Chronic fatigue syndrome
来自: eidos
Melody At Night, With You
http://music.douban.com/subject/1419758/ In the late 1990s, Jarrett was diagnosed with chronic fatigue syndrome (CFS) and was unable to leave his home for long periods of time. It was during this period that he recorded The Melody at Night, With You, a solo piano effort consisting of jazz standards presented with very little of the reinterpretation he usually employs. The album had originally been a Christmas gift to his second wife, Rose Anne. 来自维基 Chronic fatigue syndrome (CFS) is the most common name used to designate a significantly debilitating medical disorder or group of disorders generally defined by persistent fatigue accompanied by other specific symptoms for a minimum of six months in adults (and 3 months in children or adolescents), not due to ongoing exertion, not substantially relieved by rest, and not caused by other medical conditions.The disorder may also be referred to as myalgic encephalomyelitis (ME), post-viral fatigue syndrome (PVFS), chronic fatigue immune dysfunction syndrome (CFIDS), or several other terms. Biological, genetic, infectious and psychological mechanisms have been proposed for the development and persistence of symptoms but the etiology of CFS is not understood and may have multiple causes. There is no diagnostic laboratory test or biomarker for CFS. Symptoms The most commonly used diagnostic criteria and definition of CFS for research and clinical purposes were published by the United States Centers for Disease Control and Prevention (CDC). The CDC recommends the following three criteria be fulfilled: A new onset (not lifelong) of severe fatigue for six consecutive months or greater duration which is unrelated to exertion, is not substantially relieved by rest, and is not a result of other medical conditions. The fatigue causes a significant reduction of previous activity levels. Four or more of the following symptoms that last six months or longer: Impaired memory or concentration Post-exertional malaise, where physical or mental exertions bring on "extreme, prolonged exhaustion and sickness" Unrefreshing sleep Muscle pain (myalgia) Pain in multiple joints (arthralgia) Headaches of a new kind or greater severity Sore throat, frequent or recurring Tender lymph nodes (cervical or axillary) Other common symptoms include: Irritable bowel, abdominal pain, nausea, diarrhea or bloating Chills and night sweats Brain fog Chest pain Shortness of breath Chronic cough Visual disturbances (blurring, sensitivity to light, eye pain or dry eyes) Allergies or sensitivities to foods, alcohol, odors, chemicals, medications or noise Difficulty maintaining upright position (orthostatic instability, irregular heartbeat, dizziness, balance problems or fainting) Psychological problems (depression, irritability, mood swings, anxiety, panic attacks) Recovery A systematic review of 14 studies that described improvement and occupational outcomes of people with CFS found that "the median full recovery rate was 5% (range 0–31%) and the median proportion of patients who improved during follow-up was 39.5% (range 8–63%). Return to work at follow-up ranged from 8 to 30% in the three studies that considered this outcome." .... "In five studies, a worsening of symptoms during the period of follow-up was reported in between 5 and 20% of patients." A good outcome was associated with less fatigue severity at baseline, a sense of control over symptoms and not attributing illness to a physical cause.[82] Another review found that children have a better prognosis than adults, with 54–94% having recovered by follow-up compared to less than 10% of adults returning to premorbid levels of functioning.
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