Nordisk medicin
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Knowledge of the pathophysiology and aetiology of asthma has expanded greatly during recent years, and hopes are strong that within the foreseeable future it will be possible to alleviate asthmatic symptoms even more effectively. This review covers some of this new knowledge, and presents viewpoints on the practical clinical management of asthma patients.
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An antinociceptive effect of calcitonin has been reported in numerous studies on both animals and humans. In the present article, we review the controlled clinical studies in which calcitonin has been used to relieve skeletal pain (cancer metastases, osteoporotic fractures) as well as extraskeletal pain (phantom limb pain, neurogenic claudication, reflex sympathetic dystrophy, migraine). ⋯ No controlled trials against conventional analgesic treatment is published. Thus, further studies are required before the place of calcitonin in pain therapy can be established.
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The article consists in a review of the development of prehospital care in Finland and of emergency medical services in Helsinki. Based on 20 years' accumulated experience at a physician staffed prehospital emergency care unit in Helsinki, emergency medical services throughout the country have begun implementing the various links in the 'chain of survival' concept.