Latino health in California, 1985-1990: implications for family practice.

Family practice, especially when applied to the Community-oriented Primary Care model, needs to incorporate the epidemiological profile and health care needs of a particular community. The rapidly growing Latino population is creating a great number of largely Latino communities. While they tend to have high poverty rates and low education rates, their family and health profiles contradict many assumptions made about poor, underserved minority groups. Data for the 29.8 million California residents, including 7.7 million Latinos, show a strong Latino health profile. Compared to Anglos and blacks, Latinos have high complete nuclear family rates and low non-family rates. They have low rates of low birth weight babies and low infant mortality, about equal to the rate among Anglos and Asians. Latinos also have lower age-adjusted death rates due to heart disease, strokes, and cancers, again, about equal to Asians. Latinos do, however, have higher death rates due to motor vehicle accidents and cirrhosis than Anglos, blacks, or Asians and a diabetes death rate higher than Anglos or Asians. Surprisingly, Latinos have lower age-adjusted death rates due to drug-related causes and weapons-related causes than Anglos or blacks, but substantially higher than Asians. It is suggested that, much against the stereotype, Latinos should be considered a high-level wellness population for whom family practice, based on prevention and primary care, would be an ideal match.

[Faults and dangers in treating hand injuries (including tendons and bones) (author's transl)]. / Fehler und Gefahren bei der Versorgung von Handverletzungen (einschliesslich Sehnen und Knochen).

Diagnostic procedures include: critical examination of the wound of sensibility, of vascularization, of tendon function, of stability of bones and joints, and examination by roentgen diagnosis. Therapeutic procedures include: the operation, immobilization, active training of noninjured joints, and rehabilitation. Injuries of flexor tendons are treated by the specialist following the method of Kleinert; those of bones and joints can be easily stabilized by Kirschner pins.

[Local traumatic injury of the soft tissue and internal fixation (author's transl)]. / Osteosynthese beim Weichteilvorschaden

The influence of local traumatic injury of the soft tissue on the decision as to whether surgical therapy is indicated and on the method of internal fixation selected for a fresh, closed fracture is discussed. General descriptions of injuries to the soft tissue are followed by a critical discussion of the possibilities of closed and open methods of internal fixation with some examples.