I thought that your website reviews were well written and thorough. The link that Celia was referencing below is working today. Hopefully it was just a temporary glitch. One thing that I believe would help enhance your reviews would be combining the paragraph about how your topic relates back to the course with the one below it, which appears to be an elongated version of it. Otherwise, I think you did a great job.

To: Nancy Burgeson
From: Celia Lyon-Dannison

Nancy, I have absolutely nothing to add to your website reviews. Both were well written and very thorough. Both included all required elements and were well organized. The topic is an interesting one.

The one thing I would recommend is, to double check your 4th link under the mayo clinic site. (p . . . S00444). When I clicked on it I received the following message, “The website you are accessing has experienced an unexpected error. Please contact the web administrator.” Hopefully, it was a temporary error.

Very nice job on your reviews.

Website Reviews
Phantom Pain
Major Website
http://www.mayoclinic.com/health/phantom-pain/DS00444/DSECTION=3
Nancy J. Burgeson

I begin my website reviews by discussing my major site, the Mayo Clinic website, http://www.mayoclinic.com/health/phantom-pain/DS00444/DSECTION=3.
I feel that the Mayo Clinic site is informative, comprehensive, well-done, and user-friendly; the site is of value to the viewer and particularly to an individual who is experiencing phantom pain.

The information and resources included on the website are posted by the Mayo Clinic, the Mayo Foundation for Medical Education and Research, and the information is backed-up by medical doctors. I believe that the Mayo Clinic Foundation is posting this website in order that they may promote credible information practices on the Web. Also, this website promotes the Mayo Clinic Foundation. Topics covered on http://www.mayoclinic.com/health/phantom-pain/DS00444/DSECTION=3 include: information and tools to help the consumer manage the condition of phantom pain. Included are signs and symptoms of phantom pain, causes, information on when to seek medical advice, screening and diagnosis information, as well as treatment, prevention of complications, self-care and coping skills.

The phenomenon of phantom pain relates to our studies of the nervous system, brain and spinal cord. Although the cause of phantom pain is not yet known, it is believed to originate in the brain. When an individual has an amputated limb, the nerves that correlate with that limb are believed to rework themselves thereby rerouting the brain’s circuitry.

I find phantom pain to be fascinating, based on my understanding of the normal process by which the message (triggered by the action potential) is sent down the sensory neuron onto the cell body of the sensory neuron in the dorsal root ganglion and on to the spinal cord and brain. The message is then processed and carried back to the stimulated cell via the motor neuron (triggered by action potential). Studies of the anatomy of the nervous system and spinal cord, and of the brain are valuable to my appreciation of phantom pain. As I learn about structure and function of the human body, I am increasingly amazed at the miracle of this miraculous machine.

In my opinion, the best feature of the Mayo Clinic website is the use of connecting sub-topics. For example, after reading the sub-topic on signs and symptoms, I can easily move on to either the next topic or move to another topic. It is extremely easy to navigate the website without confusion. (http://www.mayoclinic.com/health/phantom-p...S00444/DSECTION=2)I felt well-versed on the topic of phantom pain after my initial reading of the site. The second most desirable feature of this website is the credibility of the information found on the site. I trust the information that I have read on the site to be up-to date and factual. http://www.mayoclinic.com/health/phantom-pain/DS00444/DSECTION=2 I found this site to be excellent, but I would have appreciated graphic relating to the process by which the brain reroutes its circuitry. Also, it would probably be helpful to have some basic anatomy and physiology covered on the site for users who don’t have this knowledge. Perhaps this knowledge could be included with links.

This is my first experience with a website review, and I found it to be rewarding. I feel that I am now more knowledgeable in the area of choosing credible information on the Web.
Nancy J. Burgeson



Website Reviews
Phantom Pain
Secondary Website
http://rheumatology.oxfordjournals.org/cgi...t/abstract/42/7/888
Nancy J. Burgeson

The second website that I will review is Rheumatology, Oxford Journals, Oxford University Press. I believe this site to be interesting and informative and is definitely credible. http://rheumatology.oxfordjournals.org/cgi...t/abstract/42/7/888

http://rheumatology.oxfordjournals.org/cgi...t/abstract/42/7/888, is posted by the Oxford Journal-Oxford University Press, and was originally published by the British Society for Rheumatology (BSR). The BSR is a medical society committed to advancing knowledge and practice in the field of rheumatology, and works at both national and local levels to promote high quality standards. The site provides information about the potential for joint pain in a phantom limb, and discusses central nervous system involvement. I believe that the Oxford University Press is posting this site to provide information and to promote their publication, Rheumatology. Topics covered involve findings of investigative studies regarding the hypothesis involving clients with amputated limbs that still experience perceived joint stiffness (PJS) after amputation of the limb.

This website relates back to the basic anatomy and physiology of the body involving the nervous system, and the muscular and skeletal systems. As mentioned earlier in my major website review, it is important to understand the basic way in which the body functions in order that one may appreciate the phenomenon of phantom pain.

One feature of the Oxford University website are the links connecting to other articles relating to the subject and to full text of this article. I appreciated having this information readily available. http://rheumatology.oxfordjournals.org/cgi/content/full/42/7/888, http://scholar.google.com/scholar?q=%22aut....+author%3ABlake%22
Another feature of the site is the links to other medical publications on a wide variety of topics. http://www.oxfordjournals.org/subject/medicine// As I continue my studies in the health field, I would like to return to this site for information as questions arise.
There were no features on this site that I really disliked. However, this sight is more difficult to read and understand than the Mayo Clinic site. I believe that it would be beneficial to have some basic information on the subject of phantom joint pain and on joints in the abstract itself.

The Oxford Journal website was much different than the Mayo Clinic site, but both were valuable in their own right. The Oxford site is valuable for advanced information involving research studies, where as the Mayo Clinic site is more informational in nature.

Nancy J. Burgeson

TO: Nancy Burgeson
FROM: Celia Lyon-Dannison

The Yahoo Health site gave a brief overview of phantom pain. I liked the links that were provided within the text. It seemed there was a lot of additional medical information provided on the home page that didn’t pertain to the topic at hand so it appeared “busy.” The site wasn’t terribly comprehensive. It was nice to see “credit” given to the people who were responsible for the website and its content.

The Rheumatology website was very clinical in scope. The original piece of information was brief unless one clicked on the right hand side for the full text, which was much more comprehensive. The study was limited in scope, with just 3 amputees. There were useful links and the information pertaining to the website was cited in several medical articles indicating to me that it has value in the medical community. This website is probably quite valuable to someone in the medical profession, but once again, it is very clinical for the average reader.

The Appneurolgoy.com website gave a nice background regarding phantom pain in an easily understood way. I found the homepage easy to navigate. This website would be great for someone in the specific field of neurology in order to find calendar of meetings nationwide, advertising/journal reprints etc, job classifieds etc. For the average reader or student researcher, the website didn’t provide links to other areas pertaining to the topic at hand.

I found the Mayo Clinic website to be of good quality. It was an easy read with a nice index of article selections. After each of the selections, it offered “more on this topic.” It was quick and easy to use. There was validity and integrity to the information and the site was easily navigated. I would be hard pressed to state the negatives regarding this website.

Nancy, fascinating topic and excellent websits which you do a great job of describing. Mayo Clinic or NIH would be great major websites....Yahoo also is general with lots of info. Your other two are more specific articles that could be minor websites to review. thanks for your peer reviews.
LF
Choose topic: 10 points
Find four websites: 20 points
Peer reviews: 10 points

1. The Health.yahoo website was interesting because it offers a variety of was to deal with ‘Phantom Pain’. The two best things I liked about the website was: it was informative and concise. The two worst (only found 1) things I found about the website was: it had been 2 years since the last update.

2. The Oxford Journal website made some interesting comparisons to
rheumatoid arthritis. The two best things I liked about the website was: it compared what you would think as two totally different problems with similar results. And it had several good links with additional info. The two worst things I found about the website was: it doesn’t seem as though any more research has been done. As well as it does not offer any common measures for any kind of relief or treatment.

3. The Applied Neurology was a very good article. The two best things I liked about the website was: it gave great references and gave a good description of the actual process involved in phantom pain. It would have nice to have the references listed as links.

4. The Mayo Clinic website had good information. The two best things I liked about the website was: the amount of info available as well as how it broke the topic down, intro…signs and symptoms…causes …risk factors…etc. The two worst things I found about the website was: no additional links or other references sited.

5. The NIH website was the best by far. The two best things I liked about the website was: more information than all of the other websites combined. It also had info regarding the whole person, and how it affects them. The two worst things I found about the website was: it could be seen as overwhelming, so where would you begin.

1. The Yahoo Health link is a good basic fact sheet and introduction to this topic which describes the basics.
2. The Oxford Journal article is an interesting way in which the field of phantom pain is being used to provide research to another field. The article is almost detailed to a fault and short, although it does provide insight into how one field of research can help another in the medical arena.
3. The CMP Medi ca link I believe is the most interesting because it goes into detail about the neurological aspect of the topic. It is just one article but is heavily supported in the footnotes from other resources.
4. The Mayo Clinic link gives the most in depth information on treatment of this condition as well as what might be available in the not so distant future. I believe that this link is the best all inclusive site that you gave.

1) Phantom limb pain and chronic pain from Yahoo health provided a good ides on what it feels like to have phantom pain and it also showed ideas on how to ease phantom pain. But it did not show many details in other things.
2) Joint stiffness in a phantom limb: evidence of central nervous system involvement in rheumatoid arthritis by Oxford journals was excellent in demonstrating different points in of Phantom pain and the process of it starting and its treatments. It was a rather short article that would have done well with more insight.
3) CLINICAL PEARLS ON PHANTOM LIMB PAIN STEVEN A. KING, MD showed good percentages on phantom limb pain and describing the different experiments on it. I did not find any problems with this article.
4) Phantom pain by mayo clinical had great details on plp ranging from an introduction to dealing with the pain.
Emily Mitchell

1 http://health.yahoo.com/topic/nervous/reso...e/healthwise/ty6877

Who is posting?
Healthwise Healthwise is a nonprofit organization that has developed Prescription-Strength Information resources that doctors trust and consumers rely on because they are accurate and up to date. In fact, every year consumers make more than 56 million health decisions using Healthwise information.

Why are they posting the information?
Posted for informational purposes, and are not professional medical advice. The mission of Healthwise is to help people make better health decisions.

What topics are covered?
Explanation of “phantom nerve pain,” advice on dealing with pain related to phantom pain, and mentions various treatments available.


2
http://rheumatology.oxfordjournals.org/cgi...t/abstract/42/7/888

Who is posting?
Oxford Journal-Oxford University Press, originally published by the British Society for Rheumatology (BSR) The BSR is a medical society committed to advancing knowledge and practice in the field of rheumatology. The BSR works at both national and local levels to promote high quality standards.

Why are they posting?
Provide information regarding joint pain in a phantom limb, promotion of publication, Rheumotology

What topics are covered?
Findings of investigative study. regarding the hypothesis involving patients with amputated limbs who are still experiencing perceived joint stiffness (PJS) even after amputation of the limb.


3.
http://appneurology.com/showArticle.jhtml?articleId=196500155

Who is posting?
CMP Medica from publication Applied Neurology, article entitled Clinical Pearls on Phantom Limb Pain by Steven A. King, MD.

Why are they posting?
Informational, promoting publication

What topics are covered?
Facts on phantom pain, concepts of causation, and pain management


4.
http://www.mayoclinic.com/health/phantom-pain/DS00444/DSECTION=3
Who is posting?
Mayo Clinic, the Mayo Foundation for Medical Education and Research. Information published by medical doctors.

Why are they posting?
To promote credible information practices on the Web, and to promote the Mayo Clinic Foundation

What topics are covered?
Information and tools to help the consumer manage the condition of phantom pain-(signs and symptoms of phantom pain, causes, information on when to seek medical advice, screening and diagnosis information, treatment, prevention of complications, self-care and coping skills)


5.
http://www.nlm.nih.gov/medlineplus/amputees.html
Who is posting?
US National Library of Medicine, National Institute of Health, The Department of Health and Human Services.

Why are they posting?
Informational, to provide reliable information to the consumer regarding the condition and related topics.

What topics are covered?
Information regarding: amputations, limb loss, basic prevention and screening, rehabilitation/recovery, coping, research and clinical trials, research, reference shelf, disease management and more.

Hi:

I have chosen "phantom pain" for my topic. This phenomenon is interesting to me because I deal with clients at work that have had amputations. This topic relates to the study of the nervous and muscular sytem in that it involves nerves and muscles. Even though the muscles and nerves are not present, the client still feels the sensation.

How can this be?
Nancy Burgeson