Wikipedia:Peer review/Rumination syndrome/archive3

Rumination syndrome
This peer review discussion has been closed. I've listed this article for peer review because…
 * Previous peer review
 * Its been about 4 months since I've viewed it, and I want to tackle it with two pairs of fresh eyes.
 * I want this page to be a featured article to appear on the main page and hopefully raise awareness of this condition. It failed its FA candidacy when I took it to WP:FAC four months ago, and so I hope to have it pass next time.

As such, I would greatly appreciate the help of a reviewer who can: Cheers,  ʄɭoʏɗiaɲ  τ ¢  06:57, 6 February 2010 (UTC)
 * Scrutinize everything
 * Deal with me scrutinizing everything they scrutinize.

Finetooth comments: This is most interesting but still needs work. I read the comments from the previous peer reviews and the FAC before starting. I should say at the outset that I'm not an M.D. or scientist, and I know nothing about this disorder beyond your article. I couldn't say whether the article is comprehensive or not or whether its sources are the most recent and reliable or not. That said, I have quite a few suggestions for improvement.

Lead
 * "Rumination syndrome presents itself in a variety of ways, especially when comparing an adult without a mental disability to an infant or to a mentally impaired individual." - A bit awkward since a rumination syndrome can't compare anything, as the sentence structure implies. Slightly better might be "Rumination syndrome presents itself in a variety of ways and is especially different in an adult without a mental disability compared to an infant or to a mentally impaired individual."
 * "and are often misdiagnosed due to the number of symptoms, and the clinical similarities between rumination syndrome and other disorders..." - I'd replace "due to" with "because of".

Classification
 * The italics are running wild here, partly because of a typo. In addition the first sentence is awkward because it seems to say that the esophagus is a disorder and repeats the word "functional". Perhaps this could be recast without italics in this way: "Rumination syndrome, a gastroduodenal disorder, is an eating disorder that affects the functioning of the stomach and esophagus."
 * Pica links to a disambiguation page rather than the intended target.

Signs and symptoms
 * "While some only experience symptoms following some meals... " - I'd suggest adding "people" after "some".
 * "However, some long-term patients will find a select couple of food or drink items that do not trigger a response." - I'd replace the word "patients". The individuals you are describing might or might not be patients. I'm not sure what word would be better, but perhaps "sufferers" would do.
 * "Weight loss is often observed (42.2%) at an average loss of 9.6 kilograms... " - Convert to imperial units as well; i.e., 9.6 kg?
 * "Depression has also been linked with rumination syndrome,[7] though the effects of it on rumination syndrome are unknown." - Is it necessarily an effect of depression? Isn't it more likely to be a cause?

Causes
 * "In adults and adolescents, hypothesized causes generally fall into one of either category: habit-induced, and trauma-induced." - How about "one of two categories" rather than "one of either category"?

Diagnosis
 * "Costly and invasive studies such as gastroduodenal manometry... " - Link "manometry" to Esophageal motility study?
 * " esophageal PH testing are unnecessary and will often aid in misdiagnosis" - Use "pH" and link?
 * "Patients visit an average of five physicians over 2.75 years before reaching being correctly diagnosed with rumination syndrome." - Delete "reaching"? Merge this sentence with the paragraph above it?

Differential diagnosis
 * "This is due to the similarities in symptoms to an outside observer - "vomiting" (purging) following food intake (binging) - which in long-term patients may include ingesting copious amounts to offset malnutrition (followed by a hasty retreat to the washroom), and a lack of willingness to expose their condition and its symptoms." - Somewhat awkward. Suggestion: "This is because the vomiting (or purging) followed by food intake (or binging) look the same to an observer; in long-term sufferers the signs may include ingesting copious amounts to offset malnutrition (followed by a hasty retreat to the washroom), and a lack of willingness to discuss their condition."
 * "Like rumination syndrome, patients with gastroparesis often bring up food following the ingestion of a meal." - Rumination syndrome isn't a patient. Also, "patients" only describes a subset. How about "As with rumination syndrome, people... "?

Pathophysiology
 * "and a number of theories have speculated the mechanisms that cause the regurgitation" - Should this be "have speculated about the mechanisms"?

Treatment and prognosis
 * The "citation needed" tag should be addressed.

Epidemiology
 * "Among the latter, it is described with almost equal prevalence among infants... " - "The latter" seems to refer to "females of all ages and cognitive abilities" in the preceding sentence. Is that really what you mean?

History
 * "mentioned in the writings of Aristotle... " - Wikilink Aristotle?

In other animals
 * "Such behavior, though termed rumination, is not related to human rumination syndrome, but is ordinary behavior nonetheless." - Tighten by deleting "behavior nonetheless"?

Other
 * The alt text for the lead image was not working. The fix was to change "alt" to "Alt". (I did not know this would be the cure, but it seemed worth trying. Sometimes the magic works.)

I hope these suggestions prove helpful. If so, please consider reviewing another article, especially one from the PR backlog at WP:PR. That is where I found this one. Finetooth (talk) 00:56, 14 February 2010 (UTC)


 * Sorry for my delayed response, I have been all over the place recently and editing several topics. I will implement all of your suggestions very shortly. Thank you for reviewing this... I know it's a pretty obscure topic and that medical topics usually require access to paid sources. -  ʄɭoʏɗiaɲ  τ ¢  23:58, 22 February 2010 (UTC)