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0%. 71%) had any secondary diagnosis of fibromyalgia. 3. 1 Individuals within DoD conducted analyses of CCEP data based on committee requests for information; therefore, these analyses were performed at different times. As a result, the total number of CCEP participants varied. Analysis of SSID was conducted on a total CCEP population of 21,579 patients, whereas analysis of CFS and fibromyalgia included 24,823 CCEP participants. Since the committee focused not on numbers of cases but rather on general patterns, members did not feel it was necessary to ask for updated figures.
Late in 1995, DoD asked the IOM to continue its evaluation of the CCEP with special attention to three issues: (1) difficult-to-diagnose individuals and those with ill-defined conditions; (2) the diagnosis and treatment of patients with stress and psychiatric conditions; and (3) assessment of the health problems of those who may have been exposed to low levels of nerve agents. The committee was also to consider whether there are medical tests or consultations that should be added systematically to the CCEP to increase its diagnostic yield.
This is a condition in which the general symptoms include lightheadedness, sweating, abdominal discomfort, blurred vision, and then presyncope and fainting. The Tilt Table test is used to diagnose neurally mediated hypotension. When Tilt Table testing was applied in a study by BouHolaigah et al. , development of syncope or severe presyncope with at least a 25 mm Hg decrease in systolic blood pressure and no associated increase in heart rate) was observed in 22 of 23 patients with CFS versus 4 of 14 controls.
Adequacy of the Comprehensive Clinical Evaluation Program: a focused assessment by Institute of Medicine (U.S.). Committee