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Anatomy of a Scientific Paper Faheem Guirgis, MD Research Essentials 6/2/20 Objectives 1 2 3 4 5 Review the necessary Outline the Discuss the Discuss the role of Outline the peer components of a organization of requirements of each


  1. Anatomy of a Scientific Paper Faheem Guirgis, MD Research Essentials 6/2/20

  2. Objectives 1 2 3 4 5 Review the necessary Outline the Discuss the Discuss the role of Outline the peer components of a organization of requirements of each figures and tables in review process and scientific paper scientific paper content section emphasizing and provide tips for success displaying important research data

  3. “Papers have both anatomy and physiology, structure and function.“ Gould JC et al. Writing well: lowering the barriers to success. Nature Immunology. Vol 15, No. 8, August 2014.

  4. Why do we writ ite?

  5. Scientific writing for clinicians is problematic

  6. Writing is difficult

  7. Exercise your writing skills

  8. Why do I want to publish? Before you get started Is my work publishable?

  9. Before you Decide what type of get started manuscript to write

  10. Before you Pick a Journal get started

  11. Review journal Before you requirements in the get started guide for authors

  12. Before you Pay attention to the get started structure of the paper

  13. Understand publication ethics to Before you avoid violations . get started www.publicationethics.org

  14. Where do I start?

  15. Basic Structure IMRAD

  16. Basic Section Pages Paragraphs Words Structure Introduction 1-1.5 3-4 300-600 Methods 2-3 6-9 750 Results 3 4-9 1000 Discussion 3-4 6-7 1000-1500

  17. Organize Your Writing

  18. Tables/Figures Methods Results

  19. Tables and Figures

  20. Tables and Figures Appropriate title Make the table legends and captions clear and concise Define all abbreviations Use proper units for numeric data Indicate which statistical tests were used when appropriate

  21. Tables and Figures Table 1. Population Characteristics Figure 1. Graph with main findings Table 2. Univariate findings Table 3. Multivariate findings

  22. Figures

  23. Kumar et al. Crit Care Med 2006 Vol. 34, No. 6

  24. LeCun Y, et al. Deep Learning. Nature volume 521, p. 436 – 444 (2015).

  25. Figure Tips

  26. Use the right kind of chart

  27. Methods

  28. Methods Study Setting/Design Study Patients In Interventions (i (if f applicable) Data Coll llection Outcomes Statistical Methods

  29. In Interv rventions Consent Randomization Blin lindin ing Drug admin inistration Assessments (blo lood draws, , surveys, , physical l exam fin indin ings)

  30. Data collection What data was coll llected, how, , by whom? Data management and storage Adju judic icatio ion/Vali lidatio ion Agreement (Kappa or r % agreement)

  31. Outcomes Pri rimary ry Outcome = e.g., , survival, pain in score, peak fl flow im improvement for asthma Secondary ry Outcomes = e.g., hospital le length of f stay, IC ICU le length of f stay, 28-day mortality, tim ime to dis ischarge

  32. Stats Methods Sample le Siz ize and Power Analyt lytic pla lan, , univ ivariate testing, g, mult ltiv ivariate testin ing Software used

  33. Results

  34. Data Results Are the facts obtained The meaning and from experiments or interpretation of data observations Can be presented as raw, Statements that explain or summarized or summarize what the data Data vs. . transformed show Rarely stand alone May have a direction Results (positive or negative) or magnitude (10% increase) May contain statistical significance (p-value) E.g. mean fasting blood E.g. mean fasting blood glucose was 180 mg/dL glucose was significantly in DM pts, and 95 mg/dL higher in type 1 DM in non-DM patients compared to non-DM patients (180 (20) vs 95 (5), p = 0.03).

  35. Data Results Are the facts obtained The meaning and from experiments or interpretation of data observations Can be presented as raw, Statements that explain or summarized or summarize what the data Data vs. . transformed show Rarely stand alone May have a direction Results (positive or negative) or magnitude (10% increase) May contain statistical significance (p-value) E.g. mean fasting blood E.g. mean fasting blood glucose was 180 mg/dL glucose was significantly in DM pts, and 95 mg/dL higher in type 1 DM in non-DM patients compared to non-DM patients (180 (20) vs 95 (5), p = 0.03).

  36. Data Results Are the facts obtained The meaning and from experiments or interpretation of data observations Can be presented as raw, Statements that explain or summarized or summarize what the data Data vs. . transformed show Rarely stand alone May have a direction Results (positive or negative) or magnitude (10% increase) May contain statistical significance (p-value) E.g. mean fasting blood E.g. mean fasting blood glucose was 180 mg/dL glucose was significantly in DM pts, and 95 mg/dL higher in type 1 DM in non-DM patients compared to non-DM patients (180 (20) vs 95 (5), p = 0.03).

  37. Data Results Are the facts obtained The meaning and from experiments or interpretation of data observations Can be presented as raw, Statements that explain or summarized or summarize what the data Data vs. . transformed show Rarely stand alone May have a direction Results (positive or negative) or magnitude (10% increase) No tests of significance May contain statistical significance (p-value) E.g. mean fasting blood E.g. mean fasting blood glucose was 180 mg/dL glucose was significantly in DM pts, and 95 mg/dL higher in type 1 DM in non-DM patients compared to non-DM patients (180 (20) vs 95 (5), p = 0.03).

  38. Data Results Are the facts obtained The meaning and from experiments or interpretation of data observations Can be presented as raw, Statements that explain or summarized or summarize what the data Data vs. . transformed show Rarely stand alone May have a direction Results (positive or negative) or magnitude (10% increase) No tests of significance May contain statistical significance (p-value) E.g. mean fasting blood E.g. mean fasting blood glucose was 180 mg/dL glucose was higher in type in DM pts, and 95 mg/dL 1 DM patients compared in non-DM to non-DM patients (180 (20) vs 95 (5), p = 0.03).

  39. Result lts Result lts should be presented in in a lo logical manner “General to specific” is the most common format for clin linic ical l studie ies Univ ivariate foll llowed by y mult ltiv ivariate result lts

  40. Results Exa xample P1: Study partic icipants, general descriptors P2: Univ ivaria iate results for control group, followed by y exp xperimental l group P3: Paragraph on im important fig igure 1 or table le P4: Mult ltivaria iate results P5: Secondary pertin inent fin indin ings

  41. There were 30% of patie ients who had DM (30/100), , 22% who had COPD, , 15% who had hyperlipidemia… The most common comorbid condit ition was DM, , foll llowed by y COPD, , and hyperlip ipid idemia (Table 1)

  42. Pri rimary Outcome The mean SOFA score fr from baseline to 96 hours decreased fr from 11 to 6 (5 (5 points) ) in in th the experimental group and fr from 10 to 7 (3 (3 points) ) in in th the pla lacebo group (d (dif ifference, 2; 95% CI, I, 1 to 3; P P = .2 .20). ). (T (Table 2)

  43. Results Use subheadings to keep results of f the same type together

  44. Results Interpret but don’t make in inferences about your results Don’t include references

  45. Results Use supplemental fi figures and tables to present secondary ry data Don’t attempt to hide data

  46. Discussion The main function of the discussion section is to answer the research question and to use the results for supporting the answer

  47. Discussion The purpose of a discussion is to relate the results observed with facts, interpret their meaning, justify their importance and contributions to current scientific literature, and provide specific suggestions for future research

  48. Discussion P1: Summarize the key findings of the study. Directly answer the questions presented in the Intro. P2: Interpret the results. State study importance and how it adds to the literature P3: Compare and contrast to other studies in the field P4: Discuss secondary pertinent findings P5: Study Limitations

  49. Conclusion Summarizes and focuses on the main question addressed in the study and links it to the objectives Short paragraph (3-5 sentences)

  50. Conclusion Must be supported by data

  51. Conclusion Strong, clear, concise

  52. Conclusion Clearly state whether the findings support the hypothesis or not

  53. Introduction Summary of relevant literature and background knowledge

  54. Introduction Highlight the gap of knowledge

  55. Introduction States the research question or hypothesis and defines the objectives of the study

  56. Introduction Describes the methodological approach used to fill in the gap and respond to the question

  57. Abstract Background/Objective, Methods Results, Conclusion Grab the reader’s attention with the first statement Limited to the most important information

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