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Biomedical subjects

J F Mosher

Publications and source records attributed to J F Mosher.

42 records · Page 3Linked to original sources
PubMedDate not supplied

The impact of legal provisions on barroom behavior: toward an alcohol-problems prevention policy.

State and local legal provisions have a major impact on a community's drinking patterns in licensed drinking establishments. State Alcoholic Beverage Control (ABC) laws regulate how many (if any) bars are permissible in a given locale; set standards for management practice; set limitations on location and design; establish who may have ownership interests; and establish price guidelines, either directly through price maintenance statutes or indirectly through excise tax policy. State law may also hold bar owners liable for injuries caused by their drunk or underaged patrons to members of the general public ("dram shop" laws and case decisions). This paper reviews the scope and character of these legal provisions, discusses their potential role in preventing alcohol-related problems, and analyzes the inadequacy of most existing bar studies for developing public health policy measures. It concludes with a discussion of a prevention strategy ("server intervention") and an agenda for future research studies.

Alcohol Drinking↗
PubMedDate not supplied

Fracture separation of the olecranon ossification center in adults.

Traumatic disruption of an incompletely fused olecranon physis in adults has been reported on only one occasion by O'Donoghue in 1942, while stress fractures of the olecranon physis have been well-recognized and reported. A series of three adult males with traumatic disruption of an incompletely fused olecranon physis was studied. Two were competing in football at the time of the injury, while a third patient sustained the injury during a fall. All of our patients were former throwing athletes and all sustained a direct blow to the dominant elbow at the time of the fracture. In our study, as well as O'Donoghue's reported case, sclerotic fracture margins were noted. Open reduction, internal fixation (ORIF) required and subsequent fibrous union occurred. Two patients chose bone grafting and returned to competitive athletics, while the third patient functioned well at a sedentary level with a fibrous union. These cases suggest a high incidence of fibrous union following ORIF. Primary bone grafting is recommended in an effort to restore normal function with one primary procedure, particularly, in the competitive athlete.

Adolescent↗
PubMedDate not supplied

A review of scaphoid fracture healing in competitive athletes.

A fractured scaphoid is a common disabling injury occurring in contact sports. Plaster immobilization is the most frequently used form of therapy. However, the rules governing most amateur sports do not allow an unyielding form of immobilization distal to the elbow. We describe a method of treating scaphoid fractures with custom-made Silastic (Dow Corning Wright, Arlington, TN) casts for competitive athletes. A retrospective review of 14 scaphoid fractures occurring in athletes competing in contact sports was completed to determine if effective immobilization could be maintained with this technique. The study covered a 10 year period with an average followup of 3.9 years (range 2 to 9 years). Ten of 11 middle third scaphoid fractures healed uneventfully. One nonunion occurred following a 7 week delay in diagnosis. Two of three proximal third scaphoid fractures went on to nonunion, while the third healed after a prolonged period of treatment. Our data indicate that nondisplaced middle third scaphoid fractures can be effectively immobilized for competition in contact sports with the custom-made Silastic cast described.

Adult↗