Volume 34, Issue 9 (12-2023)                   Studies in Medical Sciences 2023, 34(9): 535-551 | Back to browse issues page

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Gholami J, Goodarzi R, Abdollahpour Z. A REVIEW OF LEXICAL BUNDLES IN RESEARCH ARTICLES ACROSS HARD SCIENCES DISCIPLINES INCLUDING MEDICAL SCIENCES. Studies in Medical Sciences 2023; 34 (9) :535-551
URL: http://umj.umsu.ac.ir/article-1-6010-en.html
Department of English Language, Sarab Branch, Islamic Azad University, Sarab, Iran , j.gholami@urmia.ac.ir
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Introduction
Individuals who speak English as a second language need to develop a high competence in it due mainly to the fact that it constitutes the most frequently used international language in academic and occupational settings. A number of researchers have stated that most universities prompt their students to publish their papers in quality journals owing to the impact of these publications on their international rank (1-3). Consequently, the researchers have experienced diverse difficulties due to the necessity of publishing their articles in the above-mentioned journals. As Belcher (2007) pointed out, the researchers’ situation is further exacerbated because of the lack of access to important resources and the lack of peer support (4, 5).
The development of writing skills in academic settings depends on the learners’ ability to use the LBs in an efficacious way (6). Moreover, the learners’ knowledge of second language vocabulary can provide information on their stage of writing ability development (7). It can be argued that the learners’ capability to take advantage of LBs in their writing tasks has an advantageous impact on their ability to form discourse pieces that are characteristic of various scientific disciplines (8). LBs are regarded as the constitutes of academic texts that reflect the writers’ competence in their relevant field of knowledge (9-11). This issue highlights the fact that the instructors who provide English for Specific Purposes (ESP) and English for Academic Purposes (EAP) students with writing instruction should provide their learners with adequate information on the LBs which are integral parts of the texts in their pertinent disciplines.

Literature Review
English for Medical Purposes and LBs:
As some researchers pointed out English for Medical Purposes (EMP) has been developed due mainly to the fact that the information on medicine-related professions has been widely disseminated (12). EMP refers to the field of knowledge that provides people with medicine-related jobs with English instruction. This field of knowledge makes an effort to deal with the unique English-related needs of professionals in medicine-related fields. Moreover, it endeavors to make these professionals familiar with the underlying topics in medicine-related fields. Lastly, it tries to enable these professionals to develop the specific English-related skills that are essential to their field (13). The relevant research has focused on the instruction of medical vocabulary since it fulfills a consequential role in medical texts. The medical students’ knowledge of the aforementioned vocabulary items empowers them to express their intentions effectively in English and improves the comprehension of their sources that have been written in English. Furthermore, this kind of knowledge has a beneficial impact on the learners’ understanding of the content of the lectures that are given in English (14). It can be argued that the medical students’ lack of knowledge of the etymology of the medical vocabulary may hinder their understanding of various words in medicine-related texts (15). This issue highlights the fact that EMP instructors need to provide their learners with information on the morphology of medicine-related vocabulary in their relevant academic settings (16).
The concept of LB has fulfilled an important role in Applied Linguistics and EAP research since its development (6, 17, 18). LBs constitute an underlying aspect of communication and refer to the co-occurring sets of words whose co-occurrence frequency has been supported by statistical evidence (17, 19). In other words, LBs refer to the groups of words which are frequently used with each other and provide information on their users’ social, academic, and occupational identity (e.g., in the present study, it is possible that) (20, 21).
The importance of LBs stems from their functions in the discourse of various academic fields (22-24). Biber et al. (1999) noted that LBs constitute 21% of academic texts (17). Moreover, as they noted, 17% of these LBs recur throughout these texts. This issue highlights the importance of LBs in the above-mentioned texts, shows that their appropriate use reflects the writes’ expertise in their relevant field of knowledge and highlights their partnership in the relevant community of discourse (20, 22). Nonetheless, the multi-word structure of LBs tends to have a detrimental impact on language learners’ acquisition and use of various LBs in their writing tasks (25-27). These difficulties stem from the learners’ lack of knowledge about their relevant register and their inability to use the pertinent words of their register in an appropriate way (28). As Hyland (2012) pointed out, the importance of LBs stems from the fact that they enable the writers to use the language accurately and fluently (29). Moreover, they highlight the fact that their users are experts in their relevant disciplines.
 Biber et al. (2004) stated that LBs can be classified into four main categories including the LBs that involve noun phrases (e.g., the results of this), prepositional phrases (e.g., in the present study), verb phrases (e.g., play a role in), and dependent clauses (e.g., it should be noted that) (22). Consequently, LBs involve either clauses or phrases. As it is pointed out, LBs can be used to organize discourse (e.g., on the other hand), highlight stance (e.g., were more likely to), and demonstrate references (e.g., there was no significant) (22).
The research on LBs has become a major line of research in first and second language studies. Biber et al. (2009) pointed out that, the interest in LBs stems from their role in the learners’ writing ability (30). Nonetheless, as Hyland (2012) stated, the relevant research studies of LBs have disregarded the examination of their discipline-related variability (31). For instance, the results of the study that was conducted by Cortes (2004) indicated that the types and functions of the LBs that were used in the fields of biology and history differed (22). Likewise, Hyland (2008) noted that many of the LBs were characteristic of specific fields and their forms and functions varied greatly from discipline to discipline (32). In this regard, based on their research of a sizeable corpus of spoken English, Simpson-Vlach and Ellis (2010) created a list of LBs that were employed in the hard and soft sciences (33). Similarly, Garboswski (2015) examined the functions of the LBs that were utilized in pharmacy-related textbooks and protocols (34). The results of this study highlighted the existence of differences between the above-mentioned texts due mainly to their topics.
In addition, the results of the study that was carried out by Durant (2017) highlighted the fact that the language learners’ use of LBs was the most noticeable aspect of the variation among different fields of knowledge (35). Likewise, the findings of Kwary et al.’s (2017) study showed that the learners used the largest and the smallest numbers of LBs in the physical sciences and health sciences respectively (36).
Furthermore, Chen's (2019) study's findings demonstrated that advanced English language learners were competent in using a wide range of LBs when completing essay-writing tasks (37). Likewise, Yin and Li (2021) carried out a study to determine the formal and functional characteristics of the language learners’ LBs in the fields of accounting and finance (38). The results of this study indicated that there were some overlaps and differences between the forms and functions of LBs in the above-mentioned fields.
 Evidence suggests that LBs or subject-specific vocabulary have significant roles in evaluating students' academic writing (39) and promoting academic discourses (40, 41). Therefore, due to the formulaic structure of scholarly writing and the challenges learners have in employing these sequences effectively, learners need to be acquainted with the sequences accompanying the communicative functions of scholarly writing (42). It would seem appropriate to publish an updated review given the rising use of bundles in RAs. Accordingly, the present study reviews the highly frequent four-word bundles in a variety of hard sciences fields including medical sciences.
The study made an effort to provide answers to the following query:
What is the most frequently employed list of the general academic four-word lexical bundles in hard sciences research articles?
Methodology
 The search generated 100 empirical RAs that have

been done to extract top-frequency four-word LBs in a variety of hard-science fields. The collected RAs were published from 2008 to 2021. Selecting the articles were based on the following inclusion criteria: 1- they had to be investigating LBs in different sections of research articles of the hard sciences fields; 2- they were empirical studies; and 3- they adhered to Swales’ (2004) IMRD framework including Introduction-Methods-Results-Discussion.
Different databases including Elsevier, John Benjamin’s, Sage, Springer, Taylor & Francis, Oxford University Press, etc., comprised the sources of the RAs corpus (see Table 1 for a complete description of the corpus). To retrieve appropriate RAs, the main keywords “English for Medical Purposes”, “hard sciences”, “lexical bundles”, and “research articles” were used. The articles were individually double-checked by two researchers. Following this, inter-rater reliability was determined and the results revealed 91% agreement between the two raters in terms of inclusion and exclusion criteria. Fifteen RAs were excluded and a final list of 85 RAs was prepared for the evaluation. This amount seemed reasonable given that we sought to analyze in depth a substantial number of high-quality empirical studies.
The last step was synthesizing findings: Finally, we synthesized our findings to answer our research question. This identified a list of the general academic 4-word LBs in the various sections of hard sciences RAs. We also discussed implications for teaching academic writing in hard sciences including medical sciences or for future research in this area.

Table 1. Description of the corpus
Publisher Journal Title No. of articles Year
Elsevier Journal of English for Academic Purposes 18 2008-2021
English for Specific Purposes 16 2008-2021
John Benjamins International Journal of Corpus Linguistics 7 2008-2021
Oxford University Press Applied Linguistics 7 2008-2021
Sage Language Teaching Research  6 2008-2021
Sage Open 9 2008-2021
Springer Educational Studies in Mathematics 3 2008-2021
Taylor & Francis Journal of World Languages 5 2008-2021
Language Studies 2008-2021
Southern African Linguistics and Applied Language Studies 9 2008-2021
TESOL Asia (Australia) and the English Language Education Journal group Asian ESP Journal 3 2008-2021
University of Murcia Press International Journal of English Studies 2 2008-2021
Total 85 -
Results
The current study endeavored to determine the top-frequency general LBs across different hard-science disciplines to enable the syllabus designers to take advantage of them in the development of instructional materials (see Table 2) (22, 24, 34, 43-45). Additionally, it offered a list of the general academic 4-word bundles in the various sections of hard sciences RAs (24, 25, 34, 43, 46-48). (see Appendix A for the complete list of the LBs).

Table 2. The top 10 most frequent lexical bundles across different hard-science disciplines
Study lexical bundles (Tokens) discipline
Abdollahpour & Gholami (2018) this study was to 220, of this study was 216, the aim of this 114, the purpose of this 107, aim of this study 100, purpose of this study 97, in this study we 62, the objective of this 58, study was to evaluate 54, objective of this study 53 Medical sciences
Cortes (2004) at the same time 144, in the absence of 111, the end of the 107, on the other hand 80, as a function of 88, as well as the 73, on the basis of 71, in the case of 62, at the end of 60, on the one hand 50 Biology
Grabowski (2015) the dose should be 434, with other medicinal products 392, ability to drive and 368, to drive and use 364, drive and use machines 362, date of first authorization 361, be used with caution 350, should be used with 320, dose should be reduced 319, every one or two 298 English pharmaceutical texts
Hyland (2008a) on the other hand, 726, at the same time 337, in the case of 334, the end of the 258, as well as the 253, at the end of 252, in terms of the 251, on the basis of 247, in the present study 225, is one of the 209 Electrical engineering & microbiology and business & applied linguistics.
Jalilifar et al. (2017) at the end of the198, in the case of the 151, as a result of the 137, on the other hand the 134, on the basis of the 114, due to the fact that 108, one of the most important 102, it should be noted that 100, at the same time the 98 Sciences (Agricultural science, General Medicine, Chemistry, Physics, and Computer science)
Qi & Pan (2020) of this study was to 352, the aim of this 205, aim of this study 189, the primary outcome was 187, were randomly assigned to 145, the purpose of this 127, the primary endpoint was 117, were included in the 102, were more likely to 82, study was to investigate 71 Medical sciences
Yin & Li (2021) are more likely to 349, we find that the 229, we find that the 192, the extent to which 144, in table panel a 124, is consistent with the 115, results are consistent with 103, are less likely to 99, more likely to be 97, is positive and significant 95 Biology
Note: The superscript numbers indicate the frequency of each bundle
 As shown in Table 2, a few instances of four-word LBs are distributed across different disciplines (e.g., as well as, at the end of, on the basis of). This finding highlights the fact that, in each discipline, the experts utilize unique LBs due mainly to the fact that these LBs constitute a major aspect of their communicative competence in their relevant field (24).

Discussion
A bulk of studies have highlighted that various feature of the language are characteristic of specific fields of knowledge. The findings of these researches suggest that there is a need to make learners in various disciplines familiar with the relevant features of their discipline-specific discourse (24). As it is noted, the particular sequences of words in our produced language are related to our values and show our group membership (49). Likewise, other researchers pointed out that, our utilized LBs reflect our membership in certain discourse communities (50). Members of a given academic community use domain-specific LBs to create specialized discourse that is only understood by members of that community and may be difficult for members of other disciplinary domains to understand (48) .
It can be concluded that LBs vary from discipline to disciple in academic writing (25, 32, 51). Consequently, the hard sciences instructors have to make their learners aware of the differences among various disciplines in terms of their LBs and need to provide them with information on the most frequent LBs in their pertinent field of knowledge.
Clausal bundles, according to Biber et al. (1999), are composed of VP-based bundles that integrate significant clauses, while phrasal bundles are mainly comprised of NPs and PPs. Previous studies (25, 27, 30, 32, 52, 53) have provided evidence that discussion comprises a considerably higher proportion of clausal statements (e.g., I want you to), which are defining elements of conversations (30). On the other hand, a significant portion of the LBs in academic genre are phrasal such as at the end of, on the basis of. The findings of the current review article are in line with those of previous studies. It is argued that compressed phrasal bundles are more favored compared to elaborated clausal bundles in the academic genre since “they are more economical; they allow for faster, more efficient reading; they are equally comprehensible to the expert reader” (27). As their writing skills advance, writers are thought to switch from clausal to phrasal structures (27, 52). Higher proficiency research authors were shown to depend mainly on phrasal than clausal structures (54, 55).
Functional analysis of the corpus revealed that hard sciences RAs showed a strong preference for referential bundles than stance expressions and discourse organizers which is consistent with some previous studies (20, 24, 25, 34, 50, 52). Biber et al. (2004) found that whereas academic writing and textbooks contain more referential bundles (e.g., one of the most), conversations typically rely on stance bundles (e.g., I don't know what). The reason for these discrepancies, according to Conrad and Biber (2005) (56), is that spoken language places more emphasis on interpersonal interactions while academic writings place a greater emphasis on conveying essentially factual information. Referential bundles serve an ideational purpose by assisting writers in organizing their experiences and choosing their points of view (25).
Our analysis demonstrates that a bulk of empirical studies have just descriptively investigated LBs in the academic genre. It is high time to convert these empirical studies into pedagogical activities through explicit genre-based instruction and engage learners in discipline-specific writing tasks to create field-specific genre literacy. Bundles are extremely challenging for L2 learners to learn (57), hence it is important to concentrate on and teach these sequences in academic writing classes.
The retrieved list of bundles can be used as a reference list of highly frequent general LBs when teaching academic writing, especially for novice researchers and graduate students in hard sciences, as well as resource developers and academic writing course instructors in EMP (22, 24, 34, 47, 48, 58). The extracted list of LBs in different hard and soft sciences can be seen as a crucial aspect of ‘essayist literacy(59). We think that corpus-driven bundle lists will be useful for introducing novice students to the reading and writing of discipline-specific genre in hard sciences. The EAP community would be able to further adjust and enhance academic vocabulary teaching and learning with the use of these lists (60). Academic Writing instructors should instruct students to apply previously taught or encountered sequences of LBs again in subsequent speaking or writing tasks to promote their efficient retrieval (61). The review revealed that to date, numerous studies have been conducted on lists of discipline-specific LBs in various hard and soft sciences RAs, but no study has specifically focused on their instructions. Further research must be done, with an emphasis on teaching the list of LBs in EAP courses and assisting students in mastering both general and discipline-specific bundles.

Conclusion
 This study strived to determine the top-frequency LBs in the articles of various fields of hard sciences including medical sciences. It also offered a list of the general academic 4-word lexical bundles in hard sciences RAs. The review of the related literature highlighted the fact that formulaic sequences constituted an integral part of academic writing. Furthermore, based on the results, the genre was a determining factor in the writers’ use of LBs that were characteristic of their discipline(24). The EAP instructors should take account of the specific LBs in their relevant discipline and need to make their learners familiar with their discipline-specific vocabulary to help them to develop satisfactory academic writing competence (62).
A few limitations of this study should be pointed out and remedied in future studies. First, we only examined a limited number of hard-science disciplines’ research articles, thus our findings cannot be generalized to other disciplines. Since there is a dearth of research in this area, lexical bundles in other fields deserve further study. Second, because our corpus only contained 85 RAs, its findings should be interpreted with caution, and more studies are required to support our findings.
Acknowledgments
The authors would like to express their deepest gratitude to all healthcare personnel at Urmia University of Medical Sciences.
Source of funding
No Funding for This Research.
Conflict of interest
The authors declare no conflict of interest.

Data availability
The datasets during and/or analyzed during the current study are available from the corresponding author upon reasonable request.
 
Type of Study: Review article | Subject: Medical Information

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