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Similar a nicolas martinez velilla multimorbilidad (shared using VisualBee)
Similar a nicolas martinez velilla multimorbilidad (shared using VisualBee) (20)
nicolas martinez velilla multimorbilidad (shared using VisualBee)
- 1. JORNADA DE ATENCIÓN SANITARIA A SECTORES POBLACIONALES VULNERABLES EN TIEMPOS DE CRISIS: EL PACIENTE CRÓNICO Y ANCIANO JARDUNALDIA: KRISI GARAIETAN BIZTANLERIAREN SEKTORE BEHARTSUEI OSASUN LAGUNTZA KRONIKOA ETA ADINEKO GAIXOAK MODELOS EFICIENTES DE ATENCIÓN A PACIENTES COMPLEJOS: CRONICIDAD, COMORBILIDAD, MULTIMORBILIDAD Y PACIENTE ANCIANO Nicolás Martínez Velilla Complejo Hospitalario de Navarra
- 3. …Por último, en cuanto a sexos e intervalos de edad, Navarra, Castilla y León y Comunidad de Madrid son las regiones que mantienen un comportamiento más favorable de la mortalidad en las edades avanzadas, alcanzando una esperanza de vida a los 65 años de edad superior a los 22,5 años en el caso de las mujeres y a los 18,3 años en los varones.
- 4. CAUSAS CONSECUENCIAS Mortalidad Demográficas Situación funcional Genéticas Calidad de vida Utilización de recursos de salud Factores de riesgo Estrategias de tratamiento biológicos Complicaciones de los tratamientos Medio ambientales Calidad de los cuidados Sistemas de salud MULTIMORBILIDAD
- 8. Consumo de fármacos en Navarra Idea aproximada de multimorbilidad Considerando polimedicados (Ministerio de Sanidad): Más de 5 fármacos durante 6 ó más meses El 42% de la población mayor de 75 años toma 6 ó más fármacos en el periodo sept-nov de 2011 Concentración de consumo; concentración de complejidad Prestaciones Farmacéuticas Servicio Navarro de Salud
- 9. MULTIMORBILIDAD ¿QUÉ IMPLICA? • Duración de la estancia (Cleary PD ,1991; Deyo RA , 1992; Greenfield S , 1993) • Complicaciones (Deyo RA , 1992; Greenfield , 1993; Rabeneck L , 1993; Siegler EL, 1994; Brailer , 1996) • Resultados quirúrgicos (Cleary ,1991; Katz , 1991) • Mortalidad en diferentes ventanas temporales y tipos de pacientes (Deyo RA, 1992; Melfi C , 1995; Kaplan MH , 1974; Charlson ME , 1987; Jencks SF , 1988; Pompei , 1988; Greenfield S , 1988; Romano PS, 1993; Poses RM , 1996; Iezzoni , 1995; Iezzoni , 1996) • Estado funcional y calidad de vida (Deyo RA , 1992; Linn , 1968; Mulrow, 1994; Fortin M, 2006) • Reingresos hospitalarios (Peiró S , 1996)
- 10. Impacto de la multimorbilidad en la mortalidad a 3 años OR 5 4 3 2 1 se s es e se as a as a se se se se di di di di 1 no 3 2 >= Kriegsman & Deeg. In: Autonomy and well-being in the aging population 2 (1997)
- 12. MULTIMORBILIDAD Y POLIFARMACIA fármacos EJEMPLO: 80 años: HTA, DM, IAM, depresión, OP → 11 1. Chobanian AV, Bakris GL, Black HR, et al. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Aspirina Treatment of High Blood Pressure (2003). Hypertension 42:1206- IECA 1252 Beta bloqueante 2. American Diabetes Association. Standards of medical care for Bifosfonato, calcio, Vitamina D patients with diabetes mellitus (2002). Diabetes Care 25:S33-S49. Diurético 3. National Osteoporosis Foundation. Physician's guide to prevention ISRS and treatment of osteoporosis. Belle Mead, N.J.: Excerpta Medica, Estatina 4. Smith SC Jr, Blair SN, Bonow RO, et al. AHA/ACC guidelines for Sulfonilurea (+/- otro AD) preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 update: a statement for healthcare professionals from the American Heart Association and the American College of Cardiology (2001). Circulation 104:1577-1579 5. Hunt SA, Baker DW, Chin MH, et al. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the International Society for Heart and Lung Transplantation: endorsed by the Heart Failure Society of America (2001). Circulation 104:2996-3007
- 19. COMPLEJIDAD
- 21. gracias
Notas del editor
- Custom animation effects: descending text levels(Basic)To reproduce the rectangle on this slide, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank.On the Home tab, in the Drawing group, click Shapes, and then under Rectangle click Rounded Rectangle (second option from the left). On the slide, drag to draw a rectangle.Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 3.08”. In the Shape Width box, enter 4.33”.Under Drawing Tools, on the Format tab, in the Shapes Styles group, click the arrow next to Shape Outline, and then click No Outline.Under DrawingTools, on the Format tab, in the bottom right corner in the Shapes Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.Click the button next to Direction, and then click Linear Down (first row, second option from the left).Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops that you added as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).In the Transparency box, enter 25%.Select Stop 2 from the list, and then do the following: In the Stop position box, enter 20%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).In the Transparency box, enter 69%.Also in the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets, under Outer click Offset Diagonal Bottom Left (first row, third option from the left), and then do the following:In the Transparency box, enter 72%.In the Size box, enter 100%.In the Blur box, enter 11.81 pt.In the Angle box, enter 141°.In the Distance box, enter 19.7 pt. Also in the Format Shape dialog box,click 3-D Format in the left pane, and then do the following in the 3-D Format pane:Under Bevel, click the button next to Top, and then under Bevel click Circle (first row, first option from the left). Next to Top, in the Width box, enter 7 pt, in the Height box, enter 7 pt.Under Surface, click the button next to Material, and then under Standard click Metal (fourth option from the left). Click the button next to Lighting, and then under Neutral click Contrasting (second row, second option from the left). In the Angle box, enter 75°. On the slide, drag the rectangle into the bottom right corner. To reproduce the rectangle animation effects on this slide, do the following:On the Animations tab, in the Animations group, click Custom Animation.On the slide, select the rectangle. In the CustomAnimation task pane, do the following:Click AddEffect, point to Entrance,and then click More Effects. In the Add Entrance Effect dialog box, under Moderate,click Ascend. Select the animation effect (ascend effect for the rectangle). Under Modify: Ascend,do the following:In the Start list, select With Previous. In the Speed list, select Medium. To reproduce the text effects on this slide, do the following:On the Insert tab, in the Text group, click Text Box, and then on the slide, drag to draw the text box. Enter three lines of text with paragraph breaks in the text box. Select the text, and then on the Home tab, in the Font group, do the following:In the Font list, select Candara.In the Font Size list, select 28. Click the arrow next to Font Color,and then under Theme Colors click Aqua, Accent 5; Darker 50% (sixth row, ninth option from the left). On the Home tab, in the Paragraph group, click Align TextLeft to position the text left in the text box.On the slide, drag the text box onto the rectangle. To reproduce the text animation effects on this slide, do the following:On the Animations tab, in the Animations group, click Custom Animation.On the slide, select the text box. In the CustomAnimation task pane, do the following:Click AddEffect, point to Entrance,and then click More Effects. In the Add Entrance Effect dialog box, under Moderate,click Descend. Select the second animation effect (descend effect for the text box). Click the arrow to the right of the selected effect, and then click Effect Options. In the Descend dialog box, do the following:On the Timing tab, do the following:In the Start box, select With Previous. In the Speed box, select 1 seconds (Fast). On the Text Animation tab, in the Group text list, select By 1st Level Paragraphs.Also in the Custom Animation task pane, click the double arrow under the second animation effect to expand the list of effects, and then do the following:Select the new second animation effect in the list (descend effect for the first line of text). Click the arrow to the right of the selected effect, and then click Timing. In the Descend dialog box, on the Timing tab, in the Delay box, enter 1.Select the third animation effect (descend effect for the second line of text). Click the arrow to the right of the selected effect, and then click Timing. In the Descend dialog box, on the Timing tab, do the following:In the Start list select WithPrevious.In the Delay box, enter 1.5.Select the fourth animation effect (descend effect for the second line of text). Click the arrow to the right of the selected effect, and then click Timing. In the Descend dialog box, on the Timing tab, do the following:In the Start list select WithPrevious.In the Delay box, enter 2.To reproduce the background effects on this slide, do the following: On the Design tab, in the bottom right corner of the Background group, click the Format Background dialog box launcher.In the Format Background dialog box, click Fill in the left pane, select Picture or texture fill in the Fill pane, and then under Insert from click File.In the Insert Picture dialog box, select a picture, and then click Insert.
- SmartArt custom animation effects: pictures peek-in(Basic)To reproduce the SmartArt effects on this page, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank. On the Insert tab, in the Illustrations group, click SmartArt.In the Choose a SmartArt Graphic dialog box, in the left pane, click Matrix. In the Matrix pane, double-click Titled Matrix (second option from the left) to insert the graphic into the slide. Select the graphic. Under SmartArt Tools, on the Format tab, click Size, and then do the following:In the Height box, enter 5.67”.In the Width box, enter 8.5”.Under SmartArt Tools, on the Format tab, click Arrange, click Align, and then do the following:Click Align to Slide.Click Align Middle. Click Align Center. Select the graphic, and then click one of the arrows on the left border. In the Type your text here dialog box, enter text in the top-level bullet only (text for the rounded rectangle at the center of the graphic). To remove the [Text] placeholder in the second-level bullets, select each bullet and press SPACE.On the slide, select the graphic. Under SmartArtTools, on the Design tab, in the SmartArtStyles group, click More, and then under Best Match for Document click Moderate Effect.Select the rounded rectangle at the center of the graphic. On the Home tab, in the Font group, select 28 from the Font Size list, click the arrow next to Font Color, and then click White, Background 1 (first row, first option from the left).With the rounded rectangle selected, under SmartArtTools, on the Format tab, in the bottom right corner of the ShapeStyles group, click the FormatShape dialog box launcher. In the FormatShape dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.In the Direction list, select LinearUp (second row, second option from the left).Under Gradient stops, click Add or Remove until three stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 80%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left).Select Stop 3 from the list, and then do the following: In the Stop position box, enter 100%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).Right-click the top left shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the top right shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the bottom left shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the bottom right shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. To reproduce the animation effects on this slide, do the following:On the Animations tab, in the Animations group, click CustomAnimation.On the slide, select the graphic, and then do the following in the CustomAnimation task pane: Click Add Effect, point to Entrance, and then click MoreEffects. In the Add Entrance Effect dialog box, under Subtle, click Expand. Under Modify: Expand, in the Speed list, select Fast.Under Modify: Expand, in the Start list, select After Previous.Also in the Custom Animation task pane, click the arrow to the right of theanimation effect, and then click EffectOptions. In the Expand dialog box, on the SmartArt Animation tab, in the Group Graphic list, select One by one.Also in the Custom Animation taskpane, click the double-arrow below the animation effect to expand the list of effects, and then do the following:Press and hold CTRL, and then select all five animation effects in the Custom Animation task pane. Under Modify: Expand, in the Start list, select With Previous.Press and hold CTRL, select the second, third, fourth, and fifth animation effects (expand effects for the picture-filled rectangles), and then do the following:Click Change, point to Entrance, and then click MoreEffects. In the Change Entrance Effect dialog box, under Basic, click Peek In. Under Modify: Peek In, in the Speed list, select Fast.Select the second animation effect. Under Modify: Peek In, in the Start list, select After Previous.Select the third animation effect. Under Modify: Peek In, in the Direction list, select From Left.Select the fourth animation effect. Under Modify: Peek In, in the Direction list, select From Right.Select the fifth animation effect. Under Modify: Peek In, in the Direction list, select From Top.To reproduce the background effects on this slide, do the following:Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Radial.Click the button next to Direction, and then click From Corner (fifth option from the left).Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 71%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).
- SmartArt custom animation effects: continuous picture list(Basic)To reproduce the SmartArt effects on this slide, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank. On the Insert tab, in the Illustrations group, click SmartArt. In the Choose a SmartArt Graphic dialog box, in the left pane, click List. In the List pane, double-click Continuous Picture List (third row, fourth option from the left) to insert the graphic into the slide.On the slide, select the graphic. Under SmartArt Tools, on the Format tab, click Size, and then do the following:In the Height box, enter 5.05”.In the Width box, enter 7.57”.Under SmartArt Tools, on the Format tab, click Arrange, click Align, and then do the following:Click Align to Slide.Click Align Middle. Click Align Center. Select the graphic, and then click one of the arrows on the left border. In the Type your text here dialog box, enter text.Select the graphic. Under SmartArtTools, on the Design tab, in the SmartArtStyles group, click More, and then under Best Match for Document clickselect Moderate Effect (fourth option from the left).Click each of the three picture placeholders in the SmartArt graphic, and then in the Insert Picture dialog box, select a picture and click Insert.Press and hold CTRL, and then select the three circle pictures on the slide. Under PictureTools, on the Format tab, in the PictureStyles group, click PictureEffects, point to Glow, and then do the following:Under Glow Variations, click Accent color 1, 8 pt glow (second row, first option from the left).Point to MoreGlowColors,and then under Theme Colors click Orange, Accent 6, Lighter 80% (second row, 10th option from the left).Select the left-right arrow at the bottom of the SmartArt graphic. Under SmartArtTools, on the Format tab, in the ShapeStyles group, click the arrow next to ShapeFill, point to Gradient, and then click MoreGradients. In the Format Shape dialog box, click Fill in the left pane,select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.Click the button next to Direction, and then select Linear Right (first row, fourth option from the left).Under Gradient stops, click Add or Remove until three stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click Orange, Accent 6, Darker 25% (fifth row, 10th option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 50%.Click the button next to Color, and then click MoreColors. In the Colors dialog box,on the Custom tab, enter values for Red: 255, Green: 192, Blue: 0.Select Stop 3 from the list, and then do the following: In the Stop position box, enter 100%.Click the button next to Color, and then under Theme Colors click Orange, Accent 6, Darker 25% (fifth row, 10th option from the left).Press and hold CTRL, and then select the three rounded rectangles on the slide. On the Home tab, in the Font group, select Gill Sans MT from the Font list, enter 30 pt in the Font Size box, click the arrow next to Font Color, and then click White, Background 1 (first row, first option from the left).Under SmartArtTools, on the Format tab, in the ShapeStyles group, click Shape Effects, point to Reflection, and then under ReflectionVariations click Tight reflection, touching (first row, first option from the left).Under SmartArtTools, on the Format tab, in the ShapeStyles group, click Shape Fill, point to Gradient, and then click More Gradients. In the Format Shape dialog box, in the left pane, click Fill, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.In the Direction list, select Linear Down (first row, second option from the left).Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 19%.Click the button next to Color, and then under Theme Colors click Black, Text 1 (first row, second option from the left). Select Stop 2 from the list, and then do the following: In the Stop position box, enter 100%.Click the button next to Color, and then under Theme Colors click Black, Text 1, Lighter 50% (second row, second option from the left).To reproduce the animation effects on this slide, do the following:On the Animations tab, in the Animations group, click CustomAnimation.On the slide, select the graphic. In the Custom Animation task pane, do the following:Click Add Effect, point to Entrance, and then click MoreEffects. In the Add Entrance Effect dialog box, under Moderate, click Stretch. Under Modify: Stretch, in the Speed list, select Fast.Also in the CustomAnimation task pane, click the arrow to the right of the animation effect, and then click Effect Options. In the Stretch dialog box, on the SmartArtAnimation tab, in the Group graphic list, select One by One.Also in the CustomAnimation task pane, click the double arrows under the animation effect to expand the list of effects. Press and hold CTRL, and then select all of the animation effects in the Custom Animation task pane. Under Modify: Stretch, in the Start list, select With Previous.Select the first animation effect (stretch effect for the left-right arrow) in the CustomAnimation task pane. Under Modify: Stretch, click the arrow to the right of the effect, and then click Timing. In the Stretch dialog box, on the Timing tab, do the following: In the Delay box, enter 0.5. In the Speed box, enter 1.5 seconds.Press and hold CTRL, and then select the second and third animation effects (stretch effects for the left panel) in the CustomAnimation task pane. Under Modify: Stretch, in the Direction list, select From Right. Also in the Custom Animation task pane, with the second and third animation effects still selected, click the arrow to the right of one of those effects, and then click Timing. In the Stretch dialog box, on the Timing tab, in the Delay box, enter 1, and then click OK.Press and hold CTRL, and then select the sixth and seventh animation effects (stretch effects for the right panel) in the Custom Animation task pane. Under Modify: Stretch, in the Direction list, select From Left. Also in the Custom Animation task pane, with the sixth and seventh animation effects still selected, click the arrow to the right of one of those effects, and then click Timing. In the Stretch dialog box, on the Timing tab, in the Delay box, enter 1.To reproduce the background effects on this slide, do the following:Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Radial.Click the button next to Direction, and then click From Center (third option from the left). Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 100%.Click the button next to Color, and then under Theme Colors click Black, Text 1, Lighter 25% (fourth row, second option from the left).
- SmartArt custom animation effects: pictures peek-in(Basic)To reproduce the SmartArt effects on this page, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank. On the Insert tab, in the Illustrations group, click SmartArt.In the Choose a SmartArt Graphic dialog box, in the left pane, click Matrix. In the Matrix pane, double-click Titled Matrix (second option from the left) to insert the graphic into the slide. Select the graphic. Under SmartArt Tools, on the Format tab, click Size, and then do the following:In the Height box, enter 5.67”.In the Width box, enter 8.5”.Under SmartArt Tools, on the Format tab, click Arrange, click Align, and then do the following:Click Align to Slide.Click Align Middle. Click Align Center. Select the graphic, and then click one of the arrows on the left border. In the Type your text here dialog box, enter text in the top-level bullet only (text for the rounded rectangle at the center of the graphic). To remove the [Text] placeholder in the second-level bullets, select each bullet and press SPACE.On the slide, select the graphic. Under SmartArtTools, on the Design tab, in the SmartArtStyles group, click More, and then under Best Match for Document click Moderate Effect.Select the rounded rectangle at the center of the graphic. On the Home tab, in the Font group, select 28 from the Font Size list, click the arrow next to Font Color, and then click White, Background 1 (first row, first option from the left).With the rounded rectangle selected, under SmartArtTools, on the Format tab, in the bottom right corner of the ShapeStyles group, click the FormatShape dialog box launcher. In the FormatShape dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.In the Direction list, select LinearUp (second row, second option from the left).Under Gradient stops, click Add or Remove until three stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 80%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left).Select Stop 3 from the list, and then do the following: In the Stop position box, enter 100%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).Right-click the top left shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the top right shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the bottom left shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the bottom right shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. To reproduce the animation effects on this slide, do the following:On the Animations tab, in the Animations group, click CustomAnimation.On the slide, select the graphic, and then do the following in the CustomAnimation task pane: Click Add Effect, point to Entrance, and then click MoreEffects. In the Add Entrance Effect dialog box, under Subtle, click Expand. Under Modify: Expand, in the Speed list, select Fast.Under Modify: Expand, in the Start list, select After Previous.Also in the Custom Animation task pane, click the arrow to the right of theanimation effect, and then click EffectOptions. In the Expand dialog box, on the SmartArt Animation tab, in the Group Graphic list, select One by one.Also in the Custom Animation taskpane, click the double-arrow below the animation effect to expand the list of effects, and then do the following:Press and hold CTRL, and then select all five animation effects in the Custom Animation task pane. Under Modify: Expand, in the Start list, select With Previous.Press and hold CTRL, select the second, third, fourth, and fifth animation effects (expand effects for the picture-filled rectangles), and then do the following:Click Change, point to Entrance, and then click MoreEffects. In the Change Entrance Effect dialog box, under Basic, click Peek In. Under Modify: Peek In, in the Speed list, select Fast.Select the second animation effect. Under Modify: Peek In, in the Start list, select After Previous.Select the third animation effect. Under Modify: Peek In, in the Direction list, select From Left.Select the fourth animation effect. Under Modify: Peek In, in the Direction list, select From Right.Select the fifth animation effect. Under Modify: Peek In, in the Direction list, select From Top.To reproduce the background effects on this slide, do the following:Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Radial.Click the button next to Direction, and then click From Corner (fifth option from the left).Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 71%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).
- Paragraph or quotation text with perspective(Advanced)To reproduce the effects on this slide, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank.On the Insert tab, in the Text group, click Text Box, and then on the slide, drag to draw the text box.Enter text in the text box, select the text, and then on the Home tab, in the Font group, select Candara from the Font list, select 44 from the Font Size list, click Italic, click the arrow next to Font Color, and then under Theme Colors click Dark Blue, Text 2, Lighter 80% (second row, fourth option from the left).On the Home tab, in the Paragraph group, click AlignTextLeft to align the text left in the text box.Select the text box. Under Drawing Tools, on the Format tab, in the WordArt Styles group, click Text Effects, point to 3-D Rotation, and then under Perspective click Perspective Left (first row, second option from the left). Also under Drawing Tools, on the Format tab, in the WordArt Styles group, click Text Effects, point to 3-D Rotation, and then click 3-DRotationOptions. In the Format Text Effects dialog box, click 3-D Rotation in the left pane, and then in the right pane do the following:In the X box, enter 40°.In the Perspective box, enter 60°.On the Home tab, in the Drawing group, click Shapes, and then under Rectangles click Rectangle (first option from the left). On the slide, drag to draw a rectangle. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 2.5”.In the Shape Width box, enter 2”.On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: In the Type list, select Linear.Click the button next to Direction, and then click Linear Down (first row, second option from the left).In the Angle box, enter 90°.Under Gradient stops, click Add or Remove until three stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops that you added as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click DarkBlue, Text2 (first row, fourth option from the left).Select Stop 2 from the list, and then do the following:In the Stop position box, enter 50%.Click the button next to Color, click More Colors, and then in the Colors dialog box, on the Custom tab, enter values for Red: 58, Green: 107, Blue: 165.Select Stop 3 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then click Dark Blue, Text 2, Darker 25% (fifth row, fourth option from the left). Also in the Format Shape dialog box, click Line Color in the left pane, and then select No line in the Line Color pane. Also in the Format Shape dialog box, click Shadow in the left pane, and then do the following in the Shadow pane:Click the button next to Presets, and then under Perspective click PerspectiveDiagonalUpperLeft (first row, first option from the left). In the Transparency box, enter 80%.In the Blur box, enter 6 pt.Also in the Format Shape dialog box, click 3-DFormat in the left pane, and then do the following in the 3-DFormat pane:Under Bevel, click the button next to Top, and then under Bevel click Relaxed Inset (first row, second option from the left). Next to Top, in the Width box, enter 6 pt, and in the Height box, enter 6 pt. Under Surface, click the button next to Material, and then under Standard click Warm Matte (second option from the left). Click the button next to Lighting, and then under Neutral click ThreePoint (first row, first option from the left).On the Insert tab, in the Illustrations group, click Clip Art. In the Clip Art pane, in the Search for box, enter j0397180. In the Search in list, select Everywhere, and then click Go. Select the clip art file and drag it onto the slide. (Note: If you choose another clip art file, the clip art must be in the Windows Metafile format [.wmf].)On the slide, select the clip art. On the Home tab, in the Drawing group, click Arrange, and then click Ungroup. In the Microsoft Office PowerPoint dialog box, click Yes. On the slide, select the converted clip art. On the Home tab, in the Editing group, click Select, and then click Selection Pane. In the Selection and Visibility pane, select the top-level group. On the Home tab, in the Drawing group, click Arrange, and then click Ungroup. Also in the Selection and Visibility pane, select the Autoshape object, and then press DELETE. Also in the Selection and Visibility pane, select each object and drag it to one side of the slide, until the pale gold silhouette freeform shape is visible. (Note: The silhouette shape is directly on top of the dark brown rectangle in the back.) Delete all of the other freeform shapes except for the silhouette by selecting them in the Selection and Visibility pane and then pressing DELETE. On the slide, select the silhouette shape. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 2.25”.In the Shape Width box, enter 1.8”.On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, select Solid fill in the right pane, and then do the following:Click the button next to Color, and then under Theme Colors click Black, Text 1 (first row, second option from the left).In the Transparency box, enter 40%.On the slide, drag the silhouette on top of the blue rectangle. Select the silhouette shape. Press the UP ARROW and DOWN ARROW keys to position the silhouette so that the bottom edge is just above the rectangle bevel edge. Press and hold SHIFT and select the silhouette shape and the rectangle. On the Home tab, in the Drawing group, click Arrange, and then do the following:Point to Align, and then click Align Selected Objects. Point to Align, and then click Align Center.Click Group.Select the group. On the Home tab, in the Drawing group, click Shape Effects, point to 3-D Rotation, and then under Perspective click Perspective Right (first row, third option from the left). Drag the group and text box to position on the slide as needed. To reproduce the background on this slide, do the following: Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following:In the Type list, select Linear. Click the button next to Direction, and then click Linear Diagonal (first row, first option from the left).In the Angle box, enter 225°.Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops that you added as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 48%.Click the button next to Color, and then under Theme Colors click Black, Text 1, Lighter 5% (sixth row, second option from the left). Select Stop 2 from the list, and then do the following:In the Stop position box, enter 94%.Click the button next to Color, and then under Theme Colors click DarkBlue, Text 2, Lighter 40% (fourth row, fourth option from the left).
- SmartArt custom animation effects: pictures peek-in(Basic)To reproduce the SmartArt effects on this page, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank. On the Insert tab, in the Illustrations group, click SmartArt.In the Choose a SmartArt Graphic dialog box, in the left pane, click Matrix. In the Matrix pane, double-click Titled Matrix (second option from the left) to insert the graphic into the slide. Select the graphic. Under SmartArt Tools, on the Format tab, click Size, and then do the following:In the Height box, enter 5.67”.In the Width box, enter 8.5”.Under SmartArt Tools, on the Format tab, click Arrange, click Align, and then do the following:Click Align to Slide.Click Align Middle. Click Align Center. Select the graphic, and then click one of the arrows on the left border. In the Type your text here dialog box, enter text in the top-level bullet only (text for the rounded rectangle at the center of the graphic). To remove the [Text] placeholder in the second-level bullets, select each bullet and press SPACE.On the slide, select the graphic. Under SmartArtTools, on the Design tab, in the SmartArtStyles group, click More, and then under Best Match for Document click Moderate Effect.Select the rounded rectangle at the center of the graphic. On the Home tab, in the Font group, select 28 from the Font Size list, click the arrow next to Font Color, and then click White, Background 1 (first row, first option from the left).With the rounded rectangle selected, under SmartArtTools, on the Format tab, in the bottom right corner of the ShapeStyles group, click the FormatShape dialog box launcher. In the FormatShape dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.In the Direction list, select LinearUp (second row, second option from the left).Under Gradient stops, click Add or Remove until three stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 80%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left).Select Stop 3 from the list, and then do the following: In the Stop position box, enter 100%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).Right-click the top left shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the top right shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the bottom left shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. Right-click the bottom right shape in the graphic, and then click Format Shape. In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, click Picture or texture fill,and then under Insert from, click File.In the Insert Picture dialog box, select a picture and then click Insert. To reproduce the animation effects on this slide, do the following:On the Animations tab, in the Animations group, click CustomAnimation.On the slide, select the graphic, and then do the following in the CustomAnimation task pane: Click Add Effect, point to Entrance, and then click MoreEffects. In the Add Entrance Effect dialog box, under Subtle, click Expand. Under Modify: Expand, in the Speed list, select Fast.Under Modify: Expand, in the Start list, select After Previous.Also in the Custom Animation task pane, click the arrow to the right of theanimation effect, and then click EffectOptions. In the Expand dialog box, on the SmartArt Animation tab, in the Group Graphic list, select One by one.Also in the Custom Animation taskpane, click the double-arrow below the animation effect to expand the list of effects, and then do the following:Press and hold CTRL, and then select all five animation effects in the Custom Animation task pane. Under Modify: Expand, in the Start list, select With Previous.Press and hold CTRL, select the second, third, fourth, and fifth animation effects (expand effects for the picture-filled rectangles), and then do the following:Click Change, point to Entrance, and then click MoreEffects. In the Change Entrance Effect dialog box, under Basic, click Peek In. Under Modify: Peek In, in the Speed list, select Fast.Select the second animation effect. Under Modify: Peek In, in the Start list, select After Previous.Select the third animation effect. Under Modify: Peek In, in the Direction list, select From Left.Select the fourth animation effect. Under Modify: Peek In, in the Direction list, select From Right.Select the fifth animation effect. Under Modify: Peek In, in the Direction list, select From Top.To reproduce the background effects on this slide, do the following:Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Radial.Click the button next to Direction, and then click From Corner (fifth option from the left).Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Also under Gradient stops, customize the gradient stops as follows:Select Stop 1 from the list, and then do the following:In the Stop position box, enter 0%.Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left).Select Stop 2 from the list, and then do the following: In the Stop position box, enter 71%.Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).