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  1. Trish

    Is “inability to recover and improve from exercise” a core component of ME/CFS? How common is it?

    Not my experience. Rapid fatiguablity, pain, increased symptoms during and after exertion. Exertion intolerance. My muscles do not function normally. PEM is a delayed worsening of all symptoms additional to this.
  2. Trish

    Miranda Hart - British comedian

    Despite the problems with her book, I wish Miranda well, and hope she's not over exerting herself.
  3. Trish

    Guidance for best practice for clinical trials, World Health Organisation, 2024

    That bit puzzled me too. More about PROBE: . 1992 Aug;1(2):113-9. doi: 10.3109/08037059209077502. Prospective randomized open blinded end-point (PROBE) study. A novel design for intervention trials. Prospective Randomized Open Blinded End-Point L Hansson 1, T Hedner, B Dahlöf Since it would...
  4. Trish

    United Kingdom - Suffolk and North East Essex ME/CFS services

    We had home visits from our local ME service about 13 years ago. It was the same OT who ran the outpatient clinic groups recommending the same diary keeping and add a new activity each week. Completely useless.
  5. Trish

    Is “inability to recover and improve from exercise” a core component of ME/CFS? How common is it?

    From reading about others' experiences, I think a few people can increase strength in some muscles by very slow and careful focused exercises using specific muscle groups, provided the exertion involved doesn't exceed their 'energy envelope'. So they might be able to improve their hand grip...
  6. Trish

    Guidance for best practice for clinical trials, World Health Organisation, 2024

    I've copied rather a lot, and not necessarily the 'best bits'. I intend to go back over it later to weed out a lot of words and home in on bits particularly relevant to clinical trials of psych and behavioural interventions for ME/CFS. This was linked on the forum via a Cochrane article...
  7. Trish

    Guidance for best practice for clinical trials, World Health Organisation, 2024

    Ha, yes, you can see from the bits I've highlighted so far that I'm looking for the smoking gun.
  8. Trish

    Guidance for best practice for clinical trials, World Health Organisation, 2024

    Continued from above page 37 2.3 Good clinical trials are collaborative and transparent 2.3.1 Working in partnership with people and communities 2.3.2 Collaboration among organizations 2.3.3 Transparency 2.4 Good clinical trials are designed to be feasible for their context 2.4.1 Setting and...
  9. Trish

    International: World Health Organization News (news relevant to ME/CFS, Long Covid and related conditions)

    A thread on this document: Guidance for best practice for clinical trials, World Health Organisation, 2024
  10. Trish

    News from Cochrane

    Discussion of this document has been moved to a new thread: Guidance for best practice for clinical trials, World Health Organisation, 2024
  11. Trish

    Guidance for best practice for clinical trials, World Health Organisation, 2024

    Moved from News from Cochrane https://iris.who.int/bitstream/handle/10665/378782/9789240097711-eng.pdf?sequence=1 page 8 The Technical Advisory Group (TAG) for Development of Best Practices for Clinical Trials was constituted through a public call for nominations. 16 names including Karla...
  12. Trish

    The Concept of ME/CFS, 2024, Edwards

    I think the prominence given to OI in the article is justified because it seems to be a major factor in problems very severe pwME face with enteral feeding, and not coping with lying at the angle recommended by guidelines. For me, OI is a significant problem and is more disabling than...
  13. Trish

    Preprint Guardian angels off duty? ME/CFS is Sustained by an Impaired Stress Response in the Central Nervous System, 2024, Renz-Polster

    I am put off by the title. Why do scientists try to be creative writers? The degree of confidence of assertions in the abstract also put me off. Doesn't come across as serious science.
  14. Trish

    The Concept of ME/CFS, 2024, Edwards

    Dr Bateman is keen on using hours upright with feet on floor (walking, standing, sitting on upright chair) as part of measuring severity and changes over time. I'll see if I can find a link.
  15. Trish

    Miranda Hart - British comedian

    I'm not sure that's a fair comparison. Miranda has been in several very popular TV series. The British media treats her as a major celebrity as a result, and if I remember correctly she has been a Strictly 'superfan' for years. Even without her book to sell her publicist would ensure she had...
  16. Trish

    The Concept of ME/CFS, 2024, Edwards

    Thank you @hibiscuswahine for stating that so clearly. It's valuable to have your observations with your medical background.
  17. Trish

    Comparison of [CBT] versus activity management, both delivered remotely, to treat paediatric [CFS/ME]: the UK FITNET-NHS RCT 2024 Metcalfe et al

    That was quick! A very useful summary, thank you. It's interesting to see just how badly this trial failed in all its objectives - recruitment, retention, outcomes, cost effectiveness. I was going to say what a humungus waste of a million pounds, but perhaps it was worth that money to finally...
  18. Trish

    Unintentional weight loss

    Maybe seek advice from a dietician.
  19. Trish

    Is “inability to recover and improve from exercise” a core component of ME/CFS? How common is it?

    That's a good question, @Yann04. Even as a borderline moderate/severe person, I can't do what most people would call 'exercise'. I also voted no. Perhaps a more refined poll would tell us more, including different severity levels. Or perhaps it's really talking about exertion, so for me the...
  20. Trish

    Open Medicine Foundation (OMF)

    OMF has branches and/or funds several researchers in different countries, not just the Stanford group led by Ron Davis.
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