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02_How to Set the Background of Your Article, Write Rationale and Objective(s)? — Transcript

by NPTEL-NOC IITM · 1,891 words · 310 segments · language en · Watch on YouTube

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  1. 0:00So, we'll now start discussing about
  2. 0:03how to write the introduction part of
  3. 0:05your manuscript.
  4. 0:06Okay?
  5. 0:07So, the objective of this session is
  6. 0:09that write the introduction of the
  7. 0:11article, which is your manuscript. If
  8. 0:13you see this
  9. 0:15uh the research life cycle
  10. 0:17uh you can clearly see that it uh starts
  11. 0:19from identifying the data needs
  12. 0:22till to uh the dissemination of the
  13. 0:24findings where it will again identify
  14. 0:27the data needs and the cycle flows on.
  15. 0:30Uh my previous speakers would have told
  16. 0:32the same way how the research cycle goes
  17. 0:34on and it clearly reflects the way that
  18. 0:38you are communicating to your audience
  19. 0:40what actually your scientific study
  20. 0:43means it.
  21. 0:44The classical way of communicating your
  22. 0:47scientific study is writing a
  23. 0:49manuscript. And in this writing the
  24. 0:51manuscript, it also travels the same
  25. 0:54pathway of the research cycle.
  26. 0:57And this particular session, I will be
  27. 0:59focusing very clearly about writing the
  28. 1:03introduction part of it.
  29. 1:05When I say writing the introduction part
  30. 1:06of it, it contains three major parts.
  31. 1:10The first part is about identifying the
  32. 1:13data needs and as well as spelling out
  33. 1:16the research question. It originates
  34. 1:17from that particular part of the
  35. 1:19research cycle and it ends the
  36. 1:22introduction ends with a formulating the
  37. 1:25study objectives and writing it clearly.
  38. 1:29So, we will be discussing that
  39. 1:31when you are writing the introduction
  40. 1:33part of the manuscript, how you are
  41. 1:35converting these processes of the
  42. 1:37research cycle into a communication of
  43. 1:41why this is very, very important.
  44. 1:44The same Bradford Hill questions about
  45. 1:47uh particular research why did you start
  46. 1:50this research?
  47. 1:51What did you do while doing this
  48. 1:53particular research? And what did you
  49. 1:55find that? And what does it all mean?
  50. 1:59All these questions has to be answered
  51. 2:01in your scientific communication.
  52. 2:04Especially, the classical IMRaD format
  53. 2:07captures these questions. It try to
  54. 2:10answer these questions. And when you are
  55. 2:12communicating it, you have to answer the
  56. 2:14same. So, if you see the introduction,
  57. 2:18methods, results, and discussion,
  58. 2:20the introduction part and should answer
  59. 2:23the question, why did you start this
  60. 2:26particular research? So, that is what
  61. 2:29you have to communicate.
  62. 2:31And manuscript being a scientific
  63. 2:33communication, you need to clearly make
  64. 2:36it sure that
  65. 2:38you are communicating to the audience
  66. 2:40that what made you to start this
  67. 2:43particular topic, why you are so
  68. 2:45interested, is it really important, and
  69. 2:48how that is going to lead to the next
  70. 2:51part of the manuscript. So, the clear
  71. 2:53linkage has to be there.
  72. 2:55So, when we say communication, these
  73. 2:57linkages matters a lot.
  74. 3:00So, that's why the classical mistake
  75. 3:03which we usually do are very classically
  76. 3:06they say the immediate turn off of a
  77. 3:09scientific manuscript is starting like
  78. 3:12disease X is a global public health
  79. 3:15problem.
  80. 3:16It is not the right way to do that. The
  81. 3:18best way to start is that disease X is
  82. 3:22the say the 10th leading cause of the
  83. 3:24mortality of all causes of death. This
  84. 3:27is the right way of saying that. So, you
  85. 3:30can start either mentioning about the
  86. 3:33way it ranks that this is really
  87. 3:36important, or by some means of a numeric
  88. 3:39or an indicator to make the audience
  89. 3:41feel this is an important problem.
  90. 3:44That's why you have chosen that.
  91. 3:47And when we say there are certain dos
  92. 3:50and don'ts while writing the
  93. 3:52introduction part of the manuscript. Let
  94. 3:55me first say what are the important
  95. 3:57do's, okay?
  96. 4:00The manuscript in the introduction part
  97. 4:02of the manuscript always have a zoom in,
  98. 4:04which means I classically say it is a
  99. 4:07funneling down approach. General to a
  100. 4:10specific, broader to the narrow, the
  101. 4:13most important part of this particular
  102. 4:16manuscript. So, basically you are trying
  103. 4:19to build the most important
  104. 4:21communication objective you are trying
  105. 4:23to revolve around the message in your
  106. 4:25manuscript.
  107. 4:27Second,
  108. 4:28it the introduction part should
  109. 4:30critically review what is known and what
  110. 4:32is unknown. This is very important
  111. 4:35because you need to have a sufficient
  112. 4:38knowledge and understanding about this
  113. 4:40particular subject by reviewing the
  114. 4:42literature, by knowing what are all the
  115. 4:44scientific facts about this particular
  116. 4:46area of interest where you are
  117. 4:48conducting this research, and you are
  118. 4:50building it slowly in your manuscript
  119. 4:53writing that bridging that these are all
  120. 4:55the facts which I know, these are all
  121. 4:56the facts which I don't know. That's why
  122. 4:59I try to answer in this particular gap
  123. 5:01an element of it. You are flagging this
  124. 5:04gap. That's the most important part,
  125. 5:06drives attention to the particular
  126. 5:08reader.
  127. 5:09And make this flow very natural, not
  128. 5:12hard stop like that, so that you are
  129. 5:14trying to tell the study has to be done
  130. 5:17and that's what I did this particular
  131. 5:18study, which is going to answer this
  132. 5:21particular unknown gap.
  133. 5:24And always end the introduction part
  134. 5:26with the objective and document the all
  135. 5:29the facts which you are trying to say in
  136. 5:31the manuscript, either the known facts
  137. 5:34or some of the unknown facts with new
  138. 5:37references. There are most important
  139. 5:40don'ts in the introduction.
  140. 5:42What are all the don'ts? The mistakes.
  141. 5:45So, I always say that when you say the
  142. 5:48mistakes, these are all noise,
  143. 5:50distractions for a reader. In a
  144. 5:52scientific communication, when you write
  145. 5:55endlessly filling the pages, for
  146. 5:57example, some three or four paragraphs
  147. 6:00of 20 or 30 lines about describing that,
  148. 6:03yes, for example, hypertension is a
  149. 6:05problem, hypertension causes this, this
  150. 6:07is the most important crucial public
  151. 6:09health problem, again and again talking
  152. 6:11the same message will not drive the
  153. 6:13reader to have an attention. And also
  154. 6:16these are all distractions. That's the
  155. 6:18most important common mistakes which has
  156. 6:20been happening while writing the
  157. 6:22manuscript. The second is that
  158. 6:24undocumented statements.
  159. 6:27Most important part here, a manuscript
  160. 6:29is a scientific communication. When we
  161. 6:31say scientific communication, this
  162. 6:33should be based on facts, which means
  163. 6:36you are very much sure when you whatever
  164. 6:38you are going to state a line or a
  165. 6:39statement in that. Never ever have your
  166. 6:42own kind of an assumed opinions in that.
  167. 6:46That's undocumented statements will
  168. 6:48cause lot of noise. Third, focus
  169. 6:52exclusively on burden of the diseases.
  170. 6:55Basically, epidemiologically,
  171. 6:57scientifically, it is better to state
  172. 7:00the burden of diseases with the
  173. 7:02classical indicators.
  174. 7:05Either in terms of mortality or in terms
  175. 7:07of morbidity. When you say in terms of
  176. 7:09morbidity, you can take the indicator of
  177. 7:12the prevalence. And if it is a classical
  178. 7:14acute one, you can term it with an
  179. 7:16incidence. Or if you are very much sure
  180. 7:19that this is the most important cause of
  181. 7:21death, you can say by means of mortality
  182. 7:24indicators. That's an another important
  183. 7:27thing. Then, review the literature too
  184. 7:30much of details. That means, whenever
  185. 7:32you are going to say about a particular
  186. 7:34fact, you no need to bring all the facts
  187. 7:37you know, or 10 or 15 references telling
  188. 7:40the same facts again and again, it is a
  189. 7:42big noise.
  190. 7:44The most important problem is
  191. 7:47plagiarism. So, cut and copy paste from
  192. 7:50previous article, even though it is a
  193. 7:53known fact, is generally not recommended
  194. 7:57and it is discouraged. And providing
  195. 8:00excessive irrelevant historical details
  196. 8:02from multiple other facts also, it is
  197. 8:05totally unnecessary. Saying that, for
  198. 8:07example, when you want to talk about a
  199. 8:10particular infectious disease, talking
  200. 8:12start from the history of the infectious
  201. 8:15disease, a particular infection, is not
  202. 8:18going to help a lot. The effective way
  203. 8:21of writing an introduction is, as I said
  204. 8:23by already, that it is a zoom-in
  205. 8:26approach or funneling down approach.
  206. 8:28Broader to narrow. And to be very
  207. 8:31specific. So, I'm just giving a kind of
  208. 8:34an a suggested guideline here how you
  209. 8:37can structure your paragraphs. For
  210. 8:39example, the first part of that your
  211. 8:42introduction can tell about what is
  212. 8:44known and unknown of that particular
  213. 8:47area of interest. The area of interest
  214. 8:49can be a disease. The area of interest
  215. 8:52can be a clinical condition. Or the area
  216. 8:54of interest can be a a collection of a
  217. 8:56diseases or the syndrome. And these
  218. 8:59elements should make it properly with
  219. 9:02the due facts. And why this is very
  220. 9:05important, this will give you a clarity.
  221. 9:08The second part of your introduction can
  222. 9:10be spelled out that why this is very
  223. 9:13important in your region.
  224. 9:16When you say dengue is a global public
  225. 9:18health problem,
  226. 9:20and when you want to say that that this
  227. 9:22is the one of the leading cause of the
  228. 9:23vector-borne diseases,
  229. 9:25but in your region, why this is
  230. 9:27important?
  231. 9:28That you have to bring this a specific
  232. 9:31part of it, why you did this particular
  233. 9:33study on this area in your specific
  234. 9:36location or a geographical location.
  235. 9:38Next is local representation of this
  236. 9:41issue. When you are conducting this in a
  237. 9:43sale like tertiary care setting,
  238. 9:45then you need to say that that this much
  239. 9:47number of cases, this much number of
  240. 9:49complications have been faced by your
  241. 9:53clinical setting or at your tertiary
  242. 9:55care hospital setting, then you can
  243. 9:57spell it out why what made you to really
  244. 10:00think about this particular problem.
  245. 10:02And finally, the objectives of the
  246. 10:04study.
  247. 10:05So, we will have a detailed discussion
  248. 10:07in the forthcoming lecture that what
  249. 10:09actually
  250. 10:10this is going to connect to the methods
  251. 10:12part of it and as well as results and
  252. 10:15finally to the discussion. So, I give
  253. 10:17some examples of writing a very good
  254. 10:20introduction. Say, this is by Watson and
  255. 10:23Crick. They published in Nature in 1953.
  256. 10:27It's an award-winning introduction. You
  257. 10:29can say that I'm just reading out. We
  258. 10:32wish to suggest a structure for the salt
  259. 10:35of deoxyribose nucleic acid. This
  260. 10:39structure has novel features which are
  261. 10:42of considerable biological importance.
  262. 10:45That's it.
  263. 10:46It clearly says the intention,
  264. 10:49why this is very important, and what is
  265. 10:52the objective of presenting this
  266. 10:54particular structure, and what are all
  267. 10:56the importance of while doing this in
  268. 10:59the forthcoming. It's just in two
  269. 11:00sentences. It brings out a lot of
  270. 11:03clarity. A recently published article,
  271. 11:07say like in JAMA, I'm just giving this
  272. 11:09another example. I'm not going to read
  273. 11:11entirely.
  274. 11:13There's a very good example I have seen
  275. 11:14recently. It has this the same elements
  276. 11:17which I had discussed. Which tells about
  277. 11:20the known and the regional issue of most
  278. 11:22important part here is myocarditis. Why
  279. 11:26myocarditis is important? And then it
  280. 11:28brings about an unknown local issue
  281. 11:31which is recently mRNA vaccination have
  282. 11:34been introduced against COVID-19. While
  283. 11:37introducing that, what are all those
  284. 11:39effects of this particular vaccinated
  285. 11:42individuals leading to myocarditis? And
  286. 11:44then they link it to an objective that
  287. 11:47they are presenting a case series
  288. 11:49to develop the those who have developed
  289. 11:52probable hypersensitivity myocarditis,
  290. 11:55and they are trying to explain the
  291. 11:57clinical features in this paper.
  292. 12:00It's a very classical way of telling
  293. 12:02about the broader to the specific
  294. 12:05simpler, where it is going to be broader
  295. 12:07to the specific
  296. 12:09funneling down approach.
  297. 12:11The take-home message for writing an
  298. 12:13introduction is that
  299. 12:15introduction explains why you started
  300. 12:18this research, number one.
  301. 12:20Number two,
  302. 12:21it needs four important sentence linked
  303. 12:24to number one,
  304. 12:25background of this issue, number two,
  305. 12:28gap in the knowledge of this particular
  306. 12:30issue, number three, the research
  307. 12:32question, why actually you did this, and
  308. 12:36it has to it should have the linkage
  309. 12:38with the study design of your research.
  310. 12:42Thank you.

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