R-value (insulation) typical straw bale houses have very thick walls and thus are well insulated. Snow is roughly R-1 per inch. Brick has a very poor insulating ability at a mere R-0.2 per inch; however it does have a relatively good thermal mass. Note that the above examples all use the U.S. (non-SI) definition for R-value. When determining the overall thermal resistance of a building assembly such as a wall or roof, the insulating effect of the surface air film is added to the thermal resistance of the other materials. In practice the above surface values are used for floors, ceilings, and
The Quality of Life Assessment of Growth Hormone Deficiency in Adults Measure a severe growth hormone deficiency, they are already receiving full replacement with other deficient pituitary hormones as they need it and they have a score of at least 11 on the QoL-AGHDA. It is also recommended that the patient’s quality of life is reassessed using the Qol-AGHDA nine months after starting therapy, and if their score is not improved by at least seven points the treatment must be discontinued. This was the first time a quality of life measure was used to determine whether treatment should be given for a specific disease. The Quality of Life Assessment of Growth Hormone