Verification of High-Rate Vertical Loading Laboratory Skeletal Fractures by Comparison with Theater Injury Patterns.

For the current study, an existing theater injury data set was compared to component and whole body experiments meant to replicate the theater high rate vertical loading environment. The theater injury data set was derived from real world events that were within the design range of the Warrior Injury Assessment Manikin. A qualitative and quantitative assessment of the whole body fracture patterns was developed to determine whether the laboratory loading was correctly representing the resulting injuries seen in theater Underbody Blast (UBB) events. Results indicated that most of the experimental test fracture patterns were similar to the theater injuries for Abbreviated Injury Scale body regions of interest (lower extremities, pelvis, and spine); however, some of the body regions had higher similarity scores compared to others. Whole body fracture distribution was less similar than the component tests because of differences in injury distributions. The lower extremity whole body similarity was lower than spine and pelvis similarity. This analysis was able to identify some experimental tests that might not represent theater loading. In conclusion, this analysis confirmed that some laboratory testing produced skeletal injury patterns that are seen in comparable theater UBB events.

Auditory P3a assessment of male alcoholics.

BACKGROUND: P3a amplitude differences between alcoholic and control groups have not been well defined. Because event-related potential (ERP) differences between these groups appear to be influenced by task difficulty, the present study employed a new auditory ERP paradigm, in which target/standard tone discriminability was difficult, with infrequent nontarget stimuli used to elicit the P3a. METHODS: A total of n = 27 male alcoholics and n = 25 male controls were assessed using a three-tone discrimination paradigm, in which the discriminability between the target and standard was difficult, with easily discriminable infrequent nontarget tones also presented. A P3a component with a centro-frontal maximum to the rare nontargets and a P3b with a parietal maximum amplitude to the target stimulus were obtained. Current Source Density (CSD) maps were derived from the potential data and employed to assay topographical differences between subject groups. RESULTS: Alcoholics produced smaller P3a amplitudes than control subjects to the rare nontargets with no peak latency differences observed. The most prominent current sources are apparent more anteriorly for the nontarget compared to the target stimulus in both groups. There were more sources and sinks in the alcoholics than in the control subjects for P3a. A bootstrap analysis method showed that P3a CSD maps evinced distinct topographic distributions between alcoholics and control subjects in all brain regions. CONCLUSIONS: The lower P3a amplitude and weaker sources in alcoholics coupled with less topographic specificity in their CSD maps, suggests disorganized inefficient brain functioning. This global electrophysiological pattern suggests cortical disinhibition perhaps reflecting underlying CNS hyperexcitability in alcoholics.

Auditory P3a deficits in male subjects at high risk for alcoholism.

BACKGROUND: Substantial evidence indicates that alcoholism is biologically mediated by a genetic predisposition. As the decreased P300 (P3b) event-related brain potential component does not recover with prolonged abstinence, it is unlikely to be related to drinking history but is more likely to be genetically influenced. This is supported by findings that P3b amplitudes are reduced in subjects at high-risk compared to low-risk for alcoholism. Although there are few studies of P3a in HR subjects, lower P3a amplitudes have been reported with a novel nontarget stimulus paradigm, as well as with a difficult three-stimulus visual paradigm. Using a similar three-tone auditory paradigm in which the discriminability between the target and standard tone is difficult, the P3a component can also be reliably elicited with a rare nontarget perceptually distinct stimulus. This technique was employed in young adult subjects at low-risk and high-risk for alcoholism. METHODS: A total of 17 low-risk and 24 high-risk male subjects were employed as subjects in an auditory paradigm that yielded a large amplitude P3a with a centro-frontal maximum to the nontarget and a robust low amplitude prolonged P3b with a parietal maximum amplitude to the target stimulus. Current source density maps were derived to assess topographic differences between low-risk and high-risk subjects. RESULTS: The high-risk group manifested significantly lower P3a amplitudes than the low-risk group at the frontal electrodes to rare nontarget stimuli. High-risk subjects also demonstrated a more disorganized current source density map for P3a compared to low-risk subjects. CONCLUSIONS: The reduction of P3a in the high-risk group may be due to cortical dysfunction including the frontal and prefrontal cortex. The lower P3a amplitude coupled with more disorganized current source density maps suggest inefficient brain functioning in high-risk subjects.

P300 latency after ethanol ingestion in sons of alcoholics and in controls.

The magnitude and persistence of ethanol-induced increases in the latency of the P3 event-related potential from auditory stimuli were evaluated in 21 sons of alcoholic fathers (FHP) and 21 control sons of nonalcoholics (FHN) matched on demography and drinking history. The men were assessed at baseline, 70 min after imbibing a beverage, and 240 min after drinking, with observations carried out for each individual in 3 dosage conditions (placebo, 0.75 ml/kg of ethanol, and 1.1 ml/kg of ethanol). There were no family group differences for baseline (prechallenge) P3 latencies, nor any significant group differences after placebo or low-dose ethanol challenges. However, in the high alcohol dose challenge condition, P3 latencies for FHP subjects returned toward baseline measures more quickly than for FHN men. These results are consistent with previous reports of behavioral and biochemical measures in which FHP subjects demonstrated less intense reactions or returned toward baseline conditions more rapidly after ethanol ingestion relative to the FHN controls.

Visual P3a in male subjects at high risk for alcoholism.

BACKGROUND: Voltage of the P300 component of event-related potentials (ERPs) has been proposed as a phenotypic marker of risk for alcoholism. P3a elicited by intrusive events is important in the context of deficits in inhibition found during psychophysiological and behavioral evaluations in children of alcoholics. METHODS: ERPs were recorded from a group of adult children of alcoholics (n = 26) and controls (n = 23) with a three-stimulus visual oddball paradigm. The task required a difficult perceptual discrimination between a frequent (.80) vertical line and an infrequent (.10) 2 degrees tilted line (target). An easily discriminable nontarget infrequent horizontal line also occurred (.10). Subjects were required to press a button to the target. P3a was compared using mixed-model ANCOVAs at 31 sites organized in 5 scalp regions. Current source density (CSD) maps were also analyzed. RESULTS: High-risk (HR) subjects manifested reduced P3a amplitudes compared to controls at frontal, central, parietal, and temporal electrodes. CSD analyses supported these findings with group differences found for all the scalp regions. CONCLUSIONS: The results are discussed in relation to previous HR studies. P3a reductions may be related to deficits in neuronal inhibition during stimulus processing. These results suggest that P3a amplitude may be important as a marker for vulnerability to alcoholism.

P300 from identical twins.

The P300 component was obtained from ten pairs of identical twins and matched control subjects with an auditory discrimination task. The event-related brain potentials (ERPs) from the identical twins were strikingly similar in amplitude and latency compared to control subject pairs. The data suggest that individual variations in ERP waveform morphology are determined by the structure of the neurophysiological mechanisms responsible for P300 generation.

Hemispheric differences for visual evoked potentials from checkerboard stimuli.

Visual evoked potentials (VEPs) were elicited in right-handed male subjects with an alternating checkerboard pattern stimulus presented to either the left or right visual half-field. The sizes of the individual checks in different conditions were 0.25, 0.5, 2.0, or 4.0 cycles/degree of visual angle. The amplitude of the P100 VEP decreased while peak latency increased as check size decreased across both visual field conditions. Left hemisphere responses demonstrated significantly larger P100 amplitudes compared to the right hemisphere responses, although the interaction between hemisphere and stimulus size was not significant. No hemispheric effects of P100 latency were observed. The results suggest that the left hemisphere is engaged more than the right hemisphere for the sensory analysis of visual stimuli composed of straight edges over a wide range of spatial frequencies.

Hemispheric differences for visual search: serial vs parallel processing revisited.

Subjects were tachistoscopically presented with arrays of two, three or four stimuli to the right or left hemisphere and judged whether all of the items were the same or whether one was physically different from the rest. Separate groups of right-handed subjects viewed letters of featurally similar symbols as stimuli items. Faster and more accurate responding was obtained for left hemisphere presentations for bot same and different response judgments. Response time was independent of array size, with same judgments made faster than different judgments for both visual field conditions. Extensive practice shortened reaction time and decreased error rate, but did not change the pattern of hemisphere or judgment effects. Virtually identical results were observed for both stimulus conditions. These findings suggest that the left hemisphere can process information in parallel when the task situation requires featural analysis of stimulus materials.

Hemispheric differences for feature detection.

The role of hemispheric processing for visual features was explored by tachistoscopically presenting subjects with stimulus displays composed of the letter I, displays in which a single T was embedded in an array of I's, or displays in which the letter O was embedded in an array of I's. The number of array elements was also manipulated (4, 16, or 36) to assess the effects of display size on featural detection for each visual field. Subjects verbally indicated whether array elements were all the same, or whether a T or O was present. Hemispheric error rates varied as a function of the type of letter to be detected, with left-hemisphere presentations producing superior performance for the detection of T's, right-hemisphere presentations yielding superior performance for the detection of O's, and Same displays demonstrating hemispheric patterns consistent with these results. The findings suggest that the analysis of perceptual features during visual stimulus processing may determine hemispheric outcomes in a variety of task situations.

Meta-analysis of P300 amplitude from males at risk for alcoholism.

The P3(00) event-related brain potential (ERP) is used to study the development of alcoholism by comparing males who have a positive family history of alcoholism with control Ss who have no such familial history. Meta-analysis indicated that overall, smaller P3 amplitudes were obtained from males with family histories of alcoholism compared to controls. Moderator analysis indicated that paradigms using difficult visual tasks yielded the most reliable effects. Furthermore, no differences in outcomes were obtained among studies that recruited positive family history Ss exclusively from among individuals whose father had received treatment for alcoholism as compared with other studies. These findings are discussed in the context of using ERPs as an evaluative tool in the study of psychopathology.

Heritability of event-related brain potentials in families with a history of alcoholism.

Event-related brain potentials (ERPs) are altered in patients with a variety of psychiatric disorders and may represent quantitative correlates of disease liability that are more amenable to genetic analysis than disease status itself. Estimates of heritability are presented for amplitude and latency of the N1 and P3 components of the ERP measured at 19 scalp locations in response to visual and auditory stimuli for 604 individuals in 100 pedigrees ascertained as part of the Collaborative Study on the Genetics of Alcoholism. Significant heritabilities were found for visual P3 amplitude in response to all stimuli and for visual P3 latency in response to target and novel, but not non-target, stimuli. Heritability of visual N1 latencies was uniformly low, whereas heritability of visual N1 amplitude was significant for all electrodes in response to the non-target stimuli but only for posterior electrodes in the other two stimulus conditions. Heritabilities for auditory target P3 were similar to those of the visual stimuli, with auditory target P3 amplitudes and latencies both demonstrating significant heritability. For auditory P2 in response to non-target stimuli, peak amplitude was heritable, but latency was not. Auditory N1 amplitude and latency were significantly heritable for both target and non-target conditions and did not demonstrate the anterior/posterior patterning obtained for visual N1 amplitude. This study represents the first systematic assessment of heritability of these potential neurophysiological markers in families with a history of alcoholism and suggests that many of these ERP phenotypes have heritabilities strong enough to justify genomic screening for loci jointly influencing ERP abnormalities and liability to alcoholism.

The P300 brain potential is reduced in smokers.

RATIONALE: Tobacco smoking is the most prevalent type of substance abuse, yet its biobehavioral etiology is little understood. Identification of differences between smokers and non-smokers on basic characteristics of neurocognitive functioning may help to elucidate the mechanisms of tobacco dependence. OBJECTIVES: This study assessed the relationship between smoking status and the P300 component of event-related potential (ERP) while controlling for potential confounders such as alcoholism, drug abuse, and psychopathology. METHODS: The ERP responses elicited by a visual oddball task were measured at the mid-parietal site in 905 current smokers, 463 ex-smokers, and 979 never smokers. RESULTS: P300 amplitude was significantly lower in current cigarette smokers compared to never-smokers. Ex-smokers did not differ significantly from never-smokers. P300 reduction was also associated with alcoholism, drug dependence, and family density of alcoholism. However, after controlling for smoking, only family density of alcoholism remained a significant predictor of P300 amplitude. CONCLUSIONS: The results indicate a significant effect of smoking status on P300 amplitude which is additive to family history of alcoholism and suggest that either (1) long-term tobacco smoking may produce a reversible change in brain function, or (2) reduced P300 may be a marker of risk for nicotine dependence.

P300 differences between sinistrals and dextrals.

The P3(00) event-related potential (ERP) was elicited in 20 left- and 20 normal right-handed young adult male subjects using a simple visual stimulus discrimination task. For left-compared to right-handed subjects, P3 amplitude was larger at anterior electrode sites for the target stimuli and larger overall for the novel visual stimuli; P3 latency was shorter for left-compared to right-handers for the target stimuli. The N1, P2, and N2 components demonstrated similar handedness effects. The relationships of ERP amplitude and handedness to anatomical variables and cognitive factors are discussed.

P3a, perceptual distinctiveness, and stimulus modality.

A three-stimulus oddball paradigm (target, standard, nontarget) was employed in which subjects responded to an infrequent target, when its discrimination from the frequent standard was difficult. In separate auditory and visual modality conditions, the stimulus characteristics of an infrequent nontarget were manipulated such that its perceptual distinctiveness from the target was varied systematically. For both the low and high distinctiveness conditions, target stimulus P300 amplitude was larger than the nontarget only at the parietal electrode. In contrast, nontarget P3a amplitude was larger and earlier than the target P300 over the frontal/central electrode sites. The distinctiveness manipulation between the target and nontarget produced larger P3a component profiles for the auditory compared to visual stimuli. The results support previous findings that target/standard stimulus context determines P3a generation for both auditory and visual stimulus modalities and suggest that the distinctiveness of the eliciting stimulus contributes to P3a amplitude. Theoretical implications are discussed.

Auditory and visual P300 topography from a 3 stimulus paradigm.

OBJECTIVE: The P300 event-related brain potential (ERP) was elicited with auditory and visual stimuli in a separate session of a 3 stimulus oddball paradigm, and the scalp topography was assessed with 15 electrode locations. METHODS: Target (0.10), standard (0.80), and infrequent non-target (0.10) stimuli in the auditory task were 2000, 1000 and 500 Hz tone, and in the visual task, 'X', 'O', and 'H', respectively. The stimuli were presented in a random series, once every 2 s, and participants responded only to the target (N = 12). RESULTS: Target stimuli elicited larger P300 components than non-target did in both stimulus modalities. For both target and non-target stimuli, P300 amplitude was larger and latency longer for the visual compared with the auditory stimulus. Analysis of normalized P300 amplitude data indicated that the target and non-target P300s from both modalities had identical topography. CONCLUSION: The findings suggest that both target and non-target stimuli in 3 stimulus oddball paradigm elicited the same type of P300 (P3b) for both stimulus modalities.

P300 and blink instructions.

OBJECTIVES: The effects of instructions to refrain from blinking on the P300 event-related brain potential (ERP) from auditory and visual stimuli were assessed. METHODS: An oddball paradigm was employed in which young adult subjects (n = 20) silently counted the infrequent target stimuli and were given either no instructions or told "do not blink" in different conditions, with auditory and visual stimulus tasks employed for all subjects. ERPs were recorded from the midline electrodes, with amplitude and latency of the P300 and other components obtained. RESULTS: P300 amplitude for both modalities and target/standard stimulus conditions was smaller and visual peak latency longer in the "do not blink" condition. Blink instructions did not directly affect the other components. CONCLUSIONS: Instructions to refrain from blinking can decrease P300 amplitude and can increase peak latency.

P3a and P3b from typical auditory and visual stimuli.

OBJECTIVE: Target/standard discrimination difficulty was manipulated systematically to assess how this variable affects target and nontarget P300 scalp distributions for both auditory and visual stimuli. DESIGN AND METHODS: A 3-stimulus paradigm (target, standard, nontarget) was employed in which subjects (n = 16) responded only to an infrequently occurring target stimulus. The perceptual discrimination difficulty between the target and more frequently occurring standard stimuli was varied as Easy or Difficult in different conditions, while holding the nontarget stimulus properties constant. RESULTS: When target/standard discrimination was Easy, P300 amplitude was larger for the target than the nontarget across all electrode sites, and both demonstrated parietal maximums. In contrast, when target/standard discrimination was Difficult, target amplitude (P3b) was larger parietally and occurred later than nontarget components, whereas nontarget amplitude (P3a) was larger and earlier than the target P300 over the frontal electrode sites. Similar outcomes across task conditions were obtained for both auditory and visual stimuli. CONCLUSIONS: The findings suggest that target/standard discrimination difficulty, rather than stimulus novelty, determines P3a generation for both auditory and visual stimulus modalities.

P300 and response time from a manual Stroop task.

OBJECTIVES: Manual response time (RT) and P300 event-related potential (ERP) measures were recorded in a Stroop color naming task to determine if previous results with vocal responses would be obtained using an arbitrary stimulus-response (S-R) mapping. METHODS: Subjects (n = 32) were instructed to respond to the display color of a word but to ignore its meaning. Display color was congruent, neutral, or incongruent with word meaning. RESULTS: Stroop facilitation and interference effects were observed, as RT was shortest in the congruent condition, intermediate in the neutral condition, and longest in the incongruent condition. In contrast, P300 latency did not vary across color/word congruence conditions, suggesting that the RT difference between congruence conditions originated after stimulus evaluation. CONCLUSIONS: These manual RT/P300 findings support the view that Stroop interference and facilitation originate from response competition between the relevant and irrelevant stimulus attributes. By employing an arbitrary mapping of color words onto buttons, the present results indicate that the disparate effects of Stroop stimuli on RT and P300 latency do not depend on the nature of the S-R translation.

P3a from a passive visual stimulus task.

OBJECTIVE: Visual event-related brain potentials (ERPs) were elicited using a 3-stimulus oddball paradigm to assess the P3a with passive stimulus processing. METHODS: Young adults (n=12) were presented with a series of visual stimuli consisting of a solid circle standard stimulus (P=0.76) that was difficult to discriminate from a larger target circle (P=0.12), with a large square distractor stimulus (P=0.12) presented randomly in the series. Subjects were instructed in the passive condition to simply look at the stimuli and in the active condition to press a mouse key only to the target stimulus. ERPs were recorded from 15 scalp electrodes, with the amplitude and latency of the P300 from the distractor and target stimuli assessed. RESULTS: The P3a from the distractor stimulus was similar in amplitude, scalp topography, and peak latency across the passive and active task conditions. The P3b from the target stimulus demonstrated much smaller amplitude, highly altered scalp topography, and longer latency for the passive compared to active task conditions. CONCLUSIONS: The P3a can be obtained with visual stimuli in the 3-stimulus paradigm under passive viewing conditions. Theoretical implications and clinical applications are discussed.

P300 and alcohol consumption in normals and individuals at risk for alcoholism. A preliminary report.

Pairs of college student subjects (36 male, 36 female) were matched on age, sex, and personal drinking history. One pair member had a parent who met the DSM III criteria of alcoholism, while the other pair member had no close alcoholic relative. The P300 event-related brain potential (ERP) was obtained from each subject with auditory stimuli in an "oddball" paradigm. Target stimuli occurred randomly on 20% of the trials in a frequency discrimination task, a relatively easy intensity discrimination task, and a more difficult intensity discrimination task. Subjects indicated when the target items occurred by moving their index finger. No significant overall effects were obtained for family history for either P300 latency or amplitude. P300 latency increased and amplitude decreased with increases in the reported amount of alcohol consumption in all subjects only for the difficult intensity task but were statistically significant only for individuals with a negative family history for alcoholism.