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PubMed2005

Frontal lobe activation during object alternation acquisition.

Object alternation (OA) tasks are increasingly used as probes of ventral prefrontal functioning in humans. In the most common variant of the OA task, subjects must deduce the task rule through trial-and-error learning. To examine the neural correlates of OA acquisition, the authors measured regional cerebral blood flow with positron emission tomography while subjects acquired an OA task, performed a sensorimotor control condition, or performed already learned and practiced OA. As expected, activations emerged in the ventral prefrontal cortex. However, activation of the presupplemental motor area was more closely associated with successful task performance. The authors suggest that areas beyond the ventral prefrontal cortex are critically involved in OA acquisition.

Adult↗
PubMed2003

Aging and dual-task performance: a meta-analysis.

The relations between dual-task effects and aging were examined through a meta-analysis of 33 studies (with 48 independent participant groups) using latency as the dependent measure and 30 studies (with 40 independent participant groups) focusing on accuracy. Brinley plots and state traces were derived, and a model to explicate different types of complexity (additive and multiplicative) was developed. The effects of dual-task processing on latency were additive, and this additive cost was larger in older adults than in younger adults and larger than predicted from general slowing. This cost was small and independent of task complexity. The effects of dual-task processing on logit-transformed accuracy were likewise additive, but no specific age deficit was associated with this dual-task cost.

Adult↗
PubMed2004

Bilateral processing of motor commands in the motor cortex of the cat during target-reaching.

Single-unit activity of the motor cortex (area 4gamma) was studied in cats performing reaching with the contra- versus ipsilateral forelimb. Reaching was initiated by a tone burst (Go cue), different limbs were used in separate blocks of trials. During reaching performed with the contralateral limb, three types of neurons were observed. The first type had biphasic pattern with an initial component locked to the Go cue followed by a component locked to the onset of reaching. The second type of neurons had monophasic discharges correlated both with the onset of the stimulus and with the movement. The third type showed responses related to the movement. Activity of the same cells investigated during reaching performed with the ipsilateral limb revealed that the cue-locked responses of the cells of the first type were effector independent, i.e., similar discharges locked to the Go cue were generated. The movement-related component of these cells was drastically reduced. The activity of some cells of the second type was suppressed during reaching with the ipsilateral limb. When performance was switched between limbs, a significant change of background discharge frequency was observed in 31% of the cells. The present results suggest that the sensory cue triggers elaboration of motor commands for reaching in both motor cortices, but further sensorimotor transformation is completed in only one hemisphere but is aborted actively in the other. It is also suggested that a certain pattern of background activity may serve a tuning function for elaboration of the command in the proper hemisphere.

Action Potentials↗
PubMed2004

Planning abilities and the Tower of London: is this task measuring a discrete cognitive function?

The Tower of London (ToL) test is widely used for measuring planning and aspects of problem solving. The primary focus of this study was to asses the relationship among different measures on the ToL. A secondary purpose was to examine the putative relationship between intelligence and working memory with that of ToL performance. Analyses of the interrelation of several ToL parameters indicated that better ToL performance was associated with longer preplanning time and shorter movement execution time. Good performers showed a stronger increase in preplanning duration with task difficulty then intermediate or poor planners. Stepwise multiple regression analysis yield fluid intelligence as the only significant predictor of ToL performance. These result suggest that the Tower of London assesses predominantly planning and problem solving and could not be explained by other cognitive domains.

Adult↗
PubMed1982

Relationship between simulated fire fighting tasks and physical performance measures.

Twenty-six physical performance variables were assessed on 100 professional fire fighters and correlated against timed measures of five sequentially performed fire fighting tasks and against fractionated heart rates collected during performance of the fire fighting tasks via Holter monitoring of the ECG. Canonical correlation analysis revealed that two factors, physical work capacity and resistance to fatigue, accounted for the fractionated time and heart rate data. The first factor, influenced heavily by the average intra-task heart rate (L = 0.94) and by the approximately equal weights for the five simulated tasks (-0.53 less than L less than -0.36), reflected the fact that relatively high muscular strength and endurance, coupled with a near maximal aerobic capacity effort, were required to complete the simulated tasks. The battery of physical performance variables best predicting the first factor (R2 = 0.63) included maximal heart rate, sit-ups, grip strength, age, and submaximal oxygen pulse. The second factor (R2 = 0.39), most heavily loaded by the simulated rescue (L = 0.70) and chopping tasks (L = 0.42), appeared to represent an ability to complete all tasks quickly by exhibiting a resistance to fatigue brought on by the demands of the earlier tasks. The battery of physical performance variables best predicting the second factor included lean body weight, maximal heart rate, final treadmill grade, age, and percent fat. This study demonstrated that physiological factors related to the performance of occupational tasks can be identified and measured.

Adult↗
PubMed2005

Context-dependent modulation of movement-related discharge in the primate globus pallidus.

A selective contribution of the basal ganglia (BG) to memory-contingent motor control has long been hypothesized. The importance of memory context remains an open question, however, for the BG skeletomotor circuit. To investigate this question, we studied the perimovement discharge of a carefully selected group of 74 "arm-related" pallidal cells in two rhesus monkeys. The animals performed three tasks designed to dissociate multiple independent aspects of memory-contingent reaching while controlling movement kinematics. The activity of most neurons (88%) was influenced strongly by the memory demands of a task (remembering "where" or "when" to move), but the population as a whole showed no systematic preference for memory- or sensory-contingent conditions. The effects of memory context were primarily additive with those of movement kinematics (particularly movement direction). Considered separately, decreases and increases in firing had very different context preferences: decreases were nearly always larger for sensory-triggered movements, whereas increases were enhanced most often under memory-contingent conditions (i.e., self-initiated or self-guided movements). A similar pattern of preferences was found for both pallidal segments. The distinct context-specific enhancements of decreases and increases could not be explained as simple sensory responses or as interactions with preparatory or anticipatory processes present before movement initiation. Rather, they appear related to movement execution under specific contexts. Our results lead to the conclusion that movement facilitatory decreases in internal pallidal (GPi) activity are primarily greater under sensory-triggered conditions. GPi increases and their suppressive effects, perhaps on competing activity in pallidal-recipient centers, have increased prevalence under memory-contingent conditions.

Action Potentials↗
PubMedDate not supplied

Praxis skills in young children with Down syndrome, other developmental disabilities, and typically developing children.

This study explored whether young children with Down syndrome show praxis deficits that impact activities of daily living, and whether these deficits are specific to Down syndrome. We compared the performance of young children with Down syndrome, a mental age-matched group of children with developmental disabilities of mixed or unknown etiologies, and a group of typically developing infants and toddlers on praxis tasks and overall adaptive behavior (Vineland Adaptive Behavior Scales). Children with Down syndrome showed poorer overall motor functioning than the developmental disabilities comparison group as measured by the Vineland Adaptive Behavior Scales, F(2, 47) = 5.24, p < .01 (using one-way analysis of variance [ANOVA]). A one-way multivariate analysis of variance also showed that children with Down syndrome performed significantly worse overall than the developmental disabilities comparison group on a battery of praxis tasks, F(7, 18) = 2.95, p < .05, and a series of object retrieval tasks, F(7, 18) = 2.95, p < .05, suggesting a deficit in praxis that is specific to Down syndrome. Children with Down syndrome elicited significantly more help than both comparison groups during object retrieval trials, F(2, 48) = 4.94, p < .01 (using one-way ANOVA). When chronological age was partialled out, a strong relationship was observed between praxis and adaptive functioning in Down syndrome, r(8) = .69, p < .05. These findings suggest that young children with Down syndrome may need targeted interventions that focus on both praxis skills and motivational orientation.

Child↗
PubMed2000

An application of the situational interview to selection of nursing personnel.

The study was designed to develop a situational interview technique to replace the unstructured interview commonly used in the selection process of nursing personnel and explore the applicability of incorporating the situational interview and psychological tests into the development of a regression model of nursing personnel selection. The authors collected from several teaching hospitals in Kaohsiung job-related critical incidents which were used to construct the questionnaire for the situational interview and the performance appraisal checklist. A sample of subjects, 198 in the first year but only 116 the second year, were interviewed and evaluated with the situational interview, the Nursing Image Scale, the Work Values Inventory, and part of the Gordon Personal Profile-Inventory as predictor measures and the performance appraisal checklist as the criterion measure. The results showed that the reliability and validity coefficients of the situational interview were close to or even better than those obtained by the previous researchers in the same field. The reliability and validity coefficients of the performance appraisal checklist indicated its applicability and suitability. Multiple regression analysis indicated that the situational interview as well as some traits measured by the personality and values tests could predict the performance appraisal scores of nursing personnel.

Adult↗
PubMed2001

The reliability of multiple regression and an alternative method for extracting task-specific exposure estimates from time-weighted average data.

The reliability of multiple regression analysis as a method for determining task-specific exposures from multi-task time-weighted average data was evaluated in comparison with the alternative P-screen method. The performances of the two methods were tested using simulated sample data that were calculated as averages over six tasks, where task-specific concentrations drawn randomly from lognormal distributions were weighted by randomly generated task time-weights. Data sets consisted of 20 or 100 simulated samples. The simulated data sets conformed to requirements inherent in the P-screen method that at least one task be absent from each sample and each task be absent from at least one sample. In thousands of Monte Carlo trials under various conditions, the two methods were found to perform equally well when dichotomous task measures (occurrence/ nonoccurrence) were used. Combining the two methods did not improve reliability appreciably, suggesting that the methods are effectively equivalent when dichotomous task measures are used. When task durations were used as the regressors or time-weights, multiple regression was found to be more reliable than P-screen. It is well recognized that incidental or fundamental collinearities between regressors may undermine multiple regression analyses. The P-screen-related restrictions on the task structure of data sets reduces the potential for problems arising from such collinearities. However, the use of multivariate analysis of multiple-task samples will always be an imperfect substitute for single-task sampling.

Air Pollution, Indoor↗
PubMed2000

[Computer support of workflow in the hospital: concepts, technology and application].

For a variety of reasons, hospitals are developing a growing interest in changing their information systems to support patient processes in a more direct way. This means to actively deliver the tasks to be performed to the right persons at the right point in time with the necessary information and the application functions needed for performing these tasks. Process-oriented workflow technology is a very interesting candidate to achieve this goal. It offers components for the computer-based analysis, modeling, animation, coordination and monitoring of (hospital) processes. In this paper we discuss the perspectives offered by workflow-based, clinical information systems. We survey key features of today's business process modeling tools and of workflow management systems, and we show how they can be applied in the clinical domain. To illustrate the huge potential offered by workflow technology, we present results from the project "Using Workflow Management Systems for Clinical Applications". Within this project we thoroughly analyzed and redesigned core processes from the University's Women hospital and we proto-typically implemented a workflow-based application system for the support of processes from the division day clinic. Although our work shows that current workflow technology is still lacking some important features, in the long run, it may strongly influence information processing within hospitals.

Computers↗
PubMed2002

The interactive effects of conscientiousness and agreeableness on job performance.

The authors hypothesized that the relationship between conscientiousness and job performance would be stronger for persons high in agreeableness than for those low in agreeableness. Results of hierarchical moderated regression analyses for 7 independent samples of employees across diverse occupations provided support for the hypothesis in 5 of the samples. In samples supporting the hypothesis, among the highly conscientious workers, those low in agreeableness were found to receive lower ratings of job performance than workers high in agreeableness. One explanation for lack of an interaction between conscientiousness and agreeableness in the other 2 samples is that those jobs were not characterized by frequent, cooperative interactions with others. Overall, the results show that highly conscientious workers who lack interpersonal sensitivity may be ineffective, particularly in jobs requiring cooperative interchange with others.

Adult↗
PubMed1978

Staffing pattern of a health maintenance organization. A systems approach.

A systems analysis approach was applied to a study of health provider jobs in a health maintenance organization to develop a proposal for an improved staffing pattern and an appropriate training curriculum for the provider. Physicians reported performing 512 ambulatory care tasks; health associates, 372; and health assistants, 284. Overlap was found among each group, especially in data-gathering tasks. This led to reallocation of tasks, with the most complex but smallest number assigned to the physician, and the least complex but highest number assigned to the assistant. In turn, a staffing pattern was suggested whereby a team of two physicians, four associates, and eight assistants would be able to manage the visits of 10,000 patients.

Allied Health Personnel↗
PubMed1991

Goal setting and the differential influence of self-regulatory processes on complex decision-making performance.

The effects of goal setting and cognitive self-regulatory processes were examined on a highly complex task, a managerial decision-making simulation. It was hypothesized that the presence vs. absence of a specific performance goal would moderate the strength of relations between performance and 2 self-regulatory processes: self-efficacy judgments and self-evaluative reactions. Ss received either a moderately or extremely difficult task goal, or no specific goal. Self-regulatory processes were assessed after an initial trial block. Regression analyses revealed that, as predicted, both self-regulatory processes more strongly affected performance when Ss received a specific goal. Contrary to earlier findings obtained with simple activities, dissatisfaction with prior outcomes impaired performance. Ss who were dissatisfied with past attainments exerted much decision effort but adopted inferior task strategies that produced poorer results.

Analysis of Variance↗