See Manual
Contents
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3. aso 5 9 0 2 8 Sdf unsa qqnq joujuaw Japuaney X Sd ijnuead 8df jouyua ul 8dfsapuane joyjuaw 23 Pictures and Foils for Identification Test 20 Config A 6 25882 9 e asol 5 c eui Auaqmesys 5 Z 9 2 geg 0 d y eueueg Z pio gz jnueed euid 89 6 89 6 oc 5 5 55216 81 1020 deos 69 55 6 02
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6. Enterprises OLFACT C_ RL 1020 Memory USER MANUAL Revision 2 1 All software instructions and material related to the OLFACT C test battery Copyright 2012 by Osmic Enterprises Inc 4242 Airport Road Cincinnati OH 45226 Revision 2 1 July 2012 TABLE OF CONTENTS QUICK START PROCEDURES page 3 OVERVIEW NETT page 6 FILE MENU FUNCTION ences apr eno C aen sainan page 6 SE E er NH page 6 Log 6 6 DATA MENU page 7 Export Test Eae eu CUI page 7 File Structure m page 7 MANAGE SET UP FUNCTIONS page 12 12 Manage Patients Subjects page 12 Manage Clinicians esee page 13 Administrative Management page 13 TEST MENU FUNCTIONS eisncccuris unu page 13
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10. ID Memory Test 10 20 page 13 Identification Test 20 page 15 RL Threshold MEL EET TETTE page 17 GTC IT T 19 GENERAL COMMANDS 2 20 luu 5 page22 QUICK START PROCEDURES Equipment Setup 1 Connect OLFACT C to USB port of computer 2 Connect 15 VDC power supply to OLFACT C and plug into outlet Run Program 1 Click on the OLFACT COMBO shortcut icon on the desktop 2 Enter user name and password 5 OLFACT Osi Ene prse c NN File Manage Setup Data Tests M Enter Study Information Select Manage Setup Menu Click on Manage Studies Click on Add to enter study name and date required fields Important Check the test study box to create a dummy practice study Save study ena po c Enter Patient Subject Information Select Manage Setup Menu Click on Manage Patients Subjects Click on Add to enter a patient subject Enter required Patient Subject information Important Check the test patient subject box to flag the record as a dummy practice patient subject Click on Save to save new record m Enter Clinician Information Select Manage Setup Menu Click on Manage Clinicians Clic
11. odors There are two parts to the test In Part A the participant will be presented with 10 odors in sequence and will be asked to identify each one from 4 choices In Part B the participant will be presented with 20 odors the ten old ones from Part A and 10 new ones They will be asked to identify each odor a measure of semantic memory and also indicate if it was old or new a measure of episodic memory Odor Stimulants The odors presented in Part A include menthol clove leather strawberry lilac pineapple smoke soap grape and lemon The odors in Part B of the test include all 10 in Part A plus the following banana garlic cherry baby powder grass tutti fruitti peach chocolate dirt and orange Start ID Memory Test From the Test Menu select Start Test and select ID Memory Test 10 20 This will bring up a Patient Subject Study window Device menus Select the study you are currently working on select the patient or subject that is about to take the test and click 14 on the serial number of your device Click Start to begin the Memory Test From this window you can also add a patient subject and add a study in the event that you have not previously done so ID Memory Test Part A The first screen for Part A of the study allows you to choose to read listen to the instructions for the test or skip the instructions and continue to a practice trial Click on the button of your choice and the test
12. operate each of the odor valves for 2 4 seconds using Test programs It is further advisable to plug the power supply in 15 30 minutes before conducting a test on a daily basis Furthermore the computer power management Power Options setting should be set to never sleep otherwise this action interferes with the USB connection All software instructions and material related to the OLFACT test battery Copyright 2008 amp 2012 by Osmic Enterprises Inc 4242 Airport Road Cincinnati OH 45226 Congruent with OLFACT 5 0 22 mau A I meu Y Tr mau mau I EI mau gt T eau E I mau 5 I mau D mau I mau V I o Lt o Appendix mm OH SE 43 6c 8c 44 9c Sc e tz pes 55208 9212021 2ipe8 Aueu apes eueueg se8 jeanjeu o8ueJo uoweuup Jpeg IJAN ayows 5 Ausus yows ajddeauid seBauin AueqMens asos jnuead quiw 8 9 9 Sd 1uiu o8ueJo yoead Aqeg 8d uoeod 3
13. option when you are finished testing and or will be turning off the computer DATA MENU FUNCTIONS Currently the only function available to the end user in the data menu is the export function Export Test Data The export function allows the user to export the results from the different tests for use in data storage manipulation and or analysis Data is saved on a trial by trial basis each time the patient subject makes a response If a test is aborted all the data has been saved up to that point in time There are three different export formats a summary report a complete data dump csv or text format or a complete data dump in XML The summary report has the basic variables that most people are interested in The complete data dumps include all variables In the csv file the entire data set is sequential with no line feeds i e only one line of data per page This format can be easily entered into a database In the XML file the whole page is filled with data making it possible to print the data in the minimal number of pages The process for running the export is as follows Select the Data menu Select highlight the desired study Memory ID or Threshold Select the desired form of export Summary Complete csv or Complete XML Select study from the list This will bring up all of the subjects that are registered for the study in another window Select the patient s subject s you want
14. rejections number of misses number of false alarms average response time and elapsed time Memory Test Summary data export 1 2 12 A B H 1 K L M N R Last Name Firstname Birthday Age Participar A Num Ri W A Average A Elapsed B Num Rij W B Num Hi B Num Cc Num Fa B Average B Elapsed Time Doe John 1 12 1956 55 2 8 2 95 233 6 14 6 5 4 5 3 39 565 To print this file run EXCEL to Open all files and then select the file to be printed When printing shrink to 1 X 1 page and select landscape mode Complete Data Dump csv imported into EXCEL The Complete Data Dump export contains all the information in the previous data file plus comprehensive data for each individual trial These include the stimulus odor the correct answer the response made whether the response was correct or incorrect whether the odor was old 0 or new 1 the response given whether the response was a miss false alarm or correct rejection and the response time per trial For the ROC data 1 hit old old 2 correct rejection new new 3 miss old new and 4 false alarm new old The following table was created by cutting and pasting the data into an EXCEL file In reality the file is a single line row of data that spans many pages In this format the complete data dump is mainly useful for research studies which require all the variables being collected
15. responsi AQ2 valve AQ2 odor AQ2 corre AQ2 user AQ2 corre AQ2 respc AQ3 valve AQ3 odor AQ3 corre AQ3 user iAQ3 corre AQ3 response time menthol 3 1 0 2 95 21 2 3 89 22 leather 1 3 0 5 8 BS BT BU BV BW BX BY BZ CA cc cD CE CF CH AQ4 odor AQ4 corre AQ4 user AQ4 correct AQ4 responsi 5 valve AQ5 odor 5 corre AQ5 AQ5 corre AQ5 respc AQ6 valve AQ6 odor AQ6 corre AQ6 user i AQ6 corre AQ6 response time strawberr 2 1 0 4 29 24 lilac 2 2 1 1 41 25 pineapple 1 1 1 1 41 CR cs cy cz AQ7 valve AQ7 odor AQ7 corre AQ7 user an AQ7 correct AQ7 respc AQ8 valve AQ8 odor AQ8 corre AQ8 user AQ8 corre AQ9 valve AQ9 odor AQ9 corre AQ9 user AQ9 correct 26 smoke 4 2 0 1 35 27 soap 4 3 0 2 25 28 grape 3 1 0 DA DB DC DD DE DF DG DH DI DJ DK DL DM DN DR AQ9 respc AQ10 valv AQ10 odo AQ10 correc AQ10 user an AQ10 corr AQ10 resp 1 valve BQ1 odor BQ1 corre 1 user lt BQ1 corre 1 answ user 1 old n 1 BQ2 valve 1 78 29 lemon 2 3 4 36 30 banana 4 2 0 new new 1 2 5 61 20 DS DT DU DV DW DX DY DZ EA EB EC ED EE EF EG EH 802 odor BQ2 corre 2 user BQ2 correct 802 answer BQ2 user BQ2 old n BQ2 802 respc valve odor corre user corre answ user old n ROC 2 4 0 old 0 2 37 21 clove 1
16. smell an odor and to identify it from a list of four choices on the computer screen exactly like the practice trial Four names are provided on the screen for a participant to review The participant is prompted to Get Ready A few seconds later an odor is released through the tube and the participant must then decide which of the four choices on the screen best matches the odor If they are not sure they must guess The test will not continue until they do 2 This test has 20 items and will stop automatically when the participant answers every question 3 Repeat trial if at any time you need to repeat an odor you can restart that trial by clicking on the repeat button The program will cycle back and deliver the previous odor However this option only works BEFORE you make a choice T Identification Test 20 Reports 1 Screen Report By pressing after the test is complete you may see the number of correct and incorrect answers The data are automatically saved for future reference in the database 2 Data Export See Data Menu Functions in general commands functions section above RL THRESHOLD TEST Overview The OLFACT RL Threshold olfactory threshold test is a precise method for determining a person s general olfactory sensitivity The protocol employed uses two puffs of air presented in sequence one contains a concentration of n butanol and another is a puff of blank air The participant is then asked to selec
17. test A screen appears with a button that says click here to continue That starts the live 19 threshold test The live test is the same as the practice trial but multiple trials will be presented The number will usually vary between 10 and 25 before 2 reversals are recorded and the average concentration is calculated However in rare cases the number of trials may fall outside this range Threshold Screen Report When the test is completed press on the laptop keyboard You will see a chart displaying the concentrations administered and the concentration at each reversal as well as the average concentration correctly identified on the left side of the screen This chart may be printed for your records using the drop down menu at the top of the screen The data file is automatically saved for future use at C OLFACT RL reports Diagnostics Two programs have been included to ensure that the olfactometer is operating optimally and or to diagnose a problem if one occurs The first program found in the drop down menu for Tests under Diagnostics is the Prime Olfactometer program Selecting Threshold will turn the first 14 valves on for two seconds and then off Selecting the ID Memory button will turn valves 21 40 on for two seconds and then off The on duration can be changed by entering a new number in the Duration box currently 2 This program should be run if the olfactometer has not been used for more than three
18. to export data for Use shift key amp click to select two or more individuals in a range or control key amp click to select non contiguous individuals Select the date range for results you are interested in If you only want one individual for one day you still need to enter a range of dates Click on Export to start the export save process A Windows save window will appear that asks you to select the location where you would like to save the file A number of folders are provided eg ID20 Complete but the user can set up their own folder if desired CURT Gime File Manage Set PI Select a study and which pabents for which you would like to export data Results are saved in CSV format and can be easity ported mio pread sheet program File Structure ID Memory Test 10 20 Export Data Summary The export file is formatted so that the field variable names are the columns and the individual results individual cases are in the rows The data elements included in this export fall into three categories identification information test results for part A and test results for part B of the study The identification information includes last name first name birthday age participant ID and medical record number Part A test results include number right number wrong average response time and elapsed time Part B test results include number right number wrong number of hits number of correct
19. 0 20 43 6 08 27 1 1 menthol leather 2 no 3 1 2 76 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 1 menthol menthol 3 yes B 1 2 76 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 1 menthol grape 4 no 3 1 2 76 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 2 clove licorice 1 3 1 5 58 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 2 clove apple 2 3 1 5 58 ID Memory 7 23 2012 Test 10 20 43 6 08 27 1 2 clove clove 3 yes 3 1 5 58 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 2 clove cheese 4 3 1 5 58 ID Memory 7 23 2012 Test 10 20 43 6 08 27 1 3 leather leather 1 yes il 1 2224 ID Memory 7 23 2012 Test 10 20 43 6 08 27 1 3 leather onion 2 no 1 1 2 21 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 3 leather tar 3 no 1 1 2 21 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 3 leather lilac 4 no 1 4l 221 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 4 strawberry soap 1 no 2 1 2 33 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 4 strawberry strawberry 2 yes 2 1 2 33 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 4 strawberry peanut 3 no 2 1 2 33 ID Memory 7 23 2012 baby Test 10 20 43 6 08 27 PM 1 4 strawberry powder 4 no 2 1 2 33 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 5 lilac chocolate 1 2 2 68 ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 5 lilac lilac 2 yes 2 1 2 68 ID Memory 7 23 2012 Test 10 20 43 6 08 27 1 5 lilac 3 no 2 1 2 68 ID Memory 7 23 2012 Test 10 20 43
20. 1 1 old new 0 3 Columns A through AJ Demographic Data Columns AK through DG Data for Memory Test Part A Columns DH through EJ Data for Memory Test Part B only first three items XML Data Dump header with first odor only opened with Internet Explorer lt xml versionz 1 0 encoding utf 8 gt lt test gt lt Summary gt lt TestType gt ID Memory Test 10 20 lt TestType gt Patientl D243 Patientl D gt DateTime 7 23 2012 6 08 27 PM lt DateTime gt lt Config gt 1 lt Config gt lt Summary gt lt partA gt question number 1 name menthol gt lt choices gt lt choice number 1 correct no gt garlic lt choice gt choice number 2 correct no gt leather lt choice gt choice number 3 correct yes gt menthol lt choice gt lt choice number 4 correct no gt grape lt choice gt lt choices gt lt UserAnswer gt 3 lt UserAnswer gt lt correct gt 1 lt correct gt lt reactionTime gt 2 76 lt reactionTime gt lt question gt XML Data Dump xML imported into EXCEL Part A only To print run EXCEL go to Data select Other Sources then From XML Data Import accept prompts When printing shrink to 1 X 2 pages and select landscape mode TestType __ Patientin DateTime Config number choice number2 correct UserAns corrects reacionTime ID Memory 7 23 2012 Test 10 20 43 6 08 27 PM 1 1 menthol garlic 1 no 3 1 2 76 ID Memory 7 23 2012 Test 1
21. 5 4 Comments 2 k o 8 6 7 8 9 10 11 12 13 14 15 16 17 Trial Sete Note At the end of the test a small box will appear with the average concentration select OK This will display the Summary Report if hardcopy is desired select print or Save Close button to return to the menu MANAGE SET UP FUNCTIONS The manage set up menu provides the user with the functions required to set up and edit studies patients subjects and clinicians Additionally there are functions for use by the Master Administrator at to set up the product and customer information Manage Studies This function allows the user to create and edit studies Additionally you can flag the record as a practice study by checking the Mark as Test box at the bottom of the screen When flagged as a test it allows the user to delete the record Add a study This function allows you to enter a study or identify a group of patients To create a study click the add button and enter the study name required start date principal investigator name grant ID and funding source For clinical applications you may want to use the study name field to refer to a category of patients office location etc However it is a required field For the study date a clinician may want to enter the date of first use of the instrument Edit a study This functions allows the user to make c
22. 6 08 27 PM 1 5 orange 4 no 2 i 2 68 ID Test 20 The data export functions for the ID Test 20 are the same as the ID Memory Test RL Threshold Test For this test data is exported using the Export Complete Data Dump option This is a csv file that can be imported into EXCEL below or into a database 10 RL Complete Data File export A B D G H 1 1 K L M N R pat pat Mname pat Lname patID test date test time organizati product SI product ni recharge user nan user userLnanstudy D study clinician clinician Nclinician Lname John Doe 12 29 2011 9 9999 C Master Admin Master Ac 9 test 5 U w x Y 2 Al medical record SSN birthdate age sex race education has asthm odorrsmokes cigarettes smoke ler problems sinuses language is test testID test complete 1 12 1956 M AK AL AM AN AO AP AQ AR AS AT AU AV AW AX AY AZ BA BB start time end time avg concentratior num trials num reversals comment Rev1 Conc Rev1 Trial Rev1 Dura Rev2 Conc Rev2 Trial Rev2 Dura Rev3 Conc Rev3 Trial Rev3 Dura Rev4 Conc Rev4 Trial Rev4 Duration 12 29 2011 11 12 12 29 2011 11 23 5 15 3 6 3 31 5 8 53 5 15 58 BD BE BF BG BH BI BK BL BM BN BO BP BQ Rev5 Concentratior Rev5 Trial Rev5 Duration Trial 1 Cor Trial 2 Concentr Trial 3 Cor Trial 4 Cor Trial 5 Cor Trial 6 Cor Trial 7 Cor Trial 8 Cor Trial 9 Cor Trial 10 Cc Trial 11 Cc Trial 12 Concentratio
23. 9 11 deos 881 55228 8dfajejooouo 8 0 0 yoead 020 9 2 858242 8d asaau Idfaunuadsny 5562218 9 0 2 8 8 55228 joyjuaw 28 ayows 8dljoujusau sapmog 2 2 Sdf sauuiyjquied Ausus Jepwodg qeg joyluew Sd ayows 9 Sdl eueueq 8Sd l uoueuur 3df joujuow eueueq 48 9 ode j8 2 9 9 8 1 deos f uojawsayem df ano 30 deos ouiusef 8 3df yows 9 ayows ayows 88 asaayo 3df ajddeauid 3dfuepao 5 ajddeauid ELIT Sdf seogje ynjeu 3d yp seZaulA 8 Sd l Aueqmes 9
24. Days a Prime Olfactometer lt 2 S Actions Valve On ID Memory Duration 2 Stop and Exit The Test program is used to turn and off the pump and the individual valves and is useful for troubleshooting a specific valve or valves Selecting the Pump On button turns on the pump producing airflow through the system Selecting Main Valve On diverts the background airflow to the odor valve manifold which provides airflow through the odorant vials to produce the stimuli Entering a number between 1 and 14 or 21 through 40 will turn the pump on the main valve on and open the selected valve to produce the odor stimulus Selecting 1 will increment the valve number by 1 selecting 1 will decrement the valve number by 1 Close USB will exit the program 20 T nen Te 7 Main Valve On Pump 2222 E Valve ON HE Close USB GENERAL COMMANDS FUNCTIONS Flexible Design You will notice that the software is set up to accommodate both the researcher as well as the clinician Consequently there may be fields in the database that are not required for your application In most cases they can be left blank or in some cases where they are required you can enter information that is appropriate for your specific application Multi Tasking The OLFACT software has the ability to keep multiple windows with different functions open sim
25. break has ended the test will resume with Part B You can click on Read Instructions or Skip Instructions and proceed to the practice trial for Part B Practice Trial Part B Clicking the Read Listen to Instructions button allows you to go through step by step instructions for Part B of the odor memory test Clicking the Skip Instructions button takes you directly to the practice trial 1 Once you have read the instructions or clicked the Skip Instructions button you will begin the practice trial When the computer screen says SNIFF lean down 15 to the box with your nose about 1 inch from the end of the delivery tube and take a few short sniffs of the odor 2 Looking back at the computer screen decide what you think the odor smells most like choose the corresponding picture and click on it After making your choice you will be prompted to indicate whether the odor was Old or An old odor is one that was presented in Part A and a new odor is one that has not been presented before Once you indicate Old or New the practice trial will be successfully completed and you will be directed to begin the test for Part B 3 Repeat trial if at any time you need to repeat an odor you can restart that trial by clicking on the repeat button The program will cycle back and deliver the previous odor However this option only works BEFORE you make a choice Live Test Part B Click on Start Test to b
26. e sure that these boxes at the bottom of the date entry screens are checked before creating and saving a practice study or subject record OVERVIEW The OLFACT C operating software revision 2 0 was developed using Visual Basic Net 2008 and employs a SQL server database to store all of the data The user interface includes administrative functions for the manufacturer to track the product and customer information and set up functions to enter studies patients and clinicians It also includes an export feature that allows the user to produce a data file of the results that can be read by most spreadsheet and database programs In addition to the administrative and data entry functions the Test module allows selection and running of the desired tests FILE MENU FUNCTIONS The file menu has three functions login logout and exit Login After the program is started the Login screen appears The user must enter a username and password for the program to continue Logout This function allows the user to log out from the application while the OLFACT software continues to run This allows another user to log in so that the results can be tied to a specific log in and or individual for security and quality assurance purposes As soon as the Logout option is selected the Login screen reappears Exit The exit option will terminate the OLFACT program and take the user back to the desktop You should use this
27. egin Part B of the test Follow the procedure shown in Practice Trial Part B until you have identified all 20 odors and indicated whether they are Old or New After all 20 odors have been identified and you have indicated old or for each of them the test is complete ID Memory Test 10 20 Reports 1 Screen Report By pressing r after the test is complete you will see the number of correct and incorrect answers These data and all other parameters are automatically saved for future reference in the database 2 Data Export See Data Menu Functions in general commands functions section above Identification Test 20 Overview The OLFACT Identification Test 20 is a 20 item odor identification test that is used to evaluate a person s ability to detect recognize and identify a variety of different odors It is used to further elucidate an individual s olfactory capacity over and above their level of sensitivity Olfactory Stimulants The odors used are common every day aromas that a person may come into contact with daily they are the same odors as Part B of the ID Memory Test 10 20 Start Identification Test 16 From the Test Menu select Start Test and select Identification Test 20 Note there are four choices associated with this test Config A is the normal choice Config A amp B would be used for unilateral nasal testing Config C amp D would be used for repeat testing Select the des
28. end of the second phase pressing r will display a Summary table of the test results 13 Select Close and then press Escape aN Identification Test 20 1 Select Tests Menu 2 Click on Start Test and highlight Identification Test 20 3 Note there are four choices associated with Identification Test 20 Config A is the normal choice Config A amp B would be used for unilateral nasal testing Config C amp D would be used for repeat testing Highlight study name in study window Highlight patient subject name in window Highlight model name in window Click Start button 8 Click Read Listen to instructions button or Skip Instructions button 9 Continue through instructions 10 Select Begin Practice Trial 11 After completing practice trial click on the Start button 12 At the end of the test pressing r will display a Summary table of the test results 13 Select Close and then press Escape Data Export 1 2 Exit Select the Data Menu Click on the desired test ID Memory Test 10 20 RL Threshold test or Identification Test 20 3 Select highlight study 4 5 Select the desired Export protocol Select highlight patient s For ID Memory Test 10 20 Export Data Summary Export Complete Data Dump Export XML Summary For RL Threshold Test Export Complete Data Dump For Identication Test 20 Export Data Summa
29. from a large number of subjects to be entered into databases or statistical programs for extensive data analyses Usually the Summary reports saved in the C directory are sufficient for clinical patients However In order to make this data more readily available it has also been saved in an XML format file This allows a patient s complete data file to be printed on two pages see pages 9 amp 10 Complete Data Dump file cut and pasted into EXCEL DATA EXPORT FILE CSV FOR MEMORY 10 20 A B H K L M N pat F nam pat M nan pat pat ID test date test time organizati product SI product recharge user nanuser Mna user Lnan study ID study clinician clinician John Doe 12 29 2011 22 00 9999 C Master Admin Master 9 test R 5 T U w X Y 2 AD AE AF AG AH clinician L medical re SSN birthdate age sex race education has asthm any odorrsmokes cigarettes smoke ler problems sinuses language is test patient 1 12 1956 0 AR AS AT AU AV AW AX AY AZ testID test comp Part A ft rij Part A Wrc Part A Avg Re Part A elaj Part B rig Part B w Part B Hi Part Cc Part M Part Fe Part Avg Part Elay seat time total test total resp AQ1 valve 371 1 2 8 2 95 233 6 14 6 5 4 5 3 39 565 890 798 0 20 BB BC BD BE BF BG BH BI BJ BK BL BM BN BR AQ1 odor corre AQ1 user AQ1 correct AQ1
30. hanges to an existing study in the system When all changes have been completed click on the save button to save your changes Note All windows for the various screens will stay open until closed by clicking on the x in the upper right corner of the window Manage Patients Subjects This function provides the user with the ability to enter and update information on the individuals they will be testing It should be completed before the individual arrives for the test As an option special provisions can be made to import subjects patients from an existing database It includes two basic options add and edit If you are entering a practice patient subject be sure to flag the record as such by checking the Mark as Test box at the bottom of the screen When flagged as a test it allows the user to delete the record Add a patient subject The add functions allows the user to enter the individuals name demographic information identification information and health information The required fields include 1 first and 2 last name 3 date of birth 4 whether they are a patient or subject of a study and the 5 study or clinical category they are a part of Click save to store changes to the patient record Edit a patient subject The edit function simply allows the user to update or change the patient subject record These changes can be made at any time Manage Clinicians 13 This function allows the user to create list of c
31. hat the odors will be very weak and it may be difficult to tell the difference between them If the participant is unsure which odor is the strongest instruct them to select their best choice The participant will frequently be unsure since all stimuli are near threshold They must make a response for the test to continue to the next trial 3 Once the participant understands the directions they may proceed to the practice trial This is done by clicking on the continue box Stay with them until they have completed the test trial and answer any questions they may have Threshold Test Practice Trial Clicking the Read Listen to Instructions button allows you to go through step by step instructions for test Clicking the Skip Instructions button takes you directly to the practice trial Once the participant has read the instructions or clicked the Skip Instructions button they will begin the practice trial When the computer screen says SNIFF lean down to the box with your nose about 1 inch from the end of the delivery tube and take a few short sniffs of the odor Note the odor will only stay on for 5 seconds and not be repeated during that trial Ensure that the participant understands to sniff from the end of the appropriate plastic tube on top of the box marked threshold at the appropriate time per video instructions Threshold Live Test When the participant has completed the test trial they may move on to the actual
32. ired option This will bring up a Patient Subject Study and Device window Select the study you are currently working on the patient or subject that is about to take the test and the device Click Start to begin the Identification Test From this window you can also add a patient subject and add a study in the event that you have not previously done so Instructions The first screen of the study allows you to click to Read Listen to the instructions for the test or Skip the instructions and continue to a practice trial Click on the button of your choice and the test will proceed to the next step Practice Trial 1 Once you have read listened to the instructions or clicked the Skip Instructions button the practice trial will begin Four pictures of objects that represent different odors will appear on the screen When the computer screen says SNIFF lean down to about 1inch from the delivery tube and take a few short sniffs of the odor Note the odor will only stay on for 5 seconds or until the patient subject makes their choice 2 Looking back at the computer screen decide what item you think the odor smells most like choose the corresponding picture and click on it 3 After making your choice a message will appear on the screen confirming that you have successfully completed the practice trial and you will be directed to begin the live identification test Live Test 1 During this test you will be asked to
33. k on Add to enter a clinician Click on Save to save new record Return to Patient Subject screen to add clinician if desired RL Test 1 Select Tests Menu Click on Start Test and highlight RL Threshold test Select option of either With Correct Incorrect Feedback or Without Correct Incorrect Feedback Highlight study name in study window Highlight patient subject name in window Highlight model name in window Click Start button Click Start to hear instructions or Skip Instructions button Continue through instructions 10 Select Begin Practice Trial 11 After completing practice trial click on the Click here to continue button 12 At the end of the test a small box will appear with the average concentration select OK This will display the Summary Report select either print or Save Close button ID Memory Test 10 20 Select Tests Menu Click on Start Test and highlight ID Memory Test 10 20 Highlight study name in study window Highlight patient subject name in window Highlight model name in window Click Start button Click Read Listen to instructions button or Skip Instructions button Continue through instructions Select Begin Practice Trial 10 After completing practice trial click on the Begin Test button 11 At the end of the first phase Part A there is a 10 min break Pressing ctrl s will skip the break 12 At the
34. linicians that be associated with patient or subject The clinician may be the person s private physician the physician or other clinician who is supervising the study or any individual who may be contacted for medical questions regarding the patient subject The first and last names are required and all other fields are optional We suggest including contact phone numbers in case there is a health related event The add and edit functions work the same way as with the Manage Patients Subjects function Administrative Management Functions There are several functions in this menu several for the administrator and one for the end user Before the unit is shipped the Master Administrator will set up the customer and product information These data are kept in our customer product database and in your software They are used to track the product for recharging and recalibration as well as any warranties upgrades etc The only function available to the end user in this menu is the delete test data option When you select it a caution notice will pop up in a window and give you the opportunity to continue click on OK or cancel TEST MENU FUNCTIONS There are three tests available in this version of the OLFACT C instrument 1 ID Memory Test 10 20 2 RL Threshold test and Identification Test 20 ID MEMORY TEST 10 20 The olfactory memory test is designed to assess your ability to identify and remember
35. n 8 6 6 7 6 6 5 5 6 6 7 7 BR BS BT BU BV BW BX BY BZ cc cD CE CF Trial 13 Concentrati Trial 14 Concentrati Trial 15 Concentr Trial 16 Cc Trial 17 Concent Trial 18 Cc Trial 19 Cc Trial 20 Cc Trial 21 Cc Trial 22 Cc Trial 23 Cc Trial 24 Cc Trial 25 Cc Trial 26 Cc Trial 27 Concentration 6 5 5 Other Reports Available The data export options discussed previously were designed primarily as a way to transfer the data from the instrument to a database where statistical analyses could be carried out on the data from a large group of subjects patients The following reports were designed to allow easy printing of individual reports for inclusion into a patient s folder or directly into a patient s electronic record These are simple text files additional comments can be added if needed or desired Memory Summary Report stored in c OLFACT MEM Summary Reports Date 20111229 Participant ID 56667 Part A Number Correct 2 Number Incorrect 8 Part B Number Hits 6 Number False Alarms 5 Number Correct Rejections 5 Number Misses 4 Total Elapsed Time 14 50 m s 11 OLFACT ID Summary Report stored in cAOLFACT ID Summary Reports Date 20111229 Participant ID 2998 Part A Number Correct 18 Number Incorrect 2 Total Elapsed Time 7 44 5 OLFACT RL Summary Report stored in c OLFACT RL Reports Date 12 29 2011 OLFACT RL Threshold PID 40 56 M Total of Trials 15 Revesal 1 6 3 Revessal 2 5 8 1
36. ncentration 2 is the next strongest 296 concentration 3 is the next strongest 196 and so on The higher the number for the average threshold concentration the less sensitive the nose is in detecting an odor For instance a score of 1 would imply a highly impaired sense of smell possibly anosmia while a score of 10 or better would imply a very acute sense of smell 18 Start Threshold Test From the Test Menu select Start Test and select RL Threshold Test This will bring up a Patient Subject Study and Device window Select the study you are currently working on and then select the patient or subject that is about to take the test and the device you are using in most cases there will only be one device listed in the table Click Start to begin the Test From this window you can also add a patient subject and add a study in the event that you have not previously done so The first screen for the study allows you to click Start to read listen to the instructions for the test or skip the instructions and continue to a practice trial Click on the button of your choice and the test will proceed to the next step Instructions 1 When Start is selected written and verbal instructions will be given on how to take the test 2 After the participant has read listed to the instructions verify that they understand that they are to smell a set of two odors and then to identify which is the strongest Reinforce the fact t
37. ry Export Complete Data Dump Export XML Summary Name the file and select the location Click Save Retrieve file using Excel or ODBC database Click on X in upper right hand corner of window to go back to the home page Hit escape key to go back to Exit test Program and go back to the home page from a program Select File and click on Exit to close the OLFACT program and go back to the desktop Notes 1 Power up If the power on the OLFACT unit is not turned on and it is not plugged into the computer when the program is started it will not work properly If this occurs exit out of the program see Exit instructions and restart the computer Mute There is a mute button on the bottom right hand of the screen if you prefer to turn off the sound and read the instructions during the practice and live trials for the ID Memory and Identification tests 5 3 Repeat Odor If the patient subject wishes to sample the odor stimulus a second time in the ID Memory or Identification tests they can click on the Repeat Odor button on the bottom right hand of the screen An odor can only be repeated once 4 Practice records For the sake of security we did not include a provision to delete studies and subjects from the database To avoid collecting a lot of practice data during the training period we incorporated a provision to flag a study and a patient subject as test or practice record which can be deleted Please mak
38. t the odor that was the strongest The test is reactive to how well a person performs If a participant correctly identifies which odor is strongest that same concentration is presented a second time If it is again correctly identified a weaker concentration is presented next If they incorrectly identify which is strongest the next set becomes stronger This will continue until four reversals have been made In other words the participant must have gotten an answer wrong and the next two subsequent answers right a total of five times for the test to end The participant is first given odor concentration 8 If they miss the next concentration presented is 2 concentrations higher stronger i e concentration 6 If they miss the concentration is again raised 2 steps This procedure is repeated until a correct response is made at which point the procedure reverses The threshold is calculated as the arithmetic mean of the last 2 reversals Note if the participant misses 4 presentations of the highest concentration 1 the program automatically terminates This procedure is to prevent an anosmic patient from being exposed repeatedly to high concentrations of butanol Olfactory Stimulant This test is based on a series of binary dilutions of a 496 butanol solution in light mineral oil Butanol n butyl alcohol was selected because it is an ASTM standard for threshold testing Concentration 1 is the strongest i e 4 vol vol co
39. ultaneously If after using a module in the OLFACT software e g add patient subject you wish to close the window simply click on the x in the upper right corner of the window Aborting the Program If the program is aborted midstream the data will be saved in the database A window or functions e g manage set up or test can be terminated by clicking on the x in the upper right hand corner of the window The test program can also be stopped by hitting the escape key Esc on the keyboard If there is a hardware malfunction and the software locks up ask your system administrator to terminate the process before shutting down the computer 21 Escape Key In the Test program the escape key will exit the program and take the user back to the desktop It inactivated on the home page where you go to the file menu and select escape or exit Windows Menu Key The Windows menu key is still operational If selected in error use the escape key to exit out of the menu This will take you back to where you started NOTE Due to the large number of odorants stored in the OLFACT instruments it is advisable to supply power via the 15 VDC wall transformer to the instrument before administering a test If the instrument has not been used for a while weeks plug the power supply in 12 24 hours before testing the exhaust fan will remove the residual odorized air If the test has not been administered for a while it is also advisable to briefly
40. will proceed to the next step Practice Trial Part A Clicking the Read Listen to Instructions button allows you to go through step by step instructions for Part A of the memory test Clicking the Skip Instructions button takes you directly to the practice trial 1 Once you have read the instructions or clicked the Skip Instructions button you will begin the practice trial When the computer screen says SNIFF lean down to the box with your nose about 1 inch from the end of the delivery tube and take a few short sniffs of the odor Note the odor will only stay on for 5 seconds or until the patient subject makes their choice 2 Looking back at the computer screen decide what item you think the odor smells most like choose the corresponding picture and click on it After making your choice the practice trial will be successfully completed and you will be directed to begin the test for Part A 3 Repeat trial if at any time you need to repeat an odor you can restart that trial by clicking on the repeat button The program will cycle back and deliver the previous odor However this option only works BEFORE you make a choice Live Test Part A Click on Start Test to begin Part A of the test Follow the procedure explained in Practice Trial Part A until you have identified all 10 odors After all 10 odors have been presented the test will break for 10 minutes before starting Part B ID Memory Test Part B Once the 10 minute
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