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Discussion: 9 Moves
1. Repeat research purpose and emphasize scientific value 2. Summarise key results 3. Compare with previous studies (in line with..) 4. Contrast with previous studies (not in line with) 5. Offer explanations 6. Present implications for theory and practice 7. State the limitations of the study 8. Offer recommendations for future research 9. Build up to a strong conclusion
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Pitfall: boring opening
Alcoholism is a significant public health problem. Chronic obstructive pulmonary disease (COPD) constitutes a major health problem. Percutaneous coronary intervention was first reported in 1979 by Gruntzig. The clinical diagnosis of small bowel disease is complicated by non- specific symptoms and a low index of suspicion. Major surgery induces the production of reactive
an immuno-inflammatory response that may cause cellular injury by damaging lipids, proteins and DNA.
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Pitfall: confusing paragraphs
Our results concerning the association of general anesthesia and perioperative agents with delirium are consistent with the results of other studies. We clinically assessed patients on admission prior to surgery and included a large number of patients in one well-defined class of surgery, many of whom were not at risk for delirium. Furthermore, in our study diagnosis of postoperative delirium was based on clinical patient interviews and DSM IV criteria, and validated diagnostic instruments and delirium rating scales were used. By doing so we were able to examine both the effects of anesthesia type, anesthetics, and baseline risk factors on delirium in a single multivariate analysis. Thus, we consider our method as a rigorous approach to explore the important problem of potentially adverse short-term outcomes of anesthesia. 22 22 22 22
Improved version
While our results are consistent with other studies, we used a particularly rigorous approach to explore short-term outcomes
- f anesthesia. We clinically assessed patients on admission
prior to surgery and included a large number of patients in one well-defined class of surgery, including many who were not at risk for delirium. Furthermore, in our study the diagnosis of postoperative delirium was based on clinical patient interviews and DSM IV criteria, and we used validated diagnostic instruments and delirium rating scales. By doing so, we were able to examine the effects of anesthesia type, of anesthetics and of baseline risk factors on delirium in a single multivariate analysis. 23 23 23 23
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Evidence
Corroboration
Claim Claim Corroboration
Corroboration
Evidence Evidence
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Paragraph structure
- 1. Topic sentence
- 2. Supporting material
- examples, quotes, statistics etc
- Evaluate evidence, compare sources
- Causes, reasons, consequences etc
- Explain unclear key terms
- 3. Concluding sentence (optional)
