Latest & greatest articles for fatigue

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Top results for fatigue

181. Post-infective and chronic fatigue syndromes precipitated by viral and non-viral pathogens: prospective cohort study. Full Text available with Trip Pro

Post-infective and chronic fatigue syndromes precipitated by viral and non-viral pathogens: prospective cohort study. To delineate the risk factors, symptom patterns, and longitudinal course of prolonged illnesses after a variety of acute infections.Prospective cohort study following patients from the time of acute infection with Epstein-Barr virus (glandular fever), Coxiella burnetii (Q fever), or Ross River virus (epidemic polyarthritis).The region surrounding the township of Dubbo in rural (...) Australia, encompassing a 200 km geographical radius and 104,400 residents.253 patients enrolled and followed at regular intervals over 12 months by self report, structured interview, and clinical assessment.Detailed medical, psychiatric, and laboratory evaluations at six months to apply diagnostic criteria for chronic fatigue syndrome. Premorbid and intercurrent illness characteristics recorded to define risk factors for chronic fatigue syndrome. Self reported illness phenotypes compared between

2006 BMJ

182. Chronic fatigue syndrome. (Abstract)

Chronic fatigue syndrome. During the past two decades, there has been heated debate about chronic fatigue syndrome (CFS) among researchers, practitioners, and patients. Few illnesses have been discussed so extensively. The existence of the disorder has been questioned, its underlying pathophysiology debated, and an effective treatment opposed; patients' organisations have participated in scientific discussions. In this review, we look back on several controversies over CFS with respect to its (...) definition, diagnosis, pathophysiology, and treatment. We review issues of epidemiology and clinical manifestations, focusing on the scientific status of CFS. Modern neuroscience and genetics research offer interesting findings for new hypotheses on the aetiology and pathogenesis of the illness. We also discuss promising future issues, such as psychopathophysiology and mechanisms of improvement, and suggest multidisciplinary prospective studies of CFS and fatigue in the general population. These studies

2006 Lancet

183. Etanercept and clinical outcomes, fatigue, and depression in psoriasis: double-blind placebo-controlled randomised phase III trial. (Abstract)

Etanercept and clinical outcomes, fatigue, and depression in psoriasis: double-blind placebo-controlled randomised phase III trial. Psoriasis has substantial psychological and emotional effects. We assessed the effect of etanercept, an effective treatment for the clinical symptoms of psoriasis, on fatigue and symptoms of depression associated with the condition.618 patients with moderate to severe psoriasis received double-blind treatment with placebo or 50 mg twice-weekly etanercept (...) . The primary efficacy endpoint was a 75% or greater improvement from baseline in psoriasis area and severity index score (PASI 75) at week 12. Secondary and other endpoints included the functional assessment of chronic illness therapy fatigue (FACIT-F) scale, the Hamilton rating scale for depression (Ham-D), the Beck depression inventory (BDI), and adverse events. Efficacy analyses were based on the allocated treatment. Analyses and summaries of safety data were based on the actual treatment received

2006 Lancet Controlled trial quality: predicted high

184. Heat exhaustion and heat stroke

Heat exhaustion and heat stroke INTRODUCTION Minor heat-related problems include: ? ankle swelling ? calf cramps ? heat rash (prickly heat). Major problems are heat exhaustion and heat stroke. These tend to occur in three circumstances: 1. classic heat stroke is due to very high external temperatures. It tends to be more common in older patients in very hot climates 2. exertional heat stroke is due to excess heat production. This tends to occur in: ? athletes ? manual workers ? ?re?ghters (...) ? military recruits 3. A variety of drugs may predispose to heat illness as above. In addition, people who take drugs of abuse (e.g. cocaine, ecstasy, amphetamines) and then do a lot of dancing, e.g. at a “rave,” may also get heat illness. ASSESSMENT It is important to suspect heat exhaustion/heat stroke from the history, circumstances and abnormalities on physical examination as above. However it may be dangerous to assume that collapse in an athlete is due to heat. Check for other potential causes e.g

2006 Joint Royal Colleges Ambulance Liaison Committee

185. The effect of cardiac rehabilitation exercise programs on feelings of energy and fatigue: a meta-analysis of research from 1945 to 2005

The effect of cardiac rehabilitation exercise programs on feelings of energy and fatigue: a meta-analysis of research from 1945 to 2005 Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2006 DARE.

186. Rehabilitation programs for individuals with chronic fatigue syndrome: a review

Rehabilitation programs for individuals with chronic fatigue syndrome: a review Rehabilitation programs for individuals with chronic fatigue syndrome: a review Rehabilitation programs for individuals with chronic fatigue syndrome: a review Taylor R R CRD summary This poorly described review concluded that there is some evidence that both in- and out-patient rehabilitation programmes can improve a variety of outcomes for patients with chronic fatigue or chronic fatigue syndrome, but the current (...) evidence is subject to a number of methodological flaws. Given the differences between the studies and the poor quality of the data, a cautious interpretation of the evidence is advised. Authors' objectives To review the evidence for rehabilitation programmes for individuals with chronic fatigue syndrome (CFS). Searching MEDLINE, PsycINFO, CINAHL, ERIC, Science Citation Index, Agency for Healthcare Research and Quality Clinical Guidelines and Evidence Reports, BMJ Clinical Evidence and the Cochrane

2006 DARE.

187. Cognitive behavioural therapy in chronic fatigue syndrome: a randomised controlled trial of an outpatient group programme

Cognitive behavioural therapy in chronic fatigue syndrome: a randomised controlled trial of an outpatient group programme Cognitive behavioural therapy in chronic fatigue syndrome: a randomised controlled trial of an outpatient group programme Cognitive behavioural therapy in chronic fatigue syndrome: a randomised controlled trial of an outpatient group programme O'Dowd H, Gladwell P, Rogers C A, Hollinghurst S, Gregory A Record Status This is a bibliographic record of a published health (...) technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation O'Dowd H, Gladwell P, Rogers C A, Hollinghurst S, Gregory A. Cognitive behavioural therapy in chronic fatigue syndrome: a randomised controlled trial of an outpatient group programme. Health Technology Assessment 2006; 10(37): 1-140 Authors' objectives The aim of this review is to test the hypothesis that group cognitive behavioural therapy (CBT) will produce

2006 Health Technology Assessment (HTA) Database.

188. A review of the scientific literature for diagnosis and treatment of chronic fatigue syndrome/ myalgic encephalopathy (CFS/ME)

A review of the scientific literature for diagnosis and treatment of chronic fatigue syndrome/ myalgic encephalopathy (CFS/ME) A review of the scientific literature for diagnosis and treatment of chronic fatigue syndrome/ myalgic encephalopathy (CFS/ME) A review of the scientific literature for diagnosis and treatment of chronic fatigue syndrome/ myalgic encephalopathy (CFS/ME) The Norwegian Knowledge Centre for the Health Services Record Status This is a bibliographic record of a published (...) health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation The Norwegian Knowledge Centre for the Health Services. A review of the scientific literature for diagnosis and treatment of chronic fatigue syndrome/ myalgic encephalopathy (CFS/ME) Oslo: Norwegian Knowledge Centre for the Health Services (NOKC). 9/2006. 2006 Authors' objectives The objective of this study was to assess and synthesize the evidence base

2006 Health Technology Assessment (HTA) Database.

189. Chronic fatigue in developing countries: population based survey of women in India. Full Text available with Trip Pro

Chronic fatigue in developing countries: population based survey of women in India. To describe the prevalence of and risk factors for chronic fatigue in a developing country; in particular, to determine the association of anaemia, mental health, and gender disadvantage factors with chronic fatigue.Community survey.Primary health centre catchment area in Goa, India.3000 randomly sampled women aged 18 to 50 years.Data on the primary outcome (reporting of fatigue for at least six months (...) ) and psychosocial exposures elicited by structured interview; presence of anaemia determined from a blood sample.2494 (83%) women consented to participate; 12.1% (95% confidence interval 10.8 to 13.4%) complained of chronic fatigue. In multivariate analyses, older women (P = 0.03) and those experiencing socioeconomic deprivation-less education (P < 0.001), families in debt (P = 0.09), or hunger in the past three months (P = 0.03)-were more likely to report chronic fatigue. After adjustment for these factors

2005 BMJ

190. Oral iron therapy reduced unexplained fatigue in non-anaemic women with serum ferritin concentrations 50 µg/l Full Text available with Trip Pro

Oral iron therapy reduced unexplained fatigue in non-anaemic women with serum ferritin concentrations 50 µg/l Oral iron therapy reduced unexplained fatigue in non-anaemic women with serum ferritin concentrations ⩽50 μg/l | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Oral iron therapy reduced unexplained fatigue in non-anaemic women with serum ferritin concentrations ⩽50 μg/l Article Text Therapeutics Oral iron therapy reduced

2005 Evidence-Based Medicine

191. Treatment exhaustion of highly active antiretroviral therapy (HAART) among individuals infected with HIV in the United Kingdom: multicentre cohort study. Full Text available with Trip Pro

Treatment exhaustion of highly active antiretroviral therapy (HAART) among individuals infected with HIV in the United Kingdom: multicentre cohort study. To investigate whether there is evidence that an increasing proportion of HIV infected patients is starting to experience increases in viral load and decreases in CD4 cell count that are consistent with exhaustion of available treatment options.Multicentre cohort study.Six large HIV treatment centres in southeast England.All individuals seen (...) . Patients with three class failure were more likely to have an HIV RNA burden > 2.7 log10 copies/ml and a CD4 count < 200 cells/mm3.The proportion of individuals with HIV infection in the United Kingdom who have been treated has increased gradually over time. A substantial proportion of these patients seem to be in danger of exhausting their options for antiretroviral treatment. New drugs with low toxicity, which are not associated with cross resistance to existing drugs, are urgently needed

2005 BMJ

192. Persons with hepatitis C experienced fatigue as being multidimensional with severity dependent on intensity, duration, and frequency Full Text available with Trip Pro

Persons with hepatitis C experienced fatigue as being multidimensional with severity dependent on intensity, duration, and frequency Persons with hepatitis C experienced fatigue as being multidimensional with severity dependent on intensity, duration, and frequency | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our (...) . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Persons with hepatitis C experienced fatigue as being multidimensional with severity dependent on intensity, duration

2005 Evidence-Based Nursing

193. Cognitive behaviour therapy for adolescents with chronic fatigue syndrome: randomised controlled trial. Full Text available with Trip Pro

Cognitive behaviour therapy for adolescents with chronic fatigue syndrome: randomised controlled trial. To evaluate the efficacy of cognitive behaviour therapy for adolescents aged 10-17 years with chronic fatigue syndrome.Randomised controlled trial.Department of child psychology.71 consecutively referred patients with chronic fatigue syndrome; 36 were randomly assigned to immediate cognitive behaviour therapy and 35 to the waiting list for therapy.10 sessions of therapy over five months (...) . Treatment protocols depended on the type of activity pattern (relatively active or passive). All participants were assessed again after five months.Fatigue severity (checklist individual strength), functional impairment (SF-36 physical functioning), and school attendance.62 patients had complete data at five months (29 in the immediate therapy group and 33 on the waiting list). Patients in the therapy group reported significantly greater decrease in fatigue severity (difference in decrease on checklist

2005 BMJ Controlled trial quality: predicted high

194. The placebo response in the treatment of chronic fatigue syndrome: a systematic review and meta-analysis

The placebo response in the treatment of chronic fatigue syndrome: a systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2005 DARE.

195. Childhood predictors of self reported chronic fatigue syndrome/myalgic encephalomyelitis in adults: national birth cohort study. Full Text available with Trip Pro

Childhood predictors of self reported chronic fatigue syndrome/myalgic encephalomyelitis in adults: national birth cohort study. To study childhood risk factors for chronic fatigue syndrome in adult life.Examination of data from the 1970 British birth cohort.16,567 babies born 5-11 April 1970, followed up at 5, 10, 16, and 29-30 years.Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) identified by self report at age 30 years. Data from childhood from questionnaires given to parents

2004 BMJ

196. General practitioners' perceptions of chronic fatigue syndrome and beliefs about its management, compared with irritable bowel syndrome: qualitative study. Full Text available with Trip Pro

General practitioners' perceptions of chronic fatigue syndrome and beliefs about its management, compared with irritable bowel syndrome: qualitative study. To compare general practitioners' perceptions of chronic fatigue syndrome and irritable bowel syndrome and to consider the implications of their perceptions for treatment.Qualitative analysis of transcripts of group discussions.A randomly selected sample of 46 general practitioners in England.The participants tended to stereotype patients (...) with chronic fatigue syndrome as having certain undesirable traits. This stereotyping was due to the lack of a precise bodily location; the reclassification of the syndrome over time; transgression of social roles, with patients seen as failing to conform to the work ethic and "sick role" and conflict between doctor and patient over causes and management. These factors led to difficulties for many general practitioners in managing patients with chronic fatigue syndrome. For both conditions many

2004 BMJ

197. Fatigue in neurological disorders. (Abstract)

Fatigue in neurological disorders. Chronic fatigue is a typical symptom of neurological diseases, and is most disabling in multiple sclerosis, postpoliomyelitis, poststroke, and in chronic fatigue syndrome. Disorders of neuromuscular junction transmission and metabolic diseases cause muscle fatigability, which is characterised by failure to sustain the force of muscle contraction (peripheral fatigue). Fatigue is also seen in diseases that affect the central, peripheral, and autonomic nervous (...) systems (central fatigue). Enhanced perception of effort and limited endurance of sustained physical and mental activities are the main characteristics of central fatigue. Metabolic and structural lesions that disrupt the usual process of activation in pathways interconnecting the basal ganglia, thalamus, limbic system, and higher cortical centre are implicated in the pathophysiological process of central fatigue. A state of pre-existing relative hypocortisolaemia might sensitise the hypothalamic

2004 Lancet

198. Fatigue and anaesthetists

their tiredness may have had an adverse effect either upon themselves or their patient. 2.3. The Working Time regulations are directed toward limiting the number of hours that doctors can work for safety reasons. 2.4. Workload pressures, insufficient numbers of personnel and increasing complexity of procedures all magnify the problem of fatigue. This has been recognised in publications by anaesthetic bodies in America 1 and Australia and New Zealand 2 . 2.5. This document explores the problem of fatigue (...) in view of the current concern about manpower, distribution of workload and the effect of age).” 4 2.8. The British Medical Association’s 2001 Annual Representative Meeting passed a resolution commissioning their Board of Science to report into the dangers of tired doctors driving home after prolonged periods of work, and to investigate the effects of sleep deprivation on doctors, their wellbeing and their patients. 3. Fatigue and Driving 3.1. A study by the Royal Society for the Prevention

2004 Association of Anaesthetists of GB and Ireland

199. Exercise therapy for chronic fatigue syndrome. (Abstract)

Exercise therapy for chronic fatigue syndrome. Chronic fatigue syndrome (CFS) is an illness characterised by persistent medically unexplained fatigue. CFS is a serious health-care problem with a prevalence of up to 3%. Treatment strategies for CFS include psychological, physical and pharmacological interventions.To investigate the relative effectiveness of exercise therapy and control treatments for CFS.CCDANCTR-Studies and CENTRAL were searched using "Chronic Fatigue" and Exercise. The Journal (...) of Chronic Fatigue Syndrome and CFS conferences were handsearched. Experts in the field were contacted. Clinicaltrials.gov and controlled-trials.com were searched.Only Randomised Controlled Trials (RCT) including participants with a clinical diagnosis of CFS and of any age were included.The full articles of studies identified were inspected by two reviewers (ME and HMG). Continuous measures of outcome were combined using standardised mean differences. An overall effect size was calculated for each

2004 Cochrane

200. Needs in health and the use of health services in the immigrant population in Catalonia. Exhaustive revision of the scientific literature

Needs in health and the use of health services in the immigrant population in Catalonia. Exhaustive revision of the scientific literature Needs in health and the use of health services in the immigrant population in Catalonia. Exhaustive revision of the scientific literature Needs in health and the use of health services in the immigrant population in Catalonia. Exhaustive revision of the scientific literature Catalan Agency for Health Technology Assessment and Research Record Status (...) This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Catalan Agency for Health Technology Assessment and Research. Needs in health and the use of health services in the immigrant population in Catalonia. Exhaustive revision of the scientific literature. Barcelona: Catalan Agency for Health Information, Assessment and Quality (CAHIAQ -formerly CAHTA). 2004 Authors' objectives

2004 Health Technology Assessment (HTA) Database.