Perceptions of physiotherapists towards research: a mixed methods study

OBJECTIVES: To explore the perceptions of physiotherapists towards the use of and participation in research. DESIGN: Concurrent mixed methods research, combining in-depth interviews with three questionnaires (demographics, Edmonton Research Orientation Survey, visual analogue scales for confidence and motivation to participate in research). SETTING: One physiotherapy department in a rehabilitation hospital, consisting of seven specialised areas. PARTICIPANTS: Twenty-five subjects {four men and 21 women, mean age 38 [standard deviation (SD) 11] years} who had been registered as a physiotherapist for a mean period of 15 (SD 10) years participated in this study. They were registered with the New Zealand Board of Physiotherapy, held a current practising certificate, and were working as a physiotherapist or physiotherapy/allied health manager at the hospital. MAIN OUTCOME MEASURE: The primary outcome measure was in-depth interviews and the secondary outcome measures were the three questionnaires. RESULTS: Physiotherapists were generally positive towards research, but struggled with the concept of research, the available literature and the time to commit to research. Individual confidence and orientation towards research seemed to influence how these barriers were perceived. CONCLUSION: This study showed that physiotherapists struggle to implement research in their daily practice and become involved in research. Changing physiotherapists' conceptions of research, making it more accessible and providing dedicated research time could facilitate increased involvement in the physiotherapy profession

Simplifying the development of intelligent agents

Intelligent agents is a powerful Artificial Intelligence technology which shows considerable promise as a new paradigm for mainstream software development. However, despite their promise, intelligent agents are still scarce in the market place. A key reason for this is that developing intelligent agent software requires significant training and skill: a typical developer or undergraduate struggles to develop good agent systems using the Belief Desire Intention (BDI) model (or similar models). This paper identifies the concept set which we have found to be important in developing intelligent agent systems and the relationships between these concepts. This concept set was developed with the intention of being clearer, simpler, and easier to use than current approaches.We also describe briefly a (very simplified) example from one of the projects we have worked on (RoboRescue), illustrating the way in which these concepts are important in designing and developing intelligent software agents

Experiences in teaching computing theory via aspects of problem-based learning

Computing Theory is a compulsory subject that many computer science students find difficult, and for which there is a wide range of abilities and backgrounds amongst students. In this paper we describe the evolution of this subject at our university over the past decade, which has resulted in a much more student-centred approach to learning. This has not only enhanced the learning experience of the students but also has simplified the development of teaching modes and resources involving on-line replacements for lectures

Declarative and procedural goals in intelligent agent systems

An important concept for intelligent agent systems is goals. Goals have two aspects: declarative (a description of the state sought), and procedural (a set of plans for achieving the goal). A declarative view of goals is necessary in order to reason about important properties of goals, while a procedural view of goals is necessary to ensure that goals can be achieved efficiently in dynamic environments. In this paper we propose a framework for goals which integrates both views. We discuss the requisite properties of goals and the link between the declarative and procedural aspects, then derive a formal semantics which has these properties. We present a high-level plan notation with goals and give its formal semantics. We then show how the use of declarative information permits reasoning (such as the detection and resolution of conflicts) to be performed on goals

Planning with time limits in BDI agent programming language

This paper provides a theoretical basis for performing time limited planning within Belief-Desire-Intention (BDI) agents. The BDI agent architecture is recognised as one of the most popular architectures for developing agents for complex and dynamic environments, in addition to which they have a strong theoretical foundation. Recent work has extended a BDI agent specification language to include HTN-style planning as a built-in feature. However, the extended semantics assume that agents have an unlimited amount of time available to perform planning, which is often not the case in many dynamic real world environments. We extend previous research by using ideas from anytime algorithms, and allow programmer control over the amount of time the agent spends on planning. We show that the resulting integrated agent specification language has advantages over regular BDI agent reasoning

Applying conflict management strategies in BDI Agents for resource management in computational grids

Managing resources in large scale distributed systems --- "Computational Grids", is a complex and time sensitive process. The computational resources being shared vary in type and complexity, and resource properties can change over time. An approach based on interacting software agents is presented, where each resource manager and resource requester is modelled as a BDI (Belief-Desire-Intention) agent. The proposed approach can help resolve conflicts that arise during resource discovery and application scheduling, and enables site autonomy to be maintained. The modelling and detection of conflicts is important in the context of this work, to enable each resource and application to respond to changes in the environment. We propose a BDI based framework that can be used to model agents that represent resources and applications --- and outline properties that each must maintain

Tracking reliability and helpfulness in agent interactions

A critical aspect of open systems such as the Internet is the interactions amongst the component agents of the system. Often this interaction is organised around social principles, in that one agent may request the help of another, and in turn may make a commitment to assist another when requested. In this paper we investigate two measures of the social responsibility of an agent known as reliability and helpfulness. Intuitively, reliability measures how good an agent is at keeping its commitments, and helpfulness measures how willing an agent is to make a commitment, when requested for help. We discuss these notions in the context of FIPA protocols. It is important to note that these measures are dependent only on the messages exchanged between the agents, and do not make any assumptions about the internal organisation of the agents. This means that these measures are both applicable to any variety of software agent, and externally verifiable, i.e. able to be calculated by anyone with access to the messages exchanged

Feasibility of targeted early detection for melanoma: a population-based screening study

The feasibility of targeted screening for cutaneous malignant melanoma in the UK using a postal questionnaire and invitation to screening by a consultant dermatologist was investigated in a population based cross-sectional survey. A total of 1600 people aged 25–69 years, stratified by the social deprivation score of wards within one general practice, were randomly selected from a population of 8000.1227 (77%) returned the questionnaire and 896 (56%) attended the screening clinic. Uptake was lower for men (P< 0.001), those aged under 50 (P< 0.001), people from deprived areas (P< 0.001) and skin types III and IV (men only, P< 0.001). Twenty per cent of women and 10% of men felt nervous about attending the clinic, but only 4% were worried by the questionnaire. The level of agreement between the self- and dermatologist's assessments of risk factors was best for hair colour (Kappa = 0.67, sensitivity 73% and specificity 98%). People tended to under-report their level of risk. Over 95% knew about at least one major sign, but 54% reported incorrect signs of melanoma. Targeted screening for melanoma in the UK will be hampered by difficulties in accurately identifying the target population. Strategies to improve skin self-awareness rather than screening should be developed and evaluated. © 2000 Cancer Research Campaig

Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect?

This document is the Accepted Manuscript version of the following article: Parle PJ, Riddiford-Harland DL, Howitt CD, et al. 'Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect?.' Br J Sports Med 2017;51:208-209, doi: http://dx.doi.org/10.1136/bjsports-2016-096107.Rotator cuff tendinopathies are the most commonly diagnosed musculoskeletal shoulder conditions and are associated with pain, weakness and loss of function.1 Tendon swelling may be associated with tendinopathy and may result from acute overload.2–3 An increase in tendon cells (tenocytes) and upregulation of large molecular weight proteoglycans, such as aggrecan, may increase tendon water content.2 There is uncertainty as to whether the swelling is related to the pain or is instead an observed but unrelated phenomenon. Weakness detected clinically may be due to pain inhibition.4–5 Early treatment of acute rotator cuff tendinopathy involves patient education and relative rest, and may include non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain, swelling and inflammation. Subacromial corticosteroid injections are also used to achieve the same purpose. These techniques show low to moderate evidence of reducing short-term pain but they do not improve function.6 The medications have side effects such as gastrointestinal tract complaints,7 and corticosteroids may damage tendon tissue.8 Identifying alternative ways to control pain and inflammation may be warranted. Two clinical procedures to manage RC tendinopathy include ice wraps and isometric exercise, however, there are no empirical data supporting their use. This pilot study, conducted at the Illawarra Sports Medicine Clinic, NSW, Australia, was designed to test (1) the short term analgaesic effect of these interventions and (2) the feasibility of a larger clinical trial for adults diagnosed with acute rotator cuff tendinopathy (<12 weeks).Peer reviewe