User Manual - Real-time Outbreak and Disease Surveillance
Contents
1. Algoihen subtract dis tend fom he me serie ata to obtain a eka tme sees Using the tend the estdal ime ess and dom threshold xprested in number of standard deviations the wavelet algscihen computer a dresbold c This algo is useful when there ar ong tem ends inthe historical daa and here are abrupt change inthe me seis Wavelet has an ale thesbold of 4 0 CuSUM with Exponentially Weighted Moving Average The CuSUM with Exponentaly Weighted Moving Avenige algo ues two techniques o clelate the vale forthe thtedhol ine Fy uses an exponential wighted moving average to predict the curn vale ofthe ime ees The the Algen computes cumulative sum stie fom the istoc precio eor dut s used with the serspecifed aridum threshold wo compute dhe value forthe thteshold ine Tis algo is wel uted for deecing gradi changes in the dese eis he slowly developing outbreaks CuSUM basa Aer theshold of 408 To crea baseline for analysis st the dnesold for any of the above algorithms withthe exception of SUM to ze As the thshold dicas the abovable number of standard deviations fom the expected vlc a threshold of ze represen the expect value based on the selected algo Below the lgostbm dap dosen box and ip code fed ithe gender and age scetion aca These values arconly used wo agurogatehealheae segjstaions by age nd oe gener They ae not used for OTC dan The Gender and Age selection area are used to aggregate healthcare registrations by age andbr gender and2. are not used for OTC data Example Pio Cough cod medications ed ehermcesee sies for dhe past 3 works ia Ming Cnty XX Gee Figure 6 1 Check ofEcough ecld and then thermometer in he OTC data type window accessed in dia npe selection asi 2 Clk on in upper sigh comer of slecon bos 3 Choose st dine works om ped fll dep dene st 4 Choose Ming foe che County Bed drop dove and eid o Plor Two graphs ae shown The gcn ine dicas lcs ha have not bon Hae by th rotae 3 promotion ect sd The Biz ine nates al ses regardless of any promotions O Sine RX OT MapPlot MapPio give you yoograplie view of he day Requeney of OTC sales Sce Figur 7 The defuit map i your tac or juiadicion State J urisdiction Date Selection Area The State Juisdictn Date selection arc allows you to it choose juricion to view You are restricted o map of our jardin or state You can look at counry eve les of OTC daa for the Erie US by selecting US i this area This rea o crues you o sclct de day you wish o view Toolbar Area The tocar allows you to perform certain functions wid the map such as zoomisg in or out and disphying legend lst Use he mouse pointer to pon Clicking on a patior art of he map wil move this point othe cene of ihe dsp Layer and Data Control Areas The laser and dara conzol arcas allow you ose which map ayers ate vil dhe data source to map nd she metho of gggogiion The
3. decoegstns and night ime qi cold role produc Cold Ref Pati Tablet Ped cold remedies in able form Includes phn cold abes as vella anthitamines decongestne and ly ree products Cough Spp Adult Lui Adult quid cough remedies iscing any cough whip products ches all cough syrups at ar ecommended for reef of cough i adl Gough Syrap Adult Tablet lala al adul cough tablets capies ques exc of cough symp strength that ae recommended for ref of cough Cough Syrup Pde Liquids Palin Hig cough mad inchding any cough whip products Inches all cough syrup that re recommended fr eli of cough in children leetrolytes Ped Solutions of pinay electrolytes and glucose uid for uid replacement in aden suffering om dehydration Includes products in uid and Geezer pop form Hydrocoriones Antinfammator topical eonicostesids used o relieve icing ashes Nas Product era Products that ar forthe relie of nasal congestion ortfines Includes oly prodbcis ia he oem of spa eops steko ges Nasal spay and dinpa ar general So Lax in Thermometers Al thermometers designed for both podia and adus nein ecto and tar ska tympani membrane hemometer used for health seasons Also acude non intusive fever detectors ad replacement sheaths for electronic hermomele Throat Lonenges Prats in sol form ae theo lenge or dp that ditolve in dhe ment Healthcare Registration Data RODS collects healicas reaaon data in ves me fom ptcpaing hospital via a san
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6. RODS Version 42 User Manual M 1 sympton Casar 02006 RODS ates Univers of eb Pano geb o coy donus ance od tir dance wi de moe GNU Tine Docanenanun ee Verso 2a ler veio palsy Be Fee So Tendon hn Stn fv is To a air an y Chapter Overview RODS automatica cold pie belt srvilanc dta from mulipe suras anaes thon for posse ontbroaks ats urs and basa web based uer itj to esa te daa The Rime Outbec and Discse Sumelnee RODS system vas fest deployed n 1999 at a single hospital in Pesburgh Pennsylvania Ms use as grown steal since den Micitoncs of RODS ince is use i the 2002 Winter Olyspics a Vs to see RODS by President GN Bush inchsion of over the counter medication sales dat from dhe National Real Data Monitor NRDM and ering of RODS open source softwar As of 2006 RODS perfonns emergency department survilance for mulie ste Cakfornia nois Kentucky Michigan New Joey Noxada Ohio Peanjvani Utah and Wyoming though n ASP modd a dhe University of Pitsburg and through lel instlaions in Taiwan Canada Msisipp Michigan Calor and Tents li ako serves at the user interface for national over the counter medici n sles survellane dat colle through the NRDM This user manual introduces conces of the RODS system how to navigate the usr meres and specie istrvtions for viewing NRDM or Healthcare Registration dt Conceptual Architecture of the RODS system RODS colles dita fom mule daa sources cmn Hear Regteto
7. a The screen navigation anc fes igh seleeons to choose m Main Epilot Mapp As Tous Options Hp and Cont TT Main The int me ou leg ino the RODS system you wil sce the Main Seren See Fre 3 The itenion of the Mainscreen shat ofa rar board in aston room This main seen wil refs self very tu mins if you eave plane The intention of the Main screen is that of a threat board ina situation room Data Type Selection Area The default d epe is OTC unles pou area boss pedi RODS user Checking of Aum Switch wil tomaseallaerate bersecn the overdhe counter medicaon seen and the hear rogitraton enn every tio minutes given hut both pes of data ac aval in your ars Access for most states is limited to OTC data therefore you may want to switch the data type to OTC to avoid switching to the healthcare registration screen Default statefurisciction is your jurisdiction fale County i sento All Couns The drop down Est allows icing of one eounsy aa time Normalize You can dio normalize the frequencies of e chars For OTC daa normalizing the chan divides the 18 specie product daly fequences by the sum overall OTC eager monitored For healheare registration daa the normali function divides he number of visis over a 24 hour period ora spec prodrome cago bythe tol number of ss in the same 24 hour period Chart Area Six OTC malicaion sale fiqueney chars are automati
8. aps by both symptom and syndrome See Figue 17 1 Selersympen s othe ef area athe sereen 2 Check the be above Sysdeomes to acte the coresponuing deopowe bos see syndrome 3 Selec ajuriaiton time pid nd analysis method optional 4 Chick Plot view the comesponing apts Seg po Sine Soon Ana Te Peo 24 High Fidelity Injection Detectabiity Experiments HiFIDE FIDE ines synthetic outbreak data pikes iat real survllance data fom a parca jusdicion However rer than simply injecting spikes with arbieary geomotie shapes HIFIDE takes the novel approach f injctng spikes whose shapes ave been deste from ral survellance dam collected dug uabreaks that occured in caer regons FIDE hen resales the spike ina manner that preserves the bons betscen the size aumbers of eases of dhe eal outbreak an the stent of he sia it prodocel in dhe survellance dta In contrast to existing methods that inject a grometie spike the HUFIDE spike s bots high deli in contour a in sele enabling inferences about misial detect outbreaks eg numberof css riher than minimal dete spike Sze eg umber of unit sas af oer the counter mediation FIDE sepaeite Gor the RODS application and wil open in a secondary window It can tke several nites vo inal a FIDE mut lad massive amounts of dat Begin by speci dat gp jusdic on and anas ime Click dhe Launch button open
9. astoinesina bleding site unspecied rectal bleeding and vial beeing Hotulne oculeabnommaities diplopia buted vision photophobia dfe speaking pon a sani slred speech and diel svallouing Assphag Neurological son psychic complaints a relate to ben fancson Include are headache head pan migraine fal pun of numba seize tenor convulsion Joss of consciousness spneope inima aris confusion disorientation altered mental stus vertigo concussion mening sif ack aging ind aumbnes What s new in RODS 4 2 f Acces to CoCosyndrome analysis of retest queis and data les Bee sol Co to sly chifecemphint daa by syptoans Ouibeeak simulation and algorith andy through HIFIDE Improve nup interface and graphice Abi o view bora dita dough EpiPir Aerosol anthrax reis detection via BARD service RODS User Interface The RODS write i a secure worse itera for didi pae bea iariiline data The RODS scr interface UI divide ino seven seoions mai epipot napplor ales tol tion help and contar Logging in sing emet Eaploce 5 or higher Mowila or Fret vidt he fln website agp werd RODS Login Page Oa the login page you wil sce oin Beds where you enter your usermme uad password Pressing the login ton a subi jour usm nd puso ta the stem for verification See Figure 2 o Jomo dd mde aK Las EE Less oan ETE Screen Navigation Are
10. cally shown on the OTC Main Semen If okbesse rojsraions are selected si charts are also how ndividanl ypes of mediason and prodrome categories cannot be selected from the OTC Main Screen is funeon ean be performed in the RODS EpsPlor Seren Addsioaly the ese periods shou vn dhe chars are init to the lst seven day on this enon Epiplot jlo gives you mow control nd ehoiesesanding dhe ears shown inthe char ama Sc Fig 4 Wreas the RODS Main Screen sant to viewing ix OTC oe Heakeare Regstation chants fr he tase seven ds Epio les you contol which medistions snd oe prodiomes az chute what time pied to char and pariclr yeosraphie regions down a the zgende to chart Alo you cun wkd data ia Epiplo o se in Excel SAS ee Laboratory daa i now avalllle though pilot ia justo dar prove this dua ype ET Fonte Creating Charts Lose die pe using ennai dta type sclecion ama a Mer ching vn datatype Heatheawe Registrations Liborary Data oe OTC a dat cate selection window wl appear inthe mille of he seven P Choose any combination data spes Mulspe data categories ean be sled by checking the corcspondng check bos On the Heakheate Registrations window the Aggsqpte by selector can be used io indicate wheter he data iv analyacl hy dhe patents home ap code othe hospi ip eae oeation Sce Figure 5 This ues is weil hen the mast af the patents izing de hop
11. cense notice and hat you preserve all thei Warranty Disclaimers The combined work need only contain one copy of this License and multiple identical Invariant Sections may be replaced with a single copy If there are multiple Invariant Sections with the same name but different contents make the tlle of each such section unique by adding at the end of parentheses the name ofthe original author or publisher of tha section if known or else a unique number Make the same adjustment to the section titles in the list of Invariant Sections inthe license molice ofthe combined work Inthe combination you must combine any sections Entitled History in the various original documents forming one section Entiled History likewise combine any sections Entitled Acknowledgements and any sections Enied Dedications You must delete all sections Entitled Endorsements 6 COLLECTIONS OF DOCUMENTS You may make a collection consisting of the Document and other documents released under this License and replace the individual copies ofthis License inthe various documents with a single copy that is included inthe collection provided that you follow the rules of this License for verbatim copying of cach of the documents in all other respects You may extract single document from such a colletion and distribute it individually under tis License provided you inser copy of this License into the extracted document and follow this License
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13. dand called Hol Level 7 HL HL i the most wisely used mosagiag standard m halb lt cables heaare applications to exchange key si of iod and administrative data Specialy healheane rogitraton data coast ofthe age gener home pend date time of anism and a ftat chief complain of the patient Complaint Coder Coco A atu language processing NLP program bull ino RODS caled the Complain Coder CoCo process these ice tet chil compl CoCo take each chief complaint er I cat breathe and lasses tino one ofthe RODS prodiome categories ex espieon Seven healthcare registration prodrome categories Gases pain or camps anywhere theabdomen nausea vomiting daa and abdominal sdstension or sweling Constitutional no localized yen problems including fever cil body ache lu symptoms vind syadrome weakness aiu anorexia male lang sweating apos it heads fineness and fins espiony problems of the nose ora and boat phani s well a he lungs Examples of Respir include congeson or tat tonsils susti cold spon broad cag shorines of beat asta chronic obstructive pulmonary dkease COPD and pneumonia The presence of both cl and symptoms counted in hs category not constnsinal Rash any rash suchas meus pap vesicular petechil pups or hives Ueeratons ae o counted as Rash unies consistent wit cuaneous anthax an lee witha le esha Henna leading Rom ay sit eg vomiting blood hematemest nose bled piss hematuia
14. fa parer ar oeder to aces is funcion you must vam ia level on dhe Mapp tol 2 Afersaoming in check the box nex to Delon which wilappearin d dia conurol aca 3 Cid on the asa of the map foe which you want moe information A popup sere contine an pilot graph wil atomic appear ce Figae 9 lens An den i reitera cach time daa cllcted excede the thiesbold se by one or more uf he four algorms im we The Alerts page provides dead information about each alert for defied ftdt See Figure P Please note Curly alerts are only ave oe Haldane Registrations Ales foe OTC data vile valle in the fre sc the Das Control Ane tosclct the justin for which goa want to iw ales You cm then we the Show dros down bos t sleet Active or AIL By choosing Ac only new ales and those indi under vestigation wil be dila Ta onder a display morc information about a puticube ale ihe Chart and Ales Summary Arcs de dice on he at ine The ses componi to the ur and summary will ecome Nighhtad ia lo Click ew Det i he Ale Summary Ans to obti additional information and to update de sats ofa porticu den See Fr 1 Q o sire ek Comments on a paneube des ean be wyped iato the Updates box and he stats cun be updated through ihe Response Ss drop den box When aking comment eae leet our uezname fom the esesiguor disp dann bos BARD Alerts Alerts generated by BARD Bayesian Aeroso
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18. l Release Detect ae also avail tough the Ales pe See Figure 12 BARD detects and characteres outbreaks of ialaional antheat doe to rose dispersion of B savin spores in a timely sensitive and specifi manc BARD analis D counts of emergency department ED visis for espiratory compli from the RODS System 2 recent meteorological da and 3 spat and population information about the region being monitored to detemine whether today s ED data are more consistent with usual eves of respiratory disease or with an outbreak of inhalaonal anthrax superimposed on usual levels of respiratory disease If che late it estimates the geographic scope of the outbreak the ime and location at whieh spores were clea nd the mass of spore rese es Tos Vavious tons exist to farther ande hospita estin hase on chief engine nd spans See Figue13 Ho Chic Coepit Coder Coo Tas tol pres end user acces dh resus of CoCo spdume ari for fcc test ques and da les Somplom Coder Co This too cases clef complaints by symptom Ts beta versio serves ssa tod to examin de EgiPor data oa 17 symptoms HEIDE This isa websbased Version of the HIFIDE tool HIFIDE allows users to examine the Sensi of vious algo sing RODS data and syns outa ijecties lQ 0 286 Seem e Sxa0 Chief Complaint Coder CoCa These are tee ws o seit dita to CCo I tet enel ene 2 acl emp query and 3 comping ma ie Text Complaint Entry Use this opti
19. need to sign up for an account Flow the sgn up n onthe inal sere to create an account Plots use your custg RODS NRDM account isemame and pswvorl In the future she account database of these systems wil be uid and using the sume semame wil flat this proces ign Ue Unc Once you log into e sue Ticker Systm you ean ente ay bug repos or feature eques by ski Cete New Issue See Figure 22 un Logout The logout button logs your account oot of the sem T cede o ue the sstem agin you have ts login usi ihe igo pae Alice clicking dhe gout button you wil secs confirmation a the lat was sucesfl See Figure 23 You wil then be automate e mund to he logia page E lg o 446 pede GX peri en GNU Free Documentation License Version 1 2 November 2002 0 PREAMBLE The purpose of this License is to make a manual textbook or other functional and useful document reo in the sense of freedom to assure everyone the effective freedom to copy and redistribute it with or without modifying it either commercially or woncommercally Secondary this License preserves forthe author and publisher way to get credit for their work while not being considered responsible for modifications made by others This License isa kind of copylet which means that derivative works of the document must themselves be fee
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21. ns and Over the Counter Medicaons These data ate stored i datahase and data warehouse where they are eade avo o ouibrea algorithms and the RODS use ineface See Figur The National Retail Data Monitor The NRDM colees over hecountr OTC maa sls data doni Each rea sends RODS the number of sles for cach OTC medication We group rhe individual edicion sales data sutil by ip cade acconing to store locuin and categorie no one of 18 OTC categories Eighteen overthecounter medication categories Aotianhei Products len forthe reef of dites Alluzes and fame bles quis cc Incudes isnt Popo Biol and like product atpult subsit and loperamide HCL prodocs Atifver Peds Incdes al peodacis intended for chien tht are taken ly fo the rei of ever Atifver Adu cues all products tended ford that are ten oni forthe reli of ever Broochial Remedies Products intended oe the see of Bronchal asthma Indus produci simae road and Peinatene Chest Rus Cees von gl als ete Chest rubs te api extemal to the ches throat or head fc ihe ree of common ex Cold Ref Adul Lig Adul col emelisia qid om Inehdes plan cold quis remedies s well an andhistines decongestants and night me pid col lef prods Cold Rec Adult Tiber Adult cod seme in tbls form Incades pin eod bles as ellas anthistamines decongestans and ly ree products Cold Ref Politi Liquik Pediatric cold emedi in guid frm Incudes lin cod side remedies 2s wells aniitamines
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23. odes separa by commas by ente Hip eode in the dip code fel 4 Opsioaly you can anale the dat using one of four agone CuSUM wth EWMA RLS Wavelet or Moving Avere Plase son dh appli am ana algorithm wil ke addon ine for processing when you see at algo RODS performs an amy of every single data oie dpe Fouronsthetlyaralysis algorithms n the User Interface Moving Average The moving average algorithm computes the avenge of he lat 120 days foreach point in a tora times ess Nest rh alea ealeubte he pdt cos even the moving Avere values and ihe me eis vales Ung the prediction enors and alor threshold expressed in aumber of standard deviations the moving average alim compute a threshold vale This algo suse for tct sharp spkes in me ses hat have only mid eens Mowing Average hasan alert threshold of 402 Recursive Least Square The Recursive Least Squire RLS algathm operates by converging onset of ociicents fora weighted linear equi that best predicts historical valus The algo uses these eoecens to predi the current value Next the algorithm cleats the predicion eros ereeen the precced values tnd the tme sere values Using the prediction eor and algorithm threshold expessd in numberof sandal deviations the RLS alge compotes a hesbold value Thiago is del foe detecting sies of eases when heri ile hoec data RLS hasan der threshold of Wavelet The wavelet iie operae by modeling the long em trend in the ine eric dat The
24. on to determine which prdome CoCo will det fora specifi chit comphint Afer nleing a dic omplint sfc et the reste dhe nda which ofthe seven prodrome cages Cao woul sero classi the chic compine entered Ife tem does not Brio ane of te prodrome ete he reu wil indicate ole 1 Enter a ee test chief ommphins e cough in the est compl en fed Click be Analy buon 3 Rene wll enum above ee Figue 14 EL Actual Complaints Query Ths method of searching retums all Emergency Depuement viis fe a pasti diy within a peii tdeton sed oa ee compl L Sera date and usse Enter a cic eppine PLEASE NOTE If you wis o sach by sone han one ble compl enter comma between cach Ge coh eich eer dus wil eue al visits hat coat tho chit complaint cough headache OR ese 3 Chek the Analy ato 4 Ress wil eum abore Sce Figur 19 om Tita Foti Alain en Complaints from File Use this aure ro view download heikhcare registration Ble fom in the CSV formas Mir btising sn FpiPlo fe upload the document though the Browse box and dik Analy PLEASE NOTE The fle will ota properly iti open on your desktop se the Excel document you wish to upload before dking vule A Est of cach vist wll appear ia the top portion of dhe sercen Sc Faure 1 ETT Symptom Coder SyCo The Shoe Cock els he generan of Epio g
25. pes of data aval and eh descipions ar n Table 1 OTC datas analyzed by pm dd et the date to one day pror fiis past pm eal mc and vo days pio it is before per You can eet layers and data o show inthe Lager Conrol and Dana Control reas Hospial Sarvellance Dar coment aval orscket ares of Pennsylvania Haas Racine Us Ohio inui New ese and Nevada Percentage of iis out fall eydemo vitro emergency rooms for eich eyudrome category based on mutual Taare processing of paent cif complains Abiit poH ups Ragone wi unusually Rh mumber oc Omcwasa Magu using wendet ime sess prediction and analis The eslrof dis Juice ana is the number of standard deviations slt in a tion ar iom predicted To vew a porte ana such asa count zone in by choosing the zoom function and eieking on a ancrofiee map The dose you zoom in the more etal he map ac gts Sce Figure 8 E SDRETETPTSUEM m3 CLIE When displaying OTC daa in mapplot ich colo appa to the sons represent dierent eae uf sandanldevirions Cli onthe Legend athe toolbar to view these colons and eomespondig ranges When diplring Heiieare Registration data n suaplot ducer aas are rogans where ere are ineresed frequencies of viis fora particule pore Cle on Legend in che wollte ta view the spooler of standard deviasons Drildown The Dalldown funcion can be used to Gnd out more information about the TC or Haithere Regions o
26. s a complete Transparent copy ofthe Document fee of added material Ifyou use the later option you must take reasonably prudent steps when you begin distribution of Opaque copies in quant to ensure hat this Transparent copy will remain thus accessible atthe stated location until atleast one year aller the last time You distribute an Opaque copy directly or through your agents or retailers of that edition o he public Iis requested but not required tht you contact the authors of the Document well before redistributing any large number of copies to give them a chance to provide you with an updated version of he Document 4 MODIFICATIONS You may copy and distribute a Modified Version ofthe Document under th conditions of sections 2 and 3 above provided that you release the Modified Version under precisely this License with the Modified Version filling the role ofthe Document thus licensing distribution and modification ofthe Modified Version to whoever possesses a copy of it n addition you must do these things in the Modified Version Mim em ore rte a ere eS Pe eT TU ge Re IE the Modified Version includes new front mater sections or appendices that qualify as Secondary Sections and contain no material copied from the Document you may at your option designate some oral ofthese sections as invariant To do this add their tiles tothe list of Invariant Sections in the Modified Versions license
27. s are visors tous By licking the Set as Deu buon i he action aera you cn have RODS mener the das aeos you want wo se whenever you Ing to the sistem Menem nang Can x The Aggregate by selector tells the system whether it should utilize a patient s home zip code or the hospital s zipcode location as the geographic indicator 2 Choose time period fram ihe time perd scion ae The petiod Bed dep down election button ffe mulipe tme peso options Select the tme period You an interested in chang Additionally custom time perd ean be chosen usi the stt and end date drop down buttons The hour decor indices he hour when the data warehouse was updated e 0 hours refers to I2 midnight and 14 reers to 2pm The hour secto i pareuay uec when reviewing a healthcare rgitrton ales and you wish to see the actual data ht gered an lec to send out an ale No The cass date avaiable forthe OTC surveillance stem dhe se weck ia Febr 203 The hour selector indicates the hour when the data warehouse was updated Le 0 hours refers to 12 midnight and 14 refers to 2pm 3 Choose the geography om the geographic selection arc 4 The defauland only state able or most wer ithe tate under your uidcion For example Pennsylvania the only aval stat i Pans van and the def Coury i All Counts P Choose a parila county by pressing the deop down bunoo fr the county Be and highligh 2 specie county You ea ao char data for vac or more p c
28. s to it you have the option o following the terms and conditions ether of that specified version er ef any ater version that has been published not as a draft by the Free Software Foundation I the Document does not specify a version number ofthis License you may choose any version ever published not as a daft by the Free Software Foundation
29. the HIDE window See Fine 19 DET 2 2 S rie nn Gees elcome Once the HUFIDE window is open the type of injeson can be cece by clicking Slee Ine Type and choosing rom the dips sen Inet size and doin cin abo be specifi Select dein ope by clceng either ofthe Change huras under dhe Melun eating Click Crea Ince to ele che raph on ihe ghi portion of the eren See Fre 1 Beeren Ama Use the Set Plt humo at the top of e graph to sect he npe f dara spayed Options a The options seren is sed change your password and dst your preferences See Figure 0 NB Inthe fue eis sere il also allow you to seup the parameters foe automate sts To change your puswont ente your land new passwerd and lick va Update Pass In dhe Ist Page After Lagi aa you can change the defit inal page afer you log Aer chung any ofthese inl setangs click on Update Preferences Help The help buon dips docunsentsion possim the funn you ste accessing You can eee help for dhe Main Epiplo Mapplot and Ales pages to resive information spicy about the features includ on cach page Contact Presing the contact buon dices jour system the RODS Laboratory Issue Teacher stem Se Figure 21 Hore your cin create bg reports and feature requests You willbe aumaticly update wid the sans of uch eques To uil thease tracker you will
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