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Systeme international d'unites (s.i. units).

The metric system is now used in most countries for expressing measurements in the health care field. The original metric system based on lenght (centimetre), mass (gramme) and time (second) has proved inadequate. The International Bureau of Weights and Measures, which has the ultimate responsibility for standarization of measlring systems, has revised and extended the metric system, through a series of general conferences on weights and measures, to the systeme International d'Unites (S.I.). This is now the internationally accepted language for measurements throughout science and industry.

Adult↗

How do medical schools use measurement systems to track faculty activity and productivity in teaching?

The authors describe their findings from a study that (1) identified 41 medical schools or medical school departments that used metric systems to quantify faculty activity and productivity in teaching and (2) analyzed the purposes and progress of those systems. Among the reasons articulated for developing these systems, the most common was to identify a "rational" method for distributing funds to departments. More generally, institutions wanted to emphasize the importance of the school's educational mission. The schools varied in the types of information they tracked, ranging from a selective focus on medical school education to a comprehensive assessment of teaching activity and educational administration, committee work, and advising. Schools were almost evenly split between those that used a relative-value-unit method of tracking activity and those that used a contact-hour method. This study also identified six challenges that the institutions encountered with these metric systems: (1) the lack of a culture of data in management; (2) skepticism of faculty and chairs; (3) the misguided search for one perfect metric; (4) the expectation that a metric system will erase ambiguity regarding faculty teaching contributions; (5) the lack of, and difficulty with developing, measures of quality; and (6) the tendency to become overly complex. Because of the concern about the teaching mission at medical schools, the number of institutions developing educational metric systems will likely increase in the coming years. By documenting and accounting financially for teaching, medical schools can ensure that the educational mission is valued and appropriately supported.

Budgets↗

Implications of metric conversion.

The international scientific community is rapidly achieving conversion to the metric system, and the Système International (SI system) has been chosen for use by health scientists. Because the United States remains 1 of only 4 countries not now using part or all of the SI system, there is now a systematic effort toward rapid conversion. Although most of the SI system is not controversial, several SI units are highly so. Examples include joules instead of calories, pascals instead of millimeters of mercury, and moles per liter instead of milligrams per 100 milliliters. Obstetrician-gynecologists need to be familiar with the SI units and to voice their feelings about the various controversial units. There are decisions still to be made, and the time for discussion and advice is now.

International System of Units↗

Measuring faculty effort and contributions in medical education.

A national panel on medical education was appointed as a component of the AAMC's Mission-based Management Program and charged with developing a metrics system for measuring medical school faculty effort and contributions to a school's education mission. The panel first defined important variables to be considered in creating such a system: the education programs in which medical school faculty participate; the categories of education work that may be performed in each program (teaching, development of education products, administration and service, and scholarship in education); and the array of specific education activities that faculty could perform in each of these work areas. The panel based the system on a relative value scale, since this approach does not equate faculty performance solely to the time expended by a faculty member in pursuit of a specific activity. Also, a four-step process to create relative value units (RVUs) for education activities was developed. This process incorporates quantitative and qualitative measures of faculty activity and also can measure and value the distribution of faculty effort relative to a school's education mission. When adapted to the education mission and culture of an individual school, the proposed metrics system can provide critical information that will assist the school's leadership in evaluating and rewarding faculty performance in education and will support a mission-based management strategy in the school.

Education, Medical↗

Ecological health assessment and remediation of the stream impacted by acid mine drainage of the Gwangyang mine area.

Ecological health in a temperate stream impacted by acid mine drainage (AMD) was evaluated by using a multimetric approach of the Index of Biological Integrity (IBI) based on natural fish assemblage. Recently, this approach has been widely used in many developed countries as a tool for ecological risk assessments of water environments. We used 10 metric systems, instead of 12 metrics suggested by Barbour, M. T., Gerritsen, J., Snyder, B. D., & Stribling, J. B. (1999). Rapid Bioassessment Protocols for Use in Streams and Wadeable Rivers: Periphyton, benthic Macroinvertebrates and Fish, 2nd edn. EPA 841-B-99-002. Washington, DC: U.S. Environmental Protection Agency, Office of Water, for a development of the regional IBI model, and used trophic guilds, habitat guilds, and richness variables for the calculation of IBI values. In the model, the attributes of four of 11 metrics were modified for the regional application. IBI values in the stream averaged 20.6 (n = 5), indicating a "poor condition" in terms of ecological health according to the modified criteria of U.S. EPA (1993). Fish Field and Laboratory Methods for Evaluating the Biological Integrity of Surface Waters. EPA 600-R-92-111. Environmental Monitoring systems Laboratory - Cincinnati office of Modeling, Monitoring systems, and quality assurance Office of Research Development, U.S. EPA, Cincinnati, Ohio, 45268. In particular, mean IBI values in the impacted areas of sites 2 and 3 were 13, and this health condition was categorized as "very poor condition." IBI values in the impacted sites were significantly lower than the values found in the control. Also, we found that fishes in site sites 2 and 3 were not present during the study, and morphological deformity of Rhynchocypris oxycephalus was observed in site 4, influenced directly by sites 2 and 3, indicating a chemical impact in the sites. From the results of experiments in which AMD was treated with marine shells at stagnant condition, pH increased up to 6.0 from 3.1, and Fe and Al were removed up to 99% within 6 h. In the reactor experiment considering field application, pH of effluent maintained around 7.0. In addition, concentrations of Fe, Al, and heavy metals decreased remarkably in the effluents, and bottom-opened screen between neutralizer basins showed high effectiveness in the treatment of AMD.

Acids↗

Restructuring nuclear regulations.

Nuclear regulations are a subset of social regulations (laws to control activities that may negatively impact the environment, health, and safety) that concern control of ionizing radiation from radiation-producing equipment and from radioactive materials. The impressive safety record among nuclear technologies is due, in no small part, to the work of radiation safety professionals and to a protection system that has kept pace with the rapid technologic advancements in electric power generation, engineering, and medicine. The price of success, however, has led to a regulatory organization and philosophy characterized by complexity, confusion, public fear, and increasing economic costs. Over the past 20 years, regulatory costs in the nuclear sector have increased more than 250% in constant 1995 U.S. dollars. Costs of regulatory compliance can be reduced sharply, particularly when health and environmental benefits of risk reduction are questionable. Three key regulatory areas should be closely examined and modified to improve regulatory effectiveness and efficiency: a) radiation protection should be changed from a risk-based to dose-based system; b) the U.S. government should adopt the modern metric system (International System of Units), and radiation quantities and units should be simplified to facilitate international communication and public understanding; and c) a single, independent office is needed to coordinate nuclear regulations established by U.S. federal agencies and departments.

Government Regulation↗

[Efforts to prevent static foot diseases in Hungary during the last 40 years].

The necessity of fighting against the harms causing static foot diseases has arisen before about 40 years. On the basis of large-scale foot measurements shoes, correctly constructed from the viewpoint of health, for children and workers were produced. We have switched over to metric system of direct character. The modern development of the industrial technology and commercial network is necessary.

Foot Deformities, Acquired↗

Metrication and AIHA.

AIHA supports a planned orderly national program for conversion to the metric system and will cooperate with other technical societies and organizations in implementing this voluntary conversion. The Association will use the International System of Units (SI) as modified by the Secretary of Commerce for use in the United States in all official publications, papers and documents. U.S. customary units can be presented in parentheses following the appropriate SI unit, when it is necessary for clarity.

Metric System↗

Insulin goes metric: a time for reveiw.

For most diabetics, a concentration of 100 units of insulin per cc (U-100 insulin) is the simplest and safest concentration. It is compatible with the metric system and reduces the volume of the injection. The introduction of U-100 gives the nurse an opportunity, not only to review her own knowledge of insulin use in diabetes, but also to assess the diabetic individual's understanding of it.

Diabetes Mellitus↗

SI quantities and units for American Medicine.

The International System of Units (SI) is an extension of the metric system and was approved by the General Conference on Weights and Measures in 1960. The SI, expanded for the health professions, has been adopted by most European countries and is being adopted by Canada. Proponents of the SI for American medicine see intrinsic merit in its coherent units and believe international communication among physicians requires its adoption. Opponents fear that conversion to the SI is little more than "tinkering" and that any changes from the present system are potentially dangerous. Adoption of some of the less controversial portions of the SI has been recommended by the AMA Council on Scientific Affairs; consideration by the House of Delegates is anticipated.

American Medical Association↗