一个HRH和health outcome的RCT--perfect！

从Prof Grepin推荐的best 10中发现一个Pakistan做的聚簇RC Trial试验，看好研究真是过瘾。在给这篇文章的correspondence里，Davis引用UNICEF的数据"In the developing world, 440 of 100,000 births result in maternal death, as compared with 12 of 100,000 in the developed world."，可见这里面还有很多工作可以做。但是话说回来，本文的RCT结果显示的是纳入传统的接生员只对Prenatal mortality有作用，对maternal mortality没有显著效果。

Source: 

Jokhio A H, Winter H R and Cheng K K. 2005. An Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan. New England Journal Of Medicine 352: 2091-9

hospitalist II

PS: The update of hospitalists 

--------DMH Hospitalist program 说明--------

Hospitalists are fully trained Internal Medicine physicians who devote all their clinical time to the care of hospitalized patients. They serve as attending physicians for patients who are directed to inpatient care by their primary care physician.

A model for hospital care in Europe for half a century, Hospitalists are also represented some of the United States leading hospitals

Hospitalist focus on patient care, comfort

A full-time hospital-based physician has distinct benefits. For example, a Hospitalist has the ability to rapidly coordinate inpatient care and react in real-time throughout the day to clinical data and changes in a patient's medical status.

At each step, whether ordering treatments, test, or consult with specialists when appropriate, communication between the Hospitalist and your primary care physician is seamless.

Hospitalists are also available consistently throughout a patient's stay to answer questions, discuss test results and provide reassurance. The Hospitalists also are familiar with hospital staff and the latest technologies available at hospital.

EQIS1.0 for QALY

EQIS 1.0, a software allows calculating Health Related Quality of Life weights. As health economist, we often concern values for QALYs (Quality Adjusted Life Years).

The website: http://www.econ.unavarra.es/~eqis/Examples.php

USER GUIDE: www.econ.unavarra.es/~eqis/EQIS%201.0%20USER%20GUIDE.pdf

Intro to Health Outcome

I reviewed some websites and literature on health outcome and related measurements today: 

Intro:

http://www.ahrq.gov/clinic/outfact.htm  U.S. Department of Health & Human Services 下辖的 Agency for Healthcare Research and Quality (AHRQ)

http://en.wikipedia.org/wiki/Routine_health_outcomes_measurement  wiki的介绍

List of measurement instruments (工具非常多，有个网页上说有800多种):

http://www.meb.uni-bonn.de/standards/ERGHO/ERGHO_Instruments.html 1994年的，有点老

http://www.outcomes-trust.org/instruments.htm#CHIP 

人体最舒适-温度-湿度-风速-设定

我国国家规定了空气调节标准，对空调温度设定做了规范性的参数：

夏季空调温度设置	温度以24-28°C为宜，相对湿度40%-65%，风速在0.3米/秒以下
冬季空调温度设置	温度以18-22°C为宜，相对湿度40%-60%，风速在0—2米/秒以下

当然，这种规定是指导性的，不同场合、不同功用的房间对空调温度的设定要求也不一样，应具体分析：

青年人卧室：	温度	相对湿度
夏季空调设置	25—29°C	50%—65%
冬季空调设置	20—25°C	50%—60%
病人、老人、小孩卧室：	温度	相对湿度
夏季空调设置	26—27°C	45%—65%
冬季空调设置	22—23°C	40%—60%
客厅以及起居	温度	相对湿度
夏季空调设置	26—28°C	50%—65%
冬季空调设置	22—25°C	40%—55%

source： http://www.foxiangwang.com/994.html