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Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
Module Six
This module address= es an overview of the types of data and surveillance systems.
<= /span>
 By the end of this module, you wil= l be able to:
<= /span>
<= /span>
1. Discuss process of  developing data and        surveillance  systems
2. Understand and appreciate ways of improving = ;
     data and survei= llant systems
<= /span>
&= #13;
CLINICAL PREVENTION
 AND POPUL= ATION HEALTH
Data and&= nbsp; Surveillance Systems
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Definiti= on of Surveillance
Surveillance is:&#= 13;
= The on-going systematic collection, analysis and interpretation of = health data essential to the planning, implementation and = evaluation of public health practice (including occupational & = environmental health practice) closely integrated with the timely = dissemination of these data to those who need to know.
= The final link in the surveillance chain is the application of these = data to prevention and control.  A surveillance system includes a functional capacity f= or data collection, analysis, dissemination, = linked to public health (occupational and environmental health) = programs.
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Active versus Passive Surveillance
•In active surveillance, injury cases are sought out and investigated; injured persons are interviewed and followed up.
•
–Active surveillance of child abuse case= s, for example, would involve identifying and locating cases through a variet= y of sources, such as police reports, social service agencies and educational authorities.
– It then might involve seeking out = the abused children, their parents or guardians and/or appropriate authorities, conducting interviews and following up with further interviews.
–Active surveillance usually requires la= rge expenditures of human and financial resources.
•
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Active versus Passive Surveillance
•In passive surveillance, relevant information is = collected in the cou= rse of doing other routine tasks.
–the generation of data is not necessari= ly the primary function of the system that yields the data.
•For example, doctors are routinely requ= ired to fill out death certificates for legal purposes, but it is possible to extract information entered on those certificates in order to obtain data on deaths from injuries.
•Forms filled out by doctors or nurses f= or medical insurance purposes can similarly serve a dual function; the medic= al information entered = on insurance forms can also be used for surveillance purposes.
•=
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Passive surveillance
•Passive surveillance usually requires l= ess expenditure of resources, as front-line health care practitioners (i.e= . doctors, nurses and paramedics), by filling out various forms for legal, administrative and other purposes are in effect also collecting the kind of data that are needed= for = surveillance.
–When the same information can serve dual purposes, it is important to make sure that the forms used to collect t= his = information are desi= gned with both purposes in mind. This requires careful consideratio= n of the definitions and classifications used.
– Nevertheless, in most settings, th= e use of well-designed forms and, perhaps, the addition of just a few ex= tra steps to an established routine, means that surveillance adds little in the way  of costs.
•
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Surveys versus Surveillance
•Although the terms, “survey” and “surveillance”, are closely related, they refer to two = fundamentally differ= ent ways of collecting data.
–Surveys are usually one-time events. They are conducted by door-to-door or telephone interviews or by mai= ling out questionnaires. They may cover all members of a population (census) or only a representative portion thereof (sample).
–They allow for the collection of information on all types of injuries, covering a wide range of related variables in= great depth. Because they are usually one-time events, they are excellent for providing baseli= ne or ‘snap-shot’ data on a population.
– They can provide information on tr= ends only if they are repeated periodically.
–
•Conducting a survey, however, generally requires a large expenditure of human and financial resources.=
– Most agencies cannot afford such expenditures on a repeated basis, so surveys are generally <= span style=3D'position:absolute;top:61.25%;left:14.04%;width:81.64%;height:3.25= %'>not good for monitor= ing trends.
–
•In contrast surveillance is an ongoing activi= ty that can be built into the day-to-day operations of an agency.
–Depending on whether it is active or passive  it may add little to= the cost of existing operations.
–It is generally the best way of monitor= ing trends, detecting emerging problems, identifying interventions and assessing the results of interventions in a timely manner.
•
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Use of Injury Surveillance for = Planning
•The uses of injury surveillance for planning purposes
•In order to plan a health care system t= hat makes the best use of available resources to address the problem of injuries,= a planner needs to ask himself/herself four questions:
•
• 1. What is the proble= m? (Who and how many a= re being injured and in
•         what ways?)
•
• 2. What is the cause?= (What are the risks= that contribute to injury?)
•
• 3. What works?= (How can you interv= ene and which interventions best
•         reduce the risks and the harm?)
•
• 4. How do you do it?<= /span> (How do you make th= e best use of available
•         resources to stop people from being injured or to reduce the harm &= #13;
•         done? How do you add to your resources if they are insufficient?)
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Use of Injury Surveillance for = Planning
•A good injury surveillance system can provide answers to the first two questions.
•
–First, it keeps records of individual cases. These may describe the person injured, the nature of their injury= and when, where and how the injury happened.
–
– Records are the means by which you= can keep track of 
–    anything you think it may be pertinent to know about a case.<= /div>
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Use of Injury Surveillance for = Planning
•Secondly, it assembles information from those records to build a database
•
– from which you can readily generat= e a set of statistics that give you an overall picture of the injury problem = confronting your agency
– including a handle on how the prob= lem changes over time.
– The system can tell you how many p= eople, in total and broken down by category, are being injured and in what = ways.<= /div>
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Use of Injury Surveillance for = Planning
•Although a surveillance system focuses = on the first two questions, it can help to answer the other two questions. = ;
•
– In addition to identifying injurie= s and their causes, the system also helps to monitor the results = of interventions, so you can see how effective they are. <= /div>
–This information, in turn, helps to identify the best way to use your resources to do a better job.&= #13;
–
•For example, you may wish to know how m= any females are experiencing injuries from domestic violence. You may a= lso want to spot trends, from day-to-day, week-to-week, month-to-month or year-to-year.
–trend analysis can tell you whether cer= tain kinds of injuries are increasing or decreasing in frequency or severity and, thus
–whether your interventions (such as prevention programs targeted at that kind of injury) are making things
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Steps= in a Surveillance Systems
•Defining the problem
•The nature of the problem that you wish= to define may be quite general or relatively specific.
–For example, you may wish to establish = an injury surveillance system to provide you with information on the total num= bers of persons injured.
–Alternatively, you may have a requireme= nt for very specific information about a particular type of injury or a spec= ial set of circumstances.
–For instance, if a new roadway is about= to be built through a school area, you may be concerned about the potential impact of that roadway on the numbers of road traffic injuries among children, in particu= lar that the numbers of injuries will increase.
•
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Steps= in a Surveillance Systems
•Collecting the data
<= span class=3DBB style=3D'position:absolute;left:-3.87%'>•Having defined the p= roblem to be investigated, the next step is to collect the data.
–this requires that y= ou determine what information is pertinent,
–what means you might= use for recording that information (i.e. usually a form of some description),
–which people are best placed to fill out your forms
–<= span style=3D'font-size:86%;color:white;mso-color-index:0'>where those people a= re located.
•
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Steps= in a Surveillance Systems
•Entering and processing the data
•Once your raw data have been sourced and collected together, you will need to decide how best to collate and process it. In some = cases, these two steps may go together.
–This would be the case if, for example,= the person who is responsible for filling out a form about a particular patient is able to enter, at the same time, relevant information onto another form (or set of forms) that has been designed to record <= span style=3D'position:absolute;top:61.0%;left:14.04%;width:79.96%;height:4.5%'= >information about all cases of injury.
–Alternatively, this person (or someone else) might go through all records on individual cases at the end of e= ach day (or each week), and extract information from those relating to injuries.
–This information could then be entered either onto another form designed for the purpose, or into a computerized database set up to generate daily, weekly, monthly or ye= arly statistical reports.
•
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Steps= in a Surveillance Systems
•Interpreting the data <= /b>
•Raw statistics are u= sually not enough
= – more often than not, there is a ne= ed for further analysis and interpretation of raw data in order to draw out the most important features
= –<= span style=3D'font-size:86%;color:white;mso-color-index:0'> and to present information in such= a way so as to make it easy to understand.
•
•
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Steps= in a Surveillance Systems
•<= /span>Reporting the results <= /b>
•Once data have been collated and analysed,
– the results of surveillance need t= o be presented and disseminated. This is usually done in the form of written reports, gea= red to your target audience(s).
– Often one report will suit all int= ended readers. However, in some cases several reports, each containing varying l= evels of detail, may be necessary in order to satisfy the requirements of all= of your readers.
– A planner with a national health authority, for example, may want more detail than a politician or a member of the general public
•
•=
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Steps= in a Surveillance Systems
•Using the results to plan interventions
•All of the previous steps of surveillan= ce are directed towards this, the ultimate purpose of the system. <= /span>
– The results of surveillance are in= tended to help planners respond to the problem under surveillance by developing new or improving existing policies and strategies for prevention or intervention.&= #13;
– In this context, the term “planners”, can be defined as narrowly or broadly = as you like.
• It might be the specialists who do planning for larger agencies or the generalists (including doctors, nurses = and paramedics) who do planning for smaller agencies.
•
•=
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Steps= in a Surveillance Systems
•Evaluating the surveillance system
•A good surveillance system needs to be = able to respond to changing needs and circumstances; in other words, it needs to be dynamic.
•
– If it turns out not to be producin= g all the up-to-date information needed or produces information that is not needed, then it should be adjusted. Mechanisms for continual evaluation and adjustment should therefore be built into the system at the design stage.
–
•The end users of the information produc= ed (the planners) will often be the best judges as to whether or not the system is serving its purposes well.
•Planners should be assured that you are always receptive to feedback, and that you always welcome their comments an= d = suggestions.
•
•=
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What are the attributes of a good = = surveillance sy= stem?
•Good surveillance systems have a numb= er of attributes in common. These include:&= #13;
= –<= span style=3D'font-size:86%;color:white;mso-color-index:0'>• Simplicity: The system should pr= oduce all the data needed, but in the most simple and straightforward way possible.
• Forms for keeping records and comp= iling data should be easy to understand and complete, and should not waste s= taff time by requiring repeated entry of the same information. <= /span>
<= span class=3DB2B style=3D'position:absolute;left:-2.95%'>•<= span style=3D'font-size:83%;color:white;mso-color-index:0'>This is especially important where resources are limited and staff have many other demands on their time.
•
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What are the attributes of a good = = surveillance sy= stem?
•Flexibil= ity.
–<= span style=3D'color:white;mso-color-index:0'>The system should be easy to chang= e, especially when ongoing evaluation= shows th= at change is necessary or desirable.
R= 11;
<= span class=3DB2B style=3D'position:absolute;left:-2.97%'>•<= span style=3D'color:white;mso-color-index:0'>For example, you may want to add information on another type of event to the surveillance system, or change the target population to ca= pture a particular type of injury.
•
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What are the attributes of a good = = surveillance sy= stem?
•Acceptability. =
= –<= span style=3D'font-size:86%;color:white;mso-color-index:0'>The system will only= work if people are willing to participate in it.
– Involving staff in the design, evaluation and improvement of data entry forms may help ensure = that they find them = easy to fill out and understand their purpose.
–It is also important= to ensure that end users are getting the results they need from the syst= em and
– that you are always open to commen= ts and suggestions for improvement.
•
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What are the attributes of a good = = surveillance sy= stem?
•<= /span>Reliability.
– Anyone using the data produced by a surveillance system should have complete confidence in the accuracy of that data. This means that the system should:
•fully record injury events (or cases), = with all pertinent information being described and classified according to stated definitions;
•exclude non-injury events (e.g. a case = of back pain that results from spinal deterioration or ongoing stress shou= ld not get classified as an injury);
•detect all injury events within the relevant population (e.g. if your system is meant to collect data on all inju= ries in a community, you must be sure that you are not overlooking one of the community’s several hospitals or clinics) or be able to detect a representative sample of injury events that can be shown to reflect the distribution of events in the whole population.
•=
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What are the attributes of a good = = surveillance sy= stem?
•Utili= ty.
–<= span style=3D'color:white;mso-color-index:0'> The system should be practical and affordable.
–It should not put unnecessary burd= ens on an ag= ency’s staff and budget
•
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What are the attributes of a good = = surveillance sy= stem?
•Susta= inability. =
–<= span style=3D'color:white;mso-color-index:0'>The system should function with the minimum of effort and be easy to maintain and update, so that it continues to serve its purposes well after it has been established.
•
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What are the attributes of a good = surveillance sy= stem?
•Timel= iness.
–<= span style=3D'color:white;mso-color-index:0'>The system should be able to gener= ate up-to-da= te information whenever that information is needed.
•
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Designing and Building a = Surveillance Syst= em
•Step 1: Identify stakeholders
•Any agency or individual who is concern= ed about injuries and thus may have an interest in injury surveillance ca= n be considered to be a potential stakeholder in your proposed system.
•
•You may find your stakeholders amongst those agencies or individuals best placed to collect and process data = and/or they may be t= hose most in need of the data your system generates.
•To identify all potential stakeholders,= ask yourself the following two questions:
•
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A. Who wants to place injuries under = surveillance?
<= span class=3DBB style=3D'position:absolute;left:-3.71%'>•The answer to this question is likely to produce a list of potential stakeholders that includes
–health care workers, administrators and policy makers working for public agencies or for nongovernmental organizations (NGOs) with interests in health or injury= issues. For example,=
<= span class=3DB2B style=3D'position:absolute;left:-2.95%'>•<= span style=3D'font-size:83%;color:white;mso-color-index:0'>your stakeholders ma= y be working in a hospital environment or for specialist organizations concerned w= ith the health care needs of particular sectors of the population, such as children or female victims of sexual abuse and violence.
•
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B. Who else should be involved?
•Consider other agencies, from outside t= he health care sector, which may have an interest in collecting or usi= ng the data generated b= y a surveillance system.
•
– Possibilities include insurance companies, educational institutions, legal institutions and social welfare agencies.
–Some agencies, for example the insurance companies, may well be potential sources of funding for the system.
–
•Consider also any community leaders who= may not normally be associated with health issues, but are in a <= span style=3D'position:absolute;top:77.5%;left:9.73%;width:99.25%;height:5.25%'= >position to help you= win support from the general public, political bodies and other influential groups.
•
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Step 2: Define System = Objectives
•1. Why do you and your other stakeholders want an in= jury surveillance system?
• Some possible answe= rs are:
• = 226; to assess the contribution of injuries in general to the overall =    burden of disease in y= our country or community;
• = 226; to determine the incidence and other characteristics of a =    particular  type of injury;
• • to identify populations at high risk from particular injuries;
• • to identify areas where intervention is needed;
• = 226; to identify those areas where it might be possible to reduce =    public health costs by preventing injuries;
• R= 26; to provide data that are critical to making good management =   decisions (e.g. how to alloc= ate limited resources to produce    the best   results);
• R= 26; to monitor and evaluate the effectiveness of injury prevention = =   programs over time.
•
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2. Must the surveillance system be comprehensive (i.e.
    cover all types of injuries) and/or should it focus on
    particular injuries?
•= The severity of the injury:
• 􀀼 fatal=
• 􀀼 serio= us enough to require hospitalization
• 􀀼 slight (such as might be handled by a school nurse or first-aid clinic). =
•
• The nature= of the event resulting in the injury:
• 􀀼 motor vehicle collision
• 􀀼 occupational (on-the-job) incident
• 􀀼 viole= nt assault or homicide
• 􀀼 sexual assault
• 􀀼 incid= ent involving firearms
• 􀀼 suici= de or attempted suicide
• 􀀼 act of terrorism
• 􀀼 war or civil insurrection
• 􀀼 legal intervention (e.g. police incident)
• 􀀼 fall.=
•= The nature of the injury:
• 􀀼 neurotrauma
• 􀀼 poisoning
• 􀀼 burns=
• 􀀼 any injuries that present at a certain type of provider
•
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Step 3: Define “a case”
•A single incident (e.g. a traffic collision) may injure several people; it may also result in each injured pers= on having more than one contact with a hospital, doctor’s office or other trea= tment facility.
•It is critical that you know what you m= ean by “a case.
–” Does a case mean the incident itself, so that one case may involve more than one person?
– Does it mean the injury of one per= son, so that one case may involve multiple contacts with various treatment facilities?
–Or does a case mean one contact with one treatment facility, so that one person with one injury may account= for several cases, one for each time he or she visits a treatment facility?
•
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Step 4: Identify data sources
•Where can you fin= d the data you need? Of what quality and reliability is
•that data? Are the existing systems for recording and processing the data
•manual or electro= nic? Can they be easily modified?
•
Individual agencies collect data on injuries in their own ways, using their own definitions and
categories.
Data collection is unreliable; in many agencies data collection methods catch some,  but not
necessarily all, inj= ury cases, thus bringing into question the quality of that data.
Even when data are collected consistently, much of it is in the form of hard-copy records that are
processed manually, = making further analysis tedious. Moreover, access to such data is often
difficult because of restrictive rules and failures to recognize how useful data can be for = ;
surveillance and pla= nning purposes.
The availability of computers is limited, making it harder to access, analyze and distribute data.
The available data a= re not representative, that is to say they do not necessarily reflect =
the situation in the entire population. This may be because some sectors of the
population (e.g. per= sons living in “good neighborhoods” in cities) have better access&#= 13;
to treatment centers= than others (e.g. persons living in remote rural areas).
•
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Step 5: Assess available resources
•Consider the resources you already= have or may need to acquire. These may = include:
–• personnel with sufficient expertise not only to complete forms and/or extract data from them, but also to process the data= and produce reports;
–• equipment and supplies (e.= g. computers (if existing or affordable),  reliable
= 226;
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Step 6: Define data needs
•Data sets: the building blocks of= a surveillance system
–How much, and what type of, data you de= cide to collect will depend on your priorities, as well as on your available resources.
– However, it is generally not  recommend have certain minimum data sets &#= 8212; that is to say there is a least amount of data that we consider a system ne= eds to collect in order to be useful for injury surveillance purposes.
–Extra information can be readily added = to these minimum data sets, according to your own specific requirements and circumstances.
•=
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Step 7: Collect data
•Once you have decided what data you wan= t to collect, your next step is to decide how you are going to collect it. = ;
•You will need to consider questions suc= h as who will collect the data and where will this take place? =
•
–Does the agency you are considering have the potential to collect the data you need?
•For example, is it a hospital or clinic that receives injury cases? Does it receive the majority of cases or, at least,= a large number of cases?
•Will the data collected be of use to the location itself? In other words, will the hospital, clinic or whatever kind of agency you are considering have the incentive to collect= your data because in doing so, it will help it to keep better records and monitor = its own activities more effectively?
•Does it have adequate resources (i.e. s= taff and equipment) to collect and process the data? If not, how might these be provided?
–
•=
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Step 8: Establish a data processing = system
•Data processing systems can be eit= her manual or electronic. =
–Although electronic data processing methods of= fer a number of obvious advantages, they can only be used if:
•computers are in use already, or i= t is possible to acquire computers;
<= span class=3DB2B style=3D'position:absolute;left:-2.92%'>•<= span style=3D'color:white;mso-color-index:0'>staff know how to use computers or= can be trained t= o do so;
•reliable maintenance is readily available.
•
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Step 9: Design and distribute reports
•The next step is to design the basic reports the system will produce and agree on their frequency of production= and distribution.= 3;
•These basic reports are the means by wh= ich the results of surveillance are conveyed to all stakeholders.
•In general,
– they should be produced and distri= buted to most stakeholders at least quarterly. However, the needs of all stakeholders should be considered when making decisions about repo= rt design and production frequency.
–If electronic means of data processing = are used, the production of basic reports should be both automatic and prompt. If all stakeholders have computer access and are connected to the = Internet (or via an intranet), it should be possible to send and receive the latest information on demand.
•
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Step 10: Train staff and activate the <= span style=3D'position:absolute;top:8.75%;left:5.99%;width:88.2%;height:7.75%'>= system
•In all of the preceding steps, there will have <= /span>= been active particip= ation by all stakeholders, including the staff responsible for filling out forms <= /span>= and processing data.= = •To reinforce their commitment to the system, plan and conduct training of everyone who w= ill = be involved, however tangentially, in the operation of the system and/or the use of the = data it will produce=
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Step 11: Monitor and evaluate the = system
•   &nbs= p; After the system has been operating for a period of at least six = months, a detailed evaluation should be carried out to determine how well the system = is meeting its objectives related to:
• • the ability= of the system to identify each injury case and to record
•       and correctly categorize data on each case;
• • the accurac= y and quality of the reporting (i.e. do the reports
•      &n= bsp; produced by the system correctly and accurately identify all cases&= #13;
•       of injury, without missing any);
• • the ease of = use of the forms and data processing system (i.e. how
•       easy are the forms and system procedures to understand; how
•       easy is it to elicit information from injured persons?);
• • the relevan= ce and usefulness to the end users of the data
•       produced by the system.
•
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•The NTDB is the largest aggregation of trauma registry = data ever assembled.= • It contains over 1.5 million recor= ds from trauma centers in the U.S. and Puerto Rico. •The goal of the NTDB= is to inform the medical community, the public, and decision makers about a wide variety of issu= es that characterize the current state of care for injured persons.
<= span style=3D'font-size:75%;color:#BBE0E3;mso-color-index:4'>•= http://www.facs.org/trauma/ntdb.html =
<= span style=3D'font-size:75%;color:#BBE0E3;mso-color-index:4;visibility:hidden'>= •
3D"American
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Federal Injury Data Systems
•A list of 35 different federal data systems = that provide injury-related data. Also, when available, associated web sites are listed w= here you can go to get additional information about survey/surveillance methods and findings. <= /span>• Data systems are organized according by topic
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Behavioral Risk Factors/Injury <= span style=3D'font-size:82%;color:yellow'>Incidence
•Behavioral Risk Factor Survey System (BRFSS), CDC-NCCDPHP, annual survey
<= p:onmouseclick hyperlinktype=3D"url" href=3D"http://www.cdc.gov/brfss"/>http://www.cdc.gov/brfss
•Youth Risk Behavior Survey (YRBS), CDC-NCCDPHP, biennual school-based survey for state/local, occasional national survey
http://www.cdc.gov/nccdphp/d= ash/yrbs/index.htm
<= br>
•Injury Control and Risk of Injury Survey (ICARIS I, II, II½ ), CDC-NCIPC, periodic survey. Con= ducted by NCIPC.
N= o web site available.
•National Health Interview Survey (NHIS), CDC-NCHS, annual household survey
http://www.cdc.gov/nchs/nhis= .htm
•
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Injury Morbidity Data
•National Electronic Injury Surveillance System (NEISS) (CPSC), NEISS All Injury Program (CPSC/CDC-NCIPC), and NEISS-work-related injury (CPSC/CDC-NIOSH), ongoing
http://www.cpsc.gov/epidemio= logy
= http://www.cpsc.gov/library/= neiss.html
= http://www.cdc.gov/ncipc/wis= qars
= http://www2.cdc.gov/risqs/de= fault.asp (work-related injury)
=
•National Hospital Ambulatory Medical Ca= re Survey (NHAMCS), CDC-NCHS, annual survey
= http://www.cdc.gov/nchs/abou= t/major/ahcd/ahcd1.htm
=
•National Ambulatory Medical Care Survey (NAMCS), CDC-NCHS, annual survey
http://www.cdc.gov/nchs/abou= t/major/ahcd/ahcd1.htm
=
•National Hospital Discharge Survey (NHD= S), CDC-NCHS, annual survey
http://www.cdc.gov/nchs/abou= t/major/hdasd/nhds.htm
=
•Healthcare Cost & Utilization Proje= ct (HCUP), AHRQ
http://www.ahrq.gov/data/hcu= p
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Injury Deaths—Death Certificates
•National Vital Statistics System (NVSS), CDC-= NCHS, ongoing
http://www.cdc.gov/nchs/nvss= .htm
<= br> •National Mortality Follow-back Survey- 1993 (NMFS93),
CDC-NCHS, periodic
http://www.cdc.gov/nchs/abou= t/major/nmfs/nmfs.htm
<= span style=3D'font-size:88%;visibility:hidden'>•
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Autom= otive Injury Data
•Fatality Analysis Reporting System (FAR= S), NHTSA, ongoing, MV crash deaths
http://www-fars.nhtsa.dot.go= v
•National Automotive Sampling System-Gen= eral Estimates System (NASS-GES), NHTSA, annual
<= p:onmouseclick hyperlinktype=3D"url" href=3D"http://www-nrd.nhtsa.dot.gov/departments/nrd-30/ncsa/ges.html"/>http://ww= w-nrd.nhtsa.dot.gov/departments/nrd-30/ncsa/ges.html
<= br>
•National Automotive Sampling System-Crashworthiness Data System (NASS-CDS), NHTSA, annual
http://ww= w-nrd.nhtsa.dot.gov/departments/nrd-30/ncsa/cds.html
•<= /span>
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Automotive Behavioral Injury Data
•National Occupant Protection Use Survey (NOPUS), NHTSA, periodic
http://ww= w-nrd.nhtsa.dot.gov/departments/nrd-01/summar= ies/4313ga.html

•Motor Vehicle Occupant Safety Survey, NHTSA, biennial
<= p:onmouseclick hyperlinktype=3D"url" href=3D"http://www.nhtsa.dot.gov/people/injury/research/occu_protection.h= tml"/>http://ww= w.nhtsa.dot.gov/people/injury/research/occu_protection.htm= l

•National Survey of Drinking and Driving Attitudes and Behaviors, NHTSA, periodic
http://ww= w.nhtsa.dot.gov/people/injury/research/alcohol_impaired.html
•
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Occupational Injury Data
•National Traumatic Occupational Fatality Surveillance System (NTOF), CDC-NIOSH, ongoing
http://www.cdc.gov/niosh/inj= ury/
•National Electronic Injury Surveillance System—Work RISQ
Nonfatal work-related injuries
http://www2.cdc.gov/risqs/de= fault.asp
=
•Census of Fatal Occupational Injuries (CFOI), BLS, ongoing
http://www.bls.gov/iif/oshfa= t1.htm
•Survey of Occupational Injuries and Illnesses (SOII), BLS, annual survey
http://www.bls.gov/iif/home.= htm

•Census of Agriculture (COA), DOC, periodic
Note: Although available reports do not provide injury statistics, the = 1992 Census of Agriculture did ask questions about the number of work-related injuries. More recent COAs do not ask about injury. http://www.agcensus.usda.gov= / =
• =
•
Viole= nt Death Data
•National Incident Based Reporting System (NIBRS), FBI, ongoing
<= p:onmouseclick hyperlinktype=3D"url" href=3D"http://www.fbi.gov/hq/cjisd/ucr.htm"/>http://www.fbi.gov/hq/cjisd/= ucr.htm
•Law Enforcement Officers Killed and Assaulted (LEOKA), FBI, ongoing
http://www.fbi.gov/ucr/ucr.h= tm
=
•
•Uniform Crime Reports-Supplemental Homi= cide Reports (UCR-SHR), FBI, ongoing
http://www.fbi.gov/ucr/ucr.h= tm
•
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Crime and Victimization Data
•National Crime Victimization Survey (NC= FS), BJS, annual survey
http://www.ojp.usdoj.gov/bjs= /cvict.htm
•National Child Abuse and Neglect Data System (NCANDS), NCCAN, annual
http://www.acf.hhs.gov/progr= ams/cb/systems/index.htm =
•
• Drug Abuse Warning Network (DAWN), SAMHSA, ongoing
http://dawninfo.samhsa.gov
•Monitoring the Future Survey (MTFS), NI= DA, school-based, annual
= http://www.nida.nih.gov/Drug= Pages/mtf.html
•Youth Risk Behavior Survey (YRBS), CDC-NCCDPHP, school-based, biennial
http://www.cdc.gov/nccdphp/d= ash/yrbs/index.htm
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Tra= uma Care/Poisoning Data
•National Trauma Data Bank (NTDB)
American College of Surgeons, ongoing
= http://www.facs.org/dept/tra= uma/ntdb.html
•Toxic Exposure Surveillance System (TESS)
= American Association of Poisoning Control Centers, annual
= http://www.aapcc.org/poison1= .htm
•United States Eye Injury Registry
American Society of Ocular Trauma
http://ww= w.useironline.org
•
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Other In= jury Data
•National Fire Incident Reporting S= ystem (NFIRS), FA, ongoing
= http://nfirs.fema.gov/ •
<= span style=3D'font-size:50%;color:#BBE0E3;mso-color-index:4'>•= http://www.cms.hhs.gov/home/rsds.asp =
<= span style=3D'font-size:50%;color:#BBE0E3;mso-color-index:4;visibility:hidden'>= •
3D"Centers
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sld.filters.revealtrans ) setTimeout( "document.body.start()", sld.filters.revealtrans.duration * = 1000 ); else document.body.start(); } } function MakeSldVis()=20 { var fTrans=3Dg_showAnimation && SldHasTrans() if( fTrans )=09 { if( g_bgSound ) { idx=3Dg_bgSound.indexOf(","); pptSound.src=3Dg_bgSound.substr( 0, idx ); pptSound.loop=3D -(parseInt(g_bgSound.substr(idx+1))); } SlideObj.filters.revealtrans.Apply()=09 } SlideObj.style.visibility=3D"visible" if( fTrans ) SlideObj.filters.revealtrans.Play() } function MakeNotesVis()=20 { if( !IsNts() ) return false=20 SlideObj.style.display=3D"none" nObj =3D document.all.item("NotesObj") parent.SetHasNts(0) if( nObj ) {=20 nObj.style.display=3D"" parent.SetHasNts(1) } return 1 } function ChkAutoAdv() { if(SldHasTrans()) SlideObj.onfilterchange=3DAutoAdv else AutoAdv() } function AutoAdv() { if(!IsWin("PPTSld") || !gUseSldTimings )return var sld=3DGetCurSld() if( (sld.mAdvDelay>0) && !parent.IsFramesMode() ) setTimeout("parent.GoToNextSld()",sld.mAdvDelay) } function GetObj(id) { if(g_supportsPPTHTML) return document.all(id); else return document.getElementById(id); } function SldHasTrans() { return SlideObj.style.filter !=3D ""; } function GetSldId()=20 { var regExp =3D /file:\/\/\//i var pos =3D location.href.search(regExp) if (MHTMLPrefix !=3D "" && pos !=3D -1) sId =3D location.href.substring(pos) else { sId =3D RemoveFilePrefixFromHref(location.href); var regExp =3D /\// var fixedHref =3D sId var pos =3D -1 =09 pos =3D fixedHref.search(regExp) while (pos !=3D -1) { fixedHref =3D fixedHref.replace(regExp, "\\") pos =3D fixedHref.search(regExp) } =09 if (g_fBaseHyperlink =3D=3D true) sId =3D "file:///" + fixedHref; else sId =3D fixedHref.substring(fixedHref.lastIndexOf('\\') + 1) } =09 return sId } function HideMenu() { if( frames["PPTSld"] && PPTSld.document.all.item("ctx= tmenu") && PPTSld.ctxtmenu.style.display!=3D"none" ) { PPTSld.ctxtmenu.styl= e.display=3D'none'; return true } return false } function IsWin( name ) { return window.name =3D=3D name } function IsNts() { return IsWin("PPTNts") } function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) } function SupportsPPTAnimation() { return( navigator.platform =3D=3D "Win32"= && navigator.appVersion.indexOf("Windows")>0 ) } function SupportsPPTHTML() { var appVer=3Dnavigator.appVersion, msie=3DappVer.indexOf("MSIE "), ver=3D0 if( msie >=3D 0 ) ver=3DparseFloat( appVer.substring( msie+5, appVer.indexOf(";",msie) ) ) else ver=3DparseInt(appVer) return( ver >=3D 4 && msie >=3D 0 ) } function _RSW() { if( !g_supportsPPTHTML || IsNts() || ( !g_scaleInFrame && (!IsWin("PPTSld") || !parent.IsFullScrMode()) ) ) return var padding=3D0; if( IsWin("PPTSld") && parent.IsFramesMode() ) padding=3D6 cltWidth=3Ddocument.body.clientWidth-padding cltHeight=3Ddocument.body.clientHeight-padding factor=3D(1.0*cltWidth)/g_origW if( cltHeight < g_origH*factor ) factor=3D(1.0*cltHeight)/g_origH newSize =3D g_origSz * factor if( newSize < 1 ) newSize=3D1 s=3DSlideObj.style s.fontSize=3DnewSize+"px" s.posWidth=3Dg_origW*factor s.posHeight=3Dg_origH*factor s.posLeft=3D(cltWidth-s.posWidth+padding)/2 s.posTop=3D(cltHeight-s.posHeight+padding)/2 if( g_scaleHyperlinks ) ScaleHyperlinks( factor ) } function _InitAnimations() { animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined'; isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq =3D document.all.tags("seq"); if( collSeq !=3D null ) { for(ii=3D0;ii numSlds ) gSldJumpIdx =3D numSlds; if ( gSldJumpIdx >=3D 0 ) { if ( gSldJumpIdx =3D=3D 0 ) gSldJumpIdx =3D 1; var jumpTo =3D parseInt(gSldJumpIdx); gSldJump =3D 0; gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) || (event && (event.keyCode=3D=3D32) ) ) parent.GoToNextSld(); } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram= es", gIsEndShow=3D0, NUM_VIS_SLDS=3D50, SCRIPT_HREF=3D"script.js", FULLSCR_= HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var g_fBaseHyperlink =3D false; var gMainDoc=3Dnew Array(new hrefList("slide0002.htm",1,-1,1),new hrefList(= "slide0003.htm",1,-1,1),new hrefList("slide0004.htm",1,-1,1),new hrefList("= slide0005.htm",1,-1,1),new hrefList("slide0006.htm",1,-1,1),new hrefList("s= lide0007.htm",1,-1,1),new hrefList("slide0008.htm",1,-1,1),new hrefList("sl= ide0009.htm",1,-1,1),new hrefList("slide0010.htm",1,-1,1),new hrefList("sli= de0011.htm",1,-1,1),new hrefList("slide0012.htm",1,-1,1),new hrefList("slid= e0013.htm",1,-1,1),new hrefList("slide0014.htm",1,-1,1),new hrefList("slide= 0015.htm",1,-1,1),new hrefList("slide0016.htm",1,-1,1),new hrefList("slide0= 017.htm",1,-1,1),new hrefList("slide0018.htm",1,-1,1),new hrefList("slide00= 19.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("slide002= 1.htm",1,-1,1),new hrefList("slide0022.htm",1,-1,1),new hrefList("slide0023= .htm",1,-1,1),new hrefList("slide0024.htm",1,-1,1),new hrefList("slide0025.= htm",1,-1,1),new hrefList("slide0026.htm",1,-1,1),new hrefList("slide0027.h= tm",1,-1,1),new hrefList("slide0028.htm",1,-1,1),new hrefList("slide0029.ht= m",1,-1,1),new hrefList("slide0030.htm",1,-1,1),new hrefList("slide0031.htm= ",1,-1,1),new hrefList("slide0032.htm",1,-1,1),new hrefList("slide0033.htm"= ,1,-1,1),new hrefList("slide0034.htm",1,-1,1),new hrefList("slide0035.htm",= 1,-1,1),new hrefList("slide0036.htm",1,-1,1),new hrefList("slide0037.htm",1= ,-1,1),new hrefList("slide0038.htm",1,-1,1),new hrefList("slide0039.htm",1,= -1,1),new hrefList("slide0040.htm",1,-1,1),new hrefList("slide0041.htm",1,-= 1,1),new hrefList("slide0042.htm",1,-1,1),new hrefList("slide0043.htm",1,-1= ,1),new hrefList("slide0044.htm",1,-1,1),new hrefList("slide0045.htm",1,-1,= 1),new hrefList("slide0046.htm",1,-1,1),new hrefList("slide0047.htm",1,-1,1= ),new hrefList("slide0048.htm",1,-1,1),new hrefList("slide0049.htm",1,-1,1)= ,new hrefList("slide0050.htm",1,-1,1),new hrefList("slide0051.htm",1,-1,1)); /********************************************* Frameset functions These functions control slide navigation and state of the frameset. **********************************************/ function RemoveFilePrefixFromHref(href) { var regExp =3D /^file:\/\/\//i; return href.replace(regExp, "") } function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) {=09 var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix();=20 function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') {=20 href=3Dnew String(document.location.href)=20 Start=3Dhref.indexOf('!')+1=20 End=3Dhref.lastIndexOf('/')+1=20 if (End < Start)=20 return href.substring(0, Start)=20 else=20 return href.substring(0, End)=20 } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ClearMedia() { // Clear any sounds playing before launching another browser window. Other= wise, // in fullscreen mode, you'll continue to hear the sound in the frames mod= e. if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0; } function FullScreen() {=20 if ( PPTSld.g_animUseRuntime ) PPTSld.document.body.pause(); ClearMedia(); var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if (MHTMLPrefix !=3D "") href =3D RemoveFilePrefixFromHref(href) if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { =20 obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else =20 return gCurSld } function GetNumSlds() { =20 if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; =09 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref= )) else PPTSld.location.replace(obj.mSldHref) =09 if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href)) else PPTSld.location.replace(href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; =09 var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('


' + ENDSHOW_MESG + '

') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); /********************************************* Navigation button implementation There are 2 types of buttons: ImgBtn, TxtBtn implemented as function objects. They share a similiar interface so the event handlers can call SetActive, for example, on a button=20 object without needing to know exactly=20 what type of button it is. **********************************************/ //---------------------------------- function ImgBtn( oId,bId,w,action ) //---------------------------------- { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0=20 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { =20 obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0=20 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } =20 } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } //----------------------------------------- function TxtBtn( oId,oeId,action,chkState ) //----------------------------------------- { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { =20 this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) {=20 if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } =20 } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1=20 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() {=20 b =3D gBtnArr[this.mBorderId]=20 if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() {=20 b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState /********************************************* Context menu implementation _CM() is the function that's hooked up to the oncontextmenu event. Once we're asked to show the menu, we first build it by creating DIVs on-the-fly. Then we position it=20 within the screen area so it doesn't get clipped. Creating the DIVs using createElement() means we don't have to write out any extra HTML into the slide HTML files. **********************************************/ var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr= row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) =09 CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; s.fontFamily=3DsFont s.fontSize=3D"9pt" s.paddingLeft=3D2 } function CreateSeparator( node ) { var sObj=3DCreateItem( node ) SetCMBorder(sObj,"menu","menu") var s=3DsObj.style s.borderTopColor=3D"threedshadow" s.borderBottomColor=3D"threedhighlight" s.height=3D1 s.fontSize=3D"0px" } function CreateItem( node ) { var elem=3DPPTSld.document.createElement("DIV") node.insertBefore( elem ) return elem } function SetCMBorder( o,ltClr,rbClr ) { var s=3Do.style s.backgroundColor=3D"menu" s.borderStyle=3D"solid" s.borderWidth=3D1 s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr } ------=_NextPart_01C87865.A3E8C470 Content-Location: file:///C:/2D693CD6/_CoreLesson6_files/fullscreen.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ------=_NextPart_01C87865.A3E8C470 Content-Location: file:///C:/2D693CD6/_CoreLesson6_files/buttons.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhWAESAPf4AAAAAIAAAACAAICAAAAAgIAAgACAgICAgAQEBISEBASEBISEhAQEhMTExAQE /KTM9Pz8/ERERPz8BAT8/KSkpGRkhMTcxCRkxAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAMDAwP8AAAD/AP//AAAA//8A/wD//////yH5BAEAAPgALAAAAABYARIA QAj/APEJHEiwoMGDCBMqXMiwocOHECNKnEixosWLGCEiQKCRo8YDIEHig2DxAD4LKD1avDDhgUuV GUOGbHBR5QGYFBG4fHAB58EKECJEwCfUYAWPFGAygLCRKQIIUKM6WAohKUGgCikcFWh1INWoYKVS 7SrQ41GbIhGYLAuVQVOoC+IyXUuUAkG1HE3KFDhAwkgJc5/qDZmxsOHDiBMrXsy4sePDGyP7lChT 5MULmDPnlDw5YmW6FTNrfgi0aNGEZPEtbfo2bNTUpYeeRph69dPWrqvCNFuBIGG1A59CYPAVQtwF cw0OxWdTIOiBCQAjaAB17fOFII8voGmRc+eOkilm/z9OvTtnjN4hYk1YoT3H2rnBOphPAB9skgq3 2lcaX/5YnJVt9BloAar12UEIRGCZdQghMABI1Tn32IQUVthYexhmqGGGMBHAgIfEhSiiiATAtOGJ GnYI4ogsEldicAYOGNJGZaml3Y0L3NTZUBz1xlB0PUoUI0jlVWRSVN89xBKSGB1YU1TMoRfVBEle hR9HQs1GEHxQ3RZZbveZthxt/LEmXHyp5XWABSCpaRJwbM13gAACPHVccgJFgF+NEhqUAEkQSCfc ddhVhh5dVTaEAEsTUNlkZUWKN9BNGDE6QU8OrSdbllzpxyVTTrU21Uj3scfhp7nNpyoDaTIEJ3P9 If8J2kbLNYegg9JRBwGhFvbq66+ZUiDssMQWK2yHxiZLrInKNotss8l+B5yBrr5p2UIJvortANoC 6+234IbLla/elRtZjeamh5CC3Sb0YLvixivvYkDFGlZqBNh7r4n6goVvv6/ZlCicN+kL71ALTnpQ dCIZp7CihkLA3UQmoWRBogyxtBPGCTnZncVR1rSTo5nuydC/Eo8kUH+lOoTyyvjoCuZu+PjYIKLD rZybtrM1d10C0QXKEVz48GrQkEeWdFJKlbb0UmEeV0SzyC6RvNB646LWIVjUNeC1zAFb+RDKXksM 9r531bwmpQW9+hQDDsx5pqwDRWBXcFES2hc+gEn/wJGdEEWdE6LoWcoxQweaTNmkhydkKaYMYY2Q p1unbLl/pPKbn3v7EZRvrKvqlja2ONvrtoIw9tn2g32/tQBlhtYkU+MNikZ7QYlPDPuMldpOmuJX nVo5VF3HjI+q89mteX5IDd/fVFClma5kiE4f2XUJhlz09gj2NbTDRifkmu7zXjR++RVJ/lPznuvr QH2iD6S+UewP9Dnon6d2NLwN8n90BB6hC68cFMCHoe+ACASP9c4DowUyEF0OPFcDI0ij/VXPaAKC UfhS95AKGoQ7IBRICI1HwhGaUIQoLGEKT6jCFrLwhSuMoQtlCMMZ2rCGOKShDm+4wxzy8Ic+DGIP B4cIRCKGMCAAOy== ------=_NextPart_01C87865.A3E8C470 Content-Location: file:///C:/2D693CD6/_CoreLesson6_files/frame.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1 ------=_NextPart_01C87865.A3E8C470 Content-Location: file:///C:/2D693CD6/_CoreLesson6_files/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
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