1、IMRAD RCT论文阅读与写作,评论五法,可带词典 不可带教科书与纸片 先阅读理解 不用翻译 按照要求评论-五个角度 用中文写出具体内容 每段有评论小结,标题,Six- and Twelve-Month Results From a Randomized, Double-Blind Trial on a Slow-Release Paclitaxel-Eluting Stent for De Novo Coronary Lesions,再发冠脉损害经用缓释型紫杉醇-洗脱支架随机双盲临床试验6-12月随访结果,Title - 变量关系：明确,有无自变量与因变量词自变量或因变量词能否体现论文核心
2、自变量或因变量词中有无体现科研演变,评论五法-用中文写出具体内容Structure: 漏斗；四层；问题Speciality: 呈现变量关系；方向Language: 语言Details: 细节Function: 信息 兴趣,Introduction “Funnel”,Material & Method Cookbook Chronology,Resutls From most to least,Discussion Diamond,引言,评论五法-用中文写出具体内容Structure: 漏斗；四层；问题Speciality: 呈现变量关系；方向Language: 语言Details: 细节Fun
3、ction: 信息 兴趣,Model,引言写作: 4层次模式 漏斗,引言的本质 变量关系转变,y1/x1 y2/x2,BS/CAD ES/CR,裸露支架/冠心 药膜支架/再狭窄,医学科研本质 变量关系演变,y0/x0y1/x1y2/x2,Tense & Turning word,3 tenses: 一般现在; 现在完成;一般过去 Nevertheless However But Although,Details, 300; 600 words2, 1, 3 (no 4) paragraphsless citation 引用少而精no details 无细节（实验）no result 无结果no
4、 researchers name 无权威名,材料与方法,材料与方法 Structure: 八要点 Speciality: 循证医学要求 Language: 一般过去时 Details： 定性与定量数据表示；显著性Function: 重复性如何（评价与重复）,M&M 分析总结 pro & con,4 Structures of “Subjects” for trial,Cook,循证医学：受试者 分层分析? stratification,Pattern Inclusion criteria Exclusion criteria Enrollment sample Age, sex classi
5、fication grouping,EBM,第6-8层次 按时钟法撰写=MIAs要求,Statistic Analysis,何种条件 数据:定量 定性 何种统计方法 显著性标准 软件名称,Statistics Analysis,现代趋势统计说明很详细,结果,Structure: 轻重；逻辑；一果一段 Speciality: 数据与结果分明；显著性（循证） Language: 受试者；样本；变量；四相；比较句 Details: 小标题 Function: 陈述；支持,COMMENT,结果段评价,Concept,Number、data与result 区分,JUDGEMENT,Data Result
6、,Comparison 广义结果比较,相关Correlation 相似Similarity 相异Difference 相反Opposition,主题句表达完整 ?,现代医学文献阅读法,to state to support,Fucntion,“结果” 重于“讨论”,现代趋势,讨论,Structure: diamond； 7层次 (完整) Speciality: 主要指标; pro explain,COMMENT,总结,首尾应答（首尾对照阅读） 对照支持与对照信服 (本研究) 解释机制 (本研究) 辩护优势 (与他人比较) 意外 不足 结论（意义、应用、前景）,Discussion - 七层次
7、7段,To answer To support To explain To defense Unexpectation Limitation To conclude,第一层次 - Question-Answer Match,Answer: introduction首尾应答首尾呼应 four Same Subject Sample Variables Verb,第三层次 Explaining 机制,Why is the answer is reasonable? How does it fit in the topic? To give the details for showing the n
8、ewness,第四层次 Defending,To explain why your answer is more satisfactory than others. With pro-con defense policy 正反两方面： 高剂量如何 低剂量如何？,The key for IMRAD R&W,医学论文写作无定论 IMRAD is not a dogma Impossible to solve everything 所立之评定法不可能解决所有问题 The scholar level is the key 关键在于专业学术水平 因文与因专业而异,Is there anything wrong? 是否有错？ Is there anything valuable? 有价值吗？ is it the first in the world? 是否第一？ is it worth being imported? 值得引进吗？,国际评委四步审阅法-必须结合检索,Thank you,
