MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C56DF4.751056A0" هذا المستند عبارة عن صفحة ويب أحادية الملف, والمعروف أيضاً بملف أرشيف ويب. إذا كنت ترى هذه الرسالة، فإن برنامج الاستعراض أو المحرر لا يعتمد ملفات أرشيف ويب. يُرجى تحميل برنامج استعراض يعتمد أرشيف ويب, مثل Microsoft Internet Explorer. ------=_NextPart_01C56DF4.751056A0 Content-Location: file:///C:/2D644181/Dr.BasemAlKiswani-DiagnosesofThalassemia.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1256" The dignoses of thalasaemia

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 Diagnoses of Thalassemia
• Dr. Basem Al Kiswani = ;
• MOH Al Bashir teaching Hospital (pediatric consultant)- Thalassemia center
•
• Amman – June 6th 2005
•
•
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Anemia
•Definition: a condition in w= hich the concentration of the Hb or the number of red blood cells , either singly or combination is reduced bel= ow the age corrected value.
•The physiologic defect cause= d by anemia is a decreases in the oxygen carrying capacity of blood and a in the oxygen available  to the tissues.
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Anemia
<= span class=3DBB style=3D'position:absolute;left:-3.5%'>•Hb values during= infancy and childhood (g/dl)
<= span style=3D'visibility:hidden'>•
14.-18
16
Adult/Male
12.-16
14
Adult/Female
11.-.16
13
7-12yrs
10.5-14
12
6mo-6yrs
9.5-14.5
12
3 Months
13-20
16.5
2 Weeks
13.7-20.1
16.8
Cord Blood
Range
Mean
Age
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Types of Hb
•Hb-A1 =3D &#= 945;2β2 ( normal Adult Hb)
•Hb-A2=3D α 2 β 2 (Delta)
•Hb-F=3D α 2 gama= 2 (fetal Hb)
•There are more than 600 structures variants for Hb have been identified like =
•     - Gower 1 =3D <= span lang=3DEL>δ2 E2
•     - Gower= 2=3D α 2 E 2
•     - Portland – δ2 GAMA 2
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Normal structure of Hb
home
iron
Goblin
Polypeptide
 chain
poly p= eptide chain =3D 2 pairs of chains of Alfa, beta, gama ,delta, zeta and spsilon

-90% o= f RBCs weight is hemoglobin.
poly p= eptide chain =3D 2 pairs of chains of Alfa, beta, gama ,delta, zeta and spsilon

-90% o= f RBCs weight is hemoglobin.

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Normal Hb (Structure) at birth<= /b>
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Hb – F  =3D 70 %
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Hb – A =3D 30%&= #13;
<= span style=3D'visibility:hidden'>•
•Normal Adult Hb:
•Hb –A1 =3D 96%&= #13;
•Hb – A2 =3D 2.4-304%
•Hb-f < 2%
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Thalassemia
<= span style=3D'font-size:88%;visibility:hidden'>•= 3;
•The term thalassemia (literally anemia of the  sea)  came in to use to note the association= of this disease with the  Mediterranean region •The thalassemia are a heterogeneous group of genetic disorder in which the production of normal Hb is  partly of completely suppressed because  of defective synthesis of ne or more globin chains.
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Thalassaemeia
<= span style=3D'font-size:88%;visibility:hidden'>•= 3;
•According to the= chain which is defective several types of Thalassaemeia have been described = •The common types sever and of clinical important are beta, delta  , beta and alfa Thalassaemeia •It ahs been estimated that there are probably as <= /span>many as 300-500 thousand living patients with = beta Thalassaemeia in the world.
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Prevalence
•Thalassemia trait ( heterozygous) Frequency varied= from:
3%
Lebanon
2.5-4%
Egypt
205-4%
Jordan
14%
Cyprus
7-40%
Greece
3-19%
Italy
% In= the Middle East 2-10
% in t= he middle east 2-10
------=_NextPart_01C56DF4.751056A0 Content-Location: file:///C:/2D644181/Dr.BasemAlKiswani-DiagnosesofThalassemia.files/slide0034_image005.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhZwG4AHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAABm AbcAgAAAAAAAAAL/jI+py+0Po5y02ouz3rz7D4biSJbmiaYTwLbuC8fyTNf2jef6zr9BDwwKh8Ti EGFMKpfMps8JjUqnMST1is0Gf9qu9wuzgsfkKbeMTivF6rZ7d37L5zM2/U6P4/dvO/9fpgc4COZH eIgliLhodsD4SKUIOZlkSHkpJIm5yWPJ+XmjCTpa50h6aiOKuuq5iqrqStoaOwpL+zl7y2mri5nb e8kLPPk7DClszFicvIjMfLj8TOgsDRhd/UeNvXe9jaftnWcaTkwePG6unE6Mvg7t/tgNnwY+H9hu z1efX4jPf7fvXxd5Ar0ELJjIH0I3Bxc2UgExosSJFCtaBOEQYEaA/wo3BvI4hyDIKA1HLhFpsknJ lEZQslzzkl7HmIlo3jNgc8zKnD1c8tzy84vPoJ2IDpxplMnOpKmQMq309MrQqDWWUq3i9GomrSSz cu351cnUsC6skh1LloXZsGjTrv3a9mzak17nhrJbqS5eGm+5xmW7t8hfuIGJDPZb+IjexE8YAzms tW/kxY7VVu5JubLkq5A5X+6U2fFmqhdLmz6NOrXqC591jI7amXRr16EZv34aG/bsHLlx78bRm+lt 4bUTD08aHPnvUMULHzeaHPrypjin17HOt3ng50Sjd8deqjr4xuN9aN/LPah39eXDnMeb/ud6+e3N i68fn+d8/fXLvv+3m19O+wnYXwsD2hQggv/NlSBNBzpYoFoLuhUhAA/G1CCGE8oV4YUvZfjhaiKO SGKJJmJUIIgsebhihSympCKMGwLW4YyE1XhfezGa9CKPLtqIGI47gjQkkUBG9mOO5RXpUY8jMbmR k0QmCaVDVVp5pGdCdkgll1um2CWYX/Z35UJSNhkmmWnit6aObS755nhlInRmlHGCN2dBdWaUp0An /glooIKW6GWKWco2JpuJurkonI3KeSd2ff6zp5WRWjcpP5Waeel0meazKZ2dLvepPaHqOepvpc5z qp+p7rYqPK1S+upssbozq6a1tnbrOrmCuutnvabzq6nBXjasOcVvsnqsZs2K9qxtVA5KbbXWXoui mo/iGa1x3Tr37XbhojcufOUCeC6D6VK4raTrcmiokpC2i+m7NMabbDj56nuobvR6au+N+BZKZr++ /UtqwEEOLCbD2jqsKMSMSuwoxfPii23GGm/McccefwxyiQUAADs= ------=_NextPart_01C56DF4.751056A0 Content-Location: file:///C:/2D644181/Dr.BasemAlKiswani-DiagnosesofThalassemia.files/slide0036.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1256" The dignoses of thalasaemia
prevalence
<= span style=3D'visibility:hidden'>•
<= span style=3D'visibility:hidden'>•
•That’s mean tha= t more than 150.000 Jordanian male and female are carriers of the thalassemia gene.
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β<= b>- thalassemia
•The Thalassaemeia are divided into 4 clinic= al groups based on severity  of the <= span style=3D'position:absolute;top:38.5%;left:12.73%;width:83.7%;height:6.75%'= >manifestation.
1)&#= 946; - Thalassaemeia major of cooly’s anemia
2)Thalassaemeia intermedia.
3)Thalassaemeia minor.
4)Thalassaemeia minima.
•
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β - Thalassaemeia= major or Cooley's anemia = -1925
•= Described by cooley and lee in several Italian = children
•= Homozygous b- thalassemia major usually  becomes symptomatic as a server progressive hemolytic anima during the second 6 months of life
•= Regular blood transfusion (WPRBCs or filtrated = RBCs) , are  necessary in these patients to prevent the profound weakness and cardiac <= /span>decomposition caused by the anemia
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β - Thalassaemeia= major or cooly's anemia -= 1925
•Without transfusion life expectancy is no more than few years.
•
•Laboratory finding :
•  - Anemia= ( Hemolytic)
•  - Blood Film
•  - Microcytosis
•  - Hypocromia           - Poikilocytosis
•  - Anisoctytosis         - Target Cel= ls
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β= -Thalassemia major or cooley’s anem= ia - 1925         
• Laboratory findings: (count)
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Erythroblastsis (basophilicstippling)
•Decreased osmot= ic fragility of erythrocytes
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Serum Iron Increase.
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Serum Ferritin increase.
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Increased intra= cellular protoporfyrin
•Hb –Electrophor= esis (the gall stones of diagnosis thalassemia)
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Β- Thalassemia ma= jor or cooley’s -1925<= b>
• Laboratory findings: (count)
•
•Hb-A1, total ab= sence of Hb-A1 synthesis (β zero) or decrease= Hb production (β+)
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Hb –F
<= span class=3DBB style=3D'position:absolute;left:-4.09%'>•Hb –A2 low, nor= mal or increased level.
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β- Thalassemia Ma= jor Or Cooley’s Anemia = - 1925
•                Clinical Manifestations&= #13;
•-  Skeletal Changes – Massive expansion of marrow of the face and skull  characteristic faces) •- Hypertrophy= of erythropoietin occurs in modularly and extramdeullary locations , the bones become thin and pathologic fractures may occurs.
•-  Pallor<= span style=3D'mso-spacerun:yes'>                 - Hemosidrosis
<= span style=3D'font-size:88%'>-jaundice<= /span>
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β– Thalassaemeia = major or cooley’s anemia = - 1925
•                  Clinical manifestation= s
•Splenomegaly ( secondary hypersplenism)
•Hepatomelgaly&#= 13;
•Impaired growth=
•Delayed puberty=
•Diabetes mellitus
•Cardiac complic= ations
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B- Thalassemia major or coolyes anemia -1952
•                            Therapy =
•- Regular transfusion therapy (WPRBCs or FPRBCs)&#= 13;
•-Chelating therapy (DESFERAL pumping) or I.V. = Desferal infusion
•- Maintenance of adequate level of humanities =
•- Splenectomy in some cases
•- Early detection's and treatment of complications=
•-BMT of suitable donors
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Thalassaemeia intermedia
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Moderate anemia= and jaundice
•patients don’t = require regular transition of WPRBCs. •Some of these p= atients can survive well into adult life frequently with normal <= span style=3D'position:absolute;top:62.74%;left:9.73%;width:85.95%;height:6.75%= '>maturation and sexual development.
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Thalassaemeia minor
•Heterozygous occurrence of= beta thalassemia gene result in a mild hypo chronic, microcytic RBCs = •The Hb level av= erage 1 or 2g/dl lower than that seen in normal persons of the s= ame age and sex.
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Thalassemia Minima
•     
•
• No abnormality can be detect= ed and diagnosed just by genetic study
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Red blood cells life span
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Normal adult RB= Cs =3D 120 days
<= span style=3D'visibility:hidden'>•
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Term infant =3D= 60-80 days
<= span style=3D'visibility:hidden'>•
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•Preterm – 20 -3- days
<= span style=3D'visibility:hidden'>•
<= span class=3DBB style=3D'position:absolute;left:-4.43%'>•β Thalassaemeia =3D20 – 30 days
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‹= رأس الصفحة› =
‹التاريخ/الوقت›
Click to edit Master text styles
Second level
Third level
Fourth level
Fifth level
‹= تذييل الصفحة› =
‹#›
poly peptide chain =3D 2 pairs of= chains of Alfa, beta, gama ,delta, zeta and spsilon
-90% of RBCs weight is hemoglobin.
poly peptide chain =3D 2 pairs of chains of Alfa, beta, gama ,delta, zeta = and spsilon
-90% of RBCs weight is hemoglobin.
% in the middle east 2-10
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{ 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" 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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"نهاية عرض الشرائح ، انقر للإنهاء.‏", SCREEN_MODE=3D"Fra= mes", gIsEndShow=3D0, NUM_VIS_SLDS=3D22, 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 gMainDoc=3Dnew Array(new hrefList("slide0001.htm",1,-1,1),new hrefList(= "slide0002.htm",1,-1,1),new hrefList("slide0003.htm",1,-1,1),new hrefList("= slide0004.htm",1,-1,1),new hrefList("slide0050.htm",1,-1,1),new hrefList("s= lide0028.htm",1,-1,1),new hrefList("slide0030.htm",1,-1,1),new hrefList("sl= ide0032.htm",1,-1,1),new hrefList("slide0034.htm",1,-1,1),new hrefList("sli= de0036.htm",1,-1,1),new hrefList("slide0038.htm",1,-1,1),new hrefList("slid= e0040.htm",1,-1,1),new hrefList("slide0041.htm",1,-1,1),new hrefList("slide= 0042.htm",1,-1,1),new hrefList("slide0043.htm",1,-1,1),new hrefList("slide0= 044.htm",1,-1,1),new hrefList("slide0045.htm",1,-1,1),new hrefList("slide00= 46.htm",1,-1,1),new hrefList("slide0047.htm",1,-1,1),new hrefList("slide004= 8.htm",1,-1,1),new hrefList("slide0049.htm",1,-1,1),new hrefList("slide0005= .htm",1,-1,1)); /********************************************* Frameset functions These functions control slide navigation and state of the frameset. **********************************************/ 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(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; PPTSld.location.replace(MHTMLPrefix+obj.mSldHref) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 PPTSld.location.replace(MHTMLPrefix+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"التالي",sPrev=3D"السابق",sEnd=3D"إنهاء العرض",sFont=3D"Arial",= sArrow=3D"سهم",sFreeform=3D"شكل حر",sRect=3D"مستطيل",sOval=3D"شكل بيضوي" 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 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text/html; charset="windows-1256"
 ال= ملاحظات
عرض الشرائح
مخطط تفصيلي
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