On Tuesday 14 December 2004 05:44 pm, Nancy E. Anthracite wrote:
> I am not a pediatrician, or even a family practitioner as you
> know, but I am being guided by the pediatricians on the HL7
> SIG, and I am not aiming at just the office practice. For
> instance, one of the SIG docs should be providing data on
> premature infants growth curves, etc., once it is published.
> He seems eager to do what he can to help with our project.  He
> is in informatics and with a medical school.  We have some
> pretty darn good help!
>
> According to the people who studied the growth issue and
> developed the growth data for the CDC, the correction should
> continue until at least age 2, and very low birth weight
> infants are not even included in that group.  Those infants
> curves use other data.  Not all of the data which would be
> ideal to use will be available to us as "open source", but I
> will do the best I can with what I can use.

I wonder whether we can get UN or national data on growth of 
infants and young children in famine areas and under various 
disease burdens, and on recovery with proper nutrition and 
medical treatment. It would be useful for making Dr. Paul 
Farmer's case (Partners in Health, Haiti) that health care 
should be regarded as a basic and primary human right.

I know that related studies have been done in the past. For 
example, the famine in the Netherlands, deliberately created by 
the retreating Germans in WWII, was for decades the best studied 
example. IIRC, it concluded that up to quite severe starvation 
levels, the fetus would get adequate nutrition at the expense of 
the mother.

> So yes, for most doing primary care, this is overkill, but I
> want to give it a good shot, especially for this particular
> component, which is close to the easiest thing of all we have
> to deal with.
>
> And besides, it is the computer that is going to be doing and
> plotting all of these nice calculations for us.  What is a few
> bits and clock cycles between friends? ;-)


-- 
Edward Cherlin, Simputer Evangelist
Encore Technologies (S) Pte. Ltd.
The Village Information Society
http://www.ryze.com/go/Cherlin


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