On Using References as Evidence

2009 ◽  
Vol 48 (06) ◽  
pp. 503-507 ◽  
Author(s):  
J. Talmon ◽  
J. Brender

Summary Background: One has to start to consider references as a kind of evidence similar to measured data and observations. Moreover, proper referencing adds to the credibility of a paper and gives appropriate credits to work of others. Experience of reviewers and editors indicate that there is room for improvement in the way that our scientific evidence base is referred to. Objective: To provide guidelines for referencing in medical informatics publications. Method: The authors have collected examples of poor as well as good referencing as encountered in manuscripts submitted for review as well as in published literature. Results and Conclusion: A set of 12 rules for proper referencing was derived. The rationale for each rule is provided and examples of rule violations and proper use of the rule are pre sented.

1989 ◽  
Vol 28 (04) ◽  
pp. 243-245 ◽  
Author(s):  
C. Tumstra

Abstract:The introduction of a new structure in the Medical Curriculum at the Leiden University Medical School has facilitated the integration of medical informatics subjects with other subjects. The paper describes the holistic nature of the new curriculum, the way Medical Informatics is interwoven with other subjects and the problems which have been encountered.


Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1459
Author(s):  
Clifford Warwick ◽  
Rachel Grant ◽  
Catrina Steedman ◽  
Tiffani J. Howell ◽  
Phillip C. Arena ◽  
...  

Snakes are sentient animals and should be subject to the accepted general welfare principles of other species. However, they are also the only vertebrates commonly housed in conditions that prevent them from adopting rectilinear behavior (ability to fully stretch out). To assess the evidence bases for historical and current guidance on snake spatial considerations, we conducted a literature search and review regarding recommendations consistent with or specifying ≥1 × and <1 × snake length enclosure size. We identified 65 publications referring to snake enclosure sizes, which were separated into three categories: peer-reviewed literature (article or chapter appearing in a peer-reviewed journal or book, n = 31), grey literature (government or other report or scientific letter, n = 18), and opaque literature (non-scientifically indexed reports, care sheets, articles, husbandry books, website or other information for which originating source is not based on scientific evidence or where scientific evidence was not provided, n = 16). We found that recommendations suggesting enclosure sizes shorter than the snakes were based entirely on decades-old ‘rule of thumb’ practices that were unsupported by scientific evidence. In contrast, recommendations suggesting enclosure sizes that allowed snakes to fully stretch utilized scientific evidence and considerations of animal welfare. Providing snakes with enclosures that enable them to fully stretch does not suggest that so doing allows adequate space for all necessary normal and important considerations. However, such enclosures are vital to allow for a limited number of essential welfare-associated behaviors, of which rectilinear posturing is one, making them absolute minimum facilities even for short-term housing.


2018 ◽  
Author(s):  
Alasdair Neilson

This paper seeks to highlight the importance of metaphors for marine conservation and policy. It argues that themanner in which the oceans are perceived, often as an alien landscape, can limit the way language is utilised inmarine conservation efforts. This limitation can produce unhelpful environmental metaphors that, instead ofacting as catalysts for action, produce negative and reactionary responses. It illustrates this point through theexample of what has become known as the ‘Great Pacific Garbage Patch.’ It postulates that if there is a disconnectbetween the many complex environmental issues facing the world's oceans and the way they are perceived, thenmore focus should be placed on developing pre-determined culturally embedded metaphors, which can conjurerelatable imagery, but that are also rooted in scientific evidence. It recommends that, in an extension to existingpublic perception research (PPR) on how different communities value the ocean environment, there is room forshared metaphors of the oceanic environment to be developed that can help raise awareness within a particularcultural setting.


2008 ◽  
Vol 9 (3) ◽  
pp. 105-119 ◽  
Author(s):  
Harold Pashler ◽  
Mark McDaniel ◽  
Doug Rohrer ◽  
Robert Bjork

The term “learning styles” refers to the concept that individuals differ in regard to what mode of instruction or study is most effective for them. Proponents of learning-style assessment contend that optimal instruction requires diagnosing individuals' learning style and tailoring instruction accordingly. Assessments of learning style typically ask people to evaluate what sort of information presentation they prefer (e.g., words versus pictures versus speech) and/or what kind of mental activity they find most engaging or congenial (e.g., analysis versus listening), although assessment instruments are extremely diverse. The most common—but not the only—hypothesis about the instructional relevance of learning styles is the meshing hypothesis, according to which instruction is best provided in a format that matches the preferences of the learner (e.g., for a “visual learner,” emphasizing visual presentation of information). The learning-styles view has acquired great influence within the education field, and is frequently encountered at levels ranging from kindergarten to graduate school. There is a thriving industry devoted to publishing learning-styles tests and guidebooks for teachers, and many organizations offer professional development workshops for teachers and educators built around the concept of learning styles. The authors of the present review were charged with determining whether these practices are supported by scientific evidence. We concluded that any credible validation of learning-styles-based instruction requires robust documentation of a very particular type of experimental finding with several necessary criteria. First, students must be divided into groups on the basis of their learning styles, and then students from each group must be randomly assigned to receive one of multiple instructional methods. Next, students must then sit for a final test that is the same for all students. Finally, in order to demonstrate that optimal learning requires that students receive instruction tailored to their putative learning style, the experiment must reveal a specific type of interaction between learning style and instructional method: Students with one learning style achieve the best educational outcome when given an instructional method that differs from the instructional method producing the best outcome for students with a different learning style. In other words, the instructional method that proves most effective for students with one learning style is not the most effective method for students with a different learning style. Our review of the literature disclosed ample evidence that children and adults will, if asked, express preferences about how they prefer information to be presented to them. There is also plentiful evidence arguing that people differ in the degree to which they have some fairly specific aptitudes for different kinds of thinking and for processing different types of information. However, we found virtually no evidence for the interaction pattern mentioned above, which was judged to be a precondition for validating the educational applications of learning styles. Although the literature on learning styles is enormous, very few studies have even used an experimental methodology capable of testing the validity of learning styles applied to education. Moreover, of those that did use an appropriate method, several found results that flatly contradict the popular meshing hypothesis. We conclude therefore, that at present, there is no adequate evidence base to justify incorporating learning-styles assessments into general educational practice. Thus, limited education resources would better be devoted to adopting other educational practices that have a strong evidence base, of which there are an increasing number. However, given the lack of methodologically sound studies of learning styles, it would be an error to conclude that all possible versions of learning styles have been tested and found wanting; many have simply not been tested at all. Further research on the use of learning-styles assessment in instruction may in some cases be warranted, but such research needs to be performed appropriately.


2018 ◽  
Vol 50 ◽  
pp. 28-33 ◽  
Author(s):  
Elizabeth Randell ◽  
Rachel McNamara ◽  
Leena Subramanian ◽  
Kerenza Hood ◽  
David Linden

AbstractBackgroundA core principle of creating a scientific evidence base is that results can be replicated in independent experiments and in health intervention research. The TIDieR (Template for Intervention Description and Replication) checklist has been developed to aid in summarising key items needed when reporting clinical trials and other well designed evaluations of complex interventions in order that findings can be replicated or built on reliably. Neurofeedback (NF) using functional MRI (fMRI) is a multicomponent intervention that should be considered a complex intervention. The TIDieR checklist (with minor modification to increase applicability in this context) was distributed to NF researchers as a survey of current practice in the design and conduct of clinical studies. The aim was to document practice and convergence between research groups, highlighting areas for discussion and providing a basis for recommendations for harmonisation and standardisation.MethodsThe TIDieR checklist was interpreted and expanded (21 questions) to make it applicable to neurofeedback research studies. Using the web-based Bristol Online Survey (BOS) tool, the revised checklist was disseminated to researchers in the BRAINTRAIN European research collaborative network (supported by the European Commission) and others in the fMRI-neurofeedback community.ResultsThere were 16 responses to the survey. Responses were reported under eight main headings which covered the six domains of the TIDieR checklist: What, Why, When, How, Where and Who.ConclusionsThis piece of work provides encouraging insight into the ability to be able to map neuroimaging interventions to a structured framework for reporting purposes. Regardless of the considerable variability of design components, all studies could be described in standard terms of diagnostic groups, dose/duration, targeted areas/signals, and psychological strategies and learning models. Recommendations are made which include providing detailed rationale of intervention design in study protocols.


Author(s):  
Eric M. Patashnik ◽  
Alan S. Gerber ◽  
Conor M. Dowling

The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. This book sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. The book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against “doctor's orders.” It offers vital insights into the limits of science, expertise, and professionalism in American politics. The book explains why evidence-based medicine is important. First, the delivery of unproven care can expose patients to serious risks. Second, the slow integration of evidence can lead to suboptimal outcomes for patients who receive treatments that work less well for their conditions than alternatives. Third, the failure to implement evidence-based practices encourages wasteful spending, causing the health care system to underperform relative to its level of investment. This book assesses whether the delivery of medical care in the United States is evidence based. It argues that by systematically ignoring scientific evidence (or the lack thereof), the United States is substantially out of balance.


2020 ◽  
pp. 161-180
Author(s):  
Matthew Turner ◽  
Graeme Lilley

Women may choose to deliver their baby in different places, e.g. obstetric-led units, midwife-led units, or at home, depending on their risk assessment and the mother’s own wishes. The way they manage their pain during labour will depend on where they deliver; however, it is essential that they are fully informed about the available options. This chapter explores the evidence base for both non-pharmacological and pharmacological options, e.g. complementary therapies, water immersion, TENS, inhalational analgesia, and systemic opioids. The use of patient-controlled analgesia (PCA) with ultra-short acting opioids, e.g. remifentanil, has been shown to be safe when used in a monitored environment and has high maternal satisfaction scores. The typical regimens and safe monitoring conditions for PCA remifentanil use are described.


2019 ◽  
Vol 92 ◽  
pp. 05001 ◽  
Author(s):  
Laurence D Wesley

“It remains a mystery why the international profession still uses the awkward e-log p plots, and the incomplete and useless coefficient Cc which is not even determined from the measured data, but from a constructed line outside the measurements”. These are the words of Nilmar Janbu (1998). This paper does not solve the mystery; what it does is highlight the issue behind the mystery in the hope that the profession will face up to the defects of the log scale. An examination is made of oedometer test results when plotted to both scales. Examples are given for sedimentary and residual clays, and sands. It is shown that the e-logp plot routinely produces graphs from which pre-consolidation pressures or yield pressures can be determined. However, when plotted using an arithmetic (linear) scale, this apparent pre-consolidation or yield pressure is found, in most cases, to disappear. It is a false value created by the way the data are plotted. The paper does not deny that pre-consolidation or yield pressures exist in many soils; it gives examples for each of the soil types listed above. It is recommended that the term “yield pressure” be used in preference to “pre-consolidation pressure”, and that only the use of a linear scale will reveal whether such a pressure exists.


2015 ◽  
Vol 69 (8) ◽  
pp. 721-723 ◽  
Author(s):  
Carlos Alvarez-Dardet ◽  
Antony Morgan ◽  
Maria Teresa Ruiz Cantero ◽  
Mariano Hernán

2012 ◽  
Vol 78 ◽  
pp. 315-339 ◽  
Author(s):  
Anwen Cooper

This article presents a detailed analysis of developments in British prehistoric research practices from 1980–2010, traversing the period during which Planning Policy Guidance Note 16 (PPG16) was introduced and changed substantially the way that archaeology was carried out. Using evidence from Proceedings of the Prehistoric Society (PPS) itself together with key fieldwork records collated over the duration of this period, a consideration is made of changes in the character of prehistoric investigations, in the evidence base available to researchers, and in the methodologies drawn upon and interpretations put forward in significant outputs of British prehistoric research. Several major shifts in research practices are highlighted. The findings augment considerably broad claims which have been made about the changing character of British prehistoric research practices and reveal some perhaps surprising traits of the investigative process. PPS's own role within this broader research milieu is also assessed.


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