esteck reports

ESTECK Status Report

WARNING! The ES Teck system does not replace any medical examinations. The ES Teck system should be used as adjunct or screening. All results should be considered in the clinical context of the patient's case history, symptoms, known diagnosis, current medications, treatment plan and therapies.  Final status report is the sole responsibility of the practitioner.
Subject ID	Practitioner
First/Last Name: devendra jain	Address:
Weight : 70.0
Height: 177.8 cm	Title:
Date of birth:  15-12-1972
Gender:   Male
	Telephone / Fax / E-mail:
Measurement conditions	Name : Administrator
Examination performed at:  17-4-2011  12 : 42	Physician’s notes:
Registration method: A1 (70,0,100,60,0) N1 (60,0,100,60,0)
Examination performed with a ES Teck Sensors Analyzer Manufactured by L.D Technology. ISO 13485 Owner/Operator Number: 9097859. Establishment Registration Number: 3006146787. CE 0535 Class IIa. 510k number K102166 and k102442 Class 2 and EC 0535.  ES Teck sensor is accredited as electrical equipment type BF according to the standards EN 60601-1-1. CEM according to the standards EN60601-1-2
Clinical context
Symptoms : Check-Up No symptom, no treatment
Medications :
Daily Activity Level: Moderate: walk 20 minutes a day / 1-2 hours sport a week Systolic / Diastolic pressure: 120 / 80
Reason for consultation:	Signature of the practitioner :

EIS indicators

The EIS measures the human body electrical properties (electrical conductivity and dispersion).

The signals processing analysis provides data about the galvanic skin response.

Main indicators for each electrodes pairs : Hand, Foot and Forehead

SDC + : Electrical conductivity related to the pathway from anode to cathode and from the peer reviews it seems related with the tissue oxygen level

Delta SDC+-SDC -: numeric value .From the peer review, it seems related to the interstitial chloride ions (inversely proportional) .

Alpha parameter : Electrical Dispersion. From the peer reviews, it seems related to the morphology of the fluid between the cells.

HRV

Heart Rate Variability (HRV) is the mathematical analysis of the time between each Heart beat and provides indicators of the Autonomic nervous system activity and it is the gold standard to estimate your stress level.

Main indicators:

Heart rate: The number of heart beats per minute

SI Stress Index: Indicator of the heart left ventricle work and heart oxygen consumption

MxDMn: Indicator of the stability of the heart rhythm

HF % and ms: Main indicator of the parasympathetic activity

Total Power: Indicator of the vagal activity.

LF/HF: ratio considered by some investigators to mirror sympathetic/parasympathetic balance or to reflect sympathetic modulations.

HRV Indicators

$FIELD381

SPo2 % and Photoelectrical Plethysmograph

Q (Cardiac Output): Indicator of the volume of blood being pumped by the heart in a minute.

SVR (Systemic Vascular Resistance) : Indicator of peripheral Resistance to flow that must be overcome to push blood through the circulatory system.

MAP (Mean Arterial Pressure): Average pressure during the aortic pulse cycles estimated from the Digital Pulse Analysis

Stiffness Index: Indicator of the large artery stiffness related to the blood pressure

Reflection Index: Indicator of small and middle size artery stiffness

DEI: Indicator proportional to the peripheral artery elasticity or to the venous return (vasoconstriction)

Estimated VO2:  Oxygen uptake represents the oxygen supply for the tissue metabolism

Estimated DO2:  oxygen delivery is the rate of oxygen transport in the arterial blood   

SpO2%: Hemoglobin oxygen saturation in percent corresponding to the arterial oxygen pressure. It can be reduced e.g. anemia, hypothyroidism, high altitude, Co2 increased, histotoxic hypoxia (cells cannot use 02) , oxygen-hemoglobin bond increased affinity, sleep apnea or lactic acid excess.

Body composition and follow up

The estimated body composition is made according to the measurement of the body resistance in tetra polar mode and frequency of 50 KHz. The estimated values are calculated from the peer reviews. Please note that these ranges are average values taken from a treatment of the NHANES-III survey data. They are not to be interpreted as being 'ideals' and may not necessarily reflect values that are generally considered 'healthy'.

What do the Results Mean?

FAT Mass: Fat is the energy storage of the body. Everybody needs fat in their bodies, but it is important not to have too much.

Fat Free Mass (FFM) : This value is, literally, what would be left after all fat was removed from the body. Many people also Refer to FFM as Lean Body Mass (LBM).

Total Body Water (TBW):  Literally, the total amount of water in the body. Since fat is essentially 0% water, TBW is entirely contained within FFM.

Intra-Cellular Water (ICW) : This is the portion of Total Body Water that is located within the body's cells.

Extra-Cellular Water (ECW): This is the portion of Total Body Water that is located outside of the body's cells. Examples of where ECW is found include, but are not limited to blood plasma, spinal fluid, joint fluids, and edema.

Target Weight:  If you and your patient know how much he/she should weigh, this value can be manually entered. Otherwise, it is calculated using a set of standardized formulas.

Body Mass Index (BMI):  A person's BMI is equal to their weight in kilograms divided by their height in meters, squared. BMI is commonly used as an indicator of whether someone is overweight.

It is important to note, however, that somebody who is 'overweight' may not necessarily be 'over-fat'. A 5'10'', 300 pound couch potato and a 5'10'', 300 pound bodybuilder will have exactly the same BMI.

Basal Metabolic Rate (BMR):  Basal Metabolic Rate is the number of calories that a person will use per day, by virtue of simply being alive (i.e., lying still and breathing).

Homeostasis Score

The homeostasis score provides a fast overview of a patient’s homeostasis processes and responses with the key regulatory mechanisms, to understand the patient’s potential adaptation to lifestyle, disorders, diseases or current treatment. or any factors (temperature, stress…)

•      Depend first of all from Genetic

•      Could be affected by lifestyle/diseases/ treatment

•      Decreased with age.

The healthy subject is not identified as such simply because he does not have any disease, but because his homeostasis score is acceptable and therefore his body can adapt and remain healthy when challenged. The homeostasis score cannot be used as diagnosis.

Results meaning

Maximum Score = 30

Very Good = 27-30

Good = 24- 27

Normal = 20-24

Warning = 17-20

Low = 10-17

Poor < 10

Suggested diet and micro nutrition advices 1

The advices in nutrition and micro nutrition could be revised in the next follow up examination. The advices do not take care about the clinical context, current treatment and specific lifestyle such as vegetarian, athletes. The advices are issue from Recommended Dietary Allowances, 10th Edition. National Academy Press 1989-1999. ISBN: 0-309-04633-5 and the cross analysis of the ES Teck results and in particular the body composition and hemodynamic indicators.

NOT RECOMMENDED FOODS	RECOMMENDED FOODS
Vegetables Egg Plant, Soy beans, Vegetable stock, Chestnuts, Dandelion Animal protein Salami , Frankfurters, Well-hung game, Marinated herring, Beef liver, Cold cuts, Animal proteins and fats with moderation Carbohydrates Brewer's yeast, Sodium glutamate (often used in Chinese cooking), Not more than 30 g of fiber per day Fats Fried food, Virgin cold-pressed plant oils Drinks Certain wines (Sauternes, Chianti, Riesling, Porto), Beer, Alcohol Oily foods Almonds, Brazil nuts Fruit Bananas Aromatic herbs Cider vinegar, Cinnamon, Curry, Ginger Miscellaneous Coconuts, Pumpkin, sesame, sunflower seeds, Sprouted seeds	Vegetables Asparagus, Artichokes, Brussels sprouts, Onions, Tomatoes, All dry vegetables (chickpeas, Lentils , red beans...), Ginseng Animal protein Egg, Cooked egg-white, Egg-white, Fish Carbohydrates White rice, Rice Drinks Green tea Oily foods Hazel nuts Fruit Apricots, Plums, Fresh fruit Herbs Rosemary, Sesame, Garlic Aromatic herbs Peppers Oils Cod liver oil, Plant oils Cereals Bran
MICRONUTRITION	COOKING METHODS
Vitamins Vit. B5, Vit.C Trace elements Cobalt Manganese ,Iodine ,Sulfur ,Phosphorus Plant therapy Poppy ,Passion flower ,Aubeline ,Hawthorn	· Steaming is to be preferred to all other methods. · For cooking food: olive, peanut or palm oil, without ever allowing it to smoke. · For improved digestion, advice for cooking : carrots, tomatoes, broccoli,  spinach then add olive or colza oil after cooking. · To prepare fish, marinate in lemon juice, wine or oil, then steam or poach in stock · Do not burn or carbonize meat and throw away the gravy.

Suggested diet advices 2

REGIME	FOOD ASSOCIATIONS
Daily Energy Expenditure (DEE): 2571 Kcal	· Meat-potato · Meat-vegetables (good for acid-base balance) · Meat-cereal- vegetables (ideal complementarily) · Diversity of fruit and vegetables (action synergy of plant- micronutrients)
DIETARY ADVICE
Reduce salt, alcohol, fast sugars, avoid barbecued foods and overcooked or burned foods, smoked animal protein (meat, fish, poultry), avoid fried foods and do not re-use cooking fat or oil.  Your total daily calories should be made up of: 10 to 15% animal and vegetable protein 30 to 35 % fats 50 to 55% glucose, 10% of which should be fast sugars  30 to 40 g of fiber /day A balanced diet must include all these substances vitamins and trace elements must be added. Water quality is the essential complement to a balanced diet. You should always eat a big breakfast, moderate lunch and light meal in the evening. Avoid using microwave ovens. Q10 coenzyme supplement is recommended (from 150 to 300 mg / day).