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

Approximate N3^{3}LO Parton Distribution Functions with Theoretical Uncertainties: MSHT20aN3^3LO PDFs

We present the first global analysis of parton distribution functions (PDFs) at approximate N$^{3}$LO in the strong coupling constant $\alpha_{s}$, extending beyond the current highest NNLO achieved in PDF fits. To achieve this, we present a general formalism for the inclusion of theoretical uncertainties from missing higher orders (MHOs) into a PDF fit. We demonstrate how using the currently available knowledge surrounding the next highest order (N$^{3}$LO) in $\alpha_{s}$ can provide consistent, justifiable and explainable approximate N$^{3}$LO (aN$^{3}$LO) PDFs, including estimates for missing higher order uncertainties (MHOUs). Specifically, we approximate the splitting functions, transition matrix elements, coefficient functions and $K$-factors for multiple processes to N$^{3}$LO. Crucially, these are constrained to be consistent with the wide range of already available information about N$^{3}$LO to match the complete result at this order as accurately as possible. Using this approach we perform a fully consistent approximate N$^{3}$LO global fit within the MSHT framework. This relies on an expansion of the Hessian procedure used in previous MSHT fits to allow for sources of theoretical uncertainties. These are included as nuisance parameters in a global fit, controlled by knowledge and intuition based prior distributions. We analyse the differences between our aN$^{3}$LO PDFs and the standard NNLO PDF set, and study the impact of using aN$^{3}$LO PDFs on the LHC production of a Higgs boson at this order. Finally, we provide guidelines on how these PDFs should be be used in phenomenological investigations.Comment: 150 pages, 48 figures, 20 tables. Updated LHAPDF Grids available which include a correction of a minor bug in the non-singlet splitting function leading to very small changes in fit quality and PDFs, but with no significant changes to any results or conclusion

Updates of PDFs using the MMHT framework

We summarise recent developments in the path towards the "MMHT19" parton distribution functions. We concentrate on the extraction of the strange quark upon the improvement of theoretical calculations for NNLO charged current cross sections; the effect of an extension of our parameterisation; and the role of correlated uncertainties in some data sets which prove difficult to fit

Instantons and Killing spinors

We investigate instantons on manifolds with Killing spinors and their cones. Examples of manifolds with Killing spinors include nearly Kaehler 6-manifolds, nearly parallel G_2-manifolds in dimension 7, Sasaki-Einstein manifolds, and 3-Sasakian manifolds. We construct a connection on the tangent bundle over these manifolds which solves the instanton equation, and also show that the instanton equation implies the Yang-Mills equation, despite the presence of torsion. We then construct instantons on the cones over these manifolds, and lift them to solutions of heterotic supergravity. Amongst our solutions are new instantons on even-dimensional Euclidean spaces, as well as the well-known BPST, quaternionic and octonionic instantons.Comment: 40 pages, 2 figures v2: author email addresses and affiliations adde

Understanding the UK hospital supply chain in an era of patient choice

Author Posting © Westburn Publishers Ltd, 2011. This is a post-peer-review, pre-copy-edit version of an article which has been published in its definitive form in the Journal of Marketing Management, and has been posted by permission of Westburn Publishers Ltd for personal use, not for redistribution. The article was published in Journal of Marketing Management, 27(3-4), 401 - 423, doi:10.1080/0267257X.2011.547084 http://dx.doi.org/10.1080/0267257X.2011.547084The purpose of this paper is to investigate the UK hospital supply chain in light of recent government policy reform where patients will have, inter alia, greater choice of hospital for elective surgery. Subsequently, the hospital system should become far more competitive with supply chains having to react to these changes as patient demand becomes less predictable. Using a qualitative case study methodology, hospital managers are interviewed on a range of issues. Views on the development of the hospital supply chain in different phases are derived, and are used to develop a map of the current hospital chain. The findings show hospital managers anticipating some significant changes to the hospital supply chain and its workings as Patient Choice expands. The research also maps the various aspects of the hospital supply chain as it moves through different operational phases and highlights underlying challenges and complexities. The hospital supply chain, as discussed and mapped in this research, is original work given there are no examples in the literature that provide holistic representations of hospital activity. At the end, specific recommendations are provided that will be of interest to service to managers, researchers, and policymakers

Normal levels of p27Xic1 are necessary for somite segmentation and determining pronephric organ size

The Xenopus laevis cyclin dependent kinase inhibitor p27Xic1 has been shown to be involved in exit from the cell cycle and differentiation of cells into a quiescent state in the nervous system, muscle tissue, heart and retina. We show that p27Xic1 is expressed in the developing kidney in the nephrostomal regions. Using over-expression and morpholino oligonucleotide (MO) knock-down approaches we show normal levels of p27Xic1 regulate pronephros organ size by regulating cell cycle exit. Knock-down of p27Xic1 expression using a MO prevented myogenesis, as previously reported; an effect that subsequently inhibits pronephrogenesis. Furthermore, we show that normal levels of p27Xic1 are required for somite segmentation also through its cell cycle control function. Finally, we provide evidence to suggest correct paraxial mesoderm segmentation is not necessary for pronephric induction in the intermediate mesoderm. These results indicate novel developmental roles for p27Xic1, and reveal its differentiation function is not universally utilised in all developing tissues

Homogeneous heterotic supergravity solutions with linear dilaton

I construct solutions to the heterotic supergravity BPS-equations on products of Minkowski space with a non-symmetric coset. All of the bosonic fields are homogeneous and non-vanishing, the dilaton being a linear function on the non-compact part of spacetime.Comment: 36 pages; v2 conclusion updated and references adde