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PubMed2001

Accordance between EEG alpha power and dual task performance for different visual cognitive tasks.

Evidence from clinical and experimental studies suggests that the left hemisphere is preferentially engaged in language processing and mathematical-analytic tasks while the right is involved with spatial relations and synthetic tasks. The purpose of the present study was to investigate accordance between dual task paradigm (effects of concurrent cognitive tasks on right- and left-hand finger tapping frequency) and EEG alpha power changes, which are used to conduct research in lateralization of cognitive function. Subjects performed reading, face recognition and line orientation tasks. First, the EEG was recorded during the tasks and, after six months, the dual task was carried out using the same cognitive tasks. Statistical analysis yielded no significant main effect for the hemispheres, performing hand and three cognitive tasks separately for the dual task and the EEG alpha power changes. However, significant correlation between the two methods was found, indicating the left parietal activation for the reading task, the right temporal activation for the line orientation task, and both hemispheric activation for the face recognition task. Results first suggest a significant accordance between dual task performance and EEG alpha asymmetry studies.

Adolescent↗
PubMedDate not supplied

Field dependence-independence from a working memory perspective: a dual-task investigation of the Hidden Figures test.

Field dependence-independence (FDI) is a construct intensively investigated within cognitive style research, but its cognitive underpinnings are not clearly specified. We propose that performance on FDI tasks primarily reflects the operations of the visuospatial and executive components of working memory. We tested this hypothesis in a dual-task experiment with a commonly used measure of FDI, the Hidden Figures Test. The results showed that performance on this test was impaired by concurrent performance of secondary tasks that primarily tap the visuospatial component (spatial tapping) and the executive component (2-back and random number generation), but was almost unaffected by other secondary tasks (simple tapping and articulatory suppression). Moreover, an analysis of secondary task performance ruled out the possibility of strategic trade-offs and revealed an intriguing dissociation for two different sets of "randomness" indices for the random number generation task. These results support the hypothesised mapping between FDI and working memory components and suggest that the dual-task paradigm can provide a useful way to bring underspecified constructs like FDI into closer alignment with theoretical ideas developed within cognitive psychology.

Field Dependence-Independence↗
PubMed1992

The psychosocial quality of nursing home work.

Trained observers used components of the functional job analysis technique to categorize 3,371 tasks performed by 214 nursing assistants in four nursing homes on five occasions over 12 months. The extent to which each task was oriented toward residents versus data or things was coded along with the "level of complexity" of each of these orientations. A psychosocial index was created by multiplying orientation by complexity. Three questions structured the analyses: (a) To what extent do nursing assistants' tasks involve interacting with residents, as opposed to focusing on data or manipulating things? (b) How complex are these tasks? (c) What are the implications of the task analysis data for assessing the quality of psychosocial care? Findings reveal that even among the direct care tasks (69% of total), the orientation was not predominantly toward the resident. Functional complexity of the tasks observed was consistently low. Those task types with the greatest psychosocial quality were those performed least frequently and vice versa. Implications of these results for restructuring nursing assistants' work are discussed.

Data Collection↗
PubMed2003

Analysis of impairment related functional architecture in MS patients during performance of different attention tasks.

More than 50 % of patients with multiple sclerosis (MS) suffer from cognitive deficits. Attention is one of the most frequently affected cognitive functions. It has been shown that MS patients suffer from a specific but not necessarily from a generalized decrease in performance and that different severity grades of impaired attentional processing can be distinguished. Little is known about patterns of brain activation in MS patients with different grades of attentional deficits. The objective was to examine if different severity grades in attentional impairment are reflected by altered patterns of brain activation in specific attention tasks. In the present study cerebral activation induced by three attention tasks of different complexity was assessed in 14 MS patients and seven healthy controls by functional MRI (fMRI). Based on their performance on the tests recorded off-line with a computerized test battery and during the fMRI investigation, patients were classified as mildly and severely impaired. MS patients with mild impairment showed increased and additional activation of brain areas which were in part not activated in normal subjects. Those were located mainly in the frontal cortex and posterior parietal cortex. This effect decreased with increasing task complexity and was strongest for the alertness task. In MS patients with severe impairment no additional activation was found in prefrontal structures and activation in the premotor cortex was not significantly different from controls. These findings suggest that compensation in MS patients is in part achieved by functional integration of frontal and parietal association areas. The extent of compensation seems to depend on the brain's capacity to access additional brain structures. Exhaustion of this capacity may finally lead to severe cognitive impairment.

Adult↗
PubMed2003

Monitoring meaningful rugby ratings.

The performance of individual rugby players can be quantified using multivariate analysis and modified control chart methodology. Using factor analysis, multivariate data are reduced to five orthogonal factors (key performance indicators). These factors are reduced to a single measure of performance by modifying control chart ideology. By comparing the observed peformances with 'unattainable perfection' rather than the average, a statistic that is suitable for monitoring the performance of individual rugby players with control charts is obtained for use by coaches and selectors.

Data Collection↗
PubMed1991

Effects of a three-year exercise program on motor function and cognitive processing speed in older women.

This study evaluated the effects of a three-year exercise program on motor performance and cognitive processing speed of previously sedentary older women, ages 57-85. Variables tested were simple and choice reaction time (CRT), balance, sit and reach flexibility, shoulder flexibility, and grip strength. Subjects participated three times a week in exercise performance classes designed to meet American College of Sports Medicine guidelines. Results indicate that performance was significantly improved on all measures during the course of the study (p less than .01) except for the sit and reach test (SRT), where significance was approached (p less than .027), but not reached. A comparison of the exercise subjects with a comparable group of nonexercising control subjects revealed significant interactions between treatment and time on all variables except CRT and grip strength. Pretest to posttest scores of the exercise subjects tended to improve over the three-year period, whereas the scores of the control subjects declined. Improved reaction time indicated exercise is effective in reversing or at least slowing ceratin age-related declines in motor performance and in speed of cognitive processing.

Aged↗
PubMed1995

Task analysis of Air Force pharmacy practice.

The frequency with which United States Air Force pharmacists perform specific professional tasks and the pharmacists' views as to the importance of those tasks were studied. A questionnaire was prepared that asked recipients to rate each of 36 tasks selected as representing the spectrum of practice activities. There were four categories of tasks: managerial tasks, dispensing tasks, drug information tasks, and patient care tasks. Recipients rated the tasks with respect to frequency of performance and importance on separate 6-point scales. The questionnaire was mailed in May 1991 to the 225 pharmacists then serving in the Air Force worldwide. Of the 225 questionnaires, 150 usable questionnaires were returned (response rate, 67%). All the tasks in the survey were performed by at least one Air Force pharmacy officer, although the frequency of task performance varied. In particular, the frequency of many patient care tasks was low. All the tasks were perceived to have some importance, but drug information tasks were rated as being significantly more important than tasks in the other categories; patient care tasks were rated lowest in importance. The results varied with the respondents' demographic characteristics. Pharmacy officers with more years of service, more senior positions, higher rank, or an advanced degree in a field other than pharmacy tended to give responses that diverged from those of the population. A 1991 survey showed an awareness among Air Force pharmacists of the need to orient practice around patient care; however, they were not spending substantial time on patient care and tended to view it as less important than more traditional pharmacy tasks.

Female↗
PubMed2003

Assessing the driving performance of older adult drivers: on-road versus simulated driving.

To validate a laboratory-based driving simulator in measuring on-road driving performance, 129 older adult drivers were assessed with both the simulator and an on-road test. The driving performance of the participants was gauged by appropriate and reliable age-specific assessment criteria, which were found to be negatively correlated with age. Using principal component analysis, two performance indices were developed from the criteria to represent the overall performance in simulated driving and the on-road assessment. There was significant positive association between the two indices, with the simulated driving performance index explaining over two-thirds of the variability of the on-road driving performance index, after adjustment for age and gender of the drivers. The results supported the validity of the driving simulator and it is a safer and more economical method than the on-road testing to assess the driving performance of older adult drivers.

Accidents, Traffic↗
PubMed1997

Possible overlapping potentials of the auditory P50 in humans: factor analysis of middle latency auditory evoked potentials.

The auditory P50 in humans may consist of overlapping potentials. To test this hypothesis, we manipulated the conditions of stimulus discrimination and motor response difficulty and evaluated the data by factor analysis. Twenty right-handed males (mean age 27 years) performed the following 4 tasks: (1) a counting task, (2) an easy Go, No-Go task, (3) a difficult Go, No-Go task, and (4) a choice reaction task. Middle latency auditory evoked potentials were obtained with 100 times summation triggered by the onset of the auditory stimulus. Four factors were extracted by factor analysis for a 0-100 ms time period. Factor 1, the maximum factor loading at 91 ms, corresponded to N1, and factor 4, the maximum factor loading at 23 ms, appeared to correspond to P30. The latency of the maximum factor loading in factor 2 was adjacent to that in factor 3, the latency of factor 2 being 12 ms earlier than that of factor 3. Factor 2 and factor 3 latencies were approximately 55 ms which corresponded to the P50. Factor 3 started rising at the point that factor 2 reached the maximum factor loading, and the factor score demonstrated a significant group difference only when analyzed by motor response criteria. These results suggest that the P50 in humans consists of overlapping potentials and that a part of the potential might relate to a motor response process.

Adult↗
PubMed1994

An objective methodology for task analysis and workload assessment in anesthesia providers.

BACKGROUND: Administering anesthesia is a complex task in which either human or equipment failure can have disastrous consequences. An improved understanding of the nature of the anesthesiologist's job could provide a more rational basis for improvements in provider training as well as the design of anesthesia equipment. The objective of this study was to develop a set of techniques to evaluate anesthesiologist performance and to determine what information could be obtained from performing real-time task assessment and workload analysis tests in the operating room. METHODS: The methodology used included time-motion analysis, secondary task probing, and subjective workload assessment. The time-motion data was subjected to subsequent analysis to generate quantitative measures such as task duration (time spent focused on an individual task) and task density (the number of tasks initiated per minute). The latency of response to a "vigilance light" was used as a secondary task probe. Finally, both the observer and the subjects themselves scored workload at 10-15-min intervals throughout the case. Two groups of anesthesia providers performing general endotracheal anesthesia for simple ambulatory surgical cases (1-4 h duration) were examined using this methodology. In the first group, 3rd-yr anesthesia residents and experienced certified registered nurse anesthetists (n = 11) performed cases under limited supervision by an attending anesthesiologist. In the second group, novice residents in their first 8 weeks of training (n = 11) performed similar cases under nearly constant attending supervision. RESULTS: The two groups seemed to manifest different patterns of task behavior, task density, subjective workload, and latency of response to the vigilance task. Response latency to the vigilance task increased at times of increased workload (e.g., during induction of anesthesia). The experienced (less supervised) providers spent significant amounts of time observing the monitors and the surgical field, whereas the novice subjects spent more time conversing with the supervising attending. Despite performing fewer tasks per minute (lower task densities), the novice subjects exhibited longer latencies of response to the vigilance light and increased subjective workload. Novice subjects also had longer task duration values. For example, postintubation, novices focused on their monitors for an average of twice as long as did experienced subjects (13 +/- 2 vs. 7 +/- 1 s) before moving on to another task. CONCLUSIONS: These techniques permitted an objective description of task characteristics, workload, and vigilance in anesthesia personnel under actual work conditions. This methodology could aid in understanding the factors that affect anesthesiologists' performance and may prove useful in assessing the progress of training.

Anesthesiology↗
PubMed1989

Measuring effectiveness in health visiting.

While resources for health remain limited, all managers must be able to demonstrate the cost-effectiveness of the services provided. Computer technology now provides the data with which to measure efficiency. Health visitors (together with other community-based professions) need to recognise the opportunities that information technology (IT) offers to help improve the planning and management of services. This article outlines the use of information to understand better the present delivery of health visitor services, to set objectives for the future and to measure actual performance against intended; in the near future to match better the supply of services to demand by developing neighbourhood or GP-practice profiles using mapping and graphics techniques; and in the longer term to refine measures of need or 'dependency' and 'outcome' to target resources and improve effectiveness.

Community Health Nursing↗
PubMed2002

Motivational orientations and imagery use: a goal profiling analysis.

The aim of this study was to establish whether different motivational profiles that result from performing a cluster analysis reflect the use of different functions and amounts of imagery. One hundred and five competitive swimmers were recruited to participate in the study. They were asked to complete both the Task and Ego Orientation in Sport Questionnaire (TEOSQ) and the Sport Imagery Questionnaire. The results of a K-means cluster analysis on the TEOSQ scores resulted in a three-cluster solution that maximized between-group differences and minimized within-group differences. A multivariate analysis of variance revealed that the three cluster groups could be distinguished by their use of imagery. Specifically, the results indicated that individuals with a 'complementary balance' between task and ego orientations were more motivated to perform the functions of imagery that would help them to maximize their performance.

Adolescent↗
PubMed1996

Use of bioelectrical impedance analysis measurements as predictors of physical performance.

Through its association with fat-free mass (FFM), bioelectrical impedance analysis (BIA) offers an alternative to physical performance testing. We examined the relations between stature2/resistance (S2/R), FFM, and muscular strength in data from three studies of young military men and women. Resistance was measured at 50 kHz by using the conventional tetrapolar electrode method. FFM was based on skinfold thicknesses, and estimated with the regression equations of Durnin and Womersley. Strength was measured as a one-repetition maximum on an incremental lift test (IL1RM), which is widely used by the military services to predict overall body strength. Although there was an association between IL1RM and S2/R in each of these studies (correlations ranged from 0.35 to 0.53), correlations were strongest between FFM and S2/R (R = 0.53 to 0.85), indicating that BIA and FFM derived from skinfold thicknesses are better correlated with each other than are the relations of either of these with physical performance. Modest increases in FFM and strength in one 8-wk training study correlated with S2/R; however, large decreases in FFM and strength in another study (with weight losses of 10 kg in 8 wk) were not reflected by changes in S2/R. Thus, BIA is not particularly useful for performance prediction despite its moderate relation to FFM. BIA is especially problematic with large changes in body composition, for which there are apparent deviations in hydration status; expedient methods such as skinfold predictions will be more resistant to such effects.

Adult↗
PubMed1997

The time course of spatial and object learning in Parkinson's disease.

Parkinson's disease (PD) is characterized by spatial memory dysfunction, but the selectivity of the deficit remains unclear. We addressed this issue by comparing performance on spatial and object variants of a conditional associative learning task, and by analysing the data with time series analytical techniques. The 11 PD subjects and 15 normal control subjects learned stimulus-stimulus pairings through trial-and-error learning. PD subjects were selectively impaired on the spatial condition: they required more trials to achieve criterion, learned at a slower rate and displayed a working memory deficit. The groups did not differ in the object condition. These results suggest a distinction between material-specific spatial and object visual memory systems. Further, they indicate that spatial learning and memory are selectively impaired in early PD, suggesting that interactions between the basal ganglia and prefrontal cortex are important for the mediation of high-level cognition.

Aged↗