[Hand injuries. Epidemiology, medical and economic consequences].
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Biomedical subjects
Publications and source records attributed to C F Larsen.
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A series of fatal motorcycle accidents from a 7-year period (1977-1983) has been analyzed. Of the fatalities 30 were operators of the motorcycle, 11 pillion passengers and 8 counterparts. Of 41 operators 37% were sober at the time of accident, 66% had measurable blood alcohol concentration (BAC); 59% above 0.08%. In all cases where a pillion passenger was killed, the operator of the motorcycle had a BAC greater than 0.08%. Of the killed counterparts 2 were non-intoxicated, 2 had a BAC greater than 0.08%, and 4 were not tested. The results advocate that the law should restrict alcohol consumption by pillion passengers as well as by the motorcycle operator. Suggestions made to extend the data base needed for developing appropriate alcohol countermeasures by collecting sociodemographic data on drivers killed or seriously injured should be supported.
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A case of scapho-capitate fracture syndrome is reported. The capitate had the characteristic "cut-off-top-of-an-egg" radiographic appearance. We performed open reduction and pin fixation of the two fractures with an excellent result.
In a randomized trial, treatment of urethral stricture by direct visual internal urethrotomy with 3 days of postoperative catheterisation was found to be sufficient, given minimal complications, and had a cure rate of 85% after 6 months and 80% after 1 year follow-up. The postoperative follow-up should not include urethrography, but patient's statement and maximal urinary flow rate might be adequate.
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