Synchronization of Neurophysiological and Biomechanical Data in a Real-Time Virtual Gait Analysis System (GRAIL): A Proof-of-Principle Study.

The investigation of gait and its neuronal correlates under more ecologically valid conditions as well as real-time feedback visualization is becoming increasingly important in neuro-motor rehabilitation research. The Gait Real-time Analysis Interactive Lab (GRAIL) offers advanced opportunities for gait and gait-related research by creating more naturalistic yet controlled environments through immersive virtual reality. Investigating the neuronal aspects of gait requires parallel recording of brain activity, such as through mobile electroencephalography (EEG) and/or mobile functional near-infrared spectroscopy (fNIRS), which must be synchronized with the kinetic and /or kinematic data recorded while walking. This proof-of-concept study outlines the required setup by use of the lab streaming layer (LSL) ecosystem for real-time, simultaneous data collection of two independently operating multi-channel EEG and fNIRS measurement devices and gait kinetics. In this context, a customized approach using a photodiode to synchronize the systems is described. This study demonstrates the achievable temporal accuracy of synchronous data acquisition of neurophysiological and kinematic and kinetic data collection in the GRAIL. By using event-related cerebral hemodynamic activity and visually evoked potentials during a start-to-go task and a checkerboard test, we were able to confirm that our measurement system can replicate known physiological phenomena with latencies in the millisecond range and relate neurophysiological and kinetic data to each other with sufficient accuracy.

Cognitive Effort during Visuospatial Problem Solving in Physical Real World, on Computer Screen, and in Virtual Reality.

Spatial cognition plays a crucial role in academic achievement, particularly in science, technology, engineering, and mathematics (STEM) domains. Immersive virtual environments (VRs) have the growing potential to reduce cognitive load and improve spatial reasoning. However, traditional methods struggle to assess the mental effort required for visuospatial processes due to the difficulty in verbalizing actions and other limitations in self-reported evaluations. In this neuroergonomics study, we aimed to capture the neural activity associated with cognitive workload during visuospatial tasks and evaluate the impact of the visualization medium on visuospatial task performance. We utilized functional near-infrared spectroscopy (fNIRS) wearable neuroimaging to assess cognitive effort during spatial-reasoning-based problem-solving and compared a VR, a computer screen, and a physical real-world task presentation. Our results reveal a higher neural efficiency in the prefrontal cortex (PFC) during 3D geometry puzzles in VR settings compared to the settings in the physical world and on the computer screen. VR appears to reduce the visuospatial task load by facilitating spatial visualization and providing visual cues. This makes it a valuable tool for spatial cognition training, especially for beginners. Additionally, our multimodal approach allows for progressively increasing task complexity, maintaining a challenge throughout training. This study underscores the potential of VR in developing spatial skills and highlights the value of comparing brain data and human interaction across different training settings.

Blink-Related Oscillations Provide Naturalistic Assessments of Brain Function and Cognitive Workload within Complex Real-World Multitasking Environments.

BACKGROUND: There is a significant need to monitor human cognitive performance in complex environments, with one example being pilot performance. However, existing assessments largely focus on subjective experiences (e.g., questionnaires) and the evaluation of behavior (e.g., aircraft handling) as surrogates for cognition or utilize brainwave measures which require artificial setups (e.g., simultaneous auditory stimuli) that intrude on the primary tasks. Blink-related oscillations (BROs) are a recently discovered neural phenomenon associated with spontaneous blinking that can be captured without artificial setups and are also modulated by cognitive loading and the external sensory environment-making them ideal for brain function assessment within complex operational settings. METHODS: Electroencephalography (EEG) data were recorded from eight adult participants (five F, M = 21.1 years) while they completed the Multi-Attribute Task Battery under three different cognitive loading conditions. BRO responses in time and frequency domains were derived from the EEG data, and comparisons of BRO responses across cognitive loading conditions were undertaken. Simultaneously, assessments of blink behavior were also undertaken. RESULTS: Blink behavior assessments revealed decreasing blink rate with increasing cognitive load (p < 0.001). Prototypical BRO responses were successfully captured in all participants (p < 0.001). BRO responses reflected differences in task-induced cognitive loading in both time and frequency domains (p < 0.05). Additionally, reduced pre-blink theta band desynchronization with increasing cognitive load was also observed (p < 0.05). CONCLUSION: This study confirms the ability of BRO responses to capture cognitive loading effects as well as preparatory pre-blink cognitive processes in anticipation of the upcoming blink during a complex multitasking situation. These successful results suggest that blink-related neural processing could be a potential avenue for cognitive state evaluation in operational settings-both specialized environments such as cockpits, space exploration, military units, etc. and everyday situations such as driving, athletics, human-machine interactions, etc.-where human cognition needs to be seamlessly monitored and optimized.

Sex-specific Neural Strategies During Fatiguing Work in Older Adults.

BACKGROUND: Historical biases in ergonomics-related studies have been attributed to lack of participant diversity and sensitivity of measurements to capture variability between diverse groups. We posit that a neuroergonomics approach, that is, study of brain-behavior relationships during fatiguing work, allows for unique insights on sex differences in fatigue mechanisms that are not available via traditional "neck down" measurement approaches. OBJECTIVE: This study examined the supraspinal mechanisms of exercise performance under fatigue and determined if there were any sex differences in these mechanisms. METHODS: Fifty-nine older adults performed submaximal handgrip contractions until voluntary fatigue. Traditional ergonomics measures, namely, force variability, electromyography (EMG) of arm muscles, and strength and endurance times, and prefrontal and motor cortex hemodynamic responses were recorded. RESULTS: There were no significant differences observed between older males and females in fatigability outcomes (i.e., endurance times, strength loss, and EMG activity) and brain activation. Effective connectivity from prefrontal to motor areas was significant for both sexes throughout the task, but during fatigue, males had higher interregional connectivity than females. DISCUSSION: While traditional metrics of fatigue were comparable between the sexes, we observed distinct sex-specific neuromotor strategies (i.e., information flow between frontal-motor regions) that were adopted by older adults to maintain motor performance. APPLICATION: The findings from this study offer insights into the capabilities and adaptation strategies of older men and women under fatiguing conditions. This knowledge can facilitate in the development of effective and targeted ergonomic strategies that accommodate for the varying physical capacities of diverse worker demographics.

Decoding Mental Effort in a Quasi-Realistic Scenario: A Feasibility Study on Multimodal Data Fusion and Classification.

Humans' performance varies due to the mental resources that are available to successfully pursue a task. To monitor users' current cognitive resources in naturalistic scenarios, it is essential to not only measure demands induced by the task itself but also consider situational and environmental influences. We conducted a multimodal study with 18 participants (nine female, M = 25.9 with SD = 3.8 years). In this study, we recorded respiratory, ocular, cardiac, and brain activity using functional near-infrared spectroscopy (fNIRS) while participants performed an adapted version of the warship commander task with concurrent emotional speech distraction. We tested the feasibility of decoding the experienced mental effort with a multimodal machine learning architecture. The architecture comprised feature engineering, model optimisation, and model selection to combine multimodal measurements in a cross-subject classification. Our approach reduces possible overfitting and reliably distinguishes two different levels of mental effort. These findings contribute to the prediction of different states of mental effort and pave the way toward generalised state monitoring across individuals in realistic applications.

A Neuroergonomic Approach Fostered by Wearable EEG for the Multimodal Assessment of Drivers Trainees.

When assessing trainees' progresses during a driving training program, instructors can only rely on the evaluation of a trainee's explicit behavior and their performance, without having any insight about the training effects at a cognitive level. However, being able to drive does not imply knowing how to drive safely in a complex scenario such as the road traffic. Indeed, the latter point involves mental aspects, such as the ability to manage and allocate one's mental effort appropriately, which are difficult to assess objectively. In this scenario, this study investigates the validity of deploying an electroencephalographic neurometric of mental effort, obtained through a wearable electroencephalographic device, to improve the assessment of the trainee. The study engaged 22 young people, without or with limited driving experience. They were asked to drive along five different but similar urban routes, while their brain activity was recorded through electroencephalography. Moreover, driving performance, subjective and reaction times measures were collected for a multimodal analysis. In terms of subjective and performance measures, no driving improvement could be detected either through the driver's subjective measures or through their driving performance. On the other side, through the electroencephalographic neurometric of mental effort, it was possible to catch their improvement in terms of mental performance, with a decrease in experienced mental demand after three repetitions of the driving training tasks. These results were confirmed by the analysis of reaction times, that significantly improved from the third repetition as well. Therefore, being able to measure when a task is less mentally demanding, and so more automatic, allows to deduce the degree of users training, becoming capable of handling additional tasks and reacting to unexpected events.

Modeling Brain Dynamics During Virtual Reality-Based Emergency Response Learning Under Stress.

BACKGROUND: Stress affects learning during training, and virtual reality (VR) based training systems that manipulate stress can improve retention and retrieval performance for firefighters. Brain imaging using functional Near Infrared Spectroscopy (fNIRS) can facilitate development of VR-based adaptive training systems that can continuously assess the trainee's states of learning and cognition. OBJECTIVE: The aim of this study was to model the neural dynamics associated with learning and retrieval under stress in a VR-based emergency response training exercise. METHODS: Forty firefighters underwent an emergency shutdown training in VR and were randomly assigned to either a control or a stress group. The stress group experienced stressors including smoke, fire, and explosions during the familiarization and training phase. Both groups underwent a stress memory retrieval and no-stress memory retrieval condition. Participant's performance scores, fNIRS-based neural activity, and functional connectivity between the prefrontal cortex (PFC) and motor regions were obtained for the training and retrieval phases. RESULTS: The performance scores indicate that the rate of learning was slower in the stress group compared to the control group, but both groups performed similarly during each retrieval condition. Compared to the control group, the stress group exhibited suppressed PFC activation. However, they showed stronger connectivity within the PFC regions during the training and between PFC and motor regions during the retrieval phases. DISCUSSION: While stress impaired performance during training, adoption of stress-adaptive neural strategies (i.e., stronger brain connectivity) were associated with comparable performance between the stress and the control groups during the retrieval phase.

Neuroergonomics on the Go: An Evaluation of the Potential of Mobile EEG for Workplace Assessment and Design.

OBJECTIVE: We demonstrate and discuss the use of mobile electroencephalogram (EEG) for neuroergonomics. Both technical state of the art as well as measures and cognitive concepts are systematically addressed. BACKGROUND: Modern work is increasingly characterized by information processing. Therefore, the examination of mental states, mental load, or cognitive processing during work is becoming increasingly important for ergonomics. RESULTS: Mobile EEG allows to measure mental states and processes under real live conditions. It can be used for various research questions in cognitive neuroergonomics. Besides measures in the frequency domain that have a long tradition in the investigation of mental fatigue, task load, and task engagement, new approaches-like blink-evoked potentials-render event-related analyses of the EEG possible also during unrestricted behavior. CONCLUSION: Mobile EEG has become a valuable tool for evaluating mental states and mental processes on a highly objective level during work. The main advantage of this technique is that working environments don't have to be changed while systematically measuring brain functions at work. Moreover, the workflow is unaffected by such neuroergonomic approaches.

Performance, Hemodynamics, and Stress in a Two-Day Vigilance Task: Practical and Theoretical Implications.

OBJECTIVE: To explore vigilance task performance, cerebral blood flow velocity (CBFV), workload, and stress in a within-subjects, two-session experiment. BACKGROUND: Vigilance, or sustained attention, tasks are often characterized by a decline in operator performance and CBFV with time on task, and high workload and stress. Though performance is known to improve with practice, past research has not included measures of CBFV, stress, and workload in a within-subjects multi-session design, which may also provide insight into ongoing theoretical debate. METHOD: Participants performed a vigilance task on two separate occasions. Performance, CBFV, workload, and self-reported stress were measured. RESULTS: Within each session, results were consistent with the vigilance profile found in prior research. Across sessions, performance improved but the time on task decrement remained. Mean CBFV and workload ratings did not differ between sessions, but participants reported significantly less distress, worry, and engagement after session two compared to one. CONCLUSION: Though practice may not disrupt the standard vigilance profile, it may serve to improve overall performance and reduce stress. However, repeated exposure may have negative implications for engagement and mind-wandering. APPLICATION: It is important to better understand the relationship between experience, performance, physiological response, and self-reported stress and workload in vigilance because real-world environments often require operators to do the same task over many occasions. While performance improvement and reduced distress is an encouraging result, the decline in engagement requires further research. Results across sessions fail to provide support to the mind-wandering theory of vigilance.

A Window Into the Tired Brain: Neurophysiological Dynamics of Visuospatial Working Memory Under Fatigue.

OBJECTIVE: We examine the spatiotemporal dynamics of neural activity and its correlates in heart rate and its variability (HR/HRV) during a fatiguing visuospatial working memory task. BACKGROUND: The neural and physiological drivers of fatigue are complex, coupled, and poorly understood. Investigations that combine the fidelity of neural indices and the field-readiness of physiological measures can facilitate measurements of fatigue states in operational settings. METHOD: Sixteen healthy adults, balanced by sex, completed a 60-minute fatiguing visuospatial working memory task. Changes in task performance, subjective measures of effort and fatigue, cerebral hemodynamics, and HR/HRV were analyzed. Peak brain activation, functional and effective connections within relevant brain networks were contrasted against spectral and temporal features of HR/HRV. RESULTS: Task performance elicited increased neural activation in regions responsible for maintaining working memory capacity. With the onset of time-on-task effects, resource utilization was seen to increase beyond task-relevant networks. Over time, functional connections in the prefrontal cortex were seen to weaken, with changes in the causal relationships between key regions known to drive working memory. HR/HRV indices were seen to closely follow activity in the prefrontal cortex. CONCLUSION: This investigation provided a window into the neurophysiological underpinnings of working memory under the time-on-task effect. HR/HRV was largely shown to mirror changes in cortical networks responsible for working memory, therefore supporting the possibility of unobtrusive state recognition under ecologically valid conditions. APPLICATIONS: Findings here can inform the development of a fieldable index for cognitive fatigue.

Evaluating Effective Connectivity of Trust in Human-Automation Interaction: A Dynamic Causal Modeling (DCM) Study.

OBJECTIVE: Using dynamic causal modeling (DCM), we examined how credibility and reliability affected the way brain regions exert causal influence over each other-effective connectivity (EC)-in the context of trust in automation. BACKGROUND: Multiple brain regions of the central executive network (CEN) and default mode network (DMN) have been implicated in trust judgment. However, the neural correlates of trust judgment are still relatively unexplored in terms of the directed information flow between brain regions. METHOD: Sixteen participants observed the performance of four computer algorithms, which differed in credibility and reliability, of the system monitoring subtask of the Air Force Multi-Attribute Task Battery (AF-MATB). Using six brain regions of the CEN and DMN commonly identified to be activated in human trust, a total of 30 (forward, backward, and lateral) connection models were developed. Bayesian model averaging (BMA) was used to quantify the connectivity strength among the brain regions. RESULTS: Relative to the high trust condition, low trust showed unique presence of specific connections, greater connectivity strengths from the prefrontal cortex, and greater network complexity. High trust condition showed no backward connections. CONCLUSION: Results indicated that trust and distrust can be two distinctive neural processes in human-automation interaction-distrust being a more complex network than trust, possibly due to the increased cognitive load. APPLICATION: The causal architecture of distributed brain regions inferred using DCM can help not only in the design of a balanced human-automation interface design but also in the proper use of automation in real-life situations.

Human Mirror Neuron System Based Alarms in the Cockpit: A Neuroergonomic Evaluation.

Controlled Flight Into Terrain (CFIT) events still remain among the deadliest accidents in aviation. When facing the possible occurrence of such an event, pilots have to immediately react to the ground proximity alarm ("Pull Up" alarm) in order to avoid the impending collision. However, the pilots' reaction to this alarm is not always optimal. This may be at least partly due to the low visual saliency of the current alarm and the deleterious effects of stress that alleviate the pilot's reactions. In the present study, two experiments (in a laboratory and in a flight simulator) were conducted to (1) investigate whether hand gesture videos (a hand pulling back the sidestick) can trigger brainwave frequencies related to the mirror neuron system; (2) determine whether enhancing the visual characteristics of the "Pull Up" alarm could improve pilots' response times. Electrophysiological results suggest that hand gesture videos attracted more participants' attention (greater alpha desynchronization in the parieto-occipital area) and possibly triggered greater activity of the mirror neuron system (greater mu and beta desynchronizations at central electrodes). Results obtained in the flight simulator revealed that enhancing the visual characteristics of the original "Pull Up" alarm improved the pilots' reaction times. However, no significant difference in reaction times between an enlarged "Pull Up" inscription and the hand gesture video was found. Further work is needed to determine whether mirror neuron system based alarms could bring benefits for flight safety, in particular, these alarms should be assessed during a high stress context.

Is Physiobehavioral Monitoring Nonintrusive? An Examination of Transcranial Doppler Sonography in a Vigilance Task.

OBJECTIVE: The current study was designed to determine whether continuous, physiobehavioral monitoring via transcranial Doppler sonography (TCD) has negative effects on human performance or user state in a vigilance task. BACKGROUND: Physiobehavioral measures have been identified as a promising method of user state assessment, in part because they are thought to be relatively nonintrusive. The notion that physiobehavioral measures are nonintrusive should not be taken for granted and needs to be tested empirically. It is possible that, even though physiobehavioral measures do not require input from a user, they may still hinder performance by causing discomfort, distraction, or interfering with physical activities required for task performance. METHOD: The current study employed TCD, a common method of monitoring user vigilance. Participants completed a 40-min vigilance task. During the task, 50% wore TCD apparatus, while 50% did not. Intrusiveness was measured in terms of vigilance performance as well as workload, stress, and simulator sickness. RESULTS: Analyses revealed results that mirrored prototypical vigilance findings: performance declined over time, workload was high, distress and reported simulator sickness symptomology increased during the task, while engagement decreased. The presence or absence of TCD monitoring had no direct or interactive effects on performance or user state. CONCLUSION: TCD monitoring of user vigilance appears to be nonintrusive. APPLICATION: Findings support the recommendation that TCD should be used in research and operational settings where user vigilance is of paramount importance. More broadly, when developing and fielding physiobehavioral state measurement systems, intrusiveness should be considered and evaluated.

Effects of Workstation Type on Mental Stress: FNIRS Study.

OBJECTIVE: The purpose of this study is to examine the effect of the workstation type on the severity of mental stress by means of measuring prefrontal cortex (PFC) activation using functional near-infrared spectroscopy. BACKGROUND: Workstation type is known to influence worker's health and performance. Despite the practical implications of ergonomic workstations, limited information is available regarding their impact on brain activity and executive functions. METHOD: Ten healthy participants performed a Montreal imaging stress task (MIST) in ergonomic and nonergonomic workstations to investigate their effects on the severity of the induced mental stress. RESULTS: Cortical hemodynamic changes in the PFC were observed during the MIST in both the ergonomic and nonergonomic workstations. However, the ergonomic workstation exhibited improved MIST performance, which was positively correlated with the cortical activation on the right ventrolateral and the left dorsolateral PFC, as well as a marked decrease in salivary alpha-amylase activity compared with that of the nonergonomic workstation. Further analysis using the NASA Task Load Index revealed a higher weighted workload score in the nonergonomic workstation than that in the ergonomic workstation. CONCLUSION: The findings suggest that ergonomic workstations could significantly improve cognitive functioning and human capabilities at work compared to a nonergonomic workstation. APPLICATION: Such a study could provide critical information on workstation design and development of mental stress that can be overlooked during traditional workstation design and mental stress assessments.

Measuring the Domain Specificity of Workload Using EEG: Auditory and Visual Domains in Rotary-Wing Simulated Flight.

OBJECTIVE: The overarching objective was to evaluate whether workload sensory-domain specificity could be identified through electroencephalogram (EEG) recordings during simulated rotary-wing operations. BACKGROUND: Rotary-wing aviators experience workload from different sensory domains, although predominantly through auditory and visual domains. Development of real-time monitoring tools using psychophysiological indices, such as EEG recordings, could enable identification of aviator overload in real time. METHOD: Two studies were completed, both of which recorded EEG, task performance, and self-report data. In Study 1, 16 individuals completed a basic auditory and a basic visual laboratory task where workload was manipulated. In Study 2, 23 Army aviators completed simulated aviation flights where workload was manipulated within auditory and visual sensory domains. RESULTS: Results from Study 1 found differences in frontal alpha activity during the auditory task, and that alpha and beta activities were associated with perceived workload. Frontal theta activity was found to differ during the visual task while frontal alpha was associated with perceived workload. Study 2 found support for frontal beta activity and the ratio of beta to alpha + theta to differentiate level of workload within the auditory domain. CONCLUSION: There is likely a role of frontal alpha and beta activities in response to workload manipulations within the auditory domain; however, this role becomes more equivocal when examined in a multifaceted flight scenario. APPLICATION: Results from this study provide a basis for understanding changes in EEG activity when workload is manipulated in sensory domains that can be used in furthering the development of real-time monitoring tools.

A Cyber-Physical-Human System for One-to-Many UAS Operations: Cognitive Load Analysis.

The continuing development of avionics for Unmanned Aircraft Systems (UASs) is introducing higher levels of intelligence and autonomy both in the flight vehicle and in the ground mission control, allowing new promising operational concepts to emerge. One-to-Many (OTM) UAS operations is one such concept and its implementation will require significant advances in several areas, particularly in the field of Human-Machine Interfaces and Interactions (HMI2). Measuring cognitive load during OTM operations, in particular Mental Workload (MWL), is desirable as it can relieve some of the negative effects of increased automation by providing the ability to dynamically optimize avionics HMI2 to achieve an optimal sharing of tasks between the autonomous flight vehicles and the human operator. The novel Cognitive Human Machine System (CHMS) proposed in this paper is a Cyber-Physical Human (CPH) system that exploits the recent technological developments of affordable physiological sensors. This system focuses on physiological sensing and Artificial Intelligence (AI) techniques that can support a dynamic adaptation of the HMI2 in response to the operators' cognitive state (including MWL), external/environmental conditions and mission success criteria. However, significant research gaps still exist, one of which relates to a universally valid method for determining MWL that can be applied to UAS operational scenarios. As such, in this paper we present results from a study on measuring MWL on five participants in an OTM UAS wildfire detection scenario, using Electroencephalogram (EEG) and eye tracking measurements. These physiological data are compared with a subjective measure and a task index collected from mission-specific data, which serves as an objective task performance measure. The results show statistically significant differences for all measures including the subjective, performance and physiological measures performed on the various mission phases. Additionally, a good correlation is found between the two physiological measurements and the task index. Fusing the physiological data and correlating with the task index gave the highest correlation coefficient (CC = 0.726 ± 0.14) across all participants. This demonstrates how fusing different physiological measurements can provide a more accurate representation of the operators' MWL, whilst also allowing for increased integrity and reliability of the system.

Methodological Approaches and Recommendations for Functional Near-Infrared Spectroscopy Applications in HF/E Research.

OBJECTIVE: The objective of this study was to systematically document current methods and protocols employed when using functional near-infrared spectroscopy (fNIRS) techniques in human factors and ergonomics (HF/E) research and generate recommendations for conducting and reporting fNIRS findings in HF/E applications. METHOD: A total of 1,687 articles were identified through Ovid-MEDLINE, PubMed, Web of Science, and Scopus databases, of which 37 articles were included in the review based on review inclusion/exclusion criteria. RESULTS: A majority of the HF/E fNIRS investigations were found in transportation, both ground and aviation, and in assessing cognitive (e.g., workload, working memory) over physical constructs. There were large variations pertaining to data cleaning, processing, and analysis approaches across the studies that warrant standardization of methodological approaches. The review identified major challenges in transparency and reporting of important fNIRS data collection and analyses specifications that diminishes study replicability, introduces potential biases, and increases likelihood of inaccurate results. As such, results reported in existing fNIRS studies need to be cautiously approached. CONCLUSION: To improve the quality of fNIRS investigations and/or to facilitate its adoption and integration in different HF/E applications, such as occupational ergonomics and rehabilitation, recommendations for fNIRS data collection, processing, analysis, and reporting are provided.

Effects of Semantic Congruence on Sign Identification: An ERP Study.

OBJECTIVE: The purpose of this study was to investigate the effects of semantic congruence and incongruence on sign identification by using event-related potentials (ERPs). BACKGROUND: Sign systems have crucial roles in public spaces and traffic facilities. Poorly designed signs can easily confuse pedestrians and drivers and reduce the efficiency of public activities and urban administration. METHOD: Thirty-one participants completed a sign identification experiment independently in a laboratory setting. Experimental materials were selected from GB/T 10001, a Chinese national recommendation standard that is officially named Public Information Graphical Symbols for Use on Signs. All ERP data were processed using MATLAB 13b, and behavioral data were analyzed using Stata 14. RESULTS: N170, P200, N300, and N400 components were induced during semantic processing. Statistical analysis revealed that semantic congruence has a main effect on N300 in the frontal region and has a main effect on N400 at FZ in the frontal region, CPZ in the parietal-central region, and PZ in the parietal region. Amplitudes of N300 induced by picture-word matching were considerably different between the two experimental conditions at electrodes FZ and FCZ. Amplitudes of N400 were significantly larger in the incongruent condition than in the congruent condition. CONCLUSION: The study demonstrated that N300 and N400 are promising indicators for measuring semantic congruence in future sign design. APPLICATION: Our findings provide ERP indicators for measuring the semantic congruence of sign design, which can be easily applied to improve the efficiency of sign design and sign comprehension.

Effects of Neural Mechanisms of Pretask Resting EEG Alpha Information on Situational Awareness: A Functional Connectivity Approach.

OBJECTIVE: In this study, the influence of pretask resting neural mechanisms on situational awareness (SA)-task is studied. BACKGROUND: Pretask electroencephalography (EEG) information and Stroop effect are known to influence task engagement independently. However, neural mechanisms of pretask resting absolute alpha (PRAA) and pretask resting alpha frontal asymmetry (PRAFA) in influencing SA-task which is undergoing Stroop effect is still not understood. METHOD: The study involved pretask resting EEG measurements from 18 healthy individuals followed by functional magnetic resonance imaging (fMRI) acquisition during SA-task. To understand the effect of pretask alpha information and Stroop effect on SA, a robust correlation between mean reaction time, SA Index, PRAA, and PRAFA were assessed. Furthermore, neural underpinnings of PRAA, PRAFA in SA-task, and functional connectivity were analyzed through the EEG-informed fMRI approach. RESULTS: Significant robust correlation of reaction time was observed with SA Index (Pearson: r = .50, pcorr = .05) and PRAFA (Pearson: r = .63; pcorr = .01), respectively. Similarly, SA Index significantly correlated with PRAFA (Pearson: r = .56, pcorr = .01; Spearman: r = .61, pcorr = .007), and PRAA (Pearson: r = .59, pcorr = .005; Spearman: r = .59, pcorr = .002). Neural underpinnings of SA-task revealed regions involved in visual-processing and higher-order cognition. PRAA was primarily underpinned at frontal-temporal areas and functionally connected to SA-task regions pertaining to the emotional regulation. PRAFA has correlated with limbic and parietal regions, which are involved in integration of visual, emotion, and memory information of SA-task. CONCLUSION: The results suggest a strong association of reaction time with SA-task and PRAFA and strongly support the hypothesis that PRAFA, PRAA, and associated neural mechanisms significantly influence the outcome of SA-task. APPLICATION: It is beneficial to study the effect of pretask resting information on SA-task to improve SA.

Intraocular pressure increases after complex simulated surgical procedures in residents: an experimental study.

BACKGROUND: Surgeons' overload is one of the main causes of medical errors that might compromise patient safety. Due to the drawbacks of current options to monitor surgeons' load, new, sensitive, and objective indices of task (over)load need to be considered and tested. In non-health-care scenarios, intraocular pressure (IOP) has been proved to be an unbiased physiological index, sensitive to task complexity (one of the main variables related to overload), and time on task. In the present study, we assessed the effects of demanding and complex simulated surgical procedures on surgical and medical residents' IOP. METHODS: Thirty-four surgical and medical residents and healthcare professionals took part in this study (the experimental group, N = 17, and the control group, N = 17, were matched for sex and age). The experimental group performed two simulated bronchoscopy procedures that differ in their levels of complexity. The control group mimicked the same hand-eye movements and posture of the experimental group to help control for the potential effects of time on task and re-measurement on IOP. We measured IOP before and after each procedure, surgical performance during procedures, and perceived task complexity. RESULTS: IOP increased as consequence of performing the most complex procedure only in the experimental group. Consistently, residents performed worse and reported higher perceived task complexity for the more complex procedure. CONCLUSIONS: Our data show, for the first time, that IOP is sensitive to residents' task load, and it could be used as a new index to easily and rapidly assess task (over)load in healthcare scenarios. An arousal-based explanation is given to describe IOP variations due to task complexity.