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This article was the subject of a Wiki Education Foundation-supported course assignment, between 7 June 2021 and 27 August 2021. Further details are available
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I will not edit medical pages, but think quick quick review on http://nutritionfacts.org/video/the-great-protein-fiasco/ contains a lot of references to research debunking that protein deficiency is the cause of Kwashiorkor. Please change. — Preceding unsigned comment added by 2001:980:93A5:1:4D3B:55D3:2103:7F5D ( talk) 12:30, 27 June 2016 (UTC)
I will second this. Most research now points to complex interaction between microbiome, infection and malnutrition. The association with weaning is likely not linked to the lack of protein, just the lack of calories in general. If/when I have more time will find some sources and edit.
Also the image is NOT a child with kwashiorkor. The child is predominantly marasmic with maybe a touch of edema (combined picture). Ibrmrn ( talk) 14:07, 26 October 2016 (UTC)
Very much agree that this the picture is not a good example of kwashiorkor.
There is also a large body of evidence building that, while kwashiorkor may not be due to a deficiency of protein per se, it may be due to a deficiency in particular amino acids. Sulfur amino acids are one of the most promising culprits currently being investigated.
Roediger WEW, Waterlow JP. New Views on the Pathogenesis of Kwashiorkor: Methionine and Other Amino Acids. Journal of Pediatric Gastroenterology & Nutrition. 1995;21(2):130-6. Phadke MA, Khedkar VA, Pashankar D, Kate SL, Mokashi GD, Gambhir PS, Bhate SM. Serum Amino Acids and Genesis of Protein Energy Malnutrition. Indian Pediatrics. 1995;32:301-6. Jahoor F. Effects of decreased availability of sulfur amino acids in severe childhood undernutrition. Nutrition Reviews. 2012;70(3):176-87. Jahoor F, Badaloo A, Reid M, Forrester T. Protein kinetic differences between children with edematous and nonedematous severe childhood undernutrition in the fed and postabsorptive states. The American Journal of Clinical Nutrition. 2005;82(4):792-800. Jahoor F, Badaloo A, Reid M, Forrester T. Sulfur amino acid metabolism in children with severe childhood undernutrition: cysteine kinetics. The American Journal of Clinical Nutrition. 2006;84(6):1393-9. Badaloo A, Hsu JW, Taylor-Bryan C, Green C, Reid M, Forrester T, Jahoor F. Dietary cysteine is used more efficiently by children with severe acute malnutrition with edema compared with those without edema. The American Journal of Clinical Nutrition. 2012;95(1):84-90. Badaloo A, Reid M, Forrester T, Heird WC, Jahoor F. Cysteine supplementation improves the erythrocyte glutathione synthesis rate in children with severe edematous malnutrition. The American Journal of Clinical Nutrition. 2002;76(3):646-52. — Preceding unsigned comment added by 130.64.25.58 ( talk) 17:11, 4 May 2017 (UTC)
Please read: https://www.ncbi.nlm.nih.gov/m/pubmed/23363771/ Jbulleit ( talk) 15:39, 11 April 2019 (UTC)
Here are links to some of the references that discuss the cause of kwashiorkor: "The cause of kwashiorkor remains obscure," ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667500/), "there is no real evidence of dietary protein deficiency," (Kwashiorcor revisited: https://academic.oup.com/trstmh/article-abstract/78/4/436/1893691?redirectedFrom=PDF), and "The mechanisms responsible for oedema formation in kwashiorkor remain obscure," ( https://adc.bmj.com/content/76/1/54).
I would appreciate if someone qualified in the field would edit the article to remove its inaccuracies regarding the cause of kwashiorkor. — Preceding unsigned comment added by Thomaswayneriddle ( talk • contribs) 15:27, 12 April 2019 (UTC)
Do you have any pictures of people with kwashiorkor? [[User:NazismIsntCool|{{ NazismIsntCool/sig}} Nazism isn't cool]] 05:41, 2 September 2005 (UTC)
A professor gave me a math problem concerning the hypoosmotic effects of reduced serum albumin (which has colligative properties, as any other molecule would) due to reduced protein intake/production. This would lead to an overall decrease in oncotic pressure in the capillaries, in turn increasing the osmotic flux through the capillary wall, resulting in edema. —The preceding unsigned comment was added by Raleightodd ( talk • contribs) 01:43, 28 February 2007 (UTC).
The edema of kwashiokor gets better after the first phase of treatment BEFORE the albumin levels are corrected by the liver. —Preceding unsigned comment added by 167.206.17.116 ( talk) 19:02, 29 May 2010 (UTC)
Under treatment, there's currently 10 WHO guidelines, but only 8 are listed. Consider updating that
French & English Wikipedia conflict on derivation.
Here it is said:
And in wp:fr they say:
So they mention the concrete language and give a completely different meaning... Which one is right? -- 83.32.66.149 19:49, 20 May 2007 (UTC)
I removed the following paragraph:
The swollen abdomen is generally attributed to two causes: First, the appearance of ascites due to increased capillary permeability from the increased production of cysteinyl leukotrienes (LTC4 and LTE4) as a result of generalized intracellular deficiency of glutathione. Tolga is thought to be attributed to the effect of malnutrition on reducing plasma proteins (discussed below), resulting in a reduced oncotic pressure and therefore increased osmotic flux through the capillary wall. A second cause may be due to a grossly enlarged liver due to fatty liver. This fatty change occurs because of the lack of apolipoproteins which transport lipids(cholesterol) from the liver to tissues throughout the body.
The first assertion, that children w/ kwashiorkor have ascites is incorrect; they abdominal distention is NOT caused by ascites. Since the rest of the paragraph is unsourced, I removed it; if you can find a reliable source, please reintroduce this information. This article needs some serious work. -- Wawot1 ( talk) 15:43, 5 April 2009 (UTC)
Management of acute moderate and severe childhood malnutrition. http://www.bmj.com/cgi/content/full/337/nov13_1/a2180?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=kwashiorkor&searchid=1&FIRSTINDEX=0&sortspec=date&resourcetype=HWCIT#REF2
-- Wawot1 ( talk) 15:43, 5 April 2009 (UTC)
Is it allowed to use the WHO guidelines? http://www.who.int/nutrition/publications/guide_inpatient_text.pdf — Preceding unsigned comment added by Szadeh4 ( talk • contribs) 03:50, 17 February 2016 (UTC)
"Kwashiorkor is a virulent form of childhood malnutrition" would seem to indicate that it is caused by a virus and is infectious. Could that be the case?
-- alagahd ( talk) 11:13, 22 May 2009 (UTC)
I am going to edit the sections about the reason for Kwashiorkor being "micronutrients" and antioxidants. There is no mention of that in the literature. Only Zink deficiency (Acrodermatitis enteropathica) shows a similar picture but is a diagnosis on it's own. I am also deleting the part about aflatoxin because alfatoxin is not the cause for Kwashiorkor as written in the article. Higher alfatoxin levels are the consequence of impaired liver function due to Kwashiorkor. (Sources: peer reviewed journals: Pediatrics. 1991 Aug;88(2):376-9. Kwashiorkor: the hypothesis that incriminates aflatoxins., Hendrickse RG. Aflatoxin Exposure and its Relationship to Kwashiorkor in African Children K. C. Househam and H. K. L. Hundt, J Trop Pediatr (1991) 37 (6): 300-302. doi: 10.1093/tropej/37.6.300 Ann Trop Paediatr. 1992;12(3):241-7, Aflatoxins and kwashiorkor in Durban, South Africa. Ramjee G, Berjak P, Adhikari M, Dutton MF.) I will expand the section about sign and symptoms — Preceding unsigned comment added by Jadram2011 ( talk • contribs) 18:45, 26 July 2012 (UTC)
I was just trying to edit the Kwashiorkor article to include micronutrients and antioxidants. Protein deficiency in children is rare. Children at 1-2yrs only need 5-6% of calories from protein. The symptoms of kwashiorkor (e.g. edema) are not cured by high protein diets. WHO guidelines stated that for the first week you give micronutrients (except iron), a diet with 5-6% protein calories, and you treat infections, hypoglycemia, dehydration. After the first week the child's edema will lessen (before any change in plasma albumin) and their appetite should return. That's when you give them high protein diets for catch up growth. Diets consumed by 1-2yr olds in most of the affected regions have about 6.4-8.8% protein calories. — Preceding unsigned comment added by Szadeh4 ( talk • contribs) 03:47, 17 February 2016 (UTC)
112.205.39.127 posted this comment on 11 July 2012 ( view all feedback).
This article can be improved by adding more explanation on symptoms and other signs of kwashiorkor.
Also add pictures of people with kwashiorkor in front view.
There have also been many other feedback requests for more pictures and about how the disease is treated.
Puffin Let's talk! 21:06, 26 January 2014 (UTC)
There are conflicting sources on the web (none referenced here, however). Some agree with the Wikipedia translation, but others claim that while this may be the most meaningful translation, the literal one is "red-haired boy". If they are in fact different, the Wikipedia article needs both. 72.200.151.13 ( talk) 14:18, 11 July 2014 (UTC)
This article is being edited as part of the Foundations II course at UCSF
Proposed edits:
//current references
Oedema in kwashiorkor is caused by hypoalbuminaemia [1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462841/
Kwashiorkor - Statpearls https://www.ncbi.nlm.nih.gov/books/NBK507876/
Management of complicated severe acute malnutrition in children in resource-limited countries https://www.uptodate.com/contents/management-of-complicated-severe-acute-malnutrition-in-children-in-resource-limited-countries
Malnutrition in children in resource-limited countries: Clinical assessment https://www.uptodate.com/contents/malnutrition-in-children-in-resource-limited-countries-clinical-assessment#H4
Dermatosis in children with oedematous malnutrition (Kwashiorkor): a review of the literature https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.12452
The Immune System in Children with Malnutrition—A Systematic Review https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0105017
-- Alexuang ( talk) 21:41, 29 July 2019 (UTC)
References
Part 1
Under treatment, there's currently 10 WHO guidelines, but only 8 are listed. Consider updating that The article contains sections that are easy to understand, a clear chronological structure (from describing the general information, to explaining the signs and symptoms, to the causes/diagnoses, to treatment, prevention, and prognosis). Sources used are reliable and up to date (2019). The lead provided a general view on the topic which allowed me to get a good grasp on what the article is about. Kylett1 ( talk) 16:24, 6 August 2019 (UTC)
Yes, the group’s edits have substantially improved the article. Addition of diagnostic characteristics and explanation of the unclear etiologies of kwashiorkor all come from reliable secondary sources and are written neutrally. The group achieved their proposed goals for improvement by expanding on diagnosis, treatment, and epidemiology. Pkhouder ( talk) 04:52, 6 August 2019 (UTC)
Yes the groups edits have increased the articles integrity, and they have addressed the goals that were sought out to complete. Kmhudson22 ( talk) 16:31, 6 August 2019 (UTC)
Part 2 A: yes the article additions reflect a neutral point Kmhudson22 ( talk) 16:31, 6 August 2019 (UTC) B:the article contains many sources that are reliable and up to date (2019) (with many secondary articles from Pubmed) Kylett1 ( talk) 16:24, 6 August 2019 (UTC) C: Yes Pkhouder ( talk) 04:52, 6 August 2019 (UTC) D:
As a member of WP:WikiProject Medicine I have volunteered to watch this article while it is a Wikipedia:Wiki Ed/UCSF/Foundations II (Summer 2020) assignment. Feel free to ask me questions here or on my Talk page. David notMD ( talk) 00:42, 9 August 2020 (UTC)
Expand the organization; clean it up
Add new references and replace old ones
Improve the quality or writing. Use more inclusive language
Expand more on the prognosis if there are more articles to refer to
Also include a more reflective image(s)
Expand the treatment. List the options that are available.
a. We have reviewed all references which should now be correctly formatted according to the Manual of Style.
b. We were unable to identify any references from predatory publishers.
c. Numerous references were identified as duplicates and were consolidated as follows:
i. References 10, 39, and 47 were identified as duplicates through the peer review; We consolidated all callouts in the text, which now refer to reference 10. ii. References 2, 6, 11, 21, 35, and 38 were identified as duplicates through peer review; We consolidated all callouts in the text, which now refer to reference 2. iii. References 3, 13,14, and 40 were identified as duplicates; We consolidated all callouts in the text, which now refer to reference 3.
J.Choi, Future UCSF Pharm.D. ( talk) 21:06, 4 August 2021 (UTC)
1) Comparing the current article to the version of the article from a couple weeks ago, I would agree that the group substantially improved the article. Looking at the "Guiding Framework" for peer review on Wikipedia, the main aspects of the framework include the lead, content, tone/blanace, sources/references, organization, images/media, and overall impressions.
In respect to the the article's lead, there was improvement through the addition of more sources and further clarifications. The article had a concise introductory sentence, and the group added further details to describe most of the article's major sections. However, there was no talk of Effects on PK, a section in the article contents, in the lead. I believe the article lead was sufficient length.
The content added was up-to-date, relevant and equitable. The sections they added, like mechanisms and prevention, were useful additions. Additionally, the content was neutral and had reliable secondary sources to back up their information added. I would also agree that the organization of the article was both improved and acceptable.
Looking at the group's goals to improve the article's organization, add references, and expand on some sections, I would agree that the group achieved its overall goals for improvement. It seemed that another goal the group had was to include more images. However, it seems like they were unable to do that. Despite this, I thought their addition of the table in the "Welcome's classification" was a useful addition, as finding images to add without copyright infringement can be challenging.
2) I believe the draft submission reflects a neutral point of view. When trying to assess whether the point of view is neutral, the material should be presented fairly, proportionately, and without editorial bias.
[1] Additionally, the sources used should be reliable and verifiable. Throughout the article, the group members made sure to not state opinions as facts. They also addressed the unclear etiology of the disease and changed wording throughout the article to reflect that uncertainty. Additionally, the group used language throughout the article that promoted neutrality and didn't endorse points of view that could imply a lack of credibility. When looking through the references, there were over 50 citations, with more than 20 of them being new. This dependence on new references for the article improvementis another indication of an article being less biased. Going through the reference list, the references added were accessible and credible, further improving the credibility and neutrality of this article.
Mmuskat ( talk) 21:22, 2 August 2021 (UTC)
The article successfully accomplishes many of the goals outlined by the group prior to editing, and I think the group made successful additions to the article in accordance with Wikipedia's guiding framework. I think the structure of the article is done very well, as the article presents all physiologic information before shifting to more clinical aspects, like treatment or prevention. In terms of improvement, I believe that there are some grammar/syntax errors that could be corrected so the article will be even clearer and more concise. Specifically, some points in the lead section are a bit wordy and come off unclear. Overall, great additions when compared to the article before. The article does a good job of following the Wikipedia Manual of Style for medical articles, hitting all pertinent point of the desired structure. Additionally, citations are listed properly and frequently and the language presented is clear and easy to understand for the average reader. Additionally, the language presented does not skew towards one audience over another, as material is presented without jargon, includes multiple follow-up links to learn more, and a clear neutral voice. M. Frank, Future UCSF Pharm.D. ( talk) 21:35, 2 August 2021 (UTC)
The group's edits have successfully improved the article by adding and expanding to existing sections. The lead does not seem to be edited much by the current group, so I focused on reading the treatment and prognosis to which they added information and references. Though the information added to these sections were provided in a clear manner, I think that the sentence variety could be improved in order to improve the flow of the paragraphs. Overall, information in the article is presented in a neutral, factual way and the article as a whole is organized very well. After comparing the past version of the article to the current one, I can conclude that the group was able to expand on several topics and back up their information with good sources.
As for the references listed, most of them are secondary sources that are freely available to the public. However, source 50 is a case report and 4 and 47 require you to pay. Some of the references are also repeated, such as 39 and 47, and 2, 6, 11, 21, 35 and 38. The link to 31 leads to the home site and not to the specific one indicated. Though some of the references have some issues, most of the ones listed come from reputable sources and are all good secondary sources such as textbooks or systematic reviews.
Mbanawis (
talk)
13:54, 3 August 2021 (UTC)
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![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Kwashiorkor.
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This article was the subject of a Wiki Education Foundation-supported course assignment, between 29 June 2020 and 21 August 2020. Further details are available
on the course page. Student editor(s):
Kkellohen,
Amanukyan UCSF,
Adjlopez,
Mkardouh.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 23:46, 17 January 2022 (UTC)
This article was the subject of a Wiki Education Foundation-supported course assignment, between 7 June 2021 and 27 August 2021. Further details are available
on the course page. Student editor(s):
J.Choi, Future UCSF Pharm.D.,
Jerlam8,
J. Chang, Future UCSF Pharm.D.,
Jvalenciachavez. Peer reviewers:
M. Frank, Future UCSF Pharm.D.,
Mmuskat,
Mbanawis.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 23:46, 17 January 2022 (UTC)
This article was the subject of a Wiki Education Foundation-supported course assignment, between 1 July 2019 and 23 August 2019. Further details are available
on the course page. Student editor(s):
Alexuang,
Dannymrowr,
Brendado425. Peer reviewers:
Pkhouder,
Kylett1.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 01:56, 17 January 2022 (UTC)
I will not edit medical pages, but think quick quick review on http://nutritionfacts.org/video/the-great-protein-fiasco/ contains a lot of references to research debunking that protein deficiency is the cause of Kwashiorkor. Please change. — Preceding unsigned comment added by 2001:980:93A5:1:4D3B:55D3:2103:7F5D ( talk) 12:30, 27 June 2016 (UTC)
I will second this. Most research now points to complex interaction between microbiome, infection and malnutrition. The association with weaning is likely not linked to the lack of protein, just the lack of calories in general. If/when I have more time will find some sources and edit.
Also the image is NOT a child with kwashiorkor. The child is predominantly marasmic with maybe a touch of edema (combined picture). Ibrmrn ( talk) 14:07, 26 October 2016 (UTC)
Very much agree that this the picture is not a good example of kwashiorkor.
There is also a large body of evidence building that, while kwashiorkor may not be due to a deficiency of protein per se, it may be due to a deficiency in particular amino acids. Sulfur amino acids are one of the most promising culprits currently being investigated.
Roediger WEW, Waterlow JP. New Views on the Pathogenesis of Kwashiorkor: Methionine and Other Amino Acids. Journal of Pediatric Gastroenterology & Nutrition. 1995;21(2):130-6. Phadke MA, Khedkar VA, Pashankar D, Kate SL, Mokashi GD, Gambhir PS, Bhate SM. Serum Amino Acids and Genesis of Protein Energy Malnutrition. Indian Pediatrics. 1995;32:301-6. Jahoor F. Effects of decreased availability of sulfur amino acids in severe childhood undernutrition. Nutrition Reviews. 2012;70(3):176-87. Jahoor F, Badaloo A, Reid M, Forrester T. Protein kinetic differences between children with edematous and nonedematous severe childhood undernutrition in the fed and postabsorptive states. The American Journal of Clinical Nutrition. 2005;82(4):792-800. Jahoor F, Badaloo A, Reid M, Forrester T. Sulfur amino acid metabolism in children with severe childhood undernutrition: cysteine kinetics. The American Journal of Clinical Nutrition. 2006;84(6):1393-9. Badaloo A, Hsu JW, Taylor-Bryan C, Green C, Reid M, Forrester T, Jahoor F. Dietary cysteine is used more efficiently by children with severe acute malnutrition with edema compared with those without edema. The American Journal of Clinical Nutrition. 2012;95(1):84-90. Badaloo A, Reid M, Forrester T, Heird WC, Jahoor F. Cysteine supplementation improves the erythrocyte glutathione synthesis rate in children with severe edematous malnutrition. The American Journal of Clinical Nutrition. 2002;76(3):646-52. — Preceding unsigned comment added by 130.64.25.58 ( talk) 17:11, 4 May 2017 (UTC)
Please read: https://www.ncbi.nlm.nih.gov/m/pubmed/23363771/ Jbulleit ( talk) 15:39, 11 April 2019 (UTC)
Here are links to some of the references that discuss the cause of kwashiorkor: "The cause of kwashiorkor remains obscure," ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667500/), "there is no real evidence of dietary protein deficiency," (Kwashiorcor revisited: https://academic.oup.com/trstmh/article-abstract/78/4/436/1893691?redirectedFrom=PDF), and "The mechanisms responsible for oedema formation in kwashiorkor remain obscure," ( https://adc.bmj.com/content/76/1/54).
I would appreciate if someone qualified in the field would edit the article to remove its inaccuracies regarding the cause of kwashiorkor. — Preceding unsigned comment added by Thomaswayneriddle ( talk • contribs) 15:27, 12 April 2019 (UTC)
Do you have any pictures of people with kwashiorkor? [[User:NazismIsntCool|{{ NazismIsntCool/sig}} Nazism isn't cool]] 05:41, 2 September 2005 (UTC)
A professor gave me a math problem concerning the hypoosmotic effects of reduced serum albumin (which has colligative properties, as any other molecule would) due to reduced protein intake/production. This would lead to an overall decrease in oncotic pressure in the capillaries, in turn increasing the osmotic flux through the capillary wall, resulting in edema. —The preceding unsigned comment was added by Raleightodd ( talk • contribs) 01:43, 28 February 2007 (UTC).
The edema of kwashiokor gets better after the first phase of treatment BEFORE the albumin levels are corrected by the liver. —Preceding unsigned comment added by 167.206.17.116 ( talk) 19:02, 29 May 2010 (UTC)
Under treatment, there's currently 10 WHO guidelines, but only 8 are listed. Consider updating that
French & English Wikipedia conflict on derivation.
Here it is said:
And in wp:fr they say:
So they mention the concrete language and give a completely different meaning... Which one is right? -- 83.32.66.149 19:49, 20 May 2007 (UTC)
I removed the following paragraph:
The swollen abdomen is generally attributed to two causes: First, the appearance of ascites due to increased capillary permeability from the increased production of cysteinyl leukotrienes (LTC4 and LTE4) as a result of generalized intracellular deficiency of glutathione. Tolga is thought to be attributed to the effect of malnutrition on reducing plasma proteins (discussed below), resulting in a reduced oncotic pressure and therefore increased osmotic flux through the capillary wall. A second cause may be due to a grossly enlarged liver due to fatty liver. This fatty change occurs because of the lack of apolipoproteins which transport lipids(cholesterol) from the liver to tissues throughout the body.
The first assertion, that children w/ kwashiorkor have ascites is incorrect; they abdominal distention is NOT caused by ascites. Since the rest of the paragraph is unsourced, I removed it; if you can find a reliable source, please reintroduce this information. This article needs some serious work. -- Wawot1 ( talk) 15:43, 5 April 2009 (UTC)
Management of acute moderate and severe childhood malnutrition. http://www.bmj.com/cgi/content/full/337/nov13_1/a2180?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=kwashiorkor&searchid=1&FIRSTINDEX=0&sortspec=date&resourcetype=HWCIT#REF2
-- Wawot1 ( talk) 15:43, 5 April 2009 (UTC)
Is it allowed to use the WHO guidelines? http://www.who.int/nutrition/publications/guide_inpatient_text.pdf — Preceding unsigned comment added by Szadeh4 ( talk • contribs) 03:50, 17 February 2016 (UTC)
"Kwashiorkor is a virulent form of childhood malnutrition" would seem to indicate that it is caused by a virus and is infectious. Could that be the case?
-- alagahd ( talk) 11:13, 22 May 2009 (UTC)
I am going to edit the sections about the reason for Kwashiorkor being "micronutrients" and antioxidants. There is no mention of that in the literature. Only Zink deficiency (Acrodermatitis enteropathica) shows a similar picture but is a diagnosis on it's own. I am also deleting the part about aflatoxin because alfatoxin is not the cause for Kwashiorkor as written in the article. Higher alfatoxin levels are the consequence of impaired liver function due to Kwashiorkor. (Sources: peer reviewed journals: Pediatrics. 1991 Aug;88(2):376-9. Kwashiorkor: the hypothesis that incriminates aflatoxins., Hendrickse RG. Aflatoxin Exposure and its Relationship to Kwashiorkor in African Children K. C. Househam and H. K. L. Hundt, J Trop Pediatr (1991) 37 (6): 300-302. doi: 10.1093/tropej/37.6.300 Ann Trop Paediatr. 1992;12(3):241-7, Aflatoxins and kwashiorkor in Durban, South Africa. Ramjee G, Berjak P, Adhikari M, Dutton MF.) I will expand the section about sign and symptoms — Preceding unsigned comment added by Jadram2011 ( talk • contribs) 18:45, 26 July 2012 (UTC)
I was just trying to edit the Kwashiorkor article to include micronutrients and antioxidants. Protein deficiency in children is rare. Children at 1-2yrs only need 5-6% of calories from protein. The symptoms of kwashiorkor (e.g. edema) are not cured by high protein diets. WHO guidelines stated that for the first week you give micronutrients (except iron), a diet with 5-6% protein calories, and you treat infections, hypoglycemia, dehydration. After the first week the child's edema will lessen (before any change in plasma albumin) and their appetite should return. That's when you give them high protein diets for catch up growth. Diets consumed by 1-2yr olds in most of the affected regions have about 6.4-8.8% protein calories. — Preceding unsigned comment added by Szadeh4 ( talk • contribs) 03:47, 17 February 2016 (UTC)
112.205.39.127 posted this comment on 11 July 2012 ( view all feedback).
This article can be improved by adding more explanation on symptoms and other signs of kwashiorkor.
Also add pictures of people with kwashiorkor in front view.
There have also been many other feedback requests for more pictures and about how the disease is treated.
Puffin Let's talk! 21:06, 26 January 2014 (UTC)
There are conflicting sources on the web (none referenced here, however). Some agree with the Wikipedia translation, but others claim that while this may be the most meaningful translation, the literal one is "red-haired boy". If they are in fact different, the Wikipedia article needs both. 72.200.151.13 ( talk) 14:18, 11 July 2014 (UTC)
This article is being edited as part of the Foundations II course at UCSF
Proposed edits:
//current references
Oedema in kwashiorkor is caused by hypoalbuminaemia [1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462841/
Kwashiorkor - Statpearls https://www.ncbi.nlm.nih.gov/books/NBK507876/
Management of complicated severe acute malnutrition in children in resource-limited countries https://www.uptodate.com/contents/management-of-complicated-severe-acute-malnutrition-in-children-in-resource-limited-countries
Malnutrition in children in resource-limited countries: Clinical assessment https://www.uptodate.com/contents/malnutrition-in-children-in-resource-limited-countries-clinical-assessment#H4
Dermatosis in children with oedematous malnutrition (Kwashiorkor): a review of the literature https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.12452
The Immune System in Children with Malnutrition—A Systematic Review https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0105017
-- Alexuang ( talk) 21:41, 29 July 2019 (UTC)
References
Part 1
Under treatment, there's currently 10 WHO guidelines, but only 8 are listed. Consider updating that The article contains sections that are easy to understand, a clear chronological structure (from describing the general information, to explaining the signs and symptoms, to the causes/diagnoses, to treatment, prevention, and prognosis). Sources used are reliable and up to date (2019). The lead provided a general view on the topic which allowed me to get a good grasp on what the article is about. Kylett1 ( talk) 16:24, 6 August 2019 (UTC)
Yes, the group’s edits have substantially improved the article. Addition of diagnostic characteristics and explanation of the unclear etiologies of kwashiorkor all come from reliable secondary sources and are written neutrally. The group achieved their proposed goals for improvement by expanding on diagnosis, treatment, and epidemiology. Pkhouder ( talk) 04:52, 6 August 2019 (UTC)
Yes the groups edits have increased the articles integrity, and they have addressed the goals that were sought out to complete. Kmhudson22 ( talk) 16:31, 6 August 2019 (UTC)
Part 2 A: yes the article additions reflect a neutral point Kmhudson22 ( talk) 16:31, 6 August 2019 (UTC) B:the article contains many sources that are reliable and up to date (2019) (with many secondary articles from Pubmed) Kylett1 ( talk) 16:24, 6 August 2019 (UTC) C: Yes Pkhouder ( talk) 04:52, 6 August 2019 (UTC) D:
As a member of WP:WikiProject Medicine I have volunteered to watch this article while it is a Wikipedia:Wiki Ed/UCSF/Foundations II (Summer 2020) assignment. Feel free to ask me questions here or on my Talk page. David notMD ( talk) 00:42, 9 August 2020 (UTC)
Expand the organization; clean it up
Add new references and replace old ones
Improve the quality or writing. Use more inclusive language
Expand more on the prognosis if there are more articles to refer to
Also include a more reflective image(s)
Expand the treatment. List the options that are available.
a. We have reviewed all references which should now be correctly formatted according to the Manual of Style.
b. We were unable to identify any references from predatory publishers.
c. Numerous references were identified as duplicates and were consolidated as follows:
i. References 10, 39, and 47 were identified as duplicates through the peer review; We consolidated all callouts in the text, which now refer to reference 10. ii. References 2, 6, 11, 21, 35, and 38 were identified as duplicates through peer review; We consolidated all callouts in the text, which now refer to reference 2. iii. References 3, 13,14, and 40 were identified as duplicates; We consolidated all callouts in the text, which now refer to reference 3.
J.Choi, Future UCSF Pharm.D. ( talk) 21:06, 4 August 2021 (UTC)
1) Comparing the current article to the version of the article from a couple weeks ago, I would agree that the group substantially improved the article. Looking at the "Guiding Framework" for peer review on Wikipedia, the main aspects of the framework include the lead, content, tone/blanace, sources/references, organization, images/media, and overall impressions.
In respect to the the article's lead, there was improvement through the addition of more sources and further clarifications. The article had a concise introductory sentence, and the group added further details to describe most of the article's major sections. However, there was no talk of Effects on PK, a section in the article contents, in the lead. I believe the article lead was sufficient length.
The content added was up-to-date, relevant and equitable. The sections they added, like mechanisms and prevention, were useful additions. Additionally, the content was neutral and had reliable secondary sources to back up their information added. I would also agree that the organization of the article was both improved and acceptable.
Looking at the group's goals to improve the article's organization, add references, and expand on some sections, I would agree that the group achieved its overall goals for improvement. It seemed that another goal the group had was to include more images. However, it seems like they were unable to do that. Despite this, I thought their addition of the table in the "Welcome's classification" was a useful addition, as finding images to add without copyright infringement can be challenging.
2) I believe the draft submission reflects a neutral point of view. When trying to assess whether the point of view is neutral, the material should be presented fairly, proportionately, and without editorial bias.
[1] Additionally, the sources used should be reliable and verifiable. Throughout the article, the group members made sure to not state opinions as facts. They also addressed the unclear etiology of the disease and changed wording throughout the article to reflect that uncertainty. Additionally, the group used language throughout the article that promoted neutrality and didn't endorse points of view that could imply a lack of credibility. When looking through the references, there were over 50 citations, with more than 20 of them being new. This dependence on new references for the article improvementis another indication of an article being less biased. Going through the reference list, the references added were accessible and credible, further improving the credibility and neutrality of this article.
Mmuskat ( talk) 21:22, 2 August 2021 (UTC)
The article successfully accomplishes many of the goals outlined by the group prior to editing, and I think the group made successful additions to the article in accordance with Wikipedia's guiding framework. I think the structure of the article is done very well, as the article presents all physiologic information before shifting to more clinical aspects, like treatment or prevention. In terms of improvement, I believe that there are some grammar/syntax errors that could be corrected so the article will be even clearer and more concise. Specifically, some points in the lead section are a bit wordy and come off unclear. Overall, great additions when compared to the article before. The article does a good job of following the Wikipedia Manual of Style for medical articles, hitting all pertinent point of the desired structure. Additionally, citations are listed properly and frequently and the language presented is clear and easy to understand for the average reader. Additionally, the language presented does not skew towards one audience over another, as material is presented without jargon, includes multiple follow-up links to learn more, and a clear neutral voice. M. Frank, Future UCSF Pharm.D. ( talk) 21:35, 2 August 2021 (UTC)
The group's edits have successfully improved the article by adding and expanding to existing sections. The lead does not seem to be edited much by the current group, so I focused on reading the treatment and prognosis to which they added information and references. Though the information added to these sections were provided in a clear manner, I think that the sentence variety could be improved in order to improve the flow of the paragraphs. Overall, information in the article is presented in a neutral, factual way and the article as a whole is organized very well. After comparing the past version of the article to the current one, I can conclude that the group was able to expand on several topics and back up their information with good sources.
As for the references listed, most of them are secondary sources that are freely available to the public. However, source 50 is a case report and 4 and 47 require you to pay. Some of the references are also repeated, such as 39 and 47, and 2, 6, 11, 21, 35 and 38. The link to 31 leads to the home site and not to the specific one indicated. Though some of the references have some issues, most of the ones listed come from reputable sources and are all good secondary sources such as textbooks or systematic reviews.
Mbanawis (
talk)
13:54, 3 August 2021 (UTC)