Enterovirus in the Chronic Fatigue Syndrome

Pacing as a strategy to improve energy management in myalgic encephalomyelitis/chronic fatigue syndrome: a consensus document

“…While recognizing the potential benefits of such programmes for subsets of patients (see below), several researchers and practitioners felt that the growing evidence of ongoing pathology supported the view that internal cues might well signal the need for protective action [23,[34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50]. Accordingly, pacing encourages the person with ME/CFS to recognize discomfort and to not 'push' themselves, in order to prevent an exacerbation of symptoms.…”

“…Also taken into account were the findings from objective measures demonstrating that the graded exercise protocols do not result in significant increases in activity, and that the documented improvements in fatigue and physical functioning cannot be ascribed to changes in physical fitness [52][53][54]. Other considerations include the lack of information on the efficacy of time-contingent protocols in people with evidence of neurological or immunological disease [23,[34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50].…”

Community psychiatric nurses and drug regimens

“…Fourteen of these 1983 patients died, 12 of whom had contracted the disease in Africa and two in India. 4 Eight of the 14 patients who died had taken no prophylaxis at all.…”

“…The history of NHS capital expenditure is grim (for example, at the University Hospital of Wales, Cardiff, millions were spent on decaying facades and fire precautions), and there is widespread evidence of great waste in running costs. 4 There is room for improvement in the management of both the capital project (which should be completed in time and at the cost stated in the contract) and subsequent recurrent expenditure. More careful scrutiny would therefore be welcome.…”

“…This should be balanced against the fact that bed sharing is common and that current favourable attitudes to it may jeopardise the acceptance of other messages aimed at preventing cot death. 4 Appropriate messages should be developed by the appropriate people. The reason for the failure of the 1991 campaign to reduce rates of cot death in the Maori community is not the "alienation of the leaders of some ethnic communities" but the standard of the public health services delivered to the Maori community.…”