Incidence rates and populations at risk for spinal cord injury: A regional study.

STUDY DESIGN: A 6 year retrospective study was conducted. OBJECTIVES: The populations at risk for spinal cord injury (SCI) in the northwestern Kentucky (KY) and southern Indiana (IN) regions were identified following examination of the causes and factors associated with SCI. SETTING: The database included patients primarily from the surrounding KY and IN counties admitted to the University of Louisville (U of L) Hospital. METHOD: Specification of SCI patient demographics, injury causes and related factors was achieved utilizing the hospital's trauma institute database and an extensive review of patient medical records. RESULTS: An adjusted average incidence rate of 27.1 cases per million per year was obtained for this region. A high rate of SCI was found for the youngest age group, 14-24 year olds, and for African Americans. A high frequency of injuries was also observed for adults between the ages of 25-39 years. Motor vehicle accidents (MVA) were the leading cause of SCI. Contributing factors included alcohol and widespread non-use of vehicle safety precautions. CONCLUSIONS: In addition to the high proportion of youth at risk for SCI, a higher proportion of older adults with SCI was observed for this region compared to other studies. Because the primary source of transportation in this area is the use of private vehicles, rather than public transportation, greater effort is warranted in emphasizing the potential risks of combining driving with alcohol consumption and non-use of seatbelts.

Event-related potentials and the categorical perception of speech sounds.

OBJECTIVE: To determine whether there are physiological correlates of categorical perception. DESIGN: Human evoked potentials were recorded in response to computer-modified speech sounds from a nine-stimulus continuum between /ba/ and /da/. In the first experiment, subjects listened to trains composed of 52% /ba/ or /da/ and 6% of each of the other eight stimuli and classified the stimuli as "ba" or "da." In the second experiment, subjects read a book and ignored trains containing a standard stimulus (p = 80%) and two deviant speech sounds (p = 10% each), one within the same category as the standard and the other across the category-boundary. The third experiment was similar to the first except that the subject was reading. The fourth experiment compared the responses to stimuli that deviated from standards in terms of their phonemic category or intensity. RESULTS: An N2-P3 complex was evoked by those stimuli in the more improbable category when the stimuli were attended to in the first experiment. In the second and third experiments, there was a clear mismatch negativity (MMN) for the across-category deviant stimuli when the standard stimulus came from the /ba/ end of the continuum. However, when the standard stimulus came from the /da/ end of the continuum, there was no definite MMN. The overall frequency-content of our /da/ stimulus was broader than that of the /ba/ stimulus. A deviant stimulus from the /da/ end of the continuum thus contained frequencies which were not present in the /ba/-standard stimuli and these frequencies could elicit a MMN. In the fourth experiment the MMN evoked by a small change in intensity was much larger than that evoked by a change in phonemic category. CONCLUSIONS: The N2-P3 complex accurately reflects the phonemic categorization of speech stimuli. The MMN evoked by changes in speech sounds may indicate the detection of acoustic rather than phonetic changes.

Potentials evoked by the sinusoidal modulation of the amplitude or frequency of a tone.

Steady state responses to the sinusoidal modulation of the amplitude or frequency of a tone were recorded from the human scalp. For both amplitude modulation (AM) and frequency modulation (FM), the responses were most consistent at modulation frequencies between 30 and 50 Hz. However, reliable responses could also be recorded at lower frequencies, particularly at 2-5 Hz for AM and at 3-7 Hz for FM. With increasing modulation depth at 40 Hz, both the AM and FM response increased in amplitude, but the AM response tended to saturate at large modulation depths. Neither response showed any significant change in phase with changes in modulation depth. Both responses increased in amplitude and decreased in phase delay with increasing intensity of the carrier tone, the FM response showing some saturation of amplitude at high intensities. Both responses could be recorded at modulation depths close to the subjective threshold for detecting the modulation and at intensities close to the subjective threshold for hearing the stimulus. The responses were variable but did not consistently adapt over periods of 10 min. The 40-Hz AM and FM responses appear to originate in the same generator, this generator being activated by separate auditory systems that detect changes in either amplitude or frequency.