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Biomedical subjects

Kathleen A Turano

Publications and source records attributed to Kathleen A Turano.

4 recordsLinked to original sources

Oculomotor strategies for the direction of gaze tested with a real-world activity.

Laboratory-based models of oculomotor strategy that differ in the amount and type of top-down information were evaluated against a baseline case of random scanning for predicting the gaze patterns of subjects performing a real-world activity--walking to a target. Images of four subjects' eyes and field of view were simultaneously recorded as they performed the mobility task. Offline analyses generated movies of the eye on scene and a categorization scheme was used to classify the locations of the fixations. Frames from each subject's eye-on-scene movie served as input to the models, and the location of each model's predicted fixations was classified using the same categorization scheme. The results showed that models with no top-down information (visual salience model) or with only coarse feature information performed no better than a random scanner; the models' ordered fixation locations (gaze pattern) matched less than a quarter of the subjects' gaze patterns. A model that used only geographic information outperformed the random scanner and matched approximately a third of the gaze patterns. The best performance was obtained from an oculomotor strategy that used both coarse feature and geographic information, matching nearly half the gaze patterns (48%). Thus, a model that uses top-down information about a target's coarse features and general vicinity does a fairly good job predicting fixation behavior, but it does not fully specify the gaze pattern of a subject walking to a target. Additional information is required, perhaps in the form of finer feature information or knowledge of a task's procedure.

Adult↗

Gaze behavior while crossing complex intersections.

BACKGROUND: Crossing the street is a complex task that involves gathering, processing, and acting on information that is time dependent. The gaze behavior of subjects has been previously studied on increasingly complex and dynamic tasks such as making tea, walking indoors, and driving. The purpose of this study was to assess how normally sighted people use their vision to cross a street safely. Specifically, we identified the environmental features people look at when crossing two types of intersections. METHOD: We measured the eye movements and head directions of 12 normally sighted people as they approached, evaluated, and crossed a light-controlled "plus" intersection and a roundabout. The primary measures were percentage of fixations and head direction. RESULTS: Crossing the street can be divided into three phases, walking to the curb, standing at the curb, and crossing the street. We found that while moving, subjects fixated primarily on crossing elements and when standing at the curb, they fixated primarily on vehicles. At the plus intersection, fixation behavior corresponded with crossing strategy; the subjects who crossed early fixated on cars, and the subjects who waited for the light to change fixated on traffic controls. At the roundabout, all subjects determined an appropriate time to cross from vehicular traffic flow by directing the majority of their fixations on cars. When moving, the head position of subjects was predominately centered. Subjects also made head turns in both directions before crossing and directed the head toward the danger zone while crossing. CONCLUSION: Crossing the street is a complex task that can be described in three phases. Common head and eye behaviors were found near the critical moments of crossing the street. Fixation behavior was closely related to street crossing behavior.

Adult↗

Fixation behavior while walking: persons with central visual field loss.

The aim of this study was to determine the effect of central visual field loss (CFL) on fixation patterns of a person walking towards a target. Subjects were four visually normal persons and 10 persons with CFL. Eye position on scene was recorded and classified into 20 scene categories. The distributions of fixations among scene categories were compared across the two subject groups. For all but two CFL subjects, who fixated primarily at the floor, the distributions of fixations for the CFL subjects ranged from being moderately to strongly correlated with that of the visually normal mean. An analysis of the similarity in the sequence of fixations (or gaze pattern) of the CFL subjects to the visually normal subjects showed a range of 7-66%. Excluding the one CFL subject who had a functioning fovea, sequence similarity was strongly correlated with the logarithm of the minimum angle of resolution (logMAR). The better a person's logMAR, the more closely his or her gaze pattern matched that of the visually normal subjects. Finally, the CFL data were tested against two current models of oculomotor strategy, visual salience and guided search. Similar to what was found with visually normal subjects, CFL subjects appear to use the expected features and general location of the target to guide their fixations, the guided-search strategy.

Adolescent↗

A self-assessment instrument designed for measuring independent mobility in RP patients: generalizability to glaucoma patients.

PURPOSE: To determine whether the patient-based assessment of difficulty in mobility, developed and validated in a group of patients with retinitis pigmentosa (RP), is valid for measuring perceived visual ability for independent mobility in patients with glaucoma. METHODS: A mobility questionnaire that had previously been developed was administered to 83 patient-volunteers who had various amounts of visual impairment caused by glaucoma. Each volunteer rated the perceived difficulty of walking independently in each of 35 mobility situations. A Rasch analysis of the ordinal difficulty ratings was used to estimate interval measures of perceived visual ability for independent mobility. RESULTS: The instrument showed good construct and content validity and high reliability scores. Criterion validity of the instrument was demonstrated by its ability to discriminate mobility-related behaviors such as fear of falling, asking for accompaniment, and believing their ability to travel independently is less than that of persons with normal vision. To make the perceived mobility scale comparable for the two diagnostic groups the questionnaire was restricted to those items whose difference in item-logit distributions was within +/-3 (18 items). Using the same instrument calibration, we compared the person measures between the patients with glaucoma and those with RP. Patients with glaucoma had, on average, higher perceived visual ability for independent mobility than those with RP. CONCLUSIONS: The instrument developed for patients with RP, to determine difficulty across a range of mobility situations, is a valid measure of perceived ability for independent mobility in patients with glaucoma.

Activities of Daily Living↗