Knowledge (XXG)

Talk:Clinical descriptions of ME/CFS/Archive 1

Source πŸ“

1011:
but that could certainly be clarified. But there needs to be a source stating exercise tests and SF36 are generally accepted, widely seen as reliable, are the current gold standard, or some other information indicating they are preferred in the absence of anything that is more conclusive. I'm not being a dick on this one, I'm open to the modification, but collectively the articles have hundreds of citations and thousands of characters so it's a lot to read. If it's present in a sub-section of a mainpage article, point me there and I'll review.
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definitions and the references for them, and I do not see what is wrong with having them if the article gets them right & doesn't draw conclusions. But section 3 has no place here--it's a different topic. As for section 2, the discussion of the validity of the different definitions does seem somewhat problematic and incomplete. A simple reference to evaluations would probably be better in the individual sections.
2456:). They were led by the CDC. The Ann Intern Med published the case definition, the researchers proposed the revised definition. Also, please be careful about specifying the year of the CDC criteria since the CDC was involved with the 1988, the 1994, and the 2003 publications. Each revision is different. 2436:
Now that the edits are being taken one-by-one, I think we can work together to get the best possible text in here. In my most recent edit (made roughly simultaneously with this note), I've kept the CDC 1994 reference, as that makes the most sense here. I did, however, change the wording to indicate
862:
Good point, thanks (note though that the abbreviation cfs has multiple medical meanings). I tried to search Pubmed but apparently that's not so easy or revealing (maybe I did it wrong). Anyway, I've sent a mail to the CDC to try and clear this up once and for all. The current text is stil incorrect
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Weird, half the sources are from Jason LA, this article is not about clinical descriptions now, it is a POV fork about Jasons ideas about subgroups and mainstream medical opinion is wrong. It should get changed so it does not base from primary literature by this author in minor journals, more major
1010:
I've commented out the "discouraged by..." sentence pending a source that more clearly verifies the text. Guido, what citations do you have that exercise tests and SF36 are reliable/generally accepted? Even if true, the text would still be accurate since there is not one test, but there are two,
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And in any case, the random number of google hits is less important than the scholarly opinion. It doesn't really matter why it's called the CDC criteria, or if it's a intellectually truthful name. What matters is what is used. If the majority use CDC criteria, that's what we should use. If in
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Come on Guido you say I will not respond on talk page, sorry this is not my full time job. Pls stop saying the CDC criteria are Fukuda, you want people to think this is just one person, the weight of CDC is behind it. OK CDC and other people but it is the CDC criteria, everyone calls it that! The
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and lines are set automatically. I've adjusted so in the example table, and I find it much easier to read than the above one, mostly because of the separation of columns. Again, I think the table is a useful tool, but for ease of editing I think the wikitable is the better choice. My offer to
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It is not a content fork. There is a great multitude of definitions for CFS, and we can't put them all in the main article. CFS is a working diagnosis, so its definition is adjusted often for better patient selection; these are not all controversies. Note that the Canadian definition is a ME/CFS
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for some other page. I'm not even sure for what, but certainly the text could be integrated into the history, controversy, naming, pathophisiology, etiology or some other article related to CFS. Is it about differening diagnostic criteria, as suggested by the title? In which case it should be
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without prejudice to any of the fundamental questions, I declined a prod on this because it seems rational to be that the various definitions used now and in the past should have a place here. It would probably confuse the main article to include them all. It should get to more than just the
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in peace easy to moderate complaints, which worsen under load; Activity is with 70-90Β % of the used one, clearly recognizable delimitation of the daily activity; not in the situation to work all day with physical employment but able, to follow to an easy full time occupation at more sliding
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that these are research guidelines, as clearly indicated within the source itself. I also moved the "1994" wording just for easier reading. I'm not sure about the "international group of researchers" wording, and am happy to defer to others as to the best wording there. --
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version, or something close. In this case, references 8-20 were in a single section (issues with definitions, essentially "controversies"). In this case, it was indeed an over-representation of Jason – 9 out of 13 of the sources listed him as an author. These also aren't
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n peace moderate to heavy symptoms, strong complaints when all efforts; Activity on 50Β % of the used one reduces; mainly to the house limits; unable to take over any arduous obligations; able to implement light work 2-3 hours on the day; Ruhepausen are needed
990:
What is the source of this bold statement? It is not true, e.g. treadmill/bicycle tests are generally accepted, as is the SF36. What is true is that you can't diagnose CFS with one single test (yet), but that is not the same. The article should be accurate.
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in peace moderate complaints, when efforts moderate to heavy; Activity on 50-70Β % of the used one reduces; not to the house limits; unable to implement more arduous tasks; capable of implementing easier tasks of 3-4 hours on the day; Ruhepausen are needed.
1118:." One table (pg. 152) said three NCC-PC reviewers didn't recommend the Canadian definition for reasons other than what is stated above. The table also had offsetting positive comments on rigour from NZGG. I will replace the wording with verifiable text. 2432:
of the edits, then only those edits should be reverted, and the reasons should be discussed here on the talk page (as with any controversial subject). In the absence of an explanation of the reversions, I reverted them on the above grounds.
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VanNess JM, Snell CR, Stevens SR, Bateman L, Keller BA (2006), "Using Serial Cardiopulmonary Exercise Tests to Support a Diagnosis of Chronic Fatigue Syndrome", Medicine & Science in Sports & Exercise: Volume 38(5) Supplement May p
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hybrid seeking to fix CFS at the same point as ME. With the definition of ME not in the article, this particular move is actually ok, except that 'descriptions' should be 'definitions' or 'criteria'. The text still needs considerable work.
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This is simply untrue, on both counts. Holmes does not exclude all psychiatric diagnoses, just a list of specific ones, and Fukuda does exactly the same. Holmes requiring 8 secondary symptoms is not correct either. Read the source!
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in peace moderate to heavy symptoms, strong complaints when all efforts; Activity on 30-50Β % of the used one reduces; only rarely able to leave the house; most time of the daily in bed; unable to implement more arduous activities.
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in peace moderate complaints, when efforts moderate to heavy; Activity on 70Β % of the used one reduces; unable to master more arduous tasks; capable of implementing easier tasks of 4-5 hours on the day; Ruhepausen are needed.
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My concerns with the recent bulk reversions are simply that they're just that: bulk reversions. Some may have merit, but clearly, others are non-controversial edits of links, grammar, etc. If there are concerns with only
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I probably shouldn't say this, as it will likely stir up yet another hornet's nest, but should Ramsay's definition of ME be included here? I don't particularly care either way, just putting it here for discussion.
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Rather than using the above, HTML(?) style of table, may I suggest adapting to a simpler wikitable? It's easier to modify and other editors will be more familiar with the style (in addition to the ability to use
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The National Institute for Health and Clinical Excellence (NICE) in England and Wales discourages use of this "stringent" definition, challenging that the biology is not yet recognized and is thus judged as too
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Guido, your above Google searches are not representative (way too restrictive for the CDC). When you Google something like "CDC criteria" 1994 cfs -wikipedia, you get 5500 results, not the 555 you listed above.
978:"Use of this definition is discouraged by the National Health Services in England and Wales, since it makes assumptions about cause when none has been recognized and is thus judged as too restrictive." 812:"Use of this definition is discouraged by the National Health Services in England and Wales, since it makes assumptions about cause when none has been recognized and is thus judged as too restrictive" 2331:
Centered cells. Another change I would suggest would be the addition of footnotes to the criteria in the column headings. I think I screwed up the first two rows, but it's an example, not exact.
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Buchwald D, Pearlman T, Umali J, Schmaling K, Katon W (1996), "Functional status in patients with chronic fatigue syndrome, other fatiguing illnesses, and healthy individuals", Am J Med 171:364-70
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Cook DB, Nagelkirk PR, Peckerman A, Poluri A, Lamanca JJ, Natelson BH (2003), "Perceived exertion in fatiguing illness: civilians with chronic fatigue syndrome", Med Sci Sports Exerc. 35, 563-568
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Peckerman A, LaManca JJ, Dahl KA, Chemitiganti R, Qureishi B, Natelson BH (2003), "Abnormal impedance cardiography predicts symptom severity in chronic fatigue syndrome", Am J Med Sci 326, 55-60
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Is there a more recent review article on SF36 that you know of? That would be the most useful type of citation. VanNess 2006 would probably be a good candidate to support the exercise test.
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Now 3 from JAson, another one from his nonrs journal. Before my edits there were 8 from Jason, that is not good weight for some one that is not medically qualified and in low impact journals.
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Cordero DL, Sisto SA, Tapp WN, Lamanca JJ, Pareja JG, Natelson BH (1996), "Decreased vagal power during treadmill walking in patients with chronic fatigue syndrome", Clin Auton.Res 6, 329-333
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convert stands, but once the general mapping between the two styles is set up, it's easy enough to do. I'm not sure if the font size can be adjusted besides the use of <small: -->
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He is a notable author is the field, who has published frequently on this topic, but yes, that would be overweight. There are plenty of other authors with relevant publications, too.
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in peace light complaints, which worsen under load; Activity lies close 90Β % of the used one, clearly recognizable delimitation of some daily activities; Full-time job with problems.
1779:
Wikitable has the awful drawback that no width can be set per column. Lines can be added to the HTML table just as well (in memory, wikitable is in fact a simplified HTML table).
882:
some journal article there's a discussion of why it's called the CDC, we should cite that. Otherwise, it's one of the less important things to discuss and describe on the page.
903:
opinion of NICE guideline authors, that is why i say judged, and it does make assumptions so there is nothing wrong with language. And pls stop adding non medrs. Thx
575:, so representativeness is an issue. The current 3 is more reasonable. I don't see any references to Wessely here, I assume you're talking about another article? 719:"Unlike the 1994 CDC criteria, the Holmes criteria exclude patients with psychiatric diagnoses and require the presence of eight secondary symptoms, not just four." 2375:
Dr. De Meirleir just published the results of a study on severe, bedridden M.E. patients in Norway. He presented his findings last week at a conference in London.
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you can't combine). I also prefer the table having lines to divide columns and rows. It's tedious, but not difficult, and I can do it if no-one else wants to.
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That's fine, they are called the CDC criteria. Many authors were with the CDC or working on a task force led by CDC, the description was adopted by CDC.
1704:). It'd basically look like this, with the option to specify column widths, and full wiki markup is available (may be true for the XHTML also, but per 845: 842: 1053:
De Becker P, Roeykens J, Reynders M, McGregor N, De Meirleir K (2000), "Exercise capacity in chronic fatigue syndrome", Arch Intern.Med 160, 3270-3277
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in peace light complaints, which worsen under load; minimum restrictions of the activities during load; arduous full-time job with problems.
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in peace and when all efforts heavy symptoms; no leaving the house; most time bettlaegerig; cognitive symptoms prevent the concentration.
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Sorry, I can't make out what you're saying. Please stop reverting my every edit and putting all kinds of original research back in.
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Comment on "I've commented out the "discouraged by..." written by WLU 17:29, 1 December 2008 (UTC). I searched through the citation
2397: 563: 246:. As with more than one split off section, the summary in the main article is in much better shape -- work is needed here. -- 2487: 954:
I strongly suggest that you enter into dicussion when you notice a difference of opinion, and explain your edits when asked.
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So 2 or 3 citations of Jason out of 14 is a "POV fork"? What would an even higher proportion of Wessely citations be then? -
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It's fine to ask, but: why? This article is about CFS now, not ME. The definition of ME should go in the main ME article.
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There are a zillion sources for exercise tests. In my own 2008 article on testing for ME/CFS I mentioned as interesting:
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For what it's worth, this is what the table would look like as a wikitable. I have no problems with it being edited.
829: 1784: 1685: 1075: 996: 959: 925: 868: 821: 798: 729: 705: 668: 633: 531: 497: 455: 411: 375: 333: 315: 47: 1083: 1004: 914: 856: 806: 737: 713: 641: 841:. A comparable search for "Holmes criteria" cfs -wikipedia gets only 359 hits, i.e. less than one tenth of the CDC. 38: 1788: 1689: 1079: 1000: 963: 929: 872: 825: 802: 733: 709: 672: 637: 535: 501: 459: 415: 379: 337: 319: 2339: 2321: 1812: 1716: 1097: 1019: 890: 583: 300: 282: 2412: 397: 360: 239: 847:
Google hits are not a very good indicator anyway, but they don't support you in this case when used properly.
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in peace and when efforts continuously heavy symptoms; constantly bettlaegerig; unable to provide for itself.
2467: 2446: 2416: 2393: 2365: 2343: 2325: 1816: 1792: 1720: 1693: 1127: 1101: 1023: 967: 949: 933: 894: 876: 754: 676: 658: 603: 587: 557: 539: 521: 505: 486: 463: 444: 419: 401: 383: 364: 341: 323: 304: 286: 255: 86: 1780: 1681: 1071: 992: 986:"There is no generally accepted diagnostic test to reliably diagnose or exclude chronic fatigue syndrome." 955: 938:
Sorry I will go on WP policies and guidelines like medrs and undue wieght and oppose COI fringe POV. Thx,
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Putting this here in advance of the move as I don't want to add to the distractions getting in the way.
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But let's score google hits, for starters, to get the common folk first ((gross, didn't check net).
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No complaints; normal activity; Work and loads problem free under load light complaints; normal
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Even if the latter were true (where is your source?), that is not what the current text says.
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And yes, within no-time, all my edits (well, not all, one must be fair) get reverted again by
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Wessely is a world known scholar w/ hundreds articles in good sources about lots of subjects.
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The Doctor's Guide to Chronic Fatigue Syndrome: Understanding, Treating and Living with CFIDS
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The researchers weren't with the CDC, they were from several organizations (and known as the
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Do these last four sound like CDC to you? You make a claim, so you must provide evidence.
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A Pediatric Case Definition for Myalgic Encephalomyelitis and Chronic Fatigue Syndrome.
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original research, your interpretations, a google search, sorry when i don't bother.
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Why do you keep inserting this into the text, when it's not in the provided source?
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If you look at RetroS1mone's second comment, originally there were more. Probably
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He has developed a new diagnostic test. Should this be mentioned in this article?
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renamed to "clinical descriptions of CFS", what I think it was trying to get at.
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These sources came from our literature search for the Dutch guideline. Regards,
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If you wish to start a new discussion or revive an old one, please do so on the
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and Brigham and Women's Hospital and Harvard University, Boston, Massachusetts.
1798: 1705: 1701: 568: 628:. Please, check the sources. These authors did not all work at the CDC, etc. 848: 160: 1797:
Wikitables can be set to both pixel-based or percent-based column widths.
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Prince Henry Hospital and University of New South Wales, Sydney, Australia;
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Because, as has been discussed before, CFS and ME are almost synonymous. --
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under load light complaints; normal activity; Work and loads problem-free.
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The SF36 is often used for patient selection in scientific research.
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University of Oxford and Warneford Hospital, Oxford, United Kingdom;
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This is the opinion of the NICE guideline authors, and not a fact.
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I agree, but note that testing is part of some of the definitions.
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Here are the links to his presentations and summary of his study:
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the Centers for Disease Control and Prevention, Atlanta, Georgia;
688:"CDC 1988 criteria" – 84 hits / 45 when excluding Knowledge (XXG) 99:
A scale of the severity levels with CFS after Dr. David S. Bell
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Translated to Englischish by babelfish.altvista.digital.com:
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minor 1/10 (muscle or joint), reconsider if all absent 4/4
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minor 1/10 (muscle or joint), reconsider if all absent 4/4
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main symptoms unexplained by other; list of overlapping
838:. The same search with 1998 gets 4060 results, not 45(!) 492:
I count 2 out of 14 but by all means, add more sources.
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main symptoms unexplained by other; list of overlapping
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The problem is that you do bother. OR, yes, but yours.
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under main symptom (fatigability), worsen by exertion
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the National Institutes of Health, Bethesda, Maryland;
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under main symptom (fatigability), worsen by exertion
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and also do not find verification of the material, "
2454:International Chronic Fatigue Syndrome Study Group 2301:fatigue unexplained by other; list of overlapping 844:. "Fukuda criteria" cfs -wikipedia gets 1050 hits. 1668:fatigue unexplained by other; list of overlapping 1029:That's why I changed the text into "there is no 272:diagnostic criteria for chronic fatigue syndrome 77:Where might we put a version of this chart? -- 1878:single main symptom is fatigue or fatigability 1680:Please discuss below, I'll maintain the table. 2203:under minor 8/11 or 6/11 (neuropsychological) 1218:single main symptom is fatigue or fatigability 1562:under minor 8/11 or 6/11 (neuropsychological) 8: 2212:under main symptom (neurological/cognitive) 1970:under main symptom (neurological), reversal 1571:under main symptom (neurological/ cognitive) 221: 211: 200: 189: 178: 167: 152: 142: 132: 122: 112: 2350:Pediatric Case Definition needs to be added 1312:under main symptom (neurological), reversal 1180:extended relapses or tendency to chronicity 2295:unexplained by other, list of overlapping 2246:main symptom, between and within episodes 2008:minor 1/10, reconsider if all absent 4/4 1985:minor 1/10, reconsider if all absent 4/4 1950:minor 8/11 or 6/11 (1x muscle, 1x joint) 1913:minor 1/10, reconsider if all absent 4/4 1881:single main symptom, physical and mental 1662:unexplained by other, list of overlapping 1609:main symptom, between and within episodes 406:The discussion had the opposite outcome. 2272:minor symptom 8/11 or 6/11, acute onset 1996:minor 8/11 or 6/11 (neuropsychological) 1825: 1725: 1352:minor 1/10, reconsider if all absent 4/4 1327:minor 1/10, reconsider if all absent 4/4 1290:minor 8/11 or 6/11 (1x muscle, 1x joint) 1252:minor 1/10, reconsider if all absent 4/4 1221:single main symptom, physical and mental 101: 2473: 2005:main symptom (neurological/ cognitive) 1982:main symptom, reversal or unrefreshing 1637:minor symptom 8/11 or 6/11, acute onset 1340:minor 8/11 or 6/11 (neuropsychological) 1349:main symptom (neurological/ cognitive) 1324:main symptom, reversal or unrefreshing 44:Do not edit the contents of this page. 1799:Help:Table#Setting your column widths 265:The page really, really looks like a 7: 2281:usually distinct, sometimes gradual 697:"Fukuda criteria" – 1510 hits / 1330 694:"CDC 1994 criteria" – 645 hits / 555 18:Talk:Clinical descriptions of ME/CFS 2370: 1910:main symptom, muscle and cognitive 1646:usually distinct, sometimes gradual 70:Found on the German Knowledge (XXG) 2252:allowed by main symptom (fatigue) 2223:under main symptom (neurological) 2200:under main symptom (neurological) 2154:under main symptom (neurological) 1993:under main symptom (neurological) 1887:main symptom, physical and mental 1249:main symptom, muscle and cognitive 1038:A good source for the SF36 may be 691:"Holmes criteria" – 654 hits / 530 24: 2371:De Meirleir's new diagnostic test 2051:under minor 2/3 (neuroendocrine) 1615:allowed by main symptom (fatigue) 1584:under main symptom (neurological) 1559:under main symptom (neurological) 1512:under main symptom (neurological) 1337:under main symptom (neurological) 1227:main symptom, physical and mental 2261:minor 1/10, worsen by extertion 2169:minor 1/10, dizziness or nausea 1399:under minor 2/3 (neuroendocrine) 29: 1624:minor 1/10, worsen by extertion 1527:minor 1/10, dizziness or nausea 1959:main (muscle or joint)</td 420:21:38, 12 September 2008 (UTC) 402:21:21, 12 September 2008 (UTC) 384:20:06, 12 September 2008 (UTC) 365:19:51, 12 September 2008 (UTC) 342:19:35, 12 September 2008 (UTC) 324:17:08, 12 September 2008 (UTC) 305:18:19, 11 September 2008 (UTC) 287:15:38, 11 September 2008 (UTC) 1: 2298:fatigue unexplained by other 1706:Help:Table#Other table syntax 1694:15:57, 29 November 2008 (UTC) 1005:14:33, 29 November 2008 (UTC) 968:14:29, 29 November 2008 (UTC) 950:04:41, 29 November 2008 (UTC) 934:23:29, 28 November 2008 (UTC) 915:21:39, 28 November 2008 (UTC) 895:12:14, 28 November 2008 (UTC) 877:12:03, 28 November 2008 (UTC) 857:11:57, 28 November 2008 (UTC) 830:01:26, 28 November 2008 (UTC) 807:01:26, 28 November 2008 (UTC) 755:01:24, 28 November 2008 (UTC) 738:01:22, 28 November 2008 (UTC) 714:01:18, 28 November 2008 (UTC) 677:01:11, 28 November 2008 (UTC) 659:01:06, 28 November 2008 (UTC) 642:01:02, 28 November 2008 (UTC) 540:01:02, 26 November 2008 (UTC) 522:22:47, 25 November 2008 (UTC) 506:10:12, 25 November 2008 (UTC) 487:03:19, 25 November 2008 (UTC) 2344:02:23, 4 December 2008 (UTC) 2326:00:06, 4 December 2008 (UTC) 2143:under minor 2/3 (autonomic) 1956:minor 4/8 (muscle or joint) 1936:main symptom (fatigability) 1924:main symptom (fatigability) 1817:19:33, 1 December 2008 (UTC) 1793:17:35, 1 December 2008 (UTC) 1721:14:31, 1 December 2008 (UTC) 1665:fatigue unexplained by other 1102:19:36, 1 December 2008 (UTC) 1084:18:00, 1 December 2008 (UTC) 1024:17:29, 1 December 2008 (UTC) 604:03:04, 4 December 2008 (UTC) 588:12:50, 2 December 2008 (UTC) 558:03:02, 2 December 2008 (UTC) 328:Tagged. WLU reverted again. 108:Heavy one of the complaints 2071:minor 4/8, post-exertional 1499:under minor 2/3 (autonomic) 1296:minor 4/8 (muscle or joint) 1274:main symptom (fatigability) 1262:main symptom (fatigability) 464:23:52, 1 October 2008 (UTC) 445:20:28, 1 October 2008 (UTC) 2506: 2013:Inflammation (non-throat) 1855:Extended relapses/chronic 1755:Extended relapses/chronic 1421:minor 4/8, post-exertional 256:02:34, 18 April 2008 (UTC) 87:13:53, 12 April 2008 (UTC) 2468:07:08, 10 July 2009 (UTC) 2447:02:23, 10 July 2009 (UTC) 2278:infection (subtype only) 2255:excluded by main symptom 2120:under minor 2/3 (immune) 2097:under minor 2/3 (immune) 2074:under minor 2/3 (immune) 1870:4 months (3 in children) 1869: 1866: 1863: 1860: 1857: 1854: 1851: 1770:4 months (3 in children) 1769: 1766: 1763: 1760: 1757: 1754: 1751: 1358:Inflammation (non-throat) 1217: 1167: 1162: 1157: 1152: 1147: 1142: 1033:generally accepted test". 2417:15:15, 7 June 2009 (UTC) 2398:10:44, 7 June 2009 (UTC) 2366:19:30, 25 May 2009 (UTC) 2131:main symptom (variable) 1979:minor 4/8, unrefreshing 1643:infection (subtype only) 1618:excluded by main symptom 1474:under minor 2/3 (immune) 1449:under minor 2/3 (immune) 1424:under minor 2/3 (immune) 1128:22:21, 25 May 2009 (UTC) 240:Chronic fatigue syndrome 1939:main symptom (fatigue) 1933:main symptom (fatigue) 1487:main symptom (variable) 1321:minor 4/8, unrefreshing 1205:persistent or recurrent 1200:persistent or recurrent 1195:persistent or relapsing 619: 2151:Autonomic dysfunction 1990:Cognitive dysfunction 1804:tags for each entry. 1299:main (muscle or joint) 1277:main symptom (fatigue) 1271:main symptom (fatigue) 261:What is this page for? 2307:unexplained by other 1901:main symptom, muscle 1508:Autonomic dysfunction 1333:Cognitive dysfunction 1203:4 months (children 3) 620:RetroS1mone's reverts 42:of past discussions. 2423:Bulk-revert Concerns 2243:Symptom variability 2197:Sensory dysfunction 1890:single main symptom 1884:single main symptom 1674:unexplained by other 1240:main symptom, muscle 470:POV fork on Jason LA 2220:Emotional lability 2180:minor 8/11 or 6/11 1973:minor 8/11 or 6/11 1927:minor 8/11 or 6/11 1921:Prolonged recovery 1605:Symptom variability 1555:Sensory dysfunction 1230:single main symptom 1224:single main symptom 238:Split article from 2111:minor 8/11 or 2/3 2088:minor 8/11 or 2/3 2042:minor 8/11 or 2/3 1967:Sleep dysfunction 1953:optional (muscle) 1580:Emotional lability 1540:minor 8/11 or 6/11 1315:minor 8/11 or 6/11 1265:minor 8/11 or 6/11 1258:Prolonged recovery 1185:activity below 50% 2342: 2324: 2311: 2310: 1947:assumed (muscle) 1815: 1781:Guido den Broeder 1774: 1773: 1719: 1682:Guido den Broeder 1678: 1677: 1465:minor 8/11 or 2/3 1440:minor 8/11 or 2/3 1390:minor 8/11 or 2/3 1308:Sleep dysfunction 1293:optional (muscle) 1100: 1072:Guido den Broeder 1022: 993:Guido den Broeder 956:Guido den Broeder 922:Guido den Broeder 893: 865:Guido den Broeder 818:Guido den Broeder 795:Guido den Broeder 726:Guido den Broeder 702:Guido den Broeder 665:Guido den Broeder 630:Guido den Broeder 586: 554: 528:Guido den Broeder 494:Guido den Broeder 452:Guido den Broeder 428:Is it a POV fork? 408:Guido den Broeder 372:Guido den Broeder 330:Guido den Broeder 312:Guido den Broeder 303: 285: 231: 230: 67: 66: 54: 53: 48:current talk page 2497: 2490: 2478: 2335: 2317: 2284:new or specific 2275:new or definite 2031:excluded (pain) 1826: 1808: 1726: 1712: 1287:assumed (muscle) 1140: 1139: 1136:Definition table 1093: 1015: 947: 942: 912: 907: 886: 765:Read the source! 752: 747: 656: 651: 626:User:RetroS1mone 601: 596: 579: 552: 548: 519: 514: 484: 479: 296: 278: 102: 63: 56: 55: 33: 32: 26: 2505: 2504: 2500: 2499: 2498: 2496: 2495: 2494: 2493: 2480:David S. Bell: 2479: 2475: 2425: 2373: 2352: 1803:</small: --> 1649:new or specific 1640:new or definite 1377:excluded (pain) 1190:50% of the time 1138: 945: 940: 910: 905: 750: 745: 654: 649: 622: 599: 594: 546: 517: 512: 482: 477: 472: 430: 352: 263: 236: 97: 72: 59: 30: 22: 21: 20: 12: 11: 5: 2503: 2501: 2492: 2491: 2472: 2471: 2470: 2424: 2421: 2420: 2419: 2409:sciencewatcher 2372: 2369: 2351: 2348: 2347: 2346: 2309: 2308: 2305: 2302: 2299: 2296: 2293: 2290: 2286: 2285: 2282: 2279: 2276: 2273: 2270: 2267: 2263: 2262: 2259: 2256: 2253: 2250: 2247: 2244: 2240: 2239: 2236: 2233: 2230: 2227: 2224: 2221: 2217: 2216: 2213: 2210: 2207: 2204: 2201: 2198: 2194: 2193: 2190: 2187: 2184: 2181: 2178: 2175: 2171: 2170: 2167: 2164: 2161: 2158: 2155: 2152: 2148: 2147: 2144: 2141: 2138: 2135: 2132: 2129: 2125: 2124: 2121: 2118: 2115: 2112: 2109: 2106: 2102: 2101: 2098: 2095: 2092: 2089: 2086: 2083: 2079: 2078: 2075: 2072: 2069: 2066: 2063: 2060: 2056: 2055: 2052: 2049: 2046: 2043: 2040: 2037: 2033: 2032: 2029: 2026: 2023: 2020: 2017: 2016:assumed (CNS) 2014: 2010: 2009: 2006: 2003: 2000: 1997: 1994: 1991: 1987: 1986: 1983: 1980: 1977: 1974: 1971: 1968: 1964: 1963: 1960: 1957: 1954: 1951: 1948: 1945: 1941: 1940: 1937: 1934: 1931: 1928: 1925: 1922: 1918: 1917: 1914: 1911: 1908: 1905: 1902: 1899: 1895: 1894: 1891: 1888: 1885: 1882: 1879: 1876: 1872: 1871: 1868: 1865: 1862: 1859: 1856: 1853: 1849: 1848: 1845: 1842: 1839: 1836: 1833: 1830: 1824: 1823: 1822: 1821: 1820: 1819: 1772: 1771: 1768: 1765: 1762: 1759: 1756: 1753: 1749: 1748: 1745: 1742: 1739: 1736: 1733: 1730: 1724: 1723: 1676: 1675: 1672: 1669: 1666: 1663: 1660: 1657: 1651: 1650: 1647: 1644: 1641: 1638: 1635: 1632: 1626: 1625: 1622: 1619: 1616: 1613: 1610: 1607: 1601: 1600: 1597: 1594: 1591: 1588: 1585: 1582: 1576: 1575: 1572: 1569: 1566: 1563: 1560: 1557: 1551: 1550: 1547: 1544: 1541: 1538: 1535: 1529: 1528: 1525: 1522: 1519: 1516: 1513: 1510: 1504: 1503: 1500: 1497: 1494: 1491: 1488: 1485: 1479: 1478: 1475: 1472: 1469: 1466: 1463: 1460: 1454: 1453: 1450: 1447: 1444: 1441: 1438: 1435: 1429: 1428: 1425: 1422: 1419: 1416: 1413: 1410: 1404: 1403: 1400: 1397: 1394: 1391: 1388: 1385: 1379: 1378: 1375: 1372: 1369: 1366: 1363: 1360: 1354: 1353: 1350: 1347: 1344: 1341: 1338: 1335: 1329: 1328: 1325: 1322: 1319: 1316: 1313: 1310: 1304: 1303: 1300: 1297: 1294: 1291: 1288: 1285: 1279: 1278: 1275: 1272: 1269: 1266: 1263: 1260: 1254: 1253: 1250: 1247: 1244: 1241: 1238: 1232: 1231: 1228: 1225: 1222: 1219: 1216: 1213: 1207: 1206: 1204: 1201: 1199: 1196: 1194: 1191: 1189: 1186: 1184: 1181: 1178: 1172: 1171: 1166: 1161: 1156: 1151: 1146: 1137: 1134: 1133: 1132: 1131: 1130: 1105: 1104: 1068: 1067: 1064: 1061: 1057: 1054: 1044: 1043: 1027: 1026: 988: 987: 980: 979: 975: 974: 973: 972: 971: 970: 900: 899: 898: 897: 814: 813: 791: 790: 787: 784: 781: 778: 771: 770: 769: 768: 758: 757: 721: 720: 699: 698: 695: 692: 689: 682: 681: 680: 679: 621: 618: 617: 616: 615: 614: 613: 612: 611: 610: 609: 608: 607: 606: 471: 468: 467: 466: 429: 426: 425: 424: 423: 422: 404: 394:Sciencewatcher 387: 386: 357:Sciencewatcher 351: 348: 347: 346: 345: 344: 326: 262: 259: 235: 232: 229: 228: 225: 219: 218: 215: 209: 208: 204: 198: 197: 193: 187: 186: 182: 176: 175: 171: 165: 164: 156: 150: 149: 146: 140: 139: 136: 130: 129: 126: 120: 119: 116: 110: 109: 106: 96: 95:Severity scale 93: 71: 68: 65: 64: 52: 51: 34: 23: 15: 14: 13: 10: 9: 6: 4: 3: 2: 2502: 2489: 2486: 2483: 2477: 2474: 2469: 2465: 2461: 2458: 2455: 2451: 2450: 2449: 2448: 2444: 2440: 2434: 2431: 2422: 2418: 2414: 2410: 2406: 2402: 2401: 2400: 2399: 2395: 2391: 2387: 2384: 2383: 2379: 2376: 2368: 2367: 2363: 2359: 2356: 2349: 2345: 2341: 2338: 2334: 2330: 2329: 2328: 2327: 2323: 2320: 2316: 2306: 2303: 2300: 2297: 2294: 2291: 2288: 2287: 2283: 2280: 2277: 2274: 2271: 2268: 2265: 2264: 2260: 2257: 2254: 2251: 2248: 2245: 2242: 2241: 2237: 2234: 2231: 2228: 2225: 2222: 2219: 2218: 2214: 2211: 2208: 2205: 2202: 2199: 2196: 2195: 2191: 2188: 2185: 2182: 2179: 2176: 2173: 2172: 2168: 2165: 2162: 2159: 2156: 2153: 2150: 2149: 2145: 2142: 2139: 2136: 2133: 2130: 2127: 2126: 2122: 2119: 2116: 2113: 2110: 2107: 2104: 2103: 2099: 2096: 2093: 2090: 2087: 2084: 2081: 2080: 2076: 2073: 2070: 2067: 2064: 2061: 2058: 2057: 2053: 2050: 2047: 2044: 2041: 2038: 2035: 2034: 2030: 2027: 2024: 2021: 2018: 2015: 2012: 2011: 2007: 2004: 2001: 1998: 1995: 1992: 1989: 1988: 1984: 1981: 1978: 1975: 1972: 1969: 1966: 1965: 1961: 1958: 1955: 1952: 1949: 1946: 1943: 1942: 1938: 1935: 1932: 1929: 1926: 1923: 1920: 1919: 1915: 1912: 1909: 1906: 1903: 1900: 1898:Fatigability 1897: 1896: 1892: 1889: 1886: 1883: 1880: 1877: 1874: 1873: 1850: 1846: 1843: 1840: 1837: 1834: 1831: 1828: 1827: 1818: 1814: 1811: 1807: 1800: 1796: 1795: 1794: 1790: 1786: 1782: 1778: 1777: 1776: 1775: 1750: 1746: 1743: 1740: 1737: 1734: 1731: 1728: 1727: 1722: 1718: 1715: 1711: 1707: 1703: 1698: 1697: 1696: 1695: 1691: 1687: 1683: 1673: 1670: 1667: 1664: 1661: 1658: 1656: 1653: 1652: 1648: 1645: 1642: 1639: 1636: 1633: 1631: 1628: 1627: 1623: 1620: 1617: 1614: 1611: 1608: 1606: 1603: 1602: 1598: 1595: 1592: 1589: 1586: 1583: 1581: 1578: 1577: 1573: 1570: 1567: 1564: 1561: 1558: 1556: 1553: 1552: 1548: 1545: 1542: 1539: 1536: 1534: 1531: 1530: 1526: 1523: 1520: 1517: 1514: 1511: 1509: 1506: 1505: 1501: 1498: 1495: 1492: 1489: 1486: 1484: 1481: 1480: 1476: 1473: 1470: 1467: 1464: 1461: 1459: 1456: 1455: 1451: 1448: 1445: 1442: 1439: 1436: 1434: 1431: 1430: 1426: 1423: 1420: 1417: 1414: 1411: 1409: 1406: 1405: 1401: 1398: 1395: 1392: 1389: 1386: 1384: 1381: 1380: 1376: 1373: 1370: 1367: 1364: 1362:assumed (CNS) 1361: 1359: 1356: 1355: 1351: 1348: 1345: 1342: 1339: 1336: 1334: 1331: 1330: 1326: 1323: 1320: 1317: 1314: 1311: 1309: 1306: 1305: 1301: 1298: 1295: 1292: 1289: 1286: 1284: 1281: 1280: 1276: 1273: 1270: 1267: 1264: 1261: 1259: 1256: 1255: 1251: 1248: 1245: 1242: 1239: 1237: 1234: 1233: 1229: 1226: 1223: 1220: 1214: 1212: 1209: 1208: 1202: 1197: 1192: 1187: 1182: 1179: 1177: 1174: 1173: 1170: 1165: 1160: 1155: 1150: 1145: 1141: 1135: 1129: 1125: 1121: 1117: 1112: 1109: 1108: 1107: 1106: 1103: 1099: 1096: 1092: 1088: 1087: 1086: 1085: 1081: 1077: 1073: 1065: 1062: 1058: 1055: 1052: 1051: 1050: 1047: 1041: 1040: 1039: 1036: 1035: 1032: 1025: 1021: 1018: 1014: 1009: 1008: 1007: 1006: 1002: 998: 994: 985: 984: 983: 977: 976: 969: 965: 961: 957: 953: 952: 951: 948: 943: 937: 936: 935: 931: 927: 923: 919: 918: 917: 916: 913: 908: 896: 892: 889: 885: 880: 879: 878: 874: 870: 866: 861: 860: 859: 858: 854: 850: 846: 843: 840: 837: 832: 831: 827: 823: 819: 811: 810: 809: 808: 804: 800: 796: 788: 785: 782: 779: 776: 775: 774: 766: 762: 761: 760: 759: 756: 753: 748: 742: 741: 740: 739: 735: 731: 727: 718: 717: 716: 715: 711: 707: 703: 696: 693: 690: 687: 686: 685: 678: 674: 670: 666: 662: 661: 660: 657: 652: 646: 645: 644: 643: 639: 635: 631: 627: 605: 602: 597: 591: 590: 589: 585: 582: 578: 574: 570: 565: 561: 560: 559: 555: 549: 543: 542: 541: 537: 533: 529: 525: 524: 523: 520: 515: 509: 508: 507: 503: 499: 495: 491: 490: 489: 488: 485: 480: 469: 465: 461: 457: 453: 449: 448: 447: 446: 442: 438: 437: 427: 421: 417: 413: 409: 405: 403: 399: 395: 391: 390: 389: 388: 385: 381: 377: 373: 369: 368: 367: 366: 362: 358: 349: 343: 339: 335: 331: 327: 325: 321: 317: 313: 308: 307: 306: 302: 299: 295: 291: 290: 289: 288: 284: 281: 277: 273: 268: 260: 258: 257: 253: 249: 245: 241: 233: 226: 224: 220: 216: 214: 210: 205: 203: 199: 194: 192: 188: 183: 181: 177: 172: 170: 166: 162: 157: 155: 151: 147: 145: 141: 137: 135: 131: 127: 125: 121: 117: 115: 111: 107: 104: 103: 100: 94: 92: 89: 88: 84: 80: 75: 69: 62: 58: 57: 49: 45: 41: 40: 35: 28: 27: 19: 2481: 2476: 2453: 2435: 2429: 2426: 2403:I responded 2388: 2385: 2380: 2377: 2374: 2353: 2312: 2105:Sore throat 2082:Lymph nodes 1679: 1654: 1629: 1604: 1579: 1554: 1532: 1507: 1482: 1457: 1432: 1407: 1382: 1357: 1332: 1307: 1282: 1257: 1236:Fatigability 1235: 1210: 1175: 1168: 1163: 1158: 1153: 1148: 1143: 1114: 1069: 1048: 1045: 1037: 1030: 1028: 989: 981: 901: 863:either way. 833: 815: 792: 772: 764: 722: 700: 683: 623: 473: 434: 431: 353: 267:content fork 264: 237: 222: 212: 201: 190: 179: 168: 153: 143: 133: 123: 113: 98: 90: 76: 73: 60: 43: 37: 2390:Kosovokelly 2289:Exclusions 2146:minor 1/10 2123:minor 1/10 2100:minor 1/10 2077:minor 1/10 1852:Chronicity 1752:Chronicity 1458:Sore throat 1433:Lymph nodes 1116:restrictive 941:RetroS1mone 906:RetroS1mone 746:RetroS1mone 650:RetroS1mone 595:RetroS1mone 513:RetroS1mone 478:RetroS1mone 36:This is an 2488:0201626160 2186:minor 4/8 2174:Headaches 2166:minor 2/3 2117:minor 4/8 2094:minor 4/8 2002:minor 4/8 1907:minor 4/8 1844:Carruthers 1744:Carruthers 1702:Help:Table 1655:Exclusions 1502:minor 1/10 1477:minor 1/10 1452:minor 1/10 1427:minor 1/10 1176:Chronicity 1164:Carruthers 569:The Lancet 2229:optional 1976:optional 1867:6 months 1864:6 months 1861:6 months 1858:6 months 1767:6 months 1764:6 months 1761:6 months 1758:6 months 1546:minor 4/8 1533:Headaches 1524:minor 2/3 1471:minor 4/8 1446:minor 4/8 1346:minor 4/8 1246:minor 4/8 475:reviews. 270:moved to 248:Strangelv 161:work time 79:Strangelv 61:ArchiveΒ 1 2386:Thanks! 2128:Cardiac 2059:Malaise 1875:Fatigue 1590:optional 1318:optional 1198:6 months 1193:6 months 1188:6 months 1183:6 months 547:Tekaphor 1829:Symptom 1729:Symptom 1483:Cardiac 1408:Malaise 1211:Fatigue 105:Points 39:archive 2460:Ward20 2358:Ward20 2266:Onset 2036:Fever 1841:Fukuda 1838:Sharpe 1835:Holmes 1832:Ramsay 1741:Fukuda 1738:Sharpe 1735:Holmes 1732:Ramsay 1159:Fukuda 1154:Sharpe 1149:Holmes 1144:Ramsay 1120:Ward20 1031:single 1944:Pain 1847:NICE 1789:visit 1747:NICE 1690:visit 1630:Onset 1383:Fever 1080:visit 1001:visit 964:visit 930:visit 873:visit 826:visit 803:visit 773:From 734:visit 710:visit 673:visit 638:visit 536:visit 502:visit 460:visit 416:visit 380:visit 338:visit 320:visit 234:Split 16:< 2485:ISBN 2464:talk 2443:talk 2430:some 2413:talk 2405:here 2394:talk 2362:talk 1785:talk 1686:talk 1283:Pain 1169:NICE 1124:talk 1076:talk 997:talk 960:talk 946:talk 926:talk 911:talk 869:talk 853:talk 849:Fram 822:talk 799:talk 751:talk 730:talk 706:talk 669:talk 655:talk 634:talk 600:talk 573:JAMA 564:this 553:TALK 532:talk 518:talk 498:talk 483:talk 456:talk 441:talk 412:talk 398:talk 376:talk 361:talk 334:talk 316:talk 252:talk 244:talk 242:per 83:talk 2439:Rob 2407:.-- 2340:(c) 2337:(t) 2333:WLU 2322:(c) 2319:(t) 2315:WLU 2292:– 2269:– 2249:– 2238:– 2235:– 2232:– 2226:– 2215:– 2209:– 2206:– 2192:– 2189:– 2183:– 2177:– 2163:– 2160:– 2157:– 2140:– 2137:– 2134:– 2114:– 2108:– 2091:– 2085:– 2068:– 2065:– 2062:– 2054:– 2048:– 2045:– 2039:– 2028:– 2025:– 2022:– 2019:– 1999:– 1930:– 1916:– 1904:– 1893:– 1813:(c) 1810:(t) 1806:WLU 1717:(c) 1714:(t) 1710:WLU 1098:(c) 1095:(t) 1091:WLU 1060:S85 1020:(c) 1017:(t) 1013:WLU 891:(c) 888:(t) 884:WLU 584:(c) 581:(t) 577:WLU 571:or 436:DGG 350:ME? 301:(c) 298:(t) 294:WLU 283:(c) 280:(t) 276:WLU 274:. 114:100 2466:) 2445:) 2415:) 2396:) 2364:) 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Index

Talk:Clinical descriptions of ME/CFS
archive
current talk page
ArchiveΒ 1
Strangelv
talk
13:53, 12 April 2008 (UTC)
work time
Chronic fatigue syndrome
talk
Strangelv
talk
02:34, 18 April 2008 (UTC)
content fork
diagnostic criteria for chronic fatigue syndrome
WLU
(t)
(c)
15:38, 11 September 2008 (UTC)
WLU
(t)
(c)
18:19, 11 September 2008 (UTC)
Guido den Broeder
talk
visit
17:08, 12 September 2008 (UTC)
Guido den Broeder
talk
visit

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