Fatigue Syndrome, Chronic
Fatigue
Mental Fatigue
Muscle Fatigue
Xenotropic murine leukemia virus-related virus
Fibromyalgia
Kansas
Persian Gulf Syndrome
Gammaretrovirus
Cognitive Therapy
Down Syndrome
Metabolic Syndrome X
Neurocirculatory Asthenia
Case-Control Studies
Q Fever
Multiple Chemical Sensitivity
Severity of Illness Index
Sick Role
Postural Orthostatic Tachycardia Syndrome
Treatment Outcome
Questionnaires
Depression
Sjogren's Syndrome
Pain
Coxiella burnetii
Nephrotic Syndrome
Central Nervous System Sensitization
Infectious Mononucleosis
Dyssomnias
Somatoform Disorders
Exercise Therapy
Exercise
Herpesvirus 7, Human
Environmental Illness
Prevalence
Sleep Disorders
Metanephrine
Leukemia Virus, Murine
Chronic Disease
Human herpesviruses in chronic fatigue syndrome. (1/626)
We have conducted a double-blind study to assess the possible involvement of the human herpesviruses (HHVs) HHV6, HHV7, Epstein-Barr virus (EBV), and cytomegalovirus in chronic fatigue syndrome (CFS) patients compared to age-, race-, and gender-matched controls. The CFS patient population was composed of rigorously screened civilian and Persian Gulf War veterans meeting the Centers for Disease Control and Prevention's CFS case definition criteria. Healthy control civilian and veteran populations had no evidence of CFS or any other exclusionary medical or psychiatric condition. Patient peripheral blood mononuclear cells were analyzed by PCR for the presence of these HHVs. Using two-tailed Fisher's exact test analyses, we were unable to ascertain any statistically significant differences between the CFS patient and control populations in terms of the detection of one or more of these viruses. This observation was upheld when the CFS populations were further stratified with regard to the presence or absence of major axis I psychopathology and patient self-reported gradual versus acute onset of disease. In tandem, we performed serological analyses of serum anti-EBV and anti-HHV6 antibody titers and found no significant differences between the CFS and control patients. (+info)Use of formal and informal care among people with prolonged fatigue: a review of the literature. (2/626)
Prolonged fatigue is a common symptom in the community and a common complaint in GPs' surgeries. The current consensus is that prolonged fatigue is most appropriately managed within primary care but that quality of care is patchy. Diagnosis is difficult and there is no conclusive evidence about effective treatment. This can lead to confusion and controversy among lay people and health professionals alike. Although the value of a positive doctor-patient relationship is emphasized, general practice consultations are frequently experienced as difficult by both parties. Moreover, little is known about how people access other sources of care and information about prolonged fatigue, such as alternative medicine, self-help groups, lay others, and self care, in conjunction with or as an alternative to care from health professionals. This paper reviews the literature on the nature and extent of the problem prolonged fatigue represents for primary care, and on the use of formal and informal care for prolonged fatigue. (+info)Increased postwar symptoms and psychological morbidity among U.S. Navy Gulf War veterans. (3/626)
To investigate reports on war-related morbidity, 527 active-duty Gulf War veterans and 970 nondeployed veterans from 14 Seabee commands were studied in 1994 with a questionnaire, sera collection, handgrip strength, and pulmonary function testing. The questionnaire assessed postwar symptoms, war exposures, and screened for chronic fatigue syndrome, post-traumatic stress disorder, and psychological symptoms suggesting neurosis (Hopkins Symptom Checklist). Sera were tested with four nonspecific reactant assays: C-reactive protein, transferrin, ferritin, and haptoglobin. Gulf War veterans reported a higher prevalence for 35 of 41 symptoms, scored higher on psychological symptom scales, were more likely to screen for post-traumatic stress disorder, had lower handgrip strength, and had higher serum ferritin assay results. Numerous comparisons of these morbidity outcomes with 30 self-reported exposures demonstrated many associations, but no unique exposure or group of exposures were implicated. Morbidity data are consistent with other postwar observations, but the etiology for morbidity findings remains uncertain. (+info)DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. (4/626)
OBJECTIVE: To develop a short instrument, called DISCERN, which will enable patients and information providers to judge the quality of written information about treatment choices. DISCERN will also facilitate the production of new, high quality, evidence-based consumer health information. DESIGN: An expert panel, representing a range of expertise in consumer health information, generated criteria from a random sample of information for three medical conditions with varying degrees of evidence: myocardial infarction, endometriosis, and chronic fatigue syndrome. A graft instrument, based on this analysis, was tested by the panel on a random sample of new material for the same three conditions. The panel re-drafted the instrument to take account of the results of the test. The DISCERN instrument was finally tested by a national sample of 15 information providers and 13 self help group members on a random sample of leaflets from 19 major national self help organisations. Participants also completed an 8 item questionnaire concerning the face and content validity of the instrument. RESULTS: Chance corrected agreement (weighted kappa) for the overall quality rating was kappa = 0.53 (95% CI kappa = 0.48 to kappa = 0.59) among the expert panel, kappa = 0.40 (95% CI kappa = 0.36 to kappa = 0.43) among information providers, and kappa = 0.23 (95% CI kappa = 0.19 to kappa = 0.27) among self help group members. Higher agreement levels were associated with experience of using the instrument and with professional knowledge of consumer health information. Levels of agreement varied across individual items on the instrument, reflecting the need for subjectivity in rating certain criteria. The trends in levels of agreement were similar among all groups. The final instrument consisted of 15 questions plus an overall quality rating. Responses to the questionnaire after the final testing revealed the instrument to have good face and content validity and to be generally applicable. CONCLUSIONS: DISCERN is a reliable and valid instrument for judging the quality of written consumer health information. While some subjectivity is required for rating certain criteria, the findings demonstrate that the instrument can be applied by experienced users and providers of health information to discriminate between publications of high and low quality. The instrument will also be of benefit to patients, though its use will be improved by training. (+info)Acute effects of thirty minutes of light-intensity, intermittent exercise on patients with chronic fatigue syndrome. (5/626)
BACKGROUND AND PURPOSE: Currently, there is no consensus on exercise prescription for patients with chronic fatigue syndrome (CFS). This investigation examined whether light-intensity, intermittent physical activity exacerbated symptoms in patients with CFS immediately following exercise to 7 days following exercise. Subjects. Subjects were 9 women (mean age=44.2 years, SD=8.4, range=29-56; mean weight=74.2 kg, SD=18.8, range=56.36-110.91; and mean height=1.63 m, SD=0.8, range=1.55-1.78) and 1 man (age=48 years, weight=97.1 kg, and height= 1.98 m) who met the Centels for Disease Control and Prevention's criteria fi)r (FS. METHODS: Subjects performed 10 discontinuous 3-minute exercise bouts (separated by 3 minutes of recovery) at a self-selected, comfortable walking pace on a treadmill. Oxygen consumption, minute ventilation, respiratory exchange ratio, and heart rate were measured every minute during the exercise session. To assess degree of disability, general health status, activity level, symptoms, and mood, subjects completed various questionnaires before and after exercise. RESULTS: Results indicated that degree of disability, general health status, symptoms, and mood did not change immediately and up to 7 days following exercise. CONCLUSION AND DISCUSSION: Thirty minutes of intermittent walking did not exacerbate symptoms in subjects with CFS. The physiological data did not show any abnormal response to exercise. Although this study did not determine whether 30 minutes of continuous versus intermittent exercise would exacerbate symptoms, all 10 subjects felt that they could not exercise continuously for 30 minutes without experiencing symptom exacerbation. Despite this limitation, the results indicate that some individuals with CFS may be able to use low-level, intermittent exercise without exacerbating their symptoms. (+info)Vitamin B status in patients with chronic fatigue syndrome. (6/626)
Some patients with chronic fatigue syndrome say they benefit from taking vitamin supplements. We assessed functional status for the B vitamins pyridoxine, riboflavin and thiamine in 12 vitamin-untreated CFS patients and in 18 healthy controls matched for age and sex. Vitamin-dependent activities--aspartate aminotransferase (AST) for pyridoxine, glutathione reductase (GTR) for riboflavin, transketolase (TK) for thiamine--were measured in erythrocyte haemolysates before and after in-vitro addition of the relevant vitamin. For all three enzymes basal activity (U/g Hb) was lower in CFS patients than in controls: AST 2.84 (SD 0.62) vs 4.61 (1.43), P < 0.001; GTR 6.13 (1.89) vs 7.42 (1.25), P < 0.04; TK 0.50 (0.13) vs 0.60 (0.07), P < 0.04. This was also true of activated values: AST 4.91 (0.54) vs 7.89 (2.11), P < 0.001; GTR 8.29 (1.60) vs 10.0 (1.80), P < 0.001; TK 0.56 (0.19) vs 0.66 (0.08), P < 0.07. The activation ratios, however, did not differ between the groups. These data provide preliminary evidence of reduced functional B vitamin status, particularly of pyridoxine, in CFS patients. (+info)Achieving a patient-centred consultation by giving feedback in its early phases. (7/626)
The traditional medical consultation comprises history, examination, and investigations, followed by explanation to the patient of diagnosis and management. In the course of studying a series of tape-recorded consultations in a specialist medical clinic for chronic fatigue, we have observed a different structure. In some consultations, those categorized as more 'patient-centred', doctors introduced explanation and education into the early history-taking stage. This strategy is contrasted with the traditional approach, where the doctor only elicits information during the history, and gives an explanation later. The 'early feedback' strategy may result in patients with chronic illnesses achieving greater understanding of their symptoms. We discuss the implication of these findings for medical training. (+info)Prediction of peak oxygen uptake in chronic fatigue syndrome. (8/626)
OBJECTIVES: To establish a simple, valid, and acceptable method of predicting peak oxygen uptake (VO2peak) in patients with chronic fatigue syndrome (CFS), which could provide a basis for subsequent exercise prescription at an appropriate intensity as part of a clinical rehabilitation programme. METHODS: A total of 130 patients who met UK research criteria for CFS were taken from consecutive referrals for chronic fatigue to the University Department of Medicine at Withington Hospital, Manchester. VO2peak was determined using an incremental graded exercise test to exhaustion. Respiratory gas exchange, work rate, and heart rate were monitored throughout. RESULTS: In all patients, VO2peak was found to correlate strongly and significantly with peak work rate (WRpeak) during testing (r2 = 0.88, p<0.001). In patients who exercised for longer than two minutes (n = 119), regression analysis established the relation as Vo2peak = 13.1 x WRPpeak + 284, where VO2 is given in ml/min and WR in W. The mean error between the measured VO2peak and the predicted value was 10.7%. The relation between increase in work rate and oxygen uptake across the group was highly significant (r2 = 0.87, p<0.001), and given as VO2increase = 12.0 x WRincrease, this value being similar to that expected for healthy individuals. Almost all (97%) subjects reported no exacerbation of symptoms after maximal exercise testing. CONCLUSIONS: Using a simple to administer maximal exercise test on a cycle ergometer, it is possible to predict accurately the VO2peak of a patient with CFS from peak work rate alone. This value can then be used as an aid to setting appropriate exercise intensity for a rehabilitation programme. The increase in VO2 per unit increase in workload was consistent with that expected in healthy individuals, suggesting that the physiological response of the patients measured here was not abnormal. Contrary to the belief of many patients, maximal exercise testing to the point of subjective exhaustion proved to be harmless, with no subjects suffering any lasting deterioration in their condition after assessment. (+info)Chronic Fatigue Syndrome (CFS) is a complex disorder characterized by extreme fatigue that does not improve with rest and is often worsened by physical or mental activity. The exact cause of CFS remains unknown, although it can be triggered by various factors such as infections, immune system dysfunction, hormonal imbalances, and stress.
The main symptom of CFS is severe fatigue that lasts for six months or longer, which is not relieved by rest and is often accompanied by other symptoms such as:
* Difficulty concentrating or remembering things
* Sore throat
* Swollen lymph nodes in the neck or armpits
* Muscle pain
* Joint pain without redness or swelling
* Headaches of a new type, pattern, or severity
* Unrefreshing sleep
* Extreme exhaustion lasting more than 24 hours after physical or mental exercise
The diagnosis of CFS is based on the patient's symptoms and medical history, as there are no specific diagnostic tests for this condition. Treatment typically focuses on relieving symptoms and improving function through a combination of medications, lifestyle changes, and complementary therapies.
Fatigue is a state of feeling very tired, weary, or exhausted, which can be physical, mental, or both. It is a common symptom that can be caused by various factors, including lack of sleep, poor nutrition, stress, medical conditions (such as anemia, diabetes, heart disease, or cancer), medications, and substance abuse. Fatigue can also be a symptom of depression or other mental health disorders. In medical terms, fatigue is often described as a subjective feeling of tiredness that is not proportional to recent activity levels and interferes with usual functioning. It is important to consult a healthcare professional if experiencing persistent or severe fatigue to determine the underlying cause and develop an appropriate treatment plan.
A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.
For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.
It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.
Mental fatigue is not a formally defined medical condition, but it's often used to describe the feeling of being mentally drained or exhausted due to prolonged periods of mental activity or stress. It can be characterized by symptoms such as difficulty concentrating, memory problems, mood changes, and reduced motivation or energy.
While mental fatigue is not a diagnosable medical condition, it can be a symptom of various underlying issues, including sleep disorders, mood disorders, neurological conditions, or other medical problems. If someone is experiencing significant mental fatigue that interferes with their daily functioning, they should consult a healthcare professional for further evaluation and treatment.
Muscle fatigue is a condition characterized by a reduction in the ability of a muscle to generate force or power, typically after prolonged or strenuous exercise. It is often accompanied by sensations of tiredness, weakness, and discomfort in the affected muscle(s). The underlying mechanisms of muscle fatigue are complex and involve both peripheral factors (such as changes in muscle metabolism, ion handling, and neuromuscular transmission) and central factors (such as changes in the nervous system's ability to activate muscles). Muscle fatigue can also occur as a result of various medical conditions or medications that impair muscle function.
Xenotropic murine leukemia virus-related virus (XMRV) is a retrovirus that was first identified in prostate cancer tissue samples in 2006. The name "xenotropic" refers to the fact that this virus can only infect cells from other species, not those of its natural host, which is thought to be a mouse. "Murine leukemia virus-related" indicates that XMRV is related to, but distinct from, murine leukemia viruses (MLVs), which are known to cause leukemia and other diseases in mice.
XMRV has been the subject of much controversy and research since its discovery, as some studies have suggested a link between this virus and human diseases such as prostate cancer and chronic fatigue syndrome. However, subsequent research has failed to consistently detect XMRV in these conditions, leading many experts to question whether the virus actually plays a role in human disease.
It's important to note that while XMRV is a retrovirus, like HIV, it is not considered to be a significant public health threat at this time. Further research is needed to clarify the relationship between XMRV and human disease.
Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. The pain typically occurs in specific tender points or trigger points, which are located on the neck, shoulders, back, hips, arms, and legs. These points are painful when pressure is applied.
The exact cause of fibromyalgia is unknown, but it appears to be related to abnormalities in the way the brain processes pain signals. It may also be associated with certain genetic factors, physical trauma, infection, or emotional stress. Fibromyalgia is more common in women than men and tends to develop between the ages of 20 and 50.
Fibromyalgia can be difficult to diagnose because its symptoms are similar to those of other conditions, such as rheumatoid arthritis, lupus, and chronic fatigue syndrome. However, a diagnosis of fibromyalgia may be made if a person has widespread pain for at least three months and tenderness in at least 11 of 18 specific points on the body when pressure is applied.
There is no cure for fibromyalgia, but medications, therapy, and lifestyle changes can help manage its symptoms. Treatment may include pain relievers, antidepressants, anti-seizure drugs, physical therapy, counseling, stress reduction techniques, and regular exercise.
I'm sorry for any confusion, but "Kansas" is not a medical term. It is a geographical location, being the name of a state in the central United States. If you have any questions about medical terms or conditions, I would be happy to help answer those!
Retroviridae infections refer to diseases caused by retroviruses, which are a type of virus that integrates its genetic material into the DNA of the host cell. This allows the virus to co-opt the cell's own machinery to produce new viral particles and infect other cells.
Some well-known retroviruses include human immunodeficiency virus (HIV), which causes AIDS, and human T-lymphotropic virus (HTLV), which can cause certain types of cancer and neurological disorders.
Retroviral infections can have a range of clinical manifestations depending on the specific virus and the host's immune response. HIV infection, for example, is characterized by progressive immunodeficiency that makes the infected individual susceptible to a wide range of opportunistic infections and cancers. HTLV infection, on the other hand, can cause adult T-cell leukemia/lymphoma or tropical spastic paraparesis, a neurological disorder.
Prevention and treatment strategies for retroviral infections depend on the specific virus but may include antiretroviral therapy (ART), vaccination, and behavioral modifications to reduce transmission risk.
I'm sorry for any confusion, but "Persian Gulf Syndrome" is not a widely recognized or officially defined medical condition. The term has been used informally to describe various nonspecific symptoms such as fatigue, cognitive problems, and muscle pain reported by some military personnel who served in the Persian Gulf region. However, these symptoms are common and can be caused by many different factors, so it's not clear that they are related to service in the Persian Gulf.
The Department of Veterans Affairs (VA) recognizes "Persian Gulf War Veterans' Illnesses" as a category of unexplained illnesses that some veterans of the 1990-1991 Gulf War experience. This includes conditions such as chronic fatigue syndrome, fibromyalgia, and functional gastrointestinal disorders, among others. But it's important to note that these are recognized diseases with specific diagnostic criteria, not a single syndrome.
If you or someone else is experiencing persistent health issues that may be related to military service, it's recommended to consult with a healthcare provider. They can provide a thorough evaluation and help determine if the symptoms are related to service or some other cause.
DNA contamination refers to the unintended presence of extraneous DNA in a sample or experimental setup that can interfere with the accuracy and interpretation of the results. This can occur at various stages, including during sample collection, storage, extraction, amplification, or analysis. It is crucial to avoid DNA contamination in molecular biology research, genetic testing, and forensic science to prevent false positive or negative results. Common sources of DNA contamination include skin cells, hair, bodily fluids, microorganisms, reagents, and previous samples. Specific measures must be taken to minimize the risk of DNA contamination, such as using dedicated equipment, maintaining clean laboratory conditions, and implementing rigorous quality control procedures.
A gammaretrovirus is a type of retrovirus, which is a virus that contains RNA as its genetic material and uses the reverse transcriptase enzyme to produce DNA from its RNA genome. Gammaretroviruses are enveloped viruses, meaning they have a lipid membrane derived from the host cell. They are also classified as simple retroviruses because their genome only contains the genes gag, pol, and env.
Gammaretroviruses are known to cause diseases in animals, including leukemias and immunodeficiencies. One example of a gammaretrovirus is the feline leukemia virus (FeLV), which can cause a variety of symptoms in cats, including anemia, lymphoma, and immune suppression.
Gammaretroviruses have also been implicated in some human diseases, although they are not thought to be major causes of human disease. For example, the human T-cell leukemia virus type 1 (HTLV-1) is a retrovirus that is closely related to gammaretroviruses and can cause adult T-cell leukemia/lymphoma and tropical spastic paraparesis/ HTLV-associated myelopathy (TSP/HAM).
It's important to note that the classification of retroviruses has evolved over time, and some viruses that were once classified as gammaretroviruses are now considered to be part of other retrovirus genera.
Cognitive Therapy (CT) is a type of psychotherapeutic treatment that helps patients understand the thoughts and feelings that influence behaviors. It is a form of talk therapy where the therapist and the patient work together to identify and change negative or distorted thinking patterns and beliefs, with the goal of improving emotional response and behavior.
Cognitive Therapy is based on the idea that our thoughts, feelings, and behaviors are all interconnected, and that negative or inaccurate thoughts can contribute to problems like anxiety and depression. By identifying and challenging these thoughts, patients can learn to think more realistically and positively, which can lead to improvements in their mood and behavior.
In cognitive therapy sessions, the therapist will help the patient identify negative thought patterns and replace them with healthier, more accurate ways of thinking. The therapist may also assign homework or exercises for the patient to practice between sessions, such as keeping a thought record or challenging negative thoughts.
Cognitive Therapy has been shown to be effective in treating a wide range of mental health conditions, including depression, anxiety disorders, eating disorders, and post-traumatic stress disorder (PTSD). It is often used in combination with other forms of treatment, such as medication, and can be delivered individually or in group settings.
Down syndrome is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is characterized by intellectual and developmental disabilities, distinctive facial features, and sometimes physical growth delays and health problems. The condition affects approximately one in every 700 babies born in the United States.
Individuals with Down syndrome have varying degrees of cognitive impairment, ranging from mild to moderate or severe. They may also have delayed development, including late walking and talking, and may require additional support and education services throughout their lives.
People with Down syndrome are at increased risk for certain health conditions, such as congenital heart defects, respiratory infections, hearing loss, vision problems, gastrointestinal issues, and thyroid disorders. However, many individuals with Down syndrome live healthy and fulfilling lives with appropriate medical care and support.
The condition is named after John Langdon Down, an English physician who first described the syndrome in 1866.
Metabolic syndrome, also known as Syndrome X, is a cluster of conditions that increase the risk of heart disease, stroke, and diabetes. It is not a single disease but a group of risk factors that often co-occur. According to the American Heart Association and the National Heart, Lung, and Blood Institute, a person has metabolic syndrome if they have any three of the following five conditions:
1. Abdominal obesity (waist circumference of 40 inches or more in men, and 35 inches or more in women)
2. Triglyceride level of 150 milligrams per deciliter of blood (mg/dL) or greater
3. HDL cholesterol level of less than 40 mg/dL in men or less than 50 mg/dL in women
4. Systolic blood pressure of 130 millimeters of mercury (mmHg) or greater, or diastolic blood pressure of 85 mmHg or greater
5. Fasting glucose level of 100 mg/dL or greater
Metabolic syndrome is thought to be caused by a combination of genetic and lifestyle factors, such as physical inactivity and a diet high in refined carbohydrates and unhealthy fats. Treatment typically involves making lifestyle changes, such as eating a healthy diet, getting regular exercise, and losing weight if necessary. In some cases, medication may also be needed to manage individual components of the syndrome, such as high blood pressure or high cholesterol.
Neurocirculatory asthenia is not a term that is widely used in modern medicine. However, historically, it has been used as a descriptive diagnosis for a group of symptoms characterized by fatigue, weakness, dizziness, and disturbances of heart rate and blood pressure, often in response to emotional stress or physical exertion.
The term "neurocirculatory" refers to the interaction between the nervous system and the cardiovascular system, while "asthenia" is a general term used to describe a lack of energy or weakness.
In modern medicine, this condition may be diagnosed as a form of functional disorder, neurasthenia, or somatic symptom disorder, depending on the specific symptoms and underlying causes. It's important to note that while these symptoms can be real and debilitating, they do not have a clear organic cause, and treatment typically focuses on managing symptoms and addressing any underlying psychological or emotional factors.
A case-control study is an observational research design used to identify risk factors or causes of a disease or health outcome. In this type of study, individuals with the disease or condition (cases) are compared with similar individuals who do not have the disease or condition (controls). The exposure history or other characteristics of interest are then compared between the two groups to determine if there is an association between the exposure and the disease.
Case-control studies are often used when it is not feasible or ethical to conduct a randomized controlled trial, as they can provide valuable insights into potential causes of diseases or health outcomes in a relatively short period of time and at a lower cost than other study designs. However, because case-control studies rely on retrospective data collection, they are subject to biases such as recall bias and selection bias, which can affect the validity of the results. Therefore, it is important to carefully design and conduct case-control studies to minimize these potential sources of bias.
Q fever is a zoonotic disease caused by the bacterium Coxiella burnetii. It is characterized by acute or chronic flu-like symptoms, pneumonia, and hepatitis. The bacteria are primarily transmitted to humans through inhalation of contaminated dust or aerosols from infected animals such as cattle, sheep, and goats. Q fever can also be transmitted through consumption of unpasteurized milk or direct contact with infected animals. It is often asymptomatic or mildly symptomatic in animals but can cause severe disease in humans.
The acute form of Q fever typically presents with sudden onset of high fever, severe headache, fatigue, muscle pain, and cough. Some patients may also develop pneumonia or hepatitis. The chronic form of the disease is less common but more serious, often affecting people with compromised immune systems. Chronic Q fever can lead to endocarditis, an infection of the inner lining of the heart, which can be life-threatening if left untreated.
Diagnosis of Q fever typically involves a combination of clinical evaluation, serological testing, and PCR (polymerase chain reaction) assays. Treatment usually involves antibiotics such as doxycycline or fluoroquinolones for several weeks to months, depending on the severity and duration of the illness. Prevention measures include avoiding contact with infected animals, wearing protective clothing and masks when handling animal products, and pasteurizing milk before consumption.
Multiple Chemical Sensitivity (MCS), also known as Idiosyncratic Intolerance, is a chronic condition characterized by symptoms that the affected person attributes to low-level exposure to chemicals in the environment. These reactions are not part of a recognized allergic response and are often delayed in onset.
The American Academy of Allergy, Asthma & Immunology (AAAAI) defines MCS as: "A heightened sensitivity to chemicals that most people tolerate well... Symptoms can include headache, fatigue, difficulty concentrating, confusion, joint pain, and digestive disturbances."
However, it's important to note that the medical community has not reached a consensus on the definition, cause, or diagnosis of MCS. Some healthcare providers question its validity as a distinct medical entity due to lack of consistent scientific evidence supporting the relationship between exposure levels and symptoms.
A Severity of Illness Index is a measurement tool used in healthcare to assess the severity of a patient's condition and the risk of mortality or other adverse outcomes. These indices typically take into account various physiological and clinical variables, such as vital signs, laboratory values, and co-morbidities, to generate a score that reflects the patient's overall illness severity.
Examples of Severity of Illness Indices include the Acute Physiology and Chronic Health Evaluation (APACHE) system, the Simplified Acute Physiology Score (SAPS), and the Mortality Probability Model (MPM). These indices are often used in critical care settings to guide clinical decision-making, inform prognosis, and compare outcomes across different patient populations.
It is important to note that while these indices can provide valuable information about a patient's condition, they should not be used as the sole basis for clinical decision-making. Rather, they should be considered in conjunction with other factors, such as the patient's overall clinical presentation, treatment preferences, and goals of care.
The "Sick Role" is a sociological concept that refers to the social position and expectations associated with being ill or sick. It was first introduced by sociologist Talcott Parsons in his 1951 work, "The Social System." According to Parsons, when an individual assumes the sick role, they are exempt from their normal social responsibilities and obligations. However, they are also expected to seek medical help, comply with medical treatment recommendations, and strive to get better and return to their regular social roles as soon as possible.
The sick role involves several key components:
1. The individual is not responsible for their illness and did not cause it intentionally.
2. They are exempt from normal social obligations and responsibilities, such as work or household duties.
3. They must seek medical help and follow the recommended treatment plan.
4. They should strive to get better and return to their regular social roles as soon as possible.
The sick role serves several functions in society, including:
1. Providing a framework for understanding and responding to illness.
2. Encouraging individuals to seek medical help when they are ill.
3. Allowing individuals to take a break from their normal social obligations while they recover.
4. Helping to maintain social order by ensuring that individuals do not abuse the sick role and return to their regular roles as soon as possible.
Postural Orthostatic Tachycardia Syndrome (POTS) is a condition characterized by an abnormally rapid heart rate (tachycardia) that occurs upon standing, leading to symptoms such as dizziness, lightheadedness, and fainting. The diagnostic criteria for POTS include:
1. A heart rate increase of 30 beats per minute or more within the first 10 minutes of standing or a heart rate of 120 beats per minute or more within the first 10 minutes of standing, measured by a heart rate monitor.
2. The presence of symptoms such as lightheadedness, dizziness, blurred vision, weakness, fatigue, headache, shortness of breath, or chest pain upon standing that are relieved by lying down.
3. Symptoms must be present for at least three months and occur in the absence of other medical conditions that could explain them.
POTS is thought to be caused by a dysfunction of the autonomic nervous system, which controls involuntary functions such as heart rate and blood pressure. Treatment may include lifestyle modifications, such as increasing fluid and salt intake, wearing compression stockings, and avoiding prolonged standing or sitting. Medications that help regulate blood pressure and heart rate may also be prescribed.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.
Depression is a mood disorder that is characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. It can also cause significant changes in sleep, appetite, energy level, concentration, and behavior. Depression can interfere with daily life and normal functioning, and it can increase the risk of suicide and other mental health disorders. The exact cause of depression is not known, but it is believed to be related to a combination of genetic, biological, environmental, and psychological factors. There are several types of depression, including major depressive disorder, persistent depressive disorder, postpartum depression, and seasonal affective disorder. Treatment for depression typically involves a combination of medication and psychotherapy.
Sjögren's syndrome is a chronic autoimmune disorder in which the body's immune system mistakenly attacks its own moisture-producing glands, particularly the tear and salivary glands. This can lead to symptoms such as dry eyes, dry mouth, and dryness in other areas of the body. In some cases, it may also affect other organs, leading to a variety of complications.
There are two types of Sjögren's syndrome: primary and secondary. Primary Sjögren's syndrome occurs when the condition develops on its own, while secondary Sjögren's syndrome occurs when it develops in conjunction with another autoimmune disease, such as rheumatoid arthritis or lupus.
The exact cause of Sjögren's syndrome is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Treatment typically focuses on relieving symptoms and may include artificial tears, saliva substitutes, medications to stimulate saliva production, and immunosuppressive drugs in more severe cases.
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.
Coxiella burnetii is a gram-negative, intracellular bacterium that causes Q fever, a zoonotic disease with various clinical manifestations ranging from asymptomatic seroconversion to acute and chronic forms. The bacterium is highly infectious and can be transmitted to humans through inhalation of contaminated aerosols or direct contact with infected animals or their products. C. burnetii has a unique ability to survive and replicate within host cells, particularly within phagocytic vacuoles, by inhibiting phagosome-lysosome fusion and altering the intracellular environment to promote its survival.
The bacterium exhibits a biphasic developmental cycle, consisting of small cell variants (SCVs) and large cell variants (LCVs). SCVs are metabolically inactive and highly resistant to environmental stressors, including heat, desiccation, and disinfectants. LCVs, on the other hand, are metabolically active and undergo replication within host cells. C. burnetii can form persistent infections, which may contribute to chronic Q fever and its associated complications, such as endocarditis and vascular infection.
Q fever is a worldwide distributed disease, with a higher incidence in rural areas where livestock farming is prevalent. The primary reservoirs for C. burnetii are domestic animals, including cattle, sheep, and goats, although wild animals and arthropods can also serve as potential hosts. Effective antibiotic treatment options for Q fever include doxycycline and fluoroquinolones, while vaccination with the phase I whole-cell vaccine is available in some countries to prevent infection in high-risk populations.
Nephrotic syndrome is a group of symptoms that indicate kidney damage, specifically damage to the glomeruli—the tiny blood vessel clusters in the kidneys that filter waste and excess fluids from the blood. The main features of nephrotic syndrome are:
1. Proteinuria (excess protein in urine): Large amounts of a protein called albumin leak into the urine due to damaged glomeruli, which can't properly filter proteins. This leads to low levels of albumin in the blood, causing fluid buildup and swelling.
2. Hypoalbuminemia (low blood albumin levels): As albumin leaks into the urine, the concentration of albumin in the blood decreases, leading to hypoalbuminemia. This can cause edema (swelling), particularly in the legs, ankles, and feet.
3. Edema (fluid retention and swelling): With low levels of albumin in the blood, fluids move into the surrounding tissues, causing swelling or puffiness. The swelling is most noticeable around the eyes, face, hands, feet, and abdomen.
4. Hyperlipidemia (high lipid/cholesterol levels): The kidneys play a role in regulating lipid metabolism. Damage to the glomeruli can lead to increased lipid production and high cholesterol levels in the blood.
Nephrotic syndrome can result from various underlying kidney diseases, such as minimal change disease, membranous nephropathy, or focal segmental glomerulosclerosis. Treatment depends on the underlying cause and may include medications to control inflammation, manage high blood pressure, and reduce proteinuria. In some cases, dietary modifications and lifestyle changes are also recommended.
Central nervous system (CNS) sensitization refers to a state in which the CNS, specifically the brain and spinal cord, becomes increasingly hypersensitive to stimuli. This heightened sensitivity results in an amplified response to painful or non-painful stimuli.
In CNS sensitization, there is an increased responsiveness of neurons in the CNS, leading to a lower threshold for activation and an enhanced transmission of nociceptive (pain) signals. This can occur due to various factors such as tissue injury, inflammation, or nerve damage, which trigger changes in the nervous system that contribute to the development and maintenance of chronic pain conditions.
CNS sensitization is associated with functional and structural reorganization within the CNS, including alterations in neurotransmitter release, ion channel function, and synaptic plasticity. These changes can result in long-term modifications in the processing and perception of pain, making it more difficult to manage and treat chronic pain conditions.
Infectious Mononucleosis, also known as "mono" or the "kissing disease," is a common infectious illness caused by the Epstein-Barr virus (EBV). It primarily affects adolescents and young adults. The medical definition of Infectious Mononucleosis includes the following signs and symptoms:
1. Infection: Infectious Mononucleosis is an infection that spreads through saliva, hence the nickname "kissing disease." It can also be transmitted through sharing food, drinks, or personal items such as toothbrushes or utensils with an infected person.
2. Incubation period: The incubation period for Infectious Mononucleosis is typically 4-6 weeks after exposure to the virus.
3. Symptoms: Common symptoms of Infectious Mononucleosis include fever, sore throat (often severe and may resemble strep throat), fatigue, swollen lymph nodes (particularly in the neck and armpits), and skin rash (in some cases).
4. Diagnosis: The diagnosis of Infectious Mononucleosis is typically made based on a combination of clinical symptoms, physical examination findings, and laboratory test results. A complete blood count (CBC) may reveal an increased number of white blood cells, particularly atypical lymphocytes. Additionally, the Paul-Bunnell or Monospot test can detect heterophile antibodies, which are present in about 85% of cases after the first week of illness.
5. Treatment: There is no specific antiviral treatment for Infectious Mononucleosis. Management typically involves supportive care, such as rest, hydration, and pain relief for symptoms like sore throat and fever.
6. Complications: Although most cases of Infectious Mononucleosis resolve without significant complications, some individuals may experience complications such as splenomegaly (enlarged spleen), hepatitis, or neurological issues. Rarely, the virus can cause more severe complications like myocarditis (inflammation of the heart muscle) or hemolytic anemia (destruction of red blood cells).
7. Prevention: Preventing Infectious Mononucleosis is difficult since it is primarily spread through respiratory droplets and saliva. However, practicing good hygiene, such as covering the mouth and nose when coughing or sneezing and avoiding sharing personal items like utensils or drinking glasses, can help reduce the risk of transmission.
Dyssomnias are a category of sleep disorders that involve problems with the amount, quality, or timing of sleep. They can be broken down into several subcategories, including:
1. Insomnia: This is characterized by difficulty falling asleep or staying asleep, despite adequate opportunity and circumstances to do so. It can result in distress, impairment in social, occupational, or other areas of functioning, and/or feelings of dissatisfaction with sleep.
2. Hypersomnias: These are disorders that involve excessive sleepiness during the day, even after having adequate opportunity for sleep. Narcolepsy is an example of a hypersomnia.
3. Sleep-related breathing disorders: These include conditions such as obstructive sleep apnea, in which breathing is repeatedly interrupted during sleep, leading to poor sleep quality and excessive daytime sleepiness.
4. Circadian rhythm sleep-wake disorders: These involve disruptions to the body's internal clock, which can result in difficulty falling asleep or staying asleep at desired times. Jet lag and shift work disorder are examples of circadian rhythm sleep-wake disorders.
5. Parasomnias: These are disruptive sleep-related events that occur during various stages of sleep, such as sleepwalking, night terrors, and REM sleep behavior disorder.
Dyssomnias can have significant impacts on a person's quality of life, and it is important to seek medical evaluation if you are experiencing symptoms. Treatment may involve lifestyle changes, medication, or other interventions depending on the specific type of dyssomnia.
Somatoform disorders are a group of psychological disorders characterized by the presence of physical symptoms that cannot be fully explained by a medical condition or substance abuse. These symptoms cause significant distress and impairment in social, occupational, or other important areas of functioning. The individual's belief about the symptoms is not consistent with the medical evaluation and often leads to excessive or repeated medical evaluations.
Examples of somatoform disorders include:
1. Somatization disorder: characterized by multiple physical symptoms that cannot be explained medically, affecting several parts of the body.
2. Conversion disorder: characterized by the presence of one or more neurological symptoms (such as blindness, paralysis, or difficulty swallowing) that cannot be explained medically and appear to have a psychological origin.
3. Pain disorder: characterized by chronic pain that is not fully explained by a medical condition.
4. Hypochondriasis: characterized by an excessive preoccupation with having a serious illness, despite reassurance from medical professionals.
5. Body dysmorphic disorder: characterized by the obsessive idea that some aspect of one's own body part or appearance is severely flawed and warrants exceptional measures to hide or fix it.
It's important to note that these disorders are not caused by intentional deceit or malingering, but rather reflect a genuine belief in the presence of physical symptoms and distress related to them.
Exercise therapy is a type of medical treatment that uses physical movement and exercise to improve a patient's physical functioning, mobility, and overall health. It is often used as a component of rehabilitation programs for individuals who have experienced injuries, illnesses, or surgeries that have impaired their ability to move and function normally.
Exercise therapy may involve a range of activities, including stretching, strengthening, balance training, aerobic exercise, and functional training. The specific exercises used will depend on the individual's needs, goals, and medical condition.
The benefits of exercise therapy include:
* Improved strength and flexibility
* Increased endurance and stamina
* Enhanced balance and coordination
* Reduced pain and inflammation
* Improved cardiovascular health
* Increased range of motion and joint mobility
* Better overall physical functioning and quality of life.
Exercise therapy is typically prescribed and supervised by a healthcare professional, such as a physical therapist or exercise physiologist, who has experience working with individuals with similar medical conditions. The healthcare professional will create an individualized exercise program based on the patient's needs and goals, and will provide guidance and support to ensure that the exercises are performed safely and effectively.
Exercise is defined in the medical context as a physical activity that is planned, structured, and repetitive, with the primary aim of improving or maintaining one or more components of physical fitness. Components of physical fitness include cardiorespiratory endurance, muscular strength, muscular endurance, flexibility, and body composition. Exercise can be classified based on its intensity (light, moderate, or vigorous), duration (length of time), and frequency (number of times per week). Common types of exercise include aerobic exercises, such as walking, jogging, cycling, and swimming; resistance exercises, such as weightlifting; flexibility exercises, such as stretching; and balance exercises. Exercise has numerous health benefits, including reducing the risk of chronic diseases, improving mental health, and enhancing overall quality of life.
Human Herpesvirus 7 (HHV-7) is a species of the Herpesviridae family and Betaherpesvirinae subfamily. It is a double-stranded DNA virus that primarily infects human hosts. HHV-7 is closely related to Human Herpesvirus 6 (HHV-6) and both viruses share many biological and biochemical properties.
HHV-7 is typically acquired in early childhood, with most people becoming infected before the age of five. Primary infection with HHV-7 can cause a mild illness known as exanthema subitum or roseola infantum, which is characterized by fever and a rash. However, many HHV-7 infections are asymptomatic.
After initial infection, HHV-7 becomes latent in the host's immune cells, particularly CD4+ T-lymphocytes. The virus can reactivate later in life, causing various clinical manifestations such as chronic fatigue syndrome, seizures, and exacerbation of atopic dermatitis. HHV-7 has also been implicated in the development of certain malignancies, including lymphoproliferative disorders and some types of brain tumors.
Like other herpesviruses, HHV-7 establishes a lifelong infection in its human host, with periodic reactivation throughout the individual's lifetime.
Environmental Illness (EI) is a condition in which individuals report experiencing various symptoms that they believe are caused or worsened by exposure to specific environmental factors. These factors can include chemicals, allergens, pollutants, or other substances present in the air, water, or food. The symptoms of EI can vary widely and may include headaches, fatigue, difficulty concentrating, respiratory problems, skin irritations, and gastrointestinal issues.
It's important to note that while some people may be more sensitive than others to environmental factors, the term "Environmental Illness" is not recognized as a formal medical diagnosis by major medical organizations such as the American Medical Association or the World Health Organization. Instead, the symptoms of EI are often attributed to other conditions, such as allergies, asthma, or chemical sensitivities.
In some cases, individuals with EI may be diagnosed with a related condition called Multiple Chemical Sensitivity (MCS), which is characterized by heightened sensitivity to chemicals and other environmental factors. However, MCS is also not recognized as a formal medical diagnosis by many major medical organizations.
Overall, while some people may experience symptoms that they believe are caused by exposure to environmental factors, it's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.
Prevalence, in medical terms, refers to the total number of people in a given population who have a particular disease or condition at a specific point in time, or over a specified period. It is typically expressed as a percentage or a ratio of the number of cases to the size of the population. Prevalence differs from incidence, which measures the number of new cases that develop during a certain period.
Sleep disorders are a group of conditions that affect the ability to sleep well on a regular basis. They can include problems with falling asleep, staying asleep, or waking up too early in the morning. These disorders can be caused by various factors such as stress, anxiety, depression, medical conditions, or substance abuse.
The American Academy of Sleep Medicine (AASM) recognizes over 80 distinct sleep disorders, which are categorized into the following major groups:
1. Insomnia - difficulty falling asleep or staying asleep.
2. Sleep-related breathing disorders - abnormal breathing during sleep such as obstructive sleep apnea.
3. Central disorders of hypersomnolence - excessive daytime sleepiness, including narcolepsy.
4. Circadian rhythm sleep-wake disorders - disruption of the internal body clock that regulates the sleep-wake cycle.
5. Parasomnias - abnormal behaviors during sleep such as sleepwalking or night terrors.
6. Sleep-related movement disorders - repetitive movements during sleep such as restless legs syndrome.
7. Isolated symptoms and normal variants - brief and occasional symptoms that do not warrant a specific diagnosis.
Sleep disorders can have significant impacts on an individual's quality of life, productivity, and overall health. If you suspect that you may have a sleep disorder, it is recommended to consult with a healthcare professional or a sleep specialist for proper evaluation and treatment.
Metanephrine is a catecholamine metabolite, specifically a derivative of epinephrine (adrenaline). It is formed in the body through the metabolic breakdown of epinephrine by the enzyme catechol-O-methyltransferase (COMT). Metanephrines, including metanephrine and normetanephrine, are primarily produced in the adrenal glands but can also be found in other tissues in smaller amounts.
Elevated levels of metanephrines in the blood or urine may indicate a pheochromocytoma, a rare tumor originating from the chromaffin cells of the adrenal medulla, or a paraganglioma, a similar type of tumor located outside the adrenal glands. These tumors can cause excessive production of catecholamines, including epinephrine and norepinephrine, leading to increased metanephrine levels.
It is essential to differentiate between metanephrine and normetanephrine as they have distinct clinical implications. Normetanephrine is a derivative of norepinephrine (noradrenaline), while metanephrine originates from epinephrine. The measurement of both free metanephrines and normetanephrines in plasma or urine is often used to diagnose and monitor pheochromocytomas and paragangliomas.
Medical Definition:
Murine leukemia virus (MLV) is a type of retrovirus that primarily infects and causes various types of malignancies such as leukemias and lymphomas in mice. It is a complex genus of viruses, with many strains showing different pathogenic properties.
MLV contains two identical single-stranded RNA genomes and has the ability to reverse transcribe its RNA into DNA upon infection, integrating this proviral DNA into the host cell's genome. This is facilitated by an enzyme called reverse transcriptase, which MLV carries within its viral particle.
The virus can be horizontally transmitted between mice through close contact with infected saliva, urine, or milk. Vertical transmission from mother to offspring can also occur either in-utero or through the ingestion of infected breast milk.
MLV has been extensively studied as a model system for retroviral pathogenesis and tumorigenesis, contributing significantly to our understanding of oncogenes and their role in cancer development. It's important to note that Murine Leukemia Virus does not infect humans.
A chronic disease is a long-term medical condition that often progresses slowly over a period of years and requires ongoing management and care. These diseases are typically not fully curable, but symptoms can be managed to improve quality of life. Common chronic diseases include heart disease, stroke, cancer, diabetes, arthritis, and COPD (chronic obstructive pulmonary disease). They are often associated with advanced age, although they can also affect children and younger adults. Chronic diseases can have significant impacts on individuals' physical, emotional, and social well-being, as well as on healthcare systems and society at large.
'Diseases in Twins' is a field of study that focuses on the similarities and differences in the occurrence, development, and outcomes of diseases among twins. This research can provide valuable insights into the genetic and environmental factors that contribute to various medical conditions.
Twins can be classified into two types: monozygotic (identical) and dizygotic (fraternal). Monozygotic twins share 100% of their genes, while dizygotic twins share about 50%, similar to non-twin siblings. By comparing the concordance rates (the likelihood of both twins having the same disease) between monozygotic and dizygotic twins, researchers can estimate the heritability of a particular disease.
Studying diseases in twins also helps understand the role of environmental factors. When both twins develop the same disease, but they are discordant for certain risk factors (e.g., one twin smokes and the other does not), it suggests that the disease may have a stronger genetic component. On the other hand, when both twins share similar risk factors and develop the disease, it implies that environmental factors play a significant role.
Diseases in Twins research has contributed to our understanding of various medical conditions, including infectious diseases, cancer, mental health disorders, and developmental disorders. This knowledge can lead to better prevention strategies, early detection methods, and more targeted treatments for these diseases.