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Dr. Maarek EIS & New Technology

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LD TECHNOLOGY SYMPOSIUM CANCUN 2008
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Page 1: Dr. Maarek EIS & New Technology

LDTECHNOLOGYSYMPOSIUMCANCUN2008

Page 2: Dr. Maarek EIS & New Technology

WelcometoLDTECHNOLOGY

Wearelisteningthebodysignals

<<<

Page 3: Dr. Maarek EIS & New Technology

MedicaldevicesPosi.oningDiagnosis/Monitoring

•  GENERALINFORMATION’S•  ACCURACY

Page 4: Dr. Maarek EIS & New Technology

DIAGNOSISDEFINITION*

DiagnosisistheidenEficaEon,by

processofeliminaEon,ofthenatureofanything.

*Wikipedia

Page 5: Dr. Maarek EIS & New Technology

Processofelimina.oninmedicaldiagnosis

•  Clinicalcontext:signs,symptoms,history,currenttreatments………………..

•  SpecificExamina.ons:Medicaldevices

 Imaging

 InvitroLaboratorytests InvivoPhysiologicalmeasurements

.Physician’sKnowledgeandinterpreta.on

Page 6: Dr. Maarek EIS & New Technology

Medicaldevices

•  features:ProvideIndicatorsnecessaryfortheprocessofelimina.onfordiagnosis

•  Amedicaldevicedonotmakeadiagnosis,onlyaPhysiciancanmakeadiagnosis.

•  Accordingtotheinves.ga.onsite,eachmedicaldeviceisprovidingspecificindicatorsinsameordifferentdirec.on.

•  Thecrossanalysisofallindicatorsarenecessaryintheprocessofelimina.onfordiagnosisandinterpreta.onandknowledgeofthephysician

Page 7: Dr. Maarek EIS & New Technology

AccuracyoftheMedicaldevices

DependoftheSpecificityandSensi.vityoftheIndicatorsprovided.

Page 8: Dr. Maarek EIS & New Technology

Specificityandsensi.vity

Page 9: Dr. Maarek EIS & New Technology

Diagnosisarehypothesis

•  AWertheprocessofelimina.on,thecrossanalysisoftheclinicalcontextandsupplementaryexamina.ons,thephysicianmakeahypothesisofdiagnosis:becausethehumanbodyisacomplexofbalanceandallthedysfunc.onsordiseaseshaveimplica.onsinallthebodysystems

Page 10: Dr. Maarek EIS & New Technology

TreatmentchoiceHypothesisofdiagnos.c

AdaptedTreatmentofthediagnoseddiseasesissuesfromtheclinicalinves.ga.ons

Improvementoftheclinicalcontext

Improvementoftheresultsofthesupplementaryexamina.ons

NoImprovementoftheresultsofthesupplementaryexamina.ons

OrImprovementornoimprovementofthe

clinicalcontext

MONITORING

Valida.onofthediagnosishypothesis

Novalida.on,misdiagnosisorno

responsesduestointerindividualdifference

Sideeffectoverthebenefitsofthetreatment

Page 11: Dr. Maarek EIS & New Technology

EISSYSTEMTECHNOLOGY

•  FEATURES•  BACKGROUND

Page 12: Dr. Maarek EIS & New Technology

EISMeasurement

Page 13: Dr. Maarek EIS & New Technology

EISSYSTEMFeatures:Impedanceplethysmography

1.Measurementoftheconduc.vityinDC*of22segmentsofthehumanbody.

*Theconduc.vityinDC(wayfromanode(+)tocathode(‐))ispropor.onalwiththe:

  I.S.Fvolume  I.S.FIonicconcentra.onandinpar.culartheNa+concentra.on  BloodflowConduc.vitymeasurementaccuracy+/‐3.5%2.Modeling**oftheHumanbodyaccordingtotheconduc.vityofthe

22segmentsbymathema.calapplica.onoftheVenndiagramandthenormalposi.oningextrapola.onofthebodysystems.

**Accuracyofthemodeling(p<0.001)forthecerebralfrontallobes,diges.vesystemProstateandthyroid.

Page 14: Dr. Maarek EIS & New Technology

EISFeatures

Sequenceofthemeasurementofthe22bodysegments

ESGgraphic:conduc.vityofthe22segments

ESGnormalrangevalues

Page 15: Dr. Maarek EIS & New Technology

EISFeatures(2)

Venndiagramcalcula.on

Maxwellequa.on’scalcula.onModeling

CONDUCTIVITY

Min

Max

Page 16: Dr. Maarek EIS & New Technology

Thecurrentiscarrierbytheions.TheCurrentissendingfromtheAnode(+)toCathode(‐),andthereforetheNa+(mostsignificantconcentraEonofposiEveionsintheIF)aremovingtothenegaEvepole.

TheconducEvityisproporEonallyincreasedwiththeNa+concentraEonandthevolumeoftheintersEEalfluid

1.28V

EIS/EFFECTOFTHEDCCURRENTININTERSTITIALFLUID

Page 17: Dr. Maarek EIS & New Technology

Na+/K+pumpNa+/H+an.porterNa+/ATPProduc.on

Na+

Na+Na+

Na+Na+

Na+Na+ Na+ Na+H+

ATP

Page 18: Dr. Maarek EIS & New Technology

IntersEEalfluidvolumeandOxygendelivery

EffectofintercapillarydistanceonrelaEonbetweenoxygendeliveryBMJ.1998November14;317(7169):1370–1373.

Copyright©1998,BriEshMedicalJournal

Page 19: Dr. Maarek EIS & New Technology

EISMODELINGPARAMETERS

•  I.SFvolume

RelatedwiththeOxygendeliveryandosmo.c/hydrosta.cpressure

•  I.SF[Na+]Relatedwith[K+](2/3),[H+]andATPproduc.on.

•  BloodflowRelatedwiththeBloodviscosityandtheBloodvelocity.

Page 20: Dr. Maarek EIS & New Technology

EIS–BFSYSTEM

• CLINICALINVESTIGATIONS

• UPDATEVERSION10

Page 21: Dr. Maarek EIS & New Technology

EIS‐BFClinicalInves.ga.ons

AccuracyforMonitoringofthefollowingtreatment(p<0.001):Sp94%Nosensi.vity

•  Thyroidsubs.tutetreatment

•  Hypotensors(BetablockersandCEI)•  An.coagulants•  An.depressantsSSRIAccuracyinAdjunctinconven.onaldiagnosisoftheADHDchildren:(p<0.0001):

Sp95%/Se78%

Page 22: Dr. Maarek EIS & New Technology

Visit1:NotreatmentVisit2:Dosage100µgVisit3:Dosage120µgVisit4:Dosage150µgVisit5:Dosage100µg

Visit1:‐40Visit2:‐10Visit3:0Visit4:+20Visit5:‐5

Visit1Visit2:6Visit3:3Visit4:0Visit5:2

ThyroidvalueinEISModeling

TSHmeasuredinlabtests

N=52(r=0.79,P<0.001,

andr=0.80,P<0.001,respec.vely).

N=52(r=0.81,P<0.001,

andr=0.73,P<0.001,respec.vely).

Page 23: Dr. Maarek EIS & New Technology

N=52(r=0.79,P<0.001,andr=0.80,P<0.001,).

N=52(r=0.79,P<0.001,andr=0.80,P<0.001,).

Page 24: Dr. Maarek EIS & New Technology

N=52

(r=0.79,P<0.001,andr=0.80,P<0.001,).

N=52

(r=0.79,P<0.001,andr=0.80,P<0.001,).

Page 25: Dr. Maarek EIS & New Technology

N=52

(r=0.79,P<0.001,andr=0.80,P<0.001,).

N=52

(r=0.79,P<0.001,andr=0.80,P<0.001,).

Page 26: Dr. Maarek EIS & New Technology
Page 27: Dr. Maarek EIS & New Technology

ADHDChildrenProfile

Page 28: Dr. Maarek EIS & New Technology

EISBFResultsVersion10

Page 29: Dr. Maarek EIS & New Technology

Diges.vesystemIndicators

Page 30: Dr. Maarek EIS & New Technology

BrainIndicators

Page 31: Dr. Maarek EIS & New Technology

CardiovascularIndicators

Page 32: Dr. Maarek EIS & New Technology

HORMONALINDICATORS

Page 33: Dr. Maarek EIS & New Technology

RESPIRATORYINDICATORS

Page 34: Dr. Maarek EIS & New Technology

Generalmetabolicindicators

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Urogenitalandrenalindicators

Page 36: Dr. Maarek EIS & New Technology

Followupofalltheindicators

Page 37: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 38: Dr. Maarek EIS & New Technology

An.depressant(SSRI)Followup

Beforetreatment Response

Noresponse

Page 39: Dr. Maarek EIS & New Technology

FollowupoftheCerebralneurotransmirers

Page 40: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 41: Dr. Maarek EIS & New Technology

Followupofthyroidtreatment

Beforetreatment Monitoringandresults

Overdoses Underdoses

Page 42: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 43: Dr. Maarek EIS & New Technology

An.agregantsandan.coagulantsfollowup

Beforetreatment Effec.vetreatment

Noeffec.ve

Page 44: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 45: Dr. Maarek EIS & New Technology

Betablockersfollowup

Beforetreatment Noeffec.vetreatment

Overdosisandsideeffects Goodtreatment

Page 46: Dr. Maarek EIS & New Technology

CEIFollowup

Beforetreatment Goodtreatment

Overdoseandsideeffect Noeffec.ve

Page 47: Dr. Maarek EIS & New Technology

ADHDChildrenprofileanddiagnosisinadjunctwiththeclinicalcontext

Page 48: Dr. Maarek EIS & New Technology

IndicatorofADHDChildren

LackDopamineandSerotoninandsignsandsymptomsfromclinicalcontextchildrenless17y.o

Page 49: Dr. Maarek EIS & New Technology

EISPOSITIONING

•  QUALITYSYSTEMINMEDECINE

Page 50: Dr. Maarek EIS & New Technology

EISSystem:Maybeapossibilityforhelpthequalitysystemrequirementsinmedicine

Page 51: Dr. Maarek EIS & New Technology

Posi.oningoftheEISintheQualitySystemRequirements

Riskmanagement/

PaEent'compliance Pa.ent'needs

Consulta.on

Supplementaryexamina.ons

Diagnos.csTreatments

Control

Correc.veac.ons

Control

EISSYSTEM

Page 52: Dr. Maarek EIS & New Technology

WhyaqualitysystemwiththeEISSystem

•  Noinvasive,quick,usability,Lowcost•  Forthepa.ent:Understandingofthetreatmentandgoalofthetreatment

•  Fortheprac..onerEarlyvisualiza.onofthetherapiesandearlypossibilityofcorrec.veac.on

•  Becauseadiseasetreatmentrequiresdrug,some.mesurgeryandalwayslifestylechange

•  Because,themajordiseasescannotbetreatedbylifestylechangeoralterna.vemedicine.

Page 53: Dr. Maarek EIS & New Technology

Benefitsofthequalitysysteminmedicine

•  Forthepa.ent:Visualiza.on/mo.va.on/compliance•  Fortheprac..oner: Organiza.on,save.me Bererunderstandingoftheintendeduseandsideeffectsofthetreatmentsused

 Correc.veac.onsthatthepa.entcanunderstand Referrals Incomeincreased

Page 54: Dr. Maarek EIS & New Technology

NEWPRODUCTS

•  WHY?

Page 55: Dr. Maarek EIS & New Technology

Newproducts

•  EIS•  BWS:Wellnessandlifestyle

•  ESTeck:Es.matedoftheANSac.vityandofcardiovascularindicators.510kinprogress

NrK083229

•  ESTeckComplex:Combina.onEIS/ESTeck

Page 56: Dr. Maarek EIS & New Technology

EISNewapplica.on:BSW(BodyScanWellness)

•  WhyBSW?Because

Thereisnotgoodorbaddietforeverypeople,thereisgoodorbaddietforeachperson

Thechangeofnutri.onneedtobemonitoringandthegoodnutri.onforeachpersonisnotavailableallhislife.

BasedontheEISandBCdevicemeasurement

Page 57: Dr. Maarek EIS & New Technology

WhytheESTeck

•  BecauseHRV(ANSac.vityes.ma.on)

PhotoelectricalPlethysmograph(Vasculares.ma.on)

bodycomposi.onandthephaseAnglemeasurement

Cangivenewindicatorsintheprocessofelimina.onofthephysician’sdiagnosis

Page 58: Dr. Maarek EIS & New Technology

WhytheESTeckComplex

Combina.onoftheEISandtheESTeck:Because:

Thecrossanalysisoftheindicatorsissuefrom4differenttechnologieswillincreasethesensi.vityandthereforetheaccuracyofamedicaldevice

Page 59: Dr. Maarek EIS & New Technology

BODYSCANWELLNESS

•  Newapplica.onoftheEISTechnology

Page 60: Dr. Maarek EIS & New Technology

BWSMeasurement

Page 61: Dr. Maarek EIS & New Technology

BSWResults

Page 62: Dr. Maarek EIS & New Technology

BodyComposi.on

Page 63: Dr. Maarek EIS & New Technology

NutriEonalandmicronutrionalprogramAnalysis

Bodycomposi.on

BMI

AcidbaseConduc.vity

Page 64: Dr. Maarek EIS & New Technology

Nutri3onalAnalysisReport

Allresultsshouldbeconsideredintheclinicalcontextofthepa3ent'scasehistory,symptoms,knowndiagnosis,currentmedica3ons,treatmentplanandtherapies.Thisdietanalysisdoesnotreplacetheadviceofyourprac33oner.

Thees3matedbodycomposi3onismadeaccordingtotheJamesequa3onandtheformulasfromthepeerreviews.

Page 65: Dr. Maarek EIS & New Technology

Nutri.onalAnalysisReport(2)

Page 66: Dr. Maarek EIS & New Technology

BodyComposi.onFollowup

Page 67: Dr. Maarek EIS & New Technology

ESTECKSYSTEM

•  GENERALINFORMATION’S

Page 68: Dr. Maarek EIS & New Technology

ESTeckSystem(Cardiology)

•  HRVPhotoelectricalPlethysmograph

Page 69: Dr. Maarek EIS & New Technology

HRV(short.me)

HRVReference:

TaskForceofTheEuropeanSocietyofCardiologyandTheNorthAmericanSocietyofPacingandElectrophysiology(1996)

Page 70: Dr. Maarek EIS & New Technology

SpO2andPhotoelectricalPlethysmograph

References:•  NicholsWW,O’RourkeMF.McDonald’s:BloodFlowinArteries:Theore.cal,

ExperimentalandClinicalPrinciples.London:Arnold,1998.•  Takazawa,Kenji;Tanaka,Nobuhiro;Fujita,Masami;Matsuoka,Osamu;Saiki,

Tokuyu;Aikawa,Masaru;Tamura,Sinobu;Ibukiyama,Chiharu:AssessmentofVasoac.veAgentsandVascularAgingbytheSecondDeriva.veofPhotoplethysmogramWaveformHypertension:Volume32(2)August1998pp365‐370

•  IToshiakiOTSUKA,TomoyukiKAWADA,MasaoKATSUMATA,ChikaoIBUKI,andYoshikiKUSAMAndependentDeterminantsofSecondDeriva.veoftheFingerPhotoplethysmogramamongVariousCardiovascularRiskFactorsinMiddle‐AgedMenHypertensResVol.30,No.12(2007)

•  ToshiakiOtsuka,,TomoyukiKawada,MasaoKatsumata,ChikaoIbuki,:U.lityofSecondDeriva.veoftheFingerPhotoplethysmogramfortheEs.ma.onoftheRiskofCoronaryHeartDiseaseintheGeneralPopula.onCircJ2006;70:304–310

•  AlbertoAvolio:Thefingervolumepulseandassessmentofarterialproper.es.JournalofHypertension2002,20:2341–2343

•  OximeterGuidelines1998

Page 71: Dr. Maarek EIS & New Technology

ESTeckMeasurements

Page 72: Dr. Maarek EIS & New Technology

HeartRateandsinusnodedepolarizaEon

Page 73: Dr. Maarek EIS & New Technology

AutonomicNervousSystemandHeartratevariability

Page 74: Dr. Maarek EIS & New Technology

SpO2ANDPhotoelectricalPlethysmography

SpO2Probe

Infrared/Red 660/905nm

Photodiode

SpO2%

PR

Vascularwaves

Page 75: Dr. Maarek EIS & New Technology

SpO2ANALYSIS

Oxygen‐hemoglobinAffinityChanges.

Thefunc.onsofhemoglobinareoxygenpickupanddelivery.Thehemoglobinhasanaffinity(thestrengthofbondbetweenoxygenandhemoglobin)thatcanbeincreasedordecreasedduetovarioussitua.ons.Ifhemoglobinhasanincreasedaffinity,itishighlysaturated;butoxygenislessavailableforreleasetothe.ssuesduetothestrongbond.Thereverseisalsotrue.

Page 76: Dr. Maarek EIS & New Technology

VascularWaveAnalysis

Page 77: Dr. Maarek EIS & New Technology

AnalysisbyAccelera.onandSecondderiva.ve

Page 78: Dr. Maarek EIS & New Technology

AnalysisoftheSecondderiva.vewithage

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Analysisofthesecondderiva.veanddiseases:b/a

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Analysisofthesecondderiva.veanddiseases:d/a

Page 81: Dr. Maarek EIS & New Technology

Specificityandsensi.vityoftheb/aandd/aindicators

Page 82: Dr. Maarek EIS & New Technology

Specificityandsensi.vityoftheb/aandd/aindicators

Ref.ToshiakiOTSUKA,TomoyukiKAWADA,MasaoKATSUMATA,ChikaoIBUKI,andYoshikiKUSAMAIndependentDeterminantsofSecondDeriva.veoftheFingerPhotoplethysmogramamongVariousCardiovascularRiskFactorsinMiddle‐AgedMenHypertensResVol.30,No.12(2007)

Page 83: Dr. Maarek EIS & New Technology

ResultsofESTeck

Page 84: Dr. Maarek EIS & New Technology

HRVSTATISTICALRESULTS

Page 85: Dr. Maarek EIS & New Technology

SpO2andPhotoelectricalPlethysmographresults

Page 86: Dr. Maarek EIS & New Technology

E.STECKCOMPLEX

•  GENERALINFORMATION’S

Page 87: Dr. Maarek EIS & New Technology

ESTECKCOMPLEXTHENATURALEISUPDATE

Page 88: Dr. Maarek EIS & New Technology

ESTeckComplexMeasurements

Page 89: Dr. Maarek EIS & New Technology

CROSSANALYSIS

Cross

Analysis

EIS

HRV

SpO2/PP

BIA

Page 90: Dr. Maarek EIS & New Technology

•  HRVmodule:ToanalyzethebasicrhythmsoftheNNorRRintervalsinelectrocardiograms,bothinthe.medomainandinthefrequencydomain(short.me5minutes)

•  Itonlyprovidesnumericalanalysesoftheinputelectrocardiogram.•  EsEmateoftheparasympatheEcandsympatheEcsystem

sEmulaEon.•  PPmodule:Analyzethepulsewaveformbyphotoelectric

plethysmographyandPulserate.•  EvaluaEonofLargeandsmallartery

•  EISmodule:•  Monitoringofdiseases,funcEonalandlifestyle‘treatments

•  AdjuncttoconvenEonaldiagnosisofADHDchildren•  BIAmodule:•  CalculaEonandHistoricalTrackingofbodycomposiEon

E.STECKCOMPLEXINTENDEDUSES

Page 91: Dr. Maarek EIS & New Technology

BodyImpedanceAnalysis(BIA)MeasurementoftheResistanceandReactanceinTetrapolarmodewithafrequencyof50

KHz

Page 92: Dr. Maarek EIS & New Technology

ResistanceandReactancemeasurements

•  Resistanceisameasureofhowdifficultitisforelectricitytoflowthroughanobject.

•  ReactanceMostobjectshavesomecapacitance,whichisameasureofabilitytostoreanelectricalcharge.Themorecapacitancetheobjecthas,orthefasterthecurrentchangesdirec.on,thelesstheobjectwill“react”tothecurrent.

Page 93: Dr. Maarek EIS & New Technology

EISBIA

Peerreviewsformula•  TotalBodyWater:TWB5‐19y.oDaviesetal198820‐80y.oLukaskiandBolonchuk1988Adultobesesubjects:Segaletal1988•  Fatfreefatmass:7‐15y.oDeurenbergetal199116‐83y.oDeurenbergetal1991•  Extracellularwatervolume:EWCSergiG,etal1994

Page 94: Dr. Maarek EIS & New Technology

PhaseAngle

Page 95: Dr. Maarek EIS & New Technology

ImpedanceComponents

Phase Angle

Xc = 1 / (2 * PI * F * C), C – Capacity [Farad]

Phase Angle = Arctan (Xc / R)

Page 96: Dr. Maarek EIS & New Technology

Clinicalapplica.oninsurvivalincolorectalcancer

Thesurvivalcurvesforthe2categoriesofphaseangleareshown.Pa.entswithaphaseangle<5.57

hadamediansurvivalof8.6mo(95%CI:4.8,12.4;n=26),andthosewith

aphaseangle>5.57hadamediansurvivalof40.4mo(95%CI:21.9,58.8;n=26);thisdifferencewas

significant(P=0.0001).

Page 97: Dr. Maarek EIS & New Technology
Page 98: Dr. Maarek EIS & New Technology

Impactofphaseangleinlivercirrhosis

Page 99: Dr. Maarek EIS & New Technology

NEWINTERFACE

Page 100: Dr. Maarek EIS & New Technology

E.STECKRESULTS

Page 101: Dr. Maarek EIS & New Technology

EISANALYSIS

Page 102: Dr. Maarek EIS & New Technology

HRVSTATISTICALRESULTS

Page 103: Dr. Maarek EIS & New Technology

HRVRECORDS

Page 104: Dr. Maarek EIS & New Technology

HRVGEOMETRICALANALYSIS

Page 105: Dr. Maarek EIS & New Technology

SpO2RESULTSANDMANAGEMENTOFTHEPHOTOELECTRICALWAVE

Page 106: Dr. Maarek EIS & New Technology

PHOTOELECTRICALPLETHYSMOGRAPHANALYSISANDRESULTS

Page 107: Dr. Maarek EIS & New Technology

VascularIndicators

•  PH:Rela.onwithbloodflowofsmallartery•  EEI:Rela.onwithLVejec.onandelas.cityoflargeartery‐LVEjec.onInsufficiency

•  DDI:Rela.onwithcontrac.onandtensionofsmallartery‐Hypertension&Arteriosclerosis

•  DEI:Rela.onwithbloodflowtoveinsystem.

•  Etc(Es.matedCardiacEjec.on.me):260~380Func.onofleWventricle

Page 108: Dr. Maarek EIS & New Technology

BODYCOMPOSITIONRESULTS

Page 109: Dr. Maarek EIS & New Technology

BodyComposi.onfollowup

Page 110: Dr. Maarek EIS & New Technology

E.STECKCOMPLEX

•  CROSSANALYSIS•  MODELINGANDBODYSYSTEMS’INDICATORS

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DIGESTIVESYSTEMINDICATORS

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BRAININDICATORS

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CARDIOVASCULARINDICATORS

Page 114: Dr. Maarek EIS & New Technology

HORMONALINDICATORS

Page 115: Dr. Maarek EIS & New Technology

RESPIRATORYSYSTEMINDICATORS

Page 116: Dr. Maarek EIS & New Technology

GENERALMETABOLICINDICATORS

Page 117: Dr. Maarek EIS & New Technology

UROGENITALANDRENALINDICATORS

Page 118: Dr. Maarek EIS & New Technology

Followupofalltheindicators

Page 119: Dr. Maarek EIS & New Technology

FollowupoftheCerebralneurotransmirers

Page 120: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 121: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 122: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 123: Dr. Maarek EIS & New Technology

Medica.onsmonitoringindicators

Page 124: Dr. Maarek EIS & New Technology

ADHDChildrenprofileanddiagnosisinadjunctwiththeclinicalcontext

Page 125: Dr. Maarek EIS & New Technology

ChiropractorIndicatorsandmonitoringtreatment

Page 126: Dr. Maarek EIS & New Technology

AdvicesforLifestyleandexercisesandmonitoring

Page 127: Dr. Maarek EIS & New Technology

AdvicesforLifestyleandexercisesandmonitoring

Page 128: Dr. Maarek EIS & New Technology

AdvicesforLifestyleandexercisesandmonitoring

Page 129: Dr. Maarek EIS & New Technology

Exercises

Page 130: Dr. Maarek EIS & New Technology

Sportmencondi.onEvalua.onandimprovement

Page 131: Dr. Maarek EIS & New Technology

Sta.s.calriskanalysis

•  Noaccessbefore5measurements.Theaccuracyincreasedwiththenumberofmeasurements.

•  Sta.s.calanalysisoftheindicatorsofeachbodysystemsandmetabolicgeneralindicators

•  Itisnotadiagnosis,buthelpforthephysicianintheprocessofelimina.on

Page 132: Dr. Maarek EIS & New Technology

TECHNICALSUPPORT

Page 133: Dr. Maarek EIS & New Technology

RemoteTechnicalSupportAssistance

Page 134: Dr. Maarek EIS & New Technology

RemoteTechnicalSupportAssistance

Page 135: Dr. Maarek EIS & New Technology

Installa.onproblems

N DescripEonormessage SoluEon

1 Windowscan’tfindUSBdeviceDriver

ReadUser’smanualandinstalldriver’saccordingtoinstruc.onstepbystep,CallTechnicalSupportAssistance

Page 136: Dr. Maarek EIS & New Technology

SoWwareproblems

N DescripEonormessage SoluEon1 GDIError ReinstallEISsoWware2 VisualC++Run.meerror…on

3DimageInstallnewGraphicDriver

3 VersionOpenGLlessthen1.2 InstallnewGraphicDriver4 EISSoWwareworksveryslowly Switchcomputer’sPower

Op.ontoHighPerformance5 LoginorPasswordisincorrect CallTechnicalSupport

Assistance6 SoWwarerequiresanewPIN

codeCallTechnicalSupportAssistance

7 RightorLeWElectrodeisnotconnectedduringscanprocess..

SeeHardwareProblems

Page 137: Dr. Maarek EIS & New Technology

HardwareproblemsN DescripEonormessage SoluEon1 Deviceisdisconnected… CheckDriver’sinstalla.oninDevice

Manager,ReconnectUSBcable,restartthecomputer

2 ChannelsTestorPowerTestisnotOK 1.Disconnectthecablesforelectrodesfromdevice,makethetestagain

3 ChannelsTestorPowerTestisnotOK 2.CheckthedeviceisconnecteddirectlytoUSBportandtherearenotanyUSBHUBs

4 ChannelsTestorPowerTestisnotOK 3.CallTechnicalSupportAssistance5 RightorLeWElectrodeisdisconnectedduring

scanandsomevolumesareverylow(‐100)1.Checkandremovefilmprotec.onfromelectrode’ssurface

6 RightorLeWElectrodeisdisconnectedduringscanandsomevolumesareverylow(‐100)

2.Makecable’stest,Connec.onWizardTest,Disconnectallcablesandconnectagain

7 RightorLeWElectrodeisdisconnectedduringscanandsomevolumesareverylow(‐100)

3.CallTechnicalSupportAssistance

Page 138: Dr. Maarek EIS & New Technology

ContractofMaintenanceFreethefirstyear

AndthenUS$500/YearIfnomaintenancecontract:

Updateprice:US$400Eachtechnicalsupportinterven.on:US$80


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