Ugeskrift for laeger
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Recent years have seen an increasing number of car occupants with neck complaints following a car collision and a declining number of persons involved in car crashes--a relationship that is not well understood. Presumably less than 5% will suffer from persistent, (long-lasting), disabling neck pain. Although mostly men are involved in motor vehicle accidents, an equal number of men and women seek emergency care, but it is mostly women, who have persistent (long-lasting) neck complaints after a car collision. ⋯ Whiplash should be considered a risk factor rather than a medical diagnosis. The association between cause (whiplash mechanism) and effect (symptoms) is poor. Persistent (long-lasting) health problems from a whiplash should be treated like other post-traumatic conditions, and need a bio-psycho-social approach.
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SERM describes a category of drugs that exert their influence on estrogen-sensitive tissue and are known especially in the treatment of estrogen receptor-positive breast cancer. The development and clinical trials of new SERM in recent years seem to establish more fields of diseases, where treatment with SERM may be indicated.