02_How to Set the Background of Your Article, Write Rationale and Objective(s)? — Transcript
Full transcript
- 0:00So, we'll now start discussing about
- 0:03how to write the introduction part of
- 0:05your manuscript.
- 0:06Okay?
- 0:07So, the objective of this session is
- 0:09that write the introduction of the
- 0:11article, which is your manuscript. If
- 0:13you see this
- 0:15uh the research life cycle
- 0:17uh you can clearly see that it uh starts
- 0:19from identifying the data needs
- 0:22till to uh the dissemination of the
- 0:24findings where it will again identify
- 0:27the data needs and the cycle flows on.
- 0:30Uh my previous speakers would have told
- 0:32the same way how the research cycle goes
- 0:34on and it clearly reflects the way that
- 0:38you are communicating to your audience
- 0:40what actually your scientific study
- 0:43means it.
- 0:44The classical way of communicating your
- 0:47scientific study is writing a
- 0:49manuscript. And in this writing the
- 0:51manuscript, it also travels the same
- 0:54pathway of the research cycle.
- 0:57And this particular session, I will be
- 0:59focusing very clearly about writing the
- 1:03introduction part of it.
- 1:05When I say writing the introduction part
- 1:06of it, it contains three major parts.
- 1:10The first part is about identifying the
- 1:13data needs and as well as spelling out
- 1:16the research question. It originates
- 1:17from that particular part of the
- 1:19research cycle and it ends the
- 1:22introduction ends with a formulating the
- 1:25study objectives and writing it clearly.
- 1:29So, we will be discussing that
- 1:31when you are writing the introduction
- 1:33part of the manuscript, how you are
- 1:35converting these processes of the
- 1:37research cycle into a communication of
- 1:41why this is very, very important.
- 1:44The same Bradford Hill questions about
- 1:47uh particular research why did you start
- 1:50this research?
- 1:51What did you do while doing this
- 1:53particular research? And what did you
- 1:55find that? And what does it all mean?
- 1:59All these questions has to be answered
- 2:01in your scientific communication.
- 2:04Especially, the classical IMRaD format
- 2:07captures these questions. It try to
- 2:10answer these questions. And when you are
- 2:12communicating it, you have to answer the
- 2:14same. So, if you see the introduction,
- 2:18methods, results, and discussion,
- 2:20the introduction part and should answer
- 2:23the question, why did you start this
- 2:26particular research? So, that is what
- 2:29you have to communicate.
- 2:31And manuscript being a scientific
- 2:33communication, you need to clearly make
- 2:36it sure that
- 2:38you are communicating to the audience
- 2:40that what made you to start this
- 2:43particular topic, why you are so
- 2:45interested, is it really important, and
- 2:48how that is going to lead to the next
- 2:51part of the manuscript. So, the clear
- 2:53linkage has to be there.
- 2:55So, when we say communication, these
- 2:57linkages matters a lot.
- 3:00So, that's why the classical mistake
- 3:03which we usually do are very classically
- 3:06they say the immediate turn off of a
- 3:09scientific manuscript is starting like
- 3:12disease X is a global public health
- 3:15problem.
- 3:16It is not the right way to do that. The
- 3:18best way to start is that disease X is
- 3:22the say the 10th leading cause of the
- 3:24mortality of all causes of death. This
- 3:27is the right way of saying that. So, you
- 3:30can start either mentioning about the
- 3:33way it ranks that this is really
- 3:36important, or by some means of a numeric
- 3:39or an indicator to make the audience
- 3:41feel this is an important problem.
- 3:44That's why you have chosen that.
- 3:47And when we say there are certain dos
- 3:50and don'ts while writing the
- 3:52introduction part of the manuscript. Let
- 3:55me first say what are the important
- 3:57do's, okay?
- 4:00The manuscript in the introduction part
- 4:02of the manuscript always have a zoom in,
- 4:04which means I classically say it is a
- 4:07funneling down approach. General to a
- 4:10specific, broader to the narrow, the
- 4:13most important part of this particular
- 4:16manuscript. So, basically you are trying
- 4:19to build the most important
- 4:21communication objective you are trying
- 4:23to revolve around the message in your
- 4:25manuscript.
- 4:27Second,
- 4:28it the introduction part should
- 4:30critically review what is known and what
- 4:32is unknown. This is very important
- 4:35because you need to have a sufficient
- 4:38knowledge and understanding about this
- 4:40particular subject by reviewing the
- 4:42literature, by knowing what are all the
- 4:44scientific facts about this particular
- 4:46area of interest where you are
- 4:48conducting this research, and you are
- 4:50building it slowly in your manuscript
- 4:53writing that bridging that these are all
- 4:55the facts which I know, these are all
- 4:56the facts which I don't know. That's why
- 4:59I try to answer in this particular gap
- 5:01an element of it. You are flagging this
- 5:04gap. That's the most important part,
- 5:06drives attention to the particular
- 5:08reader.
- 5:09And make this flow very natural, not
- 5:12hard stop like that, so that you are
- 5:14trying to tell the study has to be done
- 5:17and that's what I did this particular
- 5:18study, which is going to answer this
- 5:21particular unknown gap.
- 5:24And always end the introduction part
- 5:26with the objective and document the all
- 5:29the facts which you are trying to say in
- 5:31the manuscript, either the known facts
- 5:34or some of the unknown facts with new
- 5:37references. There are most important
- 5:40don'ts in the introduction.
- 5:42What are all the don'ts? The mistakes.
- 5:45So, I always say that when you say the
- 5:48mistakes, these are all noise,
- 5:50distractions for a reader. In a
- 5:52scientific communication, when you write
- 5:55endlessly filling the pages, for
- 5:57example, some three or four paragraphs
- 6:00of 20 or 30 lines about describing that,
- 6:03yes, for example, hypertension is a
- 6:05problem, hypertension causes this, this
- 6:07is the most important crucial public
- 6:09health problem, again and again talking
- 6:11the same message will not drive the
- 6:13reader to have an attention. And also
- 6:16these are all distractions. That's the
- 6:18most important common mistakes which has
- 6:20been happening while writing the
- 6:22manuscript. The second is that
- 6:24undocumented statements.
- 6:27Most important part here, a manuscript
- 6:29is a scientific communication. When we
- 6:31say scientific communication, this
- 6:33should be based on facts, which means
- 6:36you are very much sure when you whatever
- 6:38you are going to state a line or a
- 6:39statement in that. Never ever have your
- 6:42own kind of an assumed opinions in that.
- 6:46That's undocumented statements will
- 6:48cause lot of noise. Third, focus
- 6:52exclusively on burden of the diseases.
- 6:55Basically, epidemiologically,
- 6:57scientifically, it is better to state
- 7:00the burden of diseases with the
- 7:02classical indicators.
- 7:05Either in terms of mortality or in terms
- 7:07of morbidity. When you say in terms of
- 7:09morbidity, you can take the indicator of
- 7:12the prevalence. And if it is a classical
- 7:14acute one, you can term it with an
- 7:16incidence. Or if you are very much sure
- 7:19that this is the most important cause of
- 7:21death, you can say by means of mortality
- 7:24indicators. That's an another important
- 7:27thing. Then, review the literature too
- 7:30much of details. That means, whenever
- 7:32you are going to say about a particular
- 7:34fact, you no need to bring all the facts
- 7:37you know, or 10 or 15 references telling
- 7:40the same facts again and again, it is a
- 7:42big noise.
- 7:44The most important problem is
- 7:47plagiarism. So, cut and copy paste from
- 7:50previous article, even though it is a
- 7:53known fact, is generally not recommended
- 7:57and it is discouraged. And providing
- 8:00excessive irrelevant historical details
- 8:02from multiple other facts also, it is
- 8:05totally unnecessary. Saying that, for
- 8:07example, when you want to talk about a
- 8:10particular infectious disease, talking
- 8:12start from the history of the infectious
- 8:15disease, a particular infection, is not
- 8:18going to help a lot. The effective way
- 8:21of writing an introduction is, as I said
- 8:23by already, that it is a zoom-in
- 8:26approach or funneling down approach.
- 8:28Broader to narrow. And to be very
- 8:31specific. So, I'm just giving a kind of
- 8:34an a suggested guideline here how you
- 8:37can structure your paragraphs. For
- 8:39example, the first part of that your
- 8:42introduction can tell about what is
- 8:44known and unknown of that particular
- 8:47area of interest. The area of interest
- 8:49can be a disease. The area of interest
- 8:52can be a clinical condition. Or the area
- 8:54of interest can be a a collection of a
- 8:56diseases or the syndrome. And these
- 8:59elements should make it properly with
- 9:02the due facts. And why this is very
- 9:05important, this will give you a clarity.
- 9:08The second part of your introduction can
- 9:10be spelled out that why this is very
- 9:13important in your region.
- 9:16When you say dengue is a global public
- 9:18health problem,
- 9:20and when you want to say that that this
- 9:22is the one of the leading cause of the
- 9:23vector-borne diseases,
- 9:25but in your region, why this is
- 9:27important?
- 9:28That you have to bring this a specific
- 9:31part of it, why you did this particular
- 9:33study on this area in your specific
- 9:36location or a geographical location.
- 9:38Next is local representation of this
- 9:41issue. When you are conducting this in a
- 9:43sale like tertiary care setting,
- 9:45then you need to say that that this much
- 9:47number of cases, this much number of
- 9:49complications have been faced by your
- 9:53clinical setting or at your tertiary
- 9:55care hospital setting, then you can
- 9:57spell it out why what made you to really
- 10:00think about this particular problem.
- 10:02And finally, the objectives of the
- 10:04study.
- 10:05So, we will have a detailed discussion
- 10:07in the forthcoming lecture that what
- 10:09actually
- 10:10this is going to connect to the methods
- 10:12part of it and as well as results and
- 10:15finally to the discussion. So, I give
- 10:17some examples of writing a very good
- 10:20introduction. Say, this is by Watson and
- 10:23Crick. They published in Nature in 1953.
- 10:27It's an award-winning introduction. You
- 10:29can say that I'm just reading out. We
- 10:32wish to suggest a structure for the salt
- 10:35of deoxyribose nucleic acid. This
- 10:39structure has novel features which are
- 10:42of considerable biological importance.
- 10:45That's it.
- 10:46It clearly says the intention,
- 10:49why this is very important, and what is
- 10:52the objective of presenting this
- 10:54particular structure, and what are all
- 10:56the importance of while doing this in
- 10:59the forthcoming. It's just in two
- 11:00sentences. It brings out a lot of
- 11:03clarity. A recently published article,
- 11:07say like in JAMA, I'm just giving this
- 11:09another example. I'm not going to read
- 11:11entirely.
- 11:13There's a very good example I have seen
- 11:14recently. It has this the same elements
- 11:17which I had discussed. Which tells about
- 11:20the known and the regional issue of most
- 11:22important part here is myocarditis. Why
- 11:26myocarditis is important? And then it
- 11:28brings about an unknown local issue
- 11:31which is recently mRNA vaccination have
- 11:34been introduced against COVID-19. While
- 11:37introducing that, what are all those
- 11:39effects of this particular vaccinated
- 11:42individuals leading to myocarditis? And
- 11:44then they link it to an objective that
- 11:47they are presenting a case series
- 11:49to develop the those who have developed
- 11:52probable hypersensitivity myocarditis,
- 11:55and they are trying to explain the
- 11:57clinical features in this paper.
- 12:00It's a very classical way of telling
- 12:02about the broader to the specific
- 12:05simpler, where it is going to be broader
- 12:07to the specific
- 12:09funneling down approach.
- 12:11The take-home message for writing an
- 12:13introduction is that
- 12:15introduction explains why you started
- 12:18this research, number one.
- 12:20Number two,
- 12:21it needs four important sentence linked
- 12:24to number one,
- 12:25background of this issue, number two,
- 12:28gap in the knowledge of this particular
- 12:30issue, number three, the research
- 12:32question, why actually you did this, and
- 12:36it has to it should have the linkage
- 12:38with the study design of your research.
- 12:42Thank you.
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