Conversational agents in healthcare: a systematic review.

Objective: Our objective was to review the characteristics, current applications, and evaluation measures of conversational agents with unconstrained natural language input capabilities used for health-related purposes. Methods: We searched PubMed, Embase, CINAHL, PsycInfo, and ACM Digital using a predefined search strategy. Studies were included if they focused on consumers or healthcare professionals; involved a conversational agent using any unconstrained natural language input; and reported evaluation measures resulting from user interaction with the system. Studies were screened by independent reviewers and Cohen's kappa measured inter-coder agreement. Results: The database search retrieved 1513 citations; 17 articles (14 different conversational agents) met the inclusion criteria. Dialogue management strategies were mostly finite-state and frame-based (6 and 7 conversational agents, respectively); agent-based strategies were present in one type of system. Two studies were randomized controlled trials (RCTs), 1 was cross-sectional, and the remaining were quasi-experimental. Half of the conversational agents supported consumers with health tasks such as self-care. The only RCT evaluating the efficacy of a conversational agent found a significant effect in reducing depression symptoms (effect size d = 0.44, p = .04). Patient safety was rarely evaluated in the included studies. Conclusions: The use of conversational agents with unconstrained natural language input capabilities for health-related purposes is an emerging field of research, where the few published studies were mainly quasi-experimental, and rarely evaluated efficacy or safety. Future studies would benefit from more robust experimental designs and standardized reporting. Protocol Registration: The protocol for this systematic review is registered at PROSPERO with the number CRD42017065917

Many moral buttons or just one? Evidence from emotional facial expressions

We investigated whether moral violations involving harm selectively elicit anger, whereas purity violations selectively elicit disgust, as predicted by the Moral Foundations Theory (MFT). We analysed participants’ spontaneous facial expressions as they listened to scenarios depicting moral violations of harm and purity. As predicted by MFT, anger reactions were elicited more frequently by harmful than by impure actions. However, violations of purity elicited more smiling reactions and expressions of anger than of disgust. This effect was found both in a classic set of scenarios and in a new set in which the different kinds of violations were matched on weirdness. Overall, these findings are at odds with predictions derived from MFT and provide support for “monist” accounts that posit harm at the basis of all moral violations. However, we found that smiles were differentially linked to purity violations, which leaves open the possibility of distinct moral modules

A multi-scale hierarchical framework for developing understanding of river behaviour to support river management

The work leading to this paper was funded through the European Union’s FP7 programme under Grant Agreement No. 282656 (REFORM). The framework methodology was developed within the context of Deliverable D2.1 of the REFORM programme, and all partners who contributed to the development of the four parts of this deliverable are included in the author list of this paper. More details on the REFORM framework can be obtained from part 1 of Deliverable D2.1 (Gurnell et al. 2014), which is downloadable from http://​www.​reformrivers.​eu/​results/​deliverables

seasonal abundance of the nearctic gall midge obolodiplosis robiniae in italy and the impact of its antagonist platygaster robiniae on pest populations

The Nearctic gall midge Obolodiplosis robiniae (Haldeman, 1847) (Diptera Cecidomyiidae) infesting black locusts, Robinia pseudoacacia L. (Fabaceae), was detected in Asia in 2002 and in Europe (first in Italy) in 2003. Its distribution in Europe has expanded dramatically, probably favored by extensive distribution of its host plant along the main routes. The results of a 3-yr study on the seasonal abundance of O. robiniae in northern Italy are reported here. O. robiniae can develop three to four generations per year by exploiting plants of different ages and vigor. Overwintering takes place as diapausing larvae and adults emerge in spring. Two generations are completed on mature plants where populations decline in summer. Two additional generations can develop on root suckers from midsummer onward. Pest population densities reach their highest levels in late spring. Gall midge larvae were attacked by various predators, but parasitism by the platygastrid Platygaster robiniae Buhl & Duso was particularly significant. The impact of parasitism by P. robiniae is indicated as a key factor in reducing O. robiniae population densities

Interacting with Fictions:The Role of Pretend Play in Theory of Mind Acquisition

Pretend play is generally considered to be a developmental landmark in Theory of Mind acquisition. The aim of the present paper is to offer a new account of the role of pretend play in Theory of Mind development. To this end I combine Hutto and Gallagher’s account of social cognition development with Matravers’ recent argument that the cognitive processes involved in engagement with narratives are neutral regarding fictionality. The key contribution of my account is an analysis of pretend play as interaction with fictions. I argue that my account offers a better explanation of existing empirical data on the development of children’s pretend play and Theory of Mind than the competing theories from Leslie, Perner and Harris

When prototypes are not best: Judgments made by children with autism

The current study used a factorial comparison experimental design to investigate conflicting findings on prototype effects shown by children with autism (Klinger & Dawson, 2001; Molesworth, Bowler, & Hampton, 2005). The aim was to see whether children with high –functioning autism could demonstrate prototype effects via categorization responses and whether failure to do so was related to difficulty understanding ambiguous task demands. Two thirds of the autism group did show an effect. The remainder, a sub-group defined by performance on a control task, did not. The discussion focuses on the influence of heterogeneity within the autism group and the ability to resolve ambiguity on task performance. Finally, an alternative experimental design is recommended for further research into these issues

Indicators of river system hydromorphological character and dynamics: understanding current conditions and guiding sustainable river management

The work leading to this paper received funding from the EU’s FP7 programme under Grant Agreement No. 282656 (REFORM). The Indicators were developed within the context of REFORM deliverable D2.1, therefore all partners involved in this deliverable contributed to some extent to their discussion and development

Medium-term fluvial island evolution in a disturbed gravel-bed river (Piave River, Northeastern Italian Alps)

River islands are defined as discrete areas of woodland vegetation surrounded by either water-filled channels or exposed gravel. They exhibit some stability and are not submerged during bank-full flows. The aim of the study is to analyze the dynamics of established, building, and pioneer islands in a 30-km-long reach of the gravel-bed Piave River, which has suffered from intense and multiple human impacts. Plan-form changes of river features since 1960 were analyzed using aerial photographs, and a LiDAR was used to derive the maximum, minimum and mean elevation of island surfaces, and maximum and mean height of their vegetation. The results suggest that established islands lie at a higher elevation than building and pioneer islands, and have a thicker layer of fine sediments deposited on their surface after big floods. After the exceptional flood in 1966 (RI>200 years) there was a moderate increase in island numbers and extension, followed by a further increase from 1991, due to a succession of flood events in 1993 and 2002 with RI>10 years, as well as a change in the human management relating to the control of gravel-mining activities. The narrowing trend (1960-1999) of the morphological plan form certainly enhanced the chance of islands becoming established and this explains the reduction of the active channel, the increase in established islands and reduction of pioneer islands

Early Social Cognition: Alternatives to Implicit Mindreading

According to the BD-model of mindreading, we primarily understand others in terms of beliefs and desires. In this article we review a number of objections against explicit versions of the BD-model, and discuss the prospects of using its implicit counterpart as an explanatory model of early emerging socio-cognitive abilities. Focusing on recent findings on so-called ‘implicit’ false belief understanding, we put forward a number of considerations against the adoption of an implicit BD-model. Finally, we explore a different way to make sense of implicit false belief understanding in terms of keeping track of affordances

The parent?infant dyad and the construction of the subjective self

Developmental psychology and psychopathology has in the past been more concerned with the quality of self-representation than with the development of the subjective agency which underpins our experience of feeling, thought and action, a key function of mentalisation. This review begins by contrasting a Cartesian view of pre-wired introspective subjectivity with a constructionist model based on the assumption of an innate contingency detector which orients the infant towards aspects of the social world that react congruently and in a specifically cued informative manner that expresses and facilitates the assimilation of cultural knowledge. Research on the neural mechanisms associated with mentalisation and social influences on its development are reviewed. It is suggested that the infant focuses on the attachment figure as a source of reliable information about the world. The construction of the sense of a subjective self is then an aspect of acquiring knowledge about the world through the caregiver's pedagogical communicative displays which in this context focuses on the child's thoughts and feelings. We argue that a number of possible mechanisms, including complementary activation of attachment and mentalisation, the disruptive effect of maltreatment on parent-child communication, the biobehavioural overlap of cues for learning and cues for attachment, may have a role in ensuring that the quality of relationship with the caregiver influences the development of the child's experience of thoughts and feelings