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Biomedical subjects

M Oberle

Publications and source records attributed to M Oberle.

8 recordsLinked to original sources

[Forearm fractures in children].

Fractures of the forearm in children are quite frequent injuries, treated in emergency rooms. Most of them occur during leisure or sport activities. Most cases are monotraumatic. The diagnosis can be made by a conventional x-ray examination of the forearm in two planes. It is possible to differentiate between stable fractures (greenstick fractures) and unstable (dislocated) fractures. The first-line therapy for stable fractures or fractures which can be reduced anatomically correctly, is the conservative procedure using a long arm cast. Axial dislocation up to 20 degrees (age <5 years) or up to 10 degrees (age >5 years) can be accepted. Special cases, such as Monteggia or Galeazzi fractures, must be considered. Unstable fractures have to be reduced during surgical stand-by. The state of the art in surgical therapy is intramedullary nailing with titanium elastic nails. Open fractures and fractures with severe soft tissue injuries can be treated with external fixation. Osteosynthesis with plates should only be used for special indications. By following therapeutic principles, a successful outcome can be achieved and later complications are rare.

Bone Nails↗

[Growth and carcass quality of carp (Cyprinus carpio L.) fed different cereals, lupin seed or zooplankton].

120 carp (Cyprinus carpio L.) with an average initial weight of 516 g, were kept in 20 tanks at a water temperature of 23 degrees C and given five different commercially practical diets to an end weight of approximately 1000 g. Four of the diets consisted of more than 50% of the traditional sole feeds wheat (W), rye (R), maize (M), or lupin seed (L), mixed with other ingredients to give diets with similar concentration of energy and crude protein. The fifth diet consisted exclusively of deep frozen zooplankton (Z). The fish were given a daily feed amount of 1.8% of bodyweight. The bodyweights of the carp on the cereal diets or the lupin seed diet were similar at the end of the experiment, after 105 days, (W) 995 g, (R) 916 g, (M) 979 g, (L) 979 g, but were significantly lower on diet (Z) at 659 g. Average OM digestibility coefficients for the diets were 77-79% for the cereal-rich diets, 68% for (L), and 75% for (Z). The contents of skinless fillet (average 38.7%), viscera (average 13.2%) and residual carcass (average 48.2%) were similar for the diets with cereals or lupin seed, while fish on diet (Z) had significantly lower fillet proportion (33.6%), coupled with an increase in residual carcass (53.0%). The chemical composition of the fillet, viscera and the residual carcass was also affected. Fish on diet (M) had the highest fat content in the whole body (14.5% of the FM), followed by those on diets (W) and (R) at 13.3% and 12.9%, while fish on diets (L) and (Z) had significantly lower fat contents at 10.7% and 8.2%. Protein contents in the whole body (% of FM) were for diets (L) 16.7%, (W) 16.4% (R) 16.3%, (M) 16.2%, and (Z) 15.5%.

Animals↗

Contraceptive use and fertility in Guatemala.

In 1983, one-quarter of married Guatemalan women aged 15-44 years were using contraception, and female sterilization was the most prevalent method. Fertility rates for the population were at correspondingly high levels, with an overall total fertility rate of about six births per woman. Contraceptive prevalence varied by residence and ethnic group; less than 5 percent of currently married Indian women and about 50 percent of married women in the capital city area were using contraception. From 1978 to 1983, prevalence increased overall by six percentage points, with surgical contraception accounting for most of the increase. Findings of the study suggest that different strategies need to be employed among Ladino and Indian women in order to increase contraceptive prevalence in these subgroups.

Adolescent↗

Local health departments in Washington State use APEX to assess capacity.

THE ASSESSMENT PROTOCOL for EXCELLENCE in PUBLIC HEALTH process was carried out in the state of Washington to assess local health department capacity and to identify their self-perceived strengths and weaknesses. Staff from 24 of the 32 local health departments in Washington completed organizational capacity assessments. Fifty percent or more of the health departments identified the following eight indicators as strengths: legal authority, public policy and implementation, budget development, financial reporting and administration, audit, financial documentation, organization and structure of program management, and policy board procedures. Seven indicators were identified as weaknesses by 50% or more of the respondents: legal counsel, mission and role, data collection and analysis, planning and development, evaluation and assurance of community health assessment, community health assessment and planning, and community health policy. The results of the assessment highlight the traditional organizational and service delivery strengths of the local health departments and point out weaknesses in their ability to assess community health and to develop communitywide health policy.

Community Health Services↗