THE MEDICAL
COLLEGE OF
WISCONSIN
THE EFFECT OF  CARBON MONOXIDE

        ON TIME PERCEPTION
   REPORT NO: CRC APRAC CAPM - 3 - 68MCOW - ENVM - CO - 72 - 2

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                THE EFFECT OF CARBON MONOXIDE ON

                           TIME PERCEPTION
                                    By
                   Richard D. Stewart, M. D. , M. P. H.

                          Paul E.  Newton, M.S.

                        Michael J. Hosko, Ph. D.

                        Jack E. Peterson, Ph. D.
     REPORT NO. :  CRC APRAC CAPM-3-68  MCOW-ENVM-CO-72-2
From the Department of Environmental Medicine,  The Medical College of
Wisconsin,  8700 West Wisconsin Avenue, Milwaukee, Wisconsin, 53226.

Supported by Contract CRC-APRAC, Project No.  CAPM-3-68, from the
Coordinating Research Council, Inc. , and the Environmental Protection
Agency.

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                          SYNOPSIS - ABSTRACT







        Twenty-seven healthy,  adult male and female volunteers were exposed




to carbon monoxide at concentrations of  < 2,  50,  100, 200 and 500 ppm for





periods up to 4^ hours for the  purpose  of determining the effect of the gas




upon time perception.   These exposures, which resulted in a range of carboxy-




hemoglobin saturations up to 20%,  produced no impairment in the ability of the




subjects to perform the Beard-Wertheim Time Discrimination Test,  to esti-




mate ten or thirty second intervals, or to perform the Marquette Time Esti-




mation  Test.

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        The first untoward effect of carbon monoxide (CO) upon healthy man is




reported to be a gross impairment in his ability to distinguish between short





intervals of time and to estimate 30-second  intervals  '   .  Alarmingly,




these decrements in time perception are reported to be produced by exposures




to CO at concentrations as low as 50 parts per million (ppm) for 90 minutes,



                                                             (3)

exposures  which are  currently acceptable in American industry   ,  commonly



                                (4 5)
encountered by urban populations v  '   ,  and  much lower than those experi-




enced by the average adult smoking one  pack of cigarettes per day




        The implications of these CO induced decrements were judged to be of




such critical importance that two independent research groups conducted




similar, though not identical, time perception experiments  in an attempt to




corroborate the observations of the original investigators,  Beard and



                                                                (7  8 9)
Wertheim.  Neither independent research group was able to do so     '   .





Meanwhile, major  review articles  dealing with the toxic  effects  of CO upon





man listed the time perception impairment as an early untoward effect of CO




exposure *5'   '  '   '.   The issue  became more confused when Dr.  Beard




announced  that he was unable to reproduce his original findings    .




       In an effort to gain additional information as to the precise effect- of CO





upon human time perception,  a comprehensive investigation was undertaken




which included a  series of time tests performed under conditions identical to




those reported by Beard and Wertheim in their  original work.  This investi-





gation is the subject of this report.

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                                    -2-
                         EXPERIMENTAL METHOD






        The performance of these time perception studies required that healthy




volunteers be exposed to CO.  This was done with strict adherence to the eth-



ical and technical requirements for human inhalation experimentation previ-



              (14)
ously detailed






Exposure Chamber:



        The CO exposures were carried out in the controlled environmental




chamber located at the Department of Environmental Medicine, The Medical




College of Wisconsin   . The chamber, a room measuring 20 x 20 x  8 feet,




provided accurate control of temperature (72 _ 2 ° F)  and relative humidity



(40 t 5% RH) for all exposures.  This chamber featured pleasant  lighting,




comfortable chairs, study tables,  a restroom facility and an audiometric




booth (Industrial Acoustics  Co. , Model 401).  The subjects were  under con-




tinuous visual surveillance  by medical personnel while  in the  chamber and,  in




addition, their activities were visually monitored and periodically video taped



by closed circuit television.






Exposure Chamber Atmosphere:




        Carbon monoxide was continuously metered into the chamber's incom-




ing air  supply from a compressed gas cylinder in the adjacent command




laboratory.  The CO used was a chemically pure grade with a minimum purity




of 99. 5%.

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                                   -3-







       Chamber CO concentration gradients when operating at 100 ppm and





with subjects stationary, were found to be less than 2 ppm,  except inside of




the restroom facility and immediately in front of the entrance door where the





concentration was lower by 3 - 5 ppm.  Studies showed the audiometric booth's




circulation fan kept the interior of the booth at the chamber concentration.




       The concentration of CO in  the chamber atmosphere was continuously





recorded by an infrared spectrophotometer equipped with a  10-meter path-




length gas cell which was  continuously flushed with air drawn from the cham-




ber through £" diameter polyethylene tubing. A MSA CO meter and alarm,




Model 701, provided a second independent means of continuously monitoring




chamber concentration.  The chamber atmosphere was also sequentially




sampled by a gas chromatograph (GC) equipped with a helium ionization




detector.





       All three independent methods of monitoring CO concentration during





an exposure were  calibrated from within the chamber with a series of standards




prepared in 30-liter saran bags.  Prior to each exposure and every hour dur-




ing each chamber  exposure the series of CO standards was  run.







Subjects:




       During  the period from February  1970 to August 1971,  27 healthy





graduate students  and Medical School faculty, 23 males and 4 females,  ranging





in age from 22 to 43 years, served as volunteer subjects for the exposure





studies.  Three of the subjects were smokers, and they agreed to abstain from

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                                    -4-






smoking for the duration of the study; pre-exposure carboxyhemoglobin (COHb)



attested to this agreement.  Prior to and after completion of the study,  each



subject was given a comprehensive medical examination, which included a



complete history and physical examination,  a 12-lead EKG and a standard



EEC.





Carboxyhemoglobin Determination:



        Venous blood samples for COHb determination were obtained from



each subject 30 minutes prior to exposure and evey hour during exposure so



that time perception test results could be correlated to blood COHb satura-



tions.   At the time of blood sampling a subject would stick his arm through



an arm-port in the chamber wall into the adjacent laboratory so that the veni-



puncture could be performed in an uncontaminated atmosphere.



        Five milliliter aliquots of venous blood were collected in Vacutainer



tubes containing ethylenediaminetetraacetic  acid.  The blood was immediately


                        (4f 7)
analyzed by two methods  '   .  The first method determined the hemoglobin



concentration and the COHb percentage directly using a CO-Oximeter (Instru-



mentation Laboratories, Inc. ).  The second analytical method consisted of



measuring the CO liberated from the COHb moiety, using the  gas chromato-




graph equipped with a helium ionization detector.






Testing Procedure:



        The study consisted of double-blind exposures conducted in a random



order to < 2,  50,  100,  200 and 500 ppm CO  for periods of time up  to 4| hours.

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                                    -5-





Exposures were designed so that the maximum COHb saturation reached would



not exceed 20%.  A chronological listing of these exposures along with the



mean and standard deviation of the CO concentration for each is  presented in



Table I.



        Three tests of time perception were used in this  study.  The time dis-



crimination test along with the  10- and 30-second estimations were the two



tests originally administered by Beard and Wertheim to  subjects isolated in


                     (1 2)
an audiometric booth  ' '.   The third test,  the Marquette Time  Estimation



Test, was  previously administered by Stewart, et al, to subjects in a group



setting  to evaluate the effect of CO upon time sense   .   The tests were



administered each hour during exposure  in the following order:  10- and 30-



second  estimation, the Marquette Time Estimation Test, and the Beard-



Wertheim Time Discrimination Test.  The complete protocol used is printed



in the first CRC report(15).



        In order to investigate the difference resulting from testing conducted



in an isolated or group setting,  nine  subjects were tested in an audiometric



booth,  isolated in the environmental  chamber, and in a group setting in the



environmental chamber.  When the time  perception tests were performed in



a group setting, each subject was seated in a chair equally spaced along one



side of a table spanning two sides of  the chamber.  Each performed his test in



absolute silence while looking straight ahead.



        The subjects were arbitrarily divided into five groups for testing pur-



poses.   Prior to commencing the study,  each group of subjects had one

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                                    -6-







training session.  During this session the subjects were seated in the expo-




sure  chamber and given the series  of tests  in the exact order and with the




same instructions as they would be given during an actual exposure.  Pre-





vious experience  with the battery of time tests indicated that there was no




learning effect once the subject became familiar with the mechanics of testing.




The "learning" curves for the five groups affirm the validity of this  prior




observation







Marquette Time Estimation Test:




        A detailed description of this test has  been presented previously^ '   '




It consisted of a series of nine tone stimuli followed  by a series of nine light





stimuli, the duration of each of which the subject was required to estimate.




Each series contained stimuli of approximately 1,  3,  or 5 seconds duration,




which were presented in a random order with three stimuli at each time




interval.  At termination of the stimulus, the subject immediately depressed




a push-button switch for that interval of time  he estimated to be equal in




duration to the original auditory or light stimulus.   This  provided a  measure-




ment of his reaction tirr e  and of his  ability  to estimate the duration of the




stimulus.  It required seven minutes to perform this test.







Ten and Thirty Second Time Estimation:




        To perform these time estimation tests,  each subject depressed  the




pushbutton described above  for an interval he estimated to be 10  seconds;

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                                    -7-







 this was repeated twice.   The 30-second estimation test was performed in the




 same way and \vas repeated twice.







 Beard-Wertheim Time Discrimination Test:




        The time discrimination test was designed to test a subject's ability to




 discriminate  differences  in duration of two short intervals of time.  The test




 was composed of three sequences with 30 seconds rest between each sequence.




 Each sequence consisted  of 25 pairs of tones as described by Beard and




 Wertheim^ '  '.  The first tone was always  one second in duration and was fol-




 lowed 1. 5  seconds  later by a randomly selected second tone  of identical,




 slightly longer or slightly shorter duration.  The duration of the second tone




 for each sequence is listed in Table II.




        Listening through his individual earphone to the taped sequence




 (Precision Instruments Model 6100  tape recorder), the subject decided at ter-





 mination of the second tone whether it was the  same, longer, or shorter than




the duration of the first tone.  He  signaled his response by depressing one of




 three push-button switches on a mini-box which were labeled "longer, "




 "same," and  "shorter. "




        The set of three test sequences (75 pairs of tones) took  approximately





 15 minutes to perform.







 Data Analysis:




        Group F and t-tests were performed to  compare baseline time per-





 ception data ( < 2 ppm CO) to performance data collected during exposure

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                                     -8-







 ( > 2 ppm CO).  Then paired t-tests were used to search for individual




 responses to CO exposure.  To further investigate the difference between the




 means  of the baseline and exposure data, 95%  confidence limits of this dif-





 ference were calculated.  Regression analysis of the test scores with COHb




 saturations were also done.




        In an attempt to minimize the effect of  spurious data, the score of any




 test less than or greater than  the mean _ 3 standard deviations was considered




 to be spurious and eliminated  from further data analysis.  The data elimi-





 nated and the corresponding COHb saturations  can be found in Appendix F of




 reference  15.  It can be seen that these extreme  values were random and not





 a function  of COHb saturation.




        For the time discrimination test, the number of correct responses  in




 each sequence of 25 stimuli along with the associated COHb saturation  com-




 posed the bivariate sample population.  For the 10- and 30-second time esti-




mations, each estimate and the associated COHb saturation composed the




bivariate sample population.  And for the Marquette Time Estimation Test,




each response for a stimuli with its associated COHb saturation composed the





bivariate sample population.










                                RESULTS







       All of the data which were collected during this investigation are





available for review in reference 15.  The  space  limitations of this report

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                                    -9-







only allows the inclusion of those data  most pertinent to the discussion.







The Effect of CO on the Beard-Wertheim Time Discrimination Test:




        The ability of the subjects to perform this time perception test at




various COHb saturations in the three  test settings is  summarized in Tables




III, IV, V and VI.  A group F test and  t-test showed that the ability to per-




form this test in the three settings was not altered by  CO exposures  resulting




in COHb saturations ranging from 0. 4% to 20%.   Regression analysis yielded




maximum correlation coefficients of -0. 51, -0. 097, and 0. 308 for the group,




the isolated, and the  booth settings,  respectively.




       Should an elevated COHb be  responsible for a minute decrement in




time discrimination not detected by the statistical methods employed,  the




absolute value of the  difference in group means for the number of correct




responses for each sequence of 25 stirruli can be calculated with 95% confi-




dence to be  less than .44 (1. 8%),  1. 50 (6. 8%),  and 1. 05 (4. 3%) for the group,





isolated and booth settings, respectively.




       A  paired t-test was employed to compare each subject's mean base-




line score with his mean score  following CO exposure  (Table  VII).  For the




group and isolated settings there was no significant difference.   In the booth




setting, however, seven of the nine subjects had  "statistical" decrements




in their performance when exposed to CO with an average decrement of 0. 74





out of 25  (2. 9%),  significant at the 95% confidence level.  This decrement of





2. 9% in test performance was produced by a mean  COHb saturation of 9. 74%.

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                                    -10-
 The Effect of CO on 10-Second Estimations:




        The effect of CO exposure upon the ability to estimate 10 seconds in




 the three test settings is presented in Table VIII which shows that no correla-





 tion exists between the ability to estimate 10 seconds and COHb saturations




 ranging from 0. 4 - 20%.   Regression analyses of the 10-second estimations




 showed a maximum correlation coefficient of -0. 116,  0. 229, and 0. 190 for




 the group, isolated, and booth settings, respectively.





        Comparison of the group and the individual baseline performance data




 versus  performance data following CO exposure show  no significant differ-




 ences (Tables IV,  V, VI and VII).  The 95% confidence limits of the difference




 between the means of the estimation made by the non-exposed versus the




 exposed subjects,  should it exist, is a maximum of 0.  27 seconds (2. 7%), 1. 2




 seconds (12%), and 0. 67 seconds (6.7%) for the group, isolated,  and booth




 settings,  respectively.







 The Effect of CO on 30-Second Estimations:
       The effect of CO exposure upon the ability to estimate 30 seconds in




the three test settings is presented in Table IX,  which shows that no correla-





tion exists between the ability to estimate 30 seconds and COHb saturations




ranging from 0. 4 - 20%.  Regression analyses of the 30-second estimations




showed a maximum correlation coefficient of 0. 096, 0. 20, and 0. 31 for the




group, isolated, and booth settings,  respectively.

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                                    -11-







        Comparison of the group baseline performance data versus perfor-




mance following CO exposure (Tables IV, V,  VI) did show a significant differ-




ence  in the  isolated setting while comparison of individual performance data




(Table VII)  failed to show a significant difference.   The 95% confidence limits




of the difference between the group means,  should it exist, is a maximum of




0. 58  seconds (1. 9%),  4. 06  seconds (13. 3%), and 2. 21 seconds (7. 3%) for the




group,  isolated, and booth  settings, respectively.   These limits were inclu-




sive of  zero except for the  alone setting •which missed including zero by 0. 37




seconds (1.  2%).







The Effect of CO on the Marquette Time Estimation Test:





        Three values were used to define test performance.   The first two,




the ratio of the  estimate duration over the stimulus duration  (E/S) and the




absolute value of their difference  IE-Si , were a measurement of the subject's




ability to estimate the duration of the time stimulus.  The third measurement




was the subject's reaction time, that time from the end of the stimulus to the




onset of the subject's  response.




       I.     Estimate/Stimulus (E/S):





             The relationships between the variable E/S and COHb saturation




for the three stimulus lengths, two stimulus types  and three  test settings are




presented in Tables X- XV.   These data fail to indicate any relationship




between performance  and CO exposure.  The maximum correlation coeffi-




cients from regression  analysis are 0. 189, 0. 273,  and  0. 354 for the group,





isolated, and booth settings,  respectively.

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                                   -12-







       Comparison of the baseline performance data versus  exposure data




using a group t-test (Tables XIV - XIX in reference 15) disclosed that the




average E/S following CO exposure was higher (p = . 05) for four of the




eighteen combinations of stimulus durations, stimulus type and test setting.




Analysis of the same data,  individual by individual, using a paired t-test




(Table VII),  showed no significant difference between baseline  performance




and performance following CO exposure.




       The 95% confidence  limits of the average difference between the  base-




line performance and post-exposure performance data means for the three




stimulus durations, two stimulus types and three test settings  are  presented




in Tables XIV- XIX of reference 15. These limits were inclusive of zero in




all but the four cases mentioned above.  The maximum difference from  zero




within these  limits was 0. 07 (7%).





       II.    Absolute Value of Estimate-Stimulus ( |E-SI  ):





             The relationships between the variable ( |E-SI ) and COHb  satu-




ration for the three stimulus durations, two stimulus types and three test set-




tings  are  presented in Tables XX- XXV of reference 15.  There are no con-




sistent trends and no relationship between performance and COHb saturation




are evident.   The maximum correlation coefficients from  regression analysis




are 0. 120, 0. 339,  and 0. 559 for the group,  isolated and booth  settings,




respectively.




       Comparison of the baseline performance data versus  exposure data





using a group t-test (Tables XXVI- XXXI in reference 15)  revealed that  the

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                                    -13-







average  |E-S| following CO exposure was significantly different (p = . 05)




from baseline data in two of the eighteen combinations of stimulus durations,




type and setting.  Both of these cases occurred in the isolated setting where





the subjects' time perception appeared to be improved by an elevated COHb




saturation.  Comparison of the same data, individual by individual,  using a




paired t-test (Table VII), revealed two of the sixteen combinations to be




significantly {p = . 05) different.  These were two  different combinations than




mentioned above but, again, the  subjects appeared to perform better with an




elevated COHb saturation.




       The  95% confidence limits on the difference between the means of the




baseline performance data and post-exposure data for the various stimulus




durations, types and test setting are presented in Tables XXVI - XXXI of




reference 15.  Only the two  tests which 'were significantly different have




limits not inclusive of zero and their maximum difference from  zero is 0. 03




(3%).




       III.   Reaction Time:




             The relationships between the  subjects' reaction time and COHb




saturation for the  three stimulus  durations,  two  stimulus types and three test




settings  are presented in Tables XVI- XXI.   It is apparent that there are no





consistent trends in the data and that no relationship between reaction time




and COHb saturation are present.  The  maximum correlation coefficients




from regression analyses  are 0.234, 0. 344, and 0.431 for the group,





isolated  and booth settings,  respectively.

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                                    -14-







        Comparison of the baseline reaction times versus post-exposure




 reaction times using a group t-test (Tables XXXVIII- XLIII in reference 15)




 revealed that the average post-exposure reaction time was  significantly dif-




 ferent from the baseline  reaction time in five of the eighteen combinations of




 stimulus durations, types and test settings.  These differences occurred  only




 in the group setting where the subjects had shorter  reaction times with elevated




 COHb saturations.   Comparison of the same data,  individual by individual,




 using a paired t-test (Table VII) revealed no significant  difference between




 baseline and post-exposure reaction times.




        The 95% confidence limits of the  difference between the means of the





 baseline and the post-exposure reaction  times  for the various stimulus lengths,




 types and test settings are presented in  Tables XXXVIII - XLIII of reference




 15.  Only the five tests which were significantly different do not have limits




 inclusive of zero and their maximum difference from zero is 0. 02 seconds.










                         DISCUSSION OF RESULTS







        The results of these time perception studies indicate that  the acute




 exposure of healthy adults to concentrations of CO up to 500 ppm  which result





 in COHb saturations as great as 20% has no detrimental effect upon man's




time sense.  Thus,  the studies corroborate the previously reported investi-




 gations of Stewart, et al   ', and O'Donnell, et al *  ' "'.  The findings stand in





 obvious and striking disagreement to those reported by Beard and Wertheim   '  .

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                                    -15-







Beard-Wertheim Time Discrimination Tests:




       The magnitude of the difference between the results of the Beard-




Wertheim time discrimination test as performed in the two laboratories is





graphically presented in Figure 1.  The Beard-Wertheim data points repre-




sent the mean performance of a group of subjects individually tested in a




single-blind mode in an audiometric booth.  The data points from this labora-




tory show the mean performance  of the 27 subjects tested in the five group




settings in a  double-blind mode.   This immediately raises the question as to




whether the observed difference  could be significantly influenced by the test




setting in which the investigations were conducted.




       To evaluate the influence of interaction between individuals tested in a




group  setting upon time discrimination, nine individuals from the five groups




were additionally tested in two isolated test settings:  1) in an audiometric




booth identical in construction to that used by Beard and Wertheim;  2) when





seated alone  in the large environmental chamber.  The results of this investi-




gation are presented in Table  XXII, which shows that there was no significant




difference in the performance of the time discrimination  test when admin-




istered in the three test settings.




       The next possible reason for differences in test results may be that




the time discrimination test sequences as performed in the two laboratories




were not identical.  At the present  time there is no way to resolve this  poten-





tial difference since the original  Beard and Wertheim test tapes and raw data




are no longer available for review.  The original investigators neglected to

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                                    -16-







 record the precise time intervals studied, however, the intervals studied in




 this laboratory (Table II) were chosen after consultation with Beard and




 Wertheim.   Thus, the question as to the equality of the  two tests may never




 be resolved.




        Differences  between the test populations could conceivably account for




 the differences in test results.  Beard's subjects were Stanford University




 students who were paid $2. 50 per hour.  With the exception of the faculty





 members who  participated in the study in this laboratory, the subjects were




 graduate students at Marquette University who were also paid $2. 50 per hour.




 At this juncture there is no way to ascertain whether a significant difference




 in motivation existed between the two groups.




        The next area which could have contributed to differences in test




 results between the two laboratories is that of the known technical differences




 in the  testing procedure.  These differences are listed in Table XXIII and most




 likely  represent those factors most responsible for the  test result differences.




 Finally, the  failure to statistically evaluate each individual's performance by




 itself instead of lumping all data into group means  precludes as complete





 analysis as is  possible.




        It was observed that in the group setting the subjects did not perform





 each of the three sequences in the Beard-Wertheim test with equal accuracy.





 These  data are tabulated in Tables XLVI - XLVIII of reference 15.  While the





 difference  induced by the group  setting is small, it is another test variable





which could be of  importance.

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                                   -17-







        The test results revealed that no decrement in time discrimination




occurred in subjects with elevated COHb saturation when tested in the isolated




or in the group setting.  However, in the booth setting,  seven of the nine




subjects had slight decrements in performance as  determined by the  paired




t-test.  This occurred at a mean COHb saturation  of 9. 74%.  Unfortunately,




the sample size of nine is  not large enough to eliminate this as a spurious




observation.  Yet, even if this minute decrement were subsequently proved to




occur in the booth test setting, the decrement of 0. 74 correct responses  out




of 25 (2. 9%) is still diametrically opposed to the decrement of 44% in test per-




formance at this carboxyhemoglobin saturation which was reported by Beard




and Wertheim.





        In conclusion, the fact that two independent research groups utilizing a




double-blind mode were unable to corroborate the  gross time discrimination




impairment reported by Beard and Wertheim, and that Dr. Beard himself




could not reproduce his original observations when utilizing a double-blind




mode, support the contention that carboxyhemoglobin saturations ranging




from 0. 4 to 20% have no significant effect on the performance of the time dis-




crimination test.








Ten Second Time  Estimation:





        The results of this study indicate that a COHb saturation ranging from




0. 4 to 20% has no effect on the ability to estimate  a ten-second  interval.





These results are in agreement with Beard and Wertheim^  '  '  and O'Donnell,

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                                    -18-





     (8 9)
 et al v '   ,  who also reported no decrement in performance as a result of CO




 exposure.




        It was observed,  however, that the test setting in which this time esti-




 mation was performed did introduce a significant performance variable.




 These data  are tabulated in  Tables XLIX - LII of reference 15.   The estimation




 of the  ten-second interval in the group setting was significantly different than




 the estimation of the ten-second interval when in the isolated or in the booth




 test setting.  This suggests  that subject interaction may be  responsible.




       It is of interest to observe that in the group setting there was a signifi-




 cant difference in the estimated duration of each of the three 10-second inter-




 vals.  Since this was observed in the group setting only, it suggests subject




 interaction  and may well be  explained by the fact that the signal switches were




 not completely silent and could be heard by others.






 Thirty-Second Time Estimation:




       The  results of this study indicate that a  COHb saturation ranging from




 0. 4 to 20% has no detrimental effect on-the ability to estimate 30 seconds.



                                         (8 9)
 This is in agreement with O'Donnell, et alv  '  ', but is  in disagreement with



                    (1 2)
 Beard and Wertheim  '  .   The magnitude of the reported difference between




the Beard-Wertheim data and that of this laboratory is shown in Figure 2.




       As was the case with the 10-second time estimation testing,  the test




setting and not the  COHb saturation  was the significant variable responsible




for the minute differences observed.  These data are tabulated in  Tables

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                                     -19-







 LIV - LVI of reference 15.  In the group test setting,  the  reproducibility of the





 estimation of one sequence to the next showed a slight but significant difference.




 The most likely explanation for this phenomenon is subject interaction in the




 group setting.   Estimation of 30 seconds in  the group and in the isolated





 setting did differ  significantly from estimation of that time interval in the




 booth setting.   This indicates that the use of an audiometric booth as a test




 chamber may allow the introduction of complex factors most difficult to define




 accurately.







 Marquette Time Estimation Test:





        While the  Marquette time estimation test cannot be used to corrobo-




 rate or disaffirm the Beard-Wertheim data,  it can be used as a valid indi-





 cator of an individual's ability to rapidly estimate short intervals of time.




 The results of this study completely corroborate the results reported in a




 previous study (  and clearly indicate that a COHb saturation ranging from




 0. 4 to 20% exerts no adverse effects  upon the performance of this test.





        There are additional interesting observations which can be made




 regarding the test and  the performance differences which occurred in different




 test settings, performance differences completely unrelated to COHb satura-




 tions.   Tables  LVII - LXII in reference 15 show the influence of the test





 setting  on the estimate/stimulus ratio.  It is of interest to observe that the





 estimation of a  short sound stimulus was influenced by the test setting while





the estimation of the duration of a short  light stimulus was not so influenced.

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                                    -20-







The estimation of the sound stimulus in the group setting was significantly




different than when estimated in either the isolated or booth  setting.




        Tables LXIII - LXVIII in reference 15 reveal that the  duration of the




stimulus was a highly significant factor in accurately estimating its length.




The one-second stimuli estimations were minutely, but significantly different




for both sound and light stimuli duration in all three test settings.




        Tables LXIX - LXXI in reference  15 reveal  that in the group test




setting, the subjects  estimated the duration of short sound stimuli differently




than the duration of short light stimuli.




        Tables LXXII - LXXVII in reference 15 show the effect of the test




setting  upon the estimation of the stimulus as reflected in the variable  |E-S|  .




In two of the eighteen testing situations,  |E-S|  was significantly different but




this was not additionally influenced by varying COHb saturations.  Tables




LXXVIII - LXXXIII of reference 15 again reflect the influence the duration of




the stimulus  had upon the accuracy of the response.  The subjects handled the




one-second stimuli significantly differently than the three and five-second





stimuli. Only in the  group test setting wh'ere subject interaction could occur




did the  type of stimulus  presented influence the time estimation.




        The subject's reaction time was longer  in the  group test setting  than in




the isolated or in the booth settings for stimuli  of all  durations and both types





(Tables LXXXIV - LXXXIX in reference 15).   The remainder of the tables in




reference  15 show that the subjects' reaction time varied with the  duration of




the stimulus.   It is apparent that each of  the subjects used some method with

-------
                                    -21-







which to count and thereby estimate the duration of the stimulus.  When the




stimulus was  not approximately one or three seconds, the subject would




anticipate a stimulus of approximately five seconds and be better set to




promptly react.




       In conclusion it can be stated that while the Marquette time estimation




test was influenced by multiple variables, it was not  influenced by COHb satu-




ration ranging from 0.4- 20%.










                                SUMMARY







       The purpose of this investigation was to  study the effect of acute car-




bon monoxide exposure upon time perception with special attention to the





Beard-Wertheim time discrimination test, the ten- and thirty-second time




estimation tests,  and the Marquette time estimation  test.  Twenty-seven




healthy,  adult male and female volunteers were  exposed to carbon monoxide




at concentrations  of < 2,  50,  100,  200 and 500 ppm for periods up to 4^ hours.




The subjects were studied in  three test settings: seated in small groups




within the large environmental chamber, seated isolated in a large environ-




mental chamber,  and seated in an audiometric booth  as had been done  by





Beard and  Wertheim.




       The results of the time perception studies can be summarized as





follows:

-------
                                    -22-




       1.    The Beard-Wertheim time discrimination test was not affected


             by COHb saturations ranging from 0. 4 - 20%.  The test setting


             did not exert a significant affect upon the performance of this


             test.


       2.    The ability to estimate ten and thirty-second intervals was not


             affected by COHb saturations  ranging from 0.4 to 20%.   In the


             group setting,  subject interaction did influence the test results.


       3.    The ability to perform the Marquette  time estimation test was


             not affected by COHb saturations ranging from 0. 4 to 20%.   Time


             estimation was influenced by the type of stimulus, stimulus


             duration,  and the test  setting.


       These results corroborate the previous studies  by Stewart,  et al,  and


O'Donnell, et al, dealing with the effect of acute CO  exposure on  time per-


ception.   The studies do not corroborate the  reported findings of  Beard and


Wertheim.  It appears that time perception is highly resistant to  the effect of


carbon monoxide and is unaffected by exposures which produce obvious toxic

                                       (7)
effects in more sensitive organ systems   and in people with advanced


cardiovascular disease

-------
                       TIME DISCRIMINATION  TEST
UJ

-------
                 30 SECOND TIME  ESTIMATE  TEST


   60J
   50J                                                 I


o



<  40J                                   f




CO
O
o

£  2l

o
ro
   IOJ
         5 Stewart, et a/; mean± 1 standard deviation


         $ Beard and Wertheim;  mean ± / standard deviation
                50       100       150       200      250       300


                         CO CONCENTRATION PPM
                             Figure 2

-------
                   TABLE I
A CHRONOLOGICAL LISTING OF ALL EXPOSURES
Experiment
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Subjects
8
8
8
8
8
7
6
7
8
6
8
6
6
6
6
6
4
2
1
2
2
2
6
2
2
2
6
2
2
2
5
5
6
1
2
CO Concentration,
Mean S. D.
100.99
50. 64
196.49
< 2
49. 82
201.38
< 2
99. 81
96. 13
203. 69
< 2
< 2
49.45
201. 70
< 2
49. 67
99.93
201. 72
192.90
< 2
< 2
< 2
< 2
193. 10
197. 70
< 2
192. 30
199.96
< 2
< 2
190. 00
196. 98
< 2
<2
< 2
4.28
3. 83
3.00
- -
2.36
6. 58
- -
3.77
4. 39
6.39
- -
- -
1.43
4.21
- -
3. 56
1.66
6. 94
5. 85
- -
_ _
- -
- -
13.40
9. 56
t ^ _
21.40
2.97
- -
- -
17. 50
8.66
- -
_ _
- -
ppm
S.E.
0. 54
0. 54
0.41
- -
0,31
0. 95
- -
0. 77
0.62
1.33
- -
- -
0.27
0. 72
- -
0.66
0.31
1.36
1. 15
- -
- -
- -
- -
2.60
1.69
- -
3. 50
0. 56
- -
- -
2. 50
1.69
- -
- -
- -
Duration
(hr)
5. 0
5. 0
5. 0
5. 0
5. 0
5. 0
5.0
2. 5
5. 0
2. 5
5. 0
2. 5
2. 5
2. 5
2. 5
2. 5
2. 5
2. 5
2. 5
2. 5
2. 5
2. 5
5. 0
2. 5
2. 5
2. 5
5.0
2. 5
2. 5
2. 5
2. 5
5.0
5. 0
2.5
2. 5

-------
Table I, continued
36
37
38
39
40
41
42
43
44
45
46
47
48
49
1
7
7
7
7
6
7
7
6
6
7
8
8
8
< 2
198. 61
< 2
210. 08
199.21
< 2
< 2
197.80
2.87
< 2
197.48
203.40
507. 00
/500 p|
- -
6.47
_ _
13.66
10. 12
- -
_ _
6.06
0.99
_ _
6.49
10. 12
9.06
Dm for 75
- -
0.55
- -
1.17
0.87
- -
_ _
0. 53
0. 86
_ _
0. 55
0. 81
1.49
minutes,
                                                                        2. 5
                                                                        5.0
                                                                        5. 0
                                                                        5.0
                                                                        5.0
                                                                        5.0
                                                                        5.0
                                                                        5.0
                                                                        5.0
                                                                        5. 0
                                                                        5.0
                                                                        5. 0
                                    LlOO ppm for 140 minutes
     50            8               <2         - -         - -          5.0

-------
                               TABLE II


       The Beard-Wertheim test was composed of three sequences with a few

seconds rest  between each sequence. Each sequence was composed of twenty-

five pairs of tones.  The first tone was  always one second in duration, and

was followed  0. 5 seconds later by a second tone of identical, slightly  longer

or slightly shorter duration.  The length of the second tone for each pair was

as follows:
       Sequence I

       1240 msec.
       1080
        880
       1000
        760
        S40
       1000
       1200
       1320
        640
       1000
        680
        960
       1000
        800
        720
       1120
       1040
        920
       1160
       1280
       1000
       1000
       1000
       1000
Sequence II

 880 msec.
 840
 640
1200
1320
1000
1280
1080
1000
 800
1000
 680
 720
 960
1000
 920
1000
1240
1000
1120
1040
1000
1160
1000
 760
Sequence III

11 60 msec.
1000
1000
1120
1000
 800
1000
 720
 920
1040
 960
 640
J240
1080
1200
 680
1000
 760
 880
1000
1000
1320
1280
 840
1000

-------
                                     TABLE III
                     RELATIONSHIP BETWEEN PERFORMANCE



              OF THE BEARD-WERTHEIM TIME DISCRIMINATION TEST



                     AND CAREOXYHEMOGLOBIN SATURATION
Situation
Group
Alone
Booth
Baseline
Data
17.73+2.26
N = 395
17.67+2.72
N = 42
18.02+2.39
N = 59
•
0 - 2
17.67+2.52
N = 18
N = 0
N = 0
PERCENT CARBOXYHEMOGLOBIN LEVEL
EXPOSURE DATA
2.01-4 4.01-8 8.01-12 12.01-16 16.01-20
17.66+1.97
N = 111
N = 0
N = 0
17.55+2.25
N = 212
17.83+2. 12
N = 12
6.33+3.51
N = 3
17.77+2.27
N = 185
18.00+2.65
N = 15
18.38 + 1.75
N = 21
17.23+2.37
N = 166
N = 0
16.67+1.53
N = 3
17. 56+2.26
N = 114
N = 0
N = 0
••••zmBntHHSMDc1
0-20
17.55+2.2:
N = 806
17. 92+2. 38
N = 27
17.96+2.03
N = 27
'" Mean - 1 Standard Deviation

-------
                            TABLE IV
    COMPARISON OF BASELINE AND EXPOSURE DATA FOR THE
10 AND 30 SECOND ESTIMATIONS AND THE BEARD-WERTHEIM TEST
GROU'P
SITUATION
10 Second
Estimations
30 Second

Estimations
Beard

Test
Baseline
Data

#*
9.85+1.53
N = 591
30.44±4.29

N = 576
17. 73+2. 26

N = 395
Exposure
Data

9.98 + 1.41
N = 1194
30.58t4.27

N = 1175
17. 55+2.25

N = 806
F and t
Te.;l
Values
F = 1.085
t = 1.782
F = 1.005

t = 0. 644
F = 1.004

t = 1.301
95% Confidence
Limits of D>'

-0. 016^D^O. 278


-0.283
-------
                              TABLE V
     COMPARISON OF  BASELINE AND EXPOSURE DATA FOR THE

 10 AND 30 SECOND ESTIMATIONS AND THE BEARD-WERTHEIM TEST
ALONE
SITUATION
10 Second
Estimations
30 Second
Estimations
Beard
Test
Baseline
Data
10. 07+1. 8<
N = 57
30.38+4.08
N = 52
17.67+2.73
N = 42
Exposure
Data
10. 48+2. 15
N = 46
32.60^5.03
N = 46
17.92+2.38
N = 27
F and t
Test
Values
F = 1.138
t = 1.029
F = 1.236
t = 2.413
F = 1. 147
t = 0.390
95% Confidence
Limits of D*
-0.393£D_fl.205
+0.369fD<4. 061
-0.982
-------
                             TABLE VI

   COMPARISON OF  BASELINE AND EXPOSURE DATA FOR THE

10 AND 30 SECOND ESTIMATIONS AND THE REARD-WERTHEIM TEST
BOOTH
SITUATION
10 Second
Estimations
30 Second
Estimations
Beard
Test
Baseline
Data
*#
10.36ll.56
N = 84
32.02+3.63
N = 83
18. 02+2.39
N = 59
Exposure
Data
10.42 + 1.84
N = 50
32.83+4.17
N = 51
17.96+2.03
N = 27
F and t
Test
Values
F = 1. 180
t = 0.201
F = 1.149
t- I. 185
F = 1.177
t = 0.113
95% Confidence
Limits of D*
-0. 556
-------
              PAIRED
                TABLE

"t" VALUES FOR TIME
                                              VII
                                              DISCRIMINATION TESTS
.. 	 TEST
GROUP
SITUATION
H^jquette Test
One
Second
Sound
Three
Second
Sound
Five
Second
Sound
	 . 	 . 	
One
Second
Light
Three
Second
Light
Five
Second
Light
E/S
E-S
RxT
E/S
E-S
RxT
E/S
E-S
RxT
E/S
E-S
RxT
E/S
E-S
RxT
E/S
E-S
RxT
*-V Second Estimation
30 Second Estimation
B«ard Test
t df
-1.59 26
-0.06 26
0.54 26
1.23 26
-0.45 26
0.66 26
0.92 26
-0.03 26
0.30 25
-0.25 26
1.16 26
0.35 26
-0.96 26
1.94 26
0.85 26
0.81 26
0.06 26
0.88 26
=========
0.20 26
-0.93 26
0.66 23
ALONE BOOTH
SITUATION SITUATION
t dj 	
-0.48 4
0.16 4
2.40 4
0. 13 4
2.70 4
1.00 4
0. 54 4
0.90 4
1.26 4
-0.34 4
3.87* 4
1.48 4
-0.04 4
1.16 4
1.04 4
0.85 4
1.74 4
0.60 4
.
0. 32 4
0.25 4
-1.32 4
t df
-0.65 8
-0.29 8
0.92 8
0.06 8
1.32 8
-1.20 	 7
0.57 8
0.46 8
0.91 8
0.59 8
2.65* 8
1.02 8
-0.37 8
0.01 8
-0.74 8
0.97 8
-0.24 8
0.86 8
=================
-0.30 8
-0.32 8
2.75* 8
 *Significant at 95% level
**Significant at 99% level

-------
                                         TABLE VIII
                        RELATIONSHIP OF 10 SECOND ESTIMATIONS TO
                             CARBOXYHEMOGLOBIN SATURATION


Situation


Group


Al one


Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL

Baseline
Data
9.85 + 1.53

N = 591
10. 07+1. 8<

N = 57
10.36+1.56

N = 84
EXPOSURE DATA

0 - 2
10. 14+1. 6-i

N = 399
10.26+1.99

N = 18
10.40+1.60

N = 27

2.01 - 4
9.99+1.22

N = 123


N = 0


N = 0

4.01 - 8
9.91+1.15

N = 209
10.65+2.32

N = 13
10.90+0.69

N = 3

8.01 - 12
10.01 + 1.32

N = 183
10. 59+2. 3C

N = 15
10.12+2.37

N = 17

12.01 - 16
9.80+ 1.29

N = 166


N = 0
11. 87+. 49

N = 3

16.01 - 20
9.75+1.28

N = 114


N = 0


N = 0

0-20
9.98 + 1.41

N =1194
10.48±2.15

N = 46
10.42+1.84

N = 50
*       4-
  Mean _ 1 Standard Deviation

-------
                                            TABLE IX
                            RELATIONSHIP OF 30 SECOND ESTIMATIONS




                             TO CARBOXYHEMOGLOBIN SATURATION
Situation
G r oup

Alon e

B ooth

Baseline
Data
3 0.44*4. 2 <
N = 576
30.38*4.07
N = 52
32.02+3.6:
N = 83
0-2
31.07*4.7
N = 393
32.1614. 37
N = 17
32.57+4.31
N = 27
PERCEN:
2.01 - 4
30.41*4.1
N = 122

N = 0

N = 0
r CARBOXYHEMOGLOBIN LEVEL
EXPOSURE DATA
4.01 - 8 8.01 - 12 12.01 - 16 16.01 - 20
30.57*4.04
N = 208
33.99+5.15
N = 14
32.57*0.40
N = 3
31.11*4.03
N = 178
31.79*5.66
N = 15
32.48*4.31
N = 18
29.92*4.03
N = 162

N = 0
37.50+1.15
N = 3
29.20*3.53
N = 112

N = 0

N = 0
I 0 - 20
30. 5814.27
N = 1175
32.60*5.02
N = 46
32.83+4.17
N = 51
1
''" Mean 1" 1 Standard Deviation

-------
                                        TABLE  X
                     RELATIONSHIP BETWEEN PERFORMANCE OF THE
             MARQUETTE TIME TEST AND CARBOXYHEMOGLOBIN SATURATION
                         1 SECOND SOUND -  ESTIMATE/STIMULUS

Situation


Group

Al one


B ooth

PERCENT CARBOXYHEMOGLOBIN LEVEL
Baseline
Data
1.03*0.25
N = 392
0.941.23

N = 42
0.94t.21

N = 60
EXPOSURE DATA
0-2
1.26 ±.23
N - 16


N = 0


N = 0
2.01 - 4
1.19*. 24
N = 105


N = 0


N = 0
4.01 - 8
1.17*. 23
N = 200
0.88*. 24

N = 15
1.141.07

N * 3
8.01 - 12
M3±. 24
N = 162
0.971.28

N = 15
0.991.27

N « 21
12.01 - 16
1.07*. 26
N a 158


N = 0
0.781.10

N = 3
16.01 - 20
I. 06*. 22
N = 111


N = 0


N = 0
0-20
1.13*. 25
N = 752
0.92 + .26

N = 30
0.98f .26

N = 27
Mean ! 1 Standard Deviation

-------
                                      TABLE  XI
                   RELATIONSHIP BETWEEN PERFORMANCE OF THE
          MARQUETTE TIME TEST AND CARBOXYHEMOGLOBIN SATURATION
                       3 SECOND SOUND - ESTIMATE/STIMULUS


Situation



G r oup


Al on e


Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL

Baseline
Data
*
1.081.17

N = 399
0.991.14

N = 39
1.00 + .16

N = 58
EXPOSURE DATA

0-2

1.021.24

N = 17


N = 0


N = 0

2.01 - 4

1.071.21

N = 108


N = 0


N = 0

4.01 - 8

1.091.17

N = 202
0.961.10

N = 15
1.121.16

N = 3

8.01 - 12

1.09 1.17

N = 166
0.961.09

N = 15
0.961.12

N = 21

12.01 - 16

1,091.19

N = 153


N = 0
0.951.06

N = 2

16.01 -20

1.081.19

N = 108


N = 0


N = 0

0-20

1.091. 18

N = 754
0.961.09

N = 30
0. 98 f .13

N = 26
Mean _ 1 Standard Deviation

-------
                                     TABLE  XII
                 RELATIONSHIP BETWEEN PERFORMANCE OF THE
         MARQUETTE TIME TEST AND CARBOXYHEMOGLOBIN SATURATION
                      5 SECOND SOUND - ESTIMATE/STIMULUS

Si tuation




C r oup


Alone


Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL

Baseline
Data
*
1.03 + .13

N = 397
1.01 + .10

N = 40
0.96 + .10

N = 58
EXPOSURE DATA

0 - Z

l.Olt.ll

N = 17


N = 0


N = 0
2.01 - 4

1.03 +.14

N = 106


N = 0


N = 0
4.01 - 8

1.05 + .13

N = 184
0.95t.09

N = 15
0.98 ±.05

N = 3
8.01 - 12

1.07 ±.13

N = 167
0.97 + .10

N = 15
0.96±.ll

N = 20
12.01- 16

1.06 t.15

N = 160


N = 0
0.95 + .01

N = 3
16.01 - 20

1.05 + . 13

N = 113


N = 0


N = 0
0 - 20

1.05+.13

N = 747
0.96+.09

N = 30
0.96±. 10

N = 26
Mean  1 Standard Deviation

-------
                                        TABLE XIII
                     RELATIONSHIP BETWEEN PERFORMANCE OF THE
             MARQUETTE TIME TEST AND CARBOXYHEMOGLOBIN SATURATION
                          1  SECOND LIGHT - ESTIMATE/STIMULUS
Si tuation
G r ou p
A 1 one
Booth
Baseline
Data
1.001.26
N = 362
0.951.28
N = 42
0.961.24
N = 60
PI
0 - 2
1.211 .17
N = 17
N = 0
N = 0
:RCENT <
2.01 - 4
1.141.26
N = 110
N = 0
N = 0
3ARBOXYHEMOGL
EXPOSURE DATA
4.01 - 8 8.01 - 12
1.111.23
N - 198
0.901.22
N = 15
0.911.10
N = 3
1.071.25
N = 181
0.901.29
N = 15
0.971.17
N = 21
OBIN LE1'
12.01 - 16
1.021.25
N = 163
N = 0
0.701.13
N = 3
/EL
16.01 - 20
1.011.24
N = 114
N = 0
N = 0
0 - 20
1.071.25
N = 783
0.901.25
N = 30
0.931.18
N = 27
Mean _  1 Standard Deviation

-------
                                      TABLE  XIV
                   RELATIONSHIP BETWEEN PERFORMANCE OF THE
           MARQUETTE TIME TEST AND CARBOXYHEMOGLOBIN SATURATION
                        3 SECOND LIGHT - ESTIMATE/STIMULUS



Situation


G r ou p


Alone


Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL
EXPOSURE DATA
Baseline
Data
*
1.00 +.15

N = 366
0.96 + .15

N = 42
0.97+..14

N = 57

[0-2

1.03 + .14

N = 18


N = 0


N = 0
2.01 - 4

1.00 + . 13

N = 108


N = 0


N = 0
4.01 - 8

1.02 t. 12

N = 197
0.94 + .10

N = 15
1.01±.12

N = 3
8.01 - 12

1.03 + .13

N = 179
0.94 + .17

N = 15
0. 98 ±.15

N = 21
12.01 - 16

0.99 + .14

N = 163


N = 0
0.94*. 04

N = 3
16.01 - 20

1.01+ . 14

N = 114


N = 0


N = 0
0-20

1.01 + .13

N = 779
0.94 + .13

N = 30
0.97 + .14

N = 27
* Mean + 1 Standard Deviation

-------
                                     TABLE  XV
                  RELATIONSHIP BETWEEN PERFORMANCE OF THE
          MARQUETTE TIME TEST AND CARBOXYHEMOGLOBIN SATURATION
                      5 SECOND LIGHT - ESTIMATE/STIMULUS


Situation



Group


Alone


Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL

Baseline
Data
*
0.99 + .13

N = 364
0.98 + .13

N = 40
0.981.11

N = 59
EXPOSURE DATA

0-2

0.98 + .06

N = 18


N = 0


N = 0

2.01 - 4

1.00 + . 10

N = 103


N = 0


N - 0

4.01 - 8

1.01 t. 10

N = 205
0.94 +.12

N = 15
0.95 +.07

N = 3

8.01 - 12

1.02+.11

N = 180
0.96 + .13

N = 15
0.96 + .12

N = 21

12.01 - 16

1.01 + .13

N = 159


N = 0
0.83 + .10

N = 3

16.01 - 20

1.02 + .13

N = 112


N = 0


N = 0

0 - 20

1.01 + .11

N = 777
0.95 + .12

N = 30
0.94 + .12

N = 27
Mean * 1 Standard Deviation

-------
                                        TABLE  XVI

                     RELATIONSHIP BETWEEN PERFORMANCE OF THE
                MARQUETTE TEST AND CARBOXYHEMOGLOBIN SATURATION
                             1 SECOND SOUND - REACTION TIME

Situation

G r oup


Alone

Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL
Baseline
Data
V
0.32±.13

N = 391
0.241.16

N = 42
0.23 + .10
N = 59
0 - 2
0.24±.10

N = 18


N = 0

N = 0
2.01 - 4
0.291.12

N = 110


N = 0

N = 0
EXPOSl
4.01 - 8
0.29 *. 13

N = 201
0.261.13

N = 15
0.051.04
N = 3
JRE DATj
8.01 - 12
0.301. 14

N = 162
0.201.13

N = 14
0. 24t.l2
N = 19
\
12.01 - 16
0.33* .13

N = 152


N = 0
0.251.13
N = 3
16.01 - 20?
0.36±.13

N = 110


N = 0

N = 0
^JL-A0.
0.3li.l3

N = 753
0.231.13

N = 29
0.22 + .13
N = 25
'" Mean _ 1 Standard Deviation

-------
                                          TABLE  XVII
                       RELATIONSHIP BETWEEN PERFORMANCE OF THE
                  MARQUETTE TEST AND CARBOXYHEMOGLOBIN SATURATION
                               3 SECOND SOUND -  REACTION TIME

Situation

Group
Al on e
Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL
Baseline
Data
*
0.30 +.12
N = 392
0.28 + .16
N = 41
0.21+ .08
N = 54
0-2
0.23 +. 08
N = 18
N = 0

N = 0
2.01 - 4
0.27+ . 10
N = 110
N = 0

N = 0
EXPOSU
4.01 - 8
0.27 t. 12
N = 201
0.28 + . 18
N = 15
0. 13 + . 10
N = 3
RE DAT/
8.01 - 12
0.271 . 11
N = 164
0.22 +.13
N = 14
0.21 + .11
N = 17
i
12.01 - 16
0.30 + .12
N = 153
N = 0
0.27 +.04
N = 2
16.01 - 20
0. 32 + . 12
N = 112
N = 0

N = 0
0 - 20
0.28i . 12
N = 758
0.25+.16
N = 29
0.20+ . 10
N = 22
v Mean 1" J  Standard Deviation

-------
                                        TABLE  XVIH




                      RELATIONSHIP BETWEEN PERFORMANCE OF THE




                MARQUETTE TEST AND CARBOXYHEMOGLOBIN SATURATION




                             5 SECOND SOUND - REACTION TIME


Situation

Group


Al on e

Booth

PERCENT CARBOXYHEMOGLOBIN LEVEL
EXPOSURE DATA
Baseline
Data
0.26 +.11

N = 396
0.18*. 12

N = 39
0.19 + .12
N = 58
t
0-2
0. 17t,06

N = 18


N = 0

N = 0
2.01 - 4
0.21 + . 10

N = 111


N = 0

N = 0
4.01-8
0.23 + .11

N = 182
0.21 + .10

N = 15
0.06 + .05
N = 3
8.01 - 12
0.23 + .09

N = 164
0. 141. 13

N = 15
0.21 j. 13
N = 16
12.01 - 16
0.26 + .10

N = 160


N = 0
0.15 + .07
N = 3
16.01 - 20
0.27 + .09

N = 112


N = 0

N = 0
0 - 20
• i n.»^i «. *_~-«u>,-._ ^-pr**
0.24+ . 10

N = 747
0.17 + .12

N = 30
0. 18f . 12
N = 22
Mean + 1 Standard Deviation

-------
                                      TABLE  xnc
                    RELATIONSHIP BETWEEN PERFORMANCE OF THE
               MARQUETTE TEST AND CARBOXYHEMOGLOBIN SATURATION
                           1 SECOND LIGHT - REACTION TIME



Situation


G roup


Al on e

B ooth

PERCENT CARBOXYHEMOGLOBIN LEVEL
EXPOSURE DATA
BaBcline
Data
*
0.301.11

N = 353
0.241. 13

N = 39
0.21 1. 10
N = 54

0-2

0.211.06

N = 17


N = 0

N = 0
2.01 - 4

0.271.11

N = 108


N = 0

N = 0
4.01 - 8

0.271. 11

N = 200
0.231.11

N = i5
0.081.03
N = 3
8.01 - 12

0.271.10

N = 173
0.221.09

N = 15
0.191.11
N = 21
12.01 - 16

0.301. 11

N = 161


N = 0
0.241.03
N = 3
16.01 - 20

0.34 1. 11

N = 114


N = 0

N = 0
0-20

0.28*. 11

N = 773
0.231.10

N = 30
0.18+.11
N = 27
Mean + 1 Standard Deviation

-------
                                         TABLE XX




                      RELATIONSHIP BETWEEN PERFORMANCE OF THE




                 MARQUETTE TEST AND CARBOXYHEMOGLOBIN SATURATION




                             3 SECOND LIGHT - REACTION TIME
Situation


Group
Alone


Booth
Baseline
Data
0.27 +.10
N = 360
0.22 + .13
N = 42
0.21+.07
N = 54
PERCENT CARBOXYHEMOGLOBIN LEVEL
EXPOSURE DATA
0-2
0.1 9 + .07
N = 18

N = 0

N = 0
2.01 - 4
0.24 +.08
N = 107

N = 0

N = 0
4.01 - 8
0.24 +.08
N = 193
0.28 + .18
N = 15
0.16 + .11
N = 3
8.01 - 12
0.26 + .09
N = 179
0.18 + .09
N = 15
0.19 + .07
N = 18
12.01 - 16
0.27 +.09
N = 158

N = 0
0.29 + .07
N = 3
16.01 - 20
0.29 +.08
N = 107

N = 0

N = 0
0 - 20
0.26 + .09
N = 762
0.23 + . 14
N = 30
0.20 +.08
N = 24
"' Mean   1 Standard Deviation

-------
                                          TABLE  XXI
                       RELATIONSHIP BETWEEN PERFORMANCE OF THE




                 MARQUETTE TEST AND CARBOXYHEMOGLOBIN SATURATION




                               5 SECOND LIGHT - REACTION TIME
Situation
G r oup
Al on e
Booth
Baseline
Data
0.26 + .11
N = 370
0.19 + .14
N = 36
0.18 + .1C
N = 58
F
0-2
0. 16 + .05
N = 18
N = 0
N = 0
'ERCENT
2.01 - 4
0. 18 ±.07
N = 109
N = 0
N = 0
CARBOXYHEMOG
EXPOSURE DAT
4.01-8 8.01 - 12
0.20 ±.07
N = 204
0.22±.15
N = 15
0.05±.01
N = 3
0.23+.08
N = 173
0. 15±.ll
N = 14
0.18 ±.13
N = 18
LOBIN LI
A
12. 01 - 16
0.25 + .11
N = 163
N = 0
0.23 + .05
N = 3
:VEL
16.01 - 20
0.28 ±.11
N = 114
N = 0
N = 0
0 - 20
0.23+.09
N = 781
0.18 + .13
N = 29
0.17±.12
N = 24
* Mean   1 Standard Deviation

-------
            TABLE XXII
    COMPARISON OF TESTING
            SITUATIONS
EH
to
W
H

O
Pi
<
W
CQ
      GROUP

17.73+ 2.26***; N = 395

-<*IT^*ft^iarstf^-f!-^^ '••—-Tf .•.-TTJg-:

      ALONE
      .      *#*
17.67+2.74    ; N = 42
      BOOTH

            ***
              18.02+2.39    ; N = 59
                                                       BEARD  TEST
                                             BOOTH
F = 1.056

t •= .9115



F = 1.146

t = .683
                                                ALONE
                                                             F =  1.210

                                                             t  =  . 160
                               GROUP
  * Significant at the . 95 level
 ** Significant at the . 99 level
*** Mean 1 1 Standard Deviation
Note:  Only baseline data used for this analysis

-------
                                 TABLE XXIII

             COMPARISON OF TECHNICAL PROCEDURES USED

    BY TWO LABORATORIES PERFORMING TIME DISCRIMINATION TESTS
      Procedure
       Beard-We rtheim
     Stewart, et al
 Experimental Protocol
        Single-Blind
     Double-Blind
Chamber CO
  Monitoring System
Single infrared instrument;
calibration standards not run
from within chamber.  CO
concentration mean and
standard deviation not
reported.
 Three, independent
 monitoring systems;
 calibration standards
 run every hour from
 within the chamber.
 CO concentration mean
 and standard deviation
 reported.
COHb
  Determinations
Blood obtained, results not
reported.  COHb estimated
from breath samples in one
of two  studies.
Hourly COHb determi-
nations made by two
independent methods.
Test Populations
Stanford University
students
Marquette University
graduate students and
Medical School
faculty.
Test Setting
Audiometric Booth
3 settings: audiometric
booth, subject isolated
in large room, subjects
tested in small groups.

-------
                               REFERENCES







 1-     Beard, R. R. , and Wertheim, G. A.:  Behavioral Impairment Associ-




       ated with Small Doses of Carbon Monoxide.  Amer. J.  Public Health.




       57:2012-2022,  1967.





 2.     Beard, R. R. , and Wertheim, G. A. :  Behavioral Manifestations of





       Carbon Monoxide Absorption:  Presented at the XVI International




       Congress on Occupational Health, Tokyo, September 25,  1969.




 3.     Threshold Limit Values  for Substances in Workroom Air  Adopted by





      ACGIH for 1972.  American Conference of Governmental  Industrial





      Hygienists.  Cincinnati,  1972.




4.    Research Study to Determine the Range of Carboxyhemoglobin in




      Various Segments of the  American Population: Annual report for





      October 1, 1970 - September 30, 1971, to the Coordinating Research




      Council and the Environmental Protection Agency by the Department of





      Environmental Medicine,  The Medical College of Wisconsin; Report





      No. :  CRC APRAC CAPM-8-68 MCOW-ENVM-COHb-71-1.





5.     Effects of Chronic Exposure to Low Levels of Carbon Monoxide on





      Human Health Behavior,  and Performance:  National Academy of Sciences




      and National Academy of  Engineering, Standard Book No.  309-01735-1.





6.     The Health Consequences of Smoking: A Report of the Surgeon General,





      1972.  U. S. Department of Health,  Education and  Welfare;  Public





      Health Service, 1972.

-------
 7.    Stewart,  R. D. , Peterson,  J. E. ,  Baretta, E.  D. ,  Bachand, R.  T. ,





       Hosko, M.  J. , and Herrmann, A. A. :  Experimental Human Exposure




       to Carbon Monoxide.   Arch, of Environ.  Health,   21:154-164,  1970.




 8.    O'Donnell,  R.  D. , Mikulka,  P. ,  Heinig,  P. ,  and Theodore, J. :   Low





       Level Carbon Monoxide Exposure and Human Psychomotor  Performance.




       Toxicol. Appl.  Pharmacol.   18:593-602,  1971.





 9.    O'Donnell,  R.  D. ,  Chikos, P. , and Theodore, J. :   Effect  of Carbon




       Monoxide Exposure on Human Sleep and Psychomotor Performance.





       J. Appl. Physiol.   31:513-518,  1971.





 !0.    Bartlett, D. :   Pathophysiology of Exposure to Low Concentrations of




       Carbon Monoxide.   Arch. Environ. Health.   16:719-727,  1968.




 11.   Air Quality  Criteria for Carbon Monoxide: U.  S. Department of Health,





      Education and Welfare; National Air Pollution Control Administration





      Publication, No.  AP-62.




 12.   Dinman, B.  D. :  Pathophysiologic Determinants of Community Air




      Quality Standards for Carbon Monoxide.    J. Occup.  Med.   10:446-





      456,  1968.




 13.   Beard,  R. R. :  First Annual Conference on Environmental  Toxicology,





      9-11  September 1970.  Statement made to the audience of scientists




      during the discussion of his paper.





14.   Stewart, R.  D. :  Use of Human Volunteers for the Toxicological





      Evaluation of Materials. Symposium on  An Appraisal of Halogenated




      Fire  Extinguishing Agents.  National Academy of Sciences,





      Washington,  D. C.

-------
15.   Stewart, R. D. , Newton,  P.  E. ,  Hosko, M.  J. ,  and Peterson,  J. E. :




     The Effect of Carbon Monoxide on Time Perception.   Report No. :




     CRC APRAC CAPM-3-68 MCOW-ENVM-CO-72-1.  Available at the




     National Clearing House.




16.   Aronow, W. S. , Harris, C,  N. ,  Isbell, M. W. ,  Rokaw, S. N. , and




     Imparato,  B. :   Effect of Freeway Travel on Angina Pectoris.   Annals




     of Int.  Med.   77:669-676,  1972.

-------
                                   TECHNICAL REPORT DATA
                            (Please read Instructions on the reverse before completing)
1. REPORT NO.
 EPA-650/1-74-005
                                                            3. RECIPIENT'S ACCESSIOI*NO.
              PB-214 651
4. TITLE AND SUBTITLE
     The Effect of Carbon  Monoxide on Time  Perception
             5. REPORT DATE
              January 1973
                                                            6. PERFORMING ORGANIZATION CODE
7'RTcThHar
-------