User:Exmeng/sandbox

Sandbox

Assignment # 3
Proposed Change 1: Adding a citation for the claim that magnesium sulfate is used to prevent convulsions in women with pre-eclampsia and changing wording.

Previous: "Appropriate management of women with pre-eclampsia generally involves the use of magnesium sulfate to prevent convulsions."

After change: "Appropriate management of women with pre-eclampsia generally involves the use of magnesium sulfate to prevent eclamptic seizures. "

Rationale: The existing sentence surrounding the use of magnesium sulfate lacked a reference. Further, I chose to make the distinction between "convulsions" and "eclamptic seizures" to show that magnesium sulfate is involved in the direct prevention of eclampsia. Many of the issues with this page – in general – stem from a failure to make the distinction between pre-eclampsia and eclampsia. By using specific terminology, I hope that we can start to make that distinction clearer. The information was taken from a medical textbook.

There is currently no controversy surrounding the use of magnesium sulfate in preventing eclamptic seizures. While there may be some debate in the proper dosage in certain patient populations, I have chosen not to add details here as they are generally not relevant to the lay-public.

''Barbieri R.L., & Repke J.T. (2018). Medical disorders during pregnancy. Jameson J, & Fauci A.S., & Kasper D.L., & Hauser S.L., & Longo D.L., & Loscalzo J(Eds.), Harrison's Principles of Internal Medicine, 20e. McGraw-Hill.''

Critique of Source: My only critique of the source is that it does not offer a specific dosage or guidelines surrounding the amount of magnesium sulfate to use in treatment. Because the use of magnesium sulfate is well established in the treatment of eclampsia, specific guidelines would be needed to compare them to the most recently available clinical guidelines.

Proposed Change 2: Adding a sentence about the potential benefit of low-dose aspirin to prevent pre-eclampsia in pregnant women.

After change: "In some cases, low-dose aspirin has been shown to decrease the risk of pre-eclampsia in pregnant women, especially when taken in the late first trimester "

Rationale: The use of aspirin in the prevention of pre-eclampsia is mentioned in the opening paragraphs of the page, but not under Prevention. The Prevention section overall needs many additions, but I decided to focus on a single addition that is seemingly well accepted in the medical community. Opinions do vary on whether aspirin has any effects on the direct prevention of eclamptic seizures. However, low-dose aspirin has been shown to reduce the rate of pre-eclampsia and thus help prevent the possibility of eclampsia altogether.

''Mehta S.H., & Sokol R.J. (2019). Assessment of at-risk pregnancy. DeCherney A.H., & Nathan L, & Laufer N, & Roman A.S.(Eds.), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e. McGraw-Hill.''

Critique of Source: I could not identify any clear sources of bias/validity in my chosen source. However, it is worth noting that although the 12th edition of this textbook was published in 2019, the references could easily be outdated. Further investigation into the exact sources/guidelines that the textbook used for claims regarding aspirin use would have to take place to assess the strength/weakness of the claim

What to post on the Wikipedia article 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