Latest & greatest articles for fatigue

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Top results for fatigue

161. Treatment of fatigue in multiple sclerosis: a systematic review of the literature

Treatment of fatigue in multiple sclerosis: a systematic review of the literature 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.

2008 DARE.

162. Efficacy of cognitive behavioral therapy for chronic fatigue syndrome: a meta-analysis

Efficacy of cognitive behavioral therapy for chronic fatigue syndrome: a 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.

2008 DARE.

163. Amantadine for fatigue in multiple sclerosis. Full Text available with Trip Pro

Amantadine for fatigue in multiple sclerosis. Fatigue is one of the most common and disabling symptoms of people with Multiple Sclerosis (MS). The effective management of fatigue has an important impact on the patient's functioning, abilities, and quality of life. Although a number of strategies have been devised for reducing fatigue, treatment recommendations are based on a limited amount of scientific evidence. Many textbooks report amantadine as a first-choice drug for MS-related fatigue (...) because of published randomised controlled trials (RCTs) showing some benefit.To determine the effectiveness and safety of amantadine in treating fatigue in people with MS.We searched The Cochrane MS Group Trials Register (July 2006), The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 1, 2006), MEDLINE (January 1966 to July 2006), EMBASE (January 1974 to July 2006), bibliographies of relevant articles and handsearched relevant journals. We also contacted drug

2007 Cochrane

164. Palliative management of fatigue at the close of life: "it feels like my body is just worn out". Full Text available with Trip Pro

Palliative management of fatigue at the close of life: "it feels like my body is just worn out". Fatigue is the most common chronic symptom associated with cancer and other chronic progressive diseases. The assessment and treatment of fatigue at or near the end of life can be complex. Some of the challenges include its subjective nature, with great variability in its source, how it is expressed, and how it is perceived, requiring treatment to be based on patient report of frequency and severity (...) ; its multidimensional character; and the limited understanding of its pathophysiology. Using the case of an 82-year-old retired nurse with fatigue that could be explained by a number of concurrent conditions, including anemia, weight loss, depression and isolation, dyspnea, deconditioning, and medications, the authors illustrate the clinical approach to assess and treat fatigue at the end of life.

2007 JAMA

165. Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management

Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management Chronic fatigue syndrome/m Chronic fatigue syndrome/myalgic yalgic encephalom encephalomy yelitis ( elitis (or encephalopath or encephalopathy): y): diagnosis and management diagnosis and management Clinical guideline Published: 22 August 2007 nice.org.uk/guidance/cg53 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y (...) unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy

2007 National Institute for Health and Clinical Excellence - Clinical Guidelines

166. Statement on Fatigue and the Anaesthetist

Statement on Fatigue and the Anaesthetist PS43 (2007) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 STATEMENT ON FATIGUE AND THE ANAESTHETIST INTRODUCTION The provision of anaesthesia requires a high level of knowledge, sound judgement, fast and accurate responses to clinical situations, and the capacity for extended periods of vigilance. In the interests of patient safety, it is important that anaesthetists are aware of the following principles (...) and their responsibilities in respect of working while fatigued. PRINCIPLES 1. Fatigue has been demonstrated to impair vigilance and accuracy of response (1,2,3) . Decreased performance of motor and cognitive functions in a fatigued anaesthetist may result in impaired judgement, late and inadequate responses to clinical changes, poor communication and inadequate record keeping (4,5,6,7) . The decrement in cognitive psychomotor performance after 17 hours of sustained wakefulness is equivalent to the performance

2007 Australian and New Zealand College of Anaesthetists

167. Statement on Fatigue and the Anaesthetist

Statement on Fatigue and the Anaesthetist PS43 (2007) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 STATEMENT ON FATIGUE AND THE ANAESTHETIST INTRODUCTION The provision of anaesthesia requires a high level of knowledge, sound judgement, fast and accurate responses to clinical situations, and the capacity for extended periods of vigilance. In the interests of patient safety, it is important that anaesthetists are aware of the following principles (...) and their responsibilities in respect of working while fatigued. PRINCIPLES 1. Fatigue has been demonstrated to impair vigilance and accuracy of response (1,2,3) . Decreased performance of motor and cognitive functions in a fatigued anaesthetist may result in impaired judgement, late and inadequate responses to clinical changes, poor communication and inadequate record keeping (4,5,6,7) . The decrement in cognitive psychomotor performance after 17 hours of sustained wakefulness is equivalent to the performance

2007 Australian and New Zealand College of Anaesthetists

168. Ischemic and thrombotic effects of dilute diesel-exhaust inhalation in men with coronary heart disease. Full Text available with Trip Pro

Ischemic and thrombotic effects of dilute diesel-exhaust inhalation in men with coronary heart disease. Exposure to air pollution from traffic is associated with adverse cardiovascular events. The mechanisms for this association are unknown. We conducted a controlled exposure to dilute diesel exhaust in patients with stable coronary heart disease to determine the direct effect of air pollution on myocardial, vascular, and fibrinolytic function.In a double-blind, randomized, crossover study, 20 (...) men with prior myocardial infarction were exposed, in two separate sessions, to dilute diesel exhaust (300 mug per cubic meter) or filtered air for 1 hour during periods of rest and moderate exercise in a controlled-exposure facility. During the exposure, myocardial ischemia was quantified by ST-segment analysis using continuous 12-lead electrocardiography. Six hours after exposure, vasomotor and fibrinolytic function were assessed by means of intraarterial agonist infusions.During both exposure

2007 NEJM Controlled trial quality: uncertain

169. The treatment and management of chronic fatigue syndrome/myalgic encephalomyelitis in adults and children

The treatment and management of chronic fatigue syndrome/myalgic encephalomyelitis in adults and children The treatment and management of chronic fatigue syndrome/myalgic encephalomyelitis in adults and children The treatment and management of chronic fatigue syndrome/myalgic encephalomyelitis in adults and children Centre for Reviews and Dissemination CRD summary The authors concluded that there was evidence supporting the effectiveness of cognitive-behavioural therapy and graded exercise (...) therapy in reducing symptoms and improving physical functioning, but further research is required. This was a well-conducted and clearly reported review and the authors' conclusions are likely to be reliable. Authors' objectives To evaluate the interventions (or combinations of interventions) for the treatment, management and rehabilitation of adults and children with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME), and to update a previous systematic review (see Other Publications

2007 DARE.

170. Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue

Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue 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.

2007 DARE.

171. A critical review of complementary therapies for cancer-related fatigue Full Text available with Trip Pro

of ATP found that the treatment was associated with an improvement in lack of energy (p<0.001) and tiredness (p<0.0001). However, the reviewers concluded that the use of ATP would be limited by treatment constraints and possible side-effects. Acupuncture was reported to result in a mean improvement of fatigue by 31% (95% CI: 20.6, 40.5), 2 weeks after completion of treatment. Hypnosis was reported as improving current fatigue (p=0.017), but it is unclear whether this improvement was secondary (...) A critical review of complementary therapies for cancer-related fatigue A critical review of complementary therapies for cancer-related fatigue A critical review of complementary therapies for cancer-related fatigue Sood A, Barton D L, Bauer B A, Loprinzi C L CRD summary This review evaluated the effectiveness of complementary and alternative medicine for cancer-related fatigue. The authors concluded that there was insufficient evidence to recommend any specific intervention and that large

2007 DARE.

172. Management of medically unexplained symptoms (chronic pain and fatigue)

Management of medically unexplained symptoms (chronic pain and fatigue) Management of medically unexplained symptoms (chronic pain and fatigue) Management of medically unexplained symptoms (chronic pain and fatigue) Flynn K 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 Flynn K. Management of medically unexplained symptoms (chronic pain (...) and fatigue) Boston: VA Technology Assessment Program (VATAP). 2007 Authors' conclusions The amount of literature, complexity of interventions, and apparent dependence of results on setting are such as to defy sweeping conclusions. However, restricting labels to the chronic fatigue and fibromyalgia specified in the VA/DoD guideline leads to a conclusion that the guideline is still in alignment with more recent research, hence requires no updating. NICE (2007) summarizes a general approach that agrees well

2007 Health Technology Assessment (HTA) Database.

173. The treatment and management of chronic fatigue syndrome/ myalgic encephalomyelitis in adults and children

The treatment and management of chronic fatigue syndrome/ myalgic encephalomyelitis in adults and children The treatment and management of chronic fatigue syndrome/ myalgic encephalomyelitis in adults and children The treatment and management of chronic fatigue syndrome/ myalgic encephalomyelitis in adults and children Bagnall A-M, Hempel S, Chambers D, Orton V, Forbes C 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 Bagnall A-M, Hempel S, Chambers D, Orton V, Forbes C. The treatment and management of chronic fatigue syndrome/ myalgic encephalomyelitis in adults and children. York: University of York. CRD Report 35. 2007 Authors' objectives The aim of this study was to determine whether any particular intervention or combination of interventions is effective in the treament, management and rehabilitation of adults and children

2007 Health Technology Assessment (HTA) Database.

174. Specific Treatment Options - heat exhaustion and heat stroke

Specific Treatment Options - 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

2007 Joint Royal Colleges Ambulance Liaison Committee

175. A home based, physical activity intervention increased physical activity, fitness, and vigour and reduced fatigue in sedentary women with early stage breast cancer

A home based, physical activity intervention increased physical activity, fitness, and vigour and reduced fatigue in sedentary women with early stage breast cancer A home based, physical activity intervention increased physical activity, fitness, and vigour and reduced fatigue in sedentary women with early stage breast cancer | 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 (...) activity, fitness, and vigour and reduced fatigue in sedentary women with early stage breast cancer Article Text Treatment A home based, physical activity intervention increased physical activity, fitness, and vigour and reduced fatigue in sedentary women with early stage breast cancer Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able

2007 Evidence-Based Nursing

176. 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

177. 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

178. 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

179. 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

180. 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.