major depressive disorder may be difficult to elucidate, and such cases should be closely monitored.\u003c/p\u003e\n\u003cp\u003eDepressive symptoms are common in both traumatic and uncomplicated deliveries. Usually depressive symptoms steadily decrease over time during the peri-partum period (Rahman and Creed, 2010; O\u0026rsquo;Hara et al, 1984; Campbell and Cohn, 1997; Najman et al, 2000). In developing countries, the prevalence of post-partum depression ranges between 16 and 39% (Sword et al, 2011; Gonidakis et al, 2008), which is in line with our findings for women with UP deliveries. Our finding suggests that women who experience LT complications during delivery are prone to developing symptoms of depression.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAnxiety\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAnxiety symptoms showed a similar trend to the afore-mentioned depressive symptoms during the four-time intervals, ranging between 8% and 55% in the group of women who experienced LT deliveries. Anxiety symptoms may form part of the depressive syndrome. Globally, the prevalence of perinatal anxiety disorders range between 15 and 39% (Mota et al, 2008), but few studies have assessed the prevalence of anxiety disorders among women who experience life-threatening medical complications during delivery (Fairbrother et al, 2017).\u003c/p\u003e\n\u003cp\u003eAnxiety related diagnoses may include acute stress disorder, post-traumatic stress disorder and adjustment disorder with comorbid mood and anxiety symptoms. Women who experience severe medical or obstetric complications to the extent that their well-being and lives are threatened, may present with severe anxiety symptoms indicative of acute stress disorder. In this study, women, followed up at six-months, did not present with symptoms of reliving, intrusive thoughts, and nightmares that are suggestive of post-traumatic stress disorder. Deliveries complicated by traumatic events, including preeclampsia, has been linked to PTSD or depression (Gaugler-Senden et al, 2012). Diagnosing PTSD requires long term follow-up which was beyond the scope of the study. Additionally, all mothers were closely followed up at six weeks, and referred for care if necessary, possibly pre-empting more serious psychiatric sequelae. Mothers from Brazil who experienced near-miss pregnancies, also did not fulfil the criteria for PTSD, rather they were diagnosed with acute stress disorder which resolved during the postpartum period (Souza et al, 2009).\u003c/p\u003e\n\u003cp\u003eIn this study, the researchers considered adjustment disorder with depressed mood and anxiety symptoms for women presenting with self-limiting anxiety symptoms during the follow-up period. Initially, women in the LT-group experienced greater variation in their ability to function but became less functionally impaired during the three- and six-month follow-up.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eSomatic symptoms\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe LT-group presented with significant somatic symptoms after birth (28.3%), which reached a peak at six weeks and decreased at three months. The somatic symptoms could have been a part of the symptom complex associated with severe illness at the time of delivery\u003c/p\u003e\n\u003cp\u003ePersisting somatic symptoms, including sleep disturbances could be manifestations of underlying depressive disorder. Women who are depressed may express their distress through somatic symptoms, even during pregnancy (Duer, Schwenk, Coyne,1988; Simon et al, 1999). In Zimbabwe, women with depression are known to express their somatic symptoms (Abas and Broadhead, 1997), and in Ethiopia, women were more likely to have somatic symptoms if they had depression or anxiety after delivering their babies (Senturk et al, 2012). In this study, women presented simultaneously with depression and somatic symptoms at delivery and at six-week follow-up, which may indicate atypical postpartum depression\u003cstrong\u003e.\u003c/strong\u003e Sleep disturbances, like somatic symptoms, can occur in pregnancy and the postpartum period due to physiological changes. These processes are required to re-establish homeostasis, but persistent somatic disturbances and inadequate sleep may exacerbate feelings of depression and anxiety. Our findings support the importance of somatisation of mental distress during the perinatal period.\u003c/p\u003e\n\n\u003cp\u003e\u003cstrong\u003eCognitive and memory deficits\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSimilar to somatic symptoms and sleep disturbances, cognitive and memory deficits, at birth and after six weeks, were associated with mothers who experienced LT deliveries. The rates of memory deficits described in this study fall within the rates described in the literature (Porcels et al, 2013). Cognitive and memory deficits at birth may be associated with complications and interventions during hospital admission. Women with eclampsia and preeclampsia are prone to vascular dysfunction and clotting abnormalities as well as cerebral oedema, which could have contributed to memory deficits (Postma et al, 2010). In this study, a quarter of the participants were HIV-positive, which may have contributed to cognitive deficits.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003ePsychosis\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn this study, four women presented with psychotic symptoms at birth, with two women having persistent symptoms at six weeks and three months. In previous studies, the incidence of postpartum psychosis is found to be one or two per thousand births (Munk-Olsen et al, 2006; Kendell et al, 1987). In this study, women presenting with psychotic symptoms, could have been delirious, which could have resolved with prompt treatment of underlying medical complications.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eLimitations of the study\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe findings in this study need to be interpreted with care, since the sample was small, there was a high attrition rate, recall bias and linguistic barriers. In the South African public health sector, follow-up appointments for normal deliveries and for non-South African citizens are difficult leading to loss of participants over time. Where recall bias from participants were problematic, all efforts were made to obtain this information from the clinical files. Nursing staff was used where linguistic barriers occurred.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eIn this study, women who experienced life-threatening experiences during birth experienced significant psychiatric distress at the time of birth and during follow-up. Psychiatric domains of pathology identified included: depression, anxiety, somatic complaints, sleeps disturbance and memory/cognitive deficits. The findings add to limited research done in LMIC on women who experience life-threatening complications at birth. Elucidating the different psychiatric presentations into diagnostic categories may be of help in the bio psychosocial management of these cases. It is important for maternal services to include a comprehensive package of care that not only includes members of multidisciplinary teams including obstetricians, paediatricians but management of these women should include appropriate referral to psychiatric services with involvement of a multi-professional team.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthical approval and consent to participate\u003c/strong\u003e: \u0026ldquo;All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.\u0026rdquo;\u003c/p\u003e\n\u003cp\u003eThis study was approved by the Ethics Committee at the University of Pretoria (353/2013), the Doctoral Protocol Committee and the chief executive officers at the two hospitals.\u003c/p\u003e\n\u003cp\u003eInformed consent: Informed consent was obtained from all individual participants included in the study.\u003c/p\u003e\n\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analysed during this study are available from the corresponding author on reasonable request\u003c/p\u003e\n\n\u003cp\u003e\u003cstrong\u003eConflict of Interest: \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor 1, declares that she has no conflict of interest. Author 2, receives incentive funding as a rated researcher from the National Research Foundation.\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003cstrong\u003eFunding:\u003c/strong\u003e No funding was obtained for conducting this study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026rsquo; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors contributed to the manuscript. All authors read and approved the final manuscript\u003c/p\u003e\n\n\u003cp\u003e\u003cstrong\u003eAcknowledgements: \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAuthors would like to thank Professor RC Pattinson and colleagues from the Department of Obstetrics and Gynecology, Steve Biko Academic Hospital and Kalafong Hospital, Pretoria, South Africa\u003c/p\u003e"},{"header":"References","content":"\u003cul\u003e\n\u003cli\u003eAbas, M.A., Broadhead, J.C. 1997. Depression and anxiety among women in an urban setting in Zimbabwe. Psychological Medicine. 27(1):59-71.\u003c/li\u003e\n\u003cli\u003eCampbell, S.B., Cohn, J.F. 1997. The timing and chronicity of postpartum depression: implications for infant development. In: Cooper, P.J. editor. Postpartum depression and child development. New York: Guilford. p. 165\u0026ndash;97.\u003c/li\u003e\n\u003cli\u003eChandra, P.S., Ranjan, S. 2007. Psychosomatic obstetrics and gynecology- a neglected field? Current Opinion in Psychiatry. 20:168-73.\u003c/li\u003e\n\u003cli\u003eChopra, M., Lawn, J.E., Sanders, D., Barron ,P. Abdool Karim, S.S. et al. 2009. Saving the lives of south Africa\u0026rsquo;s mothers, babies and children: can the health system deliver? Lancet. 374: 835-846.\u003c/li\u003e\n\u003cli\u003eDuer, S., Schwenk, T.L., Coyne, J.C. Medical and psychosocial correlates of self-reported depressive symptoms in family practice. Journal of Family Practice. 27(6):609 - 14.\u003c/li\u003e\n\u003cli\u003eFairbrother, N., Young, A.H., Zhang, A., Janssen P., Atony, M.M. 2017. The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy. Archives of Women\u0026rsquo;s Mental Health. 20:311-9.\u003c/li\u003e\n\u003cli\u003eFillippi, V., Ganaba, R., Baggaley, R.F., Marshall, T., Storeng, K.T., Sombie, I., et al. 2007. Health of women after severe obstetric complications in Burkina Faso: a longitudinal study. Lancet. 370:1329-37.\u003c/li\u003e\n\u003cli\u003eFillippi, V., Goufodji, S., Sisimanidis, C., Kanhonou, L., Fottrell, E., Ronsmans, C., et al. 2010. Effects of severe obstetric complications on women\u0026rsquo;s health and infant mortality in Benin. Tropical Medicine and International Health. 15(6):733-42.\u003c/li\u003e\n\u003cli\u003eFisher J, Mello C.D, Patel V., Rahman A., Tran T., et al. (0212) Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle income countries: a systematic review. B World Health Organ 90: 139-149.\u003c/li\u003e\n\u003cli\u003eGaugler-Senden, I.P.M., Duivenvoorden, H., Filius, A., De Groot, C.J.M., Steegers, E.A.P., Passchier, J. 2012. Maternal psychosocial outcome after early onset preeclampsia and preterm birth. Journal of Maternal Fetal and Neonatal Medicine. 25(3):272\u0026ndash;6.\u003c/li\u003e\n\u003cli\u003eGonidakis, F., Rabavilas, A.D., Varsou, E., Kreatsa, G., Christodoulou, G.N. 2008. A 6-month study of postpartum depression and related factors in Athens Greece. Comprehensive Psychiatry. 49(3):275\u0026ndash;82.\u003c/li\u003e\n\u003cli\u003eHolcomb, W.L., Stone, L.S., Lustman, P.J., Gavard, J.A, Mostello, D.J. 1996. Screening for depression in pregnancy: characteristics of the Beck Depression Inventory. Obstetrics and Gynecology. 88:1021-5.\u003c/li\u003e\n\u003cli\u003eHonikman, s., van Heyingen, T., Field, S., Baron, E., Tomlinson, M. 2012. Stepped Care for Maternal Health: A Case Study of the Perinatal Mental Health Project in South Africa. PLoS Med. 9(5): e 1001222. \u003ca href=\"https://doi.org/10.1371/journal.pmed\"\u003ehttps://doi.org/10.1371/journal.pmed\u003c/a\u003e. 1001222.\u003c/li\u003e\n\u003cli\u003eKaaya, S.F., Mbwambo, J.K., Kilonzo, G., van den Borne, H., Leshabari, M.T., Fawzi, M.C., et al. \u0026nbsp; Socio-economic and partner relationship factors\u0026nbsp;\u0026nbsp; associated with antenatal depressive morbidity among pregnant women in Dar es Salaam, Tanzania.\u0026nbsp; Tanzanian Journal of Health Research. 12(1):23-35.\u003c/li\u003e\n\u003cli\u003eKathree, T. Selohilwe, O.M., Bhana, A. Petersen, I. 2014. Perceptions of postnatal depression and health care needs in a south African sample: the \u0026ldquo;mental\u0026rdquo; in maternal health care. BMC Women\u0026rsquo;s Health.14: 140. \u003ca href=\"http://www.biomedcentral.com/1472-6874/14/140\"\u003ehttp://www.biomedcentral.com/1472-6874/14/140\u003c/a\u003e.\u003c/li\u003e\n\u003cli\u003eKendell, R.E., Chalmers, K.C., Platz, C. 1987. Epidemiology of puerperal psychoses.\u0026nbsp; British Journal of Psychiatry. 150:662-73.\u003c/li\u003e\n\u003cli\u003eMarsay, C. Manderson, L., Subramaney, U. 2017.\u0026nbsp; Validation of the Whooley questions for antenatal depression and anxiety among loe-income women in urban South Africa. S Afr J Psychiat. 23(0), a1013.\u0026nbsp; https://doi.org/10.4102/sajpsychiatry.v23i0.1013\u003c/li\u003e\n\u003cli\u003eMota, N., Cox, B.J., Enns, M.W., Calhoun, C. Sareen, J. 2008. The relationship between mental disorders, quality of life, and pregnancy: findings from a nationally representative sample. Journal of Affective Disorders. 109:300\u0026ndash;4.\u003c/li\u003e\n\u003cli\u003eMunk-Olsen, T., Laursen, T.M., Pedersen, C.B., Mors, O., Mortensen, P.B.\u0026nbsp; 2006. New parents and mental disorders: a population-based register study.\u0026nbsp; JAMA. 296:2582-9.\u003c/li\u003e\n\u003cli\u003eNajman, J.M., Andersen, M.J., Bor, W., O\u0026rsquo;Callaghan M.J., Williams G.M. 2000. Postnatal depression-myth and reality: maternal depression before and after the birth of a child. Social Psychiatry and Psychiatric Epidemiology. 35:19\u0026ndash;27.\u003c/li\u003e\n\u003cli\u003eO\u0026rsquo;Hara, M.W., Swain, A.M. 1996. Rates and risks of postpartum depression: a meta- analysis. International Review of Psychiatry. 8:37-54.\u003c/li\u003e\n\u003cli\u003ePatel V. 2007. Mental health in low and middle-income countries. 81:81-96.\u003c/li\u003e\n\u003cli\u003ePorcels, J., Feigal, C., Poe, L., Postma, I.R., Zeeman, G.G., Olowoyey, A. et al 2013.\u0026nbsp; Hypertensive disorder of pregnancy and risk of screening positive for posttraumatic stress disorder: a cross-sectional study. Pregnancy Hypertension.\u0026nbsp; International Journal of Women\u0026rsquo;s Cardiovascular Health. 3:227-234.\u003c/li\u003e\n\u003cli\u003ePostma, I., Wessel, I., Aarnoudse, J., Zeeman, G. 2010. Neurocognitive functioning in women with a history of eclampsia: executive functioning and sustained attention. American Journal of Perinatology.\u0026nbsp; 27(9):685\u0026ndash;90.\u003c/li\u003e\n\u003cli\u003ePostma, I.R., Groen, H., Eastering, F.R., Tsigas, E.Z., Wilson, M.L. 2013. The brain study. Cognition, quality of life and social functioning following preeclampsia: an observational study.\u0026nbsp; Pregnancy Hypertension. International Journal of Women\u0026rsquo;s Cardiovascular Health. 3:227-34.\u003c/li\u003e\n\u003cli\u003eRahman, A., Creed, F. 2010. Outcome of prenatal depression and risk factors associated with persistence in first postnatal year: prospective study from Rawalpindi, Pakistan. Journal of Affective Disorders. 100:115-21.\u003c/li\u003e\n\u003cli\u003eRonsmans, C., 2009. Severe acute maternal morbidity in low-income countries.\u0026nbsp;Best practice \u0026amp; research Clinical obstetrics \u0026amp; gynaecology,\u0026nbsp;23(3): 305-316.\u003c/li\u003e\n\u003cli\u003eRonsmans, C., Graham, W.J. 2006. Maternal mortality: who, when, where, and why.\u0026nbsp; 368:1189-1200.\u003c/li\u003e\n\u003cli\u003eSenturk, V., Hanlon, C., Medhin G., Dewey, M., Araya, M., Alem, A. et al. Impact of perinatal somatic and common mental disorder symptoms on functioning in Ethiopian women: The P-MaMiE population-based cohort study. Journal of Affective Disorders. 136:340\u0026ndash;9.\u003c/li\u003e\n\u003cli\u003eSimon, G.E., VonKorff, M., Piccinelli, M., Fullerton, C., Ormel, J. 1999. An international study of the relation between somatic symptoms and depression. New England Journal of Medicine. 341(18):1329-35.\u003c/li\u003e\n\u003cli\u003eSouza, J.P., Cecatti, J.G., Parpinelli, M.A., Krupa, F., Osis, M.J.D. 2009. An emerging \u0026ldquo;maternal near-miss syndrome\u0026rdquo;: narratives of women who almost died during pregnancy and childbirth.\u0026nbsp; 36(2):149-58.\u003c/li\u003e\n\u003cli\u003eSword, W., Landy, C.K., Thabane, L., Watt, S., Krueger, P., Farine, D. et al. 2011.\u0026nbsp; Is mode of delivery associated with postpartum depression at 6 weeks: a prospective cohort study. British Journal of Obstetrics and Gynaecology. 118(8):966\u0026ndash;77.\u003c/li\u003e\n\u003cli\u003eWeeks, A., Lavender, T., Nazziwa, E., Mirembe, F. 2005. Personal accounts of \u0026lsquo;near-miss\u0026rsquo; maternal mortalities in Kampala, Uganda. British Journal of Obstetrics and Gynaecology.\u0026nbsp; 112:1302-7.\u003c/li\u003e\n\u003cli\u003eWorld Health Organization. [Internet]. 2008. The Global Burden of Disease (GBI) study: projections of mortality and burden of disease 2004 - 2030. [cited 2016 Mar].\u0026nbsp; Available from :\u0026nbsp; \u003ca href=\"http://www.who.int/healthinfo/global_burden_disease/projections2004/en/\"\u003ehttp://www.who.int/healthinfo/global_burden_disease/projections2004/en/\u003c/a\u003e\u003c/li\u003e\n\u003cli\u003eWorld Health Organization. 2004b. Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safe. Geneva: World Health Organization.\u003c/li\u003e\n\u003c/ul\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"LMIC, developing countries, life threatening complications, delivery, psychiatric sequelae","lastPublishedDoi":"10.21203/rs.2.24517/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.24517/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003ePurpose: \u003c/strong\u003eResearchers compared psychiatric sequelae in women with life threatening complications during pregnancy (LT), and uncomplicated pregnancies (UP) in a low- and middle-income country (LMIC) over a 6-month follow-up period.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eMethod:\u003c/strong\u003e The study design was a mixed method and quantitative data was collected in a parallel convergent manner at two university hospitals in Gauteng, South Africa. Women from two groups, namely those with uncomplicated pregnancies and those with life threatening complications were followed up over a six-month period postnatally. \u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Eighty-nine women participated in the study of whom 46 experienced a life-threatening pregnancy complication. At six-week follow-up, 65.5% (n=19) of women in the LT-group and 29.2% (n=7) of the UP-group experienced symptoms of depression (p=0.08). In the LT-group, 30.4% (n=14) had anxiety symptoms compared to 7% (n=3) of UP-group (p=0.011). Compared to the UP-group, more women in the LT-group experienced somatic symptoms (28.3%, n=13, p=0.003) and sleep disturbances (28.3%, n=13, p=0.0009). More women in the LT-group reported memory disturbance 15.2% (n=7, p=0.034) compared to women in the UP-group. Psychotic symptoms were not prominent in either group.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusions:\u003c/strong\u003e Women who experienced life-threatening complications at birth experienced significant distress including depression, anxiety, somatic complaints, sleep disturbances and memory deficits compared to women with uncomplicated pregnancies and deliveries. Maternal services for women with complicated deliveries should include a comprehensive package of obstetric, paediatric and psychiatric care that involves a multi-professional team.\u003c/p\u003e","manuscriptTitle":"Psychiatric sequelae in women who experience life-threatening complications during pregnancy in a low-and-middle income country (LMIC)","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2020-02-25 21:55:43","doi":"10.21203/rs.2.24517/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"2c7c587d-4b08-47db-b0e2-fb65e7d8821d","owner":[],"postedDate":"February 25th, 2020","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":62380,"name":"Preventive Medicine"},{"id":62381,"name":"Internal Medicine"}],"tags":[],"updatedAt":"2020-10-14T21:08:26+00:00","versionOfRecord":[],"versionCreatedAt":"2020-02-25 21:55:43","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-15076","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-15076","version":["v1"]},"buildId":"cBFmMYwuxLRRLfASyISRj","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}