Vigilance Tasks: Unpleasant, Mentally Demanding, and Stressful Even When Time Flies.

OBJECTIVE: To determine whether perceived time progression (PTP) moderates participants' negative reactions to vigilance tasks. BACKGROUND: Vigilance tasks are rated by participants to be unenjoyable and as having high levels of workload and stress. Based on the adage, "You are having fun when time flies," we tested the possibility that accelerating PTP might reduce these negative experiences. METHOD: Two studies were performed, involving a long 30-min and a short 12-min vigil. We manipulated participants' PTP by creating a mismatch between their expectations about how long they would perform the task and the actual time that they were engaged. RESULTS: PTP was significantly faster for participants who were led to expect that the vigilance task would last longer than it did relative to those led to expect that task duration would be shorter than it actually was and for controls for whom task duration was equal to the expected duration. However, accelerating PTP had no effect in either experiment on undesirable reactions to the vigilance tasks. Participants uniformly rated both tasks as unenjoyable, as having a high level of workload, and as stressful. Apparently, vigilance isn't fun even when time flies. CONCLUSION: Our findings greatly underscore the depth to which negative subjective reactions are embedded in the nature of vigilance tasks and therefore that these tasks can have potentially serious costs to participants in terms of health, safety, and productivity. APPLICATION: These costs must be considered at the operational level.

Sustained acceleration on perception of relative position and motion.

INTRODUCTION: Air-to-air refueling, formation flying, and projectile countermeasures all rely on a pilot's ability to be aware of his position and motion relative to another object. METHODS: Eight subjects participated in the study, all members of the sustained acceleration stress panel at Wright-Patterson AFB, OH. The task consisted of the subject performing a two-dimensional join up task between a KC-135 tanker and an F-16. The objective was to guide the nose of the F-16 to the posterior end of the boom extended from the tanker, and hold this position for 2 s. If the F-16 went past the tanker, or misaligned with the tanker, it would be recorded as an error. These tasks were performed during four G(z) acceleration profiles starting from a baseline acceleration of 1.5 G(z). The plateaus were 3, 5, and 7 G(z). The final acceleration exposure was a simulated aerial combat maneuver (SACM). RESULTS: One subject was an outlier and therefore omitted from analysis. The mean capture time and percent error data were recorded and compared separately. There was a significant difference in error percentage change from baseline among the G(z) profiles, but not capture time. Mean errors were approximately 15% higher in the 7 G profile and 10% higher during the SACM. DISCUSSION: This experiment suggests that the ability to accurately perceive the motion of objects relative to other objects is impeded at acceleration levels of 7 G(z) or higher.

Short-time windows of correlation between large-scale functional brain networks predict vigilance intraindividually and interindividually.

A better understanding of how behavioral performance emerges from interacting brain systems may come from analysis of functional networks using functional magnetic resonance imaging. Recent studies comparing such networks with human behavior have begun to identify these relationships, but few have used a time scale small enough to relate their findings to variation within a single individual's behavior. In the present experiment we examined the relationship between a psychomotor vigilance task and the interacting default mode and task positive networks. Two time-localized comparative metrics were calculated: difference between the two networks' signals at various time points around each instance of the stimulus (peristimulus times) and correlation within a 12.3-s window centered at each peristimulus time. Correlation between networks was also calculated within entire resting-state functional imaging runs from the same individuals. These metrics were compared with response speed on both an intraindividual and an interindividual basis. In most cases, a greater difference or more anticorrelation between networks was significantly related to faster performance. While interindividual analysis showed this result generally, using intraindividual analysis it was isolated to peristimulus times 4 to 8 s before the detected target. Within that peristimulus time span, the effect was stronger for individuals who tended to have faster response times. These results suggest that the relationship between functional networks and behavior can be better understood by using shorter time windows and also by considering both intraindividual and interindividual variability.

Cerebral lateralization of vigilance: a function of task difficulty.

Functional near infrared spectroscopy (fNIRS) measures of cerebral oxygenation levels were collected from participants performing difficult and easy versions of a 12 min vigilance task and for controls who merely watched the displays without a work imperative. For the active participants, the fNIRS measurements in both vigilance tasks showed higher levels of cerebral activity than was present in the case of the no-work controls. In the easier task, greater activation was found in the right than in the left cerebral hemisphere, matching previous results indicating right hemisphere dominance for vigilance. However, for the more difficult task, this laterality difference was not found, instead activation was bilateral. Unilateral hemispheric activation in vigilance may be a result of employing relatively easy/simple tasks, not vigilance per se.

On tracking the course of cerebral oxygen saturation and pilot performance during gravity-induced loss of consciousness.

OBJECTIVE: The aim of this study was to track the course of cerebral tissue oxygen saturation (rSO2) and pilot performance during an episode of gravity-induced loss of consciousness (GLOC). BACKGROUND: GLOC, a major problem facing pilots of high-performance aircraft, is brought about by a sudden reduction in rSO2 as a result of increased +Gz force. It consists of 24 s of complete functional impairment followed by a prolonged period of performance recovery. This study tested the hypothesis that delayed recovery in GLOC is caused by a slow return of rSO2 following removal of the g-force that induced the episode. METHOD: GLOC was induced in U.S. Air Force personnel via a centrifuge with math and tracking tasks emulating flight performance. A near-infrared spectroscopy unit provided the rSO2 measure. RESULTS: Declines in rSO2 from baseline pinpointed when pilots would cease active flight control and when GLOC would set in. Counter to expectation, rSO2 returned to baseline levels shortly after the centrifuge came to a complete stop following GLOC onset. Nevertheless, performance deficits continued for 49.45 s thereafter. CONCLUSION: The prolonged performance recovery time in GLOC cannot be attributed to delays in the return of rSO2. This finding explains why previous ergonomic efforts to shorten the duration of GLOC episodes by increasing the rate of return of rSO2 have not been fruitful. Evidently, another approach is needed. APPLICATION: Such an approach might use the close linkage between loss of rSO2, performance deterioration, and GLOC onset to develop a warning system that would permit pilots to take effective action to avoid GLOC incapacitation.

The abbreviated vigilance task and cerebral hemodynamics.

Transcranial Doppler sonography (TCD) and transcranial cerebral oximetry (TCCO) measures of cerebral blood flow velocity and oxygenation levels were collected during an abbreviated 12-min vigilance task. Both the TCD and TCCO measures showed higher levels of cerebral vascular activity in the right than in the left cerebral hemisphere; the cerebral laterality of vigilance occurs in an abbreviated task. Although there was a significant decline in performance over time, there was no significant change in the physiological measures over time during the abbreviated vigil. This latter finding does not match the physiological changes detected in long-duration vigils.

+Gz acceleration loss of consciousness: time course of performance deficits with repeated experience.

OBJECTIVES: We examine the time course of performance recovery from gravity-induced loss of consciousness (GLOC) and evaluate the utility of exposing participants to repeated bouts of GLOC in promoting recovery time. BACKGROUND: A substantial number of accidents among fighter pilots have resulted from episodes of GLOC. U.S. Air Force doctrine holds that when pilots experience GLOC, impairment lasts for 24 s, in which there are 12 s of complete unconsciousness and 12 s of confusion. However, there is reason to suspect that performance efficiency associated with GLOC is degraded well before unconsciousness sets in and that more than 24 s are required for performance efficiency to return to baseline levels. Additionally, there is a belief that repeated exposure to GLOC will reduce recovery time. METHOD: Centrifuge simulators were used to induce GLOC in U.S. Air Force personnel with math and tracking tasks employed to emulate flight performance. Participants were tested once per week for 4 consecutive weeks. RESULTS: On average, performance deficits appeared 7.44 s prior to the onset of unconsciousness and persisted for 55.6 s following the GLOC event. Repeated exposure failed to moderate these results. CONCLUSION: The temporal course of performance deficits produced by GLOC far exceeds prior estimates. The problem is more serious than previously envisioned and it is not alleviated by repeated exposure to GLOC. APPLICATION: U.S. Air Force doctrine regarding the severity of GLOC and the utility of repeated exposure to this problem needs to be revised and these data incorporated into future aircraft auto recovery systems.

The Bellagio Report: Cardiovascular risks of spaceflight: implications for the future of space travel.

BACKGROUND: Long-duration space missions, as well as emerging civilian tourist space travel activities, prompted review and assessment of data available to date focusing on cardiovascular risk and available risk mitigation strategies. The goal was the creation of tools for risk priority assessments taking into account the probability of the occurrence of an adverse cardiovascular event and available and published literature from spaceflight data as well as available risk mitigation strategies. METHODS: An international group of scientists convened in Bellagio, Italy, in 2004 under the auspices of the Aerospace Medical Association to review available literature for cardiac risks identified in the Bioastronautics Critical Path Roadmap (versions 2000, 2004). This effort led to the creation of a priority assessment framework to allow for an objective assessment of the hazard, probability of its occurrence, mission impact, and available risk mitigation measures. RESULTS/CONCLUSIONS: Spaceflight data are presented regarding evidence/ no evidence of cardiac dysrhythmias, cardiovascular disease, and cardiac function as well as orthostatic intolerance, exercise capacity, and peripheral resistance in presyncopal astronauts compared to non-presyncopal astronauts. Assessment of the priority of different countermeasures was achieved with a tabular framework with focus on probability of occurrence, mission impact, compliance, practicality, and effectiveness of countermeasures. Special operational settings and circumstances related to sensitive portions of any mission and the impact of environmental influences on mission effectiveness are addressed. The need for development of diagnostic tools, techniques, and countermeasure devices, food preparation, preservation technologies and medication, as well as an infrastructure to support these operations are stressed. Selected countermeasure options, including artificial gravity and pharmacological countermeasures need to be systematically evaluated and validated in flight, especially after long-duration exposures. Data need to be collected regarding the emerging field of suborbital and orbital civilian space travel, to allow for sound risk assessment.

Computer modeling of acceleration effects on cerebral oxygen saturation.

INTRODUCTION: Failure to effectively regulate BP and cerebral perfusion during high-G aircraft maneuvering may contribute to reduced performance in pilots due to the fact that perfusion to the peripheral cerebral tissues may not be adequate to support the mental demands of flight. Therefore, a critical area of investigation is the study of cortical tissue oxygenation responses to +Gz acceleration. METHODS: Two experiments were used to build two sections of a cerebral oxygen saturation (rSo2) model. Experiment 1: Six subjects participated in the study. A cerebral oximeter (gold standard) provided rSo2. Acceleration profiles (subjects relaxed) included a 0.1 G x s(-1) G onset to central light loss (CLL) and a 3 G x s(-1) onset to a G level that was 1 Gz above CLL to an endpoint of G-LOC. Experiment 2: There were 12 subjects (with G protection) who participated in this study. The rSo2 data were collected during five different simulated aerial combat maneuvers. A model was created that read the Gz profile as input and calculated changes in rSo2. The correlation coefficient, linear best-fit slope, and mean percent error were calculated to determine agreement. RESULTS: The average value for the correlation coefficients, linear best-fit slopes, and mean percent errors for the unprotected subjects were 0.79, 0.87, and 6.08, respectively. These values for the protected subjects were 5 G (0.994, 1.011, 0.384), 6 G (0.994, 0.909, 0.811), 7 G (0.986, 1.061, 0.692), 8 G (0.969, 1.016, 1.300), and 9 G (0.994, 0.979, 0.558), respectively. DISCUSSION: The model is a good predictor of rSo2 values for protected and unprotected subjects under +Gz stress.

EEG correlates of G-induced loss of consciousness.

INTRODUCTION: Electroencephalographic (EEG) correlates of Gz-induced loss of consciousness (G-LOC) were examined to better understand the mechanisms of G-LOC. METHODS: There were 10 subjects (4 women) who provided 35 G-LOC episodes during which 13 channels of EEG and eye activity were recorded. Subjects simultaneously performed tracking and mathematical tasks prior to and following G-LOC. The performance data and cerebral regional oxygen saturation (rSO2), as measured using near infrared spectroscopy, were correlated with the EEG changes. RESULTS: Across all subjects, seven EEG events were identified and measured. The two most significant were found over widespread scalp sites. They were a 1-2 Hz waveform just prior to G-LOC and a very large, approximately 1 Hz waveform just prior to regaining consciousness. These were associated with a drop of rSO2 levels to approximately 90% of the pre-G-LOC baseline levels. rSO2 levels returned to pre-G-LOC levels within approximately 15 s following G-LOC while EEG and performance measures took approximately 60 s. DISCUSSION: There were two unique EEG waveforms found, one preceding unconsciousness and the other preceding the return to consciousness during G-LOC episodes. Further, the supply of oxygen to the brain was rapidly restored, within approximately 15 s, while the EEG and performance data showed that approximately 60 s were required for the brain to regain functional integrity. The delay in performance and EEG recovery following G-LOC demonstrates that the recovery of brain activity to support cognitive function requires more than just the restoration of normal oxygen levels.