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April 16, 2012

Quiz Bowl: Publishing Terms

Filed under: quizzes — amastyleinsider @ 1:28 pm
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Imagine your first day of work as a new editor at a large association. Seasoned professionals are bandying around words such as blueline, bleed, and boilerplate. When they use the word dummy you think they’re talking about you. Before you pack your blue pencil and head for the door, take a deep breath and dive into this month’s AMA Manual of Style quiz on publishing terms at http://www.amamanualofstyle.com. Here is an example of what you can learn:

Which of the following terms means a drawing showing a conception of the finished product that includes sizing and positioning of the elements?
blueline
color proof
galley proof
layout

And the answer is (use your mouse to highlight the text box):

layout

According to the AMA Manual of Style, layout is “a drawing showing a conception of the finished product that includes sizing and positioning of the elements.” A blueline is “the proof sheet(s) of a book or magazine printed in blue ink that shows exactly how the pages will look when they are printed.” A color proof is “photomechanical or digital presentations of color.” A galley proof is “a proof of typeset text copy run 1 column wide before being made into a page.”

Feeling a little more armed to face that first day of work? If not, take the full Publishing Terms Quiz on the AMA Manual of Style website to master your knowledge of publishing terms.—Laura King, MA, ELS

April 10, 2012

Ambiguous, Equivocal

Filed under: usage — amastyleinsider @ 9:43 am
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These words often are taken to mean the same thing—which in some contexts they indeed do. When used to refer to test results or experimental findings, for example, both words are properly used to indicate uncertainty, ie, that the findings can be understood in more than one way.

However, a distinction comes to bear when one is referring to statements, either written or oral. Although both words also can properly be used when referring to a statement subject to more than one interpretation, accepted usage holds that ambiguous is the proper choice if the resulting uncertainty seems unintentional1(p39) and that equivocal is the way to go if the uncertainty seems to have been intentionally introduced to confuse or deceive.1(p423) The deceptive intent is key, and it is worth noting that whereas the verb equivocate is an accepted word, ambiguate is not.

Deceptive intent might be inferred from the immediate context of surrounding statements. Often, however, intent is inferred from the larger context, ie, the history of the issue under discussion or the (perceived) character of the person making the statement. Given the latter means of inference, it is not surprising that the use of equivocal to refer to deceptive statements has been accepted since the late 1700s—about the time that the word also came to be commonly used to describe persons believed “[d]oubtful in character or reputation; liable to unfavorable comment or description; questionable; suspicious.”2(p527) Equivocal is still occasionally used when referring to such persons, but current usage, particularly in the social media, tends to favor terms somewhat more colorful.

Equivocal also can imply that a person has used ambiguous language in a qualifying way to avoid personal commitment to the statement made.1(p423) This meaning, however, although a bit more neutral than the meaning already noted, still hints at something less than savory. In short, although using ambiguous and equivocal interchangeably to describe a statement will be correct in some instances, writers tempted to use equivocal in place of ambiguous would do well to remember that the former has additional connotations often freighted with “nasty overtones.”3

Perhaps because clarity and certainty are seldom used for deceptive purposes, matters are less complicated in negative constructions: unambiguous and unequivocal both indicate that a test result or a statement has only one interpretation. However, because equivocal carries negative connotations, unequivocal is often used to emphasize a lack of deceptive intent.

As a side note, another word, unequivocable, has been used interchangeably with unequivocal since the early 1900s.2(p2166) How this monster came to be is a matter of some conjecture, but it likely arose either from innocent confusion over the proper spelling and pronunciation of equivocal or from a desire to use a loftier-sounding word (although it is difficult to imagine an instance in which unequivocal would not be lofty enough). In any case, unequivocable and its variants are often considered nonstandard.1(p1366)

The bottom line:

● Referring to test results or experimental findings having more than one interpretation? Ambiguous and equivocal are both correct, but it is worth noting that the latter can have negative overtones and is perhaps best avoided unless the reporting of results seems intentionally unclear.

● Referring to a statement having more than one interpretation? Remember that all equivocal statements are ambiguous, but not all ambiguous statements are equivocal. If the statement seems intentionally unclear with the goal of distancing or deceiving, use equivocal.

Unambiguous and unequivocal both indicate that something has only one interpretation, although when describing a statement unequivocal is sometimes used to emphasize an absence of deceptive intent.

Unequivocable, while found in some dictionaries, is often considered nonstandard and should probably be avoided.—Phil Sefton, ELS

1. Merriam-Webster’s Collegiate Dictionary. 11th ed. Springfield, MA: Merriam-Webster Inc; 2003.

2. The Compact Oxford English Dictionary. 2nd ed. Oxford, England: Oxford University Press; 1991.

3. Ambiguous, equivocal. In: Bernstein TM. The Careful Writer: A Modern Guide to English Usage. New York, NY: Athaneum; 1985:38.

March 27, 2012

A Few Thoughts on Fewer and Less

Filed under: usage — amastyleinsider @ 12:30 pm
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All of the usual English-language usage books seem so sure that they give little more than a compound sentence to explain that fewer should be used when referencing things that can be counted and less when referencing quantity or things that can be measured.

The AMA Manual of Style1 points out that the 2 words “are not interchangeable.” Then explains the difference by advising readers to “[use] fewer for number (individual persons or things) and less for volume or mass (indicating degree or value).” It offers the following examples: “Fewer interventions may not always mean less care” and “The authors evaluated fewer than 100 studies yet still reported more support for the conventionally prescribed therapy.” The entry is followed by a note that provides 2 more examples including parenthetical explanations:

spent less than $1000 (not: spent fewer than $1000)

reported fewer data (not: reported less data)

The Associated Press Stylebook2 entry says, “In general, use fewer for individual items, less for bulk or quantity” and provides the following examples, or should I say commands:

Wrong: The trend is toward more machines and less people. (People in this sense refers to individuals.)

Wrong: She was fewer than 60 years old. (Years in this sense refers to a period of time, not individual years.)

Right: Fewer than 10 applicants called. (Individuals.)

Right: I had less than $50 in my pocket. (An amount.) but: I had fewer than 50 $1 bills in my pocket. (Individual items.)

The Elements of Style3 elliptically warns, “Less should not be misused for fewer” with the following explanation. “Less refers to quantity, fewer to number. ‘His troubles are less than mine’ means ‘His troubles are not so great as mine.’ ‘His troubles are fewer than mine’ means ‘His troubles are not so numerous as mine.’”

A Writer’s Reference,4 a college handbook, is equally economical: “Fewer refers to items that can be counted; less refers to items that cannot be counted” followed by its example for usage: “Fewer people are living in the city” and “Please put less sugar in my tea.” (I’d rather that you didn’t put any sugar in my tea.)

But if the rule were so easy as these commonly used English-language usage references suggest, why are people confused?

If anything is certain about language, it is that nothing is certain: a truism that often frustrates my composition students, who simply want the answer when no one true answer exists. In the case of fewer and less, Webster’s Dictionary of English Usage5 and Fowler’s Modern English Usage6 support my position by telling an entirely different story about how to use less and fewer, with Webster’s devoting 3 and a third columns to it and Fowler’s devoting about 3 columns over 2 entries.

The former launches the alternate-usage discussion with a metaphoric clearing of its throat to suggest, however, that the general usage rule cited in most English-language reference texts “has only one fault–it is not accurate for all usage” and offers a rule amendment for using less:

less refers to quantity or amount among things that are measured and to number among things that are counted.

In other words, less can be used in both cases. Webster’s punctuates its point by saying the amended rule has actually reflected common usage for say “the past thousand years or so.” The general rule became established and embraced by most language scholars, so Webster’s theorized, from a 1770 comment about less made by Robert Baker in Reflections on the English Language. He wrote:

The word [less] is most commonly used in speaking of a Number; where I should think Fewer would do better. No fewer than a Hundred appears to me not only more elegant than No less than a Hundred, but more strictly proper.

Thus, a modest preference has become, as Webster’s points out, “elevated to an absolute status.” That transformation, the entry laments, may be due to the reluctance of “many pedagogues … to share the often complicated facts about English with their students.” In fact, Webster’s points to the Oxford English Dictionary as showing that “less has been used as countables since the time of King Alfred the Great.”

Although Fowler’s trends toward the generally accepted usage rule, it recognizes that perhaps the “complicated facts about English” should in fact be elucidated. As a means of clarification, it uses parts of speech to explain the usage differences. It says that “few and its comparative adj. fewer are used with countable nouns, i.e. with nouns that have both a singular and a plural form (book/books)…; or with collective nouns (fewer people…)” but, “[l]ess which is a comparative of little, is properly used with uncountable or mass nouns: in other words less refers to quantity and is the opposite of more (less affection, less power, less misery).” Furthermore, Fowler’s acknowledges when less can be used “idiomatically with plural nouns … esp. distances (it is less than seventy miles to London)” and the like.

In its final example in the few entry, Fowler’s notes the “regrettable” trend of “the use of less with an unprotected plural noun.”(That’s an expression that’s new to me.) One of the example sentences of that violation is

There will be less 100% loans about.

Don’t we all know that?—Beverly Stewart, MSJ

1. Iverson C, Christiansen S, Flanagin A, et al. AMA Manual of Style: A Guide for Authors and Editors. 10th ed. New York, NY: Oxford University Press; 2007.

2. Goldstein N, ed. The Associated Press Stylebook and Briefing on Media Law. New York, NY: Basic Books; 2007.

3. Strunk W, White EB. Elements of Style. 4th ed. New York, NY: Longman; 2000.

4. Hacker D. A Writer’s Reference. 6th ed. Boston, MA: Bedford/St Martin’s; 2009.

5. Webster’s Dictionary of English Usage. Springfield, MA: Merriam-Webster Inc; 1989.

6. Burchfield RW. Fowler’s Modern English Usage. 3rd rev ed. New York, NY: Oxford University Press; 2004.

March 19, 2012

Questions From Users of the Manual

Filed under: frequently asked questions — amastyleinsider @ 2:36 pm
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Q: A colleague and I both remember seeing in a style manual that an en dash should be used between 2 words of equal weight. However, we checked the AMA Manual of Style and saw that this was not a supported use of the en dash. Did this guideline appear in a former edition of the AMA Manual, or did we just pick this idea up from another source?

A: No, I don’t believe we have ever recommended an en dash between 2 words of equal weight. It is the hyphen that we recommend between 2 words of equal weight. See the middle of page 346 of the 10th edition, with the examples of “blue-gray eyes” and “blue-black lesions.” We recommend use of the en dash when the items on either side are not of equal weight (eg, one element consists of 2 words or a hyphenated word or a compound). There are examples at the bottom of page 352 and the top of page 353.

Q: Is it appropriate to abbreviate echocardiography as ECHO or echo in documents that describe the use of echocardiography during the treatment of various types of cancer?

A: We would be unlikely to abbreviate echocardiography (or any related term, such as echocardiogram) to ECHO or echo. We would spell this term out. Only in cases in which there are serious space constraints would we consider abbreviating this term (eg, in a large table), and then we would recommend expanding the abbreviation in a table footnote.

Q: Do you use Web site or website? Traditionally it has always been “Web site,” but in the past few years I have noticed a change to the more informal “website” in many publications. What is your recommendation?

A: On the home page of the AMA Manual, in the navigation bar, there’s a listing for “Updates.” If you take a look there, you’ll see that a relatively recent update (January 18, 2012) indicates that, as of that date, we began to prefer website to Web site.  Check “Updates” periodically to see if there are other, newer updates on material in the manual.

Q: I have a style question I cannot find addressed in your manual. On a manuscript I plan to submit to a journal, the corresponding author has moved since the manuscript was written and this author wants to indicate both her current and her former affiliation. Can you advise on how to phrase this information?

A: The answer to your question is in section 2.3.3 of the manual. See the relevant excerpt below:

The affiliation listed, including departmental affiliation if appropriate, should reflect the author’s institutional affiliation at the time the work was done. If the author has since moved, the current affiliation also should be provided.

Author Affiliations: Department of Health Policy and Management, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland. Dr Lloyd is now with the Department of Emergency Medicine, St Luke’s Hospital, Milwaukee, Wisconsin.

Cheryl Iverson, MA

March 12, 2012

Illicit, Elicit, Solicit

Filed under: usage — amastyleinsider @ 2:24 pm
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“I am the offspring of illicit love.”1(p814)

“Only suffering… can elicit the perfumes of the soul.”1(p503)

“Henry had been soliciting the pope for some time, in order to obtain a divorce from Catherine of Aragon, his queen.”1(p1822)

Illicit, elicit, solicit. The above examples make it abundantly clear that these words have distinctly different denotations; yet they are often confused or misused, even by careful writers. In medical contexts, it is especially important to preserve the distinctions between them.

Illicit, denoting simply “not permitted; unlawful”2(p618) (and sometimes used colloquially to indicate naughty, unseemly, or immoral), has limited use in medical writing. For example, written materials might convey the risks associated with use of illicit drugs, discuss illicit relationships between researchers and industry, or report on the illicit trade in human body parts. Beyond such instances, however, the word does not often come into play.

Elicit, however, is another story. Denoting “to call forth or draw out (as information or a response)” or “to draw forth or bring out (something latent or potential),”2(p404) the word occurs frequently in medical contexts. It might be used in both senses regarding a patient–physician encounter: for example, a physician evaluating a patient’s pain will ask questions to elicit information about the characteristics of the pain (eg, location, nature, duration, exacerbating factors). From the patient’s perspective, that is the easy part, and patients might well wish this were the end of the matter; however, having thus elicited mere information about the patient’s pain, the physician then embarks on maneuvers expressly designed to elicit the real thing. In written materials covering the basic sciences and their clinical applications, elicit is perhaps most frequently used in the second sense noted above. For example,a writer might report that a new vaccine elicits a given immune response, describe pathological mechanisms that elicit organ damage, or present a theory of how a treatment might elicit changes in gene expression.

Even accomplished writers sometimes confuse the homophones illicit and elicit. However, these terms are easily distinguished from each other: illicit is always an adjective, whereas elicit is—in current usage—always a verb. (It also can help to remember that illicit denotes illegal; for the temperance-minded, the illicit distillation of spirits might also come to mind.)

Troublesome as homophones can be, however, sometimes near-homophones can be more so, especially when they are similar in meaning. For example, elicit and solicit—the latter most frequently used in medical contexts in the sense of “to approach with a request or plea”2(p1187)—are often used interchangeably, with solicit perhaps more frequently used in place of elicit.3 However, such use obscures an important distinction. The Oxford Dictionary of American Usage and Style perhaps explains this distinction most succinctly: “To solicit a response is to request it. To elicit a response is to get it.”3 Thus, in the patient–physician encounter alluded to above, the physician solicits information regarding the patient’s pain and then performs a physical examination to elicit and evaluate actual pain. The Oxford resource also points out an ambiguity that can arise when elicit and solicit are confused: “‘Sentient representatives expect the core group to solicit [read elicit?] response from about 4,000 people.’”3 In other words, will the group solicit responses from 4000 persons, or will the group approach a larger number of persons to try and elicit 4000 responses, knowing that some persons approached might not reply? In medical contexts, the distinction has obvious implications for reports of survey studies and possibly for discussions of power calculations in reports of clinical trials.

Three quick tips:

* Looking for an adjective to describe something as immoral, forbidden, or illegal? Illicit (think illicit = illegal) might be the ticket.

* Looking for a verb to convey the requesting of information? Consider solicit.

* Looking for a verb to convey the obtaining of information or the drawing forth of a response or change? Consider elicit (think elicit = get).—Phil Sefton, ELS

1. The Compact Oxford English Dictionary. 2nd ed. Oxford, England: Oxford University Press; 1991.

2. Merriam-Webster’s Collegiate Dictionary. 11th ed. Springfield, MA: Merriam-Webster Inc; 2003.

3. Garner BA. The Oxford Dictionary of American Usage and Style. New York, NY: Oxford University Press; 2000:309.

February 28, 2012

Quiz Bowl: SI vs Conventional Units

Filed under: quizzes — amastyleinsider @ 1:51 pm
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Welcome back, quiz bowl participants. Our very first quiz bowl, which appeared on this site on May 5, 2011, dealt with format, style, and punctuation of units of measure. Now we’re back to delve even further into the intriguing and ever-changing world of units of measure style. The following is a sample of one of the questions that appears in this month’s AMA Manual of Style quiz on SI vs conventional units (http://www.amamanualofstyle.com/). Answer the question based on your understanding of section 18.5 of the AMA Manual of Style.

The mean 2-dimensional area of the largest metastasis was 7.2 sq in.

So, what do you think? This one isn’t really too hard. Here’s the answer (use your mouse to highlight the text box):

The mean 2-dimensional area of the largest metastasis was 46.8 cm2.

Measurements of length, area, volume, and mass are reported in metric units rather than English units. To convert square inches to square centimeters, multiply by 6.5 (§18.5.1, Length, Area, Volume, Mass, pp 794-795 in print).

Let’s try a more challenging question.

Admission laboratory tests revealed the following: serum creatinine, 0.9 mg/dL; serum urea nitrogen, 11 mg/dL; serum albumin, 39 g/L; and prothrombin time, 11.5 seconds.

Yes, this one is definitely harder. Here’s the answer:

Admission laboratory tests revealed the following: serum creatinine, 0.9 mg/dL (to convert to micromoles per liter, multiply by 88.4); serum urea nitrogen, 11 mg/dL (to convert to millimoles per liter, multiply by 0.357); serum albumin, 3.9 g/dL (to convert to grams per liter, multiply by 10); and prothrombin time, 11.5 seconds.

For laboratory values, factors for converting conventional units to SI units should be provided in the article. In text, the conversion factor should be given once, at first mention of the laboratory value, in parentheses following the conventional unit (§18.5.10, Laboratory Values, pp 797-816 in print). Although the AMA Manual of Style recommends writing out units of measure when no numbers are reported (eg, micromoles per liter), some journals may prefer to use abbreviations when listing SI conversion factors (eg, mmol/L).

Need some more practice? Subscribe to the AMA Manual of Style online and take the full quiz. If you’re new to the site, check out some of our other quizzes as well.—Laura King, MA, ELS

February 21, 2012

Incidence

Filed under: statistics,usage — amastyleinsider @ 9:55 am
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In medical contexts, incidence is most often used in its epidemiologic sense, ie, the number of new cases of a disease occurring over a defined period among persons at risk for that disease. When thus used, incidence may be expressed as a percentage (new cases divided by number of persons at risk during the period) or as a rate (number of new cases divided by number of person-years at risk).

Reporting several incidence values in the same sentence can nearly always be accomplished using the singular form (eg, “the incidence of nonfatal myocardial infarction during follow-up was 10% at 6 months, 19% at 12 months, and 26% at 18 months” or “the incidence of clinical stroke decreased significantly, from 7.6 to 5.3 per 1000 person-years in men and from 6.2 to 5.1 per 1000 person-years in women). However, in rare instances, sentence construction may necessitate the use of the plural, which of course is… what, exactly? The understandable urge to simply add an “s” at the end of the word to form the plural results in incidences — a form not found in most dictionaries and a clunker of a word if ever there was one. Writers wishing for a more mellifluous plural sometimes use incidence rates, a valid term but one perhaps best reserved for reporting incidence values expressed as actual rates rather than simple percentages. Moreover, incidences is sometimes used when reporting values either as percentages or as rates, in the latter case missing a valuable opportunity to emphasize that rates rather than percentages are being reported.

Thus, it is perhaps best to use incidences, awkward as it may be, when reporting multiple incidence values as percentages and incidence rates when reporting such values as rates, eg, “at first follow-up, the incidences of falls resulting from frailty, neuromuscular disorders, or improper use of mobility devices were 15% (95% CI, 10%-20%), 12% (95% CI, 7%-17%), and 12% (5%-19%), respectively” or “the incidence rates for falls resulting from frailty, neuromuscular disorders, or improper use of mobility devices were 5.1, 6.3, and 4.6 per person-year, respectively.” Incidentally, these 2 examples report occurrences (falls) rather than diseases or conditions, and so represent 2 instances reporting the incidence of incidents.

To further muddy the waters, incidence is sometimes confused with prevalence, defined as the proportion of persons with a disease at any given time (ie, total number of cases divided by total population). Thus, whereas incidence describes how commonly cases are diagnosed, prevalence describes how widespread the disease already is; on a more personal level, incidence describes one’s risk of developing the disease, whereas prevalence describes the likelihood that one already has it. The confusion between the terms is perhaps attributable to the occasional use of prevalence in place of incidence in the study of rare, chronic diseases for which few newly diagnosed cases are available; however, this circumstance is unusual, and incidence and prevalence should always be distinguished from one another and used appropriately. (See also §20.9, Glossary of Statistical Terms, in the AMA Manual of Style, p 872 in print.)

Whereas prevalence is often used in general contexts to indicate predominance or general acceptance, the circumstances calling for the use of incidence in general contexts are quite few and become fewer still when one takes into account that incidence is often used when incidents (the simple plural of incident) or instance (again denoting an occurrence) would be the better choice. Perhaps incidents or instances was intended but never made it to the page — as is so often the case with homophones and near-homophones, even the careful writer who usually would not confuse incidence, incidents, and instance might one day look back over a hastily typed passage only to see that a wayward incidence has crept in; if the passage is hastily edited to boot, the error might well go unnoticed until the passage is in print and a discerning reader takes pains to point it out in a letter or e-mail. The plural form, incidences, has virtually no use outside of the epidemiologic discussed above, although it has been used to subtly disorienting effect by translators rendering the Kafkaesque works of Russian writer Daniil Kharms (1904-1942) into English, most notably when rendering the 1-word title of Incidences, Kharms’ 1934 collection of absurdist critiques on life in the Soviet Union under Stalin. However, writers who are not political dissidents aiming for absurdist effect — presumably all medical writers — would do well to proofread carefully and often. — Phil Sefton, ELS

February 13, 2012

Respective

Filed under: usage — amastyleinsider @ 1:53 pm
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How much can one trust a curmudgeonly English composition teacher who terrorized his early 20th-century Cornell students? How relevant are his grammatical admonitions today? With little else to support my inclination to remove the word respective or its adverb partner respectively and unite the string of data points with what they modify, I find the barking rules of E. B. White’s college rhetoric teacher William Strunk Jr calming.

Based on White’s description of his teaching style in the introduction of Elements of Style,1 I can assert with some certainty that had Strunk found himself an adjunct English composition instructor today, “lean[ing] forward over his desk, grasp[ing] his coat lapels in his hands, and in a husky, conspiratorial voice, say[ing], ‘Rule Thirteen. Omit needless words! Omit needless words! Omit needless words!’” it might not go over so well with today’s sensitive students. The style of this widely emphatic man who barked writing rules during his lectures lasted a lifetime for White. Now about 100 years later, such barking would likely cause a rush to the dean’s office to do something about this brazen man’s approach to teaching. He would simply not be asked back the next semester because the trend today is for warm-hearted English comp teachers to create a safe environment in which students can write without becoming immobilized by gruff commands. So in as much as the style of teaching would end a career today, should one conclude that Strunk’s rules for writing have become as out of date as his approach to teaching them?

Several months ago, after reading White’s delightful 1972 homage to Strunk, I flipped through some of the commands and came upon a piece of advice that lifted me out of my self-doubt and emboldened me not to give up on eradicating the use of the word respective. Unlike the image of Strunk as confident, I am not so. I am one who will eventually cave on a rule, especially if I’m the only one defending it. For example, the use of healthful over healthy when describing behavior that leads to my good health—I have let it go. If a manuscript comes in describing eating fruit as healthy, I will let it stand and not change it to healthful.

Yet, when I see in almost every article that I edit a string of numbers followed by a list of items each number describes covered by respectively at the end of the sentence, my eyes cross. I become disheartened. As I push back my sleeves to match the experimental treatment groups with the values to describe the efficacy of a treatment, I sometimes wonder whether it is worth the effort to set up the parallel structure and the repletion of words to make the match. I sigh and do it, hoping not to offend the author.

Copyediting is a solitary experience that doesn’t often allow for consensus about the rules because, as they say, much of it is a matter of preference. But when one’s eyes land on a sure-footed confirmation about a problem that niggles and nags almost every day of my work life, I must rejoice, which is exactly what I did when my eyes fell to Strunk’s simple exhortation:

Respective, respectively. These words may usually be omitted with advantage.

My heart leaped. I am not alone! Strunk follows his simple rule with an example that justifies my applying it to scientific editing.

The mile run and the two-mile run were won by Jones and Cummings, respectively.

The mile run was won by Jones, the two-mile run by Cummings.

Look at that. The second example has fewer words.

The true purpose of writing is to be clear and not make the reader work too much. As the attention span of the reader decreases by the second, making them match numbers to words 3 lines down gives the reader little reason to continue. In light of today’s hot-footed race against time, I say Strunk is more relevant now than ever. White was right when he wrote in 1979:

“All through The Element of Style one finds evidences of the author’s deep sympathy for the reader. Will felt that the reader was in serious trouble most of the time, a man floundering in a swamp, and that it was the duty of anyone attempting to write English to drain this swamp quickly and get his man up on dry ground, or at least throw him a rope.”

Beverly Stewart, MSJ

1. Strunk W Jr, White EB. Elements of Style, 2nd ed. New York, New York: Macmillan Publishing Co; 1972.

February 7, 2012

Questions From Users of the Manual

Filed under: frequently asked questions — amastyleinsider @ 1:31 pm
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Q: If a product name appears in all caps in a company’s product literature (with or without a trademark symbol or registered symbol), must the editor retain the all caps in a journal article? Companies use caps for graphic impact or emphasis, but caps can be distracting and can make the text difficult to read. Would it be acceptable to substitute only an initial cap for an all-cap product name, particularly if the product is the main subject of the manuscript and occurs frequently?

A: Our journals do not require use of the trademark symbol (™) or the registered symbol (®) as the use of the initial cap frequently used on proprietary names indicates the proprietary nature of the name (see 5.6.16, Legal and Ethical Considerations, Intellectual Property:  Ownership Access, Rights, and Management, Trademark). There are exceptions to the use of the initial cap (eg, pHisoHex; see section 10.8, “Intercapped” Compounds) and in these cases, as in all others, we advise using the name according to the presentation of the legal trademark. To avoid a plethora of caps—which certainly can be distracting—we would suggest varying the way in which the product is referred to (eg, “this product,” “it”) as long as the meaning remains clear.

Q: Your manual indicates that references should be numbered consecutively with arabic numerals in the order in which they are cited in the text. But what about the distinction between references cited in a range and references cited individually? If an author cites references 1 through 5, does this count as only the citation of reference 1, as the first number in the range, or does it count as citation of all 5 references included in the range?

A: It matters not if the references are cited as part of a range or cited individually. Even if a reference is cited as part of a range, when any one of those references is cited later, it retains the same reference number.  This is not specifically stated in the Manual and, perhaps wrongly, we assumed that it would be understood. Thank you for allowing us to clarify this point.

Q: Convention seems to be to use the leading zero in P values, but why is this necessary since P cannot be greater than 1?

A: JAMA and the Archives Journals do not use a zero to the left of the decimal point, since statistically it is not possible to prove or disprove the null hypothesis completely when only a sample of the population is tested (P cannot equal 1 or 0, except by rounding). If convention dictates otherwise, we are unconventional!

Q: I have been unable to find specific rules on the use of nonbreaking hyphens and spaces. Do you have any suggestions for the correct and preferred use of nonbreaking hyphens and spaces?

A: You are right. We do not have any section devoted to this. However, there is information about line breaks scattered throughout the Manual. For example:

  • On page 29 (section 1.20.4), there is information on how to break an e-mail address. The same guidelines apply to breaking URLs.
  • On page 646 (section 15.6.4), there is information on breaking long karyotypes.
  • On page 910 (section 21.5), there is information on breaking long formulas.

There may be other instances like this scattered throughout the Manual where specific guidance is needed. However, individual publishers or clients may have their own preferences that require attention when editing material for their publications.

Q: I am working on a manuscript in which one of the authors has listed the degree MAS (Master of Advanced Studies). This abbreviation is not included in the Manual. Is it acceptable?

A:  This is a perfectly acceptable abbreviation. We simply did not have space to list all possible degrees and their abbreviations in the Manual and attempted to list some of the more common ones.—Cheryl Iverson, MA

February 2, 2012

Quiz Bowl: Fill in the Blank

Filed under: quizzes — amastyleinsider @ 10:02 am
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When is a girl really a woman? When is a boy a man? When do children stop being children and become adults? Okay, we are starting to sound like a style manual version of Bob Dylan—but these answers are not blowing in the wind, they are in an AMA Manual of Style quiz on age and sex referents. Below are some simple fill in the blank exercises to guide you when you take this quiz.

Use the following terms to fill in the blanks: woman, man, newborn, adolescent, and infant. (To see the answers, highlight the blank space with your mouse.)

A person from birth to 1 month of age is a(n) newborn.

A female person older than 18 years is a(n) woman.

A male person older than 18 years is a(n) man.

A person aged 1 month to 1 year is a(n) infant.

A person aged 13 through 17 years is a(n) adolescent.

For additional exercises on age and sex referent usage in medical publications, take this month’s quiz at www.amamanualofstyle.com.—Laura King, MA, ELS

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