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Fatigue

Fatigue

Fatigue occurs when materials rupture under repeated or fluctuating loads, even at stress levels far below their static breaking strength. It typically results in brittle failure, even for ductile materials. It is a critical consideration in designing machines and structural components subjected to repetitive or varying loads. The nature of these loadings can range from fluctuating loads like unbalanced pump impellers causing vibrations to repeatedly bending a thin steel rod wire back and forth...

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The Effect of Anti-Fatigue Decoction on the Behaviors and Serological Indicators in a Central Fatigue Rat Model

The Effect of Anti-Fatigue Decoction on the Behaviors and Serological Indicators in a Central Fatigue Rat Model

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A concept mapping study evaluating the UK's first NHS generic fatigue clinic.

Katie L Hackett^1,2, Rebecca L Lambson³, Victoria Strassheim¹

¹CRESTA Fatigue Clinic, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy

|September 3, 2015

Summary

This study mapped patient needs at the CRESTA Fatigue Clinic, identifying key areas for service improvement. Findings highlight unmet needs in fatigue management and guide targeted enhancements for better patient quality of life.

Keywords:

Chronic diseases Fatigue Patient expectations

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Area of Science:

Clinical Medicine
Health Services Research
Patient Experience

Background:

Fatigue affects 25% of the population and is a significant symptom of chronic diseases.
Chronic Fatigue Syndrome (CFS) diagnosis excludes many fatigued patients, creating an unmet need for broader services.
The CRESTA Fatigue interdisciplinary clinic was established to address this gap in care.

Purpose of the Study:

To identify and prioritize the diverse service needs of patients attending the CRESTA Fatigue Clinic.
To evaluate the extent to which current services meet these identified needs.
To inform targeted service enhancements for improved patient outcomes.

Main Methods:

A group concept mapping approach was employed, involving patients and referrers.
Statement generation identified potential service improvements.
Patients sorted and rated statements for importance and current success.

Main Results:

Eight thematic clusters of service requirements were identified: clinic ethos, communication, self-management support, peer support, allied health, telemedicine, written information, and service operation.
Multidimensional scaling and hierarchical cluster analysis visualized these needs.
Service improvement targets were pinpointed through bivariate plots, indicating unmet needs.

Conclusions:

The CRESTA Fatigue Clinic successfully addresses some patient needs, as visualized in concept maps.
The study rigorously identified unmet patient needs in fatigue management.
These identified needs are being addressed collaboratively with a service-user group to enhance clinic services.