Lotos User Manual
Contents
1. 128 Psychoemotional state index defines the degree of devastating effect of stress on the body Frequency spectrum of the brain activity is obtained by means of translation of heart rhythms to the frequency range of brain rhythms Obtained spectrum is divided into ranges corresponding to the frequencies of delta teta alfa beta and gamma rhythms BRAIN ACTIVITY SPECTRUM iy The frequency spectrum of brain activity k m the normal state i The frequency spectrum of brain activity a disease state overfatique and a stress Equal distribution of rhythms over the entire frequency range corresponds to the normal state Predominance of delta rhythm is indicative of disease state overfatigue and stress The Fractal Analysis Tab In the Fractal Analysis Tab information about the fractal analysis of the patient s status is displayed Fractal analysis is designed to visually assess the degree of harmonization of biorhythms in body organs and systems which have a fractal structure with the purpose of detecting functional and pathological changes and assessing organism s immune status as well as predicting patient s health state changes amp 8 se Names FRACTAL ANALYSIS L 2X Quick Search Wednesday March 24 2010 12 02 31 PM Wednesday March 24 2010 12 32 51 PM p _Example FRACTAL PORTRAIT BIORHYTHMS O FRACTAL PORTRAIT BIORHYTHMS on 11 ecg level of harmonization level of harmonization 50 102. Extra systole IGT 120 ECG Viewing To view the Results of patient s survey select in the List of Patients the patient whose survey Results have to be viewed The function of quick patient search can be used if necessary When clicking with the left mouse button on any patient in the List of Patients the Survey Results Panel displays the Results of the last survey of the patient distributed in six tabs To choose another survey date use the control element Select Survey Date p Delete Delete Frint report ie March 24 2010 1 02 36 F Wednesday March 24 2010 12 52 33 PM a March 24 2010 12 42 2 pipers March 24 2010 12 32 51 P pe March 24 2010 12 22 21 EEEE T March 24 2010 12 12 16 P The Vegetative Regulation Tab The Vegetative Regulation Tab displays information on patient s vegetative regulation parameters Vegetative regulation is performed by the vegetative nervous system which regulates the physiological processes below the level of human consciousness It promptly reacts to the changes of internal and external environment by influencing the cardiovascular system whose effective work determines the supply of nutrients and oxygen 9 B mae VEGETATIVE REGULATION Q Quick Seach C C S Wednesday March 24 2010 12 02 31 PM Wednesday March 24 2010 12 32 51 PM _Example HISTOGRAM R R INTERVALS HISTOGRAM R R INTERVALS A 11eg tension index S tension index
3. Control Panel Hardware and Sound gt hd Control Panel Home H Devices and Printers A f l System and Security Add a device Add a printer Mouse Device Manager Network and Internet C i AutoPlay Eiane ad Sound Change default settings for media or devices Play CDs or other media automatically Programs D Sound User Accounts and Family N Adjust system volume Change system sounds Manage audio devices N Y Power Options cane aa Change power saving settings Change what the power buttons do n Require a password when the computer wakes Change when the computer sleeps Choose a power plan Clock Language and Region Ease of Access 2E Display Make text and other items larger or smaller Adjust screen resolution Connect to an external display How to correct monitor flicker refresh rate Open USB Controllers group in the Device Manager and make sure that the device USB Serial Converter is included in the list Z Device Manager eae File Action View Help e m H m amp a gy WIN7 PC 3 Batteries Computer Disk drives B Display adapters lt 3 DVD CD ROM drives Q5 Human Interface Devices ca IDE ATA ATAPI controllers Keyboards R Mice and other pointing devices amp Monitors amp Network adapters Ports COM amp LPT Dp Processors amp Sound video and game controllers jM System devices 4 Universal Serial Bus controllers Standard OpenHCD USB Ho
4. patient whose last name starts with the letters entered in the Search field will be immediately selected If some letter cannot be entered in the Search field it means that in the List of Patients there is no patient whose last name starts with these letters Import of Data from the Program Omega M TERA Data of patient surveys performed by means of Omega M can be Add Insert added to the database of the program LOTOS For that end click with Delete Delete the right mouse button any spot in the List of Patients A dropdown menu will open in which Import should be selected After that Import standard window of file selection will open where survey data Export archived by Omega M should be selected Read the Omega M J Sound operation manual on how to archive the survey data in the program Omega M W Check for updates To add data from several archives select these archives in Windows Files Explorer then drag and drop them on the window of the program LOTOS Drag amp Drop function Export of Data into Archive Patient database can be saved into an archive file For that click with the right mouse button any spot in the List of Patients Dropdown menu will open in which Export should be selected Thereafter standard Explorer window will open where name of the created archive and its location should be indicated Then press the button Save and wait till the archiving of the List of Patients is completed
5. 50904116 2005 Purpose The facility LOTOS is designed to be used for assessment of health state as well as for control of treatment efficiency The device LOTOS differs from other devices as it is mobile and easy to use To operate the device no professional medical education is needed Following the detailed step by step user guide allows to obtain survey results in a prompt and convenient way LOTOS provides for graphic representation of the body response to medicines and medical treatments Features e ECG recording with real time monitoring of functional state indices e Assessment of the state of cardiovascular and vegetative nervous system by means of variance analysis e Assessment of body s neurohumoral regulation and energy resources by means of neurodynamic analysis e Assessment of current psychoemotional state using the method of brain biorhythm mapping e Assessment of organism adaptation level and level of harmonization of biological rhythms using the method of fractal analysis e Determination of patient s biological age e E catalogue of patients with a feature of data import from Omega M program e Simultaneous representation of two surveys results with a view of comparative analysis e Printout of survey results Application LOTOS is indispensable in the routine monitoring of health status in case of ambulatory treatment as well as in patients who take nutritional supplements or undergo organism purific
6. An archive created in this way can be later on imported into the program LOTOS Process of import of data from the archive is the same as the process of import of data from the program Omega M b r ig ECG Recording Make sure that in the bottom right corner of the program window green lamp is on It means that the ECG Recording Module is ready for operation If the lamp is of gray color it means that the ECG Recording Module is not connected to the computer invalid or not detected by the operating system In case the lamp is of red color it means that the ECG Recording module connected to the computer is unfit for operation by the program LOTOS Connect the electrodes to the patient the way it is described in the section Connecting the ECG Recording Module to Patient Select the patient by clicking with the left mouse button the patient name in the List of Patients Press the button In the ECG Visualization Field the registered ECG signal will be displayed Check the signal polarity and if necessary change it with C O button As soon as the program LOTOS has detected the correct and stable ECG signal its record will start automatically At the same time in the ECG Visualization Field Recording will be displayed P e e EEEE recording In case the registered ECG signal has for some reasons many disturbances or its polarity is confused the warning will be displayed in the ECG Visualization Field Si
7. corresponding organism systems while the color of each element indicates to what extent the parameters of these rhythms correspond to the common universal law of living nature activity namely the law of two exponents The ideal exponent parameters are in conformity with the golden ratio Compliance with these parameters ensures the maximum effective work of life support systems at minimum energy costs Yellow and red colors of matrix elements indicate that the parameters of the rhythm are far from being optimal NEE 124 NEURODYNAMIC MATRIX Neurohumoral Regulation Index characterizes the effectiveness of the nervous system s functioning and indicates how optimally the organism uses its energy and physiological resources Neurohumoral regulation system is responsible for constancy of internal environment and adaptation of the organism to changing living conditions ENERGY PYRAMID Energy resources are less normal High level of energy Energy resources are low resources Energy resources in the norm Energy Pyramid characterizes the overall total of the organism s physiological resources and the balance between the cycles of resources accumulation and consumption under the present life pace conditions Correlation between the left and the right sections of the pyramid characterizes the dynamics of anabolic and catabolic processes going on in the body The pyramid s blue area is proportionate to the resource
8. 0 50 100 GERONTOLOGICAL CURVE oe GERONTOLOGICAL CURVE O Age at time of survey Biological age Age at time of survey Biological age 44 y 48 y 44 y 38 y Connect to device LOTOS 0 4 gt Fractal analysis enables to reveal similarity of regularities in dynamic parameters of rhythms which characterize physiological processes in the human organism During the analysis of electrocardiogram the rhythms are singled out which have a fractal structure manifesting in the form of universal reactions to external and internal influences The degree of concordance of these rhythms determines the quality of life activity at a given moment The capacity to maintain and preserve this harmony during a long period of time reflects the quality of organism s capacities of adaptation to changing external and internal environment conditions or its immunity IN ol 128 Fractal portrait index is an information index of organism s immune status demonstrating its capacity of adaptation to new conditions FRACTAL PORTRAIT BIORHYTHMS G3 z 1 OO a i a Maximum biorhythms eee Insuticient harmonization harmony a level 66 83 Eno Bee High lewel of ge Partial disharmony harmonization D biorhythms 50 66 0 17 Normal level of Harmony biorhythms harmonization disrupted Fractal portrait represents a solution of Mandelbrot s equation whose parameters are the d
9. 10 100 10 100 73 AUTOCORRELATION PORTRAIT AUTOCORRELATION PORTRAIT vegetative balance index vegetative balance index 35 250 35 250 Connect to device LOTOS 0 4 gt ITZ HISTOGRAM R RY INTERVALS Histogram specific to states vegetative balance Histogram specific to states prevailing influence sympathetic nervous system Histogram of R R intervals is a diagram representing a correlation of the number of R R intervals in different time intervals of their duration Along the horizontal axis the duration of R R intervals is plotted while along the vertical axis the probability of their occurrence i e the number of R R intervals within the respective range is plotted The histogram interval is 0 04 seconds The range of the histogram base is from 0 32 to 1 64 seconds Vegetative balance is characterized by central position of the bars with localization of the highest bar within the range of 0 7 1 0 s In case of prevailing influence of the sympathetic division of vegetative nervous system a significant shift to the left is observed as well as the histogram base narrowing In case of parasympathetic influence the opposite effect is observed Tension index characterizes the degree of myocard tension AUTOCORRELATION PORTRAIT Optimal vegetative Unstable vegetative balance regulation Stable vegetative Vegetative balance balance disrupted Normal vegetative Vegetative regulation reg
10. 48h2 48 1342 13 19Hz 19 25Hz as H 26 D 67 50 100 a x Complex State Index HEALTH 70 ree ASSESSMENT OF TREATMENT EFFICIENCY Assessment of Treatment Efficiency can be performed by means of express control as well as by means of long term observation Express Control The express control method is applied in such treatments where the effect of treatment exposure can be immediately perceivable First initial indices are measured in patient then the patient is exposed to therapeutic intervention of any kind fast acting medication intake physiotherapy reflex therapy etc and immediately after the therapy exposure repeated measurement of indices is performed Repeated survey results are compared to the initial survey If the functional state has improved it means that the therapeutic intervention has had a positive effect Therapeutic effect might start the organism s recovery process in this case deterioration of indices takes place as the body needs forces to combat the disease If after the therapeutic treatment the indices have deteriorated it is recommended to wait for some time 15 30 minutes and then conduct measurement for the third time Long Term Observation Long term observation is applied with a view of regular control of functional status of the patient under treatment Before starting the course it is necessary to gauge the initial indices as well and then periodical surveys are to be
11. B ports Check the Device e The device and the interface cables must not have any visible damages In case the USB cable has been damaged you can replace it on your own with any equivalent one If USB cable the device or the electrodes cables have been damaged you have to contact the technical support service e On the device connected to the computer red light emitting diode must be on while the blue light emitting diode must be off it only shortly twinkles the moment the device is connected to the computer If both light emitting diodes are on it is indicative of the device s internal error In this case you should contact the support service e Check the sticker on the back of the device DINAMIKA ECG Sensor Pe MEO1 St Petersburg Russia www dyn ru SN DIN7OXXXX J 1011 At the bottom of the sticker the serial number of the device is indicated The first two figures of this number must be 71 or 72 for example DIN721234 If this is not the case then it is possible that you are using the device incompatible with this diagnostic facility Use only the device which was in one set with this diagnostic facility Check the Driver of the Device e Make sure that the device has been correctly detected by your computer s operating system For that open the Windows OS Control Panel and start the Device Manager it is situated in the applet Sounds and Audio Devices rn G a gt
12. Patient s Photo By doing so standard Windows panel will open so as the patient s photo file can be selected Any image file can be used as the patient s photo without any image size limitations Upon completing patient s personal information change click with the left mouse button the control element at the bottom of patient s personal information change window in order to minimize it Changing Patient s Data To change a patient s personal data choose the patient from the List of Patients by clicking the left mouse button then click with the left mouse button the control element at the bottom of the window of patient s personal information change to maximize it Patient s personal information change is described in detail in the clause Adding a New Patient Removing a Patient from the List To remove patient from the List of Patients select the patient whose information should be deleted and click with the left mouse button Peete If the selected patient has any survey data then the window of patient removal confirmation will be displayed If no surveys have been conducted the patient will be removed without any additional questions to the user Quick Patient Search To search quickly a patient in the List of Patients use the field Search Names Surveys situated at the top of the List of Patients Quick Search When entering in this field the first letters of the searched patient s last name
13. R a E E E E E E E EE E E E ES 7 Connecting the ECG Recording Module to Patient cccccccssssscccccessecccceeesecceeseesecceeaeaeceesseeseceesauaseceesaeesecesseaassessugaeeeessages 8 THE PROGRAM INTERFACE caccasaceneacesevceosncaedetes sexsencacssecsnss E TOAS EENEN A EIEN EENAA Er ENEE 9 HS Or PONS irinenn E E E A E A E E ease sede tpeousaneaeniesvaaa tat 9 INE ECO T Ia E E E E E E E A AE ened es pais E EE A 11 The Vegetative Regulation the Neurohumoral Regulation the Psychoemotional State the Fractal Analysis and the CIM SFiS IDS ae E E E A E a taiencz naman eae sen tare nig sae 14 THE PROGRAW OPERAUIO Nigicaccrsovenniccesedessecersnvenesscuceeeroeverseuetnsvese evens euchsucessecunsnsgneducrseversacesussooreset 15 POS MMs i lle p E concat ses E E E E E E E E E E T 15 Aane a NEN PAETE eee eee eee E E EA T E ATE EEA T E EE ET ES 16 Pane ne Pa ES D a E E E E E a 16 Removing o Patient kOm the 6 te a ETE EEEE ee 16 QUICK Paent seale hiers E EE S A 17 Import of Data from the Program OMEa M ccccccsssseccecsesseccccseseccecaussecceeaeeeceesseaseceessaaeceesseeseeessaeaseeeeseueeeeseaaeeessaaasses 17 Export of Data Into ATCHIVE sssrinin aE EA EEEO AE tas EEEE EAA EEEE 17 BSC GU VS oron e E A E E E vast men pe enegteaa aie 18 BRS GAIUS seaasins cee cunctetc se ctnangctepcicinatt ve miaeconit serene asec ptt cco E E E ES 20 THE VEBETALIVE R eUt on TAD asesi a a a a R a R RA 21 Tne Ne ronumoral Regulation Ae scarce sess see EA nc eo ea v
14. STATE INDEX REGULATION STATE Add your comment here Ada Delete Device is not connected 4 List of Patients The List of Patients is located on the left hand side of the window Its upper field serves to display and to change the selected patient s personal information Personal information can be displayed in minimized or expanded mode in the latter case it can be changed Switching between the two modes is performed by clicking with the left mouse button on the bar situated below the patient personal information The List of Patients contains the information on all the examined patients The List of Patients control elements are also located on this side of the window Names Surveys Buttons of selection of List display mode Patient quick search box Delete Patient add and delete button Survey Results Panel displaying survey Results of currently selected patient is situated on the right hand side of the window This panel is basically a set of several tabs Buttons at the top of the panel are used to switch between them In total there are seven tabs a the Registration and Viewing of ECG Data tab contains the control elements for record and display of the patient s electrocardiogram O the Vegetative Regulation tab displays the assessment of the organism Vegetative regulation by methods of heart rhythm variance analysis
15. Scientific and Production Company DINAMIKA Portable Diagnostic Facility LOTOS User Guide Saint Petersburg 2013 www dyn ru CONTENTS INTRODU CUO Nicacci cscs csndnnnonceuasvasswantacesessusnenngencescaessvussneutensesesewusngeneer ese setasswactenmetessvaesseeuessenssuieesesere 3 PODO E ae En EEE EE ts cine ce ears es cones ce certs se nee EN E noe acre ieee E emcee estate naman eae cdc ecane E 3 FI Sa aces E orcs senate EE E E ano atie ice enc ssa uote E E E E E T S E E 3 e a EE E a E E E A T E A E E T E A E E A E A ene A ame A A E E E A E 3 0 0 ETAS Seen E E E E T E eer ee T EA E 4 SUDO n T E E E as ee eee T E E E E E re caeee 4 DELIVERY DG I aerea EE E E E E E ERA 5 TECHNICAL DESCRIPTION eee nn EEEE err 6 The ECG Recording MOdulle cccccsssscccessecccssscccseneeecaseeessneeeceeneeesaeeeeesaeeeesseeeesaeeeeseaseesseuseeseuuecessuseessaseesaaeesseascessaseesees 6 HBr 6 alah r O gre 6 E aap ere ee T E eae ee eae a tee E 6 WAY AUN UGE SS eter sats tien steer stecrpartistnn eves eevee sna E ope cesar fons eo E unas ict tonnes fa naametwn en E EE 6 PRESTARTING PROCFDUR ED cc cncscctoucnsuccosc cwasccensincasueacesteuencesstenswasedeaswscates secnssemaudectiavenserenssossausvecesse 7 SO PEW ce 1S bel AIO A A E twa EE E eagerness A T EE A E A A AT T T 7 Preparation of the ECG Recording Module for Use ssssccsssssssccssssssccucossssccucsesscenccssssceucesesscetsasessceseasssseeteesscensesssseess 7 SEPTO A
16. a vac net neces ne eer vase nese one eaten 23 The Psychoemotional State Ta escsasdacetswareadsessasvolsassancavesdeardawsspadoasadaeokasusensiansdeoe tans wusdgeeadnetaseauebeusauwcioolasaudawbduveelantadat raS 25 The Fractal Analysis MO ieedeta ges censcaenctessaessanstecaceuneacasaynecansaesanensausadeaceieauneatsusuctuseasn gan baseeteanee nd anruacectoneeceuestnseacuedeanaentansnccactn 27 WE COPIER ANIYE VD opri a S D Ee e envio sueisdesdansteouerasseusanees 30 The Dynamics of Functional Condition TaDisisisiseiicesseiiissiinsinedinandi iia aadi aaia 31 Printout of Survey ai Uo cunin E E E EE 33 ASSESSMENT OF TREATMENT EFFICIENCY eesseessseessoesssoecsscecssoecesoecesceessoseesoecescesssoeesssesesocessoeseso 34 Fe ETS UN E E E A T E E E E E T bis de seu T E 34 LONE TEOD E T O e E E E A E 34 REMOVACOF FAULTS earra E E E EE E E E EEA 35 The Pror imie Not Stane ersi innnan ne EE EEEE E E Aa a 35 The Program is Failing to Detect the Device cccceccccsssceccessecccenseccaeuecessuececsausecsseeecessaeceeseuecessauscessuscessausessuusesseaesessaneeess 36 Faults in the List of Patients c ccadsincsaceiesasapcsssavnncesssnncboonsenecsoansdeosweoevanedacesanenpeagssneub ddnsseeepesadeaebisensiavadbeusadinbedevetamdasdanebieeness 38 Probleme DY ECG SIEnNalRECOTOINE siscrorn kennon E E E 39 INTRODUCTION The diagnostic facility LOTOS is one of modifications of the Computer Facility for Organism Functional State Assessment Dinamika TU 9442 001
17. ans that the survey was conducted correctly and its results are reliable If however the graph of functional condition has abrupt level drops it means that either the patient was not at rest during the survey or that the ECG signal arriving from the patient was affected by extraneous disturbances OVHAMMKA NOKAZATENEM OC B NPOWIECCE 3ANVCH The Results of such survey are not reliable and it is worthwhile conducting a duplicate trial having previously removed the factors which have a negative impact on the quality of the recorded ECG signal The button ai serves to switch the graph back to the rhythmogram display mode Functional status Indicators 04 06 04 06 04 06 0 2 l 0 8 D Z pgina 0 8 D2 opiy 0 8 REALL Am i A Dp i yi iy A AJ Bs ONA HEALTH yt a 1 E a KES w i A 04 06 oa hat T4 70 70 oe 67T VEGETATIVE COMPLEX N REGULATION STATE INDEX REGULATION ADAPTATION The indicators display the normalized values of functional status indices A level of organism adaptation B vegetative regulation index C neurohumoral regulation index D psychoemotional state index Health complex state index Notes Field Permits to save and to change the text notes related to the survey 04 0 6 av i Ei EN 67 PSY CHOEMOTIONAL STATE rel ET The Vegetative Regulation the Neurohumoral Regulation the Psychoemotional State t
18. ates the standard for an average patient of this age while the practically measured health index can rank above or below the standard level In the top left corner of the diagram the difference between the actual and the average value is displayed The Dynamics of Functional Condition Tab In the Dynamics of Functional Condition Tab the process of change of functional status indices with the course of time is displayed 868 6 amp Names Surveys aiid OF FUNCTIONAL CONDITION Q Quick Search Wednesday March 24 2010 11 22 58 AM Wednesday March 24 2010 1 02 36 PM 3 _Example DYNAMICS OF FUNCTIONAL CONDITION a 11 ecg H A iig _ e __ Weer E DAILY FORECAST INDICATORS FC 62 59 E TIL IE 0 i 4 November 2009 December 2009 January 2010 February 2010 March 2010 Mo TuWe Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu We Th Fr Sa Su 26 27 28 29 30 31 1 Vis a 6 2 PA ji el T Fewest tops a Wot Uf ag Pale Ao ms E bale iwi oe bel Tl Sans Fy ae ae een ee 3 wm i a e 4 es 14 15 16 17 18 19 20 11 12 13 14 15 16 17 So MA i ts A 8 3 0i 2 BHK 16 17 18 19 20 21 22 21 22 23 24 25 26 27 18 19 20 21 22 23 24 15 16 17 18 19 20 21 b 6 7 8 0 21 21 23 24 25 26 27 28 29 28 29 30 31 25 26 27 28 29 30 31 22 23 24 25 26 27 28 22 23 24 25 26 27 28 z ya per 1e fee es Today 7 29 2013 Add Delete Connect to device LOTOS 0 4 gt At the to
19. ation hunger therapy manual reflex and hirudotherapy Constant surveillance of health status is also necessary when conducting weight reduction courses When using home physiotherapeutic devices LOTOS permits not only to control health status but also to choose time duration and periodicity of exposure Application of the device is effective for permanent health control in professional sportsmen and those who regularly attend fitness gyms and centers In this case regular surveys permit to make an individual choice of the intensity and duration of physical exercise It should be added that the device LOTOS can be used by pharmaceutical companies in presentations of medicine effect as well as effect of nutritional supplements and dietary cure products Prompt survey of patient health status permits to choose necessary medicines in an effective way while patients have an opportunity of controlling the treatment process This circumstance has a positive effect on moral and psychological state of an examined person and builds his trust to pharmaceutical company Ym Poe C Se is Standards The technology used by SPC Dinamika has been approved by Ministry of Health of the Russian Federation and is authorized for use for medical purposes It is covered by patents and copyright certificates of the Russian Federation The software and the hardware of the diagnostic facilities produced by SPC Dinamika meets the standard
20. conducted To obtain objective data it is desirable that all the surveys be conducted at the same time and at regular intervals REMOVAL OF FAULTS Despite the fact that all the components of the diagnostic facility have been repeatedly checked for intactness and reliability occasionally faults can arise while operating the facility If this is the case it is recommended to search the solution of a problem in this section of the User Guide If you have not managed to repair the fault on your own then before contacting the technical support service it is recommended to undertake the following preparatory steps e Switch on the computer on which the problem has been detected Install the diagnostic facility software and connect the device to this computer Connecting electrodes to the patient is not required e In most cases the problem can be solved in a much faster and easier way by permitting technical support specialist to connect to your computer through the internet The program TeamViewer is designed for that To use it it is necessary to download and start the client end portion of TeamViewer software by the following link http download teamviewer com download TeamViewerQS exe a TeamViewer A TeamViewer uickSupport Allow Remote Control Please tell your partner the following ID to connect to your desktop 157 320 708 E Ready to connect secure connection www teamviewer com Cancel Upon starting the
21. downloaded file TeamViewerQS exe the TeamViewer s window with your ID and Password will be displayed on the screen Be ready to tell them to support specialist Important once TeamViewer has been started it can be ended only after the talk with the support specialist has ended Once the support specialist has been connected to your computer please do not touch the keyboard and the mouse unless the talk has been completed The Program Is Not Starting Fault symptom when trying to start the program nothing happens or the error message is displayed Check the Operating System Version e The program is designed to be operated only by OS MS Windows Vista MS Windows 7 n MS Windows 8 The highest efficiency is ensured when operated by MS Windows 7 UD UW a gt a J l E AN BP Lee peri a Reinstall the Program e The program files might be damaged by some other program The easiest way to rectify this fault is to reinstall the program By doing so no patient data will be affected It is recommended to download the latest version of the software from the manufacturer s website This can be done from one s personal account at the website of the company Dinamika www dyn ru To get a personal account registration at the company s website is needed Check Your Antivirus Software e It is possible that the diagnostic facility software has been blocked for some reason by the antivirus software i
22. e displayed on the screen 2s a B Names Surveys Wednesday March 24 2010 12 32 51 PM 971 RR 300 aasan i D _Example A 11 ecg 0 04 06 2 0 8 Pe LO yw My O HEALTH iy VEGETATIVE COMPLEX NEUROHUMORAL REGULATION STATE INDEX REGULATION In the bottom right corner of the primary window green lamp must be on eo it indicates that the device is ready for operation ST Adding a New Patient dy aa A new patient with unfilled personal information field will be added to the List of Patients In order to fill it in window of selected patient s personal information change will open at the top of the list It consists of three entry fields Patient s Photo Name and Birth Date Press the button In the field Name enter the name and the last name of the added patient Patient s sex must be entered as well For that click with the left mouse the male sex icon When clicking once the sex icon switches to the female sex icon g after iterated click it switches back to the male sex icon In the field Birth Date the added patient s date of birth should be entered The date can be entered numerically in DD MM YYYY _Example g format or by using the calendar which is visualized by clicking the icon LJ with the left mouse button ff 7 1965 Ehi To add the patient s photo click with the left mouse button the field
23. ed the administrator password you can get it from the person who installed the operating system on your computer Problems by ECG Signal Recording Fault Symptom The device has been detected by the program but when pressing the button nothing happens Check your Firewall Settings e t is possible that your computer s firewall has blocked the signal pickup from the device To undo the block read the section Pre starting Procedures of this guide Fault Symptoms The signal is picked up but the recording does not start Make Sure that the Electrodes are Connected Correctly e The electrodes must be put on the patient s arms the way it is described in the section Pre starting Procedures of this Guide Check the Integrity of the Electrodes Cables e Long and inaccurate use of the cables connecting electrodes to the device can cause their rupture However visually this damage is not noticeable as only the copper wire is damaged not its plastic armor To check the integrity of the cables it is necessary to start the ECG signal registration by the program and then join the two plugs of the device so that their metallic parts are in tight contact with each other By doing so the registered ECG signal must take the shape of straight line till the electrodes are joined 0 15 0 16 0 17 0 18 0 19 If this has not happened and the signal is still chaotic it is indicative of the cable internal rupture If th
24. gnal quality is unsatisfactory 0 0s e 8 0 25 a 0 35 0 45 The program will continue registering the ECG signal till the signal quality normalizes or till the recording is stopped by pressing the button In the process of recording the program controls uninterruptedly the quality of the recorded signal Whenever disturbances occur they will be visualized in the rhythmogram in red In case there are a lot of disturbances recording will be interrupted and the program will start ECG recording anew To stop the ECG signal recording prematurely press the button During the real time ECG signal recording the patient s pulse rate is displayed and as the data are accumulated normalized values of the current functional status indices are displayed as well If in the course of recording significant changes of these indices are observed it means that the patient is not at rest Also during the recording of the signal the number of registered R R intervals is displayed Upon recording 300 intervals the recording will end automatically and the program will switch to the mode of survey result viewing Attention If the patient has ciliary arrhythmia or expressed extra systole the functional state indices will be calculated incorrectly The functional state indices may be determined in all modes only in case patient has no heart rate disturbance Examples of such disturbances are shown at the following images
25. he Fractal Analysis and the Complex Analysis Tabs These tabs display a detailed information on the patient s functional state They are organized in accordance with the same principle and differ only by information displayed Each tab is nominally divided into two hemisections the left and the right one In each tab s hemisection parameters related to one of previously conducted surveys are displayed By using the controls at the top of the tab survey date can be selected Thus the dynamics of functional status change can be assessed in a quick easy and demonstrable way In each tab two functional parameters are displayed In the Fractal Analysis tab fractal portrait of biorhythms and gerontological curve In the Vegetative Regulation tab histogram of RR intervals and autocorrelation portrait In the Neurohumoral Regulation tab neurodynamic matrix and energy pyramid In the Psychoemotional State tab spline map of electrical activity of the brain and spectrum of brain activity In the Complex Analysis tab functional status indices and complex state index By pressing the button in the window of a respective parameter each functional parameter s descriptive statement can be visualized THE PROGRAM OPERATION Program Start To start the program point with the mouse pointer to the LOTOS icon on the desktop and double click with the left mouse button Once the program has loaded the program window will b
26. ife resources By marking this index on ordinate axis and projecting it on the model gerontological curve we obtain the point of patient s biological age Projection of this point on abscissa axis is exactly the biological age in the customary sense of calendar measurement IN Wo a0 The Complex Analysis Tab The Complex Analysis Tab displays the information on the complex analysis of patient s status 2 a Names Surveys COMPLEX ANALYSIS Q Quick Search Wednesday March 24 2010 12 02 31 PM Wednesday March 24 2010 12 32 51 PM FUNCTIONAL STATE INDICIES ea FUNCTIONAL STATE INDICIES 11 ecg vegetative neurohumoral vegetative neurohumoral T Va Du index ET an regulation index 35 C 46 70 r SN C 67 A 31 or oe A 74 gt 4 D 67 adaptation psychoemotional adaptation psychoemotional level state level state COMPLEX STATE INDEX COMPLEX STATE INDEX 40 10 Connect to device LOTOS 0 4 gt Complex State Index is a quintessence of all the previous indices and is a symbolic mathematical representation of patient s health status It helps to assess the overall quality of the body s physiological processes and the level of their balance Health level is in fact the level of tension which the body s regulatory systems need in order to get into harmony with life environment The thin blue disc in the Diagram of Complex State Index indic
27. iously in the course of the survey or the ECG signal recorded immediately at the moment The time in minutes and seconds elapsed from the registration start is laid off along the horizontal axis while the ECG amplitude is laid off along the vertical axis The graph scaling is performed by moving the mouse with the right button pressed Dragging the graph is performed by moving the mouse with the left button pressed Rhythmogram Depending on selected operation mode the program displays either a previously registered rhythmogram or the one being registered at the moment Rhythmogram is a graph where the number of RR intervals is plotted on the horizontal axis while the interval size in seconds is plotted on the vertical axis RR interval is a time interval between two heart beats The artifacts extra systoles and disturbances are highlighted at the rhythmogram in red The graph scaling is performed by the right mouse button while the graph dragging is performed by the left mouse button The button ai serves to visualize the Graph of the Dynamics of Functional Condition During the Recording Dynamics of Functional Condition During the Recording The Graph of the Dynamics of Functional Condition during the Recording demonstrates how the functional state indices varied in the course of the survey It enables to estimate the reliability of the survey results If the functional condition remains on the same level throughout the survey it me
28. is recommended to deenergize the altering current adapter for the period of recording and to use battery supply In case power line disturbances occur in the Stationary computer it is recommended to use grounding In some notebooks power line disturbances can be caused by printer connected through USB interface To eliminate disturbances it is recommended to disconnect printer from computer for the period of recording ECG Technical Characteristics al oLUh 0 ERE E E eee E E en nee E een ree eee 0 03 5 mV inp t impedance NOL less thal sc casatescedonssincdasmcnanesnsabastuntwesaniedsancadneessosceedesaanaacasesebandensnausscabadecous 5 MOm Inner noise level at the input no more than esessssssessesseresesssreessressrroseresrrsrreseeosseeseerssersserssersseree 10 mkV Common mode rejection ratio at frequency of 50 Hz not less than seessssosesessessseeeseresersseresersseess 110 dB Direct current in circuit of the patient not more than sssesssesseesseessessserssrrssrrsssrrsee 0 1 microamperes BIO ena EO E EEE E IAE EE A EA 0 03 500 Hz He CON ENE oaar E EAE E ETEA EE E T 3 25 inp tsienalsampline BOO ye ccesesoscanaes este cateceas teeters casads Haceeesccssacsssetoecatetsaruaracess neces ease seee 1000 Hz Quantia onteer ter NOVAS ian E A E seca ceesmnaveapesvareevecusanoniaasuiecctictes 12 The device s electrical safety meets State Standard GOST P 50267 0 and State Standard 50267 25 IEC 601 for products of II protecti
29. is is the case you need to contact the support service Check the Signal Polarity e tis possible that the signal polarity is disturbed as the electrodes for the right and the left hand have been confused This can be easily recognized by the shape of the registered ECG signal nN t See ice a a tinea Correct Signal Polarity is disturbed To rectify this it is enough to press the polarity change button in the program or to interchange the position of the electrodes on the patient s hands Tay UO oh Wo
30. ments designed for recording and display of the patient s electrocardiogram 8S B Names Wednesday March 24 2010 12 32 51 PM 971 RR 300 amp Q Quick Search _Example 11 ecg ae Taan Gl Mies SSS St E a ey FS SD Sy PS ee 04 0 6 oe uly a wr HEALT Nyy 74 70 70 67 67 VEGETATIVE COMPLEX NEURORUMORAL PSYCHOEMOTIONAL REGULATION STATE INDEX REGULATION STATE DINA 0 2 vy itil CHE ety hy 0 2 0 2 lio R jut Wir 0 8 au T 0 8 Mu aut ae yy a C yy te 1 Rs j D Wy A E ADAPTATION Add your comment here Device is not connected gt Brief description of the control elements ECG recording start stop button O O button of polarity change of recorded ECG signal Wednesday March 24 2010 12 32 51 PM _ _ control element used to display the results of one of previously conducted patient s surveys Selection of the survey results is performed by and buttons permitting to choose earlier or later survey date respectively Additionally by clicking the date with the left mouse button menu of survey selection is opened where the results of a previously conducted patient s survey can be selected Y 81 heart rate R R 299 _ number of recorded heart contractions bi 112 ECG As a function of the selected operation mode the program displays either an ECG signal registered prev
31. nstalled on your computer This might be caused by a virus attack on your computer which resulted in diagnostic facility software infection by virus and its subsequent blocking by antivirus It is recommended to thoroughly check the computer for viruses and then reinstall the diagnostic facility software It is strongly recommended that the latest version of the software be downloaded again from the website of the company Dinamika The Program is Failing to Detect the Device Fault Symptom the program has been started and the device connected to the computer but the ECG recording cannot be started and in the bottom right corner of the program the message Device is not Connected is displayed Device is not connected q Check the Connection of the Device to your Computer e USB cable connecting the device to the computer must not be longer than 2 meters The use of longer cables as well as of different extenders might impede the correct functioning of the device e USB cable connecting the device to the computer must be of USB 2 0 standard The cable armor normally bears the corresponding identification marks Cables of USB 1 0 USB 1 1 are not fit for the device e Check the operating capacity of the computer s USB port by connecting to it some known functioning USB device for example USB storage device so called flash drive If the computer has several USB ports try to connect the device to different US
32. on class BF type Warranty Liabilities The guaranteed service life of the system is five years from the sale date The guarantee services are provided in the technical center of the company in Russia Saint Petersburg In case faults are detected during this guarantee period the Company ensures a free replacement of individual components as well as of the whole facility During the whole operation life period users can update the software free of cost at the company s website www dyn ru PRE STARTING PROCEDURES Software Installation 1 Switch on the computer 2 Insert the software compact disk in the CD ROM of your computer 3 Open the panel My Computer double click with the left mouse button the icon of CD ROM in which LOTOS software CD has been inserted 4 In the opened window containing the list of folders located on LOTOS Software CD open the folder LOTOS by double clicking the left mouse button and by double clicking start the file LOTOS Multilang lt release_date gt exe LOTOS Software Installation Wizard will start 5 To install LOTOS software with default settings click Next in the successively opened Installation Wizard windows then in the Installation Wizard window Ready to Install click Install 6 After the LOTOS software installation is completed press on Finish to exit the Installation Wizard Preparation of the ECG Recording Module for Use Connect the electrodes to the lead cable and fix plugs securel
33. ources turns into their slow consumption is determined in empiric way and corresponds approximately to the age of 30 33 calendar years GERONTOLOGICAL CURVE Biological age is less than the calendar age Biological age more than the calendar 70y 80y 90y 100y Calendar age is measured by the clock situated outside the body while biological age is measured by the clock inside the body People may be younger or older than their age as a result the diseases and death related to ageing occur at different calendar age The causes of these diseases are mostly genetic Consequently the true age of a person is determined not by time which has elapsed since his or her birth but by the factors which reflect his or her viability It is the body s viability level which is defined as biological age Biological age represents systemic disintegration of organism in the process of ageing Using the concept of gerontological curve we can determine biological and true age of a person which as a rule does not coincide with the calendar age for the better or for the worse Model gerontological curve is obtained by means of statistical analysis of biorhythms in more than 10000 patients of different age groups It is a graphic representation of accumulation and consumption rates of life resources in the body of average person and corresponds to the life cycle which lasts 100 calendar years Integral health index is proportional to the level of l
34. p of the tab two elements of date management are situated which may be used to indicate the analyzed period By default no more than ten last surveys are analyzed Wednesday March 24 2010 11 22 58 AM Wednesday March 24 2010 1 02 36 PM DYNAMICS OF FUNCTIONAL CONDITION Wednesday March 24 2010 12 12 16 PM 73 The results of all the analyzed surveys are displayed in the graph Dynamics of Functional Condition The buttons B D H at the upper right of the graph allow to conceal or to display corresponding parameter at the graph By means of the left mouse button one of surveys can be selected on the graph so as to visualize more detailed information on it The currently selected survey is highlighted with yellow vertical bar Co 5 132 Below the graph information on currently selected survey is displayed Wednesday March 24 2010 12 12 16 PM 73 DAILY FORECAST INDICATORS FC 622 59 38 41 d d 1 A B C D H Date and time of the survey heart rhythm during the survey and values of functional state indices are displayed Additionally on the base of the results of the considered survey analysis daily forecast of patient s state is made The accurateness of prediction depends directly on the number of surveys analyzed Surveys conducted more than one month ago are not taken into consideration in forecast calculation At the bottom of the Dynamics tab calendar is located on which dates of sur
35. s of measurement physiological interpretation and clinical use of cardiac intervalometry indices adopted by European Society of Cardiology and North American Association for Electrophysiology Production facilities of SPC Dinamika meet the quality standards ISO 9001 2008 Support SPC Dinamika provides to its customers a full set of guidance materials and instructions as well as an ongoing consultancy support With the purpose of the user support SPC Dinamika has created a customized web portal offering the users of the products an opportunity of setting up a personal virtual office as well as of receiving additional consultations and getting access to the new products of the company The system developers will appreciate any feedback comments and requests regarding the software and the technical guides In view of constant upgrade of the facility some differences between the present guide and the later software versions are possible DELIVERY SET YS S N P LOTOS Software ECG Recording Module Model LOTOS 1 item Cardiography Electrodes Skintact F 9024 AC 2 items Interface cable USB v2 0 1 item Medical wallet 1 item Uo ee TECHNICAL DESCRIPTION The ECG Recording Module The recording module is fed from the computer through the optically coupled USB interface Note In some notebook models power line disturbances occur when recording ECG at main fed operation To eliminate the disturbances it
36. s recovery time while the pyramid s red area is proportionate to the resources consumption time Minimal size of the whole pyramid signals about the exhaustion of physiological resources The Psychoemotional State Tab Psychoemotional State Tab displays information on the parameters of patient s psychoemotional state 9 B U Names Surveys HOE MOTIONAL STATE Q Quick Search Wednesday March 24 2010 12 02 31 PM Wednesday March 24 2010 12 32 51 PM SPLINE MAP OF ELECTRICAL ACTIVITY SPLINE MAP OF ELECTRICAL ACTIVITY A T ecg psychoemotional state index psychoemotional state index 50 100 50 100 BRAIN ACTIVITY SPECTRUM BRAIN ACTIVITY SPECTRUM p beta gamma p x iia s j E sii 2 Add Delete Connect to device LOTOS 0 4 Spline map is a result of spline interpolation of peak values of the main brain rhythms Spline maps of electrical activity of the brain are a set of bivariate distribution of central nervous system CNS rhythms in the functional spaces of the brain and characterize the integral activity of CNS in these spaces SPLINE MAP OF ELECTRICAL ACTIVITY 83 100 33 50 State of maximum balance Accumulated tiredness 66 837 17 33 Stable condition Nervous overstrain 50 663 0 17 Balanced state High stress level Areas of black and yellow red color range indicate the hypoactivity of the brain as a result of disease state overfatigue and stress D op
37. st Controller USB Serial Converter Click with the right mouse button on USB Serial Converter ee and in the appeared menu select Properties The device eee property window will open Device type Universal Serial Bus controllers Make sure in the Device Status field This device is working ae alee properly is indicated then switch to the tab Driver and Device satus make sure that the version of the installed driver is This device is working properly 2 8 14 0 If something from the listed above does not correspond to the actual situation it is recommended to reinstall the driver of the device For that open the menu Start of OS Windows select All Programmes then the folder Dinamika Lotos Install Device Driver Before installing the driver make sure that the device is connected to your computer Faults in the List of Patients Fault Symptoms The List of Patients does not contain any names some patients cannot be deleted the entered names and birth dates of patients are not saved Run the Program As Administrator Such fault arises because the program is not entitled by the operating system to access the List of Patients on PC disk To work properly with the List of Patients it is necessary to run the program as administrator For that find the program icon on the desktop click it with the right mouse button and in the appeared menu select Run as Administrator You might ne
38. the Neurohumoral Regulation tab serves to display the hormonal regulation assessment by means of neurodynamic analysis S the Psychoemotional State tab displays the psychoemotional state assessment by means of brain biorhythm mapping uy the Fractal Analysis tab displays the assessment of the body s adaptation level and is used to determine biological age by means of fractal analysis in the Complex Analysis tab complex analysis of the organism functional state is displayed WAN Dynamics of Functional Condition tab displays the dynamics of the change of functional state indices with the course of time At the top right hand corner of LOTOS window the program logo button is located which serves to visualize the information on the program as well as the button used to visualize the reference information In the bottom right hand corner of the program window information about the connected device is displayed Device is not connected 4 In parentheses the number of surveys performed with the use of the device is indicated The lamp color indicates the operational readiness of the device grey the device is not detected red a device from other hardware and software system not destined for operation of LOTOS facility has been connected green the device is ready for operation Buttons switch on and switch off the program audio signals The ECG Tab The tab contains the control ele
39. ulation disrupted Autocorrelation portrait characterizes the degree of similarity of different rhythmogram fragments Vegetative balance index defines the relation between the activity of sympathetic and parasympathetic divisions of vegetative nervous system 22 The Neurohumoral Regulation Tab The Neurohumoral Regulation Tab displays information on the neurohumoral regulation parameters Neurohumoral regulation system regulates the composition and the structure of biochemical substances in the organism ensuring the constancy of internal environment and adaptation of organism to changing living conditions in the long term period O 8 9S3 Be amp Names NEUROHUMORAL REGULATION Q Quick Search Wednesday March 24 2010 12 02 31 PM Wednesday March 24 2010 12 32 51 PM NEURODYNAMIC MATRIX a NEURODYNAMIC MATRIX ea neurohumoral regulation index 50 100 neurohumoral regulation index 50 100 TI o o E mex Tr M o o E mex 51 29 21 o 11 8g ENERGY PYRAMID O ENERGY PYRAMID ra energy energy balance energy energy balance resources 0 96 1 0 2 5 resources 0 98 1 0 2 5 150 600 150 600 50 126 Connect to device LOTOS 0 4 gt The structure of physiological rhythms is represented in the form of neurodynamic matrix each element of which characterizes the corresponding rhythms dynamics Individual matrix elements represent the rhythms of the
40. ve amplitude is too low the red electrode is placed on the right wrist and the green one on the left ankle richly moistened with water To reduce the disturbances while recording ECG the following rules should be observed e The patient s arms should be motionless and relaxed If the patient is in sitting position his hands should be on his knees if the patient is in lying position his arms should rest at his sides e No other people should move around within the radius of 1 5 2 meters of the patient e Inthe course of recording the patient s state should be as relaxed and comfortable as possible It is not recommended to distract the patient by talks or to show him the computer display with the ECG being recorded You can suggest the patient to close his eyes THE PROGRAM INTERFACE The program window is nominally divided into two fields List of Patients and Patient Survey Results CEEE Names Surveys Wednesday March 24 2010 12 32 51 PM v71 RR 300 amp Q Quick Search _Example 11 ecg 7 gt mir M n Ler t Wi m m m i mn r mon d g a i 4 J tl E hi f H o I a 0 2 O aiuis 0 8 0 2 Ot iai 0 8 0 2 aninion 0 8 0 2 0 iaai 0 8 0 2 O inuia 0 8 NO yyy 0 STN tty O Wy Win TE Hii D aL TI gt hin a lin 0 0 a My W in N tn og A K WW B J K S a n a C W D s 74 70 70 67 67 rere VEGETATIVE COMPLEX NEUROHUMORAL PSYCHOEMOTIONAL REGULATION
41. veys are highlighted The highlight color characterizes the patient s state on that day In case on some day several surveys were conducted the highlight color will correspond to the averaged value of patient s state Clicking with the left mouse button on the highlighted date permits to choose the respective survey at the graph Dynamics of Functional Condition Printout of Survey Results To print the results of any patient s survey click with the left mouse button the control element Select Survey Date in the opened menu select Print Report Wednesday March 24 2010 12 02 31 PM f t pea HH jaageeeaaser Weer on CH eEEEse C 46 50 100 Spline Map of Electrical Activity D 50 50 100 vn a x Complex State index 4 gate HEALTH 40 Add your comment here m2 LS Delete Delete _Example att Va O4s06 OAs 10s 1 28 1481 65 Energy Pyramid energy energy resources balance 38 0 96 50 48 IVR 125 9 35 0 250 0 Spectrum of the Brain Activity Gerontological Curve level of harmonization 74 50 100 Add your comment here Marcl Wednesday March 24 2010 12 32 51 PM 71 f l H DANH i Se oe eon adi as _ Ps 0 8s OSs tote 302 fitered 6 150 Histogram 125 100 048065 08s 10s 128 1481 6 C 67 50 100 Se Spline Map of Electrical Activity Spectrum of the Brain Activity theta alpha beta gamma
42. y with screws Connect the interface cable to the computer through a free USB port Connect the interface cable to the distant module First Program Run Upon the first program startup and connecting the device to the computer the operating system can display a warning that Windows Firewall has blocked some network features of the program dnahost exe It is necessary to allow the program dnahost exe to establish network connections both in private and in public networks For that select the checkboxes Private networks and Public networks then click Allow Access By doing so no user data are transferred to the network The program dnahost exe is a part of the device driver and transmits ECG signal to the program LOTOS strictly within the computer through the virtual local network In case some other firewall is installed on the user s computer it is necessary to customize it so that it does not block the network features of dnahost exe How to do it is described in the firewall operating instruction Connecting the ECG Recording Module to Patient The electrode pads are placed on the inside of the patient s wrists The electrode with the red plug is placed on the right arm the one with the green plug is placed on the left arm It is recommended to moisten the skin at the points of contact with water During survey the patient should be at rest in a sitting or lying position In some cases if the R wa
43. ynamic parameters of ECG Fractal portrait characterizes the level of harmonization of physiological rhythms and demonstrates how concordantly the organs and the systems of the body function Fractal harmony of biorhythms at all the regulation levels indicates large energy resources optimal balance of energy supply and favorable prognosis regarding health state changes Partial disharmony of biorhythms in certain organs and systems of the body allows is indicative of functional abnormalities in them Decrease of energy resources and degradation of energy balance is characterized by disturbance of biorhythms fractal harmony which corresponds to serious functional disturbances or to pathological changes in individual organs Level of harmonization of biorhythms characterizes the level of consistency of regulatory systems reflects the quality of organism s capacities of adaptation to changing conditions and is also an information index characterizing immune system status Gerontological curve reflects the slowest biological rhythm Its period is determined by life expectancy and constitutes 90 110 years It is a graphic representation of correlation between the rates of life resources accumulation and consumption and is a combination of logarithmic and exponential curves In case of the model gerontological curve these correlations correspond to the parameters of golden section The nominal point where accumulation of life res
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