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uBioClip v70

Identitas Klien

Date:

Time:

Nama

:

Berat badan

=

kg

Tanggal lahir

:

(dd-mm-yyyy)

Tinggi badan

=

cm

Jenis kelamin

:

L / P

Lingkar perut

=

cm

No. telpon/HP

:

Lingkat pingga ng

=

cm

Toxin

Accumulation Scoring System

1. Kegemukan (obesitas abdo minal) 2. Penderita diabetes dan dar ah tinggi yang mengonsumsi obat kimia dala m jangka panjang 3. Merasa diri sakit meskipun pemeriksaan kesehatan menunjukkan hasil yang normal 4. Perokok/peminum 5. Kurang olahraga 6. Kurang mengonsumsi sayu ran 7. Mengalami pembengkakan (edema) 8. Sering mengonsumsi dagin g dan makanan cepat saji 9. Penderita alergi

10. Sering mengalami flu atau sakit
10. Sering mengalami flu atau
sakit

11. Perlemakan hati atau nila i SGOT/SGPT tinggi 12. Sering kencing 13. Mengonsumsi obat kimia dalam jangka panjang 14. Pasangan yang mengingin kan anak 15. Merasakan tubuh berat, l elah dan mengantuk 16. Vitalitas yang kurang dan cepat lelah 17. Kurang konsentrasi dan d aya ingat menurun 18. Emosi yang tidak stabil da n merasa cemas 19. Penyembuhan luka yang l ambat 20. Mengalami pendarahan d i hidung, gusi dan dubur 21. Sering mengalami perada ngan di mata, tangan dan kaki 22. Sering kesemutan di tang an dan kaki 23. Perut terasa tidak nyama n dan terasa penuh 24. Menurunnya gairah seksu al

nyama n dan terasa penuh 24. Menurunnya gairah seksu al Keluhan lainnya: a. b. c. d.

Keluhan lainnya:

a.

b.

c.

d.

e.

TOTAL SCORES =

≤ 4

5-10

≥ 11

: sedikit toksin, status : akumulasi toksin aga : akumulasi toksin san status kesehatan san

kesehatan baik

k tinggi

gat tinggi,

gat jelek

uBioClip v70

Summary

Date:

Time:

V ascular Age Test Report

Name:

/Sex:

/Age:

Signal Level:

%

Classification

Safe

Caution

Danger

 

Note

       

-30 ~ + 5

: Safe (Live in Healthy Lifestyle)

Vascular Age Index

+6 ~ +2 0 : Caution (Attention to Lifestyle)

+20 ~

: Danger (Need for Diagnosis)

       

A

~ B

: Safe

Vascular Age Type

C

~ D

: Caution

E

~ G

: Danger

Result of Measurement

Classification Measurement Detail Result Average Index of Age Group 0 20 40 60 80 100
Classification
Measurement
Detail Result
Average Index of
Age Group
0
20
40
60
80
100
Vascular Age Index
Measure Index
0
20
40
60
80
100
Associated with blood circulation by lifesty le. Increases than average index is bad.
A type
B type
C type
D type
E
type
F type
G type
Vascular Age Type
Healthy
Average
Caution
Caution
Dia gnosis
Must
Severely
required
diagnose
ill
Related to aging of peripheral vascular and disease of blood circulation.
Average Pulse of
Age Group
40
60
80
100
120
140
Average Pulse
Average Pulse of
Yours
40
60
80
100
120
140
The measurement within a range of averag e pulse of age is normal.

Detail Analysis

a a-b : ms a-c : ms e a-d : ms c a-e : ms
a
a-b :
ms
a-c :
ms
e
a-d :
ms
c
a-e :
ms
d
b/a :
c/a :
d/a :
e/a :
b

My Proper Weight

       

My Obesity Index

   

Normal

:

10% under t

han one’s standard weight

Overweight

: 10% over tha

n one’s standard weight

Obesity

:

More over 2

0% than standard weight

What is My BMI?

       

Low weight < 18.5 Normal < 25.0

Overweight < 30.0 Obesity

My Abdominal Obesity Index

     

Abdominal obesity is closely relat arteriosclerosis. Women: Over 0.8 / M

ed with adult diseases and en: Over 0.95

uBioClip v70

Date:

Time:

Stress Index Report

 

Name:

 

/Sex:

/Age:

Stress Index

     

Interpretation of Stress Index

25

under

: Nearly no stress

 
25 ~ 35 under : Temporary stress
25 ~ 35 under : Temporary stress

25

~ 35 under

: Temporary stress

35

~ 45 under

: Primary stress

Normal

Early stage Ong oing Chronic

45

~ 60 under

: Temporary stress a re accumulated. And the tolerance a gainst the stress is getting weaker.

 

60

over

: Chronic stress. See k medical attention.

Data Analysis

Pulse variability (Complexity =

) Adult average is 30 ~ 40, under 20 are in

excess stress level.

average is 30 ~ 40, under 20 are in excess stress level. What is Variability? What

What is Variability?

What is Complexity?

Graph showing changes HRV. More variety of gra ph line is healthier.

Pulse Distributional Map

of gra ph line is healthier. Pulse Distributional Map Show complexity of beat puls e index
of gra ph line is healthier. Pulse Distributional Map Show complexity of beat puls e index

Show complexity of beat puls e index in various forms that defines immunization against stress and environment.

Autonomic Nerve System Ba lance Map

Primary Severe arrhytmia arrhytmia Fatigue chronic stress Normal Acute Stress Excess stress Chronic stress It
Primary
Severe
arrhytmia
arrhytmia
Fatigue chronic stress
Normal
Acute Stress
Excess stress
Chronic stress
It means type of stress. Medium domai n refers to ‘healthy’ condition.

Graphed the distributions of heart rate variability . Slim triangle shaped distribution refers to the exc ess stress. The standard shape means healthy.

Testing Data Analysis

Sympathetic Activity (Average Age)

- Reveal high when excited or nervo us (Better to be low within the green range)

LF

0

2

4

6

8

 

10

 

Para-sympathetic Activity (Average Age)

 

-

Low when feeling anger, worry or feat (Better to be high within the green range)

 

HF

0

2

4

6

8

 

10

 

Autonomic Nerve System Balance ( Average Age)

 

-

Autonomic nerve system balance

(Normal within the green range)

LF/HF

0

1

2

3

4

 

5

 

Average Pulse

 

-

Average pulse per minute (Better to be low within the green range)

 

Mean

     

40

60

80

100

12

0

140

BPM

       
     
 

Pulse Standard Deviation

 

-

Immunization against environmen t (Better to be high within the green range)

 

SDNN

0

30

60

90

12

0

150

 

Root Mean Square Standard Deviat ion

 

-

Low when madness, worry or fear (Better to be high within the green range)

 

RMSSD

0

30

60

90

12

0

150

uBioClip v70

Name:

Medical Record

/Sex:

Date / time

Subjective

Objective

Assessment

Planning

uBioClip v70 Name: Medical Record /Sex: Date / time Subjective Objective Assessment Planning
uBioClip v70 Name: Medical Record /Sex: Date / time Subjective Objective Assessment Planning