User:Jasminelam845/sandbox

Welcome to your sandbox!
This is place to practice clicking the "edit" button and practice adding references (via the citation button). Please see Help:My_sandbox or contact User_talk:JenOttawa with any questions.

Link: Project Homepage and Resources


 * Note: Please use your sandbox to submit assignment # 3 by pasting it below. When uploading your improvements to the article talk page please share your exact proposed edit (not the full assignment 3).


 * Talk Page Template: CARL Medical Editing Initiative/Fall 2019/Talk Page Template

Assignment # 2
1. How you searched for a source?


 * First and foremost, my partner and I identified “Caffeine Withdrawal” as a topic that needed elaboration. Because withdrawal falls under the topic of addiction, we found an online source with the DSM-5 handbook
 * We searched for the Psychiatry Online database to access the DSM-5
 * Although Europe does use the ICD-11, we decided to go with the DSM-5 as it is consistent with North American guidelines

2. What potential sources were identified and considered?


 * As aforementioned, one of the sources we considered was the ICD-11; however, it is a European guideline

3. Why the source was chosen?


 * The DSM-5 was our chosen source as it was one of the most reputable, being the aggregate of the most recent information produced
 * Additionally, the DSM-5 had the closest adherence to North American Guidelines

4. List at least three reasons why the source that was selected meets Wikipedia’s reliable medical sources (MEDRS) criteria.


 * The DSM-5 is a secondary source, collecting the widely-accepted information
 * The DSM-5 is also considered reliable as it is continuously updated
 * The DSM-5 is found at the top of the evidence hierarchy, superseding even meta-analyses

5. How do you plan to use the source for improving the article


 * We plan to use the list of withdrawal symptoms to enrich the current section on overdose.

Assignment # 3
Sentence 1: Caffeine overdose can result in a state of central nervous system over-stimulation known as caffeine intoxication, a clinically significant temporary condition that develops during, or shortly after, the consumption of caffeine.

Sentence 2:

According to the International Classification of Diseases (ICD-11), cases of very high doses of caffeine (e.g., > 5 g) may result in caffeine intoxication with symptoms including mania, depression, lapses in judgement, disorientation, disinhibition, delusions, hallucinations or psychosis, and rhabdomyolysis (breakdown of skeletal muscle tissue) can be provoked. Very severe cases of caffeine intoxication may result in respiratory distress or seizures and can be fatal.

Proposed Changes


 * 1) Sentence 1: Adding "clinically significant temporary condition" to the definition of caffeine intoxication
 * 2) Sentence 2: Quantifying a "very high dose" of caffeine as >5g and indicating that in severe cases, caffeine intoxication may be fatal in the symptom section, rather than haphazardly putting that advisory in the next sentence in the following paragraph by simply stating that "[m]assive overdose can result in death."

Rationale for Proposed Changes


 * 1) Sentence 1: Further elaborating on caffeine intoxication as a "clinically significant temporary condition" as a result of the consumption of very high doses of caffein is important for establishing the relationship between caffeine overdose and caffeine intoxication, as caffeine overdose must precede caffeine intoxication. Moreover, it is important to stress the transience of caffeine intoxication, as the previous sentence did not include this characteristic in their original description. I chose to use the word "temporary" rather than transient, as it is a word that is more accessible, as it is more commonly understood.
 * 2) Sentence 2: It is important to quantify "a very high dose" of caffeine, as  what is considered "very high" is relatively arbitrary. Additionally, it is important to point out that the side effects of caffeine intoxication may potentially be fatal within this paragraph, rather than in a short sentence in the paragraph following, as it serves as a better transition into the fatalities paragraph.
 * 3) As a note: All changes made were using the ICD-11 as reference. The reference is as follows:

Controversy or Varied Opinion

The main controversy surrounding the edits to this section would be centered around the source used. The ICD-11 is commonly used as a global guideline, whereas the DSM-5 is published exclusively by the American Psychiatric Association. Because I have decided to edit this section using the ICD-11 as reference, along with a classmate who is making similar changes using the DSM-5, we are providing a comprehensive perspective on what constitutes caffeine intoxication using two reputable sources that are commonly referred to by healthcare professionals when diagnosing caffeine intoxication. Using both standard guidelines prevents discrepancies between definitions and symptoms of caffeine intoxication.

Critique of Source

The main critique of this source is that the ICD-11 is produced by a global health agency with a constitutional pubic health mission, whereas the DSM-5 is produced by a single national professional association, the American Psychiatric Association. Thus, each respective source has different goals. The main goal of the ICD-11 is to classify mental and behavioural disorders to reduce the burden of disease of mental disorders and is broader in scope and authorship. In contrast, the DSM-5 is focused on the dimensional characterization of psychiatric disorders and, as such, is narrower in scope. The main advantage of the ICD-11, its broad authorship, ensures that information gathered is from a variety of sources, making the ICD-11 more robust against guidelines informed solely based on expert opinion or exploratory primary scientific literature. Essentially, the ICD-11 seeks to standardize the classification of diseases and disorders using commonly accepted theories and evidence to inform the guidelines published. This is in line with the criteria of MEDRS, as the ICD-11's goals are to summarize the accepted knowledge on the subject at-hand.