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Users Manual

1. Serum protein electrophoresis Gamma globulins 0 9 1 4 g di Transferrin Serum transferrin 200 300 mg 100ml Triglycerides 50 170 mg 100ml Uric acid 4 7 ma 100ml Chapter 5 User s manual Hide Show title allows you to view and print the graph with or without a title Colour of graph allows you to modify the colour of the graph With regard to the Print function see the section referring to the Cardiovascular anthropometrical and metabolic data trend Chapter 5 User s manual CHAPTER 6 TOOLS Chapter 6 User s manual TOOLS By selecting the TOOLS item of the main menu picture 2 1 you will gain access to the following functions e Import examination e Export examination Tools Import examination Export examination Picture 6 1 tools menu Import and export examinations With these functions it is possible to transfer from one computer to another that aren t online an examination with all the data and processes it contains to carry out the Export examinations operation you must save the examination on any backup device and import it in the receiver computer The exported examination is transformed into a file that can also be transferred by Internet naturally so that it can be imported by another computer it is necessary that the latter has the Cartella Elettronica program The export examination can be also utilized with the aim of removing te
2. Picture 3 14 under pharmacological therapy Chapter 3 User s manual Under psychotherapy In the case where the patient 15 under psychotherapy it 1s possible to note the starting date the typology and the frequency of the sittings in the window illustrated in picture 3 15 To record this data type the starting date in the appropriate field and select with the mouse inside the corresponding small square or small disc the item desired in the sections of therapy and Frequency of sittings sections Utilize the Apply button for memorizing the inserted data and the Cancel button for closing the window without saving the data The button will open the program s online help i amp Cartella Elettronica Progeo Start of therapy 10 09 2001 Type of therapy Frequency of the sittings O Behavioural cognitive Weekly Monthly Psychoanalys is o O1 O supportive O2 02 Of group Family 04 O Other Os Cancel Apply Picture 3 15 under Psychotherapy Chapter 3 User s manual PROCESSING ARCHIVE Chapter 4 User s manual Processing archive From the processing archive heading of the main menu picture 2 2 you will gain access to the following functions e New processing e Delete processing Selecting the New processing function will open the window of picture 4 1 where all the processes available are displayed in a list that 15 chromatically subdivided according to the refere
3. The Apply button in the bottom right hand corner of the window will close the window saving the entered data the Cancel button on the other hand will result in its cancellation amp Cartella Elettronica Progeo insulin dependent true Hyperlipidemia diabetes type II Ischemic Arterial cardiopathy hypertension Ancestors Descendants Collaterals Cancel Apply Picture 3 2 family pathological case history Chapter 3 Personal physiological case history User s manual The personal physiological case history picture 3 3 allows you to record some information regarding the patient and concerning the following fields Diet Drinking Diuresis Urination Bowel movement Alcoholic drinks Drug addiction Cartella Elettronica Progeo S Nourishment Regular r r r E Urination 1 Average r r r Drug addiction iv None r r r Sport None Occasionally Regular Qs Pregnancies Deliveries Years Terminations of pregnancy 0 Years Q Drinking Inferior to 12 litre Between Ya litre and 1 litre Between 1 litre and 112 litres Between 172 litres and 2 litres C More than 2 litres Bowel movement Regular ES Smoke Never smoked Stopped smoking more than a year ago Stopped smoking less than a year ago Smokes cigars or pipe Smoke cigarettes no day 0 bza Fertility Menarche
4. Digitalization of documents 2 Digitalize new image Aad image from file Peripherals of acquisition Picture 4 25 Digitalization of documents The Add image from file button on the other hand may be utilized in the case where there 15 already an image saved in jpg format and you want to add it to the archive in this case the window of picture 4 26 will open in which the user Chapter 4 User s manual must indicate the acquisition path of the file and once individualized click once on the Open button or double click on the name itself Open image file Look in Desktop it My Recent Documents L3 My Documents 4 My Computer q 3 Floppy amp Local Disk C gt VFPPROD1 D a SHARED FOLDERS 2 Shared Documents My Documents LJ My Network Places My Recent Documents My Documents My Computer My Network Files of type Cancel PI aces Open as read only Picture 4 26 acquisition of image from file In the case in which you have a non twain compatible digitalization peripheral or in the case where the image needs enhancing which can be carried out by the appropriate software available on the market the only way of image acquisition is the one just described In the case in which you have more than one peripheral available the Acquisition Peripheral button will allow you to select the one in reference before proceeding to the digital
5. Selected for the printing Print Close Picture 5 9 differentiation of print options By clicking on the Print menu or directly on the Print button of picture 5 2 the window below will appear displaying a print preview Cartella Elettronica Progeo se oil 1 amp Basic report Patient Christine Limbert Processing by Mark Harris 10 06 2003 05 07 2003 08 09 2003 Address 23 Rhawn Street London Telephone 019766982547 Fax 019766982548 e mail d_smith telecom Picture 5 10 preview of print The preview will enable you to scroll down all the pages that will be printed Chapter 5 User s manual Mal 22 sl to enlarge them or to reduce them choosing the percentage of reproduction from those proposed picture 5 1 1 Full page Two pages Preview 150 100 25 5090 29 Picture 5 11 zoom On clicking on the symbol LE of the window of picture 5 10 the standard window of Windows regarding the printer setting picture 5 12 will open from which it s possible to launch the printing process 2 Print General Select Printer amp 2 Na SA Add Printer Auto HP Auto HP Auto HP LaserJet 40 LaserJet 40 Series PCL6 on Status Ready Printtofile Preferences Location Comment Find Printer Page Range Al Number of copies 11 C Selection Curentf Picture 5 12 window
6. Delete Diet type Slimming Maintenance Fattening Energy supplies Protides Glucides 9 Lipids Kilocalories KJoules kj 5 230 45 1600 6694 Phytotherapy products taken Medicines taken Cancel Apply Picture 3 13 dietetic case history On selecting the Add button the program will prepare for the introduction of data offering the user some empty boxes for recording the date of the beginning and end of the treatment and of the name of who has prescribed 1t lower down it is possible to specify the type of diet slimming maintenance or weight gain and the respective energetic supplies it 15 not necessary to insert the grams of proteins carbohydrates and lipids but if the patient only remembers the total contributions in kilocalories it is also possible to enter and memorize only this data The user can also register the name of possible phytotherapy treatments and or medicines assumed by the patient during the therapy as well as any other additional notes at the end of the insertion of all the data the Apply button at the bottom of the window will make sure it is saved To enter the data of a further treatment undergone by the patient select once again the Add button To modify the data that has already been entered click with the mouse on the box that is to be modified until the symbol appears and click on the Edit 42 Chapter 3 User s manual button each modificat
7. analyses results The window of picture 4 22 which 15 opened by selecting the item Analyses results from the list of processes displays a list in the column on the left of the analyses included in the archive On selecting the items of interest they will be shown on the right accompanied by any possible concomitant conditions and or states normality ranges and measurement units The dates when the analyses were carried out should be entered the appropriate boxes as should the results of the chosen examinations Some analyses envisage more than one condition or unit of measurement in this case you should choose the characteristics of reference that you retain appropriate If the analysis value should be out of the normality range it will be highlighted in red It is possible during the same examination to register the analysis results carried out on different dates by entering the relevant dates and the corresponding analyses Select the Apply button to confirm the entered data the Cancel button to remove it and the Delete button to eliminate the entire processing The Scanner button on the other hand will enable you to directly import the paper document containing the results of the patient s analyses if you have a Chapter 4 User s manual scanner If this option has been previously used on reopening the same examination and consulting the Analyses results processing the Scanner button will be green in colour to ind
8. traumas operations etc regarding the patient s history To add any relevant information click on the Add button of picture 3 7 empty boxes will automatically appear where you can respectively enter the age the year and the pathology suffered by the patient A special function will enable you once having entered the age to automatically calculate the year when the event took place or alternatively calculate the age according to the year entered Having finished entering the data confirm by clicking on the OK button The Edit button will allow you once the box regarding previously archived information has been selected to carry out possible modifications and confirm the operation by clicking on the OK button The Delete button on the other hand will enable you to remove any previously entered information from the list The Cancel and Apply buttons situated at the bottom of the window have respectively the purpose of cancelling each data entry carried out or of confirming it closing the current window Cartella Elettronica Progeo Age Year Pathology 1980 Hyperkeratosis Cancel Apply Picture 3 7 Personal pathological case history Chapter 3 User s manual Food allergies This function enables the recording of any possible food allergies that are suffered by the patient in the case where an allergy towards a food 15 reported you also have the possibility of considering the relevant foo
9. 120 130 140 Underweight normal weight Overweight obesity Miioderate obesity severe obesity Current weight lt amp desirable weight Ideal Weight Ideal weight of the various authors desirable Study Ideal weight Normality range Ideal weights according to weight BMI 69 1 97 3 77 4 Peck 69 4 Hamwi 76 8 The difference between the real weight and the desirable weight Lorenz 69 5 Cancel Apply Picture 4 37 study of the ideal weights In the table in the lower part of the window the numerical values are given of the data displayed in the graph and moreover the difference between the patient s Real weight and the possible weight indicated as the Desirable weight The latter together with the definition of the Status of the patient will be reported in the main window of Cartella Elettronica in the appropriate part regarding the various Parameters details in picture 4 38 Chapter 4 User s manual Parameters BMI range 18 5 25 28 1 i Status Overweight Desirable weight 70 Real weight Desirable weight 17 0 19 5 Biotype Not determinable Plurimetabolic risk Not determinable Basal metabolism 1 888 kcal 7 900 kj BEE Harris Benedict 1 919 kcal 9 029 kj TDEE 2 662 kcal 11 139 kj Picture 4 38 details of the calculated parameters In the case where the calculation of the corporeal composition has been activated by mean
10. according to the measurement unit indicated in the brackets To view the entire list of items in the window use the appropriate scroll bar on the right of the window or the relevant arrows By selecting the El symbol on the left of the headings Circumferences and Skin folds you will be able to hide the items and the measurements regarding the circumferences and or skin folds the symbol will carry out the reverse procedure The user will decide from time to time whether to activate this process and if necessary which parameters to enter and monitor A special zone on the left side of the window contains an in depth study text which explains the exact procedure to follow for taking the measurements Click on the Apply button to record the data and exit Press the Cancel button to exit from the processing without recording the data Chapter 4 User s manual Indirect calorimetry This function allows you to enter and take into consideration in the program the value of the Basal metabolism calculated with the indirect calorimetry method picture 4 6 Indirect calorimetry in fact is a method which allows you to assess with precision the energy expenditure of an individual by means of measuring the variations of concentration of oxygen and carbon dioxide in his her respiratory gasses The result of the examination obtained with the calorimeter which can be expressed in kcal or in joule will be inserted in the program in pla
11. deselect a previously selected item click on the same disc which will go back to being green In the lower part of the window there 1s a space dedicated to Notes where the user can record any further information regarding the patient The Cancel button will close the window cancelling any possible entries the Apply button will determine the saving of the entered data Symptoms referred Abdominal pain Amenorrhea Asthenia Constipation Diarrhea Dyspepsia Hair loss Hypoglycemic crisis Insomnia Lipothy mia Meteorism Nausea Self inducted vomiting Present 28 Absent otes Cancel Apply Picture 4 18 symptoms referred In the case in which the symptoms reported by the patient have already been registered in the previous examination then also the Trends button will be present that will enable you to gain access to the window illustrated in picture 4 19 In this window you will see a table that summarizes the trend of the symptoms reported by the patient at least once Each column of this table corresponds to an Chapter 4 User s manual examination and each line to a symptom it is possible in this way to see how for example a symptom referred to at one examination has disappeared at the next examination or vice versa in the example in picture 4 19 the meteorism of which the patient complained during the first two examinations shown in the table has disappeared during the third and most recent ex
12. for the possible entering of extra information which will be memorized together with the table below by means of the Apply button if you do not wish to save the entered data select the Cancel button i Cartella Elettronica Progeo Underweight Normal weight Overweight Ancestors Descendants Collaterals Cancel Apply Picture 3 10 family weight case history Chapter 3 User s manual Personal weight case history This case history reconstructs the trend of the patient s weight in time also allowing the recording of possible concomitant events which may have conditioned its course pregnancy sport etc The data entered determines the processing of a graph which displays the trend of the weight and shows by means of a broken red line the average weight of the patient calculated in the period of time taken into consideration picture 3 11 i amp Cartella Elettronica Progeo DON Weight kg Concomitance event Practices sport Stops practicing sport Diet Married Sedentary job Separation Average weight 79 2 Kg En Eg Age years Cancel Apply Picture 3 11 personal weight case history In order to enter the data click on the Add button of picture 3 11 This operation will lead to the appearance on the screen of empty boxes where the user can respectively enter the age year weight and possible concomitant events to confirm the in
13. group and the Back button enables you to go back to the previous screen without selecting any items Chapter 4 Group of exams Groups Current exams Gruppo del fegato Gruppo lipidi Routine Donna User s manual LoL Exams Cholestorol E Select Total cortisol E Save 9 Go back Picture 4 21 group of exams Press the Print button picture 4 20 to print the list of the analyses prescribed in order of selection the Apply button to confirm the processing carried out the Cancel button to close the window without saving the data Chapter 4 User s manual Analyses results The Analyses results section enables you to record the results of the clinical analyses carried out by the patient picture 4 22 Analyses results Sele Analyses list Clinical analyses Conditions Results Normality Measurement O Alkaline Phosphatase Analysis of 25 04 2003 Cholestorol Total cholestorol 100ml Cholestorol O Chol LDL Chol HDL Cholestorol HDL Total bilirubin mg 100ml LDL cholestorol O Tot Chol HDL Chol Total cholestorol Azotemia mg 100 Cortisol O Cortisol 24 hours O cortisol 8 hours Cholestorol HDL 46 65 ml O Total cortisol O Creatinine DHEA gt Analysis of Electrolytes O Calcium Chlorine Magnesium O Potassium O Sodium Total and divided bilirubin Analysis of 30 06 2003 Cholestorol LDL cholestorol 120 160 mg dl Picture 4 22
14. in the table on the right of the graph Chapter 4 User s manual Study of the ideal weights According to the patient s data entered sex age height weight and physical structure by selecting the relevant item from the list of processes it is possible to view the Study of the Ideal Weight in the form of a graph The window of picture 4 37 shows the graph with weight zones calculated according to the patient s BMI each one distinguished by a different colour example blue for Underweight green for Normal weight yellow for Overweight The patient s current weight marked by the following symbol will be situated inside of one of the coloured zones in the example shown in picture 4 37 the patient s current status is found just within the yellow zone indicating Overweight The ideal weight according to the BMI is marked in graph by the M symbol the Ideal Weights according to the various authors Peck Hamwi Lorenz by the symbol By typing in the appropriate box of the table below the value of the weight that you wish to indicate as desirable or by clicking with the mouse on the graph next to one of the desirable weights of the various authors the lt symbol will appear Study of the ideal weughts Sex Male Age years 33 and 7 Months Height cm 176 0 Weight 87 0 Physical structure Average Study of the ideal weights on the basis of the BMI 0 10 20 30 40 50 60 0 80 90 100 110
15. make up the graph are highlighted by a small ball above which 15 indicated the exact value referring to the axis of the ordinates The title of the graph corresponds to the name of the exam and if necessary to the category and 1s accompanied by the normality range or by the expected normality value and by the unit of measurement In each graph the expected desirable value or the normality range are respectively shown by one or two broken white lines In the case in which the same exam has been registered with a different unit of measurement or by taking into consideration different states and or conditions Chapter 5 User s manual then the trend viewed will refer only to the parameters registered with the same unit of measurement or to the same states and or conditions In the case in which it will not be possible to view a trend a message will appear explaining why By clicking on Graphic options situated above on the left you will gain access to a series of functions View from starting date this allows you to indicate the date of the examination from which you wish to register the report of a certain parameter by default the starting date will correspond to the first recorded examination of the patient To modify this setting enter the date the month and the year dd mm yyyy corresponding in the relevant window and confirm the operation with the OK button View up to final date this allows you to modify the basic setting
16. so that the trend of the relevant graph to a determined parameter will have as its last value the one corresponding to the most recent examination recorded in the archive to carry out this modification enter the date you wish to use as the last one for registering and confirm with the OK button Show table this displays the values of the clinical analyses in the table In this case also those non numerical results of which you obviously cannot carry out a graphic trend will be shown In the table picture 5 14 the names of the monitored analyses are listed on the left with the desirable normality range or value and any possible units of measurements written next to them The examinations are indicated on the right together with the registered values for each examination the values that are out of range are indicated in red Cartella Elettronica Progeo Clinical analyses trend Graph Option Cholesterol Total cholesterol 0 200 100ml Cortisol Cortisol 24 hours 2 14 100ml Cortisol 8 hours 25 pg 100ml Total cortisol 276 690 mmol l Creatinine 0 7 1 2 mg 100ml Ferritin 20 300 ng ml Glycaemia 55 110 mg 100ml vitamins Vitamin retinol 360 1200 pas Vitamin C ascorbic acid 0 6 2 dl Hemochrome Hemoglobin 12 15 g Plasma angiotensin 0 5 1 5 ml h Serum iron 75 160
17. specialist examination zy Specialist s examinations PERLES New Edit Delete Date 02 03 2003 Heart test Carried out at Private studio Doctor Smith Report Arterial hypertension Pharmacological prescription XOOOO0C0XX 1 pil per day _Scamer Delete cancel ww gt Picture 4 54 specialist examination reports The Apply button will close the window memorizing the data inserted the Cancel button will remove it User s manual Chapter 4 Interpretation of the growth Height Weight It is possible according to the patient s data entered and the reference table to envisage how these parameters will evolve during the period of development up to BMI the age of 20years old This function available 1f the patient is aged between 3 and 18 years old carries out a study the growth trend with reference to the following parameters De Percentiles of age E Interpretation of the Weight kg v S ess a S a SS adie ai wm Mm Y UA 111 Pt et tt Pty tt tt tT PT Ty tT Tt tt N AIA TTI LIL ss Bun ds NC A Da e L Aa NON ALIA MISI NCENCINON NET TART TART INIA LT ISIN IT LLL IN N III IN N IN LIN TT IN TT AT TAT A NIIT TS LIN IN N PRE TINE
18. 18 40 56 29 07 03 10 45 39 18 07 03 11 2 9 15 07 03 10 33 23 11 07 03 18 10 1 Cancel Picture 1 14 backup copy list Finally to limit program access to authorized persons only the user can set a password that will be requested at every start In order to carry out this operation click in the small square to the left of the item Request password to launch software picture 1 13 the window of picture 1 15 will appear where the user can enter a code composed of a minimum of 6 and a maximum of 10 characters The OK button will confirm the operation while the Cancel button will interrupt the procedure of entering the password without memorizing it i amp Insertion of access password Insert the new password min 6 Cancel car max 10 car Chapter 1 User s manual Picture 1 15 entering password In the case in which saving has been requested a message of confirmation picture 1 16 will appear in which it 1s necessary to write the password again with the aim of avoiding any possible typing errors The OK button will confirm the operation while the Cancel button will interrupt the procedure of introducing the password without memorizing it Gh Insertion of access password Confirm the password K Cancel Picture 1 16 confirm password In the case where a password has already been set the Edit access password picture 1 14 button will allow the user to substitute it first of a
19. 2 of this manual New patient Patients archive User Preference Data safety Exit Picture 1 9 start menu Archivio elaborazioni Andamentir Anamnesi 23 05 2001 ale Gianni Maschio Anni 31 Altezza 176 Peso 83 Struttura fisica Normale Parametri BEMI 25 8 Examination wording Examination of On request Food profiles Picture 1 10 preferences The three coloured rectangles that can be more clearly seen in detail in picture 1 11 correspond each one to a certain operative zone of the main window by selecting with the mouse the rectangle of whose colour you wish to modify you will gain access to the Colour window picture 1 10a in which the Basic colours with their relevant chromatic scale and the Personalized colours in which to make the choice are displayed Picture 1 11 detail of colours Chapter 1 User s manual Once you have chosen the colours whose shades can be regulated by sliding the appropriate cursor on the right of the scale confirm with the OK button or select the Cancel button in order to go back to the previous window without memorizing the modifications Basic colors B A ENE A Sat Define Custom Colors gt gt Lolorsohd Lum 177 Blue 217 Picture 1 10a choice of colour The window of the Preferences shows at the bottom a series of buttons On request Seasonability and Food profiles which activate
20. 6 Monthly average 4 80 6 67 Weekly average 1 12Kg 1 56 Daily average 0 16 0 22 From the previous examinat 4 00Kg 5 88 Picture 2 1 main window In the window of picture 2 1 which 15 accessible by selecting a patient from the archive it is possible to choose one of the following items of the main menu situated in the upper part of the screen and marked in the picture by number details in picture 2 2 e Patient e Examination archive e Case history e Processing archive e Trends e Tools o Patient Examinationr Case history Processing Trends Tools Picture 2 2 main window menu Chapter 2 User s manual Patient The Patient item of the main menu of picture 2 2 opens the options shown in picture 2 3 Patient data Patients archive Patientr Patient data Patients archive Picture 2 3 patient menu The first option Patient data allows you to reopen the window of picture 1 3 the second option Patients archive allows you to go back to the patients archive shown in picture 1 5 For a more detailed explanation regarding the latter refer to the previous paragraph Chapter 2 User s manual Examination archive The examination archive enables the user to gain access to the following options e New examination e Delete current examination Examination Mew examination Delete current examination Picture 2 4 examination archive menu Th
21. Elettronica Progeo Do vau wish to add all the foods that belong to the same CROSS REA amp CTIVE Family Chapter 3 User s manual You can also proceed by directly selecting a family clicking on the title Family for cross reactivity in this way the order of the food items will appear according to the families Even in the case where you decide to select the whole family you will still be able to exclude some food items from the list If for example the whole family of the Potato has been selected in the list of Selected foods you will be able to exclude the Sweet pepper by positioning yourself with the mouse on the name of the food and carrying out a double click The Apply button will confirm the data entered while the Cancel button will remove 1t both commands will close the current window Chapter 3 User s manual Food Intolerances On selecting with the mouse the Food intolerance item within the Case history sector the window in picture 3 9 will open where in the left hand column of the table you will see a list of the Foods in alphabetical order and in the right hand column the relevant Food categories In this case the individual food items of which the patient declares to be intolerant are taken into consideration and the categories are only needed to further the search of the single food items inside the archive on selecting the title Food categories the food items will be arranged according to the categories
22. Family pathological case history Personal physiological case history Personal pathalogical case history Food allergies Food intolerances Family weight case history am al P Personal weight case history Dietic case history Under farmacological therapy Under psychotherapy Picture 3 1 Case history menu The investigations that can be carried out are the following e Family Pathological case history e Personal physiological case history e Personal pathological case history e Food allergies e Food Intolerances e Family weight case history e Personal weight case history e Dietetic case history e Under pharmacological therapy e Under psychotherapy Chapter 3 User s manual Family pathological case history This option picture 3 2 allows you to record according to the different degrees of kindred the subjects suffering from the following pathologies schemic cardiopathy Arterial hypertension e Diabetes mellitus with no insulin addiction type II Hypercholesterolemia Gout It is possible to select for each degree of kindred father mother ascendants descendants relationships by collateral line one or more pathological conditions from those listed above by clicking on each small disc which from green lack of pathological condition will turn to red presence of pathological condition A Notes field moreover enables the recording of extra information
23. From the previous examination 4 00 5 58 Reset Picture 2 16 variations of the weight The RESET function activated by clicking inside the corresponding small square will clear the calculations regarding the variations of weight restoring the original situation this function is useful in all those situations in which the patient resumes treatment after a period of interruption Chapter 2 User s manual Zone 6 of the window of picture 2 1 shows the Notes field where the user can at any moment make a note of extra information regarding the patient To gain access to this function carry out a single click in the white area the window of picture 2 10 in which it is possible to write will appear in the centre of the screen To close the window click on the x symbol in the top right hand corner the Notes will be saved automatically i Edit Notes Picture 2 17 notes Chapter 2 User s manual CASE HISTORY Chapter 3 User s manual Case history The Cartella Elettronica software allows you to carry out and memorize a host of information regarding the patient s history both from a physiologic and pathologic point of view as well as from a personal and family one To gain access to this function click with the mouse on the Case history menu of picture 2 2 in this way the list of investigations will be displayed picture 3 1 from which you will be able to select the type requested Case history
24. PEAMINATIONS balle 18 PATENT iii 19 BPXAMINATIONARCHIE adelaide adipe 20 AS TORY albe 30 FAMILY PATHOLOGICAL CASE HISTORY csscccsscccssccsscccscccsscecsccesscesscesscessccesscessceesccesscessccusscessces 31 PERSONAL PHYSIOLOGICAL CASE HISTORY 2 sun a aka 32 PERSONAL PATHOLOGICAL CASE HISTORY ad 35 FOOD ACEERGIES iaia 36 FOOD INTOLERANCE S soli ile ici 38 FAMILY WEIGHT CASE HISTORY attaccarlo 39 PERSONALWEICHI CASE HISTORY reale dali 40 DIETETIC CASE HISTOR Y ili ibi 42 UNDER PHARMACOLOGICAL THERAPY ollare ola 44 UNDER PSYCHOTHERAPY ee ee ei 45 PROCESSINGARCHIVE lla ee 48 DISTRICT AN THER POME TR iii SI INDIRECECALORINETRY allea 32 THIS FUNCTION ALLOWS YOU TO ENTER AND TAKE INTO CONSIDERATION IN THE PROGRAM THE VALUE OF THE BASAL METABOLISM CALCULATED WITH THE INDIRECT CALORIMETRY METHOD PICTURE CIO M E 32 INDIRECT CALORIMETRY IN FACT IS A METHOD WHICH ALLOWS YOU TO ASSESS WITH PRECISION THE ENERGY EXPENDITURE OF AN INDIVIDUAL BY MEANS OF MEASURING THE VARIATIONS OF CONCENTRATION OF OXYGEN AND CARBON DIOXIDE IN HIS HER RESPIRATORY GASSES 52 THE RESULT OF THE EXAMINATION OBTAINED WITH THE CALORIMETER WHICH CAN BE EXPRESSED IN KCAL OR IN JOULE WILL BE INSERTED IN THE PROGRAM IN PLACE OF THE VALUE AUTOMATICALLY CALCULATED BY THE SOFTWARE AND WILL BE USED ALSO IN THE CALCULATION OF ALL THOSE PARAMETERS TDEE WHICH DEPEND ON THE BASAL METABOLISM 52 BODY COMPOSITION
25. Progeo S r l Largo XXIV Maggio 14 63076 Centobuchi AP ITALY Cartella Elettronica User s Manual START MENU Chapter 1 User s manual Start Menu Once the program 15 launched the window shown in picture 1 1 will appear in which by selecting the relevant items you can gain access to the following functions New patient Patients archive e User e Preferences e Data safety e Exit New patient Patients archive User Preference Data safety Exit Version 2 5 1 picture 1 1 start window This function is not provided for in the online version Chapter 1 User s manual New patient By selecting the menu item New patient picture 1 2 you will gain access to the picture 1 3 where the user can enter the relevant data the compulsory fields to enter are Surname Name Sex and Date of birth the other items are added information that could be useful for the user but are not necessary for the processing New patient Patients archive User Preference Data safety Exit Picture 1 2 start menu Surname Limbert Christine apply Sex Date of birth dd mm vyyy 12 10 1962 Cancel Place of birth Wakefield Address 19 Orchard Head Drive Postal code WY3201 Town Pontefract County Yorkshire Telephone Mobile phone Fax e mail Picture 1 3 entering new patient s data The Apply button determines the saving of the entered data and adds the ne
26. The complete list can be viewed by means of the scroll bar or arrows to select the desired food item click with the mouse on the corresponding item Cartella Elettronica Progeo Food intolerances Print Foods Food categories A Selected foods Cabbage vegetables Cane sugar Cabbage lettuce Vegetables Camomile Vegetables Cane sugar Sweets and sweeteners Capers Aromatic herbs and spices Carp Fish Carrot Vegetables Cashew Fruit Catfish Fish Cauliflower Vegetables Celer iac Vegetables Celery vegetables Chard Vegetables Cheese and dairy products Milk and by products Cherry Fruit Chestnut Fruit Picture 3 9 food intolerances In order to eliminate a particular food item from the Selected foods column double click with the mouse on the corresponding name The Apply button is needed to record the data and close the window the Cancel button is for exiting without saving the modifications made Chapter 3 User s manual Family weight case history This investigation enables you to know the patient s family context regarding the weight condition of its members The window of picture 3 10 shows the various types of kinship and the selectable weight zones to indicate the weight condition of the various levels of kinship click with the mouse on the corresponding small disc which from green lack of the condition to which you refer turns to red presence of the condition in reference The Notes field is available
27. Years Menopause Years Pharmacologically induced Surgical Tobacco Sleep Sport Fertility Menstrual flow Pregnancies Military Service ES Diuresis Average m r r Q4 Alcoholic drinks Teetotal Occasional C Habitual z Sleep Regular r r r r ga Menstrual flows Regular E r r Picture 3 3 personal physiological case history The presence or not of certain items depends upon the Sex and Age of the patient for example if we are dealing with a male adult the items regarding fertility menstrual flow and pregnancy will not be present Chapter 3 User s manual For each field of the investigation it is possible to select the item required by simply clicking in the small square or in the small disc on its left in some cases instead you will be able to insert the added information in the appropriate box Here are some examples make the concept clearer e In the case in which the investigation regards sleep for example if the patient complains of having problems deselect the default Regular by clicking inside the small square situated on the left and select one of the other alternatives available according to what your patient tells you picture 3 4 ES Sleep Regular Insomnia Hypersomnias Parasomnias Apnea during sleep Picture 3 4 sleep e In the case of a female patient with regard to possible successful pregna
28. amination In the Trends window moreover it 15 possible to remove from the lists on the left Symptoms referred and Examinations some of the items that are marked by the following symbol so that they will not appear in the table to perform this modification click inside the relevant small square From the window of picture 4 19 it 15 possible to activate the Copy function which will enable you to copy the table in a provisory memory and if necessary carry out a duplicate also on a Word page in which you will be able to add some notes The Close button of this window will lead the user back to the window of picture 4 18 i Trends Symptoms referred Management trends Copy 22 04 2003 24 05 2003 18 07 2003 Insomnia Insomnia Meteorism Meteorism 22 04 2003 24 05 2003 18 07 2003 Number selected3 O Present dh Absent Total number3 Picture 4 19 symptom trends In the case where in the same examination the user has already entered the data within the Symptoms referred processing then in the window of picture 4 18 you will also see the Delete button which if selected will determine the closing of the window and the cancellation of all the data entered so far Chapter 4 User s manual Analysis prescription The Analysis Prescription function allows you to select from an archive and print the examinations to be prescribed to the patient The various items inside the archive are organized in catego
29. analysis item from the menu of picture 4 7 in order to gain access to the relevant screen shown in picture 4 9 On the left of the screen you will see a text containing useful indications on how to perform the bioimpedance analysis in order to read the whole document use the appropriate arrows or scroll bar The examination requires indicating at least the lean mass or the fat mass and if necessary if the bioimpedence device used for the analysis provides them also the cellular mass the total water the intracellular and extra cellular water the muscular mass and the exchangeable Na K It is possible to enter both the absolute values as well as the possible percentages indicated by the instrument by entering the absolute values the software will automatically calculate the percentages and visa versa The percentages of fat mass lean mass and total water are referred to the body weight the percentages of cellular mass and muscular mass are referred to the lean mass and the percentages of intracellular and extra cellular water are referred to the total water By entering the values in the appropriate boxes the software will automatically calculate the basal metabolism alternatively it 1s possible to directly indicate the value measured by the instrument expressed in joules or in kcal The software as in the case of the fat calliper test processes a graph for visualizing the percentages of the fat mass and the lean mass and if necess
30. ary the extra cellular mass two horizontal red lines highlight the normality range of the fat mass according to the scientific publications see fat calliper examination fes Bioimpedance analysis Bioimpedance analysis Percenta BIOIMPEDANCE ANALYSIS gy mm This is an easily carried out exam which consists in messa applying four electrodes to the body of which two FFM Lean mass kg 67 096 BW are placed on the back of a hand and two are BCM Cellular mass kg 63 096 FFM placed on the back ofthe homolateral foot TBW Total water I The patient must be lying on his back with his arms neo and legs abducted at 30 and 45 from the trunk and he must not be wearing any metal objects ECW Extracellular water I The electrodes on the hand must be positioned so MM Muscular mass i 58 0 FFM that one is at the height of the articulation of the metacarpus with the phalanx and the other one is near to the ulnar epiphysis on the foot on the other Basal metabolism kjoule hand one is positioned at the height of the Calculated metabolism 8 745 kjoule articulation of the metatarsus with the phalanx and Reference values the other between the lateral malleolus and the FAT mass Kg 33 0 medial malleolus of the ankle So that the evaluation of the corporeal composition FFM lean mass oei 57 0 by means of the biompedance is as precise and Optimum fat mass kg reliable as possible the patient must parameters Exchang
31. bill 52 SKIN FOLD MEASURING EXAMINA TION en each 54 BIOINIPEDANCEANAE iaia 55 CARDIO VASCULAR PARA A id 56 FOOD ALLERGIES AND INTOLERANG ES aii iris 58 STRESS FACTORS ae meet od ernennen 59 PHYSIOLOGIES OF NUTRITIONALAINTERES T salesiano 60 Chapter 6 User s manual PATHOLOGIES OF NUTRITIONAL INTEREST cssscssscccssccsscccscccssccsscccssccsscccssccsscecscccsscesscsesscessesesces 61 CONCOMITANTPATHOLOGICALS TATES coda radiata 63 SYMPTOMS REFERRE Drain 64 68 PRESCRIBED DIE TOTHERAP Y ica 70 PHARMACOLOGICAL PRESCRIPTION u een 71 SUPPLEMENTS PRESCRIPTION 2 5 ei lor ee 72 DOCOMENTDIGIEALZATION rile ao 73 INSTRUMENTAL INVESTIGATION REPORTS ul 79 SPECIALIST EXAMINATIONS iii ti tt ias 80 INTERPRETATION OF THE GROW TH slice aaa 81 STUDY OETHEIDEALWEIGHTS asl dies 83 86 CARDIOVASCULAR ANTHROPOMETRICAL AND METABOLIC DATA TREND cere 87 CEINICALANALY SES TREN ae nea 93 Chapter 6 User s manual
32. button the data entered will be memorized if you should not wish to save the data click on the Cancel button which will simply close the window of picture 2 9 Chapter 2 User s manual It is possible to determine the precise level of Physical activity carried out by the patient by clicking on the small square on the right of the relevant field and gaming access to the window of picture 2 10 where on entering the sports and non sports activities carried out by the patient in one of his typical days and also indicating the time involved the software will calculate the daily LAF Level of Physical Activity which will be expressed as a multiple of the basal Metabolism for the estimate of the TDEE Cartella Elettronica Progeo Description Washing yourself Getting dressed Driving a car Running 10 7 km h Eating Walking in the house Watching Writing sitting down sporting physical activity Sports activity Type of physical activity Hours Minutes Writing sitting down v 8 Time allocated 24 00 Calculated daily LAF Time to be allocated 2 214 Cancel Apply Picture 2 10 calculation of the level of physical activity Once this calculation has been carried out the Physical activity item in the main window to which are normally associated the different levels from Bedridden to Heavy apart from certain age groups in which these levels do not all appear will be substituted by the ca
33. ce Data safety Exit Picture 1 6 start menu The first time the program is launched immediately after the installation or by selecting of the User function from the start menu picture 1 6 the window of picture 1 7 will open in which the user after having selected the New button will be able to enter e Name e Address e Telephone e Fax e E mail e Web site Picture 1 7 user settings The Save button will confirm the introduction of the entered data that will be memorized Chapter 1 User s manual It is also possible by repeating the same procedure to enter the data of more than one user as illustrated in picture 1 8 and decide according to who is using the program which data to have printed in the printout that will be given to the patients it will be sufficient in fact to select the chosen user s name and confirm by clicking on the Select button To eliminate a user on the other hand select the name with the mouse and click on the Delete button Mark Harris David Smith Address 23 Rhawn Street London Telephone 019766982547 Fax 019766982548 e mail d_smith telecom uk Website Picture 1 8 user settings Chapter 1 User s manual Preferences The Preferences function picture 1 10 accessible from the start menu picture 1 9 allows the user to personalize the choice of colours of the main screen of the Examination archive picture 2 1 illustrated in chapter
34. ce of the value automatically calculated by the software and will be used also in the calculation of all those parameters ex TDEE which depend on the Basal Metabolism Indirect calo rimetry Insert calculated basal metabolism Picture 4 6 indirect calorimetry The Apply button is needed to confirm the insertion while the Cancel button will close the window without confirming Body composition This type of processing allows you to record the data regarding the body composition respectively obtained from the skin fold measuring examination or from the bioimpedance analysis The entering of this data will determine the calculation of the basal metabolism according to the lean mass and if necessary also the cellular mass and enable you to estimate the protein needs and the desirable weight according to the real body Chapter 4 User s manual composition To gain access to this process select the Body composition item from inside the List of processes According to the type of examination carried out choose between Skin fold exam or bioimpedance analysis List of processes Cardiovascular parameters Corporal composition Bioimpedance analysis District anthropometry Skin fold exam Picture 4 7 choice of exam to be activated Chapter 4 User s manual Skin fold measuring examination The skin fold measuring examination calculates the value of the fat mass by means of measuring the skin folds with a ski
35. cture 4 12 the categories of which the patient 15 allergic and or intolerant the various items are grouped into macro categories each one characterized by a different colour band It is possible to view the entire list of food allergies and intolerances using the appropriate scroll bar in the section on the right side of the window the selected items will be recapitulated which can be eliminated at a later date by selecting the corresponding item from the list on the left and clicking on the Remove button jan Food allergies and intolerances Food allergies and intolerances Selected allergies and intolerances Allergies to foods deriving from vegetables Celiac disease Maize allergy Soya bean allergy Wheat allergy Intolerances due to metabolic deficiencies Fructose intolerance Galactose intolerance Lactose intolerance Saccharose intolerance Intolerances due to chemical additives Intolerance to sorbates benzoates p hydroxybenzo Intolerance to sulphites Intolerance to the non specified additives Intolerances due to food additives Intolerance to natural salicylates Other allergies Latex allergy Mould allergy Remove Cancel Apply Picture 4 12 allergies and intolerances The difference between this type of processing and the one regarding the Food allergies and Food intolerances case histories previously described in the manual consists in the fact that with the latter the user selects the single fo
36. d family that groups the foods endowed with a cross reactivity between their antigenic components Selecting with the mouse the Food allergies item you will open the window shown in picture 3 8 in the left hand column of the table there 15 a list of food items arranged in alphabetical order and by the side of each food item appears the relevant Family for cross reactivity Cartella Elettronica Progeo Food allergies Foods Sweet potato Families for cross reactivity Convolvulus BIG Print Selected foods Aubergine Chilli Peppers Potato Swordfish Fish Tabasco Olives Tamarind Pulses Tomato Tapioca Euphorbia Tea Tea Thyme Mint Tomato Potato Trout Fish Tuna Fish Turbot Fish Turkey Birds Turnip Mustard Turnip cabbage Mustard Vanilla Orchidaceae Veal Mammals v Cancel Apply Picture 3 8 food allergies To select a food item for example Tomato choose the desired item from the list which can be seen in full by using the appropriate scroll bar if the selected food has a cross reactivity shown with regard to other food items a message will appear asking the user if he she would like to select also all the food items belonging to the same family picture 3 8 By selecting the Yes button all the foods belonging to the same family will appear in the right hand column Selected foods while by selecting the No button only the food indicated will be inserted Cartella
37. e displayed automatically where on the axis of the abscissas you will find the examinations carried out by the patient and on the axis of the ordinates the values obtained from time to time The points which make up the graph are highlighted by a small ball above which the exact value referring to the axis of the ordinates is indicated Each graph can be printed and given to the patient to select the graphs to be printed you can click inside the small square situated below and pointed out in detail in picture 5 3 or click with the right hand button of the mouse directly on the item in the list on the left of the graph until the symbol appears Selected for the printing Picture 5 3 select printing The Graphic options function picture 5 4 allows you once having been selected to gain access to a series of personalization options such as the Chapter 5 User s manual visualization of a bar graph instead of a line graph in 3D format instead of 2D the possibility of not displaying the title of the graph or to change its colour picture 5 4a 5 5 5 0 Graph Option View bar graph View the graph in 3D format Hide Title Graph colours Yellow Red Blue Picture 5 4 graph options i amp Cartella Elettronica Progeo Cardiovascular anthropometric metabolic data trend Printr Graph Option Close Processes Basic report Height cm Weight ka Basal metaboli
38. e first option allows you to introduce a new updated examination to the current diet in the case where it 1s the first examination carried out of the patient only the first item will be activated if instead the user has selected a patient from the archive who has previously undergone other examinations then you will also have the Delete current examination option at your disposal After having selected New examination the following data may be entered in the zone of picture 2 1 indicated by number 3 and shown in detail below in picture 2 5 e Height e Weight Physical structure e Physical activity Practises desirable physical activity Limbert Christine Exam n 2 of the 05 07 2003 Female Years 40 and 8 Months Height cm 164 Physical activity Light M Weight kg 68 O Practises desirable physical activity Physical structure Average i e Picture 2 5 main data In the latest edition of LARN due importance was given to DESIRABLE PHYSICAL ACTIVITIES carried out if necessary referring by these to activities recommended for maintaining proportionate muscle tone The type the intensity and the duration of the physical activity capable of determining such effects vary according to the function of the level of training and the physiopathological state of the subject and it should be the doctor therefore who assesses case by case if the activity practised by the patient can be defined desirable We advise you h
39. e this button 1s selected the imagine will rotate 90 anticlockwise e Selecting this button will open the window of picture 4 30 where by using the appropriate cursors it is possible to increase or reduce the BRIGHTNESS and or the CONTRAST of the image which will be visualized with the modifications carried out in the square on the right press the Apply button to confirm the new settings or the Cancel button to remove them Brightness and contrast regulation Brightness 0 P Contrast 0 zu Apply Cancel Picture 4 30 brightness and contrast Chapter 4 User s manual De This function allows you to gain access to the list of colours illustrated in picture 4 31 from which with a click of the mouse you will be able to select one of them to use for drawing lines and highlighting parts of the image etc the colour selected by default 1s yellow Black White Grey Blue Bl Dark blue 4 Green Yellow Orange Red Picture 4 31 colours a It is possible to indicate the thickness of possible lines and or squares from the list which will open when you click on the relevant button which 1s illustrated below in picture 4 32 1 point 2 points 3 points em 4 points Picture 4 32 thickness of lines This option enables you to gain access to the preview and to launch the printing of the image Page 77 This allows you to choose whet
40. eable have gone without food for at least 5 hours Key not have drunk an excessive quantity of Cellular mass kg liquids during the 12 hours leading to the Extracellular mass kg exam BlFat mass kg not have consumed in the days prior to the Optimum fat mass parameters exam an excessive quantity of sodium with foods or with common table salt not have carned out physical exertions during the 24 hours previous to the exam oc m wows esos dM ato mima Picture 4 9 bioimpedance analysis Press Apply to memorize the data inserted and close the window and press Cancel to exit without saving the processing Chapter 4 User s manual Cardiovascular Parameters The Cardiovascular parameters processing allows the monitoring of certain basic parameters and the evaluation of the level of physical fitness according to the recording of the results of the exertion test Basic parameters it is possible to record the systolic and diastolic arterial pressure and the heart rate when resting Exertion test this is needed to assess the patient s level of physical activity by means of two types of tests step test or cycle ergometer After having selected the type of test you wish to use picture 4 10 some indications regarding the method of execution will be displayed height of the step frequency and duration for the step test while for the cycle ergometer test the work load and the du
41. escription This process enables the user to register and print any possible pharmacological prescriptions that are to be assigned to the patient To prescribe a medicine proceed in the following manner select the Add button of the window of picture 4 24 which will open a white space in which you should insert the Date of the beginning of the therapy the name of the Medicine and its Dosage the OK button will confirm the entered data or the Cancel button will remove it Once all the data has been entered or possible modifications made the Print button at the bottom of picture 4 24 will launch the printing process of the personalized page the Delete button will enable you following a confirmation request to remove the whole pharmacological prescription processing the Cancel button will close the window without memorizing the modifications carried out the Apply button will close the window and save the data Pharmacological prescription Date Medicine Dosage 08 09 2003 000000 1 pill per day print cancel y Picture 4 24 pharmacological prescription Chapter 4 User s manual Supplements Prescription The user has at his her disposal a special section which enables the prescribing registering and printing of any possible supplements The procedure 1s the same as with the pharmacological prescription with regards to entering the Date of the beginning of the therapy the name of the Supplement and its Do
42. fthe arm Sub scapular this 1s taken just below the lower angle of the shoulder blade and must be slightly laterally inclined downwards so as to form a 45 angle with the horizontal plane Optimum parameters according to Moore P Olesen McMurray Ball Boyden 0 Subscapular 25 Upper iliac this is taken just above the ilac 9 Cancel Apply Picture 4 8 skin fold measuring exam In the section on the left of the picture there 15 a description of how to measure the skin folds In order to view the entire document use the appropriate scroll bar or the appropriate arrows In the central section of the window insert the values in millimetres of the 4 skin folds bicipital tricipital subscapular and upper iliac inside the relevant boxes The values of the basal metabolism expressed in both Kcal as well as KJ of the fat mass and of the lean mass expressed in Kg as well as in regarding the total weight will be automatically calculated by the software On the right of the window a graph will be processed showing the percentages of lean and fat mass with regard to the total weight two red horizontal lines indicate the range of normality of the fat mass according to the authors Moore Olesen McMurray Ball and Boyden Press Apply to memorize the data inserted and close the window and Cancel to exit without saving the processing Chapter 4 User s manual Bioimpedance analysis Select the Bioimpedance
43. g of a parameter or a group of data ex The first page will show the weight trend the second the trend regarding the measurements of the relevant circumferences With the Print options function you can establish how many graphs of the same group must be printed for each page choosing from the possibilities proposed in the window of picture 5 8 i amp Cartella Elettronica Progeo One per page Two per page Four per page ES Cancel Save Picture 5 8 print options By default a single graph will be printed for each page however by clicking with the mouse on the corresponding symbol and confirming with the Save button you can print two graphs or four graphs per page on clicking on the Cancel button of picture 5 8 on the other hand any possible modifications to the default setting will be lost The chosen setting will be valid for all the groups of trends if you decide to differentiate one or more groups select the title of the relevant group ex basic report and click inside the small disc next to the desired setting picture 5 9 Chapter 5 User s manual i amp Cartella Elettronica Progeo Cardiovascular anthropometric metabolic data trend Selle Printr Graph Option Close Processes Height One per page Weight Basal metabolism TDEE kcal Anthropometric Report Two per page Right forearm Waist cm Hips Four per page
44. hagitis Ulcerative colitis Endocrine and metabolic pathologies Glucose intolerance Gout Hyperhomocystinemia Hyperlipoproteinemia Hypercholesterolemia E vr Remove pathology Delete Cancel Apply Picture 4 16 Pathologies of nutritional interest In order to eliminate a selected pathology the user must click once on the corresponding item in the list on the left and press the Remove pathology button The Cancel button of the window of picture 4 16 will determine the loss of any Chapter 4 User s manual possible modifications made the Apply button instead will determine the saving and the updating of the data that will be visualized in the recapitulation zones of the main window The Delete button present only in the case in which one or more pathologies have been previously saved will determine the total elimination of the current processing Chapter 4 User s manual Concomitant pathological states This process provides for an archive of pathologies which allows you to have a complete picture of the patient but will not be affected by the nutritional treatment Concomitant pathological states Mi Inguinal hernia Da cute psychosis Dalcoholism Danxiety CJ Aphthae of the oral cavity Dlasthma D trial fibrillation OBasedow s disease asthma appendicitis Ochronic demyelinizing Polyradiculoneuropathy Ochronic neurosis Ochronic ps
45. her to print the page in horizontal or vertical if no modification 15 made the default setting will be in vertical USUS BIER By clicking on this button it 1s possible to decide whether the 1mage print should automatically adapts itself to the page or as it 1s set by default keep its real dimensions Chapter 4 User s manual To close the edit image window picture 4 28 select the button Close in the top right hand corner the software will ask whether you wish to save any possible modifications made and will reopen the document digitalization window picture 4 25 The Remove image from file button picture 4 25 will determine the cancellation of the previously selected image The Apply button will close the document digitalization window saving each operation carried out the Delete button after having asked the user for a confirmation will completely eliminate the processing and any possible previously archived documents Chapter 4 User s manual Instrumental investigation reports This function enables the recording of any possible instrumental investigation reports undergone by the patient and viewed during the examination After having selected the New menu item from the window of picture 4 33 the user will be able to write the typology of the examination inside the text box that will appear in the left hand section of the window while in the right hand section certain data can be entered regarding the inves
46. ical structure field Determination of the physical structure Physical integrity Picture 2 7 Physical structure menu The window of picture 2 8 will appear in which by entering the values of the circumference of the wrist and the size of the elbow the patient s physical structure will be automatically calculated By clicking on the Apply button the typology calculated by the software will be transferred to the main window picture 2 1 otherwise click on the Cancel button Determination of the physical structure E Circumference of the wrist icm Size of the elbow cm Calculated physical structure Average Picture 2 5 determination of the physical structure Chapter 2 User s manual The Physical integrity function that can be activated from the menu of picture 2 7 will enable you to notify the software if the patient suffers from a possible defect or disablement this information will be considered in the calculation of the basal Metabolism and the ideal weights EN Physical integrity Click with the left hand button of the mouse on the part of the body that you wish to select E Part missing P Part present Cancel Apply Picture 2 9 physical integrity To indicate the injured part 2 9 click with the mouse on the corresponding body zone illustrated in picture 2 9 The concerned part will turn red by clicking again on the part it will go back to being white With the Apply
47. icate the presence of the document in the archive The archived document in this manner may be visualized and printed at any moment but it cannot be utilized for the study of the trends For a more detailed description of the Scanner function see paragraph Document digitalization in this chapter Chapter 4 User s manual Prescribed dietotherapy This process allows you to register the data regarding the diet treatment that the patient undergoes the type of diet slimming weight gain or maintenance after or without weight loss the values in grams of the proteins carbohydrates and lipids assigned and any possible extra notes regarding the diet treatment Prescribed dietotherapies Type of treatment Progeo food therapy Type of diet Slimming Proteins 20 Carbs 240 Lipids 47 Kilojoules Kilacalaries kcal Proteins Carbs Lipids Total Mates Picture 4 23 prescribed dietotherapy To indicate the type of treatment and the type of diet select the item from the options that will be displayed on opening the relevant menus enter the values in erams of the proteins carbohydrates and lipids assigned and the software will automatically calculate the total energy supplies in Kjoule in Kcal and in percentages Press the Cancel button if you wish to close the processing without saving any possible inserted data press the Apply button to confirm the data Chapter 4 User s manual Pharmacological pr
48. ion carried out must be confirmed with the Apply button To eliminate a previously archived record select it as illustrated for the modification procedure and click on the Delete button To conclude the case history memorizing all the data entered and exiting from the current screen click on the Apply button at the bottom of the window otherwise click on the Cancel button which will close the window without saving any possible data inserted or modifications carried out Chapter 3 User s manual Under pharmacological therapy This case history allows the user to record any possible pharmacological therapies that the patient is undergoing at the moment of the examination The entry of the following data is provided for START OF THERAPY name of the MEDICINE prescribed and DOSAGE To record each therapy proceed as follows press the Add button enter the data in the appropriate box and confirm with the OK button or select the Cancel button in order to cancel the operation If you should need to modify or eliminate a previously inserted record select it and respectively click on the Edit or on the Delete button The Apply button at the bottom right hand corner will close the window saving the data while the Cancel button on the other hand will cancels it Cartella Elettronica Progeo ER Startoftherapy Medicine Dosage 05 09 2001 hoooopot 1 pill per day for 40 days Cancel OK Cancel Apply
49. ization indicate the corresponding item in the list that will appear inside the window of picture 4 27 and click on the Select button to confirm the choice or click on the Cancel button to remove it Select Source Sources ho officejet d series 1 0 32 32 Picture 4 27 choice of peripheral Chapter 4 User s manual The Edit image button of picture 4 25 active only after having selected one of the documents present in the archive will allow you to gain access to an ulterior window picture 4 28 1n which there are the options for the treatment of the image Q 100 G 0 amp Page Dimensions esame esito u misura EMOCROMOCITOMETRICO E MORF oglobina obuli Rossi obuli Sianchi mmc Ci microcubi CH 28 pg 3 B Ematocrito limorfonucleati Neutrofil grg mil mmc H limorfonucleati Bosinofili slimorfonucleati Basofili nfociti B 3 ASTRINE 226 000 mme 4OTEMIA 41 68 89 73 mart Picture 4 28 edit image In the tool bar at the top of the window there are a series of icons displayed which represent the following functions a This is needed for carrying out a zooming of the image increasing its dimensions each time you click on the button Q Unlike the previous button this enables you to reduce the dimension of the image each time it 1s selected Restores the dimensions of the image t
50. lculated daily LAF item accompanied by the value obtained picture 2 11 Limbert Christine Exam n 2 of the 05 07 2003 Female Years 40 and 8 Months Height 164 Calculated daily LAF 1 555 Weight kg 68 Physical structure Average E Picture 2 11 calculated daily LAF In the central part of the window of picture 2 10 there are two archives one regarding the non sporting activities and one concerning the sports activities to Chapter 2 User s manual which you can gain access by clicking on the respective tabs Non sporting physical activity Sports activity Picture 2 12 activity archive tabs Once you have selected the archive in the Type of physical activity field the first item in the list will appear in order to view the complete archive click on the right hand arrow and view the items in alphabetic order To select one of the activities click on the relevant item For each item selected enter in the respective fields the time in hours and or minutes dedicated to carrying it out and by clicking on the Add button the activity will be shown in the upper table while in the lower part of the window you will see from time to time the calculation of the overall time dedicated to the activity entered and that remaining To eliminate a previously inserted activity select it by clicking on it until the following symbol appears on the left of the name and select the Delete button To modify
51. ll the previous password will be asked for with the aim of recognizing the authorized user picture 1 17 and subsequently the new and relevant confirmation pictures 1 15 and 1 16 The OK button will confirm the operation and the Cancel button to interrupt the procedure i amp Insertion of access password Insert the previous password Cancel Picture 1 17 modify password procedure Each setting regarding the Data safety window must be confirmed with the Apply button otherwise the Cancel button will close the window without memorizing any possible modifications that have been made Chapter 1 User s manual The exit function of the start menu closes the Cartella Elettronica program New patient Patients archive User Preference Data safety Exit Picture 1 18 start menu EXAMINATION ARCHIVE Chapter 2 User s manual Examinations Examination Seles Patientr Examinationy Case history Processing Trends Tools Exam n 2 of the 05 07 2003 Female Years 40 and 8 Months Height 164 Physical activity Light Weight kg 68 O Practises desirable physical activity Physical structure Average BMI range 18 5 25 25 3 Status Overweight Biotype Not deter minable Plurimetabolic risk Not deter minable Basal metabolism 1 421 kcal 5 944 kj BEE Harris Benedict 1 431 kcal 5 989 kp 2 017 kcal 8 440 kj 10 06 2003 to 05 07 2003 Total 4 00 Kg 5 5
52. mporally one or more patients from the file whose examinations can be conserved in magnetic backups and imported once again when needed this operation enables you to save space on the computer s hard disc To export an examination select at the top of window picture 6 2 the destination for example Floppy 3 5 inches then write the name under which you intend to save it for example Rossi Mario and confirm with the Save button Chapter 6 User s manual Save in Desktop e S Ed my Documents 43 4 My Computer My Recent amp JMy Network Places Documents Desktop My Documents My Computer o a File name Limbert v My Network Save as type Cartella Elettronica s export file v Places Picture 6 12 examination exportation To import an examination select in the top of the window picture 6 3 the source of origin for example Floppy of 3 5 inches A select the file below and click on the Open button my Documents 4 My Computer My Recent Amy Network Places _ Documents RERE D My N Files of type Cartella Elettronica s export file Places File name lmet Open as read only Picture 6 3 import examination SUMMARY SPERMA 4 NEWPATIEN Toi te dhe dale 5 PATIENTS ARCH Bole e ee Sl 7 UR enna 9 PREFERENCE Surreal C ULM P M ny POPE lO eS IEEE 11 bersi 13 Bild 16
53. n fold calliper Although there are numerous formulas for the calculation in the program we refer to the most reliable one which requires the measuring of four skin folds bicipital tricipital subscapular and upper iliac On selecting the Skin fold exam from the menu of picture 4 7 you will see the screen shown in picture 4 8 jan Skin fold exam Skin folds SKIN FOLDS Bicipital mm 25 Tricipital mm 20 Bicipital with the subject in an upright position the arms relaxed and the palm of the hand facing p forward the skin fold is lifted on the anterior Over iliac mm 30 protuberance of the biceps muscle on the vertical Calculated values traced between the anterior edge of the FAT mass Kg 39 7 acromion and the centre of the antecubital fossa EX FFM lean mass 41 0 Kg 60 3 96 Tricipital the skin fold is lifted on the posterior 2 surface of the arm above the triceps muscle at Optimum fat mass the level of the middle point of the theoretical line parameters si ER that joins the acromion of the shoulder blade and the lower margin of the olecran process of ulna Lean mass kg To determine the pomt to where to take the mass kg measurement you must measure with a tape measure the distance between the lateral projections of the olecran process of the ulna while the patient bends his elbow at an angle of 90 The middle point of this distance will be indicated on the lateral surface o
54. n picture 4 4 and enable the user to always have a complete and updated picture of the patient s physiopathological state The processes that have these areas are the following Physiologies of nutritional interest e Food allergies and intollerances e Pathologies of nutritional interest Concomitant pathological states Physiologies of nutritional interest Food allergies and intolerances Pathologies of nutritional interest astritis nsulin dependent true diabetes type I Concomitant pathological states Picture 4 4 recapitulation zones The data inserted in these areas is automatically imported from one examination to the next allowing however the user to carry out modifications a pathology registered in a previous examination in fact may no longer be present in the current one To gain access to the relevant processing window and carry out possible modifications to the data you can also click on the headings of the areas illustrated in the detail in picture 4 4 Chapter 4 User s manual District Anthropometry This processing picture 4 5 enables you to record the measurements regarding the body circumferences forearm arm shoulders waist hips and the skin folds bicipital tricipital subscapular of the patient 1f necessarily taken En District anthropometry Circumference Measurement CIRCUMFERENCES Right forearm cm Left forearm Right forearm the subject in an uprigh
55. nce areas to enter one of the processes click with the mouse on the relevant item gt To close the list click on the button in the top right hand corner ie List of processes Body composition Cardiovascular parameters District anthropometry Indirect calorimetry Picture 4 1 processing list Chapter 4 User s manual The function Delete processing opens the list of the processes carried out during the current examination picture 4 2 to eliminate one or more of these just click on the relevant item and answer in the affirmative the message of confirmation that will appear on the screen Processing New processing Delete processing gt Picture 4 2 delete processing In the page corresponding to each examination the processes carried out will also be listed in a special zone of the main window see details of picture 4 3 by clicking on the individual processes present you will be able to directly gain access consult the inserted data carry out modifications eliminate the processing by selecting the Delete button present in the window of each processing starting from the second time you open 10 meli Pu i 2 LLJ Picture 4 3 recapitulation zone of the processes Chapter 4 User s manual Some processes moreover can be seen in certain recapitulation zones in the main window of the program details i
56. ncel to exit without saving the processing The button will open the program s online help Chapter 4 User s manual Physiologies of nutritional interest This function enables you to take into consideration any possible conditions of pregnancy or breast feeding This process 15 active only when the patient is female and is of a certain age roup Pregnancy OR Months of pregnancy Reduction of physical activity level Picture 4 13 pregnancy This function enables you to record the patient s months of pregnancy and whether the period of pregnancy coincides with a reduced physical activity Breast feeding N Breast feeding ww e Picture 4 14 breast feeding This function allows you to record the patient s months of breast feeding and whether there 1s a possible slow or fast weaning in progress In both windows press the Apply button to memorize the inserted data or press the Cancel button to remove it Chapter 4 User s manual Pathologies of nutritional interest The program enables the user to have at any given moment a complete picture of the patient s pathological condition thanks to the functions of the Pathologies of nutritional interest and Concomitant Pathological states described in following paragraph the latter represents those pathological conditions that are not closely related to nutritional treatment On opening the Pathologies of nutritional interes
57. ncies and or miscarriages or abortions it will be necessary to write the age of the patient when each episode occurred the software will automatically carry out the relevant computation picture 3 5 D Pregnancy Deliveries 1 Years 27 Terminations of pregnancy 0 Years Picture 3 5 pregnancies In the case where the investigation refers to sport select with the mouse the item of interest by clicking inside the relevant small disc and in the case in which the patient states that he she practises a particular sport in a healthy and regular manner write the sport practised in the appropriate text box picture 3 6 Sport None Occasionally C Regular Mame Swim Picture 3 6 sport Chapter 3 User s manual In the fields where the items of interest are marked by a small disc the choice may fall only on one as in the investigation of the sport sector In the case in which the items of interest are marked by the small square once the defaut setting has been removed more than one item can be selected at the same time as in the case of diuresis The Apply button of picture 3 3 will close the window of the Personal physiological case history and memorize the entered data the data will be removed by means of the Cancel button Chapter 3 User s manual Personal pathological case history The Personal pathological case history is carried out with the aim of individualizing previous pathological conditions
58. o 100 100 On clicking on the small arrow on the right of the box a list will open with options regarding the zoom dimensions 20 50 100 200 300 400 width whole it 1s possible to select one of the items in the list or directly type the percentage desired inside the box e This 1s for cancelling the last operation carried out l This Deactivates the previously selected edit function A By activating this option it is possible by keeping the left hand button of the mouse pressed down to draw a free line on the image This permits you to draw a straight line on the image LJ This button permits you to draw squares on the image Also this button permits you to draw squares on the image which unlike in the previous function internally will be of a colour previously chosen by the user Chapter 4 User s manual abl This button permits you to add text to the digitalized image by writing in the appropriate space in the window of picture 4 28 which will open after having clicked on the point where you wish to carry out the entry the options present in this picture also allow you to choose the type of character from those available the size bold type italic The Apply button will launch the introduction of the text the Cancel button will renounce the operation Font Tahoma 2 Bold print Points 20 en Underlined Text Cancel Apply Picture 4 29 text entry e Every tim
59. od items and if necessary in the case ot food allergies also all the other food items belonging to the same family of cross reactivity with the Food allergies and intolerances on the other hand some treatments are activated that envisage a series of automatic choices on the part of the software Press Apply to memorize the inserted data and press Cancel to exit without saving the processing Chapter 4 User s manual Stress factors There are some acute pathological conditions capable of influencing the basal Metabolism and consequently the TDEE of the patient which are called Stress factors On selecting the process from the list of picture 4 1 you will gain access to the window of picture 4 13 1f the patient complains of one of the conditions included in the list click with the mouse inside the corresponding small disc In the case where the selected item 15 Burns also the fields regarding Surface Burnt and weight before the burn Kg will be activated which the user must compile Since the current scientific literature does not refer to cases of patients suffering from several stress factors at the same time it is possible to select a single item from those in the list in the window below lan Stress factors O Post operation without complications O Peritonitis O Long bone fracture O Burns Cancel Apply Picture 4 13 stress factors Press Apply to memorize the inserted data and exit press Ca
60. of printer setting To close the print window click on the symbol X in the top right hand corner picture 5 12 The Close button of picture 5 2 will close the Cardiovascular anthropometrical and metabolic data trend function and reopen the main window of the examination archive Chapter 5 User s manual Clinical analyses trend This type of processing enables you to monitor and graphically view the trend of the results of the clinical analyses By selecting the clinical analyses trend item from the menu you will gain access to the window of picture 5 13 where the list of all the analyses of whose results have been registered in the various examinations carried out by the patient will appear on the left hand side of the screen while on the right hand side you will see the graph of the trend of the selected parameter i amp Cartella Elettronica Progeo Clinical analyses trend DON Print Graph Optiony Cholesterol Total cholesterol Total cholesterol 0 200 mg 100ml 15 10 2003 Selected for the printing Print Close Picture 5 13 clinical analyses trend To view the trend of a parameter select the item of interest The graph will show the trend of an individual analysis according to the various examinations the dates of the examinations carried out by the patient in chronological order will be shown in the abscissa while the registered values will appear in the ordinate The points that
61. owever to consider as such aerobic activities carried out 3 to 4 times a week for a duration of at least 20 minutes each session The carrying out of desirable physical activities influences the multiplication coefficient utilized for the estimate of the energy needs according to the sex and the age group Chapter 2 User s manual The Name the Sex and the Age are automatically imported from the initial window for entering data picture 1 3 the number of the examinations 1s calculated from time to time by the software in a progressive manner while the date of the examination synchronized by the clock of the computer system can be modified if necessary by positioning oneself with the mouse inside the relevant box From the second examination onwards the software will automatically re propose the data that has been previously registered with exception of the Weight which must be entered by the user the other data may also be modified if it has been subject to variations with regard to the previous examination In the case where the patient is not able to assume an erect position in order to have his height measured the software will enable you to calculate the patient s stature by utilizing the measurement of the height of the knee to gain access to this function click in the small square marked by three dots to the right of the Height field In the window of picture 2 6 the user must indicate the race to which the patien
62. ration Exertion test Test type Step test x Number of heartbeats per 20 seconds 8 Picture 4 10 select the type of test To carry out the assessment type the heart rate number of heartbeats recorded in 20 seconds measured at the end of the test The program will automatically calculate the maximum volume of oxygen VO ml Kg min according to the heartbeats registered and define a fitness level that can be seen in the graph by means of a determined band of colour the scale on the left of the window picture 4 11 shows the correspondence of the colour with the state of physical fitness ai Cardiovascular parameters DON Basic parameters Systolic arterial pressure mmHg Diastolic arterial pressure mmHg Cardiac frequency at rest Exertion test Test type Step test Number of heartbeats per 20 seconds 40 Method of execution of test Height of the step 40 cm for men 33 cm for women Frequency 22 steps min Length of the test 5 minutes vO2max 38 97 ml kg min Fair Insufficient Cancel Apply Chapter 4 User s manual Picture 4 11 cardiovascular parameters Press the Apply button to memorize the data inserted and exit press the Cancel button to exit without saving the processing Chapter 4 User s manual Food allergies and Intolerances The Allergies and intolerances processing enables you to select with a double click from the list on the left of the window of pi
63. re 4 37 will display after the ideal weight according to Peck the Interpretation of the growth button which will enable you to gain access to the relevant processing see previous paragraph for the explanation CHAPTER 5 TRENDS Chapter 5 User s manual Trends This option exclusive to Cartella Elettronica to which you gain access by selecting the relevant menu item illustrated in picture 5 1 includes two processes e Cardiovascular anthropometric and metabolic data trend e Clinical analyses trend Trends Cardiovascular anthropometric metabolic data trend Clinical analyses trend Picture 5 1 Trends menu Chapter 5 User s manual Cardiovascular anthropometrical and metabolic data trend On Selecting the Cardiovascular anthropometrical and metabolic data trend menu item you will gain access to the window of picture 5 2 where on the left side a list will be displayed of all the parameters recorded up to the present date 2 Cartella Elettronica Progeo Cardiovascular anthropometric metabolic data trend Printr Graph Option Close Processes Basic report Height Basal metabolism TDEE kcal Anthropometric Report Right forearm Waist cm Hips 10 06 2003 05 07 2003 0809 2003 Selected for the printing Print Close Picture 5 2 Trend of parameters To select the trend of a parameter click once on the corresponding item the new graph will b
64. re and appear written inside a small text window picture 2 14 Chapter 2 User s manual 63 days passed 25 days since previous examination picture 2 14 utility The Parameters shown in picture 2 15 that 15 the BMI the Ideal weight according to the BMI the Status the basal Metabolism the BEE according to the Harris Benedict formula and the TDEE zone number 4 of picture 2 1 are automatically calculated by the software after the patient s data has been introduced in order to obtain the calculation of Biotype and of the Plurimetabolic risk the user will have had to have entered ulterior anthropometrical measurements see District anthropometry paragraph Parameters BMI range 18 5 25 25 3 Status Overweight Biotype Gynoid Plurimetabolic risk Slight Basal metabolism 1 421 kcal 5 944 kj BEE Harris Benedict 1 431 kcal 5 989 kp TDEE 2 017 kcal 8 440 kj Picture 2 15 calculated parameters If the current examination is not the first being carried out by the patient the software will automatically calculate a series of data variation of the weight from the beginning of the treatment and since the previous examination monthly weekly and daily variations zone number 5 of picture 2 1 and details in picture 2 16 Weight variations Period from 10 06 2003 to 05 07 2003 Total 4 00 5 56 Monthly average 4 80 6 67 Weekly average 1 12 Kg 1 56 Daily average 0 16 Kg 0 22
65. ries example Hemochrome urine tests etc which group together a series of similar analyses For printing the prescription you can select the individual items by clicking in the corresponding small square or you can select the whole category Presc ription analyses O Alkaline Phosphatase AIPh Amylase O Azotemia Group of exams O Cortisol 24 hours O Cortisol 8 hours Total cortisol Creatinine O DHEA Electrolytes O Calcium O Chlorine Magnesium Potassium O Sodium V sana 4 5 Picture 4 20 analyses prescription Standard prescriptions can be created and memorized utilizing the Group of exams function To create an archive select the items of interest from the list of picture 4 20 and by clicking on the Group of exams item on the top right of the window you will gain access to a window in which it is possible to save the prescription Save option assigning it a certain name example routine female picture 4 21 This group of examinations can at a later date be quickly prescribed by opening the Group of exams window indicating the name of the group and choosing the Select button in this way you will gain access to the main screen where the items corresponding to the indicated group will be selected You may however decide to remove one or more selected item by clicking in the appropriate small square The Delete button enables the elimination of a previously memorized
66. s of the skin fold measuring examination or the bioimpedance analysis in the window of picture 4 39 there will also be a button at the bottom of the page for gaining access to the ideal weight study according to the specific examination carried out In the example of picture 4 39 the skin fold measuring exam has been performed on the patient according to which the software has calculated the ideal weight marked on the graph by the symbol and given in the table below the ideal weight according to BMI the real weight and the desirable weight will continue to be indicated in the graph and in the table The Study of the ideal weight according to the BMI button enables the user to go back to the window of picture 4 37 ry Study of the ideal weughts Sex Male Age years 33 and 7 Months Height cm 176 0 weight 87 0 Physical structure Average Study of the ideal weights on the basis of the skin fold measuring exam 0 10 20 30 50 60 20 60 90 100 110 120 130 Overweight WPSlight obesity Current weight lt Pdesirable weight IBI Ideal Weight Ideal weight by skin fold measuring Ideal weight of the various authors Underweight weight Moderate obesity obesity desirable weight i Delete Cancel Apply Picture 4 39 study the ideal weights based on the skin fold measuring exam In the case in which the patient 15 between 3 and 18 years old the window of pictu
67. sage Also in this case any item entered may be modified or removed at a later date Chapter 4 User s manual Document digitalization This innovative function enables you if you have a twain compatible image digitalization peripheral scanner webcam digital camera etc to quickly file photographs documents graphs etc This function 1s accessible by means of the Scanner button found in the relevant windows and several processes Analyses results Instrumental investigation reports and specialist examinations as well as by selecting the item document digitalisation from the list of processes picture 4 1 The program has separate archives for each processing that envisages this function so that the report of a specialist examination will be contained in the archive of the relevant processing Any type of document can be digitalized and conserved in a single archive to which access will be attainable by means of the Digitalization of documents processing this archive for example can contain photographs regarding the patient or of certain parts of his her body so that you will also be able to visually monitor the aesthetic results obtained with the treatment To launch a digitalisation process select the Digitalize new image button of picture 4 25 this will automatically launch the software that manages the peripheral supplied and which however 1s not described herein being specific for each make and model
68. sertion click on the OK button otherwise select the Cancel button see picture 3 12 A special function allows you to automatically calculate the year according to the age inserted and vice versa to calculate the age having first inserted the year this enables you to quickly record the patient s weight trend during the temporary period of time considered both if he she remembers the age associated with the individual weight as well as if he she remembers the year Chapter 3 User s manual Cartella Elettronica Progeo Weight kg Concomitance event Practices sport Stops practicing sport Diet Married Sedentary job Separation De Ju delete Cancel OK Picture 3 12 inserting personal weight case history data It is possible to select with the mouse one or more records previously inserted and request their elimination with the Delete button or modify the data using the Edit button an operation which must always be confirmed with the OK button The Apply button at the bottom of the window in picture 3 11 is needed to record the data and close the window while the Cancel button is for exiting without saving the entered data Chapter 3 User s manual Dietetic case history This investigation picture 3 13 allows you to record possible dietetic treatments previously carried out by the patient Cartella Elettronica Progeo Selle from Issued by 01 09 1985 24 12 1985 Dr Smith Edit Add
69. sm TDEE kcal Anthropometric Report Right forearm Waist cm Hips 10 06 2003 05 07 2003 08 09 2003 Selected for the printing Print Close Picture 5 4 a bar graph in 2D in green Chapter 5 User s manual Cartella Elettronica Progeo Cardiovascular anthropometric metabolic data trend Print Graph Optiony Processes x Basic report Height cm Weight ka Basal metabolism TDEE kcal Anthropometric Report Right forearm Waist cm Hips Selected for the printing Print Close Picture 5 5 bar graph in 3D in blue Cartella Elettronica Progeo Cardiovascular anthropometric metabolic data trend Printr Graph Option Processes x Basic report Height Weight Basal metabolism TDEE kcal Anthropometric Report Right forearm Waist cm Hips Selected for the printing Print Close Picture 5 6 line graph in 3D in yellow The Print function includes the following items e Printing options e Print Chapter 5 User s manual Print Printing options Print Picture 5 7 print The trends available are divided into three groups according to the data entered e Basic report e Anthropometrical report e Cardiovascular report e Skin fold report e Bioimpedance report The prints of the trends respect this division therefore each page will be dedicated to the printin
70. some functions that enable the personalization of the diet that will be processed with the food therapy software Ecleo and Nutrifasi Gold see the relevant manuals for a more explicit explanation of these functions The Default button will allow you to go back to the basic chromatic settings the Apply button will confirm any possible modifications carried out in the window of picture 1 10 while the Cancel button will remove them On selecting the Apply or Cancel button the window will close and go back to the start menu Chapter 1 User s manual Data safety This function accessible from the program s start menu picture 1 12 is a useful instrument for saving the data introduced within the program from any possible damage to the archives and for limiting program access to authorized persons only New patient Patients archive User Preference Data safety Exit Picture 1 12 start menu The user can choose to carry out a data backup copy stored at every launch of the software or at the first daily launch of the software default setting To select one of the two options click inside the small square on the left of the desired item picture 1 13 i Data safety Lo Data safety Carry out a backup copy each time the software is launched iw Carry out a backup copy on the first daily launching of the software Number of copies to save 10 Restore the copy of Access to the data Req
71. t belongs and enter the measurement of the height to the knee in order to correctly carry out this measurement we recommend that you follow very carefully the procedure illustrated in the same window Once the value has been entered the software will calculate the patient s height to confirm the result that will be reported 1n the main window picture 2 1 click on the Apply button or otherwise click on the Cancel button IN Calculation of the structure starting from the heigh Height to the knee Calculated height The measuring is carried out with the subject in supine position The patient bends his knee and the ankle so as to form a right angle A slide caliper should be used of which one end is placed under the heel bone and the other on the front part of the thigh next to the femoral condyles Then the necessary pressure is applied to squeeze the flabby tissues The measurements must be accurate and carried out by an expert Cancel Apply Picture 2 6 calculation of the stature starting from the height to the Knee Chapter 2 User s manual In order to determine the Physical structure it is possible to gain access to two functions Determination of the physical structure e Physical integrity To activate the Determination of the physical structure function select the relevant item from the menu of which you will gain access by means of the 7 button picture 2 7 on the right of the Phys
72. t position must have his arms relaxed and the palm of the hand facing the front the measuring is carried out at the level of the maximum Shoulders cm circumference Chest cm Left forearm the subject in an upright position must have his arms relaxed and the palm of the hand facing the front the measuring is carried out at the level of the maximum circumference Right proximal thigh Right arm with the arm relaxed and with the Left proximal thigh palm of the hand turned towards the thigh the circumference is taken at the intermediate point between the extremity of the olecranon and the Left median thigh extremity of the acromion Any pressure that Right distal thigh crm compresses the fleshy tissues must not be Left distal thigh cm applied Left arm with the arm relaxed and with the palm of the hand tumed towards the thigh the Left calf cm circumference is taken at the intermediate point between the extremity of the olecranon and the extremity of the acromion Any pressure that compresses the fleshy tissues must not be an ans lac A Doctoral frre Right arm cm Left arm Waist cm Hips cm Right median thigh cm Right calf Skin folds Measurement Bicipital Tricipital mm Delete Cancel Apply Picture 4 5 district anthropometry To enter the numeric value of the measurement taken position yourself with the mouse inside the corresponding box and type in the value
73. t window picture 4 16 1t 1s possible to select with a double click of the mouse the items which concern the patient to render this operation easier the list of pathologies which can be fully visualized using the appropriate scroll bar situated on the right of the window 1s divided in macro categories each one characterized by a different band of colour The selected pathologies will appear in the section on the right of the window where in some cases also the insertion of further parameters will be required in order to determine which level between 1 and 2 should be attributed to the pathology in the picture below an example of arterial hypertension is shown in which you are asked 1f the patient is under pharmacological treatment and if this 15 not the case you are asked to provide the values of the diastolic and systolic pressure The level automatically assigned by the software according to the entered parameters may be modified by selecting what you consider to be appropriate this option will go to determine certain choices of the software during the processing of the food therapy ia Pathologies of nutritional interest Pathologies of nutritional interest Selected pathology Duodenitis Gastropathy by biliary reflux Hepatic steatosis Hiatal hernia Hyposecreting gastropathy Irritable bowel sydrome Meteorism Peptic ulcer Post cholecystectomy Post colectomy Post gastrectomy Post ileostomy Reflux esop
74. tf tf RH LN NAN TTT TTT yt NANTI TSTST N SER NNC EEHEEEHH NM TT TT 0 ER PTT Tt Ty NACI ALII NNI NI YRT ae IJ I T T T T1 oo te 11141 11114 CO A 6 3461974 Age years rm cancel so Source CDC Growth charts Picture 4 35 interpretation of the growth The first curve to be displayed will be the one relevant to the percentiles of the Weight To visualize the other curves click on the small arrow inside the field at the top right of the window details in picture 4 36 and select the item of interest BMI or Height Weight kg v m I fnr Picture 4 36 detail of the selecting the curve 81 Chapter 4 User s manual The curves that relate to the latest version published of the CDC Grow Charts furnish the percentile values of weight BMI and height relevant to the sex and based on data taken from a population ranging from 2 to 20 years old The central curve which appears in red in the graph represents the 50 percentile The small green disc on the curve exactly indicates the current position of the parameter considered from the graph it is possible to envisage the values the patient will assume year by year up to the age of 18 years old These values will be reported
75. the archive will open Ea Patients archive Insert the patient s surname Patients list Brown Maria Linbert Christine Smith David Picture 1 5 patients archive In order to select one of the patients in the list double click on the name or click just once and press the OK button to search for a specific name enter the surname in the appropriate text box only the patients with the typed surname will appear in the list Once the patient in the archive has been selected the Examination archive window will open see picture 2 1 of the following chapter from where a new examination can be carried out or a previous one opened The Cancel button on the other hand will close the patients archive window and reopen the screen of picture 1 1 The New button will open the screen for entering a new patient illustrated in the previous paragraph the Delete button followed by a confirming message is for removing the previously selected patient and all the associated examinations from the archive The Import button will allow you to import patients and examinations that have Chapter 1 User s manual been transferred by the Export examination function of chapter 6 Chapter 1 User s manual The User option of the start menu enables the personalization of the program by entering the user s data which will be shown at the foot of the page of every printed report New patient Patients archive User Preferen
76. the data regarding one of the activities entered select it as in the previous case and carry out the necessary modifications in the Type of physical activity field confirm the operation with the Save button Once the reconstruction of the patient s typical day has been completed the calculated daily LAF will be shown in the window select the Apply button to confirm the calculation in this case the estimate of the TDEE will be carried out with the help of this coefficient or the Cancel button to close the window without introducing modifications To eliminate the daily LAF if it has been calculated previously just click on the Delete button situated at the bottom left of picture 2 10 The button is for gaining access to online help regarding the program To eliminate a previously carried out examination of a patient select it with a click of the mouse from the list of the examinations in date order zone indicated by the number 2 in the window of picture 2 1 and shown in detail in picture 2 13 below and select Delete current examination from the menu of picture 2 4 Examinations 05 07 2003 Picture 2 13 examination list By positioning yourself with the mouse on the date of a certain examination important information will be visualized e Number of days passed with regard to the current examination e Number of days passed since the previous visit This information will be automatically calculated by the softwa
77. tigation and lower down the text of the report This operation can be repeated for each of the investigations that the user wishes to enter all the investigations registered in the current examination will be listed in order of entry in the left hand section of the window in such a way that on selecting the item of interest the relevant data will appear in the right hand section To modify the previously inserted data select the investigation from the list on the left and click on the item Edit to eliminate it select the item Delete En Instrumental investigation reports E Edit Delete Date 02 02 2003 Echography Carried out at Hospital Doctor Smith Report Gastritis Scanner Delete Cancel Apply Picture 4 33 Instrumental investigation reports The Apply button will close the window memorizing the inserted data the Cancel button will remove it Chapter 4 User s manual Specialist examinations This process shares the setting and the procedure of the Instrumental investigation reports option described in the previous paragraph and enables you to file the reports of possible examinations carried out by the patient at specialists surgeries or clinics A further section of the window picture 4 34 not present in the case of Instrumental investigation reports will enable you to record any possible pharmacological prescriptions prescribed to the patient by the doctor responsible for having carried out the
78. uest password to launch software Apply Picture 1 13 data safety window This function is not included in the online version where only the possibility to carry out the copy of the archives is provided for as described in the specific supplement of the manual Chapter 1 User s manual By default the software will conserve in the memory the last 10 copies of the file carried out to modify this setting enter inside the box next to the item Number of copies to conserve the number you wish to save from 1 to 99 naturally the higher the number of the conserved copies 1s will result in a greater portion of the memory being occupied In the case of accidental damage of the files or for any other reason 1t is possible to restore one of the conserved copies By clicking on the arrow in the box to the right of the item Restore backup copy of the list of the copies classified according to the date and time when they were carried out will appear select with a click of the mouse the one to be restored and confirm the operation with the Restore button picture 1 14 en Data safety ER Data safety Carry out a backup copy each time the software is launched iw Carry out a backup copy on the first daily launching of the software Number of copies to save 10 Restore the copy of 05 09 03 16 51 4 Access to the data 04 09 03 12 58 42 03 09 03 10 16 44 Request password to lau 02 09 03
79. w patient to the existing archive the Cancel button closes the window without saving the data Once the compulsory data is entered it 1s possible by clicking on the button Other to add further information regarding Marital status School attendance and the patient s profession as illustrated in the window of picture 1 4 Chapter 1 User s manual E Cartella Elettronica Progeo Marital status Profession O Unmarried O artist O Married O Athlete O Separated Clerk O Divorced Craftswoman Cancel O Widow Factory worker Housework Manager O Military man _ Professional person Restaurateur O Elementary school certificate Student Middle school certificate O Teacher Secondary school diploma O Tradesman O University diploma Unemployed Degree Other Rote Picture 1 4 entering additional data To select one or more items click in the relevant small disc The Apply button determines the saving of the entered data while the Cancel button will close the window without saving the data Chapter 1 User s manual Patients archive To gain access to the patients archive click with the mouse on the relevant item of the start menu shown in picture 1 4 New patient Patients archive er User Preference Data safety Exit Picture 1 4 start menu The window of picture 1 5 containing the list in alphabetical order of all the patients included in
80. ychosis Oconvulsive crisis L coxarthrosis otes Delete Cancel Apply Picture 4 17 concomitant pathological states To select the items that concern the patient from the Concomitant pathological states list click with the mouse inside the relevant small square the selected item will be moved to the top of the window and marked by the following symbol To remove a previously chosen pathological state click in the small square on the left of the relevant item In the lower part of the window there 15 a space dedicated to Notes where the user can record any further information regarding the patient The Cancel button will close the window cancelling any possible modifications carried out the Apply button will save and update the data which will be displayed in the recapitulation zones of the main window The Delete button present only when a file that already exists 15 opened will determine the elimination of the processing in the current examination Chapter 4 User s manual Symptoms referred This process enables you to register possible symptoms referred by the patient during the examination Each symptom in the list is associated with a small disc on the right that is green in colour if the relevant item hasn t been selected clicking on the corresponding disc with the mouse will turn the disc red indicating that the relevant symptom has been reported by the patient during the current examination To

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