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September 2016 Volume 60 | Issue 9
Page Nos. 619-699
Online since Thursday, September 15, 2016
Accessed 148,612 times.
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EDITORIALS |
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Learning research methodology: Revisiting the evidence |
p. 619 |
SS Harsoor, S Bala Bhaskar DOI:10.4103/0019-5049.190613 PMID:27729685 |
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Importance of evidence-based medicine on research and practice |
p. 622 |
Sriganesh Kamath, Gordon Guyatt DOI:10.4103/0019-5049.190615 PMID:27729686 |
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REVIEW ARTICLES |
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Types of studies and research design |
p. 626 |
Mukul Chandra Kapoor DOI:10.4103/0019-5049.190616 PMID:27729687Medical research has evolved, from individual expert described opinions and techniques, to scientifically designed methodology-based studies. Evidence-based medicine (EBM) was established to re-evaluate medical facts and remove various myths in clinical practice. Research methodology is now protocol based with predefined steps. Studies were classified based on the method of collection and evaluation of data. Clinical study methodology now needs to comply to strict ethical, moral, truth, and transparency standards, ensuring that no conflict of interest is involved. A medical research pyramid has been designed to grade the quality of evidence and help physicians determine the value of the research. Randomised controlled trials (RCTs) have become gold standards for quality research. EBM now scales systemic reviews and meta-analyses at a level higher than RCTs to overcome deficiencies in the randomised trials due to errors in methodology and analyses. |
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How to write a research proposal? |
p. 631 |
K Sudheesh, Devika Rani Duggappa, SS Nethra DOI:10.4103/0019-5049.190617 PMID:27729688Writing the proposal of a research work in the present era is a challenging task due to the constantly evolving trends in the qualitative research design and the need to incorporate medical advances into the methodology. The proposal is a detailed plan or 'blueprint' for the intended study, and once it is completed, the research project should flow smoothly. Even today, many of the proposals at post-graduate evaluation committees and application proposals for funding are substandard. A search was conducted with keywords such as research proposal, writing proposal and qualitative using search engines, namely, PubMed and Google Scholar, and an attempt has been made to provide broad guidelines for writing a scientifically appropriate research proposal. |
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Literature search for research planning and identification of research problem |
p. 635 |
Anju Grewal, Hanish Kataria, Ira Dhawan DOI:10.4103/0019-5049.190618 PMID:27729689Literature search is a key step in performing good authentic research. It helps in formulating a research question and planning the study. The available published data are enormous; therefore, choosing the appropriate articles relevant to your study in question is an art. It can be time-consuming, tiring and can lead to disinterest or even abandonment of search in between if not carried out in a step-wise manner. Various databases are available for performing literature search. This article primarily stresses on how to formulate a research question, the various types and sources for literature search, which will help make your search specific and time-saving. |
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Methodology for research I |
p. 640 |
Rakesh Garg DOI:10.4103/0019-5049.190619 PMID:27729690The conduct of research requires a systematic approach involving diligent planning and its execution as planned. It comprises various essential predefined components such as aims, population, conduct/technique, outcome and statistical considerations. These need to be objective, reliable and in a repeatable format. Hence, the understanding of the basic aspects of methodology is essential for any researcher. This is a narrative review and focuses on various aspects of the methodology for conduct of a clinical research. The relevant keywords were used for literature search from various databases and from bibliographies of the articles. |
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Methodology for research II |
p. 646 |
S Bala Bhaskar, M Manjuladevi DOI:10.4103/0019-5049.190620 PMID:27729691Research is a systematic process, which uses scientific methods to generate new knowledge that can be used to solve a query or improve on the existing system. Any research on human subjects is associated with varying degree of risk to the participating individual and it is important to safeguard the welfare and rights of the participants. This review focuses on various steps involved in methodology (in continuation with the previous section) before the data are submitted for publication. |
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Sample size calculation: Basic principles |
p. 652 |
Sabyasachi Das, Koel Mitra, Mohanchandra Mandal DOI:10.4103/0019-5049.190621 PMID:27729692Addressing a sample size is a practical issue that has to be solved during planning and designing stage of the study. The aim of any clinical research is to detect the actual difference between two groups (power) and to provide an estimate of the difference with a reasonable accuracy (precision). Hence, researchers should do a priori estimate of sample size well ahead, before conducting the study. Post hoc sample size computation is not encouraged conventionally. Adequate sample size minimizes the random error or in other words, lessens something happening by chance. Too small a sample may fail to answer the research question and can be of questionable validity or provide an imprecise answer while too large a sample may answer the question but is resource-intensive and also may be unethical. More transparency in the calculation of sample size is required so that it can be justified and replicated while reporting. |
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Interpretation and display of research results |
p. 657 |
Dilip Kumar Kulkarni DOI:10.4103/0019-5049.190622 PMID:27729693It important to properly collect, code, clean and edit the data before interpreting and displaying the research results. Computers play a major role in different phases of research starting from conceptual, design and planning, data collection, data analysis and research publication phases. The main objective of data display is to summarize the characteristics of a data and to make the data more comprehensible and meaningful. Usually data is presented depending upon the type of data in different tables and graphs. This will enable not only to understand the data behaviour, but also useful in choosing the different statistical tests to be applied. |
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Basic statistical tools in research and data analysis  |
p. 662 |
Zulfiqar Ali, S Bala Bhaskar DOI:10.4103/0019-5049.190623 PMID:27729694Statistical methods involved in carrying out a study include planning, designing, collecting data, analysing, drawing meaningful interpretation and reporting of the research findings. The statistical analysis gives meaning to the meaningless numbers, thereby breathing life into a lifeless data. The results and inferences are precise only if proper statistical tests are used. This article will try to acquaint the reader with the basic research tools that are utilised while conducting various studies. The article covers a brief outline of the variables, an understanding of quantitative and qualitative variables and the measures of central tendency. An idea of the sample size estimation, power analysis and the statistical errors is given. Finally, there is a summary of parametric and non-parametric tests used for data analysis. |
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Critical appraisal of published literature |
p. 670 |
Goneppanavar Umesh, John George Karippacheril, Rahul Magazine DOI:10.4103/0019-5049.190624 PMID:27729695With a large output of medical literature coming out every year, it is impossible for readers to read every article. Critical appraisal of scientific literature is an important skill to be mastered not only by academic medical professionals but also by those involved in clinical practice. Before incorporating changes into the management of their patients, a thorough evaluation of the current or published literature is an important step in clinical practice. It is necessary for assessing the published literature for its scientific validity and generalizability to the specific patient community and reader's work environment. Simple steps have been provided by Consolidated Standard for Reporting Trial statements, Scottish Intercollegiate Guidelines Network and several other resources which if implemented may help the reader to avoid reading flawed literature and prevent the incorporation of biased or untrustworthy information into our practice. |
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Preparing manuscript: Scientific writing for publication |
p. 674 |
Sukhminder Jit Singh Bajwa, Chhavi Sawhney DOI:10.4103/0019-5049.190625 PMID:27729696Publication has become a burning issue among Indian medical fraternity owing to certain academic and professional necessities. The large number of submissions to the anaesthesia journals has resulted in accumulation of too much below average scientific material. A properly written manuscript is the dream of every editor and reviewer. The art of preparing a manuscript can be acquired only by following certain basic rules and technical aspects, besides knowledge and skills. Before preparing the manuscript, a target journal should be considered. All the instructions to the authors pertaining to that particular journal should be followed meticulously before preparing the manuscript for submission. The basic structure of the manuscript to be followed can be summarised by the acronym IMRaD (introduction, methods, results and discussion). The current review article aims to highlight all those mandatory and desirable features which should be kept in consideration while preparing a scientific manuscript for publication. |
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Art and science of authorship for biomedical research publication |
p. 679 |
SS Harsoor DOI:10.4103/0019-5049.190626 PMID:27729697Completion of research is logically followed by process of submission of the outcomes for publication. The objective of this article is to sensitise the young potential authors to improve their skill of writing so that the acceptance rate of publication is improved without significant comments and efforts of the editors of the journal. The article is based on the available literature combined with the experience of the author himself as reviewer and editor of biomedical journals. The treatment patterns of clinicians are moving towards evidence-based medical practice. Hence, a clinically relevant research question based on the contemporary knowledge gap is studied using appropriate research methodology. The writers are informed about the criteria to be fulfilled to claim authorship. Finally, emphasis is laid on the essentials of good medical writing necessary for publication. The writing for submission to biomedical journal is both an art and science in itself. A scientifically well-conducted study along with a sound knowledge of the mechanics of writing will enable the novices to achieve better acceptance rate for publication. |
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Legal and ethical issues in research |
p. 684 |
Camille Yip, Nian-Lin Reena Han, Ban Leong Sng DOI:10.4103/0019-5049.190627 PMID:27729698Legal and ethical issues form an important component of modern research, related to the subject and researcher. This article seeks to briefly review the various international guidelines and regulations that exist on issues related to informed consent, confidentiality, providing incentives and various forms of research misconduct. Relevant original publications (The Declaration of Helsinki, Belmont Report, Council for International Organisations of Medical Sciences/World Health Organisation International Guidelines for Biomedical Research Involving Human Subjects, World Association of Medical Editors Recommendations on Publication Ethics Policies, International Committee of Medical Journal Editors, CoSE White Paper, International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use-Good Clinical Practice) form the literature that are relevant to the ethical and legal aspects of conducting research that researchers should abide by when conducting translational and clinical research. Researchers should note the major international guidelines and regional differences in legislation. Hence, specific ethical advice should be sought at local Ethics Review Committees. |
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A brief overview of systematic reviews and meta-analyses |
p. 689 |
Kamath Sriganesh, Harsha Shanthanna, Jason W Busse DOI:10.4103/0019-5049.190628 PMID:27729699Systematic reviews (SRs) are performed to acquire all evidence to address a specific clinical question and involve a reproducible and thorough search of the literature and critical appraisal of eligible studies. When combined with a meta-analysis (quantitatively pooling of results of individual studies), a rigorously conducted SR provides the best available evidence for informing clinical practice. In this article, we provide a brief overview of SRs and meta-analyses for anaesthesiologists. |
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Case reports: Brief overview of reporting and submission to biomedical journal |
p. 695 |
CL Gurudatt DOI:10.4103/0019-5049.190629 PMID:27729700A case report is a specific type of research design that reports on an aspect of the management of patients. Case reports have significantly influenced the evolution of medicine. In general, case reports should be short and focussed and should contain abstract, introduction, description of the case, discussion and conclusion. The aim of this article is to provide useful details and tips to the young anaesthesiologists in the writing of a case report and then to publish it. |
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