Wikipedia talk:WikiProject Medicine/Archive 48
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| This is an archive of past discussions about Wikipedia:WikiProject Medicine. Do not edit the contents of this page. If you wish to start a new discussion or revive an old one, please do so on the current talk page. |
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I actually hate it here and I'm leaving
After this incident I have truly had enough of this place:
My current GAs olfactory reference syndrome and leukoplakia need closure, unless another editor can be found to complete them. Apologies to LT and Ian Furst who have put effort into the review on Leukoplakia.
For your info, DangerousPanda, I was an experienced editor with over 12,000 edits, mainly to topics around oral medicine and oral pathology, and I was apparently one of the top 10 most active editors on medical pages in '13 ... but hey none of that matters. All that is important is that people like you their daily fix of belittling and bullying people who are trying to do the right thing. And, ofc you get to keep the obnoxious POV-pushing editors so good luck with that. Lesion 09:01, 20 April 2014 (UTC)
- The ANI discussion was re-opened. Link to the complete archived ANI discussion. --Anthonyhcole (talk · contribs · email) 10:48, 5 May 2014 (UTC)
- Sorry to hear that Lesion, it will be WP's loss. I just noticed the discussion at WP:ANI about Electronic cigarette and in my view it wasn't well-handled. From past involvement in that article, I think there has definitely been a behaviour problem there (which it seems, is continuing). I guess it's part of the Wikipedia editing experience to discover there are some things here which really suck and can't be fixed ... at least not in a timely fashion. Alexbrn talk|contribs|COI 09:11, 20 April 2014 (UTC)
- Am sorry to see you leave, Lesion. You have always been a reasonable and conscientious editor with a very down-to-earth attitude about editing, and I wish you all the best in your future, LT910001 (talk) 09:22, 20 April 2014 (UTC)
- Lesion, I'm really sorry you had this upsetting experience. I hope you take a very well earned wiki-break and come back when you feel ready and refreshed. Always feel free to join me in the mire of obscure agricultural villages of the subcontinent requiring copyediting. ;-) Take it easy, Myrtle G. Myrtlegroggins (talk) 09:41, 20 April 2014 (UTC)
- Two things: 1) my thoughts on Lesion's departure, and 2) would you want to be added to WP:MISS, User:Lesion? Jinkinson talk to me 13:53, 20 April 2014 (UTC)
- Lesion Your work has not gone unnoticed, and it would be a massive shame to see you go. I was near wiki-burnout in late 2005 and came close in 2008 after unpleasant interactions with even more unpleasant people. But in the end it's worth it. Don't bolt the door. Please. JFW | T@lk 14:50, 20 April 2014 (UTC)
Yes much of Wikipedia sucks and we all unfortunately have to deal with those part from time to time. Yes one needs a very thick skin to edit in certain areas. Remember "Illegitimi non carborundum" and we are here for our readers. Hope you change your mind. Doc James (talk · contribs · email) (if I write on your page reply on mine) 15:13, 20 April 2014 (UTC)
- I saw the ANI discussion after it was closed. I don't think the request was clear enough for most of the people who usually hang out there, who seem to spend no more than ten seconds reviewing a situation on average. That forum isn't effective for open-ended requests for help. If you try to be fair and non-prejudicial by saying, "Here's this problem, what do you think?", it will likely fail while they engage in a game of hot potato. If you say, "I request a topic ban", you still might get no help, but at least they won't tell you that RSN is a good forum for dealing with WP:CPUSHing.
- Would someone else like to take over this? An RFC/U would not be an unreasonable way to collect information. WhatamIdoing (talk) 15:37, 20 April 2014 (UTC)
- I too am displeased that Lesion says they're retiring. Of course, I cannot and will not shoulder all of the blame. As I have already said elsewhere, yes, I stooped to sarcasm ... unfortunately, I did that after the conversation had already gone south. I should not have been tempted to do that. Lesion's edits have been able to move the project forward. The sole error I find was the way they approached the ANI filing, and then the post-closing - it's probably a good thing that Lesion does NOT have extensive experience at ANI, and that's a credit to them - those who spend a lot of time a ANI are jaded :-) . It's unfortunate that the way the ANI was filed/introduced left no other option but to close it with no action - and by the way, it wasn't me who closed it. Lesion, I apologize rarely, but I do apologize that my attempted humour led to sarcasm that was unfortunately taken the wrong way. It is also my sincere hope that you return to the work you've been doing. If you have questions on how to appropriately file the concerns, please contact me - although I see some of your wise colleagues are already taking up the mantle. Best, the panda ₯’ 19:05, 20 April 2014 (UTC)
- Lesion Thanks for everything you have done and contributed. I listed WikiProject Medicine at the Wikipedia:List of cabals so that people in the future can know that they can come to this forum and ask for more opinions about the reliability of sources. This board is almost always of one mind about acceptable medical sources and anyone coming here asking for comments about a source ought to get predictable comments. I would like to think that people like Lesion can depend on this board providing people to give comments request, and I hope that there was not a problem in help being requested and this board failing to provide it. Blue Rasberry (talk) 22:01, 20 April 2014 (UTC)
- As an update, @Lesion:, NuclearWarfare has blocked the editor FergusM1970. Cas Liber (talk · contribs) 00:26, 21 April 2014 (UTC)
- Lesion, it's sad to see you leaving, since I regard you as a very supportive coeditor. I've once taken what was meant to be a permanent leave, but I gradually returned to editing, and I hope you will too. Mikael Häggström (talk) 14:58, 24 April 2014 (UTC)
- @Lesion: Really sorry to see you go Lesion; you've definitely contributed a lot to WP and WP:MED in particular. I just wanted to say thanks for all your efforts in editing and improving wikipedia; you've been a valuable asset to the project and will be missed. Seppi333 (Insert 2¢ | Maintained) 05:22, 30 April 2014 (UTC)
I note with sadness that Lesion hasn't edited since 20 April. --Anthonyhcole (talk · contribs · email) 09:54, 6 May 2014 (UTC)
Dosing
Can anyone point me to a good site for finding dosing recommendations. Specifically, I'm looking for evidence about metro 500 bid v qid, but there's not much in pubmed and I couldn't find a link in the article. Ian Furst (talk) 13:29, 6 May 2014 (UTC)
- Wouldn't it depend on why the person was taking metronidazole in the first place? WhatamIdoing (talk) 14:09, 6 May 2014 (UTC)
Term to refer to people with autism/autistic people
Emergency Care Coordination Center
Dear medical experts: This article has just been created (not by me, I just noticed it). Perhaps someone at this site would like to check it over. —Anne Delong (talk) 18:02, 7 May 2014 (UTC)
- Thanks, Anne. It looks OK to me. I've done a minor clean-up. I haven't tagged it with {{WPMED}}. Not sure if we tag government health department subsections. --Anthonyhcole (talk · contribs · email) 18:43, 7 May 2014 (UTC)
Favoring Cochrane
I think that several people (because you might have some diversity of opinions) here should give their opinions about who is allowed to add citations to Cochrane papers in the discussion at Jimbo's talk page. WhatamIdoing (talk) 17:41, 7 May 2014 (UTC)
"Category:Medicine" in Wiktionary
One possible goal is having a Wikipedia article for each medical topic categorized in wikt:Category:Medicine.
—Wavelength (talk) 16:40, 6 May 2014 (UTC)
- I clicked one at random: ady:Medicine. I clicked through to this page. I don't see how this would be helpful for Wikipedia. Axl ¤ [Talk] 19:50, 6 May 2014 (UTC)
- The page to which I linked has 29 topical subcategories followed by 413 language subcategories. English Wikipedia can perhaps have an article for each English word that is categorized in one or more of the 29 topical subcategories. For example, wikt:Category:Embryology contains wikt:Category:en:Embryology, which contains wikt:tailbud#English ("[t]he proliferating mass of cells found at the caudal end of an embryo"), but English Wikipedia does not have an article "Tailbud". If there are sources conforming to WP:MEDRS, perhaps there can be that article.
- —Wavelength (talk) 21:00, 6 May 2014 (UTC)
- The article you are looking for is caudal cell mass, which is a stub. I've created redirects from tailbud and tail bud. Risker (talk) 03:03, 8 May 2014 (UTC)
Nootropic - the opposite of WP:MEDRS
So, I started editing (mass-deleting text, sparing what I could, or replacing bad refs with reviews) this article... it was more or less a paragon of what MEDRS says not to do. IMO, it's now it's decent above Nootropic#Miscellaneous, mixed good/bad in Nootropic#Miscellaneous†, and abhorrently bad in every section below it. There's still a fair amount of redundancy that has yet to be deleted as well.
Given that this article is still somewhat of a WP:MED/WP:PHARM travesty, anyone want to lend me a hand? ;)
†Some have decent review refs. For the ones that don't, I thought I might be able to adequately ref them over the next week or so.
Seppi333 (Insert 2¢ | Maintained) 03:47, 30 April 2014 (UTC)
- Edit: Just in case it's not apparent what the problem is, the drugs section (most of the page) is basically a bunch of drug category subsections, sometimes with overly general or uncited claims regarding cognitive effects, followed by a list of related drugs. The claims about the drugs in those sections either have no ref, a primary/animal ref, or a ref on general pharmacodynamics instead of their effects on cognition (i.e., they say something along the lines of: "XYZ is a ABC agonist" as opposed to "ABC agonists like XYZ improve working memory"). Seppi333 (Insert 2¢ | Maintained) 05:12, 30 April 2014 (UTC)
Additional problem: the page's nav template - {{Antihyperkinetics}} - more or less suggests that everything on there that isn't a psychostimulant (excluding clonidine/guanfacine which are nonstimulant ADHD drugs) has a cognition-enhancing drug effect. Based upon the template heading, it should just reflect the much smaller group of N06B ATC-coded drugs. Currently:155 drugs - should only have 36 listed.
- Any objections to me cutting the template to a quarter of its size? Seppi333 (Insert 2¢ | Maintained) 05:53, 30 April 2014 (UTC)
Fixed the template above Seppi333 (Insert 2¢ | Maintained)
I just noticed that {{nootropics}} is completely off as well... ATC code N06 is the "Psychoanaleptics" group - we're calling it "Nootropics." The template doesn't look at all like the ATC classification for N06.
Seppi333 (Insert 2¢ | Maintained) 06:17, 30 April 2014 (UTC)
- I just deleted the N06 reference in the title. I'm not going to even bother with this before I fix the article. Seppi333 (Insert 2¢ | Maintained) 00:29, 4 May 2014 (UTC)
- Yes I waded into this article a few years ago. May take another look. Trim poor quality sources. Doc James (talk · contribs · email) (if I write on your page reply on mine) 15:51, 30 April 2014 (UTC)
- I deleted about 2/3rds of the article. I think that's all for now - I'll try to cite what I can with reviews and delete what I can't from here. Seppi333 (Insert 2¢ | Maintained) 04:02, 8 May 2014 (UTC)
- Yes I waded into this article a few years ago. May take another look. Trim poor quality sources. Doc James (talk · contribs · email) (if I write on your page reply on mine) 15:51, 30 April 2014 (UTC)
Wikipedia:WikiProject CRUK
Wikipedia:WikiProject CRUK (involving Cancer Research UK) is listed at Wikipedia:Database reports/New WikiProjects.
—Wavelength (talk) 15:35, 5 May 2014 (UTC)
- Yes, I'm doing an announcement soon, & explaining the aims, but I've been formally in position there a week now, & have discussed what I'll be doing with some individuals here. So I'm refining what the plans are with CRUK, and will put them up for comment here, before doing a wider "launch". There's a draft start on my user page. Meanwhile I'd be interested in specific requests and thoughts - at either my user talk or the CRUK project talk, or perhaps it's best here initially. (also User:Johnbod and User:Wiki at Royal Society John) Wiki CRUK John (talk) 09:55, 8 May 2014 (UTC)
BBC Health
While doubtless a great source for many things, perhaps not meeting MEDRS? List of 1560 links to the site, many not from medical articles of course. I'd make a medical articles only list if I were allowed.
All the best: Rich Farmbrough, 16:42, 8 May 2014 (UTC).
- On a quick look, most articles with links are not medical. Unfortunately they don't link or cite properly to the stuff they are reporting - eg #1165 is a link from Alcohol and cancer to this story, as footnote 12/164 (#s from memory). Wiki CRUK John (talk) 17:22, 8 May 2014 (UTC)
New class! Fun students! New partnership?
Hello! Medical students of the Icahn School of Medicine at Mount Sinai are organizing a Wikipedia club. I have already met with some of them and will be joining their first editathon next week, scheduled for 14 May. Anthonyhcole, we were just talking about more transparency between the education program and WikiProject Medicine. This could be a pilot case for setting a precedent, and I could make an effort to do whatever we want to be our standard procedures.
Education Program:Icahn School of Medicine at Mount Sinai/Expanding Wikiproject Medicine (2014 Spring)
Something unusual about this case is that these are students, but this is an extracurricular project organized by a group of classmates who want to learn Wikipedia for themselves and not as part of a class assignment. I still suggested to them that because they want to look at each others' work that using the education program course page would be right for them. Also, it is my understanding that when someone posts to the talk page of the course page, the entire class is notified of the message.
Blue Rasberry (talk) 19:51, 7 May 2014 (UTC)
- That is great. How many hours do you think you'll put in at the editathon, Blue Rasberry? --Anthonyhcole (talk · contribs · email) 20:28, 7 May 2014 (UTC)
- Hopefully you can convince most of them to come to WikiConference USA Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:36, 8 May 2014 (UTC)
- Anthonyhcole This next event starts at 7pm so I expect it will be over at 9. In New York City we have a six hour editathon of some sort every other month, and shorter meetings at least twice monthly. I met with the organizers here 3 hours already and have talked a lot since, and my hope is to be at any meeting they wish to have if we can establish a regular club for the class. Yes James, they are invited to the US national Wikipedia conference, which is just a few subway stops away. I will keep you posted. Blue Rasberry (talk) 15:37, 8 May 2014 (UTC)
- Even though it's a club rather than a class assignment, you might want to suggest that they read WP:STUDENTS. --Tryptofish (talk) 21:13, 8 May 2014 (UTC)
- Anthonyhcole This next event starts at 7pm so I expect it will be over at 9. In New York City we have a six hour editathon of some sort every other month, and shorter meetings at least twice monthly. I met with the organizers here 3 hours already and have talked a lot since, and my hope is to be at any meeting they wish to have if we can establish a regular club for the class. Yes James, they are invited to the US national Wikipedia conference, which is just a few subway stops away. I will keep you posted. Blue Rasberry (talk) 15:37, 8 May 2014 (UTC)
- Hopefully you can convince most of them to come to WikiConference USA Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:36, 8 May 2014 (UTC)
Seborrhoeic dermatitis
Amyloidosis
Hello - The amyloidosis article is a bit of a mess right now. The article confuses the generic term amyoidosis with the various different specific types of amyloidoses. It seems to me that this article should be describing the category of diseases that encompass the amyloidoses and that specific information about the various types (light chain amyloidosis or AA amyloidosis or whatever) should be contained in their own articles. I'm not really sure about how to go about doing this....would appreciate any help. Wawot1 (talk) 16:30, 8 May 2014 (UTC)
- I agree with your assessment, especially after reading the treatment part. That article definitely needs some work. Heyinternetman (talk) 05:38, 9 May 2014 (UTC)
Distributive shock
Bold rewrite done. A looking over would be appreciated. A source I don't have access to was removed, if important someone with access could add content and restore ref (see talk). Thanks.
PS considering doing some work on Septic shock guidance welcome. - - MrBill3 (talk) 02:45, 9 May 2014 (UTC)
- I responded on the article's talk page Heyinternetman (talk) 05:58, 9 May 2014 (UTC)
Biochemic tissue salt
Pelvic pain
Pelvic pain (edit | visual edit | history) · Article talk (edit | history) · Watch
One would have thought from the title this is a legitimate topic (though - is it? or is pelvic pain just an incidental consequence of other things). Anyway - this is one weird article. Salvageable? Alexbrn talk|contribs|COI 15:16, 9 May 2014 (UTC)
- It is a fine topic. It is like testicular pain or sore throat. A presentation / sign / symptom rather than a disease. These are a key part of emergency medicine Book:Emergency_medicine#Presentations that I plan to get to. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:43, 9 May 2014 (UTC)
Errors in an article
I've received permission from Kelly Martin to post her comment in another forum here:
"I do occasionally look at Wikipedia after I finish doing my research, just to see what is there. In the case of Malignant peripheral nerve sheath tumor, the article materially misstates the survivability rates by lumping together several different categories of tumor with very distinct presentations and characteristics. Articles written professionally for laypeople honestly state that survivability is highly variable and difficult to predict due to the very low incidence of this class of tumors. Articles written professionally for practitioners give much more specific information, identifying factors (e.g. tumor size, tumor location, whether the tumor is rhabdomyoblastomatous) that allow the practitioner to reasonably advise their patients and their families as to the likely prognosis. The Wikipedia article mentions that rhabdomyoblastomatous tumors have a different name, but does not note that this is the single most significant factor in predicting survivability. In addition, the Wikipedia article is inconsistent with generally accepted practice guidelines, as published in 2012, which reflects the fact that all but one of the sources to the Wikipedia article are at least seven years old. (No excuse, though; they're also inconsistent with this well-balanced article for practitioners, from 2006.) The article's statements about the use of chemotherapy and radiotherapy are inconsistent with current best practice; recent clinical evidence has indicated that chemotherapy is problematic in patients with neurofibromatosis as chemotherapy agents may exacerbate existing benign neurofibromas (a critical fact that the article only hints at).
"I'm seriously glad I read the NIH material before I read this article; I would have been far less sanguine for the chances of my son living to see his next birthday had I read the Wikipedia article first. And I am even more glad that my son's doctors don't rely on Wikipedia for medical advice."
This is beyond me. Anyone? --Anthonyhcole (talk · contribs · email) 16:59, 9 May 2014 (UTC)
Advice needed on four draft articles
Graduate students on the Mechanisms of Disease course at Roosevelt University have been editing Wikipedia in April to create and expand articles for diseases that are currently undocumented or under-documented on Wikipedia. See the Education Noticeboard here. They seem to be doing good work. For example, they turned the article on Renal vein thrombosis from this sorry state to this and created the article Otodental syndrome.
There are four drafts for completely new articles pending review at Articles for Creation. I am inclined to move them into article space, but would like this project's advice first.
Draft:Floating-Harbor syndrome (also known as Pelletier-Leisti syndrome)
Draft:Lutembacher's syndrome
Draft:Adult-onset immunodeficiency syndrome
- This already exists as an article: Adult-onset immunodeficiency syndrome --WS (talk) 14:56, 9 May 2014 (UTC)
- Thanks! I thought I had weeded out all the ones that already had articles. Best, Voceditenore (talk) 16:59, 9 May 2014 (UTC)
Draft:Diabetes Mellitus Type 3. This one was declined by a reviewer solely on the basis that Diabetes mellitus already exists. However, Diabetes mellitus type 1 and Diabetes mellitus type 2 exist as separate articles.
Best, Voceditenore (talk) 12:46, 9 May 2014 (UTC)
- Type three diabetes is like the Eighth Wonder of the World. It is not generally accepted. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:31, 9 May 2014 (UTC)
- They need to have their references fixed and heading formatted properly. To many caps. To much bolding. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:39, 9 May 2014 (UTC)
- The guideline at WP:CITEVAR says they can use all the caps and bolding they want. WhatamIdoing (talk) 22:06, 9 May 2014 (UTC)
- They need to have their references fixed and heading formatted properly. To many caps. To much bolding. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:39, 9 May 2014 (UTC)
- Type three diabetes is like the Eighth Wonder of the World. It is not generally accepted. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:31, 9 May 2014 (UTC)
Reducing taskforce neurology's scope
Would members of this taskforce be amenable to adding to task force page:
- Scope
This task force covers pages relating to neurological disease and symptoms. It does not cover pages relating to peripheral or central neuroanatomy (WP:ANATOMY, WP:NEUROSCIENCE) or physiology (WP:PHYSIOLOGY).
Reasons:
- This is consistent with our scope (WP:MED?), where articles pertaining to disease or injury are kept under WP:MED. ("This project supports articles related to medicine, such as diseases, conditions, and treatments for humans")
- There is an active neuroscience wikiproject (WP:NEUROSCIENCE) which already holds these articles, and WP:ANATOMY and WP:PHYSIOLOGY articles which are already co-tagged.
- There are a lot of the articles that could and may potentially be added to the task force, which surely under WPMED would like to focus on disease and symptoms, and under WP:NEUROSCIENCE could focus on other articles
- Lastly, as I have already encountered, editors may waste colossal amounts of time tagging or co-tagging articles with this task force.
I'm not advocating anything other than ensuring this task force focuses around disease and symptoms rather than being constantly tagged with all manner of neuro articles that are already well tended to at the active WP:NEUROSCIENCE, and to reduce the wasted efforts of future editors. I have posted this on the talk page for the neuro taskforce but closed that thread to centralise discussion. Thoughts? --LT910001 (talk) 23:45, 9 May 2014 (UTC)
Disambiguation help needed for Elephantiasis
Greetings! Elephantiasis was recently made into a disambiguation page, and we are in dire need of medical expert help to fix about 70 incoming links from various articles. Please help if you can, thanks. bd2412 T 01:12, 8 May 2014 (UTC)
- Most likely need to go to Lymphatic filariasis Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:35, 8 May 2014 (UTC)
- Ugh. I tidied some, but it's a mess, conflating agents, diseases, and stages. LeadSongDog come howl! 04:57, 8 May 2014 (UTC)
- Thanks, any help is appreciated. Please feel free to organize the page in whatever way makes it most helpful to the reader, and with whatever descriptions will make it easiest to fix those incoming links. Cheers! bd2412 T 20:20, 8 May 2014 (UTC)
- Ok, I think the dabpage is workable now, if someone would please check it. LeadSongDog come howl! 03:57, 10 May 2014 (UTC)
- Thanks, any help is appreciated. Please feel free to organize the page in whatever way makes it most helpful to the reader, and with whatever descriptions will make it easiest to fix those incoming links. Cheers! bd2412 T 20:20, 8 May 2014 (UTC)
- Ugh. I tidied some, but it's a mess, conflating agents, diseases, and stages. LeadSongDog come howl! 04:57, 8 May 2014 (UTC)
- Most likely need to go to Lymphatic filariasis Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:35, 8 May 2014 (UTC)
Impact factor for textbooks?
Some are held in much higher regard than others. Is there a shortcut for readers outside the specialty to tell which are the most widely used and relied upon textbooks? --Anthonyhcole (talk · contribs · email) 05:26, 19 April 2014 (UTC)
- One can go to there local medical school bookstore. Each specialty usually has one or two standard textbooks that nearly all students use. My field has Tintinalli and Rosen. Doc James (talk · contribs · email) (if I write on your page reply on mine) 07:27, 19 April 2014 (UTC)
- Some other clues, perhaps. Has it seen multiple editions? Is it widely held in the libraries of medical schools? Is it held in the NLM? Checking worldcat can usually help with answering these. LeadSongDog come howl! 15:06, 19 April 2014 (UTC)
- One can go to there local medical school bookstore. Each specialty usually has one or two standard textbooks that nearly all students use. My field has Tintinalli and Rosen. Doc James (talk · contribs · email) (if I write on your page reply on mine) 07:27, 19 April 2014 (UTC)
- Difficult to tell. Number of editions is a possible indicator, agree. Textbooks which are essentially compilations of chapters each written by a small group of different authors always feel more reliable than textbooks written by one or two authors. Dare I suggest that the nature of the advertising on the cover and the qualifications of the authors are useful indicators too? How many pages does it have? =) Lesion 17:37, 19 April 2014 (UTC)
- http://www.worldcat.org/ will give you how many libraries hold a work (very biased towards western, english speaking, libraries). I consider being held by more than a 1000 libraries 'widely held' Stuartyeates (talk) 06:38, 21 April 2014 (UTC)
Maybe there would be some point in creating a list of widely used medical books here, for reference purposes? Or a list of books that we find are exceptionally good? CFCF (talk · contribs · email) 14:26, 24 April 2014 (UTC)
Actually, http://www.worldcat.org/, tells me what I want, I think. Thank you, Stuart. --Anthonyhcole (talk · contribs · email) 19:31, 26 April 2014 (UTC)
- That website works if you already know the name of the book that you are considering. I sympathise with CFCF's suggestion. There are a number of books that I own because I regard them as highly authoritative—these are typically books found in all medical school & hospital libraries. I also have a few books that are specialist to my area and I consider authoritative in the field. But how would we collectively draw up such a list? Any attempt to make a comprehensive list will be accused of favouritism by editors whose preferred text is not on the list. Axl ¤ [Talk] 10:21, 3 May 2014 (UTC)
- Well. We could contact the campus bookshop at every English language medical school and ask for their prescribed reading lists. A big project, but something we should be able to get funding for from the WMF, so we could pay someone to set it up. We could promise the bookshops anonymity, since we surely only need to publish the raw totals. --Anthonyhcole (talk · contribs · email) 15:29, 5 May 2014 (UTC)
- I'd be happy to start small, with a handful of medical students (or similar) posting lists of the ones that they have and/or think are common among friends at other schools. WhatamIdoing (talk) 03:14, 6 May 2014 (UTC)
- I'm struggling to see the value of that. Can you expand? It might be a skewed sample, and with a bit of funding (and cooperation from the schools, of course) we could have a true survey that would be useful to us - but also useful to publishers, schools, readers, historians of medicine, etc. --Anthonyhcole (talk · contribs · email) 09:51, 6 May 2014 (UTC)
- I don't see why publishers, readers, etc., would care. (Publishers probably already know these things at least approximately anyway.)
- The value is twofold: that we could see whether anyone would use such a list, and that we could start using it today instead of next year. We don't really need to know that a textbook is the most popular to decide whether it's reliable. (There are even good reasons not to artificially limit your information only to the most popular: "popular" is often "traditional" rather than "best".) However, people need to know that there's a common one called Janeway's Immunobiology, because knowing the title of a decent textbook helps you find a reliable source. WhatamIdoing (talk) 14:06, 6 May 2014 (UTC)
- I'm struggling to see the value of that. Can you expand? It might be a skewed sample, and with a bit of funding (and cooperation from the schools, of course) we could have a true survey that would be useful to us - but also useful to publishers, schools, readers, historians of medicine, etc. --Anthonyhcole (talk · contribs · email) 09:51, 6 May 2014 (UTC)
- I'd be happy to start small, with a handful of medical students (or similar) posting lists of the ones that they have and/or think are common among friends at other schools. WhatamIdoing (talk) 03:14, 6 May 2014 (UTC)
- Well. We could contact the campus bookshop at every English language medical school and ask for their prescribed reading lists. A big project, but something we should be able to get funding for from the WMF, so we could pay someone to set it up. We could promise the bookshops anonymity, since we surely only need to publish the raw totals. --Anthonyhcole (talk · contribs · email) 15:29, 5 May 2014 (UTC)
- There would be some value in knowing the name of the textbooks used at one or two schools. The benefit of a complete survey would be knowing how popular a textbook is with course designers. I agree that doesn't say everything you want to know about a book, but it tells you more than just knowing at least one or two schools use it. I'll have a think. --Anthonyhcole (talk · contribs · email) 17:16, 6 May 2014 (UTC)
- Perhaps a collaborative effort with wp:Wikiproject Books and wp:Wikiproject Education? Something tells me the textbook industry already has best seller lists that might help. LeadSongDog come howl! 04:49, 10 May 2014 (UTC)
- There would be some value in knowing the name of the textbooks used at one or two schools. The benefit of a complete survey would be knowing how popular a textbook is with course designers. I agree that doesn't say everything you want to know about a book, but it tells you more than just knowing at least one or two schools use it. I'll have a think. --Anthonyhcole (talk · contribs · email) 17:16, 6 May 2014 (UTC)
Autism Research Institute
Autism Research Institute (edit | talk | history | protect | delete | links | watch | logs | views)
Tons of biomedical information with no MEDRS. Edit warring. I have worked up the references that are there and applied appropriate tags, made a detailed explanation on talk page, AN3RR report. A new editor has made a poorly formed (it doesn't even point to the article) Dispute Resolution Noticeboard filing, then proceeded to make multiple reverts without waiting for any input or doing any consensus building. This group continues to push the vaccine autism connection and has a laundry list of beyond questionable treatments including chelation for autism. For a little background on their current director see this QuackWatch article. See this publication from the organization for their ideas of biomedical treatments and research. Some quality project medicine input would be valuable. - - MrBill3 (talk) 08:51, 10 May 2014 (UTC)
Medical articles and jargon
I'm getting to the point where I hesitate to look up medical information on Wikipedia because nearly all the articles are too technical and seem geared to medical professionals and students rather than the average Wikipedia user. Is this the kind of thing that can be reviewed and changed by some kind of Wikipedia board or science group? Thank you very much. Rissa, copy editor 01:26, 23 April 2014 (UTC)
- Wrond desk for this query - try Wikipedia talk:WikiProject Medicine. Nthep (talk) 08:49, 23 April 2014 (UTC)
- Risssa, I agree with you, and so do a lot of us here. It's difficult, because the people who understand the material best are kind of used to all these technical terms and don't realize how difficult it can get for other people. We also have people who want to use medical jargon because it's more accurate (sometimes it is, other times, it's just showing off). The goal is to WP:Make technical articles accessible, although sometimes it's extremely difficult to write entire articles in plain English.
- I'd consider it a favor if you posted here whenever you found an impenetrable section or paragraph in an article. Just give us a link to the article, paste the most important parts to fix here, and tell us that you can't understand it. WhatamIdoing (talk) 16:14, 23 April 2014 (UTC)
- I would like to see more articles with both the precise technical language, where this is not easily simplified, and more generally accessible language, especially in the lead, where I think the problems are often most prominent. This can be achieved in normal prose, but it might be good to have a convention where we have a box in the lead with an accessible summary, rather like the "in a nutshell" boxes for guidelines, but rather longer and perhaps not at the top. For example, many articles on drugs, which start out very technical, could benefit from this approach. Johnbod (talk) 01:03, 24 April 2014 (UTC)
- I think it's a good idea, but a bit tricky. The encyclopedic character of the article could be altered. --Wintereu (user talk) 12:03, 28 April 2014 (UTC)
- Creating Simple English translations of articles is another option that would leave the original article available for advanced readers. I want to voice my agreement with above statements that the biggest problem is a lack of realization of when articles are getting too technical and urge readers who don't understand part of an article to tag the section with {{Technical|section}} and post on the talk page what specifically you can't understand. --ITasteLikePaint (talk) 13:17, 5 May 2014 (UTC)
- I think it's a good idea, but a bit tricky. The encyclopedic character of the article could be altered. --Wintereu (user talk) 12:03, 28 April 2014 (UTC)
- Category:Glossaries of medical terms might be helpful in this matter.
- —Wavelength (talk) 23:28, 24 April 2014 (UTC)
- I agree with WhatamIdoing and Johnbod. Please feel free to post links to the awkward sections here, and one of us will attempt to simplify it. Axl ¤ [Talk] 10:28, 25 April 2014 (UTC)
- I would wholeheartedly agree with much of what is said here. As well as impenetrable jargon, medicine seems to reinvent its terminology frequently. I would suggest that there is a place for articles to acknowledge and explain historic and common terms. As a concrete example: I have been documenting the 1952 Easington Colliery disaster. Two rescuers died (along with 81 others), one due to "emphysema" and one due to "bullous emphysema". Emphysema is a simple redirect to Chronic obstructive pulmonary disease and the lead does at least mention emphysema. Bullous emphysema however has no link and on suggesting the article should mention it was told it did. There is one mention in the second sentance of section 4.3 other tests of "bullae". I do not want to hold the COPD article up for criticism; it is clearly well written and researched (GA status). It is symptomatic though of the problem being written about here. I was tempted to "be bold" and add the explanation gleaned from the Mine Inspector's report but I think it would be neither welcome nor right for a non-specialist to interfere with important medical pages. Martin of Sheffield (talk) 09:58, 7 May 2014 (UTC)
- I have added a couple of sentences to the "Pathophysiology" section, with a reference. Axl ¤ [Talk] 20:02, 8 May 2014 (UTC)
- Thanks Axl. That deals with the particular, but my general comments still stand; many of Wiki's medical articles are impenetrable. It is difficult to strike a balance between on the one hand WP:RF (which indicates high school students or non-tabloid readers) and WP:MEDMOS (in particular section 2) and on the other a desire to use precise technical language which is translatable and understood by trained medical practitioners world-wide. Indeed, this is a general problem for Wiki and all encyclopedias; would knowing that a figure in a wall painting was "nimbed" help unless you were a specialist in iconography or heraldry? Thanks once again Axl. Martin of Sheffield (talk) 22:42, 8 May 2014 (UTC)
- You're welcome. At WikiProject Medicine, we are all familiar with this problem. We do try to write using comprehensible language, but this often isn't easy in medical articles. As I mentioned above, if you come across articles/sections that are unusually obscure, please post about them on this page. Axl ¤ [Talk] 09:48, 10 May 2014 (UTC)
- Thanks Axl. That deals with the particular, but my general comments still stand; many of Wiki's medical articles are impenetrable. It is difficult to strike a balance between on the one hand WP:RF (which indicates high school students or non-tabloid readers) and WP:MEDMOS (in particular section 2) and on the other a desire to use precise technical language which is translatable and understood by trained medical practitioners world-wide. Indeed, this is a general problem for Wiki and all encyclopedias; would knowing that a figure in a wall painting was "nimbed" help unless you were a specialist in iconography or heraldry? Thanks once again Axl. Martin of Sheffield (talk) 22:42, 8 May 2014 (UTC)
- I have added a couple of sentences to the "Pathophysiology" section, with a reference. Axl ¤ [Talk] 20:02, 8 May 2014 (UTC)
- I would wholeheartedly agree with much of what is said here. As well as impenetrable jargon, medicine seems to reinvent its terminology frequently. I would suggest that there is a place for articles to acknowledge and explain historic and common terms. As a concrete example: I have been documenting the 1952 Easington Colliery disaster. Two rescuers died (along with 81 others), one due to "emphysema" and one due to "bullous emphysema". Emphysema is a simple redirect to Chronic obstructive pulmonary disease and the lead does at least mention emphysema. Bullous emphysema however has no link and on suggesting the article should mention it was told it did. There is one mention in the second sentance of section 4.3 other tests of "bullae". I do not want to hold the COPD article up for criticism; it is clearly well written and researched (GA status). It is symptomatic though of the problem being written about here. I was tempted to "be bold" and add the explanation gleaned from the Mine Inspector's report but I think it would be neither welcome nor right for a non-specialist to interfere with important medical pages. Martin of Sheffield (talk) 09:58, 7 May 2014 (UTC)
- I agree with WhatamIdoing and Johnbod. Please feel free to post links to the awkward sections here, and one of us will attempt to simplify it. Axl ¤ [Talk] 10:28, 25 April 2014 (UTC)
Leaflet For Medicine At Wikimania 2014
Are you looking to recruit more contributors to your project?
We are offering to design and print physical paper leaflets to be distributed at WIkimania 2014 for all projects that apply.
For more information, click the link below.
Project leaflets
Adikhajuria (talk) 16:36, 8 May 2014 (UTC)
- Who is paying for these leaflets? Axl ¤ [Talk] 19:24, 8 May 2014 (UTC)
- As I was told, Wikimedia UK, who are hosting the conference, would like to pay for the leaflets so that attendees to the conference can better engage with other attendees. I proposed a draft for WikiProject Medicine already. I would love for someone else to look at the text and help draft a statement of what WikiProject Medicine is. Blue Rasberry (talk) 20:56, 8 May 2014 (UTC)
- Thank you for the clarification, Lane.
- There seems to be some sort of disconnect in the first sentence, as though it has been hastily changed. "Expect a future in which all health information Wikipedia is the most accurate available in every language and backed by medical consensus of every authority." How about something like: "Aim for a future in which Wikipedia has the most accurate available health information in every language and is backed by medical consensus of every authority."
- In the second sentence, I recommend replacing the second instance of "which" with "and".
- In the third sentence, I don't think that there is any need to mention physicians/doctors.
- I'm not convinced that everyone has the "right" (implying civil right) to accessible healthcare information. It's certainly not on a par with the right to absence of racial discrimination, or the right to vote. If Wikipedia did not exist, this would not impinge on people's civil rights. Axl ¤ [Talk] 21:29, 8 May 2014 (UTC)
- Axl Your viewpoint is orthodox and mine is unorthodox, and our leaflet should present the orthodox view. I am talking about a civil right as in the Consumer Bill of Rights. People have a right to health, and to have health they need a certain minimal amount of information to guide their health decisions, and since Wikipedia is unique in the world both for asserting that all such information should be presented and for actually being able to deliver the information, I feel that people have a civil right to Wikipedia. The right to Wikipedia ends whenever something else reasonably purports to replace the role Wikipedia serves, but at this time, no one else even shares the ideology that people should have access to this kind of health information. Blue Rasberry (talk) 14:55, 9 May 2014 (UTC)
- Perhaps you mean that the ability to acquire information about health is a human right? It's not really something related to governments (like the right to vote for the government, which is a civil right), and I have the impression that this is the distinction. WhatamIdoing (talk) 22:02, 9 May 2014 (UTC)
- "Your viewpoint is orthodox and mine is unorthodox, and our leaflet should present the orthodox view." I presume that there is a typo in there.
- Perhaps you mean that the ability to acquire information about health is a human right? It's not really something related to governments (like the right to vote for the government, which is a civil right), and I have the impression that this is the distinction. WhatamIdoing (talk) 22:02, 9 May 2014 (UTC)
- Axl Your viewpoint is orthodox and mine is unorthodox, and our leaflet should present the orthodox view. I am talking about a civil right as in the Consumer Bill of Rights. People have a right to health, and to have health they need a certain minimal amount of information to guide their health decisions, and since Wikipedia is unique in the world both for asserting that all such information should be presented and for actually being able to deliver the information, I feel that people have a civil right to Wikipedia. The right to Wikipedia ends whenever something else reasonably purports to replace the role Wikipedia serves, but at this time, no one else even shares the ideology that people should have access to this kind of health information. Blue Rasberry (talk) 14:55, 9 May 2014 (UTC)
- I'm not convinced that everyone has the "right" (implying civil right) to accessible healthcare information. It's certainly not on a par with the right to absence of racial discrimination, or the right to vote. If Wikipedia did not exist, this would not impinge on people's civil rights. Axl ¤ [Talk] 21:29, 8 May 2014 (UTC)
- "I am talking about a civil right as in the Consumer Bill of Rights." I suppose that you are implying that the provision of healthcare is a business where the patients are consumers who pay for a service/product. In many situations, that is true. (The Consumer Bill of Rights only applies in the USA of course.) The Consumer Bill really looks more like a series of laws that were enacted to protect consumers. Most countries have similar laws, but they are not extolled as "civil rights". Even if such a right exists, the onus is on the business to provide the relevant information. In this case, that means that the doctors and other healthcare professionals must provide appropriate information. Reliance on a third party is not acceptable.
- "I feel that people have a civil right to Wikipedia." I strongly disagree. Wikipedia is no more than an encyclopedia. In my opinion, it is the best and most useful encyclopedia—but it remains just an encyclopedia. As I implied above, if Wikipedia and its mirrors disappeared, this would certainly not impede people's rights. Axl ¤ [Talk] 10:25, 10 May 2014 (UTC)
I wonder if we should list specific things we are working on and looking for help with? Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:11, 8 May 2014 (UTC)
- Made a few change but I am not sure if it is an improvement. Still needs a little bit of clarification. Wondering about breaking this sentence up "Participants from all backgrounds are invited to participate in developing the general health reference work which is becoming the accessible public face of health education which for the first time in history, anyone may read." Short sentences are key for people speaking English as a second language. Doc James (talk · contribs · email) (if I write on your page reply on mine) 06:38, 9 May 2014 (UTC)
- For the long bit, incorporating many of the above, and not using American English:
"We aim for a future in which all health information on Wikipedia is accurate in every language version and backed by authoritative sources. Participants from all backgrounds are invited to join us in developing this general health reference. Globally, it is already the most-used source of health information[citation needed] which, for the first time in history, anyone can read. Doctors cannot be replaced, but everyone has a right to learn enough to make their own informed health choices and ask their doctor questions."
I'm not sure about the last sentence (too patient-directed?) and looking for a reference for the cn bit. Wiki CRUK John (talk) 14:19, 9 May 2014 (UTC)
- Yes, I don't like the last sentence because it is too doctor-patient focused and we try to avoid promoting that specific use of Wikipedia articles. As well, I would go with a more general term for a health care provider than doctor since loads of health care and instruction is done by people other than physicians. Sydney Poore/FloNight♥♥♥♥ 22:37, 9 May 2014 (UTC)
- Fair enough, & I've softened the claim re WP reach, so now:
"We aim for a future in which all health information on Wikipedia is accurate in every language version and backed by authoritative sources. Participants from all backgrounds are invited to join us in developing this general health reference. Globally, it is already one of the most-used sources of freely available health information. Professional medical advice cannot be replaced, but everyone has a right to learn enough to make their own informed health choices and ask their advisors questions." Wiki CRUK John (talk) 13:17, 10 May 2014 (UTC)
Poor paper on Wikipedia
There are some serious issues with this paper:
- Why did they not check if the references provided for the statements in question supported the statements in question?
- Up-to-date is not exactly a high quality source. I have found errors in it that when brought to their attention they did not seem very interested in fixing them. (The FDA did eventually pull the treatment in question)
- They did not mention any specific examples of these so called "errors" so that the reader of their paper could decide themselves. Nothing here we can use to improve Wikipedia.
- What they showed is that "peer reviewed" literature makes contrary claims. But they missed stating this actual conclusion. This is why we at Wikipedia try to use meta analysis.
Doc James (talk · contribs · email) (if I write on your page reply on mine) 16:06, 30 April 2014 (UTC)
- Erm...
- The following paragraph should be more like "the present study had
56 main limitations... Sixth, we used an arbitrary metric to select ten articles – a very small fraction of the total number of medical articles on Wikipedia – from which we used a stupid inductive fallacy to make this point. Because, after all, if we used the next ten people we saw today to draw up demographics about the US or world population, that would clearly be representative as well. Seppi333 (Insert 2¢ | Maintained) 17:46, 30 April 2014 (UTC)- Ironic that an investigation on the accuracy of Wikipedia is poorly designed however,
- The intent is to compare the accuracy of key articles on Wikipedia to a gold standard. The gold standard, should be the sum of knowledge on a topic as defined by experts. Instead, the gold standard was "uptodate", or other references as decided and interpreted by internal medicine residents.
- There is no account made for the internal variation seen in differences seen within "peer-reviewed" literature. E.g., if the compared uptodate to pubmed (both of which could be used as a gold standard) would the same differences exist?
One could easily interpret the results that Wikipedia is the gold standard and UptoDate has many errors (and the conclusion would be equally valid).
- It would be interesting to see the claims they identified. Maybe we have inaccuracies that need to be fixed.
Ian Furst (talk) 19:17, 30 April 2014 (UTC)
Have requested further details from the author. Doc James (talk · contribs · email) (if I write on your page reply on mine) 19:44, 30 April 2014 (UTC)
It's interesting to compare that paper to "Quality of information sources about mental disorders: a comparison of Wikipedia with centrally controlled web and printed sources" (PMID 22166182). That paper found Wikipedia was the most accurate among 10 sources examined in each of two subject areas. The other sources included everything from Britannica to WebMD, the NIMH website, Mayo Clinic, even a major psychiatry textbook. The authors of that study didn't even seem surprised by the results, writing "These findings largely parallel those of other recent studies of the quality of health information on Wikipedia", and citing eight other studies. Adrian J. Hunter(talk•contribs) 04:46, 1 May 2014 (UTC)
Post-publication peer review
← I don't doubt that we need to improve the accuracy of our medical articles, but I agree with James that this particular study is utterly meaningless and isn't worth the electrons it's printed on. Since "post-publication peer review" (aka "publish crappy studies and let the bloggers sort it out") is all the rage these days, here's mine:
- The reviewers chosen to adjudicate the correctness of the articles were interns and residents. This is a very curious decision, since house staff are typically at the very beginning of the learning curve when it comes to utilizing and interpreting the peer-reviewed medical literature. Specifically, the medical literature is permeated by conflicting evidence, and weighting and interpreting this evidence is a challenge even for physicians who have years of experience with it and use it every day, much less beginning house staff.
- Probably as a consequence of using under-qualified "judges", the manuscript states that reviewers were instructed to use UpToDate as a surrogate for actually reviewing the medical literature. Now, every physician I know loves UpToDate. It's great. But UpToDate is a shortcut. It's something you do when you don't have time to personally review the literature. I don't think that even the authors of UpToDate would claim that it's a substitute for a personal review of the medical literature in a situation like this.
- The level of agreement between the two reviewers is horrendous. That is, two reviewers applying the same set of criteria come to different conclusions much of the time. Hell, they often didn't even come close to agreeing on how many assertions each article contained, much less whether those assertions are correct. The implication is that the metric being used here is completely unreliable and unreproducible. If I felt ambitious, I'd try to calculate a kappa statistic (something the authors should have done, and the peer reviewers should have insisted upon), but I'm sure it would be in the coin-flip range. If the only measurable data item in your manuscript is based on a completely unreliable test with zero reproducibility, then your results are meaningless and it's unclear to me why this paper ever saw the light of day.
- The way the data are presented (in the one table that actually contains data) is extremely hard to parse. I've looked at it for awhile and I'm still not quite clear what the authors are trying to demonstrate—which is the mark of a poorly constructed table.
- There is really no excuse for not presenting the raw data, at least in some form, either in the article or in supplementary materials. (I mean, it's not like the manuscript is exactly overflowing with data, so there's room). On a basic level, we can't correct errors if they're not identified. On the level of data integrity, it's impossible to verify what the reviewers considered an "assertion", much less an accurate or inaccurate assertion, which makes it impossible for the reader to interpret the data meaningfully.
I'm actually considering whether to write to the corresponding author and ask for a copy of the raw dataset. Partly because I'm intrigued, partly because I want to calculate an actual kappa statistic to confirm my impression of the lack of inter-observer agreement, and partly because I'd like to see if there are, in fact, significant errors in our coverage which need to be corrected. MastCell Talk 20:13, 30 April 2014 (UTC)
- Yeah, go for it - you have my moral support on this one. Cas Liber (talk · contribs) 20:36, 30 April 2014 (UTC)
- Correction: I think I finally understand Table 3. And because of the methodology of the paper, it will be impossible to calculate a kappa statistic, even with the raw data. Each reviewer was allowed to come up with their own set of "assertions" and then test them, so there are actually two levels of unreproducibility in the study design. A marginally better design would have been to extract a set of assertions from each article, and then assign the two reviewers to independently rate the correctness of each assertion. That approach would allow a statistical assessment of the reliability and reproducibility of the authors' claims. As is, I don't know how you can calculate a kappa or any other measure of inter-rater reliability when the raters don't even agree on what they're rating. Maybe someone with greater statistical know-how could devise an approach, but I think this study design was poorly thought out to the extent that it defies standard, straightforward statistical analysis. MastCell Talk 20:38, 30 April 2014 (UTC)
- I actually can't figure out the meaning of the terms used in Table 3, even with the definitions used in Table 2. I initially thought that the "similar" assertions were meant to be the instances where both reviewers identified and evaluated essentially the same statements in our article, which would therefore be fodder for at least an incomplete apples-to-apples comparison between the evaluations of different reviewers. But the numbers don't match up for that, so I can't even say for certain what they're analyzing. I'm guessing wildly that the authors might have treated as "similar" cases where Reviewer A evaluated a paragraph as a single assertion, but Reviewer B treated the paragraph's sentences as two or more separate assertions—but I can't find this explained in the text. (In that situation it is also not clear how to resolve cases where Reviewer B endorses some of the sentences in the paragraph, but not all of them.)
- The statistical analysis also seems kind of weird. I haven't used McNemar's test, so I could be misreading or misinterpreting it...take what I say next with a grain of salt. Very broadly speaking, it seems to be designed to detect whether or not the reviewers agreed with each other in the proportion of errors they detected, rather than whether or not the articles contained a large or small number of errors, or even whether or not the reviewers each detected the same errors. TenOfAllTrades(talk) 16:33, 1 May 2014 (UTC)
- Correction: I think I finally understand Table 3. And because of the methodology of the paper, it will be impossible to calculate a kappa statistic, even with the raw data. Each reviewer was allowed to come up with their own set of "assertions" and then test them, so there are actually two levels of unreproducibility in the study design. A marginally better design would have been to extract a set of assertions from each article, and then assign the two reviewers to independently rate the correctness of each assertion. That approach would allow a statistical assessment of the reliability and reproducibility of the authors' claims. As is, I don't know how you can calculate a kappa or any other measure of inter-rater reliability when the raters don't even agree on what they're rating. Maybe someone with greater statistical know-how could devise an approach, but I think this study design was poorly thought out to the extent that it defies standard, straightforward statistical analysis. MastCell Talk 20:38, 30 April 2014 (UTC)
Could you write a brief summary review for the upcoming Wikimedia Research Newsletter at Wikipedia:Wikipedia Signpost/2014-04-30/Recent research? I think this paper is still not covered there. --Piotr Konieczny aka Prokonsul Piotrus| reply here 05:41, 1 May 2014 (UTC)
Post publication peer review II
TenOfAllTrades FYI the definitions of similar and disimilar are located in Table2, but it doesn't help. Similar assertions are defined as an "implication or statement of fact found by both". But in table3, the number of similar assertions for each reviewer of a given article are never equal! Here's my review,
Choice of articles: The authors claimed to use the “corresponding articles” to The Agency for Healthcare Research and Quality’s top 10 list of costliest diseases. However, several have not been used. For the disease “cancer”, Lung cancer was selected despite Wikipedia having an article called Cancer. For “heart disease”, coronary artery disease was used, despite the redirect going to cardiovascular disease. In some cases, there where GA or FA articles available when a lower rated article was used (e.g. “back pain” used instead of lower back pain for “back problems”). For “trauma”, the article concussion was used. In short, I don’t believe the selection of Wikipedia articles was as objective as the authors would lead the reader to believe. Significant selection bias may exist.
Choice of observers: Ten observers were either “internal medicine residents or rotating interns”. The distribution of articles to observers reads like a grade 8 math problem, ‘If ten articles are given to 10 observers, and each is asked to read 2 articles, how many times is each article read’. The result is a serious lack of consistency in the manner in which the observations and gold standard was applied.
Observations: Regardless of who made the observations, the application of a gold standard has horrible observational bias. Because the same person made the observation and determined the gold standard, there is a high probability that observational bias occurred. In other words, knowing that the article came from Wikipedia, the observer is likely to interpret it with a cognitive bias (depending on whether they believe Wikipedia to be accurate or not).
A gold standard: The gold standard is, in short, ridiculous. At the very least a gold standard should be consistent. E.g. what is the “truth”. In this case, the various observers were allowed to use almost anything in the world’s literature to determine “truth”. Wikipedia’s standards are far higher than this (secondary source rules). Given that the gold standard was inconsistent and inconsistently applied it was not a gold standard. Therefore, any comparison made to it is pointless.
Table 3: Is very misleading. They label Reviewer 1 and Reviewer 2, where there were actually 10 reviewers. They also label similar assertions (e.g. both reviewers believed a statement in the Wikiarticle to be an assertion) and dissimilar assertions (e.g. only one or the other found a statement to be an assertion; see Table 2 for definitions) but the numbers don’t add up. One would expect the number of similar assertions should, by definition, be the same for reviewer 1 and 2 for any given article. They’re not. The interobserver variation is made obvious in this table. For “Major depressive disorder” Reviewer 1 found 72 assertions and Reviewer 2 found 172! Additionally, the number of “dissimilar” assertions (e.g. only one or the other found the statement) represents major portions of the total assertion pool. This means that a single person determined a unique gold standard to a major minority of the assertions in any article.
Stats: Someone with more knowledge could look at this, but I think the appropriate test is a chi-square (proportion of assertions that are similar) but I’m not sure.
The more I read this article the more I want to pull my hair out. The study design is, imo, horrible. Ian Furst (talk) 19:34, 1 May 2014 (UTC)
- My first thought when glancing at the paper was the journal itself: The Journal of the American Osteopathic Association immediately makes me cynical. More importantly, the number of "dissimilar" assertions (where the two reviewers disagree with each other) is huge! In the case of the "lung cancer" (the article I am most interested in), there are 67 dissimilar assertions out of 268: that's 25%. There is even a big discrepancy in the total number of assertions counted. In "major depressive disorder", reviewer 1 counted 72 assertions while reviewer 2 counted 172.
- The most appropriate conclusion from these findings is that their reviewers don't know what they are doing. This is unsurprising when they are "physicians-in-training". I have no doubt that all of us here are far better at seeking out evidence via literature search. And I absolutely guarantee that there are not 27+ "discordant" assertions in the article "Lung cancer". Axl ¤ [Talk] 21:17, 2 May 2014 (UTC)
- I think the biggest problem is what they're trying to pass off as statistics when generalizing to the rest of Wikipedia, not so much what they're trying to pass off as problems with medical info in these articles. You can't just take some arbitrary convenience sample like they did and expect it to have any semblance of generalizability. Because of that, I have no clue what the asymptotic distribution of their sample might look like, but i can guarantee that it's NOT normally distributed and probably not consistent (the distribution parameters, I mean); or in English, that study is a brown paper bag containing a pile of shit which happens to be on fire. Seppi333 (Insert 2¢ | Maintained) 00:46, 4 May 2014 (UTC)
The author has not replied to my email. Not really surprising. Yes there is a lot of poor quality peer review literature that disagrees with our Wikipedia articles. That literature also disagrees with the best available literature. There is also a lot of old literature which disagrees with the newer literature. Doc James (talk · contribs · email) (if I write on your page reply on mine) 00:53, 4 May 2014 (UTC)
- Jmh649 I just met with him online and gave him my usual tour of Wikipedia's health content. He told me that he was a fan and user of Wikipedia and that he might like to host a workshop in his school to have some med students participate in the Wikipedia Education Program as developers of articles. He seemed surprised to see how Wikipedia works, asked me questions, and said the presentation was fun. We will see what happens. Blue Rasberry (talk) 14:40, 9 May 2014 (UTC)
Stats
In this table it unclear how they are calculating their p values. http://www.jaoa.org/content/114/5/368/T3.expansion.html For depression one concluded that their was 72 statements of fact. The other concluded there was 172 statements of fact. No idea how they could have agreed with each other 93 times and disagreed with each other 79 times? Anyone have any idea what they are getting at here? Doc James (talk · contribs · email) (if I write on your page reply on mine) 20:57, 5 May 2014 (UTC)
- Short answer; no. Long answer; it makes no sense to me. Reviewer1 supposedly found 45(36+9) assertions that matched R2's assertions. R1 determined 36 of 45 to be backed by research. R2 found 79 assertions that matched (48 of which where backed by research). How there can be an unequal number of similiar assertions between 2 reviewers is beyond me. Ian Furst (talk) 23:44, 5 May 2014 (UTC)
- So what it seems like to me is that when Wikipedia is found to be in conflict with peer-reviewed studies, you try to dismiss the peer-reviewed studies as flawed simply because they are inconvenient for your constant pushing of the "Wikipedia-is-awesome" line (i.e. WP:IJUSTDONTLIKEIT). Personally I think this just highlights the long-established problem that many of our well-written articles aren't on important topics (and vice versa), which therefore provides another reason that Improving Wikipedia's Important Articles is such an important goal. I don't however think that just because a study's conclusions are inconvenient for us doesn't mean we should expressly exclude it from every article on a relevant topic. Jinkinson talk to me 17:55, 6 May 2014 (UTC)
- Except of course that Wikipedia is not awesome. Much of it sucks including much of the medical aspects. Less than 1% of medical articles are either GA or FA. There are errors.
- It is not about this studies conclusions. It is about the fact that this studies methods do not support this studies conclusions. And the study is published in a poor quality journal. What it does prove is that peer review can be meaningless. And in this case obviously it was meaningless. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:06, 6 May 2014 (UTC)
- Specifically the issue is that Wikipedia is extensively used and has some quality issues. So we can do one of two things to 1) try to convince people not to use it (lots of academics / teachers are trying this) 2) try to improve it and convince other to improve it (what I am trying to do)
- Both groups have not had great success achieving either. Doc James (talk · contribs · email) (if I write on your page reply on mine) 19:10, 6 May 2014 (UTC)
- So what it seems like to me is that when Wikipedia is found to be in conflict with peer-reviewed studies, you try to dismiss the peer-reviewed studies as flawed simply because they are inconvenient for your constant pushing of the "Wikipedia-is-awesome" line (i.e. WP:IJUSTDONTLIKEIT). Personally I think this just highlights the long-established problem that many of our well-written articles aren't on important topics (and vice versa), which therefore provides another reason that Improving Wikipedia's Important Articles is such an important goal. I don't however think that just because a study's conclusions are inconvenient for us doesn't mean we should expressly exclude it from every article on a relevant topic. Jinkinson talk to me 17:55, 6 May 2014 (UTC)
Jinkinson, when this article was posted, my first thought was that the process we use to improve Wikipedia articles might be flawed. I consider what they did analogous to a new diagnostic test. In other words, to determine whether or not an article is "good", have two reviewers compare it to peer reviewed literature with the current method being to put it through consensus and the GA process. So, I applied the same standards that I would when reading an article about any other diagnostic test to their methods. What I found, was that the scientific rigor of this article was extremely poor imo. Far from excluding it because it was inconvenient (as scientists, I think we all enjoy those "inconvenient" moments that lead to something greater), I do not value it's conclusions because I believe the methods are deeply flawed. Ian Furst (talk) 19:17, 6 May 2014 (UTC)
- The lead author of the report seems very familiar with Wikipedia's norms. Does anyone know him? Has he identified his user account? I've never looked at our osteopathy content. Are we being mean to them? --Anthonyhcole (talk · contribs · email) 17:39, 7 May 2014 (UTC)
- No idea. Osteopathy is really just a United States thing. He comments in the Atlantic interview seem reasoned. Doc James (talk · contribs · email) (if I write on your page reply on mine) 20:19, 7 May 2014 (UTC)
- "Are we being mean to them?" ← There has been a lot of friction over Wikipedia's description of Osteopathic manipulative medicine as the nonsense that it is, and particularly for making mention of this in the Doctor of Osteopathic Medicine article (see e.g. the final para of the lede there). I did have half a thought that this article was "payback". Alexbrn talk|contribs|COI 12:16, 8 May 2014 (UTC)
- No idea. Osteopathy is really just a United States thing. He comments in the Atlantic interview seem reasoned. Doc James (talk · contribs · email) (if I write on your page reply on mine) 20:19, 7 May 2014 (UTC)
- The lead author of the report seems very familiar with Wikipedia's norms. Does anyone know him? Has he identified his user account? I've never looked at our osteopathy content. Are we being mean to them? --Anthonyhcole (talk · contribs · email) 17:39, 7 May 2014 (UTC)
" So what it seems like to me is that when Wikipedia is found to be in conflict with peer-reviewed studies, you try to dismiss the peer-reviewed studies as flawed simply because they are inconvenient for your constant pushing of the "Wikipedia-is-awesome" line. "
- I am very surprised to see you make that assertion. Firstly, we are talking about a single study, not several studies. Secondly, all of us who have commented (Doc James, Seppi333, Ian Furst, MastCell, TenOfAllTrades, Anthonyhcole, Cas Liber, and myself, and possibly the others too) are skilled in analyzing medical studies. We do this every week, both as part of our work and for our editing here on Wikipedia. I don't mean to patronize you, but do you know how to analyze a medical paper? Given your summary dismissal of our criticisms, I find it hard to believe that you do.
- I accept that as Wikipedians, we have a conflict of interest. However that does not mean that our opinions can be dismissed because we consider the study "inconvenient".
- If you really believe that this study has merit, please comment on the discrepancies between the two reviewers in the numbers of assertions found, and the differences in "discordant" assertions.
- I should make it clear that I have no expertise in either medicine or medical editing. --Anthonyhcole (talk · contribs · email) 17:08, 9 May 2014 (UTC)
- POSTSCRIPT: Further discussion of the Hasty et al paper at : Wikipedia_talk:WikiProject_Medicine#Paper, Wikipedia_talk:WikiProject_Medicine#Medical_articles_in_the_news and Wikipedia_talk:WikiProject_Medicine#do_not_let_wp_stop_your_ethics - Likely all to end up in Archive #49. Wiki CRUK John (talk) 22:18, 28 May 2014 (UTC)
This conversation is notable
- Beck, Julie (7 May 2014). "Can Wikipedia Ever Be a Definitive Medical Text?". theatlantic.com. Retrieved 7 May 2014.
If anyone wishes to start Draft:The WikiProject Medicine discussion about that Osteopathic article then I will be right behind with other sources as I find them. Blue Rasberry (talk) 18:27, 7 May 2014 (UTC)
- That's a good balanced report. Would anybody here support the Foundation commissioning a good, well-designed, comprehensive independent study of Wikipedia's medical content and/or a rigorous review of the studies to date? Most of the latter are pretty poor quality in my opinion. --Anthonyhcole (talk · contribs · email) 20:49, 7 May 2014 (UTC)
- I would favour the idea (and like to be part of the design) but I think others would look at who funded it and view any results with skepticism. We might be better to involve an arms length group of peers. Otherwise, we might consider some sort of contract with the foundation that's included in the study which spells out the conflict of interest and how results are protected from undue influence. Ian Furst (talk) 20:58, 7 May 2014 (UTC)
- Well, the best proof against skepticism is rigor and transparency in design and execution. I think funding will have to come from the Foundation but they should have no veto on design. If they approve funding it should be based solely on the aims of the study. Do you have any preliminary thoughts about design? Do we measure Wikipedia against other online offerings like Merck and Mayo? Do we pay good money to genuine scholars to do the reviews?
- I would favour the idea (and like to be part of the design) but I think others would look at who funded it and view any results with skepticism. We might be better to involve an arms length group of peers. Otherwise, we might consider some sort of contract with the foundation that's included in the study which spells out the conflict of interest and how results are protected from undue influence. Ian Furst (talk) 20:58, 7 May 2014 (UTC)
- I agree that an arms-length group to manage the thing would be good. Someone with an excellent track record and lots of experience would be ideal. Any ideas User:MastCell? (I've mentioned this in principle to MC before.) --Anthonyhcole (talk · contribs · email) 21:53, 7 May 2014 (UTC)
- Happy to put something together, have to run now but why don't we start a project page (as above) and we can hash out the details. The first question would be; what is our hypothesis? My opening suggestion would be, "That Wikipedia's 20 most frequently visited medical articles contain statements of fact that are in agreement with the consensus of the medical community and have no major omissions of facts." Ian Furst (talk) 22:09, 7 May 2014 (UTC)
- Let's keep it here for a while, so others can watch and chime in. I'd like to know more than that hypothesis covers. I'll think about it. --Anthonyhcole (talk · contribs · email) 23:11, 7 May 2014 (UTC)
- Happy to put something together, have to run now but why don't we start a project page (as above) and we can hash out the details. The first question would be; what is our hypothesis? My opening suggestion would be, "That Wikipedia's 20 most frequently visited medical articles contain statements of fact that are in agreement with the consensus of the medical community and have no major omissions of facts." Ian Furst (talk) 22:09, 7 May 2014 (UTC)
- I agree that an arms-length group to manage the thing would be good. Someone with an excellent track record and lots of experience would be ideal. Any ideas User:MastCell? (I've mentioned this in principle to MC before.) --Anthonyhcole (talk · contribs · email) 21:53, 7 May 2014 (UTC)
- Ah, the Draft: namespace is for exactly what it says on the label – drafts of new Wikipedia articles under active construction – and shouldn't be used for meta-chitchat. (And I think we can safely say that neither the Osteopathic journal article, nor our subsequent discussion of it, are likely ever to be important enough to warrant a standalone article.)
- In any event, we already have an article on the Reliability of Wikipedia, that seems to do a pretty comprehensive job of summarizing the extant research and commentary on Wikipedia's (assessed or perceived) reliability. I can't help but notice that research on this topic which is published in better-quality, vastly-higher-impact journals (e.g. Nature, BMJ, etc.) simultaneously does a far better job of presenting their data and generally expresses a more favorable opinion of Wikipedia's quality. TenOfAllTrades(talk) 23:27, 7 May 2014 (UTC)
- The Nature article was a travesty, and our characterisation of it in Reliability of Wikipedia was, the last time I looked, worse. The last time I listed all the peer-reviewed articles addressing Wikipedia's medical content there were these
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- And those are what need rigorous review by an independent expert on scientific study design. I predict their conclusion will be that, due to the poor design - including tiny sample size and dubious or unreported selection criteria in most studies - it is not possible to conclude anything about the accuracy of Wikipedia's medical content. --Anthonyhcole (talk · contribs · email) 23:38, 7 May 2014 (UTC)
- Samir and I tried to do a study but had difficulty with ethics approval at the U of T. We wanted to give a exam with one group with access to Wikipedia and one group with access to medical textbooks. Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:51, 7 May 2014 (UTC)
- I'd be very interested to see the results of that, but I'm looking for something a bit more comprehensive as well. --Anthonyhcole (talk · contribs · email) 23:55, 7 May 2014 (UTC)
- What sort of methods are you thinking? Doc James (talk · contribs · email) (if I write on your page reply on mine) 00:20, 8 May 2014 (UTC)
- I'd be very interested to see the results of that, but I'm looking for something a bit more comprehensive as well. --Anthonyhcole (talk · contribs · email) 23:55, 7 May 2014 (UTC)
- Samir and I tried to do a study but had difficulty with ethics approval at the U of T. We wanted to give a exam with one group with access to Wikipedia and one group with access to medical textbooks. Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:51, 7 May 2014 (UTC)
- And those are what need rigorous review by an independent expert on scientific study design. I predict their conclusion will be that, due to the poor design - including tiny sample size and dubious or unreported selection criteria in most studies - it is not possible to conclude anything about the accuracy of Wikipedia's medical content. --Anthonyhcole (talk · contribs · email) 23:38, 7 May 2014 (UTC)
If the goal is to evaluated hundreds of articles, ideally, we would have a test that is easily done (or better yet automated) that can give us a “probability of goodness” with respect to the reliability of a medicine article. That way, the entire project is constantly monitored and poor articles improved. To create that, we need a gold standard and a test that can be validated. That way, the “test” itself doesn’t need to be labour intensive, just validated. I suspect there is some magical algorithm that measures frequency of updates, number and age of references and page views that when put together is proportional to the “goodness” of an article. Maybe the first step is to take some FA articles and compare the stats to some C-class articles and come up with some ideas about what might be used as the test? From there, we can come up with a gold standard to calculate the accuracy, sensitivity and specificity of the testIan Furst (talk) 01:21, 8 May 2014 (UTC)
- I'm sorry, an automated test is not what we're looking for here. You need an actual person who knows the field reading what the article actually says, and judging whether the information is correct, appropriately written, and so forth. Andreas JN466 01:31, 8 May 2014 (UTC)
- Intially yes. But Anthonyhcole is proposing the evaluation of hundreds of articles which would equate to thousands of experts. We don't have that. What I'm proposing is we create a test with some validity to it. The 'actual person' with expertise in a field is the gold standard which could validate the test. Ian Furst (talk) 01:33, 8 May 2014 (UTC)
- There are a LOT of possible measures, but most highly-accurate measures are only indicators of badness (membership of maintainance cats, warning templates, copyright infringement, etc). Maybe the thing to do is to measure a couple of dozen indicators and throw them at Weka (machine learning) and attempt to learn the WP Medicine article quality metric? Stuartyeates (talk) 01:35, 8 May 2014 (UTC)
I haven't made myself clear. Sorry. I'm talking about painstaking review by highly-regarded experts in the relevant fields - an average of three different reviewers per article I would expect, in order to cover well all the sub-disciplines in each article. Yes, it will be expensive. (I'll be out of touch for a few hours.) --Anthonyhcole (talk · contribs · email) 02:02, 8 May 2014 (UTC)
- Even better would be to put all that effort into simply making poor articles good. If we can rope in a few thousand experts. Give them each a couple of topics. Teach them how to write in Wikipedia style. Etc. Doc James (talk · contribs · email) (if I write on your page reply on mine) 02:23, 8 May 2014 (UTC)
- The foundation will never fund paid editing. They will fund reviewing, though. We - the world, actually - need to know how reliable Wikipedia's medical content is. I'm quietly optimistic that the Foundation will pay whatever it takes to get an unequivocal answer to that. I'm also confident they can be persuaded to fund peer review of our very best medical articles (not editing - reviewing). And when an FA passes strict expert review, we can put a big badge at the top linking people to the reviewed version. I think that will encourage a lot more volunteer editing, and people will be able to cite the reviewed versions because they'll be at least as reliable as the sources we cite. (Though it would be preferable from the COI perspective if the funding for the latter came from an independent educational foundation like B&M Gates.) Sorry, I have to go out now. --Anthonyhcole (talk · contribs · email) 02:49, 8 May 2014 (UTC)
- As I've said on the mailing list, press coverage of a study like the one Anthony is envisaging might actually be an excellent recruitment tool bringing in experts to help improve and curate these articles. Andreas JN466 03:54, 8 May 2014 (UTC)
- How good is our content? Having looked at much of it I have an okay idea. We have about 100-200 high or excellent quality medical articles. We have about 20,000 that are short and just starting out. We have a couple thousand that are okay ish. We have another few hundred to maybe few thousand or so that are a complete disaster. So in summary article quality is variable with a randomly selected article likely to be of moderate to low quality.
- With respect to a badge am working on that. We will have our first Wikipedia article published soon in a peer reviewed journal soon. Beside the gold star at the top will be placed a same sized journal. This journal when you click on it will bring you to the Wikipedia article at pubmed. That is of course if I can convince the community to accept this. Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:31, 8 May 2014 (UTC)
- That's great, James. Which journal? If the community opposes a prominent link at the top of the article to the expert-reviewed version, we should all go on strike. --Anthonyhcole (talk · contribs · email) 05:41, 8 May 2014 (UTC)
- The journal is Open Medicine. I got the email two days ago that they finally accept the article on Dengue fever. I have created this template Template:Pubmed_indexed and will make it such that when you click on it it will bring you to pubmed. I will create something that will go on the talk page as well. This was way more work than I had hoped it was going to be. The peer review was easy, it was all the adjustments the editors wanted. Doc James (talk · contribs · email) (if I write on your page reply on mine) 05:51, 8 May 2014 (UTC)
- That's great, James. Which journal? If the community opposes a prominent link at the top of the article to the expert-reviewed version, we should all go on strike. --Anthonyhcole (talk · contribs · email) 05:41, 8 May 2014 (UTC)
- As I've said on the mailing list, press coverage of a study like the one Anthony is envisaging might actually be an excellent recruitment tool bringing in experts to help improve and curate these articles. Andreas JN466 03:54, 8 May 2014 (UTC)
- The foundation will never fund paid editing. They will fund reviewing, though. We - the world, actually - need to know how reliable Wikipedia's medical content is. I'm quietly optimistic that the Foundation will pay whatever it takes to get an unequivocal answer to that. I'm also confident they can be persuaded to fund peer review of our very best medical articles (not editing - reviewing). And when an FA passes strict expert review, we can put a big badge at the top linking people to the reviewed version. I think that will encourage a lot more volunteer editing, and people will be able to cite the reviewed versions because they'll be at least as reliable as the sources we cite. (Though it would be preferable from the COI perspective if the funding for the latter came from an independent educational foundation like B&M Gates.) Sorry, I have to go out now. --Anthonyhcole (talk · contribs · email) 02:49, 8 May 2014 (UTC)
- Even better would be to put all that effort into simply making poor articles good. If we can rope in a few thousand experts. Give them each a couple of topics. Teach them how to write in Wikipedia style. Etc. Doc James (talk · contribs · email) (if I write on your page reply on mine) 02:23, 8 May 2014 (UTC)

This is a major turning point. Major. Thank you. That little icon is so cute. (Couldn't it be 4 times bigger?) --Anthonyhcole (talk · contribs · email) 07:00, 8 May 2014 (UTC)
- Congrads on the publication James. About a dozen times now, I've contact high level experts on a topic (e.g. the author of one of the major textbooks that I'm using) and universally, they've offered to help with an article. However, none have been willing to actually come on Wikipedia to edit. Each time, I've sent them the article or part of the article by email and they've helped build that part. Some have also donated pictures. My experience leads me to believe that the experts will gladly help but on their own terms and not on the live article. Have others experienced this? As a side note, one of the questions I've been repeatedly asked is, "How do I include this on my CV?". Should we consider some honorific we can tell people who participate in this way? Ian Furst (talk) 09:50, 8 May 2014 (UTC)
- I list all the GA/FAs I have written on my CV under publications. Have also had people willing to contribute but not want to contribute directly.Doc James (talk · contribs · email) (if I write on your page reply on mine) 13:29, 8 May 2014 (UTC)
- This is a very typical experience, that I've had in the GLAM world, eg with curators at the British Museum and British Library. I don't really blame them, especially when they have big jobs and are very busy. I have my horror stories with academics trying to edit helpfully, and I'm sure others do. These examples were more discussions & help with sources at the start, followed by reviews of articles I'd worked up to FA. In both those cases face to face meetings were possible. In my work at the Royal Society as WiR I've been pushing to their "Research Fellows" (not the members, FRSs, but mid-career researchers they fund) an approach that doesn't involve much editing other than talk pages, but building a short watchlist of article & project talk pages, looking out for FAs, and offering or doing reviews and comments. All designed to become someone the local editors can call on when really appropriate, but at a very low time-cost. At Cancer Research UK there will be editing training offered to researchers, but I will be pushing this sort of route, and also just doing direct reviews by email or whatever, because I'm clear it is more realistic in the majority of cases. Retired experts are actually the best bet for actual editing, though of course there is the issue of how long they keep up with the latest research. Wiki CRUK John (talk) 10:55, 8 May 2014 (UTC)
- A honorific might make sense. Something like Expert consultancy to Wikipedia's WikiProject Medicine on topic area X. There could be a page listing them somewhere, and the duration of their involvement. Andreas JN466 17:40, 10 May 2014 (UTC)
- I am not keen on spending the Wikimedia Foundation's money to tell us how good we are at writing an encyclopedia. I am sure that the money could be spent on more productive projects. Moreover, any study funded by the WMF will immediately be suspect, no matter how much the WMF tries to distance itself from the details of the study. Axl ¤ [Talk] 12:09, 8 May 2014 (UTC)
- The money might come from existing charities with a budget for public information, and the service could be provided by the same scholarly societies that currently publish the best journals. --Anthonyhcole (talk · contribs · email) 17:32, 9 May 2014 (UTC)
Emedicine
It appears that emedicine has changed all of their urls without leaving redirect. We link to emedicine in most of our disease boxes.
Is it time we get a bot to change these links to something different? I am proposing we change all the links to patient.co.uk
Patient.co.uk lists everything on one page. Uses inline refs like us and doesn't have advertising. User:Boghog or User:Zad68? Could you do this? Emedicine also supposedly adjusts their content to appease advertisers.Doc James (talk · contribs · email) (if I write on your page reply on mine) 05:54, 10 May 2014 (UTC)
- If we just want the broken links to "disappear" (from the reader's perspective), then the quickest solution is to disable the parameter in {{infobox disease}}. That would keep the information about the pages in the articles, but would stop displaying it to readers. It would be very easily reversed if they created redirects at some point. WhatamIdoing (talk) 15:23, 10 May 2014 (UTC)
They actually changed their url structure way back and have now disabled the old redirects. Most of our links were added before the url change. Newer links that use 'article' as the specialty parameter still work (e.g. in autonomic dysreflexia). I don't think it is easily possible to let a bot change all the links, as the old and new article numbers did not seem to be related in any way. Also they have merged many articles, multiple old links would lead to the same article. The best short term option is probably to disable the infobox parameter. Furthermore, as we are going to do something about this, I would suggest moving the emedicine links to the external links section of the articles which seems a more proper place for them. --WS (talk) 16:26, 10 May 2014 (UTC)
Wikipedia talk:Articles for creation/Igor Galynker
Hello, medical experts. This AfC submission has a lot of primary sources, but there are some others as well. Are these suitable? If so, the primary ones can always be changed into a publication list. —Anne Delong (talk) 13:40, 11 May 2014 (UTC)
Another draft at AFC
Wikipedia talk:Articles for creation/Sigma Anti-Bonding Calcium Carbonate (SAC) - My gut says this looks like snake oil but I'm no expert - high school chemistry and physiology, almost 30 years ago, is as far as my education went in relevant fields. Roger (Dodger67) (talk) 13:55, 9 May 2014 (UTC)
- Hi Roger, my background in these subjects is like yours, but over 40 years ago, hence my query above about some other AfC drafts. However, a bit of web sleuthing suggests that "Sigma Anti-Bonding Calcium Carbonate" is a proprietary name used by the only company that seems to make it (and sell it), Marah Natural. They claim it's a super-fab form of Calcium carbonate. They use it in a variety of their diet supplement products. The only mentions of it anywhere are on their web site and in a couple of articles from an obscure Korean journal, Laboratory Animal Research, where it was tested on "post-menopausal" rats and allegedly improved their bone density. Needless to say, the company's web site refers repeatedly to this study. My suspicions were first aroused by the professionalism of the images and graphs, which (surprise, surprise) come straight from the Marah Natural web site, e.g. File:Marah Sports fig.3.png from this page and File:SAC2.png from the home page of their website. It looks to me like an attempt to legitimize their product by having a Wikipedia article about it. Voceditenore (talk) 16:25, 9 May 2014 (UTC)
Spamish. Should not have its own article. Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:41, 9 May 2014 (UTC)
- Aside from that spam name, there are two variations mentioned in the PMC source, but it seems to boil down to chalk with a buffer (e.g. ascorbic acid). Sounds pretty much like standard stuff in any vitamin aisle. Would need much better sourcing to get any respect. LeadSongDog come howl! 04:36, 10 May 2014 (UTC)
- Update. It appears another reviewer at AfC accepted it yesterday and moved it to article space at Sigma anti-bonding molecule calcium carbonate. I have nominated it for deletion. Discussion at Wikipedia:Articles for deletion/Sigma anti-bonding molecule calcium carbonate. – Voceditenore (talk) 16:08, 11 May 2014 (UTC)
Milestone
Hereditary gingival fibromatosis
Is it possible that someone has a look at Hereditary gingival fibromatosis. The article has 12 links to disambiguation pages that needs fixing. The author seems to be inactive for the moment. The subject is far out of my field of knowledge, so I keep my hands off it. Every bit of help is appreciated. The Banner talk 16:35, 11 May 2014 (UTC)
The Bannerdab fixed. the references are a mess, with the entire text of each repeated. I've cleaned up the first one but will have to do the others later. Ian Furst (talk) 17:28, 11 May 2014 (UTC)
- I had noticed it already. Thank you very much for your effort! And also thank to the two others who worked on the article. The Banner talk 17:36, 11 May 2014 (UTC)
Articles for Peer Review
If anyone is interested, I've listed the Gynecomastia and Plantar fasciitis articles for peer review. Any constructive advice is welcomed. Just putting it out there if anyone is interested in reviewing some high importance articles that I think are approaching GA. Someone who hasn't worked on the articles a good amount would be preferable so new eyes are looking over the articles. TylerDurden8823 (talk) 22:23, 11 May 2014 (UTC)
Elsevier "Medicine" journal ISSN 1357-3039 (formerly published by Vivendi Universal (Health) and Mediamedia)
Is the Elsevier "Medicine" journal highly read? A standard source in the UK? Due to the title, it's incredibly difficult to source info in this AfC Wikipedia_talk:Articles for creation/Medicine (journal). I can't tell whether it meets the journal notability standards, and all the info that's easy to turn up on it is in Elsevier sources. Jodi.a.schneider (talk) 08:55, 12 May 2014 (UTC)
Anatomy
Just thinking it'd be good to buff this to Featured Article status. It was made a Good Article late last year but I think can be improved in its flow and comprehensiveness. I'd welcome some comments on the talk page. I did think about setting up a formal Peer Review but I am reluctant to split up the discussion for the time being as I feel there is a momentum there. All input welcomed. Cas Liber (talk · contribs) 03:34, 13 May 2014 (UTC)
Is anyone from this project watching the "Iatrogenesis" article?
Hi, everyone, I've had Iatrogenesis on my watchlist for a while, and I can tell that it is imbalanced and very poorly sourced, but I don't personally know better sources to nudge it toward neutral point of view and more reliable sourcing. So I'll mention to all of you here that like most of the other articles on medical topics here, the Iatrogenesis article badly needs work. This one is used a lot as a "reference" in off-wiki advocacy, so maybe it deserves higher-priority attention from those of you who can help fix it. I will keep the article on my watchlist to make sure that the editing environment is constructive and aimed at fixing the article according to Wikipedia policy and sound sourcing. -- WeijiBaikeBianji (talk, how I edit) 13:33, 13 May 2014 (UTC)
- WeijiBaikeBianji I work for an advocacy organization, Consumer Reports, which coordinates a United States national network of people, the Safe Patient Project, who do public health education, outreach, and lobbying related to medical harm. Some people in this group have edited Wikipedia a bit with me, and lots more have attended a couple of hours of workshops and training with me. As you say, this content is used a lot in off-wiki advocacy. When I first started doing a lot of outreach to non-Wikipedians I never anticipated that it would be so difficult to meet the needs of activists who wish to learn Wikipedia, but so far I have been unable to provide this demographic with the support they need to contribute on Wikipedia constructively. I have some initial thoughts on getting started to more deeply reach such people posted at Wikipedia:Consumer Reports/Safe Patient Project. I also have ideas based on how this and the range of related articles could be developed to better meet the needs of activists.
- I have little time to develop these articles on my own but I watch them too. If there was an attempt to reform them I would participate. If they got to a certain level of quality then I could present them to the advocacy community for comment back to the Wikipedia community, and also be more persuasive in asking activists to come to collaborate with us. Blue Rasberry (talk) 14:53, 13 May 2014 (UTC)
- Bluerasberry, It's interesting that you mention that some external advocacy organizations specifically visit Wikipedia to edit articles within the scope of this project. On my part, I give WikiProject Medicine a lot of credit for its meticulously developed content guideline on reliable sources for medical articles, which apply to a lot of the articles I edit (which are mostly about individual differences psychology or human population genetics or behavior genetics). It's a really good idea for any new Wikipedian to pickle himself or herself in that guide to finding good sources, as well as the general Wikipedia reliable sources guideline for all articles. I am currently discussing coming on board one of the new Wikipedia scholar in residence positions at a research university library, and I may soon have more access to good sources than ever before, which I hope to apply (with collaborative suggestions from that university's researchers) to improving more Wikipedia articles. See you on the wiki. -- WeijiBaikeBianji (talk, how I edit) 15:10, 13 May 2014 (UTC)
- Stay in touch. I just made and applied Template:Medical harm to the article you mentioned and a range of others. Now at least if anyone wants to sort out this article they can readily find the others covering similar information and interlink them all more thoroughly. Blue Rasberry (talk) 15:54, 13 May 2014 (UTC)
- Bluerasberry, It's interesting that you mention that some external advocacy organizations specifically visit Wikipedia to edit articles within the scope of this project. On my part, I give WikiProject Medicine a lot of credit for its meticulously developed content guideline on reliable sources for medical articles, which apply to a lot of the articles I edit (which are mostly about individual differences psychology or human population genetics or behavior genetics). It's a really good idea for any new Wikipedian to pickle himself or herself in that guide to finding good sources, as well as the general Wikipedia reliable sources guideline for all articles. I am currently discussing coming on board one of the new Wikipedia scholar in residence positions at a research university library, and I may soon have more access to good sources than ever before, which I hope to apply (with collaborative suggestions from that university's researchers) to improving more Wikipedia articles. See you on the wiki. -- WeijiBaikeBianji (talk, how I edit) 15:10, 13 May 2014 (UTC)
Epithelial-myeloid transition
Hi, I'm new to this so tell me where to go if this is the wrong place to put this. I've been doing a bit of reading on Epithelial-mesenchymal transition in cancer metastasis on WP as well as in a couple of journals. I came across this article in the journal of cancer which doesn't conflict with but puts forward a very strong case for a different interpretation of current data. It's a trusted source and a fairly recent article so there's little else I could find on the same line. Personally I think it needs at least some mention on the EMT page and possibly others. The problem is I don't know if this is enough material to warrant mention and I could never do a good job of editing the page if it did. Moreover, the current Epithelial-mesenchymal transition theory in metastasis has been around so long it seems to be taken as fact on the page when this isn't necessarily true. Any help would be appreciated Edward.ward92 (talk) 17:33, 13 May 2014 (UTC)
- That's certainly an esoteric paper. I presume that these hypotheses are specific for carcinomas, i.e. epithelium-derived cancers. I don't see how they could be relevant to haematological malignancies, and even relevance to sarcomas seems unlikely.
- I think that it is worth mentioning a sentence or two about this paper's implications in the "Epithelial–mesenchymal transition" article. Axl ¤ [Talk] 19:30, 13 May 2014 (UTC)
- User:Edward.ward92, this is a great place to post questions like this. The source you've found (PMID 24494030) is a recent review, and as such, its ideas seems to qualify for inclusion in the article. Since it's a "minority" viewpoint (at this point in time, at least), it should only get a brief mention. We can help you sort out what to say, but since you've been reading up on it and I haven't, why don't you just tell me what the source says, and then we'll see if we can get something into shape for inclusion in the article? WhatamIdoing (talk) 00:23, 14 May 2014 (UTC)
