In this paper, we focused on a typical model of introduction commonly used in biomedical papers. As shown in
Figure 1, the form of introduction is a funnel or an inverted pyramid, from large to small or broad to narrow (
7,
16,
19,
26). The largest part of the funnel at the top describes the general context/topic and the importance of the study; the funnel then narrows down to the gap of knowledge, and ends with the authors’ hypothesis or aim of the study and the methodological approach used to examine the research hypothesis (
18,
26). In fact, introduction presents research ideas flowing from general to specific (
27). As given below, in hypothesis-testing papers, the introduction usually consists of 2 - 3 (
28) and sometimes 4 paragraphs (
16), including the known, the unknown (knowledge gap), hypothesis/question or specific topic, and sometimes the approach (
16,
19). Some authors end the introduction with essential findings of the paper (
29). It has, however, been argued that the introduction should not include results or conclusion from the work being reported (
2,
16,
20), as readers would then lose their interest in reading the rest of the manuscript (
2). The introduction may also be expanded by including some uncommon parts like “future implications of the work” (
30).
4.1. The Known
In this section, a brief summary of background information is provided to present the general topic of the paper (
20). This section should arouse and build the audience’s attention and interest in the hypothesis/question or specific topic (
29). This part may be considered the same as move 1 of the CARS model and includes “claiming importance”, “making topic generalizations”, and “reviewing items of previous research” (
22,
24).
Besides the different roles proposed for citation, its primary motive is believed to be “perceived relevance” (
31). It is important that the review of literature be complete, fair, balanced (
29), to the point (
19), and directly related to the study (
16); it should not be too long or contain a very detailed review of literature (
7,
28) or a complete history of the field (
9). Depending on the audience (
16), authors should include background information that they think readers need for following the rest of the paper (
16).
Contrary to the current view that the introduction should be short and act as a prelude to the manuscript itself, another opinion, however, suggests this section provides a complete introduction to the subject (
32). Sweeping generalizations (i.e., applying a general rule to a specific situation) should be avoided in the first (the opening) sentence of the introduction (
8). The first three sentences of the first paragraph should present the issue that will be addressed by the paper (
8). If the general topic be presented in the very first word of a very short sentence, the reader is able to immediately focus on and understand the issue (
30).
4.2. The Unknown/Gap of Knowledge
The importance and novelty of the work should be stated in the introduction (
19). This section describes the gaps in our present understanding of the field and why it is necessary that these gaps in data be filled (
29). In this section, the author should present limitations of prior studies, needed (but currently unavailable) information, or an unsolved problem and highlight the importance of the missing pieces of the puzzle (
16). This section provides information to justify the aim of the study, that is, it provides rationale for the readers to convince them (
8,
20); however, one-sided or biased views of controversial issues should be avoided (
33).
The unknown section of the introduction is similar to “establishing a niche” and includes “counter-claiming” and “indicating a gap” (
6,
25). To develop a “counter-claiming” statement, the author needs to mention an opposing viewpoint or perspective or highlight a gap or limitation in current literature (
24). “Counter-claiming” sentences are usually distinguished by a specific terminology, including albeit, although, but, howbeit, however, nevertheless, notwithstanding, unfortunately, whereas, and yet (
24). This step toward or “continuing a tradition” part (
6,
25) is an extension of prior research to expand upon or clarify a research problem (
24), and the connection is commonly initiated with the following terms: “hence,” “therefore,” “consequently,” or “thus” (
24). An alternative approach for “counter-claiming” within the context of prior research is giving a “new perspective” without challenging the validity of previous research or highlighting their limitations (
24).
Pitfalls in this section include missing an important paper and overstating the novelty of the study (
29).
4.3. Rationale of Research/Hypothesis/Question
Defining the rationale of research is the most critical mission of the introduction section, where the author should tell the reader why the research is biologically meaningful (
34). In stating the rationale of the study, an author should clarify that the study is the next logical step in a line of investigations, addressing the limitations of previous works (
8). This section corresponds to “occupying the niche” in the CARS model (
6), where contribution of the research in the development of “novel” knowledge is stated in contrast to prior research on the topic (
24). The question/hypothesis, something that is not yet proven (
35), is placed at the tip of the inverted cone/pyramid (
16), and it is usually last sentence of the last paragraph in the introduction that presents the specific topic, which is “
What was done in your paper?” (
7,
8,
19).
The main and secondary objectives should be clear and preferably comprise no more than two sentences (
20). The question should be clearly stated as the most common reason for rejection of a manuscript is the inability to do this (
8); it would be a bad start that reviewers/readers cannot grasp the research question of the paper (
36).