ࡱ> '`_bjbj$$4FFV+PPPPPPPd0N0N0N8hNdOdxRPP Q QRRRRwwwwwww$zhC}wPVRRVVwPP QRx0\\\VP QPRw\Vw\\Vc@PPjd QP ?^X0NW d n AxHxdT}Y}jdjd}PkRSr\S\[TRRRwwe\XRRRxVVVVdd$D5HdddHdddPPPPPP  The role of experience in assessment of pain in others Abstract Person experiencing pain is usually the most competent one to indicate intensity and unpleasantness of the pain he/she is feeling. However, self-reports of pain are not always possible to obtain, so different methods must be used one of them is assessment of pain experience conducted by another individual, a professional or an outsider. Since experience usually improves individuals efficacy in a certain field, it would be expected that professionals who assess pain on daily basis, would be more accurate in such task than outsiders who have no experience with such assessment. The aim of this study was to investigate whether level of observers experience with assessment of pain in others affects such assessment accuracy in experimentally induced pain. Observers, 32 students and 31 nurses, watched 6 video-tapes (3 volunteers in 2 different experimentally induced painful situations) and rated pain experience of the person on the tape. Results show no statistically significant difference between two samples; both samples generally underestimated pain intensity and unpleasantness indicating that everyday experience with assessment of pain in others does not improve efficacy in that task. Such finding suggests necessity of educational intervention which would enhance assessment accuracy of medical staff. Further studies are needed to investigate possible difference between professionals and outsiders in assessment accuracy of pain experienced in clinical conditions. Keywords: pain in others, assessment, experience * Pain is always subjective and therefore a person experiencing pain is usually the most competent one to indicate both intensity and unpleasantness of the pain he/she is feeling in a given moment. Paradoxically, the very reason that qualifies an individual as the most suitable for assessment of his/her pain is also the same reason that makes his/her assessment susceptible to a number of situational factors. Pain responses are found to be under influence of attention (Arntz & De Jong, 1993; Arntz, Dreessen & Marckelbach, 1991), emotions (Godinho, Magnin, Frot, Perchet & Garcia-Larrea, 2006; Roy, Pich, Chen, Peretz & Rainville, 2009) characteristics of the experimenter / audience (Kllai, Barke & Voss, 2004; Levine & de Simone, 1991; Williams, Park, Ambrose & Clauw, 2007; Zeman & Garber, 1996), just to name a few - which makes self-assessment of pain inconsistent and therefore unreliable. Since self-reports of pain can sometimes be willingly or inadvertently distorted, and also are not always possible to obtain, one must use different methods for gathering information of other peoples experience of pain. Assessment of someones pain experience conducted by another individual (usually a professional or a family member) is a strategy commonly used for obtaining information regarding someones pain experience. Unfortunately, these assessments are not always as accurate as we would like them to be. A number of researches (Prkachin, Berzins & Mercer, 1994; Teske, Daut & Cleeland, 1983; van Herk et al., 2009) demonstrated existence of discrepancies between observers and patients pain ratings, in large proportion indicating underestimation of pain experienced by others. Several factors (chronicity of pain, the timing of the pain assessment, the use of global measures of pain behaviour, and pain site) were found to significantly moderate the relationship between self-reports of pain intensity and direct observations of pain behaviour (Labus, Keefe & Jensen, 2003), suggesting that assessment accuracy of pain in others is unsatisfactory and seeks improvement. The search for factors influencing assessment accuracy of pain experience in others led researches to investigate, among others, the role of experience (in the widest sense of the word) of the person rating pain in others. Since experience of an observer can be widely interpreted, researches came across a number of interesting findings - suggesting different aspects of experience to be involved in pain assessment. Accordingly, studies indicated that observers with a family history of chronic pain attributed greater pain to patients than those without such history (Prkachin, Solomon, Hwang & Mercer, 2001), that experiencing pain before assessment of pain in others increases participants pain ratings of observed pain (Modic Stanke, Ivanec & Ruzic, 2009; Robinson & Wise, 2004) and that a certain level of training enhances accuracy of pain ratings (Solomon, Prkachin & Farewell, 1997). In the present research, experience was defined as experience with assessment of pain in others. The aim of this study was to investigate whether assessment of other peoples experience of pain is affected by the level of observer's experience with assessment of pain in others. Since long-term experience with particular task usually improves individuals efficacy in a certain field, it would be expected that professionals who deal with assessment of pain on daily basis would be more accurate in that assessment than other individuals who have no experience with assessment of pain in others. However, contrary to this logical reasoning, several studies report an alarming trend revealing underestimation of pain by health-care providers when performing clinical assessments (Solomon, 2001). In the present research authors wanted to investigate whether professionals experienced in assessment, in comparison with non-professionals, would be more accurate in pain ratings of individuals experiencing acute pain experimentally induced in two different ways, by electrical stimuli and heat. METHOD Participants As several researches demonstrated gender differences in assessment accuracy of pain in others (Prkachin, Mass & Mercer, 2004; Robinson & Wise, 2003), only female observers were included in this study. Observers were 32 psychology students (age 1825) and 31 nurses (age 2650) who volunteered to participate in this study. Nurses that were included in the study were the ones that in a professional questionnaire indicated daily encounters with people in pain and daily experience with assessment of pain in others. Materials Six videotapes presented three healthy volunteers, two females (age 28 and 58) and one male (age 35), experiencing pain in two different experimentally induced painful situations. They free willingly decided to participate in the part of the study which requested experimental inducement of painful stimuli. Upon their arrival, volunteers were explained the procedure of the study, and were asked to sign consent form in order to continue with participation in the study. After that they were submitted to painful stimuli, first electrical and then heat stimuli. Electrical stimuli were presented on the palm of volunteers right hand, successively rising in intensity eliciting increase in pain, and heat stimuli were presented on the palm of volunteers left hand, continuous in intensity, yet in time eliciting more and more pain. In both situations volunteers were instructed to endure pain as long as they were apt to it and to stop stimuli (verbally in case of electrical stimuli or behaviourally in case of heat stimuli). They were additionally asked to verbally report development of pain sensation during heat stimuli. After each painful situation volunteers were asked to complete a series of visual analogue scales, measuring pain intensity and pain unpleasantness experienced during painful stimulation. Both situations had restrictions regarding safety (intensity of electrical stimuli not higher than 12,5 mA; heat stimuli of 55 C not longer than 2 minutes) - and they were not violated in any of six situations. To insure spontaneous reactions, during painful stimulation volunteers were separated from researcher and also had no knowledge that they were being videotaped. Upon completing their task in both situations volunteers were told that they were being videotaped and were kindly requested for permission to use their recordings in the second part of the study. Duration of each recording varied depending on volunteers pain tolerance in a given situation, but each of six recordings never lasted longer than 2 minutes. Pain intensity and pain unpleasantness, both in three volunteers experiencing pain and in observers assessing it, were rated on a 10 cm graphic scale, with only two points (0 and 10) to avoid assessment bias. The same scale was used for assessment of the level of insight about other persons pain observers were able to gain viewing each videotape. Procedure Upon arrival, every participant/observer was explained the purpose and the procedure of the study, and was asked to sign consent form in order to continue with participation in the study. Next, each participant was escorted to his workplace, separated from others, and seated in front of computer monitor where he would be presented with six standardized videotapes. After he was seated, participant first completed a personal pain experience questionnaire, after which he was instructed to play six videotapes in a given order which was rotated between subjects to avoid sequence bias. Each observer was instructed to view each recording only once and to try to focus on each videotape the best they can in order to gain insight in other persons pain experience. Before viewing each videotape, the participant was informed about the type of pain that was to be seen, warned about the briefness of recording and reminded of his/her task. After the end of each recording, the observer was asked to complete a series of visual analogue scales, measuring pain intensity and pain unpleasantness experienced by the person on the videotape, and also assessing the level of insight in other persons pain the observer was able to gain viewing each videotape. Videotapes were presented with sound, so that observers could both see and hear spontaneous pain behaviour expressed by individuals while experiencing different experimentally induced acute pain. RESULTS AND DISCUSSION The primary goal of this study was to examine whether assessment of other peoples experience of pain is affected by the level of observer's experience with assessment of pain in others. In order to answer that question two analyses were conducted - one addressing the question of difference between two groups of observers (nurses and students) who had different experience with assessment of pain in others, and another addressing the accuracy of pain ratings provided by nurses in different situations. To investigate whether students and nurses differ in their ratings of pain intensity and pain unpleasantness, independent-samples t-tests were performed, one for each of three volunteers in each of two painful situations. The results of this analysis are presented in Table 1. Table 1 about here. When ratings of pain intensity were tested, no statistically significant difference between students and nurses was found in five situations. The only statistically significant difference was found after viewing young female volunteer in heat stimuli situation where students in relation to nurses provided higher pain intensity ratings. When ratings of pain unpleasantness were tested, results of previous testing were repeated - no statistically significant difference between students and nurses was found in all situations but one - indicating that students in relation to nurses provided higher pain unpleasantness ratings after viewing young female volunteer in heat stimuli situation. Results generally indicate that everyday experience with assessment of pain in others does not improve efficacy in that task, moreover, the only two statistically significant differences between two samples indicate trend in opposite direction than would be expected. However, since both of these differences are associated with the same person (young female volunteer) and the same experimental situation (pain induced by heat stimuli), one should be very careful in interpreting these results in terms of experience with assessment. These results may also be associated with behaviour of a young female volunteer on the videotape which was somewhat inadequate regarding situation she was in (she was masking pain expressions with a smile on her face). It is possible that nurses, because of their age or experience with observing painful behaviour, could not associate this type of behaviour with high level of pain, and accordingly assessed lower levels of pain intensity and unpleasantness. On the other hand, it might be easier for psychology students, because of their age and experience with inadequate behaviour in different situations, and also experience with experimental situations and knowledge that pain in laboratory can exist without distinctive painful behaviour, to understand inadequate behaviour of young female volunteer, which might had led to higher pain ratings in the given situation. In order to investigate how accurate nurses are in their assessment of acute pain in others, their ratings of pain intensity and unpleasantness experienced by three volunteers in two different experimentally induced painful situations were compared to the self-assessments of pain intensity and unpleasantness given by the same three volunteers that were actually experiencing pain induced by heat and electrical stimuli in laboratory settings. One-sample t-tests were calculated for each of three individuals in each of two painful situations (pain induced by heat and by electrical stimuli). The results of this analysis are presented in Table 2. Table 2 about here. When ratings of pain intensity were tested, three out of six t-tests turned out to be statistically significant, one with male volunteer in heat stimuli situation and other two with older female volunteer in electrical and heat stimuli situation. These results indicate that in this three situations nurses underestimation of pain intensity in others was statistically significant, but in other three situations (male volunteer experiencing pain induced by electrical stimuli, and young female experiencing pain induced by both electrical and heat stimuli) that was not the case. When ratings of pain unpleasantness were tested, only one out of six t-tests did not turn out to be statistically significant, i.e., the one with young female in electrical stimuli situation, while all others demonstrated that nurses underestimated pain unpleasantness in others. These results suggest that nurses are more accurate in assessment of pain intensity than of pain unpleasantness, but it is important to emphasize that this accuracy is probably associated with individual differences in behaviour of volunteers in different experimentally induced painful situation. Since this appears to be important variable in the assessment of pain in others, further studies are recommended to investigate possible existence of such an effect. Unfortunately for health practice, these findings do not confirm that long-term experience with assessment of other peoples experience of pain would lead to more accurate pain ratings - nurses underestimated pain intensity and unpleasantness in several situations and therefore their ratings cannot be considered as valuable replacement of self-reports of pain. Since this study investigated ratings of experimentally induced pain, generalisation of findings is not entirely possible. Namely, pain that people experience in experimental settings differs from pain in real-life conditions, and not only regarding duration and quality but also regarding possibility of control that individual has over situation he/she is in, which undoubtedly modifies behaviour of a person experiencing pain. Although pain in experimental settings can be intense, without the uncertainty of outcome and fear for safety that comes with it, reactions in such situations can be somewhat different than reactions in clinical settings. Considering differences between pain experience in experimental and clinical settings it would be interesting to see if the results of this research would be repeated in a study where students and nurses would rate pain intensity and unpleasantness of patients with long-term pain experience. Further studies should be considered in order to look more closely into possible difference between professionals and non-professionals when assessing different types of pain in both experimental and in clinical conditions. Results suggest the need for an intervention between medical staff which would enhance their accuracy in pain assessment. Several researches show promising results regarding education of health care providers (Ger et al., 2004; Karlsten, Strm & Gunningberg, 2005) offering hope to both scientists and patients all over the world that tendency to underestimate patients pain can be reduced. References: Arntz, A., & de Jong, P. (1993). Anxiety, attention and pain. Journal of Psychosomatic Research, 37(4), 423-431. Arntz, A., Dreessen, L., & Marckelbach, H. (1991). Attention, not anxiety, influences pain. Behaviour Research and Therapy, 29(1), 41-50. Ger, L., Chang, C., Ho, S., Lee, M., Chiang, H., Chao, C., Lai, K., Huang, J., & Wang, S. (2004). Effects of a continuing education program on nurses' practices of cancer pain assessment and their acceptance of patients' pain reports. Journal of Pain and Symptom Management, 27(1), 61-71. Godinho, F., Magnin, M., Frot, M., Perchet, C., & Garcia-Larrea, L. (2006). Emotional modulation of pain: Is it the sensation or what we recall? The Journal of Neuroscience, 26(44), 11454-11461. Kllai, I., Barke, A., & Voss, U. (2004). The effects of experimenter characteristics on pain reports in women and men. Pain, 112, 142-147. Karlsten, R., Strm, K., & Gunningberg, L. (2005). Improving assessment of postoperative pain in surgical wards by education and training. Quality and Safety in Health Care, 13, 332-335. Labus, J. S., Keefe, F. J., & Jensen, M. P. (2003). Self-reports of pain intensity and direct observations of pain behaviour: when are they correlated? Pain, 102, 109-124. Levine, F. M., & de Simone, L. L. (1991). The effects of experimenter gender on pain report in male and female subjects. Pain, 44(1), 69-72. Modic Stanke, K., Ivanec, D., & Ruzic, V. (2009). Assessment of pain in others - searching for what matters. In Handwerker, Hermann O. (Ed.), Abstracts of Pain in Europe VI. (S221). Oxford: Elsevier. Prkachin, K. M., Berzins, S., & Mercer, S. R. (1994). Encoding and decoding of pain expressions: a judgement study. Pain, 58(2), 253-259. Prkachin, K. M., Mass, H., & Mercer, S. R. (2004). Effect of exposure on perception of pain expression. Pain, 11(1), 8-12. Prkachin, K. M., Solomon, P., Hwang, T. & Mercer, S. R. (2001). Does experience influence judgments of pain behaviour? Evidence from relatives of pain patients and therapists. Pain Research & Management, 6(2), 105-112. Robinson, M. E., & Wise, E. A. (2003). Gender bias in the observation of experimental pain. Pain, 104(1), 259-264 Robinson, M. E., & Wise, E. A. (2004). Prior pain experience: influence on the observation of experimental pain in men and women. The Journal of Pain, 5(5), 264-269. Roy, M., Pich, M., Chen, J., Peretz, I., & Rainville, P. (2009). Cerebral and spinal modulation of pain by emotions. Proceedings of the National Academy of Sciences, 106(49), 2090020905. Solomon, P. (2001). Congruence between health professionals' and patients' pain ratings: a review of the literature. Scandinavian Journal of Caring Sciences. 15(2), 174-180. Solomon, P. E., Prkachin, K. M., & Farewell, V. (1997). Enhancing sensitivity to facial expression of pain. Pain, 71(3), 279-284. Teske, K., Daut, R. L., & Cleeland, C. S. (1983). Relationships between nurses observations and patients self-reports of pain. Pain, 16(3), 289-296. van Herk, R.,van Dijk, M.,Biemold, N.,Tibboel, D.,Baar, F., &de Wit, R. (2009). Assessment of pain: can caregivers or relatives rate pain in nursing home residents? Journal of Clinical Nursing, 18(17), 2478-2485. Williams, D. A., Park, K. M., Ambrose, K. R., & Clauw, D. J. (2007). Assessor status influences pain recall. The Journal of Pain, 8(4), 343-348. Zeman, J., & Garber, J. (1996). Display rules for anger, sadness, and pain: it depends on who is watching. Child Development, 67, 957-973. Table 1 Differences between students and nurses' assessments of pain intensity and unpleasantness experienced by three volunteers in two different experimentally induced painful situations volunteersstimulipain intensitypain unpleasantnessS. A.N. A.S. A.N. A.M (SD)M (SD)t(61)M (SD)M (SD)t(61)maleE7.58 (1.85)7.64 (1.67)-.136.46 (1.71)6.59 (2.41)-.26H7.49 (1.81)8.02 (1.91)-1.136.25 (2.03)6.24 (1.95).02older femaleE5,83 (1.92)5.85 (3.02)-.035.55 (1.80)5.13 (2.72).72H5.98 (2.48)5.95 (2.69).054.57 (2.43)4.42 (2.65).023younger femaleE6.62 (2.18)7.30 (2.52)-1.167.09 (2.35)7.33 (2.48)-.39H6.99 (1.87)5.22 (3.28)2.65**5.25 (2.33)3.52 (2.43)2.89**Note. E = electrical stimuli; H = heat stimuli; S. A. = students' assessment; N. A. = nurses' assessment ** p<.01 Table 2 Differences between volunteers' self-assessment and nurses' assessments of pain intensity and unpleasantness experienced by three volunteers in two different experimentally induced painful situations volunteersstimulipain intensitypain unpleasantnessS-A.N. A.S-A.N. A.valueM (SD)t(30)valueM (SD)t(30)maleE8.207.64 (1.67)-1.867.806.59 (2.41)-2.79**H9.208.02 (1.91)-3.45**8.206.24 (1.95)-5.59**older femaleE8.705.85 (3.02)-5.25**8.205.13 (2.72)-6.28**H8.505.95 (2.69)-5.27**9.104.42 (2.65)-9.84**younger femaleE6.807.30 (2.52)1.117.207.33 (2.48)0.29H5.505.22 (3.28)-0.485.703.52 (2.43)-5.01**Note. E = electrical stimuli; H = heat stimuli; S-A. = self-assessment; N. A. = nurses' assessment ** p<.01      PAGE \* MERGEFORMAT 2 ;<MNOPRUx~nXE2E$hz h[kCJOJQJaJmH sH $hz h1CJOJQJaJmH sH *h3h35CJ(OJQJ\aJ(mH sH h~8@CJOJQJaJmH sH hRCJOJQJaJmH sH h[kCJOJQJaJmH sH h3CJOJQJaJmH sH $hz hJCJOJQJaJmH sH *h3hJ5CJOJQJ\aJmH sH $h35CJOJQJ\aJmH sH *hN}h35CJHOJQJ\aJHmH sH  ;<E NPyJEƀf`gds5" $`a$gds5"`gdJ`gd3`gd3gd3$a$gdJ$a$gd3 ^_xynPڷǤ~i~Z~G4$hz hCJOJQJaJmH sH $hJ}hCJOJQJaJmH sH hJ}hJ}CJOJQJaJ(hJ}hJ}CJOJPJQJaJmH sH $hJ}hJ}CJOJQJaJmH sH $hJ}h1CJOJQJaJmH sH $hJ}hJCJOJQJaJmH sH hs5"CJOJQJaJmH sH $hz hJCJOJQJaJmH sH $hz h1CJOJQJaJmH sH $hz h$VCJOJQJaJmH sH PQR#$%*2<@Ae~ʷʤݤݑݑʑn[Kh~8@CJOJQJaJmH sH $hz h~8@CJOJQJaJmH sH $hz hKc>CJOJQJaJmH sH h3PCJOJQJaJmH sH $hz hRCJOJQJaJmH sH $hz h[o|CJOJQJaJmH sH $hz hCJOJQJaJmH sH $hz hJCJOJQJaJmH sH $hz hl:CJOJQJaJmH sH hMCJOJQJaJmH sH 1FHTUqDMdixyǴ~~~~kk[kKkKkh=CJOJQJaJmH sH h3PCJOJQJaJmH sH $hz hMCJOJQJaJmH sH $hz hKc>CJOJQJaJmH sH hMCJOJQJaJmH sH $hz hRCJOJQJaJmH sH $hz h |#CJOJQJaJmH sH $hz hk)CJOJQJaJmH sH $hz h&CJOJQJaJmH sH $hz hqoCJOJQJaJmH sH yDELMZ[` a b l m %l())))`gdlno`gd9,d7$8$H$`gd5 7$8$H$`gdR 7$8$H$`gd(`gd(`gdJ`gd=y2Vix PǴ~k~XEX$hz hCJOJQJaJmH sH $hz h&CJOJQJaJmH sH $hz hcbdCJOJQJaJmH sH $hz hM_ CJOJQJaJmH sH h=CJOJQJaJmH sH $hz h kCJOJQJaJmH sH $hz h/CJOJQJaJmH sH $hz h=cCJOJQJaJmH sH $hz hAFCJOJQJaJmH sH $hz h2CJOJQJaJmH sH Prt !)FYZʷn^n^nnnKn8$hz h5CJOJQJaJmH sH $hz h@ECJOJQJaJmH sH h3PCJOJQJaJmH sH $hz h^ICJOJQJaJmH sH h=CJOJQJaJmH sH $hz hT CJOJQJaJmH sH $hz h+CJOJQJaJmH sH $hz h CJOJQJaJmH sH $hz h&CJOJQJaJmH sH h~8@CJOJQJaJmH sH $hz h~8@CJOJQJaJmH sH M`c|` =ACDEMZڷڷڷʷʔq^J'h*\chR 6CJOJQJaJmH sH $hz hR CJOJQJaJmH sH h=CJOJQJaJmH sH $hz h CJOJQJaJmH sH hz CJOJQJaJmH sH $hz hz CJOJQJaJmH sH $hz hzCJOJQJaJmH sH h3PCJOJQJaJmH sH $hz hCJOJQJaJmH sH $hz h@ECJOJQJaJmH sH Z[]^ %.47BRSlmpʷݷttddtTtTDThCJOJQJaJmH sH hdCJOJQJaJmH sH hf~CJOJQJaJmH sH h CJOJQJaJmH sH h(CJOJQJaJmH sH h~8@CJOJQJaJmH sH $hz h~8@CJOJQJaJmH sH $hz hdCJOJQJaJmH sH $hz h3PCJOJQJaJmH sH h3PCJOJQJaJmH sH $hz h5CJOJQJaJmH sH _ ` a b l m p | ͽzzjZzZzZzjG$hz hM3ACJOJQJaJmH sH hs5"CJOJQJaJmH sH hM3ACJOJQJaJmH sH h(CJOJQJaJmH sH hJ}h(CJOJQJaJ'h*\chR 6CJOJQJaJmH sH hNvCJOJQJaJmH sH h5CJOJQJaJmH sH $hz h5CJOJQJaJmH sH hdCJOJQJaJmH sH hf~CJOJQJaJmH sH  !!!!!!"""""E"v"w"""""""""""ǷwgWgwgggGhCJOJQJaJmH sH hM/CJOJQJaJmH sH h(CJOJQJaJmH sH hM3ACJOJQJaJmH sH h>NCJOJQJaJmH sH h7CJOJQJaJmH sH h1CJOJQJaJmH sH hs5"CJOJQJaJmH sH h(CJOJQJaJmH sH 'h*\ch(6CJOJQJaJmH sH 'h*\ch56CJOJQJaJmH sH """"" #$#7#F#T#`#j#k#l###### $r$w$$$$$$$%% %p``M`$hNvhW)CJOJQJaJmH sH hW)CJOJQJaJmH sH h7CJOJQJaJmH sH hTCJOJQJaJmH sH huCJOJQJaJmH sH h(CJOJQJaJmH sH hM/CJOJQJaJmH sH h1CJOJQJaJmH sH hM3ACJOJQJaJmH sH hCJOJQJaJmH sH h{>>>)>B>Q>U>m>o>{>ݹݹݖvfvfvfvfVfVfVfVFhrgCJOJQJaJmH sH h;LCJOJQJaJmH sH hCJOJQJaJmH sH hPCJOJQJaJmH sH hIFPCJOJQJaJmH sH h nTCJOJQJaJmH sH $h nThvCJOJQJaJmH sH hvCJOJQJaJmH sH 'h nTh nT6CJOJQJaJmH sH $h nTh nTCJOJQJaJmH sH hsFhCJOJQJaJmH sH ====BRJSJ_JJZK{L>MMN2OOPQQhRRS=TT `gd< h^hgd<`gdg`gd/J`gd nTgd nT{>>>>>>>>??+?1?????@@%@)@a@m@q@u@@@@@@@@@@@RASAUAXAkAlA$B%B&BUBYBаppheCJOJQJaJmH sH htCJOJQJaJmH sH h(^CJOJQJaJmH sH h] vCJOJQJaJmH sH h/FCJOJQJaJmH sH hPCJOJQJaJmH sH h;LCJOJQJaJmH sH hIFPCJOJQJaJmH sH hCJOJQJaJmH sH ,YBBBBBC]CCCCCCCCC8DDDDDDEEEЭЍ}m]M=MhrCJOJQJaJmH sH h, CJOJQJaJmH sH h CJOJQJaJmH sH hdNCJOJQJaJmH sH hBCJOJQJaJmH sH hgCJOJQJaJmH sH hnCJOJQJaJmH sH $hz hsFhCJOJQJaJmH sH hsFhCJOJQJaJmH sH h(^CJOJQJaJmH sH h] vCJOJQJaJmH sH heCJOJQJaJmH sH EE(E1E:EEEFFFFFF2GGGGH0H1H_HpHHHHHHHH𾮞{kX{H{H{H{H{hgCJOJQJaJmH sH $hz hfCJOJQJaJmH sH hfCJOJQJaJmH sH $hz hBCJOJQJaJmH sH hN{CJOJQJaJmH sH hiECJOJQJaJmH sH h7=>CJOJQJaJmH sH hCJOJQJaJmH sH #hrhr0J&6CJOJQJaJh, CJOJQJaJmH sH hrCJOJQJaJmH sH HHHCIIIIIIIIIIIIIIIAJOJQJRJSJn^N^>hf[CJOJQJaJmH sH h] vCJOJQJaJmH sH hBCJOJQJaJmH sH "hBCJOJPJQJaJmH sH "hnCJOJPJQJaJmH sH (hz hnCJOJPJQJaJmH sH $hz hnCJOJQJaJmH sH $hnhnCJOJQJaJmH sH $hz hCJOJQJaJmH sH hnCJOJQJaJmH sH hgCJOJQJaJmH sH SJ^J_JhJiJkJlJmJJJJJJJJJǷǑ|gRg+$hBhBCJOJQJaJmH sH hBCJOJQJaJmH sH +hz h 6CJOJPJQJaJmH sH %h 6CJOJPJQJaJmH sH +hz h4f6CJOJPJQJaJmH sH +hz hZW6CJOJPJQJaJmH sH (hz h4fCJOJPJQJaJmH sH (h4fh4fCJOJPJQJaJmH sH $hz h4fCJOJQJaJmH sH hSCJOJQJaJmH sH h*\cCJOJQJaJmH sH KKKKKELkLoLyL{LLLLLнq\G5\"h*\cCJOJPJQJaJmHsH(hSh<CJOJPJQJaJmHsH(hShhCJOJPJQJaJmHsHhBCJOJQJaJmH sH 'hBhB6CJOJQJaJmH sH (hBhB0J&CJOJQJaJmH sH $hBhBCJOJQJaJmH sH $hShSCJOJQJaJmH sH hSCJOJQJaJmH sH h*\cCJOJQJaJmH sH h{sCJOJQJaJmH sH  LLL MMMMM+M=M>MSMTMVMhMMíÇtaNt;$hz hZWCJOJQJaJmH sH $h*\chSCJOJQJaJmH sH $h*\ch*\cCJOJQJaJmH sH $h*\chZWCJOJQJaJmH sH $hBhZWCJOJQJaJmH sH %h 6CJOJPJQJaJmH sH +hBhh6CJOJPJQJaJmH sH (hBhhCJOJPJQJaJmH sH (hShhCJOJPJQJaJmHsH$hShSCJOJQJaJmHsHMMMMMMMMMUNzNNNNȳydNd;($hhxsCJOJQJaJmHsH$hBhBCJOJQJaJmH sH +hBhB6CJOJPJQJaJmH sH (hBhBCJOJPJQJaJmH sH $hShSCJOJQJaJmHsH(hShSCJOJPJQJaJmHsH"h*\cCJOJPJQJaJmHsH(hShBCJOJPJQJaJmHsHhBCJOJQJaJmH sH $hz hZWCJOJQJaJmH sH 'hz hZW6CJOJQJaJmH sH  NNNNNNNNNNNNOO(O1O2O6OJPJQJmH sH  hOhY>OJPJQJmH sH hOhO<mH sH  hOhvOJPJQJmH sH hvhvmH sH hvOJQJmH sH h~LhvOJQJmH sH hv6OJQJhk'.hv6OJQJhf6OJQJhO<6OJQJhk)CJOJQJaJmH sH $h(hZWCJOJQJaJmH sH 'h(hZW6CJOJQJaJmH sH XXXXXX Y$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdO Y Ykd$$IfTl4֞68 ~\$``   t0"44 laytOT Y Y YYYYYYYYY%Yyb$bdPP$If`ba$gdO$@dPP$If`@a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdO$dPP$If`a$gdO %Y&Y,Y-Y.Y/Y0Y1Y2Y3Y6Y;YOJPJQJmH sH #hOhY>6OJPJQJmH sH  hOhY>OJPJQJmH sH #h*\chY>6OJPJQJmH sH 0EYKYLYOYTYUYXY]Y^YdYeYjYkYt$dPP$If`a$gdOFf $dPP$If`a$gdO$@dPP$If`@a$gdO$bdPP$If`ba$gdO$dPP$Ifa$gdO$dPP$If`a$gdO kYmYnYsYzY{YYYYYYYYYyy$bdPP$If`ba$gdO$dPP$If`a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$dPP$Ifa$gdO$ddPP$If`da$gdO YYYYYYYYYYYYYtt$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$If`a$gdOFf$dPP$If`a$gdO$dPP$Ifa$gdO$@dPP$If`@a$gdO YYYYYYYYYYYYYYYYYYZZ ZZZZZZZ"Z$Z(Z)Z0Z1Z5Z6Z=Z>ZAZBZCZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ[[[[ hOhM*OJPJQJmH sH hOhO<mH sH  hOhvOJPJQJmH sH  hOh#OJPJQJmH sH LYYYYYYYYYYYYYYytFf$dPP$If`a$gdO$@dPP$If`@a$gdO$bdPP$If`ba$gdO$dPP$If`a$gdO$dPP$Ifa$gdO$udPP$If`ua$gdO YZZZZ ZZZZZZ#Z$Zy$dPP$If`a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdO$dPP$If`a$gdO $Z)Z0Z1Z6Z=Z>ZBZCZDZEZGZHZt$ddPP$If`da$gdO$dPP$If`a$gdOFf$dPP$If`a$gdO$@dPP$If`@a$gdO$dPP$Ifa$gdO$bdPP$If`ba$gdO HZMZTZUZZZaZbZfZgZlZsZtZyZZZyy$@dPP$If`@a$gdO$bdPP$If`ba$gdO$dPP$If`a$gdO$udPP$If`ua$gdO$dPP$Ifa$gdO$dPP$If`a$gdOZZZZZZZZZZZZZtt$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdO$dPP$If`a$gdOFf $dPP$If`a$gdO ZZZZZZZZZZZZZZt$ddPP$If`da$gdOFf%$dPP$If`a$gdO$@dPP$If`@a$gdO$bdPP$If`ba$gdO$dPP$Ifa$gdO$dPP$If`a$gdO ZZZZZZZZ[[[[[[y$@dPP$If`@a$gdO$bdPP$If`ba$gdO$dPP$If`a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$dPP$Ifa$gdO[[[[[[["[#[$[*[.[U[W[\[f[t[u[[[[[[[[[[[Ÿާާާޖބ޸yiYMhk'.hk'.6OJQJhvCJOJQJaJmH sH hk'.CJOJQJaJmH sH hOhvmH sH #h*\chv6OJPJQJmH sH  hOhO<OJPJQJmH sH  hOhY>OJPJQJmH sH hOhvOJPJQJhOhv6OJPJQJhOhO<mH sH  hOhvOJPJQJmH sH  hOhM*OJPJQJmH sH [[#[$[[[[8lkd-$$IfTl\$" t0"44 laytOT$dPP$If`a$gdOdPP$If`gdOFf*$dPP$If`a$gdO$dPP$Ifa$gdO[[[[[[[[n\y\z\\\\\\$ddPP$If`da$gdO$dPP$Ifa$gdO$dPP$If`a$gdO$xx`a$gd nT$xx`a$gdk'. `gd<[[[n\\\\\\\\\\\\\\\\\\\\\\\;]<]x]y]]]]]C^D^~^^^^^^ʿʮʜʮʜnnʑʑʑʑʑʑʮ h`uuhvOJPJQJmH sH #h`uuhv6OJPJQJmH sH hOhO<mH sH #hOhv6OJPJQJmH sH  hOhY>OJPJQJmH sH hOhvmH sH  hOhvOJPJQJmH sH h~Lh~LOJQJmH sH hk'.hk'.6OJQJhv6OJQJ)\\kd-$$IfTl4֞I8 iUO$``   t0"44 laytOT\\\\\\\\\\\\\\\yyy$@dPP$If`@a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdO$dPP$If`a$gdO\\\\\\\\\\\\\\$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$If`a$gdOFf-2$dPP$Ifa$gdO \\\\\\\\]]]] ] ]t$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$If`a$gdOFfC8$ndPP$If`na$gdO$dPP$Ifa$gdO$@dPP$If`@a$gdO ]]]]]]$]%]+]2]3];]<]=]>]$dPP$If`a$gdOFf>$ndPP$If`na$gdO$@dPP$If`@a$gdO$dPP$Ifa$gdO$udPP$If`ua$gdO>]@]A]F]G]L]S]T]\]]]b]c]h]o]p]$@dPP$If`@a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$dPP$Ifa$gdO$ddPP$If`da$gdOp]x]y]]]]]]]]]]]]ttt$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdO$dPP$If`a$gdOFfC$ndPP$If`na$gdO ]]]]]]]]]]]]]]t$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$If`a$gdOFfH$ndPP$If`na$gdO$dPP$Ifa$gdO$@dPP$If`@a$gdO ]]]]]]]]]]]]]^^$dPP$If`a$gdOFfM$ndPP$If`na$gdO$@dPP$If`@a$gdO$dPP$Ifa$gdO$udPP$If`ua$gdO^^^^^^$^%^*^+^0^1^6^=^>^$@dPP$If`@a$gdO$udPP$If`ua$gdO$dPP$If`a$gdO$dPP$Ifa$gdO$ddPP$If`da$gdO>^C^D^E^F^H^I^N^O^T^[^\^b^c^$udPP$If`ua$gdO$dPP$If`a$gdO$ddPP$If`da$gdO$dPP$Ifa$gdOFfR$ndPP$If`na$gdO c^h^i^n^u^v^~^^^^$dPP$If`a$gdOdPP$If`gdOFfW$ndPP$If`na$gdO$dPP$Ifa$gdO$@dPP$If`@a$gdO ^^^^^^^^^^^^^^^^^^_______haWmHnHuhjhUhLjhLU$hz hk'.CJOJQJaJmH sH hvh~LhOhvmH sH #h*\chv6OJPJQJmH sH  hOhvOJPJQJmH sH  hOhO<OJPJQJmH sH ^^^^^^^?75dgd!rMC$Eƀ`gd<gd~LlkdZ$$IfTlO$" t0"44 laytOT^^^^^^^_____MC$Eƀ`gd<""$a$dgd!r 21h:ph/ =!"#$% $$If!vh55555 55 #v#v#v#v#v #v#v :V l4 t0"++,,,55555 55 / / / / / / /  / aytOT$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"++,,,, , ,5555555L55 5 5 n5 5 L5 5L/ / / / / / / /  /  /  / / / / / / / / / aytOTkd$$IfTl4N68 ~$ !\$  LnLL t0"<<<<44 laytOT)$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l t0",,,, , ,5555555L55 5 5 n5 5 L5 5L/ / / / / / / / / /  / /  /  /  / / / / / / / / /  / aytOTkdw$$IfTlN68 ~$ !\$LnLL t0"<<<<44 laytOTo$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"+,,,, , , ,5555555L55 5 5 n5 5 L5 5L/ / / / / / / / / / / /  / /  /  /  / / / / / / / / / / / / aytOTkd $$IfTl4N68 ~$ !\$LnLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"+,,,, , , ,5555555L55 5 5 n5 5 L5 5L/  / aytOTkd$$IfTl4N68 ~$ !\$LnLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"+,,,, , , ,5555555L55 5 5 n5 5 L5 5L/ / / / aytOTkd$$IfTl4N68 ~$ !\$LnLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"+,,,, , , ,5555555L55 5 5 n5 5 L5 5L/  / / / aytOTkd$$IfTl4N68 ~$ !\$LnLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"+,,,, , , ,5555555L55 5 5 n5 5 L5 5L/ / / / aytOTkd"$$IfTl4N68 ~$ !\$LnLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 n5 5 L5 5L#v#v#v#v#v#v#vL#v#v #v #v n#v #v L#v #vL:V l4 t0"+,,,, , , ,5555555L55 5 5 n5 5 L5 5L/  / / / aytOTkd'$$IfTl4N68 ~$ !\$LnLL t0"<<<<44 laytOT$$If!vh5"#v":V l t0",5"/ aytOT$$If!vh55555 55 #v#v#v#v#v #v#v :V l4 t0"++,,,55555 55 / / / / / / /  / aytOT$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"++,,,, , ,5555555L55 5 5 L5 5 L5 5/ / / / / / / /  /  /  / / / / / / / / / aytOTkd;/$$IfTl4NI8 iU O$  LLL t0"<<<<44 laytOT)$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l t0",,,, , ,5555555L55 5 5 L5 5 L5 5/ / / / / / / / / /  / /  /  /  / / / / / / / / /  / aytOTkd5$$IfTlNI8 iU O$LLL t0"<<<<44 laytOTo$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"+,,,, , , ,5555555L55 5 5 L5 5 L5 5/ / / / / / / / / / / /  / /  /  /  / / / / / / / / / / / / aytOTkd+;$$IfTl4NI8 iU O$LLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"+,,,, , , ,5555555L55 5 5 L5 5 L5 5/  / aytOTkdA$$IfTl4NI8 iU O$LLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"+,,,, , , ,5555555L55 5 5 L5 5 L5 5/ / / / aytOTkdwF$$IfTl4NI8 iU O$LLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"+,,,, , , ,5555555L55 5 5 L5 5 L5 5/  / / / aytOTkdK$$IfTl4NI8 iU O$LLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"+,,,, , , ,5555555L55 5 5 L5 5 L5 5/ / / / aytOTkdP$$IfTl4NI8 iU O$LLL t0"<<<<44 laytOT$$If!vh5555555L55 5 5 L5 5 L5 5#v#v#v#v#v#v#vL#v#v #v #v L#v #v L#v #v:V l4 t0"+,,,, , , ,5555555L55 5 5 L5 5 L5 5/  / / / aytOTkdU$$IfTl4NI8 iU O$LLL t0"<<<<44 laytOT$$If!vh5"#v":V l t0",5"/ aytOT?666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH666666666666666666666666666666666666666666666666666666666666666666T@T JNormal$dh`a$CJ_HaJmHsHtH \@\ &Naslov 1$<@&"5CJ KH OJPJQJ\^JaJ ^@^ 2Naslov 2$<@&$56CJOJPJQJ\]^JaJt@Bt "Naslov 4'$ddd@&[$\$`a$"5CJOJPJQJ\aJmH sH >A@> Zadani font odlomkaVi@V 0Obi na tablica4 l4a .k. 0 Bez popisa 4U4 10 Hiperveza >*phHOH " Char Char75CJOJPJQJ\aJ*O* " printhidev^@"v "0Standard (Web)$$ddd[$\$`a$CJOJPJQJaJmH sH XO1X & Char Char9*5CJ KH OJPJQJ\^JaJ mHsH0W@A0 &` Naglaaeno5\rORr !r abstracttext$$ddd[$\$`a$CJOJPJQJaJmH sH *Oa* !r text_boldrOrr !r results_text$$ddd[$\$`a$CJOJPJQJaJmH sH zOz !rmenu_text_active$$ddd[$\$`a$CJOJPJQJaJmH sH lOl !r menu_text$$ddd[$\$`a$CJOJPJQJaJmH sH \ !r0 z-vrh obrasca'$d&dP`a$#<CJOJPJQJ^JaJmH sH JJ !r0 Char Char6<CJOJPJQJ^JaJ] !r0 z-dno obrasca'$d$dN`a$#<CJOJPJQJ^JaJmH sH JJ !r0 Char Char5<CJOJPJQJ^JaJ4O4 !rja50-ce-author.O. !r ja50-ce-sup:: !!r0 Zaglavlje H$>>  !r0 Char Char4CJaJmHsH8 @"8 #!r0Podno~je " H$>O1> "!r0 Char Char3CJaJmHsHjOBj xcitation$$$ddd[$\$`a$CJOJPJQJaJmH sH lORl x auth_list$%$ddd[$\$`a$CJOJPJQJaJmH sH 0X@a0 z[@ Istaknuto6]*Oq*  cit-title(O( cit-auth&O& cit-sep2a2 0 HTML-navod6]4O4 cit-print-date&O& cit-vol4O4 cit-first-page2O2  cit-last-pageXOX R 0Pa2/$d7$8$H$`a$CJOJQJaJmH sH @O@ h List Paragraph 0^*O* 4f txthiddenZ!Z  Char Char8,56CJOJPJQJ\]^JaJmHsH O1 name*OA*  forenames&OQ& surname4Oa4 qualificationsF'qF 3P0Referenca komentaraCJaJBB 93P0Tekst komentara8CJaJ:: 83P0 Char Char2 mHsHtH DjD ;3P0Predmet komentara:5\44 :3P0 Char Char15\T@T =3P0Tekst balon ia<dCJOJQJ^JaJLL <3P0 Char Char CJOJQJ^JaJmHsHtH  k'.Reaetka tablice7:V>0> OJPJQJWdQeQSSTTVVW0(# 0웃`Q2R OD0$0$0(;<ENP yDELMZ[`ablml !!!!'''')****{-25555:RBSB_BBZC{D>EEF2GGHIIhJJK=LLoMNNsOPPP P P P P PPPPPPPPPPPPPPP Q Q Q QQQQQQQQQ%Q&Q,Q-Q.Q/Q0Q1Q2Q3Q6Q;QRBRCRDRERGRHRMRTRURZRaRbRfRgRlRsRtRyRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRSSSSSSSS#S$SSSSSSSSSSSnTyTzTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTUUUU U UUUUUU$U%U+U2U3U;UU@UAUFUGULUSUTU\U]UbUcUhUoUpUxUyUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUVVVVVVV$V%V*V+V0V1V6V=V>VCVDVEVFVHVIVNVOVTV[V\VbVcVhViVnVuVvV~VVVVVVVVVVVVWWWW0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 0 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 00 0 000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 00 0 0000000@"0@"0@"0@"000Ĭ 00!!!'''***{-2:RBSB_BBZC{D>EEF2GGHIIhJJK=LLoMNNsOPVVVVVW0000|7z0000 00000000000000$8z0000 M000000000000000000000000000000000000000000000T 0000000000 ***-xPyPZ " %l(),r./H3/7:{>YBEHSJJKLMN@OP=R\S=TnUDV.WW3YY[[^_0345789:;<=>?@ABDEFGIJKLMNOPQRSTUVWYZ[\aemp})=TX Y Y%YEYkYYYY$ZHZZZZ[[\\\\ ]>]p]]]^>^c^^^_16CHX]^_`bcdfghijklnoqrstuvwxyz{|~_2 $&-! 8@0(  B S  ? QL~Q~QLQQH~QQ,QT0~Q<QA~Q~ FEbHuHuHKK L LLW   HEhH{H{HKKLLLW  =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName8*urn:schemas-microsoft-com:office:smarttagsCity9 *urn:schemas-microsoft-com:office:smarttagsplaceC *urn:schemas-microsoft-com:office:smarttagsmetricconverter ʞ10 cm55 C ProductID     ==_BhBlBB{DDDDDDDDDD>EDEJEOEEEEEFFFFFFFFFF=G?GCGPGQG\GGGGGGGN N"N&N+NDNHN[NPPVVVVVVVVVVVVVWWW**55_BBBBC>EgEhEEEETFFF2G\GGGG+HEIyIIIJEGGHHHIzII=JJJJ\KKK=LLLXMoMMNNNMOOPPP QQ$Q&Q.Q3Q:QEQSQ^QdQeQkQnQQQQQBRERgRRRRRRRR#S$S*SSnTTTTTTT;U>UxUyUUUUUCVFV~VVVVVVVVVVVVVVVVVWWVVVVVVVVVVVVWWP(|aaE< l^`CJOJQJo(^`CJOJQJo(opp^p`CJOJQJo(@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo(h h^h`hH.h 8^8`hH.h L^`LhH.h  ^ `hH.h  ^ `hH.h xL^x`LhH.h H^H`hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.P< laaE                  q7ZCI%G'OB*&k k1hP _K\b9rOA)+@$]c  Z|S<&[ /sV? _C{R gA ' F{)'0_VDZIi' 1-OA)1Uu u HUV' $1hPB$$%-~$3lK2'&[ OA)*F2|) _dd*q1 N+{r:p-K+-Po.R.m.Rs[.Cgb0V.?Ic21r:281H*F2( G6ZI7m.]8r98p:Z|S:p-A%B5/EnVHECgbE6F{)G9OH)V81H:p-V.?I1UZCI/sVZIiJ81H3lK:2erKj-Q1hP j-Q@$]cTl R@RG,ET.R.5 V@RHUV'0_V)V/sVPAC})V-GY_C{#W/[\0zLSJ\*F2U+] ^gJF_iJ=`Cgb&[ @$]cp du \f\0z)E^gHUVti8j+*&kllU+]5/En Pop dWEp1 N+qp?{r81Hl~s _ddRsu +sB$$5tZCI9x'wU+]*w@R\0z5/En_C{+PAC}*nC}LSJ\~JF_p?' ,zW),?^k  , = T z fnOO^I=Kz[StpfX| 5yN{BR Y>M_ !s5"$ # |#&(0(z@*9,}-k'.M/I(2?2 4r5.e9l:<e=.>7=>Kc>!}>@~8@M3ATC\DiE@E/FN/LNvbI2zN(Tx5^~N~LdNa1rh?4M7AFm& ZW?{Q -jAz'K4B+A93PSjZ!ruI/Jr1nRgw$M_&Jym Y!hf#f[PHM*2{sR&*DOA$J} -@_ZC>EhJLLoMNNPPPPPPPPP Q Q Q QQQQQQQQQ%Q&Q,Q-Q.Q/Q0Q1Q2Q3Q;QRBRCRDRERGRHRTRURaRbRfRgRsRtRRRRRRRRRRRRRRRRRRRRRRRRRRRRRSSSSSS#S$SSSSnTyTzTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTUUUU U UUUUU$U%U2U3U;UU@UAUFUGUSUTU\U]UbUcUoUpUxUyUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUVVVVVV$V%V*V+V0V1V=V>VCVDVEVFVHVIVNVOV[V\VbVcVhViVuVvV~VVVVVW3@RDW@@Unknown122koraljka Gz Times New Roman5Symbol3& z ArialU.{ @CalibriCentury Gothic7K@Cambria[ StplGaramondStplGaramond5& zaTahoma?5 : Courier New;Wingdings"1hf&f& I, I,!4dVV{N7 3qHP $PJ26The role of experience in assessment of pain in otherskoraljkakoraljka   Oh+'0  4@ ` l x8The role of experience in assessment of pain in others koraljkaNormal koraljka2Microsoft Office Word@@\GX@\GX I՜.+,0( hp   eXPerience,V' 7The role of experience in assessment of pain in others Naslov  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~     Root Entry F U^XData B[1Table~WordDocument4SummaryInformation(DocumentSummaryInformation8Macros ?^X?^XVBA ?^X?^XdirThisDocument _VBA_PROJECT PROJECT H  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGIJKLMNQ0* pHdProjectQ(@= l |AfM J< rstdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\STDOLE@2.TLB# Automation`ENor(malENCrmaF b *\C { m!Offi"cgOfi*cg!G{2DF8D04C-5BFA-101B-BDE5gAAe42ggram Files\CommonMicrosoft Shared\OFFICE12\MSO.0DLL#M 1 Ob Li`brary%xMSFAs>MSFBHs3@dD452EE1-E08F0A-8-02608C4 D0BB4dFM,20L'B &/;"1D|~ AC00}#0B# 0@C3102251-B460-4298-BA40-B67FC82 AF951H.DOCUME~1\koraljka\@LOCALS@Temp\Word8.0@[/.exdH\4".E .`M ۈWBThisDocumentGTisDdcu@en* 2 H1"u"E,""+WxME (S"SS"<(1Normal.ThisDocument8(%HxAttribute VB_Name = "ThisDocument" Bas1Normal.VGlobal!SpaclFalse CreatablPre declaIdTru BExposeTemplateDeriv$Custom izC1a$ *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.4#0#C:\Program Files\Microsoft Office\Office12\MSWORD.OLB#Microsoft Word 12.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\STDOLE2.TLB#OLE Automation*\CNormal*\CNormal{AfM(*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.4#0#C:\Program Files\Common Files\Microsoft Shared\OFFICE12\MSO.DLL#Microsoft Office 12.0 Object Library*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{C3102251-B460-4298-BA40-B67FC82AF951}#2.0#0#C:\DOCUME~1\koraljka\LOCALS~1\Temp\Word8.0\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M   |AfMWThisDocument0Z4db19c57ThisDocument :F "P ` %WordkVBAWin16~Win32MacVBA6#Project-stdole`NormalOfficeuMSFormsC ThisDocument< _EvaluateDocumentj`  ID="{1BBBB8BF-2202-4ECD-BF98-E6097ED52E33}" Document=ThisDocument/&H00000000 Name="Project" HelpContextID="0" VersionCompatible32="393222000" CMG="121008381E3C1E3C1E3C1E3C" DPB="24263E52426543654365" GC="36342C5C2C7C3F7D3F7DC0" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 &H00000002={000209F2-0000-0000-C000-000000000046};Word8.0;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C ThisDocumentThisDocumentPROJECTwmO)CompObjPs  F!Microsoft Office Wordov dokument MSWordDocWord.Document.89q