Chronic Fatigue Syndrome
... • Autonomic nervous system dysfunction? – Neurally mediated hypotension (Positive tilt table testing) • Suggestive studies, but none placebo controlled, blinded, randomized • No consistent response to treatments for this disorder ...
... • Autonomic nervous system dysfunction? – Neurally mediated hypotension (Positive tilt table testing) • Suggestive studies, but none placebo controlled, blinded, randomized • No consistent response to treatments for this disorder ...
Introduction “fibrositis” patients in 1975 and it (roughly the force required to
... start of FM symptoms may occur when a genetically predisposed individual is exposed to certain environmental triggers. Repeated exposure to stressors over a period of time may also precipitate FM.4,24 FM is also commonly found as an accompaniment to disorders with longstanding musculoskeletal pain, ...
... start of FM symptoms may occur when a genetically predisposed individual is exposed to certain environmental triggers. Repeated exposure to stressors over a period of time may also precipitate FM.4,24 FM is also commonly found as an accompaniment to disorders with longstanding musculoskeletal pain, ...
Brain fag syndrome - Psychiatric Bulletin
... a cultural anxiety syndrome.9 Nigerian psychiatric services, although based on Western models, are also familiar with the assessment and treatment of West African cultural presentations of affective, psychotic and anxiety disorders. Competition with traditional and faith healers abounds as do belief ...
... a cultural anxiety syndrome.9 Nigerian psychiatric services, although based on Western models, are also familiar with the assessment and treatment of West African cultural presentations of affective, psychotic and anxiety disorders. Competition with traditional and faith healers abounds as do belief ...
Hepatic Encephalopathy: Etiology, Pathogenesis, and Clinical Signs
... Type A encephalopathy occurs in cases of acute, severe liver disease (BOX 1) and manifests with a sudden onset of clinical signs, which can be rapidly progressive. Encephalopathy develops due to exposure of the brain to products released by the necrotic liver and can be complicated by systemic infla ...
... Type A encephalopathy occurs in cases of acute, severe liver disease (BOX 1) and manifests with a sudden onset of clinical signs, which can be rapidly progressive. Encephalopathy develops due to exposure of the brain to products released by the necrotic liver and can be complicated by systemic infla ...
Forgetfulness, stress or mild dementia?
... Stress is the body’s response to environmental demands or threats, either physical or psychological. Whereas some stress is normative, stress can become pathological if it is chronic or overwhelming in relation to the person’s coping abilities. This can lead to psychiatric conditions such as depress ...
... Stress is the body’s response to environmental demands or threats, either physical or psychological. Whereas some stress is normative, stress can become pathological if it is chronic or overwhelming in relation to the person’s coping abilities. This can lead to psychiatric conditions such as depress ...
Diet and Functional Abdominal Pain in Children and Adolescents
... wheat, milk, legumes, sugar-free mints, and apples; in other words, FODMAPs are ubiquitous in everyday meals. Not all FODMAPs trigger symptoms in patients—only those that are malabsorbed, which vary from patient to patient. In adults, there is some evidence that a low-FODMAP diet is effective in red ...
... wheat, milk, legumes, sugar-free mints, and apples; in other words, FODMAPs are ubiquitous in everyday meals. Not all FODMAPs trigger symptoms in patients—only those that are malabsorbed, which vary from patient to patient. In adults, there is some evidence that a low-FODMAP diet is effective in red ...
THE ASSESSMENT OF MALINGERING An Evidence-Based
... to calculate the Effort Index (E-score), which is the primary measure of testtaking effort on the b Test. d. Total time required for administration and scoring is typically 15 minutes or less. B. Symptom validity testing (SVT): 1. SVT involves asking the patient to choose one of two items relevant t ...
... to calculate the Effort Index (E-score), which is the primary measure of testtaking effort on the b Test. d. Total time required for administration and scoring is typically 15 minutes or less. B. Symptom validity testing (SVT): 1. SVT involves asking the patient to choose one of two items relevant t ...
Neuropsychological Assessment of Effort and Motivation
... Mechanisms Involved in Memory “Memory” complaints are among most common symptoms associated with postconcussion syndrome Information Processing Model of Memory helps clarify the role that “psychological factors” can play in memory complaints Example of the important role that basic education pla ...
... Mechanisms Involved in Memory “Memory” complaints are among most common symptoms associated with postconcussion syndrome Information Processing Model of Memory helps clarify the role that “psychological factors” can play in memory complaints Example of the important role that basic education pla ...
Stopping epileptic seizures using omega-3, vitamin E, diet
... brain. Impaired creation of GABA can lead to seizures. Vitamin B6 deficiency has been known to produce neuritis (nerve inflammation), dermatitis, anemia, and convulsions in infants. A report in the journal Epilepsy Research (8), discusses the case of an 8-day-old boy that had developed seizures. A v ...
... brain. Impaired creation of GABA can lead to seizures. Vitamin B6 deficiency has been known to produce neuritis (nerve inflammation), dermatitis, anemia, and convulsions in infants. A report in the journal Epilepsy Research (8), discusses the case of an 8-day-old boy that had developed seizures. A v ...
Childhood Traumatic Experiences and Trauma
... Methods: We conducted a cross-sectional study involving 1314 participants who were screened with the Dissociative Experience Scale (DES) and the Somatoform Dissociation Questionnaire (SDQ). Of the participants, 272 who scored above the cut-off point of either of these scales (DES score > 30 or SDQ s ...
... Methods: We conducted a cross-sectional study involving 1314 participants who were screened with the Dissociative Experience Scale (DES) and the Somatoform Dissociation Questionnaire (SDQ). Of the participants, 272 who scored above the cut-off point of either of these scales (DES score > 30 or SDQ s ...
Comments on relevant statements of Professor Peter White made at
... is saying that “CFS/ME” is not a single disorder, so on what evidence did the GDG lump them together as one (somatoform) disorder? PDW: “So diagnosis --- what is the point of making the diagnosis? I would suggest that it is useful to make the diagnosis of CFS/ME to lump as far as that….. there’s a f ...
... is saying that “CFS/ME” is not a single disorder, so on what evidence did the GDG lump them together as one (somatoform) disorder? PDW: “So diagnosis --- what is the point of making the diagnosis? I would suggest that it is useful to make the diagnosis of CFS/ME to lump as far as that….. there’s a f ...
vertigo
... ACUTE PERIPHERAL VESTIBULOPATHY This term is used to describe a spontaneous attack of vertigo of inapparent cause that resolves spontaneously and is not accompanied by hearing loss or evidence of central nervous system dysfunction It includes disorders diagnosed as acute labyrinthitis which are b ...
... ACUTE PERIPHERAL VESTIBULOPATHY This term is used to describe a spontaneous attack of vertigo of inapparent cause that resolves spontaneously and is not accompanied by hearing loss or evidence of central nervous system dysfunction It includes disorders diagnosed as acute labyrinthitis which are b ...
Vitamin D deficiency, guideline for the diagnosis
... Since the risk of hypercalcaemia and acute on chronic renal failure in patients with chronic kidney disease is higher, vitamin D replacement and maintenance regimes should be used more cautiously. Calcium should be reviewed regularly (with routine CKD blood tests) and vitamin D should be reviewed an ...
... Since the risk of hypercalcaemia and acute on chronic renal failure in patients with chronic kidney disease is higher, vitamin D replacement and maintenance regimes should be used more cautiously. Calcium should be reviewed regularly (with routine CKD blood tests) and vitamin D should be reviewed an ...
niacin deficiency resulting in neuropsychiatric symptoms
... including Vitamin B deficiency are listed as reversible causes of dementias. Appropriate supplementation has protective effects against cognitive decline (Morris et al. 2006). Pellagra is a disease that results from a deficiency of vitamin B3 (niacin). Neuropsychiatric symptoms such as confusion, de ...
... including Vitamin B deficiency are listed as reversible causes of dementias. Appropriate supplementation has protective effects against cognitive decline (Morris et al. 2006). Pellagra is a disease that results from a deficiency of vitamin B3 (niacin). Neuropsychiatric symptoms such as confusion, de ...
Some voices from the the international ME community
... Exercise Therapy, a shocking 82% reported that their condition was made worse by this treatment. On the basis of our members' experiences we question whether GET is an appropriate approach for patients with ME. It is worth noting that some patients were not severely affected before trying GET. Thus, ...
... Exercise Therapy, a shocking 82% reported that their condition was made worse by this treatment. On the basis of our members' experiences we question whether GET is an appropriate approach for patients with ME. It is worth noting that some patients were not severely affected before trying GET. Thus, ...
Some voices from the the international ME
... abuse and persistent denigration as a consequence of the beliefs of certain psychiatrists who are attempting to control the national agenda for this complex and severe neuro-immunological disorder. These psychiatrists are shown to be clearly in breach of the first tenet of medicine --- first do no h ...
... abuse and persistent denigration as a consequence of the beliefs of certain psychiatrists who are attempting to control the national agenda for this complex and severe neuro-immunological disorder. These psychiatrists are shown to be clearly in breach of the first tenet of medicine --- first do no h ...
Disorders of gastrointestinal motility: Towards a new classification1
... Symptoms usually suggest a regional focus of abnormal function, and this may be confirmed by clinical investigation. Physicians need to be aware that the causes of such abnormalities may be due to systemic rather than local disease. The lesions of progressive systemic sclerosis may be found in both ...
... Symptoms usually suggest a regional focus of abnormal function, and this may be confirmed by clinical investigation. Physicians need to be aware that the causes of such abnormalities may be due to systemic rather than local disease. The lesions of progressive systemic sclerosis may be found in both ...
overcoming obstacles: barriers to care in fibromyalgia treatment
... healthcare for those who do not. This article reviews these and other patient-, physician-, and process-related barriers and explains how they interfere with treatment. The article also suggests several common-sense strategies aimed at overcoming these obstacles and improving care for patients with ...
... healthcare for those who do not. This article reviews these and other patient-, physician-, and process-related barriers and explains how they interfere with treatment. The article also suggests several common-sense strategies aimed at overcoming these obstacles and improving care for patients with ...
Formal Psychological Testing in Patients With Paradoxical Vocal
... and Statistical Manual for Mental Disorders IV (DSM-IV), a conversion disorder is associated with deficits in voluntary motor or sensory functioning (other than pain) with symptoms that are not intentionally produced or feigned.10 Also, after appropriate investigation, these symptoms cannot be fully ...
... and Statistical Manual for Mental Disorders IV (DSM-IV), a conversion disorder is associated with deficits in voluntary motor or sensory functioning (other than pain) with symptoms that are not intentionally produced or feigned.10 Also, after appropriate investigation, these symptoms cannot be fully ...
Central Sensitization Syndrome and the Initial Evaluation
... address these issues and quite reasonably balk at the idea of resurrecting these memories and feelings with a newly encountered clinician. Even if no such treatment has yet been undertaken, an initial visit is usually not the time to search fully for this possibility. Instead, it is better to revisi ...
... address these issues and quite reasonably balk at the idea of resurrecting these memories and feelings with a newly encountered clinician. Even if no such treatment has yet been undertaken, an initial visit is usually not the time to search fully for this possibility. Instead, it is better to revisi ...
Irritable bowel syndrome: treatment options
... varies in different patients from mild to severe. Some patients complain of daily symptoms, while others report intermittent symptoms at intervals of weeks/months. The prevalence of IBS is from 5 to 10% of the world’s population and the annual incidence is approximately 200 per 100,000 [1–3] . IBS i ...
... varies in different patients from mild to severe. Some patients complain of daily symptoms, while others report intermittent symptoms at intervals of weeks/months. The prevalence of IBS is from 5 to 10% of the world’s population and the annual incidence is approximately 200 per 100,000 [1–3] . IBS i ...
Exploration of DSM-IV Criteria in Primary Care Patients With
... edition’s (DSM-IV) somatoform disorders (and its derivative diagnoses) to characterize and identify patients with medically unexplained symptoms (MUS). Our objective was to evaluate this use by determining the prevalence of DSM-IV somatoform and nonsomatoform disorders in patients with MUS proven by ...
... edition’s (DSM-IV) somatoform disorders (and its derivative diagnoses) to characterize and identify patients with medically unexplained symptoms (MUS). Our objective was to evaluate this use by determining the prevalence of DSM-IV somatoform and nonsomatoform disorders in patients with MUS proven by ...
Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome: Clinical
... ence diagnosing and/or treating more than twenty thousand (20,000) ME/CFS patients, a working clinical case definition, that encompassed the pattern of positive signs and symptoms of ME/CFS, was developed. The objective was to provide a flexible conceptual framework for clinical diagnoses that would ...
... ence diagnosing and/or treating more than twenty thousand (20,000) ME/CFS patients, a working clinical case definition, that encompassed the pattern of positive signs and symptoms of ME/CFS, was developed. The objective was to provide a flexible conceptual framework for clinical diagnoses that would ...
update - Energy Fruits
... within its cells B vitamins in excess of what is required for its normal growth. According to Paalme et al. (2014), yeast has great uptake capacity for thiamine, niacin, and pantothenic acid. There is also scientific evidence that yeast fortified with B vitamins can be a bioavailable source of these v ...
... within its cells B vitamins in excess of what is required for its normal growth. According to Paalme et al. (2014), yeast has great uptake capacity for thiamine, niacin, and pantothenic acid. There is also scientific evidence that yeast fortified with B vitamins can be a bioavailable source of these v ...
ADEM vs MS: A diagnostic dilemma - a follow-up study.
... observation of 28 children that visited Hippokratio General Hospital after an acute neurological dysfunction, and were about to receive a diagnosis of an inflammatory demyelinating disorder. ADEM is a self-limited disease that does not require long-term immunomodulatory therapies, in contrast with M ...
... observation of 28 children that visited Hippokratio General Hospital after an acute neurological dysfunction, and were about to receive a diagnosis of an inflammatory demyelinating disorder. ADEM is a self-limited disease that does not require long-term immunomodulatory therapies, in contrast with M ...
Wernicke–Korsakoff syndrome
Wernicke–Korsakoff syndrome (WKS), also called wet brain, Korsakoff's psychosis, and alcoholic encephalopathy, is the combined presence of Wernicke's encephalopathy (WE) and Korsakoff's syndrome. Due to the close relationship between these two disorders, patients suffering from both are usually diagnosed with WKS, as a single syndrome. It is a manifestation of thiamine (vitamin B1) deficiency, a spectrum of disorders which also encompasses beriberi, Wernicke's encephalopathy, and Korsakoff's psychosis. These disorders may manifest concurrently or separately. WKS is usually secondary to alcohol abuse. It mainly causes vision changes, ataxia and impaired memory.Wernicke's encephalopathy and WKS is most commonly seen in alcoholic patients, and only 20% of cases are identified before death. This failure in diagnosis of WE and thus treatment of the disease leads to death in approximately 20% of cases, while 75% are left with permanent brain damage associated with WKS. Of those affected, 25% require long-term institutionalization in order to receive effective care.