SEJ_2-2017_Articol_Roulet

                    DENTAL EDUCATION
                    HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY
Original Articles
                    Jean-François Roulet1a*
                    1
                        Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, FL-32610, USA

                    Dr med dent., Dr hc, Prof hc, Professor, Director of Center for Dental Biomaterials
                    a

                                                                                                                                                                                          Received: March 27, 2017
                                                                                                                                                                                            Revised: April 24, 2017
                                                                                                                                                                                           Accepted: May 24, 2017
                                                                                                                                                                                           Published: May 29, 2017

                    Academic Editor: Adrian Podoleanu, Eng, PhD, Professor, FInstP, FOSA, FSPIE, Professor of Biomedical Optics, Head of the Applied Optics
                    Group, School of Physical Sciences, University of Kent, Canterbury, Kent, UK

                    Cite this article:
                    Cite this article: Roulet J-F. How to set up, conduct and report a scientific study. Stoma Edu J. 2017;4(2):90-101.

                    ABSTRACT                                                                                                                 DOI: 10.25241/stomaeduj.2017.4(2).art.1

                    This continuing education paper gives some guidelines on how to write a scientific paper. A good
                    paper begins with a high quality experiment! Therefore, based on an idea, authors should first
                    inform themselves by reading the literature, refine their idea and convert it into a scientific question.
                    This is all laid down in the first draft of the “Introduction” of the future paper.
                    The authors must seek for ways to answer the scientific question stated above, which is done by
                    describing it in detail in the “Material & Methods” section of the paper. This may require a pilot
                    study. Once the experimental design, the parameters to be measured and the materials involved
                    are known, it is good practice to consult a statistician in order to determine the statistical method to
                    be used for analyzing the results.
                    The execution phase is dominated by meticulously applying the methods described above and
                    documenting everything in detail. Once results are obtained, they should be first displayed in a
                    descriptive manner to determine the final quantitative analysis, which leads to tables and figures
                    showing the significant differences.
                    What is left at this point is to write a “Discussion”, which should be well structured and then to
                    compile the whole manuscript in the format required by the journal of choice to submit to.
                    Finally some hints are given how to successfully deal with reviewers.
                    Conclusion: Following the recommendations given, the probability to obtain acceptance of a paper
                    may be quite good.
                    Keywords: experimental design, scientific writing, publishing.

                    1. Introduction                                                                                        An analysis of successful and failed projects reveals
                    Performing a scientific study is basically the same                                                    several general patterns1 (Fig 1).
                    as running a project. Therefore all rules regarding                                                    A plot of resources spent versus times revealed
                    project management apply to scientific studies                                                         that most of the effort in successful projects is
                    as well. Most projects, especially larger and more                                                     spent at the beginning of the process.1
                    complex ones are run by teams. In teams the                                                            This means that the information is properly
                    individual players which are unified to achieve the                                                    collected, the objectives are well defined,
                    same common objective (successful completion of                                                        everything has been thought through as well as
                    the given task) give up some of their individuality                                                    possible based on the actual knowledge and the
                    and at the same time bring in their competence. To                                                     task ahead is well defined. Then the “machine” can
                    guarantee the well functioning of the team, each                                                       be started and the project runs as perceived in the
                    member should comply to commonly defined                                                               creative phase. During the execution phase usually
                    rules. Most of these rules govern compliance and                                                       the effort diminishes and the preplanned tasks can
                    communication. For me the most basic rule is the                                                       be accomplished without surprises. In product
                    following: “I say what I think and I do what I say”.                                                   development I have learned that following a well
                    In scientific projects usually a multitude of players                                                  thought and structured scaffold is a good strategy
                    are involved, especially in a teaching institution.                                                    for success. On the other hand, projects that have
                    Researchers interact with other researchers,                                                           failed show a pattern that is quite different. With
                    with students, lab technicians, statisticians,                                                         a brilliant idea the project is just started with the
                    administrators, and industrial partners or grant                                                       anticipation that it will work. So the start is nice,
                    administrators etc. Therefore, to be successful,                                                       because without too much effort the project is
                    open and straightforward communication is                                                              moving forward, usually with lots of enthusiasm.
                    indispensable as well as the establishment of a                                                        However, when the project is usually on its way,
                    framework in which the team is able to perform.                                                        unanticipated problems arise that require more

                    *Corresponding author:
                    Dr med dent., Dr hc, Prof hc, Professor, Jean-François Roulet, Director of Center for Dental Biomaterials
                    Department of Restorative Dental Sciences, College of Dentistry, University of Florida, 1395 Center Drive, Room D9-6, PO Box 100415, Gainesville FL-32610-0415, USA
                    Tel / Fax: +1 352 672 2599, e-mail: jroulet@dental.ufl.edu




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                                                    HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY



                                                                     If you just search the internet (e.g. google.com)




                                                                                                                                  Original Articles
                                                                     the yield is much better. However there is no
                                                                     way to validate and verify the information.3 This
                                                                     becomes obvious, when you search a topic that
                                                                     you know yourself well. There comes the peer
                                                                     review process, which will be discussed later.
                                                                     This is a mechanism, which, if well done, should
                                                                     lead to a better report, enhanced in several of its
                                                                     categories, as contributed to by those performing
                                                                     the review. While many of the statements made
                                                                     remain the responsibility of the author, there is the
                                                                     expectation that the review paper guarantees that
                                                                     it is correct and does not contain methodological
                                                                     errors or biases. Andreas Lindhe, the Editor of
                                                                     the Scandinavian Journal of Dental Research has
                                                                     once stated in a continuing education: ”Nothing
                                                                     is scientifically “shown” or “proven” before it has
                                                                     been published in a SCIENTIFIC journal subject to
                                                                     peer review, so one can critically judge WHAT has
 Figure 1. Effort time plot of successful (green) and failed (red)   been done, HOW it has been done and evaluate
projects.                                                            HOW SOLID it is!”.3 This is very true, but only if the
                                                                     peer review was performed well.3 Unfortunately in
input in effort and resources. Due to the lack                       the last 10-15 years more and more so called open
of knowledge or good strategy, this process is                       access journals have been created pursuing the
usually repeated multiple times with increasing                      idea that knowledge should be publicly available
effort and resources to be consumed (with budget                     for free – in itself a very noble idea.4,5 Publishing is a
amendments), until a point is reached, where the                     big business, and targeting profit has undermined
success point has moved into the distant future                      the solidity of the peer review process.6
and the required resources cannot be estimated                       One experiment had shown this quite clearly. A
anymore. This is usually the moment where there                      researcher had constructed a scheme which he
is a danger that the management or the team                          modified in order to create 304 fake studies which
involved may decide to abort the project.                            had built in several faults, and it was expected that
Before anyone engages into a scientific study, the                   a reviewer should have detected this. Then the
reasons and objective should be clearly stated.                      researcher invented author names and universities
There are many reasons that motivate people to                       and departments in cities placed mainly in
conduct research, such as:                                           the upcoming world. These manuscripts were
• obtain a title                                                     submitted at a rate of 10/week to open access
• obtain/maintain a position                                         journals, with the result that 157 manuscripts (52%)
• apply for grant money                                              were accepted, and only 98 manuscripts were
• become rich                                                        rejected (32%).7
• know more                                                          In dentistry and medicine the information should
• target an academic career                                          be, if possible, evidence based, which makes
• change the world!                                                  a lot of sense. Clinicians treat patients and the
It is important to be personally very clear about                    quality of the treatment should be based on
the objectives, since sooner or later the task will                  clinical studies. This has generated the evidence
become tougher and this may require extra efforts.                   based approach8,9 and a hierarchy of the quality
This means that more motivation is required to                       of evidence putting expert opinion at the bottom
continue the research project.2 It requires more                     and systematic reviews of prospective randomized
than motivation to stimulate the researcher to                       double blinded clinical studies on the top10,11 (Fig.
spend night after night above the microscope                         2). Unfortunately there are errors and dangers of
while other team members, not involved in the                        bias clearly present here as well.12,13
research, may go partying to have a good time in                     An infrastructure is needed to perform research.
the local bars.                                                      Researchers need a laboratory, access to a clinic
Once you are clear with yourself about the task at                   or a dental office as well as access to regulatory
hand to run your research project the next step is                   institutions (e.g. institutional review board), and
very important. The question why to publish must                     to literature. As described above, the first step is
have been deeply understood by the researchers.                      a literature search done via internet. However it
A research project is only completed, once it is                     is highly recommended to complement this with
published. Why? If the outcome of an experiment                      a manual search, which requires access to a good
is not published, no one will ever know it. “L’art                   library.
pour l’art” is the most stupid thing I have ever seen                Finally for young researchers having a mentor
– it is a waste of time and effort. Let other people                 is essential and for the researcher this should be
know what you have found and hopefully your                          beneficial. It is a good idea to check out potential
activity will improve the way we treat our patients.                 mentors, which should be competent in the field
However publishing is not equal publishing. If you                   of the potential research. It is important to know if
have a question, the modern way to approach it is                    the mentor has enough time to deal and consult
to search the internet. If the question means to find                the mentee. A good mentor should always be
a publication, then there are powerful data bases                    accessible and available to read every document/
such as pubmed or google scholar, which can                          draft submitted within a rather short time (better
guide you quickly to a high number of references.                    days than months) and return feedback with



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                    HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY


Original Articles
                                                            Highest
                                                            EVIDENCE
                                                                              Meta
                                                                             Analysis
                                                                        Systematic Review
                                                                            Random
                                                                         Controlled Trial

                                                                          Cohort Study

                                                                       Case Control Study

                                                                      Cross Sectional Study

                                                                     Case Reports and Series

                                                                        Animal Research

                                                                        In Vitro Research
                                     Lowest
                                     EVIDENCE                          Opinion of Experts




                    Figure 2. Pyramid of Evidence.

                    detailed comments. It would be beneficial for the            because if poor results occur it is important to
                    mentee, if the mentor could provide guidelines,              know exactly what has been done. This is the only
                    instructions for use and templates. On the other             way to improve the material or the procedure.
                    side the mentee cannot expect from the mentor
                    that he/she would do the work. All he/she can do             3. Creative phase
                    is to consult, open doors and provide connections.           The creative phase is usually the most thrilling
                    As a mentor I like it very much, when the mentee             part but usually the most difficult as well. It starts
                    comes up with his/her own idea for a project.                with an idea, which most of the time is quite
                                                                                 vague. Therefore the first step is to write it down
                    2. Structure of a scientific paper                           as precisely and clearly as possible. “An idea that
                    A scientific paper always has the same structure:2           cannot be put on paper is not a good idea”.1
                    After the title with the authors and their affiliations      The next step is to collect information about this
                    and contributions usually the paper should start             idea. See if someone else had exactly that idea
                    with an “Abstract”. The body of the paper is opened          or a similar idea. Determine what is really new
                    with an “Introduction”, followed by “Materials &             with the idea and where from the idea can be
                    Methods”. Then a chapter “Results” should be                 developed further. The answers to these questions
                    followed by a “Discussion” and “Conclusions”.                lie somewhere in the world literature. Therefore
                    Finally a “Literature” list should complete the              a literature search is unavoidable. The literature
                    paper. This basic framework can be modified                  found should flow into the personal data bank of
                    depending on the type of publication. In a thesis            the researcher. Modern computer programs like
                    the introduction serves more than introducing the            Endnote are very helpful, because they allow easy
                    reader into the topic. The other purpose is that             insertion of literature quotes into a manuscript.
                    the author must demonstrate his/her competence               Usually such a search starts on the internet and
                    in the field. Therefore the “Introduction” includes          may yield much more papers that one can read.
                    usually an extensive literature review, that may             Therefore the search strategy may be refined,
                    be structured as a subchapter. Also “Materials &             which usually parallels refinement of the idea.
                    Methods” is usually more detailed than in a paper            Once an overseeable number of papers has been
                    published in a scientific journal. If a thesis deals with    found, the articles must be checked whether they
                    multiple experiments it is highly recommended to             are within the scope of the idea, which is usually
                    treat every experiment like a single publication and         done by reading the abstracts. The ones that
                    use a general “Introduction” at the beginning and            were positively selected should be read. Most
                    an allover “Discussion” with conclusions at the end          information can be extracted from the chapters
                    as a big clasp to keep the whole project together.           “Materials & Methods” as well as from the “Result”
                    Finally Industrial Reports have slightly different           section. However reading the “Introduction”
                    objectives. Usually the manufacturer wants an                may reveal more information about the topic of
                    answer to a specific question, such as the in vitro          interest and the “Discussion” may contain helpful
                    wear rate of a material and/or the failure rate              thoughts to refine the own question. If the search
                    and reasons after a specific clinical service time.          has found review papers it is a very good start. The
                    The “Introduction” of an Industrial Report can be            next step is a manual search by scanning through
                    very brief, because one must be assured that the             the literature lists at the end of the read papers.
                    financing partner has done its homework before               This may reveal more useful sources. Some of
                    agreeing to spend money on a study. On the other             them may not be available on the internet, which
                    hand, the chapter “Materials & Methods” cannot               requires the physical presence of the researcher in
                    be detailed enough. This is important to realize,            a good scientific library.



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                                                    HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY



The above mentioned search of the literature has                        accepted. An example for a null hypothesis would




                                                                                                                                       Original Articles
two functions: one to acquire information and two,                      be: "All tested composites showed equal wear
to trigger the brain to think more about the original                   rate".
idea. This is the moment to start with writing the                      Writing an introduction means scientific writing
Introduction of the planned scientific study. A good                    which is full of traps, pitfalls and difficulties,
way to organize the thinking process is to generate                     especially for a less experienced writer. What is
a “mind map” which is a graphical display with                          most important is the clarity of the content. Scientific
textboxes, key words or symbols with lines and                          language does not mean complicated language,
arrows that symbolize connections (Fig. 3).                             the contrary is true. The simpler the formulation,
This mind map should be the backbone or skeleton                        the better the understanding. A handicap for
of the Introduction since it helps to fulfill the task of               most authors of scientific papers is that usually
informing the reader that never has the idea of the                     they must be written in English which usually is
planned study been approached before, about                             not their mother tongue. The nomenclature of
what it is. Beginning very wide and narrowing it                        technical terms must be correct and metric units
down towards more and more specific contents is                         should be employed14 (Tab. 1 a-d). Furthermore
focusing more and more towards the own project.                         abbreviations should be explained the first time
By definition the last sentence of the Introduction                     they are introduced and synonyms should never
should start with the words: “The objective of                          be used for the same thing. The impersonal form
the present study is….”. Once the researcher has                        is preferred (“it was done” rather than “I did”) and
reached that point usually the originally vague                         the use of tempora is clearly defined. Everything
idea has become crystal clear and even more                             that was in the past (results from other researchers,
has morphed into a precise scientific question.                         things the authors did etc.) is put in the past
This question should be the logical consequence                         tense (e.g. Van Meerbeeck et al reported that self
of the content of the text above. A very common                         etching adhesives yielded a thinner hybrid layer
error is that the research tool used is part of the                     than etch & rinse adhesives) and only things that
objective. This may never be the case. First there                      are generally accepted should be written in the
is the question/problem. Only in the next thought                       present tense (eg. saliva is a buffer or chloroform is
a solution is looked for, which is then described in                    a solvent). Every statement in an introduction must
“Materials & Methods”. In experimental papers the                       be backed with a literature quote. At this stage
formulation of the objective should be followed by                      it is recommended to put the literature quotes
a null hypothesis, which later on can be rejected or                    in parentheses with just the author names and




                                                               Fact (sales) amalgam is
                                                               substituted by composites




                                                     Question: composites better than amalgam?
                                           l
                                         ota
                                       ecd




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                                     an




                                                                         pr ech ion
                                                                                A v


                                                                                 es al
                                                                             erti ic
                                                                                   In


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                               Wear, handling
                               recurrent caries
                    Answer




                                                                                                       But!
                                             Longevity?
                                                                                            Clinical controlled
                                                                                            prospective randomized
                                                                                            studies do NOT




                             {
                                                                                            represent clinical reality

                                          Systematic review

                                                                                            Look also for data from



                        !
                                                                                            practice based research
                                                                                            and clinicians
                                       Add world wide survey




 Figure 3. Mind Map. The present format is only for better readability set in the computer. Mind maps are dynamic and should be done
by hand on a note pad or a black board. The content of this mindmap is hypothetical, its purpose is to show the principle only.



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                                                                                     text fragments from other articles (even your own!)
Original Articles                                                                    into your own paper without putting the text in “”
                                                                                     and quoting the source. Finally not acknowledging
                                                                                     work of your competitors and quoting only your
                                                                                     own papers is not an error per se, but a fact that
                                                                                     sheds a bad light on your person.
                                                                                     Once the objective is clear, the author must
                                                                                     provide a way to solve the problem. This is
                                                                                     described in “Materials & Methods”. What to do
                                                                                     must be described to the smallest detail BEFORE
                                                                                     the experimentation begins and once it has been
                                                                                     defined it may NOT be changed, because the
                                                                                     situation most likely occurs that the results cannot
                                                                                     be correlated to the investigated parameters
                                                                                     anymore; the change has introduced another
                                                                                     variable. This is big trouble.
                                                                                     If a standard method is used, it is sufficient to
                                                                                     describe it and to refer to its source. Furthermore
                                                                                     it is highly advisable to practice it before it is
                     Figure 4a. Graphical display of experimental design (Courtesy
                                                                                     used for the experiment. If this is ignored, bias is
                    of Dr. Uwe Blunck, Berlin).                                      introduced, because the inevitable learning curve
                                                                                     is included into the results produced. Very often
                    the year. If the same author has published more                  some new equipment or procedures are used to
                    than one quoted paper in the same year, then the                 address a research question and the usefulness
                    specific article may be identified with letters: a, b,           is not known. Therefore in these situations usually
                    c, etc.). This leads to the question what should be              a pilot study should be performed. It should be
                    quoted and listed?                                               dealt with identically to the real experiment, but
                    • Earlier work in the area                                       with a substantially smaller sample size (feasibility
                    • Methodology used                                               study). The outcome of the pilot study may lead to
                    • Other publications of importance                               modifications of the “Materials & Methods” of the
                    • ONLY publications actually used in text!                       main study.
                    Common errors are that the literature search has                 The report of a pilot study may either be inserted
                    failed to find relevant papers to the topic. Often               after the “Introduction” reporting its “Materials &
                    secondary literature is quoted instead of the                    Methods” and “Results”, or the pilot study may be
                    original source (e.g. Roulet described the use                   just mentioned in the discussion.
                    of Silane in composite formulations in his thesis,               Writing “Materials & Methods” usually begins
                    referring to Pluddemann et al as the inventers of                with describing the experimental design. This is
                    Silane. An author uses Roulet as a reference for                 the phase where the most intellectual power and
                    Silane). Another error is quoting a paper for a                  creativity enter into play. The experimental design
                    certain fact that was not described in the quoted                must be set in order to, without any doubt, be able
                    paper and finally the quote of opinion instead of                to answer the research question. Therefore it is
                    experimentally based facts is not correct as well.               important to eliminate all known confounders that
                    Today more and more publishers use software to                   may cloud your data. (A confounder is a variable
                    detect plagiarism. This reveals yet another common               that is not measured, but influences the outcome
                    error: that of the simple use of copy paste to insert            that is measured). Furthermore randomization is




                                                     Figure 4b. Graphical display of balanced experimental design.




   94                                                                  Stoma Edu J. 2017;4(2): 90-101                http://www.stomaeduj.com
                                           HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY



always a good thing to do, because it may allow          be taken in order to document what was done as




                                                                                                                      Original Articles
for generalization of the results, because the           well. This will be useful in the reporting phase.
sample used was representative for the population        Once data are produced, it is recommended as a
of interest. A figure of the experimental design         first step to test if they are normally distributed.17
would be helpful for the reader to understand            This will determine which statistical tests must be
what was done (Fig. 4a and b). The materials used        used, as well as which form of graphic display of the
(incl. composition, manufacturer and lot #) are          data would be most suitable (normal distribution:
best summarized in a table. Then the experimental        mean ± SD, not normally distributed: box plots
groups must be described in detail including             with median and 25th and 75th percentile).18 To
the # of samples. The procedures/group must              preliminary check the data, it is recommended
be described as detailed so in case the author           to display them graphically in order to recognize
quits, the person that takes over can continue the       where there are differences. Then a first statistical
experiment under identical conditions. This means        analysis should be performed to determine
that ingredients must be described precisely (e.g.       where significant differences are found. This
concentration with upper and lower limits, times,        is the moment to decide, if groups should be
batch numbers and decision rules, when to accept         pooled (remember: this is only correct if there
or reject the outcome of a process). Not only            are no significant differences between the pooled
how samples are made and what is done to them            groups).
(e.g. fatigue test or exposure to any agent or cell      Once the statistical analysis has been finished
cultures etc.) must be described in detail, but also     the outcome should be carefully interpreted. In
how the outcome is measured.                             a balanced design the best possible outcome is
Also in this phase all legal requirements must be        to report main effects (e.g. if you looked at sales
clear and accounted for. This is very important;         of wine as a function of the bottle shape and its
because some may lead to a not publishable               position on the shelf, a main effect is, if, regardless of
manuscript and may put the author in big trouble         the shape, bottles on the top shelf sell the best and
(e.g. Editors of most medial journals have agreed        regardless of the position cylindrical bottles sell the
not to publish any clinical study that was not           best as well). In the ANOVA this is reflected by not
registered with www.clinicaltrials.gov). Every           having significant interactions (Fig. 5). If significant
experiment involving human subjects or animals           interactions occur, then only comparisons between
is regulated by institutional review boards (IRB)        single cells may be done, which is performed with
in order to make sure that the declaration of            post hoc tests (Bonferoni, Scheffee or Tukey).19
Helsinki is observed.15 Therefore IRB approval is        Usually the level of significance is set before the
mandatory before ANY action is started. Working          analysis e.g. p<0.05. If this level is not met the
with dangerous bacteria or viruses requires              differences observed are NOT significant, this
formal training and permission as well as using          means that the observed differences cannot be
radioactive materials. Finally the planned statistical   accounted for due to the experimental conditions,
analysis must be outlined in the chapter “Materials      but are random. Therefore it is not correct to talk
& Methods”. The type of test and the software used       about a trend, when the significance level has
should be mentioned. Therefore it is a very good         slightly been missed.
idea to consult a statistician in this phase of the      4.1. Reporting phase
project.                                                 Now that results are available it is time to think
                                                         where to publish. The best chances for acceptance
4. Execution phase                                       are if the scope of the Journal of choice is
Once everything is clear and written down,               congruent with the topic of the paper to be
the experimentation can begin. The written               submitted. The first step should be to read the
chapter Materials and Methods must be used               guidelines for authors. Most Journals require that
as an instruction set for the experimentation.           the text is on a separate file and require specific
Furthermore it would be a good idea to prepare           fonts and line spaces (e.g. 1.5). Figures and
templates for inserting and collating results and        Tables should be on separate files and there are
having them in the correct format for the statistical    minimum requirements for the resolution of the
evaluation. Such templates can easily be created         figures. Usually Legends are required to be on a
using excel spread sheets.                               separate file as well. A submitted manuscript must
During the experimentation, documentation is the         comply to a 100% to these guidelines. If it does
most important thing. Samples must be labelled           not follow them meticulously, then the chance
in a way that they cannot be mistaken for another        of outright rejection before the review process
one. Furthermore the identifiers must be physically      is high. All the recommendations given above to
indestructible. Physical engraving is superior           write the “Introduction” and “Materials & Methods”
to “permanent” marker, since the latter can be           apply of course. There are a few more however.
erased by a passage through alcohol! Furthermore         The working title must be now converted into the
what ever is done must be protocolled in written         final title of the publication. Some journals limit the
(The GMP (Good manufacturing practices)                  number of words. A title is the first thing a potential
mantra is: ”What is not written down has never           reader sees. Therefore it should be appealing and
happened”).16 Therefore maintaining a record of          motivate the reader to continue. The title should:
steps in a scientific diary is highly recommended.       • Be concise, precise
If something goes wrong, the only way to decide          • Adequately represent the contents of the article
if the data are still useful, is to exactly know what    • May not promise something it can not deliver
has been done. It is recommended as well to              • Must specify animal species/clinical,
document redundantly, eg. using more than one            in vivo/in vitro, methodology
of the paper and computer protocols, photos              Key words must be assigned to the paper.
stored in data base and printed etc. Photos should       The authors sequence is a topic that often raises



Stomatology Edu Journal                                                                                                  95
                    HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY


Original Articles



                     Figure 5. Analysis of Variance (ANOVA) of flexural strength of Zirconia specimen bars as influenced by surface grinding (surface) and
                    heat treatment (heat). Note that heat has not a significant influence but surface condition has. There are no significant interactions.




                     Figure 6a. Example of reporting parametric data as bar graphs with standard deviation. Tensile strength of composite bonded to two
                    ceramics after different cleaning procedures of saliva contaminated ceramics.

                    conflicts, despite the fact that the rules about who                 a difficult task for many reasons. Very often the
                    should be where are obvious.20 Only persons                          journal guidelines restrict its number of words
                    who have contributed to a significant degree                         and imply a specific structure. The abstract
                    scientifically/intellectually to the paper are                       must summarize in a very condensed form the
                    included in the author line. Other contributions                     objective, what was done, how it was done and the
                    can be accounted for in the Acknowledgements at                      results. Usually a conclusion is the final point of an
                    the end of the paper. Each author should know the                    abstract. It is important to include the statistics and
                    article and be able to take on scientific responsibility             hard numbers of the results.
                    for it. Who had the most scientific/intellectual input               If a reader has been drawn into the paper by
                    should be the first author. Conflicts may occur in                   the title, then the abstract is the next thing he/
                    mentor-student situations. My personal view here                     she will look at. Therefore it is important that the
                    is that the amount of contribution of the student                    abstract is well done and informative, because it
                    should determine whether he/she is first author or                   will then motivate the reader to continue reading.
                    not. If the idea came from the student, the mentor                   Furthermore abstract, title and keywords are
                    helped and advised, the student performed the                        extremely important for the paper to be found in
                    experiment and wrote the manuscript (even with                       databases, since only these are used to index the
                    help of the mentor), then it is clear that the student               paper.21, 22, 23
                    is the first author. On the other hand, if the idea                  The chapters "Introduction" and "Materials and
                    and the experimental design are from the mentor,                     Methods" are already done, so in the phase of
                    the student performed the experiment, but the                        writing the first version of the manuscript, they can
                    mentor wrote the manuscript, then the mentor                         be taken with only slight modifications. So the next
                    should deserve the first place in the author’s list.                 chapter is "Results". Here the results are displayed
                    To avoid conflicts more and more journals require                    in form of tables and figures. Examples are shown in
                    disclosure of the contribution of every author.                      Tab 2, Fig. 6a and b. The text can be short and should
                    The next thing to write is the "Abstract". This is                   mention the outcome of the statistical analysis as



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                                                                 analysis, where the computer calculates as many




                                                                                                                               Original Articles
                                                                 digits after the dot as instructed thus suggesting a
                                                                 precision which does not reflect the data (5,79438
                                                                 ± 3,22459 instead of 5,8 ± 3,2). The graphic
                                                                 display of the data should correspond with the
                                                                 type of analysis: bar graphs with mean and SD for
                                                                 results of parametric tests and box-plots for non
                                                                 parametric tests. It is not recommended to use 3D
                                                                 graphics unless there is a need for (displaying the
                                                                 relationship of 3 parameters in one graph). And
                                                                 finally table and graphics must contain information
                                                                 about the statistical analysis, the minimum being
                                                                 the p value and showing where the significant
                                                                 differences are.
                                                                 The “Discussion” is the only place, where
                                                                 interpretations,        explanations         and  maybe
                                                                 speculations are allowed. Very often discussions
 Figure 6b. Example of reporting non parametric data as box
                                                                 are difficult to follow because the reader is not as
plots. Margin quality (% of excellent margin) of six different
adhesives (c=control).
                                                                 familiar with the topic as the authors and, on top of
                                                                 it all, there is a lack of structure. It is recommended
                                                                 to discuss first “Materials & Methods”: Why were the
well which can be printed as a table. Furthermore                materials used, why was the used method selected
the text should point to the reader some specifics               and which are its advantages/disadvantages or
of the results and highlight important outcomes.                 limitations. Compare your method with methods
No explanations and interpretations should be                    of other investigations etc. Only then in a second
given in the chapter “Results”. Common errors are                subchapter must the results be discussed: Here
that the data are directly copied from the statistical           the null hypothesis can be accepted or rejected

 Table 1a-d: SI Units (Taylor and Thompson 2008)

 Table 1a. SI Base Units.


Base quantity                                                    SI base unit

Name                                       Symbol                Name                                    Symbol

length                                     l, x, r, etc.         meter                                   m
mass                                       m                     kilogram                                kg
time, duration                             t                     second                                  s
electric current                           I, i                  ampere                                  A
thermodynamic temperature                  T                     kelvin                                  K
amount of substance                        n                     mole                                    mol
luminous intensity                         Iv                    candela                                 cd



 Table 1b. Examples of coherent derived units in the SI expressed in terms of base units.

Derived quantity                                                 SI base unit

Name                                       Symbol                Name                                    Symbol

area                                       A                     square meter                            m2
volume                                     V                     cubic meter                             m3
speed, velocity                            v                     meter per second                        m/s
acceleration                               a                     meter per second squared                m/s2
wavenumber                                 σ, ṽ                  reciprocal meter                        m-1
density, mass density                      r                     kilogram per cubic meter                kg/m3
surface density                            rA                    kilogram per square meter               kg/m2
specific volume                            v                     cubic meter per kilogram                m3/kg
current density                            j                     ampere per square meter                 A/m2
magnetic field strength                    H                     ampere per meter                        A/m
amount concentration,(a)                   c                     mole per cubic meter                    mol/m3
concentration
mass concentration                         r,g                   kilogram per cubic meter                kg/m3
luminance                                  LV                    candela per square meter                cd/m2
refractive index(b)                        n                     one                                     1
relative permeability(b)                   mr                    one                                     1

(a) In the field of clinical chemistry this quantity is also called "substance concentration"
(b) These are dimensionless quantities, or quatities of dimension one, and the symbol "1" for the unit (the number "one") is
generally omitted in specifying the values of dimensionless quantities




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Original Articles    Table 1c. Coherent derived units in the SI with special names and symbol.

                                                               SI coherent derived unit(a)

                                                                                                            Expressed             Expressed
                                                                                                            in terms of other     in terms of
                    Derived quantity                           Name                    Symbol               SI units              SI base units

                    plane angle                                radian(b)               rad                  1(b)                  m/m
                    solid angle                                steradian(b)            sr(c)                1(b)                  m2/m2
                    frequency                                  hertz(d)                Hz                                         s-1
                    force                                      newton                  N                                          m kg s-2
                    pressure, stress                           pascal                  Pa                   N/m2                  m-1 kg s-2
                    energy, work, amount of heat               joule                   J                    Nm
                    power, radiant flux                        watt                    W                    J/s                   m2 kg s-3
                    electric charge,                           coulomb                 C                                          sA
                    amount of electricity
                    electric potential diference,(e)           volt                    V                    W/A                   m2 kg s-3 A-1
                    electromotive force
                    capacitance                                farad                   F                    C/V                   m-2 kg-1 s4 A2
                    electric rezistance                        ohm                     W                    V/A                   m2 kg s-3 A-2
                    electric conductance                       siemens                 S                    A/V                   m-2 kg-1 s3 A2
                    magnetic flux                              weber                   Wb                   Vs                    m2 kg s-2 A-1
                    magnetic flux density                      tesla                   T                    Wb/m2                 kg s-2 A-1
                    inductance                                 henry                   H                    Wb/A                  m2 kg s-2 A-2
                    Celsius temperature                        degree Celsius(f)       ºC                                         K
                    luminous flux                              lumen                   lm                   cd sr(c)              cd
                    illuminance                                lux                     lx                   lm/m2                 m-2 cd
                    activity reffered to a                     becquerel(d)            Bq                                         s-1
                    radionuclide(g)
                    absorbded dose, specific                   gray                    Gy                   J/kg                  m2 s-2
                    energy (imparted), kerma
                    dose equivalent,                           sievert(h)              Sv                   J/kg                  m2 s-2
                    ambient dose equivalent,
                    directional dose equivalent,
                    personal dose equivalent
                    catalytic activity                         katal                   kat                                        s-1 mol

                    (a) The SI prefixes may be used with any of the special names and symbols, but when this is done the resulting unit will no
                    longer be coherent.
                    (b) The radian and steradian are special names for the number one that may be used to convey information about the quantity
                    concerned. In practice the symbols rad and sr are used where appropiate, but the symbol for the derived unit one is generally
                    omitted in specifying the values of dimensionless quantities.
                    (c) In photometry the name steradian and the symbol sr are usually retained in expressions for units
                    (d) The hertz is used only for periodic phenomena, and the becquerel is used only for stochastic processes in activity reffered
                    to a radionuclide.
                    (e) Editors' note: Electric potential difference is also called "voltage" in the United States and in many other countries, as well
                    as "electric tension" or simply "tension" in some countires.
                    (f) The degree Celsius is the special name for the kelvin used to express Celsius temperatures. The degree Celsius and the
                    kelvin are equal in size, so that the numerical value of a temperature difference or temperature interval is the same when
                    expressed in either degrees Celsius or in kelvins.
                    (g) Activity referred to a radionuclide is sometimes incorrectly called radioactivity.
                    (h) See CIPM Recommendation 2 (CI-2002), p. 78, on the use of sievert (PV, 2002, 70, 205).

                    based on the results. Give reasons for the outcome,                more than 2x the wear volume of the universal
                    explain why significant differences were found or                  composite”. Avoid bringing in wishful thoughts
                    not, compare your data with the outcome of other                   into the conclusions!
                    studies and explain why there are differences, if                  At the very end of the text there is space for
                    indicated. If possible give explanations about the                 “Aknowledgements”. Here usually the authors
                    possible impact to clinical dentistry of the results               should include data on sponsors, agencies,
                    and finally, it is helpful if indications about further            industry that supported the costs of the studies (if
                    research based on the results of the present study                 supported by a grant, it's # must be mentioned)
                    is given. Having said all of the above, one must be                and thanks to collaborators that helped to
                    careful in the formulation. It should be very clear                accomplish the task.
                    which are facts from the study or other studies,                   Finally under “Literature” all the papers, books
                    which are interpretations of these facts and which                 and reports that were quoted in the text are listed
                    are hypotheses one could come up based on the                      with their proper source either in the sequence of
                    findings.                                                          their first appearance in the text or alphabetically,
                    At the end of the “Discussion” conclusions should                  depending on the instructions for authors of the
                    be drawn. They must be strictly limited to the facts               respective journal.
                    of the findings in the present study and should                    Once the first version of the manuscript is
                    be formulated as briefly as possible (e.g. “the in                 completed, it should go through language
                    vitro wear volume of the glass ionomer tested was                  editing, if the authors do not have English as a



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                                               HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY




                                                                                                                          Original Articles
 Table 1d. Examples of SI coherent derived units whose names and symbols include SI coherent derived units with special
names and symbols.


                                   SI coherent derived unit

                                                                                       Expressed in terms of SI base
Derived quantity                   Name                                  Symbol        units

dynamic viscosity                  pascal second                         Pa s          m-1 kg s-1
moment of force                    newton meter                          Nm            m2 kg s-2
surface tension                    newton per meter                      N/m           kg s-2
angular velocity                   radian per second                     rad/s         m m-1 s-1 = s-1
angular acceleration               radian per second squared             rad/s2        m m-1 s-2 = s-2
heat flux density, irradiance      watt per square meter                 W/m2          kg s-3
heat capacity, entropy             joule per kelvin                      J/K           m2 kg s-2 K-1
specific heat capacity,            joule per kilogram kelvin             J/(kg K)      m2 s-2 k-1
specific entropy
specific energy                    joule per kilogram                    J/kg          m2 s-2
thermal conductivity               watt per meter kelvin                 W/(m K)       m kg s-3 K-1
energy density                     joule per cubic meter                 J/m3          m-1 kg s-2
electric field strength            volt per meter                        V/m           m kg s-3 A-1
electric charge density            culomb per cubic meter                C/m3          m-3 s A
surface charge density             culomb per square meter               C/m2          m-2 s A
electric flux density,             culomb per square meter               C/m2          m-2 s A
electric displacement
permittivity                       farad per meter                       F/m           m-3 kg-1 s4 A2
permeability                       henry per meter                       H/m           m kg s-2 A-2
molar energy                       joule per mole                        J/mol         m2 kg s-2 mol-1
molar entropy,                     joule per mole kelvin                 J/(mol K)     m2 kg s-2 K-1 mol-1
molar heat capacity
exposure (x and g rays)            coulomb per kilogram                  C/kg          kg-1 s A
absorbed dose rate                 gray per second                       Gy/s          m2 s-3
radiant intensity                  watt per steradian                    W/sr          m4 m-2 kg s-3 = m2 kg s-3
radiance                           watt per square meter steradian       W/(m2 sr)     m2 m-2 kg s-3 = kg s-3
catalytic activity concentration   katal per cubic meter                 kat/m3        m-3 s-1 mol


mother tongue. It is important to understand                   made if it should be sent into the review process.
that a dental publication uses some specific                   Most Journals use a blind review performed by
professional language. Therefore it is not sufficient          at least two reviewers. The main purpose of the
to find someone proficient in English, the person              review process is to improve the paper, therefore
proofreading must also be knowledgeable on                     if reviewers find detrimental flaws in “Materials
the dental technical language (dentist or dental               & Methods”, this is usually a reason for rejection,
technician or dental hygienist). So the best choice            since the paper cannot be salvaged. On the other
would be a dentist with English as a mother tongue             hand, if the authors were not able to explain what
or at least a Dentist that has studied/practiced for           was really done in “Materials & Methods”, then the
many years in an English speaking country. A good              reviewer does not understand it and recommends
alternative for such proof reading is to seek the help         rejection as well. Many reviewers do a simple test
of professional scientific editorial services (e.g.            by computing the number of cells as described in
www.oleng.com.au, contact@savantproofreading.                  the experimental design and compare it with the
com, http://oakfortressproofreading.com).                      total # of samples produced (e.g. 3 materials x 2
Omitting this last step may be detrimental and may             shades and 3 treatments = 3x2x3= 18 cells; if the
lead to the rejection of the manuscript, since in my           author reports that 200 samples were made, then
personal experience the most frequent complaint                200/18 = 11,11 ergo something is wrong, since
of reviewers is about poor language.                           n can be 11 or 12 only). If the resulting n is not a
Before submission every author must read the                   single number then something is wrong and the
final version and approve it. This is necessary,               paper in the best case goes back to the authors.
because being on the author line, every author                 Many papers get rejected outright, very few are
takes scientific/intellectual responsibility for the           accepted without modifications/revisions. This
manuscript!                                                    means they are sent back to the authors with
4.2. The review process                                        comments and requests for modifications. This
The standard mode for submission is the internet.              causes frustration at first glance and the authors
Most editors/publishers provide templates to                   may get emotional, since they had tried to do the
guide authors through the submission process.                  best. But remember the objective of the reviewers
Usually the first step is that the editor/publisher            is to improve the paper, therefore authors should
checks if the manuscript complies with the                     not object to the reviewer’s comments unless really
formalism. Many are very careful about the                     justified and return the manuscript with minimal
question if the content is new and original (high              revisions only. I have personally experienced
probability to be published) or if the content is              many cases where the revised paper was sent the
new, but basically confirming existing knowledge               second time to the reviewers and came back with
(high risk of being rejected). Then the decision is            the recommendation “reject” and the comment



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Original Articles    Table 2. Example how results should be presented: Tensile bond strength of ceramics contaminated with saliva after
                    different cleaning procedures.


                                                                  After contamination cleaned with

                                                   Control       Water spray H3PO4 gel polishing paste Cleaner
                                     Ceramic 1     55.9±9.2ab1   21±13.6c1    40.6±10.7b1 29.7±15.2c1  54.2±8.8ab1
                                     Ceramic 2     52.1±10.9a1   15.8±16.1 26.7±11.8 21.9±14.2
                                                                           c1          c2          c1
                                                                                                       46.3±7.9a1

                                     ANOVA, Tukey post hoc test p<0.01. superscript letters show same statistical groups in rows,
                                     superscript numbers show same statistical groups in columns


                    Table 3. Comments of reviewers, actions taken by authors and comments of authors for the reviewers.




                    that authors did not follow the recommendations
                    for improvement. Therefore the recommendation                   References
                    is that the authors compile all comments of the
                    reviewers into a table with one line per comment.               1.  Biedermann M. Projekte managen. ATW Verlag, Buchs
                    Then they should add two more columns. In the                       SG, Switzerland; 2009.
                                                                                    2. Roulet J-F, Viohl J. Der Weg zum Doktorhut. Quintessenz
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                                                  HOW TO SET UP, CONDUCT AND REPORT A SCIENTIFIC STUDY



      bearings (deciding what the paper is about). BMJ.                 2017. [Internet: available http://www.gmppublications.




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                                                                              Jean-François ROULET
                                                           DDS, PhD, Dr hc, Prof hc, Professor Chair
                                                         Department of Restorative Dental Sciences
                                                          College of Dentistry, University of Florida
                                                                                Gainesville, FL, USA


CV
Jean-François Roulet, DDS, Dr med dent, PhD, is the former chair and current professor of the Department
of Restorative Dental Sciences at the University of Florida. Professor Roulet is author/coauthor of more than
180 papers, edited/contributed to 27 textbooks and mentored more than 150 theses. He is a renowned
international lecturer with over 800 appearances to date. Dr. Roulet is a member of many professional
organizations, has won numerous awards, and holds four patents. He is editor of Prophylaxe Impuls and
Stomatology Edu Journal. His areas of interest include minimally invasive dentistry, dental materials (ie,
composites and ceramics), adhesive dentistry, esthetic dentistry, and application concepts in preventive
dentistry.

Questions
There are many reasons why people do research. What reason should not exist:
qa. Obtain a title;
qb. Obtain/maintain a position;
qc. Obtain grant money;
qd. “L’art pour l’art”.
The “Material and Methods” section contains:
qa. Explanations why the materials were used;
qb. Explanations why the used method was selected;
qc. Reasons for the outcome;
qd. Tables and figures.
What should a mentor not do?
qa. Provide guidelines;
qb. Provide instructions for use;
qc. Provide templates;
qd. Do the work.
What part is not in the structure of a scientific paper:
qa. Introduction;
qb. Material and methods;
qc. Results;
qd. Acknowledgements.



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