Public action and awareness to reduce alcohol-related problems: a plan of action.
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Biomedical subjects
Publications and source records attributed to J F Mosher.
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By means of an external fixator, 11 limited wrist "fusions" in eight freshly frozen cadaver wrists were studied. An electrogoniometer measured perfusion and postfusion range of motion, and the percentage of loss of motion was determined and then averaged for all eight wrists. The three fusions that crossed the radiocarpal row lost approximately 55% flexion/extension (F/E). The five fusions that crossed the intercarpal row lost approximately 27% F/E, and the three fusions within a single carpal row lost approximately 12% F/E. These results may be helpful to determine which limited wrist fusion to perform.
Fifty-three Swanson silicone rubber interpositional wrist arthroplasties were done in 42 patients. A painful rheumatoid wrist was the most common operative indication. Very acceptable clinical results were obtained early in follow-up, with more than 90% of the wrists obtaining significant pain relief. However, in the group of wrists followed for more than 2.5 years, only 61% had good or excellent results. The reoperation rate in this group was 25%. Postoperative complications included prosthetic breakage (9.4%), ulnar cap breakage (71%), and a very high incidence of progressive radiographic deterioration (70%).
The clinical treatment and results for three hands in two patients with multiple enchondromatosis (Ollier's disease) are presented. Diaphyseal resection (total or subtotal) in 27 phalanges and metacarpals preceded autogenous fibular bone grafting to the defects. All bone grafts subsequently healed and were well incorporated. Hand function and cosmesis were restored satisfactorily in each case. There were no infections or recurrences.
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The Report of the Presidential Commission on Drunk Driving represents a major federal response to the extraordinary success of a grassroots movement to combat drunk driving. The Report, despite the wide support and publicity that it generated, is seriously flawed. It relies primarily on strategies that are directed at individual behavior change--e.g. education, deterrence, treatment, and publicity campaigns. Research shows that these strategies, standing alone, have only a minimal long-term impact on the drunk driving problem. The Report fails to consider important new research on environmental factors affecting drunk driving, notably alcohol availability, price and tax policies, server intervention programs, alcohol advertising and transportation policies. These environmental strategies are a critical part of a comprehensive prevention policy and can greatly enhance the individual-based strategies relied on in the Commission Report.
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The hand is the most commonly injured part in sport. Fortunately, most injuries are minor and do not interfere with the sport participation, but even these leave residual functional deficits that may increase with time. More severe injuries of the hand are appreciated instantly by the player and health care personnel and generally receive better care. The goal is to maintain the best functioning hands now for the sport and in the future for the life's work of the hand. A program is herein described outlining the care of minor and major sports injuries to the hand that tries to return the injured player quickly to the sport participation while not jeopardizing the future. Because injuries to this most important tool are so frequent, it is recommended that a lecture be given to each sport group prior to the season to describe and raise the awareness of the players regarding hand and finger injury.
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An osteoid osteoma of the capitate in a patient with Marfan's syndrome is described. Considerable difficulty was encountered in establishing the diagnosis.
In 1982 U.S. businesses will spend over $10 billion (12 percent of the total retail alcohol market) on alcoholic beverages which will be consumed by top executives, professionals, and other white-collar employees in a variety of business and personal settings. The Internal Revenue Service, through a series of vaguely defined tax deduction categories, permits these expenditures to be deducted from corporate and individual taxes as "ordinary and necessary" to the conduct of business, costing U.S. taxpayers between $3 and $5 billion annually in lost tax receipts. This article examines the scope and legal underpinnings of the IRS tax expenditure policy; its impact on drinking habits and drinking problems among the nation's business and professional elite; the arguments for permitting the subsidization of corporate drinking habits; reform measures that are available to policymakers; and the barriers to effective implementation.
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Aspects of dram shop imposed by 27 states and the District of Columbia are described, with emphasis on recent developments in California. Recommendations include broadening the focus of dram shop liability to include the prevention of alcohol-related problems.
Osteoblastoma is a rare tumor, but the small bones of the hands and feet are the second most common location. Despite this, the diagnosis of osteoblastoma is rarely considered in the differential diagnosis of bone tumors of the hand. This is a case similar to Jaffe and Mayer's original report.
Split thickness hypothenar grafts provide excellent coverage for fingertips as well as other areas of the hand. The method is simple and readily applied in the emergency room with little additional equipment.