Bridging the Gap between Structured and Free-form Radiology Reporting: A Case-study on Coronary CT Angiography

Free-form radiology reports associated with coronary computed tomography angiography (CCTA) include nuanced and complicated linguistics to report cardiovascular disease. Standardization and interpretation of such reports is crucial for clinical use of CCTA. Coronary Artery Disease Reporting and Data System (CAD-RADS) has been proposed to achieve such standardization by implementing a strict template-based report writing and assignment of a score between 0 and 5 indicating the severity of coronary artery lesions. Even after its introduction, free-form unstructured report writing remains popular among radiologists. In this work, we present our attempts at bridging the gap between structured and unstructured reporting by natural language processing. We present machine learning models that while being trained only on structured reports, can predict CAD-RADS scores by analysis of free-text of unstructured radiology reports. The best model achieves 98% accuracy on structured reports and 92% 1-margin accuracy (difference of \le 1 in the predicted and the actual scores) for free-form unstructured reports. Our model also performs well under very difficult circumstances including nuanced and widely varying terminology used for reporting cardiovascular functions and diseases, scarcity of labeled data for training our model, and uneven class label distribution.

ENGLISH FOR MARKET RESEARCH REPORT WRITING: COURSE DESIGN

At undergraduate and postgraduate levels in business schools, lecturers often provide students with a suggested structure for a market research report assignment. Thereafter, the students are left to independently master the appropriate register and the technique of writing for this genre. While many students may learn to be good at business studies, they might fall short in writing despite having to produce several reports at university level. One of the reasons for this shortfall may be that some of the students may lack the confidence to produce reports which meet academic or professional standards in the English language. A short English for Specific Purposes (ESP) course that addresses the technical writing needs of business students as an option or add-on course to undergraduate and postgraduate business curricula could provide the simple solution. It could even be formalised as a credit bearing course to motivate students to undertake it.With a view to the above, as a pilot ESP module, a 15-hour English for Market Research Report Writing Skills course was designed to try and meet the specific needs of undergraduate market research students at the Warwick Business School (WBS). It was intended to be taught under the auspices of the Warwick Skills Certificate Programme at the University of Warwick in the United Kingdom (UK).

‘The Reconstruction of the Past is the Task of Historians and not Agents’

State security archives in Eastern Europe are shedding new light on the operative practices of the secret services and their interaction with performance art. Surveillance, tracking, undermining, disruption, writing of reports, and measure plans were different operative methods to be carried out in continuous repetitive processes. This paper argues that, through these repetitive working processes, state security agencies were permanently engaged in different forms of reenactments: of orders, legends, report writing, and inventing measure plans. With this operative reenactment, state security agencies not only tried to track down facts but also created ‘fake facts’ serving their agenda. These `fake-facts` were then again repeated and reenacted by informants endlessly to be `effective` in the surveillance and elimination of performance art.

Retrospective Study of Inspectors Competency in the Act of Writing GMP Inspection Report

The research was a retrospective study of twenty-five Good Manufacturing Practice (GMP) inspection reports (from March 2017 through to December 2018) of a national medicine regulatory agency, drug Inspectorate, in West Africa, designed to assess the inspectors’ expertise in the act of inspection report writing. The investigation examined a paper-based tool of thirteen pre-registration Inspection reports and twelve GMP reassessment reports written prior and following an intervention program by external GMP trainers to enhance inspectors’ skill in pharmaceutical cGMP inspection. The study made use of quantitative analysis to investigate each team’s expertise in the act of writing GMP inspection report. Likewise, each report’s compliance with the requirements of three regulatory standards on GMP inspection report writing was ascertained. Impact of intervention program on lead inspectors’ competence was assessed. Lastly, gap in each team writing effectiveness, and lead inspectors’ abilities to deliver an effective report were determined. The results showed one of the inspection team (4.0%) wrote an excellent report. Two (8.0%) of the twenty-five inspection teams penned good inspection reports. Eleven (44.0%) teams drafted needs improvement reports and the remaining eleven teams (44.0%) prepared unacceptable reports. The excellent report and the two good reports had report format that meet expectation. One (50.0%) of the good reports showed the authors possess excellent knowledge of cGMP technical areas. The remain good report (50.0%) revealed the writers’ knowledge.as good. The excellent report showed the authors displayed partial mastery in the use of objective evidence while the two good reports disclosed theirs as having partial and evolving abilities. One of the teams (50.0%) that wrote good reports displayed good use of third person narrative past tense in report writing whereas the other team used the same tense and voice excellently. Generally, a sort of marginal level of performance was prominent among the inspection teams. A gap, if not tackled, will slow down regulatory process through increase report review, litigations that query report factual accuracy (AIHO, 2017) and delay in issuance of marketing authorization. In conclusion, trainings on quality attributes, such as technical content (Quality Management System (QMS) and Site), the use of objective evidence, assignment of risk levels to GMP violations and citing of applicable laws, regulation and guidelines that substantiate GMP observations, were recommended, to enhance knowledge sharing and regulators’ performance in the act of writing inspection report.

L2 Theme development in Discursive and Experimental undergraduate student writing

To complement earlier studies of writing development in the BAWE corpus of successful student writing (Nesi & Gardner 2012; Staples et al. 2016), we examine the Systemic Functional Linguistics notion of Theme as used by L2 writers across first- and third-year and in two distinctive discourse types: persuasive/argumentative Discursive writing of assignments in the soft disciplines and Experimental report writing of assignments in the hard sciences. Theme analysis reveals more substantial differences across the two discourse types than between first- and third-year L2 undergraduate writing. Textual Themes are consistently more frequent than interpersonal Themes, and some variance is found within subcategories of each. Significant differences in lexical density occur across third-year discourse types and between first- and third-year Experimental writing where a predominance of N+N topical Themes is also found. These findings are important as previous research has tended to focus on L1 Discursive writing.

The Entrepreneurial Story and its Implications for Research

Research is not merely report-writing; it also involves elements of storytelling. In this essay, we reflect on two narrative archetypes in entrepreneurship research: the stories of entrepreneurship as a road to salvation and means to emancipation. We outline a framework to analyze research from a storytelling perspective, apply this framework to identify implicit assumptions and methodological biases in mainstream research, and discuss how a storytelling framework can be used to generate alternative stories. We argue for a more empirically grounded research agenda that continues the development of entrepreneurship research into a rich and diverse field.