User:Del Fernandes/sandbox

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Practice Editing Here (Nov 23rd in-class Wiki session work)

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Assignment # 3

 * Note: You will be emailing your assignment # 3 directly to your tutor, however, please paste a version here that excludes your personal information. This will allow us to support your efforts on Wikipedia prior to editing "live" in the article.

Proposed changes As previously discussed, I propose the following changes under the subsection ‘Post-concussion syndrome.’

Post-concussion syndrome Main article: Post-concussion syndrome In post-concussion syndrome, symptoms do not resolve for weeks, months, or years after a concussion, and may occasionally be permanent.[103] About 10% to 20% of people have post-concussion syndrome for more than a month.[104] Symptoms may include headaches, dizziness, fatigue, anxiety, memory and attention problems, sleep problems, and irritability.[105] (I propose to remove the following) There is no established treatment, and r (remove up to here) Rest, a recommended recovery technique, has limited effectiveness.[106] (proposed added sentences) A recommended treatment in both children and adults with symptoms beyond 4 weeks involves an active rehabilitation program with reintroduction of noncontact aerobic activity. Progressive physical exercise has been shown to reduce long-term post-concussive symptoms. (original article continues here) Symptoms usually go away on their own within months[84] but may last for years.[107][108] The question of whether the syndrome is due to structural damage or other factors such as psychological ones, or a combination of these, has long been the subject of debate.[71]

Rationale for proposed change I have decided to remove part of the sentence: “There is no established treatment” because recent research has developed an established treatment plan involving active rehabilitation. The source for this original sentence was dated back in 2006, whereas my resource is dated in 2018.

I have decided to add the two sentences to this section to explain the new treatment recommendations for individuals with concussion symptoms lasting more than 4 weeks. Providing this information to the general public can give them an opportunity to have discussions with their healthcare providers about participating in an active rehabilitation program that may reduce their long-term post-concussive symptoms.

I can understand that there might be intrinsic controversy surrounding this recommendation. Like with most injuries, there is an ongoing public view to take rest until all symptoms are healed. However, based on widespread research and recommendations, rest has limited effectiveness. The opposite of rest, physical exercise, may not seem intuitive for improving symptoms, but in many studies, it has reduced long-term symptoms. Therefore, this revision challenges the preconceived notion that rest is always best.

Critique of Source There are many strengths of the source the information was gathered from. The source is a secondary source, specifically a systematic analysis. Authors did not primarily conduct research that was evaluated. The article states that authors did not conduct study and data collection, management, analysis, and interpretation of data. This helps to reduce bias since there is no direct conflict of interest on behalf of their own work. The article was not a newspaper or opinionated piece. The source is a statement from a major scientific, governmental, and medical organization, the CDC. The CDC upholds high integrity and protocol that prevents dissemination of misinformation. The source is written by experts in the field of pediatric concussion. The authors are healthcare professionals, academics, and researchers with longstanding publication histories in pediatric concussion and clinical practice. The source is published by respected publishers, JAMA pediatrics. It is the highest-ranking pediatric international journal in the world with an impact factor of 13.946. The legitimacy of the journal reflects its ability to maintain quality evidence to guide decision-making agreed upon by experts. The only weakness I can gather from the article is that it includes a systematic review of an overwhelming number of American and Canadian studies published in English. While there were many studies published in international journals, the effectiveness and feasibility of an active rehabilitation program may not be generalizable for use in other countries.

Reference Lumba-Brown, A., Yeates, K. O., Sarmiento, K., Breiding, M. J., Haegerich, T. M., Gioia, G. A., Turner, M., Benzel, E. C., Suskauer, S. J., Giza, C. C., Joseph, M., Broomand, C., Weissman, B., Gordon, W., Wright, D. W., Moser, R. S., McAvoy, K., Ewing-Cobbs, L., Duhaime, A. C., Putukian, M., ... Timmons, S. D. (2018). Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. JAMA pediatrics, 172(11), e182853. doi:10.1001/jamapediatrics.2018.2853

What to post on the talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template