Tube Task Research Articles

Multidisciplinary Simulation for Blunt and Penetrating Pediatric Trauma Utilizing Standard and Rapid Cycle Deliberate Practice Models.

Pediatric trauma resuscitations are low-frequency, high-stakes events that require skilled multidisciplinary teams with strong medical knowledge and communication skills. This pediatric trauma simulation training session included two cases and formats. The first case was designed in a traditional format and featured a 12-month-old child with inflicted blunt head and abdominal trauma. The second case was organized in successive rounds utilizing the rapid cycle deliberate practice (RCDP) model and featured an 18-month-old with gunshot wounds to the abdomen and chest. Educational objectives included effective communication in a multidisciplinary team, timely completion of primary and secondary surveys, awareness of systems and processes related to trauma care, and increasing competency with low-frequency pediatric trauma skills. Necessary equipment included high-fidelity toddler-sized mannequins, chest tube task trainer or applicable mannequin and equipment, intubation equipment and supplies, intraosseous access, and blood products with rapid delivery infusers. This training session was designed for learners in a multidisciplinary team including physician trainees, nurses, and advanced practice providers; adjustments could be made to the team members as desired. Quantitative and qualitative evaluations demonstrated high learner satisfaction and engagement, particularly in the RCDP style of learning. Multidisciplinary team practice of pediatric trauma scenarios, particularly utilizing the RCDP simulation model, provides the opportunity to improve teamwork and communication, practice procedural skills, and deepen team members' understanding of and comfort with trauma resuscitations.

Three-year-olds' ability to plan for mutually exclusive future possibilities is limited primarily by their representations of possible plans, not possible events

The ability to prepare for mutually exclusive possible events in the future is essential for everyday decision making. Previous studies have suggested that this ability develops between the ages of 3 and 5 years, and in young children is primarily limited by the ability to represent the set of possible outcomes of an event as “possible”. We tested an alternative hypothesis that this ability may be limited by the ability to represent the set of possible actions that could be taken to prepare for those possible outcomes. We adapted the inverted y-shaped tube task of Redshaw and Suddendorf (2016), in which children are asked to catch a marble that is dropped into the top of the tube and can emerge from either the left or right branch of the tube. While 4-year-olds typically place their hands under both openings to catch the marble, preparing for both possible outcomes (optimal action), 3-year-olds often cover only one opening, preparing for only one possible outcome (suboptimal action). In three Experiments, we asked whether first showing children the set of possible actions that could be taken on the tube would enable them to recognize the optimal action that should be used to catch the marble (Experiments 1 and 3, total n = 99 US 3- and 4-year-olds) and enable them to use the optimal action themselves (Experiment 2, n = 96 US 3- and 4-year-olds). We found that 3- and 4-year-olds performed similarly when they were given the opportunity to observe the set of possible actions beforehand. These findings suggest that 3-year-olds' competence at representing mutually exclusive possibilities may be masked by their developing ability to represent and deploy plans to act on these possibilities.

Many preschoolers do not distinguish the possible from the impossible in a marble-catching task

Do preschoolers differentiate events that might and might not happen from events that cannot happen? The current study modified Redshaw & Suddendorf's “Y-shaped tube task” to test how the ability to distinguish mere possibilities from impossibilities emerges over ontogenesis. In the Y-shaped tube task, the experimenter holds a ball above a tube shaped like an upside-down “Y” and asks a participant to catch it. A participant who identifies the two possible paths the ball can take should cover both exits at the bottom of the Y. But children might cover both exits without identifying both possibilities. For example, there are two good places to put hands, so they might just put one hand in each place. This does not require checking whether there is a path from the entrance to each exit. If children cover both exits because they have identified two possible paths for the ball, then they should differentiate exits where it is possible for the ball to come out from impossible exits, where there is no path from the entrance to the exit. In total, 24 36-month-olds and 24 48-month-olds were tested. Less than 20% of 36-month-olds and only about half of 48-month-olds distinguished between possible and impossible exits. Children who do not distinguish the possible from the impossible might not be evaluating possibilities at all. Results converge with existing literature suggesting that action planning that is sensitive to incompatible possibilities often emerges after the fourth birthday.

How prior experience in analogous tasks affects three-year-olds’ tool making

Research on analogical reasoning shows that preschoolers have the basic skills to generalize knowledge about tool use across problems. However, whether young children can also generalize knowledge about tool making is still unclear. The current study examined the effects of prior experience with two analogous training tasks on three-year-olds’ performance in a tool innovation task (Vertical Tube Task). Children in the Training Condition (N = 25) showed significant improvement in terms of transferring the correct idea for a solution across tasks (i.e., building a hook to catch a toy). Nevertheless, most children were unable to put this correct idea into action and failed to solve the task (i.e., retrieving the toy with the hook tool), resulting in success rates comparable to a Control Condition without prior training (N = 25). We discuss the implications of the observed discrepancy between generating a proper solution and implementing it for studies on the early development of tool innovation skills.

Private Speech during Problem-Solving: Tool Innovation Challenges Both Preschoolers’ Cognitive and Emotion Regulation

ABSTRACT The current study examined children’s spontaneous private speech during the vertical and the horizontal Tube Task to shed light on the cognitive, motivational, and emotional processes underlying tool innovation. Tool innovation is defined as solving a novel problem by using or modifying objects in a new and useful way without prior instructions. Relations between private speech of 3- to 4-year-old children (N = 89) and their task performance (i.e., success and latency to success) were analyzed using Bayesian statistics. Children who were successful at the task produced more metacognitive and cognitive speech compared to children who were unsuccessful at the task. Latency to success did not relate to (meta)cognitive speech, but it was associated to negative speech: Children who expressed negative emotions more often and who evaluated the task as being difficult needed more time to find a solution than children who used less negative speech. These findings indicate that cognitive skills and emotion regulation are closely related in preschoolers’ tool innovation.

Both sheep and goats can solve inferential by exclusion tasks.

Despite the domestication of sheep and goats by humans for several millennia, we still lack comparative data on their cognitive capacity. Comparing the cognitive skills of farm animals can help understand the evolution of cognition. In this study, we compared the performances of sheep and goats in inference by exclusion tasks. We implemented two tasks, namely a cup task and a tube task, to identify whether success in solving the task could be attributed to either low-level mechanisms (avoiding the empty location strategy) or to deductive reasoning (if two possibilities A and B, but not A, then it must be B). In contrast to a previous study comparing goats and sheep in a cup task, we showed that both species solved the inferential condition with high success rates. In the tube task, performances could not be explained by alternative strategies such as avoiding the empty tube or preferring the bent tube. When applying a strict set of criteria concerning responses in all conditions and controlling for the potential effects of experience, we demonstrate that two individuals, a goat and a sheep, fulfil these criteria. This suggests that sheep and goats are able to make inferences based on deductive reasoning.

Hand preference for a bimanual coordinated task in captive hatinh langurs (Trachypithecus hatinhensis) and grey-shanked douc langurs (Pygathrix cinerea)

Right-handedness in humans reflects the functional brain specialisation of the left hemisphere. To better understand the origins of this population-level tendency, it is crucial to understand manual lateralisation in other non-human primate species. The aim of this article is to present a first approach to the hand preference of two primates from Vietnam, the endangered hatinh langur (Trachypithecus hatinhensis) and the critically endangered grey-shanked douc langur (Pygathrix cinerea). Eighteen individuals from each species (N = 36) were evaluated by means of the bimanual coordinated tube task and their responses were recorded in terms of manual events and bouts. Our results showed that subjects presented strong individual-level preferences but not lateralisation at the group-level. No sex differences were detected within species. The index finger was used in all of the extractions during this bimanual task, alone (86 %) or in combination with other fingers (14 %). In addition, hatinh langurs exhibited a greater strength of hand preferences than grey-shanked douc langurs, pointing to a possible higher manual specialisation during the leaf-eating process. These findings help to broaden our scarce knowledge of manual laterality in Asian colobine monkeys and confirm the bimanual tube task as a sensitive measure for assessing manual laterality in non-human primates.

The beginnings of tool innovation in human ontogeny: How three- to five-year-olds solve the vertical and horizontal tube task

This study focuses on tool innovation in preschoolers. It extends previous work by investigating task- and age-related changes in success rates, latency to success, and solution strategies. Three- to five-year-olds had 10 min to retrieve a toy from either a horizontal or a vertical tube by manufacturing a tool from multiple materials. In the Horizontal Tube Task, success rates were high irrespective of age. Solution strategies revealed mainly second-order innovation (i.e., manipulating materials while retrieving the toy). In the Vertical Tube Task, success rates increased with age and solution strategies reflected mainly first-order innovation (i.e., manufacturing the tool before trying to retrieve the toy). In the Vertical Tube Task, children needed more time to find a solution, with first-order innovation tending to be faster than second-order innovation. These findings demonstrate the potential of young preschoolers to innovate tools when given enough time, but also a high task-dependency of performance.

Performance of Azure-winged magpies in Aesop\u2019s fable paradigm

In this study, the improved Aesop’s fable paradigm—a series of experiments originally used to test whether some animals understand the causality associated with water replacement—was used to explore the cognitive ability of Azure-winged magpies (Cyanopica cyanus). Experimental results on causal cue tasks showed that the Azure-winged magpies prefer water-filled tubes over sand-filled tubes, heavy objects over light objects, and solid objects over hollow objects. However, they failed to notice the diameter and water level of the tubes. They also failed to pass the counterintuitive U-shaped tube task in arbitrary cue tasks. Our results demonstrated that Azure-winged magpies have a certain cognitive ability but not an understanding of causality, a characteristic comparable to that of other corvids. Moreover, Azure-winged magpies exhibited the ability of training transfer and analogical problem solving from the perspective of cognitive psychology. We believe that object-bias has little effect on Azure-winged magpies in this study. We can conclude that the Azure-winged magpies partially completed the tasks by trial-and-error learning.

Measures of inhibitory control correlate between different tasks but do not predict problem-solving success in a fish, Poecilia reticulata

Once considered a human characteristic, the presence of correlations between individuals' performance in cognitive tasks has now been reported in a range of vertebrates. In humans, an important source of cognitive variability is inhibitory control: some individuals are consistently more efficient in inhibitory tasks and this affects individual differences in other cognitive tasks, including measures of general intelligence. We looked for these two types of individual differences in a teleost fish, the guppy Poecilia reticulata. First, we observed guppies in two inhibitory control tasks. In the tube task, guppies had to inhibit the tendency to attack live prey sealed into a transparent tube. In the cylinder task, guppies had to inhibit the tendency to swim directly toward a food item placed inside a transparent cylinder and rather detour and enter the cylinder from the open sides. Individual rank performance was maintained between the two inhibitory tasks, suggesting individual differences in inhibitory control across tasks in this species. Then, we tested the same set of guppies in a problem-solving task, whereby they had to learn to dislodge an object that prevented the access to a food reward. Neither the tube task nor the cylinder task score predicted guppies' problem-solving performance. Our study demonstrates that fish exhibit consistent individual differences in inhibitory control, as expected if this trait has a common evolutionary origin in vertebrates. Yet, in fish, these individual differences appear not to be related to other cognitive processes such as those required for problem solving.

Personality traits covary with individual differences in inhibitory abilities in 2 species of fish.

In a number of animal species, individuals differ in their ability to solve cognitive tasks. However, the mechanisms underlying this variability remain unclear. It has been proposed that individual differences in cognition may be related to individual differences in behavior (i.e., personality); a hypothesis that has received mixed support. In this study, we investigated whether personality correlates with the cognitive ability that allows inhibiting behavior in 2 teleost fish species, the zebrafish Danio rerio and the guppy Poecilia reticulata. In both species, individuals that were bolder in a standard personality assay, the open-field test, showed greater inhibitory abilities in the tube task, which required them to inhibit foraging behavior toward live prey sealed into a transparent tube. This finding reveals a relationship between boldness and inhibitory abilities in fish and lends support to the hypothesis of a link between personality and cognition. Moreover, this study suggests that species separated by a relatively large phylogenetic distance may show the same link between personality and cognition, when tested on the same tasks.

Short and long-term temporal consistency of hand preference in sanctuary chimpanzees (Pan troglodytes) for unimanual and bimanual coordinated tasks

Longitudinal research on manual preferences in humans and non-human primates has mainly been conducted from a developmental perspective, with only a few studies exploring long-term stability of this trait during adulthood. Therefore, we investigated short-term (1 year) and long-term (10 and 11 years) consistency of hand preference in a naturalistic group of 19 juvenile and adult chimpanzees (Pan troglodytes) by using two experimental tasks, one unimanual (simple reaching) and one bimanual (tube task). The experimental sessions were conducted in 2007, 2008 and 2018. We found that the direction of hand preference (right vs. left) in the tube task remained stable after both short-time and long-time periods. Conversely, hand preference direction for simple reaching was not consistent after the longest period (11 years), but the handedness indices (HI) between 2007 and 2008 (1-year period) and between 2008 and 2018 (10-year period) were positively correlated. The comparison between tasks confirmed that all the chimpanzees were more strongly lateralised for the tube task. Interestingly, however, the strength of hand preference in the tube task showed an increasing trend in the long term. We hypothesize that this could be a consequence of practice and experience with a particular motor action.

Development and Review of the Chest Tube High-Feedback Educational Simulation Trainer (CHEST).

Emergency medicine physicians must receive training in chest tube placement. This life-saving skill must be completed quickly and competently to prevent morbidity and mortality. Training on live patients is no longer an appropriate or acceptable practice. Current training devices have been noted to be costly, may be difficult to store, or may require time-consuming cleanup or setup. Fifteen Chest tube High-feedback Educational Simulation Trainers were created. Frames were made from wood and PVC, and soft tissue layers were designed using silicone and polyurethane foam. Nine training sites volunteered to test the model and provided feedback on the acceptability of the task trainer for skill training. Survey findings demonstrated that the model was realistic for teaching, portable, and was easy to use and maintain. In our model, the outer skin was noted to tear easily, thus limiting its use for suture training. Overall programs reported that they would use this model if it was available for the same or lower cost than current models. An inexpensive task trainer was created that was easy to store, quick to set up, durable, easy to clean, and rated as effective at training the skill of chest tube insertion.

What factors really influence domestic dogs' (Canis familiaris) search for an item dropped down a diagonal tube? The tubes task revisited.

It has been suggested that domestic dogs-like young human children-have a "gravity bias"; they expect an unsupported object to fall straight down, regardless of any obstacles that redirect or halt its path. In the diagonal tube task, this bias is revealed by a persistent tendency to search the incorrect location directly beneath the top of the tube the item is dropped into, rather than the correct location attached to the bottom of the tube. We presented dogs (N = 112) with seven different versions of the diagonal tube task, to examine what factors influence their search behavior for an object dropped down a diagonal tube, and investigate their physical reasoning skills more generally. Contrary to previous claims, we found no evidence for dogs exhibiting a persistent, or even a Trial 1, gravity bias. However, dogs were also unable to search correctly for the reward, even when it could be heard rolling through the tube, though they succeeded when the tube was transparent (Experiments 1a-c). Experiment 2 suggested that dogs might search on the basis of proximity, but Experiments 3a-b ruled this out and showed that they prefer to commence searching at the center of the apparatus. Finally, when potential sources of bias were eliminated from the task (Experiment 4), dogs' performance was improved, but still not above chance, suggesting that they are unable to reason about the tube's physical-causal mechanism. We conclude that, on current evidence, the gravity bias might be unique to some primate species. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Dogs (Canis familiaris) ignore gravity.

Tecwyn and Buchsbaum (2018) in this issue challenge the idea that dogs display a persistent gravity bias. In four experiments, they probed where dogs search for a ball after it is dropped into a tube. First, they replicated diagonal tube task experiments previously conducted with apes (Cacchione & Call, 2010) to investigate how auditory and visual information about the tubes influenced the dogs' search. Next, they examined how dogs' search shifted when the middle location was no longer an option. Third, they probed whether dogs' search could be explained by proximity between the reward's release point and the search locations (a condition depicted in Figure 1). Finally, they presented tasks in which any of the biases that might have guided them in the previous experiments (namely, gravity, middle position, or proximity to the point where the ball was dropped) could not guide their search. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Handedness in monkeys reflects hemispheric specialization within the central sulcus. An in vivo MRI study in right- and left-handed olive baboons

Handedness, one of the most prominent expressions of laterality, has been historically considered unique to human. This noteworthy feature relates to contralateral inter-hemispheric asymmetries in the motor hand area following the mid-portion of the central sulcus. However, within an evolutionary approach, it remains debatable whether hand preferences in nonhuman primates are associated with similar patterns of hemispheric specialization. In the present study conducted in Old world monkeys, we investigate anatomical asymmetries of the central sulcus in a sample of 86 olive baboons (Papio anubis) from in vivo T1 anatomical magnetic resonance images (MRI). Out of this sample, 35 individuals were classified as right-handed and 28 as left-handed according to their hand use responses elicited by a bimanual coordinated tube task. Here we report that the direction and degree of hand preference (left or right), as measured by this manual task, relates to and correlates with contralateral hemispheric sulcus depth asymmetry, within a mid-portion of the central sulcus. This neuroanatomical manifestation of handedness in baboons located in a region, which may correspond to the motor hand area, questions the phylogenetic origins of human handedness that may date back to their common ancestor, 25–40 millions years ago.

Young children's capacity to imagine and prepare for certain and uncertain future outcomes.

The current study used a minimalist paradigm to examine young children’s capacity to imagine and prepare for certain and uncertain immediate future outcomes. In a counterbalanced order, 2.5-year-old children (N = 32) completed twelve trials each of two tasks: (1) the forked tube task, which assessed their ability to cover two possible tube exits to ensure they would catch a single target with an uncertain future trajectory, and (2) the double tube task, which assessed their ability to cover two separate tube exits to ensure they would catch two targets with certain future trajectories. Even though the optimal preparatory action was the same across both tasks, children were much more likely to spontaneously and consistently demonstrate this action in the double tube task than the forked tube task. Children’s responses were unaffected by the number of targets seen in the demonstration phase, and instead appeared to be based on the particular contingencies of each apparatus. These results are consistent with the possibility that young children specifically struggle to imagine and prepare for mutually exclusive versions of uncertain future events.

Captive gibbons (Hylobatidae) use different referential cues in an object-choice task: insights into lesser ape cognition and manual laterality.

BackgroundUtilization of visual referential cues by non-human primates is a subject of constant scientific interest. However, only few primate species, mostly great apes, have been studied thoroughly in that regard, rendering the understanding of phylogenetic influences on the underlying cognitive patterns difficult.MethodsWe tested six species of captive gibbons in an object-choice task (n = 11) for their ability to interpret two different pointing gestures, a combination of body orientation and gaze direction as well as glancing as referential cues. Hand preferences were tested in the object-choice task and in a bimanual tube task (n = 18).ResultsWe found positive responses to all signals except for the glancing cue at the individual as well as at the group level. The gibbons’ success rates partially exceed results reported for great apes in comparable tests and appear to be similarly influenced by prior exposure to human communicative cues. Hand preferences exhibited by the gibbons in the object-choice task as well as in a bimanual tube task suggest that crested gibbons (Nomascus sp.) are strongly lateralized at individual but not at population level for tasks involving object manipulation.DiscussionBased on the available data, it can be assumed that the cognitive foundations to utilize different visual cues essential to human communication are conserved in extant hominoids and can be traced back at least to the common ancestor of great and lesser apes. However, future studies have to further investigate how the social environment of gibbons influences their ability to exploit referential signals. Gibbons’ manual laterality patterns appear to differ in several aspects from the situation found in great apes. While not extensive enough to allow for general conclusions about the evolution of hand preferences in gibbons or apes in general, our results add to the expanding knowledge on manual lateralization in the Hylobatidae.

Hand preferences and differences in extractive foraging in seven capuchin monkey species.

Tool use and extractive foraging could be drivers for right hand use preference. The robust capuchins, Sapajus, are more specialized for destructive and extractive foraging than the gracile capuchins, Cebus. Thus, we predicted them to show right-hand preference and higher rates of extractive foraging when compared to the gracile capuchins. We hypothesized that capuchins that evolved in dry habitats are predisposed to show higher rates of extractive foraging and right-hand preference. We employed the tube task (152 individuals) and an extractive foraging task (212 individuals) in seven species of capuchins in captive settings. Data on hand preference and extractive foraging were collected using focal and scan sampling, respectively. Contrary to our hypothesis, S. libidinosus showed significant left hand preference, while S. robustus and S. flavius showed a right hand preference. The species S. xanthosternos, S. flavius, and S. robustus engaged in extractive foraging significantly more often than S. apella, S. libidinosus, and Cebus albifrons. As expected, the gracile capuchins showed significant higher left-hand bias when compared to the robust capuchins. The findings from this study is the first indication of left-hand population level laterality in S. libidinosus, a species that evolved in an environment selecting for increased tool use. Although tool use has been associated with population level right handedness, or a strong trend to use the right hand, our results suggest the link between tool use and right-hand preference is simplistic, at least in Sapajus. The ultimate explanation for the differences in hand preference across species might be due to differences in use of key food resources. We suggest that capuchin monkeys from the Atlantic forest evolved under a stronger selective pressure for high reliance on bimanual feeding and extractive foraging, which requires more sequential actions and planning, than those species from the Amazonia forest and Caatinga/Cerrado dry forest.

Hand preferences in two unimanual and two bimanual coordinated tasks in the black-handed spider monkey (Ateles geoffroyi).

Spider monkeys are interesting to study with regard to hand preferences, as they are one of the few primate species that lack a thumb and, thus, are unable to perform a precision grip. Further, being platyrrhine primates, they also largely lack independent motor control of the digits and, thus, have only limited manual dexterity. It was therefore the aim of the present study to assess hand preferences in black-handed spider monkeys (Ateles geoffroyi) in 4 tasks differing in task demand: simple unimanual reaching for food and 3 versions of the widely used tube task, including 2 bimanual versions that differ from each other in the degree of fine motor control needed and a unimanual version that does not require coordinated action of the hands. We found that black-handed spider monkeys display significant hand preferences at the individual, but not at the population, level. This was true both in the 2 bimanual coordinated tasks and in the 2 unimanual tasks. Further, our results show that the majority of animals were consistent in the hand they preferred in these 4 tasks. Our findings only partially support the notion that task demand positively correlates with strength of hand preference. Finally, we found that the index finger was the most frequently used digit in all 3 tube tasks, although the animals also used other digits and 2- and 3-finger combinations to extract food from a tube. We conclude that limited manual dexterity does not prevent spider monkeys from displaying strong and consistent hand preferences at the individual level. (PsycINFO Database Record