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E M Hallowell

Publications and source records attributed to E M Hallowell.

5 recordsLinked to original sources
PubMed1985

A simple method for estimating nitrogen balance in hospitalized patients: a review and supporting data for a previously proposed technique.

Total urinary nitrogen (TUN) and urinary urea nitrogen (UUN) in a 24-hour urine collection were measured under a variety of clinical and nutritional conditions in 81 patients for 564 study days. The difference between TUN and UUN averaged 1.8 +/- 0.9 g/day (range 0.0-5.8 g/day) and was independent of the absolute value for UUN. Since UUN was found to correlate linearly with TUN (R = 0.98) over a wide range of values, it is possible to estimate an approximate TUN excretion by adding a constant to the nitrogen excreted as urea. On the basis of the measured mean difference, we suggest using an estimate of 2 g of nitrogen per day. We feel this will not seriously under- or overestimate urinary nitrogen excretion in the calculation of nitrogen balance for the clinical management of nutritional support therapies. Since all hospitals can perform this routine test, it provides an effective, simple, and rapid method to follow accurately the protein catabolic response during disease and response to nutritional therapy. This method, without the supporting data presented here, has previously been recommended [Blackburn et al, 1977, JPEN 1:11-22] and has become a widely used technique for nutritional assessment.

Hospitalization↗
PubMedDate not supplied

The human moment at work.

In the last decade or so, technological changes--mainly voice mail and e-mail--have made a lot of face-to-face interaction unnecessary. Face-to-face contact has also fallen victim to "virtuality"--many people work at home or are otherwise off-site. Indeed, most people today can't imagine life without such technology and the freedom it grants. But Edward Hallowell, a noted psychiatrist who has been treating patients with anxiety disorders--many of them business executives--for more than 20 years, warns that we are in danger of losing what he calls the human moment: an authentic psychological encounter that can happen only when two people share the same physical space. And, he believes, we may be about to discover the destructive power of its absence. The author relates stories of business-people who have dealt firsthand with the misunderstandings caused by an overreliance on technology. An e-mail message is misconstrued. Someone forwards a voice-mail message to the wrong people. A person takes offense because he was not included on a certain circulation list. Was it an accident? Often the consequences of such misunderstandings, taken individually, are minor. Over time, however, they take a larger toll--both on individuals and on the organizations they work for. The problem, however, is not insoluble. The author cites examples of people who have worked successfully to restore face-to-face contact in their organizations. The bottom line is that the strategic use of the human moment adds color to our lives and helps us build confidence and trust at work. We ignore it at our peril.

Communication↗