NAME
Medical::Growth - Basic tools for growth-dependent norms
SYNOPSIS
use Medical::Growth;
my(@systems) = Medical::Growth->available_systems;
my $meas = Medical::Growth->measure_class_for(system => My::System,...)
my $z_score = $meas->value_to_z($value, @criteria);
DESCRIPTION
Medical::Growth is designed as a common resource for implementing
systems of growth-dependent norms. It provides a set of basic tools for
operating on normally distributed data, as well as a common entry point
for users of Medical::Growth-compatible systems.
If you're interested in using a Medical::Growth-compatible measurement
system, read on. If you're interested in building a measurement system,
you may also want to see Medical::Growth::Base, which contains some
tools to facilitate the process.
USING MEASUREMENT SYSTEMS
In conceptual terms, a collection of methods that allows you to compare
a measured value to a set of norms is called a measurement system. For
instance, the models for anthropometric values based on the NHANES 2000
survey, from which growth charts in common use in pediatrics were
created, is a measurement system.
In pragmatic terms, a measurement system is a collection of classes that
present a common set of ways to compare a measurement to norms. Each
specific comparison is done via a measurement class, which provides an
interface for a specific set of norms. To continue the NHANES 2000
example, a measurement class would correspond to a single growth chart,
that is, the collection of norms to which you would compare a specific
value. Thus, weight for age in boys 2-20 years old would be a
measurement class, while length for age in girls under 3 would be a
separate measurement class. In some cases, such as these, a measurement
class will need to know only one value (here, age) in addition to the
measurement to return the normalized score. In others, it may need
several additional pieces of information. Where to draw the boundary
between different measurement classes and a single measurement class
using multiple indices may be different for different measurement
systems, and reflects the best interface design for common use.
Medical::Growth provides two methods to simplify interactions with
measurement systems:
METHODS
available_systems
Returns a list of the names of measurement systems installed in the
Medical::Growth hierarchy.
measure_class_for(*%criteria*)
Locate a measurement class that performs the function specified by
*%criteria*, and return a handle that allows you to call methods
from the measurement class. This is provided as a common entry point
to make finding measurement classes easier. Although nothing stops
you from hard-coding the name of the measurement class directly,
finding it via "measurement_class_for" may help keep your code more
readable, and may let you take advantage of shortcuts provided by
the measurement system.
Most of the work is done by the "measurement_class_for" method in
each measurement system, since it requires detailed knowledge of how
a particular measurement system is implemented. The Medical::Growth
version of this method uses the value in *%criteria* associated with
the key "system" to identify the measurement system you want. This
value can be the full name of a measurement system's top-level
class, as returned by available_systems, or it may be an abbreviated
name without the leading "Medical::Growth::". The top-level class
for the measurement system is loaded, if necessary, and its
"measurement_class_for" method is called, with *%criteria* as
arguments. It is up to the measurement system's
"measurement_class_for" to interpret the rest of *%criteria* and
return the appropriate handle.
If the "system" element is missing from *%criteria* or the class
cannot be loaded, an exception is thrown.
EXPORT
None.
DIAGNOSTICS
Any message produced by an included package.
No measure_class_for() method found (F)
Medical::Growth::measure_class_for found a measurement system
matching the "system" specified and loaded its top-level module, but
that module didn't provide a system-specific "measure_class_for" to
pick a measurement class.
BUGS AND CAVEATS
Are there, for certain, but have yet to be cataloged.
VERSION
version 1.00
AUTHOR
Charles Bailey <
[email protected]>
COPYRIGHT AND LICENSE
Copyright 2014 Charles Bailey.
This software may be used under the terms of the Artistic License or the
GNU General Public License, as the user prefers.
ACKNOWLEDGMENT
The code incorporated into this package was originally written with
United States federal funding as part of research work done by the
author at the Children's Hospital of Philadelphia.