Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.

Introduction: Musculoskeletal injury (MSK-I) mitigation and prevention programmes (MSK-IMPPs) have been developed and implemented across militaries worldwide. Although programme efficacy is often reported, development and implementation details are often overlooked, limiting their scalability, sustainability and effectiveness. This scoping review aimed to identify the following in military populations: (1) barriers and facilitators to implementing and scaling MSK-IMPPs; (2) gaps in MSK-IMPP research and (3) future research priorities.

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.

Newer generation of proximal tibia locking plates demonstrate large variability in their ability to capture the posteromedial fragment in bicondylar tibial plateau fractures.

Introduction: The early generations of proximal tibial locking plates demonstrated inferior results when compared to dual plating in bicondylar tibial plateau fractures with posteromedial fragments (PMF). Modern plates have multiple rows of locking screws and variable angle technology -which tote the ability to capture the PMF. The purpose of this study was to determine if the modern plates could capture the PMF in a large series of bicondylar tibial plateau fractures.

Heart rate and P300: Integrating peripheral and central indices of cognitive processing.

To assess the integration of peripheral (heart rate, HR) and central (event-related potential, P300) measures of cognition, the present study varied inter-stimulus presentation time (ISI) and employed comparable data reduction methods for the HR and ERP data. Young adults (n=33) performed an auditory oddball count task in which the ISI was varied (short vs. long, to maximize target detection for both measures) and task condition (single stimulus, short-ISI oddball, long-ISI oddball, to assay stimulus presentation condition between HR and P300).

Event-related delta, theta, alpha and gamma correlates to auditory oddball processing during Vipassana meditation.

Long-term Vipassana meditators sat in meditation vs. a control (instructed mind wandering) states for 25 min, electroencephalography (EEG) was recorded and condition order counterbalanced. For the last 4 min, a three-stimulus auditory oddball series was presented during both meditation and control periods through headphones and no task imposed.

P3a from white noise.

P3a and P3b event-related brain potentials (ERPs) were elicited with an auditory three-stimulus (target, distracter, and standard) discrimination task in which subjects responded only to the target. Distracter stimuli consisted of white noise or novel sounds with stimulus characteristics perceptually matched. Target/standard discrimination difficulty was manipulated by varying target/standard pitch differences to produce relatively easy, medium, and hard tasks.

Evaluation of auditory, visual and olfactory event-related potentials for comparing interspersed- and single-stimulus paradigms.

Background: An interspersed-stimulus paradigm (ISP) for event-related potential (ERP) recordings in which different sensory modality stimuli are presented within the same test session was developed to minimize recording time and facilitate modality comparison. The present study compared the ISP with a single-stimulus paradigm (SSP), using auditory, visual, and olfactory stimuli.

Method: Normal participants (n=16) were assessed on two independent test occasions to obtain data on inter-paradigm and test-retest reliability.

Affective recognition memory processing and event-related brain potentials.

Recognition memory was examined for visual affective stimuli using behavioral and event-related brain potential (ERP) measures. Images from the International Affective Picture System (IAPS) that varied systematically in arousal level (low, high) and valence direction (unpleasant, pleasant) were first viewed passively. Then, during a response phase, the original images were intermixed with an equal number of new images and presented, and participants were instructed to press a button to indicate whether each stimulus picture was previously viewed (target) or new (foil).

Binge drinking effects on EEG in young adult humans.

Young adult (N = 96) university students who varied in their binge drinking history were assessed by electroencephalography (EEG) recording during passive viewing. Groups consisted of male and female non-binge drinkers (>1 to 5/4 drinks/ounces in under two hours), low-binge drinkers (5/4-7/6 drinks/ounces in under two hours), and high-binge drinkers (>or= 10 drinks/ounces in under two hours), who had been drinking alcohol at their respective levels for an average of 3 years. The non- and low-binge drinkers exhibited less spectral power than the high-binge drinkers in the delta (0-4 Hz) and fast-beta (20-35 Hz) bands.

Occipital gamma activation during Vipassana meditation.

Long-term Vipassana meditators sat in meditation vs. a control rest (mind-wandering) state for 21 min in a counterbalanced design with spontaneous EEG recorded. Meditation state dynamics were measured with spectral decomposition of the last 6 min of the eyes-closed silent meditation compared to control state.

Event-related potentials in clinical research: guidelines for eliciting, recording, and quantifying mismatch negativity, P300, and N400.

This paper describes recommended methods for the use of event-related brain potentials (ERPs) in clinical research and reviews applications to a variety of psychiatric and neurological disorders. Techniques are presented for eliciting, recording, and quantifying three major cognitive components with confirmed clinical utility: mismatch negativity (MMN), P300, and N400. Also highlighted are applications of each of the components as methods of investigating central nervous system pathology.

Binge drinking in young adults: Data, definitions, and determinants.

Binge drinking is an increasingly important topic in alcohol research, but the field lacks empirical cohesion and definitional precision. The present review summarizes findings and viewpoints from the scientific binge-drinking literature. Epidemiological studies quantify the seriousness of alcohol-related problems arising from binge drinking, with a growing incidence reported in college-age men over the last 2 years.

Age, physical fitness, and attention: P3a and P3b.

The influence of age and fitness on the neuroelectric correlates of attentional orienting and processing during stimulus discrimination were investigated. Younger and older adult participants completed a maximal aerobic exercise test and were separated into higher- and lower-fit groups according to their cardiorespiratory fitness. Task performance and event-related potential measures were obtained during two- and three-stimulus oddball tasks.

Meditation (Vipassana) and the P3a event-related brain potential.

A three-stimulus auditory oddball series was presented to experienced Vipassana meditators during meditation and a control thought period to elicit event-related brain potentials (ERPs) in the two different mental states. The stimuli consisted of a frequent standard tone (500 Hz), an infrequent oddball tone (1000 Hz), and an infrequent distracter (white noise), with all stimuli passively presented through headphones and no task imposed. The strongest meditation compared to control state effects occurred for the distracter stimuli: N1 amplitude from the distracter was reduced frontally during meditation; P2 amplitude from both the distracter and oddball stimuli were somewhat reduced during meditation; P3a amplitude from the distracter was reduced during meditation.

Affective ERP processing in a visual oddball task: arousal, valence, and gender.

Objective: To assess affective event-related brain potentials (ERPs) using visual pictures that were highly distinct on arousal level/valence category ratings and a response task.

Methods: Images from the International Affective Pictures System (IAPS) were selected to obtain distinct affective arousal (low, high) and valence (negative, positive) rating levels. The pictures were used as target stimuli in an oddball paradigm, with a visual pattern as the standard stimulus.

Affective valence, stimulus attributes, and P300: color vs. black/white and normal vs. scrambled images.

Pictures from the International Affective Picture System (IAPS) were selected to manipulate affective valence (unpleasant, neutral, pleasant) while keeping arousal level the same. The pictures were presented in an oddball paradigm, with a visual pattern used as the standard stimulus. Subjects pressed a button whenever a target was detected.

Affective picture processing: an integrative review of ERP findings.

The review summarizes and integrates findings from 40 years of event-related potential (ERP) studies using pictures that differ in valence (unpleasant-to-pleasant) and arousal (low-to-high) and that are used to elicit emotional processing. Affective stimulus factors primarily modulate ERP component amplitude, with little change in peak latency observed. Arousal effects are consistently obtained, and generally occur at longer latencies.

Affective visual event-related potentials: arousal, valence, and repetition effects for normal and distorted pictures.

Event-related potentials (ERPs) were used to assess arousal (low, high), valence (negative, positive), and stimulus repetition effects for normal and distorted images from the International Affective Pictures System (IAPS). Distorted stimuli were constructed by dividing each image into small squares and rearranging the segments randomly to produce a "scrambled" picture. Event-related potentials (ERPs) were elicited by presenting the normal and scrambled images as target stimuli, with a repeated visual pattern used as the standard stimulus.

Workload assessment of computer gaming using a single-stimulus event-related potential paradigm.

Behavioral and event-related potential (ERP) measures were used to assess cognitive workload from expert computer gamers playing a "first-person shooter" video game. Game difficulty level was manipulated in separate conditions by adjusting the number of enemies (view, easy, medium, and hard). Infrequently presented single-stimulus tones were either ignored or counted across difficulty conditions.

Evidence for attentional gradient in the serial position memory curve from event-related potentials.

The occurrence of primacy versus recency effects in free recall is suggested to reflect either two distinct memory systems, or the operation of a single system that is modulated by allocation of attention and less vulnerable to interference. Behavioral and event-related brain potential (ERPs) measures were used to investigate the encoding substrates of the serial position curve and subsequent recall in young adults. Participants were instructed to remember lists of words consisting of 12 common nouns each presented once every 1.

Clinical neurophysiology of aging brain: from normal aging to neurodegeneration.

Physiological brain aging is characterized by a loss of synaptic contacts and neuronal apoptosis that provokes age-dependent decline of sensory processing, motor performance, and cognitive function. Neural redundancy and plastic remodelling of brain networking, also secondary to mental and physical training, promotes maintenance of brain activity in healthy elderly for everyday life and fully productive affective and intellectual capabilities. However, age is the main risk factor for neurodegenerative disorders such as Alzheimer's disease (AD) that impact on cognition.

Updating P300: an integrative theory of P3a and P3b.

The empirical and theoretical development of the P300 event-related brain potential (ERP) is reviewed by considering factors that contribute to its amplitude, latency, and general characteristics. The neuropsychological origins of the P3a and P3b subcomponents are detailed, and how target/standard discrimination difficulty modulates scalp topography is discussed. The neural loci of P3a and P3b generation are outlined, and a cognitive model is proffered: P3a originates from stimulus-driven frontal attention mechanisms during task processing, whereas P3b originates from temporal-parietal activity associated with attention and appears related to subsequent memory processing.