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Medical Style

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Title: Medical Style


1
Medical Style
  • C507
  • Scientific Writing
  • Session 10

2
Definition of Style
  • The word Style, when applied to writing,
    pertains not only to writing style but also to
    the basic organization of a scientific paper or
    other publication, the editorial style of the
    journal or publisher, and the typographical style
    of the publisher or printer

3
Science Writing is Distinctive
  • In 2 different ways
  • First, it should be simple and clear clarity is
    the essential goal
  • Gettysburg Address- 267 words total, 196 of which
    were one syllable
  • Second, organization is important
  • Each paper type organized in the same way

4
General Advice on Style
  • Use the first person (I or we) for describing
    what you
  • Use the active voice in preference to the passive
    voice
  • X crossed the membrane, instead of
  • The membrane was crossed by X.

5
General Advice on Style
  • Use the past tense for observations, completed
    actions and specific conclusions
  • Use the present tense for generalizations and
    statements of general validity

6
General Advice on Style
  • Avoid gobbledygook jargon and other pompous
    use of long words, circumlocution and other
    linguistic flatulence.
  • Specialist jargon is at times necessary but is
    easily overdone, ie, the listing terminology of
    Gonstead technique, which is to me goobledygook
    but is clear to those in the know

7
General Advice on Style
  • If you are an ESL author, dont apply the same
    principles of style when you write in English as
    are used in your language

8
Problems of Grammar and Style
  • There are 4 principles one can use for solving
    problems of style (Woodford 1968)
  • Be simple and concise
  • Make sure of the meaning of every word
  • Use verbs instead of abstract nouns
  • Break up noun clusters and stacked modifiers

9
Grammar!
  • Parallelism- this refers to the logical
    construction of sentences
  • For example First, we must run hard. Secondly,
    we must run fast.

10
Agreement of Subject and Verbs
  • Singular subjects take singular verbs and plural
    subjects take plural verbs
  • Usually, most verbs have a form, ending in s,
    that goes with singular subjects
  • She runs.
  • They have another form, without the s, that
    goes with plural subjects
  • They run.

11
Agreement of Subject and Verbs
  • The rule is not rigid
  • A series of experiments (was, were) performed
  • A number of experiments (was, were performed)
  • Both appear singular, but in the first, the word
    series refers to a group of experiments so the
    singular verb would be used was
  • In the second, number appears singular but is
    certainly more than one and so we use the plural
    form were

12
Agreement of Subject and Verbs
  • Another example
  • A bunch of grapes (is, are) on the table
  • A bunch of apples (is, are) on the table
  • Grapes come in bunches, a connected group, so is
    singular is
  • Apples grow as singles, so a bunch of them is
    plural are

13
Split Infinitives
  • An infinitive verb form with an element, usually
    an adverb, interposed between to and the verb
    form, as in to boldly go
  • These can be used in moderation, and at times it
    is hard to rewrite and make the new sentence keep
    the sense of the old

14
Split Infinitives
  • For Example I fail to completely understand
    rigid rules is a split infinitive, but try to
    rewrite
  • I fail completely to understand rigid rules
  • I fail to understand completely rigid rules
  • I fail to understand rigid rules completely

15
Double Negatives
  • Dont use no double negatives! Usually
  • Aint nobody around here who knows nuthin about
    nuthin nohow is perfectly clear
  • And we know what we mean when we say I aint
    got no money
  • But this can sometimes be hidden

16
Syntax
  • This is the branch of grammar dealing with word
    order
  • I knew a man with a wooden leg named George
  • He was the leader of a political party that said
    he could best handle the coming chaos under his
    leadership

17
The Fundamental Principle of Syntax
  • Modifiers should be as close as possible to the
    words, phrases, or clauses they modify
  • This is logical if words relate to one another,
    they should be close to one another

18
The Fundamental Principle of Syntax
  • When we forget the rule, we will dangle
    participles
  • While having lunch, the reaction mixture
    exploded.
  • In analyzing the data statistically, the S.
    typhimurium infections were indeed rare.
  • These mistakes abound in scientific publication

19
The Fundamental Principle of Syntax
  • Single words, usually adverbs, can cause problems
    if the writer is careless about where such words
    are inserted in the sentence. Consider
  • Only I hit him in the eye yesterday
  • I only hit him in the eye yesterday
  • I hit only him in the eye yesterday
  • I hit him only in the eye yesterday
  • Etc. and see how the meaning changes?

20
The Fundamental Principle of Syntax
  • Not only is only a word to watch, so is just
  • Just today we visited my aunt
  • Today just we visited my aunt
  • Today we just visited my aunt
  • Today we visited just my aunt
  • Today we visited my just aunt

21
The Fundamental Principle of Syntax
  • There is 1000 difference between
  • I almost wrote a check for 1000
  • I wrote a check for almost 1000

22
The Fundamental Principle of Syntax
  • So, do we really need to pay attention to syntax?
  • I went to a town that was 20 miles away on Tuesday

23
Theres the Rub
  • Try not to start a sentence with the word there
  • There is nothing wrong with starting a sentence
    with the word there oops!
  • Nothing is wrong with a sentence beginning with
    there

24
Words
  • Long words name little things. All big things
    have little names, such as life and death, peace
    and war, or dawn, day night, love, home. Learn to
    use little words in a big way. It is hard to do.
    But they say what you mean. When you dont know
    what you mean, use big words. They often fool
    little people.

25
Words
  • English is a wonderful language, where many words
    can be used with great precision. Some words have
    unique meaning, but others are more nebulous.
  • Usually we choose among words that are
    essentially synonymous- and when doing so- choose
    the common or short word

26
Choice of Words
  • Here are examples of the daunting nature of
    English
  • Over sight- may mean responsibility or lack of it
  • Valuable and invaluable mean the same thing
  • A reckless driver is not likely to be a wreckless
    driver
  • In spite of the oddities, we can use English
    reasonably if we use the short word, the known
    word, the word with certain meaning

27
Choice of Words
  • When we were in high school we were likely taught
    to vary words for the sake of variety. This is
    fine for literary writing.
  • In science, this is not fine. Every variation can
    be confusing, and even more so to those
    non-natives who are struggling with English

28
Metaphors
  • Use them sparingly
  • We risk losing comprehension of our readers when
    we use words in other than their literal meanings
  • Non-native speakers may have no clue what we mean
  • If used, dont mix metaphors

29
Metaphors
  • Examples of mixed metaphors
  • There are a lot of shaky knees with clay feet on
    thin ice
  • If this thing starts to snowball, it will catch
    fire anywhere
  • If Lincoln were alive today, hed roll over in
    his grave- Gerald Ford

30
The Parts of Speech
  • The taxonomy of English words is relatively
    simple for our half million English words
  • There are really nine taxonomic pigeonholes
  • Nouns Pronouns
  • Verbs Adjectives
  • Adverbs Conjunctions
  • Prepositions Interjections
  • Articles

31
Nouns
  • A noun is a word for a person, place, thing or
    ideausually
  • Because, there are always exceptions to every
    rule when it comes to grammar, so remember this
    for every kind of word

32
Types of Nouns
  • There are 2 types of nouns
  • Proper- includes specific persons (Robert
    Rowell), places (Davenport), things (Palmer
    Center) and ideas (Rationalism)
  • Common- is any noun except a proper noun

33
Two Useful Rules
  • Proper nouns are virtually always capitalized,
    whereas common nouns are not
  • Proper nouns, being specific, are usually
    singular common nouns may be either singular or
    plural
  • Derivatives of proper nouns are also capitalized,
    ie. American, from America

34
Two Useful Rules
  • This distinction is important in science, for
    reasons not so apparent
  • Generic names versus proprietary names
  • Doxycycline/tetracycline
  • Makers of machine versus machines
  • Xerox/photocopier
  • Scientific names of organisms versus vernacular
    names
  • Streptococcus/streptococci

35
Common Nouns
  • Can be Concrete those persons, places or things
    we can detect with our senses
  • Can be Abstract nouns, usually ideas or
    concepts, not directly detected by our senses
  • This is not a problem in scientific writing

36
Collective and Mass Nouns
  • Collective noun indicates a group or collection
    of persons, places, things, or qualities
  • Examples are audience, committee, personnel,
    army, class
  • The general rule is that such nouns are plural in
    meaning but singular in form
  • The audience is restless
  • The couple owns a a condominium

37
Collective and Mass Nouns
  • The rule often breaks down. Whenever the
    individuality of the members of a group is
    emphasized, the plural form of the verb is used
  • The couple do not live together
  • The committee of scientists were from several
    scientific disciplines

38
Collective and Mass Nouns
  • The best rule for handling collective nouns is to
    decide whether the meaning is singular or plural
  • Which is correct
  • A total of 48 petri dishes were in the autoclave
  • A total of 48 petri dishes was in the autoclave

39
Collective and Mass Nouns
  • Another collective noun that creates problems is
    number
  • A number of test tubes is on the table?
  • A number of test tubes are on the table?
  • The second is correct, since it is tubes that are
    plural here
  • But, the number of test tubes on the table is
    four is correct

40
Collective and Mass Nouns
  • Mass noun a concrete noun that represents a mass
    rather than countable units.
  • Mass nouns are singular many do not have plurals
    (ie, air, water, wheat)

41
Collective and Mass Nouns
  • One of the most common grammatical errors is the
    misuse of the mass noun amount in place of the
    word number
  • An amount of people is poor grammar because
    people are countable individuals

42
Collective and Mass Nouns
  • A related problem is the choice between fewer
    and less
  • We use less to modify nouns that cant be
    counted This beer has less taste
  • We use fewer to modify a noun with countable
    units This beer has fewer calories

43
Functions of Nouns
  • Nouns usually do something or something is done
    to them
  • A noun that does something is the subject of the
    sentence
  • If something is done to the noun, it is the
    object of a verb or preposition (a word used to
    relate a noun or a pronoun to some other part of
    the sentence)
  • John hit the ball
  • John hit the nail on the head

44
Functions of Nouns
  • In some sentences, nouns dont do anything nor is
    anything done to them
  • Such sentences usually present definitions or
    characteristics of these nouns.
  • Typically these sentences contain some form of
    the linking verb to be
  • Penicillin is an antibiotic
  • Scientists are nice people

45
Pronouns
  • A pronoun is a word used to replace a noun the
    noun that the pronoun replaces is called the
    antecedent
  • Pronouns can be tricky since there are 6 types of
    them and they have different forms
  • Personal
  • Demonstrative
  • Relative
  • Interrogative
  • Indefinite
  • Reflexive

46
Pronouns
  • The antecedent of a pronoun must agree in number
    with the pronoun, ie, a singular pronoun must
    have a singular antecedent
  • If a pitcher wins 20 games, will their value to
    the team increase?
  • I see this frequently with the use of he/her or
    the patient and their in scientific writing

47
Pronouns
  • Make sure that the antecedents of your pronouns
    are clear
  • When Lady Carruthers smashed the traditional
    bottle of champagne against the hull of the ship,
    she slipped down the runway, gained speed,
    rocketed into the water with a gigantic spray,
    and continued unchecked toward Prince Island.

48
Personal Pronouns
  • A personal pronoun replaces a person noun.
  • The form of the noun changes depending on whether
    the pronoun is used as a subject, an object, or a
    possessive

49
Personal Pronouns
  • The personal pronouns are
  • I, me, my, mine
  • You, your, yours
  • He, him, his
  • She, her, hers
  • It, its
  • We, us our, ours
  • They, them their, theirs

50
Personal Pronouns
  • You are wise to examine each pronoun to make sure
    it has an appropriate antecedent
  • No one yet had demonstrated the structure of the
    human kidney, Vesalius having examined them only
    in dogs

51
Personal Pronouns
  • There are BIG problems with the use of it, its,
    and its
  • The word its is a contraction of it is and
    this contraction is often mixed up with the
    possessive pronoun its
  • Wrong Its fur is fuzzy
  • Right Its fur is fuzzy
  • Wrong Its not good science
  • Right Its not good science

52
Personal Pronouns
  • And more ITS problems
  • A dog knows its master
  • A dog knows its master
  • Dont choose the wrong its
  • The problem is, the antecedent is often not
    clear it can often stand in for virtually any
    noun
  • It is alright to give raw milk to your baby, but
    first boil it

53
Personal Pronouns
  • You can often see the same kind of problem with
    the word most
  • He stole seven bicycles from neighborhood kids.
    Most were later found in pieces.

54
Demonstrative Pronouns
  • Demonstrative pronouns single out the thing
    referred to.
  • These are ubiquitous in English writing (and
    here, These is the demonstrative pronoun, the
    antecedent being demonstrative pronouns.)

55
Demonstrative Pronouns
  • There are only 4 demonstrative pronouns
  • THIS is my day
  • THAT is a crock
  • THESE wont do
  • THOSE are okay
  • (And these can also be adjectives as well, ie,
    These four words

56
Relative Pronouns
  • Relative pronouns substitute for nouns and
    connect parts of sentences
  • The common relative pronouns are
  • Who Whatever
  • Whom Whoever
  • Which Whomever
  • Whose
  • That
  • What

57
Relative Pronouns
  • Example
  • The laboratory director, whose office was on the
    second floor, was responsible for all research
    activities.

58
Relative Pronouns
  • Note that the word that can be either a
    demonstrative pronoun or a relative pronoun
  • As a relative pronoun, that is often confused
    with who. Properly, who should be used to replace
    people, and that should be used to replace
    animals or objects
  • The man who came to dinner did not eat rice
  • I saw the cat that chased the rat

59
Relative Pronouns
  • The word that can also be a conjunction, which
    then leads to the endless that-which argument

60
Interrogative Pronouns
  • These are essentially the same as relative
    pronouns except that interrogative pronouns ask
    questions. Their purpose is to introduce
    questions
  • Who goes there?
  • What has happened?
  • Common ones are who, whom, which, whose and what

61
Indefinite Pronouns
  • Some pronouns are indefinite, in that they
    replace nouns but not a particular person, place
    or thing.
  • Examples are all, another, any, anyone,
    anything, both, each, either, everybody, few,
    many, most, much, neither, nobody, none, several,
    some and such
  • Anyone can be lucky, but few succeed

62
Reflexive Pronouns
  • The least-used type of pronoun, and often misused
  • Correctly used, a reflexive pronoun reflects the
    action of a verb back on the subject
  • Common ones are myself, yourself, herself,
    themselves, etc.
  • I hit myself

63
Reflexive Pronouns
  • It is incorrect to use a reflexive pronoun either
    as a subject or as the object of a preposition
  • Wrong John and myself will go home
  • Right John and I will go home
  • Wrong He hit John and muself
  • Right He hit John and me

64
Reflexive Pronouns
  • Reflexive pronouns are sometimes used as
    intensives, words used to intensify meaning or
    resolve
  • I myself will do it
  • Id rather do it myself

65
Reflexive Pronouns
  • The rules are simple the -self or -selves
    words are used for two purposes first, to
    emphasize (Mother, Id rather do it myself),
    and second, reflexively, so that the action is
    turned back on the grammatical subject
  • I never quite accustomed myself to the altitude
    of Denver
  • Edith Schwager

66
Verbs- Action Words
  • Verbs describe the existence or characteristics
    of the named subject or describe an action of the
    subject
  • She is intelligent
  • He hit the ball
  • The chemist added hydrochloric acid

67
Verbs
  • There are two types of verbs
  • Transitive these take an object
  • He gave me a hammer (hammer is the object here)
  • Intransitive these have no object
  • She ran
  • Verbs can be used in both ways
  • He grows roses (transitive)
  • The guinea pig grows well (intransitive)

68
Verbs
  • The Existence or characteristic verb (which is
    intransitive) is often some form of to be (is,
    are, were, was, etc.), but other linking verbs I
    ie, become, taste, smell, grow) are used
    frequently
  • Sulfuric acid is a common reagent
  • I am lonely
  • This tastes terrible

69
Nominalizations
  • One of the most frequent faults of scientists as
    writers is that they often confuse actions
    (verbs) with agents of the action (usually
    nouns). Such failure results in sentences that
    are difficult to read at best and
    incomprehensible at worst.

70
Nominalizations
  • The three most common types of agent-action
    confusion result from
  • The reluctance of scientists to use first-person
    pronouns
  • The overuse of the passive voice (we will deal
    with this and the above later)
  • The regrettable tendency to turn sharp action
    words (verbs) into weighty nouns. This last
    problem is called nominalization

71
Nominalizations
  • When we say I studied the effect of A on B we
    know what was done, who did ti and about when it
    was done
  • But, what if we turn the word studied, a verb,
    into a noun, study? And then use passive voice
    and jargon? We get An investigation was
    undertaken to determine the possible effect of A
    on B.
  • Scientists do this all the time!

72
Nominalizations
  • And gain
  • We rejected that theory OR
  • The rejection of that theory has been reported
  • Watch out for nominalizations. Many end with
    tion. (see above)
  • Almost always, the action verb will give the
    clearest meaning investigated is nearly always
    better than investigation.

73
Nominalizations
  • Look at a final example (good to worse)
  • I told him
  • I informed him
  • The information was communicated to him

74
Nominalizations
  • Language is in decline. Not only has eloquence
    departed but simple, direct speech as well,
    though pomposity and banality have not.
  • Edwin Newman

75
Descriptive Words
  • These include
  • Adjectives- describe or qualify the agents of the
    action (nouns, pronouns)
  • Adverbs- describe or modify the action (verb)
  • Articles- these are three words
  • a
  • an
  • the
  • They are often treated as adjectives but have
    peculiar usage

76
Adjectives
  • An adjective modifies a noun or a pronoun
  • A red apple
  • Usually, adjectives precede the nouns the modify,
    but at times can follow the noun and a linking
    verb
  • The apple is red

77
Adjectives
  • Two or more adjectives can modify a noun, but pay
    attention to order
  • The large red doctors house
  • The doctors large red house
  • Is it the doctor or the house that is red?

78
Adjectives
  • Avoid unnecessary adjectives
  • He drew his bright sword
  • This may suggest to the reader that he has two or
    more swords and he drew the bright one

79
Adjectives
  • Adjectives not only state a quality of the noun
    or pronoun they modify, but they can also be used
    with various degrees of intensity. Each adjective
    can be compared as follows
  • Cold (positive)
  • Colder (comparative)
  • Coldest (superlative)

80
Adjectives
  • BUT, some words are irregular and do not follow
    the er, est style
  • Much (positive)
  • More (comparative)
  • Most (superlative)
  • Words can also be compared without the use of
    er and est. We could say cold, more cold and
    most cold

81
Adjectives
  • Finally, English has a number of absolute words
    which are not subject to comparison, such as
  • Unique
  • Perfect
  • Pregnant
  • Infinite
  • Something is either unique or not, but it cannot
    be more unique than something else

82
Adverbs
  • Adverbs modify verbs, adjectives or other adverbs
  • He went slowly (modifies a verb)
  • It was very small (modifies an adjective)
  • He went very slowly (modifies an adverb)

83
Adverbs
  • Many adverbs end in ly and are thus easy to
    identify. Other do not and thus are not.
  • Many adverbs have related adjectives with which
    they can be confused
  • This soup is really good (correct)
  • This soup is real good (incorrect)

84
Adverbs
  • We need to be careful
  • I feel bad
  • I feel badly
  • Both are correct but mean different things. In
    the first, bad is an adjective (modifying I)
    and the sentence means I feel lousy. In the
    second, badly is an adverb (modifying feel) and
    the sentence means I have poor tactile sense.

85
Adverbs
  • Like all modifiers, it is best to have adverbs
    near the words they modify. Adjectives do this
    easily, but it is tougher with adverbs, since
    they can modify verbs, adjectives and other
    adverbs. Thus, their exact placement is in a
    sentence is important to the meaning of the
    sentence.
  • Adverbs such as often, only and never are often
    misplaced in scientific writing

86
Articles
  • The articles a, an and the are the most common
    words in most kinds of writing
  • A and an are called indefinite articles
  • A is used before words that start with a
    consonant sound
  • An is used before words that start with a vowel
    sound

87
Articles
  • If used carefully, articles serve as guides to
    readers. The primary purpose of an article is to
    identify a noun. Because a huge number of words
    in English can be either nouns or verbs, we need
    articles to point to the nouns. This is
    confusing
  • Plan moves slowly- could be
  • Plan the moves slowly
  • The plan moves slowly

88
Articles
  • Syzygy, inexorable, pancreatic, phantasmagoria-
    anyone who can use those four words in one
    sentence will never have to do manual labor.
  • W. P. Kinsella

89
Function Words
  • There are three types of function words
  • Conjunctions
  • Prepositions
  • Interjections
  • These often act of a glue holding the parts of a
    sentence together

90
Conjunctions
  • Conjunctions are used to connect words, phrases
    or clauses
  • Joe and Mary are going to the party
  • She is neither in the house nor in the barn
  • He ran, but she walked

91
Coordinating Conjunctions
  • Coordinating conjunctions express equal weights
    of the joined words, phrases or clauses
  • There are 7 coordinating conjunctions and, but,
    or, for, not, so, yet
  • These words can connect the two clauses of a
    compound sentence
  • He ran, but she walked

92
Coordinating Conjunctions
  • Because these 7 words are among the most commonly
    used English words, and because your ability to
    punctuate sentences depends upon your ability to
    recognize them, you should remember them
  • FANBOYS For, And, Nor, But, Or, Yet, So

93
Subordinating Conjunctions
  • These connect unequal parts fro example, an
    independent clause with a dependent clause (dont
    worry about this!)
  • Joe went to the party after he left the office
  • A clause introduced by a subordinating
    conjunction is a subordinate (or dependent) clause

94
Subordinating Conjunction
  • These often indicate a a time relationship or
    other limiting function
  • The most common are although, before, after,
    because, if, where, than, since, as, unless,
    that, though, where, whereas, while
  • When the party was over, he went home

95
Coordinating Adverb
  • These are like coordinating conjunctions in that
    they are used to connect independent clauses
  • However, coordinating conjunctions are preceded
    by a comma, whereas coordinating adverbs are
    preceded by a semicolon and followed by a comma

96
Coordinating Adverb
  • Coordinating adverbs include however, moreover,
    therefore, further, consequently, nevertheless,
    besides, accordingly, also, too
  • We ran out of beer therefore, the party was over
  • They can also coordinate 2 sentences
  • We ran out of beer. Nevertheless, the party
    lasted until 400am

97
Prepositions
  • Prepositions combine nouns with pronouns to form
    a phrase
  • There are nearly 70 prepositions in the English
    language,ost expressing direction or location
  • To the right
  • In the middle

98
Problems with Prepositions
  • There are 4 main problems we have with
    prepositions
  • Syntax- phrase needs to be close to the word it
    modifies

99
Problems with Prepositions
  • Syntax
  • For sale, car owned by lady with dent in rear
  • This has 4 prepositonal phrases
  • For sale- related to car, the item for sale
  • By lady- follows owned
  • In rear- follows dent
  • But, with dent is too far from car and too close
    to lady

100
Problems with Prepositions
  • A second problem is the doubling of prepositions
  • Inside of the park, many animals lived
  • That question is outside of my area of interest
  • Correct would be
  • Inside the park
  • Outside my area

101
Problems with Prepositions
  • A third problem has to do with case. Prepositions
    are usually followed by objects, and so take the
    objective case (relates to objects), not the
    nominative case (relates to subjects)
  • Wrong The argument was between he and I
  • Right The argument was between him and me

102
Problems with Prepositions
  • A fourth problem is athe use of a preposition to
    link an adjective (rather than a noun or pronoun)
    to another part of a sentence.
  • Wrong She is too good of a person to complain
  • Right She is too good a person to complain

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Problems with Prepositions
  • So, can you end a sentence with a preposition?
  • Maybe yes, maybe no
  • Rules are made to be broken

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Interjections
  • This is a word, phrase or sentence expressing an
    emotion
  • Hey!
  • Of course!
  • I thought so!
  • In scientific writing we rarely use interjections
    that require exclamation points

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Interjections
  • Mild exclamations are separated from the rest of
    the sentence by commas
  • Oh, well, it was worth the try
  • Interjecting a thought about interjections
  • Dont use them!

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