MedWorm Tags: howell

Persistent Thrombocytopenia in ITP

Inside Surgery — Mon, 03 Jan 2011 06:47:46 +0100

By definition platelet counts drop in immune thrombocytopenic purpura and successful treatment of the condition is measured by an increasing platelet count. The first-line treatment is the use of corticosteroids, which is successful in about two-thirds of patients and particularly successful in children. Administration of intravenous IgG and the use of plasmapheresis will also temporarily increase platelet counts and are used in cases of bleeding due to a severely reduced platelet count (< 15,000/microL). For refractory cases, splenectomy can be considered. If platelet counts are still decreased several months after splenectomy, a blood smear for Howell-Jolly bodies should be obtained. If there is an absence of Howell-Jolly bodies, a sulfur colloid scan for accessory spleen should be perfo...

The Internal Dialogue: Mastering the Unseen Forces That Shape Our Destiny

PickTheBrain | Motivation and Self Improvement — Thu, 29 Oct 2009 17:28:01 +0100

Though a positive, successful, and engaging person, Pam avoided prolonged looks into her mirror. When she was brushing her hair or applying make-up, she stayed focused on the activity – but would intentionally not make eye contact with herself. Except sometimes. On those occasions a tirade of negative judgments erupted in her thoughts. If she didn’t avoid the negative assessment machine in her mind by distraction or busyness, the stream of thoughts that flooded into Pam’s awareness would chide her, “Your nose is too crooked. Your skin is a mess. You’re getting wrinkles under your eyes. You’re too fat. Nobody would give you a second look. You need surgery to look better.” In these moments, Pam would cringe and feel the familiar black pit in her stomach suck the positive energy...

TWiL Episode 26: Health Care and VRM

Health Care Law Blog — Thu, 16 Jul 2009 20:40:40 +0100

Tomorrow I have the pleasure of being a guest on This Week in Law (TWiL) hosted by Denise Howell (@dhowell) Denise is one of the pioneers of law bloggers (blawgers) who blogs over at Bag and Baggage. TWiL Episode 26 will focus on Health Care, Technology and VRM. Joining me on the show will be Doc Searls (@dsearls) author of The Cluetrain Manifesto, Fellow with the Berkman Center for Internet and Society at Harvard, etc. and Susanna Fox (@SusannahFox), Associate Director, Digital Strategy at Pew Internet & American Life Project. Catch the live version at 2pm EST tomorrow at TWiT (http://live.twit.tv). You can also listen to the rebroadcast as a podcast here or subscribe and listen to TWiL including the Episode 26 Podcast at iTunes. Thanks to Audible.com for sponsoring the show. (Sour...

The Price of Ignorance

Cato-at-liberty — Fri, 29 May 2009 21:13:28 +0100

We here at Cato’s Center for Educational Freedom spend a lot of time just trying to help people get their facts straight. You know, providing information that clearly shows that government schools are not the foundation of American democracy, or itemizing programs to show that school choice is not a political failure. That sort of thing. Well, a new study in the journal Education Next demonstrates why just getting people solid information is so important: When the public has just a few basic facts about such things as public school expenditures or teacher salaries, support for heaping more dough on our sinkhole public schools takes a pretty big dip. On spending, investigators William G. Howell and Martin R. West found that people provided with actual per-pupil expenditure ...

The Problems with CCHIT Certification

EMR and HIPAA — Thu, 26 Feb 2009 16:09:01 +0100

In a really thoughtful post on HISTalk, Dewey Howell MD, PhD, Founder, CEO Design Clinicals, Inc. wrote a n article called “The Real Problem with CCHIT Certification.” In it, Dr. Howell basically makes the case against CCHIT, because it doesn’t take into account all of the various specialized EHR which only need to do a few things really well. His example was an EMR for “ambulatory, inpatient, and emergency settings.” These arguments remind me when near the beginning of the CCHIT certification process it included such things as growth charts. Sure, growth charts are essential to a pediatric EMR, but not so much so for other EMR companies. Luckily, the vetting process did remove this criteria and what CCHIT ended up with was much better than what they started t...