Task Performance Research Articles

Using mobile EEG to study auditory work strain during simulated surgical procedures

Surgical personnel face various stressors in the workplace, including environmental sounds. Mobile electroencephalography (EEG) offers a promising approach for objectively measuring how individuals perceive sounds. Because surgical performance does not necessarily decrease with higher levels of distraction, EEG could help guide noise reduction strategies that are independent of performance measures. In this study, we utilized mobile EEG to explore how a realistic soundscape is perceived during simulated laparoscopic surgery. To examine the varying demands placed on personnel in different situations, we manipulated the cognitive demand during the surgical task, using a memory task. To assess responses to the soundscape, we calculated event-related potentials for distinct sound events and temporal response functions for the ongoing soundscape. Although participants reported varying degrees of demand under different conditions, no significant effects were observed on surgical task performance or EEG parameters. However, changes in surgical task performance and EEG parameters over time were noted, while subjective results remained consistent over time. These findings highlight the importance of using multiple measures to fully understand the complex relationship between sound processing and cognitive demand. Furthermore, in the context of combined EEG and audio recordings in real-life scenarios, a sparse representation of the soundscape has the advantage that it can be recorded in a data-protected way compared to more detailed representations. However, it is unclear whether information get lost with sparse representations. Our results indicate that sparse and detailed representations are equally effective in eliciting neural responses. Overall, this study marks a significant step towards objectively investigating sound processing in applied settings.

Adverse childhood experiences, brain function, and psychiatric diagnoses in a large adult clinical cohort.

Adverse childhood experiences (ACEs) are linked to higher rates of psychiatric disorders in adults. Previous neuroimaging studies with small samples have shown associations between ACEs and alterations in brain volume, connectivity, and blood flow. However, no study has explored these associations in a large clinical population to identify brain regions that may mediate the relationship between ACEs and psychiatric diagnoses. This study aims to evaluate how patient-reported ACEs are associated with brain function in adults, across diagnoses. We analyzed 7,275 adults using HMPAO SPECT scans at rest and during a continuous performance task (CPT). We assessed the impact of ACEs on brain function across psychiatric diagnoses and performed mediation analyses where brain functional regions of interest acted as mediators between patient-reported ACEs and specific psychiatric diagnoses. We further evaluated the risk of being diagnosed with specific classes of mental illnesses as a function of increasing ACEs and identified which specific ACE questions were statistically related to each diagnosis in this cohort. Increased ACEs were associated with higher activity in cognitive control and default mode networks and decreased activity in the dorsal striatum and cerebellum. Higher ACEs increased the risk of anxiety-related disorders, substance abuse, and depression. Several brain regions were identified as potential mediators between ACEs and adult psychiatric diagnoses. This study, utilizing a large clinical cohort, provides new insights into the neurobiological mechanisms linking ACEs to adult psychiatric conditions. The findings suggest that specific brain regions mediate the effects of ACEs on the risk of developing mental health disorders, highlighting potential targets for therapeutic interventions.

Relationships between sensory reactivity and occupational performance in children with paediatric acute-onset neuropsychiatric syndrome (PANS).

Paediatric acute-onset neuropsychiatric syndrome (PANS) is a neurodevelopmental disorder affecting children's performance in a fluctuating manner. This study investigates the relationship between sensory reactivity and occupational performance in children with PANS during exacerbation phases. Understanding these relationships is crucial for developing tailored interventions and managing the condition effectively. This study is part of a larger project in which a two-period bidirectional case-crossover design was employed to assess sensory reactivity and occupational performance in children with PANS. The current study used data from exacerbation phases only. Parents of children aged 4.6 to 13.1years with PANS were recruited globally, and data were collected via online surveys. The Vineland Adaptive Behaviour Scale (VABS) evaluated occupational performance, and the Sensory Processing Measure (SPM) assessed sensory reactivity. Analysis utilised Pearson correlation to determine the relationships between sensory reactivity and occupational performance domains. Data from 60 participants who completed the SPM and 21 who completed the VABS showed moderate to strong negative correlations between the SPM total and several domain scores (vision, hearing, body awareness, balance, and motion) and the VABS Communication and Daily Living Skills scores, indicating that increased sensory reactivity is associated with decreased occupational performance during exacerbations. No significant correlation was found between sensory reactivity and socialisation skills. Findings highlight the significant relationship between sensory reactivity and occupational performance during PANS exacerbations, particularly in communication and daily living skills domains. Further research is needed to examine factors influencing socialisation skills and to assess the effectiveness of sensory interventions in improving occupational performance. Although there was no direct consumer and community involvement, two researchers on our team have family members with PANS. Their personal experiences provided vital insights into the challenges faced by children with PANS, deeply influencing our study's design, focus, and interpretation, ensuring it reflects the realities of those affected. We examined the relationship between children's daily activities and their sensory reactivity during PANS symptom flare-ups. Parents of children aged 4.6 to 13.1 years completed surveys measuring sensory reactivity and their children's performance of daily tasks. Our findings showed that during symptom flare-ups, children experienced significant difficulties with communication and daily living skills. These challenges were directly related to heightened sensory reactivity during flare-ups. This highlights the importance of providing targeted occupational therapy during these times to help children manage their symptoms and improve their daily functioning.

Dorsal CA1 NECTIN3 Reduction Mediates Early-Life Stress-Induced Object Recognition Memory Deficits in Adolescent Female Mice.

Early-life stress (ES) leads to cognitive dysfunction in female adolescents, but the underlying neural mechanisms remain elusive. Recent evidence suggests that the cell adhesion molecules NECTIN1 and NECTIN3 play a role in cognition and ES-related cognitive deficits in male rodents. In this study, we aimed to investigate whether and how nectins contribute to ES-induced cognitive dysfunction in female adolescents. Applying the well-established limited bedding and nesting material paradigm, we found that ES impairs recognition memory, suppresses prefrontal NECTIN1 and hippocampal NECTIN3 expression, and upregulates corticotropin-releasing hormone (Crh) and its receptor 1 (Crhr1) mRNA levels in the hippocampus of adolescent female mice. Genetic experiments revealed that the reduction of dorsal CA1 (dCA1) NECTIN3 mediates ES-induced object recognition memory deficits, as knocking down dCA1 NECTIN3 impaired animals' performance in the novel object recognition task, while overexpression of dCA1 NECTIN3 successfully reversed the ES-induced deficits. Notably, prefrontal NECTIN1 knockdown did not result in significant cognitive impairments. Furthermore, acute systemic administration of antalarmin, a CRHR1 antagonist, upregulated hippocampal NECTIN3 levels and rescued object and spatial memory deficits in stressed mice. Our findings underscore the critical role of dCA1 NECTIN3 in mediating ES-induced object recognition memory deficits in adolescent female mice, highlighting it as a potential therapeutic target for stress-related psychiatric disorders in women.

A study of long-term supraphysiologic-dose anabolic-androgenic steroid use on cognitive function in middle-aged men

ABSTRACT Background: Long-term use of supraphysiologic doses of anabolic-androgenic steroids (AAS) has been associated with impaired visuospatial memory in young men but little is known about its cognitive effects in middle-aged men. Objectives: We compared cognition in middle-aged men with histories of long-term AAS use and age-matched non-users. Methods: We administered cognitive tests from the CANTAB battery to 76 weightlifters aged 37–60 years (mean [SD] 48.5 [6.5] years), of whom 51 reported at least 2 years of cumulative AAS use and 25 reported no AAS exposure. Results: We found no significant AAS user versus non-user group differences on visuospatial, verbal memory, emotional recognition, or executive function tasks (corrected p’s ≥ .00089; effect sizes ≤ .5). Conclusions: Our null visuospatial task findings contrast with our prior younger cohort study (mean age 37.1 [7.1] years), in which we found impaired visuospatial task performance in people who use AAS, and with other reports of cognitive impairments in younger men use AAS. Men who use AAS may develop early visuospatial memory deficits that stabilize by middle age while middle-aged non-users’ performance may “catch up” due to normal age-related visuospatial declines. Similar effects could contribute to our null findings on other tasks. Between-study cohort substance use differences or environmental factor differences that modify cognition, such as study geographical location and time of year, also could contribute to our discordant findings. Since young adult male AAS users experience increased mortality from unnatural causes, improving our understanding of AAS cognitive effects in this age group is important.

Investigation of the Effect of Parametric Patterned Façade and Resulting Daylight Illuminance on Students’ Mood and Task Performance in Architecture Studio-Based Tutoring

Parametric design is one of the thriving contemporary architectural treatments that not only has an influence on the design of building envelopes but is capable of affecting the users physically and psychologically. The efficiency of the daylight resulting from the facade is greatly affected by the envelope’s perforation shapes, sizes, and distribution. This research builds upon a prior study which investigated the effect of Parametric Patterned Façade on daylight performance, quality, and visual comfort concluding with the choice of the highest-performing pattern for daylight metrics. The chosen pattern is the “Triangles Pattern” which was put in situ where the field experiment took place. The current study analyzed the effect of illuminance, and illuminance distribution resulting from the parametric patterned facade on architecture students’ mood and task performance in the setting of an architecture studio-based tutoring. Both quantitative and qualitative research methods were adopted; quantitative through the utilization of a Spatial Ability Test to assess students’ task performance, and qualitative through a self-reporting mood assessment, and subjective daylight perception questionnaire. The analysis was conducted through three types of tests to investigate the research hypothesis; statistical analysis of hypothesis (t-test), PANAS schedule for mood assessment, and comparative analysis of the subjective questionnaire between the base case condition and the parametric patterned façade condition. The results of paired sample study indicated that the students’ performance was enhanced after the exposure to the second condition (PPF condition) over the first (BC condition). Also, for the NA assessment, both PANAS assessment and t-test analysis results showed a difference in means between the two conditions indicating that there was an enhancement of the NA. Finally, a framework is proposed for the utilization of a Parametric Patterned façade in an educational setting. The implications of this experiment inform architects of the importance of daylighting techniques to enrich the educational environment, and how to establish a research methodology for the enhancement of daylight design using both technical and psychological approaches.

Effects of Constraining Postural Sway During Upper-Limb Precision Aiming Task Practice in Individuals with Stroke

Individuals post-stroke commonly demonstrate alterations in motor behavior with regard to both task performance and the motor strategies used in pursuit of task goals. We evaluated whether constraining postural sway (motor strategy) during practice would affect upper-limb precision aiming performance (task performance) and postural control adaptations. Adults with stroke stood on a force plate while immersed in a virtual scene displaying an anterior target. Participants aimed to position a virtual laser pointer (via handheld device) in the target. Participants then completed practice trials involving aiming at a lateral target. For this practice session, participants were randomized to either (a) a “constraint” group wherein they received physical constraint to limit postural sway, or (b) a “no-constraint” group. Task performance and postural control were assessed before and after practice, and transfer to another upper-limb task was evaluated. After practice, both groups improved paretic upper-limb performance. For the target task, the no-constraint group showed task-sensitive changes in postural control. The constraint group showed no changes in postural control. At transfer, the constraint group increased postural sway. Constraining postural sway after stroke should be carefully considered with the recognition that postural sway arises from exploratory movements involved in the discovery of adaptable motor solutions.

Examining the relationship between subjective exercise tolerance and psychophysiological reactivity during physical stress.

It has been hypothesized that one's ability to control impulses aids in sustaining effort despite experiencing painful physical sensations. Physical exercise has been used extensively as an intervention to strengthen the inhibitory control system and protect an individual's cognitive plan of action. It is unclear, however, whether the high levels of exercise tolerance could facilitate inhibitory control under varied stressors. The present study explored the relationship between subjective exercise tolerance and psychophysiological characteristics that indicate reactivity capacity when exposed to the cold pressor test. Thirty-six participants were divided into two groups based on their subjective exercise tolerance profiles. During the test, participants' psychophysiological reactivity was monitored via heart rate variability. Participants were also required to answer questions about their perceptual and affective states at the beginning and immediately after the stress test. The study revealed insights into dominance perception and emotional states among individuals with varying subjective exercise tolerance levels. High-tolerant individuals endured physical discomfort longer (~50 s) and exhibited higher perceived dominance at the outset of the test when compared to their low-tolerant counterparts. Despite differences in task performance, both groups experienced more positive affective states post-task, potentially as a result of a heightened sense of self-accomplishment. Notably, both groups showed similar levels of psychophysiological reactivity, suggesting a protective effect of physical tolerance on ensuing biological responses. Overall, this study sheds light on the complex relationship between exercise tolerance, dominance perception, and psychophysiological reactivity during physically demanding tasks, enriching our understanding of how developing physical tolerance may impact inhibitory control under stress.

CJE-PCHF: Chinese Joint Entity and Relation Extraction Model Based on Progressive Contrastive Learning and Heterogeneous Feature Fusion

The joint extraction of entities and relations is a critical task in information extraction, and its performance directly affects the performance of downstream tasks. However, existing joint extraction models based on deep learning exhibit weak processing capabilities for the phenomenon of multiple pronunciations of one character and multiple characters of one pronunciation when processing Chinese texts, resulting in a performance loss. To address these issues, this paper introduces part-of-speech (POS) and pinyin features to aid the model in learning semantic features that are more contextually appropriate. We propose a Chinese Joint Entity and Relation Extraction Model based on progressive contrastive learning and heterogeneous feature fusion (CJE-PCHF). During model training, an interactive fusion network based on progressive contrastive learning is employed to learn the dependencies between pinyin, POS, and semantic features. This guides the model in heterogeneous feature fusion, capturing higher-order semantic associations between heterogeneous features. On the commonly used DuIE evaluation dataset for joint extraction, our model achieved a significant improvement, with the F1 score increasing by 5.4% compared to the benchmark model CasRel.

A Comparative Analysis of Automated Machine Learning Tools: A Use Case for Autism Spectrum Disorder Detection

Automated Machine Learning (AutoML) enhances productivity and efficiency by automating the entire process of machine learning model development, from data preprocessing to model deployment. These tools are accessible to users with varying levels of expertise and enable efficient, scalable, and accurate classification across different applications. This paper evaluates two popular AutoML tools, the Tree-Based Pipeline Optimization Tool (TPOT) version 0.10.2 and Konstanz Information Miner (KNIME) version 5.2.5, comparing their performance in a classification task. Specifically, this work analyzes autism spectrum disorder (ASD) detection in toddlers as a use case. The dataset for ASD detection was collected from various rehabilitation centers in Pakistan. TPOT and KNIME were applied to the ASD dataset, with TPOT achieving an accuracy of 85.23% and KNIME achieving 83.89%. Evaluation metrics such as precision, recall, and F1-score validated the reliability of the models. After selecting the best models with optimal accuracy, the most important features for ASD detection were identified using these AutoML tools. The tools optimized the feature selection process and significantly reduced diagnosis time. This study demonstrates the potential of AutoML tools and feature selection techniques to improve early ASD detection and outcomes for affected children and their families.

Decision Support Tool to Improve Decision-Making for HIV Pre-Exposure Prophylaxis (PrEP): Development Process and Alpha Testing.

African, Caribbean, and Black (Black) communities in Canada are disproportionately affected by the HIV epidemic. Pre-exposure prophylaxis (PrEP) is a highly effective option for the prevention of HIV. However, the use of PrEP for HIV prevention among eligible Black clients in Canada remains far below the thresholds necessary to achieve the goal of zero new HIV infections. In a recent study in Toronto, PrEP-eligible Black clients were found to have decisional conflict and unmet decisional needs, which affected the quality of their decision-making process regarding the initiation and adherence to PrEP. There is evidence that decision support tools (DSTs) can improve the quality of a decision, the quality of the decision-making process, the implementation or continuation of the chosen option, and the appropriate use of health services. Despite these benefits, there is currently no DST for PrEP-eligible Black clients being asked to consider PrEP for HIV prevention. Our study aimed to develop a DST to improve PrEP decision-making for Black clients and to evaluate the tool's acceptability and usability. We developed and evaluated the PrEP DST for Black patients using the 7-step process outlined in the Ottawa Decision Support Group Guideline for the development and evaluation of DST. To facilitate the implementation of the Ottawa Decision Support Group guideline, we assembled a multidisciplinary team of primary health care providers, researchers, community members with lived experiences, and digital content designers to serve as the steering committee. First, we assessed patients' and primary health care providers' views on decisional support needs, after which we determined the content, design, and distribution plan for the DST. Subsequently, we conducted evidence synthesis, reviews, and appraisal before developing the PrEP DST prototype. The final tool was reviewed by steering committee members for completeness before acceptability and usability testing with potential Black clients and PrEP providers. The web-based DST yielded 27 pages divided into 6 distinct sections. The six sections include (1) an introduction of the DST, (2) clarify your decision, (3) knowledge, (4) a value clarification exercise, (5) support system, and (6) next steps. Both Black clients and PrEP providers reported ease of task performance, general satisfaction, and usefulness of the tool to support decision-making for Black clients. Feedback on usability centered on the need to add a user guide to increase usability. All feedback was incorporated into the final tool. A PrEP DST for Black clients developed using a systematic process and a multidisciplinary steering committee was acceptable and usable by both Black clients and PrEP providers. Further study (eg, randomized controlled trials) may be needed to evaluate the efficacy of the PrEP DST.

EEG microstate transition cost correlates with task demands.

The ability to solve complex tasks relies on the adaptive changes occurring in the spatio-temporal organization of brain activity under different conditions. Altered flexibility in these dynamics can lead to impaired cognitive performance, manifesting for instance as difficulties in attention regulation, distraction inhibition, and behavioral adaptation. Such impairments result in decreased efficiency and increased effort in accomplishing goal-directed tasks. Therefore, developing quantitative measures that can directly assess the effort involved in these transitions using neural data is of paramount importance. In this study, we propose a framework to associate cognitive effort during the performance of tasks with electroencephalography (EEG) activation patterns. The methodology relies on the identification of discrete dynamical states (EEG microstates) and optimal transport theory. To validate the effectiveness of this framework, we apply it to a dataset collected during a spatial version of the Stroop task, a cognitive test in which participants respond to one aspect of a stimulus while ignoring another, often conflicting, aspect. The Stroop task is a cognitive test where participants must respond to one aspect of a stimulus while ignoring another, often conflicting, aspect. Our findings reveal an increased cost linked to cognitive effort, thus confirming the framework's effectiveness in capturing and quantifying cognitive transitions. By utilizing a fully data-driven method, this research opens up fresh perspectives for physiologically describing cognitive effort within the brain.

Thalamic Roles in Conscious Perception Revealed by Low-Intensity Focused Ultrasound Neuromodulation.

The neural basis of conscious perception remains incompletely understood. While cortical mechanisms of conscious content have been extensively investigated, the role of subcortical structures, including the thalamus, remains less explored. We aim to elucidate the causal contributions of different thalamic regions to conscious perception using transcranial low-intensity focused ultrasound (LIFU) neuromodulation. We hypothesize that modulating different thalamic regions would result in distinct perceptual outcomes. We apply LIFU in human volunteers to investigate region-specific and sonication parameter-dependent effects. We target anterior (transmodal-dominant) and posterior (unimodal-dominant) thalamic regions, further divided into ventral and dorsal regions, while participants perform a near-threshold visual perception task. Task performance is evaluated using Signal Detection Theory metrics. We find that the high duty cycle stimulation of the ventral anterior thalamus enhanced object recognition sensitivity. We also observe a general (i.e., region-independent) effect of LIFU on decision bias (i.e., a tendency toward a particular response) and object categorization accuracy. Specifically, high duty cycle stimulation decreases categorization accuracy, whereas low duty cycle shifts decision bias towards a more conservative stance. In conclusion, our results provide causal insight into the functional organization of the thalamus in shaping human visual experience and highlight the unique role of the transmodal-dominant ventral anterior thalamus.

Neuro-Musculoskeletal Modeling for Online Estimation of Continuous Wrist Movements from Motor Unit Activities.

Decoding movement intentions from motor unit (MU) activities remains an ongoing challenge, which restricts our comprehension of the intricate transition mechanism from microscopic neural drive to macroscopic movements. This study presents an innovative neuro-musculoskeletal (NMS) model driven by MU activities for online estimation of continuous wrist movements. The proposed model employs a physiological and comprehensive utilization of MU firings and waveforms, thus facilitating the localization of MUs to muscle-tendon units (MTU) as well as the computation of MU-specific neural excitation. Subsequently, the MU-specific neural excitation was integrated to form the MTU-specific neural excitation, which were then inputted into a musculoskeletal model to accomplish the joint angle estimation. To assess the effectiveness of this model, high-density surface electromyography and angular data were collected from the forearms of eight subjects during their performance of wrist flexion-extension task. Two pieces of 8 × 8 electrode arrays and a motion capture system were employed for data acquisition. Following offline model calibration with a global optimization algorithm, online angle estimation results demonstrated a significant superiority of the proposed model over the state-of-the-art NMS models (p < 0.05), yielding the lowest normalized root mean square error (0.10 ± 0.02) and the highest determination coefficient (0.87 ± 0.06). This study provides a novel idea for the decoding of joint movements from MU activities. The research findings hold the potential to advance the development of NMS models towards the control of multiple degrees of freedom, with promising applications in the fields of motor control, biomechanics, and neuro-rehabilitation engineering.

Dark Triad Traits and Workplace Performance on the Iowa Gambling Task (IGT)

Background Psychologists have recently turned their focus to the “dark side” of workplace behavior, particularly negative traits that impact professional environments. Methods In this exploratory study, we examined the Dark Triad traits—Machiavellianism, narcissism, and psychopathy—among 3,112 bank employees. Additionally, we analyzed the Iowa Gambling Task (IGT) performance in a subset of 1,613 participants to explore correlations between Dark Triad traits and decision-making. We also investigated differences based on sex and job position. Results Our findings reveal that men scored higher on Dark Triad traits than women, reinforcing well-established findings. Furthermore, sales managers and premium client managers displayed the highest levels of Machiavellian strategies, though overall, bank employees showed significantly lower Machiavellianism scores compared to published Russian norms. While IGT performance showed no sex differences, it varied between managers and non-managers. A significant negative correlation emerged between Machiavellianism and psychopathy and good deck choices on the IGT, with a linear regression indicating that lower Dark Triad scores predicted better decision-making. Conclusion Further research is needed to explore the relationship between affective decision-making and dark personality traits.

The affective response to positive performance feedback is associated with motor learning.

Motor skill learning and performance are improved when successful actions are paired with extrinsic rewards, such as money. Positive feedback indicating successful task performance is thought to induce intrinsic reward associated with goal attainment, evidenced by increases in positive affect that correlate with neural reward signaling. However, it is not clear whether the subjective, internal reward processes elicited by positive feedback promote motor learning and performance.Here, we tested the hypothesis that intrinsic reward elicited by positive feedback promotes motor learning and performance. Participants practiced a visuomotor interception task using a joystick, and received feedback during practice indicating success or failure depending on their accuracy. During practice, the accuracy demands were adapted to control and vary the frequency of positive feedback across randomly ordered blocks of practice at either 50%, 70%, or 90%. Performance was measured for each condition as the average accuracy during practice. Learning was estimated by measuring the accuracy pre and post practice in the absence of feedback. We queried participants periodically on their enjoyment of the task to index affective responses to performance feedback.The intrinsic reward elicited by positive feedback, operationalized by the increase in enjoyment immediately following positive versus negative feedback, was positively correlated with learning from pre to post practice. However, increasing the overall amount of positive feedback by lower accuracy demands did not improve performance. These results suggest that experiencing intrinsic reward due to positive feedback benefits motor learning only when it is contingent on good performance.

Analysis of the Incidence and Factors Influencing Medication Administration Errors Among Nurses: A Retrospective Study.

To explore the incidence and factors influencing medication administration errors (MAEs) among nurses. Medication administration is a global concern for patient safety. Few studies have assessed the incidence of MAEs or explored factors that considered the interplay between behaviour, the individual and the environment. This retrospective study included 342 MAEs reported in the electronic nursing adverse event reporting system between January 2019 and September 2023 at a university-affiliated teaching hospital in China. Data on nurses' demographics and medication administration were extracted from the nursing adverse event reports. The reports were classified according to the severity of patient harm. The causes of the 342 MAEs were retrospectively analysed using content analysis based on Bandura's social cognitive theory. Descriptive statistics were used to calculate the proportion of medication errors and the distribution of subcategories. In total, 74.3% of MAEs were adverse events owing to mistakes and resulted in no harm or only minor consequences for patients. Nurses aged 26-35 years and those with 6-10 years of experience were the most common groups experiencing MAEs. Factors influencing MAEs included personal ('knowledge and skills' and 'physical state'), environmental ('equipment and infrastructure,' 'work settings' and 'workload and workflow') and behavioural ('task performance' and 'supervision and communication') factors. The study further highlighted the interrelationships among personal, behavioural and environmental factors. Multiple factors influence MAEs among nurses. Nurse-related MAEs and the relationship between behaviours, individual factors and the environment, as well as ways to reduce the occurrence of MAEs, should be considered in depth. Understanding the factors influencing MAEs can inform training programs and improve the clinical judgement of healthcare professionals involved in medication administration, ultimately improving patient prognoses and reducing MAEs. The findings can help develop clinical guidelines for preventing MAEs.

A reliable and valid assessment of upper limb movement quality after stroke: the observational Drinking Task Assessment.

To develop and evaluate the reliability and validity of a new observational Drinking Task Assessment (DTA) designed to assess quality of movement in task performance after stroke. Reliability and validity. The DTA measures movement time and movement quality (smoothness, trunk, shoulder, elbow, and grasp movements) on a 4-level ordinal scale. Thirty participants with chronic stroke were assessed independently by 2 therapists. Intra-class correlation (ICC), standard error of measurement (SEM) and minimal real difference (MRD), weighted kappa, percentage of agreement, and Svensson method were used for reliability assessment. Motion capture-based kinematics and established clinical scales were used to evaluate validity. The absolute SEM and MRD for movement time were 0.4 and 1 s (11%), respectively. The ICC (≥ 0.93) and weighted kappa (0.71-1.0) showed good to excellent agreement for intra- and inter-rater reliability. DTA showed strong correlations with Fugl-Meyer Assessment (0.74), Action Research Arm Test (0.93), and kinematic measures of smoothness (0.93), trunk displacement (0.91), elbow extension (0.73), and shoulder movements (0.56), indicating good construct validity. The new DTA proved to be a reliable and valid tool for assessment of movement quality during task performance after stroke.

LEADERSHIP IN HYBRID WORK TEAMS: IMPACT OF TRANSFORMATIONAL AND AUTHENTIC LEADERSHIP ON RELATIONSHIPS AND TASK PERFORMANCE IN STUDENT TEAMS

Transformational and authentic leadership have caught researchers’ attention, and it has gained recognition and position within leadership studies. This quantitative research aims to measure the correlation between leaders' transformational and authentic leadership in interpersonal relationships and task performance perceived by their hybrid work teams. For this quantitative research, four previously investigated and validated instruments were utilized: the Authentic Leadership Questionnaire (ALQ) Avolio et al. (2007), which has an acceptable internal consistency reported with Cronbach’s alpha values ranging from .66 to .93; the Multifactor Leadership Questionnaire (MLQ-5X) Bass and Avolio (1994), known for its high reliability with a reported Cronbach's alpha of 0.71; the HQIR: High-Quality Interpersonal Relationships Questionnaire (Carmeli et al., 2009), which also exhibits high reliability with a reported Cronbach’s alpha of 0.93; and the Individual Work Performance Questionnaire (IWPQ) Koopmans et al. (2011), with Cronbach's alpha values ranging from 0.77 to 0.83, and which will be used with a common translation into Latin American Spanish. Using a sample of 156 participants who are members of student hybrid teams (N = 156), the findings of this study demonstrated a positive correlation between transformational leadership and both interpersonal relationships and task performance in hybrid work teams. This study represents one of the first investigations of transformational and authentic leadership and its correlation with interpersonal relationships and task performance in Latin America, and it has some leadership implications within hybrid work teams.

ANALYSIS OF THE REGULATORY AND LEGAL BASE FOR THE FORMATION OF GENERAL REQUIREMENTS FOR TEST SLOTS FOR THE CHECKING OF DEMINING MACHINES (HUMANITARIAN) BY FUNCTIONAL PURPOSE

The relevance of the chosen topic is determined primarily by the need to organize testing and certification activities, the introduction of international demining standards and NATO standards in humanitarian demining. To assess the suitability of demining machines under the same controlled conditions. This makes it possible to evaluate products under the same conditions and determine the most productive samples. This actualizes the need to define general requirements for test sites for testing mechanized means of humanitarian demining by functional purpose. It is worth improving approaches to the organization and functioning of test sites based on the existing international experience and new domestic developments. In the course of the conducted research, it was established that there is an urgent need to organize demining of territories in Ukraine, both for military tasks and for humanitarian demining tasks. It has been established that the lack of general requirements for test sites for conducting tests and assessing the conformity of demining means approved as a normative legal act is an urgent problem that needs immediate resolution. During the research, a classification of demining tools was carried out, which are divided into machines for detonation, destruction, removal of mines; machines for soil preparation; machines for detecting sources of danger, have different types of working equipment (excavator or bulldozer type) and different types of attached equipment: roller trawls, milling-rotor trawls, knife trawls, chain trawls, fighting trawls, mulchers for soil treatment. In accordance with the set goal, the article developed recommendations for determining general requirements for test areas of demining machines equipment, substantiated the quantitative and qualitative indicators of objects and elements of test areas for conducting certification tests of mechanical (humanitarian) demining equipment according to their functional purpose, which are based on the practices of conducting such works in Ukraine and other countries. The necessity of forming requirements for test areas for assessing the survivability and productivity of demining means is substantiated. In particular, with the definition of requirements for test sites and related infrastructure. Recommendations are given for the placement of the main and additional elements on the test plots. Recommendations were provided and an approximate scheme for the placement of the main objects and elements of test areas for the organization of certification tests was provided, which will allow to ensure the performance of testing and certification tasks at the level established by state and international standards. In general, the substantiation of the requirements for test sites and the adoption of general requirements for test sites at the level of a normative document will allow normalizing the processes of testing samples of mechanized demining equipment and will allow the implementation of mine action tasks in Ukraine at a new, organizationally and practically improved level.